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Home My WebLink AboutContract 52209-FP4 City Secretary 52209 -FP4 Contract No. FORTWORTH. Date Received Mar 18,2020 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: MARINE CREEK RANCH AMENITY CENTER City Project No.: 101963 Improvement Type(s): ❑ Paving ❑x Drainage ❑ Street Lights ❑ Traffic Signals Original Contract Price: $75,604.00 Amount of Approved Change Order(s): Revised Contract Amount: Total Cost of Work Complete: $75,604.00 Llh-2e G Albert Gi. .:(Feb 27,2 0) Feb 27,2020 Contractor Date Contract Manager Title Burnsco Construction,Inc. Company Name Eddie D Walker Jr. Feb 27,2020 Project Inspector Date Mrfch Ifolmos Mitch Holmes(Mar 17,2020) Mar 17,2020 Project Manager Date Laurie 202p� Mar 17,2020 CFA Manager Date `nw,&U Ld Mar 17 2020 Dana Burghdoff(M r17,202 f Asst. City Manager Date OFFICIAL RECORD CITY SECRETARY Page 1 of 2 FT. WORTH, TX Notice of Project Completion Project Name: MARINE CREEK RANCH AMENITY CENTER City Project No.: 101963 City's Attachments Final Pay Estimate ❑x Change Order(s): ❑ Yes ❑x N/A Contractor's Attachments Affidavit of Bills Paid Consent of Surety Statement of Contract Time Contract Time: 120 CD Days Charged: 182 Work Start Date: 5/20/2019 Work Complete Date: 2/11/2020 Page 2of2 FORT WORTH CITY OF FORT WORTH FINAL PAYMENT REQUEST Contract Name MARINE CREEK RANCH AMENITY CENTER Contract Limits Project Type STORM DRAIN City Project Numbers 101963 DOE Number 1963 Estimate Number 1 Payment Number 1 For Period Ending 2/27/2020 CD City Secretary Contract Number Contract Time 46D Contract Date Days Charged to Date 182 Project Manager NA Contract is 100.00 Complete Contractor BURNSCO CONSTRUCTION,INC. 6331 SOUTHWEST BLVD FORT WORTH, TX 76132 Inspectors DICKINSON / WALKER Thursday,February 27,2020 Page 1 of 4 City Project Numbers 101963 DOE Number 1963 Contract Name MARINE CREEK RANCH AMENITY CENTER Estimate Number I Contract Limits Payment Number I Project Type STORM DRAIN For Period Ending 2/27/2020 Project Funding STORM DRAIN Item Description of Items Estimated Unit Unit Cost Estimated Completed Completed No. Quanity Total Quanity Total --------------------------------------- I REMOVE RIP RAP 264 SF $1.20 $316.80 264 $316.80 2 REMOVE HEADWALL/SET 1 EA $950.00 $950.00 1 $950.00 3 MEDIUM STONE RIPRAP,DRY 311 SY $50.00 $15,550.00 311 $15,550.00 4 TRENCH SAFETY 160 LF $1.00 $160.00 160 $160.00 5 5X4 BOX CULVERT 160 LF $298.00 $47,690.00 160 $47,680.00 6 C STORM JUNCTION BOX 1 EA $5,500.00 $5,500.00 1 $5,500.00 7 HEADWALL,BOX CULVERT 5.6 CY $950.00 $5,320.00 5.6 $5,320.00 8 REMOVE 5X4 BOX CULVERT 4 LF $31.80 $127.20 4 $127.20 -------------------------------------- Sub-Total of Previous Unit $75,604.00 $75,604.00 -------------------------------------- Thursday,February 27,2020 Page 2 of 4 City Project Numbers 101963 DOE Number 1963 Contract Name MARINE CREEK RANCH AMENITY CENTER Estimate Number I Contract Limits Payment Number I Project Type STORM DRAIN For Period Ending 2/27/2020 Project Funding Contract Information Summary Original Contract Amount $75,604.00 Change Orders Total Contract Price $75,604.00 Total Cost of Work Completed $75,604.00 Less %Retained $0.00 Net Earned $75,604.00 Earned This Period $75,604.00 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 $75,604.00 Thursday,February 27,2020 Page 3 of 4 Signature: t--o- Eddie D Walker Jr.(Feb 27,2 0) Email: eddie.walker@fortworthtexas.gov City Project Numbers 101963 DOE Number 1963 Contract Name MARINE CREEK RANCH AMENITY CENTER Estimate Number I Contract Limits Payment Number I Project Type STORMDRAIN For Period Ending 2/27/2020 Project Funding Project Manager NA City Secretary Contract Number Inspectors DICKINSON / WALKER Contract Date Contractor BURNSCO CONSTRUCTION,INC. Contract Time 45 CD 6331 SOUTHWEST BLVD Days Charged to Date 182 CD FORT WORTH, TX 76132 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 $75,604.00 Less %Retained $0.00 Net Earned $75,604.00 Earned This Period $75,604.00 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 $75,604.00 Thursday,February 27,2020 Page 4 of 4 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 Ab Grantges, Contract Mgr, Of Burnsco Construction, 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; Marine Creek Amenity Center - Water, Sanitary Sewer and Storm Drain BY Ab Grantges, ontract Manager Subscribed and sworn before me on this date 6th of February, 2020. [— — — — —=CANALLSN96Mresvt Notary Public Tarrant County, Texas CONSENT OF OWNER ❑ SURETY COMPANY ARCHITECT ❑ CONTRACTOR ❑ TO FINAL PAYMENT SURETY ❑ Conforms with the American Institute of OTHER Architects, AIA Document G707 Bond No 022223016 PROJECT: (name, addreSS)Marine Creek Ranch Amenity Center-Water, Sanitary Sewer and Storm Drain improvements Fort Worth TX TO (Owner) CRYSTAL LAKE DEVELOPMENT,LLC AND CITY OF I ARCHITECT'S PROJECT NO: FORT WORTH CONTRACT FOR: 3825 Camp Bowie Road Marine Creek Ranch Amenity Center-Water,Sanitary Sewer and Storm Drain improvements Fort Worth TX 76107 --J CONTRACT DATE: 4/5/2019 CONTRACTOR: BURNSCO 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 Companyl LIBERTY MUTUAL INSURANCE COMPANY 175 Berkeley Street Boston MA 02116 , SURETY COMPANY on bond of (here insert name and address of Contractor) BURNSCO CONSTRUCTION, INC. 6331 Southwest Boulevard Benbrook TX 76132 , 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 (here insert name and address of Owner) CRYSTAL LAKE DEVELOPMENT, LLC AND CITY OF FORT WORTH 3825 Camp Bowie Road Fort Worth TX 76107 , OWNER. as set forth in the said Surety Company's bond. IN WITNESS,WHEREOF, the Surety Company has hereunto set its hand this 6th day of February, 2020 LIBERTY MUTUAL INSURANCE COMPANY Surety Company Attest: 4w)U, (Sea]): Q� Signs re of Authorized Representative So hinie Hunter Attorney-in-Fa Title NOTE. This form is to be used as a companion document to AIA DOCUMENT 0706, CONTRACTOR'S AFFIDAVIT OF PAYMENT OF DEBTS AND CLAIMS, Current Edition ONE PAGE This Power of Attorney limits the acts of those named herein,and they have no authority to bind the Company except in the manner and to the extent herein stated. Liberty Liberty Mutual Insurance Company mutuil The Ohio Casualty Insurance Company Certificate Na 8200743 SURETY West American Insurance Company POWER OF ATTORNEY KNOWN ALL PERSONS BY THESE PRESENTS:That The Ohio Casualty insurance Company is a corporation duly organized under the laws of the State of New Hampshire,that Liberty Mutual Insurance Company is a corporation duly organized under the laws of the State of Massachusetts,and West American Insurance Company is a corporation duly organized under the laws of the State of Indiana(herein collectively called the'Companies"),pursuant to and by authority herein set forth,does hereby name,constitute and appoint, Robbi Morales,Don E.Comeil,Sophinie I lunter,Tina McEwan,Tonie Petranek,Ricardo J.Reyna, Joshua Saunders, Kelly A.Westbrook all of the city of Dallas state of TX each individually if there be more than one named,its true and lawful attorney-in-fact to make, execute,seal,acknowledge and deliver,for and on its behalf as surety and as its act and deed,any and all undertakings,bonds,recognizances and other surety obligations,in pursuance of these presents and shall be as binding upon the Companies as if they have been duly signed by the president and attested by the secretary of the Companies in their own proper persons. IN WITNESS WHEREOF,this Power of Attorney has been subscribed by an authorized officer or official of the Companies and the corporate seals of the Companies have been affixed thereto this 19th day of Nlarch 2019 . Liberty Mutual Insurance Company v txsaq `,, l INs�p d XNSUIq The Ohio Casualty Insurance Company �J4`oRPo�T4yn yJQIOvtp - IV. �Q�ORPOR,) t° West American Insurance Company � a 3 Fa fi e = Fo n = Fa fi m c, m �1912 iz1919 1991 0 N d� Sy CHUS�,aa O NAMeS�.aL `<s NAiANP da �h * tN �H1 * ' J'M �y' Cn David M.Carey,Assistant Secretary �3 m State of PENNSYLVANIA County of MONTGOMERY ss M � � c al On this 19th day of March 2019 before me personally appeared David M.Carey,who acknowledged himself to be the Assistant Secretary of Liberty Mutual Insurance o o Company,The Ohio Casualty Company,and West American Insurance Company,and that he,as such,being authorized so to do,execute the foregoing instrument for the purposes UW 4D_Fq> therein contained by signing on behalf of the corporations by himself as a duly authorized officer. c�Ll1 IN WITNESS WHEREOF,I have hereunto subscribed my name and affixed my notarial seal at King of Prussia,Pennsylvania,on the day and year first above written. a) n U) 5P Pqs O N Oft, �gsNNp r�! COMMONWEALTH OF PENNSYLVANIA s ^ Q-0 do ti <y 7 Notarial Seal /f // p OF Teresa Pas[ella,Notary Public v /r(/ p r-11, per MertonTwp.,MontgomeryCounty By:Commission Expires March 2B,2021 3 1. nsyurrTeresa Pastella,Notary Public o ca q Member,Penns 4-1a Associabon of Notaries a Ry O N)O Q1 This Power of Attorney is made and executed pursuant to and by authority of the following By-laws and Authorizations of The Ohio Casualty Insurance Company, Liberty Mutual o.9; Insurance Company,and West American Insurance Company which resolutions are now in full force and effect reading as follows: o (D jar ARTICLE IV-OFFICERS:Section 12.Power of Attorney. ' o Any officer or other official of the Corporation authorized for that purpose in writing by the Chairman or the President,and subject to such limitation as the Chairman or the President may prescribe,shall appoint such attorneys-in-fact,as may be necessary to act in behalf of the Corporation to make,execute,seal,acknowledge and deliver as surety a a co c any and all undertakings,bonds,recognizances and other surety obligations.Such attorneys-in-fact,subject to the limitations set forth in their respective powers of attorney,shall N > m have full power to bind the Corporation by their signature and execution of any such instruments and to attach thereto the seal of the Corporation. When so executed,such T Z 64 instruments shall be as binding as if signed by the President and attested to by the Secretary.Any power or authority granted to any representative or attomey-in-fatt under the t provisions of this article may be revoked at any time by the Board,the Chairman,the President or by the officer or officers granting such power or authority. o 0 ARTICLE XIII-Execution of Contracts:Section 5.Surety Bonds and Undertakings. 0 o Any officer of the Company authorized for that purpose in writing by the chairman or the president,and subject to such limitations as the chairman or the president may prescribe, � shall appoint such attomeys-intact,as may be necessary to act in behalf of the Company to make,execute,seal,acknowledge and deliver as surety any and all undertakings, bonds,recognizances and other surely obligations.Such attorneys-in-fact subject to the limitations set forth in their respective powers of attorney,shall have full power to bind the Company by their signature and execution of any such instruments and to attach thereto the seal of the Company.When so executed such instruments shall be as binding as if signed by the president and attested by the secretary. Certificate of Designation-The President of the Company,acting pursuant to the Bylaws of the Company,authorizes David M.Carey,Assistant Secretary to appoint such attorneys-in- fact as may be necessary to act on behalf of the Company to make,execute,seal,acknowledge and deliver as surety any and all undertakings,bonds,recognizances and other surety obligations. Authorization-By unanimous consent of the Compamfs Board of Directors,the Company consents that facsimile or mechanically reproduced signature of any assistant secretary of the Company,wherever appearing upon a certified copy of any power of attomey issued by the Company in connection with surety bonds,shall be valid and binding upon the Company with the same force and effect as though manually affixed. I,Renee C.Llewellyn,the undersigned,Assistant Secretary,The Ohio Casualty Insurance Company,Liberty Mutual Insurance Company,and West American Insurance Company do hereby certity that the original power of attorney of which the foregoing is a full,true and correct copy of the Power of Attorney executed by said Companies,is in full force and effect and has not been revoked. IN TESTIMONY WHEREOF,I have hereunto set my hand and affixed the seals of said Companies this bth day of February , 2020 P� INSu� �Jlf INS& tN5UR4 �GORPaPA �O=u°aPo rgyc� aPGO�Po�roy�n Y ; Lu 1912 i21919�� o s y 1991 o B ��•.� aa� Renee C.Llewellyn,Assistant Secretary g77 * ?•� dyl * �N �M * tiN y LMS-12873 LMIC OCIC WAIC Multi Co 062018 Liberty Mutual. SURETY TEXAS TEXAS IMPORTANT NOTICE AVISO IMPORTANTE To obtain information or make a complaint: Para obtener informacion o para someter una queja: You may call toll-free for information or to Usted puede Ilamar at numero de telefono gratis mare a complaint at para informacion o para someter una queja at 1-877-751-2640 1-877-751-2640 You may also write to: Usted tambien puede escribir a: 2200 Renaissance Blvd., Ste. 400 2200 Renaissance Blvd., Ste. 400 King of Prussia, PA 19406-2755 King of Prussia, PA 19406-2755 You may contact the Texas Department of Puede comunicarse con el Departamento de Insurance to obtain information on companies, Seguros de Texas para obtener informacion coverages, rights or complaints at acerca de companias, coberturas, derechos o 1-800-252-3439 quejas at 1-800-252-3439 You may write the Texas Department of Insurance Puede escribir at Departamento de Seguros Consumer Protection (I I l-IA) de Texas Consumer Protection (I 11-IA) P. O. Box 149091 P. O. Box 149091 Austin, TX 78714-9091 Austin, TX 78714-9091 FAX: (512) 490-1007 FAX # (512)490-1007 Web: http://www.tdi.texas.gov Web: hup://www.tdi.texas.gov E-mail: ConsumerProtection tdi.texas. ov E-mail: ConsumerProtection tdi.texas. ov PREMIUM OR CLAIM DISPUTES: DISPUTAS SOBRE PRIMAS O RECLAMOS: Should you have a dispute concerning your Si tiena una disputa concerniente a su prima o a premium or about a claim you should first un reclamo, debe comunicarse con el agente o contact the agent or call 1-800-843-6446. primero. Si no se resuelve la disputa, puede If the dispute is not resolved,you may contact the entonces comunicarse con el departamento (TDI) Texas Department of Insurance. ATTACH THIS NOTICE TO YOUR UNA ESTE AVISO A SU POLIZA: POLICY: This notice is for information only and does not Este aviso es solo para proposito de informacion become a part or condition of the attached y no se convierte en parte o condicion del document. documento adjunto. NP70680901 LMS-15292 1 011 5