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Contract 50270-FP1
City Secretary 50270 +P1 Contract fYa. RAC FORTWORTH. Date Received Oct 7,2019 i X OR !�ARY 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: UPLIFT FOREST HILLS PREPARATORY City Project No.: 101279 Improvement Type(s): ® Paving ® Drainage ❑ Street Lights ❑ Traffic Signals Original Contract Price: $570,513.58 Amount of Approved Change Order(s): Revised Contract Amount: Total Cost of Work Complete: $570,513.58 ad 2 Sep 27, 2019 Rad Borg(Sep ,2019) Contractor Date Project Manager Title Lee Lewis Construction Company Name MW�Matthew Wilson(Sep 27,20191 Sep 27, 2019 Project Inspector Date Debbie J.Willhelm(0 ,2019, Oct 2, 2019 Project Manager Date ,7d&li Spa att z 6� Oct 5 2019 Janie Scarlett Morales(Oct 5,2019) C1FAMaanager Date DMA, laayl;c Dana BurghdoH( to Oct 7, 2019 Asst. City Manager Date OFFICIAL RECORD CITY SECRETARY Page 1 of 2 i FT.WORTH,TX M k Notice of Project Completion Project Name: UPLIFT FOREST HILLS PREPARATORY City Project No.: 101279 City's Attachments Final Pay Estimate 0 Change Order(s): ❑ Yes 0 N/A Contractor's Attachments Affidavit of Bills Paid Consent of Surety Statement of Contract Time Contract Time: 270 CD Days Charged: 429 Work Start Date: 3/19/2018 Work Complete Date: 5/21/2019 Page 2 of 2 FoRTWou CITY OF FORT WORTH FINAL PAYMENT REQUEST Contract Name UPLIFT FOREST HILLS PREPARATORY Contract Limits Project Type STORM DRAIN&PAVING City Project Numbers 101279 DOE Number 1279 Estimate Number I Payment Number 1 For Period Ending 9/3/2019 CD City Secretary Contract Number Contract Time 27aD Contract Date Days Charged to Date 429 Project Manager NA Contract is 100.00 Complete Contractor LEE LEWIS CONSTRUCTION,INC. 17111 PRESTON ROAD DALLAS, TX 75379 Inspectors OWEN / SMITH Tuesday,September 10,2019 Page 1 of 5 City Project Numbers 101279 DOE Number 1279 Contract Name UPLIFT FOREST HILLS PREPARATORY Estimate Number 1 Contract Limits Payment Number 1 Project Type STORM DRAIN&PAVING For Period Ending 9/3/2019 Project Funding STORM DRAIN Item Description of Items Estimated Unit Unit Cost Estimated Completed Completed No. Quanity Total Quanity Total --------------------------------------- 1 SWPPP>1 ACRE 1 LS $2,500.00 $2,500.00 1 $2,500.00 2 TRENCH SAFETY 182 LF $5.00 $910.00 182 $910.00 3 MEDIUM STONE RIPRAP,DRY 217 SY $90.00 $19,530.00 217 $19,530.00 4 TOPSOIL 249 CY $25.00 $6,225.00 249 $6,225.00 5 SEEDING,HYDROMULCH 1475.85 SY $0.39 $575.58 1475.85 $575.58 6 21"RCP CLASS III 50 LF $68.00 $3,400.00 50 $3,400.00 7 24"RCP CLASS III 132 LF $76.00 $10,032.00 132 $10,032.00 8 PARALLEL HEADWALL,2 PIPES 42 CY $600.00 $25,200.00 42 $25,200.00 9 10'CURB INLET 2 EA $3,300.00 $6,600.00 2 $6,600.00 --------------- -------------------- Sub-Total of Previous Unit $74,972.58 $74,972.58 PAVING Item Description of Items Estimated Unit Unit Cost Estimated Completed Completed No. Quanity Total Quanity Total --------------------------------------- 1 REMOVE ASPHALT SIDEWALK 4020 SF $0.50 $2,010.00 4020 $2,010.00 2 REMOVE WOODEN POSTS AND CABLES 734 LF $2.00 $1,468.00 734 $1,468.00 3 REMOVE EX ASPHALT 163 SY $2.00 $326.00 163 $326.00 4 HYDRATED LIME 168 TN $140.00 $23,520.00 168 $23,520.00 5 6"LIME TREATMENT 390 SY $3.00 $1,170.00 390 $1,170.00 6 8"LIME TREATMENT 10825 SY $3.75 $40,593.75 10825 $40,593.75 7 2 1/2"ASPHALT PVMT TYPE D 2185 SY $13.00 $28,405.00 2185 $28,405.00 8 8 1/2"ASPHALT PVMT TYPE B 2185 SY $33.00 $72,105.00 2185 $72,105.00 9 6"CONC PVMT 359 SY $24.00 $8,616.00 359 $8,616.00 10 8"CONC PVMT 7929 SY $26.00 $206,154.00 7929 $206,154.00 11 5'CONC SIDEWALK 10832 SF $2.25 $24,372.00 10832 $24,372.00 12 8'CONC SIDEWALK 496 SF $2.25 $1,116.00 496 $1,116.00 13 10'CONC SIDEWALK 4812 SF $2.25 $10,827.00 4812 $10,827.00 14 BARRIER FREE RAMP 4 EA $1,000.00 $4,000.00 4 $4,000.00 15 BARRIER FREE RAMP 4 EA $1,200.00 $4,800.00 4 $4,800.00 16 7"CONC VALLEY GUTTER,RESIDENTIAL 42 SY $15.00 $630.00 42 $630.00 17 4"SLD PVMT MARKING PAINT(W) 1539 LF $0.50 $769.50 1539 $769.50 Tuesday,September 10,2019 Page 2 of 5 City Project Numbers 101279 DOE Number 1279 Contract Name UPLIFT FOREST HILLS PREPARATORY Estimate Number 1 Contract Limits Payment Number I Project Type STORM DRAIN&PAVING For Period Ending 9/3/2019 Project Funding 18 4"SLD PVMT MARKING PAINT(Y) 1700 LF $0.50 $850.00 1700 $850.00 19 4"BRK PVMT MARKING PAINT(W) 280 LF $0.50 $140.00 280 $140.00 20 8"SLD PVMT MARKING PAINT(W) 740 LF $0.85 $629.00 740 $629.00 21 24"SLD PVMT MARKING PAINT(W) 14 LF $6.00 $84.00 14 $84.00 22 LANE LEGEND ARROW 7 EA $150.00 $1,050.00 7 $1,050.00 23 LANE LEGEND ONLY 5 EA $150.00 $750.00 5 $750.00 24 REFL RAISED MARKER 37 EA $3.00 $111.00 37 $111.00 25 REFL RAISED MARKER 20 EA $3.00 $60.00 20 $60.00 26 FURNISH/INSTALL ALUM SIGN GROUND 9 EA $150.00 $1,350.00 9 $1,350.00 MOUNT 27 TRAFFIC CONTROL 1 MO $5,000.00 $5,000.00 1 $5,000.00 28 END OF ROAD BARRICADE 4 EA $500.00 $2,000.00 4 $2,000.00 -------------------------------------- Sub-Total of Previous Unit $442,906.25 $442,906.25 ST LIGHT Item Description of Items Estimated Unit Unit Cost Estimated Completed Completed No. Quanity Total Quanity Total --------------------------------------- 1 2"CONDT PVC SCH 80 1885 LF $11.00 $20,735.00 1885 $20,735.00 2 #10 COPPER 1885 LF $1.35 $2,544.75 1885 $2,544.75 3 RDWY ILLUM ASSEMBLY TY 10 EA $800.00 $8,000.00 10 $8,000.00 4 LED LIGHTING FIXTURE 10 EA $1,385.50 $13,855.00 10 $13,855.00 5 RDWY ILLUM FOUNDATION 10 EA $750.00 $7,500.00 10 $7,500.00 -------------------------------------- Sub-Total of Previous Unit $52,634.75 $52,634.75 -------------------------------------- Tuesday,September 10,2019 Page 3 of 5 City Project Numbers 101279 DOE Number 1279 Contract Name UPLIFT FOREST HILLS PREPARATORY Estimate Number I Contract Limits Payment Number I Project Type STORM DRAIN&PAVING For Period Ending 9/3/2019 Project Funding Contract Information Summary Original Contract Amount $570,513.58 ChanlZe Orders Total Contract Price $570,513.58 Total Cost of Work Completed $570,513.58 Less %Retained $0.00 Net Earned $570,513.58 Earned This Period $570,513.58 Retainage This Period $0.00 Less Liquidated Damages Days @ /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 $570,513.58 Tuesday,September 10,2019 Page 4 of 5 City Project Numbers 101279 DOE Number 1279 Contract Name UPLIFT FOREST HILLS PREPARATORY Estimate Number I Contract Limits Payment Number I Project Type STORM DRAIN&PAVING For Period Ending 9/3/2019 Project Funding Project Manager NA City Secretary Contract Number Inspectors OWEN / SMITH Contract Date Contractor LEE LEWIS CONSTRUCTION,INC. Contract Time 270 CD 17111 PRESTON ROAD Days Charged to Date 429 CD DALLAS, TX 75379 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 $570,513.58 Less %Retained $0.00 Net Earned $570,513.58 Earned This Period $570,513.58 Retainage This Period $0.00 Less Liquidated Damages 0 Days a $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 $570,513.58 Tuesday,September 10,2019 Page 5 of 5 � :. Document G706TM - 1994 Contractor's Affidavit of Payment of Debts and Claims PROJECT:(Name and address) ARCHITECT'S PROJECT NUMBER: OWNER: Uplift Forest Hills Preparatory ARCHITECT: ❑ 8100 Forest Hill Dr. CONTRACT FOR: CONTRACTOR: Ft.Worth,TX 76140 SURETY: ❑ TO OWNER: (Name and address) CONTRACT DATED: January 17,2018 OTHER: ❑ Uplift Education 1825 Market Center Blvd. Dallas,TX 75207 STATE OF: Texas COUNTY OF: Dallas The undersigned hereby certifies that,except as listed below,payment has been made in full and all obligations have otherwise been satisfied for all materials and equipment furnished,for all work, labor,and services performed,and for all known indebtedness and claims against the Contractor for damages arising in any manner in connection with the performance of the Contract referenced above for which the Owner or Owner's property might in any way be held responsible or encumbered. EXCEPTIONS: SUPPORTING DOCUMENTS ATTACHED HERETO: CONTRACTOR: (Name and address) 1. Consent of Surety to Final Payment. Whenever Lee Lewis Construction,Inc. Surety is involved,Consent of Surety is 17177 Presto Rd.,Ste. 160 required. AIA Document G707,Consent of Dallas,TX 48 Surety,may be used for this purpose Indicate Attachment ❑ Yes ® No BY: The following supporting documents should be attached (Signature of authorised representative) hereto if required by the 01•vner: 1. Contractor's Release or Waiver of Liens, (Printed na> •and title) conditional upon receipt of final payment. 2. Separate Releases or Waivers of Liens from Subscribed and sworn Subcontractors and material and equipment ,.0011► SHARON STORY suppliers,to the extent required b the Owner, `�� v PP q Y +y4r Notary Pupli4,State of Texas accompanied by a list thereof. is � M.explrea 08=15.2021 Notary Public. ary ID 4100541) 3. Contractor's Affidavit of Release of Liens(AIA My Commission l:xri wmwowlssm Document G706A). AIA Document G706TM—1994.Copyright©1970 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 AIA°Document,or any portion of it, 1 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 12:26:36 ET on 09/27/2019 under Order No.4171348595 which expires on 04/24/2020,and is not for resale. User Notes: (3B9ADA74) Liberty BOND NUMBER 022058365 Mutual. SURETY OWNER ARCHITECTCONSENT OF SURETY CONTRACTOR � TO FINAL PAYMENT sutt>:rY � Conforms with the American Institute of Architects,AIA Document G707 OTHER TO OWNER: UPLIFT EDUCATION ARCHITECT'S PROJECT NO.: (Name and address) 1825 MARKET CENTER BLVD DALLAS, CONTRACT FOR-. TEXAS 75207 UPLIFT FOREST HILLS PREPARATORY PROJECT: UPLIFT FOREST HILLS PREPARATORY (lanieandadthess) CONTRACT DA If:D: JANUARY 17, 2018 In accordance%ith the pro%isions of the Contract bet«een the O%%ner and the Contractor as indicated abo%e,the (Insert name and address of Suretyl Liberty Mutual Insurance Company 175 Berkeley Street, Boston, MA 02116 ,SURETY, on bond of (huert name and address of Contractor) LEE LEWIS CONSTRUCTION INC. 17177 PRESTON ROAD, SUITE 160 DALLAS,TEXAS 75248 ,CONTRACTOR, hereby appro%es of the flnal 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 Ost ner) UPLIFT EDUCATION 1825 MARKET CENTER BLVD DALLAS, TEXAS 75207 OWNER, as set forth in said Suret%'s bond 1N A'ITNESS U'HEREOr.the Surety has hereunto set its hand on this date; APRIL 26, 2019 (Insert in 1rratng the mans foRmad by the numeric date and y ear) Liberty Mutual Insurance Company (Sureo.) r .�Ltetit (Signature q&utharired representative) %NSu 0 �r�y� 1912 MARLA HILL.ATTORNEY-IN-FACT rd'da (Printed name and title) 4C da UAS•2=1 02r13 This Power of Attorney limits the acts of those named herein,and they have no authority to bind the Company except In the manner and to the extent herein stated. Liberty Liberty Mutual Insurance Company mutum. The Ohio Casualty Insurance Company Certificate No: 8197873 SURETY West American Insurance Company POWER OF ATTORNEY KNOWN ALL PERSONS BY THESE PRESENTS:That The Ohio Casualty Insurance Company is a corporation duly organized under the laws of the State of New Hampshire,that Liberty Mutual Insurance Company is a corporation duly organized under the laws of the State of Massachusetts,and West American Insurance Company is a corporation duly organized under the lays of the State of Indiana(herein collectively called the'Companies'),pursuant to and by authority herein set forth,does hereby name,constitute and appoint, Marla Hill,Hohhard Co%an all of the city of Lubbock state of TX each individually if there be more than one named,its true and lawful aftomey-in-fact to make, execute,seal,acknowledge and deliver,for and on its behalf as surety and as its ad and deed,any and all undertakings,bonds,recognizances and Other surety obligations,in pursuance of these presents and shall be as binding upon the Companies as if they have been duly signed by the president and attested by the secretary of the Companies in their own proper persons. IN WITNESS WHEREOF,this Power of Attorney has been subscribed by an authorized officer or official of the Companies and the corporate seals of the Companies have been affixed thereto this Ist day of Novcmber , 2018 . Liberty Mutual Insurance Company `INSL �t`f IHgv tllst► The Ohio Casualty Insurance Company AJ�d"O4�Tc+ y�P�oR}Dtir� �c,Poo+�oOti �c, West American Insurance Company 1912�c1�.e y 1919 Q Q 1991 dui�d�cNu+" D O�+pAwt+'I D�' rs �houa� aL David M.Carey,Assistant Secretary>r � -12 State of PENNSYLVANIA = County of MONTGOMERY En cu On this 1st day of Novcmber 2018 before me personally appeared David M.Carey,who acknowledged himself to be the Assistant Secretary of Liberty Mutual Insurance a o� Compan,The O ,as such, so yhio Casualty Company and West American Insurance Company,and that he, being authorized to do,execute the foregoing instrument for the purposes= a`) a therein contained by signing on behalf of the corporations by himself as a duly authorized officer. Lu �E 3 IN WITNESS WHEREOF,I have hereunto subscribed my name and affixed my notarial seal at King of Prussia,Pennsylvania,on the day and year first above written. E CL cc p. PAS 0 N rF � 0O 01 �,yy ' COMMONVIMTH OF PENNSYLVANIA a ���' x<< Nohartel Seel I OF Teresa PasteRa.Notary Public Upper Merton Twp.,Montgomery County ey: v My Commission Expires March ze,2021 Teresa Pastella,Notary Public o M min aR1 1 Member.Parva0vanW Aaadon e or Notan*m tl d `m This Power of Attomey is made and executed pursuant to and by authority of the following By-laws and Authorizations of The Ohio Casualty Insurance Company, Liberty Mutual o- Insurance Company and West American Insurance Company which resolutions are now in full forte and effect reading as follows: c `0) ARTICLE IV-OFFICERS:Section 12,Power of Attorney. o Any officer or other official of the Corporation authorized for that purpose in writing by the Chairman or the President,and subject to such limitation as the Chairman or the a President may prescribe,shall appoint such attorneys-in-fact,as may be necessary to act in behalf of the Corporation to make,execute,seal,acknowledge and deliver as surety i o as any and all undertakings,bonds.recognizances and other surety obligations.Such attomeys•in-fact,subject to the limitations set forth in their respective powers of attorney,shalt�N have full power to bind the Corporation by their signature and execution of any such instruments and to attach thereto the seal of the Corporation.When so executed,such "0O Z� instruments shall be as bind ng as d signed by the President and attested to by the Secretary.Any power or authority granted to any representative or attomey-in-fact under the €M provisions of this article may be revoked at any time by the Board the Chairman,the President or by the officer or officers granting such power or authority. C o ARTICLE XIII-Execution of Contracts:Section 5.Surety Bonds and undertakings. Any officer of the Company authorized for that purpose in writing by the chairman or the president and subject to such limitations as the chairman or the president may prescribe,F shall appoint such ahomeysin fact,as may be necessary to act in behalf of the Company to make,execute.seal,acknowledge and deliver as surety any and all undertakings, bonds,recognizances and other surety obligations Such attorneys-n-fad subject to the limitations set forth in their respective powers of attorney,shall have full power to bind the Company by their signature and execution of any such instruments and to attach thereto the seal of the Company When so executed such instruments shall be as binding as if signed by the president and attested by the secretary. Certificate of Designation-The President of the Company,aiding pursuant to the Bylaws of the Company.authorizes David M.Carey,Assistant Secretary to appoint such attorneys- in-fact as may be necessary to ad on behalf of the Company to make,execute,seal,acknowledge and deliver as surety any and all undertakings,bonds,recognizances and other surety obligations. Authorization-By unanimous consent of the Company's Board of Directors,the Company consents that facsimile or mechanically reproduced signature of any assistant secretary of the Company,wherever appearing upon a certified copy of any power of attorney ssued by the Company in connection with surety bonds,shall be valid and binding upon the Company with the same force and effect as though manually affixed. I,Renee C,Llewellyn,the undersigned,Assistant Secretary,The Ohio Casualty Insurance Company,Liberty Mutual Insurance Company,and West American Insurance Company do hereby certify that the original power of attorney of which the foregoing is a full,true and correct copy of the Power of Attorney executed by said Companies,is in full force and effect and has not been revoked IN TESTIMONY WHEREOF I have hereunto set my hand and affixed the seals of said Companies th s 26th day of APRIL 2019 Pt 048U,hj4 �tY tNSv N 1Nsu� �o th; 3 "e sn r s 1912 0 o s 1919 v iz s 1991 0 t: 'y� rah°+.exu+ �a so -VAMPS D� � �+roIAN� aD; By.Renee C.Llewellyn,Assistant Secretary LMS•12873 LMIC OCIC WAIC Multi Co 052018