HomeMy WebLinkAboutContract 52450-FP1 City Secretary 52450 -FP1
Contract No.
FORTWORTH., Date Received May 28,2020
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: Texas Health Resource New Patient Tower
City Project No.: 101936
Improvement Type(s): Water ® Sewer ❑
Original Contract Price: $347,025.00
Amount of Approved Change Order(s): $26,067.00
Revised Contract Amount:
Total Cost of Work Complete: $373,092.00
May 27, 2020
n Biermeier(May 27 202010:47 CDT
Contractor Date
VP of Operations
Title
Tri Dal Utilities, Ltd.
Company Name
7tWej Vdia M a y
Lames Ruiz(May 27,202010:51 CDT) 27 2020
Project Inspector Date
og Aes hel(P�e02015:56CDT) May 27, 2020
Project Manager Date
Laurie Lewis ,202016 May 27,2020
CFA Manager Date
` iml X�Ahd� May 27 2020
Dana Burghdoff(M y27,202 7:17CDT) y
Asst. City Manager Date
OFFICIAL RECORD
CITY SECRETARY Page 1 of 2
FT. WORTH, TX
Notice of Project Completion
Project Name:Texas Health Resource New Patient Tower
City Project No.: 101936
City's Attachments
Final Pay Estimate
Change Order(s): ® Yes ❑ N/A
Pipe Report: ® Yes ❑ N/A
Contractor's Attachments
Affidavit of Bills Paid
Consent of Surety
Statement of Contract Time
Contract Time: 90 CD Days Charged: 242
Work Start Date: 7/22/2019 Work Complete Date: 4/17/2020
Page 2of2
FORT WORTH
CITY OF FORT WORTH
FINAL PAYMENT REQUEST
Contract Name WATER IMPROVEMENTS TO SERVE TEXAS HEALTH RESOURCES NE
Contract Limits
Project Type WATER
City Project Numbers 101936
DOE Number 1936
Estimate Number 1 Payment Number 1 For Period Ending 4/30/2020
CD
City Secretary Contract Number Contract Time 9ED
Contract Date 4/16/2019 Days Charged to Date 242
Project Manager NA Contract is 100.00 Complete
Contractor TRI DAL EXCAVATION&UTIL11TES INC
540 COMMERCE ST
SOUTHLAKE, TX 76092
Inspectors CORDOVA / RUIZ,JAMES
Thursday,April 30,2020 Page 1 of 5
City Project Numbers 101936 DOE Number 1936
Contract Name WATER IMPROVEMENTS TO SERVE TEXAS HEALTH RESOURCES Estimate Number 1
Contract Limits Payment Number 1
Project Type WATER For Period Ending 4/30/2020
Project Funding
UNIT L•WATER IMPROVEMENTS
Item Description of Items Estimated Unit Unit Cost Estimated Completed Completed
No. Quanity Total Quanity Total
---------------------------------------
1 WATER LINE GROUTING 18 CY $930.00 $16,740.00 18 $16,740.00
2 4"-12"PRESSURE PLUG 6 EA $3,280.00 $19,680.00 6 $19,680.00
3 SALVAGE FIRE HYDRANT 2 EA $850.00 $1,700.00 2 $1,700.00
4 SALVAGE 1 1/2"WATER METER 1 EA $850.00 $850.00 1 $850.00
4 REMOVE CONCRETE WATER VAULT 1 EA $4,500.00 $4,500.00 1 $4,500.00
5 4"-12"WATER ABANDONMENT PLUG 3 EA $2,200.00 $6,600.00 3 $6,600.00
6 S WIDE ASPHALT PVMT REPAIR,ARTERIAL 333 LF $175.00 $58,275.00 333 $58,275.00
7 CONC PVMT REPAIR,ARTERIAUINDUSTRIAL 24 SY $215.00 $5,160.00 24 $5,160.00
8 4"CONC SIDEWALK 32 SF $12.00 $384.00 32 $384.00
9 6"CONC CURB&GUTTER 68 LF $37.00 $2,516.00 68 $2,516.00
10 SEEDING HYDROMULCH 46 SY $22.00 $1,012.00 46 $1,012.00
11 TRENCH SAFETY 487 LF $1.00 $487.00 487 $487.00
12 DUCTILE IRON WATER FTI'TINGS 2 TN $3,109.00 $6,218.00 2 $6,218.00
W/RESTRAINT
14 8"PVC WATER PIPE 106 LF $131.00 $13,886.00 106 $13,886.00
15 10"PVC WATER PIPE 30 LF $284.00 $8,520.00 30 $8,520.00
16 12"PVC WATER PIPE 327 LF $293.00 $95,811.00 327 $95,811.00
17 FIRE HYDRANT ASSEMBLY 2 EA $6,775.00 $13,550.00 2 $13,550.00
18 CONNECTION TO EXISTING 4"-12"WATER 3 EA $4,750.00 $14,250.00 3 $14,250.00
MAIN
19 2"WATER SERVICE W/METER 1 EA $2,700.00 $2,700.00 1 $2,700.00
20 4"WATER METER&VAULT 1 EA $13,600.00 $13,600.00 1 $13,600.00
21 8"GATE VALVE 3 EA $1,350.00 $4,050.00 3 $4,050.00
22 12"GATE VALVE 5 EA $2,450.00 $12,250.00 5 $12,250.00
23 10"CUT-IN GATE VALVE 1 EA $7,000.00 $7,000.00 1 $7,000.00
25 12"X8"CUT-IN TEE 3 EA $7,500.00 $22,500.00 3 $22,500.00
26 6"PVC WATER PIPE(CO Al) 24 LF $122.00 $2,928.00 24 $2,928.00
27 6"WATER METER&VAULT(CO Al) 1 EA $16,500.00 $16,500.00 1 $16,500.00
28 6"GATE VALVE(CO Al) 1 EA $975.00 $975.00 1 $975.00
29 10"GATE VALVE(CO Al) 1 EA $1,950.00 $1,950.00 1 $1,950.00
30 12"X8"TAPPING SLEEVE&VALVE(CO Al) 2 EA $7,900.00 $15,800.00 2 $15,800.00
31 12"X2"TAPPING SLEEVE&VALVE(CO Al) 1 EA $2,700.00 $2,700.00 1 $2,700.00
Thursday,April 30,2020 Page 2 of 5
City Project Numbers 101936 DOE Number 1936
Contract Name WATER IMPROVEMENTS TO SERVE TEXAS HEALTH RESOURCES Estimate Number 1
Contract Limits Payment Number 1
Project Type WATER For Period Ending 4/30/2020
Project Funding
--------------------------------------
Sub-Total of Previous Unit $373,092.00 $373,092.00
--------------------------------------
Thursday,April 30,2020 Page 3 of 5
City Project Numbers 101936 DOE Number 1936
Contract Name WATER IMPROVEMENTS TO SERVE TEXAS HEALTH RESOURCES Estimate Number 1
Contract Limits Payment Number 1
Project Type WATER For Period Ending 4/30/2020
Project Funding
Contract Information Summary
Original Contract Amount $347,025.00
Chanize Orders
Change Order Number Al $26,067.00
Total Contract Price $373,092.00
Total Cost of Work Completed $373,092.00
Less %Retained $0.00
Net Earned $373,092.00
Earned This Period $373,092.00
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 $373,092.00
Thursday,April 30,2020 Page 4 of 5
City Project Numbers 101936 DOE Number 1936
Contract Name WATER IMPROVEMENTS TO SERVE TEXAS HEALTH RESOURCES Estimate Number 1
Contract Limits Payment Number 1
Project Type WATER For Period Ending 4/30/2020
Project Funding
Project Manager NA City Secretary Contract Number
Inspectors CORDOVA / RUIZ,JAMES Contract Date 4/16/2019
Contractor TRI DAL EXCAVATION&UTILITIES INC Contract Time 90 CD
540 COMMERCE ST Days Charged to Date 242 CD
SOUTHLAKE, TX 76092 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 $373,092.00
Less %Retained $0.00
Net Earned $373,092.00
Earned This Period $373,092.00
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 $373,092.00
Thursday,April 30,2020 Page 5 of 5
DocuSign Envelope ID:EB516564-69DC-4D58-8EB4-80B97B482D83
DEVELOPER-AWARDED-PROJECT CHANGE ORDER
PROJECT NAME: Water Improvements to serve Texas Health Resources New Patient Tower CHANGE
CONTRACT: A Water ORDER No:
CFA# 19-0001 1 CITY PARTICIPATION: No
CITY PROJECT# 101936
DOE#
Al
WATER PROJECT# 56008-0600430-101936-001580
SEWER PROJECT#
FILE# X-25899
INSPECTOR: James Ruiz Phone No: (817)392-8306
PROJECT MANAGER: Yogesh Patel Phone No: (817)392-2373
CONTRACT UNIT
WATER SEWER PAVING DRAINAGE STREET LIGHTS CONTRACT
Developer Developer Developer Developer Developer DAYS
Cost City Cost Cost City Cost Cost City Cost Cost City Cost Cost City Cost
ORIGINAL CONTRACT $347,025.00 90
EXTRAS TO DATE $0.00
CREDITS TO DATE $0.00
CONTRACT TO DATE $347,025.00 $0.00 1 90
AMOUNT OF PROP.CHANGE ORDER $ 26,067.00
REVISED CONTRACT AMOUNT $373,092.00 $0.00 90
TOTAL REVISED CONTRACT AMOUNT
PER UNIT $373,092.00 $0.00 $0.00 $0.00 $0.00
REVISED COST SHARE Dev.Cost: $373,092.00 City Cost: $0.00
TOTAL REVISED CONTRACT $373,092.00
Revised:10.12-2011 Page 1
DocuSign Envelope ID:EB516564-69DC-4D58-8EB4-80B97B482D83
You are directed to make the followingthan es in the contract documents:
CITY BID ITEM
PAY ITEM# # QUANTITY UNIT ITEM DESCRIPTION UNIT PRICE TOTAL
3 0241.1510 -1 EA Salvage Fire Hydrant $ 850.00 $ 850.00
11 3305.0109 42 LF Trench Safety $ 1.00 $ 42.00
13 Deleted 3311.0061 -54 LF 4"PVC Water Pie $ 115.00 $ (6,210.00)
14 3311.0261 72 LF B"PVC Water Pie $ 131.00 $ 9,432.00
20 3312.2802 -1 EA 4"Water Meter&Vault $13,600.00 $ 13 600.00
21 3312.3003 1 EA 8"Gate Valve $ 1,350.00 $ 1,350.00
22 3312.3005 1 EA 12"Gate Valve $ 2,450.00r$ 14,900.00
450.00
24 Deleted 3312.4106 -2 EA 12"x6"Tapping Sleeve&Valve $ 7.450.0025 9999.0001 1 EA 12'X8"Cut-In Tee $ 7,500.00 500.0026 3311.0161 24 LF 6°PVC Water PI e $ 122.00 ,928.0027 3312.2803 1 EA 6"Water Meter&Vault $16,500.00 ,500.0028 3312.3002 1 EA 6'Gale Valve $ 975.00975.0029 3312.3004 1 EA 10"Gate Valve $ 1,950.00 ,950.0030 3312.4107 2 EA 12"x8'Ta in Sleeve&Valve $ 7,900.00 ,800.0031 9999.0002 1 EA 12"x2"Ta in Saddle&Valve $ 2,700.00 ,700.00
WalerTotal $ 26 067.00
REASONS FOR CHANGE ORDER Coordination with Surgery Tower construction.
RECOMMENDED: APPROVED: APPROVED:
Teague Nall&Perkins.Inc. Tti 4' !
Texas Health Resources
l� DocoSipnetl by:
By: ` By: , ._.. By: ��JVIaw tkb�1t,S
=oa�ars
Name: Scott Gibson,P.E. Namermeler Name: Brian Holmes
Title:Senior Protect Manager Titleident of Operations Title: Senior Vice President
Revised:10-12-2011 Page 2
FORTWORTH
TRANSPORTATION AND PUBLIC WORKS
PIPE REPORT FOR:
PROJECT NAME: TEXAS HEALTH RESOURCE NEW PATIENT TOWER
PROJECT NUMBER: 101936
DOE NUMBER: NIA
WATER
PIPE LAID SIZE TYPE OF PIPE LF
PVC C-q 0 L 6" PVC 24
PVC G q,p O 8" PVC 34
PVC 10" PVC 30
PVC C- (D 0 12" PVC 327
FIRE HYDRANTS: 2 VALVES(16" OR LARGER) N/A
PIPE ABANDONED SIZE TYPE OF PIPE LF
PVC 8" PVC 85'
DENSITIES: LAB TOOK DENSITY TEST ON ALL LINES AND PASSED
NEW SERVICES: 2" Copper 30'
SEWER
PIPE LAID SIZE TYPE OF PIPE LF
N/A N/A N/A N/A
PIPE ABANDONED SIZE TYPE OF PIPE LF
N/A N/A N/A N/A
DENSITIES:
NEW SERVICES:
TRANSPORTATION AND PUBLIC WORKS
The City of Fort Worth• 1000 Throckmorton Street•Fort Worth,TX 76012-6311
(817)392-7941 •Fax: (817)392-7845
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 Scott Langham,
Project Manager Of Tri Dal Utilities, 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;
Harris Parkway Medical Development City Project#: 101900
BY (J4_4��'�' (?-,
Scott Langham
Subscribed and sworn before me on this date 19th of May, 2020.
Notary ublic �-`' �'
Tarrant County, Texas
OF I
06-2
CONSENT OF OWNER ❑
SURETY COMPANY ARCHITECT ❑
TO FINAL PAYMENT CONTRACTOR ❑
AIA DOCUMENT G707 SURETY ❑
OTHER ❑ Bond# 107053012
PROJECT: Water Improvements to Serve Texas Health Resources New Patient Tower-City Project No. 1016936 CFA
19-0001
TO(Owner): CONTRACT FOR: Construction
City of Fort Worth
1000 Throckmorton Street
Fort Worth,TX 76102 CONTRACT DATE:
CONTRACTOR:
Tri Dal Utilities, Ltd.
In accordance with the provisions of the Contract between the Owner and the Contractor as indicated above,the
Travelers Casualty and Surety Company of America
One Tower Square
Hartford,CT 06183 ,SURETY COMPANY,
on bond of
Tri Dal Utilities, Ltd.
540 Commerce St.
Southlake,TX 76092 ,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
City of Fort Worth
1000 Throckmorton Street
Fort Worth,TX 76102 ,OWNER,
As set fortis in the said Surety Company's bond
IN WITNESS WHEREOF,
the Surety Company has hereunto set its hand this 30th day of Ate,2020.
_Travelers Casualty and Surety Company of America
Surety
r Si natlere rthorrz Ares rive
Attest: _
(Seal) , Eric LeSch,Witness Felix Nave•ar
Name '_,'y h ocui..k-?4u
HARTFORD. .
r. CONN.
i
A A DOCUMENT G707 CONSENT OF SURETY COMPANY TO F1NAL PAYMENT APRII.1970 EDITION''r�}rCa�
C 1970 T11E AMERICAN INSTITUTE OF ARCHFFECTS,1735 NEW YORK AVE.,NW.WASHINGTON,D.C. 2 60tPOPI
TRAVELERS Travelers Casualty and Surety Company of America
Travelers Casualty and Surety Company
St Paul Fire and Marine Insurance Company
POWER OF ATTORNEY
KNOW ALL MEN BY THESE PRESENTS:That Travelers Casualty and Surety Company of America,Travelers Casualty and Surety Company,and St.
Paul Fire and Marine Insurance Company are corporations duly organized under the laws of the State of Connecticut(herein collectively called the
"Companies"),and that the Companies do hereby make,constitute and appoint Felix Navejar,of Grapevine,Texas,their true and lawful Attomey-in-
Fact to sign,execute,seal and acknowledge any and all bonds,recognizances,conditional undertakings and other writings obligatory in the nature
thereof on behalf of the Companies in their business of guaranteeing the fidelity of persons,guaranteeing the performance of contracts and executing or
guaranteeing bonds and undertakings required or permitted in any actions or proceedings allowed by law.
IN WITNESS WHEREOF,the Companies have caused this instrument to be signed,and their corporate seals to be hereto affixed,this 3rd day of February,
2017.
t By:
rQ a Robert L.Raney,Se or Vice President
State of Connecticut
City of Hartford ss.
On this the 3rd day of February,2017,before me personally appeared Robert L.Raney,who acknowledged himself to be the Senior Vice President of
Travelers Casualty and Surety Company of America,Travelers Casualty and Surety Company,and St. Paul Fire and Marine Insurance Company, and
that he,as such,being authorized so to do,executed the foregoing instrument for the purposes therein contained by signing on behalf of the corporations
by himself as a duly authorized officer.
In Witness Whereof,I hereunto set my hand and official seal. a
My Commission expires the 30th day of June,2021 s �� C U
* Man C.Tetreault,Notary Public
This Power of Attorney is granted under and by the authority of the following resolutions adapted by the Boards of Directors of Travelers Casualty and
Surety Company of America,Travelers Casualty and Surety Company,and St.Paul Fire and Marine Insurance Company,which resolutions are now in
full force and effect,reading as follows:
RESOLVED,that the Chairman,the President,any Vice Chairman, any Executive Vice President, any Senior Vice President, any Vice President,any
Second Vice President,the Treasurer, any Assistant Treasurer,the Corporate Secretary or any Assistant Secretary may appoint Attorneys-in-Fact and
Agents to act for and on behalf of the Company and may give such appointee such authority as his or her certificate of authority may prescribe to sign with
the Company's name and seal with the Company's seal bonds, recognizanoes, contracts of indemnity,and other writings obligatory in the nature of a
bond,recognizance,or conditional undertaking,and any of said officers or the Board of Directors at any time may remove any such appointee and revoke
the power given him or her,and it is
FURTHER RESOLVED,that the Chairman, the President, any Vice Chairman, any Executive Vice President, any Senior Vice President or any Vice
President may delegate all or any part of the foregoing authority to one or more officers or employees of this Company,provided that each such delegation
is in writing and a copy thereof is filed in the office of the Secretary;and it is
FURTHER RESOLVED, that any bond, recognizance,contract of indemnity,or writing obligatory in the nature of a bond, recognizance, or conditional
undertaking shall be valid and binding upon the Company when(a)signed by the President,any Vice Chairman,any Executive Vice President,any Senior
Vice President or any Vice President, any Second Vice President, the Treasurer, any Assistant Treasurer, the Corporate Secretary or any Assistant
Secretary and duly attested and sealed with the Company's seal by a Secretary or Assistant Secretary;or(b)duly executed(under seal, if required)by
one or more Attorneys-in-Fact and Agents pursuant to the power prescribed in his or her certificate or their certificates of authority or by one or more
Company officers pursuant to a written delegation of authority;and it is
FURTHER RESOLVED,that the signature of each of the following officers:President,any Executive Vice President,any Senior Vice President,any Vice
President,any Assistant Vice President,any Secretary,any Assistant Secretary,and the seal of the Company may be affixed by facsimile to any Power
of Attorney or to any certificate relating thereto appointing Resident Vice Presidents,Resident Assistant Secretaries or Attomeys-in-Fad for purposes only
of executing and attesting bonds and undertakings and other writings obligatory in the nature thereof,and any such Power of Attorney or certificate bearing
such facsimile signature or facsimile seal shall be valid and binding upon the Company and any such power so executed and certified by such facsimile
signature and facsimile seal shall be valid and binding on the Company in the future with respect to any bond or understanding to which it is attached.
I, Kevin E. Hughes, the undersigned, Assistant Secretary of Travelers Casualty and Surety Company of America, Travelers Casualty and Surety
Company,and St.Paul Fire and Marine Insurance Company,do hereby certify that the above and fare ojng j�a true and correct copy of the Power of
r Attorney executed by said Companies,which remains in full foe and effect. .+N��+'+u+et„,�
.•`' �
Dated this 30th day of April,2020. .��+ ..,,. �
mom':
WAMM , _ TFORp••: ,
. . : ate
'.-. ,Kevin W�jga� ,Assilitant Secretary
ro verity Me authenbcpty of this Power ofAttvrney, �+�88�
Please refur tv the above-named Attivrrfey-In-Pact and the details of the bor�brl�p,y (trbl►e power is attached.