HomeMy WebLinkAboutContract 52097-FP2 City Secretary 52097 -FP2
Contract No.
FORTWORTE, date Received Dec9,2019
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: TAVOLO PARK PHASE III
City Project No.: 101083
Improvement Type(s): Water ® Sewer N
Original Contract Price: $527,301.60
Amount of Approved Change Order(s): $737.12
Revised Contract Amount; $528,038.72
Total Cost of Work Complete: $528,038.72
,oge 61-&6w Dec 5,2019
Contractor Date
Contract Manager
Title
Burnsco Construction Inc
Company Name
AfmZ Kim- Dec 5 2019
Neal Kime(Dec 5,2019) f
Project Inspector Date
Fred Ehia(Dec 6,2019) Dec 6,2019
Project Manager Date
31#%2 c�GN-14ffA101-gL2f Dec 8 2019
Janie Scarlett Morales(Dec 8,2019) f
CFA Manager Dale
4410?/ Dec 8 2019
Dana Burghdoff(D c8,201
Asst. City Manager Date
OFFICIAL RECORD
CITY SECRETARY Page I of 2
FT. WORTH, TX
Notice of Project Completion
Project Name: TAVOLO PARK PHASE III
City Project No.: 101083
City's Attachments
Final Pay Estimate
Change Order(s): ® Yes ❑ NIA
Pipe Report: 0 Yes ❑ NIA
Contractor's Attachments
Affidavit of Bills Paid
Consent of Surety
Statement ❑f Contract Time
Contract Time: 135 CD Days Charged: 135
Work Start Date: 4/22/2019 Work Complete Date: 1 01612 0 1 9
Page 2of2
FORT WORTH
CITY OF FORT WORTH
FINAL PAYMENT REQUEST
Contract Name TAVOLO PARK PHASE III
Contract Limits
Project Type WATER&SEWER
City Project Numbers 101803
DOE Number 1803
Estimate Number 1 payment Number 1 For Period Ending 1 1/21/2019
C❑
City Secretary Contract Number Contract Time 136D
Contract Date Days Charged to Date i35
Project Manager NA Contract is 100.00 Complete
Contractor BURNSCO CONSTRUCTION,INC.
6331 SOUTHWEST BLVD
FORT WORTH, TX 76132
Inspectors OWEN / KIME
Thursday,November 21,2019 Page I of 5
City Project Numbers 101803 DOE Number 1803
Contract Name TAVOLO PARK PHASE III Estimate Number 1
Contract Limits Payment Number I
Project Type WATER&SEWER For Period Ending 1112U20I9
Project Funding
WATER
Item Description ol•Items Estimated Unit Unit Cost Estimated Completed Completed
No. Quanity Total Quanity Total
1 CONNECTION TO EXISTING 4"-12"WATER 2 EA $1,I00,00 $2,200,00 2 $2,200,00
MAIN
2 1"WATER SERVICE 8 EA $1,200.00 $9,600.00 8 $9,600.00
3 8"WAFER PIPE 1912 LF $27.00 $5I,624.00 1912 $51,624.00
4 TRENCH SAFETY 4858 LF $0.20 $971,60 4858 $971,60
5 8"GATE VALVE 14 EA $1,330.00 $18,620,00 14 $18,620,00
6 FIRE HYDRANT 9 EA $4,150.00 $37,350,00 9 $37,350.00
7 8"WATERLINE LOWERING 3 EA $3,330.00 $9,990.00 3 $9,990,00
8 12"WATERLINE LOWERING 1 EA $3,700.00 $3,700.00 1 $3,700.00
9 DUCTILE IRON WATER FITTINGS T2 TN $5,100.00 $36,720,00 7.2 $36,720,00
WIRESTRAINT
10 12"PVC WATER PIPE 2946 LF $48.00 $141,408,00 2946 $141,408.00
11 12"GATE VALVE 9 EA $2,270.00 $20,430.00 9 $20,430A0
12 2"PRIVATE WATER SERVICE 91 LF $60.00 $5,460,00 91 $5,460.00
13 4"WATER PIPE 2,44 LF $21.00 $5,124.00 244 $5,124,00
1.4 4"GATE VALVE 5 EA $750,00 $3,7%00 5 $3,750,00
15 AUTOMATIC FLASHER I EA $21,000.00 $21,000.00 1 $21,000.00
------------- ------
------------ ----- —
Sub-Total of Previous Unit $367,947.60 $367,947.60
SEWER
Item Description of Items Estimated Unit Unit Cost Estimated Completed Completed
No. Quanity Total Quanity Total
I CONNECTION TO EXISTING 30"SEWER LINE 1 EA $1,300.00 $1,300.00 f ^ 1 $1,300.00
2 4'MANHOLE 10 EA $5,000,00 $50,000.00 10 $50,000.00
3 10"SEWER PIPE CO#2 5708 LF $39.00 $22,474.92 576.28 $22,474.92
4 8"SEWER PIPE COY I CO#2 1523 LF $36.00 $54,828.00 1523 $54,828.00
5 4"SEWER SERVICE 8 EA $I,310.00 $10,480.00 8 $10,480.00
6 TRENCH SAFETY CON C042 2099.28 LF $1.00 $2,099.28 2099.28 $2,099.28
7 TRENCH WATER STOPS 1 I EA $300,00 $3,300.00 11 $3,300.00
8 8"SEWER PIPE CSS BACKFILL 20 LF $50.00 $1,000.00 20 $1,000,00
9 I0"SEWER PIPE CSS BACKFILL 40 LF $50.00 $2,000,00 40 $2,000,00
10 POST CCTV INSPECTION CON ICO#2 2099.28 LF $L50 $3,148.92 2099.29 $3,148.92
Thursday,November 21,2019 Page 2 of 5
City Project Numbers 101803 DOE Number 1803
Contract Name TAVOLO PARK PHASE 1[[ Estimate Number 1
Contract Limits Payment Number 1
Project Type WATER&SEWER For Period Ending 1112112019
Project Funding
11 MANHOLE VACUUM TESTING t0 EA $110.00 $1,100,00 10 $I,100.00
12 EPDXY MANHOLE LINER 38 VF $220.00 $8,360.00 38 $8,360.00
----------------------
---- --------------
Sub-Total of Previous Unit $160,091 A 2 $160,091.12
----- ---------------------------------
Thursday,November 21,2019 Page 3 of 5
City Project Numbers 101803 DOE Number 1803
Contract Name TAVOLO PARK PHASE][I Estimate Number I
Contract Limits Payment Number I
Project Type WATER&SEWER For Period Ending 1 I/21/20I9
Project Funding
Contract Information Su►nmary
Original Contract Amount $527,301.60
Change Orders
Change Order Number 1 $1,540.00
Change Order Number 2 ($802.88)
Total Contract Price $528,038.72
Total Cost of Work Completed $528,038.72
Less %Retained $0.00
Net Earned $528,038.72
Earned This Period $528,038.72
Retainage This Period $0.00
Less Liquidated Damages
Days Q /Day $0.00
LessPavement Deficiency $0.00
Less Penalty $o.o0
Less Previous Payment $0.00
Plus Material on Nand Less 15% $0.00
Balance Due This Payment $529,038.72
Thursday,November 21,2019 Page 4 of 5
City Project Numbers 101803 DOE Number 1803
Contract Name TAVOLO PARK PHASE III Estimate Number I
Contract Limits Payment Number I
Project Type WATER&SEWER For Period Ending 11/2I/2019
Project Funding
Project Manager NA City Secretary Contract Number
Inspectors OWEN / KIME Contract Date
Contractor BURNSCO CONSTRUCTION,INC. Contract Time 135 CD
6331 SOUTHWEST BLVD Days Charged to Date 135 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 $529,03 8.72
Less %Retained $0.00
Net Earned $528,038.72
Earned This Period $528,038.72
Retainage This Period $0.00
Less Liquidated Damages
0 Days @ $0.00 r nay $0.00
LessPavement Deficiency $0.00
Less Penalty $0.00
Less Previous Payment $0.00
PIus Material on Hand Less 15% $0.00
Balance Due This Payment $528,038.72
Thursday,November 21,20I9 Page 5 of
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FoRTWORTH
TRANSPORTATION AND PUBLIC WORKS
PIPE REPORT FOR:
PROJECT NAME: Tavolo Park Phase III
PROJECT NUMBER: 101803
DOE NUMBER: NIA
WATER
PIPE LAID SIZE TYPE OF PIPE LIE+
WATER 4" inch PVC 244 LF
WATER 8" inch PVC 1912 LF
WATER 12" inch PVC 2946 LF
FIRE HYDRANTS: 9 VALVES(16" OR LARGER)
PIPE ABANDONED SIZE TYPE OF PIPE LF
NIA
DENSITIES: Yes
NEW SERVICES:
8- 1"inch copper 280 LF
4-2" inch copper 91 LF
SEWER
PIPE LAID SIZE TYPE OF PIPE LF
8" inch SDR-26 PVC 1502 LF
10"inch SDR-26 PVC 578 LF
PIPE ABANDONED SIZE TYPE OF PIPE LF
N/A
DENSITIES:
NEW SERVICES: 8-4" inch SUIZ-26 PVC 114 LF
TRANSPORTATION AND PUBLIC WORKS
The City of Fort Worth•1000 Throckmotton Street•Fort Worth,TX 76012-6311
(817)392-7941 •Fax:(817)392-7845
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 Ab Grantges,
Contract Mgr, Of Burnsco Construction,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;
Tavolo Park Phase 3 - Water, Sanitary Sewer and Storm Drain
BY
Ab Grantges, ontract Manager
Subscribed and sworn before me on this date 5th of December, 2019.
LMWAI�f!+�tR'p4Pl iaxNo Public -' ; q 1p-�y�rQFS �� 0Tarrant County,Texas 9 � .
CONSENT OF OWNER ❑
SURETY COMPANY ARCHITECT ❑
CONTRACTOR ❑
TO FINAL PAYMENT SURETY ❑
Conforms with the American Institute of OTHER
Architects, AIA Document G707
Bond No 022222993
PROJECT:
(name, address)Tavolo Park Phase III-Water, Sewer and Drainage Improvements
Fort Worth TX
TO (Owner)
PATE RANCH COMMERCIAL,LP AND CITY OF FORT I ARCHITECTS PROJECT NO:
VVOdTH CONTRACT FOR:
10210 N.Central Expressway,Suite 300 Tavolo Park Phase 111-Water,Sewer and drainage Improvements
Dallas TX 75231 -J CONTRACT DATE:
CONTRACTOR:BURNSCO CONSTRUCTION, 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)
BURNSCO CONSTRUCTION, INC.
6331 Southwest Boulevard
Benbrook TX 76132 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)
PATE RANCH COMMERCIAL, LP AND CITY OF FORT WORTH
10210 N. Central Expressway, Suite 300
Dallas TX 75231 , OWNER,
as set forth in the said Surety Company's bond.
IN WITNESS, WHEREOF,
the Surety Company has hereunto set its hand this 13th day of November,2019
LIBERTY MUTUAL INSURANCE COMPANY
Surety Company
Attest: o
(Seal): Sign re of Authorized Representative
Sophinie Hunter Attorne -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.
Lrberty 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-Cornell,Se phinie 11Utiter,Tina Me Ewan,Tonie Pe Iran ek,Ricardo J.Re na, Joshua Saunders, Kell A.Westbrook
all of the city of Dallas state of TX each individually if there be more than one named,its true and lawful attamey-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,bands,reoognizances 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 thair 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 t 9th day of March 2019 .
Liberty Mutual Insurance Company
Pv r`oIgNPSU/rrEo n� qcIV INSU� �c' VLOwsur?A � The Ohio Casualty Insurance Company
corr °o aR West America n Insurance Corn pany >;,a
1 1912 w a a 1919 0 � �1991
�z7 # 1tb 3y� * •''tit * ��a By w
David M.Carey,Assistant Secretary
State of PENNSYLVANIA
to
:3 County ofMONTGOMERY ss M
N On this t 9th day of March 2019 before me personally appeared David M.Carey,who acknowledged himself to be the Assistant Secretary of Liberty Mutual Insurance O
2 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 ca F-
cu a therein contained by signing on behalf of the corporations by himself as a duly authorized officer. v LU
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, W CL
PA Q
02 Q�ya,�pwE Tc�{ COMMONWEALTH OF PENNSYLVANIA
0 Notarial Notary
� `8 C
yam. OF Teresa PaSt¢Ila.Notary PuWiC f4
CD .g, Upper Menon'fwp m.,Montgomery County By: p7
s= (a rysvL��T�r My commission Expires March 28.2021 Teresa Pastella,Notary Public a E
pj �'sTry �' Member.AeW5"rdaASWO01onntNoraries a
a,0 'qRy o
co fA 9
0 m 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
v.5 Insurance Company,and West American Insurance Company which resolutions are now in full force and effect reading as follows: ❑
aS ARTICLE IV—OFFICERS:Section 12.Power of Attorney. A2 2
a 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 9�
-a 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
m � any and all undertakings,bonds,reeognizances and other surety obligations.Such attorneys-in-fact,subject to the limitations set forth in their respective powers of attorney,shall 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 00
Z � instruments 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. a
ARTICLE Xfill—Execution of Contracts:Section 6.Surety Bonds and Undertakings. v_
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,1°
shall appoint such attomeys-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,recogn iza n ces 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,seat,acknowledge and deliver as surety any and all undertakings,bonds,recognizance.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 he valid and binding upon tthe 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 Aitomey executed by said Companies,is in full force and effect and
has not been revoked.
IN TESTIMONY WHEREOF,I have hereunto set my hand and affixed the seats of said Companies this 13th day of November , 2019 .
IHSU� PV11 INS& N 1NSU4
R
1 m LU
19'E2kp1 n � �1919� rn Q 1991
d'o rmuST',�a yo3+rA1AP51?L Ys�'Vol.,K*�aa� By Renee C.Llewellyn,Assistant Secretary
LMS-12673 LM€C OCIC WAIC Multi Ca 062016
Liberty
Mutual-
SURETY
TEXAS TEXAS
IMPORTANT NOTICE AVISO IMPORTANTE
To obtain information or make a complaint: Para obtener information o para someter una
queja:
You may call toll-free for information or to Usted puede llamar al numero de telefono gratis
make a complaint at para information o para someter una queja al
1-877-751-2640 1-877-751-2640
You may also write to: Usted tambien puede escribir a:
2200 Renaissance Blvd., Ste. 400 2200 Renaissance Blvd., Ste.400
King of Prussia, PA 19406-2755 King of Prussia, PA 19406-2755
You may contact the Texas Department of Puede comunicarse con el Departamento de
Insurance to obtain information on companies, Seguros de Texas para obtener information
coverages, rights or complaints at acerca de companias, coberturas, derechos o
1-800-252-3439 quejas al
1-800-252-3439
You may write the Texas Department of Insurance Puede escribir al Departamento de Seguros
Consumer Protection (I I I-I A) de Texas Consumer Protection(1 1 I-1 A)
P. O. Box 149091 P. O. Box 149091
Austin, TX 78714-9091 Austin,TX 78714-9091
FAX: (512)490-1007 FAX#(512)490-1007
Web: http://www.tdi.texas.gov Web: http://www.tdi.texas.gov
E-mail:!Lo-asumerProtection@tdi.texas.gov E-mail: ConsumerProtection tdi.texas. ov
PREMIUM OR CLAIM DISPUTES: DISPUTAS SOBRE PRIMAS O RECLAMOS:
Should you have a dispute concerning your Si tiena una disputa concerniente a su prima o a
premium or about a claim you should first un reclamo, debe comunicarse con el agente o
contact the agent or call 1-800-843-6446. primero. Si no se resuelve la disputa, puede
If the dispute is not resolved, you may contact the entonces comunicarse con el departamento(TDI)
Texas Department of Insurance.
ATTACH THIS NOTICE TO YOUR UNA ESTE AVISO A SU POLIZA:
POLICY:
This notice is for information only and does not Este aviso es solo para proposito de information
become a part or condition of the attached y no se convierte en parte o condition del
document. documento adjunto.
NP 70 fib 09 01
LMS-15292 10115
i