HomeMy WebLinkAboutContract 52201-FP1 City Secretary 52201 -FP1
Contract No.
FORTWORTH., Date Received Mar 23,2020
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: DEER MEADOWS PHASE 5
City Project No.: 101530
Improvement Type(s): ❑ Paving ❑ Drainage ® Street Lights ❑ Traffic Signals
Original Contract Price: $98,487.60
Amount of Approved Change Order(s):
Revised Contract Amount:
Total Cost of Work Complete: $98,487.60
�k e Mar 19 2020
Richard Wolfe(Mar 19,2 20) f
Contractor Date
President
Title
Independent Utility Construction, Inc.
Company Name
m4hyf~Wc"W1 Mar 19,2020
Matthew Wilson(Mar 19,2020)
Project I nspe gr� Date
Mitch Holmes(Mar20,2020) Mar20,2020
Project Manager Date
L /e L2W/J'
Laurie Lewis(Mar20,2020) Mar 20,2020
CFA Managger Date
0AN418U. 6u/
Dana Burghdoff(AI r20,20 Mar20,2020
Asst. City Manager Date
OFFICIAL RECORD
CITY SECRETARY Page 1 of 2
FT. WORTH, TX
Notice of Project Completion
Project Name: DEER MEADOWS PHASE 5
City Project No.: 101530
City's Attachments
Final Pay Estimate
Change Order(s): ❑ Yes ® N/A
Contractor's Attachments
Affidavit of Bills Paid
Consent of Surety
Statement of Contract Time
Contract Time: 300 CD Days Charged: 305
Work Start Date: 5/6/2019 Work Complete Date: 3/5/2020
Page 2of2
FORT WORTH
CITY OF FORT WORTH
FINAL PAYMENT REQUEST
Contract Name DEER MEADOWS PHASE 5
Contract Limits
Project Type ST LIGHT
City Project Numbers 101530
DOE Number 1530
Estimate Number 1 Payment Number 1 For Period Ending 3/19/2020
CD
City Secretary Contract Number Contract Time 30D
Contract Date Days Charged to Date 305
Project Manager NA Contract is 100.00 Complete
Contractor INDEPENDENT UTILITY CONSTRUCTION
5109 SUN VALLEY DRIVE
FORT WORTH, TX 76119
Inspectors OWEN / WILSON
Thursday,March 19,2020 Page 1 of 4
City Project Numbers 101530 DOE Number 1530
Contract Name DEER MEADOWS PHASE 5 Estimate Number 1
Contract Limits Payment Number 1
Project Type ST LIGHT For Period Ending 3/19/2020
Project Funding
ST LIGHT
Item Description of Items Estimated Unit Unit Cost Estimated Completed Completed
No. Quanity Total Quanity Total
---------------------------------------
1 RDWY ILLUM FOUNDATION 27 EA $1,220.00 $32,940.00 27 $32,940.00
2 RDWY ILLUM ASSEMBLY 27 EA $2,012.00 $54,324.00 27 $54,324.00
3 2"CONDT PVC SCH 80(T) 940 LF $8.85 $8,319.00 940 $8,319.00
4 #10 COPPER CABLE 940 LF $3.09 $2,904.60 940 $2,904.60
Sub-Total of Previous Unit $98,487.60 $98,487.60
Thursday,March 19,2020 Page 2 of 4
City Project Numbers 101530 DOE Number 1530
Contract Name DEER MEADOWS PHASE 5 Estimate Number 1
Contract Limits Payment Number 1
Project Type ST LIGHT For Period Ending 3/19/2020
Project Funding
Contract Information Summary
Original Contract Amount $98,487.60
Chanize Orders
Total Contract Price $98,487.60
Total Cost of Work Completed $98,487.60
Less %Retained $0.00
Net Earned $98,487.60
Earned This Period $98,487.60
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 $98,487.60
Thursday,March 19,2020 Page 3 of 4
City Project Numbers 101530 DOE Number 1530
Contract Name DEER MEADOWS PHASE 5 Estimate Number 1
Contract Limits Payment Number 1
Project Type ST LIGHT For Period Ending 3/19/2020
Project Funding
Project Manager NA City Secretary Contract Number
Inspectors OWEN / WILSON Contract Date
Contractor INDEPENDENT UTILITY CONSTRUCTION Contract Time 30 CD
5109 SUN VALLEY DRIVE Days Charged to Date 305 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 $98,487.60
Less %Retained $0.00
Net Earned $98,487.60
Earned This Period $98,487.60
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 $98,487.60
Thursday,March 19,2020 Page 4 of 4
AFFIDAVIT
STATE OF TEXAS
COUNTY OFTARRANT
Before me, the undersigned authority, on this day personally appeared RICHARD
W OLFE, 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: Deer Meadow Phase 5 —CitProject No. 101530
BY:
Richa olfe, President
SCRIBED AND SWORN TO BEFORE ME on this�� '' day of
k , 2020.
CHRISTINA GARCIA
N otary Public
,State of Texas
%Nv + Comm. Expires 12-20-2020 Notary ID 130940785 Notary Public, State of Texas
ma �
CONSENT OF OWNER ❑
SURETY COMPANY ARCHITECT ❑
CONTRACTOR ❑
TO FINAL PAYMENT SURETY ❑
OTHER
(SIMILAR TO AIA DOCUMENT G707)
REGENED
Bond No. 012675T
PROJECT: FEBSUeKkht Improvements to serve Deer Meadow Phase 5
(name,address) Fort Worth,TX
TO (Owner)
ARCHITECT'S PROJECT NO:
F_ City of Fort Worth CONTRACT FOR:
200 Texas Street
Fort Worth,TX 76102 I
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 ,SURETY COMPANY,
Plano,TX 75074
on bond of(here insert name and address of Contractor)
Independent Utility Construction,Inc.
5109 Sun Valley Drive CONTRACTOR
Fort Worth, TX 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, 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 13th day of February 2020
WESTFIELD INSURANCE COMPANY
Surety Company
By
Signature of onz esentattve
Attest: 7
(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
11w ry —r I I-FA'4ry aUP tttctuts ANY PREVIOUS POWER BEARIN(J IHIJ SAMt
POWER#AND ISSUED PRIOR TO 04/20111, FOR ANY PERSON OR PERSONS NAMED BELOW.
General
POWER NO. 4220052 06
Power Westfield Insurance Co.
of Attorney Westfield National Insurance Co.
CERTIFIED COPY Ohio Farmers Insurance Co.
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 principal 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)-i n-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 8,2000).
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
Corpora Seals •Tte �a?Ufl A�+c" :`F,P�!�N�C itis., 'AS WESTFIELD INSURANCE COMPANY
o. -- WESTFIELD NATIONAL INSURANCE COMPANY
Affixed `.., wv •'-Fo} =o: G9yr OHIO FARMERS INSURANCE COMPANY
4 yyff t6 SEAL Z= _,�: o;3
By
State of Ohio """'"`" .* "".•....... Richard 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
Seal Rt A[, Ssa
Affixed �P..•`.11�
William J. Kahelin,A rney at Law, Notary Public
State of Ohio ✓ p My Commission Does Not Expire(Sec. 147.03 Ohio Revised Code)
County of Medina ss.: t ;
% Of0
1, Frank A. Carrino, Secretary of WESTFIELD INSURANCE COMPANY,WESTFIELD NATIONAL INSURANCE COMPANY and OHIO FARMERS
INSURANCE COMPANY, 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 13th day of
February A D 2020
_ L :m; :m_ :o• = Secretary
V. �`� o
1�• 8415 Frank A. Carrino, Secretary
BPOAC2 (combined) (06-02)