HomeMy WebLinkAboutContract 44959-FP1 CITY SECRETA! q -�� i -
CE�1'1'RACT N4.-- t
aWn
P&W Const Services
- Date
I; �-- IT WO RT H .,
Risk Manageme .I,P� .-�
D.O.E. Brotherton :.-- P2&5
CFAKesterman/Scannedkn
TM ftOSAV POO&hm bm COMMup nK req„est for
PftUw&hMr11--Md mb proj1d to such Punt ATION AND PUBLIC WORKS ;
F PROJECT COMPLETION
Conducted By Shameka Kennedy D.O.E.Na: 7055
CSS'
W Regarding contract 117055 HILLS OF WINDRIDGE PHASE I-WATER&SEWER as required by the
i WATER DEPARTMENT as approved by City Council on N/A through M&C N/A the director of the
WATER DEPARTMENT upon the recamomendation of the Assistant Director of the Transportation&Public Worms
Department his accepted the project as complete.
Original Contract Prices: Q E C E O V E 5826,439.40
Amount of Approved Change Orders: MAR 12 2015 N2
Revised Contract Amount: BY
Total Cost Work Completed: 5826,439.40
Less Deductions:
Liquidated Damages: Days®S210.00/Day
Pavement Deficiencies:
Total Deduction Amount:
Total Cost Work Completed: 5826,439.40
Less Previous Payments: $0.00
Rnal Payment Due $826,439.40
Recommended for Acceptance Date
Asst. Director,TPW - In structure Design and Construction
Accepted / I Date
Director, WATER DEPARTMENT 2{^ !S
C. t44'v1,.l,/
.L
City Manager Date
Comments: P265-541200-607150211983,P275--541200.707130211983
OFFICIAL RECORD
CITY SECRETARY
FT. WORTH, TX
FORT WORTH
CITY OF FORT WORTH
FINAL PAYMENT REQUEST
Contract Name THE HILLS OF WINDRIDGE PHASE I
Contract Limits UNIT I-WATER&SEWER
Project Type WATER&SEWER
City Project Numbers 02119
DOE Number 7055
Estimate Number 1 Payment Number I For Period Ending 126/2015
W
City Secretary Contract Number 117055 Contract Time 12W
Contract Date Days Charged to Date 125
Project Manager Ehia Contract is .000000 Complete
Contractor BURNSCO CONSTRUCTION,INC.
6331 SOUTHWEST BLVD
FORT WORTH, TX 76132
Inspectors LAYER / MILLER
Monday,January 26,2015 LFT. WORTHI
�`G6kD
RETARY
TX
City Project Numbers 02119 DOE Number 7055
Contract Name THE HILLS OF WINDRIDGE PHASE I Estimate Number 1
Contract Limits UNIT I-WATER&SEWER Payment Number 1
Project Type WATER&SEWER For Period Ending 126/2015
Project Funding
WATER
Item Description of Items Estimated Unit Unit Cost Estimated Completed Completed
No. Quanity Total Quanity Total
--- - - -- - - - — — ----- — — —-- _. ._ _
1 6"WATER PIPE 59 LF $14.00 $826.00 59 $826.00
2 8"WATER PIPE 5600 LF $17.40 $97,440.00 5600 $97,440.00
3 8"PVC WATER PIPE 100 LF $27.00 $2,700.00 100 $2,700.00
4 12"WATER PIPE 1373 LF $31.00 $42,563-00 1373 $42,563.00
5 12"WATER PIPE 104 LF $42.00 $4,368.00 104 $4,368.00
6 TRENCH SAFETY 7236 LF $0.60 $4,341.60 7236 $4,341.60
7 6"GATE VALVE 10 EA $900.00 $9,000.00 10 $9,000.00
8 8"GATE VALVE 17 EA $1,300.00 $22,100.00 17 $22,100.00
9 12"GATE VALVE 4 EA $2,000.00 $8,000.00 4 $8,000.00
10 6"BLOW OFF VALVE 1 EA $4,200.00 $4,200.00 1 $4,200.00
11 24"X 12"TAPPING SLEEVE&VALVE I EA $5,500.00 $5,500.00 1 $5,500.00
12 FIRE HYDRANT 10 EA $2,900.00 $29,000.00 10 $29,000.00
13 DUCTILE IRON WATER FITTINGS 9.2 TN $3,000.00 $27,600.00 9.2 $27,600.00
W/RESTRAINT
14 CONNECTION TO EXISTING 4"-12"WATER I EA $500.00 $500.00 1 $500.00
MAIN
15 CONNECTION TO EXISTING 24"WATER MAIN 1 EA $700.00 $700.00 1 $700.00
16 1"WATER MAIN 118 EA $695.00 $82,010.00 118 $82,010.00
Sub-Total of Previous Unit $340,848.60 $340,848.60
SEWER&BONDS
Item Description of Items Estimated Unit Unit Cost Estimated Completed Completed
No. Quanity Total Quanity Total
1 8"PVC SEWF.R PIPE 0'-6 56 LF $21.00 $1,176.00 56 $1,176.00
2 8"PVC SEWER PIPE 6'-8' 759 LF $21.60 $16,394.40 759 $16,394.40
3 8"PVC SEWER PIPE 6'-8' 115 LF $34.00 $3,910.00 115 $3,910.00
4 8"PVC SEWER PIPE 8'-10' 3211 LF $23.00 $73,853.00 3211 $73,853.00
5 8"PVC SEWER PIPE 8'-10' 254 LF $34.00 $8,636.00 254 $8,636.00
6 8"PVC SEWER PIPE 101-12' 452 LF $23.00 $10,396.00 452 $10,396.00
7 8"PVC SEWER PIPE 10'-12' 65 LF $34.50 $2,242.50 65 $2,242.50
8 8"PVC SEWER PIPE,12'-14' 15 LF $28.00 $420.00 15 $420.00
9 8"PVC SEWER PIPE 22'-24 60 LF $73.00 54,380.00 60 $4,380.00
Monday,January 26,2015 OFFICIALRECORD
CITY SECRETARY
FT.WORTH,TX
City Project Numbers 02119 DOE Number 7055
Contract Name THE HILLS OF W11%0RIDGE PHASE I Estimate Number I
Contract Limits UNIT I-WATER&SEWER Payment Number I
Project Type WATER&SEWER For Period Ending 1/26/2015
Project Funding
10 10"PVC SEWER PIPE 8'-10' 43 LF $26.00 $1,118.00 43 $1,118.00
11 10"PVC SEWER PIPE 8'-10' 40 LF $38.00 $1,520.00 40 $1,520.00
12 10"PVC SEWER PIPE 10'-12' 92 LF $26.00 $2,392.00 92 $2,392.00
13 10"PVC SEWER PIPE 12'-14' 100 LF $29.00 $2,900.00 100 $2,900.00
14 10"PVC SEWER PIPE 14'-l6' 70 LF $38.00 $2,660.00 70 $2,660.00
15 10"PVC SEWER PIPE 14'-16' 20 LF $49.00 $980.00 20 $980.00
16 10"PVC SEWER PIPE 16'-18' 75 LF $43.00 $3,225.00 75 $3,225.00
17 10"PVC SEWER PIPE 18'-20' 78 LF $7700 $6,006.00 78 $6,006.00
18 10"PVC SEWER PIPE 20'-22' 54 LF $79.00 $4,266.00 54 $4,266.00
19 10"PVC SEWER PIPE 20'-22' 20 LF $95.00 $1,900.00 20 $1,900.00
/20 10"PVC SEWER PIPE 22'-24' 20 LF $85.00 $1,700.00 20 $1,700.00
21 12"PVC SEWER PIPE 10'-12' 10 LF $30.00 $300.00 10 $300.00
22 12"PVC SEWER PIPE 12'-14' 87 LF $32.00 $2,784.00 87 $2,784.00
23 12"PVC SEWER PIPE 12'-14 20 LF $54.00 $1,080.00 20 $1,080.00
24 12"PVC SEWER PIPE 14'-16' 80 LF $42.00 $3,360.00 80 $3,360.00
25 12"PVC SEWER PIPE 16'-18' 75 LF $46.00 $3,450.00 75 $3,450.00
26 12"PVC SEWER PIPE 18'-20' 118 LF $79.00 $9,322.00 118 $9,322.00
27 12"PVC SEWER PIPE 20'-22' 60 LF $80.00 $4,800.00 60 $4,800.00
28 12"PVC SEWER PIPE 22'-24' 278 LF $80.00 $22,240.00 278 $22,240.00
i29 12"PVC SEWER PIPE 22'-24' 40 LF $93.00 $3,720.00 40 $3,720.00
30 15"PVC SEWER PIPE 6'-8' 126 LF $36.00 $4,536.00 126 $4,536.00
31 15"PVC SEWER PIPE 6'-8' 20 LF $48.00 $960.00 20 $960.00
32 15"PVC SEWER PIPE T-10' 114 LF $39.00 $4,446.00 114 $4,446.00
33 15"PVC SEWER PIPE 10'-12' 146 LF $41.00 $5,986.00 146 $5,986.00
34 IMPORTED EMBEDMENT/BACKFILL 15 CY $45.00 $675.00 15 $675.00
35 12"SEWER CARRIER PIPE 60 LF $37.00 $2,220.00 60 $2,220.00
36 20"CASING BY OPEN CUT 60 LF $93.00 $5,580.00 60 $5,580.00
37 TRENCH SAFETY 6853 LF $L00 $6,853.00 6853 $6,853.00
38 T MANHOLE 28 EA $2,300.00 $64,400.00 28 $64,400.00
39 Y MANHOLE 2 EA $7,400.00 $14,800.00 2 $14,800.00
40 T EXTRA DEPTH MANHOLE 2 VF $100.00 $200.00 2 $200.00
41 5'DROP MANHOLE 3 EA $8,800.00 $26,400.00 3 $26,400.00
42 5'EXTRA DEPTH MANHOLE 41 VF $155.00 $6,355.00 41 $6,355.00
43 5'MANHOLE CONSTRUCTED OVER EXISTING 1 EA $7,150.00 $7,150.00 1 $7,150.00
24"
CORD
Monday,January 26,2015 PCITY SECRETARY
FT.WORTH, TX
City Project Numbers 02119 DOE Number 7055
Contract Name THE HILLS OF WINDRIDGE PHASE I Estimate Number 1
Contract Limits UNIT I-WATER&SEWER Payment Number 1
Project Type WATER&SEWER For Period Ending 1/26/2015
Project Funding
44 MANHOLE VACUUM TESTING 34 EA $100.00 $3,400.00 34 $3,400.00
45 MANHOLE ADJUSTMENT MINOR 1 EA $500.00 $500.00 1 $500.00
46 EPDXY MANHOLE LINER 200 VF $180.00 $36,000.00 200 $36,000.00
47 REMOVE PLUG CONNECT TO EXIST 12" I EA $500.00 $500.00 1 $500.00
SEWER
48 REMOVE PLUG CONNECT TO EXIST 8"SEWER I EA $500.00 $500.00 1 $500.00
49 4"SEWER SERVICE 118 EA $410.00 $48,380.00 118 $48,380.00
50 4"2-WAY CLEANOUT 118 EA $95.00 $11,210.00 118 $11,210.00
51 POST CCTV INSPECTION 6853 LF $1.30 $8,908.90 6853 $8,908.90
52 PAYMENT,PERFORMANCE&MAINTENANCE 1 LS $24,500.00 $24,500.00 1 $24,500.00
BONDS
Sub-Total of Previous Unit $485,590.80 $485,590.80
Monday,January 26,2015 Page 4 of 6
OFFICIAL RECORD
CITY SECRETARY
FT. WORTH, TX
City Project Numbers 02119 DOE Number 7055
Contract Name THE HILLS OF WINDRIDGE PHASE I Estimate Number 1
Contract Limits UNIT I-WATER&SEWER Payment Number 1
Project Type WATER&SEWER For Period Ending 126/2015
Project Funding
Contract Information Summary
Original Contract Amount $826,439.40
Chanl:e Orders
Total Contract Price $826,439.40
Date Z'Z'/ Total Cost of Work Completed $926,439.40
Contr Less %Retained $0.00
/ lIS
Date Net Earned $826,439.40
2 �
Inspection S Earned This Period $826,439.40
t Retainage This Period $0.00
Date.— 11-1
Less Liquidated Damages
Project M
Days(9 /Day $0.00
Date 3'/22a LessPavement Deficiency $0.00
Asst D' oi77FW-1 as cture Design an Cons ction Less Penalty $0.00
Date3l 1 Less Previous Payment $0.00
Director/Contracting Department �S ,IS Plus Material on Hand Less 15% $0.00
C'• A,'1'6-"
rn —"r'v Balance Due This Payment $826,439.40
Monday,January 26,2015 Page 5 of 6
OFFICIAL RECORD
CITY SECRETARY
FT. WORTH, TX
DECEBYE
MAR 12 2015
City Project Numbers 02119 By DOE Number 7055
Contract Name THERILSOFWINDRIDGEPHAS Estimate Number 1
Contract Limits UNIT I-WATER&SEWER Payment Number 1
Project Type WATER&SEWER For Period Ending 126/2015
Project Funding
Project Manager Ehia City Secretary Contract Number 117055
Inspectors LAYER / MILLER Contract Date
Contractor BURNSCO CONSTRUCTION,INC. Contract Time 125 W
6331 SOUTHWEST BLVD Days Charged to Date 125 W
FORT WORTH, TX 76132 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 $826,439.40
Less %Retained $0.00
Net Earned $826,439.40
Earned This Period 5826,439.40
Retainage This Period $0.00
Less Liquidated Damages
0 Days @ S0.00 /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 $826,439.40
Monday,January 26,2015 ONL RECORD
CITY SECRETARY
FT. WORTH, TX
FORTWORTH REV:02/20/
07
TRANSPORTATION AND PUBLIC WORKS
PERFORMANCE EVALUATION OF CONTRACTOR
CONTRACTOR&PROJECT DATA
Name of Contractor Project Name
Burmco The Hills of Windridge Ph I
DOE Inspector DOE Number
Wade Miller 7055
DOEImpectar Project Manager
Q Water❑t Waste Water[:] Storm Drainage] Pavement Fred Ehia
Initial Contract Amount ProjectDifficulty
$826,439.40 0 Simple OQ Routine 0 Complex
Final Contract Amount Date
$826,439.40 1/27/2015
IT)PERFORMANCE EVALUATION
0-Inadequate 1-Deficient 2-Standard 3-Good 4-Excellent
ELEMENT WEIGHT(x) APPLICABLE(Y/N) RATING(0-4) MAX SCORE SCORE
I Submission of Documents 2 Y 4 8 8
2 Public Notifications 5 Y 4 20 20
3 Plans on Site 5 Y 4 20 20
4 Field Supervision 15 Y 4 60 60
5 Work Performed 15 Y 3 60 45
6 Finished Product 15 Y 3 60 45
7 Job Site Safety 15 Y 4 60 60
8 Traffic Control Maintenance 15 Y 4 60 60
9 Daily Clean Up 5 Y 4 20 20
10 Citizen's Complaint Resolution 5 Y 4 20 20
11 Property Restoration 5 Y 4 20 20
12 After Hours Response 5 Y 4 20 20
13 Project Com letion 5 Y 4 20 20
TOTAL ELEMENT SCORE(A) 418
BONUS POINTS(25 Maximum)(B)
TOTAL SCORE(M 418
Hb CONTRACTOR'S RATING
Maximum Score(MS)—448 Qr sum of applicable element score maximums which= 448
Rating([TS/MS]•100%) 418 / 448 - 93%
Performance Category Excellent
<20%=Inadequate 1006 to<40%—t dent 44%to<60%—Standard 60%to<80%—Good >90910=Excellent
Inspector's Comments(INCLUDING MLANATION OF BONUS POUM AWARDED)
Signature DOE Inspector / Signature Contractor
Signature DOE Inspector's Supervisor
CONTRACTORS COMMENTS
TRANSPORTATION AND PUBLIC WORKS
t g The City of Fort Worth-1000 Throckmorton Street-Fort Worth,TX 76012-6311��� 4 RECORD
(81'7)392-7941 -Fam(817)392-7845
CITY SECRETARY
FT. WORTH,TX
FORTWORTHRE02/22/07
TRANSPORTATION AND PUBLIC WORKS
CONTRACTOR'S EVALUATION OF CITY
PROJECT INFORMATION Date: 1/27/2015
Name of Contractor Project Now
Bumsco The Hills of Windridge Ph I
DOE Impector Project Manager
Wade Miller Fred Ehia
DOE Number Project Di i-hy Type of Contract
7055 0 Simple QQ Roudne 0 Complex I[l water waste water❑ Stam Drainage0 Pavement
Initial Contract Amount FbW Contract Amount
$826,439.40 1$826,439.40
In PERFORMANCE EVALUATION
0_-Inadequate 1-Deficient 2-Standard 3-Good 4-Excellent
ELEMENT RATING ELEMENT RATING
(0-4) (0-4)
INSPECTION EVALUATION PLANS&SPECIFICATIONS
1 _Avaflability of Inspector J I Accuracy of Plans to Existing Conditions
2 Knowledge of 2 Clarity&Sufficienc of Details Ll
3 Accuracy of Measured Quantities 3 Applicability of Specifications
4 Display Of Professionalism 4 Accuracy of Plan tities 3
5 Citizen Complaint Resolution PROJECT MANAGER EVALUATION
6 Performance-Setting up Valve Crews,Labs 1 Knowledge And/Or Problem Resolution
ADMINISTRATION 2 Availability of Project ManW
I Change Order Processing Time Y 13 Communication
2 Timliness of Contractor Pa ents t4 14 Resolution of Utifity Conflicts
3 Bid to Pre-Con Meeting Timeframe
III)COMMENTS&SIGNATURES
COMMENTS
Signature Contractor
Signature DOE Inspector X11,41
Signature DOE Inspector's Supervisor ani �d�11
INSPECTOR'S COMMENTS
TRANSPORTATION AND PUBLIC WORKS
? The City of Fort Worth-10M Throckmorton Street-Fort Worth,TX 74012-6511-"
(817)392-7941 -F=(817)392-7845 OFFICIAL RECORD
CITY SECRETARY
FT. WORTH, TX
FORTWORTH
TRANSPORTATION AND PUBLIC WORKS
PIPE REPORT FOR:
PROJECT NAME: The Hills of Windridge Ph 1
PROJECT NUMBER: 02119
DOE NUMBER: 7055
WATER
PIPE LAID SIZE TYPE OF PIPE LF
yes 6" pvc 59'
Yes $" pyC 5600'
yes 8" sdr 35 pvc 100'
Yes 12" pvc 1373'
Yes 12" s&35 pvc 104'
FIRE HYDRANTS: 10 VALVES(16"OR LARGER)
PIPE ABANDONED SIZE TYPE OF PIPE LF
no
DENSTIM—. yes
NEW SERVICES: 1" COP
1w 2065'
SEWER
PIPE LAID SIZE TYPE OF PIPE LF
yes 8" pvc 4987
Yes 10" pvc 612'
Yes 12" pvc 768'
Yes 15" pvc 146'
PEPE ABANDONED SIZE TYPE OF PEPE LF
no
DENSITIES: yes
NEW SERVICES: 4" pvc 2360'
TRANSPORTATION AND PUBLIC WORKS
13 The City of Fort Worth•1000 Thmckmorton Street•Fort Worth,TX `be6A6 RECORD
(817)392-7941 •Fm(817)392-7845
CITY SECRETARY
FT.WORTH,TX
CONSENT OF OWNER ❑
SURETY COMPANY ARCHITECT ❑
CONTRACTOR ❑
TO FINAL PAYMENT SURETY ❑
Conforms with the American Institute of OTHER
Architects,AIA Document G707
Bond No 022046637
PROJECT:
(name, address)Hilis of Windridge Ph1 -Unit 1 Water and Sewer
TO (Owner)
HILLS OF WINDRIDGE LLC AND CITY OF FORT ARCHITECT'S PROJECT NO:
WORTH CONTRACT FOR:
1000 Throckmorton Hills of Windridge Phase 1-Unit 1 Water and Sewer
Worth TX 76102 —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
(hen insert name and address of Surety Comparry)
LIBERTY MUTUAL INSURANCE COMPANY
175 Berkeley Street
Boston MA 02116 , SURETY COMPANY
on bond of there 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)
HILLS OF WINDRIDGE LLC AND CITY OF FORT WORTH
1000 Throckmorton , OWNER,
Fort Worth TX 76102
as set forth in the said Surety Company's bond.
IN WITNESS,WHEREOF,
the Surety Company has hereunto set its hand this 16th day of January,2015
LIBERTY MUTUAL INSURANCE COMPANY
1l/uR Suety Com any
Attest: Hunter
(Seal): Signature o A orized Representative
Lisa M.Bonnot Attorney-in-Fact
----------------
Title
NOTE: This fmm is to be used as a companion document to AIA DOCUMENT G706, CONTRACTOR's AFFIDAVIT OF PAYMENT OF DEBTS AND CLAIMS,
Current Ed)tbn
OFFICIAL RECORD ONE PAGE
CITY SECRETARY
FT. WORTH, TX
THIS POWER OF ATTORNEY IS NOT VALID UNLESS IT IS PRINTED ON RED BACKGROUND.
This Powm alAttarney Norris On acts of Vices named herein,and they have no sudwily to bind the Company ewapt in the manner and to the extent herein stated.
Certificate No.Iia 33
American Fire and Casualty Company Liberty Mutual Insurance Company
The Ohio Casualty Insurance Company West American insurance Company
POWER OF ATTORNEY
KNOM ALL PERSONS BY THESE PRESENTS:That Affwk an Fie&Casualty Company and The Ohio Casualty Insraxmce Company are corporalions duly o%a/zed under the laws of
the Stale of New Hampshire,that Liberty Mutual insurance Company is a corporation duly organized under the taws of the State of Massadniseft and West Ameriart insurance Company
is a corporation duly organized under the laws of the Slate of Indiana(herein collectively called the SCompanies•),pusuant to and by authority herein set forth.does hereby name,constitute
and appoint Don E.Connell:Lisa M.Bonnot Ricardo J.Reyna:Robbi Morales:Sophinie Hunter.V.DeLene Marshall
all of the city of Odas date of TX each kxk4ft*if tete be more than ane named,its hue and larvkml atbmey-h fad iD make,wAarte,seal,acivoAWge
and deliver,for and on its behalf as sunsty and as is ad and deed,any and all undertakings,bonds,recoil tmnces and otter surety obipaGoru,in pursuance of these presents and shall
be as bndkV upon the Compares as if easy have been duly sipped by the president and aAtsstsd by the semallay of the Companies in their own proper persons.
IN WETNESS WHEREOF,this Power of Marney has been st>bsvbed by an aul horized officer or official of the Companies and to oorporate seals of the Companies have been affixed
tenets tam_day cf January 2015
a"_± �L ,• �$y American Fire and Casualty Company
The Ohio Casualty Insurance Company
Liberty Mutual Insurance Company
1?19 12
iv y �f West ?rnee^w lisuranoe f:cmpan}
fA
t4..:A
David M.Ca ,Assistant Sea*" c
C STATE OF PENNSYLVANIA ss a
Qr COUNTY OF MONTGOMERY C
o20 On this 51h day of Janwnr 2015before me personally appeared David M.Can who awcimWedged thir►hset to be the Assistant Secretary of American Fre and u F
Up CaweNy Company,Liberty kA&W Irma ance Company.The Ohio Casualty Insurance Company,and Wad American Instanim Company,end that he,as ouch,being authorized so to do, a1
p a execute the forepoig ielnme nt for rte purposes thereincontained bysigning on behalf of the corporations by miir. ae a duly authorized officerrm
o > IN WITNESS WHEREOF,i have hereunto subscribed mmr
yna ad affixed my nolai sed at Plymouth Mnbq,Perasylum on the day ada fi
yerst above writen. O CL
s>rv:; am_ Pcr� sr vnr A Q eO+s
Comqf
rw�sa Paan nNotaryP�xhcBy: IV& °'a
` OF ] ma m oxen Expirm March 2a 20 h 7 i Tensa Pasirta,NotaryP1bRc W
C M fin;Pema;*wt+o Aascn, .d Naram` E
iL
C This Power olMorney is made and execubd pu7 oftwO y authority of the fobwing By-laws and Autf abmilons ofAnhedxs in Fre and Casualty Company,The Cft Casualty insurance un
e Company.Liberty MAW insurance Company,and`)"Amedw hsusnce Company WOM resolutions am now in full tone and eRect needing as follows:
we 406
ARTICLE IV-OFFICERS-Section 42 Power o(Atbrney.Any officer or other otfidel of to Corporation authorized for that purpose In wttig by the Chairman or the Preatdad,and subjed �i e
0 w b such limitation as the Cheinhhen or the President may prescribe,shell appoint such atiomeys44ad,as may be necessary to ad it behar of the Ca fporadon to make,exeala,seal. +
115 wkroled
ape and deliver as surely any and al hndertaldrip,bonds,recagrvshcesd aoter surlb the i
y obligations. Such altorneys4whi t,=*d milatiom set forth in their respective
E o powers of attorney,shelf have ful parer to hind the Corporation by their signakre and execution of any each inskwnhends and to attach thereb the seal of the Corporation. When so w
p w executed,mch instruments Od be as binding as 9 signed by the President and alteded to by the Seaetay.Any power or authority ousted to any representative or slomeyin-(act oder a
the provisions of this article may be aevaked ant any time by the Board,the Chairman,the PmeWent or by to of er or olicers granMhp such power or authority. �
aC ARTICLE)M-Execulion of Contracts-SECTION 5.Swety Bonds and Undertakings.Any of$oa of the Company arthorized for that purpose in wimp by to dw irman or the president N
> ` and st*cI to such Indolim as the dwrhan or the president may prescribe,shall appoint such elbmeys-inlet,as nay be necessaryto ad in behalf of the Company to make,execute, L
O 3 sed,adledge and deliver as a my my and al udertainpsk ,bards,me<ognizmnces and other suety obligations, Such attaneys•ihdact subod b tiro limitations set tort in their c°O
nowP
Z respecit a pour ars d atliwnsy,shat rare tub powto bind to CamWiy by tree aignuntmre and execudah of any such imabumanti;and to attach trorob time red of the Company.Vifnan so v r
exeoAed such ins www shelf be as binding as if signed by the president aid attested by the secretary O
Certificate of DDesioation-The PmeWW of the Company,acting pursuant to the Bylaws of the Company,authodzes David M.Carey,Assistant Secretary In appoint such atlDmays-in. ~
fad as may be necessary to ad on bend/of the Company b make,exewle,seal,acknoWedge and deiver as surety any and all undertaiugs,bonds,r0007tZences and other seely
obligabom•
Amdtwrhatim-By unankm care n of the Company's Board of Directors,the Company c mw*that faxaimte or madhanieatiy reproduced signature of any assistant secretary of the
Company,wtrrever appearing upon a cerlffied ropy of any power of albmey issued by the Company in connection nsih srety bonds,shall be valid and bm"upon the Company wth
the sore face and e/ad as too mowaly affixed.
1,Gregory W.Davenport the udersigned,Assistant Secretary,of American Fre and Casualty Company,The Ohio Casualty khsaahce Company,Liberty M ubud Insurance Company,and
Wast Amencen Insuance Company do teraby certty that the original power of attorney of W idh rte fo egdng is a$rt,true and caned copy of the Power of Attorney executed by said
Compares,is in kir fare and elbd ad has not been mwoked. )/^
IN TESTIMONY VMiEREOF,I have hwwrlo ad"hand ad affixed the serfs of said Companies this + day of 11WILIh 12D
h'40 fA, �3-(1 INS„
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1906 �c Y( 19119 1912 1941 y BY•
, aw l 2 Gregory W Davenport,Assistant Secretary
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OFFICIAL RECORD
CITY SECRETARY
LW_12e73 122ot3 FT. WORTHI YX 4 d 500
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 John Bums,
President Of Burnsco Construction, Inc., 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;
Hills of Windridge Phase 1 - Water, Sanit Sewer and Storm Drain
BY
John Burns, President
Subscribed and sworn before me on this date 30th of January, 2015.
LEU1 MCQUIEN
MY CMawssim Esq
Notary Public AM 26.2018
Tarrant County, Texas
OFFICIAL RECORD
CITY SECRETARY
FT.WORTH,TX
FORTWORTH rev 03/05/07
TRANSPORTATION&PUBLIC WORKS
FINAL STATEMENT OF CONTRACT TIME
FINAL STATEMENT NO.:1
NAME OF PROJECT: The Hills of W221rW a Ph I
PROJECT NO.: 02119 CONTRACTOR: Burnsco
DOE NO.: 7055
PERIOD FROM:12/01/14 TO: 12/31/14 FINAL INSPECTION DATE: 14-)an-15
WORK ORDER EFFECTIVE-107713 CONTRACT TIME: 125 • WD CD
DAY OF DAYS REASON FOR DAYS DAY OF DAYS REASON FOR DAYS
MONTH CHARGED CREDITED MONTH CHARGED CREDITED
DURING DURING
1. mon 0 16. tue 0
2. tue 0 17. wed 0
3. wed 0 18. thu 0
4. thu 0 19. fri 0
5. fri 0 20. sat 0
6. sat 0 21. sun 0
7. sun 0 22. mon 0
8. mon 0 23. tue 0
9. tue 0 24. wed 0
10. wed 0 25. thu 0
11. thu 0 26. fri 0
12. fri 0 27. sat 0
13. sat 0 28. sun 0
14. sun 0 29. mon 0
15. mon 0 30. tue 0
31. wed 0
SAT,SUN, RAIN,TOO WET, UTILITIES OTHERS* DAYS TOTAL
&HOLIDAYS &TOO COLD RELOCATIONS CHARGED DAYS
THIS 0 0 0 0 0 0
PERIOD
PREVIOUS 0 0 0 0 125 125
PERIOD
TOTALS 0 0 0 0 125 125
TO DATE
*REMARKS:
CON COR DATE /lASP- ECT6k DATE
ENGINEERING DEPARTTviENT
, ? The City of Fort Worth•1000 Throckmorton Street•Fort Worth, dh-614 RECORD
(817)392-7941 •Fax:(817)392-7845 �u ®®aee�
CITY SECRETARY
FT. WORTH, TX �`