HomeMy WebLinkAboutContract 48971-FP2 Department of T�Const. Services
CPN# Date
Projec Manager 4TWORTH@
Risk Management S. Canady — .4-17CITY SECRETARY
D.O.E. Brotherton -Z6 /�_ CONTE NO. 1�
Water V. Gutzier
CFA Janie Morales/Scanned ION AND PUBLIC WORKS
.; 2.�� PROJECT COMPLETION S 9(a0~7 '/46o-?'?
The'Proceeding people have been Contacted concerning the request
for final payment&have released this project for such payment. eveloper Projects)
Clearance Conducted By Etta Bacy City Project NQ: 100027
es#0?71
Regarding contract for SW BAPTIST THEOLOGICAL SEMINARY as required by the WATER DEPARTMENT
as approved by City Council on N/A thro h M&C N ector of the WATER.DEPARTMENT upon the
recommendation of the Assistant D eQ ' &Public Works Department has accepted the project
as complete. i`--�
JUL3 1 Z0j7
Original Contract Price: $18,515.00
Amount of Approved Change Orders: $3,003.00 Ns 1
Revised Contract Amount: $21,518.00
Total Cost Work Completed: $21,518.00 � � t
l Ft\
OFFICIAL RECORD
CITY SECRETARY
FT.WORTH,TX
3r t
Recommended for Acceptance Date
Asst. Director, TPW - Infrastructure Design and Construction
Accepted Date
Asst. Director, WATER DEPARTMENT
f ! 2 -3 7
Asst. City Manager Date
Comments: F";M ]rI...EJD
AUG 1::2017
Rev.9/22/16
LgIf - 117 1.,'
V � �
1060 ?
JUL 31 2017
7
City Project Numbers 100027 —_ --
----- DOE Number 0273
Contract Name SW BAPTIST THEOLOGICAL SEMINARY Estimate Number I
Contract Limits Payment Number 1
Project Type WATER For Period Ending 7/26/2017
Project Funding
Project Manager NA City Secretary Contract Number
Inspectors RODGERS / SCHARFENBERG Contract Date 6/1/2016
Contractor MANHATTAN CONSTRUCTION COMPANY Contract Time 420 CD
6300 NORTH CENTRAL EXPRESSWAY Days Charged to Date 365 CD
DALLAS, TX 75206 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 $21,518.00
Less %Retained $0.00
Net Earned $21,518.00
Earned This Period $21,518.00
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 $21,518.00
Wednesday,July 26,2017 Page 4 of 4
FORT WORTH
CITY OF FORT WORTH
FINAL PAYMENT REQUEST
Contract Name SW BAPTIST THEOLOGICAL SEMINARY
Contract Limits
Project Type WATER
City Project Numbers 100027
DOE Number 0273
Estimate Number 1 Payment Number 1 For Period Ending 7/26/2017
CD
City Secretary Contract Number Contract Time 42ED
Contract Date 6/1/2016 Days Charged to Date 365
Project Manager NA Contract is 100.00 Complete
Contractor MANHATTAN CONSTRUCTION COMPANY
6300 NORTH CENTRAL EXPRESSWAY
DALLAS, TX 75206
Inspectors RODGERS / SCHARFENBERG
Wednesday,July 26,2017 Page 1 of 4
City Project Numbers 100027 DOE Number 0273
Contract Name SW BAPTIST THEOLOGICAL SEMINARY Estimate Number 1
Contract Limits Payment Number 1
Project Type WATER For Period Ending 7/26/2017
Project Funding
UNIT I:WATER AND SEWER IMPROVEMENTS
Item Description of Items Estimated Unit Unit Cost Estimated Completed Completed
No. Quanity Total Quanity Total
I WATERLINE LOWERING(CO#1) 1 EA $5,800.00 $5,800.00 1 $5,800.00
3 6"SEWER SERVICE I EA $75.00 $75.00 1 $75.00
4 TRENCH SAFETY 40 LF $1.00 $40.00 40 $40.00
5 FIRE HYDRANT(CO#1) I EA $13,304.00 $13,304.00 1 $13,304.00
6 REMOVE 6"WATER LINE(CO 41) 30 LF $46.00 $1,380.00 30 $1,380.00
7 REMOVE EXISTING FIRE HYDRANT(CO#1) 1 EA $919.00 $919.00 1 $919.00
Sub-Total of Previous Unit $21,518.00 $21,518.00
Wednesday,July 26,2017 Page 2 of 4
City Project Numbers 100027
DOE Number 0273
Contract Name SW BAPTIST THEOLOGICAL SEMINARY Estimate Number I
Contract Limits Pavment Number 1
Project Type WATER ;For Period Ending 7/26/2017
Project Funding
Contract Information Summary
Original Contract Amount $18,515.00
Change Orders
Change Order Number 1 $3,003.00
Total Contract Price $21,518.00
P
Date Total Cost of Work Completed $21,518.00
i
ac or Less %Retained $0.00
Net Earned $21,518.00
Dat 2'l
nspectio i Supervisor Earned This Period $21,518.00
Retainage This Period $0.00
Dat Less Liquidated Damages
Pr 'ect Manager
a - Days @ /Day $0.00
Date ( I LessPavement Deficiency $0.00
/ .Direct /TP Infrastructure Design aid on ru ion Less Penalty $0.00
0.
1111 S I�(r�Qr Date��3 Less Previous Payment $0.00
Director/Contracting Department Plus Material on Hand Less 15% $0.00
Balance Due This Payment $21,518.00
Wednesday,July 26,2017 Page 3 of 4
DEVELOPER-AWARDED-PROJECT CHANGE ORDER
PROJECT NAME: SOUTHWESTERN BAPTIST THEOLOGICAL SEMINARY
CONTRACT: A-WATER CHANGE
CFA# 2016-023 CITY PARTICIPATION: NO ORDER No:
CITY PROJECT# 10OD27
DOE# N/A
WATER PROJECT# N/A Al
SEWER PROJECT# 59607-5310350-0700430-100027-001380
FILE# X-23514&K-2463
INSPECTOR: ROY SCHARFENBERG Phone No: 817-675-4004
PROJECT MANAGER: GOPAL SAHU Phone No: 817-392-7949
CONTRACT UNIT
WATER SEWER PAVING DRAINAGE STREET LIGHTS CONTRACT
Developer - Developer DeveloperDeveloper -" Developer DAYS
Cost City Cost Cost city Cost Cost city Coat Cost CRY Cost Cost CI Coat
EXTRAS TO DATE
ORIGINAL CONTRACT $18.420.00 s95.00 590,954.00 $221672.00
- $2,280.00
CREDITS TO DATE
CONTRACT TO DATE 518,420.00 r' I, $95.00 SOX $90,954.00 $0.00 $22,672.00 50.00 $2.280.00 $d.OG 0
AMOUNT OF PROP.CHANGE ORDER $3.003.00 }�..11 1,
REVISED CONTRACT AMOUNT $21,423.00 iY�G'f"� $95.0050.00 590,954.00 $O.GO $22,672.00 S0.04 52260.00 50:00 0
TOTAL REVISED CONTRACT AMOUNT
PER UNIT $21,423.00 $95.00 390.954.00 522,672.00 S2,280.00
REVISED COST SHARE Dev.Cost $137,424.00 City Cast: $0.00
TOTAL REVISED CONTRACT $137,424.00
Revised:10-12-2011
Pagel
You are directed to make the followin changes in the contract documents:
CITY BID ITEM
PAY ITEM# # QUANTITY UNIT ITEM DESCRIPTION UNIT PRICE TOTAL
1 3305.0003 -2 EA 8"Waterline Lowedn $5,600.00 -$11,600.00
2 3305.0101 d EA Fire H drant Stem Extension $1.000.00 -$1.000.00
37 3312.0001 1 EA Fire H dram $13,304.00 $13.304.00
32 0241.1012 30 LF Remove 6"Water Line $46 00 $1,380.00
33 9999.9999 1 EA Remove Existin Fire Hydrant $919.00 $919.00
REASONS FOR CHANGE ORDER Change order required to adjust plans based on field information.
Fire hydrant to be relocated to meet city standards of between 2'and 9'off of the back of curb on FrazisrAvenue.
RECOMMENDED: APPROVED: APPROVED:
Southwestern Baptist Manhattan
(Consulting Engineer)Pacheco Koch (Devepear) eologica�l Seminary (Cont or) Co cti Company
By: /---•-'c 2 By:.— �ri'tA\ By: Z�
rJ'
Name: Jace C.Motheral,P.E. Name: Kevin Ensley Name: Mark Penny
Title:Project Manager Title: Vice President of Business Administration Title: Senior Vice President
Revised:10-12-2011 Page 2
006213-1
PERFORMANCE BOND
Bond No.8239-71-88 Page I of 2
1 SECTION 00 6213
2 PERFORMANCE BOND
3
4 THE STATE OF TEXAS §
5 § KNOW ALL BY THESE PRESENTS:
6 COUNTY OF TARRANT §
7 That we,Manhattan Construction Company, known as "Principal"herein and
8 Pacific Indemnity company ,a corporate surety(sureties,if more than
9 one)duly authorized to do business in the State of Texas, known as"Surety"herein (whether one
10 or more),are held and firmly bound unto the Developer,Southwestern Baptist Theological
11 Seminary, authorized to do business in Texas ("Developer") and the City of Fort Worth, a Texas
12 municipal corporation("City"),in the penal sum of,One Hundred Thirty-Four Thousand Four
13 Hundred Thirty-Five and No/100 Dollars ($134,435.00),lawful money of the United States,to be
14 paid in Fort Worth,Tarrant County,Texas for the payment of which sum well and truly to be
15 made jointly unto the Developer-and the City as dual obligees,we bind ourselves,our heirs,
16 executors, administrators,successors and assigns,jointly and severally,firmly by these presents.
17 WHEREAS,Developer and City have entered into an Agreement for the construction of
18 community facilities in the City of Fort Worth by and through a Community Facilities
19 Agreement,CFA Number 2016-023;and
20 WHEREAS,the Principal has entered into a certain written contract with the Developer awarded
21 the 17th day of December 12015
which Contract is hereby referred to and made a
22 part hereof for all purposes as if fully set forth herein, to furnish all materials,equipment labor
23 and other accessories defined by law,in the prosecution of the Work,including any Change
24 Orders, as provided for in said Contract designated as SW Baptist Theological Seminary
25 Evangelical&Missions Building.
26 NOW,THEREFORE, the condition of this obligation is such that if the said Principal
27 shall faithfully perform it obligations under the Contract and shall in all respects duly and
28 faithfully perform the Work,including Change Orders,under the Contract, according to the plans,
29 specifications, and contract documents therein referred to,and as well during any period of
30 extension of the Contract that may be granted on the part of the Developer and/or City, then this
31 obligation shall be and become null and void,otherwise to remain in full force and effect.
CITY OF FORT WORTH SW Baptist Theological Seminary Evangelical&Missions Building
STANDARD CITY CONDITIONS—DEVELOPER AWARDED PROJECTS 2016-023
Revised January 31,2012
006213-2
PERFORMANCE BOND
Page 2 of 2
1 PROVIDED FURTHER, that if any legal action be filed on this Bond,venue shall lie in
2 Tarrant County,Texas or the United States District Court for the Northern District of Texas,Fort
3 Worth Division.
4 This bond is made and executed in compliance with the provisions of Chapter 2253 of the
5 Texas Government Code, as amended, and all liabilities on this bond shall be determined in
6 accordance with the provisions of said statue.
7 IN WITNESS WHEREOF, the Principal and the Surety have SIGNED and SEALED
8 this instrument by duly authorized agents and officers on this the 12th day of April
9 ,2016 .10IM1110",
,•` NSTRUC�,%
10 �.
PRINCIPAL:
12 c�y Manhattan Construction Company
13 :F- SEL
14 1807 ;.A� BY-
15 ATTEST: f'r`��s •��'�,,<<; ,,,��'' " �1Z1 SMBrECrPenn
16
04
rex
17 1 1, ,tip Senior Vice President
18 (Principal) cretary
19 Name and Title
20 Address:6300 North Central Expressway
21 Dallas,TX 75206
22 4t�jVtP pal
23 SURETY:
24
25 Pacific Indemnity om an
26
27 BY w
28
29 Signature
30 Kevin L.Hanover,Attorney-In-Fact
31
32 Name and Title
33 Address: 4700 South Garnett Road,Suite 200
34 u sa,Okla oma omey-n- act's Address)
35 - Pacific Indemnity: 15 Mountain View Road Warren,NJ 07059
36
4 0C
37 Witness a. o Surety Telephone Number: 918-582-0565 (Attomey-in-Fact)
38 Pacific Indemnity: 908-903-3493
34
40
41 *Note: If signed by an officer of the Surety Company, there must be on file a certified extract
42 from the by-laws showing that this person has authority to sign such obligation. If
43 Surety's physical address is different from its mailing address, both must be provided.
44
45 The date of the bond shall not be prior to the date the Contract is awarded.
46
CITY OF FORT WORTH SW Baptist Theological Seminary Evangelical&Missions Building
STANDARD CITY CONDITIONS—DEVELOPER AWARDED PROJECTS
Revised January 31,2012 2016-023
0062 14-1
Bond No.8239-71-88 PAYMENTBOND
I of 2
1 SECTION 00 6214
2 PAYMENT BOND
3
4 THE STATE OF TEXAS §
5 § KNOW ALL BY THESE PRESENTS:
6 COUNTY OF TARRANT §
7 That we, Manhattan Construction Company, known as "Principal" herein, and
8 Pacific Indemnitv company
" , a corporate surety ( or
9 sureties if more than one), duly authorized to do business in the State of Texas, known as
10 "Surety" herein (whether one or more), are held and firmly bound unto the Developer,
11 Southwestern Baptist Theological Seminary, authorized to do business in Texas "(Developer"),
12 and the City of Fort Worth, a Texas municipal corporation ("City"), in the penal sum of One
13 Hundred Thirty-Four Thousand Four Hundred Thirty-Five and No/100 Dollars ($134,435.00),
14 lawful money of the United States, to be paid in Fort Worth, Tarrant County, Texas, for the
15 payment of which sum well and truly be made jointly unto the Developer and the City as dual
16 obligees, we bind ourselves, our heirs, executors, administrators, successors and assigns,jointly
17 and severally,firmly by these presents:
18 WHEREAS, Developer and City have entered into an Agreement for the construction of
19 community facilities in the City of Fort Worth, by and through a Community Facilities
20 Agreement, CFA Number 2016-023;and
21 WHEREAS, Principal has entered into a certain written Contract with Developer,
22 awarded the 17th day of December , 20 15 which Contract is hereby
23 referred to and made a part hereof for all purposes as if fully set forth herein, to furnish all
24 materials, equipment, labor and other accessories as defined by law, in the prosecution of the
25 Work as provided for in said Contract and designated as SW Baptist Theological Seminary
26 Evangelical&Missions Building.
27 NOW, THEREFORE, THE CONDITION OF THIS OBLIGATION is such that if
28 Principal shall pay all monies owing to any (and all) payment bond beneficiary (as defined in
29 Chapter 2253 of the Texas Government Code, as amended) in the prosecution of the Work under
30 the Contract, then this obligation shall be and become null and void; otherwise to remain in full
31 force and effect.
CITY OF FORT WORTH SW Baptist Theological Seminary Evangelical&Missions Building
STANDARD CITY CONDITIONS—DEVELOPER AWARDED PROJECTS 2016-023
Revised January 31,2012
006214-2
PAYMENTBOND
Page 2 of 2
1 This bond is made and executed in compliance with the provisions of Chapter 2253 of the
2 Texas Government Code, as amended, and all liabilities on this bond shall be determined in
3 accordance with the provisions of said statute.
4 IN WITNESS WHEREOF, the Principal and Surety have each SIGNED and SEALED
5 this instrument by duly authorized agents and officers on this the 12th
6 April —,20 16 day of
7 JI-
'0
A PRINCIPAL:
'V- Manhattan Construction Company
ATTEST: ANN"."•....,. :...•'`�' `•,.
q TEXPS o•`�� BY: Signet re
' Mark Penny
Senior Vice President
(Principal) retary Name and Title
Address: 6300 North Central Expressway
Dallas,TX 75206
AitnssoPrincipal
SURETY:
Pacific Indemnity CD npan _-
ATTEST: --
Sig ature
Kevin L.Hanover,Attomey-in-Fact
(Surety) Seef" Wl, Name and Title
Address: 4700 south Garnett Road,Suite 200
- /J
Tulsa, ahoma Attomey-n- act's Address)
Pacific indemnity: 15 Mountain View Road Warren,NJ 07059
Witness to Surety
Telephone Number: 918-582-0565(Attomey-in-Fact)
Pacific Indemnity: 908-903-3493
8 Note: If signed by an officer of the Surety, there must be on file a certified extract from the
9 bylaws showing that this person has authority to sign such obligation. If Surety's physical
10 address is different from its mailing address, both must be provided.
11
12 The date of the bond shall not be prior to the date the Contract is awarded.
13 END OF SECTION
CITY OF FORT WORTH SW Baptist Theological Seminary Evangelical&Missions Building
STANDARD CITY CONDJTIONS—DEVELOPER AWARDED PROJECTS
Revised January 31,2012 2016-023
00 62 19- I
Bond No.8239-71-88 MAINTENANCE BOND
Page I of 3
1 SECTION 00 6219
2 MAINTENANCE BOND
3
4 THE STATE OF TEXAS §
5 § KNOW ALL BY THESE PRESENTS:
6 COUNTY OF TARRANT §
7 That we Manhattan Construction Company,known as"Principal"herein and
8 Pacific Indemnity Company ,a corporate surety(sureties, if more than
9 one)duly authorized to do business in the State of Texas,known as"Surety"herein(whether one
10 or more),are held and firmly bound unto the Developer,Southwestern Baptist Theological
11 Seminary,authorized to do business in Texas("Developer") and the City of Fort Worth,a Texas
12 municipal corporation("City"),in the sum of One Hundred Thirty-Four Thousand Four Hundred
13 Thirty-Five and No/100 Dollars ($134,435.00), lawful money of the United States,to be paid in
14 Fort Worth,Tarrant County,Texas,for payment of which sum well and truly be made jointly
15 unto the Developer and the City as dual obligees and their successors,we bind ourselves,our
16 heirs,executors, administrators,successors and assigns,jointly and severally,firmly by these
17 presents.
18
19 WHEREAS, Developer and City have entered into an Agreement for the construction of
20 community facilities in the City of Fort Worth by and through a Community Facilities
21 Agreement, CFA Number 2016-023;and
22 WHEREAS,the Principal has entered into a certain written contract with the Developer
23 awarded the 17th day of December ,2015 ,which Contract is
24 hereby referred to and a made part hereof for all purposes as if fully set forth herein, to furnish all
25 materials,equipment labor and other accessories as defined by law,in the prosecution of the
26 Work,including any Work resulting from a duly authorized Change Order(collectively herein,
27 the"Work") as provided for in said Contract and designated as SW Baptist Theological Seminary
28 Evangelical &Missions Building; and
29
30 WHEREAS,Principal binds itself to use such materials and to so construct the Work in
31 accordance with the plans,specifications and Contract Documents that the Work is and will
32 remain free from defects in materials or workmanship for and during the period of two(2)years
33 after-the date of Final Acceptance of the Work by the City("Maintenance Period"); and
34
CITY OF FORT WORTH sw Baptist Theological Seminary Evangelical&Missions Building
STANDARD CITY CONDITIONS—DEVELOPER AWARDED PROJECTS 2016-023
Revised January 31,2012
006219-2
MAINTENANCE BOND
Page 2 of 3
1 WHEREAS,Principal binds itself to repair or reconstruct the Work in whole or in part
2 upon receiving notice from the Developer and/or City of the need thereof at any time within the
3 Maintenance Period.
4
5 NOW THEREFORE,the condition of this obligation is such that if Principal shall
6 remedy any defective Work,for which timely notice was provided by Developer or City, to a
7 completion satisfactory to the City,then this obligation shall become null and void; otherwise to
8 remain in full force and effect.
9
10 PROVIDED,HOWEVER, if Principal shall fail so to repair or reconstruct any timely
11 noticed defective Work,it is agreed that the Developer or City may cause any and all such
12 defective Work to be repaired and/or reconstructed with all associated costs thereof being borne
13 by the Principal and the Surety under this Maintenance Bond; and
14
15 PROVIDED FURTHER,that if any legal action be filed on this Bond,venue shall lie in
16 Tarrant County,Texas or the United States District Court for the Northern District of Texas,Fort
17 Worth Division; and
18
19 PROVIDED FURTHER,that this obligation shall be continuous in nature and
20 successive recoveries may be had hereon for successive breaches.
21
22
23
CITY OF FORT WORTH SW Baptist Theological Seminary Evangelical&Missions Building
STANDARD CITY CONDITIONS—DEVELOPER AWARDED PROJECTS
Revised January 31,2012 2016-023
0062 19-3
MAINTENANCE BOND
Page 3 of 3
1 IN WITNESS WHEREOF,the Principal and the Surety have each SIGNED and SEALED this
2 instrument by duly authorized agents and officers on this the 12th April
day of
3 120 16
�,�itttcttrrt'r<<�
4 ��,�0`_�j� v G+
/0
5e.GO�
6 �F: ��n� :�— PRINCIPAL:
('� Manhattan Construction Company
8 ••rt: 1907
9 ' ` U'i,.,�r�
10 �� • '*'• BY
11 ATTEST: *`�tbtrEXaAS � Signature
12 Mark Penny
13 Senior Vice President
14 (Principal)Se ry
15 Name and Title
16
17 Address:6300 North Central Expressway
18 Dallas,TX 75206
19ot - Vasrial
20 SURETY:
21 Pacific Indemnity ompany
22
23
24
25 BY:
26 Signature
27 Kevin L.Hanover,Attomey-In-Fact
28 ST;.
29 Name and Title
30
Address: 4700 South Garnett Road,Suite 00.
3 1l urety)Sy Wi u sa, a oma 4 4 Attorney-n- act)
32 fj Pacific In -mni y 15 Rnount^in Viet. rnar! tht.
33 (p/' n,NJ 07059
34 Witness,a, o Surety Telephone Number: 918-582-0565(Attorney-In-Fact)
35 Pacific Indemnity: 908-903-3493
36 *Note: If signed by an officer of the Surety Company, there must be on file a certified extract
37 from the by-laws showing that this person has authority to sign such obligation. If
38 Surety's physical address is different from its mailing address, both must be provided.
39
40 The date of the bond shall not be prior to the date the Contract is awarded.
41
CITY OF FORT WORTH SW Baptist Theological Seminary Evangelical&Missions Building
STANDARD CITY CONDITIONS—DEVELOPER AWARDED PROJECTS 2016-023
Revised January 31,2012
Chubb POWER Federal Insurance Company Attn: Surety Department
OF Vigilant Insurance Company 15 Mountain View Road
Surety ATTORNEY pacific Indemnity Company Warren,NJ 07059
Know All by These Presents, That FEDERAL INSURANCE COMPANY,. an Indiana corporation, VIGILANT INSURANCE
COMPANY, a New York corporation,and PACIFIC INDEMNITY COMPANY, a Wisconsin corporation,do each hereby constitute and
appoint Georgia A.Craig,James B. Geisinger,Kevin L. Hanover, George J. Koicxun,Christy Thompson and Linda
Wright of Tu sa,Oklahoma---------------
each
klahoma---------- __..w__— _each as their true and lawful Attorney-in-Fact to execute under such designation in their names and to affix their corporate seals to and deliver for and on their behalf as surety
thereon or otherwise,bonds and undertakings and other writings obligatory in the nature thereof(other than bail bonds)given or executed in the course of business,and any
instruments amending or altering the same,and consents to the modification or alteration of any instrument referred to in said bonds or obligations.
In Witness Whereof,said FEDERAL INSURANCE COMPAtlY,VIGILANT INSURANCE COMPANY,and PACIFIC INDEMNITY COMPANY have each executed and attested
these presents and affixed their corporate seals on this 26 day of May,2015.
I'll
Dawn M.Chloros;Assistant Secretary
"�' F
rd B.Norris,Jr.,Vice Pre.. ... t
4vt�'
STATE OF NEW JERSEY
ss.
County of Somerset
On this 26th day of May, 2015 before me,a Notary Public of New Jersey,personally came Dawn M.Chloros,to me known to be Assistant Secretary of FEDERAL
INSURANCE COMPANY,VIGILANT INSURANCE COMPANY,and PACIFIC INDEMNITY COMPANY,the companies which executed the foregoing Power ofAttomey;and the
said Dawn M. Chloros, being by me duly swom, did depose and say that she is Assistant Secretary of FEDERAL INSURANCE COMPANY;VIGILANT INSURANCE
COMPANY,and PACIFIC INDEMNITY COMPANY and knows the corporate seats thereof,that the seals affixed to the foregoing Power of Attorney are such corporate seals
and were thereto affixed by authority of the By-Laws of said Companies;and that she signed said Power or Attorney as Assistant Secretary of said Companies by like authority;
and that she is acquainted with David B.Norris,Jr.,and knows him to be Vice President of said Companies;and that the signature of David S.Norris,Jr.,subscribed to said
Power of Attorney is in the genuine handwriting of David B.Norris,Jr.,and was thereto subscribed by authority of said By-Laws and in deponent's presence.
Notarial Seal
KATHERINE J.AELAAR
UOTAF�y NOTARY PUBLIC OF NEW JERSEY
No.2318665
pLBLIC xr Commission Expires July 16,2019 Notary Public
CERTIFICATION
Extract from the a" bws ofT-EDERAL INSURANCE COMPANY,VIGILANT INSURANCE COMPANY,and PACIFIC INDEMNITY COMPANY:
"All powers of attorney for and on behalf of the Company may and shall be executed in the name and on behalf of the Company,either by the Chairman or the
President or a Vice President or an Assistant Vice President,jointly with the Secretary or an Assistant Secretary, under their respective designations,The
signature of such officers may engraved,printed or lithographed.The signature of each of the following officers:;Chairman,President,any Vice President any
Assistant Vice President,any Secretary,any Assistant Secretary,and the seal of the Company may be affixed by facsimile to any power of attorney or to any
certificate:relating thereto appointing Assistant Secretaries or Attorneys in-Fact for purposes only of executing and attesting bonds and undertakings and other
writings obligatory in the nature thereof,and any such power of attorney or certificate,bearing such facsimile signature or facsimile seal shall be valid and binding
upon the Company and any such power so executed and certified by such facsimile signature and facsimile seal shall be valid and binding upon the Company
with respect to any bond or undertaking to which itis attached.'
i,Dawn M.Chloros,Assistant Secretary of FEDERAL INSURANCE COMPANY,VIGILANT INSURANCE COMPANY,and PACIFIC INDEMNITY COMPANY(the"Companies")
do hereby certify that
(I) the foregoing extract of the By-Laws of the Companies is true and correct,
(ii) the Companies are duly licensed and authorized to transact surety business in all 50 of the United States of America and the District of Columbia and are
authorized by the U.S.Treasury Department;further,Federal and Vigilant are licensed in the U.S.Virgin islands,and Federal is licensed in Guam,Puerto
Rico,and each of the Provinces of Canada except Prince Edward Island;and
(iii) the foregoing Power of Attorney is true,correct and in full force and effect,
Given under my hand and seals of said Companies at Warren,NJ this 12th Day of April, 2016
�TM'0je•� �
Dawn M.Chloros,&,siRsti rat se
IN THE EVENT YOU WISH TO NOTIFY US OF A CLAIM,VERIFY THE AUTHENTICITY OF THIS BOND OR NOTIFY US OF ANY OTHER MATTER,PLEASE CONTACT US AT ADDRESS
LISTEDABOV OR BY Taie ne 9OB 903-3493 Fax 908 g03-3656 o mail: sure! chubb.com
Foran 1S-10-02258-U GEN CONSENT(rev.12-14)
Policyholder Information Notice
IMPORTANT NOTICE AV/SO IMPORTANTE
To obtain information or make a complaint: Para obtener informaci6n o para someter una
queja:
You may call Chubb's toll-free telephone number Usted puede hamar al numero de telefono gratis
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P.O. Box 149104 P.O. Box 149104
Austin, TX 78714-9104 Austin, TX 78714-9104
FAX # (512) 475-1771 FAX # (512) 475-1771
Web: http://www.tdi.state.tx.us Web: http://www.tdi.state.tx.us
E-mail: ConsumerProtection@tdi.state.tx.us E-mail: ConsumerProtection@tdi.state.tx.us
PREMIUM OR CLAIM DISPUTES: DISPUTAS SOBRE PRIMAS O RECLAMOS:
Should you have a dispute concerning your premium Si tiene una disputa concerniente a su prima o a un
or about a claim you should contact the agent first. reclamo, debe comunicarse con el agente primero.
If the dispute is not resolved, you may contact the Si no se resueve la disputa, puede entonces
Texas Department of Insurance. comunicarse con el departamento(TDI).
ATTACH THIS NOTICE TO YOUR POLICY UNA ESTE AVISO A SU POLIZA:
This notice is for information only and does not Este aviso es solo para prop6sito de informacion y
become a part or condition of the attached no se convierte en parte o condici6n del documento
document. adjunto.
Form 99-10-0299(Rev.1-08)
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 Mark A.Pacheco,
P.E., R.P.L.S.,President of Pacheco Koch Consulting Engineers, 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;
Southwest Baptist Theological Seminary Evangelical and Missions
Building paving, drainage,water,wastewater, and li hting improvements.
BY
Mark A. Pacheco,P.E., R.P.L.S.,President
Subscribed and sworn before me on this date 19 of June,2017.
Not*y Public r
Dat as, Texas
KRYSTA-MARIE RODRIGUEZ
n;x^uq
� Notary Public,State of Texas
p My Commission Expires
W ggp��`y
October 19, 2019
I
SOUTHWESTERN
BAPTIST THEOLOGICAL SEMINARY
June 26, 2017
City of Fort Worth Transportation and Public Works
8851 Camp Bowie West
Fort Worth,TX 76116
To whom it may concern,
Southwestern Baptist Theological Seminary("SWBTS")waives the right to asses liquidated damages only
to Manhattan Construction Company("MCC") and its subcontractors in conjunction with the following
project:
City of Fort Worth project 100027—The Construction of Public Improvements to Serve Southwestern
Baptist Theological Seminary Evangelical &Missions Building
SWBTS retains all rights to assess liquidated damages in accordance with the terms and conditions of
the contract agreement with MCC for any private work that is not part of the three-way contract for the
above-referenced project.
StateofTexas Countyof 0_kl-"""
Satom to and subscribed before me this ?
Kevin Ensley day f ,20L
Notary Public
Vice President of Business Administration
SANDY D.MANN
Notary Public,State of Texas
tN,. ��Comm.Expires 02 01-2019
,o,l„ Notary ID 128509559
OFFICE OF BUSINESS ADMINISTRATION
2001 Nest Seminary Drive I Fort Worth,Texas 76122 1817,923.1921 I www.swbts.edu
......__.._......
FORTWORTH
TRANSPORTATION AND PUBLIC WORKS
PIPE REPORT FOR:
PROJECT NAME: Southwestern Baptist Theological Seminary
PROJECT NUMBER: 100027
DOE NUMBER: NA
WATER
PIPE LAID SIZE TYPE OF PIPE LF
C900 -�C' F k 6 PVC 40
FIRE HYDRANTS: 1,Fraiser Ave.200'N of Spurgeon VALVES(16" OR LARGER)
PIPE ABANDONED SIZE TYPE OF PIPE LF
DENSITIES: YES
NEW SERVICES: NA NA 0
SEWER
PIPE LAID SIZE TYPE OF PIPE LF '
SDR 26 �sr Sery 6 PVC
PIPE ABANDONED SIZE TYPE OF PIPE LF
l
DENSITIES: YES
NEW SERVICES:
TRANSPORTATION AND PUBLIC WORKS
. `' The City of Fort Worth• 1000 Throckmorton Street•Fort Worth,TX 76012-6311
FORTWORTHREV:02'22'0'
TRANSPORTATION AND PUBLIC WORKS
CONTRACTOR'S EVALUATION OF CITY
1)PROJECT INFORMATION Date: 17.26.17
Name of Contractor Project Name
Manhattan Construction South Western Baptist Theogolical Seminary
DOE Inspector Project Manager
Roy Scharfenberg Gopal Sahu
DOE Number Project Difficulty Type of Contract
100027 o Simple o Routine o Complex o Water ❑ Waste Water ❑ Storm Drainage ❑ Pavement
Initial Contract Amount Final Contract Amount
$18,515.00 $21,518.00
II)PERFORMANCE EVALUATION
0-Inadequate 1 -Deficient 2-Standard 3 -Good 4-Excellent
ELEMENT T RATING ELEMENT RATING
INSPECTION EVALUATION PLANS& SPECIFICATIONS
1 Availability of Inspector V 1 Accuracy of Plans to Existing Conditions
2 Knowledge of Inspector q 2 Clarity&Sufficiency of Details
3 Accuracy of Measured Quantities 3 Applicability of Specifications
4 Display Of Professionalism 4 Accuracy of Plan Quantities
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 Manager
1 Change Order Processing Time L 3 Communication
2 Timliness of Contractor Payments — 4 Resolution of Utility Conflicts
3 Bid Opening to Pre-Con Meeting Timeframe
III)COMMENTS& SIGNATURES
COMMENTS
Signature Contractor
r _
Signature DOE Inspector
Signature DOE Inspector's Supervisor /
INSPECTOR'S COMMENTS
TRANSPORTATION AND PUBLIC WORKS
The City of Fort Worth• 1000 Throckmorton Street•Fort Worth,TZ 76012-6311
d
(817) 392-7941 •Fax: (817) 392-7845
FORTWORTHREV:8/20/16
TRANSPORTATION AND PUBLIC WORKS
PERFORMANCE EVALUATION OF CONTRACTOR
I) CONTRACTOR&PROJECT DATA
Name of Contractor Project Name
Manhattan South Western Baptist Theological Seminary
Inspector City Project Number
Roy Scharfenberg 10027
Construction Components Project Manager
o Water ❑ Waste Water ❑ Storm Drainage ❑ Pavement Gopal Sahu
Initial Contract Amount Project Difficulty
$18,515.00 • Simple o Routine o Complex
Final Contract Amount Date
$21,518.00 7.26.17
II)PERFORMANCE EVALUATION
0-Inadequate I -Deficient 2-Standard 3-Good 4-Excellent
ELEMENT WEIGHT(x) APPLICABLE(Y/N) RATING(0-4) MAX SCORE SCORE
1 Submission of Documents 2 Y 4 8 8
2 Public Notifications 5 Y 3 20 15
3 Plans on Site 5 Y 4 20 20
4 Field Supervision 15 Y 4 60 60
5 Work Performed 15 Y 4 60 60
6 Finished Product 15 Y 4 60 60
7 Job Site Safety 15 Y 4 60 60
8 Traffic Control Maintenance 15 Y 4 60 60
9 Daily Clean Up 5 Y 3 20 15
10 Citizen's Complaint Resolution 5 Y 3 20 15
11 Property Restoration 5 Y 3 20 15
12 After Hours Response 5 Y 3 20 15
13 Project Completion 5 Y 4 20 20
TOTAL ELEMENT SCORE(A) 423
BONUS POINTS(25 Maximum)(B)
III)CONTRACTOR'S RATING TOTAL SCORE(TS) 423
Maximum Score(MS)=448 or sum of applicable element score maximums which= 448
Rating([TS/MSl * 100%) 423 / 448 = 94%
Performance Category Excellent
<20%=Inadequate 20%to<40%=Deficient 40%to<60%=Standard 60%to<80%=Good >80%=Excellent
Inspector's Comments(INCLUDING EXPLANATION OF BONUS POINTS AWARDED)
Inspector Signature Contractor Signature
Inspector's Supervisor Signature '
CONTRACTOR'S COMMENTS
TRANSPORTATION AND PUBLIC WORKS
The City of Fort Worth• 8851 Camp Bowie West Blvd. •Fort Worth,TZ 76116 • (817) 392-8306
FOR'-T WORTH rev 03/05/07
TRANSPORTATION & PUBLIC WORKS
FINAL STATEMENT OF CONTRACT TIME
FINAL STATEMENT NO.: 1
NAME OF PROJECT: South Westenn Baptist Theololoical Seminary
PROJECT NO.: 100027 CONTRACTOR: Mannhattan
DOE NO.: NA
PERIOD FROM:7.16.16 TO: 7.25.17 FINAL INSPECTION DATE: 7.25.17
WORK ORDER EFFECTIVE:7.16.16 CONTRACT TIME: 420 O WD OCD
DAY OF DAYS REASON FOR DAYS DAY OF DAYS REASON FOR DAYS
MONTH CHARGED CREDITED MONTH CHARGED CREDITED
DURING DURING
1. 16.
2. 17.
3. 18.
4. 19.
5. 20.
6. 21.
7. 22.
S. 23.
9. 24.
10. 25.
1l. 26.
12. 27.
13. 28
14. 29.
15. 30.
31.
SAT,SUN, RAIN,TOO WET, UTILITIES DAYS TOTAL
& HOLIDAYS &TOO COLD RELOCATIONS OTHERS* CHARGED DAYS
THIS
PERIOD 365 365
PREVIOUS
PERIOD
TOTALS
TO DATE 365 365
"REMARKS:
C RACTOR DATE I R DATE
ENGINEERING DEPARTMENT
�^ � The City of Fort Worth• 1000 Throckmorton Street•Fort Words,TX 76012-6311
(817)392-7941 •Fax: (817)392-7845