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HomeMy WebLinkAboutContract 51210-FP3 City Secretary 51210 -FP3 Contract No. FORTWORTH., Date Received J u n 1,2020 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: Paving, Water, Sewer, Drainage Mistletoe Station City Project No.: 101489 Improvement Type(s): ❑ Paving ❑ Drainage ® Street Lights ❑ Traffic Signals Original Contract Rice: $40,000.00 Amount of Approved Change Order(s): Revised Contract Amount: $40,000.00 Total Cost of Work Complete: $40,000.00 Z,,- May 29,2020 Contractor Date President, Mananging Member Title Mistletoe Station, LLC Company Name Tesse Q4efin May 29,2020 Tesse Guptin(May29,202012:40 CDT) Project Inspector Date Yoggh td Jun 1,2020 Yogfsh Patel(Jun 1,202010:31 CDT) Project Manager Date LAartc -Ler— Laurie Lewis(Jun 1,202010:36 CDT) Jun 1,2020 CFA Manager Date Dana Burandaff Jun 1 2020 DanaBur¢hdoff un 1,202011:03 CDT) f Asst. City Manager Date OFFICIAL RECORD CITY SECRETARY Page 1 of 2 FT. WORTH, TX Notice of Project Completion Project Name: Paving, Water, Sewer, Drainage Mistletoe Station City Project No.: 101489 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: 365 CD Days Charged: 585 Work Start Date: 9/10/2018 Work Complete Date: 4/16/2020 Page 2of2 FORT WORTH CITY OF FORT WORTH FINAL PAYMENT REQUEST Contract Name PAVING,WATER,SEWER&DRAINAGE IMPROVEMENTS TO SERVE M Contract Limits Project Type STREET LIGHTING City Project Numbers 101489 DOE Number 1014 Estimate Number 1 Payment Number 1 For Period Ending 4/30/2020 CD City Secretary Contract Number Contract Time 36ED Contract Date 8/6/2018 Days Charged to Date 585 Project Manager NA Contract is 100.00 Complete Contractor MAKER BROS,LLC 4901 KELLER SPRINGS,SUITE 1010 ADDISON, TX 75001 Inspectors CORDOVA / GUPTIN Wednesday,May 20,2020 Page 1 of 4 City Project Numbers 101489 DOE Number 1014 Contract Name PAVING,WATER,SEWER&DRAINAGE IMPROVEMENTS TO SERVE Estimate Number 1 Contract Limits Payment Number 1 Project Type STREET LIGHTING For Period Ending 4/30/2020 Project Funding UNIT V:STREET LIGHTING Item Description of Items Estimated Unit Unit Cost Estimated Completed Completed No. Quanity Total Quanity Total --------------------------------------- 1 FURNISH/INSTALL RDWY ILLUM 6 EA $2,000.00 $12,000.00 6 $12,000.00 FOUNDATION TY 11 2 FURNISH/INSTALL OLEANDER POLE AND 6 EA $4,541.67 $27,250.02 6 $27,250.02 LUMINATE 3 FURNISH/INSTALL LED LIGHTING FIXTURE 1 EA $749.98 $749.98 1 $749.98 (137 WATT AT B2 COBRA HEAD) -------------------------------------- Sub-Total of Previous Unit $40,000.00 $40,000.00 -------------------------------------- Wednesday,May 20,2020 Page 2 of 4 City Project Numbers 101489 DOE Number 1014 Contract Name PAVING,WATER,SEWER&DRAINAGE IMPROVEMENTS TO SERVE Estimate Number 1 Contract Limits Payment Number 1 Project Type STREET LIGHTING For Period Ending 4/30/2020 Project Funding Contract Information Summary Original Contract Amount $40,000.00 Chanize Orders Total Contract Price $40,000.00 Total Cost of Work Completed $40,000.00 Less %Retained $0.00 Net Earned $40,000.00 Earned This Period $40,000.00 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 $40,000.00 Wednesday,May 20,2020 Page 3 of 4 City Project Numbers 101489 DOE Number 1014 Contract Name PAVING,WATER,SEWER&DRAINAGE IMPROVEMENTS TO SERVE Estimate Number 1 Contract Limits Payment Number 1 Project Type STREET LIGHTING For Period Ending 4/30/2020 Project Funding Project Manager NA City Secretary Contract Number Inspectors CORDOVA / GUPTIN Contract Date 8/6/2018 Contractor MAKER BROS,LLC Contract Time 365 CD 4901 KELLER SPRINGS,SUITE 1010 Days Charged to Date 585 CD ADDISON, TX 75001 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 $40,000.00 Less %Retained $0.00 Net Earned $40,000.00 Earned This Period $40,000.00 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 $40,000.00 Wednesday,May 20,2020 Page 4 of 4 AFFIDAVIT STATE OF Texas COUNTY OF Dallas Before me, the undersigned authority, a notary public in the state and county aforesaid, on this day personally appeared Justin Bailey, Manager Of Maker Bros. LLC, 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; Paving, Water, Sewer&Drainage Improvments to Serve Mistletoe Station - City Project No. 101489 BY -7us6n Baile anager Subscribed and sworn before me on this date 22 of May, 2020. Nota Public Dall s County, Texas "�kIN"', a''' JASQN MARK GRANT Notary Public,State of Texas Comm. Expires 05-22-2022 Notary 10 131578381 Consent of Surety OWNER ❑ to Final Payment ARCHITECT ❑ CONTRACTOR ❑ SURETY ❑ AIA DOCUMENT G707 OTHER ❑ Bond No. 46BCSHW1584 TO OWNER ARCHITECT'S PROJECT NO. (Name and address) Mistletoe Station, LLC CONTRACT FOR: Construction 5501-A Balcones Drive, Suite 302 Austin, TX 78731 PROJECT: Paving,Water, Sewer & Drainage Improvements to Serve Mistletoe Station Aame and address) CONTRACT DATED: August 06, 2018 In accordance with the provisions of the Contract between the Owner and the Contractor as included above, the Hartford Fire Insurance Company One Hartford Plaza, Hartford, CT 06155-0001 (insert name and address of Surety) SURETY; on bond of Maker Bros., LLC _ -- -- - -- (lnsett name and address of Contractor) - — ---- 4901 Keller Springs, Suite101, Addison, TX 75001 _, 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 Mistletoe Station, LLC (insert name and address of Owner) 5501-A Balcones Drive, Suite 302, Austin, TX 78731 __— OWNER, as set forth in the said Surety's bond. IN WITNESS WHEREOF, the Surety has hereunto set its hand on this date: Marrth 7_,�,909 (Insert in wnting the month followed by the numeric date and year) Hartford Fire Insurance Company (S ty) „ Attest: (Seal): (Signatur4authori esentatitreL Amber Jones, Attorney-in-Fast (Printed name and title Printed in cooperation with the American Institute of Architects(AIA) The language in this document conforms exactly to the language used in AIA Document G707-Consent of Surety Company to-Final Payment 1994 Edition. �` Direct Inquiries/Claims to: THE HARTFORD POWER OF ATTORNEY Bond Hartford One Hartford Plaza Hartford,Connecticut 06155 call:888-266-3488 or fax:860-757-5835) KNOW ALL PERSONS BY THESE PRESENTS THAT: Agency Code:46-508894 © Hartford Fire Insurance Company, a corporation duly organized under the laws ofthe State of Connecticut 0 Hartford Casualty Insurance Company,a corporation duly organized under the laws ofthe State of Indiana © Hartford Accident and Indemnity Company, a corporation duly organized under the laws ofthe State of Connecticut Hartford underwriters Insurance Company,a corporation duly organized under the laws ofthe State of Connecticut Twin City Fire Insurance Company, a corporation duly organized under the laws ofthe State of Indiana Hartford Insurance Company of Illinois,a corporation duly organized under the laws ofthe State of Illinois Hartford Insurance Company of the Midwest,a corporation duly organized under the laws ofthe State oflndiana Hartford Insurance Company of the Southeast,a corporation duly organized under the laws ofthe State of Florida having their home office in Hartford, Connecticut(hereinafter collectively referred to as the "Companies")do hereby make, constitute and appoint, up to the amount of Unlimited Julie Baumberger, Amber Jones, April Penny, Darrin J. Weber of DALLAS, Texas their true and lawful Attorney(s)-in-Fact, each in their separate capacity if more than one is named above,to sign its name as surety(ies)only as delineated above by®,and to execute,seal and acknowledge any and all bonds, undertakings, contracts and other written instruments 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, and as authorized by a Resolution of the Board of Directors of the Companies on August 1, 2009, the Companies have caused these presents to be signed by its Vice President and its corporate seals to be hereto affixed, duly attested by its Assistant Secretary. Further, pursuant to Resolution of the Board of Directors of the Companies, the Companies hereby unambiguously affirm that they are and will be bound by any mechanically applied signatures applied to this Power of Attorney. tri�>v '� atitrs,yr /i''co1,r.� �"•� Lee 7, a ��°�rrr�cA�, aaWl► L079 Yet W97 John Gray,Assistant Secretary M.Ross Fisher, Vice President STATE OF CONNECTICUT ss. Hartford COUNTY OF HARTFORD On this 12th day of July,2012, before me personally came M. Ross Fisher,to me known, who being by me duly sworn,did depose and say:that he resides in the County of Hartford, State of Connecticut:that he is the Vice President of the Companies,the corporations described in and which executed the above instrument;that he knows the seals of the said corporations;that the seals affixed to the said instrument are such corporate seals:that they were so affixed by authority of the Boards of Directors of said corporations and that he signed his name thereto by like authority. �tx r•y / y4 Kathleen T.Maynard CERTIFICATE Notary Public My Commission Expires July 31.2U 16 I,the undersigned,Vice President of the Companies,DO HEREBY CERTIFY that the above and foregoing is a trt�t aM correct copy of the Power of Attorney executed by said Companies,which is still in full force effective as of March 23, 2020. Signed and sealed at the City of Hartford. _ `• -_ truer t�nrs r ��/yra•"icc ��AYr�i �� �:�tco..r.+rri f L 0 SI r •�/0�\71^ W�97 p79 �� �4 I97. _` • l- Kevin Heckman,Assistant Vice President POA 2012 THE Producer Compensation Notice MkTFORD You can review and obtain information on The Hartford's producer compensation practices at www.thehartford.com or at 1-800-592-5717 HR 00 H093 00 0207 ©2007, The Hartford Page 1 of 1 IMPORTANT NOTICE AVISO IMPORTANTE To obtain information or make a complaint: Para obtener informacion o para presentar una queja: You may contact your Agent. Usted puede comunicarse con su Agente. You may call The Hartford's Consumer Affairs toll- Usted puede llamar at numero de telefono free telephone number for information or to make gratuito de The Hartford's Consumer Affairs a complaint at: para obtener informacion o para presentar una queja at: 1-800-451-6944 1-800-451-6944 You may contact the Texas Department of Usted puede comunicarse con el Departamento Insurance to obtain information on companies, de Seguros de Texas para obtener informacion coverages, rights, or complaints at: sobre companias, coberturas, derechos, o quejas at: 1-800-252-3439 1-800-252-3439 You may write the Texas Department of Insurance: Usted puede escribir at Departamento de Seguros de Texas a: P.O. Box 149104 P.O. Box 149104 Austin, TX 78714-9104 Austin, TX 78714-9104 Fax: (512) 490-1007 Fax: (512) 490-1007 Web: www.tdi.texas.go v Sitio web: www.tdi.texas.gov E-mail: ConsumerProtection@tdi.texas.go v E-mail: ConsumerProtection@tdi.texas.Qov PREMIUM OR CLAIM DISPUTES: DISPUTAS POR PRIMAS DE SEGUROS 0 RECLAMACIONES: Should you have a dispute concerning your Si tiene una disputa relacionada con su prima premium or about a claim, you should contact the de seguro o con una reclamacion, usted debe (agent) (company) (agent or the company) first. If comunicarse con (el agente) (la compania) (el the dispute is not resolved, you may contact the agente o la compania) primero. Si la disputa no Texas Department of Insurance. es resuelta, usted puede comunicarse con el Departamento de Seguros de Texas. ATTACH THIS NOTICE TO YOUR POLICY: ADJUNTE ESTE AVISO A SU POLIZA: Este aviso This notice is for information only and does not es solamente para propositos informativos y no become a part or condition of the attached se convierte en parte o en condicion del document. documento adjunto. ®2018 by The HaMord Clessdication:Internally Controlled.All rights reserved No part of this document may be reproduced,pubkshed or used without the permission of The Hartford.