HomeMy WebLinkAboutContract 53496-FP1City Secretary 53496 -FP1
Contract No.
FORTWORTHo
Date Received Mar 23, 2021
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: SOUTHFORK ESTATES PHASES 2& 3
City Project No.: 102055
Improvement Type(s): Water �
Original Contract Price:
Amount of Appro�ed Change Order(s):
Revised Contract Amount:
Total Cost of Work Complete:
������
Albert 6rantges (M 8, 202110:1 T)
Contractor
Vice President
Title
Burnsco Construction, Inc.
Company Name
C`istobqG �e�rtes
CrisTobal Fuentes (Mar 18, 20211026 CDT)
Project Inspector
Khal T��fari P. E.
KhalJaafari P.E(Mar22,2021P:14CDT)
P 'ect Mana er
� c:���� �
J e Scarlett Morales (Mar23, 2021 08:13 CDT)
CFA Manager
�GZ�IGt t�G/�GI�G�D�
Da n a B u rgh d off ( M a r 23, 2021 08:53 C DT)
Asst. City Manager
Sewer 0
Mar 18, 2021
Date
Mar 18, 2021
Date
M a r 22, 2021
Date
M a r 23, 2021
Date
M a r 23, 2021
Date
$781,995.20
$23, 624.14
$805,619.34
$805,619.34
OFFICIAL RECORD
CITY SECRETARY Page 1 of 2
FT. WORTH, TX
Notice of Project Completion
Project Name: SOUTHFORK ESTATES PHASES 2& 3
City Project No.: 102055
City's Attachments
Final Pay Estimate ❑x
Change Order(s): x❑ Yes ❑ N/A
Pipe Report: x❑ Yes ❑ N/A
Contractor's Attachments
Affidavit of Bills Paid
Consent of Surety
�
Statement of Contract Time
Contract Time: 180 CD Days Charged: 110
Work Start Date: 5/27/2020 Work Complete Date: 2/9/2021
Page 2 of 2
�'���r ���Tx
CITY OF FORT WORTH
FINAL PAYMENT REQUEST
Contract Name SOUTHFORK ESTATES PHASES 2& 3
Contract Limits
Project Type WATER & SEWER
City Project Numbers 102055
DOE Number 2055
Estimate Number 1 Payment Number 1
City Secretary Contract Number
Contract Date
For Period Ending 3/18/2021
W
Project Manager NA
Contractor BURNSCO CONSTRUCTION, INC.
6331 SOUTHWEST BLVD
FORT WORTH � TX 76132
Inspectors DICKINSON / FUENTES
Contract Time 18�J
Days Charged to Date 110
Contract is 100.00 Complete
Thursday, March 18, 2021 Page 1 of 4
City Project Numbers 102055
Contract Name SOUTHFORK ESTATES PHASES 2& 3
Contract Limits
Project Type WATER & SEWER
Project Funding
WATER
DOE Number 2055
Estimate Number 1
Payment Number 1
For Period Ending 3/18/2021
Item Description of Items Estimated Unit Unit Cost Estimated Completed Completed
No. Quanity Total Quanity Total
1 8" PVC WATER PIPE CO#1 6521 LF $25.00 $163,025.00 6521 $163,025.00
2 FIRE HYDRANT W/GATE VALVE 3 EA $3,970.00 $11,910.00 3 $11,910.00
3 1" WATER SERVICE CO#1 190 EA $735.00 $139,650.00 190 $139,650.00
4 8" GATE VALVE & BOX 17 EA $1,380.00 $23,460.00 17 $23,460.00
5 CONNECTION TO EXISTING 4"-12" WATER 4 EA $1,100.00 $4,400.00 4 $4,400.00
MAIN
6 DUCTILE IRON WATER FITTINGS 1.8 TN $4,671.80 $8,409.24 1.8 $8,409.24
W/RESTRAINT CO#1
7 TRENCH SAFETY CO#1 6521 LF $0.10 $652.10 6521 $65210
8 TRAFFIC CONTROL 1 MO $4,400.00 $4,400.00 1 $4,400.00
9 6" WATER PIPE CO#1 22 LF $24.00 $528.00 22 $528.00
10 RELOCATE EXISTING FIRE HYDRANT CO#1 2 EA $1,400.00 $2,800.00 2 $2,800.00
Sub-Total of Previous Unit �359,23434 $359,234.34
SEWER
Item Estimated Estimated Completed Completed
Description of Items Unit Unit Cost
No. Quanity Total Quanity Total
1 8" SEWER MAIN CO#1 6290 LF $32.00 $201,280.00 6290 $201,280.00
2 4' MANHOLE 22 EA $2,500.00 $55,000.00 22 $55,000.00
3 EXTRA DEPTH DEPTH MANHOLE 66 VF $150.00 $9,900.00 66 $9,900.00
4 4" SEWER SERVICE CO#1 190 EA $670.00 $127,300.00 190 $127,300.00
5 POST CCTV INSPECTION CO#1 6290 LF $2.50 $15,725.00 6290 $15,725.00
6 MANHOLEVACUUMTESTING 22 EA $110.00 $2,420.00 22 $2,420.00
7 TRENCH SAFETY CO#1 6290 LF $1.00 $6,290.00 6290 $6,290.00
8 CONCRETE ENCASE SEWER PIPE CO#1 520 LF $50.00 $26,000.00 520 $26,000.00
9 CEMENT STABILIZED BACKFILL CO#1 130 LF $19.00 $2,470.00 130 $2,470.00
Sub-Total of Previous Unit $446,385.00 $446,385.00
Thursday, March 18, 2021 Page 2 of 4
City Project Numbers 102055
Contract Name SOUTHFORK ESTATES PHASES 2& 3
Contract Limits
Project Type WATER & SEWER
Project Funding
Contract Information Summary
Origival Contract Amount
Change Orders
Change Order Number 1
Total Contract Price
DOE Number 2055
Estimate Number 1
Payment Number 1
For Period Ending 3/18/2021
��si,99s.ao
$23,62414
$805,619.34
Total Cost of Work Completed ggo5,61934
Less % Retained $0.00
Net Earned $805,619.34
Earned This Period $805,61934
Retainage This Period $0.00
Less Liquidated Damages
Days @ / Day
LessPavement Deficiency
Less Penalty
Less Previous Payment
Plus Material on Hand Less 15%
Balance Due This Payment
$0.00
$0.00
$0.00
$0.00
$0.00
$805,61934
Thursday, March 18, 2021 Page 3 of 4
City Project Numbers 102055
Contract Name SOUTHFORK ESTATES PHASES 2& 3
Contract Limits
Project Type WATER & SEWER
DOE Number 2055
Estimate Number 1
Payment Number 1
For Period Ending 3/18/2021
Project Funding
Project Manager NA
Inspectors DICKINSON / FUENTES
Contractor BURNSCO CONSTRUCTION, INC.
6331 SOUTHWEST BLVD
FORT WORTH � TX 76132
City Secretary Contract Number
Contract Date
Contract Time l80 W
Days Charged to Date 110 W
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
Less % Retained
Net Earned
Earned This Period $805,619.34
Retainage This Period $0.00
Less Liquidated Damages
0 Days @ $0.00 / Day
LessPavement Deficiency
Less Penalty
Less Previous Payment
Plus Material on Hand Less 15%
Balance Due This Payment
$805,619.34
$0.00
$805,619.34
$0.00
$0.00
$0.00
$0.00
$0.00
$805,619.34
Thursday, March 18, 2021 Page 4 of 4
PROJECT NAM�:
PROJ�CT NUMBER:
DO� NUMB�R:
PIPE LAID
8" PVC
FIRE HYDRANTS: 3
PIPE ABANDONED
DENSITIES:
NEW SERVICES:
PIPE LAID
8"PVC
PIPE ABANDONED
DENSITI�S:
NEW S�RVICES:
FORTWORTH
TRANSPORTATION AND PUBLIC WORKS
PIPE REPORT FOR:
Southfork Estates, Phase 2&3.
102055
N/A
WATER
SIZ� TYPE OF PIPE LF
8" C900PVC 6494.LF
SIZE
VALVES (16" OR LARGER)
TYPE OF PIPE
LF
1"
SIZE
g��
SIZE
4"
Yes
1"copper
SEWER
TYPE OF PIPE
PVC Sewer
TYPE OF PIPE
Yes
PVC
189. EA
LF
6298.LF
LF
189.EA
TRANSPORTATION AND PUBLIC WORKS
��? The City of Fort Worth • 1000 Throcl�noiton Street • Foit Worth, T�i 76012-6311
(817) 392 - 7941 • Fax: (817) 392 - 7845
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Fo�T �o�TH�
TRANSPORTATION AND PUBLIC WORKS
February 9, 2021
Burnsco Construction, Inc
6631 Southwest Llvd
Benbrook, TX76131.
RE: Acceptance Letter
Project Name: Southfork Estates, Phase 2&3.
Project Type: Water and Sewer.
City Project No.: 102055
To Whom It May Concern:
On February 9, 2021 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 February 9, 2021,
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-
392-7872.
Sincerely,
Kl�c�l Tc�crfari P. E.
KhalJaafari P.E(Mar22,202117:14CDT)
Khal Jaafari, Project Manager
Cc: Cristobal Fuentes, Inspector
Michael Glover, Inspection Supervisor
Randy Horton, Senior Inspector
Victor Tornero, Program Manager
Shield Engieering Group, Consultant
Burnsco Construction, Inc, Contractor
Crowley 96, LLC, 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 pL�blic in the state
and county aforesaid, on this day personally appeared Ab Grantges,
Contract Mgr, Of Burnsco Coi�struction, known to ine to be a credible
person, wha being by ine duly sworn, upon his oakh deposed and sartd;
That all persons, fir�ns, associations, corporations, or other
organizatio�ls furnishiilg labor and/or materials have been paid in full;
That the wage scale established by the City Cauncil in the City of
Fort Worth has been paid in full;
That there are i�o c�aiins pendiilg for personal injury and/or
praperty dama�;es;
On Contract described as;
Southfork Phases 2&3 - Water, Sanitaiy Sewer and Stori�n Drain
BY
Ab Grantges, Contract Manager
Subscribed and sworn be%re me on tk►is date 18th o� March, 2021.
���, G� �--�
Notary Public
Tarranf County, Texas
`pn� ��t,,, CESILIACANI��ES
"' i � Natary ID �t13165299b
_ �
� My Commission Expires
�yr J�,Y �uly 24, 7022
r o; s
CONSENT OF
SURETY C�MPANY
TO FINAL PAYMENT
Confo�ms with the American lnstitute of
Architects, AIA Document G7fl7
ow��� ❑
ARCHITECT ❑
coNr�ACTo� ❑
SURETY ❑
o�HER
Bond No 022226112
PROJECT:
�n8m8, �dd�255}Southfork Estates Phase 2& 3- Water and Sanitary Sewer Improvements
Fort Worth 7X
TD ��WilBf�
� ARCHlTECT'S PROJECT N0:
CROWLEY 96, LLC ANp CITY OF FORT WORTH CONTRACT FOR:
201 Wesi Bu€ford, 5uite 1 D1 Southfork Estates Phase 2 8 3- Water and Sanitary 5ewer
Improvements
Burleson TX 76d28
� CONTRAC7' DATE:
CONTRACTOR: BURNSCO CONSTRUCTiQN, INC.
In accordance with the provisions of the Contract between the Owner and the Coz�tractor as indicated above, the
Ihere insert name end address of Surety Company}
LIBERTY iViUTUA�. INSURANCE COMPAf�Y
175 Berkeley Street
Boston MA 02? 16 , S�RETY COMPANY
on bond pf (here insart neme and address af Contractorl
BURNSCO CONSTRUCTION, INC.
6331 Southwest Boulevard
Benbrook TX 76132
, CONTRACTOR,
hereby approves of the finat payment to the Contractor, and agrees that �nal payment to the Contractor shall not relieve
the Surety Company of any of its obligations to Ihsre insert name and address of Ownsrl
CROWLEY 96, LLC AND CITY OF FORT WORTH
201 West Bufford, Suita �p1
Burleson TX 76028
, owNER,
as set forth in #he saicf Surety Company's bond.
IN WITNESS, WHBREOF,
the Swety Company has hereunto set its hancE this
A{6Vi]L. A{ _
,%l.r::� i�� �f, ��v�(t.��-
(Seal};
2nd day of March, 202�
LIBERTY MUTUAL INSURANCE COMPANY
S�rety Cornpany
:`� �
f� � �'?�_r�% ,..�'� � +,; -
Signafi re of Authorized Representative
So hinie Hunter Attorne -in-Fact
Title
NOTE: Th"ss fOFrr� is to he esed as a companion document to A!A 6pCUMENT G706, CpN7RACTOR'S AFFIDAVIT OF PAYMENT OF DEBFS ANp GLAIMS,
Current Edition
OEJE PAGE
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._ � __� 11 �����
This Ppwer of Atiorney limits the acts of those named herein, and they have na authority to
bind the Company except in the manner and to the extent herefn stated.
L.iberty Mutual Insurance Company
The Ohio Casuaity Insurance Company
West American Insurance Company
POWER OF ATTORNEY
Ce�ificafe No: 8200743
KNOWN ALL PERSONS BY THESE PRE$ENTS: Thai The Ohio Casualty Insurance Company is a �orporaYion duly organized ander 1he laws of the 5tate oi �few Hampshire, ihat
Liberty Mutual Insurance Company is a corporation duly organized under the Eaws of the State of Massachuseqs, and Wesi American Insurance Company is a eorporation duly organized
under the laws of the State of indiana {herein collectively called the "Companies"), pursuant to end by authority herein set forth, does hereby name, cronstitute and appoinl,
Robbi Mnrales, Don L', Cornell, Sophinie Hunter. Tfna N1cEwan, Tor�fe 1'etranck, Ricardo 7, Reyna, Josltux Saunders, Kelly A. VL'estbrook
all of the cfty of Dal las state of TX each individually if there be more than ane nametl, its true antl lawful attomey-in-facf io make,
execute, seal, acknowletlge antl deliver, for and on its behalf as surety and as €ts act and deed, any and all undertakings, bonds, recrognizances and ot�er sure#y ohligations, in pursuance
of these presents and shall be as binding upon the Companies as if they have been duly signed by 1he pr�sident end attested by the secretary of the C4mpanies in their own proper
persons.
IN WITNESS WHEREOF, this Power pf Atiorney has �reen subscribed by an authorized officer or offcial of ihe Companies and the corporate seais of fhe Companies have been affixed
fh�reto this ] 9ih day of March , 201 y.
�
W
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C
�° Sfaie of PENNSYLVANIA
� County of MONTGOMERY ss
LibeRy MuivaE Ir�surance Company
P� tiNBUqq P4�v iros� a�NSURq The Ohio Casualty Insurance Company
J2v�RY��qraynt+� Q?G�¢Po�aTp�2n ¢�G�RP�RRTO�� WBSf E51T70fIC8(1 fF]Sl1fBfICO COfI'lpally
� qs�9�Z1 � y y i9'19�� 0 4 9991 0 ��1 �, /�
�'� SacHusE ,�a O �lyAMP`�� a � �NoinNQ a� �����` `"`�'
��7 * F� �H �y s� �,d B �E'riy : , ,<
� x 1� M* h Y� ,i
David M. Garey, Assistar�t Secretary
�' w On fhis 19th day of Marc�� , 20 � 9 before me personalEy appearetl �avid M. Carey, who acknowledged himseff to be the Assistant Secretary af Liberty Mutuai Insurance
o� Company, The Ohio Casualty Company, and West American Insurance Company, and ihai he, as such, being aufhorized so to do, execute the foregoing fnsfrumenf for the purposes
�� therein contained by signing on beha�f oi the corporafions by himself as a d�ly authorizetl offcer.
�� IN WITNESS WH EREOF, I have hereunto subscri6ed my name and affixed my notarial seal at King ot Prussia, Pennsylvania, on the day and year first abave writien.
_-o
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N • ' '�;"i�"':. COPa111�ON1NEAi.TH OF PENIJ&YLVANIA
:y
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Not ru'�.Seal �
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� � � ,_„ TPr,sa P�stel a, Nck,ry �uGl c ���� �
llpp� h4e-on"€erp h4on o 3�,-Ca��tY , �jl: � d-i
�� _, �I �4� Cf nr�'�stiw�i Cxpires Fiii:h 2fi.202� f ef05a p851B��3, NOrdfy PLIb�IC
a __
� �� �- �� .,s;n��er, Per.nayirar.la A5'seciaeca c' Nai2r,es
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� m This Power of Attorney �s made and executed pursuant fo and by authority of ihe following By-laws and Authorizaiions of The Ohia Casualty Insurance Company, Lib�rry Mutual
o.� Insurance Company, and West American Insurance Campany which rasolulions are now �n full force and effect reading as follows,
� v ARTICiE IV- OFFiCERS: Section 12. Power of Attom�y.
�� Any officer or other o��ial of fhe CorporatEon aulhorized for ihai purpose in writing by the Chairman or the President, and subjeci io such limita6on as the Chairman or the
o�. Presidenl may prescnbe, shall appoint such aitorneys-in-fact, as may be necessary to act in behalf ai the Corparation to make, execute, seal, acknouvledge and deliver as surety
�� any and all undertakings, bands, recognizances and olh�r surety obilgations, Such attomeys-in-fact, subject to the iimitations set forth in their respectfve powers oi attomey, shali
� have full po�ver to bind the Gorporation �y fheir signature and execution of any such instruments and to attach thereio ihe seal of the Corporation. Wf�en so executed, such
� � instruments shall be as bindfng as if signed by the Presidenf and affested to 6y the Secreiary. Any power or authority granted to a�y represeniative or attarney in-fact onder the
provisions of this artiole may be revoksd at any time by the Board, the Chairman,lhe President or by ihe o�cer or offcers graniing such power or authority.
ARTICLE Xlll- Execution of Contracts: Section 5. Surety Bonds and Untlertakings.
Any a�cer of the Company authorizetl for ihat purpose in writing by the chairmar� or ihe president, and suhject to such limitatians as the chairrnan or fhe president may prescribe,
shall appoinl such aitorneys-in-fact, as may be necessary to act in behal{ of the Company to make, execute, seal, acknowiedge and deliver as surety any and ali underlakings, I
bontls, recognizances antl other surefy o6ligations. Such attarneys in fact subject to the limitations sef forth in their respective powers of attorney, shall have full power to bfnd 1he
Compeny by fheir signature and execution of any such instruments and to atfach thereto the seal of the Company. When sa executed such insfrumenfs shall be as binding as if
signed �y the president and attested �y the secretary.
Certificace of Designation - The President of ihe Company, acting pursuant to the Bylaws of the Company, authorizes �avid M. Carey, Assistant Secretary to app0int such attOmeys-fn-
fact as may be necessary to act on 6ehalf of ihe Company to make, execute, seal, ecknowledge antl deliver as surety any antl all undertakings, bontls, recogt�fzances and other sorety
o6ligations.
Authorization - By unanimous consent oT ths Comgany's Board of Directors, the Compa�y consents that facsimfla ar mecha�lcally reprod�ced signature o( any assistant secretary of the
Company, wherever appearing upon a certified copy pf any power of attorney issued by the Company in oonnection with sureiy bonds, shall Yre valid and hinding upon the Company with
the same force and effect as though manually affxed.
I, Renee C. Llewellyn, the undersigned, Assistant Secretary, The Ohio Casualty Insurance Company, Liberty Mutual lrisurance Company, and West American lnsurance Company do
hereby certify that the originaf power ot attomey of which the toregoing is a full, true and correct copy o# tne Power of Attorney executed by said Gompanies, is in full force and effect and
has not been revoked.
IN TESTIMONY WHEREOF, I have hereunio set my hand and affixad ihe seals of said Companies this 2nd day of March , 2021 .
P4 1NSURq P�SY INgV/� � �kS!/R
jJ=�p0.PO�rO�r� � 2�'�RP9Rq�Wy `VP`pRPaq,�TqC�
o C� a = P iTi
� 1912 � 0 1919 � � 1991 � °'�
av�g�7 *„s��ya o�y„aM45 adas'n a s��No,px,.Nda� �y� Renee C. Llewe[lyn, Assisiant Secretary
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TEXAS
IMPORTANT NOTICE
To obtain information or ix�ake a complaint:
Yo� may call toll-free for information or to
make a complaint at
l -877-7� 1-2640
You may also write to:
2200 Renaissance [31vd., Ste. 400
Kir1g of Prussia, PA 1940G-2755
You �laa}r contact tl�e Texas Departm�nt of
lnsurance to obtaii� information on companies,
coverages, rights or coinpEaints at
1-SQQ-252-3439
You may write the Texas Department of l.nsurance
Consumcr Protection (111-1A)
F. O. Box 149091
Austin, TX 78714-9091
FAX: (512) 490-I007
Web: http://www.tdi.texas, o�v
E-mail: ConsumerProtection�tdi.texas �ov
PREMIUM OR CLAIM DISPUTES:
Should you have a dispute concerni��g }�our
premium or about a clai�7� you should first
contact the agent or call 1-500-843-6446.
if the dispute is not resolved, you may contact the
Texas Departme►�t of Insura�ce.
ATTACH Tl-IIS NOTICE T� YOUR
PQLICY:
This notice is for inforEnation only and does ilot
become a part ar coi�dition of the attached
document.
TEXAS
AVISO IMPORTANTE
Para obtener informacion o para someter una
queja:
Usted puede lEa�-nar al numero de telefono gratis
para informacion o para someter una queja al
1-877-75I-2640
Usted tan-�bien puede escribir a:
2200 Rena2ssance Blvd., Ste. 400
Kin� of Prussia, PA 19406-2755
�uede camunicarse con el Departamento de
Seguros cIe Texas para obtener informacion
acerca de coinpanias, coberturas, c�erechos o
quejas al
I-800-252-3439
Puede �scribir a1 Departamento de Seburos
de Texas Consumer Protection (] 11-1A}
P. O. Box 149091
/lustin, TX 78714-9091
FAX # (5 ] 2) 490-1007
Web: http://w��w.tdi.texas_ o�v
�-�nail: ConsuinerProtection,�a tdi.texas, o�
DISPUTAS SOBRE PRIMAS 0 RECLAMOS:
Si tiena una disputa concerniente a su prima o a
un rec[amo, debe comunicarse con el agente o
primero. Si no se resuelve la disputa, puede
entonces comunicarse con el departamento (TD[)
UNA ESTE AVIS� A SU POLIZA:
Este a�iso es soio para proposito de informacion
y no se convierte en parte a condicion del
documento adjunto.
NP 7D 58 D9 O l
LM S-9 5292 10115