HomeMy WebLinkAboutContract 58354-FP1FORT WORTH.
-FP1
City Secretary
Contract No. 58354
Date Received 03/29/2024
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: McPherson Boulevard Development
City Project No.: 104230
Improvement Type(s): Water x❑ Sewer x❑
Developer Costs
City Costs
Total Cost
Original Contract Price: Water
$225,158.86
$50,830.14
$275,989.00
Original Contract Price: Sewer
$126,865.00
$0.00
$126,865.00
Original Contract Price Total
$352,023.86
$50,830.14
$402,854.00
Approved Change Order: Water
$7,275.00
$0.00
$7,275.00
Approved Change Order: Sewer
$11,500.00
$0.00
$11,500.00
Revised Contract Amount: Water
$232,433.86
$50,830.14
$283,264.00
Revised Contract Amount: Sewer
$138,365.00
$0.00
$138,365.00
Total Cost of Work Complete:
$370,798.86
$50,830.14
$421,629.00
�. 1A,,
G LL Moss ;Mar 28, 202411:20 CDT)
Mar 28 2024
�
Contractor
Date
President
Title
Moss Utilities, LLC
Company Name
Matt C'xh
Mar 28, 2024
Matt Cain (Mar 28, 202416:08 CDT)
Project Inspector
Date
M 28, 2024
a r
Project Manager
Date
AX
ReaJOwen (Mar 29, 2024 07:50 CDT)
M a r 29, 2024
CFA Manager
Date
OFFICIAL RECORD
Page 1 of 2
CITY SECRETARY
FT. WORTH, TX
wren Prieur(Mar 29, 202408:07 CDT) Mar 29, 2024
TPW Director Date
0�--,) Apr 1, 2024
Asst. City Manager Date
Notice of Project Completion
Project Name: McPherson Boulevard Development
City Project No.: 104230
City's Attachments
Final Pay Estimate ❑x
Change Order(s): ❑x Yes ❑ N/A
Pipe Report: ❑x Yes ❑ N/A
Contractor's Attachments
Affidavit of Bills Paid
Consent of Surety
Statement of Contract Time
Contract Time: 120 WD Days Charged: 132
Work Start Date: 6/6/2023 Work Complete Date: 1/12/2024
Completed number of Soil Lab Test: 23
Completed number of Water Test: 4
Page 2of2
FoRTWORTH
CITY OF FORT WORTH
FINAL PAYMENT REQUEST
Contract Name MCPHERSON BOULEVARD DEVELOPMENT
Contract Limits
Project Type WATER, SEWER & PAVING IMPROVEMENTS
City Project Numbers 104230
DOE Number 4230
Estimate Number 1 Payment Number 1 For Period Ending 1/12/2024
WD
City Secretary Contract Number Contract Time 12WD
Contract Date Days Charged to Date 132
Project Manager NA Contract is 100.00 Complete
Contractor MOSS UTILITIES, LLC
18631 REMBRANDT TERRACE
DALLAS , TX 75287
Inspectors G. DEYON / M. CAIN
Thursday, February 22, 2024 Page 1 of 4
City Project Numbers 104230 DOE Number 4230
Contract Name MCPHERSON BOULEVARD DEVELOPMENT Estimate Number 1
Contract Limits Payment Number 1
Project Type WATER, SEWER & PAVING IMPROVEMENTS For Period Ending 1/12/2024
Project Funding
UNIT I: WATER IMPROVEMENTS
Item
Description of Items
Estimated Unit
Unit Cost
Estimated
Completed
Completed
No.
Quanity
Total
Quanity
Total
1
16" Pressure Plug
1 EA
$2,750.00
$2,750.00
1
$2,750.00
2
Trench Safety
614 LF
$3.50
$2,149.00
614
$2,149.00
3
Ductile Iron Water Fittings with Restraints
1.5 TN
$11,500.00
$17,250.00
1.5
$17,250.00
4
16" DIP Water
574 LF
$160.00
$91,840.00
574
$91,840.00
5
Imported Embedment/Backfill,CSS
40 CY
$150.00
$6,000.00
40
$6,000.00
6
Fire Hydrant (includes lead line and assembly details)
1 EA
$8,500.00
$8,500.00
1
$8,500.00
7
Connection to Existing 16' Water Main (CO #1)
0 EA
$3,000.00
$0.00
0
$0.00
8
3" Water Meter and Vault
1 EA
$50,550.00
$50,550.00
1
$50,550.00
9
16" Gave Valve with Vault
2 EA
$32,600.00
$65,200.00
2
$65,200.00
10
16"x6" Tapping Sleeve and Valve
1 EA
$7,750.00
$7,750.00
1
$7,750.00
11
16"x8" Tapping Sleeve & Valve
2 EA
$10,500.00
$21,000.00
2
$21,000.00
12
DI to RCP Pipe Connection (CO #1)
1 EA
$10,275.00
$10,275.00
1
$10,275.00
Sub -Total of Previous Unit
$283,264.00
$283,264.00
UNIT 11: SANITARY SEWER IMPROVEMENTS
Item
Description of Items
Estimated Unit
Unit Cost
Estimated
Completed
Completed
No.
Quanity
Total
Quanity
Total
1
Utility Service Surface Restoration Sodding
80 SY
$55.50
$4,440.00
80
$4,440.00
2
Post -CCTV Inspection
140 LF
$1.50
$210.00
140
$210.00
3
Manhole Vaccum Testing
1 EA
$750.00
$750.00
1
$750.00
4
Trench Safety
140 EA
$3.50
$490.00
140
$490.00
5
Comete Collar
1 EA
$1,350.00
$1,350.00
1
$1,350.00
6
8" Sewer Pipe
140 LF
$239.50
$33,530.00
140
$33,530.00
7
4' Manhole (CO #1)
2 EA
$11,500.00
$23,000.00
2
$23,000.00
8
Remove/Replace Concrete Pavement (Full Panel)
2485 SF
$27.00
$67,095.00
2485
$67,095.00
9
Connecting to Existing SS Manhole
1 EA
$7,500.00
$7,500.00
1
$7,500.00
Sub -Total of Previous Unit
$138,365.00
$138,365.00
Thursday, February 22, 2024 Page 2 of 4
City Project Numbers 104230
Contract Name MCPHERSON BOULEVARD DEVELOPMENT
Contract Limits
Project Type WATER, SEWER & PAVING IMPROVEMENTS
Project Funding
Contract Information Summary
Original Contract Amount
Chanhe Orders
Change Order Number 1
Change Order Number 1
Total Contract Price
DOE Number 4230
Estimate Number 1
Payment Number 1
For Period Ending 1/12/2024
$402,854.00
$7,275.00
$11,500.00
$421,629.00
Total Cost of Work Completed $421,629.00
Less % Retained $0.00
Net Earned $421,629.00
Earned This Period $421,629.00
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
$421,629.00
Thursday, February 22, 2024 Page 3 of 4
City Project Numbers 104230
Contract Name MCPHERSON BOULEVARD DEVELOPMENT
Contract Limits
Project Type WATER, SEWER & PAVING IMPROVEMENTS
Project Funding
Project Manager NA
Inspectors G. DEYON / M. CAIN
Contractor MOSS UTILITIES, LLC
18631 REMBRANDT TERRACE
DALLAS , TX 75287
DOE Number 4230
Estimate Number 1
Payment Number 1
For Period Ending 1/12/2024
City Secretary Contract Number
Contract Date
Contract Time 120 WD
Days Charged to Date 132 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 $421,629.00
Less % Retained $0.00
Net Earned $421,629.00
Earned This Period $421,629.00
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
$421,629.00
Thursday, February 22, 2024 Page 4 of 4
IPROJECT NAME:
(CONTRACT:
ICFA #
ICITY PROJECT #
ICITY SECRETARY CONTRACT #
IFID #
(FILE#
INSPECTOR:
PROJECT MANAGER:
IORIGINAL CONTRACT
IEXTRAS TO DATE
ICREDITS TO DATE
ICONTRACT TO DATE
(AMOUNT OF PROP. CHANGE ORDER
IREVISED CONTRACT AMOUNT
TOTAL REVISED CONTRACT AMOUNT PER
UNIT
REVISED COST SHARE
TOTAL REVISED CONTRACT
DEVELOPER -AWARDED -PROJECT CHANGE ORDER
McPherson Blvd Development
Water, Sewer & Paving Improvements
22-0112
CPN 104230
58354
30114-0200431-104230-EO7685
K-3039
Matt Cain
Sandip Adhikari
WATER
Developer
Cost City Cost
$225,158.86 $50,830.14
$0.00 $0.00
$0.00 $0.00
$225,158.86 $50,830.14
$7,275.00 $0.00
$232,433.86 $50,830.14
$283,264.00
Dev. Cost:
CITY PARTICIPATION:( YES
Phone No: 817-673-3515
Phone No: 817-392-8424
SEWER
Developer Cost
City Cost
$126,865.00
$0.00
$0.00
$0.00
$0.00
$0.00
$126,865.00
$0.00
$11,500.00
$0.00
$138,365.00 I $0.00
$138,365.00
$370,798.86
CONTRAi
DRAI
Developer
Cost
$0.00
$0.00
$0.00
$0.00
$0.00
$0.00
;T UNIT
JAGE
City Cost
$0.00
$0.00
$0.00
$0.00
$0.00
$0.00
$0.00
City Cost:
$421,629.00
PA%
Developer
Cost
$0.00
$0.00
$0.00
$0.00
$0.00
$0.00
CSC No. 58354-CO l
CHANGE
ORDER No:
1
ING
STREET LIGHTS
Developer
City Cost
Cost
City Cost
$0.00
$0.00
$0.00
$0.00
$0.00
$0.00
$0.00
$0.00
$0.00
$0.00
$0.00
$0.00
$0.00
$0.00
$0.00
$0.00
$0.00
$0.00
$0.00 $0.00
$50,830.14
CONTRACT
DAYS
120
120
0
120
Revised: 12-17-2018 Page 1
You are directed to make the following changes in the contract documents:
UNIT I: WATER IMPROVEMENTS
CITY BID ITEM CFW Unit
Developer
PAY ITEM #
# QUANTITY UNIT ITEM DESCRIPTION Price UNIT PRICE
Cost
City Cost
TOTAL
7
3312.0106 (1.00) EA Connection to Existing 16" Water Main
$3000.00
($3,000.00)
$0.00
($3,000.00)
12'
9999.0003 1 EA DI to RCP Pipe Connection
$10,275.00
$10,275.00
$0.00
$10,275.00
TOTAL UNIT I: WATER IMPROVEMENTS
$7,275.00
1 1
1
1
$7,275.00
UNIT II: SANITARY SEWER IMPROVEMENTS
CITY BID ITEM
Developer
PAY ITEM #
# QUANTITY UNIT ITEM DESCRIPTION UNIT PRICE
Cost
City Cost
TOTAL
7
3339.1001 1 EA 4' Manhole $11,500.00
$11,500.00
$0.00
$11,500.00
TOTAL UNIT II: SANITARY SEWER IMPROVEMENTS
$11,500.00
0
$11,500.00
Asterisk (') indicates New Pay Item
REASONS FOR CHANGE ORDER
Relocation of proposed public sewer alignment due to field conditions. Need to add a MH to make connections at new proposed sewer main location.
City as-
builts show existing 16" DI water line for CFA extension. Existing water line is RCP and a different connection piece has
had to be ordered to accommodate
this
field condition.
This change order does not impact city cost participation
Revised: 12-17-2018 Page 2
RECOMMENDED:
(Consulting Engineer)
By, sonv D��202319:SS CDT
Name: Sony David, P.E.
Title: Associate Principal/VP - Langan
APPROVAL RECOMMENDED
CFW - Water Department
Victoe VTonim,7r. PE.
By:
Name: Taylor Gunderman
Title: Engineering Manager
RECOMMENDED:
CFW - *Contract Compliance Manager
Y' SandSD lydhiKari
Sandie Adhikan (Aug 25, 202315 42 CDT)
Name: Sandip Adhikari
Title: Sr. Professional Engineer
M&C Number: N/A
M&C Date Approved:
APPROVED: APPROVED:
(Developer) (Contractor)
..A" 1.—
By: Riad1—,rh(Aug25,2D2315'40CDT) By:Itt kfi—A, P, DT'
Name: Chad Parrish Name: Garrett Moss
Title: Member - Alliance South Freeway Fort Wor Title: President - Moss Utilities
APPROVED:
CFW - Assistant City Manager
By.
Naha �cty�Gtdo-�'F
Danz „rrAg25D'rDq
Name: Dana Burghdoff
Title: Assistant City Manaqer
APPROVED AS TO FORM AND LEGALITY:
CFW - Assistant City Attorney
_��By. AYg 36, 3033 06.45 CDT)
Name: Richard McCracken
Title: Senior Assistant City Attorney
ATTEST
* Contract Compliance Manager (Project Manager):
By signing I acknowledge that I am the person responsible
for the monitoring and administration of this contract, include
ensuring all performance and reporting requirements.
Jannette S. Goodall
City Secretary
[There are NO City Funds associated with this Contract
CThere are City Funds associated with this Contract
Revised: 12-17-2018 Page 3
.� � -. I�_ nMAfCH LINEINSEf •A�_ _2 �___I_.�_ 3 ..,_._��- _ a— .I. —a ___L I .m. .�//� 6 I I I I� 11 I ,1 ,__. �' -'
Y/ice
Y2i
IRNNTs /q� Ix Ix Is' Vs) suas[o a-'vE \n� y J
° so s9 'l / �� orvn —6 • 692 a I _ - � � � s _-__- 696 695 � 1
7.
A ROPp mUc,UFE (
mic°w
Stf Pvc R°.°x i 1 xC rm. —\ \ T / // —_/ / fig. � •693 692 J h � I \ 111 //
INV INIIJVI- C"), ,rzs ' 0A 11 \ \\ b i // " I 1\ 11 \
6a /
_ PN° s°eeNNuallvn>E ses A` V �. �I V ✓ /� "� mil N^I a L y°'O 1 — �,
6a9 —
wvR.sT iuNq _ N 1 AZ 'I
uexi \ 1
VNN
A. N•w�6•w 6 6 w w— 6 w a:6•w 6 w w 6•w�°•w�i °•w� w �a w 6 w —'
Ix9IN\°oN,-681 '1 ' "w x•w C,•w 716BI � , � x
�an N-
,�°��,"'�I,"xT I
WI .co;;MaaEl
NEe'E"nR"a'R e wR ow -N°° °A mL so z>
vIs a°�E a s
�1n i
x,
INI°"r ,., x xE�=x°"T� °a°Al-s
............
74A ,i,"!��
NT WOOD LN - .—N,
sIN e a CQYO°
IAIT
r nnE°°m �n.ENT x< cR
T p ne
m
� m PLFASA
I. E "wI,'i ial e °, p �I Il ore ��i�„�,i
�. m
'PROPOSED RE6R-LOAD v Q'" A � � � °x` dROP05ED 8" �kl ANT
�,`e a p a e„i
_\
BUILDING \ ,-T, I � � �E �
\ 258,100 +/-SQ FT p..PRTP. E )„' E.I
' r FF EL. = 614.00 / E.99n"�r 119 s XsN E a
Nn czs ° saw )
eRxr�x
/ n
'nI IN(' Nq e°� nrzR
L-I M.nox�
MATCH LINE INSA'�-
\ \ a sANI—
\RR;R��"14 I
INV R 5069
°
i / V ASE(II C6146EZ� N TO SAN. MH. —R,
°
1"1ANI111 unxrvoL[
69 x
n
60) 690CAB
m _
— V/—
E sm RI\ SOUTH FREEWAY
,ex eeT ` N-1,114.11
IH 35-W ON RAMP enrnN _
A c„reN Ns J� sc. es lxcN—`�T NUMBER:
SEWER STUDV
NUMBER: WSL-2021-1727
LANGAN 9 T„Ip p,ept N. 6ipw,"9 "
999Imnm,x�6wrv"9N"6 MCPHERSONBLVD OVERALL SANITARY"" ICU103—R1
REVIEWED
�E 9."Ex91x.�� " DEVELOPMENT
By SanEp AChIXari at ll.'OS Rm, Jul t3, ]0Y9 /'I\ ����/2023 RELOCATION OF PUBLIC SEWER 1 Tt3y36 NONmpus&va 19 t65 3rawn By
Bple Bescrlptlo" Np BI9R °PRBFEs6IBN No ,<2a36 B Tfi,T.99fi.69°° aoiAx ,s,m �9p." TRRN �NNn FxA9 SEWER LAYOUT Nw kw
Revisions SONIY DNSD FORT WORTH -, irw 1TnC1°axu.mn°mmy,. imel��Nm ne.,yaN cu,°seo..r�ia�n.T om�oAcoec cwuzmswmam,cu B
1 7 1 6
B (a:"seosa `��BTM
a N �B" (w)
mBAnGx B, xo gB e. �Po oGz,
unrs av zosT-BB-� I umn
(Pca nnD�icxs �»xou e_ MBss ; II x,
B,a,w 2B2�BB1B �as2,°,=,B
A A PLEASANT WOOD LN � i II xas2B "' z,Bsa
PreR,p _s��®37.BRIE6n_� PA� x s
ex Iuv a, (s' s) aw o . • m
CDNTN
pA �i, ssPuuucE 1 , ,
1 io R;a
Ex��G�aRIx Ba ,7wR
osnu. r' evaix +-G
Pe pH �s
wx w (e" rvb) wb, naaxox ,neeAou B' warzx uew YP) � � I JI I II
-- Ixx . a��, ,,, � a• Pv� B..Bx — ---- ------ ---- -- IGAa P 1, I
——_t7�rk�--
aOPo�Ps 0 w'„0� 605 6 665 �fi86 _ fl V / // I I II �_
9
sAe. - / \ B \
w IN (s x e 1® b-rr mDE mueR[ -� 2� \ y� ] J _• / a adzes _ 5 696 11
x _ cxaux 6 _ y.` ' • , . . ,Ix aeoe / ,I / BBBBznlox %� 6692 9 I s 696 6951 anbxr II
P .ArevJ 691 �___--__ 69 1
"oPa� xa"EsmuRciI Aiu"E) ( "'.""`- 6 5 soon `e II
,ce E/r s Pvc o o acx/ \ I mix conJx[N1i[ wuP, ,w J \ \ I/ 693 �
693
692 � \
INY 1x �s oREM) 11 l v , , _aA.
PreoiR(�irziE xcv Bx1 is u1iARr 6g9 \ \ ^ bas
D INmnsi) I A�bx
,ea IP\e- vvc R B aax-
N.
//J / /m a;Nia`�4
\\\P,,Rs.. - Sx�a"w 1xv Iwca a".,set I lit Bw B"wDo
B B+oo
D BB5� B.Bx I xias�PR'^x1Tu<.
- � � t3 � L3 t3 c, L3 � L3 L3\ L3 LL � L3 `, •, u B Pcu � L3 �u� L3 L3 � c, c� t3��� is � cu t3 � r t3 � t3 cu t3 is � cu t3 cu [S' � II Im
L3 is L3 L3 L3 L3 L3 \Pre sm. emLo
PRnSUDBdO�mGo"oEr�WxB
A, I=
IR IN
' PUBLIC PRIVATE '
— — (6" NE)
INID xV INV SNm1eo0 E) II IAN _ NB WNNECnoN
N. 2 D N) - �� Za, NI Ixv wT aes To
INI o (s' s)
(RIT', crvi OEBI�MN cRUERIA - R9 es, xE) xv our se, B
690 x s)Pox ss v(s" WT. 6B1.P -_---- 690
RIM bB&i7
MANUAL EGAR01 G el AA s+<z xe Ixv 1x sat 1 __ _----
xvorenuuc 0A v esT dR INV.
INV o0i eBOb -_---
,A 11
-s ___-__ _ LL
____ Z
Q Ixv wuav G"ubi "oei� O
1 ae eP � r b Pv= w n mx L //Iny� arcs ,r B Pw: w B.bx a, Ire ow� o sax,
JRED °P jj o w 66DxxLoreLxE, B P R�2,1B
. o G.
D6fNNC�Fff1) b0 0 ,QD 300 300 .� 500 6m 700 800 xAP 11PPc
EXPOSED CLEV(FEET) b>.z m.s asa sl seen sas Ts sass sas ss s�xos eT ss sBB.. ._s... oaa., es",,o sea as sw.,, bso sa PROPOSED ELEV FEE
WATER/SEWER STUDY
SANITARY SEWER PROFILE NUMBER: WSL-2021-1727
LANGAN Jrnwln9 nti, Pr Rl NI, 9 e
(REVIEWED I EmlronxEre,reee„xa,x MCPHERSON BLVD SANITARY SEWER rnwn
J n, 2D23 REL66A,IDN DP PDDL1c 9EwER 999D„mPxe6� 1 �,Pnr Dee B �CU104—R1
y SexrllR ACIJkarl at 1f am, JW 26, 2025 mBMe"I Sery
rz� DEVELOPMENT PLAN & PROFILE DfeWO 6
F I Dole Descriatlon No SignatuPROFESSION C No ,42436 Date i6173233200 eOsblrz" o7'nw TARRAMCUIIMi• TEAS Cxecke �
Raviarona SONYDAVID wvxr@ngan co- FORT WORTH o.e Tarmn r.: ,xls a:, ,.ml sxxT�r..P.eae ., culw ooam:dcez cwuxoowwaew ry
AL a D41 "SIR
<uz
FORT WORTH,
TRANSPORTATION AND PUBLIC WORKS
PIPE REPORT FOR:
PROJECT NAME: McPherson Blvd. Development
CITY PROJECT NUMBER: 104230
WATER
PIPE LAID SIZE TYPE OF PIPE
DIP 16" DIP
LF
574
FIRE HYDRANTS: 1 VALVES (16" OR LARGER) 2
PIPE ABANDONED SIZE TYPE OF PIPE LF
N/A
DENSITIES: YES
NEW SERVICES: 3" PVC 1 EA.
SEWER
PIPE LAID SIZE TYPE OF PIPE LF
SDR-26 8" PVC 140
PIPE ABANDONED SIZE TYPE OF PIPE LF
N/A
DENSITIES: YES
NEW SERVICES: 8" PVC 1 EA.
TRANSPORTATION AND PUBLIC WORKS
The City of Fort Worth • 1000 Throckmorton Street • Fort Worth, TX 76012-6311
(817) 392 - 7941 • Fax: (817) 392 - 7845
FORTWORTH.
M,
TRANSPORTATION AND PUBLIC WORKS
February 9, 2024
Moss Utilities
11050 Ables Lane
Dallas, TX. 75229
RE: Acceptance Letter
Project Name: McPherson Blvd. Development
Project Type: water, sewer
City Project No.: 104230
To Whom It May Concern:
On January 12, 2024 a final inspection was made on the subject project. There were punch list items
identified at that time. The punch list items were completed on February 9, 2024. 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 February 9, 2024, which is the date
of the punch list completion 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)
392-8424.
Sincerely,
_01�1�
Sandip Adhikari, Project Manager
Cc: Matt Cain, Inspector
Gary Deyon, Inspection Supervisor
Edward D'Avila, Senior Inspector
Andrew Goodman, Program Manager
Langan, Consultant
Moss Utilities, Contractor
Alliance South Freeway Fort Worth, Developer
File
E-Mail: TPW_Acceptance@fortworthtexas.gov
Rev. 8/20/19
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 r-1oArff+ ilbSS of
��b 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;
Alliance McPherson Development
City Project No:104230; CFA No: 22-0112
BY
Title
Subscribed and sworn before me on this date,
-t
otary Pu is
Dallas, Texas
CHRISTINARACHELLEtAZARIN
My Notary ID ff 132339389
Bores January 31, 2028
CONSENT OF SURETY
TO FINAL PAYMENT
Conforms with the American Institute of
Architects, AIA Document G707
TO OWNER:
(Name and address)
City of Fort Worth
311 W.10th Street
Fort Worth, TX 76102
PROJECT:
(Name and address)
Job 2263 - McPherson Boulevard Development - City Project No.104230
Bond No: GSB5900081
OWNER
ARCHITECT
CONTRACTOR
SURETY
OTHER
ARCHITECT'S PROJECT NO.:
CONTRACT FOR: OCP: $228,005.00
FCP: $421,629.00
CONTRACT DATED: September 16, 2022
In accordance with the provisions of the Contract between the Owner and the Contractor as indicated above, the
(Insert name and address of Surety)
The Gray Insurance Company
P.O. Box 6202
Metairie, LA 70009
, SURETY,
on bond of
(Insert name and address of Contractor)
Moss Utilities, LLC
11050 Ables Ln.
Dallas, TX 75229
,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 Fort Worth
311 W. 10th 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: February'26, 2024
(Insert in writing the month followed by the numeric date and year.)
Iffll"-11411M R
The Gray Insurance Company
(Surety)
(Signature of authorized representative) -
Sean McCauley Attorney-iR-Fact-
(Printed name and title)
S-2134/GE 10/01
XDP
McCauley Bond Agency
02/26/2024 16:11 233280601935
THE GRAY INSURANCE COMPANY
THE GRAY CASUALTY & SURETY COMPANY
GENERAL POWER OF ATTORNEY
Bond Number: GSB5900081 Principal: Moss Utilities, LLC
Project: Job 2263 - McPherson Boulevard Development - City Project No.104230
KNOW ALL BY THESE PRESENTS, THAT The Gray Insurance Company and The Gray Casualty & Surety Company, corporations duly
organized and existing under the laws of Louisiana, and having their principal offices in Metairie, Louisiana, do hereby make, constitute, and
appoint: Sean McCauley, Alex Rausch, Liam Hackett, Sterling Ward, Sam Duckett, Jarrod Yost, Sarah Timmons, Ashlyn Simchik, and
Bridget Truxillo of Dallas, Texas jointly and severally on behalf of each of the Companies named above its true and lawful Attomey(s)-in-Fact,
to make, execute, seal and deliver, for and on its behalf and as its deed, bonds, or other writings obligatory in the nature of a bond, as surety,
contracts of suretyship as are or may be required or permitted by law, regulation, contract or otherwise, provided that no bond or undertaking or
contract of suretyship executed under this authority shall exceed the amount of
$25,000,000.00.
This Power of Attorney is granted and is signed by facsimile under and by the authority of the following Resolutions adopted by the Boards of
Directors of both The Gray Insurance Company and The Gray Casualty & Surety Company at meetings duly called and held on the 261 day of
June, 2003.
"RESOLVED, that the President, Executive Vice President, any Vice President, or the Secretary be and each or any of them hereby is authorized to
execute a power of Attorney qualifying the attorney named in the given Power of Attorney to execute on behalf of the Company bonds,
undertakings, and all contracts of surety, and that each or any of them is hereby authorized to attest to the execution of such Power of Attorney, and
to attach the seal of the Company; and it is
FURTHER RESOLVED, that the signature of such officers and the seal of the Company may be affixed to any such Power of Attorney or to any
certificate relating thereto by facsimile, and any such Power of Attorney or certificate bearing such facsimile signature or facsimile seal shall be
binding upon the Company now and in the future when so affixed with regard to any bond, undertaking or contract of surety to which it is attached.
IN WITNESS WHEREOF, The Gray Insurance Company and The Gray Casualty & Surety Company have caused their official seals to be hereinto
affixed, and these presents to be signed by their authorized officers
this 4th day of November, 2022.
SUR AV
SEAL BY Michael T. Gray Cullen S. Piske �•: SEAL :$
y: President President a'
y1 The Gray Insurance Company The Gray Casualty & Surety Company
State of Louisiana
ss:
Parish of Jefferson
On this 411' day of November, 2022, before me, a Notary Public, personally appeared Michael T. Gray, President of The Gray Insurance
Company, and Cullen S. Piske, President of The Gray Casualty & Surety Company, personally known to me, being duly sworn, acknowledged
that they signed the above Power of Attorney and affixed the seals of the companies as officers of, and acknowledged said instrument to be the
voluntary act and deed, of their companies.
.� Leigh Anne Henican �J
Notary Public
Notary ID No.92653 Leigh Annee
Henican
Notary Public, Parish of Orleans State of Louisiana
' Orleans Parish, Louisiana My Commission is for Life
I, Mark S. Manguno, Secretary of The Gray Insurance Company, do hereby certify that the above and forgoing is a true and correct copy of a
Power of Attorney given by the companies, which is still in full force and effect. IN WITNESS WHEREOF, I have set my hand and
affixed the seals of the Company this 26th day of Febrauary 2024
I, Leigh Anne Henican,/Secretary of The Gray Casualty & Surety Company , do hereby certify what the above and forgoing is a true and correct
copy of a Power of,Attorney given by the companies, which i_s stilt in furl force -and effect. !N`vVITNESS WHEREOF, I have set my hand
and affixed the seals of the Company hiis/ th
26th �1 day of Febrausiry ; 2024 - - .
#{• VY�'�' �VV'1.vVv R 4,F �iJ}P'�Tw•�'Y�F
SEAL SEAL