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Contract 49040-FP2
City Secretary49040 -FP2 Contract No. FU RTWOD"�'�® Date Received Aug 15,2018 ."9101 - J 004 66 NOTICE OF PROJECT COMPLETION (Developer Projects) The Transportation and Public Works Department upon the recommendation of the Project Manager has accepted the following project as complete: Project Name:TRINITY OAKS City Project No.: 100466 Improvement Type(s): ❑ Paving ❑ Drainage ® Street Lights ❑ Traffic Signals Original Contract Price: $80,094.38 Amount of Approved Change Order(s): $48,221.50 Revised Contract Amcunt: $128,315.88 Total Cost of Work Complete: $128,315.88 Aug 10,2018 Contractor Date President Title Independent Utility Construction,Inc. Company Name I.ffws we(Aug lo,2019) Aug 10,2018 Project Inspector Date Patrick B WAW PUrkk .d ftVAgL ) Aug 13,2018 P ject Mana er Date Umlett uonhs(Aug A 20191 Aug 15,2018 _ C,FA Manage Date Date Susan Alanis(An 15.2018) Aug 15,2018 Asst. City Manager Date QUA 234CIV5 `T ,� OFFICIAL RECORD Page 1 of 2 ��8 p� CITY SECRETARY oci FT.WORTH,TX ti rj� r Notice of Project Completion Project Name:TRINITY OAKS City Project No.: 100466 City's Attachments Final Pay Estimate Change Order(s): ❑x Yes ❑ N/A Contractor's Attachments Affidavit of Bills Paid Consent of Surety Statement of Contract Time Contract Time: 180 CD Days Charged: 426 Work Start Date: 6/1/2017 Work Complete Date: 7/31/2018 Page 2of2 �9Coo 1— ) o c.s __q R°q 0 City Project Numbers 100446 DOE Number 3340 Contract Name TRINITY OAKS Estimate Number 1 Contract Limits Payment Number 1 Project Type ELECTRIC IMPROVEMENTS For Period Ending 7/31/2018 Project Funding Project Manager NA City Secretary Contract Number 3100466 Inspectors LAYER / KINGSMORE Contract Date 5/9/2017 Contractor INDEPENDENT UTILITY CONSTRUCTION Contract Time 180 CD 5109 SUN VALLEY DRIVE Days Charged to Date 426 CD FORT WORTH, TX 76119 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 $128,315.90 Less %Retained $0.00 Net Earned $128,315.90 Earned This Period $128,315.90 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 $128,315.90 Thursday,August 9,2018 Page 4 of 4 FORT WORTH CITY OF FORT WORTH FINAL PAYMENT REQUEST Contract Name TRINITY OAKS Contract Limits Project Type ELECTRIC IMPROVEMENTS City Project Numbers 100446 DOE Number 3340 Estimate Number 1 Payment Number I For Period Ending 7/31/2018 CD City Secretary Contract Number 3100466 Contract Time 18ED Contract Date 5/9/2017 Days Charged to Date 426 Project Manager NA Contract is 100.00 Complete Contractor INDEPENDENT UTILITY CONSTRUCTION 5109 SUN VALLEY DRIVE FORT WORTH, TX 76119 Inspectors LAYER / KINGSMORE Thursday,August 9,2018 Page 1 of 4 City Project Numbers 100446 DOE Number 3340 Contract Name TRINITY OAKS Estimate Number 1 Contract Limits Payment Number I Project Type ELECTRIC IMPROVEMENTS For Period Ending 7/31/2018 Project Funding UNIT VI:ELECTRIC IMPROVEMENTS Item Description of Items Estimated Unit Unit Cost Estimated Completed Completed No. Quanity Total Quanity Total I PUNISHANSTALL RDWAY ILLUM TY 11 POLE 32 EA $3,496.00 $111,872.00 32 $111,872.00 (CO#1) 2 2"CONDT PVC SCH 80(T)(CO#1) 1815 LF $7.55 $13,703.25 1815 $13,703.25 3 98 ALUMINUM CABLE(CO#1) 1815 LF $1.51 $2,740.65 1815 $2,740.65 -------------------------------------- Sub-Total of Previous Unit $128,315.90 $128,315.90 -------------------------------------- Thursday,August 9,2018 Page 2 of 4 City Project Numbers 100446 DOE Number 3340 Contract Name TRINITY OAKS Estimate Number I Contract Limits Payment Number 1 Project Type ELECTRIC IMPROVEMENTS For Period Ending 7/31/2018 Project Funding Contract Information Summary Original Contract Amount $80,094.38 Change Orders Change Order Number lb $48,221.52 Total Contract Price $128,315.90 Total Cost of Work Completed $128,315.90 Less %Retained $0.00 Net Earned $128,315.90 Earned This Period $128,315.90 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 Hand Less 15% $0.00 Balance Due This Payment $128,315.90 Thursday,August 9,2018 Page 3 of 4 ® mK ° § § 2 g2 » cone ; ) * ( � � ; : 2? k § % R ) 22 § § § 2 | \ / § ) 8] ` qg ` � ` % m � � )� ] \ / � � \ \� k } 0 / j . | \ / \ } \ § .. 2 ae / § \ § \ § „ ` § � - %� ` ■ ■ & - - ~ 92 % }) @m \ e £< ° 2 . _ \ }} z ) . .. .. \ \ ƒ \ 2 \ § § / , ) k ! � ) ) 2 °° k { § ¥ ) ; ) 7g § ) \ � a � \ • \) | [ ; ! � ! / - / § \ } ] \ �m !! /o ®( }\ � � f( ( f w/ \} ) 4% \ 2m -& \§ ; \§s$ ) ! D f] Z e \ gg 0 a « ƒ f ! ' / j k J \ \ « » � ) ;! = Edgq# \ AFFIDAVIT STATE OF TEXAS COUNTY OF TARRANT Before me, the undersigned authority, on this day personally appeared RICHARD WOLFE, President of INDEPENDENT UTILITY CONSTRUCTION, INC. known to me to be a credible person, and after being duly sworn by me, 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: Trinity Oaks—City Project No. 100466 BY: Ric and Wolfe, resident L SUBSCED AND SWORN TO BEFORE ME on this �/ day of U . , 2018. ""' CHRISTINA GARCIA SPRY PVe��' _z,• _Notary Public,State of Texas Comm.Expires 12-20-2020 Notary ID 130940785 "' " Notary Public, State of Texas CONSENT OF OWNER ❑ SURETY COMPANY ARCHITECT CONTRACTOR ❑ TO FINAL PAYMENT OSURETY El THE(SIMILAR TO AIA DOCUMENT G707) Bond No. 5063183 PROJECT: Pedestrian and Street Lighting for Trinity Oaks (name,address)Fort Worth, Texas TO (Owner) ARCHITECTS PROJECT NO: F_City of Fort Worth CONTRACT FOR: Above Project 200 Texas Street Fort Worth, Texas 76102 CONTRACT DATE: CONTRACTOR: Independent Utility Construction,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) Westfield Insurance Company 555 Republic Drive, Suite 450 Plano, Texas 75074 ,SURETY COMPANY, on bond of(here insert name and address of Contractor) Independent Utility Construction, Inc. 5109 Sun Valley Drive CONTRACTOR, Fort Worth,Texas 76119 hereby approves of the final payment to the Contractor,and agrees that the final payment to the Contractor shall not relieve the Surety Company of any of its obligations to(here insert name and address of Owner) City of Fort Worth 200 Texas Street Fort Worth, Texas 76102 'OWNER, as set forth in the said Surety Company's bond. IN WITNESS WHEREOF, The Surety Company has hereunto set its hand this 11th day of July 2018 -WESTFIELD INSURANCE COMPANY Surety Comp / i By Signatur uthorized Representative Attest: (Seal): Kyle W. Sweeney Attorney—in—Fact Title Note:This form is intended to be used as a companion document to the Contractor's Affidavit of Payment of Debts and Claims,Current Edition THIS POWER OF ATTORNEY SUPERCEDES ANY PREVIOUS POWER BEARINU I NIJ bAMt POWER#AND ISSUED PRIOR TO 04120111, FOR ANY PERSON OR PERSONS NAMED BELOW. General POWER NO. 4220052 06 Power Westfield Insurance Co. of Attorney Westfield National Insurance Co. CERTIFIED COPY Ohio Farmers Insurance Co. Westfield Center, Ohio Know All Men by These Presents, That WESTFIELD INSURANCE COMPANY, WESTFIELD NATIONAL INSURANCE COMPANY and OHIO FARMERS INSURANCE COMPANY, corporations, hereinafter referred to individually as a "Company- and collectively as "Companies,- duly organized and existing under the laws of the State of Ohio, and having its principal office in Westfield Center, Medina County, Ohio,do by these presents make,constitute and appoint CHARLES D. SWEENEY, MICHAEL A. SWEENEY, KYLE W. SWEENEY, ELIZABETH GRAY,JOINTLY OR SEVERALLY of FORT WORTH and State of TX its true and lawful Attorney(s)-in-Fact,with full power and authority hereby conferred in its name, place and stead, to execute, acknowledge and deliver any and all bonds, recognizances, undertakings, or other instruments or contracts of suretyship- - - - - - - - -- - - - - - - - - - - - - - - - - - - - - - - -- - - - - - - - - - - - - - - - - - - - - - - -- - - LIMITATION: THIS POWER OF ATTORNEY CANNOT BE USED TO EXECUTE NOTE GUARANTEE, MORTGAGE DEFICIENCY, MORTGAGE GUARANTEE, OR BANK DEPOSITORY BONDS, and to bind any of the Companies thereby as fully and to the same extent as if such bonds were signed by the President,sealed with the corporate seal of the applicable Company and duly attested by its Secretary, hereby ratifying and confirming all that the said Attorneys)-in-Fact may do in the.premises. Said appointment is made under and by authority of the following resolution adopted by the Board of Directors of each of the WESTFIELD INSURANCE COMPANY,WESTFIELD NATIONAL INSURANCE COMPANY and OHIO FARMERS INSURANCE COMPANY: "Be It Resolved,that the President,any Senior Executive, any Secretary or any Fidelity& Surety Operations Executive or other Executive 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: The Attorney-in-Fact. may be given full power and authority for and in the name of and on behalf of the Company,to execute,acknowledge and deliver, any and all bonds, recognizances, contracts, agreements of 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 Attorney-in-Fact shall be as binding upon the Company as if signed by the President and sealed and attested by the Corporate Secretary.- "Be it Further Resolved, that the signature of any such designated person and the 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 signatures or facsimile seal shall be valid and binding upon the Company with respect to any bond or undertaking to which it is attached." (Each adopted at a meeting held on February 8,2000). In Witness Whereof, WESTFIELD INSURANCE COMPANY, WESTFIELD NATIONAL INSURANCE COMPANY and OHIO FARMERS INSURANCE COMPANY have caused these presents to be signed by their Senior Executive and their corporate seals to be hereto affixed this 20th day of APRIL A.D.,2011 . Corporate % Seals `as� 't�fC ,.`''�p�NO AL i (SU WESTFIELD INSURANCE COMPANY Affixedv a. �' G= ""• �% WESTFIELD NATIONAL INSURANCE COMPANY d is ?- f: OHIO FARMERS INSURANCE COMPANY ;may :Imo. .C3E � :n: _'•. R 0:3e W AJ� .15.2 IZ N, .177= -©: ••ti 'f ?�• :O •. 1848 By: State of Ohio Richard L. Kinnaird, Jr.,National Surety Leader and County of Medina ss.: Senior Executive On this 20th day of APRIL A.D.,2011 before me personally came Richard L. Kinnaird, Jr.to me known, who, being by me duly sworn,did depose and say,that he resides'in Medina, Ohio;that he is Senior Executive of WESTFIELD INSURANCE COMPANY,WESTFIELD NATIONAL INSURANCE COMPANY and OHIO FARMERS INSURANCE COMPANY, the companies described in and which executed the above instrument;that he knows the seats of said Companies;that the seals affixed to said instrument are such corporate seals;that they were so affixed by order of the Boards of Directors of said Companies;and that he signed his name thereto by like order. Notarial "� Seal R1 A L Affixed O•........... - • William J. Kahelin,A rney at Law,Notary Public State of Ohio < p My Commission Does Not Expire(Sec.147.03 Ohio Revised Code) County of Medina ss.: t ,. 1,Frank A.Carrino,Secretary of WESTFIELD INSURANCE COMPANY,WESTFIELD NATIONAL INSURANCE COMPANY and OHIO FARMERS INSURANCE COMPANY, do hereby.certify that the above, and foregoing is a true and correct copy of a Power of Attorney, executed by said Companies,which is still in full force and effect;and furthermore,the resolutions of the Boards of Directors,set out in the Power of Attorney are in full force and effect. In Witness Whereof, I have hereunto set my hand and affixed the seals of said Companies at Westfield Center, Ohio, this 11th day of July A Dj,Q 18 \��U11.4/fC A_\CONAL N•. «........,,, SEAL am^ O•C��TE�'O 9 m= Secretary _,C) = 1848 : = Frank A. Carrino,Secretary BPOAC2 (combined) (06-02) Geen Sheet for Trinity Oaks -,� CPN 100466 Street Lights _ Adobe Sign Document History 08/15/2018 --_._. Created: 08/09/2018 By: Etta Bacy(etta.bacy@fortworthtexas.gov) Status: Signed Transaction ID: CBJCHBCAABAAEER5R6G547w-jg_h2xSdu3U-_7aGFri7 "Geen Sheet for Trinity Oaks CPN 100466 Street Lights" History �n Document created by Etta Bacy(etta.bacy@fortworthtexas.gov) 08/09/2018-3:30:10 PM CDT-IP address:209.194.29.100 C'w Document emailed to Richard Wolfe (rwolfe@iuctx.com)for signature 08/09/2018-3:41:19 PM CDT `u Document viewed by Richard Wolfe(rwolfe@iuctx.com) 08/09/2018-3:50:24 PM CDT-IP address:66.102.7.216 C� Richard Wolfe(rwolfe@iuctx.com) uploaded the following supporting documents: (� File Attachment 1 (� File Attachment 2 08/10/2018-6:37:46 AM CDT fDc. Document e-signed by Richard Wolfe(rwolfe@iuctx.com) Signature Date:08/10/2018-6:37:46 AM CDT-Time Source:server-IP address:75.139.243.146 > Document emailed to James Ruiz oames.ruiz@fortworthtexas.gov)for signature 08/10/2018-6:37:47 AM CDT �I Document viewed by James Ruiz oames.ruiz@fortworthtexas.gov) 08/10/2018-7:18:15 AM CDT-IP address:107.77.198.48 Document e-signed by James Ruiz oames.ruiz@fortworthtexas.gov) Signature Date:08/10/2018-7:19:17 AM CDT-Time Source:server-IP address: 107.77.198.48 C'r Document emailed to Edward D'avila (edward.davila@fortworthtexas.gov)for approval 08/10/2018-7:19:19 AM CDT ' Document viewed by Edward D'avila (edward.davila@fortworthtexas.gov) 08/10/2018-10:16:24 AM CDT-IP address:107.77.199.189 FORTWORTH. Adobe Sign do Document approved by Edward D'avila (edward.davila@fortworthtexas.gov) Approval Date:08/13/2018-10:15:42 AM CDT-Time Source:server-IP address:209.194.29.100 Document emailed to Patrick Buckley (patrick.buckley@fortworthtexas.gov)for signature 08/13/2018-10:15:43 AM CDT Document viewed by Patrick Buckley (patrick.buckley@fortworthtexas.gov) 08/13/2018-10:30:17 AM CDT-IP address:209.194.29.100 bo Document e-signed by Patrick Buckley(patrick.buckley@fortworthtexas.gov) Signature Date:08/13/2018-10:30:46 AM CDT-Time Source:server-IP address:209.194.29.100 Cy Document emailed to Janie Scarlett Morales (Janie.morales@fortworthtexas.gov)for signature 08/13/2018-10:30:47 AM CDT Document viewed by Janie Scarlett Morales (Janie.morales@fortworthtexas.gov) 08/15/2018-9:48:58 AM CDT-IP address:209.194.29.100 !y. Document e-signed by Janie Scarlett Morales (Janie.morales@fortworthtexas.gov) Signature Date:08/15/2018-9:50:03 AM CDT-Time Source:server-IP address:209.194.29.100 04 Document emailed to Susan Alanis (susan.alanis@fortworthtexas.gov)for signature 08/15/2018-9:50:05 AM CDT 1 Document viewed by Susan Alanis (susan.alanis@fortworthtexas.gov) 08/15/2018-11:27:45 AM CDT-IP address:209.194.29.100 Da Document e-signed by Susan Alanis (susan.alanis@fortworthtexas.gov) Signature Date:08/15/2018-11:28:06 AM CDT-Time Source:server-IP address:209.194.29.100 Document emailed to Allison Tidwell (cso_finalpay@fortworthtexas.gov)for filling 08/15/2018-11:28:07 AM CDT "L-1 Document viewed by Allison Tidwell (cso_finalpay@fortworthtexas.gov) 08/15/2018-12:19:21 PM CDT-IP address:209.194.29.100 ��. Form filled by Allison Tidwell (cso_finalpay@fortworthtexas.gov) Form filling Date:08/15/2018-12:19:37 PM CDT-Time Source:server-IP address:209.194.29.100 Document emailed to Trudy Brotherton (therese.brotherton@fortworthtexas.gov)for delivery 08/15/2018-12:19:38 PM CDT `Li Document viewed by Trudy Brotherton (therese.brotherton@fortworthtexas.gov) 08/15/2018-12:44:05 PM CDT-IP address:68.116.135.3 Document receipt acknowledged by Trudy Brotherton (therese.brotherton@fortworthtexas.gov) Receipt Acknowledgement Date:08/15/2018-12:44:20 PM CDT-Time Source:server-IP address:68.116.135.3 FORTWORTH. -:- Adobe Sign Document emailed to Julie A Geho oulie.geho@fortworthtexas.gov)for delivery 08/15/2018-12:44:22 PM CDT ` Document viewed by Julie A Geho oulie.geho@fortworthtexas.gov) 08/15/2018-1:13:58 PM CDT-IP address:209.194.29.100 may: Document receipt acknowledged by Julie A Geho oulie.geho@fortworthtexas.gov) Receipt Acknowledgement Date:08/15/2018-1:14:18 PM CDT-Time Source:server-IP address:209.194.29.100 Document emailed to Sylvia Kelley (tpwcfafiscal@fortworthtexas.gov)for delivery 08/15/2018-1:14:19 PM CDT Document viewed by Sylvia Kelley(tpwcfafiscal@fortworthtexas.gov) 08/15/2018-1:30:29 PM CDT-IP address:209.194.29.100 Oc, Document receipt acknowledged by Sylvia Kelley(tpwcfafiscal@fortworthtexas.gov) Receipt Acknowledgement Date:08/15/2018-1:45:29 PM CDT-Time Source:server-IP address:209.194.29.100 Signed document emailed to Allison Tidwell (cso_finalpay@fortworthtexas.gov), Julie A Geho oulie.geho@fortworthtexas.gov), Janie Scarlett Morales oanie.morales@fortworthtexas.gov), Trudy Brotherton (therese.brotherton@fortworthtexas.gov), and 7 more 08/15/2018-1:45:29 PM CDT Foxd Adobe Sign