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Contract 55150-FP2
City Secretary 55150 -FP2 Contract No. FORTWORTH, Date Received May 16,2022 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: Palladium Fain St. City Project No.: 102792 Improvement Type(s): Water 0 Sewer Ox Original Contract Price: $95,596.00 Amount of Approved Change Order(s): Revised Contract Amount: Total Cost of Work Complete: $95,596.00 Dwells May 10, 2022 GWells(May 10,202211:12 CDT) Contractor Date Rumsey Construction Title COO Company Name e.49 May 10, 2022 Robert Rilew(J lay 10,202211:13 CDT) Project Inspector Date K"all,Ka ,PC— May 12, 2022 Project Manager Date :7geie Awnlef May 13 2022 Janie Scarlett Morales(day 13.2022 08,31 CDT) 7 CFA Manager Date D`K'a'Bm-AGc� May 14, 2022 Dana Burghdoff(Way 14,2 08:31 CDT) Asst. City Manager Date OFFICIAL RECORD CITY SECRETARY FT.WORTH, TX Page 1 of 2 Notice of Project Completion Project Name: Palladium Fain St. City Project No.: 102792 City's Attachments Final Pay Estimate Ox Change Order(s): ❑ Yes 0 N/A Pipe Report: 0 Yes ❑ N/A Contractor's Attachments Affidavit of Bills Paid Consent of Surety Statement of Contract Time Contract Time: 30 WD Days Charged: 161 Work Start Date: 3/26/2021 Work Complete Date: 4/8/2022 Page 2 of 2 FORT WORTH CITY OF FORT WORTH FINAL PAYMENT REQUEST Contract Name WATER,PAVING,&STREET LIGT IMPROVEMENTS TO PALLADIUM F Contract Limits Project Type WATER&SEWER City Project Numbers 102792 DOE Number 2792 Estimate Number 1 Payment Number 1 For Period Ending 4/30/2022 WD City Secretary Contract Number Contract Time 3WD Contract Date 12/10/2020 Days Charged to Date 161 Project Manager NA Contract is 100.00 Complete Contractor RUMSEY CONSTRUCTION,LLC 6617 VILLAGE SPRINGS DRIVE PLANO, TX 75024 Inspectors CORDOVA,R / RILEY,R Tuesday,May 3,2022 Page 1 of 4 City Project Numbers 102792 DOE Number 2792 Contract Name WATER,PAVING,&STREET LIGT IMPROVEMENTS TO PALLADIUM Estimate Number I Contract Limits Payment Number I Project Type WATER&SEWER For Period Ending 4/30/2022 Project Funding UNIT I:WATER IMPROVEMENTS Item Description of Items Estimated Unit Unit Cost Estimated Completed Completed No. Quanity Total Quanity Total --------------------------------------- 1 CONNECTION TO EX.10"WATER MAIN 3 EA $5,000.00 $15,000.00 3 $15,000.00 2 10"X 8"TAPPING SLEEVE&VALVE 2 EA $4,300.00 $8,600.00 2 $8,600.00 3 10"X 6"TAPPING SLEEVE&VALVE 2 EA $4,800.00 $9,600.00 2 $9,600.00 4 DUCTILE IRON WATER FITTINGS I TN $4,000.00 $4,000.00 1 $4,000.00 W/RESTRAINT 5 3"WATER METER AND VAULT I EA $14,600.00 $14,600.00 1 $14,600.00 6 2"WATER SERVICE 1 EA $1,900.00 $1,900.00 1 $1,900.00 7 FIRE HYDRANT 1 EA $3,500.00 $3,500.00 1 $3,500.00 8 8"WATER LINE 50 LF $160.00 $8,000.00 50 $8,000.00 9 6"WATERLINE 13 LF $160.00 $2,080.00 13 $2,080.00 10 4"WATER LINE 20 LF $160.00 $3,200.00 20 $3,200.00 11 ASPHALT PAVEMENT REPAIR,WATER 10 LF $1,200.00 $12,000.00 10 $12,000.00 SERVICE 12 TRAFFIC CONTROL I EA $5,400.00 $5,400.00 1 $5,400.00 13 TRENCH SAFETY 83 LF $2.00 $166.00 83 $166.00 ------------------ Sub-Total of Previous Unit $88,046.00 $88,046.00 UNIT II:SANITARY SEWER IMPROVEMENTS Item Description of Items Estimated Unit Unit Cost Estimated Completed Completed No. Quanity Total Quanity Total - -------------------------------------- 1 8"SANITARY SEWER LINE 7 LF $100.00 $700.00 7 $700.00 2 CONNECT TO EX.CONCRETE SS MANHOLE I EA $1,800.00 $1,800.00 1 $1,800.00 3 MANHOLE VACUUM TESTING 1 EA $150.00 $150.00 1 $150.00 4 4'MANHOLE 1 EA $3,700.00 $3,700.00 1 $3,700.00 5 CONCRETE COLLAR I EA $500.00 $500.00 1 $500.00 6 POST-CCTV INSPECTION 7 LF $50.00 $350.00 7 $350.00 7 TRENCH SAFETY 7 LF $50.00 $350.00 7 $350.00 -- - Sub-Total of Previous Unit $7,550.00 $7,550.00 -------------------------------------- Tuesday,May 3,2022 Page 2 of 4 City Project Numbers 102792 DOE Number 2792 Contract Name WATER,PAVING,&STREET LIGT IMPROVEMENTS TO PALLADIUM Estimate Number I Contract Limits Payment Number I Project Type WATER&SEWER For Period Ending 4/30/2022 Project Funding Contract Information Summary Original Contract Amount $95,596.00 Chanj4e Orders Total Contract Price $95,596.00 Total Cost of Work Completed $95,596.00 Less %Retained $0.00 Net Earned $95,596.00 Earned This Period $95,596.00 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 $95,596.00 Tuesday,May 3,2022 Page 3 of 4 City Project Numbers 102792 DOE Number 2792 Contract Name WATER,PAVING,&STREET LIGT IMPROVEMENTS TO PALLADIUM Estimate Number 1 Contract Limits Payment Number 1 Project Type WATER&SEWER For Period Ending 4/30/2022 Project Funding Project Manager NA City Secretary Contract Number Inspectors CORDOVA,R / RILEY,R Contract Date 12/10/2020 Contractor RUMSEY CONSTRUCTION,LLC Contract Time 30 WD 6617 VILLAGE SPRINGS DRIVE Days Charged to Date 161 WD PLANO, TX 75024 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 $95,596.00 Less %Retained $0.00 Net Earned $95,596.00 Earned This Period $95,596.00 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 $95,596.00 Tuesday,May 3,2022 Page 4 of 4 TRANSPORTATION AND PUBLIC WORKS PIPE REPORT FOR: PROJECT NAME: Palladium Fain St CITY PROJECT NUMBER: 102792 _WATER PIPE LAID SIZE TYPE OF PIPE LF WTR 8" PVC 50 WTR 6" PVC 13 WTR 4" PVC 20 FIRE HYDRANTS: 1 VALVES(16" OR LARGER) PIPE ABANDONED SIZE TYPE OF PIPE LF DENSITIES: Pass NEW SERVICES: (1)2" SEWER PIPE LAID SIZE TYPE OF PIPE LF Sewer 8" PVC 7 PIPE ABANDONED SIZE TYPE OF PIPE LF DENSITIES: Pass NEW SERVICES: N/A TRANSPORTATION AND PUBLIC WORKS The City of Fort Worth•1000 Throckmorton Street•Fort Worth,TX 76012-6311 FORT WORTH, TRANSPORTATION AND PUBLIC WORKS April 30,2022 Rumsey Construction, LLC 4329 Reeder Rd. Carrollton,Texas 75010 RE: Acceptance Letter Project Name: Palladium Fain St. Project Type:Water&Sewer City Project No.: 102792 To Whom It May Concern: On April 15, 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 April 30, 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 April 30, 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- 647-2497. Sincerely, Kiran Konduru, Project Manager Cc: Robert Riley, Inspector Ronald Cordova, Inspection Supervisor Gary Deyon, Senior Inspector Victor Tornero, Program Manager Jonathan Hake, Consultant Rumsey Construction,Contractor Scott Johnson, Developer File E-Mail: TPW_Acceptance@fortworthtexas.gov Rev.8/20/19 BILLS PAID AFFIDAVIT FOR CONTRACTOR State of Texas § County of Denton § BEFORE ME, the undersigned authority, on this day personally appeared Gary wells known to me to be a credible person and officer of Rumsey Construction znc and who, being duly sworn, upon his oath declares and acknowledges as follows: 1. I am a duly authorized agent of Rumsey Construction, Inc which has authorized me to make this affidavit,and all of the recitations herein are true and correct. 2. Pursuant to Private Development Contract No. 102792 between HBLbc, LLC and(Rumsey Construction, Inc for(Palladium Pain St WF.S Rumsey Construction, Inc has supplied materials and performed labor in connection with the construction of improvements on real property owned by Palladium Fain street, LTD in the City of Fort Worth("the improvements"). 3. Rumsey Construction,Inc has actual knowledge that all bills owed by(BBLbc, LLC ) to Rumsey construction, Ice for materials supplied or labor performed in connection with the improvements have been fully paid and satisfied. 4 Rumsey Construction. 2c has actual knowledge that all bills owed by Rumsey Construction,I to others for materials supplied or labor performed in connection with the improvements have been fully paid and satisfied. 5 Rumsey Construction, Inc has actual knowledge that there are no claims or liens for materials supplied or labor performed in connection with the Private Development Contract. 6 (humsey Const-us f— znc further warrants that should any claim or lien be filed for material `supplied or labor performed in connection with the Private Development Contract, (RumseX Construction,Inc will immediately furnish a bond pursuant to Texas Property Code Sections 53.236 through 53.238 for release of each the claim or lien, obtain settlement of any claim or lien, and furnish the City of Fort Worth written full release. Rumsey Construction, Inc agrees to fully indemnify and hold harmless the City of Fort Worth from any and all costs that may occur by reason of such claims or liens. EXECUTED this 10 day of May 20 22 Rumsey nst:r ti on, Inc By t NAME: Gary wells TITLE: COO STATE OF TEXAS COUNTY OF DENTON This instrument was acknowledged before me on May 10, 2022 _by Gary Wells C00 of Rumsey Construction a Inc corporation,on behalf of said corporation. [NOT WAA PEflEZ NOTARY PUBLIC 3x Notary Public.State of Texas : 'ram Comm.Expires 11-21-2024 nr��ti,�r Notary 1© 126730867 CONSENT OF OWNER ❑x SURETY COMPANY ARCHITECT ❑ TO FINAL PAYMENT CONTRACTOR ❑ SURETY ❑ A/A DOCUMENT G707 OTHER PROJECT: Public Utilities for Palladium Fain St. (name, address) Fort Worth, TX TO (Owner) CITY PROJECT NO: ;Palladium Fain Street, Ltd. and The City of Fort Worth CONTRACT FOR: $95,596.00 Fort Worth, TX CONTRACT DATE: 12/10/2020 BOND NO: 54-231570 CONTRACTOR: Rumsey Construction, Inc. 4329 Reeder Drive Carrollton, TX 75010 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 as it appears in the bond). United Fire & Casualty Company SURETY COMPANY, on bond of(here insert name and address of Contractor as it appears in the bond), Rumsey Construction, Inc. CONTRACTOR, hereby approves of the final payment to the Contractor, and agrees that final payment to the Contractor shall not relieve the Surety of any of its obligations to(here insert name and address of Owner) Palladium Fain Street, Ltd. and the City of Fort Worth OWNER, as set forth in the said Surety's bond. IN WITNESS WHEREOF , the Surety has hereunto set its hand this 5th day of May 12022 United Fire & Casualty Co_ mpany Surety Signature of Auth,, ,ized Representative ,p Attest. j/ Allyson Dean-West,Attorney-in-Fact (Seal): `? `�- Title AIA DOCUMENT G707•CONSENT OF SURETY TO FINAL PAYMENT.APRIL 1970 ONE PAGE EDITION•AIA 0•©1970•THE AMERICAN INSTITUTE OF ARCHITECTS, 1735 NEW YORK AVE., NW,WASHINGTON, D.C.20006 UNITED FIRE&CASUALTY COMPANY,CEDAR RAPIDS,IA Inquiries: Sure",Department UNITED FIRE&INDEMNITY COMPANY,WEBSTER,TX 118 Second Ave SE ufgufl FINANCIAL PACIFIC INSURANCE COMPANY,ROCKLIN,CA Cedar Rapids,IA 52401 INSURANCE CERTIFIED COPY OF POWER OF ATTORNEY (original on file at Home Office of Company-See Certification) KNOW ALL PERSONS BY THESE PRESENTS,That United Fire&Casualty Company,a corporation duly organized and existing under the laws of the State of Iowa; United Fire & Indemnity Company, a corporation duly organized and existing tinder the laws of the State of Texas; and Financial Pacific Insurance Company,a corporation duly organized and existing under the laws of the State of California(herein collectively called the Companies),and having their corporate headquarters in Cedar Rapids,State of Iowa,does make,constitute and appoint ALLYSON DEAN-WEST, EVA 0. LIMMER, EMILY MIKESKA, JOHN R. WARD, THOMAS DOUGLAS MOORE, MONICA VEAZEY, EACH INDIVIDUALLY their true and lawful Attomey(s)-ni-Fact with power and authority hereby conferred to sign, seal and execute in its behalf all lawful bonds, undertakings and other obligatory instruments of similar nature provided that no single obligation shall exceed $300,000,000.00 and to bind the Companies thereby as fully and to the same extent as if such instruments were signed by the duly authorized officers of the Companies and all of the acts of said Attorney,pursuant to the authority hereby given and hereby ratified and confirmed. The Authority hereby granted shall expire the loth day of February, 2023 unless sooner revoked by United Fire&Casualty Company,United Fire&Indemnity Company,and Financial Pacific Insurance Company. This Power of Attorney is made and executed pursuant to and by authority of the following bylaw duly adopted on May 15,2013,by the Boards of Directors of United Fire&Casualty Company,United Fire&Indemnity Company,and Financial Pacific Insurance Company. "Article VI—Surety Bonds and ilndertakings" Section 2,Appointment of Attomey-in-Fact. "The President or any Vice President,or any other officer of the Companies may,from time to time, appoint by written certificates attomeys-in-fact to act in behalf of the Companies in the execution of policies of insurance,bonds,undertakings and other obligatory instruments of like nature. The signature of any officer authorized hereby,and the Corporate seal,may be affixed by facsimile to any power of attorney or special power of attorney or certification of either authorized hereby; such signature and seal,when so used,being adopted by the Companies as the original signature of such officer and the original seal of the Companies,to be valid and binding upon the Companies with the same force and effect as though manually affixed. Such attomeys-in-fact,subject to the limitations set of forth in their respective certificates of authority shall have full power to bind the Companies by their signature and execution of any such instruments and to attach the seal the Companies thereto. The President or any Vice President,the Board of Directors or any other officer of the Companies may at any time revoke all power and authority previously given to any attomey-in-fact. IN WITNESS WHEREOF,the COMPANIES have each caused these presents to be signed by its ,;g�B,lllll„ , 11 ;` �I�IIIIIIUN:�.,, `,,. ♦�\c;r;suq/,.,, vice resident and its corporate seal to be hereto affixed this , '�Eo•, �,,,° QP�;oaPoi :!tip p loth day Of February, 2021 J, CORE RATE �'i, Zw CORPORATE �S - " �F•. =lz ;= ,uLYzz UNITED FIRE&CASUALTY COMPANY SEAL SEALS g ':,,C, 19B6N`p•r�' UNITED FIRE&INDEMNITY COMPANY -� ��P`• R Te"�♦��`` /// UFOP.:• �: FINANCIAL PACIFIC INSURANCE COMPANY /hn11110 nIs lit unuunn"a By. State of Iowa,County of Limn,ss: Vice President On 10th day of February, 2021, before me personally came Dennis J. Richmann to me known,who being by me duly sworn,did depose and say;that he resides in Cedar Rapids,State of Iowa;that he is a Vice President of United Fire & Casualty Company, a Vice President of United Fire & Indemnity Company, and a Vice President of Financial Pacific Insurance Company the corporations described in and which executed the above instrument; that he knows the seal of said corporations; that the seal affixed to the said instrument is such corporate seat;that it was so affixed pursuant to authority given by the Board of Directors of said corporations and that he signed his name thereto pursuant to like authority,and acknowledges same to be the act and deed of said corporations. 1*1 Patti Waddell ^C����, ,�Iowa Notarial SealJ�(,/I ��jCommission number 713274 Notary Public My Commission Expires 1 012 6/2 0 2 2 My commission expires: 10/26/2022 I,Mary A.Bertsch,Assistant Secretary of United Fire&Casualty Company and Assistant Secretary of United Fire&Indemnity Company,and Assistant Secretary of Financial Pacific Insurance Company,do hereby certify that I have compared the foregoing copy of the Power of Attorney and affidavit, and the copy of the Section of the bylaws and resolutions of said Corporations as set forth in said Power of Attorney,with the ORIGINALS ON FILE IN TIIE HOME OFFICE OF SAID CORPORATIONS,and that the same are correct transcripts thereof,and of the whole of the said originals, and that the said Power of Attorney has not been revoked and is now in full force and effect. In testimogy whereof I have h reunto subscribed my name and affixed the corporate seal of the said Corporations this day of l 20 22 ``` "`y11GA81pI/q// NUUtllu Uglgi o��`N11�Nb lq/ 11 4. :0 5_ _ CORPORATE;� '¢:=��ULY ��';O' L/,r" 11',�(�,(/�(J//�f� '7 SEAL K� - SEAL %Z'[� P'2�: JFOR?��'t,.�- Assistant Secretary, 111111,111 OF&C&OF&I&FPIC BPOA0045 122017 United Fire&Casualty Company United Fire&Indemnity Company Uf Financial Pacific Insurance Company SURETY IMPORTANT NOTICE TO OBTAIN INFORMATION OR MAKE A COMPLAINT: You may call United Fire Group's toll free telephone number for information or to make a complaint at: 800-343-9130 You may also write to United Fire Group at: United Fire Group Attn: Surety Department P.O. Box 73909 Cedar Rapids, IA 52407-3909 -or street address- United Fire Group Attn: Surety Department 1]8 Second Avenue SE Cedar Rapids, IA 52401 You may contact the Texas Department of Insurance to obtain information on companies, coverages, rights or complaints at: 800-252-3439 You may write the Texas Department of Insurance at: Consumer Protection(I I I-1 A) P.O. Box 149091 Austin, TX 78714-99091 Fax: (512)490-1007 Web: www.tdi.texas.gov Email: ConsuinerProtection a,tdi.texas.gov Premium or Claim Disputes: Should you have a dispute concerning your premium or about a claim,you should contact United Fire Group 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 a condition of the attached document and is given to comply with Section 2253.021, Governmental Code, and Section 53-202, Property Code. HOME OFFICE: 118 Second Avenue SE j PO Box 73909 1 Cedar Rapids, Iowa 52407-3909 1 P:800-332-7977 1 F:319-286-2520 1 www.ufgins.com