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Home My WebLink AboutContract 53425-FP2 City Secretary 53425 -FP2 Contract No. FORT WORTH, Date Received Aug 24,2021 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: MARINE CREEK RANCH SECTION 14 City Project No.: 102087 Improvement Type(s): ❑ Paving 0 Drainage ❑ Street Lights ❑ Traffic Signals Original Contract Price: $225,356.00 Amount of Approved Change Order(s): Revised Contract Amount: Total Cost of Work Complete: $225,356.00 Ab ek Ah Grantges(Au 0,202113:45 CDT) Aug 20,2021 Contractor Date Vice President Title Burnsco Construction, Inc. Company Name Jess Davis(Aug 20,2021 13:56 CDT) Aug 20,2021 Project Inspector Date C'�' P.�. Aug 20,2021 Project Manager Date Aug 20,2021 CFA Manacler Date Dana Burghdoff(Aug 20,20 17:07 CDT Aug 20,2021 Asst. City Manager Date OFFICIAL RECORD CITY SECRETARY Page 1 of 2 FT. WORTH, TX Notice of Project Completion Project Name: MARINE CREEK RANCH SECTION 14 City Project No.: 102087 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: 180 CD Days Charged: 504 Work Start Date: 3/23/2020 Work Complete Date: 8/9/2021 Page 2 of 2 FORT WORTH CITY OF FORT WORTH FINAL PAYMENT REQUEST Contract Name MARINE CREEK RANCH SECTION 14 Contract Limits Project Type STORM DRAIN City Project Numbers 102087 DOE Number 2087 Estimate Number I Payment Number 1 For Period Ending 8/18/2021 CD City Secretary Contract Number Contract Time 18CD Contract Date Days Charged to Date 504 Project Manager NA Contract is 100.00 Complete Contractor BURNSCO CONSTRUCTION,INC. 6331 SOUTHWEST BLVD FORT WORTH, TX 76132 Inspectors DICKINSON / DAVIS Wednesday,August 18,2021 Page 1 of 4 City Project Numbers 102087 DOE Number 2087 Contract Name MARINE CREEK RANCH SECTION 14 Estimate Number 1 Contract Limits Payment Number 1 Project Type STORM DRAIN For Period Ending 8/18/2021 Project Funding STORM DRAIN Item Estimated Estimated Completed Completed Description of Items Unit Unit Cost No. Quanity Total Quanity Total --------------------------------------- 1 MEDIUM STONE RIPRAP 97 SY $50.00 $4,850.00 97 $4,850.00 2 TRENCH SAFETY 1532 LF $0.50 $766.00 1532 $766.00 3 21"RCP 283 EA $64.00 $18,112.00 283 $18,112.00 4 24"RCP 321 LF $75.00 $24,075.00 321 $24,075.00 5 30"RCP 595 LF $93.00 $55,335.00 595 $55,335.00 6 36"RCP 334 LF $127.00 $42,418.00 334 $42,418.00 7 4'STORM JUNCTION BOX 5 EA $4,200.00 $21,000.00 5 $21,000.00 8 36"PARALLEL HEADWALL 1 EA $3,000.00 $3,000.00 1 $3,000.00 9 I T CURB INLET 10 EA $4,900.00 $49,000.00 10 $49,000.00 10 20'CURB INLET 1 EA $6,800.00 $6,800.00 1 $6,800.00 -------------------------------------- Sub-Total of Previous Unit $225,356.00 $225,356.00 -------------------------------------- Wednesday,August 18,2021 Page 2 of 4 City Project Numbers 102087 DOE Number 2087 Contract Name MARINE CREEK RANCH SECTION 14 Estimate Number 1 Contract Limits Payment Number 1 Project Type STORM DRAIN For Period Ending 8/18/2021 Project Funding Contract Information Summary Original Contract Amount $225,356.00 Change Orders Total Contract Price $225,356.00 Total Cost of Work Completed $225,356.00 Less %Retained $0.00 Net Earned $225,356.00 Earned This Period $225,356.00 Retainage This Period $0.00 Less Liquidated Damages Days @ /Day $0.00 LessPavement Deficiency $0.00 Less Penalty $0.00 Less Previous Payment $0.00 Plus Material on Hand Less 15% $0.00 Balance Due This Payment $225,356.00 Wednesday,August 18,2021 Page 3 of 4 City Project Numbers 102087 DOE Number 2087 Contract Name MARINE CREEK RANCH SECTION 14 Estimate Number 1 Contract Limits Payment Number 1 Project Type STORM DRAIN For Period Ending 8/18/2021 Project Funding Project Manager NA City Secretary Contract Number Inspectors DICKINSON / DAVIS Contract Date Contractor BURNSCO CONSTRUCTION,INC. Contract Time 180 CD 6331 SOUTHWEST BLVD Days Charged to Date 504 CD FORT WORTH, TX 76132 Contract is 000000 Complete CITY OF FORT WORTH SUMMARY OF CHARGES Line Fund Account Center Amount Gross Retainage Net Funded -------------------------------------- Total Cost of Work Completed $225,356.00 Less %Retained $0.00 Net Earned $225,356.00 Earned This Period $225,356.00 Retainage This Period $0.00 Less Liquidated Damages 0 Days @ $0.00 /Day $0.00 LessPavement Deficiency $0.00 Less Penalty $0.00 Less Previous Payment $0.00 Plus Material on Hand Less 15% $0.00 Balance Due This Payment $225,356.00 Wednesday,August 18,2021 Page 4 of 4 FORTWORTH. TRANSPORTATION AND PUBLIC WORKS August 9, 2021 Burnsco Construction, Inc. 6331 Southwest Blvd Benbrook,Texas 76132 RE: Acceptance Letter Project Name: Marine Creek ranch Section 14 Project Type: Developer City Project No.: 102087 To Whom It May Concern: On August 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 August 9, 2021. The final inspection and the corrected punch list items indicate that the work meets the City of Fort Worth specifications and is therefore accepted by the City. The warranty period will start on August 9, 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- 994-0369. Sincerely, C'�'21'�'P.�. Andrew Goodman, Project Manager Cc:Jesse Davis, Inspector Mike Glover, Inspection Supervisor Randy Horton, Senior Inspector Victor tornero, Program Manager MMA, Consultant Burnsco Construction, Inc., Contractor Crystal Lake Development, LLC., Developer File E-Mail: TPW_Acceptance@fortworthtexas.gov Rev.8/20/19 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 Ab Grantges, Vice President Of Burnsco Construction, 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; Marine Creek Ranch Section 14 - Water and Sanitary Sewer BY Ab Grantg , Contract Manager Subscribed and sworn before me on this date 20th of August, 2021. Notary Public Tarrant County, Texas THERESA P. BOARDMAN Notary Public, State of 7exaa '; Comm, Expires 04-13-2024 Notary ID 10589053 CONSENT OF OWNER ❑ SURETY COMPANY ARCHITECT ❑ CONTRACTOR ❑ TO FINAL PAYMENT SURETY ❑ Conforms with the American Institute of OTHER Architects, AIA Document G707 Bond No 022226102 PROJECT: (name, address)Marine Creek Ranch Section 14-Water, Sanitary Sewer and Drainage Improvements TO (Owner) Fort Worth TX CRYSTAL LAKE DEVELOPMENT,LLC AND CITY OF—] ARCHITECT'S PROJECT NO: FORT WORTH CONTRACT FOR: 3825 Camp Bowie Road Marine Creek Ranch Section 14-Water, Sanitary Sewer and Drainage Improvements Fort worth Tx 76107 -1 CONTRACT DATE: CONTRACTOR: BURNSCO CONSTRUCTION, INC. In accordance with the provisions of the Contract between the Owner and the Contractor as indicated above, the there insert name and address of Surety Company) LIBERTY MUTUAL_INSURANCE COMPANY 175 Berkeley Street Boston MA 02116 , SURETY COMPANY on bond of (here insert name and address of Contractor) BURNSCO CONSTRUCTION, INC. 6331 Southwest Boulevard Benbrook TX 76132 , 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 (hare insert name and address of Owner) CRYSTAL LAKE DEVELOPMENT, LLC AND CITY OF FORT WORTH 3825 Camp Bowie Road Fort Worth TX 76107 OWNER, as set forth in the said Surety Company's bond. IN WITNESS,WHEREOF, the Surety Company has hereunto set its hand this 3rd day of August, 2021 LIBERTY MUTUAL INSURANCE COMPANY Sure Company Attest' i,,�w (Seal): Signa6ire of Authorized Representative So hinie Hunter Attorne -in-Fact Title NOTE: This form is to be used as a companion document to AIA DOCUMENT (3706, CONTRACTOR'S AFFIDAVIT OF PAYMENT OF DEBTS AND CLAIMS, Current Edition ONE PAGE This Power of Attorney limits the acts of those named herein,and they have no authority to bind the Company except in the manner and to the extent herein stated. L�/ibert,-y Liberty Mutual Insurance Company mutum. The Ohio Casualty Insurance Company Certficate No: 8205467.022020 SURETY West American Insurance Company POWER OF ATTORNEY 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 duty 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, Don E. Cornell;Joshua Saunders;Kelly A-Westbrook;Mikaela Peppers,Ricardo J,Reyna;Robbi Morales;Sophinie Hunter;Tina McEwan;Tonic Petranek all of the city of Dallas state of TX each individually if there be more than one named,its true and lawful attomey-in-fact to make,execute,seal,acknowledge and deliver,for and Ton 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 and the corporate seals of the Companies have been affixed thereto this 23rd day of April 2021 tNsu Liberty Mutual Insurance Company P4 Ry P,qY rNSU N 4NSUR The Ohio Casualty Insurance Company °RPO 'ayfi Q APOR'ra� POR'rFeym WestAmer}can Insurance Company C �•98�s19129cHUS�N,daH � 2 S1991 r ? qMs �ti, e A-A / N O . 0 By: 0 '-' t`a State of PENNSYLVANIA David M.Carey,Assistant Secretary � C&County of MONTGOMERY ss _ :3 U 0 o On this 23rd day of Aril 2021 before me personally appeared David M.Carey,who acknowledged himself to be the Assistant Secretary of Liberty Mutual Insurance L) 4D M 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 E 72 _ therein contained by signing on behalf of the Corporations by himself as a duly authorized officer. m co4) c z' 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. 00 o P`t tl O ,41I Commonwealth of Pen nsylvania-Notary Seal az g; Yeresa Pastel€a,Notary Puhlln 0.2 r` ;. -" Montgomery March E E C t $ My commission expires March 28,2025 By. 2 Commissylia n a ssoc at'ron of Near€es Member,Penn eresa Pastolla,Nota Public L This Power of Attorney is made and executed pursuant to and by authority of the f0tiowing By-laws and Authorizations of The Ohio Casualty Insurance Company,Liberty Mutual 3 co -� Insurance Company,and West American Insurance Company which resolutions are now in full farce and effect reading as follows; p cv m ARTICLE IV—OFFICERS:Section 12.Power of Attorney, CL� 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�o President may prescribe,shall appoint such attomeys-in-fad,as may be necessary to act in behalf of the Corporation to make,execute,seal,acknowledge and deliver as surety m Co 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-o I o have full power 10 bind the Corporation by their signature and execution of any such instruments and to attach thereto the seal of the Corporation. When so executed, such o a: 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 atfomey-in-fact under the provisions of this article may be revoked at any time by the Board,the Chairman,the President or by the offrcer 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 attomeys-in-fad 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 attomey issued by the Company in connection with surety bonds,shall be valid and binding upon the Company with the same force and affect 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 the Power 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 cf said Companies this 3rd day of August 2021 V 4li �Sl INSG•n� yNSU aGofL akgr q'�•� K' =C°RPOf��'Y'L VPa°µPOD Q�� a n Q FQ , 1912 0 1919 0 � 1991 0 41 da9Ss"cF3u5 .LL yo`�Harnvs��a .� �NainKo, a By: SUM * Renee C-Llewellyn,Assistant Secretary LMS-12873 LMIC CCIC WAIC Multi Co Wf21 10NLiberty ! 1, SURETY TEXAS TEXAS IMPORTANT NOTICE AVISO IMPORTANTE To obtain information or make a complaint: Para obtener informacion o para someter una queja: You may call toll-free for information or to Usted puede llamar a[ numero de telefono gratis make a complaint at para informacion o para someter una queja al 1-877-751-2640 1-877-751-2640 You may also write to: Usted tambien puede escribir a: 2200 Renaissance Blvd., Ste. 400 2200 Renaissance Blvd., Ste. 400 King of Prussia, PA 19406-2755 King of Prussia, PA 19406-2755 You may contact the Texas Department of Puede comunicarse con el Departamento de Insurance to obtain information on companies, Seguros de Texas para obtener informacion coverages, rights or complaints at acerca de companias, coberturas, derechos o 1-800-252-3439 quejas at 1-800-252-3439 You may write the Texas Department of Insurance Puede escribir al Departamento de Seguros Consumer Protection (I I I-IA) de Texas Consumer Protection (I I I-IA) P. O. Box 149091 P. O. Box 149091 Austin, TX 78714-9091 Austin, TX 78714-9091 FAX: (512) 490-1007 FAX 9 (512) 490-1007 Web:http://www.tdi_texas.aov Web: httt2'//www.tdi.texas.gov E-mail: ConsumerProtection a tdi texas.g_oy E-mail: ConsumerProtection@tdi.texas.gov PREMIUM OR CLAIM DISPUTES: DISPUTES SOBRE PRIMAS O RECLAMOS: Should you have a dispute concerning your Si tiena una disputa concerniente a su prima o a premium or about a claim you should first un reclamo, debe comunicarse con el agente o contact the agent or call I-800-843-6446. primero. Si no se resuelve la disputa, puede If the dispute is not resolved, you may contact the entonces comunicarse con el departamento(TDI) Texas Department of Insurance. ATTACH THIS NOTICE TO YOUR UNA ESTE AV]SO A SU POLIZA: POLICY: This notice is for information only and does not Este aviso es solo para proposito de informacion become a part or condition of the attached y no se convierte en parte o eondicion del document. documento adjunto. NP 70 68 09 01 LMS-15292 10115