HomeMy WebLinkAboutContract 54974-FP2 (2) City Secretary 54974 -FP3
Contract No.
FORTWORTH. Date Received Feb 25,2022
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: Elizabeth Creek PH 2
City Project No.: 102284
Improvement Type(s): ❑ Paving ❑x Drainage ❑ Street Lights ❑ Traffic Signals
Original Contract Price: $500,027.50
Amount of Approved Change Order(s):
Revised Contract Amount: $500,027.50
Total Cost of Work Complete: $500,027.50
Feb 22,2022
Contractor Date
Project Manager
Title
PCI Construction, Inc.
Company Name
Hershel Stanley sutterfield Feb 22,2022
Hershel Stanley Sutterfield(Feb 22,2022 18:23 CST)
Project Inspector Date
�'G�ctG�7ctct� / Feb 23,2022
Khal Jaafari P.E.(Feb 23,2022 17:58 CST)
Project Manager Date
� s"4nf�-M&M Feb 25 2022
Janie Scarlett Morales(Feb 25,2022 08:27 CST)
CFA Manager Date 4R� Bu�cihdoff rghdoff e625,202209:44 CST) Feb 25 2022
Asst. City Manager Date
OFFICIAL RECORD
CITY SECRETARY Page 1 of 2
FT. WORTH, TX
Notice of Project Completion
Project Name: Elizabeth Creek PH 2
City Project No.: 102284
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: 365 WD Days Charged: 217
Work Start Date: 1/4/2021 Work Complete Date: 1/24/2022
Completed number of Soil Lab Test: 781
Completed number of Water Test: 25
Page 2 of 2
FORT WORTH
CITY OF FORT WORTH
FINAL PAYMENT REQUEST
Contract Name EIZABETH CREEK PHASE 2
Contract Limits
Project Type DRAIANGE
City Project Numbers 102284
DOE Number 2284
Estimate Number 1 Payment Number 1 For Period Ending 1/15/2022
CD
City Secretary Contract Number Contract Time WD
Contract Date 10/14/2020 Days Charged to Date 217
Project Manager NA Contract is 100.00 Complete
Contractor PCI CONSTRUCTION,INC.
P.O.BOX 2967
McKINNEY, TX 75070
Inspectors MILLER,W / SUTTERFIELD
Monday,February 21,2022 Page 1 of 4
City Project Numbers 102284 DOE Number 2284
Contract Name EIZABETH CREEK PHASE 2 Estimate Number I
Contract Limits Payment Number 1
Project Type DRAIANGE For Period Ending 1/15/2022
Project Funding
UNIT III-DRAINAGE IMPROVEMENTS
Item Estimated Estimated Completed Completed
Description of Items Unit Unit Cost
No. Quanity Total Quanity Total
---------------------------------------
1 42"RCP CLASS III 727 LF $155.90 $l13,339.30 727 $113,339.30
2 48"RCP CLASS III 64 LF $180.10 $11,526.40 64 $11,526.40
3 30"RCP CLASS III 1117 LF $79.60 $88,913.20 1117 $88,913.20
4 24"RCP CLASS III 1368 LF $61.90 $84,679.20 1368 $84,679.20
5 21"RCP CLASS III 311 LF $52.00 $16,172.00 311 $16,172.00
6 CONCRETE COLLAR 1 EA $114.00 $114.00 1 $114.00
7 10'CURB INLET 19 EA $3,990.00 $75,810.00 19 $75,810.00
8 4'STORM JUNCTION BOX 10 EA $4,562.00 $45,620.00 10 $45,620.00
9 T STORM JUNCTION BOX 4 EA $5,814.00 $23,256.00 4 $23,256.00
10 24"SET 1 PIPE 2 EA $3,330.00 $6,660.00 2 $6,660.00
11 42"SET 1 PIPE 1 EA $4,195.00 $4,195.00 1 $4,195.00
12 48"SET 1 PIPE 1 EA $4,570.00 $4,570.00 1 $4,570.00
13 LARGE STONE RIPRAP DRY 335 SY $73.00 $24,455.00 335 $24,455.00
14 TRENCH SAFETY 3587 LF $0.20 $717.40 3587 $717.40
Sub-Total of Previous Unit $500,027.50 $500,027.50
Monday,February 21,2022 Page 2 of 4
City Project Numbers 102284 DOE Number 2284
Contract Name EIZABETH CREEK PHASE 2 Estimate Number I
Contract Limits Payment Number 1
Project Type DRAIANGE For Period Ending 1/15/2022
Project Funding
Contract Information Summary
Original Contract Amount $500,027.50
Change Orders
Total Contract Price $500,027.50
Total Cost of Work Completed $500,027.50
Less %Retained $0.00
Net Earned $500,027.50
Earned This Period $500,027.50
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 $500,027.50
Monday,February 21,2022 Page 3 of 4
City Project Numbers 102284 DOE Number 2284
Contract Name EIZABETH CREEK PHASE 2 Estimate Number I
Contract Limits Payment Number I
Project Type DRAIANGE For Period Ending 1/15/2022
Project Funding
Project Manager NA City Secretary Contract Number
Inspectors MILLER,W / SUTTERFIELD Contract Date 10/14/2020
Contractor PCI CONSTRUCTION,INC. Contract Time 80 CD
P.O.BOX 2967 Days Charged to Date 217 CD
McKINNEY, TX 75070 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 $500,027.50
Less %Retained $0.00
Net Earned $500,027.50
Earned This Period $500,027.50
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 $500,027.50
Monday,February 21,2022 Page 4 of 4
FORTWORTH.
TRANSPORTATION AND PUBLIC WORKS
February 18, 2022
PCI Construction Inc
P.O. Box 2967
McKinney,Texas 75070
RE: Acceptance Letter
Project Name: Elizabeth Creek Phase II
Project Type: Developer/Water,Sewer, SD
City Project No.: 102284
To Whom It May Concern:
On February 10, 2022 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 February 17, 2022. 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 February 17, 2022,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-
392-7872.
Sincerely,
Khal Jaafari P.E.(Feb 23,202217:58 CST)
Khal Jaafari, Project Manager
Cc: Hershel Stanley Sutterfield, Inspector
Wade Miller, Inspection Supervisor
Emanuel Nieto, Senior Inspector
Victor Tornero, Program Manager
Peloton Land Solutions, Consultant
PCI Construction Inc., Contractor
Pulte Group Inc, Developer
File
E-Mail: TPW_Acceptance@fortworthtexas.gov
Rev.8/20/19
AFFIDAVIT
I
STATE OF Texas
COUNTY OF Collin =
Before me,the undersigned authority, a notary public in the state l
and county aforesaid, on this day personally appeared Eric M. Lindberg, I
VP of Finance Of PCI Construction, Inc., 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;
Elizabeth Creek Phase 2 - CPN 102284
BY
Eric M. Lindberg -VP of Finance
Subscribed and sworn before me on this date 8th of February, 2022.
BREE MITCHELL
Notary ID#123944875
Notary Public
Y) My Commission Expires
Collin County, State of Q`•`:; September 26, 2023
Texas
CONSENT OF OWNER
SURETY COMPANY ARCHITECT
TO FINAL PAYMENT CONTRACTOR
SURETY
AIA DOCUMENT G707 OTHER
Bond No. 2311577
PROJECT: EIizabeth Creek Phase 2,Water, Sanitary Sewer and Storm Drain Improvements
(name,address)
TO (Owner) [ City of Fort Worth ] ARCHITECT'S PROJECT NO:
1000 Throckmorton Street
Fort Worth,TX 76102-6312 CONTRACT FOR:
[ ] CONTRACT DATE: 10/14/2020
CONTRACTOR: PCI Construction, Inc.
P.O.Box 2967
McKinney,TX 75070
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)
North American Specialty Insurance Company
1200 Main Street, Suite 800
Kansas City, MO 64105 , SURETY COMPANY,
on bond of(here insert name and address of Contractor)
PCI Construction,Inc.
P.O. Box 2967
McKinney,TX 75070 , 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(here 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 22nd day of February 2Q22
North American Specialty Insurance Company
Surety Company
Signature of Authorized Representative
Attest: t�l�
(Seal): Debra Lee Moon - Attorney-In-liact
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 AEA ONE PAGE
1970 THE AMERICAN INSTITUTE OF ARCHITECTS, 1735 New York Ave.,NW,WASHINGTON,D.C. 20006
SWISS RE CORPORATE SOLUTIONS
NORTH AMERICAN SPECIALTY INSURANCE COMPANY
WASHINGTON INTERNATIONAL INSURANCE COMPANY
WESTPORT INSURANCE CORPORATION
GENERAL POWER OF ATTORNEY
KNOW ALL MEN BY THESE PRESENTS,THAT North American Specialty Insurance Company,a corporation duly organized and existing
under laws of the State of New Hampshire,and having its principal office in the City of Kansas City,Missouri and Washington International
Insurance Company a corporation organized and existing under the laws of the State of New Hampshire and having its principal office in the City
of Kansas City,Missouri and Westport Insurance Corporation,organized under the laws of the State of Missouri,and having its principal office in
the City of Kansas City,Missouri,each does hereby make constitu c and appoint:
JOHN WILLIAM NEWBY,TROY RUSSELL KEY,DEBRA LEE MOON,ANDREA ROSE CRAWFORD,SANDRA LEE RONEY,SUZANNE ELIZABETH NIEDZWIEDZ,
CHERI LYNN IRBY,JOS[IUA D.TRITT AND COLIN E.CONLY JOINTLY OR SEVERALLY
Its true and lawful Attorneys)-in-Fact,to make,execute,seal and deliver,for and on its behalf and as its act and deed,bonds or other writings
obligatory in the nature of a bond on behalf of each of said Companies,as surety,on contracts of suretyship as are or may be required or permitted by
law,regulation,contract or otherwise,provided that no bond or undertaking or contract or suretyship executed under this authority shall exceed the
amount of TWO HUNDRED MILLION($200,000,000.00)DOLLARS
This Power of Attorney is granted and is signed by facsimile under and by the authority of the following Resolutions adopted by the Boards of
Directors of North American Specialty Insurance Company and Washington International Insurance Company at meetings duly called and held
on March 24,2000 and Westport Insurance Corporation by written consent of its Executive Committee dated July 18,2011.
"RESOLVED,that any two of the President,any Senior Vice President,any Vice President,any Assistant Vice President,
the Secretary or any Assistant Secretary be,and each or any of them hereby is authorized to execute a Power of Attorney qualifying the attorney named
in the given Power of Attomey to execute on behalf of the Company bonds,undertakings and all contracts of surety,and that each or any of them
hereby is authorized to attest to the execution of any such Power of Attorney and to attach therein the seal of the Company; and it is
FURTHER RESOLVED,that the signature of such officers and the seal of the Company may be affixed to any such Power of Attomey or to any
certificate relating thereto by facsimile,and any such Power of Attorney or certificate bearing such facsimile signatures or facsimile seal shall be
binding upon the Company when so affixed and in the future with regard to any bond,undertaking or contract of surety to which it is attached."
�pE �pt10NA4 B
PO
„q+_.• �,Ir, - (t aS`'l_ 23,� Ct,�9 fF•' tiiern P.Anderson,Senior Pre President Washi cn International Insurance Company
&Setssor Vim President r North American Specialty Insurance CampsnycJL t
immj ra &Senior Vice President
!�of Westport Insurance Corporation
1973
* Erik Janssens,Senior Viet President of Washington International Insurance Company 1t
&Senior Vice President of North American Specialty Insurance Company
&Senior Vice President of Westport Insurance Corporation
IN WITNESS WHEREOF,North American Specialty Insurance Company,Washington International Insurance Company and Westport
Insurance Corporation have caused their official seals to be hereunto affixed,and these presents to be signed by their authorized officers this
this 7th day of DECEMBER 20 21
North American Specialty Insurance Company
Washington International Insurance Company
State of Illinois Westport Insurance Corporation
County of Cook ss:
On this 7th day of DECEMBER,20 21,before me,a Notary Public personally appeared Steven P.Anderson ,Senior Vice President of
Washington International Insurance Company and Senior Vice President of North American Specialty Insurance Company and Senior Vice President of
Westport Insurance Corporation and Erik Janssens Senior Vice President of Washington International Insurance Company and Senior Vice President
of North American Specialty Insurance Company and Senior Vice President of Wcstport Insurance Corporation,personally known to me,who
being by me duly swom,acknowledged that they signed the above Power of Attorney as officers of and acknowledged said instrument to be the
voluntary act and deed of their respective companies.
YASMIN A.PATEL /l J)('�[� _.
OFHCIAL SEAL (jr t-•C.CG[�r -
Manor PubGe.State of tninois
MY Commission Expires
M. ...asa Yasmin A.Patcl,Notary_- - -
I,Jeffrey Goldberg,the duly elected Senior Vice President and Assistant Secretary of North American Specialty InsurancurCongpanF,W- as.51 ngtan
International Insurance Company and Westport Insurance Corporation do hereby certify that the above and foregoing is a-true and c4riect_copyrof a_
Power of Attorney given by said North American Specialty Insurance Company,Washington International Insurance CotnpanyandVcstporI,—
Insurance Corporation which is still in full force and effect.
IN WITNESS WHEREOF,I have set my hand and affixed the seals of the Companies this 22nd day of February 20 2Z
Jeffrey Goldberg,Senior Vice President&Assistant Secretary of Washington International Insurance Company&
North American Specialty Insurance Company&Vice President&Assistant Secretary of Westport Insurance Corporation
North American Specialty Insurance Company
Washington International Insurance Company
Westport Insurance Corporation
TEXAS CLAIMS INFORMATION
IMPORTANT NOTICE ADVISO IMPORTANTE
In order to obtain information or make a complaint: Para obtener informacion o para someter un queja:
You may contact Jeffrey Goldberg,Vice President Puede comunicarse con Jeffrey Goldberg,Vice
— Claims at 1-800-338-0753 President—Claims,al 1-800-338-0753
You may call Washington International Insurance Listed puede Ilamr al numero de telefono gratis de
Company and/or North American Specialty Insurance Washington International Insurance Company and/or
Company's and/or Westport Insurance Corporation North American Specialty Insurance Company's and/or
toll-free number for information or to make a Westport Insurance Corporation para informacion o
complaint at: para someter una queja al:
1-800-338-0753 1-800-338-0753
You may also write to Washington International Listed tambien puede escribir a Washington
Insurance Company and/or North American Specialty International Insurance Company and/or North
Insurance Company and/or Westport Insurance American Specialty Insurance Company and/or
Corporation at the following address: Westport Insurance Corporation al:
1200 Main Street 1200 Main Street
Suite 800 Suite 800
Kansas City,MO 64105 Kansas City,MO 64105
You may contact the Texas Department of Insurance Puede escribir al Departmento de Seguros de Texas
to obtain information on companies, coverages, para obtener informacion acerca de companias,
rights or complaints at: coberturas,derechos o quejas al:
1-800-252-3439 1-800-252-3439
You may write the Texas Department of Insurance: Puede escribir al Departmento de Seguros de Texas:
P.O. Box 149104 P.O. Box 149104
Austin,TX 78714-9104 Austin,TX 78714-9104
Fax: (512)475-1771 Fax: (512)475-1771
Web: httn://www.tdi.state.tx.iis Web: htte://www_tdi.ctat_.tx. jc
Email:ConsumerProtection@tdi.state.tx.us Email:ConsumerProtection@tdi.state.tx.us
PREMIUM OR CLAIM DISPUTES: DISPUTAS SOBRE PRIMAS O RECLAMOS:
Should you have a dispute concerning your premium Si tiene una disputa concerniente a su prima o a un
or about a claim you should first contact the reclamo,debe comunicarse con el Washington
Washington International Insurance Company and/or International Insurance Company and/or North
North American Specialty Insurance Company and/or American Specialty Insurance Company and/or
Westport Insurance Corporation. If the dispute is not Westport Insurance Corporation primero. Si no se
resolved,you may contact the Texas Department of resuelve la disputa, puede entonces comunicarse
Insurance. con el Departmento de Seguros de Texas.
ATTACH THIS NOTICE TO YOUR POLICY: UNA ESTE AVISO A SU POLIZA
This notice is for information only and does not Este aviso es solo para proposito de infromacion y no
become a part or condition of the attached se converte en parte o condicion del documento
document. adjunto.