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Contract 50114-FP1
City Secretary 50114 -FP1 Contract No. FORT WORTM, Date Received Jul 23,2019 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: SPEEDWAY CORNER City Project No.: 100737 Improvement Type(s): ❑ Paving ❑ Drainage ix] Street Lights ❑ Traffic Signals Original Contract Price: $30,945.00 Amount of Approved Change Order(s): Revised Contract Amount: $30,945.00 Total Cost of Work Complete: $30,945.00 Jul 15, 2019 Contractor Date President Title Bean Electrical,Inc Company Name till�hyl V. 77&e Jul 16, 2019 Michael V.Flute(Jul 16,2019) Project Inspector Date Khal Tdafai'l Jul 16, 2019 khal Jaafari Uu116 2019) P 'ect Manager Date ��A D e Scarlett Morales(Jut 16,2019)19) Jul 16, 2019 CFA Manager Date Dana Burghdoff(J 23,2019' Jul 23 2019 Asst. City Manager Date OFFICIAL RECORD CITIirfRfiFMRY FT. WORTH,TX Notice of Project Completion Project Name: SPEEDWAY CORNER City Project No.: 100737 City's Attachments Final Pay Estimate Change Orders): ❑ Yes © NIA Contractor's Attachments Affidavit of Bills Paid Consent of surety I Statement of Contract Time Contract Time: 60 CD Days Charged: 60 Work start Date: 2/26/2018 Work Complete Date: 6/27/2019 Page 2 of 2 FoRTWORTH CITY OF FORT WORTH FINAL PAYMENT REQUEST Contract Name SPEEDWAY CORNER Contract Limits Proj ect Type STREET L1014TS City Project Numbers 100737 DOE]dumber 7370 Estimate Number 1 Payment Number For Period Ending 11130/2018 CD City Secretary Contract Number Contract Time ME] Contract Date 9/14/2017 Days Charged to Date 60 Project Manager NA. Contract is 100,00 Complete Contractor BEAN ELECTRICAL,INC 821 E ENON FORT WORTH, TX 76140 Inspectors MILLER,W / FLUTE Monday,July 8,2019 Page I of 4 City Project Numbers 100737 DOE Number 7370 Contract Name SPEEDWAY CORNER Estimate Number I Contract Limits Payment Number I Project Type STREET LIGHTS For Period Ending 11/30M18 Project Funding UNIT III:STREET LIGHT R-APROVEMENfS Item Description of Items Estimated Unit [Unit Cost Estimated Completed Completed No. Quanity Total Quanity Total I RDWY 9-LUM TY 18 POLE 3 EA $2,555,00 $7,665.00 3 $7,665M 2 2"CONDT PVC SCH 80 OPEN CUT 455 LF $1100 $5,460.00 455 $5,460.00 3 2"CONDT PVC SCH 80 BORE 65 LF $18,00 $1,170.00 65 $1,170M 4 LIGHT POLE CELL CONTACT CLOSURE 1 EA $5,500,00 $5,500,00 1 $5,500.00 CIRCUIT PAD MNT 5 TRAFFIC CONTROL I MO $1,200.00 $1,200,00 1 $1,200.00 6 81C 14 AWG MULTI-CONDUCTOR CABLE 310 LF $5.00 $2,550M 510 $2,550M 7 GROUND BOX TYPE B W/APRON 2 EA $700.00 $1,400,00 2 $1,400.00 8 RDWY ILLUM FOUNDATION TY 3,5,6,AND 8 3 EA $2,000.00 $6,000.00 3 $6,000.00 - - --- ------------- - ---- ----- --- ---- ---- Sub-Total of Previous Unit $30,945.00 $30,945.00 - - --- ---- - ---------------------------- Monday,hily 8,2019 Page 2 of 4 City Project Numbers 100737 DOE Number 7370 Contract Name SPEEDWAY CORNER Estimate Number I Contract Limits Payment Number I Project Type STREET LIGHTS For Period Ending 1 113 0/20 1 8 Project Funding Contract Information Summary Original Contract Amount $30,945.00 Change Orders Total Contract Price $30,945.00 Total Cost of Work Completed $30,945,00 Less %Retained $0.00 Net Earned $30,945.00 Earned This Period $30,945.00 Retainage This Period $0.00 Less Liquidated Damages Days @ 1 Day $0.00 LessPavement Deficiency $0.00 Less Penalty $0.00 Less Previous Payment $0.00 Plus Material on Hand Less 15% %00 Balance Due This Payment $30,945.00 Monday,July 8,2019 Page 3 of City Project Numbers 100737 DOE]slumber 7370 Contract Name SPEEDWAY CORNER Estimate Number Contract Limits Payment Number I Project Type STREET LIGHTS For Period Ending 11/30/2018 Project Funding Project Manager NA City Secretary Contract Number Inspectors MILLER,W 1 FLUTE Contract Date 9/14/2017 Contractor BEAN ELECTRICAL,INC Contract Time 60 CD 821 E ENON Days Charged to Date 60 CD FORT WORTH, TX 76140 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 $30,945.00 Less %Retained KOO Net Earned $30,945.00 Earned This Period $30,945.00 Retainage This Period $0.00 Less Liquidated Damages 0 Days @ $0.00 1 pay $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 $30,945.00 Monday,July 8,2019 Page 4 of "t,A Nf ELE---,C 7RICAL, LNIC, 821 F.Edon Avet]tte P 817-561-7400 B I Fort 1Vor-th.Texas 76140 F 817-561-7403 �nnr.l]raurI�•rn irai.raur 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 Roy E. Bean II, President of Bean Electrical, 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; Speedway Corner _ BY Roy E. Bean I, President Subscribed and sworn before me on this date 15th of July,2019. ��-�F J ,°auY' Le''•. CHERYLE R, ESPft£F ,�: •�fi z C•jalary Kit]IIC.5r[]Ie 0 1C.Q., Notary ubli '-. ":►t�. `3 Cainvn.Exp re,s 62.21 2020 t Notary ID 1690225 Tarrant,Texas Bean Electrical, Inc. TECL17979 Regulated by The Texas Department of Licensing and Regulations,P.O.Box 12157,Austin,Texas 78711,1 800 803 9202,512 463 6599,website www.li ce n se.state.tx.us/con]of a i n t s CONSENT OF OWNER x SURETY COMPANY ARCHITECT ❑ TO FINAL PAYMENT CONTRACTOR ❑ AIA DOCUMENT G707 SURETY ❑ OTHER ❑ Bond# 4414227 PROJECT: Water and Sanitary Sewer Improvements to Serve Speedway Corner,Fort Worth (name, address) TO(Owner)LG SH1.14&11135 LLC ARCHITECT'S PROJECT NO: 2017-041 200 Texas CONTRACT FOR: Fort Worth,TX CONTRACT DATE: 76102 CONTRACTOR: Bean Electrical,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) SureTec Insurance Company 2103 CityWest Blvd.,Suite 1300 Houston,TX 77042 ,SURETY COMPANY, on bond of (here insert name and address of Contractor) Bean Electrical,Inc. 821 E Enon Fort Worth,TX 76140 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) LG SHI14&IH 35 LLC 200 Texas,Fort Worth,TX 76102 ,OWNER, as set forth in the said Surety Company's bond IN WITNESS WHEROF, The Surety Company has hereunto set its hand this 9th day of July, 2019. SureTec Insurance pany Surety Signature o Authorized Re esen tive Attest (seal): John Moss, Attome -in-Fact Title NOTE:This form is to be used as a companion document to AIA DOCUMENT G706,CONTRACTOR'S AFFIDAVIT OF PAYMENT OF DEBT AND CLAIMS, Current Edition AIA DOCUMENT G707*CONSENT OF SURETY COMPANY TO FINAL PAYMENT*APRIL 1970 EDITION*AIA 1970 THE AMERICAN INSTITUTE OF ARCHITECTS,1735 NEW YORK AVE.NW WASHINGTON,D.C.2006 WARNING: Unlicensed photocopying violates U.S.copyright laws and is subject to legal prosecution. P0A#:4221049 SureTec Insurance Company LIMITED POWER OF ATTORNEY Know AU Men by These Presents, That SURETEC INSURANCE COMPANY (the "Company"), a corporation duly organized and existing under the laws of the State of Texas, and having its principal office in Houston, Harris County, Texas, does by these presents make,constitute and appoint Tony Fierro,Jay Jordan,Johnny Moss, Steven W. Searcey, Robert J.Shuya, Mistie Beck, Jeremy Barnett, Robert G. Kanuth,Jade Porter,Jennifer Cisneros,Jarrett Willson,Jack Nottingham its true and lawful Attorney-in-fact, with full power and authority hereby conferred in its name,place and stead,to execute,acknowledge and deliver any and all bonds, recognizances, undertakings or other instruments or contracts of suretyship to include waivers to the conditions of contracts and consents of surety for,providing the bond penalty does not exceed Five Million and 00/100 Dollars($5,000,000.00) and to bind the Company thereby as fully and to the same extent as if such bond were signed by the CEO,sealed with the corporate seal of the Company and duly attested by its Secretary, hereby ratifying and confirming all that the said Attorney-in-Fact may do in the premises. Said appointment is made under and by authority of the following resolutions of the Board of Directors of the SureTec Insurance Company: Be it Resolved, that the President,any Vice-President,any Assistant Vice-President,any Secretary or any Assistant Secretary shall be and is hereby vested with full power and authority to appoint any one or more suitable persons as Attomey(s)-in-Fact to represent and act for and on behalf of the Company subject to the following provisions: Attorney-in-Fact may be given full power and authority for and in the name of and of behalf of the Company, to execute, acknowledge and deliver,any and all bonds,recognizances,contracts,agreements or indemnity and other conditional or obligatory undertakings and any and all notices and documents canceling or terminating the Company's liability thereunder, and any such instruments so executed by any such Attorney-in-Fact shall be binding upon the Company as if signed by the President and sealed and effected by the Corporate Secretary. Be it Resolved,that the signature of any authorized officer and seal of the Company heretofore or hereafter affixed to any power of attorney or any certificate relating thereto by facsimile,and any power of attorney or certificate bearing facsimile signature or facsimile seal shall be valid and binding upon the Company with respect to any bond or undertaking to which it is attached. (Adopted at a meeting held on 20`t'of April, 1999.) In Witness Whereof, SURETEC INSURANCE COMPANY has caused these presents to be signed by its CEO, and its corporate seal to be hereto affixed this 27th day of August A.D. 2018 . , Wl SURETEC CE PANY SVRANC a B w +L 1 a£ John K Jr.,C State of Texas ss: �••. � •, 1 County of Harris On this 27th day of August , A.D. 2018 before me personally came John Knox Jr.,to me known, who, being by me duly sworn,did depose and say, that he resides in Houston, Texas, that he is CEO of SURETEC INSURANCE COMPANY, the company described in and which executed the above instrument;that he knows the seal of said Company;that the seal affixed to said instrument is such corporate seal;that it was so affixed by order of the Board of Directors of said Company;and that he signed his name thereto by like order. Xe avez,Notary Public �1 t r, 12, commission expires September 1 ,2020 I,M.Brent Beaty,Assistant Secretary of SURETEC INSURANCE COMPANY,do hereby certify that the above and foregoing is a true and correct copy of a Power of Attorney,executed by said Company,which is still in full force and effect;and furthermore,the resolutions of the Board of Directors,set out in the Power of Attorney are in full force and effect. Given under my hand and the seal of said Company at Houston, Texas this day of^ -S, U� t't t� , A.D. 9 A.Br t eaty,Assi tant Secrets Any instrument issued in excess of the penalty stated above is totally void and without any validity. For verification of the authority of this power you may call(713)812-0800 any business day between 8:30 am and 6:00 prn CST. i