HomeMy WebLinkAboutContract 48677-FP1City Secretary 48677 -FP1
Contract No.
FORTWORTHo
Date Received Apr 28, 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: 30-Inch Water Line Relocation for HCA Plaza Medical
City Project No.: 100652
Improvement Type(s): Water �
Original Contract Price:
Amount of Approved Change Order(s):
Revised Contract Amount:
Total Cost of Work Complete:
Ca✓san Collie✓
carsor, cou��or �n�rze. zozi ii_zs cor��
Contractor
PM
Title
North Texas Contracting, Inc.
Company Name
�►.�k �`�.
Mark MCFadln (Apr 26, 20211125 CDT)
Project Inspector
f{�D�l �D/7GI
AaronLong(Apr26, 02ll6:16CDT)
Project Manager
Sewer 0
�ar�ie- Sca�Ce tt M�aCe�
1°�aniP ��,rlarr M�r��P� (D�L�7m� �q�7, rnrl
CFA Manager
DAnA BU�' l� o
D_ana Bu�hdoff l pr27, 202109:59 CDT)
Asst. City Manager
Apr 26, 2021
Date
Apr 26, 2021
Date
Apr 26, 2021
Date
Apr 26, 2021
Date
Apr 27, 2021
Date
$246,764.00
$246,764.00
OFFICIAL RECORD
CITY SECRETARY
FT. WORTH, TX
Page 1 of 2
Notice of Project Completion
Project Name: 30-Inch Water Line Relocation for HCA Plaza Medical
City Project No.: 100652
City's Attachments
Final Pay Estimate ❑x
Change Order(s): ❑ Yes x❑ N/A
Pipe Report: � Yes ❑ N/A
Contractor's Attachments
Affidavit of Bills Paid �;.�
Consent of Surety ��
Statement of Contract Time
Contract Time: 60 CD
Days Charged: 60
Work Start Date: 3/7/2017 Work Complete Date: 1/14/2019
Soil Lab Number of Tests: Clicl< here to enter text.
Water Number of Tests: Clicl< here to enter text.
Page 2 of 2
F�ORT V�QRTH
CITY OF FORT WORTH
FINAL PAYMENT REQUEST
Contract 1�'ame 30-INCH WATER LINE RELOCATION FOR HCA PLAZA MEDICAL
Contract Limits
Pi•oject Type WATER IMPROVEMENTS
City Project Numbers 100652
DOE Number 1065
�stimate Number 1 Payment Number 1
City Seci•eta�y Contract NumUer
Contract Date I/20/2017
Project I�Ianager NA
Contractor NORTH T'EXAS CONTRACTING, INC.
P.O. BOX 468
KELLER, TX 76244
Inspectoi•s RODGERS / MCFADIN
For Period Ending 1/23/2019
CD
Contract Time 6�'D
Days Charged to Date 60
Contract is 100.00 Complete
Friday, April 23, 2021 PaJe 1 of 4
City P►•oject Numbers 100652 DOE Number 1065
Contract Name 30-INCH WATER LINE RELOCATION FOR HCA PLAZA MEDICAL Estimate Number 1
Contract Limits Payment Nuinber 1
Project Type WATER IMPROVEMENTS For Period Ending 1/23/2019
Project Funding
iTNIT I: WATER IIvIPROVEMENTS
Item Estimated Estimated Completed Completed
Description of Items Unit Unit Cost
No. Quanity Total Quanity Total
— — — — — — — — — — — — — — — — — — — — — — — — — — — — — — -
1 MOBILIZATION I LS $20,000.00 $20,000.00 1 $20,000.00
2 REMOVE 30" WATER LINE 125 LF $SS.08 $6,885.00 125 $6,885.00
3 36" PRESSiJRE PLUG 1 EA $7,234.00 $7,234.00 1 $7,234.00
4 36" WATER ABANDONMENT PLUG 2 EA $7,083.00 $14,166.00 2 $14,166.00
5 6' WIDE ASPHALT PVMT REPAIR RESIDENTIAL 150 LF $91.00 $13,650.00 150 $13,650.00
6 ASPHALT PVMT REPAIR BEYOND DEFINED 240 SY $124.00 $29,760.00 240 $29,760.00
7 6" CONC CURB AND GUTTER 20 LF $20.00 $400.00 20 $400.00
8 TOPSOIL 6 CY $100.00 $600.00 6 $600.00
9 BLOCKSODPLACEMENT 100 SY $10.00 $1,000.00 100 $1,000.00
10 JOINT BONDING & ISOLATION 1 LS $5,000.00 $5,000.00 1 $5,000.00
I1 CATHODIC PROTECTION I LS $10,344.00 $10,344.00 1 $10,344.00
12 EXPLORATORY EXCAVATION OF EXISTING 1 EA $10,000.00 $10,000.00 I $10,000.00
UTILI'TIE5
13 TRENCHSAFETY 170 LF $L00 $170.00 l70 $170.00
14 UTII,ITYMARKERS I LS $1,523.00 $1,523.00 1 $1,523.00
l5 C303 FITTINGS 1 LS $11,232.00 $11,232.00 1 $11,232.00
l6 30" CONCRETE AWWA C303 WATER PIPE 170 LF $500.00 $85,000.00 170 $85,000.00
17 CONNECTION TO EXISTING 30" WAT'ER MAIN 2 EA $7,650.00 $15,300.00 2 $15,300.00
18 TRAFFIC CONTROL 1 MO $5,000.00 $5,000.00 1 $5,000.00
19 AIIt VALVE VENT PIPING RELOCATION 1 LS $4,500.00 $4,500.00 1 $4,500.00
20 CONSTRUCTION STAKING I LS $2,500.00 $2,500.00 1 $2,500.00
21 CONSTRUCTION SURVEY 1 LS $2,500.00 $2,500.00 1 $2,500.00
Sub-Total of Pi•evious Unit $246,764.00 $246,764.00
Friday, April 23, 2021 Page 2 of 4
City Project Number
Contract Name
Contract Limits
Project Type
Project Funding
100652
30-INCH WATER LINE RELOCATION FOR HCA PLAZA MEDICAL
WATERIMPROVEMENTS
Contract Information Summary
Original ContractAmount
Change Orders
Total Contract Pi•ice
DOE Nu►nbei• 1065
Estimate Number 1
Payment Nmnber 1
For Period Ending ll23/2019
$246,764.00
$246,764.00
Total Cost of Worlc Completed
Less % Retained
Net Earned
Earned This Period $246,764.00
Retainage This Period $0.00
Less Liquidated Damages
Days @ / Day
LessPavement Deficiency
Less Penalty
Less Pr•evious Payment
Plus Material on Hand Less 15%
Balance Due This Payment
$246,764.00
$0.00
$246,764.00
$0.00
$0.00
$0.00
$0.00
$0.00
$246,764.00
Friday, April 23, 2021 Page 3 of 4
City Project Numbers 100652 DOE Number 1065
Cmih�act Name 30-INCH WATER LINE RELOCATION FOR HCA PLAZA MEDICAL Estimate Nu�nber �
Contract Limits Payment Numbei• 1
Project Type WATER IMPROVEMENTS For Period Ending 1/23/2019
Project Funding
Project Manager NA City Secretaty Conh•act Number
Inspectors RODGERS / MCFADIN Contract Date 1/20/2017
Cont►•actoi• NORTH TEXAS CONTRACTING, INC. Contract Time 60 CD
P.O. BOX 468 Days Cl�arged to Date 60 CD
KELLER, TX 76244 Conh•act is .000000 Complete
CITY OF FORT WORTH
SLJMIVIARY OF CHARGES
Line Fuud Account Center Amount Gross Retainage Net
Funded
Total Cost of Wo►•1� Completed
Less °/a Retained
Net Earned
�arned This Period $246,764.00
Retainage This Period $0.00
Less Liquidated Da►nages
0 Days @ $0.00 / Day
LessPavement De�ciency
Less Penalty
Less P►•evious Payment
Plus Mater�ial on Hand Less 15%
Balance Due This Payment
$246,764.00
$0.00
$246,764.00
$0.00
$0.00
$0.00
$0.00
$0.00
$246,764.00
Friday, April 23, 2021 Page 4 of 4
PROJECT NAME:
PROJECT NUMBER:
DOE NUMBER:
PIPE LAID
FIRE HYDRANTS:
PIPE ABANDONED
DENSITIES:
NEW SERVICES:
PIPE LAID
PIPE ABANDONED
DENSITIES:
NEW SERVICES:
FORTWORTH
TRANSPORTATION AND PUBLIC WORKS
PIPE REPORT FOR:
30" Water Line Relocation for HCA Plaza Medical
59601-0600430-100652001480
100652
SIZE
30"
SIZE
WATER
TYPE OF PIPE LF
Concrete cylinder 170'
VALVES (16" OR LARGER)
TYPE OF PIPE
LF
•J
SIZE
SEWER
TYPE OF PIPE
LF
SIZE
TYPE OF PIPE
LF
1RANSPORTATION AND PUBLIC WORKS
�'i�,``F� The Cit�� of Fort �X/orth • 1000 Thxockmorton Stieet • Fort ��/oith, T�i 76012-6311
�
(817) 392 - 7941 • Fax: (817) 392 - 7845
F�QRTWORTH«
TRANSPORTATION AND PUBLIC WORKS
April 23, 2021
North Texas Contracting, INC.
4999 Keller Rd.
Keller Tx. 76248
RE: Acceptance Letter
Project Name: 30" Water Line Relocation for HCA Plaza Medical
Project Type: Water
City Project No.: 100652
To Whom It May Concern:
On January 14, 2019 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 worl< meets the City of Fort Worth
specifications and is therefore accepted by the City. The warranty period will start on January 14, 2019,
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 Aaron
Long.
Sincerely,
/��D�l LD�IGI
AaronLong(Apr26, 02116:16CDT)
Aaron Long, Project Manager
Cc: Mark McFadin, Inspector
Ron Cordova, Inspection Supervisor
Gary Deyon, Senior Inspector
Victor Toreno, Program Manager
Kimberly Horn, Consultant
North Texas Contractong, Contractor
HCA Health Care, Developer
File
E-Mail: TPW_Acceptance@fortworthtexas.gov
Rev. O8/20/19
BILLS PAID AFFIDAVIT FOR CONTRACTOR
State of Texas
County of Tarrant
BEFORE ME, the undersigned authority, on this day personally appeared Carson Collier. known to me to
be a credible person and afficer of North Texas Contractin�a. Inc. and who, being duly sworn, upon his
oatl� declares and acknowledges as follows:
I am a duly authorized agent of North Texas Contractin�,, Iilc., which has authorized me to make
this affidavit, and all of the recitations lierein are true and correct.
2. Pursuant to City of Fort Worth Contract No. 100652 between Cit. of Fort Worth and North Texas
Contractin��. Inc. for Water and Sanitan Sewer to Serve HCA Plaza Medical, North Texas
ContractinY�. Inc. has supplied materials and performed labor in connection with the construction
of improvements on real property owned by the City of Fort Worth ("the improvements").
3. North Texas Contractin�ti. Inc. has actual knowledge that all bills owed by Cir� of Fort Worth to
North Texas Contractin��. Inc. for materials supplied or labor performed in connection with the
improvements have been fully paid and satisfied.
4. North Texas Contractin��. Inc, has actual knowledge that all bills owed by Nortl� Texas
Contractin��. Inc. to others for materials supplied or labor perforined in connection with the
improvements have been fully paid and satisfied.
5. North Texas Contractin�„ Inc. has actua] knowledge that there are no claims or liens for �naterials
supplied or labor performed in connection with the City of Fort Worth Contract.
North Texas Contractin�,. Inc. further warrants that should any claim or lien be filed for material
supplied or labor performed in connection with the City of Fort Worth Contract, North Texas
Contractin=�. Inc. will immediately furnish a bond pursuant to Texas Property Code Sections
53.236 through 53.23 8 for release of each the claim or lien, obtain settlement of any claim ar lien,
and furnish the City of Fort Worth written full release. North Texas Contractin��. Inc. agees to
fully indemnify and hold harmless the City of Fort Worth from any and all costs that may occur
by reason of such claims or liens. �
EXECUTED this �� day of _��. �L,.. , 2p Z�
North Texas Contractin��_ Inc.
By � �" � c'_�
NAME: Carson Col�
TITLE: PM
STATE OF TEXAS
COUNTY OF TARRANT
Tl�is instrument was acknowledged before me on `l f w�Li by
Carson Collier, _Proiect ManaQer of North Texas Contractin! , Inc. a
Texas corporation, on behalf of said corporation.
r
[NOT: �
:�� Dean Garret Horning
�. , My Commissron Exp,res
�'•.,�� ,�'M 08/27/?024
�,� ID No 132645903
_ f�
�Ic�A�fil BLL�'� �
CONSENT OF
SURETY COMPANY
TO FfNAL PAYMENT
Conforms with the American tnstitute of
Architects, AIA Document G707
OWNER ❑
ARCHITECT ❑
CONTRACTOR ❑
SURETY ❑
OTHER
Bond No SU1143819
PROJECT:
f name, addt"eSS)HCA Plaza Medical
r-on w���ti,.'rx
TO (Owner)
HCA MANAGEMENT SERVICES, LP AND CITY OF � ARCWITECT'S PRC?JECT NO: City Project No 100652
FORT WORTH CONTRACT FOR:
1000 Throckmorton 30-Inch Water Line Relocation for HCA Plaza Medical
Fortworth TX 76102 � CONTRACT DATE:
CONTRACTOR: NORTH TEXAS CONTRAGTING, INC.
In accardance with the provisions of the Contract between the Owner and the Contractor as indicated above, the
(here insert name end eddrass of Surety Company)
ARCH INSURANCE COMPANY
300 Plaza Three
Jersey City NJ 07311-1107 , SURETY COMPANY
on band of (here insert name and address of Contractar)
NORTH TEXAS CONTRACTING, INC.
4999 Keller Naslet Rd.
Keiler TX 76248
, 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 inseR name and address of Owner)
HCA MANAGEMENT SERVICES, LP AND CITY OF FORT WORTH
1000 Throckmorton
Fort Worth TX 76102
as set forth in the said Surety Company's bond.
IN WITNESS, WHEREOF,
the Surety Company has hereunto set its hand this
Attest:
(Seal): �,�,w��`'��,c.�-�---�_
day of February, 2021
23rd
, OWNER,
ARCHINSURANCECOMPANY
Surety Company
' _ � :-� <... , � �� �-�,�.�°� ��
Signature of Authorized Representative
Robbi Morales Attorney-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
ONEPAGE
AIC 0000329269
T/ris Power ofAttorney linzits Uie �Rets of t/Anse namer! /rerein, m¢d tlrey have �ao aut/rority to Gind dre Conzpnny excepf in the nu�nner and to tke extent /�erein stnled.
Not vnlid for Note, Lann, Letter of Credit, Currency Rrrte, Lzterest RrAte ov Residentia! U�due Guaranfees.
POWER OF ATTORNGY
Know .411 1'ersons I3v 1'hese Presents:
That the Arcli [nsurance Com�any, a corporation organized and existing under the laws of the Stale of Missouri, having its �rincipal adminislrative office in Jersey City,
New Jersey (hereinafter referrcd to as ihe "Compa��y") does hereby appoint
Don E. Cornell, Joshua Saunders, Kelly A. Westbrook, Ricardo J. Reyna, Robbi Morales, Sophinic Hunter, "I'ina McGwan and'1'onie Petranelc of Dallas, 7'\
(EACII)
its truc and lawful Attorney(s)in-Fact, to make, exccut�e, scal, and deliver from the date of issuance of this power fior and on its behalf as surety, ai�d as its act ai�d deed:
Any �nd all bonds, undertakings, recognizances and other surety obligations, in the penal sum not exceeding Ninetv Million Dollars (90.000.000.00)
1'his authority does not permit the saine obligation to bc split into two or more boi�ds ln order to brin� each such bond within the dollar limit of authority as set forth
herein. `
I'he execution of sucl� bonds, undertakin�s, recognizances and other surety obligations in pursuanee of these present�s shall be 1s binding upon the said Company as fully
�ind ampl}� to all intents and purposes, as if the samc had becn d�ily executed ai�d acl<now�led�etl by its regularly elected officers at its principal administrativc officc in
Jersey City, New Jersey. `
This Power of Attomey is executed by authority of resolutions adopted by w�animo�is consent of the l3oard of Directors of lhe Company on December I l, 2020, true and
accurate copies of whid� are hereinafter set forth and are hereby certifiecl to by the undersigned Secretary as being in full force and effect:
"�'07'GU, That the Ch�irinan of the 13o2rd, ille President, or the I'_xecutive Vice President, or any Senior Vice President, oi'the Surety [3usi�tess Division, or lhcir
appointees designated in writing and filed with thc Secretary, or the Sec;retary shall have t�he poUer and authority to appoint anents and attorneys-in-fact, and to aulhorirc
them subject to the limitations set forth in their respective pow�rs o'f attomey, to execute on behalf of the Company, and attach the seal of the Compaity thereto, bonds,
undertakin�s, recogt�izances and other surety obligations obligatory in the nature d�ereof, and any stich officers of the Company nlay appoint agei�ts for acceptance of
process."
Chis Power of Attorney is signcd, sealed and certificd by facsimile under and by authority of lhe following resolution adopted by the w�animous conscnt of d�e 13oard of
Uirectors oflhe Company on Decen�ber I I, 2020:
VOTI?D, That the signature of the Chairman of the Board, the President, or the Executivc Vice President, or any Senior Vice President, of ihe Siu-ety B�isin� ss Division,
or their appointees desionaled in writin� and filed with the Secretary, and the signa[ure of the Sceretary, the se�l of the Company, and certi fications by the Secretary, may
be aflixed by fiacsimile on any power of �ttorney or bond executed pursuant to ihe resolution adopted by the [3oard of Directors on Dcccmbcr I I, 2020, and �iry such
power so cxecuted, sealed and cerhfied with respect to any bond or undertal<ing to which it is attached, shall continue to be valid and binding upon the Company. in
Testimony W hercof, the Company l�as caused this instrument to be signed and its corporate seal to bc at7'ixed by their authorized officers, this 6th dav of,Ianuarv, 2021
��
Attested and CertiTied
Y l : �!(,/ '�
Regan A. Shulman, Secretary
STA'I'I? OF PGNNSYLVAN[A SS
COUN"1'Y OI� PHILAD[:LPHIA SS
►g ��
tV1(1Z7fiA7E •
SEAL
� 9n
\ MiStOYt� /
Arch Insurance Company
�"
�V ! Y 1'� �v� �� ��
Stephen C. Ruschak, Executive Vice President
I, n�ichele Tripodi, a Notary Public, do hereby cerLify that Regan A. Shuiman and Stephen C Ruseh�l< personally I<nown to me to be the san�e persons whose namcs
are respectively as Secretary and Executive Vice President of the Arch h�surance Company, a Corporatio�� orQanized and existing under the laws of the Stale of
Missouri, subscribed to the foreeoing instrwnent, appeared before me this day in person and severally acknowledged that thcy being thereunLo duly authorized signed,
sealcd with the corporate seal and delivered the said instr�nnent ns the free and voluntary act o1'said corporation and as their own Pree and voluntary acts for tl�e uses and
purposes therein set foith. �
COMMON1MEALTMOFPENNlVLVMIIA � C
NOTi�RUI SCAL � , � �"'��� �
l�KMELf TRlVODt, Noiaryih�tk
Cary ot vnHaeetph�a, vh�ia. Caunty Michele "l�ri odi, Nota Public
CF,R'I'IFICA"f10N
����� ��r� ��� ��� ��� My commissioi� expir s 07/31 /2021
1, Regan A. Shulman , Secretary of the Arch Insurvice Company, do hereby certify Lhat the atlached Power of Attorney dated Janua��y 6, 2021 on behalf of the
person(s) as listed above is a true and correct copy and that the saine has been in full Force and effect since thc dat�e thcrcof and is in full force and efi�ect on the date of
this certificate; and 1 do fiirther certity that the said Stephen C. Rusehal<, who executed tlie Power of Attorney as Executive Vice President, was on the daTe of execution
oi'the attached Power ofAttorney the duly elected Executive Vice President of U�c Arch Insurance Coinpany.
IN "I'GS'CINIONY WHERGOF, ] have herew�to subscribed my name and �fFixed the corporate se�l of the Ard� Insurance Company on Yhis23rcHay ofFebruarV ,
2021 � � �/�
Regan A. Shulman, Secretary
Chis Power of Attorney limits the acts of those named Lherein Co the bonds a��d undertal<inas spccil�ically named therein and they have no authority to bind the Company
exccpl in the manner and to the extent herein stated. ��'�-+ti
PLGASI; SG�D ALI, CLAIM INQUIRIGS RELA1'ING TO THIS BOND'1'O THE ROLLOWING AllDRGSS:
Arch Insurance—Surety Division
3 Parl:w�y, Soite 1500
Philadclphia, PA 19IO2
�g �a„� o
W 1tK�iAT E
SEAt
19T1
� M�SfOYf� /
--.-�—..-
To verify the authenticity of this Power of Attorney, please contact Arch Insurance Company at SuretyAuthentic@archinsurance.com
Please refer to the above named Attorney-in-Fact and the details of the bond to which the power is attached.
AICPOA040120 Printed in U.S.A.