Loading...
HomeMy WebLinkAboutContract 51917-FP1 FORT WORTH CSC No. 51917-FP1 WATER DEPARTMENT ENGINEERING AND FISCAL SERVICES NOTICE OF PROJECT COMPLETION 5 03`7 cs S I q I r7 Regarding contract 51917 for Westside V-Part 1-1.0 Million gallon Elevated Storage Tank as required by the Water Department as approved by City Council on 1/29/2019 through M&C C29015 the Director of the Water Department, upon the recommendation of the Sr. Capital Projects Officer, Capital Projects Delivery,Water Department, has accepted the project as complete. Original Contract Prices: $2,752,000.00 Amount of Approved Change Orders: $28,867.25 Ns 1 Revised Contract Amount: $2,780,867.25 Total Cost Work Completed: Less Deductions: Liquidated Damages: 0 Days @$630.00/Day Other Deductions(see comments): Total Deduction Amount: $0.00 Total Cost Work Completed: $2,780,867.25 Less Previous Payments: $2,640,208.91 Final Payment Due $140,658.34 un <; 12- q1z Recommended for Acceptance Date Assistant Director, Water Department Chris-f-opHer H r or Christopher Harder(Aug 30,202111:49 CDT) Accepted Date Director, Water Department Dana Burghdoff(Aug 30,20 13:24 CDT City Manager Date OFFICIAL RECORD CITY SECRETARY FT.WORTH,TX Project Name:Westside V-Part 1- 1.0 Million gallon Elevated Storage Tank DOE. Ns: Comments: ff c � W" C4 o rn u c U VJ Lt ` OJ 0J C G ` H t0 L c L a C W 0 to m C Q1 U LJ T C c Z a c w U �p c C L y o y O O 3Y "_ yaj ,uu„ ucu o o o E v $ tttti�� N v m w w > ci ci �cu a 0 ° ° oN i r o m i= o C_ O O Ol O N U y to rJ N a 3 c v E o E o u c E 1\ o ° o N o f �o W m U c = ,; a y m (Ijp E 3 u o u 0 0 0 m u •`-' cr m m u J c w z M _ v w Q Q O I � c 111 C ' N lD lD d u L M Dn O U E ° o f m-c ? o n a cu O 9 m m � m m u p c \ Q u z 0 H ¢ c c m E u m E E B N 'bED m u ¢ o O u w �`o o' ' Y a u O O Q v w a Y a 0 Y n m U. o LL I '> > H > �, Z c S- OJ C! L > v G! ¢ O o` v m c o c ar u m o o v v m a m u a vY v > 'c °c ° Y E o E > r o o c o v ¢ L m ¢ z n 'o E ° n a a to H w o � v M O Q1 O N N N I N Ql Y�r7 N W W N ri (,7 O N oc o0 o0 tD • O V1 tD OO O CO N lD O n U) ONO 000 00 0 Q Q Z Ca o ri m y u � � R U a O o u a u D_ f M M W A Z T m c ¢ Lid LO Ln E + N V P 69 69 r r OC Ol y 00 0o C Q y z CC y w x o _H 0 H Z ¢ W --- H W } N W ¢ N N N d Q O \ O V L H _ Ln W � LL + Cc) L aj r p Q o m E io Q V J. W Y C to m V1 Z — W t0 0 K H LC c O f0 c + tC H U ¢ LL W O U Q Q w W O -,u 1 w H d m ¢ u o m u W y o z v •- c m d v n s ~C l7 n o v LL V .J o w `n o s z m Z T C W C E LL c a Y u Q u u o r O a E o f E A W m E > m a L x O `n c W u c '^ c 2 Q 0 p a O v O z 2 a w ip r w c Z o 'o C7 v z o O E _ z " Z ¢ ~ o o V m ¢ Z c z V u u p m = U_' ui Ln Q a C T O c O Z uu � m H V u ma> ° H ¢ H u LL ti W .•; ni M c Ili lC 1-z o6 ai H a H Z as o o o o o 0 0 o o o o 0 0 0 0 0 0 0 0 0 0 0 0 0 o o o o o o 0 0 0 0 0 0 M 0 0 o m Ln o 0 Lq 0 0 0 o o o o 0 0 0 0 0 o O o 0 o o o o 0 0 0 0 o O o o o o D o r- o 0 rV m N o o r, O o Lf) O Ln ul ul Ln o 0 0 0 ul o ul In O Ln O Ln LA Lf1 Ln O Ln 0 C o 0 0 O O o0 O ul — G Id, Ln Ln oo LD oo O C1' n cM-I d' M LD a' � � LD o1 M V LD W O N --1 01 n ti N W N N Ln oo ct M M N o0 Lr Lo Lf r-, L-I V ti N N N M M H o) n N M CO lD d� M ei N ti V M a'v M M .H N O N ti K z O W F O m Q _ N_ 61 zc c U nvp z ° m O a � L o 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 a a o o o o o o o o o o o 0 o o o o 0 0 o o o o o o o o o o o o o o o o 0 0 0 0 0 a o o o o 0 0 0 o o o o 0 0 0 0 0 o 0 0 o o o o o o o o o o o o o o o 0 o 0 0 0 o a o 0 0 o O O O o o o o 0 o 0 o o 0 o o 0 o o o o o 0 0 0 0 o o 0 0 o CD o m o 0 N m o 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 o D o n o 0 0 0 0 o o o o o o o o o o o o o 0 o o o o oo o o o o o o o o o o o 0 0 v o 0 v a s Ln o o Ln o 0 0 o o o o 0 0 0 0 0 0 o o 0 o o o o o o o o o o o o o o D o n O o bD Y W 00 N O n N CO of 00 Ln n n n o0 N LD O I\LD c e-1 00n N L m n Ol M Ll M C' O O O o O O rz. N n a) O + o M Ln N m LD N o1 oo MN W LD m M <D r m of V N Ln Ln o n 00 n Ln n C' h c-1 N O w Ln a q m m LD n N 0000 11 c;•I O LD e•I r- cNi Do r, 11 N e-I Ln N OO LO 11 11 oo OO r, n M ei fn N ei r E lo U a aJ w O o % o — c m c - a o m z n` w a r 0'_ m a E o o o o o o o o o o o o 0 0 0 0 0 0 o o o o o o o o o o o o 0 0 0 0 0 0 Ln o 0 u o 0 0 0 0 0 0 0 0 0 0 0 0 0 D_ Ln 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 o o o o D o n o 0 s 2 W O o O O o o oo O O O o O O O O o o O O O o O O O O O o O o o o o o O O V O O o > + Ln o o Ln oo o o o o o 0 o 0 o o 0 o o o o o o o o o o o o o o o oo o o r, o 0 Q v 0 OO N O n N LD of 00 M r, r, n 00 N LD O r, lD of c-I 00 Ln N Ln n of M lD M V O O O O O O n N n D_a o o of N O1 ld N o1 W M N W o 6 M lD C 'Yn 6a N Lx Ln O' n M ri Ln n � ri.--1 N O w Ln c-I rn D1 E C W n N co e-I e}' O LD ci r, N o0 n 1- N 1- m N oo LD N i--1 00 00 r- r, M �--I M 11 r•I CF e•I rl tH rH N O Q O o O O o o O O O O O O O O o o O O O O O O O O O O O O O O o O o o O O m O o a o 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 o o o o 0 0 0 0 0 0 o o o o D o n o 0 a o o o o o o o o o o o 0 o 0 0 o 0 0 o o o o o o o o o o o o o o o o o o v o o m Ln o o Ln o o o o o o o o o o o 0 o o 0 o o o o o o o o o o o 0 o 0 o D o n o 0 3 3 00 N o n N w o1 00 ul n n n W N LD o IlIz. 1p of r-I o0 u) N u1 n to M l0 fn cF O O O O O O n N n u a f6 0 o Ln N 6L6 N o1 M M N oo w M m LD r M O1 N Ln Ln o n o0 n Ln n -,F 1, c-I N O LD m M of L > eJ' w n N co e•1 -* o LD ey r, N oo r- r1 N 1- Ln N o0 w rl H 00 oo r, r, M .--I MA Ln N e•1 C' N 0 o 0 0 o o o o 0 0 0 o o 0 0 o 0 o 0 0 0 0 0 0 o o o o o 00 0 o o 0 0 Ln oo w o 0 0 0 0 0 0 0 0 0 0 o O o 0 0 0 0 O 0 o o o o 0 0 0 0 0 0 o o o o D o n o 0 L-' o o o o o o o o o o o o o 0 o 0 0 o o 0 o o o o o o o o o o o o o o 0 o v o 0 a` Ln o o Ln o o o o o o o o 0 0 0 o 0 o 0 0 o o o o 0 0 o o a o o o o o o o n o 0 00 N o n N LD D1 00 Ln n n n D0 N LD O n LD of H o7 Ln N m n of M LD M lz O o 0 c O O n N n =� o o0 Ln N m w N 01 w M N o0. LD D1 M LD T M 6i� N Ln Ln O N o f\ Ln n V Il_ N N o w Ln - M D1 e IT lD n N oo 11 �' Ln LD i-1 r, N oo n ei N 11 Ln N o0 w ci ei 0o Co n n M a-i M c-I ci J J J J J J J J W J J J J J J J J J J J J J J J J J J J J Ln N J J J J J J J fb n M 0 0 4t xt � uU N N ti c-I ci .� e-I cn e-I a-1 .� c-I c-I ei ei N a-I .1 ei c-I .� c-I e-I ei tti N r1 ci .� ci ei '•7 .� .� ,-1 .� L-•I a, 0 Li y U C m y N f G w E to O y m m c U N C N 3 V Q fT1 — \ C C a1 am. I" m y N O. J m — \ O 02$ C t � H � m 'l.l m G al 0) fY N O 1.4 > o y O .a N ci aJ H in C C U v`Oi O N LL N c c N al aH M Ol C m 0� m u m 0o m Z C7 m R ~ ? O x a/ $ o = c a G G u m = o o . O p t C K GC ILL z c ..p u t n. ,m. M J °,� o. N U 1 i U m a 3 am+ u o c° ac> p u yi c m y .m. m m ° U u u u n u u u o ELL LL a ND v mG v '. F w U m V a�i a�i d \ y an d `1 a m C ym, m D0 Y a uu .O W Q a E a C C C C C C G y a a � G Y Y Y Y Y Y Y Y Y c O c m � L LL N 7 G C m 0) U ` w c O o F o 0 o F d al al C7 c c c c c c c c c F t y ..w+ Fm- c c c 0 La O 'Co.a'ca m o Q v m _ m m m m m m m m m m m m H x c u u m E c a N Q Q a a a a a v d v o a .c s s — '^ t m ... Q.d Q Ln \ LL .a m a C E C C C y U V U Y 4) a) aJ N aJ 4) al a1 O y Y Y Y O N U U U H O U .2 u u a — Z O C b0 p E m c 7 m C C C m N N 4! a) O N aJ O) N m C C C m to N a] a) p m m N G 76 m O t- G o c c o y o 0 o y o 0 o y , y m m m o > O = u w w 0 } n d ; n U _ N al 'o W G U y o W LL y u u U V7 y to In to N N V1 In N N y h H H" J N m ~ z 3 (7 W W W W W W } F H Q cW FF C U Z _ {a{... W E 6 iy N N i�-1 N N N N m M M M M a T V r CT d' V 'r d; V u7 LNn LMn LLnn w lND LMO ljD lm W D LD nt O O O O M O O Ln O O O 1•- 0 Q Y Z L"I ei ei -4 -4 L"I ri e4 r4 e•I a4 e4 4 v4 ei e4 r4 e4 4 a-4 rl -4 e4 a4 r' ei e4 '4 a4 14 c4 e-1 a-I a-I e-I rl N N N N M M N Ln U Q LL o v o 0 0 0 ry m m m m N Lo N _ L Om M O 00 0000Ln C V O ~ N rl (M m yr m 14 W � o m p �n Z w cCo LL U b�0 z m O o 0 0 0 0 0 0 0 0 a o 0 0 0 0 0 0 0 0 0 a O 0 0 0 0 0 0 O 0 0 Q -i ti ti v w rl O O O O N O t0 tnO w Op 01 G! + O co tO I.- N O CO 00 00 0 v LO w + O N LOO .^-I N Nce N 000 a n p O N N � W � O 2 N O C c0 — 2 ° O L Z a � o CL i a v V 3 O O O O N O N N N 0 0 0 0 Ll C I-: n n LO + 0 O o 0 N 0 t0 tO tO p v p O N tO 1, N O 00 00 00 a Q LD n c-I ti n N 00 00 O N t0 rI LA N N 00 O Q n </1 N N N O O O O N N Ln N O N O O O O Ln O L\ n h 3 j O 000 W n N 0 00 ID W OWO U W N <D c^-I LA N N 00 _ h 4A. h O O O O Ln Ln () O O O O N N O O O O U) n d O W w n N W n 06 N 0 ei N 00 J J J J N J 0 O x0 > U cr ti ti ti e•I ei rl N O a Y 0) r to m o` v t0 C y o v w c Z Ur m - O > C O p U O a � U H C a F c c a WLU 3 > 3 O O Z O � c c Q 0 `a a 3 " ° F a� U -V a, a Ln o m c f0 O m j w Q s L° o01u c F V u R U F U W m t7 Ln tO Q � 0 O O O O O K Q ° Z Ln LA Ln Ln3 U O 0� U a d U r = CONSENT OF SURETY TO FINAL PAYMENT OWNER ❑ ARCHITECT ❑ CONTRACTOR ❑ SURETY ❑ OTHER ❑ TO OWNER: CONTRACT FOR: City of Fort Worth Westside V-Part 1 - 1.0 Million Gallon Elevated 1000 Throckmorton Street Storage Tank, City Project No 100378 Fort Worth,TX 76102 In accordance with the provisions of the Contract between the Owner and the Contractor as indicated above, the Fidelity and Deposit Company of Maryland 3910 Keswick Road Baltimore,MD 21211 , SURETY, on bond of Landmark Structures 1, L.P. 1665 Harmon Road Fort Worth,TX 76177 , CONTRACTOR, hereby approves the final payment to the Contractor, and agrees that final payment to the Contractor shall not relieve the Surety of any of its obligations to City of Fort Words 1000 Throckmorton Street Fort Worth,TX 76IO2 OWNER, as set forth in said Surety's bond. IN WITNESS WHEREOF, the Surety has hereunto set its hand on this date 25th day ofseptember , 20-M. FIDELITY AND DEPOSIT COMPANY OF MARYLAND Surety Karla Luongo Attest Signature of authorized repre entative (Seal) Robyn Rost, Attorney-In-Fact Printed name and title ZURICH AMERICAN INSURANCE COMPANY COLONIAL AMERICAN CASUALTY AND SURETY COMPANY FIDELITY AND DEPOSIT COMPANY OF MARYLAND POWER OF ATTORNEY i i KNOW ALL MEN BY THESE PRESENTS: That the ZURICH AMERICAN INSURANCE COMPANY, a corporation of the State of New j York,the COLONIAL AMERICAN CASUALTY AND SURETY COMPANY,a corporation of the State of Illinois,and the FIDELITY AND DEPOSIT COMPANY OF MARYLAND a corporation of the State of Illinois (herein collectively called the "Companies"),by Robert D. Murray,Vice President,in pursuance of authority granted by Article V,Section 8,of the By-Laws of said Companies,which are set forth on ! the reverse side hereof and are hereby certified to be in fall force and effect on the date hereof,do hereby nominate, constitute, and appoint, Robyn ROST and Raymond GIL,both of Matawan,New Jersey,EACH,its true and lawful agent and Attorney-in-Fact,to make, execute,seal and deliver,for,and on its behalf as surety,and as its act and deed: any and all bonds and undertakings,and the execution of such bonds or undertakings in pursuance of these presents,shall be as binding upon said Companies,as fully and amply,to all intents and purposes, as if they had been duly executed and acknowledged by the regularly elected officers of the ZURICH AMERICAN INSURANCE COMPANY at its office in New York,New York.,the regularly elected officers of the COLONIAL AMERICAN CASUALTY AND SURETY COMPANY at its office in Owings Mills,Maryland.,and the regularly elected officers of the FIDELITY AND DEPOSIT COMPANY OF MARYLAND at its office in Owings Mills, Maryland.,in their own proper persons. I The said Vice President does hereby certify that the extract set forth on the reverse side hereof is a true copy of Article V,Section 8,of the By-Laws of said Companies,and is now in force. ! f IN WITNESS WHEREOF,the said Vice-President has hereunto subscribed his/her names and affixed the Corporate Seals of the said ZURICH AMERICAN INSURANCE COMPANY, COLONIAL AMERICAN CASUALTY AND SURETY COMPANY, and FIDELITY AND DEPOSIT COMPANY OF MARYLAND,this 26th day of September,A.D.2019. SEAL yP Gc L-s!y q q[rpJ '�S7y 'te i 'yn,,;M,.,••`•''� 4""' d�� ZURICH AMERICAN INSURANCE COMPANY COLONIAL AMERICAN CASUALTY AND SURETY COMPANY —rs FIDELITY AND DEPOSIT COMPANY OF MARYLAND i V -- t By: Robert D.Murray Vice President �Dfrtil/il. , gut s^ By: Dawn E.Brown Secretary State of Maryland County of Baltimore On this 26th day of September,2019, before the subscriber,a Notary Public of the State of Maryland,duly commissioned and qualified,Robert D. Murray,Vice President and Dawn E.Brown,Secretary of the Companies,to me personally known to be the individuals and officers described in and who executed the preceding instrument,turd acknowledged the execution of some,and being by me drily sworn,deposeth and saitb,that he/she is the said officer of the Company aforesaid,and that the seals affixed to the preceding instrument are the Corporate Seals of said Companies,and that the said Corporate Seals and the signature as such officer were duly affixed and subscribed to the said instrument by the authority and direction of the said Corporations. IN TESTIMONY WHEREOF,I have hereunto set my band and affixed my Official Seal the day and year first above written. Constance A.Dunn,Notary Public l..;.i:%�.�' My Commission Expires:July 9,2023 11hn,0,1% EXTRACT FROM BY-LAWS OF THE COMPANIES "Article V,Section 8,Attorneys-in-Fact The Chief Executive Officer,the President.or any Executive Vice President or Vice President may, by written instrument under the attested corporate seal, appoint attorneys-in-fact with authority to execute bonds, policies, recogni7ances, stipulations, undertakings, or other like instruments on behalf of the Company, and may authorize any officer or any such attomey-in-fact to affix the corporate seal thereto; and may with or without cause modify of revoke any such appointment or authority at any time." CERTIFICATE 1, the undersigned, Vice President of the ZURICH AMERICAN INSURANCE COMPANY, the COLONIAL AMERICAN CASUALTY AND SURETY COMPANY,and the FIDELITY AND DEPOSIT COMPANY OF MARYLAND.do hereby certify that the foregoing Power of Attorney is still in full force and effect on the date of this certificate;and I do further certify that Article V.Section 8,of the By-Laws of the Companies is still in force. This Power of Attorney and Certificate may be signed by facsimile under and by authority of the following resolution of the Board of Directors of the ZURICH AMERICAN INSURANCE COMPANY at a meeting duly called and held on the I5th day of December 1998. RESOLVED: "That the signature of the President or a Vice President and the attesting signature of a Secretary or an Assistant Secretary and the Seal of the Company may be affixed by facsimile on any Power of Attorney...Any such Power or any certificate thereofbearing such facsimile sib, ature and seal shall be valid and binding on the Company." This Power of Attorney and Certificate may be signed by facsimile under and by authority of the following resolution of the Board of Directors of the COLONIAL AMERICAN CASUALTY AND SURETY COMPANY at a meeting duly called and held on the 5th day of May, 1994,and the following resolution of the Board of Directors of the FIDELITY AND DEPOSIT COMPANY OF MARYLAND at a meefing duly called and held on the I Oth day of May, 1990. RESOLVED: "That the facsimile or mechanically reproduced seal of the company and facsimile or mechanically reproduced signature of any Vice-President, Secretary, or Assistant Secretary of the Company, whether made heretofore or hereafter, wherever appearing upon a certified copy of any power of attorney issued by the Company,shall be valid and binding upon the Company with the same force and effect as though manually affixed. IN TESTIMONY WHEREOF,1 have hereunto subscribed my name and affixed the corporate seals of the said Companies, this 25th day of September 2020. uW�ty� Ktirisuga •�dF�c Vim. SEAL oii` Brian M.Hodges,Vice President TO REPORT A CLAIM WITH REGARD TO A SURETY BOND,PLEASE SUBMIT A COMPLETE DESCRIPTION OF THE CLAIM INCLUDING THE PRINCIPAL ON THE BOND,THE BOND NUMBER,AND YOUR CONTACT INFORMATION TO: Zurich Surety Claims 1299 Zurich Way Schaumburg,IL 60196-1056 www.reportsfelaims(a)zurichna.com 800-6264577 THE FIDELITY AND DEPOSIT COMPANY OF MARYLAND 1299 Zurich Way Schaumburg, IL 60196 Statement of Financial Condition As Of December 31,2019 ASSETS Bonds..................................................................................... $ 255,279,821 ............. Stocks.......................................................................................................... 21,280,401 Cash and Short Term Investments.................................................................................................... 2,S78,421 Reinsurance Recoverable.............................. 25,356,035 . ......................................................... Federal Income Tax Recoverable..................................................................................................... 140,480 Other Accounts Receivable................................ 20,383,843 ............................................................................. TOTAL ADMITTED ASSETS ...................................... ....................$ 325,319,001 LIABILITIES,SURPLUS AND OTHER FUNDS Reserve for Taxes and Expenses................................................................... .....S 795,381 Ceded Reinsurance Premiums Payable.......................................... ......... 43,024,327 ......................................... Remittances and Items Unallocated................................. 0 .............................................. Payable to parents,subs and affiliates.................................. 0 ........................ Securities Lending Collateral Liability............................................ 0 ................................................ TOTAL LIABILITIES......................................................... ............$ 43,819,708 ............................................... CapitalStock, Paid Up........................................................................................ S 5,000,000 Surplus................................................................................................................ 276,499,293 Surplus as regards Policyholders.............................................................. .......... 281,499,293 .............................. TOTAL................................................................................ ..............................................$ 325,319,001 Securities carried at$164,223,431 in the above statement are deposited with various states as required by law. Securities carried on the basis prescribed by the National Association of Insurance Commissioners. On the basis of market quotations for all bonds and stocks owned,the Company's total admitted assets at December 31,2019 would be$322,248,132 and surplus as regards policyholders$288,428,424. 1, LAURA J. LAZARCZYK, Corporate Secretary Of the FIDELITY AND DEPOSIT COMPANY 01' MAItYLAND, do hereby certify that the foregoing statement is a correct exhibit of the assets and liabilities of the said Company on the 31 st day of December,2019. *C0171olwte Seci•elai j, State of Illinois PT City of Schaumburg SS: Subscribed and sworn to,before me,a Notary Public of the stale of Illinois,in the City ofSchaumbura,this 251"day of February,2020. ,Nola)),Public DARRYL JOINER OFFICIAL SEAL Public-State of Illinois1,:N:ota:ry ission Expires 2/2-4/2-022 , CONTRACTOR'S AFFIDAVIT OF BILLS PAID STATE OF Texas COUNTY OF Tarrant Personally,before me the undersigned authority,on this day appeared Keri Adrian-Williams Corporate Controller ,who being duly sworn,on oath,says that he is a legal representative of Landmark Structures I, LP of Tarrant County , TX ,that the work for the design and construction of the project designated as Westside V-Part 1-1.0MG Elevated Storage Tank City Project No 100378 Construction has been satisfactorily completed;and that all bills for materials,supplies,apparatus,fixtures,machinery, and labor used in connection with the construction of this project have been fully paid. This affidavit is made for the purpose of obtaining payment from City of Fort Worth 1000 Throckmorton St Fort Worth, TX 76102 on above construction work. X()dL_ - (Sign d) This instrument was acknowledged before me on 12/25/2020 by Keri Adrian-Williams Not ublic i and for the State of Texas EMILY MAYFIELD a°?' Notary Public,State of Texas Comm.Expires 04-21-2024 Notary ID 125918569 Release of Liens FROM: Contractor's Name Landmark Structures I, L.P. Address 1665 Harmon Road, Fort Worth Texas 76177 TO: Owner's Name City of Fort Worth Address 1000 Throckmorton Street Fort Worth, TX 76102 DATE OF CONTRACT: January 29, 2019 Upon receipt of final payment and in consideration of that amount, the undersigned does hereby release the Owner and its agents from any and all claims arising under or by virtue of this this Contract or modification thereof occurring from the undersigned's performance in connection with the Westside V - Part 1 - 1.0 Million Gallon Elevated Storage Tank, City Project No 100378 project. XaL, Con ac 's Signature Keri Adrian-Williams, Controller Printed Name&Title Subscribed and sworn to before me this 25th day of December 20 20 �V_�ez No ry Pub is My Commission Expires: EMILYM YEIELQ PLR'i 4/21/2024 s°: •��SNotary Public,State of Texas 1 ..� `�•. 'Q; Comm.Expires 04-21-2024 '��;°;„��' Notary ID 125918569 FORT WORTH August 17,2021 Landmark 1665 Harmon Road Fort Worth,Texas 76117 Re:Acceptance Letter Project Name: Westside V-Part 1-1.0 Million Gallon Elevated Storage Tank Project Type: Water Project Ns: 100378 DOE. Ns: C-29015 Contract Ns: N?A Dated: 8/17/2021 Gentleman: On August 17,2021 a final inspection was made on the subject project. There were punch list items identified at the time. The punch list items were completed on August 17,2021. The final inspection and the corrected punch list items indicate that the work meets the City of Fort Worth specifications and is therefore accepted by the City. The warranty period will start on August 17,2021,which is the date of punch list completion and will extend for(2)years in accordance with the Contract Documents. If you have any questions concerning this letter of acceptance,please feel free to contact me at(817) 392-6054 Yours Truly, Tony Sholola,P.E.,Assistant Director,Water Department TS / cc: Chris Harder,P.E.,Director,Water Department Laura Wilson,P.E.,Deputy Director,Water Department Captain Michael Skains,Fire Department Bill Lundval,Sanitary Sewer Systems Superintendent,Water Department Cesar Zavala, Water Systems Superintendent,Water Department Scott Taylor,Project Manager David R Johnson,Inspection Supervisor, Capital Projects Delivery,Water Department ,Inspector,Capital Projects Delivery,Water Department Kimley-Horn, Consultant Landmark, Contractor File WATER DEPARTMENT ENGINEERING AND FISCAL SERVICES THE CITY OF FORT WORTH * 1000 THROCKMORTON STREET * FORT WORTH, TExAs 76102 817-392-8240 * Fax 817-392-8195 CJ Printed on recycled paper LAND MAR K 1665 Harmon Road Fort Worth,Texas U.S.A. 76177 Tel: (817)439-8888 Fax: (817)439-9001 TRANSMITTAL LETTER TO: Date Job.No. City of Fort Worth 12/26/20 1636 Attn: Scott Taylor 200 Texas St Re: Westside V-Part 1-1.0 MG Fort Worth, TX 76102 Elevated Storage Tank, Project #100378 Fort Worth, TX WE ARE SENDING YOU THE ATTACHED ITEMS: Copies Date No. Description 0 12/26/20 Contractor's Application for Payment and Progress Billing Billing No. 16 For the Period Ending 12/26/20 Email to: Copy to: kyle.welden@kimley-horn.com jenifer.tatum@kimley-horn.com Shelby.Warchesik@kimley-horn.com Mike.Hill@fortworthtexas.gov Scott.Taylor@fortworthtexas.gov THESE ARE BEING TRANSMITTED: X For approval Approved as submitted Resubmit copies for approval For your use Approved as noted Submit copies for distribution As requested Returned for corrections Return corrected prints For review and comment REMARKS: If you have any questions or comments regarding this Application for Payment, please contact at 8171439-8888, extension . Signed Eugene Chastain