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Contract 57793-FP1
FORTWORTH, WATER DEPARTMENT NOTICE OF PROJECT COMPLETION -FPI City Secretary No. 47793 Date Received: 10/07/2024 City Project N!?: 02737 Regarding contract 47793 Sewer Pipe Enlargement Contract 2015A - 1 st Renewal for as required by the WATER DEPARTMENT as approved by City Council on 5/3/2016 through M&C C-27702 the director of the WATER DEPARTMENT upon the recommendation of the Assistant Director of the Water Department has accepted the project as complete. Original Contract Prices: Amount of Approved Change Orders: Revised Contract Amount: Total Cost Work Completed: Less Deductions: Liquidated Damages: Pavement Deficiencies: Total Deduction Amount: Total Cost Work Completed: Less Previous Payments: Final Payment Due ;;-"7 5�16& Recommended for Acceptance Asst. Director, WATER DEPARTMENT C4rr� Ha'do-P Christopher Har er(Oct 4, 202408:02 CDT) Accepted Director, WATER DEPARTMENT oana aj' g- hdoff Dana Burghdoff(Oct 5, 02413:06 CDT) Asst. City Manager $ 1,000,000.00 $ 0.00 NS? $1,000,000.00 $ 353.923.00 Days @ $650.00/ Day $ 353.923.00 $ 353.923.00 $ 0.00 Oct 4, 2024 Date Oct 4, 2024 Date Oct 5, 2024 Date ^� Comments: OFFICIAL RECORD CITY SECRETARY FT. WORTH, TX C-620 Signature Page Contractor's Application for Payment To (Owner) City of Fort Worth Invoicing Period (From- To): 1-9-2019 to 9-24-2020 P. O. Number: Project: City Secretary Contract Number: (Approved Change Orders Number I 1 I 2 I 3 I 4 I 5 I 6 I 7 I 8 TOTALS NET CHANGE BY CHANGE ORDERS Contractor's Certification Invoice No. Two (Final) Invoice Date: 9/24/2020 From (Contractor): Remit to (If Not Automatic Deposit): Circle C Construction Company 02737 Contractor's CFW Vendor No.: 0000007744 47793 contract Sewer Pipe Enlargement Contract 2015A - 1st Renewal Name: P g Application For Payment Change Order Summary 11.ORIGINAL CONTRACT PRICE ........................................................ $ $1,000,000.00 Additions Deletions 12. Net change by Change Orders............................................................... S 13. Current Contract Price (Line 1 t 2)...................................................... S $1,000,000.00 14. TOTAL COMPLETED AND STORED TO DATE I(Progress Estimate, Construction Allowance and Change Orders)..... $ $353,923.00 15. RETAINAGE: 1 a. X $353,923.00 Work Completed......... $ 1 b. X Not Used S 1 c. Total Retainage (Line 5a + Line 5b).............................. $ 16. AMOUNT ELIGIBLE TO DATE (Line 4 - Line 5c)........................... S $353,923.00 17. LESS PREVIOUS PAYMENTS (Line 6 from prior Application)....... $ $353,923.00 8. AMOUNT DUE THIS APPLICATION ............................................... $ 9. BALANCE TO FINISH, PLUS RETAINAGE (Column G on Progress Estimate+ CA + Cos + Line 5 above) ............. S $2,108,597.00 The Contractor certifies with the submittal of this document and associated Payment Request Submittal on the City of Fort Worth Buzzsaw system that to the best of their knowledge: (1) all previous progress payments received from Owner on account of Work done under the Contract have been applied on account to discharge Contractor's legitimate obligations incurred in connection with Work covered by prior Applications for Payment; (2) title of all Work, materials and equipment incorporated in said Work or otherwise listed in or covered by this Application for Payment will pass to Owner at time of payment free and clear of all Liens, security interests and encumbrances (except such as are covered by a Bond acceptable to Owner indemnifying Owner against any such Liens, security interest or encumbrances); and (3) all Work covered by this Application for Payment is in accordance with the Contract Documents and is not defective. i Teresa Skelly (Sep 19, 202 14:01 CDT) 10. CONTRACT TIME: a, Days Awarded 365 b, Days Added by CO C. Total Days 365 d, Days Charged 623 e, Days Remaining -258 This document has been modified from its original form as an EJCDC document and the user did not highlight the modifications. You are encouraged to read the document carefully and consult Legal Counsel prior to its execution. Progress Estimate Sewer Pip, E,[,,g,m,,t C—md 2015A - Ut R,-1 iT-i A uwt Ilaw I I XUA NIIJIM gJJJJM E: aw, a VK OK WIN 042 101 HUJR OU 47793 Contractor's Application �'I .1 I T 2. 1 --6 MINI M, M...1 ml aml d 14. aI ml C-620 Change Order Progress Estimate Construction Allowance Usage ADDITIONS For (wvtract) 02737 S-- Pipe Enlargement C.W—t 2015A-1st Renewal Cay9metmy 47793 Cm¢ract Num AWhcmron Penal: 1-9-2019 to 9-24-2020 A B C I[em Quantity to Add UmtP. Addn, Value Ertwatal Qu ]ruPaller. D Value Prexously metal Value Value This Paiod Contractor's Application Apph—N—u Two (Float) A,hcamn Hate 9/24/2020 E F Total Covrylekd / saved Balavce ns bPwsh BraPresently and&—dto Dale (P) (B- P) <notm C) (D+ E) B Thu document I — been modified&oar tD—g lfamas an —DC document and We user did not Inhhght fl3 mahfica— You are encouragedto read dre document carefuhy and consult Eegal Coumel Ma W t execuaon Co20 Change Order Progress Estimate Construction Allowance Usage Contractor's Application CONSTRUCTION ALLOWANCE ITEMS TO BE REDUCED For (e `-`) 02737 Sewer Pipe F^ta g—t Conhaet 2015A -1A Ree—al Apph—Nano Two (FIoal) Apph—Penod 1-9-2019 to 9-24-2020 Apph—Dare 9/24/2020 A B C D E F I Item Btd ltevr Nuvil�en —P..Sp°''R-- Umt ofHleaeme Quenhty to Delek Umt Pnce Reduchw Value Not Used Not Used Not Used Not Used Not Used Not Used Not Used Not Used I I I I I I I I I I I I I I I I I I I I I I I I I I I Se do No Totals 11us docmvevt 1. bee. modified&.., to ongmal fon. as s. EICDC document and We nsa did not I.ghhglt fl a m«hficanors. You are e.comagedto read dre do cement carefully a.d covenit 1,0 Co 1 pour W to execuao. City of Fort Worth Summary of Charqes City Secretary Contract Num: 47793 Sewer Pipe Enlargement Contract 2015A - 1st Renewal I O. 0 Application Period: I 1-9-2019 to 9-24-2020 I Application I Two (Final) Number: Funding Identification (FID) I Ori((��inal Contract 159607 0700430 5740010 CO2737 10 10 10 10 10 10 10 10 10 10 I I Change Order 1 159607 0700430 5740010 CO2737 10 10 10 10 10 10 10 10 10 10 I 1 Change Order 2 159607 0700430 5740010 CO2737 10 10 10 10 10 10 10 10 10 10 I Total Completed Amt Remaining Gross $353,923.00 $2,108,597.00 Project Number: 02737 Application Date: 9/24/2020 Retainage I Net City of Fort Worth Summary of Charqes City Secretary Contract Num: 47793 Sewer Pipe Enlargement Contract 2015A - 1st Renewal I O. 0 Application Period: I 1-9-2019 to 9-24-2020 I Application I Two (Final) Number: Funding Identification (FID) I Change Order 3 159607 0700430 5740010 CO2737 10 10 10 10 10 10 10 10 10 10 I Change Order 4 159607 0700430 5740010 CO2737 10 10 10 10 10 10 10 10 10 10 I Change Order 5 159607 0700430 5740010 CO2737 10 10 10 10 10 10 10 10 10 10 I Total Completed Amt Remaining Gross Project Number: 02737 Application Date: 9/24/2020 Retainage I Net City of Fort Worth Summary of Charqes City Secretary Contract Num: 47793 Sewer Pipe Enlargement Contract 2015A - 1st Renewal I O. 0 Application Period: I 1-9-2019 to 9-24-2020 I Application I Two (Final) Number: Funding Identification (FID) I Change Order 6 159607 0700430 5740010 CO2737 10 10 10 10 10 10 10 10 10 10 I Change Order 7 159607 0700430 5740010 CO2737 10 10 10 10 10 10 10 10 10 10 I Change Order 8 159607 0700430 5740010 CO2737 10 10 10 10 10 10 10 10 10 10 I Total Completed Amt Remaining Gross Project Number: 02737 Application Date: 9/24/2020 Retainage I Net City Secretary Contract Num: 47793 Application Period: Funding Identification (FID) Totals 59607 0700430 5740010 CO2737 10 to 10 to 10 to 10 to 10 to City of Fort Worth Summary of Charqes Sewer Pipe Enlargement Contract 2015A - 1st Renewal I O. 0 Project Number: 02737 1-9-2019 to 9-24-2020 I Application I Two (Final) Application Date: 9/24/2020 Number: Total Completed Amt Remaining ' Gross Retainage I Net $353,923.00 $2,108,597.00 Grand Total 1 1 $353,923.00 1 1 $2,108,597.00 1 1 $0.00 1 1 $0.00 1 1 $0.00 FORT WORTH TRANSPORTATION AND PUBLIC WORKS PIPE REPORT FOR: PROJECT NAME: Sewer Pipe Enlargement Contract 2015A - lst Renewal CITY PROJECT NUMBER: 02737 WATER PIPE LAID SIZE TYPE OF PIPE FIRE HYDRANTS: 1 PIPE ABANDONED DENSITIES: NEW SERVICES: I PIPE LAID PIPE ABANDONED DENSITIES: NEW SERVICES: LF VALVES (16" OR LARGER) SIZE TYPE OF PIPE LF SEWER SIZE TYPE OF PIPE LF 6" Pipe Enlargement (6"-8") 1328.5 8" Pipe Enlargement (8"-8") 557 SIZE 4" (60) TYPE OF PIPE PVC SDR26 TRANSPORTATION AND PUBLIC WORKS The City of Fort Worth • 1000 Throckmorton Street • Fort Worth, TX 76012-6311 (817) 392 - 7941 • Fax: (817) 392 - 7845 LF FORTWORTH. TRANSPORTATION AND PUBLIC WORKS September 11, 2024 Circle C Construction P.O. Box 40328 Fort Worth, TX 76140 RE: Acceptance Letter Project Name: Sewer Pipe Enlargement Contract 2015A —15Y Renewal Project Type: Sewer City Project No.: 02737 To Whom It May Concern: On September 24, 2020 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 September 24, 2020, 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- 392-2626. Sincerely, Lawnilce 1fawlGtOir Lawrence Hamilton (Sep 23, 202412:23 CDT) Lawrence Hamilton, Project Manager Cc: Pedro Hernandez, Inspector Troy Gardner, Inspection Supervisor Ariel Duarte, Senior Inspector Anthony Sholola, Program Manager CFW Water Dept., Consultant Circle C, Contractor CFW, Developer File E-Mail: TPW_Acceptance@fortworthtexas.gov Rev. 08/20/19 CONSENT OF SURETY TO FINAL PAYMENT AIA Document G707 Bond No. TXC608548 TO OWNER: City of Fort Worth 1000 Throckmorton Street Fort Worth, TX 76111 PROJECT: (name, address) 1st Renewal - Sanitary Sewer Pipe Enlargement Contract 2015A - in the City of Fort Worth, TX OWNER ARCHITECT CONTRACTOR SURETY OTHER ARCHITECT'S PROJECT NO.: City Project No. 2737 CONTRACT FOR: Utility Improvements CONTRACT DATED: January 9, 2018 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) 6700 Westown Parkway West Des Moines, IA 50266-7754 SURETY on bond of (Insert name and address of Contractor) William J. Schultz, Inc. dba Circle C Construction Company P. O. Box 40328 Fort Worth, TX 76140 '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) City of Fort Worth 1000 Throckmorton Street Fort Worth, TX 76111 , OWNER, as set forth in the said Surety's bond. IN WITNESS WHEREOF, the Surety has hereunto set its hand this date: September 11, 2024 (Insert in writing the month followed by the numeric date and year.) Merchants Bonding Company (Mutual) (Surety) (Signature ofauthor- ed representative) Witness as to Surety: Sher►l A. Klutts, Attorne%-in-Fact (Se 4940 (Printed name and title) John A. Miller, Witness 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 0 CONSENT OF SURETY COMPANY TO FINAL PAYMENT • April 1970 Edition 0 AIA® One Page ©1970 • THE AMERICAN INSTITUTE OF ARCHITECTS, 1735 New York Ave., NW, Washington, D.C. 20006 MERCHANTS BONDING COMPANYTM 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, John A Miller; Sheryl A Klutts their true and lawful Attomey(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-Attomey 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 April 27, 2024 and adopted by the Board of Directors of Merchants National Bonding, Inc., on October 16, 2015 and amended on April 27, 2024. "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 Attomey-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 29th day of July 2024 •'�� t,0 N f ��•' . • • • G • MERCHANTS BONDING COMPANY (MUTUAL) •' Q'1 A4 •, ; �Q�N...Cp4R. MERCHANTS NATIONAL BONDING, INC. pKpOR,4 �O' �O••O�PQq .9 dlb/a MERCHANTS NATIONAL INDEMNITY COMPANY Z r=G men : p • y �' 9�` y'� 2003 ;',� = • a'' 1933 c: By vy. ,anti. '•.`� • : iJ�.� • fly \1 • President STATE OFIOWA �'•`;;•��7���,..`'' •'•.•�.•'� COUNTY OF DALLAS ss. On this 29th day of July 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�S Penn! Miller Z o P Commission Number 787952 - — • • My Commission Expires 10WA January 20, 2027 Notary Public (Expiration of notary's commission does not invalidate this instrument) I, Elisabeth Sandersfeld, 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 11th day of September , 2024. :' �• ' ........... POR eo : �O?o� P 0 A..09 •• tY 02 -0- C�� 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 TERESA S SKELLY, PRESIDENT of CIRCLE C CONSTRUCTION, known to me to be a credible person, who being by me duly sworn, upon his oath deposed and said; That all person, firms, associations, corporations or other organizations furnishing labor and/or materials have been paid in full; That there are no claims pending for personal injury and/or property damage; On Contract described as; Sanitary Sewer Pipe Enlargement Contract 2015A V Renewal CPN 2737 CHF ' a ` STATE OF TEXAS • •'v"` NOU ID 11ib946� � 04. MY ^ 0c11. October 7' 2=7 Subscribed and sworn before me on this BY ss�a 19 Day of�j� I _,024. Notary Public in Tarrant Coun v, TX