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Contract 52944-FP3
City Secretary 52944 -FP3 Contract No. FORTWORTH., Date Received Jul 14,2020 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: TAVOLO PARK PHASE IIIA SINGLE FAMILY City Project No.: 102208 Improvement Type(s): ❑ Paving ® Drainage ❑ Street Lights ❑ Traffic Signals Original Contract Price: $175,774.00 Amount of Approved Change Order(s): -$770.00 Revised Contract Amount: $175,004.00 Total Cost of Work Complete: $175,004.00 Albert G ra ntges(J 291, 202016:29 T) Jul 13,2020 Contractor Date Contract Manager Title Burnsco Construction,Inc. Company Name NN`�*e Neal Kime(Ju114,2020 07:39 CDC Jul 14,2020 Project Inspector Date FRED EWA Ju114 2020 FRED EHIA(Ju114,2020 07:56 CDC f Project Manager Date Laurie Laurie Lewis(Jul Jul 14,2020 RIM AaDate Dana Burghdoff(J 14,2020 :15CDr) Jul 14,2020 Asst. City Manager Date OFFICIAL RECORD CITY SECRETARY Page 1 of 2 FT. WORTH, TX Notice of Project Completion Project Name:TAVOLO PARK PHASE IIIA SINGLE FAMILY City Project No.: 102208 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: 205 WD Days Charged: 126 Work Start Date: 11/4/2019 Work Complete Date: 6/30/2020 Page 2of2 FORT WORTH CITY OF FORT WORTH FINAL PAYMENT REQUEST Contract Name TAVOLO PARK PHASE IIIA SINGLE FAMILY Contract Limits Project Type STORM DRAIN City Project Numbers 102208 DOE Number 2208 Estimate Number 1 Payment Number 1 For Period Ending 7/13/2020 WD City Secretary Contract Number Contract Time 20WD Contract Date Days Charged to Date 126 Project Manager NA Contract is 100.00 Complete Contractor BURNSCO CONSTRUCTION,INC. 6331 SOUTHWEST BLVD FORT WORTH, TX 76132 Inspectors OWEN/ KIME Monday,July 13,2020 Page 1 of4 City Project Numbers 102208 DOE Number 2208 Contract Name TAVOLO PARK PHASE ILIA SINGLE FAMILY Estimate Number 1 Contract Limits Payment Number 1 Project Type STORM DRAIN For Period Ending 7/13/2020 Project Funding STORM DRAIN Item Description of Items Estimated Unit Unit Cost Estimated Completed Completed No. Quanity Total Quanity Total --------------------------------------- 1 10'CURB INLET 8 EA $3,900.00 $31,200.00 8 $31,200.00 2 15'CURB INLET 4 EA $6,400.00 $25,600.00 4 $25,600.00 3 21"RCP 178 LF $60.00 $10,680.00 178 $10,680.00 4 24"RCP CO#2 604 LF $70.00 $42,280.00 604 $42,280.00 5 48"RCP 247 LF $192.00 $47,424.00 247 $47,424.00 6 4'STORM JUNCTION BOX 1 EA $4,800.00 $4,800.00 1 $4,800.00 7 5'STORM JUNCTION BOX 1 EA $5,600.00 $5,600.00 1 $5,600.00 8 INLET ADJUSTMENT 2 EA $3,450.00 $6,900.00 2 $6,900.00 9 TRENCH SAFETY 1040 LF $0.50 $520.00 1040 $520.00 -------------------------------------- Sub-Total of Previous Unit $175,004.00 $175,004.00 Monday,July 13,2020 Page 2 of 4 City Project Numbers 102208 DOE Number 2208 Contract Name TAVOLO PARK PHASE ILIA SINGLE FAMILY Estimate Number 1 Contract Limits Payment Number 1 Project Type STORM DRAIN For Period Ending 7/13/2020 Project Funding Contract Information Summary Original Contract Amount $175,774.00 Change Orders Change Order Number 2 ($770.00) Total Contract Price $175,004.00 Total Cost of Work Completed $175,004.00 Less %Retained $0.00 Net Earned $175,004.00 Earned This Period $175,004.00 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 $175,004.00 Monday,July 13,2020 Page 3 of City Project Numbers 102208 DOE Number 2208 Contract Name TAVOLO PARK PHASE ILIA SINGLE FAMILY Estimate Number 1 Contract Limits Payment Number 1 Project Type STORM DRAIN For Period Ending 7/13/2020 Project Funding Project Manager NA City Secretary Contract Number Inspectors OWEN/ KIME Contract Date Contractor BURNSCO CONSTRUCTION,INC. Contract Time 205 WD 6331 SOUTHWEST BLVD Days Charged to Date 126 WD FORT WORTH, TX 76132 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 $175,004.00 Less %Retained $0.00 Net Earned $175,004.00 Earned This Period $175,004.00 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 $175,004.00 Monday,July 13,2020 Page 4 of 4 ( \ CD / / u & LLI cn IL ` & 0 LLI } / } } } } } } 2 | 0 ( \ \ \ \ § ° Q § o | G k k k k k k 0 ) / e a ƒ Xz o \ ue w & 2 & \ \ k \ e ; J 5 cn / 0) C14 - cr_ $ 2 b 9 OP / } $ \ _ ) E z 2 co Q 2 ; o G \ } _ e § w E/ _ _ \ 0/ 0 O a- za- z » c § , I J ; < ® \ o o _ - - - @ co 2 ; ƒ \ \ _ = A - , 9 E e _ § co co > \ \ \ \ \ \ h ` ! \ \ E E c) k k ) § ° 2 = 3 } \ o k > \ } \ \ \ \ ) \ \ \ \ { e e = x r r 4 o LU IL ± § G ) f m J # # § \ 0 ( § z # \ \ / u \ \ kk S ® \ ƒ < m ( < - < 0 § LU \ @ \ / / » > 2 < ± / 0- \ E # \ /I } # S % [ /o / \ '§« )j k 2 z < of§ }§ o � q / / ( �< § % \( ` 0 e e W <# § § j Q� J CD # % } uj § g \� / ) s ) co - 0 a \ 4 . a J I § a \ / & ] 2 J r / ± \\ L) ) LLI \ � \ ) § ° A } } \ } ) 5 ) jj 2 } j � & \ » ( v \ ) % f a ° ` J ± M ) / ) e = ) ` G « / a ) / CO ( \ 2 ) % \ \ / / _ = u \ / 5 §_ § }§ ) \g 3 \ ƒ\ a im \§ ) y a)\ — / k ( / §\ \ ) : 2 2 \ ( ^ m 2 § ƒ jcn \ a- - 2 ! / Q { k Ol La j 0 / ; ) \ _ » @ I 2 ) E & / } k � \ ) - ƒ£ \ ` Q : 5 * Of qp Mw' 4 pill al Nil an < co at, A— 0 ce Iq hh H2 > ,sw 3 Sgih ino, moll ' �' 02 Wff H MN� SM 26M U M� P I � 19 X, ---------------- ------------------- iiiiiiii iiiiiiiiii IIIIIIIIIIIIIIII I III Hill I iiiiiiiii iiiiiiii Hill 111111111111 1111111 1111111111 1 1 1111111111111111111111111111 --- ------- ---------------- ------ ------------ 30 '9 7S 11 tl s a 69Z w.1c (3 L'6 L= ,.N f 8 1tl 0'D tll�Z' 3,V] G� —Z e-9 F, co mra Se k G119 e=lp 0 �2 LU I Ell jI X III 11111111111111 11 OJ Z�9 Z=Nl bJj 3, 9 Zx D 7 S1 1�1 z=. 111111111 IF -IF 1 11 1�—_3 U I I 3�m.. 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TRANSPORTATION AND PUBLIC WORKS June 30, 2020 Burnsco Construction, Inc. 6331 Southwest Boulevard Fort Worth,Tx 76132 RE: Acceptance Letter Project Name:Tavolo Park Phase IIIA Project Type:Water and Sanitary Sewer City Project No.: 102208 To Whom It May Concern: On June 30, 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 30, 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- 929-0786. Sincerely, EKED EWA FRED EHIA(Jul 14,2020 07:56 CDT) Fred Ehia, P.E., Project Manager Cc: Neal Kime, Inspector Mark Owen, Inspection Supervisor Edwin Rodriguez,Senior Inspector Victor V.Tornero,Jr., P.E., Program Manager Dunaway Associates, L.P., Consultant Burnsco Construction, Inc., Contractor Pate Ranch Single Family, LP, Developer File E-Mail: TPW_Acceptance@fortworthtexas.gov Rev.08/20/19 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 Ab Grantges, Contract Mgr, Of Bumsco Construction, 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; Tavolo Park Phase 3A- Water, Sanitary Sewer and Storm Drain BY Ab Grantges, C tract Manager Subscribed and sworn before nee on this date 13th of July, 2020. Notary Public 1pRY CESILlA CANALES Tarrant County,Texas ° `fi Notary ID#131652996 � /� My Commission Expires July 24, 2022 CONSENT OF OWNER ❑ SURETY COMPANY ARCHITECT ❑ CONTRACTOR ❑ TO FINAL PAYMENT SURETY ❑ Conforms with the American Institute of OTHER Architects,AIA Document G707 Bond No 022224726 PROJECT: (dame, address)Tavolo Park Phase IIIA Single Family Fort Worth TX TO (Owner) PATE RANCH COMMERCIAL, L.P.AND CITY OF ARCHITECT'S PROJECT NO: FORT WORTH CONTRACT FOR: 10210 N. Central Expressway,Ste.300 Water,Sanitary Sewer,and Storm Drain Improvements for Tavolo Park Phase IIIA Single Family Dallas Tx 75231 CONTRACT DATE: 9/13/2019 CONTRACTOR:BURNSCO 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) LIBERTY MUTUAL INSURANCE COMPANY 175 Berkeley Street Boston MA 02116 , SURETY COMPANY on bond of Ihere insert name and address of Contractor) BURNSCO CONSTRUCTION, INC. 6331 Southwest Boulevard Benbrook TX 76132 , CONTRACTOR, hereby approves of the final payment to the Contractor, 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) PATE RANCH COMMERCIAL, L.P.AND CITY OF FORT WORTH 10210 N. Central Expressway, Ste. 300 Dallas TX 75231 , OWNER, as set forth in the said Surety Company's bond. IN WITNESS,WHEREOF, the Surety Company has hereunto set its hand this 30th day of ,rune, 2020 LIBERTY MUTUAL INSURANCE COMPANY Surety Company Attest: � 4& & (Seal): Signs re of Authorized Representative So hinie Hunter Attorne -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 ONE PAGE This Power of Attorney limits the acts of those named herein,and they have no authority to bind the Company except in the manner and to the extent herein stated. qALibert Y Liberty Mutual Insurance Company Mutua The Ohio Casualty Insurance Company Certificate No: 8200743 West American Insurance Company SURETY POWER OF ATTORNEY KNOWN ALL PERSONS BY THESE PRESENTS:That The Ohio Casualty Insurance Company is a corporation duly organized under the laws of the State of New Hampshire,that Liberty Mutual Insurance Company is a corporation duly organized under the laws of the State of Massachusetts,and West American Insurance Company is a corporation duly organized under the laws of the State of Indiana(herein collectively called the"Companies"),pursuant to and by authority herein set forth,does hereby name,constitute and appoint, Robbi Morales,Don E.Cornell,Sophinie Hunter,Tina McEwan,Tonic Petranek,Ricardo J.Reyna, Joshua Saunders, Kelly A.Westbrook all of the city of Dallas state of TX each individually if there be more than one named,its true and lawful adomey-in-fact to make, execute,seal,acknowledge and deliver,for and on its behalf as surety and as its act and deed,any and all undertakings,bonds,recognizances and other surety obligations,in pursuance of these presents and shall be as binding upon the Companies as if they have been duly signed by the president and attested by the secretary of the Companies in their own proper persons. IN WITNESS WHEREOF,this Power of Attorney has been subscribed by an authorized officer or official of the Companies and the corporate seals of the Companies have been affixed thereto this 19th day of March 2019 Liberty Mutual Insurance Company P4INSU-bR P�11 IlVgU N INsu The Ohio Casualty Insurance Company tiJ rORP�R4T y[ rjJ GpRpO�T y `VP�&01iT yc West American Insurance Company a Fa to Q = Fa ci 2 Fa cn n r0 1912 0 0 1919 1991 0 Q //// rvn�• N d��sACH155 aka O�HAMPS�,,daS� `�s rA'OIASaP as By: C David M Carey,Assistant Secretary 1° State ofPENNSYLVANIA a co County of MONTGOMERY ss ca m On this 19th day of March 2019 before me personally appeared David M.Carey,who acknowledged himself to be the Assistant Secretary of Liberty Mutual Insurance o o Company,The Ohio Casualty Company,and West American Insurance Company,and that he,as such,being authorized so to do,execute the foregoing instrument for the purposes— > therein contained by signing on behalf of the corporations by himself as a duly authorized officer. 0 Lu 7 NCDIN WITNESS WHEREOF,I have hereunto subscribed my name and affixed my notarial seal at King of Prussia,Pennsylvania,on the day and year first above written. _ o0 CU 4) o COMMONWEALTH OF PEN NrA NSYLVA Nr O i ' fat>FF- -- -— - ------� Q Notar asteJia,Seal I g � U3 Teresa Pasiefiu,NciUr}Public p N Upper Merton Twp.,Montgomery County; y. C 1q` '�, ri Gumnission Expires March 2S,—, _ eresa Pastella,Notary Public P m Qj�, t�k7- hSamBa:•,Penns}lvania Associdlion�i NaKrias D.-O U)O 0 a) This Power of Attorney is made and executed pursuant to and by authority of the following By-laws and Authorizations of The Ohio Casualty Insurance Company, Liberty Mutual o.� Insurance Company,and West American Insurance Company which resolutions are now in full force and effect reading as follows: o Z.m oID ARTICLE IV-OFFICERS:Section 12.Power of Attorney. Any officer or other official of the Corporation authorized for that purpose in writing by the Chairman or the President, and subject to such limitation as the Chairman or the M 0 >, President may prescribe,shall appoint such attorneys-in-fact,as may be necessary to act in behalf of the Corporation to make,execute,seal,acknowledge and deliver as surety }o c any and aii undertakings,bonds,recognizances and other surety obligations.Such attorneys-in-fact,subject to the limitations set forth in their respective powers of attorney,shall N have full power to bind the Corporation by their signature and execution of any such instruments and to attach thereto the seal of the Corporation.When so executed, such Z v instruments shall be as binding as if signed by the President and attested to by the Secretary.Any power or authority granted to any representative or attorney-in-fact under the provisions of this article may be revoked at any 6me by the Board,the Chairman,the President or by the officer or officers granting such power or authority. o 0 ARTICLE XIII-Execution of Contracts:Section 5.Surety Bonds and Undertak'mgs Any officer of the Company authorized for that purpose in writing by the chairman or the president,and subject to such limitations as the chairman or the president may prescribe, I�r shall appoint such attorneys-in-fact,as may be necessary to act in behalf of the Company to make,execute,seal,acknowledge and deliver as surety any and all undertakings, bonds,recognizances and other surety obligations.Such attorneys-in-fact subject to the limitations set forth in their respective powers of attorney,shall have full power to hind the Company by their signature and execution of any such instruments and to attach thereto the seal of the Company.When so executed such instruments shall be as binding as if signed by the president and attested by the secretary. Certificate of Designation-The President of the Company,acting pursuant to the Naws cf the Company,authorizes David M.Carey,Assistant Secretary to appoint such alfomeys•in- fact as may be necessary to act on behalf of the Company to make,execute,seal,acknowledge and deliver as surety any and all undertakings,bonds,recognizance&and other surety obligations. Authorization—8y unanimous consent of the Company's Board of Directors,the Company consents that facsimile or mechanically reproduced signature of any assistant secretary of the Company,wherever appearing upon a certified copy of any power of attorney issued by the Company in connection with surety bonds,shall be valid and binding upon the Company with the same force and effect as though manually affixed. I,Renee C.Llewellyn,the undersigned,Assistant Secretary,The Ohio Casualty Insurance Company,Liberty Mutual Insurance Company,and West American Insurance Company do hereby certify that the original power of attorney of which the foregoing is a full,true and correct copy of the Power of Attorney executed by said Companies,is in full force and effect and has not been revoked. IN TESTIMONY WHEREOF,I have hereunto set my hand and affixed the seals of said Companies this 30th day of June 2020 INso IN INS,q � INSU. ogT�a4'fiC, 4 G�µPO�r gyCr `UP=oRsoRgTo in 1912 0 1919 1991 n a m o d0 g d, `t9q CMUSF'�.aD� y4—C. b ( rN°IANA aV y- �z] * dad Renee C.Llewellyn,Assistant Secretary LMS-12B73 LMIC OCIC WAIC Multi Co 05201B SURETY TEXAS TEXAS IMPORTANT NOTICE AVISO IMPORTANTE To obtain information or make a complaint: Para obtener informacion o para someter una queja: You may call toll-free for information or to Usted puede llamar aI numero de telefono gratis make a complaint at para informacion o para someter una queja al 1-877-751-2640 1-877-751-2640 You may also write to: Usted tambien puede escribir a: 2200 Renaissance Blvd., Ste. 400 2200 Renaissance Blvd., Ste. 400 King of Prussia, PA 19406-2755 King of Prussia, PA 19406-2755 You may contact the Texas Department of Puede comunicarse con el Departamento de Insurance to obtain information on companies, Seguros de Texas para obtener informacion coverages, rights or complaints at acerca de companias, coberturas, derechos o 1-800-252-3439 quejas aI 1-800-252-3439 You may write the Texas Department of Insurance Puede escribir al Departamento de Seguros Consumer Protection (I I I-IA) de Texas Consumer Protection (I I I-1A) P. O. Box 149091 P. O. Box 149091 Austin, TX 78714-9091 Austin, TX 78714-9091 FAX: (512)490-1007 FAX# (512) 490-1007 Web: http://www.tdi.texas.gov Web: http://www.tdi.texas.gov E-mail: Con sumerProtection tdi.texas.gov E-mail: ConsumerProtection@tdi.texas.gov PREMIUM OR CLAIM DISPUTES: DISPUTES SOBRE PRIMAS O RECLAMOS: Should you have a dispute concerning your Si tiena una disputa concerniente a su prima o a premium or about a claim you should first un reclamo, debe comunicarse con el agente o contact the agent or call 1-800-843-6446. primero. Si no se resuelve la disputa, puede If the dispute is not resolved, you may contact the entonces comunicarse con el departamento (TDI) Texas Department of Insurance. ATTACH THIS NOTICE TO YOUR UNA ESTE AVISO A SU POLIZA: POLICY: This notice is for information only and does not Este aviso es solo para proposito de informacion become a part or condition of the attached y no se convierte en parte o condicion del document. documento adjunto. NP 70 68 09 01 LMS-15292 10115