HomeMy WebLinkAboutContract 49000-FP2 Department of TP &W Cons Services
C:) F Da
Projec flanager .
Risk Management Ca dy U WO RT H
D.O.E. Brotherton O
CFA Morales/Scanned — 11,401CITY SECRETARY _
Gutzler/Scanned T"
The Proceeding people have been Contacted C '°" N�. ��
concerning the request for final payment&have ATION AND PUBLIC WORKS
released this project for such payment. F PROJECT COMPLETION
Developer Projects) 59400"7 - ) U t/
01 1
Clearance Conducted By 04...6 City Pro�tect Ns: 100611
C Sze
Regarding contract 100611 for STONE CREEK RANCH PHASE 6A 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 &Public Works Department has accepted the project
as complete. 9)Et
.1 DEC 2 12017
Original Contract Price: $705,391.00
Amount of Approved Change Orders: (59,000.00) Ns 2
Revised Contract Amount: $696,391.00
Total Cost Work Completed: $696,391.00
ca VP-C--' �
Recommer J d for Acceptance Date
Asst. Dire PW - Irrf�c u es n
Accepted Date
Asst. Director, WATER DEPARTMENT
Asst. City Manager Date
Comments:
OFFICIAL RECORD
E;MAI,j oE;J,) CITY SECRETARY
DEC $ 20V FT.WORM,Tic
Rev.9/
Ley-,
L'�Y
2 2011
City Project Numbers 100611 �.. DOE Number 0611
Contract Name STONE CREEK RANCH PHASE 6A Estimate Number 1
Contract Limits Payment Number 1
Project Type WATER&SEWER For Period Ending 11/7/2017
Project Funding
Project Manager NA City Secretary Contract Number
Inspectors LAYER / ROGERS Contract Date
Contractor GILCO CONTRACTING,INC. Contract Time 200 CD
6331 SOUTHWEST BLVD. Days Charged to Date 181 CD
BENBROOK, TX 76132-1063 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 $696,391.00
Less %Retained $0.00
Net Earned $696,391.00
Earned This Period $696,391.00
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 $696,391.00
Thursday,December 7,2017 Page 4 of 4
FORT WORTH
CITY OF FORT WORTH
FINAL PAYMENT REQUEST
Contract Name STONE CREEK RANCH PHASE 6A
Contract Limits
Project Type WATER&SEWER
City Project Numbers 100611
DOE Number 0611
Estimate Number 1 Payment Number 1 For Period Ending 11/7/2017
CD
City Secretary Contract Number Contract Time 20GD
Contract Date Days Charged to Date 181
Project Manager NA Contract is 100.00 Complete
Contractor GILCO CONTRACTING,INC.
6331 SOUTHWEST BLVD.
BENBROOK, TX 76132-1063
Inspectors LAYER ROGERS
Thursday,December 7,2017 Page 1 of 4
City Project Numbers 100611 DOE Number 0611
Contract Name STONE CREEK RANCH PHASE 6A Estimate Number 1
Contract Limits Payment Number 1
Project Type WATER&SEWER For Period Ending 11/7/2017
Project Funding
WATER
Item Description of Items Estimated Estimated Completed Completed
No. P Unit Unit Cost P P
———_— Quanity Total Quanity Total
1 TRENCH SAFETY 4705 LF $0.40 $1,882.00 4705 $1,882.00
2 DUCTILE IRON WATER FITTINGS 3.1 TN $5,100.00 $15,810.00 3.1 $15,810.00
W/RESTRAINT
3 8"WATER PIPE 3485 LF $31.50 $109,777.50 3485 $109,777.50
4 12"WATER PIPE 1220 LF $47.00 $57,340.00 1220 $57,340.00
5 FIRE HYDRANT 3 EA $3,500.00 $10,500.00 3 $10,500.00
6 1"WATER SERVICE 87 EA $990.00 $86,130.00 87 $86,130.00
7 8"GATE VALVE 16 EA $1,300.00 $20,800.00 16 $20,800.00
8 12"GATE VALVE 2 EA $2,200.00 $4,400.00 2 $4,400.00
9 CONNECTION TO EXISTING 4"-12"WATER 3 EA $1,100.00 $3,300.00 3 $3,300.00
MAIN
Sub-Total of Previous Unit $309,939.50 $309,939.50
SEWER
Item Description of Items Estimated Unit Unit Cost Estimated Completed Completed
No. Quanity
Total Quanity Total
1 POST CCTV INSPECTION 3173 LF $1.50 $4,759.50 3173 $4,759.50
2 MANHOLE VACUUM TESTING 15 EA $110.00 $1,650.00 15 $1,650.00
3 TRENCH SAFETY 3173 LF $1.00 $3,173.00 3173 $3,173.00
4 TRENCH WATER STOPS 6 EA $300.00 $1,800.00 6 $1,800.00
6 4"SEWER SERVICE 88 EA $1,300.00 $114,400.00 88 $114,400.00
7 8"SEWER PIPE 3173 LF $57.00 $180,861.00 3173 $180,861.00
8 8"SEWER PIPE CSS BACKFILL 40 LF $61.00 $2,440.00 40 $2,440.00
9 EPDXY MANHOLE LINER 34.4 VF $200.00 $6,880.00 34.4 $6,880.00
10 4'MANHOLE 15 EA $4,400.00 $66,000.00 15 $66,000.00
11 4'EXTRA DEPTH MANHOLE 40.8 VF $110.00 $4,488.00 40.8 $4,488.00
Sub-Total of Previous Unit $386,451.50 $386,451.50
Thursday,December 7,2017 Page 2 of 4
City Project Numbers 100611 DOE Number 0611
Contract Name STONE CREEK RANCH PHASE 6A Estimate Number I
Contract Limits Payment Number 1
Project Type WATER&SEWER For Period Ending 11/7/2017
Project Funding
Contract Information Summary
Original Contract Amount $705,391.00
Chance Orders
Change Order Number 2 ($9,000.00)
Total Contract Price $696,391.00
Date Total Cost of Work Completed $696,391.00
ontractor- , Less %Retained $0.00
.GL's—fit-- Date fZ—/Z 17 Net Earned $696,391.00
Inspection Supervisor Earned This Period $696,391.00
z. Retainage This Period $0.00
C.. 0� b� Date {Z ����
Projectg
Less Liquidated Damages
kj Days @ /Day $0.00
Date ` �Qv LessPavement Deficiency
Asst.Diree /T W- ion y.Q �.�-+ Less Penalty $0.00
`&(, Date 12 2 f /�Z C-e I Less Previous Payment $0.00
Director/Contracting Department Plus Material on Hand Less 15% $0.00
Balance Due This Payment $696,391.00
Thursday,December 7,2017 Page 3 of 4
FORTWORTH rev 03/05/07
TRANSPORTATION & PUBLIC WORKS
FINAL STATEMENT OF CONTRACT TIME
FINAL STATEMENT NO.: 1
NAME OF PROJECT: Stone Creek Ranch Phase 6A
PROJECT NO.: 100611 CONTRACTOR: Gilco Contruction
100611 DOE NO.: N/A
PERIOD FROM 05/10/17 TO: 11/06/17 _ FINAL INSPECTION DATE: 1-Nov-17
WORK ORDER EFFECTIVE:5/10/2017 CONTRACT TIME: 181 0 WE CD
DAY OF DAYS REASON FOR DAYS DAY OF DAYS REASON FOR DAYS
MONTH CHARGED CREDITED MONTH CHARGED
DURING DURING CREDITED
1. 16.
2. 17.
3. 18.
4. 19.
5. 20.
6. 21.
7. 22.
S. 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 0 0 0 0
PREVIOUS0 0
PERIOD 0 0 181 181
TOTALS 0 0 0
TO DATE 0 181 181
"REMARKS:
n
CONTRACTOR DATE INSPECTOR DATE
ENGINEERING DEPARTMENT
The City of Fort Worth• 1000 Throckmorton Street•Fort Worth,TZ 76012-6311
(817) 392-7941 •Fax: (817) 392-7845
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FORTWORTH REV:02'22/07
TRANSPORTATION AND PUBLIC WORKS
CONTRACTOR'S EVALUATION OF CITY
I)PROJECT INFORMATION Date: ;11/6/2017
Name of Contractor Project Name
Gilco Construction Sone Creek Ranch Ph 6A
DOE Inspector Project Manager
Weyman Oden Khal Jaafari
DOE Number Project D c 11ty Tvpe of Contract
100611 Simple Q Routine Q Complex 21 water 2] waste water Storm Drainagr Pavement
Initial Contract Amoznnt Final Contract Amount
$705,391.00 $696,391.00
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 1 Accuracy of Plans to Existing Conditions
2 Knowledge of Inspector 2 Clarity&Sufficiency of Details 3
3 Accuracy of Measured Quantities 13 Applicability of Specifications
4 Display Of Professionalism —14 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 j 2 Availability of Project Manager
I Change Order Processing Time 3 3 Communication
2 Timliness of Contractor Payments 4 Resolution of Utility Conflicts
13 Bid Opening to Pre-Con Meeting Timeframe
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
I
FORTWORTHREV:02/20/07
TRANSPORTAT20N AND PUBLIC WORDS
PERFORMANCE EVALUATION OF CONTRACTOR
1) CONTRACTOR&PROJECT DATA
Name of Contractor Project Name
Gilco Construction Stone Creek Ranch PH 6A
DOE Inspector DOE Number
Weyman Oden 100611
DOS Inspector Project Manager
Q Water 0 Waste Water[:] Storm Drainage[] Pavement Khal Jaafari
Initial Contract,4mount -Project Difficulty
$705,391.00 Q Simple QQ Routine O Complex
Final Contract Amount Date
$696,391.00 11/6/2017
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 4 60 60
6 Finished Product 15 Y 4 60 60
7 Job Site Safety 15 Y 4 60 60
8 Traffic Control Maintenance 15 Y 4 60 60
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) 443
BONUS POINTS(25 Maximum)(B)
III)CONTRACTOR'S RATING TOTAL SCORE(TS) 443
Maximum Score(MS)=448 or sum of applicable element score maximums which= 448
Rating( [TS/MS] x 100%) 443 / 448 = 99%
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)
Signature DOE Inspector k-,� ature Contractor
Signature DOE Inspector's Supervisor
CONTRACTOR'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
FORTWORTH
TRANSPORTATION AND PUBLIC WORKS
PIPE REPORT FOR:
PROJECT NAME: Stone Creek Ranch PH 6A
PROJECT NUMBER: 100611
DOE NUMBER: N/A
WATER
PIPE LAID SIZE TYPE OF PIPE LF
Water 12 inch PVC-SDR-14 1220
Water 8 inch PVC-SDR-14 3485
FIRE HYDRANTS: 3 VALVES(16" OR LARGER)
PIPE ABANDONED SIZE TYPE OF PIPE LF
DENSITIES: yes
NEW SERVICES: 1" Copper 860
SEWER
PIPE LAID SIZE TYPE OF PIPE LF
Sewer 8" PVC SDR-26 3 -13
PIPE ABANDONED SIZE TYPE OF PIPE LF
DENSITIES: yes
NEW SERVICES: 4" PVC SDR-26 900
TRANSPORTATION AND PUBLIC WORKS
The City of Fort Worth• 1000 Throckmorton Street•Fort Worth,TX 76012-6311
(817)392-7941 •Fax: (817)392-7845
CONSENT OF OWNER ❑
SURETY COMPANY ARCHITECT ❑
TO FINAL PAYMENT CONTRACTOR ❑
SURETY ❑
Conforms with the American Institute of OTHER
Architects,AIA Document G707
Bond No 022056820
PROJECT:
(name, address)Stone Creek Ranch Phase 6A
TO (Owner) Fort Worth TX
ARCHITECT'S PROJECT NO:
LGI HOMES, LLC AND THE CITY OF FORT WORTH CONTRACT FOR:
1450 Lake Robbins Dr.,Suite 430 Stone Creek Ranch Phase 6A-Water,sanitary Sewer, Drainage,
Paving and Street Lighting Improvements
The Woodlands TX 77380 CONTRACT DATE:
CONTRACTOR:GILCO CONTRACTING, INC.
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
Boston MA 02116 , SURETY COMPANY
on bond of (here insert name and address of Contractor)
GILCO CONTRACTING, INC.
6331 Southwest Boulevard
Benbrook TX 76132 , 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)
LGI HOMES, LLC AND THE CITY OF FORT WORTH
1450 Lake Robbins Dr., Suite 430
The Woodlands TX 77380 , OWNER,
as set forth in the said Surety Company's bond.
IN WITNESS, WHEREOF,
the Surety Company has hereunto set its hand this 1 Oth day of October, 2017
LIBERTY MUTUAL INSURANCE COMPANY
\ Surety Company
Attest:V! DeLem al
(Seal): Sign Lure of Authorized Representative
SoDhinie Hunter Attorney-in-Fact
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
ONE PAGE
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.
Liberty Mutual insurance Company Certificate No. 7876978
The Ohio Casualty Insurance Company West American Insurance Company
I
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 i
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,
Don E.Cornell;Kelly A.Westbrook,Ricardo J Reyna,'Robbi Morales Sophinie Hunter Tlna`McEwaln VDehene Marshall
all of the city of Dallas state of TX each rndtyidually if there be more than one named its true endilawful attorney-In-fact to make,execute,seal,acknowledge
and deliver,for and on its behalf as surety:and:'as its act and:deed anyand all undertakings,bonds,recognizances and other-surety obligations,in pursuance of these presents and shall
be as binding Upon the Companies as if they hav ;been dulY.signed by,14president and attested..by.tfie secretary of tha Companies in their ow.n.proper persons.
IN WITNESS WHEREOF,this Power of Attorney has been subscribed by ao authorized officer or official of the Companles and the corporafe seals of the Companies have been affixed
thereto this 25thday of August 2017
N y Etta s`i�i j,
z F• The Ohio Casualty Insurance Company In
L>IL 1991 Liberty Mutual insurance Company
_ West A)merican Insurance Company
M
N. `� ✓ �/ 7
By: ice_-"; T,
"STATE OF PENNSYLVANIA ss David M.Carey;Assistant Secretary
+="� COUNTY OF MONTGOMERY
O
On this 25th day of August 2017 before 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 >,�
O 0 therein contained by signing on"behalf of the corporations by himself as a duly authorized officer. O W
i' c
w �- 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. `
ca
O CL
a). SP. PASACOMMONWEALT_H_OF PENNSYLVANIA n CO
Notarial Seal / , /f// /40- 1 <
-'� 7rr Teresa Pastella.Notary Public By. ���� �.�% � O
O-L of ! Upper Merton Two.,Montgomery County Teresa Pastella,Notary Public A L
dj O ti�,^�svt7t� G + My Commission Expires March 28,2021
O �. �qRV P�g�r� Member.Pennsylvania Association of Notaries fi C.
c M, 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 In O
aj.y Insurance Company,and West American Insurance Company which resolutions are now in full force and effect reading as follows: 0 I
4-6;
ca.(D ARTICLE IV-OFFICERS-Section 12.Power of Attorney.Any officer or other official of the Corporation authorized forthat purpose in writing by the Chairman or the President,and subject O c I
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, >y
0:;= 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
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
O 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-in-fact under > Q
— U 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. 04
d II
ARTICLE XIII—Execution of Contracts—SECTION 5.Surety Bonds and Undertakings.Any officer of the Comporapurpose anauthorized ftht in writing by the chairman or the president, E oo
(a �
> and subject to such limitations as the chairman or the president may prescriber shall appoint such attorneys-in-fact,as may be necessary to act in behalf of the Company to 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 oo
W 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
executed such instruments shall be as binding as if signed by.the president and attested by the..secretary. O o
O�
Certificate of Designation—The President of.the Company,acting pursuant tp the'Bylaws of ith6.:C
ompany,authorizes David:M:Carey,Assistarit Secretary to appoint such attorneys-in- ~r
fact as maybe necessary to act on behalf.of the Company.to hake,execute,seal,acknowledge.aiid deliver as-surety any and all undertakings,bands;recognizances and other surety
obligations.
Authorization—By unanimous consent of the Company'sBoard of Directors,the Company consents fhat facsimile or mechanically reproduced signature of any assistant secretary of the
Company,wherever appearing upon a certrfled copy ofany power of attorney issued by the Company'n connection with surety bonds,shall be valid and binding upon the Company with R
the same force and effect as though manually affixed. .
t
I, Renee C. Llewellyn, the undersigned, Assistant Secretary,The Ohio Casualty Insurance:Gompany, Liberty:,Mutual Insurance Company end West American Insurance Company do
hereby certify that the original power of attorney of whi6h-+1he.foregoing is a full true"andcorrec€<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 I day of 20
S'!IN. 4WSIJ N
jJ .pHFor u ins ie.� CF. �, c"irnta. C. / p,,
1 Sit 1912 ° 199 I r I By:
Renee C,Llewe ssistant Secretary
>ic:rN; '' :rnnnr y
pp
4
113 of 400 E
Liberty
Mutual.
SURETY
TEXAS TEXAS
IMPORTANT NOTICE AVISO IMPORTANTE
To obtain information or make a complaint: Para obtener informacion o para someter una
quej a:
You may call toll-free for information or to Usted puede llamar al numero de telefono gratis
make a complaint at para informacion o para someter una queja al
1-877-751-2640 1-877-751-2640
You may also write to: Usted tambien puede escribir a:
2200 Renaissance Blvd., Ste. 400 2200 Renaissance Blvd., Ste. 400
King of Prussia, PA 19406-2755 King of Prussia, PA 19406-2755
You may contact the Texas Department of Puede comunicarse con el Departamento de
Insurance to obtain information on companies, Seguros de Texas para obtener informacion
coverages, rights or complaints at acerca de companias, coberturas, derechos o
1-800-252-3439 quejas al
1-800-252-3439
You may write the Texas Department of Insurance Puede escribir al Departainento de Seguros
Consumer Protection (111-1 A) de Texas Consumer Protection (111-1 A)
P. O. Box 149091 P. O. Box 149091
Austin, TX 78714-9091 Austin, TX 78714-9091
FAX: (512) 490-1007 FAX # (512) 490-1007
Web: http://www.tdi.texas.gov Web: ljttp://www.tdi.texas.gov
E-mail: ConsumerProtectiongtdi.texas. ov E-mail: ConsuinerProtection@tdi.texas.gov
PREMIUM OR CLAIM DISPUTES: DISPUTAS SOBRE PRIMAS O RECLAMOS:
Should you have a dispute concerning your Si tiena una disputa concerniente a su prima o a
premium or about a claim you should first un reclamo, debe comunicarse con el agente o
contact the agent or call 1-800-843-6446. primero. Si no se resuelve la disputa, puede
If the dispute is not resolved, you may contact the entonces comunicarse con el departamento (TDI)
Texas Department of Insurance.
ATTACH THIS NOTICE TO YOUR UNA ESTE AVISO A SU POLIZA:
POLICY:
This notice is for information only and does not Este aviso es solo para proposito de informacion
become a part or condition of the attached y no se convierte en parte o condicion del
document. documento adjunto.
'NTP'7n 6R 09 01
AFFIDAVIT
STATE OF TEXAS
COUNTY OF TARRANT
Before me, the undersigned authority, a notary public in the state
and county aforesaid, on this day personally appeared Rob Taylor, Project
Coordinator of Gilco Contracting, 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 Contract described as;
Paving Improvements to serve: Stone Creek Ranch, Phase 6A
t
BY Rob Taylor
Subscribed and sworn before me on this 1 lth of October , 2017.
*4�4
KAYE GILLNotary ID*3834532
My commission Expires No y Public
December 30,2020 Tarrant County, TX
October 11,2017
City of Fort Worth
CFA Administration
1000 Throckmorton St.
Fort Worth, TX 76102
RE: Final Waiver of Lien; Paving Improvements to serve Stone Creek Ranch, Phase 6A
City Project#100611
Water Project No. 59601-0600430-100611-001580
Sanitary Sewer Project No. 59607-0700430-100611-001380
File No. W-2440
File No. X-23925
The purpose of this letter is to acknowledge that we have been paid in full by LGI Homes
LLC for the public improvements constructed to serve Stone Creek Ranch, Phase 6A in
Fort Worth, Texas. As a result, we hereby waive, release and relinquish all rights to
assert any claim or demand for lien in connection with this project.
Please feel free to contact me with any questions you may have.
Sincerely,
Rob Taylor
Project Coordinator
6331 Southwest Blvd.
Ben rook,Texas 76132
Office: 817.735.1600
Fax: 817.735.1613