HomeMy WebLinkAboutContract 52011-FP3 City Secretary 52011 -FP3
Contract No.
Date Received Mar5,2020
FORTWORTH,
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): 0 Paving ❑ Drainage ❑ Street Lights ❑ Traffic Signals
Original Contract Price: $23,654.70
Amount of Approved Change Order(s):
Revised Contract Amount:
Total Cost of Work Complete: $23,654.70
inman(Feb 3,202c Feb 3,2020
Contractor Date
Managing Memeber
Title
4K Companies LLC
Company Name
Aaron Yb ra(Feb3,2020) Feb 3, 2020
Project Inspector Date
FRED EWA Feb 27 2020
FRED EHIA(Feb 27,2020) 7
Proms na� Date
Laurie Lewis(Mar 5,2020) Mar 5,2020
FA M nag � Date
Dana Burghdoff(M 5,2020) Mar 5, 2020
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 x❑
Change Order(s): ❑ Yes Ox N/A
Contractor's Attachments
Affidavit of Bills Paid
Consent of Surety
Statement of Contract Time
Contract Time: 15 CD Days Charged: 227
Work Start Date: 4/15/2019 Work Complete Date: 11/27/2019
Page 2 of 2
FORTWORTH
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 I Payment Number I For Period Ending 1/23/2020
CD
City Secretary Contract Number Contract Time 161)
Contract Date Days Charged to Date 227
Project Manager NA Contract is 100.00 Complete
Contractor 4K COMPANIES,LLC
P O BOX 608
JACKSBORO, TX 76458
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 1
Contract Limits Payment Number 1
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
2 6"LIME TREATMENT 4530 SY $2.49 $11,279.70 4530 $11,279.70
3 HYDRATED LIME 66 TN $187.50 $12,375.00 66 $12,375.00
4 4"CONC SIDEWALK 440 SF
5 BARRIER FREE RAMP 6 EA
6 BARRIER FREE RAMP 2 EA
7 INSTALL ALUM SIGN GROUND MOUNT 3 EA
--------------------------------------
Sub-Total of Previous Unit $23,654.70 $23,654.70
--------------------------------------
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 Contract Amount $23,654.70
ChanLre Orders
Total Contract Price $23,654.70
Total Cost of Work Completed $23,654.70
Less %Retained $0.00
Net Earned $23,654.70
Earned This Period $23,654.70
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 $23,654.70
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 4K COMPANIES,LLC Contract Time 15 CD
P O BOX 608 Days Charged to Date 227 CD
JACKSBORO, TX 76458 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 $23,654.70
Less %Retained $0.00
Net Earned $23,654.70
Earned This Period $23,654.70
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 $23,654.70
Wednesday,January 29,2020 Page 4 of 4
BILLS PAID AFFIDAVIT
STATE OF TEXAS 0
0
COUNTY OF TARRANT 0
BEFORE ME, the undersigned authority, on this day personally appeared Rustin Kinman,
known to me to be a credible person and officer of 4K Companies LLC, a Texas Corporation
(hereinafter called "Contractor"),and who, being duly sworn,upon his oath declares and
acknowledges as follows:
I am the duly authorized agent for the said Contractor which has authorized me to make this
affidavit and all of the recitations herein are true and correct.
Pursuant to an agreement dated January 20, 2019 and December1,2019, Contractor has supplied
materials and performed labor in connection with the construction of Improvements upon certain
real property owned by the Owner BH Operations_Land in Tarrant County, Texas. Said
Improvements are more particularly described as earthwork in Fort Worth , Texas (the
"Improvements").
Contractor has actual knowledge that all bills owed by Contractor to others for materials supplied
or labor performed in connection with the Improvements have been fully paid and satisfied except
for contractual retainage as set out below. Contractor does further warrant that should any claim
or lien be filed for material supplied or labor performed by virtue of Contractor's participation in
the construction of said Improvements, Contractor will immediately furnish a bond pursuant to
Texas Property Code, Sections 53.236 through 53.238, for release of each such lien, and obtain
settlement of any such liens and famish Owner written full release of such liens. Should
Contractor be unable to obtain such release, Contractor agrees to fully indemnify and hold
harmless the Owner for any and all costs they may incur by reason of such liens.
EXECUTED this_ day of JAN. 2020.
e.
SUBSCRIBED AND SWORN TO BEFORE ME by the said i ,V;VOrMis the
`- day of�Jyp 2020, to certify which witness my hand and seal of office.
Notary Public in and for the State of Texas
My Commission.Expires:
COURTNEY CONWAY
lotary Public,State of Texas
Comm. Expires 01-25.2024
''Eo��`*•` Notary ID 130510124
CONSENT OF SURETY TO FINAL PAYMENT
RE: Bond No. 8233-08-81
PROJECT: Oak Court Addition
6973 John T White Road, Fort Worth, TX 76112
TO (Owner): City of Fort Worth and BH Operations Land
CONTRACT FOR: Earthwork
Public Works Portion Only
CONTRACT DATE: 01/20/2019
CONTRACTOR: 4K Companies, LLC
In accordance with the provisions of the Contract between the Owner and the Contractor as indicated above, the
Federal Insurance Company
202B Halls Mill Road
Whitehouse Station, NJ 08889
SURETY COMPANY,
on bond of
4K Companies, LLC
518 US Hwy 281 North, Suite B
Jacksboro, TX 76458
, 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 and BH Operations Land
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 3rd day of January, 2020.
Federal Insurance Company
Surety Company
(Sea1? Connie Jean Kregel,Attorney-in-Fact
CHUBB`
Power of Attorney
Federal Insurance Company I Vigilant Insurance Company 1 Pacific Indemnity Company
Know All by These Presents.'That FEDERAL INSURANCE COMPANY.an Indiana corporation,VIGILANT INSURANCE COMPANY,a New York corporation,and PACIFIC
INDEMNITYCOMPANY.a Wisconsincorporatinn,do each hereby constitute and appoint Connie Jean Kregel and Jeffrey Todd McIntosh of Plano,Texas---------------
each as theft true and lawful Attorney-in-Fact to execute under such designation in their names and to affix their corporate seals to and deliver for and on their behalf as surety
thereon or otherwise.bonds and undertakings and other writings obligatory in the nature thereof(other than hail bonds)given of executed in the course of business,and any
instruments amendingor altering the same.and consents to the modification or alteration ofany instrument referred to in said bonds or obligations,
In Witness Whereof.said FEDERAL INSURANCE COMPANY,VIGILANT INSURANCE COMPANY,and PACIFIC INDEMNITY COMPANY have each executed and attested these
presents and affixed their corporate seats on this 20'm day of August,201&
Iktun tit['I11r1rte.:lx istanE tiu'relary Slrphcrt 11 1€arLj,k ice Pic-sldenI.
STATE OF NEW JERSEY
CoumyofFlunterdon Ss.
On this 206 day of August,2018,before me,a Notary Public of New Jersey,personally came Dawn M.Chloros,to me known to be Assistant Secretary of FEDERAL INSURANCE
COMPANY,VIGILANT INSURANCE COMPANY,and PACIFIC INDEMNITY COMPANY.the companies which executed the foregoing Power of Attorney.and the said Dawn M.
Chloros.being by me duly sworn,did depose and say that she is Assistant Secretary of FEDERAL INSURANCE COMPANY.VIGILANT INSURANCE COMPANY,and PACIFIC
INDEMNITY COMPANY and knows the corporate seals thereof.that the seals affixed to the foregoing Power of Attorney are such corporate seals and were thereto affixed by
authority of said Companies:and that she signed said Power of Attorney as Assistant Secretary of said Companies by like authority:and that she is acquainted with Stephen M.
Raney,and knows him to he Vice President of said Companies:and that the signature of Stephen M.I laney,subscribed to said Power of Attorney is in the genuine handATiling of
Stephen M.Haney,and was thereto subscribed by authority of said Companies and in deponent's presence.
Notarial Seal 0(00
KATHERINE J.ADELAAR
NOTARY PUBLIC OF NEYY JERSEY
Na.23"JuCarnml96ion f�a�Jut/16,2018
CERTIFICATION
Resolutions adopted by the Boards of Directors of FEDERAL INSURANCE COMPANY,VIGILANT INSURANCE COMPANY,and PACIFIC INDEMNITY COM PANY on August 30.2016:
"RESOLVED,that the following authorizations relate to the execution.for and on behalf of the Company.ofbonds.undertakings.recogninfices.contracts and other wriuen commitments ofthe Company
entered Into in the ordinary course of business(each a"Written Commitment"):
(1) Each of the Chairman,the President and the Vice Presidents,of ifte Company is hereby authorized to execute any Written Commitment for and on heNlfof the Company,under the
seal of the Company or otherwise.
(21 Each duly appointed artomey-in-fact of the Company is heretty authorized to execute any Written Commitment for and on behalf of the Company.undet the seal of the Company or
utherviw.to the extent that such action is amhortzed by the grant Of Powers provided for in such person's wriuen appointment as such auorneyin-fart.
(3) Each of the Chairman,the President and the Vice Pi estdent5.of the Company is hereby audtnrized,for and on behalf of the Company.to appohu in nTidng any person the attorney-
in-fact of the Company with full power and authority to execute.for and on behall'of the Company.under the seal of the Company or Otherwise.such Written Commitments of the
Company as may he specined in such written appointment,which specification may be by general type or class of Written Commitments or by specification of one or more particular
Wi itten Commitments.
(4) Each of the Chairman,the President and the Vice Presidents of I he Company is hereby authorized,for and on behalf of the Company.to delegate in writing to any other officer of the
Company the authority to execute,for and on behalf of the Company. under rite Company's seal or otherwise,such written Commitments of the Company as are specified in such
written delegation,which specification may be by general type or class of Written Commitments or byspeciftcationofoneor more Particular Written Commitments.
M The signature of arrr oll iecr or other person executing any written Commitment or appointment or delegation pursuant to this Resolution.and the seal of the Company,may be affixed by
facsimile on such written Commitment or written appointment or delegaton.
FURTHER RESOLVED, that the foregoing Resolution shall not be deemed to be an exclusive statement of the powers and authority ofofficers.employees and other persons to act for and on behalf of
the Company,and such Resnfurton shall not limit ororherwi caffecttheexerciseofanysuchpoorerorauthoritymhenisevalidlygrantedorvested."
1,Dawn M.Chloros.Assistant Secretary of FEDERAL INSURANCE COMPANY,VIGILANT INSURANCE COMPANY.and PACIFIC INDEMNITY COMPANY(the"Companies")do hereby
certify that
(1) the foregoing Resolutions adopted by the Board of Directors ofthe Companies are true,correct and in full force and effect.
(if) the foregoing Power of Attorney is true,correct and in full force and effect.
Given under my hand and seals ofsaid Companies at Whitehouse Station,NJ,this January 3, 2020.
Dawn 11.I:hlttit s,A�,ist.tm SctrL4ar}
IN THE EVENT YOU WISH TO VERIFY THE AUTHENTICITY OF THIS BOND OR NOTIFY US OF ANY OTHER MATTER.PLEASE CONTACT US AT:
Telephone(908)903-3493 Fax(9OB)W1 3f56 e-mail:sure axhuhb-ram
FED-ViG-Pi(rev O11-18)