HomeMy WebLinkAboutContract 58375-FP2-FP2
City Secretary 58375
Contract No.
FORT WORTH.
Date Received 7/11/2024
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: Synergy 500
City Project No.: 104057
Improvement Type(s): Water M Sewer 0
Original Contract Price: 1$263,774.00
Amount of Approved Change Order(s):
Revised Contract Amount:
Total Cost of Work Complete: $263,774.00
,7arm ObemiCCeY Jul 8, 2024
Jason Obermlller (Jul 8, 202409:35 CDT)
Contractor Date
Owner's Representative
Title
TCRG Properties LLC
Company Name
Jul 8, 2024
Richard a den (Jul B, 20241340 CDT)
Project Inspector
Date
00S&1 �i�(ae Mohammdeevr,P.E.
A
Jul 11, 2024
Mosadage Mohamrrlil ecn,RE(Jul 11, 202409:46 CDT)
Project Manager
Date
Rebecca Owen (Jul 11, 202411:45 CDT)
Jul 11, 2024
CFA Manager
Date
10
Jul 11, 2024
TPW Director
Date
C-)��
J u 112, 2024
Asst. City Manager
Date
OFFICIAL RECORD
CITY SECRETARY Page 1 of 2
FT. WORTH, TX
Notice of Project Completion
Project Name: Synergy 500
City Project No.: 104057
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: 21 WD
Work Start Date: 11/7/2023
Completed number of Soil Lab Test: 89
Completed number of Water Test: 4
Days Charged: 75
Work Complete Date: 3/14/2024
Page 2of2
FoRTWORTH
CITY OF FORT WORTH
FINAL PAYMENT REQUEST
Contract Name SYNDERGY 500, ( LOT 1, BLOCK 2 SYNERGY WEST)
Contract Limits
Project Type WATER & SEWER
City Project Numbers 104057
DOE Number 4057
Estimate Number 1 Payment Number 1 For Period Ending 3/14/2024
WD
City Secretary Contract Number
Contract Date
Project Manager NA
Contractor TCRG
5201 CAMP BOWIE BLVD #200
FORT WORTH, TX 76107
Inspectors G. DEYON / R. WALDEN
Contract Time 2WD
Days Charged to Date 75
Contract is 100.00 Complete
Friday, April 5, 2024 Page 1 of 5
City Project Numbers 104057
Contract Name SYNDERGY 500, ( LOT 1, BLOCK 2 SYNERGY WEST)
Contract Limits
Project Type WATER & SEWER
Project Funding
UNIT I: WATER IMPROVEMENTS
Item
Description of Items
Estimated Unit
No.
Quanity
1
6" WATER PIPE
10 LF
2
10" WATER PIPE
8 LF
3
12" WATER PIPE
705 LF
4
12" WATER PIPE, SELECT BACKFILL
266 LF
5
12" WATER PIPE, CSS BACKFILL
20 LF
6
2" WATER SERVICE
3 EA
7
TRENCH SAFETY
1009 LF
8
6" GATE VALVE
1 EA
9
10" GATE VALVE
1 EA
10
12" GATE VALVE
3 EA
11
DUCTILE IRON WATER FITTINGS W/
0.5 TN
RESTRAINT
12
CONNECTION TO EXISTING 4" -12" WATER
1 EA
MAIN
13
4" -12" WATER ABANDONMENT PLUG
1 EA
14
FIRE HYDRANT
I EA
15
AUTOMATIC FLUSHING DEVICE
1 EA
Sub -Total of Previous Unit
- - - - - - - - - - - - - - - - - - -
UNIT 11: SANITARY SEWER IMPROVEMENTS
Item
Description of Items
Estimated Unit
No.
Quanity
1
8" SEWER PIPE
60 LF
2
8" SEWER PIPE, SELECT BACKFILL
170 LF
3
8" SEWER PIPE, CSS BACKFILL
40 LF
4
TRENCH SAFETY
270 LF
5
4' MANHOLE
1 EA
6
EPDXY MANHOLE LINER
14 VF
8
POST -CCTV INSPECTION
270 LF
9
MANHOLE VACUUM TESTING
1 EA
10
MANHOLE ADJUSTED, MINOR
1 EA
11
CONCRETE COLLAR FOR MANHOLE
2 EA
DOE Number 4057
Estimate Number 1
Payment Number 1
For Period Ending 3/14/2024
Unit Cost
Estimated
Completed
Completed
Total
Quanity
Total
$85.00
$850.00
10
$850.00
$172.00
$1,376.00
8
$1,376.00
$128.00
$90,240.00
705
$90,240.00
$157.42
$41,873.72
266
$41,873.72
$175.00
$3,500.00
20
$3,500.00
$9,204.00
$27,612.00
3
$27,612.00
$1.00
$1,009.00
1009
$1,009.00
$2,200.00
$2,200.00
1
$2,200.00
$3,945.28
$3,945.28
1
$3,945.28
$5,475.00
$16,425.00
3
$16,425.00
$31,900.00
$15,950.00
0.5
$15,950.00
$4,807.00
$4,807.00
1
$4,807.00
$2,500.00
$2,500.00
1
$2,500.00
$6,913.00
$6,913.00
1
$6,913.00
$2,000.00
$2,000.00
1
$2,000.00
$221,201.00
$221,201.00
Unit Cost
Estimated
Completed
Completed
Total
Quanity
Total
$75.00
$4,500.00
60
$4,500.00
$95.00
$16,150.00
170
$16,150.00
$105.00
$4,200.00
40
$4,200.00
$1.00
$270.00
270
$270.00
$4,551.00
$4,551.00
1
$4,551.00
$250.00
$3,500.00
14
$3,500.00
$1.00
$270.00
270
$270.00
$132.00
$132.00
1
$132.00
$2,000.00
$2,000.00
1
$2,000.00
$2,000.00
$4,000.00
2
$4,000.00
Friday, April 5, 2024 Page 2 of 5
City Project Numbers 104057 DOE Number 4057
Contract Name SYNDERGY 500, ( LOT 1, BLOCK 2 SYNERGY WEST) Estimate Number 1
Contract Limits Payment Number 1
Project Type WATER & SEWER For Period Ending 3/14/2024
Project Funding
12 TRENCH WATER STOPS 1 EA $3,000.00 $3,000.00 1 $3,000.00
Sub -Total of Previous Unit $42,573.00 $42,573.00
Friday, April 5, 2024 Page 3 of 5
City Project Numbers 104057
Contract Name SYNDERGY 500, ( LOT 1, BLOCK 2 SYNERGY WEST)
Contract Limits
Project Type WATER & SEWER
Project Funding
Contract Information Summary
Original Contract Amount
Chanhe Orders
Total Contract Price
DOE Number 4057
Estimate Number 1
Payment Number 1
For Period Ending 3/14/2024
$263,774.00
$263,774.00
Total Cost of Work Completed $263,774.00
Less % Retained $0.00
Net Earned $263,774.00
Earned This Period $263,774.00
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
$263,774.00
Friday, April 5, 2024 Page 4 of 5
City Project Numbers 104057 DOE Number 4057
Contract Name SYNDERGY 500, ( LOT 1, BLOCK 2 SYNERGY WEST) Estimate Number 1
Contract Limits Payment Number 1
Project Type WATER & SEWER For Period Ending 3/14/2024
Project Funding
Project Manager NA City Secretary Contract Number
Inspectors G. DEYON / R. WALDEN Contract Date
Contractor TCRG Contract Time 21 WD
5201 CAMP BOWIE BLVD #200 Days Charged to Date 75 WD
FORT WORTH, TX 76107 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 $263,774.00
Less % Retained $0.00
Net Earned $263,774.00
Earned This Period $263,774.00
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
$263,774.00
Friday, April 5, 2024 Page 5 of 5
FORTWORTH
TRANSPORTATION AND PUBLIC WORKS
PIPE REPORT FOR:
PROJECT NAME: Synergy 500
CITY PROJECT NUMBER: 104057
WATER
PIPE LAID SIZE TYPE OF PIPE
c900 6" pvc
c900 10" pvc
c900 12" pvc
c900 (Select Backfill) 12" pvc
c900 (CSS Backfill) 12" pvc
FIRE HYDRANTS: 1
PIPE ABANDONED
N/A
DENSITIES:
NEW SERVICES:
I
PIPE LAID
sdr26
sdr26 (Select Backfill)
sdr26 (CSS Backfill)
PIPE ABANDONED
N/A
DENSITIES:
NEW SERVICES:
VALVES (16" OR LARGER)
SIZE TYPE OF PIPE
N/A N/A
Performed and Passed
2" COPPER
SEWER
SIZE TYPE OF PIPE
8" pvc
8" pvc
8" pvc
SIZE TYPE OF PIPE
N/A N/A
Performed and Passed
TRANSPORTATION AND PUBLIC WORKS
The City of Fort Worth • 1000 Throckmorton Street • Fort Worth, TX 76012-6311
LF
10
8
705
266
20
n/a
LF
N/A
3ea
LF
60
170
40
LF
N/A
FORTWORTH.
TRANSPORTATION AND PUBLIC WORKS
March 15, 2024
TCRG Properties LLC
5201 Camp Bowie Blvd
Ste #200
Fort Worth, TX 76107
RE: Acceptance Letter
Project Name: Synergy 500
Project Type: Developer
City Project No.: 104057
To Whom It May Concern:
On March 14, 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 March 14, 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)
392-2443.
Sincerely,
Mosadgae Mohammdeev, P. E.
Mosadage Moham een,P.E.(Jul 11, 202409:46 CDT)
Mohammdeen, Mosadage, Project Manager
Cc: Walden,Richard, Inspector
Deyon, Gary, Inspection Supervisor
Davila, Edward, Senior Inspector
Goodman, Andrew, Program Manager
Bartley, Preston, Consultant
TCRG Properties LLC, Contractor
TCRG Properties LLC, Developer
File
Rev.08/20/19
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 Jason Obermiller,
Owner's Representative Of TCRG Construction 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
Fork Worth has been paid in full;
That there are no claims pending for personal injury and/or
property damages;
On Contract described as;
City Project No: 104057- Synergy 500- CFA# A22-0119
BY f' ��—
G _ Jason Obermiller
Subscribed and sworn before me on this date 26th of June, 2024.
, Texas
Public
_•'�Y JADE K. SIMONS
•: *: My Notary ID # 134372034
*:E••••;�* ' Expires May 22, 2027
MERCHANTS
BONDING COMPANY.
MERCHANTS BONDING COMPANY (MUTUAL) • MERCHANTS NATIONAL BONDING, INC.
2100 FLEUR DRIVE - DES MOINES, IOWA 50321-1158 - (800) 678-8171 - (515) 243-3854 FAX
CONSENT OF SURETY
TO FINAL PAYMENT
TO OWNER:
TCRG Construction, LLC
5201 Camp Bowie Blvd.
Fort Worth, TX 76107
PROJECT:
Synergy 500 (Lot 1, Block 2 Synergy West)
OWNER
ARCHITECT
CONTRACTOR
SURETY
OTHER
Bond No. TXC616070
ARCHITECT'S PROJECT NO.: 104057
CONTRACT FOR:
Unit I Water Improvements
Unit II Sanitary Sewer Improvements
CONTRACT DATED: 10/26/2023
In accordance with the provisions of the Contract between the Owner and the Contractor as indicated above, the
(Insert name and address of Surety)
Merchants Bonding Company (Mutual)
P.O. Box 14498
Des Moines, IA 50306
, SURETY,
on bond of
(Insert name and address of Contractor)
City of Fort Worth, Texas
100 Throckmorton Street
Fort Worth, TX 76102
X
,CONTRACTOR,
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
(Insert name and address of Owner)
TCRG Construction, LLC
5201 Camp Bowie Blvd.
Fort Worth, TX 76107
, OWNER,
as set forth in said Surety's bond.
IN WITNESS WHEREOF, the Surety has hereunto set its hand on this date: July 1, 2024
(Insert in writing the month followed by the numeric date and year.)
Merchants Bondim Company (Mutual)
Attest: yil
(Seal): (Signs of auth ized representative)
Payton Blanchard Attornev-In-Fact
CON 0405 (2/12) (Printed name and title)
MERCHANTS
BONDING COMPANY-.
POWER OF ATTORNEY
Know All Persons By These Presents, that MERCHANTS BONDING COMPANY (MUTUAL) and MERCHANTS NATIONAL BONDING, INC.,
both being corporations of the State of Iowa, d/b/a Merchants National Indemnity Company (in California only) (herein collectively called the
"Companies") do hereby make, constitute and appoint, individually,
Allison C Lueck; Bryan Simpson; Cadda E Eary; Caitlin Kelley; Donna Martinez; H E Wilkins; Haley Crocker; James R Reid; Jessica Turner; Julie
Lindsey; Kay Blair; Lindsay Senior; Malachi Smith; Marie Reyna; Markham Paukune; Michelle Blizzard; Payton Blanchard; Ralph E French; Sandra
Fuller; Shane Smith; Shawn Blacklock; Teresa C Smith; Tina LaValley; William Blanchard; William Mitchell Jennings
their true and lawful Attorney(s)-in-Fact, to sign its name as surety(ies) and to execute, seal and acknowledge any and all bonds, undertakings,
contracts and other written instruments in the nature thereof, on behalf of the Companies in their business of guaranteeing the fidelity of
persons, guaranteeing the performance of contracts and executing or guaranteeing bonds and undertakings required or permitted in any actions
or proceedings allowed by law.
This Power -of -Attorney is granted and is signed and sealed by facsimile under and by authority of the following By -Laws adopted by the Board
of Directors of Merchants Bonding Company (Mutual) on April 23, 2011 and amended August 14, 2015 and adopted by the Board of Directors of
Merchants National Bonding, Inc., on October 16, 2015.
"The President, Secretary, Treasurer, or any Assistant Treasurer or any Assistant Secretary or any Vice President shall have power and
authority to appoint Attorneys -in -Fact, and to authorize them to execute on behalf of the Company, and attach the seal of the Company thereto,
bonds and undertakings, recognizances, contracts of indemnity and other writings obligatory in the nature thereof."
"The signature of any authorized officer and the seal of the Company may be affixed by facsimile or electronic transmission to any Power of Attorney
or Certification thereof authorizing the execution and delivery of any bond, undertaking, recognizance, or other suretyship obligations of the
Company, and such signature and seal when so used shall have the same force and effect as though manually fixed."
In connection with obligations in favor of the Florida Department of Transportation only, it is agreed that the power and aut hority hereby given to the
Attorney -in -Fact includes any and all consents for the release of retained percentages and/or final estimates on engineering and construction
contracts required by the State of Florida Department of Transportation. It is fully understood that consenting to the State of Florida Department
of Transportation making payment of the final estimate to the Contractor and/or its assignee, shall not relieve this surety company of any of
its obligations under its bond.
In connection with obligations in favor of the Kentucky Department of Highways only, it is agreed that the power and authority hereby given
to the Attorney -in -Fact cannot be modified or revoked unless prior written personal notice of such intent has been given to the Commissioner -
Department of Highways of the Commonwealth of Kentucky at least thirty (30) days prior to the modification or revocation.
In Witness Whereof, the Companies have caused this instrument to be signed and sealed this 3rd day of February 2024 .
•...... ...... MERCHANTS MERCHANTS BONDING COMPANY (MUTUAL)
�•••�P�,P�A<•e.•o�Q�Nr'.��iJ�A.• MERCHANTS NATIONAL BONDING, INC.
C y r pR Rq O � . . Q, . oRpo c-. -f ; d/b/a MERCHANTS NATIONAL INDEMNITY COMPANY
Z'ZG -O-
v : Z003 1933 c: By
d. `� ; : mod. ;�o:•
%.• �' •......•:;��• •..`�'ly 67
••.••• �A••• President
STATE OF IOWA '•.••����••••.•' •. • • • • • • .•
COUNTY OF DALLAS ss.
On this 3rd day of February 2024 before me appeared Larry Taylor, to me personally known, who being by me duly sworn
did say that he is President of MERCHANTS BONDING COMPANY (MUTUAL) and MERCHANTS NATIONAL BONDING, INC.; and that the
seals affixed to the foregoing instrument are the Corporate Seals of the Companies; and that the said instrument was signed and sealed in behalf
of the Companies by authority of their respective Boards of Directors.
A,Q'FUA( S Penni Miller
z o Commission Number 787952
• 4= • My Commission Expires
1001111 January 20, 2027
(Expiration of notary's commission does not invalidate this instrument)
t -
Notar3 f�bl
I, William Warner, Jr., Secretary of MERCHANTS BONDING COMPANY (MUTUAL) and MERCHANTS NATIONAL BONDING, INC., do hereby
certify that the above and foregoing is a true and correct copy of the POWER -OF -ATTORNEY executed by said Companies, which is still in full
force and effect and has not been amended or revoked.
In Witness Whereof, I have hereunto set my hand and affixed the seal of the Companies on this 1st day of July 2024
•60........... •.•.....•
•.••P110 Nq4 . •;A Cp y�•.
•�. �. .�� P .o•
-0-
2003 ; y 1933 c • Secretary
is