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Contract 49586-FP2
CitySecretary 49586 -FP2 Contract No. RECEIVED FORT WORTH, Date Received Dec 18,2018 DEC 2 8 2018 BOOS CITY OF FORT WORTH CITY SECRETARY 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: MARINE CREEK RANCH SECTION 12 City Project No.: 100635 Improvement Type(s): © Paving ❑ Drainage ❑ Street Lights ❑ Traffic Signals Original Contract Price: $678,907.40 Amount of Approved Change Order(s): Revised Contract Amount: Total Cost of Work Complete: $678,907.40 ,o°b T Nov 20 2018 Rab Taylor(f ]0,7�SH) � Contractor Date AR/Project Coordinator Title Gilco Contracting, Inc. Company Name Jesse Oavc(Nor 76,2036} Nov 28,2018 Project Inspector Date Aaron ar�� Nov 28,2018 Project Manager Date �` Nov 28 2018 Anelftr Es.macM on behalf of Jame Morales(Nw 78.2G1B) f CFA Manager Date SgrT& /Uh/r Nov 28 2018 Susan Hants(Nov 78,7018} Asst. City Manager Date OFFICIAL RECORD CITY SECRETARY Page 1 of 2 FT. WORTH,TX Notice of Project Completion Project Name: MARINE CREEK RANCH SECTION 12 City Project No.: 100635 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: 70 CD Days Charged: 400 Work Start Date: 10/2/2017 Work Complete Date: 11/6/2018 Page 2of2 / c)No3 5 City Project Numbers 100635 DOE Number 0635 Contract Name MARINE CREEK RANCH SECTION 12 Estimate Number 1 Contract Limits Payment Number 1 Project Type PAVING For Period Ending 11/19/2018 Project Funding Project Manager NA City Secretary Contract Number Inspectors DICKINSON / DAVIS Contract Date Contractor GILCO CONTRACTING,INC. Contract Time 70 CD 6331 SOUTHWEST BLVD. Days Charged to Date 400 CD BENBROOK, TX 76132-1063 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 $678,907.40 Less %Retained $0.00 Net Earned $678,907.40 Earned This Period $678,907.40 Retainage This Period $0.00 Less Liquidated Damages 0 Days @ $0.00 /Day $0.00 LessPavennent Deficiency $0.00 Less Penalty $0.00 Less Previous Payment $0.00 Plus Material on Hand Less 15% $0.00 Balance Due This Payment $678,907.40 Monday,November 19,2018 Page 4 of 4 'i FONRTNORTH �i CITY OF FORT WORTH I' FINAL PAYMENT REQUEST Contract Name MARINE CREEK RANCH SECTION 12 i Contract Limits Project Type PAVING City Project Numbers 100635 DOE Number 0635 Estimate Number 1 PaymentNumber I For Period Ending 11/19/2018 CD City Secretary Contract Number Contract Time WED Conti-act Date Days Charged to Date 400 Project Manager NA Contract is 100.00 Complete Contractor GILCO CONTRACTING,INC. 6331 SOUTHWEST BLVD. BENBROOK, TX 76132-1063 Inspectors DICKINSON / DAVIS Monday,November 19,2018 Page 1 of 4 ( J� it i City Project Numbers 100635 DOE Number 0635 Contract Name MARINE CREEK RANCH SECTION 12 Estimate Number I Contract Limits Payment Number I Project Type PAVING For Period Ending 11/19/2018 Project Funding PAVING Item Description of Items Estimated Unit Unit Cost Estimated Completed Completed No. Quanity Total Quanity Total —————————--————————————————————————————- 1 REMOVE CONC CURB&GUTTER 150 LF $18.00 $2,700.00 150 $2,700.00 2 HYDRATED LIME CO#1 276 TN $150.00 $41,400.00 276 $41,400.00 3 6"LIME TREATMENT CO#1 10486 SY $2.85 $29,885.10 10486 $29,885.10 4 6"CONC PVMT 9788 SY $34.25 $335,239.00 9788 $335,239.00 5 8"LIME TREATMENT 4834 SY $2.95 $14,260.30 4834 $14,260.30 6 8"CONC PVMT 4573 SY $37.00 $169,201.00 4573 $169,201.00 9 4"CONC SIDEWALK 4305 SF $4.75 $20,448.75 4305 $20,448.75 10 BARRIER FREE RAMP 10 EA $1,950.00 $19,500.00 10 $19,500.00 11 BARRIER FREE RAMP 2 EA $1,875.00 $3,750.00 2 $3,750.00 12 BARRIER FREE RAMP 2 EA $1,600.00 $3,200.00 2 $3,200.00 13 FURNISHANSTALL ALUM SIGN GROUND 11 EA $425.00 $4,675.00 11 $4,675.00 MOUNT 14 BARRICADE TYPE III 1 EA $1,850.00 $1,850.00 1 $1,850.00 15 9"CONC PAVING CO/I1 595 SY $50.12 $29,821.40 595 $29,821.40 16 6"STABILIZED SUBGRADE C0111 595.37 SY $5.00 $2,976.85 595.37 $2,976.85 --------------------------------------- Sub-Total of Previous Unit $678,907.40 $678,907.40 -------------------------------------- Monday,November 19,2018 Page 2 of 4 City Project Numbers 100635 DOE Number 0635 Contract Name MARINE CREEK RANCH SECTION 12 Estimate Number I Contract Limits Payment Number 1 Project Type PAVING For Period Ending 11/19/2018 Project Funding Contract Information Summary Original ContractAmomrt $678,907.40 Change Orders Change Order Number Total Contract Price $678,907.40 Total Cost of Wok Completed $678,907.40 Less %Retained $0.00 Net Earned $678,907.40 Earned This Period $678,907.40 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 $678,907.40 Monday,November 19,2018 Page 3 of 4 O a Mrn :P, -Q � :N; T FIR Ao N n� , �fl m i A A) C r idg cn'`�, ch h rn tii � 'ti F 0 n p cl 03 G c1c;;)r a 6 471 Z t, Cw Sn 03_ _ o CD w v 7 t5 -0 T C7 fi7 eb u q (0 (D u O O X1 O Yo P -4 � L1 V u P y° may. 0 L N Q�7 OV in in 3 .a ;CI O 03 Cil o a � L1 O :9 a v n mm N t1 a HI �o o C) V7 N 01 n ¢ � / � ¥ , 2 / m(n 03-4 2 A a 7 o I / § / ) )@$m-$ a I Ln A \ � ] E , . 2 2 E 2 0 02 2 mmmz) �o e ƒ \ \ § } a § / .� 1Y. 13=1 � r �2 awo&Smq i 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 Rob Taylor,AR/ Project Coordinator of Gilco Contracting,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 Rill; That there are no claims pending for personal injury and/or property damages; On Contract described as; Paving Improvements to serve: Marine Creek Ranch Secti 12 BY: Rob Taylor Subscribed and sworn before me on this 14th of November ,2018. t>RY AVe CESILIA CANALpNo[ary ID N13165 2996 My Commission Ex July 24,2022 Notary Public Tarrant County,TX CONSENT OF OWNER ❑ SURETY COMPANY ARCHITECT ❑ CONTRACTOR ❑ TO FINAL PAYMENT SURETY ❑ Conforms with the American Institute of OTHER Architects,AIA Document G707 Bond No 022056870 PROJECT: (name, address)Marine Creek Ranch Section 12-Paving Fort Worth TX TO (Owner) M&C DEVELOPMENT LTD.AND CITY OF FORT ARCHITECT'S PROJECT NO: WORTH CONTRACT FOR: 3825 Camp Bowie Blvd. Marine Creek Ranch Section 12-Paving Fort Worth TX 76107 CONTRACT DATE: CONTRACTOR:GILCO CONTRACTING,INC. In accordance with the provisions of the Contract between the Owner and the Contractor as indicated above,the (hero insert name and address of Surety Company) LIBERTY MUTUAL INSURANCE COMPANY 175 Berkeley Street Boston MA 02116 , SURETY COMPANY on bond of (here insert name and address of Contractor) GILCO CONTRACTING, INC. 6331 Southwest Boulevard Benbrook TX 76132 CONTRACTOR, hereby approves of the final payment to the Contractor, and agrees that final payment to the Contractor shall not relieve the Surety Company of any of its obligations to there insert name and address of Owner) M&C DEVELOPMENT LTD.AND CITY OF FORT WORTH 3825 Camp Bowie Blvd. Fort Worth TX 76107 , OWNER, as set forth in the said Surety Company's bond. IN WITNESS,WHEREOF, the Surety Company has hereunto set its hand this 14th day of November,2018 LIBERTY MUTUAL INSURANCE COMPANY bSurety Company Attest:V.DeLene Marshall (Seal): Signature of Authorized Representative Sophinie Hunter Attorney-in-Fact Title NOTE: This form is to be used as a companion document to AIA DOCUMENT G706, CONTRACTOR's AFFIDAVIT OF PAYMENT OF DEBTS AND CLAIMS, Current Edition ONE PAGE 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. Certificate No.8174605 Liberty Mutual Insurance Company The Ohio Casualty Insurance Company West American Insurance Company POWER OF ATTORNEY KNOWN ALL PERSONS BY THESE PRESENTS:That The Ohio Casually 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[lie Stale 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 set forth,does hereby name,constitute and appoint, Robb!Morales;Don E.Cornell;Sophinie Hunter;V.DeLene Marshall;Tina McEwan;Ricardo J.Reyna;Joshua Saunders;Kelly A.Westbrook all of the city of Dallas ,state of TX each individually if there be more than one named,its true and lawful allorney-in-fact to make,execute,seal,acknowledge and deliver,for and on its behalf as surely and as its act and deed,any and all undertakings,bonds,recognizances and other surety obligations,in pursuance of these presents and shall be as binding upon the Companies as If(hey have been duly signed by the president and attested by the secretary of the Companies in their own proper persons. I 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 8th day of August 2018 ,%t' i, �1;a ti+Kr ,Ft1U;,7 � ''.,,'' I;. ��:tr The Ohio Casualty Insurance Company `•� „� 1011,` "1 14cj t Liberty Mutual Insurance Company a) - I: West American Insurance Company U1 is C STATE OF PENNSYLVANIA ss David M.Carey;Fissislant Secretary ra S cis COUNTY OF MONTGOMERY C «1 — 0 p� On this 81h day of August 2018,before me personally appeared David N1.Carey,who acknowledged himself to be the Assistant Secretary of Liberty Mutual Insurance v F- a) 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 >,W j therein contained by signing on behalf of the corporations by himself as a duly authorized officer. C ro LE b > 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. a CL q P PAST, COMMONWEALTH OF PENNSYLVANIA Q M N,?lvilSurd -i B 0 O t3 or Tuntua Paslrlla,Notary Public Y _ .__.. i. t.. I Upper rvlennn Twp.,klonl!jornery County I Teresa Pastella,Notary Public C �F �r I My Cnnuniac,on Expnes March 2;3.2021 Cc; r,.rpnibor.Pc-rms U,nW Asoci,ilnvr of Notancs E 1Ry PU�'� y O.. f6 _ 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 Company, Liberty Mutual N o Insurance Company,and West American Insurance Company which resolutions are now in full force and effect reading as follows: o of a W 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 0 e T 4; to such limitation as the Chairman or the President may prescribe,shall appoint such attorneys-in-fact,as may be necessary to act in behalf of the Corporation to make,execute,seal, acknowledge and deliver as surety any and all undertakings,bonds,recognizances and other surety obligations. Such allorneys-in-Fact,subject to the limitations set forth in their respective -p ai powers of attorney,shall have full power to bind the Corporation by their signature and execution of any such instruments and to attach thereto the seal of the Corporation. When so 0 j m 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 attorney-in-fact under >o 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 power or authority. d 3 >+ ++CV = ARTICLE XIII-Execution of Contracts-SECTION 5.Surely Bonds and Undertakings.Any officer of the Company authorized for that purpose in writing by the chairman or the president, 00 ' and subject to such limitations as the chairman or the president may prescribe,shall appoint such attorneys-in-fact,as may be necessary to act in behalf of the Company to make,execute. M j seal,acknowledge and deliver as surety any and all undertakings,bonds,recognizances and other surety obligations. Such attorneys-in-fact subject to the limitations set forth in their 00 = U 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 Company. When so 0 0 U r executed such instruments shall be as binding as if signed by the president and attested by the secretary. p f° Certificate of Designation-The President of the Company,acting pursuant to the Bylaws of the Company.authorizes David M.Carey,Assistant Secretary to appoint such attorneys-in- ~r fact 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 surely obligations. Authorization-By unanimous consent of the Company's Board of Directors,the Company consents that facsimile or mechanically reproduced signature of any assistant secretary of the Company,wherever appearing upon a certified copy of any power of attorney issued by[lie Company in connection with surety bonds,shall be valid and binding upon the Company with the sante force and effect as though manually affixed. I. Renee C. Llewellyn, the undersigned, Assistant Secretary, The Ohio Casually Insurance Company. Liberty Mutual Insurance Company, and West American Insurance Company do hereby certify that the original power of attorney of which the foregoing is a full,true and coned copy of the Power of Attorney executed 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 this day of V 20� r,r1 '1J12 1991 By: Renee C.Lle%ve ,Assistant Secretary 249 of 300 LMS 12873 022017 i Liberty utmil. SURETY TEXAS TEXAS IMPORTANT NOTICE AVISO IMPORTANTE To obtain information or make a complaint: Para obtener informacion o para someter una queja: You may call toll-free for information or to Usted puede llamar al numero de telefono gratis make a complaint at para informacion o para someter una queja al 1-877-751-2640 1-877-751-2640 You may also write to: Usted tambien puede escribir a: 2200 Renaissance Blvd., Ste. 400 2200 Renaissance Blvd., Ste. 400 King of Prussia, PA 19406-2755 King of Prussia, PA 19406-2755 You may contact the Texas Department of Puede comunicarse con el Departamento de Insurance to obtain information on companies, Seguros de Texas para obtener informacion coverages,rights or complaints at acerca de companias, cobert uas, derechos o 1-800-252-3439 quejas al 1-800-252-3439 You may write the Texas Department of InSLIrance Puede escribir al Departamento de Seguros Consumer Protection (111-1 A) de Texas Consumer Protection (111-IA) P. O. Box 149091 P. O.Box 149091 Austin,TX 78714-9091 Austin,TX 78714-9091 FAX: (512)490-1007 FAX# (512)490-1007 Web: http://www.tdi.texas.gov Web:littp://www.tdi.texas.gov E-mail: ConsumerProtectioiiQtdi.texas.gov E-mail: ConsumerProtectioil@tdi.texas.gov PREMIUM OR CLAIM DISPUTES: DISPUTAS SOBRE PRIMAS O RECLAMOS: Should you have a dispute concerning your Si tiena una disputa concerniente a su prima o a premium or about a claim you should first un reclamo, debe comunicarse con el agente o contact the agent or call 1-800-843-6446. primero. Si no se resuelve la disputa, puede If the dispute is not resolved, you may contact the entonces comunicarse con el departamento (TDI) Texas Department of Insurance. ATTACH THIS NOTICE TO YOUR UNA ESTE AVISO A SU POLIZA: POLICY: This notice is for information only and does not Este aviso es solo para proposito de informacion become a part or condition of the attached y no se convierte en parte o condicion del document. documento adjunto. NP 70 68 09 01 LMS-15292 10/15 Greensheet for Marine Creek Ranch Section 12 CPN#100635 P Revised Adobe Sign Document History 12/26/2018 Created: 12/18/2018 By: Shameka.Kennedy@fortworthtexas.gov Status: Delivered Transaction ID: CBJCHBCAABAAdsVRDhubf8QImPH2AMIA-gnHb4rl360N "Greensheet for Marine Creek Ranch Section 12 CPN#100635 P Revised" History `J Document created by Shameka.Kennedy@fortworthtexas.gov 12/18/2018-9:09:41 AM CST-IP address:209.194.29.100 !-f Document emailed to Janie Scarlett Morales (Janie.morales@fortworthtexas.gov)for filling 12/18/2018-9:10:32 AM CST `tel Document viewed by Janie Scarlett Morales (Janie.morales@fortworthtexas.gov) 12/18/2018-9:20:08 AM CST-IP address:209.194.29.100 Dd, Form filled by Janie Scarlett Morales aanie.morales@fortworthtexas.gov) Form filling Date:12/18/2018-9:21:15 AM CST-Time Source:server-IP address:209.194.29.100 Document emailed to Allison Tidwell (cso_finalpay@fortworthtexas.gov)for filling 12/18/2018-9:21:16 AM CST Document viewed by Allison Tidwell (cso_finalpay@fortworthtexas.gov) 12/18/2018-10:00:56 AM CST-IP address:209.194.29.100 . Form filled by Allison Tidwell (cso_finalpay@fortworthtexas.gov) Form filling Date:12/18/2018-10:01:12 AM CST-Time Source:server-IP address:209.194.29.100 C� Document emailed to Pedro Hernandez(zelalem.arega@fortworthtexas.gov)for delivery 12/18/2018-10:01:14 AM CST Document viewed by Pedro Hernandez(zelalem.arega@fortworthtexas.gov) 12/18/2018-12:00:05 PM CST-IP address:209.194.29.100 Fox Je I > "ob .y Adobe Sign GSA Document receipt acknowledged by Pedro Hernandez(zeiaiem.arega@fortworthtexas.gov) Receipt Acknowledgement Date:12/18/2018-12:42:21 PM CST-Time Source:server-IP address:209.194.29.100 Document emailed to Julie A Geho oulie.geho@fortworthtexas.gov)for delivery 12/18/2018-12:42:22 PM CST Document viewed by Julie A Geho Oulie.geho@fortworthtexas.gov) 12/18/2018-12:52:14 PM CST-IP address:209.194.29.100 do Document receipt acknowledged by Julie A Geho Oulie.geho@fortworthtexas.gov) Receipt Acknowledgement Date:12/18/2018-12:52:27 PM CST-Time Source:server-IP address:209.194.29.100 Document emailed to TPW Fiscal Staff(tpwcfafiscal@fortworthtexas.gov)for delivery 12/18/2018-12:52:28 PM CST tSo Document receipt acknowledged by TPW Fiscal Staff(tpwcfafiscal@fortworthtexas.gov) Receipt Acknowledgement Date:12/26/2018-4:00:05 PM CST-Time Source:server-IP address:209.194.29.100 Document emailed to Janie Scarlett Morales Qanie.morales@fortworthtexas.gov),Allison Tidwell (cso_finalpay@fortworthtexas.gov), Shameka.Kennedy@fortworthtexas.gov,TPW Fiscal Staff (tpwcfafiscal@fortworthtexas.gov), and 2 more 12/26/2018-4:00:05 PM CST FORTWORTH. r Adobe Sign