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Contract 49788-FP1
City Secretary49788 -FP1 Contract No. FORT WORTU. Date Received Sep 6,2018 i ()►oaa 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: OAK CREEK TRAILS 3B City Project No.: 101022 Improvement Type(s): ❑ Paving ❑ Drainage 0 Street Lights ❑ Traffic Signals Original Contract Price: $84,801.00 Amount of Approved Change Order(s): Revised Contract Amount: $84,801.00 Total Cost of Work Complete: $84,801.00 Richard Wolfe IAug 18,2018: Aug 18, 2018 Contractor Date President Title Independent Utility Construction,Inc. Company Name titrMR d�e Aug 22, 2018 Michael Flute(Aug 22,20181 Project Inspector Date Gsgu,PM Aug 22, 2018 G.SAHU,PN(Aug 22,1G13j Project Manager Date e Scarlett Naales(Sep 5,2018) Sep 5, 2018 CFA Manager Date saige l lkt Susan A!, Sep 5, 2018 Asst. City Manager Date �O OFFICIAL RECORD Page 1 of 2 CITY SECRETARY FT.WORTH,TX Notice of Project Completion Project Name: OAK CREEK TRAILS 3B City Project No.: 101022 City's Attachments Final Pay Estimate Change Order(s): ❑ Yes © N/A Contractor's Attachments Affidavit of Bills Paid Consent of Surety Statement of Contract Time Contract Time: 30 CD Days Charged: 30 Work Start Date: 11/17/2017 Work Complete Date: 8/9/2018 Page 2 of 2 Iblo� � City Project Numbers 101022 DOE Number 1022 Contract Name OAK CREEK TRAILS PHASE 313 Estimate Number I Contract Limits Payment Number 1 Project Type STREET LIGHTING For Period Ending 8/9/2018 Project Funding Project Manager NA City Secretary Contract Number 2101022 Inspectors GREGORY I FLUTE Contract Date 10/2/2017 Contractor INDEPENDENT UTILITY CONSTRUCTION Contract Time 30 CD 5109 SUN VALLEY DRIVE Days Charged to Date 30 CD FORT WORTH, TX 76119 Contract is .000000 Complete i CITY OF FORT WORTH SUMMARY OF CHARGES Line Fund Account Center Amount Gross Retainage Net (! Funded ti - i rr Total Cost of Work Completed $84,801.00 Less %Retained $0.00 Net Earned $84,801.00 Earned This Period $84,801.00 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 $84,801.00 Friday,August 17,2018 Page 4 of 4 FORT NORTH CITY OF FORT WORTH FINAL PAYMENT REQUEST Contract Name OAK CREEK TRAILS PHASE 3B r Contract Limits Project Type STREET LIGHTING City Project Numbers 101022 DOE Number 1022 Estimate Number 1 Payment Number 1 For Period Ending 8/9/2018 CD City Secretary Contract Number 2101022 Contract Time XD Contract Date 10/2/2017 Days Charged to Date 30 t Project Manager NA Contract is 100.00 Complete Contractor INDEPENDENT UTILITY CONSTRUCTION 5109 SUN VALLEY DRIVE FORT WORTH, TX 76119 Inspectors GREGORY / FLUTE Is Friday,August 17,2018 Page 1 of 4 City Project Numbers 101022 DOE Number 1022 Contract Name OAK CREEK TRAILS PHASE 3B Estimate Number I Contract Limits Payment Number 1 Project Type STREET LIGHTING For Period Ending 8/9/2018 Project Funding UNIT I:STREET LIGHTING Item Description of Items Estimated Unit Unit Cost Estimated Completed Completed No. Quanity Total Quanity Total 1 50W LED LIGHTING FIXTURE TYPE I I W/3313 24 EA $2,762.00 $66,288.00 24 $66,288.00 ARM 2 2"CONDUIT PVC SCH 40(T) 1700 LF $8.52 $14,484.00 1700 $14,484.00 3 INSULATED ELEC CONDR ALUMINUM#6 5100 LF $0.79 $4,029.00 5100 $4,029.00 XHHW Sub-Total of Previous Unit $84,801.00 $84,801.00 i Friday,August 17,2018 Page 2 of 4 City Project Numbers 101022 DOE Number 1022 Contract Name OAK CREEK TRAILS PHASE 3B Estimate Number I Contract Limits Payment Number I Project Type STREET LIGHTING For Period Ending 8/9/2018 Project Funding Contract Information Summat Original Conti-act Amount $84,801.00 Chan1le Orders Total Contract Price $84,801.00 Total Cost of Work Completed $84,80f.00 Less %Retained $0.00 Net Earned $84,801.00 Earned This Period $84,801.00 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 $84,801.00 Friday,August 17,2018 Page 3 of 4 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: Oak Creek Trails Phase 3B—City Project No. 101022 BY: Richard olfe,President SUBSC BED AND SWORN TO BEFORE ME on this day of 2018. CHRISTINA GARCIA APPY P Bpi Notary Public,state of Texas _ . Q Comm.Expires 12-20-2020 OF No ID 130940785 .,FOF ,� rNotary Public, State of Texas CONSENT OF OWNER ❑ SURETY COMPANY ARCHITECT ❑ CONTRACTOR ❑ TO FINAL PAYMENT SURETY ❑ (SIMILAR TO AIA DOCUMENT G707) Bond No. 8028465 PROJECT: Street Lighting Improvements for Oak Creek Trails Phase 313 (name,address)Fort Worth, Texas TO (Owner) ARCHITECTS PROJECT NO: 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 By Attest: Signature uthorized Representative (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 IM:i SAMt POWER fi AND ISSUED PRIOR TO 04120/11, FOR ANY PERSON OR PERSONS NAb1ED BELOW. POWER NO. 4220052 06 General Power Westfield Insurance Co. of Attorney Westfield National Insurance Co. Ohio Farmers Insurance Co. CERTIFIED COPY 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 Attorney(s)-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 .- ....w.», ..,...,, Seals i1".N.. 'c�,� �P�1�N 1L�tiSG ��SU WESTFIELD INSURANCE COMPANY Affixed v: •a.. ;`o`; WESTFIELD NATIONAL INSURANCE COMPANY w. ip3 OHIO FARMERS INSURANCE COMPANY AL • ;u� 4z �' SEAL — � '• „w% .o, 1848 By: State of Ohio " "k" Richard L. Kinnaird, Jr.,National Surety Leader and County of Medina ss.: Senior Executive i 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 seals 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 Affixed • William J. Kahelin,A rney at Law, Notary Public State of Ohio so J. o My Commission Does Not Expire(Sec.147.03 Ohio Revised Code) County of Medina ss.: yo2s, TE. b F I, 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 1 1 th day of July wA jam•��YR.(,V''s `,.••�\ONA('/�••,• ,r `IwU r c ;aP......... , 14. T, LAZ SLAL :m_ Secretary �,• ,� Y� .o, = '; 1848 !, Frank A. Carrino,Secretary ,4'^'x.4„,., f ...k..• .......... BPOAC2 (combined) (06-02) Green Sheet Oak Creek Trails - ~~� 313 CPN 101022 Street Lights �,. Adobe Sign Document History 09/07/2018 ~- - ---�- Created: 08/17/2018 By: Etta Bacy(etta.bacy@fortworthtexas.gov) Status: Signed .; Transaction ID: CBJCHBCAABAAgWIm96fLmFGSe_aeA8vanSTv1RochVNO "Green Sheet Oak Creek Trails 36 CPN 101022 Street Lights" H istory Document created by Etta Bacy(etta.bacy@fortworthtexas.gov) 08/17/2018-3:14:05 PM CDT-IP address:209.194.29.100 C� Document emailed to Richard Wolfe (rwolfe@iuctx.com)for signature 08/17/2018-3:26:19 PM CDT Document viewed by Richard Wolfe(rwolfe@iuctx.com) 08/18/2018-11:15:57 AM CDT-IP address:64.233.172.175 Chi Richard Wolfe (rwolfe@iuctx.com) uploaded the following supporting documents: o� File Attachment 1 (91 File Attachment 2 08/18/2018-11:20:01 AM CDT CY0 Document e-signed by Richard Wolfe (rwolfe@iuctx.com) Signature Date:08/18/2018-11:20:01 AM CDT-Time Source:server-IP address:75.139.243.146 C'. Document emailed to Michael Flute (michael.flute@freese.com)for signature 08/18/2018-11:20:03 AM CDT W Document viewed by Michael Flute (michael.flute@freese.com) 08/22/2018-8:22:19 AM CDT-IP address:209.194.29.90 u , Document e-signed by Michael Flute (michael.flute@freese.com) Signature Date:08/22/2018-8:22:49 AM CDT-Time Source:server-IP address:209.194.29.90 E Document emailed to Ariel Duarte (ariel.duarte@fortworthtexas.gov)for approval 08/22/2018-8:22:50 AM CDT FORT WORTH. Adobe sig, ? Document viewed by Ariel Duarte(ariel.duarte@fortworthtexas.gov) 08/22/2018-8:36:15 AM CDT-IP address:209.194.29.100 �Sq Document approved by Ariel Duarte(ariel.duarte@fortworthtexas.gov) Approval Date:08/22/2018-8:37:45 AM CDT-Time Source:server-IP address:209.194.29.100 L-4 Document emailed to G.SAHU, PM (gopal.sahu@fortworthtexas.gov)for signature 08/22/2018-8:37:46 AM CDT �v Document viewed by G.SAHU, PM (gopal.sahu@fortworthtexas.gov) 08/22/2018-11:05:18 AM CDT-IP address:209.194.29.100 6q Document e-signed by G.SAHU, PM (gopal.sahu@fortworthtexas.gov) Signature Date:08/22/2018-11:07:56 AM CDT-Time Source:server-IP address:209.194.29.100 Document emailed to Janie Scarlett Morales (Janie.morales@fortworthtexas.gov)for signature 08/22/2018-11:07:58 AM CDT `,l Document viewed by Janie Scarlett Morales (Janie.morales@fortworthtexas.gov) 08/24/2018-1:35:57 PM CDT-IP address:209.194.29.100 i�q Document e-signed by Janie Scarlett Morales(Janie.morales@fortworthtexas.gov) Signature Date:09/05/2018-2:46:59 PM CDT-Time Source:server-IP address:209.194.29.100 °-r Document emailed to Susan Alanis (susan.alanis@fortworthtexas.gov)for signature 09/05/2018-2:47:00 PM CDT Li Document viewed by Susan Alanis (susan.alanis@fortworthtexas.gov) 09/05/2018-7:27:26 PM CDT-IP address:209.194.29.100 tSq Document e-signed by Susan Alanis (susan.alanis@fortworthtexas.gov) Signature Date:09/05/2018-7:27:47 PM CDT-Time Source:server-IP address:209.194.29.100 CP Document emailed to Allison Tidwell (cso_finalpay@fortworthtexas.gov)for filling 09/05/2018-7:27:49 PM CDT Document viewed by Allison Tidwell (cso_finalpay@fortworthtexas.gov) 09/06/2018-8:04:19 AM CDT-IP address:209.194.29.100 GSq Form filled by Allison Tidwell (cso_finalpay@fortworthtexas.gov) Form filling Date:09/06/2018-8:05:23 AM CDT-Time Source:server-IP address:209.194.29.100 C: Document emailed to Trudy Brotherton (therese.brotherton@fortworthtexas.gov)for delivery 09/06/2018-8:05:25 AM CDT Document viewed by Trudy Brotherton (therese.brotherton@fortworthtexas.gov) 09/06/2018-8:05:47 AM CDT-IP address:68.116.135.3 FORT WORTH, Adobe Sign tS® Document receipt acknowledged by Trudy Brotherton (therese.brotherton@fortworthtexas.gov) Receipt Acknowledgement Date:09/06/2018-8:06:08 AM CDT-Time Source:server-IP address:68.116.135.3 E`'-► Document emailed to Julie A Geho Oulie.geho@fortworthtexas.gov)for delivery 09/06/2018-8:06:09 AM CDT Document viewed by Julie A Geho Qulie.geho@fortworthtexas.gov) 09/06/2018-8:16:06 AM CDT-IP address:209.194.29.100 vo Document receipt acknowledged by Julie A Geho Qulie.geho@fortworthtexas.gov) Receipt Acknowledgement Date:09/06/2018-8:16:20 AM CDT-Time Source:server-IP address:209.194.29.100 Document emailed to Sylvia Kelley(tpwcfafiscal@fortworthtexas.gov)for delivery 09/06/2018-8:16:21 AM CDT Document viewed by Sylvia Kelley(tpwcfafiscal@fortworthtexas.gov) 09/07/2018-10:58:08 AM CDT-IP address:209.194.29.100 G Document receipt acknowledged by Sylvia Kelley(tpwcfafiscal@fortworthtexas.gov) Receipt Acknowledgement Date:09/07/2018-10:58:28 AM CDT-Time Source:server-IP address:209.194.29.100 Signed document emailed to G.SAHU, PM (gopal.sahu@fortworthtexas.gov), Julie A Geho Oulie.geho@fortworthtexas.gov),Allison Tidwell (cso_finalpay@fortworthtexas.gov), Etta Bacy (etta.bacy@fortworthtexas.gov), and 7 more 09/07/2018-10:58:28 AM CDT FORT WORTH .z r r, Adobe sign