HomeMy WebLinkAboutContract 56026-FP1 City Secretary 56026 -FP1
Contract No.
FORTWORTHO. Date Received August 3, 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: Trails of Elizabeth Creek Phase 4
City Project No.: 102801
Improvement Type(s): ❑ Paving ❑x Drainage ❑ Street Lights ❑ Traffic Signals
Original Contract Price: $349,490.00
Amount of Approved Change Order(s):
Revised Contract Amount:
Total Cost of Work Complete: $349,490.00
Albe&Granfges Jul 27 2022
Albert Grantges(Jul 2,202215:44 CDT)
Contractor Date
Vice President
Title
Burnsco Construction, Inc.
Company Name
Jut 27 2022
Jes. Davis(Ju(27,202215:56 CDT)
Project Inspector Date
[?�.
Jul 29, 2022
Project Manager Date
Sa e S"4eft4&MCeS- Au((yy 2 2022
Janie Scarlett Morales(Aug 2,2022 15:07 CDT) y ,
CFA Manager Date
Dana Burandoff Au((yy 3 2022
Dana Burghdoff(Aug 3,2022 13:16 CDT) y ,
Asst. City Manager Date
OFFICIAL RECORD
CITY SECRETARY Page 1 of 2
FT. WORTH, TX
Notice of Project Completion
Project Name:Trails of Elizabeth Creek Phase 4
City Project No.: 102801
City's Attachments
Final Pay Estimate ❑O
Change Order(s): ❑ Yes ❑x N/A
Contractor's Attachments
Affidavit of Bills Paid '
Consent of Surety
Statement of Contract Time
Contract Time: 135 WD Days Charged: 207
Work Start Date: 8/5/2021 Work Complete Date: 7/13/2022
Completed number of Soil Lab Test: 509
Completed number of Water Test: 13
Page 2 of 2
FORT WORTH
CITY OF FORT WORTH
FINAL PAYMENT REQUEST
Contract Name TRAILS OF ELIZABETH CREEK PHASE 4
Contract Limits
Project Type STORM DRAIN
City Project Numbers 102801
DOE Number 2801
Estimate Number I Payment Number I For Period Ending 7/13/2022
WD
City Secretary Contract Number Contract Time 7SVD
Contract Date 3/1/2021 Days Charged to Date 207
Project Manager NA Contract is 100.00 Complete
Contractor BURNSCO CONSTRUCTION,INC.
6331 SOUTHWEST BLVD
FORT WORTH, TX 76132
Inspectors GLOVER/ DAVIS
Wednesday,July 27,2022 Page 1 ol'4
City Project Numbers 102801 DOE Number 2801
Contract Name TRAILS OF ELIZABETH CREEK PHASE 4 Estimate Number I
Contract Limits Payment Number 1
Project Type STORM DRAIN For Period Ending 7/13/2022
Project Fmiding
UNIT III STORM DRAIN IMPROVEMENTS
Item I)cscriptioa of Items Estimated Uuit Unit Cost Estimated Completed Completed
No. Quality Total Quanity Total
I 10'Curb Inlet 2 EA $4,000.00 $8,000.00 2 $8,000.00
2 15'Curb Inlet 18 EA $5,350.00 $96,300.00 18 $96,300.00
3 4'Storm Junction Box 4 EA $4,800.00 $19,200.00 4 $19,200.00
4 5'Storm Junction Box 1 EA $5,300.00 $5,300.00 1 $5,300.00
5 21"RCP,Class 111 225 LF $60.00 $13,500.00 225 $13,500.00
6 24"RCP,Class 111 590 LF $69.00 $40,710.00 590 $40,710.00
7 27"RCP,Class 111 85 LF $76.00 $6,460.00 85 $6,460.00
8 30"RCP,Class Ill 1095 LF $87.00 $95,265.00 1095 $95,265.00
9 36"RCP,Class 111 485 LF $119.00 $57,715.00 485 $57,715.00
10 Trench Safety 2480 LF $0.50 $1,240.00 2480 $1,240.00
11 Concrete Collar 2 EA $400.00 $800.00 2 $800.00
12 4'Manhole Riser 2 EA $2,000.00 $4,000.00 2 $4,000.00
13 Remove 4'Drop lulet I EA $1,000.00 $1,000.00 1 $1,000.00
Sub-Total of Previous Unit $349,490.00 $349,490.00
--------------------------------------
Wednesday,July 27,2022 Page 2 of 4
City Project Numbers 102801 DOE Number 2801
Contract Name TRAILS OF ELIZABETII CREEK PHASE 4 Estimate Number I
Contract Limits Payment Number I
Project Type STORM DRAIN For Period Ending 7/13/2022
Project Funding
Contract Information Suminary
Original Contract Amount $349,490.00
Change Orders
Total Contract Price $349,490.00
Total Cost of Work Completed $349,490.00
Less %Retained $0.00
Net Earned $349,490.00
Earned This Period $349,490.00
Retainage This Period $0.00
Less Liquidated Damages
Days a /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 $349,490.00
I
Wednesday,July 27,2022 Page 3 of 4
City Project Numbers 102801 DOE Number 2801
Contract Name TRAILS OF ELIZABETH CREEK PHASE 4 Estimate Number I
Contract Limits Payment Number I
Project"Type STORM DRAIN For Period Ending 7/13/2022
Project Funding
Project Manager NA City Secretary Contract Number
Inspectors GLOVER / DAVIS Contract Date 3/1/2021
Cout•aetor BURNSCO CONSTRUCTION,INC. Contract Time 75 WD
6331 SOUTHWEST BLVD Days Charged to Date 207 WD
PORT WORTH, TX 76132 Contract is .000000 Complete
CITY OF FORT WORTH
SUMMARY OF CHARGES
Line Fund Account Center Amount Gross Retainage Net
Funded
I
Total Cost of Work Completed $349,490.00
Less %Retained $0.00
Net Earned $349,490.00
Earned This Period $349,490.00
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 $349,490.00
Wednesday,July 27,2022 Page 4 of 4
FORT WORT K.
TRANSPORTATION AND PUBLIC WORKS
July 14, 2022
Burnsco Construction, Inc.
6331 Southwest Blvd
Benbrook,TX 76132
RE: Acceptance Letter
Project Name:Trails of Elizabeth Creek Phase 4
Project Type: Stormwater
City Project No.: 102801
To Whom It May Concern:
On July 8, 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 July 13, 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 July 13, 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, p
Andrew Goodman, Project Manager
Cc:Jesse Davis, Inspector
Lewis Gregory, Inspection Supervisor
Randy Horton, Senior Inspector
Victor Tornero, Program Manager
LJA, Consultant
Independent Utility Construction, Contractor
Forestar, 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;
Trails of Elizabeth Creek Ph. 4 - Water, Sanitary Sewer and Storm Drain
BY
P=-
Ab Grantges, o tract Manager
Subscribed and sworn before me on this date 13th of July, 2022.
CESILIA CANALES
i ! Notary ID#131652996
I�
Commission Expires
�c�s` July 74, 2022
Notary Public
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 022229628
PROJECT:
(name, address)Trails of Elizabeth Creek Phase 4-Water,Sanitary Sewer and Drainage Improvements
TO (Owner) Fort Worth TX
FORESTAR(USA)REAL ESTATE GROUP,INC.AND ARCHITECT'S PROJECT NO:
CITY OF FORT WORTH CONTRACT FOR:
14755 Preston Road,Suite 130 Trails of Elizabeth Creek Phase 4-Water,Sanitary Sewer and
Drainage Improvements
Dallas TX 75254 _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
there 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)
FORESTAR(USA)REAL ESTATE GROUP,INC.AND CITY OF FORT WORTH
14755 Preston Road,Suite 130
Dallas TX 75254
OWNER,
as set forth in the said Surety Company's bond,
IN WITNESS,WHEREOF,
the Surety
u ety Company has hereunto set its hand this 12th day of July,2022
LIBERTY MUTUAL INSURANCE COMPANY
Surety Company
Attest: .irk I11� „
(Seal):): Signatifre of Authorized Representative
Soohinie Hunter Attorney-in-Fact
Title
NOTE: This form Is to be used as a companion document to AIA DOCUMENT G706, 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.Re na;Robbi Morales;Sophinie I lunter;'I'ina McGwan;Tonle Petranek
all of the city of Dallas state of TX each individually if there be more than one named,its true and lawful altomey-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,recognizances 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 .
INS(I,,? v INS INSu Liberty Mutual Insurance Company
P� Pit G a R The Ohio Casualty Insurance Company
a °oa'O�qroy0 West American Insurance Company
1912 " 1919 m
r z o o c� 1991 r1
a1 r vs r 3 i sF a
c d>•�;caus�da o yy4MPSa�da31 YS�rND1ANP�da� By:
�iPLtjl�wu� (D o
kB David M.Carey,Assistant Secretary
k`a State of PENNSYLVANIA
U m County of MONTGOMERY ss o
o a On this 23rd day of April 2021 before me personally appeared David M.Carey,who acknowledged himself to be the Assistant Secretary of Liberty Mutual Insurance o aa)
cu 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 n
a)> therein contained by signing on behalf of the corporations by himself as a duly authorized officer.
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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.
m rn i t : .., a 0
Oa) / l
a'
a O 1.41. ,�`, commonwealth of Pennsylvania•Notary Seal
Teresa Pastella,Notary Pub5c T--
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p N tlontgomery County ///,, ., a) t=C r �" �/` t !.Ty commission expires March 28.2026 B �rL.� -G� -GU O
'., Commission number 112604. y• 4)
��Jj'`•`"�`'`"�=f Member,Pennsytuania Assodafiw of Notaries eresa Pastella,Notary Public Q o
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-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 CD 3 co
o•S Insurance Company,and West American Insurance Company which resolutions are now in full face and effect reading as follows: o CV
o ARTICLE IV—OFFICERS:Section 12.Power of Attorney. co EL
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 appoint such attomeys-in-fact,as may be necessary to act in behalf of the Corporation to make,execute,seal,acknowledge and deliver as surety m
any and all undertakings,bonds,recognizarl and other surety obligations.Such attorneys-in-fact,subject to the limitations set forth in their respective powers of attomey,shall a cu
o j have full power to 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
Z 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 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. ti T
ARTICLE XIII—Execution of Contracts:Section 5.Surety Bonds and Undertakings.
CL
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,recognizances 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 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 Attorney 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 12th day of June 2022
P�1NSugq P�-1v INSGR 1NSUR
AJ c°nP°ggr �°av011?4r
Y ; 1912g0
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0 a 1991 0
rdJ1's`r4etllfSF',dad yO s��H4MP5�•aa�O Ys, rNn1AM!' •aa3 By:
�M A, N Renee C.Llewellyn,Assistant Secretary
LMS-12873 LMIC OCIC WAIC Multi Co 02121
Liberty
Mutual.
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 llamar 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 l 9406-2755 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 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 I-1A) de Texas Consumer Protection (l I I-IA)
P. O. Box 149091 P. O. Box 149091
Austin,TX 78714-9091 Austin, TX 78714-9091
FAX: (512)490-1007 FAX# (512) 490-1007
Web: http://www.tdi.texas.gov Web: http://www.tdi.texas.gov
E-mail: ConsumerProtection(ctdi texas gov E-mail: ConSUnlerProtectionatdi texas go
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 convietrte en parte o condition del
document. documento adjunto.
NP70680901
LMS-15292 10115