HomeMy WebLinkAboutContract 60403-FP1-FP1
City Secretary 60403
Contract No.
FORT WORTH.
Date Received 04/29/2024
04/29/24
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: Braswell Homes Office
City Project No.: 105137
Improvement Type(s): Water Z Sewer Z
Original Contract Price: 1$22,860.00
Amount of Approved Change Order(s)
Revised Contract Amount:
Total Cost of Work Co plete: $22,860.00
e"H''.!�Iv EV�9� AY1r 26 2024
Carmen Estep (Apr 26, 202409:36 CDT) p
Contractor Date
Office Manager
Title
Jackson Construction
Company Name
Victor Gutierrez (Apr 26, 2024 09:38 CDT)
Apr 26, 2024
Project Inspector
Date
7�e66� 0 uJlL
Apr 29, 2024
Project Manager
Date
-SA^
Rebecca Owen (Apr 29, 2024 08:51 CDT)
Apr 29, 2024
CFA Manager
Date
Lauren Lauren Prriieur((AAp�r 29, 202408:54 CDT)
Apr 29, 2024
TPW Director
Date
C>-qll�
Apr 29, 2024
Asst. City Manager
Date
OFFICIAL RECORD 1 of 2
CITY SECRETARY
FT. WORTH, TX
Notice of Project Completion
Project Name: Braswell Homes Office
City Project No.: 105137
City's Attachments
Final Pay Estimate E
Change Order(s): ❑ Yes ❑x N/A
Pipe Report: E Yes ❑ N/A
Contractor's Attachments
Affidavit of Bills Paid
Consent of Surety
Statement of Contract Time
Contract Time: 15 WD
Work Start Date: 1/25/2024
Completed number of Soil Lab Test: 8
Completed number of Water Test: 2
Days Charged: 15
Work Complete Date: 3/27/2024
Page 2of2
FORT WORTH
CITY OF FORT WORTH
FINAL PAYMENT REQUEST
Contract Name BRASWELL HOME OFFICE
Contract Limits
Project Type WATER & SEWER
City Project Numbers 105137
DOE Number 5137
Estimate Number 1 Payment Number 1 For Period Ending 3/27/2024
WD
City Secretary Contract Number Contract Time 1 WD
Contract Date Days Charged to Date 15
Project Manager NA Contract is 100.00 Complete
Contractor JACKSON CONSTRUCTION LTD
5112 SUN VALLEY DRIVE
FORT WORTH, TX 76119
Inspectors M. GLOVER / V.GUTIERREZ
Wednesday, April 3, 2024 Page 1 of 4
City Project Numbers 105137
Contract Name BRASWELL HOME OFFICE
Contract Limits
Project Type WATER & SEWER
Project Funding
UNITI I: WATER IMPROVEMENTS
Item Description of Items
No.
1 4"-12" PRESSURE PLUG
2 8" PVC WATER PIPE
3 FIRE HYDRANT
4 CONNECTION TO EXISTING 4"-12"
5 1" WATER SERVICES
6 1 1/2" WATER SERVICES
7 DUCTILE IRON WATER FITTINGS W/
RESTRAINT
8 UTILITY SERVICE SURFACE RESTORATION
HYDROMULCH
DOE Number 5137
Estimate Number I
Payment Number 1
For Period Ending 3/27/2024
Estimated Unit
Unit Cost
Estimated
Completed
Completed
Quanity
Total
Quanity
Total
1 EA
$200.00
$200.00
1
$200.00
20 LF
$100.00
$2,000.00
20
$2,000.00
1 EA
$8,900.00
$8,900.00
1
$8,900.00
1 EA
$2,000.00
$2,000.00
1
$2,000.00
1 EA
$1,900.00
$1,900.00
1
$1,900.00
1 EA
$3,300.00
$3,300.00
1
$3,300.00
1 EA
$2,700.00
$2,700.00
1
$2,700.00
1 EA
$750.00
$750.00
1
$750.00
9 TRENCH SAFETY 20 LF $2.00 $40.00 20 $40.00
--------------------------------------
Sub-Total of Previous Unit $21,790.00 $21,790.00
UNFIT 11: SANITARY IMPROVEMENTS
Item Description of Items
Estimated Unit
Unit Cost
Estimated
Completed
Completed
No.
Quanity
Total
Quanity
Total
1 4" SEWER SERVICE
1 EA
$300.00
$300.00
1
$300.00
1 UTILITY SERVICE SURFACE RESTORATION
1 EA
$750.00
$750.00
1
$750.00
HYDROMULCH
1 TRENCH SAFETY
--------------------------------------
10 LF
$2.00
$20.00
10
$20.00
Sub-Total of Previous Unit
$1,070.00
$1,070.00
Wednesday, April 3, 2024 Page 2 of 4
City Project Numbers 105137
Contract Name BRASWELL HOME OFFICE
Contract Limits
Project Type WATER & SEWER
Project Funding
Contract Information Summary
Original Contract Amount
Change Orders
Total Contract Price
DOE Number 5137
Estimate Number I
Payment Number 1
For Period Ending 3/27/2024
$22,860.00
$22,860.00
Total Cost of Work Completed $22,860.00
Less % Retained $0.00
Net Earned $22,860.00
Earned This Period $22,860.00
Retainage This Period $0.00
Less Liquidated Damages
Days @ / 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 $22,860.00
Wednesday, April 3, 2024 Page 3 of 4
City Project Numbers 105137
Contract Name BRASWELL HOME OFFICE
Contract Limits
Project Type WATER & SEWER
Project Funding
Project Manager NA
Inspectors M. GLOVER / V.GUTIERREZ
Contractor JACKSON CONSTRUCTION LTD
5112 SUN VALLEY DRIVE
FORT WORTH, TX 76119
DOE Number 5137
Estimate Number I
Payment Number 1
For Period Ending 3/27/2024
City Secretary Contract Number
Contract Date
Contract Time 15 WD
Days Charged to Date 15 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
$22,860.00
Less % Retained
$0.00
Net Earned
$22,860.00
Earned This Period $22,860.00
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
$22,860.00
Wednesday, April 3, 2024 Page 4 of 4
PROJECT NAME:
PROJECT NUMBER:
DOE NUMBER:
PIPE LAID
Water
FIRE HYDRANTS: 1
PIPE ABANDONED
DENSITIES:
NEW SERVICES:
PIPE LAID
PIPE ABANDONED
DENSITIES:
NEW SERVICES:
FOR * TWORTH
TRANSPORTATION AND PUBLIC WORKS
PIPE REPORT FOR:
Braswell Homes Office
105137
N/A
WATER
SIZE TYPE OF PIPE
8" PVC 900
VALVES (16" OR LARGER)
SIZE TYPE OF PIPE
LF
20
N/A
LF
yes
1" Copper 1 EA
1 1/2" Copper 1 EA
SEWER
SIZE TYPE OF PIPE LF
SIZE TYPE OF PIPE LF
yes
1 HDPE Sewer 1 EA
TRANSPORTATION AND PUBLIC WORKS
FORT WORTH.
TRANSPORTATION AND PUBLIC WORKS
March 27, 2024
Jackson Construction
5112 Sun Valley Dr.
Fort Worth, Tx 76119
RE: Acceptance Letter
Project Name: Braswell Homes Office
Project Type: Water, Sanitary Sewer
City Project No.: 105137
To Whom It May Concern:
On February 20, 2024 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 March 27, 2024. 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 March 27, 2024, 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-
392-6251.
Sincerely,
Debbie Willhelm, Project Manager
Cc: Victor Gutierrez, Inspector
Mike Glover, Inspection Supervisor
Randy Horton, Senior Inspector
Andrew Goodman, Program Manager
ANA Consultants LLC, Consultant
Jackson Construction, Contractor
Braswell Holdings Company LLC, Developer
File
E-Mail: TPW_Acceptance@fortworthtexas.gov
Rev.8/20/19
GJACKSON
CONSTRUCTION LTD.
5112 SUN VALLEY DRIVE
FORT WORTH, TX 76119
TEL: 817-572-3303
FAX: 817-478-0443
AFFIDAVIT
STATE OF TEXAS
i
COUNTY OF TARRANT
Before me, the undersigned authority, a notary public in the state
and county aforesaid, on this day personally appeared Troy L. Jackson,
President Of Jackson Construction, Ltd, 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;
Braswell Home Office
2BY ��/?�c�►
Tr L. Jackson, President
Subscribed and sworn before me on this date 24th of April, 2024.
Notary Pub is
Tarrant, Texas
�•��cvP ��., CARMEN L. ESTEP
Notary Public, State of Texas
Comm. Expires 04-06-2028
Notary ID 2910611
CONSENT OF SURETY
TO FINAL PAYMENT
AIA Document G707
Bond No. 1103986
TO OWNER:
fKamse curd addre-)
Braswell Holdings Company LLC
6387 Camp Bowie Blvd.
Fort Worth, TX 76117
PROJECT:
(1Vtrrrre and redr]ruc�}
COFW Project No. 105137, Braswell Home Office
OWNER
ARCHITECT
CONTRACTOR
SURETY
OfTHPR
ARCHITECT'S PROJECT NO.:
CONTItACf FOR:
COh Mr-T DATED: October 24, 2023
In accordance with the provisions of the Cont act between the Owner and the Contraao r as indlimrmi above, the
(Inapt rmme aW artd M qfs�4")
The Hanover Insurance Company
440 Lincoln Street
Worcester, MA 01653
, Supw y,
on bend of
(Insert now and addrea9(Corztraaar)
Jackson Construction, Ltd.
5112 Sun Valley Drive
Fort Worth, TX 76119
CO'_VMCTOR,
hereby approves of the final payment to the Contractor, and agrees that final payment to the Contractor shall not relieve the Surety of
any of its obligations to
(it latrr narzvaand ucktressafOttner)
Braswell Holdings Company LLC
6387 Camp Bowie Blvd.
Fort Worth, TX 76117
as set forth in said Surety's bond.
, ONVNEP,
IN WTNESS WHEREOF, the Surety t-as hereunto set its hand on this date: April 24, 2024
(hwo hz uviling the mmntfi fal1mwd hr+rlae waver k date and i ar,1
Attest, (Sea)).-
The Hanover Insurance Company
(SurcH3)
By: 0
(s�grrutrtrr ofarrtbor�zrif rrpr�nr tiz�n)
Holly Clevenger Attorney -in -Fact
(h*) d elan:e arrcllkk)
G707---1994
THE HANOVER INSURANCE COMPANY
MASSACHUSETTS BAY INSURANCE COMPANY
CITIZENS INSURANCE COMPANY OF AMERICA
POWER OF A TTO RNE Y
THIS Power of Attorney lintRs the aoif of those named herein, and they have no authority to bind the Company except in the manner and to the
extent herein stated.
KNOW ALL PERSONS BY THESE PRESENTS:
ThatTHE HANOVER INSURANCE COMPANY and MASSACHUSETTS BAY INSURANCE COMPANY, both being corporations organized and existing underthe
laws of the State of New Hampshire, and CITIZENS INSURANCE COMPANY OF AMERICA. a corporation organized and existing under the taws of the State of
Michigan, (hereinafter individually and eokcbvely lh*'Company") does hereby constitute and appoint.
Holly Clevenger
Of Dallas, TX indmdually, inhere be more than one named, as its true and lawful attomeyts Yin- fact to sign. execute, seal, acknowledge and
deliver for. and on its behalf, and as Its ad and deed any place within the United States, any and all surety bonds, reeNnamoes, undertakings, or other surety
oNoSons. The execution of such surety bonds. recognizances, undertakings or surety obligations. in pursuance of these presents. shag be as binding upon the
Company as dthey had been duty signed by the president and attested by the secretary of the Company, in their own proper persons. Provided however, that th is
power of attorney limits the ads of those named herein; and they have no authority to bind the Company except in the manner stated and to the extent of any
limitabon stated below:
Any such obligations in the United States, not to exceed Forty Million and Ho1100 (i40,000,000) in any single instance
That this pourer is made and executed pursuant to the authority of the following Resolutions passed by the Board of Direclors of said Company, and said Resolutions
remain it full force and effect
Suety Bond Number: 1103986
Principal: Jackson Construction, Ltd.
Obligeo: Braswell Holdings Company LLC
RESOLVED: That the President or any Vice President, in conjunction with any Vice President be and they hereby are authorised and empowered to
appoint Alinmeys-irfad of the Company, in its name and as it acts, to execute and acknowledge for and on its behalf as surety, any and all bonds,
reoognizanaef, contracts of indemnity_ waivers of atabon and all other writings obligatory in the nature Tereol. with power to attach thereb the seal of"
Company. Any such writings so executed by such Attorneys -in -fact shall be binding upon the Company as if they had been duly executed and
acknoWedged by the requiarly elected officers of the Company in their own proper persons.
RESOLVED: That any and an Powers of Attorney and Certified Copies of such Pavers of Attorney and certification in respell thereto. granted and
executed by the President or Vic* President in conjunction with any Vice President of the Company, shall be binding on the Company to the some extent
as d all signatures therein were manually affixed. even though one or more of any such signabres thereon may be facsimile. (Adopted October 7.1081 -
The Hanovat Insurance Company: Adopted April 14. 1082- Massachusetts Bay Insulranoa Company; Adopted Septernb r 7, 2001-Citizens Insurance
Company of America and ot5rmed by tech Company on March 24. 2014)
IN WITNESS WHEREOF. THE HANOVER INSURANCE COMPANY, MASSACHUSETTS BAY INSURANCE COMPANY and CITIZENS INSURANCE COMPANY
OF AMERICA have caused these presents to be sealed with they respective corporate seals, duty attested by two Vice Presidents. thrs 6*1 day of April, 2023
I Ise I laaewsr tworsacc C*rkgavy
uurNaotm lky liese rse" Campaay
Citizens biamiace C'ewpa7of Amerin
OWM AXOAA�
Jj�fe H. Kawink], ce Pr"Went
STATE OF CONNECTICUT ]
COUNTY OF HARTFORD
) s s.
a
1ruc liaaincr lawras c Caapaal
ihV;WU Illey laaara■ceC0�0pmy
lase Camp aTafArne. n
17 teen M. Mendoza, Vice President 61
On this 6t1 day of April 2023 b*Ior* m* cam* the above named Exewbv* Vice President and Vice President of The Hanover Inswance Company, Massachusetts
Bay Insurance Company and CiGaens Insurance Company of America, to me personally known to be the individuals and officers described h*rein, and
aciknormiedged that the seals affixed to the preceding instrument are the corporate seals of The Hanover Insurance Company. Massachusetts Bay Insurance
Company and Citizens Insurance Company of America. respeedvey. and that the said corporate seals and then signatures as offioen were duly affixed and
subscnbgd tgmid instrument try the authority and direction if said Corporations.
Wendy Latoumes I
1f lief" PLW Sluff d COIIAOCt1GUt ' n Y LCtDtI Oir 00 ry p
ble
uy CatsaiLnW Eglires,I Y 31. ?b25 Icy oonmbs n e I Ir*s ddlr 31, 20M
I, the undersigned Vice President of The Hanover Insurarkm Company, Massachusetts Bay Insurance Company and Citizens Insurance Company of America.
hereby certify that the above and foregoing is a full. true and Correct Copy of the Original Pia r of Ablo ney issued by said Companies. and do hereby farther certify
that the said Powers of Attorney are still in force and effect
GIVEN undermy hand and tine seals of said Companies, at Worcestar, Massachusetts, this 24th day of April 2024 ,
The a lawnate arapa
is IMI Ia ■y
CERTIFIED COPY ra a "
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