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Contract 50315-FP1
r FORTWORTH@ CITY SECRETARY CONTRACT NO. 50315— Fp l Q7'01r l wr 2019 TRANSPORTATION AND PUBLIC WORKS C17y, �0o', NOTICE OF PROJECT COMPLETION City Project Ns: 100637 Regarding contract 50315 for PEDESTRAIN SIDEWALKS ALONG JOHN T WHITE RD,MEDICAL DR&SARTAIN DR.as required by the TRANSPORTATION&PUBLIC WORKS as approved by City Council on 1/30/2018 through M&C C-28554 the director of the TRANSPORTATION&PUBLIC WORKS upon the recommendation of the Assistant Director of the Transportation&Public Works Department has accepted the project as complete. Original Contract Prices: $534,777.00 Amount of Approved Change Orders: $121,674.60 NO l &2 Revised Contract Amount: $656,451.60 Total Cost Work Completed: $622,584.55 Less Deductions: Liquidated Damages: Days rQ$210.00/Day Pavement Deficiencies: Total Deduction Amount: ' Total Cost Work Completed: $622,584.55 Less Previous Payments: $591,455.32 Final Payment Due $31,129.23 (41LO- .. ry -,. l U -z,s-)4 Recommended for Acceptance Date Director, Transportation and Public Works Department A?—-5 Accepted Date( 4M Director, TRANS ORTATION & PUBLIC WORKS Asst. City Manager Date Comments: I )dFEICIAL RECORD f CITY SECRETARY '. WORTH,TX Departmentt of TP CPN# t JU �`W Const.Services Project Manager Dat Risk Management C D.O.E. adY CFq Morales B otherton _ Gutzler/Scanned The Proceeding peO le concerning the request have been Contacted released this Quest for final payment Project for such payment, have Clearance Conducted gy FY2020; Services performed in FY2019. Invoice is on accruals list. No Packing Slip TPW Construction Invoice COntraot: CS50315 P.O.# 18-103282 Payment Date: 8/12/2019 TO:Northstar Construction,LLC. INV.# C S50315-I IFINAL Estimate No. 11 DOE: 2112 SOLONA ST ProjManager Maged Zaki FORT WORTH TX 76117 FOR: Sidewalks FY2017-John T.White Rd/Medical Dr/Sartain Dr Construction Contract Amount: $656,451.60 Completed Ret Pen Adi Pay Total to Date: $622,584.55 $0.00 $0.00 $0.00 $622,584.55 Previous Estimate: $622,584.55 $0.00 $0.00 $0.00 $591,455.32 Earned to Date: $0.00 ($31,129.23) $0.00 $0.00 $31,129.23 Payments: 33005-0200431-5740010-100637-003880-9999 $656,451.60 CO#2:$97,316.60 Comments:CO#1:$24,358.00 Total to Date: $622,584.55 $0.00 $0.00 $0.00 $622,584.55 Previous Estimate: $622,584.55 $31,129.23 $0.00 $0.00 $591,455.32 Earned to Date: $0.00 ($31,129.23) $0.00 $0.00 $31,129.23 FID: 33005-2060000-100637-RETAIN Wednesday,October 30,2019 Page 1 of 1 a� rn a co co 59 E N N O �7 b9 b9 b9 Y3 b9 Y3 M M U � ��' b9 b9 b9 fA b9 b9 b9 b9 b9 b9 U4 Cc, N00 � Q c W 412.1 0 „ U, � zkn � a 0 o Q o � � F� kn v o Z + a V Z H N a 0 cp U)GG N F U c co y ° s. °� A u A z a ►� a c4 m U W U yC DC a W rA z u �1 a ° L7 ►� R, s• F O Z O-a 0 �4 .a v o 0 W L7 W 9 A F o U 0 'M DO w � H O z c m a s O W W a o Ococo ozUF ?: a a V " c N w N M kn F M R! 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It. 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 PREVIOUS PERIOD TOTALS 269 TO DATE *REMARKS: 4u CONTRACTOR DATE INSPECTOR DATE ENGINEERING DEPARni IENT s' The City of Fort Worth•1000 Throckmorton Street•Fort Worth,TX 76012-6311 (817)392-7941 •Fax:(817)392-7845 0 o . Consent of Surety to Final Payment Bond No. 1064342 PROJECT:(Hanle and address) ARCHITECT'S PROJECT NUMBER: OWNER❑ Pedestrian Sidewalk Improvements John T. White 100637 Road,City Project No. 100637 CONTRACT FOR: ARCHITECT❑ general construction CONTRACTOR❑ TO OWNER: (Name and bddress) CONTRACT DATED: SURETY❑ City of Fort Worth January 30,2018 200 Texas Street OTHER❑ Fort Worth,Texas 76102 In accordance with the provisions of the Contract between the Owner and the Contractor as indicated above,the (Insert name and address ol'Surety.) The Hanover Insurance Company 5910 North Central Expressway,Ste 300 Dallas,Texas 75206 ,SURETY, on bond of (Insert name and address of Contractor) Northstar Construction,LLC 2112 Solona Street Fort Worth,Texas 76117 ,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 200 Texas Street Fort Worth,Texas 76102 OWNER, as set forth in said Surety's bond. IN WITNESS WHEREOF,the Surety has hereunto set its hand on this date: April 22,2019 (Insert in writing the month followed by the numeric date and year.) The Hanover Insurance Company (Sur�1y,� 1 ( Ignatl _e o 111110r'1 eel 'E 'eSer7latlVe) Attest: Brenda Bledsoe,Attorney-in-Fact (Seal) (Printed name and title) CAUTION:You should sign an original AIA Contract Document,on which this text appears in RED.An original assures that changes will not be obscured. AIA Document G707Tm—1994.Copyright 01970 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,may result in severe civil and criminal penalties,and will be prosecuted to the maximum extent possible under the law.Purchasers are not permitted to reproduce this document.To report copyright violations of AIA Contract Documents,e-mail The American Institute of Architects'legal counsel,copyright@aia.org. THE HANOVER INSURANCE COMPANY MASSACHUSETTS BAY INSURANCE COMPANY CITIZENS INSURANCE COMPANY OF AMERICA POWER OF ATTORNEY 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. KNOW ALL PERSONS BY THESE PRESENTS: That THE HANOVER INSURANCE COMPANY and MASSACHUSETTS BAY INSURANCE COMPANY, both being corporations organized and existing under the laws of the State of New Hampshire, and CITIZENS INSURANCE COMPANY OF AMERICA, a corporation organized and existing under the laws of the State of Michigan,(hereinafter individually and collectively the"Company')does hereby constitute and appoint, Brenda Bledsoe,Tina McLelland, Robbie Martin and/or Josh Andrajack Of Boley Featherston Huffman&Deal Co.of Wichita Falls,TX each individually, if there be more than one named,as its true and lawful attorney(s)-in-fact to sign,execute,seal,acknowledge and deliver for,and on its behalf,and as its act and deed any place within the United States,any and all surety bonds, recognizances, undertakings, or other surety obligations.The execution of such surety bonds,recognizances,undertakings or surety obligations,in pursuance of these presents,shall be as binding upon the Company as if they had been duly signed by the president and attested by the secretary of the Company, in their own proper persons. Provided however,that this power of attorney limits the acts of those named herein;and they have no authority to bind the Company except in the manner stated and to the extent of any limitation stated below: Any such obligations in the United States,.not to exceed Thirty Million and Noll 00($30,000,000)in any-single instance That this power is made and executed pursuant to the authority of the following Resolutions passed by the Board of Directors of said Company,and said Resolutions remain in full force and effect: RESOLVED: That the President or any Vice President, in conjunction with any Vice President, be and they hereby are authorized and empowered to appoint Attorneys-in-fact of the Company,in its name and as it acts,to execute and acknowledge for and on its behalf as surety, any and all bonds,recognizances,contracts of indemnity,waivers of citation and all other writings obligatory in the nature thereof,with powerto attach thereto the seal of the Company.Any such writings so executed by such Attorneys-in-fact shall be binding upon the Company as if they had been duly executed and acknowledged by the regularly elected officers of the Company in their own proper persons. RESOLVED:That any and all Powers of Attorney and Certified Copies of such Powers of Attorney and certification in respect thereto,granted and executed by the President or Vice President in conjunction with any Vice President of the Company,shall be binding on the Company to the same extent as if all signatures therein were manually affixed,even though one or more of any such signatures thereon may be facsimile. (Adopted October 7,1981—The Hanover Insurance Company;Adopted April 14,1982—Massachusetts Bay Insurance Company;Adopted September 7,2001—Citizens Insurance Company of America) IN WITNESS WHEREOF,THE HANOVER INSURANCE COMPANY,MASSACHUSETTS BAY INSURANCE COMPANY and CITIZENS INSURANCE COMPANY OF AMERICA have caused these presents to be sealed with their respective corporate seals,duly attested by two Vice Presidents,this 4111 day of March, 2019. THE HANOVER INSURANCE COMPANY ep MASSACHUSETTS BAY INSURANCE COMPANY CITIZENS SUHANCE�OIAPANY OF AMERICA t/►J Rr:•rn'fi❑.rna-.Vice Pre,idcin THE HANOVER INSURANCE COMPANY MA SA HUSE—1AYI R CECOMPANY Cli EN 1 SU !CE j.1 �OF AMERICA THE COMMONWEALTH OF MASSACHUSETTS ) 11 COUNTY OF WORCESTER )ss. J • n,e,vice P es ant On this 41h day of March, 2019 before me came the above named Vice Presidents o/The Hanover Insurance Company, Massachusetts Bay Insurance Company and Citizens Insurance Company of America,to me personally known to be the individuals and officers described herein,and acknowledged that the seals affixed to the preceding instrument are the corporate seals of The Hanover Insurance Company,Massachusetts Bay Insurance Company and Citizens Insurance Company of America,respectively,and that the said corporate seals and their signatures as officers were duly affixed and subscribed to said instrument by the authority and direction of said Corporations. OIANE J. MARINO Ncl�ry Public �,�,p�M�\ COsr,CeMfArn1 OF Y✓<tiAC,RlQf11( k/c4ftw rce Eck. J,/yd,s.1071 dI.c:,,,,,,,,..i,,,,r:.Pin•.:.I:,,cI,.._r__ I,the undersigned Vice President of The Hanover Insurance Company,Massachusetts Bay Insurance Company and Citizens Insurance Company of America,hereby certify that the above and foregoing is a full,true and correct copy of the Original Power of Attorney issued by said Companies,and do hereby further certify that the said Powers of Attorney are still in force and effect. GIVEN under my hand and the seals of said Companies,at Worcesteri Massachusetts,this 22ndday of April 2019 CERTIFIED COPY ` -1hr'dcrc G.`dartinr/.Via PrCAdcnt CONTRACTOR'S OWNER ❑ AFFIDAVIT OF ARCHITECT ❑ PAYMENT OF SUUO RERYCTOR o DEBTS AND CLAIMS OTHER AIA DOCUMENT G706 TO (Owner) PROJECT NO: 100637 L 1 CONTRACT FOR: City of Fort Worth Pedestrian Sidewalks Along John T. 200 Texas Street White Rd., Medical Dr., and Fort Worth, Texas 76102 Sartain Dr. L CONTRACT DATE: January 30, 2018 PROJECT: Pedestrian Sidewalks Along John T.White Rd., Medical Dr., and Sartain Dr. (name, address) Fort Worth, Texas State of: TEXAS County of: TARRANT The undersigned,pursuant to Article 9 of the General Conditions of the Contract for Construction,AIA Document A201, hereby certifies that, except as listed below, he has paid in full or has otherwise satisfied all obligations 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 his property might in any way be held responsible. EXCEPTIONS:(if none,write"None". If required by the Owner,the Contractor shall furnish bond satisfactory to the Owner for each exception.) N/A SUPPORTING DOCUMENTS ATTACHED HERETO: CONTRACTOR: Northstar Construction, LLC. 1.Consent of Surety to Final Payment.Whenever Surety Address: 2112 Solona Street is involved, Consent of Surety is required.AIA Fort Worth, Texas 76117 DOCUMENT G707,CONSENT OF SURETY,may be used for this purpose. BY: Indicate attachment: (Yes X ) (No ) Michael A. Heimlich, President The following supporting documents should be attached hereto if required by the Owner: Subscribed and sworn to before me this 1. Contractor's Release or Waiver of Liens, conditional upon receipt of final payment Day of 22nd of April,2019. Separate Releases or Waivers of Liens from Sub- contractors and material and equipment suppliers,to Notary Public: the extent required by the Owner,accompanied by a list thereof. 3. Contractor's Affidavit of Release of Liens(AIA DOCUMENT G706A) My Commis 'on Expires: 9-25-2022 SANDY Q.MARTINEZ ar°' G„_Notary Public,State of Texas 2022 AIA DOCUMENT G706•CONTRACTOR'S AFFIDAVIT OF RELEASE OF LIENS•APRIL 1970 EDITI u/�� ���k`�1970U q 7 INSTITUTE OF ARCHITECTS, 1735 NEW YORK AVE.,NW,WASHINGTON,D.C.20006 [CD I > . / m - 2 ® ` } ) ) / . © I � � 7 � o � U 0 . d wl ° _ } � % R a ® 4-, 0 ] q ; u D ; 609, C�j ._ � / % � pJ 0 \ \ § / u a a ' G � / 3 \ 0 } \ / k \ = � : : ; � E G 7 o = ! < 7 < ) < & < $ / oo / [ o k ) \ o 7 g [ g\ § G 2 cn ) ) ƒ k ) { / E , a $ ) y § § \ \ \ ! \ 7T / / 2 E ? \ E @ k { \ \ u ƒ f « § o § E \ f ® o / (n _ \ v m - k [ ) ? 2 \ ( 2 2 k \ _ \ / co 7T § / k e � k � � 2 = _ _ = G 7T � 0 2 \ q / ./ \ \ Q Q Q e � / 7T ( j ° j o § ? \ ) C� � % 2 LD [ G ) � / ) CA 7 2 § A o = u Q) _ \ > \ % o ° � / § u / ® 4-j 2 i \ _ e g ! , \ - / n ! Q m U = ¥ } \ / O < < \ z � Q / / / o , § z . in a . \ m � A