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Contract 51676-FP1
City Secretary 51676 -FP1 Contract No. FORTWORTH. Date Received Jan 23,2020 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: SH 114 Self Storage City Project No.: 101637 Improvement Type(s): Water ® Sewer X Original Contract Price: $89,093.00 Amount of Approved Change Order(s): Revised Contract Amount: Total Cost of Work Complete: $89,093.00 C�Vf0#allllky Jan 22,2020 CacsoaCollier(Jaa72,1020) Contractor Date PM Title North Texas Contracting, Inc. Company Name 7" Jan 22, 2020 En Project Inspector Date 2 � %Victor V.Tornero Jr.(Jan 23,2020) Jan 23, 2020 Project Manager Date ` SW7&z��Iv�aC2f Jan 23 2020 Janie Scarlett Morales(Jan CFA Manager Date C&4'HA C?&r('&C) Jan 23 2020 Chris Harder(fOr)(Jan 23,2MO) Asst. City Manager Date OFFICIAL RECORD CITY SECRETARY Page 1 of 2 FT.WORTH, TX Notice of Project Completion Project Name: SH 114 Self Storage City Project No.: 101637 City's Attachments Final Pay Estimate Change Orders): ❑ Yes © NIA Pipe Report: ® Yes ❑ NIA Contractor's Attachments Affidavit of Bills Paid Consent of Surety Statement of Contract Time Contract Time: 120 CD Days Charged: 120 Work Start ❑ate: 2/4/2019 Work Complete Date: 1213I2019 Page 2 of 2 FORT WORTH CITY OF FORT WORTH FINAL PAYMENT REQUEST Contract Name SH 114 SELF STORAGE Contract Limits Project Type WATER&SEWER City Project Numbers I01637 DOE Number 1637 Estimate Number 1 Payment Number 1 For Period Ending 12/3I2019 CD City Secretary Contract Number Contract Time I21TD Contract Date 12/12/20I9 Days Charged to Date 120 Project Manager NA Contract is 100.00 Complete Contractor NORTH TEXAS CONTRACTING,INC, P.O.BOX 468 KELLER, TX 76244 Inspectors MILLER,W / TINNER Wednesday,January 15,2020 Page I oF4 �. 6. City Project Numbers 101637 Doti Number 1637 Contract Name SH 114 SELF STORAGE Estimate Number 1 Contract Limits Payment Number 1 Project Type WATER&SEWER For Period Ending 12/3/2019 Project Funding UNIT I:WATER IMPROVEMENTS Item Description of Items Estimated Unit Unit Cost Estimated Completed Completed No. Quanity Total Quanity Total --------------- ------ -.- `- - 1 MOBILIZATION I LS $2,000.00 $2,000.00 1 $2,000.00 2 REMOVE CONC PVMT 14 SY $8.00 $112,00 14 $1 12.00 3 REMOVE ASPHALT PVMT 90 SY $6.00 $540.00 90 $540.00 4 REMOVE CONC CURS&GUTTER 36 LF $8.00 $288.00 36 $288,00 6 SITE CLEANING l LS $5,000,00 $5,000.00 1 $5,000.00 11 8"WATER PIPE 719 1F $28.00 $20,132,00 719 $20,132.00 12 1 112"WATER SERVICE 1 EA $1,500.00 $1,500.00 1 $1,500.00 1 2"WATER SERVICE 1 EA $2,000.00 $2,000.00 1 $2,000.00 2 8"GATE VALVE 2 EA $1,200,00 $2,400.00 2 $2,400.00 3 8"X 8"TAPPING SLEEVE&VALVE 1 EA $1,800.00 $1,800.00 1 $1,800.00 8 AUTOMATIC FLUSHING VALVE 1 EA $1,500.00 $1,500.00 1 $1,500.00 - -------- -- --- ---- ----------- --------- Sub-Total of Previous Unit $37,272.00 $37,272.00 UNIT IL SANITARY SEWER IMPROVEMENTS Item Description of Items Estimated Unit Unit Cost Estimated Completed Completed No. Quanity Total Quanity 'total 5 ^ f u 8"SEWER ABANDONMENT PLUG 1 EA $150.00 $150.00 1 $150,00 6 POST-CCTV INSPECTION 837 LF $L00 $837.00 837 $837.00 7 MANHOLE VACUUM TESTING 5 EA $100.00 $500.00 5 $500.00 9 TRENCH WATER STOPS 3 EA $200,00 $600,00 3 $600.00 10 16"CASING BY OPEN CUT I50 LF $65.00 $9,750.00 150 $9,750.00 4 4"2-WAY CLEANOUT 2 EA $350,00 $700.00 2 $700.00 5 4'PRIVATE SEWER SERVICE 5 LF $500,00 $2,500,00 5 $2,500.00 6 8"SEWER PIPE 837 LF $32.00 $26,784.00 837 $26,784.00 7 4'MANHOLE 5 EA $2,00DAD $10,000.00 5 $10,000.00 - ------------ ------------------- ------- Sub-Total of Previous Unit $51,921.00 $512821.00 --- -------------------------------------- Wednesday,January 15,2020 Page 2 of 4 City Project Numbers 101637 DUE Number 1637 Contract Name SH 114 SELF STORAGE Estimate Number 1 Contract Limits Payment Number 1 Project Type WATER&SEWER For Period Ending 1 21312 0 1 9 Project Funding Contract Information Summates Original Contract Amount $89,093.00 Change Orders 'total Contract Price $99,093,00 Total Cost of Work Completed $89,093.00 Less %Retained $0.00 Net Earned $89,093,00 Earned This Period $89,093.00 Retainage This Period $0.00 Less Liquidated Damages Days @ 1 Day $0.00 LessPRvement Deficiency $0.00 Less Penalty $0.00 Less Previous Payment $0.00 Plus Material on Hand Less 15% $0.00 Balance Due This Payment $89,093.00 Wednesday,January 15,2020 Page 3 of 4 City Project Numbers 101637 DOE Number 1637 Contract Name SH 114 SELF STORAGE Estimate Number I Contract Limits Payment Number I Project Type WATER&SEWER For Period Ending 12/3/2019 Project Funding Project Manager NA City Secretary Contract Number Inspectors MILLER,W / TINiVER Contract Date 12/12/2019 Contractor NORTH TEXAS CONTRACTING,INC. Contract Time 120 CD P.O.BOX 468 Days Charged to Date 120 CD KELLER, TX 76244 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 $89,093.00 Less %Retained $0.00 Net Earned $89,093.00 Earned This Period $89,093.00 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 Nand Less 15% $0.00 Balance Due This Payment $89,093.00 Wednesday,January 15,2020 Page 4 of 4 FORT WORTH TRANSPORTATION AND PUBLIC WORKS PIPE REPORT FOR: PROJECT NAME: SH 114 Self-Storage PROJECT NUMBER: 101637 DOE NUMBER: NIA WATER PIPE LAID SIZE TYPE OF PIPE LF 8" PVC 719 FIRE HYDRANTS: 0 VALVES(16" OR LARGER) PIPE ABANDONED SIZE TYPE OF PIPE LF DENSITIES: NEW SERVICES: 1.5"(1) Copper 2"(I) Copper SEWER PIPE LAID SIZE TYPE OF PIPE LF 8" SDR 26 937 PIPE ABANDONED SIZE TYPE OF PIPE LF DENSITIES: Yes NEW SERVICES: 4"(2) SDR 26 PVC TRANSPORTATION AND PUBLIC WORKS The City of Fort Worth•1000 Thmckmorton Street•Fort Worth,TX 76012-6311 (817)392-7941 •Fax:(817)392-7845 NORTH TEXAS roTelk, - . 4 AFFIDAVIT STATE OF TEXAS COUNTY OF DENTON Before me,the undersigned authority, a notary public in the state and county aforesaid, on this day personally appeared Carson Collier, PM Of North Texas Contracting,known to me to be a credible person, who being by me duly sworn, upon his oath dcposed 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; SH 114 Self Storage City Project No. 101637 BY Carson Collier, PM Subscribed and sworn before me on this date 22"d of January,2020. QQ- w{yya��s gotary Public * _ Denton County,Texas 4999 Keller-Haslct Road Keller,Texas 76248 Prone(817)430-9500 Fax(817)43 0-92 07 CONSENT OF OWNER ❑ SURETY COMPANY ARCHITECTONT ❑ TO FINAL PAYMENT SURETYCTOR El Conforms with the American institute of OTHER Architects,AiA Document G707 Bond No SU 1155124 PROJECT: (name, address)SH 114 Self Storage Fort worth,TX TO (owner) F ARCHITECT'S PROJECT NO: City Project No. 101637 TMS ACQUISITION,LLC&CITY OF FORT WORTH CONTRACT FOR: 2140 E.Southlake Blvd. SH 114 Self-Storage Southlake TX 76092 -J CONTRACT DATE: CONTRACTOR:NORTH TEXAS CONTRACTING, 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 Companyl ARCH INSURANCE COMPANY Harborside 3,210 Hudson Street. Suite 300 Jersey City NJ 07311-1107 , SURETY COMPANY on bond of [here Insert name and address of Controctvrl NORTH TEXAS CONTRACTING, INC. 4999 Keller Haslet Rd. Keller TX 76248 , 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 Owners TMS ACQUISITION, LLC&CITY OF FORT WORTH 2140 E. Southlake Blvd. Southlake TX 76092 , OWNER, as set forth in the said Surety Company's bond. IN WITNESS,WHEREOF, the Surety Company has hereunto set its hand this 21st day of January, 2020 ARCH INSURANCE COMPANY Surety Company Attest: (Seal): Signature of Authorized Representative Er of Morales .. 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 ` --- ONE PAGE • AIC 0000290482 -mis-P OWER FA-TTORNEYisorVAL-mvNLESSIT IS PRINTED-ON BLUE-BAK This Power of.Cttorney lianfts the acts of rhos4_znafriecFfFereIn, and they have no autherify:to-bind-the Company except in the manner and to the extent herein stated. Not valid for Note, Loan,Letter of Credit, Currency Rate,Interest Rate or Residential Value Guarantees. P-OWE RAOF-AMT:--10RN EY Know All Persons By These Presents: That the Arch Insurance Company, a corporation organized and existing under the laws of the State of Missouri, having its principal administrative offw-,e_iDz:JerseF- RtyNew Jersey(hereinaftevrefer-red--toas the"Company"J dces_her y ap offit-1-- q4_ p Don E. Corn ftas-Mia---�5-sunders-�=Kelly A. Reyna, Robbi Morale�oOhibi6-Hui&r,-=-7taa McEwan an_cF_TiYn-j_e_3-r Petranek of Dion,TX-MACH) its true and lawful Attorriey(qkn-Eact,to make,execute,seal,and ddliver from the date of issuance of thfiL_ap%&B0br and on its behalf as surety,and a5its-7m �CneW Any and all bow,uAd"kin-gs,recognizances amd'other surety-oblidwions,in the penal _n not:exceedft-_ Ninety Million Wars($90,000,000.00). This authority does not permit the same obligation to be split into two or more bonds In order to bring each such bond within the dollar limit of authority as=sot4adh-Yw_dft___ The execution a srt =ts i akings, recag-Uzande"n"thersurety obi igat iom�U-PSEW-We dEth-e-s:e-presents sh-41 Hb"&_I� binding upon ft said Company as fully and amply to allintents and purposes, as 1-fhe same had been duly executed and acknowledged by its regularly elected officers at its principal administrative office in Jersey City,New Jersey. This Power of Attorney is eKocute-d-by authority of resolutions adq ptedby unanimous consent of the Boa*o(--Qr-ectors of the Compan. on September- accurate coft af-�wbicle--are-'-::h6-r6ina.ft-er set forth and- 66itified-B:::.by the udderClg- I Secretary as-being iff-JulMra&anff-Affect. "VOTED, That the Chairman of the Board, the President,or the Executive Vice President, or any Senior Vice President,of the Surety Business Division, or their appointees designated in writing and filed with the Secretary, or the Secretary shall have the power and authority to appoint agents and attorneys-in-fact, and to authorize them subject to the limitations set forth in ib-6i r-respective powers of attorney,to execute-6Fr---heba-IFE.Of--tIT6-Company,-and- VaW-Aho vaalf of the Company thereto, Cs undefta-WKMW-recognizances--a6d=- other surety 0 b I i q6ti�dhs Oi ato ryAn t h e n a t u re 1he rep,a n ddn s de h officers of the C a T_p-y=-ay2p po'n rM s for accoance=of process" This Power of Attorney is signed, sealed and certified by facsimile under and by authority of the following resolution adopted by the unanimous consent of the Board of Directors of the Company on September 15,2011: VOTED,That--th42 7s-iffin-afft�ha'frrnan of tW-13mr he President--oil Executiv4VVio6TW�Qd- Off :86nior Vicellffires_ide�nt,LdV -1 7 . of the Suret Bu7 sine bsj-D-vMe�-.-Iheir appoliteeMs-designated in.-Vviffing and filed Mith--the Sect. _.M _And the signatOZ R the - Secretary, the�seal or1W Com pa ny, and certifications by theSecretary, may be affixed by facs i rn i Iff an any power of attomeyb�r- ad executed pursuant to the resolution adopted by the Board of Directors.on September 15, 2011, and any such power so executed, sealed and certified with respect to any bond or undertaking to'Which it is attached, shall continue to be valid and binding upon the Company. OOMLOO13 00 03 03 Page 1 of 2 Printed in U.S.A.