HomeMy WebLinkAboutContract 57720-FP4FORT WORTH.
-FP4
City Secretary
Contract No. 57720
Date Received 08/08/2023
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: Thomas Crossing Phase 8
City Project No.: 103392
Improvement Type(s): ❑ Paving
Original Contract Price:
Amount of Approved Change Order(s):
Revised Contract Amount:
Total Cost of Work Complete:
77h 11 f A, rIA148.202310:11 CDT)
Contractor
Project Manager
Title
Circle H Contractors
Company Name
Project Inspector
Vrcior•V.Tomero 7r: ?.E.
Project Manager
Rebecca Diane Owen (Aug 8, 2023 13:03 CDT)
CFA Manager
Lauren Prieur (Aug 8, 2023 13:21 CDT)
TPW Director
Willian.I.hn,.n WL R_ 202111-24 CDT1
Asst. City Manager
❑x Drainage ❑ Street Lights ❑ Traffic Signals
Aug 8, 2023
Date
Aug 8, 2023
Date
Aug 8, 2023
Date
Aug 8, 2023
Date
Aug 8, 2023
Date
Aug 8, 2023
Date
$252,957.37
$252,957.37
OFFICIAL RECORD
CITY SECRETARY Page 1 of 2
FT. WORTH, TX
Notice of Project Completion
Project Name: Thomas Crossing Phase 8
City Project No.: 103392
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 172 WD Days Charged: 172
Work Start Date: 10/11/2022 Work Complete Date: 7/31/2023
Completed number of Soil Lab Test: 363
Completed number of Water Test: 28
Page 2of2
FoRTWORTH
CITY OF FORT WORTH
FINAL PAYMENT REQUEST
Contract Name Thomas Crossing Phase 8
Contract Limits
Project Type DRAINAGE IMPROVEMENTS
City Project Numbers 103392
DOE Number 3920
Estimate Number 1 Payment Number 1
City Secretary Contract Number
Contract Date 9/26/2022
For Period Ending
Project Manager NA
Contractor CIRCLE H CONTRACTORS, LP
P O BOX 939
MIDLOTHIAN , TX 76065
Inspectors M. GLOVER / B. PHILLIPS
Contract Time
Days Charged to Date
Contract is 100.00
8/1/2023
wd
172rd
172
Complete
Wednesday, August 2, 2023 Page 1 of 4
City Project Numbers 103392 DOE Number 3920
Contract Name Thomas Crossing Phase 8 Estimate Number 1
Contract Limits Payment Number 1
Project Type DRAINAGE IMPROVEMENTS For Period Ending 8/1/2023
Project Funding
UNIT lII: DRAINAGE IMPROVEMENTS
Item
Description of Items
Estimated Unit
Unit Cost
Estimated
Completed
Completed
No.
Quanity
Total
Quanity
Total
1
CONCRETE RIPRAP
23 SY
$125.00
$2,875.00
23
$2,875.00
2
2 1 " RCP, CLASS III
47 LF
$63.25
$2,972.75
47
$2,972.75
3
24" RCP, CLASS lII
1051 LF
$74.20
$77,984.20
1051
$77,984.20
4
27" RCP, CLASS lII
573 LF
$82.05
$47,014.65
573
$47,014.65
5
4X2 BOX CULVERT
38 LF
$186.29
$7,079.02
38
$7,079.02
6
TRENCH SAFETY
1709 LF
$0.75
$1,281.75
1709
$1,281.75
7
4' STORM JUNCTION BOX
6 EA
$4,500.00
$27,000.00
6
$27,000.00
8
15' CURB INLET
7 EA
$5,750.00
$40,250.00
7
$40,250.00
9
CONC PVMT REPAIR, RESIDENTIAL
250 SY
$130.00
$32,500.00
250
$32,500.00
10
2-4'X2' MCW-Fl WINGWALL
1 EA
$5,250.00
$5,250.00
1
$5,250.00
11
12'X6' JUNCTION BOX
1 EA
$8,750.00
$8,750.00
1
$8,750.00
Sub -Total
of Previous Unit
$252,957.37
$252,957.37
Wednesday, August 2, 2023 Page 2 of 4
City Project Numbers 103392
Contract Name Thomas Crossing Phase 8
Contract Limits
Project Type DRAINAGE IMPROVEMENTS
Project Funding
Contract Information Summary
Original Contract Amount
Chanhe Orders
Total Contract Price
DOE Number 3920
Estimate Number 1
Payment Number 1
For Period Ending 8/1/2023
$252,957.37
$252,957.37
Total Cost of Work Completed $252,957.37
Less % Retained $0.00
Net Earned $252,957.37
Earned This Period $252,957.37
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
$252,957.37
Wednesday, August 2, 2023 Page 3 of 4
City Project Numbers 103392 DOE Number 3920
Contract Name Thomas Crossing Phase 8 Estimate Number 1
Contract Limits Payment Number 1
Project Type DRAINAGE IMPROVEMENTS For Period Ending 8/1/2023
Project Funding
Project Manager NA City Secretary Contract Number
Inspectors M. GLOVER / B. PHILLIPS Contract Date 9/26/2022
Contractor CIRCLE H CONTRACTORS, LP Contract Time 172 wd
P O BOX 939 Days Charged to Date 172 wd
MIDLOTHIAN, TX 76065 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 $252,957.37
Less % Retained $0.00
Net Earned $252,957.37
Earned This Period $252,957.37
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
$252,957.37
Wednesday, August 2, 2023 Page 4 of 4
FORTWORTH.
M,
TRANSPORTATION AND PUBLIC WORKS
August 1, 2023
Circle H Contractors, LP
P.O Box 220
Midlothian, TX 76065
RE: Acceptance Letter
Project Name: Thomas Crossing Phase 8
Project Type: Developer
City Project No.: 103392
To Whom It May Concern:
On August 1, 2023 a final inspection was made on the subject project. There were no punch list items
identified at that 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 August 1, 2023,
which is the date of the final inspection 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-
392-7830.
Sincerely,
Kctov V To; -hero 7r. 'PC
Victor Tornero, P.E, Project Manager
Cc: Brandon Phillips, Inspector
Donald Watson, Inspection Supervisor
Aaron Ybarra, Senior Inspector
Victor Tornero, P.E, Program Manager
Pape -Dawson Engineers, Consultant
Circle H Contractors, LP, Contractor
Thomas Crossing, LLC, Developer
File
E-Mail: TPW_Acceptance@fortworthtexas.gov
Rev. 08/20/19
Circle H Contractors, LP
P.O. Box 220
Midlothian, TX 76065
Office: 972-723-0802 Fax:972-723-5308
AFFIDAVIT OF BILLS PAID
BEFORE ME, the undersigned authority, on the day personally appeared Kim Owens, who after being
by me duly sworn, deposes, and says that he is the Manager for Circle H Contractors, LP.
KNOW ALL MEN THESE PRESENTS
l . The undersigned hereby certifies the improvements on the aforementioned project have been fully
and satisfactorily completed in conformity with the contract.
2. The undersigned further certifies that there are no claims of laborers or mechanics for unpaid
wages arising out of the performance of said contract and that the wage rates paid by Contractor
were in conformity with the contract provisions relating to said wage rates.
3. The undersigned further certifies that there are no claims of subcontractors or materials suppliers
for unpaid bills for labor or materials and supplies furnished in the course of the contract.
PROJECT: Thomas Crossing Ph 8
CERTIFIED TRUE AND rCT
q-)�- D
Contractor
STATE OF TEXAS
COUNTY OF ELLIS
BEFORE ME, the undersigned, a Notary Public in and for said County and State, on this day personally
appeared Kim Owens. known to me to be the person whose name is subscribed to the foregoing
instrument and acknowledged to me that he executed the same for the purposes and consideration therein
expressed.
Given under my hand and seal of office this , day of
2023.
Notary Public
,,,1fll1I IIF ry,,,,
EY WD
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7 OF
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CONSENT OF
SURETY COMPANY
TO FINAL PAYMENT
AIA DOCUMENT G707
PROJECT: Thomas Crossing Phase 8
(name, address)
TO (Owner)
Thomas Crossing, LLC
PO Box 939
Burleson, TX 76097
CONTRACTOR: Circle H Contractors, LP
PO Box 220
Midlothian, TX 76065
OWNER
❑
ARCHITECT
❑
CONTRACTOR
SURETY
❑
OTHER
❑
ARCHITECT'S PROJECT NO:
CONTRACT FOR: Bond#327541
CONTRACT DATE: June 7, 2022
FINAL CONTRACT PRICE: $969,776.32
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)
NGM Insurance Company (formerly known as National Grange Mutual Insurance Company)
55 West Street
Keene, NH 03431 , SURETY COMPANY,
on bond of (here insert name and address of Contractor)
Circle H Contractors, LP
PO Box 220
Midlothian, TX 76065
,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)
Thomas Crossing, LLC
PO Box 939
Burleson, TX 76097
OWNER,
as set forth in the said Surety Company's bond.
IN WITNESS WHEREOF,
the Surety Company has hereunto set its hand this 3rd day of August, 2023.
NGM Insurance Company (formerly known as National
Gran tual Insurance Company)
Sure Cop ny
Attest: uthoriEpnepresentative
(Seal):
Attorney-inFact
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
Printed in cooperation with the American Institute of Architects (AIA) by the NGM Insurance Company. The language in this document
conforms exactly to the language used in AIA document G707, April 1970 Edition.
68-5089 (06/2006)
®NGM INSURANCE COMPANY POWER OF ATTORNEY
Amrtmrarhs arm absk m ri=mw,c
06-03093777
KNOW ALL MEN BY THESE PRESENTS: That NGM Insurance Company, a Florida corporation having its principal
office in the City of Jacksonville, State of Florida, pursuant to Article IV, Section 2 of the By -Laws of said Company, to
wit:
"Article IV, Section 2. The board of directors, the president, any vice president, secretary, or the
treasurer shall have the power and authority to appoint attorneys -in -fact and to authorize them to execute
on behalf of the company and affix the seal of the company thereto, bonds, recognizances, contracts of
indemnity or writings obligatory in the nature of a bond, recognizance or conditional undertaking and to
remove any such attorneys -in -fact at any time and revoke the power and authority given to them. "
does hereby make, constitute and appoint Bret Tomlinson, Sheri R Allen, David Oxford, Steven Lott, Sherrel
Breazeale, Peggy Hogan
its true and lawful Attorneys -in -fact, to make, execute, seal and deliver for and on its behalf, and as its act and deed,
bonds, undertakings, recognizances, contracts of indemnity, or other writings obligatory in nature of a bond subject to the
following limitation:
1. No one bond to exceed Five Million Dollars ($5,000,000)
and to bind NGM Insurance Company thereby as fully and to the same extent as if such instruments were signed by the
duly authorized officers of NGM Insurance Company; the acts of said Attorney are hereby ratified and confirmed.
This power of attorney is signed and sealed by facsimile under and by the authority of the following resolution adopted
by the Directors of NGM Insurance Company at a meeting duly called and held on the 2nd day of December 1977.
Voted: That the signature of any officer authorized by the By -Laws and the company seal may be affixed by
facsimile to any power of attorney or special power of attorney or certification of either given for the execution of
any bond, undertaking, recognizance or other written obligation in the nature thereof; such signature and seal, when
so used being hereby adopted by the company as the original signature of such office and the original seal of the
company, to be valid and binding upon the company with the same force and effect as though manually affixed.
IN WITNESS WHEREOF, NGM Insurance Company has caused these presents to be signed by its Vice President,
General Counsel and Secretary and its corporate seal to be hereto affixed this 7th day of January, 2020.
NGM INSURANCE COMPANY By: G � oYGto
'* `
I Ion �
Kimberly K. Law
Vice President, General
' -P1
Counsel and Secre
State of Florida,
County of Duval.
On this 7th day of January, 2020, before the subscriber a Notary Public of State of Florida in and for the County of Duval duly
commissioned and qualified, came Kimberly K. Law of NGM Insurance Company, to me personally known to be the officer described
herein, and who executed the preceding instrument, and she acknowledged the execution of same, and being by me fully sworn,
deposed and said that she is an officer of said Company, aforesaid: that the seal affixed to the preceding instrument is the corporate
seal of said Company, and the said corporate seal and her signature as officer were duly affixed and subscribed to the said instrument
by the authority and direction of the said Company; that Article IV, Section 2 of the By -Laws of said Company is now in force.
IN WITNESS WHEREOF, I have hemunto set my hand and affixed my official seal at Jacksonville, Florida this 7th day of January,
2020.
mbdpw
1, Nancy Giordano -Ramos, Vice President of NGM insurance Company, do hereby certify that the above and foregoing is a true and
correct copy of Power of Attorney executed by said Company which is still in full force and effect.
IN, WITNESS WHEREOF, I have hereunto set my hand and affixed the seal of said Company at Jacksonvil e, Florida this
day of
WARNIN Any ttnau iotized reproduction or akeration of this documeM is prohibited.
TO CONFIRM VALIDITY of the attached bond please call I-800-225-5646. rnFa
TO SUBMIT A CLAIM: Send all correspondence to 55 West Street; Keene, NH 03431 Attn: Bond Claims. l�
Q(tCUIie. __._ ,ter-,��,u���.�wr.., rvr+i actiou,vti itii, �uitf-7CdG27YE wayarmarx, aaa nwomiev ptia&gl on border.