HomeMy WebLinkAboutContract 57208-FP2-FP2
City Secretary
Contract No. 57208
FORT WORTH.
Date Received 04/05/2023
AT
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: Trails of Elizabeth Creek Phase 5
City Project No.: 103331
Improvement Type(s): ❑ Paving ❑x Drainage ❑ Street Lights ❑ Traffic Signals
Original Contract Price:
$274,369.00
Amount of Approved Change Order(s):
Revised Contract Amount:
Total Cost of Work Complete:
$274,369.00
Albert Grantaes
AlbertGrantees (Apr 3, 202 10:05 CDT)
Contractor
Vice President
Title
Burnsco Construction, Inc.
Company Name
Jesse avis (Apr 3, 202310:16 CDT)
Project Inspector
khaG ' ' T E.
Khal Jaafari P.E. (Apr 4. 2023 22:29 CDT)
Project Manager
Y. f"e
cc Rebea Diane Owen (Apr 5, 2023 08:05 CDT)
CFA Manager
Lauren Prieur (Apr 5, 2023 08:59 CDT)
TPW Director
William Johnson (Ap 5, 202311:57 CDT)
Asst. City Manager
Apr 3, 2023
Date
Apr 3, 2023
Date
Apr 4, 2023
Date
Apr 5, 2023
Date
Apr 5, 2023
Date
Apr 5, 2023
Date
OFFICIAL RECORD
CITY SECRETARY
FT. WORTH, TX
Page 1 of 2
Notice of Project Completion
Project Name: Trails of Elizabeth Creek Phase 5
City Project No.: 103331
City's Attachments
Final Pay Estimate x❑
Change Order(s): ❑ Yes ❑x N/A
Contractor's Attachments
Affidavit of Bills Paid
Consent of Surety
Statement of Contract Time
Contract Time 110 WD Days Charged: 204
Work Start Date: 4/6/2022 Work Complete Date: 3/30/2023
Completed number of Soil Lab Test: 345
Completed number of Water Test: 12
Page 2of2
FoRTWoRTH
CITY OF FORT WORTH
FINAL PAYMENT REQUEST
Contract Name DRAINAGE IMPROVEMENTS TO SERVE ELIZABETH CREEK PHASE 5
Contract Limits
Project Type DRAINAGE
City Project Numbers 103331
DOE Number 3331
Estimate Number 1 Payment Number 1 For Period Ending 3/30/2023
WD
City Secretary Contract Number Contract Time I IWD
Contract Date 1/6/2022 Days Charged to Date 204
Project Manager NA Contract is 100.00 Complete
Contractor BURNSCO CONSTRUCTION, INC.
6331 SOUTHWEST BLVD
FORT WORTH, TX 76132
Inspectors GLOVER, M / DAVIS, J.
Friday, March 31, 2023 Page 1 of 4
City Project Numbers 103331 DOE Number 3331
Contract Name DRAINAGE IMPROVEMENTS TO SERVE ELIZABETH CREEK PHASE Estimate Number I
Contract Limits Payment Number 1
Project Type DRAINAGE For Period Ending 3/30/2023
Project Funding
UNIT: III DRAINAGE IMPROVEMENTS
Item
Description of Items
Estimated Unit
Unit Cost
Estimated
Completed
Completed
No.
Quanity
Total
Quanity
Total
23
10' CURB INLET
14 EA
$4,600.00
$64,400.00
14
$64,400.00
24
15' CURB INLES
7 EA
$6,300.00
$44,100.00
7
$44,100.00
25
4' STORM JUNCTION BOX
5 EA
$4,900.00
$24,500.00
5
$24,500.00
26
21" RCP, CLASS lII
549 LF
$62.00
$34,038.00
549
$34,038.00
27
24" RCP, CLASS lII
166 LF
$71.00
$11,786.00
166
$11,786.00
28
27" RCP, CLASS III
16 LF
$77.50
$1,240.00
16
$1,240.00
29
30" RCP, CLASS lII
1038 LF
$90.00
$93,420.00
1038
$93,420.00
30
--------------------------------------
TRENCH SAFETY
1770 LF
$0.50
$885.00
1770
$885.00
--------------------------------------
Sub-Total of Previous Unit
$274,369.00
$274,369.00
Friday, March 31, 2023 Page 2 of 4
City Project Numbers 103331 DOE Number 3331
Contract Name DRAINAGE IMPROVEMENTS TO SERVE ELIZABETH CREEK PHASE Estimate Number 1
Contract Limits Payment Number 1
Project Type DRAINAGE For Period Ending 3/30/2023
Project Funding
Contract Information Summary
Original Contract Amount $274,369.00
Change Orders
Total Contract Price $274,369.00
Total Cost of Work Completed $274,369.00
Less % Retained $0.00
Net Earned $274,369.00
Earned This Period $274,369.00
Retainage This Period $0.00
Less Liquidated Damages
Days @ / Day
LessPavement Deficiency
Less Penalty
Less Previous Payment
Plus Material on Hand Less 15%
Balance Due This Payment
$0.00
$0.00
$0.00
$0.00
$0.00
$274,369.00
Friday, March 31, 2023 Page 3 of 4
City Project Numbers 103331 DOE Number 3331
Contract Name DRAINAGE IMPROVEMENTS TO SERVE ELIZABETH CREEK PHASE Estimate Number I
Contract Limits Payment Number 1
Project Type DRAINAGE For Period Ending 3/30/2023
Project Funding
Project Manager NA
Inspectors GLOVER, M / DAVIS, J.
Contractor BURNSCO CONSTRUCTION, INC.
6331 SOUTHWEST BLVD
FORT WORTH, TX 76132
City Secretary Contract Number
Contract Date
1/6/2022
Contract Time
110 WD
Days Charged to Date
204 WD
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 $274,369.00
Less % Retained $0.00
Net Earned $274,369.00
Earned This Period $274,369.00
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
$274,369.00
Friday, March 31, 2023 Page 4 of 4
FORTWORTH.
TRANSPORTATION AND PUBLIC WORKS
March 30, 2023
Burnsco Construction, Inc.
6331 Southwest Blvd
Benbrook, TX 76132
RE: Acceptance Letter
Project Name: Trails of Elizabeth Creek Phase 5
Project Type: Storm Drain
City Project No.: 103331
To Whom It May Concern:
On March 13, 2023 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 March 30, 2023. 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 March 30, 2023, 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-
392-7872.
Sincerely,
khaG,7aa' T >C
KhaI Jaafari P.E. (Apr4, 202322:29 CDT)
Khal Jaafari, Project Manager
Cc: Jesse Davis, Inspector
Mike Glover, Inspection Supervisor
Randy Horton, Senior Inspector
Victor Tornero, Program Manager
UA, Consultant
Burnsco Construction, Contractor
Forestar, Developer
File
E-Mail: TPW_Acceptance@fortworthtexas.gov
Rev. 8/20/19
AFFIDAVIT
STATE OF TEXAS
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;
Trails of Elizabeth Creek Ph. 5 - Water, Sanitary Sewer and Storm Drain
BY
A Grantges, C ract Manager
Subscribed and sworn before me on this date 3rd of April, 2023.
Notary Public
Tarrant County, Texas
CESILIA CANALES
Notary ID #131652996
" wj�:
My Commission Expires
July 24, 2026
CONSENT OF
SURETY COMPANY
TO FINAL PAYMENT
Conforms with the American Institute of
Architects, AIA Document G707
PROJECT:
(name, address)Trails of Elizabeth Creek Phase 5
TO (Owner)
OWNER
❑
ARCHITECT
❑
CONTRACTOR
❑
SURETY
❑
OTHER
Fort Worth.
TX
Bond No 022232602
FORESTAR (USA) REAL ESTATE GROUP, INC. AND7 ARCHITECT'S PROJECT NO:
CITY OF FORT WORTH CONTRACT FOR:
14755 Preston Road, Suite 130 Trails of Elizabeth Creek Phase 5 - Water, Sanitary Sewer and
Drainage Improvements
Dallas TX 75254 _f CONTRACT DATE:
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)
FORESTAR (USA) REAL ESTATE GROUP, INC. AND CITY OF FORT WORTH
14755 Preston Road, Suite 130
Dallas TX 75254 , OWNER,
as set forth in the said Surety Company's bond.
IN WITNESS, WHEREOF,
the Surety Company has hereunto set its hand this
Attest:
(Seal):
8th day of March, 2023
LIBERTY MUTUAL INSURANCE COMPANY
Surety Company
Avkolu� 41��4
Signat6re of Authorized Representative
Sonhinie 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.
Comell; Joshua Saunders, Kelly A. Westbrook; Mikaela Peppers; Ricardo J. Reyna; Robbi Morales; Sophinie Hunter; Tina McEwan; Tonie Petranek
all of the city of Dallas state of TX
execute, seal, acknowledge and deid 11]
liver, for and on its behalf as surety and as its act and deed Cany aind allllunidertakings, bonds,a ecognizancesn one named land other suretylobligat ns, 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 .
tNsu Liberty Mutual Insurance Company
�Jp4 aPORgRgy Jp�oaPoNSyj Pa tNSURq The Ohio Casualty Insurance Company
s° om °Q 2° RasQ o PORgrO�m West American Insurance Company
r' 1919 w
�91912yo 02 �o a 1991 0
��> *us��sa °�yHAmv *�da� �s� °*"*�aa3 By. �'" /` �y (1) o
W State of PENNSYLVANIA ss David M. Carey, Assistant Secretary a M
v m County of MONTGOMERY c ..
�E
cu 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
iv 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. li �
a 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. Q
� N
caik PASt� rn
O
�tr:, U�g,DNW Commonwealth of Pennsylvania - Notary Seal
0-0
t O r,., �.y. Teresa Pastella, Notary Public „/�,, ' ,, - ' /�, 44 T_
qp Montgomery County U \1�'��2'•-af.� O f>3
' q My commission expires March 28, 2025 C
Commission number 1126044 By:
A rn SYLVP' +� Member, Pennsylvania Association of Notaries ieresa Pastella, Notary Public Q Q
N `1:aY
Nt
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 oNo
Insurance Company, and West American Insurance Company which resolutions are now in full force and effect reading as follows: `
ARTICLE IV —OFFICERS: Section 12. Power of Attorney. no. M
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 o
-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
C: 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 attomey, shall a S
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 o m
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 attomey-in-fact under the -0 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 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 correct copy of the. Power of Attorney 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 8th day of March 2023
Jp11 avo U/' 11(
INS& a 1NSUR
�o° '�4roy�� U�J =ooaPO29rs`9y� � �°oaPo��Fey�1n .
1912 n 1919 " w
r; o 0 0 7 1991 n
Yi�J19SS4CHU5,daY' y°yHAMPSN\��a�o Y N ys By,
*�d °*N?�aa ReneeC.Llewellyn,AssistantSecretary
LMS-12873 LMIC OCIC WAIC Multi Co 02/21
�"'SURETYLibertX
r�MutuaL
TEXAS
IMPORTANT NOTICE
To obtain information or make a complaint:
You may call toll -free for information or to
make a complaint at
1-877-751-2640
You may also write to:
2200 Renaissance Blvd., Ste. 400
King of Prussia, PA 19406-2755
You may contact the Texas Department of
Insurance to obtain information on companies,
coverages, rights or complaints at
1-800-252-3439
You may write the Texas Department of Insurance
Consumer Protection (1 I 1-IA)
P. O. Box 149091
Austin, TX 78714-9091
FAX: (512) 490-1007
Web: http://www.tdi.texas.gov
E-mail: ConsumerProtection@tdi.texas.gov
PREMIUM OR CLAIM DISPUTES:
Should you have a dispute concerning your
premium or about a claim you should first
contact the agent or call 1-800-843-6446.
If the dispute is not resolved, you may contact the
Texas Department of Insurance.
ATTACH THIS NOTICE TO YOUR
POLICY:
This notice is for information only and does not
become a part or condition of the attached
document.
NP70680901
LMS-15292 10/15
TEXAS
AVISO IMPORTANTE
Para obtener informacion o para someter una
queja:
Usted puede llamar al numero de telefono gratis
para informacion o para someter una queja al
1-877-751-2640
Usted tambien puede escribir a:
2200 Renaissance Blvd., Ste. 400
King of Prussia, PA 19406-2755
Puede comunicarse con el Departamento de
Seguros de Texas para obtener informacion
acerca de companias, coberturas, derechos o
quejas al
1-800-252-3439
Puede escribir al Departamento de Seguros
de Texas Consumer Protection (111-1A)
P. O. Box 149091
Austin, TX 78714-9091
FAX # (512) 490-1007
Web: http://www tdi texas gov
E-mail: ConsumerProtection@tdi-texas.gov
DISPUTAS SOBRE PRIMAS O RECLAMOS:
Si tiena una disputa concerniente a su prima o a
un reclamo, debe comunicarse con el agente o
primero. Si no se resuelve la disputa, puede
entonces comunicarse con el departamento (TDI)
UNA ESTE AVISO A SU POLIZA:
Este aviso es solo para proposito de informacion
y no se convierte en parte o condicion del
documento adjunto.