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Home My WebLink AboutContract 52008-FP1 City Secretary 52008 -FP1 Contract No. FORT WORM., 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: OZONA BOULEVARD City Project No.: 101596 Improvement Type(s): Water ❑x Sewer ❑ Original Contract Price: $64,611.20 Amount of Approved Change Order(s): Revised Contract Amount: Total Cost of Work Complete: $64,611.20 .79G`(Z `?ekf Dec 8,2021 Jack Daniels(Dec 8,2021 12:27 CST) Contractor Date Vice President Title Davis Excavation, Inc. Company Name "5� Dec 8,2021 Project Inspector Date Patrick adey(De ,202114:41CST) Dec 8,2021 Project Manager Date yanie Scarlet&Morales Dec 13 2021 Janie Scarlett Morales(Dec 13,202114:03 CST) CFA Manacier Date Dana Burghdoff(Dec 13,20 16:08 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: OZONA BOULEVARD City Project No.: 101596 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 IL- Statement of Contract Time Contract Time: 120 CD Days Charged: 575 Work Start Date: 3/23/2020 Work Complete Date: 10/18/2021 Page 2 of 2 FORT WORTH CITY OF FORT WORTH FINAL PAYMENT REQUEST Contract Name OZONA BOULEVARD Contract Limits Project Type WATER City Project Numbers 101596 DOE Number 1596 Estimate Number I Payment Number I For Period Ending 10/27/2021 CD City Secretary Contract Number Contract Time 120D Contract Date Days Charged to Date 575 Project Manager NA Contract is 100.00 Complete Contractor DAVIS EXCAVATION,INC. P.O.BOX 1169 VAN ALSTYNE, TX 75495 Inspectors OWEN / KIME Wednesday,October 27,2021 Page 1 of 4 City Project Numbers 101596 DOE Number 1596 Contract Name OZONA BOULEVARD Estimate Number 1 Contract Limits Payment Number 1 Project Type WATER For Period Ending 10/27/2021 Project Funding WATER Item Estimated Estimated Completed Completed Description of Items Unit Unit Cost No. Quanity Total Quanity Total --------------------------------------- 1 8"WATER PIPE 564 LF $71.97 $40,591.08 564 $40,591.08 2 CONNECTION TO EXISTING 4"-12"WATER 2 EA $5,525.00 $11,050.00 2 $11,050.00 MAIN 3 TRENCH SAFETY 564 LF $1.33 $750.12 564 $750.12 4 DUCTILE IRON WATER FHTINGS 0.63 TN $1,500.00 $945.00 0.63 $945.00 W/RESTRAINT 5 8"GATE VALVE 5 EA $1,614.00 $8,070.00 5 $8,070.00 6 12"CUT IN GATE VALVE 1 EA $2,855.00 $2,855.00 1 $2,855.00 7 VALVE BOX ADJUSTMENT 1 EA $350.00 $350.00 1 $350.00 Sub-Total of Previous Unit $64,611.20 $64,611.20 Wednesday,October 27,2021 Page 2 of 4 City Project Numbers 101596 DOE Number 1596 Contract Name OZONA BOULEVARD Estimate Number 1 Contract Limits Payment Number 1 Project Type WATER For Period Ending 10/27/2021 Project Funding Contract Information Summary Original Contract Amount $64,611.20 Change Orders Total Contract Price $64,611.20 Total Cost of Work Completed $64,611.20 Less %Retained $0.00 Net Earned $64,611.20 Earned This Period $64,611.20 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 $64,611.20 Wednesday,October 27,2021 Page 3 of 4 City Project Numbers 101596 DOE Number 1596 Contract Name OZONA BOULEVARD Estimate Number 1 Contract Limits Payment Number 1 Project Type WATER For Period Ending 10/27/2021 Project Funding Project Manager NA City Secretary Contract Number Inspectors OWEN / KIME Contract Date Contractor DAVIS EXCAVATION,INC. Contract Time 120 CD P.O.BOX 1169 Days Charged to Date 575 CD VAN ALSTYNE, TX 75495 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 $64,611.20 Less %Retained $0.00 Net Earned $64,611.20 Earned This Period $64,611.20 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 $64,611.20 Wednesday,October 27,2021 Page 4 of 4 FORTWORTH. TRANSPORTATION AND PUBLIC WORKS October 22, 2021 Davis Excavation Inc. P.O. Box 1169 Van Alstyne,TX 75495 RE: Acceptance Letter Project Name: Ozona Boulevard Project Type:Water City Project No.: 101596 To Whom It May Concern: On October 18, 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 October 18, 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- 392-8424. Sincerely, Patrick a[ey(De GA,202114:41 CST) Pat Buckley, P.E., Project Manager Cc: Edwin R. Rodriguez, Sr., Inspector Mark Owen, Inspection Supervisor Edwin R. Rodriguez, Sr., Senior Inspector Victor V.Tornero,Jr., P.E., Program Manager Peloton Land Solutions, Consultant Davis Excavation Inc., Contractor Cassco Development Company, Inc., Developer File E-Mail: TPW_Acceptance@fortworthtexas.gov Rev.08/20/19 FORTWORTH TRANSPORTATION AND PUBLIC WORKS PIPE REPORT FOR: PROJECT NAME: Ozona Boulevard PROJECT NUMBER: 101596 DOE NUMBER: N/A WATER PIPE LAID SIZE TYPE OF PIPE LF Open Cut 8" PVC 564 FIRE HYDRANTS: N/A VALVES(16"OR LARGER) N/A PIPE ABANDONED SIZE TYPE OF PIPE LF N/A DENSITIES: Taken&Passed NEW SERVICES: N/A N/A SEWER PIPE LAID SIZE TYPE OF PIPE LF N/A PIPE ABANDONED SIZE TYPE OF PIPE LF N/A DENSITIES: N/A NEW SERVICES: N/A N/A TRANSPORTATION AND PUBLIC WORKS The City of Fort Worth• 1000 Throckmorton Street•Fort Worth,TX 76012-6311 (817)392-7941 •Fax: (817)392-7845 a VATION d UTILITIES Davis Excavation, Inc. 3807 County Road 276 Melissa, TX 75454 214-733-8042 AFFIDAVIT STATE OF TEXAS COUNTY OF COLLIN Before me, the undersigned authority, a notary public in the state and county aforesaid, on this day personally appeared Jack Daniels, Vice President of Davis Excavation, Inc., known to me to be a credible person, who being by me duly sworn, upon his oath deposed an said: That all persons, firms, associations, corporation, 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 Ozona Blvd (City Project#101596 and CFA#2018-091). Contract Description: Excavation, Utilities, Concrete. By Jackta-hiels/Vice President Subscribed and sworn before me on this 8th day of December, 2021. VENITAROBERTSON By �Jf! _ — =* *' My Notary ID#132817889 Venita Robertson / Notary Public Expires December 9,: Collin County, Texas CONSENT OF SURETY OWNER TO FINAL PAYMENT ARCHITECT CONTRACTOR ALA Document G707 SURETY (Instructions on reverse side) Bond No. PB03228302607 OTHER TO OWNER: ARCHITECT's PROJECT NO.: NIA (Na su•elm arlrlrcxi) City of Fort Worth. 4200 South Hulen, Suite 614 CONTRACT FOR: Fort Worth, TX 75454 Ozona Blvd PROJECT: CONTRACT DATED: (Namernrdurklrcic) February 18, 2020 Ozona Blvd., CFA Number 2018-091 In accordance with the provisions of the Contract between the Owner anti the Contractor as indicated alxne,the {ln�en ncuuc•uud cttlrlrxas af5trrc tr) Philadelphia Indemnity Insurance Company One Bala Plaza East, Suite 100 Bala Cynwyd, PA 19004-1403 SURETY, on bond of armn name and nrklims of(2wrrararx') Davis Excavation, Inc. 3807 County Road 276 Melissa, Texas 75454 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 rur»re caul wklrecs r,J Otrnerl Cassco Development Company Inc 4200 South Hulen, Suite 614 Fort Worth, TX 75454 OWNER, as set forth in said Surety's bond. IN"MESS WHEREOF,the Surety has hereunto Set its hand on this date: December 7, 2021 (lu.c-r7lttoridnh+the,aonid,Jolloncr!!n(lx+unuerirtlulecrudrxur) _ Philzd&hia Indemnity Insurance Company f {ua riu! c .Klttcttke) Attest: 0rena Gutilkrre 2Witness (seal): Brady K. Cox Attorne -in-F/ct - (1'ri+uer!rtinrte and title} M CAUTION, You should sign an original AIA document that has this cauti n printed in red. An original assures that changes will not be obscured as may occur when documents are reproduced. See Instruction Sheet for Limited License for Reproduction of this document. AiA DOCUMENT G707-CoNSFm'OF St 7RFN IX)FWAL PAYMr V'I'• 19�4 1:nrn0N• AIA 01994•THE AMFRICAN INtiTM7M..OF ARCHr1ECrs.iZii NFW YORK AVF.NI'I NW.WASH- ING'I'oN,D.C.10(0-51927•WARNING: Unlicensed photocopying violates U.S.copy r right laws and will suct the violato►to legal prosecution. G707-1994 hle PHILADELPHIA INDEMNITY INSURANCE COMPANY One Bala Plaza,Suite 100 Bala Cynwyd,PA 19004-0950 Power of Attorney KNOW ALL PERSONS BY THESE PRESENTS:That PHILADELPHIA INDEMNITY INSURANCE COMPANY(the Company),a corporation organized and existing under the laws of the Commonwealth of Pennsylvania,does hereby constitute and appoint William D.Baldwin,Blaine Allen,Brent Baldwin,Brock Baldwin,Michael B.Hill, Brady K.Cox,and/or Russ Frenzel of Baldwin-Cox Agency LLC,its true and lawful Attorney-in-fact with full authority to execute on its behalf bonds,undertakings, recognizances and other contracts of indemnity and writings obligatory in the nature thereof,issued in the course of its business and to bind the Company thereby,in an amount not to exceed S50,000,000. This Power of Attorney is granted and is signed and sealed by facsimile under and by the authority of the following Resolution adopted by the Board of Directors of PHILADELPHIA INDEMNITY INSURANCE COMPANY on the 14"of November,2016. RESOLVED: That the Board of Directors hereby authorizes the President or any Vice President of the Company:(1)Appoint Attomey(s)in Fact and authorize the Attorney(s)in Fact to execute on behalf of the Company bonds and undertakings, contracts of indemnity and other writings obligatory in the nature thereof and to attach the seal of the Company thereto;and (2)to remove,at any time,any such Attorney-in-Fact and revoke the authority given. And, be it FURTHER RESOLVED; That the signatures of such officers and the seal of the Company may be affixed to any such Power of Attorney or certificate relating thereto by facsimile,and any such Power of Attorney so executed and certified by facsimile signatures and facsimile 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 TESTIMONY WHEREOF, PHILADELPHIA INDEMNITY INSURANCE COMPANY HAS CAUSED THIS INSTRUMENT TO BE SIGNED AND ITS CORPORATE SEALTO BE AFFIXED BY ITS AUTHORIZED OFFICE THIS 27r"DAY OF OCTOBER,2017. (Seal) _ ,,,.;•_ Robert D.O'Leary Jr.,President&CEO Philadelphia Indemnity Insurance Company On this 27'day of October,2017,before me came the individual who executed the preceding instrument,to me personally known,and being by me duly sworn said that he is the therein described and authorized officer of the PHILADELPHIA INDEMNITY INSURANCE COMPANY;that the seal affixed to said instrument is the Corporate seal of said Company;that the said Corporate Seal and his signature were duly affixed. p� in x n�l Ho7Mui B�AL �\ raonxn knwr woten•c�nac Notary Public: �'At, CommixbeErc�rxF Bp1,75.MIX r 'F't�MN residing at: Bala Cynwyd,PA (Notary Seal) My commission expires: September 25,2021 1,Edward Sayago,Corporate Secretary of PHILADELPHIA INDEMNITY INSURANCE COMPANY,do hereby certify that the foregoing resolution of the Board of Directors and the Power of Attorney issued pursuant thereto on the 27"day of October,2017 are true and correct and are still in full force and effect.I do further certify that Robert D.O'Leary Jr.,who executed the Power of Attorney as President,was on the date of execution of the attached Power of Attorney the duly elected President of PHILADELPHIA INDEMNITY INSURANCE COMPANY. In Testimony Whereof i have subscribed my name and affixed the facsimile seal of each Company this 7th day of ❑ecembef ,20 Z l ~. 2 - - Edward Sayago,Corporate Secretary � , PHILADELPHIA INDEMNITY INSURANCE COMPANY