HomeMy WebLinkAboutContract 52201-FP3 City Secretary 52201 -FP3
Contract No.
FORTWORTH, Date Received Mar23,2020
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): Water 0 Sewer 0
Original Contract Price: $580,096.00
Amount of Approved Change Order(s):
Revised Contract Amount:
Total Cost of Work Complete: $580,096.00
mmEde Mar20 2020
Carmen Estep(Mar20,20 0) f
Contractor Date
Office Manager
Title
Jackson Construction, Ltd
Company Name
NGaH&Rl-W Mar 20,2020
Matthew Wilson(Mar20,2020) f
Project Inspe for Date
Mitch Holmes(Mar20,2020) Mar20 f2020
Project Manager Date
Law'14 Lewis
Laurie Lewis(Mar 20,2020) Mar 20, 2020
CFA Manager Date
Dana Burghdoff(M r20,20 Mar 20,2020
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 ❑x
Change Order(s): ❑ Yes ❑x N/A
Pipe Report: x❑ 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 WATER&SEWER
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 27aD
Contract Date Days Charged to Date 305
Project Manager NA Contract is 100.00 Complete
Contractor JACKSON CONSTRUCTION LTD
5112 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 WATER&SEWER For Period Ending 3/19/2020
Project Funding
WATER
Item Description of Items Estimated Unit Unit Cost Estimated Completed Completed
No. Quanity Total Quanity Total
------------- ----------------------------
1 8"PVC WATER PIPE 4679 LF $19.00 $88,901.00 4679 $88,901.00
2 FIRE HYDRANT ASSEMBLY W/GATE VALVE 5 EA $3,600.00 $18,000.00 5 $18,000.00
3 8"GATE VALVE&BOX 8 EA $1,250.00 $10,000.00 8 $10,000.00
4 1"WATER SERVICE 149 EA $805.00 $119,945.00 149 $119,945.00
5 CONNECTION TO EXISTING 8"WATER MAIN 4 EA $800.00 $3,200.00 4 $3,200.00
6 DUCTILE IRON WATER FITTINGS 1.35 TN $7,200.00 $9,720.00 1.35 $9,720.00
W/RESTRAINT
7 TRENCH SAFETY 4679 LF $1.00 $4,679.00 4679 $4,679.00
8 4"CONDT PVC SCH 40(T) 149 LF $13.00 $1,937.00 149 $1,937.00
9 1"IRRIGATION SERVICE 2 EA $805.00 $1,610.00 2 $1,610.00
10 1 1/2"IRRIGATION SERVICE 4 EA $1,650.00 $6,600.00 4 $6,600.00
11 PRESSURE/STERILIZATION 4679 LF $1.00 $4,679.00 4679 $4,679.00
--------------------------------------
Sub-Total of Previous Unit $269,271.00 $269,271.00
SEWER
Item Description of Items Estimated Unit Unit Cost Estimated Completed Completed
No. Quanity Total Quanity Total
---------------------------------------
1 8"SEWER MAIN 4742 LF $23.50 $111,437.00 4742 $111,437.00
2 4'MANHOLE 19 EA $3,600.00 $68,400.00 19 $68,400.00
3 EXTRA DEPTH DEPTH MANHOLE 32 VF $200.00 $6,400.00 32 $6,400.00
4 4"SEWER SERVICE 149 EA $560.00 $83,440.00 149 $83,440.00
5 POST CCTV INSPECTION 4742 LF $2.00 $9,484.00 4742 $9,484.00
6 MANHOLE VACUUM TESTING 19 EA $200.00 $3,800.00 19 $3,800.00
7 TRENCH SAFETY 4742 LF $2.00 $9,484.00 4742 $9,484.00
8 CEMENT STABILIZED BACKFILL 80 LF $105.00 $8,400.00 80 $8,400.00
9 CONCRETE ENCASE SEWER PIPE 3.2 CY $275.00 $880.00 3.2 $880.00
10 8"SEWER SERVICE RECONNECTION 2 EA $800.00 $1,600.00 2 $1,600.00
11 MANHOLE ADJUSTMENT 1 EA $2,900.00 $2,900.00 1 $2,900.00
12 TRENCH WATER STOPS 2 EA $300.00 $600.00 2 $600.00
13 CONNECT TO EXISTING MANHOLE 2 EA $2,000.00 $4,000.00 2 $4,000.00
--------------------------------------
Sub-Total of Previous Unit $310,825.00 $310,825.00
--------------------------------------
Thursday,March 19,2020 Page 2 of 4
City Project Numbers 101530 DOE Number 1530
Contract Name DEER MEADOWS PHASE 5 Estimate Number I
Contract Limits Payment Number 1
Project Type WATER&SEWER For Period Ending 3/19/2020
Project Funding
Contract Information Summary
Original Contract Amount $580,096.00
Chanize Orders
Total Contract Price $580,096.00
Total Cost of Work Completed $580,096.00
Less %Retained $0.00
Net Earned $580,096.00
Earned This Period $580,096.00
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 $580,096.00
Thursday,March 19,2020 Page 3 of 4
City Project Numbers 101530 DOE Number 1530
Contract Name DEER MEADOWS PHASE 5 Estimate Number I
Contract Limits Payment Number I
Project Type WATER&SEWER For Period Ending 3/19/2020
Project Funding
Project Manager NA City Secretary Contract Number
Inspectors OWEN / WILSON Contract Date
Contractor JACKSON CONSTRUCTION LTD Contract Time 270 CD
5112 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 $580,096.00
Less %Retained $0.00
Net Earned $580,096.00
Earned This Period $580,096.00
Retainage This Period $0.00 I
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 $580,096.00 `
I
f
Thursday,March 19,2020 Page 4 of 4
FORTWORTH
TRANSPORTATION AND PUBLIC WORKS
PIPE REPORT FOR:
PROJECT NAME: Deer Meadow Phase 5
PROJECT NUMBER: 101530
DOE NUMBER:
WATER
PIPE LAID SIZE TYPE OF PIPE LF
Open Cut 8" PVC 4679'
FIRE HYDRANTS: 5 VALVES(16" OR LARGER)
PIPE ABANDONED SIZE TYPE OF PIPE LF
DENSITIES:
NEW SERVICES: 1" Copper 3340'
1.5" Copper 85'
SEWER
PIPE LAID SIZE TYPE OF PIPE LF
Open Cut 8" PVC 4742'
PIPE ABANDONED SIZE TYPE OF PIPE LF
DENSITIES:
NEW SERVICES: 4" PVC 3800'
TRANSPORTATION AND PUBLIC WORKS
The City of Fort Worth• 1000 Throckmorton Street•Fort Worth,TX 76012-6311
(817)392-7941 •Fax: (817)392-7845
K
CONSTRUCTION LTD.
51 1 Z SUN VALLEY DRIVE
FORT WORTH,TX 76119
TEL:817-572-3303
FAX: 817-478-0443
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 Troy L. Jackson,
President Of Jackson Construction, Ltd, 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;
Deer Meadow Ph 5
BY
Troy .�Ja&7�sonPresident
Subscribed and sworn before me on this date 9th of December, 2019.
Not Pub c
Tarrant, Texas
CARMEN L. ESTEP
Notary Public,state of Texas
ra• .' Comm.Expires 04-06-2020
i4PC OF ZF'+�� Notary ID 2910611
�/illl\\9�9
CONSENT OF SURETY OWNFR ❑
TO FINAL PAYMENT APICI-1ITI:CT
ALA Document G707 CONTRACTOR ❑
SURETY 10
Bond No. 1074839 OTHFA 0
TO OWNER. ARCHITECT'S PROJECT NO.:
fNamew2dadtlym)
City of Fort Worth, TX
COACT FOR: Project No. 101530; Paving, Drainage
TX
PROJECT. CONTRACT BATED:
(Ncvne and ad*-,o
Deer Meadow Phase 5
In accordance with the provisions of the Contract between the Owner and the Contractor as indic atect above,the
(Insert name and addmnsq s1--M4))
The Hanover Insurance Company
440 Lincoln Street
Worcester MA 01653
SURETY,
on bond of
giwwnna?neandaddr vgfCowwctw)
Jackson Construction, Ltd.
5112 Sun Valley Drive
Fort Worth TX 76119
CONTRACTOR,
hereby approves of the final payment to the Contractor,and agrees that final payment to the Contractor shall not relieve the Surety of
any of its obligations to
(t,manatnaandadam-mofOwner)
City of Fort Worth,TX
TX
OWNRR,
as set Forth in said Surety's bond.
IN WITNESS WHEREOF,the Surety has hereun€a set its hand on this date: March 10, 2020
flawninmilingthernantbft1touvu4fivAvwanmic date arrr r¢anj
The Hanover Insurance Company
(Strtxy)'3
By: �7w)tt
(s�graturr ofatNborYzrAlrpruarriatit�l
:fattest:
� Teuta Luri Attorney-in-Fact
(Sea) ` Thomas Bork
tt'rintrd rtaure and titlr3
Surety Phone No. 508-853-7200 x-4476
THE HANOVER INSURANCE COMPANY
MASSACHUSETTS BAY INSURANCE COMPANY
CITIZENS INSURANCE COMPANY OF AMERICA
POWER OF ATTORNEY
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.
KNOW ALL PERSONS BY THESE PRESENTS:
That THE HANOVER INSURANCE COMPANY and MASSACHUSETTS BAY INSURANCE COMPANY,both being corporations organized and existing under the laws
of the State of New Hampshire,and CITIZENS INSURANCE COMPANY OF AMERICA,a corporation organized and existing under the laws of the State of Michigan,
(hereinafter individually and collectively the"Company')does hereby constitute and appoint,
Steven R.Foster,Jack M.Crowley,Laurie Pflug,and Teuta Luri
Of Willis Towers Watson Insurance Services West,Inc of Dallas,TX each individually,if there be more than one named,as its true and lawful attorney(s)-in-
fact to sign,execute,seal,acknowledge and deliver for,and on its behalf,and as its act and deed any place within the United States,any and all surety bonds,
recognizances,undertakings,or other surety obligations.The execution of such surety bonds,recognizances,undertakings or surety obligations,in pursuance of these
presents,shall be as binding upon the Company as if they had been duly signed by the president and attested by the secretary of the Company,in their own proper
persons.Provided however,that this power of attorney limits the acts of those named herein;and they have no authority to bind the Company except in the manner
stated and to the extent of any limitation stated below:
Any such obligations in the United States,not to exceed Thirty Five Million and No/100($35,000,000)in any single instance
That this power is made and executed pursuant to the authority of the following Resolutions passed by the Board of Directors of said Company,and said Resolutions
remain in full force and effect:
RESOLVED: That the President or any Vice President,in conjunction with any Vice President,be and they hereby are authorized and empowered to
appoint Attorneys-in-fact of the Company,in its name and as it acts,to execute and acknowledge for and on its behalf as surety,any and all bonds,
recognizances,contracts of indemnity,waivers of citation and all other writings obligatory in the nature thereof,with power to attach thereto the seal of the
Company.Any such writings so executed by such Attorneys-in-fact shall be binding upon the Company as if they had been duly executed and acknowledged
by the regularly elected officers of the Company in their own proper persons.
RESOLVED:That any and all Powers of Attorney and Certified Copies of such Powers of Attorney and certification in respect thereto,granted and executed
by the President or Vice President in conjunction with any Vice President of the Company,shall be binding on the Company to the same extent as if all
signatures therein were manually affixed,even though one or more of any such signatures thereon may be facsimile.(Adopted October 7,1981—The
Hanover Insurance Company;Adopted April 14, 1982—Massachusetts Bay Insurance Company;Adopted September 7,2001 —Citizens Insurance
Company of America and affirmed by each Company on March 24,2014)
IN WITNESS WHEREOF,THE HANOVER INSURANCE COMPANY,MASSACHUSETTS BAY INSURANCE COMPANY and CITIZENS INSURANCE COMPANY OF
AMERICA have caused these presents to be sealed with their respective corporate seals,duly attested by two Vice Presidents,this 10"'day of January,2020.
THE HANOVER INSnEC
COMPANY THE HANOVER INSURANCE COMPANY
MASSACHUSETTSURANCE COMPANY MASSACHUSETTS BAY INSURANCE COMPANY
CITIZENS INSU PANY OF AMERICA CITIZ NS INSURANCE COMPANY OF AMERICA
rya J Vice President J H.Kawiecki,Vice President
ura VOW&
THE COMMONWEALTH OF MASSACHUSETTS )
COUNTY OF WORCESTER )ss.
On this 10th day of January, 2020 before me came the above named Executive Vice President and Vice President of The Hanover Insurance Company,
Massachusetts Bay Insurance Company and Citizens Insurance Company of America,to me personally known to be the individuals and officers described herein,and
acknowledged that the seals affixed to the preceding instrument are the corporate seals of The Hanover Insurance Company,Massachusetts Bay Insurance Company
and Citizens Insurance Company of America,respectively,and that the said corporate seals and their signatures as officers were duly affixed and subscribed to said
instrument by the authority and direction of said Corporations.
ti, ARLEEN V. SIMONS
r� Notary Public
COMMOtAMTHOFMASSACHUSETTS Arleen .Simok Notary u le
My Commission Expires My Commission Expires June 15,2023
June 15, 2023
I,the undersigned Vice President of The Hanover Insurance Company,Massachusetts Bay Insurance Company and Citizens Insurance Company of America,hereby
certify that the above and foregoing is a full,true and correct copy of the Original Power of Attorney issued by said Companies,and do hereby further certify that the
said Powers of Attorney are still in force and effect.GIVEN under my hand and the seals of said Companies,at Worcester,Massachusetts,this rQ damay of HQA C�) e[[�
0rq 0
CERTIFIED COPY THE HANOVER INSURANCE COMPANY
MA CHUSETTS BAY INSURANCE COMPANY
1 NS INSU_ QMPANY OF AMERICA
{ Carrick A.Bilgh, sktent
4 The
Hanover The Hanover Insurance Company 1 440 Lincoln Street Worcester,MA 01653
4n Insurance Group® Citizens insurance Company of America 1 645 West Grand River Avenue,Howell,MI 48843 Texas Complaint Notice
IMPORTANT NOTICE AVISO IMPORTANTE
To obtain information or make a complaint: Para obtener informacion o para someter una queja:
You may call The Hanover Insurance Company/Citizens Usted puede Ilamar al numero de telefono gratis de The
Insurance Company of America's toll-free telephone Hanover Insurance Company/Citizens Insurance Company
number for information or to make a complaint at: of America's para informacion o para someter una queja al:
1-800-608-8141 1-800-608-8141
You may also write to The Hanover insurance Company/ Usted tambien puede escribir a The Hanover Insurance
Citizens Insurance Company of America at: Company/Citizens Insurance Company of America al:
440 Lincoln Street 440 Lincoln Street
Worcester, MA 01615 Worcester, MA 01615
You may contact the Texas Department of Insurance to Puede comunicarse con el Departamento de Seguros de
obtain information on companies, coverages, rights or Texas para obtener informacion acerca de companias,
complaints at: coberturas, derechos o quejas al:
1-800-252-3439 1-800-252-3439
You may write the Texas Department of Insurance: Puede escribir al Departamento de Seguros de Texas:
P. O. Box 149104 P. O. Box 149104
Austin, TX 78714-9104 Austin, TX 78714-9104
Fax: (512) 475-1771 Fax: (512) 475-1771
Web: http://www.tdi.texas.gov Web: httpJ/www.tdi.texas.gov
E-mail: ConsumerProtection@tdistate.tx.us E-mail: ConsumerProtection@tdi.state.tx.us
PREMIUM OR CLAIM DISPUTES: DISPUTAS SOBRE PRIMAS O RECLAMOS:
Should you have a dispute concerning your premium or Si tiene una disputa concerniente a su prima o a un rec-
about a claim you should contact the agent or the com- lamo, debe comunicarse con el agente o la compania
pany first If the dispute is not resolved, you may contact primero. Si no se resuelve la disputa, puede entonces
the Texas Department of Insurance. comunicarse con el departamento (fDI).
ATTACH THIS NOTICE TO YOUR POLICY:This notice is UNA ESTE AVISO A SU POLIZA: Este aviso es solo para
for information only and does not become a part or con- proposito de informacion y no se convierte en parte o
dition of the attached document. condicion del documento adjunto.
181-1457(511Z