HomeMy WebLinkAboutContract 55683-FP1 City Secretary
Contract No. 55683 -FP1
FORTWORTH. Date Received Mar 24,2022
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: Talon Hills Phase III
City Project No.: 102190
Improvement Type(s): ❑ Paving ❑x Drainage ❑ Street Lights ❑ Traffic Signals
Original Contract Price: $21,654.00
Amount of Approved Change Order(s):
Revised Contract Amount: $21,654.00
Total Cost of Work Complete: $21,654.00
Albeit Gngntcies M a r 22,2022
Alhcrt l;ranhgcc(Mari n11-15 fnT)
Contractor Date
Vice President
Title
Burnsco Construction, Inc.
Company Name
n—h— Mar 22,2022
Jas6f Bradley(Mar 22,2022 13:27 CDT)
Project Inspector Date
C'J' M a r 23,2022
Project rManager Date
:7gel c�GGI!'LG��Awnl I Mar 23 2022
Janie Scarlett Morales(Mar 23,2022 08:04 CDT)
CFA Manager Date
bay B�AGu7 Dana Burghdoff(War 23,20 M a r 23 18:42 CDT) ,2022
Asst. City Manager Date
OFFICIAL RECORD
CITY SECRETARY Page 1 of 2
FT. WORTH, TX
Notice of Project Completion
Project Name:Talon Hills Phase III
City Project No.: 102190
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: 105 WD Days Charged: 164
Work Start Date: 6/7/2021 Work Complete Date: 2/16/2022
Completed number of Soil Lab Test: 170
Completed number of Water Test: 4
Page 2 of 2
FORT WORTH
CITY OF FORT WORTH
FINAL PAYMENT REQUEST
Contract Name TALON HILLS PHASE 3
Contract Limits
Project Type STORM DRAIN
City Project Numbers 102190
DOE Number 2190
Estimate Number 1 Payment Number 1 For Period Ending 3/21/2022
City Secretary Contract Number Contract Time
Contract Date Days Charged to Date 164
Project Manager NA Contract is 100.00 Complete
Contractor BURNSCO CONSTRUCTION,INC.
6331 SOUTHWEST BLVD
FORT WORTH, TX 76132
Inspectors / BRADLEY
Monday,March 21,2022 Page 1 of 4
City Project Numbers 102190 DOE Number 2190
Contract Name TALON HILLS PHASE 3 Estimate Number I
Contract Limits Payment Number I
Project Type STORM DRAIN For Period Ending 3/21/2022
Project Funding
STORM DRAIN
Item Estimated Estimated Completed Completed
Description of Items Unit Unit Cost
No. Quanity Total Quanity Total
---------------------------------------
1 TRENCH SAFETY 54 LF $1.00 $54.00 54 $54.00
2 30"RCP CLASS III 54 LF $125.00 $6,750.00 54 $6,750.00
3 20'CURB INLET 1 EA $7,900.00 $7,900.00 1 $7,900.00
4 30"FLARED HEADWALL 1 EA $3,800.00 $3,800.00 1 $3,800.00
5 MEDIUM STONE RIP RAP 45 SY $70.00 $3,150.00 45 $3,150.00
Sub-Total of Previous Unit $21,654.00 $21,654.00
Monday,March 21,2022 Page 2 of 4
City Project Numbers 102190 DOE Number 2190
Contract Name TALON HILLS PHASE 3 Estimate Number I
Contract Limits Payment Number 1
Project Type STORM DRAIN For Period Ending 3/21/2022
Project Funding
Contract Information Summary
Original Contract Amount $21,654.00
Change Orders
Total Contract Price $21,654.00
Total Cost of Work Completed $21,654.00
Less %Retained $0.00
Net Earned $21,654.00
Earned This Period $21,654.00
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 $21,654.00
Monday,March 21,2022 Page 3 of 4
City Project Numbers 102190 DOE Number 2190
Contract Name TALON HILLS PHASE 3 Estimate Number I
Contract Limits Payment Number 1
Project Type STORM DRAIN For Period Ending 3/21/2022
Project Funding
Project Manager NA City Secretary Contract Number
Inspectors / BRADLEY Contract Date
Contractor BURNSCO CONSTRUCTION,INC. Contract Time
6331 SOUTHWEST BLVD Days Charged to Date 164
FORT WORTH, TX 76132 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 $21,654.00
Less %Retained $0.00
Net Earned $21,654.00
Earned This Period $21,654.00
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 $21,654.00
Monday,March 21,2022 Page 4 of 4
FORTWORTH.
TRANSPORTATION AND PUBLIC WORKS
March 21, 2022
Burnsco Construction Inc.
6331 Southwest Blvd.
Benbrook,TX 76132
RE: Acceptance Letter
Project Name:Talon Hills Phase III
Project Type: Developer Water,Sewer,Storm
City Project No.: 102190
To Whom It May Concern:
On March 4, 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 21, 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 21, 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:Jason Bradley, Inspector
Mark Owens, Inspection Supervisor
Jo Rogers, Senior Inspector
Victor Tornero, Program Manager
A.N.A Consultant L.L.C. , Consultant
Burnsco Construction Inc, Contractor
BYD Talon Hills Development, LLC, Developer
File
E-Mail: TPW_Acceptance@fortworthtexas.gov
Rev.8/20/19
AFFIDAVIT
STATE OF TEXAS
COUNTY OF TARRANT
Before me, the undersigned authority, a notary public in the state
and county aforesaid, on this day personally appeared Ab Grantges,
Contract Mgr, Of Burnsco Construction,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;
Talon Hill Phase 3 - Water, Sanitary Sewer&Drainage
BY
Ab Grantges, Contract Manager
Subscribed and sworn before me on this date 22nd of March, 2022.
MARY PANNELL
v����Y
A. Nc.Notary Public,5tsta of Texas
�� Comm.Expires 1 Q-19-2022
ary Public ''�:'xoF 1
`►+►rnti��'` Notary ID 5144239
Tarrant County, Texas
CONSENT OF OWNER ❑
SURETY COMPANY ARCHITECT ❑
CONTRACTOR ❑
TO FINAL PAYMENT SURETY ❑
Conforms with the American Institute of OTHER
Architects,AIA Document G707
Bond No 022230561
PROJECT:
(name, address)Talon Hill Phase III-Water, Sanitary Sewer, and Drainage Improvements
Fort Worth TX
TO (Owner)
BYD TALON HILL DEVELOPMENT,LLC AND CITY OF I ARCHITECT'S PROJECT NO:
FORT WORTH CONTRACT FOR:
1105 Glade Road,Suite 100 Talon Hill Phase III-Water,Sanitary Sewer,and Drainage
Improvements
Colleyville TX 76034 J CONTRACT DATE: 4/21/2021
CONTRACTOR: BURNSCO CONSTRUCTION, INC.
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)
LIBERTY MUTUAL INSURANCE COMPANY
175 Berkeley Street
Boston MA 02116 , SURETY COMPANY
on bond of (here insert name and address of Contrectorl
BURNSCO CONSTRUCTION, INC.
6331 Southwest Boulevard
Benbrook TX 76132 , 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)
BYD TALON HILL DEVELOPMENT, LLC AND CITY OF FORT WORTH
1105 Glade Road, Suite 1C0
Colleyville TX 76034 OWNER,
as set forth in the said Surety Company's bond.
IN WITNESS,WHEREOF,
the Surety Company has hereunto set its hand this 1st day of February, 2022
LIBERTY MUTUAL INSURANCE COMPANY
Surety Company
Attest: r "
(Seal); Signature of Authorized Representative
So hinie Hunter Attorney-in-Fact
Title
NOTE: This form is to be used as a companion document to A!A DOCUMENT 0706, CONTRACTOR'S AFFIDAVIT OF PAYMENT OF DEBTS AND CLAIMS,
Current Edition
ONE PAGE
This Power of Attorney limits the acts of those named herein,and they have no authority to
bind the Company except in the manner and to the extent herein stated.
Liberty Liberty Mutual Insurance Company
Mutual. The Ohio Casualty Insurance Company Certificate No: 8205467-022020
SURETY West American Insurance Company
POWER OF ATTORNEY
KNOWN ALL PERSONS BY THESE PRESENTS:That The Ohio Casualty Insurance Company is a corporation duly organized under the laws of the State of New Hampshire,that
Liberty Mutual Insurance Company is a corporation duly organized under the laws of the State of Massachusetts,and West American Insurance Company is a corporation duly organized
under the laws of the State of Indiana(herein collectively called the"Companies"),pursuant to and by authority herein set forth,does hereby name,constitute and appoint, Don E.
Cornell;Joshua Saunders;Kelly A.Westbrook;Mikaela Peppers;Ricardo J.Reyna;Robbi Morales;Sophinie Hunter;Tina McEwan,Tonie Petranek
all of the city of Dallas state of TX each individually if there be more than one named,its true and lawful attomey-in-fact to make,
execute,seal,acknowledge and deliver,for and on its behalf as surety and as its act and deed,any and all undertakings,bonds,rocognizances and other surety obligations,in pursuance
of these presents and shall be as binding upon the Companies as if they have been duly signed by the president and attested by the secretary of the Companies in their own proper
persons.
IN WITNESS WHEREOF,this Power of Attorney has been subscribed by an authorized officer or official of the Companies and the corporate seals of the Companies have been affixed
thereto this 23rd day of April 2021
Liberty Mutual Insurance Company
N.tNSIJ PV11 fN3G N tNS1JR4 The Ohio Casualty Insurance Company
SJa�°4pOf+�>oyfi �yJ�GORpoa.gT��2' West American Insurance Company
u; r � 1912go oa1919 � 0 'nu 1991
Y�J19Ssi CryLs" .aD SO h4M45a O
David M.Carey,Assistant Secretary a
m State of PENNSYLVANIA
County of MONTGOMERY E Cln
0
a) On this 23rd day of Aril , 2021 before me personally appeared David M.Care who acknowledged himself to be the Assistant Secretary of Liberty Mutual Insurance o Y P P Y PP Yr 9 Y dY ca a�
L ro Company,The Ohio Casualty Company,and West American Insurance Company,and that he,as such,being authorized so to do,execute the foregoing instrument for the purposes E-s
�
therein contained by signing on behalf of the corporations by himself as a duly authorized officer. m
as
m >�
IN WITNESS WHEREOF,i have hereunto subscribed my name and affixed my notarial seal at King of Prussia,Pennsylvania,on the day and year first above written. Q
Z C!]
0 m M 0-O
;`,'� �;,qmv _ Commonwealth of Pennsylvania-Notary Seal T�
Teresa Pastelia,Notary Public •—
OP Montgomery County E0 My commission expires March 28.2025 By: -� p W
Gcmmission number 1126044
Member•Pennsylvania Associatwn of Nolarres Teresa Pastella,N otary Public - Q p
C This Power of Attorney is made and executed pursuant to and by authority of the following By-laws and Authorizations of The Ohio Casualty Insurance Company, Liberty Mutual
•� Insurance Company,and West American IPsurance Company which resolutions are now in full force and effect reading as follows: o ca
v ARTICLE 1V-OFFICERS:Section 12.Power of Attorney.
Any officer or other official of the Corporation authorized for that purpose in writing by the Chairman or the President,and subject to such limitation as the Chairman or the o
President may prescribe,shall a oint such attorneys-in-fact,as ma be necessa to act in behalf of the Corporation to make,execute,seal,acknowledge and deliver as surety m co
Y p PRY necessary rp
cu any and all undertakings,bonds,recognizances and other surety obligations.Such attorneys-in-fact,subject to the[imitations set forth in their respective powers of attorney,shall-q 00
o have full power tD bind the Corporation by their signature and execution of any such instruments and to attach thereto the seal of the Corporation,When so executed, such o Q
Z L) instruments shall be as binding as if signed by the President and attested to by the Secretary.Any power or authority granted to any representative or attomey-in-fact under the a m
provisions of this article may be revoked at any time by the Board,the Chairman,the President or by the officer or officers granting such power or authority.
ARTICLE XIII-Execution of Contracts:Section 5.Surety Bonds and Undertakings.
Any officer of the Company authorized for that purpose in writing by the chairman or the president,and subject to such limitations as the chairman or the president may prescribe,
shall appoint such attomeys-in-fact,as may be necessary to act in behalf of the Company to make,execute,seal,acknowledge and deliver as surety any and all undertakings,
bonds,reoognizances and other surety obligations.Such attomeys-in-fact subject to the limitations set forth in their respective powers of attorney,shall have full power to bind the
Company by their signature and execution of any such instruments and to attach thereto the seal of the Company.When so executed such instruments shall be as binding as if
signed by the president and attested by the secretary.
Certificate of Designation-The President of the Company,acting pursuant to the Bylaws of the Company,authorizes David M.Carey,Assistant Secretary to appoint such attorneys-in-
fact as may be necessary to act on behalf of the Company to make,execute,seal,acknowledge and deliver as surety any and all undertakings,bonds,recognizances and other surety
obligations.
Authorization-By unanimous consent of the Company's Board of Directors,the Company consents that facsimile or mechanically reproduced signature of any assistant secretary of the
Company,wherever appearing upon a certified copy of any power of attomey issued by the Company in connection with surety bands,shall be valid and binding upon the Company with
the same force and effect as though manually affixed.
I,Renee C.Lleweliyn,the undersigned,Assistant Secretary,The Ohio Casualty Insurance Company,Liberty Mutual Insurance Company,and West American Insurance Company de
hereby certify that the original power of attorney of which the foregoing is a full,true and correct copy.of the Power of Attorney executed by said Companies,is in fell force and effect and
has not been revoked.
IN TESTIMONY WHEREOF,I have hereunto set my hand and affixed the seals of said Companies this i st day of February , 2022
�SNSUR �ZY INgU�p 1NSUR
oAPo Z4 q Cfi GJJP4oRP0/7gT'q_ GPa pRppgq,4�.
g a Fd U Fa m Qr
r ; 1912yo a 1919 n 1991
2 W O Q O
Y���,T CHusaD y��y hq By
Mps da 'rs�'aa�A„A ada3 Renee C.Llewellyn,Assistant Secretary
LMS-12873 LMIC OCIC WAIL Multi Ca 02121
Libertx
} Mutu'L
SURETY
TEXAS TEXAS
IMPORTANT NOTICE AVISO IMPORTANTE
To obtain information or make a complaint: Para obtener informacion o para someter una
queja:
You may call toll-free for information or to Usted puede Ilamar al numero de telefono gratis
make a complaint at para informacion o para someter una queja al
1-877-751-2640 1-877-751-2640
You may also write to: Usted tambien puede escribir a:
2200 Renaissance Blvd., Ste. 400 2200 Renaissance Blvd., Ste. 400
King of Prussia, PA 19406-2755 King of Prussia, PA 19406-2755
You may contact the Texas Department of Puede comunicarse con el Departamento de
Insurance to obtain information on companies, Seguros de Texas para obtener informacion
coverages, rights or complaints at acerca de companies, coberturas, derechos o
1-800-252-3439 quejas al
1-800-252-3439
You may write the Texas Department of Insurance Puede escribir al Departamento de Seguros
Consumer Protection (I I I-1A) de Texas Consumer Protection (I I 1-1A)
P. O. Box 149091 P. O. Box 149091
Austin, TX 78714-9091 Austin, TX 78714-9091
FAX: (512)490-1007 FAX 9 (512) 490-1007
Web: http://www.tdi.texas.gov Web: http://www.tdi.texas.gov
E-mail: Con sumerProtection tdi.texas.gov E-mail: ConsumerProtection(cr�,tdi._texas.gov
PREMIUM OR CLAIM DISPUTES: DISPUTAS SOBRE PRIMAS O RECLAMOS:
Should you have a dispute concerning your Si tiena una disputa concerniente a su prima o a
premium or about a claim you should first un reclamo, debe comunicarse con el agente o
contact the agent or call 1-800-843-6446. primero. Si no se resuelve la disputa, puede
If the dispute is not resolved, you may contact the entonces comunicarse con el departamento (TDI)
Texas Department of Insurance.
ATTACH THIS NOTICE TO YOUR UNA ESTE AVISO A SU POLIZA:
POLICY:
This notice is for information only and does not Este aviso es solo para proposito de informacion
become a part or condition of the attached y no se convierte en parte o condicion del
document. documento adjunto.
NP 70 68 09 01
LMS-15292 10115