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Contract 50304-FP2
City Secretary 50304 -FP2 Contract No. __ FORTWORTH., Cate Received Dec 16,2019 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: SUMMER CREEK RANCH XII PHASE C City Project No,: 100684 Improvement Types): © Paving ❑ Drainage ❑ Street Lights ❑ Traffic Signals Original Contract Price: $956,896.95 Amount of Approved Change Order(s): Revised Contract Amount: Total Cost of Work Complete: $956,896.95 Ro�c12,2019) Dec 12,2019 Contractor Date Accounts Receivable Title Gilco Contracting, Inc. Company Name Kevin Barnes(Dec 12,2019) Dec 12,2019 Project Inspector Date Aaron Lan Dec 16,2019 Aaron Long(Dec 1 ,2019) P ject Manager Date escarlett Morales(Dec 16,2019) Dec 16,2019 CFA Manager Da`e Dana Burghdoff(Dbf 16,201 Dec 16,2019 Asst. City Manager Date OFFICIAL RECORD CITY SECRETARY Page 1 of 2 FT.WORTH, TX Notice of Project Completion Project Name: SUMMER CREEK RANCH XII PHASE C City Project No.: 100684 City's Attachments Final Pay Estimate Change orders): ❑ Yes Z NIA Contractor's Attachments Affidavit of Sills Paid Consent of Surety Statement of Contract Time Contract Time: 190 CD Days Charged: 268 Work Start Date: 2/25/2019 Work Complete Date: 11/26/2019 Page 2 of 2 FORT WO RT H CITY OF FORT WORTH FINAL PAYMENT REQUEST Contract Name SUMMER CREEK RANCH XII PHASE C Contract Limits Project Type PAVING City Project Numbers 100684 DOE Number 0684 Estimate Number 1 Payment Number I For Period Ending 12/11/2019 CD City Secretary Contract number Contract Time 4CD Contract Date Days Charged to Date 268 Project Manager NA Contract is 100.00 Complete Contractor GILCO CONTRACTING,INC. 6331 SOUTHWEST BLVD. BENBROOK, TX 76132-I063 Inspectors DICKINSON I DIVER Wednesday,December 11,2019 Page I of of City Project Numbers 100684 DOE Number 0684 Contract Name SUMMER CREEK RANCH XII PHASE C Estimate Number I Contract Limits Payment Number I Project Type PAVING For Period Ending 12/11/2019 Project Funding PAVING Item Description of Items Estimated Unit 7jnit Cos, Estimated Completed Completed No. Quanity Total Quanity Total 1 REMOVE CONC PVMT 1350 SY $20.00 $27,000.00 u 1350 $27,000.00 2 HYDRATED LIME 327 TIC $I55.00 $50,685,00 327 $50,695.00 3 6"LIME TREATMENT 10325 SY $2.95 $30,458.75 10325 $30,458.75 4 8"LIME TREATMENT 7832 SY $3.05 $23,887.60 7832 $23,897.60 5 2"ASPHALT PVMT TYPE D 333 SY $16.50 $5,494.50 333 $5,494.50 6 4"ASPHALT PVMT TYPE B 333 SY $33.00 $10,989.00 333 $€0,989.00 7 6"CONC PVMT 9675 SY $33.40 $323,I45.00 9675 $323,I45.00 8 I0"CONC PVMT 7440 SY $46.60 $346,704.00 7440 $346,704.00 9 4"CONC SIDEWALK 13609 SY $5.25 $71,447.25 I3609 $71,447.25 10 BARRIER FREE RAMP 7 EA $1,950,00 $13,650,00 7 $13,650.00 11 BARRIER FREE RAMP 3 EA $1,900.00 $5,700.00 3 $5,700,00 12 BARRIER FREE RAMP 7 EA $2,4%00 $17,150.00 7 $17,150,00 13 6"CONC CURB&GUTTER 500 LF $30.00 $15,000,00 500 $15,000.00 14 4"SLD PVMT MARKING HAS 6780 LF $1.30 $8,814.00 6780 $8,814.00 15 8"SLD PVMT MARKING HAS 945 LF $2.75 $2,598,75 945 $2,598.75 16 24"SLD PVMT MARKING HAE 28 LF $15.95 $446.60 28 $446.60 17 LANE LEGEND ARROW 2 EA $250.00 $500X0 2 $500.00 l8 LANE LEGEND ONLY 3 EA $285.00 $855,00 3 $855.00 19 LANE LEGEND BIKE 2 EA $315.00 $630.00 2 $630.00 20 REFL RAISED MARKER 100 EA $4.95 $495.00 I00 $495.00 21 REMOVE LANE LEGEND ONLY 2 EA $60.00 $I20.00 2 $120.00 22 REMOVE 4"PVMT MARKING 2505 LF $0.30 $751.50 2505 $751.50 23 REMOVE 8"PVMT MARKING 385 LF $0.60 $23I.00 385 $231.00 24 REMOVE RAISED MARKER 30 EA $0.30 $9.00 30 $9.00 25 REMOVE LANE LEGEND ARROW 3 EA $45.00 $135.00 3 $135.00 Sub-Total of Previous Unit $956,896.95 $956,896.95 ----- - ------------------- - ---------- ---- Wednesday,December 11,2019 Page 2 of City Project Numbers 100684 DOE Number 0684 Contract Name SUMMER CREEK RANCH XIl PHASE C Estimate Number 1 Contract Limits Payment Number I Project Type PAVING For Period Ending IV11/2019 Project Funding Contract Information Sumniary Original Contract Amount $956,896.95 Change Orders Total Contract Price $956,896,95 Total Cost of Work Completed $956,896.95 Less %Retained $0.00 Net Earned $956,896.95 Earned This Period $956,896.95 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 $956,896.95 Wednesday,December 11,2019 Page 3 of 4 City Project Numbers 100684 DOE Number 0694 Contract Name SUMMER CREEK RANCH X11 PHASE C Estimate Number 1 Contract Limits Payment Number 1 Project Type PAVING For Period Ending 12/11/2019 Project Funding Project Manager NA City Secretary Contract Number Inspectors DICKINSON / DIVER Contract Date Contractor G1LCO CONTRACTING.INC. Contract Time 40 CD 6331 SOUTHWEST BLVD. Days Charged to Date 268 CD BENBROOK, TX 76132-1063 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 $956,896.95 Less %Retained $0.00 Net Earned $956,896.95 li Earned This Period $956,896.95 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 WOO Plus Material on Hand Less 15% $0.00 Balance Due This Payment $956,896.95 Wednesday,December 11,2019 Page 4 of 4 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 1 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: Summer Creek Ranch Section XII Phase C Z'; I , BY: Rob Tay or Subscribed and sworn before me on this 12th of December , 2019. ,aR'pue CESIUA CANALES Notary 4p 1it31652996 Notary Public vT v my Commission Expires Tarrant County, TX e�,t� Juiy 24, 2022 CONSENT OF OWNER ❑ SURETY COMPANY ARCHITECT ❑ TO FINAL PAYMENT SORE RYcTVR ❑❑ Conforms with the American Institute of OTHER Architects,AIA Document G707 Bond No 022221124 PROJECT: (turtle, address)Summer Creek Ranch Section XII Phase C-Paving improvements Fort Worth TX TO (Owner) FORESTAR(USA)REAL ESTATE GROUP,INC.AND ARCHITECT'S PROJECT NO: CITY OF FORT WORTH CONTRACT FOR: 14755 Preston Road,Suite 130 Summer Creek Ranch Section X I I Phase C'-Paving Irnprovements Callas Tx 75254 --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 !here insert name and address of Surety Company) LIBERTY MUTUAL INSURANCE COMPANY 175 Berkeley Street Boston MA 02116 , SURETY COMPANY on bond of (here insert name and address of Contractor) G#LCO 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 Ownerl FORESTAR(USA)REAL ESTATE GROUP, INC.AND CITY OF FORT WORTH 14755 Preston Road, Suite 130 Dallas TX 75254 , OWNER, as set forth in the said Surety Company's bond. IN WITNESS,WHEREOF, the Surety Company has hereunto set its hand this 11 th day of December, 2019 LIBERTY MUTUAL INSURANCE COMPANY Surety Company Attest: LWo (Seal): _ Sig7nat6re of Authorized Representative &112hinic Ijunter Attorney-in-Facf Title NOTE: This farm is to be used as a companion document to AIA DOCUMENT 0706, CONTRACTOR'S AFFIOAViT OF PAYMENT OF DEBTS AND CLAIMS, Current Edition ONE PAGE 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. L*bertX i Liberty Mutual Insurance Company .Mutual® The Ohio Casualty Insurance Company Certificate No: 8200743 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 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,Tonie Petrane1c,Ricardo J.Reyna, 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 attomey-m-fact to make, execute,seal,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,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 19th day of March 2019 Liberty Mutual Insurance Company Py I Su XNSO-1,( INS& Ikk The Ohio Casualty Insurance Company C,o¢PCRgp 0UjJ Lo¢PONarCi VURPCh'9T 0 West American Insurance Company cu �T le, C, 191 0 U M 0 Lu 1991 0 1919 2 U) a) Act > OA MP lAsp By: 4ZI a) David M.Carey,Assistant Secretary State of PENNSYLVANIA County of MONTGOMERY ss ca as 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 2 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 M CD a) > therein contained by signing on behalf of the corporations by himself as a duly authorized officer. uJ 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, (D C E L 0 U) PAS* o NW COMMONWEALTH OF PENNSYLVANIA do 17 Notarial Seal -0 Teresa Pastell ,Notary Public OF -6 Upper MerionTwio.,"Montgomery County Ely: C: My Commission Expires March 28,2021 > E Teresa Pastelia,Notary Public M Member,Pennsylvania Association of Notaries 4.C:) o)U) M 2 a) This Power of Attorney is made and executed pursuant to and by authority of the following By-laws and Authorizations of The Ohio Casualty Insurance Company, Liberty Mutual 02 o.c: Insurance Company,and West American Insurance Company which resolutions are now in full force and effect reading as follows: 00) oS E a) ARTICLE IV-OFFICERS:Section 12.Power of Attorney. ,0 P 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 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 >q M C: any and all undertakings,bonds,recognizances and other surety obligations.Such attorneys-in-fact,subject to the limitations set forth in their respective powers of attorney,shall 0-,:114 > 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 00, E -4 0 instruments shall be as binding as if signed by the President and attested to by the Secretary. c Any power or authority granted to any representative or attorney-in-fact under the cy) Z q--00 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. 0 C:6 ARTICLE X111-Execution of Contracts:Section 5.Surety Bonds and Undertakings. 0— 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,Fes— shall appoint such attorneys-in-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-in-fact 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,acting pursuant to the Bylaws of the Company,authorizes David M.Carey,Assistant Secretary to appoint such attomeys-in- 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 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 this 1 Ith day of December , 2019 SJJ Vill INS& %Nsuj� 0 cfi �cnOP.oycfi \Cr Lu 191 0 (3 -;� 1919 1991 � .4 0 - "41-1 %-0 k Z.NAMPS 11 DiAW` dad By: 0/7 �11 I Renee C.Llewellyn,Assistant Secretary LMS-12873 LMIC OCIC WAIC Multi Co062018 LibertX mutual. SURETY TEXAS TEXAS IMPORTANT NOTICE AVISO IMPORTANTE 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 Ilamar al numero de telefono gratis make a complaint at para informacion o para someter una 4ueja 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 obtener informacion coverages,rights or complaints at acerca de companies, coberturas, derechos o 1-800-252-3439 quej as al 1-800-252-3439 You may write the Texas Department of Insurance Puede escribir al Departamento de Seguros Consumer Protection(I I I-I A) de Texas Consumer Protection(I I I-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:bU://www.tdi.texas.gov Web: http://www.tdi.texas.gov E-mail: ConsumerProtection&tdi.texas.gov E-mail: ConsumerProtection&tdi.texas.gov PREMIUM OR CLAIM DISPUTES: DISPUTES 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 condition del document. documento adjunto. NP 70 68 09 01 LMS-15292 10/15