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Contract 46526-FP1
w rc' n 1 . I CITY SECRETARY NOV 2 8 2017 C®NTRACT N®. ��� I CITY OF FORT WORTH OTICE OF PROJECT COMPLETION S9 (D L�"�....__. ---- G5 Z4 LS ?(a Regarding City Secretary Contract 46526 for the Mary's Creek Recycling Center Site Improvements — Tree Planting & Irrigation System, (City Project # 01239) which was requested by the Water Department and approved by City Council on 02/03/2015 through M&C C-27171 , the Director of the Water Department, upon the recommendation / approval of the Consultant / City Project Manager, has accepted the project as complete. Final Payment (Pay Application # 04- Final) will be issued in accordance with Administrative Regulation C-6. Original Contract Price: $ 98,492.09 Amount of Approved Change Orders: $ 9,655.00 Number: 01 Revised Contract Amount: $ 108,147.09 Less Liquidated Damages: $ 0.00 (@$ /Day) Less other Damages: $ 0.00 Total Value of Contract Performed: $ 105,947.09 Less Previous Payments: $ 100,649.74 Final Payment Due: $ 5,297.35 Recommended for Approval, Farida Goderya Date Sr. Project Manager, Water Department Accepted,Karla Shuror or Chris Harder Date Deputy Director or Assistant Director, Water Department A sistant City Manager, Jay C pa Date Date of Final Co t* Date of Warranty Start _February 29.2 �� n�, OFFICIAL RECORD March 0l.2016 DEC - 1 i7 CITY sECR�ARY Ini+lial ' _ f � I� N M Y p C6 n t-. U D 9 MCj M O J 4CO Q` C M f Ux p T Q :3 X 4 Q w W s m V o Z o o \\1.IITT ISI l N U U o o `.��\c syr'•, i i,; �y L° o o A Iir � W Fr �- � .O .O N � iYb�y�•;O� O U U O pI -. O U z + j .N 4i�Onj.SSK"`�� Lu ° k S cOa 6. a= ti F i =oz E fi R LL Y z ° •o m `o o y 3 Q o w YV ❑ Lu pp .`�. .�. 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(A a W W J -i W -J ! � I F-' I Y OCV N C � M � ° x N N C w o w c c :3 co Q U , ca o a o O U a � C U Z O = o to a) A _ F c o co o t Z U u I- U Q IL d U CJ ¢�o v I I , CONTRACTOR'S AFFIDAVIT OF OWNER RELEASE OF LIENS ARCHITECT ❑ AIA DOCL1ME1VT G7o6A-ELECTRONIC FORMAT CONTRACTOR ❑ SURETY ❑ OTHER ❑ THIS DOCUMENT HAS IMPORTANT LEGAL CONSEQUENCES; CONSULTATION COMPLETION OR MODIFICATION. AUTHENTICATION OF THIS ELECTRONICALLY DRAFTED AIA DOCUMENT MAY BE MADE BY USING AIA DOCUMENT D.oi. TO OWNER: �`��'� / 7 F-4'U` ��`�� � ARCHIT CT'S PROJECT NO.: 4 _2— (Name and address) PROJECT: �� 1�V ���5 � CONTRACT FOR: (Name and address) Mckx-�,6 U- CONTRACT DATED: STATE OF raj COUNTY OF: GrCt Y�fi The undersigned hereby certifies that to the best of the undersigned's knowledge,information and belief, except as listed below,the Releases or Waivers of Lien attached hereto include the Contractor,all Subcontractors,all suppliers of materials and equipment,and all performers of Work, labor or services who have or may have liens or encumbrances or the right to assert liens or encumbrances against any property of the Owner arising in any manner out of the performance of the Contract referenced above. EXCEPTIONS: SUPPORTING DOCUMENTS ATTACHED HERETO: CONTRACTOR: (Name and address) 1. Contractor's Release or Waiver of Liens, conditional upon receipt of final payment. BY: (Sig nzedrepresentative) 2. Separate Releases or Waivers of Liens from Subcontractors and material and equipment suppliers,to the extent required by the Owner,accompanied by a list thereof. 5 �� 1J t P 1 (Printed name and title) Subscribed and sworn to before me on this date: J� J� Notary Public: (� My Commission Expires: — "" DANA M LOUCKS v Pim Notary Public,State of Texas Comm.Expires 02-08-2021 'fill ``` Notary ID 1063873-1 © 1994 THE AMERICAN INSTITUTE OF ARCHITECTS, 1735 NEW YORK AVENUE, N.W., WASHINGTON, D.C. 20006-5292."ff DOCUMENT G706A - CONTRACTOR'S AFFIDAVIT OF RELEASE OF LIENS-1994 EDITION- AIA®-WARNING: Unlicensed photocopying violates U.S. copyright laws and will subject the violator to legal prosecution.This document was electronically produced with permission of the AIA and can be reproduced in accordance with your license without violation until the date of expiration as noted below._User Document: g706amst.aia -- 6/15/2004. AIA License Number 1141904,which expires on 10/9/2004. Electronic Format G706A-1994 1 CONTRACTOR'S AFFIDAVIT OF OWNER PAYMENT OF DEBTS AND CLAIMS ARCHITECTEl AIA DOCLZAlENT G7o6-ELECTR ONIC FORMA T CONTRACTOR SURETY ❑ OTHER ❑ ti c. v s CO.,LIPLETION OR AfODIFICATTON. AUTHLV77CAT70N OF THIS ELECTRONICALLY DRAFTED AIA DOC1LLf VT ALAY BB MADE BY USING AIADOCUjVF,VTD o,r. TO OWNER: ARCHITECT'S PROJECT NO : . �� (Name and address) ,-5s `fit bF� PROJECT: ZG V 1 C.�c�S , -�- f. r m (Nae and address) 4 C) e � l�-1 Lo jt%Z CONTRACT FOR: � tfp/}, I ,� t 1 't" \ouyys \/J. e—IPT-Tf-e�- CONTRACT DATED: Wo t n CA 0A(-\C v"(r�3 STATE � 06 COUNTY OF:- The undersigned hereby certifies that, except as listed below, payment has been made in full and all obligations have otherwise been satisfied for all materials and equipment furnished, for all work,labor, and services performed, and for all known indebtedness and claims against the Contractor for damages arising in any manner in connection with the performance of the Contract referenced above for which the Owner or Owner's property might in any way be held responsible or encumbered. EXCEPTIONS: nG� ` t/V��✓! �' D - SSi G4 Gt �lJC�ii L`� ('S SUPPORTING DOCUMENTS ATTACHED HERETO: CONTRACTOR: (Name and address) 1. Consent of Surety to Final Payment. Whenever Surety is involved,Consent of Surety is required. AIA Document G707,Consent of Surety,may be,used for this purpose. Indicate attachment: yes no BY: The following supporting documents should be attached ureo authorizedrepresentative) hereto ifregwred by the Owner.• I. Contractor's Release or Waiver of Liens, conditional upon receipt of final payment. , yr 1_, ((-ee-r- 1 \ C `1T (Printed name and title) 2. Separate Releases or Waivers of Liens from Subscribed and sworn to before me on this date: Subcontractors and material and equipment suppliers,to the extent required by the Owner,accompanied by a list thereof. Z"r i 3. Contractor's Affidavit of Release of Liens (AIA Document G7o6A). Notary Public: My Commission Expires: ;�PtiuuU' DANA M LOUCKS -2i nc Notary Public,State of Texas COMM. Expires 02-08-2021 Notary ID 1063873-1 O 1994 THE AMERICAN INSTITUTE OF ARCHITECTS, 1735 NEW YORK AVENUE, N.W., WASHINGTON, D.C. 20006-5292. AIA DOCUMENT G7o6 - CONTRACTOR'S AFFIDAVIT OF PAYMENT OF DEBTS AND CLAIMS-1994 EDITION-AIAOO -WARNING:Unlicensed photocopying violates U.S.copyright laws and will subject the violator to legal prosecution.This document was electronically produced with permission of the AIA and can be reproduced in accordance with your license without violation until the date of expiration as noted below. User Document: g706mast.aia -- 6/15/2004. AIA License Number 1141904,which expires on 10/9/2004. Electronic Format G706-1994 1 CONSENT OF OWNER X SURETY COMPANY ARCHITECT F-] TO FINAL PAYMENT CONTRACTOR SURETY AIA DOCUMENT G707 OTHER PROJECT: Bond No.022036911 Mary's Creek Recycling Center Tree Planting(No.81239) (name,address) TO(Owner) City of Fort Worth ARCHITECT'S PROJECT NO: 1000 Throckmorton Street CONTRACT FOR: Fort Worth,TX 76102 CONTRACT DATE: February 3,2015 CONTRACTOR C.Green Scaping 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) West American Insurance Company 136 N.Third Street Hamilton,Ohio 45025 ,SURETY COMPANY, on bond of(here insert name and address of Contractor) C.Green Scaping 2401 Handley Ederville Rd. Fort Worth,TX 76118 CONTRACTOR, 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) City of Fort Worth 1000 Throckmorton Street Fort Worth,TX 76102 OWNER, as set forth in the said Surety Company's bond IN WITNESS WHEREOF, the Surety Company has hereunto set its hand this 16th day of November,2017 West American Insurance Company Surety Company Attest: Ky I iC Kefsoc Signature of Authorized Representative (Seal): Attorney-in-Fact S-4&69 Title NOTE: This form is to be used as a companion document to AIA DOCUMENT G706,CONTRACTOR'S AFFIDAVIT OF PAYMENT OF DEBTS AND CLAIMS,Current Edition A IA DOCUMENT G707,CONSENT OF SURETY COMPANY TO FINAL PAYMENT,APRIL 1970 EDITION 1 AIAS ONE PAGE C 1970,THE AMERICAN INSTITUTE OF ARCHITECTS,1735 NEW YORK AVE.,NW,WASHINGTON,D.C,20006 THIS POWER OF ATTORNEY IS NOT VALID UNLESS IT IS PRINTED ON RED BACKGROUND. This Oower 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.7643348 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 p 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, James E.King;Jeff P.King;Kylie Kelsoe;Rachyl Mullins B p -all of the city of Denton ,state of TX each individually if there be more than one named,its true and lawful attomey-in-fact to make,execute,seal,acknowledge and deliver,for and on its behalf as surety and as its act and deed,any and all undertakings,bonds,recognizances and other surety obligations,in pursuance of these presents and shall be as binding upon the Companies as if they have been duly signed by the president and attested by the secretary of the Companies in their own proper persons. i IN WITNESS WHEREOF,this Power of Attorney has been subscribed by an authorized officer or official of the Companies and the corporate seals of the Companies have been affixed thereto this 3rd day of March 2017 POSY INSV�, �,:1NSUq� p�1R1SUq :. �.. The Ohio Casualty Insurance Company M 0 7919 0 19i z 1991 y Liberty Mutual Insurance Company x s G �ro West merican Insurance Company p y 6 m a w NFl M£`�\..aa ©,95,; `• x. 7y 2,- STATE OF PENNSYLVANIA ss David M.Care ;Assistant Secretary COUNTY OF MONTGOMERY o` L On this 3rd daybf March 2017before me personally appeared David M.Carey,who acknowledged himself to be the Assistant Secretary of Liberty Mutual Insurance v (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 >.W 0 therein contained by signing on behalf of the corporations by himself as a duly authorized officer. C G> > 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. p E t0CL 4) O �Sr, P.gS)F COMMONWEALTH OF PENNSYLVANIA � Q M. tui.oe^;noNwe-qt„<< Notarial Seal 6/ of a Teresa Pastella,Notary Public By: �C�/f O O s. Upper Marion Two.,Montgomery County Teresa Pastella,Notary Public s' My Commission Expires:March 28,2021 ' O C (D.. Member,Pennsylvania Association of NotariesRy O a 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 yr p� d,',, Insurance Company,and West American Insurance Company which resolutions are now in full force and effect reading as follows: .�o M d ARTICLE IV—OFFICERS—Section 12.Power of Attorney.Any officer or other official of the Corporation authorized for that purpose in writing by the Chairman or the President,and subject O s= 4 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, + O 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 � E 4: 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 ami p executed,such instruments shall be as binding as if signed by President and attested to by the Secretary.Any power or authority granted to any representative or attomey-in-fact under > athe 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. _ _ 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, C4 41�> �? 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 of theCompanyto make,execute, M O 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 o0 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 o executed such instruments shall be as binding as if signed by the president and attested by the secretary." O� Certificate of Designation-The President of the Company,acting pursuant to the Bylaws of the Company,authorizes David M.Carey,Assistant Secretary to appoint such attorneys-in- ~T fact as may be necessary to act on behalf of the Company to make,execute,seal,acknowledge and deliver,as surety any and all undertakings,bonds;recognizances and other surety obligations. Authorization—By unanimous consent of the Company's Board of Directors,the Company consents that facsimile or mechanically reproduced signature of any assistant secretary of the Company,wherever appearing upon a certified copy of any power of attorney issued by the Company in connection with surety bonds,shall be valid and binding upon the Company with i the same force and effect as though manually affixed. -1, Renee C. Llewellyn, the undersigned, Assistant Secretary, The Ohio Casualty Insurance Company, Liberty Mutual Insurance Company, and West American Insurance Company do hereby certify that the original power of attorney of which the foregoing is a full,true and correct copy of the:Power of Attorney executed by 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 day of 20 �'ZY INS& PO SUq,� Pp�1N5Uq,4 o 7979 0 1912 r 1991 By: a ' V �NRenee C.Liewe Assistant Secretary � NitriC4'�`•a `�i/."SaACIfU`��e oinhP , 197 of 200 LMS_12873-022017 dzC-L-X-',R- \,� � 2Z (t I . D/M/WBE# HFDB22088YO716 and Small Business Enterprise GREEN SCAPIN G _- Grass Establishment • Erosion Control • Wetland Development • Mitigation • Biotechnical Embankment November 21, 2017 City of Fort Worth Attn: Farida Goderya 200 Texas State Ft. Worth,TX 76102 RE: Mary's Creek WRF Tree Planting and Irrigation System—Close out Documents Farida, Attached are the close out documents for the Mary's Creek Project. Please review and let me know if any additional information is needed to close this project out. Thank you, QL n,►-Y►.c�l:� Stacy Geigenmiller Project Manager 2401 Handley Ederville Rd. • Fort Worth • Texas • 76118 Tel: 817.577.9299 • Fax: 817.577.9331 • Web: www.greenscaging.corn