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Contract 48737-FP1
FORT WORTH. - RC N Y 002-100�13 i JUL 2 3 2019 TRANSPORTATION AND PUBLIC WORKS NOTICE OF PROJECT COMPLETION 0 -JJ4 F'13 7 City Project Ns: 100434 Regarding contract 48737 for SANITARY SEWER EXTENSIONS,REPLACEMENT&RELOCATIONS CONTRACT 2016 as required by the WATER DEPARTMENT as approved by City Council on N/A through M&C N/A 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: $2,972,152.82 Amount of Approved Change Orders: Ne 1 Revised Contract Amount: $2,972,152.82 Total Cost Work Completed: S997,35430 Less Deductions: Liquidated Damages: Days @$2E0.00'Day Pavement Deficiencies: Total Deduction Amount: $0.00 Total Cost Work Completed: $997,35430 Less Previous Payments: $997,35430 Final Payment Due $0.000 0WAL4*4 7/ Z z! '(g commended for Acceptance Date T Asst. Director, TPW - Infrastructure Design and Construction C--e 14 —9'/-n—/1 Accepted Date Asst. Director, WATER DEPARTMENT I/n H511q Asst. City Manager Date Comments: OFFICIAL RECORD ;Y CITY SECRETARY RECENED FT WORTH,TX AUG 16 2019 M OF FORT WORTH I O o o•co o •Ei ,. .••1 ` , E"�. � 5 5'Q p� E° A � A oo J p� to a N O�3• m o :s-¢' ��o�� ob o AO� a y •C In `� � c� l � (' t•� `t�'o n O `C l l s n`£oQ'nd5 Er m Of � m •% W C "'1 N- � M. CD d '•r O v OIO c 5 0 7 O C W c c 6 c G rn O CD > V ��> 5 y cw �gm f� C, C o CL nn 'v f a. �•o �.F � `� Zo ' `. ti n o-w \`i \1� ro ram„ o•oro, °-a m n^ �G A raj o. g= �+1 �V � cc ,� omm a T o am � ^ram ^Ba.:2 n Z o cn O G '--7 V � y tt7 00 .. •v o v J C V C m � b 00 J O U A W N I•• M � O W a0M. c� j CL ° -- d -71 :G z r ° ; t� b c� y y p ,C7 ro p ? U m 9 w ,moo n O { � o rn M Z ..o -ad zz O o• k �C 4 aL lam_ a y y `. .D r.j o rn ° os rTl C^ Z z o o d _ Ln C r V x F» C �• 7 Y r c• °m u x � c a trl . WtA cc, M " � a � m m OTC d y 0 G ••y.. ? 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CDo' ml 0 ,C N 1 n "U t O_ o• da cc 0 a pp J O Ei J r I � co cc cc i tr 1 1 I y �9 IV ! � � I I�•N 3 )�+ Uj Z a c o /�1 0ri- y w I 1 � �r •a Cy/1 N N a 3 I i r.. � b• �. y cr ry 0 A J � 60 00 i I I z N Gn b ii FORTWORTH. TRANSPORTATION AND PUBLIC WORKS STATEMENT OF CONTRACT TIME STATEMENT# FINAL STATEMENT# 1 CPN 1 100434 NAME OF PROJECT: Sanitary Sewer Extentions,Replacements and Relocations Contract Contractor Circle C YEAR:1 2019 2016 PROJECT NO.: FINAL INSPECTION DATE 12/31/2017 100434 WD CD CONTRACT TIME 360 1 1 X PERIOD FROM: 7/1/2019 TO: 1 7/15/2019 BEG - Month I IDEVELOPMEN'll (N N WORK ORDER EFFECTIVE: 3/17/2017 BEG /n Y I MID +? '; 60.3% DAY OF MONTH DAYS REASON FOR DAY OF MONTH DAYS REASON FOR CHARGED DAYS CREDITED CHARGED DAYS CREDITED 1 Mon 0 OTH 16 2 Tue 0 OTH 17 3 Wed 0 OTH 18 4 Thu 0 OTH 19 5 Fri 0 OTH 20 6 Sat 0 OTH 21 7 Sun 0 OTH 22 8 Mon 0 OTH 23 9 Tue 0 OTH 24 10 Wed 0 OTH 25 11 Thu 0 OTH 26 12 Fri 0 OTH 27 13 Sat 0 OTH 28 14 Sun 0 OTH 29 15 Mon 0 OTH 30 31 NA Wkn&Hol Wea Utl Oth Not Applicable SAT,SUN,and WEATHER UTILITIES OTHERS DAYS TOTAL DAYS HOLIDAYS RELOCATE CHARGED THIS PERIOD 0 0 0 0 0 PREVIOUS PERIOD 0 217 217 TOTAL TO DATE 0 0 0 0 217 217 REMARKS, Signature: oc� Signature: (Print Name) so�� Shawn Fargo CONTRACTOR DATE - .S INSPECTOR DATE 7/12/2019 CONSENT OF SURETY OWNER TO FINAL PAYMENT ARCHITECT ❑ AIA Document G707 CONTRACTOR ❑ SURETY ❑ OTHER ❑ Bond No.TXC608525 TO OWNER: ARCHITECT'S PROJECT NO.: City Project No.100434-Original Contract City of Fort Worth 1000 Throckmorton Street Fort Worth,TX 76111 CONTRACT FOR: Utility Improvements CONTRACT DATED: PROJECT: (name, address) 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: July 11,2019 (Insert in writing the month followed by the numeric date and year.) Merchants Bonding Company(Mutual) (Surety (Signature of auth iced representative) Witness as to Sure Sheryl A.HIutts,Attorney-in-Fact (Se (Printed name and title) JoA 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 MERCHANT BONDING COMPANY- POWER OF ATTORNEY Know All Persons By These Presents,that MERCHANTS BONDING COMPANY(MUTUAL)and MERCHANTS NATIONAL BONDING,INC., both being corporations of the State of Iowa(herein collectively called the"Companies")do hereby make,constitute and appoint,individually, John A Miller;John R Stockton;Sheryl A Klutts their true and lawful Attorneys)-in-Fact, to sign its name as surety(ies) and to execute, seal and acknowledge any and all bonds, undertakings, contracts and other written instruments in the nature thereof, on behalf of the Companies in their business of guaranteeing the fidelity of persons, guaranteeing the performance of contracts and executing or guaranteeing bonds and undertakings required or permitted in any actions or proceedings allowed by law. This Power-of-Attorney is granted and is signed and sealed by facsimile under and by authority of the following By-Laws adopted by the Board of Directors of Merchants Bonding Company (Mutual) on April 23, 2011 and amended August 14, 2015 and adopted by the Board of Directors of Merchants National Bonding,Inc.,on October 16,2015. "The President, Secretary, Treasurer, or any Assistant Treasurer or any Assistant Secretary or any Vice President shall have power and authority to appoint Attorneys-in-Fact, and to authorize them to execute on behalf of the Company, and attach the seal of the Company thereto, bonds and undertakings,recognizances,contracts of indemnity and other writings obligatory in the nature thereof." "The signature of any authorized officer and the seal of the Company may be affixed by facsimile or electronic transmission to any Power of Attorney or Certification thereof authorizing the execution and delivery of any bond, undertaking, recognizance, or other suretyship obligations of the Company,and such signature and seal when so used shall have the same force and effect as though manually fixed." In connection with obligations in favor of the Florida Department of Transportation only,it is agreed that the power and aut hority hereby given to the Attorney-in-Fact includes any and all consents for the release of retained percentages and/or final estimates on engineering and construction contracts required by the State of Florida Department of Transportation. It is fully understood that consenting to the State of Florida Department of Transportation making payment of the final estimate to the Contractor and/or its assignee, shall not relieve this surety company of any of its obligations under its bond. In connection with obligations in favor of the Kentucky Department of Highways only,it is agreed that the power and authority hereby given to the Attorney-in-Fact cannot be modified or revoked unless prior written personal notice of such intent has been given to the Commissioner- Department of Highways of the Commonwealth of Kentucky at least thirty(30)days prior to the modification or revocation. In Witness Whereof,the Companies have caused this instrument to be signed and sealed this 6th day of April 2017 �10N4 ••'�P LP OR<6'o':, O?�`1lPO .!flog•. MERCHANTS BONDING COMPANY(MUTUAL) E.y�'GO 9�''�2• VO 99,i.� MERCHANTS NATIONAL BONDING,INC. -per •y;= v 2003 1933 c By / •.� ' '•'J.. W L•. President STATE OF IOWA ••�•"'■■■'•••��• •••••••' COUNTY OF DALLAS ss. On this this 6th day of April 2017 before me appeared Larry Taylor, to me personally known,who being by me duly sworn did say that he is President of MERCHANTS BONDING COMPANY (MUTUAL) and MERCHANTS NATIONAL BONDING, INC.; and that the seals affixed to the foregoing instrument are the Corporate Seals of the Companies;and that the said instrument was signed and sealed in behalf of the Companies by authority of their respective Boards of Directors. 1-0 ALICIA K.GRAMCommission Number 767430 . My Commission Expires �[ April 1,2020 ``- Notary Public (Expiration of notary's commission does not invalidate this instrument) I,William Warner,Jr.,Secretary of MERCHANTS BONDING COMPANY(MUTUAL)and MERCHANTS NATIONAL BONDING,INC.,do hereby certify that the above and foregoing is a true and correct copy of the POWER-OF-ATTORNEY executed by said Companies,which is still in full force and effect and has not been amended or revoked. In Witness Whereof,I have hereunto set my hand and affixed the seal of the Companies on this 11th day of July , 2019 . 2 2 -o- C G_•: :r".;'2 _o_ R'''� ; /",!i" s'?.a�►t� s%Y.� • � . _ y 1933 c• Secretary v: 2003 POA 0018 (3/17) "......,.• -Y 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; Sanitary Sewer Extensions, Replacements and Relocations Contract 2016 Original Contract Project Number 100434 Mi'HELE S.LANKFORD BY ./ *; * Notary Publici00 % STATE OF TEXAS w9TF oc t�Py``, My Cotar Exp 11 October75946 6 019 Subscribed and sworn before me on this ( ++1 Day of , 2019. Notary Public in Tarrant County, T FORT WORTH TRANSPORTATION AND PUBLIC WORKS PIPE REPORT FOR: PROJECT NAME: Sewer Main Extentions,relocations and replacements 2016(original contract) 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 3,068 US Pipe 8" DI 216 PIPE ABANDONED SIZE TYPE OF PIPE LF 6" clay 859 Services 4" Total taps -7 DENSITIES: NEW SERVICES: 7-4" pvc 8-6" pvc 5-8" 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