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Contract 47794-FP1
C E u Lp. CffY UCFECARY C0NMCT N0-_-411q— ) MAY 0 5 2017 - CITY OF FORT WORTH 5-(6 0 U S— C d OTICE OF PROJECT COMPLETION CS 179 l e4 Regarding Contract Number 47794 for the Sim Country Elevated Storage Tank Rehabilitation Project which was requested by the Water Department and approved by City Council on March 29,2016 through M&C C-27657,has been accepted by the Director of the Water Department as complete. Original Contract Price: $ 1,,134.950.00 Amount of Approved Change Orders $ 0.00 Number ONE Revised Contract Amount $ 1,134.950.00 Total Cost Work Completed: $ 1.085.004.00 Less Liquidated Damages: S. 0.00 (Day -L—@$500.001 Less Pavement Deficiencies: $ O.QQ Less Penalty: Total Contract Cost $ 1.085,004.00 Less Previous Payments: $ 1.030.753.80 Final Payment Due: $ 54.250.20 4GL-ti "L Sf � Recommtende& Chris Harder.P.E. Date Asst.Director,Water Department •--_ ,>","r:e Approved Jesus J.CKapa Date Assistant City Manager 17 2017 OFFICIAL RECORD CITY SECRETARY FT.WORTH,TX C v � � o rJ R o a y�o �' � 4� LLJ Mto ,� c`� �� ymo v`w c@ •�ro .. .yF o ��.yyO � G � m c o c y g '> 2 s ° c �Ql � =o+� u o u n w e Ol C) r1l Lr) a NU0. Y aal lwu LO a o ° -W0 °i 1 N L v y J A < C', O oLri ¢ a, u y ° C m V O N C �a � - C f0 T :-I_- � v � N � 3 f� a � LU (� w -3 LLJ Lt c o y L 0) n z aL°� cin i �_ a ° Q W J Y TM_ V C U c C O O 2 n N E N a m V C L Y O O a 7` .0 .c u a 0 $ a cn O m D G i O Q D_ °. U 0 0 0 0 O O O O O O O O O O O O O O W N O 0 0 0 O CD �t ct O ct M O O N O co tD z rn Cl o C 0 r" O a m M d• W W W m N U d. Gam' O O O Q ci r-i 1-I :-t Q Li •cn. •va. 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O m cc d d U C rl N M d' Ln lD h W 01 O <-1 N M It Ln LD h 00 m a TIC April 25, 2017 TANK. Christopher Harder,P.E. Engineering Manager/Water Production INDUSTRY Fort Worth Water Department CONSULTANTS 1000 Throckmorton Street Fort Worth, Texas 76102 7740 West New York Street RE: Classic Protective Coatings Pay Application#4 for the Rehabilitation of Indianapolis,Indiana 46214 1,500,000 Gallon Sun Country Elevated Water Storage Tank 317/271-3100-Phone City Project#2659; TIC Project# 15.232.S465.012 317/271-3300-FAX Dear Mr. Harder: Plainfield.8 /55bs 6-3335 Illinois 8Classic Protective Coatinghas submitted a eyPIS d vintail their Pa Application 44 in the 15/55 net amount of$54,250.20 for the retainage withheld from previous pay applications. Note that Classic has added a line to the Schedule of Values for the unused amount of P;ttsburgh.Pennsylvania the unit-priced bid items which totaled$49,946.00. All work was completed, and the 412/262-1586 City approved Change Order No. 1 granting 41 additional days to the time required for Substantial Completion resulting in no liquidated damages. I have reviewed this El Paso.Texas pay application and the accompanying schedule of values. I am unaware of any 915/790-0790 outstanding issures,therefor I recommend payment of the requested amount. I have attached Classic's signed and notarized Pay Application#4 with my signature indicating my recommendation for payment. Houston.Texas 281 /367-3511 Please call if you have questions or require additional information to process this payment. Sincerely, q ustry tants y Southwest e ion attachment cc: Mike Doolittle-TIC Indianapolis w/copy attachment Brad Smith—Classic Protective Coatings w/copy attachment An Employee-Owned Company AFFIDAVIT OF BILLS PAID STATE OF_Texas § COUNTY OF_Tarrant_ § Before me, the undersigned authority,personally appeared_Ray Witke (name), the _President_ (title) of Classic Protective Coatings, Inc_(Co»ipany), who upon his/her oath deposed and said: On City of Fort Worth Contract described as: Sun Country Water Tank Rehabilitation Project, Project#02659_, All persons, firms, associations, corporations, or other organizations furnishing labor and/or materials have been paid in full all amounts due and owing as of this date except for those noted on the attached schedule. Any unpaid future obligations will be paid and satisfied directly out of funds paid in reliance on this affidavit; and The wage scale established by the City Council in the City of Fort Worth has been paid in full; and There are no claims pending for personal injury and/or property damages. All of the provisions of this release shall bind the _Classic Protective Coatings, Inc_ (Company) and its legal representatives, successors and assigns and shall inure to the benefit of the City. The person signing this document represents that he/she is duly authorized to do so on behalf of_Classic Protective Coatings, Inc_(Company,). \\ By: Name: ay Witke Title: President SUBSCRIBED, SWORN TO AND ACKNOWLEDGED BEFORE ME by L2Aa W ift on this the 2-1 day of—Apr l I , 20 11 to certify which witness my hand and official seal of office. `��0e�11101r�e�PA� ...... ay'd� 25, 2019 Notary Public, State of Wisc�nsxe=• °°•e.G� commi ion expires: ft. �AOT'J A os ®°��e��WIS e ®®®®® 1191 SCHEDULE OF UNPAID AMOUNTS ContractorNendor Name: Amount Paid Amount Owed —Percentage Owed None $ $ % $ $ % If all contractors/vendors have been paid in full and there are no pending or known claims,write NONE on the first line. tl � G7 o 7 Consent oy'Surety to Final Payment PROJECT:(Name orad address) ARCHITECT'S PROJECT NUMBER: OWNER❑ Sun Country Tank,Project No. 02659 Fort Worth,TX CONTRACT FOR: ARCHITECT❑ Tank Rehabilitation CONTRACTOR❑ TO OWNER:(Name and address) CONTRACT DATED: SURETY ❑ City of Fort Worth April 5, 2016 1000 Throckmorton Street OTHER❑ Fort Worth,TX 76102 In accordance with the provisions of the Contract between the Owner and the Contractor as indicated above,the (Insert name and address of Surety) Continental Casualty Company 5201 Eden Ave., Suite 300 Edina,MN 55436 on bond of ,SURETY, (Insert name and address of Contractor) Classic Protective Coatings,Inc. N 7670 State Hwy 25 Menomonie,WI 54751 ,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 1000 Throckmorton Street Fort Worth,TX 76102 as set forth in said Surety's bond. OWNER, IN WITNESS WHEREOF,the Surety has hereunto set its hand on this date: April 27,2017 (Insert in writing the month followed by the numeric date and year.) Continental Casualty Company (Surety) By: CW4, 5701NIn. -X� KLEIN AGENCY, INC, (Signature f utlior-ized representative) Ye' f@, 2 St. Paul, MN 55126 Attest: John C.Klein,Attorney-in-Fact (651)484_6461 (Seal) (Printed name and title) e-(o �d�,_ CAUTION: u shoon riginal AIA Contract Document,on which this text appears in RED.An original assures that changes will not be obscured. AIA Document G707TM A' —1994.Copyright©1970 and 1994 by The American Institute of Architects.All rights reserved.WARNING:This AI Document is protected by U.S.Copyright Law and International Treaties.Unauthorized reproduction or distribution of this AIA"Document,or any portion of it,may result in severe civil and criminal penalties,and will be prosecuted to the maximum extent possible under the law.Purchasers are not permitted to reproduce this document.To report copyright violations of AIA Contract Documents,e-mail The American Institute of Architects'legal counsel,copyright@aia.org. AIA Document G707 TMInstructions Consent of Surety to Final Payment GENERAL INFORMATION Purpose.AIA Document G707TIlI is intended for use as a companion to AIA Document G706T11I,Contractor's Affidavit of Payment of Debts and Claims,on construction projects where the Contractor is required to firmish a bond.By obtaining the Surety's approval of final payment to the Contractor and its agreement that final payment will not relieve the Surety of any of its obligations,the Owner may preserve its rights under the bond. Related Documents.This document may be used with most of the AIA's Owner-Contractor agreements and general conditions,such as A201 and its related family of documents.As noted above,this is a companion document to AIA Document G706. Use of Current Documents.Prior to using any AIA Contract Document,users should consult www.aia.org or a local AIA component to verify the most recent edition. Reproductions.This document is a copyrighted work and may not be reproduced or excerpted from without the express written permission of the AIA.There is no implied permission to reproduce this document,nor does membership in The American Institute of Architects confer any further rights to reproduce this document. The AIA hereby grants the purchaser a limited license to reproduce a maximum of ten copies of a completed G707,but only for use in connection with a particular project.The AIA will not permit reproduction outside of the limited license for reproduction granted above,except upon written request and receipt of written permission from the AIA. Rights to reproduce the document may vary for users of AIA software. Licensed AIA software users should consult the End User License Agreement(EULA). To report copyright violations of AIA Contract Documents,e-mail The American Institute of Architects' legal counsel, copyright@aia.org. aia.org. CHANGES FROM THE PREVIOUS EDITION Changes in the location of various items of information were made,without revision to the substance of the document. COMPLETING G707-1994 General.The bond form is the usual source of required information such as the contract date and the names and addresses of the Surety,Owner,Contractor and Project. Architect's Project No.This information is typically supplied by the Architect and entered on the form by the Contractor. Contract For.This refers to the scope of the contract,such as"General Construction"or"Mechanical Work." EXECUTING THE DOCUMENT AIA Document G707 requires both the Surety's seal and the signature of the Surety's authorized representative. AIA Document G707TM —1994.Copyright @ 1970 and 1994 by The American Institute of Architects.All rights reserved.WARNING:This Al e Document is protected by U.S.Copyright Law and International Treaties.Unauthorized reproduction or distribution of this Ale Document,or any portion of it,may result in severe civil and criminal penalties,and will be prosecuted to the maximum extent possible under the law.Purchasers are not permitted to reproduce this document.To report copyright violations of AIA Contract Documents,e-mail The American Institute of Architects'legal counsel,copyright@aia.org. POWER OF ATTORNEY APPOINTING INDIVIDUAL ATTORNEY-IN-FACT Know All Men By These Presents,That Continental Casualty Company,an Illinois insurance company,National Fire Insurance Company of Hartford,an Illinois insurance company,and American Casualty Company of Reading,Pennsylvania,a Pennsylvania insurance company(herein called "the CNA Companie's"),are duly organized and existing insurance companies having their principal offices in the City of Chicago,and State-of Illinois, and that they do by virtue of the signatures and seals herein affixed hereby make,constitute and appoint John David Klein,John C Klein,Stephen M Klein,Kristin M Bakos,Individually of Saint Paul,MN,their true and lawful Attomey(s)-in-Fact with full power and authority hereby conferred to sign,seal and execute for and on their behalf bonds,undertakings and other obligatory instruments of similar nature -In Unlimited Amounts- and to bind them thereby as fully and to the same extent as if such instruments were signed by a duly authorized officer of their insurance companies and all the acts of said Attorney,pursuant to the authority hereby given is hereby ratified and confirmed. This Power of Attorney is made and executed pursuant to and by authority of the By-Law and Resolutions,printed on the reverse hereof,duly adopted,as indicated,by the Boards of Directors of the insurance companies. In Witness Whereof,the CNA Companies have caused these presents to be signed by their Vice President and their corporate seals to be hereto affixed on this 24th day of February,2016. GAS S<r� iNsuRq `o�,elwro� Continental Casualty Company P F National Fire Insurance Company of Hartford c°R ORAre ��"4aaecaarfc � American Cas lty Company of Reading,Pennsylvania o s IULY 31. v SEAL a / 1897 HAR�� • Paul T.Bruflat All Vice President State of South Dakota,County of Minnehaha,ss: On this 24th day of February,2016,before me personally came Paul T.Bruflat to me known,who,being by me duly sworn,did depose and say: that he resides in the City of Sioux Falls,State of South Dakota;that he is a Vice President of Continental Casualty Company,an Illinois insurance company,National Fire Insurance Company of Hartford,an Illinois insurance company,and American Casualty Company of Reading,Pennsylvania,a Pennsylvania insurance company described in and which executed the above instrument;that he knows the seals of said insurance companies;that the seals affixed to the said instrument are such corporate seals;that they were so affixed pursuant to authority given by the Boards of Directors of said insurance companies and that he signed his name thereto pursuant to like authority,and acknowledges same to be the act and deed of said insurance companies. ------------- J."46HR Nm�wrvuauc V?,,��� My Commission Expires June 23,2021 J.Mohr Notary Public CERTIFICATE I,D.Bult,Assistant Secretary of Continental Casualty Company,an Illinois insurance company,National Fire Insurance Company of Hartford,an Illinois insurance company,and American Casualty Company of Reading,Pennsylvania,a Pennsylvania insurance company do hereby certify that the Power of Attorney herein above set forth is still in force,and further certify that the By-Law and Resolution of the Board of Directors of the insurance companies printed on the reverse hereof is still in force. In testimony whereof I have hereunto subscribed my name and affixed the seal of the said insurance companies this 27th day of April, 2017 �Qy GAS 4>} 1MSURq I ortssU+roF Continental Casualty Company °m �+� National Fire Insurance Company of Hartford pORP°R"TF � °RPOT�o _ American Casualty Company of Reading,Pennsylvania JULY 31, v SEAL c '� 1902 * '11�D a 1897 MARS • D.Bult Assistant Secretary Form F6853-4/2012 Authorizing By-Laws and Resolutions AUOPTED BY THE BOARD OF DIRECTORS OF CONTINENTAL CASUALTY COMPANY: This Power of Attorney is made and executed pursuant to and by authority of the following resolution duty adopted by the Board of Directors of the Company at a meeting held on May 12,1995: "RESOLVED: That any Senior or Group Vice President may authorize an officer to sign specific documents,agreements and instruments on behalf of the Company provided that the name of such authorized officer and a description of the documents,agreements or instruments that such officer may sign will be provided in writing by the Senior or Group Vice President to the Secretary of the Company prior to such execution becoming effective." This Power of Attorney is signed by Paul T. Bruflat,Vice President,who has been authorized pursuant to the above resolution to execute power of attorneys on behalf of Continental Casualty Company. This Power of Attorney is signed and sealed by facsimile under and by the authority of the following Resolution adopted by the Board of Directors of the Company by unanimous written consent dated the 25h day of April,2012: "Whereas, the bylaws of the Company or specific resolution of the Board of Directors has authorized various officers(the"Authorized Officers")to execute various policies,bonds,undertakings and other obligatory instruments of like nature;and Whereas,from time to time,the signature of the Authorized Officers,in addition to being provided in original,hard copy format,may be provided via facsimile or otherwise in an electronic format(collectively,"Electronic Signatures'j;Now therefore be it resolved: that the Electronic Signature of any Authorized Officer shall be valid and binding on the Company." ADOPTED BY THE BOARD OF DIRECTORS OF NATIONAL FIRE INSURANCE COMPANY OF HARTFORD: This Power of Attorney is made and executed pursuant to and by authority of the following resolution duly adopted by the Board of Directors of the Company by unanimous written consent dated May 10,1995: "RESOLVED: That any Senior or Group Vice President may authorize an officer to sign specific documents,agreements and instruments on behalf of the Company provided that the name of such authorized officer and a description of the documents,agreements or instruments that such officer may sign will be provided in writing by the Senior or Group Vice President to the Secretary of the Company prior to such execution becoming effective" This Power of Attorney is signed by Paul T.Bruflat,Vice President,who has been authorized pursuant to the above resolution to execute power of attorneys on behalf of National fire Insurance Company of Hartford. This Power of Attorney is signed and sealed by facsimile under and by the authority of the following Resolution adopted by the Board of Directors of the Company by unanimous written consent dated the 25`h day of April,2012: "Whereas,the bylaws of the Company or specific resolution of the Board of Directors has authorized various officers(the"Authorized Officers")to execute various policies,bonds,undertakings and other obligatory instruments of like nature;and Whereas,from time to time,the signature of the Authorized Officers,in addition to being provided in original,hard copy format,may be provided via facsimile or otherwise in an electronic format(collectively,`Electronic Signatures");Now therefore be it resolved: that the Electronic Signature of any Authorized Officer shall be valid and binding on the Company." ADOPTED BY THE BOARD OF DIRECTORS OF AMERICAN CASUALTY COMPANY OF READING,PENNSYLVANIA: This Power of Attorney is made and executed pursuant to and by authority of the following resolution duly adopted by the Board of Directors of the Company by unanimous written consent dated May 10,1995: "RESOLVED: That any Senior or Group Vice President may authorize an officer to sign specific documents,agreements and instruments on behalf of the Company provided that the name of such authorized officer and a description of the documents,agreements or instruments that such officer may sign will be provided in writing by the Senior or Group Vice President to the Secretary of the Company prior to such execution becoming effective." This Power of Attorney is signed by Paul T.Bruflat,Vice President,who has been authorized pursuant to the above resolution to execute power of attorneys on behalf of American Casualty Company of Reading,Pennsylvania. This Power of Attorney is signed and sealed by facsimile under and by the authority of the following Resolution adopted by the Board of Directors of the Company by unanimous written consent dated the 25`h day of April,2012: "Whereas,the bylaws of the Company or specific resolution of the Board of Directors has authorized various officers(the"Authorized Officers")to execute various policies,bonds,undertakings and other obligatory instruments of like nature;and Whereas,from time to time,the signature of the Authorized Officers,in addition to being provided in original,hard copy format,may be provided via facsimile or otherwise in an electronic format(collectively,"Electronic Signatures');Now therefore be it resolved: that the Electronic Signature of any Authorized Officer shall be valid and binding on the Company."