HomeMy WebLinkAboutContract 54211-R2FP1FoRTWORTH
WATER DEPARTMENT
ENGINEERING AND FISCAL SERVICES
NOTICE OF PROJECT COMPLETION
CSC No. 54211-R2FP1
56002-102639
CS 54211- R2
Regarding contract 54211-R2 for 2020 Miscellaneous Sanitary Sewer Manhole Repair 2nd Renewal as required by
the Water Department as approved by City Council on 3/29/22 through M&C 22-0237 the Director of the Water
Department, upon the recommendation of the Sr. Capital Projects Officer, Capital Projects Delivery, Water Department,
has accepted the project as complete.
Original Contract Prices:
Amount of Approved Change Orders:
Revised Contract Amount:
Total Cost Work Completed:
Less Deductions:
Liquidated Damages:
Other Deductions(see comments):
Total Deduction Amount:
Total Cost Work Completed:
Less Previous Payments:
Final Payment Due
Recommended for Acceptance
Assistant Director, Water Department
CGkf gyhel- 17�del-
Christopher H rder (Dec 16, 2022 14:08 CST)
Accepted
Director, Water Department
bard BU-44- A 6
Dana Burghdoff ( c 16, 20 16:35 CST)
City Manager
$225,000.00
$0.00 Ns 0
$225,000.00
$215,400.90
0 Days @ $365.00/ Day
$0.00
$215,400.90
$215,400.90
$0.00
Date
Date
Date
1Z/12/zl
OFFICIAL RECORD
CITY SECRETARY
FT. WORTH, TX
Project Name: 2020 Miscellaneous Sanitary Sewer Manhole Repair 2nd Renewal DOE. Ns:
Comments:
FORT WORTH
December 12, 2022
Ace Pipe Cleaning, Inc.
6601 Universal Ave.
Kansas City, MO 64120
Re: Acceptance Letter
Project Name: 2020 Miscellaneous Sanitary Sewer Manhole Repair 2nd Renewal
Project Type: Sewer
Project Ns:
D.O.E. Ns: N/A
Contract Ns: 54211-R2
Gentleman:
Dated: 3/29/2022
On November 29, 2022 a final inspection was made on the subject project. There were no punch list items
identified at the time. The final inspection indicates that the work meets the City of Fort Worth specifications and
is therefore accepted by the City. The warranty period will start on November 29, 2022, which is the date of final
inspection and will extend for (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) 392-6054
Yours Truly,
C"n S Uv
Tony Sholola, P.E., Assistant Director Water Department
MP /
cc: Chris Harder, P.E., Director, Water Department
Laura Wilson, P.E., Deputy Director, Water Department
Captain Michael Skains, Fire Department
Cesar Zavala, Field Operations Superintendent, Water Department
Luke Coffinan, Field Operations Superintendent, Waste Water Department
Chris Underwood, Project Manager, Water Department Capital Delivery
N/A, Consultant
Ace Pipe Cleaning, Inc., Contractor
David Johnson, Inspection Supervisor, Water Department Capital Delivery
Cody Dale Gair, Inspector, Water Department Capital Delivery
File
WATER DEPARTMENT
ENGINEERING AND FISCAL SERVICES
THE CITY OF FORT WORTH * 1000 THROCKMORTON STREET * FORT WORTH, TEXAS 76102
817-392-8240 * FAx 817-392-8195
Cv Printed on recycled paper
FO120U 9-y
CONSENT OF
SURETY COMPANY
TO FINAL PAYMENT
AIA DOCUMENT G707
OWNER
ARCHITECT
CONTRACTOR
SURETY
OTHER L
Bond No. 107286730
PROJECT: 2020 Miscellaneous Sanitary Sewer Manhole Repair Contract Project No. 102639 - 2nd Renewal
(name, address)
TO (Owner)
ARCHITECT'S PROJECT NO:
City of Fort Worth CONTRACT FOR: 2020 Miscellaneous Sanitary Sewer Manhole
1000 Throckmorton Street Repair Contract Project No. 102639 - 2nd Renewal
Fort Worth, TX 76102
CONTRACT DATE:
L
CONTRACTOR: Ace Pipe Cleaning, Inc.
6601 Universal Ave. Kansas City, MO 64120
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)
Travelers Casualty and Surety Company of America
One Tower Square , Hartford, CT 06183 SURETY COMPANY,
On bond Of (here insert name and address of Contractor)
Ace Pipe Cleaning, Inc.
6601 Universal Ave. Kansas City, MO 64120 , 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)
City of Fort Worth
1000 Throckmorton Street Fort Worth, TX 76102 OWNERS,
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
Travelers Casualty and Surety Company of America
Surety. any
Signature of Authorized Representative
Attest:, "
"(Seal); Peter S. Forker, Attorney -in -Fact
Title
NOTE:, This form is ;c: be used as a companion document to AIA DOCUMENT G706, CONTRACTOR'S AFFIDAVIT OF PAYMENT OF DEBTS AND
CLAIMS, Curren: Edition
AIA DOCUMENT G707 • CONSENT OF SURETY COMPANY TO FINAL PAYMENT • APRIL 1970 EDITION • AIA® ONE PAGE
0 1970 • THE AMERICAN INSTITUTE OF ARCHITECTS. 1735 NEW YORK AVE., NW, WASHINGTON, D.C. 20006
Travelers Casualty and Surety Company of America
A11111111111k Travelers Casualty and Surety Company
TRAVELERS J St. Paul Fire and Marine Insurance Company
POWER OF ATTORNEY
KNOW ALL MEN BY THESE PRESENTS: That Travelers Casualty and Surety Company of America, Travelers Casualty and Surety Company, and
St. Paul Fire and Marine Insurance Company are corporations duly organized under the laws of the State of Connecticut (herein
collectively called the "Companies"), and that the Companies do hereby make, constitute and appoint Peter S Forker of
ROLLING MEADOWS , Illinois , their true and lawful Attorney(s)-in-Fact to sign, execute, seal and
acknowledge any and all bonds, recognizances, conditional undertakings and other writings obligatory 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.
IN WITNESS WHEREOF, the Companies have caused this instrument to be signed, and their corporate seals to be hereto affixed, this 21st day of April,
2021.
,�1M4`'�:Tp� JP TY ANOeg(�C=�.N
9SHARTFORD
State of Connecticut
By:
City of Hartford ss. Robert L. Rane , enior Vice President
On this the 21st day of April, 2021, before me personally appeared Robert L. Raney, who acknowledged himself to be the Senior
Vice President of each of the Companies, and that he, as such, being authorized so to do, executed the foregoing instrument for the
purposes therein contained by signing on behalf of said Companies by himself as a duly authorized officer.
IN WITNESS WHEREOF, I hereunto set my hand and official seal.
My Commission expires the 30th day of June, 2026
s Pum10 Anna P. Nowik, Notary Public
This Power of Attorney is granted under and by the authority of the following resolutions adopted by the Boards of Directors of each of
the Companies, which resolutions are now in full force and effect, reading as follows:
RESOLVED, that the Chairman, the President, any Vice Chairman, any Executive Vice President, any Senior Vice President, any Vice
President, any Second Vice President, the Treasurer, any Assistant Treasurer, the Corporate Secretary or any Assistant Secretary may appoint
Attorneys -in -Fact and Agents to act for and on behalf of the Company and may give such appointee such authority as his or her certificate of authority
may prescribe to sign with the Company's name and seal with the Company's seal bonds, recognizances, contracts of indemnity, and other writings
obligatory in the nature of a bond, recognizance, or conditional undertaking, and any of said officers or the Board of Directors at any time may
remove any such appointee and revoke the power given him or her; and it is
FURTHER RESOLVED, that the Chairman, the President, any Vice Chairman, any Executive Vice President, any Senior Vice President or
any Vice President may delegate all or any part of the foregoing authority to one or more officers or employees of this Company, provided
that each such delegation is in writing and a copy thereof is filed in the office of the Secretary; and it is
FURTHER RESOLVED, that any bond, recognizance, contract of indemnity, or writing obligatory in the nature of a bond, recognizance,
or conditional undertaking shall be valid and binding upon the Company when (a) signed by the President, any Vice Chairman, any Executive
Vice President, any Senior Vice President or any Vice President, any Second Vice President, the Treasurer, any Assistant Treasurer, the
Corporate Secretary or any Assistant Secretary and duly attested and sealed with the Company's seal by a Secretary or Assistant Secretary;
or (b) duly executed (under seal, if required) by one or more Attorneys -in -Fact and Agents pursuant to the power prescribed in his or her
certificate or their certificates of authority or by one or more Company officers pursuant to a written delegation of authority; and it is
FURTHER RESOLVED, that the signature of each of the following officers: President, any Executive Vice President, any Senior Vice President,
any Vice President, any Assistant Vice President, any Secretary, any Assistant Secretary, and the seal of the Company may be affixed by facsimile to
any Power of Attorney or to any certificate relating thereto appointing Resident Vice Presidents, Resident Assistant Secretaries or Attorneys -in -
Fact for purposes only of executing and attesting bonds and undertakings and other writings obligatory in the nature thereof, and any such Power of
Attorney or certificate bearing such facsimile signature or facsimile seal shall be valid and binding upon the Company and any such power so executed
and certified by such facsimile signature and facsimile seal shall be valid and binding on the Company in the future with respect to any bond or
understanding to which it is attached.
I, Kevin E. Hughes, the undersigned, Assistant Secretary of each of the Companies, do hereby certify that the above and foregoing is a
true and correct copy of the Power of Attorney executed by said Companies, which remains in full force and effect.
Dated this day of DWRAtba
t C xacowwao, t Cam! l
SIX
Hughes, Assistant
Secretary
To verify the authenticity of this Power ofAttorney, please call us at 1-800-421-3880,
Please refer to the above -named Attorneys) -in -Fact and the details ofthe bond to which this Power of Attorney is attached.
ACKNOWLEDGMENT BY SURETY
STATE OF Illinois
ss.
County of Cook
On this g,-.- A- day of _ 2022 , before me personally
appeared Peter S. Forker , known to, me to be the Attorney -in -Fact of
Travelers Casualty and Surety Company of America
the corporation
that executed the within instrument, and acknowledged to me that such corporation executed the same.
IN WITNESS WHEREOF, I have hereunto set my hand and affixed my official seal, at my office in the aforesaid County, the day and
year in this certificate first above written.
0IFFIC9AL SEA t
OS Ati F. RiN001'4
P�OTr" RY PUBUC — SiA E OF a�,i_4ti0iS
Z f r'f OOiUM1S&ON E1:PMES u.EPT 17, 202�R
� Notary Public in the St too Illinois
County of Cook
S-0230/GE 10/99
XDP
Print Form
Final Bills Paid Affidavit
by Contractor
BEFORE ME, the undersigned authority, personally appeared ACE PIPE CLEANING INC (hereinafter referred to as
"Contractor"), known to me to be a credible person, and after being by me duly swom, upon oath stated and affirmed that:
"My name is BRUCE VANTINE and I am the SECRETARY TREASUFd of ACE PIPE CLEANING INC
hereafter sometimes referred to in this affidavit as "Contractor". Contractor's business address is
6601 UNIVERSAL AVE, KCrS The undersigned Contractor has personal knowledge of the facts stated herein and
has full authority to make the agreements in this affidavit on behalf of Contractor.
Pursuant to and in accordance with a written construction contract between ACE PIPE CLEANING &Contractor, and
CITY OF FT WORTH Owner/Administrator, Contractor furnished materials and labor for the construction,
renovation, or repair of improvements located on or relating to project known as 2020 MISC MH REPAIRS located
at FT WORTH TX , City of FT WORTH 1.a.�-cam County, Texas, legally
described in Exhibit "A" attached hereto and made a part hereof for all purposes (the "Property"). All work provided
for under said written construction contract, together with all changes and supplements thereto, has been fully
completed in accordance with the terms and provisions thereof.
Contractor has paid each of its subcontractors, laborers, suppliers and materialmen in full for all labor and materials
provided to Contractor for or in connection with the construction, renovation, or repair of improvements on or relating to
the subject Property, or any portion thereof, excepting only the amounts owed for the following specified bills to the
persons identified below_ Contractor warrants and represents that the following specified bills will be paid to Contractor
by Owner/Administrator in reliance on this Final Bills Paid Affidavit:
Name of Payee Address Telephone No. Amount Owed
Other than the above specified bills owed to the above referenced persons, Contractor is not aware of any unpaid bills,
claims, demands, or causes of action by any of its subcontractors, laborers, suppliers, or materialmen for or in connection
with the furnishing of labor or materials, or both, for the construction, renovation, or repair of improvements located on or
related to the subject Property.
In consideration of the funds paid to Contractor by Owner/Administrator and by Lender on behalf of Owner/Administrator
in reliance on this affidavit, Contractor waives and releases all of Contractor's statutory and constitutional mechanic's lien
rights connected with the construction of the Project, conditioned on the actual payment or collection if payment is made
by check or draft.
Contractor further understand that this Final Bills Paid Affidavit is being given pursuant to and in accordance with
Sections 53.085 and 53.259 of the Texas Property Code and that the intentional, knowing, or reckless making of a false or
misleading statement in this Affidavit constitutes an offense under said Section and is a Class A misdemeanor.
Contractor hereby indemnifies and holds harmless Owner/Administrator from any and all claims, demands or causes of
action, and any costs, expenses, and attorney's fees incurred in connection therewith, arising from or connected with, the
statements and representations contained herein."
Form 16 — Final Bills Paid Affidavit Page 1 of 3
May 1, 2009
EXECUTED this sT day of QECEMQ ,,o , 20
ACE PIPE CLEANING INC
[Name of Contractor Company]
By: ,' V "--- va--�
Y
Printed NameBRUCE VANTINE
Title: SECRETARY TREASURER
Notary's Acknowledgement
Before me, the undersigned authority, on this day personally appeared
who first being duly sworn by me to be the person whose name is subscribed to the foregoing Final Bills Paid Affidavit,
acknowledged that he/she has the authority to make this Final Bills Paid Affidavit, and further acknowledged to me that he/
she executed the same for the purpose and consideration therein expressed.
'AND SEAL OF OFFICE on this the / sT
GIVEN UNday of �ccr�„i�, 20 ZZ10-0
IT 11
(Seal) 1�lj:C3 NOTARY � . A
e I � �' PU6UG
NOTARY
SEAS- = Notary Public, State of'%as- is tzn,�rz
#�538523'J1Z? My commission expires
0?
�'o9TE O F M�c;,�'•
Form 16 — Final Bills Paid Affidavit Page 2 of 3
May 1, 2009
EXHIBIT "A"
Form 16 — Final Bills Paid Affidavit Page 3 of 3
May 1, 2009