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HomeMy WebLinkAboutContract 52245-FP2City Secretary 52245 -FP2 Contract No. FORTWORTHo Date Received Mar 26, 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: American Blvd and FAA Blvd Traffic Signals City Project No.: 101506 Improvement Type(s): ❑ Paving ❑ Drainage Original Contract Price: Amount of Approved Change Order(s): Revised Contract Amount: Total Cost of Work Complete: ,�� a� Contractor President Title $214, 066.75 $700,096.90 $914,163.65 $914,163.65 M a r 24, 2021 Date Bean Electrical, Inc Company Name ��ibe�to �eCt�q�r Feliberto Beltran (Mar24, 202108:56 CDT) Project Inspector Debbie T willhelm Debble J. Willhclm (Mar 24, 2021 10:01 CDT) Project Manager ���2� �c:����-�����.c� r 4i`�loral�(A1ar�4,�E���:�3LBT! � FA Manager �Gl�lGi �GL�GILIG�D� Dana Burghdoff (Mar25, 202ll634 CDT) Asst. City Manager M a r 24, 2021 Date M a r 24, 2021 Date M a r 24, 2021 Date M a r 25, 2021 Date ❑ Street Lights 0 Traffic Signals OFFICIAL RECORD CITY SECRETARY FT. WORTH, TX Page 1 of 2 Notice of Project Completion Project Name: American Blvd and FAA Blvd Traffic Signals City Project No.: 101506 City's Attachments Final Pay Estimate 0 Change Order(s): � Yes ❑ N/A Contractor's Attachments Affidavit of Bills Paid Consent of Surety Statement of Contract Time Contract Time: 360 CD Days Charged: 360 Work Start Date: 6/18/2019 Work Complete Date: 11/18/2020 Page 2 of 2 FORT WORTH CITY OF FORT WORTH F1NAL PAYMENT REQUEST Contract Name AMERICAN BOULEVARD AT FAA BOULEVARD TRAFFIC SIGNALS Contract Limits Project Type TRAFFIC SIGNAL City Project Numbers 101506 DOE Number 1506 Estimate Number 1 Payment Number � For Period Ending 2/23/2021 CD City Secretary Contract Number Contract Date Project Manager NA Contractor BEAN ELECTRICAL, INC 821 E ENON FORT WORTH , TX 76140 Inspectors RUFFIN, D/ BELTRAN, F Contract Time 24�D Days Charged to Date 360 Contract is 100.00 Complete Friday, March 12, 2021 Page 1 of 7 City Project Numbers 101506 Contract Name Contract Limits Project Ty�e Project Funding AMERICAN BOULEVARD AT FAA BOULEVARD TRAFFIC SIGNALS 'IRAFFIC SIGNAL U�`iT IV: TRAFFIC SIGNAL IMPROVEII�NTS DOE Number 1506 Estimate Number 1 Payment Number I For Perioci Ending Z/23/2021 Item Description of Items Estimated Unit Unit Cost Estimated Completed Completed Na. Quanity Total Quanity TotTl I FURNISH/INSTALL ELEC SERV PEDESTAL 1 EA $6,000.00 $6,000.00 1 $6,000.00 2 2" CONDT RM (RISER) 20 LF $22.00 $440.00 20 $440.00 3 2" CONT PVC SCH 80 (T) 45 LF $15.00 $675.00 45 $675.00 4 3" CONT PVC SCH 80 (T) 55 LF $18.00 $990.00 55 $990.00 5 3" CONT PVC SCH 80 (B) 295 LF $20.00 $5,900.00 295 $5,900.00 6 3-SEC SIGNAL HEAD ASSMBY 6 EA $975.00 $5,850.00 6 $5,850.00 7 3-SEC SIGNAL HEAD ASSEMBLY WITH 2 EA $1,000.00 $2,000.00 2 $2,000.00 BIMODAL LENS (FYA) 8 5-SECT SIGNAL HEAD ASSMBLY 2 EA $1,250.00 $2,500.00 2 $2,500.00 9 PED SIGNAL HEAD ASSEMBLY 8 EA $850.00 $6,800.00 8 $6,800.00 10 AUDIBLEPEDESTRIANPUSHBUTTON 8 EA $1,350.00 $10,800.00 8 $10,800.00 STATION 11 FURNISII/INSTALL HYBRID DETECTION 4 AP $8,100.00 $32,400.00 4 $32,400.00 SYSTEM 12 FURNISH/INSTALLHYBRIDDETECTION 360 LF $325 $1,170.00 360 $1,170.00 CABLE 13 FURNISII/INSTALL HMOCCL 711 PRECINPTIO 4 EA $1,850.00 $7,400.00 4 $7,400.00 DETECTOR 14 FURNISH/INSTALL PREEMPTTION CABLE 370 LF $2.00 $740.00 370 $740.00 15 5/C 14 AWG MULTI-CONDUCTOR CABLE 435 LF $1.65 $717.75 435 $717.75 16 7/C 14 AWG MULTI-CONDUCTOR CABLE 100 LF $1.75 $175.00 100 $175.00 17 20/C 14 AWG MULTI-CONDUCTOR CABLE 370 LF $4.75 $1,757.50 370 $1,757.50 18 3/C 14AWGMULTI-CONDUCTORCABLE 740 LF $1.40 $1,036.00 740 $1,036.00 19 NO 6 INSiJLATED ELEC CONDR 90 LF $1.75 $157.50 90 $157.50 20 NO 6 INSULTATED ELEC CONDR (WHITE & 640 LF $1.75 $1,120.00 640 $1,120.00 BLACK) LUMINAIRE 21 GROIJND BOX TYPE D W/APRON 4 EA $900.00 $3,600.00 4 $3,600.00 22 FURNISH/INSTALL TYPE 41 SIGNAL POLE 2 EA $6,616.00 $13,232.00 2 $13,232.00 23 FURNISH/INSTALL TYPE 43 SIGNAL POLE 2 EA $6,766.00 $13,532.00 2 $13,532.00 24 FURNISH/INSTALL MAST ARM 16'-36' 2 EA $4,429.00 $8,858.00 2 $8,858.00 25 FURNISH/INSTALL MAST ARM 40-48' 2 EA $5,308.00 $10,616.00 2 $10,616.00 26 T1' 3 SIGNAL FOUNDATION 2 EA $4,550.00 $9,100.00 2 $9,100.00 27 TY 4 SIGNAL FOUNDATION 2 EA $5,010.00 $10,020.00 2 $10,020.00 Friday, March 12, 2021 Page 2 of 7 City Project Numbers 101506 DOE Number 1506 Contract Name AMERICAN BOULEVARD AT FAA BOULEVARD TRAFFIC SIGNALS �stimate Number 1 Contract Limits Payment Number 1 Project Type TRAFFIC SIGNAL For Period Ending 2/23/2021 Project Funding 28 SIGNAL CABINET FOUNDATION - 352i 29 FURNISH/INSTALL ATC SIGNAL CONTROLLER - 2070 LDX 30 INSTALL 352i CONTROLLER CABINET ASSEMBLY 31 FURNISH/INSTALL LED LIGHTING FIXTURE ( I 87 WATT ATB2 COBRA HEAD) 32 REMOVE/SALVAGE LIGHTING FIXTURE AND POLE 33 REMOVE ROADWAY ILLUMINATION FOUNDATION 34 FURNISH/INSTALL ALUM SIGN GROUND MOUNT CITY STD. 35 FURNISH/INSTALL ALUM SIGN MAST ARM MOUNT 36 REMOVE SIGN PANEL AND POST 37 TRAFFIC CONTROL 38 FURNISH/INSTALL CANTILEVER ARM (STREELIGHT ARMS) 39 FURNISH/INSTALL 4G MODEM 40 CAT SE CABLE (PTZ) 41 FURNISH/INSTALL PTZ CAMERA 42 2" CONDUIT PVC SCH 80 (B) (CO #2 Delete) 43 4" CONDUIT PVC SCH 80 (B) CO #2) 1 FURNISH/INSTALL ELECT SERVICE ( CO 1) 2 2" CONT PVC SCH 80 (T) CO #1 3 3" CONT PVC SCH 80 (T) CO # I 4 3" CONT PVC SCH 80 (B) CO #I 5 3-SEC SIGNAL HEAD ASSEMBLY (CO #1) 6 3-SEC SIGNAL HEAD ASSEMBLY WBI MODEL (CO #1) 7 PED SIGNAL HEAD ASSEMBLY (CO #1) 8 AUDIBLE PEDESTRIAN PUSH BUTTON STATION (CO # 1) 9 FURNISH/INSTALL MODEL 7II PRE-EMPTION DET. (CO#1) 10 FURNISH/INSTALL PREEMPT[ON CABLE (CO #1) 1 EA $3,820.00 $3,820.00 1 EA $3,670.00 $3,670.00 1 EA $16,000.00 $16,000.00 4 EA $550.00 $2,200.00 3 EA $850.00 $2,550.00 Z EA $850.00 $1,700.00 3 EA $450.00 $1,350.00 6 EA $750.00 $4,500.00 4 EA $125.00 $500.00 I MO $9,000.00 $9,000.00 4 EA $1,000.00 $4,000.00 1 EA $2,500.00 $2,500.00 ao LF �a.so ��oo.00 1 EA $4,590.00 $4,590.00 -935 LF $22.00 ($20,570.00) 935 LF $35.00 $32,725.00 1 EA $6,000.00 $6,000.00 380 LF $15.00 $5,700.00 235 LF $18.00 $4,230.00 550 LF $20.00 $11,000.00 25 EA $975.00 $24,375.00 4 EA $1,000.00 $4,000.00 10 EA $850.00 $8,500.00 2 EA $I,350.00 $2,700.00 6 EA $1,850.00 $11,100.00 2975 LF $2.00 $5,950.00 1 $3,820.00 1 $3,670.00 1 $16,000.00 4 $2,200.00 3 $2,550.00 2 $1,700.00 3 $1,350.00 6 $4,500.00 � $500.00 I $9,000.00 4 $a,000.00 1 $2,500.00 ao $�oo.00 1 $4,590.00 -935 ($20,570.00) 935 $32,725.00 1 $6,000.00 380 $5,700.00 235 $4,230.00 550 $11,000.00 25 $24,375.00 4 $4,000.00 ]0 $8,500.00 2 $2,700.00 6 $11,100.00 2975 $5,950.00 Friday, March 12, 2021 Page 3 of 7 City Project Numbers 101506 DOE Numbe►• 1506 Contract Name AMERICAN BOULEVARD AT FAA BOULEVARD TRAFFIC SIGNALS Estimate Number 1 Contract Limits Payment Number 1 Project Type TRAFFIC SIGNAL For Period Ending 2/23/2021 Project Funding 1 l 5/C 14 AWG MIJLTI-CONDUCTOR CABLE (CO #1) 12 7/C 14 AWG MULTI-CONDUCTOR CABLE (CO #1) 13 20/C 14 AWG MULTI-CONDUCTOR CABLE (CO #1) 14 NO. 6 INSULATED ELEC CONDR (CO #1) 15 GROLJND BOX TYPE D W/APRON (CO #I ) 16 FURNISN/INSTALL TYPE 4/SIGNAL POLE (CO #1) 17 FURNISH/INSTALL MAST ARM 16'-36' (CO # 1) I 8 TY 3 SIGNAL FOUNDATION (CO # 1) 19 F"iJRNISH/INSTALL ATC SIGNAL CONTROLLER 2010 (CO # 1) 20 FURNISH/INSTALL ALUM SIGN GROUND MOUNT (CO # I ) 21 FURNISH/INSTALL ALUM SIGN MAST ARM MOUNT (CO # 1) 22 REMOVE SIGN PANEL AND POST (CO # 1) 23 TRAFFIC CONTROL (CO #1) 24 FURNISII/INSTALL 4G MODEM (CO #I) 25 FURNISII/INSTALL PT2 CAMERA (CO # 1) 26 2" CONT PVC SCH 90 (B) CO #1 27 4" CONT PVC SCH 80 (T) CO #1 28 4" CONT PVC SCH 80 (B) CO #i 29 4 SECT SIGNAL HEAD ASSEMBLY (CO #I) 30 2" PED PUSH BUTTON STATION W/SIGN (CO #1) 31 INSTALL RADAR PRESENCE DETECTGION SYSTEM (CO # 1) 32 INSTALL RADAR ADVANCE DETECTION SYSTEM (CO #1) 33 FURNISH/INSTALL RADAR CABLE (CO #1) 34 NO 8 INSULATED ELEC CONDR (W/B) MN CORE (CO # 1) 35 NO 6 BARE ELEC CONDR 8 LD (CO #1) 36 NO 8 BARE ELEC CONDR (CO #1) 37 FURNISH/INSTALL 10'-14' PED POLE ASSEMBLY (CO # 1) 1001 LF $1.65 $1,651.65 324 $1.75 $567.00 290 LF $4.75 $1,377.50 2060 LF $1.75 $3,605.00 17 EA $900.00 $15,300.00 4 EA $6,616.00 $26,464.00 4 EA $4,429.00 $17,716.00 4 EA $4,550.00 $18,200.00 i EA $3,670.00 $3,670.00 17 EA $450.00 $7,650.00 30 EA $750.00 $22,500.00 11 EA $125.00 $1,375.00 3 MO $9,000.00 $27,000.00 1 EA $Z,500.00 $2,500.00 3 EA $4,590.00 $13,770.00 1020 LF $22.00 $22,440.00 785 LF $20.00 $15,700.00 765 LF $35.00 $26,775.00 2 EA $1,150.00 $2,300.00 8 EA $1,350.00 $10,800.00 ]0 AY $8,100.00 $51,000.00 8 AY $8,100.00 $64,800.00 9235 LF $3.25 $30,013.75 4960 LF $1.50 $7,440.00 1740 LF $1.75 $3,045.00 2735 LF $I.50 $4,102.50 4 EA $1,000.00 $4,000.00 1001 $1,651.65 324 $567.00 290 $1,377.50 2060 $3,605.00 17 $15,300.00 4 $26,464.00 4 $17,716.00 4 $18,200.00 1 $3,670.00 17 $7,650.00 30 $22,500.00 11 $1,375.00 3 $27,000.00 1 $2,500.00 3 $13,770.00 1020 $22,440.00 785 $15,700.00 765 $26,775.00 2 $2,300.00 8 $10,800.00 10 $81,000.00 8 $64,800.00 9235 $30,013.75 4960 $7,440.00 1740 $3,045.00 2735 $4,102.50 a �a,000.00 Friday, March 12, 2021 Page 4 of 7 City Project Numbers 101506 DOE Number 1506 Contract Name AMERICAN BOULEVARD AT FAA BOULEVARD TRAFFIC SIGNALS Estimate Number I Contract Limits Payment Number 1 Project Type 'I'RAFFIC SIGNAL For Period Ending 2/23/2021 Project Funding 38 TY1 SIGNALFOiJNDATION(CO#1) 4 EA $1,150.00 $4,600.00 4 $4,600.00 39 SIGNAL CABINET FOUNDATION 350I (CO # 1) 1 EA $4,610.00 $4,610.00 I $4,610.00 40 INSTALL 350I CONTROLLER CABINET 1 EA $21,005.00 $21,005.00 1 $21,005.00 ASSEMBLY (CO # 1) 41 3/C 12 AWG MULTI CONDUCTOR CABLE (CO 3740 LF $220 $8,228.00 37�I0 $8,228.00 #1) 42 10/C 12 AWG MULTI CONDUCTOR CABLE (CO 1435 LF $3.50 $5,022.50 1435 $5,022.50 #1) �}3 20/C 12 AWG MULTI CONDUCTOR CABLE (CO 4300 LF $7.00 $30,100.00 4300 $30,100.00 #1) 44 T3-FD-12-DRILL SHAFT (TRAFFIC POLE) 30 IN 48 EA $365.00 $17,520.00 48 $17,520.00 (CO#1) 45 TS-FD-I2-DRILL SHAFT (TRF SIG POLE ) 36IN 28 EA $430.00 $12,040.00 28 $12,040.00 (CO #1) 46 INS TRF SIG PLAM (S) 1 ARM (24) LUM (CO #1) 2 EA $1Q216.00 $2Q432.00 2 $20,432.00 47 INS TRF SIG PLAM (S) 1 ARM (28) LUM (CO #1) 1 EA $10,614.00 $10,614.00 1 $t 0,614.00 48 INS TRF SIG PLAM (S) 1 ARM (32} LUM (CO #1) 1 EA $11,064.00 $11,064.00 I $11,064.00 49 INS TRP SIG PLAM (S) 1 ARM (36) LUM (CO # 1) 1 EA $11,487.00 $11,487.00 I $ I 1,487.00 50 INS TRF SIG PLAM (S) 1 ARM (44) LUM (CO # 1) 1 EA $11,902.00 $11,902.00 I $ I 1,902.00 Sub-Total of Previous Unit $914,163.65 $914,163.65 Friday, March 12, 2021 Page 5 of 7 City Project Numbers 101506 DOE Number 1506 Contract Name AMERICAN BOULEVARD AT FAA BOULEVARD TRAFFIC SIGNALS Estimate Number 1 Contract Limits Payment Number 1 Project Type TRAFFIC SIGNAL For Period Ending 2/23/2021 Project Funding Contract Information Summary Original Contract Amount Change Orders Change Order Number 1 Change Order Number 2 Total Contract Price $214,066.75 $687,941.90 $12,155.00 $914,163.65 Total Cost of �Vo►•k Completed $914,163.65 Less % Retained $0.00 Net Earned $914,163.65 Earnecl This Period $914,163.65 Retainage This Period $0.00 Less Liquidated Damages Days @ / Day LessPavement Deficiency Less Penalty Less Previous Payment Plus Nlaterial on Hand Less 15°/a Balance Due This Payment $0.00 $0.00 $0.00 $0.00 $0.00 $914,163.65 Friday, March 12, 2021 Page 6 of 7 City Project Numbers 101506 DOE Number 1506 Contract Name AMERICAN BOULEVARD AT FAA BOULEVARD TRAFFIC SIGNALS Estimate Number 1 Contract Limits Payment Number I Project Type TRAFFIC SIGNAL For Period Ending 2/23/2021 Project Funding Project Manager NA Inspectors RUFFIN, D/ BELTRAN, F Contractor BEAN ELECTRICAL, INC 821 E ENON FORT WORTH , TX 76140 City Secretary Contract Number Contract Date Contract Time 240 CD Days Charged to Date 360 CD Contract is 000000 Complete CITY OF FORT WORTH SUMMARY OF CHARGES Line Fund Account Center �mount Gross Retainage Net Funded Total Cost of Work Completed Less % Retained Net Earned Earned This Period $914,163.65 Retainage This Period $0.00 Less Liquidatecl Damages � Days @ $0.00 / Day LessPavement Deficiency Less Penalty Less Previous Payment Plus Material on Hand Less 15% Balance Due This Payment $914,163.65 $0.00 $914,163.65 $0.00 $0.00 $0.00 $0.00 $0.00 $914,163.65 Friday, March 12, 2021 Page 7 of 7 W � �, Z Z� � W 2 � U � � Z Z � Q a U � d r U N N 7 m LL {p N �p L � J > N � 7 O � c� m � a C � � ot} O U 00 � M C � � � � Q Q Q N j Q Q d U� Z Z Z Y � � � F- F- � U W W �� Z F- V � O a a W F- �k n- �k w W�k Q � � J n�. 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W w Z o 0 o a'~z rn tn [t a O � U � � K K � Z H � Z W J F„ � � w z o 5 � O O W U �U � � ~ K W ❑ � � W � 2 Q 2 U K O LL N Z 0 y Q W � 0 z 0 z a � � 0 U � W O K O w c9 Z a x U W _ F- Y. � a O � � LL W J m N � Z W Oa ao � J W W � 7 N W O R: W a� o} wm w= a t7 1= O U fq � W F m Z J V � UJ } 2 � F' U Z W W ~ J O O � � LL Z F � Z 0 W Z � � W LL} � F � � U � OW z� L I '�' U � al E ui m z 1= t � U Y w L U a m` Z ti m E m Z d N � U � O a` ui 'Fa-- F�aRT�ORTH�� TRANSPORTATION AND PUBLIC WORKS March 12, 2021 Bean Electrical, Inc 821 E. Enon Ave Fort Worth, TX 76140 RE: Acceptance Letter Project Name: American Blvd at FAA Blvd Project Type: Traffic Signals City Project No.: 101506 To Whom It May Concern: On January 25, 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 January 25, 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- 392-2481. Sincerely, Debbie T. willhelvn Debbic J. Wlllhelm (Mai 24, 202110:01 CDT) Debbie Whillhelm, Project Manager Cc: Feliberto Beltran, Inspector Lewis Gregory, Inspection Supervisor Darryl Ruffin, Senior Inspector Victor Tornero, Program Manager Jason Lehigh, Consultant Chip Bean, Contractor Mike Long, Developer File E-Mail: Douglas W. Wiersig, P.E., PhD., Director, TPW Richard Martinez, Assistant Director, TPW Marisa Conlin, Traffic Engineering Allen Hall, Superintendent, TPW John Robert Carman, P.E., Director, Water Chris Harder, P.E., Assistant Director, Water Wendy Chi-Babulal, P.E., Water Tony Sholola, P.E., Water Richard Zavala, Director, PARD David Creel<, Assistant Director, PARD Rev. 9/15/16 � >� �—�,_���� 1VJ �_�r »C� � ��C _ �� L�� uJ�' �J l.J •� S21 E. Eiion _���eiitie P S17-�G1-7-�00 Fort «'ordi; Te�as 7G1-60 P 81i-561-7-�03 «�«�•.bc•anrlrctricaLcoui 03/12/2021 City of Fort Worth CFA Administration 200 Texas St. Fort Worth, TX 76102 RE: American Boulevard at FAA Boulevard DOE #: N/A City Project # 101506 The purpose of this letter is to acknowledge that Bean Electrical, Inc., have been paid in full by American Airlines, Inc., for the public improvements constructed to serve American Boulevard at FAA Boulevard in Fort Worth, Texas. As a result, we hereby waive, release and relinquish all rights to assert any claim or demand for lien in connection with this project. Please feel��9to contact me with any questions you may have. S Roy E. Bean II President Bean Electrica�, Inc. TECL17979 Regulated by The Texas Department of Licensing and Regulations, P.O. Box 12157, Austin, Texas 78711, 1 800 803 9202, 512 463 6599, website www.license.state.tx.us/complaints BOND REQUEST FORM FAX TO: (972� 771-4695 K& S Insurance Agency 2255 Ridge Road, Ste. 333 ATTENTION: Marilyn Branch or Lindsay Mitchell P.O. Box 277 DIRECT LINE: (972) 772-7225 (972) 772-7226 Rockwall, TX 75087 Bid Bond *Perf/Pymnt Bond (*fax copy of contract) Maintenance Bond Consent of Surety Special Bond Form *Yes C No ❑ (* attach form) Surety Company: SureTec Insurance Company -- Martha Elliott Contractor / Principal: Bean Electrical, Inc. Ordered By: Owner / Obligee: City of Fort Worth & American Airlines Obligee Address: 200 Texas Street City: Fort Worth State: Tx Zip; 76102 mon arter v or or "rX �� Legal Project Name: Project Location: Engineer / Architect: * Scope of Work: Special Hazards: Subcontract %: Subcontract Trades: American Boulevard At FAA Blvd CPN 101506 Traffic Signal American Boulevard At FAA Blvd Pacheco Koch Phone No.: g 17 412 7155 Traffic Si�nal 10 % Material : 40 % Labor: 40 % Profit: 1 �% Concrete � tf scope or work�spec sneets are avaa[ab[e p[ease c BID BOND Bid Date & Time: am/pm Bid Bond Amount: or $ Estimated Bid: Retainage: Bid / Solicitation No.: Engineer Estimate: Completion Time: Start Date: Finish Date: Maintenance Period: Liquidated Damages: Work On Hand as of: %GaB $ $ / / / / � $ / / ttach a es PERFORMANCE/PAYMENT BOND Contract Date: 12/15/2018 Contract Price: 257,423.45 Performance: 100 % Paymeni 100 °/o Maintenance Period: 2 year Completion Time: 120 Days Start Date: 1 /2 /18 Liquidated Damages: No. of Originals: 4 Date Needed: lZ/5//18 Work On Hand as of: $ 8.113mi1 9//30//18 Bid Results ❑ or Negotiated x❑ �� $ z� $ 3> $ STAND ALONE MAINTENANCE BOND Original Contract Amount: $ *Acceptance Letter: Yes ❑ No [ Maintenance Bond Amount: or % Maintenance Period: 2 * If acceptance letter is not available please provide contact info foY owner to verify completion Delivery/Special Instructions: First Class Mail: ❑ Overnight Delivery: Send To: Address: Carrier City: Account # Phone No.: State: Zip: K & S Insurance Agency