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Home My WebLink AboutContract 51394-FP1 FORTWORTH, CSC No.51394-FPI TRANSPORTATION AND PUBLIC WORKS NOTICE OF PROJECT COMPLETION City Project Ns: 101575 Regarding contract 51394 for 2018 CIP CONCRETE RESTORATION CONTRACT 1 as required by the TRANSPORTATION AND PUBLIC WORKS DEPARTMENT as approved by City Council on 09/18/2018 through M&C C-28855 the director of the TRANSPORTATION AND PUBLIC WORKS DEPARTMENT upon the recommendation of the Assistant Director of the Transportation&Public Works Department has accepted the Project as complete. Original Contract Prices: $1,366,733.00 Amount of Approved Change Orders: N2 1 Revised Contract Amount: $1,366,733.00 Total Cost Work Completed: $1,298,526.06 Less Deductions: Liquidated Damages: Days @$210.00/Day Pavement Deficiencies: Total Deduction Amount: $0.00 Total Cost Work Completed: $1,298,526.06 Less Previous Payments: $1,233,599.76 Final Payment Due $64,926.30 Lauren Prieur Lauren Prieur(Jun 25,2020 09:25 CDT) Jun 25, 2020 Recommended for Acceptance Date Asst. Director, TPW - Capital Delivery Jun 25, 2020 Accepted Date Director, TRANSPORTATION AND PUBLIC WORKS DEPARTMENT Client Department tea' Jun 25 2020 Dana Burghdoff(Jun 25,20 13:06 CDT Asst. City Manager Date Comments: OFFICIAL RECORD CITY SECRETARY FT. WORTH, TX FORT WORTH,,", g� TRANSPORTATION AND PUBLIC WORKS June 1,2020 Urban Infraconstruction 2512 Gravel Dr Fort Worth TX 76118 RE: Acceptance Letter Project Name:2018 CIP Concrete Restoration Contract 1 Project Type: Paving i City Project No.: 101575 To Whom It May Concern: On October 22, 2019 a final inspection was made on the subject project. There were punch list items identified at that time. The punch list items were completed on April 1, 2020. The final inspection and the corrected punch list items indicate that the work meets the City of Fort Worth specifications and is therefore accepted by the City. The warranty period will start on April 1,2020,which is the date of the punch list completion 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- 396-2333. Sincerely, Greg Robbins, Project Manager Cc:Jarad Souders, Inspector Ron Cordova, Inspection Supervisor Edward Davila,Senior Inspector Mary Hanna, Program Manager N/A,Consultant Urban Infraconstruction,Contractor N/A, Developer File E-Mail: TPW—Acceptance@fortworthtexas.gov Rev.8/20/19 FORTWORTRA, TRANSPORTATION AND PUBLIC WORKS STATEMENT OF CONTRACT TIME STATEMENT# FINAL STATEMENT# 18 FINAL NAME OF PROJECT: 2018 CIP Concrete Restauration Contract 1 CPN# 101575 YEAR: 2020 Contractor Urban Infra PROJECT NO.: N/A FINAL INSPECTION DATE 10/22/2019 CONTRACT TITIMECD 300 I X PERIOD FROM: 4/1/2020 'TO: 4131/2020 - 'llonffi nk`,IPEt.OPltE;�iT Be of Month End of Month WORK ORDER EFFECTIVE: 11/26/2018 BEG } n/a MID{ } n/a 100.0% FOR DAY OF MONTH DAYS REASONDAY OF MONTH 1 Wed 0 DAYS REASON FOR CHARGED DAYS CREDITED CHARGED DAYS CREDITED 2 Thu 16 Thu 0 p 17 Fri p 3 Fri p t s,;t 18 Sat 0 4 Sat 0 19 5 Sun 0 20 Sun 0 6 Mon Mon p Q 21 Tue 0 7 Tue 0 22 Wed 8 Wed 0 0 23 Thu 0 9 Thu 0 24 10 Fri Fri 0 0 25 11 Sat Sat 00 26 12 Sun Q Sun 0 Mon 13 Mon 0 27 0 28 Tue 14 Tue p 0 29 Wed p 15 Wed Q 30 Thu 0 ; 31 Fri 0 NA Wkn&Hal Wea Utl Oth a=add Not Applicable SAT.SUN,and WEATHER UTILITIES OTHERS DAYS TOTAL DAYS THIS PERIOD HOLIDAYS RELOCATE CHARGED 0 PREVIOUS PERIOD 0 0 0 0 0 TOTAL TO DATE 0 0 0 279 279 Q 0 279 279 REiYfAR1�4: Meacham Blvd-Complete. Meridian Ln-Complete Sylvania Ave-Complete Tulip Tree Dr.-Complete. Work began 11-26-18 and was Substantially Complete 9-13-19 Project Manager Stopped,Time 9/13/19. 279 CD used. Final Inspection Date 10/22/2019. Punch List Completed 4/01/2020. Time used 93% Signature: Signature: (print Name) F-A INSPEC I2(Jared Sou rs) CONTRACTOR 4 DATE ! 'SPECTOR a m 5 m c m iq 0 1p Ci M ORi M V C v cn U i° l'j u p o CC F o •• `N�'' e � A « o um a 5 t U ° r ' *Fin F m a W A. r.7 S cti l � � W o Y. Y. u W � � •Z." w «U u a d rA ro_ c a yN �.y O O C {p /1 0 o U z O a ,n o o'v t7 R1 c'i uau O E 00 C ° p cv � yoo �a._ ..a c•a� •a m m...4, J v w O d U 6E `° oQ wv.5 E U z p p U 8 g s p m $Rm$$8$�o8So8S$$888n Vi p m 8 88 ga »» �BNH y »» » » T 'g 2' M a a � 88 $R$mo RW S8 $ 88 N^ a 0 ARM $8 8 8IS 6 A ~ 8�n�ry F$i gm as 8S 88888$SS888S�SB8888S x fi 2� g p a $8 888888888SS$88$88$S 88 �e X 8mmmg$ -A ax Asp= m€mpg mamF�� ^ads O � F .�» 4 2 g m l€m g Cis a Em a $ wa�W :, e gill! I s"Eels IM U a a Vi ~ 2 a 0. p ry ~vmmnm �^ mnmm�Hc� a « / § k \ On P. § k �g � \ u ®! }\ � \} /® ! •, t! } }} \\ 2 2 }} 7 ) •> / ( � } ) 3 � . E ) - j k \ )} PE ! f $ { ) � 2 ; \ } � i ® } } ~ } } = f ! }) / o !f \ at 2 - � 3 § ) ` 72 § !!}a! 4 z ! : { �« 2 � $ 3 • ; \ � | � � a � . � � ( } z � ° 2f4 { � � R , . o � f \ ) # el a ) Q G - � \ 3 ® - ! � § a } { 0— U � � LL : tr, q : fit a 7 § L La ( � ( \ 0! G , � : 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 Anup Tamrakar, CEO Of Urban Infraconstruction 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; 2018 CIP Concrete Restoration Contract 1, CPM 101575 BY CEO Subscribed and sworn before me on this date 19th of June, 2020. SUBHR ' _z Notary Public,State of Texas Zw "" -2021 Not '�; '... ,��1tC Notary ID 131125450 11 MI INN Ta , CONSENT OF OWNER SURETY COMPANY ARCHITECT TO FINAL PAYMENT CONTRACTOR SURETY AIA DOCUMENT G707 OTHER Bond No. 2276444 PROJECT: 2018 CIP Concrete Restoration Contract 1,Project Number 101575 (name,address) TO (Owner) [ City of Fort Worth ] ARCHITECT'S PROJECT NO: 200 Texas Street Fort Worth,TX 76102 CONTRACT FOR: ] CONTRACT DATE: 9/18/2018 CONTRACTOR: Urban Infraconstruction,LLC 2512 Gravel Drive Fort Worth, TX 76118 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) North American Specialty Insurance Company 1200 Main Street, Suite 800 Kansas Ci ,MO 64105 , SURETY COMPANY, r on bond Of(here insert name and adess of Contractor) Urban Infraconstruction,LLC 2512 Gravel Drive Fort Worth,TX 76118 , CONTRACTOR, hereby approves of the final payment to the Contractors, and agrees that 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 15th day of June 2Q20 North American Specialty Insurance Company Surety Company Attest: AWS ature of Authorized Representative (Seal): Andrea Rose Crawford Attorney-In-Fact Title NOTE: This form is to be used as a companion document to AIA DOCUMENT G706,CONTRACTOR'S AFFIDAVIT OF PAYMENT OF DEBTS AND CLAIMS, Current Edition AIA DOCUMENT G707 CONSENT OF SURETY COMPANY TO FINAL PAYMENT APRIL 1970 EDITION AIA 1970 THE AMERICAN INSTITUTE OF ARCHITECTS, 1735 New York Ave.,NW,WASHINGTON,D.C. 20006 ONE PAGE SWISS RE CORPORATE SOLUTIONS NORTH AMERICAN SPECIALTY INSURANCE COMPANY WASHINGTON INTERNATIONAL INSURANCE COMPANY WESTPORT INSURANCE CORPORATION GENERAL POWER OF ATTORNEY KNOW ALL MEN BY THESE PRESENTS,THAT North American Specialty Insurance Company,a corporation duly organized and existing Insurance under laws of the State of New Hampshire,and having its principal office in the City of Kansas City,Missouri and Washington International ofK Kansas City,Missouy a rir andtion We Westport Insurananized ce Corporation,orgthe anized under State laws of the State ofMishire s Missouri,and its hav ng is principal the officeEin the City of Kansas City,Missouri,each does hereby make constitute and appoint: JOHN WILLIAM NEWBY,TROY RUSSELL KEY,DEBRA LEE MOON,11 ANDREA ROSE CRAWFORD,SANDRA LEE RONEY,LINDA MICHELLE STALDER SUZANNE ELIZABETH NIEDZWIEDZ,SHERIE MICHELLE GREENOUGH,CHERI LYNN IRBY,AND JOSHUA D.TRITT,JOINTLY OR SEVERALLY Its true and lawful Attorney(s)-in-Fact,to make,execute,seal and deliver,for and on its behalf and as its act and deed,bonds or other writings obligatory in the nature of a bond on behalf of each of said Companies,as surety,on contracts of suretyship as are or may be required or permitted by law,regulation,contract or otherwise,provided that no bond or undertaking or contract or suretyship executed under this authority shall exceed the amount of: TWO HUNDRED MILLION($200,000,000.00)DOLLARS This Power of Attorney is granted and is signed by facsimile under and by the authority of the following Resolutions adopted by the Boards of Directors of North American Specialty Insurance Company and Washington International Insurance Company at meetings duly called and held on March 24,2000 and Westport Insurance Corporation by written consent of its Executive Committee dated July 18,2011. "RESOLVED,that any two of the President,any Senior Vice President,any Vice President,any Assistant Vice President, the Secretary or any Assistant Secretary be,and each or any of them hereby is authorized to execute a Power of Attorney qualifying the attorney named in the given Power of Attorney to execute on behalf of the Company bonds,undertakings and all contracts of surety,and that each or any of them hereby is authorized to attest to the execution of any such Power of Attorney and to attach therein the seal of the Company; and it is FURTHER RESOLVED,that the signature of such officers and the seal of the Company may be affixed to any such Power of Attorney or to any certificate relating thereto by facsimile,and any such Power of Attorney or certificate bearing such facsimile signatures or facsimile seal shall be binding upon the Company when so affixed and in the future with regard to any bond,undertaking or contract of surety to which it is attached." X p GiAR7�V yy ova"'u 1S 0M'gJ/r"14- �r�tt .�{ SEAL Z Steven n erson, emor Vice-President o as mgton nternatmna nsutance Company frt s R P.. n a &Senior Vice President of North American Specialty Insurance Company q . 6.p • ; 0 777 s .T' &Senior Vice President of Westport Insurance Corporation ; M �1973 By � _ Michael A.no,senior Vice President of Washington Internflh �•..... onal Insurance ° p &Senior Vice Presi Company dent of North American Specialty Insunce Company &Senior Vice President of Westport Insurance Corporation ra IN WITNESS WHEREOF,North American Specialty Insurance Company,Washington International Insurance Company and Westport Insurance Corporation have caused their official seals to be hereunto affixed,and these presents to be signed by their authorized officers this this 12th day of FEBRUARY 20 20 . North American Specialty Insurance Company Washington International Insurance Company State of Illinois Westport Insurance Corporation County of Cook SS: On this 12th day of FEBRUARY 20 20 before me,a Notary Public personally appeared Steven P.Anderson ,Senior Vice President of Washington International Insurance Company and Senior Vice President of North American Specialty Insurance Company and Senior Vice President of Westport Insurance Corporation and Michael A.Ito Senior Vice President of Washington International Insurance Company and Senior Vice President of North American Specialty Insurance Company and Senior Vice President of Westport Insurance Corporation,personally known to me,who being by me duly sworn,acknowledged that they signed the above Power of Attorney as officers of and acknowledged said instrument to be the voluntary act and deed of their respective companies. OF11CIAt SEAL N.KENNY Notary PtAB(it- t i:of pihroa; �..- My Commissi v}er tzmaraaz� M.Kenny,Notary Public I, Jeffrey Goldberg , the duly elected Vice President and Assistant Secretary of North American Specialty Insurance Company,Washington International Insurance Company and Westport Insurance Corporation do hereby certify that the above and foregoing is a true and correct copy of a Power of Attorney given by said North American Specialty Insurance Company,Washington International Insurance Company and Westport Insurance Corporation which is still in full force and effect. IN WITNESS WHEREOF,I have set my hand and affixed the seals of the Companies this 15th day of June 20 20 r., Jeffrey North AmericanldSpecialty Insurance Company &tV ce Pr dent Washington&Asiant Secretaryaof Westport InsuranceCompany Corporation North American Specialty Insurance Company Washington International Insurance Company Westport Insurance Corporation TEXAS CLAIMS INFORMATION IMPORTANT NOTICIF ADVISO IMPORTANTIF In order to obtain information or make a complaint: Para obtener informacion o para someter un queja: You may contact Jeffrey Goldberg,Vice President Puede comunicarse con Jeffrey Goldberg,Vice — Claims at 1-800-338-0753 President— Claims,al 1-800-338-0753 You may call Washington International Insurance Usted puede Ilamr al numero de telefono gratis de Company and/or North American Specialty Insurance Washington International Insurance Company and/or Company's and/or Westport Insurance Corporation North American Specialty Insurance Company's and/or toll-free number for information or to make a Westport Insurance Corporation para informacion o complaint at: para someter una queja al: 1-800-338-0753 1-800-338-0753 You may also write to Washington International Usted tambien puede escribir a Washington Insurance Company and/or North American Specialty International Insurance Company and/or North Insurance Company and/or Westport Insurance American Specialty Insurance Company and/or Corporation at the following address: Westport Insurance Corporation all: 1200 Main Street 1200 Main Street Suite 800 Suite 800 Kansas City,MO 64105 Kansas City,MO 64105 You may contact the Texas Department of Insurance Puede escribir al Departmento de Seguros de Texas to obtain information on companies, coverages, para obtener informacion acerca de companias, rights or complaints at: coberturas, derechos o quejas al: 1-800-252-3439 1-800-252-3439 You may write the Texas Department of Insurance: Puede escribir al Departmento de Seguros de Texas: P.O. Box 149104 P.O. Box 149104 Austin,TX 78714-9104 Austin,TX 78714-9104 Fax: (512)475-1771 Fax: (512)475-1771 Web: http7//` aww +tdi at tx js Web: httI2R//www.tdi.state_tx its Email:ConsumerProtection@tdi.state.tx.us Email:ConsumerProtection@tdi.state.tx.us PREMIUM OR CLAIM DISPUTES: DISPUTAS SOBRE PRIMAS 0 RECLAMOS: Should you have a dispute concerning your premium Si tiene una disputa concerniente a su prima o a un or about a claim you should first contact the reclamo, debe comunicarse con el Washington Washington International Insurance Company and/or International Insurance Company and/or North North American Specialty Insurance Company and/or American Specialty Insurance Company and/or Westport Insurance Corporation. If the dispute is not Westport Insurance Corporation primero. Si no se resolved,you may contact the Texas Department of resuelve la disputa, puede entonces comunicarse Insurance. con el Departmento de Seguros de Texas. ATTACH THIS NOTICE TO YOUR POLICY: UNA ESTE AVISO A SU POLIZA This notice is for information only and does not Este aviso es solo para proposito de infromacion y no become a part or condition of the attached se converte en parte o condicion del documento document. adjunto.