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Contract 38370-FP1
�« r ftrE,SU' t�i'C+� DT JAN 0.� 2018Fr WATER DEPARTMENT ENGINEERING AND FISCAL SERVICES NOTICE OF PROJECT COMPLETION C5 373 70t DOE.Ns: 6017 Regarding contract Sanitary Sewer Rehabilitation Pipe Enlargement Contract 2008A for P258-7011701017 as required by the Water Department as approved by City Council on 3/3/09 through M&C C-23384 the Assistant Director of the Water Department,upon the recommendation of the Engineering Manager,Water Engineering and Fiscal Services Division,has accepted the project as complete. Original Contract Prices: $1,000,000.00 Amount of Approved Renewals 2000000.00 Amount of Approved Change Orders: N2 1 Revised Contract Amount: 3,000,000 Total Cost Work Completed: $2,981,968.90 Less Deductions: Liquidated Damages: Days @$210.00/Day Other Deductions(see comments): Total Deduction Amount: $0.00 Total Cost Work Completed: $2,981,968.90 UFFICIAL RECORr Less Previous Payments: $2,981,968.90 Final Payment Due $0.00 FT.WORTH,TJX Recommended for Acceptance Date Engineering Manager, Water Engineering and Fiscal Services Division Accepted Date Assistant Director, Water Department / 4 if City Manager t Date JAN 1 1,1,io_� S '-- t 01` 7 Project Name: P258-7011701017 DOE. Ns: 6017 Comments: t k�5dVA ' L JAN 01 201$ z5- 00-7 - C(�l d l City Project Numbers 01017 DOE Number 6017 Contract Name Sanitary Sewer rehabilitation Pipe Enlargement Estimate Number t 61 Contract Limits Contract 2008A Payment Number 161 Project Type Sanitary Sewer Rehab. For Period Ending 7/31/2017 Project Funding Project Manager LopezA City Secretary Contract Number 38370 Inspectors D Johnson / Geiger Contract Date 3/3/2009 Contractor CIRCLE C CONSTRUCTION COMPANY Contract Time 365 CD PO BOX 40328 Days Charged to Date 2677 CD FORT WORTH, TX 76140 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 $2,981,968.90 Less % Retained $0.00 Net Earned $2,981,968.90 Earned This Period $0.00 Retainage This Period $0.00 WATER DEPARTMENT Less Liquidated Damages ENGINEERING AND FISCAL SERVICES 9 Contact Petson- Fteather Oakes-Ext.3252 0 Days @ $0.00 /Day $0.00 Dep a A,�pro� Signature for LessPavement Deficiency $0,00 rx L/ Less Penalty $0.00 DEPARTMENT ChECK P!CK-UP YES © Less Previous Payment $2,981,968.90 Plus Material on Hand Less 15% $0.00 Balance Due This Payment $0.00 Tuesday,August 29,2017 Page 6 of 6 FOR4:T WORTH :-4boo"O—� CITY OF FORT WORTH FINAL PAYMENT REQUEST Contract Name Sanitary Sewer rehabilitation Pipe Enlargement Contract Limits Contract 2008A Project Type Sanitary Sewer Rehab. City Project Numbers 01017 DOE Number 6017 Estimate Number 161 Payment Number 161 For Period Ending 7/31/2017 CD City Secretary Contract Number 38370 Contract Time 36E1) Contract Date 3/3/2009 Days Charged to Date 2677 Project Manager LopezA Contract is 161.00 Complete Contractor CIRCLE C CONSTRUCTION COMPANY PO BOX 40328 FORT WORTH, TX 76140 Inspectors D Johnson / Geiger Tuesday,August 29,2017 Page 1 of 6 City Project Numbers 01017 DOE Number 6017 Contract Name Sanitary Sewer rehabilitation Pipe Enlargement Estimate Number 161 Contract Limits Contract 2008A Payment Number 161 Project Type Sanitary Sewer Rehab. For Period Ending 7/31/2017 Project Funding Sanitary Sewer Rehab Pipe Enlrgmnt Contract 2008A Item Description of Items Estimated Estimated Completed Completed No. p Unit Unit Cost P p - Quanity Total Quanity Total 7 6 INCH SANITARY SEWER SERVICE TAP 10 EA $1,500.00 $15,000.00 4 $6,000.00 28 4 INCH S.S.SERV.LINE CONNECTION> 100 LF $35.00 $3,500.00 1420 $49,700.00 29 4 INCH S.S.SERV.LINE CONNECTION> 100 LF $45.00 $4,500.00 135 $6,075.00 30 4 INCH S.S.SERV.LINE CONNECTION> 100 LF $55.00 $5,500.00 31 6 INCH S.S.SERV.LINE CONNECTION> 20 LF $40.00 $800.00 16 $640.00 32 6 INCH S.S.SERV.LINE CONNECTION> 20 LF $50.00 $1,000.00 33 6INCH S.S.SERV.LINE CONNECTION> 20 LF $60.00 $1,200.00 34 4 INCH PVC S.S.SERV.2-WAY CLEANOUT 100 EA $500.00 $50,000.00 325 $162,500.00 35 6 INCH PVC S.S.SERV.2-WAY CLEANOUT 100 EA $600.00 $60,000.00 4 $2,400.00 36 4 INCH CAST IRON S.S.SERV.2-WAY CL 100 EA $600.00 $60,000.00 15 $9,000.00 37 6 INCH CAST IRON S.S.SERV.2-WAY CL 100 EA $700.00 $70,000.00 38 POINT REPAIR 0'-10' DEPTH 100 LF $100.00 $10,000.00 409.83 $40,983.00 39 POINT REPAIR 10'-12' DEPTH 100 LF $120.00 $12,000.00 40 POINT REPAIR 12'-14' DEPTH 100 LF $150.00 $15,000.00 41 TRENCH SAFETY SYSTEM 2000 LF $10.00 $20,000.00 1976 $19,760.00 42 CUT AND PLUG EXISTING MAINS(ALL SIZ 5 EA $2,000.00 $10,000.00 1 $2,000.00 43 JOB MOVE-IN 25 EA $2,000.00 $50,000.00 30 $60,000.00 44 EMERGENCY SITUATION JOB MOVE IN 10 EA $3,000.00 $30,000.00 8 $24,000.00 45 HYDRO MULCH SEEDING 50 LF $5.00 $250.00 3723 $18,615.00 46 SODDING 50 LF $10.00 $500.00 2260 $22,600.00 47 CRUSHED LIMESTONE 5 CY $1.00 $5.00 48 CLASS-B CONCRETE(#2500) 5 CY $1.00 $5.00 49 CLASS-E CONCRETE(#1500) 5 CY $1.00 $5.00 50 18"ROCK RIPRAP 20 SY $135.00 $2,700.00 51 24"ROCK RIPRAP 20 SY $200.00 $4,000.00 52 CONCRETE SIDEWALK/DRIVEWAY REPLACE 10 SY $100.00 $1,000.00 286.95 $28,695.00 53 CONCRETE CURB AND GUTTER 50 LF $40.00 $2,000.00 109.2 $4,368.00 REPLACEMENT 54 BRICK ON REINFORCED CONCRETE 50 LF $150.00 $7,500.00 55 CONCRETE PAVEMENT ON 2:27 CONCRETE B 100 LF $150.00 $15,000.00 96.2 $14,430.00 56 MIN.2 INCH HMAC ON 2:27 CONCRETE BA 250 LF $85.00 $21,250.00 917.8 $78,013.00 Tuesday,August 29,2017 Page 2 of 6 City Project Numbers 01017 DOE Number 6017 Contract Name Sanitary Sewer rehabilitation Pipe Enlargement Estimate Number 161 Contract Limits Contract 2008A Payment Number 161 Project Type Sanitary Sewer Rehab. For Period Ending 7/31/2017 Project Funding 57 2 INCH HMAC ON 2:27 CONCRETE BASE 100 LF $80.00 $8,000.00 16 $1,280.00 58 MIN. 1-1/2 INCH HMAC ON REINFORCED C 100 LF $80.00 $8,000.00 95 $7,600.00 59 2 INCH HMAC ON 8 INCH CRUSHED STONE 100 LF $15.00 $1,500.00 17.36 $260.40 60 2 INCH HOT MIX TEMPORARY PAVEMENT RE 100 LF $15.00 $1,500.00 61 FLEX BASE MATERIAL FOR TEMPORARY PAV 100 LF $12.00 $1,200.00 40 $480.00 62 REPLACE PAVING IN PARKING AREA 100 SY $30.00 $3,000.00 38.3 $1,149.00 63 TRAFFIC PERMIT FOR UTILITY STREET CU 20 EA $50.00 $1,000.00 5 $250.00 64 TRAFFIC CONTROL PLAN DESIGN AND INST 20 EA $800.00 $16,000.00 11 $8,800.00 1 REHAB.OF EXIST.6"S.S.PIPE BURST 2500 LF $65.00 $162,500.00 15363.4 $998,621.00 2 REHAB.OF EXIST.8"S.S.PIPE BURST 2500 LF $65.00 $162,500.00 3364.7 $218,705.50 3 REHAB.OF EXIST.8"S.S.PIPE BURST 1000 LF $70.00 $70,000.00 4 REHAB.OF EXIST.8"S.S.PIPE BURST 200 LF $75.00 $15,000.00 5 REHAB.OF EXIST. 10"S.S.PIPE BURST 200 LF $80.00 $16,000.00 230 $18,400.00 6 REHAB.OF EXIST. 10"S.S.PIPE BURST 200 LF $85.00 $17,000.00 7 REHAB.OF EXIST, 12"S.S.PIPE BURST 200 LF $90.00 $18,000.00 8 REHAB.OF EXIST. 12"S.S.PIPE BURST 200 LF $110.00 $22,000.00 9 REHAB.OF EXIST. 15"S.S.PIPE BURST 200 LF $150.00 $30,000.00 10 STANDARD 4 FT.DIAMETER MANHOLE TO 5 50 EA $3,000.00 $150,000.00 43 $129,000.00 11 ADDITIONAL DEPTH OVER 5 FT.OF 4 FT. 100 VF $250.00 $25,000.00 34.3 $8,575.00 12 STANDARD 4 FT.DIAMETER DROP MANHOLE 5 EA $4,000.00 $20,000.00 3 $12,000.00 13 ADDITIONAL DEPTH OVER 5 FT.OF 4 FT. 10 VF $350.00 $3,500.00 23.3 $8,155.00 14 FIBERGLASS MANHOLE 40 EA $3,500.00 $140,000.00 29 $101,500.00 15 ADDITIONAL DEPTH OVER 5 FT.OF FIBER 80 VF $300.00 $24,000.00 40.4 $12,120.00 16 INTERIOR PROTECTIVE MANHOLE COATING 5 VF $200.00 $1,000.00 27 $5,400.00 17 SHALLOW MANHOLE 5 EA $3,000.00 $15,000.00 9 $27,000.00 18 CONCRETE COLLAR FOR MANHOLE 100 EA $300.00 $30,000.00 19 $5,700.00 19 WATERTIGHT MANHOLE INSERT 100 EA $200.00 $20,000.00 7 $1,400.00 20 VACUUM TEST OF SEWER MANHOLE 100 EA $200.00 $20,000.00 67 $13,400.00 21 ADJUST AND SEAL EXISTING MANHOLE 5 EA $1,000.00 $5,000.00 1 $1,000.00 22 REMOVE EXISTING SEWER MANHOLE 15 EA $800.00 $12,000.00 52 $41,600.00 23 ABANDON EXISTING SEWER MANHOLE 10 EA $800.00 $8,000.00 24 PRE-CONST.CLEANING&T.V.INSPECTIO 2000 LF $10.00 $20,000.00 15059.5 $150,595.00 25 POST CONST.T.V.INSPECTION OF S.S. 7000 LF $5.00 $35,000.00 16863.8 $84,319.00 26 4 INCH SANITARY SEWER SERVICE TAP 100 EA $1,000.00 $100,000.00 359 $359,000.00 Tuesday,August 29,2017 Page 3 of 6 City Project Numbers 01017 DOE Number 6017 Contract Name Sanitary Sewer rehabilitation Pipe Enlargement Estimate Number 161 Contract Limits Contract 2008A Payment Number 161 Project Type Sanitary Sewer Rehab. For Period Ending 7/31/2017 Project Funding A-6 32"Manhole Ring and Cover 100 EA $950.00 $95,000.00 82 $77,900.00 A-6 Concrete Collar for 32"Manhole Ring 100 EA $400.00 $40,000.00 49 $19,600.00 A-6 REVISED TRAFFIC PERMIT FOR UTILITY 20 EA $75.00 $1,500.00 2 $150.00 STREET CU A-6 Wastewater Access device 1 EA $1,250.00 $1,250.00 1 $1,250.00 A-6 Revised Traffic Permit for Uttility Street Cuts I EA $75.00 $75.00 1 $75.00 A-7 Flowable Fill in Lieu of Backfill 20 CY $100.00 $2,000.00 20 $2,000.00 A-7 Rehabilitation of Existing 4"Sewer by Pipe Burst 100 LF $65.00 $6,500.00 27 $1,755.00 A-7 Wood box tunnel including Placement of grout 50 LF $450.00 $22,500.00 185 $83,250.00 A-7 Rock Patio Repair 300 SF $8.00 $2,400.00 200 $1,600.00 A-7 12'Dia.Shaft 27 VF $600.00 $16,200.00 27 $16,200.00 A-7 Hand Excavation for MH Shaft 8 VF $800.00 $6,400.00 8 $6,400.00 A-7 Exploratory Excavation 5'-10' 2 EA $1,500.00 $3,000.00 2 $3.000.00 A-7 Flowable Fill 27 CY $100.00 $2,700.00 27 $2,700.00 Sub-Total of Previous Unit $1,853,940.00 $2,981,968.90 Tuesday,August 29,2017 Page 4 of 6 City Project Numbers 01017 DOE Number 6017 Contract Name Sanitary Sewer rehabilitation Pipe Enlargement Estimate Number 161 Contract Limits Contract 2008A Payment Number 161 Project Type Sanitary Sewer Rehab. For Period Ending 7/31/2017 Project Funding Contract Information Summary Original Contract Amount $1,000,000.00 Chan6e Orders Total Contract Price $1,853,940.00 Date Total Cost of Work Completed $2,981,968.90 Contract Less %Retained $0.00 Net Earned $2,981,968.90 Date _ Earned This Period $0.00 InspectiSp Supervisor Datb��/Jl� Retainage This Period $0.00 Less Liquidated Damages r Project Manaa Days @ /Day $0.00 l� Date LessPavement Deficiency $0.00 Asst.�.%Director/TPW-Infrastructure Design and Construction Less Penalty $0.00� tIt, Date Less Previous Payment $2,981,968.90 Director/Contracting Department Plus Material on Hand Less 15% $0.00 Balance Due This Payment $0.00 Tuesday,August 29,2017 Page 5 of 6 FORTWORTH rev 03/0 /07 WATER ENGINEERING & FISCAL SERVICES FINAL STATEMENT OF CONTRACT TIME FINAL STATEMENT NO.: 161 NAME OF PROJECT: Sanitary Sewer Rehabilitation By Pipe Enlargement PROJECT NO.: P258-7011701017 CONTRACTOR: Circle " C " Construction CITY PROJECT 1017 PERIOD FROM 07/16/17 TO: 07/31/17 FINAL INSPECTION DATE: 6/30/2016 WORK ORDER EFFECTIVE:3/3/2009 CONTRACT TIME: 365 O WD* 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 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 PREVIOUS PERIOD 2677 2677 TOTALS TO DATE 2677 2677 "REMARKS: off- —1 CONTRACTOR DATE INSPECTOR DATE WATER ENGINEERING&FISCAL SERVICES The City of Fort Worth• 1000 Throckmorton Street•Fort Worth,TZ 76012-6311 (817) 392-4477 •Fax: (817) 392- 8460 FQR:- TWORT-H WATER ENGINEERING & FISCAL SERVICES PIPE REPORT FOR: PROJECT NAME: Sanitary Sewer Rehabilitation By Pipe Enlargement PROJECT NUMBER: P258-7011701017 DOE NUMBER: 6017 WATER PIPE LAID SIZE TYPE OF PIPE LF 0 0 0 0 FIRE HYDRANTS: 0 VALVES(16" OR LARGER) 0 PIPE ABANDONED SIZE TYPE OF PIPE LF DENSITIES: 0 NEW SERVICES: 0 SEWER PIPE LAID SIZE TYPE OF PIPE LF HDPE 10" HDPE 230 HDPE 8" HDPE 18.728.1 ' PIPE ABANDONED SIZE TYPE OF PIPE LF Clay/Concrete 1011 Clay/Concrete 730 Clay/Concrete 777-- Clay/Concrete 3,364.7' Clay/Concrete 6 " Clay/Concrete 15,363.4' DENSITIES: NEW SERVICES: WATER ENGINEERING&c FISCAL SERVICES The City of Fort Worth• 1000 Throckmorton Street•Fort Worth,TX 76012-6311 (817) 392-4477•F&x: (817) 392-8460 FORTWORTHREV:02/20/07 WATER ENGINEERING & FISCAL SERVICES PERFORMANCE EVALUATION OF CONTRACTOR I) CONTRACTOR&PROJECT DATA Name of Contractor Project Name Circle " C " Construction Sanitary Sewer Rehabilitataion By Pipe Enlargement Water Engineering Inspector DOE Number Paul L. Gieger 6017 Water Engineering Inspector Project Manager ❑Water ❑Waste Water Q Storm Drainage ❑ Pavement James A. Deeter Initial Contract Amount Project Difficulty $1,654,415.00 O Simple Routine O Complex Final Contract Amount Date $2,981,968.90 8/11/2017 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 2 8 4 2 Public Notifications 5 Y 4 20 20 3 Plans on Site 5 Y 3 20 15 4 Field Supervision 15 Y 3 60 45 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 Y 3 20 15 11 Property Restoration 5 Y 4 20 20 12 After Hours Response 5 Y 3 20 15 13 Project Completion 5 Y 4 20 20 TOTAL ELEMENT SCORE(A) 349 BONUS POINTS(25 Maximum)(B) III)CONTRACTOR'S RATING TOTAL SCORE(TS) 349 Maximum Score(MS)=448 or sum of applicable element score maximums which= 448 Rating([TS/MS] x 100%) 349 / 448 = 78% Performance Category Good <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 Inspector ✓�/� Signature Contractor Signature Inspector's Supervisor CONTRACTOR'S COMMENTS WATER ENGINEERING&FISCAL SERVICES The City of Fort Worth• 1000 Throckmorton Street•Fort Worth,TX 76012-6311 (817)392-4477 •Fax: (817)392-8460 FORTWORTHREV:0'/22'07 WATER ENGINEERING AND FISCAL SERVICES CONTRACTOR'S EVALUATION OF CITY I)PROJECT INFORMATION Date: I 11-Aum 17 Name of Contractor Project Name Circle" C "Construction Sanitary Sewer Rehabilitation By Pipe Enlargement Water Engineering Inspector Project Manager Paul L. Gieger James A.Deeter P.E. DOE Number Project Difficulty Type of Contract 6017 O Simple * Routine Q Complex ❑ water ❑� waste water ❑ Storm Drainage ❑ Pavement Initial Contract Amount Final Contract Amount $1,654,415.00 1$2,981,968.90 II)PERFORMANCE EVALUATION 0-Inadequate 1 -Deficient 2- Standard 3 -Good 4-Excellent ELEMENT RATING ELEMENT RATING 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 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 Inspector Signature Inspector's Supervisor INSPECTOR'S COMMENTS Water Engneering and Fiscal Services The City of Fort Worth• 1000 Throckmorton Street•Fort Worth,TX 76012-6311 (817) 392-4477 •Fax: (817)392-8460 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 Teresa S Skelly, President Of William J Schultz Inc. dba Circle C Construction Company, 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; Sanitary Sewer Rehabilitation Pipe Enlargement Contract 2008A BY ��a S Skelly Subscribed and sworn before me on this date 26 of June, 2017. Notary Public Tarrant, Texas ;o Pav MICHELE S.LANKFORD Notary Public wf *= NATE OF TEXAS Notary!D#1175946-6 My Comm.Exp.October 7.2019 CONSENT OF SURETY OWNER TO FINAL PAYMENT ARCHITECT El AIA Document G707 CONTRACTOR SURETY El OTHER El Bond No.TXC107216 TO OWNER: ARCHITECT'S PROJECT NO.: Sewer Project No.P258-7011701017 City of Fort Worth City Project No. 1017;DOE No.6017 1000 Throckmorton Street Fort Worth,TX 76111 CONTRACT FOR: Utility Improvements CONTRACT DATED: March 3,2009 PROJECT: (name, address) Sanitary Sewer Rehabilitation Pipe Enlargement Contract 2008A in the City of Fort Worth,TX In accordance with the provisions of the Contract between the Owner and the Contractor as indicated above,the (Insert name and address of Surety) Merchants Bonding Company(Mutual) 2100 Fleur Drive Des Moines,IA 50321-1158 SURETY on bond of (Insert name and address of Contractor) William J.Schultz,Inc.dba Circle C Construction Company P.O.Box 40328 Fort Worth,TX 76140 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 76111 OWNER, as set forth in the said Surety's bond. IN WITNESS WHEREOF,the Surety has hereunto set its hand this date: June 21,2017 (Insert in writing the month followed by the numeric date and year.) Merchants inQ Company(Mutual) (Surety) (Signattire of authorized presentative) Attest: Witness as to Surety: Sheryl A.IGutts,Attorney-in-Fact (Seal): (Printed name and title) John A.Miller,.Witness 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 AIA DOCUMENT G707•CONSENT OF SURETY COMPANY TO FINAL PAYMENT•April 1970 Edition•AIA® One Page ©1970•THE AMERICAN INSTITUTE OF ARCHITECTS,1735 New York Ave.,NW,Washington,D.C.20006 .MERCHANT BONDING COMPANY POWER OF ATTORNEY Know All Persons By These Presents,that MERCHANTS BONDING COMPANY(MUTUAL)and MERCHANTS NATIONAL BONDING,INC., both being corporations of the State of Iowa(herein collectively called the"Companies")do hereby make,constitute and appoint,individually, John A Miller;John R Stockton;Sheryl A Klutts their true and lawful Attorneys)-in-Fact, to sign its name as surety(ies) 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. This Power-of-Attorney is granted and is signed and sealed by facsimile under and by authority of the following By-Laws adopted by the Board of Directors of Merchants Bonding Company(Mutual) on April 23, 2011 and amended August 14, 2015 and adopted by the Board of Directors of Merchants National Bonding,Inc.,on October 16,2015. "The President, Secretary,Treasurer, or any Assistant Treasurer or any Assistant Secretary or any Vice President shall have power and authority to appoint Attomeys-in-Fact, and to authorize them to execute on behalf of the Company, and attach the seal of the Company thereto, bonds and undertakings,recognizances,contracts of indemnity and other writings obligatory in the nature thereof." "The signature of any authorized officer and the seal of the Company may be affixed by facsimile or electronic transmission to any Power of Attorney or Certification thereof authorizing the execution and delivery of any bond, undertaking, recognizance, or other suretyship obligations of the Company,and such signature and seal when so used shall have the same force and effect as though manually fixed." In connection with obligations in favor of the Florida Department of Transportation only,it is agreed that the power and aut hority hereby given to the Attorney-in-Fact includes any and all consents for the release of retained percentages and/or final estimates on engineering and construction contracts required by the State of Florida Department of Transportation. It is fully understood that consenting to the State of Florida Department of Transportation making payment of the final estimate to the Contractor and/or its assignee, shall not relieve this surety company of any of its obligations under its bond. In connection with obligations in favor of the Kentucky Department of Highways only,it is agreed that the power and authority hereby given to the Attorney-in-Fact cannot be modified or revoked unless prior written personal notice of such intent has been given to the Commissioner- Department of Highways of the Commonwealth of Kentucky at least thirty(30)days prior to the modification or revocation. In Witness Whereof,the Companies have caused this instrument to be signed and sealed this 6th day of April 2017 ,.•••p11.. 44••••. .**1AG Ne.,•y - FtPQ/,�'-eo•. •p •' Q09.A,f•• MERCHANTS BONDING COMPANY(MUTUAL) 61� 6 9�'� y: :G� 9,,;_��: MERCHANTS NATIONAL BONDING,INC. sv� 2003 ;fie: y~ 1933 �'c' By .��•`ji...........�� �J,.* *W**11; President STATE OF IOWA ••••"•'■•"•••,' ••�'••''•� COUNTY OF DALLAS ss. On this-this 6th-day-of April 2017 before me-appeared Larry Taylor;-to me-personally-known,who-being-by-me-duly sworn did say that he is President of MERCHANTS BONDING COMPANY (MUTUAL) and MERCHANTS NATIONAL BONDING, INC.; and that the seals affixed to the foregoing instrument are the Corporate Seals of the Companies;and that the said instrument was signed and sealed in behalf of the Companies by authority of their respective Boards of Directors. A?' s AUCIA K.GRAM 0 v Commission Number 767430 My Commission Expires �[ • ra,,,,� April 1,2020 t` Notary Public (Expiration of notary's commission does not invalidate this instrument) I,William Warner,Jr.,Secretary of MERCHANTS BONDING COMPANY(MUTUAL)and MERCHANTS NATIONAL BONDING,INC.,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 and effect and has not been amended or revoked. In Witness Whereof, I have hereunto set my hand and affixed the seal of the Companies on this 21st day of June 12017 . ••110Nq•' �..•-- �P . < p\N _Cph. •�• oLPQR4'�o• .04.ORPQgq'Oyy• i%�/ ice✓ v'- 2003 ;o y 1933 Secretary '• ;ad. rte`.. POA 0018 (3/17) FORTWORTH August 29,2017 Circle "C" Construction PO Bos 40328 Fort Worth,TX 76140 Re:Acceptance Letter Project Name: Sanitary Sewer Rehabilitation Pipe Enlargement Contract 2008A Project Type: Sanitary Sewer Rehabilitation Project Ns: 01017 DOE. Ns: 6017 Contract Ns: 38370 Dated: 3/3/2009 Gentleman: On June 30,2016 a final inspection was made on the subject project. There were punch list items identified at the time. The punch list items were completed on June 30, 2016. The final inspection and the corrected punch list items indicate that the work meets the City of Fort Worth specifications and is therefore accepted by the City. The warranty period will start on June 30,2016,which is the date of punch list completion and will extend for (2) years in accordance with the Contract Documents. If you have any questions concerning this letter of acceptance,please feel free to contact me at(817) 392-6054 Yours Truly, � A S �I J H y Tony Sholola,P.E.,Engineering Manager TS / cc: Kara Shuror,Acting Director,Water Department Chris Harder,P.E.,Assistant Director,Water Department Captain Michael Skains,Fire Department Bill Lundval,Sanitary Sewer Systems Superintendent,Water Department Roger Hauser, Water Systems Superintendent,Water Department Adolfo Lopez,Project Manager David R Johnson,Supervisor,Water Engineering Paul Gieger,Inspector,Water Engineering , Consultant Teri Skelly, Circle "C" Construction, Contractor File WATER DEPARTMENT ENGINEERING AND FISCAL SERVICES THE CITY OF FORT WORTH * 1000 THROCKMORTON STREET * FORT WORTH, TEXAS 76102 817-392-8240 * FAX 817-392-8195 C, Printed on recycled paper