HomeMy WebLinkAboutContract 57186-FP1FORT WORTH.
-FP1
City Secretary
Contract No. 57186
Date Received 08/21/2023
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: Rainbow Ridge Phase 2B
City Project No.: 103145
Improvement Type(s): ❑ Paving ❑x Drainage ❑ Street Lights ❑ Traffic Signals
Original Contract Price: $725,843.50
Amount of Approved Change Order(s):
Revised Contract Amount:
Total Cost of Work Complete: $725,843.50
Aug 14, 2023
Contractor Date
Vice President
Title
Burnsco Construction, Inc.
Company Name
Aug 14, 2023
William Rodgers (Aug 14. 202316:51 CDT)
Project Inspector
Date
-�14'1--
Aug 18, 2023
Khal Ja afa ri PelfAudA. 2023 21:19 CDT)
ProjectAug Manager
Date
21, 2023
7714aD�e OWeO(Aug 21, 202308:06 CDT)
'
CFA Manager
Date
A.
Aug 21, 2023
au ren Prieu rlAug 2 I, 202308:36 CDT)
TPW Director
Date
wlll0i�hn`^nQJ---1 �53 CDT1
Aug 22, 2023
Asst. City Manager
Date
OFFICIAL RECORD
CITY SECRETARY Page 1 of 2
FT. WORTH, TX
Notice of Project Completion
Project Name: Rainbow Ridge Phase 2B
City Project No.: 103145
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 180 WD
Work Start Date: 5/2/2022
Completed number of Soil Lab Test: 377
Completed number of Water Test: 14
Days Charged: 246
Work Complete Date: 8/14/2023
Page 2of2
FoRTWORTH
CITY OF FORT WORTH
FINAL PAYMENT REQUEST
Contract Name RAINBOW RIDGE PHASE 2B
Contract Limits
Project Type DRAINAGE
City Project Numbers 103145
DOE Number 3145
Estimate Number 1 Payment Number 1 For Period Ending 8/14/2023
WD
City Secretary Contract Number Contract Time 9WD
Contract Date 7/27/2021 Days Charged to Date 246
Project Manager NA Contract is 100.00 Complete
Contractor BURNSCO CONSTRUCTION, INC.
6331 SOUTHWEST BLVD
FORT WORTH, TX 76132
Inspectors HORTON.R / RODGERS.W
Monday, August 14, 2023 Page 1 of 4
City Project Numbers 103145
Contract Name RAINBOW RIDGE PHASE 2B
Contract Limits
Project Type DRAINAGE
Project Funding
UNIT III: DRALANGE IMPROVEMENTS
Item
Description of It
No.
1
4X3 BOX CULVERT
2
36" RCP CLASS III
3
24" RCP CLASS III
4
2 1 " RCP CLASS III
5
REMOVE 24" STORM LINE
6
4' STORM JUNCTION BOX
7
4' MANHOLE RISER
8
15' CURB INLET
9
10' CURB INLET
10
6' DROP INLET
11
5' DROP INLET
12
TRENCH SAFETY
13
6' STRRM JUNCTION BOX
14
CONCRETE COLLAR
15
TRAFFIC CONTROL
16
WIDE ASPHALT PVMT REP
ems Estimated Unit
Quanity
1532 LF
175 LF
819 LF
221 LF
39 LF
3 EA
1 EA
4 EA
4 EA
1 EA
I EA
2747 LF
4 EA
2 EA
I MO
AIR, 100 LF
Sub -Total of Previous Unit
DOE Number 3145
Estimate Number 1
Payment Number 1
For Period Ending 8/14/2023
Unit Cost
Estimated
Completed
Completed
Total
Quanity
Total
$270.00
$413,640.00
1532
$413,640.00
$151.00
$26,425.00
175
$26,425.00
$106.00
$86,814.00
819
$86,814.00
$68.00
$15,028.00
221
$15,028.00
$17.00
$663.00
39
$663.00
$5,100.00
$15,300.00
3
$15,300.00
$2,000.00
$2,000.00
1
$2,000.00
$5,300.00
$21,200.00
4
$21,200.00
$4,100.00
$16,400.00
4
$16,400.00
$6,500.00
$6,500.00
1
$6,500.00
$5,700.00
$5,700.00
1
$5,700.00
$0.50
$1,373.50
2747
$1,373.50
$6,000.00
$24,000.00
4
$24,000.00
$400.00
$800.00
2
$800.00
$81,200.00
$81,200.00
1
$81,200.00
$88.00
$8,800.00
100
$8,800.00
$725,843.50
$725,843.50
Monday, August 14, 2023 Page 2 of 4
City Project Numbers 103145
Contract Name RAINBOW RIDGE PHASE 213
Contract Limits
Project Type DRAINAGE
Project Funding
Contract Information Summary
Original Contract Amount
Chanhe Orders
Total Contract Price
DOE Number 3145
Estimate Number 1
Payment Number 1
For Period Ending 8/14/2023
$725,843.50
$725,843.50
Total Cost of Work Completed $725,843.50
Less % Retained $0.00
Net Earned $725,843.50
Earned This Period $725,843.50
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
$725,843.50
Monday, August 14, 2023 Page 3 of 4
City Project Numbers 103145
Contract Name RAINBOW RIDGE PHASE 2B
Contract Limits
Project Type DRAINAGE
Project Funding
Project Manager NA
Inspectors HORTON.R / RODGERS.W
Contractor BURNSCO CONSTRUCTION, INC.
6331 SOUTHWEST BLVD
FORT WORTH, TX 76132
DOE Number 3145
Estimate Number 1
Payment Number 1
For Period Ending 8/14/2023
City Secretary Contract Number
Contract Date
7/27/2021
Contract Time
90 WD
Days Charged to Date
246 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 $725,843.50
Less % Retained $0.00
Net Earned $725,843.50
Earned This Period $725,843.50
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
$725,843.50
Monday, August 14, 2023 Page 4 of 4
FORTWORTH.
TRANSPORTATION AND PUBLIC WORKS
August 14, 2023
Burnsco Construction, Inc.
6331 Southwest Blvd.
Benbrook, Tx 76132
RE: Acceptance Letter
Project Name: Rainbow Ridge Phase 2B
Project Type: Storm Drain
City Project No.: 103145
To Whom It May Concern:
On July 21, 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 August 14, 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 August 14, 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,
��
Khal Jaafari P�� (Au 2023Il:19CDT)
Khal Jafaari, Project Manager
Cc: William Rodgers, Inspector
Mike Glover, Inspection Supervisor
Randy Horton, Senior Inspector
Victor Tornero, Program Manager
Dunaway Associates, L.P., Consultant
Burnsco Construction, INC., Contractor
Impression Homes, Developer
File
E-Mail: TPW_Acceptance@fortworthtexas.gov
Rev. 8/20/19
AFFIDAVIT
STATE OF TEXAS
LKSMUM/ ::::►
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;
Rainbow Ridge Ph. 213 - Water, Sanitary Sewer and Storm Drain
BY 4 4AGrantges, C-66ract anager
Subscribed and sworn before me on this date 14th of August, 2023.
C4-L 0�1 C(A4 11 kq-�
Notary Public
Tarrant County, Texas
CESILIA CANALES
Motary IA #131652996
Commission Expires
uky 24, 2026J
CONSENT OF
SURETY COMPANY
TO FINAL PAYMENT
Conforms with the American Institute of
Architects, AIA Document G707
PROJECT:
(name, address)Rainbow Ridge Phase 2B
OWNER
❑
ARCHITECT
❑
CONTRACTOR
❑
SURETY
❑
OTHER
Bond No 022230617
Fort Worth TX
TO (Owner)
ARCHITECT'S PROJECT NO:
RAINBOW RIDGE, LLC AND CITY OF FORT WORTH CONTRACT FOR:
6751 North Freeway Rainbow Ridge Phase 2B - Water, Sanitary Sewer, and Drainage
Improvements
Fort worth TX 76131 --J 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 Ihere insert name and address of Owner)
RAINBOW RIDGE, LLC AND CITY OF FORT WORTH
6751 North Freeway
Fort Worth TX 76131 , OWNER,
as set forth in the said Surety Company's bond.
1N WITNESS, WHEREOF,
the Surety Company has hereunto set its hand this
Attest:
(Seal):
21st day of July, 2023
LIBERTY MUTUAL INSURANCE COMPANY
Surety Company
Signature of Authorized Representative
,,onhinie Hunter
Title
Attorney -in -Fact
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: 8206467-022020
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; Tonic Petranek
all of the city of Dallas state of TX each individually if there be more than one named, its true and lawful attorney -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
0� \NSU4 P��Y INS& 1NSURThe Ohio Casualty Insurance Company
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r y� West American Insurance Company
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By:
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David M. Carey, Assistant Secretary
State of PENNSYLVANIA
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County of MONTGOMERY ss
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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
Company, The Ohio Casualty Company, and West American Insurance Company, and that he, as such, being to do,
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authorized so execute the foregoing instrument for the purposes
therein contained by signing on behalf of the corporations by himself as a duly authorized officer.
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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.
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Commonwealth of Pennsylvania;Notary seal
Teresa Pastella, Notary Public
Montgomery County
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My commission expires March 28, 2025
Commission number 1126044
By: /1"1"iu�r-yc✓ T�
Teresa
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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
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EInsurance
Company, and West American Insurance Company which resolutions are now in full force and effect reading as follows:
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ARTICLE IV — OFFICERS: Section 12. Power of Attorney.
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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
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cPresident
may prescribe, shall appoint such attorneys -in -fact, as may be necessary to act in behalf of the Corporation to make, execute, seal, acknowledge and deliver as surety
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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
have full power to bind the Corporation by their signature and execution of any such instruments to thereto the
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and attach seal of the Corporation. When so executed, such
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
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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.
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ARTICLE XIII — Execution of Contracts: Section 5. Surety Bonds and Undertakings.
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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 attorneys -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 Secretaryto 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 21 st day of July , 2023 .
PV INSURq Y.�`Q3�i4j19*1"5grFoq �aCFo "yQo5�P3G1O"Y" *INSg�T&ody�cren �GSSaa `�\NSgUgR
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By
P°*"P'�L,�`---
Renee C. Llewellyn, Assistant Secretary
LMS-12e73 LMIC OCIC WAIC Multi Co 02/21
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 (I I I-1A)
P. O. Box 149091
Austin, TX 78714-9091
FAX: (512) 490-1007
Web: httn://www.tdi.texas.eov
E-mail: ConsumerProtection(c�i,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.
NP 70 68 09 01
LMS-15292 10/15
TEXAS
AVISO IMPORTANTE
Para obtener informacion o para someter una
queja:
Usted puede Ilamar 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 (I I I-1A)
P. O. Box 149091
Austin, TX 78714-9091
FAX # (512) 490-1007
Web: httn://www.tdi.texas.aov
E-mail: ConsumerProtection c(�i,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.