HomeMy WebLinkAboutContract 51224-FP1 City Secretary 51224 -FP1
Contract No.
Date Received Dec5,2019
FORT WORTH
NOTICE OF PROJECT COMPLETION
(Developer Projects)
The Transportation and Public VVorks Department upon the recommendation of the Project
Manager has accepted the fotlowing project as complete:
Project Name. Copper Creek PH 3
City Project No.: 101457
Improvement Types); ❑ Paving ❑ Drainage ® Street Lights ❑ Traffic Signals
Original Contract Price: $271,594.23
Amount of Approved Change Orders):
Revised Contract Amount: $271,594,23
Total Cost of Work Complete: $271,594.23
Richard Richard Wol� Dec 3,2019
Contractor Date
President
Title
Independent Utility Construction, Inc.
Company Name
CChem a X9111kf Dec 3, 2019
Charles D.Bevins Dec3 2019
Project Inspector Date
Mffoh ffolmas Dec 4 2019
Mitch Holmes Deco 2019
Project Manager Date
e Sarlett Morales(Dec 4,2019) Dec 4 f2019
CFA Manager Date
aw a Dec 5,2019
Dana Burehdoff(D c5,2019)
Asst. City Manager Date
OFFICIAL RECORD
CITY SECRETARY Page 1 of 2
FT.WORTH, TX
Notice of Project Completion
Project Name: Copper Creek PH 3
City Project No.: 101457
City's Attachments
Final Pay Estimate
Change orders): ❑ Yes 0 NIA
Contractor's Attachments
Affidavit of Bills Paid
Consent of Surety
Statement of Contract Time
Contract Time: 30 CD Days Charged: 25
Work Start Date: 8/7/2018 Work Complete Date: 1 1 1812 0 1 9
Page 2 of 2
FORT WORTH
CITY OF FORT WORTH
FINAL PAYMENT REQUEST
Contract Name COPPER CREEK PHASE 3
Contract Limits
Project Type LIGHTING
City Project Numbers 101457
DOE Number 1457
Estimate Number 1 Payment Number I For Period Ending 11/9/2019
CD
City Secretary Contract Number Contract Time 30'D
Contract Date 6120n018 Days Charged to Date 25
Project Manager NA Contract is 100-00 Complete
Contractor INDEPENDENT UTILITY CONSTRUCTION
5109 SUN VALLEY DRIVE
FORT WORTH, TX 76119
Inspectors CORDOVA / BEVINS,D
Monday,December 2,2019 Page 1 of
City Project Numbers 10€457 DOE Number €457
Contract Name COPPER CREEK PHASE 3 Estimate Number I
Contract Limits Payment Dumber I
Project Type LIGHT€NG For Period Ending 1 11812 0 1 9
Project Funding
LIGHTING
Item I)escription of items Estimated Unit Unit Cost Estimated Completed Completed
No. Quanity Total Quanity Total
74 Light Pole Assembly-Type 11 Pole Single 338 Arm 54 EA $3,034.00 $163,836.00 54 $163,836.00
ATBO LED Luminare
75 Light Pale Assembly-Type 18 Pole Dbl 33A Arm 10 EA $5,056.00 $50,560.00 10 $50,560.00
ATB2 LED Luminaire
76 2"Conduit PVC SCH 40(T) 7133 LF $6.23 $44,438.59 7133 $44,438.59
77 No. 10 Copper Heritage Trace Parkway 1630 LF $0.76 $1,238.80 1630 $1,238.80
78 No. 10 Copper[Single Fixture Residential] 15159 LF $0.76 $11,520.84 15159 $11,520.84
Sub-Total of Previous Unit $271,594.23 SM,594.23
Monday,December 2,2019 Page 2 of 4
City Project Numbers 101457 DUE Number 1437
Contract Name COPPER CREEK PHASE 3 Estimate Number 1
Contract Limits Payment Number 1
Project Type LIGHTING For Period Ending 1I/M019
Project Funding
Contract information Summary
Original Contract Amount $271,594.23
Change Orders
Total Contract Price $271,594.23
Total Cost of Work Completed $271,594.23
Less %Retained $0.00
Net Earned $271,594.23
Earned This Period $271,594.23
Rctainage This Period $0.00
Less Liquidated Damages
Days® 1 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 $271,594.23
Monday,December 2,2019 Page 3 of 4
City Project Numbers 101457 DOE Number 1457
Contract Name COPPER CREEK PHASE 3 Estimate Number 1
Contract Limits Payment Number 1
Project Type LIGtTrING For Period Ending l 1/g/2019
Project Funding
Project Manager NA City Secretary Contract Number
Inspectors CORDOVA / BEVINS,D Contract Date 6/20/2018
Contractor INDEPENDENT U TfLfCY CONSTRUCTION Contract Time 30 CD
5109 SUN VALLEY DRIVE Days Charged to Date 25 CD
FORT WORTH, TX 76119 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 $271,594.23
Less %Retained $0.00
Net Earned $271,594.23
Earned This Period $271,594.23
Retainage This Period $0.00
Less Liquidated Damages
0 Days @ $0.00 1 Day $0A0
LessPavement Deficiency $0.00
Less Penalty $0.00
Less Previous Payment $0.00
Pius Material on Hand Less 15% $0.00
BRIance Due This Payment $271,594.23
Monday,December 2,2019 Page 4 o174
AFFIDAVIT
STATE OF TEXAS
COUNTY OF TARRANT
Before me, the undersigned authority, on this day personally appeared RICHARD
WOLFE, President of INDEPENDENT UTILITY CONSTRUCTION INC. known
to me to be a credible person, and after being duly sworn by me, 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: Copper Creek Phase 3—City Project No. 101457
BY:
Ric ar Wolfe, President
Sr�B,E D SWORN TO BEFORE ME on this day of
1 ,2019.
r
.��•*pY PG r� CHR�SY�NA ARCIpl
_z°�'' Q��Notary Pu�1ic,State of Texas ■1
Comm.Expires 12.20-2020L•
'' ;,;�•`` Notary 1D 130940785 Notary Public, State of Texas
CONSENT OF OWNER ❑
SURETY COMPANY CONTRACTOR ❑❑
TO FINAL PAYMENT SURETY El
OTHE(SIMILAR TO AIA DOCUMENT G7"
Bond No. 9848070
PROJECT: Copper Creek Phase 3
(name,address)Fort Worth, Texas
TO (Owner)
ARCHITECTS PROJECT NO:
F—City of Fort Worth CONTRACT FOR: Above Project
200 Texas Street
Fort Worth, Texas 76102
CONTRACT DATE:
CONTRACTOR: Independent Utility Construction, Inc.
In accordance with the provisions of the Contract between the Owner and the Contractor as indicated above,the(here hisert name and
address of Surety Company) Westfield Insurance Company
555 Republic Drive, Suite 450
Plano, Texas 75074 ,SURETY COMPANY,
on bond of(here insert name and address of Contractor)
Independent Utility Construction, Inc.
5109 Sun Valley Drive CONTRACTOR,
Fort Worth, Texas 76119
hereby approves of the final payment to the Contractor, and agrees that the final payment to the Contractor shall not relieve the
Surety Company of any of its obligations to(here insert name and address of Owner)
City of Fort Worth
200 Texas Street o�v1vER,
Fort Worth, Texas 76102
as set forth in the said Surety Company's bond.
IN WITNESS WHEREOF,
The Surety Company has hereunto set its hand this 7th day of August 2019
WE TFIEINSURANCE COMPANY
Surety Co
B
Signa f Authorized Representative
Attest:
(Seal): Kvlg W. Sweeney Attorney-in—Fact
Title
Note:This form is intended to be used as a companion document to the Contractor's Affidavit of Payment of Debts and CIaims,Current Edition
THIS POWER OF ATrONNEY SUPERCEDES ANY PREVIOUS POWER BEAR INU f Hts .,AMt
POWER#AND ISSUE❑ PRIOR TO 04120111. FOR ANY PERSON OR PERSON5 NAMED BELOW.
General
POWER NO. 4220052 06
Power Westfield Insurance Co.
of Attorney Westfield National Insurance Co.
CERTIFfED COPY Ohio Farmers Insurance Co.
Westfield Center, Chi❑
Know All Men by These Presents, That WESTFIELD INSURANCE COMPANY, WESTFIELD NATIONAL INSURANCE COMPANY and CHID
FARMERS INSURANCE COMPANY, corporations, hereinafter referred to individually as a 'Company" and collectively as "Companies," duly
organized and existing under the laws of the State of Ohio, and having its principal office in Westfield Center, Medina County, Ohio,do by these
presents make,constitute and appoint
CHARLES D. SWEENEY, MICHAEL A. SWEENEY, KYLE W. SWEENEY, ELIZABETH GRAY, JOINTLY OR SEVERALLY
of FORT WORTH and State of T]t its true and lawful Attorney(s)-in-Fact, with full power and authority ncreby 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- - - - - - - - -- - - - - - - - - - - - - - - - - - - - - - - -- - - - - - - - - - - - - - - - - - - - - - - -- - -
LIMIITATION: THIS POWER OF ATTORNEY CANNOT BE USED To EXECUTE NOTE GUARANTEE, MORTGAGE DEFICIENCY, MORTGAGE
GUARANTEE, OR BANK DEPOSITORY BONDS.
and to bind any of the Companies thereby as fully and to the same extent as if such bonds were signed by the President,sealed with the corporate
seal of the applicable Company and duly attested by its Secretary, hereby ratifying and confirming all that the said Attorney(s)-in-Fact may do in
the premises- Said appointment is made under and by authority of the following resolution adopted by the Board of Directors of each of the
WESTFIELD INSURANCE COMPANY,WESTFIELD NATIONAL INSURANCE COMPANY and CHID FARMERS INSURANCE COMPANY:
'Be It Resolved,that the President,any Senior Executive,any Secretary m any Fidelity& Surety Operations Executive or other Executive shall
be and is hereby vested with full power and authority to appoint any one or more suitable persons as Attorneys)-in-Fact to represent and act for
and on behalf or the Company subject to the following provisions:
The Attorney-fin-Fact. may be given full power and authority for and in the name of and on behalf of the Company,to execute,acknowledge and
deliver,any and all bonds, recognizances, contracts, agreements of 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 as binding upon the Company as it signed by the President and sealed and attested by the Corporate Secretary."
"Be It Further Resolved,that the signature of any such designated person and the 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 signatures or facsimile
seal shall be valid and binding upon the Company with respect to any bond or undertaking to which it is attached." (Each adopted at a meeting
held on February B,2000).
In Witness Whereof, WESTFIELD INSURANCE COMPANY, WESTFIELD NATIONAL INSURANCE COMPANY and OHIO FARMERS INSURANCE
COMPANY have caused these presents to be signed by their Senior Executive and their corporate seals to be hereto affixed this 20th day of
APRIL A.D.,2011 .
Corporate ..n.w,.yy ........,,., .....,..
rP fir`�sv jit7N�1C WESTFIELD INSURANCE COMPANY
Seals 1 .•-••.kC ti P..• NS Ill5f1
a r` • i° _" "''a WESTFIELD NATIONAL INSURANCE COMPANY
Affixed Lv; .c,. Lox _4: .7 +;�•�r` -C� OHIO FARMERS INSURANCE COMPANY
SEAL S•�;Ct�ARrEig��:3C 3
M -r: :m- -p;
v......' By:
State of Ohio ` [Richard L. Kinnaird, Jr.,National Surety Leader and
County of Medina ss.: Senior Executive
On this 2011h day of APRIL A.D.,2011 before me personally came Richard L. Kinnaird, Jr. to me known, who, being by me duly
sworn, did depose and say,that he resides in Medina, Ohio; that he is Senior Executive of WESTFIELD INSURANCE COMPANY,WESTFIELD
NATIONAL INSURANCE COMPANY and OHIO FARMERS INSURANCE COMPANY, the companies described in and which executed the above
instrument;that he knows the Seals of said Companies;that the seals affixed to said instrument are such corporate seals;that they were so affixed
by order or the Boards of Directors of said Companies;and that he signed his name thereto by like order.
Seal ;'R�A L Wz
4L
Affixed
~r Williarn J. Kahelin,A rney at Law, Notary Public
State of Ohio d p My Commission Does Not Expire(Sec. 147.03 Ohio Revised Code)
County of Medina ss.: 4 r QK r,
% +" p F
I,Frank A. Carrino, Secretary of WESTFIELD INSURANCE COMPANY,WESTFIELD NATIONAL INSURANCE COMPANY and OHIO FARMERS
INSURANCE COMPANY, do hereby certify that the above and foregoing is a true and correct copy of a Power of Attorney, executed by said
Companies,which is still in full force and effect; and furthermore,the resolutions of the Boards of Directors,set out in the Power of Attorney are
in full force and effect.
/fir Witness Whereof, i have hereunto set my hand and affixed the seals of said Companies at Westfield Center, Ohio, this 7th day of
August A.d;,""2019-
*� .. Cb. •,a� .........tis � c 1115lIR,
u�': =n: :a Secretary
'3'r=�•`a' s O_ - t IB�6 '*: Frank A. Carrino, Secretary
BPOAC2 (combined) (06-02)