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Contract 51378-FP1
City Secretary 1:37 -FP1 Contract No. ,4 Will WORTH.) �at�Receivedl�ar� 2019. ti [NOTICE OF PROJECT COMPLETION (Developer Projects) The Transportation and Public Works Department upon the recommendation of the Project Manager has accepted the following project ascomplete: Project e:West Pulaski Street Improvements City Project o,: 10,1669 Improvement Type(s): 0 Paving 0 Drainage 0 Street Lights 0 Traffic Signals Original Contract rice: $46,666.,00 Amount of Approved Change Order(s)� Revised Contract Amount: $460665.00 Total Cost of Work Complete: $48,865.00 Isar 1,2019 Contractor Date Fort Worth Civil Constructors, LLC Title President Corngpany Name JWAL&L Mar 1, 01. ............ „.......................... Project Inspector Date d.dff�5� , Mar° 2Ct19 Project Manager Date . ... Mar5,2019 2019�...... .. �.._ , ...d CFA Manager Date dm.......om�� ars 2019 r� ..,... �._..., ....M. . .� __.�. _............._...... ........ r ._ Asst, City Manager Date Page 1 of 2 COT 1;,:' W, 13R11iil, T, Notice of Project Completion Project Name:West Pulaski Street Improvements City Project No.: 101669 City's Attachments Final Pay Estimate Change Order(s): ❑ Yes © N/A Contractor's Attachments Affidavit of Bills Paid Consent of Surety Statement of Contract Time Contract Time: 5 CD Days Charged: 67 Work Start Date: 12/11/2018 Work Complete Date: 2/15/2019 Page 2of2 City Project Numbers 101669 DOE Number 1669 Contract Name WEST PULASKI STREET PAVING IMPROVEMENTS Estimate Number I Contract Limits Payment Number 1 Project Type PAVING For Period Ending 2/15/2019 Project Funding Project Manager NA City Secretary Contract Number Inspectors CORDOVA / RUIZ,J Contract Date 8/31/2018 Contractor FORT WORTH CIVIL CONSTRUCTORS Contract Time 5 CD 1675-B SO.MAIN ST Days Charged to Date 67 CD KELLER, TX 76248 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 $48,865.00 Less %Retained $0.00 Net Earned $48,865.00 Earned This Period $48,865.00 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 $18,865.00 Friday,February 22,2019 Page 4 of 4 FoRTWORTH CITY OF FORT WORTH FINAL PAYMENT REQUEST Contract Name WEST PULASKI STREET PAVING IMPROVEMENTS Contract Limits Project Type PAVING City Project Numbers 101669 DOE Number 1669 Estimate Number I Payment Number I For Period Ending 2/15/2019 CD City Secretary Contract Number Contract Time ED Contract Date 8/31/2018 Days Charged to Date 67 Project Manager NA Contract is 100.00 Complete Conti-actor FORT WORTH CIVIL CONSTRUCTORS 1675-B SO.MAIN ST KELLER, TX 76248 Inspectors CORDOVA RUIZ,J Friday,February 22,2019 Page 1 of City Project Numbers 101669 DOE Number 1669 Contract Name WEST PULASKI STREET PAVING IMPROVEMENTS Estimate Number I Contract Limits Payment Number I Project Type PAVING For Period Ending 2/15/2019 Project Funding UNIT IV-PAVING IMPROVEMENTS Item Description of Items Estimated Unit Unit Cost Estimated Completed Completed No. Quanity Total Quanity Total I MOBILIZATION I LS $5,000.00 $5,000.00 1 $5,000.00 2 2"SURFACE MILLING 1350 SY $10.00 $13,500.00 1350 $13,500.00 3 2"ASPHALT PVMT TYPE D 1350 SY $20.00 $27,000.00 1350 $27,000.00 4 HMAC TRANSITION 1 TN $330.00 $330.00 1 $330.00 5 TRAFFIC CONTROL 1 MO $3,035.00 $3,035.00 1 $3,035.00 Sub-Total of Previous Unit $48,865.00 $48,865.00 ---------------------------------------- Friday,February 22,2019 Page 2 of 4 City Project Numbers 101669 DOE Number 1669 Contract Name REST PULASKI STREET PAVING IMPROVEMENTS Estimate Number I Contract Limits Payment Number I Project Type PAVING For Period Ending 2/15/2019 Project Funding Contract Information Summay Original Contract Amount $48,865.00 Chante Orders Total Contract Price $48,865.00 Total Cost of Work Completed $48,865.00 Less %Retained $0.00 Net Earned $48,865.00 Earned This Period $48,865.00 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 $48,865.00 Friday,February 22,2019 Page 3 of 4 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 Austin Alumbaugh, President Of Fort Worth Civil Constructors, LLC, 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; CCMC West Pulaski Street Mill&Overlay- City Project No. 101669 AiT' bT Alumbauah Subscribed and sworn before me on this date 18th of February,2019. JA NE Pilu 2 0 9 /No ary Public' (*T ant County Texas a CONSENT OF OWNER SURETY COMPANY ARCHITECT TO FINAL PAYMENT CONTRACTOR SURETY AIA DOCUMENT G707 OTHER Bond No. STTR004 PROJECT: West Pulaski Street,City Project No. 101669 (name,address) TO(Owner) City of Fort Worth & Cook Children's ARCHITECT'S PROJECT NO: Medical Center CONTRACT FOR: CONTRACT DATE: CONTRACTOR: Fort Worth Civil Constructors,LLC P.O.Box 164513 Fort Worth,TX 76161 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) Argonaut Insurance Company P.O.Box 469011 San Antonio,TX 78246 SURETY COMPANY, on bond of(here insert name and address of Contractor) Fort Worth Civil Constructors,LLC P.O.Box 164513 Fort Worth,TX 76161 CONTRACTOR, hereby approves of the final payment to the Contractors, and agrees that final payment to the Contractor shall not relieve the Surety Company of any of its obligations to City of Fort Worth& Cook Children's Medical Center as set forth in the said Surety Company's bond. OWNER, IN WITNESS WHEREOF, the Surety Company has hereunto set its hand this 22nd day of February 2Q19 Argonaut Insurance Company Surety Company ("A Sigi-4fure of Authorized Representative Attest: (Seal): Andrea Rose Crawford Attornev-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 AIA DOCUMENT 0707 CONSENT OF SURETY COMPANY TO FINAL PAYMENT APRIL 1970 EDITION AIA ONE PAGE 1970 THE AMERICAN INSTITUTE OF ARCHITECTS,1735 New York Ave.,NW,WASHINGTON,D.C. 20006 Argonaut Insurance Company AS-01334S9 Deliveries Only: 225 W. Washington, 24th Floor Chicago, IL 60606 United States Postal Service: P.O. Box 469011, San Antonio, TX 78246 POWER OF ATTORNEY KNOW ALL MEN BY THESE PRESENTS: That the Argonaut Insurance Company,a Corporation duly organized and existing under the laws of the State of Illinois and having its principal office in the County of Cook,Illinois does hereby nominate,constitute and appoint: Andrea Rose Crawford,Trov Russell Key,Debra I—ee,.Moon.Sammy JoeMullisJr,,John William Newbv,Sandra Lee Roncy,Linda Michelle Staider, Wilbert Raymond Watson.Christopher Carl Sundbcre Their true and lawful agent(s)and attorney(s)-in-fact,each in their separate capacity if more than one is named above,to make,execute,seal and deliver for and on its behalf as surety,and as its act and deed any and all bonds,contracts,agreements of indemnity and other undertakings in suretyship provided, however,that the penal sum of any one such instrument executed hereunder shall not exceed the sum of $50,000,000.00 This Power ofAttomey is granted and is signed and scaled under and by the authority of the following Resolution adopted by the Board of Directors of Argonaut Insurance Company: "RESOLVED,That the President,Senior Vice President,Vice President,Assistant Vice President,Secretary,Treasurer and each of thein hereby is authorized to execute powers of attorney,and such authority can be executed by use of facsimile signature,which may be attested or acknowledged by any officer or attorney,of the Company,qualifying the attorney or attorneys named in the given power of attorney,to execute in behalf of,and acknowledge as the act and deed of the Argonaut Insurance Company,all bond undertakings and contracts ofsurctyship,and to affix the corporate seal thereto." IN WITNESS WHEREOF,Argonaut Insurance Company has caused its official seal to be hereunto affixed and these presents to be signed by its duly authorized officer on the 8th day of May,2017. N. Argonaut Insurance Company ......... C),- 411 Z 0. O.SEAL*'-,: 1949 by: !4, 0, STATE OF TEXAS -1....... Joshua C.Betz Senior Vice President COUNTY OF HARRIS SS: On this 8th day of May,2017 A.D.,before me,a Notary Public of the State of Texas,in and for the County of Harris,duly commissioned and qualified, came THE ABOVE OFFICER OFTFIE COMPANY,to me personally known to be the individual and officer described in,and who executed the preceding instrument,and lie acknowledged the execution of same,and being by me duly sworn,deposed and said that lie is the officer of the said Company aforesaid,and that the seal affixed to the preceding instrument is the Corporate Seal of said Company,and the said Corporate Seal and his signature as officer were duly affixed and subscribed to the said instrument by the authority and direction of the said corporation,and that Resolution adopted by the Board of Directors of said Company,referred to in the preceding instrument is now in Force. IN TESTIMONY WHEREOF,I have hereunto set my hand,and affixed my Official Seal at the County of Harris,the day and year first above written. "0 (Notary Public) uAn`$T'1.�fll 1,the undersigned Officer ofthe Argonaut Insurance Company,Illinois Corporation,do hereby certify that the original POWER OF ATTORNEY of which the foregoing is a full,true and correct copy is still in full force and effect and has not been revoked, IN WITNESS WHEREOF,I have hereunto set my hand,and affixed the Seal ofsaid Company,on th 0- -n"Iday of�tL James Bluzard, Vice President-Surety THIS DOCUMENT IS NOT VALID UNLESS THE WORDS ARGO POWER OF ATTORNEY AND THE SERIAL NUMBER IN THE UPPER RIGHT HAND CORNER ARE IN BLUE,AND THE DOCUMENT IS ISSUED ON WATERMARKED PAPER.IF YOU HAVE QUESTIONS ON AUTHENTICITY OF THIS DOCUMENT CALL(210)321-8400.