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HomeMy WebLinkAboutContract 49673-FP2 1 AiV City Secretary 49673 -FP2 `Y` O ? Contract No. La FVRT W0 j�T H® Date Received Oct 29,2018 a✓ i'► 0) oa�l-- 1 OI oy I NOTICE OF PROJECT COMPLETION Z1.��' (Developer Projects) The Transportation and Public Works Department upon the recommendation of the Project Manager has accepted the following project as complete: Project Name: LAKE VISTA RANCH PHASE 3 City Project No.: 101041 Improvement Type(s): ® Paving ® Drainage ® Street Lights ❑Traffic Signals Original Contract Price: $628,655.21 Amount of Approved Change Order(s): $8,958.00 Revised Contract Amount: $637,613.21 Total Cost of Work Complete: $637,613.21 Rob Taylor( a 22018) Jul 20,2018 Contractor Date Project Coordinator Title Gilco Contracting,Inc. Company Name EWr-60&WAZEff Eddie Dee Walker 11(Jul 23,INS) Jul 23,2018 Project Ins or Date s.ar,rxt:�ln le Jul 23,2018 Project Manager Date I Jul 25 2018 Evelyn ro uul u.2oie) � CFA Manager Date SuALWu' Jul25 2018 Susan Alanis(Jul 25,2018) Asst. City Manager Date - Page 1 of 2 r.FT. ICIAL RECORD Y SECRETARY WORTH,TX Notice of Project Completion Project Name: LAKE VISTA RANCH PHASE 3 City Project No.: 101041 h City's Attachments Final Pay Estimate © �Q Change Order(s): ® Yes ❑ N/A Contractor's Attachments fl Affidavit of Bills Paid , Consent of Surety I Statement of Contract Time Contract Time: 200 CD Days Charged: 261 1' Work Start Date: 11/1/2017 Work Complete Date: 7/19/2018 h { `I i N I i i i r Page 2 of 2 II l r Do08— dol oq I City Project Numbers 101041 DOE Number 1041 Contract Name LAKE VJSTA RANCH PHASE 3 Estimate Number l Contract Limits Payment Number 1 Project Type STORM DRAIN&PAVING For Period Ending 7/20/2018 Project Funding 4 Project Manager NA City Secretary Contract Number Inspectors DICKINSON / WALKER Contract Date Contractor GILCO CONTRACTING,INC. Contract Time 30 CD 6331 SOUTHWEST BLVD. Days Charged to Date 261 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 Ij --—————————---------———————— } ,i i Total Cost of Work Completed $637,613.21 Less %Retained $0.00 Net Earned $637,613.21 II Earned This Period $637,613.21 i Retainage This Period $0.00 Less Liquidated Damages 0 Days @ $0.00 /Day $0.00 i LessPavement Deficiency $0.00 f� Less Penalty $0.00 Less Previous Payment $0.00 Plus Material on Hand Less 15% $0.00 fBalance Due This Payment $637,613.21 1} Friday,July 20,2018 Page 5 of 5 �l FORTWORTH CITY OF FORT WORTII FINAL PAYMENT REQUEST Contract Name LAKE VISTA RANCH PHASE 3 Contract Limits Project Type STORM DRAIN&PAVING City Project Numbers 101041 h DOE Number 1041 Estimate Number 1 Payment Number 1 For Period Ending 7/20/2018 CD i City Secretary Contract Number Contract Time AED Contract Date Days Charged to Date 261 Project Manager NA Contract is 100.00 Complete Contractor G1LCO CONTRACTING,INC. 6331 SOUTHWEST BLVD. J BENBROOK, TX 76132-1063 Inspectors DICKINSON / WALKER i i i f I c� ry Friday,July 20,2018 Page 1 of 5 City Project Numbers 101041 DOE Number 1041 Contract Name LAKE VISTA RANCH PHASE 3 Estimate Number 1 Contract Limits Payment Number 1 Project Type STORM DRAIN&PAVING For Period Ending 7/20/2018 Project Funding STORM DRAIN Item Description of Items Estimated Unit Unit Cost Estimated Completed Completed No. Quanity Total Quanity Total ------------------------------------ —--_ 1 24"RCP 96 LF $70.00 $6,720.00 96 $6,720.00 2 27"RCP 271 LF $72.00 $19,512.00 271 $19,512.00 3 20'CURB INLET 4 EA $6,700.00 $26,800.00 4 $26,800.00 4 TRENCH SAFETY 367 LF $0.50 $183.50 367 $183.50 5 LARGE STONE RIPRAP 15 SY $50.00 $750.00 15 $750.00 6 27"TXDOT TYPE CII-FW-O HEADWALL. 1 EA $2,300.00 $2,300.00 1 $2,300.00 7 CONNECT TO EXISTING RCP I LS $250.00 $250.00 1 $250.00 8 BONDS 1 LS $11,500.00 $11,500.00 t $11,500.00 9 18"CLASS III RCP CO#1 63 LF $66.00 $4,158.00 63 $4,158.00 10 18"SLOPING HEADWALL CO#1 2 EA $2,400.00 $4,800.00 2 $4,800.00 Sub-Total of Previous Unit $76,973.50 $76,973.50 PAVING Item Description of Items Estimated Unit Unit Cost Estimated Completed Completed No. Quanity Total Quanity Total 1 HYDRATED LIME 227 TN $155.00 $35,185.00 227 $35,185.00 2 6"LIME TREATMENT 11963 SY $3.25 $38,879.75 11963 $38,879.75 3 6"CONC PVMT 11233 SY $32.95 $370,127.35 11233 $370,127.35 4 4"CONC SIDEWALK 300 SF $7.00 $2,100.00 300 $2,100.00 5 BARRIER FREE RAMP 9 EA $1,950.00 $17,550.00 9 $17,550.00 6 BARRIER FREE RAMP 4 EA $1,900.00 $7,600.00 4 $7,600.00 7 VALVE BOX ADJUSTMENT 17 EA $150.00 $2,550.00 17 $2,550.00 8 MANHOLE ADJUSTMENT,MINOR 10 EA $200.00 $2,000.00 10 $2,000.00 9 BONDS 1 LS $7,900.00 $7,900.00 1 $7,900.00 Sub-Total of Previous Unit $483,892.10 $483,892.10 ST LIGHT/STREET SIGN Item Description of Items Estimated Unit Unit Cost Estimated Completed Completed No. Quanity Total Quanity Total -- _.....------------ -- ----- .-- — ----------- - 1 2"CONDT PVC SCH 80 1939 LF $5.77 $11,188.03 1939 $11,188.03 2 INSTALL LIGHTING FIXTURE 18 EA $90.00 $1,620.00 18 $1,620.00 Friday,July 20,2018 Page 2 of 5 City Project Numbers 101041 DOE Number 1041 Contract Name LAKE VISTA RANCH PHASE 3 Estimate Number I Contract Limits Payment Number I Project Type STORM DRAIN&PAVING For Period Ending 7/20/2018 Project Funding 3 LED LIGHTING FIXTURE 18 EA $412.50 $7,425.00 18 $7,425.00 4 RDWY ILL,UM FOUNDATION 18 EA $995.00 $17,910.00 18 $17,910.00 5 RDWY ILLUM FOUNDATION 18 EA $1,545.00 $27,810.00 IS $27,810.00 6 NO 6 INSULATED ELEC CONDR 5817 LF $0.74 $4,304.58 5817 $4,304.58 7 ATBO 20BLED370 MVOLT R2 3K P7 3 EA $1,000.00 $3,000.00 3 $3,000.00 LUMINAIRES WOOD POLE ARMS MOUNTED TO EXIS 8 BONDS 1 LS $990.00 $990.00 I $990.00 9 STREET NAME SIGNS 5 EA $500.00 $2,500.00 5 $2,500.00 Sub-Total of Previous Unit $76,747.61 $76,747.61 Friday,July 20,2018 Page 3 of 5 City Project Numbers 101041 DOE Number 1041 Contract Name LAKE VISTA RANCH PHASE 3 Estimate Number I Contract Limits Payment Number 1 Project Type STORM DRAIN&PAVING For Period Ending 7/20/2018 Project Funding Contract Information Summary Original Contract Amount $628,655.21 Change Orders Change Order Number 1 $8,958.00 Total Contract Price $637,613.21 Total Cost of Work Completed $637,613.21 Less %Retained $0.00 Net Earned $637,613.21 Earned This Period $637,613.21 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 $637,613.21 Friday,July 20,2018 Page 4 of 5 CD ) £ § g [ 2 > 2 2 G e o_ o 0 2 ) @ § E ( ƒ 0 % m 2 / m > z 0 o m § 2 / ® > m # m m # # H C- m m o y g w \ r \ o $ § M 2 / 2 ¥ 2 ® / e 2 0 / H C- m m u m ) § > e e � _ 2 e z . - ) } ( \ \ m \ i m C- m \ 2 k -4 § -4 £ > / \ -i 4 e / Cl) 7 / m \ # % Im 9 m § m i o E o x CP m z e = r ] (D CD @ S > 2 S o ° ( 41 \ \ \ \ rr ¥ § / § ® n § co\ / { / / R | 7 0 0 \ =rm | _? } \ 0 \ \ CD m - 2 @W a m S PD / 1 CD ca m ) � o m ƒ ƒ ? \ « g R \ \ 0 ° ° _ 00 / O \ = a % \ ` -co co § \ z / \ � % \ > 2 | / n \ k �/ \ | 0 ° / j / .. o z # $ $ « }/ ° ] o ; C) ( ;o ? / 2 £ z CD 22 \ ) j m R $ » » § \ ? \ 2 cn CD � � \ * m w 0 CD 7 CL - ) ƒ \ n * E > Q e G) k CD e { 7 § \ ( ( > m G) > = n )o e ) ) \� \ k )\ ( \ \ \ m > : g m m a\ ! m ` z 2/ ® ( \\ \ ° /o ( // g§\ j ?/ \ § j \\ ) § P \ o0\ y » \ C>\ $ z . 0 k j a \ § } & / < \ > /4M § / /§2 \ / §// o =»g % R\) / §%2 a z = g t m ( ; E > K m � ` \ § m \ C 7 q / & ��\ ~ . l W: is �.• TRANSPORTATION AND PUBLIC WORKS INSPECTION PUNCH LIST 1. Re-wipe Manhole at station 5+00 on JACKSTAFF DRIVE 2. Re-wipe Manhole at station 7+00 on JACKSTAFF DRIVE 3. Re-wipe Manhole at station 9+00 on JACKSTAFF DRIVE 4. Check Invert for correct flow in Sewer Line B 0+00 at SPRITSAIL LN 5. Check Invert for Correct flow in Sewer Line A 0+00 at OUTRIGGER RD. 6. Route and seal crack at WHITE HART DR at the end of the barricades. 7. Route and seal crack and take out and redo a 1/2 panel (paving)at OUTRIGGER RD and Bowman Roberts RD. Contractor Inspector is i GO CONTRACTING, INC® TRANSMITTAL LETTER PROJECT: Lake Vista Ranch,Phase 3 PROJECT NO.: 1226 DATE: June 26,2018 TO: City of Fort Worth 8851 Camp Bowie W.Blvd. Fort Worth,Texas 76116 We transmit: (X)Herewith ( ) Under Separate cover via For Your: ( )Approval ( )Distribution to parties ( )Review&Comment ( )Record (X)Use ( }Execution The following: (X)Other ( )Shop Drawing Prints ( )Specifications ( }Shop Drawing Reproducible ( )Bonds ( )Contract Documents Copies Date Rev.No. Description I Final Paperwork&Consent of Surety REMARKS: COPIES TO: (with enclosures) ( ) BY: Rob Taylor 6331 Southwest Blvd. /Benbrook,Texas 76132 817/735-1600 ext.316 Fax 817/735-1613 rob@gilcocontracting.com i Li1, Interchange Interchange Corporate Center Litu l, 450 Plymouth Road,Suite 400 Plymouth Meeting,PA 19462-1644 SURETY Ph.(610)832-8240 CONSENT OF SURETY TO FINAL PAYMENT TO: BNM Lake Vista Development,LP 1038 Texan Trail,Grapevine,TX 76058 City of Fort Worth 200 Texas Street,Fort Worth,TX 76102 RE: Bond Number 022058089 Principal: Gilco Contracting,Inc. Obligee: BNM Lake Vista Development,LP and the City of Fort Worth Contract Number: Contract Date: July 2017 Contract/Project Description: Lake Vista Ranch Phase 3 -City Project No:101041,File No:X-2444,W2508 Water Project No:56008 0600430 101041 001580,Sewer Project No:56008 0700430 101041 001330 Water,Sanitary Sewer,Drainage,Paving,Street Lighting and Street Sign Improvements In accordance with the provisions of the contract between the Obligee and the Principal described above, LIBERTY MUTUAL INSURANCE COMPANY, a Massachusetts stock insurance company, as Surety (the"Surety"), on the Principal's bond number 022058089 (the"Bond") hereby consents to the final payment to the Principal by the Obligee and agrees that final payment to the Principal shall not relieve the Surety of any of its obligations to Obligee as set forth in the Bond. IN WITNESS WHEREOF,the Surety has hereunto set its hand and seal this 21st day of June 2016 LIBERTY MUTUAL INSURANCE COMPANY (Suret By: (Seal) V.DeLene Marsha I,Attorney-in- act LMIC-3100 Rev.03,04 I 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.7989002 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 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 set forth,does hereby name,constitute and appoint, Robbi Morales;Don E.Cornell;Sophinie Hunter;V.DeLene Marshall;Tina McEwan;Ricardo J.Reyna: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 attorney-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 surely 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 to 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 24th day of January 2018 to {Y INSj/ �1N511� tthSUh v ;;W.ry:,; �;� �5 Gyra1G/�`h� �,c�,;,,;,,,^'•lA. The Ohio Casualty Insurance Company �* Liberty Mutual Insurance Company n, ,� Iv1av r 79'12 � 199tY' C �_ a Westgmerican Insurance Company rn ♦_) By, 4! a David M.Carey;'f ssistanl Secretary >_ STATE OF PENNSYLVANIA ss cc COUNTY OF MONTGOMERY = _ O On this 24th day of January 2018,before me personally appeared David M.Carey,who acknowledged himself to be the Assistant Secretary of Liberty Mutual Insurance V}. V d 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 y,W 0.2 therein contained by signing on behalf of the corporations by himself as a duly authorized officer• m d > 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. 0 a2. d n3 yp, PAST COMMONWEALTH OF PENNSYLVANIA Q M 3 A << i Notarial Seal �.G%� :',(.y C fit' Teresa Pastella,Notary Public BY O ` of i Upper Merton Twp.,Montgomery County Teresa Pastella,Notary Public C H ��r My Comnllssion Expires March 28.20:1 .N O _P p J��?�' Member.Pennsylvonin A5soc:nlion of Notaries 0 E CL O 4) n3 C 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 1n 0 N+`, Insurance Company,and West American Insurance Company which resolutions are now in full force and effect reading as follows: :E of CI L 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 e a; 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, O,5 acknowledge and deliver as surety any and all undertakings,bonds,recognizances and other surely obligations. Such attorneys-in-fact,subject to the limitations set forth in their respective E 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 d L_ro 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 >-0 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. N = 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, E o0 and subject to such limitations as the chairman or the president may prescribe,shall appoint such atlomeys-in-fact,as may be necessary to act in behalf of the Company to make,execute, L M o 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 c Z v 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 00 executed such instruments shall be as binding as if signed by the president and attested by the secretary, t0 1? 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 altomeys-in- 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 surety 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 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. I, Renee C. Llewellyn, the undersigned, Assistant Secretary, The Ohio Casualty 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 correct copy of the Power of Attorney executed by said Companies,is in full force and effect and has not been revoked. S }Q' IN TESTIMONY WHEREOF,I have hereunto set my hand and affixed the seals of said Companies thisrday of _,20�. `(Y IN�(/r lN$tIS.,,1 ti,tJ$[r}•r a.IS yJy,�cst.`-ew.ar�-;r` )�J,�nfi�;F'tr� y`L,ocvaa,q'1=gin tl'�'- r 919 ' 1991 r BY: 1912 5 0 r{/ Renee C.Llewe ssistant Secretary i4\ 299 of 400 LMS 12873 022017 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, 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 fui7iishing 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 fiill; That there are no claims pending for personal injury and/or property damages; On Contract described as; Paving Improvements to serve: Lake Vista Ranch,Phase BY: Rob Ta or Subscribed and sworn before me on this 26th of June ,2018. R' �� Notary R blic Tarrant County, TX MARY PANNELL �,•�� ��:Notary Public,stale of Texas :N.,�"�.•Q, Comm.Expires 10-19-2018 Notary ID 5144239 I June 26,2018 City of Fort Worth CFA Administration 1000 Throckmorton St. Fort Worth, TX 76102 RE: Final Waiver of Lien; Water, Sanitary Sewer,Drainage,Paving, and Street Light Improvements to serve: Lake Vista Ranch,Phase 3 City Project#101041 Water Project No: 56008 0600430 101041 001580 Sewer Project No: 56008 0700430 101041 001380 File No.W-2508 File No. X-2444 The purpose of this letter is to acknowledge that we have been paid in full by BNM Lake Vista Development, L.P. for the public improvements constructed to serve Lake Vista Ranch,Phase 3 in Fort Worth, Texas. As a result, we hereby waive,release and relinquish all rights to assert any claim or demand for lien in connection with this project. Please feel free to contact me with any questions you may have. Sincerely, Rob Taylor Project Coordinator 6331 Southwest Blvd. Benbrook, Texas 76132 Office: 817.735.3 600 Fax: 817.735.1613 GILL® CONTRACTING, INC® TRANSMITTAL LETTER PROJECT: Lake Vista Ranch,Phase 3 PROJECT NO.: 1226 DATE:June 26,2018 TO: City of Fort Worth 8851 Camp Bowie W. Blvd. Fort Worth,Texas 76116 We transmit: (X)Herewith ( ) Under Separate cover via For Your: ( )Approval ( )Distribution to parties ( )Review&Comment ( )Record (X) Use O Execution The following: (X)Other ( )Shop Drawing Prints ( )Specifications ( )Shop Drawing Reproducible ( )Bonds ( )Contract Documents Copies Date Rev.No. Description I Final Paperwork&,Consent of Surety REMARKS: COPIES TO: (with enclosures) ( ) BY: Rob Taylor 6331 Southwest Blvd. /Benbroolf,Texas 76132 817/735-1600 ext.316 Fax 817/735-1613 rob@gilcocontracting.com i % Libe t' Interchange Corporate Center 450 Plymouth Road,Suite 400 Mutual,al, Plymouth Meeting,PA 19462-1644 SURETY Ph.(610)832-8240 CONSENT OF SURETY TO FINAL PAYMENT TO: BNM Lake Vista Development,LP 1038 Texan Trail,Grapevine,TX 76058 City of Fort Worth 200 Texas Street,Fort Worth,TX 76102 RE: Bond Number 022058089 Principal: Gilco Contracting,Inc. Obligee: BNM Lake Vista Development,LP and the City of Fort Worth Contract Number: Contract Date: July2017 Contract/Project Description: Lake Vista Ranch Phase 3 -City Project No:101041,File No:X-2444,W-2508 Water Project No:56008 0600430 101041 001580,Sewer Project No:56008 0700430 101041 001380 Water,Sanitary Sewer,Drainage,Paving,Street Lighting and Street Sign Improvements In accordance with the provisions of the contract between the Obligee and the Principal described above, LIBERTY MUTUAL INSURANCE COMPANY, a Massachusetts stock insurance company, as Surety (the"Surety"), on the Principal's bond number 022058089 (the"Bond") hereby consents to the final payment to the Principal by the Obligee and agrees that final payment to the Principal shall not relieve the Surety of any of its obligations to Obligee as set forth in the Bond. IN WITNESS WHEREOF,the Surety has hereunto set its hand and seal this 21st day of June 2018 LIBERTY MUTUAL INSURANCE COMPANY (Sure t By: (Seal) V.DeLene Marsha t,Attorney-in- act LMIC-3100 Rev.03104 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.7989002 Liberty Mutual Insurance Company The Ohio Casualty Insurance Company WestAmerican 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 set forth,does hereby name,constitute and appoint, Robbi Morales;Don E,Cornell;Sophinie Hunter;V.DeLene Marshall;Tina McEwan•Ricardo J.Reyna: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 attorney-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 and other 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 Ute corporate seals of the Companies have been affixed thereto this 24th day of January 2018 16 Lt;IN,tl�, F1.tN5�n ti°:tasul.,1 'a -1, U) ,��:riNYr�lf�t L\r\(t''+tns. �(� The Ohio Casualty Insurance Company N 1919 7 J12 r: 19gty, �� Liberty Mutual Insurance Company 0 a WestAmerican Insurance Company STATE OF PENNSYLVANIA ss David M.Carey,Assistant Secretary C L COUNTY OF MONTGOMERY c On this 24th day of January 2018 before me personally appeared David M.Carey,who acknowledged himself to be the Assistant Secretary of Liberty Mutual Insurance t— V at 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 24XI therein contained by signing on behalf of the corporations by himself as a duly authorized officer. `W O > 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. 00, y �gP "AS COMMONWEALTH OF PENNSYLVANIA /� �ouus Q 1rj a w¢o;e 9rr<< Notarial Seal �g �� T TOrE?5a Pastella,Notary Public By: HrQ� p0 upper Manan Twp.,Monipomery County Teresa Pastella,Notary Public N y � ry�Vpt,�\v I My Corrunlssion Expires March 2C%.2021 316 00 AN PVG Mombet.Pennsylvania Fmsoomilton of Not.nes 0. E d FRNY C 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 to p y^; Insurance Company,and West American Insurance Company which resolutions are now in full force and effect reading as follows:IM .e mL 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 e 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, (a) O.S acknowledge and deliver as surety any and all undertakings,bonds,recognizances and other surely obligations. Such attorneys-in-fact,subject to the limitations set forth in their respective -a S E y 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 or the Corporation. When so - d L_y 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 >.0 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. s = 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, , > and subject to such limitations as the chairman or the president may prescribe,shall appoint such attomeys-in-fact,as may be necessary to act in behalf of the Company to make,execute, M O seal,acknowledge and deliver as surety any and all undertakings,bonds,recognizances and other surety obligations. Such attomeys-in-fact subject to the limitations set forth in their 4-00 Z v 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 o executed such instruments shall be as binding as if signed by the president and attested by the secretary, O 1? 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 attomeys-in- ~ fact as may be necessary to act on behalf of the Company to make,execute,seal,acknowledge and deliver as surely 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 mechanically reproduced signature of any assistant secretary of the Company,wherever appearing upon a certified copy of any power 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. I, Renee C. Llewellyn, the undersigned, Assistant Secretary, The Ohio Casualty 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 correct copy of the Power of Attorney executed by said Companies,is in full force and effect and has not been revoked. St- IN Q. IN TESTIMONY WHEREOF,I have hereunto set my hand and affixed the seals of said Companies this day of f\_Q�t ,20�V r`tv ud.7r, tNsbr, „1 rN5Uhq�. _ T�^`rvt-o�e,,�•i<n t9ir3 1912 By: ° ItJ91 r Renee C.Llew ssistant Secretary 299 of 400 LMS 12973 022017 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, 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 full; That there are no claims pending for personal injury and/or property damages; On Contract described as; Paving Improvements to serve: Lake Vista Ranch,Phase ' BY: Rob Ta or Subscribed and sworn before me on this 26th of June ,2018. Notary R blic Tarrant County, TX MARY PANNELL Notary Public,State of Texas comm.Expires 10-19-2018 °Y.amu Notary ID 5144239 Sp-,,-w _ June 26,2018 City of Fort Worth CFA Administration 1000 Throckmorton St. Fort Worth, TX 76102 RE: Final Waiver of Lien; Water, Sanitary Sewer,Drainage,Paving,and Street Light hnprovements to serve: Lake Vista Ranch,Phase 3 City Proj ect#101041 Water Project No: 56008 0600430 101041 001580 Sewer Project No: 56008 0700430 101041 001380 File No. W-2508 File No. X-2444 The ptupose of this letter is to acknowledge that we have been paid in full by BNM Lake Vista Development, L.P. for the public improvements constructed to serve Lake Vista Ranch,Phase 3 in Fort Worth,Texas. As a result, we hereby waive,release and relinquish all rights to assert any claim or demand for lien in connection with this project. Please feel free to contact me with any questions you may have. Sincerely, I7/,I Rob Taylor Project Coordinator 6331 Southwest Blvd. Benbrook, Texas 76132 Office: 817.735.1600 Fax: 817.735.1613 :-V-- �µ Greensheet for Lake Vista — - ---T Ranch Phase 3 CPN#101041 PSD - - Adobe Sign Document History 10/29/2018 - -- Created: 07/20/2018 --- By: Shameka.Kennedy@fortworthtexas.gov - - Status: Signed Transaction ID: CBJCHBCAABAAmv_2RvPrGibLQnXU8Xevi8pw7m2UUEgR "Greensheet for Lake Vista Ranch Phase 3 CPN#101041 PSD" History Document created by Shameka.Kennedy@fortworthtexas.gov 07/20/2018-11:26:39 AM CDT-IP address:209.194.29.100 Document emailed to Rob Taylor Qdt@gilcocontracting.com)for signature 07/20/2018-11:29:58 AM CDT Document viewed by Rob Taylor Qdt@gilcocontracting.com) 07/20/2018-11:32:24 AM CDT-IP address:107.77.198.54 �i Rob Taylor Odt@gilcocontracting.com) uploaded the following supporting documents: (PI File Attachment 1 (I File Attachment 2 07/20/2018-3:58:37 PM CDT J- Document e-signed by Rob Taylor Odt@gilcocontracting.com) Signature Date:07/20/2018-3:58:37 PM CDT-Time Source:server-IP address:12.246.109.114 Document emailed to Eddie Dee Walker II (eddie.walker@fortworthtexas.gov)for signature 07/20/2018-3:58:38 PM CDT 5 Document viewed by Eddie Dee Walker II (eddie.walker@fortworthtexas.gov) 07/23/2018-12:37:31 PM CDT-IP address:209.194.29.90 Ja Document e-signed by Eddie Dee Walker II (eddie.walker@fortworthtexas.gov) Signature Date:07/23/2018-12:38:11 PM CDT-Time Source:server-IP address:209.194.29.90 E-► Document emailed to Michael O. Glover(michael.glover@fortworthtexas.gov)for approval D 07/23/2018-12:38:12 PM CDT Fox_ _5 I Adobe cbe Sign Document viewed by Michael O. Glover(michael.glover@fortworthtexas.gov) 07/23/2018-1:42:43 PM CDT-IP address: 174.206.14.61 �a Document approved by Michael O. Glover(michael.glover@fortworthtexas.gov) Approval Date:07/23/2018-1:44:48 PM CDT-Time Source:server-IP address:174.206.14.61 �-r Document emailed to G. Sahu, P.M. (gopal.sahu@fortworthtexas.gov)for signature 07/23/2018-1:44:49 PM CDT Document viewed by G. Sahu, P.M. (gopal.sahu@fortworthtexas.gov) 07/23/2018-3:36:57 PM CDT-IP address:209.194.29.100 60Document e-signed by G. Sahu, P.M. (gopal.sahu@fortworthtexas.gov) Signature Date:07/23/2018-3:38:08 PM CDT-Time Source:server-IP address:209.194.29.100 ► Document emailed to Janie Scarlett Morales Qanie.morales@fortworthtexas.gov)for signature 07/23/2018-3:38:10 PM CDT Document viewed by Janie Scarlett Morales Qanie.morales@fortworthtexas.gov) 07/25/2018-10:01:05 AM CDT-IP address:209.194.29.100 Document signing delegated to Evelyn Roberts (Evelyn.Roberts@fortworthtexas.gov) by Janie Scarlett Morales Qanie.morales@fortworthtexas.gov) 07/25/2018-10:06:57 AM CDT-IP address:209.194.29.100 (JQ Document e-signed by Evelyn Roberts (Evelyn.Roberts@fortworthtexas.gov) Signature Date:07/25/2018-10:20:15 AM CDT-Time Source:server-IP address:209.194.29.100 C'Y Document emailed to Susan Alanis (susan.alanis@fortworthtexas.gov)for signature 07/25/2018-10:20:17 AM CDT Document viewed by Susan Alanis (susan.alanis@fortworthtexas.gov) 07/25/2018-12:46:10 PM CDT-IP address:209.194.29.100 bc, Document e-signed by Susan Alanis (susan.alanis@fortworthtexas.gov) Signature Date:07/25/2018-12:46:32 PM CDT-Time Source:server-IP address:209.194.29.100 C'y Document emailed to Allison Tidwell (cso_finalpay@fortworthtexas.gov)for filling 07/25/2018-12:46:33 PM CDT Document viewed by Allison Tidwell (cso_finalpay@fortworthtexas.gov) 10/29/2018-2:40:19 PM CDT-IP address:209.194.29.100 tSp Form filled by Allison Tidwell (cso_finalpay@fortworthtexas.gov) Form filling Date:10/29/2018-2:41:27 PM CDT-Time Source:server-IP address:209.194.29.100 C' Document emailed to Trudy Brotherton (therese.brotherton@fortworthtexas.gov)for delivery 10/29/2018-2:41:28 PM CDT FORT WORTHS >r Adobe Sign F0/2tcument viewed by Trudy Brotherton (therese.brotherton@fortworthtexas.gov) 9/2018-2:44:48 PM CDT-IP address:209.194.29.100 Ga Document receipt acknowledged by Trudy Brotherton (therese.brotherton@fortworthtexas.gov) Receipt Acknowledgement Date:10/29/2018-2:45:01 PM CDT-Time Source:server-IP address:209.194.29.100 C-' Document emailed to Julie A Geho oulie.geho@fortworthtexas.gov)for delivery 10/29/2018-2:45:02 PM CDT Document viewed by Julie A Geho Oulie.geho@fortworthtexas.gov) 10/29/2018-4:01:44 PM CDT-IP address:209.194.29.100 6¢ Document receipt acknowledged by Julie A Geho Qulie.geho@fortworthtexas.gov) Receipt Acknowledgement Date: 10/29/2018-4:02:00 PM CDT-Time Source:server-IP address:209.194.29.100 '=► Document emailed to TPW Fiscal Staff(tpwcfafiscal@fortworthtexas.gov)for delivery 10/29/2018-4:02:01 PM CDT Document viewed by TPW Fiscal Staff(tpwcfafiscal@fortworthtexas.gov) 10/29/2018-4:35:57 PM CDT-IP address:209.194.29.100 CSp Document receipt acknowledged by TPW Fiscal Staff(tpwcfafiscal@fortworthtexas.gov) Receipt Acknowledgement Date:10/29/2018-4:36:04 PM CDT-Time Source:server-IP address:209.194.29.100 ® Signed document emailed to Janie Scarlett Morales (Janie.morales@fortworthtexas.gov), Susan Alanis (susan.alanis@fortworthtexas.gov), Julie A Geho Qulie.geho@fortworthtexas.gov), Michael O. Glover (michael.glover@fortworthtexas.gov), and 8 more 10/29/2018-4:36:04 PM CDT FORT WORTH. =::y Adobe Sign