HomeMy WebLinkAboutContract 58667-FP1-FP1
FORT WORTH.
City Secretary
Contract No. 58667
Date Received 09/26/2023
UVI
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: Golden Chick Restaurant
City Project No.: 104237
Improvement Type(s): Water x❑ Sewer x❑
Original Contract Price: $31,428.00
Amount of Approved Change Order(s): $27,370.00
Revised Contract Amount:
Total Cost of Work Complete: $58,798.00
AwN Nod Sep 26, 2023
Andv NoreSep 26, 202310:40 CDT)
Contractor Date
Owner/GM
Title
Dagger Contracting, LLC
Company Name
Sep 26, 2023
Om r Rias (Sep 26, 2023 14:40 CDT)
Project Inspector
Date
9
Sep 26, 2023
Project Manager
Date
Sep 26, 2023
RP'P7r -F`iOwen (Seo26.20231S03CDT1
CFA Manager
Date
46.1
Sep 26, 2023
Lauren Prieur (Sep 26, 202315:05 CDT)
TPW Director
Date
W��
Sep 26, 2023
,8111h,m Inhn— )0931639CDT1
Asst. City Manager
Date
OFFICIAL RECORD
CITY SECRETARY Page 1 of 2
FT. WORTH, TX
Notice of Project Completion
Project Name: Golden Chick Restaurant
City Project No.: 104237
City's Attachments
Final Pay Estimate ❑x
Change Order(s): ❑x Yes ❑ N/A
Pipe Report: x❑ Yes ❑ N/A
Contractor's Attachments
Affidavit of Bills Paid Affidavit of Bills Paid
Consent of Surety +L' Consent of Surety
Statement of Contract Time
Contract Time: 50 WD Days Charged: 29
Work Start Date: 7/24/2023 Work Complete Date: 9/6/2023
Completed number of Soil Lab Test: 18
Completed number of Water Test: 2
Page 2of2
FORT WORT 11
CITY OF FORT WORTH
FINAL PAYMENT REQUEST
Contract Name GOLDEN CHICK RESTRUARANT
Contract Limits
Project Type WATER
City Project Numbers 104237
DOE Number 4237
Estimate Number 1 Payment Number 1
City Secretary Contract Number
Contract Date
Project Manager NA
Contractor DAGGER CONTRACING, INC.
P.O.BOX 1040
Inspectors
For Period Ending 9/15/2023
WD
Contract Time 50 WD
Days Charged to Date 29
Contract is 100.00 Complete
ROANOKE, TX 76262
O. FRIAS / G. DEYON
Friday, September 15, 2023 Page 1 of 4
City Project Numbers 104237
Contract Name GOLDEN CHICK RESTRUARANT
Contract Limits
Project Type WATER
Project Funding
WATER IMPROVEMENTS
Item Description of Items
No.
1 CONNECTION TO EXISTING 16" WATER MAIN
(CO #1)
2 1" WATER SERVICE
3 1 1/2 WATER SERVICE
4 TRENCH SAFETY (CO #1)
5 16"x 8" TAPPING SLEEVE & VALVE (CO #1)
6 8" PVC Water (CO #1)
7 CONNECTION TO EXISTING 4"-12" WATER
MAIN (CO #1)
8 CONCRETE ENCASEMENT FOR UTILITY PIPES
(CO #1)
DOE Number 4237
Estimate Number I
Payment Number I
For Period Ending 9/15/2023
Estimated Unit
Unit Cost
Estimated
Completed
Completed
Quanity
Total
Quanity
Total
0 EA
$5,300.00
$0.00
0
$0.00
1 EA
$4,560.00
$4,560.00
1
$4,560.00
1 EA
$5,060.00
$5,060.00
1
$5,060.00
60 LF
$5.00
$300.00
60
$300.00
1 EA
$17,240.00
$17,240.00
1
$17,240.00
60 EA
$165.00
$9,900.00
60
$9,900.00
2 EA
$3,750.00
$7,500.00
2
$7,500.00
1 CY
$500.00
$500.00
1
$500.00
Sub -Total of Previous Unit $45,060.00 $45,060.00
SANITARY IMPROVEMENTS
Item
Description of Items
Estimated Unit
Unit Cost
Estimated
Completed
Completed
No.
Quanity
Total
Quanity
Total
1
4" SEWER SERVICE (CO #1)
0 EA
$5,500.00
$0.00
0
$0.00
2
4" 2-WAY CLEANOUT
1 EA
$5,358.00
$5,358.00
1
$5,358.00
3
TRENCH SAFETY
30 LF
$5.00
$150.00
30
$150.00
4
4" SEWER SERVICE (CO #1)
1 EA
$8,000.00
$8,000.00
1
$8,000.00
5
--------------------------------------
CONCRETE ENCASE SEWER PIPE (CO #1)
1 CY
$230.00
$230.00
1
$230.00
--------------------------------------
Sub-Total of
Previous Unit
$13,738.00
$13,738.00
Friday, September 15, 2023 Page 2 of 4
City Project Numbers 104237
Contract Name GOLDEN CHICK RESTRUARANT
Contract Limits
Project Type SANITARY
Project Funding
Contract Information Summary
Original Contract Amount
Change Orders
Change Order Number 1
Change Order Number 1
Total Contract Price
DOE Number 4237
Estimate Number I
Payment Number I
For Period Ending 9/15/2023
$31,428.00
$24,640.00
$2,730.00
$58,798.00
Total Cost of Work Completed $58,798.00
Less % Retained $0.00
Net Earned $58,798.00
Earned This Period $58,798.00
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
$58,798.00
Friday, September 15, 2023 Page 3 of 4
City Project Numbers 104237 DOE Number 4237
Contract Name GOLDEN CHICK RESTRUARANT Estimate Number I
Contract Limits Payment Number I
Project Type SANITARY For Period Ending 9/15/2023
Project Funding
Project Manager NA City Secretary Contract Number
Inspectors O. FRIAS / G. DEYON Contract Date
Contractor DAGGER CONTRACING, INC. Contract Time 50 WD
P.O.BOX 1040 Days Charged to Date 29 WD
ROANOKE , TX 76262 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 $58,798.00
Less % Retained $0.00
Net Earned $58,798.00
Earned This Period $58,798.00
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
$58,798.00
Friday, September 15, 2023 Page 4 of 4
DEVELOPER -AWARDED -PROJECT CHANGE ORDER
PROJECT NAME:
Golden Chick Restaurant
I CHANGE
CONTRACT:
Sidewalk, Water & Sewer
I ORDER No:
CFA#
22-0154 I
CITY PARTICIPATION:( No
CITY PROJECT #
104237
FID #
130114-0200431-104237-EO7685
FILE #
IW 2845 ; X # 27432
INSPECTOR:
Omar Frias
Phone No: 817-647-2497
REVIEWED
PROJECT MANAGER:
Debbie J. Willhelm, PE
Phone No: (817) 392-2481
By Debbie J. Willhelm at 4:11 pm, Aug 15, 2023
I
WAT
Developer
Cost
ORIGINAL CONTRACT
$20,420.00
EXTRAS TO DATE
CREDITS TO DATE
ICONTRACT TO DATE
$20,420.00
(AMOUNT OF PROP. CHANGE ORDER
I $24,640.00
IREVSSED CONTRACT AMOUNT
$45,060.00
TOTAL REVISED CONTRACT AMOUNT
PER UNIT
$45,0
60
REVISED COST SHARE IDev. Cost:
TOTAL REVISED CONTRACT
ER SEWER
Developer
City Cost Cost C'
S0.00 $11,008.00 S
$0.00 $11,008.00 S
S0.00 I $2,730.00 S
$0.00 I $13,738.00 I $
.00 Ij $13,738.00
$109,946.00
CONTRACT UNIT
PAVING DRAI
Developer Developer
rtY Cost Cost City Cost Cost
0.00 $51,148.00 $0.00 $0.00
0.00
0.00
0.00
1 $51,148.00 t5'1.00
$1 1 S0.00
1 $51,148.00 1 50.00
$51,148.00
City Cost:
$109,946.00
I
$0.00
$0.00
II $0.00
VAGE STREET LIGHTS
Developer
City Cost Cost City Cost
Sa.00 $0.00 $0.00
$0,00 I $0.00 S0.00
$0.0
So.00 $0.00 50.00
$0.00 $0.00 c $0.00
I
1 CONTRACT
DAYS
25
25
25
50
Revised: 10-12-2011 Page 1
CONTRACT UNIT
PAVING DRAI
Developer Developer
rtY Cost Cost City Cost Cost
0.00 $51,148.00 $0.00 $0.00
0.00
0.00
0.00
1 $51,148.00 t5'1.00
$1 1 S0.00
1 $51,148.00 1 50.00
$51,148.00
City Cost:
$109,946.00
I
$0.00
$0.00
II $0.00
VAGE STREET LIGHTS
Developer
City Cost Cost City Cost
Sa.00 $0.00 $0.00
$0,00 I $0.00 S0.00
$0.0
So.00 $0.00 50.00
$0.00 $0.00 c $0.00
I
1 CONTRACT
DAYS
25
25
25
50
Revised: 10-12-2011 Page 1
$0.0
So.00 $0.00 50.00
$0.00 $0.00 c $0.00
I
1 CONTRACT
DAYS
25
25
25
50
Revised: 10-12-2011 Page 1
You are directed to make the following changes in the contract documents
CITY BID ITEM
PAY ITEM #
# QUANTITY
UNIT
UNIT 1 -WATER IPROVEMENTS
1
2
EA
4
20
LF
NEW
1 I
EA
NEW
60 I
LF I
NEW
2 I
EA
NEW
1 I
CY
UNIT 2-SEWER IMPROVEMENTS
1
EA
NEW
1
EA
NEW
1
CY
ITEM DESCRIPTION
I I I I I
UNIT PRICE
TOTAL
3312.0106 Connection to Existing 16" Water Main
I 5300.00
-1 C60C.00
3305.0109 Trench Safety
I 5.00
100.00
3312.4112 16" x 8" Tapping Sleeve & Valve
I 17240.G0 I
17240.00
3311.0261 8" PVC Water Pipe
I 165.00 I
9900.00
3312.0117 Connection to Existing 4'=12" Water Main
I 3750.00
7500.00
3305.0116 Concrete Encasement for Utility Pipes
I 500.00
500.00
SUBTOTAL UNIT 1 - WATER IPROVEMENTS
24640.00
I I I I I
3331.3101 4" Sewer Service
I
5500.00 I
-5500.00
3331.3101 4" Sewer Service
8000.00 I
8000.00
0330.0001 Concrete Encase Sewer Pipe
230.00 I
230.00
SUBTOTAL UNIT 2 - SEWER pIROVEMENTSI 2730.00
TOTAL CHANGE ORDERI 27370.00
REASONS FOR CHANGE ORDER The existing 16" waterline was found to 6e 20' north from what was shown on plans; 8" waterline extension was therefore required. Sewer service was shifted to
the east to avoid conflict with electrical guy wire anchor. Changes correspond to Plan Revision 3 as shown on sheets 5 and 7 of the construction plans.
(Delete if there is City Participation) NO CITY FUNDS INVOLVED IN THIS CONTRACT. DEVELOPER IS RESPONSIBLE FOR 100% OF THE CHANGE ORDER COST AND NO
REIMBURSEMENT FROM THE CITY WILL BE SOUGHT BY THE DEVELOPER.
RECOMMENDED:
Thomas Site Development Engineering
Mathew Dlgkallysigned by
Mathew Thomas
Thomas Date:2023.0&10
By: 09:17s2-05'W
Name: Mathew Thomas P.E.
Title: Enqineer
APPROVED:
G.C. Ft. Worth -Alta Mesa 2016 LTD
Name: Jay Alexander
Title: Director of Construction
APPROVED:
Dagger Contracting LLC
By:
Name: Andrew Nord
Title: Owner / GM
Revised: 10-12-2011 Page 2
FORTWORTH
TRANSPORTATION AND PUBLIC WORKS
PIPE REPORT FOR:
PROJECT NAME: Golden Chick Restaurant
CITY PROJECT NUMBER: 104237
WATER
PIPE LAID SIZE TYPE OF PIPE
8' PVC Water pipe 8" PVC C900 Water Pipe
FIRE HYDRANTS: N/A VALVES (16" OR LARGER)
PIPE ABANDONED SIZE TYPE OF PIPE
DENSITIES: Densities taken and passed and uploaded to Accela
NEW SERVICES: 1" 1 copper service
2" 1 copper service
SEWER
PIPE LAID SIZE TYPE OF PIPE
SDR-26 4" SDR-26 Sewer Pipe
PIPE ABANDONED
SIZE TYPE OF PIPE
LF
LF
LF
LF
60
2.5
56
DENSITIES: Densities taken and passed and uploaded to Accela
NEW SERVICES: 4" SDR-26 Sewer Pipe lOLF
TRANSPORTATION AND PUBLIC WORKS
The City of Fort Worth • 1000 Throckmorton Street • Fort Worth, TX 76012-6311
(817) 392 - 7941 • Fax: (817) 392 - 7845
FORT WORTH,
TRANSPORTATION AND PUBLIC WORKS
September 8, 2023
Dagger Contracting, LLC
990 N Carroll Ave, Suite 120
Southlake, TX 76092
RE: Acceptance Letter
Project Name: Golden Chick Restaurant Express CFA
Project Type: Water,Sewer & Paving Improvements
City Project No.: 104237
To Whom It May Concern:
On September 8, 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 September 8,
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
817-392-2481.
Sincerely,
7Je66� C).. G!%�iie�m
Debbie Willhelm, Project Manager
Cc: Omar Frias, Inspector
Gary Deyon, Inspection Supervisor
Troy Gardner, Senior Inspector
Andrew Goodman, Program Manager
Thomas Site Development Engineering, Consultant
Dagger Contracting LLC, Contractor
Golden Tree Restaurants, LLC, Developer
File
E-Mail: TPW_Acceptance@fortworthtexas.gov
Rev. 08/20/19
AFFIDAVIT
STATE OF Texas
COUNTY OF Denton
Before me, the undersigned authority, a notary public in the state
and county aforesaid, on this day personally appeared Andy Nord, Owner
/ GM Of Dagger Contracting, LLC, 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;
Site Utilities for Golden Chick
CPN 104237
Andy Nord - Owner / GM
Subscribed and sworn before me on this date 26th of September, 2023.
SH H 0p
► y PV SRO
Notey Public
�'9yFOF iE�;m ::Dnton, TX
••yip 2s•• O .
P. pED- . '
CONSENT OF
SURETY COMPANY
TO FINAL PAYMENT
Conforms with the American institute of
Architects, AIA Document G707
OWNER
❑
ARCHITECT
❑
CONTRACTOR
SURETY
❑
OTHER
Bond No NTX8590
PROJECT:
(name, address)Golden Chick - Water, Sanitary Sewer/Paving Impr.
TO (Owner)
Fort Worth (Saginaw) TX
F i ARCHITECT'S PROJECT NO:
CITY OF FORT WORTH CONTRACT FOR:
200 Texas Street Golden Chick Restaurant - Water, Sanitary Sewer and Paving
Improvements
For� Q4�3
t worth TX 76102 -I (XI i tIcAL;oTt DATE: 2/9/2023
CONTRACTOR: DAGGER CONTRACTING, LLC
In accordance with the provisions of the Contract between the Owner and the Contractor as indicated above, the
there insert name and address of Surety Company)
MERCHANTS NATIONAL BONDING, INC.
6700 Westown Parkway
West Des Moines IA 50266 , SURETY COMPANY
on bond of (here insert name and address of Contractor)
DAGGER CONTRACTING, LLC
660 North Carroll Avenue
Southlake TX 76092 , 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 there insert name and address of Owner)
CITY OF FORT WORTH
200 Texas Street
Fort Worth TX 76102 r OWNER,
as set forth in the said Surety Company's bond.
IN WITNESS, WHEREOF,
the Surety Company has hereunto set its hand this 25th day of September, 2023
MERCHANTS NATIONAL BONDING, INC,
_ Surety Company
Attest: f
(Seal): _ - - - Signature of Authorized Representative
` Mikaela PeDDers 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
MERCHANTS!
BONDING COMPANY,,
POWER OF ATTORNEY
Know All Persons By These Presents, that MERCHANTS BONDING COMPANY (MUTUAL) and MERCHANTS NATIONAL BONDING, INC.,
both being corporations of the State of Iowa, d/b/a Merchants National Indemnity Company (in California only) (herein collectively called the
"Companies") do hereby make, constitute and appoint, individually,
Don E Cornell; Josh Saunders; Kelly A Westbrook; Mikaela Peppers; Ricardo J Reyna; Robbi Morales; Sophinie Hunter, Tina McEwan; Tonie
Petranek
their true and lawful Affomey(s)-in-Fact, to sign its name as surety(ies) and to execute, seal and acknowledge any and all bonds, undertakings,
contracts and other written instruments 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.
This Power-of-Attomey is granted and is signed and sealed by facsimile under and by authority of the following By -Laws adopted by the Board
of Directors of Merchants Bonding Company (Mutual) on April 23, 2011 and amended August 14, 2015 and adopted by the Board of Directors of
Merchants National Bonding, Inc., on October 16, 2015.
"The President, Secretary, Treasurer, or any Assistant Treasurer or any Assistant Secretary or any Vice President shall have power and
authority to appoint Attomeys-in-Fact, and to authorize them to execute on behalf of the Company, and attach the seal of the Company thereto,
bonds and undertakings, recognizances, contracts of indemnity and other writings obligatory in the nature thereof."
"The signature of any authorized officer and the seal of the Company may be affixed by facsimile or electronic transmission to any Power of Attorney
or Certification thereof authorizing the execution and delivery of any bond, undertaking, recognizance, or other suretyship obligations of the
Company, and such signature and seal when so used shall have the same force and effect as though manually fixed."
In connection with obligations in favor of the Florida Department of Transportation only, it is agreed that the power and aut hority hereby given to the
Attorney -in -Fact includes any and all consents for the release of retained percentages and/or final estimates on engineering and construction
contracts required by the State of Florida Department of Transportation. It is fully understood that consenting to the State of Florida Department
of Transportation making payment of the final estimate to the Contractor and/or its assignee, shall not relieve this surety company of any of
its obligations under its bond.
In connection with obligations in favor of the Kentucky Department of Highways only, it is agreed that the power and authority hereby given
to the Attomey-in-Fact cannot be modified or revoked unless prior written personal notice of such intent has been given to the Commissioner -
Department of Highways of the Commonwealth of Kentucky at least thirty (30) days prior to the modification or revocation.
In Witness Whereof, the Companies have caused this instrument to be signed and sealed this 8th day of December 2022
•'` t10 Nq0 .......
MERCHANTS BONDING COMPANY (MUTUAL)
•.•'�A,•.p�.. �.�. p.......,D/lj� MERCHANTS NATIONAL BONDING, INC.
GOB R41. pZ 4 � �'�t,.•�4�.c a dib/a MERCHANTS NATIONAL INDEMNITY COMPANY
�,'• 2003 ;, :y� 1933 c' By
:d3•. : `,• • vy,;./�' •;,fib.
'+i J�/'••"••riC•+ ++.���r,�,..+•,��++` President
STATE OF IOWR '''%,,f.„y�•`�' •a,+...-+•
COUNTY OF DALLAS ss.
On this 8th day of December 2022 before me appeared Larry Taylor, to me personally known, who being by me duly sworn
did say that he is President of MERCHANTS BONDING COMPANY (MUTUAL) and MERCHANTS NATIONAL BONDING, INC.; and that the
seals affixed to the foregoing instrument are the Corporate Seals of the Companies; and that the said instrument was signed and sealed in behalf
of the Companies by authority of their respective Boards of Directors.
,,��"�`� � Lee
MY Cnmmisssin F�pires
• , • Apni 14, 2024
(Expiration of notary's commission does not invalidate this instrument) Notary Public
1, William Warner, Jr., Secretary of MERCHANTS BONDING COMPANY (MUTUAL) and MERCHANTS NATIONAL BONDING, INC., do hereby
certify that the above and foregoing is a true and correct copy of the POWER -OF -ATTORNEY executed by said Companies, which is still in full
force and effect and has not been amended or revoked.
In Witness Whereof, I have hereunto set my hand and affixed the seal of the Companies on this 25th day of September 2023
X0 co
tip
;`•.PRppR. ♦'
+0.Olop •• ..} - - - - 00,
'o..
-L,
2003 : z •
: �' 1933 c'
♦
a VjJ - -- _
POA 0018 (10/22) •-`i'r•••,......• ••
++��+.+.
MERCHANTS
BONDING COMPANY.
MERCHANTS BONDING COMPANY (MUTUAL) - MERCHANTS NATIONAL BONDING, INCv-
P.O. BOX 14498 - DES MOINES. IOWA 50306-3498 � (800) 678-8171 • (515) 243-3854 FAX
IMPORTANT NOTICE'
Have a complaint or need help?
If you have a problem with a claim or your premium, call your insurance company first, if you can't work out the
issue, the Texas Department of Insurance may be able to help.
Even if you file a complaint with the Texas Department of Insurance, you should also file a complaint or appeal
through your insurance company. If you don't, you may lose your right to appeal.
Merchants Bonding Company (Mutual)
To get information or file a complaint with your insurance company:
Gail: Compliance Officer at 800-678-8171
Toll -free: 1-800-678-8171
Email: regulatory@merchantsbonding.com
Mail: P.O. Box 14498, Des Moines, IA 50306-3498
To get insurance information you may also contact your agent:
Call:
Mail:
The Texas Department of Insurance
To get help with an insurance question or file a complaint with the state:
Cali with a question: 1-800-252-3439
File a complaint: www.tdi.texas.gov
Email: ConsumerProtection@tdi.texas.gov
Mail: MG 111-1A, P.D. Box 149091, Austin, TX 78714-9091
SUP 0032 TX 01/19)