Loading...
HomeMy WebLinkAboutContract 43754-FP1 EJU N 2 0 2016 CONTRACT NO CITY OF FORT WORTH OTICE OF PROJECT COMPLETION GS J-4VS-14 Regarding City Secretary Contract 43754 for the Village Creek WRF Deep Filters (1-20) Modifications (City Project # 01628) which was requested by the Water DeRartment and approved by City Council on 9/25/2012 through M&C C-25887 ,the Director of the Water Department upon the recommendation / approval of the Consultant / City Proiect Manager, has accepted the project as complete. Final Payment (Pay Application # 30 ) will be issued in accordance with Administrative Regulation C-6. Original Contract Price: $ 16,268,000.00 Amount of Approved Change Orders: $ 621,298 Number: 06 Revised Contract Amount: $ 16,889,298.00 Total Cost of Work Completed: $ 16,889,298.00 Less Liquidated Damages: 0.00(Q$ /Day) Added extra work: $ 0.00 Total Contract Cost: $ 16,889,298.00 Less Previous Payments: $ 16,739,298.00 Final Payment Due: $ 150,000.00 t "� ell mac Recommended for Mceptance Date Consultant,Freese&Nichols,Inc Approved,Farida Go etya Date Sr Project Manager,Water Department ed,J Carman/Chris Har Date Director/Acting Assist Director,Water Dep ent Assistan City Manager,Jay Cha a Date ZMAILED -Date of FineCompletion JUN 12,„„ 016 Date of warranty start OFFICIAL March 01,2015 CITY SECRETARY '' � -P 2®1 S"- 6/b a 8 j FT.WORTH, TX LtJW/� -q&01 - ColG.2 JUN 2 2016 PEPPER-LAWS 1: CS ,L,� 3-75-Cr Irmin WATERWORf Freese�".wFcho+S ,_„ PAYMENT REQUEST (4.51) PROJECT: Village Creek WRF Deep Filters 1-20 Modifications PROJECT NUMBER OWNER: City of Fort Worth 01628 CONTRACTOR: Peppek awson Waterworks,LLC(SC 043754) 21813 ADDRESS: 455.5 Katy Hockley Cut Off Road Katy,TX 77493 ENGINEER: From and Nichols,Inc. FTW11104 PAYMENT PERIOD FROM: 211/2016 TO 2/29/2016 ESTIMATE NO., 43754-30 SUMMARY OF PAYMENT ESTIMATE VALUES FROM ATTACHED TABULATIONS Original Contract Amount Original , �Y --- --- $ 16,268,000.00 Approved Change Orders PO # �_ — $ 621,288.00 Current Contract ig 7 $ 16,889,298.00 Total Value of O gnal ContraPT61 ed $ 16,268,000.00 (Attachment"A"consisting of 9 pages) Extra Work on Approved Change Orders $ 621,298.00 (Attachment"B"consisting of 1 page) Materials on Hand S - (Attachment"C"consisting of_pages) Total Value of Work to D $ 16,889,298.00 Less Amount Retained et�3[ .11— $ Net Amount Earned on Corftct $ 16,889,298.00 Less Amount of Previous + oooa $ 16,739,298.00 ��, v, _ BALANCE DUE THIS STATEMENT $ 154.00001 Percentage of Contract P ba% , ®��! 100.00% The undersigned Contractor certitfes that all work,including materials on hand,covered by this Periodical Payment has been completed and delivered and stored in accordance with the Contract Documents, that all amounts have been paid by him for work, materials, and equipment tier which previous Periodical Payments were issued and received from the Owner, and that the current payment shown herein is now due. Contractor: Pepper-Lawson Waterworks, LLC By Date: 5-71- IL, r-� Subscribed and swom to before me this t�_: day of BIN L Notary Public: i �L # NwwAw27,2017 My Commission expires: Recommended for Payment by FREESE AND NICHOLS, INC. WATER DEPARTMENT By _ .0 fe ENGINEERING AND FISCAL SER Date Cada ra-M - Approved for Payment by City of For Worth G•�- By `Ik-Ti`I1-Ti16 DErAWNMT CHecicwcK-M ,res 13 Farida S. Goderya Dat 1 ATTACHMENT "D" PROJECT SUMMARY PROJECT: Wage Creek WRF Deep Fifters 1-20 Modifications PROJECT NUMBER OWNER: City of Fort Worth 01628 CONTRACTOR: Pepper-Lawson Waterworks, LLC(SC#43754) 21813 ENGINEER: Frme and Nichols, Inc. FTW11104 PAYMENT PERIOD FROM: 2/1/2016 TO 2/29/2016 ESTIMATE NO.: 4375430 CONTRACT TIME SUMMARY Date of Notice to Proceed 11/5/2012 Original Contract Duration 730 Days Original Date of Contract Substantial Completion 8/8/2014 Original Date of Contract Final Completion 11/4/2014 Approved Time Extensions 0 Days Current Contract Duration 730 Days Current Date of Contract Substantial Completion 8/6/2014 Current Date of Contract Final Completion 11/4/2014 Days Charged to Project to Date 937 Days Days Remaining in Contract -207 Days Percent of Current Project Duration 128% Current Scheduled Completion Date 11/4/2014 Project is (Ahead/Behind) Schedule On Schedule CONTRACT COST SUMMARY Original Contract Amount $ 16,268,000.00 Approved Change Orders $ 621,298.00 Current Contract Amount $ 16,889,298.00 Contract Earnings to Date on Original Contract $ 16,268,000.00 Earnings on Approve Change Orders $ 621,298.00 Materials on Hand $ - Total Current Project Amount Earned $ 16,889,298.00 Percent of Contract Earned to Date 100.00% Retainage $ 150,000.00 Amount Paid to Date $ 16,739,298.00 Percent of Contract Paid to Date 99.11% m z CO oil OY 3a s Q� $ $ 88i $ 88 888888 $ 8 $ BS $ 88 $ $ 8 $ 8 8 8 $ 8 '88888 J 19 UJ aQ L asEsasss- s $ $"$sgsas- s$- sssass $ s $ s ssssass _ s w w 8 $ 8 $ 8 8 8 f $ $ $ $ 8 $ rasa sss aaas 9 a 89 aasa� 999ssssasass -8 8 8 8 8 8 8 0 W ss a- s s s s s s a s �' - I _ _ _ - - _ - _ _ 1" 888 $ 88 $ 88888 $ 88 8 $ 88 $ 8 $ $ 8 $ $ 8 8 $ 8 $ 888 w S RUM 1 " I a A 8 t M a M » M M N M ~ N O N 888 888 888888888 88 88888888888 888888888 go R r Fii I� _ 5 �S 91!31 Sin J 1 9 51!31!21!2 21,319 S 9121 W 119 1 W W :3k.3 W W 11616161 5 N N N N N N N W N N N Q m ❑® e H WZ �u m n LLCL QC ox ' Q Qs Iz a �e � sza, saes s s s : a1 _ siq q �; s des s s s Rs a a m M # # # # # # # ; fill I ; I gigsIIIII I fill If OY 3c a Q 0 assess agsaea $ # # # # # # # gg # # QiLLa a a RA N A Li AA St » » ii .� .� » » A »� - » » A « »e-sLF d W L �� � a � as asss8s� sassy ase�. a#. s � s# ssas# ssas$ s sag8 as8 � sg� � �� 888888 8888888 8 888 888B8888H8a8i8 8 8 8 8, 8 == 88 :ES x8 1994 x 48 a 1 9 9 . 9 8519 #ji x ! $ aa a 98� s a $ 8 I as � 8a8s � 4 s - - - - - R R R ' 83 s S R # " . - -Q - - R R R R R R R h - 8 1414 ! a " s � iBR1 W s $ 88 $ 8 $ $ 8 $ Q$QII8 $8 88888 88$ 888 $ 8888 $ 8888 8 888 $ 8 8 I ~ D w 6 h I $ $ $ $ $ $ 88a9aas $ 8899 888 $ $ $ $ 88 $$ 88 $ $ $ 88 $ 8 $ $ $ $ $ rZ co a N I � m V W ZZ O y m ~ LL ~ • V. J ri rrF it r F - �S�t � W it�C9 r{ cS>sr h= �Zgl�i-i k@f- `3ra QY _ _ _ _ _ - - - - _ � a Q® ssass � s sa � QgQsgQB . s ¢esy� sQsQsl: 4sa Qas. . $ sQ s. saaesa sass $ s �gsp�;a LLJ d If� saagas sasaasgass8aeaasa $ ease : - eases : $ asses aa,a 9 of ii $ AiIi4L i r r M r r r N r r _ assess I ' a151 11 aaasgaaa8 aasa . a . : $ $ a asIds agglg AAEf '1 :t8 :fSS AAS ASSSASAA ;; SAAxlt A A A eases eas $ aesassaaseaes eases. sagaaas ass. a $ s. CAARR RR " _ 110 ? RRRReenl_ W I $ 8888 $ 888 $ 888888 $ 8 $188 8888.8 8885888 888 . 8 88 alai I w r » �► a - 88888 888888888888888188 8 $ 8 $ $ $ 8 $ 8888 88 $ 8 88 C i lV � ` c W W ` S 6 S W W W W c c W c t c ` c y 15191515 J 51 51 1 1 1 m W J 5 J S 9 T' '12 Pl 14 2 c .4 J co .. N 4 J > ss rj al � V V Z � � 1 i W � � � � N W • W J � J r �` S W < {<� q<� ¢g< i �<QK+ qc 3[ O +� fir. 4 �iI K 4 6 6 W 0 R' W F t yfaW W a $ �,, � _ ax �j � s ; asa4aaR ' r - _rear - s ± sex s : iaaai as : _ .. xR 4 �C) 0. � !r .i i i t i i • i ii • i i t i OY # 3o a <� a $ aa3 s aa $ s. a $ $ s $ $ a 4g $ i �.cc dW #a iL IL 8 888 $ 88 8 88R - - 888 8888Q YS8ig 8a $ aa i $ aR a as ttas - xxx » » A $ s as Aaai $ 43 $ VaaA saa � $ aaa a $ s $ a ss aA � SE 8 AAA Ai AAA AA 8 $ 8 $ $ , 8 8 $ 8 . 8 8 . 888 888 8 . 888 88 8 , 8St HI28 » 88 if " » � » ' YBMa 1904 � _ 88 88888 888 $ 8 8888 $ 88888 888 $ 8 888 8 8 888 f „ O ^ � tl � !! A tl N - N N tl r N N tl �'I� O • • 11 • • � 7 � (N y 1 515 yy JyyJ !2 J !2 5 y JJ J y !9 9 y SIT151 5119 !31!315191!3 s y a o` # M Y O w LL O S = yn .�. Nto y �r U- � �Z(L ucf �{Zy[ �/C1 J1Z�G pct m W _ � fW • � i i i i �i a - xFa '" � �' � a ij V a 1' i m ZCl)BY � _ 3 cc Q0 as s sass 8a � s ss. sea asses s ic LLI pal 4Q IL # a sae s sa saYss as ae - ass sae s ss sea asses eases a-s8ps eases aa� a sa _ ag S S a S a S Sf S S S S 3[ a E d !E ! a s sf s sf ss atE --- - aaaag a : : as eases eases a = aaa seas assess as 8sv e _ 1 5 2 88 88 88888 88888 88888 8888 8 8 8 8 88 A A 8 A 8 m A A AA n M ^ m1 x ;. » as 88888 88888 88888 88888 88888 8 $ $ 8 8, 8 $ 88 $ . 8 n n n D o m !i m m p N � N n n - � n h N ^ q h m ♦ • N ^ � ^ � a N J J1 11 Ti J J J -Ti91 .l J 9 J J N W J d JI 5 1 1 91!21 15 51 5 J J - - - -IT t 3 C R N O � ti IL • B a 1 oill SY V i] `V W W i` W 14 � 1111 � 51 ffi mU-11-7:217-il tm � u1 1 E =I i ii i t t 1 t t 1 l 0 oY �0 s g s s a as s a ase S - N2 RWa E �� ---- -seas - sss. s $ asses $ ssais s $ $ $ sass sae � 8 ass- s sa sass s. ssa. sass8as asssssa seas asses ; s s�-ase eggs aaSf as a seas Aa ttS sMa � � sa � a s �ES !fit 888a saa5 asa8888 I aaaaaaaa8 ss. ssaas sad 11 seas : . ss s . sg s. 14 ass sass a sae s s a8R ¢a¢ a�eQ 8g 88¢ a¢ 8¢ ¢ $q8Q Q__ Q8 Q 88¢ 8 8 8QQg8'8qy8� $QQ88Q8g8 88¢ 8 8 8 �8{ a86E � ii 1S i� l3 ii Z{ 7i ti ■ � K � Y � � � i � �Sbii � i X S � � d 5� r( H � 8888 8888 8888888 8888888 8888888888 8 888888 $ 8888 s $ ANN � � � � � 9009111 1 11goill ow s « . « n gym ' grr n Na • .n « o .- « ores « prns— • 5 !33s 1 133915 W51555515 51!swn5S2 !� !2 'g532 '3554 155553 3 '35 '3931 a co 6 I CL sg gjgg2111111111 Q4 Q ��' • m S i i i j ii 21111111111 d .1i �o 3 "l 1 3 7 4 7 3 i �i .7 l i 9 1119 i1x a >� a m ZCn _ sc �0 aaa8a $ $ $ $ $ $ $ $ sa $ g . g : WIr W si y A R a M a A x » a w ' R i = » 8 Sd ' • g - X « It CL = fin # aIIt RA » RA R A Iia ;, SS� e iylli = 81� 7i w $ 8 $ $ $- gas a $ s $ $ $$ $ $ $ $ eaassagaasss" 8ga Ill ! 9131999 aa8a8 s as as aa sa as a qoa aag9og MUM a O 8 , 8 8 888 8 8 8888 888888888888 888 + 8 z e a R � 1 tog ps o � N^ $ 88888 S8 $ S8 $ $ 88888888 888888888888 88988488 8 $ $ 88 C 9 9 3i 51.7 5115 J J J Jl J n J J 5,121 J J J J 5 29 T J 9 5 s91 51 5 a 15 3 15 5 a J J J Iasi ^61 N I ph L ~ Y 4 LL co fi �` ~ J � U- o � � it '' i!n I as fiR � z ji .6 s@a : IISYQ87c - 8 Wp i 4 i m OY N�� a 3 QO ick $ ! d w ^ • IL< ~ � a $ 8 42 $ 8 $ 8 S A S �� ,S� !t IS 8 ASAABA AA S 88 8SSAAA d I I $ll 8 $: .8 : : $ $ 8 g � - � ti - g 3 8 RRft « "' - - - - - j 8 , 888888 8 8 8 8 aa R 9 8 8 a R 88 8 88888 31 8 F 8888888 8 8 8 8 8888888 8888888 88$ 888 N N M An W 61 sl 1 d 9 r U U aYi W W 161YRW !5 1T S5995 a 6 19 J N Jo- IPP j s711 j 8 w 3-1111111 ii11 $1 & � $ $ =C ` < t < < m � taY LU W UJ LU UJLLI sgsgassgg > z >zzz > r — — — — — — — — — w —w w w 0 0 O ti: b ao M xv stststst = 1— 611 Z m CO V z G7 t— c 14 p WFO;o W Z 'n� $ gWgvgicwg�i��rgimg�NQ� gS�grciori®mg0® e e e e e�Yf nWIA � (6 C6 C,"© o act NO "It CD7 t$V w d N e- ao wy O 6p pN.Q N O N O. p p N O N N O N p N N}o N O N y o N O N N y N N N N N y a W �w4 OOSOOOC9000Si70 CS� OHCS C3 e e e e e e e CL wWa i wc', � nisa�e`�r� g � eVc°'� ~vo �5 eri us m N �ri.�""i a0 ri of �:iti ci ri a m o ,_. h w-. w r Of W tgt w r N P CO �y r�z ul v iD 0U. W M!M N N N N N N N N N N N N N N N N N N N N N N N N N W U.02 r e e e e e e e e e e e x e e e e e e e e e e e e s e e J W~��Y W OfN N N N N N N N N N N N N N N N N N N N N N N N N N N �y W V ~ J So� m } U �Y Lu- Y,r: _C Gam— G7r OC. Otl7pO� OpOl` OC700w0pS�CC+3im. N. . �. -, G8 � §-EaN � W-Q �g Mr�4��C(C'Aa�{( OgQQ0 e e e e e e e �p�Qp�J N � < tC76nmNN,C9 �P MiD N NQf C'i mhIL' Ol9 C3mQ cv � r tV �— ww ON fA pN pN pN pN N pN py pN®y Qy ON pN N©y N pN pN pN N N N N N N N N Wto In fo co g 800000HOSH0g8SSSSSS 9 C4 z P- N N N N N N N N N N N N N N N N N N N W It 5 n� t O N Unsncowcnw Inwcocnvsu- O m J J J J J J J J J J J U N w — — ———————— — -O �S2 LL a O O W O. G � t E LL m w y w c4i U iz w cava 4, CLJ � _ O LL _ Q � LL U QI a) I -i1 e -6g em a LL W D: e e LL or n e < mm a a e a e — C$j _o OS a p a � g � g � o) mgg8 � 8S0° W z X 8 82022 L) d O C-510181 V U U U LL W W � Z w UU (L) 0 CL CLaUaaUa0L) n Z z p C r- N ch 47 aD aOUw a o �� 8 03 8 V co z a e t t t t t t t t t t t t a o t a t t t t t t t t t t t t t t z W w � UJO g Sa C) ZJ Z N , g r+ �� Q W Q V o N r v ers ars arr ers ars ars rs t�Vi.ers ars ars ers as as is yr ars art es ars to0.tR to trs ers M ers W ® co r- a a 000 a 0000Qa0CVNOaa00Mtatrs0'owtnN Q, < LL � O W m M O O O et �! P (n `o 00 O O O N O O M COM (n Cp M O N W) P Q H O Z J 0 0) IT P w wN wm Qtri N to CONN6 v a3 mInM a w W OP mm (0 00 V U')QNl,- ar} to00 (Dr. wNInN W M d F tC) O O? M O e0 �t 40 M L W W C0 M F M V P O O O �( FF 0 O r 0 a"�r r N P 04 9 00 V P .- c7 Cr) M 0)CO N O N N v 00 O g Z p M P to LL ~ N N W ers ers i9 ea err ars H er}w ffs er4 ers H ars w ars es srs ars eit V'1 trs us 19-111.414 6rs trr trs err arr Q c) t- 00000000000 NNOOOOOMtn tO0003 tAN cors 000v � Pc3 �. ccCR agSalloaMooMa3ccc� oN � P LU r` O t r- CO 00 fQ st 00 x 0 N 0 m V to N to O O N N 0 v 0 O to 0o a - W of S 0 - (Q O OD of CO 0 V tr) O N r` M t[3 O O m P P N to N 0 to LL I'- OO cp M 0 0 V w InInMM0Mr-M 'It PtpOa VIn0N0 W CAM Z CN �< O U') 0 "' � �tV r NP CD S V' P P r9 M M M N N N�t OD ry M NP MCV Ln O J Q a O< Vi.eA FA H 413.161k err to h trs N Iwo.H ars H N M Mr fA<A ers ers err H ars Vs H err ars N err N W y t t e t t t o t t t t t t t t t t t t t m t e t t t t gW �?F s L' W H ara to 69 iR i9 HtR Kars eA a9 tAlHtrl a9 HH'1N r9N h es N as ers vl;err eA Htrr iH p aO� P a ap o O �pSm InC14OW � m 'rM- W 2 PNaDa to to yrs totrstotoNSNN'Ntcs0P00NN NN0mPN W te r` � O O CDN CO 00o 0o 0 00 00 ® � C"s cC4 rZ�3'M a0 ao � C) N ITN O r' W W M M P P P r M M eo P P P eN- IN e- Q NNNMMNPst stt � � � � �700c� chPd POaMMc� a7PPP � ?L PPRP Pa0o 0oP Paaaa 0o 0o co +- PP00 m m QD QD W M c`oo P P P P P P P c� w0Wtoo 00 >. >- �' cn toWw 0: Q� of0� 0: (rWZZ 0 zz z m c� c9ywwwwwwww ¢ ¢ Ww w ¢ ¢ WWWw w Q w ZZOazzzzzzZ229, � Wzw � o � � � � wwWg U a 11 a aaan. a- aa 55 — wWwwwww � � w _ � � a. JJmaHH1— I— � � H00nD0- 0- 0OS » 5CL1E5 a aaa = = —imcacncncncnvsv� c� Oc� c7cnmcnc� c� c7c7c3rc3vawwo ctmmmm � y� � � � � L � � a cL w'►uXe¢i ,`� n awwwwXggw c� c� c� zwooaoQQo22COX 220000wWu'gym oow � » zz � » zzzZ � � � z m wwwwwwwa � ¢ ¢ w a. n. ¢ ¢ ¢ ¢ ¢ C10Z JJJJJJJ J U. a p �. N m m m m m m m = = w w O m 0 = = w w w w o 0 o w �3 W W z » » OOOi- F- » � O � l_ F » ? > VSt� cn � _ WWO 000000022 O � � '1 ¢ ¢ Q Q U OdOODd00 ® L4w ,� :,� n ` W OQOQOOooaooac0oocoo ® CcaQaQO o000 oaaoo 0 000a000000a 000000Soaaa p ooaOOSOSaoOcaaoO000agooc000eL0000 Ix [LW 0= aIn't(jaIn 0tritritritritritriOOaaaaaaaaaaO0ao0 0 if Q h D �t to M M CO M O ao OO O 00 M CO CO m CO OD RO M M M M M M M M R OO> O W ILU Ix ars Ors ars ars ars crr ars ars art ars ars es es en as err aFr 111-111411*11"1111114 ars ear ars ars efs eis err 9 W Lu Lu 7 Z L'" ? s -' -0 CA P P N c) M r3 co M M M M IT W) W) W) M to P P N N N N N N N N O Z Q } 3 �Q 1: aPNNNNNNNNNNN MMMce) c) In V It V IT V 'TQ V IT 'T ce M O 0 w a 4 P r P P P P P P P P P P P P P P P r P P P P P P P P P P � . as H K H N H N K 1--+'l H N N H H H H H H H H N H H to H H N H H H H H H N H N K H H H N H N N N H H 00000gqOOOOOONt700pp00 O 01000000p Oppo00o0t0000N0 �p N OOOo000a00001� 1i) th00 `aaSOSI� •SO �OhCC) o000 W OtnOOrOOONOCOSd' N r CD O O O O Op 0 0 0 C C IT CO C r" �p CCCN CDW M r a ® CCCWMa MIt W5 CD r` W CN r` r- Mn - C> gc> o , ,DOOM ,, , OONSOCOrhOC� — COmN0000 W r (O W tO rtn WMrrM@O O a O r:0 K) O O f- N W LO tO M r 0 CD 10 O r r W r.- r.- O r O Q N r 0 ti r- M In O f,- N V m 0 CO rrQNr W 0 "t0 V;ui vIn CO O 1-:0 '�iNrN r C6vv CE}O v: CV tO N M IO Ci N r, CO CC M rN r sP 0 M t0 r r N M N r M V W LO e r r M CM r r r N M N r d!H b!N N N N K H N H H N H N1 H M!64 M!it!K 64 df b4 N H H H N N H H H K N N K H H H N H H H H H 0 000 O ooNMa o 00 Owoaoao 00000 ot000gc�. coOe�iSv o `c� 000So8S 'S' oor! tnCc!, 2'SooS � voco � aoogooWolnSoraO N CDC000CCCCCCO) itC7ChCDOCCCVoCDMr 000to0CDCD0M V LOCr-* CDM' hlh+ r` ISM - 000010000 W Il- IV OON 100 (� — Il- 0W - CO0000to 00r t0M0 - 0 W C? rrM M r et 10000 n O K) O S P N CDS O q rO W EC) O r Inr W 1�1�O r O VNr 10nRM LO ® [� N '0;�m CO r r tO N r W O IT in-to 1O V'tO O O r` CO " N r N r di M M O r 'q'6 N M 1Y j W N r` 0 0M r N ret t0 M � rrNMN rMet N i[n7 rr M Mrrr Nm NHNNit}iriNN1"VlHKiI►NK111*11ANNv9Mf 14,11111, KKNNNNKKKNKKNNHHKKNNNH 1 t I 1 t t 1 1 A t tl t I I 1 1 1 I 1 1 1 1 1 1 / 1 t t 1 t 1 1 1 1 1 / 1 1 I E NNNf HHNillHit3MfHillil9tlT NiJ}KKHNHNiAHwt.NNHHNHHHHHHHKHNHHNN'HH 0 0 1n r r r• r, r~ r r r• W r 0 0 M M r r W W W W W W fD000000acto OMOMCONC'm CD W CoWMmm00 r` CpIn10 � r21 WM � MNNNNN CgCq � r n. rt-- r- c- n W 8 ;� GoWM m oa� co e� e� t�iAA r r to O 0 0 0 0 0 0 0 0 N 0 NCD N N N W 0 0 r r N M r M r r n N N N N N r r f- r r r N r+ 0 O W W W r r r W W r r C17 M M M M M M M M N W W W W W W W W W N N N N N N N N N P r N r r r N N N N N N N rrr N N C°? C7 C'FJ M rr rrrrrrrrr !'� r rrr �' d' �' d' rrr WCO CW'COO en to u') 100 10000 W r r r r r zzzzz wwWwW wwa w www zzzzzz zzz www 22222 dal o` aaa wwwwww www aaaczaaa 0- (L a aaa f- Fri-- rte aaLa ¢ ¢ � » » zzzzzzzzz O ¢ ¢ ¢ ¢ vsu� v� tnvsu� g ¢ ¢ QusvJc� - - - cncnn - - - _ _ _ - - _ gOCO COU) (f) < � ►- �- � cntnmFf- CFQOocr cnQQee(( Qtntnfll ¢ ¢ QQ ¢ ¢ W XxQC9U1 C9 U' C7 G4 C7 C7ClJ ~ X XX WLLlLla_ tLLLJsLJLULU iu¢. t¢iCn4QgfntA W W W W W (� W XWWW WWW W 7G ,tY,uyWw W W � W W W W W w W w W X W Z W W W Z z Z C Q 0 C1 Q 0 } z Z z a O O z w lL z z Q a E-- F- wtncntntnmtnwww F— HF- t- X zz zz 0 000wWwwWw Ooowww0E '- � 00 (] J JJJ JJJJJJ JJ -J J J JJ -1 —1 Q ¢ 000 0 000 mmmmmm mmm 000 �, » » � � � 000000 SSS � � � ¢ da ¢ 20000 0000 00000000000000oo0ooa000O000Oa o SSS0000S0000000000000000000000000a000b � ga CCCCCCcio ® Cc�' oot� cScota000 � c000coci00000 ® cot3 ® oot� cco 000vma0000 000000000000000000000000aoaSooa0000 OCa00C"JOttf 00aOt?00000000000000000 a 0000000a0Q0a0000 d'�CV rr c"7 f�NN W CO tD000o000 ®OQOOOOCa CLQ Ot?C;OC7d6C;v+ QOo OO �C� r r r r r O pp O W W W W W W W W W W W W W u� W W W W W W W W W W W Qf W W r r t0 CO CO r r r r r r r r r r r r r r r r r r r r r r r r r r r r r r r H N N K H N H H H N H H H b4 tf 3 H 161-164 H M!N H N H K K H H f A N H H N H N H H N N N K H H H N H tOCOW COIF CDONNMMCOt . C0 . 000050000CJ00000C? OO �fCOOOSOC? OO sr st ' tO to tC) CO CO CO fL1C0 0 cD 0 0. 0a 0 0 0 O O O r r r r r r r r r r r r M M M 6 M M M M M M M M 6 M M M M M M M M M M M M M 6 M M M 6 M CM M 1 i 1 1 1 1 1 1 1 1 1 1 1 1 1 1 1 1 1 1 1 1 1 1 1 1 1 1 1 1 1 1 1 1 1 1 1 1 1 1 1 1 1 t 1 1 H H H H H H H log,6'!H 1"111 H H H H H H H H H H 16`116%16% HH H H H H H H H H H CN H H H H H H H H H H H tOOMCONO '0000NMrM � Or00 0C 00wNO1A00aN0N00000aQ0000 CO � M (OrO W OOOtorlArCprOlAS1n000c- LO sf rI.: MW MOCpO100M00000 r W � CA f� pp CO Mpp M 1,- C QQ�� CD 0 r O M r CO O t4 sf co CO W CV CO t` r Cp r to Q CD C) O O I� NI� CONOI- NOtoChNMvMCOrOof W NCOrl� tONQ hC0 �tCDOCO 00 �p tON f� t� 0000 MMOCOCOOO W MCC) .tCCL COto1l- 0 W W 0 0 m a m 0 co01-- MOr — CO CON Io V OtOOO LO V LO P.:r-:N 0 tp N 0 v to v to r r N r r CD N r N CO Rl C N W S W to N v r� W In N N N NNN CO CO CON r Wr CO rr r N %n r r N r r I` r r r V!HH V/H fN Y}H V!H H H HCA 1llr H if3 iR H!A H 64 H H H H H H H H H H H H H H N H H H H H H H H H tOOMCON COO NMr Mp V0r000000000N0LO000NCQNOOQOa 0a 0 CO V: M CO r W :O Sa to r In r CO 0 r to O In O O r O tO M O O CO M a+' M O to CO VV O M O O O O r W V W it p m M p O M to r n O W 0 In r o to r CD O W) n 0028 N ((pp 1` r r V In 0 0 0 CO O r- N1- 0NSnNOto0NMvMC� ra V 9N CO — ON V I,- V 'tt &ICO SNtO1� h00 O MM000a0 OCaOMvMCO -TCOvwvCOI� OcO+f' W OO W OMOCOW1- MOrtorCOCp1� CONCOIVOtoSO tp le to r ogor - C4 0 RW0NV 1ArONNr NNNN mco mN 1- OrO N LO N r r r r r H H HH fllHfl!HH H H V1 if"*1111, H H 69 11111,111 H H 1"1 Ui H H H H H H H H H H H H H HH HH H H U1H.H N H IH Vol H H H f/l H N H 1, 1111"1611 H H 69 H H H H W"W" N H H H H H H H H H H H H H H H H H H %0cn rCappt r tOM � W) 0 W 0000 MOM � COCO CSO CCD 00 CGOC^O W IO NNMMM O NNN sf LO N0vNMM 1 m ~ � � 1 S 1 M 1 1 tO lO W W M NNN CO u0 CO r C'AMt� C7MCDWtoNo N 0 to ' Mh ' ' Nm 0 to V � COCOrO � OCOCp W coCO COM COMM CO e� c� e'� CO rrrrr rrrrr W I� NNtOI� COI- CO NNN NN NN N NN NrN 1 1 1 rNMNQsf NIT ^ rr � rrrrrrrr 'rrrr � rAA � rr � r CeO� r00000 ��p 0 co CMO coMM to to to N N n S S 0 CMO r r r CMO • 0 Cp CMO r r r CMO CMO 0 r M N N N N N 1O to to to to LO CO LO LO LO iO tO to tO 0 tO 0 r r r r r t0 CO Cfl t0 CO M M M t0 tD CO 0 m m 1 1 CO CO t0 r r r r r r r r r r r r r r ZZ Z Z Z Z Z z Z z U Z U wwwwwwwww WWw ww wwwwww w aY Mmzwwwz2ww2mxwwwwxm2wWw W aaaaa � a � a aawaacLWaao- daa0- aWaaan. aaZa2a > » � > > SFa0- CL a- E3 CL CLFa555aawaSazzzzz wwwwwwwww wwww � v� cncn � dv� tnQOQtnv� � cndQQcnW � cnat� » » � wwwwwwwwwaawwwwww ¢ ¢ w ¢ www ¢ www ¢ Q' IrJJJJ LL I.t. Q IL Lt_ UXUUCXw DOOGOFFFFUU >- � > } � 0 aXXDOO X VAX W XLLJ W Z Z Z Z Z Z Z O W 0 W w COMM W O ZZQQQ WWW W XXXXzz FFF Z f—. — ZzzF f. FZZz �— W W ¢ ¢ Z 6 6 ¢ ¢ J J ¢ ¢ ¢ ¢ J ¢ ¢ ¢ J w F F F F F W w w ��JJ w F F F F W W M O 0 0IM W OO W W W O0 ap O w W w 6 0 ap 0 O » > » QQ ¢ ¢ » � UU � > > WW » 9fntOOfA » ] CAfn0CAOCA JJJJJ WW LLWl w LJ1 JJ J JJJ JJJ 00000 a00000000000000000000 0 00 0 0 0 000 00000SOoo0CD0000000000000000SoSSSSSooSoSoSoS000 00000000g88S8Qa00000000g0000googgog000 $ 0000l� oo O000 0 oSQoa000OO aaaa oO o Coo OW OM OcaaBSSaaaaaaaacaaaaaoaaacacacaoOcoccgaSSOro �Ov_ OO C)OOOOOOOOOC4N N N cq C6000O t cq It V V 000 CD C50000C?tp to W Oi OiM of CN W W W W Wrrr � MMNNNNNNNNNNN � � � � �{ �{ OOOOOOOrr NN N r r r r iRHlfACANHi1lHHHHHHHHHHHHHHHHHHHHHHHHHHHHHHfAHHUlHHH V1H OOOOOn ~ O O O IRCpOOSSSg0000000000000 C C C O r r MMMMMMCMMMCMM trit[iIrit[itrit[itoari to t0IriIntciLa 0 tn to 0tn0t[) tri0 trimmmCOm 1 1 1 1 1 1 1 1 1 1 1 1 I 1 1 1 1 1 1 t 1 1 1 1 1 1 1 1 1 1 1 1 1 1 1 I 1 t / 1 1 1 1 1 1 1 49 N N H HN N H H H NN N H N V!H H R H V!N H HN MA,H H Ml d9lH Yf 91.H H H N H H H V!H/A HH N Co to NCO POCOOIANCOhO Opp OOOW 00 O OPOOCO � 00 �t ONOOONONOO pp CO ODtANI� OmOtOtoNPO � 00000rOOSOSetco 'T v t POOCSCOr W OSS W NmNOSO NMC W coW CMO W COOCOC 0C CwCpr- aCOCCPOPPcoco wV) 0 'TtCjCM 0p OCD NN MMNOON -1MMNMOSgOODW 00000TcocoCOPCOto V NMP W0C, N. rtou) M PP P M '7 P_OOM 'MM CO OOOOO �VL VL V:act CO N CO CO CO cq W CO r 00 to = M M In to OCOn rN NN1APPmerONOPPOPvtAfl- 0a5 0 N v PM � CDC000r06r rloet � PMrCO ru) N N r M N r r r M W O N to �CCn7 r N W T T N r CO IT r to r H H H H H N H H H H H H H H H H K N H N N H H H H H N H H H N H H H H H N N H N H N H H N H tAtoC4 I, Q0p tONCOfl- Ott0000a WOOOOOOPOOCO vOOvaNOOONON0 p COmtONP: C! QOtoNC� 00000000r00000 W � � � POOOCOr W Oef W NMNSOS NcVMOCOOrW 0C7000AOoC> coa00a 0r- 000O00006viU.) cna � Vn0M VCp rCDaaw NN Cr1c9NO0N �tMMNM0000 W W OSPPPOOOTCOCOOOPCOtO V NMP. W W 00000Prtot) M N- P!0m ttiOOPtOM 'QMMOao � V OCCO :.y_�OWOOP CpNOD00MCO10rW— U, OSM " LO C,NNtAhI�CO ONcni.- l- Of- Iz"CO CO 06gzC " COQ rtp " et l.- Mr CDrtA NN r icy rrrM W ON to rN W rr NrCO � r Or H Y!H H R H G"IA C/1 H N N N fo H M!14 M,N N N N N N N N H H H N N N H N N H H H N N H H H 1.11-11-11 H H H H H H H H H H H H H H H H H N H N H N H N N N H H H H H N N H N H H N N H H H H H W$.6* M N O v M O r M N 0 4 M S ¢ ¢ ¢ ¢ ¢ ¢ Q ¢ Z Z z z z_ Z S S P 0W0 �0p00p O gC� t� q r � � rr rrTrr OM co CO CD W W r � cOr10e'� c'OC14c)m cQCOrJ � � (066 b6 � tbCDtbtbt00 ��pm 6UO �p DOrNNNM � W PNNO W CO OPQPPr W OPOPP00 00 c�) C� � N CONNMC�lC� S P PP coT OTr0000000OS00C0C00000Mco t 1 rrPTrrrGo W 000 niNMNNco r- cW4Nr--0CV K91oNIolnu) IAIOMMMMMM W ' N0to r NNNN0004 CIJ O N NOO to 00000 a v a vv � 00 MMMTr �, rrC� M I Or rNNNNN NrrN N NNNNN 0 aa.inLo r rrSCp � -j N N N N S N N N N N S r r r r T r r r 0 0 0 S S 0 co CO m m 0 iI� r r r r T � Z z z2 < >- i 0000 O 0000 co wo cncncnwo z z z zZ¢ ¢ wWw W ww � c9 U U U U U U U U U J J J J J J J J O _ O O O O a Q 2 2 2 W W W W N g W 0 cncncncn (0 CO ❑ CIO ❑ 0 00 00000 � adaciaZaa J a a a a a a 0 wa a z ❑ ❑ ❑ ❑ ❑ z ❑ ❑ ❑ ❑ � zzP- m wPwww z z z z z z00 » ❑ n. CL ' a- ( — O W U) JJJJOJ � JJJJf-) OZ zzo zzzz R a M MUUC� 0000U3UCnCnCYCY OZ •� xQ Q Q Q U Q O Q Q Q U O Z = = Z Z Q Z Z Z Z W W W W W zzZ U) Z � zzzZ (OE' O � � OOF- 00000 E- � w P Pa. a W W W g � gW W U LU W } } } } } w � UWWUU � 000003zzzz - 22 ❑ ❑ ❑ WOujW0LLIW � H W W W WUW � W WwWUF- W F- HW WH W W W W W „-,1 �1 J J J J » zzz � F- F- F- Zz _j F- > x � � x xxa � 2 22 22222000OOOaa ¢ ¢ ¢ ¢ ¢ � - 9 wwww w wwww � � � � R22www0, � 0, xxwwwOOmOOw �13J ❑wg H F- I-- a � a aan aszz z �6z z � ~ JJJCnV� � V� t/� � F � UUa § 0U0U) (D > ¢ Q S QQ x O O O O O O O O O O O O O O O O O p 0 0 0 0 0 0 0 0 0 0 p 0 0 0 0 0 0 0 0 0 0 0 0 O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O S O 0 0 0 C C G G C C O C> O O C G G O O C C O O O O pp W C O G O O C O C C C C C C C O O SO S 0 0 0 0 0 S O O O O O O S O 0 0 0 Io S O O O O N S S S O 0 0 0 0 0 0 0 Q S S S Q n 0 0 0000000 0000000000toCOtoOCOCONO 00000000000 T � tt rrCOrrrrrrOOg 000 W OMPr0000Co-rNO00C�00 0000000 W W O CCOO NONOOOONN V V MCONP � CO MNM NCOCOCOCOCOCOCOCOCOCOWC4IOtpU) rT . . . CV rrTrrrNN V Vr r NNN CO CO rItQ V!6"1 H toN V►N H GOD.HN N 4091,60).NN NH N NH H H HCA N NN 1.1.,N 1.,N H N N 1601.6%H H N N N NH N ¢ ¢ ¢ CSU ❑ W lL (7 -� Y rNM u) �p ¢ ¢ M co u) O In to to uj to for p 0 0 0 0 a m ❑ W W W W Q N N N N N N N N N N N N 0 0 0 � 0 0 � � c6 6 r cc cm cc Tcoccc�Vlcccccc7cm rCc rr0 0 0 0 0 0 0 0 0 0 Co 0 � cc co r r r r T r U < < < < < < < < < < < < r U 61). fA 6S 64 t. 6;i Oo00m co O O O to co co Lo to o r-_ ai Cl) CC) O N (D O 00 i� M O P- to cD Lo M CO r r M O) O 69 64 69 64 E9 6S O O O O O M c0 O O til M Cl) Lr) LO O � m Cl) co O) N (D O co f� M O r I OJ N fl- O U) M CJ r M G7i O 64 64 69 64 fA 64 e3 6H (Al 69 6-1 r m b O O O O .r O r � O ON N M M M 7 0 N N cM M r M Q W d W a — H >- CL zz � � � Z Q Q CD CD x W W U W (n (nx W Q m C� O W F O O O O O (� O O OO O w 0 0 0 C 0 ui 0 0 0 0 0 0 C7i Oi OQo to X) tf7 to Lo tf) L V r q V W U Q E» 696-16-31cfl O LL J ,,z V -,r Q 00000 F- U U U U U O H Pay App 1 $ 1,739,412.22 2 $ 385,076.46 3 $ 159,578.02 4 $ 588,753.67 5 $ 773,751.45 6 $ 1,258,255.90 7 $ 842,452.52 8 $ 577,210.00 9 $ 1,520,559.02 10 $ 580,588.89 11 $ 672,820.08 12 $ 700,533.84 13 $ 307,693.04 14 $ 2,565,576.51 15 $ 211,609.62 16 $ 228,720.78 17 $ 472,506.63 18 $ 310,738.40 19 $ 140,729.17 20 $ 321,099.54 21 $ 537,727.47 22 $ 350,112.06 23 $ 276,808.09 24 $ 662,543.90 25 $ 73,133.22 26 $ 35,895.11 27 $ 27,597.06 28 $ 69,498.00 29 $ 348,317.33 $ 16,739,298.00 CONSENT OF SURETY OvM ❑ TO FINAL PAYMENT ARMTrCT ❑ AIA Decumepd G707 CONTRACMR ❑ SURELY �7 Bond No. 268003014 OTHER ❑ TO OVNFR: ARCI=rS PROJECT NO.: Imemandm"Wo City of Fort Worth Water Department 1000 Throckmorton Street CONTRACT FOR:City Project No.01628 Fort Worth,TX 76102-6212 PROAK . CONTRACT DATED: (X=WAKf&d*00 Village Creek W RF Deep Filters 1-20 Modifications, City Project No.01628 In xc=danoe w+tth the provkkiz ofthe Cow=between die Ownerand rbe Contmaor as Indicated above,the ammam Awaetrias4varzoi Liberty Mutual Insurance Company 175 Berkeley Street Boston, MA 02116 SUREry, on bond of fh+raM=eWWA&%0gf 7 Pepper-Lawson Construction,L.P. 4555 Katy-Hockley Cut-Off Road, P.O. Box 219227 Katy,TX 77493 hereby approves of the&W payment to the Contractor,and agrees that flnif payment to the Contractor shall nen relieve the Sumy of any of im obbpdons to (1a aM X=v Md a d*4a 9 f o"W J City of Fort Worth Water Department 1000 Throckmorton Street Fort Worth,TX 76102-6212 OWNBR, et set torch fn acid Surety's bond IN VfiTNESS WHEREOF,the Surety has hereunto set its hand on this dater February24,2016 fua�mr A�aKrAig rM►aon�3/6flbaaif A,r+ba.m+rark rias anr�er.) Liberty Mutual I "surance Company *"v,By: / ;� awan"41000~ Abet Thomas Bean Attomey4n-Fact (Sew. (PirJalI amore aadlAolr} Surety Phone No. 617-357-9500 0797--1994 THIS POWER OF ATTORNEY IS NOT VALID UNLESS IT IS PRINTED ON RED BACKGROUND. 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. Certificate No.7120206 American Fire and Casualty Company Liberty Mutual Insurance Company The Ohio Casualty Insurance Company West American Insurance Company POWER OF ATTORNEY KNOWN ALL PERSONS BY THESE PRESENTS: That American Fire&Casualty Company and The Ohio Casualty Insurance Company are corporations 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 WestAmerican 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, Camille Maitland:Colette R.Chisholm:Desiree Cardlin;George O.Brewster,Gerard S.Machoiz:Lee Ferrucci;Mia Woo-Warren:Nelly Renchiwich;Peter F.Jones;Rita Sagistano;Robert T.Pearson;Susan Lupski;Thomas Bean;Vincent A.Walsh all of the city of Uniondale state of NY each individually if there be more than one named,its true and lawful attomey-in-fad to make,execute,seal,acknowledge and deliver,for and on its behalf as surety and as its ad 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 22nd day of September 2015 0 q :NS(� American Fire and Casualty Company `raCS 4 r`ZY R `rt IN SUgs, �:I�S:/q�, The Ohio Casualty Insurance Company �+ Z f s Liberty Mutual Insurance Company 4) < 1906 st9 ^ 1972 ° 1991 C - = WestAmerican Insurance Company By: C STATE OF PENNSYLVANIA ss David M.Care ,Assistant Secretary leo COUNTY OF MONTGOMERY C — O d Qf On this 22nd day of September 2015 before me personally appeared David M. Carey,who acknowledged himself to be the Assistant Secretary of American Fire and v F- u o Casualty Company,Liberty Mutual Insurance Company,The Ohio Casualty Insurance Company,and West American Insurance Company,and that he,as such,being authorized so to do, W p j execute the foregoing instrument for the purposes therein contained by signing on behalf of the corporations by himself as a duly authorized officer. i E o > IN WITNESS WHEREOF,I have hereunto subscribed my name and affixed my notarial seal at Plymouth Meeting,Pennsylvania,on the day and year first above written. 00. rE SP' PAST, COMMONWEALTH OF PENNSYLVANIA Q M -a Q��ao""yea F!� Notarial Seal C'y ,v Teresa Pastella.Notary Public O By: Om OF Plymouth Tvp.,Montgomery County Teresa Pastella.Notary Public ` d`P My Commission Expires March 28.2017 3 tt3 '7"yylVP G 16 O q ��� Member.Pennsylvania Association or Notaries a0 � M C M This Power ofAttomey is made and executed pursuant to and by authority of the following By-laws and Authorizations of American Fire and Casualty Company,The Ohio Casualty Insurance 00 10-`�, Company,Liberty Mutual Insurance Company,and West American Insurance Company which resolutions are now in full force and effect reading as follows: ,laN w� ra i ARTICLE IV-OFFICERS-Section 12.Power ofAttomey.Any officer or other official of the Corporation authorized for that purpose in writing by the Chairman or the President,and subject O r- 4) 4) to such Limitation as the Chairman or the President may prescribe,shall appoint such attomeys-in-fact,as may be necessary to act in behalf of the Corporation to make,execute,seal, ,4 Oacknowledge and deliver as surety any and all undertakings,bonds,recognizances and other surety obligations. Such attomeys-in-fact,subjectto the limitations set forth in their respective 5 £ ai powers of attorney,shall 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 a o wm executed,such 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 attomey-in-tact under >c the provisions of this artide may be revoked at any time by the Board.the Chairman,the President or by the officer or officers granting such power or authority. N ARTICLE XIII-Execution of Contracts-SECTION 5.Sure Bonds and Undertakings.An officer of the Company authorized for that u g y p CO Surety g . y p y purpose in writing b the chairman or the resident, > v and subject to such limitations as the chairman or the president may prescribe,shall appoint such attomeys-in-fact,as may be necessary to act in behalf of the Company to make,execute. M p j seal,acknowledge and deliver as surety any and all undertakings,bonds,recognizances and other surety obligations. Such attomeys-in-fact subject to the limitations set forth in their r o, Z V respective powers of attomey,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 u C executed such instruments shall be as binding as if signed by the president and attested by the secretary. O 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 attomeys-in- F- 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,Gregory W.Davenport,the undersigned,Assistant Secretary,of American Fire and Casualty Company,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 correctcopy of the Power of Attorney executed by said Companies,is in full force and effect and has not been revoked. FEB 2 4 2016 IN TESTIMONY WHEREOF,I have hereunto set my hand and affixed the seals of said Companies this day of 20 I ,v0 C'15r etY 1,Y5�p >tNSuga, `\ <� 1905^(` �c 979 c 191y2 T3 c1991!^ By: / Gregory W.Davenport,Assistant Secretary 293 of 1500 ACKNOWLEDGMENT OF SURETY COMPANY STATE OF .Ne v York..........} ss COUNTY OF.Nmgq..........} On this..Februery,24,,2016...... ..before me personally came...Thomas.Bean........ to me know, who, being by me duly sworn, did depose and say; that he/she resides in ..Su.....ffbIk. .....ounty...........State of..�! '!. .......,that he/she is the Attamcy-In Fact of the ,,,LibertX,Mutual,insurance,company...._.....the corporation described in which executed the above instrument; that he/she knows the seal of said corporation; that the seal affixed to said instrument is such corporate seal; that is was so affixed by order of the Board of Directors of said corporation;and that he/she signed his&er name thereto by like order,and the affiant did fiuther depose and say that the Superintendent of Insurance of the State of New York,has,pursuant to Section 1111 of the Insurance Law of the State of Newyork, issued toLibertx,Mutual„insurance.Comt2any...........(Smety) hila. certificate of qualification evidencing the qualification of said Company and its sufficiency under any law of the State of New York as surety and guarantor, and the propriety of accepting and approving it as such; and that such certificate has not been revoked 1 Notary Public tAURAJEAN MURTAGH Notary PubtiG State of New York No.01 MU6319758 Qualified in Nassau yNY acknowledgment Commission Expires HHHON MI iTLIAI.INSURANCI:UOMPANY HNANCIALSTAI ENIVNI — DECVNIBEIR 31,2014 SURETY Assets Liabilities ';ca)and Ranh I)L-11OSil" 1 invarned Premiums...........,.................................... %6J88.178,795 koiid>: 1,S im mimcnI.... .... . . . ...... .....- 1,718.117.701 RCNCI-VC 161- 1111d Chliol.';l-'Xj)CosC........ ...... 16.879.3,24.6 19 ........ ..... - I!.2 05).X 7 2,0 9 7 I'mids I told I Indcr Rcinsonince Tr-afics................. 21 1,98 3,0(19 RcSClvu for I)ividcnds lo Policyholdors.... 1,246.547 19 Additional SL11U10r)'RUSCI'VC.................................. 40.877,597 Real 1:.q(;I(L!.............. ........................................... 277.742.849 Ruscrvc for Commissions,Talcs and AV,L:iitN'11alatic"tir Uncollectcd Prcmiums.... -... 4,150,041.31() Other Uithilitics............... .................... 2.664.248,124 Accrued Interest and Rcn(s..................................... 129,261358 Tota I-..............................................................S26,085,858,680 Special Surplus Foods........._....... $53,954.363 (Wicr Admiticd Asscl.s...... ................................. 14.896.464.393 Capital Stock............................... 10,000,000 Paid in Surplus............................ 8.829,117-542 Unassipictl Surplus..................... 7,676,228,083 Total Admitted Assets.................................... Z fiSS.iSR.668 Surplus to Policyholders............................... 16,569,299,988 Total Liabilities and Surplus................................�65S.15.8.m' `Ilis(1,7 op r' 7r. Bonds arc stated at amortized or investment valuc-,Stocks at Association Market Values. 1912 The foregoing financial information is Laken from Liberty MU[Ual 117151.1rance Company's financial 'Ack statement Filed with 111c state OfMusSac[IuSCLLS Department ol'Insurance. 1, TIM MIKOLAA:,WSKI, Assistant Secretary of Libuty NILEW111 111RU-MIcc Company,do hereby certify that the foregoing is a IrLI.-. and correct stalcincill of Oic Assets r.nd[JAWit;-,s of said Cuipormion,a.�o!'Deccniticr 31,2014,to the bel:ol'my knowledge and belief. IN MTW:SS WHERI'DF, I Itavc llc.rcuilte SL:f n7y hu;IJ and ailixeu 01--, seal ol'said Comora(iom;I[ Su.idc. Washington, this 20th day of March,2015. —TA Assistant Secretary 5-1262LMICIa 3115 CONTRACTOR'S AFFIDAVIT OF PAYMENT OF DEBTS AND CLAIMS Proiect: Village Creek WRF Deeo Filters 1-20 Modifications Owner: City of Ft,Worth Contractor: PtogerLawson Construction,LP ErmineeE; Freese and Nichols,Inc. The Contractor, in accordance with the Contract Documents, hereby certifies that, except as listed below, all obligations for all materials and equipment furnished, for all work labor, and services performed, and for all known indebtedness and claims against the Contractor for damages arising in any manner in connection with the performance of the Contract referenced above for which the Owner or his property might in any way be held responsible have been paid in full or have otherwise been satisfied in full. EXCEPTIONS:(if none,write "NONE". The Contractor shall furnish a bond acceptable to the Owner for each exception.) CONTRACTOR: PepperLawson Construction, LP By: ` Date: 06L141-2016 JD Vines Title: Sr. Proiect Manager Subscribed &sworn to before me this 14th day of June,2016. Notary Public: C-7 ) SUE JEM1 GANDY Mr CpMMISSION EXPIRES NOVA My Commission Expires: 11/27/20J,7 �;��� 77,2017 CONTRACTOR'S AFFIDAVIT OF RELEASE OF LIENS Proiect: Village Creek WRF Deep Filters 1-20 Modifications Oamer: City of Ft WSEjh Contractor: Pewerlawson Construction, LP Enidneer: Freese and Nichols,Inc. The Contractor, in accordance with the Contract Documents, hereby ceftifres that, except as listed below, all obligations for all materials and equipment furnished, for all work labor, and services performed, and for all known indebtedness and claims against the Contractor for damages arising in any manner in connection with the performance of the Contract referenced above for which the Owner or his property might in any way be held responsible have been paid in full or have otherwise been satisfied in full. EXCEPTIONS:(If none,write"NONE". The Contractor shall furnish a bond acceptable to the Owner for each exception.) CONTRACTOR: PepperLawson Construction,LP By: Date: 06/14/2016 JD Vines Title: Sr. Proiect Manager Subscribed &sworn to nnbefore me this, 14th ,dray of June,2016. Notary Public: BIUIE JEAN GANDY My Commission Expires: 11/27/2017 MY COMMISSION EXPIRES •; � Noi=W27,2017