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Contract 53482-FP1
City Secretary 53482 -FP1 Contract No. FORTWORTH. Date Received Mar 11,2022 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: Drainage & Paving Improvements to Serve Texas Health Harris Methodist FW City Project No.: 102109 Improvement Type(s): 0 Paving 0 Drainage ❑ Street Lights ❑ Traffic Signals Original Contract Price: $564,333.00 Amount of Approved Change Order(s): $172,572.60 Revised Contract Amount: $736,905.60 Total Cost of Work Complete: $736,905.60 &-9W C, 1WI419GG Mar 9 2022 Brad Caldwell(Mar 9,2022 08:50 CST) Contractor Date Operations Manager Title Ft.Worth Civil Constructors Company Name aanv' Mar 9,2022 Imes Ru (Mar 9,2022 09:00 CST) Project Inspector Date � ,,r�, �• Mar 9,2022 Project Manager Date yanie scarlet&Morales Mar 9 2022 Janie Scarlett Morales(Mar9,2022 19:27 CST) CFA Manager Date Dana Burghdoff(Mar 9,202 0:58 CST) Mar9 2022 Asst. City Manager Date OFFICIAL RECORD CITY SECRETARY Page 1 of 2 FT. WORTH, TX Notice of Project Completion Project Name: Drainage & Paving Improvements to Serve Texas Health Harris Methodist FW City Project No.: 102109 City's Attachments Final Pay Estimate 0 Change Order(s): 0 Yes ❑ N/A Contractor's Attachments Affidavit of Bills Paid Consent of Surety Statement of Contract Time Contract Time: 115 CD Days Charged: 223 Work Start Date: 5/26/2020 Work Complete Date: 2/23/2022 Page 2 of 2 FORT WORTH CITY OF FORT WORTH FINAL PAYMENT REQUEST Contract Name DRAINAGE&PAVING IMPROVEMENTS TO SERVE TEXAS HEALTH H Contract Limits Project Type DRAINAGE&PAVING City Project Numbers 102109 DOE Number 2109 Estimate Number 1 Payment Number 1 For Period Ending 2/23/2022 CD City Secretary Contract Number Contract Time I IGD Contract Date 3/12/2020 Days Charged to Date 220 Project Manager NA Contract is 100.00 Complete Contractor FORT WORTH CIVIL CONSTRUCTORS 1675-B SO.MAIN ST KELLER, TX 76248 Inspectors CORDOVA / RUIZ,J Monday,March 7,2022 Page 1 of 5 City Project Numbers 102109 DOE Number 2109 Contract Name DRAINAGE&PAVING IMPROVEMENTS TO SERVE TEXAS HEALTH Estimate Number I Contract Limits Payment Number I Project Type DRAINAGE&PAVING For Period Ending 2/23/2022 Project Funding UNIT III:DRAINAGE IMPROVEMENTS Item Estimated Estimated Completed Completed Description of Items Unit Unit Cost No. Quanity Total Quanity Total --------------------------------------- 1 5'WIDE ASPHALT PVMT REPAIR,ARTERIAL 464 LF $124.00 $57,536.00 464 $57,536.00 (CO 1) 2 4"WATERLINE LOWERING 1 EA $19,680.00 $19,680.00 1 $19,680.00 3 8"WATERLINE LOWERING 1 EA $20,553.00 $20,553.00 1 $20,553.00 4 TRENCH SAFETY 717 LF $15.00 $10,755.00 717 $10,755.00 5 CONCRETE ENCASEMENT FOR UTILITY PIPES 1.35 CY $3,300.00 $4,455.00 1.35 $4,455.00 6 30"RCP CLASS III(CO 1) 4 LF $243.00 $972.00 4 $972.00 7 4'STORM JUNCTION BOX(CO 1) 2 EA $9,530.00 $19,060.00 2 $19,060.00 8 CONNECT TO EXISTING STORM DRAIN 1 EA $2,650.00 $2,650.00 1 $2,650.00 MANHOLE 6A 30"RCP CLASS IV(CO 1) 425 LF $270.00 $114,750.00 425 $114,750.00 9 8'WIDE ASPHALT PVMT REPAIR(CO#1) 288 LF $156.95 $45,201.60 288 $45,201.60 10 12"WATER LINE LOWERING(CO 1) 1 EA $26,947.00 $26,947.00 1 $26,947.00 11 4'X2'BOX CULVERT(CO 1) 288 LF $454.00 W0,752.00 288 $130,752.00 12 YXT STORM JUNCIION BOX(CO 1) 1 EA $10,215.00 $10,215.00 1 $10,215.00 13 4'X5'STORM JUNCTION BOX(CO 1) 1 EA $10,215.00 $10,215.00 1 $10,215.00 14 1"STEEL PLATE(CO 1) 107 SF $75.00 $8,025.00 107 $8,025.00 Sub-Total of Previous Unit $481,766.60 $481,766.60 --------------------------------------- UNIT IV:PAVING IMPROVEMENTS Item Estimated Estimated Completed Completed Description of Items Unit Unit Cost No. Quanity Total Quanity Total --------------------------------------- 1 REMOVE SIDEWALK 2221 SF $5.00 $11,105.00 2221 $11,105.00 2 REMOVE ADA RAMP(CO 2) 4 EA $866.00 $3,464.00 4 $3,464.00 3 REMOVE ASPHALT PAVEMENT 203 SY $71.00 $14,413.00 203 $14,413.00 4 REMOVE CONCRETE CURB&GUTTER(CO 2) 624 LF $37.00 $23,088.00 624 $23,088.00 5 REMOVE CONC PVMT 50 SY $74.00 $3,700.00 50 $3,700.00 6 7"CONC PVMT 129 SY $315.00 $40,635.00 129 $40,635.00 7 4"CONC SIDEWALK(CO 2) 2485 SF $16.00 $39,760.00 2485 $39,760.00 8 7"CONCRETE DRIVEWAY(CO 2) 2691 SF $19.00 $51,129.00 2691 $51,129.00 9 BARRIER FREE RAMP,TYPE R-1(CO 2) 2 EA $3,715.00 $7,430.00 2 $7,430.00 10 BARRIER FREE RAMP,TYPE P-1 2 EA $3,550.00 $7,100.00 2 $7,100.00 Monday,March 7,2022 Page 2 of 5 City Project Numbers 102109 DOE Number 2109 Contract Name DRAINAGE&PAVING IMPROVEMENTS TO SERVE TEXAS HEALTH Estimate Number I Contract Limits Payment Number I Project Type DRAINAGE&PAVING For Period Ending 2/23/2022 Project Funding 11 5"CONC CURB AND GUTTER(CO 2) 446 LF $57.00 $25,422.00 446 $25,422.00 12 INSTALL ALUM SIGN GROUND MOUNT 3 EA $975.00 $2,925.00 3 $2,925.00 13 PAVEMENT MARKINGS I LS $4,400.00 $4,400.00 1 $4,400.00 14 1"WIDE ASPHALT PVMNT REPAIR,ARTERIAL 378 LF $35.00 $13,230.00 378 $13,230.00 15 REMOVE STREET LIGHT(CO 2) 3 EA $2,446.00 $7,338.00 3 $7,338.00 Sub-Total of Previous Unit $255,139.00 $255,139.00 Monday,March 7,2022 Page 3 of 5 City Project Numbers 102109 DOE Number 2109 Contract Name DRAINAGE&PAVING IMPROVEMENTS TO SERVE TEXAS HEALTH Estimate Number 1 Contract Limits Payment Number 1 Project Type DRAINAGE&PAVING For Period Ending 2/23/2022 Project Funding Contract Information Summary Original Contract Amount $564,333.00 Change Orders Change Order Number 1 $131,944.60 Change Order Number 2 $40,628.00 Total Contract Price $736,905.60 Total Cost of Work Completed $736,905.60 Less %Retained $0.00 Net Earned $736,905.60 Earned This Period $736,905.60 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 $736,905.60 Monday,March 7,2022 Page 4 of 5 City Project Numbers 102109 DOE Number 2109 Contract Name DRAINAGE&PAVING IMPROVEMENTS TO SERVE TEXAS HEALTH Estimate Number I Contract Limits Payment Number 1 Project Type DRAINAGE&PAVING For Period Ending 2/23/2022 Project Funding Project Manager NA City Secretary Contract Number Inspectors CORDOVA / RUIZ,J Contract Date 3/12/2020 Contractor FORT WORTH CIVIL CONSTRUCTORS Contract Time 115 CD 1675-B SO.MAIN ST Days Charged to Date 220 CD KELLER, TX 76248 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 $736,905.60 Less %Retained $0.00 Net Earned $736,905.60 Earned This Period $736,905.60 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 $736,905.60 Monday,March 7,2022 Page 5 of 5 � e / � /\ k § o q ° - 0 § m J 8 ] L # % §, \LLA \. j m i � C (D ) ; /E § L) L) § 3 z 2 � - ` N j $ ; § 7 # G 0 a 2 i \ / \ _0® a w E G ; ; 2 w = y o a) _/ /_ / 2 © ) CD k 0 o ) 0 0 # \ \ / § /_ \ } k / } \ w / \ x < zz I G a) a) GQ CD ° § § E / 0 / i � 0 § k / LU CD e \ \ ( /1� 49 I 4 � c a s \ ECL m $ E - a ° u � = m / / k 2 m / \ Cl E \ _ k k < } } k w § o w ° $ Z) L) f § / / \ } \ A S / � w § / } u ( § / ) k § ) § / @ w of 0 k & @ A o ƒ z § § § w } a \ � \ p [ § E d 2 u u k En _ g§ \ / j w \ o $ § e § 2 2 }z o20 oIU m E 4 ƒ § § \ S a � R 2 S6V OmdkzgoyEO6V%zq�symyB2Ik%aqumSmo DocuSign Envelope ID:9941895B-1882-4A9D-824D-5205FD2DA9C1 REVIEWED By Andrew Goodman at 4:38 prn,Mar 23,2021 You are directed to make the followingthan es in the contract documents: CITY BID ITEM PAY ITEM# # QUANTITY UNIT ITEM DESCRIPTION UNIT PRICE TOTAL III-1 3201.0122 -253 LF 5'Wide Asphalt Pvmt Repair,Arterial $ 124.00 S f3l.372.00) 111-6 3341.0302 -713 LF 30"RCP,Class III $ 243.00 173 259.00 III-6A 3341.0303 425 LF 30"RCP,Class IV $ 270.00 114 750.00 111.7 3349.0001 -1 FA 4'Storm Junction Box $ 9,530.00 9 530.00 111.9 320110125 288 LF 8'Wide Asphalt Pvmt Re air,Arterial $ 156.95 45 201.60 III-10 3305.0005 1 FA 12"Watedine Lowering $26,947.00 26 947.00 III-11 3341.1101 288 LF 4'X2'Box Culvert $ 454.00 130 752.00 111-12 99999999 1 FA 315'Storm Junction Box $10,215.00 10 215.00 III-13 99999999 1 FA 4'x5'Storm Junction Box $10,215.00 10 215.00 III-14 99999999 107 SF 1"Steel Plate $ 11f 00 8 025.00 DRAINAGE TOTAL $ 138,944.60 REASONS FOR CHANGE ORDER Conflict with exist Water Line,Electric Duct Bank and Fiber Optic Duct Bank DS RECOMMENDED: APPROVED: APPROVED: ouSigned by: Teague Nall&Parkins,Inc. F rrh Civil s cfors,LL Texast9j,11IR"eso,',mes �L ''�•, t By: �� By: - By 11�d—r��UI.EIW Name: Scott A.Gibson,P.E. Name: Austin Alumbaugh Name: ..0091400... Title:Team Leader TMIe: President TiOe; Senior Vice President 04 \ e / ( 0ZC3 [ § § u 2 ) ; LLJ \ u \ w LLJ LLJ ) CL C E c ) m k CD CD wk - 401. 2w ( ; L) C.) § § # k k � CCL CL ° # �° a 2b E -0 ; ji k 2 a aw ; kLm % S\ L wK z mu ui k 2 CC) CC) g � co < c o CL 3 ¢ S .2 - _ _ ; � 0 f / £ - R § 2 kk 0 IL rr jkCD L I u II u CD 0 § co - < a < k - b k cm c c �) b / k 6 � � k u � o a LU ` _ § § ■ 3 \ LU Co & » ° ca \ CoCD � k § § k § [ W 0 o \tm S S § § _ k \ 9 § k; > ) ) o a o / z \ .. W §\ k k » oo « = z « ° k ) = � a � e w w < ° ( u°' 0 < § ( 0 § » o I § > I k ALLJ § § k z o IL z■ � ■ p v § CLCL v § [ ( b S E « LLJ E § �ƒ # e aW w e wo z < z § e§ § % c § e azR £§ k S eq CL o 0 0 L § §{3 f 0 � _ k _ 0 \ /04 CL m @@@@@@@ R | ƒ ( o I \ ) )8 en r- U§ ] p �-} $ 8 G_______ � CL{ e ---- e Ll LLA c . CCm § gn k § o ! k � B j k d _ « m z P k 6 CL ED e�� ; |0 > up § «in d 08c0 o © -CL MW §a2 °� ° k L) S wpm 2 � 2 § A 7 � E k 2 / k 2 I t 2 - IL .. k § # U. £ 2 F \5-i§§ 5-5 a § k ---- � § ( � § @� m mm a i _ ! ^ ] - uj / - 0 2 CL r § , ---- gLLI _ \ L SS- � �G� \ � = k 3 fc,ene§ 't 0 § z e 2 LLI § m LLI L = 2 z & f o § § 2 z § (\/}//}} 3 2 T < It CL 0 / 2 § § « > 3 f 0 FORTWORTH. TRANSPORTATION AND PUBLIC WORKS February 15, 2022 Fort Worth Civil Constructors, LLC 4860 Mark IV Parkway Fort Worth,Texas 76106 RE: Acceptance Letter Project Name: Drainage Improvements to Serve Texas Health Harris Methodist Hospital Fort Worth Project Type: Drainage, Paving City Project No.: 102109 To Whom It May Concern: On February 28, 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 March 7, 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 March 7, 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) 392-6251. Sincerely, qq..1 C'J' Andrew Goodman, Project Manager Cc:James Ruiz, Inspector Ron Cordova, Inspection Supervisor Edward Davila, Senior Inspector Victor Tornero, Program Manager TNP, Consultant Fort Worth Civil Constructors, Contractor Texas Health Resources, Developer File E-Mail: TPW_Acceptance@fortworthtexas.gov Rev.8/20/19 AFFIDAVIT THE STATE OF TEXAS § COUNTY OF TARRANT § BEFORE ME, the undersigned authority, a Notary Public in and for said County and State, on this day personally appeared Austin Alumbaugh known to me to be a credible person of lawful age, who, after being duly sworn deposes and says: I am the President of Fort Worth Civil Constructors, LLC (Title) (Company) which said company entered into a contract with Texas Health Resources and City of Fort Worth on the 13th day of February , A.D. 20 20 to construct CFA#19-0053 - Drainage Improvements to serve Texas Health Resources New Patient Tower. in the City of Fort Worth, Texas I do hereby under oath swear and affirm that all bills for labor, material, utilities, insurance, and all other accounts in connection with the above construction project have been paid and satisfied. I do further acknowledge that upon the receipt of $73,690.56 Seventy three thousand six hundred ninety dollars and fifty six cents Dollars such will constitute full and final payment of all sums due or becoming due to Fort Worth Civil Constructors, LLC pursuant to the above referenced agreement. Final Contract Price $736,905.60 SUBSCRIBED AND SWORN to this the U day of D. 2(}90�. MANDI EVEN .PPY•PU9 i! o; Notary Public, State of Tex Comm. Expires 08 28 202 '� Pub is in and for i�TP OF tF"` Notary ID 12431710-4 '' "" rrant County, Texas CONSENT OF OWNER SURETY COMPANY ARCHI mur TO FINAL PAYMENT CONTRACfOR SURETY AIA DOCUMENT G707 OTHER Bond No. SUR0058777 PROJECT: Drainage Improvements to Serve: Texas Health Resources New Patient Town; CPN (name,address) 102109-Fort Worth,TX TO (Owner) [ City of Fort Worth ] ARCHITECT'S PROJECT NO: 200 Texas Street Fort Worth,TX 76102 CONTRACT FOR: Drainage Improvements ] CONTRACT DATE: CONTRACTOR: Fort Worth Civil Constructors, LLC P.O. Box 161727 Fort Worth,TX 76161 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) Argonaut Insurance Company P.O. Box 469011 San Antonio,TX 78246 SURETY COMPANY, on bond of(here insert name and address of Contractor) Fort Worth Civil Constructors,LLC P.O.Box 161727 Fort Worth,TX 76161 , 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 200 Texas Street Fort Worth,TX 76102 ,OWNER, as set forth in the said Surety Company's bond. IN WITNESS WHEREOF, the Surety Company has hereunto set its hand this Sth day of March 2Q22 Argonaut Insurance Company Surety Company n\ i In L— �A 1,�,&.z CJ�C S ure of Authorized Representative TV Attest: V-z't (Seal): Andrea Rose Crawford Attorney-In-Fact Title NOTE: This fort 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 G767_CONSENT OF SIB[?TY COMPANY TO FINAL PAYMENT APRII. 1970 EDITION AIA ONE PAGE: 1970 THE:AMERti7AN INSTI"1-IJ111r OF ARCI 111EiCTS, 1735 New York Ave.,NW,WAS]IINGTON,D.C. 20006 Argonaut Insurance Company Deliveries Only: 225 W. Washington, 24th Floor Chicago, IL 60606 United States Postal Service: P.O. Box 469011, San Antonio, TX 78246 POWER OF ATTORNEY KNOW ALI.MEN BY THESE PRESENTS: That the Argonaut Insurance Company,a Corporation duly organized and existing under the laws of the State of Illinois and having its principal office in the County of Cook,Illinois does hereby nominate,constitute and appoint: Andrea Rose Crawford.Troy Russell Key,Debra Lee Moon. John William Newby,Sandra Lee Roney,Linda Michel le�Stu]der.Joshua D.Tritt.Sheric Michelle Greenough Their true and lawful agent(s)and attomcy(s)-in-fact,each in their separate capacity if more than one is named above,to make,execute,seal and deliver for and on its behalf as surety,and as its act and deed any and all bonds,contracts,agreements of indemnity and other undertakings in suretyship provided, however,that the penal sum of any one such instrument executed hereunder shall not exceed the sum of: $85,000,000.00 This Power of Attorney is granted and is signed and scaled under and by the authority of the following Resolution adopted by the Board of Directors of Argonaut Insurance Company: "RESOLVED,That the President,Senior Vice President,Vice President,Assistant Vice President,Secretary,Treasurer and each of them hereby is authorized to execute powers of attorney,and such authority can be executed by use of facsimile signature,which may be attested or acknowledged by any officer or attorney,of the Company,qualifying the attorney or attorneys named in the given power of attorney,to execute in behalf of,and acknowledge as the act and deed of the Argonaut Insurance Company,all bond undertakings and contracts of suretyship,and to affix the corporate seal thereto." IN WITNESS WHEREOF,Argonaut Insurance Company has caused its official seal to be hereunto affixed and these presents to be signed by its duly authorized officer on the 8th day of May,2017. Argonaut Insurance Company Rq,ye. - T O SEAL D_'= by: _ s�ok.• 1948IZL 2: STATE OF TEXAS Joshua C.Bev., Senior Vice President COUNTY OF HARRIS SS: On this 8th day of May,2017 A.D.,before me,a Notary Public of the State of Texas,in and for the County of Harris,duly commissioned and qualified, came THE ABOVE OFFICER OF THE COMPANY,to me personally known to be the individual and officer described in,and who executed the preceding instrument,and he acknowledged the execution of same,and being by me duly sworn,deposed and said that he is the officer of the said Company aforesaid,and that the seaLaftixed to the preceding instrument is the Corporate Seal of said Company,and the said Corporate Seal and his signature as officer wer°dulyafixed and subscribed to the said instrument by the authority and direction of the said corporation,and that Resolution adopted by the Board of Directors of said Company,referred to in the preceding instrument is now in force. IN TESTIMONY WHEREOF,I have hereunto set my hand,and affixed my Official Seal at the County of Harris,the day and year first above written, 463 1h t,t.n`I`ll.�%EE= Wo (Notary Public) I,the undersigned Officer of the Argonaut Insurance Company,Illinois Corporation,do hereby certify that the original POWER OF ATTORNEY of which the foregoing is a full,true and correct copy is still in full force and effect and has not been revoked. IN WITNESS WHEREOF,I have hereunto set my hand,and affixed the Seal of said Company,on the 8th day of March 2022 . .°=SEAL'1948 - =. '�L'•AO'�' James Bluzard, Vice President-Surety THIS DOCUMENT IS NOT VALID UNLESS THE WORDS ARGO POWER OF ATTORNEY ARE IN BLUE. IF YOU HAVE QUESTIONS ON AUTHENTICITY OF THIS DOCUMENT CALL(210)321-8400. IMPORTANT NOTICE To obtain information or make a complaint: You may call Argonaut Insurance Company and its affiliates by telephone for information or to make a complaint: ARGONAUT INSURANCE COMPANY Please send all notices of claim on this bond to: Argo Surety Claims (413) 773-6359 Deliveries Only: 225 W. Washington, 241' Floor, Chicago, IL 60606 United States Postal Service: P.O. Box 469011, San Antonio, TX 78246 You may contact the Texas Department of Insurance to obtain information on companies, coverages, rights or complaints at: (512) 490-1007 You may write the Texas Department of Insurance: P. O. Box 149104 Austin, TX 78714-9104 Fax: (512) 475-1771 Web: htto://www.tdi.state.tx.us E-mail: Cons umerProtectionAtdi.state.tx.us PREMIUM OR CLAIM DISPUTES: Should you have a dispute concerning your premium or about a claim you should contact your agent or Argo Surety first. If the dispute is not resolved, you may contact the Texas Department of Insurance. ATTACH THIS NOTICE TO YOUR BOND: This notice is for information only and does not become a part or condition of the attached document and is given to comply with Texas legal and regulatory requirements.