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Contract 56026-FP2
City Secretary56026 -FP2 Contract No. FORTWORTH, 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): Water 0 Sewer R Original Contract Price: $723,012.00 Amount of Approved Change Order(s): -$6,075,00 Revised Contract Amount: $716,937.00 Total Cost of Work Complete: $716,937.00 Jut 27 2022 .f:crt Gr nt g_ 27, 22]5.93 CCU, Contractor Date Vice President Title Burnsco Construction, Inc. Company Name AaU Jut 27 2022 Project Inspector Date C'J'2 ,t' Jul 29, 2022 Project Manaj er Date ,7del1 se tt/"W-91Gf Janie Scarlett Morales(Aug 2,202215:09 CDT) Aug 2, 2022 CFA Manager Date bay sm-4Lo� Aug3 2022 Dana Burghdoff(A6g 3,202 3:16 CDT) 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 ❑x Change Order(s): 0 Yes ❑ N/A Pipe Report: 0 Yes ❑ N/A Contractor's Attachments Affidavit of Bills Paid 9 Consent of Surety Is Statement of Contract Time Contract Time: 135 WD Days Charged: 207 Work Start Date: 8/5/2021 Work Complete Date: 7/13/2022 Soil Lab Number of Tests: 509 Water Number of Tests: 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 WATER&SEWER City Project Numbers 102801 DOG Number 2801 Estimate Number I Payment Number 1 For Period Ending 7/13/2022 WD City Secretary Contract Number Contract Time 7WD Contract Date 3/1/2021 Days Charged to Date 207 Project Manager NA Contract is 99.000 Complete Contractor BURNSCO CONSTRUCTION,INC. 6331 SOUTHWEST BLVD FORT WORTH, TX 76132 Inspectors GLOVER / DAVIS Wednesday,July 27,2022 Page I 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 WATER&SEWER For Period Ending 7/13/2022 Project I'uruling UNIT I WATER IMPROVEMENTS Item Description of Items Estimated Unit Unit Cost Estimated Completed Completed No. Quanity Total Quanity Total 1 8"Water Pipe 5560 LF $26.30 $146,228.00 5560 $146,228.00 2 8"Gate Valve 15 EA $1,380.00 $20,700.00 15 $20,700.00 3 Fire Hydrant 7 EA $4,500.00 $31,500.00 7 $31,500.00 4 Ductile Iron Water Fittings w/Restraint 1.5 TN $5,900.00 $8,850.00 1.5 $8,850.00 5 1"Water Service 154 EA $930.00 $143,220.00 154 $143,220.00 6 Trench Safety 5560 LF $0.10 $556.00 5560 $556.00 7 Connection to Existing 4"-12"Water Main 5 EA $722.00 $3,610.00 5 $3,610.00 8 8"Waterline Lowering 12 EA $3,700.00 $44,400.00 12 $44,400.00 9 Water Testing(Excluding Geotech) 5560 LF $0.30 $1,668.00 5560 $1,668.00 ----------------------------------- --- Sub-Total of Previous Unit $400,732.00 $400,732.00 UNIT II SEWER IMPROVEMENTS Item Description of Items Estimated Unit Unit Cost Estimated Completed Completed No. Quanity Total Quanity Total ---------------- ----------------------- 1 8"Sewer Pipe(SDR-26,ASTM D3034) 3990 LF $36.90 $147,231.00 3990 $147,231.00 2 4"Sewer Service 132 EA $680.00 $89,760.00 132 $89,760.00 3 Post-CCTV Inspection 3990 LF $3.60 $14,364.00 3990 $14,364.00 4 4'Manhole 13 EA $2,900.00 $37,700.00 13 $37,700.00 5 8"Sewer Pipe,CSS backfill 120 LF $45.00 $5,400.00 120 $5,400.00 6 Manhole Vacuum Testing 13 EA $120.00 $1,560.00 13 $1,560.00 7 Trench Safety 3990 LF $1.00 $3,990.00 3990 $3,990.00 8 Trench Water Stop 4 EA $300.00 $1,200.00 4 $1,200.00 9 Concrete Encasement for Utility Pipes 60 LF $70.00 $4,200.00 60 $4,200.00 10 4'Extra Depth Manhole 60 VF $150.00 $9,000.00 60 $9,000.00 11 Epoxy Manhole Liner 15 VF $405.00 $6,075.00 0 $0.00 12 Connect to Existing Manhole 2 EA $900.00 $1,800.00 2 $1,800.00 ---------------------------------- ----- Sub-Total of Previous Unit $322,280.00 $316,205.00 -------------------------------------- Wednesday,July 27,2022 Page 2 of 4 City Project Numbers 102801 DOE Number 2801 Contract Name TRAILS OF ELIZABETFI CREEK PHASE 4 Estimate Number I Contract Limits Payment Number I Project Type WATER&SEWER For Period Ending 7/13/2022 Project Funding Contract Information Sammary Original Contract Amount $723,012.00 ChanLje Orders Change Order Number 2 ($6,075.00) Total Contract Price $723,012.00 Total Cost of Work Completed $716,937.00 Less %Retained $0.00 Net Earned $716,937.00 Earned This Period $716,937.00 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 $716,937.00 Wednesday,July 27,2022 Page 3 of 4 City Project Numbers 102801 DOE Nnn►ber 2801 Contract Name TRAILS Of ELIZABETH CREEK PHASE 4 Estimate Number I Contract Limits Payment Number I Project'I',ype WATER&SEWER For Period Ending 7/13/2022 Project Funding Project Manager NA City Secretary Contract Number I►►spectors GLOVER / DAVIS Contract Date 3/1/2021 Contractor 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 Total Cost of Work Completed $716,937.00 Less %Retained $0.00 Net Earned $716,937.00 Earned This Period $716,937.00 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 $716,937.00 Wednesday,Jul 27 2022 e f Y Page 4 0 4 FORT WORTH TRANSPORTATION AND PUBLIC WORKS PIPE REPORT FOR: PROJECT NAME: Trails of Elizabeth Creek Phase 4 PROJECT NUMBER: 102801 DOE NUMBER: 102801 WATER PIPE LAID SIZE TYPE OF PIPE LF Water 8" PVC C 900 5560 Water Service 1" Copper Pipe 154 EA FIRE HYDRANTS: 7 VALVES(16"OR LARGER) N/A PIPE ABANDONED SIZE TYPE OF PIPE LF DENSITIES: yes NEW SERVICES: SEWER PIPE LAID SIZE TYPE OF PIPE LF Sewer 8" PVC C900 3990 Sewer Service 4" PVC C900 132 EA PIPE ABANDONED SIZE TYPE OF PIPE LF DENSITIES: yes NEW SERVICES: TRANSPORTATION AND PUBLIC WIDIUCS ILI » (� m R m 0 \ U 7 G e ! # a§ q Mz g \\ ~ § / @ § � W. 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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: Water& Sewer 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, Andrew Goodman , Project Manager Cc:Jesse Davis, Inspector Lewis Gregory, Inspection Supervisor Randy Horton, Senior Inspector VictorTornero, Program Manager UA, Consultant Independent Utility Construction, Contractor Forestar, Developer File E-Mail: TPW_Acceptance@fortworthtexas.gov Rev.8/20/19 it i AFFIDAVIT STATE OF TEXAS COUNTY OF TARRANI' 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 Ab Grantges,eptract Manager Subscribed and sworn before me on this date 13th of July, 2022. CESILIA CANALF.5 Notary ID P 131652996 `� yr v My Commission Expires Notary Public °t t JUIV 2•1. 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 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 -J 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) 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 Company has hereunto set its hand this 12th day of July,2022 LIBERTY MUTUAL INSURANCE COMPANY Surety Company Attest: (Seal): Signa re 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 10� 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 Stale 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 I lunter'Tina McEwan•Tonle 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,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 Liberty Mutual Insurance Company P�INSURq P'11 INS& a %Nsu,p The Ohio Casualty Insurance Company J=4opvorr�roy0 Uo2Gonvo,�?FoPyym P?4oav 01?. ym West American Insurance Company r a 1912 0 0 1919 Lu 1991 o 4 O /J/ a� d S1CHU50 a o leurg C ) �a yHnMP`+�a Y��NOIANP�a B . /fL: 7' G N sM * 1.d 2)0 y / tD U State of PENNSYLVANIA David M.Carey,Assistant Secretary ss m m County of MONTGOMERY o E U o On this 23rd day of April 2021 before me personally appeared David M.Carey,who acknowiedged himself to be the Assistant Secretary of Liberty Mutual Insurance N Fu 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`-'_ (D c> therein contained by signing on behalf of the corporations by himself as a duly authorized officer. a, a) >� 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. r6 to O q`.li s`;?, commonwealth of Pennsylvania•Notary Seal 1., Teresa Pastella,Notary Pubk >_ Montgomery C y My commission expires March 28,2025 B �-QJ O �-• i ?`�• +' J Commission number 1126044 y N �!�� eresa Pastella,Nota Public �� ?-�Ff�-:,Ijfl:;�.';_. Member,PnnnsyNana Association of Notaries ry Q O tom l„r o C1 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 3•� Insurance Company,and West American Insurance Company which resolutions are now in full face and effect reading as follows: o N a@ ARTICLE IV—OFFICERS:Section 12.Power of Attorney. co 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 a C:) a 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 fO to C any and all undertakings,bonds,recognizances and other surety obligations.Such attorneys-in-fact,subject to the limitations set forth in their respective powers of attorney,shall-o 2 o ? 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 0 01 Z r, 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-0 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. LL Q 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,recognizances and other surety obligations.Such attomeys-in-fact subject to the limitations set forth in their respective pourers of attomey,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. 1,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�',1NSU/pN P�,'(1 INS& 1NSUR a 3°CRaorOL�cn �J2`oaro�rQ92� �P=eaaoa�r�yc s� 912 0 1919 f 1991 0 c -- Yd�'SSA CHU`+�-Aa y0Z�hHAMPS� �O Y '010P a3 By: A, �Na Renee C.Llewellyn,Assistant Secretary LMS-12873 LMIC OCIC WAIC Mufti Co 02/21 Liberty Mutual. St1REwTY 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 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 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 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 (1 I I-IA) de Texas Consumer Protection (I I l-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: littp://www.tdi.texas.gov Web: http://www.tdi.texas.gov E-mail: ConsumerProtectionntdi texas gov E-mail: Con sum erProtection&tdi 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 convierte en parte o condicion del document. documento adjunto. NP70680901 LMS•15292 10/15