HomeMy WebLinkAboutContract 49182-FP3 3epartmen_ t,,pf T�8�W Const.Services
aPN# ' _ ; Date I�
Project Manager '
Risk Management Canad ITWORTH, CITY SECRETARY
D.O.E. Brotherton CONTRACT NO. v o'l" 3
CFA Morales/Scanned
Gutzler/Scanned
The Proceeding people have been Contacted
concerning the request for final payment&have 'ATION AND PUBLIC WORKS / Q
released this project for such payment. T PROJECT COMPLETION ()op !bb��
Developer Projects)
Clearance Conducted By 01wU& City Project Ns: 100872
Regarding contract 100872 for PRIMROSE CROSSING PHASE 3C as required by the WATER DEPARTMENT
as appro-.--,d 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.
Original Contract Price: 5343,942.66
Amount of Approved Change Orders: Ns
Revised Contract Amount:
Total Cost Work Completed: $343,942.66
Recommendr Acceptance Date
Asst. Dire ctoVTOP
W - Development Services
Accepted Date
Asst, Director, WATER DEPARTMENT
" L
Asst. City Manager Date
meats.
h►
.101
OFFICIAL RECORD
e Cb CITY SECRETARY
Cn
FT..WORTH, TX
/22/16 .
Vz� �� °�
FoRTWORTH
CITY OF FORT WORTH
FINAL PAYMENT REQUEST
Contract Name PRIMROSE CROSSING PHASE 3C
Contract Limits
Project Type WATER&SEWER
City Project Numbers 100872
DOE Number 8720
Estimate Number 1 Payment Number I For Period Ending 2/9/2018
WD
City Secretary Contract Number Contract Time l IWD
Contract Date 5/16/2017 Days Charged to Date 198
Project Manager NA Contract is 100.00 Complete
Contractor C.W.YOUNG CONSTRUCTION
210 S.SIXTH STREET
MANSFIELD, TX 76063
Inspectors DICKINSON / DIVER
Friday,February 9,2018 Page 1 of 4
City Project Numbers 100872 DOE Number 8720
Contract Name PRIMROSE CROSSING PHASE 3C Estimate Number 1
Contract Limits Payment Number 1
Project Type WATER&SEWER For Period Ending 2/9/2018
Project Funding
UNIT I:WATER IMPROVEMENTS
Item Description of Items Estimated Unit Unit Cost Estimated Completed Completed
No. Quanity Total
Quanity Total
--------- -------------------------- ----
1 ------- --- ------------------ --
1 TRENCH SAFETY 2928 LF $0.26 $761.28 2928 $761.28
2 DUCTILE IRON WATER FITTING W/RESTRAINT 1.3 TN $5,660.00 $7,358.00 1.3 $7,358.00
3 8"WATER PIPE 2904 LF $24.50 $71,148.00 2904 $71,148.00
4 8"DIP WATER 24 LF $37.55 $901.20 24 $901.20
5 FIRE HYDRANT 4 EA $4,132.69 $16,530.76 4 $16,530.76
6 CONNECTION TO EXISTING 4"-12"WATER 2 EA $540.00 $1,080.00 2 $1,080.00
MAIN
7 1"WATER SERVICE 62 EA $662.44 $41,071.28 62 $41,071.28
8 8"GATE VALVE 8 EA $1,157.00 $9,256.00 8 $9,256.00
----------- - - ---------- ------------------
Sub-Total of Previous Unit $148,106.52 $148,106.52
UNIT II:SANITARY SEWER IMPROVEMENTS
Item Description of Items Estimated Unit Unit Cost Estimated Completed Completed
No. Quanity Total
Quanity Total
----------- -- -- ---- ----------------------____
1 POST-CCTV INSPECTION 2180 LF $1.17 $2,550.60 2180 $2,550.60
2 MANHOLE VACUUM TESTING 8 EA $100.00 $800.00 8 $800.00
3 TRENCH SAFETY 2180 LF $0.26 $566.80 2180 $566.80
4 4"SEWER SERVICE(SDR-26) 62 EA $579.00 $35,898.00 62 $35,898.00
5 8"SEWER PIPE(SDR-26) 2180 LF $53.43 $116,477.40 2180 $116,477.40
6 8"SEWER PIPE CSS BACKFILL 104 LF $80.22 $8,342.88 104 $8,342.88
7 EPDXY MANHOLE LINER 25 VF $197.00 $4,925.00 25 $4,925.00
8 4'MANHOLE 7 EA $2,632.52 $18,427.64 7 $18,427.64
9 4'EXTRA DEPTH MANHOLE 15.7 VF $229.00 $3,595.30 15.7 $3,595.30
10 4'MANHOLE AND CONNECT TO EXISTING 8" 1 EA $4,252.52 $4,252.52 1 $4,252.52
LINE
--------------------------------------
Sub-Total of Previous Unit $195,836.14 $195,836.14
--------------------------------------
Friday,February 9,2018 Page 2 of 4
City Project Numbers 100872 DOE Number 8720
Contract Name PRIMROSE CROSSING PHASE 3C Estimate Number 1
Contract Limits Payment Number 1
Project Type WATER&SEWER For Period Ending 2/9/2018
Project Funding
Contract Information Summary
Original Contract Amount $343,942.66
Chance Orders
Total Contract Price $343,942.66
l r
w Date Total Cost of Work Completed $343,942.66
ractor _ Less %Retained $0.00
n, Net Earned $343,942.66
at vX
gection Supervisor Earned This Period $343,942.66
Retainage This Period $0.00
F�-hu od Q✓1 Date
Proje ag r Less Liquidated Damages
Days @ /Day $0.00
Date �' LessPavement Deficiency $0.00
Asst.
Di / f Less Penalty $0.00
MC� Date VZ / fi Less Previous Payment $0.00
Director/Contracting Department Plus Material on Hand Less 15% $0.00
Balance Due This Payment $343,942.66
Friday,February 9,2018 Page 3 of 4
5-6 OW -. 1 069-7 �
City Project Numbers 100872 DOE Number 8720
Contract Name PRIMROSE CROSSING PHASE 3C Estimate Number I
Contract Limits Payment Number 1
Project Type WATER&SEWER For Period Ending 2/9/2018
Project Funding
Project Manager NA City Secretary Contract Number
Inspectors DICKINSON / DIVER Contract Date 5/16/2017
Contractor C.W.YOUNG CONSTRUCTION Contract Time 115 WD
210 S.SIXTH STREET Days Charged to Date 198 WD
MANSFIELD, TX 76063 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
$343,942.66
Less %Retained $0.00
Net Earned $343,942.66
Earned This Period $343,942.66
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 $343,942.66
Friday,February 9,2018 Pave 4 of 4
ITWORTH@
—1
:ontacted
ment& have 'ATION AND PUBLIC WORKS /
` ,ent. F PROJECT COMPLETION 5C� 002 — bb��
Developer Projects)
rCity Project Ns: 100872
esfY/�Z
PRIMROSE CROSSING PHASE 3C as required by the WATER DEPARTMENT
as apprm-cc� ay N/A through M&C N/A the director of the WATER DEPARTMENT upon the
recommendation of the 1lssi3tar=t Dixector of the Transportation Public Works Department has accepted the project
as complete.
Original Contract Price: $343,942.66
Amount of Approved Change Orders: No
Revised Contract Amount:
Total Cost Work Completed: $343,942.66
Recommendrr Acceptance Date
Asst. DirectoPW - Development Services
/' /,"' d�
Accepted Date
Asst. Director, WATER DEPARTMENT
Asst. City Manager Date
Comments:
Rev.9/22/16 (J
FORT WORTH
CITY OF FORT WORTH
FINAL PAYMENT REQUEST
Contract Name PRIMROSE CROSSING PHASE 3C
Contract Limits
Project Type WATER&SEWER
City Project Numbers 100872
DOE Number 8720
Estimate Number 1 Payment Number 1 For Period Ending 2/9/2018
WD
City Secretary Contract Number Contract Time 11WD
Contract Date 5/16/2017 Days Charged to Date 198
Project Manager NA Contract is 100.00 Complete
Contractor C.W.YOUNG CONSTRUCTION
210 S.SIXTH STREET
MANSFIELD, TX 76063
Inspectors DICKINSON / DIVER
Friday,February 9,2018 Page 1 of 4
City Project Numbers 100872 DOE Number 8720
Contract Name PRIMROSE CROSSING PHASE 3C Estimate Number 1
Contract Limits Payment Number 1
Project Type WATER&SEWER For Period Ending 2/9/2018
Project Funding
UNIT I:WATER IM[PROVENfENfS
Item Description of Items Completed
Estimated Estimated Completed
No. P Unit Unit Cost Total Quanity Total
P
---------------------------------------—____—_— Quanity
—————————————————————
1 TRENCH SAFETY 2928 LF $0.26 $761.28 2928 $761.28
2 DUCTILE IRON WATER FITTING W/RESTRAINT 1.3 TN $5,660.00 $7,358.00 1.3 $7,358.00
3 8"WATER PIPE 2904 LF $24.50 $71,148.00 2904 $71,148.00
4 8"DIP WATER 24 LF $37.55 $901.20 24 $901.20
5 FIRE HYDRANT 4 EA $4,132.69 $16,530.76 4 $16,530.76
6 CONNECTION TO EXISTING 4"-12"WATER 2 EA $540.00 $1,080.00 2 $1,080.00
MAIN
7 1"WATER SERVICE 62 EA $662.44 $41,071.28 62 $41,071.28
8 8"GATE VALVE 8 EA $1,157.00 $9,256.00 8 $9,256.00
--------------- --- -----------------------
Sub-Total of Previous Unit $148,106.52 $148,106.52
UNIT II:SANITARY SEWER IMPROVEMENTS
Item Description of Items Estimated Unit Unit Cost Estimated Completed Completed
No. Quanity
Total Quanity Total
---------------------------------------
I ------------------------------
1 POST-CCTV INSPECTION 2180 LF $1.17 $2,550.60 2180 $2,550.60
2 MANHOLE VACUUM TESTING 8 EA $100.00 $800.00 8 $800.00
3 TRENCH SAFETY 2180 LF $0.26 $566.80 2180 $566.80
4 4"SEWER SERVICE(SDR-26) 62 EA $579.00 $35,898.00 62 $35,898.00
5 8"SEWER PIPE(SDR-26) 2180 LF $53.43 $116,477.40 2180 $116,477.40
6 8"SEWER PIPE CSS BACKFILL 104 LF $80.22 $8,342.88 104 $8,342.88
7 EPDXY MANHOLE LINER 25 VF $197.00 $4,925.00 25 $4,925.00
8 4'MANHOLE 7 EA $2,632.52 $18,427.64 7 $18,427.64
9 4'EXTRA DEPTH MANHOLE 15.7 VF $229.00 $3,595.30 15.7 $3,595.30
10 4'MANHOLE AND CONNECT TO EXISTING 8" 1 EA $4,252.52 $4,252.52 1 $4,252.52
LINE
Sub-Total of Previous Unit $195,836.14 $195,836.14
Friday,February 9,2018 Page 2 of 4
City Project Numbers 100872
DOE Number 8720
Contract Name PRIMROSE CROSSING PHASE 3C Estimate Number 1
Contract Limits Payment Number 1
Project Type WATER&SEWER For Period Ending 2/9/2018
Project Funding
Contract Information Summary
Original Contract Amount $343,942.66
Chance Orders
Total Contract Price $343,942.66
r C
Date 2 13 Total Cost of Work Completed $343,942.66
actor Less %Retained $0.00
�s
t� Net Earned $343,942.66
�4sff2'
vX
4ction Supervisor Earned This Period $343,942.66
Retainage This Period $0.00
0.4 A✓► Date Z 2p r Less Liquidated Damages
Proje ag r
Days @ /Day $0.00
Date '�� �� LessPavement Deficiency $0.00
Asst.Di / / Less Penalty $0.00
z(Date Z / Less Previous Payment $0.00
Director/Contracting Department Plus Material on Hand Less 15% $0.00
Balance Due This Payment $343,942.66
Friday,February 9,2018 Page 3 of 4
City Project Numbers 100872 DOE Number 8720
Contract Name PRIMROSE CROSSING PHASE 3C Estimate Number 1
Contract Limits Payment Number 1
Project Type WATER&SEWER For Period Ending 2/9/2018
Project Funding
Project Manager NA City Secretary Contract Number
Inspectors DICKINSON / DIVER Contract Date 5/16/2017
Contractor C.W.YOUNG CONSTRUCTION Contract Time 115 WD
210 S.SIXTH STREET Days Charged to Date 198 WD
MANSFIELD, TX 76063 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 $343,942.66
Less %Retained $0.00
Net Earned $343,942.66
Earned This Period $343,942.66
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 $343,942.66
Friday,February 9,2018 Page 4 of 4
FORTWORTH rev 03/05/07
TRANSPORTATION & PUBLIC WORKS
FINAL STATEMENT OF CONTRACT TIME
FINAL STATEMENT NO.:1
NAME OF PROJECT: Primrose Crossing Phase 3 C
PROJECT NO.: 100872 CONTRACTOR: C.W. Young Construction
DOE NO.;
PERIOD FROM;07/05/17 TO: 01/19/18 FINAL INSPECTION DATE: 19-Jan-18
WORK ORDER EFFECTIVE:7/5/2017 CONTRACT TIME: 115 Q Wo 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 OTHERS* DAYS TOTAL
& HOLIDAYS &TOO COLD RELOCATIONS CHARGED DAYS
THIS
PERIOD 198
PREVIOUS
PERIOD
TOTALS
TO DATE 198
*REMARKS:
CON CTOR DATE INSISCTOR DA E
ENGINEERING DEPARTMENT
` 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: Primrose Crossing Phase 3C
PROJECT NUMBER: 100872
DOE NUMBER:
WATER
PIPE LAID SIZE TYPE OF PIPE LF
water pipe 8" pvc 2904
FIRE HYDRANTS: 4 VALVES(16" OR LARGER)
PIPE ABANDONED SIZE TYPE OF PIPE LF
DENSITIES: yes
NEW SERVICES: 1" copper 1030
SEWER
PIPE LAID SIZE TYPE OF PIPE LF
sewer 8" pvc 2180
PIPE ABANDONED SIZE TYPE OF PIPE LF
DENSITIES: yes
NEW SERVICES: 4" pvc 1175
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
Name of Contractor Project Name
C.W.Young Primrose Crossing Phase 3C
Inspector City Project Number
James Diver 100872
Construction Components Project Manager
Q Water 0 Waste Water❑ storm Drainage❑ Pavement Khal Jaafari
Initial Contract Amount Project Difficulty
$343,942.66 Q Simple QQ Routine Q Complex
Final Contract Amount Date
$343,942.66 2/13/2018
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 4 20 20
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) 448
BONUS POINTS(25 Maximum)(B)
III)CONTRACTOR'S RATING TOTAL SCORE(TS) 448
Maximum Score(MS)=448 or sum of applicable element score maximums which= 448
Rating([TS/MS] * 100%) 448 / 448 = 100%
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)
P
Inspector Signature Contractor Signature
Inspector's Supervisor Signature t-
CONTRACTOR'S COMMENTS
TRANSPORTATION AND PUBLIC WORKS
The City of Fort Worth•8851 Camp Bowie West Blvd. •Fort Worth,TX 76116 • (817) 392-8306
FORTWORTHREV:02'22/07
TRANSPORTATION AND PUBLIC WORKS
CONTRACTOR'S EVALUATION OF CITY
I)PROJECT INFORMATION Date: 2/13/2018
Nance of Contractor Project Name
C.W. Young Primrose Crossing Phase 3C
DOE Inspector Project Manager
James Diver Khal Jaafari
DOE Number Project Difficulty Tvpe of Contract
100872 0 Simple Q Routine Q ComplexQ Water wastewater[:] Storm Drainage[] Pavement
Initial Contract Amount Final Contract Amount
$343,942.66 $343,942.66
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 y I Accuracy of Plans to Existing Conditions L
2 Knowledge of Inspector 2 Clarity&Sufficiency of Details t
3 Accuracyof Measured Quantities 3 Applicability of Specifications
4 Display Of Professionalism 4 Accuracy of Plan Quantities E
5 Citizen Complaint Resolution PROJECT MANAGER EVALUATION
6 Performance-Setting up Valve Crews,Labs G 1 Knowledge And/Or Problem Resolution L
ADMINISTRATION 2 Availability of Project Manager
1 Change Order Processin.9 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
C
Signature Contractor
Signature DOE Inspector
Signature DOE Inspector's Supervisor J /
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
BOND NUMBER 022057747
OWNER
CONSENT OF SURETY ARCHITECT �
TO FINAL PAYMENT CONTRACTOR
Conforms with the American Institute of SURETY
Architects,AIA Document G707 OTHER
TO OWNER: City of Fort Worth,Texas ARCHITECT'S PROJECT NO.:
(Name and address)500 Crescent Court Suite 350
Dallas,Texas 75201
CONTRACT FOR: primrose Crossing Phase 3C
PROJECT: Primrose Crossing Phase 3C CONTRACT DATED:
(Name and address)
In accordance with the provisions of the Contract between the Owner and the Contractor as indicated above,the
(Insert name and address of Staety)
Liberty Mutual Insurance Company
175 Berkeley Street
Boston, MA 02116
SURETY,
on bond of
(Insert name and address of Contracto)) C.W.Young Construction, L.P.
210 S 6th Ave
Mansfield,Texas 76063
,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 Osvner)
500 Crescent Court, Suite 350
Dallas, Texas 75201
OWNER,
as set forth in said Surety's bond.
IN WITNESS WHEREOF,the Surety has hereunto set its hand on this date: January 19, 2018
(Insert in iariting the month followed by the numeric date andyear.)
Liberty Mutual Insurance Company
(Sureh)
Attest: ( gn of'aut)zoriaed r,p—,ntatire)
Sonia Lara,Attorney-in-Fact
(Printed name and title)
0 Libe
�Mutual.,
SURETY
TEXAS TEXAS
IMPORTANT NOTICE AVISO IMPORTANTE
To obtain information or make a complaint: Para obtener informacion o para someter una
queja:
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 Departamento 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: htM://www.tdi.texas.gov Web: hitp://www.tdi.texas.gov
E-mail: ConsumerProtection@tdi.texas.gov E-mail: ConsumerProtectionktdi.texas. ov
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.
NP 70 68 09 01
LMS-15292 10/15
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.
LibertyMutual Insurance Company Certificate No.7935087
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
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,
Bryant Ahmed;Bill Ballinger;Paul W.Bower;Kevin Claborn•Andrew P Clark;Colin E Conly Aaron T DeRoss• Rachel Duncan LaCasha Grimes
Crystal A Gutierrez,Sonia Lara, Richard S.Maxey Andrew Miner David W Morgan;Diana Perez Tomi J Pope Candace Reynolds Mark Rozewicz
Brian A Smith,Shenssa Stoker,Hilana Tgerma,Todd Tschantz,Alisha Weis
all of the city of Dallas —,state of TX each individually if there be more than one named,its true and lawful attorney-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.
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 9th day of November 2017
T °'F"`' ,'r '``''w< `� `` `'°'''• ` The Ohio Casualty Insurance Company to
0 919 } 1912 c r 1991 Liberty Mutual Insurance Company
x West American Insurance Company
cliO�f^,"gr*.+oS^������ `'�JI''.`.;ni.Huq;��`'`', •qr ir,w� �� •N
N * * .cu.
^0 STATE OF PENNSYLVANIA ss David M.Carey�Assistant Secretary C
COUNTY OF MONTGOMERY
d On this 9th day of November 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 AN
p 0 therein contained by signing on behalf of the corporations by himself as a duly authorized officer. W
.LO..> 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 p,
N SN PAST COMMONWEALTH OF PENNSYLVANIA /f a M
Notarial Seal �"/'/
CC N ° Teresa Pastella,Notary Public By: O
O i� OF Upper Merlon Twp„Montgomery County Teresa Pastella,Notary Public
LO ti� sv1.NA�PG My Commission Expires March 28,2021
O 0 �T,q�,PVgV� Mernbor.Pennsylvania Association of Nolan" d
Cm' 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 to p�
6 Insurance Company,and West American Insurance Company which resolutions are now in full force and effect reading as follows: s o
w
R m 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 r
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, ai
O S 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 3
E 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 d
p M 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 attomey-in-fact under >
.0 A 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. CD
v 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,
m and subject to such limitations as the chairman or the president may prescribe,shall appoint such attorneys-in-fact,as may be necessary to act in behalf of the Company to make,execute, M
Zy 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 00
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 0 0
executed such instruments shall be as binding as if signed by the president and attested by the secretary, U`-
0 cfl
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- H`—
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.
LJ
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
the same force and effect as though manually affixed.
I, 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 G
Cry iAr•s� �.tt�sUr, �.�Nsuti,,
1919 0 1912. ° ;,`„ 1991 � _ -. By:
Renee C.Lie we ssistant Secretary
J,c���yuaP�''�: >?`swap>- .F MrnarrN
30 of 200
LMS 12873 022017
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 Joe Winchester,
Operations Manager Of C.W. Young Construction, 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;
Primrose Crossing, Ph. 3C - City Pr oj 100872
BY
othi
Winchester- Operations Manager
Subscribed and sworn before medate18th of January, 2018.
/ EVERETT W STEWART III
My Commission Expim
Notary Public March 12,2019
Eft0F.
Tarrant, Texas
CONTRACTORS RELEASE OF LIEN
STATE OF TEXAS, COUNTY OF TARRANT
KNOW ALL MEN BY THESE PRESENTS:
That the undersigned, Joe Winchester for and in consideration of the
sum of $ 462, 628.55 , cash in hand, receipt of which is hereby
acknowledged, do hereby waive, release and quit claim all liens, lien
rights, claims or demands of every kind whatsoever which the
undersigned now has, or may hereafter have against the certain real
estate and the improvements there located in Fort Worth, Texas and
commonly known as Primrose Crossing, Ph. 3C on account of work and
labor performed, and/or materials furnished in, to or about the
construction of any building or buildings situated thereon, or in
improving said property above described or any part thereof. It being
the understanding of the undersigned that this Release of Lien to the
extent of the payment herein referred to, the undersigned warrants
that no assignment of said liens or claims nor the right to perfect a
lien against and said real estate, has or will be made, and that the
undersigned has the right to execute this Release, and that all
laborers employed by the undersigned, and bills for materials and
supplies furnished by other to the undersigned, in connection with the
construction of improvements upon the aforesaid premises, to the
extent of the payment herein referred to, have been fully paid and all
materials and supplies are free and clear of conditional bills of
sales and/or retain title contracts .
GM
Executed this day of ��,,-, 2018 .
C .W. Young Construction, L. P.
BY:
State of Texas, County of Tarran
The foregoing instrument was acknowledged before me this
day of 2 018,by
of C.W. Young Construction, L. P.
•fVERETT W STEWART III
My Commission€*res
Much 12,2010 Notary Republic
''+Rosin✓
Commission expires:/S
210 S. Sixth Ave.
Mansfield, TX 76063
ff
allot (817) 477-1414
' �- fax: (817) 473-6077
01/18/2018
City of Fort Worth
CFA Administration
1000 Throckmorton St.
Fort Worth, TX 76102
RE: Primrose Crossing, Ph. 3C
City Project#100872
The purpose of this letter is to acknowledge that we have been paid in full by First Texas Homes for the
public improvements constructed to serve Primrose Crossing, Ph. 3C 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.
Since ely,
,doe W chester
Operat ons Manager
C.W4oung Construction
817477.1414
C.W. Young Construction, L.P. -- 210 S. Sixth Ave. -- Mansfield, TX 76063