HomeMy WebLinkAboutContract 55286-FP3 City Secretary 55286 -FP3
Contract No.
FORT WORTH., Date Received May 26,2022
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: Keller Crossing Phase 1
City Project No.: 102875
Improvement Type(s): ❑x Paving ❑x Drainage ❑ Street Lights ❑ Traffic Signals
Original Contract Price: $1,214,862.00
Amount of Approved Change Order(s):
Revised Contract Amount:
Total Cost of Work Complete: $1,214,862.00
May 25, 2022
Contractor Date
Jackson Construction, Ltd
Title
Office Manager
Company Name
May 25, 2022
Riley Ro erson(A ay 21,2 2215:01 CDT)
Project Inspector Date
X" Ka PC— May 25, 2022
Project Manager Date
.7aeie��a�GettAimaGer May 25, 2022
Janie Scarlett Morales(May 25,2022 17:37 CDT)
CFA Manager Date
a ��A Dana Burghdoff(Way 25,2 UtZ17.49 CDT) May 25, 2022
Asst. City Manager Date
OFFICIAL RECORD
CITY SECRETARY
Page 1 of 2
FT. WORTH, TX
Notice of Project Completion
Project Name: Keller Crossing Phase 1
City Project No.: 102875
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: 210 WD Days Charged: 215
Work Start Date: 5/3/2021 Work Complete Date: 5/16/2022
Completed number of Soil Lab Test: 386
Completed number of Water Test: 35
Page 2of2
FORT CVO RT H
CITY OF FORT WORTH
FINAL PAYMENT REQUEST
Contract Name KELLER CROSSING PHASE I
Contract Limits
Project Type STORM DRAIN&PAVING
City Project Numbers 102875
DOE Number 2875
Estimate Number 1 Payment Number 1 For Period Ending 5/2/2022
WD
City Secretary Contract Number Contract Time 18WD
Contract Date Days Charged to Date 210
Project Manager NA Contract is 100.00 Complete
Contractor JACKSON CONSTRUCTION LTD
5112 SUN VALLEY DRIVE
FORT WORTH, TX 76119
Inspectors GLOVER / ARNHART
Wednesday,May 25,2022 Page 1 of 5
City Project Numbers 102875 DOE Number 2875
Contract Name KELLER CROSSING PHASE I Estimate Number I
Contract Limits Payment Number I
Project Type STORM DRAIN&PAVING For Period Ending 5/2/2022
Project Funding
STORM DRAIN
Item Description of Items Estimated Unit Unit Cost Estimated Completed Completed
No. Quanity Total Quanity Total
---------------------------------------
1 4'x4'BOX CULVERT 192 LF $238.00 $45,696.00 192 $45,696.00
2 YXTBOX CULVERT 59 LF $258.00 $15,222.00 59 $15,222.00
3 5'X3'BOXCULVERT 442 EA $258.00 $114,036.00 442 $114,036.00
4 8'X3'BOXCULVERT 7 LF $1,537.00 $10,759.00 7 $10,759.00
5 48:RCP 182 LF $180.00 $32,760.00 182 $32,760.00
6 48"RCP 450 LF $240.00 $108,000.00 450 $108,000.00
7 42"RCP 102 LF $172.00 $17,544.00 102 $17,544.00
8 36"RCP 74 LF $113.00 $8,362.00 74 $8,362.00
9 27"RCP 216 LF $87.00 $18,792.00 216 $18,792.00
10 27"RCP 29 LF $71.00 $2,059.00 29 $2,059.00
11 24"RCP 147 LF $76.00 $11,172.00 147 $11,172.00
12 24"RCP 25 LF $66.00 $1,650.00 25 $1,650.00
13 21"RCP 46 LF $63.00 $2,898.00 46 $2,898.00
14 21"RCP 86 LF $57.00 $4,902.00 86 $4,902.00
15 10'CURB INLET 10 EA $4,400.00 $44,000.00 10 $44,000.00
16 4'STORM JUNCTION BOX I EA $4,350.00 $4,350.00 1 $4,350.00
17 Y STORM JUNCTION BOX 5 EA $6,500.00 $32,500.00 5 $32,500.00
18 6'STORN JUNCTION BOX 2 EA $10,000.00 $20,000.00 2 $20,000.00
19 TXDOT 8'X3'CH-FW-0 HEADWALL 1 EA $8,100.00 $8,100.00 1 $8,100.00
20 5'X3'SLOPING HEADWALL I EA $5,100.00 $5,100.00 1 $5,100.00
21 36"SLOPING HEADWALL I EA $4,600.00 $4,600.00 1 $4,600.00
22, TXDOT42"CH-PW-0 HEADWALL I EA $6,000.00 $6,000.00 1 $6,000.00
23 TXDOT 36"CH-PW-0 HEADWALL I EA $4,500.00 $4,500.00 1 $4,500.00
24 4'X4'4:1 FW-0 HEADWALL I EA $11,800.00 $11,800.00 1 $11,800.00
25 LARGE STONE RIPRAP 409 SY $69.00 $28,221.00 409 $28,221.00
26 6"CONCRETE LINING 332 SY $88.00 $29,216.00 332 $29,216.00
27 TRENCH SAFETY 2057 LF $2.00 $4,114.00 2057 $4,114.00
Sub-Total of Previous Unit $596,353.00 $596,353.00
--------------------------------------
Wednesday,May 25,2022 Page 2 of 5
City Project Numbers 102875 DOE Number 2875
Contract Name KELLER CROSSING PHASE I Estimate Number 1
Contract Limits Payment Number 1
Project Type STORM DRAIN&PAVING For Period Ending 5/2/2022
Project Funding
PAVING
Item Description of Items Estimated Unit Unit Cost Estimated Completed Completed
No. Quanity Total Quanity Total
---- -- -------------------------------
1 6"CONC PVMT 12281 SY $35.60 $437,203,60 12281 $437,203.60
2 4"CONE SIDEWALK 7318 SF $5.70 $41,712.60 7318 $41,712.60
3 6"LIME TREATMENT 13128 SY $3.60 $47,260.80 13128 $47,260.80
4 HYDRATED LIME 211 TN $199.00 $41,989.00 211 $41,989.00
5 BARRIER FREE RAMP 13 EA $1,600.00 $20,800.00 13 $20,800.00
6 18"SLD PVMT MARKING HAE 28 LF $25.00 $700.00 28 $700.00
7 TOPSOIL 437 CY $22.00 $9,614.00 437 $9,614.00
8 SEEDING,HYDROMULCH 182 SY $9.00 $1,638.00 182 $1,638.00
9 TRAFFIC CONTROL 1 MO $6,675.00 $6,675.00 1 $6,675.00
10 END OF ROAD BARRICADE 4 EA $900.00 $3,600.00 4 $3,600.00
11 CONCRETE STREET HEADER 58 LF $15.00 $870.00 58 $870.00
12 CONNECT TO EXIST PAVEMENT 158 LF $17.00 $2,686.00 158 $2,686.00
13 INSTALL ALUM SIGN GROUND MOUNT 8 EA $470.00 $3,760.00 8 $3,760.00
Sub-Total of Previous Unit $618,509.00 $618,509.00
--------------------------------------
Wednesday,May 25,2022 Page 3 of 5
City Project Numbers 102875 DOE Number 2875
Contract Name KELLER CROSSING PHASE I Estimate Number I
Contract Limits Payment Number I
Project Type STORM DRAIN&PAVING For Period Ending 5/2/2022
Project Funding
Contract Information Summary
Original Contract Amount $1,214,862.00
Change Orders
Change Order Number
Total Contract Price $1,214,862.00
Total Cost of Work Completed $1,214,862.00
Less %Retained $0.00
Net Earned $1,214,862.00
Earned This Period $1,214,862.00
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 $1,214,862.00
Wednesday,May 25,2022 Page 4 of 5
City Project Numbers 102875 DOE Number 2875
Contract Name KELLER CROSSING PHASE I Estimate Number I
Contract Limits Payment Number I
Project Type STORM DRAIN&PAVING For Period Ending 5/2/2022
Project Funding
Project Manager NA City Secretary Contract Number
Inspectors GLOVER / ARNHART Contract Date
Contractor JACKSON CONSTRUCTION LTD Contract Time 180 WD
5112 SUN VALLEY DRIVE Days Charged to Date 210 WD
FORT WORTH, TX 76119 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 $1,214,862.00
Less %Retained $0.00
Net Earned $1,214,862.00
Earned This Period $1,214,862.00
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 $1,214,862.00
Wednesday,May 25,2022 Page 5 of 5
TRANSPORTATION AND PUBLIC WORKS
5/6/2022
Jackson Construction, LTD.
5112 Sun Valley Dr.
Fort Worth,TX.76119
RE: Acceptance Letter
Project Name: Keller Crossing Ph. 1
Project Type: Water,Sewer,Storm,Paving& Lighting
City Project No.: 102875
To Whom It May Concern:
On May 6, 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 May 16, 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 May 16, 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
I<iran.l<onduru@fortworthtexas.gov.
Sincerely,
K_X'1_/1_ '/I C_
Kiran Konduru, Project Manager
Cc: Riley Roberson, Inspector
Mike Glover, Inspection Supervisor
Daniel Roy,Senior Inspector
Victor Tornero, Program Manager
Ben Raef,Consultant
Jackson Construction, Contractor
DR Horton, Developer
File
E-Mail: TPW_Acceptance@fortworthtexas.gov
Rev.8/20/19
@JACKSON
CONSTRUCTION LTD.
5112 SUN VALLEY DRIVE
FORT WORTH,TX 76119
TEL 817-572-3303
FAX:817-478-0443
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 Troy L. Jackson,
President Of Jackson Construction, Ltd, 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;
Keller Crossing Phase 1
7
BY
Tro Jackson,President
Subscribed and sworn before me on this date 25th of May, 2022.
otary P is
Tarrant, Texas
CARMEN L. ESTEP
: Notary Public,State of Texas
='fit '4?Z Comm.Expires 04-06-2024
ppfir, Notary ID 2910611
CONSENT OF OWNER
SURETY COMPANY ARCHITECT
CONTRACTOR LJ
TO FINAL PAYMENT SURETY
OTHER L
AIA DOCUMENT G707 Bond No. 1083131
PROJECT:
(name,address)
TO(Owner)
ARCHITECT'S PROJECT NO:
D.R. Horton Texas, LTD CONTRACT FOR:KELLER CROSSING PHASE 1; City project
6751 North Freeway No. 102875 Water Sanitary Sewer, Storm Drain, and Paving
Fort Worth, TX 76131 Improvements to serve Keller Crossing Phase 1
CONTRACT DATE:
L
CONTRACTOR: Jackson Construction, Ltd.
5112 Sun Valley Drive Fort Worth, TX 76119
In accordance with the provisions of the Contract between the Owner and the Contractor as indicated above, the
(here insert name and address of Surely Company)
The Hanover Insurance Company
440 Lincoln Street,Worcester, MA 01653 SURETY COMPANY,
On bond of(here Insert name and address of Contractor)
Jackson Construction, Ltd.
5112 Sun Valley Drive Fort Worth, TX 76119 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)
D.R. Horton Texas, LTD
6751 North Freeway Fort Worth, TX 76131 OWNERS,
as set forth in the said Surety Company's bond.
IN WITNESS WHEREOF,
the Surety Company has hereunto set its hand this 19th day of May, 2022
The Hanover Insurance Company
5 mpany
Signature of Authorized Representative:
Alt t:
(Sea Teuta Luri,Attorney-in-Fact
Tine
NOTE: Tt-4 to Is to be used as a companlon document to AIA DOCUMENT G706,CONTRACTOR'S AFFIDAVIT OF PAYMENT OF DEBTS AND
CLA S,Current Edition
AIA DOCUMENT G707•CONSENT OF SURETY COMPANY TO FINAL PAYMENT•APRIL 1970 EDITION•AIA® ONE PAGE
m 1970•THE AMERICAN INSTITUTE OF ARCHITECTS.1735 NEW YORK AVE.,NW,WASHINGTON,D.C.20006
THE HANOVER INSURANCE COMPANY
MASSACHUSETTS BAY INSURANCE COMPANY
CITIZENS INSURANCE COMPANY OF AMERICA
POWER OFATTORNEY
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.
KNOW ALL PERSONS BY THESE PRESENTS:
That THE HANOVER INSURANCE COMPANY and MASSACHUSETTS BAY INSURANCE COMPANY,both being corporations organized and existing underthe
laws of the State of New Hampshire,and CITIZENS INSURANCE COMPANY OF AMERICA,a corporation organized and existing under the laws of the State of
Michigan,(hereinafter individually and collectively the"Company")does hereby constitute and appoint,
Steven R.Foster,Jack M.Crowley,Laurie Pflug,and Teuta Luri
Of Willis Towers Watson Insurance Services West,Inc of Dallas,TX each individually,ifthere be more than one named,as its true and lawful attomey(s)-in-
fact to sign,execute,seal,acknowledge and deliver for,and on its behalf,and as its act and deed any place within the United States,any and all surety bonds,
recognizances,undertakings,or other surety obligations.The execution of such surety bonds,recognizances,undertakings or surety obligations,in pursuance of
these presents,shall be as binding upon the Company as if they had been duly signed by the president and attested by the secretary of the Company,in their own
proper persons.Provided however,that this power of attorney limits the acts of those named herein;and they have no authority to bind the Company except in the
manner stated and to the extent of any limitation stated below:
Any such obligations in the United States,not to exceed Thirty Five Million and Nof100($35,000,000)in any single instance
That this power is made and executed pursuant to the authority of the following Resolutions passed bythe Board of Directors of said Company,and said Resolutions
remain in full force and effect:
RESOLVED: That the President or any Vice President,in conjunction with any Vice President,be and they hereby are authorized and empowered to
appoint Attorneys-in-fact of the Company,in its name and as it acts,to execute and acknowledge for and on its behalf as surety,any and all bonds,
recognizances,contracts of indemnity,waivers of citation and all other writings obligatory in the nature thereof,with power to attach thereto the seal ofthe
Company. Any such writings so executed by such Attorneys-in-fact shall be binding upon the Company as if they had been duly executed and
acknowledged by the regularly elected officers of the Company in their own proper persons.
RESOLVED:That any and all Powers of Attorney and Certified Copies of such Powers of Attorney and certification in respect thereto,granted and
executed bythe President or Vice President in conjunction with any Vice President of the Company,shall be binding on the Companyto the same extent
as if all signatures therein were manually affixed,even though one or more of any such signatures thereon may be facsimile.(Adopted October 7,1981—
The Hanover Insurance Company;Adopted April 14,1982—Massachusetts Bay Insurance Company;Adopted September 7,2001—Citizens Insurance
Company of America and affirmed by each Company on March 24,2014)
IN WITNESS WHEREOF,THE HANOVER INSURANCE COMPANY,MASSACHUSETTS BAY INSURANCE COMPANYand CITIZENS INSURANCE COMPANY
OF AMERICA have caused these presents to be sealed with their respective corporate seals,duly attested by two Vice Presidents,this 101 day of January,2020.
THE HANOVER INSU E COMPANY THE HANOVER INSURANCE COMPANY
MASSACHUSETTS) Y I COMPANY
COMPANY MASSACHUSETTS BAY INSURANCE COMPANY
CITIZENS INSURA EC MPANY OF AMERICA CITIZENS INSURANCE COMPANY OF AMERICA
F3ryan J ..Vice President JeKawiecki- e President
LMwrx
THE COMMONWEALTH OF MASSACHUSETTS }
COUNTY OF WORCESTER )ss.
On this 1011, day of January, 2020 before me came the above named Executive Vice President and Vice President of The Hanover Insurance Company,
Massachusetts Bay Insurance Company and Citizens Insurance Company of America,to me personally known to be the individuals and officers described herein,
and acknowledged that the seals affixed to the preceding instrument are the corporate seals of The Hanover Insurance Company,Massachusetts Bay Insurance
Company and Citizens Insurance Company of America,respectively,and that the said corporate seals and their signatures as officers were duly affixed and
subscribed to said instrument by the authority and direction of said Corporations. /
:Z, ARLEEN V. SIMONS
Molary Public
ComitioNwEALTHoFMASSACHUSETTS Areen V.SIMons.N.0.tary s5ublic
My Commission Expires June 15. 2023 My Commission Expires June 15,2023
I,the undersigned Vice President of The Hanover Insurance Company,Massachusetts Bay Insurance Company and Citizens Insurance Company of America,
hereby certify that the above and foregoing is a full,true and correct copy of the Original Power of Attorney issued bysaid Companies,and do hereby further certify
that the said Powers of Attorney are still in force and effect.
GIVEN under my hand and the seals of said Companies,at Worcester,Massachusetts,this 19th day of May,2022
CERTIFIED COPY MA HACHUSETTS BABY INSURANCE COMPANY
G[71 NS INSl1R9tt� 0MPANY OF AMERICA
Carrick A.Bligh. stdent
4 Hanover The Hanover Insurance Company 1 440 Lincoln Street,Worcester,MA 01653
111surance Group, Citizens Insurance Company of America 1 645 West Grand River Avenue,Howell,MI 48843 Texas Complaint Notice
IMPORTANT NOTICE AVISO IMPORTANTE
To obtain information or make a complaint: Para obtener information o para someter una queja:
You may call The Hanover Insurance Company/Citizens Usted puede Ilamar al numero de telefono gratis de The
Insurance Company of America's toll-free telephone Hanover Insurance Company/Citizens Insurance Company
number for information or to make a complaint at: of America's para informacion o para someter una queja al
1-800-608-8141 1-800-608-8141
You may also write to The Hanover Insurance Company/ Usted tambien puede escribir a The Hanover Insurance
Citizens Insurance Company of America at: Company/Citizens Insurance Company of America al:
440 Lincoln Street 440 Lincoln Street
Worcester, MA 01615 Worcester, MA 01615
You may contact the Texas Department of Insurance to Puede comunicarse con el Departamento de Seguros de
obtain information on companies, coverages, rights or Texas para obtener informacion acerca de companias,
complaints at: coberturas, derechos o quejas al:
1-800-252-3439 1-800-252-3439
You may write the Texas Department of Insurance: Puede escribir al Departamento de Seguros de Texas:
P. O. Box 149104 P. O. Box 149104
Austin, TX 78714-9104 Austin, TX 78714-9104
Fax: (512) 475-1771 Fax: (512) 475-1771
Web: http://www.tdi.texas.gov Web: http://www.tdi.texas.gov
E-mail: ConsumerProtection@tdi.state.tx.us E-mail: ConsumerProtection@tdi.state.tx.us
PREMIUM OR CLAIM DISPUTES: DISPUTAS SOBRE PRIMAS O RECLAMOS:
Should you have a dispute concerning your premium or Si tiene una disputa concerniente a su prima o a un rec-
about a claim you should contact the agent or the com- lamo, debe comunicarse con el agente o la compania
pany first. If the dispute is not resolved, you may contact primero. Si no se resuelve la disputa, puede entonces
the Texas Department of Insurance. comunicarse con el departamento (fDI).
ATTACH THIS NOTICE TO YOUR POLICY: This notice is UNA ESTE AVISO A SU POLIZA: Este aviso es solo para
for information only and does not become a part or con- proposito de informacion y no se convierte en parte o
dition of the attached document. condition del documento adjunto.
l Bl-1457(5/12)