HomeMy WebLinkAboutContract 51538-FP2 City Secretary 51538 -FP2
Contract No.
FORTWORTH.) Date Received Sep 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: A C Hotel
City Project No.: 101673
Improvement Type(s): Water Nx Sewer Fx
Original Contract Price: $71,411.00
Amount of Approved Change Order(s): -$4,300,00
Revised Contract Amount:
Total Cost of Work Complete: $67,111.00
Carson Collier Sep 24, 2 021
Carson Collier(Sep 24,202110:31 CDT)
Contractor Date
PROJECT MANAGER
Title
NORTH TEXAS CONTRACTING, INC.
Company Name
J y ickman(Sep 24,202115:03 CDT) Sep 24, 2021
Project Inspector Date
eh,il, FF Sep 24, 2021
Khal Jaafari P.E.(Sep 24,2021 15:43 CDT)
Project Manager Date
W�' Sep 24, 2021
CFA Manager Date
a� V( p Sep 25, 2021
Dana Burghdoff( p 25,20 14:12 CDT)
Asst. City Manager Date
OFFICIAL RECORD
CITY SECRETARY Page 1 of 2
FT. WORTH, TX
Notice of Project Completion
Project Name:A C Hotel
City Project No.: 101673
City's Attachments
Final Pay Estimate ❑x
Change Order(s): ❑x Yes ❑ N/A
Pipe Report: ❑x Yes ❑ N/A
Contractor's Attachments
Affidavit of Bills Paid
Consent of Surety
Statement of Contract Time
Contract Time: 180 CD Days Charged: 180
Work Start Date: 1/15/2019 Work Complete Date: 10/13/2020
Page 2 of 2
FORT NORTH
CITY OF FORT WORTH
PARTIAL PAYMENT REQUEST
Contract Name AC HOTEL
Contract Limits
Project Type WATER&SEWER
City Project Numbers 101673
DOE Number 1673
Estimate Number 1 Payment Number 1 For Period Ending 12/18/2020
Project Funding
CD
City Secretary Contract Number Contract Time 180 CD
Contract Date 9/14/2018 Days Charged to Date 180
Project Manager NA Contract is 100.00 Complete
Contractor NORTH TEXAS CONTRACTING,INC.
P.O.BOX 468
KELLER, TX 76244
Inspectors CORDOVA / HICKMAN
Wednesday,September 22,2021 Page 1 of 4
City Project Numbers 101673 DOE Number 1673
Contract Name AC HOTEL Estimate Number I
Contract Limits Payment Number I
Project Type WATER&SEWER For Period Ending 12/18/2020
Project Funding
UNIT I:WATER IMPROVEMENTS
Item Description of Items Estimated Unit Unit Cost Estimated Completed Completed
No. Quanity Total Quanity Total
3 8"X 6"TAPPING SLEEVE&VALVE 2 EA $4,500.00 $9,000.00 2 $9,000.00
4 10"X 6"TAPPING SLEEVE&VALVE 1 EA $5,200.00 $5,200.00 1 $5,200.00
5 6'GATE VALVE 3 EA $1,200.00 $3,600.00 3 $3,600.00
7 4"WATER METER VAULT l EA $15,000.00 $15,000.00 1 $15,000.00
8 6"PVC WATER PIPE 85 LF $45.00 $3,825.00 85 $3,825.00
9 4"PVC WATER PIPE 48 LF $40.00 $1,920.00 48 $1,920.00
10 DUCTILE IRON WATER FITTINGS 0.2 TN $5,000.00 $1,000.00 0.2 $1,000.00
W/RESTRAINT
1 I TRENCH SAFETY 133 LF $2.00 $266.00 133 $266.00
Sub-Total of Previous Unit $39,811.00 $39,811.00
UNIT II:SANITARY SEWER IMPROVEMENTS
Item Description of Items Estimated Unit Unit Cost Estimated Completed Completed
No. Quanity Total Quanity Total
I 4'MANHOLE 1 EA $9,000.00 $9,000.00 1 $9,000.00
2 EPDXY MANHOLE LINER 20 VF $300.00 $6,000.00 20 $6,000.00
3 8"SEWER SERVICE 25 LF $90.00 $2,250.00 25 $2,250.00
4 8"DR-14 INTERNAL DROP CONNECTION 20 LF $500.00 $10,000.00 20 $10,000.00
5 TRENCH SAFETY 25 LF $2.00 $50.00 25 $50.00
Sub-Total of Previous Unit $27,300.00 $27,300.00
Wednesday,September 22,2021 Page 2 of 4
City Project Numbers 101673 DOE Number 1673
Contract Name AC HOTEL Estimate Number 1
Contract Limits Payment Number I
Project Type WATER&SEWER For Period Ending 12/18/2020
Project Funding
Contract Information Summary
Original Contract Amount $71,411.00
Change Orders
Change Order Number 1 ($4,300.00)
Total Contract Price $67,111.00
Total Cost of Work Completed P $67,111.00
Less %Retained $0.00
Net Earned $67,111.00
Earned This Period $67,111.00
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 $67,111.00
Wednesday,September 22,2021 Page 3 of 4
City Project Numbers 101673 DOE Number 1673
Contract Name AC HOTEL Estimate Number I
Contract Limits Payment Number 1
Project Type WATER&SEWER For Period Ending 12/18/2020
Project Funding
Project Manager NA City Secretary Contract Number
Inspectors CORDOVA / HICKMAN Contract Date 9/14/2018
Contractor NORTH TEXAS CONTRACTING,INC. Contract Time 180 CD
P.O.BOX 468 Days Charged to Date 180 CD
KELLER, TX 76244 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 $67,111.00
Less %Retained $0.00
Net Earned $67,111.00
Earned This Period $67,111.00
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 $67,111.00
Wednesday,September 22,2021 Page 4 of 4
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FORTWORTH
TRANSPORTATION AND PUBLIC WORKS
PIPE REPORT FOR:
PROJECT NAME: AC Hotel
PROJECT NUMBER: 101673
DOE NUMBER:
WATER
PIPE LAID SIZE TYPE OF PIPE LF
C900 6" PVC 85
C900 4" PVC 48
FIRE HYDRANTS: 0 VALVES(16" OR LARGER) 0
PIPE ABANDONED SIZE TYPE OF PIPE LF
N/A
DENSITIES: Densities taken and passed.
NEW SERVICES: 0
SEWER
PIPE LAID SIZE TYPE OF PIPE LF
SDR26 8" PVC 25
PIPE ABANDONED SIZE TYPE OF PIPE LF
N/A
DENSITIES: Densities taken and passed.
NEW SERVICES: 0
TRANSPORTATION AND PUBLIC WORKS
The City of Fort Worth• 1000 Throckmorton Street•Fort Worth,TX 76012-6311
a
(817)392-7941 •Fax: (817)392-7845
FORTWORTH.
TRANSPORTATION AND PUBLIC WORKS
December 18, 2020
North Texas Contracting, Inc
4999 Keller Haslet Rd,
Keller,TX 76248
RE: Acceptance Letter
Project Name:AC Hotel
Project Type:Water,Sewer, Paving,Street Lighting
City Project No.: 101673
To Whom It May Concern:
On December 1,2020 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 December 14, 2020. 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 December 14,
2020, 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-
392-7872, Khal.Jaafari@fortworthtexas.Rov .
Sincerely,
,shalt 1 �15.
Khal Jaafari P.E.�p 24,202115:43 CDT)
Khal Jaafari, Project Manager
Cc:Jeremy Hickman, Inspector
Ron Cordova, Inspection Supervisor
Gary Deyon,Senior Inspector
Victor Tornero, Program Manager
David Greer, Consultant
Carson Collier,Contractor
Jackson Shaw,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 CARSON
COLLIER, PM Of NORTH TEXAS CONTRACTING, INC,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;
AC HOTE: 101673 - WATER& SEWER
BY
CARSON COLLIER
Subscribed and sworn before me on this date 24 of SEPTEMBER, 2021.
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1 2.•�p i
Notary P iC _� �20 •� �c
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CONSENT OF OWNER ❑
SURETY COMPANY ARCHITECT ❑
CONTRACTOR ❑
TO FINAL PAYMENT SURETY ❑
Conforms with the American Institute of OTHER
Architects,AIA Document G707
Bond No SU1151550
PROJECT:
(name, address)AC Hotel
Fort Worth,TX
TO (Owner)
JACKSON-SHAW/FORT WORTH LIMITED ARCHITECT'S PROJECT NO: CPN#101673
PARTNERSHIP AND THE CITY OF FORT WORTH CONTRACT FOR:
4890 Alpha Rd.,Suite 100 AC Hotel
Dallas TX 75244 CONTRACT DATE:
CONTRACTOR: NORTH TEXAS CONTRACTING, INC.
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)
ARCH JNSURANCE COMPANY
Harborside 3,210 Hudson Street, Suite 300
Jersey City NJ 07311-1107 , SURETY COMPANY
on bond of (here insert name and address of Contractor)
NORTH TEXAS CONTRACTING, INC.
4999 Keller Haslet Rd.
Keller 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 insert name and address of Owner)
JACKSON-SHAW/FORT WORTH LIMITED PARTNERSHIP AND THE CITY OF FORT WORTH
4890 Alpha Rd., Suite 100
Dallas TX 75244 , OWNER,
as set forth in the said Surety Company's bond.
IN WITNESS,WHEREOF,
the Surety Company has hereunto set its hand this 22nd day of September, 2021
ARCH INSURANCE COMPANY
Surety Company
Attest:
(Seal): Signature of Authorized Representative
Robbi Mora.es Attornev-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
ONE PAGE
AIC 0000349793
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.
Not valid for Note,Loan,Letter of Credit,Currency Rate,Interest Rate or Residential Value Guarantees.
POWER OF ATTORNEY
Know All Persons By These Presents:
That the Arch Insurance Company,a corporation organized and existing under the laws of the State of Missouri,having its principal administrative office in Jersey City,
New Jersey(hereinafter referred to as the"Company")does hereby appoint:
Don E.Cornell,Joshua Saunders,Kelly A.Westbrook,Ricardo J.Reyna,Robbi Morales,Sophinie Hunter,Tina McEwan and Tonic Petranek of Dallas,TX
(EACH)
its true and lawful Attorney(s)in-Fact,to make,execute,seal,and deliver from the date of issuance of this power for and on its behalf as surety,and as its act and deed:
Any and all bonds,undertakings,recognizances and other surety obligations,in the penal sum not exceeding Ninety Million Dollars I S90.000,000.00).
This authority does not permit the same obligation to be split into two or more bonds In order to bring each such bond within the dollar limit of authority as set forth
herein.
The execution of such bonds,undertakings,recognizances and other surety obligations in pursuance of these presents shall be as binding upon the said Company as
fully and amply to all intents and purposes,as if the same had been duly executed and acknowledged by its regularly elected officers at its principal administrative
office in Jersey City,New Jersey.
This Power of Attorney is executed by authority of resolutions adopted by unanimous consent of the Board of Directors of the Company on December 10,2020,true
and accurate copies of which are hereinafter set forth and are hereby certified to by the undersigned Secretary as being in full force and effect:
"VOTED,That the Chairman of the Board,the President, or the Executive Vice President,or any Senior Vice President,of the Surety Business Division, or their
appointees designated in writing and filed with the Secretary, or the Secretary shall have the power and authority to appoint agents and attorneys-in-fact, and to
authorize them subject to the limitations set forth in their respective powers of attorney,to execute on behalf of the Company,and attach the seal of the Company
thereto,bonds,undertakings,recognizances and other surety obligations obligatory in the nature thereof,and any such officers of the Company may appoint agents for
acceptance ofprocess."
This Power of Attorney is signed,sealed and certified by facsimile under and by authority of the following resolution adopted by the unanimous consent of the Board of
Directors of the Company on December 10,2020:
VOTED, That the signature of the Chairman of the Board, the President, or the Executive Vice President, or any Senior Vice President, of the Surety Business
Division,or their appointees designated in writing and filed with the Secretary,and the signature of the Secretary,the seal of the Company,and certifications by the
Secretary,may be affixed by facsimile on any power of attorney or bond executed pursuant to the resolution adopted by the Board of Directors on December 10,2020,
and any such power so executed,sealed and certified with respect to any bond or undertaking to which it is attached, shall continue to be valid and binding upon the
Company.In Testimony Whereof,the Company has caused this instrument to be signed and its corporate seal to be affixed by their authorized officers,this 16`h day
of Au ust 2021.
Attested and Certified ,rg Arch Insurance Company
A . — a �7PR1[7R1rE 4, 9 'Q we4L,��
(J`V �'' fEAt
197t
Regan .Shulman,Secretary Stephen C.Ruschak,Executive Vice President
STATE OF PENNSYLVANIA SS
COUNTY OF PHILADELPHIA SS KLSiGili�
I,Michele Tripodi,a Notary Public,do hereby certify that Regan A.Shulman and Stephen C.Ruschak personally known to me to be the same persons whose names
are respectively as Secretary and Executive Vice President of the Arch Insurance Company, a Corporation organized and existing under the laws of the State of
Missouri,subscribed to the foregoing instrument,appeared before me this day in person and severally acknowledged that they being thereunto duly authorized signed,
sealed with the corporate seal and delivered the said instrument as the free and voluntary act of said corporation and as their own free and voluntary acts for the uses and
purposes therein set forth. 4e%
CpmdoY�t emoI Ptmhygv o-ltntaryStvlt X)ME TiIP'OOI,Obtaty PWblfc
AbPaalm F,�pliretaAy3f,2MSMdi,Nota ublic
CERTIFICATION CartbidNiMNUMblr 1165M My commission expires 07/31/2025
1,Regan A. Shulman, Secretary of the Arch Insurance Company, do hereby certify that the attached Power of Attorney dated August 16.2021 on behalf of the
person(s)as listed above is a true and correct copy and that the same has been in full force and effect since the date thereof and is in full force and effect on the date of
this certificate;and I do further certify that the said Stephen C.Ruschak,who executed the Power of Attorney as Executive Vice President,was on the date of execution
of the attached Power of Attorney the duly elected Executive Vice President of the Arch Insurance Company.
IN TESTIMONY WHEREOF,I have hereunto subscribed my name and affixed the corporate seal of the Arch Insurance Company on this22nday of September_,
2021 YLr �
Red .A.Shulman,Secretary
This Power of Attorney limits the acts of those named therein to the bonds and undertakings specifically named therein and they have no authority to bind the Company
except in the manner and to the extent herein stated. VnC�e C
PLEASE SEND ALL CLAIM INQUIRIES RELATING TO THIS BOND TO THE FOLLOWING ADDRESS: �g O
Arch Insurance—Surety Division
3 Parkway,Suite 1500 iTs*rUstnrE
Philadelphia,PA 19102 SM
9>*f
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.