HomeMy WebLinkAboutContract 58667-FP2FORT WORTH.
-FP2
City Secretary
Contract No. 58667
Date Received 09/26/2023
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: Golden Chick Restaurant
City Project No.: 104237
Improvement Type(s): x❑ Paving
Original Contract Price:
Amount of Approved Change Order(s):
Revised Contract Amount:
Total Cost of Work Complete:
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Andv NorcYSeD 26, 202310:41 CDT)
Contractor
Owner/GM
Title
Dagger Contracting
Company Name
08car rria'k
Omar Frias (SeD 26. 202315:06 CDT)
Project Inspector
9. a�)z
Project Manager
Rebecca Diane Owen fSeo 26.202315:31 CDT)
CFA Manager
_A..
Lauren Pneur (Sep 26. 202315:50 CDT)
TPW Director
will iam Jo'-- "A 26. 202317:04 CDT)
Asst. City Manager
❑ Drainage ❑ Street Lights ❑ Traffic Signals
$51,148.00
$51,148.00
Sep 26, 2023
Date
Sep 26, 2023
Date
Sep 26, 2023
Date
Sep 26, 2023
Date
Sep 26, 2023
Date
Sep 26, 2023
Date
OFFICIAL RECORD
CITY SECRETARY
FT. WORTH, TX Page 1 of 2
Notice of Project Completion
Project Name: Golden Chick Restaurant
City Project No.: 104237
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 50 WD
Work Start Date: 7/24/2023
Completed number of Soil Lab Test: 18
Completed number of Water Test: 2
Days Charged: 29
Work Complete Date: 9/6/2023
Page 2of2
FORT WORT 11
CITY OF FORT WORTH
FINAL PAYMENT REQUEST
Contract Name GOLDEN CHICK RESTRUARANT
Contract Limits
Project Type PAVING
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 PAVING
Project Funding
PAVING IMPROVEMENTS
Item Description of Items Estimated unit
No. Quanity
1 TRAFFIC CONTROL 1 MO
2 CONC PVMT REPAIR, ARTERIAL/INDUSTRIAL 65 SY
3 7" CONC CURB AND GUTTER 30 LF
4 4" CONC SIDEWALK 710 SF
5 TOPSOIL 9 CY
6 BLOCK SOD PLACEMENT 107 SY
Sub -Total of Previous Unit
DOE Number 4237
Estimate Number I
Payment Number 1
For Period Ending 9/15/2023
Unit Cost Estimated Completed Completed
Total Quanity Total
$16,800.00 $16,800.00 1 $16,800.00
$355.00 $23,075.00 65 $23,075.00
$40.00 $1,200.00 30 $1,200.00
$11.00 $7,810.00 710 $7,810.00
$85.00 $765.00 9 $765.00
$14.00 $1,498.00 107 $1,498.00
$51,148.00 $51,148.00
Friday, September 15, 2023 Page 2 of 4
City Project Numbers 104237
Contract Name GOLDEN CHICK RESTRUARANT
Contract Limits
Project Type PAVING
Project Funding
Contract Information Summary
Original Contract Amount
Change Orders
Total Contract Price
DOE Number 4237
Estimate Number I
Payment Number 1
For Period Ending 9/15/2023
$51,148.00
$51,148.00
Total Cost of Work Completed $51,148.00
Less % Retained $0.00
Net Earned $51,148.00
Earned This Period $51,148.00
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
$51,148.00
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 PAVING 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 $51,148.00
Less % Retained $0.00
Net Earned $51,148.00
Earned This Period $51,148.00
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
$51,148.00
Friday, September 15, 2023 Page 4 of 4
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,
T e66� Cy ui�'D,�,z
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.
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► 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
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2003 : z •
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♦
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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)