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Home My WebLink AboutContract 52739-FP2 City Secretary 52739 -FP2 Contract No. FORTWORTH., Date Received Jun 5,2020 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: RANDOL MILL VALLEY ESTATES City Project No.: 101581 Improvement Type(s): ❑ Paving ❑ Drainage ® Street Lights ❑ Traffic Signals Original Contract Price: $49,844.75 Amount of Approved Change Order(s): Revised Contract Amount: Total Cost of Work Complete: $49,844.75 Richard Wol n 3,202011:25 CDT) Jun 3,2020 Contractor Date President Title Independent Utility Construction, Inc. Company Name a-4 vbaG raon4i-k Cristobal Fuentes(Jun 4,2020 07:36 CDT) Jun 4,2020 P ' ct 1pspector Date KhalJaafari(Ju 0201 . CDT) Jun 4,2020 Project ana er Date MWM W/J� Laurie Lewis(Jun 5,202007:23 CDT) Jun 5,2020 CFA Manager Date 2f)aN141 A&6E Jun 52020 Dana Burghdoff(Mn 5,202 0:37 CDT) f Asst. City Manager Date OFFICIAL RECORD CITY SECRETARY Page 1 of 2 FT. WORTH, TX Notice of Project Completion Project Name: RANDOL MILL VALLEY ESTATES City Project No.: 101581 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: 60 CD Days Charged: 60 Work Start Date: 10/2/2019 Work Complete Date: 5/22/2020 Page 2of2 FORT WORTH CITY OF FORT WORTH FINAL PAYMENT REQUEST Contract Name RANDOL MILL VALLEY ESTATES Contract Limits Project Type ST LIGHT City Project Numbers 101581 DOE Number 1581 Estimate Number 1 Payment Number 1 For Period Ending 6/2/2020 CD City Secretary Contract Number Contract Time RID Contract Date Days Charged to Date 60 Project Manager NA Contract is 100.00 Complete Contractor INDEPENDENT UTILITY CONSTRUCTION 5109 SUN VALLEY DRIVE FORT WORTH, TX 76119 Inspectors DICKINSON/ FUENTES Tuesday,June 2,2020 Page 1 of 4 City Project Numbers 101581 DOE Number 1581 Contract Name RANDOL MILL VALLEY ESTATES Estimate Number 1 Contract Limits Payment Number 1 Project Type ST LIGHT For Period Ending 6/2/2020 Project Funding ST LIGHT Item Description of Items Estimated Unit Unit Cost Estimated Completed Completed No. Quanity Total Quanity Total --------------------------------------- 1 2"CONDT PVC SCH 80 1175 LF $9.51 $11,174.25 1175 $11,174.25 2 RDWY ILLUM FOUNDATION 12 EA $931.00 $11,172.00 12 $11,172.00 3 FURNISH/INSTALLRDWYILLUMTY11POLE 12 EA $1,530.00 $18,360.00 12 $18,360.00 4 FURNISH/INSTALL TYPE 33B ARM 12 EA $159.00 $1,908.00 12 $1,908.00 5 GROUND BOX TYPE B 2 EA $415.00 $830.00 2 $830.00 6 NO 10INSULATED ELEC CONDR 3525 LF $0.90 $3,172.50 3525 $3,172.50 7 FURNISH/INSTALL LED LIGHTING FIXTURE 12 EA $269.00 $3,228.00 12 $3,228.00 -------------------------------------- Sub-Total of Previous Unit $49,844.75 $49,844.75 -------------------------------------- Tuesday,June 2,2020 Page 2 of 4 City Project Numbers 101581 DOE Number 1581 Contract Name RANDOL MILL VALLEY ESTATES Estimate Number 1 Contract Limits Payment Number 1 Project Type ST LIGHT For Period Ending 6/2/2020 Project Funding Contract Information Summary Original Contract Amount $49,844.75 Change Orders Total Contract Price $49,844.75 Total Cost of Work Completed $49,844.75 Less %Retained $0.00 Net Earned $49,844.75 Earned This Period $49,844.75 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 $49,844.75 Tuesday,June 2,2020 Page 3 of 4 City Project Numbers 101581 DOE Number 1581 Contract Name RANDOL MILL VALLEY ESTATES Estimate Number 1 Contract Limits Payment Number 1 Project Type ST LIGHT For Period Ending 6/2/2020 Project Funding Project Manager NA City Secretary Contract Number Inspectors DICKINSON/ FUENTES Contract Date Contractor INDEPENDENT UTILITY CONSTRUCTION Contract Time 60 CD 5109 SUN VALLEY DRIVE Days Charged to Date 60 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 $49,844.75 Less %Retained $0.00 Net Earned $49,844.75 Earned This Period $49,844.75 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 $49,844.75 Tuesday,June 2,2020 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: Randol Mill Valley Estates—CitProject No 101581 BY: ichard Wolfe, President 3[d- 5UISCRIBED AND SWORN TO BEFORE ME on this day of 2020. ti' y CHRISTINA GARCIA PP PUS No Public, State of Texas ;�9r +mac Comm. Expires 12-20-2020 Notary ID 130940785 Notary Public, State of Texas CONSENT OF OWNER ❑ SURETY COMPANY ARCHITECT CONTRACTOR ❑ TO FINAL PAYMENT SURETY ❑ OTHER (SIMILAR TO AIA DOCUMENT G707) Bond No. 012676M PROJECT: Street Light Improvements to serve Randol Mill Valley Estates (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 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 3rd day of June 2020 WESTFIELD INSURANCE COMPANY Surety Company By Signature of orize resentative Attest: "L—r (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 THIS POWER OF ATTORNEY SUPERCEDES ANY PREVIOUS POWER BEAHINCi IHIJ JAMt POWER#AND ISSUED PRIOR TO 04/20/11, FOR ANY PERSON OR PERSONS NAMED BELOW. POWER NO. 4220052 06 General Westfield Insurance Co. Power of Attorney Westfield National Insurance Co. Ohio Farmers Insurance Co. CERTIFIED COPY 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)-in-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 . Wa(a.WINN, a...a..a.a..•,� a,aaM..(It..,,( Corpora. Seals '`\asU 't��C '' ,`'�P�tinN ��N° �l1SU WESTFIELD INSURANCE COMPANY �r'Q�,..• ••. �'oi sG:; ,.•••• �;=� WESTFIELD NATIONAL INSURANCE COMPANY Affixed v: .a. : n: c o. P �k' ••E` OHIO FARMERS INSURANCE COMPANY "r�F SUL SEAL nm 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 ..(«...NN.N„ Seal r`°Rk A I- S% -1 1 L Affixed �P,. ��1'/�/ F% • ^l William J. Kahelin, A rney at Law, Notary Public State of Ohio _N d ' p My Commission Does Not Expire(Sec. 147.03 Ohio Revised Code) County of Medina ss.. •.,y F.O F I, 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 3rd day of June wA DZ20 t NA(r •SE.F'4.Li is% SEAL i u�c A n; m c= - • ;a Secretary Vyk'•.� �� 'o; = 1�`a8 '!; Frank A. Carrino, Secretary BPOAC2 (combined) (06-02)