HomeMy WebLinkAboutContract 50806-FP1 City Secretary
Contract No. 50806 -FP1
FORTWORTH, Date Received Mar17,2020
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: Lasater Ranch Phase 3
City Project No.: 101341
Improvement Type(s): ❑ Paving ❑ Drainage 0 Street Lights ❑ Traffic Signals
Original Contract Price: $67,715.75
Amount of Approved Change Order(s):
Revised Contract Amount: $67,715.75
Total Cost of Work Complete: $67,715.75
A&hzyd 2l , e M a r 13, 2020
Richard Wolfe(Mar 13,2 20)
Contractor Date
President
Title
Independent Utility Construction, Inc.
Company Name
414n Gam .& Mar 13, 2020
Manuel Chatman(Mar 13,2020)
Project Inspector Date
Atz-el�BG� Mar 16 2020
Patrick Buckley(Mar 16,2020) 7
Project Manager Date
?lfli fW?&tAlvlwk Mar 16 2020
Janie Scarlett Morales(Mar 16,2020) 7
CFA Manager Date
a
Dana Burghdoff(N r16,20 Mar 16,2020
Asst. City Manager Date
OFFICIAL RECORD
CITY SECRETARY Page 1 of 2
FT. WORTH, TX
Notice of Project Completion
Project Name: Lasater Ranch Phase 3
City Project No.: 101341
City's Attachments
Final Pay Estimate ❑x
Change Order(s): ❑ Yes ❑x N/A
Contractor's Attachments
Affidavit of Bills Paido
Consent of Surety
Statement of Contract Time
Contract Time: 180 CD Days Charged: 180
Work Start Date: 7/9/2018 Work Complete Date: 3/2/2020
Page 2 of 2
FORT WORTH
CITY OF FORT WORTH
FINAL PAYMENT REQUEST
Contract Name LASATER RANCH PHASE 3
Contract Limits
Project Type STREET LIGHTING
City Project Numbers 101341
DOE Number 1013
Estimate Number 1 Payment Number 1 For Period Ending 2/26/2020
CD
City Secretary Contract Number 101341 Contract Time 3ED
Contract Date 4/6/2018 Days Charged to Date 30
Project Manager NA Contract is 100.00 Complete
Contractor INDEPENDENT UTILITY CONSTRUCTION
5109 SUN VALLEY DRIVE
FORT WORTH, TX 76119
Inspectors MILLER,W / POWERS
i
Thursday,March 12,2020 Page 1 of 4
City Project Numbers 101341 DOE Number 1013
Contract Name LASATER RANCH PHASE 3 Estimate Number I
Contract Limits Payment Number I
Project Type STREET LIGHTING For Period Ending 2/26/2020
Project Funding
UNIT V:STREET LIGHTING
Item Description of Items Estimated Unit Unit Cost Estimated Completed Completed
No. Quanity Total Quanity Total
---------------------------------------
1 RDWY ILLUM ASSEMBLY TY 8,11,D-25,D-30 17 EA $1,471.00 $25,007.00 17 $25,007.00
2 RDWY ILLUM FOUNDATION TY 1,2,AND 4 17 EA $1,025.00 $17,425.00 17 $17,425.00
3 FURNISH/INSTALL LED LIGHTING FIXTURE 17 EA $286.00 $4,862.00 17 $4,862.00
(70 WATT
4 FURNISH/INSTALL TYPE 33B ARM 17 EA $198.00 $3,366.00 17 $3,366.00
5 GROUND BOX TYPE B 1 EA $571.00 $571.00 1 $571.00
6 NO 12 INSULATED ELEC.CONDR 3495 LF $1.82 $6,360.90 3495 $6,360.90
7 2"CONDT PVC SCH 40(T) 1165 LF $8.69 $10,123.85 1165 $10,123.85
--------------------------------------
Sub-Total of Previous Unit $67,715.75 $67,715.75
--------------------------------------
Thursday,March 12,2020 Page 2 of 4
City Project Numbers 101341 DOE Number 1013
Contract Name LASATER RANCH PHASE 3 Estimate Number I
Contract Limits Payment Number I
Project Type STREET LIGHTING For Period Ending 2/26/2020
Project Funding
Contract Information Summaiy
Original Contract Amount $67,715.75
Change Orders
Total Contract Price $67,715.75
Total Cost of Work Completed $67,715.75
Less %Retained KOO
Net Earned $67,715.75
Earned This Period $67,715.75
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 $67,715.75
Thursday,March 12,2020 Page 3 of 4
City Project Numbers 101341 DOE Number 1013
Contract Name LASATER RANCH PHASE 3 Estimate Number I
Contract Limits Payment Number I
Project Type STREET LIGHTING For Period Ending 2/26/2020
Project Funding
Project Manager NA City Secretary Contract Number 101341
Inspectors MILLER,W / POWERS Contract Date 4/6/2018
Contractor INDEPENDENT UTILITY CONSTRUCTION Contract Time 30 CD
5109 SUN VALLEY DRIVE Days Charged to Date 30 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
$67,715.75
Less %Retained $0.00
Net Earned $67,715.75
Earned This Period $67,715.75
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 $67,715.75
Thursday,March 12,2020 Page 4 of 4
AFFIDAVIT
STATE OF TEXAS
COUNTY OFTARRANT
Before me, the undersigned authority, on this day personally appeared RICHARD
WOLFE, President of INDEPENDENT UTILITY CONSTRUCTION, INC. known
to me to be a credible person, and after being duly sworn 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: Lasater Ranch Phase 3 —Ci1y Project No. 101341
BY:
Richar , President
UBSCRIB D AND SWORN TO BEFORE ME on this I day of
NU �r , 2019.
CHRISTINA GARCIA
Notary Public, State of Texas
Comm. Expires 12-20-2020
-9l Notary Notary ID 130940785 Nota Public, State of Texas
CONSENT OF OWNER ❑
SURETY COMPANY ARCHITECT
CONTRACTOR ❑
TO FINAL PAYMENT SURETY p
OTHER
(SIMILAR TO AIA DOCUMENT G707)
Bond No. 8966731
PROJECT: Street Lighting Improvements to serve Lasater Ranch 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
Plano, Texas 75074 ,SURETY COMPANY,
on bond of(here insert name and address of Contractor)
Independent Utility Construction, Inc.
5109 Sun Valley Drive ,CONTRACTOR,
Fort Worth, Texas 76119
hereby approves of the final payment to the Contractor, and agrees that the final 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
Fort Worth, Texas 76102 ,OWNER,
as set forth in the said Surety Company's bond.
IN WITNESS WHEREOF,
The Surety Company has hereunto set its hand this 16th day of December 2019
WESTFIELD INSURANCE COMPANY
Surety Carry
By Z
Signa of Authorized Representative
Attest:
(Seal): Kyle W. Sweeney Attorney-in-Fact
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 BEARINU I Ht5 SAMt
POWER#AND ISSUED PRIOR TO 04/20/11, FOR ANY PERSON OR PERSONS NAMED BELOW.
POWER NO. 4220052 06
General Westfield Insurance Co.
Power
of Attorney Westfield National Insurance Co.
Ohio Farmers Insurance Co.
CERTIFIED COPY Westfield Center, Ohio
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 prihcipal office in Westfield Center, Medina County, Ohio, do 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 Attorney(s)-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- - - - - - - - -- - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - -- - - - -
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 following resolution adopted by the Board of Directors of each of the
WESTFIELD INSURANCE COMPANY,WESTFIELD NATIONAL INSURANCE COMPANY and OHIO FARMERS INSURANCE COMPANY:
"Be 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 Attorney(s)-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, recognizances, 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 of attorney or certificate bearing facsimile signatures or facsimile
seal shall be valid and binding upon the Company with respect to any bond or undertaking to which it is attached." (Each adopted at a meeting
held on February B,2000).
In 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 seals to be hereto affixed this 20th day of
APRIL A.D.,2011 .
Corporate �•a=� k h.., '\�ONAL�'S «..SU.r..,,,, '
�NIQ, ; WESTFIELD INSURANCE COMPANY
Seals �r'Q�•.. Cie % c'�,P• "` !t G ,? C�� WESTFIELD NATIONAL INSURANCE COMPANY
Affixed �v: .ai. ••;yp o: - . OHIO FARMERS INSURANCE COMPANY
4.1 ro SEAL
State of Ohio """"" "k..' """ ByRichard L. Kinnaird, Jr., National Surety Leader and
County of Medina ss.: Senior Executive
On this 20th 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
NATIONAL INSURANCE COMPANY and OHIO FARMERS INSURANCE COMPANY, the companies described in and which executed the above
instrument;that he knows the seals of said Companies;that the seals affixed to said instrument are such corporate seals;that they were so affixed
by order of the Boards of Directors of said Companies;and that he signed his name thereto by like order.
Notarial „µ.. •••••w..,,
Seat .•``'a\A t- S1
Affixed .CP �11t� 'F i
William J. Kahelin,A rney at Law, Notary Public
State of Ohio =N d ado My Commission Does Not Expire (Sec. 147.03 Ohio Revised Code)
County of Medina ss..
rf O F
I, Frank A. Carrino, Secretary of WESTFIELD INSURANCE COMPANY,WESTFIELD NATIONAL INSURANCE COMPANY and OHIO FARMERS
COMPANY,OMPANY, 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.
In Witness Whereof, I have hereunto set my hand and affixed the seals of said Companies at Westfield Center, Ohio, this 16th day of
Decembe�..�A;4, 2919
re•'\tts41i.(kc y�� O�.nNA. rN'., r �Asul ;y..
,,.....•.
_ •- yy�rr((jYY(j 3 '�4, - T[ i�AL ,(,f
$N L• L4 •'ro '�' SEAL :(TI s
1848 Frank A. Carrino, Secretary
BPOAC2 (combined) (06-02)