HomeMy WebLinkAboutContract 55058-FP1 City Secretary
Contract No. 55058 -FP1
FORTWORTH, Date Received Oct 7,2021
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: Liberty Trails Phase 2
City Project No.: 102850
Improvement Type(s): ❑ Paving ❑x Drainage ❑ Street Lights ❑ Traffic Signals
Original Contract Price: $286,374.00
Amount of Approved Change Order(s):
Revised Contract Amount: $286,374.00
Total Cost of Work Complete: $286,374.00
A168�t Gngntc0es Albert Grantges(Oct 6, 02114:57 CDT) Oct 6,2021
Contractor Date
Vice President
Title
Burnsco Construction, Inc.
Company Name
Manuel Chatman(Oct 6,202114:58 CDT) Oct 6 2021
Project Inspector Date
Y "PA,,1&6 P.E.
hoy" Oct 6,2021
Project Manager Date
=velyn Rol arts(Oct 6,202116:07 CDT) OCt 6,2021
CFA Manager Date
Oana doAc
Dar-Burghdoff ct 6,202116:08 CDT) Oct 6,2021
Asst. City Manager Date
OFFICIAL RECORD
CITY SECRETARY Page 1 of 2
FT. WORTH, TX
Notice of Project Completion
Project Name: Liberty Trails Phase 2
City Project No.: 102850
City's Attachments
Final Pay Estimate ❑x
Change Order(s): ❑ Yes ❑x N/A
Contractor's Attachments
Affidavit of Bills Paid
Consent of Surety
Statement of Contract Time
Contract Time: 60 WD Days Charged: 56
Work Start Date: 2/18/2021 Work Complete Date: 9/17/2021
Completed number of Soil Lab Test: 348
Completed number of Water Test: 29
Page 2 of 2
FORT WORTH
CITY OF FORT WORTH
FINAL PAYMENT REQUEST
Contract Name WATER,SEWER AND DRAINAGE IMPROVEMENTS LIBERTY TRAILS P
Contract Limits
Project Type DRAINAGE IMPROVEMENT
City Project Numbers 102850
DOE Number 2850
Estimate Number 1 Payment Number 1 For Period Ending 9/29/2021
WD
City Secretary Contract Number Contract Time 6UD
Contract Date 10/26/2020 Days Charged to Date 56
Project Manager NA Contract is 100.00 Complete
Contractor BURNSCO CONSTRUCTION,INC.
6331 SOUTHWEST BLVD
FORT WORTH, TX 76132
Inspectors MILLER,W / CHATMAN,M
Wednesday,October 6,2021 Page 1 of 4
City Project Numbers 102850 DOE Number 2850
Contract Name WATER,SEWER AND DRAINAGE IMPROVEMENTS LIBERTY TRAIL Estimate Number I
Contract Limits Payment Number 1
Project Type DRAINAGE IMPROVEMENT For Period Ending 9/29/2021
Project Funding
UNIT IQ:DRAINAGE IMPROVEMENTS
Item Estimated Estimated Completed Completed
Description of Items Unit Unit Cost
No. Quanity Total Quanity Total
---------------------------------------
1 MEDIUM STONE RIPRAP,DRY 252 SY $54.00 $13,608.00 252 $13,608.00
2 21"RCP CLASS III 246 LF $63.00 $15,498.00 246 $15,498.00
3 24"RCP CLASS III 521 LF $71.00 $36,991.00 521 $36,991.00
4 27"RCP CLASS III 289 LF $77.00 $22,253.00 289 $22,253.00
5 30"RCP CLASS III 42 LF $89.00 $3,738.00 42 $3,738.00
6 30"RCP CLASS III 270 LF $96.00 $25,920.00 270 $25,920.00
6 42"RCP CLASS III 249 LF $150.00 $37,350.00 249 $37,350.00
7 5X3 BOX CULVERT 47 LF $272.00 $12,784.00 47 $12,784.00
8 TRENCH SAFETY 1664 LF $0.50 $832.00 1664 $832.00
9 4'STORM JUNCTION BOX 4 EA $4,300.00 $17,200.00 4 $17,200.00
10 T STORM JUNCTION BOX 2 EA $4,600.00 $9,200.00 2 $9,200.00
11 6'STORM JUNCTION BOX 1 EA $5,000.00 $5,000.00 1 $5,000.00
12 10'CURB INLET 11 EA $3,800.00 $41,800.00 11 $41,800.00
13 IT CURB INLET 4 EA $5,100.00 $20,400.00 4 $20,400.00
15 42"FLARED HEADWALL,1 PIPE 1 EA $4,900.00 $4,900.00 1 $4,900.00
16 TXY FLARED HEADWALL,1 BOX 1 EA $8,700.00 $8,700.00 1 $8,700.00
16 24"TYPE C HEADWALL 2 EA $2,500.00 $5,000.00 2 $5,000.00
17 27"TYPE C HEADWALL 2 EA $2,600.00 $5,200.00 2 $5,200.00
Sub-Total of Previous Unit $286,374.00 $286,374.00
Wednesday,October 6,2021 Page 2 of 4
City Project Numbers 102850 DOE Number 2850
Contract Name WATER,SEWER AND DRAINAGE IMPROVEMENTS LIBERTY TRAIL Estimate Number I
Contract Limits Payment Number 1
Project Type DRAINAGE IMPROVEMENT For Period Ending 9/29/2021
Project Funding
Contract Information Summary
Original Contract Amount $286,374.00
Change Orders
Total Contract Price $286,374.00
Total Cost of Work Completed $286,374.00
Less %Retained $0.00
Net Earned $286,374.00
Earned This Period $286,374.00
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 $286,374.00
Wednesday,October 6,2021 Page 3 of 4
City Project Numbers 102850 DOE Number 2850
Contract Name WATER,SEWER AND DRAINAGE IMPROVEMENTS LIBERTY TRAIL Estimate Number I
Contract Limits Payment Number 1
Project Type DRAINAGE IMPROVEMENT For Period Ending 9/29/2021
Project Funding
Project Manager NA City Secretary Contract Number
Inspectors MILLER,W / CHATMAN,M Contract Date 10/26/2020
Contractor BURNSCO CONSTRUCTION,INC. Contract Time 60 WD
6331 SOUTHWEST BLVD Days Charged to Date 56 WD
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 $286,374.00
Less %Retained $0.00
Net Earned $286,374.00
Earned This Period $286,374.00
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 $286,374.00
Wednesday,October 6,2021 Page 4 of 4
FORTWORTH.
TRANSPORTATION AND PUBLIC WORKS
September 27, 2021
Burnco Construction Inc.
6331 Southwest Blvd.
Benbrook,Texas 76132
RE: Acceptance Letter
Project Name: Liberty Trails Phase 2
Project Type: Water,Sewer & Storm Drain
City Project No.: 102850
To Whom It May Concern:
On September 17, 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 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 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
682.263.3904.
Sincerely,
Y a"LA'e P.E.
Yog Patel,I,P.E.(Oct 6,�202115:46 CDT)
Yogesh Patel, Project Manager
Cc: Manuel Chatman, Inspector
Wade Miller, Inspection Supervisor
Shawn Fargo, Senior Inspector
Victor Tonero, Program Manager
Pape- Dawson Engineers, Consultant
Burnco Constructions Inc, Contractor
D.R. Horton-Texas LTD., Developer
File
E-Mail: TPW_Acceptance@fortworthtexas.gov
Rev.08/20/19
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 Bumsco 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;
Liberty Trails Phase 2 - Water, Sanitary Sewer and Storm Drain
BY
_kz 4.
Ab Grantges, i>ce President
Subscribed and sworn before me on this date 6th of October, 2021.
CESILIA CANALES
I-en• `,�' Notary 10#131652996
Notary Public y Iv MY Commission Exprres
JUIy 24, 2022
Tarrant County, Texas
I
CONSENT OF OWNER ❑
SURETY COMPANY ARCHITECT ❑
TO FINAL PAYMENT CONTRACTOR ❑
SURETY ❑
Conforms with the American Institute of OTHER
Architects,AIA Document G707
Bond No 022228824
PROJECT:
(name, addresS)Liberty Trails -Phase 2 Water, Sewer and Drainage Improvements
TO (Owner)
DRH-HWY 114,LLC AND THE CITY OF FORT ARCHITECT'S PROJECT NO:
WORTH
CONTRACT FOR:
6751 North Freeway Liberty Trails-Phase 2 Water, Sewer and Drainage Improvements
ForE Woth TX 76131
--I CONTRACT DATE:
CONTRACTOR: BURNSCO CONSTRUCTION, 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)
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 (here insert name and address of Owner)
DRH -HWY 114, LLC AND THE CITY OF FORT WORTH
6751 North Freeway
Fort Woth TX 76131 OWNER,
as set forth in the said Surety Company's bond.
IN WITNESS,WHEREOF,
the Surety Company has hereunto set its hand this 24th day of September, 2021
LIBERTY MUTUAL INSURANCE COMPANY
Surety Company
Attest: J�� LYu .�� 5
(Seal): Signature of Authorized Representative
Soj2hinie Hunter Attorne -in-Fact
Title
NOTE: This form is to be used as a companion document to AIA BOCJMENT G796, 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.
Liberty Liberty Mutual Insurance Company
Mutual. The Ohio Casualty Insurance Company Certificate 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 duly 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;Tonie Petranek
all of the city of Dallas state of TX each individually if there be more than one named,its true an�a�u rney in facttomake,eute seal,acknowledge and deliver,for and on its behalf surety and as its act and deed,any and all undertakings,bonds,reoognizances and other atons,in pursunce
fThesepresents and shall be as bindingupon the Companies as if they have been duly signed by the president and attested by the secretary of the s 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 .
5N5U J��
y�Y Liberty Mutual Insurance Company
0&4 np°x Rqy JP 1N8L tN The Ohio Casualty Insurance Company
/� GO 4T Cti 4oRPO�j� VQ' °qP /� .y
rF c' WestAmerican Insurance Company
1912 Q
" m
rq qo oy1919� 0 1991 0
dig`�-0cHus ,aa y0 fih'vames��3 �roaiaxh L� N O
gy:
ro state of PENNSYLVANIA David M.Carey,Assistant Secretary a
a) County of MONTGOMERY —
U CO
o On this 23rd day of April 2021 before me personally appeared David M.Carey,who acknowledged himself to be the Assistant Secretary of Liberty Mutual Insurance L co CompanyTOhio 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 7
therein contained ro by signing on behalf of the corporations by himself as a duly authorized officer. >
IN WITNESS WHEREOF,l have hereunto subscribed my name and affixed my notarial seal at King of Prussia,Pennsylvania,on the day and year first above written. Q
o m la,0
Cammonwealih of Pennsylvania-Notary Seal =
N O �°�c,2 _ Teresa Pasiella,Notary Public 7M.nt �
issM ex cry County B 'E
C ttl ' My commission expires March 28.2025 y- rK�"sU.J/u.-�N19 O
C°mmission number 7128e44
yo, Cs Member,Pennsylvania Assooation of Notaries eBSa Pastella,Notary PUbIIC Q `U
p O
This Power of Attorney is made and executed pursuant to and by authority of the following By-laws and Authorizations of The Ohio Casualty Insurance Company, Liberty Mutual• Insurance Company,and West American Insurance Company which resolutions are now in full face and effect reading as follows: o cal
m ARTICLE IV—OFFICERS:Section 42.Power of Attorney. a.-
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 a a
President may prescribe,shall appoint such attorneys-in-fact,as may be necessary to act in behaf of the Corporation to make,execute,seal,acknowledge and deliver as surety tO
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,shalt a
1= 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 executed, such o ar
Z 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 attorney-in fact under the m provisions of this article may be revoked at any time by the Board,the Chairman,the President or by the officer or officers granting such power or authority. i Q ARTICLE XII I—Execution of Contracts:Section 5.Surety Bonds and Undertakings. t
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 attomeys-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 attorneys-in-fact 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 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 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 of said Companies this 24th day of September 2021
p41N5U� F�"" INS& N SNSU,2
a°°�orgm aJ�GbRPo�TF 9y GPI°0.Po
e
i912 o 1919 1991
�.�9�sgtreus .qD S� haMvsµ�aq �Nataao D By:—
aiy Renee C.Llewellyn,Assistant Secretary
LMS-12873 LMIC OCIC WAIC Multi Co 02121
Liberty
Mutual,
SUETY
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 al 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 I 9406-2755 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 al
1-800-252-3439
You may write the Texas Department of Insurance Puede escribir al Departamento de Seguros
Consumer Protection (I I 1-IA) de Texas Consumer Protection (I 11-1A)
P_ O. Box 149091 P. O. Box 149091
Austin, TX 78714-9091 Austin, TX 78714-9091
FAX: (512)490-1007 FAX # (512)490-I007
Web: htip://www.tdi.texas.gov Web: http://www.tdi.texas.gov
E-mail: Con sumerProtection o tdi texas go E-mail: ConsumerProtection@tdi.texas.gov
PREMIUM OR CLAIM DISPUTES: DISPUTAS 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 1-800-843-6446. primero. Si no se resuelve Ia 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 AVISO 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 condicion del
document. documento adjunto.
NP 70 68 09 01
LMS-15292 10115