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HomeMy WebLinkAboutContract 47701-FP1 FORTWORTH. CITY SECRETAR!q:11D CONTRACT NO. t--F TRANSPORTATION AND PUBLIC WORKS NOTICE OF PROJECT COMPLETION (DeveloperProjects) 064 SCO n n ea 61#11g City Project Ns: 100159 CAI, 7749/ Regarding contract 100159 for SCENIC VILLAGE as required by the TRANSPORTATION&PUBLIC WORKS as approved by City Council on N/A through M&C N/A the director of the TRANSPORTATION& PUBLIC WORKS upon the recommendation of the Assistant Director of the Transportation&Public Works Department has accepted the project as complete. > Original Contract Price: a $202,359.06 rJ v ad Amount of Approved Change Orders: c $37,925.00 Ns 1 r d d +� O E y Revised Contract Amount: Z 0 a E, $240 ,284.06 m Total Cost Work Completed: r is r $240,284.06 l c v O 'C t `0 L A U td .a y y p m g Rp 0 CL 4) F O Cd O C� r ` m M .O C. d O 7 O w. ImE O d V1 C =p a+ N ro 0 W M y IM= U O -C O N C daz 19a. 0 MOLL S c m d Ot� dRGUC9F- v U� Recomm or ceptance Date Asst Dire PW - Development Services Accepted Date Director, TRANSPORTATION & PUBLIC WORKS Asst. City Manager Date C entRECERIED N "9 JUN -4 2018 w OFFICIAL RECORD CIN OFFORTWORTFI CITY SECRETARY MY C ETARY F. WORTH,TX Rev.9/22/16 FORT WORTH CITY OF FORT WORTH FINAL PAYMENT REQUEST Contract Name SCENIC VILLAGE Contract Limits Project Type STORM DRAIN,PAVING&ST LIGHT City Project Numbers 100159 DOE Number 0159 Estimate Number 1 Payment Number 1 For Period Ending 5/22/2018 CD City Secretary Contract Number Contract Time 50(ID Contract Date Days Charged to Date 695 Project Manager NA Contract is 100.00 Complete Contractor RUMSEY CONSTRUCTION,LLC 6617 VILLAGE SPRINGS DRIVE PLANO, TX 75024 Inspectors LAYER / ROGERS Tuesday,May 22,2018 Page 1 of 5 I� City Project Numbers 100159 DOE Number 0159 Contract Name SCENIC VILLAGE Estimate Number I Contract Limits Payment Number I Project Type STORM DRAIN,PAVING&ST LIGHT For Period Ending 5/22/2018 Project Funding STORM DRAIN Item Description of Items Estimated Unit Unit Cost Estimated Completed Completed No. Quanity Total Quanity Total 1 CONCRETE RIPRAP 33.3 SY $50.00 $1,665.00 33.3 $1,665.00 2 24"RCP CLASS III 301 LF $45.00 $13,545.00 301 $13,545.00 3 30"RCP CLASS III 232 LF $58.00 $13,456.00 232 $13,456.00 4 T STORM JUNCTION BOX 2 EA $3,250.00 $6,500.00 2 $6,500.00 5 18"FLARED HEADWALL,1 PIPE I EA $1,200.00 $1,200.00 1 $1,200.00 6 12"RCP CL III OR CL IV CO#1 610 LF $44.00 $26,840.00 610 $26,840.00 7 DUCTILE IRON WATER FITTINGS 1 EA $500.00 $500.00 1 $500.00 W/RESTRAINT AND BLOCKING CO#I 8 CURB INLET(4 FEET)CO#1 I EA $3,000.00 $3,000.00 1 $3,000.00 9 FLAT WORK,CURLEX,SEED,CLEANOUT 1 EA $7,585.00 $7,585.00 1 $7,585.00 INSTALL CO#1 --------------------------------------- - Sub-Total of Previous Unit $74,291.00 $74,291.00 PAVING Item Description of Items Estimated Unit Unit Cost Estimated Completed Completed No. Quanity Total Quanity Total ----------------------------- ----------- 1 6.5"CONC PVMT 3540 SY $32.58 $115,333.20 3540 $115,333.20 2 4"CONC SIDEWALK 4269 SF $3.94 $16,819.86 4269 $16,819.86 3 BRICK PVMT 107 SY $65.00 $6,955.00 107 $6,955.00 4 PAVEMENT MARKINGS 1 EA $3,500.00 $3,500.00 1 $3,500.00 Sub-Total of Previous Unit $142,608.06 $142,608.06 STREET LIGHT Item Description of Items Estimated Unit Unit Cost Estimated Completed Completed No. Quanity Total Quanity Total 1 GROUND BOX TYPE B W/APRON 7 EA $500.00 $3,500.00 7 $3,500.00 2 TYPE 33B ARM 13 EA $250.00 $3,250.00 13 $3,250.00 3 LED LIGHTING FIXTURE 13 EA $200.00 $2,600.00 13 $2,600.00 4 RDWY ILLUM FOUNDATION TY 1,2 AND 4 13 EA $500.00 $6,500.00 13 $6,500.00 5 FURNISHANSTALL ELEC SERV PEDESTAL 2 EA $600.00 $1,200.00 2 $1,200.00 6 RDWY ILLUM TY 11 POLE 13 EA $350.00 $4,550.00 13 $4,550.00 Tuesday,May 22,2018 Page 2 of 5 City Project Numbers 100159 DOE Number 0159 Contract Name SCENIC VILLAGE Estimate Number I Contract Limits Payment Number I Project Type STORM DRAIN,PAVING&ST LIGHT For Period Ending 5/22/2018 Project Funding 7 FURNISH/INSTALL CONDUIT SCHEDULE 80 1185 LF $1.00 $1,185.00 1185 $1,185.00 PVC 2 INCH OPEN CUT 8 FURNISH/1NSTALL WOOD POLE LIGHT ARM 2 EA $300.00 $600.00 2 $600.00 W/RESIDENTIAL LED FIXTURE Sub-Total of Previous Unit $23,385.00 $23,385.00 Tuesday,May 22,2018 Page 3 of 5 City Project Numbers 100159 DOE Number 0159 Contract Name SCENIC VILLAGE Estimate Number I Contract Limits Payment Number 1 Project Type STORM DRAIN,PAVING&ST LIGHT For Period Ending 5/22/2018 Project Funding Contract Information Summary Original Contract Amount $202,359.06 Change Orders Change Order Number 1 $37,925.00 Total Contract Price $240,284.06 /� Date Total Cost of Work Completed $240,284.06 Contra r Less %Retained $0.00 Net Earned $240,284.06 Dat Inspection Supe isor Earned This Period $240,284.06 r ��,�� Date Retainage This Period $0.00 /�`•'�.J 1 Less Liquidated Damages Projec M Hager � Days @ /Day $0.00 q Date I �'1 LessPavement Deficiency $0.00 Asst. PW Less Penalty $0.00 to // 0 Less Previous Payment $0.00 Director/ ontracting Departmen Plus Material on Hand Less 15% $0.00 Balance Due This Payment $240,284.06 Tuesday,May 22,2018 Page 4 of 5 City Project Numbers 100159 DOE Number 0159 Contract Name SCENIC VILLAGE Estimate Number 1 Contract Limits Payment Number I Project Type STORM DRAIN,PAVING&ST LIGHT For Period Ending 5/22/2018 Project Funding Project Manager NA City Secretary Contract Number Inspectors LAYER / ROGERS Contract Date Contractor RUMSEY CONSTRUCTION,LLC Contract Time 500 CD 6617 VILLAGE SPRINGS DRIVE Days Charged to Date 695 CD PLANO, TX 75024 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 $240,284.06 Less %Retained $0.00 Net Earned $240,284.06 Earned This Period $240,284.06 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 $240,284.06 Tuesday,May 22,2018 Page 5 of 5 FORTWORTH rev 03/05/07 TRANSPORTATION & PUBLIC WORKS FINAL STATEMENT OF CONTRACT TIME FINAL STATEMENT NO.:1 NAME OF PROJECT: Scenic Village PROJECT NO.: 100159 CONTRACTOR: Stanford Construction DOE NO.: N/A PERIOD FROM;06/20/16 TO: 04/19/18 FINAL INSPECTION DATE: 19-Apr-18 WORK ORDER EFFECTIVE:6/20/2016 CONTRACT TIME: 500 o WD • CD DAY OF DAYS REASON FOR DAYS DAY OF DAYS REASON FOR DAYS MONTH CHARGED CREDITED MONTH CHARGED CREDITED DURING DURING 1. 16. 2. 17. 3. 18. 4. 19. 5. 20. 6. 21. 7. 22. 8. 23. 9. 24. 10. 25. 11. 26. 12. 27. 13. 28. 14. 29. 15. 30. 31. SAT,SUN, RAIN,TOO WET, UTILITIES DAYS TOTAL & HOLIDAYS &TOO COLD RELOCATIONS OTHERS* CHARGED DAYS THIS PERIOD w� PREVIOUS / PERIOD C� TOTALS Q/ TO DATE 6 *REMARKS: 17 121"79- CONTRA OR DATE INSPECTOR DATE ENGINEERING DEPARTMENT (D The Cite of Fort Worth• 1000 Throckmorton Street•Fort Worth,TX 76012-6311 (817) 392-7941 •Fax: (817) 392-7845 { y p$ n O 'O Z 'T1 (0 O n C) ll T c° O v m -Di m D z O o o �o y mm al; mmakmak + m Z y fmA9 O O y -1 l7 .Z1 ."O .T1 0 4 o n ^� D OO` n D I gum�N a e oo n D n n �k m 9 i y F� bbi -i -I 0 vc ou a y�o Y m ik ik A � d' tv. -1 pOp EY y C m 5' A f< O y p x tND INp O C tyi vv t n y� 10 c6�i 6, 0 Q b b M O mm o SdIDy OA �tnm�l Z u > Y r n D 6o o6 "iD0 v t o o r m z ^.ms v m r, A o oo a y I�q .. > > v R S a c $ g & o o A O ,t Fi A F N p Pu •� n z rNi z0 p y Zrz 0 e O1 < w Z z m m a m a z rl El -oi m C) N N z Nm n U Nr(7 fes' m�N= O (lam in fflm o Z b O fZnz ---- n} po n + a o z z m r io f7 l F Tn n o N N N N � zr r 1"-12 2 � V y fi ft � m N N N N N O yp o o to N D � N O 0 0 0 0 i V d 0 m CONSENT OF OWNER x SURETY COMPANY ARCHITECT ❑ TO FINAL PAYMENT CONTRACTOR ❑ AIA DOCUMENT G707 SURETY ❑ OTHER ❑ Bond#4407495 PROJECT: Street Light Improvements-Scenic Village, (name,address) TO(Owner)FW Bluff Apartments L.P. ARCHITECT'S PROJECT NO: 14160 N.Dallas Parkway#750 CONTRACT FOR: Dallas,TX CONTRACT DATE:3/30/2016 75254 CONTRACTOR:Bean Electrical,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) SureTec Insurance Company 1330 Post Oak Blvd.,Ste 1100 Houston,TX 77056 ,SURETY COMPANY, on bond of (here insert name and address of Contractor) Bean Electrical,Inc. 821 E Enon 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 company of any of its obligations to (here insert name and address of Owner) FW Bluff Apartments L.P. 14160 N.Dallas Parkway#750,Dallas,TX 75254 ,OWNER, as set forth in the said Surety Company's bond IN WITNESS WHEROF, The Surety Company has hereunto set its hand this 3rd day of May, 2018. SureTec Insurance Company Surety(1Company � Signature of Authorized Representative : Attest ,{ (seal): Mistie Beck, Attorney-in-Fact _ `> , Title NOTE:This form is to be used as a companion document to AIA DOCUMENT 6706,CONTRACTOR'S AFFIDAVIT OF PAYMENT OF DEBT ANDLAI ; tuirent Edition AIA DOCUMENT G707"CONSENT OF SURETY COMPANY TO FINAL PAYMENT*APRIL 1970 EDITION*AIA 1970 THE AMERICAN INSTITUTE OF ARCHITECTS,1735 NEW YORK AVE.NW WASHINGTON,D.C.2006 WARNING: Unlicensed photocopying violates U.S,copyright laws and is subject to legal prosecution. -BR)E,A,N E L�Ell',CT RK I C A Lv I N C 821 E.Euon Avenue P 817-561-7400 BEI -_ Fort Mlorth,Texas 76140 F 817-561-7403 wu•t�'.hc•au��lcc•triral.c•c:au 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 Roy E.Bean 11, President of Bean Electrical,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; Street Light Improvements-Scenic Village BY Roy E. Bean 11,President Subscribed and sworn before me on this date 4th of May 2018. *CHERYLE R. ESPREE Pdolaty Put)lic,slate of Texas Notary P licComm.Expires 02.29.2020. -- •'Foe�`c Notary ID 1890225 Tarrant,Texas Bean Electrical, Inc. TECL17979 Regulated by The Texas Department of Licensing and Regulations,P.O.Box 12157,Austin,Texas 78711,1800 803 9202,512 463 6599,website ww.w.liceiise.state.tx.us/complaints /EMC INSURANCE CONSENT OF SURETY TO FINAL PAYMENT To (Owner): City of Fort Worth&FW Bluff Apartments,LP Address: City/State/Zip: Fort Worth,TX In reference to Project: 100159/Concrete work at Scenic Village Fort Worth,TX $142,608.06 Bond#_S343043 Contractor: Mountain Top Concrete,LLC 1900 Samuels Ave.Fort Worth,TX 76102 Owner: City of Fort Worth&FW Bluff Apartments,LP Employers Mutual Casualty Company ,as.Surety,for the contractor on the above described project, hereby approves of final payment to the contractor,and agrees that final payment to the contractor shall not relieve the Surety of any of its obligations as set forth in the above bond. In witness whereof,this 2nd day of May 12018 Seal: Employer Mutual Casualty Company Surety Attest: BY John S tte ` Attorney-in-Fact 7614(8-14) INgURAIVO~+ RO,Box 712•Des Moines,IA 60306-0712 I V0, B97302 CERTIFICATE OF AUTHORITY INDIVIDUAL ATTORNEY-IN-FACT KNOW ALL MEN BY THESE PRESENTS,that, 1. Employers Mutual Casualty Company,an Iowa Corporation 5. Dakota Fire Insurance Company,a North Dakota Corporation 2. EMCASCO Insurance Company,an Iowa Corporation 6. EMC Property&Casualty Company,an Iowa Corporation 3. Union Insurance Company of Providence,an Iowa Corporation 7. Hamilton Mutual Insurance Company,an Iowa Corporation 4. Illinois EMCASCO insurance Company,an Iowa Corporation hereinafter referred to severally as"Company"and collectively as"Companies',each does,by these presents,make,constitute and appoint: MICHAEL T.STERLACCI,JOHN G.SUTTER,AMY ALLRED,RHONDA COX,BROOKE BERRYHILL its true and lawful attorney-in-fact,with full power and authority conferred to sign,seal,and execute its lawful bonds,undertakings,and other obligatory instruments of a similar nature as follows: Inan amount not exceeding Eight Million Dollars..........................................................................................................................................................$8,000,000.00 and to bind each Company thereby as fully and to the same extent as if such instruments were signed by the duly authorized officers of each such Company,and all of the acts of said attorney pursuant to the authority hereby given are hereby ratified and confirmed. AUTHORITY FOR POWER OF ATTORNEY This Power-of-Attorney is made and executed pursuant to and by the authority of the.following resolution of the Boards of Directors of each of the Companies at a regularly scheduled meeting of each company duly called and held in 1999: RESOLVED:The President and Chief Executive Officer,any Vice President,the Treasurer and the Secretary of Employers Mutual Casualty Company shall have power and authority to(1)appoint attorneys-in-fact and authorize them to execute on behalf of each Company and attach the seal of the Company thereto, bonds and undertakings,recognizances,contracts of indemnity and other writings obligatory in the nature thereof;and(2)to remove any such attomey-in-fact at any time and revoke the power and authority given to him or her.Attomeys-in-fact shall have power and authority,subject to the terms and limitations of the power-of-attorney issued to them, to execute and deliver on behalf of the Company,and to attach the seal of the Company thereto,bonds and undertakings,recognizances,contracts of indemnity and other writings obligatory in the nature thereof,and any such instrument executed by any such aftomey-in-fact shall be fully and in all respects binding upon the Company. Certification as to the validity of any power-of-attorney authorized herein made by an officer of Employers Mutual Casualty Company shall be fully and in all respects binding upon this Company.The facsimile or mechanically reproduced signature of such officer,whether made heretofore or hereafter,wherever appearing upon a certified copy of any power-of-attomey of the Company,shall be valid and binding upon the Company with the same force and effect as though manually affixed, IN WITNESS THEREOF,the Companies have caused these presents to be signed for each by their officers as shown,and the Corporate seals to be hereto affixed this 31st day of MARCH 2017 + Seals ........ e G.Kelley, airman Todd Strother 5��',",? ti ;�ti�O dqN; ric; ;°�P� &, �,r'•, of Companies 2,3,4,5& ;President Vice President "F`'UQF°H,;' `4oPP°H f•;°' o; "PGH-0^;y", of Company 1;Vice Chairman and CEG of Company 7 SEAL 1$63 ,'o_ 1953 %'>,', ,' ;i'•,IOWA oa s1,�',, .o c `f05tiA,x p,hn'•'3D��, ` Q * On this 31st day of MARCH AD 2017 before me "" a Notary Public in and for the State of Iowa, personally appeared Bruce G. Kelley and .`\iySUftnNOF'•,' ;f19�+�74N��'•, ``�AUT�+�C'p'''. Todd Strother,who,being by me duly swom,did say that they are,and are known to me to be the Chairman,President,Vice Chairman and CEO,and/or Vice President,respectively,of each of G pF ON'• Oyy: �t,`AP /i.,�( p.• � ,`gNFGR 'r G ' SEAL =4= SEAL 5 SEAL °: The Companies above;that the seals affixed to this instrument are the seals of said corporations; w - _ that said instrument was signed and sealed on behalf of each of the Companies by authority �E, �;; of their respective Boards of Directors;and that the said Bruce G.Kelley and Todd SUother,as such officers,acknowledged the execution of said Instrument to be the voluntary act and deed � of each of the Companies. ��) YNMiyG My Commission Expires October 10,2019. U IA 9 LOVEHIDQE U V_I(Jtl� ,-�=A � CammM)nmtssianNumt�er781nd9M�LQ" OcMy toberr 10 2019 Notary P tic in and for the State of I a Es.�o� CERTIFICATE 1,James D.Clough,Vice President of the Companies,do hereby certify that the foregoing resolution of the Boards of Directors by each of the Companies, and this Power of Attorney issued pursuant thereto on MARCH 31,2017 on behalf of: MICHAEL 1'.STERLACCi,JOHN G.SUTTER,AMY ALLRED,RHONDA COX,BROOKE BERRYHILL are true and correct and are still in full force and effect. In Testimony Whereof I have subscribed my name and affixed the facsimile seal of each Company this _day of Vice President POA M 4221049 SureTec Insurance Company LIMITED POWER OF ATTORNEY Know All Men by These Presents, That SURETEC INSURANCE COMPANY (the "Company"), a corporation duly organized and existing under the laws of the State of Texas, and having its principal office in Houston, Harris County, Texas, does by these presents make,constitute and appoint Tony Fierro,Jay Jordan,Johnny Moss,Steven W.Searcey,Robert J.Shuya, Mistie Beck, Jeremy Barnett,Robert G.Kanuth,Jade Porter,Jennifer Cisneros,Jarrett Willson,Jack Nottingham its true and lawful Attorney-in-fact,with full power and authority hereby conferred in its name,place and stead,to execute,acknowledge and deliver any and all bonds,recognixances,undertakings or oth-br instruments or contracts of suretyship to include waivers to the conditions of contracts and consents of surety for,providing the bond penalty does not exceed Five Million and 00/100 Dollars($5,000,000.00) and to bind the Company thereby as fully and to the same extent as if such bond were signed by the President,sealed with the corporate seal of the Company and duly attested by its Secretary,hereby ratifying and confirming all that the said Attorney-in-Fact may do in the premises. Said appointment shall continue in force until 12131/2016 and is made under and by authority of the following resolutions of the Board of Directors of the SureTec Insurance Company: Be it Resolved that the President,any Vice-President,any Assistant Vice-President,any Secretary or any Assistant Secretary shall be and is hereby vested with full power and authority to appoint any one or'more suitable persons as Attorney(s)-in-Fact to represent and act for and on behalf of the Company subject to the following provisions: Attorney-tn Fact may be given full power and authority for and in the name of and of behalf of the Company,to execute,acknowledge and deliver,any and all bonds,recognizances,contracts,agreements or indemnity and other conditional or obligatory undertakings and any and all notices and documents canceling or terminating the Company's liability thereunder, and any such instruments so executed by any such Attomey-in-Fact shall be binding upon the Company as if signed by the President and sealed and effected by the Corporate Secretary. Be it Resolved,that the signature of any authorized officer and seal of the Company heretofore or hereafter affixed to any power of attorney or any certificate relating thereto by facsimile,and any power of attorney or certificate bearing facsimile signature or facsimile seal shall be valid and binding upon the Company with respect to any bond or undertaking to which it is attached. (Adopted at a meeting held on 20`r'ofAprit, 1999.) In Witness Whereof, SURETEC INSURANCE COMPANY has caused these presents to be signed by its President,and its corporate seal to be hereto affixed this 12th day of October,A.D. 2017 . SURETEC E ANY By: WW5 John Knox ., rest nt State of Texas ss: County of Harris - On this 12th day of October,A.D.2017 before me personally came John Knox Jr.,to me known,who,being by me duly sworn,did depose and say,that he resides in Houston, Texas,that he is President of SURETEC INSURANCE COMPANY,the company described in and which executed the above instrument;that he knows the seal of said Company;that the seal affixed to said instrument is such corporate seal;that it was so affixed by order of the Board of Directors of said Company;and that he signed his name thereto by like order. ����yNp14� XENIA CHAVEZ 1 Notary Public,State of Texas " Comm.Expires 09-10.2020 �- #1110w"" Notary ID 129117659 X a avez,Notary Public `J y commission expires September 10,2020 1,M.Brent Beaty,Assistant Secretary of SURETEC INSURANCE COMPANY,do hereby certify that the above and foregoing is atrue and correct copy of a Power of Attorney,executed by said Company,which is still in full force and effect;and furthermore,the resolutions of the Board of Directors,set out in the Power of Attorney are in full force and effect. `•Q..f� � Given under my hand and the seal of said Company at Houstori,Texas this d of A.D. , .B nt Be ,Assistant instrumentAny Issued In excess of the penalty stated void and For verifl atlonof the authority of his power youay call(713)8 2-0without 000 any business day between 8:00 am and 5:00 pier G9T ss s ,:htial;tl RUMSEY CONSTRUCTION 04/23/2018 City of Fort Worth CFA Administration 1000 Throckmorton St, Fort Worth,TX 76102 RE: Scenic Village DOE#: n/a City Project#CP100159 The purpose of this letter is to acknowledge that Rumsey Construction, LLC have.been paid in full by FW Bluff Apartments, L.P.for the public improvements constructed to serve Scenic Village 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, 1 V. 4 Gary Wells COO/Partner 4329 Reeder Dr.Carrollton,TX 75010* Ph:214-614-8140* Fax:214-556-1110 CONSENT'OF OWNER D SURETY COMPANY ARCHITECT F� TO.FINALPAYMENT CONTRACTOR X SURETY D A/A DOCUMENT G707 OTHER . PROJECT: Scenlo'Bluff Apartments (name, address) Fo.rt.Worth, TX TO (Owner) CITY PROJECT NO: 100159 a of Fort Worth & FW Bluff rtments, LP 'CONTRACT FOR: $241,269.60 Fort Worth, TX CONTRACT DATE: 31-3012016 CONTRACTOR: Rumsey Construction, LLC BOND NO: 1047873 4329 Reeder Drive . Carrollton,.TX 75010 In accordance with the provisions of the Contract between the Owner and the Contractor as indicated above,the (here insert name and address of Surety as it appears in the bond). The Hanover Insurance Company .SURETY COMPANY, on bond Of(here insert name and address of Contractor as it appears in the bond), Rumsey Construction, LLC CONTRACTOR, hereby approves of the final payment to the Contractor, and agrees that final payment to the Contractor shall not relieve the Surety,of any of its obligations to(here insert name and address of Owner) City of Fort Worth & FW Bluff Apartments,,LP OWNER, as set forth in the said Surety's bond. IN WITNESS WHEREOF , the Surety has hereunto set its hand this 13th day of April 2017 The Hanover Insurance Company Surety Uret' Signature of Auth rized Representative Attest: Douglas Moore,Attorney-in-Fact Title AIA DOCUMENT 0707- NSENT OF SURETY TO FINAL PAYMENT APRIL 1070 ONE PAGE EDITION e AIA 8 o©1970 THE AMERICAN INSTITUTE OF ARCHITECTS,1735 NEW YORK AVE.,NW,WASHINGTON,D.C.2000$ THE HANOVER INSURANCE COMPANY MASSACHUSETTS BAY INSURANCE COMPANY CITIZENS INSURANCE COMPANY OF AMERICA POWERS OF ATTORNEY CER77MED'COPY KNOW ALL MEN BY THESE PRESENTS: That THE HANOVER INSURANCE COMPANY and MASSACHUSETTS BAY INSURANCE COMPANY,both being corporations organized and existing under the laws of the State of New Hampshire,and CITIZENS INSURANCE COMPANY OF AMERICA,a corporation organized and existing under the laws of the State of Michigan,do hereby constitute and appoint John R.Ward,Douglas Moore,Emily Mikeska and/or Eva O.Limmer of Ward&Moore.insurance Services LP of Gatesviile,TX and each is a true and lawful Attorney(s)-in-factto sign,execute,seal,acknowledge and deliver for,and on Its behalf,and as its act and'deed any place within the United States,or,if the following line be filled in,only within the area therein designated any and all bonds,recognizances,undertakings,contracts of indemnity or other writings obligatory in the nature thereof,as follows: Any such obligations in the United States,notto exceed Thirty Five Million and No/100($35,000,000)in anyysingle instance and said companies hereby ratify and confirm all and:whatsoever said.Attorney(s)-in-fact.may lawfully do in the premises by virtue of these presents. These appointments are made under and by authority of the following Resolution passed by the Board of Directors of said Companies which resolutions are still in effect "RESOLVED,That the Presldent oranyMce President,In conjunction with anyVice President,beand theyare Hereby authorized and empowered to appoint Aitomoys in-factof the Company,in its name and as its acts,to execute and acknowledge forand on Its behalf as Surety any and all bonds,recognizanees, contracts of indemnity,waivers of citation and all other writings obligatory in the nature thereof,with power.to attach thereto the saatofthe Company,Anysuph writings so executed bysuch Attorneys-in-fact shall be as binding upon the Companyas if they had been duly executed and acknowledged by the regulady elected officers of the Company in their own proper persons.,(Adopted October 7,1881-The Hanover Insurance Company;Adopted April 14,gula - Massachusetts nay Insurance Company;Adopted September 7;2001-Citizens insurance Company of America) IN WiTNESS WHEREOF,THE HANOVER INSURANCE COMPANY, MASSACHUSETTS BAY INSURANCE COMPANY and CITIZENS INSURANCE COMPANY OF AMERICA have caused these presents to be sealed with their respective corporate seals,duly attested by two Vice Presidents, We 22nd day-of May 2014. ,u THE NANOVER INSURANCE COMPANY MASSACHUSE'TT'S BAY INSURANCE COMPANY CITIZENS URANCE OMPANY OF AMERICA Robart TbdmasR Vico Presj$ent THE COMMONWEALTH OF MASSACHUSETTS COUNTY OF WORCESTER )ss. om,' i�President On this 22nd.day of May 2014 before me came the above named Vice Presidents of The Hanover Insurance Company,Massachusetts Bay Insurance Company and Citizens Insurance Company of America,to me personally known to be the individuals and officers described herein;and acknowledged that the seals affixed to the preceding instrument are the corporate seals of The Hanover InsuranceCompany,Massachusetts-Bayinsurance Companyand Citizens Insurance Company of America,,respectively,and that the said corporate seals and their signatures as officers were duly affMxed;and subscribed to said instrument by the authority and direction of said Corporations. sARBAfiA A:GARLiCK Ott �totary Public ,_,,-^� 'S.anuounW4�i6�Glhiu5fpshu6QHb 1Ay�iamrtsn3RnFXAh�t65A>•2L2DIE t` - Barbara A.Garlick,Notary Public My Commission Expires September 21,2018 1,the undersigned Vice President of The Hanover Insurance Company,Massachusetts Bayinsurance Companyand Citizenstnsurance Company of America, hereby certify that the above and foregoing is a full,true and correct copy of the Original Power of Attorney issued by said Companies,and do herebyfurther certify that the said Powers of Attorney are stili in force and effect, This Certificate may be signed by facsimile under and by authority of the following resolution of the Board of Directors of The Hanover Insurance Company, Massachusetts Bay lnsurance.Company and Citizens Insurance Company of America. "RESOLVED,That any and all PowersofAttorney and Cariitied Copies of such Powers ofAttomeyand certification In respectthersto,granted and executed by the President or any Vice President in conjunotion with any Vice President of the Company shall be binding on the Company to the same extent as if all signatures therein were manually affixed,even though one or more of any such signatures�ereon may be facsimile.• (Adopted October 7,1989-The Hanover Insurance Company;AdoptedApd!14,1982.Massachusetts Bay Insurance Company Adopted September7,2001-Citizens Insurance Company of America) GIVEN under my hand and the seals of said Companies,at Worcester,Massachusetts,this Jjh day of April 201Z. THE HANOVER INSURANCE COMPANY 19TSA Ht-as BAY RA GE COMPANY CIT EN $El CE t OF AMERICA J, h I ate, ice 8 nt "4n9n0ceVGR'p: Texas Complaint !Notice Commercial Lines IMPORTANT NOTICE AVISQ IMPORTANTE To obtain information or make a complaint: Para obtener informacion o para someter una queja: You may call The Hanover Insurance Company/ ' listed puede Ilamara] numero de telefono gratis de Citizens Insurance Company'of America's toll-free The Hanover Insurance Company/Citizens Insurance telephone number for information or to make a Company of America's para informacion o para complaint at: someter una queja al; 1.800-608-8141 1400.60"141 You may also write to The Hanover Insurance Company/ Usted tambien.puede escribir a The Hanover.Insurance Citizens Insurance Company of America at: Company/Crtizens Insurance Company of America al: 444 Lincoln Street 440 Lincoln Street Worcester,MA 01615 Worcesterr MA 01615 You may contact the Texas Department of Insurance Puede comunicarse con el Departamento de S.eguros to obtain information on companies,coverages, de Texas para obtener informacion acerca de rights*or complaints at: companias, coberturas, clerechos o quejas al: 1.800.252-3439 1-800-252-3439 You may write the Texas Department of Insurance: Puede escribir al Qepartamento de Seguros de Texas, 11 Q. Box 144104 P 0. Box.149104 Austin,TX 78714-9104 Austin,TX 78714-9104 Fax: (5512)447571771 Fax:(512)_475-1771 Web: http://www.tdi.texas-.gov Web:-http://wwwtdi.texas.gov E-mail:ConsumerProtectionOtditexas.gov E-mail:ConsumerProtection*tdi texas,,gov PREMIUM OR CLAIMDISPUTES: DISPUTAS SOME PRIMAS O RECLAMOS: Should you have a dispute concerning your premium SI tiene una disputa concerniente a su prima o a un or about a claim you should contact the agent or the reclamo, Bebe comunicarse con el agente o la com- company first. If the dispute is not resolved,you may pania prirnero.Si no se resuelve la disputa, puede: contact the Texas Department of Insurance. entonces comunicarse con el departamento(TDI),. ATTACH THIS NOTICE TO YOUR POLICY:This UNA ESTE AVISO A SU POLIZA:Este_aviso es solo notice is for information only and does not become para proposito de information y nose convierte en a part or condition of the attached document. parte o condition del documento adjunto, The Hanover insurance Company 144o Lincoln,street;Wgrcwer;MA 01453 im-1457nk/13D ftV. Cftixens Insuran;o Company of America 1808 North H(Shlander Way;Howell,h9148843 hanover.com. STANFORD CONSTRUCTION, INC. 12640 E.Northwest highway♦Suite 411 ♦Dallas,7'X 75228•telephone 972/682-5600♦fax 972/682-9553 04/23/2018 City of Fort Worth CFA Administration 1000 Throckmorton St. Fort Worth, TX 76102 RE: Scenic Village DOE#: n/a City Project# CP100159 The purpose of this letter is to acknowledge that Stanford Construction have been paid in full by FW Bluff Apartments, L.P. for the public improvements constructed to serve Scenic Village 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, T ogan Project Manager ,•o+n-S" LEAH PHILLIPS . :` MY COMMISSION EXPIRES ;f July 2s,2010