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Contract 49940-FP1
c c _ City Secretary 49940 _FPJ Contract No. Jan 16,2019 FORTWORTH. Date Received S-zoo o 101 t g2 V �. C ) 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: EAGLE MOUNTAIN-SAGINAW MIDDLE SCHOOL NO 8 City Project No.: 101182 Improvement Type(s): Water ® Sewer Original Contract Price: $131,005.00 Amount of Approved Change Order(s): Revised Contract Amount: Total Cost of Work Complete: $131,005.00 Jan 11,2019 Jeff STep ns(Jan If,2019) Contractor Date Project Manager Title Pogue Construction Co.,LP Company Name 6&1k P. &9&faacez, s''• Jan 11 2019 Edwin R.Rodriguez,Sr.(Jan tf,2019) Project Ins p or Date Ari Debbie J.Willheim 72t 1%2019) ~`- Jan 15, 2019 Project Manager Date ,79ifz2 AM(& Jan 16 2019 Janie Scarlett Mutates(Jan 16,2019) CFA Manager Date skmo&AIAM�- Jan 16, 2019 swan Ai.ni.(Jan 16,2019) Asst. City Manager Date Page 1 of 2 Notice of Project Completion Project Name: EAGLE MOUNTAIN-SAGINAW MIDDLE SCHOOL NO 6 City Project No.: 101182 City's Attachments Final Pay Estimate Z Change Order(s): ❑ Yes © N/A Pipe Report: ® Yes ❑ N/A Contractor's Attachments Affidavit of Bills Paid Consent of Surety Statement of Contract Time Contract Time: 60 CD Days Charged: 201 Work Start Date: 2/16/2018 Work Complete Date: 9/4/2018 Page 2 of 2 I , 15To N$-4(41 82 City Project Numbers 101182 DOE Number 1182 Contract Name EAGLE MOUNTAIN-SAGINAW MIDDLE SCHOOL NO.6 WATER&SE Estimate Number 1 Contract Limits Payment Number 1 Project Type WATER&SEWER For Period Ending 9/10/2018 Project Funding Project Manager NA City Secretary Contract Number Inspectors OWEN / RODRIGUEZ Contract Date 1/4/2018 Contractor POGUE CONSTRUCTION Contract Time 60 CD 1512 BROY CENTRAL DRIVE Days Charged to Date 201 CD MCKINNEY, TX 75063 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 $131,005.00 Less %Retained $0.00 Net Earned $131,005.00 Earned This Period $131,005.00 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 $131,005.00 Monday,September 10,2018 Page 4 of 4 FART WORTH CITY OF FORT WORTH FINAL PAYMENT REQUEST Contract Name EAGLE MOUNTAIN-SAGINAW MIDDLE SCHOOL NO.6 WATER&SEW Contract Limits Project Type WATER&SEWER City Project Numbers 101182 DOE Number 1182 Estimate Number 1 Payment Number 1 For Period Ending 9/10/2018 CD City Secretary Contract Number Contract Time 60;D Contract Date 1/4/2018 Days Charged to Date 201 Project Manager NA Contract is 100.00 Complete Contractor POGUE CONSTRUCTION 1512 BROY CENTRAL DRIVE MCKINNEY, TX 75063 Inspectors OWEN / RODRIGUEZ Monday,September 10,2018 Page 1 of 4 f City Project Numbers 101182 DOE Number 1182 Contract Name EAGLE MOUNTAIN-SAGINAW MIDDLE SCHOOL NO,6 WATER&SE Estimate Number 1 Contract Limits Payment Number I Project Type WATER&SEWER For Period Ending 9/10/2018 Project Funding UNIT I:WATER IMPROVEMENTS Item Description of Items Estimated Unit Unit Cost Estimated Completed Completed No. Quanity Total Quanity Total 1 12"PVC WATER PIPE 650 LF $39.00 $25,350.00 650 $25,350.00 2 8"PVC WATER PIPE 75 LF $27.00 $2,025.00 75 $2,025.00 3 4"PVC WATER PIPE 75 LF $22.00 $1,650.00 75 $1,650.00 4 DUCTILE IRON WATER FITTINGS 2 TN $4,169.00 $8,338.00 2 $8,338.00 W/RESTRAINT 5 12"GATE VALVE 3 EA $2,223.00 $6,669.00 3 $6,669.00 6 8"GATE VALVE I EA $1,307.00 $1,307.00 1 $1,307.00 7 6"GATE VALVE 2 EA $1,004.00 $2,008.00 2 $2,008.00 8 4"GATE VAVLE 1 EA $916.00 $916.00 1 $916.00 9 FIRE HYDRANT 2 EA $3,364.00 $6,728.00 2 $6,728.00 10 CONNECTION TO EXISTING 4"-12"WATER 1 EA $2,969.00 $2,969.00 1 $2,969.00 MAIN 11 TRENCH SAFETY 800 LF $2.00 $1,600.00 800 $1,600.00 12 4"WATER MAIN METER AND VALVE 1 EA $13,920.00 $13,920.00 1 $13,920.00 13 4"-12"PRESSURE PLUG 1 EA $545.00 $545.00 1 $545,00 14 1"COMB AIR RELEASE VALVE AND VAULT 1 EA $5,061.00 $5,061.00 1 $5,061.00 Sub-Total of Previous Unit $79,086.00 $79,086.00 UNIT II:SANITARY SEWER IMPROVEMENTS Item Description of Items Estimated Unit Unit Cost Estimated Completed Completed No. Quanity Total Quanity Total 1 8"SEWER PIPE 625 LF $40.00 $25,000.00 625 $25,000.00 2 8"SEWER PIPE CSS BACKFILL 80 LF $115.00 $9,200.00 80 $9,200.00 3 4'MANHOLE 2 EA $4,293.00 $8,586.00 2 $8,586.00 4 4'EXTRA DEPTH MANHOLE 32 VF $165.00 $5,280.00 32 $5,280.00 5 MANHOLE VACUUM TESTING 2 EA $125.00 $250.00 2 $250.00 6 POST-CCTV INSPECTION 705 LF $1.00 $705.00 705 $705.00 7 TRENCH SAFETY 705 LF $2.00 $1,410.00 705 $1,410.00 8 CONCRETE COLLARS 2 EA $744.00 $1,488.00 2 $1,488.00 Sub-Total of Previous Unit $51,919.00 $51,919.00 Monday,September 10,2018 Page 2 of 4 i 'l ,w City Project Numbers 101182 DOE Number 1182 Contract Name EAGLE MOUNTAIN-SAGINAW MIDDLE SCHOOL NO.b WATER&SE Estimate Number 1 Contract Limits Payment Number 1 Project Type WATER&SEWER For Period Ending 9/10/2018 Project Funding Contract Information Summary Original Contract Amount $131,005.00 Change Orders Total Contract Price $131,005.00 1 Total Cost of Work Completed $131,005.00 Less %Retained $0.00 Net Earned $131,005.00 4, Earned This Period $131,005.00 Retainage This Period $0.00 Less Liquidated Damages Days @ /Day $0.00 LessPavement Deficiency $0.00 f' Less Penalty $0.00 Less Previous Payment $0.00 Plus Material on Hand Less 15% $0.00 Balance Due This Payment $131,005.00 'i if Monday,September 10,2018 Page 3 of 4 FoRTWORTH TRANSPORTATION AND PUBLIC WORKS PIPE REPORT FOR: PROJECT NAME: Eagle Mountain Saginaw ISD-Middle School 46 PROJECT NUMBER: 101182 l DOE NUMBER: NA WATER PIPE LAID SIZE TYPE OF PIPE LF Yes 12" PVC 650 Yes 8" PVC 75 Yes 4" PVC 75 FIRE HYDRANTS: 2 VALVES(16" OR LARGER) None PIPE ABANDONED SIZE TYPE OF PIPE LF None. DENSITIES: Yes(Passed) NEW SERVICES: 4" PVC 75 i 8" PVC 75 SEWER PIPE LAID SIZE TYPE OF PIPE LF j Yes 8" PVC 705 f L PIPE ABANDONED SIZE TYPE OF PIPE LF None. DENSITIES• Yes(Passed) NEW SERVICES: 8" PVC 705 i TRANSPORTATION AND PUBLIC WORKS s' The Citv of Fort Worth• 1000 Throckmorton Street•Fort Worth,TY 76012-6311 a (817)392-7941 •Fax: (817)392-7845 f 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 Jeffrey Stephens, Project Manager Of Pogue Construction Co.,LP,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; Eagle Mountain-Saginaw Middle School#6 BY Jeffrey Stephens PM Subscribed and sworn before me on this date 11 of January,2019. Notary Public \ Tarrant,TX NICOLE M. PAST Notary Public o��;*' STATE OF TEXAS My comm.Exp.08,31.2019 ONN-1tcr CONSENT OF Architect SURETY COMPANY Contractor 1'0 FINAL PAYMENT Stutty :VA DO0-)M!:Nl'G707 Othcr PROJECT: City of Fort Worth,Water and Sanitary Sewer omme,address) Improvements to Serve Eagle Mountain- Bond# 46BCSHU3397 Saginaw Middle School No.6 TO:(Owner) ARCHITECT'S PROJECT NO: City of Fort Worth 1000 Throckmorton Street CONTRACT FOR: Construction Fort Worth,TX 76102 CONTIZACT DATE,: 12/1/2017 CONTRAC'T'OR: Pogue Construction Co.,LP 1512 Bray Central,Suite 300 McKinney,TX 75069 In accordance with the provisions of the Contract between the Owner and the Contractor as indicated above,the Hartford Fire Insurance Company 3000 Internet Drive,Suite 600 Frisco,Texas 75034-1991 SIJRETY COMPANY on bond of(hero insert name and address of C'onuacim) Pogue Construction Co.,LP 1512 Bray Central,Suite 300 McKinney,Texas 75069 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(here insert varve and address of Owner) City of Fort Worth 1000 Throckmorton Street OWNER, Fort Worth,Texas 76102 as set li rth in the said Surety Company's bond. 1N 1V:1';NESS WHEREOF, the Surety Company has hereunto set its hand this 4th day of December 2018 Surety CD{npany Hartf d Fire Insurane mpany (�— Sipnaturc oi:\uthurired Representative (Scat): Dawn Davis-Attorney-In-Fact NOTE:'Iltis form is to be used as a enmpanion doctnncnt to AIA DOCL)NIF.NT Ci7o6,('ON'I'ItACTOR'S AI'l�II)AVIT OF PAYN1LNT OF DEBTS AND CLAIMS,Current Ldidwi ATA DOCUMENT Ci707•CONSI:N'1'OI SURETY COMPANY TO F;NAL 11AYf,11--:NT-APR1L 1970 EDITION-AIA)i' O.NL• PAGE (;*I970-]IF:AMFRICANINSI'1fUTEOFARCHITLCA'S.173$NFWYORK.AVE,NW,WASIIINGTON,1).i'.20006 Direct Inquiries/Claims to: THE HARTFORD BOND,T-12 POWER OF ATTORNEY Hartford,ConnoectiPza c't06155 BOnd.Claimsothehartford.com calla 888-266-3488 or fax:860-7575835 KNOW ALL PERSONS BY THESE PRESENTS THAT: Agency Name: MARSH & MCLENNAN AGENCY LLC Agency Code: 46-461496 Hartford Fire insurance Company,a corporation duly organized under lite laws of the State of Connecticut Hartford Casualty Insurance Company,a corporation duly organized under the laws of the State of Indiana Hartford Accident and Indemnity Company,a corporation duly organized under the laws of the State of Connecticut Q Hartford Underwriters Insurance Company,a corporation duly organized under the laws of the State of Connecticut Q Twin City Fire Insurance Company,a corporation duly organized under the laws of the State of Indiana Hartford Insurance Company of Illinois,a corporation duly organized under the laws of the State of Illinois Hartford Insurance Company of the Midwest,a corporation duly organized under the laws of the State of Indiana Hartford Insurance Company of the Southeast,a corporation duly organized under the laws of the State of Florida having their home office in Hartford,Connecticut,(hereinafter collectively referred to as the"Companies")do hereby make,constitute and appoint, up to the amount of Unlimited : Edward R. Bowles, Sharon Clary, Dawn Davis, Walter J. DeLaRosa, DONNIE DOAN, TOM P. ELLIS, JOHN FULKERSON, Kristi Meek, Kae Perdue of DALLAS, Texas their true and lawful Attorney(s)-in-Fact,each in their separate capacity if more than one is named above,to sign its name as surety(ies)only as delineated above by®,and to execute,seal and acknowledge any and all bonds,undertakings,contracts and other written instruments in the nature thereof,on behalf of the Companies in their business of guaranteeing the fidelity of persons,guaranteeing the performance of contracts and executing or guaranteeing bonds and undertakings required or permitted in any actions or proceedings allowed by law. In Witness Whereof,and as authorized by a Resolution of the Board of Directors of the Companies on May 6,2015 the Companies have caused these presents to be signed by its Senior Vice President and its corporate seals to be hereto affixed, duly attested by its Assistant Secretary. Further,pursuant to Resolution of the Board of Directors of the Companies,the Companies hereby unambiguously affirm that they are and will be bound by any mechanically applied signatures applied to this Power of Attorney. 4 i►� ~ � �i "•6^` � � a'�ra�� 119T9 c - 1y7p 7� .� John Gray,Assistant Secretary M.Ross Fisher,Senior Vice President STATE OF CONNECTICUT COUNTY OF HARTFORD I ss. Hartford On this 5th day of January,2018,before me personally came M.Ross Fisher,to me known,who being by me duly sworn,did depose and say:that he resides in the County of Hartford, State of Connecticut;that he is the Senior Vice President of the Companies, the corporations described in and which executed the above instrument; that he knows the seals of the said corporations; that the seals affixed to the said instrument are such corporate seals;that they were so affixed by authority of the Boards of Directors of said corporations and that he signed his name thereto by like authority. aKnihleen T.Maynard Notary Public CERTIFICATE My Commission Expires July 31,2021 1,the undersigned,Assistant Vice President of the Companies,DO HEREBY CERTIFY that the above and foregoing is a true and correct copy of the Power of Attomey executed by said Companies,which is still in full force effective as of December 4, 2018 Signed and sealed at the City of Hartford. spI'yr..� �,17b4G� : ,OXY t.J +�',� ¢ `aJy�'•'.",�'1L F A�� ���("^i"• 'L a. r,n f +.,rw► t-' 1aT9 ; �t 1a79 Cf,� 1 Ts • ��� Kevin Heckman,Assistant Vice President POA2at8 Greensheet for Eagle Mountain - - -- Saginaw Middle School No 6 _- _-__ ---- CPN#101182 WS Adobe Sign Document History 01/17/2019 Created: 09/10/2018 ---- By: Shameka.Kennedy@fortworthtexas.gov Status: Signed Transaction ID: CBJCHBCAABAARkzdwGdPKwff\/SjmNR12cMwd9-M2sbxG "Greensheet for Eagle Mountain Saginaw Middle School No 6 C PN#101182 WS" History Document created by Shameka.Kennedy@fortworthtexas.gov 09/10/2018-12:50:59 PM CDT-IP address:209.194.29.100 ,. Document emailed to rself@pogueconstruction.com for signature 09/10/2018-12:53:49 PM CDT L_j Document viewed by rself@pogueconstruction.com 09/10/2018-3:23:23 PM CDT-IP address: 107.77.197.19 Shameka.Kennedy@fortworthtexas.gov replaced signer rself@pogueconstruction.com with Jeffrey STephens astephens@pogueconstruction.com) 10/23/2018-12:59:28 PM CDT-IP address:209.194.29.100 Document emailed to Jeffrey STephensOstephens@pogueconstruction.com)for signature 10/23/2018-12:59:29 PM CDT i Document viewed by Jeffrey STephens Qstephens@pogueconstruction.com) 11/05/2018-2:01:45 PM EST-IP address:209.163.224.178 �i Jeffrey STephensastephens@pogueconstruction.com) uploaded the following supporting documents: G File Attachment 1 File Attachment 2 01/11/2019-4:18:14 PM EST 6a Document e-signed by Jeffrey STephens Ostephens@pogueconstruction.com) Signature Date:01/11/2019-4:18:14 PM EST-Time Source:server-IP address:216.171.247.50 Adobe Sign C:- Document emailed to Edwin R. Rodriguez, Sr. (edwin.rodriguez@fortworthtexas.gov)for signature 01/11/2019-4:18:15 PM EST 5 Document viewed by Edwin R. Rodriguez, Sr. (edwin.rodriguez@fortworthtexas.gov) 01/11/2019-4:23:46 PM EST-IP address:209.194.29.100 Document e-signed by Edwin R. Rodriguez, Sr. (edwin.rodriguez@fortworthtexas.gov) Signature Date:01/11/2019-4:24:17 PM EST-Time Source:server-IP address:209.194.29.100 Document emailed to Billy Owen (billy.owen@fortworthtexas.gov)for approval 01/11/2019-4:24:18 PM EST �l Document viewed by Billy Owen (billy.owen@fortworthtexas.gov) 01/11/2019-4:28:55 PM EST-IP address:209.194.29.100 Document approved by Billy Owen (billy.owen@fortworthtexas.gov) Approval Date:01/11/2019-4:30:16 PM EST-Time Source:server-IP address:209.194.29.100 Cy Document emailed to Debbie J.Willhelm, PE (debbie.willhelm@fortworthtexas.gov)for signature 01/11/2019-4:30:17 PM EST Document viewed by Debbie J.Willhelm, PE (debbie.willhelm@fortworthtexas.gov) 01/15/2019-10:40:43 AM EST-IP address:209.194.29.100 ro• Document e-signed by Debbie J.Willhelm, PE (debbie.willhelm@fortworthtexas.gov) Signature Date:01/15/2019-10:44:04 AM EST-Time Source:server-IP address:209.194.29.100 Document emailed to Janie Scarlett Morales Qanie.morales@fortworthtexas.gov)for signature 01/15/2019-10:44:06 AM EST Document e-signed by Janie Scarlett Morales Oanie.morales@fortworthtexas.gov) Signature Date:01/16/2019-8:55:05 AM EST-Time Source:server-IP address:209.194.29.100 Document emailed to Susan Alanis (susan.alanis@fortworthtexas.gov)for signature 01/16/2019-8:55:08 AM EST Document viewed by Susan Alanis(susan.alanis@fortworthtexas.gov) 01/16/2019-8:58:47 AM EST-IP address:209.194.29.100 moo, Document e-signed by Susan Alanis (susan.alanis@fortworthtexas.gov) Signature Date:01/16/2019-8:59:02 AM EST-Time Source:server-IP address:209.194.29.100 Document emailed to Allison Tidwell (cso_finalpay@fortworthtexas.gov)for filling 01/16/2019-8:59:03 AM EST Document viewed by Allison Tidwell (cso_finalpay@fortworthtexas.gov) 01/16/2019-9:16:18 AM EST-IP address:209.194.29.100 Fox---_Sir I ,•a,be Si Adobe Sign Form filled by Allison Tidwell (cso_finalpay@fortworthtexas.gov) Form filling Date:01/16/2019-9:16:59 AM EST-Time Source:server-IP address:209.194.29.100 Document emailed to Trudy Brotherton (therese.brotherton@fortworthtexas.gov)for delivery 01/16/2019-9:17:00 AM EST ©J Document viewed by Trudy Brotherton (therese.brotherton@fortworthtexas.gov) 01/16/2019-11:37:25 AM EST-IP address:209.194.29.100 Document receipt acknowledged by Trudy Brotherton (therese.brotherton@fortworthtexas.gov) Receipt Acknowledgement Date:01/16/2019-11:37:42 AM EST-Time Source:server-IP address:209.194.29.100 C> Document emailed to Julie A Geho Oulie.geho@fortworthtexas.gov)for delivery 01/16/2019-11:37:43 AM EST Document viewed by Julie A Geho Qulie.geho@fortworthtexas.gov) 01/16/2019-1:05:21 PM EST-IP address:209.194.29.100 Document receipt acknowledged by Julie A Geho Qulie.geho@fortworthtexas.gov) Receipt Acknowledgement Date:01/16/2019-1:05:36 PM EST-Time Source:server-IP address:209.194.29.100 C Document emailed to Monica De Anda (monica.deanda@fortworthtexas.gov)for delivery 01/16/2019-1:05:37 PM EST Document viewed by Monica De Anda (monica.deanda@fortworthtexas.gov) 01/17/2019-9:20:58 AM EST-IP address:209.194.29.100 too Document receipt acknowledged by Monica De Anda (monica.deanda@fortworthtexas.gov) Receipt Acknowledgement Date:01/17/2019-9:21:29 AM EST-Time Source:server-IP address:209.194.29.100 E� Document emailed to TPW Fiscal Staff(tpwcfafiscal@fortworthtexas.gov)for delivery 01/17/2019-9:21:30 AM EST Li Document viewed by TPW Fiscal Staff(tpwcfafiscal@fortworthtexas.gov) 01/17/2019-9:51:12 AM EST-IP address:209.194.29.100 0o Document receipt acknowledged by TPW Fiscal Staff(tpwcfafiscal@fortworthtexas.gov) Receipt Acknowledgement Date:01/17/2019-9:51:18 AM EST-Time Source:server-IP address:209.194.29.100 Signed document emailed to Edwin R. Rodriguez, Sr. (edwin.rodriguez@fortworthtexas.gov), Trudy Brotherton (therese.brotherton@fortworthtexas.gov), Debbie J.Willhelm, PE (debbie.wilihelm@fortworthtexas.gov), rself@pogueconstruction.com, and 9 more 01/17/2019-9:51:18 AM EST Fox J, I ; Adobe Sign