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Home My WebLink AboutContract 51226-FP3 City Secretary 51226 -FP3 Contract No. FORTWORTHO Jan 6,2020 Date Received 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: 7-ELEVEN LOT 1, BLK A, CROWLEY RD ADDITION City Project No.: 101522 Improvement Types): ❑ Paving ® Drainage ❑ Street Lights ❑ Traffic Signals Original Contract Price: $13,985.00 Amount of Approved Change Order(s): Revised Contract Amount: Total Cost of Work Complete: $13,985.00 9-ett Czedlbettel- Sep 24, 2019 Brett C Ledbetter(Sep 24,2019) Contractor Date Mora Construction Inc. Title CFO Company Name Mew Sep 24, 2019 Matthew Wilson(Sep 24,2019) Project Inspector Date 2 % Victor V.Tornero Jr.(Dec 12,2019) Dec 12 2019 Project Manager Date 31kle ett#O Dec 16 2019 Janie Scarlett Morales(Dec 16,2011 CFA Manager Date Dana Bu rghdoff(Mn 6,202 Jan 6) , 2020 Asst. City Manager Date OFFICIAL RECORD CITY SECRETARY page 1 of 2 FT.WORTH, TX Notice of Project Completion Project Name:7-ELEVEN LOT 1, BLKA, CROWLEY RD ADDITION City Project No.: 101522 City's Attachments Final Pay Estimate rx] Change Orders): ❑ Yes M NIA Contractor's Attachments Affidavit of Bills Paid Consent of Surety Statement of Contract Time Contract Time: 180 CD Days Charged: 120 Work Start Date: 10/29/2018 Work Complete Date: 2/26/2019 Page 2 of 2 FORT WORTH CITY OF FORT WORTH FINAL PAYMENT REQUEST Contract Name 7-ELEVEN Contract Limits LOT 1,BLK A,CROWLEY RD ADDITION Project Type STORM DRAIN City Project Numbers 10I522 DOE Number 1522 Estimate Number 1 Payment Number I For Period Ending 4/2/2019 CD City Secretary Contract Number Contract Time I BCD Contract Date Days Charged to Date 120 Project Manager NA Contract is I00.00 Complete Contractor MORA CONSTRUCTION,INC. 109&STORY NE IRVING, TX 75060 Inspectors OWEN / SMITH Tuesday,April 2,2019 Page I of 4 City Project Numbers 101522 DUE Number 1522 Contract Name 7-ELEVEN Estimate Number I j Contract Limits LOT 1,BLK A,CROWLEY RD ADDITION Payment Number I Project Type STORM DRAIN For Period Ending 4/2/2019 Project Funding STORM DRAIN Item Description of Items Estimated Unit Unit Cost Estimated Completed Completed No. Quanity Total Quanity Total 1 15"RCP CLASS III — —————————— 87 LF $80.00 $6,960.00 — ——87 $6,960.00 2 15"SET I PIPE 2 EA $1,300.00 $2,600.00 2 $2,600.00 3 MEDIUM STONF RIPRAP,DRY 33 SY $125.00 $4,I25.00 33 $4,125.00 4 ^TRAFFIC CONTROL——————————— — — -1 LS $300.00 $300.00 1' — $300.00 Sub-Total of Previous Unit $13,985.00 $13,985.00 -- ---- I I Tuesday,April 2,2019 Page 2 of 4 City Project Numbers 101522 DOE Number 1522 Contract Name 7-ELEVEN Estimate Number I Contract Limits LOT 1,BLK A,CROWLEY RD ADDITION Payment Number I Project Type STORM DRAIN For Period Ending Q2120I9 Project Funding Contract Tnfornlation S11n11nar Original Contract Amount $13,985.00 C6anee Orders Total Contract Price $13,985.00 Total Cost of Work Completed $13,985.00 Less %Retained $0.00 Net Earned $13,985.00 Earned This Period $13,985.00 Retainage This Period $0.00 Less Liquidated Damages Days Q 1 Day $0,00 LessPavement Deficiency $0.00 Mess Penalty $0.00 Less Previous Payment $0.00 Plus Material on Hand Less 15% $0.00 Balance Due This Payment $I3,985,00 Tuesday,April 2,2019 Page 3 of 4 City Project Numbers 101522 DOE Number 1522 Contract Name 7-ELEVEN Estimate Number 1 Contract Limits LOT 1,BLK A,CROWLEY RD ADDITION Payment Number 1 Project Type STORM DRAIN For Period Ending 4=00 Project Funding Project Manager NA City Secretary Contract Number Inspectors OWEN 1 SMITH Contract Date Contractor MORA CONSTRUCTION,INC. Contract Time 180 CD 109 S.STORY#E Days Charged to Date 120 CD IRVING, TX 75060 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 $13,985.00 Less %Retained $0.00 Net Earned $13,985.00 Earned This Period $13,985.00 Retainnge 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 BaIance Due This Payment $13,985.00 Tuesday,April 2,20I9 Page 4 of 4 AFFIDAVIT STATE OF TX COUNTY OF Dallas Before me,the undersigned authority, a notary public in the state and county aforesaid, on this day personally appeared Roger Mora, President Of Mora Construction 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; 7-11 Risinger Rd City Project#: 101522 BY Roger Mora, President Subscribed and sworn before me on this date 4th of June, 2019. Notary Public Dallas, TX r�RLES LEDBETTER Notary Public, State of Texas , �.� Comm; Expires 02-09-2023 �''%oF�a�`�� Notary ID 10398250 CONSENT OF CONTRACTOR SURETY COMPANY ARCHITECT TO FINAL PAYMENT SUBCONTRACTOR SURETY AIA DOCUMENT G707(Modified) OTHER Bond No. 4421273 PROJECT: 7-11 @ Crowley and Risinger-Water,Sanitary Sewer and Storm Drain Improvements (name,address) TO(Contractor) [ City of Fort Worth ] ARCHITECT'S PROJECT NO: 1000 Throckmorton Street Fort Worth,TX 76102-6312 CONTRACT FOR: [ ] CONTRACT DATE: 7/3/2018 SUBCONTRACTOR: Mora Construction,Inc. Po Box 154897 Irving,TX 75015 In accordance with the provisions of the Contract between the Contractor and the Subcontractor as indicated above,the (here insert name and address of Surety Company) SureTec Insurance Company 1330 Post Oak Boulevard, Suite 1100 Houston,TX 77056 , SURETY COMPANY, on bond of(here insert name and address of Subcontractor) Mora Construction,Inc. Po Box 154897 Irving,TX 75015 , SUBCONTRACTOR, hereby approves of the final payment to the Subcontractor, and agrees that final payment to the Subcontractor shall not relieve the Surety Company of any of its obligations to(here insert name and address of Contractor) City of Fort Worth 1000 Throckmorton Street Fort Worth,TX 76102-6312 ,CONTRACTOR, as set forth in the said Surety Company's bond. IN WITNESS WHEREOF, the Surety Company has hereunto set its hand this 5th day of March , 2019 SureTec Insurance Company Surety Company Signature of Authorized Representative Witness: (Seal): Debra Lee Moon 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 DEBTS AND CLAIMS, Current Edition AIA DOCUMENT G707 CONSENT OF SURETY COMPANY TO FINAL PAYMENT APRIL 1970 EDITION AIA ONE PAGE 1970 THE AMERICAN INSTITUTE OF ARCHITECTS,1735 New York Ave.,NW,WASHINGTON,D.C. 20006 POA#: 4221756 SureTec Insurance Company MUTED 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 Ahe State of Texas, and having its principal office in Houston, Harris County, Texas, does by these presents make,constitute and appoint Sammy J. Mullis Jr., John William Newby,Wilbert Raymond Watson,Troy Russell Key, Sandra Lee Roney, Debra Lee Moon,Andrea Rose Crawford, Linda Michelle Stalder 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; redognizances,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 thename 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 of 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 201*of April, 1999) in:Witness Whereof, SURETEGINSURANCE COMPANY has caused these:presents to be signed by its CEO, and its corporate seal to be hereto affixed this 3rd ' day of August ;A.D.2018 enmimH SURETEC INS PANY �RAMOwF By: aw John 1Kno .,'CE State of Texas ss: 9� d County of Harris `' •••• On this 3rd day. of August ,A.D;2018 before me personally came John Knox Jr.,to me known,who,being by me duly sworn, 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. i Wurr iY i�U�/�� aACC?1JELYN GREENLEAF �. cci" e ;{hIotary Public,State of Texas Comm.Expiras05•t&2021 Notary ID'126903029 Jacq elyn Greenleaf,Notary Public i My commission expires May 18 2021 I'm.Brent Beaty,Assistant Secretary.of SURETECINSURANCE COMPANY,do hereby certify that the above and foregoing is a true and correct copy of a Power of Attorney,executed bysaid Company,which is stilt in full force and effect;and furthermore,the resolutions of the Board of Directors,set out in the Power of Attomey'are in full force and effect. Given under my hand and the seal of said Company at;Houston, Texas this` day of O,.x.`{' xA.D. .Bren Beaty,A istant Se ta.ry Any.Instrument issued in excess of the penalty stated above is totally gold'and without any.valldity.; For verification of the authority of this power you may call(713)812-0800 any business day between 8:30 am and 6:00 pm CST. SureTec Insurance COmpany THIS 80ND:11- I0ER CONTAINS IMPORTANT COVERAGE INFORMATION Statutory Complaint Notice/Filing of Claims To obtain.inlormation.or make a complaint: You may call the Surety's toll free telephone number for informatiion.or`to take a, complaint,orfile.a claim at: 1-866-732=0099. You may also,write to'the Surety at: SureTecdnsurarice Coritpany 9737 Great Hills Trail, Suite 320 Austin: Tx 78759 'You may contact,-the Texas Departmentof Insurance to obtain information on companies; coverage,rights or complaints at 1-800-252- 3439. You may write the Texas Department of.fii u nce,at PO.Box;149104' Augjnr :TX 78714-91104 F apt#: 512-49.040:07 Web..hq://vVww.tdi.state.tx.us Email ConsumerProtection@tdi.texas.gov ,PREMWMQR,CL AIM.DISPUTES::Should.you have,a dispute carim tceng your premium or about a claim,you should contact the Surety first. If the dispute is not resolved,'you may contact the,Texas Department of Insurance: Texas Rider 0.6042014 1 AFFIDAVIT STATE OF TX COUNTY OF Dallas Before me,the undersigned authority, a notary public in the state and county aforesaid, on this day personally appeared Roger Mora, President Of Mora Construction 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; 7-11 Risinger Rd City Project#: 101522 BY Roger Mora, President Subscribed and sworn before me on this date 4th of June, 2019. Notary Public Dallas, TX r�RLES LEDBETTER Notary Public, State of Texas , �.� Comm; Expires 02-09-2023 �''%oF�a�`�� Notary ID 10398250 CONSENT OF CONTRACTOR SURETY COMPANY ARCHITECT TO FINAL PAYMENT SUBCONTRACTOR SURETY AIA DOCUMENT G707(Modified) OTHER Bond No. 4421273 PROJECT: 7-11 @ Crowley and Risinger-Water,Sanitary Sewer and Storm Drain Improvements (name,address) TO(Contractor) [ City of Fort Worth ] ARCHITECT'S PROJECT NO: 1000 Throckmorton Street Fort Worth,TX 76102-6312 CONTRACT FOR: [ ] CONTRACT DATE: 7/3/2018 SUBCONTRACTOR: Mora Construction,Inc. Po Box 154897 Irving,TX 75015 In accordance with the provisions of the Contract between the Contractor and the Subcontractor as indicated above,the (here insert name and address of Surety Company) SureTec Insurance Company 1330 Post Oak Boulevard, Suite 1100 Houston,TX 77056 , SURETY COMPANY, on bond of(here insert name and address of Subcontractor) Mora Construction,Inc. Po Box 154897 Irving,TX 75015 , SUBCONTRACTOR, hereby approves of the final payment to the Subcontractor, and agrees that final payment to the Subcontractor shall not relieve the Surety Company of any of its obligations to(here insert name and address of Contractor) City of Fort Worth 1000 Throckmorton Street Fort Worth,TX 76102-6312 ,CONTRACTOR, as set forth in the said Surety Company's bond. IN WITNESS WHEREOF, the Surety Company has hereunto set its hand this 5th day of March , 2019 SureTec Insurance Company Surety Company Signature of Authorized Representative Witness: (Seal): Debra Lee Moon 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 DEBTS AND CLAIMS, Current Edition AIA DOCUMENT G707 CONSENT OF SURETY COMPANY TO FINAL PAYMENT APRIL 1970 EDITION AIA ONE PAGE 1970 THE AMERICAN INSTITUTE OF ARCHITECTS,1735 New York Ave.,NW,WASHINGTON,D.C. 20006 POA#: 4221756 SureTec Insurance Company MUTED 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 Ahe State of Texas, and having its principal office in Houston, Harris County, Texas, does by these presents make,constitute and appoint Sammy J. Mullis Jr., John William Newby,Wilbert Raymond Watson,Troy Russell Key, Sandra Lee Roney, Debra Lee Moon,Andrea Rose Crawford, Linda Michelle Stalder 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; redognizances,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 thename 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 of 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 201*of April, 1999) in:Witness Whereof, SURETEGINSURANCE COMPANY has caused these:presents to be signed by its CEO, and its corporate seal to be hereto affixed this 3rd ' day of August ;A.D.2018 enmimH SURETEC INS PANY �RAMOwF By: aw John 1Kno .,'CE State of Texas ss: 9� d County of Harris `' •••• On this 3rd day. of August ,A.D;2018 before me personally came John Knox Jr.,to me known,who,being by me duly sworn, 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. i Wurr iY i�U�/�� aACC?1JELYN GREENLEAF �. cci" e ;{hIotary Public,State of Texas Comm.Expiras05•t&2021 Notary ID'126903029 Jacq elyn Greenleaf,Notary Public i My commission expires May 18 2021 I'm.Brent Beaty,Assistant Secretary.of SURETECINSURANCE COMPANY,do hereby certify that the above and foregoing is a true and correct copy of a Power of Attorney,executed bysaid Company,which is stilt in full force and effect;and furthermore,the resolutions of the Board of Directors,set out in the Power of Attomey'are in full force and effect. Given under my hand and the seal of said Company at;Houston, Texas this` day of O,.x.`{' xA.D. .Bren Beaty,A istant Se ta.ry Any.Instrument issued in excess of the penalty stated above is totally gold'and without any.valldity.; For verification of the authority of this power you may call(713)812-0800 any business day between 8:30 am and 6:00 pm CST. SureTec Insurance COmpany THIS 80ND:11- I0ER CONTAINS IMPORTANT COVERAGE INFORMATION Statutory Complaint Notice/Filing of Claims To obtain.inlormation.or make a complaint: You may call the Surety's toll free telephone number for informatiion.or`to take a, complaint,orfile.a claim at: 1-866-732=0099. You may also,write to'the Surety at: SureTecdnsurarice Coritpany 9737 Great Hills Trail, Suite 320 Austin: Tx 78759 'You may contact,-the Texas Departmentof Insurance to obtain information on companies; coverage,rights or complaints at 1-800-252- 3439. You may write the Texas Department of.fii u nce,at PO.Box;149104' Augjnr :TX 78714-91104 F apt#: 512-49.040:07 Web..hq://vVww.tdi.state.tx.us Email ConsumerProtection@tdi.texas.gov ,PREMWMQR,CL AIM.DISPUTES::Should.you have,a dispute carim tceng your premium or about a claim,you should contact the Surety first. If the dispute is not resolved,'you may contact the,Texas Department of Insurance: Texas Rider 0.6042014 1