HomeMy WebLinkAboutContract 49237-FP1 City Secretary 49237 -FPI
Contract
Date Received A 1,2019 pr
FORT WORTHO,
4g
'P
��S-A NOTICE OF PROJECT COMPLETION
(Developer Projects)
The Transportation and Public Works Department upon the recommendation of the Project
Manager has accepted the following project as complete:
Project Name: RIVER EAST DEVELOPMENT
City Project No.: 100983
Improvement Type(s)'. 0 Paving [D Drainage 0 Street Lights 1.1 Traffic Signals
Original Contract Price: $40,8%00
Amount of Approved Change Order(s):
Revised Contract Amount*
Total Cost of Work Complete: $40,810.00
Mar 28,2019
Contractor Date
Superintendent
Title
Stanford Construction
...........
Company Name
6,
Mar28,2019
N,whoah�I y Q'N"'18,NKI)
............................ ___............................................. ........ .. .. ....... ............... ................. ..................
Project Inspector Date
J M a r 28, 2019
............................................ ......................... ..................
P sectMana Date
7
Mar 28,2019,77
........................................
CFA Manager Date
M a r 28, 2019
...... ........... ................. ....................... ....................
Asst. City Manager Date
OFFICIAL RECOR, age I of 2
CITY SECRETARY'
FT., WOR 1"111 TX
rff
1.
Notice of Project Completion
Project Name: RIVER EAST DEVELOPMENT
City Project No.: 100983
CIty's Attachments
Final Pay Estimate nx
Change Order(s): ❑ Yes 0 N/A
Contractor's Attachments
Affidavit of Bills Paid
Consent of Surety
Statement of Contract Time
Contract Time: 365 CD Days Charged: 540
Work Start Date: 9/2 512 0 1 7 Work Complete Date: 3/12/2019
Page 2of2
�i
FORTWORTH
CITY OF FORT WORTH
FINAL PAYMENT REQUEST
Contract Name RIVER EAST DEVELOPMENT
Contract Limits
Project Type ST LIGHT
City Project Numbers 100983
DOE Number 0983
Estimate Number I Payment Number 1 For Period Ending 3/26/2019
CD
City Secretary Contract Number Contract Time 46D
Contract Date Days Charged to Date 540
Project Manager NA Contract is 100.00 Complete
Contractor STANFORD CONSTRUCTION
12640 E NORTHWEST HWY,STE 411
DALLAS, TX 75228
Inspectors OWEN / MABRY
Tuesday,March 26,2019 Page 1 of 4
i
City Project Numbers 100983 DOE Number 0983
Contract Name RIVER EAST DEVELOPMENT Estimate Number I
Contract Limits Payment Number 1
Project Type ST LIGHT For Period Ending 3/26/2019
Project Funding
i
ST LIGHT
Item Description of Items Estimated Unit Unit Cost Estimated Completed Completed
No. Quanity Total Quanity Total
1 FURNISHANSTALL ELEC SERV POLE MNT I EA $1,500.00 $1,500.00 1 $1,500.00
2 INSTALL ELEC SERV POLE MNT 1 EA $1,500.00 $1,500,00 1 $1,500,00
3 CONDUIT BOX 2 EA $650.00 $1,300.00 2 $1,300.00
4 2"CONDT PVC SCH 40 1326 LF $10.00 $13,260.00 1.326 $13,260.00
5 2"CONDT RM 2 LF $150.00 $300.00 2 $300.00
6 GROUND BOX TYPE B I EA $950.00 $950.00 1 $950.00
7 FURNISII/INSTALL BERRY POLE AND l I EA $2,000.00 $22,000.00 11 $22,000.00
LUMINAIRE
Sub-Total of Previous Unit $40,810.00 $40,810.00
Tuesday,March 26,2019 Page 2 of 4
f
City Project Numbers 100983 DOE Number 0983
Contract Name RIVER EAST DEVELOPMENT Estimate Number I
Contract Limits Payment Number I
Project Type ST LIGHT For Period Ending 3/26/2019
Project Funding
Contract Information Summary
Original Conti-act Amount $40,810.00
Change Orders
Total Contract Price $40,810.00
Total Cost of Work Completed $40,810.00
Less %Retained $0.00
Net Earned $40,810.00
Earned This Period $40,810.00
Retainage This Period $0.00
Less Liquidated Damages
Days @ /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 $40,810.00
Tuesday,March 26,2019 Page 3 of 4
r
City Project Numbers 100983 DOE Number 0983
Contract Name RIVER EAST DEVELOPMENT Estimate Number I
Contract Limits Payment Number I
Project Type ST LIGHT For Period Ending 3/26/2019
Project Funding
Project Manager NA City Secretary Contract Number
Inspectors OWEN / MABRY Contract Date
Contractor STANFORD CONSTRUCTION Contract Time 45 CD
12640 E NORTHWEST FIWY,STE 411 Days Charged to Date 540 CD
DALLAS, TX 75228 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 $40,810.00
Less %Retained $0.00
Net Earned $40,810.00
Earned This Period $40,810.00
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 $40,810.00
Tuesday,March 26,2019 Page 4 of 4
AFFIDAVIT'
STATL', Of-, Texas
COIJNTY 01" Tarrant
Rel6re me, the undersigned mflhority, as notary I-Athlic in the state
and COUIlly atbresaid, on this day personally appeared Ty 1-logali, Project
Manager Of Stanl6rd Construction, Inc., known to me to be a credible
person, who being by me duly sworn, upon his oath deposed and said,
That all ( ersons. firms. associations, Cor I
1,)ot°ahons, or other
organizations i"urnishing labor and/or niaterials have been paid in fiulk
"I'llat the wage scale established by the C ity Council in the It y cal.
Fort Worth has been paid, in f"611.
That there are no claims pet'iding 16j. persona] in'Jury and/or
property daniages:
On Contract described as,
RiVCr Ell'aSt [)CVe10l)1I1C11t - CPN 100983
13 Y
y ogall
Subscribed and sworn bef6re me on this date 15 ol"March, 2019
LEM PHILLIPS
My NoUq ID#124200382
N o ta ry Public Eqjm Jut 25�2022
Dalkls County, State cal'"
'1'exas
6 STANFORD CONSTRUCTION, INC.
12640 E.Northwest Highway♦Suite 411 ♦Dallas,TX 75228♦telephone 972/682-5600♦fax 972/682-9553
2/25/2019
City of Fort Worth
CFA Administration
1000 Throckmorton St.
Fort Worth, Tx. 76102
RE: River East Development City Project # CPN100983
The purpose of this letter is to acknowledge that Stanford Construction has been paid in full by
Criterion Race Street 1, LLC for the public improvements constructed to serve River East
Development 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,
...........
Ay z
Ty Hogan
Project Manager
LEE ANN HOOPER
MY COMMISSION EXPIRES
September 19,2019
145OHUGHESRD.
SUnE1VV
CONTRACTING, LLC. GRAPEVINE,Tx7OO1
(972)831-9898
<8171527-7D70Fax
vmww.mfcconunodngUu.mom
March 7, 2O19
City of Fort Worth
CFAAdminintration
100OThrockmortonSt.
Fort Worth, TX761O2
RE: River East
DOE#: N/A City Project#: [PN100983
The purpose of this letter is to acknowledge that MFC Contracting, LLC has been paid in full by Criterion
Race Street 1, LLC for the public improvements constructed to serve River East 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,
Matthew Shirley
Vice President
CONSENT OF SURETY OWNER 0
TO FINAL PAYMENT ARCHITECT D
ALA Docunzent G707 CONTRACTOR El
SURETY 0
Bond No. 30014665 OTHER C3
TO OWNER. ARCHITECT'S PROJECT NO.:
fName ewdadehve;)
Criterion Race Street 1, LLC &the City of Fort Worth
14160 N. Dallas Parkway, Suite 750 CONTRACT FOR. River East Development
Dallas, TX 78254
plzqjwn� CONTR14CTDA77D.,July 19, 2017
(Nmyte andadih-CKV
CP-11 00983: River East Development
In accordance vvith the provisions of the Contract Between the Owner and the Contractor as Indicated above,the
(lases[nalm,and aeldivs,of srnzN�)
Continental Casualty Company
14100 San Pedro, Suite 206
San Antonio, TX 78232
SURETY,
on bond of
MFC Contracting, L.L.C.
1450 Hughes Road, Suite 100
Grapevine, TX 76051
CONTRACTOR,
hereby approves of the final payment to the Conti-actor,and agrees that final payment to the Contractor shall not relieve the Suety of
any of Its obligations to
(lawrt wane and adeliwg qfOwfler)
Criterion Race Street 1, LLC &the City of Fort Worth
14160 N. Dallas Parkway, Suite 750
Dallas, TX 78254
OWNER,
as set ford)in said Surety's bond,
IN WITNESS WHEREOF,the Surety has hereunto set its hand on this date- March 4, 2019
(AM11 62A10117(;dx,'RoMbfolAouted by lix,wwrork daw cfizd wm)
Continental Casualty Company
(pvx�))
By:
Attest;
(Sea)): Z Courtney J. Goulding Attorney-in-Fact
Marle'ndrStevens, M BL- thinfedowneandfido
0707-1994
POWER OF A TOI2NEY APPOINTING INDIVIDI[JAL ATTOhCNEY-I1N-FAC"1,
Know All ctilen By`These Presents,Dint Conlinctiml Casualty Company,an Illinois insurance company, National Fin Insurance Company of
Ilal-dord, an Illinois insurance company,and American Casualty Company of Reading, Pennsylvania, a Pennsylvania insurance company(herein called
"the CNA C:onipanics") arc duly organised and existin<r insurance companies having their principal offices in the City of Chicago,mid State of lllinois,
and that they do by �irme of the sigmutires and seals herein affixed herchy[nuke, constitute and appoint
William It Crellhausen, Wesley NI Pitts, Cynthia Giesen,Courtney J Goulding, Individually
of Austin. JX,their true and Iassful Atlorrrey(s) ill-Fact with full po%wr and authority hereby Conferred to sign, seal and execute for and on their behalf
honds, undertakings and other obligawry instruments of similar nature
- In UnNnihed Armnmts -
and to hind them thereby as fully and to the same extent as if such instruments were signed by a duly atuhorized officer of their insurance companies and
all the acts of said Attorney, pursuant to the authority hereby given is herchy ratified and confirmed.
Ilk Power of Attorney is made and executed pursuant to and by authority of the By-Law and Resolutionk printed on the reverse hereof,duly
adopted,as indicated, by the Boards of Directors of the insurance conipanks.
In NVitness Whereof, the CAA('ompanics have caused these presents to he sigwd by their Vice President and their corporate seals Ir)he hereto
affixed on this 27rh clay of ScpIcmher, 2017,
GAOuq Comsat,'.l7t tl Casualty Company
)1)0*
1Yd5U�7q�� `� pgNr 0a�i"
o IPO `� ro � ,Carrvaa Ana ricm C asualt ('ot Coompany oflirtrttbrd
mi u� nsuranccc0 ti� Are y npany oI Readin�a, I'cnnsylvania
aSE 19d2
1b97 WARtF
Paul T. 13rulJat - —Vi*, i)e residetnt
Statc of South Dakota,County of Mirurchaha, ss:
On this 2-1th clay of.septemher. 2017, hchore me personally came And f. BmAm in me kmmn, who, heinol nto duly worn,did dgow and say-
that he resides in the City o1 Sioux Falls, State of South Dakota; that I'te is;a Vice Presidclit of Continental Casualty Company,an Illinois insurance
company, National Firs (nsurance Company of Ilartlord, an Illinois insurance company. and American Casualty Company of Banding, Pennsylvania.a
Pennsyk aria insurance company descrihctd in and"Ilich exccuied the above insunument; dint he Itno�es the scabs of said insurance companies; that flit,
seals affixed to the said instninlem an such corpmatc walm that they wen so affixed pumunnt to authority given by the Boards of Directors of said
insurance Companies and that he si<tnCc.l his name thereto pursuant to like nutlwrily,and ackno�Ocdges same to be the act and deed of said insurance
companies. ,
fMiNN-d-MA^.hr F^hh*fiiMHMhI^F
J.MOHR
�NurnHVE>uaeic � i�
eni scwnion;eorr e:,
My C'ommissian 1?xpires June 23, 2021 J. imtohr ;Votary Public:
1. 1).Johnson, Assistant Secretary of Continental Casualty Company,tin Illinois insurance company, National Fire Insurance Ompany of Ilanford.
an Illinois insMaPCC Company. and American Casualty Company of Reading. crrtify to the
Posticr of Attorney herein abcnc set forth is still in force, and further certify[lint the By4 aw and Resolutinn of the: Board of Directors of the: insurance
companies printed on the retei t'ieof is still in Rwc In testin�t)ny "hercof I hake f r i`it suhscrihed my name and affixed the seal of thct nAd
insurance coru xulics this day of
,aGa1ApS�o�UAAr(gr� tWS�URFqd
Co�ntnte�nt l Casualty
. Comp p o
Y
c National ire Insurance Compan
y of flartford
Cio,
gr Anurcan atrltY( ona7y of Rdg. Fcn
rsylvar
0 SEA_ �
997 HAFa °
1). Johnson Assishmt Secrctar s
Fonn FG$73MO12
Figure: 28TAC §1.601(a)(3)
1 IMPORTANT NOTICE 4V|SQ |K8PORTANTE
To obtain information or make a complaint: Para obtenarinfunnacion u pans aometeruno queja:
2 You may contact Continental Casualty Company, Puade comuniouree con Continental Casualty
National Fire Insurance Company ofHartford, Company, National Fire Insurance Company da
American Casualty Company ofReading, PA and Hortfond, American Casualty Company de Reading, PA
Continental Insurance Company ot312'822-5OUO. yConUnonta| Insurance (�ompanyo| 312-822-5U00
3 You may call Continental Casualty Company. Ueied puedo Uomara| numoro deto|efono gratis de
National Fire Insurance Company ofHartford, Continental Casualty Company, National F/ny
American Casualty Company ofReading, PA and Insurance Company de HarUbrd, American Casualty
Continental Insurance Company's toll-free telephone Company de Reading, PAyContinental Insurance
number for inhznnodon or to make a complaint at Company's pana infonnuoion o pano eomoter unu
1-877-672-6115 quejaa|:
1'877'672'6115
4 You may also write to Continental Casualty Unted tombian puede 000hbira Continental Casualty
Compeny, National Fire Insurance Company of Company, National Fire Insurance Company de
Hartford, American Casualty Company ofReading, Hartfond, American Casualty Company de Reading
PA and Continental Insurance Company at: PAyContinental Insurance Company: '
CNA3umty CNASuna1y
151 North Frank|in, 17th Floor 151 North Fnank|in, 17th Floor
Chicago, IL GOGOS Chicago, IL 60606
5 You may contact the Texas Department of Puode onmunioameoon e| Oepadomen{o do SeAun`s
Insurance to obtain information on companies' da Texas punaobtanerinfonnacinn acemad*
covonages, rights or complaints at: ozmpaniae, cobertumo, denaohoa o qu jas a|:
1-ODU-252343Q
' 1-800'252-3439
G You may write the Texas Department of Puede escribirm| Depadamonto de Soguroa de
Insurance: Texas:
P.O.O Box140104
P.O. Box14S1O4
Austin, TX 78714'9104 Austin, TX 78714-9104
Fax: (512) 4QO-1UO7 Fax: (512) 49O-18O7
Web: vmmwhditemoo.guv Web: wvmw.bJihaxou.gnv
E-Mail: CwnoumadPnoteoUon@tdihaxua.yov E-Mail: ConaumadProb*ctiun@hditoxua.gov
7 PFlEK0|UK8 DR CLAIM DISPUTES: D|SPUTA3 SO8RE PR|MAS O RECLAK8OS'
Should you have e dispute concerning your Sitieneunodimputaooncennienteaauprima - a
premium or about a claim you should contact un nuc|amn, dabn oomunivam ~'
e con m| Continental
Continental Casualty Compeny, National Fire Casualty Compony, National Fire Insurance
Insurance Company mf Hartford, American Casualty Company de Hartford, American Casualty Company
Company ofReading, PA and Continental Insurance da Reeding. PA Continental Insurance Company
Company first. If the dispute is not naoo|ved, you phmeno. Si no nm moaue|ve |o dispuba puedo
may contact the Texas D*po�nnentof|nounanoo entoncosoomuni | d d '
� oameunno mpa amenbo (TD|).
8 ATTACH THIS NOTICE TO YOUR POLICY: UNA ESTEAV|SOASU POL|Z4' Este ovioo an
This notice is for information only and does not solo pana propoeihode informacio^
nynoee
become apo�orcondiUonof the attached � � ' '-- -- ''''~''''~~~
conv|e�e en partao condicion del dooummnto
document.
edjunto.
Form F8277�2018
~ ~
STF NU��� ���� ���� U� Co.����������� ������ �����4�& Inc.�&���
2820 East Belknap Street
�� �� ��1 � �
^ � °.m~^"^ "'^ , .����
��1 ~7-"��lc�-� 1 ��z1
���^ ~ �� ����
��1 �-���1-�� ��7
�^�~ ���` ��~ ~
City mfFt Worth
CFA Administration
1D0OThrockmortonSt.
Ft Worth Tx761U2
RE: River East City ofFt Worth CPN1OO983
This is to acknowledge that STF Design and Build Co. Inc. has been paid in full the amount of$40,810.00
by Criterion Race Street I LLC. As a result,we hereby release and relinquish all rights to assert any claim
nr demand for lien in connection with this project.
|f there are any questions, | can be reached at817-7US-1124
VP Operations
My Commission Expires
Subscribed and uvvorntonoe this 4y day of March 2U19
aryPub|ic
State ofTexas County of Tarrant
6TF Design and Build Co. Inc. Larry Hussey
Ft Worth Tx76111
~
`
`
CONSENT OF OWNER
SURETY COMPANY ARCHITECT
TO FINAL PAYMENT CONTRACTOR
OTHER
A/A DOCUMENT G7O7 BOOd #4411197
PROJECT: River East Development, Fort Worth,TX
TO(Owner)
F-- —1 ARCH|TECTSP�OJEOTNU�2O17�01
/�htehon Race Stmot|. LLCand |
City of Fort Worth CONTRACT FOR: Street Light Improvements
Fort Worth,TX
CONTRACT DATE:7/1@2O17
| |
L_ —�
CONTRACTOR: 8TF Design and Build Co., Inc.
In oouondonom with the provisions of the Contract between the Owner and the Contractor as indicated above. the
(here inseri name and address or Surety Company)
SumToo Insurance Company
5741 Legacy Drive, Suite 4O0
Plano,TX75O24
,SURETY COMPANY,
on bond of(here insert name and address of Contractor)
8TF Design and Build Co.. Inc.
2O2O East Belknap St.
Fort Worth,TK75111
.CONTRACTOR,
hereby approves of the final payment to the Contractor, and ogvaeu that final payment to the Contractor shall not |
relieve the Surety Company of any of its obligations to(here insert name and address of Owner)
Criterion Race Street 1, LLC and City of Fort Worth
Fort Worth,TX |
OWNERS, i
em set forth in the said Surety Company's bond.
|N WITNESS WHEREOF,
the Surety Company has hereunto set its hand this 12th day of Fabruary.2O19.
SureTeu Insurance Company
jkmpk A,
!�ignature of Autho'rized Representative
Attest:
(Seal): Alicia Grumbles,Attomey-in-Fact
Title
NOTE: This form Is to be used as a companion document to AIA DOCUMENT G706,CONTRACTOR'S AFFIDAVIT OF PAYMENT OF DEBTS AND
CLAIMS,Current Edition
mA DOCUMENT omr'CONSENT op SURETY COMPANY ro FINAL PAYMENT^xpmL 1oro EDITION`Amm ONE PAGE
@1um-THE AmEmuxw INSTITUTE op ARCHITECTS.,/us NEW voexw/s,NW,w*ax/wmTow.o.o.omna
POA t1:
4221178
iSureTec Insurance Company
LIMITED POWER OF ATTORNEY
Know All Men by These Presents, That SURETEC INSURANCE COMPANY (the "Company"), a corporation duly organized and
existing under the laws of the State of Texas, and having its principal office in Houston, Harris County, Texas, does by these presents
make,constitute and appoint
Tracy L.Miller,Alicia Grumbles,William Mitchell Jennings,Katie Rogers
its true and lawful Attorney-in-fact,with full power and authority hereby conferred in its name, place and stead,to execute,acknowledge
and deliver any and all bonds, recognizances, undertakings or other instruments or contracts of suretyship to include waivers to the
conditions of contracts and consents of surety for,providing the bond penalty does not exceed
Five Million and 00/100 Dollars($5,000,000.00)
and to bind the Company thereby as fully and to the same extent as if such bond were signed by the CEO,sealed with the corporate seal
of the Company and duly attested by its Secretary, hereby ratifying and confirming all that the said Attorney-in-Fact may do in the
premises. Said appointment is made under and by authority of the following resolutions of the Board of Directors of the SureTec
Insurance Company:
Be it Resolved, that the President, any Vice-President,any Assistant Vice-President, any Secretary or any Assistant Secretary shall be and is
hereby vested with full power and authority to appoint any one or more suitable persons as Attorneys)-in-Fact to represent and act for and on
behalf of the Company subject to the following provisions:
Attorney-in-Fact may be given full power and authority for and in the name of and of behalf of the Company,to execute, acknowledge and
deliver,any and all bonds,reeognizances,contracts,agreements or indemnity and other conditional or obligatory undertakings and any and all
notices and documents canceling or terminating the Company's liability thereunder, and any such instruments so executed by any such
Attorney-in-Fact shall be binding upon the Company as if signed by the President and sealed and effected by the Corporate Secretary.
Be it Resolved,that the signature of any authorized officer and seal of the Company heretofore or hereafter affixed to any power of attorney or
any certificate relating thereto by facsimile,and any power of attorney or certificate bearing facsimile signature or facsimile seal shall be valid
and binding upon the Company with respect to any bond or undertaking to which it is attached. (Adopted at a meeting held on 20ei of April,
1999.)
In Witness Whereof, SURETEC INSURANCE COMPANY has caused these presents to be signed by its CEO, and its corporate seal to
'be hereto affixed this 11th day of November A.D.2018 .
„X 01111u* SURETEC INS ANY
,ayyt�Ant����
By:
u11 w eke, j+D.2 John Knor-7
State of Texas ss: d e)='I-V
County of Harris
iNMiX.X
On this 11th day of November ,A.D.2018 before me personally came John Knox Jr.,to me known, who, being by me duly sworn,did depose and say,
that he resides in Houston,Texas,that he is CEO of SURETEC INSURANCE COMPANY,the company described in and which executed the above
instrument;that he knows the seal of said Company;that the seal affixed to said instrument is such corporate seal;that it was so affixed by order of the
Board of Directors of said Company;and that he signed his name thereto by like order,
GH.F[:NI_EAF
puhiiG,State of 1'eX85
�'''-�.X�v,•'":: Cornrr�.Exp'ua:;i)5-1ti-202i _--
;;,; �` Notary iCl 126903029 Jacq elyn Greenleaf,Notary Public
- My commission expires May 18,2021
I,M.Brent Beaty,Assistant Secretary of SURETEC INSURANCE COMPANY,do hereby certify that the above and foregoing is a true and correct copy
of a Power of Attorney,executed by said Company,which is still in full force and effect;and furthermore,the resolutions of the Board of Directors,set
out in the Power of Attorney are in full force and effect. �
Given.under my hand and the seal of said Company at Houston,Texas this day of� �Y A.D.
Brent Beaty,A istant SeeVetary
Any instrument issued in excess of the penalty stated above is totally void and without any validity.
For verification of the authority of this power you may call(713)812-0800 any business day between 8:30 am and 5:00 pm CST.
SureTec Insurance Company
THIS BOND RIDER CONTAINS IMPORTANT COVERAGE INFORMATION
Statutory Complaint Notice/Filing of Claims
To obtain information or make a complaint:You may call the Surety's toll free telephone number for information or to make a
complaint or file a claim at: 1-866-732-0099.You may also write to the Surety at:
SureTec Insurance Company
9737 Great Hills Trail, Suite 320
Austin, Tx 78769
You may contact the Texas Department of Insurance to obtain information on companies,coverage,rights or complaints at 1-800-252-
3439.You may write the Texas Department of Insurance at
PO Box 149104
Austin,TX 78714-9104
Fax#: 512-490-1007
Web: litti)://www.tdi.state.tx.us
Email: ConsumerProtection@tdi.texas.gov
PREMIUM OR CLAIM.DISPUTES: Should you have a dispute concerning your premium or about a claim,you should contact the
Surety first. If the dispute is not resolved,you may contact the Texas Department of Insurance.
------------------------------------------------------------------------------------------------------------------------------
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Texas Rider 06042014 1
1�
AFFIDAVIT'
STATL', Of-, Texas
COIJNTY 01" Tarrant
Rel6re me, the undersigned mflhority, as notary I-Athlic in the state
and COUIlly atbresaid, on this day personally appeared Ty 1-logali, Project
Manager Of Stanl6rd Construction, Inc., known to me to be a credible
person, who being by me duly sworn, upon his oath deposed and said,
That all ( ersons. firms. associations, Cor I
1,)ot°ahons, or other
organizations i"urnishing labor and/or niaterials have been paid in fiulk
"I'llat the wage scale established by the C ity Council in the It y cal.
Fort Worth has been paid, in f"611.
That there are no claims pet'iding 16j. persona] in'Jury and/or
property daniages:
On Contract described as,
RiVCr Ell'aSt [)CVe10l)1I1C11t - CPN 100983
13 Y
y ogall
Subscribed and sworn bef6re me on this date 15 ol"March, 2019
LEM PHILLIPS
My NoUq ID#124200382
N o ta ry Public Eqjm Jut 25�2022
Dalkls County, State cal'"
'1'exas
6 STANFORD CONSTRUCTION, INC.
12640 E.Northwest Highway♦Suite 411 ♦Dallas,TX 75228♦telephone 972/682-5600♦fax 972/682-9553
2/25/2019
City of Fort Worth
CFA Administration
1000 Throckmorton St.
Fort Worth, Tx. 76102
RE: River East Development City Project # CPN100983
The purpose of this letter is to acknowledge that Stanford Construction has been paid in full by
Criterion Race Street 1, LLC for the public improvements constructed to serve River East
Development 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,
...........
Ay z
Ty Hogan
Project Manager
LEE ANN HOOPER
MY COMMISSION EXPIRES
September 19,2019
145OHUGHESRD.
SUnE1VV
CONTRACTING, LLC. GRAPEVINE,Tx7OO1
(972)831-9898
<8171527-7D70Fax
vmww.mfcconunodngUu.mom
March 7, 2O19
City of Fort Worth
CFAAdminintration
100OThrockmortonSt.
Fort Worth, TX761O2
RE: River East
DOE#: N/A City Project#: [PN100983
The purpose of this letter is to acknowledge that MFC Contracting, LLC has been paid in full by Criterion
Race Street 1, LLC for the public improvements constructed to serve River East 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,
Matthew Shirley
Vice President
CONSENT OF SURETY OWNER 0
TO FINAL PAYMENT ARCHITECT D
ALA Docunzent G707 CONTRACTOR El
SURETY 0
Bond No. 30014665 OTHER C3
TO OWNER. ARCHITECT'S PROJECT NO.:
fName ewdadehve;)
Criterion Race Street 1, LLC &the City of Fort Worth
14160 N. Dallas Parkway, Suite 750 CONTRACT FOR. River East Development
Dallas, TX 78254
plzqjwn� CONTR14CTDA77D.,July 19, 2017
(Nmyte andadih-CKV
CP-11 00983: River East Development
In accordance vvith the provisions of the Contract Between the Owner and the Contractor as Indicated above,the
(lases[nalm,and aeldivs,of srnzN�)
Continental Casualty Company
14100 San Pedro, Suite 206
San Antonio, TX 78232
SURETY,
on bond of
MFC Contracting, L.L.C.
1450 Hughes Road, Suite 100
Grapevine, TX 76051
CONTRACTOR,
hereby approves of the final payment to the Conti-actor,and agrees that final payment to the Contractor shall not relieve the Suety of
any of Its obligations to
(lawrt wane and adeliwg qfOwfler)
Criterion Race Street 1, LLC &the City of Fort Worth
14160 N. Dallas Parkway, Suite 750
Dallas, TX 78254
OWNER,
as set ford)in said Surety's bond,
IN WITNESS WHEREOF,the Surety has hereunto set its hand on this date- March 4, 2019
(AM11 62A10117(;dx,'RoMbfolAouted by lix,wwrork daw cfizd wm)
Continental Casualty Company
(pvx�))
By:
Attest;
(Sea)): Z Courtney J. Goulding Attorney-in-Fact
Marle'ndrStevens, M BL- thinfedowneandfido
0707-1994
POWER OF A TOI2NEY APPOINTING INDIVIDI[JAL ATTOhCNEY-I1N-FAC"1,
Know All ctilen By`These Presents,Dint Conlinctiml Casualty Company,an Illinois insurance company, National Fin Insurance Company of
Ilal-dord, an Illinois insurance company,and American Casualty Company of Reading, Pennsylvania, a Pennsylvania insurance company(herein called
"the CNA C:onipanics") arc duly organised and existin<r insurance companies having their principal offices in the City of Chicago,mid State of lllinois,
and that they do by �irme of the sigmutires and seals herein affixed herchy[nuke, constitute and appoint
William It Crellhausen, Wesley NI Pitts, Cynthia Giesen,Courtney J Goulding, Individually
of Austin. JX,their true and Iassful Atlorrrey(s) ill-Fact with full po%wr and authority hereby Conferred to sign, seal and execute for and on their behalf
honds, undertakings and other obligawry instruments of similar nature
- In UnNnihed Armnmts -
and to hind them thereby as fully and to the same extent as if such instruments were signed by a duly atuhorized officer of their insurance companies and
all the acts of said Attorney, pursuant to the authority hereby given is herchy ratified and confirmed.
Ilk Power of Attorney is made and executed pursuant to and by authority of the By-Law and Resolutionk printed on the reverse hereof,duly
adopted,as indicated, by the Boards of Directors of the insurance conipanks.
In NVitness Whereof, the CAA('ompanics have caused these presents to he sigwd by their Vice President and their corporate seals Ir)he hereto
affixed on this 27rh clay of ScpIcmher, 2017,
GAOuq Comsat,'.l7t tl Casualty Company
)1)0*
1Yd5U�7q�� `� pgNr 0a�i"
o IPO `� ro � ,Carrvaa Ana ricm C asualt ('ot Coompany oflirtrttbrd
mi u� nsuranccc0 ti� Are y npany oI Readin�a, I'cnnsylvania
aSE 19d2
1b97 WARtF
Paul T. 13rulJat - —Vi*, i)e residetnt
Statc of South Dakota,County of Mirurchaha, ss:
On this 2-1th clay of.septemher. 2017, hchore me personally came And f. BmAm in me kmmn, who, heinol nto duly worn,did dgow and say-
that he resides in the City o1 Sioux Falls, State of South Dakota; that I'te is;a Vice Presidclit of Continental Casualty Company,an Illinois insurance
company, National Firs (nsurance Company of Ilartlord, an Illinois insurance company. and American Casualty Company of Banding, Pennsylvania.a
Pennsyk aria insurance company descrihctd in and"Ilich exccuied the above insunument; dint he Itno�es the scabs of said insurance companies; that flit,
seals affixed to the said instninlem an such corpmatc walm that they wen so affixed pumunnt to authority given by the Boards of Directors of said
insurance Companies and that he si<tnCc.l his name thereto pursuant to like nutlwrily,and ackno�Ocdges same to be the act and deed of said insurance
companies. ,
fMiNN-d-MA^.hr F^hh*fiiMHMhI^F
J.MOHR
�NurnHVE>uaeic � i�
eni scwnion;eorr e:,
My C'ommissian 1?xpires June 23, 2021 J. imtohr ;Votary Public:
1. 1).Johnson, Assistant Secretary of Continental Casualty Company,tin Illinois insurance company, National Fire Insurance Ompany of Ilanford.
an Illinois insMaPCC Company. and American Casualty Company of Reading. crrtify to the
Posticr of Attorney herein abcnc set forth is still in force, and further certify[lint the By4 aw and Resolutinn of the: Board of Directors of the: insurance
companies printed on the retei t'ieof is still in Rwc In testin�t)ny "hercof I hake f r i`it suhscrihed my name and affixed the seal of thct nAd
insurance coru xulics this day of
,aGa1ApS�o�UAAr(gr� tWS�URFqd
Co�ntnte�nt l Casualty
. Comp p o
Y
c National ire Insurance Compan
y of flartford
Cio,
gr Anurcan atrltY( ona7y of Rdg. Fcn
rsylvar
0 SEA_ �
997 HAFa °
1). Johnson Assishmt Secrctar s
Fonn FG$73MO12
Figure: 28TAC §1.601(a)(3)
1 IMPORTANT NOTICE 4V|SQ |K8PORTANTE
To obtain information or make a complaint: Para obtenarinfunnacion u pans aometeruno queja:
2 You may contact Continental Casualty Company, Puade comuniouree con Continental Casualty
National Fire Insurance Company ofHartford, Company, National Fire Insurance Company da
American Casualty Company ofReading, PA and Hortfond, American Casualty Company de Reading, PA
Continental Insurance Company ot312'822-5OUO. yConUnonta| Insurance (�ompanyo| 312-822-5U00
3 You may call Continental Casualty Company. Ueied puedo Uomara| numoro deto|efono gratis de
National Fire Insurance Company ofHartford, Continental Casualty Company, National F/ny
American Casualty Company ofReading, PA and Insurance Company de HarUbrd, American Casualty
Continental Insurance Company's toll-free telephone Company de Reading, PAyContinental Insurance
number for inhznnodon or to make a complaint at Company's pana infonnuoion o pano eomoter unu
1-877-672-6115 quejaa|:
1'877'672'6115
4 You may also write to Continental Casualty Unted tombian puede 000hbira Continental Casualty
Compeny, National Fire Insurance Company of Company, National Fire Insurance Company de
Hartford, American Casualty Company ofReading, Hartfond, American Casualty Company de Reading
PA and Continental Insurance Company at: PAyContinental Insurance Company: '
CNA3umty CNASuna1y
151 North Frank|in, 17th Floor 151 North Fnank|in, 17th Floor
Chicago, IL GOGOS Chicago, IL 60606
5 You may contact the Texas Department of Puode onmunioameoon e| Oepadomen{o do SeAun`s
Insurance to obtain information on companies' da Texas punaobtanerinfonnacinn acemad*
covonages, rights or complaints at: ozmpaniae, cobertumo, denaohoa o qu jas a|:
1-ODU-252343Q
' 1-800'252-3439
G You may write the Texas Department of Puede escribirm| Depadamonto de Soguroa de
Insurance: Texas:
P.O.O Box140104
P.O. Box14S1O4
Austin, TX 78714'9104 Austin, TX 78714-9104
Fax: (512) 4QO-1UO7 Fax: (512) 49O-18O7
Web: vmmwhditemoo.guv Web: wvmw.bJihaxou.gnv
E-Mail: CwnoumadPnoteoUon@tdihaxua.yov E-Mail: ConaumadProb*ctiun@hditoxua.gov
7 PFlEK0|UK8 DR CLAIM DISPUTES: D|SPUTA3 SO8RE PR|MAS O RECLAK8OS'
Should you have e dispute concerning your Sitieneunodimputaooncennienteaauprima - a
premium or about a claim you should contact un nuc|amn, dabn oomunivam ~'
e con m| Continental
Continental Casualty Compeny, National Fire Casualty Compony, National Fire Insurance
Insurance Company mf Hartford, American Casualty Company de Hartford, American Casualty Company
Company ofReading, PA and Continental Insurance da Reeding. PA Continental Insurance Company
Company first. If the dispute is not naoo|ved, you phmeno. Si no nm moaue|ve |o dispuba puedo
may contact the Texas D*po�nnentof|nounanoo entoncosoomuni | d d '
� oameunno mpa amenbo (TD|).
8 ATTACH THIS NOTICE TO YOUR POLICY: UNA ESTEAV|SOASU POL|Z4' Este ovioo an
This notice is for information only and does not solo pana propoeihode informacio^
nynoee
become apo�orcondiUonof the attached � � ' '-- -- ''''~''''~~~
conv|e�e en partao condicion del dooummnto
document.
edjunto.
Form F8277�2018
~ ~
STF NU��� ���� ���� U� Co.����������� ������ �����4�& Inc.�&���
2820 East Belknap Street
�� �� ��1 � �
^ � °.m~^"^ "'^ , .����
��1 ~7-"��lc�-� 1 ��z1
���^ ~ �� ����
��1 �-���1-�� ��7
�^�~ ���` ��~ ~
City mfFt Worth
CFA Administration
1D0OThrockmortonSt.
Ft Worth Tx761U2
RE: River East City ofFt Worth CPN1OO983
This is to acknowledge that STF Design and Build Co. Inc. has been paid in full the amount of$40,810.00
by Criterion Race Street I LLC. As a result,we hereby release and relinquish all rights to assert any claim
nr demand for lien in connection with this project.
|f there are any questions, | can be reached at817-7US-1124
VP Operations
My Commission Expires
Subscribed and uvvorntonoe this 4y day of March 2U19
aryPub|ic
State ofTexas County of Tarrant
6TF Design and Build Co. Inc. Larry Hussey
Ft Worth Tx76111
~
`
`
CONSENT OF OWNER
SURETY COMPANY ARCHITECT
TO FINAL PAYMENT CONTRACTOR
OTHER
A/A DOCUMENT G7O7 BOOd #4411197
PROJECT: River East Development, Fort Worth,TX
TO(Owner)
F-- —1 ARCH|TECTSP�OJEOTNU�2O17�01
/�htehon Race Stmot|. LLCand |
City of Fort Worth CONTRACT FOR: Street Light Improvements
Fort Worth,TX
CONTRACT DATE:7/1@2O17
| |
L_ —�
CONTRACTOR: 8TF Design and Build Co., Inc.
In oouondonom with the provisions of the Contract between the Owner and the Contractor as indicated above. the
(here inseri name and address or Surety Company)
SumToo Insurance Company
5741 Legacy Drive, Suite 4O0
Plano,TX75O24
,SURETY COMPANY,
on bond of(here insert name and address of Contractor)
8TF Design and Build Co.. Inc.
2O2O East Belknap St.
Fort Worth,TK75111
.CONTRACTOR,
hereby approves of the final payment to the Contractor, and ogvaeu that final payment to the Contractor shall not |
relieve the Surety Company of any of its obligations to(here insert name and address of Owner)
Criterion Race Street 1, LLC and City of Fort Worth
Fort Worth,TX |
OWNERS, i
em set forth in the said Surety Company's bond.
|N WITNESS WHEREOF,
the Surety Company has hereunto set its hand this 12th day of Fabruary.2O19.
SureTeu Insurance Company
jkmpk A,
!�ignature of Autho'rized Representative
Attest:
(Seal): Alicia Grumbles,Attomey-in-Fact
Title
NOTE: This form Is to be used as a companion document to AIA DOCUMENT G706,CONTRACTOR'S AFFIDAVIT OF PAYMENT OF DEBTS AND
CLAIMS,Current Edition
mA DOCUMENT omr'CONSENT op SURETY COMPANY ro FINAL PAYMENT^xpmL 1oro EDITION`Amm ONE PAGE
@1um-THE AmEmuxw INSTITUTE op ARCHITECTS.,/us NEW voexw/s,NW,w*ax/wmTow.o.o.omna
POA t1:
4221178
iSureTec Insurance Company
LIMITED POWER OF ATTORNEY
Know All Men by These Presents, That SURETEC INSURANCE COMPANY (the "Company"), a corporation duly organized and
existing under the laws of the State of Texas, and having its principal office in Houston, Harris County, Texas, does by these presents
make,constitute and appoint
Tracy L.Miller,Alicia Grumbles,William Mitchell Jennings,Katie Rogers
its true and lawful Attorney-in-fact,with full power and authority hereby conferred in its name, place and stead,to execute,acknowledge
and deliver any and all bonds, recognizances, undertakings or other instruments or contracts of suretyship to include waivers to the
conditions of contracts and consents of surety for,providing the bond penalty does not exceed
Five Million and 00/100 Dollars($5,000,000.00)
and to bind the Company thereby as fully and to the same extent as if such bond were signed by the CEO,sealed with the corporate seal
of the Company and duly attested by its Secretary, hereby ratifying and confirming all that the said Attorney-in-Fact may do in the
premises. Said appointment is made under and by authority of the following resolutions of the Board of Directors of the SureTec
Insurance Company:
Be it Resolved, that the President, any Vice-President,any Assistant Vice-President, any Secretary or any Assistant Secretary shall be and is
hereby vested with full power and authority to appoint any one or more suitable persons as Attorneys)-in-Fact to represent and act for and on
behalf of the Company subject to the following provisions:
Attorney-in-Fact may be given full power and authority for and in the name of and of behalf of the Company,to execute, acknowledge and
deliver,any and all bonds,reeognizances,contracts,agreements or indemnity and other conditional or obligatory undertakings and any and all
notices and documents canceling or terminating the Company's liability thereunder, and any such instruments so executed by any such
Attorney-in-Fact shall be binding upon the Company as if signed by the President and sealed and effected by the Corporate Secretary.
Be it Resolved,that the signature of any authorized officer and seal of the Company heretofore or hereafter affixed to any power of attorney or
any certificate relating thereto by facsimile,and any power of attorney or certificate bearing facsimile signature or facsimile seal shall be valid
and binding upon the Company with respect to any bond or undertaking to which it is attached. (Adopted at a meeting held on 20ei of April,
1999.)
In Witness Whereof, SURETEC INSURANCE COMPANY has caused these presents to be signed by its CEO, and its corporate seal to
'be hereto affixed this 11th day of November A.D.2018 .
„X 01111u* SURETEC INS ANY
,ayyt�Ant����
By:
u11 w eke, j+D.2 John Knor-7
State of Texas ss: d e)='I-V
County of Harris
iNMiX.X
On this 11th day of November ,A.D.2018 before me personally came John Knox Jr.,to me known, who, being by me duly sworn,did depose and say,
that he resides in Houston,Texas,that he is CEO of SURETEC INSURANCE COMPANY,the company described in and which executed the above
instrument;that he knows the seal of said Company;that the seal affixed to said instrument is such corporate seal;that it was so affixed by order of the
Board of Directors of said Company;and that he signed his name thereto by like order,
GH.F[:NI_EAF
puhiiG,State of 1'eX85
�'''-�.X�v,•'":: Cornrr�.Exp'ua:;i)5-1ti-202i _--
;;,; �` Notary iCl 126903029 Jacq elyn Greenleaf,Notary Public
- My commission expires May 18,2021
I,M.Brent Beaty,Assistant Secretary of SURETEC INSURANCE COMPANY,do hereby certify that the above and foregoing is a true and correct copy
of a Power of Attorney,executed by said Company,which is still in full force and effect;and furthermore,the resolutions of the Board of Directors,set
out in the Power of Attorney are in full force and effect. �
Given.under my hand and the seal of said Company at Houston,Texas this day of� �Y A.D.
Brent Beaty,A istant SeeVetary
Any instrument issued in excess of the penalty stated above is totally void and without any validity.
For verification of the authority of this power you may call(713)812-0800 any business day between 8:30 am and 5:00 pm CST.
SureTec Insurance Company
THIS BOND RIDER CONTAINS IMPORTANT COVERAGE INFORMATION
Statutory Complaint Notice/Filing of Claims
To obtain information or make a complaint:You may call the Surety's toll free telephone number for information or to make a
complaint or file a claim at: 1-866-732-0099.You may also write to the Surety at:
SureTec Insurance Company
9737 Great Hills Trail, Suite 320
Austin, Tx 78769
You may contact the Texas Department of Insurance to obtain information on companies,coverage,rights or complaints at 1-800-252-
3439.You may write the Texas Department of Insurance at
PO Box 149104
Austin,TX 78714-9104
Fax#: 512-490-1007
Web: litti)://www.tdi.state.tx.us
Email: ConsumerProtection@tdi.texas.gov
PREMIUM OR CLAIM.DISPUTES: Should you have a dispute concerning your premium or about a claim,you should contact the
Surety first. If the dispute is not resolved,you may contact the Texas Department of Insurance.
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