HomeMy WebLinkAboutContract 50059-FP1 City Secretary 50059 -FP1
Contract No_
Cate Received Nov 12,2019
RECEIVED FORTWORTH.
NOV 12 2019
CITY OF FORT WORTH
CITY SECRETARY
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: HOODED LEFT TURN LANE AND ST LIGHT RELOCATION
City Project No.: 101072
Improvement Type(s): ❑ Paving ❑ Drainage ® Street Lights ❑ Traffic Signals
Original Contract Price: $7,750.00
Amount of Approved Change Order(s):
Revised Contract Amount:
Total Cost of Work Complete: $7,750.00
Chip Bean(Nov6,2019) Nov 6, 2019
Contractor Date
Bean Electrical,Inc
Title
President
Company Name
Lori-4-'pa-H- Nov 8, 2019
Lorrie Pitts(Nov 8,2019)
Pr ject Ins a or Date
Patrick Buckley(Nov 8,2019) Nov 8, 2019
Project Manager Date
�a�rre JGa yl27trYom/&r Nov 11 2019
Jame Scarlett Morales(Nov 11,2019)
CFA Manager Date
Dana BurghdoR(^v 11,2019) Nov 11, 2019
Asst. City Manager Date
E
IAL RECORD Page 1 of 2
SECRETARYORTH,TX
Notice of Project Completion
Project Name: HOODED LEFT TURN LANE AND ST LIGHT RELOCATION
City Project No.: 101072
City's Attachments
Final Pay Estimate ❑x
Change Order(s): ❑ Yes ❑x N/A
Contractor's Attachments
Affidavit of Bills Paid
Consent of Surety
Statement of Contract Time
Contract Time: 45 CD Days Charged: 369
Work Start Date: 4/2/2018 Work Complete Date: 4/5/2019
Page 2of2
FORT WORTH
CITY OF FORT WORTH
FINAL PAYMENT REQUEST
Contract Name HOODED LEFT TURN LANE AND ST LIGHT RELOCATION
Contract Limits
Project Type ST LIGHT
City Project Numbers 101072
DOE Number 1072
Estimate Number 1 Payment Number 1 For Period Ending 7/30/2019
CD
City Secretary Contract Number Contract Time 46D
Contract Date Days Charged to Date 469
Project Manager NA Contract is 100.00 Complete
Contractor BEAN ELECTRICAL,INC
821 E ENON
FORT WORTH, TX 76140
Inspectors DICKINSON / PITTS
Wednesday,July 31,2019 Page 1 of 4
City Project Numbers 101072 DOE Number 1072
Contract Name HOODED LEFT TURN LANE AND ST LIGHT RELOCATION Estimate Number I
Contract Limits Payment Number I
Project Type ST LIGHT For Period Ending 7/30/2019
Project Funding
STREET LIGHT
Item Description of Items Estimated Unit Unit Cost Estimated Completed Completed
No. Quanity Total Quanity Total
---------------------------------------
I RDWY ILLUM FOUNDATION 1 EA $2,150.00 $2,150.00 1 $2,150.00
2 FURNISH/INSTALL LED LIGHTING FIXTURE 2 EA $1,250.00 $2,500.00 2 $2,500.00
3 250-250-3/0 TRIPLEX ALUM ELEC CONDUCTOR 300 LF $3.00 $900.00 300 $900.00
4 RELOCATE STREET LIGHT POLE 1 EA $2,200.00 $2,200.00 1 $2,200.00
Sub-Total of Previous Unit $7,750.00 $7,750.00
Wednesday,July 31,2019 Page 2 of 4
City Project Numbers 101072 DOE Number 1072
Contract Name HOODED LEFT TURN LANE AND ST LIGHT RELOCATION Estimate Number I
Contract Limits Payment Number I
Project Type ST LIGHT For Period Ending 7/30/2019
Project Funding
Contract Information Summary
Original Contract Amount $7,750.00
Chance Orders
Total Contract Price $7,750.00
Total Cost of Work Completed $7,750.00
Less %Retained $0.00
Net Earned $7,750.00
Earned This Period $7,750.00
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 $7,750.00
Wednesday,July 31,2019 Page 3 of 4
City Project Numbers 101072 DOE Number 1072
Contract Name HOODED LEFT TURN LANE AND ST LIGHT RELOCATION Estimate Number I
Contract Limits Payment Number I
Project Type ST LIGHT For Period Ending 7/30/2019
Project Funding
Project Manager NA City Secretary Contract Number
Inspectors DICKINSON / PITTS Contract Date
Contractor BEAN ELECTRICAL,INC Contract Time 45 CD
821 E ENON Days Charged to Date 469 CD
FORT WORTH, TX 76140 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 $7,750.00
Less %Retained $0.00
Net Earned $7,750.00
Earned This Period $7,750.00
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 $7,750.00
Wednesday,July 31,2019 Page 4 of 4
BEAN WC.,
821 E.niou Aveiwe P 817-561-7400 B I
Fort Worth,Texas 76140 F 817-561-7403
«�«�•.beanelectrical.com
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 Roy E. Bean 11, President of Bean Electrical, 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;
Hooded Left Turn Lane and St Light Relocate CPN# 101072 SL
BY
Roy E. Bean 11, President
Subscribed and sworn before me on this date 31 st of July, 2019.
J0...... JAMES MICHAEL HUGHES
=2;' :Notary Public, State of Texas
N p
UFlic �Q� Comm. Expires 10-26-2022
° � Notary ID 131774249
6rant, Texas
Bean Electrical, Inc.
TECL17979
Regulated by The Texas Department of Licensing and Regulations,P.O.Box 12157,Austin,Texas 78711,1 800 803 9202,512 463 6599,website
www.license.state.tx.us/complaints
CONSENT OF OWNER x
SURETY COMPANY ARCHITECT ❑
TO FINAL PAYMENT CONTRACTOR ❑
AIA DOCUMENT G707 SURETY ❑
OTHER ❑ Bond# 4414230
PROJECT: Hooded Left Turn Lane and Street Light Relocation,3665 Western Center Blvd
(name, address)
TO(Owner)Sustainable Development LLC/ City of Fort Worth ARCHITECT'S PROJECT
NO:
200 Texas CONTRACT FOR:
Fort Worth,TX CONTRACT DATE: 10/26/2017
76102
CONTRACTOR: Bean Electrical,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)
SureTec Insurance Company
2103 CityWest Blvd.,Suite 1300
Houston,TX 77042
,SURETY COMPANY,
on bond of
(here insert name and address of Contractor)
Bean Electrical,Inc.
821 E Enon
Fort Worth,TX 76140 ,CONTRACTOR,
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)
Sustainable Development LLC/ City of Fort Worth
200 Texas,Fort Worth,TX 76102
,OWNER,
as set forth in the said Surety Company's bond
IN WITNESS WHEROF,
The Surety Company has hereunto set its hand this 30th day of September, 2019.
SureTec Insurance Cf mpany
Surety ompany
Signature Authorized Representative
Attest
(seal): JohnQ7 Moss, 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 DEBT AND CLAIMS,
Current Edition
AIA DOCUMENT G707*CONSENT OF SURETY COMPANY TO FINAL PAYMENT*APRIL 1970 EDITION*AIA
1970 THE AMERICAN INSTITUTE OF ARCHITECTS,1735 NEW YORK AVE.NW WASHINGTON,D.C.2006
WARNING: Unlicensed photocopying violates U.S.copyright laws and is subject to legal prosecution.
POA a: 4221049
SureTec Insurance Company
LIMITED POWER OF ATTORNEY
Know All Men by These Presents, That SURETEC INSURANCE COMPANY (the "Company"), a corporation duly organized and
existing under the laws of the State of Texas, and having its principal office in Houston, Harris County, Texas, does by these presents
make,constitute and appoint
Tony Fierro,Jay Jordan,Johnny Moss, Steven W. Searcey, Robert J. Shuya, Mistie Beck,
Jeremy Barnett, Robert G. Kanuth, Jade Porter,Jennifer Cisneros,Jarrett Willson, Jack Nottingham
its true and lawful Attorney-in-fact, with full power and authority hereby conferred in its name,place and stead, to execute, acknowledge
and deliver any and all bonds, recognizances, undertakings or other instruments or contracts of suretyship to include waivers to the
conditions of contracts and consents of surety for,providing the bond penalty does not exceed
Five Million and 00/100 Dollars($5,000,000.00)
and to bind the Company thereby as fully and to the same extent as if such bond were signed by the CEO, sealed with the corporate seal
of the Company and duly attested by its Secretary, hereby ratifying and confirming all that the said Attorney-in-Fact may do in the
premises. Said appointment is made under and by authority of the following resolutions of the Board of Directors of the SureTec
Insurance Company:
Be it Resolved, that the President, any Vice-President, any Assistant Vice-President, any Secretary or any Assistant Secretary shall be and is
hereby vested with full power and authority to appoint any one or more suitable persons as Attomey(s)-in-Fact to represent and act for and on
behalf of the Company subject to the following provisions:
Attorney-in-Fact may be given full power and authority for and in the name of and of behalf of the Company,to execute, acknowledge and
deliver,any and all bonds, recognizances,contracts,agreements or indemnity and other conditional or obligatory undertakings and any and all
notices and documents canceling or terminating the Company's liability thereunder, and any such instruments so executed by any such
Attorney-in-Fact shall be binding upon the Company as if signed by the President and sealed and effected by the Corporate Secretary.
Be it Resolved, that the signature of any authorized officer and seal of the Company heretofore or hereafter affixed to any power of attorney or
any certificate relating thereto by facsimile,and any power of attorney or certificate bearing facsimile signature or facsimile seal shall be valid
and binding upon the Company with respect to any bond or undertaking to which it is attached. (Adopted at a meeting held on 20''of April,
1999.)
In Witness Whereof, SURETEC INSURANCE COMPANY has caused these presents to be signed by its CEO, and its corporate seal to
be hereto affixed this 27th day of August ; A.D. 2018 .
SURETEC CE PANY
7;�
w w D= John K Jr.,C
ac:. 0 ;z
State of Texas ss:
County of Harris ••-• '
On this 27th day of August , A.D. 2018 before me personally came John Knox Jr.,to me known, who, being by me duly swom,did depose and say,
that he resides in Houston_, Texas, that he is CEO of SURETEC INSURANCE COMPANY, the company described in and which executed the above
instrument;that he knows the seal of said Company; that the seal affixed to said instrument is such corporate seal;that it was so affixed by order of the
Board of Directors of said Company;and that he signed his name thereto by like order.
�`�•... t•1ola ry U1j11c, of rexai Sqq
ug-lo-2020
Xe avez,Notary Public
'•,; ,; tdotari iJ 12411 io59 : commission expires September 1 ,2020
I,M.Brent Beaty,Assistant Secretary of SURETEC INSURANCE COMPANY,do hereby certify that the above and foregoing is a true and correct copy
of a Power of Attorney,executed by said Company, which is still in full force and effect;and furthermore,the resolutions of the Board of Directors,set
out in the Power of Attorney are in full force and effect.
Given under my hand and the seal of said Company at Houston, Texas this - �`~ day of �';, -r��`;`t ` ' , A.D.
Br t eaty,Ass1 tent Secrete
Any instrument issued in excess of the penalty stated above is totally void and without any validity.
For verification of the authority of this power you may call(713)812-0800 any business day between 8:30 am and 5:00 prn CST.