HomeMy WebLinkAboutContract 55837-FP1 City Secretary 55837 -FP1
Contract No.
FORT WORM., Date Received Oct 5,2021
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: WALSH RANCH QUAIL VALLEY- PLANNING AREA 1 PHASE 2C
City Project No.: 103135
Improvement Type(s): Water ❑x Sewer ❑x
Original Contract Price: $17,833.00
Amount of Approved Change Order(s):
Revised Contract Amount:
Total Cost of Work Complete: $17,833.00
Sep 29,2021
Contractor Date
President
Title
Wildstone Construction LLC
Company Name
--,pion Phillips(Sep 29,202114:31 CDT) Sep 29 2021
Project J ns ector Date
Patrick adey(Se 9,202116:34CDT) Sep 29,2021
Project Manager Date
�eG��r�obe�tro�r beGcaG�a�,7geie R Oct 4 2021
Evelyn Roberts on behalfof Janie M.(Oct4,20210 :17 CDT)
CFA Manager Date
bay B�A6u7�Dana Burghdoff(06t4,202 Oct 4 0:09 CDT) ,2021
Asst. City Manager Date
OFFICIAL RECORD
CITY SECRETARY Page 1 of 2
FT. WORTH, TX
Notice of Project Completion
Project Name:WALSH RANCH QUAIL VALLEY- PLANNING AREA 1 PHASE 2C
City Project No.: 103135
City's Attachments
Final Pay Estimate ❑x
Change Order(s): ❑ Yes ❑x N/A
Pipe Report: ❑x Yes ❑ N/A
Contractor's Attachments
Affidavit of Bills Paid
Consent of Surety
Statement of Contract Time
Contract Time: 20 WD Days Charged: 20
Work Start Date: 8/2/2021 Work Complete Date: 9/1/2021
Completed number of Soil Lab Test: 23
Completed number of Water Test: 3
Page 2 of 2
FORT WORTH
CITY OF FORT WORTH
FINAL PAYMENT REQUEST
Contract Name WALSH RANCH-QUAIL VALLEY-PLANNING AREA 1-PHASE 2C
Contract Limits
Project Type WATER&SEWER
City Project Numbers 103135
DOE Number 3135
Estimate Number 1 Payment Number 1 For Period Ending 9/28/2021
W
City Secretary Contract Number Contract Time 2W
Contract Date Days Charged to Date 20
Project Manager NA Contract is 100.00 Complete
Contractor WILDSTONE CONSTRUCTION
P O BOX 164429
FORT WORTH, TX 76161
Inspectors GLOVER / PHILLIPS
Tuesday,September 28,2021 Page 1 of 4
City Project Numbers 103135 DOE Number 3135
Contract Name WALSH RANCH-QUAIL VALLEY-PLANNING AREA 1-PHASE 2C Estimate Number 1
Contract Limits Payment Number 1
Project Type WATER&SEWER For Period Ending 9/28/2021
Project Funding
WATER
Item Estimated Estimated Completed Completed
Description of Items Unit Unit Cost
No. Quanity Total Quanity Total
---------------------------------------
1 CONNECTION TO EXISTING 4"-12"WATER 1 EA $6,219.00 $6,219.00 1 $6,219.00
MAIN
2 8"PVC WATER PIPE 12 LF $93.00 $1,116.00 12 $1,116.00
3 TRENCH SAFETY 12 LF $45.00 $540.00 12 $540.00
4 WATER SAMPLING STATION 1 EA $6,478.00 $6,478.00 1 $6,478.00
--------------------------------------
Sub-Total of Previous Unit $14,353.00 $14,353.00
SEWER
Item Estimated Estimated Completed Completed
Description of Items Unit Unit Cost
No. Quanity Total Quanity Total
---------------------------------------
1 8"SEWER PIPE 20 LF $122.00 $2,440.00 20 $2,440.00
2 POST CCTV INSPECTION 20 LF $26.00 $520.00 20 $520.00
3 TRENCH SAFETY 20 LF $26.00 $520.00 20 $520.00
--------------------------------------
Sub-Total of Previous Unit $3,480.00 $3,480.00
--------------------------------------
Tuesday,September 28,2021 Page 2 of 4
City Project Numbers 103135 DOE Number 3135
Contract Name WALSH RANCH-QUAIL VALLEY-PLANNING AREA 1-PHASE 2C Estimate Number 1
Contract Limits Payment Number 1
Project Type WATER&SEWER For Period Ending 9/28/2021
Project Funding
Contract Information Summary
Original Contract Amount $17,833.00
Change Orders
Total Contract Price $17,833.00
Total Cost of Work Completed $17,833.00
Less %Retained $0.00
Net Earned $17,833.00
Earned This Period $17,833.00
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 $17,833.00
Tuesday,September 28,2021 Page 3 of 4
City Project Numbers 103135 DOE Number 3135
Contract Name WALSH RANCH-QUAIL VALLEY-PLANNING AREA 1-PHASE 2C Estimate Number 1
Contract Limits Payment Number 1
Project Type WATER&SEWER For Period Ending 9/28/2021
Project Funding
Project Manager NA City Secretary Contract Number
Inspectors GLOVER / PHILLIPS Contract Date
Contractor WILDSTONE CONSTRUCTION Contract Time 20 W
P O BOX 164429 Days Charged to Date 20 W
FORT WORTH, TX 76161 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 $17,833.00
Less %Retained $0.00
Net Earned $17,833.00
Earned This Period $17,833.00
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 $17,833.00
Tuesday,September 28,2021 Page 4 of 4
FORTWORTH.
TRANSPORTATION AND PUBLIC WORKS
September 21, 2021
Wildstone Construction LLC
12850 Hwy 287
Fort Worth,TX 76052
RE: Acceptance Letter
Project Name:Walsh Ranch Quail Valley Planning area 1 Phase 2C
Project Type:Water, Sewer, and Paving Improvements
City Project No.: 103135
To Whom It May Concern:
On September 16, 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 September 17, 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 September 17,
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-
392-2443.
Sincerely,
Patrick adey(Se 9,202116:34 CDT)
Patrick Buckley, Project Manager
Cc: Brandon Phillips, Inspector
Daniel Roy, Inspection Supervisor
Mike Glover, Senior Inspector
Victor Tornero, Program Manager
Michael Owen, Consultant
Wildstone Construction LLC, Contractor
Quail Valley Devco I, LLC, Developer
File
E-Mail: TPW_Acceptance@fortworthtexas.gov
Rev.8/20/19
FORT WORTH
TRANSPORTATION AND PUBLIC WORKS
PIPE REPORT FOR:
PROJECT NAME: Walsh Ranch Quail Valley Planning Area 1 Phase 2C
PROJECT NUMBER: 103135
DOE NUMBER: n/a
WATER
PIPE LAID SIZE TYPE OF PIPE LF
open trench 8" PVC Pressure Pipe 12
FIRE HYDRANTS: VALVES(16" OR LARGER)
PIPE ABANDONED SIZE TYPE OF PIPE LF
DENSITIES: Taken Passed
NEW SERVICES: n/a
SEWER
PIPE LAID SIZE TYPE OF PIPE LF
Open Trench 8" PVC Gravity Sanitary Sewer Pipe 20
PIPE ABANDONED SIZE TYPE OF PIPE LF
DENSITIES: Taken Passed
NEW SERVICES: n/a
TRANSPORTATION AND PUBLIC WORKS
0 The City of Fort Worth• 1000 Throckmorton Street•Fort Worth,TX 76012-6311
(817) 392-7941 •Fax: (817) 392-7845
Wt.LDSTONE
CONTRUCTION LLC
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 John Kolb, President of Wildstone Construction, 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 full;
That there are no claims pending for personal injury and/or property damages; ,
On Contract described as:
Walsh Ranch—Quail Valley Planning Area 1—Phase 2C—CPN: 103135
BY
John /President
Subs ibed an s ern lore me on this d e 29th of September, 2021.
+I ary Public
Tarrant,Texas
4? Y' April D Seleska
My Commission Expires
4 0510912022
OF W ID No,129813932
12850Highway 287 Office: 817-847-8660
Fort Worth,TX 76052 Fax: 817-847-8019
Bond No.EACX4012338
OWNER
CONSENT OF SURETY ARCHITECT
TO FINAL PAYMENT CONTRACTOR
Conforms with the American Institute of SURETY
Architects,AIA Document G707 OTHER
TO OWNER: ARCHITECT'S PROJECT NO.:
(Name and address)
Quail Valley Devco I,LLC and City of Fort Worth OCP $36,880.00
200 Texas St. CONTRACT FOR:
Fort Worth,TX 76102 FCP $36,880.00
PROJECT: CONTRACT DATED:
(Name and address)
Walsh Ranch-Cline Park Roadway
In accordance with the provisions of the Contract between the Owner and the Contractor as indicated above,the
(Insert name and address of Surety)
Endurance Assurance Corporation
1221 Avenue of the Americas, 18th Floor
New York,NY 10020
,SURETY,
on bond of
(Insert name and address of Contractor)
Wildstone Construction,LLC
12850 Highway 287
Fort Worth,TX 76052
,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
(Insert name and address of Owner)
Quail Valley Devco I,LLC and City of Fort Worth
200 Texas St.
Fort Worth,TX 76102
OWNER,
as set forth in said Surety's bond.
IN WITNESS WHEREOF,the Surety has hereunto set its hand on this date: September 29,2021
(Insert in writing the month followed by the numeric date and year.)
Endurance Assurance Corporation
(Surety) -
Attest: �"�� (Signature of authorized representat'e)
Benjamin K.014, Witness
Sean McCauley,Jr.,Attorney-In-Fact
(Printed name and title)
S-2134/GE 10/01
XDP
SOMPOINTERNATIONAL
cow� INSURANCE POWER OF ATTORNEY
11406
KNOW ALL BY THESE PRESENTS, that Endurance Assurance Corporation, a Delaware corporation, Endurance American Insurance Company, a Delaware
corporation, Lexon Insurance Company, a Texas corporation, and/or Bond Safeguard Insurance Company, a South Dakota corporation, each, a "Company" and
collectively,"Sompo International,"do hereby constitute and appoint:Sean McCauley Jr.,Claudia Nunez,Benjamin K.Farley as true and lawful Attorney(s)-In-Fact to
make,execute,seal,and deliver for,and on its behalf as surety or co-surety;bonds and undertakings given for any and all purposes,also to execute and deliver on its behalf
as aforesaid renewals,extensions,agreements,waivers,consents or stipulations relating to such bonds or undertakings provided,however,that no single bond or undertaking
so made, executed and delivered shall obligate the Company for any portion of the penal sum thereof in excess of the sum of ONE HUNDRED MILLION Dollars
($100,000,000.00).
Such bonds and undertakings for said purposes,when duly executed by said attorney(s)-in-fact,shall be binding upon the Company as fully and to the same extent as if
signed by the President of the Company under its corporate seal attested by its Corporate Secretary.
This appointment is made under and by authority of certain resolutions adopted by the sole shareholder of each Company by unanimous written consent effective the 15'h
day of June,2019,a copy of which appears below under the heading entitled"Certificate".
This Power of Attorney is signed and sealed by facsimile under and by authority of the following resolution adopted by the sole shareholder of each Company by
unanimous written consent effective the 151h day of June,2019 and said resolution has not since been revoked,amended or repealed:
RESOLVED,that the signature of an individual named above and the seal of the Company may be affixed to any such power of attorney or any certificate relating thereto
by facsimile,and any such power of attorney or certificate bearing such facsimile signature or seal shall be valid and binding upon the Company in the future with respect
to any bond or undertaking to which it is attached.
IN WITNESS WHEREOF,each Company has caused this instrument to be signed by the following officers,and its corporate seal to be affixed this 151h day of
June,2019.
Endurance Assurance Corporatio . Endurance American Lexon Insurance Company Bond Safeguard
1' Insura?ce•Cpmpafry �} Insure cefiCor{)pany
By ../ By, j , f f I j;=':x' BY`1 �"'�'r". ByTard
Richard Appel;�S,NR,&,yS,eniiorr Counsel Richard Appel;,,3VP,&,�Slenior Counsel Ric�lard Appel; Seniorcounsel Rippeli,SVR& enio;�&Ounsel
GSn-InS4 seAnc� O I....
c'�VPiP FLF OR,q' Cam% c°`C�•,OAP OR,^~dam! a�•e vow �,�o �jJP�. A0�.':
rc ,GO 7r ., .'Q,pp F.,,� x0 Lprt �a� 9Z ,`kr, SOUTH •.CI
=ti SEAL :U; SEAL ',n s j { = DAKOTA •O=
�75,
2002 �' Vim'•, 1996 ;3 3 $ A L 2', I COMPANYNSU CE b
RA
OELA'.MARE 'a 7 ,DELAWARE Zj ��
17
�`'''o,,,, „II„a� '"a'.,,, w,„s• ACKNOWLEDGEMENT or
11
IIN +rllll•"''"
On this 15th day of June,2019,before me,personally Came the above signatories known to me,who being duly sworn,did depose and say that he/they'I�`Mill officer of each
of the Companies;and that he executed said instrument on behalf of each Company by authority of his office qws of each Company;` r!.."_codBy: Amy ablic My Commissloji Expire`5/9b2l,
CERTIFICATE
I,the undersigned Officer of each Company,DO HEREBY CERTIFY that:
1.That the original power of attorney of which the foregoing is a copy was duly executed on behalf of each Company and has not since been revoked amended or modified;
that the undersigned has compared the foregoing copy thereof with the original power of attorney,and that the same is a true and correct copy of the original power of
attorney and of the whole thereof,
2.The following are resolutions which were adopted by the sole shareholder of each Company by unanimous written consent effective June 15,2019 and said resolutions
have not since been revoked,amended or modified:
"RESOLVED,that each of the individuals named below is authorized to make,execute,seal and deliver for and on behalf of the Company any and all bonds,
undertakings or obligations in surety or co-surety with others: RICHARD M.APPEL,BRIAN J.BEGGS,CHRISTOPHER DONELAN,SHARON L.SIMS,
CHRISTOPHER L.SPARRO,MARIANNE L.WILBERT
;and be it further
RESOLVED,that each of the individuals named above is authorized to appoint attorneys-in-fact for the purpose of making,executing,sealing and delivering bonds,
undertakings or obligations in surety or co-surety for and on behalf of the Company."
3. The undersigned further certifies that the above resolutions are true and correct copies of the resolutions as so recorded and of the whole thereof.
IN WITNESS WHEREOF,I have hereunto set my hand and affixed the corporate seal this� day of 20M
By:
Dante S.L rie, retary
NOTICE: U.S.TREASURY DEPARTMENT'S OFFICE OF FOREIGN ASSETS CONTROL IOFAC)
No coverage is provided by this Notice nor can it be construed to replace any provisions of any surety bond or other surety coverage provided. This Notice provides information concerning
possible impact on your surety coverage due to directives issued by OFAC. Please read this Notice carefully.
The Office of Foreign Assets Control(OFAC)administers and enforces sanctions policy, based on Presidential declarations of"national emergency". OFAC has identified and listed
numerous foreign agents,front organizations,terrorists,terrorist organizations,and narcotics traffickers as"Specially Designated Nationals and Blocked Persons". This list can be located
on the United States Treasury's website—https://www.treasury.gov/resource-center/sanctions/5:CN-List.
In accordance with OFAC regulations,if it is determined that you or any other person or entity claiming the benefits of any coverage has violated U.S.sanctions law or is a Specially
Designated National and Blocked Person,as identified by OFAC,any coverage will be considered a blocked orfrozen contract and all provisions of any coverage provided are immediately
subject to OFAC. When a surety bond or other form of surety coverage is considered to be such a blocked or frozen contract,no payments nor premium refunds may be made without
authorization from OFAC. Other limitations on the premiums and payments may also apply.
Any reproductions are void.
Surety Claims Submission:LexonClaimAdministrationosompo-intl.com
Telephone:616-563-9500 Mailing Address:Sompo International;12890 Lebanon Road;Mount Juliet,TN 37122-2870
Texas Department of Insurance
Amended Certificate of Authority
License no. 96259 Licensed since: December 27, 2007
Department Certification
Endurance Assurance Corporation
(foreign stock fire and casualty company)
organized under the laws of the state of Delaware
This entity has complied with the laws of the state of Texas, as applicable, and is authorized to
transact the following lines of insurance:
Accident, Aircraft Liability, Aircraft Physical Damage, Allied Coverages, Auto Physical
Damage, Automobile Liability, Boiler & Machinery, Burglary & Theft, Credit, Employers'
Liability, Fidelity & Surety, Fire, Forgery, Glass, Hail, Health, Inland Marine, Liability Other
than Auto, Livestock, Ocean Marine, Rain, Workers Comp and Emp Liability
This amended certificate of authority is in full force and effect until it is revoked, canceled, or
suspended according to law.
Given under my hand and official seal of office
in the city of Austin,
September 29, 2016
DAVID C. MATTAX
COMMISSIONER OF INSURANCE
BY
Jeff Hunt, Director .�
Company Licensing and Registration
Commissioner's order no. 3632