HomeMy WebLinkAboutContract 52011-FP2 City Secretary 52011 -FP2
Contract No.
FORTWORTH, Date Received Feb 28,2020
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.: 101683
Improvement Type(s): ❑x Paving ❑ Drainage ❑ Street Lights ❑ Traffic Signals
Original Contract Price: $211,882.00
Amount of Approved Change Order(s):
Revised Contract Amount:
Total Cost of Work Complete: $211,882.00
Feb 10 2020
Greg Mite(Feb 7
Contractor Date
President
Title
HB Concrete
Company Name
Aaron Ybarr (Feb 10,2020) Feb 10, 2020
Project Inspector Date
FRED EHIA Feb 27 2020
FRED EHIA(Feb 27,2020) f
Project Man g� Date
Laurie Lewis(Feb 28,2020) Feb 28, 2020
CFA Manager Date
znwq auhde Feb 28 2020
Dana Burghdoff(F 28,202
Asst. City Manager Date
OFFICIAL RECORD
CITY SECRETARY Page 1 of 2
FT.WORTH, TX
Notice of Project Completion
Project Name: OAK COURT ADDITION
City Project No.: 101683
City's Attachments
Final Pay Estimate I]
Change Order(s): ❑ Yes ❑x N/A
Contractor's Attachments
Affidavit of Bills Paid
Consent of Surety
Statement of Contract Time
Contract Time: 60 CD Days Charged: 233
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 PAVING
City Project Numbers 101683
DOE Number 1683
Estimate Number 1 Payment Number 1 For Period Ending 1/23/2020
CD
City Secretary Contract Number Contract Time 6aD
Contract Date Days Charged to Date 233
Project Manager NA Contract is 100.00 Complete
Contractor HB CONCRETE
102 SIMOH RD
GARLAND, TX 75042
Inspectors OWEN / YBARRA
Wednesday,January 29,2020 Page 1 of 4
City Project Numbers 101683 DOE Number 1683
Contract Name OAK COURT ADDITION Estimate Number I
Contract Limits Payment Number I
Project Type PAVING For Period Ending 1/23/2020
Project Funding
PAVING
Item Description of Items Estimated Unit Unit Cost Estimated Completed Completed
No. Quanity Total Quanity Total
---------------------------------------
1 6"CONC PVMT 4300 SY $46.74 $200,982.00 4300 $200,982.00
2 6"LIME TREATMENT 4530 SY
3 HYDRATED LIME 66 TN
4 4"CONC SIDEWALK 440 SF $5.00 $2,200.00 440 $2,200.00
5 BARRIER FREE RAMP 6 EA $900.00 $5,400.00 6 $5,400.00
6 BARRIER FREE RAMP 2 EA $900.00 $1,800.00 2 $1,800.00
7 INSTALL ALUM SIGN GROUND MOUNT 3 EA $500.00 $1,500.00 3 $1,500.00
--------------------------------------
Sub-Total of Previous Unit $211,882.00 $211,882.00
--------------------------------------
Wednesday,January 29,2020 Page 2 of 4
City Project Numbers 101683 DOE Number 1683
Contract Name OAK COURT ADDITION Estimate Number I
Contract Limits Payment Number I
Project Type PAVING For Period Ending 1/23/2020
Project Funding
Contract Information Summary
Original ContractAmount $211,882.00
Chance Orders
Total Contract Price $211,882.00
Total Cost of Work Completed $211,882.00
Less %Retained $0.00
Net Earned $211,882.00
Earned This Period $211,882.00
Retainage This Period $0.00
Less Liquidated Damages
Days @ /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 $211,882.00
Wednesday,January 29,2020 Page 3 of 4
City Project Numbers 101683 DOE Number 1683
Contract Name OAK COURT ADDITION Estimate Number I
Contract Limits Payment Number I
Project Type PAVING For Period Ending 1/23/2020
Project Funding
Project Manager NA City Secretary Contract Number
Inspectors OWEN / YBARRA Contract Date
Contractor HB CONCRETE Contract Time 60 CD
102 SHILOH RD Days Charged to Date 233 CD
GARLAND, TX 75042 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 $211,882.00
Less %Retained $0.00
Net Earned $211,882.00
Earned This Period $211,882.00
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 Hand Less 15% $0.00
Balance Due This Payment $211,882.00
Wednesday,January 29,2020 Page 4 of 4
102 N. Shiloh Road, Ste. 311
Garland, Texas 75042
CONG TE
Main: 972-494-5988
www.hbconcrete.us
INR SERVICE I QaILL1� I I�1p�GRITY NCTRCA Small Business Enterprise
�7s� �R# Certification No.WMSB81085N1021
NOTICE OF AFFIDAVIT OF RELEASE OF LIEN
RE: Oak Court Addition, Fort Worth, Texas
STATE OF TEXAS §
COUNTY OF DALLAS §
Before me, the undersigned authority, personally appeared George Gregory White, who, after
being sworn by me, stated that the following facts are true and correct:
1. My name is George Gregory White and I am over the age of 18 years and am under no
disability. I am the President of and authorized by GGJ Construction LLC dba HB Concrete to
make this affidavit. I have never been convicted of a felony or crime of moral turpitude. I am
fully competent to make this affidavit, and I have personal knowledge of all facts set forth
herein.
2. HB Concrete has been paid in full by BH Operations Land for the concrete work completed at
the Oak Court Addition, a residential subdivision located in the City of Fort Worth, Texas.
3. All persons, firms, associations, corporations or other organizations furnishing labor and/or
materials to the Oak Court Addition project or to HB Concrete on the Oak Court Addition
project have been paid in full.
4. There are no claims pending for personal injury and/or property damages.
5. As a result, HB Concrete hereby waives and releases all rights to assert any claim or demand
for lien in relation to the Oak Court Addition project.
4��n LL-3
George Gregory White, President
Subscribed and sworn to before me by George Gregory White on this 7th day of J uary, 2020.
EK... 1E
INE SALLEE
ID#6745642 Not Public, State of Texas
uly t6 2022
Tito Lord ilayi 4 A7f0J WAnd AV dedlierfr;mr dfv ArArJW&' iff>I bes rhib Jujus. P,ral�IB:t
Page 1 of 1
CONSENT OF OWNER
SURETY COMPANY ARCMUCT
TO FINAL PAYMENT CONTRACTOR
SURETY
AIA.DOCUMENT G707 OTfTER
Bond No. 4402391
PROJECT: Oak Court Addition- Concrete Paving and Sidewalk Improvements
(name,address) City Project#101683,Ft.Worth TX
TO (Owner) [ Bg Operations Land,LLC ] ARCHITECT'S PROJECT NO:
101 W Glade Road Suite 109
Euless,TX 76039 CONTRACT FOR:
] CONTRACT DATE: 1/30/2019
CONTRACTOR: GGJ Construction,LLC dba HB Concrete
102 N. Shiloh Rd#311
Garland, TX 75042
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)
FCCI Insurance Company
6300 University Parkway
Sarasota,FL 34240-8424 , SURETY COMPANY,
on bond Of(here insert name and address of Contractor)
GGJ Construction, LLC dba RB Concrete
102 N. Shiloh Rd#311
Garland, TX 75042 , CONTRACTOR,
hereby approves of the final payment to the Contractors, 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 owner)
BH Operations Land,LLC
101 W Glade Road Suite 109
Euless,TX 76039 ,OWNER,
as set forth in the said Surety Company's bond.
IN WITNESS WHEREOF,
the Surety Company has hereunto set its hand this 18th day of December 2g19
FCCI Insurance Company
Surety Company
Signature of Authorized Representative
Attest:
(Seal): Debra Lee Moon Attorne -IA-Fact -
Title =
: .
NOTE: This form is to be used as a companion document to AIA DOCUMENT G706,CONTRACTOR'S AFFIDAVIT OF PAYMENT OF DFB CLAIMS,
Current Edition
AIA DOCUMENT G707 CONSENT OF SURETY COMPANY TO FINAL PAYMENT APRIL 1970 EDITION AIR, ONE PAGE
1970 THE AMERICAN INSTITUTE OF ARCHITECTS, 1735 New York Ave.,NW,WASHINGTON,D.C. 20006
FCCI®INSURANCE -
GROUP
More than a policy. Apromise.
GENERAL POWER OF ATTORNEY
Know all men by these presents: That the FCCI Insurance Company, a Corporation organized and existing under
the laws of the State of Florida (the"Corporation")does make, constitute and appoint.-
John William Newby; Debra Lee Moon; Andrea Rose Crawford; Sammy Joe Mullis Jr; Linda Michelle Stalder; Troy Russell Key;
Sandra Lee Roney; Christopher Carl Sundberg
Each, its true and lawful Attorney-in-Fact, to make, execute, seal and deliver, for and on its behalf as surety, and
as its act and deed in all bonds and undertakings provided that no bond or undertaking or contract of suretyship executed
under this authority shall exceed the sum of(not to exceed $10,000,000.00).- $10,000,000.00
This Power of Attorney is made and executed by authority of a Resolution adopted by the Board of Directors. That
resolution also authorized any further action by the officers of the Company necessary to effect such transaction.
The signatures below and the seal of the Corporation may be affixed by facsimile, and any such facsimile
signatures or facsimile seal shall be binding upon the Corporation when so affixed and in the future with regard to any
bond, undertaking or contract of surety to which it is attached.
In witness whereof, the FCCI Insurance Company has caused these presents to be signed by its duly authorized
officers and its corporate seal to be hereunto affixed, this 31st day of January 2019 .
Attest: = �- J 2_..
SL"AL : �_
Crai Jahn n, President 1W. 4 Cina Welch, EVP, General Counsel,
FCCI Insurance Company � �-:` Chief Audit&Compliance Officer, Secretary
FCCI Insurance Company
State of Florida
County of Sarasota
Before me this day personally appeared Craig Johnson, who is personally known to me and who executed the
foregoing document for the purposes expressed therein.
011%. Ar[enc Aionw
My commission expires: 9/25/2020 * * _?�! ��
MyCom^4non rmMOW Notary Public
State of Florida
County of Sarasota
Before me this day personally appeared Cina Welch, who is personally known to me and who executed the
foregoing document for the purposes expressed therein.
=Ww
e AEoaso
My commission expires: 9/2512020 �si��ar�;a� �nSpipal44lSS1N7
Notary Public
CERTIFICATE
I, the undersigned Secretary of FCCI Insurance Company, a Florida Corporation, DO HEREBY CERTIFY that the
foregoing Power of Attorney remains in full force and has not been revoked; and furthermore that the February�24, 2011
Resolution of the Board of Directors, referenced in said Power of Attorney, is now in force.
Dated this 18th dayof December.- _--, 2a19
Cina Welch, EVP,General Counsel, y
1-I0NA3592-NA-04, 112019
Chief Audit&Compliance Officer,Secretary`
- -
IMPORTANT NOTICE
To obtain information or make a complaint:
You may call FCCI Insurance Group's(FCC[)"toll-free telephone number for information or to make a complaint
at 1-800-226-3224.
You may also write to FCCI Insurance Group Compliance Department e-mail at StaateComplaints@Ldci arouti.com.
For Claims, you may write to FCCI Insurance Group Claim Department e-mail at newclaimOfcci-groyp.com.
You may contact the Texas Department of Insurance to obtain information on companies, coverages, rights or
complaints at 1-800-252-3439.
You may write the Texas Department of Insurance:
PO Box 149104
Austin TX 78714-9104
Fax: 1-512-475- 1771
Web: http_//www,tdi.state_tx.us
E-mail: ConsumerProtection tdi.state.tx.us
PREMIUM OR CLAIM DISPUTES
Should you have a dispute concerning your premium or about a claim you should contact FCCI first. If the
dispute is not resolved, you may contact the Texas Department of Insurance.
ATTACH THIS NOTICE TO YOUR BOND
This notice is for information only and does not become a part or condition of the attached documents.
*The FCCI Insurance Group includes the following insurance carriers:Brierfieid Insurance Company,FCCI Advantage
Insurance Company, FCCI Commercial Insurance Company,FCCI insurance Company, Monroe Guaranty Insurance
Company,and National Trust Insurance Company.
1-B D-TX-21690-NTP-1 1-12 Page 1 of 1
Copyright 2012 FCCI Insurance Group.