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Home My WebLink AboutContract 58456-FP3-FP3 City Secretary Contract No. 58456 FORT WORTHa Date Received 08/02/2023 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: Avilla Boat Club City Project No.: 103764 Improvement Type(s): x❑ Paving ❑ Drainage ❑ Street Lights ❑ Traffic Signals Original Contract Price: $32,506.92 Amount of Approved Change Order(s): Revised Contract Amount: Total Cost of Work Complete: $32,506.92 �Ya�roliatl�e� Aug 2, 2023 Braridl Prather (AuE2, 2023 10:41 CDT) Contractor Date CFO Title FB Potter Concrete, LLC Company Name s Aug 2, 2023 Project Inspector Date 9. Aug 2, 2023 Project Manager Date Aug 2, 2023 Hc6cccauianeOwen lAue2.202315:21CDT) CFA Manager Date A Aug 2, 2023 Laurcn Pricur )A-, 2, 202315:43 CDT) TPW Director Date ��''� Aug 37 2023 MIN— Mn—nW i M911121 CM Asst. City Manager Date OFFICIAL RECORD CITY SECRETARY Page 1 of 2 FT. WORTH, TX Notice of Project Completion Project Name: Avilla Boat Club City Project No.: 103764 City's Attachments Final Pay Estimate ❑x Change Order(s): ❑ Yes ❑x N/A Contractor's Attachments Affidavit of Bills Paid I Consent of Surety Statement of Contract Time Contract Time 122 WD Days Charged: 73 Work Start Date: 1/31/2023 Work Complete Date: 7/25/2023 Completed number of Soil Lab Test: 33 Completed number of Water Test: 0 Page 2of2 FoRTWORTH CITY OF FORT WORTH FINAL PAYMENT REQUEST Contract Name AVILLA BOAT CLUB Contract Limits Project Type PAVING IMPROVEMENTS City Project Numbers 103764 DOE Number 3764 Estimate Number 1 Payment Number 1 For Period Ending 7/25/2023 WD City Secretary Contract Number Contract Date Project Manager NA Contractor FB POTTER CONCRETE LLC 1596 E. MAIN STREET, SUITE 200 WAXAHACHIE , TX 75165 Inspectors M. GLOVER / S. BARNARD Contract Time 211D Days Charged to Date 73 Contract is 100.00 Complete Friday, July 28, 2023 Page 1 of 4 City Project Numbers 103764 Contract Name AVILLA BOAT CLUB Contract Limits Project Type PAVING IMPROVEMENTS Project Funding UNIT IV: PAVING IMPROVEMENTS DOE Number 3764 Estimate Number I Payment Number I For Period Ending 7/25/2023 Item Description of Items Estimated Unit Unit Cost Estimated Completed Completed No. Quanity Total Quanity Total 1 REMOVE CONC CURB & GUTTER 873 SF $3.92 $3,422.16 873 $3,422.16 2 CONC PVMT REPAIR, ARTERIAIJINDUSTRIAL 670 SF $11.96 $8,013.20 670 $8,013.20 3 7" CONC DRIVEWAY 1405 SF $9.37 $13,164.85 1405 $13,164.85 4 4" CONC SIDEWALK 375 SF $7.43 $2,786.25 375 $2,786.25 5 BARRIER FREE RAMP, TYPE P-1 4 EA $100.00 $400.00 4 $400.00 6 TOPSOIL 16 CY $49.99 $799.84 16 $799.84 7 TRAFFIC CONTROL 1 MO $3,000.00 $3,000.00 1 $3,000.00 8 -------------------------------------- BLOCK SOD PLACEMENT 191 SY $4.82 $920.62 191 $920.62 -------------------------------------- Sub-Total of Previous Unit $32,506.92 $32,506.92 Friday, July 28, 2023 Page 2 of 4 City Project Numbers 103764 Contract Name AVILLA BOAT CLUB Contract Limits Project Type PAVING IMPROVEMENTS Project Funding Contract Information Summary Original Contract Amount Chan Orders Total Contract Price DOE Number 3764 Estimate Number I Payment Number I For Period Ending 7/25/2023 $32,506.92 $32,506.92 Total Cost of Work Completed $32,506.92 Less % Retained $0.00 Net Earned $32,506.92 Earned This Period $32,506.92 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 $32,506.92 Friday, July 28, 2023 Page 3 of 4 City Project Numbers 103764 Contract Name AVILLA BOAT CLUB Contract Limits Project Type PAVING IMPROVEMENTS Project Funding Project Manager NA Inspectors M. GLOVER / S. BARNARD Contractor FB POTTER CONCRETE LLC 1596 E. MAIN STREET, SUITE 200 WAXAHACHIE , TX 75165 DOE Number 3764 Estimate Number I Payment Number I For Period Ending 7/25/2023 City Secretary Contract Number Contract Date Contract Time 22 WD Days Charged to Date 73 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 $32,506.92 Less % Retained $0.00 Net Earned $32,506.92 Earned This Period $32,506.92 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 $32,506.92 Friday, July 28, 2023 Page 4 of 4 FORT WORTH. TRANSPORTATION AND PUBLIC WORKS July 5, 2023 FB Potter Concrete, LLC 1596 E. Main Street, Suite 200 Waxahachie, TX 75165 RE: Acceptance Letter Project Name: Avilla Boat Club Project Type: Developer City Project No.: 103764 (Paving) To Whom It May Concern: On July 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 July 25, 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 July 25, 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- 392-2481. Sincerely, T%661.e Q L(/L Debbie Willhelm, Project Manager Cc: Stephen Barnard, Inspector Mike Glover, Inspection Supervisor Daniel,Roy, Senior Inspector VICTOR TORNERO, Program Manager Shield Endineering, Consultant Ruben Aguilar,Moss Utilities, Contractor , Developer File E-Mail: TPW_Acceptance@fortworthtexas.gov Rev. 8/20/19 DocuSign Envelope ID: A7CBF3F1-1713-4F20-B247-1F6DD3281C1D EXHIBIT C NOTICE: This document waives rights unconditionally and states that you have been paid for giving up those rights. It is prohibited for a person to require you to sign this document if you have not been paid the payment amount set forth below. If you have not been paid, use a conditional release form. UNCONDITIONAL WAIVER AND RELEASE ON FINAL PAYMENT Project Avilla Boat Club Job No. 1202208 The signer of this document has been paid in full for all labor, services, equipment, or materials furnished to the property or to Moss & Associates, LLC (person with whom signer contracted) on the property of NexMetro Boat Club, LP (owner) located at 6464 Robertson Road, Fort Worth, Texas 76179 (location) to the following extent: Avilla Boat Club (City Project No. 103764) (job description). The signer therefore waives and releases any mechanic's lien right, any right arising from a payment bond that complies with a state or federal statute, any common law payment bond right, any claim for payment, and any rights under any similar ordinance, rule, or statute related to claim or payment rights for persons in the signer's position. The signer warrants that the signer has already paid or will use the funds received from this final payment to promptly pay in full all of the signer's laborers, subcontractors, materialmen, and suppliers for all work, materials, equipment, or services provided for or to the above referenced project up to the date of this waiver and release. Date: r�—" A- 9.1 ) By STATE OF TEXAS COUNTY OF �A6 .9Thiq In trur �t y acknowledged befor peon this 7), i � !, �/ 1 (�-T Vl � Vame), � ��(( )) v (corilpany name). (Company name) (Signature) (Title) } day of 20 by (job title) of �`. xvw� NOTARY PUBLIC, STATE ,qF TEXAS 'i 1 f4 HANNAH TAYLOR%PG B `-,: Notary Public, State of Texas W. 'Q c Comm. Expires 02-20-2026 �n,,,n�� Notary ID 13145774-2 k,, , MOSS Standard Form Subcontract TX Rev 082019 os U5 BP Int Page 21 of 43 CONSENT OF ❑ Owner SURETY COMPANY ❑ Architect TO FINAL PAYMENT ❑ Contractor XSurety ❑ Other Project: (Name & Address) Avilla Boat Club TO: (Owner) City of Fort Worth 200 Texas St. Fort Worth, TX 76102 Sub -Contractor : FB Potter Concrete, LLC 1596 E. Main Street, Suite 200 Waxahachie, TX 75165 BOND NUMBER: PB02484500054 Architects Project No: Contract For: Contract Date: City Project No 103764 Concrete paving and sidewalks October 3, 2022 IN ACCORDANCE WITH THE PROVISIONS OF THE CONTRACT BETWEEN THE Owner AND THE Contractor IS INDICATED ABOVE, PHILADELPHIA INDEMNITY INSURANCE COMPANY, AS SURETY COMPANY, ON BOND OF (HERE INSERT NAME AND ADDRESS OF Contractor) FB Potter Concrete, LLC 1596 E. Main Street, Suite 200 Waxahachie, TX 75165 ,Contractor, HEREBY APPROVES OF THE FINAL PAYMENT TO THEContractor, AND AGREES THAT FINAL PAYMENT TO THE ContractorSHALL NOT RELIEVE THE SURETY COMPANY OF ANY OF ITS OBLIGATIONS TO (HERE INSERT NAME AND ADDRESS OFOwner) City of Fort Worth 200 Texas St. Fort Worth, TX 76102 ,Owner, AS SET FORTH IN THE SAID SURETY COMPANY'S BOND. IN WITNESS WHEREOF, THE SURETY COMPANY HAS HEREUNTO SET ITS HAND THIS DAY OF August 2, 2023. PHILADELPHIA INDEMNITY INSURANCE COMPANY SURETY COMPANY Lm A')_2k Trenae Marsh, Attorney in fact PHILADELPHIA INDEMNITY INSURANCE COMPANY One Bala Plaza, Suite 100 Bala Cynwyd, PA 19004-0950 Power of Attorney KNOW ALL PERSONS BY THESE PRESENTS: That PHILADELPHIA INDEMNITY INSURANCE COMPANY (the Company), a corporation organized and existing under the laws of the Commonwealth of Pennsylvania, does hereby constitute and appoint Greeory S. Hotchkiss, Farrah Carlton, Kari Fumerols, Daphne B. Clark. Maryana Zhuk. Tye H. Justice. Jennifer Lang Kelley. Kenneth G. Hotchkiss, Trenae Marsh, Michael Hotchkiss, Gary Lindsey and/or W. L.. Weatherred of Hotchkiss Insurance Aeenev. LLC., its true and lawful Attorney -in -fact with full authority to execute on its behalf bonds, undertakings, recognizances and other contracts of indemnity and writings obligatory in the nature thereof, issued in the course of its business and to bind the Company thereby, in an amount not to exceed S50.000.000. This Power of Attorney is granted and is signed and sealed by facsimile under and by the authority of the following Resolution adopted by the Board of Directors of PHILADELPHIA INDEMNITY INSURANCE COMPANY on the 141 of November, 2016. RESOLVED; That the Board of Directors hereby authorizes the President or any Vice President of the Company: (1) Appoint Attomey(s) in Fact and authorize the Attomey(s) in Fact to execute on behalf of the Company bonds and undertakings, contracts of indemnity and other writings obligatory in the nature thereof and to attach the seal of the Company thereto; and (2) to remove, at any time, any such AttomeyAn-Fact and revoke the authority given. And, be it FURTHER RESOLVED- That the signatures of such officers and the seal of the Company may be affixed to any such Power of Attorney or certificate relating thereto by facsimile, and any such Power of Attorney so executed and certified by facsimile signatures and facsimile seal shall be valid and binding upon the Company in the future with respect to any bond or undertaking to which it is attached. IN TESTIMONY WHEREOF, PHILADELPHIA INDEMNITY INSURANCE COMPANY HAS CAUSED THIS INSTRUMENT TO BE SIGNED AND ITS CORPORATE SEALTO BE AFFIXED BY ITS AUTHORIZED OFFICE THIS 5TH DAY OF MARCH, 2021. �yylry �,yi 4 ' ) UV(Seal) "' PelominX President & CEO Philadelphia indemnity Insurance Company On this 51 day of March, 2021 before me came the individual who executed the preceding instrument, to me personally known, and being by me duly sworn said that he is the therein described and authorized officer of the PHILADELPHIA INDEMNITY INSURANCE COMPANY; that the seal affixed to said instrument is the Corporate seal of said Company; that the said Corporate Seal and his signature were duly affixed. Notary Public: 0ommonwsalth Of Pwnsylvanla-Notary Seal Venesae Mckenzie, Notary Public Montpomeq County Myeommteslonexpires November3,2024 Cam mission number 1366394 Member, Panntylvan:n Assodallon or NOISHes residing at: Bala Cynwyd, PA My commission expires: November 3, 2024 I, Edward Sayago, Corporate Secretary of PHILADELPHIA INDEMNITY INSURANCE COMPANY, do hereby certify that the foregoing resolution of the Board of Directors and the Power of Attorney issued pursuant thereto on the 5d' day March, 2021 are true and correct and are still in full force and effect. I do further certify that John Glomb, who executed the Power of Attorney as President, was on the date of execution of the attached Power of Attorney the duly elected President of PHILADELPHIA INDEMNITY INSURANCE COMPANY. In Testimony Whereof I have subscribed my name and affixed the facsimile seal of each Company this day of .0 �d o tiJ 1927 j G Edward Sayago, Corporate Secretary . �, PHILADELPHIA INDEMNITY INSURANCE COMPANY