HomeMy WebLinkAboutContract 54643-FP1City Secretary
Contract No. 54643 -FP1
FORTWORTHa
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Date Received May 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: Southfork Estates Phase 4
City Project No.: 102548
Improvement Type(s): Water 0
Original Contract Price;
Amount of Approved Change Order(s);
Revised Contract Amount:
Total Cost of Work Complete:
}Gbe�t G�a���es
Albert 6rantges (May 26, 2 113:53 CDT)
Contractor
Vice President
Title
Burnsco Construction, Inc.
Company Name
Sewer �
�
Ro bert Ri ley (�6 . y 26, 2021 15:19 CDT)
Project Inspector
C�u'"' �°�, , f? 4,.
Project Manager
Tqnie Scqrleff Mor�les
Janie Scarlett Morales (Ma�26 202117�15 CDTI
CFA Manager
�� �
Dana Burghdoff (May27, 20 22:59 PDT
Asst. City Manager
May 26, 2021
Date
May 26, 2021
Date
May 26, 2021
Date
M ay 26, 2021
Date
May 27, 2021
Date
$331,833,70
$331,833.70
OFFICIAL REC�RD
CITY SECRETARY
FT. WORTH, TX
Page 1 of 2
Notice of Project Completion
Project Name: Southfork Estates Phase 4
City Project No.: 102548
City's Attachments
Final Pay Estimate �
Change Order(s): ❑ Yes � N/A
Pipe Report: � Yes ❑ N/A
Contractor's Attachments
Affidavit of Bills Paid
Consent of Surety �-
Statement of Contract Time
Contract Time: 45 WD Days Charged: 40
Work Start Date: 1/4/2021 Work Complete Date: 5/13/2021
Completed number of Soil Lab Test: 180
Completed number of Water Test: 6
Page 2 of 2
Fa�T �VoR�rH
CITY OF FORT WORTH
F]NAL PAYMENT REQUEST
Contract Name SOUTHFORK ESTATES PHASE 4
Contract Limits
Project Type WATER & SEWER
City Project NumUers 102548
DOE Number 2548
Estiinate Number 1 Payment Nu�nber 1
City Secretary Cmitract Number
Contract Date 7/14/2020
For Period Ending 5/15/2021
W
Project Manager NA
Contractor BURNSCO CONSTRUCTION, INC.
6331 SOUTHWEST BLVD
FORT WORTH � TX 76132
Inspectors CORDOVA, R/ ROBERT, R
Contract Time ��'
Da,ys Charged to Date 40
Contract is 100.00 Complete
Wednesday, May26, 2021 Page 1 of4
City Project Numbers 102548
Contract Name
Contract Limits
P�roject Type
SOUTHFORK ESTATES PHASE 4
WATER & SEWER
Project P'unding
UNTI' I: WA'I`ER IMPROVEMENTS
DOE Number 254$
Estimate Number 1
Payment Number 1
I'or Period Ending 5/IS/2021
Item Description of Items Estimlted Unit Unit Cost Estimlted Completed Completed
No. Qu�nity Total Quanity, Tot�l
1 8" PVC WATER PIPE 2503 LF $27.80 $69,583.40 2503 $69,583.40
2 DUCTILE IRON WATER FI7"I'INGS 0.7 TN $11,130.00 $7,791.00 0.7 $7,791.00
W/RESTR.AINT
3 FIRE HYDRANT W/GATE VALVE 2 EA $3,970.00 $7,940.00 2 $7,940.00
4 CONNECTIONTOEXISTING4"-l2"WATER 2 EA $1,160.00 $2,320.00 2 $2,320.00
MAIN
5 1" WATER SERVICE 78 EA $830.00 $64,740.00 78 $64,740.00
6 8" GATE VALVE & BOX 8 EA $1,320.00 $10,560.00 8 $10,560.00
7 TRENCH SAFETY 2503 LF $0.10 $250.30 2503 $25030
8 TRAFFIC CONTROL 1 MO $1.00 $1.00 1 $1.00
9 1" IRRIGATION SERVICE 1 EA $830.00 $830.00 1 $830.00
Sub-Total of Previous Unit $164,015.70 $lG4,oi5.7o
UNIT II: SANITARY S�V1'GR IMPROV�MENTS
Item Description of Items Gstimated Unit Unit Cost �stim�ted Completed Completed
No. Quanity Total Quanit,y Total
I 8" SEWER PIPE 2374 LF $32.00 $75,968.00 2374 $75,9(8.00
2 4' MANHOLE 8 EA $2,735.00 $21,880.00 8 $21,880.00
3 4' EXTRA DEPTH MANHOLE (>6.0') 24 VF $150.00 $3,600.00 24 $3,600.00
4 CEMENT STABILIZED BACKFILL 160 LF $21.00 $3,360.00 160 $3,360.00
5 4" SEWER SERVICE 78 EA $690.00 $53,820.00 78 $53,820.00
6 TRENCH SAFETY 2374 LF $I.00 $2,374.00 2374 $2,374.00
7 POST-CCTV INSP�CTION 2374 LF $2.50 $5,935.00 2374 $5,935.00
8 MANHOLE VACUUM TESTING 8 EA $I10.00 $880.00 8 $880.00
9 TRAFFIC CONTROL 1 MO $ I.00 $1.00 I $1.00
Sub-Total of Previous Unit $167,x1s.00 $167,8ts.00
Wednesday, May 26, 2021 Page 2 of 4
City Project Numbers 102548
Contract Name SOUTHFORK ESTATES PHASE 4
Contract Limits
Project Type WATER & SEWER
Project runding
Contract Information Summary
Original Contract Amount
Change Orders
Total Contract Price
DOE Number 2548
Estimate Number 1
Payment NumUer 1
ror Period Ending 5/15/2021
$331,833.70
$331,833.70
Total Cost of Work Completed $331,833.70
Less % Retlined $0.00
Net Earned $331,833.70
Earned This Period $331,833.70
Retainage This Period $0.00
� Less Liquidated Damages
Dnys @ / 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
$331,833.70
Wednesday, May 26, 2021 Page 3 of 4
City Project Number
Contract Name
Contract Limits
Project Type
Project Funding
S 102548
SOUTHFORK ESTATES PHASE 4
WATER & SEWER
DOE Number 2548
Estimate Number 1
Payment Number 1
For Period Ending 5/15/2021
Project Manager NA City Secretary Contract NumUer
Inspectors CORDOVA, R/ ROBERT, R Contract Date
Conh•actor BURNSCO CONSTRUCTION, INC. Contrlct Time
6331 SOUTHWEST BLVD Days Charged to Date
FORT WORTH � TX 7G132 Conh�act is .000000
CITY OF FORT WORTH
SUMMARY OF CHARGES
7/14/2020
as w
40 W
Complete
Line Fund Acco►mt Cente►• Amoimt Gross Retainage Net
Funded
Total Cost of Work Completed
Less % Retained
Net Earned
Earned This Period $331,833.70
Retainage This Period $0.00
Less Liquidated Damages
o Da,ys a �0.00 / Day
LessPavement Deficiency
Less Penalty
Less Previous Payment
Plus Material on Hand Less 15%
Balance Due This Payment
$331,833.70
$0.00
$331,833.70
$0.00
$0.00
$0.00
$0.00
$0.00
$331,833.70
Wednesday, May 26, 2021 Page 4 of 4
PRO.T�CT NAM�:
PRO.T�CT NUMB�R:
DO� NUMB�R:
PIP� LAID
Water
FII2E HYDRANTS: 2
PIPE ABANDON�D
D�NSITI�S:
N�W S�RVIC�S:
PIP� LAID
Sewer
PiP� AI3ANDON�D
D�NSITIES:
N�W S�RVIC�S:
.% �.
:;� �.��`:
FORTWORTH
TRANSPORTATION AND PUBLIC WORKS
PIPE REPORT FOR:
Southfork Estates Phase 4
102548
WAT�R
SIZ� TYP� OF PIP�
8" PVC
VALV�S (16" OR LARG�R)
SIZ� TYP� OI' PIP�
Yes, 95 and above.
S� W �R
SIZE TYP� OI' PIP�
8" PVC
SIZ� TYP� OI' PIP�
Yes. 95 and above.
TRt1NSPORTATION t1ND PUBLIC WORKS
The City of Fort Wordi • 1000 Throclunorton Street • Foit �,�/orth, T176012-6311
(817) 392 - 7941 • Fax: (817) 392 - 7845
LF
2,503
LF
LF
2,374
f11 �
F�0 RT V�0 RT H„
TRANSPORTATION AND PUBLIC WORKS
May 17, 2021
BurnsCo Construction Inc
6331 Southwest Boulevard
Benbrool<, Tx 76132
RE: Acceptance Letter
Project Name: Southfork Estates Phase 4
Project Type: Water, Sewer, Paving, Drainage, and Street Lights.
City Project No.: 102548
To Whom It May Concern:
On May 12, 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 worl< meets the City of Fort Worth
specifications and is therefore accepted by the City. The warranty period will start on May 12, 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 Clicl<
fiere to enter text..
Sincerely,
� -���� �.
Andrew Goodman, Project Manager
Cc: Robert Riley, Inspector
Ron Cordova, Inspection Supervisor
Gary Deyon, Senior Inspector
Victor Tornero, Program Manager
Shield Engineering Group, Consultant
Mac Hazlewood, Contractor
Crowley 96, LLC, Developer
File
E-Mail: TPW_Acceptance@fortworthtexas.gov
Rev.OII/20/19
a��zDAvzT
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 Ab Grantges,
Cantract Mgr, Of Burnsca Construction, k�nawn to me to be a credible
p�rson, wha being by me duly sworn, upon his oath depos�d and said;
That all persQns, firms, associations, carporations, or other
organizations furnishing labor and/or materials have been paid in fi.�ll;
That the wage scale established by the City Council in the City of
Fort Worth has been paid in full;
That there are na claims pending for personal injury and/or
property damages;
On Contract described as;
Southfork Estates Phase 4- Water and �anitary Sewer
BY
Ab Grantges, ntract Manager
Subscribed and sworn before rne on this date 26th o� May, 2021.
� ����Ryp��//� MARY PANNELL
��i.P,... �R �i
;z.•�:�,Natary Public, S:ate of Texas
Nota Public ;�,,•��; comm Ex���as i Q-� s-zozz
Tarrant Coun#y, Texas �''��°����'�� �ocary ia 5�a4zas
CONSENT QF
SURETY COMPANY
TO FiNAL PAYMENT
Conforms with the Arr�erican Institute af
Arch€tects, AIA Document G7'07
OWNER ❑
ARCHlTECI' ❑
CONTRACTQFi ❑
SiJRETY ❑
OTHER
Bond No 022227292
PRo.��cr:
(name, addresS)Sauthfork Estates Phase 4- Water and Sanitary Sewer Improvernents
TQ {4wner)
Fort Warth
TX
�
CROWLEY 96, LLC AN� CITY OF FORT WORTk�
2�1 Wesi Sufford, Suite 101
Burleson TX 7fi028
CONTRACTOR.' BURNSCO CONSTRUCTION, INC.
� ARCHIT�CT'S pRQJEC7 NO:
coN�Racr Fo�:
Southfork Estates Phase 4- Water and Sanitary Sewer Irriprovements
—I CaNTRACT DAT�:
In accordanee with the provisions of the Contrac# befiween the Owner and the Cantractor as indicated above, the
(here insert nama and addrass of 5urety Company}
LIBERTY MUTUAL INSURANCE CONfPANY
� 75 Berkeley Sireet
Boston MA 02116 , SURETY COMPANY
on bond of [here inserE name end address af Contractorl
BURNSCO CO�fSTRUCTION, INC.
fi331 Southwesi Boulevard
Benbrook TX 76132 , C�NTRACTOR,
hereby approves of the final payr�ent to tE�e Contrac#or, and agrees that f nal payment to the Contractor shall not relieve
the Surety Company of any of its obligations to fhera insert rtame and address oi ownerk
CROWLEY 96, LLC AND CITY dF FOR� WORTH
201 West Bufford, Suite 101
Burleson TX 75028
, OWNER,
as set forth in the said Surety Company's band.
IN WI7'NB55, WF�ERE�F,
the Surety Company has hereunto set its hand this
�9th dayaf nnay,zoz�
LIBERTY MUTUAL INSURAlVGE GOMPANY
Surety Company
,
Attest: ���y �� i ��«;�t-__ __ _;����"°,.�,� �f�%�i"��t:.�i'? ,_.
{Seal): Signat�re of Authorized Representative
So hinie Hunter Attorne -in-Faci
Titie
NOTE: This form is to be used as a companion document to AIA ��Cl7MENT G7fl6, CONiRACT6R'S AFFiQAVIT QF PAYMENT OF DEBTS AND CLAIMS,
Current Edition
DNE PAGE
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5UF2ETY
Liberty Mutual Insurance Campany
The Ohio Casualty Insurance Campany
West American lnsurance Company
POWER OF ATTORNEY
Certificate No: 82QS4S7-022020
KNOWN ALL PERSONS BY THESE PRESENTS: That The Ohio Casualty Insurance Company is a corporat€on duly organfzed under ihe laws of the Stata of iJew Hampshire, that
Liberry Mutual {nsurance Company is a corporatlon du4y organ€zed under the laws oi the State of Massachusetis, and West American fnsurance Company is a carporation duly organized
under the iaws of ihe 5iate of Indiana (herein collectively called the "Companies"j, pursuant to and by authority herein set forth, tloes hereby name, consiftute and appoint, llon G
Comeli: Joshua Saunders; Kelly A. 1�esthrook_ ivlikaeIa Peppers; F�icardo d, Revna; ltohbi Morales, Sophfn�e Hunter Tina IVtcEwan; Tanie T'etranek
all of the city of Dallas state of T� each individually if there be more than one named, iis true and lav�ul attomey-in-fact to make,
execute, seal, acknowledge and deliver, ior and on its behalf as sureiy and as its act and deed, any and all undertakings, bonds, recognizances and other surety abligafions, in pursuance
of these presents and shall be as binding upon the Companles as if they have been duly signed by the president and attested �y the secretary of the Companies m thefr own proper
persans.
IN WITNESS WHER�OF, this Power of Attorney has been subscribed by an authorized officer or o�cial af ihe Companies and ihe corporate seals af the Companies have �een affixed
if�eretathis 23rd dayof Aprfl , 2U21 .
Liberfy Mutual Insurance Gompany
P`, 1NSU/�q P4�Y �NSUR � �rssuR9 The Ohio Casualty Insurance Company
�J `pRPO{tq� 1•C� `�� GOR40k4T 9 VP ORPQR.yP I'
�= Fo m �= fio y� w i� �.� fi Wesf American Insurance Cpmpany
� � 91912 �y o o y 19'! 9� 0 4 1991 0 �� ,� �?
a�i d.� ssa��„s�kaD3� % F�haMpS�`aa �s �tio,AµP aa l�ir'f��� �`�-
� &�� * �,� �Hl * �� '9M � ti� BY� ' '-�'^
.� David M. Carey, Ass�stant Secretary
� � State of PENNSYLVANIA
i r�„ Counry of MOEVTG4MEftY ss
IN UVIFNESS WiiEREOF, I have hereunto subscribed my name and affixed my notarial seal at King of Prussia, Pennsylvania, on the day and year first above wriften.
V� On thfs 23rd day of April , 2021 before me personal4y appearetl Davitl M. Carey, who acknowledged himself to be the Assistant Secretary oi LiberEy M�tuaf Insurance � a�i
� ia Company, The Ohio Casualry Company, and West American Insurance Company, and that he, as such, being authorized so to do, execute the ioregoing 3nstrument for the purposes `� �
�� therein contained by signing on behalf of the corporalions hy himself as a duly authorized officer- }@
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This Pawer of Attorney limits the acts of those named herein, and they hava no authority to
hind [he Company except in the manner and to ihe extent herein stated.
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Commonwealth of Aennsyivania - Notary Seal T=
Teresa Pastella, Nolary Public /%� � �—
MOntgomery Cauniy B V � ����� L�
L1y wmmission exp:res t�farch 28, 2025 y• ,('�Q.�� p�
Commissicn num6ar 1126�34 "-'
mler�her, PennsyivaniaassociaticnoFNotarles Teresa Pasfella, Notary PUblic Q p
7hfs Power of Aftomey is made and executed pursuant to and by authority of the following Sy-laws and Authorizations pf The Ohio Casualty Insurance Company, Lfberty Mutual
}nsurance Company, and West Amencan Insurance Company which resolu6ons are naw in full force and e(fect reading as follows:
ARTICLE IV - OFFICERS: Sectian 12 Power of Attorney.
Any afficer or other official of the Corporafion authorized for that purpose in wnt�ng hy 1he Chairman o� the Presideni, and subject to such limlfation as the Chairman or the
President may prescribe, shall appo3nt such attorneys in facf, as may �e necessary to act ln behalf of the Corporation to make, execute, seal, acknowledge and deliver as surety
any and all undertak€ngs, bonds, recognizances and other surety obligafions. 5uch attorneys in fact, subjecf to the IimitaUor�s set forth In thsir respective pawers of alSomey, shall
have full power to bintl the Corporafron by their signature and execution ai any such fnstruments and to attach thereto ihe seal of the Corporat�an. When so execu#ed, such
instrumenis shall be as binding as if signed 6y the President and atiested to by ihe Secretary. Any power or authoriiy granted to any representative or attorney-in-fact under the
provisions of this artide may be revoked at any time by the Board, the Chalrman, the President or by the of�cer or officers granting such powe� or authority.
ARTICLE XIII - Execution of Contracts: Section 5. Surety Bonds and Underfakings.
Any officer of the Company auihorized for Shai purpose in writing by the ehairman or ihe president, and subjecf to such limitatians as 1he chalrman or the president may prescribe,
shall appoint such attorneys in fact, as may be nacessary to act in behalf of the Company to maice, execufe, seal, acknowiedge and deliver as surety any and alI undertakings,
bonds, recognizances and oiher surefy obligaiions. Such attom�ys-i�-fact subject to the limitations set forth in their respective powers pf attorney, shai! have ful! power to bintl the
Company by their signature and execution of any such lnstruments and to atiach thereto the seal of iha Company. When so executed such insiruments shall be as binding as if
signed by the president and attested by the secreiary.
Certificate of Designation �- The Presitlent of the Company, acti�g pursuant to the Bylaws o( the Company, authorizes David M. Ca�ey, Assistant Secretary to appaint such attorneys-in-
fact as may be ne�essary to act or� 6ehalf of the Company to make, execute, seal, ac9cnowledge and deliver as surety any and all undertakings, �onds, recognizan�es and other surety
obligations.
Authorizatinn -- By unanimous consent of the Company's Board af �ireciors, the Company consents that facsimile or mechanicafEy reproduced signature of any assistant s�aetary of ihe
Company, wherever appearing upon a certffied copy of any power of aitomey issuetl by the Company in connection with surefy bonds, shall be valid and bintling upon the Company with
the same force and effect as though manually affixed.
I, Renee C. Llewellyn, the undersfgned, Assistant Secretary, The Ohia Casualiy Insurance Company, Liberty �vlutual Insurance Company, and West American lnsurance Company do
hereby certify that the original power af attorney of which ihe Eoregoing is a full, true and correct copy afi th� Power of Attomey executed by said Companies, is in full force and effect and
has not been reuoked.
IN TESTIMONY WHEREOF, I have hereunto set my hand and affixed the seals of said Companies this 19th day of vfay , 2021 .
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TEXAS
IMPORTANT NOTICE
To obtain information or make a complaint
You rr�ay call toll-free for infarmation or to
�nake a complaint at
1-877-751-2640
You may aiso write ta:
2200 Renaissance Blvd., Ste. 400
King of Prussia, PA 19406-2755
You may contact the Texas Department of
Insurance to obtain information on companies,
coverabes, rights or complaints at
I -500-252-3439
Yau may write the Texas Dcpartmcnt of InSurance
Consumer Protection (111-1 A)
P. O. Box 149091
Austin, TX 787�4-9091
k AX: (512) 490- i 007
Web: http://www.tdi.texas.�
E-mail: _ConsumerProtect�onntdi.texas �av
PREMIUM OR CLAIM DISPUTES:
Should you have a dispuYe concerning your
pre�nium or about a clai�n you shoult! tirst
contact the agent or call 1-500-843-6446.
If the dispute is not resalved, yau may contact the
Texas Department of Insurance.
ATTACH THIS NOTICE TO YOUR
PO�,ICY:
This notice is for information only and does not
become a part or condition of the attached
docu�nent.
TEXAS
AVIS� IMP�RTANTE
Para obtener informacion o para someter una
queja:
Usted puede Ilatx�ar al numero de tefefono gratis
para informacion o para saineter una queja al
1-877-7� 1-2640
Usted tambien puede escribir a:
2200 Renaissance Bl�d., Ste. 400
King of Prussia, PA 19�06-2755
Puede comunicarse con el Departalnento de
Se�uros de Tea�as para obtener informacion
acerca de companias, coberturas, derechos o
quejas al
I-800-252-3439
Puede escribir al De�artamento de SegEiros
de Texas Consumer Protection (� 1 I-lA)
P. O. Bax 149091
Austin, TX 78714-9091
FAX #{5 � 2} 490- l 007
Web: http://www.tdi.texas_sov
E-mail: Consumerl'rotection(�a,tdi.iexas.gov
DISPUTAS SOBRE PRiMAS O RECLAMOS:
Si tiena una disputa concerniente a su prima o a
un reclamo, debe comunicarse con el a�ente o
prin�ero. Si i�o se resuelve la disputa, puede
entonces comunicarse con el departamento (TDI)
UNA ESTE AVISO A SU POLIZA:
Este aviso es salo para proposito de informacion
y no se convie�te e�1 parte o conc�icion del
documento adjunto.
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