HomeMy WebLinkAboutContract 52572-FP1 City Secretary 52572 -FP1
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: MDM SCAFFOLDING
City Project No.: 101976
Improvement Type(s): Water ❑ Sewer 0
Original Contract Price: $30,197.00
Amount of Approved Change Order(s): $20,190.12
Revised Contract Amount: $50,387.12
Total Cost of Work Complete: $50,387.12
Mar 6 2020
R Shay Fan ng(Mar6,2020) -
Contractor Date
Project Manager
Title
Canary Construction
Company Name
et-4wt'M'rAa Mar 6 2020
Brian McGill(Mar 6,2020)
Pr 'ect Inspector Date
khaljaafari Mar 6, 2020
Project Manager Date
LAV-/2 42kld Mar 17 2020
Laurie Lewis(Mar 17,2020)
CFA Manager Date
44411 Mar 17, 2020
DanaBurghd off(N 2010
Asst. City Manager Date
OFFICIAL RECORD
CITY SECRETARY Page 1 of 2
FT. WORTH, TX
Notice of Project Completion
Project Name: MDM SCAFFOLDING
City Project No.: 101976
City's Attachments
Final Pay Estimate ❑x
Change Order(s): ❑x Yes ❑ N/A
Pipe Report: ❑x Yes ❑ N/A
Contractor's Attachments
Affidavit of Bills Paid
Consent of Surety
Statement of Contract Time
Contract Time: 25 CD Days Charged: 105
Work Start Date: 9/3/2019 Work Complete Date: 12/16/2019
Page 2 of 2
l ORT WORTH
CITY OF FORT WORTH
FINAL PAYMENT REQUEST
Contract Name MDM SCAFFOLDING
Contract Limits
Project Type SEWER
City Project Numbers 101976
DOE Number 1976
Estimate Number 1 Payment Number 1 For Period Ending 2/25/2020
CD
City Secretary Contract Number Contract Time 26D
Contract Date Days Charged to Date 105
Project Manager NA Contract is 100.00 Complete
Contractor CANARY CONSTRUCTION
523 GREENWICH LANE
COPPELL, TX 75019
Inspectors OWEN / MCGILL
Tuesday,March 3,2020 Page I of 4
City Project Numbers 101976 DOE Number 1976
Contract Name MDM SCAFFOLDING Estimate Number 1
Contract Limits Payment Number 1
Project Type SEWER For Period Ending 2/25/2020
Project Funding
SEWER
Item Description of Items Estimated Unit Unit Cost Estimated Completed Completed
No. Quanity Total Quanity Total
---------------------------------------
1 8"SDR 26 SANITARY SEWER 175 LF $95.00 $16,625.00 175 $16,625.00
2 6"SDR 26 SANITARY SEWER 20 LF $75.00 $1,500.00 20 $1,500.00
3 4'DIA MANHOLE 1 EA $6,500.00 $6,500.00 1 $6,500.00
4 CONNECT TO EXISTING MANHOLE 1 EA $2,000.00 $2,000.00 1 $2,000.00
5 6"CLEANOUT 1 EA $622.00 $622.00 1 $622.00
6 TRENCH SAFETY 1 LS $1,500.00 $1,500.00 1 $1,500.00
7 EROISION CONTROL 1 LS $1,200.00 $1,200.00 1 $1,200.00
8 LINE TESTING 1 LS $250.00 $250.00 1 $250.00
9 1"IRRIGATION SERVICE LINE CO#1 40 LF $147.25 $5,890.00 40 $5,890.00
10 ASPHALT PAVEMENT REPAIR CO#I 240 SF $15.00 $3,600.00 240 $3,600.00
11 5'WIDE ASPHALT PVMT REPAIR CO#1 172 LF $62.21 $10,700.12 172 $10,700.12
--------------------------------------
Sub-Total of Previous Unit $50,387.12 $50,387.12
--------------------------------------
Tuesday,March 3,2020 Page 2 of 4
City Project Numbers 101976 DOE Number 1976
Contract Name MDM SCAFFOLDING Estimate Number 1
Contract Limits Payment Number 1
Project Type SEWER For Period Ending 2/25/2020
Project Funding
Contract Information Summary
Original Contract Amount $30,197.00
Chanl4e Orders
Change Order Number 1 $20,190.12
Total Contract Price $50,387.12
Total Cost of Work Completed $50,387.12
Less %Retained $0.00
Net Earned $50,387.12
Earned This Period $50,387.12
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 $50,387.12
Tuesday,March 3,2020 Page 3 of 4
City Project Numbers 101976 DOE Number 1976
Contract Name MDM SCAFFOLDING Estimate Number 1
Contract Limits Payment Number 1
Project Type SEWER For Period Ending 2/25/2020
Project Funding
Project Manager NA City Secretary Contract Number
Inspectors OWEN / MCGILL Contract Date
Contractor CANARY CONSTRUCTION Contract Time 25 CD
523 GREENWICH LANE Days Charged to Date 105 CD
COPPELL, TX 75019 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 $50,387.12
Less %Retained $0.00
Net Earned $50,387.12
Earned This Period $50,387.12
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 $50,387.12
Tuesday,March 3,2020 Page 4 of 4
FORT WORTH
TRANSPORTATION AND PUBLIC WORKS
PIPE REPORT FOR:
PROJECT NAME: MDM Scaffolding
PROJECT NUMBER: 101976
DOE NUMBER:
WATER
PIPE LAID SIZE TYPE OF PIPE LF
None
FIRE HYDRANTS: 0 VALVES(16" OR LARGER) N/A
PIPE ABANDONED SIZE TYPE OF PIPE LF
DENSITIES: Passed 9-17-19
NEW SERVICES: 1" Copper 40
SEWER
PIPE LAID SIZE TYPE OF PIPE LF
Open Cut 8" SDR-26 175
PIPE ABANDONED SIZE TYPE OF PIPE LF
N/A
DENSITIES: passed 9-17-19
NEW SERVICES: 6" SDR-26 20
TRANSPORTATION AND PUBLIC WORDS
The City of Fort Worth•1000 Throckmorton Street•Fort Worth,TX 76012-6311
(817)392-7941 •Fax: (817)392-7845
DEVELOPER-AWARDED-PROJECT CHANGE ORDER
PROJECT NAME: MDM SCAFFOLDING CHANGE
CONTRACT: ORDER No:
CFA# CFA19-002o CITY PARTICIPATION:
CITY PROJECT# 101975
DOE#
Al WATER PROJECT#
SEWER PROJECT# 560OM700430-10197MO1380
FILE# X-25914
INSPECTOR: Brian McGill Phone No: (817)647-2514
PROJECT MANAGER: Khal Jaafad Phone No: (817)392-7872
CONTRACT UNIT
WATER SEWER PAVING DRAINAGE STREETLIGHTS CONTRACT
ve oper _-- eve oper eve open Developer vo oper DAYS
Cost city Cost Cost City Cost Cost VCl�yt Coat Cost CPlyCost Cost CRY Cost
ORIGINAL CONTRACT S30,197.00 I.
EXTRAS TO DATE --- — �-.----
CREDITS TO DATE
CONTRACTTODATE $0.00 SOAO $30:197.00 $0.00 $0.00 $0.00 1 $0.00 $0.00 $0.00 SD.DD 0
AMOUNT OF PROP.CFIAWEORDER $5,800.00 $14,30D.12
REVISED CONTRACT AMOUNT $6,89a.00 $0.00 $30,197.00 $0.00 $14.300.12 $0.00 $0.00 So.00_ $0.00 1 $0.00 0
TOTAL REVISED CONTRACT AMOUNT
PER UNIT $6,890.00 _ _ $30,197.00 S%300,12 50.00 $0.00
REVISED COST SHARE Day.Cost: $60,387.12 :City Cost, $OAO
TOTAL REVISED CONTRACT $50,387.12
You are direcled to mako U1e followin chongo3 In the contract docum6nls: —_
CITY BID ITEM
PAY ITEM 0 D QUANTITY UNIT ITEM DESCRIPTION UNIT PRICE TOTAL
3312.2004 331210 1 40 LF T'Private Water Service 147.25 Soso
92D1.0151 3201 17 240 SF Asphalt Pavement Repair.Water Service 15.00 3600
320i.0132 320117 172 LF 5'Wide Asphalt Pvmt Re air.Industrial 62.21 10700.12
TOTAL 30190.12.
{ REASONS FOR CHANGE ORDER
Water lap change order added to approved Sanitary u^ewer pfanslCFA,
NO CITY FUNDS INVOLVED IN THIS CONTRACT. DEVELOPER IS RESPONSIBLE FOR 100%OF THE CHANGE ORDER COST AND NO
REIMBURSEMENT FROM THE CITY WILL BE SOUGHT BY THE DEVELOPER.
RECOMMENDED: APPROVED: APPROVE :
inip 5 ears 8panlsvltanls,in:. Norga on Texas TraJI L�LC� Canary C n f coon
�
By: j/ ' �f C� '• By U +(I!\JK�L� By:
Name: "L./way,Jr.0 Name: Carol Morgan _ Name: W ivne Borsted
Title:Civil Engineer Title: Owner Tide: Presklenl
Revised:10.12-2011 Pagel
AFFIDAVIT OF BILLS PAID
STATE OF TEXAS §
§ KNOW ALL MEN BY THESE PRESENTS:
COUNTY OF DENTON §
Personally, before me the undersigned authority, on this day appeared Wayne Borstad
who bein.g duly sworn on oath, says that he is a legal representative of Canary
Construction, Inc. and that the contract for the construction of theproject, designated
as:
MDM Scaffolding
has been satisfactorily completed and that all bills for materials, apparatus, fixtures,
machinery, labor, and equipment used in connection with the construction of this project
have been fully paid.
94,-V--
Signature
Title
Sworn to and subscribed before me this, theda
DEBORAH BENTON BROWN
Notary ID#10506801 Notary lie in and for
N My Commission Expires
'TFoft�*P September 6, 2023
Denton County, Texas
SURETEC INSURANCE COMPANY
9737 Great Hills Trail., Suite 320, Austin, Tx 78759
OWNER ❑
CONSENT OF SURETY ARCHITECT ❑
CONTRACTOR �
TO FINAL PAYMENT SURETY ❑
❑
BOND NO.: 4416770 OTHER
TO OBLIGEE:
(Name and Address) CONTRACT FOR:
MDM Scaffolding, Ltd. Sewer Improvements
1084 Texan Trail
Grapevine, TX 76051
PROJECT: CONTRACT DATED:
(Name and Address) April30, 2019
Sewer Improvements for MDM Scaffolding, City
Project No. 101976
PRINCIPAL: Canary Construction, Inc.
At the request of the Obligee and the Principal indicated above,(Insert name and address of Surety)
SureTec Insurance Company, 9737 Great Hills Trail, Suite 320, Austin, Tx 78759
on bond of SURETY,
(InsertnameandaddressofContractor) Canary Construction, Inc.
802 N. Kealy Ave., Ste. 101, Lewisville, TX 75057
,CONTRACTOR,
and conditioned on the representation by Obligee that all Contract provisions relating to the payment of final
payment under the Contract have been satisfied by Principal as of the date of final payment,and that no claims
by Obligee or any third party are known or believed by Obligee or its representatives to exist as of the date of
final payment,representations as to the truth and accuracy of the foregoing conditions being deemed to have
been made by Obligee in connection with this request for Consent of Surety,hereby approves of the final
payment to the Principal, and agrees that final payment in accordance with the terms hereof shall not relieve the
Surety of its obligations to
(Insert name and address of Obligee) MDM Scaffolding, Ltd.
1084 Texan Trail Grapevine,TX 76051
,
as set forth in said Surety's bond. OBLIGEE,
IN WITNESS WHEREOF,the Surety has hereunto set its hand on this date: March 4, 2020
(Insert in writing the month followed by the numeric date and year.)
SureTec Insurance Company
(Sure
(4 Cgfiature of authorized representative)
,- ----- -.--
`,`*`����`���-`�.�` Joseph P. O'Connor
_ Attorney-in-Fact
(Printed name and title)
V
SUR£-T CO1SSN-tN%U TO FINAL PAYMENT REV. 1.1.2004
\�
SureTec Insurance Company
IMPORTANT NOTICE
Statutory Complaint Notice/Filing of Claims
To obtain information or make a complaint: You may call the Surety's toil free telephone number for information or to make
a complaint or file a claim at: 1-866-732-0099. You may also write to the Surety at:
SureTec Insurance Company
9737 Great Hills Trail, Suite 320
Austin, TX 78759
You may contact the Texas Department of Insurance to obtain information on companies, coverage, rights or complaints
at 1-800-252-3439. You may write the Texas Department of Insurance at:
PO Box 149104
Austin, TX 78714-9104
Fax#: 512-490-1007
Web: http://www.tdi.texas.gov
Email: ConsumerProtection@tdi.texas.gov
PREMIUM OR CLAIMS DISPUTES: Should you have a dispute concerning your premium or about a claim, you should
contact the Surety first. If the dispute is not resolved, you may contact the Texas Department of Insurance.
------------------------------------------------------------------------------------------------------------------------------
Texas Rider 8l2C19
poA#: 4221025
SureTec Insurance Company
LIMITED POWER OF ATTORNEY
Know AU Men by These Presents, That SURETEC INSURANCE COMPANY (the "Company"), a corporation duly organized and
existing under the laws of the State of Texas, and having its principal office in Houston, Harris County, Texas, does by these presents
make,constitute and appoint
Paul G.Adam,Peter S. Batjer,Joseph P.O'Connor, Lisa W. Friend, Susan D.B. Muniz,
Rhonda Underwood, Christine Jones
its true and lawful Attorney-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 to include waivers to the
conditions of contracts and. consents of surety for,providing the bond penalty does not exceed
Five Million and 001100 Dollars($5,000,000.00)
and to bind the Company thereby as fully and to the same extent as if such bond were signed by the CEO, seated with the corporate seal
of the Company and duly attested by its Secretary, hereby ratifying and confirming all that the said Attorney-in-Fact may do in the
premises. Said appointment is made under and by authority of the following resolutions of the Board of Directors of the SureTec
Insurance Company:
Be it Resolved, that the President, any Vice-President, any Assistant Vice-President, any Secretary or any Assistant Secretary 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:
Attorney�in-Fact may be given full power and authority for and in the name of and of behalf of the Company, to execute, acknowledge and
deliver,any and all bonds,recognizances,contracts,agreements or 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 binding upon the Company as if signed by the President and sealed and effected by the Corporate Secretary.
Be it Resolved,that the signature of any authorized officer and 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 signature or facsimile seal shall be valid
and binding upon the Company with respect to any bond or undertaking to which it is attached. (Adopted at a meeting held on 2t7H of April,
1999-)
In Witness Whereof, SURETEC INSURANCE COMPANY has caused these presents to be signed by its CEO, and its corporate seal to
be hereto affixed this 28tn day of February , A.D.2019 "
SURETEC CE ANY
AAA1
By:
w w p= John Kr Jr.,C ?
State of Texas ss: � 1
County of Harris
On this lath day of February , A.D.2019 before me personally came John Knox Jr.,to me known, who, being by me duly sworn,did.depose and say,
that he resides in Houston, Texas, that he is CEO of SURETEC INSURANCE COMPANY, the company described in and which executed the above
instrument;that he knows the seal of said Company;that the seal affixed to said instrument is such corporate seal;that it was so affixed by order of the
Board of Directors of said Company;and that he signed his name thereto by like order.
XENIA CHAVEZ T
s
�40•' �,�fdq#ary Pudic.C;its of Texa-s'• "� Coma.Expires 03-10-2020
i ,5 D 129117659
Xe avez,Notary Public
alafyi
commission expires September 1 ,2020
I,M"Brent Beaty,Assistant Secretary of SURETEC INSURANCE COMPANY,do hereby certify that the above and foregoing is a true and correct copy
of a Power of Attorney,executed by said Company,which is still in full force and effect;and Ombermore,the resolutions of the B,onrd of Directors,set
out in the Power of Attorney are in full force and effect. ,L
Given under my hand and the seal of said Company at Houston, Texas this day of `A.D,
9W
Br t eaty,Assi taut S?et eix
Any instrument issued in excess of the penalty stated above is totally void and without any validity,
For verification of the authority of this power you may call(713)812.0800 any bus-mess day between 8:30 am and 5:00 pm CST."