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Home My WebLink AboutContract 56676-FP3 City Secretary 56676 -FP3 Contract No. FORT WORM., Date Received Dec 20,2022 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): ❑ Paving M Drainage ❑ Street Lights ❑ Traffic Signals Original Contract Rice: $599,747.50 Amount of Approved Change Order(s): Revised Contract Amount: Total Cost of Work Complete: $599,747.50 a q—&GrarrfAes Dec 15, 2022 Albert Grant¢es(Dell,20221530 CST) Contractor Date Vice President Title Burnsco Construction, Inc. Company Name 71�-11 Dec 15, 2022 Michel V.Flute(Dec 15,202216:24 CST) Project Inspector Date sa,-ia ,dd�u,Fa�-6. n.-• Dec 19 2022 Sandio ikari.P.E.(Dec 19,202208:28 CST) Project Manager Date Rebecca Diane Owen Dec 19, 2022 Rebecca Diane Owen(Dec 19,2022 08,42 CST) CFA Manager Date A.'5a- Dec 19 2022 Lauren Prieur(Dec 19,2022 08:50 CST Interim TPW Director Date Dec 19 2022 William Johnwn(De 9.202214:44 CST) , 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): ❑ Yes N N/A Contractor's Attachments Affidavit of Bills Paid Consent of Surety Statement of Contract Time Contract Time 220 WD Days Charged: 202 Work Start Date: 12/9/2021 Work Complete Date 11/11/2022 Completed number of Soil Lab Test: 578 Completed number of Water Test: 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 DRAINAGE IMPROVEMENTS 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 DRAINAGE IMPROVEMENTS For Period Ending 11/30/2022 Project Funding UNIT IQ:DRAINAGE IMPROVEMENTS Item Description of Items Estimated Unit Unit Cost Estimated Completed Completed No. Quanity Total Quanity Total --------------------------------------- 1 MEDIUM STONE RIPRAP,DRY 236 SY $70.00 $16,520.00 236 $16,520.00 2 TRENCH SAFETY 3005 LF $0.50 $1,502.50 3005 $1,502.50 3 24"RCP CLASS III 1011 LF $72.00 $72,792.00 1011 $72,792.00 4 36"RCP CLASS III 1057 LF $125.00 $132,125.00 1057 $132,125.00 5 3X2 BOX CULVERT 165 LF $176.00 $29,040.00 165 $29,040.00 6 3X3 BOX CULVERT 139 LF $182.00 $25,298.00 139 $25,298.00 7 4X3 BOX CULVERT 409 LF $234.00 $95,706.00 409 $95,706.00 8 4X4 BOX CULVERT 224 LF $261.00 $58,464.00 224 $58,464.00 9 4'STORM JUNCTION BOX 8 EA $4,800.00 $38,400.00 8 $38,400.00 10 YSTORM JUNCTION BOX 2 EA $5,000.00 $10,000.00 2 $10,000.00 11 6'STORM JUNCTION BOX 1 EA $5,500.00 $5,500.00 1 $5,500.00 12 HEADWALL BOX CULVERT 15 CY $700.00 $10,500.00 15 $10,500.00 13 10'CURB INLET 5 EA $4,100.00 $20,500.00 5 $20,500.00 14 15'CURB INLET 7 EA $5,400.00 $37,800.00 7 $37,800.00 15 20'CURB INLET 6 EA $7,600.00 $45,600.00 6 $45,600.00 --------------------------------------- Sub-Total of Previous Unit $599,747.50 $599,747.50 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 DRAINAGE IMPROVEMENTS For Period Ending 11/30/2022 Project Funding Contract Information Summary Original Contract Amount $599,747.50 Change Orders Total Contract Price $599,747.50 Total Cost of Work Completed $599,747.50 Less %Retained $0.00 Net Earned $599,747.50 Earned This Period $599,747.50 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 $599,747.50 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 DRAINAGE IMPROVEMENTS 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 $599,747.50 Less %Retained $0.00 Net Earned $599,747.50 Earned This Period $599,747.50 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 $599,747.50 Thursday,December 15,2022 Page 4 of 4 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, Saru�cdAr�l.ika��, A.E. SandipA ikari,P.E.(Dec 19,202208:28 CST` 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