HomeMy WebLinkAboutContract 56676-FP2 City Secretary 56676 -FP2
Contract No.
FORT WORM., Date Received Dec 18,2022
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: Marine Creek Ranch Section 15 & 16
City Project No.: 103250
Improvement Type(s): Water M Sewer
Original Contract Price: $1,158,044.60
Amount of Approved Change Order(s): $1,960.00
Revised Contract Amount:
Total Cost of Work Complete: $1,160,004.60
Albert �ee(Dec :32C5T) Dec 15, 2022
Aa&Contractor Date
Vice President
Title
Burnsco Construction, Inc.
Company Name
Michael V. Flume Dec 15, 2022
Michael V.Flute(Dec 15.202215:46 CST)
Project Inspector Date
Ja��'id�f2&L/1(0 Dec 16 2022
SandiDAd ikari.P.E.(Dec16.202209:20CST)
Project Manager Date
R,4ft&v D -o Dec 16 2022
Rebecca Diane Owen(Dec 16,20220928 CST) 7
CFA Manager Date
A.'5a- Dec 16, 2022
Lauren Prieur(Dec 16,2022 09:37 CST)
Interim TPW Director Date
W'll'Lhnwn(De 7.202213:20 CSTI Dec 17, 2022
Asst. City Manager Date
OFFICIAL RECORD
CITY SECRETARY
FT.WORTH,TX
Page 1 of 2
Notice of Project Completion
Project Name: Marine Creek Ranch Section 15 & 16
City Project No.: 103250
City's Attachments
Final Pay Estimate N
Change Order(s): N Yes ❑ N/A
Pipe Report: N Yes ❑ N/A
Contractor's Attachments
Affidavit of Bills Paid
Consent of Surety
v
Statement of Contract Time
Contract Time: 220 WD Days Charged: 202
Work Start Date 12/09/2021 Work Complete Date: 11/11/2022
Soil Lab Number of Tests 578
Water Number of Tests: 106
Page 2 of 2
FORT WORTH
CITY OF FORT WORTH
FINAL PAYMENT REQUEST
Contract Name MARINE CREEK RANCH SECTION 15&16
Contract Limits
Project Type WATER&SEWER
City Project Numbers 103250
DOE Number 3250
Estimate Number 1 Payment Number 1 For Period Ending 11/30/2022
WD
City Secretary Contract Number Contract Time 15UM
Contract Date 9/7/2021 Days Charged to Date 202
Project Manager NA Contract is 100.00 Complete
Contractor BURNSCO CONSTRUCTION,INC.
6331 SOUTHWEST BLVD
FORT WORTH, TX 76132
Inspectors MILLER,W / FLUTE,M
Thursday,December 15,2022 Pagel of 4
City Project Numbers 103250 DOE Number 3250
Contract Name MARINE CREEK RANCH SECTION 15&16 Estimate Number 1
Contract Limits Payment Number 1
Project Type WATER&SEWER For Period Ending 11/30/2022
Project Funding
UNIT L•WATER IMPROVEMENTS
Item Description of Items Estimated Unit Unit Cost Estimated Completed Completed
No. Quanity Total Quanity Total
---------------------------------------
1 TRENCH SAFETY 6808 LF $0.10 $680.80 6808 $680.80
2 DUCTILE IRON WATER FITTINGS 2.2 TN $3,000.00 $6,600.00 2.2 $6,600.00
W/RESTRAINT
3 8"PVC WATER PIPE 6808 LF $38.00 $258,704.00 6808 $258,704.00
4 FIRE HYDRANT 13 EA $4,400.00 $57,200.00 13 $57,200.00
5 CONNECTION TO EXISTING 4"-12"WATER 2 EA $3,260.00 $6,520.00 2 $6,520.00
MAIN
6 1"WATER SERVICE(CO#1) 182 EA $980.00 $178,360.00 182 $178,360.00
7 8"GATE VALVE 21 EA $1,400.00 $29,400.00 21 $29,400.00
---------------------------------------
Sub-Total of Previous Unit $537,464.80 $537,464.80
UNIT M SANITARY SEWER IMPROVEMENTS
Item Description of Items Estimated Unit Unit Cost Estimated Completed Completed
No. Quanity Total Quanity Total
---------------------------------------
1 POST-CCTV INSPECTION 6803 LF $3.00 $20,409.00 6803 $20,409.00
2 MANHOLE VACUUM TESTING 37 LF $120.00 $4,440.00 37 $4,440.00
3 TRENCH SAFETY 6803 LF $1.00 $6,803.00 6803 $6,803.00
4 CONCRETE COLLAR 2 EA $350.00 $700.00 2 $700.00
5 CONCRETE ENCASEMENT FOR UTILITY PIPES 24 CY $600.00 $14,400.00 24 $14,400.00
6 4"SEWER SERVICE 179 EA $810.00 $144,990.00 179 $144,990.00
7 8"SEWER PIPE 6569 LF $38.00 $249,622.00 6569 $249,622.00
8 8"SEWER PIPE,CLSM BACKFILL 234 LF $72.00 $16,848.00 234 $16,848.00
9 EPDXY MANHOLE LINER 73.67 VF $340.00 $25,047.80 73.67 $25,047.80
10 4'MANHOLE 36 EA $3,160.00 $113,760.00 36 $113,760.00
11 4'EXTRA DEPTH MANHOLE 106 VF $150.00 $15,900.00 106 $15,900.00
12 Y DROP MANHOLE 1 EA $7,640.00 $7,640.00 1 $7,640.00
13 5'EXTRA DEPTH MANHOLE 9 VF $220.00 $1,980.00 9 $1,980.00
---------------------------------------
Sub-Total of Previous Unit $622,539.80 $622,539.80
---------------------------------------
Thursday,December 15,2022 Page 2 of 4
City Project Numbers 103250 DOE Number 3250
Contract Name MARINE CREEK RANCH SECTION 15&16 Estimate Number 1
Contract Limits Payment Number 1
Project Type WATER&SEWER For Period Ending 11/30/2022
Project Funding
Contract Information Summary
Original Contract Amount $1,158,044.60
Change Orders
Change Order Number 1 $1,960.00
Total Contract Price $1,160,004.60
Total Cost of Work Completed $1,160,004.60
Less %Retained $0.00
Net Earned $1,160,004.60
Earned This Period $1,160,004.60
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 $1,160,004.60
Thursday,December 15,2022 Page 3 of 4
City Project Numbers 103250 DOE Number 3250
Contract Name MARINE CREEK RANCH SECTION 15&16 Estimate Number 1
Contract Limits Payment Number 1
Project Type WATER&SEWER For Period Ending 11/30/2022
Project Funding
Project Manager NA City Secretary Contract Number
Inspectors MILLER,W / FLUTE,M Contract Date 9/7/2021
Contractor BURNSCO CONSTRUCTION,INC. Contract Time 150 WD
6331 SOUTHWEST BLVD Days Charged to Date 202 WD
FORT 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 $1,160,004.60
Less %Retained $0.00
Net Earned $1,160,004.60
Earned This Period $1,160,004.60
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 $1,160,004.60
Thursday,December 15,2022 Page 4 of 4
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FORT WORTH
TRANSPORTATION AND PUBLIC WORKS
PIPE REPORT FOR:
PROJECT NAME: Marine Creek Ranch Section 15&16
PROJECT NUMBER: 103250
DOE NUMBER: NA
WATER
PIPE LAID SIZE TYPE OF PIPE LF
DR-14 C-900 PVC 8 Inch DR-14 6808
FIRE HYDRANTS:13 VALVES(16"OR LARGER)
PIPE ABANDONED SIZE TYPE OF PIPE LF
DENSITIES: Yes
NEW SERVICES: 1" Domestic Copper 182
SEWER
PIPE LAID SIZE TYPE OF PIPE LF
SDR-26 PVC C900 8" PVC 6569
PIPE ABANDONED SIZE TYPE OF PIPE LF
DENSITIES: Yes
NEW SERVICES: 4" SDR 26 PVC 179
TRANSPORTATION AND PUBLIC WORKS
(D The City of Fort Worth• 1000 Throckmorton Street•Fort Worth,TX 76012-6311
(817) 392-7941 •Fax: (817) 392-7845
FORT WORTH.
TRANSPORTATION AND PUBLIC WORKS
December 2, 2022
Burnsco Construction Inc
6331 Southwest Blvd.
Benbrook Tx 76132
RE: Acceptance Letter
Project Name: Marine Creek Ranch Section 15&16
Project Type:Water, Sewer, Drainage
City Project No.: 103250
To Whom It May Concern:
On December 2, 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 December 14, 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 December 2,
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-
392-8424.
Sincerely,
SandipAd Kilkari,P.E.(Dec 16,202209:20CST)
Sandip Adhikari, Project Manager
Cc: Michael Flute, Inspector
Wade Miller, Inspection Supervisor
Emanuel Nieto,Senior Inspector
Victor Tornero, Program Manager
MMA(Andrea Taylor), Consultant
Burnsco Construction Inc, Contractor
Crystal Lake Development, 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;
Marine Creek Ranch Section 15 & 16 -Water, Sanitary Sewer&Drainage
BY J)Z7�
'Ab Grantg Z'Dwrftet Manager
Subscribed and sworn before me on this date 15th of December, 2022.
' .PPy,.p Ve� EMMA TURNER
,_'_;' o'; Notary Public,State of Texas
Notary Public !._ My Commission Expires
Tarrant County Texas August 12,2025
'••,9rE of �+`•`
NOTARY ID 13326419
CONSENT OF OWNER ❑
SURETY COMPANY ARCHITECT ❑
TO FINAL PAYMENT SORE RYCTOR ❑❑
Conforms with the American Institute of OTHER
Architects,AIA Document G707
Bond No 022230643
PROJECT:
(name, addfeSs)Marine Creek Ranch Section 15& 16
TX
TO (Owner)
CRYSTAL LAKE DEVELOPMENT,LLC AND CITY OF7 ARCHITECT'S PROJECT NO:
FORT WORTH CONTRACT FOR:
3825 Camp Bowie Road Marine Creek Ranch Section 15&16-Water,Sanitary Sewer and
Drainage Improvements
Fort Worth TX 76107 CONTRACT DATE: 9i7i2021
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)
CRYSTAL LAKE DEVELOPMENT, LLC AND CITY OF FORT WORTH
3825 Camp Bowie Road
Fort Worth TX 76107 , OWNER,
as set forth in the said Surety Company's bond.
IN WITNESS, WHEREOF,
the Surety Company has hereunto set its hand this 2nd day of December,2022
LIBERTY MUTUAL INSURANCE COMPANY
Surety Company
Attest: J-)-..r_ Mclvlell�
(Seal): Signa ure 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.Reyna;Robbi Morales;Sophinie Hunter;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 adomey-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` INsui? P�0 INS&,p d\NSURq The Ohio Casualty Insurance Company
�J °µPoagr °aP°aqr 92 - °°aPoayr Cl West American Insurance Company
Fo m to 3 Fo c°
1912 0 2 1919 o a 1991 0 a y0
'�fAMP °IA U
cN By:7 m
David M.Carey,Assistant Secretary
m State of PENNSYLVANIA
— Z3
ro rn County of MONTGOMERY ss o E
oaS 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
cv 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
therein contained by signing on behalf of the corporations by himself as a duly authorized officer. >
c s 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. ;�
O
N 5p, PASS, a O
1,oNW < Commonwealth of Pennsylvania-Notary Seal =
do Teresa Pastels,Notary Public N N
Montgomery County E
Bn� d
O+- OF My commission expires March 28,2026 .�J O
Commission number 1126044 y:
Member,Pennsylvania Association of Notaries eresa Pastella,Notary Public Q O
4 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
0•� Insurance Company,and West American Insurance Company which resolutions are now in full force and effect reading as follows: a M
:? ARTICLE IV-OFFICERS:Section 12.Power of Attorney. o 0
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
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 CO
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 v Co
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 Co a)
Z L) 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 attorney-in-fact under the f 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. o T
ILL CL
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 attorneys-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 correetcdpy of the:Powerof Attomey 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 2nd day of December , 2022
PV SUN PVtY INS& � %NS4
�J °°aP°qqr Lo �iJ 4°aP°a4rR9y `pp G°avoq�T yC,
J3 Fom Qr Foc+ � 3 Fo m JJ `-'
1912(/y o a 1919 1991
~�j19sSACHUS" •dD y�y�NA MPS��4�LO �( �NDIANP a By:
a - /, 1 *�a Renee C.Llewellyn,Assistant Secretary
LMS-12873 LMIC OCIC WAIC Multi Co 02121
. berlX ,7
Mutua
SURETY
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 Ilamar 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 (I I I-1A) de Texas Consumer Protection (I I I-1A)
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@tdi.texas.gov E-mail: Con sumerProtectiongtdi.texas.gov
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