HomeMy WebLinkAboutContract 54211-R1FP1 NN Reviewed 02.28.2022
FORTWORTH CSC No.54211-R1FP1
WATER DEPARTMENT
ENGINEERING AND FISCAL SERVICES
NOTICE OF PROJECT COMPLETION 56002-102639
CS 54211-R1
Regarding contract 54211-R1 for 2020 Miscellaneous Sanitary Sewer Manhole Repair 1st Renewal as requited by
the Water Department as approved by City Council on 6-8-2021 through M&C 21-0386 the Director of the Water
Department,upon the recommendation of the Sr. Capital Projects Officer, Capital Projects Delivery,Water Department,
has accepted the project as complete.
Original Contract Prices: $225,000.00
Amount of Approved Change Orders: $0.00 Ne 0
Revised Contract Amount: $225,000.00
Total Cost Work Completed: $223,809.30
Less Deductions:
Liquidated Damages: Days @$365.00/Day
Other Deductions(see comments):
Total Deduction Amount: $0.00
Total Cost Work Completed: $223,809.30
Less Previous Payments: $223,809.30
Final Payment Due $0.00
on b 2 // 7 122
Recommended for Acceptance Date
Assistant Director, Water Department
CGI;--II�LGI Z 6�VW -
ChristopherH rder(Marl,202210:09 CST)
Accepted Date
Director, Water Department
Dana Burghdoff( ar 1,202 1:33 CST)
City Manager Date
OFFICIAL RECORD
CITY SECRETARY
FT.WORTH, TX
Project Name: 2020 Miscellaneous Sanitary Sewer Manhole Repair 1st Renewal DOE. Ns:
Comments:
( No
ji W,
TRANSMITTAL FORM
DATE: February 11,2022
TO: City of Fort Worth-Attn: Chris Underwood
Water Dept REFERENCE: 2020 Misc Sanitary Sewer Manhole
927 Taylor Street #102639
Fort Worth,TX 76102
Ph:817,392.2629
ITEM(S)SUBMITTED INCLUDE: FX Attached
0
COPIES DESCRIPTION
1 Renewal 2 Performance,Payment and Material bonds
1 Consent of Surety-Renewal 1
1 Final Affidavit-Renewal 1
THESE ITEMS ARE TRANSMITTED AS INDICATED BELOW: (If enclosures are not as shown,kindly notify us at once.)
For Approval Approved as submitted Resubmit copies for approval
Ox For your use Approved as noted Submit copies for distribution
0 As requested For Signature Return corrected prints
For review&comment
REMARKS:
cc: File
THERESA CALVERT
theresa(a)acepipe.com
(816)241-2891
Ace Pipe Cleaning,Inc.
6601 Universal Avenue
Kansas City,MO 64120-1330
CONSENT OF OWNER ❑
SURETY COMPANY ARCHITECT ❑
TO FINAL PAYMENT CONTRACTOR ❑
SURETY X
OTHER ❑
AIA DOCUMENT G707 Bond No. 107286730
PROJECT: 2020 Misc. Sanitary Sewer Manhole Repair Contract; City Project No.02639
1st Renewal Option of 4 One Year Options Exercised for the 2021-2022 term
TO (Owner)
CONTRACT FOR: 2020 Misc. Sanitary Sewer Manhole
City of Fort Worth Repair Contract; City Project No.02639
1000 Throckmorton Street 1st Renewal Option of 4 One Year
Fort Worth, TX 76102 Options Exercised for the 2021-2022 term
CONTRACT DATE: June 8, 2021
L
CONTRACTOR: Ace Pipe Cleaning, Inc.
6601 Universal Avenue
Kansas City, MO 64120
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)
Travelers Casualty and Surety Company of America
One Tower Square
Hartford, CT 06183 SURETY COMPANY,
On bond Of(here insert name and address of Contractor)
Ace Pipe Cleaning, Inc.
6601 Universal Avenue
Kansas City, MO 64120 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)
City of Fort Worth
1000 Throckmorton Street
Fort Worth, TX 76102
OWNERS,
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 2022
Travelers Casualty and Surety Company of America
Surety fCortlp y
c
Signature of Authorized RepresentativeWitness:
(Neal): - Peter S. Forker,Attorney-In-Fact
Oscar F. Rinco Title One Tower Square, Hartford, CT 06183
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
0 1970•THE AMERICAN INSTITUTE OF ARCHITECTS.1735 NEW YORK AVE.,NW,WASHINGTON,D.C.20006
Travelers Casualty and Surety Company of America
Travelers Casualty and Surety Company
TRAVELERS St. Paul Fire and Marine Insurance Company
POWER OF ATTORNEY
KNOW ALL MEN BY THESE PRESENTS: That Travelers Casualty and Surety Company of America, Travelers Casualty and Surety Company, and
St. Paul Fire and Marine Insurance Company are corporations duly organized under the laws of the State of Connecticut (herein
collectively called the"Companies"),and that the Companies do hereby make,constitute and appoint Peter S Forker of
ROLLING MEADOWS , Illinois , their true and lawful Attorney(s)-in-Fact to sign, execute, seal and
acknowledge any and all bonds, recognizances, conditional undertakings and other writings obligatory in the nature thereof on behalf of
the Companies in their business of guaranteeing the fidelity of persons, guaranteeing the performance of contracts and executing or
guaranteeing bonds and undertakings required or permitted in any actions or proceedings allowed by law.
IN WITNESS WHEREOF,the Companies have caused this instrument to be signed, and their corporate seals to be hereto affixed,this 21st day of April,
2021.
,� of JY 9JP
HAHTlTY 40vo
4o- `9F
a FN. pr y
CON c�
1�•r�`� "�a'1 d+De � 14
r �s
State of Connecticut
By:
City of Hartford ss. Robert L.Rane enior Vice President
On this the 21st day of April, 2021, before me personally appeared Robert L. Raney, who acknowledged himself to be the Senior
Vice President of each of the Companies, and that he, as such, being authorized so to do, executed the foregoing instrument for the
purposes therein contained by signing on behalf of said Companies by himself as a duly authorized officer.
IN WITNESS WHEREOF, I hereunto set my hand and official seal. f/ i����
NOTARY
My Commission expires the 30th day of June,2026
rusLia Anna P.Nowik,Notary Public
�ASVE
This Power of Attorney is granted under and by the authority of the following resolutions adopted by the Boards of Directors of each of
the Companies,which resolutions are now in full force and effect,reading as follows:
RESOLVED, that the Chairman, the President, any Vice Chairman, any Executive Vice President, any Senior Vice President, any Vice
President, any Second Vice President, the Treasurer, any Assistant Treasurer, the Corporate Secretary or any Assistant Secretary may appoint
Attorneys-in-Fact and Agents to act for and on behalf of the Company and may give such appointee such authority as his or her certificate of authority
may prescribe to sign with the Company's name and seal with the Company's seal bonds, recognizances, contracts of indemnity, and other writings
obligatory in the nature of a bond, recognizance, or conditional undertaking, and any of said officers or the Board of Directors at any time may
remove any such appointee and revoke the power given him or her;and it is
FURTHER RESOLVED, that the Chairman, the President, any Vice Chairman, any Executive Vice President, any Senior Vice President or
any Vice President may delegate all or any part of the foregoing authority to one or more officers or employees of this Company, provided
that each such delegation is in writing and a copy thereof is filed in the office of the Secretary;and it is
FURTHER RESOLVED, that any bond, recognizance, contract of indemnity, or writing obligatory in the nature of a bond, recognizance,
or conditional undertaking shall be valid and binding upon the Company when (a) signed by the President, any Vice Chairman, any Executive
Vice President, any Senior Vice President or any Vice President, any Second Vice President, the Treasurer, any Assistant Treasurer, the
Corporate Secretary or any Assistant Secretary and duly attested and sealed with the Company's seal by a Secretary or Assistant Secretary;
or (b) duly executed (under seal, if required) by one or more Attorneys-in-Fact and Agents pursuant to the power prescribed in his or her
certificate or their certificates of authority or by one or more Company officers pursuant to a written delegation of authority;and it is
FURTHER RESOLVED, that the signature of each of the following officers: President, any Executive Vice President, any Senior Vice President,
any Vice President, any Assistant Vice President, any Secretary, any Assistant Secretary, and the seal of the Company may be affixed by facsimile to
any Power of Attorney or to any certificate relating thereto appointing Resident Vice Presidents, Resident Assistant Secretaries or Attorneys-in-
Fact for purposes only of executing and attesting bonds and undertakings and other writings obligatory in the nature thereof, and any such Power of
Attorney or certificate bearing such facsimile signature or facsimile seal shall be valid and binding upon the Company and any such power so executed
and certified by such facsimile signature and facsimile seal shall be valid and binding on the Company in the future with respect to any bond or
understanding to which it is attached.
I, Kevin E. Hughes, the undersigned, Assistant Secretary of each of the Companies, do hereby certify that the above and foregoing is a
true and correct copy of the Power of Attorney executed by said Companies,which remains in full force and effect.
Dated this 2 day of jAAVaf V
��AY J'�TY ANO
WtLYO a HANTFORD, MAOM
COtiN.
Kevin E.Hughes,Assi tant Secretary
To verify the authenticity of this Power of Attorney,please calf us at 1-800-421-3880.
Please refer to the above-named Attorney(s)-in-Fact and the details of the bond to which this Power of Attorney is attached.
ACKNOWLEDGMENT BY SURETY
STATE OF Illinois
SS.
County of Cook
On this day of 2022 ,before me personally
appeared Peter S. Forker ,known to,me to be the Attorney-in-Fact of
Travelers Casualty and Surety Company of America
the corporation
that executed the within instrument,and acknowledged to me that such corporation executed the same.
IN WITNESS WHEREOF,I have hereunto set my hand and affixed my official seal,at my office in the aforesaid County,the day and
year in this certificate first above written.
DO�YGF'$F VI iC+�IAL�SEAL
SGAR F.RINCON
L7NOTARY
lFLIC- STATE OF
ILLINOIS
SION EXPIRES SEPT 172024
� 17 ZZ'
,
Notary Public in the State of Illinois
County of Cook
S-0230/GE 10/99
XDP
Print Form
Final Bills Paid Affidavit
by Contractor
BEFORE ME,the undersigned authority,personally appeared ACE PIPE CLEANING INC (hereinafter referred to as
"Contractor"),known to me to be a credible person,and after being by me duly sworn,upon oath stated and affirmed that:
"My name is BRUCE VANTINE and I am the SECRETARY TREASUF11] of ACE PIPE CLEANING INC
hereafter sometimes referred to in this affidavit as"Contractor". Contractor's business address is
6601 UNIVERSAL AVE, Koff The undersigned Contractor has personal knowledge of the facts stated herein and
has full authority to make the agreements in this affidavit on behalf of Contractor.
Pursuant to and in accordance with a written construction contract between ACE PIPE CLEANING &Contractor,and
CITY OF FT WORTH Owner/Administrator,Contractor furnished materials and labor for the construction,
renovation,or repair of improvements located on or relating to project known as 2020 MISC MH REPAIRS d located
at FT WORTH TX City of FT WORTH , -rq-7Mc-A r\l-i-- County,Texas,legally
described in Exhibit"A" attached hereto and made a part hereof for all purposes (the"Property"). All work provided
for under said written construction contract, together with all changes and supplements thereto, has been fully
completed in accordance with the terms and provisions thereof.
Contractor has paid each of its subcontractors, laborers, suppliers and materialmen in full for all labor and materials
provided to Contractor for or in connection with the construction, renovation,or repair of improvements on or relating to
the subject Property, or any portion thereof, excepting only the amounts owed for the following specified bills to the
persons identified below. Contractor warrants and represents that the following specified bills will be paid to Contractor
by Owner/Administrator in reliance on this Final Bills Paid Affidavit:
Name of Payee Address Telephone No. Amount Owed
Other than the above specified bills owed to the above referenced persons, Contractor is not aware of any unpaid bills,
claims, demands,or causes of action by any of its subcontractors,laborers, suppliers,or materialmen for or in connection
with the furnishing of labor or materials,or both,for the construction,renovation,or repair of improvements located on or
related to the subject Property.
In consideration of the funds paid to Contractor by Owner/Administrator and by Lender on behalf of Owner/Administrator
in reliance on this affidavit,Contractor waives and releases all of Contractor's statutory and constitutional mechanic's lien
rights connected with the construction of the Project, conditioned on the actual payment or collection if payment is made
by check or draft.
Contractor further understand that this Final Bills Paid Affidavit is being given pursuant to and in accordance with
Sections 53.085 and 53.259 of the Texas Property Code and that the intentional,knowing,or reckless making of a false or
misleading statement in this Affidavit constitutes an offense under said Section and is a Class A misdemeanor.
Contractor hereby indemnifies and holds harmless Owner/Administrator from any and all claims, demands or causes of
action,and any costs,expenses, and attorney's fees incurred in connection therewith,arising from or connected with,the
statements and representations contained herein."
Form 16—Final Bills Paid Affidavit Page 1 of 3
May 1, 2009
EXECUTED this®day of JANUARY ,2022 .
ACE PIPE CLEANING INC
[Name of Contractor Company]
B Z�- �.
Y•
Printed NameBRUCE VANTINE
Title: SECRETARY TREASURER
Notary's Acknowledgement
Before me,the undersigned authority,on this day personally appeared ,
who first being duly sworn by me to be the person whose name is subscribed to the foregoing Final Bills Paid Affidavit,
acknowledged that he/she has the authority to make this Final Bills Paid Affidavit,and further acknowledged to me that he/
she executed the same for the purpose and consideration therein expressed.GIVEN UNDER MY HAND AND SEAL OF OFFICE on this the a Na J y of 4 n y4,7 ,20 .
(Seal)
=Public
MOORE Notary Public,State of Toms � f use/
-Notary Seal M commission ex iresMISSOURI Y p for Clay County
Expires 4/11/2025
#17285637
Form 16—Final Bills Paid Affidavit Page 2 of 3
May 1, 2009
EXHIBIT"A"
Form 16—Final Bills Paid Affidavit Page 3 of 3
May 1, 2009
FORTWORTH
February 17,2022
Ace Pipe Cleaning,Inc
6601 Universal Avenue
Kansas City,Mo 64120
Re:Acceptance Letter
Project Name: 2020 Miscellaneous Sanitary Sewer Manhole Repair Contract 1st Renewal
Project Type: Sewer
Project Ns: 102639
DOE. Ns: N/A
Contract Ns: 54211-R1 Dated: 2/17/2022
Gentleman:
On December 17,2021 a final inspection was made on the subject project. There were punch list items
identified at the time. The punch list items were completed on December 17,2021. 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 17,2021,which is the date of punch list
completion and will extend for(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) 392-6054
Yours Truly,
r�
�n) Svv �
Tony Sholola,P.E.,Assistant Director,Water Department
TS /
cc: Chris Harder,P.E.,Director,Water Department
Laura Wilson,P.E.,Deputy Director,Water Department
Captain Michael Skains,Fire Department
Luke Coffman,Sanitary Sewer Systems Superintendent,Water Department
Cesar Zavala, Water Systems Superintendent,Water Department
,Project Manager,Water Department Capital Projects Delivery
David R Johnson,Inspection Supervisor,Water Department Capital Projects Delivery
Field Opps,Inspector,Water Department Capital Projects Delivery
N/A, Consultant
ACE Pipe Cleaning,Inc, Contractor
File
WATER DEPARTMENT
ENGINEERING AND FISCAL SERVICES
THE CITY OF FORT WORTH * 1000 THROCKMORTON STREET * FORT WORTH, TEXAS 76102
817-392-8240 * FAx 817-392-8195
CD Printed on recycled paper