HomeMy WebLinkAboutContract 60110-FP1City Secretary 60110-FPl
Contract No._6_01_10 ____ _
Date Received 12/22/2023
12/26/23
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: Tierra Encantada Childcare
City Project No.: 105018
Improvement Type(s): Water� Sewer □
Original Contract Price:
Amount of Approved Change Order(s):
Willis Link (Dec 22 202312:20 CST)
Contractor
Prjct Mngr
Title
Revised Contract Amount:
Total Cost of Work Complete:
Concrete & Steel Structures
Company Name
Project Inspector
D..66/4 9 u)�
Project Manager
pw£�1!Sts=:�z:;tefff#ef:
CFA Manager
;e_.'2,.. Lauren Prieur (Dec 22, 202314:33 CST)
TPW Director
w;nf::!!i:Bzt:;;,;7-31 CST)
Asst. City Manager
$18,540.00
$18,540.00
Dec 22, 2023
Date
Dec 22, 2023
Date
Dec 22, 2023
Date
Dec 22, 2023
Date
Dec 22, 2023
Date
Dec 23, 2023
Date
Page 1 of 2
Notice of Project Completion
Project Name: Tierra Encantada Childcare
City Project No.: 105018
City's Attachments
Final Pay Estimate 0
Change Order(s): ❑ Yes 0 N/A
Pipe Report: 0 Yes ❑ N/A
Contractor's Attachments
Affidavit of Bills Paid �
Consent of Surety �
Statement of Contract Time
Contract Time: 21 WD Days Charged: 8
Work Start Date: 10/18/2023 Work Complete Date: 11/1/2023
Completed number of Soil Lab Test: 5
Completed number of Water Test: 0
Page 2 of 2
FORTWORTH
CITY OF FORT WORTH
FINAL PAYMENT REQUEST
Contract Name TIERRA ENCANTADA CHILDCARE
Contract Limits
Project Type WATER & SEWER
City Project Numbers 105018
DOE Number 5018
Estimate Number 1 Payment Number 1
City Secretary Contract Number
Contract Date
For Period Ending 11/2/2023
WD
Project Manager NA
Contractor CONCRETE & STEEL STRUCTURES
709 WYCHE
BURLESON, TX 76028
Inspectors M. GLOVER / S. BARNARD
Contract Time ���
Days Charged to Date $
Contract is 100.00 Complete
Monday, Noveniber 20, 2023 Page 1 of 4
City Project Numbers 105018
Contract Name TIERRA ENCAN"fADA CHII,DCARI?
Contract Limits
Project Type WATER & SEWER
Project Funding
Unit I: WATER IMPROVEMENTS
DOE Number 5018
Estimate Number 1
Payment Number 1
For Period Ending 11/2/2023
Item Description of Items �stimated Unit Unit Cost Estimated Completed Completed
No. Quanity Total Quanity Total
1 REMOVE SIDEWALK 14 SF $10.00 $140.00 14 $140.00
2 REMOVE 8" WATER LINE 10 LF $25.00 $250.00 10 $250.00
3 4" CONC SIDEWALK 14 SF $20.00 $280.00 14 $280.00
4 UTILITY SERVICE SURFACE RESTORATION 18 SY $15.00 $270.00 18 $270.00
SODDING
5 6" WATERLINE LOWERING 1 EA $2,500.00 $2,500.00 1 $2,500.00
6 TRENCH SAFETY 30 LF $25.00 $750.00 30 $750.00
7 DUCTILE IRON WATER FITTINGS W/ 03 TN $2,000.00 $600.00 03 $600.00
RESTRAINT
8 6" WATER PIPE 20 LF $45.00 $900.00 20 $900.00
9 FIRE HYDRANT 1 EA $4,100.00 $4,100.00 1 $4,100.00
10 CONNECTION TO EXISTING 4"-12" WATER 1 EA $800.00 $800.00 1 $800.00
MAIN
11 6" GATE VALVE 1 EA $2,975.00 $2,975.00 1 $2,975.00
12 8" GATE VALVE 1 EA $3,475.00 $3,475.00 1 $3,475.00
13 TRAFFIC CONTROL 1 MO $1,500.00 $1,500.00 1 $1,500.00
Sub-Total of Previous Unit $1g,54o.00 $1s,54o.00
Monday, Noveniber 20, 2023 Page 2 of 4
City Project Numbers 105018
Contract Name TIERRA ENCAN"fADA CHII,DCARI?
Contract Limits
Project Type WATER & SEWER
Project Funding
Contract Information Summary
Original Contract Amount
Change Orders
Total Contract Price
DOE Number 5018
Estimate Number 1
Payment Number 1
For Period Ending 11/2/2023
$18,540.00
$18,540.00
Total Cost of Work Completed $18,540.00
Less % Retained $0.00
Net Earned $18,540.00
Earned This Period $18,540.00
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
$18,540.00
Monday, Noveniber 20, 2023 Page 3 of 4
City Project Numbers 105018
Contract Name TIERRA ENCAN"fADA CHII,DCARI?
Contract Limits
Project Type WATER & SEWER
Project Funding
DOE Number 5018
Estimate Number 1
Payment Number 1
For Period Ending 11/2/2023
Project Manager NA City Secretary Contract Number
Inspectors M. GLOVER / S. BARNARD Contract Date
Contractor CONCRETE & STEEL STRUCTURES Contract Time 21 WD
709 WYCHE Days Charged to Date $ W�
BURLESON, TX 76028 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
Less % Retained
Net Earned
Earned This Period $18,540.00
Retainage This Period $0.00
Less Liquidated Damages
� Days @ $0.00 / Day
LessPavement Deficiency
Less Penalty
Less Previous Payment
Plus Material on Hand Less 15%
Balance Due This Payment
$18,540.00
$0.00
$18,540.00
$0.00
$0.00
$0.00
$0.00
$0.00
$18,540.00
Monday, Noveniber 20, 2023 Page 4 of 4
FO RT �VO RT H
�.�. Q���
TRANSPORTATION AND PUBLIC WORKS
PIPE REPORT FOR:
PROJECT NAME: Tierra Encantada Childcare
CITY PROJ�CT NUMBER: 105018
WATER
PIPE LAID SIZE TYPE OF PIPE LF
WATER PIPE 6" PVC 2 LF
FIRE HYDRANTS: 1
PIPE ABANDONED
N/A
DENSITIES:
NEW SERVICES:
VALVES (16" OR LARGER)
SIZE TYPE OF PIPE LF
SEWER
PIPE LAID SIZE TYPE OF PIPE LF
N/A
PIPE ABANDONED
N/A
SIZE TYPE OF PIPE
LF
D�NSITIES:
NEW SERVICES:
TRANSPORTATION AND PUBLIC WORKS
The City of Fort `�/ordi • 1000 Tluockmorton Street • Fort Wordi,l� 76012-6311
(817) 392 - 7941 • Fax: (817) 392 - 7845
Rev. 08/20/19
TRANSPORTATION AND PUBLIC WORKS
November 2, 2023
Concrete & Steel Structures
947 E Renro St
Burleson TX 76028
RE: Acceptance Letter
Project Name: Tierra Encantada Childcare
Project Type: Developer
City Project No.: 105018
To Whom It May Concern:
On November 13, 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 November 13,
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,
Debbie Willhelm, Project Manager
Cc: Stephen Barnard, Inspector
Mike Glover, Inspection Supervisor
Daniel Roy, Senior Inspector
Debbie Wiilhelm, Program Manager
Dunaway, Consultant
Concrete & Steel Strutures, Contractor
Link Partners, Developer
File
E-Mail: TPW_Acceptance@fortworthtexas.gov
AFFIDAVIT STATE OF Texas COUNTY OF Tarrant Before me, the undersigned authority, a notary public in the state and county aforesaid, on this day personally appeared April Meza, Owner Of Concrete and Steel Structures, 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; BY Ofe� �� Owner Subscribed and sworn before me on this date 21st of December, 2023. LISA THAO STANLEY
Notary Public, Slate of Texas
Notary ID 129248615 My Commission Exp. 08/02/2027
CONSENT OF
SURETY COMPANY
TO FINAL PAYMENT
Project: (Name & Address)
TIERRA ENCANTADA CHILDCARE
6201 Sunset Drive Ste 600-630
Fort Worth, TX 76116
TO: (Owner)
Tierra Encantada - Camp Bowie, Inc
2700 30th Ave South
Minneapolis MN 55406
City of Fort Worth, Texas
200 Texas St
Fort Worth, TX 76102
Contractor :
Concrete & Steel Structures, LLC
709 Wyche Ct
Burleson, TX 76028
i
i
i
�
�
�
ow�,er
Architect
Contractor
Surety
Other
BONDNUMBER: CE11729000063
Architects Project No:
Contract For:
Contract Date:
CFA Number 23-0104
IN ACCORDANCE WITH THE PROVISIONS OF THE CONTRACT BETWEEN THE Owner AND THE Contractor IS INDICATED
ABOVE, PHILADELPHIA INDEMNITY INSURANCE COMPANY, AS SURETY COMPANY,
ON BOND OF (HERE INSERT NAME AND ADDRESS OF Contractor)
Concrete & Steel Structures, LLC
709 Wyche Ct
Burleson, TX 76028
,Contractor ,
HEREBY APPROVES OF THE FINAL PAYMENT TO THEContractor, AND AGREES THAT FINAL PAYMENT TO THE
ContractorSHALL NOT RELIEVE THE SURETY COMPANY OF ANY OF ITS OBLIGATIONS TO (HERE INSERT NAME AND
ADDRESS OFOwner)
Tierra Encantada - Camp Bowie, Inc
2700 30th Ave Sauth
Minneapolis MN 55406
City of Fort Worth, Texas
200 Texas St
Fort Worth, TX 76102
AS SET FORTH 1N THE SAID SURETY COMPANY'S BOND.
IN WITNESS WHEREOF, THE SURETY COMPANY HAS HEREUNTO SET ITS HAND THIS DAY OF 12/15/2023.
,Owner ,
PHILADELPHIA INDEMNITY INSURANCE COMPANY
SURETY COMPANY
, ,. •..,
�.. ; .
�; ! 927
�... .
�'`w� ,.' ,..
��
Esteban Flores, Attorney-in-Fact
Bond# CE11729000063 PHILADELPHIAINDEMNITYINSURANCE COMPANY
One Bala Plaza, Suite 100
Bala Cynwyd, PA 19004-0950
Power of Attomey
KNOW ALL PERSONS BYTHESEPRESENTS: T'hatPHILADELPHIAINDENINITYINSURANCE COMPANY (the Company), a corporation organized and
existing under the laws of the Commonwealth of Pennsylvania, does hereby wnstituteand appoint Mrdeae! 2 I.anwe, /xbor'ah M. M1l�iut�4r+i. Co!leen Wnfsan. A�e�dw
P. Shine. Plei!!in 5imans. Yvanne li'ealherturJ,.[arkn A. rLfarx, l3rad 6ullerdieck. Ber�rurdn C. Scarzn Gasnar. Matr BocklaQe. BriQn D. Russr!! Jr.. Roberl J. N`a!G
R '1 1 r r s R f r' ro r� f�. n' �. its Irue and ]awful Attomey-in-fact with full
authority to execute on its behalf bonds, undertakings, recognizances and other contracts of indemnity and writings obligatory in the nature thereof, issued in the
course of its business and to bind the Company thereby, in an amount not to exceed $,Sp,4��,400.
This Powa of Attomey is gcanted and is signad and sealed by facsimile under and by [he authority of the following Resolution adopted by the Boazd of Directors of
PHILADELPHIA INDEMNI'I'Y INSURANCE COMPANY on the 141° of November, 2016.
RESOLVED: That the Board of Diractors hereby authorizes the P�esident or any Vice Pmsident of the
Company: (l) Appoint Attomey(s) in Fact and authorize the Attomey(s) in Fact to acecute
on behalf of the Company bonds and undertakings, contracts of indemnity and other
writings obligakory in thenature thereof and to attach the seal of the Company thereto; and
(2) to remove, a[ any time, any such Attomey-in-Fact and revoke the authority given. Md,
be it
FURTHER
RESOLVED: That the signatwes of such o�cers and the seal of the Company may be a�xed to any
such Power of Attomey or ceRificate relating thereto by facsimile, and any such Power of
Attomey so executed and certified by facsimile signatures and ficsimile seal shall be valid
and binding upon the Company in the future with respect to any bond or undeRaking to
which it is attached.
IN TESTIMONY WHEREOF, PHILADELPHIA INDEMNITY INSURANCE COMPANY HAS CAUSED THIS INSTRUMENT TO BE SIGNED AND ITS
CORPORATE SEALTO BE AFFIXED BY IT S AUTHORIZED OFFICE THIS STH DAY OF MARCH, 2021.
(Seal)
i', 1927
loh Clomli. Prtsirlcnl �54 ('fi(T
Philadelphialndemnity Insurance Company
On this 5"' day of Manch, 2021 bef�re me came the individual who exacuted the prc�cading instnunent, to me personally known, and being by me duly swom said that he
is the therein described and authorized o�cer of the PHILADELPHIA INDENINITY INSURANCE COMPANY; that the seal a�xed to said instnament is the
Cocporate seal ofsaid Company; tha[ thesaid Corpotate Seal and his signature were duly a�xed.
Cef117TtOM5��lUi 01 POnneylvaNi • NOt11y B�YI
Vanusee A4ckertxie, NONryPuhllc
MOMgomery County
My commleslan e�iree November 3, 2024
Cemmisslon numDer 136839�
MOKDOc Par�n�)�r.nrn ��ter.l�fan o( hoU���
Notary Public:
residing at:
My commission expires;
�
��z�'zc�v�: Y> l`-��": t --,�rSz
.�y
Bala Cynwyd, PA
November 3, 2024
I, Edwazd Sayago, Corporate Sec�etary of PHILADELPHIA INDEMNIT'Y INSURANCE COMPANY, do hereby certify that the 6regoing resolution of the Boazd of
Directors and the Power of Attomey issued putsuant theneto on the 5'" day March, 2021 are tnie and correct and are still in full �rce and e9'ect. I do further certify tha[
John Glomb, who executed the Power of Attorney as President, was on the date of execution of the attached Power of Attomey the duly electad President of
PHILADELPHIA INDEMNTI'Y INSURANCE COMPANY.
In Testimony Whereof I have subscribed my name and a�xed the Scsimile seal of each Company this 15th day of Deeember Zp 23
i - ';>'
I9�T
: S , -
'�-%s '' --•
S '� �
� —�v_C/ �
Edward Sayago, Corporate Sacretary
PHILADELPHIAINDEMNITYINSURANCE COMPANY
CALIFORNIA ALL-PURPOSE CERTIFICATE 4F ACKNOWLEDGMENT
A notary public or o[her officer completing this certificate verifies only the identity of the individual who signed the documen[ to
which this certificate is attached, and not the truthfulness, accuracy, or validity of that document.
State of California
County of Ventura
On �2�15/2023
before me, R. M. Friedik
(Here insert name and title of the officer)
personally appeared Esteban Flores
Notary Public,
who proved to me on the basis of satisfactory evidence to be the person(s) whose name(s) is/are subscribed to
the within instrument and acknowledged to me that he/she/they executed the same in his/her/their authorized
capacity(ies), and that by his/her/their signature(s) on the instrument the person(s), or the entity upon behalf of
which the person(s) acted, executed the instrument.
I certify under PENALTY OF PERJURY under the laws of the State of California that the foregoing paragraph
is true and correct.
WITNESS my ha nd o ae�i�[seal.
�
Sigoature of Notary P�! ic ��
t" °i r., R. M. FRIEDIK
,� r
�� � � Notary Public - Califarnia =
� ° ' Ventura County �
% , � Cammissfon q 2387569
��lno�M�''My Camm. Expires Dec 19, 2025
(Notary Seal)
ADDITIONAL OPTIONAL INFORMATION
DESCRIPTION OF THE ATTACHED DOCUMENT
Bond No. CE11729000063
(Title or description of attached document)
N/A
(Title or description of attached document continued)
Number of Pages �� Document Date 12/15/2023
N/A
(Additional information)
CAPACITY CLAIMED BY THE SIGNER
❑ Individual (s)
❑ Corporate Officer
(Title)
❑ Partner(s)
0✓ Attorney-in-Fact
❑ Trustee(s)
❑ Other
INSTRUCTIONS FOR COMPLETING THIS FORM
Any acknowledgment completed in California mus! contain verbiage exactly as
appears nbove in 1he no�ary sec[ion or a separate acknowledgment form mus[ be
properly comp[e[ed and atlached to that documenl. The only exceptfon is if a
document is 10 be recorded oulside of California. !n such instances, any alternative
acknowledgment verbrage as mny be p��inted on such n documen� so long as the
verbiage does not require (he notary lo do somelhing that is i!legat for a notary in
California (i.e. certiiying the authorized capaciry of the srgner). Please check fhe
document carefu!!y for proper nolarraf wording and atlach lhis form if required.
• State and County informa[ion must be the State and Counry where the document
signer(s) personally appeared before the notary public for acknowledgment.
• Date of notarization must be the date that the signer(s) personally appeared which
must also be the same date the acknowledgment is completed.
• The notary public must print his or her name as it appears within his or her
commission followed by a comma and then your title (notary public).
• Print the name(s) of document signer(s) who personally appear at the time of
notarization.
• Indicate the correct singular or plural fonns by crossing off incorrect fonns (i.e.
�elshe/t�iey;- is /are ) or circling the correct fonns. Failure to correc[ly indicate this
infonnation may lead to rejection ofdocument recording.
• The notary seal impression musf be clear and photographically reproducible.
Impression must not cover text or lines. If seal impression smudges, re-seal if a
sufficient area permits, otherwise complete a different acknowledgment form.
• Signature of the notary public must match the signature on file with the office of
the county clerk.
. Additiona] information is not required but could help to ensure this
acknowledgment is not misused or attached to a different document.
Indicate title or type of attached document, number of pages and date.
. [ndicate khe capacity claimed by the signer. If the claimed capaciry is a
corporate officer, indicate the title (i.e. CEO, CFO, Secretary).
• Securely attach Ihis document to the signed document
C 2004-2015 ProLink Signing Service, (nc - All Rights Rese�ved www TheProLink com - Nalionwide Notary Service