HomeMy WebLinkAboutContract 54286-FP4 City Secretary 54286 -FP4
Contract No.
FORT WORM., Date Received Nov 9,2021
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: MCPHERSON VILLAGE ADDITION PHASE 2
City Project No.: 102528
Improvement Type(s): Water ❑x Sewer ❑x
Original Contract Price: $764,742.80
Amount of Approved Change Order(s):
Revised Contract Amount:
Total Cost of Work Complete: $764,742.80
Ab Nov 4 2021
Ab Gran�tges(No ,202111:36 CDT)
Contractor Date
Vice President
Title
Burnsco Construction, Inc.
Company Name
Troy 6ardnen Nov 4,2021
Troy Gardner(Nov 4,202111:39 CDT)
Project Inspector Date
4. Nov 5,2021
Project Manager Date
Nov 5,2021
CFA Manag r Date
�I�GI�G�D�
Dana Dana Bur 88,202� Nov 8,2021
Asst. City Manager Date
OFFICIAL RECORD
CITY SECRETARY Page 1 of 2
FT.WORTH, TX
Notice of Project Completion
Project Name: MCPHERSON VILLAGE ADDITION PHASE 2
City Project No.: 102528
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: 180 WD Days Charged: 228
Work Start Date: 9/18/2020 Work Complete Date: 10/19/2021
Completed number of Soil Lab Test: 633
Completed number of Water Test: 20
Page 2 of 2
FORT WORTH
CITY OF FORT WORTH
FINAL PAYMENT REQUEST
Contract Name MCPHERSON VILLAGE ADDITION PHASE 2
Contract Limits
Project Type WATER&SEWER
City Project Numbers 102528
DOE Number 2528
Estimate Number I Payment Number 1 For Period Ending 11/3/2021
W
City Secretary Contract Number Contract Time low
Contract Date Days Charged to Date 228
Project Manager NA Contract is 100.00 Complete
Contractor BURNSCO CONSTRUCTION,INC.
6331 SOUTHWEST BLVD
FORT WORTH, TX 76132
Inspectors DICKINSON / BARNES
Wednesday,November 3,2021 Page 1 of 4
City Project Numbers 102528 DOE Number 2528
Contract Name MCPHERSON VILLAGE ADDITION PHASE 2 Estimate Number I
Contract Limits Payment Number I
Project Type WATER&SEWER For Period Ending I1/3/2021
Project Funding
WATER
Item Estimated Estimated Completed Completed
Description of Items Unit Unit Cost
No. Quanity Total Quanity Total
---------------------------------------
1 8"PVC Wa ter Pipe 5716 LF $23.70 $135,469.20 5716 $135,469.20
2 Fire Hydrant w/Gate Valve 7 EA $3,800.00 $26,600.00 7 $26,600.00
3 1"Water Service 163 EA $810.00 W2,030.00 163 $132,030.00
4 8"Gate Valve&Box 16 EA $1,300.00 $20,800.00 16 $20,800.00
5 Connection to Existing 4"-12"Water Main 4 EA $900.00 $3,600.00 4 $3,600.00
6 Ductile Iron Water Fittings w/Restraint 2.2 TO $10,710.00 $23,562.00 2.2 $23,562.00
7 Trench Safety 5716 LF $0.10 $571.60 5716 $571.60
8 Traffic Control 1 MO $100.00 $100.00 1 $100.00
9 Concrete Encasement 360 LF $110.00 $39,600.00 360 $39,600.00
--------------------------------------
Sub-Total of Previous Unit $382,332.80 $382,332.80
SEWER
Item Estimated Estimated Completed Completed
Description of Items Unit Unit Cost
No. Quanity Total Quanity Total
---------------------------------------
1 8"Sewer Main 5535 LF $30.00 W6,050.00 5535 $166,050.00
2 4'Manhole 18 EA $2,940.00 $52,920.00 18 $52,920.00
3 Extra Depth Manhole(>6.0') 71 VF $145.00 $10,295.00 71 $10,295.00
4 4'Shallow Manhole 1 EA $2,640.00 $2,640.00 1 $2,640.00
5 4" Sewer Service 163 EA $700.00 W4,100.00 163 $114,100.00
6 Post-CCTVInspection 5535 LF $2.00 $11,070.00 5535 $11,070.00
7 Manhole Vacuum Testing 18 EA $120.00 $2,160.00 18 $2,160.00
8 Trench Safety 5535 LF $1.00 $5,535.00 5535 $5,535.00
9 Cement Stabilized Backtill 220 LF $23.00 $5,060.00 220 $5,060.00
10 Concrete Encasement 208 LF $60.00 $12,480.00 208 $12,480.00
11 Traffic Control 1 MO $100.00 $100.00 1 $100.00
--------------------------------------
Sub-Total of Previous Unit $382,410.00 $382,410.00
--------------------------------------
Wednesday,November 3,2021 Page 2 of 4
City Project Numbers 102528 DOE Number 2528
Contract Name MCPHERSON VILLAGE ADDITION PHASE 2 Estimate Number I
Contract Limits Payment Number I
Project Type WATER&SEWER For Period Ending I1/3/2021
Project Funding
Contract Information Summary
Original Contract Amount $764,742.80
Change Orders
Total Contract Price $764,742.80
Total Cost of Work Completed $764,742.80
Less %Retained $0.00
Net Earned $764,742.80
Earned This Period $764,742.80
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 $764,742.80
Wednesday,November 3,2021 Page 3 of 4
City Project Numbers 102528 DOE Number 2528
Contract Name MCPHERSON VILLAGE ADDITION PHASE 2 Estimate Number I
Contract Limits Payment Number I
Project Type WATER&SEWER For Period Ending 11/3/2021
Project Funding
Project Manager NA City Secretary Contract Number
Inspectors DICKINSON / BARNES Contract Date
Contractor BURNSCO CONSTRUCTION,INC. Contract Time 100 W
6331 SOUTHWEST BLVD Days Charged to Date 228 W
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 $764,742.80
Less %Retained $0.00
Net Earned $764,742.80
Earned This Period $764,742.80
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 $764,742.80
Wednesday,November 3,2021 Page 4 of 4
FORTWORTH.
TRANSPORTATION AND PUBLIC WORKS
November 2, 2021
Burnsco Construction, Inc.
6331 Southwest Blvd.
Benbrook,Texas 76132
RE: Acceptance Letter
Project Name: McPherson Village Addition Phase 2
Project Type: Water&Sewer
City Project No.: 102528
To Whom It May Concern:
On November 2, 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 November 2,
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 817-
392-6251.
Sincerely,
C'�'21'�'P.�.
Andrew Goodman, Project Manager
Cc:Troy Gardner, Inspector
Mike Glover, Inspection Supervisor
Randy Horton, Senior Inspector
Victor Tornero, Program Manager
Shield Engineering, Consultant
Burnsco Construction, Inc., Contractor
Starlight Homes Texas LLC., Developer
File
E-Mail: TPW_Acceptance@fortworthtexas.gov
Rev.08/20/19
FORT WORTH
TRANSPORTATION AND PUBLIC WORKS
PIPE REPORT FOR:
PROJECT NAME: McPherson Village Addition Phase 2
PROJECT NUMBER: 102528
DOE NUMBER: N/A
WATER
PIPE LAID SIZE TYPE OF PIPE LF
C900 PVC Water Pipe 8" C900 5716
FIRE HYDRANTS: 7 VALVES(16" OR LARGER) N/A
PIPE ABANDONED SIZE TYPE OF PIPE. LF
N/A
DENSITIES: Densities Taken-All passed
NEW SERVICES: 1"Water Service Copper 163 EA
5ft-450 LF
3Oft-2460 LF
SEWER
PIPE LAID SIZE TYPE OF PIPE LF
SDR-26 PVC Sewer Pipe 8" SDR-26 5535LF
PIPE ABANDONED SIZE TYPE OF PIPE LF
DENSITIES: Densities Taken-All passed
NEW SERVICES: 4" Sewer Service SDR-26 163 EA
10ft-820 LF
30ft-2430 LF
TRANSPORTATION AND PUBLIC WORKS
The City of Fort Worth• 1000 Throckmorton Street•Fort Worth,TX 76012-6311
(817)392-7941 •Fax: (817)392-7845
i
I
AFFIDAVIT
I
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 Bu nsco 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;
McPherson Village Addition Phase 2 - Water, Sewer and Drainage
BY P2
Ab Grant s,Vice President
Subscribed and sworn before me on this date 4th of November, 2021.
pi
CESlLIA CANhLi.`.:
^ Notary iD 91316.57';
�—�/ 1 My Cammissu0n
J "fE ..Y� July 24, 7022 d�
Notary Public
Tarrant County, Texas
CONSENT OF OWNER ❑
SURETY COMPANY ARCHITECT ❑
CONTRACTOR ❑
TO FINAL PAYMENT SURETY ❑
Conforms with the American Institute of OTHER
Architects,AIA Document G707
Bond No 022227304
PROJECT:
(name, address)McPherson Village Addition Phase 2-Drainage Improvements
Fort Worth TX
TO (Owner)
ICINMCPHERSON RANCH AND CITY OF FORT ARCHITECT'S PROJECT NO:
WORTH CONTRACT FOR:
8655 South Priest Drive McPherson Village Addition Phase 2-Drainage Improvements
Tempe AZ 85284 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)
CW MCPHERSON RANCH AND CITY OF FORT WORTH
8655 South Priest Drive
Tempe AZ 85284 , 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: )�7,c.�v�c �-
(Seal): Signature of Authorized Representative
So hinie Hunter Attorney-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
This Power of Attorney limits the acts of those named herein,and they have no authority to
10� bind the Company except in the manner and to the extent herein stated.
Libel" 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 cf 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"J,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 Petrall
all of the city of Dallas state of TX each individually if there be more than one named,its true and lawful adomey-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 23rd day of April 2021
Liberty Mutual Insurance Company
��INs0,4? PV0 INS" tksup The Ohio Casualty Insurance Company
�J o° °OR4T 5� coRPO r�y VP�O�PbR44y T � West American Insurance Com
� �o rn e �o r J s Fo rn Company
1912 n 1919
vi rg qo oa mo 1991 0
63 r�rs8 s a y0 F� �� 3 �9 2 0
J�0r'1CFill �� kAMP`� a +(s �'1'AIAhp' da , _ .� y
@ David M.Carey,Assistant Secretary s
cu State of PENNSYLVANIA
rn County of MONTGOMERY ss o
oOn 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 �
`N W 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 79
_ therein contained by signing on behalf of the corporations by himself as a duly authorized officer. m
NCo >�
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. ;�
c•N +n
E`er "."' commonwealth of Pennsylvania-Notary Seal
doS .�i Teresa Pastella,Notary Public •—
�' Montgomery County 9� L E
02 11 P��' fj 6 My commission expires March 28,2025 B
�
"�f & Commission number 1126044 y-
•N "SvO 'e"> Member,Pennsylvania Association ofNutaries oresaPasfella,NotaryPublic Q p
o 0
�? 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 force and effect reading as follows: o N
ARTICLE IV_OFFICERS:Section 12,Power of Attorney. a00
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 attome s In fact,as may be necessary to act in behalf of the Corporation to make,execute,seal,acknowledge and deliver as surety co
� = Y P pP � Y - - Y rY rp
7 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-o v
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 SO
z L) 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 maybe revoked at anytime by the Board,the Chairman,the President or by the officer or officers granting such power or authority. ti n
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 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 afforl 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 atiorneys-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,
INTESTIMONY WHEREOF,I have hereunto set my hand and affixed the seals of said Companies this 24th day of September , 2021
�SY INS& � 1NSU.-
�J o°FPO/�> '�C� Gl�P4pSiP°RyT'4y VP`pRPaRgT9'Y
J = Fa fi UQ
g to w T
1912 ay19190 a 1991 0
4
� By:
~d'gs`�Acnus ,dD OHaMPS`"` a Y �HarauP D
Renee C.Llewellyn,Assistant Secretary
LMS-12873 Ll OCIC WAIC Multi Co 02121
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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 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 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 acerea 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 I-1A) de Texas Consumer Protection (111-1A)
P. O. Box 149091 P. O. Box 149091
Austin, TX 78714-9091 Austin, TX 78714-9091
FAX: (512)490-1007 FAX 4 (512) 490-1007
Web: http:l/www.tdi.texas.gov Web: http://www.tdi.texas.gov
E-mail: ConsumerProtection@tdi.texas.gov E-mail: Con sum erProtectionktdi.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 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 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.
NP70680901
LMS-15292 10115