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Contract 59907-FP3
-FP3 FORT WORTH. City Secretary Contract No. 59907 Date Received 05/31/2024 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: Brentwood Stair Single Family Site Development City Project No.: 104748 Improvement Type(s): Water 0 Sewer 0 I Original Contract Price: $762,360.05 (Amount of Approved Change Order(s): IRevised Contract Amount: (Total Cost of Work Complete: $762,360.05 Kevin Ge�stehKorh May 30, 2024 Kevin Gerstenkorn (May 30, 202413:36 CDT) Contractor Date Executive VP of Operations Title PCI Construction Company Name x,V,1911 May 30, 2024 Adrian Aranda (May 30, 2024 14:15 CDT) Project Inspector Date KhalJa-E.(Ma30, 2024 18:03CDT) May 30, 2024 Project Manager Date .^ May 31 2024 Rebecca Owen lMav31.202408:14 CDT) Y CFA Manager Date Lauren Prieur (May 31, 2024 08:18 CDT) May 31, 2024 TPW Director Date Jun 3, 2024 Asst. City Manager Date OFFICIAL RECORD CITY SECRETARY Page 1 of 2 FT. WORTH, TX Notice of Project Completion Project Name: Brentwood Stair Single Family Site Development City Project No.: 104748 City's Attachments Final Pay Estimate x❑ Change Order(s): ❑ Yes ❑x N/A Pipe Report: x❑ Yes ❑ N/A Contractor's Attachments Affidavit of Bills Paid Consent of Surety Statement of Contract Time Contract Time: 135 WD Work Start Date: 10/2/2023 Completed number of Soil Lab Test: 336 Completed number of Water Test: 18 Days Charged: 151 Work Complete Date: 5/14/2024 Page 2 of 2 FORT WO 1T H CITY OF FORT WORTH FINAL PAYMENT REQUEST Contract Name BRENTWOO STAIR SINGLE FAMILY SITE DEVELOPMENT Contract Limits Project Type WATER & SEWER City Project Numbers 104748 DOE Number 4748 Estimate Number 1 Payment Number 1 City Secretary Contract Number Contract Date Project Manager NA Contractor PCI CONSTRUCTION, INC. P.O. BOX 2967 Inspectors For Period Ending 5/13/2024 WD Contract Time SWD Days Charged to Date 151 Contract is 100.00 Complete McKINNEY, TX 75070 D. WATSON / A. ARANDA Thursday, May 16, 2024 Pagel of 5 City Project Numbers 104748 DOE Number 4748 Contract Name BRENTWOO STAIR SINGLE FAMILY SITE DEVELOPMENT Estimate Number I Contract Limits Payment Number 1 Project Type WATER & SEWER For Period Ending 5/13/2024 Project Funding UNIT I: WATER IMPROVEMENTS Item Description of Items Estimated Unit Unit Cost Estimated Completed Completed No. Quanity Total Quanity Total 1 REMOVE 12" WATER LINE 18 LF $17.00 $306.00 18 $306.00 2 SALVAGE FIRE HYDRANT 2 EA $2,220.00 $4,440.00 2 $4,440.00 3 CONC PVMT REPAIR, ATERIALANDUSTRIAL @ 101 SY $138.00 $13,938.00 101 $13,938.00 T SQUARE STREET 4 12" WATERLINE LOWERING 1 EA $11,145.00 $11,145.00 1 $11,145.00 5 TRENCH SAFETY 1938 LF $0.10 $193.80 1938 $193.80 6 IMPORTED EMBEDMENT/BACKFILL, CLSM 40 LF $94.00 $3,760.00 40 $3,760.00 7 DUCTILE IRON WATER FITTINGS W/ 1.65 TN $29,957.00 $49,429.05 1.65 $49,429.05 RESTRAINT 8 8" WATER PIPE 1920 LF $58.40 $112,128.00 1920 $112,128.00 9 FIRE HYDRANT 4 EA $7,674.00 $30,696.00 4 $30,696.00 10 CONNECTION TO EXISTING 4"-12" WATER 2 EA $2,858.00 $5,716.00 2 $5,716.00 MAIN 11 1" WATER SERVICE 55 EA $1,507.00 $82,885.00 55 $82,885.00 12 6" GATE VALVE 2 EA $1,903.00 $3,806.00 2 $3,806.00 13 8" GATE VALVE 7 EA $2,739.00 $19,173.00 7 $19,173.00 14 12" CUT -IN GATE VALVE 1 EA $9,304.00 $9,304.00 1 $9,304.00 15 TRAFFIC CONTROL 1 MO $6,516.00 $6,516.00 1 $6,516.00 16 1" IRRIGATION SERVICE & METER BOX 1 EA $1,636.00 $1,636.00 1 $1,636.00 Sub -Total of Previous Unit $355,071.85 $355,071.85 UNIT M SANITARY SEWER IMPROVEMENTS Item Description of Items Estimated Unit Unit Cost Estimated Completed Completed No. Quanity Total Quanity Total --------------------------------------- 1 CONC PVMT REPAIR, ARTERIAL/INDUTRIAL 417 $164.00 $68,388.00 417 $68,388.00 @ E SQUARE STREET T SQUARE STREET 2 POST -CCTV INSPECTION 1966 $4.40 $8,650.40 1966 $8,650.40 3 MANHOLE VACUUM TESTING 13 $197.00 $2,561.00 13 $2,561.00 4 TRENCH SAFETY 1966 $0.60 $1,179.60 1966 $1,179.60 5 IMPORTED EMBEDMENT/BACKFILL, CSS 160 $94.00 $15,040.00 160 $15,040.00 6 8" SEWER PIPE, SELECT BACKFILL 1966 $60.20 $118,353.20 1966 $118,353.20 7 EPDXY MANHOLE LINER 10 $638.00 $6,380.00 10 $6,380.00 8 4' MANHOLE 13 $5,514.00 $71,682.00 13 $71,682.00 Thursday, May 16, 2024 Page 2 of 5 City Project Numbers 104748 DOE Number 4748 Contract Name BRENTWOO STAIR SINGLE FAMILY SITE DEVELOPMENT Estimate Number I Contract Limits Payment Number 1 Project Type WATER & SEWER For Period Ending 5/13/2024 Project Funding 9 4" SEWER SERVICE 55 $1,776.00 $97,680.00 55 $97,680.00 10 DROP CONNECTION TO EXISTING SSMH 1 $13,038.00 $13,038.00 1 $13,038.00 11 16" 150SI PRESSURE RATED PVC 20 $216.80 $4,336.00 20 $4,336.00 ENCASEMENT Sub -Total of Previous Unit $407,288.20 $407,288.20 Thursday, May 16, 2024 Page 3 of 5 City Project Numbers 104748 Contract Name BRENTWOO STAIR SINGLE FAMILY SITE DEVELOPMENT Contract Limits Project Type WATER & SEWER Project Funding Contract Information Summary Original Contract Amount Change Orders Total Contract Price DOE Number 4748 Estimate Number I Payment Number 1 For Period Ending 5/13/2024 $762,360.05 $762,360.05 Total Cost of Work Completed $762,360.05 Less % Retained $0.00 Net Earned $762,360.05 Earned This Period $762,360.05 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 $762,360.05 Thursday, May 16, 2024 Page 4 of 5 City Project Numbers 104748 DOE Number 4748 Contract Name BRENTWOO STAIR SINGLE FAMILY SITE DEVELOPMENT Estimate Number I Contract Limits Payment Number 1 Project Type WATER & SEWER For Period Ending 5/13/2024 Project Funding Project Manager NA City Secretary Contract Number Inspectors D. WATSON / A. ARANDA Contract Date Contractor PCI CONSTRUCTION, INC. Contract Time 55 WD P.O. BOX 2967 Days Charged to Date 151 WD McKINNEY, TX 75070 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 $762,360.05 Less % Retained $0.00 Net Earned $762,360.05 Earned This Period $762,360.05 Retainage This Period $0.00 Balance Due This Payment $762,360.05 Thursday, May 16, 2024 Page 5 of 5 FORTWORTH TRANSPORTATION AND PUBLIC WORKS PIPE REPORT FOR: PROJECT NAME: Brentwood Stair Single Family CITY PROJECT NUMBER: 104748 WATER PIPE LAID SIZE TYPE OF PIPE Open -Trench 8" C-900 PVC LF 1920 LF FIRE HYDRANTS: 4 VALVES (16" OR LARGER) PIPE ABANDONED SIZE TYPE OF PIPE LF DENSITIES: Taken -Pass NEW SERVICES: 1" COPPER 775 LF I SEWER I PIPE LAID SIZE TYPE OF PIPE LF Open -Trench 8" PVC SDR-26 1966 PIPE ABANDONED SIZE TYPE OF PIPE LF N/A DENSITIES: Taken -Pass NEW SERVICES: 4" PVC SDR 26 400 LF TRANSPORTATION AND PUBLIC WORKS The City of Fort Worth • 1000 Throckmorton Street • Fort Worth, TX 76012-6311 FORTWORTH. TRANSPORTATION AND PUBLIC WORKS May 15, 2024 PCI Construction, INC P.O. Box 2967 McKinney, TX 75070 RE: Acceptance Letter Project Name: Brentwood Stair Single Family Site Devopment Project Type: Developer City Project No.: 104748 To Whom It May Concern: On May 15, 2024 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 May 15, 2024, 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- 392-7872. Sincerely, KhaI Ja afari P.E. (May 30, 202418:03 CDT) Khal Jaafari P.E , Project Manager Cc: Adrian Aranda , Inspector Donald Watson , Inspection Supervisor Aaron Ybarra , Senior Inspector Andrew Goodman P.E , Program Manager Pacheco Koch , Consultant PCI Construction INC, Contractor D.R. Horton , Developer File E-Mail: TPW_Acceptance@fortworthtexas.gov Rev. 08/20/19 AFFIDAVIT STATE OF Texas COUNTY OF Collin Before me, the undersigned authority, a notary public in the state and county aforesaid, on this day personally appeared Troy Mitchell, Controller Of PCI Construction, Inc., known to me to be a credible person, who being by me duly sworn, upon hit 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 full; That there are no claims pending for personal injury and/or Property damages; On Contract described as; Brentwood Stair —CPN 104748 (Water, Sewer, Storm Drain Infrastructure) Y� roy Mitchell - Controller cribed and swo n be ore me on this date 131h of May, 2024. Notary Public Collin County, State of M.:;jr"y" d��;, BREE MITCHELL i Texas My Notary ID # 123944875 f Expires September 26, 2027 CONSENT OF OWNER ❑ SURETY COMPANY ARCHITECT ❑ TO FINAL PAYMENT CONTRACTOR ❑ SURETY ❑ AIA DOCUMENT G707 OTHER Bond No. 2348621 PROJECT: PP2YM - Brentwood Stair Single Family Site Development (name, address) TO (Owner) [ City of Fort Worth ] ARCHITECT'S PROJECT NO: 1000 Throckmorton Street Fort Worth, TX 76102-6312 CONTRACT FOR: [ ] CONTRACT DATE: CONTRACTOR: PCI Construction, Inc. P.O. Box 2967 McKinney, TX 75070 In accordance with the provisions of the Contract between the Owner and the Contractor as indicated above, the (here insert name and address of Surety Company) Swiss Re Corporate Solutions America Insurance Corporation , SURETY COMPANY, 1200 Main St., Suite 800 on bond of (here insert name and address of Contractor) PCI Construction, Inc. P.O. Box 2967 McKinney, TX 75070 , CONTRACTOR, hereby approves of the final payment to the Contractors, and agrees that final payment to the Contractor shall not relieve the Surety Company of any of its obligations to (here insert name and address of Owner) City of Fort Worth 1000 Throckmorton Street Fort Worth, TX 76102-6312 ,OWNER, as set forth in the said Surety Company's bond. IN WITNESS WHEREOF, the Surety Company has hereunto set its hand this loth day of April 2Q24 Attest: (Seal): j \ Swiss Re Corporate Solutions America Insurance Surety Company Signature of Authorized Representative Debra Lee Moon Title Attornev-In-Fact 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 AIA DOCUMENT G707 • CONSENT OF SURETY COMPANY TO FINAL PAYMENT • APRIL 1970 EDITION • AIAOO ONE PAGE © 1970 • THE AMERICAN INS"ITTUTE OF ARCHITECTS, 1735 New York Ave., NW, WASHINGTON, D.C. 20006 SWISS RE CORPORATE SOLUTIONS SWISS RE CORPORATE SOLUTIONS AMERICA INSURANCE CORPORATION ("SRCSAIC") SWISS RE CORPORATE SOLUTIONS PREMIER INSURANCE CORPORATION ("SRCSPIC") WESTPORT INSURANCE CORPORATION ("WIC") GENERAL POWER OF ATTORNEY KNOW ALL MEN BY THESE PRESENTS, THAT SRCSAIC, a corporation duly organized and existing under laws of the State of Missouri, and having its principal office in the City of Kansas City, Missouri, and SRCSPIC, a corporation organized and existing under the laws of the State of Missouri and having its principal office in the City of Kansas City, Missouri, and WIC, organized under the laws of the State of Missouri, and having its principal office in the City of Kansas City, Missouri, each does hereby make, constitute and appoint: JOHN R. WARD, THOMAS DOUGLAS MOORE, EMILY ALLISON MIKL'SKA, ALLYSON W. DEAN, MONICA RUBY VEAZ.EY, JOHN WILLIAM NEWBY, TROY RUSSELL KEY, D17.13RA LEE MOON, ANDREA ROSE CRAWFORD, SANDRA LEE RONEY, FAITH ANN IUL'IY, ANDREW GARETI I ADDISON, PATRICK TI IOMAS COYLE, MICHAEL DONALD HENDRICKSON, BRYAN KELLY MOORS, ELIZABETH ORTIZ, ANA OWENS, BETPY 1 REEI I, AND ANDREW PATRICK CLARK JOINTLY OR SEVERALLY Its true and lawful Attomey(s)-in-Fact, to make, execute, seal and deliver, for and on its behalf and as its act and deed, bonds or other writings obligatory in the nature of a bond on behalf of each of said Companies, as surety, on contracts of suretyship as are or may be required or permitted by law, regulation, contract or otherwise, provided that no bond or undertaking or contract or suretyship executed under this authority shall exceed the amount of: TWO HUNDRED MILLION ($200,000,000.00) DOLLARS This Power of Attorney is granted and is signed by facsimile under and by the authority of the following Resolutions adopted by the Boards of Directors of both SRCSAIC and SRCSPIC at meetings duly called and held on the 18th of November 2021 and WIC by written consent of its Executive Committee dated July 18, 2011. "RESOLVED, that any two of the President, any Managing Director, any Senior Vice President, any Vice President, the Secretary or any Assistant Secretary be, and each or any of them hereby is, authorized to execute a Power of Attorney qualifying the attorney named in the given Power of Attorney to execute on behalf of the Corporation bonds, undertakings and all contracts of surety, and that each or any of them hereby is authorized to attest to the execution of any such Power of Attorney and to attach therein the seal of the Corporation; and it is FURTHER RESOLVED, that the signature of such officers and the seal of the Corporation may be affixed to any such Power of Attorney or to any certificate relating thereto by facsimile, and any such Power of Attorney or certificate bearing such facsimile signatures or facsimile seal shall be bindine upon the Corporation when so affixed and in the future with reeard to anv bond, undertaking or contract of surety to which it is attached." oMS AhIER�C "��oTtS PREHfF �GoPORqs '� T�G% `o�J'RPORq'��tis. `�,jW�AQMJC�F G' ���. GO T�; : G'. BY Erik Janssens, Senior Vice President of SRCSAIC & Senior Vice President a : M - S E A�SL E n01 of SRCSPIC &Senior Vice President of wIC -o"� . 1973 � � •bo-` o :' rtao I�,�..n{a i '�/depU�`�! Ey�SSOQ\' o •, S',�S"„* 11 N�, ``,, s,,S,p��sl'I*„ \4Od��.`�� BY Gerald Jagrosrski, Vice President of SRCSAIC & Vice President of SRCSPIC •t & Vice President of WIC IN WITNESS WHEREOF, SRCSAIC, SRCSPIC, and WIC have caused their official seals to be hereunto affixed, and these presents to be signed by their authorized officers this I lth day of January 20 24 Swiss Re Corporate Solutions America Insurance Corporation State of Illinois Swiss Re Corporate Solutions Premier Insurance Corporation County of Cook ss Westport Insurance Corporation On this 11 th day of January 20 24._, before me, a Notary Public personally appeared Erik Janssens , Senior Vice President of SRCSAIC and Senior Vice President of SRCSPIC and Senior Vice President of WIC and Gerald Jaarowski , Vice President of SRCSAIC and Vice President of SPCSPIC and Vice President of WIC, personally known to me, who being by me duly sworn, acknowledged that they signed the above Power of Attorney as officers of and acknowledged said instrument to be the voluntary act and deed of their respective companies. OFFIOIAL SEAL CHRINNIA MANISCO NOTARY PUBLIC, STATE OF �/y Ctxnmtt�bn Expire M[tcit 48.2026 . �Krt3 )'c�iATdi� 1( ' I, Jeffrev Goldberg, the duly elected Senior Vice President and Assistant Secretary of SRCSAIC and SRCSPIC and WIC, do hereby certify that the above and foregoing is a true and correct copy of a Power of Attorney given by said SRCSAIC and SRCSPIC and WIC, which is still in full force and effect. IN WITNESS WHEREOF, I have set my hand and affixed the seals of the Companies this 10th day of April 20 24 Jeffrey Goldberg, Senior Vice President & Assistant Secretary of SRCSAIC and SRCSPIC and WIC IMPORTANT NOTICE In order to obtain information or make a complaint You may contact Jeffrey Goldberg, Vice President - Claims, at 1-800-338-0753. You may call Swiss Re Corporate Solutions America Insurance Corporation or Swiss Re Corporate Solutions Premier Insurance Corporation's toll -free number for information or to make a complaint at: 1-800-338-0753 You may also write to Swiss Re Corporate Solutions America Insurance Corporation or Swiss Re Corporate Solutions Premier Insurance Corporation at the following address: 1450 American Lane, Suite 1100 Schaumburg, IL 60173 You may contact the Texas Department of Insurance to obtain information on companies, coverages, rights or complaints at: 1- 800-252-3439 You may write the Texas Department of Insurance: P.O. Box 149104 Austin, TX 78714-9104 Fax: (512) 475-1771 Web: htt0://www.tdi.state.tx.us E-mail: Cons umerProtection(iOdi.state.tx. us PREMIUM OR CLAIM DISPUTES: Should you have a dispute concerning your premium or about a claim you should first contact the Swiss Re Corporate Solutions America Insurance Corporation or Swiss Re Corporate Solutions Premier Insurance Corporation. If the dispute is not resolved, you may contact the Texas Department of Insurance. ATTACH THIS NOTICE TO YOUR POLICY: This notice is for information only and does not become a part or condition of the attached document. AVISO IMPORTANTE Para obtener informacion o para someter un queja: Puede comunicarse con Jeffrey Goldberg, Vice President - Claims, al 1-800-338-0753. Usted puede llamr al numeeo de telefono gratis de Swiss Re Corporate Solutions America Insurance Corporation o Swiss Re Corporate Solutions Premier Insurance Corporation's para informacion o para someter una queja al: 1-800-338-0753 Usted tambien puede escribir a Swiss Re Corporate Solutions America Insurance Corporation o Swiss Re Corporate Solutions Premier Insurance Corporation al: 1450 American Lane, Suite 1100 Schaumburg, IL 60173 Puede escribir al Departmento de Seguros de Texas para obtener informacion acerca de companias, coberturas, derechos o quejas al: 1-800-252-3439 Puede escribir al Departmento de Seguros de Texas: P.O. Box 149104 Austin, TX 78714-9104 Fax: (512) 475-1771 Web: httD://www.tdi.state.tx.us E-mail: Cons u merProtectiona.tdi.state.tx.us DISPUTAS SOBRE PRIMAS O RECLAMOS: Si tiene una disputa concerniente a su prima o a un reclamo, debe comunicarse con el Swiss Re Corporate Solutions America Insurance Corporation o Swiss Re Corporate Solutions Premier Insurance Corporation primero. Si no se resuelve la disputa, puede entonces comunicarse con el Departmento de Seguros de Texas. UNA ESTE AVISO A SU POLIZA: Este aviso es solo para proposito de infromacion y no se converte en parte o condicion del documento adjunto.