HomeMy WebLinkAboutContract 52346-FP2 City Secretary 52346 -FP2
Contract No.
FORTWORTH. Date Received Mar 3,2020
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: North Tarrant Medical Offices
City Project No.: 101595
Improvement Type(s): ❑ Paving ❑ Drainage 0 Street Lights ❑ Traffic Signals
Original Contract Price: $5,000.00
Amount of Approved Change Order(s):
Revised Contract Amount: $5,000.00
Total Cost of Work Complete: $5,000.00
GOtt `l �l Feb 10,2020
—tt I angbam
Contractor Date
Project Manager
Title
Tri Dal Utilities
Company Name
Feb 11 2020
Troy ardner(Feb 11,2020) f
Project Inspector Date
2:-2 ar 2D2D Mar2,2020
Project Manager Date
zmy/6 zm* Mar 2 2020
Laurie Lewis(Mar2 2020) f
CFA Manager Date
a
doff(d Martf 2020
Dana Burgh
Asst. City Manager Date
OFFICIAL RECORD
CITY SECRETARY Page 1 of 2
FT.WORTH, TX
Notice of Project Completion
Project Name: North Tarrant Medical Offices
City Project No.: 101595
City's Attachments
Final Pay Estimate 0
Change Order(s): ❑ Yes 0 N/A
Contractor's Attachments
Affidavit of Bills Paid
Consent of Surety
Statement of Contract Time
Contract Time: 180 CD Days Charged: 180
Work Start Date: 8/12/2019 Work Complete Date: 1/31/2020
Page 2 of 2
FORT WORTH
CITY OF FORT WORTH
FINAL PAYMENT REQUEST
Contract Name NORTH TARRANT MEDICAL OFFICES
Contract Limits
Project Type STREET LIGHT
City Project Numbers 101595
DOE Number 1595
Estimate Number I Payment Number I For Period Ending 1/31/2020
CD
City Secretary Contract Number Contract Time MD
Contract Date 3/5/2019 Days Charged to Date 180
Project Manager NA Contract is 100.00 Complete
Contractor TRI DAL EXCAVATION&UTILITIES INC
540 COMMERCE ST
SOUTHLAKE, TX 76092
Inspectors CORDOVA / GARDNER,T
Wednesday,February 5,2020 Page 1 of 4
City Project Numbers 101595 DOE Number 1595
Contract Name NORTH TARRANT MEDICAL OFFICES Estimate Number I
Contract Limits Payment Number 1
Project Type STREET LIGHT For Period Ending 1/31/2020
Project Funding
UNIT V:STREET LIGHTING IMPROVEMENTS
Item Description of Items Estimated Unit Unit Cost Estimated Completed Completed
No. Quanity Total Quanity Total
---------------------------------------
1 RELOCATE STREET LIGHT POLE I EA $5,000.00 $5,000.00 1 $5,000.00
--------------------------------------
Sub-Total of Previous Unit $5,000.00 $5,000.00
--------------------------------------
Wednesday,February 5,2020 Page 2 of 4
City Project Numbers 101595 DOE Number 1595
Contract Name NORTH TARRANT MEDICAL OFFICES Estimate Number I
Contract Limits Payment Number 1
Project Type STREET LIGHT For Period Ending 1/31/2020
Project Funding
Contract Information Summary
Original Contract Amount $5,000.00
Change Orders
Total Contract Price $5,000.00
Total Cost of Work Completed $5,000.00
Less %Retained $0.00
Net Earned $5,000.00
Earned This Period $5,000.00
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 $5,000.00
Wednesday,February 5,2020 Page 3 of 4
City Project Numbers 101595 DOE Number 1595
Contract Name NORTH TARRANT MEDICAL OFFICES Estimate Number I
Contract Limits Payment Number I
Project Type STREET LIGHT For Period Ending 1/31/2020
Project Funding
Project Manager NA City Secretary Contract Number
Inspectors CORDOVA / GARDNER,T Contract Date 3/5/2019
Contractor TRI DAL EXCAVATION&UTILITIES INC Contract Time 80 CD
540 COMMERCE ST Days Charged to Date 180 CD
SOUTHLAKE, TX 76092 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 $5,000.00
Less %Retained $0.00
Net Earned $5,000.00
Earned This Period $5,000.00
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 $5,000.00
Wednesday,February 5,2020 Page 4 of 4
f
FORTWORTHrev 03/05/07
TRANSPORTATION&PUBLIC WORKS
FINAL STATEMENT OF CONTRACT TIME
FINAL STATEMENT NO.:Final
NAME OF PROJECT: North Tarrant Medical Offices
PROJECT NO.: 101595 CONTRACTOR: Tri Dal Utilities
DOE NO.: 19-0328
PERIOD FROM:08/12/19 TO: 01/31/20 FINAL INSPECTION DATE: 23-Jan-20
WORK ORDER EFFECTIVE:8/12/2019 CONTRACT TIME: 180 0 WD* CD
DAY OF DAYS REASON FOR DAYS DAY OF DAYS REASON FOR DAYS
MONTH CHARGED CREDITED MONTH CHARGED CREDITED
DURING DURING
1. 16.
2. 17.
3. 18.
4. 19.
5. 20.
6. 21.
7. 22.
8. 23.
9. 24.
10. 25.
11. 26.
12. 27.
13. 28.
14. 29.
15. 30.
31.
SAT,SUN, RAIN,TOO WET, UTILITIES DAYS TOTAL
&HOLIDAYS &TOO COLD RELOCATIONS OTHERS* CHARGED DAYS
THIS 180 180 180
PERIOD
PREVIOUS
PERIOD
TOTALS 180 180 180
TO DATE
*REMARKS:
CONTRACTOR DATE INSPECTOR DATE
ENGINEERING DEPARTIVIENT
r The City of Fort Worth• 1000 Throckmorton Street•Fort Worth,TX 76012-6311
(817)392-7941 •Fax:(817)392-7845
AFFIDAVIT
STATE OF Texas
COUNTY OF Tarrant
Before me, the undersigned authority, a notary public in the state
and county aforesaid, on this day personally appeared Scott Langham,
Project Manager Of Tri Dal Utilities, 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;
North Tarrant Medical Offices City Project#: 101595
BY
/ / Scott Langham
Subscribed and sworn before me on this date 6th of February, 2020.
41,
Notary rc �0 ��• F�
Tarrant County, Texas o
7 � -
CONSENT OF OWNER ❑
SURETY COMPANY ARCHITECT ❑
TO FINAL PAYMENT CONTRACTOR ❑
AIA DOCUMENT G707 SURETY ❑
OTHER ❑ Bond# 107025407
PROJECT:North Tarrant Medical Offices
TO(Owner): CONTRACT FOR: Construction
City of Fort Worth
1000 Tbrockmorton Street
Fort Worth, TX 76102 CONTRACT DATE: 3/5/2019
CONTRACTOR:
Tri Dal Utilities, Ltd.
In accordance with the provisions of the Contract between the Owner and the Contractor as indicated above,the
Travelers Casualty and Surety Company of America
One Tower Square
Hartford, CT 06183 , SURETY COMPANY,
on bond of
Tri Dal Utilities,Ltd.
540 Commerce St.
Southlake,TX 76092 ,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
City of Fort Worth
1000 Throckmorton Street
Fort Worth,TX 76102 , OWNER,
As set forth in the said Surety Company's bond
IN WITNESS WHEREOF,
the Surety Company has hereunto set its hand this 7th day of February,2020.
Travelers Casualty and Surety Company of America
Surety
ignatuIle authors reps ative
Attest:
(Seal) Melissa Wilson,Witness Felix Navejar
Nance Attorney-In-Fact
oo
�4AltttF'IM, :
i 6ri • Y V I.�I /ice
AIA DOCUMENT G707 CONSENT OF SURETY COMPANY TO FINAL PAYMENT'E}Pl�1)? �Wa i'llN't1 f
0 1970-THE AMERICAN INSTITUTE OF ARCHITECTS,1735 NEW YORK AVE.,NW., f GT(�f,D. �Qdb6
TRAV�LERS Travelers Casualty and Surety Company of America Travelers
Casualty and Surety Company
St. Paul Fire and Marine Insurance Company
POWER OF ATTORNEY
KNOW ALL MEN BY THESE PRESENTS:That Travelers Casually and Surety Company of America,Travelers Casualty and Surety Company,and St.
Paul Fire and Marine Insurance Company are corporations duly organized under the laws of the State of Connecticut(herein collectively called the
"Companies"),and that the Companies do hereby make,constitute and appoint Felix Navejar,of Grapevine,Texas,their true and lawful Attorney-in-
Fact to sign,execute,seal and acknowledge any and all bonds, recognizances,conditional undertakings and other writings obligatory in the nature
thereof on behalf of the Companies in their business of guaranteeing the fidelity of persons,guaranteeing the performance of contracts and executing or
guaranteeing bonds and undertakings required or permitted in any actions or proceedings allowed by law.
IN WITNESS WHEREOF,the Companies have caused this instrument to be signed,and their corporate seals to be hereto affixed,this 3rd day of February,
2017.
tYilSyJor���770,(
Robert L, Raney,Se Vice President
CORN. IPA
State of Connecticut
City of Hartford ss.
On this the 3rd day of February,2017,before me personally appeared Robert L. Raney,who acknowledged himself to be the Senior Vice President of
Travelers Casualty and Surety Company of America, Travelers Casualty and Surety Company, and St. Paul Fire and Marine Insurance Company, and
that he,as such, being authorized so to do,executed the foregoing instrument for the purposes therein contained by signing on behalf of the corporations
by himself as a duly authorized officer.
In Witness Whereof, I hereunto set my hand and official seal. OY
m
My Commission expires the 30th day of June,2021 •* e C.T C ��
Mane C.Tetreault, Notary Public
This Power of Attorney is granted under and by the authority of the following resolutions adopted by the Boards of Directors of Travelers Casualty and
Surety Company of America,Travelers Casualty and Surety Company, and St. Paul Fire and Marine Insurance Company,which resolutions are now in
full force and effect, reading as follows:
RESOLVED, that the Chairman, the President, any Vice Chairman, any Executive Vice President, any Senior Vice President, any Vice President, any
Second Vice President, the Treasurer, any Assistant Treasurer, the Corporate Secretary or any Assistant Secretary may appoint Attorneys-in-Fact and
Agents to act for and on behalf of the Company and may give such appointee such authority as his or her certificate of authority may prescribe to sign with
the Company's name and seal with the Company's seal bonds, recognizances, contracts of indemnity, and other writings obligatory in the nature of a
bond,recognizance,or conditional undertaking,and any of said officers or the Board of Directors at any time may remove any such appointee and revoke
the power given him or her;and it is
FURTHER RESOLVED, that the Chairman, the President, any Vice Chairman, any Executive Vice President, any Senior Vice President or any Vice
President may delegate all or any part of the foregoing authority to one or more officers or employees of this Company,provided that each such delegation
is in writing and a copy thereof is filed in the office of the Secretary; and it is
FURTHER RESOLVED, that any bond, recognizance, contract of indemnity, or writing obligatory in the nature of a bond, recognizance, or conditional
undertaking shall be valid and binding upon the Company when(a)signed by the President,any Vice Chairman,any Executive Vice President,any Senior
Vice President or any Vice President, any Second Vice President, the Treasurer, any Assistant Treasurer, the Corporate Secretary or any Assistant
Secretary and duly attested and sealed with the Company's seal by a Secretary or Assistant Secretary; or(b)duly executed (under seal, if required) by
one or more Attorneys-in-Fact and Agents pursuant to the power prescribed in his or her certificate or their certificates of authority or by one or more
Company officers pursuant to a written delegation of authority;and it is
FURTHER RESOLVED,that the signature of each of the following officers: President,any Executive Vice President, any Senior Vice President,any Vice
President, any Assistant Vice President, any Secretary, any Assistant Secretary, and the seal of the Company may be affixed by facsimile to any Power
of Attorney or to any certificate relating thereto appointing Resident Vice Presidents,Resident Assistant Secretaries or Attorneys-in-Fact for purposes only
of executing and attesting bonds and undertakings and other writings obligatory in the nature thereof,and any such Power of Attorney or certificate bearing
such facsimile signature or facsimile seal shall be valid and binding upon the Company and any such power so executed and certified by such facsimile
signature and facsimile seal shall be valid and binding on the Company in the future with respect to any bond or understanding to which it is attached.
I, Kevin E. Hughes, the undersigned, Assistant Secretary of Travelers Casualty and Surety Company of America, Travelers Casualty and Surety
Company, and St. Paul Fire and Marine Insurance Company,do hereby certijjh?Aj% ove and foregoing is a true and correct copy of the Power of
Attorney executed by said Companies,which remains in full force and effeelkol
Dated this Vh dayof February, 2020. '•`•"• r�` �•"
1 O '•�
io
07 an
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• �� .F� � � � .ter p,..'�' ••
.••,Z` ? Kevin E. Hughes,Assistant Secretary
tip
To verify the authenticity of this Power o us at 1-800-421 3880.
Please refer to the above-named Attorney-in-Fact and the 6► of the band to which the power is attached