HomeMy WebLinkAboutContract 47991-FP1 FORTI�ORTH. ccONTRACS �lrT NO
I AUG 21 2018 ;
TRANSPORTATION AND PUBLIC WORKS � ' _ a `3<1
NOTICE OF PROJECT COMPLETION G S .L,�t`J q Q j
City Project Ne: 47991
Regarding contract 02534 for DEERFIELD ADDITION WATER MAIN IMPROVEMENTS as required by the
WATER DEPARTMENT as approved by City Council on 6/21/2016 through M&C C-27790 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 Prices: $1,568,471.00
Amount of Approved Change Orders: ($99,996.00) Ns 1
Revised Contract Amount: $1,468,475.00
Total Cost Work Completed: $1,273,335.11
Less Deductions:
Liquidated Damages: Days @/Day
Pavement Deficiencies:
Total Deduction Amount:
Total Cost Work Completed: $1,273,335.11
Less Previous Payments: $1,268,927.03
Final Payment Due $4,408.08
00
Recommended or Acceptance Date
Asst. Director TPW - Infrastructure Design and Construction
1-21 1.C6
Accepted T S• .VL. Date
Asst. Director, WATER DEPARTMENT
Asst. City Manager Date
Department of TP&W Const.Services
Comments: CPN# at
y, Project Manage �✓� —Z�$ l
Risk Management Canad
D.O.E. Brotherton - OFFICIAL,
CFA Morales/Scanned !k CITY SECROARY
Gutzier/Scanned
y The Proceeding people have been Contacted TX
concerning the request for final payment&have
released this project for such payment.
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FoRTWORTH rev 03/05/07
TRANSPORTATION & PUBLIC WORKS
FINAL STATEMENT OF CONTRACT TIME
FINAL STATEMENT NO.:15
NAME OF PROJECT: Deerfield Addition Water Main Improvements
PROJECT NO.: 2534 CONTRACTOR: Atkins Brothers Equipment
DOE NO.: NA
PERIOD FROM;07/25/16 TO: 12/28/17 FINAL INSPECTION DATE: 18-Jul-18
WORK ORDER EFFECTIVE: CONTRACT TIME: I 9,�>f�e 2-.,�Z2 a W[! CD
t== ,
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
PREVIOUS
PERIOD
TOTALS
TO DATE 522
*REMARKS:
CONTRACTOR DATE ASPECT- DATE
ENGINEERING DEPARTMENT
The City of Fort Words• 1000 Throckmorton Street•Fort Worth,TX-76012-6311
(817) 392-7941 •Fax: (817) 392-7845
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FORTWORTH
TRANSPORTATION AND PUBLIC WORKS
PIPE REPORT FOR:
PROJECT NAME: Deerfield Addition Water Main Improvements
PROJECT NUMBER: 2534
DOE NUMBER: NA
WATER
PIPE LAID SIZE TYPE OF PIPE LF
12" DI 156.16
12" PVC 5751.29
8" PVC 161.86
8" DI 40.89
6" PVC 33.47
FIRE HYDRANTS: 16 VALVES(16" OR LARGER)
PIPE ABANDONED SIZE TYPE OF PIPE LF
DENSITIES: Yes
NEW SERVICES:
SEWER
PIPE LAID SIZE TYPE OF PIPE LF
PIPE ABANDONED SIZE TYPE OF PIPE L F
DENSITIES:
NEW SERVICES:
TRANSPORTATION AND PUBLIC WORKS
The City of Fort Worth• 1000 Tlrockmorton Street•Fort Worth,TX 76012-6311
(817)392-7941 •Fax: (817)392-7845
REV: 02/01/05 CISCO LOCATION I.D.
WATER SERVICE REPORT
DATE: 5/31/2018 ADDITION: Deerfield
DOE NUMBER: NA PROJECT NAME: Deerfield Addition Water Main Improvement
WORK ORDER#: NA PROJECT#: 02534
ZIP CODE: 76244 CONTRACTOR: Atkins Brothers
MAPSCO: 22U&V,23S INSPECTOR: Thomas Miller
TAD MAP: INSPECTOR TELEPHONE: 817-223-2260
STREET:
Wall Price Keller Rd
ADDRESS LOT BLOCK. TA TAP TYPE LOCATION
SIZE (DOM,IRR,FL)
5800 Abstract 457 Tract 11B 1" DOM 210'W of NE com
5800 Abstract 457 Tract 11B 1" IRR 213'W of NE corn
REV: 02/01/05 CISCO LOCATION I.D.
WATER SERVICE REPORT
fDOENUMBER:
5/31/2018 ADDITION: Deerfield
NA PROJECT NAME: Deerfield Addition Water Main ImprovementER#: NA PROJECT#: 02534
76244 CONTRACTOR: Atkins Brothers
MAPSCO: 22U&V,23S INSPECTOR: Thomas Miller
TAD MAP: INSPECTOR TELEPHONE: 817-223-2260
STREET:
Bison Court
ADDRESS LOT BLOCK TAP TAP TYPE LOCATION
SIZE (DOM,IRR,FL)
9721 11 2 1 DOM PL Lot 10&Lot 11
9717 10 2 1 DOM PL Lot 10&Lot 11
9713 9 21 DOM PL Lot 9&Lot 8
9709 8 2 1 DOM PL Lot 9&Lot 8
9705 7 2 1 DOM PL Lot 6&Lot 7
9701 6 2 1 DOM PL Lot 6&Lot 7
9700 5 2 1 DOM PL Lot 4&Lot 5
9704 4 2 1 DOM PL Lot 4&Lot 5
9708 3 2 1 DOM PL Lot 2&Lot 3
9716 2 2 1 DOM PL Lot 2&Lot 3
9720 1 2 1 DOM 15'N of SPL
9798 1 2 1 IRR 20'S of NPL
REV: 02/01/05 CISCO LOCATION I.D.
WATER SERVICE REPORT
DATE:
F 5/31/2018 ADDITION: Deerfield
DOE NUMBER: NA PROJECT NAME: Deerfield Addition Water Main Improvement
WORK ORDER#: NA PROJECT#: 02534
ZIP CODE: 76244 CONTRACTOR: Atldns Brothers
MAPSCO: 22U&V,23S INSPECTOR: Thomas Miller
TAD MAP: INSPECTOR TELEPHONE: 817-223-2260
STREET:
Corral Drive
PE
ADDRESS LOT BLOCK TAP TAP TYLOCATION
SIZE (DOM,IRR,FL)
9749 19 1 1 DOM 15'N of SPL
9745 18 1 1 DOM PL Lot# 18&Lot#17
9741 17 1 1 DOM PL Lot#18&Lot#17
9737 16 1 1 DOM PL Lot#16&Lot# 15
9733 15 1 1 DOM PL Lot#16&Lot# 15
9729 14 1 1 DOM PL Lot# 14&Lot# 13
9725 13 1 1 DOM PL Lot#14&Lot# 13
9721 12 1 1 DOM PL Lot# 12&Lot#11
9717 11 1 1 DOM PL Lot# 12&Lot#11
9713 10 1 1 DOM PL Lot# 10&Lot#9
9709 9 1 1 DOM PL Lot# 10&Lot#9
9705 8 1 1 DOM PL Lot#8&Lot#7
9701 7 1 1 DOM PL Lot#8&Lot#7
9700 6 1 1 DOM PL Lot#6&Lot#5
9704 5 1 1 DOM PL Lot#6&Lot#5
9708 4 1 1 DOM 25'S of NPL
9740 3 1 1 DOM PL Lot#3&Lot#2
9744 2 1 1 DOM PL Lot#3&Lot#2
9748 1 1 1 DOM 15'N of SPL
REV: 02/01/05 CISCO LOCATION I.D.
WATER SERVICE REPORT
DATE: 5/31/2018 ADDITION: Deerfield
DOE NUMBER: NA PROJECT NAME: Deerfield Addition Water Main Improvement
WORK ORDER#: NA PROJECT#: 02534
ZIP CODE: 76244 CONTRACTOR: Atkins Brothers
MAPSCO: 22U&V,23S INSPECTOR: Thomas Miller
TAD MAP: INSPECTOR TELEPHONE: 817-223-2260
STREET:
Indian Court
ADDRESS LOT BLOCK TAP, TAP TYPE LOCATION
SIZE (DOM,IRR,FL)
9720 1 3 1 DOM PL Lot# 1 &Lot#2
9716 2 3 1 DOM PL Lot#1 &Lot#2
9712 3 3 1 DOM PL Lot#3&Lot#4
9708 4 3 1 DOM PL Lot#3&Lot#4
9704 5 3 1 DOM PL Lot#5&Lot#6
9700 6 3 1 DOM PL Lot#5&Lot#6
9701 7 3 1 DOM PL Lot#7&Lot#8
9705 8 3 1 DOM PL Lot#7&Lot#8
9709 9 3 1 DOM PL Lot#9&Lot# 10
9713 10 3 1 DOM PL Lot#9&Lot# 10
9717 11 3 1 DOM PL Lot# 11 &Lot#12
9721 12 3 1 DOM PL Lot# 11 &Lot#12
REV: 02/01/05 CISCO LOCATION I.D.
WATER SERVICE REPORT
DATE: 5/31/2018 ADDITION: Deerfield
DOE NUMBER: NA PROJECT NAME: Deerfield Addition Water Main Improvement
WORK ORDER#: NA PROJECT#: 02534
ZIP CODE: 76244 CONTRACTOR: Atkins Brothers
MAPSCO: 22U&V,23S INSPECTOR: Thomas Miller
TAD MAP: INSPECTOR TELEPHONE: 817-223-2260
STREET:
Pin Tail Court
ADDRESS LOT BLOCK TA TAP TYPE LOCATION
SIZE (DOM,IRR,FL)
5828 13 Deerfield Ad 1 DOM PL Lot#13&Lot# 14
5824 14 Deerfield Ad 1 DOM PL Lot# 13&Lot# 14
5820 15 Deerfield Ad 1 DOM PL Lot# 15&Lot# 16
5816 16 Deerfield Ad 1 DOM PL Lot# 15&Lot#16
5812 17 Deerfield Ad 1 DOM PL Lot# 17&Lot# 18
5808 18 Deerfield Ad 1 DOM PL Lot# 17&Lot# 18
5804 19 Deerfield Ad 1 DOM PL Lot# 19&Lot#20
5800 20 Deerfield Ad 1 DOM PL Lot#19&Lot#20
REV: 02/01/05 CISCO LOCATION I.D.
WATER SERVICE REPORT
DATE: 5/31/2018 ADDITION: Deerfield
DOE NUMBER: NA PROJECT NAME: Deerfield Addition Water Main Improvement
WORK ORDER#: NA PROJECT#: 02534
ZIP CODE: 76244 CONTRACTOR: Atkins Brothers
MAPSCO: 22U&V,23S INSPECTOR: Thomas Miller
TAD MAP: INSPECTOR TELEPHONE: 817-223-2260
STREET:
Prairie Court
ADDRESS LOT BLOCK TA TAP TYPE LOCATION
SIZE (DOM,IRR,FL)
9717 1 5 1 DOM PL Lot 1 &Lot 2
9721 2 5 1 DOM PL Lot 2&Lot 3
9725 3 5 1 DOM PL Lot 2&Lot 3
9728 4 5 1 DOM PL Lot 4&Lot 5
9724 5 5 1 DOM PL Lot 4&Lot 5
9720 6 5 1 DOM PL Lot 6&Lot 7
9716 7 5 1 DOM PL Lot 6&Lot 7
9712 8 5 1 DOM PL Lot 8&Lot 9
9708 9 5 1 DOM PL Lot 8&Lot 9
9704 10 5 1 DOM PL Lot 10&Lot 11
9700 11 5 1 DOM IPL Lot 10&Lot 11
REV: 02/01/05 CISCO LOCATION I.D.
WATER SERVICE REPORT
DATE
:: 5/31/2018 ADDITION: Deerfield
DOE NUMBER: NA PROJECT NAME: Deerfield Addition Water Main Improvement
WORK ORDER#: NA PROJECT#: 02534
ZIP CODE: 76244 CONTRACTOR: Atkins Brothers
MAPSCO: 22U&V,23S INSPECTOR: Thomas Miller
TAD MAP: INSPECTOR TELEPHONE: 817-223-2260
STREET:
Rancho Drive
ADDRESS LOT BLOCK TAP TAP TYPE LOCATION
SIZE (DOM,IRR,FL)
9752 25 A 1 DOM PL Lot#25&Lot#26
9748 26 A 1 DOM PL Lot#25&Lot#26
9744 27 A 1 DOM PL Lot#27&Lot#28
9740 28 A 1 DOM PL Lot#27&Lot#28
9736 29 A 1 DOM PL Lot#29&Lot#30
9732 30A 1 DOM PL Lot#29&Lot#30
9728 31 A 1 DOM PL Lot#31 &Lot#32
9724 32 A 1 DOM PL Lot#31 &Lot#32
9712 35 A 1 DOM PL Lot#35&Lot#36
9708 36 A 1 DOM PL Lot#35&Lot#36
9704 37 A 1 DOM PL Lot#37&Lot#38
9700 38A 1 DOM PL Lot#37&Lot#38
9701 39 A 1 DOM PL Lot#39&Lot#40
9705 40 A 1 DOM PL Lot#39&Lot#40
9709 41 A 1 DOM 35'S of N PL
9749 43 A 1 DOM PL Lot#43&Lot#44
9753 44 A 1 DOM PL Lot#43&Lot#44
REV: 02/01/05 CISCO LOCATION I.D.
WATER SERVICE REPORT
DATE: 5/31/2018 ADDITION: Deerfield
DOE NUMBER: NA PROJECT NAME: Deerfield Addition Water Main Improvement
WORK ORDER#: NA PROJECT#: 02534
ZIP CODE: 76244 CONTRACTOR: Atkins Brothers
MAPSCO: 22U&V,23S INSPECTOR: Thomas Miller
TAD MAP: INSPECTOR TELEPHONE: 817-223-2260
STREET:
Rav White Road
ADDRESS LOT BLOCK TA TAP TYPE LOCATION
SIZE (DOM,IRR,FL)
9800 Abstract 457 Tract 18B 1" DOM 92'E of SW corn
REV: 02/01/05 CISCO LOCATION I.D.
WATER SERVICE REPORT
DATE: 5/31/2018 ADDITION: Deerfield
DOE NUMBER: NA PROJECT NAME: Deerfield Addition Water Main Improvement
WORK ORDER#: NA PROJECT#: 02534
ZIP CODE: 76244 CONTRACTOR: Atkins Brothers
MAPSCO: 22U&V,23S INSPECTOR: Thomas Miller
TAD MAP: INSPECTOR TELEPHONE: 817-223-2260
STREET:
Red Tail Court
ADDRESS LOT BLOCK TA TAP TYPE LOCATION
SIZE (DOM,IRR,FL)
9762 1 Deerfield Ad 1 DOM PL Lot# 1 &Lot#2
9758 2 Deerfield Ad 1 DOM PL Lot# 1 &Lot#2
9754 3 Deerfield Ad 1 DOM PL Lot#3&Lot#4
9750 4 Deerfield Ad 1 DOM PL Lot#3&Lot#4
9751 21 Deerfield Ad 1 DOM PL Lot#21 &Lot#22
9755 22 Deerfield Ad 1 DOM PL Lot#21 &Lot#22
9759 23 Deerfield Ad 1 DOM PL Lot#23&Lot#24
9763 24 Deerfield Ad 1 DOM PL Lot#23&Lot#24
9798 1 Deerfield Ad 1 IRR 16'S of N PL
REV: 02/01/05 CISCO LOCATION I.D.
WATER SERVICE REPORT
DATE: 5/31/2018 ADDITION: Deerfield
DOE NUMBER: NA PROJECT NAME: Deerfield Addition Water Main Improvement
WORK ORDER#: NA PROJECT#: 02534
ZIP CODE: 76244 CONTRACTOR: Atkins Brothers
MAPSCO: 22U&V,23S INSPECTOR: Thomas Miller
TAD MAP: INSPECTOR TELEPHONE: 817-223-2260
STREET:
Rock Dove Court
ADDRESS LOT BLOCK TAP TAP TYPE LOCATION
SIZE (DOM,IRR,FL)
9751 5 Deerfield Ad 1 DOM PL Lot#5&Lot#6
9755 6 Deerfield Ad 1 DOM PL Lot#5&Lot#6
9759 7 Deerfield Ad 1 DOM PL Lot#7&Lot#8
9763 8 Deerfield Ad 1 DOM PL Lot#7&Lot#8
9762 9 Deerfield Ad 1 1 DOM 1PL Lot#9&Lot# 10
9758 10 Deerfield Ad 1 DOM PL Lot#9&Lot# 10
9754 11 Deerfield Ad 1 DOM PL Lot#11 &Lot#12
9750 112 Deerfield Ad 1 DOM PL Lot# 11 &Lot# 12
REV: 02/01/05 CISCO LOCATION I.D.
WATER SERVICE REPORT
DATE: 5/31/2018 ADDITION: Deerfield
DOE NUMBER: NA PROJECT NAME: Deerfield Addition Water Main Improvement
WORK ORDER#: NA PROJECT#: 02534
ZIP CODE: 76244 CONTRACTOR: Atkins Brothers
MAPSCO: 22U&V,23S INSPECTOR: Thomas Miller
TAD MAP: INSPECTOR TELEPHONE: 817-223-2260
STREET:
WaLyon Court
ADDRESS LOT BLOCK TAP TAP TYPE LOCATION
SIZE (DOM,IRR,FL)
9720 1 4 1 DOM PL Lot# 1 &Lot#2
9716 2 4 1 DOM PL Lot# 1 &Lot#2
9712 3 4 1 DOM PL Lot#3&Lot#4
9708 4 4 1 DOM PL Lot#3&Lot#4
9704 5 4 1 DOM PL Lot#5&Lot#6
9700 6 4 1 DOM PL Lot#5&Lot#6
9701 7 4 1 DOM PL Lot#7&Lot#8
9705 8 4 1 DOM PL Lot#7&Lot#8
9709 9 4 1 DOM PL Lot#9&Lot#10
9713 10 4 1 DOM PL Lot#9&Lot#10
9717 11 4 1 DOM PL Lot#11 &Lot#12
9721 112 4 1 DOM PL Lot# 11 &Lot#12
9798 1 4 1 IRR 20'S of N PL
Bond No. 022055234
CONSENT OF SURETY OWNER ❑
TO FINAL PAYMENT ARCHITECT
ALA Document G707 CONTRACTOR ❑
SURETY l3
(Irtstructions on reverse side) OTHER ❑
TO OWNER: ARCHITECT'S PROJECT NO.: N/A
rxame marl addm:rr/
City of Fort Worth
1000 Throckmorton Street CONTRACT FOR:Deerfield Addition Water Main
Fort Worth, TX 76102 Improvements
City Project No. 02534
PROJECT: CONTRACT DATED: Undated
Name and addma;
Deerfield Addition Water Main Improvements
City Project No. 02534
In accordance with the pts Msions of the Contract between the Owner and the Contractor as indicAted shave,the
llnsrrr nwne and addre s r f5nmy/
Liberty Mutual Insurance Company
175 Berkeley Street
Boston, MA 02116
SUR>=l'r,
on band 4
(hz*rr,w,ne caul arldboxegfCwu&k2orl
Atkins Bros . Equipment Co. , Inc.
3516 Old Fort Worth Road
Midlothian, TX 76065
CON'T'RACTOR,
hereby approves of the final payment to the Co ntractir,and agrees that final payment w the Contractor shall not relieve the Surety of
any of its obligations to
pnserr nwne and arlrlmi of ou%w)
City of Fort Worth
1000 Throckmorton Street
Fort Worth, TX 76102
OWNER.
as set forth in said Surety's bond.
LN WITNESS WHEREOF,the Surety has hereunto set its hand on this date: April 24, 2 018
llrasrff In urtrtrp�dx•nronrb falloret:fln•Jbr mnnrrfi-dmr aauf�cvrr.l
Liberty Mutual Insurance Company
/� � •_ IS{Evratnm nfanJlxrnazd rejimsenunierJ
[: Candice Allen, Witness Brent Baldwin, Attorney-in-Fact
(S"eai�
(13inrrrl rairnrearad tlrlel
M
CAUTION: You should sign an original AIA document that has this caution printed in red. An
original assures that changes will not be obscured as may occur when documents are reproduced.
See Instruction Sheet for Limited License for Reproduction of this document.
AIA DOCUMENT G707•CONSF.NTOF SURM YTO FINAL PAYMENT•1994 EIXTION••AIA
tJ1994•THE AMERt(,AN)NSTI nrM..OF ARCHnF. M VS5 NEW/YORK AVE2il:F-„NW WAI;H-
INGTON,1XC.20005.5292•WARNING:Unflewwd photocopying violap s Us.Cody.
right Iowa and vA9 subject the vlotetor to Soo prosecution. G707-1994
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.
Liberty Mutual Insurance Company Certificate No.7953001
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 get forth,does hereby name,constitute and appoint,
Blaine Allen;Brock Baldwin:V4ttlfam D Baldwin•.Brent Baldwin;Monica Campos;Brady K Cox;Trenae
Petranex _Donovan;,Russ Frenzel Michael B Hill Tonle
all of the city of Dallas state of TX each individually if there be more than one named,its true and lawful attomey-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 andother 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 30th day of November 2017
'�'4 INS(' ,lNSllq �NSUR -
hJcaYcvtu X92 �Je' �"fHr, �C.paYtm,r�A`�+
The Ohio Casually Insurance Company m
1999 0 19,11c t9g1~ .3 Liberty Mutual Insurance Company ami
West American Insurance Company =
13y:
STATE OF PENNSYLVANIA ss David M.Care ,Assistant Secretary C
COUNTY OF MONTGOMERY
'O C
O On this 30th da of November 2017 O
Y before me personally appeared David M.Carey,who acknowledged himself to be the Assistant Secretary of Liberty Mutual Insurance
v w 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 >,N
p 3 therein contained by signing on behalf of the corporations by himself as a duly authorized officer. y W
acc =
:� 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
co
7 �gP PAST,t, COMMONWEALTH OF PENNSYLVANIA 'O
T3 ! I rNotarial Seal �/ ') QM
Teresa Pestella,Notary Pubhc By: �✓ !"�` O
O13
.. °F Upper MerionTwp.,Monlgomcry County Teresa Pastella,Notary Public
O 'L L�P`"p My Commission Explms March 28,2021 3 c0
OO OT,9 � Member.Pennsytvania Au5 a iaoon of Notanos a
C irg 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 Com m
Insurance C Company g Y parry, Liberty Mutual N p
I U) Company,and West American Insurance Com an which resolutions are now in full force and effect reading as follows; O
w
e�CL 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
a; to such limitation as the Chairman or the President may prescribe,shall appoint such attomeys-in-fact,as may be necessary to act in behalf of the Corporation to make,execute,seal, y aa)
O E acknowledge and deliver as surety any and all undertakings,bonds,recognizances and other surety obligations. Such attomeys4n Fact,subject to the limitations set forth in Their respective � 2
E y' powers of attorney,shall have full power to bind the Corporation by their signature and execution of any such instruments and '�m
�p to attach thereto the seal of the Corporation. When so` 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-fad under >
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 m v
� g g power or authority.
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, �.o0
and subject to such limitations as the chairman or the president may prescribe,shall appoint such attomeys-n-fact,as may be necessary to act in behalf of the Company to make,execute, N
0 seal,acknowledge and deliver as surety any and all undertakings,bonds,recognizances and other surety obligations. Such attomeys4n-tact subject to the limitations set forth in theirOP I
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 CompanyWhen so O o
.
executed such instruments shall be as binding as if signed by the president and attested by the secretary. v T—
O .
Certificate of Designation—The President bf the Company,acting pursuant,to the Bylaws of the Company,authorizes David M.Carey;Assistant Secretary to appoint such attomeys-in- `—
fad 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.
Authorization—By unanimous consent of the Company's Board of Directors,the Company consents that facsimile or mechar ica8y reproduced signature of any assistant secretary of the
Company,wherever appearing upon a certified copy of anypower 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.
}, Renee C. Llewellyn, the undersigned, Assistant Secretary, The Qhio Casually bmrence Company, Liberty Mutual Insurance Company, add:West American Insurance Company do
hereby certify that the original power of attorney of-which the foregoing is a full,trite and roreot copy of the Power of Attorney exaxrted-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 thist;py of 2Q
Jp�ovvon,��9 JP`1NS,//rryAr C.��1NSflN„yam ....
y�
9 1919 0 > 1912 T r 1991 - By:
`.,y �AMDS� D y9i)`�i �i°t 3 a Renee C.LlemNJR,Xssistant Secretary
44 of 100
CMS 12673 022017
AFFIDAVIT
STATE OF TEXAS
COUNTY OF ELLIS
Before me,the undersigned authority,a notary public in the state
and county aforesaid, on this day personally appeared Michael Atkins,
CEO Of Atkins Brothers Equipment Company,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;
City Project No.: 47991, Contract No.:02534
BY
Michael Atkins, CEO
Subscribed and sworn before me on this date 3 of August, 2018.
006Ecx
DIANA LiTTRELL
Not Public Notary Public
STATE OF TEXAS
Ellis County, Texas ID#444652-1
MY Comm.Exp.05/14/2021