HomeMy WebLinkAboutContract 51923-FP1 FORTWORTH CSC No. 51923-FP1
WATER DEPARTMENT
ENGINEERING AND FISCAL SERVICES ' I
NOTICE OF PROJECT COMPLETION
Cs s"1 q a 3
Regarding contract 51923 for Westside V Part 2 24&16-Inch Water Main as required by the Water Department as
approved by City Council on 1/29/19 through 1bI&-C C-29014 the Director of die Water Department,upon the
recommendation of the Sr. Capital Projects Officer,Capital Projects Delivery,Water Department,has accepted the
project as complete.
Original Contract Prices: $2,972,194.00
Amount of Approved Change Orders: $13,048.58 Ns 1
Revised Contract Amount: $2,985,242.58
Total Cost Work Completed: $2,975,692.58
Less Deductions:
Liquidated Damages: 0 Days @$630.00/Day
Other Deductions(see comments):
Total Deduction Amount: $0.00
Total Cost Work Completed: $2,975,692.58
Less Previous Payments: $2,826,907.95
Final Payment Due $148,784.63
,•�y rl J �o v � I E 2
Recommended for Acceptance Date
Assistant Director, Water Department
Christopher Ffarder(Aug 5,2021 14:31 CDT)
Accepted Date
Director, Water Department
067ha sblL i doff
Dana Burghdoff ug9,202112:26CDT)
City Manager Date
OFFICIAL RECORD
CITY SECRETARY
FT. WORTH, TX
1
Project Name: %N"estsidc V Part 2—7 4&16-Inch Water Main DOE. Ns:
Comments:
Non-PO Voucher Retainage Only
5 6016--2060000--1003 78-RETAIN
City Project Numbers 100378 DOE Number 1003
Contract Name Wcstside V Pert 2 24&16-Inch Watcr Main Estimate Number 16
Contract Limits Walsh Ranch and Morning Star Developments Payment Number 16
Project Type Water For Period Ending 4/15/2020
Project Funding
Project Manager Qicrman City Secretary Contact Number 51923
Inspectors Johnson / Drake Contact Date 1/29/2019
Contractor Mountain Cascade ofTesas Contract Time 395 CD
11729 E FM 917 Days Charged to Date 194 CD
Alvarado, 7'X 76009 Contract is .000000 Complete.
CITY OF FORT WORTH
SUMMARY OF CHARGES
Line Fund Account Center Amount Gross Retainage Net
Funded
----- ---------------------------------
1 56016-100378 $2,972,194.00 $0.00 $148,784.63 $148,784.63
Total Cost of Work Completed $2,975,692.58
Less 0 %Retained $0.00
Net Earned $2,975,692.58
Earned This Period $148,784.63
Retainage This Period $0.00
Less Liquidated Damages
0 Days « $0.00 /Day $0.00
LessPavemeut Deficiency $0.00
Less Penalty $0.00
Less Previous Payment $2,826,907.95
Plus Material on Hand Less 15% $0.00
Balance Due This Payment $148,784.63
Wednesday,April 15,2020 Page 5 of 5
FORT WORTH
CITY OF FORT WORTH
FINAL PAYMENT REQUEST
Conh•act Name Westside V Part 2 24& 16•Inch Water Main
Conh•act Limits Walsh Ranch and Morning StarDcvclopntcnls
Project Type Water
City Project Numbers 100378
DOE Number 1003
Estimate Number 16 Payment Number 16 for Period Ending 4/15/2020
CD
City Sccrctary Contract Ntmiber 51923 Contract Time 396:D
Contract Date 1/29/2019 Days Charged to Date 194
Project lylanager Bicrman Conh•act is 100.00 Complete
Conti-actor Mountain Cascade of Texas
11729EFM917
Alvarado, TX 76009
Inspectors Johnson / Drake
Wednesday,April 15,2020 Page 1 of 5
City Project Numbers 100378 DOE Number 1003
Contract Name Westside V Part 2 24&16-Inch Water Main Estimate Number 16
Contract Limits Walsh Ranch and Morning Star Developments Payment Number 16
Project Tyre Water For Period Ending 4/15/2020
Project Funding
Water
Item Description ofltems Estimated Unit Unit Cost Estimated Completed Completed
No. Qumrity Total Qumiit} Total
---------------------------------------
1 3311.0444 12"Water Pipe(Reslraine 5 LF $75.00 $375.00 5 $375.00
2 3311.0541 16"Water Pipe 1030 LF $80.00 $82,400.00 1030 $82,400.00
3 3311.0542 16"Water Pipe,CSS Backf 200 LF $219.00 $43,800.00 200 $43,800.00
4 3311.0544 16"Water Pipe(Restraine 735 LF $120.00 $88,200.00 735 $88,200.00
5 3311.0545 16"Water Pipe,CSS Backf 210 LF $233.00 $48,930.00 210 $48,930.00
6 3311.0651 24"DIP Water 3910 LF $145.00 $566,950.00 3910 $566,950.00
7 3311.0652 24"DIP Water,CSS Bacldi 65 LF $230.00 $14,950.00 65 $14,950.00
8 3311.0654 24"DIP Water(Restrained 2637 LF $180.00 $474,660.00 2637 $474,660.00
9 3311.0655 24"DIP Water,CSS Backli 60 LF $263.00 $15,780.00 60 $15,780.00
10 3305.1107 42"Casing By Other Than 565 LF $1,213.00 $685,345.00 565 $685,345.00
11 3305.2007 24"Water Carrier Pipe 565 LF $145.00 $81,925.00 565 $81,925.00
12 3312.3005 12"Gale Valve I EA $3,200.00 $3,200.00 1 $3,200.00
13 3312.3006 16"Gate Valve w/Vault 2 EA $17,000.00 $34,000.00 2 $34,000.00
14 3312.3008 24"Gale Valve w/Vault 10 EA $28,000.00 $280,000.00 10 $280,000.00
15 3312.1002 2"Combination Air Valve 1 EA $9,000.00 $9,000.00 1 $9,000.00
16 3312.1004 4"Combination Air Valve 4 EA $12,000.00 $48,000.00 4 $48,000.00
17 3312.6002 6"Blow Off Valve 1 EA $12,500.00 $12,500.00 1 $12,500.00
18 3312.6003 8"Blow Off Valve 4 EA $13,000.00 $52,000.00 4 $52,000.00
19 3312.0106 Connection to Existing 16 1 EA $4,000.00 $4,000.00 1 $4,000.00
20 3312.0108 Connection to Existing 24 1 EA $6,000.00 $6,000.00
21 3311.0001 Ductile Iron Water Fittings(CON 1) 13.44 TO $2,705.00 $36,355.20 13.44 $36,355.20
22 0241.1118 4"-12"Pressure Plug 1 EA $1.400.00 $1,400.00 1 $1,400.00
23 0241.1106 16"Pressure Plug I EA $1,500.00 $1,500.00 1 $1,500.00
24 0241.1109 24"Pressure Plug 2 EA $2,100.00 $4,200.00 2 $4,200.00
25 0171.0101 Construction Staking I LS $16,000.00 $16,000.00 1 $16,000.00
26 0171.0102 As-Buill Survey I LS $1,500.00 $1,500.00 1 $1,500.00
27 3305.0110 Utility Markers 1 LS $500.00 $500.00
28 3305.0112 Concrete Collar 22 EA $200.00 $4,400.00 22 $4,400.00
29 3305.0103 Exploratory Excavation of 9 EA $1,000.00 $9,000.00 9 $9,000.00
30 3305.0109 Trench Safely 8852 LF $1.00 $8,852.00 8852 $8,852.00
31 3110.0101 Site Clearing I LS $10,000.00 $10,000.00 1 $10,000.00
Wednesday,April 15,2020 Page 2 of 5
City Project Numbers 100378 DOE Number 1003
Contract Name Westside V Part 2 24&16-Inch Writer Main Estimate Number 16
Contract Limits Walsh Ranch and Morning Star Developments Payment Number 16
Project Type Water For Period Ending 4/15/2020
Project Funding
32 3123.0101 Unclassified Excavation b 100 CY $12.00 $1,200.00
33 3123,0103 Borrow by Plan 600 CY $14.00 $8,400.00
34 3124.0101 Embankment by Plan 100 CY $14.00 $1,400.00
35 321 1.0113 8"Flexible Base,Type A, 10858 SY $12.00 $130,296.00 10858 $130,296.00
36 3231.0211 Barbed Wire Fence,Metal 100 LF $12.00 $1,200.00 100 $1,200.00
37 3231.0306 16'Gate,Steel 2 EA $1,500.00 $3,000.00 2 $3,000.00
38 3292.0400 Seeding,Hydromulch 32331 SY $1.00 $32,331.00 32331 $32,331.00
39 3292.0500 Seeding,Soil Retention B 930 SY $2.00 $1,860.00 930 $1,860.00
40 3213,0101 6"Cone Pwnt 342 SY $85.00 $29,070.00 342 $29,070.00
4I 3137.0105 Medium Stone Riprap,grow 733 SY $80.00 $58,640.00 733 $58,640.00
42 3125.0101 SWPPP >_I acre 1 LS $1,300.00 $1,300.00 1 $1,300.00
43 9999.0000 Seeding 150 SY $5.00 $750.00
44 9999.0000 Fertilizer I AC $300.00 $300.00
45 9999.0000 Reinforced Concrete Pipe 30 LF $120.00 $3,600.00 60 $7,200.00
46 9999.0000 Safety End Treatment 2 EA $4.200.00 $8,400.00 4 $16,800.00
47 9999.0000 Barricades,Signs,and'fra 6 MO $1,500.00 $9,000.00 4 $6,000.00
48 9999.0000 Temporary Erosion Control I LS $20,000.00 $20,000.00 1 $20,000.00
49 9999.0000 Intersections,Driveways, 110 SY $80.00 $8,800.00 110 $8,800.00
50 Relocation ofexisting 3-inch reuse line(CO#1) 1 LS $8,593.38 $8,593.38 1 $8,593.38
51 Beggs Entrace Gate Upgrade(CO/11) I LS $2,180.00 $2,180.00 1 $2,180.00
52 Lowering oFBOTOC under Pond(CO#1) 1 LS $9,200.00 $9,200.00 1 $9,200.00
--------------------------------------
Sub-Total of Previous Unit $2,985,242.58 $2,975,692.58
--------------------------------------
Wednesday,April 15,2020 Page 3 of 5
City Project Numbcrs 100378 DOE Number 1003
Conti-act Name WestsideV Part 24&IG-Inch Water Main Estimate Number IG
Contract Limits Walsh Ranch and Morning Star Developments Payment Number IG
Project Type Water For Period Ending 4/15/2020
Project Funding
Contract I11fo1•111ation Summary
Originnl Couh•act 1\1nount $2,972,194.00
Change Orders
Change Order Number 1 $13,048.58
Total CoutractPI-ice $2,985,242.58
tc In I I Total Cost of Work Completed $2,975,692.58
Contr1c,, t Less D %Retained $0.00
Dare Net Earned $2,975,692.58
a -//-� I
h!!j?,Cction SUP rvis99r Earned This Period $1,18,784.63
G -Date
[on 5 o l�� Retainage This Period $0.00
Sc 5 � �IIIL
rG�r o
Project Miriam Less Liquidated Damages
N/A Days r@ /Day $0.00
Date LessPavement Deficiency $0.00
Asst.DircctorlfPW Less Penalty $0.00
��t�' HOB Less Previous Payment $2,826,907.95 Christopher wI,IAu^5202114:31 CDT) Date y
Director/Conlracting Department Plus Material on Hand Less 15% $0.00
Balance Due This Paynrcrrt $148,784.63
Wednesday,April 15,2020 Page 4 of 5
FORTWORTH rev 03/05/07
WATER ENGINEERING &FISCAL SERVICES
FINAL STATEMENT OF CONTRACT TIME
FINAL STATEMENT NO.:16
NAME OF PROJECT: Westside v Part 2, 16&24 Water Main
PROJECT NO.: 100378 CONTRACTOR: Mountin Cascade
CITY PROJECT
PERIOD FROM.04/01/20 TO: 04/15/20 FINAL INSPECTION DATE: 12/30/19W
WORK ORDER EFFECTIVE:4/8/2019 CONTRACT TIME: 3 q S 0 wo QQ co
DAY OF DAYS REASON FOR DAYS DAY OF DAYS REASON FOR DAYS
MONTH CHARGED CREDITED MONTH CHARGED CREDITED
DURING DURING
1. 16.
2. 17.
3. 18.
4. 19.
S. 20.
6. 21.
7. 22.
8. 23.
9. 24.
10. 25.
11. 26.
12. 27.
13. 28.
14. 29.
15. 30.
31.
SAT,SUN, RAIN,TOO WET, UTILITIES DAYS TOTAL
&HOLIDAYS &TOO COLD RELOCATIONS OTHERS* CHARGED DAYS
THIS
0
PERIOD
PREVIOUS
PERIOD 94
TOTALS
TO DATE 1 94
'REMARI(S:
/'.
CONTItXeTOR DATE INSPECTOR DATE
Capital Projects Delivery,Water Department
The City of Fort Words •1000 Throckniorton Street•Fort Worth,'TL 76012-6311
(817)392-4477 •Fax:(817)392-8,160
FORTWORTHREV:02/20/07
Capital Projects Delivery, Water Department
PERFORMANCE EVALUATION OF CONTRACTOR
1) CONTRACTOR&PROJECT DATA
Nacre of Contractor Project Name
Mountain Cascade Westside V Part 2, 16&24 Water Main
IJ'ater Eagiueering luspector DOE Number
Carmen F Drake
JN(rter Engirneering Inspector Project Manager
Water ❑Waste Water ❑Storm Drainage ❑Pavement Ralcesh Chaubey
Initial Contract knount Project Difficulty
2,972,194.00 +Change Order 13,048.58 @ Simple Q Routine O Complex
Final Contract Amount Date
$2,985,242.58
II)PERFORMANCE EVALUATION
0-Inadequate 1-Deficient 2-Slandard 3-Good 4-Excellent
ELEMENT WEIGHT(x) APPLICABLE(Y/N) RATING(0-4) MAX SCORE SCORE
I Submission of Documents 2 Y 2 8 4
2 Public Notifications 5 Y 3 20 15
3 Plans on Site 5 Y 3 20 15
4 Field Supervision 15 Y 3 60 45
5 Work Performed 15 Y 3 60 1 45
6 Finished Product 15 Y 3 60 45
7 Job Site Safety 15 Y 3 60 45
8 Traffic Control Maintenance 15 Y 3 60 45
9 Daily Clean Up 5 Y 3 20 15
10 Citizen's Complaint Resolution 5 Y 3 20 15
11 Property Restoration 5 Y 3 20 1 15
12 After Hours Response 5 Y 3 20 15
13 Project Completion 5 Y r1 20 20
TOTAL ELEMENT SCORE(A) 339
BONUS POINTS(25 Maximunt)(B)
TOTAL SCORE(TS) 339
III)CONTRACTOR'S RATING
Maximum Score(MS)=448 or sum of applicable element score maximums which= 448
Rating(ITS/MS] x 100%) 339 / 443 = 76%
Performance Category Good
<20%=I radequate 20%to<40%=Deficient 40%to<60%=Standard 60%to<80%=Good >_80%=Excellent
Inspector's Comments(INCLUDING EXPLANATION OF BONUS POINTS AWARDED)
Signature Inspector Signature Contractor
Signature Inspector's Supervisor
CONTRACTOR'S COMMENTS
Capital Projects Delivery,Water Department
The City of Fort Wordt •1000 Throcicrnorton Street-Fort Worth,T1'.76012-6311
(817)392-4477•Fax:(817)392-8460
FORTWORTHREV:02/22/07
Capital Projects Delivery,Water Departtneiit
CONTRACTOR'S EVALUATION OF CITY
1)PROJECT INFORMATION Date:
Name of Contractor Project Name
Mountain Cascade Westside V Part 2, 16&24 Water Main
Maier Engineering Inspector Project Manager
Carmen F Drake 100378
DOE Number Project Difficulty Tjpe of Contract
Simple Q Routine Q Complex 2)Water ❑Waste Water ❑Storm Drainage ❑Pavement
Irniifal Contract,1lmomu Final Contract knount
2,972,194,.00 $2,985,242.58
II)PERFORMANCE EVALUATION
0-Inadequate 1 -Deficient 2-Standard 3-Good 4-Excellent
ELEMENT RATING ELEMENT RATING
(0-4)
INSPECTION EVALUATION PLANS&SPECIFICATIONS
1 Availability of Inspector I Accuracy of Plans to Existing Conditions
2 Knowledge of Inspector 2 Clarity&Sufficiency of Details
3 Accuracy of Measured Quantities 3 Applicability of Specifications
4 Display Of Professionalism 4 Accuracy of Plan Quantities
5 Citizen Complaint Resolution PROJECT MANAGER EVALUATION
6 Performance-Setting up Valve Crews,Labs I I mowiedge And/Or Problem Resolution
ADMINISTRATION 2 AvailabiIity of Project Manager
1 Change Order Processing Time 3 Communication
2 Timliness of Contractor Payments 4 Resolution of Utility Conflicts
3 Bid Opening to Pre-Con Meeting Tnnetrame
III)COMMENTS&SIGNATURES
COMMENTS
Signature Contractor
Signature Inspector
Signature Inspector's Supervisor
INSPECTOR'S COMMENTS
Capital Projects DeiiveLy,N1ter Department
The City of Fort Worth•1000 Throclunorton Street•Fort Wort1i,TX 76012-6311
(817)392-4477•Fax:(817)392-8,160
��R`1I' WORTH
WATER ENGINEERING&FISCAL SERVICES
PIPE REPORT FOR:
PROJECT NAME: Westside V part 2, 16&240 Water Main
PROJECT NUMBER: 100378
DOE NUMBER:
WATER
PIPE LAID SIZE TYPE OF PIPE LF
24 Class DIP 250 6675 LF
24 Class DIP 250 42 steel casing 565 LF
16 Water PVC 2105
24=7240 LF
16=2105
Total=9,345 LF
FIRE HYDRANTS: 0 VALVES(16" OR LARGER) 12
PIPE ABANDONED SIZE TYPE OF PIPE LF
N/A
DENSITIES: 43 Desities Every 200 LF
NEW SERVICES:
SEWER
PIPE LAID SIZE TYPE OF PIPE LF
PIPE ABANDONED SIZE TYPE OF PIPE LF
DENSITIES:
NEW SERVICES:
WATER ENGINEERING&FISCAL SERVICES
The City of Fort Worth•1000 Throckmorton Street•Fort Worth,TX 76012-6311
(817)392-4477•Fax:(817)392-8460
L-) C7r�iT Wo RT 1LI City of Fort Worth CITY SECRETARY
III CONTRACT
NO. 51Ra3-clot
Change Order Request
r ProjeCC j<Iame: Westside V Part 2,16 and 24 Inch Water Main City Sec No.: 51923 —�
n' `Probe-"c .(s): 56016/06004301001780 DOE No. N/A CityProj.No.:l 100378
Project Description: Installation of 16 and 24-Inch in West Fort Worth to connect a pump station and elevated storage lank.
Contractor: Mountain Cascade of Texas,LLC Change Order# Date: 8/5/2019
City Project Mgr.1 Rakesh Chaubey City Inspector. I Carmen Drake
Phone Number: 817-392-6051 Phone Number: 817-392-8347
Dept. Water Totals Contract Time
(Calender days)
Original Contract Amount $2,972,194.00 $2,972,194.00 365
Extras to Date
Credits to Date
Pending Change Orders(in M&C Process)
Contract Cost to Date $2,972,194.00
$2,972,194.00 365
Amount of Proposed Change Order $13,048.58 $13,048.58 030
Revised Contract Amount $2,985,242.58 $2,985,242.58 395
Original Funds Available for Change Orders $148,610.00 $148,610,00
RemainingFunds Available for this CO `✓�•J1�T +
$148,610.00 $148,610.00 ..•••••.!y
Additional Funding(if necessary) f��
0;'
CHANGE ORDERS to DATE(INCLUDING THIS ONE)AS%OF ORIGINAL CONTRACT 0.44°o
MAXALLOWABLECONTRACTAMOUNT(ORIGINAL CONTRACT COST+25%) $3,7'15,242.'CIA
Ca'.
JUSTIFICATION(REASONS)FOR CHANGE ORDER .`
Change Order No.1 will provide for the following:
• Compensation for additional BOTC lowering to provide additional vertical separation between the bottom of
a pond that was encountered during construction and the project water.The original BOTC design could
have adversly impacted the bottom of the pond.
a �
• Relocation of a conflicting 3-inch reuse line. ..;
• Replacing the entrance gate to satisfy a impacted property owner.
Staff concurs with the contractor's request for 30 additional calendar days on the change order.
n: I
b
It is understood and agreed that the acceptance of this Change Order by the contractor constitutes an accord and satisfaction and represent ymen
in full(both time and money)for all costs arising out of,or incidental to,the above Change Order.
Contractor's Company Name I- Contra tor.Name t � pat
Mountain Cascade of Texas,LLC A 1MC( ,f(OG '
Inspector .Dale Pr ' ct Manager Date ,
'4e-fa14Mt Directo Water Dept) /Date Co*auction Supervisor Water d,pt Date
Ass st n Clly Attorney Date Ass'stant City M Hager Date
Council Action I If Required)
M&C Number NIA M&C Date Approved NIA
FOP,-r WbP,-rj-j[ City of Fort Worth
Change Order Additions
Project Name Westside V Part 2,16 and 24-Inch Water Main City Sec No.: 51923
Project No.(s): 56016/06004301001780 DOE No. N/A City Proj.No.: 100378
Project Installation of 16 and 24-inch in West Fort Worth to connect a pump station and elevated storage lank.
Description
Contractor Mountain Cascade of Texas,LLC Change Order:= Date: 8/5/2019
City Project Mgr. F Rakesh Chaubey City inspector Carmen Drake
ADDITIONS
DEPT QtY Unit Unit Cost Total
50 Relocation of existing 3-inch reuse line Water 1.00 LS $8,593.38 $8,593.38
51 Beggs Entrance Gate upgrade Water 1.00 LS $2,180.00 $2,180.00
52 Lowering of BOTOC under Pond Water 1.00 LS $9,200.00 $9,200.00
i
I
a
,j
Water $19,973.38
Page 2 of 4 Additions Sub Total $19,973.38
Fc>P.-- ' WoP,-r m City of Fort Worth
Change Order Deletions
Project Name Westside V Part 2,16 and 24-Inch Water Main City Sec No.: 51923
Project No.(s): 5601610600430/001780 1 DOE No. = City Proj.No.: 100378
Project Description Installation of 16 and 24-inch in West Fort Worth to connect a pump station and elevated storage tank.
Contractor Mountain Cascade of Texas,LLC Change Order: FI-1 Date 8/5/2019
City Project Mgr. Rakesh Chaubey City Inspector: FCarmen Drake
DELETIONS
ITEM DESCRIPTION DEPT Qty Unit Unit Cost Total
21 Ductile Iron Water Fittings w/restraints Water 2.56 TN $2,705.00 $6,924.80
l
II
I
Water $6,924.80
Page 3 of 4 Deletions Sub Total $6,924.80
9
MMBE Breakdown for this Change Order
MWBE Sub Type of Service Amount for this CO
i
Total $0.00
i
Previous Change Orders u
co# DATE AMOUNT
i�
it
I�
'i
,
Total $0.00
{
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Page 4 of 4 �'
Contract Compliance Manager
By signing I aol mowledge that I am the person responsible
for the monitoring and administration of this contract including
• ensuring ail performance and reporting requirements.
Signs e 1 i
Name of Employee
All<cT iAl4�lh
Title
i
AFFIDAVIT
STATE OF TEXAS
COUNTY OF JOHNSON
Before me, the undersigned authority, a notary public in the state
and county aforesaid, on this day personally appeared Andrew L.
McCulloch,Vice President Of Mountain Cascade of Texas, LLC, 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 Rill;
That there are no claims pending for personal injury and/or
property damages;
On Contract described as;
Westside V -Part 2-24& 16-Inch Water Main
BY
Andrer . McCulloch,Vice President
Subscribed and sworn before me on this date 6th of April,2020.
WANDA SUE JARRELL
=°1 �6':Notary Public.State of TeXOG
"r pp Comm.Expires 06-29.2020
y tb tc Notary iD_11.952407
J t n County,Texas
CONSENT OF SURETY ONVN13R o
TO FINAL PAYMENT ARCHITECT 0
AIADQCuinwnt G707 CONTRACTOR 0
SURMY O
Bond No. 070208522 OTHER O
TO ONVNER: ARCHITECT'S PROJECT NO.:
(Narna a»daddnw)
City of Fort Worth
200 Texas Street CONTRACT'FOIL:
Fort Worth,TX 76102
P110JEC'r: CONrRACTOAXED,January 22,2019
(NunrearreladJrrn�
Westside V-Part 2-24&16 Inch Water Main,City Project No. 100378
In sct;ordi nce with the provisions of the Contract between the Ownerand the Contractoras indimteti above,the
(Jason naarr and artdiraof,57rrr:r�)
Liberty Mutual Insurance Company
175 Berkeley Street
Boston,MA 02116
SURF,TY,
on bond of
(/attar na+ueand adiLuaq(Cwrl,wstu+)
Mountain Cascade of Texas LLC
11729 East FM 917
Alvarado,TX 76009
CONTRACTOR,
hereby approves of the final payment to the Contractor,and agrees that final payment to the Contractor shall not relieve the Surety of
any of Its obligations to
anwitnatuoandadrlmc;ofoewe)
City of Fort Worth
200 Texas Street
Fort Worth,TX 76102
OWNRR,
as set forth In said Surety's bond.
1N NYHTNESS WHEREOF,the Surety has hereunto set its band on this date. April 6,2020
f/+uva in thdmanadr.dareaud)var,)
Liberty Mutual Insurance Company
(�aFnr{j
By: AN
(STyrai r oJaulLa9zrQ up) r lati 1
i 111
Attest.
(sew): Bradley N.Wrigh Atto ney-in-Fact
(P�r'urer!uw u e u,nJ r(rJa)
Surety Phone No. 617-357-9500
G707 1994
ACKNOWLEDGMENT
A notary public or other officer completing this
certificate verifies only the identity of the individual
who signed the document to which this certificate is
attached,and not the truthfulness,accuracy, or
validity of that document.
State of California
County of San Francisco )
On 2,0 D before me, S. Nicole Evans, Notary Public
(insert name and title of the officer)
personally appeared BRADLEY N. WRIGHT---------------------------------------------------
who proved to me on the basis of satisfactory evidence to be the person(a)whose name(s)is6avec
subscribed to the within instrument and acknowledged to me that he/s'hwt ey.executed the same in
his/�reetltF e*authorized capacity *,and that by his/beathek signature(s) on the instrument the
person(4), or the entity upon behalf of which the person(s)acted, executed the instrument.
I certify under PENALTY OF PERJURY under the laws of the State of California that the foregoing
paragraph is true and correct.
ANS
WITNESS my hand a/d official seal. s MICoi E Caiilo
y• •�•_",�1'r�,,� Notary Public-Calilornia
_-'ui•: %� i San Francisco Counly z
/� y
;� •,w,,}„,� Commission 11 217 197 7
My Coil) Expires rlec I 1 2U20
Signature (Seal)
i
i
THIS POWER OF ATTORNEY IS NOT VALID UNLESS IT IS PRINTED ON RED BACKGROUND.
This Power of Attorney limits the acts of those named herein,and they have no authority to bind the Company except in fife manner and to the extent herein staled.
Certificate No.8190939
Liberty Mutual Insurance Company
The Ohio Casually Insurance Company West American Insurance Company
POWER OF ATTORNEY
KNOWN ALL PERSONS BY THESE PRESENTS:That The Ohio Casually Insurance Company is a corporation duly organized under the laws of the Slate of New Hampshire,[fiat
Liberty Mutual Insurance Company is a corporation duly organized under the laws of the Slate of Massachusetts,and West American Insurance Company is a corporation duly
organized under the laws of[he Slate of Indiana(herein collectively called the*Companies'),pursuant to and by authority herein set forth,does hereby name,constitute and appoint,
Carolyne Emery S.Nicole Evans-Frances M Murphy-Bradley N.Wright
all of the city of San Francisco -state of CA each individually if[here be more than one named,its true and lawful allorney-indacl to make,execute,seal,acknowledge
and deliver,for and on its behalf as surely and as its act and dead,any and all undertakings,bonds,recognizances and otter surely 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 and the corporate seals of[he Companies have been affixed
thereto this 281h day of August 2018
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The Ohio Casualty Insurance Company W
Liberty Mutual Insurance Company
o West merican Insurance Company
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By:
STATE OF PENNSYLVANIA ss David M.Carey,Assistant Secretary
� COUNTY OF MONTGOMERY �
61 On This 281h day of August 2018,before roe personally appeared David M.Carey,who acknowledged himself to be the Assistant Secretary of Liberty Mutual Insurance u F-
a) Company,The Ohio Casually Company,and West American Insurance Company,and that he,as such,being authorized so to do,execute The foregoing instrument for the purposes �,�,
0.2 therein contained by signing on behalf of the corporations by himself as a duly authorized officer. C LLJ
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48 > IN WITNESS WHEREOF,I have hereunto subscribed my name and affixed my notarial seal at King of Prussia,Pennsylvania,on the day and year first above written, O
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C This Power of Attorney is made and executed pursuant to and by authority of the following By-laws and Authorizations of The Ohio Casually Insurance Company,Liberty Mutual rn c
tD Insurance Company,and Wes[American Insurance Company which resolutions are now in full force and effect reading as follows: C o'
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cM ZM w ARTICLE 1V-OFFICERS-Section 12.Power ofAltorney.Any officer or other official of the Corporation authorized for that purpose in writing by the Chairman or the President,and subject 0 c
a; to such limitation as the Chairman or the President may prescribe,shall appoint such atlorneys-in-fact,as may be necessary to act in behalf of the Corporation to make,execute,seal,
0,c acknowledge and deliver as surely any and all undertakings,bonds,recognizances and other surely obligations. Such allorneys-indacl,subject to the limitations set forth in[heir respective 'p
E+6 powers of attorney,shall have full power to bind the Corporation by their signature and execution of any such instruments and to attach thereto the seal of the Corporation. When so ar
O L 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 allorney-in-fact under >
the provisions of[his article may be revoked at any time by the Board,the Chairman,the President or by the officer or officers granting such pourer or authority. s
c ARTICLE XIII-Execution of Contracts-SECTION 5.Surely Bonds and Undertakings.Any officer of the Company authorized for that purpose in waiting by the chairman or the president,
and subject to such limitations as the chairman or[he president may prescribe.shall appoint such atlorneys-infact,as may be necessary to act in behalf of the Company to make,execute, E M
o seal,acknowledge and deliver as surely any and all undertakings,bonds,recognizances and other surely obligations. Such attorneys-in-fact subject to the limitations set forth in their o0
Z 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 0 0
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 surely any and all undertakings,bonds,recognizances and other surely
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 Casually Insurance Company, Liberty Mutual Insurance Company, and Was[American Insurance Company do
hereby certify thal the original power of attorney of which the foregoing is a full,true and correct copy of the Pourer 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 and affixed the seals of said Companies this `! day of ' >>/r 20
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',� Renee C.Llevre ssislanl Secretary
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361 of 400
LMS 12a73 022017
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FORT WORTH
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June 11,2021
Mountain Cascade of Texas
11729 E FIVI 917
Alvarado,TX 76009
Re:Acceptance Letter
Project Name: Wcstside V Part 2 24&16-Inch Water Main
Project Type: Water
Project Asp: 100378
DOE.X2: N/A
Contract.l�s: 51923 Dated: 1/29/2019
Gentleman:
On December 30,2019 a final inspection was made on the subject project. There were punch list items
identified at the time. The punch list items were completed on . The final inspection and the corrected punch
Est items indicate that the work meets the City of Fort Worth specifications and is therefore accepted by the
Cite. The warranty period will start on December 30,2019,which is the date of punch list completion and will
extend for(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)392-6054
Yours Truly,
Tony Sholola,P.E.,Assistant Director,Water Department
TS /
cc: Chris Harder,P.E.,Director,Water Department
Laura Wilson,P.E.,Deputy Director,Water Department
Captain Michael Shuns,Fire Department
Bill Lundval,Sanitary Sewer Systems Superintendent,Water Department
Cesar Zavala, Water Systems Superintendent,Water Department
Rakesh Chaubey,Project Manager
David R Johnson,Inspection Supervisor,Capital Projects Delivery,Water Department
Carmen Dnke,Inspector,Capital Projects Delivery,Water Department
Jenifer Tatum,P.E.Kimly Horn,Consultant
Mountain Cascade of Texas,Contractor
File
WATER DEPARTMENT
ENGINEERING AND FISCAL SERvias
THE CITY OF FORT WORTH * 1000 THROCKMORTON STREET * FORT WORTH,TEXAS 76102
817-392-8240 * FAX 817-392-8195
�'3 Printed an recycled paper