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Home My WebLink AboutContract 52868-FP1 City Secretary 52868 -FP1 Contract No. FORTWORTH. Date Received Dec 27,2019 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: Chisholm Trail Ranch Section 2 Phase 3 Offsite- Sewer City Project No.: 102075 Improvement Type(s): Water ❑ Sewer Original Contract Price: $125,787.16 Amount of Approved Change Crder(s): $7,521.00 Revised Contract Amount: Total Cost of Work Complete: $133,308.16 47alffej111(el beef Dec 17, 2019 In mpg Mr ehhea(Dec17 M19) - Contractor Date Project Manager Title L.H. Lacy Company Name Pedro G. ndez(Dec 17,2019) Dec 17 2019 Project Inspector Date o atel De 2019) Dec 17, 2019 Project Manager Date Je ifer zernackonbehalfofJanieMorales(C Dec 18, 2019 CFA Manager Date & d Dana Burghdoff(D c26,201 Dec 26,2019 Asst. City Manager Date OFFICIAL RECORD CITY SECRETARY Page 'I of 2 FT.WORTH,TX Notice of Project Completion Project Name: Chisholm Trail Ranch Section 2 Phase 3 Offsite - Sewer City Project No.: 102075 City's Attachments Final Pay Estimate x❑ Change arder(s): ® Yes ❑ NIA Pipe Report: ® Yes ❑ N/A Contractor's Attachments Affidavit of Bills Paid Consent of Surety Statement of Contract Time Contract Time: 15 WD Days Charged: 15 Work Start Date: 9/16/2019 Work Complete Date: 10/7/2019 Page 2of2 FO RT WO RT H CITY OF FORT WORTH FINAL PAYMENT REQUEST Contract Name CHISHOLM TRAIL RANCH SECTON 2 PHASE 3 OFFSITE-SEWER Contract Limits Project Type SANITARY SEWER City Project Numbers 102075 DOE Number 2075 Estimate Number I Payment Number 1 For Period Ending 12/15/2019 W City Secretary Contract Number Contract Time 1 W Contract Date 6/17/2019 Days Charged to Date 15 Project Manager NA Contract is 100.00 Complete Contractor L.H.LACY COMPANY P.O.BOX 541297 DALLAS, TX 75354 Inspectors MILLER,W 1 HERNANDEZ,P Tuesday,D=mber 17,2019 Page 1 of City Project Numbers 102075 DOE Number 2075 Contract Name CHISHOLM TRAIL RANCH SECTON 2 PHASE 3 OFFSITE-SEWER Estimate Number 1 Contract Limits Payment Number I Project Type SANITARY SEWER For Period Ending 12/15/2019 Project Funding UNIT I;SANITARY SEWER IMPROVMENTS Item Description of Items Estimated Unit Unit Cost Estimated Completed Completed No. Quanity Total Quanity Total ----- - - --- -------------------- --------- 1 8"SDR-26 PVC SEWER PIPE 1675 LF $35.31 $59,144.25 1675 $59,144.25 2 SDR-26 4"SEWER SERVICES 30 EA $765.71 $22,971.30 30 $22,971.30 3 4'STD DIA.MANHOLE 6 EA $3,557,54 $21,345.24 6 $21,34524 4 EXTRA DEPTH FOR 4'DIA MANHOLE 20 LF $204,14 $4,082.80 20 $4,082,80 5 8"PVC SANITARY SEWER PIPE WICSS 147 LF $73.07 $10,741.29 147 $10,741.29 BACKFILL 6 TRENCH SAFETY 1822 LF $1.01 $1,840.22 1822 $1,840.22 7 POST-CCTV INSPECTION 1822 LF $1.41 $2,569.02 1822 $2,569.02 8 CONNECT TO EXISTING 8"SEWER 1 EA $761.20 $761.20 1 $761.20 9 CORE INTO EXISTING MANHOLE 1 EA $1,204.84 $1,204.84 I $1,204.84 10 VACUUM TEST MANHOLES 6 EA $102.00 $612.00 6 $612.00 11 SEEDING,BROADCAST 1.03 AC $500.00 $515.00 1.03 $515.00 12 CONCRETE PADS FOR MANHOLES(CO#1) 6 EA $1,253.50 $7,521.00 6 $7,521.00 ---- -- - - - - ----------------------------- Sub-Total of Previous Unit $133,308.16 $133,308.16 --- ------------------------------- Tuesday,December 17,2019 Page 2 of 4 City Project numbers 102075 DOE Number 2075 Contract Name CHISHOLM TRAIL RANCH SECCON 2 PHASE 3 OFFSITE-SEWER Estimate Number 1 Contract Limits Payment number 1 Project Type SANITARY SEWER For Period Ending 12/15/2019 Project Funding Contract Information Summary Original Contract Amount $125,787,16 Change Orders Change Order Number 1 $7,521.00 Total Contract Price $133,308.16 Total Cost of Work Completed $133,308.16 Less %Retained $0.00 Net Earned SI33,308.16 Earned This Period $133,308.16 Retainage This Period $0.00 Less Liquidated Damages Days Q 1 Day $0.00 LessPavement Deficiency $0.00 Less Penalty $0.00 Less Previous Payment $0.00 Plus Material on Hand Less I5% $0.00 Balance Due This Payment S133,308.16 Tuesday,December 17,2019 Page 3 of 4 f City Project Numbers 102075 DOE Number 2075 Contract Name CHISHOLM TRAIL RANCH SECTON 2 PHASE 3 OFFSITE-SEWER Estimate Number 1 Contract Limits Payment Number I Project Type SANITARY SEWER For Period Ending 1211512019 Project Funding Project Manager NA City Secretary Contract Number Inspectors MILLER,W / HERNANDEZ,P Contract Date 6/17/2019 Contractor L.H.LACY COMPANY Contract Time 15 W P.D.BOX 541297 Days Charged to Date 15 W DALLAS, TX 75354 Contract is .000000 Complete CITY OF FORT WORTH SUMMARY OF CHARGES Line Fund Account Center Amount Gross Retainage Net Funded Total Cost of Work Cornpleted $133,308.16 Less %Retained $0.00 Net Earned $133,308.16 Earned This Period $133,308.16 Retninage This Period $0.00 Less Liquidated Damages 0 Days a@ $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 $133,308.16 Tuesday,December 17,2019 Page 4 of 4 � � qq @k §§Lq S ° C ; £ & \IX - m / o ! 2 & \ ± r § / , § U. (/ cq ee at co k CD a) � \ u � e ° � a ; u I . § o aI §2 k } ( B ■� § � )_ � .. .. � a ■ s � §2 ,. \ � � E \{ no § r S \ §} § \ 4 2 k § E t & 2 - • | q « r \ 2 ƒ § �� |� § ; ■ } `� � §§ LU § |ƒ % e k §§ \ > LU ID3 eE § ` \ $ o §§ \ � ® _ � ■ k to § S < n zx £ o B 2■ ■ « I co kc � • t LU ) k $ 2 _ § \ § Al k§ § k ix 0 o n e « # 0- § a § ° ° / ( 0 La 7 £ § § k § q $ § B ( 8 LU 7 7 ) B o 0 0 mLL FORTWORTH TRANSPORTATION AND PUBLIC WORKS PIPE REPORT FOR: PROJECT NAME: Chisholm Trail Stanch Section 2 Phase 3 Offsite Sewer PROJECT NUMBER: 102075 DOE NUMBER: WATER PIPE LAID SIZE TYPE OF PIPE LF FIRE HYDRANTS: VALVES(16"OR LARGER) PIPE ABANDONED SIZE TYPE OF PIPE LF DENSITIES: NEW SERVICES: SEWER PIPE LAID SIZE TYPE OF PIPE LF 8" SCR-26 PVC 1822 PIPE ABANDONED SIZE TYPE OF PIPE LF DENSITIES: Yes NEW SERVICES: 4" (30) SDR-26 PVC TRANSPORTA`I ION AND PUBLIC WORKS The City of Fort Worth•1000 Throckmorton Street•Fort Worth,TX 76012-6311 (817)392-7941 •Fax: (817)392-7845 AFFIDAVIT STATE OF Texas COUNTY OF Dallas Before me, the undersigned authority, a notary public in the state and county aforesaid,on this day personally appeared Bobby W. Gordon, President of L.H. Lacy Company, Ltd., 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: Off-site Sewer Improvements to serve Chisholm Trail Ranch 2.3 -City Project 102075 BY Bobb . G rdon Subscribed and sworn before me on this date 1-7—of �iC,0Cd.L , 2019. AA9 (LA�Le ary, State of Texas, C ty of Dallas yam' DARLENE CONEY " Notary io -* 10317301 X N7y Commission Expires sr. ;f roarcil 9.-020 CONSENT OF SURETY OWNHR a TO FINAL PAYMENT ARMITECT AM Document 6707 CC3MACTOR � SURETY Bond No. 3017969 OTHER p TO OWNER ARCHI'T crs PROJECT NO.: r�varRa.tms•adrlrrxs] City of Fort Worth &.labez CTR 2.3 LLC 1038 Texan Trail CON'lRACrFOR. Construction Grapevine, TX 76051 PROJECT: CONTRACT DARTED: (Mnw and ad&id f Offsite Sewer Improvements to Serve Chisholm Trail Ranch, Section 2, Phase 3 In acomAzncewith the provisions of the Contract bemeen die Ownerand[lie Conti aw as Wicated above,The (Iasarr narrrp gird addr�rofS7+rrK3y Great American Insurance Company 301 E. Fourth Street Cincinnati, OH 45202 SURMY, on Toni of Ont*"name and add)vw rfCanfrdawy L.H. Lacy Company, Ltd. 1880 Crown Dr.,Suite 1200 Dallas, TX 75234 CONTMCT01, hereby approves of the final payment to the Contractor,and agrees that final payment to the Contractor shall not relieve the Surety of any of its abligatiom to amwrt name and ardixwt afCwwcr} City of Fort Worth &Jabez CTR 2.3 LLC 1038 Texan Trail Grapevine, TX 76051 , oavNv�, as set firth to said SurecYs b nncL IN WfTNE55 WHRRE0F,the Surety has bereumo set its hwd on this date: December 10, 2019 (14W11 in 940W the monrbraAxctarbv the munerk drura:?d p'-Vr,! Great American Insurance Company By: r�+alllYr vJrrtpba rlx+xr rrprYsxn►a1rt+Q1 Attest: Rita G. Gulizo Attorney-in-Fact Susan D. Zapalo i (hDardtrarfteand&W 0707---1994 GREAT AMERICAN INSURANCE COMPANY0 Administrative Office: 301 E 4TH STREET * CINCINNATI,OHIO 45202 0 513-369-B000 • FAX 513-723-2740 The number of persons authorized by this power of attorney is not more than THREE No,0 19964 POWER OF ATTORNEY KNOW ALL INIEN BY THESE PRESENTS:That the GREAT AMERICAN INSURANCE COMPANY,a corporation organized and existing under and by virtue or the laws of the State of Ohio,does hereby nominate,constitute and appoint the person or persons named below,each individually if more than one is named,its true and lawful attomey-in-fact,for it and in its name,place and stead to execute on behalf of the said Company,as surety,any and all bonds, undertakings and contracts of suretyship,or other written obligations in the nature thereof;provided that the liability of the said Company on any such bond, undertaking or contract of suretyship executed under this authority shall not exceed the limit stated below. Name Address Limit of Power RITA G.GULIZO ALL OF ALL SUSAN D.7APALOWSKI NEW ORLEANS,LOUISIANA S100,000,000 DAVI❑T.MICLETTE This Power of Attorney revokes all previous powers issued on behalf of the attorney(s)-in-fact named above, IN WITNESS WHEREOF the GREATAMERICAN INSURANCE COMPANY has caused these presents to be signed and attested by its appropriate officers and its corporate sea]hereunto affixed this 6TH day of FEBRUARY 2019 Attest4Z,. GREAT AMFRICAN IN5 ANCE CAMP �N�`�'b A,xstsranr Secretary Dirisfonat Senior face Presrdenr STATE OF OIIIO,COUNTY OF HAMILTON-ss: MARK VICARK](877-377-2408) On this 6TH day of FEBRUARY 2019 ,be£oreme personally appeared MARK VICARiO,tome known. being duly sworn,deposes and says that he resides in Cincinnati,Ohio,that he is a Divisional Senior Vice President of the Bond Division of Great American Insurance Company,the Company described in and which executed the above instrument;that he knows the seal of the said Company,that the seal affixed to the said instrument is such corporate seal;that it was so affixed by authority of his office under the By-Laws of said Company,and that he signed his name thereto by like authority. &Mjk Oft NoMryWaftatow a '44� Wan imbllBossism This Power ofAttomey is granted by authority of the following resolutions adopted by the Board of Directors of Great American Insurance Company by unanimous written consent dated June 9,2008. RESOLVED: That the Divisional President,the several Divisional Senior rice Presidents.Divisional lice Presidents and Divisonaf Assistant t tce Presidents,or any one of them, be and hereby is authorized,from time to time,to appoint one or more Attorneys-in-Fact to execute on behalf of the Company, as surety,any and all bonds,undertakings and contracts ofsuretyship,or other written obligations in the nature thereof-to prescribe their respective duties and the respective limits of their authority;and to revoke any such appointment at any time. RESOLVED FURTHER: That the Company seal and the signature of any of rise aforesaid officers and any Secretary or Assistant Secretary of the Company may be a(fued by facsimile to any power of attorney or certificate of either given for the execution of any bona undertaking,contract of suretyship, or other written obligation in the nature thereof,.such signature and seal when so used being hereby adopted by the Company as the original signature of such officer and the original seal of the Company,to he valid and binding upon the Company with the same force and effect as though manually affixed. CERTIFICATION I,STEPHEN C.BERAI IA,Assistant Secretary of Great American Insurance Company,do hereby certify that the foregoing Power of Attorney and the Resolutions of the Board of Directors of June 9,2008 have not been revoked and are now in full force and effect. Signed and sealed this loth day of December 2UTS Asswas:Secretary 51029AG(07118)