HomeMy WebLinkAboutContract 54485-FP4City Secretary 54485 -FP4
Contract No.
FORTWORTH�
Mar 29, 2021
Date
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: Oak Ridge Phase 2 Offsite Sanitary Sewer Improvements
City Project No.: 102796
Improvement Type(s): � Paving ❑ Drainage
Original Contract Price:
Amount of Approved Change Order(s):
Revised Contract Amount:
Total Cost of Work Complete:
(� � 2
Rob Ta lor (Mar , 202110:53 CDT)
Contrac or
Accounts Receivable
Mar 29, 2021
Date
Title
Gilco Contracting, Inc.
Company Name
`7q�res,��iz
James Ruiz!Mar29,202110:54CDT1
Project Inspector
M a r 29, 2021
Date
Debbie T. willHelm
Debbie J. Wlllhelm (Mar29 202113:19 CDTI
Project Manager
�� �c.��c�t��e2��
J. icScarletti�lorales(MarJ0,202108'.USCD71
CFA Manager
�q�� ��9���
���,��i. za�'4z coT,
Asst. City Manager
Mar 30, 2021
Date
Date Received Apr 1, 2021
$84, 325.00
-$4,292.80
$80,032.20
$80,032.20
Apr 1, 2021
Date
�FFICIAL REC�RD
CITY SECRETARY
FT. V110RTH, TX
❑ Street Lights ❑ Traffic Signals
Page 1 of 2
Notice of Project Completion
Project Name: Oak Ridge Phase 2 Offsite Sanitary Sewer Improvements
City Project No.: 102796
City's Attachments
Final Pay Estimate ❑x
Change Order(s): ❑x Yes ❑ N/A
Contractor's Attachments
Affidavit of Bills Paid '
Consent of Surety
Statement of Contract Time
Contract Time: 30 WD Days Charged: 61
Work Start Date: 10/5/2020 Work Complete Date: 1/7/2021
Completed number of Soil Lab Test: 15
Completed number of Water Test: 0
Page 2 of 2
FORTWORTH
CITY OF FORT WORTH
F1NAL PAYMENT REQUEST
Contract Na�ne OAK RIDGE PHASE 2 OFFSITE SANIATARY SEWER IMPROVEMENTS
Contract Limits
Project Type PAVING
City Project Numbers 102796
DOE Number 2796
Estimate Number 1 Payment Number 1 For Period Ending 1/7/2021
W
City Secretary Contract Number Contract Time 3�'
Contract Datc 9/23/2020 Da,ys Charged to Datc 6l
Project n�Ianager NA Contract is 100.00 Complete
Contractor GILCO CONTRACTING, INC.
6331 SOU"ITIWESTBLVD.
BENBROOK � TX 76132-1063
Inspectors CORDOVA, R/ RUIZ, J
Friday, March 26, 2021 Page 1 of4
City, Praject Numbers 102796
Contract Name
Contract Limits
Project Type
Project Funding
OAK RIDGE PHASE 2 OFFSITE SANIATARY SEWER IMPROVEMENT
PAVING
UNIT I: PAVING I1��IPROVENIENTS
DOE Number 2796
Estimate Number 1
Payment Number 1
For Period Ending 1/7/2021
Item �stimated Estimated Complcted Completed
Description of Items Unit Unit Cost
No. Quanity Tatal Quanity Total
1 2" SURFACE MILLING 280 SY $30.00 $8,400.00 280 $8,400.00
2 2" ASPHI,AT PVMT TYPE D 1101 SY $45.00 $49,545.00 I 101 $49,545.00
3 4" SLD PVMT MARKING HAS (Y) 640 LF $2.50 $1,600.00 640 $1,600.00
4 REFL RAISED MARKER TY t[-A-A 34 EA $15.00 $510.00 34 $510.00
5 4"ASPHALTPVMTTYPEB(COBI) 821 SY $22.00 $18,062.00 821 $18,062.00
6 4" SLD PVMT MARKING HAS (W) (CO B 1) 723 LF $1.40 $1,012.20 723 $1,01220
7 REFL RAISED MARKER TY-1C (CO Bl ) 86 EA $10.50 $903.00 86 $903.00
Sub-Total of Previous Unit $80,03220 $80,032.20
Friday, March 26, 2021 Page 2 of 4
City Project Numbers 102796 DOE Number z796
Contract Name OAK RIDGE PHASE 2 OFFSITE SANIATARY SEWER IMPKOVEMENT Estimate Number 1
Contract Limits Payment Number �
Project Type PAVING For Pcriod Encling 1/7/2021
Project Funding
Contract Information Summary
Original Contract Amou�t
Change Orders
ChangeOrdcrNumber B1
Total Contract Price
�sa,32s.00
($4,292.80)
$80,03220
Total Cost os Worlc Completed $g0,032.20
Less % Retained $0.00
Net Earned $80,032.20
Earned This Period $80,03220
Retainage This Period $0.00
Less Liquidated Damages
Days @ / Day
LessPavement Deficiency
Less Penalty,
Less Previous Payment
Plus Nlaterial on Hand Less 15%
Balance Due This Payment
$0.00
$0.00
$0.00
$0.00
$0.00
$80,03220
Friday, March 26, 2021 Page 3 of 4
City Project Numbers 102796 DOE Number 2796
Contract Name OAK RIDGE PHASE 2 OFFSITE SANIATARY SEWER IMPROVEMENT Estimate Number 1
Contract Limits Payment Numbcr 1
Project Type PAVING For Period Ending I/7/2021
Project Funding
Project Manager NA
Inspectors CORDOVA, R/ RUTZ, J
Contractor GII.CO CONTRACTING, INC.
6331 SOUTHWEST BLVD.
BENBROOK � TX 76132-1063
City, Secretary Contract Number
Contract Date 9/23/2020
Contract Time 30 W
Days Charged to Date 61 W
Contract is 000000 Complete
CITY OF FORT WORTH
SUMMA.RY OF CHARGES
Line Fund Account Center Amount Gross Retainage Net
Funded
Total Cost of �Vorlc Completed
Less % Retained
Net Earned
Ear��ed This Period $80,032.20
Retainage This Period $0.00
Less Liquidated Damages
� Days @ $0.00 / Day
LessPavement Deficiency
Less Penalty
Less Previous Payment
Plus A�Iaterial on Hand Less 15%
Balance Due This Payment
$80,032.20
$0.00
$80,032.20
$0.00
$0.00
$0.00
$0.00
$0.00
$80,032.20
Friday, March 26, 2021 Page 4 of 4
v
�"o
m
J
o r��r � o m � �
-� � m z � � � z
�
� � �� � -�+ � o �
� m v m Z �� D-ni �
� n n� .'�� � m m�
o y � � � n m -�-�
,� z a z
� �' � � cZi
��
m a � �
� 3 0
o m
c A
z
a
� v� rn o �
��
n �
o �
t�. '
o ' ' �
0
o � �
�
�
�
�
dr fn O N
��
o`
v
w �
o �, M
0 0 � � 2
� o � � n �
o ,�
�
�
<n <n tn N o O
M �
� o � W � � O
00 N � N N �
O N pp � N ' 'D
O � o � a o n
W
N � N tn �n tn ���-I
O � n
n O `� Z
o �
�
N t/� O �
� 1p
O
'O
� 0
N �,
O
O �
O � � �
� m
�
�
0
�
rn .n o �
� �
o �
m �Y
m
o ' ' �
o i--
o � w �
n
�. �
� �
0
�
�
O
0 0 0 ��
�
�
�Z
O�
��
m r"
C) �
�O
D�
D
�
m
�
�
(D
6' L
�: w
m �
��
��
_�
� N�
3
O O
> >
m N
0 0
� �
J �
� V
N Ut
N j
.P N
Oo V
.-a �a
��
�
�
?
(D
3
v
�
�
w
A
3
d
'
O
�
N
O
N
v
R1
T
�
O
"��
�
�
�
N
N
z
m
� � m
!� 3
m
� m
!� 3
m
� �
I �
�z
mo
[0 �
C �
y T
m�
�z
0
�C
��
G
mz
O .�
� N
� �
r0
r�
m
C '�
Gl O
W �
� O
V
m�
Gr� �j
rt�m
r v�
O 'O
VO
Z
�
�
�
�
0
z
�
�
0
A
n
x
D
z
c�
m
0
�
m
�
v� �,�
3
O � � �
m � � �
� W ,; �
�
d o �
� � o �
�
�
�, a � o
a �, �.
o � � �
4 �,
a
m y � y
y � �' J
g �, b
tr a m
a � A
b � �y
� � m
y � �
N �
� �
N a
� �
m �
S �
X �
y� ?
� m
� b
s �
� �
a �
o �
� ti
N
�
,
�
�
a
v
ti•
m
5�i
3'
N
W
a
c
0
-„
�
m
c
;
�
�
�
�
A
4
O
J
N
�C
�
f
F�RT�URTHo
TRANSPORTATION AND PUBLIC WORKS
March 11, 2021
Gilco Contracting, Inc
6331 Southwest Blvd
Benbrook, Tx 76132
RE: Acceptance Letter
Project Name: Oak Ridge Ph 2 Sanitary Sewer Improvements
Project Type: Sanitary Sewer, Paving
City Project No.: 102796
To Whom It May Concern:
On January 7, 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 7, 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
DcbbicJ. Willhdm (Mar29, 202113:19 CDT)
Debbie Wellhelm, Project Manager
Cc: James Ruiz , Inspector
Ron Cordova, Inspection Supervisor
Edward Davila, Senior Inspector
Victor Tornero, Program Manager
Pape-Dawson, Consultant
Gilco Contracting, Inc, Contractor
LGI Homes, 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 Rob Taylor,
Accounts Receivable of Gilco Contracting, Inc., 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 Paving Improvements to serve:
Oak Ridge Phase 2 Offsite Sanitary Sewer Improvements
��a �
�
BY: Rob Tay�6r
Subscribed and sworn before me on this l lth of March , 2021.
.�
OqpRY PGe� YALITZA NAYELY 5ALA5
: �
Notary ID tJ129000640
N„ P My Commission Expires
�Tf pF i�+ March 1, 2023
(�l/� �
Notai Public
arrant County, TX
CONSENT OF OWNER ❑
SURETY COMPANY ARCHITECT ❑
CONTRACTOR ❑
TO FiNAL PAYMENT SURETY ❑
Conforms with the American Institute of OTHER
Architects, AIA Document G707
PROJECT:
(name, edCit'6SS)Oak Ridge Phase 2- Offsite Sanitary Sewer
TO (Ownerl
�
LGI HOMES, LLC AND THE CITY OF FORT WORTH
1450 Lake Robbins Dr., Suite 430
The Woodlands TX 77380
CONTRACTOR: GILCO CONTRACTING. INC.
Fort wo�tn.
TX
� ARCHITECT'S PROJECT N0:
CONTRACT FOR:
Oak Ridge Phase 2- Offsite Sanitary Sewe�
.� CONTRACT DATE:
Bond No 022228787
In accordance with the provisions of the Contract between the Owner and the Contractor as indicated above, the
(here insert name and address of Surety Company)
LIBERTY MUTUAL INSURANCE COMPANY
175 Berkeley Street
Boston MA 02116 , SURETY COMPANY
on bond of (here insert nema and address ot Contractor)
GILCO CONTRACTING, INC.
6331 Southwest Boulevard
Benbrook TX 76132 , CONTRACTOR,
hereby approves of the fnal 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 Ownerl
LGI HOMES, LLC AND THE CITY OF FORT WORTH
1450 Lake Robbins Dr., Suite 430
The Woodlands TX 77380
as set forth in the said Surety Company's bond.
IN WITNESS, WHEREOF,
the Surety Company has hereunto set its hand this
(Seal): .,;tA�. �'s�c�{.,i.�-
11th day O� March, 2021
, OWNER,
LIBERTY MUTUAL INSURANCE COMPANY
Surety Company
�� � � - r ,
Sig�� ,: .��� �� 1�fl� �-,
of Authorized Representative
Sophinie Hunter Attornev-in-Fact
Title
NOTE: This form is to be used as a companion document to AIA DOCUMENT G706, CONTRACTOR'S AFFIDAVI7 OF PAYMENT OF DEBTS AND CI.AIMS,
Current Edition
ONE PAGE
�
����`� i , .
/�� 4
�
This Power of Attorney Iimits the acts of those named herein, and they have no authority to
bind the Company except in the manner and to the extent herein s[ated.
Liberty Mutual lnsurance Company
The Ohio Casualty Insurance Company
West American Insurance Company
POWER OF ATTORNEY
Certificate No: 8200743
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 called the "Companies"), pursuant to and by authority herein set forth, does hereby name, constitute and appoint,
Robbi Morales, Don E. Cornell, Sophinie Hunter, Tina McEwan, 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 antl deliver, for and on its behalf as surety and as its act and deed, 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 antl the corporate seals of the Companies have been affixed
thereto this 19th day of
State of PENNSYLVANIA
County of MONTGOMERY ss
March , 2019
liberty Mutual Insurance Company
P� �NSU�,q P�,qY INSp ��NsuRq The Ohio Casualty Insurance Company
0 oaPoa,; 2 � oaPoa,yr"�v c,p oaPORa, � WestAmerican Insurance Com an >
ti o 0 5 0 2 . c O P Y
3 F 3 F � Fo cn
Y�1912yo 0 1919� � � 21991 � � n /� �
ti �, o Q o ��.e� �v//' //�z uNi
��q>9SS4cHus�.aa yO �HAMPS�\,dL� �s �ND�ANP� ,da� � �°vZ�'�( �' ",,;;c.�? . C
9i� * �,� �y.� * 1-� �,H * 1-� By: �%' •v�
David M. Carey, Assistant Secretary �
� n� 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 authorized 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. c..� w
a
�� IN WITNESS WHEREOF, I have hereunto subscribed my name and affixed my notarial seal at King of Prussia, Pennsylvania, on the tlay and year first above written. � Q.
-� � L o
�'u� ,r�� ��,c .� � c�
�� �°�4;, ���y�& �4 R�. COMMpNWEALTH OF PENNSYLVAN[A . Q.d:
... _...... . . .. ............
�- � `� �'t �� Notar�al Seal /'f"\ � g `�— "O
� � � ��� ��. � � � I TFrr a Faotella, Notary Publi� v �, „ , } �� �y O C
p � � z ' Upp�r Merion Twp Mcntgomery County . By: k`+�`� 'T��� N�
C� �,�:�� I My Coininrssio� Expires M��ch 28.2021 � ��
_ � �� �� ��, � � L eresa Pastella, Notary Public o �
���.� �� r � PJ;emUer, Pannsylvania Associ:iliori of Nal2ries -
�� �
� a� 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
.� Insurance Company, and West American Insurance Company which resolutions are now in full force and effect reading as follows:
ARTICLE IV— OFFICERS: Section 12. Power ofAttorney.
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
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
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
have full power to bind the Corporation by their signature and execution of any such instruments and to aflach thereto the seal of the Corporation. When so executed, such
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
provisions of this article may be revoked at any time by the Board, the Chairman, the President or by the ofticer or officers granting such power or authority.
ARTICLE XIII — Execution of Contracts: Section 5. Surety Bonds and Undertakings.
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,
shall appoint such attorneys-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 attorneys-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 seal of the Company. When so executed such instruments shall 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-in-
fact 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 Board 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, Liberty 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 fhe Pow�r 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 antl affixed the seals of said Companies this l lth d�y of March , 2021 .
� 1NSUR �,'(Y INSGQ
j�Goaro�,yr�oy�m QJ2GpaPORqroqy�
� 1912 � " 1919 �
� � � �, o
b,�9ssqcHuS�"aa y° �``NAMPs��aa
9i� * �,� �'y� * j,�
P� 1NSURq
� GO�PnRAT yG'
3 Fo m �
� 1991 � ""
a
B•
'�s�,M �*N ��,aa y Renee C. Llewellyn, Assistant Secretary
L �
N �
��
��
o�
��
a�
��
>o
v
��
� N
� M
C �
00
U�
o�
LMS-12873 LMIC OCIC WAIC Multi Co 062018
�
���,i�,
��"��
TEXAS
IMPORT'ANT NOTICE
To obtain information or mal�e a complaint:
You may call toll-free for information or to
make a complaint at
1-877-751-2640
You may also write to:
2200 Renaissance Blvd., Ste. 400
King of Prussia, PA 19406-2755
You may contact the Texas Department of
Insurance to obtain information on cornpanies,
coverages, rights or complaints at
1-800-252-3439
You may write the Texas Department of Insurance
Consumer Protection (111-1A)
P. O. Box 149091
Austin, TX 78714-9091
FAX: (512) 490-1007
Web: http://www.tdi.texas.�ov
E-mail: ConsumerProtectionna�._,,tdi.texas.�ov
PREMIUM OR CLAIM DISPUTES:
Should you have a dispute concerning your
premium or about a claim you should first
contact the agent or call 1-8Q0-843-6446.
If the dispute is not resolved, you may contact the
Texas Department of Insurance.
ATTACH THIS NOTICE TO YOUR
POLICY:
This notice is for inforn�ation only and does not
become a part or condition of the attached
document.
NP 70 68 09 O 1
LMS-15292 10/15
TEXAS
AVISO IMPORTANTE
Para obtener infornlacian o para someter una
queja:
Usted puede llamar al numero de telefono gratis
para informacion o para someter una queja al
1-877-751-2640
Usted tambien puede escribir a:
2200 Renaissance Blvd., Ste. 400
King of Prussia, PA 19406-2755
Fuede comunicarse con el Departamento de
Seguros de Texas para obtener informacion
acerca de companias, coberturas, derechos o
quejas al
1-800-252-3439
Puede escribir al Departamento de Seguros
de Texas Consumer Protection (111-1A)
P. O. Box 149091
Austin, TX 78714-9091
FAX # (512) 490-1007
Web: http://www.tdi.texas.�ov
E-mail: ConsumerProtection�a,tdi.texas. ,�ov_
DISPUTAS SOBRE PRIMAS O RECLAMOS:
Si tiena una disputa concerniente a su prima o a
un reclamo, debe comunicarse con el agente o
primero. Si no se resuelve la disputa, puede
entonces comunicarse con el departamento (TDI)
UNA ESTE AVISO A SU POLIZA:
Este aviso es solo para proposito de informacion
y no se convierte en parte o condicion del
documento adjunto.