HomeMy WebLinkAboutContract 48182-FP2 City Secretary 48182 -FP2
Contract No.
A, FORT WORTHCO Date Received Nov 11,2019
RECEivu)
NOV 1 1 2019
CITY 0F FORT rH
CI7YSECnETARYRETgRY NOTICE OF PROJECT COMPLETION
(Developer Projects)
The Transportation and Public Works Department upon the recommendation of the Project
Manager has accepted the following project as complete:
Project Name: MARKUM BUSINESS PARK PH I
City Project No.: 100032
Improvement Type(s): ❑ Paving ® Drainage ❑ Street Lights ❑ Traffic Signals
Original Contract Price: $161,796.00
Amount of Approved Change Order(s):
Revised Contract Amount:
Total Cost of Work Complete: $161,796.00
Jeremy Blair ct 30,2019) Oct 30,2019
Contractor Date
Vp
Title
Blair's B&B Backhoe Service
Company Name
R�uu�N H2Opizw�
Randy Horton(Nov 4,2019) Nov 4,2019
Project Inspector Date
Kha I jaafari(I 5, 0 l-6g17 Nov 5,2019
Project Manager Date
�7a�r2 c�G�G���ti10`aG�t
Janie Scartett Morales(Nov 7,2019) Nov 7,2019
CFA Manager Date
Dana Burghdoff(f�6v 7,201V Nov 7,2019
Asst. City Manager Date
OFFICIAL RECORD
CITY SECRETARY Page 1 of 2
FT. WORTH, TX
Notice of Project Completion
Project Name: MARKUM BUSINESS PARK PH I
City Project No.: 100032
City's Attachments
Final Pay Estimate Fx
Change Order(s): ❑ Yes ❑x N/A
Contractor's Attachments
Affidavit of Bills Paid
Consent of Surety
Statement of Contract Time
Contract Time: 365 CD Days Charged: 1061
Work Start Date: 11/14/2016 Work Complete Date: 10/8/2019
Page 2 of 2
FLIRT WORTH
CITY OF FORT WORTH
FINAL PAYMENT REQUEST
Contract Name MARKUM BUSINESS PARK PH I
Contract Limits
Project Type DRAINAGE
City Project Numbers 100032
DOE Number 0032
Estimate Number 1 Payment Number 1 For Period Ending 10/30/2019
CD
City Secretary Contract Number Contract Time 366D
Contract Date Days Charged to Date 1061
Project Manager NA Contract is 100.00 Complete
Contractor BLAIR'S B&B BACKHOE SERVICES,INC.
203 YOUNG BEND RD
BROCK, TX 76087
Inspectors LAYER / ROGERS
Wednesday,October 30,2019 Page 1 of 4
City Project Numbers 100032 DOE Number 0032
Contract Name MARKUM BUSINESS PARK PH I Estimate Number I
Contract Limits Payment Number I
Project Type DRAINAGE For Period Ending 10/30/2019
Project Funding
DRAINAGE
Item Description of Items Estimated Unit Unit Cost Estimated Completed Completed
No. Quanity Total Quanity Total
----------------------------------
I TRENCH SAFETY 237 LF $2.00 $474.00 237 $474.00
2 IMPORTED EMBEDMENT/NACKFILL, 137 CY $15.00 $2,055.00 137 $2,055.00
CRUSHED ROCK
3 36"RCP CLASS 111 236 LF $134.00 $31,624.00 236 $31,624.00
4 42"RCP CLASS 111 80 LF $175.00 $14,000.00 80 $14,000.00
5 8X3 BOX CULVERT 58 LF $536.00 $31,088.00 58 $31,088.00
6 36"SET 2 EA $1,900.00 $3,800.00 2 $3,800.00
7 42"SET 2 EA $6,000.00 $12,000.00 2 $12,000.00
8 HEADWALL,BOX CULVERT 2 EA $12,000.00 $24,000.00 2 $24,000.00
9 CONCRETE RIPRAP 70 SY $76.50 $5,355.00 70 $5,355.00
10 LARGE STONE RIPRAP 320 SY $95.00 $30,400.00 320 $30,400.00
11 TRAFFIC CONTROL 1 MO $3,000.00 $3,000.00 1 $3,000.00
12 UTILITY CONTRACTOR BONDS 1 EA $4,000.00 $4,000.00 1 $4,000.00
--------------------------------------
Sub-Total of Previous Unit $161,796.00 $161,796.00
--------------------------------------
Wednesday,October 30,2019 Page 2 of 4
City Project Numbers 100032 DOE Number 0032
Contract Name MARKUM BUSINESS PARK PH I Estimate Number I
Contract Limits Payment Number 1
Project Type DRAINAGE For Period Ending 10/30/2019
Project Funding
Contract Information Summary
Original ContractAmount $161,796.00
ChanIze Orders
Total Contract Price $161,796.00
Total Cost of Work Completed $161,796.00
Less %Retained $0.00
Net Earned $161,796.00
Earned This Period $161,796.00
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 $161,796.00
Wednesday,October 30,2019 Page 3 of 4
City Project Numbers 100032 DOE Number 0032
Contract Name MARKUM BUSINESS PARK PH I Estimate Number 1
Contract Limits Payment Number I
Project Type DRAINAGE For Period Ending 10/30/2019
Project Funding
Project Manager NA City Secretary Contract Number
Inspectors LAYER/ ROGERS Contract Date
Contractor BLAIR'S B&B BACKHOE SERVICES,INC. Contract Time 365 CD
203 YOUNG BEND RD Days Charged to Date 1061 CD
BROCK, TX 76087 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 $161,796.00
Less %Retained $0.00
Net Earned $161,796.00
Earned This Period $161,796.00
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 $161,796.00
Wednesday,October 30,2019 Page 4 of 4
NOTICE: THIS DOCUMENT WAIVES RIGHTS UNCONDITIONALLY AND STATES THAT YOU HAVE
BEEN PAID FOR GIVING UP THOSE RIGHTS. IT IS PROHIBITED FOR A PERSON TO REQUIRE YOU TO
SIGN THIS DOCUMENT IF YOU HAVE NOT BEEN PAID THE PAYMENT AMOUNT SET FORTH BELOW_
IF YOU HAVE NOT BEEN PAID,USE A CONDITIONAL RELEASE FORM.
Ungonditional Waiv r and Release n Final Pavm t
(Pursuant to Texas Property-Code§53.284(e))
Project MARKUM RANCH ROAD
Job No. 1610041
The signer of this document has been paid in full for all labor, services, equipment. or materials
furnished to the property or to Wilks Construction Company,LLC — on the property of
MC ESTATES ( owner) located at
PO BOX 1032 CISCO,Tx 76437 (location) to the following extent:
MARKUM RANCH ROAD (job description). The signer therefore waives and releases any
mechanic's lien right, any right arising from a payment bond that complies with a state or federal statute,
any common law payment bond right,any claim for payment. and any rights under any similar ordinance,
rule,or statute related to claim or payment rights for persons in the signer's position.
The signer warrants that the signer has already paid or will use the funds received from this final
payment to promptly pay in full all of the signer's laborers,subcontractors,materialmen,and suppliers for
all work, materials, equipment, or services provided for or to the above referenced project up to the date
of this waiver and release.
Date 4 & 1 7
BLAIR'S B BACKHOE SERVICES (Company Name)
By (Signature)
(Title)
STATE OF TEXAS §
COUNTY O7�
This instrument wils ACK*NVLEDGED before(signer's name), as (title) of (company)
known to me to be the person whose nameis subscribed to the �qb
n j en ,w o after b ng duly
sworn acknowledged to me that the same was the act of
(company) and that he/she executed same as an act of such company the purpo s and consideration
stated therein.
Given under my hand and seal of office,this the i �day of 20 .
NO IC,STATE.OF
,W.. :. MINDY KEYLON
Notary PubNc,State of Texas
My Commission Expires
•E oc r. December 15,2015
0062 19-3
-MANTENANCE BOND
Page 3 of 3
1 Lei WITNESS WHEREOF.the Principal and the Surety have each SIGNED and SEALED this
instrument b} duly authorized agents and officers on this the 30th day of Se terrtber. 20 16 .
3
4 PRTNsCLPAL:
6 BIair's B&B ackhoe Service
7
8
9 BY:
SiQna e
10 ATTEST:
11
13 (Principal)Secretary Name and Title
1-4
1, Address:203 Young Bend Rd
16 Brock TX 76087
i-
1s
19 u-fitness as to Principal
70 SURETY:
21
-- Insurors Indemnity Company
24 BY: CC.C,L�r
25,
2 Signature
27 Rachelle Harris.Attorney-In-Fact
28 ATTEST: Name and Title
�9
30 L �,
1 (Surety)Secretary — Address: 225 South Fifth Street
32 PO Box 2683
33 Waco, TX 76702-2683
33
34imess as to Suretti 3� Telephone Number: 800-933-7444
,6 *Note: If signed by an officer of the Surety Company, there must be on file a certified extract
37 from the by-Iaws showing that this person has authority to sign such obligation. If
38 Surety's phy sieal address is different from its mailing address.both must be provided_
39
40 The date of the bond shall not be prior to the date the Contract is awarded.
41
CITY OF FORT XOR M Afarkme Business Park-Phase 11
STAN'D,AaD C11-Y"CO%-DITIONS-DEVELOPER AWARDED PROJECTS (Cin Prujec1=10003?1
Re%ised Januan 31.2012