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Contract 52011-FP1
City Secretary52011 -FP1 Contract No. FoRTWORTH. Date Received Feb 14,2020 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' OAK COURT ADDITION City Project No.: 101583 Improvement Types): Water ® Sewer 0 Original Contract Price: $158,312.50 Amount of Approved Change Order(s): $650.00 Revised Contract Amount: $158,962.50 Total Cost of Work Complete: $158,962.50 wade allaarrd(Feb 3,20201 Feb 3,2020 Contractor Date vice president Title Trophy Construction services Company Name Aaron�VbarWra(Feb Feb 3,2020 Project Inspector Date Fred Chia Fred Ehia(Feb 11,2020) Feb 11,2020 P ect Man�e2 � Date Feb 11, 2020 CFA Manager Date ki- Feb 13 2020 Dana Burghdoff(F 13,202 7 Asst. City Manager Date OFFICIAL RECORD page 1 of 2 CITY SECRETARY FT.WORTH, TX Notice of Project Completion Project Name: OAK COURT ADDITION City Project No.: 101683 City's Attachments Final Pay Estimate Change Order(s): ® Yes ❑ N/A Pipe Report: Cx Yes ❑ N/A Contractor's Attachments Affidavit of Bills Paid Consent of Surety Statement of Contract Time Contract Time: 60 CD Days Charged: 277 Work Start Date: 4/15/2019 Work Complete Date: 11/27/2019 Page 2 of 2 FORT WORTH CITY OF FORT WORTH FINAL PAYMENT REQUEST Contract Name OAK COURT ADDITION Contract Limits Project Type WATER&SEWER City Project Numbers 101683 DOE Number 1683 Estimate Number 1 Payment Number 1 For Period Ending 1/2 312 0 2 0 CD City Secretary Contract Number Contract Time WD Contract Date Days Charged to Date 277 Project Manager NA Contract is 100.00 Complete Contractor TROPHY CONSTRUCTION SERVICES LLC 236 E.ELLISON STCZFET BURLESON, TA 76078 Inspectors OWEN 1 YBARRA Tuesday,January 28,2920 Page I oF4 City Project Numbers 101683 DOE Number 1683 Contract Name OAK COURT ADDITION Estimate Number I Contract Limits Payment Number I Project Type WATER&SEWER For Period Ending 1/23/2020 Project Funding WATER Item Description of Items Estimated Unit Unit Cast Estimated Completed Completed No. Quanity Total Quanity Total r 1 8"PVC WATER PIPE 1340 LF $25.0D $33,500.00 1340 $33.500.00 2 8"GATE VALVE 10 EA $1,100.00 $11,000.00 10 $11,000.00 3 FIRE HYDRANT 4 EA $3,500.00 $14,000.00 4 $14,000.00 4 1"WATER SERVICECO#1 28 EA $650.00 $18.200.00 28 $18,200.00 5 DUCTILE IRON WATER FITTINGS 2 TN $15.00 $30.00 2 $30.00 W/RESTRAINT 6 TRENCH SAFETY 1340 LF $0.20 $268.00 1340 $268.00 7 CONNECTION TO EXISTING 4"-12"WATER 2 EA $2,000.00 $4,000.00 2 $4,000.00 MAIN Sub-Total of Previous Unit $80,998.00 $80,998,00 SEWER Item Description of Items Estimated Unit Unit Cost Estimated Completed Completed No. Quanity Total Quanity Total 1 Y f 8"PVC SEWER PIPE 1 I30 LF $31.00 $35,030.00 1130 $35,030.00 2 CONNECT TO EXISTING SEWER&INSTALL I EA $1,100.00 $1,I K00 1 $1,100.00 MANHOLE 3 4'MANHOLE 7 EA $2,500.00 $17,500.00 7 $17,500.00 4 4'EXTRA DEPTH MANHOLE 11 VF $50.00 $550.00 11 $550.00 5 4"SEWER SERVICE 27 EA $798,00 $21,54&00 27 $21,546,00 6 POST CCTV INSPECTION 1130 LF $1.25 $1,412,50 1130 $1,412,50 7 MANHOLE VACUUM TESTING 8 EA $75.00 $600,00 8 $600.00 8 TRENCH SAFETY 1130 LF $0.20 $226.00 1130 $22&00 Sub-Total of Previous Unit $77,964.50 $77,964.50 Tuesday,January 28,2020 Page 2 of 4 City Project Numbers 101683 DOE Number 1683 Contract Name OAK COURT ADDITION Estimate Number I Contract Limits Payment Number 1 Project Type WATER&SEWER For Period Ending 1/23/2020 Project Funding Contract Information Summary Original Contract Amount $158,312.50 Change Orders Change Order Number 1 $650,00 Total Contract]'rice $158,962.50 Total Cost of Work Completed $158,962.50 Less %Retained MG0 Net Earned $158,962.50 Earned This Period $158,962.50 Retainage This Period $0.00 Less Liquidated Damages Days @ 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 $159,962.50 Tuesday,January 28,2020 Page 3 of 4 City Project Numbers 101683 DOE Number 1683 Contract Name OAK COURT ADDITION Estimate Number 1 Contract Limits Payment Number I Project Type WATER&SEWER For Period Ending 1/23/2020 Project Funding Project Manager NA City Secretary Contract Number Inspectors OWEN 1 YBARRA Contract Date Contractor TROPHY CONSTRUCTION SERVICES LLC Contract Time 60 CD 236 E.ELLISON STREET bays Charged to Date 277 CD BURLESON, TX 76028 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 $158,962.50 Less %Retained $0.00 Net Earned $158,962.50 Earned This Period $158,962,50 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 $158,962.50 Tuesday,January 28,2020 Page 4 of4 & m � 2 0 u § _ 8 \ to w K k0 q z} LLJ \\ { °§ 2 ° ! _ 0 aJ - 2 z Sw \ 0) % 0 p_ / � c A R / Q / � - § § z & » \ k / n z _ Q Q q r b § k ) to 44 / } z z 0 / a / ID 0 e ■ / O I a § ] % LU ƒ ® ° S k L)} C q )\ \ < \_ CD CDI A J - / \ CD � < 0 3 ) co I % ® \ § / 2 Z _ / d w jj 0 ƒ © a c 22 \ ) WLL r K 7 m G ƒ § S § , 0 co CL m 06 - 0 / 0 § § (0 to \k k k E k \ wk ■ k u § G « r k # % k k §E § / w # \ \ < 3 m 3 §§ A B \ k k 2 ) p c ° o I u § / @ ® } / $ § ( k \ § [ � § & § v / j \ § p 2 b S 3 § 2 @ # # E i # k m r ) z S -j k , E E e \ z < e 10 k 7 4 ' ® ` : I o _ 0 < a m e u z o 2 # ) 1 2 0 0 0 § G 5 S \ J j � You aw d¢newd to make the foWowin char es In lha conhaek documonla: CRY B1O REM PAY REM 1f N QUAHTlTY I UNIT I OESCRfPiIQN UNlTPR3CE TOTAL A =22003 1 EFl 11 WATER 5ERV;CE FOR IRRIGATION 650 BSU TOTAL 659 REASON S FOR CHANGEORDER Added 1 wWormelorloMeconW dfot102dflGnmefor,which Was nal09107allyeddadIn f"cvnlydcl. NO CITY FUNDS INVOLVED IN THIS CONTRACT.DEVELOPER IS RESPONSIBLE FOR 100 A OF THE CHANGE ORDER COST AND NO REIMBURSEMENT FROM THE CITY WILL HE SOUGW BY TFIE DEVELOPER. RECOMMENDEO; APPROVED: APPROVED: (OmsunrngEnaf—) foovdlopwJ fconfmc.l PY Dy: Y'Y`C�Gvw��+K>i"� By: 1�'Ilr^-Q ? �} Ndlnw Ty LE A$� Name:u1. tip.1C C Fr @ Lp Q r Name: 11145 &*VdG Two: PrrorG�r�Mrr..+r,{. Two: /AnH a l@ el Tit[n: VIA RGvised:10-12.2011 Pagu 2 FoRTWORTH TRANSPORTATION AND PUBLIC WORKS PIPE REPORT FOR: PROTECT NAME: Oak Court Addition PROTECT NUMBER: 101683 DOE NUMBER: WATER PIPE LAID SIZE TYPE OF PIPE LF pvc 8" C900 DR]4 PVC 1340 FIRE HYDRANTS: 4 VALVES(16" OR LARGER) NA PIPE ABANDONED SIZE TYPE OF PIPE LF NA DENSITIES: NEW SERVICES: SEWER PIPE LAID SIZE TYPE OF PIPE LF PVC 4" SDR26 PVC 1130 PIPE ABANDONED SIZE TYPE OF PIPE LF NA DENSITIES: NEW SERVICES: TRANSPORTATION AND PUBLIC WORKS The City of Fort Worth•1000 Throckmoxton Street•Port Worth,TX 76012-6311 ' d (817)392-7941 •Fax:(817)392-7845 Final Bills Paid Affidavit by Contractor BEFORE ME,the undersigned authority,personally appeared J. Wade Allard(hereinafter referred to as"Contractor"), known to me to be a credible person,and after being by me duly sworn,upon oath stated and affirmed that: "My name is J.Wade Allard and I am the Vice President[title]of Trophy Construction Services LLC,hereafter sometimes referred to in this affidavit as"Contractor". Contractor's business address is 236 E.Ellison St.Burleson,TX 76028. The undersigned Contractor has personal knowledge of the facts stated herein and has full authority to make the agreements in this affidavit on behalf of Contractor. Pursuant to and in accordance with a written construction contract between Trophy Construction Services LLC, Contractor, and BH Operations Land, Owner/Administrator,Contractor furnished materials and labor for the construction,renovation,or repair of improvements located on or relating to project known as Oak Court Addition located at 6973 John T White Rd.,City of Fort Worth,Tarrant County,Texas,legally described in Exhibit"A"attached hereto and made a part hereof for all purposes (the"Property"). All work provided for under said written construction contract,together with all changes and supplements thereto,has been fully completed in accordance with the terms and provisions thereof. Contractor has paid each of its subcontractors,laborers,suppliers and materialmen in full for all labor and materials provided to Contractor for or in connection with the construction,renovation,or repair of improvements on or relating to the subject Property,or any portion thereof,excepting only the amounts owed for the following specified bills to the persons identified below. Contractor warrants and represents that the following specified bills will be paid to Contractor by Owner/Administrator in reliance on this Final Bills Paid Affidavit: Name of Payee Address Telephone No. Amount Owed ri. 2. 3. 4. 5. Other than the above specified bills owed to the above referenced persons, Contractor is not aware of any unpaid bills, claims, demands,or causes of action by any of its subcontractors,laborers,suppliers, or materialmen for or in connection with the furnishing of labor or materials,or both,for the construction,renovation,or repair of improvements located on or related to the subject Property. In consideration of the funds paid to Contractor by Owner/Administrator and by Lender on behalf of Owner/Administrator in reliance on this affidavit,Contractor waives and releases all of Contractor's statutory and constitutional mechanic's lien rights connected with the construction of the Project,conditioned on the actual payment or collection if payment is made by check or draft. Contractor further understand that this Final Bills Paid Affidavit is being given pursuant to and in accordance with Sections 53.085 and 53.259 of the Texas Property Code and that the intentional,knowing,or reckless making of a false or misleading statement in this Affidavit constitutes an offense under said Section and is a Class A misdemeanor. Form 11.08—Final Bills Paid Affidavit Page 1 of 3 CDBG Disaster Recovery Program September 2013 Contractor hereby indemnifies and holds harmless Owner/Administrator from any and all claims,demands or causes of action, and any costs,expenses,and attorney's fees incurred in connection therewith,arising from or connected with,the statements and representations contained herein." EXECUTED this 23rd day of December ,2019. Trophy Construction Services LLC [Name of Contractor Company] By: Printed Name:J. Wade Allard Title:Vice President WARNING: If it is determined through monitoring that the on-site support documentation of actual costs does not agree with the itemized invoices) submitted, the Subrecipient will be subject to repayment of Community Development Block Grant Disaster Recovery Program. Subrecipient may not request funds in excess of the actual amount expended for repair, rehabilitation, reconstruction, or new construction of the eligible home. Notary's Acknowledgement Before me,the undersigned authority,on this day personally appeared YA who first being duly sworn by me to be the person whose name is subscribed to the foregoing Final Bills Paid Affidavit, acknowledged that he/she has the authority to make this Final Bills Paid Affidavit,and further acknowledged to me that he/she executed the same for the purpose and consideration therein expressed. GIVEN UNDER MY HAND AND SEAL OF OFFICE on this thezR36 day of 20_H__. (Seal) �.,e. ..,: GINGER FRANKLIN MY COMMISSION F_(PIRES Notary Publico State of Texas Q 10/28/2021 s � NOTARY ID: 12960864-6 My commission expires j gLa . L_2 I Form I I.06—Final Bills Paid Affidavit Page 2 of 3 CDBG Disaster Recovery Program September 2013 EXHIBIT"A" Form 11.08—Final Bills Paid Affidavit Page 3 of 3 CDBG Disaster Recovery Program October 2009 Bond Number 4424472 CONSENT OF SURETY COMPANY TO FINAL PAYMENT PROJCCT: Underground Utilities for Oak Court Addition (Nvater/sewer/storm drain) (nume,addrum) TO(Owner) BH Operations Land CONTRACT FOR: Construction 101 W. Glade Rd.,Ste. 109 Euless,TX 76039 CONTRACTOR: CONTRACT DATE: Trophy Construction Sevices LLC 236 E. Ellison St. B '7609 In accordance with the provisions of the Contract between the Owner and the Contractor as indicated above,the[here insert ruame and Wdrett of Surely Co.) SureTec Insurance Company 2103 City West Boulevard,Ste. 1300 Houston,TX 77042 .SURETY COMPANY, on band or(here rnwrt rutme sand addrem of Usntrador) Trophy Construction Services L LC 236 E. Ellison St. Burleson,TX 76028 .CONTRACTOR hereby approves of the Guar payment to the Coisiractor and Agrees that final payment to the Contractor shall not relieve the Surety Company of any of its obligations to(hem insert name and address of Ow nerl BH Operations Land 101 W. Glade Rd.,Ste. 109 Euless,TX 76039 OWNER_ as not forth In the said Surety Company's Donct. IN WITNESS WHEREOF, SureTec Insurance Company the Surety Componv has herounty not Its hand this-26th — day air November 2012 SureTec Insurance Company r Sumly CompAtr Siitnnt ore of Atuburiui Rol)rlrnt in -e Patricia Ann Lyttle T Attorney-in-Fact POA#.4221767 SureTec Insurance Company LIMITED 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 the State of Texas, and having its principal office in Houston,Harris County,Texas, does by these presents make,constitute and appoint Bryan K.Moore,Gary W.Wheatley, Betty J.Reeh,Michael D.Hendrickson,Patricia Ann Lyttle 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, recognizances, 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 Fifteen Million and 001100 Dollars($15.000,000.00) 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 Attorney(s)-in-Fact to represent and act for and on behalf of the Company subject to the Following provisions: Attorney-fn-Fact may be given full power and authority for and in the name 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 Anomey-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(tearing facsimile signature or 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 20 of April, 1999.) In Witness Wherea,f, SURETEC INSURANCE COMPANY has caused these presents to be signed by its CEO, and its corporate seal to be hereto affixed this 22nd day of ,rune ,A.D.2018 . 5�s►riup� SURETEC CJH PANY 3 By: Lu w r,> John K dr.,C State of Texas ss: 9kp -1 r County of Harris On this 22nd day of June ,A.D. 2018 before me personally came John Knox Jr.,to me known,who,being by me duly swom,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. •�`�"'� XE NIA CNAVF.Z •.���1 vr�r�2>;* Notary Public,Slriln❑f Ta%as uy, p"C Comfo.Ex{nrus U9-16-2020 Ke $Vez,1tiI6t$I} P4h1IC Nulary ID 129117658 I commission expires September I ,2020 I,M.Brent Beaty,Assistant Secretary of SURETEC INSURANCE COMPANY,do hereby certify that the above and foregoing is a true and correct copy of a Power of Attorney,executed by said Company,which is still in full force and effect;and furthermore,the resolutions of the Board of Directors,set out in the Power of Attorney are in full force and effect. Given under my hand and the seal of said Company at Houston,Texas this l L'day of ��❑1 , A.D. BrAttfleaty,Assi tant Secrete Any Instrument issued in excess of the penalty stated above is totally void 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 5:00 pm CST. SureTec Insurance Company THIS BOND RIDER CONTAINS IMPORTANT COVERAGE INFORMATION Statutory Complaint Notice To obtain information or make a complaint- You may call the Surety's toll free tetephone number for information or to make a complaint at: 1-808-732-0099. You may also write to the Surety at: SureTec Insurance Company 9737 Great Hills Trail, Suite 320 Austin, Tx 78759 You may contact the Texas ❑epartment of Insurance to obtain information on companies, coverage, rights or complaints at 1-800-252-3439. You may write the Texas Department of Insurance at PO Box 149104 Austin, TX 78714-9104 Fax#: 512-475-1771 PREMIUM ❑R CLAIM DISPUTES, Should you have a dispute concerning 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. --------------------------------------------------------------------------------------------------------------------- Terrorism Risks Exclusion The Bond to which this Rider is attached does not provide coverage for, and the surety shall not be liable for, losses caused by acts of terrorism, riot, civil insurrection, or acts of war. Exclusion of Liability for Mold, Mycotoxins, Fungi & Environmental Hazards The Bond to which this Rider is attached does not provide coverage for, and the surety thereon shall not be liable for, molds, living or dead fungi, bacteria, allergens, histamines, spores, hyphae, or mycotoxins, or their related products or parts, nor for any environmental hazards, bio-hazards, hazardous materials, environmental spills, contamination, or cleanup, nor the remediation thereof, nor the consequences to persons, property, or the performance of the bonded obligations, of the occurrence, existence, ❑r appearance thereof. Texas Rider 016i 06 1