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HomeMy WebLinkAboutContract 46420-FP1 Depart e tgf TP W Con t. Services CPN# Date Project a ger Risk Management Can )T WORTnS?O D.O.E. Brotherton .- �� \ CITY SECRETARY CFA Morales /Scanned .ter CONTRACT NO. Gutzler/Scanned The Proceeding people have been Contacted concerning the request for final payment& have 'ATION AND PUBLIC WORKS released this project for such payment. )F PROJECT COMPLETION Developer Projects) 004C7440Clearance Conducted By (�/wne& 6 j ����vCity Project N�: 02585 Regarding contract 02585 for PINNACLE BANK PLACE as required by the TRANSPORTATION& PUBLIC WORKS as approved by City Council on N/A through M&C N/A the director of the TRANSPORTATION& PUBLIC WORKS upon the recommendation of the Assistant Director of the Transportation&Public Works Department has accepted the project as complete. Original Contract Price: $215,504.60 Amount of Approved Change Orders: $13,760.00 N2 l Revised Contract Amount: $229,264.60 Total Cost Work Completed: $229,264.60 I -4 kt� I Recommended for Acceptance Date As t. Director, TPW - Infrastructure Design and Construction Accepted) Date Director, TRANSPORTA ION & PUBLIC WORKS Asst. City Manager Date L) Comments: ®�'lfi1C0�L R d. ]rl a-E� RECORD Cil'y SECREURY MAY 5 2011 FT. WORT'H initial: 4 Rev. 9/22/16 FORT WORTH CITY OF FORT WORTH 1 FINAL PAYMENT REQUEST Contract Name PINNACLE BANK PLACE Contract Limits Project Type STORM DRAIN&PAVING City Project Numbers 02585 DOE Number 7469 Estimate Number I Payment Number I For Period Ending 3/20/2017 CD City Secretary Contract Number 117469 Contract Time 27d D Contract Date Days Charged to Date 505 Project Manager Sahu Contract is 100.00 Complete Contractor JORDAN FOSTER CONSTRUCTION 9639 GREENVILLE AVE. DALLAS, TX 75243 Inspectors LAYER / ROBERTS Monday,March 20,2017 Page I of 5 City Project Numbers 02585 DOE Number 7469 Contract Name PINNACLE BANK PLACE Estimate Number I Contract Limits Payment Number I Project Type STORM DRAIN&PAVING For Period Ending 3/20/2017 Project Funding STORM DRAIN Item Description of Items Estimated Unit Unit Cost Estimated Completed Completed No. Quanity Total Quanity Total 1 18"RCP CLASS III 123 LF $66.00 $8,118.00 123 $8,118.00 2 CONNECT TO EXIST INLET 1 EA $700.00 $700.00 1 $700.00 3 CONNECT TO EXIST MH 1 EA $700.00 $700.00 1 $700.00 4 CONTINGENCY 1 LS $1,427.70 $1,427.70 1 $1,427.70 Sub-Total of Previous Unit $10,945.70 $10,945.70 PAVING Item Description of Items Estimated Unit Unit Cost Estimated Completed Completed No. Quanity Total Quanity Total 1 REMOVE SIDEWALK 8600 SF $1.50 $12,900.00 8600 $12,900.00 2 REMOVE ADA RAMP 4 EA $150.00 $600.00 4 $600.00 3 REMOVE CONE PVMT 260 SY $14.00 $3,640.00 260 $3,640.00 4 REMOVE ASPHALT PVMT 555 SY $12.50 $6,937.50 555 $6,937.50 5 REMOVE BRICK PVMT 200 SY $10.00 $2,000.00 200 $2,000.00 6 REMOVE CONE CURB&GUTTER 234 LF $7.00 $1,638.00 234 $1,638.00 7 UNCLASSIFIED EXCAVATION BY PLAN 180 CY $24.00 $4,320.00 180 $4,320.00 8 5'WIDE ASPHALT PVMT REPAIR 82 LF $45.00 $3,690.00 82 $3,690.00 9 6"LIME TREATMENT 384 SY $3.00 $1,152.00 384 $1,152.00 10 6"-12"TREE REMOVAL 1 EA $600.00 $600.00 1 $600.00 11 MOVE TRAFFIC SIGNAL GROUND BOX 5' 1 EA $2,500.00 $2,500.00 1 $2,500.00 SOUTH 12 REMOVE&REPLACE PARKING METER 4 EA $600.00 $2,400.00 4 $2,400.00 13 REMOVE&REPLACE BENCHES 6 EA $300.00 $1,800.00 6 $1,800.00 14 REMOVE SIGN PANEL&POST 4 EA $100.00 $400.00 4 $400.00 15 INSTALL ALUM SIGN GOUND MOUNT 2 EA $175.00 $350.00 2 $350.00 16 BRICK PVMT 230 SY $145.00 $33,350.00 230 $33,350.00 17 10"CONE PVMT 384 SY $60.00 $23,040.00 384 $23,040.00 18 BARRIER FREE RAMP 2 EA $2,500.00 $5,000.00 2 $5,000.00 19 BARRIER FREE RAMP 2 EA $3,500.00 $7,000.00 2 $7,000.00 20 BARRIER FREE RAMP 2 EA $2,500.00 $5,000.00 2 $5,000.00 21 6"CONE CURB&GUTTER 410 LF $13.00 $5,330.00 410 $5,330.00 Monday,March 20,2017 Page 2 of 5 City Project Numbers 02585 DOE Number 7469 Contract Name PINNACLE BANK PLACE Estimate Number I Contract Limits Payment Number I Project Type STORM DRAIN&PAVING For Period Ending 3/20/2017 Project Funding 22 4"CONE SIDEWALK 9255 SF $5.00 $46,275.00 9255 $46,275.00 23 SWPPP I LS $5,000.00 $5,000.00 1 $5,000.00 24 SEEDING 86 SY $1.80 $154.80 86 $154.80 25 SALVAGE STREET LIGHT POLE 14 EA $200.00 $2,800.00 14 $2,800.00 26 CONTINGENCY 1 LS $26,681.60 $26,681.60 1 $26,681.60 1 RDWY ILLUM ASSEMBLY CO#1 2 EA $2,605.00 $5,210.00 2 $5,210.00 2 RDWY ILLUM FOUNDATION CO#1 2 EA $1,935.00 $3,870.00 2 $3,870.00 3 GROUND BOX CO#I I EA $1,460.00 $1,460.00 1 $1,460.00 4 2"CONDT PVC(T)CO#1 220 LF $16.00 $3,520.00 220 $3,520.00 5 2"CONDT PVC(B)CO#1 180 LF $26.00 $4,680.00 180 $4,680.00 6 4-4-4-8 ALUM WIRE CO#1 400 LF $4.00 $1,600.00 400 $1,600.00 7 HOL-ATB2-60BLEDE70-MVOLT-R2-NL-P7-5H 2 EA $1,245.00 $2,490.00 2 $2,490.00 CO#1 8 WJM-RTU8001127.5-G-18S-BC CO#1 2 EA $1,770.00 $3,540.00 2 $3,540.00 9 10"4500 PSI REINFORCED CONC BASE W/2" -35 SY $303.00 ($10,605.00) -35 ($10,605.00) ASPH(5'MIN)CO#1 10 REPLACE CONC CURB CO#1 -5 LF $30.00 ($150.00) -5 ($150.00) 11 REMOVE EXISTING CONC/ASPHALT CO#1 -35 SY $53.00 ($1,855.00) -35 ($1,855.00) Sub-Total of Previous Unit $218,318.90 $218,318.90 Monday,March 20,2017 Page 3 of 5 City Project Numbers 02585 DOE Number 7469 Contract Name PINNACLE BANK PLACE Estimate Number 1 Contract Limits Payment Number 1 Project Type STORM DRAIN&PAVING For Period Ending 3/20/2017 Project Funding Contract Information Summary Original Contract Amount $215,504.60 Change Orders Change Order Number 1 $13,760.00 Total Contract Price $229,264.60 Date J^ 1 ;7 Total Cost of Work Completed $229,264.60 Contra Less %Retained $0.00 y 2� Net Earned $229,264.60 Date Earned This Period $229,264.60 In ection Servisor l Retainage This Period $0.00 Date 5 Less Liquidated Damages Pro ct Manager /, l..a"C Days @ /Day $0.00 r C Date l LessPavement Deficiency $0.00 ss. irector/TPW-I�nfrrastructure Design and ons ruction Less Penalty $0.00 ) I �" Date Less Previous Payment $0.00 Directo Contracting Departn nt Plus Material on Hand Less 15% $0.00 fc Balance Due This Payment $229,264.60 Monday,March 20,2017 Page 4 of 5 City Project Numbers 02585 DOE Number 7469 Contract Name PINNACLE BANK PLACE Estimate Number I Contract Limits Payment Number I Project Type STORM DRAIN&PAVING For Period Ending 3/20/2017 Project Funding Project Manager Sahu City Secretary Contract Number 117469 Inspectors LAYER / ROBERTS Contract Date Contractor JORDAN FOSTER CONSTRUCTION Contract Time 270 CD 9639 GREENVILLE AVE. Days Charged to Date 505 CD DALLAS, TX 75243 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 $229,264.60 Less %Retained $0.00 Net Earned $229,264.60 Earned This Period $229,264.60 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 $229,264.60 Monday,March 20,2017 Page 5 of 5 FORT WORTH rev 03/05/07 K �� l3.r'4Fyy J TRANSPORTATION & PUBLIC WORKS FINAL STATEMENT OF CONTRACT TIME FINAL STATEMENT NO.:1 NAME OF PROJECT: Pinnacle Bank Place PROJECT NO.: 2585 CONTRACTOR: Jordan Foster Construction DOE NO.: 7469 PERIOD FROM;03/01/17 TO: 03/30/17 FINAL INSPECTION DATE: 8-Feb-17 WORK ORDER EFFECTIVE:9/23/2015 CONTRACT TIME: 270 Q Wg* CD DAY OF DAYS REASON FOR DAYS DAY OF DAYS REASON FOR DAYS MONTH CHARGED CREDITED MONTH CHARGED CREDITED DURING DURING 1. 16. 2. 17. 3. 18. 4. 19. 5. 20. 6. 21. 7. 22. 8. 23. 9. 24. 10. 25, 11. 26. 12. 27. 13. 28. 14. 29. 15. 30. 31. SAT,SUN, RAIN,TOO WET, UTILITIES DAYS TOTAL &HOLIDAYS &TOO COLD RELOCATIONS OTHERS* CHARGED DAYS THIS 0 0 PERIOD PREVIOUS 505 505 PERIOD TOTALS 505 505 TO DATE *REMARKS: Waiting on change order A-1 Received 3/15/2017 -EO TRAC DATE INSPECTOR DATE ENGINEERING DEP ARTTMENT .`; The City of Fort Worth• 1000 Throckmorton Street•Fort Worth,TX 76012-6311 ' (817)392-7941 •Fax: (817)392-7845 T o x A z m co >* 0 0 0 0 � D co F m D p m p x n �`, ° � o D o -n m � � m � z o C-- 0 r 0 � D v w D m m 4t m m m m a m m C) 0 0 -i � r n n � x C) m m v m m a > z+ t7 p p m D �- (n (7 A n D > m m D Z C_. L C7 v o Z z > � m G7 ffl Z_ D = N z x n � *k k C? v z m .� C> m > A O m C: 1 0 (D N N A (NIS O G u < N fA N O N V1 C31 co M (n -{ z 00 CO O O o o 0 00 x n N (A j y o - CO (O W r' .. N v, (M u, I cn m m N > o O C W W Wm (T Ul W co Cl) W W m M 0 o N n p m mm -0 v -i m n�i w w N < r_ N W W '..' 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O rN �. >,C N (Cp < m m n V (m71 SmTI (�Tn1H�Tn1 ��n'I H�Tn1 C D yo DDT�� � DTrITrITDDD ,z — � (p C m m d D y m 3 c m ci a7 r o m � O � m < n o o j H m D oN F 00 m a m o Or m o y ti c CO MO D o r 2 W -i m T z Nyc wco nn o zz co -AOt- mm CmzO Z 0 y do o 6m000 mD -0m0 -n W m m m cn Q Nornii (ZjzpZ m�nC (�(700C {C) a a' in < D ��n X � fn(nXz 'n c m < zmwD cn * 0 0 -A G7 -r{ D M(n �X02002o �:j o 3 w �7 (7m2 zm m 0 Z C Cn N .� C cn � WOoW z o, v > -{ Tl Z W D a " n rZ m w r� D Z j mO v d C N m m;u w � � � � D O O m C, 2 2 Z < Z r m4 � -i m -< � o a 301 m O Z L7 a to a m p, o °� z a dW a m v JA000ww C, )wo'� CD mo o w (n Zi q C) N 3 � m v+w(owEntn <n(oFncoto(n(oto F � 0 N 'J (n A W d1 w O) w(Jl A w j -I -D > C N A(Dw(no w (n Owto W V D m p N o o OD O(n W O O O O o 0 o r 0 0 0 0 0 0 0 0 0 0 0 0 0 0 m 0 0 0 0 0 0 0 0 0 0 0 0 0 0 N FORTWORTHREV:0212210' TRANSPORTATION AND PUBLIC WORKS CONTRACTOR'S EVALUATION OF CITY I)PROJECT INFORMATION Date: 21-Mar-17 Name of Contractor Project Name Jordan Foster Construction Pinnacle Bank Place DOE Inspector Project Manager Alan Kingsmore Gopal Sahu DOEN:onber ProjectDcultp TjpeofContract 2585 1 O Simple rQ Routine r Complex 0 water F] waste water Storm Drainage Pavement Initial ContractAmount Final Contract Amount $215,504.60 $229,264.60 II)PERFORMANCE EVALUATION 0-Inadequate 1 -Deficient 2-Standard 3 -Good 4-Excellent ELEMENT RATING ELEMENT RATING (0-4) (0-4) INSPECTION EVALUATION PLANS&SPECIFICATIONS 1 Availability of Inspector 14 1 Accuracy of Plans to Existing Conditions 2 Knowledge of Inspector q2 Clarity&Sufficiency of Details 3 Accuracy of Measured Quantities 3 Applicability of Specifications 4 Display Of Professionalism 4 Accuracy of Plan Quantities 5 Citizen Complaint Resolution PROJECT MANAGER EVALUATION 6 Performance- Setting up Valve Crews,Labs 1 Knowledge And/Or Problem Resolution ADMINISTRATION 2 Availability of Project Manager 1 Change Order Processing Time 3 Communication 2 Timliness of Contractor Payments 4 Resolution of Utility Conflicts 3 Bid Opening to Pre-Con Meeting Timeframe III)COMMENTS&SIGNATURES COMMENTS Signature Contractor Signature DOE Inspector Signature DOE Inspector's Sup or �y+ INSPECTOR'S COMMENTS TRANSPORTATION AND PUBLIC WORKS � c The City of Fort Worth• 1000 Throckmorton Street•Fort Worth,TX 76012-6311 (817)392-7941 •Fax: (817)392-7845 FoR' TWORTH REV:8/20/16 TRANSPORTATION AND PUBLIC WORKS PERFORMANCE EVALUATION OF CONTRACTOR 1) CONTRACTOR&PROJECT DATA Name of Contractor Project Naine Jordan Foster Construction Pinnacle Bank Place Inspector City Project Number Alan Kingsmore 2585 Consiniction Components Project Manager Q Water Q✓ Waste Water❑✓ Storm Drainage✓ Pavement Gopal Sahu Initial Contract Amount ProjectDifftculty $215,504.60 O Simple Routine O Complex Final Contract Amount Date $229,264.60 121-Mar-17 M PERFORMANCE EVALUATION 0-Inadequate I-Deficient 2-Standard 3-Good 4-Excellent ELEMENT WEIGHT(X) APPLICABLE(Y/N) RATING(0-4) MAX SCORE SCORE 1 Submission of Documents 2 Y 4 8 8 2 Public Notifications 5 Y 4 20 20 3 Plans on Site 5 Y 4 20 20 4 Field Supervision 15 Y 4 60 60 5 Work Performed 15 Y 4 60 60 6 Finished Product 15 Y 4 60 60 7 Job Site Safety 15 Y 3 60 45 8 Traffic Control Maintenance 15 Y 3 60 45 9 Daily Clean Up 5 Y 3 20 15 10 Citizen's Complaint Resolution 5 Y 4 20 20 11 Property Restoration 5 Y 4 20 20 12 After Hours Response 5 Y 4 20 20 13 Project Completion 5 Y 4 20 20 TOTAL ELEMENT SCORE(A) 413 BONUS POINTS(25 Maximum)(B) TOTAL SCORE(TS) 413 lin CONTRACTOR'S RATING Maximum Score(MS)=448 or sum of applicable element score maximums which= 448 Rating([TS/MS] x 100%) 413 / 448 = 92% Performance Category Excellent <20%=Inadequate 20%to<40%=Deficient 40%to<60%=Standard 60%to<80%=Good >_80%=Excellent Inspector's Comments(INCLUDING EXPLANATION OF BONUS POINTS AWARDED) Inspector Signature Contractor Signature Inspector's Supervisor Signature CONTRACTOR'S COMMENTS TRANSPORTATION AND PUBLIC WORKS The Cit) of Fort Worth• 8851 Camp Bowie West Blvd. •Fort Worth,TZ 76116• (817)392-8306 CONSENT OF OWNER ❑ ARCHITECT ❑ SURETY COMPANY CONTRACTOR ❑ TO FINAL PAYMENT SURETY ❑ OTHER ❑ AIA DOCUMENT G707 PROJECT: Pinnacle Bank Place Project (name, address) TO (Owner) ARCHITECT'S PROJECT NO: Lancaster Corridor Redevelopment,LLC 222 West Exchange St.,Suite 205 CONTRACT FOR: Pinnacle Bank Place Project Fort Worth,TX 76106 BOND NO.: 022050953 L J CONTRACT DATE: July 22,2015 CONTRACTOR: Jordan Foster Construction,LLC 7700 C.F.Jordan Drive EI Paso,TX 79912-1151 In accordance with the provisions of the Contract between the Owner and the Contractor as indicated above, the (here insert name and address of Surety Company) Liberty Mutual Insurance Company 175 Berkeley Street SURETY COMPANY, Boston,Massachusetts 02116 on bond of(here insert name and address of Contractor) Jordan Foster Construction,LLC 7700 C.F.Jordan Drive CONTRACTOR, EI Paso,TX 79912-1151 hereby approves of the final payment to the Contractor, and agrees that final payment to the Contractor shall not relieve the Surety Company of any of its obligations to (here insert name and address of Owner) Lancaster Corridor Redevelopment,LLC 222 West Exchange St.,Suite 205 OWNER, Fort Worth,TX 76106 as set forth in the said Surety Company's bond. IN WITNESS WHEREOF, the Surety Company has hereunto set its hand this 24th day of February 2017 Liberty Mutual Insurance Company - Surety Compan Signature of Authorized Representative Attest: i� � , (Seal): - Paul D.Gilcrease,Attorney-in-Fact Brooke Henderson,Account Technician Title NOTE:This form is to be used as a companion document to AIA DOCUMENT G706,CONTRACTOR'S AFFIDAVIT OF PAYMENT OF DEBT CLAIMS,Current Edition AIA DOCUMENT G707*CONSENT OF SURETY COMPANY TO FINAL PAYMENT*APRIL 1970 EDITION*AIA® JWE PAGE ©1970*THE AMERICAN INSTITUTE OF ARCHITECTS,1735 NEW YORK AVE.,NW,WASHINGTON,D.C..20006 COW �a THIS POWER OF ATTORNEY IS NOT VALID UNLESS IT IS PRINTED ON RED BACKGROUND. This Power of Attorney limits the acts of those named herein,and they have no authority to bind the Company except in the manner and to the extent herein stated. Certificate No.7546961 Liberty Mutual Insurance Company The Ohio Casualty Insurance Company West American Insurance Company POWER OF ATTORNEY KNOWN ALL PERSONS BY THESE PRESENTS:That The Ohio Casualty Insurance Company is a corporation duly organized under the laws of the State of New Hampshire;that Liberty Mutual Insurance Company is a corporation duly organized under the laws of the State of Massachusetts, and West American Insurance Company is a corporation duly organized under the laws of the State of.Indiana(herein collectively called the."Companies"),pursuant to and by authority herein set forth,does hereby name,constitute and appoint, John M.Rindt• Paul D.Gllcrease- ' all of the city of EI Paso state'of TX each:individually if there be more than.one named,Its true and lawful attorney Ig-facEto make,execute,seali acknowled.ge and deliver,for and on its behalf as surety ands its act and-deed,any:alid all undertakings,bonds;:recognizances and other surety obligatiolfs Koursuance of these presents and shall be as binding upon the Companies as if they have been diity slgnetl by fihe president and attested,6ythe secreta.ry of the CoFnpanies in their owri;pfoper persons. IN WITNESS WHEREOF,this Power of Attorney fias:been subscribed by air-authorized officer or official of the Companies-and the corporate seals of the Companies have been affixed thereto this 17th day of November = 2016 - - - -1 NS titrtSr�q yt SUq t6 The Ohio Casualty Insurance Company rn 0 1919 g 1912 a 1991 3 Liberty Mutual Insurance Company } Y West American Insurance Company s x �� �'�•�a y � � '.vnrn�P Y O Q Q a) By. STATE Or PENNSYLVANIA ss David M.Care ;Assistant Secretary C 3 COUNTY OF MONTGOMERY _ 0 V On this 17th day of November 2016before me personally appeared David M.Carey,who acknowledged himself to be the Assistant Secretary of Liberty Mutual Insurance cU.U-F= d .Company, The Ohio Casualty Company,and West American Insurance Company,and that he, as such,being authorized so to do, execute the foregoing instrument for the purposes >,U) j therein contained by signing on behalf of the corporations by himself as a duly authorized officer. (D W cC > IN WITNESS WHEREOF,I have hereunto subscribed my name and affixed my notarial seal at King of Prussia,Pennsylvania,on the day and year first above written. O a +Rf Sp, PAS.owpwq�tT^Flt, COMMONWEALTH OF PENNSYLVANIA Notarial Seal in Teresa Pastella,Notary Public By:, �Z�% a yt) ya�O OF Upper Merion Twp.,,Montgomery County 'pMa L Teresa Pastella,Notary Public A �P My Commission Expires March 28,2017 j O ?� VP��G Member,Pennsylvania Association of Notaries 0E- 0) a' P15� a Ei This Power of Attorney Is made and executed pursuant to and by authority of the following By-laws and Authorizations of The Ohio Casualty Insurance Company, Liberty Mutual (n p F, Insurance Company,and West American Insurance Company which resolutions are now in full force and effect reading as follows:cn .0 Qi si ARTICLE IV-OFFICERS-Section 12.Power ofAttorney.Any officer or other official of the Corporation authorized for that purpose in writing bythe Chairman or the President,and subject, O to such limitation as the Chairman or the President may prescribe,shall appoint such attorneys-in-fact,as may be necessary to act in behalf of the Corporation to make;execute,seal, ± acknowledge and deliver as surety any and all undertakings,.bonds,recognizances and other surety obligations. Such attorneys-in-fact,subject to the limitations set-forth in their respective 'a N powers of attorney,shall have full power to bind the Corporation by their signature and execution of any such instruments and to attach thereto the seal of the Corporation. When so executed,such instruments shall be as binding as if signed by the President and attested to by the Secretary.Any power or authority granted to any representative or attorney-ih-fact under >. ..i i >, the provisions of this article may be revoked at any time by the Board,the Chairman,the President or by the officer or officers granting such power or authority. I C ARTICLE XIII-Execution of Contracts-SECTION 5.Surety Bonds and Undertakings.Any officer of the Company authorized-for that purpose in writing by the chairman or the president, L and subject to such limitations as the chairman or the president may prescribe,shall appoint such attomeys-in-fact,as may be necessary to act in behalf ofthe Company to make,execute, �M i seal,acknowledge and deliver as surety any and all undertakings,bands,recognizances and other surety obligations. Such attomeys-in-fact subject to the limitations set forth in their "00 v respective powers of attorney,shall have full power to.bind the Company by their signature and execution of any such instruments and to attach thereto the seal of the Company: When so_ v q executed such instruments shall be as binding as if signed by.the president and attested by the secretary. = C co Certificate of Designation-The President of the Company acting pursuant to the Bylaws ofthe:Company,authorizes Davf'dM Carey,Asslstant.Secretary to appoint such attorneys+in- ~ fact as may be necessary to act on behalfof.the Company to make ezec_ute,seal,acknowtedge:and deliver as:surety any"and all undertakings:ponds,recognizances and other surety obligations. Authorization-By unanimous consent of the.Company`s board of Dtreetors,the Company consents that facsdnile or mechanically reproduced signature of any assistant secretary of the Company,wherever appearing upon a cerftfied:copyolany (of atfomay issued by the Company in connection wifhsurety bands,shall be yalid:and binding upon the Company with the same force and effect as though manuallyaffixed Y I I, Renee C. Llewellyn, the undersigned, Asslsfant:Secretary, The Ot1Ia Casualty Insurance Company, Libedy.Mutual Insurance Company .and..West American Insurance Company do hereby cedify that the original power of attorney ofwtllefr the foregoing is a full true.and co_rieet Copy of the P"ower of Attba, executeq- y said Companies,is in full force and effect and has not been revoked. IN TESTIMONY WHEREOF,I have hereunto set my hand and affixed the seals of said Companies this 24thdayof Februar . 2017 INSo�.'�ateexa Rq v m F p L 0 1919 1912 n 1991 By v o jb .y ; ss'istant Secretary .• a > h GO 0 26 of 250 LMS 12873 082016 AFFIDAVIT STATE OF TEXAS COUNTY OF DALLAS Before me, the undersigned authority, a notary public in the state and county aforesaid, on this day personally appeared Jeff Hill, Regional Director Of Jordan Foster Construction 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; PINNACLE BANK PLACE (DAGGETT'S ADDITION,LOTS 1R, 10RI,34R,BLOCK V AND LOT 1R, BLOCK W) WATER, SEWER, STREETLIGHTS,PAVING & DRAINAGE IMPROVEMENTS DOE#7469 CITY PROJECT#02585 CITY OF FORT WORTH STATE OF TEXAS BY Jeft l4ill, Regional Director Subscribed and sworn before me on this date 2nd of February, 2017. Notary Public Dallas, TX RACHEL DENISE RICHARDSON Notary Public,state of Texas ?No': of Comm.Expires 04-11-2020 �'grF of er` Notary ID 126479577