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Home My WebLink AboutContract 55091-FP1 (2)-FP2 City Secretary Contract No. 55091 FORT WORTH Date Received 10/31/2023 AT 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: Vantage at Burleson City Project No.: 102817 Improvement Type(s): x❑ Paving ❑x Drainage x❑ Street Lights ❑ Traffic Signals Original Contract Price: $794,713.10 Amount of Approved Change Order(s): $60,097.50 Revised Contract Amount: $854,810.60 Total Cost of Work Complete: $854,810.60 —44026- B rettRt20. 202308:04 CDT) Oct 20, 2023 Contractor Date President Title Aixa Contracting Company Name Ma�&Cain Oct 20 2023 Matt Cain (Oct 20.2023 08:06 CDT) Project Inspector Date - �" `o Oct 30, 2023 Project Manager Date �'' Nov 6, 2023 Rebetta J"`iane Owen Nov 6. 2023 07:42 CST) CFA Manager Date �� Nov 6, 2023 TPW Director Date WX-fQJ- --1 Nov 10 2023 Willi—J.h—n Av 10. 202307-08 GMT+11 ) Asst. City Manager Date OFFICIAL RECORD CITY SECRETARY FT. WORTH, TX Page 1 of 2 Notice of Project Completion Project Name: Vantage at Burleson City Project No.: 102817 City's Attachments Final Pay Estimate x❑ Change Order(s): ❑x Yes ❑ N/A Contractor's Attachments Affidavit of Bills Paid ire Consent of Surety Statement of Contract Time Contract Time 120 WD Work Start Date: 11/29/2021 Completed number of Soil Lab Test: 326 Completed number of Water Test: 6 Days Charged: 205 Work Complete Date: 6/28/2023 Page 2of2 FoRTWORTH CITY OF FORT WORTH FINAL PAYMENT REQUEST Contract Name VANTAGE AT BURLESON ARCHBURY ROAD & HEMPHILL STREET Contract Limits Project Type DRAINAGE City Project Numbers 102817 DOE Number 2817 Estimate Number 1 Payment Number 1 For Period Ending 6/28/2023 WD City Secretary Contract Number Contract Time 128dD Contract Date Days Charged to Date 205 Project Manager NA Contract is 100.00 Complete Contractor RUMSEY CONSTRUCTION, LLC 6617 VILLAGE SPRINGS DRIVE PLANO , TX 75024 Inspectors G.DEYON / M CAIN Thursday, September 21, 2023 Page 1 of 4 City Project Numbers 102817 DOE Number 2817 Contract Name VANTAGE AT BURLESON ARCHBURY ROAD & HEMPHILL STREET Estimate Number I Contract Limits Payment Number I Project Type DRAINAGE For Period Ending 6/28/2023 Project Funding UNIT III: DRAINAGE IMPROVEMENTS Item Description of Items Estimated Unit Unit Cost Estimated Completed Completed No. Quanity Total Quanity Total 1 REMOVEHEADWALL/SET 1 EA $1,848.00 $1,848.00 1 $1,848.00 2 CONCRETE RIPRAP (CO #1) 207 SY $279.00 $57,753.00 207 $57,753.00 3 BLOCK RIPRAP, DRY (CO #1) 178 SY $117.00 $20,826.00 178 $20,826.00 4 TRENCH SAFETY 1502 LF $1.00 $1,502.00 1502 $1,502.00 5 21" RCP, CLASS lII 343 LF $53.00 $18,179.00 343 $18,179.00 6 24" RCP, CLASS III 599 LF $69.00 $41,331.00 599 $41,331.00 7 30" RCP, CLASS III 260 LF $78.00 $20,280.00 260 $20,280.00 8 36" RCP, CLASS III 292 LF $111.00 $32,412.00 292 $32,412.00 9 48" RCP, CLASS III 9 LF $172.00 $1,548.00 9 $1,548.00 10 4'x4' STORM JUNCTION BOX 5 EA $5,110.00 $25,550.00 5 $25,550.00 11 30" FLARED HEADWALL, 1 PIPE I EA $3,229.00 $3,229.00 1 $3,229.00 12 48" STRAIGHT HEADWALL, 1PIPE 1 EA $18,220.00 $18,220.00 1 $18,220.00 13 10' CURB INLET 8 EA $5,623.00 $44,984.00 8 $44,984.00 14 15' CURB INLET 1 LF $7,903.00 $7,903.00 1 $7,903.00 15 8" WATERLINE LOWERING 1 EA $5,626.00 $5,626.00 1 $5,626.00 16 36" SLOPED HEADWALL, 1 PIPE 1 EA $3,799.00 $3,799.00 1 $3,799.00 17 -------------------------------------- BAFFLES I LS $5,000.00 $5,000.00 1 $5,000.00 -------------------------------------- Sub-Total of Previous Unit $309,990.00 $309,990.00 Thursday, September 21, 2023 Page 2 of 4 City Project Numbers 102817 DOE Number 2817 Contract Name VANTAGE AT BURLESON ARCHBURY ROAD & HEMPHILL STREET Estimate Number I Contract Limits Payment Number 1 Project Type DRAINAGE For Period Ending 6/28/2023 Project Funding Contract Information Summary Original Contract Amount $298,074.00 Change Orders Change Order Number 1 $11,916.00 Total Contract Price $309,990.00 Total Cost of Work Completed $309,990.00 Less % Retained $0.00 Net Earned $309,990.00 Earned This Period $309,990.00 Retainage This Period $0.00 Less Liquidated Damages Days @ / Day LessPavement Deficiency Less Penalty Less Previous Payment Plus Material on Hand Less 15% Balance Due This Payment $0.00 $0.00 $0.00 $0.00 $0.00 $309,990.00 Thursday, September 21, 2023 Page 3 of 4 City Project Numbers 102817 DOE Number 2817 Contract Name VANTAGE AT BURLESON ARCHBURY ROAD & HEMPHILL STREET Estimate Number I Contract Limits Payment Number 1 Project Type DRAINAGE For Period Ending 6/28/2023 Project Funding Project Manager NA Inspectors G.DEYON / M.CAIN Contractor RUMSEY CONSTRUCTION, LLC 6617 VILLAGE SPRINGS DRIVE PLANO, TX 75024 City Secretary Contract Number Contract Date Contract Time 120 WD Days Charged to Date 205 WD 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 $309,990.00 Less % Retained $0.00 Net Earned $309,990.00 Earned This Period $309,990.00 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 $309,990.00 Thursday, September 21, 2023 Page 4 of 4 FoRTWORTH CITY OF FORT WORTH FINAL PAYMENT REQUEST Contract Name VANTAGE AT BURLESON ARCHBURY ROAD & HEMPHILL STREET Contract Limits Project Type PAVING City Project Numbers 102817 DOE Number 2817 Estimate Number 1 Payment Number 1 For Period Ending 6/28/2023 City Secretary Contract Number Contract Time 120 Contract Date Days Charged to Date 205 Project Manager NA Contract is 100.00 Complete Contractor JACKSON CONSTRUCTION LTD 5112 SUN VALLEY DRIVE FORT WORTH, TX 76119 Inspectors G.DEYON / M CAIN Thursday, September 21, 2023 Page 1 of 4 City Project Numbers 102817 DOE Number 2817 Contract Name VANTAGE AT BURLESON ARCHBURY ROAD & HEMPHILL STREET Estimate Number I Contract Limits Payment Number I Project Type PAVING For Period Ending 6/28/2023 Project Funding UNIT IV: PAVING IMPROVEMENTS Item Description of Items Estimated Unit Unit Cost Estimated Completed Completed No. Quanity Total Quanity Total 1 REMOVE EXIST CONC PVMT 89 SY $32.00 $2,848.00 89 $2,848.00 2 HYDRATED LIME (CO #2) 109.5 TN $165.00 $18,067.50 109.5 $18,067.50 3 8" LIME TREATMENT (361b/SY) (CO #2) 6091 SY $3.60 $21,927.60 6091 $21,927.60 4 2" ASPHALT PVMT TYPE D 42 SY $10.00 $420.00 42 $420.00 5 4" ASPHALT BASE TYPE B 42 SY $27.00 $1,134.00 42 $1,134.00 6 7" CONC PVMT 6074 SY $34.00 $206,516.00 6074 $206,516.00 7 6" CONC DRIVEWAY 1583 SF $10.00 $15,830.00 1583 $15,830.00 8 4" CONC SIDEWALK (CO #3) 28870 SF $6.00 $173,220.00 28870 $173,220.00 9 BARRIER FREE RAMP, TYPE R-1 3 EA $2,430.00 $7,290.00 3 $7,290.00 10 BARRIER FREE RAMP, TYPE P-1 1 EA $1,700.00 $1,700.00 1 $1,700.00 11 BARBED WIRE FENCE, METAL POSTS 1210 LF $6.00 $7,260.00 1210 $7,260.00 12 TRAFFIC CONTROL 2 MO $4,250.00 $8,500.00 2 $8,500.00 13 PAVEMENT MARKINGS/SIGNAGE I LS $7,500.00 $7,500.00 1 $7,500.00 14 8" FLEXIBLE BASE, TYPE A, GR-1 (CO #2) 360 SY $59.75 $21,510.00 360 $21,510.00 15 REMOVE & DISPOSE OF HIGH SULFATE SOIL 80 CY $30.00 $2,400.00 80 $2,400.00 -------------------------------------- (CO #2) -------------------------------------- Sub-Total of Previous Unit $496,123.10 $496,123.10 Thursday, September 21, 2023 Page 2 of 4 City Project Numbers 102817 DOE Number 2817 Contract Name VANTAGE AT BURLESON ARCHBURY ROAD & HEMPHILL STREET Estimate Number I Contract Limits Payment Number 1 Project Type PAVING For Period Ending 6/28/2023 Project Funding Contract Information Summary Original Contract Amount $447,941.60 Change Orders Change Order Number 2 $21,541.50 Change Order Number 3 $26,640.00 Total Contract Price $496,123.10 Total Cost of Work Completed $496,123.10 Less % Retained $0.00 Net Earned $496,123.10 Earned This Period $496,123.10 Retainage This Period $0.00 Less Liquidated Damages Days @ / Day LessPavement Deficiency Less Penalty Less Previous Payment Plus Material on Hand Less 15% Balance Due This Payment $0.00 $0.00 $0.00 $0.00 $0.00 $496,123.10 Thursday, September 21, 2023 Page 3 of 4 City Project Numbers 102817 DOE Number 2817 Contract Name VANTAGE AT BURLESON ARCHBURY ROAD & HEMPHILL STREET Estimate Number I Contract Limits Payment Number I Project Type PAVING For Period Ending 6/28/2023 Project Funding Project Manager NA Inspectors G.DEYON / M.CAIN Contractor JACKSON CONSTRUCTION LTD 5112 SUN VALLEY DRIVE FORT WORTH, TX 76119 City Secretary Contract Number Contract Date Contract Time 120 Days Charged to Date 205 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 $496,123.10 Less % Retained $0.00 Net Earned $496,123.10 Earned This Period $496,123.10 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 $496,123.10 Thursday, September 21, 2023 Page 4 of 4 FoRTWORTH CITY OF FORT WORTH FINAL PAYMENT REQUEST Contract Name VANTAGE AT BURLESON ARCHBURY ROAD & HEMPHILL STREET Contract Limits Project Type STREETLIGHTS City Project Numbers 102817 DOE Number 2817 Estimate Number 1 Payment Number I City Secretary Contract Number Contract Date Project Manager NA Contractor MELS ELECTRIC 6305 S1H45 Inspectors For Period Ending 6/28/2023 WD Contract Time 12ATI) Days Charged to Date 205 Contract is 100.00 Complete WICHER , TX 75172 G.DEYON / M CAIN Thursday, September 21, 2023 Page 1 of 4 City Project Numbers 102817 DOE Number 2817 Contract Name VANTAGE AT BURLESON ARCHBURY ROAD & HEMPHILL STREET Estimate Number I Contract Limits Payment Number I Project Type STREETLIGHTS For Period Ending 6/28/2023 Project Funding UNIT V: STREET LIGHTING IMPROVEMENTS Item Description of Items Estimated Unit Unit Cost Estimated Completed Completed No. Quanity Total Quanity Total 1 2" CONDT PVC SCH 80 (T) 1075 LF $11.75 $12,631.25 1075 $12,631.25 2 GROUND BOX TYPE B, w/ APRON 1 EA $1,150.00 $1,150.00 1 $1,150.00 3 RDWAY ILLUM ASSEMBLY TY 8 6 EA $3,275.00 $19,650.00 6 $19,650.00 4 RDWAY ILLUM FOUNDATION TY 2 6 EA $1,550.00 $9,300.00 6 $9,300.00 5 #6 XHHW 3225 LF $1.85 $5,966.25 3225 $5,966.25 Sub -Total of Previous Unit $48,697.50 $48,697.50 Thursday, September 21, 2023 Page 2 of 4 City Project Numbers 102817 DOE Number 2817 Contract Name VANTAGE AT BURLESON ARCHBURY ROAD & HEMPHILL STREET Estimate Number I Contract Limits Payment Number I Project Type STREETLIGHTS For Period Ending 6/28/2023 Project Funding Contract Information Summary Original Contract Amount Change Orders Total Contract Price $48,697.50 $48,697.50 Total Cost of Work Completed $48,697.50 Less % Retained $0.00 Net Earned $48,697.50 Earned This Period $48,697.50 Retainage This Period $0.00 Less Liquidated Damages Days @ / Day LessPavement Deficiency Less Penalty Less Previous Payment Plus Material on Hand Less 15% Balance Due This Payment $0.00 $0.00 $0.00 $0.00 $0.00 $48,697.50 Thursday, September 21, 2023 Page 3 of 4 City Project Numbers 102817 DOE Number 2817 Contract Name VANTAGE AT BURLESON ARCHBURY ROAD & HEMPHILL STREET Estimate Number I Contract Limits Payment Number I Project Type STREETLIGHTS For Period Ending 6/28/2023 Project Funding Project Manager NA Inspectors G.DEYON / M.CAIN Contractor MELS ELECTRIC 6305 SIH45 WICHER , TX 75172 City Secretary Contract Number Contract Date Contract Time 120 WD Days Charged to Date 205 WD 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 $48,697.50 Less % Retained $0.00 Net Earned $48,697.50 Earned This Period $48,697.50 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 $48,697.50 Thursday, September 21, 2023 Page 4 of 4 DEVELOPER -AWARDED -PROJECT CHANGE ORDER Water, Sewer, Paving, Drainage, and Street Light Improvements to Serve Archbury Road and PROJECT NAME: Hemphill Street CHANGE CONTRACT: (A)Water, Sewer, and Drainage, (B)Pavinq, and (C)Street Liqhts ORDER No: CFA # CFA20-0119 CITY PARTICIPATION ( No CITY PROJECT # 102817 DOE # WATER PROJECT # 30114-0200431-102817-EO7685 Coll SEWER PROJECT # 30114-0200431-102817-EO7685 FILE # X-26322 INSPECTOR: Phone No: PROJECT MANAGER: Pat Buckley Phone No: 817-392-2443 CONTRACT UNIT WATER SEWER PAVING DRAINAGE ORIGINAL CONTRACT EXTRAS TO DATE CREDITS TO DATE CONTRACT TO DATE AMOUNT OF PROP. CHANGE ORDER REVISED CONTRACT AMOUNT TOTAL REVISED CONTRACT AMOUNT PER UNIT REVISED COST SHARE TOTAL REVISED CONTRACT Developer Developer City Cost Cost City Cost Developer Cost City Cost Cost City Ca $0.00 $44,590,00 $0.00 $447.941.60 $0.00 $298,074.00 j $0.00 f $0.00 $0,00 $0.00 $0.00 $0-00 $0.00 •o-,...... W.00 544,59�V.VU $0.00 $447,941.60 $0.00 $298,074.00 i $0.00 $0.00 $0.00 $0.00 $11,916.00 $82,323.00 $0.00 $44,590.00 $0.00 $447,941.60 $0.00 $309,990.00 $0.00 $82,323.00 $44,690.00 $447.941A0 S309.990.00 j Dev. Cost: Developer Cost $82,323,00 $0.00 STREET LIGHTS CONTRACT leer i I DAYS oat pity Cast $48,697.50 $0.00 $0.00 $0.00 $48,697.50 $0.00 $0.00 1 $48,697.50 $0.00 $48,697.50 $933,542.10 !+City Cost: $0.00 $933,542.10 120 120 120 Revised 10-12-2011 Page 1 You are directed to make the following changes in the contract documents: CITY BID ITEM PAY ITEM A # OUANTITY UNIT 61.2 3137.0101 88 SY B1.3 3137.0107 -108 SY Drainage Total ITEM DESCRIPTION Concrete R prap Block Riprap, dry REASONS FOR CHANGE ORDER Removal of the rock riprap adjacent to the TxDOT ROW and replaced with concrete riprap at the request of TxDOT RECOMMENDED: Teague Nall& Perkins, Inc. By: -„DAY �� Name: Samuel Kniqht, PE Title, Team Leader Vantage at urte LC By:Ilk Name. Title: UNIT PRICE TOTAL $ 279.00 $ 24,552.00 $ 117,00 $(12\\63600) $ 11116.00 APPROVED: Axia Contracting By Name: �> r— Title: SIPS ''TES Revised: 10-12-2011 Page 2 PROJECT NAME: CONTRACT: CFA # CITY PROJECT # DOE # WATER PROJECT # SEWER PROJECT # FILE # INSPECTOR: PROJECT MANAGER: ORIGINAL CONTRACT EXTRAS TO DATE CREDITS TO DATE CONTRACT TO DATE AMOUNT OF PROP, CHANGE ORDER REVISED CONTRACT AMOUNT TOTAL REVISED CONTRACT AMOUNT PER UNIT REVISED COST SHARE TOTAL REVISED CONTRACT DEVELOPER -AWARDED -PROJECT CHANGE ORDER Water, Sewer, Paving, Drainage, and Street Light Improvements to Serve Archbury Road and Hemphill Street CHANGE (A)Water, Sewer, and Drainage, (B)Pavinq, and (C)Street Liqhts ORDER No: CFA20-0119 CITY PARTICIPATION: No 102817 30114-0200431-102817-EO7685 30114-0200431-102817-EO7685 X-26322 Matt Cain Pat Buckley WATER Developer Cost City Cost $82,323.00 $0.00 $0.00 $0.00 $82,323.00 $0.00 $0.00 $82,323.00 $0.00 $82,323.00 Dev. Cost: Phone No: 817-673-3515 Phone No: 817-392-2443 CONTRACT UNIT SEWER PAVING Developer Cost City Cost Developer Cost City Cost $44,590.00 $0.00 $447,941.60 $0.00 $0.00 $0.00 $0.00 $0.00 $44,590.00 $0.00 $447,941.60 $0.00 $0.00 $ 21,641.60 $44,590.00 $0.00 $469,483.10 $0.00 $44,690.00 $469,483.10 $955,083.60 City Cost: $955,083.60 CO2 DRAINAGE Developer Cost City Cost $298,074.00 $0.00 $11,916.00 $0.00 $309,990.00 $0.00 $0.00 $309,990.00 $0.00 $309,990.00 STREET LIGHTS Developer Cost City Cost $48,697.50 $0.00 $0.00 $0.00 $48,697.50 $0.00 $0.00 $48,697.50 $0.00 $48,697.50 $0.00 CONTRACT DAYS 120 120 120 Revised:10-12-2011 page 1 You are directed to make the following changes in the contract documents: CITY BID ITEM PAY ITEM # # QUANTITY UNIT ITEM DESCRIPTION UNIT PRICE TOTAL 1 3211.0400 -6.5 TN Hydrated Lime $ 165.00 $ (1,072.50) 2 3211.0502 -360 SY 8" Lime Treatment (36lb/SY) $ 3.60 $ (1,296.00) 3 3211.0113 360 SY 8" Flexible Base, Type A, GR-1 $ 59.75 $ 21,510.00 4 9999.0006 80 CY Remove & Dispose of High Sulfate Soil $ 30.00 $ 2,400.00 Drainage Total $ 21,541.50 REASONS FOR CHANGE ORDER Removal of the high sulfate soils on Hemphill St between station 2+60 to 6+50. Replace 8" lime treatment with 8" flex base at the request of the city of Fort Worth. RECOMMENDED: Teague Nall & Perkins. Inc. t Name: Gunner Chi, P.E. Title: Project Enqineer APPROVED: Vantage at Suriesc . L C By: Name: V Title: Vet 4 — APPROVED: Axia Contracting By: Name: ,�sfF Sv Title: S£ ---resS Revised: 10-12-2011 Page 2 DEVELOPER -AWARDED -PROJECT CHANGE ORDER Water, Sewer, Paving, Drainage, and Street Light Improvements to Serve Archbury Road and PROJECT NAME: Hemphill Street CHANGE CONTRACT: (A)Water, Sewer, and Drainage, (B)Paving, and (C)Street Lights ORDER No: ICFA # CFA20-0119 I CITY PARTICIPATION: No CITY PROJECT # 102817 I DOE # IWATER CO3 PROJECT # 30114-0200431-102817-EO7685 ISEWER PROJECT # 30114-0200431-102817-EO7685 (FILE # X-26322 INSPECTOR: Matt Cain Phone No: 817-673-3515 PROJECT MANAGER: Pat Buckley Phone No: 817-392-2443 CONTRACT UNIT f WATER SEWER PAVING DRAINAGE STREET LIGHTS CONTRACT Developer `". s - aa►►�c1.. � Developer Developer DAYS Developer Cost City Cost Cost Ctt Qost.. Developer Cost Yi�.'q�u3' Cost Cost City Cost IORIGINAL CONTRACT $82,323.00 $0.00 $44,590.00 ; 060 $469,483.10 $298,074.00 $48,697.50 $0.00 120 IEXTRAS TODATE $0.00 $0.00 $0.00 $11,916.00 $0.00 (CREDITS TO DATE $0.00 $0.00 ` ,. $0.00 $0.00 $0.00 ICONTRACT TO DATE $82,323.00 $0.00 $44,590.00 :•$040, $469,483.10 $309,990.00 $48,697.50 $0.00 120 (AMOUNT OF PROP. CHANGE ORDER $0.00 $0.00 $26,640.00 $0.00 $0.00 (REVISED CONTRACT AMOUNT $82,323.00 $0.00 $44,590.00 ;-: J$0.00 $496,123.10 $309,990.00 $48,697.50 $0.00 120 TOTAL REVISED CONTRACT AMOUNT PER UNIT $82,323.00 $44.590.00 $496.123.10 $309,990.00 $48,697.50 REVISED COST SHARE Dev. Cost: $981,723.60 TOTAL REVISED CONTRACT $981,723.60 Revised: 10-12-2011 Page 1 You are directed to make the following changes in the contract documents: CITY BID ITEM PAY ITEM # # QUANTITY UNIT ITEM DESCRIPTION UNIT PRICE TOTAL 1 3213.0301 4440 SF 4" Conc Sidewalk $ 6.00 $ 26,640.00 Total $ 26,640.00 REASONS FOR CHANGE ORDER Install 4' sidewalk along the Municipal Way side of the project to tie into the corner sidewalk (at Municipal Way and Archbury) per the request by the City of Crowley RECOMMENDED: Teague Nall & Perkins, Inc. f i Name: Gunner Chi, P.E. Title: Proiect Engineer APPROVED: Vantage at so C By: ` Name: �� Cam 2 a -- Title: -Ak'I'J' APPROVED: Axia Contracting By: Name: ecacl,, Title: i'- , M Revised: 10-12-2011 Page 2 FORTWORTH. M, TRANSPORTATION AND PUBLIC WORKS August 14, 2023 Axia Contracting 3245 42"d St. South, Ste.200 Fargo, ND 58104 RE: Acceptance Letter Project Name: Vantage at Burleson Project Type: Water, Sewer, Paving, Storm Drain, Street Lights City Project No.: 102817 To Whom It May Concern: On June 30, 2023 a final inspection was made on the subject project. There were no punch list items identified at that time. The final inspection indicates that the work meets the City of Fort Worth specifications and is therefore accepted by the City. The warranty period will start on June 30, 2023, which is the date of the final inspection and will extend of two (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) 392-6826. Sincerely, George Marquez, Project Manager Cc: Matt Cain, Inspector Gary Deyon, Inspection Supervisor Edward D'Avila, Senior Inspector Andrew Goodman, Program Manager TNP, Inc., Consultant Axia Contracting, Contractor Vantage at Burleson,LLC., Developer File E-Mail: TPW_Acceptance@fortworthtexas.gov Rev. 08/20/19 AFFIDAVIT STATE OF North Dakota COUNTY OF Cass Before me, the undersigned authority, a notary public in the state and county aforesaid, on this day personally appeared Brett Rossell, President Of Axia 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; Archbury and Hemphill Street Construction - TABS2023019060 Brett Rossell Subscribed and sworn before me on this date 17th of October, 2023. Not Public Cass County, North Dakota BRITTANY FEICKERT 5 Notary Public State of North Dakota My Commission Expires July 28, 2026 ) _I III i I I I Ili Ili Ili Itl' 410 1'I(p 4 OWNER ❑ CONSENT OF SURETY ARCHITECT TO FINAL PAYMENT CONTRACTOR Conforms with the American Institute of SURETY Architects, AIA Document G707 Bond # 4450102 OTHER TO OWNER: ARCHITECT'S PROJECT NO.: City of Forth Worth 200 Texas Street CONTRACT FOR: CFA Number 20-0119 Fort Worth, TX 76102 PROJECT: CONTRACT DATED: Vantage at Burleson Apartments City of Fort Worth, TX In accordance with the provisions of the Contract between the Owner and the Contractor as indicated above, the (Insert name and address of Surety) Markel Insurance Company 4521 Highwoods Parkway Glen Allen, VA 23060 SURETY, on bond of (Insert name and address of Contractor) Axia Contracting, LLC 3245 42nd Street South, Suite 200 Fargo, ND 58104 CONTRACTOR, hereby approves of 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 (Insert name and address of Owner) City of Forth Worth 200 Texas Street Fort Worth, TX 76102 , OWNER, as set forth in said Surety's bond. IN WITNESS WHEREOF, the Surety has hereunto set its hand on this date: October 17, 2023 (Insert in writing the month followed by the numeric date and year.) Attest: NOTARY ACKNOWLEDGMENT ATTACHED Markel Insurance Company (Surety) By: �- (Si ature of authorized representative) Ihab Loubieh, Attorney -In -Fact (Printed name and title) LMS-12134 10/01 ACKNOWLEDGMENT A notary public or other officer completing this certificate verifies only the identity of the individual who signed the document to which this certificate is attached, and not the truthfulness, accuracy, or validity of that document. State of California County of San Francisco On before me, Maria Duran Rufino, Notary Public (insert name and title of the officer) personally appeared Ihab Loubieh who proved to me on the basis of satisfactory evidence to be the person(s) whose name(s) is/are subscribed to the within instrument and acknowledged to me that he/she/they executed the same in his/her/their authorized capacity(ies), and that by his/her/their signature(s) on the instrument the person(s), or the entity upon behalf of which the person(s) acted, executed the instrument. I certify under PENALTY OF PERJURY under the laws of the State of California that the foregoing paragraph is true and correct. WITNESS my hand and official seal. Signature (Z4f.%/ "P�e 5�•.;°�'�F MARIA DURAN R Notary Public • California San Francisco County j Commission # 2321972 My Comm. Expires Mar 19, 2024 r (Seal) t POA# 3010003 JOINT LIMITED POWER OF ATTORNEY KNOW ALL MEN BY THESE PRESENTS: That SureTec Insurance Company, a Corporation duly organized and existing under the laws of the State of Texas and having its principal office in the County of Harris, Texas and Markel Insurance Company (the "Company"), a corporation duly organized and existing under the laws of the state of Illinois, and having its principal administrative office in Glen Allen, Virginia, does by these presents make, constitute and appoint: Susan Bulman-Ditchkus, John P. Hyland, Daryl LaForge, Thomas J. Henn, Robert F. Laing, Ihab Loubieh, Lourdes Scheel Their true and lawful agent(s) and attorney(s)-in-fact, each in their separate capacity if more than one is named above, to make, execute, seal and deliver for and on their own behalf, individually as a surety or jointly, as co -sureties, and as their act and deed any and all bonds and other undertaking in suretyship provided, however, that the penal sum of any one such instrument executed hereunder shall not exceed the sum of: In Unlimited Amounts This Power of Attorney is granted and is signed and sealed under and by the authority ofthe following Resolutions adopted by the Board of Directors of SureTec Insurance Company and Markel Insurance Company: "RESOLVED, Thatthe President, any Senior Vice President, Vice President, Assistant Vice President, Secretary, Assistant Secretary, Treasurer or Assistant Treasurer and each of them hereby is authorized to execute powers of attorney, and such authority can be executed by use of facsimile signature, which may be attested or acknowledged by any officer or attorney, of the company, qualifying the attorney or attorneys named in the given power of attorney, to execute in behalf of, and acknowledge as the act and deed of the SureTec Insurance Company and Markel Insurance Company, as the case may be, all bond undertakings and contracts of suretyship, and to affix the corporate seal thereto." IN WITNESS WHEREOF, Markel Insurance Company and SureTec Insurance Company have caused their official seal to be hereunto affixed and these presents to be signed by their duly authorized officers on the 17th day of May , 2022. SureTec Insurance Company \aSURANCFC+ `gR;°;NC�li��'' Mar Insurance mpany Michael C. Keimig, President n ................... '.� . }: �� Undey Jenn , Vice President State of Texas County of Harris: On this 17th day of May , 2022 A. D., before me, a Notary Public of the State of Texas, in and for the County of Harris, duly commissioned and qualified, came THE ABOVE OFFICERS OF THE COMPANIES, to me personally known to be the individuals and officers described in, who executed the preceding instrument, and they acknowledged the execution of same, and being by me duly sworn, disposed and said that they are the officers ofthe said companies aforesaid, and that the seals affixed to the proceeding instrument are the Corporate Seals of said Companies, and the said Corporate Seals and their signatures as officers were duly affixed and subscribed to the said instrument by the authority and direction ofthe said companies, and that Resolutions adopted by the Board of Directors of said Companies referred to in the preceding instrument is now in force. IN TESTIMONY WHEREOF, I have hereunto set my hand, and affixed my Official Seal at the County of Harris, the day and year first above written. ►�Y ..,,� XENIA CHAVEZ a ' ' ;�' Nolaty Public, State of Texas > y: B �w/`h�'! Notary ID# 12911765-9 > a c.ae � My Commission Expires e 'ar a avez, Notary Public ,,, SEPTEMBER 10, 2024, My commission expires 9/10/202 We, the undersigned Officers of SureTec Insurance Company and Markel Insurance Company do herby certify that the original POWER OF ATTORNEY of which the foregoing is a full, true and correct copy is still in full force and effect and has not been revoked. IN WITNESS WHEREOF, we have hereunto set our hands, and affixed the Seals of said Companies, on the 1_day of October 2023 urO&Insuran� pans/ Mark nsurance Company i M. Bre Beaty, AsViAant Secretary - Andr Marquis, Assistant Se ary Any Instrument Issued in excess of the penalty stated aboveistotalyvoicr-anTwthoutany;*ati�t 3010003 For ve rification of the authority of this Power you may call (713412�0800 on any buses dayZ(e weer 8:30 AM and 5:00 PM CST. c