HomeMy WebLinkAboutContract 55682-FP1 City Secretary 55682 -FP1
Contract No.
FORT WORTH, Date Received Jan 27,2022
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: Litsey Creek Cottages Storm Drain
City Project No.: 103091
Improvement Type(s): ❑ Paving ❑x Drainage ❑ Street Lights ❑ Traffic Signals
Original Contract Price: $398,812.00
Amount of Approved Change Order(s):
Revised Contract Amount: $398,812.00
Total Cost of Work Complete: $398,812.00
6 C7�1 Rkley Jan 26,2022
HECTOR RIVERA(Jan 26,2022 16:08 CST)
Contractor Date
Senior Project Manager
Title
RIDGEMONT RESIDENTIAL, LLC
Company Name
� Jan 26,2022
J mes Ruff(Jan 26,2022 16:14 CST)
Project Inspector Date
K�Ka11�,PC— Jan 27,2022
Project Manager Date
yanle scarlett Morales
Janie Sca, t Morales(Jan 27,2022 09:29 CST) Jan 27,2022
CFA Manager Date
Jan 27 2022
Dana Burghdoff(Jan 27,20 10:54 CST ,
Asst. City Manager Date
OFFICIAL RECORD
CITY SECRETARY Page 1 of 2
FT. WORTH, TX
Notice of Project Completion
Project Name: Litsey Creek Cottages Storm Drain
City Project No.: 103091
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: 50 WD Days Charged: 73
Work Start Date: 6/21/2021 Work Complete Date: 12/17/2021
Completed number of Soil Lab Test: 106
Completed number of Water Test: 0
Page 2 of 2
FORT WORTH
CITY OF FORT WORTH
FINAL PAYMENT REQUEST
Contract Name LTTSEY CREEK COTTAGES STORM
Contract Limits
Project Type DRAINAGE
City Project Numbers 103091
DOE Number 3091
Estimate Number 1 Payment Number 1 For Period Ending 12/17/2021
WD
City Secretary Contract Number Contract Time 5UM
Contract Date 5/13/2021 Days Charged to Date 73
Project Manager NA
Contract is 100.00 Complete
Contractor RIDGEMONT COMPANY
1520 W.WALNUT HILL LANE
IRVING, TX 75038
Inspectors CORDOVA,R / RUIZ,J
Monday,December 27,2021 Page 1 of 4
City Project Numbers 103091 DOE Number 3091
Contract Name LITSEY CREEK COTTAGES STORM Estimate Number I
Contract Limits Payment Number 1
Project Type DRAINAGE For Period Ending 12/17/2021
Project Funding
UNIT III-DRAINAGE IMPROVEMENTS
Item Estimated Estimated Completed Completed
Description of Items Unit Unit Cost
No. Quanity Total Quanity Total
---------------------------------------
1 CONCRETE RIPRAP 158 SY $65.00 $10,270.00 158 $10,270.00
2 TRENCH SAFETY 1288 LF $1.00 $1,288.00 1288 $1,288.00
3 CONCRETE COLLAR 5 EA $500.00 $2,500.00 5 $2,500.00
4 30"RCP CLASS III 611 LF $79.00 $48,269.00 611 $48,269.00
5 42"RCP CLASS III 10 LF $132.00 $1,320.00 10 $1,320.00
6 4X4 BOX CULVERT 43 LF $235.00 $10,105.00 43 $10,105.00
7 7X4 BOX CULVERT 303 LF $350.00 W6,050.00 303 $106,050.00
8 7X5 BOX CULVERT 321 LF $415.00 W3,215.00 321 $133,215.00
9 4'STORM JUNCTION BOX 2 EA $5,300.00 $10,600.00 2 $10,600.00
10 T STORM JUNCTION BOX 2 EA $7,400.00 $14,800.00 2 $14,800.00
11 8'STORM JUNCTION BOX 1 EA $21,200.00 $21,200.00 1 $21,200.00
12 HEADWALL BOX CULVERT 1 CY $27,500.00 $27,500.00 1 $27,500.00
13 30"SET 1 PIPE 1 EA $7,642.00 $7,642.00 1 $7,642.00
14 4'X4'STORM ABANDONMENT PLUG 1 EA $3,500.00 $3,500.00 1 $3,500.00
15 TURF REINFORCEMENT MAT 158 SY $3.50 $553.00 158 $553.00
---------------------------------------
Sub-Total of Previous Unit $398,812.00 $398,812.00
Monday,December 27,2021 Page 2 of 4
City Project Numbers 103091 DOE Number 3091
Contract Name LTTSEY CREEK COTTAGES STORM Estimate Number 1
Contract Limits Payment Number 1
Project Type DRAINAGE For Period Ending 12/17/2021
Project Funding
Contract Information Summary
Original Contract Amount $398,812.00
Change Orders
Total Contract Price $398,812.00
Total Cost of Work Completed $398,812.00
Less %Retained $0.00
Net Earned $398,812.00
Earned This Period $398,812.00
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 $398,812.00
Monday,December 27,2021 Page 3 of 4
City Project Numbers 103091 DOE Number 3091
Contract Name LTTSEY CREEK COTTAGES STORM Estimate Number I
Contract Limits Payment Number 1
Project Type DRAINAGE For Period Ending 12/17/2021
Project Funding
Project Manager NA City Secretary Contract Number
Inspectors CORDOVA,R / RUIZ,J Contract Date 5/13/2021
Contractor RIDGEMONT COMPANY Contract Time 50 WD
1520 W.WALNUT HILL LANE Days Charged to Date 73 WD
IRVING, TX 75038 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 $398,812.00
Less %Retained $0.00
Net Earned $398,812.00
Earned This Period $398,812.00
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 $398,812.00
Monday,December 27,2021 Page 4 of 4
FORTWORTH.
TRANSPORTATION AND PUBLIC WORKS
December 15, 2021
Ridgemont Commercial Construction
1520 W Walnut Hill Ln
Irving,Texas 75038
RE: Acceptance Letter
Project Name: Litsey Creek Cottages Storm Drain
Project Type: Storm Drain
City Project No.: 103091
To Whom It May Concern:
On December 17, 2021 a final inspection was made on the subject project. There were punch list items
identified at that time. The punch list items were completed on December 23, 2021. The final
inspection and the corrected punch list items indicate that the work meets the City of Fort Worth
specifications and is therefore accepted by the City. The warranty period will start on December 23,
2021, which is the date of the punch list completion 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)-
392-2237.
Sincerely,
K"all,X'619w , ',E?C_
Kiran Konduru, Project Manager
Cc:James Ruiz, Inspector
Ron Cordova, Inspection Supervisor
Edward Davila, Senior Inspector
Victor Tornero, Program Manager
Kimley-Horn, Consultant
Ridgemont Commercial, Contractor
Lennar Homes of Texas, Developer
File
E-Mail: TPW_Acceptance@fortworthtexas.gov
Rev.8/20/19
Affidavit of Bills Paid (Stationary).docx .a
AFFIDAVIT
STATE OF Texas
COUNTY OF Dallas
Before me, the undersigned authority, a notary public in the state and county
aforesaid, on this day personally appeared Name, Title Of Company, 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;
Contract Descr' tion Lit se Creek Cottages Storm Drain Project#103091
BY
Name oo itle Kevin D. Mezger
Principal
Subscribed and sworn before me on this date 26th of Janu 2
DONNATURNi�
oyyYPU c� p'g)jaryPubllc;
Notary Public Donna Turner ycc).M71, .,e2312028
NOTARY 9D 1i648$4-2
County, State Dallas, Texas
CONSENT OF OWNER
SURETY COMPANY ARCHITECT
TO FINAL PAYMENT CONTRACTOR
SURETY
AIA DOCUMENT G707 OTHER
Bond No. PRF9370733
PROJECT: Litsey Creek Cottages Storm, CFA#CFA21-0015,Ft. Worth TX
(name,address)
TO (Owner) [ City of Fort Worth ] ARCHITECT'S PROJECT NO:
1000 Throckmorton Street
Fort Worth,TX 76102-6312 CONTRACT FOR:
] CONTRACT DATE: 5/13/2021
CONTRACTOR: Ridgemont Residential,LLC
1520 W.Walnut Hill Lane
Irving,TX 75038
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)
Colonial American Casualty and Surety Company
1299 Zurich Way, 5th Floor , SURETY COMPANY,
Schaumburg,IL 60196-1056
on bond Of(here insert name and address of Contractor)
Ridgemont Residential, LLC
1520 W. Walnut Hill Lane
Irving,TX 75038 , CONTRACTOR,
hereby approves of the final payment to the Contractors, and agrees that final payment to the Contractor shall not relieve
the Surety Company of any of its obligations to (herC insert name and address of Owner)
City of Fort Worth
1000 Throckmorton Street
Fort Worth, TX 76102-6312 ,OWNER,
as set forth in the said Surety Company's bond.
IN WITNESS WHEREOF,
the Surety Company has hereunto set its hand this 26th day of January 2Q22
Colonial American Casualty and Surety Company
Surety Company
Signature of Authorized Representative
Attest:
(Seal): Debra Lee Moon Attoraiey-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
AIA DOCUMENT G707 CONSENT OF SURETY COMPANY TO FINAL PAYMENT APRIL 1970 EDITION AIA ONE PAGE
1970 THE AMERICAN INSTITUTE OF ARCHITECTS, 1735 New York Ave.,NW,WASHINGTON,D.C. 20006
ZURICH AMERICAN INSURANCE COMPANY
COLONIAL AMERICAN CASUALTY AND SURETY COMPANY
FIDELITY AND DEPOSIT COMPANY OF MARYLAND
POWER OF ATTORNEY
KNOW ALL MEN BY THESE PRESENTS:That the ZURICH AMERICAN INSURANCE COMPANY,a corporation of the State of New
York, the COLONIAL AMERICAN CASUALTY AND SURETY COMPANY, a corporation of the State of Illinois,and the FIDELITY
AND DEPOSIT COMPANY OF MARYLAND a corporation of the State of Illinois (herein collectively called the "Companies"), by
Robert D.Murray,Vice President,in pursuance of authority granted by Article V,Section 8,of the By-Laws of said Companies,which are
set forth on the reverse side hereof and are hereby certified to be in full force and effect on the date hereof,do hereby nominate,constitute,
and appoint Sammy Joe MULLIS,JR.,Suzanne Elizabeth NIEDZWIEDZ,John William NEWBY,Joshua D.TRITT,Sandra Lee
RONEY,Debra Lee MOON,Andrea Rose CRAWFORD,Troy Russell KEY,Cheri Lynn IRBY of Addison,Texas,EACH,its true
and lawful agent and Attorney-in-Fact,to make,execute,seal and deliver,for,and on its behalf as surety,and as its act and deed: any and
all bonds and undertakings,and the execution of such bonds or undertakings in pursuance of these presents,shall be as binding upon said
Companies, as fully and amply,to all intents and purposes, as if they had been duly executed and acknowledged by the regularly elected
officers of the ZURICH AMERICAN INSURANCE COMPANY at its office in New York,New York.,the regularly elected officers of the
COLONIAL AMERICAN CASUALTY AND SURETY COMPANY at its office in Owings Mills, Maryland., and the regularly elected
officers of the FIDELITY AND DEPOSIT COMPANY OF MARYLAND at its office in Owings Mills, Maryland., in their own proper
persons.
The said Vice President does hereby certify that the extract set forth on the reverse side hereof is a true copy of Article V,Section 8,of
the By-Laws of said Companies,and is now in force.
IN WITNESS WHEREOF,the said Vice-President has hereunto subscribed his/her names and affixed the Corporate Seals of the said
ZURICH AMERICAN INSURANCE COMPANY, COLONIAL AMERICAN CASUALTY AND SURETY COMPANY, and
FIDELITY AND DEPOSIT COMPANY OF MARYLAND,this 19th day of February,A.D.2021.
loco
ATTEST:
ZURICH AMERICAN INSURANCE COMPANY
COLONIAL AMERICAN CASUALTY AND SURETY COMPANY
FIDELITY AND DEPOSIT COMPANY OF MARYLAND
By: Robert A Murray
Vice President
By: Dawn E.Brown
Secretary
State of Maryland
County of Baltimore
On this l 9th day of February, A.D.2021, before the subscriber,a Notary Public of the State of Maryland,duly commissioned and qualified,Robert D.
Murray,Vice President and Dawn L Brown,Secretary of the Companies,to me personally known to be the individuals and officers described in and who
executed the preceding instrument,and acknowledged the execution of same,and being by me duly sworn,dcposeth and saith,that he/she is the said officer of
the Company aforesaid,and that the seals affixed to the preceding instrument are the Corporate Seals of said Companies,and that the said Corporate Scats and
the signature as such officer were duly affixed and subscribed to the said instrument by the authority and direction of the said Corporations.
IN TESTIMONY WHEREOF,I have hereunto set my hand and affixed my Official Sea]the day and year first above written.
��t55n1.... CLy
:. �...,uay:.� Constance A.Dunn,Notary Public
..ii....p My Commission Expires:July 9,2023 -
Authenticity of this bond can be confirmed at bondvalidator.zurichna.com or 410-559-8790
EXTRACT FROM BY-LAWS OF THE COMPANIES
"Article V,Section 8,Attorneys-in-Fact.The Chief Executive Officer,the President,or any Executive Vice President or Vice President
may, by written instrument under the attested corporate seal, appoint attomeys-in-fact with authority to execute bonds, policies,
recognizances, stipulations,undertakings, or other like instruments on behalf of the Company, and may authorize any officer or any such
attomey-in-fact to affix the corporate seal thereto;and may with or without cause modify of revoke any such appointment or authority at any
time."
CERTIFICATE
I, the undersigned, Vice President of the ZURICH AMERICAN INSURANCE COMPANY, the COLONIAL AMERICAN
CASUALTY AND SURETY COMPANY, and the FIDELITY AND DEPOSIT COMPANY OF MARYLAND, do hereby certify that
the foregoing Power of Attorney is still in full force and effect on the date of this certificate;and I do further certify that Article V,Section
8,of the By-Laws of the Companies is still in force.
This Power of Attorney and Certificate may be signed by facsimile under and by authority of the following resolution of the Board of
Directors of the ZURICH AMERICAN INSURANCE COMPANY at a meeting duly called and held on the 15th day of December 1998.
RESOLVED:"That the signature of the President or a Vice President and the attesting signature of a Secretary or an Assistant Secretary
and the Seal of the Company may be affixed by facsimile on any Power of Attorney...Any such Power or any certificate thereof bearing such
facsimile signature and seal shall be valid and binding on the Company."
This Power of Attorney and Certificate may be signed by facsimile under and by authority of the following resolution of the Board of
Directors of the COLONIAL AMERICAN CASUALTY AND SURETY COMPANY at a meeting duly called and held on the 5th day of
May, 1994,and the following resolution of the Board of Directors of the FIDELITY AND DEPOSIT COMPANY OF MARYLAND at a
meeting duly called and held on the 1 Oth day of May,1990.
RESOLVED:"That the facsimile or mechanically reproduced seal of the company and facsimile or mechanically reproduced signature of
any Vice-President, Secretary, or Assistant Secretary of the Company, whether made heretofore or hereafter, wherever appearing upon a
certified copy of any power of attorney issued by the Company,shall be valid and binding upon the Company with the same force and effect
as though manually affixed.
IN TESTIMONY WHEREOF,I have hereunto subscribed my name and affixed the corporate seals of the said Companies,
this 26th day of January , 2022
�p WS
atPpfii 0 y ,o +wr
C f'°•"'`'+y a a?, �� SRAL
!tM i ,�
A
By: Brian M.Hodges
Vice President
TO REPORT A CLAIM WITH REGARD TO A SURETY BOND,PLEASE SUBMIT A COMPLETE DESCRIPTION
OF THE CLAIM INCLUDING THE PRINCIPAL ON THE BOND,THE BOND NUMBER,AND YOUR CONTACT
INFORMATION TO:
Zurich Surety Claims
1299 Zurich Way
Schaumburg,IL 60196-1056
www.reportsfclaims()zurichna.com
800-626-4577
ZURICH�
Texas Important Notice
IMPORTANT NOTICE AVISO IMPORTANTE
To obtain information or make a complaint: Para obtener informaci6n o para presentar una queja:
You may call Zurich North America's toll-free telephone Usted puede Ilamar al numeeo de tel6fono gratuito de
number for information or to make a complaint at: Zurich North America's para obtener informaci6n o para
1-800-382-2150 presentar una queja al:
You may contact the Texas Department of Insurance to 1-800-382-2150
obtain information on companies, coverages, rights, or Usted puede comunicarse con el Departamento de Se-
complaints at: guros de Texas para obtener informaci6n sabre com-
1-800-252-3439 pahlas,coberturas, derechos, o quejas al:
1-800-252-3439
You may write the Texas Department of
Insurance: Usted puede escribir al Departamento
P.O. Box 149104 de Seguros de Texas a:
Austin,TX 78714-9104 P.O. Box 149104
Fax: (512)490-1007 Austin,TX 78714-9104
Web: www.tdi.texas.gov Fax: (512)490-1007
E-mail: ConsumerProtection@tdi.texas.gov Sitio web: www.tdi.texas.gov
E-mail: ConsumerProtection@tdi.texas.gov
PREMIUM OR CLAIM DISPUTES:
Should you have a dispute concerning your premium or DISPUTAS POR PRIMAS DE SEGUROS O
about a claim,you should contact the company first. If RECLAMACIONES:
the dispute is not resolved, you may contact the Texas Si tiene una disputa relacionada con su prima de seguro
Department of Insurance. o con una reclamaci6n, usted debe comunicarse con la
compaMia primero. Si la disputa no es resuelta, usted
ATTACH THIS NOTICE TO YOUR POLICY: puede comunicarse con el Departamento de Seguros de
This notice is for information only and does not become Texas.
a part or condition of the attached document.
ADJUNTE ESTE AVISO A SU PbLIZA: Este aviso es
solamente para prop6sitos informativos y no se con-
vierte en parte o en condici6n del documento adjunto.
U-GU-296-E(06/15)
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