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Contract 48737-R1FP1
f: t FRTOWORTH,.7 CoRcTOYAim -Kirtl !� JUL 0-3 2019 1�:s TRANSPORTATION AND PUBLIC WORKS 5—ec 0 0,?~f 0043</ NOTICE OF PROJECT COMPLETION C 7E s City Project Ns: 100434 Regarding contract 48737-R1 for SANITARY SEWER EXTENSIONS REPLACEMENT &RELOCATION CONTRACT 2016 as required by the WATER DEPARTMENT as*approved by City Council on 01/24/2017 through M&C C-28089 the director of the WATER DEPARTMENT upon the recommendation of the Assistant Director of the Transportation&Public Works Department has accepted the project as complete. Original Contract Prices: $1,000,000.00 Amount of Approved Change Orders: Ns 1 Revised Contract Amount: $1,000,000.00 Total Cost Work Completed: $986,849.14 Less Deductions: Liquidated Damages: Days @$210.00i Day Pavement Deficiencies: Total Deduction Amount: $0.00 Total Cost Work Completed: $986,849.14 Less Previous Payments: $986,849.14 U ment Due $0.00 mended for A ceptance Qa 4W Director, TPW - Infrastructure Design and Construction ce I L Accepted Date Asst. Director, WATER DEPARTMENT 07 o% }Q Asst. City Manager Date Commenfs: RECEIVED - AUG -6 2019 OFFICIAL RECORD cnvoF�oRrwaRni CITY SECRETARY GI REfARY FT. WORTH,TX a Fp byy A W 0 :Qz o 5 v m c d �ga C) 4: o O B d y°GI e a ? o Y�Qn y o '„z ..W K Vl r ` R n ly,J O b CO v O. N A W N r.• �"� .A. 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Cj � n � y j N I� 3 v I i t �ro m SU O 03 ro -z b fOA + w li I � a a I o h I w I � Q A S i i Z m � t o �� CONSENT OF SURETY OAR TO FINAL PAYMENT ARCHITECT ALA Document G707 CONTRACTOR SURETY Bond No. TXC608535 OTHER El TO OWNER: ARCHITECT'S PROJECT NO.: City of Fort Worth City Project No. 100434 1000 Throckmorton Street Fort Worth,TX 76111 CONTRACT FOR: Utility Improvements CONTRACT DATED: PROJECT: (name, address) First Renewal-Sewer Main Extensions,Replacements& Relocations Contract 2016 in the City of Fort Worth,TX In accordance with the provisions of the Contract between the Owner and the Contractor as indicated above,the (Insert name and address of Surety) Merchants Bonding Company(Mutual) 2100 Fleur Drive Des Moines,IA 50321-1158 , SURETY on bond of (Insert name and address of Contractor) William J.Schultz,Inc.dba Circle C Construction Company P.O. Box 40328 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 of any of its obligations to (Insert name and address of Owner) City of Fort Worth 1000 Throckmorton Street Fort Worth,TX 76111 OWNER, as set forth in the said Surety's bond. IN WITNESS WHEREOF,the Surety has hereunto set its hand this date: May 21,2019 (Insert in writing the month followed by the numeric date and year.) Merchants Bon Com an (Mutual) (Surety) (Signa e of authorized re sentative) Attest: itness as to Surety: o0p Sheryl A.Mutts,Attorney-in-Fact (Seal): A�e� (Printed name and title) John A.Miller,Witness 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 G707•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 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 TERESA S SKELLY, PRESIDENT of CIRCLE C CONSTRUCTION, known to me to be a credible person, who being by me duly sworn, upon his oath deposed and said; That all person, 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 damage; On Contract described as; First Renewal—Sewer Main Extensions, Replacements, and Relocations Contract 2016 DOE 10434 BY r�1 Subscribed and sworn before me on this o25 Day of m , 2019. Lan Notary Public in Tarrant County, T MICHELE S.LA.NKFORD Notary Public `h< STATE OF TEXAS Notary ID#1175946-6 My Comm.Exp.October 7,2019 FORTWORTH rev 03/05/07 TRANSPORTATION & PUBLIC WORKS FINAL STATEMENT OF CONTRACT TIME FINAL STATEMENT NO.Five NAME OF PROJECT: Sanitary Sewer Extenstions Replacement,Replacement and Relocations Contract 2016 PROJECT NO.: 100434 CONTRACTOR: Circle C DOE NO. PERIOD FROM 05/20/18 TO: 05/20/19 FINAL INSPECTION DATE: n/a WORK ORDER EFFECTIVE CONTRACT TIME O wD O CD DAY OF DAYS REASON FOR DAYS DAY OF DAYS REASON FOR DAYS MONTH CHARGED CREDITED MONTH CHARGED CREDITED DURING DURING 1. 16. 2. 17. 3. 18. 4. 19. 5. 20. 6. 21. 7. 22. 8. 23. 9. 24. 10. 25. 11. 26. 12. 27. 13. 28. 14. 29. 15. 30. 31. SAT,SUN, RAIN,TOO WET, UTILITIES DAYS TOTAL &HOLIDAYS &TOO COLD RELOCATIONS OTHERS* CHARGED DAYS THIS PERIOD 365 PREVIOUS PERIOD TOTALS TO DATE 365 *REMARKS: CONTRACTOR DATE INSPECTOR DATE ENGINEERING DEPARTMENT t The City of Fort Worth• 1000 Throckmorton Street•Fort Worth,TX 76012-6311 (817) 392-7941 •Fax: (817) 392-7845 FORT WORTH TRANSPORTATION AND PUBLIC WORKS PIPE REPORT FOR: PROJECT NAME: Sewer Main Extentions,relocations and replacements 2016(1st Renewal) PROJECT NUMBER: 100434 DOE NUMBER: WATER PIPE LAID SIZE TYPE OF PIPE LF FIRE HYDRANTS: VALVES(16" OR LARGER) PIPE ABANDONED SIZE TYPE OF PIPE LF DENSITIES: NEW SERVICES: SEWER PIPE LAID SIZE TYPE OF PIPE LF Diamond 8" pvc 2,371 US Pipe 8" DI 168 PIPE ABANDONED SIZE TYPE OF PIPE LF 6" clay 960 8" clay 320 DENSITIES: NEW SERVICES: 23 4" pvc 5-6" pvc 4-8" pvc TRANSPORTATION AND PUBLIC WORKS The City of Fort Worth• 1000 Throckmorton Street•Fort Worth,TX 76012-6311 (817)392-7941 •Fax: (817)392-7845