HomeMy WebLinkAbout062293-FP2 - Construction-Related - Contract - HMH Palmilla Springs Development, Inc.FORT WORTH®
-FP2
City Secretary 62293 Contract No. ______ _
Date Received 10/29/2025
11/06/2025
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: Palmilla Springs Phase 7
City Project No.: 104232
Improvement Type(s): □ Paving IZI Drainage □Street Lights
Original Contract Price: $384,618.50
Amount of Approved Change Order(s): $0.00
Revised Contract Amount: $0.00
Total Cost of Work Complete: $384,618.50
"�����1���:;!;�,�fco,1 10/28/2025
Contractor Date
Vice President
Title
KC@burnsco.net
Company Name
.k � 10/28/2025
Randall Ha[E (Oct 28, 202516:20:27 COT)
Project Inspector Date
rr�""d. 10/28/2025
Project Manager Date
10/29/2025
CFA Manager Date
�� 10/29/2025
Lauren Prieur !Oct 291202511:17:33 CDTj
TPW Director Date
11/02/2025
Asst. City Manager Date
Page 1 of 2
Notice of Project Completion
Project Name: Palmilla Springs Phase 7 City
Project No.: 104232
City's Attachments
Final Pay Estimate ❑x
UI idi iyU vi uei k5). u i u5 ux ivies
Contractor's Attachments
Affidavit of Bills Paid
Consent of Surety
Statement of Contract Time Days Charged: 157 WD
Contract Time: 140 WD
Work Start Date: 2/10/2025
Completed number of Soil Lab Test: 447
Completed number of Water Test: 23
Work Complete Date: 10/13/2025
Page 2of2
FORT WORTH
CITY OF FORT WORTH
FINAL PAYMENT REQUEST
Contract Name PALS LA SPRINGS PHASE -7
Contract Limits
Project Type DRAINAGE
City Project Numbers 104232
DOE Number 4232
Estimate Number 1 Payment Number I
City Secretary Contract Number
Contract Date
For Period Ending 10/13/2025
WD
Project Manager NA
Contractor BURNSCO CONSTRUCTION, INC.
6331 SOUTHWEST BLVD
FORT WORTH, TX 76132
Inspectors T. GARDNER / R. HARP
Contract Time 7WD
Days Charged to Date 157
Contract is 100.00 Complete
Wednesday, October 22, 2025 Page 1 of 4
City Project Numbers 104232 DOE Number 4232
Contract Name PALMILLA SPRINGS PHASE -7 Estimate Number I
Contract Limits Payment Number I
Project Type DRAINAGE For Period Ending 10/13/2025
Project Funding
UNIT M. DRAINAGE IMPROVEMENTS
Item
Description of Items
Estimated Unit
Unit Cost
Estimated
Completed
Completed
No.
Quanity
Total
Quanity
Total
1
12" STONE RIPRAP, DRY
129 SY
$90.00
$11,610.00
129
$11,610.00
2
TRENCH SAFETY
1877 LF
$0.50
$938.50
1877
$938.50
3
21" RCP, CLASS lII
97 LF
$86.00
$8,342.00
97
$8,342.00
4
24" RCP, CLASS III
667 LF
$96.00
$64,032.00
667
$64,032.00
5
27" RCP, CLASS lII
526 LF
$110.00
$57,860.00
526
$57,860.00
6
30" RCP, CLASS lII
222 LF
$128.00
$28,416.00
222
$28,416.00
7
42" RCP, CLASS III
365 LF
$208.00
$75,920.00
365
$75,920.00
8
4' STORM JUNCTION BOX
4 EA
$6,700.00
$26,800.00
4
$26,800.00
9
5' STORM JUNCTION BOX
1 EA
$7,200.00
$7,200.00
1
$7,200.00
10
10' CURB INLET
5 EA
$6,000.00
$30,000.00
5
$30,000.00
11
15' CURB INLET
6 EA
$8,400.00
$50,400.00
6
$50,400.00
12
20' CURB INLET
1 EA
$11,200.00
$11,200.00
1
$11,200.00
13
42" SLOPED HEADWALL
2 EA
$4,400.00
$8,800.00
2
$8,800.00
14
24" SLOPED HEADWALL
I EA
$3,100.00
$3,100.00
1
$3,100.00
--------------------------------------
Sub -Total
of Previous Unit
$384,618.50
$384,618.50
Wednesday, October 22, 2025 Page 2 of 4
City Project Numbers 104232
Contract Name PALMI LLA SPRINGS PHASE -7
Contract Limits
Project Type DRAINAGE
Project Funding
Contract Information Summary
Original Contract Amount
Change Orders
Total Contract Price
DOE Number 4232
Estimate Number I
Payment Number I
For Period Ending 10/13/2025
$384,618.50
$384,618.50
Total Cost of Work Completed $384,618.50
Less % Retained $0.00
Net Earned $384,618.50
Earned This Period $384,618.50
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
$384,618.50
Wednesday, October 22, 2025 Page 3 of 4
City Project Numbers 104232
Contract Name PALMILLA SPRINGS PHASE -7
Contract Limits
Project Type DRAINAGE
Project Funding
Project Manager NA
Inspectors T. GARDNER / R. HARP
Contractor BURNSCO CONSTRUCTION, INC.
6331 SOUTHWEST BLVD
FORT WORTH, TX 76132
DOE Number 4232
Estimate Number I
Payment Number I
For Period Ending 10/13/2025
City Secretary Contract Number
Contract Date
Contract Time 75 WD
Days Charged to Date 157 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 $384,618.50
Less % Retained $0.00
Net Earned $384,618.50
Earned This Period $394,618.50
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
$384,618.50
Wednesday, October 22, 2025 Page 4 of 4
FORTWORTH.
M"
TRANSPORTATION AND PUBLIC WORKS
October 17, 2025
Burnsco Construction, Inc
6331 Southwest Blvd
Benbrook, Texas 76132
RE: Acceptance Letter
Project Name: Palmilla Springs Phase 7
Project Type: Developer
City Project No.: 104232
To Whom It May Concern:
On October 17, 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 October 17, 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-
392-6826.
Sincerely,
George Marquez, Project Manager
Cc: Randall Harp, Inspector
Troy Gardner, Inspection Supervisor
Ariel Duarte, Senior Inspector
Andrew Goodman, Program Manager
Teague Nall &Perkins, Consultant
Burnsco Construction, Inc, Contractor
HMH Palmilla Springs Development, 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;
Palmilla Phase 7 - Water, Sanitary Sewer and Storm Drain
BY
A 'Grantges, act Manager
Subscribed and sworn before me on this date 22nd of October, 2025.
KASSANDRA CANALES
Notary Public
`s�`nYNotary Public, State ofTexas',
=�:•'
Comm. Expires 01-23-2027
'%
Tarrant County, Texas
y
Notary ID 134158573
I
CONSENT OF
SURETY COMPANY
TO FINAL PAYMENT
Conforms with the American Institute of
Architects, AIA Document G707
OWNER
❑
ARCHITECT
❑
CONTRACTOR
❑
SURETY
❑
OTHER
Bond No 022240000
PROJECT:
(name, address) Palmilla Phase 7 - Water, Sewer and Drainage Improvements
TO (Owner)
Fort Worth TX
IHMH PALMILLA SPRINGS DFVFLOPMENT, LLC AND I ARCHITECT'S PROJECT NO:
CITY OF FORT WORTH CONTRACT FOR:
1038 Texan Trail Palmilla Phase 7 - Water, Sewer and Drainage 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 name end address of Surety Company}
LIBERTY MUTUAL FIRE 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)
HMH PALMILLA SPRINGS DEVELOPMENT, LLC AND CITY OF FORT WORTH
1038 Texan Trail
Grapevine TX 76051 OWNER,
as set forth in the said Surety Company's bond.
TN WITNESS, WHEREOF,
the Surety Company has hereunto set its hand this
Attest:
(Seal):
17th day of October, 2025
LIBERTY MUTUAL FIRE INSURANCE COMPANY
Sure, Company
Signature of Authorized Representative
Soohinie Himter _ Attorney -in -Fact
Title
NOTE: This form is to be used as a companion document to AIA DOCUMENT G706, CONTRACTOR'$ AFFIDAVIT OF PAYMENT OF DEBTS AND CLAIMS,
Current Edition
ONE PAGE
0 Liberty POWER OF ATTORNEY
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7[ �i utual Certificate No: 8213588-022020
1. Liberty Mutual Fire insurance Company
SURETY Wausau, Wisconsin
KNOWN ALL PERSONS BY THESE PRESENTS: Liberty Mutual Fire Insurance Company, being a Wisconsin Corporation having its principal office in the City of Wausau, State of
Wisconsin does hereby make, constitute and appoint Don E. Cornett; Sophime Hunter; Tina Mc Ewan; Robbi Morales; Mikaela Peppers; Tonic Petranek; Ricardo J_ Reyna-
Joshua Saunders; Kelly A. Westbrook
all of the city of Dallas state of TX each individually if there be more than one named, its true and [awful attomey(s)-in-fact, with full
power and authority hereby conferred in theirlits name, place and stead, to sign, execute, acknowledge and deliver in their/its behalf, and as their/its act and deed, without power of
redelegation, as follows:
Bonds, undertakings, recognizances, contracts of indemnity, and all other surety obligations, as required, unlimited as to Dollar amount
and to bind the Company(ies) making this appointment thereby as fully and to the same extent as if such bond or undertaking was signed by the duly authorized officers of the
Company(ios), and all the acts of said attorney(s), pursuant to the authority herein given, are hereby ratified and confirmed.
AUTHORITY FOR MAKING APPOINTMENT OF ATTORNEYS -IN -FACT
Appointment of Attorneys -in -Fact by Liberty Mutual Fire insurance Company are made pursuant to Article V, Section 10 of Liberty Mutual Fire Insurance Company's By -Laws, as
amended and by Unanimous Consent of the Board of Directors dated May 21st, 2013. Furlher, the President of Liberty Mutual Fire Insurance Company, executed a Delegation of
Authority and authorized the assistant secretary signing below to appoint attorneys -in -fact as may be necessary to act on behalf of Liberty Mutual Fire Insurance Company to make vi
m execute, seal, acknowledge and deliver as surety any and all undertakings, bonds, recognizances, and other surety obligations.
IN WITNESS WHEREOF, Liberty Mutual Fire Insurance Company has caused these presents to be signed by its authorized representatives, and its Corporate Seal to be hereto affixed, c w
m this 2nd day of April 2025
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I, the undersigned, an Assistant Secretary of Liberty Mutual Fire Insurance Company, do hereby certify that the original power of attorney of which the foregoing is a full, true and correct
copy, is in fu#I force and effect on the date of this certificate; and I do further certify that the officer or official who executed the said power of attorney was one of the officers or officials
specially authorized by the Board of Directors to appoint attorneys -in -fact as provided in the Unanimous Consent and Vote of the Board of Directors of Liberty Mutual Fire Insurance
Company dated May 21, 2013.
This certificate and the above power of attorney may be signed by facsimile or mechanically reproduced signatures under and by authority of the Board of Directors of Liberty Mutual Fire
Insurance Company evidenced by the Unanimous Consent and Vote of the Board of directors dated June 28, 2006 wherein it was
VOTED that the signatures of such officers and the seal of the Company may be affixed to any such power of attorney or to any certificate relating thereto by facsimile, and any such
power of attorney or certificate bearing such facsimile signature and facsimile seal shall be valid and binding upon the Company when so affixed and in the future with respect to
any surety undertakings, bonds, recognizances and other surety obligations to which it is attached.
IN TESTIMONY WHEREOF, I have hereunto subscribed my name and affixed the corporate seal of the said company, affixed, this 17th day of October , 202S
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SURETY
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 BIvd., 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 114 A)
P. O. Box 149091
Austin, TX 78714-9091
FAX: (512) 490-1007
Web: litti)://www.tdi.texas.aov
E-mail: Cons umerProtection Qtdi.texas.aov
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.
TEXAS
AVISO IMPORTANTE
Para obtener informacion o para someter una
queja:
Usted puedc llamar al numero de telefono gratis
para informacion o para someter una queja a[
I-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 (I 1 I -IA)
P. O. Box 149091
Austin, TX 78714-9091
FAX # (512) 490-1007
Web: http://www.tdi.texas.aov
E-mail: ConsumerProtection[7tdi.texas.l;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 69 09 01
LMS-15292 10115