HomeMy WebLinkAboutContract 51574-FP1 City Secretary 51574 -FP1
Contract No.
FORTWORTH, Date Received Dec 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: BODEGA BAR
City Project No.: 101842
Improvement Type(s): Water ❑x Sewer ❑
Original Contract Price: $24,925.00
Amount of Approved Change Order(s):
Revised Contract Amount:
Total Cost of Work Complete: $24,925.00
dam"12" Dec 10,2021
Contractor Date
VP
Title
San Saba Construction
Company Name
Dec 10,2021
Project Inspector Date
& 9aa zu 'P•E Dec 10,2021
Khal Jaafa ri P.E.(ec 10,202117:13 CST)
Project Manager Date
I anio Scariott Morales Dec 13 2021
Janie Scarlett Morales(Dec 13,202113:40 CST)
CFA Mana er Date
Dana Burghdoff(Dec 13,20 16:06 CST Dec 13,2021
Asst. City Manager Date
OFFICIAL RECORD
CITY SECRETARY Page 1 of 2
FT. WORTH, TX
Notice of Project Completion
Project Name: BODEGA BAR
City Project No.: 101842
City's Attachments
Final Pay Estimate 0
Change Order(s): ❑ Yes 0 N/A
Pipe Report: 0 Yes ❑ N/A
Contractor's Attachments
Affidavit of Bills Paid
Consent of Surety
Statement of Contract Time
Contract Time: 60 CD Days Charged: 23
Work Start Date: 12/17/2018 Work Complete Date: 1/9/2019
Page 2 of 2
FORT WORTH
CITY OF FORT WORTH
FINAL PAYMENT REQUEST
Contract Name BODEGA BAR
Contract Limits
Project Type WATER
City Project Numbers 101842
DOE Number 1842
Estimate Number 1 Payment Number I For Period Ending 2/13/2019
CD
City Secretary Contract Number Contract Time 60;D
Contract Date Days Charged to Date 23
Project Manager NA Contract is 100.00 Complete
Contractor SAN SABA CONSTRUCTION SERVICES,INC.
3100 INDEPENDENCE PKWY#311-314
PLANO, TX 75075
Inspectors DICKINSON / DAVIS
Wednesday,February 13,2019 Page I of 4
SI�-
City Project Numbers 101842 DOE Number 1842
Contract Name BODEGA BAR Estimate Number 1
Contract Limits Payment Number 1
Project Type WATER For Period Ending 2/13/2019
Project Funding
WATER
Item Description of Items Unit Unit Cost
Estimated Estimated Completed Completed
No. Quanity Total Quanity Total
---------------------------------------
I MOBILIZATION I LS $2,000.00 $2,000.00 1 $2,000.00
2 REMOVE SIDEWALK 85 SF $1.00 $85.00 85 $85.00
3 REMOVE CONC PVMT 65 SY $1.00 $65.00 65 $65.00
4 SALVAGE 1 1/2"WATER METER(RETURN TO 1 EA $750.00 $750.00 1 $750.00
CITY)
5 REMOVE CONCRETE WATER VAULT I EA $500.00 $500.00 1 $500.00
6 CONC PVMT REPAIR 90 SY $80.00 $7,200.00 90 $7,200.00
7 4"CONC SIDEWALK 75 SF $50.00 $3,750.00 75 $3,750.00
8 6"CONC CURB AND GUTTER 8 LF $25.00 $200.00 8 $200.00
9 4"WATER PIPE 45 LF $35.00 $1,575.00 45 $1,575.00
10 2"WATER SERVICE AND CONCRETE METER 1 EA $3,700.00 $3,700.00 1 $3,700.00
BOX
11 6"X 4"TAPPING SLEEVE&VALVE 1 EA $3,350.00 $3,350.00 1 $3,350.00
12 TRAFFIC CONTROL 1 MO $1,750.00 $1,750.00 1 $1,750.00
- -------------------------------------
Sub-Total of Previous Unit $24,925.00 $24,925.00
--------------------------------------
Wednesday,February 13,2019 Page 2 of 4
City Project Numbers 101842 DOE Number 1842
Contract Name BODEGA BAR Estimate Number 1
Contract Limits Payment Number 1
Project Type WATER For Period Ending 2/13/2019
Project Funding
Contract Information Stimmaiy
Original Contract Amount $24,925.00
Chanj4e Orders
Total Contract Price $24,925.00
Total Cost of Work Completed $24,925.00
Less %Retained $0.00
Net Earned $24,925.00
Earned This Period $24,925.00
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 $24,925.00
Wednesday,February 13,2019 Page 3 of 4
City Project Numbers 101842 DOE Number 1842
Contract Name BODEGA BAR Estimate Number I
Contract Limits Payment Number I
Project Type WATER For Period Ending 2/13/2019
Project Funding
Project Manager NA City Secretary Contract Number
Inspectors DICKINSON / DAVIS Contract Date
Contractor SAN SABA CONSTRUCTION SERVICES,INC. Contract Time 60 CD
3 100 INDEPENDENCE PKWY#311-314 Days Charged to Date 23 CD
PLANO, TX 75075 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 $24,925.00
Less %Retained $0.00
Net Earned $24,925.00
Earned This Period $24,925.00
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 $24,925.00
Wednesday,February 13,2019 Page 4 of 4
FORT WO RT H
TRANSPORTATION AND PUBLIC WORKS
PIPE REPORT FOR:
PROJECT NAME: Bodega Bar
PROJECT NUMBER: 101842
DOE NUMBER:
WATER
PIPE LAID SIZE TYPE OF PIPE LF
WATER 4" PVC C 900 45
FHtE HYDRANTS: 0 VALVES(16" OR LARGER)
PIPE ABANDONED SIZE TYPE OF PIPE LF
DENSITIES: N/A
NEW SERVICES:
SEWER
PIPE LAID SIZE TYPE OF PIPE LF
PIPE ABANDONED SIZE TYPE OF PIPE LF
DENSITIES:
NEW SERVICES:
TRANSPORTATION AND PUBLIC WORKS
BILLS PAID AFFiDAVTT FOR CONTRACTOR
State of Texas §
County of Tarrant §
BEFORE ME,the undersigned authority,on this day personally appeared Ryan Beserra,known to me to
be a credible person and officer of San Saba Construction Services Inc.and who,being duly sworn,upon
his oath declares and acknowledges as follows:
I. I am a duly authorized agent of San Saba Construction Services Inc. which has authorized me to
make this affidavit,and all of the recitations herein are true and correct.
2. Pursuant to Private Development Contract No.CPN#101842 between Bodega Ventures,LLC and
San Saba Construction Services Inc. for Bodega Bar, San Saba Construction Services Inc. has
supplied materials and performed labor in connection with the construction of improvements on
real property owned by (Bodeaa Ventures, LLC) in the City of Fort Worth ("Underground
Utilities").
3. San Saba Construction Services, Inc. has actual knowledge that all bills owed by (Bodeua
Ventures,LLC)to San Saba Construction Services Inc.for materials supplied or labor performed
in connection with the improvements have been fully paid and satisfied.
4. San Saba Construction Services Inc. has actual knowledge that all bills owed by San Saba
Construction Services,Inc.to others for materials supplied or labor performed in connection with
the improvements have been fully paid and satisfied.
5. San Saba Construction Services Inc, has actual knowledge that there are no claims or liens for
materials supplied or labor performed in connection with the Private Development Contract.
6. San Saba Construction Services Inc. further warrants that should any claim or lien be filed for
material supplied or labor performed in connection with the Private Development Contract, Sin
Saba Construction Services. Inc. will immediately furnish a bond pursuant to Texas Property
Code Sections 53.236 through 53.238 for release of each the claim or lien, obtain settlement of
any claim or lien,and furnish the City of Fort Worth written full release. San Saba Construction
Services,Inc. agrees to fully indemnify and hold harmless the City of Fort Worth from any, and
all costs that may occur by reason of such claims or liens.
EXECUTED this 10 day of December 2021.
San Saba Constr>Ict' rvices.Inc.
B
Ryan Beserra
TITLE:Vice President
STATE OF TEXAS
COUNTY OF DALLAS
This instrument was acknowledged before me on December 10,2021 by
Ryan Reserra,Vice President of San Saba Construction a
S corporation,on behalf of said corporation.
STEVEN M SHIELDS
NOTARY PUBLIC
'- Notary ID#132034680
My Commission Expires
May 31, 2023
CONSENT OF OWNER ❑
SURETY COMPANY ARCHITECT ❑
TO FINAL PAYMENT CONTRACTOR ❑
SURETY ❑
Conforms with the American Institute of OTHER
Architects,AIA Document G707
Bond No 4421679
PROJECT:
(name, address)Rodega Bar-Water Improvements
TO (Owner) Dallas
IBODEGA VENTURES. LLC AND CITY OF FORT ARCHITECT'S PROJECT NO:
WORTH
CONTRACT FOR:
2921 Morton Street Bodega Bar-Water Improvements
Fart Worth TX 76107
CONTRACT DATE:
CONTRACTOR:SAN SABA CONSTRUCTION SERVICES, INC.
In accordance with the provisions of the Contract between the Owner and the Contractor as indicated above,the
thare insert name and address of Surety Company)
SURETEC INSURANCE COMPANY
1330 Post Oak Blvd.
Houston TX 77056 , SURETY COMPANY
on bond of (here insert name and address of Contractor)
SAN SABA CONSTRUCTION SERVICES, INC.
8111 LBJ Freeway Suite 775
Dallas TX 75251 , 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)
BODEGA VENTURES, LLC AND CITY OF FORT WORTH
2921 Morton Street
Fort Worth TX 76107
OWNER,
as set forth in the said Surety Company's bond.
IN WITNESS,WHEREOF,
the Surety Company has hereunto set its hand this 9th day of December,2021
SURETEC INSURANCE COMPANY
Surety Company
Attest: -H
(Seal): Jt kid_ =�-- Signa re of Authorized Representative
Sa hinie Hunter Attorney-in-Fact
Title
NOTE: This form is to he used as a companion document to AIA DOCUMENT G706, CONTRACTOR'S AFFIDAVIT OF PAYMENT OF DEBTS AND CLAIMS,
Current Edition
ONE PAGE
POA 4. 4221097
SnreTec Insurance Company
LIMITED POWER OF ATTORNEY
Know All then by These Pr•eserrts, That SURETEC INSURANCE COMPANY (the "Company"), a corporation duly organized and
existing under the laws of the State of Texas, and having its principal office in Houston, Harris Comity, Texas, does by these presents
make,constitute and appoint
Don E.Cornell,Ricardo J. Reyna,Sophinie Hunter,Rabbi Morales,Kelly A.Westbrook,Tina McEwan,
Joshua Saunders,Tonie Petranek,Mikaela Peppers
its true and lawful Attorney-in-fact, with full power and authority hereby conferred in its name, place and stead,to execute, acknowledge
and deliver any and all bonds, recognizances, undertakings or other instruments or contracts of suretyship to include waivers to the
conditions of contracts and consents of surety for, providing the bond penalty does not exceed
Twenty Five Million and 001100 Dollars($25,000,000.00)
and to bind file Company thereby as fully and to the same extent as if such bond were signed by the President, sealed with the corporate
seal of the Company and duly attested by its Secretary, hereby ratifying and confirming all that the said Attornov-jn-Fact may do in the
premises. Said appointment is made under and by authority of the following resolutions of the Board of Directors of the Surel'ec
Insurance Company:
Be it ResoNed,, that the President, any Vice-President. any Assistant Vice-President, any Secretary or any Assistant Secretary shall be and is
hereby vested with full power and authority to appoint any one or more suitable persons as Attorney(s)-in-Fact to represent and act for and on
behalf of the Company subject to the following provisions:
A1torrrey°-in-F'oc1 may be given full power and authority for and in the na€ne of and of behalf of the Contpanv, to execute,acknowledge and
deliver,any and all bands,recognizances,contracts;agreements or indeninity and other conditional or obligatory undertakings and any and all
notices and documents canceling or terminating the Company's liability thereunder, and any such instruments so executed by any such
Attorne}'-in-fact shall be binding upon the Company as if signed by the?resident and sealed and effected by the Corporate Secretary.
Be it Resolved, that the signature of any authorized officer and seal of the Company heretofore or hereafter affixed to any powcr of attorney er
any certificatte relating thereto by facsimile,and any power of attorney or certificate bearing facsimile signature or facsimile seal shall be valid
19)9.J
and binding upon the Company with respect to any bond or undertaking to which it is attached. (Adapted at a rneetrng held oa 20'of'April,
III Witness Whereof; SURETEC INSURANCE COMPANY has caused these presents to be signed by its President,and its corporate seat
to be hereto affixed this 4th day of —1, A.D. 202E
SURETEC INSURANCE COMPANY
i - - By:
Michael C. Keimig,President
{ .
State of Texas ss: •........:' �'
County of Harrishn
On this 4th day of March A.D. 2a21 before me personally came Michael C. Keirnig,to me known, who, being by me duty sworn,did depose and say,
that he resides in Houston,Texas,that lie is President of SUPTTEC INSURANCE COMPANY,the company described in and which executed the above
instrument;that he knows the seal of said-Company;that the seat affixed to said instrument is such corporate seal; that it was so affixed by order of the
Board of Directors of said Company;and that he signed his name thereto by like order.
o ..t"q�" TANYASNEED
Nota4 tic,SW of Two*
CWM" 3 Tanya Sneed, NotayI'ubiic
My commission expires March 30,2023
t,M. Brent Beaty,Assistant Secretary of SURETFC INSURANCE COMPANY,do hereby certify that the above and foregoing is a true and correct copy
of a Power of Attorney,executed by said Company, which is still in full force and effect; and furthermore,the resolutions of the Board of Directors,set
out in the Power of Attorney are in full force and effect.
Given under my hand and the seal of said Company at Houston, Texas this day of De 'mber 2021 A-.D.
- IMI_Breiit Beaty,Assistan S�tary
Any instrument issued in excess of the penalty stated above is totally void and without arty validity, 4221097
For verification of the authority of this power you may call(713)812-0800 any business day between 8:30 am and 5,00 prn CST.
SureTec Insurance Company
IMPORTANT NOTICE
Statutory Complaint Notice/Filing of Claims
To obtain information or make a complaint: You may call the Surety's toll free telephone number for information or to make
a complaint or file a claim at: 1-866-732-0099. You may also write to the Surety at:
SureTec Insurance Company
9737 Great Hills Trail, Suite 320
Austin, TX 78759
You may contact the Texas Department of Insurance to obtain information on companies, coverage, rights or complaints
at 1-800-252- 3439. You may write the Texas Department of Insurance at:
PO Box 149104
Austin, TX 78714-9104
Fax#: 512-490-1007
Web:tgp-.//w_ww.tdi,texas.gov
Email: ConsumerProtection@tdi.texas.gov
PREMIUM OR CLAIMS DISPUTES: Should you have a dispute concerning your premium or about a claim, you should
contact the Surety first. If the dispute is not resolved, you may contact the Texas Department of Insurance.
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Texas Rider 8I2019
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