HomeMy WebLinkAboutContract 50304-FP1 City Secretary 50304 -FP1
Contract No.!
[]ate Received Dec16,2019
FORTWORTH,
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: SUMMER CREEK RANCH XII PHASE C
City Project No.: 100684
Improvement Type(s): ❑ Paving ❑ Drainage ❑x Street Lights ❑ Traffic Signals
Original Contract Price: $51,824.50
Amount of Approved Change Order(s):
Revised Contract Amount:
Total Cost of Work Complete: $51,824.50
Richard Wolfe ec12,2019) Dec 12, 2019
Contractor Date
President
Title
Independent Utility Construction,Inc.
Company Name
Kevin Barnes Dec 12, 2019
wProject Inspector Date
Aa ror n L,LMe Dec 12, 2019
Project Manager Date
TYniescarl�Moralossscarl�Morales Janie scarlett Morales(Dec 16,2019) Dec 16 2019
CFA Mara eGG Date
Dec 16, 2019
Asst. City Manager Date
OFFICIAL RECORD
CITY SECRETARY page 1 of 2
FT.WORTH, TX
Notice of Project Completion
Project Name: SUMMER CREEK RANCH XI1 PHASE C
City Project No.: 100684
City's Attachments
Final Pay Estimate
Change order(s): ❑ Yes 9 N/A
Contractor's Attachments
Affidavit of Bills Paid
Consent of Surety
Statement of Contract Time
Contract Time: 190 CD Days Charged: 268
Work Start Date: 2/25/2019 Work Complete Date: 11/26/2019
Page 2of2
FORT WORTH
CITY OF FORT WORTH
FINAL PAYMENT REQUEST
Contract Name SUMMER CREEK RANCH X1I PHASE C
Contract Limits
Project Type ST LIGHT
City Project Numbers I00684
DOE Number 0684
Estimate Number 1 Payment Number I For Period Ending 12/11/2019
C7
City Secretary Contract Number Contract Time XD
Contract Date Days Charged to Date 268
Project Manager NA Contract is 100.00 Complete
Contractor INDEPENDENT UTILITY CONSTRUCTION
5109 SUN VALLEY DRIVE
FORT WORTH, TX 76119
Inspectors DICKINSON J DIVER
Wednesday,December 11,2019 Page I of
City Project Numbers 100684 DOE Number 0684
Contract Name SUMMER CREEK RANCH X€€PHASE C Estimate Number 1
Contract Limits Payment Number 1
Project Type ST LIGHT For Period Eiiding 12/11/2019
Project Funding
ST LIGHT
Item Description of Items Estimated Unit Unit Cost Estimated Completed Completed
No. Quanity Total Quanity Total
`1 2"CONDT PVC SCH 80 650 LF $9.71 $6,31 I.50 650 $6,311.50
2 NO 10 INSULATED ELEC CONDR 1950 LF $1.90 $3,705.00 1950 $3,705.00
3 RDWY ILLUM FOUNDATION 12 EA $1,313 00 $15,756.00 €2 $15,756.00
4 FURNISHANSTALL RDWY ILLUM TY I I POLE 12 FA $2,171.00 $26,052.00 12 $26,052.00
-----------------------------------
Sub-Total of Previous Unit $51,824.50 $51,824.50
---- - - ---------------------------------
Wednesday,December 11,2019 Page 2 o4`4
City Project Numbers 100684 DUE Number O684
Contract Name SUMMER CREEK RANCH XH PHASE C Estimate Number 1
Contract Limits Payment Number l
Project Type 5T LIGHT For Period Ending 12/11/2019
Project Funding
Contract Information Summary
Original Contract Amount $51,924.50
Change Orders
Total Contract Price $51,824,50
Total Cost of Work Completed $51,824.50
Less %Retained $0.00
Net Earned $51,824.50
Earned This Period $51,824,50
Retainage This Period $0.00
Less Liquidated Damages
Days Q /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 $51,824.50
Wednesday,December 11,2019 Page 3 of 4
City Project Numbers 100684 DOE Number 0684
Contract Name SLIMMER CREEK RANCH XI1 PHASE C Estimate Number I
Contract Limits Payment Number 1
Project Type ST LIGHT For Period Ending 12/11/2019
Project Funding
Project Manager NA City Secretary Contract Number
Inspectors DICKINSON 1 DIVER Contract Date
Contractor INDEPENDENT UTILITY CONSTRUCTION Contract Time 30 CD
5109 SUN VALLEY DRIVE Days Charged to Date 268 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 $51,824.50
Less %Retained $0.00
Net Earned $51,824.50
Earned This Period $51,824,50
Retainage This Period $0.00
Less Liquidated Damages
0 Days* $0.00 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 $51,824.50
Wednesday,December 11,20I9 Page 4 of 4
AFFIDAVIT
STATE OF TEXAS
COUNTY OF TARRANT
Before me, the undersigned authority, on this day personally appeared RICHARD
W OLFE, 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 ail 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: Summer Creels Ranch Section 12 Phase C—City Project No.
100684
BY:
Roc and Wolfe,President
SUB CRJBED AND SWORN TO BEFORE ME on this rC day of
2019.
.•""'+ CHRISTINA GARCIA
rotary Public,State of Texas
� Comm.Expires 12.20-2020 �IJ
Notary io 130940785
otary Public, State of Texas
CONSENT OF OWNER ❑
SURETY COMPANY ARCHITECT
❑❑
TO FINAL PAYMENT SURETY El
(SIMILAR TO AIA DOCUMENT G707)
Bond No. 9848071
PROJECT: Summer Creek Ranch Section XII Phase C (Street Lights)
(name,address)Fort Worth, Texas
TO (Owner)
ARCHITECTS PROJECT NO:
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 inscn name and
addmsofSuretyCompany) Westfield Insurance Company
555 Republic Drive, Suite 450
Plana, 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
Fort Worth, Texas 76102 'OWNER,
as set forth in the said Surety Company's bond.
IN WITNESS WHEREOF,
The Surety Company has hereunto set its hand this 2nd day of October 2019
WESTFIELD INSURANCE COMPANY
Surety Company
Signature thorized resentative
Attest:
(Seal): le W. we ne Attorney—in—Fact
Title
Note:This form is intended to'be used as a companion doctrmcnt to the Contractor's Affidavit of Payment of Debts and Claims,Current Edition
THIS POWER OF ATTORNEY SUPERCEDES ANY PREVIOUS POWER BEAHINU 1815 SAnxt
POWER#AND ISSUED PRIOR TO 04120/11. FOR ANY PERSON OR PERSONS NAMED BELOW-
POWER NO- 4220052 06
General Power Westfield Insurance Co.
of Attorney Westfield National Insurance Co.
CERTIFIED COPY Ohio Farmers Insurance Co.
Westfield Center, Ohio
Know All Men by i'hese Presents, That WESTFIELD INSURANCE COMPANY, WESTFIELD NATIONAL INSURANCE COMPANY and OHIO
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 pr hcipal 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 TX its true and lawful Attorneys)-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- - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - -- - - - - - - - - - - - - - - - - - - - - - - -- - - - --
LIMITATION: THIS POWER OF ATTORNEY CANNOT BE USED TO EXECUTE NOTE GUARANTEE, MORTGAGE DEFICIENCY, MORTGAGE
GUARANTEE, OR BANS{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 witn the corporate
seal of the applicable Company and duly attested by its Secretary, hereby ratifying and confirming all that the said Attorneys)-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 CHIC FARMERS INSURANCE COMPANY:
"Be It Resolved,that the President,any Senior Executive,any Secretary or 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 Attorney(s)-m-Fact to represent and act for
and on behalf of the Company subject to the following provisions:
The Attorney-in-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 if signed by the President and sealed and attested by the Corporate Secretary."
'Be if Further Resolved,that the signature of any such designated person and the sea[ 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 hearing 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 8,2000].
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 20111 day of
APRIL A.D.,2011
Corporate t.+.....,,..A ,,..e.....,.
Seals r���1;y '4yCkPZ_tn ��.rbs 111SU a WESTFIELD INSURANCE COMPANY
Affixed��•a' .ev 1.00
' Vo Lp '" '' '�L'�,:� WESTFIELD NATIONAL INSURANCE COMPANY
'Nrr+ s �3 _ .z CA , OHIO FARMERS INSURANCE COMPANY
SAL
SEAL _ —
BY State of Ohio ""'•" """' ; Richard L. Kinnaird, Jr., National Surety Leader and
County of Medina Ss.-. Senior Executive
On this 20th 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.
Notarial
Seal `'`R+A
4L
Affixed
• William J. Kahelin,A rney at Law, Notary Public
State of Ohio
do My Commission Does Not Expire(Sec.147.03 Ohio Revised Code)
County of Medina ss.: q .
TC CFO
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 or 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.
In Witness Whereof, i have hereunto set city hand and affixed the seals of said Companies at Westfield Center, Ohio, this2nd day of
October A°: 2019
NA
00
.�`• � ,tip '` SEAL :rr o-.{ 11Rrf q�p e
:u+� a z tn, n- - ;a= 1 Secretary
.�� Q. _ :• 1134r9 _: := Frank A. Carrino, Secretary
,�. .• ,..,...
BPOAC2 (combined) (06.02)