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Home My WebLink AboutContract 51382-FP3 City Secretary 51382 -FP3 Contract No. FORTWORTH.) Date Received Sep 19,2019 5?ti t'c ok- p it NOTICE OF PROJECT COMPLETION 0 (Developer Projects) The Transportation and Public Works Department upon the recommendation of the Project Manager has accepted the following project as complete: Project Name: FOSSIL CREEK PHASE 2 City Project No.: 101097 Improvement Type(s): Water ® Sewer Original Contract Price: $365,065.70 Amount of Approved Change Order(s): Revised Contract Amount: Total Cost of Work Complete: $365,065.70 Rob Taylor( p 13,2019) Sep 13,2019 Contractor Date Accounts Receivable Title Gilco Contracting,Inc. Company Name Russel(Rogers(S� Sep 13, 2019 Project Inspector Date / P Sep 1% 2019 Victor V.Tornero Jr.(Sep 19,2019) Project Managger Date J7ahre S�a�C2t�tilv�al�f Janie Scarlett Morales(Sep 19,20191 Sep 19, 2019 CFA Manager Date ahzita Dana p19,20 Se 19 2019 Asst. City Manager Da:bFFICIAL RECORD CITY SECRETARY Page 1 of 2 FT. WORTH,TX Notice of Project Completion Project Name: FOSSIL CREEK PHASE 2 City Project No.: 101097 City's Attachments Final Pay Estimate 0 Change Order(s): ❑ Yes 0 N/A Pipe Report: 0 Yes ❑ N/A Contractor's Attachments Affidavit of Bills Paid Consent of Surety Statement of Contract Time Contract Time: 50 CD Days Charged: 210 Work Start Date: 12/17/2018 Work Complete Date: 8/12/2019 Page 2 of 2 FORT WORTH CITY OF FORT WORTH FINAL PAYMENT REQUEST Contract Name FOSSIL CREEK PHASE 2 Contract Limits Project Type WATER&SEWER City Project Numbers 101097 DOE Number 1097 Estimate Number 1 Payment Number 1 For Period Ending 9/10/2019 CD City Secretary Contract Number Contract Time 56D Contract Date Days Charged to Date 210 Project Manager NA Contract is 100.00 Complete Contractor BURNSCO CONSTRUCTION,INC. 6331 SOUTHWEST BLVD FORT WORTH, TX 76132 Inspectors DICKINSON / ROGERS Tuesday,September 10,2019 Page 1 of 4 City Project Numbers 101097 DOE Number 1097 Contract Name FOSSIL CREEK PHASE 2 Estimate Number I Contract Limits Payment Number I Project Type WATER&SEWER For Period Ending 9/10/2019 Project Funding WATER Item Description of Items Unit Unit Cost Estimated Estimated Completed Completed No. Quanity Total Quanity Total ------------- --------------------------- 1 8"PVC WATER PIPE 2836 LF $21.00 $59,556.00 2836 $59,556.00 2 8"GATE VALVE 4 EA $1,300.00 $5,200.00 4 $5,200.00 3 FIRE HYDRANT 4 EA $3,600.00 $14,400.00 4 $14,400.00 4 1"WATER SERVICE 89 EA $760.00 $67,640.00 89 $67,640.00 5 DUCTILE IRON WATER FITTINGS 2 TN $5,150.00 $10,300.00 2 $10,300.00 W/RESTRAINT 6 CONNECTION TO EXISTING 4"-12"WATER 4 EA $870.90 $3,483.60 4 $3,483.60 MAIN 7 TRENCH SAFETY 2836 LF $0.10 $283.60 2836 $283.60 -------------------------------------- Sub-Total of Previous Unit $160,863.20 $160,863.20 SEWER Item Description of Items Estimated Unit Unit Cost Estimated Completed Completed No. Quanity Total Quanity Total --------------------------------------- 1 8"SEWER PIPE 2752 LF $27.00 $74,304.00 2752 $74,304.00 2 T MANHOLE 18 EA $2,500.00 $45,000.00 18 $45,000.00 3 EXTERNAL DROP ON EXISTING MANHOLE 1 EA $1,000.00 $1,000.00 1 $1,000.00 4 8"PVC SEWER PIPE W/CSS BACKFILL 109 LF $44.00 $4,796.00 109 $4,796.00 5 8"SEWER CONNECTION 3 EA $800.00 $2,400.00 3 $2,400.00 6 4"SEWER SERVICES 86 EA $670.00 $57,620.00 86 $57,620.00 7 REMOVE 8"SEWER LINE 5 LF $80.00 $400.00 5 $400.00 8 TRENCH SAFETY 2861 LF $1.00 $2,861.00 2861 $2,861.00 9 POST CCTV INSPECTION 2861 LF $1.50 $4,291.50 2861 $4,291.50 10 EPDXY MANHOLE LINER 15 VF $260.00 $3,900.00 15 $3,900.00 11 4'EXTRA DEPTH MANHOLE 35 VF $150.00 $5,250.00 35 $5,250.00 12 MANHOLE VACUUM TESTING 18 EA $110.00 $1,980.00 18 $1,980.00 13 CONCRETE COLLAR I EA $400.00 $400.00 1 $400.00 -------------------------------------- Sub-Total of Previous Unit $204,202.50 $204,202.50 -------------------------------------- Tuesday,September 10,2019 Page 2 of 4 City Project Numbers 101097 DOE Number 1097 Contract Name FOSSIL CREEK PHASE 2 Estimate Number 1 Contract Limits Payment Number 1 Project Type WATER&SEWER For Period Ending 9/10/2019 Project Funding Contract Information Summary Original Contract Amount $365,065.70 Chanae Orders Total Contract Price $365,065.70 Total Cost of Work Completed $365,065.70 Less %Retained $0.00 Net Earned $365,065.70 Earned This Period $365,065.70 Retainage This Period $0.00 Less Liquidated Damages Days @ /Day $0.00 LessPavement Deficiency $0.00 Less Penalty $0.00 Less Previous Payment $0.00 Plus Material on Hand Less 15% $0.00 Balance Due This Payment $365,065.70 Tuesday,September 10,2019 Page 3 of 4 City Project Numbers 101097 DOE Number 1097 Contract Name FOSSIL CREEK PHASE 2 Estimate Number 1 Contract Limits Payment Number I Project Type WATER&SEWER For Period Ending 9/10/2019 Project Funding Project Manager NA City Secretary Contract Number Inspectors DICKINSON / ROGERS Contract Date Contractor BURNSCO CONSTRUCTION,INC. Contract Time 55 CD 6331 SOUTHWEST BLVD Days Charged to Date 210 CD FORT WORTH, TX 76132 Contract is .000000 Complete CITY OF FORT WORTH SUMMARY OF CHARGES Line Fund Account Center Amount Gross Retainage Net Funded -------------------------------------- Total Cost of Work Completed $365,065.70 Less %Retained $0.00 Net Earned $365,065.70 Earned This Period $365,065.70 Retainage This Period $0.00 Less Liquidated Damages 0 Days @ $0.00 /Day $0.00 LessPavement Deficiency $0.00 Less Penalty $0.00 Less Previous Payment $0.00 Plus Material on Hand Less 15% $0.00 Balance Due This Payment $365,065.70 Tuesday,September 10,2019 Page 4 of 4 FoRTWORTH TRANSPORTATION AND PUBLIC WORKS PIPE REPORT FOR: PROJECT NAME: Fossil Creek Phase 2 PROJECT NUMBER: 101097 DOE NUMBER: WATER PIPE LAID SIZE TYPE OF PIPE LF 8"pvc water pipe 8" pvc 2836 FIRE HYDRANTS: 4 VALVES(16" OR LARGER) N/A PIPE ABANDONED SIZE TYPE OF PIPE LF DENSITIES: yes NEW SERVICES: 1" copper 89 SEWER PIPE LAID SIZE TYPE OF PIPE LF 8"pvc sewer pipe 8" pvc 2752 PIPE ABANDONED SIZE TYPE OF PIPE LF DENSITIES: yes NEW SERVICES: 4" pvc 86 TRANSPORTATION AND PUBLIC WORKS a The City of Fort Worth• 1000 Throckmorton Street•Fort Worth,TX 76012-6311 AFFIDAVIT STATE OF TEXAS COUNTY OF TARRANT Before me, the undersigned authority, a notary public in the state and county aforesaid, on this day personally appeared Rob Taylor, AR/ Project Coordinator of Gilco Contracting, Inc., known to me to be a credible person, who being by me duly sworn, upon his oath deposed and said; That all persons, firms, associations, corporations, or other organizations furnishing labor and/or materials have been paid in full; That the wage scale established by the City Council in the City of Fort Worth has been paid in full; That there are no claims pending for personal injury and/or property damages; On Contract described as; Paving, and Street Light Improvements to serve: Fossil Creek, Phase 2 BY: Rob Taylor Subscribed and sworn before me on this 2nd of August , 2019. PaV PAP` Cry ID CANALE ` i Notary ID#1 3 1 652996 � Q My Commission Expires vlF of t�+ July 24, 2022 Notary Public Tarrant County, TX CONSENT OF OWNER ❑ SURETY COMPANY ARCHITECT ❑ CONTRACTOR ❑ TO FINAL PAYMENT SURETY ❑ Conforms with the American Institute of OTHER Architects,AIA Document G707 Bond No 022221170 PROJECT: (name, addreSS)Fossil Creek Phase 2- Paving and Street Lighting TO (Owner) , Fort Worth,TX, F ARCHITECT'S PROJECT NO: CONTRACT FOR: PULTE HOMES OF TEXAS,L.P.AND CITY OF FORT Fossil Creek Phase 2-Paving and Street Lighting Improvements WORTH 9111 Cypress Waters Blvd.,Suite 100 Co pell,TX,75019 ._I CONTRACT DATE: CONTRACTOR:GILCO CONTRACTING, INC. In accordance with the provisions of the Contract between the Owner and the Contractor as indicated above,the (here insert name and address of Surety Company) LIBERTY MUTUAL INSURANCE COMPANY 175 Berkeley Street Boston, MA 02116 SURETY COMPANY on bond of (here insert name and address of Contractor) GILCO CONTRACTING, INC. 6331 Southwest Boulevard , CONTRACTOR, Benbrook,TX, 76132 hereby approves of the final payment to the Contractor, and agrees that final payment to the Contractor shall not relieve the Surety Company of any of its obligations to (here insert name and address of Owner) PULTE HOMES OF TEXAS, L.P.AND CITY OF FORT WORTH , OWNER, 9111 Cypress Waters Blvd., Suite 100 Coppell,TX,75019 as set forth in the said Surety Company's bond. IN WITNESS,WHEREOF, the Surety Company has hereunto set its hand this 1 St day of August,2019 LIBERTY MUTUAL INSURANCE COMPANY Surety Company Attest: Kelly A.Westbrook , (Seal): Signature of Authorized Representative Tonie Petranek Attorney-in-Fact Title NOTE: This form is to be used as a companion document to AIA DOCUMENT G706, CONTRACTOR'S AFFIDAVIT OF PAYMENT OF DEBTS AND CLAIMS, Current Edition ONE PAGE This Power of Attorney limits the acts of those named herein,and they have no authority to bind the Company except in the manner and to the extent herein stated. Liberty Liberty Mutual Insurance Company Mutual® The Ohio Casualty Insurance Company Certificate No: 8200743 SURETY West American Insurance Company POWER OF ATTORNEY KNOWN ALL PERSONS BY THESE PRESENTS:That The Ohio Casualty Insurance Company is a corporation duly organized under the laws of the State of New Hampshire,that Liberty Mutual Insurance Company is a corporation duly organized under the laws of the State of Massachusetts,and West American Insurance Company is a corporation duly organized under the laws of the State of Indiana(herein collectively called the"Companies"),pursuant to and by authority herein set forth,does hereby name,constitute and appoint, Robbi Morales,Don E.Comell,Sophinie Hunter,Tina McEwan,Tonic Petranek,Ricardo J.Reyna, Joshua Saunders, Kelly A.Westbrook all of the city of Dallas state of TX each individually if there be more than one named,its true and lawful attorney-in-fact to make, execute,seal,acknowledge and deliver,for and on its behalf as surety and as its act and deed,any and all undertakings,bonds,recognizances and other surety obligations,in pursuance of these presents and shall be as binding upon the Companies as if they have been duly signed by the president and attested by the secretary of the Companies in their own proper persons. IN WITNESS WHEREOF,this Power of Attorney has been subscribed by an authorized officer or official of the Companies and the corporate seals of the Companies have been affixed thereto this 19th day of March 2019 Liberty Mutual Insurance Company su6 INSuz ce JP aapany P p,IP JpV°aP°2y&R9 rJPaoaP0 q The Ohio Casualty y West Insurance Company T J3 Fota vQ3 Fo m 2 Fora m 1912 0 0 1919 1991 0 9 0 Z 4 b o Q O (f n N d�ss4 CHU5�.aa HAWS a 't' �"°IANP, * dad *ad By: U) c David M.Carey,Assistant Secretary State of PENNSYLVANIA > a) � County of MONTGOMERY ss m L (M U a) On this 19th day of March 2019 before me personally appeared David M.Carey,who acknowledged himself to be the Assistant Secretary of Liberty Mutual Insurance o o Company,The Ohio Casualty Company,and West American Insurance Company,and that he,as such,being authorized so to do,execute the foregoing instrument for the purposes—N (D > therein contained by signing on behalf of the corporations by himself as a duly authorized officer. LU 6 co IN WITNESS WHEREOF,I have hereunto subscribed my name and affixed my notarial seal at King of Prussia,Pennsylvania,on the day and year first above written. a) Q ca rn yp PAST cam') O aNW cc COMMONWEALTH OF PENNSYLVANIA Q � Notarial Seal ll O do` ��U �= 9 Teresa Paste OF a,Notary Public ` p Upper MerionTwp.,Montgomery County By: My Commission Expires March 28,2021 3 E NP `� Teresa Pastella,Notary Public o m Member,Pennsylvania Association of Notaries d O a) This Power of Attorney is made and executed pursuant to and by authority of the following By-laws and Authorizations of The Ohio Casualty Insurance Company, Liberty Mutual E o.S Insurance Company,and West American Insurance Company which resolutions are now in full force and effect reading as follows: o aa) i ARTICLE IV—OFFICERS:Section 12.Power of Attorney. 42 3 o Any officer or other official of the Corporation authorized for that purpose in writing by the Chairman or the President, and subject to such limitation as the Chairman or the a >. President may prescribe,shall appoint such attorneys-in-fact,as may be necessary to act in behalf of the Corporation to make,execute,seal,acknowledge and deliver as surety >o Cany and all undertakings,bonds,recognizances and other surety obligations.Such attorneys-in-fact,subject to the limitations set forth in their respective powers of attorney,shall t N have full power to bind the Corporation by their signature and execution of any such instruments and to attach thereto the seal of the Corporation. When so executed,such CO Zinstruments shall be as binding as if signed by the President and attested to by the Secretary.Any power or authority granted to any representative or attorney-in-fact under the M provisions of this article may be revoked at any time by the Board,the Chairman,the President or by the officer or officers granting such power or authority. c°I ARTICLE XIII—Execution of Contracts:Section 5.Surety Bonds and Undertakings. 0- o Any officer of the Company authorized for that purpose in writing by the chairman or the president,and subject to such limitations as the chairman or the president may prescribe,F- shall appoint such attorneys-in-fact,as may be necessary to act in behalf of the Company to make,execute,seal,acknowledge and deliver as surety any and all undertakings, bonds,recognizances and other surety obligations.Such attorneys-in-fact subject to the limitations set forth in their respective powers of attorney,shall have full power to bind the Company by their signature and execution of any such instruments and to attach thereto the seal of the Company.When so executed such instruments shall be as binding as if signed by the president and attested by the secretary. Certificate of Designation—The President of the Company,acting pursuant to the Bylaws of the Company,authorizes David M.Carey,Assistant Secretary to appoint such attorneys-in- fact as may be necessary to act on behalf of the Company to make,execute,seal,acknowledge and deliver as surety any and all undertakings,bonds,recognizances and other surety obligations. Authorization—By unanimous consent of the Company's Board of Directors,the Company consents that facsimile or mechanically reproduced signature of any assistant secretary of the Company,wherever appearing upon a certified copy of any power of attorney issued by the Company in connection with surety bonds,shall be valid and binding upon the Company with the same force and effect as though manually affixed. I,Renee C.Llewellyn,the undersigned,Assistant Secretary,The Ohio Casualty Insurance Company,Liberty Mutual Insurance Company,and West American Insurance Company do hereby certify that the original power of attorney of which the foregoing is a full,true and correct copy of the Power of Attorney executed by said Companies,is in full force and effect and has not been revoked. T IN TESTIMONY WHEREOF,I have hereunto set my hand and affixed the seals of said Companies this {_ day of � Py 1NSIJ. P01 INS&q 1NSUR9 °�Toy�ca =Goa°°"L Z� `G �0RarFyC+ 1912 0 0 1919 1991 0 : m o a o do By Renee C.Llewellyn,Assistant Secretary LMS-12873 LMIC OCIC WAIC Multi Co 062018