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Contract 52097-FP1
City Secretary 52097 -FP1 Contract No. FORTWORTH. date Received Dec 9,2019 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. TAVOLO PARK PHASE III City Project No.: 101803 Improvement Type(s): © Paving ❑ Drainage ❑ Street Lights ❑ Traffic Signals Original Contract Price: $1,065,429.65 Amount of Approved Change Orders): -$94,645,00 Revised Contract Amount: $970,784.65 Total Cost of Work Complete: $970,784.65 Rob AVy' - Dec 4,2019 Contractor Date Accounts Receivable Title Gilco Contracting, Inc. Company Name Nea Kcpw Dec 5,2019 Neal Kime(Dec 5,2019) Project Inspector Date f. Fred Ehia(Dec 6,2019) Dec 6,2019 Project Manager Da;e �7alrie &Mtalw Dec 8 2019 Janie Scadett Morales(Dec 8,2019) 7 CFA Manager Date Dana Burghdoff(0&8,2019T Dec 8, 2019 Asst. City Manager Date OFFICIAL RECORD CITY SECRETARY Page 1 of 2 FT.WORTH, TX Notice of Project Completion Project Name: TAVOLO PARK PHASE III City Project No.: 101803 City's Attachments Final Pay Estimate Change Order(s); ® Yes ❑ NIA Contractor's Attachments Affidavit of Bills Paid Consent of Surety Statement of Contract Time Contract Time: 60 CD Days Charged: 60 Work Start ❑ate: 4/22/2019 Work Complete Date: 10/6/2019 Page 2 of 2 FORTWORTH CITY OF FORT WORTH FINAL PAYMENT REQUEST Contract Name TAVOLO PARK PHASE W Contract Limits Project Type PAVING City Project Numbers I01803 DOE Number 1803 Estimate Number 1 Payment Number 1 For Period Ending 11/21/2019 CD City Secretary Contract Number Contract Time 6(rD Contract hate Days Charged to Date 135 Project Manager NA Contract is 100.00 Complete Contractor GILCO CONTRACTING,INC. 6331 SOUTHWEST BLVD. BENBROOK, TX 76132-1063 Inspectors OWEN / K1ME Thursday,November 21,20I9 Page 1 of 4 City Project numbers 101803 DOE Number I803 Contract Name TAVOLO PARK PHASE III Estimate Number 1 Contract Limits Payment Number 1 Project Type PAVING For Period Ending 11/21/2019 Project Funding PAVING Item Description of Items Estimated unit unit Cost Estimated Completed Completed No. Quanity Total Quanity Total 1 BARRIER FREE RAMP 2 EA $2,050,00 $4,100.00 2 $4,I00A0 3 BARRIER FREE RAMP 4 EA $1,750.00 $7,000.00 4 $7,000.00 4 4"CONC SIDEWALK CON] I9176 SF $5.00 $95,890.00 19176 $95,880,00 5 6"CONC PVMT 1672 SY $33.20 $55,510.40 1672 $55,510.40 6 6"LIME TREATMENT I773 SY $2.55 $4,521.15 1773 $4,521.15 7 HYDRATED LIME®30 LBS 27 TN $160.00 $4,320.00 27 $4,320.00 8 7 112"CONC PVMT 15743 SY $38.75 $610,04L25 15743 $610,041.25 9 8"LIME TREATMENT 16687 SY $2.65 $44,220.55 16687 $44,220.55 10 HYDRATED LIME®36 LBS 300 TN $160.00 $48,000,00 300 $48,000.00 11 REMOVE 7"ASPHALT BASE TYPE B 911 SY $10.00 $9,l 10.00 911 $9,110.00 I2 7"ASPHALT BASE TYPE B 1963 SY $42.50 $83,427.50 1963 $83,427.50 13 TRAFFIC CONTROL l MO $2,500.00 $2,500.00 1 $2,500.00 Sub-Total of Previous Unit $968,630.85 $968,630.85 SIGNAGE&PAVEMENT MARKINGS Item Description of Items F-stfmated unit Unit Cost Estimated Completed Completed No. Quanity Total Quanity Total ---------------- -------------- -_. 1 24"BRK PVMT MARKINCr 14AS 29 LF $15.95 $462.55 29 $462.55 2 8"SLD PVMT MARKING HAS 615 LF $2.75 $1,691.25 615 $1,691.25 Sub-Total of Previous Unit $2,153.80 $2,153.80 Thursday,November 21,2019 Page 2 of 4 City Project Numbers 101803 DOE Number 1803 Contract Name TAVOLO PARK PHASE M Estimate Number 1 Contract Limits Payment Number 1 Project Type PAVING For Period Ending 11/21/2019 Project Funding Contract Information Summary Original ContractAmount $1,065,429.65 Change Orders Change Order Number 1 ($94,645.00) Total Contract Price $970,784.65 Total Cost of Work Completed $970,784.65 Less %Retained $0.00 Net Earned $970,784.65 Earned This Period $970,784,65 Retainage This Period $0.00 Less Liquidated Damages Days @ 1 clay $0.00 LessPavement Deficiency $0.00 Less Penalty $0.00 Less Previous Payment $0.00 Plus Material on Nand Less 15% $0.00 Balance Pue This Payment $970,794,65 Thursday,November 21,2019 Page 3 of 4 City Project Numbers 101803 DOE Number 1803 Contract Name TAVOI.O PARK PHASE][I Estimate Number I Contract Limits Payment Number Project Type PAVING For Period Ending 11/21/2019 Project Funding Project Manager NA City Secretary Contract Number Inspectors OWEN / KIME Contract Date Contractor GILCO CONTRACTING,INC. Contract Time 60 CD 633I SOUTHWEST BLVD. Days Charged to Date I35 CD BENBROOK, TX 76132-1063 Contract is L00000 Complete CITY OF FORT WORTH SUMMARY OF CHARGES Line Fund Account Center Amount Gross Retainage Net Funded Total Cost of Work Completed $970,784.65 Less %Retained $0.00 Net Earned $970,784.65 .Earned This Period $970,784.65 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 an Hand Less 15% $0.00 Balance Due This Payment $970,784.65 Thursday,November 21,2019 Page 4 of 4 ) ) [ \ \ E \ \ § � ) ) / \ \ / ] 7 § m q ~ q % 1 -0 -0 / o ® ° ; ` / j § m 9 § § § « ¥ § @ 2 / q § j f \ § � ¢ ` ° R �) P p § \ \! j . / PU ) ; ) � \ 2 7 / En Ul / (( / \ W W § C \ � � § � } \ 2 { ) % \ J \ . « k t 2 / \ \ \ \ } % \ ` > ) § $ . 7 ; 2 > \ ° � _ } / % In \ 2 } & ( §} q \ m / \ � n e � - � R ` e \ ■ m CD � § ; A � n � 2 � m \ !2 } & § ) 7 \ ® 2 ` q § ; & z 4 § m k \ /x c m §0 tee) \ k \ = f ~ ©�Z' ) - ¥ I< ® ] R $\ ( )/ \ ®9 \ a§ » pz 9 z r , ® J CD ;u §q \ \ � §\ � # W ° n ® ®S - ( ® B R M a `° §q « En °o rn�) Q \() § {ƒ/ . 6 ) % \ $) 4 R ± § aj m z rn } \ k S � • \ ca € z ®j) � { /29 | 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 Rob Taylor, AR/ Project Coordinator of Gilco Contracting, Inc., 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 Paving Improvements to serve: Tavolo Park Phase 3 BY: Rob Taylor Subscribed and sworn before me on this 22nd of November ,2019. Notary Public CESMA CANALES Tarrant County, TX Notary!0 11131652996 I (S My Commission Expires July 24. 2022 CONSENT OF OWNER ❑ SURETY COMPANY ARCHITECT ❑ TO FINAL PAYMENT CONTRACTOR ❑ SURETY ❑ Conforms with the American Institute of OTHER Architects,ALA Document 6707 Bond No 022222994 PROJECT: {name, address)Tavolo Park Phase III-Paving Improvement,Signage and Pavement Markings Fort Worth TX TO (Owner) PATE RANCH COMMERCIAL,LP AND CITY OF FORT I ARCHITECTS PROJECT N0: WORTH CONTRACT FOR: 10210 N.Central Expressway,Suite 300 Tavote Park Phase III-Paring Improvement,5ignage and Pavement Markings Dallas TX 75231 _J CONTRACT DATE: CONTRACTOR:GILCO CONTRACTING, INC. In accordance with the provisions of the Contract between the Owner and the Contractor as indicated above,the there insert name and address or surety,Company) LIBERTY MUTUAL INSURANCE COMPANY 175 Berkeley Street Boston MA 02116 . SURETY COMPANY on bond of Ihcre Insert name and address of Contractor) GILCO CONTRACTING, INC. 6331 Southwest Boulevard Benbrook TX 76132 , CONTRACTOR, hereby approves of the final payment to the Contractor,and agrees that final payment to the Contractor shall not relieve the Surety Company of any of its obligations to ;here insert name and address of Owner) PATE RANCH COMMERCIAL,LP AND CITY OF FORT WORTH 10210 N. Central Expressway,Suite 300 Dallas TX 75231 , OWNER, as set forth in the said Surety Company's bond. IN WITNESS,WHEREOF, the Surety Company has hereunto set its hand this 22nd day of November,2019 LIBERTY MUTUAL_INSURANCE COMPANY Surety Company Attest: (Seal): Sign re of Authorized Representative -5nje Hunj2r Attorney-in-Fact. Title NOTE: This form is to be usad as a companion document to ALA DOCUMENT G706, CONTRACTOR'S AFFIDAVIT OF PAYMENT OF DEBTS AND CLAIMS. Current Edition ONEPAGE This Power of Attomey 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. Libel At y Liberty Mutual Insurance Company mutum. The Ohio Casualty Insurance Company Certificate No: 8200743 West Amedcan Insurance Company SURETY 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 Now 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 laws of the State of Indiana(herein collectively called the"Companies),pursuant to and by authority herein set forth,does hereby name,constitute and appoint, Robbi Morales,Don E.Cornell,Sophinie Hunter,Tina McEwan,Tonic Per:rtmek,Ricardo J.Reyes, Joshua Saunders, Kelly A.Westbrook all of the city of Dallas state of TX each individually if there be more than one named,its true and lawful attomely-in-fact to make, execute,sea],acknowledge and deliver,for and on its behalf as surety and as its act and deed,any and all undertakings,bonds,recognizances and other surety obligations,to 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 seats of the Companies have been affixed thereto this 19th day of Much , 2019 Liberty Mutual Insurance Company INSU INS&, INS U)?� The Ohio Casualty Insurance Company Po West American Insurance Company C' 1919 2 1991N fry, 0 0 0 _Z r to i4cli C— By: 44�*'7 David M.Carey,Assistant Secretary State of PENNSYLVANIA as County of MONTGOMERY (a to On this 19th day of March 2019 before me personally appeared David M.Carey,who acknowledged himself to be the Assistant Secretary of Liberty Mutual Insurance 0 0 Company,The Ohio Casualty Company,and West American Insurance Company,and that he,as such,being authorized so to do,execute the foregoing instrument for the purposes pt 10) therein contained by signing on behalf of the corporations by himself as a duly authorized officer. to 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 02 0 a) COMMONWEALTH OF PENNSYLVANIA Notarial Seal 0 Teresa Fastens,Notary Public v0 75 to of Upper MerlonTwp.,Montgomery County By: ;5 My Commission Expires March 28,2021 3: Teresa Pastella,Notary Public 0 Member,PsnnsylvargcAssodauofiofNotaries CL 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,c: Insurance Company,and West American Insurance Company which resolutions are now in full force and effect reading as follows- 04) - ARTICLE IV—OFFICERS:Section 12,Power of Attorney. 3�0 co 15Z 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 0 President may prescribe,shall appoint such attomays-in-fact as may be necessary to act in behalf of the Corporation to make,execute,seal,acknowledge and deliver as surety t>u C:) M r— any and all undertakings,bonds,recognizances and other surety obligations.Such attorneys-in-fact subject to the limitations set forth in their respective powers ofaitorney,shall >0)- 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 E instruments shall be as binding as if signed by the President and attested to by the Secretary.Any power or authority granted to any representative or attorney-in-fact under the CO Z 0 0? 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. ARTICLE X111—Execution of Contracts.,Section 5,Surety Bonds and Undertakings. D 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- 0( shall appoint such attorneys-Iri-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 attomeysAri-fact subject to the limitations set forth in their respective powers of attorney,shall have full powerto bind the Company by their signature and execution of any such instruments and to attach thereto the seal of the Company.Men 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,acting pursuant to the Naws of the Company,authorizes David M.Carey,Assistant Secretary to appoint such alliorneyswin- fact as may be necessary to act 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 issued 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. 1,Renee C.Llewellyn,the undersigned,Assistant Secretary,The Ohio Casualty Insurance Company,Liberty Mut tuat 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 at the Power of Attome ex by i Companies,is in full force and effect and y outed said has not been revoked, IN TESTIMONY WHEREOF,I have hereunto set my hand and affixed the seals of said Companies this 22nd day-of November- 2019 Alms 114S 1912 0 1919 1991 0 0 By: a IAII Renee C.Llewellyn,Assistant Secretary LMS-12873 LMIC OCIC WAIC Multi COP62018 Liberty mutual- SURETY TEXAS TEXAS IMPORTANT NOTICE AVISO RVIPORTANTE To obtain information or make a complaint: Para obtener informacion o para someter una queja: You may call toll-free for information or to Usted puede llamar al numero de telefono gratis make a complaint at para informacion o para someter una queja al 1-877-751-2640 1-877-751-2640 You may also write to: Usted tambien puede escribir a: 2200 Renaissance Blvd.,Ste.400 2200 Renaissance Blvd.,Ste.400 King of Prussia,PA 19406-2755 King of Prussia,PA 19406-2755 You may contact the Texas Department of Puede comunicarse con el Departamento de Insurance to obtain information on companies, Seguros de Texas para obterier informacion coverages,rights or complaints at acerca de cornpanias, coberturas, derechos o 1-800-252-3439 quejas at 1-800-252-3439 You may write the Texas Department of Insurance Puede escribir al Depaitamento de Seguros Consumer Protection(11 I-IA) de Texas Consumer Protection(11 t-I A) P. O.Box 149091 P.O.Box 149091 Austin,TX 78714-9091 Austin,TX 78714-9091 FAX- (512)490-1007 FAX#(512)490-1007 Web:hM2://www.tdiAexas.gov Web:htt�p://www.tdi.texas.gov E-mail: ConsumerProtection(dtdiAexas.gov E-mail:ConsumerPrQtection@idiAg-xas�ov� PREMIUM OR CLAIM DISPUTES: DISPUTAS SOBRE PRIMAS 0 RECLAMOS: Should you have a dispute concerning your Si tiena una disputa concerniente a su prima o a premium or about a claim you should first un reclamo, debe comunicarse con el agente o contact the agent or call 1-800-843-6446. primero. Si no se resuelve la disputa, puede If the dispute is not resolved,you may contact the entonces comunicarse con el departamento(TDI) Texas Department of Insurance. ATTACH THIS NOTICE TO YOUR UNA ESTE AVISO A SU POLIZA: POLICY: This notice is for information only and does not Este aviso es solo para proposito de informacion become a part or condition of the attached y no se convierte en parte o condicion del document. documento adjuntoi NP 70 69 09 01 LMS-162OZ