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Home My WebLink AboutContract 61593-FP1FORTWORTH. -FP1 City Secretary Contract No. 61593 Date Received 09/20/2024 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: Trinity Prep. Fire Line City Project No.: 105632 Improvement Type(s): Water ❑x Sewer ❑ Original Contract Price: $10,733.89 (Amount of Approved Change Order(s): $0.00 (Revised Contract Amount: $10,733.89 (Total Cost of Work Complete: $10,733.89 Chafe Tatterton Sep 18, 2024 Chase Patterson (Seo 18. 202414:09 CDT) Contractor Date Owner Title Patcon Services Company Name 9_&11�__ Sep 18, 2024 Project Inspector Date 9. u/� z Sep 18, 2024 Project Manager Date �,#\ Sep 20 2024 Rebecca Owen (SeD 20. 202408:08 CDT) CFA Manager Date Sep 20, 2024 Lauren Pneur (Sep 20, 2024 08:47 CDT) TPW Director Date �v Sep 20, 2024 Asst. City Manager Date OFFICIAL RECORD CITY SECRETARY Page 1 of 2 FT. WORTH, TX Notice of Project Completion Project Name: Trinity Prep. Fire Line City Project No.: 105632 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 0 Statement of Contract Time Contract Time: 2 WD Days Charged: 6 Work Start Date: 7/8/2024 Work Complete Date: 7/16/2024 Completed number of Soil Lab Test: 7 Completed number of Water Test: 1 Page 2 of 2 FORT WORTH CITY OF FORT WORTH FINAL PAYMENT REQUEST Contract Name TRINITY PREP FIRE LINE Contract Limits Project Type WATER City Project Numbers 105632 DOE Number 5632 Estimate Number 1 Payment Number 1 For Period Ending 7/17/2024 WD City Secretary Contract Number Contract Time WD Contract Date Days Charged to Date 6 Project Manager NA Contract is 100.00 Complete Contractor PATCON SERVICES LLC PO BOX 2423 WEATHERFORD , TX 76086 Inspectors T. GARDNER / J. ROGERS Wednesday, July 24, 2024 Page 1 of 4 City Project Numbers 105632 DOE Number 5632 Contract Name TRINITY PREP FIRE LINE Estimate Number 1 Contract Limits Payment Number 1 Project Type WATER For Period Ending 7/17/2024 Project Funding UNIT I: WATER IMPROVEMENTS Item Description of Items Estimated Unit Unit Cost Estimated Completed Completed No. Quanity Total Quanity Total 1 6" GATE VALVE 1 EA $2,325.00 $2,325.00 1 $2,325.00 2 8" GATE VALVE 1 EA $2,991.00 $2,991.00 1 $2,991.00 3 6"WATER PIPE 23 LF $73.43 $1,688.89 23 $1,688.89 4 8"X6" DUCTILE IRON TEE FITTING 1 EA $3,599.00 $3,599.00 1 $3,599.00 5 TRAFFIC CONTROL 1 MO $130.00 $130.00 1 $130.00 -------------------------------------- Sub -Total of Previous Unit $10,733.89 $10,733.89 Wednesday, July 24, 2024 Page 2 of 4 City Project Numbers 105632 Contract Name TRINITY PREP FIRE LINE Contract Limits Project Type WATER Project Funding Contract Information Summary Original Contract Amount Change Orders Total Contract Price DOE Number 5632 Estimate Number I Payment Number I For Period Ending 7/17/2024 $10,733.89 $10,733.89 Total Cost of Work Completed $10,733.89 Less % Retained $0.00 Net Earned $10,733.89 Earned This Period $10,733.89 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 $10,733.89 Wednesday, July 24, 2024 Page 3 of 4 City Project Numbers 105632 Contract Name TRINITY PREP FIRE LINE Contract Limits Project Type WATER Project Funding Project Manager NA Inspectors T. GARDNER / J. ROGERS Contractor PATCON SERVICES LLC PO BOX 2423 WEATHERFORD , TX 76086 DOE Number 5632 Estimate Number 1 Payment Number 1 For Period Ending 7/17/2024 City Secretary Contract Number Contract Date Contract Time WD Days Charged to Date 6 WD 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 $10,733.89 Less % Retained $0.00 Net Earned $10,733.89 Earned This Period $10,733.89 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 $10,733.89 Wednesday, July 24, 2024 Page 4 of 4 FORTWORTH TRANSPORTATION AND PUBLIC WORKS PIPE REPORT FOR: PROJECT NAME: Trinity Prep. Fire Line CITY PROJECT NUMBER: CPN 105632 WATER PIPE LAID SIZE TYPE OF PIPE Open cut 6" PVC LF 23LF FIRE HYDRANTS: N-A VALVES (16" OR LARGER) N-A PIPE ABANDONED SIZE TYPE OF PIPE LF N-A DENSITIES: YES all Passed NEW SERVICES: N-A I SEWER PIPE LAID SIZE TYPE OF PIPE LF N-A PIPE ABANDONED SIZE TYPE OF PIPE LF N-a DENSITIES: N-A NEW SERVICES: N-a TRANSPORTATION AND PUBLIC WORKS The City of Fort Worth • 1000 Throckmorton Street • Fort Worth, TX 76012-6311 (817) 392 - 7941 • Fax: (817) 392 - 7845 FORTWORTH. TRANSPORTATION AND PUBLIC WORKS July 17, 2024 Patcon Services LLC PO Box 2423 Weatherford Tx 76086 RE: Acceptance Letter Project Name: Trinity Prep. Fire Line Project Type: Water City Project No.: 105632 To Whom It May Concern: On July 17, 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 July 17, 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- 392-2481. Sincerely, 7�e66� C� uJ��z Debbie Willhelm, Project Manager Cc: John Rogers, Inspector Troy Gardner, Inspection Supervisor Cody Horton, Senior Inspector Andrew Goodman, Program Manager Walter Nelson and Associates, Consultant Patcon Services LLC, Contractor Bramata Company, Developer File E-Mail: TPW_Acceptance@fortworthtexas.gov Rev. 08/20/19 AFFIDAVIT STATE OF TEXAS COUNTY OF TARRANT Before me, Heather Emerv, a notary public in the state and county aforesaid, on this day personally appeared Chase Patterson. Owner. Patcon Services. 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 Fort Worth has been paid in full; That there are no claims pending for personal injury and/or property damages; On Contract described as; Trinity Prep Fire Line - CPN I05632 BY Name or Title Subscribed and sworn before me on this 1 t day of JuIv. 2024. WW& &*Pu Notary Public County, State —FArrm�, U�itf HEATHER CARSON EMERY =x° -.i�S Notary Public, State of Texas COMM. Expires 11-02-2024 Notary ID 130880415 CONSENT OF SURETY TO FINAL PAYMENT AIA Document G707 (Instructions on reverse side) TO OWNER: (Name and adds m v) Patcon Services LLC PO BOX 2423 Weatherford, TX 76086 PROJECT: (Ncane and addre.ca) Trinity Prep Fire Line CPN 105632 OWNER ARCHITECT CONTRACTOR SURETY OTHER ARCHITECT'S PROJECT NO.: CONTRACT FOR: Trinity Prep Fire Line CPN 105632 CONTRACT DATED: June 14, 2024 In accordance with the provisions of the Contract between the Owner and the Contractor as indicated above, the (/n,wrt nante and addr",� (j'Sureog Lexington National Insurance Corporation PO BOX 6098 Lutherville, MD 21094 , SURETY, on bond of (Insert name and addrev ofCowractor) Patcon Services LLC PO BOX 2423 Weatherford, TX 76086 , 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 f v tt/tcrntecuu!crddresogj'�uner) Bramata Company LLC PO BOX 1138 Colleyville, TX 76244 , OWNER, as set forth in said Surety's bond. IN WITNESS WHEREOF, the Surety has hereunto set its hand on this date: August 1, 2024 (bisert in writing tlx ntonth,fiollowed hr lbe numeric dcae and rear.) Lexington National Insurance Corporation (Slimil.) pPPOfEgzy'- ��p� IL;J(C!!!n'e !)�CI11flXJI'i2'LK! e N' nlC/fi!'eJ -"lz 1989 0'� Attest: (Seal): �'�.„�ORIDP„p`` Zach Mefferd, Attorney -in -Fact (PrAttal neon cntd title) CAUTION: You should sign an original AIA document that has this caution printed in red. An original assures that changes will not be obscured as may occur when documents are reproduced. See Instruction Sheet for Limited License for Reproduction of this document. AIA DOCUMENT G707 • CONSENT OF SURETY TO FINAL PAYMENT • 1994 EDITION • 'AIA D1994 • THE AMERICAN 1NSTITI11E OF ARCHITECTS, 1735 NEW YORK AVENUE, NW, WASH- INGT'ON, D.C. 20096-5292 • WARNING: Unlicensed photocopying violates U.S. copy- right laws and will subject the violator to legal prosecution. G707-1994 INSTRUCTION SHEET FOR AIA J)OCtTN,1F.NT G707, CONSENT OF St;RE'l Y TO FINAL PAYMENT A. GENERAL INFORMATION 1. Purpose this (locument is inten(le(I fur use as a companion to AIA D(ICLIMCIlt W06, Cont-actol'S Affidavit of Pa}men, of f)ehts an(I Claims, on conSt-Uction project; where the Contractor is require( to furnish a hond. By ohtaining the SLlreh''h approval of final pa}1nlent to the Contractor and its agreement that final payment will not relieve the Suret% ofany of its ohligations. the (hyncr mad presel7:e it', I-ighl', under the bond. 2. Related Documents -Phis document may he Used with most of the AI.A's Owner -Contractor agreements and general con(IitionS. Such as A201 and its related famih (+f(IOCLIMenls. As noted ahoye, this i.sa comp;Uiion document to AIA DOCUIlient W06. 3. Use of Current Documents Prior to using aril MA document, the user Should consult the AIA; an AIA (omponent chapter or a current AIA Documents List to determine° the current edition of each document. 4. Limited License for Reproduction AIA DOCLlment G10, is a cop(rightcxl work and ma(' not be reproduced or excerpted from in Substantial Dart without the exprcSS written permission of the AIA. The G7077 document is intended to he used aS a conSUIMINC—that is, the original document pur- chased by the LISer is intended to he conSume(I in the coul:se of being Used. 'There is no implied permission to reproduce this (1ocument. nor does membership in The American Institute of Architects confer an) further rights to reproduce G'0 A cautionary notice iS printed in rc•d on the original of this document. 'Phis notice diStinguisheS an original AIA (locument from copies and counterfeits. To ensure accUl-A-V and unif(+rmity of language. pUrchasel:S Should use onh• an original AIA (locument or one that has hCC•1 reproduce(I from an original un(Iera.Spe(:ial limited license from the AIA. A limited license is herehv granted to retail purehasel:S to reproduce a n1:lsinnlrn of ten copies of a completed or executed G 7, but onl}' loll- use in connection With a particular project. I'(11-111er rehroductionS are prohihited W1111Out the express permission of the AIA. B. CHANGES FROM THE PREVIOUS EDITION Changes in the location of various items of information Were IMRle, without revision to the Suhstance of the document. C, COMPLETING THE G707 FORM GI:\GfZAi.: 7'hc bond firm is the usual Source of required information SUc}t aS the conn-ao (late and the names and addresses of the SUfetl', (hyner, Contractor and Project. ARCHITECT'S PI?0JEC'I- NO.: This information iS tvpicall}' Suppli('<I h1,1 the Architect and entered on the Form by the Contractor. CONTRACT F( )tt This refers to the Scope of the contract, such w, "General ConSII-uction' or "Mechanical Work". D. EXECUTION OF THE DOCUMENT The G-0' firm requires both the SUret}'S Seal and the Signature of the Suret)` S authol-izc(I representative, 4/94 INSTRUCTION SHEET FOR AIA DOCUMENT G707 • ct YNSIih:T OF StRlq'i 1'0 FIB AI PAYMI?ti'I' • 199.1 EDITION • AIA' • 1*111: "1FKI(.\\ lvti.I Irt'-rti OF AIW1W F(JS, I,jS NEW YORK AV17NIF. N.W.. G707-1994 V ASI 11 N(, R yv U 1 c 2ow(, ,' IMPORTANT NOTICE —THIS POWER OF ATTORNEY IS VOID IF "LNIC Original" WATERMARK IS NOT PRESENT POWER OF ATTORNEY Lexington National Insurance Corporation Lexington National Insurance Corporation, a corporation duly organized under the laws of the State of Florida and having its principal administrative office in Baltimore County, Maryland, does hereby make, constitute and appoint: Zach Mefferd, Zach Matter, Havilah Watson, Jimmy Brown, Tina Bockholt, Kamri Wolfe as its true and lawful attorney -in -fact, each in their separate capacity, with full power and authority to execute, acknowledge, seal and deliver on its behalf as surety any bond or undertaking of $6.000.000 or less. This Power of Attorney is void if used for any bond over that amount. This Power of Attorney is granted under and by authority of the following resolutions adopted by the Board of Directors of the Company on February 15, 2018: Be it Resolved, that the CEO, President or any Vice -President shall be and is hereby vested with full power and authority to appoint suitable persons as Attorney -in -Fact to represent and act for and on behalf of the Company subject to the following provisions: Attorney -in -Fact may be given full power and authority for and in the name of and on the behalf of the Company, to execute, acknowledge and deliver any and all bonds, contracts, or indemnity and other conditional or obligatory undertakings, including any and all consents for the release of retained percentages and/or final estimates on engineering and construction contracts, and any all notices and documents cancelling or terminating the Company's liability thereunder and any such instruments so executed by any Attorney -in Fact shall be binding upon the Company as if signed by the President and sealed by the Corporate Secretary. RESOLVED further, that the signature of the CEO, President or any Vice -President of LEXINGTON NATIONAL INSURANCE CORPORATION may be affixed by facsimile to any power of attorney, and the signature of the Secretary or any Assistant Secretary and the seal of the Company may be affixed by facsimile to any certificate of such power, or any such power or certificate bearing such facsimile signature or seal shall be valid and binding on the Company. Any such power so executed and sealed and certified by certificate so executed and sealed with respect to any bond to which it is attached continue to be valid and binding upon the Company. IN WITNESS WHEREOF, the Company have caused this instrument to be signed and their corporate seal to be hereto affixed Ronald A. Frank, CEO State of Maryland County of Harford County, SS: Before me, a notary public, personally appeared, Ronald A. Frank, CEO of Lexington National Insurance Corporation, who proved to me on the basis of satisfactory evidence to be the person whose name is subscribed to the within instrument and acknowledged to me that he executed the same in his capacity, and that by his signature on the instrument the person, or the entity upon behalf of which the person acted, executed the instrument. I certify under the PENALTY of PERJURY under the laws of the State of Maryland that the foregoing paragraph is true and correct. WITNESS my hand and official seal. ..SOH $�`aOTAgY • 2'3 Commission Expires: 01/8/28 erzrac5: ;" I, Lisa R. Slater, Secretary of Lexington National Insurance Corporation, do hereby certify that the above and foregoing is true and correct copy of a Power of Attorney, executed by said company, which is still in full force and effect; furthermore, the resolutions of the Boards of Directors, set out in the Power of Attorney are in full force and effect. In Witness Whereof, I have hereunto set my hand and affixed the seal of said Company at Baltimore, Maryland this 1st day of August 2024 Corporate Seal: G� Lisa R. later, Secretary F:\lnic\Power of Attorney form CS 2021 with Watermark Seal