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Contract 55734-FP1
FORT WORTH, TRANSPORTATION AND PUBLIC WORKS NOTICE OF PROJECT COMPLETION City Secretary No: 55734-FP1 Date Received:Sep 6,2022 City Project Ns: 103051 Regarding contract 55734 for SHOREVIEW DRIVE CULVERT as required by the TRANSPORTATION AND PUBLIC WORKS DEPARTMENT as approved by City Council on 05/04/2021 through M&C 21-0312 the director of the TRANSPORTATION AND PUBLIC WORKS DEPARTMENT upon the recommendation of the Assistant Director of the Transportation&Public Works Department has accepted the project as complete. Original Contract Prices: $ 1,658,900.00 Amount of Approved Change Orders: $ 22,334.38 Ns 1,2 Revised Contract Amount: $ 1,681,234.38 Total Cost Work Completed: $ 1,681,234.38 Less Deductions: Liquidated Damages: 0 Days @$650.00/Day Pavement Deficiencies: Total Deduction Amount: $0.00 Total Cost Work Completed: $ 1,681,234.38 Less Previous Payments: $ 1,597,172.66 Final Payment Due $ 84,061.72 w P Sep 6, 2022 Recommended for Acceptance Date Interim Asst. Director, TPW - Capital Delivery Sep 6, 2022 Accepted Date Interim Director, TRANSPORTATION AND PUBLIC WORKS DEPARTMENT Client Department WamJohnson S 6.202213c59LDT Sep 6, 2022 illi Asst. City Manager Date OFFICIAL RECORD Comments: CITY SECRETARY FT. WORTH, TX C-620 Sign, Contractor's Application for Payment Invoice No. 10-FINAL To(Owner) City of Fort Worth Invoicing Period(From-To): Invoice Date: 6/29/2022-8/5/2022 8/5/2022 P.O. FW020-0000005988 From(Contractor): Remit to(If Not Automatic Deposit): Number FW020-0000007882 IBCTX,LLC Project: 103051 Contractor's CFW Vendor No.: 7000002429 507 Main St.Ste.B Lake Dallas,TX 75065 City Secretary Contract 55734 ee Number. Name: Shore View Drive&Bomber Road HROM Application For Payment Change Order Summary Approved Change Orders 1. ORIGINAL CONTRACT PRICE.......................................................... $ $1,658,900.00 Number Additions Deletions 2.Net change by Change Orders................................................................. $ $22,334.38 1 $19,159.38 $6,875.00 3. Current Contract Price(Line 1 t 2)........................................................ $ $1,681,234.38 2 $10,050.00 4. TOTAL COMPLETED AND STORED TO DATE 3 (Progress Estimate,Construction Allowance and Change Orders)....... $ $1,681,234.38 4 5. RETAINAGE: 5 a. X $1,681,234.38 Work Completed.......... $ 6 b. X Not Used $ 7 c.Total Retainage(Line 5a+Line 5b)................................ $ 8 6. AMOUNT ELIGIBLE TO DATE(Line 4-Line 5c)............................. $ $1,681,234.38 TOTALS $29,209.38 $6,875.00 7. LESS PREVIOUS PAYMENTS(Line 6 from prior Application)......... $ $1,597,172.66 NET CHANGE BY $22,334.38 8. AMOUNT DUE THIS APPLICATION................................................. $ $84,061.72 CHANGE ORDERS 9.BALANCE TO FINISH,PLUS RETAINAGE (Column G on Progress Estimate+CA+Cos+Line 5 above)............... $ Contractor's Certification 10. CONTRACT TIME: The Contractor certifies with the submittal of this document and associated Payment Request Submittal a. Days Awarded 180 on the City of Fort Worth Buzzsaw system that to the best of their knowledge:(1)all previous progress b. Days Added by CO 26 payments received from Owner on account of Work done under the Contract have been applied on account to discharge Contractor's legitimate obligations incurred in connection with Work covered by C. Total Days 206 prior Applications 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 will pass to Owner at time of payment d. Days Charged 206 free and clear of all Liens,security interests and encumbrances(except such as are covered by a Bond acceptable to Owner indemnifying Owner against any such Liens,security interest or encumbrances); e. Days Remaining and(3)all Work covered by this Application for Payment is in accordance with the Contract Documents and is not defective. Liquidated Damages$650.00 x day This document has been modified from its original form as an EJCDC document and the user did not highlight the modifications.You are encouraged to read the document carefully and consult Legal Counsel prior to its execution. I ' I I � I I I I I III j l l l aaloa I ! 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00'0$ lelol lNnohv 31da #o0 saapip a0uego snolnaad 00'0$ 18401 oo sluff joi iunowy aolnuaS jo adAi qnS 38S/W aapap 86ue40 slut JOI 38SIW FoRTWORTH TRANSPORTATION AND PUBLIC WORKS PIPE REPORT FOR: PROJECT NAME: Shoreview Drive Culvert Improvements PROJECT NUMBER: 103051 DOE NUMBER: WATER PIPE LAID SIZE TYPE OF PIPE LF C900 6" PVC 20 LF C900 8" PVC 65 LF FIRE HYDRANTS: 1 VALVES(161' OR LARGER) None PIPE ABANDONED SIZE TYPE OF PIPE LF NONE DENSITIES: Yes NEW SERVICES: None SEWER PIPE LAID SIZE TYPE OF PIPE LF NONE PIPE ABANDONED SIZE TYPE OF PIPE LF NONE DENSITIES: N/A NEW SERVICES: NONE TRANSPORTATION AND PUBLIC WORKS The City of Fort Worth•1000 Throckmorton Street•Fort Worth,TX 76012-6311 (817)392-7941 •Fax: (817)392-7845 CSC No.55734-CO2 FORTWORTH® City of Fort Worth Change Order Request Project Name Shoreview and Bomber HROM City Sec# 55734 Client Project#(s) 103051 Project This Project will reconstruct the culvert crossing on Shore View Drive west of the intersection of Bomber Road to mitigate hazardous flooding of the Description roadway during significant rain events to protect the life and safety of the motorists. Contractor IBCTX,LLC Change Order# 2 Date 5/19/2022 City Project Mgr. Michael Wellbaum City Inspector Steven Aguirre Dept. TPW Contract Time Totals (CD) Original Contract Amount $1,658,900.00 $1,658,900.00 180 Extras to Date $19,159.38 $19,159.38 26 Credits to Date $6,875.00 $6,875.00 Pending Change Orders(in M&C Process) Contract Cost to Date $1,671,184.38 $1,671,184.38 206 Amount of Proposed Change Order $10,050.00 $10,050.00 Revised Contract Amount $1,681,234.38 $1,681,234.38 206 Original Funds Available for Change Orders $414,725.00 $414,725.00 Remaining Funds Available for this CO $402,440.62 $402,440.62 Additional Funding(if necessary) CHANGE ORDERS to DATE(INCLUDING THIS ONE)AS%OF ORIGINAL CONTRACT 1.35% MAX ALLOWABLE CONTRACT AMOUNT(ORIGINAL CONTRACT COST+25%) $2,073,625.00 JUSTIFICATION(REASONS)FOR CHANGE ORDER This change order provides for additional seeding and erosion protection on disturbed areas.It also provides for addressing minor items discovered during the final walk- through and is the final change order for the project. It is understood and agreed that the acceptance of this Change Order by the contractor constitutes an accord and satisfaction and represents payment in full(both time and money)for all costs arising out of,or incidental to,the above Change Order. The Project/Program Manager signing below acknowledges that he/she is the person responsible for the monitoring and administration of this contract,including ensuring all performance and reporting requirements. Contractor's Company Name Contractor(Name)l Contract Signature Date IBCTX Alex Hammes May20,2022 for/Inspection Supervisor Date Project and Contract Compliance Manager Date May 23,2022 % May 23,2022 gram Manager Date Senior Capital Project Officer Date —1 May 24,2022 r- f<� May 24,2022 Assistant Director(Dept) Date Director,Contracting Department(Dept) Date May 28,2022 - May 30,2022 y. Assistant City,Attom I Date lAssistant City Manager Date „�=-,,z„ 1 May 31,2022 'a SQ— Jun 1,2022 Council Action(rf required) M&C Number M&C Date Approved ATTEST: F0Rr��a a Jannette Goodall,City Secretary P�o° °oo- I o °'10 P . o=o d�a o °o*�� OFFICIAL RECORD aaatEXA`Jao°b CITY SECRETARY FT.WORTH,TX FORTWORTH City of Fort Worth —�v--- Change Order Additions Project Name Shoreview and Bomber HROM City Sec# 55734 Client Project# 103051 Contractor IBCTX,LLC PM Michael Wellbaum Inspector.F Steven Aguirre Change Order Submittal# O2 Date 5/19/2022 AUUI I IONS ty Unit Unit Costo a 9999.0009 Furnish and Install Custom Sign TPW 1.00 LS $750.00 $750.00 Raise SS Valve to Grade with onc.Collar y romu c Seeding Soil etention Blanket TPW 7ub TotalAdditions Change Order Additions Page 2 of 4 FORT WORTH City of Fort Worth Change Order Deletions Project Name Shoreview and Bomber HROM City Sec# 55734 Client Project# 103051 Contractor IBCTX,LLC PM Michael Wellbaum Inspector Steven Aguirre Change Order Submittal# O2 Date DELL NUNS y unit unitos o a Sub I otal Deletions Change Order Deletions Page 3 of 4 MISBE for this Change Order M/SBE Sub Type of Service Amount for this CO N/A Total $0.00 Previous Change Orders Co# DATE AMOUNT 1 2/2/2022 $12,284.38 Total $12,284.38 FORT WORTHO TRANSPORTATION AND PUBLIC WORKS July 28, 2022 I BCTX,LLC 507 Main St. Ste.B Lake Dallas TX.75065 RE: Acceptance Letter Project Name: Shoreview Drive Culvert Improvements Project Type: Stormwater,Water& Paving City Project No.: 103051 To Whom It May Concern: On April 1, 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 28, 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 28, 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 Michael Wellbaum (817)392-0746. Sincerely, Miachael Wellbaum, Project Manager Cc: Travis Strang, Inspector Ron Cordova, Inspection Supervisor Edward Davila, Senior Inspector Linda Young, Program Manager Kimley Horn, Consultant (BCTX, Contractor N/A, Developer File E-Mail: TPW_Acceptance@fortworthtexas.gov I Rev.8/20/19 AFFIDAVIT STATE OF Texas COUNTY OF Denton Before me, the undersigned authority, a notary public in the state and county aforesaid, on this day personally appeared Alex Hammes, Vice President Of IBCTX, 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; Shore View Drive & Bomber Road HRO BY G7 Alex Hammes Subscribed and sworn before me on this date 30th of August, 2022. Notary Public Denton, TX =,.a�P6mn VERONICA PEREZ Notary ID#132464126 v" My Commission Expires rF of t�+ May 5, 2024 CONSENT OF SURETY OWNER TO FINAL PAYMENT ARCHITECT D ALA Document G707 CGI TRACTOR SURETY Bond No. TXC607115 OTHPR 'I'O OWNER: ARCHITECT'S PROJECT NO.: f.N nrie raid addre-scJ City of Fort Worth 200 Texas Street CONTRAC-rFOR: Culvert Improvements Fort Worth,TX 76102 PROJI CT: CONTRACT DATED: (Mane and atdd—V Shoreview Drive Culvert Improvements 103051 In accordance with the provisions of the Contract bemq--en the Owner and the Contractor as indimted above,the (}nsert namr and add+tsx of3��rNy} Merchants Bonding Company(Mutual) P.O. Box 14498 Des Moines, IA 50306-3498 SURPTY, on bond of {Insert name and adduct q(Czwracruv IBCTX, LLC 507 Main Street, Suite B Lake Dallas,TX 75065 CONTRACTOR, hemby 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 (Irawel name atr d a[&Irav of0tr aerl City of Fort Worth 200 Texas Street Fort Worth,TX 76102 OWNER, as set forth in said Surety's bond. IN WITNESS WHEREOF,the S%n•ety Ivs hereunto set its pand on this date: August 29, 2022 flttattY ftx unllltg dbe naorttb fallouvxd Irk tfar trr.+nern=date arztd}'epri Merchants Bonding Company(Mutual) ,(/y /fin //�,�w tssz :cc; BY� :,6�i• . 1r: 6ffliatuor ofar r�lzrid trlit atatirr) AtteSV '••.•.•.. {Sep): ` Sahalr� �a�rD,rte�r Abigail R. Mohr Attorney-in-Fact wifared tame and tklrl G7D7-1994 MERCHANi7�k BONDING COMPANY,M POWER OF ATTORNEY Know All Persons By These Presents,that MERCHANTS BONDING COMPANY(MUTUAL)and MERCHANTS NATIONAL BONDING, INC., both being corporations of the State of Iowa(herein collectively called the"Companies")do hereby make,constitute and appoint,individually. Abigail R. Mohr their true and lawful Attorneys)-in-Fact, to sign its name as surely(ies) and to execute, seal and acknowledge any and all bonds, undertakings, contracts and other written instruments in the nature thereof, on behalf of the Companies in their business of guaranteeing the fidelity of persons, guaranteeing the performance of contracts and executing or guaranteeing bonds and undertakings required or permitted in any actions or proceedings allowed by law. Surety Band#: TXC607115 Principal: IBCTX, LLC Obligee: City of Fort Worth This Power-of-Attorney is granted and is signed and sealed by facsimile under and by authority of the following By-Laws adopted by the Board of Directors of Merchants Bonding Company (Mutual) on April 23, 2011 and amended August 14, 2015 and adopted by the Board of Directors of Merchants National Bonding,Inc.,on October 16,2015. "The President, Secretary, Treasurer, or any Assistant Treasurer or any Assistant Secretary or any Vice President shall have power and authority to appoint Attorneys-in-Fact, and to authorize them to execute on behalf of the Company, and attach the seal of the Company thereto, bonds and undertakings,recognizances,contracts of indemnity and other writings obligatory in the nature thereof." "The signature of any authorized officer and the seal of the Company may be affixed by facsimile or electronic transmission to any Power of Attorney or Certification thereof authorizing the execution and delivery of any bond, undertaking, recognizance, or other suretyship obligations of the Company,and such signature and seal when so used shall have the same force and effect as though manually fixed." In connection with obligations in favor of the Florida Department of Transportation only, it is agreed that the power and aut hority hereby given to the Attorney-in-Fact includes any and all consents for the release of retained percentages and/or final estimates on engineering and construction contracts required by the State of Florida Department of Transportation. It is fully understood that consenting to the State of Florida Department of Transportation making payment of the final estimate to the Contractor and/or its assignee, shall not relieve this surety company of any of its obligations under its bond. In connection with obligations in favor of the Kentucky Department of Highways only, it is agreed that the power and authority hereby given to the Attorney-in-Fact cannot be modified or revoked unless prior written personal notice of such intent has been given to the Commissioner- Department of Highways of the Commonwealth of Kentucky at least thirty(30)days prior to the modification or revocation. In Witness Whereof,the Companies have caused this instrument to be signed and sealed this 29th day of August, 2022. .•`ta;:app�••. MERCHANTS BONDING COMPANY(MUTUAL) ;4; MERCHANTS NATIONAL BONDING. INC. co mod- �. •t-:� -0- • :aim ) 2003 ; f• 1933 •c. B '•• •• 1`r +• •W •.' President STATE OF IOWA "'•"•� "'`` COUNTY OF DALLAS ss. On this 29th day of August 2022 before me appeared Larry Taylor, to me personally known, who being by me duly sworn did say that he is President of MERCHANTS BONDING COMPANY (MUTUAL) and MERCHANTS NATIONAL BONDING, INC.; and that the seals affixed to the foregoing instrument are the Corporate Seals of the Companies: and that the said instrument was signed and sealed in behalf of the Companies by authority of their respective Boards of Directors. �410w s POLLY MASON oy Commission Number 750576 '`• My Commission Expires po January 07, 2023 Notary Public (Expiration of notary's commission does not invalidate this instrument) I,William Warner,Jr.,Secretary of MERCHANTS BONDING COMPANY(MUTUAL)and MERCHANTS NATIONAL BONDING, INC.,do hereby certify that the above and foregoing is a true and correct copy of the POWER-OF-ATTORNEY executed by said Companies,which is still in full force and effect and has not been amended or revoked. In Witness Whereof, I have hereunto set my hand and affixed the seal of the Companies on this 29th day OfAugust, 2022. •�i�o,.. �oc o�'• RQaA • q'. 2003 ;y 1933 c: secretary • �1r• POA 0018 (1120)