HomeMy WebLinkAboutContract 52278-FP2 City Secretary52278 -FP2
Contract No.
FORTWORTH., Date Received Jul 6,2020
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): ® Paving ® Drainage ❑ Street Lights ❑ Traffic Signals
Original Contract Price: $58,463.00
Amount of Approved Change Order(s):
Revised Contract Amount:
Total Cost of Work Complete: $58,463.00
A2d1/&illJ
Drew Davis(Jul 2,202010:31 CDT) Jul 2,2020
Contractor Date
Davis Excavation
Title
President/Owner
Company Name
AfmZ Kg�fw Jul 2,2020
Neal Kime(Jul 2,202011:51 CDT)
Project Inspector Date
Jul 2,2020
Jul ,202012:25 CDT)
P or jest Man g� Date
Laurie Lewis(Jul 3,2020 09:21 CDT) Jut 3,2020
MM �r� Date
Dana Burghd6off(tt 3,20201 5CDT) Jut 3,2020
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
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 STORM DRAIN&PAVING
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 STORM DRAIN&PAVING For Period Ending 6/17/2020
Project Funding
PAVING
Item Description of Items Estimated Unit Unit Cost Estimated Completed Completed
No. Quanity Total Quanity Total
---------------------------------------
1 REMOVE CONC PVMT 171 SY $15.00 $2,565.00 171 $2,565.00
2 REMOVE CONC CURB&GUTTER 259 LF $15.00 $3,885.00 259 $3,885.00
3 4"ASPHALT BASE TYPE B 42 SY $48.00 $2,016.00 42 $2,016.00
4 8"CONC PVMT 335 SY $56.00 $18,760.00 335 $18,760.00
5 6"CONC CURB AND GUTTER 261 LF $25.00 $6,525.00 261 $6,525.00
--------------------------------------
Sub-Total of Previous Unit $33,751.00 $33,751.00
--------------------------------------
STORM DRAIN
Item Description of Items Estimated Unit Unit Cost Estimated Completed Completed
No. Quanity Total Quanity Total
1 REMOVE 21"STORM LINE 20 LF $50.00 $1,000.00 20 $1,000.00
2 REMOVE S DROP INLET 2 EA $2,000.00 $4,000.00 2 $4,000.00
3 TRENCH SAFETY 21 LF $1.00 $21.00 21 $21.00
4 21"RCP CLASS III 19 LF $89.00 $1,691.00 19 $1,691.00
5 CONNECT TO EXISTING RCB 1 LF $18,000.00 $18,000.00 1 $18,000.00
--------------------------------------
Sub-Total of Previous Unit $24,712.00 $24,712.00
--------------------------------------
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 STORM DRAIN&PAVING For Period Ending 6/17/2020
Project Funding
Contract Information Summary
Original Contract Amount $58,463.00
Change Orders
Total Contract Price $58,463.00
Total Cost of Work Completed $58,463.00
Less %Retained $0.00
Net Earned $58,463.00
Earned This Period $58,463.00
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 $58,463.00
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 STORM DRAIN&PAVING 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 $58,463.00
Less %Retained $0.00
Net Earned $58,463.00
Earned This Period $58,463.00
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 $58,463.00
Wednesday,June 17,2020 Page 4 of 4
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: Drainage& Paving
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 a ley(Jul ,202012:25 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 SILLS PAID AFFIDAVIT
Project: Hanover Clearfork Job No. 1903
Property Owner: The Hanover Company
1780 S Post Oak Lane
Houston,TX 77056
Affiant: Davis Excavation,Inc
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: July 2, 2020
Davis Excavation, Inc (Company Name)
By, (Signature) President (Title)
STATE OF TEXAS
COUNTY OF Collin
This Unconditional Waiver and Release on Progress Payment was acknowledged before me on this
day of Jj,y , 202� by�f ;Sb5Lv; , on behalf of
Notary Public—St of Texas
My Commission Expires: - 1'-z
�'%%µY UN,
�i KRISTEN DANIELS
Notary Public,State of Texas
?�''FOF � Comm. Expires 04-19-2021
873252 Notary ID 11
CONSENT OF SURETY OWNER
TO FINAL PAYMENT ARCfiITECr
NA CONTRACTOR
Docu merit G7fI7 SI RM
(Instructions on reserse Side) Bond No.PB03228302461 OTHER. J
TO OWNER: ARCHITECT'S PROJECT NO.: N/A
(,name and LaddtxYSSj
City of Fort Worth
4900 Gage Ave. CONTRACT FOR:
Fort Worth, Tx 76107 Hanover Clearfork
PROJECT: CONTRACT DATED:
(Name anel address) Undated
Hanover Clearfork-Fort Worth, TX
In accordance with the provisions of the Contract between the Owner and the Contractor as indicate([above,the
(fuser[name and ar&IroN of l'u)ctt)
Philadelphia Indemnity Insurance Company
One Bala Plaza East, Suite 100
Bala Cynwyd,PA 19004-1403
SURETY,
on bond of
(Insert name and aciclre-v of Contmciaig
Davis Excavation, Inc.
3807 County Road 276
Melissa, Texas 75454
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
(lawn name anti adrlrea'c rrj'Owner)
City of Fort Worth
4900 Gage Ave.
Fort Worth, Tx 76107
OWNER,
as set forth in said.Surety's bond.
IN WITNESS WHEREOF,the Surety has hereunto set it-;hand on this bate: June 29,2020
(LTa�n irs u!rrtirnt the morttf�(oflvTt•ecl fm the uurnerie tlttr!anti tetrr:f
Philadelphia Indemnity Insurance Company_
(.Siiret}/
lSIQ7TllttT1'C'Crfarl[fXlrl2e[i TenrY!5(:rrTftf%['YJ
Attest: Julis!4a Villar,, Witness
seal}: Michael B. Hill.Attorney-in-Fact
WrinTe br:?inezn d tide!
i lJTIO : You should sign an original AiA document that has this caution printed in reel. An
originai assures that changes wiil not be obscured as may occur When documents are reproduced.
See instruction Sheet for Limited License for Reproduction of this document.
JL AIA DOCUMENT G707+CONSENT OF St W.1Y"ro FINAL.YAYhiF,W+1994 F?IITION•`ALA
Iff- 01994+'I'HF`A2vfiF.IttCAN INS'ITTT!TT:OF ARCIi1TFCT'S;??35 NEiW PORK'vVFitil"E,NVE,WASl-1-
?NGTON:D.C.2tx?[ ,i2L)2•WARNING:Unlicensed photocopying violates U.S.copy-
laws arw will subject the violator to legal prosecution, G707-1994
19220
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 full 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'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 Attorney(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 Attorney-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 arced 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.
AN
'$6•Y 1 27
•1y y• ..•••ag'�yr'' �
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 swom 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 Seal and his signature were duly affixed.
COMMONWEALTH Of V
Morgan tnipp.AbMr,PWfx
Lo+d MCten T.vp..ManB�na1'COY^N Notary Public:
rfi Cammgsign Endres 9eD425.N31
+t•VRwwM.6SOC4MKN 01
residing at: Bala Cvnwvd.PA
(Notary Seal)
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 Attomey issued pursuant thereto on this 271 day of October,2017 are true and correct and are still in full force and effect.I do further certify
that Robert D.O'Leary Jr.,who executed the Power of Attorney as President,was on the date of execution of the attached Power of Attorney 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_ C'` '�day of 6'1 ,20 4� .
s�• Edward Sayago,Corporate Secretary
PHILADELPHIA INDEMNITY INSURANCE COMPANY
;may' ......