HomeMy WebLinkAboutContract 59454-FP1FORT WORTH
-FP1
City Secretary
Contract No. 59454
Date Received 6/7/2024
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: Texas Roadhouse
City Project No.:104768
Improvement Type(s): Water ❑x Sewer ❑x
Original Contract Price: $49,529.30
Amount of Approved Change Order(s): $8,800.00
Revised Contract Amount: $58,329.30
Total Cost of Work Complete: $58,329.30
Yarn Jun 4, 2024
Yuri Iharra (Jun 4. 2024 09:50 CDT)
Contractor Date
Office Manager
Title
Ibarra Underground
Company Name
ANchael PerKlns
Jun 5 2024
Michael Perkins (Jun 5, 202408:28 CDT)
Project Inspector
Date
Jun 7, 2024
Project Manager
Date
Jun 7, 2024
Rebecca Owen (Jun 7. 202408:56 CDT)
CFA Manager
Date
Jun 7 2024
Lau ren Prieur (Jun 7, 2024 08:59 CDT)
TPW Director
Date
C---V�
Jun 11, 2024
Asst. City Manager
Date
OFFICIAL RECORD
CITY SECRETARY
FT. WORTH, TX
Page 1 of 2
Notice of Project Completion
Project Name: Texas Roadhouse
City Project No.: 104768
City's Attachments
Final Pay Estimate ❑x
Change Order(s): ❑x Yes ❑ N/A
Pipe Report: ❑x Yes ❑ N/A
Contractor's Attachments
Affidavit of Bills Paid
Consent of Surety
Statement of Contract Time
Contract Time: 15 WD Days Charged: 68
Work Start Date: 8/10/2023 Work Complete Date: 12/4/2023
Completed number of Soil Lab Test: 20
Completed number of Water Test: 4
Page 2of2
FoRTWORTH
CITY OF FORT WORTH
FINAL PAYMENT REQUEST
Contract Name TEXAS ROADHOUSE
Contract Limits
Project Type WATER & SEWER
City Project Numbers 104768
DOE Number 4768
Estimate Number 1 Payment Number 1
City Secretary Contract Number
Contract Date
Project Manager NA
Contractor 1BARRA UNDERGROUND
140 Nicole Drive
Inspectors
For Period Ending 12/4/2023
WD
Contract Time 1 WD
Days Charged to Date 68
Contract is 100.00 Complete
Rockwall, TX 75032
M. GLOVER / J. DAVIS
Wednesday, December 6, 2023 Page 1 of 4
City Project Numbers 104768
Contract Name TEXAS ROADHOUSE
Contract Limits
Project Type WATER & SEWER
Project Funding
UNIT I: WATER IMPROVEMENTS
DOE Number 4768
Estimate Number 1
Payment Number 1
For Period Ending 12/4/2023
Item
Description of Items
Estimated Unit
Unit Cost
Estimated
Completed
Completed
No.
Quanity
Total
Quanity
Total
1
CONCRETE SIDEWALK
68 SF
$20.00
$1,360.00
68
$1,360.00
2
2" WATER SERVICE
1 EA
$5,500.00
$5,500.00
1
$5,500.00
3
1" WATER SERVICE
1 EA
$3,600.00
$3,600.00
1
$3,600.00
4
6" WATER PIPE
1 EA
$1,080.00
$1,080.00
1
$1,080.00
5
12"X6" TAPPING SLEEVE & VALVE
1 EA
$21,600.00
$21,600.00
1
$21,600.00
-------------
Sub -Total of Previous Unit
$33,140.00
$33,140.00
UNIT
11: SANITARY IMPROVEMENTS
Item
Description of Items
Estimated Unit
Unit Cost
Estimated
Completed
Completed
No.
Quanity
Total
Quanity
Total
1
6" SEWER PIPE
22 LF
$48.00
$1,056.00
22
$1,056.00
2
4' DIAMETER SANITARY MANHOLE (CO #1)
2 EA
$8,800.00
$17,600.00
2
$17,600.00
3
CONNECTING TO EXISTING SANITARY SEWER
1 EA
$1,100.00
$1,100.00
1
$1,100.00
4
10' WIDE ASPHALT PVMT REPAIR, INDUSTRIAL
15 LF
$62.22
$933.30
15
$933.30
5
CONCRETE SIDEWALK
45 SF
$20.00
$900.00
45
$900.00
6
--------------------------------------
TRAFFIC CONTROL
1 EA
$3,600.00
$3,600.00
1
$3,600.00
--------------------------------------
Sub-Total of Previous Unit
$25,189.30
$25,189.30
Wednesday, December 6, 2023 Page 2 of 4
City Project Numbers 104768
Contract Name TEXAS ROADHOUSE
Contract Limits
Project Type SANITARY
Project Funding
Contract Information Summary
Original Contract Amount
Change Orders
Change Order Number 1
Total Contract Price
DOE Number 4768
Estimate Number 1
Payment Number 1
For Period Ending 12/4/2023
$49,529.30
$8,800.00
$58,329.30
Total Cost of Work Completed $58,329.30
Less % Retained $0.00
Net Earned $58,329.30
Earned This Period $58,329.30
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
$58,329.30
Wednesday, December 6, 2023 Page 3 of 4
City Project Numbers 104768
Contract Name TEXAS ROADHOUSE
Contract Limits
Project Type SANITARY
Project Funding
Project Manager NA
Inspectors M. GLOVER / J. DAVIS
Contractor MARRA UNDERGROUND
140 Nicole Drive
Rockwall, TX
DOE Number 4768
Estimate Number 1
Payment Number 1
For Period Ending 12/4/2023
City Secretary Contract Number
Contract Date
Contract Time 15 VVD
Days Charged to Date 68 WD
75032 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 $58,329.30
Less % Retained $0.00
Net Earned $58,329.30
Earned This Period $58,329.30
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
$58,329.30
Wednesday, December 6, 2023 Page 4 of 4
DocuSign Envelope ID: 96B39EC1-4C66-497B-B538-2388F7221AS7
DEVELOPER -AWARDED -PROJECT CHANGE ORDER
PROJECT NAME:
Texas Roadhouse - Express CFA
CONTRACT:
CFA #
CFA23-0035
CITY PROJECT #
104768
DO E #
IWATER PROJECT #
X-27726
SEWER PROJECT #
X-27726
I R LE #
N/A
INSPECTOR: Jesse Davis
PROJECT MANAGER: Drew Goodman
CITY PARTICIPATION:I No
Phone No: 817-863-3705
Phone No: 817-392-6251
I CONTRACT UNIT
WATER SEWER PAVING
Developer "i- Developer Developer
Cost ClillilrCost Cost WCost - Cost City Cost
ORIGINAL CONTRACT $33,140.00 r` R , $16,389.30
EXTRAS TO DATE
CREDITS TO DATE
CONTRACT TO DATE I $33,140.00 5000 .>. 516,389.30 s000 *,r $0.00 $0.00
CHANGE
ORDER No:
1
DRAINAGE STREETLIGHTS CONTRACT
Developer Developer DAYS
Cost City Cost Cost CNZ,r.CWA-'
i Itf -. un
$0.00 I $0.00 I S0.00 50.00 I 0
AMOUNT OF PROP. CHANGE ORDER I 6 . - I $8,800.00
REVISED CONTRACT AMOUNT I $33,140.00 #oodl.a''� $25,189.30 'ISM 'fl $0.00 $0.00 I $0.00 �. $0.00 I S0.00 so.00 I 0
TOTAL REVISED PCONTRACT AMOUNT
PER UNITI $33,140.00 I $25,189.30 I S0.00 I $0.00 I $0.00
REVISED COST SHARE Dev. Cost: $58,329.30 City Cost $0.00
TOTAL REVISED CONTRACT I $58,329.30
Revised: 10-12-2011
Page 1
DocuSign Envelope ID: 96B39EC1-4C66-497B-B538-2388F7221AB7
You are directed to make the following changes in the contract documents:
CITY BID ITEM
PAY ITEM # # QUANTITY UNIT
2 3339.1001 1 EA
TOTAL
REASONS FOR CHANGE ORDER
ITEM DESCRIPTI N
4' Diameter Sanitary anhole
two manholes shown in plans. Change Order to show cost for second manhole.
RECOMMENDED:
APPROVED:
Greenberg arrow
Roach, g� .INC
�L
�°IA.SSt.�.I. QV�/Itii, b,
By:
By:
Name: Ye ena Fiester
Name: ussell'Buc" ie'
Title: Site Development
Title: Sr. Director of Real Estate
Manager
UNIT PRICE TOTAL
$8,800 $8,800
$8.800
APPROVED:
ISARRA Undergrou
By:
Name: rr�1 bN�/rG
Title:
Revised: 10-12-2011 Page 2
FORT WORTH
TRANSPORTATION AND PUBLIC WORKS
PIPE REPORT FOR:
PROJECT NAME: Texas Roadhouse
PROJECT NUMBER: 104768
DOE NUMBER: N/A
WATER
PIPE LAID SIZE TYPE OF PIPE LF
FIRE HYDRANTS: N/A VALVES (16" OR LARGER) N/A
PIPE ABANDONED SIZE TYPE OF PIPE LF
DENSITIES:
Yes
NEW SERVICES:
2"
Copper
1 EA
1"
Copper
I EA
6"
C 900
1 EA
SEWER
PIPE LAID
SIZE
TYPE OF PIPE
LF
Sewer
6"
HDPE
22
PIPE ABANDONED SIZE TYPE OF PIPE LF
DENSITIES: Yes
NEW SERVICES:
TRANSPORTATION AND PUBLIC WORKS
FORTWORTH.
TRANSPORTATION AND PUBLIC WORKS
December 4, 2023
Ibarra Underground
140 Nicole Dr
Rockwall, Tx 75032
RE: Acceptance Letter
Project Name: Texas Roadhouse
Project Type: Water, Sanitary Sewer
City Project No.: 104768
To Whom It May Concern:
On November 28, 2023 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 December 4, 2023. 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 December 4, 2023, 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,
Andrew Goodman, Project Manager
Cc: Jesse Davis, Inspector
Mike Glover, Inspection Supervisor
Randy Horton, Senior Inspector
Andrew Goodman, Program Manager
Greenberg Farrow, Consultant
Ibarra Underground, Contractor
Texas Roadhouse, Developer
File
E-Mail: TPW_Acceptance@fortworthtexas.gov
Rev.8/20/19
AFFIDAVIT
STATE OF
COUNTY OF
Before me, the undersigned authority, a notary public in the state
and county aforesaid, on this day personally appeared Name, Title Of
Company, 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;
Contract Description v
BY C)rZ�rr�
Name or Title
Subscribed and sworn before me on this date Day of Month, Year.
// .v
Notary Public
County, State
IBARRA _
.: My Notary ID # 131J97408
6, 2025
Expires July _ Jul
--
IFIC
—► Surety
BOND RIDER
To be attached to and form a part of Bond No TXHNSU0838393
Dated The Day of By and Between:
Ibarra Underground, LLC as Principal, and
Harco National Insurance Company as Surety, in favor of
Roadhouse Enterprises, Inc. and City of Fort Worth, Texas , as Obligee.
It is understood and agreed that the bond is changed or revised in the particulars checked below:
❑ Name of Principal changed to:
❑✓ Amount of Bond changed from $49,529.30
to $58,329.30
❑ Other
Said bond shall be subject to all its terms, conditions and limitations, except as herein expressly
modified. This bond Rider shall become effective as of April 12, 2024.
IN WITNESS WHEREOF, Harco National Insurance Company has caused its
corporate seal to be hereunto affixed this 12th day of April2024
Principal:lbarra Underground, LLC
By:
rHarco National 1 surance Company
By:
Amb r J nes, Attorney -in -Fact
IFIC BOND RIDER 10/15/2008
�`OE1iIY �psp STATE OF NEW JERSEY STATE OF ILLINOIS
County of Essex County of Cook
o; 4 SEAL
d�if•1ER5 a�' Kenneth C apman
1M! * Executive Vice President, Harco National Insurance Company
and International Fidelity Insurance Company
POWER OF ATTORNEY Bond # TXHNSU0838393
HARCO NATIONAL INSURANCE COMPANY
INTERNATIONAL FIDELITY INSURANCE COMPANY
Member companies of IAT Insurance Group, Headquartered: 4200 Six Forks Rd, Suite 1400, Raleigh, NC 27609
KNOW ALL MEN BY THESE PRESENTS: That HARCO NATIONAL INSURANCE COMPANY, a corporation organized and existing under the laws of
the State of Illinois, and INTERNATIONAL FIDELITY INSURANCE COMPANY, a corporation organized and existing under the laws of the State of New
Jersey, and having their principal offices located respectively in the cities of Rolling Meadows, Illinois and Newark, New Jersey, do hereby constitute and
appoint
JULIE A. BAUMBERGER, AMBER JONES, APRIL PENNY, DARRIN J. WEBER
Dallas, TX
their true and lawful attorney(s)-in-fact to execute, seal and deliver for and on its behalf as surety, any and all bonds and undertakings, contracts of
indemnity and other writings obligatory in the nature thereof, which are or may be allowed, required or permitted by law, statute, rule, regulation, contract
or otherwise, and the execution of such instrument(s) in pursuance of these presents, shall be as binding upon the said HARCO NATIONAL
INSURANCE COMPANY and INTERNATIONAL FIDELITY INSURANCE COMPANY, as fully and amply, to all intents and purposes, as if the same had
been duly executed and acknowledged by their regularly elected officers at their principal offices.
This Power of Attorney is executed, and may be revoked, pursuant to and by authority of the By -Laws of HARCO NATIONAL INSURANCE COMPANY
and INTERNATIONAL FIDELITY INSURANCE COMPANY and is granted under and by authority of the following resolution adopted by the Board of
Directors of INTERNATIONAL FIDELITY INSURANCE COMPANY at a meeting duly held on the 13th day of December, 2018 and by the Board of
Directors of HARCO NATIONAL INSURANCE COMPANY at a meeting held on the 13th day of December, 2018.
"RESOLVED, that (1) the Chief Executive Officer, President, Executive Vice President, Senior Vice President, Vice President, or Secretary of the
Corporation shall have the power to appoint, and to revoke the appointments of, Attorneys -in -Fact or agents with power and authority as defined or limited
in their respective powers of attorney, and to execute on behalf of the Corporation and affix the Corporation's seal thereto, bonds, undertakings,
recognizances, contracts of indemnity and other written obligations in the nature thereof or related thereto; and (2) any such Officers of the Corporation
may appoint and revoke the appointments of joint -control custodians, agents for acceptance of process, and Attorneys -in -fact with authority to execute
waivers and consents on behalf of the Corporation; and (3) the signature of any such Officer of the Corporation and the Corporation's seal may be affixed
by facsimile to any power of attorney or certification given for the execution of any bond, undertaking, recognizance, contract of indemnity or other written
obligation in the nature thereof or related thereto, such signature and seals when so used whether heretofore or hereafter, being hereby adopted by the
Corporation as the original signature of such officer and the original seal of the Corporation, to be valid and binding upon the Corporation with the same
force and effect as though manually affixed."
IN WITNESS WHEREOF, HARCO NATIONAL INSURANCE COMPANY and INTERNATIONAL
FIDELITY INSURANCE COMPANY have each executed and attested these presents
on this 31st day of December, 2023
00 INS
0
•o
=zc SEAL a:
: 0 % 1984
�b 41NONy:
On this 31st day of December, 2023 , before me came the individual who executed the preceding instrument, to me personally known, and,
being by me duly sworn, said he is the therein described and authorized officer of HARCO NATIONAL INSURANCE COMPANY and
INTERNATIONAL FIDELITY INSURANCE COMPANY; that the seals affixed to said instrument are the Corporate Seals of said Companies; that the
said Corporate Seals and his signature were duly affixed by order of the Boards of Directors of said Companies.
.•'"""'•• IN TESTIMONY WHEREOF, I have hereunto set my hand affixed my Official Seal, at the City of Newark,
GP�H �,,, New Jersey the day and year first above written.
••(�j� NOTARY+A
:r ►•� m.
PUBLIC
9
,,'•�,,�0 �; Cathy Cruz a Notary Public of New Jersey
"'.,,„,,,."' My Commission Expires April 16, 2024
CERTIFICATION
I, the undersigned officer of HARCO NATIONAL INSURANCE COMPANY and INTERNATIONAL FIDELITY INSURANCE COMPANY do hereby certify
that I have compared the foregoing copy of the Power of Attorney and affidavit, and the copy of the Sections of the By -Laws of said Companies as sat
forth in said Power of Attorney, with the originals on file in the home office of said companies, and that the same are correct transcripts thereof, anct-of the
whole of the said originals, and that the said Power of Attorney has not been revoked and is now in full force and effect.
IN TESTIMONY WHEREOF, I have hereunto set my hand on this day, April 12, 2024.
A02179
a � (_X�
Irene Martins, Assistant Secretary
IMPORTANT NOTICE
To obtain information or make a complaint:
You may contact your Harco National Insurance
Company at:
1-800-333-4167
You may also write to: Harco National Insurance
Company c/o IFIC Surety Group at:
Attn: Claims Department
One Newark Center, 20' Floor
Newark, NJ 07102
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) 490-1007
Web: www.tdi.texas.gov
E-mail: ConsumerProtection(i tdi.texas.gov
PREMIUM OR CLAIM DISPUTES:
Should you have a dispute concerning your premium
or about a claim you should contact the agent or the
company first. If the dispute is not resolved, you may
contact the Texas Department of Insurance.
ATTACH THIS NOTICE TO YOUR BOND:
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 presentar una queja:
Usted puede comunicarse con su Harco National
Insurance Company al:
1-800-333-4167
Usted tambien puede escribir a Harco National
Insurance Company c/o IFIC Surety Group at:
Attn: Claims Department
One Newark Center, 201 Floor
Newark, NJ 07102
Puede comunicarse con el Departamento de Seguros de
Texas para obtener informacion acerca de companias,
coberturas, derechos o quejas al:
1-800-252-3439
Puede escribir al Departamento de Seguros de Texas:
P. O. Box 149104
Austin, TX 78714-9104
Fax: (512) 490-1007
Web: www.tdi.texas.gov
E-mail: ConsumerProtection6ir..tdi.texas.gov
DISPUTAS SOBRE PRIMAS O RECLAMOS:
Si tiene una disputa concerniente a su prima o a un
reclamo, debe comunicarse con el agente o la compania
primero. Si no se resuelve la disputa, puede entonces
comunicarse con el departamento (TDI).
UNA ESTE AVISO A SU FIANZA DE GARANTIA:
Este aviso es solo para proposito de informacion y no
se convierte en parte o condicion del documento
ad j unto.