HomeMy WebLinkAboutContract 48670-FP2 Department of TP &W Const. Services 4 1
CPN# 1a9 I Date
Project Manager 4 MIA,
Risk Management Canad )T WO RT Il A® CITY SECRETARY f
D.O.E. Brotherton A Q`
CFA Morales(Scanned CONTRACT NO.
Gutzier/Scanned -1-4b
The Proceeding people have been Contacted
concerning the request for final payment& have iA TION AND PUBLIC WORKS
released this project for such payment. PROJECT COMPLETION 6-9 (.0(� -� loo- e4
eveloper Projects)
Clearance Conducted B + � __J City Project Ns: 100480
Y
`- I/ct`•7�'
Regarding contract 100480 for WILLOW RIDGE ESTATES PHASE 5 as required by the
WATER DEPARTMENT as approved by City Council on N/A through M&C N/A the director of the
WATER DEPARTMENT upon the recommendation of the Assistant Director of the Transportation&Public Works
Department has accepted the project as complete. _
Original Contract Price: JAN 3 1 2018 $1,083,750.90
Amount of Approved Change Order : Ns
Revised Contract Amount:
Total Cost Work Completed: $1,083,750.90
fir✓ ��► �.
Recommen fo Acceptance Date
Asst. Direct W - Development Services
Accepted Date
Asst. Director, WATER DEPARTMENT
Asst. City Manager Date
Comments:
OFFICIAL RECORD
RECEI D FEB - 21018 CITY SECRETARY
FT.'WORTNI TX
V.9/22/16 % b
FORT WORTH
CITY OF FORT WORTH
FINAL PAYMENT REQUEST
Contract Name WILLOW RIDGE ESTATES PHASE 5
Contract Limits
Project Type STORM DRAIN&PAVING
City Project Numbers 100480
DOE Number 0480
Estimate Number I Payment Number I For Period Ending 1/22/2018
CD
City Secretary Contract Number Contract Time 24(YD
Contract Date Days Charged to Date 317
Project Manager NA Contract is 100.00 Complete
Contractor GILCO CONTRACTING,INC.
6331 SOUTHWEST BLVD.
BENBROOK, TX 76132-1063
Inspectors LAYER / MATTEGAT
Monday,January 22,2018 Page I of 5
!I�
City Project Numbers 100480 DOE Number 0480
Contract Name WILLOW RIDGE ESTATES PHASE 5 Estimate Number I
Contract Limits Payment Number I
Project Type STORM DRAIN&PAVING For Period Ending 1/22/2018
Project Funding
STORM DRAIN
ItemDescription of Items Unit Unit Cost
Estimated Estimated Completed Completed
No. Quanity Total Quanity Total
I REMOVE RIPRAP 900 SF $0.80 $720.00 900 $720.00
2 REMOVE FW-0 HEADWALL 1 EA $1,500.00 $1,500.00 1 $1,500.00
3 MEDIUM STONE RIPRAP 165 SY $46.00 $7,590.00 165 $7,590.00
4 CONCRETE COLLAR 15 EA $300.00 $4,500.00 15 $4,500.00
5 21"RCP 1177 LF $50.00 $58,850.00 1177 $58,850.00
6 21"RCP 53 LF $56.00 $2,968.00 53 $2,968.00
7 24"RCP 1543 LF $57.00 $87,951.00 1543 $87,951.00
8 24"RCP 16 LF $67.00 $1,072.00 16 $1,072.00
9 27"RCP 135 LF $64.00 $8,640.00 135 $8,640.00
10 30"RCP 91 LF $72.00 $6,552.00 91 $6,552.00
11 33"RCP 672 LF $80.00 $53,760.00 672 $53,760.00
12 36"RCP 417 LF $95.00 $39,615.00 417 $39,615.00
13 42"RCP 1313 LF $127.50 $167,407.50 1313 $167,407.50
14 48"RCP 268 LF $154.00 $41,272.00 268 $41,272.00
15 54"RCP 186 LF $238.00 $44,268.00 186 $44,268.00
16 5'X5'BOX CULVERT 237 LF $267.00 $63,279.00 237 $63,279.00
17 4'STORM JUNCTION BOX 5 EA $3,800.00 $19,000.00 5 $19,000.00
18 5'STORM JUNCTION BOX 3 EA $4,000.00 $12,000.00 3 $12,000.00
19 T MANHOLE RISER 2 EA $2,400.00 $4,800.00 2 $4,800.00
20 10'CURB INLET 12 EA $3,400.00 $40,800.00 12 $40,800.00
21 15'CURB INLET 17 EA $4,650.00 $79,050.00 17 $79,050.00
22 SETP-CD HEADWALL AT 21"RCP 7 EA $1,900.00 $13,300.00 7 $13,300.00
23 SETP-CD HEADWALL AT 24"RCP I EA $2,100.00 $2,100.00 1 $2,100.00
24 SETP-CD HEADWALL AT 30"RCP I EA $2,300.00 $2,300.00 1 $2,300.00
25 SETP-CD HEADWALL AT 48"RCP 1 EA $3,300.00 $3,300.00 1 $3,300.00
26 TRENCH SAFETY 6108 LF $0.50 $3,054.00 6108 $3,054.00
Sub-Total of Previous Unit $769,648.50 $769,648.50
PAVING
Item Description of Items Estimated Unit Unit Cost Estimated Completed Completed
No. Quanity Total Quanity Total
Monday,January 22,2018 Page 2 of 5
City Project Numbers 100480 DOE Number 0480
Contract Name WILLOW RIDGE ESTATES PHASE 5 Estimate Number 1
Contract Limits Payment Number I
Project Type STORM DRAIN&PAVING For Period Ending 1/22/2018
Project Funding
1 HYDRATED LIME 493 TN $150.00 $73,950.00 493 $73,950.00
2 6"LIME TREATMENT 32857 SY $2.60 $85,428.20 32857 $85,428.20
3 6"CONC PVMT 30968 SY $31.65 $980,137.20 30968 $980,137.20
4 5'CONC SIDEWALK 10417 SF $4.75 $49,480.75 10417 $49,480.75
5 BARRIER FREE RAMP 13 EA $1,950.00 $25,350.00 13 $25,350.00
6 BARRIER FREE RAMP 13 EA $1,900.00 $24,700.00 13 $24,700.00
7 BARRIER FREE RAMP 13 EA $1,600.00 $20,800.00 13 $20,800.00
8 TRAFFIC CONTROL 1 LS $1,000.00 $1,000.00 1 $1,000.00
9 CONNECT TO EXISTING PAVEMENT 184 LF $20.00 $3,680.00 184 $3,680.00
10 PROVIDE AND INSTALL STREET NAME 68 EA $245.00 $16,660.00 68 $16,660.00
BLADES
Sub-Total of Previous Unit $1,281,186.15 $1,281,186.15
ST LIGHT
Item Description of Items Estimated Unit Unit Cost Estimated Completed Completed
No. Quanity Total Quanity Total
1 RDWY ILLUM ASSEMBLY 46 EA $1,684.00 $77,464.00 46 $77,464.00
2 INSTALLATBO-20BLEDE70 46 EA $358.00 $16,468.00 46 $16,468.00
3 RDWY ILLUM FOUNDATION 46 EA $955.00 $43,930.00 46 $43,930.00
4 2"CONDT PVC SCH 80 3675 LF $7.10 $26,092.50 3675 $26,092.50
5 NO 6 INSULATED ALUM ELEM CONDR 11025 LF $0.70 $7,717.50 11025 $7,717.50
6 NO 10 INSULATED COPPER ELEC CONDR 3675 LF $0.45 $1,653.75 3675 $1,653.75
Sub-Total of Previous Unit $173,325.75 $173,325.75
Monday,January 22,2018 Page 3 of 5
City Project Numbers 100480 DOE Number 0480
Contract Name WILLOW RIDGE ESTATES PHASE 5 Estimate Number I
Contract Limits Payment Number I
Project Type STORM DRAIN&PAVING For Period Ending 1/22/2018
Project Funding
Contract Information Summary
Original Contract Amount $2,224,160.40
ChanIze Orders
Total Contract Price $2,224,160.40
I
Date 1_ Total Cost of Work Completed $2,224,160.40
i ractor Less %Retained $0.00
Date
—/� Net Earned $2,224,160.40
Inspection Supervisor Earned This Period $2,224,160.40
/ ^� Retainage This Period $0.00
"
Date l / — a Less Liquidated Damages
Proje anager
� Days @ /Day $0.00
Date "h K LessPavement Deficiency $0.00
Asst. ctor/TPW-Infrastn b i� �/4 /VIIV� Less Penalty $0.00
W Date �� t�� Less Previous Payment $0.00
Director/Con acting Depa vent Plus Material on Hand Less 15% $0.00
Balance Due This Payment $2,224,160.40
1.%
Monday,January 22,2018 Page 4 of 5
City Project Numbers 100480 DOE Number 0480
Contract Name WILLOW RIDGE ESTATES PHASE 5 Estimate Number I
Contract Limits Payment Number I
Project Type STORM DRAIN&PAVING For Period Ending 1/22/2018
Project Funding
Project Manager NA City Secretary Contract Number
Inspectors LAYER / MATTEGAT Contract Date
Contractor GILCO CONTRACTING,INC. Contract Time 240 CD
6331 SOUTHWEST BLVD. Days Charged to Date 317 CD
BENBROOK, TX 76132-1063 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 $2,224,160.40
Less %Retained $0.00
Net Earned $2,224,160.40
Earned This Period $2,224,160.40
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 $2,224,160.40
Monday,January 22,2018 Page 5 of 5
FORTWORTH rev 03/05/07
TRANSPORTATION & PUBLIC WORKS
FINAL STATEMENT OF CONTRACT TIME
FINAL STATEMENT NO.:I
NAME OF PROJECT: Willow Ridge Eastates Phase 5
PROJECT NO.: 100480 CONTRACTOR: Gilco Contracting
DOE NO.:
PERIOD FROM;03/13/17 TO: 01/23/18 FINAL INSPECTION DATE: 24-Jan-18
WORK ORDER EFFECTIVE:3/13/2017 CONTRACT TIME: 180 O WO* CD
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.
8. 23.
9. 24.
10. 25.
11. 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 0 0 0 0 0 0
PERIOD
PREVIOUS 0 0 0 0 0 0
PERIOD
TOTALS 0 0 0 0 317 317
TO DATE
REMARKS:
CONTRACTOR DATE /GDEIPARTaLT
N Cwz
DAT
ENGINEE
a The Cite of Fort Worth• 1000 Tli dckmorton Street•Port W rth,TX 76012-6311
(817)392-7941 •Fax: (817)392-7845
FORTWORTHREV:02/22/07
TRANSPORTATION AND PUBLIC WORKS
CONTRACTOR'S EVALUATION OF CITY
I)PROJECT INFORMATION Date: 19-Jan-18
Name of Contractor Project Name
Gilco Contracting Willow Ridge Esates Phase 5
DOE Inspector Project Manager
William Mattegat Fred Ehia
DOE Number ProjectDoiculty Type of Contract
CPN 100480 Q simple QQ Routine Q Complex ❑ Water[:] Waste Water❑ Storm Drainage0 Pavement
Initial Contract Amount Final Contract Amount
$2,224,160.40 $2,224,160.40
II)PERFORMANCE EVALUATION
0-Inadequate 1 -Deficient 2-Standard 3 -Good 4-Excellent
ELEMENT RATING ELEMENT RATING
(0-4) (0-4)
INSPECTION EVALUATION PLANS&SPECIFICATIONS
T Availability of Inspector 1 Accuracy of Plans to Existing Conditions
2 Knowledge of Inspector 2 Clarity&Sufficiency of Details
3 Accuracy of Measured Quantities 3 Applicability of Specifications
4 Display Of Professionalism PF 14 Accuracy of Plan Quantities i
5 Citizen Complaint Resolution I I PROJECT MANAGER EVALUATION
6 Performance-Setting up Valve Crews,Labs 1 Knowledge And/Or Problem Resolution
—4—
ADMINISTRATION 2 Availability of Project Manager
1 Change Order Processing Time S 3 Communication 3
2 Timliness of Contractor Payments ; 4 Resolution of Utility Conflicts ti
3 Bid Opening to Pre-Con Meeting Timeframe '1
III)COMMENTS&SIGNATURES
COMMENTS
Signature Contractor
Signature DOE Inspector
Signature DOE Inspector's Superv' or
INSPECTOR'S COMMENTS
l
i
TRANSPORTATION AND PUBLIC WORKS
. ;` The City of Fort Worth•1000 Throckmorton Street•Fort Worth,TX 76012-6311
(817)392-7941 •Fax: (817)392-7845
I
I
it
I
FORTWORTHREV:8/20/16
TRANSPORTATION AND PUBLIC WORKS
PERFORMANCE EVALUATION OF CONTRACTOR
1) CONTRACTOR&PROJECT DATA
Name of Contractor Project Name
Gilco Contracting Willow Ridge Esates Phase 5
Inspector City Project Number
William Mattegat 100480
Construction Components Project Manager
E] Water❑ wastewater[:] Storm Drainage Pavement Fred Ehia
Initial Contract Amount Project Di
$2,224,160.40 0 Simple Routine 0 Complex
Final Contract Amount Date
$2,224,160.40 19-Jan-18
II)PERFORMANCE EVALUATION
0-Inadequate 1-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 N
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 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 2 20 10
10 Citizen's Complaint Resolution 5 Y 4 20 20
I 1 Property Restoration 5 N
12 After Hours Response 5 N
13 Project Completion 5 Y 4 20 20
TOTAL ELEMENT SCORE(A) 363
BONUS POINTS(25 Maximum)(B)
TOTAL SCORE(TS) 363
III)CONTRACTOR'S RATING
Maximum Score(MS)=448 or sum of applicable element score maximums which= 388
Rating([TS/MS] *100%) 363 / 388 = 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)
i
Inspector Signature s Contractor Signature
Inspector's Supervisor ignature
CONTRACTOR'S COMMENTS
TRANSPORTATION AND PUBLIC WORKS
The City of Fort Worth•8851 Camp Bowie West Blvd. •Fort Worth,TX 76116• (817)392-8306
i
I
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 Rob Taylor, Project
Coordinator of Gilco Contracting, 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;
Paving Improvements to serve: Willow Ridge Estates, Phase 5
BY Rob Taylor
Subscribed and sworn before me on this 24th of January, 2018.
"""" THERESA R BOARDMAN
0,tsk true i�,
S Notary Public, State of Texas Notary Public
Comm. Expires 04-13-2020
Notary ID 10589053 Tarrant County, TX
Interchange Corporate Center
.i ✓Z 450 Plymouth Road,Suite 400
1 T-, �I1 i Plymouth Meeting,PA 19462-1644
U 1 t E i Y Ph.(610)832-8240
CONSENT OF SURETY TO FINAL PAYMENT
TO: Pulte Homes of Texas,LP
4800 Regent Blvd.,Suite 100,Irving,TX 75063
City of Fort Worth
200 Texas Street,Fort Worth,TX 76102
RE: Bond Number 022056804
Principal: Gilco Contracting,Inc.
Obligee: Pulte Homes of Texas,LP and the City of Fort Worth
Contract Number: Contract Date: January2017
Contract/Project Description:
Willow Ridge Estates Phase 5-Water and Sanitary Sewer Improvements
City Project#100480 Water Project#59601-0600430-100480-001580,Sanitary Sewer Project#59607-0700430-100480-001380,File#W-2417
"X"No.23751
In accordance with the provisions of the contract between the Obligee and the Principal described above,
LIBERTY MUTUAL INSURANCE COMPANY, a Massachusetts stock insurance company, as Surety (the"Surety"),
on the Principal's bond number 022056804 (the"Bond") hereby consents to the final payment to
the Principal by the Obligee and agrees that final payment to the Principal shall not relieve the Surety of any of its
obligations to Obligee as set forth in the Bond.
IN WITNESS WHEREOF,the Surety has hereunto set its hand and seal this 24th day of January
2018
LIBERTY MUTUAL INSURANCE COMPANY
(Suret
By: r' (Seal)
V.DeLene Marshall,Attorney-In-Fact �"
LMIC-3100 Rev.03104
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.7877196
Liberty Mutual Insurance Company
The Ohio Casualty Insurance Company West American Insurance Company
POWER OF ATTORNEY
KNOWN ALL PERSONS BY THESE PRESENTS:That The Ohio Casualty Insurance Company is a corporation 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 Stale of Massachusetts, and West American 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,
Don E.Cornell;Kelly A.Westbrook;•Ricardo J.Reyna;Robbi Morales;Sophinie Hunter;Tina McEwan;V.DeLene Marshall
all of the city of Dallas state of TX each individually if there be more than one named,its true and lawful attorney-in-fact to make,execute,seal,acknowledge
and deliver,for and on its behalf as surety and as its act 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 25th day of August 2017 >,
tv
The Ohio Casualty Insurance Company
fes/)
v Liberty Mutual Insurance Company m
1912 1991 s C
s � � West American Insurance Company.1.1
•N
a) By: Z42'117�11-1
a)
STATE OF PENNSYLVANIA ss David M.Carey.Assistant Secretary
COUNTY OF MONTGOMERY
O
d On this 25th day of August 2017 before me personally appeared David M.Carey,who acknowledged himself to be the Assistant Secretary of Liberty Mutual Insurance V H
V a) Company,The Ohio Casualty Company,and West American Insurance Company, and that he, as such, being authorized so to do,execute the foregoing instrument for the purposes AW
p therein contained by signing on behalf of the corporations by himself as a duly authorized officer. O
L L E
Gs > IN WITNESS WHEREOF,I have hereunto subscribed my name and affixed my notarial seal at King of Prussia,Pennsylvania,on the day and year first above written. O CL
y � gP P'`tST { COMMONWEALTH OF PENNSYLVANIA � lwl�%��� Q�
o�ornvFa{�f Notarial Sea' 4—
•N }' = v I Teresa Pastella,Notary Public BY
4) OP Upper Merton Twp.,Montgomery County Teresa Pastella,Notary Public
0 L 4
L c My Commission Expires March 28.2021 ?i ill
N O Z Svt�Pa a C
� Orq �g�i hiern6er.Pennsylvania Association of Notaries d
O d
C MThis Power of Attorney is made and executed pursuant to and by authority of the following By-laws and Authorizations of The Ohio Casualty Insurance Company, Liberty Mutual 0 p
y^r Insurance Company,and West American Insurance Company which resolutions are now in full force and effect reading as follows:
O�
ARTICLE IV—OFFICERS—Section 12.Power of Attorney.Any officer or other official of the Corporation authorized for that purpose in writing by the Chairman or the President,and subject O C
to such limitation as the Chairman or the President may prescribe,shall appoint such attorneys-in-fact,as may be necessary to act in behalf of the Corporation to make,execute,seal, Y d
O.S acknowledge and deliver as surety any and all undertakings,bonds,recognizances and other surety obligations. Such attorneys-in-fact,subject to the limitations set forth in their respective 'O 2
E 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 is a)
O 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 attorney-in-fact under >c
the provisions of this article may be revoked at any time by the Board,the Chairman,the President or by the officer or officers granting such power or authority. t d
�
r ARTICLE XIII—Execution of Contracts—SECTION 5.Surety Bonds and Undertakings.Any officer of the Company authorized for that purpose in writing by the chairman or the president, ,
and subject to such limitations as the chairman or the president may prescribe,shall appoint such attorneys-in-fact,as may be necessary to act in behalf of the Company to make,execute, �M
O seal,acknowledge and deliver as surety any and all undertakings,bonds,recognizances and other surety obligations. Such attorneys-in-fact subject to the limitations set forth in their C o0
Z v respective powers of attorney,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 V o
executed such instruments shall be as binding as if signed by the president and attested by the secretary.
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 attorneys-in-
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, Renee C. Llewellyn, the undersigned, Assistant Secretary, 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 correct copy of the Power of Attorney executed by said Companies,is lit fall force add effect and
has not been revoked. l 1
IN TESTIMONY WHEREOF,I have hereunto set my hand and affixed the seals of said Companies this day of
t
0 19 '3 1912 = 1991 By:
x Renee C.LIewWR7rXssista,nt secretary
331 of 400
LMS.12873 022017
101NMutual,
I r
SURETY
TEXAS TEXAS
IMPORTANT NOTICE AVISO IMPORTANTE
To obtain information or make a complaint: Para obtener informacion o para someter una
queja:
You may call toll-free for information or to Usted puede Ilamar al numero de telefono gratis
make a complaint at para informacion o para someter una queja al
1-877-751-2640 1-877-751-2640
You may also write to: Usted tambien puede escribir a:
2200 Renaissance Blvd., Ste. 400 2200 Renaissance Blvd., Ste. 400
King of Prussia, PA 19406-2755 King of Prussia, PA 19406-2755
You may contact the Texas Department of Puede comunicarse con el Departamento de
Insurance to obtain information on companies, Seguros de Texas para obtener informacion
coverages, rights or complaints at acerca de companias, coberturas, derechos o
1-800-252-3439 quejas al
1-800-252-3439
You may write the Texas Department of Insurance Puede escribir al Departamento de Seguros
Consumer Protection (1 l 1-I A) de Texas Consumer Protection (I 1 I-I A)
P. O. Box 149091 P. O. Box 149091
Austin, TX 78714-9091 Austin, TX 78714-9091
FAX: (512) 490-1007 FAX # (512) 490-1007
Web: http://www.tdi.texas.gov Web: http://Nvww.tdi.texas.gov
E-mail: ConsumerProtectionatdi.texas.gov E-mail: ConSumerProtectionatdi.texas. oovv
PREMIUM OR CLAIM DISPUTES: DISPUTAS SOBRE PRIMAS O RECLAMOS:
Should you have a dispute concerning your Si tiena una disputa concerniente a su prima o a
premium or about a claim you should first un reclamo, debe comunicarse con el agente o
contact the agent or call 1-800-843-6446. primero. Si no se resuelve la disputa, puede
If the dispute is not resolved, you may contact the entonces comunicarse con el departamento (TDI)
Texas Department of Insurance.
ATTACH THIS NOTICE TO YOUR UNA ESTE AVISO A SU POLIZA:
POLICY:
This notice is for information only and does not Este aviso es solo para proposito de informacion
become a part or condition of the attached y no se convierte en parte o condicion del
document. documento adjunto.
NP 70 68 09 01
LMS-15292 10/15
December 13, 2017
Mr. Dale Gilreath
Gilco Contracting, Inc.
6331 Southwest Blvd.
Benbrook,Texas 76132
Re: Willow Ridge Phase 5
Paving,Water,Sanitary Sewer,Storm &Street Light Improvements
CoFW Project No. 100480
CoFW File No. W-2417
Dear Mr. Gilreath:
This letter will document that Pulte Homes confirms that Gilco Contracting, Inc. has completed the Work
associated with the above-referenced contract in an appropriate time frame,subject to completion of
any warranty or maintenance work as identified and required by the City of Fort Worth, and that no
liquidated damages will be assessed by Pulte Homes in connection with the Work.
Pulte Homes of Texas LP
Curt M Millward
Manager of Land Development
Cc: Fred Ehia,City of Fort Worth
William Mattegat, City of Fort Worth
January 24, 2018
City of Fort Worth
CFA Administration
1000 Throckmorton St.
Fort Worth, TX 76102
RE: Final Waiver of Lien; Paving Improvements to serve Willow Ridge Estates, Phase 5
City Project#100480
Water Project No. 59601-0600430-100480-001580
Sanitary Sewer Project No. 59607-0700430-100480-001380
File No. W-2417
File No. X-23751
The purpose of this letter is to acknowledge that we have been paid in full by Pulte
Homes of Texas LP for the public improvements constructed to serve Willow Ridge
Estates, Phase 5 in Fort Worth, Texas. As a result, we hereby waive, release and
relinquish all rights to assert any claim or demand for lien in connection with this project.
Please feel free to contact me with any questions you may have.
Sincerely,
X?—
Rob Taylor
for y
Project Coordinator
6331 Southwest Blvd.
Benbrook, Texas 76132
Office: 817.735.1600
Fax: 817.735.1613