HomeMy WebLinkAboutContract 55181-FP4 City Secretary 55181 -FP4
Contract No.
FORTWORTH. Date Received May 4, 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: McPherson Village Addition Phase 3
City Project No.: 102531
Improvement Type(s): ❑ Paving 0 Drainage ❑ Street Lights ❑ Traffic Signals
Original Contract Price: $149,570.00
Amount of Approved Change Order(s):
Revised Contract Amount: $149,570.00
Total Cost of Work Complete: $149,570.00
Obee C2ae gr May 2,2022
Albert Grantges(May 2,20 10:34 CDT)
Contractor Date
Vice President
Title
Burnsco Construction, Inc.
Company Name
Troy Gard (May 2.202220:49 CDTl May 2,2022
Project Inspector Date
C'J' May 4,2022
Project Manager Date
yanie scarlet&Morales Ma 4 2022
Janie Scarlett Morales(May 4,202208:34 CDT) Y
CFA Manager Date
Dana Burghdoff(May 4,20ZV8A8 CDT). May 4,2022
Asst. City Manager Date
OFFICIAL RECORD
CITY SECRETARY Page 1 of 2
FT. WORTH, TX
Notice of Project Completion
Project Name: McPherson Village Addition Phase 3
City Project No.: 102531
City's Attachments
Final Pay Estimate 0
Change Order(s): ❑ Yes 0 N/A
Contractor's Attachments
Affidavit of Bills Paid
Consent of Surety
Statement of Contract Time
Contract Time: 150 WD Days Charged: 239
Work Start Date: 3/1/2021 Work Complete Date: 4/22/2022
Completed number of Soil Lab Test: 481
Completed number of Water Test: 17
Page 2 of 2
FORT WORTH
CITY OF FORT WORTH
FINAL PAYMENT REQUEST
Contract Name MCPHERSON VILLAGE
Contract Limits
Project Type STORM DRAIN
City Project Numbers 102531
DOE Number 2531
Estimate Number 1 Payment Number 1 For Period Ending 4/30/2022
WD
City Secretary Contract Number Contract Time 7WD
Contract Date Days Charged to Date 239
Project Manager NA Contract is 100.00 Complete
Contractor BURNSCO CONSTRUCTION,INC.
6331 SOUTHWEST BLVD
FORT WORTH, TX 76132
Inspectors CORDOVA / GARDNER
Friday,April 29,2022 Page 1 of 4
City Project Numbers 102531 DOE Number 2531
Contract Name MCPHERSON VILLAGE Estimate Number I
Contract Limits Payment Number I
Project Type STORM DRAIN For Period Ending 4/30/2022
Project Funding
STORM DRAIN
Item Estimated Estimated Completed Completed
Description of Items Unit Unit Cost
No. Quanity Total Quanity Total
---------------------------------------
1 21"RCP 73 LF $58.00 $4,234.00 73 $4,234.00
2 24"RCP 29 LF $67.00 $1,943.00 29 $1,943.00
3 42"RCP 358 LF $151.00 $54,058.00 358 $54,058.00
4 48"RCP 330 LF $178.00 $58,740.00 330 $58,740.00
5 10'CURB INLET 1 EA $3,700.00 $3,700.00 1 $3,700.00
6 IT CURB INLET 2 EA $4,900.00 $9,800.00 2 $9,800.00
7 10"TYPE 2 INLET 1 EA $4,400.00 $4,400.00 1 $4,400.00
8 T STORM JUNCTION BOX 2 EA $5,700.00 $11,400.00 2 $11,400.00
9 TRENCH SAFETY 790 LF $0.50 $395.00 790 $395.00
10 REMOVE T DROP INLET 1 EA $900.00 $900.00 1 $900.00
Sub-Total of Previous Unit $149,570.00 $149,570.00
--------------------------------------
Friday,April 29,2022 Page 2 of 4
City Project Numbers 102531 DOE Number 2531
Contract Name MCPHERSON VILLAGE Estimate Number I
Contract Limits Payment Number 1
Project Type STORM DRAIN For Period Ending 4/30/2022
Project Funding
Contract Information Summary
Original Contract Amount $149,570.00
Change Orders
Total Contract Price $149,570.00
Total Cost of Work Completed $149,570.00
Less %Retained $0.00
Net Earned $149,570.00
Earned This Period $149,570.00
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 $149,570.00
Friday,April 29,2022 Page 3 of 4
City Project Numbers 102531 DOE Number 2531
Contract Name MCPHERSON VILLAGE Estimate Number I
Contract Limits Payment Number 1
Project Type STORM DRAIN For Period Ending 4/30/2022
Project Funding
Project Manager NA City Secretary Contract Number
Inspectors CORDOVA / GARDNER Contract Date
Contractor BURNSCO CONSTRUCTION,INC. Contract Time 70 WD
6331 SOUTHWEST BLVD Days Charged to Date 239 WD
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 $149,570.00
Less %Retained $0.00
Net Earned $149,570.00
Earned This Period $149,570.00
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 $149,570.00
Friday,April 29,2022 Page 4 of 4
FORTWORTH.
TRANSPORTATION AND PUBLIC WORKS
April 27, 2022
Burnsco Construction, Inc.
6331 Southwest Blvd.
Benbrook,Texas 76132
RE: Acceptance Letter
Project Name: McPherson Village Addition Phase 3
Project Type: Storm Drain
City Project No.: 102531
To Whom It May Concern:
On April 27, 2022 a final inspection was made on the subject project. There were no punch list items
identified at that time. The final inspection indicates that the work meets the City of Fort Worth
specifications and is therefore accepted by the City. The warranty period will start on April 27, 2022,
which is the date of the final inspection 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,
C'�' 4.
Andrew Goodman, Project Manager
Cc:Troy Gardner, Inspector
Ron Cordova, Inspection Supervisor
Gary Deyon, Senior Inspector
Victor Tornero, Program Manager
Shield Engineering, Consultant
Burnsco Construction, Inc., Contractor
Starlight Homes Texas, LLC., Developer
File
E-Mail: TPW_Acceptance@fortworthtexas.gov
Rev.08/20/19
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, Vice
President, 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;
McPherson Village Addition Phase 3 - Water, Sewer and Drainage
BY
Ab Gra ges, Vice President
Subscribed and sworn before me on this date 2nd of May, 2022.
*gar au8` CESILIA CANALES
Notary ID ai31652996
qP My Commission Expires
Notary Public July 24, 2022
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 022228829
PROJECT:
(name, address)McPherson Village Addition Phase 3-Water, Sanitary Sewer and Drainage Improvements
Fort Worth TX
TO (Owner)
STARLIGHT HOMES TEXAS, LL.0 AND CITY OF FORT I ARCHITECT'S PROJECT NO:
WORTH CONTRACT FOR:
1 B00 Valley View Lane McPherson Village Addition Phase 3-Water,Sanitary Sewer and
Drainage improvements
Farmers Branch TX 75234 _f CONTRACT DATE:
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 Contractor)
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)
STARLIGHT HOMES TEXAS, LLC AND CITY OF FORT WORTH
1800 Valley View Lane
Farmers Branch TX 75234 , OWNER,
as set forth in the said Surety Company's bond,
IN WITNESS,WHEREOF,
the Surety Company has hereunto set its hand this 25th day of April, 2022
LIBERTY MUTUAL INSURANCE COMPANY
Surety Company
Attest: . .�;— l}lc �c —
{Seal); Signature of Authorized Representative
So hinie Hunter Attorney-in-Fact
Title
NOTE: This farm is to be used as a companion document to AIA 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
West American Insurance Company
SURETY
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;Kely A.Westbrook;Mikaela Peppers;Ricardo J.Reyna;Robbi Morales;Sophinie Hunter;Tina McEwarr;Tonle Petranck
all of the city of Dal[as state of TX each individually if there be more than one named,its true and lawful attomey-in-fact to make,
execute,seal,acknovuledge and deliver,for and on its behalf as surety and as its act and dead,any and all undertakings,bonds,recagnizances 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 Attomey 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
PV 1NSU,Q. F 114 INSO 1NSU,p The Ohio Casualty insurance Company
s�oRPO'p'rFao¢vorty_ Company
`VP "v_Rgl yn West American Insurance Com
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� dy>g�s-0CNUB�,aa o�"nMrs'�dam .s �aaraNP aL� �A f`vr� m o
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.: David M.Carey,Assistant Secrets Cr
cis State of PENNSYLVANIA y Secretary r.=
�s County of MONTGOMERY ss c
aE
On this 23rd day ofApril 2021 before me personally appeared David M.Carey,who acknowledged himself to be the Assistant Secretary of Liberty Mutual Insurance L)
o; 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'
therein contained by signing on behalf of the corporations by himself as a duly authorized officer. 4
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IN WITNESS WHEREOF,I have hereunto subscribed my name and affixed my netarial seal at King of Prussia,Pennsylvania,on the day and year first above written. 0
00
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+, ,�;�y cn,•�.r R+{ commonwealth of Pennsylvania-Notary Seal Z
a O ,s ,n_'Y Teresa Pastella,Notary Public
O N 1 eF Montgomery CcuntyD
C My commission ewpires March 26,2025 `
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CcmmiWipn number 1126044 •
Member,PennsytvaniaAssociationdNotaries Teresa Pastella,Notary Public Q q`
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This Power of Attorney is made and executed pursuant to and by authority of the foilowing By-laws and Authorizations of The Ohio Casualty Insurance Company,Liberty Mutual �ar
Insurance Company,and West American Insurance Company which resolutions are now in full force and effect reading as follows: 0 N
aS CO
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ARTICLE IV—OFFICERS:Section 12,Power otAttorney.
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-78-
President may prescribe,shall appoint such attorneys-in-fact,as may be necessary to act in behalf of the Corporation to make,execute,seal,acknowledge and deliver as surety ca tO
Co C
Co m any and all undertakings,bonds,recognizanoes an a L
d other surety obligations.Such attorneys-in-fact,subject to the limitations set forth in their respective powers of allomey,shall
o , have full power to bind the Corporation by their signature and execution of any such instalments and to attach thereto the seal of the Corporation.When so executed, such o a�
Z instruments shall be as binding as if signed by the President and attested to b the Secrets An y g y p y y ry, y power or authority ranted to an representative or attome -in-fact under the
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. n
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 attorneys-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,remgnizances and other surety obligations.Such attorneys-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 attorney issued by the Company in connection with surety bonds,shall be valid and binding upon the Company with
the same force and effect as though manually affixed.
I,Renee C.Llewellyn,the undersigned,Assistant Secretary,The Ohio Casualty Insurance Company,Liberty Mutual Insurance Company,and West American Insurance Company do
hereby certify that the original power of attorney of which the foregoing is a full,true and correct copy of the Power of Attomey executed by said Companies,is in full 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 _25th day of April 2022
py SNSU� P��Y INS& a %NSU,0
a4oaPo rFaLfi �J2�oaao�ragy[ Vr 5'_�lFyc
a to
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ab s�y"4Mp5 Ada �s�,"AiA1" a By:
Renee C.Uewellyn,Assistant Secretary
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LMS-12873 LMIC OCIC WAIC Multi Co 02121
Liberty
utua .
SURETY
TEXAS TEXAS
IMPORTANT NOTICE AVISO IMPORTANTE
To obtain information or make a complaint: Para obtener information o para someter una
queja:
You may call toll-free for information or to Usted puede Ilamar a] numero de telefono gratis
make a complaint at para information 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 information
coverages, rights or complaints at acerca de companias, 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 IAA) de Texas Consumer Protection (I I I-IA)
P. O. Box 149091 P. O. Box 149091
Austin, TX 78714-9091 Austin, TX 78714-9091
FAX: (512)490-1007 FAX 0 (512) 490-1007
Web: http://www.tdi.texas.gov Web: http://www.tdi.texas.gov
E-mail:ConsumerProtection@tdi.texas.gov E-mail: ConsumerProtection c@r,tdi.texas goo
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 information
become a part or condition of the attached y no se convierte en parte o condition del
document. documento adj unto.
NP70680901
LMS-15292 10115