HomeMy WebLinkAboutContract 52973-FP4 City Secretary
Contract No. 52973 -FP4
FORTWORTH. Date Received Oct 13,2020
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): ❑ Paving 0 Drainage ❑ Street Lights ❑ Traffic Signals
Original Contract Price: $135,340.00
Amount of Approved Change Order(s):
Revised Contract Amount: $135,340.00
Total Cost of Work Complete: $135,340.00
ZJAI
Richard Norris(Oct 8,202011:00 CDT) Oct 8 2020
Contractor Date
President
Title
Proline Utility Service
Company Name
Oct 8, 2020
Michael V.Flute(Oct 8,202013:41 CDT)
Project Inspector Date
mark Hy,�� Oct 9 2020
Mitch Holmes(Oct 9,202014:28 CDT)
Project Manager Date
Laurie Lewis Oct 9 2020
Laurie Lewis(Oct 9.202014:35 CDT)
CFA Manager Date
8—�' OCt 9 2020
Dana Burghdoff(Oct9,202 4:37CDT)
`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 ❑x N/A
Contractor's Attachments
Affidavit of Bills Paid
Consent of Surety
Statement of Contract Time
Contract Time: 180 WD Days Charged: 49
Work Start Date: 11/26/2019 Work Complete Date: 8/21/2020
Soil Lab Number of Tests: 14
Water Number of Tests: 2
Page 2 of 2
FORTWORTH
CITY OF FORT WORTH
FINAL PAYMENT REQUEST
Contract Name 4701 BOAT CLUB RD-MEDICAL OFFICE BUILDING
Contract Limits
Project Type DRAINAGE
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 186V
Contract Date Days Charged to Date 49
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
Wednesday,October 7,2020 Page 1 of 4
City Project Numbers 102279 DOE Number 2790
Contract Name 4701 BOAT CLUB RD-MEDICAL OFFICE BUILDING Estimate Number I
Contract Limits Payment Number I
Project Type DRAINAGE For Period Ending 8/31/2020
Project Funding
UNIT III.DRAINAGE IMPROVEiNIENTS
Item Description of Items Estimated Unit Unit Cost Estimated Completed Completed
No. Quanity Total Quanity Total
---------------------------------------
I CONNECTION TO EXISTING 48"RCP 1 EA $1,500.00 $1,500.00 1 $1,500.00
2 48"RCP CLASS III 512 LF $245.00 $125,440.00 512 $125,440.00
3 STORM JUNCTION BOX(5X5 W/RING&LID) 1 EA $4,800.00 $4,800.00 1 $4,800.00
4 48"PARALLEL HEADWALL 1 PIPE 1 EA $3,600.00 $3,600.00 1 $3,600.00
--------------------------------------
Sub-Total of Previous Unit $135,340.00 $135,340.00
--------------------------------------
Wednesday,October 7,2020 Page 2 of 4
City Project Numbers 102279 DOE Number 2790
Contract Name 4701 BOAT CLUB RD-MEDICAL OFFICE BUILDING Estimate Number I
Contract Limits Payment Number I
Project Type DRAINAGE For Period Ending 8/31/2020
Project Funding
Contract Information Summary
Original Contract Amount $135,340.00
Change Orders
Total Contract Price $135,340.00
Total Cost of Work Completed $135,340.00
Less %Retained $0.00
Net Earned $135,340.00
Earned This Period $135,340.00
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 $135,340.00
Wednesday,October 7,2020 Page 3 of 4
City Project Numbers 102279 DOE Number 2790
Contract Name 4701 BOAT CLUB RD-MEDICAL OFFICE BUILDING Estimate Number I
Contract Limits Payment Number 1
Project Type DRAINAGE 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 49 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 $135,340.00
Less %Retained $0.00
Net Earned $135,340.00
Earned This Period $135,340.00
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 $135,340.00
Wednesday,October 7,2020 Page 4 of 4
FORTWORTH.
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,
Mack Hy6n.—s-
Mitch Holmes(Oct 9,202014:28 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
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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