HomeMy WebLinkAboutContract 48434-FP1 City Secretary 48434 -FPl
Contract No.
RECEIVED
FORTWORTH. Date Received Oct 7,2019
XT-7 2019
C1TY0FF0RTWOR78
CRY ECRELgRY
NOTICE OF PROJECT COMPLETION
x
(Developer Projects)
The Transportation and Public Works Department upon the recommendation of the Project
Manager has accepted the following project as complete:
Project Name: VPA/STEM ACADEMY FOR FORT WORTH ISD
City Project No.: 100226
Improvement Type(s): ® Paving ® Drainage ® Street Lights ❑ Traffic Signals
Original Contract Price: $438,533.37
Amount of Approved Change Order(s): $62,782.21
Revised Contract Amount: $501,315.58
Total Cost of Work Complete: $501,315.58
John Berg(Sep 2 Se, 019) p 25,2019
Contractor Date
Project Engineer
Title
Con-Real I Turner Construction
Company Name
44a *k4l s`'4 � Se 25 2019
Martina Salinas(Sep 25,2019) p
Pr 'act I ctor Date
Khal Jaafari(See,201% Sep 30,2019
Project Manager Date
�7�lIB SGA12�2tL`/�D`�f Janie Scarlett Morales(Oct 5,2019) Oct 5,2019
.S , ,,�
CCyFAAManager Date
Dana Burghdoff�20 Oct 7,2019
Asst. City Manager Date
OFFICIAL RECORD Page 1 of 2
CITY SECRETARY
FT.WORTH,TX
Notice of Project Completion
Project Name:VPA/STEM ACADEMY FOR FORT WORTH ISD
City Project No.: 100226
City's Attachments
Final Pay Estimate x❑
Change Order(s): 0 Yes ❑ N/A
Contractor's Attachments
Affidavit of Bills Paid
Consent of Surety
Statement of Contract Time
Contract Time: 836 CD Days Charged: 836
Work Start Date: 11/28/2016 Work Complete Date: 3/13/19
Page 2 of 2
FoRTWORTH
CITY OF FORT WORTH
FINAL PAYMENT REQUEST
Contract Name VPA/STEM ACADEMY FOR FORT WORTH ISD
Contract Limits
Project Type STORM DRAIN,PAVING&ST LIGHT
City Project Numbers 100226
DOE Number 0226
Estimate Number I Payment Number I For Period Ending 9/23/2019
CD
City Secretary Contract Number Contract Time 366D
Contract Date Days Charged to Date 836
Project Manager NA Contract is 100.00 Complete
Contractor NORTH TEXAS CONTRACTING,INC.
P.O.BOX 468
KELLER, TX 76244
Inspectors DICKINSON / SALINAS
I
I
Monday,September 23,2019 Page I of 5
City Project Numbers 100226 DOE Number 0226
Contract Name VPA/STEM ACADEMY FOR FORT WORTH ISD Estimate Number I
Contract Limits Payment Number 1
Project Type STORM DRAIN,PAVING&ST LIGHT For Period Ending 9/23/2019
Project Funding
STORM DRAIN&PAVING
Item Description of Items Estimated Unit Unit Cost Estimated Completed Completed
No. Quanity Total Quanity Total
---------------------------------------
I SITE CLEARING 1 LS $17,200.00 $17,200.00 1 $17,200.00
2 TRAFFIC CONTROL 3 MO $3,666.67 $11,000.01 3 $11,000.01
3 REMOVE ASPHALT PVMT 2000 SY $5.07 $10,140.00 2000 $10,140.00
4 UNCLASSIFIED EXCAVATION BY PLAN 310 CY $65.80 $20,398.00 310 $20,398.00
5 SWPPP 1 LS $10,093.29 $10,093.29 1 $10,093.29
6 2"ASPHALT PVMT 2002 SY $8.07 $16,156.14 2002 $16,156.14
7 4"ASPHALT PVMT 2002 SY $16.15 $32,332.30 2002 $32,332.30
8 8"FLEXIBLE BASE CO#2 2822 SY $12.38 $34,936.36 2822 $34,936.36
9 HYDRATED LIME CO#2 0.901885 LS $9,104.00 $8,210.76 0.901885 $8,210.76
10 8"LIME TREATMENT CO#2 2548 SY $5.86 $14,931.28 2548 $14,931.28
11 6"CONC CURB&GUTTER 1427 LF $35.18 $50,201.86 1427 $50,201.86
12 6"CONCRETE DRIVEWAY 2035 SF $10.30 $20,960.50 2035 $20,960.50
13 4"CONC SIDEWALK CO#I CO#2 4542 SF $8.18 $37,153.56 4542 $37,153.56
14 BARRIER FREE RAMP CO#I 5 EA $1,578.36 $7,891.80 5 $7,891.80
15 TOPSOIL 250 CY $22.86 $5,715.00 250 $5,715.00
16 BLOCK SOD PLACEMENT 1500 SY $3.04 $4,560.00 1500 $4,560.00
17 FUENISH/INSTALL ALUM SIGN GROUND 33 EA $310.04 $10,231.32 33 $10,231.32
MOUNT CITY CO#1 CO#2
18 REFL RAISED MARKER 18 EA $7.89 $142.02 18 $142.02
19 4"BRK PVMT MARKING PAINT 705 LF $1.80 $1,269.00 705 $1,269.00
20 24"SLD PVMT MARKING PAINT CO#2 155 LF $14.09 $2,183.95 155 $2,183.95
21 5'WIDE ASPHALT PVMT REPAIR,RESIDENTIAL 32 LF $67.18 $2,149.76 32 $2,149.76
CO#3
22 24"SLD PVMT MARKING(W)CO#2 61 LF $2.25 $137.25 61 $137.25
23 BARRIER FREE RAMP TYPE M-1 CO#2 I EA $3,000.00 $3,000.00 1 $3,000.00
24 FIRE LANE MARKING CO#2 200 LF $2.25 $450.00 200 $450.00
25 BARRIER FREE RAMP TYPE M-3 CO#2 1 EA $3,000.00 $3,000.00 1 $3,000.00
26 ROADSIDE FLSHING BEAON ASSEMBLY CO#2 4 EA $17,000.00 $68,000.00 4 $68,000.00
27 REMOVE ROADSIDE FLASHINF BEACON CO#2 1 EA $4,300.00 $4,300.00 1 $4,300.00
28 TRAFFIC CONTROL CO#2 1 MO $2,182.80 $2,182.80 1 $2,182.80
---------------------------------------
Sub-Total of Previous Unit $398,926.96 $398,926.96
--------------------------------------
Monday,September 23,2019 Page 2 of 5
City Project Numbers 100226 DOE Number 0226
Contract Name VPA/STEM ACADEMY FOR FORT WORTH ISD Estimate Number I
Contract Limits Payment Number I
Project Type STORM DRAIN,PAVING&ST LIGHT For Period Ending 9/23/2019
Project Funding
ST LIGHT
Item Description of Items Unit Unit Cost
Estimated Estimated Completed Completed
No. Quanity Total Quanity Total
---------------------------------------
1 2"CONDT PVC SCH 80 1086 LF $2.81 $3,051.66 1086 $3,051.66
2 NO 10 INSULATED ELEC CONDR 1086 LF $4.13 $4,485.18 1086 $4,485.18
3 NO 6 INSULATED ELEC CONDR 2172 LF $5.91 $12,836.52 2172 $12,836.52
4 ELEC SERV PED 1 EA $1,071.03 $1,071.03 1 $1,071.03
5 RDWY ILLUM ASSEMBLY 3 EA $14,092.00 $42,276.00 3 $42,276.00
6 LED LIGHTING FIXTURE 3 EA $1,634.73 $4,904.19 3 $4,904.19
7 ELECTRICAL FACILITIES I LS $22,548.00 $22,548.00 1 $22,548.00
8 FURNISH/INSTALL ELEC SERV PEDESTAL 1 EA $1,691.00 $1,691.00 1 $1,691.00
9 INSTALL ELEC SERV POLE MNT I EA $2,480.00 $2,480.00 1 $2,480.00
10 CONDUIT BOX 2 EA $2,987.00 $5,974.00 2 $5,974.00
11 SALVAGE ELECTRICAL EQUIPMENT 2 LS $535.52 $1,071.04 2 $1,071.04
--------------------------------------
Sub-Total of Previous Unit $102,388.62 $102,388.62
--------------------------------------
Monday,September 23,2019 Page 3 of 5
City Project Numbers 100226 DOE Number 0226
Contract Name VPA/STEM ACADEMY FOR FORT WORTH ISD Estimate Number 1
Contract Limits Payment Number 1
Project Type STORM DRAIN,PAVING&ST LIGHT For Period Ending 9/23/2019
Project Funding
Contract Information Summary
Original Contract Amount $438,533.37
Change Orders
Change Order Number 1 ($14,412.70)
Change Order Number 2 $75,045.15
Change Order Number 3 $2,149.76
Total Contract Price $501,315.58
Total Cost of Work Completed $501,315.58
Less %Retained $0.00
Net Earned $501,315.58
Earned This Period $501,315.58
Retainage This Period $0.00
Less Liquidated Damages
Days @ /Day $0.00
LessPavement Deficiency KOO
Less Penalty $0.00
Less Previous Payment $0.00
Plus Material on Hand Less 15% $0.00
Balance Due This Payment $501,315.58
Monday,September 23,2019 Page 4 of 5
City Project Numbers 100226 DOE Number 0226
Contract Name VPA/STEM ACADEMY FOR FORT WORTH ISD Estimate Number 1
Contract Limits Payment Number 1
Project Type STORM DRAIN,PAVING&ST LIGHT For Period Ending 9/23/2019
Project Funding
Project Manager NA City Secretary Contract Number
Inspectors DICKINSON / SALINAS Contract Date
Contractor NORTH TEXAS CONTRACTING,INC. Contract Time 365 CD
P.O.BOX 468 Days Charged to Date 836 CD
KELLER, TX 76244 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 $501,315.58
Less %Retained $0.00
Net Earned $501,315.58
Earned This Period $501,315.58
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 $501,315.58
Monday,September 23,2019 Page 5 of 5
DocuSign Envelope ID:20340EOA-7CDOA52A-BDOE-DC4A9CiDBOCE
DEVELOPER-AWARDED-PROJECT CHANGE ORDER
PROJECT NAME: VPA/STEM ACADEMY CHANGE
CONTRACT: B-PAVING ORDER No:
CFA# 2016-035 CITY PARTICIPATION: NO
CITY PROJECT# 100226
DOE# N/A 81
WATER PROJECT# 59601-0600430-100225-001580
SEWER PROJECT# 59607-0700430-100226-001380
FILE# K-2462
INSPECTOR: MARTINA SALINAS Phone No: 817-392-8306
PROJECT MANAGER: KHAL JAAFARI Phone No: 817-392-7872
CONTRACT UNIT
WATER SEWER PAVING DRAINAGE STREETLIGHTS CONTRACT
Developer Developer Developer Developer Developer DAYS
Cost City Cost Cost City Cost Cost cityCost Cost City Cost Cost City Cost
ORIGINAL CONTRACT $223,436.63 $0.00 $11,048.62 $0.00 $336,144.75 $0.00 $0.00 $0.00 $102,388.62 $0.00
EXTRAS TO DATE $16.209.36 $0.00 $0.00 $0.00 $0,00 $0.00 $0.00 $0,00 $0.00 $0.00
CREDITS TO DATE $0.00 $0.00 $0.00 $0.00 $0.00 $0.00 $0.00 40.00 $0.00 $0.00
CONTRACT TO DATE $230,646.99 $0.00 $11.048.62 $0.00 $336,144.76 $0.00 $0.00 $0.00 $102,308.62 $(.00 0
AMOUNT OF PROP.CHANGE ORDER $1,00 $0.00 $0.00 30.00 G14,412.70) $0.00 $0.00 $0.00 $0.00 $0.00
REVISED CONTRACT AMOUNT 5239,846.99 $0.00 511,018.62 E0.00 $3T1,7JT.08 50.00 $0.00 1 $0.00 $102,388.62 $0.00 0
TOTAL REVISED CONTRACT AMOUNT
PER UNIT $239.645.99 $11,040.62 $321,732.05 $0.00 $102,388.62
REVISED COST SHARE Dev.Coat: $674,816A8 City Cost: $0.00
TOTAL REVISED CONTRACT $674.816.18
Revised:10-12.2011 Page 1
DocuSign Envelope ID:20340EOA-7CDOA52A-BDOE-OC4A9C1DBOCE
You are directed to make the following changes in the contract documents
CITY BID ITEM
PAY ITEM# # QUANTITY UNIT ITEM DESCRIPTION UNIT PRICE TOTAL
12 3213.0301 -2296 SF 4"Conc Sidewalk 6.18 -18781.26
16 3441.4003 2 EA Fumishllnstall Alum Sign Ground Mount City310.04 620.08
19 3217.0503 42 LF 24"SLID Pvmt Markin Paint 14.09 591.78
20 3213.0504 2 EA Barrier Free Ram Type M-2 1578,36 3156.72
TOTAL -14412.7
REASONS FOR CHANGE ORDER Removal of 5'wide sidewalk along the south side of E.191h Street and a portion of Chambers Street until the south driveway entrance of the proposed parking
lot to serve the new Visual and Performing Arts Hall.Additional crosswalk with ramps,striping and signage added mid-block across Chambers Street as
requested by T/PW.
NO CITY FUNDS INVOLVED IN THIS CONTRACT.DEVELOPER IS RESPONSIBLE FOR 100%OF THE CHANGE ORDER COST AND NO
REIMBURSEMENT FROM THE CITY WILL BE SOUGHT BY THE DEVELOPER.
RECOMMENDED: APPROVED: APPROVED:
s aey: FMSD — NortP�:
6IRF'dctli5rs
11-44M
`t Jo's 'Ho Sdon
Name: Jace Motheral,P.E. Name: \I\ Namo:
Title:Senior Project Manager Title: Title: Project Manager
Revised:10-12-2011 Page 2
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DocuSign Envolopo ID:CAE5GB23-ADA5-4D7F-BC6E-3730FODD7960
DEVELOPER-AWARDED-PROJECT CHANGE ORDER
PROJECT NAME: VPA/STEM ACADEMY CHANGE
CONTRACT: A-WATER ORDER No:
CFA# 2016-035 CITY PARTICIPATION: NO
CITY PROJECT# 100226
DOE# WA A3
WATER PROJECT# 59001-0600430-100225-001580
SEWER PROJECT# 59607-0700430-100226-001380
FILE# K-2462
INSPECTOR: MARTINA SALINAS Phone No: 817-392-8306
PROJECT MANAGER: KHAL JAAFARI Phone No: 817-392-7872
CONTRACT UNIT
WATER SEWER PAVING DRAINAGE STREETLIGHTS CONTRACT
Developer - Developer Developer Developer Developer DAYS
Cost city C06t Cost city Cost Cost city Cost Cost City Cost Cost city Cost
ORIGINAL CONTRACT $223,436.63 $0,00 S71,048.02 50.00 $336,144.76 $0.00 $0.00 $0.00 $102,388.62 S0.00
EXTRAS TO DATE $16,209.36 $0.00 $0.00 $0.00 $0.00 $0.00 $0.00 $0.00 $0.00 $0.00
CREDITS TO DATE $0.00 $0.00 $0.00 $0.00 $0.00 $0.00 $0.00 $0.00 $0.00 $0.00
CONTRACT TO DATE $239,645.99 $0.00 $11,048.62 - $0.00 $336,144.76 KOS $0.00 $0.00 111102,388,62 $0.00 0
AMOUNT OF PROP.CHANGE ORDER 511,007.24 60.00 $0.00 S0,00 52,149.78 50.00 $0.00 $0.00 $0.00 30.00
REVISED CONTRACT AMOUNT $260,653.2 50.00 511,048.62 50.00 SJJ0,294.61 30.00 50,00 50,00 5102,368.62 $0.00 0
TOTAL REVISED CONTRACT AMOUNT
PER UNIT $260653.23 511048.61 SJ39,294.61 50.00 $102.388.62
REVISED COST SHARE Dov.Cost: $702,304.88 :City Cost: $0.00
TOTAL REVISED CONTRACT $702,384.88
Revised:10.12.2011 Pago 1
DocuSign Envelope ID:CAE56B23-ADA5AD7F-BC6E-3730FODD7960
You are directed to make the followingthan es in the contract documents:
CITY BID ITEM
PAY ITEM 4 4 QUANTITY UNIT ITEM DESCRIPTION UNIT PRICE TOTAL
1 0241.1012 32 LF Remove 6"Water Line 15.88 508.16
5 3305.0109 32 LF Trench Safety 5.84 180.48
17 0241.1510 1 EA Salvage Fire Hydrant 1031640 10318.60
r i .18= <. 11 3201.0112 1 32 1 LF I 5'Wide Asphalt Pvml Repair,Residential 67.18 2149.76
TOTAL 13157
REASONS FOR CHANGE ORDER Removal of hm hydrant that was not shown In previous construction plans.Change corresponds to Revision No.3 as shown on sheets BA and 15 of the
construction plans.
NO CITY FUNDS INVOLVED IN THIS CONTRACT. DEVELOPER IS RESPONSIBLE FOR 100%OF THE CHANGE ORDER COST AND NO
REIMBURSEMENT FROM THE CITY WILL BE SOUGHT BY THE DEVELOPER.
RECOMMENDED: APPROVED: APPROVED:
e—SIU.0 by: SI nwl
achoco Koch FWISD Notch'�'ex'aos°T'otr1$ra PXa
I YM�rror�f�el.
By. By: y:
IP
Name: JaceMotheral,P.E.f Name: VI Name: josh Hodsdon
Title:Senior Project Manager Title: CHIl ,, (��� Title: Project Manager
Revised:10-12.2011 Page 2
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 Jerry Crawford,
Vice President& General Manager Of Con-Real I Turner Construction
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;
CPN 100226 - FORT WORTH INDEPENDENT SCHOOL DISTRICT-
IM TERRELL ACADEMY -VPA/S
BY t4)
Jerry Crawford, Vi e P id t& Aral Manager
Subscribed and sworn before me on this d to 21 sr of A GUST, 2019.
ary P lic
tr�Z•�'% KRI3TY BUSTANIANTE
MY COMMISSION EXPIRES
•� MAY 29,2023
W
`� NOTARY ID:124676067
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 Jerry Crawford,
Vice President & General Manager Of Con-Real I Turner Construction
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;
CPN 100226 - FORT WORTH INDEPENDENT SCHOOL DISTRICT -
IM TERRELL ACADEMY -VPA/ST
BY
Jerry Crawford, V' e PIsdent Ge e al anager
Subscribed and sworn before me on this date 21` of AUG T, 2019.
ar c
=;Ol Apuj�i KRIS TY BUSTAIIANTE
= .s'Vir+c MY COMMISSION EXPIRES "
MAY 29,2023
NOTARY ID: 24876067
liberty Bond No.: 015050428
® Traveka Bond No.: 106403573
F&D/Zurich Bond No.: 9194342
1 9 n-
Federal Bond No.: 8239-4365Turner)
e t G TM 9 8244-06-06(CoReel)
An n r�i l m n 4 Continental Bond No.: 929626856
-A— -i�—�— �' �"' XL Surety Bond No.: US00073094SU16A
Consent Of Surety to Final Payment
PROJECT:(Name and address) ARCHITECT'S PROJECT NUMBER: OWNER:
FWISD-I.M.Terrell Academy for
S ARCHITECT;
STEM&VPA ❑
1900 I.M.Terrell Way Fort Worth, CONTRACTOR:❑
Texas 76102
SURETY:
Project Number: 15105.0000;TCCO ❑
160228 OTHER: ❑
CONTRACT FOR:General Construction
TO OWNER:(Name and address) CONTRACT DATED:9/15/15;GMP Dated
2/18/16
Fort Worth Independent School District
100 N.University Drive
Fort Worth TX 76107
In accordance with the provisions of the Contract between the Owner and the Contractor as indicated above,the
(Insert name and address of Surety)
Liberty Mutual Insurance Company,175 Berkeley Street,Boston,MA 02116
Travelers Casualty and Surety Company,Construction Services,One Tower Square,3PB,Hartford,
CT 06183
Fidelity and Deposit Company of Maryland/Zurich American Insurance Company, 1299 Zurich
Way,5th Floor,Schaumburg,IL 60196
Federal Insurance Company,202B Hall's Mill Road,Whitehouse Station,NJ 08889
The Continental Insurance Company, 151 N Franklin Street,Chicago,IL 60606
XL Specialty Insurance Company,Seaview House 70 Seaview Avenue Stamford,CT 06902
.SURETY,
on bond of
(Insert name and address of Contractor)
Con-Real Turner
10100 N.Central Expressway, Suite 600
Dallas,TX 75231
.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)
Fort Worth Independent School District
100 N.University Drive
Fort Worth TX 76107
OWNER,
as set forth in said Surety's bond.
AIA Document G707TM—1994.Copyright®1982 and 1994 by The American Institute of Architects.All rights reserved.WARNING:This AIA°Document is
protected by U.S.Copyright Law and International Treaties.Unauthorized reproduction or distribution of this AIAo Document,or any portion of It,
may result in severe civil and criminal penalties,and will be prosecuted to the maximum extent possible under the law.This document was produced by
AIA software at 13:07:49 ET on 08/15/2019 under Order No 4555402789 which expires on 07/07/2020,and is not for resale.
User Notes: (3B9ADA77)
IN WITNESS WHEREOF,the Surety has hereunto set its hand on this date:August 15,2019
(Insert in writing the month followed by the numeric date and year)
Liberty Mutual Insurance Company;Travelers
Casualty and Surety Company;Fidelity and
Deposit Company of Maryland;Zurich American
Insurance Company;Federal Insurance Company;
The Continental Insurance Company,XL Specialty
Insurance Company
(Surety)
SEE ATTACHMENT A
(Signature of authorized representative)
eyS: SEE ATTACHMENT A
SEE ATTACHMENT A (Printed name and title)
AIA Document G707TM—1994.Copyright®1982 and 1994 by The American Institute of Architects.All rights reserved.WARNING:This AIAO Document Is
protected by U.S.Copyright Law and International Treaties.Unauthorized reproduction or distribution of this AIA® Document,or any portion of It, 2
may result In severe civil and criminal penalties,and will be prosecuted to the maximum extent possible under the law.This document was produced by
AIA software at 13:07:49 ET on 08/15/2019 under Order No.4556402789 which expires on 07107/2020,and is not for resale.
User Notes: (3B9ADA77)
ATTACHMENT A
Liberty Mutual Insurance Company, a Massachusetts corporation
Travelers Casualty and Surety Company, a Connecticut corporation
Fidelity and Deposit Company of Maryland, an Illinois corporation
Zurich American Insurance Company, a New York corporation
Federal Insurance Company, an Indiana corporation
The Continental Insurance Company, a Pennsylvania corporation
XL Specialty Insurance Company, a Delaware corporation
Liberty Mutual Insurance Company
175 Berkeley Street, Boston, MA 02116
Bond No. 015050428
Travelers Casualty and Surety Company
Construction Services, One Tower Square, Hartford, CT 06183
Bond No. 106403573
Fidelity and Deposit Company of Maryland/
Zurich American Insurance Company
1299 Zurich Way, 5th Floor, Schaumburg, IL 60196
Bond No. 9194342
Federal Insurance Company
202B Hall's Mill Road, Whitehouse Station, NJ 08889
Bond No. 8239-43-65 (Turner)
8244-06-06 (Con-Real)
The Continental Insurance Company
151 N. Franklin St., Chicago, IL 60606
Bond No. 929626856
By#Sher�ryifnne
) nitt ' :�' Witness:
M. DePirro, Attorney in Fact M R.McKee
XL Specialty Insurance Company
Seaview House, 70 Seaview Avenue, Stamford, CT 06902
Fax (410) 385-8010
Bond No. US00073094SU16A
Witness:
race F ed-Brown,Attorney-In-Fact David Lung_;s4t�