HomeMy WebLinkAboutContract 56002-FP1 FORT WORTH®
TRANSPORTATION AND PUBLIC WORKS
NOTICE OF PROJECT COMPLETION
City Secretary No:56002 'FP1
Date Received: 8/29/2022
City Project Nq: 103207
Regarding contract 56002 for 2021 Concrete Restoration Contract 4 as required by the TRANSPORTATION
AND PUBLIC WORKS DEPARTMENT as approved by City Council on 01/11/2022 through M&C 22-0021
die director of the TRANSPORTATION AND PUBLIC WORKS DEPARTMENT upon the
recommendation of the Assistant Director of the Transportation&Public Works Department has accepted die
project as complete.
Original Contract Prices: $ 1,023,300.00
Amount of Approved Change Orders: $243,200.00 Ne 1
Revised Contract Amount: $1,266,500.00
Total Cost Work Completed: $1,227,456.56
Less Deductions:
Liquidated Damages: 0 Days @$650.00/Day
Pavement Deficiencies:
Total Deduction Amount: $0.00
Total Cost Work Completed: $ 1,227,456.56
Less Previous Payments: $1,166,083.73
Final Payment Due $61,372.83
L P Aug 29, 2022
Recommended for Acceptance Date
Asst. Director, TPW - Capital Delivery
� /0� Aug 29, 2022
Accepted Date
Director, TRANSPORTATION AND PUBLIC WORKS DEPARTMENT
Client De artment
z.
William Johnson( 29,202214:31 CDT Aug 29, 2022
Asst. City Manager Date
OFFICIAL RECORD
Comments: CITY SECRETARY
FT. WORTH, TX
C-620 Signature Page
Contractor's Application for Payment Invoice No. 11-Final
To(D'%1ef) City of Fort Worth Invoicing Period(Frmn-To): ImroiceDate:
711122-8/10122 8/1012022
P.O. FW020-006219 I—(contractor): Remit to(If Not Automatic Deposit):
Number. Urban In(iacom metion
N.t: 103207 Commetoes CFW Vendor No.:
0000039969
City Secretary Contract 56002 Contra Nome:.
Number. :'2021 Concrete Restoration Contract 4
Application For Payment
Change Ord,,Summary
UA�%vdCh—O!rd— 1.ORIGINAL CONTRACT PRICE........................................................... S 51,023,300.00
Additions Ddetiom 2.Net change by Change Orden.................................................................-S S243,200.00
$243,200.00 3.Current Contract Price(Line tt 2)......................................................... S S1,266.500.00
4.TOTAL COMPLETED AND STORED TO DATE
(Progress Estimate,Comtruction Allmrance and Change Orden).......S SI,227,456.56
5.RETAINAGE:
X $1,227.456.56 WorkCompleted......... S
h. X NotUrcd S
c.Total Retdnage(Line 5a+Line 5b)................................S
6.AMOUNT ELIGIBLE TO DATE(Line 4-Line 5c)............................. S S1,227,456.56
TOTALS $243,200.00 7.LESS PREVIOUS PAYMENTS(Line 6 from prior Application)........ S SI.166,083.73
NETCFANGEBY $243,200.00 8.A161OUNT DUE THIS APPLICATION..................................................S S61,372.83
CHANGE ORDERS 9.BALANCE TO FINISH,PLUS RETAINAGE
(Column G on Progress E0inude+CA+CDs+Line 5above).............. S S39,043.44
Contractor's Certification 10.CONTRACr TIhtE:
The Contra ctprcertifies with the submittal of this document and associated Payment Request Submittala Days Arterded 210
on the City of Fort Worth Buruaw system that to the best of their knovdedge:(I)all previous progress b. Days Added by CO 30
vm payments recci%ed from Oer on account of Work done under the Contract have been applied on Total
`count to discharge Contractors legitimate obligations incurred in connection eith Work covered by e. Day. 240
priorApplications for Payment;(2)title of all Work,materials and equipment incorporated in said
Work or otherwise listed in or covered by this Application for Payment%sill pass to Oener at time of d Days Charged iq0
Payment free and clear ofall Liens,security interests and encumbrances(except such as am covered by
a Brad acceptable to Ovvner indemnifying Owner against any such Liens,security interest or e. Days Remaining
under-11
);and(3)all Word,covered by this Application for Payment is in accordance eith the
Convect Documents and is net defectise.
Liquidated Damages$650 x day
N171*1 RvW
N ilima Poudel(Aug 25,2022 09:57 CDT)
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modifications.You are encouraged to read the document carefully and consult Legal Counsel prior to its execution.
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FORTWORTH.
TRANSPORTATION AND PUBLIC WORKS
August 22, 2022
Urban Infaconstruction, LLC
526 North Britain Road
Irving, TX 75061
RE: Acceptance Letter
Project Name: 2021 Concrete Restoration Contract 4
Project Type: Paving
City Project No.: 103207
To Whom It May Concern:
On July 11, 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 29, 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 29, 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-
392-6747.
Sincerely,
Iretomiwa Otuyelu, Project Manager
Cc: Matthew Wilson, Inspector
Donald Watson, Inspection Supervisor
Edwin Rodriguez, Senior Inspector
Omar Elbagalati, Program Manager
City of Fort Worth, Consultant
Urban Infaconstruction, LLC, Contractor
City of Fort Worth, Developer
File
E-Mail: TPW_Acceptance@fortworthtexas.gov
Before and After Photos
Rev.8/20/19
CONSENT OF OWNER
SURETY COMPANY ARCHITECT
TO FINAL PAYMENT CONTRACTOR
SURETY
AIA DOCUMENT G707 OTHER
Bond No. 2321952
PROJECT: 103027 2021 Concrete Restoration Contract 4,Fort Worth,TX
(name,address)
TO(Owner) [ City of Fort Worth ] ARCHITECT'S PROJECT NO:
200 Texas Street
Fort Worth,TX 76102 CONTRACT FOR:
[ ] CONTRACT DATE: 5/18/2021
CONTRACTOR: Urban Infraconstruction,LLC
526 N.Britain Road
Irving,TX 75061
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)
Swiss Re Corporate Solutions America Insurance Corporation
1200 Main Street,Suite 800
Kansas City,MO 64105 , SURETY COMPANY,
on bond of(here insert name and address of Contractor)
Urban Infraconstruction,LLC
526 N. Britain Road
Irving,TX 75061 , CONTRACTOR,
hereby approves of the final payment to the Contractors, 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)
City of Fort Worth
200 Texas Street
Fort Worth,TX 76102 ,OWNER,
as set forth in the said Surety Company's bond.
IN WITNESS WHEREOF,
the Surety Company has hereunto set its hand this 24th day of August 2Q22
Swiss Re Corporate Solutions America Insurance Corporation
Surety Company
Signature of Authorized Repres nt tive
Attest:fir-I!` /
(Seal): Sandra Lee Roney Attorney-In-Fact
Title
NOTE: 'This form is to be used as a companion document(o AIA DOCUME•NE G706,CONTRACTOR'S AFFIDAVIT OF PAYMENT OF DEBTS AND CLAIMS,
Current Edition
AIA DOCUMENT G707 CONSENT OF SURETY COMPANY TO FINAL PAYMENT APRIL 1970 EDITION AIA ONE PAGE
1970 THE.AMERICAN INSTITUTE OF ARCI-1rrECTS,1735 New Yark Ave.,NW,WASI[INGTON,D.C. 20006
SWISS RE CORPORATE SOLUTIONS
SWISS RE CORPORATE SOLUTIONS AMERICA INSURANCE CORPORATION F/K/A NORTH AMERICAN SPECIALTY INSURANCE COMPANY("SRCSAIC")
SWISS RE CORPORATE SOLUTIONS PREMIER INSURANCE CORPORATION F/K/A WASHINGTON INTERNATIONAL INSURANCE COMPANY("SRCSPIC-)
W ESTPORT INSURANCE CORPORATION('WIC-)
GENERAL POWER OF ATTORNEY
KNOW ALL MEN BY THESE PRESENTS,THAT SRCSAIC,a corporation duly organized and existing under laws of the State of Missouri,and
having its principal office in the City of Kansas City,Missouri,and SRCSPIC,a corporation organized and existing under the laws of the State of
Missouri and having its principal office in the City of Kansas City,Missouri,and WIC,organized under the laws of the State of Missouri,and having its
principal office in the City of Kansas City,Missouri,each does hereby make,constitute and appoint:
JOHN R.WARD,THOMAS DOUGLAS MOORE,EMILY ALLISON MIKESKA,ALLYSON W.DEAN,MONICA RUBY VEAZEY,
JOHN WILLIAM NEWBY,TROY RUSSELL KEY,DEBRA LEE MOON,ANDREA ROSE CRAWFORD.SANDRA LEE RONEY.
DANA ILENE MOORE AND COLIN E.CONLY JOINTLY or SEVERALLY
Its true and lawful Attorneys)-in-Fact,to make,execute,seal and deliver,for and on its behalf and as its act and deed,bonds or other writings
obligatory in the nature of a bond on behalf of each of said Companies,as surety,on contracts of suretyship as are or may be required or permitted by
law,regulation,contract or otherwise,provided that no bond or undertaking or contract or suretyship executed under this authority shall exceed the
amount of
TWO HUNDRED MILLION($200,000,000.00)DOLLARS
This Power of Attorney is granted and is signed by facsimile under and by the authority of the following Resolutions adopted by the Boards of
Directors of both SRCSAIC and SRCSPIC at meetings duly called and held on the 18th of November 2021 and WIC by written consent of its
Executive Committee dated July 18,2011.
"RESOLVED,that any two of the President,any Managing Director,any Senior Vice President,any Vice President,the Secretary or any Assistant
Secretary be,and each or any of them hereby is,authorized to execute a Power of Attorney qualifying the attorney named in the given Power of
Attorney to execute on behalf of the Corporation bonds,undertakings and all contracts of surety,and that each or any of them hereby is authorized to
attest to the execution of any such Power of Attorney and to attach therein the seal of the Corporation; and it is
FURTHER RESOLVED,that the signature of such officers and the seal of the Corporation may be affixed to any such Power of Attorney or to
any certificate relating thereto by facsimile,and any such Power of Attorney or certificate bearing such facsimile signatures or facsimile seal shall be
binding upon the Corporation when so affixed and in the future with regard to any bond,undertaking or contract of surety to which it is attached."
p„µtlrtRa TIQ
�gl)LUrtpys�s, pr°5OLUT194,, c
p O i�� �r �s g�4�ej Fs�;P s BY
Jaos=4 Senior Mee Preddent of SRCSAIC&Senior Mte President
.r= s�' S E A 1. m� of SRCSPIC f�vtarrexldentorWIC
•.� :2
ss,4 S8*U aO,r y�SSdUp`'.. ,Coz- bw
g�gaa By GmldJgrowskk Moo PreddentofSRCSAtC&Vice President ofSRCSPIC
411rtN.MNM•• -r.•� ��•
N•�+n"rua,a� &Mee PtecFdmt of WIC
IN WITNESS WHEREOF,SRCSAIC,SRCSPIC,and WIC have caused their official seals to be hereunto affixed,and these presents to be signed by their
authorized officers
this 2nd day of AUGUST 2022
Swiss Re Corporate Solutions America Insurance Corporation
State of Illinois Swiss Re Corporate Solutions Premier Insurance Corporation
County of Cook ® Westport Insurance Corporation
On this 2nd day of AUGUST ,20 22,before me,a Notary Public personally appeared Erik Janssens,Senior Vice President of SRCSAIC
and Senior Vice President of SRCSPIC and Senior Vice President of WIC and Gerald Janowski,Vice President of SRCSAIC and Vice President of
SPCSPIC and Vice President of WIC,personally known to me,who being by me duly swom,acknowledged that they signed the above Power of Attorney
as officers of and acknowledged said instrument to be the voluntary act And deed of i eir respective companies. i
►kmvftow stwolm cm
Yr tb+a+oissq�(�pnst
Mt7
Yasmin A.Patel,Notary
I,Jeffrey Goldberg.the duly elected Senior Vice President and Assistant Secretary of SRCSAIC and SRCSPIC and WIC,do hereby certify that the above and
foregoing is a true and correct copy of a Power of Attorney given by said SRCSAIC and SRCSPIC and WIC,which is still in full force and cffect.
IN WITNESS WHEREOF,I have`set my-hand and affixed the seals of the Companies this 241h day of August ,2C 22.
Jeffrey Goldberg,Senior Vice President&
_ — Assistant Secretary of SRCSPIC and
SRCSPIC and WIC
IMPORTANT NOTICE AVISO 1MPORTANTE
In order to obtain information or make a complaint: Para obtener information o para someter un queja:
You may contact Jeffrey Goldberg, Vice President- Puede comunicarse con Jeffrey Goldberg, Vice
Claims,at 1-800-338-0753. President-Claims,al 1-800-338-0753.
You may call Swiss Re Corporate Solutions Usted puede llamr al numero de telefono gratis de
America Insurance Corporation or Swiss Re Swiss Re Corporate Solutions America Insurance
Corporate Solutions Premier Insurance Corporation o Swiss Re Corporate Solutions
Corporation's toll-free number for information or to Premier insurance Corporation's para information o
make a complaint at: para someter una queja al:
1-800-338-0753 1-800-338-0753
You may also write to Swiss Re Corporate Solutions Usted tambien puede escribir a Swiss Re Corporate
America Insurance Corporation or Swiss Re Solutions America Insurance Corporation o Swiss
Corporate Solutions Premier Insurance Re Corporate Solutions Premier Insurance
Corporation at the following address: Corporation al:
1450 American Lane,Suite 1100 1450 American Lane,Suite 1100
Schaumburg,IL 60173 Schaumburg, IL 60173
You may contact the Texas Department of Insurance Puede escribir at Departmento de Seguros de Texas
to obtain information on companies,coverages, rights para obtener information acerca de companies,
or 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 Departmento de Seguros de Texas:
P.O. Box 149104 P.Q. Box 149104
Austin,TX 78714-9104 Austin,TX 78714-9104
Fax:(512)475-1771 Fax: (512)475-1771
Web: htta://www.tdi.state.tx.us Web: httw//www.tdi.state.tx.us
E-mail:ConsumerProtection(&tdi.state.tx.us E-mail:ConsumerProtection(&tdi.state.tx.us
PREMIUM OR CLAIM DISPUTES: DISPUTAS SOBRE PRIMAS Q RECLAMOS:
Should you have a dispute concerning your premium or Si tiene una disputa concerniente a su prima o a un
about a claim you should first contact the Swiss Re reclamo,debe comunicarse con el Swiss Re Corporate
Corporate Solutions America Insurance Solutions America Insurance Corporation o Swiss
Corporation or Swiss Re Corporate Solutions Re Corporate Solutions Premier Insurance
Premier Insurance Corporation. If the dispute is not Corporation primero. Si no se resuelve]a disputa,
resolved,you may contact the Texas Department of puede entonces comunicarse con el Departmento de
Insurance. Seguros de Texas.
ATTACH THIS NOTICE TO YOUR POLICY:This UNA ESTE AVISO A SU POLIZA:
notice is for information only and does not become a Este aviso es solo para proposito de infromacion y no se
part or condition of the attached document. converte en parte o condition del documento adjunto.
AFFIDAVIT
STATE OF TX
COUNTY OF Dallas
Before me, the undersigned authority, a notary public in the state
and county aforesaid, on this day personally appeared Anup Tamrakar,
CEO Of Urban Infraconstruction LLC, 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;
2021 Concrete Restoration Contract 4 CPN # 1 3 07
BY
akar, CEO
Subscribed and sworn before me on this date 25th of August, 2022.
NILIMA POUDEL �/G�
My Notary ID#132586147
..••.. Ex Tres July 24.2Q24
Dallas County, TX
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