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Home My WebLink AboutContract 52278-FP1 City Secretary 52278 -FP1 Contract No. FORTWORTH., Date Received J u n 29,2020 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: HANOVER CLEARFORK City Project No.: 101937 Improvement Type(s): Water ® Sewer Original Contract Price: $116,087.00 Amount of Approved Change Order(s): Revised Contract Amount: Total Cost of Work Complete: $116,087.00 AeW&ills Jun 26 2020 rew Davis(Jun 26,202014:51 CDT) f Contractor Date President/Owner Title Davis Excavation Company Name Neal Kime(Jun 26,202017:21CDT) Jun 26,2020 Pr 'eactor Date atricl r ley(Ju 8,202013:18 CDT) Jun 28,2020 Protean g� Date Laurie Lewis(Jun 29,202007:59 CDT) Jun 29,2020 RIMyna N Date Dana Burghdoff(J 29,202 :26CDT) Jun 29,2020 Asst. City Manager Date OFFICIAL RECORD CITY SECRETARY Page 1 of 2 FT.WORTH, TX Notice of Project Completion Project Name: HANOVER CLEARFORK City Project No.: 101937 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: 330 Work Start Date: 7/8/2019 Work Complete Date: 6/1/2020 Page 2of2 FORT WORTH CITY OF FORT WORTH FINAL PAYMENT REQUEST Contract Name HANOVER CLEARFORK Contract Limits Project Type WATER&SEWER City Project Numbers 101937 DOE Number 1937 Estimate Number 1 Payment Number 1 For Period Ending 6/17/2020 CD City Secretary Contract Number Contract Time 901) Contract Date Days Charged to Date 330 Project Manager NA Contract is 100.00 Complete Contractor DAVIS EXCAVATION,INC. P.O.BOX 1169 VAN ALSTYNE, TX 75495 Inspectors OWEN/ KIME Wednesday,June 17,2020 Page 1 of 4 City Project Numbers 101937 DOE Number 1937 Contract Name HANOVER CLEARFORK Estimate Number 1 Contract Limits Payment Number 1 Project Type WATER&SEWER For Period Ending 6/17/2020 Project Funding WATER Item Description of Items Estimated Unit Unit Cost Estimated Completed Completed No. Quanity Total Quanity Total --------------------------------------- 1 TRENCH SAFETY 29 LF $1.00 $29.00 29 $29.00 2 VALVE BOX ADJUSTMENT 1 EA $500.00 $500.00 1 $500.00 3 DUCTILE IRON WATER FITTINGS 0.5 TN $5,500.00 $2,750.00 0.5 $2,750.00 W/RESTRAINT 4 6"PVC WATER PIPE 29 LF $36.00 $1,044.00 29 $1,044.00 5 FIRE HYDRANT 1 EA $4,650.00 $4,650.00 1 $4,650.00 6 6"WATER METER AND VAULT 1 EA $15,756.00 $15,756.00 1 $15,756.00 7 12"CUT-IN GATE VALVE 1 EA $3,963.00 $3,963.00 1 $3,963.00 8 8"X 6"TAPPING SLEEVE&VALVE 2 EA $4,800.00 $9,600.00 2 $9,600.00 Sub-Total of Previous Unit $38,292.00 $38,292.00 SEWER Item Description of Items Estimated Unit Unit Cost Estimated Completed Completed No. Quanity Total Quanity Total --------------------------------------- 1 REMOVE 8"SEWER LINE 5 LF $20.00 $100.00 5 $100.00 2 REMOVE 4'SEWER MANHOLE 1 EA $2,500.00 $2,500.00 1 $2,500.00 3 TRENCH SAFETY 49 LF $1.00 $49.00 49 $49.00 4 TRENCH WATER STOPS 1 EA $250.00 $250.00 1 $250.00 5 8"SEWER PIPE 14 LF $62.00 $868.00 14 $868.00 6 10"SEWER PIPE 35 LF $110.00 $3,850.00 35 $3,850.00 7 EPDXY MANHOLE LINER 42 VF $372.00 $15,624.00 42 $15,624.00 8 4'MANHOLE 1 EA $11,620.00 $11,620.00 1 $11,620.00 9 5'DROP MANHOLE 1 EA $25,564.00 $25,564.00 1 $25,564.00 10 5'EXTRA DEPTH MANHOLE 15 VF $250.00 $3,750.00 15 $3,750.00 11 4'MANHOLE W/TCEQ SEP.REQ 1 EA $11,620.00 $11,620.00 1 $11,620.00 12 CONNECT TO EXISTING MANHOLE 1 EA $2,000.00 $2,000.00 1 $2,000.00 Sub-Total of Previous Unit $77,795.00 $77,795.00 -------------------------------------- Wednesday,June 17,2020 Page 2 of 4 City Project Numbers 101937 DOE Number 1937 Contract Name HANOVER CLEARFORK Estimate Number 1 Contract Limits Payment Number 1 Project Type WATER&SEWER For Period Ending 6/17/2020 Project Funding Contract Information Summary Original Contract Amount $116,087.00 Change Orders Total Contract Price $116,087.00 Total Cost of Work Completed $116,087.00 Less %Retained $0.00 Net Earned $116,087.00 Earned This Period $116,087.00 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 $116,087.00 Wednesday,June 17,2020 Page 3 of 4 City Project Numbers 101937 DOE Number 1937 Contract Name HANOVER CLEARFORK Estimate Number 1 Contract Limits Payment Number 1 Project Type WATER&SEWER For Period Ending 6/17/2020 Project Funding Project Manager NA City Secretary Contract Number Inspectors OWEN/ KIME Contract Date Contractor DAVIS EXCAVATION,INC. Contract Time 90 CD P.O.BOX 1169 Days Charged to Date 330 CD VAN ALSTYNE, TX 75495 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 $116,087.00 Less %Retained $0.00 Net Earned $116,087.00 Earned This Period $116,087.00 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 $116,087.00 Wednesday,June 17,2020 Page 4 of 4 FORTWORTH - k TRANSPORTATION AND PUBLIC WORKS PIPE REPORT FOR: PROJECT NAME: Hanover Clearfork PROJECT NUMBER: 101937 DOE NUMBER: N/A WATER PIPE LAID SIZE TYPE OF PIPE LF Open Trench 6" PVC 29 FIRE HYDRANTS: 1 VALVES(16"OR LARGER) N/A PIPE ABANDONED SIZE TYPE OF PIPE LF N/A DENSITIES: NEW SERVICES: N/A SEWER PIPE LAID SIZE TYPE OF PIPE LF Open Trench 8" SDR-26 PVC 14 Open Trench 10" SDR-26 PVC 35 PIPE ABANDONED SIZE TYPE OF PIPE LF 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 FORTWORTH. TRANSPORTATION AND PUBLIC WORKS June 10, 2020 Davis Excavation P.O. Box 1169 Van Alstyne,TX 75495 RE: Acceptance Letter Project Name: Hanover Clearfork Project Type:Water&Sewer City Project No.: 101937 To Whom It May Concern: On June 1, 2020 a final inspection was made on the subject project. There were no punch list items identified at that time. The final inspection indicates that the work meets the City of Fort Worth specifications and is therefore accepted by the City. The warranty period will start on June 1,2020, which is the date of the final inspection and will extend of two(2)years in accordance with the Contract Documents. If you have any questions concerning this letter of acceptance, please feel free to contact me at 817- 392-8424. Sincerely, Patrick cley(JurA8,202013:18 CDT) Patrick Buckley, P.E., Project Manager Cc: Neal Kime, Inspector Mark Owen, Inspection Supervisor Edwin Rodriguez,Senior Inspector Victor V.Tornero,Jr., P.E., Program Manager Peloton Land Solutions., Consultant Davis Excavation, Contractor Hanfork Holdings, LLC, Developer File E-Mail: TPW_Acceptance@fortworthtexas.gov Rev.08/20/19 NOTICE This document waives rights unconditionally and states that you have been paid for giving up those rights. It is prohibited for a person to require you to sign this document if you have not been paid the payment amount set forth below. UNCONDITIONAL WAIVER AND BILLS PAID AFFIDAVIT Project: Rocklyn Job No. 1801 Property Owner: Carleton Construction 4201 Sprint Valley Rd Suite#800 Dallas,TX 75244 Affiant: Davis Excavation 3807 County Road 276 Melissa,TX 75454 Affiant has actual knowledge that all bills owed by the Subcontractor, Davis Excavation, Inc., for materials supplied or labor performed in connection with Job 1801 Rocklyn, have been fully paid and satisfied; and,that no liens currently exist against stated property. Date: C X Vic,l/a�- �� C (Company Name) (Signature) ?;e S A e n-� (Title) STATE OF TEXAS COUNTY OF Collin This Unconditional Waiver and Relege on Progress Payment was knowledged before me on this day of �_�<�n , 202,y by _Dg on behalf of 'v' �; xC��LtzC;�-, Notary Public—State o exas My Commission Expires: KRISTEN DANIELS ?' n=Notary Public, State of Texas N", Comm. Expires 04-19-2021ni� �� Notary ID 11873252 CONSENT OF SURETY OWNER 0 TO FINAL PAYMENT ARCHITrCT 0 AM Document G707 CONTRACTOR 0 SURETY IR (instructions on reverse side) Bond No.PB03228302144 OTHEk El TO OWNER: ARCHITECT'S PROJECT NO.: N/A avatne and aelclress) City of Fort Worth CONTRACT FOR: Utilities in Public Right of Way for Rocldyn Trinity Uptown Multifamily City Project 101039 PROJECT: CONTRACT DATED: (Name erne!aciclre-z) Utilities in Public Right of Way for Rocklyn Trinity Uptown Multifamily City Project 101039 In accordance with the prov-isions of the Contract ntract between the Owner and the Contractor as indicated alx ne,the Onwrr nivne eanedarkrlre.��z of St rehq Philadelphia Indemnity Insurance Company One Bala Plaza East, Suite 100 Bala Cynwyd,PA 19004-1403 SURETY, on bond of fJn:�r)ntetne.ancl aelelrex.aJ'Corrtrattor) Davis Excavation,Inc. 3807 CR 276 Melissa,Texas 75454 CONTRACTOR, hereby approves of the final payment to the Contractor;and agrees that final payment to the Contnic.tor shall not relieve the Surety of any of its obligations to fln.ert name and a&lrc-.ti oJ'Utener) City of Fort Worth OWNER. as set forth'in said.Surety's bcxid. IN WITNESS WHEREOF,the Surety has hereunto set its hand on this(Lite, June 4,2020 fln..wrl in uririn,�the mon)h.fotlouvrVA-the rutrneric-elatc enrri rear..) Philadelphia Indemnity Insurance Company - 61 wurtvrr of urrt).xirrzeit t�jirt unicrtrtc) Altet- Lorena Mangia, Witness (Seal)w - Michael B.Hill.Attorney-in-Fact - - _- tt3^nrtecl.turnrecnul iit(c:i 1 i CA Q : You should-sign an original AIA document that has this caution printed its red. An original assures that changes will not be obscured as may occur when documents are reproduced. See Instruction Street for Limited License for Reproduction of this document. AIA DOCUMENT G707-CONSF,NT OF St'RElYTO FINAL PAYMF.N 1 1994 FDMON ' M 01994 THE:AbtE RICA.N 1Nti riT L111 OF ARCti ITCTS,1735 NFW YORK At FNU WU,VI`AsH- 1;GTON.D.C.2(xx)6-,292•WARNING:Unlicensed photocopying violates U.S.copy- G707—�994 right Iaws and will subject the violator to legal ptnsecutim. 19206 PHILADELPHIA INDEMNITY INSURANCE COMPANY One Bala Plaza,Suite 100 Bala Cynwyd,PA 19004-0950 Power of Attorney KNOW ALL PERSONS BY THESE PRESENTS:That PHILADELPHIA INDEMNITY INSURANCE COMPANY(the Company),a corporation organized and existing under the laws of the Commonwealth of Pennsylvania,does hereby constitute and appoint William D.Baldwin,Blaine Allen,Brent Baldwin,Brock Baldwin,Michael B.Hill,Brady K Cox,and/or Russ Frenzel of Baldwin-Cox Agency LLC,its true and lawful Attomey-in-fact with fiill authority to execute on its behalf bonds,undertakings,recognizances and other contracts of indemnity and writings obligatory in the nature thereof,issued in the course of its business and to bind the Company thereby,in an amount not to exceed$50,000,000. This Power of Attorney is granted and is signed and sealed by facsimile under and by the authority of the following Resolution adopted by the Board of Directors of PHILADELPHIA INDEMNITY INSURANCE COMPANY on the 14'h of November,2016. RESOLVED: That the Board of Directors hereby authorizes the President or any Vice President of the Company:(1)Appoint Attomey(s)in Fact and authorize the Attomey(s)in Fact to execute on behalf of the Company bonds and undertakings, contracts of indemnity and other writings obligatory in the nature thereof and to attach the seal of the Company thereto;and (2)to remove,at any time,any such Attomey-in-Fact and revoke the authority given. And, be it FURTHER RESOLVED: That the signatures of such officers and the seal of the Company may be affixed to any such Power of Attorney or certificate relating thereto by facsimile,and any such Power of Attorney so executed and certified by facsimile signatures and facsimile seal shall be valid and binding upon the Company in the future with respect to any bond or undertaking to which it is attached. IN TESTIMONY WHEREOF, PHILADELPHIA INDEMNITY INSURANCE COMPANY HAS CAUSED THIS INSTRUMENT TO BE SIGNED AND ITS CORPORATE SEALTO BE AFFIXED BY ITS AUTHORIZED OFFICE THIS 27TH DAY OF OCTOBER,2017. `-+ t 1927 (Seal) nN'a'a Robert D.O'Leary Jr.,President&CEO Philadelphia Indemnity Insurance Company On this 27'°day of October,2017,before me came the individual who executed the preceding instrument,to me personally known,and being by me duly sworn said that he is the therein described and authorized officer of the PHILADELPHIA INDEMNITY INSURANCE COMPANY;that the seal affixed to said instrument is the Corporate seal of said Company;that the said Corporate Sea]and his signature were duly affixed. couuoNwekrtiory � vyni � �� NOTARgLSEAL 9m RnapP.NdaryPWFe /� ,oxrucmn,,�..nws�rCounM Notary Public: ,+rcamm�sp,�; smss.mx, w�'�wraasa acne (Notary Seal) nw residing at: Bala Cvvd.PA My commission expires: September 25,2021 I,Edward Sayago,Corporate Secretary of PHILADELPHIA INDEMNITY INSURANCE COMPANY,do hereby certify that the foregoing resolution of the Board of Directors and this Power of Attorney issued pursuant thereto on this 271 day of October,2017 are true and correct and are still in full force and effect.I do finther certify that Robert D.O'Leary Jr.,who executed the Power of Attomey as President,was on the date of execution of the attached Power of Attomey the duly elected President ofPHILADELPHIA INDEMNITY INSURANCE COMPANY, �� In Testimony Whereof I have subscribed my name and affixed the facsimile seal of each Company this day of 20,5;Z, iN `• Edward Sayago,Corporate Secretary PHILADELPHIA INDEMNITY INSURANCE COMPANY ea r