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Home My WebLink AboutContract 52973-FP2 City Secretary 52973 -FP2 Contract No. FORTWORTH., Date Received Sep 11,2020 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: 4701 Boat Club Rd— Medical Office Building City Project No.: 102279 Improvement Type(s): Water ® Sewer Original Contract Price: $38,917.00 Amount of Approved Change Order(s): Revised Contract Amount: Total Cost of Work Complete: $38,917.00 ZJARichard Norris(Sep9,202009:18CDT) Sep 9,2020 Contractor Date President Title Proline Utility Service, LTD Company Name mkluw�V. rCc�e- Serf 9 2020 Michael V.Flute(Sep 9,202015:24 CDT) p f P%/�Inspector Date 10 2020 Mitch Holmes 0,202009. 8C T) p , Project Manager Date z"Vi2 zekfllJ Se 10 2020 Laurie Lewis(Sep 10,2020 09:38 CDT) p f CFA Manager Date 044411 gu"A7° E Sep11 2020 Dana Burghdoff( p11,20 13:28 CDT) f Asst. City Manager Date OFFICIAL RECORD CITY SECRETARY Page 1 of 2 FT. WORTH, TX Notice of Project Completion Project Name:4701 Boat Club Rd — Medical Office Building City Project No.: 102279 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: 180 WD Days Charged: 99 Work Start Date: 11/26/2019 Work Complete Date: 8/21/2020 Soil Lab Number of Tests: 14 Water Number of Tests: 2 Page 2of2 FORT WORTH CITY OF FORT WORTH FINAL PAYMENT REQUEST Contract Name 4701 BOAT CLUB RD-MEDICAL OFFICE BUILDING Contract Limits Project Type WATER&SEWER City Project Numbers 102279 DOE Number 2790 Estimate Number 1 Payment Number 1 For Period Ending 8/31/2020 W City Secretary Contract Number Contract Time 18@V Contract Date Days Charged to Date 99 Project Manager NA Contract is 100.00 Complete Contractor PROLINE UTILITY SERVICES,LTD P.O.BOX 77941 FORT WORTH, TX 76177 Inspectors MILLER,W / FLUTE,M Tuesday,September 1,2020 Page 1 of 4 City Project Numbers 102279 DOE Number 2790 Contract Name 4701 BOAT CLUB RD-MEDICAL OFFICE BUILDING Estimate Number 1 Contract Limits Payment Number 1 Project Type WATER&SEWER For Period Ending 8/31/2020 Project Funding UNIT L•WATER IMPROVEMENTS Item Description of Items Estimated Unit Unit Cost Estimated Completed Completed No. Quanity Total Quanity Total --------------------------------------- 1 16"x 6"TAPPING SLEEVE&VALVE 1 EA $4,200.00 $4,200.00 1 $4,200.00 2 6"WATER PIPE 25 LF $38.00 $950.00 25 $950.00 3 6"GATE VALVE 1 EA $1,285.00 $1,285.00 1 $1,285.00 4 1"WATER SERVICE,METER RECONNECTION 1 EA $2,600.00 $2,600.00 1 $2,600.00 5 1 1/2"WATER SERVICE METER 1 EA $3,200.00 $3,200.00 1 $3,200.00 RECONNECTION 6 DUCTILE IRON WATER FITTINGS 1 TN $1,450.00 $1,450.00 1 $1,450.00 W/RESTRAINT 7 TRENCH SAFETY 25 LF $10.00 $250.00 25 $250.00 -------------------------------------- Sub-Total of Previous Unit $13,935.00 $13,935.00 -------------------------------------- UNIT H.SANITARY SEWER IMPROVEMENTS Item Description of Items Estimated Unit Unit Cost Estimated Completed Completed No. Quanity Total Quanity Total 1 CONNECTION TO EXISTING SANITARY 1 EA $3,500.00 $3,500.00 1 $3,500.00 SEWER MANHOLE 2 4'MNAHOLE 1 EA $4,800.00 $4,800.00 1 $4,800.00 3 4'SHALLOW MANHOLE 1 EA $3,600.00 $3,600.00 1 $3,600.00 4 8"SEWER PIPE(DUCTILE IRON) 134 LF $52.00 $6,968.00 134 $6,968.00 5 8"SEWER PIPE(SDR 26 PVC) 13 LF $38.00 $494.00 13 $494.00 6 TRENCH SAFETY 147 LF $10.00 $1,470.00 147 $1,470.00 7 8"SEWER PLUG 1 EA $550.00 $550.00 1 $550.00 8 TRAFFIC CONTROL 1 LS $3,600.00 $3,600.00 1 $3,600.00 Sub-Total of Previous Unit $24,982.00 $24,982.00 Tuesday,September 1,2020 Page 2 of 4 City Project Numbers 102279 DOE Number 2790 Contract Name 4701 BOAT CLUB RD-MEDICAL OFFICE BUILDING Estimate Number 1 Contract Limits Payment Number 1 Project Type WATER&SEWER For Period Ending 8/31/2020 Project Funding Contract Information Summary Original Contract Amount $38,917.00 Chanize Orders Total Contract Price $38,917.00 Total Cost of Work Completed $38,917.00 Less %Retained $0.00 Net Earned $38,917.00 Earned This Period $38,917.00 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 $38,917.00 Tuesday,September 1,2020 Page 3 of 4 City Project Numbers 102279 DOE Number 2790 Contract Name 4701 BOAT CLUB RD-MEDICAL OFFICE BUILDING Estimate Number 1 Contract Limits Payment Number 1 Project Type WATER&SEWER For Period Ending 8/31/2020 Project Funding Project Manager NA City Secretary Contract Number Inspectors MILLER,W / FLUTE,M Contract Date Contractor PROLINE UTILITY SERVICES,LTD Contract Time 180 W P.O.BOX 77941 Days Charged to Date 99 W FORT WORTH, TX 76177 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 $38,917.00 Less %Retained $0.00 Net Earned $38,917.00 Earned This Period $38,917.00 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 $38,917.00 Tuesday,September 1,2020 Page 4 of 4 FORTWORTH TRANSPORTATION AND PUBLIC WORKS PIPE REPORT FOR: PROJECT NAME: Drainage, SS,and Water for 4701 Boat Club Rd-Medical Office Building PROJECT NUMBER: 102279 DOE NUMBER: N/A WATER PIPE LAID SIZE TYPE OF PIPE LF C-900 DR-14 6 Slip Joint 25 FIRE HYDRANTS VALVES(16" OR LARGER' PIPE ABANDONED SIZE TYPE OF PIPE LF DENSITIES: NEW SERVICES: (1)-- V Copper (1)-1.5"Copper SEWER PIPE LAID SIZE TYPE OF PIPE LF i C900-SDR 26 8" Slip Joint 13 Ductile Iron Pipe 8" Dip 134 PIPE ABANDONED SIZE TYPE OF PIPE LF DENSITIES: NEW SERVICES: TRANSPORTATION AND PUBLIC WORKS st The City of Fort Worth• 1000 Throckmotton Street•Fort Worth,TX 76012-6311 J (817)392-7941 •Fax: (817)392-7845 FORTWORTH, 1111M TRANSPORTATION AND PUBLIC WORKS August 21, 2020 Proline Utility Service LTD P.O.Box 77941 Fort Worth,Tx 76177 RE: Acceptance Letter Project Name: Drainage, Sanitary and Water to Serve 4701 Boat.Club Rd—Medical Office Building Project Type: Water(01), Sanitary(02), and Storm(04) City Project No.: 102279 To Whom It May Concern: On August 21, 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 August 21, 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- 392-6826. Sincerely, Mitch Holmes(Sep 10,2020 09:28 CDT) Mitchell Holmes, Project Manager Cc: Michael Flute, Inspector Wade Miller, Inspection Supervisor Ariel Duarte, Senior Inspector Victor Tornero, Program Manager Dunaway Associates, L.P.(Ross Milton) , Consultant Proline Utility Services LTD, Contractor Katies Car Wash, Developer File E-Mail: TPW—Acceptance@fortworthtexas.gov Rev.08/20/19 PROUINE UTILITY SERVICE Vipmr. `lens Snsc£ 2001" 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 Richard Norris,President of Prohne Utility Service, known to me to be 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; 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 damage; On contract described as; 4701 Boat Club Rd-MOB City Project# 102279 By chard Norris--President Subscribed and sworn before me on this date o9th of September,2020 TRACY N:ExpirLs _ notary IQ#12 My Commissi NO a Public ~TFOF�s. August 13 Tarrant County,Texas PO BX 77941 Fort Worth,Texas 76177 Phone(817)228-8675 Email protineutililies@msn.com CONSENT OF SURETY COMPANY TO FINAL PAYMENT Bond No. S919-2334 Project: 4701 BOAT CLUB ROAD -MOB To Owner: Katie's Car Wash and the City of Fort Worth,Texas 777 Main Street,#600 Contract For: Public Utility Improvements Fort Worth,Texas 76102 Contract Date: November 7,2019 Contractor: Proline Utility Services,Ltd. P.O. Box 77941 Fort Worth,Texas 76177 In accordance with the provision of the Contract between the Owner and the Contractor as defined above, Washington International Insurance Company 1200 Main Street, Suite 800 Kansas City, MO 64105 ,Surety Company on bond of Proline Utility Services,Ltd. P.O. Box 77941 Fort Worth,Texas 76177 ,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 Katie's Car Wash and the City of Fort Worth,Texas 777 Main Street,#600 Fort Worth,Texas 76102 ,Owner as set forth in the said Surety Company's bond. IN WITNESS WHEREOF, the Surety Company has hereunto set its hand this 8th day of September, 2020. Washington International Insurance Company Witne3 Surety Company _ Kevin J. Dunn, ttor y-in-F ct 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 under laws of the State of New Hampshire,and having its principal office in the City of Kansas City,Missouri and Washington International Insurance Company a corporation organized and existing under the laws of the State of New Hampshire and having its principal office in the City of Kansas City,Missouri,and Westport Insurance Corporation,organized under the laws of the State of Missouri,and having its principal office in the City of Kansas City,Missouri does hereby make,constitute and appoint: W.LAWRENCE BROWN,TRACY TUCKER,KEVIN J.DUNN, STEVEN TUCKER,AND ROBERTA H.ERB JOINTLY OR SEVERALLY Its true and lawful Attomey(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: ONE HUNDRED TWENTY FIVE MILLION($125,000,000.00)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." `�"�NliNliip/p/�� µ�xµUnllp�pyy \`��Q�G1A1177 J //j�4' �_,sp(R H (� ca�pAP •, G G0 POq�Ts By ` f icy• r SEAL E• Steven Anderson, nor rm President o as mgton International insurance Company ' SEAL :n_ 6 Z t do Senior Vice President of North American Specialty Insurance Company m �U't .n &Senior Vice President of Westport Insurance Corporation is r ��.=!Y tee•Gam` y.�'y S�Q �"//� f lr�l 1 !...... � Mike A,Ito,Senior Vice President of Washington International Insurance Company Homo►►�� P y • &Senior Vice President of North American Specialty Insurance Company &Senior Vice President of Westport Insurance Corporation 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 26 day of February 20 19 North American Specialty Insurance Company Washington International Insurance Company State of Illinois Westport Insurance Corporation County of Cook ss: On this 26 day of February 20 19,before me,a Notary Public personally appeared Steven P.Anderson ,Senior Vice President of Washington Intemational 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. i f flFFK EN SEX M.3tENifY Notary Public,sate of Illinois - '"y` �"' 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 Insturance 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 8th day of September 20 20 Jeffrey Goldberg,Vice President&Assistant Secretary of Washington Intemational Insurance Company& Noah American Specialty Insurance Company&Vice President&Assistant Secretary of Westport insurance Corporation