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Contract 47323-FP1
City Secretary 47323 -FPl % Contract No.a , RECEIVED FORT WORTH Date Received Nov 11,2019 Nov 1 12019 CITY OR FORT WORTH f"3 CITY SECRETARY 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: LEFT BANK STREETSCAPE AND STREET LIGHT IMPROVEMENTS City Project No.: 02699 Improvement Type(s): ❑ Paving ❑ Drainage ® Street Lights ❑ Traffic Signals Original Contract Price: $1,157,032.10 Amount of Approved Change Order(s): Revised Contract Amount: Total Cost of Work Complete: $1,157,032.10 C/Y-/40al&x FaGNo�-e Nov 5, 2019 Christopher A.Palmore(Nov 5,2019) Contractor Date EMJ Construction Title Project Manager Company Name Kevin Chambers(Nov 5,2019) Nov 5 2019 Project Inspector Date Nov 5 2019 Aaron Long(Nov 7 Project Manager Date ;7ahie Sr a�Ce aGet Janie Scarlett Moralr �.-i 8,2019)2019) Nov 8, 2019 CFA Manager Date a` Nov 8 2019 c.�i�.�eurghdofl(I v8,201 , Asst. City Manager Date OFFICIAL RECORD CITY SECRETARY Page 1 of 2 FT. WORTH,TX Notice of Project Completion Project Name: LEFT BANK STREETSCAPE AND STREET LIGHT IMPROVEMENTS City Project No.: 02699 City's Attachments Final Pay Estimate ❑x Change Order(s): ❑ Yes ❑x N/A Contractor's Attachments Affidavit of Bills Paid Consent of Surety Statement of Contract Time Contract Time: 731 CD Days Charged: 1276 Work Start Date: 4/11/2016 Work Complete Date: 10/8/2019 Page 2of2 FoRTWORTH CITY OF FORT WORTH FINAL PAYMENT REQUEST Contract Name LEFT BANK STREETSCAPE AND STREET LIGHT IMPROVEMENTS Contract Limits Project Type STREET LIGHT City Project Numbers 02699 DOE Number 2699 Estimate Number 1 Payment Number 1 For Period Ending 11/1/2019 CD City Secretary Contract Number Contract Time 73tCD Contract Date Days Charged to Date 1276 Project Manager NA Contract is 100.00 Complete Contractor EMJ CORPORATION 5525 N.MACARTHUR BLVD.,#400 IRVING, TX 75038-2604 Inspectors DICKINSON / CHAMBERS Friday,November 1,2019 Page I of 4 City Project Numbers 02699 DOE Number 2699 Contract Name LEFT BANK STREETSCAPE AND STREET LIGHT IMPROVEMENTS Estimate Number I Contract Limits Payment Number I Project Type STREET LIGHT For Period Ending 11/l/2019 Project Funding STREETSCAPE&STREET LIGHT Item Description of Items Unit Unit Cost Estimated Estimated Completed Completed No. Quanity Total Quanity Total --------------------------------------- 1 FURNISWINSTALL ELEC SERV PEDESTAL 3 EA $5,000.00 $15,000.00 3 $15,000.00 2 CONDUIT BOX 22 EA $500.00 $11,000.00 22 $11,000.00 3 2"CONDT PVC SCH 80 6539 LF $8.00 $52,312.00 6539 $52,312.00 4 4"CONC SIDEWALK 65007 SF $8.00 $520,056.00 65007 $520,056.00 5 BARRIER FREE RAMP 52 EA $400.00 $20,800.00 52 $20,800.00 6 24"SLD PVMT MARKING HAE 2455 LF $1.50 $3,682.50 2455 $3,682.50 7 LANE LEGEND ARROW I EA $250.00 $250.00 1 $250.00 8 LANE LEGEND SHARROW 1 EA $250.00 $250.00 I $250.00 9 NO 2 INSULATED ELEC CONDR 1184 LF $2.15 $2,545.60 1184 $2,545.60 10 NO 6 INSULATED ELEC CONDR 28080 LF $1.50 $42,120.00 28080 $42,120.00 11 ORNAMENTAL ASSEMBLY,SIMPLE 74 EA $3,530.00 $261,220.00 74 $261,220.00 12 ORNAMENTAL ASSEMBLY,COMPLEX 22 EA $5,868.00 $129,096.00 22 $129,096.00 13 FURNISH/INSTALL ALUM SIGN GROUND 30 EA $250.00 $7,500.00 30 $7,500.00 MOUNT 14 RDWY ILLUM FOUNDATION 74 EA $950.00 $70,300.00 74 $70,300.00 15 RDWY ILLUM FOUNDATION 22 EA $950.00 $20,900.00 22 $20,900.00 --------------------------------------- Sub-Total of Previous Unit $1,157,032.10 $1,157,032.10 -------------------------------------- Friday,November 1,2019 Page 2 of 4 City Project Numbers 02699 DOE Number 2699 Contract Name LEFT SANK STREETSCAPE AND STREET LIGHT IMPROVEMENTS Estimate Number 1 Contract Limits Payment Number 1 Project Type STREET LIGHT For Period Ending 11/1/2019 Project Funding Contract Information Summary Original Contract Amount $1,157,032.10 Change Orders Total Contract Price $1,157,032.10 Total Cost of Work Completed $1,157,032.10 Less %Retained $0.00 Net Earned $1,157,032.10 Earned This Period $1,157,032.10 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 $1,157,032.10 Friday,November 1,2019 Page 3 of 4 City Project Numbers 02699 DOE Number 2699 Contract Name LEFT BANK STREETSCAPE AND STREET LIGHT IMPROVEMENTS Estimate Number I Contract Limits Payment Number I Project Type STREET LIGHT For Period Ending 11/1/2019 Project Funding Project Manager NA City Secretary Contract Number Inspectors DICKINSON / CHAMBERS Contract Date Contractor EMJ CORPORATION Contract Time 731 CD 5525 N.MACARTHUR BLVD.,#400 Days Charged to Date 1276 CD IRVING, TX 75038-2604 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 $1,157,032.10 Less %Retained $0.00 Net Earned $1,157,032.10 Earned This Period $1,157,032.10 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 $1,157,032.10 Friday,November 1,2019 Page 4 of 4 EMJ CONSTRUCTION 11/05/2019 City of Fort Worth CFA Administration 200 Texas St. Fort Worth, TX 76102 RE: Champions Center Pad 8 Retail Development DOE #: 2699 City Project# 02699 The purpose of this letter is to acknowledge that EMJ Corporation have been paid in full by Centergy West 7th, LLC for the public improvements constructed to serve LEFT BANK STREETSCAPE & STREET LIGHT IMPROVEMENTS in Fort Worth, Texas. As a result, we hereby waive, release and relinquish all rights to assert any claim or demand for lien in connection with this project. Please feel free to contact me with any questions you may have. Sincerely, ristop er A. Palmore Project manager SHEILA M NAZARIO THOMAS Notary ID r129623291 My Comrrission Expires November 12,2021 5525 N.MacArthur Blvd. Suite 400 Irving,TX 75038 10 972.580.1210 D 972.582.3413 palmore@emjcurp.com sla-1,AIADocument G707TM - 1994 Consent Of Surety to Final Payment PROJECT:(Name and address) ARCHITECT'S PROJECT NUMBER: OWNER: Left Bank- Streetscape and Street Light ARCHITECT: ❑ Improvements Fort Worth,Texas CONTRACTOR: CONTRACT FOR:General Construction SURETY: TO OWNER:(Name and address) CONTRACT DATED:May 15,2019 OTHER: ❑ Centergy Retail,LLC and City of Forth Worth,Texas In accordance with the provisions of the Contract between the Owner and the Contractor as indicated above,the (Inset name and address of Surety) Western Surety Company 5565 Glenridge Connector NE, 6th Floor Atlanta GA 30342 ,SURETY, on bond of (Insert name and address of Contractor) EMJ Corporation 2034 Hamilton Place Blvd., Suite 400 Chattanooga TN 37421 ,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) Centergy Retail,LLC and City of Forth Worth,Texas OWNER, as set forth in said Surety's bond. IN WITNESS WHEREOF,the Surety has hereunto set its hand on this date:November 4,2019 (Insert in writing the month followed by the numeric date and year.) Western Surety Company (Su (Signature of authorized representative) Attest: Patricia S. Kleehammer,Attorney-in-fact (Seal): (Printed name and title) 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 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.This document was produced by AIA software at 15:12:24 ET on 11/04/2019 under Order No.2624972443 which expires on 04/03/2020,and is not for resale. User Notes: (389ADA60) Western Surety Company POWER OF ATTORNEY APPOINTING INDIVIDUAL ATTORNEY-IN-FACT Know All Men By These Presents,That WESTERN SURETY COMPANY,a South Dakota corporation,is a duly organized and existing corporation having its principal office in the City of Sioux Falls, and State of South Dakota,and that it does by virtue of the signature and seal herein affixed hereby make,constitute and appoint Mark R Brock, Patricia S Kleehammer, Emily K Fant, Tucker H Compton, Mark Ramsey Brock Jr, John D Brock, Cecil Ray Vaughan III, T Michael Langley, Dana Keith Davis, Individually of Rossville,GA,its true and lawful Attorney(s)-in-Fact with full power and authority hereby conferred to sign,seal and execute for and on its behalf bonds, undertakings and other obligatory instruments of similar nature - In Unlimited Amounts - and to bind it thereby as fully and to the same extent as if such instruments were signed by a duly authorized officer of the corporation and all the acts of said Attorney,pursuant to the authority hereby given,are hereby ratified and confirmed. This Power of Attorney is made and executed pursuant to and by authority of the By-Law printed on the reverse hereof,duly adopted,as indicated,by the shareholders of the corporation. In Witness Whereof, WESTERN SURETY COMPANY has caused these presents to be signed by its Vice President and its corporate seal to be hereto affixed on this 14th day of January,2019. WESTERN SURETY COMPANY "'SURETy�'%y -..........••Cry=Wi �2s s°%�TN.OPµO rr moxuw,w� aul T.Bruflat,Vice.President State of South Dakota l JT County of Minnehaha ss On this 14th day of January,2019,before me personally came Paul T. Bruflat,to me known,who,being by me duly sworn,did depose and say: that he resides in the City of Sioux Falls, State of South Dakota; that he is the Vice President of WESTERN SURETY COMPANY described in and which executed the above instrument; that he knows the seal of said corporation;that the seal affixed to the said instrument is such corporate seal;that it was so affixed pursuant to authority given by the Board of Directors of said corporation and that he signed his name thereto pursuant to like authority, and acknowledges same to be the act and deed of said corporation. My commission expires J.MOBR S ��••••�� NOTARY PUBLIC �� June 23,2021 SOUTH J.Mohr,Notary Public CERTIFICATE I,L. Nelson,Assistant Secretary of WESTERN SURETY COMPANY do hereby certify that the Power of Attorney hereinabove set forth is still in force,and further certify that the By-Law of the corporation print on the reverse h�er9of is still in force. In testimony whereof I have hereunto subscribed my name and affixed the seal of the said corporation this _day of GREY WESTERN SURETY COMPANY _We i�X is ......... ' I L.Nelson,Assistant Secretary Form F4280-7-2012 Go to www.cnasurety.com>Owner/Obligee Services>Validate Bond Coverage,if you want to verify bond authenticity.