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Contract 53047-FP3
City Secretary Contract No. 53047 -FP3 FORTWORTH., Date Received Dec 17,2020 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: P&D, W&S, Street Lighting to Serve Elizabeth Creek Phase 1 City Project No.: 102000 Improvement Type(s): Water ® Sewer Original Contract Price: $1,244,350.60 Amount of Approved Change Order(s): $2,240.00 Revised Contract Amount: Total Cost of Work Complete: $1,246,590.60 xa"e- Dec 142020 Albert Grantges(D 4,202009:0 T) > Contractor Date Vice President Title Burnsco Construction, Inc. Company Name Ma��J11� r �/A1` Fadin�Ta 202009:02CST) Dec 14,2020 Project Inspector Date KhalJaafari P.E. ec15,202012:18CST) Dec 15,2020 Project Manager Date Tanie Scarlel-f Morales Dec 15 2020 Janie Scarlett Morales(Dec 15,202016:35 CSC f CFA Manager Date Danaur Dec17,2o 9:16CS Dec 17,2020 Asst. City Manager Date OFFICIAL RECORD CITY SECRETARY Page 1 of 2 FT.WORTH, TX Notice of Project Completion Project Name: P&D, W&S, Street Lighting to Serve Elizabeth Creek Phase 1 City Project No.: 102000 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: 255 CD Days Charged: 366 Work Start Date: 12/1/2019 Work Complete Date: 12/1/2020 Page 2 of 2 FORT WORTH CITY OF FORT WORTH FINAL PAYMENT REQUEST Contract Name ELIZABETH CREEK PHASE 1 Contract Limits Project Type WATER&SEWER City Project Numbers 102000 DOE Number 2000 Estimate Number 1 Payment Number 1 For Period Ending 12/1/2020 CD City Secretary Contract Number Contract Time 25ED Contract Date 10/30/2019 Days Charged to Date 366 Project Manager NA Contract is 100.00 Complete Contractor BURNSCO CONSTRUCTION,INC. 6331 SOUTHWEST BLVD FORT WORTH, TX 76132 Inspectors CORDOVA,R / MCFADIN,M Friday,December 11,2020 Page 1 of 5 City Project Numbers 102000 DOE Number 2000 Contract Name ELIZABETH CREEK PHASE 1 Estimate Number 1 Contract Limits Payment Number 1 Project Type WATER&SEWER For Period Ending 12/1/2020 Project Funding UNIT L•WATER DEPARTMENT Item Description of Items Estimated Unit Unit Cost Estimated Completed Completed No. Quanity Total Quanity Total --------------------------------------- 1 8"WATER PIPE 7490 LF $22.50 $168,525.00 7490 $168,525.00 2 1"WATER SERVICE 191 EA $830.00 $158,530.00 191 $158,530.00 3 8"GATE VALVE 23 EA $1,370.00 $31,510.00 23 $31,510.00 4 FIRE HYDRANT 16 EA $3,930.00 $62,880.00 16 $62,880.00 5 DUCTILE IRON WATER FITTINGS 7.49 TN $2,440.00 $18,275.60 7.49 $18,275.60 W/RESTRAINT 6 TRENCH SAFETY 7490 LF $0.10 $749.00 7490 $749.00 7 4"-12"PRESSURE PLUG 1 EA $200.00 $200.00 1 $200.00 8 16"X 8"TAPPING SLEEVE&VALVE 2 EA $4,600.00 $9,200.00 2 $9,200.00 9 1"PRIVATE WATER SERVICE(IRRIGATION) 1 EA $830.00 $830.00 1 $830.00 (CO#1) 10 1.5"PRIVATE WATER SERVICE(IRRIGATION 1 EA $1,300.00 $1,300.00 1 $1,300.00 (CO#1) Sub-Total of Previous Unit $451,999.60 $451,999.60 UNIT H.SANITARY SEWER IMPROVEMENTS Item Description of Items Estimated Unit Unit Cost Estimated Completed Completed No. Quanity Total Quanity Total --------------------------------------- 1 8"SEWER PIPE 6474 LF $30.00 $194,220.00 6474 $194,220.00 2 21"SEWER PIPE 2314 LF $95.50 $220,987.00 2314 $220,987.00 3 4'MANHOLE 22 EA $2,560.00 $56,320.00 22 $56,320.00 4 CONCRETE ENCASEMENT FOR UTILITY PIPES 605 LF $30.00 $18,150.00 605 $18,150.00 5 4'EXTRA DEPTH MANHOLE 81 VF $140.00 $11,340.00 81 $11,340.00 6 Y MANHOLE 12 EA $4,900.00 $58,800.00 12 $58,800.00 7 Y DROP MANHOLE 4 EA $6,600.00 $26,400.00 4 $26,400.00 8 5'EXTRA DEPTH MANHOLE 132 VF $220.00 $29,040.00 132 $29,040.00 9 EPDXY MANHOLE LINER 66 VF $270.00 $17,820.00 66 $17,820.00 10 TRENCH WATER STOPS 11 EA $300.00 $3,300.00 11 $3,300.00 11 4"SEWER SERVICE 191 EA $660.00 $126,060.00 191 $126,060.00 12 CONNECT TO EXISTING Y MANHOLE 1 EA $1,500.00 $1,500.00 1 $1,500.00 13 MANHOLE VACUUM TESTING(CO#1) 39 EA $110.00 $4,290.00 39 $4,290.00 14 TRENCH SAFETY 8788 LF $1.00 $8,788.00 8788 $8,788.00 Friday,December 11,2020 Page 2 of 5 City Project Numbers 102000 DOE Number 2000 Contract Name ELIZABETH CREEK PHASE 1 Estimate Number 1 Contract Limits Payment Number 1 Project Type WATER&SEWER For Period Ending 12/1/2020 Project Funding 15 POST-CCTV INSPECTION 8788 LF $2.00 $17,576.00 8788 $17,576.00 Sub-Total of Previous Unit $794,591.00 $794,591.00 -------------------------------------- Friday,December 11,2020 Page 3 of 5 City Project Numbers 102000 DOE Number 2000 Contract Name ELIZABETH CREEK PHASE 1 Estimate Number 1 Contract Limits Payment Number 1 Project Type WATER&SEWER For Period Ending 12/1/2020 Project Funding Contract Information Summary Original Contract Amount $1,244,350.60 Chanize Orders Change Order Number 1 $2,240.00 Total Contract Price $1,246,590.60 Total Cost of Work Completed $1,246,590.60 Less %Retained $0.00 Net Earned $1,246,590.60 Earned This Period $1,246,590.60 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 $1,246,590.60 Friday,December 11,2020 Page 4 of 5 City Project Numbers 102000 DOE Number 2000 Contract Name ELIZABETH CREEK PHASE 1 Estimate Number 1 Contract Limits Payment Number 1 Project Type WATER&SEWER For Period Ending 12/1/2020 Project Funding Project Manager NA City Secretary Contract Number Inspectors CORDOVA,R / MCFADIN,M Contract Date 10/30/2019 Contractor BURNSCO CONSTRUCTION,INC. Contract Time 255 CD 6331 SOUTHWEST BLVD Days Charged to Date 366 CD 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 $1,246,590.60 Less %Retained $0.00 Net Earned $1,246,590.60 Earned This Period $1,246,590.60 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 $1,246,590.60 Friday,December 11,2020 Page 5 of 5 G � z § < § � 0 _ 0 / / ue < 0 j \ 2 = \ \ LL § � 0 0 / /_ \co 22 } 7 } / \ / Pa) § / 2 ; < £ \ / G § & / _ a O & \ \ < k / 8 = as ƒ 6 { f D ) - 0 / / / \ \ } \ \ \ \ \¥ \ \ M # ^ / co \ CD CD LL e � f / g \ / 44 \ - % _ ] _ _ m \ cc i } } / } 0 ) in K ) - 2 ` } oe � § e w $ / » , U) G 2 ® < _ \ / 0 � 0 § < \ # # $ § m \ ± } § IL 8 5 CD z @ u 0 / 2 / / } w ! , * Df \ / / \ / / g ± \ § j o p ! & _ ) LU 0 z / \ w / ƒ 0 / < / @ ± 0 = E o < §ILU m 2 » � \ % > a- 0 o e 0 R m � _ § b B a < « ` § ) ) ] aa % © CA- � ta LJ Cl ID CL §® - ; k \ ± � LLI§ \ \ � cu \ ® § « = 2 3 p 76 / z£2§ b ErCl co L) } Lu LU LU ) ` } jm / § ® ) LULU § / ( \ LU Lm b � ( ( [ o 2 a .. § \ } 2 } \ /k \ ~±± ® & K§ { 2 / \ \ � � � \ \\ \ / ¥ o — k a 5 { ! § £ M 3 \ / { 2 © � ` \ \ , LULU \ \} 2 c \ o � / \ R2 / k% } R K / ƒ £ | / ) b 2 2 cu I C:l z / \ / 2 2 § « k / m / FORT WORTH TRANSPORTATION AND PUBLIC WORKS PIPE REPORT FOR: PROJECT NAME: Paving,Water, Sewer,Drainage, Street Lighting To Serve Elizabeth Creek Ph 1 PROJECT NUMBER: 56008-0600430-102000-001580, 56008-0700430-102000-001480 DOE NUMBER: 102000 WATER PIPE LAID SIZE TYPE OF PIPE LF water pipe 8" PVC 7490 FIRE HYDRANTS: 16 VALVES(16" OR LARGER) PIPE ABANDONED SIZE TYPE OF PIPE LF DENSITIES: yes all passed NEW SERVICES: 1" Copper 191 SEWER PIPE LAID SIZE TYPE OF PIPE LF 8" PVC 6474 21" PVC 2314 PIPE ABANDONED SIZE TYPE OF PIPE LF DENSITIES: yes all passed NEW SERVICES: 4" PVC 191 TRANSPORTATION AND PUBLIC WORKS The City of Fort Worth• 1000 Throckmorton Street•Fort Worth,TX 76012-6311 (817) 392-7941 1,Fax: (817) 392-7845 FORT WORTH(-.. TRANSPORTATION AND PUBLIC WORKS December 2,2020 Burnsco Construction INC 6331 Southwest Blvd Benbrook TX 76132 RE: Acceptance Letter Project Name: Paving,Water,Sewer, Drainage,Street Lighting to Seve Elizabeth Creek Ph1 Project Type: Paving City Project No.: 102000 To Whom It May Concern: On December 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 December 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 Khal Jaafari. Sincerely, K`lraG Khal Jaafa ri P.E. ec 15,202012:18 CST) Khal Jaafri, Project Manager Cc: Mark McFadin, Inspector Ron Cordova, Inspection Supervisor Gary Deyon,Senior Inspector Victor Torneno, Program Manager Peloton Land Solutions,Consultant Burnsco Construction INC,Contractor Pulte Group, 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,Vice President, Of Burnsco 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; Elizabeth Creek Phase I - Water, Sanitary Sewer and Storm Drain BY Ab Gran es, ice Presidetn Subscribed and sworn before me on this date 12th of December, 2020. CES7NALES Notary131#1312996 µy CoNotary PublicJ Tarrant County, Texas I CONSENT OF OWNER ❑ SURETY COMPANY ARCHITECT ❑ TO FINAL. PAYMENT CONTRACTOR ❑ SURETY ❑ Conforms with the American institute of OTHER Architects,AIA Document G707 Bond No 022224741 PROJECT: (name, address)Elizabeth Creek, Phase 1 TO (Owner) Fort Worth TX PULTEGROUP, INC.AND THE CITY OF FORT ARCHITECT'S PROJECT NO: WORTH CONTRACT FOR: 1000 Throckmorton Flizabeth Creek, Phase 1 Fort Worth TX 761 D2-6311 _I CONTRACT DATE: CONTRACTOR:BURNSCO CONSTRUCTION, INC. In accordance with the provisions of the Contract between the Owner and the Contractor as indicated above,the there insert name and address of Surety Company; LIBERTY MUTUAL INSURANCE COMPANY 175 Berkeley Street Boston MA 02116 , SURETY COMPANY on bond of Thera 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? PULTEGROUP, INC.AND THE CITY OF FORT WORTH 1000 Throckmorton Fort Worth TX 76102-6311 OWNER, as set forth in the said Surety Company's bond. IN WITNESS, WHEREOF, the Surety Company has hereunto set its hand this 4th day of December, 2020 LIBERTY MUTUAL INSURANCE COMPANY Surety Company Attest: (Seal); + Signa 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. Lib4. . ill Liberty Mutual Insurance Company The Ohio Casualty Insurance Company Certificate No: 8200743 SURETY West American Insurance Company 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 tailed the"Companies"),pursuant to and by authority herein set forth,does hereby name,constitute and appoint, Robbi Morales,Don E.Comell,Sophinie Hunter,Tina McJ wan,Tonie 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 attorney-in-fact to make, execute,seal,acknowledge and deliver,for and on its behalf as surety and as its act and dead,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 . u Liberty Mutual Insurance Company tr+s ,p bINSURgy .}��Rro SU Pa t PouRq The Ohio Casualty Insurance Company West American insurance Company 7 1912 o 0 1919 1991 �� a �� S'�CHUS�.da O�y4 MPy�.da� 'CS �N�IANP .aa� "' In U] By: ' State of PENNSYLVANIA David M.Carey,Assistant Secretary -� :3 County of MONTGOMERY ss (D 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 authored 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. M LL.I co IN 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. (a 0 00 L A CQMMONWEALTH OF_PENNSYLVANIA �Y 60 or Teresa Paslella,Nolary Public p O I Upper Meron Twp-,Morllgemery County By. 1f4Q�L�Gt,�i N t0 My Commission Expires March 28.2021 Qy z, Aeresa Pastella,Notary Public 3 E (1 MaB b-%Pennsylvania Assa.i—uir4ol nes �O6 rA O m 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:S o Insurance Company,and West American Insurance Company which resolutions are now in full force and effect reading as follows: o w m ARTICLE IV-OFFICERS:Section 12.Power of Attorney. o 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 a W a 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 a o co C: 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 r— ` 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 °D 0 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 c`i provisions of this article may be revoked at any time by the Board,the Chairman,the President or by the officer or officers granting such power or authority. r co ARTICLE XIII-Execution of Contracts:Section 5.Surety Bonds and Undertakings. cot o 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, la c2 shall appoint such attomeys-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 attomeys-in-fact subject to the limitations set forth in their respective powers of attorney,shall have full power to bind the Company by their signature and execution of any such instruments and to attach thereto the sear of the Company.When so executed such instruments shalt 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 Bylaws of the Company,authorizes David M.Carey,Assistant Secretary to appoint such attorneys-ifl- tact 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,recognizances and other surety obligations. Authorization-By unanimous consent of the Company's Beard 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,Lberty 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 4th day of December 2020 1NSUF,q 1111 INS& LTrSUj� �J2G°Fp0r�rOym ojkpo J,'Agy LP4pappggr'9•yc+ 1912 s a ma 3 Fa [n Yv �s'o v 1919�w a 1991 p d�ssAcauS da O up L� � roelas�P D� 13y: u er7 * >a dy1 * s�M * ��,a Renee C.Llewellyn,Assistant Secretary LMS-12873 LM1C 0DO WAIC Multi Co D62018 Liberty M 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 to]]-free for inforamation or to Usted puede Ilamar al 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 l 9406-2755 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 al 1-800-252-3439 You may write the Texas Department of Insurance Puede escribir al Departamento de Seguros Consumer Protection (I I14A) de Texas Consumer Protection (I I I-IA) 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: ConsumerProtection V tdi.texas.gov E-mail: ConsumerProtection tdi.texas.gov PREMIUM OR CLAIM DISPUTES: DISPUTAS 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. NP70690901 LMS-15292 10115