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HomeMy WebLinkAboutContract 46699-FP1 Department o�.TTP,,&W Const.Services CPN# Dat Project Hager A � Risk Management CCa�anaad�d�� ' ;T WORTH. ��TY SECRETARY (� _F D.O.E. Brothertol�` CONTRACT NO. �P ` CFA Morales/Scanned Gutzler/Scanned 1 The Proceeding people have been Contacted concerning the request for final payment& have TION AND PUBLIC WORKS p O ' CQ released this project for such payment. -PROJECT COMPLETION / r )eveloper Projects) �C 39 Clearance Conducted By f easrter�C _ — City Project Ne.2514 Regarding contract 02514 for HIGHPOINT ON SOUTH MAIN as required by the WATER DEPARTMENT as approved by City Council on N/A through.M&C N/A the director of the WATER DEPARTMENT upon the recommendation of the Assistant Director of the Transportation&Public Works Department has accepted the project as complete. D E Original Contract Price: AX 2 4 1017 $11,544.00 1 Amount of Approved Change Orders 8y $61,062.00 No 1&2 Revised Contract Amount: $72,606.00 Total Cost Work Completed: $72,606.00 *'�' 0, 7/24111 _ Recornme ded for Acceptance Date Asst. Director, TPW - Infrastructure Design and Construction /2 F/I Accepted !�, Date Asst. ctor, WATER DEPARTMENT -1/if rI Asst. City bAnager Date OFFICIAL RECORO Comments• �I�fF�1 CITY SECRETARY FT. WORTH,TX an 9'r inn a P02 to o aslq Rev.9/22/16 DD '/ JUL 2 4 2,017 City Project Numbers 02514 DOE Number 7392 Contract Name HIGHPOINT ON SOUTH MAIN Estimate Number I Contract Limits Payment Number I Project Type WATER For Period Ending 3/31/2017 Project Funding Project Manager Long City Secretary Contract Number Inspectors GREGORY / ROGERS Contract Date 4/20/2015 Contractor KWA Contract Time 132 CD 16800 WESTGROVE DRIVE SUITE 300 Days Charged to Date 660 CD ADDISON, TX 75001 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 $72,606.00 Less %Retained $0.00 Net Earned $72,606.00 Earned This Period $72,606.00 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 $72,606.00 Friday,March 31,2017 Page 4 of 4 FORT WORTH CITY OF FORT WORTH FINAL PAYMENT REQUEST Contract Name HIGHPOINT ON SOUTH MAIN Contract Limits Project Type WATER City Project Numbers 02514 DOE Number 7392 Estimate Number I Payment Number I For Period Ending 3/31/2017 CD City Secretary Contract Number Contract Time 130D Contract Date 4/20/2015 Days Charged to Date 660 Project Manager Long Contract is 100.00 Complete Contractor KWA 16800 WESTGROVE DRIVE SUITE 300 ADDISON, TX 75001 Inspectors GREGORY / ROGERS Friday,March 31,2017 Page 1 of 4 City Project Numbers 02514 DOE Number 7392 Contract Name HIGHPOINT ON SOUTH MAIN Estimate Number 1 Contract Limits Payment Number i Project Type WATER For Period Ending 3/31/2017 Project Funding WATERIMPOVEMENTS Item Description of Items Estimated Unit Unit Cost Estimated Completed Completed No. Quanity Total Quanity Total --------------------------------------- I REMOVE 6"WATER LINE 12 LF $6.75 $81.00 12 $81.00 2 REMOVE 6"WATER VALVE 1 EA $811.00 $811.00 1 $811.00 3 SALVAGE FIRE HYDRANT 1 EA $486.00 $486.00 1 $486.00 4 DUCTILE IRON WATER FITTINGS 1 TN $1,364.00 $1,364.00 1 $1,364.00 W/RESTRAINT 5 6"PVC WATER PIPE 7 LF $30.00 $210.00 7 $210.00 6 FIRE HYDRANT I EA $3,019.00 $3,019.00 1 $3,019.00 7 CONNECTION TO EXISTING 4"-12"WATER 1 EA $4,518.00 $4,518.00 1 $4,518.00 MAIN 8 6"GATE VALVE 1 LF $1,055.00 $1,055.00 1 $1,055.00 9 1"WATER SERV.CO#2 1 EA $2,200.00 $2,200.00 1 $2,200.00 10 CONC PVMT REPAIR CO#2 4 SY $100.00 $400.00 4 $400.00 1 REMOVE SSMH CO#1 I EA $700.00 $700.00 1 $700.00 2 MANHOLE VACUUM TEST CO#1 2 EA $250.00 $500.00 2 $500.00 3 MANHOLE ADJ MAJOR CO#1 1 EA $3,000.00 $3,000.00 1 $3,000.00 4 MANHOLE ADJ MINOR CO#1 I EA $450.00 $450.00 1 $450.00 5 DROP SSMH CO#1 2 EA $4,700.00 $9,400.00 2 $9,400.00 6 4'EXTRA DEPTH MANHOLE CO#1 4 VF $340.00 $1,360.00 4 $1,360.00 7 8"DIP SEWER PIPE CSS BACKFILL CO#1 20 LF $192.00 $3,840.00 20 $3,840.00 8 6"SSEWER SERVICE CO#1 29 LF $88.00 $2,552.00 29 $2,552.00 9 6"TWO WAY CLEAN OUT CO#1 1 EA $1,700.00 $1,700.00 1 $1,700.00 10 8"SSEWER PIPE CO#1 380 LF $92.00 $34,960.00 380 $34,960.00 -------------------------------------- Sub-Total of Previous Unit $72,606.00 $72,606.00 -------------------------------------- Friday,March 31,2017 Page 2 of 4 City Project Numbers 02514 DOE Number 7392 Contract Name HIGHPOINT ON SOUTH MAIN Estimate Number I Contract Limits Payment Number 1 Project Type WATER For Period Ending 3/31/2017 Project Funding Contract Information Summary Original Contract Amount $11,544.00 Change Orders Change Order Number 1 $53,462.00 Change Order Number 2 $2,600.00 Total Contract Price $72,606.00 Date Y / le, 1-7 Total Cost of Work Completed $72,606.00 Contra%T'W'14�0 Less %Retained $0.00 Date y kfk Net Earned $72,606.00 Inspection So rv' r Earned This Period $72,606.00 �7_ Retainage This Period $0.00 Date 7 9{/1 1 P of ct Ma nag Less Liquidated Damages Days @ /Day $0.00 Date !�f �1 LessPavement Deficiency $0.00 Asst.Director/ an TPW-Infrastructure Design d Construction Less Penalty $0.00 00, I"/L Date a�2`(y(� Less Previous Payment $0.00 Director/Contracting Department Plus Material on Hand Less 15% $0.00 �C— Balance Due This Payment $72,606.00 Friday,March 31,2017 Page 3 of 4 FORTWORTH rev 03/05/07 TRANSPORTATION & PUBLIC WORKS FINAL STATEMENT OF CONTRACT TIME FINAL STATEMENT NO.FINAL NAME OF PROJECT: HIGHPOINT ON SOUTH MAIN PROJECT NO.: CPN 02514 CONTRACTOR: KWA CONSTRUCTION DOE NO. 1 7392 PERIOD FROM TO: FINAL INSPECTION DATE: %/V/ 7 WORK ORDER EFFECTIVE CONTRACT TIME � S2 O WDO 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 PERIOD 0 0 PREVIOUS PERIOD 660 660 TOTALS TO DATE 660 660 "REMARKS: 100%COMPLETE raZo1-7 3L8 11-7 CONTRACTOR DAT T DATE ENGINEERING DEPART The City of Fort Worth• 1000 Throckmorton Street•Fort Worth,TX 76012-6311 s (817) 392-7941 •Far-: (817) 392-7845 ....___........... OL `200 00 -0 0 z m z m :: CD F m mz 0 0 c a m * >,' 1 2 0 m 0 tin 2 0 go 0 -1 4 - 8 > z C- z M M 9 m M 1p M 0 > CO- 2 m > W n m n z 13 0 con 0 m 9 m m CO zZ > 0 w G)Z m it z m 0 43 o-4 P P.9 10 (A r w OD 9 C, >1 G7 VA i 0 m C- M oRCI CO ta W op W w 0 03 M: m z > Z CD -0 M z =r =3r t g' 0 G) m :3 �....... z z 0 2 no 00 m E 1 9 V 4 c 0 3: sn r; z > M. w co Z z -4 -4 m !Tl Us co -4 0 R. 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K a1 N N y d Q O Ci O N m 4) m rn y tT C) W OD00jO a� 1 CD Er 91 v W a m Om-�m CS J to �.�.N-+Z @- y .n+ CD k 3 y S9 TDTT�pDyys�� to n W O m 3 ? V 4 to O O mC,- CO`Q 3 3 w W O l + + o W O QO j � CA� W N m s N .�.. �. N m m m 6 C� '!a;m Y A 0 0 ?O M �' N W m m C7 to m m CD A Da mmu � � � �v o a a� tXff F c q c �mc3e3rnZ 4` m �Qm� ='mw 00 CS O G O TJ bf to ti tii(0 Eh df V%w to C !!VV 2 a sppa tf��tO� Sb' S�000000m ,&*fo,AfA,Ad+of<n bz aa.�Nws..m wis O atd V t11m W dao C>KIQOC>OC>ONOOOOO0 o S00 00 o m m m N SENECA INVESTMENTS March 22,2017 Keller W. Webster KWA Construction LP 16800 Westgrove Suite 300 Addison,TX 7500 Re: High Point on South Main Fort Worth,TX Release of Liquidated Damages Keller: This letter,which we acknowledge is supported by our receipt of good and valuable consideration, shall serve as our release of KWA Construction from any claim for Liquidated Damages as provided in paragraph 3.3 of the Section 00 52 43 Agreement dated April 20,2015 by and between High Point on South Main,LP as"Developer" therein and KWA Construction,LP as"Contractor"therein(the"Agreement). It is the intention of High Point on South Main,LP by this letter to release and hold KWA harmless from any and all financial obligations by reason of the provisions of paragraph 3.3 of the Agreement and to waive any and all claims for liquidated damages thereunder. This release and waiver shall extend to any and all parties,known or unknown,that may claim any interest whatsoever under the Agreement. High Point on South Main,LP By:HPOSM Venture,LLC,its GP By: 5- !&6a Warner E. Stone,Manager 16800 WeSOVve,Suite 100♦Addison,Texas 75001 214.265.8686 4 wivlv.Senhw.conl FoRTWORTH TRANSPORTATION AND PUBLIC WORKS PIPE REPORT FOR: PROJECT NAME: Highpoint on South Main PROJECT NUMBER: CPN 02514 DOE NUMBER: 7392 WATER PIPE LAID SIZE TYPE OF PIPE LF WATER 6" PVC 7 for FH FIRE HYDRANTS: 1 VALVES(16" OR LARGER) PIPE ABANDONED SIZE TYPE OF PIPE LF N/A (o" (z z— DENSITIES: PASSED NEW SERVICES: 1"IRRIGATION COPPER 10 SEWER PIPE LAID SIZE TYPE OF PIPE LF S. SEWER 8" PVC 380 S. SEWER 8" DIP 20 PIPE ABANDONED SIZE TYPE OF PIPE LF N/A DENSITIES: PASSED NEW SERVICES: 6" PVC 29' TRANSPORTATION AND PUBLIC WORKS The City of Fort Worth• 1000 Throckmorton Street•Fort Worth,TX 76012-6311 (817)392-7941 •Fax: (817) 392-7845 FORTWORTHREV:8/20/16 TRANSPORTATION AND PUBLIC WORKS PERFORMANCE EVALUATION OF CONTRACTOR I) CONTRACTOR&PROJECT DATA Nance of Contractor Project Name KWA Construction,L.P. Highpoint on South Main Inspector City Project Number Joe Rogers 2514 Construction Com ponents Project Manager El Water El Waste Water❑ Storm Drainage❑ Pavement Aaron Long Initial Contract Amount Project Difficulty $11,544.00 O Simple OO Routine O Complex Final Contract Amount Date $72,606.00 4/3/2017 II)PERFORMANCE EVALUATION 0-Inadequate 1 -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 3 60 45 6 Finished Product 15 Y 3 60 45 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 N 11 Property Restoration 5 N 12 After Hours Response 5 N 13 Project Completion 5 Y 2 20 10 TOTAL ELEMENT SCORE(A) 313 BONUS POINTS(25 Maximum)(B) TOTAL SCORE(TS) 313 111)CONTRACTOR'S RATING Maximum Score(MS)=448 or sum of applicable element score maximums which= 388 Rating( [TS/NIS1 x 100%) 313 / 388 = 81% 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 Al Contractor Signature C 7- Inspector's Supervisor Signature CONTRACTOR'S COMMENTS TRANSPORTATION AND PUBLIC WORKS The City of Fort Worth• 8851 Camp Bowie West Blvd. •Fort Worth,TZ 76116• (817) 392-8306 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 BRIAN WEBSTER, PRESIDENT Of KWA CONSTRUCTION LP, 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; HIGHPOINT ON SOUTH MAIN B lAiEWBnEPRESIDENT Subscribed and sworn before me on this date 3RD of APRIL, 2017. -aim BANK _� *"" '�Notary Public.State of Texas `�= ices 01-06-2021 �r�q •: Comm•Expires 8472440 �.,+ 'nw � Notary Notary Public '+���,���� DALLAS, TEXAS Consent of Surety OVENER ❑ to Final Payment ARCHITECT CONTRACTOR - AIADOCUMENTG707 SURETY El OTHER Bond No.46BCSGV2596 'TO OWNER; ARcH ITECT'S PROJECTT NO.: #4nw and.address) City of Fort Worth CONTRACT FOR: Water, Sewer,Street, Storm Drain 1000 Throckmorton Street &Street Lights Fort Worth,TX 76102 PROJECT: High Point Addition on South Main (N. dize endaddreis) CONTRACT DATED: In accordance with the provisions of the -Contract between the Owner and the Contractor at inolud ed above; the Hartford Fire Insurance Company One Hartford Plaza, Hartford, CT 06155-0001 (Inseit nerm.andaddress'oftureW -SURETY,on bond of KWA Construction, L.P. 1(insed rbrne eiid-address:cf C64ractbr) 16800 Westgrove Drive,Suite 300,Addison,TX 75001 CONTRACTOR, hereby approves of the final payment,to the Contractor., and agrees that final payment to the Contractor ska7il not relieve the Surety..of'any of-its obligations to City of Fort Worth (Insed narne and-address'ofOwrweo, 1000 Throckmorton Street, Fort Worth,TX 76102 OWNER, as set forth in-the said Surety's bond. I N\MTNESS WHEREOF,the Surety has hereunto set.its hand on this clate;--A pril 3. 2017 (insert in wkng the.month foliowed:py the numeric-dke-and year.) Hartford Fire Insurance Company urety) Attest. (seal): ?�ignature of au representative) Amber Jones, ftorney-in-Fact (Firinted name and title Printed in cooperation with the American Institute ofArchitects.(AIA) The language in this document conforms exactly to.the lan.gua.ge used in AIA Document G707­Consent of Surety Company t6 Final Payment- 1994 Edition. Direct InquiriesiClaims to: EPO r T THE HARTFORD r 1 Bond T-4 One Hartford Plaza Hartford,Connecticut 06155 calla 888-266-3488 or fax:860-757-5835) KNOW ALL PERSONS BY THESE PRESENTS THAT: Agency Code:46-508894 © Hartford Fire Insurance Company,a corporation duly organized under the laws of the State of Connecticut 0 Hartford Casualty Insurance Company,a corporation duly organized under the laws of the State of Indiana © Hartford Accident and Indemnity Company,a corporation duly organized under the laws of the State of Connecticut Hartford Underwriters Insurance Company,a corporation duly organized under the laws of the State of Connecticut Twin City Fire Insurance Company,a corporation duly organized under the laws of the State of Indiana Hartford Insurance Company of Illinois,a corporation duly organized under the laws of the State of Illinois Hartford Insurance Company of the Midwest,a corporation duly organized under the laws of the State of Indiana Hartford Insurance Company of the Southeast,a corporation duly organized under the laws of the State of Florida having their home office in Hartford, Connecticut(hereinafter collectively referred to as the"Companies")do hereby make, constitute and appoint, up to the amount of Unlimited Julie Baumberger, Amber Jones, April Penny, Darrin J. Weber of DALLAS, Texas their true and lawful Attorneys)-in-Fact,each in their separate capacity if more than one is named above,to sign its name as surety(ies)only as delineated above by®,and to execute,seal and acknowledge any and all bonds,undertakings,contracts and other written instruments in the nature thereof,on behalf of the Companies in their business of guaranteeing the fidelity of persons,guaranteeing the performance of contracts and executing or guaranteeing bonds and undertakings required or permitted in any actions or proceedings allowed by law. In Witness Whereof, and as authorized by a Resolution of the Board of Directors of the Companies on August 1, 2009, the Companies have caused these presents to be signed by its Vice President and its corporate seals to be hereto affixed, duly attested by its Assistant Secretary. Further, pursuant to Resolution of the Board of Directors of the Companies,the Companies hereby unambiguously affirm that they are and will be bound by any mechanically applied signatures applied to this Power of Attorney. p _ s - o � 1967 ^ ~ • _.,{ • '4�0�?_= ..� ;,?`gxeaw�` • f•suat► 3 s;9 7�,��r ��TD 7 9�'+ � ,. 'i, ti" �yti.__._..vti+ ':�"'w...•f+`'^ �17,'`w�..riil` P9fi9 .•rs� 'aw.n rA'.D • �°' �ictsas* news' John Gray,Assistant Secretary M.Ross Fisher, Vice President STATE OF CONNECTICUT ss. Hartford COUNTY OF HARTFORD On this 12th day of July,2012,before me personally came M. Ross Fisher,to me known,who being by me duly sworn,did depose and say:that he resides in the County of Hartford,State of Connecticut;that he is the Vice President of the Companies,the corporations described in and which executed the above instrument;that he knows the seals of the said corporations;that the seals affixed to the said instrument are such corporate seals;that they were so affixed by authority of the Boards of Directors of said corporations and that he signed his name thereto by like authority. .uNT.,6tq Kathleen T.Maynard CERTIFICATE Notary Public My Commission Expires July 31,2016 I,the undersigned,Vice President of the Companies,DO HEREBY CERTIFY that the above and foregoing is a true and correct copy of the Power of Attorney executed by said Companies,which is still in full force effective as of Apri 1 3, 2 017. Signed and sealed at the City of Hartford. ���YrI_ pfrs r a :seeo,mrnr s �,9�t 'st87® er 19761 -* ."•^`� rA '�t • �-0�(UptS� h01Ns' ley. +�' Kevin Heckman,Assistant Vice President POA 2012 IMPORTANT NOTICE AVISO IMPORTANTE To obtain information or make a complaint: Para obtener informacion o para someter una You may contact your agent. queja. You may call Hartford Insurance Group at the Puede comunicarse con su agente. toll free telephone number for information or to Usted puede Ilamar al numero de telefono make a complaint at: gratis de The Hartford Insurance Group para 1-800-392-7805 informacion o para someter una queja al 1-800-392-7805 You may also write to The Hartford: Usted tambien puede escribir a The Hartford. The Hartford Hartford Financial Products The Hartford 2 Park Avenue, 5th Floor Hartford Financial Products New York, New York 10016 2 Park Avenue, 5th Floor 1-212-277-0400 New York, New York 10016 You may contact the Texas Department of 1-212-277-0400 Insurance to obtain information on companies, Puede comunicarse con el Departamento de coverages, rights or complaints at: Seguros de Texas para obtener informacion acerca de companfas, coberturas, derechos o quejas al: 1-800-252-3439 1-800-252-3439 You may write the Texas Department of Puede escribir al Departamento de Seguros de Insurance Texas P.O. Box 149104 P.O. Box 149104 Austin, TX 78714-9104 Austin, TX 78714-9104 Fax Number (512) 490-1007 Fax Number(512) 490-1007 Web: http://www.tdi.state.tx.us Web: http://www.tdi.state.tx.us E-mail: ConsumerProtection@tdi.state.tx.us E-mail: ConsumerProtection@tdi.state.tx.us PREMIUM OR CLAIMS DISPUTES: Should DISPUTAS SOBRE PRIMAS O RECLAMOS: you have a dispute concerning your Si tiene una disputa concerniente a su premium or about a claim you should prima o a un reclamo, debe comunicarse contact the agent first. If the dispute is not con su agente primero. Si no se resuelve la resolved, you may contact the Texas disputa, puede entonces comunicarse con Department of Insurance. el departamento (TDI). ATTACH THIS NOTICE TO YOUR POLICY: UNA ESTE AVISO A SU POLIZA: Este aviso This notice is for your information only and es solo para proposito de informacion y no does not become a part or condition of the se convierte en parte o condicion del attached document. documento adjunto. F-4275-1,./TX4275-1 HR 42 H006 00 0807 ME- THE Producer Compensation Notice ' FoRD You can review and obtain information on The Hartford's producer compensation practices at www.thehartford.com or at 1-800-592-5717. HR 00 H093 00 0207 ©2007, The Hartford Page 1 of 1 Consent of Surety to Final Payment OWNER ❑ ARCHITECT CONTRACTOR AIA DOCUMENT G707 SURETY Bond No.46BCSHE4280 OTHER 0 TO OWNER: ARCHITECT'S PROJECT NO.: (Name and address) City of Fort Worth 1000 Throckmorton Street CONTRACT FOR: Construction Fort Worth, TX 76102 PROJECT: High Point on South Main Community Facilties (Name and address) CONTRACT DATED. December 17, 2014 In accordance with the provisions of the Contract between the Owner and the Contractor as included above, the Hartford Fire Insurance Company One Hartford Plaza, Hartford, CT 06155-0001 (insert name and address of Surety) SURETY, on bond of KWA Construction, L.P. (Insert nerve end address of contractor) 16800 Westgrove Drive, Suite 300, Addison,TX 75001 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 City of Fort Worth (insert name and address of Owner) 1000 Throckmorton Street, Fort Worth,TX 76102 OWNER, as set forth in the said Surety's bond. IN WITNESS WHEREOF,the Surety has hereunto set its hand on this dateApril 3, 2017 {insert in writing the month followed by the numeric date and year.) /f Hartford Fire Insurance Company Atte : � 1' re (Sea Atte(-:: �� ( ignature of author rep resenta6va) Amber Jones, ttorney-in-Fact (Printed name and title Printed in cooperation with the American Institute of Architects(AIA) The language in this document conforms exactly to the language used in AIA Document G707- Consent of Surety Company to Finai Payment- 1994 Edition. Direct Inquiries/Claims to: THE POWER OF ATTORNEY One HARTFORD Hartford,Connecticut 06155 call.888-266-3488 or fax:860-757-5835) KNOW ALL PERSONS BY THESE PRESENTS THAT: Agency Code:46-508894 © Hartford Fire Insurance Company,a corporation duly organized under the laws of the State of Connecticut 0 Hartford Casualty Insurance Company,a corporation duly organized under the laws of the State of Indiana © Hartford Accident and Indemnity Company,a corporation duly organized under the laws of the State of Connecticut Hartford Underwriters Insurance Company,a corporation duly organized under the laws of the State of Connecticut Twin City Fire Insurance Company,a corporation duly organized under the laws of the State of Indiana Hartford Insurance Company of Illinois,a corporation duly organized under the laws of the State of Illinois Hartford Insurance Company of the Midwest,a corporation duly organized under the laws of the State of Indiana Hartford Insurance Company of the Southeast,a corporation duly organized under the laws of the State of Florida having their home office in Hartford, Connecticut(hereinafter collectively referred to as the"Companies")do hereby make, constitute and appoint, up to the amount of Unlimited Julie Baumberger, Amber Jones, April Penny, Darrin J. Weber of DALLAS, Texas their true and lawful Attorney(s)-in-Fact,each in their separate capacity if more than one is named above,to sign its name as surety(ies)only as delineated above by®,and to execute,seal and acknowledge any and all bonds,undertakings,contracts and other written instruments in the nature thereof,on behalf of the Companies in their business of guaranteeing the fidelity of persons,guaranteeing the performance of contracts and executing or guaranteeing bonds and undertakings required or permitted in any actions or proceedings allowed by law. In Witness Whereof, and as authorized by a Resolution of the Board of Directors of the Companies on August 1, 2009, the Companies have caused these presents to be signed by its Vice President and its corporate seals to be hereto affixed, duly attested by its Assistant Secretary. Further, pursuant to Resolution of the Board of Directors of the Companies, the Companies hereby unambiguously affirm that they are and will be bound by any mechanically applied signatures applied to this Power of Attorney. ♦, sP � t' • m � �wP.+► b•� :.':`yxPen eW,ry +aPa+t► ai tg 74 c t * 9 •' t '� .•+ r +_.. 'f+� 0 8 7 ,a 1119 � ¢,, f •_•\l ,rye'• '' � �` ..1 "�ua.rtvCo,�' *a0 rA'o 1.` • ..x�tlP�trotsp gecsa. John Gray,Assistant Secretary M.Ross Fisher, Vice President STATE OF CONNECTICUT ))) ss. Hartford COUNTY OF HARTFORD On this 12th day of July,2012,before me personally came M. Ross Fisher,to me known,who being by me duly sworn,did depose and say:that he resides in the County of Hartford,State of Connecticut;that he is the Vice President of the Companies,the corporations described in and which executed the above instrument;that he knows the seals of the said corporations;that the seals affixed to the said instrument are such corporate seals;that they were so affixed by authority of the Boards of Directors of said corporations and that he signed his name thereto by like authority. Kathleen T.Maynard CERTIFICATE Notary Public My Commission Expires July 31,2016 I,the undersigned,Vice President of the Companies,DO HEREBY CERTIFY that the above and foregoing is a true and correct copy of the Power of Attorney executed by said Companies,which is still in full force effective as of April 3, 2017. Signed and seale d at the City of Hartford. eoo�® p .�I I I9fi4 �'4�'. •- Kevin Heckman,Assistant Vice President POA 2012 IMPORTANT NOTICE AVISO IMPORTANTE To obtain information or make a complaint: Para obtener informacion o para someter una You may contact your agent. queja. You may call Hartford Insurance Group at the Puede comunicarse con su agente. toll free telephone number for information or to Usted puede Ilamar al numero de telefono make a complaint at: gratis de The Hartford Insurance Group para 1-800-392-7805 informacion o para someter una queja al 1-800-392-7805 You may also write to The Hartford: Usted tambien puede escribir a The Hartford. The Hartford Hartford Financial Products The Hartford 2 Park Avenue, 5th Floor Hartford Financial Products New York, New York 10016 2 Park Avenue, 5th Floor 1-212-277-0400 New York, New York 10016 You may contact the Texas Department of 1-212-277-0400 Insurance to obtain information on companies, Puede comunicarse con el Departamento de coverages, rights or complaints at: Seguros de Texas para obtener informacion acerca de companias, coberturas, derechos o quejas al: 1-800-252-3439 1-800-252-3439 You may write the Texas Department of Puede escribir al Departamento de Seguros de Insurance Texas P.O. Box 149104 P.O. Box 149104 Austin, TX 78714-9104 Austin, TX 78714-9104 Fax Number(512) 490-1007 Fax Number(512) 490-1007 Web: http://www.tdi.state.tx.us Web: http://www.tdi.state.tx.us E-mail: ConsumerProtection@tdi.state.tx.us E-mail: ConsumerProtection@tdi.state.tx.us PREMIUM OR CLAIMS DISPUTES: Should DISPUTAS SOBRE PRIMAS O RECLAMOS: you have a dispute concerning your Si tiene una disputa concerniente a su premium or about a claim you should prima o a un reclamo, debe comunicarse contact the agent first. If the dispute is not con su agente primero. Si no se resuelve la resolved, you may contact the Texas disputa, puede entonces comunicarse con Department of Insurance. el departamento (TDI). ATTACH THIS NOTICE TO YOUR POLICY: UNA ESTE "ISO A SU POLIZA: Este aviso This notice is for your information only and es solo para proposito de informacion y no does not become a part or condition of the se convierte en parte o condicion del attached document. documento adjunto. F-4275-1,./TX4275-1 HR 42 H006 00 0807 THE Producer Compensation Notice M7RTFORD You can review and obtain information on The Hartford's producer compensation practices at www.thehartford.com or at 1-800-592-5717. HR 00 H093 00 0207 ©2007, The Hartford Page 4 of 9 FORTWORTH REV:02'22/07 TRANSPORTATION AND PUBLIC WORKS CONTRACTOR'S EVALUATION OF CITY 1)PROJECT INFORMATION Date: 4/3/2017 Name of Contractor Project Name KWA Construction,L.P. Highpoint on South Main DOE Inspector Project Manager Joe Rogers Aaron Long,P.E. DOE Number ProjectDifficuJtj, Tjpe of Contract 7392/CPN 02514 O Simple OO Routine O Complex 0 Water E Waste Water❑ Storm Drainage❑ Pavement Initial Contract Amount Final Contract Amount $11,544.00 $72,606.00 II)PERFORMANCE EVALUATION 0-Inadequate 1 -Deficient 2-Standard 3 -Good 4-Excellent ELEMENT RATING ELEMENT RATING INSPECTION EVALUATION (0-4) PLANS&SPECIFICATIONS (0-4) 1 Availability of Inspector 1 Accuracy of Plans to Existing Conditions 2 Knowledge of Inspector 2 Clarity&Sufficiency of Details 3 Accuracy of Measured Quantities 3 Applicability of Specifications 4 Display Of Professionalism 4 Accuracy of Plan Quantities LA 5 Citizen Complaint Resolution PROJECT MANAGER EVALUATION 6 Performance-Setting up Valve Crews,Labs LA 1 Knowledge And/Or Problem Resolution ADMINISTRATION 2 Availability of Project Manager L( 1 Change Order Processing Time 3 Communication 2 Timliness of Contractor Payments LA 4 Resolution of Utility Conflicts 3 Bid Opening to Pre-Con Meeting Timeframe 4 III)COMMENTS&SIGNATURES COMMENTS Signature Contractor Signature DOE Inspector Signature DOE Inspector's Supervisor `— INSPECTOR'S COMMENTS TRANSPORTATION AND PUBLIC WORKS The City of Fort Worth• 1000 Throckmorton Street•Fort Worth,TX 76012-6311 (817) 392-7941 •Fax: (817)392-7845