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Contract 48494-FP1
City Secretary 48494 -FPI Contract No. i Date Received Aug 6,2018 FORT WORTH, S9co01 — ) 0���4 NOTICE OF PROJECT COMPLETION (Developer Projects) I The Transportation and Public Works Department upon the recommendation of the Project Manager has accepted the following project as complete: Project Name: SKYLINE RANCH CHAPARRAL City Project No.: 100469 Improvement Type(s): ® Paving ❑ Drainage ❑ Street Lights ❑Traffic Signals Original Contract Price: $703,397.74 Amount of Approved Change Order(s): ( Revised Contract Amount: Total Cost of Work Complete: $703,397.74 Jcny Mders t 31,nfgr Jul 31, 2018 Contractor Date Vice President Title Stabile&Winn,Inc. Company Name Russell Rogers(Aug°,2018 J Aug 1, 2018 Project Inspector Date a Saha.PM Aug 1, 2018 G.Sahu,PM(Aug 1,2018) P 'ect Ma er Date R J a ScarlettMoraleS(Aug 1,2018) Aug 1, 2018 A Manager Date � Susan Almiis(Aug 1,2018) Aug 1. 2018 I Asst. City Manager Date Pa e---of 2 OFFICIAL RECORD CITY SECRETARY FT.WORTH,TX i k 9 Notice of Project Completion Project Name: SKYLINE RANCH CHAPARRAL Cit Project ct No.: 100469 City's Attachments Final Pay Estimate ❑x Change Order(s): ❑ Yes ❑x N/A Contractor's Attachments Affidavit of Bills Paid Consent of Surety Statement of Contract Time Contract Time: 63 CD Days Charged: 431 Work Start Date: 5/15/2017 Work Complete Date: 7/19/2018 Page 2 of-2 s9�6E -/J604/4P City Project Numbers 100469 DOE Number 0469 Contract Name SKYLINE RANCH CHAPARRAL Estimate Number 1 Contract Limits Payment Number 1 Project Type PAVING For Period Ending 7/30/2018 I i Project Funding l i Project Manager NA City Secretary Contract Number Inspectors LAYER / ROGERS Contract Date Contractor STABILE&WINN,INC. Contract Time 55 WD P.O.BOX 79380 Days Charged to Date 431 WD SAGINAW, TX 76179-0380 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 $703,397.74 Less %Retained $0.00 Net Earned $703,397.74 Earned This Period $703,397.74 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 $703,397.74 Monday,July 30,2018 Page 4 of 4 FORTWORTH CITY OF FORT WORTH FINAL PAYMENT REQUEST Contract Name SKYLINE RANCH CHAPARRAL Contract Limits Project Type PAVING City Project Numbers 100469 DOE Number 0469 Estimate Number I Payment Number I For Period Ending 7/30/2018 WD City Secretary Contract Number Contract Time 5WD Contract Date Days Charged to Date 431 Project Manager NA Contract is 100.00 Complete Contractor STABILE&WINN,INC. P.O.BOX 79380 SAGINAW, TX 76179-0380 Inspectors LAYER/ ROGERS �I I Monday,July 30,2018 Pane 1 of 4 r V�� r; I City Project Numbers 100469 DOE Number 0469 is Contract Name SKYLINE RANCH CHAPARRAL Estimate Number I Contract Limits Payment Number 1 Project Type PAVING For Period Ending 7/30/2018 Project Funding i PAVING Item Description of Items Estimated Unit Unit Cost Estimated Completed Completed No. Quanity Total Quanity Total T 1 6"LIME TREATMENT 16014 SY $2.75 $44,038.50 16014 $44,038.50 2 HYDRATED LIME 288.25 TN $150.00 $43,237.50 288.25 $43,237.50 3 6"CONC PVMT 15046 SY $38.69 $582,129.74 15046 $582,129.74 4 4"CONC SIDEWALK 1552 SF $7.00 $10,864.00 1552 $10,864.00 5 BARRIER FREE RAMP 10 EA $1,850.00 $18,500.00 10 $18,500.00 f 6 REMOVE RIP RAP 71 SY $6.50 $461.50 71 $461.50 7 REMOVE CONC PVMT 641 SY $6.50 $4,166.50 641 $4,166.50 Sub-Total of Previous Unit $703,397.74 $703,397.74 Monday,July 30,2018 Page 2 of 4 t tf City Project Numbers 100469 DOE Number 0469 Contract Name SKYLINE RANCH CHAPARRAL Estimate Number 1 Contract Limits Payment Number 1 j Project Type PAVING For Period Ending 7/30/2018 Project Funding Contract Information Summary Original Contract Amount $703,397.74 Change Orders Total Contract Price $703,397.74 Total Cost of Work Completed $703,397.74 Less %Retained $0.00 Net Earned $703,397.74 Earned This Period $703,397.74 Retainage This Period $0.00 Less Liquidated Damages Days @ /Day $0.00 LessPavement Deficiency $0.00 Less Penalty $0.00 Less Previous Payment $0.00 Plus Material on Band Less 15% $0.00 Balance Due This Payment $703,397.74 Monday,July 30,2018 Page 3 of 4 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 Jerry Henderson, Vice President Of Stabile & Winn, 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; Skyline Ranch B �74AZj erry Henderson Subscribed and sworn before me on this date 30 of July, 2018. Z�� Not' uI Tarrant, Texas o�*Pr pve JOHN W STABILE ®� Notary Public STATE OF TEXAS �'Fovte+ My Comm Exp July 01 2019 CONSENT OF SURETY COMPANY TO FINAL PAYMENT Bond #CA 1794507 Project: Skyline Ranch Chaparral, CFW Project No. 100469 To (Owner): City of Fort Worth,Texas and SLR-BY 4,LLC 200 Texas Street Contract For: See above Ft Worth, TX 76102 Contract Date: Contractor: Stabile &Winn,Inc. P O Box 79380 Saginaw,TX 76179-0380 In accordance with the provision of the Contract between the Owner and the Contractor as defined above,the Great American Insurance Company of New York 301 E Fourth Street Cincinnati, OH 45202 , on bond of Stabile&Winn,Inc. Surety Company, P O Box 79380 Saginaw,TX 76179-0380 ,Contractor hereby approves of the final payment to the contractor and agrees that final payment to the contractor shall not relieve the Surety Companies of any of their obligations to the City of Fort Worth,Texas and SLR-BY 4,LLC 200 Texas Street Ft Worth,TX 76102 ,Owner as set forth in the said Surety Company's bond. IN WITNESS WHEREOF, the Surety Companies have hereunto set their hand this 31st day of July,2018. Great American Insurance Company of New York Witness: Surety Company Tracy Tucke Attorney-in-Fact GREAT AMERICAN INSURANCE COMPANY OF NEW YORK New York Administrative Office:301 E 4TH STREET • CINCINNATI,OHIO 45202 • 513-369-5000 • FAX 513-723-2740 The number of persons authorized by this power of attorney is not more than FIVE No.0 14893 POWER OF ATTORNEY KNOW ALL MEN BY THESE PRESENTS:That the GREAT AMERICAN INSURANCE COMPANY OF NEW YORK,a corporation organized and existing under and by virtue of the laws of the State of New York,does hereby nominate,constitute and appoint the person or persons named below its true and lawful attorney-in-fact,for it and in its name,place and stead to execute on behalf of the said Company,as surety,any and all bonds,undertakings and contracts of suretyship,or other written obligations in the nature thereof;provided that the liability of the said Company on any such bond,undertaking or contract of suretyship executed under this authority shall not exceed the limit stated below. Name Address Limit of Power TRACY TUCKER STEVEN TUCKER ALL OF ALL W.LAWRENCE BROWN BENNETT BROWN FORT WORTH, $100,000,000.00 KEVIN J.DUNN TEXAS This Power of Attorney revokes all previous powers issued on behalf of the attorney(s)-in-fact named above. IN WITNESS WHEREOF,the GREATAMERICAN INSURANCE COMPANY OF NEW YORK has caused these presentsto besigned and attested by its appropriate officers and its corporate seal hereunto affixed this 20TH day of FEBRUARY , 2017 Attest GREAT AMERICAN INSURANCE COMPANY OF NEW YORK ,paraeerE a Assistant Secretary Divisional enior Ytce Ptesidem DAVID C.WCHIN(877-377-2405) STATE OF OHIO,COUNTY OF HAMILTON-ss: On this 20TH day of FEBRUARY 2017 ,before me personally appeared DAVID C.KITCHIN,to me known, being duly sworn,deposes and says that he resides in Cincinnati,Ohio,that he is a Divisional Senior Vice President of the Bond Division of Great American Insurance Company of New York,the Company described in and which executed the above instrument; that he knows the seal;that it was so affixed by authority of his office under the By-Laws of said Company, and that he signed his name thereto by like authority. $tISBp .KO�IOfif NoftyPtllkSLMofgdO MlC=d1dME0u&18,1l020 This Power of Attorney is granted by authority of the following resolutions adopted by the Board of Directors of Great American Insurance Company of New York by unanimous written consent dated May 14,2009. RESOLVED: That the Divisional President,the several Divisional Senior Vice Presidents,Divisional Vice Presidents and Divisional Assistant Vice Presidents,or any one of them,be and hereby is authorized, from time to time, to appoint one or more Attorneys-in-Fact to execute on behalf of the Company,as surety,any and all bonds,undertakings and contracts of suretyship,or other written obligations in the nature thereof, to prescribe their respective duties and the respective limits of their authority;and to revoke any such appointment at any time. RESOLVED FURTHER:That the Company seal and the signature of any of the aforesaid officers and any Secretary or Assistant Secretary of the Company may be affixed by facsimile to any power of attorney or certificate of eithergiven for the execution of any bond, undertaking, contract of suretyship,or other written obligation in the nature thereof,such signature and seal when so used being hereby adopted by the Company as the original signature of such officer and the original seal of the Company,to be valid and binding upon the Company with the same force and effect as though manually affixed. CERTIFICATION 1,STEPHEN C. BERAHA,Assistant Secretary of Great American Insurance Company of New York,do hereby certify that the foregoing Power of Attorney and the Resolutions of the Board of Directors of May 14,2009 have not been revoked and are now in full force and effect. Signed and sealed this 31stday of July , 2018Q® �WAFMA7E 6 L £�. 3, SEAL `ss L ccs w m� Assistant Secretary S1185L(06/16) Greensheet for Skyline Ranch �-- Chaparral CPN#100469 P Adobe Sign Document History 08/06/2018 Created: 07/30/2018 By: Shameka.Kennedy@fortworthtexas.gov Status: Signed k�w Transaction ID: CBJCHBCAABAAq-GrzVEAu7GUVJGszxUFSWWdd3CFYaao "Greensheet for Skyline Ranch Chaparral CPN#100469 P" Histo ry Document created by Shameka.Kennedy@fortworthtexas.gov 07/30/2018-3:31:44 PM CDT-IP address:209.194.29.100 Document emailed to Jerry Henderson (ferry@stabilewinn.com)for signature 07/30/2018-3:34:48 PM CDT Document viewed by Jerry Henderson (ferry@stabilewinn.com) 07/30/2018-3:45:49 PM CDT-IP address: 12.245.219.242 69/ Jerry Henderson (ferry@stabilewinn.com) uploaded the following supporting documents: (� File Attachment 1 Gv File Attachment 2 07/31/2018-9:43:25 AM CDT Document e-signed by Jerry Henderson (ferry@stabilewinn.com) Signature Date:07/31/2018-9:43:25 AM CDT-Time Source:serer-IP address:12.245.219.242 C'► Document emailed to russel.rogers2@fortworthtexas.gov for signature 07/31/2018-9:43:26 AM CDT Shameka.Kennedy@fortworthtexas.gov replaced signer russel.rogers2@fortworthtexas.gov with Russell Rogers (russell.rogers@Iamb-star.com) 08/01/2018-8:10:49 AM CDT-IP address:209.194.29.100 Document emailed to Russell Rogers (russell.rogers@Iamb-star.com)for signature 08/01/2018-8:10:49 AM CDT Document viewed by Russell Rogers(russell.rogers@Iamb-star.com) 08/01/2018-8:13:41 AM CDT-IP address:209.194.29.90 Foxe I : Adobe9r obe Sign Document e-signed by Russell Rogers (russell.rogers@Iamb-star.com) Signature Date:08/01/2018-8:14:20 AM CDT-Time Source:server-IP address:209.194.29.90 C'-1 Document emailed to Randy Horton (randall.k.horton@fortworthtexas.gov)for approval 08/01/2018-8:14:21 AM CDT ©� Document viewed by Randy Horton (randall.k.horton@fortworthtexas.gov) 08/01/2018-8:31:03 AM CDT-IP address:209.194.29.100 C. Document approved by Randy Horton (randall.k.horton@fortworthtexas.gov) Approval Date:08/01/2018-8:32:21 AM CDT-Time Source:server-IP address:209.194.29.100 Document emailed to G.Sahu, PM (gopal.sahu@fortworthtexas.gov)for signature 08/01/2018-8:32:22 AM CDT Document viewed by G.Sahu, PM (gopal.sahu@fortworthtexas.gov) 08/01/2018-8:59:26 AM CDT-IP address:209.194.29.100 Document e-signed by G.Sahu, PM (gopal.sahu@fortworthtexas.gov) Signature Date:08/01/2018-9:00:05 AM CDT-Time Source:server-IP address:209.194.29.100 �4 Document emailed to Janie Scarlett Morales (Janie.morales@fortworthtexas.gov)for signature 08/01/2018-9:00:06 AM CDT Document viewed by Janie Scarlett Morales Qanie.morales@fortworthtexas.gov) 08/01/2018-9:24:17 AM CDT-IP address:209.194.29.100 Jc, Document e-signed by Janie Scarlett Morales (Janie.morales@fortworthtexas.gov) Signature Date:08/01/2018-9:37:03 AM CDT-Time Source:server-IP address:209.194.29.100 C� Document emailed to Susan Alanis (susan.alanis@fortworthtexas.gov)for signature 08/01/2018-9:37:04 AM CDT J Document viewed by Susan Alanis(susan.alanis@fortworthtexas.gov) 08/01/2018-12:54:23 PM CDT-IP address:209.194.29.100 mac. Document e-signed by Susan Alanis (susan.alanis@fortworthtexas.gov) Signature Date:08/01/2018-12:54:40 PM CDT-Time Source:server-IP address:209.194.29.100 Document emailed to Allison Tidwell (cso_finalpay@fortworthtexas.gov)for filling 08/01/2018-12:54:41 PM CDT 'D Document viewed by Allison Tidwell (cso_finalpay@fortworthtexas.gov) 08/06/2018-8:12:26 AM CDT-IP address:209.194.29.100 bQ Form filled by Allison Tidwell (cso_finalpay@fortworthtexas.gov) Form filling Date:08/06/2018-8:13:19 AM CDT-Time Source:server-IP address:209.194.29.100 FORTWORTH. I W Adobe Sign FE-_ cument emailed to Trudy Brotherton (therese.brotherton@fortworthtexas.gov)for delivery 6/2018-8:13:20 AM CDT Document viewed by Trudy Brotherton (therese.brotherton@fortworthtexas.gov) 08/06/2018-8:24:30 AM CDT-IP address:68.116.135.3 d¢ Document receipt acknowledged by Trudy Brotherton (therese.brotherton@fortworthtexas.gov) Receipt Acknowledgement Date:08/06/2018-8:24:47 AM CDT-Time Source:server-IP address:68.116.135.3 C4' Document emailed to Julie A Geho oulie.geho@fortworthtexas.gov)for delivery 08/06/2018-8:24:49 AM CDT 5 Document viewed by Julie A Geho oulie.geho@fortworthtexas.gov) 08/06/2018-9:04:57 AM CDT-IP address:209.194.29.100 rJc Document receipt acknowledged by Julie A Geho Qulie.geho@fortworthtexas.gov) Receipt Acknowledgement Date:08/06/2018-9:05:19 AM CDT-Time Source:server-IP address:209.194.29.100 E4 Document emailed to Sylvia Kelley(tpwcfafiscal@fortworthtexas.gov)for delivery 08/06/2018-9:05:20 AM CDT 5 Document viewed by Sylvia Kelley (tpwcfafiscal@fortworthtexas.gov) 08/06/2018-9:06:28 AM CDT-IP address:209.194.29.100 bo, Document receipt acknowledged by Sylvia Kelley(tpwcfafiscal@fortworthtexas.gov) Receipt Acknowledgement Date:08/06/2018-1:52:50 PM CDT-Time Source:server-IP address:209.194.29.100 k Signed document emailed to Shameka.Kennedy@fortworthtexas.gov,Allison Tidwell (cso_finalpay@fortworthtexas.gov), Janie Scarlett Morales Qanie.morales@fortworthtexas.gov), Trudy Brotherton (therese.brotherton@fortworthtexas.gov), and 8 more 08/06/2018-1:52:50 PM CDT FORTWORTH. I , Adobe Sign