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Home My WebLink AboutContract 62671-FP1-FP1 City Secretary 62671 Contract No. FORTWORTH. Date Received 3/26/2025 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: Express CFA Lake Worth Lease City Project No.: 105590 Improvement Type(s): Water ❑x Sewer ❑x Original Contract Price'. $ 79,613.00 Amount of Approved Change Order(s): $0.00 Revised Contract Amount: $0.00 Total Cost of Work Complete: $79,613.00 Risk Zay!.Mar511:42 CST) Mar 24, 2025 Contractor Date Owner Title Day Services, LLC Company Name Mar 24, 2025 Banda HII ar,(Mar24,202512:26CDT) Project Inspector Date Mar 26, 2025 Ram Tiwari (Mar 26, 2025 15:52 CDT) Project Manager Date Mar 26, 2025 Kandice Merrick 26, 202516:45 CDT) CFA Manager Date X. FrR Mar 26 2025 Lauren Prieur (Mar 26, 202516:49 CDT) 7 TPW Dire or Date Mar 27, 2025 Asst. City Manager Date OFFICIAL RECORD Page 1 of 2 CITY SECRETARY FT. WORTH, TX Notice of Project Completion Project Name: Express CFA Lake Worth Lease City Project No.: 105590 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: 30 WD Days Charged: 25 WD Work Start Date: 1/21/2025 Work Complete Date: 3/3/2025 Completed number of Soil Lab Test: 19 Completed number of Water Test: 0 Page 2 of 2 FORT WORTH CITY OF FORT WORTH FINAL PAYMENT REQUEST Contract Name LAKE WORTH LEASE LOTS 39R-1, 39R-2, 39R-3, BLOCK 29 Contract Limits Project Type WATER & SEWER City Project Numbers 105590 DOE Number 5590 Estimate Number 1 Payment Number I City Secretary Contract Number Contract Date Project Manager NA Contractor DAY SERVIES, LLC PB BOX 2403 Inspectors CLEBURNE, TX T. GARDNER / R. HARP For Period Ending 3/3/2025 AID Contract Time 3WD Days Charged to Date 25 Contract is 100.00 Complete 76033 Thursday, March 20, 2025 Page 1 of 4 City Project Numbers 105590 Contract Name LAKE WORTH LEASE LOTS 39R-1, 39R-2, 39R-3, BLOCK 29 Contract Limits Project Type WATER & SEWER Project Funding UNIT I: WATER IMPROVEMENTS DOE Number 5590 Estimate Number 1 Payment Number 1 For Period Ending 3/3/2025 Item Description of Items Estimated Unit Unit Cost Estimated Completed Completed No. Quanity Total Quanity Total 1 MOBILIZATION 1 EA $5,108.00 $5,108.00 1 $5,108.00 2 ASPHALT PVMT REPAIR BEYOND DEFINED 94 SY $120.00 $11,280.00 94 $11,280.00 3 1" WATER SERVICE 2 EA $4,375.00 $8,750.00 2 $8,750.00 ------------------- Sub -Total of Previous Unit $25,138.00 $25,138.00 UNIT II: SEWER IMPROVEMENTS Item Description of Items Estimated Unit Unit Cost Estimated Completed Completed No. Quanity Total Quanity Total --------------------------------------- 1 CONNECT TO EXIST 2" FORCED MAIN 3 EA $3,475.00 $10,425.00 3 $10,425.00 2 1.5' FORCE MAIN 40 LF $40.00 $1,600.00 40 $1,600.00 3 GRINDER PUMP SYSTEM 3 EA $14,150.00 $42,450.00 3 $42,450.00 Sub -Total of Previous Unit $54,475.00 $54,475.00 Thursday, March 20, 2025 Page 2 of 4 City Project Numbers 105590 Contract Name LAKE WORTH LEASE LOTS 39R-1, 39R-2, 39R-3, BLOCK 29 Contract Limits Project Type WATER & SEWER Project Funding Contract Information Summary Original Contract Amount Change Orders Total Contract Price DOE Number 5590 Estimate Number 1 Payment Number 1 For Period Ending 3/3/2025 $79,613.00 $79,613.00 Total Cost of Work Completed $79,613.00 Less % Retained $0.00 Net Earned $79,613.00 Earned This Period $79,613.00 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 $79,613.00 Thursday, March 20, 2025 Page 3 of 4 City Project Numbers 105590 Contract Name LAKE WORTH LEASE LOTS 39R-1, 39R-2, 39R-3, BLOCK 29 Contract Limits Project Type WATER & SEWER Project Funding Project Manager NA Inspectors T. GARDNER / R. HARP Contractor DAY SERVIES, LLC PB BOX 2403 CLEBURNE , TX 76033 DOE Number 5590 Estimate Number 1 Payment Number 1 For Period Ending 3/3/2025 City Secretary Contract Number Contract Date Contract Time 30 WD Days Charged to Date 25 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 $79,613.00 Less % Retained $0.00 Net Earned $79,613.00 Earned This Period $79,613.00 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 $79,613.00 Thursday, March 20, 2025 Page 4 of 4 FORTWORTH TRANSPORTATION AND PUBLIC WORKS PIPE REPORT FOR: PROJECT NAME: CPN 105950 Express CFA Lake Worth Lease CITY PROJECT NUMBER: 105950 1 WATER PIPE LAID SIZE TYPE OF PIPE N/A N/A N/A LF N/A FIRE HYDRANTS: 0 VALVES (16" OR LARGER) N/A PIPE ABANDONED SIZE TYPE OF PIPE LF N/A N/A N/A N/A DENSITIES: YES NEW SERVICES: (2) 1" COPPER N/A I SEWER PIPE LAID SIZE TYPE OF PIPE LF N/A N/A N/A N/A PIPE ABANDONED SIZE TYPE OF PIPE LF N/A N/A N/A N/A DENSITIES: YES NEW SERVICES: (3) 2" Polyethylene 40 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 March 19, 2025 Day Services, LLC P.O. Box 2403 Cleburne, Texas, 76033 RE: Acceptance Letter Project Name: Express CFA Lake Worth Lease Project Type: Water and Sewer City Project No.: 105590 To Whom It May Concern: On March 7, 2025 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 7, 2025, 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- 392-2237. Sincerely, Ram Tlwarl (Mar 26, 202515:52 CDT) Ram Tiwari, Project Manager Cc: Randall Harp, Inspector Troy Gardner, Inspection Supervisor Ariel Durate, Senior Inspector Andrew Goodman, Program Manager Mickey Thomas, Consultant Day Services, LLC, Contractor Michael Barnard, Developer File E-Mail: TPW_Acceptance@fortworthtexas.gov Rev. 08/20/19 8:34AM Mon Mar 24 x AFFIDAVIT 3_3_25 PDF - 180 KB d 5G+ 95% = T AFFIDAVIT STATE OF Texas COUNTY OF Johnson Before me, the undersigned authority, a notary public in the state and county aforesaid, on this day personally appeared Rick Day, Owner Of Day 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; Project Name: CPN 105590-Express CFA City Proj. No:105590 BY Name or Title Subscribed and sworn before me on this date 3 of March, 2025. &1 taryblic County, tate ,j "-)��¢ EMILY LEIGH NOTARY COMMISSION EXPIRES s '* 06/28/2028 `aR `. NOTARY ID: 125959845 Open Microsoft 365 (Office) 111AIA Document GAT - 1994 Consent of Surety to Final Payment Bond No. 4409642 PROJECT: (Name and address) ARCHITECT'S PROJECT NUMBER: OWNER ❑ Lots 39R-1, 39R-2, 39R-3, Block 29, Lake Worth Lease CONTRACT FOR: ARCHITECT ❑ Geneta1 CQnsropion CONTRACTOR ❑ TO OWNER: (Name and address) CONTRACT DATED: SURETY ❑ JHMB Properties, LLC and City or ran w oltir November 13, 2024 4237 Wells Drive OTHER ❑ Fort Worth, TX 76135 In accordance with the provisions of the Contract between the Owner and the Co>lijraglor as indicated above, the (Insert name and address of Surety.) FCCI Insurance Company 6300 University Parkway, Sarasota, F134240 ,SURETY, on bond of (Insert name and address of Contractor.) Day Services, LLC PO Box 2403 Cleburne, TX 76033 ,CONTRACTOR, hereby approves of the final 15tiy lent ro ine Contractor, and agrees that final pd�inef l to the Contractor shall not relieve the Surety of any of its obligations to (Insert name and address of Owner.) JHMB Properties, LLC and City of Fort Worth 4237 Wells Drive Fort Worth, TX 76135 as set forth in said Surety's bond. IN WITNESS WHEREOF, the Surety has hereunto set its hand on this date: March 14, 2025 (Insert in writing the month followed by the numeric date and year.) t't L i insurance Company (surety) t (Signature of �th,,,i,YativeJ A est: Haevyn Knobloch, Attorney -in -Fact (Seal) (Printed name and title) CAUTION: You should sign an original AiA Contract document, on which this text appears in REU. An original assures that- changes will not be obscured. AIA Document G707TM —1994. Copyright 6 1970 and 1994 by The American (6904) of Architects. All rights reserved. WARNING: This AIA' Document is protected by U.S. Copyright Law and International Treaties. Unauthorized reproduction or distribution of this AIA"Document, or any portion of it. may result in severe civil and criminal penalties, and will be prosecuted to the maximum extent possible underthe law. Purchasers are not permitted to reproduce this document. To report copyright violations of AIA Contract Documents, e-mail The American Institute of Architects' Iegal counsel, copyright®aia.org. FCC1,1,,,UP URANCE GENERAL POWER OF ATTORNEY Know all men by these presents: That the FCCI Insurance Company, a Corporation organized and existing under the laws of the State of Florida (the "Corporation") does make, constitute and appoint: Garland Martin; Robbie Martin; Josh Andrajack; Tina McLelland; Haevyn Knobloch Each, its true and lawful Attorney -In -Fact, to make, execute, seal and deliver, for and on its behalf as surety, and as its act and deed in all bonds and undertakings provided that no bond or undertaking or contract of suretyship executed under this authority shall exceed the sum of (not to exceed $20,000,000.00): $20,000,000.00 This Power of Attorney is made and executed by authority of a Resolution adopted by the Board of Directors. That resolution also authorized any further action by the officers of the Company necessary to effect such transaction. The signatures below and the seal of the Corporation may be affixed by facsimile, and any such facsimile signatures or facsimile seal shall be binding upon the Corporation when so affixed and in the future with regard to any bond, undertaking or contract of surety to which it is attached. In witness whereof, the FCCI Insurance Company has caused these presents to be signed by its duly authorized officers and its corporate Sealtobehereunto affixed, this 23rd day of July f 2020. Attest: ��L�•-� _ __ :' •r`' �µNU,agr "a'n i �� Christina D- Welch, President fi -yx` Christopher Shoucair, LL SEAL s FCC! Insurance Company EVP, CFO, Treasurer, Secretary FCCI Insurance Company State of Florida County of Sarasota Before me this day personally appeared Christina D. Welch, who is personally known to me and who executed the foregoing document for the purposes expressed therein. My commission expires: 2/27/2027 0014 rEaorallow ' ^IN+s Notary Public State of Florida County of Sarasota Before me this day personally appeared Christopher Shoucair, who is personally known to me and who executed the foregoing document for the purposes expressed therein. My commission expires: 2/27/2027 " '� P.1' F6W—y2T.=t Notary Public CERTIFICATE I, the undersigned Secretary of FCCI Insurance Company, a Florida Corporation, DO HEREBY CERTIFY that the foregoing Power of Attorney remains in full force and has not been revoked; and furthermore that the February 27, 2020 Resolution of the Board of Directors, referenced in said Power of Attorney, is now in force. ,.,rr.::t -,,<•, Dated this 14th day of March 2025 fLPOR- Christopher Shoucair, EVP, CFO, Treasurer, Secretary�'- FCCI Insurance Company iJ- 1-I0NA-3592-NA-04, 712021 �'�