HomeMy WebLinkAboutContract 59651-FP3Page 1 of 2
City Secretary
Contract No.__________________
Date Received ______________
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: Deer Creek Meadows Phase 1
City Project No.: 104026
Improvement Type(s): Paving Drainage Street Lights Traffic Signals
Original Contract Price:$1,769,963.50
Amount of Approved Change Order(s):
Revised Contract Amount:
Total Cost of Work Complete:$1,769,963.50
Contractor Date
Title
Burnsco Construction, Inc.
Company Name
Project Inspector Date
Project Manager Date
CFA Manager Date
______________________________________ __________________________________
TPW Director Date
Asst. City Manager Date
Page 2 of 2
Notice of Project Completion
Project Name: Deer Creek Meadows Phase 1
City Project No.: 104026
City’s Attachments
Final Pay Estimate
Change Order(s):Yes N/A
Contractor’s Attachments
Affidavit of Bills Paid
Consent of Surety
Statement of Contract Time
Contract Time 260 WD
Work Start Date: 8/1/2023
Days Charged: 189 WD
Work Complete Date: 7/26/2024
Completed number of Soil Lab Test: 1288
Completed number of Water Test: 21
CITY OF FORT WORTH
Contract Name DEER CREEK MEADOWS PHASE 1
Contract Limits
Project Type STORM DRAIN
DOE Number 4026
Estimate Number 1 Payment Number 1 For Period Ending 7/26/2024
FINAL PAYMENT REQUEST
City Secretary Contract Number
189
WD
Contract Date
BURNSCO CONSTRUCTION, INC.
NA
6331 SOUTHWEST BLVD
FORT WORTH TX 76132
M. GLOVER I. INOCENCIO
115WDContract Time
Days Charged to Date
CompleteContract is 100.00
Contractor
,
/Inspectors
Project Manager
City Project Numbers 104026
Monday, July 29, 2024 Page 1 of 4
Contract Name DEER CREEK MEADOWS PHASE 1
Contract Limits
Project Type STORM DRAIN
DOE Number 4026
Estimate Number 1
Payment Number 1
For Period Ending 7/26/2024
Project Funding
City Project Numbers 104026
UNIT III: STORM DRAIN FACILITIES
Item
No.Description of Items Estimated
Quanity Unit Unit Cost Estimated
Total
Completed
Quanity
Completed
Total
40 MEEDIUM RIPRAP, DRY 225 SY $90.00 $20,250.00 225 $20,250.00
41 TRENCH SAFETY 6942 LF $0.50 $3,471.00 6942 $3,471.00
42 CONCRTE COLLAR 6 EA $400.00 $2,400.00 6 $2,400.00
43 21" RCP, CLASS III 714 LF $87.00 $62,118.00 714 $62,118.00
44 24" RCP, CLASS III 1426 LF $98.50 $140,461.00 1426 $140,461.00
45 27" RCP, CLASS III 751 LF $107.00 $80,357.00 751 $80,357.00
46 36" RCP, CLASS III 1401 LF $162.00 $226,962.00 1401 $226,962.00
47 42" RCP, CLASS III 984 LF $205.00 $201,720.00 984 $201,720.00
49 4X3 BOX CULVERT 1253 LF $309.00 $387,177.00 1253 $387,177.00
50 4X4 BOX CULVERT 193 LF $347.00 $66,971.00 193 $66,971.00
48 48" RCP, CLASS III 220 LF $249.00 $54,780.00 220 $54,780.00
52 5' STORM JUNCTION BOX 5 EA $5,800.00 $29,000.00 5 $29,000.00
53 6' STORM JUNCTION BOX 1 EA $6,700.00 $6,700.00 1 $6,700.00
54 36" SET, 1 PIPE 1 EA $3,800.00 $3,800.00 1 $3,800.00
55 10' CURB INLET 23 EA $5,500.00 $126,500.00 23 $126,500.00
56 15' CURB INLET 9 EA $7,500.00 $67,500.00 9 $67,500.00
57 20' CURB INLET 1 EA $9,600.00 $9,600.00 1 $9,600.00
58 4' DROP INLET 2 EA $5,700.00 $11,400.00 2 $11,400.00
59 11X6 JUNCTION BOX 1 EA $25,200.00 $25,200.00 1 $25,200.00
60 2- 42" FLARED HEADWALL 1 EA $6,400.00 $6,400.00 1 $6,400.00
61 3- 4'x3' STRAIGHT HEADWALL 1 EA $16,500.00 $16,500.00 1 $16,500.00
62 4" CONCRETE (DENTENTION POND PILOT
CHANNELS)
993 SY $80.50 $79,936.50 993 $79,936.50
63 CONCRETE (DENTENTION POND OUTFALL
STRUCTURE
1 EA $62,850.00 $62,850.00 1 $62,850.00
64 ACCESS MANHOLE 3 EA $3,970.00 $11,910.00 3 $11,910.00
51 4' STORM JUNCTION BOX 12 EA $5,500.00 $66,000.00 12 $66,000.00
$1,769,963.50 $1,769,963.50Sub-Total of Previous Unit
Monday, July 29, 2024 Page 2 of 4
Contract Name DEER CREEK MEADOWS PHASE 1
Contract Limits
Project Type STORM DRAIN
DOE Number 4026
Estimate Number 1
Payment Number 1
For Period Ending 7/26/2024
Project Funding
City Project Numbers 104026
Contract Information Summary
Change Orders
$1,769,963.50Original Contract Amount
$1,769,963.50Total Contract Price
$1,769,963.50
Less
Total Cost of Work Completed
% Retained $0.00
Net Earned $1,769,963.50
Plus Material on Hand Less 15%$0.00
Balance Due This Payment $1,769,963.50
Less Liquidated Damages
Days @ / Day
$0.00
Less Penalty
LessPavement Deficiency $0.00
$0.00
$0.00Less Previous Payment
Earned This Period
Retainage This Period
$1,769,963.50
$0.00
Monday, July 29, 2024 Page 3 of 4
Contract Name DEER CREEK MEADOWS PHASE 1
Contract Limits
Project Type STORM DRAIN
DOE Number 4026
Estimate Number 1
Payment Number 1
For Period Ending 7/26/2024
Project Funding
City Project Numbers 104026
Line Fund Account Center
Amount
Funded Gross Retainage Net
CITY OF FORT WORTH
SUMMARY OF CHARGES
$1,769,963.50
Less
Total Cost of Work Completed
% Retained $0.00
Net Earned $1,769,963.50
Plus Material on Hand Less 15%$0.00
Balance Due This Payment $1,769,963.50
Less Liquidated Damages
0 Days @ $0.00 / Day $0.00
Less Penalty
LessPavement Deficiency $0.00
$0.00
$0.00Less Previous Payment
Earned This Period
Retainage This Period
$1,769,963.50
$0.00
City Secretary Contract Number
189
WD
Contract Date
BURNSCO CONSTRUCTION, INC.
NA
6331 SOUTHWEST BLVD
FORT WORTH TX 76132
M. GLOVER I. INOCENCIO
115
WD
Contract Time
Days Charged to Date
CompleteContract is 100.000000
Contractor
,
/Inspectors
Project Manager
Monday, July 29, 2024 Page 4 of 4
F�� RT �0 RT H ��
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TRANSPORTATION AND PUBLIC WORKS
July 26, 2024
Burnsco Construction, Inc.
6331 Southwest Blvd.
Benbrool<, Texas 76132
RE: Acceptance Letter
Project Name: Deer Creel< Meadows Phase 1
Project Type: Storm Drain
City Project No.: 104026
To Whom It May Concern:
On July 23, 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 July 26, 2024. The final inspection and
the corrected punch list items indicate that the worl< meets the City of Fort Worth specifications and is
therefore accepted by the City. The warranty period will start on July 26, 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-
392-8424.
Sincerely,
�
Sandip Adhikari, Project Manager
Cc: Michael Perkins, Inspector
Mil<e Glover, Inspection Supervisor
Randy Horton, Senior Inspector
Andrew Goodman, Program Manager
Goodwin & Marshall, Consultant
Burnsco Construction, Contractor
History Maker Homes, Developer
File
E-Mail: TPW_Acceptance@fortworthtexas.gov
Rev. 8/20/19
AFTIDAVIT
STATF, �F TEXAS
COLIN�I�Y DI� `I'1�f2RANT
Befare ine, the iinclersi���ed auti��rity, � notary public in the state
and cn�.���ty afc�resaid, �n tlzis day �3ersc�nally a��pcarcci Ah G�-ant�cs,
Cnntract Mgr, Ol' E3�u•nsc« Constnictioai, knawn to me t� be a credihle
person, who bcin� by ine d«ly sworn, �ipnn his oath dcp�scd azad said;
"I'�lat �ill pe�-sc�ns, firms, associafions, catparation5, or nt�er
�rganizations ftirnisl�ing ]ah�r �t�lor n�at�rials ha��e been paid ii7 full;
That the wa�e scalc cstablisl�ed h_y ihe City Ct��incil in tlle City ��f
F'nrt Wortl� l��s hee�� paid in f�ill;
"I'hat there are nn �lai�ns pending foa' personal injuty andlclr
prapez-ty cian�ages;
C]n Cc3ntra�t de4crihcd as;
Deer Creek Meado�vs - Water, Satlitary Scwcr and Stc�ri�i Draii�
E3 Y
Ab Grant , ,antract Managcz�
Stihscribed and s�varn beFare me «n this dat� 24)th t�f .i�ily, ?024.
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�1ot�ry Puhlic
� " T�r��a��t Ct�unty, Texas
,�'1s+`rP'' KA.55ANaR4 CANALCS
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_ : +l,c _Nara�; PubliC. S1aleat iex��s
� V'.r�' ` COmm Expiin�:41-23-20?1
'`����;�;��;:
Nora�y ID 131f5�3873
CONSENT OF
SURETY COMPANY
TO FINAL PAYMENT
Conforms with the American Institute of
Architects, AIA Document G707
OWNER ❑
ARCHITECT ❑
CONTRACTOR ❑
SURETY ❑
OTHER
Bond No 022235990
PROJECT;
(name, add�esS)Deer Creek Meadows Phase 1- Water, Sanitary Sewer and Storm Drain Improvements
TX
TO (Owner)
IHMH DEER CREEK LAND, LLC AND CITY OF FORT� ARCHITECT'S PROJECT N0:
WORTH CONTRACT FOR:
1038 Texan Trail Deer Creek Meadows Phase 1- Water, Sariitary Sewer and Storm
Drain Improvements
Grapevine TX 76051 � CONTRACT DATE:
CONTRACTOR: BURNSCO CONSTRUCTION, INC.
In accordance with the provisions of the Contract between the Owner and the Contractor as indicated above, the
(here insert nama and eddress of Surety Company)
LIBERTY MUTUAL INSURANCE COMPANY
175 Berkeley Street
Boston MA 02116 , SURETY COMPANY
on bond of (here insert neme and address of Contractor)
BURNSCO CONSTRUCTION, INC.
6331 Southwest Boulevard
Benbrook TX 76132
, CONTRACTOR,
hereby approves of the final payment to the Contractor, 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)
HMH DEER CREEK LAND, LLC AND CITY OF FORT WORTH
1038 Texan Trail
Grapevine TX 76051
, OWNER,
as set forth in the said Surety Company's bond.
IN WIT'NESS, WHEREOF,
the Surety Company has hereunto set its hand this
Attest: �"• � ��"y'�
��: n,s. i
(Seal); "' �` —
17th day of July, 2024
LIBERTY MUTUAL INSURANCE COMPANY
Surety Company
�-` � � �-�� 1
Signatu e of Authorized Representative
Sophinie Hunter Attorney-in-Fact
Z'it18
NOTE: This form is to be used es a companion document to AIA DOCUMENT G706, CONTFAC70R'S AFFIDAVI7 OF PAYMENT OF DEBTS AND CLAIMS,
Current Edition
ONE PAGE
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This Power of Attorney limits the acts of those named herein, and they have no authority to
bind the Company except in the manner and to the extent herein stated.
Liberty Mutual Insurance Company
The Ohio Casualty Insurance Company
West American Insurance Company
POWER OF ATTORNEY
Certificate No: 8205467-022020
KNOWN ALL PERSONS BY THESE PRESENTS: That The Ohio Casualty Insurance Company is a corporation duly organizetl under the laws of the State of New Hampshire, that
Liberty Mutual Insurance Company is a corporation duly organized untler the laws of the State of Massachusetts, and West American Insurance Company is a corporation tluly organized
under the laws of the State of Indiana (herein collectively calletl the "Companies"), pursuant to and by authority herein set forth, tloes hereby name, constitute antl appoint, Don E.
Cornell; Joshua Saunders; Kelly A. Westbrook; Mikaela Peppers; Ricardo .1. Reyna; Robbi Morales; Sophinie Hunter; Tina McEwan; Tonie Petranek
all of the city of Dal las state of TX each individually if there be more than one named, its true and lawful attorney-in-fact to make,
execute, seal, acknowletlge and deliver, for and on its behalf as surety and as its act and tleed, any and all untlertakings, bontls, recognizances antl other surety obligations, in pursuance
of these presents and shall be as binding upon the Companies as if they have been duly signed by the president and attested by the secretary of the Companies in their own proper
persons.
IN WITNESS WHEREOF, this Power of Attorney has been subscribed by an authorized officer or official of the Companies antl the corporate seals of the Companies have been a�xed
thereto this 23rd day of April , 2021 .
N
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c`o State of PENNSYLVANIA
m County of MONTGOMERY
Liberty Mutual Insurance Company
P�, �NSURq P�SY INgV a�NSURq The Ohio Casualty Insurance Company
,�J 4pRP0/�T� y� yJ 40pPORq �'Qyy \VP 4�pPORqT 2� West American Insurance Company
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1912 � 0 1919 � � 1991 � �
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David M. Carey, Assistant Secretary
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� On this 23rd day of April , 2021 before me personally appeared David M. Carey, who acknowledged himself to be the Assistant Secretary of Liberty Mutual Insurance � a�i
� Company, The Ohio Casualty Company, and West American Insurance Company, and that he, as such, being authorized so to do, execute the foregoing instrument for the purposes ��
the�ein contained 6v sianinn nn hahalf nf fha enrnnrar�r,n� h�� h�m�oiv �� �,�� �i„ �„�ti,..,-.,.,, ,.�,.,,, ... ��
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IN WITNESS WHEREOF, I have hereunto subscribed my name and affixed my notarial seal at King of Prussia, Pennsylvania, on the day and year frst above written. Q�
� aO`' r ,,.�.
� � Commonwealih of PennsyNania - Notary Seal =
� � -�-;��``� = Teresa Pastella, Notary Public � �'—
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� �'� � � � Monigomery County �
� e -` My commission expires March 28 2025 BY• �,j',Q.pC� ��(��j ��
�� � � Commission number 1126044
E r r« � �. ,,a`� Memher, Pennsylvania Associa6on of Nolaries eresa Pastella, Notary Public Q p
sr � s j>i�,�.<
This Power of Attorney is made and executed pursuant toFand by authority of the following By-laws and Authorizations of The Ohio Casualty Insurance Company, Liberty Mutual
Insurance Company, and West American Insurance Company which resolutions are now in full force and effect reatling as follows:
ARTICLE IV— OFFICERS: Section 12. Power of Attorney.
Any officer or other official of the Corporation authorized for that purpose in writing by the Chairman or the President, antl subject to such limitation as the Chairman or the
President may prescribe, shall appoint such attorneys-in-fact, as may be necessary to act in behalf of the Corporation to make, execute, seal, acknowledge and deliver as surety
any and all undertakings, bonds, recognizances and other surety obligations. Such attorneys-in-fact, subject to the limitations set forth in their respective powers of attorney, shall
have full power to bind the Corporation by their signature and execution of any such instruments and to attach thereto the seal of the Corporation. When so executed, such
instruments shall be as binding as if signed by the President and attested to by the Secretary. Any power or authority granted to any representative or attorney-in-fact under the
provisions of this article may be revoked at any time by the Board, the Chairman, the President or by the officer or officers granting such power or authority.
ARTICLE XIII — Execution of Contracts: Section 5. Surety Bonds and Undertakings.
Any offcer of the Company authorized for that purpose in writing by the chairman or the president, and subject to such limitations as the chairman or the president may prescribe,
shall appoint such attorneys-in-fact, as may be necessary to act in behalf of the Company to make, execute, seal, acknowledge and deliver as surety any and all undertakings,
bonds, recognizances and other surety obligations. Such attorneys-in-fact subject to the limitations set forth in their respective powers of attorney, shall have full power to bind the
Company by their signature and execution of any such instruments and to attach thereto the seal of the Company. When so executetl such instruments shall be as binding as if
signed by the presitlent antl attested by the secretary.
Certificate of Designation — The President of the Company, acting pursuant to the Bylaws of the Company, authorizes David M. Carey, Assistant Secretary to appoint such attorneys-in-
fact as may be necessary to act on behalf of the Company to make, execute, seal, acknowledge and deliver as surety any and all undertakings, bontls, recognizances and other surety
obligations.
Authorization — By unanimous consent of the Company's Board of Directors, the Company consents that facsimile or mechanically reproduced signature of any assistant secretary of the
Company, wherever appearing upon a certified copy of any power of attorney issued by the Company in connection with surety bonds, shall be valid and bintling upon the Company with
the same force and effect as though manually affxed.
I, Renee C. Llewellyn, the undersigned, Assistant Secretary, The Ohio Casualty Insurance Company, Liberty Mutual Insurance Company, and West American Insurance Company tlo
hereby certify that the original power of attorney of which the foregoing is a full, true and correct copy of the Power of A�torney executed by said Companies, is in full force and effect and
has not been revoked.
IN TESTIMONY WHEREOF, I have hereunto set my hand and affixed the seals of said Companies this 17th day of July , 2024 .
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y°�,yH.nnnPS �aa� YS��NoipNP�,aD� By� Renee C. Llewellyn, Assistant Secretary
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TEXAS
IMPORTANT NOTICE
To obtain information or make a complaint:
You may call toll-free for information or to
make a complaint at
1-877-751-2640
You may also write to:
2200 Renaissance Blvd., Ste. 400
King of Prussia, PA 19406-2755
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
Consumer Protection (1 l 1-lA)
P. O. Box 149091
Austin, TX 78714-9091
FAX: (512) 490-1007
Web: http://www.tdi.texas. ov
E-mail: ConsumerProtection(c�tdi texas ov
PREMIUM OR CLAIM DISPUTES:
Should you have a dispute concerning your
premium or about a claim you should first
contact the agent or call 1-800-843-6446.
If the dispute is not resolved, you may contact the
Texas Department of Insurance.
ATTACH TH1S NOTICE TO YOUR
POLICY:
This notice is for information only and does not
become a part or condition of the attached
document.
TEXAS
AVISO IMPORTANTE
Para obtener informacion o para someter una
queja:
Usted puede Ilamar al numero de telefono gratis
para informacion o para someter una queja al
1-877-751-2640
Usted tambien puede escribir a:
2200 Renaissance Blvd., Ste. 400
King of Prussia, PA 19406-2755
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 Consumer Protection (1 l 1-lA)
P. O. Box ] 49091
Austin, TX 78714-9091
FAX # (512) 490-1007
Web: http://www.tdi.texas.�ov
E-mail: ConsumerProtection(a�tdi.texas �ov
DISPUTAS SOBRE PRIMAS O RECLAMOS:
Si tiena una disputa concerniente a su prima o a
un reclamo, debe comunicarse con el agente o
primero. Si no se resuelve la disputa, puede
entonces comunicarse con el departamento (TDI)
UNA ESTE AVISO A SU POLIZA:
Este aviso es solo para proposito de informacion
y no se convierte en parte o condicion del
documento adjunto.
NP 70 68 09 0]
LMS-15292 10/15