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Contract 49809-FP1
�; o910y City Secretary49809 -FPl •y Q Contract No. V��° FORT NORTH. i Date Received Jan 16,2019 of /01059. 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 4 City Project No.: 101052 Improvement Type(s): ® Paving ❑ Drainage ❑ Street lights ❑ Traffic Signals Original Contract Price: $311,185.50 Amount of Approved Change Order(s): Revised Contract Amount: $311,185.50 Total Cost of Work Complete: $311,185.50 IAabtarleri s.2o19i Jan 15, 2019 Contractor Date AR/Project Coordinator Title Gilco Contracting,Inc. Company Name a,hdg�V Jan 15, 2019 Mk14e1 Y.Flute11an 15.201!1 Project Inspector Date Jan 15a 2019 Aaron AMR(Janss.2919Z Project Manager Date jd#4L� Ahz4afJan 1S 2019 Janie Scxlett Mamks!Jan 15.20191 2 CFA Manager Date ,sr Jan 15, 2019 Sion N,nu uan 1s,20191 Asst. City Manager Date r AL RECORD] Page 1 of 2 ECRETARYORTH,TX Notice of Project Completion Project Name: Marine Creek Ranch Section 4 City Project No.: 101052 City's Attachments Final Pay Estimate ❑x Change Order(s): ❑ Yes © N/A Contractor's Attachments Affidavit of Bills Paid Consent of Surety Statement of Contract Time Contract Time: 70 CD Days Charged: 70 Work Start Date: 11/20/2017 Work Complete Date: 8/9/2018 Page 2 of 2 5-6 /oI 05Q City Project Numbers 101052 DOE Number 1010 Contract Name MARIEN CREEK RANCH SECTION 4 Estimate Number I Contract Limits Payment Number I Project Type PAVING For Period Ending 1/15/2019 Project Funding Project Manager NA City Secretary Contract Number Inspectors GREGORY / FLUTE Contract Date 8/30/2017 Contractor GILCO CONTRACTING,INC. Contract Time 70 CD 6331 SOUTHWEST BLVD. Days Charged to Date 70 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 $311,185.50 Less %Retained $0.00 Net Earned $311,185.50 Earned This Period $311,185.50 Retainage This Period $0.00 Less Liquidated Damages 0 Days n $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 $31 1,185.50 Monday,January 14,2019 Page 4 of 4 FORTWORTH CITY OF FORT WORTII FINAL PAYMENT REQUEST Contract Name MARTEN CREEK RANCH SECTION 4 Contract Limits Project Type PAVING City Project Numbers 101052 DOL Number 1010 Estimate Number 1 Payment Number 1 For Period Ending 1/15/2019 CD City Secretary Contract Number Contract Time XD Contract Date 8/30/201.7 Days Charged to Date 70 Project Manager NA Contract is 100.00 Complete Contractor GILCO CONTRACTING,INC. 6331 SOUTHWEST BLVD. BENBROOK, TX 76132-1063 Inspectors GREGORY / FLUTE Monday,January 14,2019 Pale 1 of4 City Project Numbers 101052 DOE Number 1010 Contract Name MARTEN CREEK RANCH SECTION 4 Estimate Number 1 Contract Limits Payment Number I Project Type PAVING For Period Ending 1/15/2019 Project Funding UNIT IV:PAVING IMPROVEMENTS Itcm Description of Items Estimated Unit Unit Cost Estimated Completed Completed No. Quanity Total Quanity Total 1 REMOVE SIDEWALK 321 SF $2.00 $642.00 321 $642.00 2 REMOVE CONC CURB&GUTTER 600 LF $20.00 $12,000.00 600 $12,000.00 3 HYDRATED LIME 120 TN $155.00 $18,600.00 120 $18,600.00 4 6"LIME TREATMENT 6032 SY $3.20 $19,302.40 6032 $19,302.40 5 8"LIME TREATMENT 602 SY $3.20 $1,926.40 602 $1,926.40 6 6"CONC PVMT 5507 SY $37.40 $205,961.80 5507 $205,961.80 7 10"CONC PVMT 509 SY $68.10 $34,662.90 509 $34,662.90 8 4"CONC SIDEWALK 1025 SF $5.00 $5,125.00 1025 $5,125.00 9 BARRIER FREE RAMP TYPE P-1 6 EA $1,600.00 $9,600.00 6 $9,600.00 10 8"SLD PVMT MARKING HAS(W) 100 LF $2.75 $275.00 100 $275.00 11 REFL RAISED MARKER TY 1-C 4 EA $10.00 $40.00 4 $40.00 12 REMOVE 8"PVMT MARKING 50 LF $10.00 $500.00 50 $500.00 13 FURNISHANSTALL ALULM SIGN GROUND 6 EA $425.00 $2,550.00 6 $2,550.00 MOUNT CITY STD. Sub-Total of Previous Unit $311,185.50 $311,185.50 Monday,January 14,2019 Page 2 of 4 City Project Numbers 101052 DOE Number 1010 Contract Name IvIARIEN CREEK RANCH SECTION 4 Estimate Number I Contract Limits Payment Number I Project Type PAVING For Period Ending 1/15/2019 Project Funding Contract Information Summary Original Contract Amount $311,185.50 Chanr!e Orders Total Contract Price $311,185.50 Total Cost of Work Completed $311,185.50 Less %Retained $0.00 Net Earned $311,185.50 Earned This Period $311,185.50 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 $311,185.50 Monday,January 14,2019 Page 3 of 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 fiill; That the wage scale established by the City Council in the City of Fort Worth has-been paid-i-n-fil11T--.------------- - ---------------- - - --- -- -- -- - That there are no claims pending for personal injury and/or property damages; On Contract described as; Paving Improvements to serve: Marine Creek Ranch,Section 4 BY: Rob Taylor Subscribed and sworn before me on this 15th of January , 2019. CESiLIA CANALES 2 r Notary ID#131652996 My Commission Expires Notary Public July 24,2022 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 022059320 PROJECT: (name, addresS)Marine Creek Ranch Section 4- Paving Improvements TX TO (Owner) CRYSTAL LAKE DEVELOPMENT,LLC AND CITY OF7 ARCHITECT'S PROJECT NO: FORT WORTH CONTRACT FOR: 3825 Camp Bowie Road Marine Creek Ranch Section 4-Paving Improvements Fort worm 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 (here 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 (here insert name and address of Owner) CRYSTAL LAKE DEVELOPMENT, LLC AND CITY OF FORT WORTH 3825 Camp Bowie Road 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 January, 2019 LIBERTY MUTUAL INSURANCE COMPANY /] Q Surety Company Attest:Tina McEwan 9VkUt'('- 14,Aio (Seal): Sign tore of Authorized Representative Soahinie 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 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. — Liberty. Liberty Mutual Insurance Company Mutual, The Ohio Casualty Insurance Company Certificate No: 8200274 ---- SURETY West American 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 I hinter.Tina McEwan,Ricardo.l.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 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 the corporate seals of the Companies have been affixed thereto this I I th day of January 2019 Liberty Mutual Insurance Company P�INSU/9 P�Z,e INS& %Nsu,q The Ohio Casualty Insurance Company hJ Goanoayr�2n yJ 00µr0 F�2 4P`oapoa4T�yn West American Insurance Company > n 2 o f to 1912 O 0 1919 g 1991 ? a rn an rdvs/> * qtDyO 'M� * �� � /ti✓"/i7 .o4�it.,.^ N By: C: David M.Carey,Assistant Secretary co State of PENNSYLVANIA co County of MONTGOMERY ss c �— c au On this I I th day of Januall 2019 before me personally appeared David M.Carey,who acknowledged himself to be the Assistant Secretary of Liberty Mutual Insurance O o� 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=F— > therein contained by signing on behalf of the corporations by himself as a duly authorized officer. d CO 3 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) Q to I' O CD N /" .r��„I[�. ^�, � COMMONWEALTH OF PENNSYLVANIA do !� .., I aNotarialSeal :a O 4�� ,-- � II TeroPasldllo,a.Notary Public � � Q ii t tipper Nlenon Twp.,Montgomory County By: C (0 ��i`5,, } My Cuamii>sion Expucs fatarGt'L8,2021 to eresa Paslella,Notary Public o to T7 t � Uamber,Pann.ylvania Lsodation a11Jn,:rrias CL O tt3 ��7 on o a) 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=°� o.1 Insurance Company,and West American Insurance Company which resolutions are now in full force and effect reading as follows: o 0 E ARTICLE IV—OFFICERS:Section 12.Power of Attorney. o Any officer or other official of the Corporation authorized for that purpose in writing by the Chairman or the President,and subject to such limitation as the Chairman or the -0 >. 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 >o CU c any and all undertakings,bonds,recognizances and other surety obligations.Such attorneys-in-fact,subject to the limitations set forth in their respective powers of attorney,shall �R N > i— 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 executed,such"� Z � 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 the 4E`M 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. 0 0 ARTICLE XIII—Execution of Contracts:Section 5.Surety Bonds and Undertakings. 0� 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, o T shall appoint such attorneys-in-fact,as may be necessary to act in behalf of the Company to make,execute,seal,acknowledge and deliver as surety any and all undertakings, bonds,recognizances and other surety obligations.Such altomeys-in-fact subject to the limitations set forth in their 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 executed such instruments shall be as binding as if signed by the president and attested by the secretary. 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- 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 Pourer 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 14th day of January 2019 INS UR \�S`t INS& a tNSUR J 2`oµa0r7gT�Qym Qpop, C, g 1912 - 0 1919 1- 1991 0 Z O 4 B d�gssgc„os��ya so�``an,nasa da r 'Nol W, aa s 3 y Renee C.Llewellyn,Assistant �'M > Y Secretary LMS-12873 LMIC OCIC VVAIC Multi Co 062018 Liberty Miutl al, 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 Ilamar al humero 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, coberturas, derechos o 1-800-252-3439 quejas al 1-800-252-3439 You may write the Texas Department of Insurance Puede escribir al Departamento de Seguros Consumer Protection (I I 1-1 A) de Texas Consumer Protection (I 1 I-I A) P. 0. Box 149091 P. 0.Box 149091 Austin, TX 78714-9091 Austin,TX 78714-9091 FAX: (512)490-1007 FAX # (512)490-1007 Web: http://Nvww.tdi.texas.gov Web: littp://www.tdi.texas.gov E-mail: ConsumerProtectionci,tdi.texas.gov E-mail: ConsumerProtection@tdi.texas.gov PREMIUM OR CLAIM DISPUTES: DISPUTAS SOBRE PRIMAS 0 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 Ifthe 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. doCU nento adjunto. NP 70 68 09 01 LMS-15252 10/15 - - Green Sheet CPN 101052 ` ,-- - - Marine Creek Ranch Section 4 Paving �- - Adobe Sign Document History 01/16/2019 -- - Created: 01/14/2019 By: Etta Bacy(etta.bacy@fortworthtexas.gov) Status: Signed Transaction ID: CBJCHBCAABAAQoBFRtKSobgDxoXnC2XK-td8V8GvPcjJ "Green Sheet CPN 101052 Marine Creek Ranch Section 4 Pavi ng" History L' Document created by Etta Bacy(etta.bacy@fortworthtexas.gov) 01/14/2019-11:13:35 AM CST-IP address:209.194.29.100 . Document emailed to jdt@gilcocontraction.com for signature 01/14/2019-11:23:10 AM CST Email sent to jdt@gilcocontraction.com bounced and could not be delivered 01/14/2019-11:23:22 AM CST r2l Etta Bacy(etta.bacy@fortworthtexas.gov) replaced signer jdt@gilcocontraction.com with Rob Taylor (jdt@gilcocontracting.com) 01/14/2019-11:41:06 AM CST-IP address:209.194.29.100 C, Document emailed to Rob Taylor Odt@gilcocontracting.com)for signature 01/14/2019-11:41:06 AM CST EZ, Email sent to jdt@gilcocontraction.com bounced and could not be delivered 01/14/2019-11:41:22 AM CST "u Document viewed by Rob Taylor Qdt@gilcocontracting.com) 01/14/2019-12:35:05 PM CST-IP address: 107.77.196.173 e Rob Taylor(jdt@gilcocontracting.com) uploaded the following supporting documents: G File Attachment 1 File Attachment 2 01/15/2019-9:34:48 AM CST FLR o Adobe SY be Sign �j& Document e-signed by Rob Taylor Odt@gilcocontracting.com) Signature Date:01/15/2019-9:34:48 AM CST-Time Source:server-IP address: 12.246.109.114 Document emailed to Michael V. Flute (michael.flute@freese.com)for signature 01/15/2019-9:34:49 AM CST Co Email sent to Rob Taylor adt@gilcocontracting.com) bounced and could not be delivered 01/15/2019-9:34:52 AM CST I Document viewed by Michael V. Flute (michael.flute@freese.com) Dl/15/2019-10:31:12 AM CST-IP address: 107.77.197.17 Document e-signed by Michael V. Flute (michael.flute@freese.com) Signature Date:01/15/2019-10:31:46 AM CST-Time Source:server-IP address: 107.77.197.17 r Document emailed to Ariel Duarte (ariel.duarte@fortworthtexas.gov)for approval 01/15/2019-10:31:47 AM CST Document viewed by Ariel Duarte (ariel.duarte@fortworthtexas.gov) 01/15/2019-11:38:23 AM CST-IP address: 174.206.6.147 o Document approved by Ariel Duarte (ariel.duarte@fortworthtexas.gov) Approval Date:01/15/2019-11:40:21 AM CST-Time Source:server-IP address: 174.206.6.147 Document emailed to Aaron Long (edward.long@fortworthtexas.gov)for signature 01/15/2019-11:40:22 AM CST Document viewed by Aaron Long (edward.long@fortworthtexas.gov) 01/15/2019-2:48:23 PM CST-IP address:209.194.29.100 GS© Document e-signed by Aaron Long (edward.long@fortworthtexas.gov) Signature Date:01/15/2019-2:48:51 PM CST-Time Source:server-IP address:209.194.29.100 L"-'-► Document emailed to Janie Scarlett Morales (Janie.morales@fortworthtexas.gov)for signature 01/15/2019-2:48:52 PM CST �o Document e-signed by Janie Scarlett Morales (Janie.morales@fortworthtexas.gov) Signature Date:01/15/2019-4:51:29 PM CST-Time Source:server-IP address:209.194.29.100 C'4 Document emailed to Susan Alanis (susan.alanis@fortworthtexas.gov)for signature 01/15/2019-4:51:30 PM CST Document viewed by Susan Alanis (susan.alanis@fortworthtexas.gov) 01/15/2019-6:29:58 PM CST-IP address:209.194.29.100 E4. Document e-signed by Susan Alanis (susan.alanis@fortworthtexas.gov) Signature Date:01/15/2019-6:30:23 PM CST-Time Source:server-IP address:209.194.29.100 FORTWORTH. Adobe:•dobe Sign ':. Document emailed to Allison Tidwell (cso_finalpay@fortworthtexas.gov)for filling 01/15/2019-6:30:24 PM CST Document viewed by Allison Tidwell (cso_finalpay@fortworthtexas.gov) 01/16/2019-8:11:06 AM CST-IP address:209.194.29.100 Form filled by Allison Tidwell (cso_finalpay@fortworthtexas.gov) Form filling Date:01/16/2019-8:11:59 AM CST-Time Source:server-IP address:209.194.29.100 Document emailed to Trudy Brotherton (therese.brotherton@fortworthtexas.gov)for delivery 01/16/2019-8:12:00 AM CST Document viewed by Trudy Brotherton (therese.brotherton@fortworthtexas.gov) 01/16/2019-10:36:06 AM CST-IP address:209.194.29.100 Document receipt acknowledged by Trudy Brotherton (therese.brotherton@fortworthtexas.gov) Receipt Acknowledgement Date:01/16/2019-10:36:25 AM CST-Time Source:server-IP address:209.194.29.100 C Document emailed to Julie A Geho Qulie.geho@fortworthtexas.gov)for delivery 01/16/2019-10:36:26 AM CST Document viewed by Julie A Geho Qulie.geho@fortworthtexas.gov) 01/16/2019-12:06:54 PM CST-IP address:209.194.29.100 Document receipt acknowledged by Julie A Geho Qulie.geho@fortworthtexas.gov) Receipt Acknowledgement Date:01/16/2019-12:07:10 PM CST-Time Source:server-IP address:209.194.29.100 . Document emailed to TPW Fiscal Staff(tpwcfafiscal@fortworthtexas.gov)for delivery 01/16/2019-12:07:11 PM CST Li Document viewed by TPW Fiscal Staff(tpwcfafiscal@fortworthtexas.gov) 01/16/2019-3:25:25 PM CST-IP address:209.194.29.100 r, Document receipt acknowledged by TPW Fiscal Staff(tpwcfafiscal@fortworthtexas.gov) Receipt Acknowledgement Date:01/16/2019-3:25:33 PM CST-Time Source:server-IP address:209.194.29.100 Signed document emailed to TPW Fiscal Staff(tpwcfafiscal@fortworthtexas.gov), Rob Taylor Odt@gilcocontracting.com), Michael V. Flute (michael.flute@freese.com), Julie A Geho Oulie.geho@fortworthtexas.gov), and 8 more 01/16/2019-3:25:33 PM CST FORTWORTHd _:,_� Adobe Sign