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HomeMy WebLinkAboutContract 59911-FP1FORT WORTH. -FP1 City Secretary. Contract No. 59911 Date Received 01/7/2025 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 Estates Phase III City Project No.: 104843 Improvement Type(s): Water ❑ Sewer x❑ Original Contract Price: $6,170.00 Amount of Approved Change Order(s): Revised Contract Amount: Total Cost of Work Complete: $6,170.00 Ai Nbe,r-fp6,ra ec GIPsT Dec 17, 2024 Contractor Date Vice President Title Burnsco Construction Company Name Dec 17, 2024 Carlos Gafcia (Dec 17, 202416:51 CST) Project Inspector Date #� Dec 20, 2024 Project Manager Date _rLO'" Jan 7 Rebecca Owen flan 7. 202509:26 CST) 72025 CFA Manager Date -� Dec 20, 2024 Lauren P rieu r ( Dec 20, 202412:51 CST) TPW Director Date Dec 23, 2024 Asst. City Manager Date OFFICIAL RECORD CITY SECRETARY Page 1 of 2 FT. WORTH, TX Notice of Project Completion Project Name: Trinity Estates Phase III City Project No.: 104843 City's Attachments Final Pay Estimate ❑x Change Order(s): ❑ Yes ❑x N/A Pipe Report: ❑ Yes ❑x N/A Contractor's Attachments Affidavit of Bills Paid Consent of Surety Statement of Contract Time Contract Time: 10 WD Work Start Date: 10/18/2024 Completed number of Soil Lab Test: 27 Completed number of Water Test: 0 Days Charged: 1 WD Work Complete Date: 10/18/2024 Page 2of2 FORT WORTH CITY OF FORT WORTH FINAL PAYMENT REQUEST Contract Name TRINITY ESTATES PHASE III Contract Limits Project Type SANITARY SEWER IMPROVEMENTS City Project Numbers 104843 DOE Number 4843 Estimate Number 1 Payment Number 1 For Period Ending 10/18/2024 WD City Secretary Contract Number Contract Time IAJD Contract Date Days Charged to Date 1 Project Manager NA Contract is 100.00 Complete Contractor BURNSCO CONSTRUCTION, INC. 6331 SOUTHWEST BLVD FORT WORTH, TX 76132 Inspectors G DEYON / C GARCIA Monday, December 2, 2024 Page 1 of 4 City Project Numbers 104843 Contract Name TRINITY ESTATES PHASE III Contract Limits Project Type SANITARY SEWER IMPROVEMENTS Project Funding UNIT II: SANITARY SEWER IMPROVEMENTS Item Description of Items No. 1 MOBILIZATION 2 REMOVE 2" FORCE MAIN 3 SWPPP < 1 ACRE 4 2" SEWER FORCE MAIN CONNECTION TO EXISTING MANHOLE DOE Number 4843 Estimate Number 1 Payment Number 1 For Period Ending 10/18/2024 Estimated Unit Unit Cost Estimated Completed Completed Quanity Total Quanity Total 1 LS $1,000.00 $1,000.00 1 $1,000.00 730 LF $4.00 $2,920.00 730 $2,920.00 1 LS $250.00 $250.00 1 $250.00 1 LS $2,000.00 $2,000.00 1 $2,000.00 ------------------------------------- Sub-Total of Previous Unit $6,170.00 $6,170.00 ------------------------------------- Monday, December 2, 2024 Page 2 of 4 City Project Numbers 104843 Contract Name TRINITY ESTATES PHASE III Contract Limits Project Type SANITARY SEWER IMPROVEMENTS Project Funding Contract Information Summary Original Contract Amount Change Orders Total Contract Price DOE Number 4843 Estimate Number 1 Payment Number 1 For Period Ending 10/18/2024 $6,170.00 $6,170.00 Total Cost of Work Completed $6,170.00 Less % Retained $0.00 Net Earned $6,170.00 Earned This Period $6,170.00 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 $6,170.00 Monday, December 2, 2024 Page 3 of 4 City Project Numbers 104843 Contract Name TRINITY ESTATES PHASE III Contract Limits Project Type SANITARY SEWER IMPROVEMENTS Project Funding Project Manager NA Inspectors G DEYON / C GARCIA Contractor BURNSCO CONSTRUCTION, INC. 6331 SOUTHWEST BLVD FORT WORTH, TX 76132 DOE Number 4843 Estimate Number 1 Payment Number 1 For Period Ending 10/18/2024 City Secretary Contract Number Contract Date Contract Time 10 WD Days Charged to Date 1 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 $6,170.00 Less % Retained $0.00 Net Earned $6,170.00 Earned This Period $6,170.00 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 $6,170.00 Monday, December 2, 2024 Page 4 of 4 FORTWORTH. M" TRANSPORTATION AND PUBLIC WORKS November 25, 2024 Burnsco Construction Inc. 6331 Southwest Blvd Benbrook, Texas 76132 RE: Acceptance Letter Project Name: Trinity Estates Phase III Project Type: Sewer City Project No.: 104843 To Whom It May Concern: On November 25, 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 November 25, 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- 925-4381. Sincerely, Sandip Adhikari, Project Manager Cc: Carlos Garcia, Inspector Gary Deyon, Inspection Supervisor Lorrie Pitts, Senior Inspector Andrew Goodman, Program Manager Baird, Hampton, & Brown Inc., Consultant Burnsco Construction, Contractor Trinty Estates Development Company, Developer File E-Mail: TPW_Acceptance@fortworthtexas.gov 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 Ab Grantges, Contract Mgr, Of Burnsco Construction, 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; Force Main Relocation for Trinity Estates 3 BY Ab Grantges,7Contract Manager Subscribed and sworn before me on this date 16th of December, 2024. Notary Public Tarrant County, Texas KASSANDRA CANALES �"Stq Y *' d �: ?a; ,Notary public, State of Texas Comm. Expires 01-23-2027 Notary ID 134158873 1 CONSENT OF SURETY COMPANY TO FINAL PAYMENT Conforms with the American Institute of Architects, AIA Document G707 OWNER ❑ ARCHITECT ❑ CONTRACTOR ❑ SURETY ❑ OTHER Bond No 022236931 PROJECT: (name, addreSS)Force Main Relocation for Trinity Estates Phase 3 TO (Owner) Fort Worth TX TRINITY ESTATES DEVELOPMENT COMPANY, LLC—I ARCHITECT'S PROJECT NO: AND CITY OF FORT WORTH CONTRACT FOR: 5137 Davis Blvd. Force Main Relocation for Trinity Estates Phase 3 North Richland Hills TX 76180 --J 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 name and address of Surety Company) LIBERTY MUTUAL INSURANCE COMPANY 175 Berkeley Street Boston MA 02116 , SURETY COMPANY on bond of (here insert name 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) TRINITY ESTATES DEVELOPMENT COMPANY, LLC AND CITY OF FORT WORTH 5137 Davis Blvd. North Richland Hills TX 76180 , OWNER, as set forth in the said Surety Company's bond. IN WITNESS, WHEREOF, the Surety Company has hereunto set its hand this Attest: (Seal): 17th day of December, 2024 LIBERTY MUTUAL INSURANCE COMPANY Surety Company Signa re of Authorized Representative SoDhinie Hunter Title Attorney -in -Fact 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 ONE PAGE 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 Liberty Mutual Insurance Company Mutual. The Ohio Casualty Insurance Company Certificate No: 8205467-022020 SURETY West American Insurance Company POWER OF ATTORNEY KNOWN ALL PERSONS BY THESE PRESENTS: That The Ohio Casualty Insurance Company is a corporation duly organized under the laws of the State of New Hampshire, that Liberty Mutual Insurance Company is a corporation duly organized under the laws of the State of Massachusetts, and West American Insurance Company is a corporation duly organized under the laws of the State of Indiana (herein collectively called the "Companies"), pursuant to and by authority herein set forth, does hereby name, constitute and appoint, Don E. Cornell; Joshua Saunders; Kelly A. Westbrook; Mikaela Peppers; Ricardo J. Reyna; Robbi Morales; Sophinie Hunter; Tina McEwan; Tonle Petranek all of the city of Dallas state of TX each individually if there be more than one named, its true and lawful attorney -in -fact to make, execute, seal, acknowledge and deliver, for and on its behalf as surety and as its act and deed, any and all undertakings, bonds, recognizances and 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 and the corporate seals of the Companies have been affixed thereto this 23rd day of April 2021 Liberty Mutual Insurance Company -,I INS& The Ohio Casualty JP opany eA�gY JP�oVLFo R9 oP�oIt o qq'y West American Insurance Insurance Company a y i° Fo "tn Q 3° Fo yn • a° Fo F Y 1912 o p 1919 s 1991 o ? Y ss ,, s s o (D ff � vi 0 ~d.�93ACHU`��A.dD h'AMPSda '��A'DIANP Lob ,. /l r ',jam ++ e, 0 By: m David M. Carey, Assistant Secretary 16 m State of PENNSYLVANIA ss :3 County of MONTGOMERY o E � 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 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 mtherein contained by signing on behalf of the corporations by himself as a duly authorized officer. IN WITNESS WHEREOF, I have hereunto subscribed my name and affixed my notarial seal at King of Prussia, Pennsylvania, on the day and year first above written. O N m aa) p, PASr a O ` ��ysara;v��. Commonwealth of Pennsylvania - Notary Seal O <x e Teresa Pastella, Notary Public ON CrF'' MonlgomeryCounty a E My commission expires March 28. 2025 By• O a)A N Member, Pe nlsyly n a Association of Notaries •Teresa Pastetia, Notary Public O O (6 �.• 'a' •tc This Power of Attorney is made and executed pursuant to and by authority of the following By-laws and Authorizations of The Ohio Casualty Insurance Company, Liberty Mutual 3 00 o •� Insurance Company, and West American Insurance Company which resolutions are now in full force and effect reading as follows: a M a? ARTICLE IV- OFFICERS: Section 12, Power of Attorney. o o0 R m Any officer or other official of the Corporation authorized for that purpose in writing by the Chairman or the President, and subject to such limitation as the Chairman or the -ao a 8, 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 m m > C 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 -a 8 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 o aD Zo 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 f m 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. LC) a ARTICLE XIII - Execution of Contracts: Section 5. Surety Bonds and Undertakings. Any officer 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 executed such instruments shall be as binding as if signed by the president and 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, bonds, 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 binding upon the Company with the same force and effect as though manually affixed. I, Renee C. Llewellyn, the undersigned, Assistant Secretary, The Ohio Casualty Insurance Company, Liberty Mutual Insurance Company, and West American Insurance Company do hereby certify that the original power of attorney of which the foregoing is a full, true and correct copy of the Power of Attorney 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 December , 2024 . 1Nsuy )ZV INS& \NSU.p ' 2G°aPORAr�Oynfn C =40aPOR9T�O9yC' `V °RPORAT�y(1 g 1912 0 0 1919 1991� o Q O ��9SSA CHUS" .da yO�"HA MPsa,� D Y �NOIANT' D� By: *�a Renee C. Llewellyn, Assistant Secretary LMS-12873 LMIC OCIC WAIC Multi Co 02/21 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 (I I I-1A) P. O. Box 149091 Austin, TX 78714-9091 FAX: (512) 490-1007 Web: htta://www.tdi.texas.aov E-mail: ConsumerProtection4,tdi.texas.uov 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 THIS NOTICE TO YOUR POLICY: This notice is for information only and does not become a part or condition of the attached document. NP 70 68 09 01 LMS-15292 10/15 TEXAS AVISO IMPORTANTE Para obtener informacion o para someter una queja: Usted puede llamar 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 (111-1A) P. O. Box 149091 Austin, TX 78714-9091 FAX # (512) 490-1007 Web: httn://www.tdi.texas.aov E-mail: ConsumerProtectionng,,tdi.texas.aov 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.