HomeMy WebLinkAboutContract 52012-FP3 City Secretary 52012 -FP3
Contract No.
FORTWORTH, Date Received Feb 7,2020
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: MARINE CREEK HILLS V PHASE 3
City Project No.: 101528
Improvement Type(s): ❑ Paving ❑ Drainage ® Street Lights ❑ Traffic Signals
Original Contract Price: $53,669.07
Amount of Approved Change Order(s):
Revised Contract Amount:
Total Cost of Work Complete: $53,669.07
G Gt L 6
Richard Wolfe(Jan 23,2 20) Jan 23,2020
Contractor Date
President
Title
Independent Utility Construction, Inc.
Company Name
1#;F�D Feb 5 2020
Jesse Davis(Feb 5,2020)
Project Inspector Date
'
Aaron Long(Feb 5,2020) Feb 5, 2020
Project Manager Date
479�/r yea& tttilWk Feb 5 2020
Janie Scarlett Morales(Feb 5,2020)
CFA Manager Date
Dana Burghdoff( Feb 7,7 2020
Asst. City Manager Date
OFFICIAL RECORD
CITY SECRETARY Page I of 2
FT. WORTH, TX
Notice of Project Completion
Project Name: MARINE CREEK HILLS V PHASE 3
City Project No.: 101528
City's Attachments
Final Pay Estimate
Change Order(s): ❑ Yes N N/A
Contractor's Attachments
Affidavit of Bills Paid
Consent of Surety
Statement of Contract Time
Contract Time: 30 CD Days Charged: 271
Work Start Date: 4/8/2019 Work Complete Date: 1/3/2020
Page 2 of 2
FORT WORTH
CITY OF FORT WORTH
PARTIAL PAYMENT REQUEST
Contract Name MARINE CREEK HILLS V PRASE 3
Contract Limits
Project Type STREET LIGHTING
City Project Numbers 101528
DOE Number 5280
Estimate Number 1 Payment Number I For Period Ending 1/23/2020
Project Funding
CD
City Secretary Contract Number Contract Time 30CD
Contract Date 113WO19 Days Charged to Date 271
Project Manager NA Contract is 100.00 Complete
Contractor INDEPENDENT UTILITY CONSTRUCTION
5109 SUN VALLEY DRIVE
FORT WORTH, TX 76119
Inspectors DICKINSON / DAVIS,J
Thursday,January 23,2020 Page I of 4
City Project Plumbers 101528 DOE Number 5280
Contract Flame MARINE CREEK HILLS V PHASE 3 Estimate Number I
Contract Limits Payment Number I
Project Type STREET LIGHTING For Period Ending 1/23/2020
Project Funding
UNIT V:STREET LIGHTING WROVEMENTS
Item Description of Items Estimated Unit Unit Cost Estimated Completed Completed
No. Quanity Total Quanity 'Total
1 2"CONDT PVC SCH 80 M 671 LF $10.99 $7,374.29 671 $7,374.29
2 GROUND BOX TYPE B WIAPRON 13 EA $3.00 $39.00 13 $39.00
3 RDWY ILLUM ASSEMBLY TY 11 13 EA $2,148.00 $27,924.00 13 $27,924.00
4 RDWY ILLUM FOUNDATION TY 1 13 EA $1,246.00 $16,198.00 13 $16,198.00
5 #10 XHHW 2013 LF $1.06 $2,133 J8 2013 $2,133.78
Sub-Total of Previous Unit $53,669A7 $53,669.07
Thursday,January 23,2020 Page 2 of 4
i
I
City Project Numbers 101528 DOE Number 5280
Contract Name MARINE CREEK HILLS V PHASE 3 Estimate Number I
Contract Limits Payment Number I
Project Type STREET LIGHTING For Period Ending 1/23/2020
Project Funding
Contract Information.Summary
Original Contract Amount $53,669.07
Change Orders
Total Contract Price $53,669,07
Total Cost of Work Completed $53,669.07
Less %Retained $0.00
Net Earned $53.669.07
Earned This Period $53,669.07
Retainage This Period $0.00
Less Liquidated Damages
Days[�7a 1 Day $0.00
LessPa►+ement Deficiency $0.00
Less Penalty $0.00
Less Previous Payment $0.00
Plus Material on Hand Less 15% $0.00
Balance Due This Payment $53,669.07
Thursday,January 23,2020 Page 3 of 4
City Project Numbers 101529 DUE Number 5280
Contract Name MARINE CREEK HILLS V PHASE 3 Estimate Number 1
Contract Limits Payment Number 1
Project Type STREET LIGHTING For Period Ending 1123M20
Project Funding
Project Manager NA City Secretary Contract Number
Inspectors DICKINSON / DAVIS,J Contract Date 1131/2019
Contractor INDEPENDENT UTILITY CONSTRUCTION Contract Time 30 CD
5109 SUN VALLEY DRIVE Days Charged to Date 271 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 $53,669.07
Less %Retained $0.00
Net Earned $53,669.07
Earned This Period $53,669.07
Retainage This Period $0.00
Less Liquidated Damages
0 Days® $0.00 /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 $53,669.07
Thursday,January 23,2020 Page 4 of 4
AFFIDAVIT
STATE OF TEXAS
COUNTY OFTARRANT
Before me, the undersigned authority, on this day personally appeared RICHARD
W OLFE, President of fNDEPENDENT UTILITY CONSTRUCTION INC. known
to me to be a credible person, and after being duly swom by me, 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: Marine Creek Hills V Phase 3—City Project No. 101528
BY:
—& ,<-
Richar o e, sident
SUBSCRIB D AND SWORN TO BEFORE ME on this day of
2019.
11�5�Y P�1j4 CHRISTINA GARCIA
State of Texas
�Notary Public, Notary Public,State of Texas
?x,
Cflmm.Expires 12-20-2020
Notary ID 130940785
fl�inn�••
CONSENT OF OWNER ❑
SURETY COMPANY CONTR ARCHITECT ❑
CONTRACTOR ❑
TO FINAL PAYMENT OSURETY
(sIMILAR TO AIA DOCUMENT G707)
RECEIVED Bond No.012675P
I ng 1 6 2a19
PROJECT: Street Ligh tng Improvements to serve Marine Creek Hills Phase 3
(name,address)Fort Worth, Texas
TO (Owner) ARCHITECT'S PROJECT NO:
F—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 insert name and
address of surety Company) Westfield Insurance Company
555 Republic Drive, Suite 450 ,SURETY COMPANY,
Plano,Texas 75074
on bond of[here insert name and address of Contractor]
Independent Utility Construction,Inc. CONTRACTOR.,
5109 Sun Valley Drive
Fort Worth,Texas 76119
hereby approves of the final payment to the Contractor,and agrees that the fmal 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 ,OWNER,
Fort Worth. Texas 76102
as set forth in the said Surety Company's bond.
IN WTTmE.SS WHEREOF, December The Surety Company has hereunto set its hand this 12th day of 2019
URANCE COMPANY
Surety Comp y �_
li
Signs nze Representative
Attest:
Kyle W. Sweene Attorney-in--Fact
(Seal]: Title
Note:This form is intended to be used as a companion document to the Contractor's Affidavit of Payment of Debts and Claims,Current Edition
THIS POWER OF ATTORNEY SUPERCEDES ANY PREVIOUS POWER BEAHINO I rill'aAMt:
POWER#AND ISSUED PRIOR TO 04f20111,FOR ANY PERSON OR pERSON$ NAMED BELOW. POWER NO, 4220052 06
General Westfield Insurance Co.
Power Westfield National Insurance Co.
of Attorney
Ohio Farmers Insurance Co.
CERTIFIED COPY Westfield Center, ❑ilio
Know All Men by These 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 principal office in Westfield Center, Medina County,Ohio,d❑ 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 Fonds, 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 BANK 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 with the corporate
seal of the applicable Company and duly attested by its Secretary,hereby ratifying and confirming all that the said Attorney(s)-in-Fact may do In
the premises. Said appointment is made under and by authority of the fallowing resolution adapted by the Board of Directors of each of the
WESTFIELD INSURANCE COMPANY,WESTFIELD NATIONAL INSURANCE COMPANY and OHIO FARMERS INSURANCE COMPANY:
'8e 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 Attorneys)-in-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, recognizance$, contracts, agreements of indemnity and other conditional or obligatory undertakings and any and all
notices and documents canceling or terminating the Company's liability thereunder, and any such instruments so executed by any such
Attorney-in-Fact shall be as binding upon the Company as if signed by the President and sealed and attested by the Corporate Secretary."
'Be it Further Resolved,that the signature of any such designated person and the seal of the Company heretofore or hereafter affixed to any
power of attorney or any certificate relating thereto by facsimile,and any power n attorney or certificate attached.-
d.-fac (Eie signatures t facsimile
seal shall be valid and binding upon the Company with respect to any bond or undertaking to which it is attached." [Each adapted a[ a meeting
held on February 8,2000)-
[n Witness Whereof,WESTFIELD INSURANCE COMPANY, WESTFIELD NATIONAL INSURANCE COMPANY and OHIO FARMERS INSURANCE
COMPANY have caused these presents to be signed by their Senior Executive and their corporate seats to be hereto affixed this 20th day of
APRIL A.D.,2011 .
w•,.w,..�. "r�k WESTFIELD INSURANCE COMPANY
Corporate a� a�tIRRRr :`'��tn!zf!L��'' ��g 11l�11�(�,',� WESTFIEL❑ NATIOUAL INSURANCE COMPANY
Seats • :C+a"i a�: Y. .rki'" •;t'�r OHIO FARMERS INSURANCE COMPANY
Affixed l ao r .�Y+ `�:Cii$ p' �s
=M? Cia.l 7 SEAL
rx+ � ZO 184E
`-•...r{is
state at Ohio Richard L. Kinnaird, Jr.,National Surety Leader and
Senior Executive
County of Medina ss.:
On this 201h 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
INSURANCE COMPANY and id Companies;that Ohio FARMERS INSURANCE COMPANY, the companies described in and which executed the above
NATIONAL saat the seals affixed to said instrument are such corporate seals;that they were so affixed
instrument;that knows the seals a
by order of the Boards of Directors of said Companies:and that he signed his name thereto by like order. L
Notarial •" """"Seal ''�, r
y
SAL
Affixed A,P 1�11�jisi"•=�
z:_;.+ l r
William J. Kahelin,A rney at Law,Notary Public
" v My Commission Does Not Expire(Sec.147.03 Ohio Revised Code)
State of Ohio
? �1��•.
County of Medina
r� oro
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 of 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.
[n Witness Whereof, I have hereunto set my hand and affixed the seals of said Companies at Westfield Center, Ohio, this 12 day of
December ra.Qj; 2019 ...,,,,.., ,,,,.....,.,.
\ sUyt,tC�r. Q��r7NAL�AS: �• �I151i►P,�,�ti.
.02
M
I "
SecraurpM 5L : -
in. 113413 Frank A. Carrino.Secretary
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