HomeMy WebLinkAboutContract 56025-FP1-FP1
FORT WORTH.
City Secretary
Contract No. 56025
Date Received 04/02/2024
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: QuikTrip No. 895
City Project No.: 102160
Improvement Type(s): Water x❑ Sewer x❑
Original Contract Price:
$61,560.00
Amount of Approved Change Order(s): $14,622.07
Revised Contract Amount: $76,182.07
Total Cost of Work Complete: $76,182.07
Apr 1, 2024
Colbv Lov ( r 1, 202416:33 CDT)
Contractor Date
Owner
Title
Transcend Construction
Company Name
Apr 1, 2024
Jenack Andrade (Am 1.202418:10 CDT)
Project Inspector
Date
5L
Apr 2, 2024
Project Manager
Date
�,#\
A r 2 2024
Rebecca 0—n(Aor2.202409:02 CDT)
p
CFA Manager
Date
Apr 2, 2024
Lauren Prieur (Apr 2, 2024 09:30 CDT)
TPW Director
Date
Apr 2, 2024
Asst. City Manager
Date
OFFICIAL RECORD
CITY SECRETARY Page 1 of 2
FT. WORTH, TX
Notice of Project Completion
Project Name: QuikTrip No. 895
City Project No.: 102160
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: 210 WD
Work Start Date: 8/16/2022
Completed number of Soil Lab Test: 141
Completed number of Water Test: 0
Days Charged: 155
Work Complete Date: 8/9/2023
Page 2 of 2
FORTWORTH
CITY OF FORT WORTH
FINAL PAYMENT REQUEST
Contract Name QUIKTRIP NO 895
Contract Limits
Project Type WATER & SEWER
City Project Numbers 102160
DOE Number 2160
Estimate Number 1 Payment Number 1 For Period Ending
City Secretary Contract Number
Contract Date
Project Manager NA
Contractor TRANSCEND CONSTRUCTION INC.
2105 BANCROFT CT.
ARLINGTON , TX 76017
Inspectors GLOVER. M / ANDRADE. I
Contract Time
Days Charged to Date
Contract is 100.00
8/9/2023
WD
21 WD
155
Complete
Monday, April 1, 2024 Page 1 of
City Project Numbers 102160 DOE Number 2160
Contract Name QUIKTRIP NO 895 Estimate Number 1
Contract Limits Payment Number 1
Project Type WATER & SEWER For Period Ending 8/9/2023
Project Funding
UNIT I: WATER
Item
Description of Items
Estimated Unit
Unit Cost
Estimated
Completed
Completed
No.
Quanity
Total
Quanity
Total
1
Fire Hydrant
1 EA
$10,354.00
$10,354.00
1
$10,354.00
2
1 1/2" Water Service (CO #1)
0 EA
$3,804.00
$0.00
0
$0.00
3
Ductile Iron Water Fittings w/ Restraint
0.2 TN
$5,000.00
$1,000.00
0.2
$1,000.00
4
8" x 6" Tapping Sleeve & Valve (CO #1)
2 EA
$8,685.00
$17,370.00
2
$17,370.00
5
Trench Safety
40 LF
$1.00
$40.00
40
$40.00
6
Conc Pvmt Repair, Arterial/hidustrial
54 SY
$155.00
$8,370.00
54
$8,370.00
7
Salvage 3/4" Water Meter
3 EA
$1,910.00
$5,730.00
3
$5,730.00
8
Salvage 1 1/2" Water Meter
1 EA
$1,910.00
$1,910.00
1
$1,910.00
9
2" Water Service (CO #1)
l EA
$3,976.25
$3,976.25
1
$3,976.25
10
V Water Service (CO #1)
1 EA
$2,709.93
$2,709.93
1
$2,709.93
11
6" Water Pipe (CO #1)
41 LF
$167.29
$6,858.89
41
$6,858.89
Sub -Total
of Previous Unit
$58,319.07
$58,319.07
UNIT 11: SEWER
Item
Description of Items
Estimated Unit
Unit Cost
Estimated
Completed
Completed
No.
Quanity
Total
Quanity
Total
1
6" Sewer Service
1 EA
$450.00
$450.00
1
$450.00
2
6" 2-way Cleanout
1 EA
$500.00
$500.00
1
$500.00
3
Trench Safety
8 LF
$1.00
$8.00
8
$8.00
4
Remove 12" Sewer Line
197 LF
$63.00
$12,411.00
197
$12,411.00
5
Remove 4' Sewer Manhole
1 EA
$1,870.00
$1,870.00
1
$1,870.00
6
12" Sewer Abandonment Plug
2 EA
$1,035.00
$2,070.00
2
$2,070.00
7
Sanitary Line Grouting
0.2 CY
$800.00
$160.00
0.2
$160.00
8
Pre -CCTV Inspection
197 LF
$2.00
$394.00
197
$394.00
--------------------------------------
Sub -Total of Previous Unit
$17,863.00
$17,863.00
Monday, April 1, 2024 Page 2 of
City Project Numbers 102160
Contract Name QUIKTRIP NO 895
Contract Limits
Project Type WATER & SEWER
Project Funding
Contract Information Summary
Original Contract Amount
Change Orders
Change Order Number 1
Total Contract Price
DOE Number 2160
Estimate Number 1
Payment Number 1
For Period Ending 8/9/2023
$61,560.00
$14,622.07
$76,182.07
Total Cost of Work Completed $76,182.07
Less % Retained $0.00
Net Earned $76,182.07
Earned This Period $76,182.07
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
$76,182.07
Monday, April 1, 2024 Page 3 of
City Project Numbers 102160
Contract Name QUIKTRIP NO 895
Contract Limits
Project Type WATER & SEWER
Project Funding
Project Manager NA
Inspectors GLOVER. M / ANDRADE. I
Contractor TRANSCEND CONSTRUCTION INC.
2105 BANCROFT CT.
ARLINGTON, TX 76017
DOE Number 2160
Estimate Number 1
Payment Number 1
For Period Ending 8/9/2023
City Secretary Contract Number
Contract Date
Contract Time 210 WD
Days Charged to Date 155 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 $76,182.07
Less % Retained $0.00
Net Earned $76,182.07
Earned This Period $76,182.07
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
$76,182.07
Monday, April 1, 2024 Page 4 of
I PROJECT NAME:
CONTRACT:
ICFA #
CITY PROJECT#
IFID No.
FILE #
INSPECTOR:
PROJECT MANAGER:
(ORIGINAL CONTRACT
(EXTRAS TO DATE
(CREDITS TO DATE
(CONTRACT TO DATE
(AMOUNT OF PROP. CHANGE ORDER
IREVJSED CONTRACT AMOUNT
TOTAL REVISED CONTRACT AMOUNT
PER UNIT
REVISED COSTSHARE
TOTAL REVISED CONTRACT
DEVELOPER -AWARDED -PROJECT CHANGE ORDER
QuikTdr) No. 895
Water, Sanitary Sewer, Paving, Drainage & Streetlight Improveme is
CFA19-0124 CITY PARTICIPATION: No
102160
30114-0200431-102160-EO7685
K 2685; X-26030
Mike Amhart Phone No: 817-319-6452
Debbie Willhelm Phone No: 817-392-2481
WA
Developer
Cost
$43,697.00
$43,697.00
$14,622.07
$58,319.07
$58.0
Dev. Cost:
CONTRACT UNIT
CHANGE
ORDER No:
1
I
CONTRACT
DAYS
ER
SEWER
PAVING
DRAINAGE
STREETLIGHTS
City Cost
Developer
Cast
City Cost
Developer
Cost
City Cost
Developer
Cost
City Cost
Developer
Cost
City Cost
$17,863.00
$151,723.00
$441,278.00
$173,495.00
$0.00
$17,863.00
$0.00
$151,723.00
$0.00
$441,278.00
$0.00
$173,496.00
$0.00
$0.00
$17,863.00
$0,00
$15t,723.00
1 $0.00
$441,278.00
$0.00
$173,495.00
19.07
$17,863.00
$161,723.00
$441,278.00
$173,495A$0.00
$842,678.07 Icily Cost:
$842,678.07
$0.00
210
210
210
REVIEWED
By Debbie J. Willhelm at 10:02 am, Aug 26, 2021
Revised: 10-12-2011 Page 1
You are directed to make the following rhanges in the contract documents:
CITY BID ITEM
PAY ITEM #
#
QUANTITY
2
3312.2103
-2
New Item 9
3312.2203
1
New Item 10
3312.2003
1
4
3312.4004
1
New Item 11
3311.0141
41
UNIT
ITEM DESCRIPTION
UNIT PRICE
TOTAL I
EA
11/2"Water Service
$3,804.00
-$7,608.00
EA
2" Water Service
$3,976.25
$3,976.25 I
EA
1" Water Service
$2,709.93
$2,709.93
EA
8" x 6" Tapping Sleeve & Valve
$8,685.00
$8.685.00 1
LF
6" Water Pipe
$167.29
$6,858.89 1
TOTAL
$14,622.071
REASONS FOR CHANGE ORDER Water service sizes and alignments have been revised. An additional 6" line is provided for on -site use as a fireline to the proposed building. Changes
correspond to Revision 1 as shown on Sheets 101 and 104 of the construction plans.
NO CITY FUNDS INVOLVED IN THIS CONTRACT. DEVELOPER IS RESPONSIBLE FOR 100 h OF THE CHANGE ORDER COST AND NO
REIMBURSEMENT FROM THE CITY WILL BE SOUGHT BY THE DEVELOPER.
RECOMMENDED:
APPROVED:
APPROVED:
/
/
By: e -
A
By: Y
41.eM
Nam Jonathan Schindler - Kirkman Ennineerinn
( me: J seph Faust - QT South, LLC
n!,L.,1 - T.
tend Conslrucllon Inc.
V
Title: Civil Engineer
Title: ice Presidenl
Title: President
Revised: 10-12-2011 Page 2
DEVELOPER -AWARDED -PROJECT CHANGE ORDER
PROJECT NAME:
QuikTrip No. 895
I CHANGE
CONTRACT:
Water, Sanitary Sewer, Paving, Drainage & Streetlight Improvements
ORDER No:
ICFA#
CFA19-0124 I CITY PARTICIPATION:
No I
ICITY PROJECT #
102160
IFID No.
30114-0200431-102160-EO7685
2
FILE #
K-2685;X-26030
REVIEWED
INSPECTOR:
Mike Arnhart Phone No:
817-319-6452
PROJECT MANAGER:
Debbie Willhelm Phone No:
817-392-2481 By Debbie J. Willhelm at 12:02 pm, Nov 24, 2021
CONTRACT UNIT
WATER SEWER
PAVING
DRAINAGE STREETLIGHTS
CONTRACT
Developer Developer
Developer
Developer DeVeloper
DAYS
Cost Cost CJy Con
Cost
Cost Cost
(ORIGINAL CONTRACT
$43,697.00 $17.863.00 _
$151.723.00
$441,278.00 8113A95.00
210
EXTRAS TO DATE
$14,622.07
ICREDITS TO DATE
?�
ICONTRACT TO DATE
$58,319.07 $17,003.00 40.00
5751,723.00
$441,270.00 $173,495.00
210 I
(AMOUNT OF PROP. CHANGE ORDER
$1,603.00
I
IFj VIS�e CO�iJ CT AMOUNT
558,319.07 517,863.00
5761,723.00
$442,781.00 $173,495.00
210
TO AL REVISE ONTRACTAMOUNT
PER UNIT
$58,319.07 $17,663.00
$151.723.00
$442,781.00 $173A95.00
REVISED COST SHARE
Dev. Cost: $844,181,07
TOTAL REVISED CONTRACT
S844,181.07
Revised: 10-12-2011 Page 1
You are directed to make the following changes in the contract documents:
CITY BID ITEM
PAY ITEM Y tl QUANTITY UNIT ITEM DESCRIPTION �INIT PRICE TOTAL _
Now Item 6 3301.0012 60 LF Post -CCTV Inspection of Storm Drain { 25.05 SASo3 1
I f
I
I
TOTAL 41$03.00;
REASONS FOR CHANGE ORDER As pan of the encroachment agreement PN21.00174 (for proposed wall to be located within drainage easement), slonnwater division has asked that developer
include Post CCTV Inspection of the storm drain once it's been complete.
NO CITY FUNDS INVOLVED IN THIS CONTRACT, DEVELOPER IS RESPONSIBLE FOR 100%OF THE CHANGE OROER COST AND NO
REIMBURSEMENT FROM THE CITY VALL BE SOUGHT MY THE DEVELOPER -
RECOMMENDED APPROVED: APPROVED:
Name, Yalhanchindler - Kirkman Enolneennq me: J ,seph Faust - OT South, LLC Name: Ldy Loyd - OYenscend Construction Inc.
Ti lk: Civil Engineer T� Ice President Title: President
Revised: 10-12-2011 Page 2
DEVELOPER -AWARDED -PROJECT CHANGE ORDER
PROJECT NAME:
QUIkTrio No. 895
CONTRACT:
Water, Sanitary Sewer, Paving, Drainage & Streellight Imoroveme is
ICFA #
CFA19-0124 I CITY PARTICIPATION:( No
I CITY PROJECT#
102160
IFID No.
30114-0200431-102160-EO7685
FILE #
K-2685: X-26030
INSPECTOR:
Mike Arnhart Phone No:
817-319-6452
PROJECT MANAGER:
Debbie Willhelm Phone No:
817-392-2481
CONTRACT UNIT
WATER SEWER
PAVING
Developer Developer
I
Developer Deve
Cost City Cost Cost City Cost
Cost City Cost Cost
ORIGINAL CONTRACT
$43,697.00 I $17,863.00
$151.723.00 $44
(EXTRAS TO DATE
$14,622.07
$1
ICREDITS TO DATE
ICONTRACT TO DATE
$58,319.07 $0.00 $17,863.00 $0.00
$151,723.00 $0.00 $44
(AMOUNT OF PROP. CHANGE ORDER
NT
�CmTCO�
$58,319.07 $0.00 $17,863.00 $0.00
$151,723.00 $0.00 $44Ra
AMOUNT
PER UNIT
$68,319.07 $17,863.00
$151,723.00
REVISED COST SHARE
Dev. Cost: $938,496.07
City Cost'.
TOTAL REVISED CONTRACT
$938,496.07
CHANGE
ORDER No:
3
REVIEWED
l By Debbie J. Wilhelm at 7:43 pm,
Sep 20, 2022
DRAINAGE Smnwus
I
CONTRACT
!r
Developer
DAYS
City Cost
Cast
City Cost
8.00
$173,495.00
I 210
.00
1.00
$0.00
$173,495.00
$0.00
I 210
$94,315.00
1.00
$0.00
$267,810.00
1 $0.00
I 210
$442,781.00
$267,810.00
L.
$0.00
Revised: 10-12-2011 Page 1
You are directed to make the following changes in the contract documents:
CITY BID ITEM
PAY ITEM #
#
QUANTITY
Newltem
2605.0111
1
New Item
2605.3015
90
Newltem
2605,3025
60
New Item
3441.1214
1
Newltem
3441.1224
302
Newltem
3441.1255
1
Newltem
3441.126
160
Newltem
3441A315
555
New Item
3441.1322
365
New Item
3441.1408
20
Newltem
3441.141
1240
Newltem
3441.1414
380
New Item
3441.1506
1
New Item
3441.1713
1
New Item
3441A725
1
Newltem
3441.1741
1
New Item
3441.1749
1
Newltem
9999.0001
760
STREET LIGHTING AND SIGNALS
UNIT
ITEM DESCRIPTION
UNIT PRICE
EA
FumishAnstall Elec Sery Pedestal
$8,600.50
LF
2" CONDT PVC SCH 80 )
$25.00
LF
3" CONDT PVC SCH 80
$28.50
EA
Install BBU System Internal
$9,170.30
LF
Furnish/Install Preemption Cable
$5.50
EA
FumishAnstall Communication Modem
$5,615.25
LF
FumishAnstall CAT5 Ethernet Cable
$5.10
LF
20/C 14 AWG Multi -Conductor Cable
$9.25
LF
3/C 14 AWG Multi -Conductor Cable
$6.30
LF
NO 6 Insulated Elec Condr
$6.15
LF
NO 10 Insulated Elec Condr
$4.25
LF
NO 8 Bare Elec Condr
$5.10
EA
FumishAnstall Ground Box Type D
$1,630.00
EA
Signal Cabinet Foundation - 352i
$4,410.00
EA
Furnish/Install ATC Signal Controller
$4,128.00
EA
FumishAnstall352i Controller Cabinet Assembly
$30.329.85
EA
Remove Si nal Controller Cabinet Assembly
$4.517.85
LF
VIVDS Detection Cable
$6.20
TOTAL STREET LIGHTING AND SIGNALS
REASONS FOR CHANGE ORDER Changes correspond to added plan sheets TS-1 through TS-16 for signal modifications.
NO CITY FUNDS INVOLVED IN THIS CONTRACT. DEVELOPER IS RESPONSIBLE FOR 100 % OF THE CHANGE ORDER COST AND NO
REIMBURSEMENT FROM THE CITY WILL BE SOUGHT BY THE DEVELOPER.
RECOMMENDED: APPROVED:
9/15/2022
By:� "SC �� By: Faust, Joe
Name: Jonathan Schindler- rJrkman Engineering Name: Joseph Faust- QT South, LLC
Title: Civil Engineer
Title: Vice President
TOTAL 1
$8.600.50 I
$2,250.00
$1.710.00
$9,170.30 I
$1,661.00 I
$5.615.25 I
$816.00 I
$5,133.75
$2,299.50
$123.00
$5.270.00
$1,938.00
$1,630.00
$4,410.00
$4,128.00
$30,329.85
$4,517.85
$4,712.00
$94,315.001
APPROVED:
By:
Name: MandyUod -Trans nd Construction Inc.
Title: President
Revised: 10-12-2011 Page 2
DEVELOPER -AWARDED -PROJECT CHANGE ORDER
PROJECT NAME:
DulkTrtp No. 895
[CONTRACT:
Water, Sanitary Sewer, Pavinq, Drainage & Streetlight
Improvements
CHANGE
ORDER No:
ICFA#
CFA19-0124 [ CITY PARTICIPATION]
No
CITY PROJECT #
102160
IFID No.
30114.0200431-102160-EO7685
4
FILE #
K-2685:X-26030
REVIEWED
INSPECTOR:
ihart Phone No:
817-319-6452
PROJECTMANAGER:
Wilke
Debbie helm Phone No:
817-392 2481
I l By Debbie J. Willhelm at 3:00 pm, Mar 30, 2023
CONTRACT UNIT
I
WATER SEWER
PAVING
DRAINAGE
STREET LIGHTS
CONTRACT
Developer Dovelopar
Developer
Developer
Developer
DAYS
Coat City Coal Coat City Cost
Coat City Coat
Coat CIty.Cosl
Cost ,City'Cost
(ORIGINAL CONTRACT
$43,697.00 $17,863.00
$151,723.00
$441,278.00
$173,495.00
210
1EXTRAS TO DATE
S14.622.07 - - - --
-
$1,503.00
$94.315.00
CREDITS TO DATE
[CONTRACT TO DATE
$68,319.07 $0.00 $i7,altuo f0:00
$151.723.00 $0.00.
$442.781.00 $0.00.
$267.810.00 $0.0
210
(AMOUNT Or PROP. CHANGE ORDER
($23,640.00)
EVISTEb CONTfiACT
SSB,319.07 f0.00 f17,BB].00 f0.00
$161.723.00 f0.00
$442.781.00 f0.00
5241,170.00 •f0.00
210
TOTV AMOUNT
PER UNIT
$58.319.07 $17,863.00
$151.723.00
$442.781.00
f244,170.00
REVISED COST SHARE
Day. Cost: $914,656.07
,City Cosu
$0.00
TOTAL REVISED CONTRACT
$914,056.07
Revised: 10-12-2011 Page 1
You are directed to make the following changes In the contract documents:
Division 34 - Transportation
CITY RID ITEM
j
PAY ITEM #
#
QUANTITY
UNIT
ITEM DESCRIPTION
UNIT PRICE
TOTAL 1
I 1
3441.3303
1
FA
RdtyavV Ilium Foundatlon TY 7
$1,910.00
$1910.00 I
2
3441.3037
3
FA
Fumishllnstall 10' - 14' Washinqton Standard Llqht Pole & Fixture LED
S5,970.00
-0.910.00 1
17
9999.0003
t
FA
Shallow Pier Street Liphl Foundation - TYD 7 Eoulvalent
$1.910.00
-S7 040.00 I
I
TOTAL
-5 3.040.001
REASONS FOR CHANGE ORDER Changes correspond to mvlsd plan sheets 701 & 601 for street tree and street lighting modification
NO CITY FUNDS INVOLVED IN THIS CONTRACT. DEVELOPER IS RESPONSIBLE FOR 100 % OF THE CHANGE ORDER COST AND NO
REIMBURSEMENT FROM THE CITY WILL BE SOUGHT BY THE DEVELOPER.
RECOMMENDED: APPROVED: APPROVED:
Faust Joe °�""°"°°�F`��° ��
Br/1 JGI,Giff By. OM04-0ozm �.mw
(/f mass-DearName. Jonathan Schindler- Kirkman Enoineerinn Name: Joseph Faust - OT South, LLC M v Lovd - T scend Con.Zn Inc.
Title: Civil Enalneer TWe: Vice President Title: President
Revised: 10-12-2011
Page 2
FORT CVO R-T-H
TRANSPORTATION AND PUBLIC WORKS
PIPE REPORT FOR:
PROJECT NAME: Quiktrip No.895
CITY PROJECT NUMBER: 102160
WATER
PIPE LAID SIZE TYPE OF PIPE
FIRE HYDRANTS: 1 VALVES (16" OR LARGER)
PIPE ABANDONED SIZE TYPE OF PIPE
DENSITIES: all Passed
NEW SERVICES: 2in Dom copper
1 in Irr copper
SEWER
PIPE LAID SIZE TYPE OF PIPE
PIPE ABANDONED SIZE TYPE OF PIPE
DENSITIES:
NEW SERVICES: bin PVC
TRANSPORTATION AND PUBLIC WORKS
The City of Fort Worth • 1000 Throckmorton Street • Fort Worth, T176012-6311
(817) 392 - 7941 • Fax: (817) 392 - 7845
LF
LF
LF
LF
FORTWORTH.
TRANSPORTATION AND PUBLIC WORKS
August 15, 2023
Transcend Construction Inc.
2105 Bancroft Court
Arlington, TX 76017
RE: Acceptance Letter
Project Name: QuikTrip No.895
Project Type: Developer
City Project No.: 102160
To Whom It May Concern:
On July 28, 2023 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 August 15, 2023. 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 15, 2023, 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-
392-2481.
Sincerely,
DebbieOOWillhelm, Project Manager
Cc: Ignacio Andrade, Inspector
Mike Glover, Inspection Supervisor
Daniel Roy, Senior Inspector
Victor Tornero, Program Manager
Jonathan Schindler, Consultant
Sonny Norris, Contractor
Gwen Keen, Developer
File
E-Mail: TPW_Acceptance@fortworthtexas.gov
Rev. 8/20/19
TRANSCEND
CONSTRUCTION, INC.
AFFADAVIT
STATE OF Texas
COUNTY OF Henderson
Before me, the undersigned authority, a Notary Public, in the State and County
aforesaid, on this day personally appeared Mandy Loyd, President of Transcend
Construction Inc., 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 the Contract described as;
Quiktrip No 895
City Project No: 102160
Subscribed and sworn before me on this date �3''Kof U c vbev a o ?3
BRITNEY MACIAS
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+e Comm. Expires 03-28-2027
Notary ID 134239055
NqA Public
MOND 0, 1021476
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TO FINAL PAYMENT
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TOMENEIL ASMIECT'S FROJECT NOU
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4T South LLC
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Tulsa, OK 74101 Cigf Fort Worth Easerrt
June 14, 2021
City of Fort Worth Easement
Lancaster & Henderson, Fart Worth, TX
CFA Number CFA-19-0124
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Oklahoma Surety Company -
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Tulsa. OK 74101-1409
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Transcend Construction Inc.
PO (314
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OT South LLC
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October 24, 2023
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Oklahoma Surety CompwW
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Rhonda Hoopin amer, Attorney -In -Fact
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origtsal assures tliat chaVes will pat be obscunj5d as =y om-ur when doaurcmrt. =0 repro_
see ins*xKZon stint for E.mftd t.ioerss+a fcar RWocf+scti n of tus docunwerrt.
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OKLAHOMA SURETY COMPANY
1437 SOUTH BOULDER, SUITE 200 • TULSA, OKLAHOMA 74119.91"87-7221 • FAX 9113' 88-1253
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KNOW ALL MEN BY THESE PRESENTS: That the OKLAHOMA SURETY COMPANY , a corporation organtted and existing under
and by vlrtue of the laws of the State of Ohio, does hereby norrrinate, constitute and appoint the person or persons named below, each fndfvidually If
more than one is named, Its true and lawful attorney -la -fact, for it and in Its name, place and stead to execute on behalf of the Bald Company, as surety.
any and all bonds, undertakings and contracts of Suretyship, or other written obligations In" nature thereat. Jim Beam, Colleen C. Coleman,
Alyson Dominguez Satbara Eden, Rhonda Hoopingamer, Chris Monroe and M. A. Monroe, all of ARUNGTON, TX
IN WITNESS WHEREOF, the OKLAHOMA SirRM COMPANY has caused these presents to be signed and attested by Its appropriate
officers and i�,�r�orate seal hereunto affixed this 17 day of June 2021
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ATTEST:
11�ssit S~ety fiVICE PRESIDENT �L
Oni is 1704y of Jun$ 2021 before me personally appeared TODID BAZATA to me known, bekv
duty swum, deposes and says that s/he resides in Broken Arrow, 0klahams, that alhe is a Moe President of Okla home Surety Cam" ny, the company
des[xtbed in and whlch executed the above Instrument, that s/he knows the seat of the said Company; that the seal affixed to the said Instrument is such
corporate seat; that it was so affixed by authority of her/his office under the By-k.aws of *Wd Company, and that slhe signed his name thereto by like
authority.
STATE OF OKLAHOMA
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COUNTY OF TULSA
Ccmm#s on # 11008253
My Ca n expl 0,0,T- 08-2S
JUUE C
Notary Public
This Power of Attorney Is granted by authority of the following resolutions adopted by the Board of directors of Oldahoma Surety Company
by unanimous written consent dated September 25, 2009.
RESOLVER: That the President, the Executive Vice President, the several Senior Vice Presidents and Vice Presidents or any one of them,
be and hereby is authorized, from time to time, to appoint one or more Attorneys-fre-Fact to execute on behalf of the Company, as surely, any and all
bonds, undertakings and contracts of suretyship, or other written obligatlons in the nature thereof; to prescribe their respective duties and the respective
limits or their authority; and to revoke any smh appointment at any time,
RESOLVED FURTHER: That the Company seal and the signature of any of the aforesaid off-"rs and any Secretary or Assistant Secretary of
the Company maybe affixed by facsirnlle to any power of attorney or certificate of either given forth* executlon of Any bond, undertaking, contract of
suretyship, or other written obligation In the nature thereof, such signature and seal when soused being hereby adopted by the Company as the original
signature of Bach officer and the original seal of the Company, to be valid and binding upon the Company with the lama farce and effect as though
manually affixed.
CERTIFICA71ON
l SHARON HACKL Assistant Secretat yf of Oklahoma Surety Company, do hereby certify that the foregoing Power
of Attorney and the Resomons of the Board of Directors of September 25, 2009 have not been revoked and are now in full force and effect.
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Signed and sealed thls;�± day of 0 4— .16
VOID IF BOX IS EMPTY
SHAMUN HACKt. Assistaint Secretary