HomeMy WebLinkAboutContract 58626 (2)Page 1 of 2
City Secretary
Contract No.__________________
Date Received ______________
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: Veterinary Emergency Group
City Project No.: 104022
Improvement Type(s): Water Sewer
Original Contract Price:
Amount of Approved Change Order(s):
Revised Contract Amount:
Total Cost of Work Complete:$
Contractor Date
Title
Embree Construction Group
Company Name
Project Inspector Date
Project Manager Date
CFA Manager Date
_______________________________________ __________________________________
TPW Director Date
Asst. City Manager Date
Page 2 of 2
Notice of Project Completion
Project Name: Veterinary Emergency Group
City Project No.: 104022
City’s Attachments
Final Pay Estimate
Change Order(s): Yes N/A
Pipe Report:Yes N/A
Contractor’s Attachments
Affidavit of Bills Paid
Consent of Surety
Statement of Contract Time
Contract Time: 35 WD
Work Start Date: 3/27/2023
Days Charged: 84
Work Complete Date: 9/15/2023
Completed number of Soil Lab Test: 15
Completed number of Water Test: 0
CITY OF FORT WORTH
Contract Name Veterinary Emergency Group
Contract Limits 2501 Camp Bowie Blvd
Project Type WATER & SEWER IMPROVEMENTS
DOE Number 0402
Estimate Number 1 Payment Number 1 For Period Ending 9/15/2023
FINAL PAYMENT REQUEST
City Secretary Contract Number
84
WD
Contract Date
EMBREE CONSTRUCTION GROUP, INC.
NA
8050 AIRPORT RD.
GEORGETOWN TX 78628
35WDContract Time
Days Charged to Date
CompleteContract is 100.00
Contractor
,
/Inspectors
Project Manager
City Project Numbers 104022
Monday, October 2, 2023 Page 1 of 4
Contract Name Veterinary Emergency Group
Contract Limits 2501 Camp Bowie Blvd
Project Type WATER & SEWER IMPROVEMENTS
DOE Number 0402
Estimate Number 1
Payment Number 1
For Period Ending 9/15/2023
Project Funding
City Project Numbers 104022
UNIT I: WATER IMPROVEMENTS
Item
No.Description of Items Estimated
Quanity Unit Unit Cost Estimated
Total
Completed
Quanity
Completed
Total
1 6" Water Carrier Pipe 13.17 EA $48.00 $632.16 13.17 $632.16
2 1 1/2" Water Service 1 LF $1,993.14 $1,993.14 1 $1,993.14
3 1" Water Service 1 LF $1,027.66 $1,027.66 1 $1,027.66
4 6" Gate Valve 1 EA $1,064.88 $1,064.88 1 $1,064.88
5 Trench Safety 17.17 LF $1.12 $19.23 17.17 $19.23
6 Kill tap 1 $750.00 $750.00 1 $750.00
$5,487.07 $5,487.07Sub-Total of Previous Unit
UNIT II: SEWER IMPROVEMENTS
Item
No.Description of Items Estimated
Quanity Unit Unit Cost Estimated
Total
Completed
Quanity
Completed
Total
1 4' Manhole 1 EA $3,849.35 $3,849.35 1 $3,849.35
2 6" Sewer Pipe 11.66 LF $13.54 $157.88 11.66 $157.88
3 Trench Safety 11.66 LF $1.12 $13.06 11.66 $13.06
4 Manhole Vacuum Testing 1 EA $174.87 $174.87 1 $174.87
5 Post-CCTV Inspection 11.66 LF $1.95 $22.74 11.66 $22.74
$4,217.89 $4,217.89Sub-Total of Previous Unit
Monday, October 2, 2023 Page 2 of 4
Contract Name Veterinary Emergency Group
Contract Limits 2501 Camp Bowie Blvd
Project Type WATER & SEWER IMPROVEMENTS
DOE Number 0402
Estimate Number 1
Payment Number 1
For Period Ending 9/15/2023
Project Funding
City Project Numbers 104022
Contract Information Summary
Change Orders
$9,704.96Original Contract Amount
$9,704.97Total Contract Price
$9,704.97
Less
Total Cost of Work Completed
% Retained $0.00
Net Earned $9,704.96
Plus Material on Hand Less 15%$0.00
Balance Due This Payment $9,704.96
Less Liquidated Damages
Days @ / Day
$0.00
Less Penalty
LessPavement Deficiency $0.00
$0.00
$0.00Less Previous Payment
Earned This Period
Retainage This Period
$9,704.96
$0.00
Monday, October 2, 2023 Page 3 of 4
Contract Name Veterinary Emergency Group
Contract Limits 2501 Camp Bowie Blvd
Project Type WATER & SEWER IMPROVEMENTS
DOE Number 0402
Estimate Number 1
Payment Number 1
For Period Ending 9/15/2023
Project Funding
City Project Numbers 104022
Line Fund Account Center
Amount
Funded Gross Retainage Net
CITY OF FORT WORTH
SUMMARY OF CHARGES
$9,704.97
Less
Total Cost of Work Completed
% Retained $0.00
Net Earned $9,704.96
Plus Material on Hand Less 15%$0.00
Balance Due This Payment $9,704.96
Less Liquidated Damages
0 Days @ $0.00 / Day $0.00
Less Penalty
LessPavement Deficiency $0.00
$0.00
$0.00Less Previous Payment
Earned This Period
Retainage This Period
$9,704.96
$0.00
City Secretary Contract Number
84
WD
Contract Date
EMBREE CONSTRUCTION GROUP, INC.
NA
8050 AIRPORT RD.
GEORGETOWN TX 78628
35
WD
Contract Time
Days Charged to Date
CompleteContract is 100.000000
Contractor
,
/Inspectors
Project Manager
Monday, October 2, 2023 Page 4 of 4
FoRTWoRTH
TRANSPORTATION AND PUBLIC WORKS
PIPE REPORT FOR:
PROJECT NAME: VETERINARY EMERGENCY GROUP
CITY PROJECT NUMBER: 104022
WATER
PIPE LAID SIZE TYP� OF PIPE LF
WATER SERVICE 1.5 IN COPPER 1 EA
WATER SERVICE 1 IN COPPER 1 EA
FIRE HYDRANTS: N/A
PIPE ABANDONED
N/A
DENSITI�S:
N�W S�RVICES:
VALVES (16" OR LARG�R)
SIZE TYPE OF PIPE LF
SEWER
PIPE LAID SIZE TYPE OF PIPE LF
SEWER PIPE 6 IN PVC 11.66 LF
PIPE ABANDON�D
N/A
SIZE TYP� OF PIPE
LF
D�NSITI�S:
NEW SERVICES:
TRr1NSPORTATION AND PUBLIC ���ORKS
The Cit�� of Fort �Uorth • 1000 Throclunorton Street • Fort `�ordi, T� 76012-6311
(817) 392 - 7941 • Fax: (817) 392 - 7845
September 19, 2023
Embree Construction Group
4747 Williams Drive
Georgetown TX 76633
RE: Acceptance Letter
FORT WORTH®
TRANSPORTATION AND PUBLIC WORKS
Project Name: Veterinary Emergency Group
Project Type: Developer
City Project No.: 104022
To Whom It May Concern:
On September 19, 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 19,
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-
392-6826.
Sincerely, 1�r�c
George Marquez, Project Manager
Cc: Stephen Barnard, Inspector
Mike Glover, Inspection Supervisor
Daniel Roy, Senior Inspector
Andrew Goodman, Program Manager
Triangle Engineering, Consultant
Embree Construction, Contractor
Verdad Real Estate, Developer
File
E-Mail: TPW _Acceptance@fortworthtexas.gov
Rev.08/20/19
GENERAL CONTRACTOR'S AFFIDAVIT
STATE OF TEXAS §
COUNTY OF WILLIAMSON §
BEF4RE ME, the undersigned authority, on this day personally appeared ELIZABETH
MCCRACKEN, known to me to be a credibie persan and officer of Embree Canstruction Group,
Inc. and wh.o, being duly sworn, upon her oath declares and acknawledges as follaws:
1. I am a duly authorized agent of Embzee Canstruction Group, Inc., which has authorized
me to make this affidavit, and aIl of the recitatians herein are true and correct.
2. I certify that to the best of my knowledge, info�xnation and belief, the work Embree
Construction Group, Inc. and its subcontractors performed at Veterinary Em�rgency
Group located at 1975 N. Central Expressway, Allen, Texas 75013 is 100°/a complete.
3. Embree Construction Group, Inc. has actual knowledge that ali bills owed by Embree
Construction Group, Tnc. to others for materials supplied ar labor perforn�.ed in
connection vvith the irnproveznents have been fully paid and satisfied.
EXECUTED this day of 023.
STATE OF TEXAS
COUNTY OF WILLIAMSON
This instrument was acknawledged before me by ELIZABETH MCCRA.KEN of Embree
Constz-uction Graup, Inc., on behalf o�said corporation.
'C�'%YpV _�.4�ia C N��
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��� NOTARY ID: 93403819»2
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Consenf of Surefy �o F'inal Paymen�
PROJECT: (Nanae astcf addj-ess) ARCHITECT'S PROJECT NU{4�BER:
Community Faci[ities
CONTFtACT FOR:
Construction
TO OWNER: (Nanze �rftd ctddr-ess) CONTRACT DATED: February 24, 2023
Veterinary Einergency Group, I,LC and City
of Fort Worth
44 S Broadway
Wl�ite Plains, NY l O60i-4425
LibeKy M[rtuai Surety
Attention: LMS Glaims
P.O. Box 34526
Seatile, WA 98124
Phone: 206-473-62'10
Fax: 866-548-6637
Emai1: HOSCL@liberty€nutual.com
www. Li bertyM utua 15€�retyCl a i ms. com
022235277
OWN�R �
ARCNITECT ❑
CpNTRACTOR ❑
SURETI' ❑
OTHER ❑
in accnrdance with tlle provisio�is af tl�e Contract between the Owner and the Contractor as indicated above, the
{Insert �rante attd add�•ess af Sirj•ety)
Liberty Mutual Insurance Company
175 Berkeley Street
Bastan, MA 02116 , SURETY,
ai3 boiad of
(Insert rramca arad nddress o f Colrtractar}
En�bree Constn�ctioa� Group, Inc.
4747 WILLIAMS DR.
GEORGETOWN,'I'X 7$6283799
, CpNi'RACTOR,
hereby appraves of tlie final pay���ent to tlie Contractor, a��d agrecs that f'ina[ pay�neilt to the Cantractor shall not relieve tl�c
Surety of any oF its oE�liga�ions to
(Inse1•c nanae and address of Otivrrey)
Veterinary Emergency Group, L�,C and City of Fort Worth
44 5 Broadway
White Plains, NY i0601-4425 , OWNER,
as set Fortl� in said Surety's bond.
IN WITN�SS WNEREOF, tEle Sttrety ]ias hereu�ito set its l�ai�d on tl�is date: November 1, 2023
(li�sef•t r.'�t wr•iti��g t�re nrorath folloived liy tlse �rr�niet�rc date a�rd year.)
Liberty Mutual Insurance Company
; s��'; "��MP�:�-r (Surety)
Attest: =i:�R.� gs;"�=_
7 "�0"1"'�� �/ . j�lF//f'`}/� 11 P!lBL� I� ' .
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Kiatta M. Pumpltrey (Signattrt�e ofautlzorized repr•esentalive)
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���oRFo`Za;.4'L� Timothy A. Mikolajewski, AssisTant Secretary
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Liberty Mutual Surety vouches that the original #ext of this document con€orms exactly to the text
in AIA I]ocumeni G70i-1994 edition Cansent of Surety to Final Payment. �
LMS-20301 e 02l21
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Principal: �mbree Constructiott
AgenCy Name: Tl�e Nitsci�e Gro
Obligse: Vcterinary Emcrgcnc}
8ond Amaunk {�R5.07�.!)0
1N WITN�SS WHEREOF, I have hereunto subscribed my name and a�xed my noiariai seal ai Plymoufh Meeting, PertnsyIvania, an the day and year first a6ove wriften.
ars And 7_cro Cents
Bond Number: D22235277
KNOW ALL PERSffNS BY THESE PRESENTS: that liberty Muival Insurance Company, a corporation duly organized under ihe laws of lhe Siate of Massachusetls (herein collectively
called the "Compaay"), pursuani to and by authority herein sef forih, does hereby name, constiiute and appoint Timothy A. Mikolajewski in the city and state of Seadle, WA, eac�
individually if there be more than one named, i1s true and Iawful atlorney-in-fact to make, execufs, seal, acknowfedge and deliver, for and on iis hehalf as surety and as ifs act and deed,
any and alI under#akings, bonds, recognizances and other surety obligations, ia pursuance of these preser�is and shall be as binding upon the Companies as if they have been duly
signed by t�e presideni and aftested by ihe secretary oi the Company in their own proper persons.
IN WITNESS WWEi2�OF, ihis Power of Attomey has been subscribed by an authorizsd officsror officiai of fhe Company and 1he torporate seal of the Company has been af�xed thereto
this 28th day of Maroh, 202t, •
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STA7E QF PENNSYLVANIA
COUN7Y OF MONTGOMERY
Liber€y Mutual Insurancc Company
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�avid M, Carey, Assistant Secretary
� On this 28ih day of March, 2021, peiore me persanaily appeared i�avid M. Carey, who acknowledged himself to be the Assistanf Secretary of Liberiy Mutuai Insurance Company and th
? he, as such, being authorized so io do, exe�ute 1he foregoing insirument for the purposes therein contained by signing on behalf of the Garporatipns by himself as duly aulhorized officer,
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This Power of Attorney Iimits the acts of those named herein, and they have no authori[y Ea
bind the Company except in tf�e manner and to fhe exEenf herein stal�d.
Liberty Mutual lnsurance Company
POWER OF ATTORNEY
Inc.
LLC and Citv of
���P P�SrF
��+�>"sYc.� C' Gommonwealth of Penosylvania • Notary Seal � /���
� ° f � � Teresa Paslella, Nolary P�61�c / _ , �/
p� y ManlgomeryCounty //�J��J �
My commission expires March 28, 2U25 �y: /�
�,�a.����,'�G comm�ss;o��umne.�izsoaa TeresaPastella,NofaryPublic
�7 1,`� A4ember. Pennsylvanla Assouation of Notazics
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ihis Power of Atlomey is made and execuled gursuant to and by aulhori�y of the foliowing By-law and Aulhorizations oi Liberly Mutual Insurance Company, wh€ch is now in Tull force and
effect reading as folfows:
ARTICI.E IV— OFF[CERS: 5ection 12, Power af Atlorney.
Any afficer or other official af the Corporation auihorized for thal p�rpose in writing by ihe Chairman or the President, and subject !o such limitation as the Ghairman or ihe
President may prescribe, shall appoint such attorneys•in-fack, as may he necessary to aci in behalf of fhe Gorparatian to make, execute, seal, acknowledge and deliver as surety
any and all underEakings, honds, recognizances and ather surety obligalions, 5uch attorneys-in-fact, subject to fhe IimitaUons set iorth in iheir respective powers of altorney, shall
have iull power to bind lhe Corporaiion by their signalure and execuled, such instnaments shall hs as binding as if signed by the presideni and attested to by the 5�creiary. Any
power or a€rihority granted to any representative ar atlorney-in-fact under 1he provisians of this article may bs revaked at any time by 1he Board, the Chairman, the President or hy
lhe ofiicer or of�cers granting such pawer or auihprity.
Certificate of Designatlon —The President of the Company, acting pursuant to tf�e 8ylaws of the Company, authorizes Qavid M. Carey, Assistant Secretary ta appoint such attomeys-in-
fact as may bs necessary to aci on 6ehalf of the Company to €nake, execute, seal, acknowledge and deliver as surery any and all undertakings, bands, recognizances and other surery
obligations.
Authorization — By unanimous consent af ihe Company's Baard of Directors, the Company consenls fhai facsimile ar mechanicaliy reproduced signature or ele�tranic signafures of any
assistant secretary of the Company or facsimile ar mechanically reproduced or electranic seal af the Company, wherever appearing upon a cerlifiad copy of any power af etfamey ar
bond issued hy ihe Campany in connectfan wilh sur�ty bonds, shall be valid and binding upon the Company wilh the same force and e(fect as ihough manually affixed.
I, Renes C, LlewelIyn, the uadersigned, Assistant Secretary, of Liberty Mutual Insurance Company do hereby certify that this power of attomey execuied by saitl Company is in fuil force
and effect and has not baen revoked.
IN TESTfMONY WWER��F, i have hereunto set my han8 and a�xed the seals of said Company ihis l st day of November , 2023
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, Ya�qssqcµu§v aD ; Rsne� C. Llewellyn, Assistant 5eaetary
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