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Contract 49170-FP1
City Secretary a., ContractNo. 49170 -FP1 Date Reoeived12/10/2018 FORTWORTHO DEC a ZOAS l 0 0 9 a(v CIN D�FDCR�iA Y H 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: Morningstar Section 7 Phase 2 i City Project No.: 100926 Improvement Type(s): ❑ Paving ® Drainage ❑ Street Lights ❑ Traffic Signals t t Original Contract Price: $59,690.00 Amount of Approved Change Order(s): Revised Contract Amount: $59,690.00 Total Cost of Work Complete: $59,690.00 CoGtoh 74-Qet Dec 5 2018 Colton Tollett(Dec 5,2018) Contractor Date Vice President Title D.T.Utility Contractors Inc. Company Name "rA--Z zz Dec 5,2018 Habte Taezaz(Dec 5,2018) Project Inspector Date Patrick Buckley(Dec 5,20181 Dec 5, 2018 Project Manager Date z1ya 14V-lee, tiler Dec 6 2018 Janie Scarlett Morales(Dec 6,2018) CFA Manager Date s2a,4yu�;- Dec 9 2018 Susan Alanis(Dec 9,2018) Asst. City Manager Date OFFICIAL RECORD Page 1 of 2 CITY SECRETARY FT. V Notice of Project Completion Project Name: Morningstar Section 7 Phase 2 City Project No.: 100926 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: 60 CD Days Charged: 60 Work Start Date: 2/12/2018 Work Complete Date: 11/27/2018 I i i i I Page 2of2 100gQ (a City Project Numbers 100926 DOE Number 9260 Contract Name MORINGSTAR SECTION 7 PHASE 2 Estimate Number 1 Contract Limits Payment Number I Project Type DRAINAGE For Period Ending 11/27/2018 Project Funding Project Manager NA City Secretary Contract Number 110926 Inspectors GREGORY / HOUSTON Contract Date 5/15/2017 Contractor D T UTILITY CONTRACTORS,INC. Contract Time 90 CD 2614 CAUSBIE RD Days Charged to Date 60 CD WEATHERFORD, TX 76087 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 $59,690.00 Less %Retained $0.00 Net Earned $59,690.00 Earned This Period $59,690.00 Retainage This Period $0.00 Less Liquidated Damages 0 Days a $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 $59,690.00 Wednesday,December 5,2018 Page 4 of 4 FORTWORTH CITY OF FORT WORTH FINAL PAYMENT REQUEST Contract Name MORINGSTAR SECTION 7 PHASE 2 Contract Limits Project Type DRAINAGE City Project Numbers 100926 DOE Number 9260 Estimate Number 1 Payment Number 1 For Period Ending 11/27/2018 CD City Secretary Contract Number 110926 Contract Time 90;D Contract Date 5/15/2017 Days Charged to Date 60 Project Manager NA Contract is 100.00 Complete Contractor D T UTILITY CONTRACTORS,INC. 2614 CAUSBIE RD WEATHERFORD, TX 76087 Inspectors GREGORY / HOUSTON I i i Wednesday,December 5,2018 Page I of F• R City Project Numbers 100926 DOE Number 9260 Contract Name MORINGSTAR SECTION 7 PHASE 2 Estimate Number I Contract Limits Payment Number I Project Type DRAINAGE For Period Ending 11/27/2018 Project Funding UNIT III,DRAINAGE IMPROVEMENTS Item Description of Items Estimated Unit Unit Cost Estimated Completed Completed No. Quanity Total Quanity Total ——————————————————————————————————————- 1 TRENCH SAFETY 160 LF $1.00 $160.00 160 $160.00 2 30"RCP CLASS 111 75 LF $87.00 $6,525.00 75 $6,525.00 3 24"RCP CLASS III 85 LF $73.00 $6,205.00 85 $6,205.00 4 20'CURB INLET 6 EA $7,800.00 $46,800.00 6 $46,800.00 -------------------------------------- Sub-Total of Previous Unit $59,690.00 $59,690.00 -------------------------------------- Wednesday,December 5,2018 Page 2 of 4 City Project Numbers 100926 DOE Number 9260 Contract Name MORINGSTAR SECTION 7 PHASE 2 Estimate Number I Contract Limits Payment Number I Project Type DRAINAGE For Period Ending 11/27/2013 Project Funding Contract Information Summary Original Contract Amount $59,690.00 Change Orders Total Contract Price $59,690.00 Total Cost of Work Completed $59,690.00 Less %Retained $0.00 Net Earned $59,690.00 Earned This Period $59,690.00 Retainage This Period $0.00 Less Liquidated Damages Days a /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 $59,690.00 Wednesday,December 5,2018 Page 3 of 4 AFFIDAVIT STATE OF TEXAS COUNTY OF PARKER Before me, the undersigned authority, a notary public in the state and county aforesaid,on this day personally appeared Colton Tollett,Vice President Of D.T. Utility Contractors 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; Morningstar Sec 7 Ph 2 BY Colton Tollett, Vice President Subscribed and sworn before me on this date 1 of December, 2018. Lorii Public�`- Notary Publ+c STATE OF TEXAS Notary Public Y'=f.oFrt�T IQ#2008259 M Comm Eur) Sep.5.2021 Parker,Texas CONSENT OF SURETY OWNER ❑ ARCHITECT ❑ TO FINAL PAYMENT CONTRACTOR ❑ SURETY ❑ Conforms with the American Institute of Architects G707 form OTHER ❑ Bond No: PB11509801089 TO OWNER: ARCHITECT'S PROJECT NO.: 100926 (Name and address) Wilbow-Morningstar Development, Corp. 4131 North Central Expressway, Suite 990 CONTRACT FOR: Water, Sanitary, Sewer Improvements Dallas, TX 75204 PROJECT: CONTRACT DATED: 5/15/2017 (Name and address) Water, Sanitary Sewer and Drainage Improvements for Morningstar-Section 7, Phase 2 In accordance with the provisions of the Contract between the Owner and the Contractor as indicated above,the (Insert name and address of Surety) Philadelphia Indemnity Insurance Company One Bala Plaza, Suite 100 Bala Cynwyd, PA 19004 SURETY on bond of (insert name and address of Controctor) D. T. UTILITY CONTRACTORS, INC. 2614 Causbie Road Weatherford,TX 76087 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 (insert name and address of Owner) Wilbow-Morningstar Development, Corp. 4131 North Central Expressway, Suite 990 Dallas,TX 75204 OWNER as set forth in said Surety's bond. IN WITNESS WHEREOF,the Surety has hereunto set its hand on this date: November 27, 2018 (insert in writing the month followed by the numeric date and year.) Philadelphia Indemnity Insurance Company (Surety) r W*- - (Signature of ou horized representative) Attest: Fred A.Thetford, III.Attorney-in-fact (Seal: (Printed name and title) 6122 P1111-ADELP111A INDEMNITY INSURANCE COMPANY. Bond No. PB11509801089 One Bala Plaza,Suite 100 Bala Cvnwvd,PA 19004-0950 Power orAttorney KNOW ALL PERSONS BY THESE PRESENTS:"That PHILADELPHIA INDEMNITY INSURANCE COMPANY(the Company),a corporation organized and Cxisting under the laws of*the Coin niomvealill of Pennsylvania,does hereby constitute and appoint Jared Yount,=,Fred A.Thetford,Jr.,Tobin Tucker,Tom Young, Diane Brown, Fred A.Thetford IN'and/or Fred A.Thetford, III of Contract Bond Agency, LLC.. its true and lawful Attorney-ni-tact with full authority to execute on its behalf bonds,undertakings,recognizances and other contracts of indemnity and writings obligatory in the nature thereof,issued in the course of its business and to bind the Company thereby,in an amount not to exceed 550.000.000. "Ibis Power of Attorney is_ranted and is signed and sealed by facsimile under and by the authority of the following Resolution adopted by the Board of Directors of PI IILADELPI IIA INDEMNITY INSURANCE'-COMPANY on the 14`x`of November,2016. RESOLVED: 'That the Board of Directors hereby authorizes the President or ally Vice President of the Company: (1) Appoint Attorney(s) in Fact and authorize the Attorney(s) in Fact to execute on behalf of the Company bonds and undertakings,contracts of indemnity and other writings obligatory in the nature thereof'and to attach the seal of the Company thereto; and (2) to remove, at any time, any such Attorney-in-Fact and revoke the authority given. And,be it FURTHER RESOLVED: That the signatures of such officers and the seal ofthe Company may be affixed to any such Power of Attorney or certificate relating thereto by facsimile,and any such Power of Attorney so executed and certified by facsimile signatures and facsimile seal shall be valid and binding upon die Company in the future with respect to any bond or undertaking to which it is attached. IN 'TESTIMONY WHEREOF, PHILADELPHIA INDEMNITY INSURANCE COMPANY HAS CAUSED THIS INSTRUMENT TO BE SIGNED AND ITS CORPORATE SEALTO BE AFFIXED BY ITS AUTHORIZED OFFICE THIS 271..DAY OF OCTOBER,3017. (Seal) Robert D.O'Leary Jr.,President cK CEO Philadelphia Indemnity Insurance Company On this 27"day of October,2017,before me came the individual who executed the preceding instrument,to me personally known,and being by me duly swom said that lie is the therein described and authorized officer otthe PHILADELPHIA INDEMNITY INSUIL-INCE COMPANI':that the seal affixed to said instrument is the Corporate seal of said Company,that the said Corporate Seal and his signature were duly affixed, a Mre-Wp%tY«it v e f/OfARN:gU: n+aal�w,.w roou,vnmse Notary Public: N•'� ta..etxerum i.p..t�TM)a*eNCtunN Q--- �An,Ca*nrflwen F.rMeS Sett:5,:511 ,CMtw n�+l•lvW�:v qn residing at: Bala Cvmvvd,PA (Notary Seal) My commission expires: September 25,2021 1.Edward Sayago,Corporate Secretary of P1I11_ADELPHIA INDEMNITY INSURANCE COMPANY,do hereby certify that the foregoing resolution ot'the Board of Directors and the Power of Attorney issued pursuant thereto on the 27"'day of October.2017 are true and correct and are still in bill force and effect.1 do further certify that Robert D.O'Leary Jr.,who executed tie Power of Attorney as President,was on the date of execution of the attached Power of Attorney the duly elected President of PHILADELPHIA 1NDL-MNITY INSURANCE COMPANY In Testimony Whereof I have subscribed my name and affixed the facsimile seal ol'cach Company this 27th day of November •20 18 1 s1 e Edward Sayago.Corporate Secretary - PHILADELPHIA INDEiAINITY INSURANCE COYIPANY Green Sheet CPN 100926 Morningstar Section 7 Phase 2 Drainage --- --- --- Adobe Sign Document History 12/12/2018 Created: 12/05/2018 By: Etta Bacy(etta.bacy@fortworthtexas.gov) Status: Signed Transaction ID: CBJCHBCAABAAIxOJb9ASEIzZt8zR131htsTW117bBVvs "Green Sheet CPN 100926 Morningstar Section 7 Phase 2 Drai nage" History Document created by Etta Bacy (etta.bacy@fortworthtexas.gov) 12/05/2018-9:55:51 AM CST-IP address:209.194.29.100 L Document emailed to Colton Tollett(Colton@dtutiIity.com)for signature 12/05/2018-10:00:01 AM CST 5 Document viewed by Colton Tollett(colton@dtutility.com) 12/05/2018-2:37:26 PM CST-IP address:67.219.124.0 61 Colton Tollett(colton@dtutility.com) uploaded the following supporting documents: & File Attachment 1 & File Attachment 2 12/05/2018-2:39:26 PM CST 6©, Document e-signed by Colton Tollett(colton@dtutility.com) Signature Date:12/05/2018-2:39:26 PM CST-Time Source:server-IP address:67.219.124.0 'y Document emailed to Habte Taezaz(habte.taezaz@fortworthtexas.gov)for signature 12/05/2018-2:39:27 PM CST Document viewed by Habte Taezaz(habte.taezaz@fortworthtexas.gov) 12/05/2018-2:40:09 PM CST-IP address:174.47.154.90 da Document e-signed by Habte Taezaz(habte.taezaz@fortworthtexas.gov) Signature Date:12/05/2018-2:41:36 PM CST-Time Source:server-IP address: 174.47.154.90 C'y Document emailed to Ariel Duarte (ariel.duarte@fortworthtexas.gov)for approval 12/05/2018-2:41:37 PM CST FORT WORTH, yY J Adobe Sign u Document viewed by Ariel Duarte(ariel.duarte@fortworthtexas.gov) 12/05/2018-3:06:26 PM CST-IP address:209.194.29.100 c Document approved by Ariel Duarte (ariel.duarte@fortworthtexas.gov) Approval Date: 12/05/2018-3:07:15 PM CST-Time Source:server-IP address:209.194.29.100 C':• Document emailed to Patrick Buckley(patrick.buckley@fortworthtexas.gov)for signature 12/05/2018-3:07:17 PM CST 63 Document viewed by Patrick Buckley(patrick.buckley@fortworthtexas.gov) 12/05/2018-3:10:27 PM CST-IP address:209.194.29.100 Y, Document e-signed by Patrick Buckley (patrick.buckley@fortworthtexas.gov) Signature Date:12/05/2018-3:11:28 PM CST-Time Source:server-IP address:209.194.29.100 E' Document emailed to Janie Scarlett Morales Qanie.morales@fortworthtexas.gov)for signature 12/05/2018-3:11:30 PM CST " Document viewed by Janie Scarlett Morales Qanie.morales@fortworthtexas.gov) 12/06/2018-1:42:55 PM CST-IP address:209.194.29.100 Document e-signed by Janie Scarlett Morales Oanie.morales@fortworthtexas.gov) Signature Date:12/06/2018-1:43:25 PM CST-Time Source:server-IP address:209.194.29.100 Document emailed to Susan Alanis(susan.alanis@fortworthtexas.gov)for signature 12/06/2018-1:43:26 PM CST Document viewed by Susan Alanis (susan.alanis@fortworthtexas.gov) 12/09/2018-5:56:55 PM CST-IP address:209.194.29.100 da Document e-signed by Susan Alanis (susan.alanis@fortworthtexas.gov) Signature Date:12/09/2018-5:57:12 PM CST-Time Source:server-IP address:209.194.29.100 _4' Document emailed to Allison Tidwell (cso_finalpay@fortworthtexas.gov)for filling 12/09/2018-5:57:13 PM CST Document viewed by Allison Tidwell (cso_finalpay@fortworthtexas.gov) 12/10/2018-12:34:55 PM CST-IP address:209.194.29.100 6a Form filled by Allison Tidwell (cso_finalpay@fortworthtexas.gov) Form filling Date:12/10/2018-12:35:57 PM CST-Time Source:server-IP address:209.194.29.100 C'' Document emailed to therese.brotherton@fortworthtexas.gov for delivery 12/10/2018-12:35:58 PM CST rel Etta Bacy(etta.bacy@fortworthtexas.gov) replaced certified recipient therese.brotherton@fortworthtexas.gov with Pedro.Hernandez@fortworthtexas.gov 12/11/2018-8:55:01 AM CST-IP address:209.194.29.100 FORTWORTHd Adobe Sign C. Document emailed to Pedro.Hernandez@fortworthtexas.gov for delivery 12/11/2018-8:55:01 AM CST Etta Bacy(etta.bacy@fortworthtexas.gov) replaced certified recipient therese.brotherton@fortworthtexas.gov with Pedro Hernandez (Zelalem.Arega@fortworthtexas.gov) 12/11/2018-12:30:56 PM CST-IP address:209.194.29.100 Document emailed to Pedro Hernandez(Zelalem.Arega@fortworthtexas.gov)for delivery 12/11/2018-12:30:56 PM CST Document viewed by Pedro Hernandez(Zelalem.Arega@fortworthtexas.gov) 12/11/2018-3:32:41 PM CST-IP address:209.194.29.100 Gam, Document receipt acknowledged by Pedro Hernandez(Zelalem.Arega@fortworthtexas.gov) Receipt Acknowledgement Date:12/12/2018-12:54:56 PM CST-Time Source:server-IP address:209.194.29.100 C°, Document emailed to Julie A Geho oulie.geho@fortworthtexas.gov)for delivery 12/12/2018-12:54:57 PM CST `u Document viewed by Julie A Geho Oulie.geho@fortworthtexas.gov) 12/12/2018-3:32:25 PM CST-IP address:209.194.29.100 G� Document receipt acknowledged by Julie A Geho Qulie.geho@fortworthtexas.gov) Receipt Acknowledgement Date:12/12/2018-3:32:58 PM CST-Time Source:server-IP address:209.194.29.100 . Document emailed to TPW Fiscal Staff(tpwcfafiscal@fortworthtexas.gov)for delivery 12/12/2018-3:32:59 PM CST u Document viewed by TPW Fiscal Staff(tpwcfafiscal@fortworthtexas.gov) 12/12/2018-3:39:41 PM CST-IP address:209.194.29.100 Co Document receipt acknowledged by TPW Fiscal Staff(tpwcfafiscal@fortworthtexas.gov) Receipt Acknowledgement Date:12/12/2018-3:39:48 PM CST-Time Source:server-IP address:209.194.29.100 Signed document emailed to Janie Scarlett Morales Qanie.morales@fortworthtexas.gov), Etta Bacy (etta.bacy@fortworthtexas.gov), Pedro.Hernandez@fortworthtexas.gov, Allison Tidwell (cso_finalpay@fortworthtexas.gov), and 9 more 12/12/2018-3:39:48 PM CST Fon d _ Adobe Sign