HomeMy WebLinkAboutContract 54012-FP3City Secretary 54012 -FP3
Contract No.
FORTW4RTH�
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: Chapel Creek Phase 6
City Project No.: 102241
Improvement Type(s): ❑ Paving ❑ Drainage
Original Contract Price:
Amount of Approved Change Order(s):
Revised Contract Amount:
Total Cost of Work Complete:
,�%GG���GvoG�'e
Richard Wolfe (Apr23, 2 210&29 CDT)
Contractor
President
0 Street Lights ❑ Traffic Signals
$83,176.83
$83,176.83
$83,176.83
Apr 23, 2021
Date
Title
Independent Utility Construction, Inc.
Company Name
�k�c
HabteTaezaz(Apr23,20211L25 CDT)
Project Inspector
Debbie T. willHelvn
Debbic J. Willhclm (Apr 26, 202110�.40 CDT)
Project Manager
c:��2.��� �,��
FA Manager
�Gt�IGt �GGL�GIGlG�D�
Dana Bur�26, 20211 :57 CDT)
Asst. City Manager
Apr 23, 2021
Date
Apr 26, 2021
Date
Apr 26, 2021
Date
Apr 26, 2021
Date
OFFICIAL RECORD
CITY SECRETARY
FT. WORTH, TX
Page 1 of 2
Notice of Project Completion
Project Name: Chapel Creek Phase 6
City Project No.: 102241
City's Attachments
Final Pay Estimate 0
Change Order(s): ❑ Yes 0 N/A
Contractor's Attachments
Affidavit of Bills Paid
Consent of Surety �
Statement of Contract Time
Contract Time: 30 WD Days Charged: 148
Work Start Date: 7/20/2020 Work Complete Date: 4/12/2021
Completed number of Soil Lab Test: 526
Completed number of Water Test: 27
Page2of2
FORTWORTH
CITY OF FORT WORTH
FINAL PAYNIENT REQUEST
Contract Name CHAPEL CREEK PHASE 6
Contract Limits
Project Type STREET LIGHT
City Pi•oject Numbers ]02241
DOE Number 2241
Estimate Number 1 Payment Number 1
City Secretary Contract Number
Contract Date 5/27/2020
For Period Ending 4/15/2021
W
Contract Time 3�
Days Charged to Date 30
Contract is 100.00 Complete
Project Manager NA
Contractor �EPENDENT UTILITY CONSTRUCTION, INC.
5109 SUN VALLEY
FORT WORTH , TX 76119
Inspectors MILLER, W / TAEZAZ
Thursday, April 22, 2021 Page 1 of 4
City Project Numbers 102241
Contract Name CAAPEL CREEK PHASE 6
Contract Limits
Project Type STREET LIGHT
Project Funding
UNTT V: STREET LIGHTING IMPROV�MENTS
DOE Number 2241
Estimate Number i
Payment Number 1
For Period Ending 4/15/2021
Item Description of Items Estimated Unit Unit Cost Estimated Completed Completed
No. Quanity Total Quanity Total
1 2" CONDT PVC SCH 80 (T) 1850 LF $11.55 $21,367.50 1850 $21,367.50
2 NO 10 INSULATED ELEC CONDR 1850 LF $321 $5,938.50 1850 $5,938.50
3 RDWY IL,UM ASSMBLY TY 1,4, AND 6 19 EA $1,862.57 $35,388.83 19 $35,388.83
4 RDWY ILiJM FOt1NDATION TY 1,2,A ND 4 19 EA $1,078.00 $20,482.00 19 $20,482.00
Sub-Total of Previous Unit $83>176.83 $83,176.83
Thursday, Apri122, 2021 Page 2 of 4
City Project Numbers 102241
Contract Name
Contract Limits
Project Type
Project Funding
CHAPEL CREEK PHASE 6
STREET LIGHT
Contract Information Summary
Original Contract Amount
Change Orders
Total Contract Price
DOE Number 2241
Estimate Number i
Payment Number 1
For Period Ending 4/15/2021
$83,176.83
$83,176.83
Total Cost of �Vorlc Completed $g3,176.83
Less % Retained $0.00
Net Earned $83,176.83
Earned This Period $83,176.83
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
$83,176.83
Thursday, Apri122, 2021 Page 3 of 4
City Project Numbers 102241
Contract Name CHAPEL CREEK PHASE 6
Contract Limits
Project Type STREET LIGHT
Project Funding
DOE Number 2241
�stimate Number 1
Payment Number 1
For Period Ending 4/15/2021
Project Manager NA City Secretary Contract Number
Inspectors MILLER, W/ TAEZAZ Contract Date 5/27/2020
Contractor INDEPENDENT UTILITY CONSTRUCTION, INC. Contract Time 30 W
5109 SiJN VALLEY Days Charged to Date 30 W
FORT WORTH , TX 76119 Contract is 000000 Complete
CITY OF FORT WORTH
SUMMARY OF CHARGES
Line Fund Account Center Amount Gross Retainage Net
Funded
Total Cost of �Vorlc Completed
Less °/a Retained
Net Earned
Earned This Period $83,176.83
Retainage This Period $0.00
Less Liquidated Damages
� Days @ $0.00 / Day
LessPavement Deficiency
Less Penalty
Less Previous Payment
Plus Material on Aand Less 15%
Balance Due This Payment
$83,176.83
$0.00
$83,176.83
$0.00
$0.00
$0.00
$0.00
$0.00
$83,176.83
Thursday, April 22, 2021 Page 4 of 4
FoRTWoRT��
�
TRANSPORTATION AND PUBLIC WORKS
April 12, 2021
Independent Utility Construction, Inc..
5109 Sun Vally Drive
Fort Worth, Texas 76119
RE: Acceptance Letter
Project Name: Chapel Creek Phase 6
Project Type: 06
City Project No.: CPN: 102241
To Whom It May Concern:
On April 9, 2021 a final inspection was made on the subject project. There were punch list items
identified at that time. The punch list items were completed on April 12, 2021. The final inspection and
the corrected punch list items indicate that the worl< meets the City of Fort Worth specifications and is
therefore accepted by the City. The warranty period will start on April 12, 2021, which is the date of the
punch list completion 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-
392-7949.
Sincerely,
Debbie T. willhelvn
Debbic J. Willhdm (Apr 26, 202110�.40 CDT)
Debbie J. Willhelm, Project Manager
Cc: Habte Taezaz, Inspector
Wade Miller, Inspection Supervisor
Ariel Duarte, Senior Inspector
Victor Tornero, Program Manager
Shield Engineering Group, Consultant
Independent Utility Construction Inc., Contractor
D.R Horton, Developer
File
E-Mail:
Douglas W. Wiersig, P.E., PhD., Director, TPW Wendy Chi-Babulal, P.E., Water
Richard Martinez, Assistant Director, TPW Tony Sholola, P.E., Water
Marisa Conlin, Traffic Engineering Richard Zavala, Director, PARD
Allen Hall, Superintendent, TPW David Creek, Assistant Director, PARD
John Robert Carman, P,E., Director, Water
Chris Harder, P.E., Assistant Director, Water
Rev.9/15/16
AFFIDAVIT
STATE OF TEXAS
COUNTY OFTARRANT
Before me, the undersigned authority, on this day personally appeared RICHARD
WOLFE, President of INDEPENDENT U T I L I T Y C O N S T R U C T I O N. INC. known
to me to be a credible person, and after being duly sworn by me, 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: Chapel Creek Phase 6— Citv Project No. 102241
BY: �� )
ichard olfe, President
S SCRIBED AND SWORN TO BEFORE ME on this
�� � : � � � , 2021.
�`"""�� CHRISTINA GARCIA
� �'CPPY PUB �i
_zr' �iNotary Public, State of Texas
z'^.�:��Q� Comm. Expires 12-20-2024
%9T •••',��,'�;
'�.,;��„�.� Notary ID 130940785
R
� �� ��� day of
C�NSENT OF OWNER ❑
SURETY COMPANY ONTRACTOR ❑
�'O �+'IIV'A% PAY I��IEN� suxETY ❑
OTHER
(SIMILAR TO AIA DOCUMENT G707)
Bond No. 070765Q
PROJECT: Street Lighting Improvements to serve Chapel Creek Phase 6
(name, address) Fort Worth, TX
TO (Owner)
�
�
CONTRACTOR:
City of Fort Worth
200 Texas Street
Fort Worth, TX 76102
Independent Utility Construction, Inc.
�ARCHITECTS PROJECT NO:
CONTRACT FOR:
� CONTRACT DATE:
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)
Westfield Insurance Company
555 Republic Drive, Suite 450 , SURBTY COMPANY,
Plano, TX 75074
on bond of (here insert name and address of Contractor)
Independent Utility Construction, Inc.
5109 Sun Valley Drive
Fort Worth, TX 76119
,CONTRACTOR,
hereby approves of the final paytnent to the Contractor, and agrees that the fmal payment to the Contractor shall not relieve the
Surety Company of any of its obligations to (here insert name and address of owner)
City of Fort Worth
200 Texas Street
Fort Worth, TX 76102 , OWNER,
as set forth in the said Surety Company's bond.
IN WITTIESS WHEREOF,
The Surety Company has hereunto set its hand this
Attest:
(Seal):
13th day of April , 2021
WESTFIELD INSURANCE COMPANY
Surety Company � � �
By .�'`
Signature of Au e r ative
Kyle W. Sweeney Attor�iey—in—Fact
Title
Note: This form is intended to be used as a companion document to the Contractor's Affidavit of Payrrient of Debts and Claims, Current Edition
THIS POWER OF ATTORNEY SUPERCEDES ANY PREVIOUS POWER BEAR�Nc� 1 F115 SAMt
POWER,� AND ISSUED PRIOR TO 04/20/11, FOR ANY PERSON OR PERSONS NAMED BELOW.
General
Power
of Attorney
CERTIFIED COPY
POWER NO. 4220052 06
Westfield Insurance Co.
Westfield National Insurance Co.
4hio Farmers Insurance Co.
Westfield Center, Ohio
Know Al! Men by These Presents, That WESTFIELD INSURANCE COMPANY, WESTFIELD NATIONAL INSURANCE COMPANY and OHIO
FARMERS INSURANCE COMPANY, corporations, hereinafter referred to individually as a"Company" and collectively as "Companies," duly
organized and existing under the laws of the State of Ohio, and having its pr(J�cipal office in Westfield Center, Medina County, Ohio, do by these
presents make, constitute and appoint
CHARLES D. SWEENEY, MICHAEL A. SWEENEY, KYLE W. SWEENEY, ELIZABETH GRAY, JOINTLY OR SEVERALLY
of FORT WORTN and State of TX its true and lawful Attorney(s)-in-Fact, with full power and authority hereby conferred in its name,
pface and stead, to execute, acknowledge and deliver any and all bonds, recognizances, undertakings, or other instruments or contracts of
suretyship----------------------------------------------------------- ---�
LIMITATION: THIS POWER OF ATTORNEY CANPIOT BE USED TO EXECUTE NOTE GUARANTEE, MORTGAGE DEFICIENCY, MORTGAGE
GUARANTEE, OR BANK DEPOSITORY BONDS.
and to bind any of the Companies thereby as fully and to the same extent.as if such bonds were signed by the President, sealed with the corporate
seal of the applicable Company and duly attested by its Secretary, hereby ratifying and confirming all that the said Attorney(s)-in-Fact may do in
the premises. Said appointment is made under and by authority of the following resolution adopted by the Board of Directors of each of the
WESTFIELD INSURANCE COMPANY, WESTFIELD NATIONAL INSURANCE COMPANY and OHIO FARMERS INSURANCE COMPANY:
"Be !t Resolved, that the President, any Senior Executive, any Secretary or any Fidelity & Surety Operations Executive or other Executive shall
be and is hereby vested with full power and authority to appoint any one or more suitable persons as Attorney(s)-in-Fact to represent and act for
and on behalf of the Company subject to the following provisions:
The Attorney-in-Facf. may be given full power and authority for and in the name of and on behalf of the Company, to execute, acknowledge and
deliver, any and aIl bonds, recognizances, contracts, agreements of indemnity and other conditional or obligatory undertakings and any and all
notices and documents canceling or terminating the Company's liability thereunder, and any such instruments so executed by any such
Attorney-in-Fact shall be as binding upon the Company as if signed by the President and sealed and attested by the Corporate Secretary."
"Be it Further Resolved, that the signature of any such designated person and the seal of the Company heretofore or hereafter affixed to any
power of attorney or any certificate relating thereto by facsimile, and any power of attorney or certificate bearing facsimile signatures or facsimile
seal shall be valid and binding upon the Company with respect to any bond or undertaking to which it is attached." (Each adopted at a meeting
held on February 8, 2000).
ln Witness Whereof, WESTFIELD INSURANCE COMPANY, WESTFIELD NATIONAL INSURANCE COMPANY and OHIO FARMERS INSURANCE
COMPANY have caused these presents to be signed by their Senior Executive and their corporate seals to be hereto affixed this 20th day of
APRIL A.O., 2011 .
Corporate r�.•a��$�`rh.,,
Seals \ , •«-••. �C '
Affixed � �v �� •.A� =��
�w`- ����Y�.,
�• �'`,,......r''r _,Ps
State of Ohio '"."'..
County of Medina ss.:
..�„���,.....,.
,,�`P.��(�NAL /�;'•.
.•` r� ,.••• • d'G,•,
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WESTFIELD 1NSURANCE COMPANY
WESTFIELD NATIONAL INSURANCE COMPANY
OHIO FARMERS INSURANCE COMPANY
�� ` ` .
BY:
Richard L. Kinnaird, Jr., National Surety Leader and
Senior Executive
On this 20th day of APRIL A.D., 2011 , before me personally came Richard L. Kinnaird, Jr. to me known, who, being by me duly
sworn, did depose and say, that he resides in Medina, Ohio; that he is Senior Execlftive of WESTFIELD INSURANCE COMPANY, WESTFIELD
NATIONAL fNSURANCE COMPANY and OHIO FARMERS INSURANCE COMPANY, the companies described in and which executed the above
instrument; that he knows the seals of said Companies; that the seals affixed to said instrument are such corporate seals; that they were so affixed
by order of the Boards of Directors of said Companies; and that he signed his name thereto by like order.
Notarial � H„.««««,.,k .
Seal r``� a1 A L 4%., � •
A�xed '�P` �i��� SF��:
Oi���.....�j :'f� -
Z: ,r. � �.. r ,
• l • William J. Kahelin, A rney at Law, Notary Public
State of Ohio :, � ,! �.�� o My Commission Does Not Expire (Sec. 147.03 Ohio Revised Code)
County of Medina ss.: , y •t�;
...Tf O� �.`
I, Frank A. Carrino, Secretary of WESTFIELD INSURANCE COMPANY, WESTFIELD NATIONAL INSURANCE COMPANY and OHIO FARMERS
INSURANCE COMPANY, do hereby certify that the above and foregoing is a true and correct copy of a Power of Attorney, executed by said
Companies, which is still in full force and effect; and furthermore, the resotutions of the Boards of Directors, set out in the Power of Attorney are
i� full force and effect. j 7d_
,ry ln Wrt ess Whereof, I have hereunto set my hand and affixed the seals of said Compani�s at 'VWestPield Genter, Ohio, this /��'ffay of
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