HomeMy WebLinkAboutContract 49673-FP1 City Secretary 49673 -FP1
Contract No.
OCT 7
�p1 FORTWORTH(R) Date Received Oct 5,2018
�rSECREfARY ,,
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: LAKE VISTA RANCH PHASE 3
City Project No.: 101041
Improvement Type(s): Water N Sewer N
Original Contract Price: $419,078.20
Amount of Approved Change Order(s):
Revised Contract Amount:
Total Cost of Work Complete: $419,078.20
Ift TR8
Rob Taylor(J 20Jut 20,,2018
Contractor Date
Project Coordinator
Title
Gilco Contracting, Inc.
QFFIQU RECORD
Company Name MY SECRETARY
FT.WORTH,TX
E�r7ie bee W �f Jul 23 2018
Eddie Dee Walker II(Jul 23,2018)
Pro' ct I spec or Date
sono,PM(Oct5,2018) Oct 5,2018
Project an er Date
�7a�ire G� ttilo�a�er
Janie Scarlett Morales(Oct 5,2018) Oct 5,2018
CFA Manager Date
,SW,a-/v,4 a,zz,
Susan Alanis(Oct 5,2018) Oct 5,2018
Asst. City Manager Date
Page 1 of 2
Notice of Project Completion
Project Name: LAKE VISTA RANCH PHASE 3
City Project No.: 101041
City's Attachments
Final Pay Estimate 0
Change Order(s): ❑ Yes 0 N/A
Pipe Report: 0 Yes ❑ N/A
Contractor's Attachments
Affidavit of Bills Paid
Consent of Surety
Statement of Contract Time
Contract Time: 200 CD Days Charged: 261
Work Start Date: 11/1/2017 Work Complete Date: 7/19/2018
Page 2 of 2
FORT WORTH
CITY OF FORT WORTH
FINAL PAYMENT REQUEST
Contract Name LAKE VISTA RANCH PHASE 3
Contract Limits
Project Type WATER&SEWER
City Project Numbers 101041
DOE Number 1041
Estimate Number I Payment Number I For Period Ending 7/20/2018
CD
City Secretary Contract Number Contract Time 3(FD
Contract Date Days Charged to Date 261
Project Manager NA Contract is 100.00 Complete
Contractor GILCO CONTRACTING,INC.
6331 SOUTHWEST BLVD.
BENBROOK, TX 76132-1063
Inspectors DICKINSON / WALKER
Friday,July 20,2018 Page 1 of 4
City Project Numbers 101041 DOE Number 1041
Contract Name LAKE VISTA RANCH PHASE 3 Estimate Number I
Contract Limits Payment Number I
Project Type WATER&SEWER For Period Ending 7/20/2018
Project Funding
WATER
Item Description of Items Estimated Unit Unit Cost Estimated Completed Completed
No. Quanity Total Quanity Total
---------------------------------------
1 8"PVC WATER PIPE 3352 LF $22.50 $75,420.00 3352 $75,420.00
2 6"GATE VALVE 10 EA $1,310.00 $13,100.00 10 $13,100.00
3 FIRE HYDRANT W/6"GATE VALVE 7 EA $3,000.00 $21,000.00 7 $21,000.00
4 36"X 8"TAPPING SLEEVE&VALVE 1 EA $9,700.00 $9,700.00 1 $9,700.00
5 1"WATER SERVICE 104 EA $820.00 $85,280.00 104 $85,280.00
6 TRENCH SAFETY 3352 LF $0.10 $335.20 3352 $335.20
7 DUCTILE IRON WATER FITTINGS 2.75 TN $3,300.00 $9,075.00 2.75 $9,075.00
W/RESTRAINT
8 CONNECT TO EXISTING WATER MAIN(4"-12" 3 EA $800.00 $2,400.00 3 $2,400.00
WATER MAINS)
--------------------------------------
Sub-Total of Previous Unit $216,310.20 $216,310.20
SEWER
ItemDescription of Items Unit Unit Cost
Estimated Estimated Completed Completed
No. Quanity Total Quanity Total
---------------------------------------
1 8"SEWER PIPE 2644 LF $34.50 $91,218.00 2644 $91,218.00
2 8"SEWER PIPE CSS BACKFILL 55 LF $40.00 $2,200.00 55 $2,200.00
3 4"SEWER SERVICE 104 EA $620.00 $64,480.00 104 $64,480.00
4 4'MANHOLE 11 EA $2,600.00 $28,600.00 11 $28,600.00
5 TRAFFIC CONTROL 2 MO $800.00 $1,600.00 2 $1,600.00
6 CONCRETE ENCASE SEWER PIPE 50 LF $60.00 $3,000.00 50 $3,000.00
7 POST CCTV INSPECTION 2644 LF $1.50 $3,966.00 2644 $3,966.00
8 TRENCH SAFETY 2644 LF $1.00 $2,644.00 2644 $2,644.00
9 MANHOLE VACUUM TESTING l I EA $110.00 $1,210.00 11 $1,210.00
10 4'EXTRA DEPTH MANHOLE 5 VF $130.00 $650.00 5 $650.00
11 CONNECT TO EX MANHOLE 2 EA $1,300.00 $2,600.00 2 $2,600.00
12 CONNECT TO EX MAIN 1 EA $600.00 $600.00 1 $600.00
----------------------------------------
Sub-Total of Previous Unit $202,768.00 $202,768.00
--------------------------------------
Friday,July 20,2018 Page 2 of 4
City Project Numbers 101041 DOE Number 1041
Contract Name LAKE VISTA RANCH PHASE 3 Estimate Number I
Contract Limits Payment Number I
Project Type WATER&SEWER For Period Ending 7/20/2018
Project Funding
Contract Information Summary
Original Contract Amount $419,078.20
Change Orders
Total Contract Price $419,078.20
Total Cost of Work Completed $419,078.20
Less %Retained $0.00
Net Earned $419,078.20
Earned This Period $419,078.20
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 $419,078.20
Friday,July 20,2018 Page 3 of 4
City Project Numbers 101041 DOE Number 1041
Contract Name LAKE VISTA RANCH PHASE 3 Estimate Number I
Contract Limits Payment Number 1
Project Type WATER&SEWER For Period Ending 7/20/2018
Project Funding
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
Total Cost of Work Completed $419,078.20
Less %Retained $0.00
Net Earned $419,078.20
Earned This Period $419,078.20
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 $419,078.20
Friday,July 20,2018 Page 4 of 4
FORTWORTH
TRANSPORTATION AND PUBLIC WORKS
PIPE REPORT FOR:
PROJECT NAME: LAKE VISTA RANCH PHASE 3
PROJECT NUMBER: 101041
DOE NUMBER:
WATER
PIPE LAID SIZE TYPE OF PIPE LF
YES 8" PVC 3352
FIRE HYDRANTS: 7 VALVES(16" OR LARGER)
PIPE ABANDONED SIZE TYPE OF PIPE LF
DENSITIES: YES
NEW SERVICES: 1" PVC
SEWER
PIPE LAID SIZE TYPE OF PIPE LF
YES 8" PVC 2644
PIPE ABANDONED SIZE TYPE OF PIPE LF
DENSITIES: YES
NEW SERVICES: 4" PVC 104
TRANSPORTATION AND PUBLIC WORKS
v The City of Fort Worth•1000 Throckmorton Street•Fort Worth,TX 76012-6311
(817)392-7941 •Fax:(817)392-7845
..........
...........7:71.
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
yv7Inspector
GILCO 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 761.1.6
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
1 Final Paperwork&Consent of Surety
REMARKS:
COPIES TO: (with enclosures)
( ) BY: Rob Taylor
6331 Southwest Blvd. /Benbrook, Texas 76132
8171735-1600 ext. 316 Fax 8171735-1613
rob@gilcocontracting.com
�Mutual.Liberty Interchange Corporate Center
✓✓✓ 450 Plymouth Road, Suite 400
Plymouth Meeting, PA 19462-1644
SURETY Ph. (614)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 Contraciing,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,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.
M WITNESS WHEREOF,the Surety has hereunto set its hand and seal this 21st day of June
20 1 B
LIBERTY MUTUAL INSURANCE COMPANY
(5u ret
L
By: ) (Seal)
V.DeLene Marsha I,Attorney-In aGt
LMIC-3100 Rev.03104
THIS POWER OF ATTORNEY IS NOT VALID UNLESS IT IS PRINTED ON RI=D 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 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"Cornpanies'),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 surety obligations,in pursuance of these presents and shall
be as binding upon the Companies as if they have been duty 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 24th day of January 2018 jr
t4
itis s€;sUrr ,�Nsteh, �
"�''Y=`+zv��4 `Y�'�,s�'r>Fq��'1'� ��1,."-,�,�•Y. The Ohio Casualty Insurance Company to
1ti r•�. �: :\w,. .� N
W G Liberty Mutual Insurance Company
91J r 1f112 F 1991 3
WestAmerican Insurance Company
13y: ---..—.._.-
C STATE OF PENNSYLVANIA ss David M.Carey,Assistant Secretary C
+_ 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 u
U W 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 ACi)
p.2 therein contained by signing on behalf of the corporations by himself as a duly authorized officer. Lu
� C �
C> > IN WITNESS WHEREOF,I have hereunto subscribed my name and affixed my notarial seal at King of Prussia,Pennsylvania,en tho day and year first above written. O CL
r P PAS COMMONWEALTH OF PENNSYLVANIA_
.� p�Q orirrs4 tF(f -- notarial Sea..W-_ - /j (1 pC� a d
,N +- z r Teresa Pasteila.Notary Public �y �" ' O
O y AF Upper MerionTwp..Montgomery County Teresa Pastella,Notary Public y
L y My Commission Expires March 28.2021 ?� to
C !yy—yL�iA �G
� 4) �AFr1'Qug\. �Ivlerr�4Co.Pennsylvania Association e#Notaries IL M
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 •W a
Insurance Company,and West American Insurance Company which resolutions are now in full force and effect reading as follows: 5
41
LAW ,ma)
ra L ARTICLE W-OFFICERS-Section 12,Power ofAtlorney.Any officer or other official of the Corporation authorized for that purpose in writing by the Chairman or the President,and subject O r-
4,4,
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, y
G,� 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 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 m
Op 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 attomey-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.
M C ARTICLE X1111–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, E 0?
> and subject to such limitations as the chairman or the president may prescribe,shall appoint such attorneys-in-fact,as maybe necessary to act in behalf of the Company to make,execute, L M
O seal,acknowledge and deliver as surety any and all undertakings,bands,recognizances and other surety obligations, Such attorneys-in-fact subject to the limitations set forth in their 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. Wherr so 0 o
executed such instruments shall be as binding as if signed by the president and attested by the secretary. Q m
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 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 €s 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
TESTIMONY WHEREOF,I have hereunto set my hand and affixed the seals of said Companies Ihisday of ( _J__: ,20'.
�P'Ls nfc rt.�'#'4 .ap'uFv,S y�F�b ����INSUF�
47
x-
5;9 s 1912 r 1991 sy=
- 3 } Renee C.Llew ssistant Secretary
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 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 Rblic
Tarrant County, TX
",•,, MARY PANNELL
3 ,•' -Notary Public,Slate of texas
Comm. Expires 10-19-2018
Notary IQ 5144239
i
XdLelzbdt
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.
Benbrooh Texas 76132
Office: 817.735.1600
Fax: 817.735.1613
GILCO 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 761.1.6
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
1 Final Paperwork&Consent of Surety
REMARKS:
COPIES TO: (with enclosures)
( ) BY: Rob Taylor
6331 Southwest Blvd. /Benbrook, Texas 76132
8171735-1600 ext. 316 Fax 8171735-1613
rob@gilcocontracting.com
�Mutual.Liberty Interchange Corporate Center
✓✓✓ 450 Plymouth Road, Suite 400
Plymouth Meeting, PA 19462-1644
SURETY Ph. (614)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 Contraciing,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,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.
M WITNESS WHEREOF,the Surety has hereunto set its hand and seal this 21st day of June
20 1 B
LIBERTY MUTUAL INSURANCE COMPANY
(5u ret
L
By: ) (Seal)
V.DeLene Marsha I,Attorney-In aGt
LMIC-3100 Rev.03104
THIS POWER OF ATTORNEY IS NOT VALID UNLESS IT IS PRINTED ON RI=D 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 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"Cornpanies'),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 surety obligations,in pursuance of these presents and shall
be as binding upon the Companies as if they have been duty 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 24th day of January 2018 jr
t4
itis s€;sUrr ,�Nsteh, �
"�''Y=`+zv��4 `Y�'�,s�'r>Fq��'1'� ��1,."-,�,�•Y. The Ohio Casualty Insurance Company to
1ti r•�. �: :\w,. .� N
W G Liberty Mutual Insurance Company
91J r 1f112 F 1991 3
WestAmerican Insurance Company
13y: ---..—.._.-
C STATE OF PENNSYLVANIA ss David M.Carey,Assistant Secretary C
+_ 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 u
U W 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 ACi)
p.2 therein contained by signing on behalf of the corporations by himself as a duly authorized officer. Lu
� C �
C> > IN WITNESS WHEREOF,I have hereunto subscribed my name and affixed my notarial seal at King of Prussia,Pennsylvania,en tho day and year first above written. O CL
r P PAS COMMONWEALTH OF PENNSYLVANIA_
.� p�Q orirrs4 tF(f -- notarial Sea..W-_ - /j (1 pC� a d
,N +- z r Teresa Pasteila.Notary Public �y �" ' O
O y AF Upper MerionTwp..Montgomery County Teresa Pastella,Notary Public y
L y My Commission Expires March 28.2021 ?� to
C !yy—yL�iA �G
� 4) �AFr1'Qug\. �Ivlerr�4Co.Pennsylvania Association e#Notaries IL M
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 •W a
Insurance Company,and West American Insurance Company which resolutions are now in full force and effect reading as follows: 5
41
LAW ,ma)
ra L ARTICLE W-OFFICERS-Section 12,Power ofAtlorney.Any officer or other official of the Corporation authorized for that purpose in writing by the Chairman or the President,and subject O r-
4,4,
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, y
G,� 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 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 m
Op 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 attomey-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.
M C ARTICLE X1111–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, E 0?
> and subject to such limitations as the chairman or the president may prescribe,shall appoint such attorneys-in-fact,as maybe necessary to act in behalf of the Company to make,execute, L M
O seal,acknowledge and deliver as surety any and all undertakings,bands,recognizances and other surety obligations, Such attorneys-in-fact subject to the limitations set forth in their 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. Wherr so 0 o
executed such instruments shall be as binding as if signed by the president and attested by the secretary. Q m
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 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 €s 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
TESTIMONY WHEREOF,I have hereunto set my hand and affixed the seals of said Companies Ihisday of ( _J__: ,20'.
�P'Ls nfc rt.�'#'4 .ap'uFv,S y�F�b ����INSUF�
47
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- 3 } Renee C.Llew ssistant Secretary
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 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 Rblic
Tarrant County, TX
",•,, MARY PANNELL
3 ,•' -Notary Public,Slate of texas
Comm. Expires 10-19-2018
Notary IQ 5144239
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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.
Benbrooh Texas 76132
Office: 817.735.1600
Fax: 817.735.1613