HomeMy WebLinkAboutContract 55362-FP1 City Secretary 55362 -FP1
Contract No.
FORTWORTH. Date Received Oct 13,2021
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: 72" SANITARY SEWER M245B MANHOLE RELOCATION
City Project No.: 103101
Improvement Type(s): Water 0 Sewer 0
Original Contract Price: $92,500.00
Amount of Approved Change Order(s): -$3,000.00
Revised Contract Amount:
Total Cost of Work Complete: $89,500.00
CG�Wis�UI/1IO�
Chris Windsor(Oct 122,,22u u Oct 12o :10 CDT) ,2021
Contractor Date
Project Manager
Title
Mountain Cascade of Texas, LLC
Company Name
Gary Deyon( ct ,202111:33 CDT) Oct 12, 2021
Project Inspector Date
PatdC UAley(Oc 2 202114:05CDT) Oct 12, 2021
Project Manager Date
Oct 12,2021
CFA Manager Date
Dcgnc7 doAc
Dana Burghdoff ct 12,202114:22 CDT) Oct 12,2021
Asst. City Manager Date
OFFICIAL RECORD
CITY SECRETARY Page 1 of 2
FT.WORTH, TX
Notice of Project Completion
Project Name: 72" SANITARY SEWER M245B MANHOLE RELOCATION
City Project No.: 103101
City's Attachments
Final Pay Estimate (]
Change Order(s): ❑x Yes ❑ N/A
Pipe Report: ❑ Yes x❑ N/A
Contractor's Attachments
Affidavit of Bills Paid
Consent of Surety
Statement of Contract Time
Contract Time: 60 WD Days Charged: 32
Work Start Date: 4/12/2021 Work Complete Date: 6/4/2021
Completed number of Soil Lab Test: 15
Completed number of Water Test: 0
Page 2 of 2
FORT WO RT H
CITY OF FORT WORTH
FINAL PAYMENT REQUEST
Contract Name 72"SANITARY SEWER M-245B MH RELOCATION IMPROVEMENTS
Contract Limits
Project Type SANITARY SEWER IMPROVEMENTS
City Project Numbers 103101
DOE Number 3101
Estimate Number I Payment Number 1 For Period Ending 6/7/2021
WD
City Secretary Contract Number Contract Time 6WD
Contract Date 3/12/2021 Days Charged to Date 32
Project Manager NA Contract is 100.00 Complete
Contractor Mountain Cascade of Texas
11729EFM917
Alvarado, TX 76009
Inspectors CORDOVA,R / MCFADIN,M
Tuesday,October 12,2021 Page 1 of 4
City Project Numbers 103101 DOE Number 3101
Contract Name 72"SANITARY SEWER M-245B MH RELOCATION IMPROVEMENTS Estimate Number 1
Contract Limits Payment Number 1
Project Type SANITARY SEWER IMPROVEMENTS For Period Ending 6/7/2021
Project Funding
UNIT 11:SANITARY SEWER
Item Description of Items Estimated Unit Unit Cost Estimated Completed Completed
No. Quanity Total Quanity Total
---------------------------------------
1 MOBILIZATION I LS $5,000.00 $5,000.00 1 $5,000.00
2 AS BUILT SURVEY 1 LS $1,000.00 $1,000.00 1 $1,000.00
3 SITE CLEARING I LS $4,000.00 $4,000.00 1 $4,000.00
4 PRE-CCTV INSPECTION 200 LF $10.00 $2,000.00 200 $2,000.00
5 POST-CCTV INSPECTION 200 LF $5.00 $1,000.00 200 $1,000.00
6 TRENCH SAFETY 1 LS $1,000.00 $1,000.00 1 $1,000.00
7 CONCRETE COLLAR(CO Al) 1 EA $2,000.00 $2,000.00 1 $2,000.00
8 EPDXY MANHOLE 14 VF $500.00 $7,000.00 14 $7,000.00
9 5'EXTRA DEPTH MANHOLE 8 VF $750.00 $6,000.00 8 $6,000.00
10 Y TYPE A MANHOLE 1 EA $60,000.00 $60,000.00 1 $60,000.00
11 SEEDING BROADCAST 100 SY $5.00 $500.00 100 $500.00
--------------------------------------
Sub-Total of Previous Unit $89,500.00 $89,500.00
--------------------------------------
Tuesday,October 12,2021 Page 2 of 4
City Project Numbers 103101 DOE Number 3101
Contract Name 72"SANITARY SEWER M-245B MH RELOCATION IMPROVEMENTS Estimate Number 1
Contract Limits Payment Number 1
Project Type SANITARY SEWER IMPROVEMENTS For Period Ending 6/7/2021
Project Funding
Contract Information Summary
Original Contract Amount $92,500.00
Change Orders
Change Order Number Al ($3,000.00)
Total Contract Price $89,500.00
Total Cost of Work Completed $89,500.00
Less %Retained $0.00
Net Earned $89,500.00
Earned This Period $89,500.00
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 $89,500.00
Tuesday,October 12,2021 Page 3 of 4
City Project Numbers 103101 DOE Number 3101
Contract Name 72"SANITARY SEWER M-245B MH RELOCATION IMPROVEMENTS Estimate Number I
Contract Limits Payment Number I
Project Type SANITARY SEWER IMPROVEMENTS For Period Ending 6/7/2021
Project Funding
Project Manager NA City Secretary Contract Number
Inspectors CORDOVA,R / MCFADIN,M Contract Date 3/12/2021
Contractor Mountain Cascade of Texas Contract Time 60 WD
11729 E FM 917 Days Charged to Date 32 WD
Alvarado, TX 76009 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 $89,500.00
Less %Retained $0.00
Net Earned $89,500.00
Earned This Period $89,500.00
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 $89,500.00
Tuesday,October 12,2021 Page 4 of 4
DEVELOPER-AWARDED-PROJECT CHANGE ORDER
PROJECT NAME: 72 In.San Sewer M-245B MH Relocation CHANGE
CONTRACT: A-Sewer ORDER No:
CFA# CFA20-0136 CITY PARTICIPATION:1 No
CITY PROJECT# 103101
DOE it
WATER PROJECT# Al
SEWER PROJECT it
FILE# X-26751
INSPECTOR: Mrk McFaclin Phone No: 817.223.2250
PROJECT MANAGER: Patrick J.Buckley,P.E. Phone No: 817.392.2443
CONTRACT UNIT
WATER SEWER PAVING DRAINAGE STREETLIGHTS CONTRACT
Developer Developer Developer Developer Developer DAYS
Cost City cost Cost CityCost Cost CityCosm Cost city Cost Cost City Cost
ORIGINAL CONTRACT S92,500.00
EXTRAS TO DATE
CREDITS TO DATE $3,000.00
CONTRACT TO DATE $0.00 $0.00 S89.500.00 50.00 $0.00 $0.00ml S0.00 $0.00 $0.00 SUM 0
AMOUNT OF PROP.CHANGE ORDER 1
11
REVISED CONTRACT AMOUNT S0.00 $0.00 S89,500.00 $0.00 $0.00 1 $0.00-"" S0.00 I S0.00 S0.00 I -S�- 0
TOTAL REVISED CONTRACT AMOUNT
PER UNIT S0.00 $89,500.00 $0.00 50.00 S0.00
REVISED COST SHARE Dev.Cost: $89,500.00 City Cost: $0.00
TOTAL REVISED CONTRACT $89,500.00
Revised:10-12-2011
Page 1
You are directed to make the follovAng changes In the contract documents:
CITY BID ITEM
PAY ITEM# # QUANTITY UNIT ITEM DESCRIPTION UNIT PRICE TOTAL
7 3305,0112 1 EA Concrete Collar 3000 3000
TOTAL
REASONS FOR CHANGE ORDER
Concrete collar was not constructed because the exlslfng cross slope was too steep.
NO CITY FUNDS INVOLVED IN THIS CONTRACT. DEVELOPER IS RESPONSIBLE FOR 100%OF THE CHANGE ORDER COST AND NO
REIMBURSEMENT FROM THE CITY WILL BE SOUGHT BY THE DEVELOPER.
RECOMMENDED: APPROVED: APPROVED:
BY By: Trin(ly Metro Z By: C
n�Mountain Cascade of Texas.LL
^
Name: Name: Pablo Hemandez•Caldera Name: Ll -'S
Tille: Title: Civil Enalneer Title: _ Pd- N(.c•�•u.,••
REVIEWED
By Patrick Buckley at 1:46 pm,Jun 14,2021
Revised:10-12-2011
Page 2
FORTWORTH.
TRANSPORTATION AND PUBLIC WORKS
June 9, 2021
Mountain Cascade of Texas
11729 E. FM 917
Alvarado Tx. 76009
RE: Acceptance Letter
Project Name:72" samitary Sewer M-245B Manhole Relocation
Project Type: Sewer
City Project No.: 103101
To Whom It May Concern:
On June 8, 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 June 8, 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 Patrick
Buckley.
Sincerely,
Patrick a dey(Oc 2,2021 14:05 CDT)
Patrick Buckley, Project Manager
Cc: Mark McFadin, Inspector
Ron Cordova, Inspection Supervisor
Gary Deyon,Senior Inspector
Victor Torneo, Program Manager
IN- House, Consultant
Mountain Cascade of Texas, Contractor
Tex Rail, Developer
File
E-Mail: TPW_Acceptance@fortworthtexas.gov
Rev.08/20/19
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 full;
That there are no claims pending for personal injury and/or
property damages;
On Contract described as;
72" Sanitary Sewer M-245B Manhole Relocation Improvements
BY
Andr . McCulloch, Vice President
Subscribed and sworn before me on this date 8th of June, 2021.
• �0,�YP kL-
WANDA SUE JARRELL
°• ..'�4c+:Notary Public,State of Texas
of ublic Comm. Expires 06-29-2024
0 on County, Texas /' n°i�+���� Notary ID 11962407
CONSENT OF OWNER ❑
SURETY COMPANY ARCHITECT ❑
TO FINAL, PAYMENT SURETY OTOR ❑❑
Conforms with the American Institute of OTHER ❑
Architattu,AlA Dowmont 6707
Bond No 070212161
PROJECT: IFB 20-TO40 Manhole/Sanitary Sewer Construction Project
(name, address)
TO (Owner)
ARCHITECT'S PROJECT NO:
Fort Worth Transportation Authority(Trinity Metro) CONTRACT FOR: IFB 20-TO40 Manhole/Sanitary
801 Cherry Street, SUITE 850 Sewer Construction Project
Lort Worth,TX 76102 -J CONTRACT DATE: September 8, 2020
CONTRACTOR; Fort Worth Transportation Authority (Trinity Metro)and the City of Fort Worth
In accordance with the provision3 of the Contract bchvccn the Owner and the Contractor as Indicated above,the
rhos Irutn rump vA&&droop of 9vrety Company)
Liberty Mutual Insurance Company
175 Berkeley Street, Boston, MA 02116 , SURETY COMPANY
on bond of (hare fnaan namo and add(o»of Convaotar)
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 ContmOor shall not relieve
the Surety Company of any of its obligations to (harp Inoort namo and addrore of owned
Fort Worth Transportation Authority(Trinity Metro)
801 Cherry Street, SUITE 850, Fort Worth,TX 76102 , OWNER,
as set forth in the said Surety Company's bond.
IN WITNESS,WNERLOF,
the Surety Company has hereunto set its hand this 10th day of , June,2021
Liberty Mutual Insurance Company
Surety Company
Attest: UZ& By.
(Seal): Evan Vellenga Witness Signature ofAtaorizcd Ropres tative
Alexis Apostolidis Attornrty-in-Fact
Title
NOTE, Thin term Is to Eo udod ea a companion document to AIA DOCUMENT 0700, CONTRACTOR's AFFIDAVIT OF PAYMENT OF 0 AF07171W,
Cufront Edition
ONE PAGE
f
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: 8204502-985949
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, Aimee R.
Perondine;Alexis Apostolidis;Bethany Stevenson;Brendan Fletcher;Bryan M.Caneschi;Cassandra Baez;Donna M.Planeta;Eric Strba;Jacqueline Susco;Janee
Wright;Joshua Sanford;Kathryn Pryor;Michelle Anne McMahon;Nicholas Turecamo;Phillip Knower;Rebecca M.Stevenson;Tanya Nguyen
all of the city of Hartford state of CT 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 on its 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 17th day of November , 2020
Liberty Mutual Insurance Company
P� }NSbgq P'11 INS&,p � %Nslj The Ohio Casualty Insurance Company
tiJ �oaPOitar�r hJ�oRPORa West American Insurance Company
?1912�� 0 0 �1919 g �1991E�
ui rs ho Z � o Q ° /'�� HAMes�aa3 YS rHOIAt+" .crab
By:
o David M.Carey,Assistant Secretary
`tn State of PENNSYLVANIA ss
v:County of MONTGOMERY
0) On this 17th day of November 2020 before me personally appeared David M.Carey,who acknowledged himself to be the Assistant Secretary of Liberty Mutual Insurance
7 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
4)— therein contained by signing on behalf of the corporations by himself as a duly authorized officer. �
to� 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. err
02 PAS
1'� COMMONWEALTH OF PENNSYLVANIA
O
Iry�o� qt��(I Notarial Seal � ���
O� OF Teresa Pas{e!ta,Notary P.M.
UpperMetionTwp.MonigomaryCsaunly By:
My Comm o
issipn Expire tfarth 28,2027 0
Teresa Pastella,Notary Public
RY y Member,PennsyfvanfaAsso7atian of Notaries
C 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
0 Company,and West American Insurance Company which resolutions are now in full force and effect reading as follows: 0-0
to N
o ARTICLE IV-OFFICERS:Section 12.Power of Attorney. b 9
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 President T
i may prescribe,shall appoint such attorneys-in-fact,as may be necessary to act in behalf of the Corporation to make,execute,seal,acknowledge and deliver as surety any and all
M v undertakings,bonds,recognizances and other surety obligations.Such attomeys-in-fact,subject to the limitations set forth in their respective powers of attorney,shall have full C3
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 instruments shall
Z 5 be as binding as if signed by the President and attested to by the Secretary.Any power or authority granted to any representative or attomey-in-fact under the provisions of this c
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.
ARTICLE XIII-Execution of Contracts:Section 5.Surety Bonds and Undertakings.
Any officer of the Company authorized for that purpose in uniting 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 atoomeys-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 seat 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 attomeys-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 Companys 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 10th day of June 2021
Pti 1NS&Rq P�v( INS&,Q � 1NSu"?
j40pPOq,OrO�� ?40RP0f7,ajO y� \VP4oaaOR, ?'n
1912 0 0 1919 1991 0
d 9ss By
s��y D y0 s� Q �HOlANP a�
&�>*U�aa �y HAMD aria -e as Renee C.Llewellyn,Assistant Secretary
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