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Home My WebLink AboutContract 48182-FP1 City Secretary 48182 -FP1 1L' Contract No. RECEIVED FORT WORTH.) Date Received Nov 11,2019 NOV l i 2019 CITY OF FORT WORTH CITY SECRETARY 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: MARKUM BUSINESS PARK PH I City Project No.: 100032 Improvement Type(s): ® Paving ❑ Drainage ❑ Street Lights ❑ Traffic Signals Original Contract Price: $407,707.46 Amount of Approved Change Order(s): Revised Contract Amount: Total Cost of Work Complete: $407,707.46 1� Oct 31 2019 Sam Davis(Oct 31,2019) 7 Contractor Date President Title JLB Contracting,LLC Company Name ivy Oct 31 Randy Holton(Oct 31,20191 7 2019 Project In ector Date Khal Jaalari(No 019) Nov 5, 2019 , Project anager Date ,ze� e Ye?N7Gje�Rw-glef Nov 7 2019 Janie Scarlett Morales(Nov 7,2019) CFA Manager Date Dana BurRhdoff(f1 v7,201tf Nov 7, 2019 Asst. City Manager Date OFFICIAL RECORD CITY 5ECREURY Page 1 of 2 FT WORTH,TX Notice of Project Completion Project Name: MARKUM BUSINESS PARK PH I City Project No.: 100032 City's Attachments Final Pay Estimate 0 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: 1061 Work Start Date: 11/14/2016 Work Complete Date: 10/8/2019 Page 2 of 2 FORTWORTH CITY OF FORT WORTH FINAL PAYMENT REQUEST Contract Name MARKUM BUSINESS PARK PH I Contract Limits Project Type PAVING City Project Numbers 100032 DOE Number 0032 Estimate Number I Payment Number 1 For Period Ending 10/30/2019 CD City Secretary Contract Number Contract Time 366D Contract Date Days Charged to Date 1061 Project Manager NA Contract is 100.00 Complete Contractor JLB CONTRACTING,L.L.C. PO BOX 24131 FORT WORTH, TX 76124-1131 Inspectors LAYER / ROGERS Wednesday,October 30,2019 Page 1 of 4 City Project Numbers 100032 DOE Number 0032 Contract Name MARKUM BUSINESS PARK PH I Estimate Number I Contract Limits Payment Number I Project Type PAVING For Period Ending 10/30/2019 Project Funding PAVING Item Description of Items Estimated Unit Unit Cost Estimated Completed Completed No. Quanity Total Quanity Total --------------------------------------- 1 HYDRATED LIME 123 TN $165.00 $20,295.00 123 $20,295.00 2 8"LIME TREATMENT 10195 SY $2.15 $21,919.25 10195 $21,919.25 3 6"FLEXIBLE BASE 4603 SY $8.00 $36,824.00 4603 $36,824.00 4 7"CONC PVMT 157 SY $61.85 $9,710.45 157 $9,710.45 5 9"CONC PVMT 4929 SY $51.89 $255,765.81 4929 $255,765.81 6 2"ASPHALT PVMT TYPE C 938 SY $13.15 $12,334.70 938 $12,334.70 7 6"ASPHALT PVMT TYPE B 825 SY $32.20 $26,565.00 825 $26,565.00 8 JOINT SEALANT 3714 LF $2.10 $7,799.40 3714 $7,799.40 9 SEEDING,HYDROMULCH 9867 SY $1.55 $15,293.85 9867 $15,293.85 10 TRAFFIC CONTROL 1 MO $1,200.00 $1,200.00 1 $1,200.00 ------------------ -------------------- Sub-Total of Previous Unit $407,707.46 $407,707.46 -------------------------------------- Wednesday,October 30,2019 Page 2 of 4 City Project Numbers 100032 DOE Number 0032 Contract Name MARKUM BUSINESS PARK PH I Estimate Number I Contract Limits Payment Number I Project Type PAVING For Period Ending 10/30/2019 Project Funding Contract Information Summary Original Contract Amount $407,707.46 Change Orders Total Contract Price $407,707.46 Total Cost of Work Completed $407,707.46 Less %Retained $0.00 Net Earned $407,707.76 Earned This Period $407,707.76 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 $407,707.76 Wednesday,October 30,2019 Page 3 of 4 City Project Numbers 100032 DOE Number 0032 Contract Name MARKUM BUSINESS PARK PH I Estimate Number I Contract Limits Payment Number 1 Project Type PAVING For Period Ending 10/30/2019 Project Funding Project Manager NA City Secretary Contract Number Inspectors LAYER/ ROGERS Contract Date Contractor JLB CONTRACTING,L.L.C. Contract Time 365 CD PO BOX 24131 Days Charged to Date 1061 CD FORT WORTH, TX 76124-1131 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 $407,707.46 Less %Retained $0.00 Net Earned $407,707.76 Earned This Period $407,707.76 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 $407,707.76 Wednesday,October 30,2019 Page 4 of 4 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 Sam Davis, President of JLB Contracting, LLC, 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; Markum Business Park— Phase I City Project No. 100032 BY- Sam Davis President JLB Contracting, LLC Subscribed and sworn before me on this a of 64,r , 2019. YAVei�� JAMIE GREENWAY `O Notary Public,State of Texas Comm. Expires 09-25-2020 NO PUBLI IN AND FO '1.,,,°,;,t Notary ID 1211545-4 T NT COUNTY, TEXAS My commission expires AlIt.6.- Clap CONSENT OF OWNER ❑ SURETY COMPANY ARCHITECT ❑ CONTRACTOR ❑ TO FINAL PAYMENT SURETY OTHER ❑ (SIMILAR TO AIA DOCUMENT G707) Bond No. 4598222 PROJECT: Markum Business Park -Phase I, City Project No. 100032 (name,address)Fort Worth, Texas TO (Owner) ARCHITECTS PROJECT NO: City of Fort Worth CONTRACT FOR Above Project 200 Texas Street Fort Worth, Texas 76102 CONTRACT DATE: August 24, 2016 CONTRACTOR: JLB Contracting, LLC In accordance with the provisions of the Contract between the Owner and the Contractor as indicated above,the(here insert name aad address of Surety Company) Westfield Insurance Company 555 Republic Drive, Suite 450 Plano, Texas 75074 ,SURETY COMPANY, on bond of(here insert mine and address of Contractor) JLB Contracting, LLC P.O. Box 24131 ,CONTRACTOR, Fort Worth, Texas 76124 hereby approves of the final payment to the Contractor, and agrees that the final payment to the Contractor shall not relieve the Surety Company of any of its obligations to(here insert name and address of owner) City of Fort Worth 200 Texas Street Fort Worth, Texas 76102 OWNER, as set forth in the said Surety Company's bond. IN WITNESS WHEREOF, The Surety Company has hereunto set its hand this 9th day of October 2019 WESTFIELD INSURANCE COMPANY Surety Company B Attest: Signature of Aiftorized Representative (Seal): Elizabgth Oray Attorney—in—Fact Title Note:This form is intended to be used as a companion:document to the Contractor's Affidavit of Payment of Debts and Claims,Current Edition THIS POWER OF AT I ORNEY SUPERCEDES ANY PREVIOUS POWER BF.ARINU t 11tti ,AMt POWER#AND ISSUED PRIOR TO 04120111. FOR ANY PERSON OR PERSONS NAMED BELOW. ROWER NO. 4220052 06 General Power Westfield Insurance Co. of Attorney Westfield National Insurance Co. Ohio Farmers Insurance Co. CERTIFIED COPY Westfield Center, Ohio Know Alf Men by These Presents, That WESTFIELD INSURANCE COMPANY, WESTFIELD NATIONAL INSURANCE COMPANY and OHIO FARMERS INSURANCE COMPANY, corporations, hereinafter referred to individually as a "Company- and collectively as -Companies," duly organized and existing under the laws of the State of Ohio, and having its principal office in Westfield Center, Medina County, Ohio, do by these presents make, constitute and appoint CHARLES D. SWEENEY, MICHAEL A SWEENEY, KYLE W. SWEENEY, ELIZABETH GRAY, JOINTLY OR SEVERALLY of FORT WORTH and State of TX its true and lawlu. Attorney(s) -n•Fact,with full power and authority hereby conferred in its name, place and stead, to execute acknowledge and deliver any and all bands, recognizances, undertakings, or other instruments or contracts of suretyship- - - - - • - - -- - - - - - - - - - - - - - - - - - - - - - - -- - - - - - - • • - - - - - - - - - - - - - - -- - - - - LIMITATION. THIS POWER OF ATTORNEY CANNOT BE USED TO EXECUTE NOTE GUARANTEE, MORTGAGE DEFICIENCY, MORTGAGE GUARANTEE, OR BANK DEPOSITORY BONDS. and to bind any of the Companies thereby as fully and to the same extent as if such bonds were signed by the President,sealed with the corporate seal of the applicable Company and duly attested by its Secretary, hereby ratifying and confirming aU that the said Attorney(s)in-Fact may do in the premises. Said appointment is made under and by authority of the following resolution adopted by the Board of Directors of each of the WESTFIELD INSURANCE COMPANY,WESTFIELD NATIONAL INSURANCE COMPANY and OHIO FARMERS INSURANCE COMPANY: 'Be It Resolved,that the President,any Senior Executive,any Secretary or any Fidelity& Surety Operations Executive or other Executive shall be and is hereby vested with full power and authority to appoint any one or more suitable persons as Attorney(s)-i n-Fact to represent and ad for and on behalf of the Company subject to the following provisions. The Attorney-fin-Fact. may be given full power and authority for and in the name of and on behalf of the Company,to execute,acknowledge and deliver, any and all bonds, recognizances, 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 as binding upon the Company as If signed by the President and sealed and attested by the Corporate Secretary.- 'Be it Further Resolved,that the signature of any such designated person and the 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 signatures or facsimile seal shall be valid and binding upon the Company with respect to any bond or undertaking to which it is attached.' (Each adopted at a meeting held on February 8,2000). In Witness Whereof, WESTFIELD INSURANCE COMPANY, WESTFIELD NATIONAL INSURANCE COMPANY and OHIO FARMERS INSURANCE COMPANY have caused these presents to be signed by their Senior Executive and their corporate seals to be hereto affixed this 20th day of APRIL A.O.,20f f . WESTFIELD INSURANCE COMPANY Corporate �• UII " nNA "�"' N'v Seals a N �lllc". -•.• nN . L/�,5;, $(� N Affixed v�••..aL •� � G'•; �— �; WESTFIELD NATIONAL INSURANCE COMPANY i is 'r4,.= �'; 3�'t;:•'� ISRT OHIO FARMERS INSURANCE COMPANY x� ;3c ice: :�•Cl1 ER£p3 g q' �e.C'><.JLa "{ N SEAL z n: F By State of Ohio~�""""" ..." ��"""""'"'�� Richard L. Kinnaird, Jr., National Surety Lea der and County of Medina ss.: Senior Executive On this 20th day of APRIL A.D., 2011 , before me personally came Richard L. Kinnaird, Jr. to me known, who, being by me duly sworn, did depose and say, that he resides In Medina, Ohio;that he is Senior Executive of WESTFIELD INSURANCE COMPANY,WESTFIELD NATIONAL INSURANCE COMPANY and OHIO FARMERS INSURANCE COMPANY, the companies described in and which executed the above Instrument;that he knows the seals or said Companies;that the seals affixed to said instrument are such corporate seals;that they were so affixed by order of the Boards of Directors of said Companies;and that he signed his name thereto by like order. Notarial Seal ,`gat A L ~L4 Affixed 0 • William J. Kahelin,A rney at Law, Notary Public State of Ohio � O My Commission Does Not Expire(Sec.147.03 Ohio Revised Code) County of Medina ss,: ov I, Frank A. Carrino, Secretary of WESTFIELD INSURANCE COMPANY,WESTFIELD NATIONAL INSURANCE COMPANY and OHIO FARMERS INSURANCE COMPANY, do hereby certlty that the above and foregoing Is a true and correct copy of a Power of Attorney, executed by said Companies,which is still in fu!I force and effect; and furthermore,the resolutions of the Boards of Directors, set out in the Power of Attorney are In full force and effect. In Witness Whereof, 1 have hereunto set my hand and affixed the seals of said Companies at Westfield Center, Ohio, this 9th day of October,"A Di;, 2019 r•'`�LSUR�pc �, • .•a�tONAt/N•.,. .QQSS"1115UJ��/�,4 4 ri�•3,G(iLe ?� SLiAL..sm° _ .GH�rQ:3C Seer► far „M �N? •�? :••184s ; Frank A. Carrino, Secretary ' '' • • SPOAC2(combined) (06-02)