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Contract 47939-FP2
City Secretary 47939 — Q Contract No. RECE��� FORTWORTH. Date Received May 13,2019 �py202019 * NOTICE OF PROJECT COMPLETION �l (Developer Projects) The Transportation and Public Works Department upon the recommendation of the Project Manager has accepted the following project as complete: Project Name: MARQUIS TRANSPORTATION ADDITION City Project No.: 100263 Improvement Type(s): Water ® Sewer Original Contract Price: $164,269.44 Amount of Approved Change Order(s): Revised Contract Amount: Total Cost of Work Complete: $164,269.44 Luis Leal( plug 8,2018 Contractor Date Valistra Group LLC Title CEO Company Name Ad "y ek"r&, Aug 8 201s AdiliaCazorla(Aug 8,2018) Project Inspector Date N,oith_Silt r na Wayy.8.2019) May 8, 2019 Project Manager Date e Scarlett Morales(May 9,20191 May 9, 2 019 CFA Manager Date df"A ?� � rin Susan u May Asst. City Manager Date Page 1 of 2 Notice of Project Completion Project Name: MARQUIS TRANSPORTATION ADDITION City Project No.: 100263 City's Attachments Final Pay Estimate Change Orders): ❑ Yes M NIA Pipe Report: 0 Yes ❑ NIA Contractor's Attachments Affidavit of Bills Paid Consent of Surety Statement of Contract Time Contract Time: 45 CD Days Charged: 688 Work Start ❑ate: 9/7/2016 Work Complete Date: 7/26/2018 Page 2 of 2 FoRT WORT FI CITY OF FORT WORTH FINAL PAYMENT REQUEST Contract Name MARQUIS TRANSPORTATION ADDITION Contract Limits Project Type WATER&SEWER City Project Numbers 100263 DOE Number 0263 Estimate Number I Payment Number 1 For Period Ending 7/26/2018 CO City Secretary Contract Number Contract Time 4ED Contract Date Days Charged to Date 688 Project Manager NA Contract is 100.00 Complete Contractor VALISTRA GROUP LLC 2501 BLUE MOUND ROAD W HASLF-T, TX 76052 Inspectors DICKINSON / CAZORLA Tuesday,July 31,2019 Page 1 of 4 City Project Numbers 100263 DOE Number 0263 Contract Name MARQUIS TRANSPORTATION ADDITION Estimate Number I Contract Limits Payment Number I Project Type WATER&SEWER For Period Ending 7/26M18 Project Funding WATER Item Description of Items Estimated Unit Unit Cost Estimated Completed Completed No. Quanity Total Quanity Total 1 20"CASING BY-OPEN CUT u 100 LF $125.00 $12,500.00 100 $12,500.00 2 DUCTILE IRON WATER FITTINGS 1 TN $7,900,00 $7,900.00 1 $7,900.00 WIRESTRAINT 3 12"WATER LINE 2652 LF $32.47 $86,110.44 2652 $86,110.44 4 12"WATER PIPE,CSS BACKFILL 20 LF $95.00 $1,900.00 20 $1,900.00 5 CONNECTION TO EXISTING 4"-12"WATER 1 EA $705,00 $705,00 1 $705.00 MAIN 6 2"WATER SERVICE&METER 2 EA $2,311.00 $4,742.00 2 $4,742.00 7 1.5"WATER SERVICE&METER I EA $2,250,00 $2,250.00 1 $2,250.00 8 8"GATE VALVE 2 EA $2,000.00 $4,000.00 2 $4,000,00 9 12"GATE VALVE 0 EA $2,495,00 $14,970.00 6 $14,970.00 10 AUTOMATIC FLUSH 1 EA $1,755.00 $1,755.00 1 $1,755.00 ---- ------------------- Sub-Total of Previous Unit $136,832.44 $136,832.44 SEWER Item Description of Items Estimated Unit Unit Cost Estimated Completed Completed No, Quanity Total Quanity Total l ^ ^ ^ f 8"SEWER PIPE 618 LF $37.50 $73,175.00 618 $23,175.00 2 POST CCTV INSTECfION 354 LF $L00 $354.00 354 $354.00 3 MANHOLF VACUUM TESTING 1 EA $165.00 $165.00 1 $165,00 4 TRENCH SAFETY 354 LF $1.00 $354.00 354 $354.00 5 4'MANHOLE l EA $3,389.00 $3,389.00 1 $3,389.00 Sub-Total of Previous Unit $27,437.00 $27,437.00 Tuesday,July 31,2018 Page 2 of 4 City Project Numbers 100263 DOE Number 0263 Contract Name MARQUIS T1tANSPORTATION ADDITION Estimate Number I Contract Limits Payment Number I Project Type WATER&SEWER For Period Ending 7/2 612 0 1 8 Project Funding Contract Information Summary Original Contract Amount $I64,269.44 Cbmige Orders Total Contract Price $164,269.44 Total Cost of Work Completed $164,269.44 Less %Retained $0.00 Net Earned $164,269.44 Earned This Period $164,269.44 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% $0.00 Balance Due This Payment $164,269,44 Tuesday,July 31,2018 Page 3 of 4 City Project Numbers 100263 DOE Number 0263 Contract Name MARQUIS TRANSPORTATION ADDITION Estimate Number I Contract Limits Payment Number I Project Type WATER&SEWER Far Period Ending 7/26/2018 Project Funding Project Manager NA City Secretary Contract Number Inspectors DICKINSON / CAZORLA Contract Date Contractor VALISTRA GROUP LLC Contract Time 45 CD 2501 BLUE MOUND ROAD W Days Charged to Date 688 CD HASLET, TX 76052 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 $164,269.44 Less %Retained $0.00 Net Earned $164,269.44 Earned This Period $164,269.44 Retainage This Period $0.00 Less Liquidated Damages 0 Days @ $0.00 1 Day $0.00 LessPavement Deficiency $0.00 Less Penalty $0.00 Less Previous Payment $0.00 Plus Material on Hand Less 15% $Q.00 Balance Due This Payment $164,269.44 Tuesday,July 31,2018 Page 4 of FORTWORTH TRANSPORTATION AND PUBLIC WORKS PIPE REPORT FOR: PROJECT NAME: Marquis Transportation PROTECT NUMBER: 100263 DOE NUMBER: WATER PIPE LAID SIZE TYPE OF PIPE LF 12" PVC 2652 FIRE HYDRANTS: VALVES(16" OR LARGER) PIPE ABANDONED SIZE TYPE OF PIPE LF DENSITIES: NEW SERVICES: SEWER PIPE LAID SIZE TYPE OF PIPE LF 8" PVC 717 PIPE ABANDONED SIZE TYPE OF PIPE LF DENSITIES: NEW SERVICES: TRr1NSPORTATION AND PUBLIC WORDS The City of Fort Worth• 1000 Throckmorton Street•Fort Worth,TX 76012-6311 a (817)392-7941 •Fax:(817)392-7845 AFFIDAVIT STATE OF � ' 5 COUNTY OF 7-F�22A,T Before me, the undersigned authority, a notary public in the state and county aforesaid, on this day personally appeared Name, Title Of Company. 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; Contract Description r 3Y JName or Title Subscribed and sworn before me on this date Day of Month, Year. My Notary ID#126926552 Expires Jun©12,2021 otary Public k County, State co/y7n , SS/ o n L'f,e � , P 0 CONSENT OF SURETY COMPANY TO FINAL PAYMENT Bond #5917-7650 Project: Marquis Transportation Addition To (Owner): City of Ft Worth,TX and MKS Real Estate, LLC 200 Texas Street Contract For: See Above Ft Worth,TX 76102 Contract Date: July 15,2016 Contractor: Valistra Group, LLC In accordance with the provision of the Contract between the Owner and the Contractor as defined above,the Washington International Insurance Company 5200 Metcalf OPN 111 Overland Park,KS 66202 ,Surety Company, on bond of Valistra Group,LLC 9100 US Highway 287 Ft Worth,TX 76177 ,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 the City of Ft Worth,TX and MKS Real Estate,LLC 200 Texas Street Ft Worth,TX 76102 ,Owner as set forth in the said Surety Company's bond. IN WITNESS WHEREOF, the Surety Company has hereunto set its hand this 1st day of August,2018. Washington International Insurance Company Surety Company W itr s: Tracy Tucker, ttorney-in-Fact SWISS RE CORPORATE SOLUTIONS NORTH AMERICAN SPECIALTY INSURANCE COMPANY WASHINGTON INTERNATIONAL INSURANCE COMPANY WESTPORT INSURANCE CORPORATION GENERAL POWER OF ATTORNEY KNOW ALL MEN BY THESE PRESENTS,THAT North American Specialty Insurance Company,a corporation duly organized and existing under laws of the State of New Hampshire,and having its principal office in the City of Overland Park,Kansas and Washington International Insurance Company a corporation organized and existing under the laws of the State of New Hampshire and having its principal office in the City of Overland Park,Kansas,and Westport Insurance Corporation,organized under the laws of the State of Missouri,and having its principal office in the City of Overland Park,Kansas each does hereby make,constitute and appoint: W.LAWRENCE BROWN,TRACY TUCKER,KEVIN I.DUNN, STEVEN TUCKER,AND ROBERTA H. ERB JOINTLY OR SEVERALLY Its true and lawful Attorneys)-in-Fact,to make,execute,sea]and deliver,for and on its behalf and as its act and deed,bonds or other writings obligatory in the nature of a bond on behalf of each of said Companies,as surety,on contracts of suretyship as are or may be required or permitted by law,regulation,contract or otherwise,provided that no bond or undertaking or contract or suretyship executed under this authority shall exeeed the amount of: ONE HUNDRED TWENTY FIVE MILLION($125,000,000.00)DOLLARS This Power of Attorney is granted and is signed by facsimile under and by the authority of the following Resolutions adopted by the Boards of Directors of North American Specialty Insurance Company and Washington International Insurance Company at meetings duly called and held on March 24,2000 and Westport Insurance Corporation by written consent of its Executive Committee dated July 18,2011. "RESOLVED,that any two of the President,any Senior Vice President,any Vice President,any Assistant Vice President, the Secretary or any Assistant Secretary be,and each or any of them hereby is authorized to execute a Power of Attorney qualifying the attorney named in the given Power of Attorney to execute on behalf of the Company bonds,undertakings and al]contracts of surety,and that each or any of them hereby is authorized to attest to the execution of any such Power of Attorney and to attach therein the seal of the Company; and it is FURTHER RESOLVED,that the signature of such officers and the seal of the Company may be affixed to any such Power of Attorney or to any certificate relating thereto by facsimile,and any such Power of Attorney or certificate bearing such facsimile signatures or facsimile seal shall be binding upon the Company when so affixed and in the future with regard to any bond,undertaking or contract of surety to which it is attached." `4lVa,G 11 I G tON,44 Y Ly 4E Gr mod..,Y B bir.G�� t:tP err•; yalcz- • gyp., • SEAL t�. Sfeyeu n croon, mor ice real en oWashington n rrna ono arurance Company fi a 0�3 EA &Senior Vice Presldeni of Nnnh Amertcan Specialty Insurance Company sty SEAL rn_ r,t y ern &Senior Vice Presi dent of Weatporl lnsuranre Corporation ,�r��4y&Ol1r eISt<�\ Mike A.Ito,Senior Vice Prrsident of Washiretton Interneti onat Insurance Company IIIlullllill411j11 dr.Senior Vice President of North American Specialty Inau ranee Company &Senior Vice President of Wesipprt Insurance Corporation IN WITNESS WHEREOF,North American Specialty Insurance Company,Washington International Insurance Company and Westport Insurance Corporation have caused their official seals to be hereunto affixed,and these presents to be signed by their authorized officers this this I day of March 20 19 North American Specialty Insurance Company Washington International Insurance Company State of Illinois Westport Insurance Corporation County of Cook ss' On this 1 day of March 2018 before me,a Notary Public personally appeared Steven P.Anderson ,Senior Vice President of Washington International Insurance Company and Senior Vice President of North American Specialty Insurance Company and Senior Vice President of Westport Insurance Corporation and Michael A.Ito Senior Vice President of Washington International Insurance Company and Senior Vice President of North American Specialty Insurance Company and Senior Vice President of Westport Insurance Corporation,personally known to me,who being by me duly sworn,acknowledged that they signed the above Power of Attorney as officers of and acknowledged said instrument to be the voluntary act and deed of their respective companies. OFF1CtAL SEAL Htxary Putt c,state of Wlnols c°, M.Kenny,Notary Public I, Jeffrey Goldbergthe duly elected Vice President and Assistant Secretary of North American Specialty Insurance Company,Washington International Insurance Company and Westport Insurance Corporation do hereby certify that the above and foregoing is a true and correct copy of a Power of Attorney given by said North American Specialty Insurance Company,Washington International Insurance Company and Westport Insurance Corporation which is still in full force and effect. IN WITNESS WHEREOF,I have set my hand and affixed the seals of the Companies this 1st day of _August 20 18 Jeffrey Gnitlberg,Vice President&Assistant Secretary of Washington Intemadonal insurance Company& North Amcriran Specialty Insurance Company&Vice President&Assistant Souttary of Westport lncurance Corporation