HomeMy WebLinkAboutContract 46496-FP2 City Secretary 46496 -FP2
Contract No.
FORTWORTH. Cate ReceiveciJan 28,2020
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: Water& Sewer Improvements to Serve The Fort Worth Zoo
City Project No.: 100141
Improvement Types): Water ® Sewer
Original Contract Price: $509,654.00
Amount of Approved Change Orders): $112,246.00
Revised Contract Amount:
Total Cost of Work Complete: $622,100.00
Cal-`10lf Co/G/eV Se 26,2019
Carson Collier(Sep 26,2019) p
Contractor date
Project Manager
Title
North Texas Contracting, Inc
Company Name
&)Ward t)�L� Jan 6 2020
Edward Davila(Jan 6.2020) __._ ,
Project Inspector Date
Aaron Long(Jan .2020) X Jan 6,2020
Pr/o•(jectt Manager Date
Jen er b%�'on behalf of Janie Morales(Jan 7,2020) _ Jan 7,2020
CFA Manager Date
con/ M&Iyet-IlAt-I
Chris Harder(for)(Jan 23,20z) J an 23,2020
Asst. City Manager Date
OFFICIAL RECORD
CITY SECRETARY Page 1 of 2
FT. WORTH, TX
Notice of Project Completion
Project Name:Water& Sewer Improvements to Serve The Fort Worth Zoo
City Project No.: 100141
City's Attachments
Final Pay Estimate
Change Order(s): ® Yes ❑ NIA
Pipe Report: 0 Yes ❑ NIA
Contractor's Attachments
Affidavit of Bills Paid
Consent of Surety 0
Statement of Contract Time
Contract Time: 105 CD Days Charged: 879
Work Start Date: 3/21/2016 Work Complete Date: 812312018
Page 2of2
FORT WORTH
CITY OF FORT WORTH
FINAL PAYMENT REQUEST
Contract Name WATER&SEWER IMPROVEMENTS TO SERVE FORT WORTH ZOO
Contract Limits
Project Type WATER&SEWER
City Project Numbers 100141
DOE Number P141
Estimate Number I Payment Number 1 For Period Ending 8/31/2018
CD
City Secretary Contract Number Contract Time IOUD
Contract Date 2/23/2016 Days Charged to Date 879
Project Manager NA Contract is 100.00 Complete
Contractor NORTH TEXAS CONTRACTING,INC.
P.O.BOX 468
KELLER, TX 76244
Inspectors RODGERS / VASQUEZ
Tuesday,June 11,2019 Page I of 5
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City Project Numbers 100141 DOE Number 11141
Contract Name WATER&SEWER IMPROVEMENTS TO SERVE FORT WORTH zoo Estimate Number I
Contract Limits Payment Number I
Project Type WATER&SEWER For Period Ending 8/31/2018
Project Funding
UNIT I:WATER IMPROVEMENTS
Item Desu'ipfio«of Items Estimated Unit Unit Cost Estimated Completed Completed
No. Quanity Total Quanity Total
1 REMOVE ASPHALT PVMT f 115 SY $20A0 $2,300.00 115 $2,300.00
2 REMOVE 6"WATER LINE 164 LF $17.00 $2,789.00 164 $2,788,00
3 REMOVE 3"WATER LINE 24 LF $17,00 $408.00 24 $408.00
4 3"-12"WATER ABANDONMENT PLUG(CO 03) 8 EA $300,00 $2,400.00 8 $2,400.00
5 REMOVE 6"WATER VALVE(CO 91) 2 EA $300.00 $600.00 2 $600,00
6 SALVAGE FIRE HYDRANT(CO 43) 3 EA $500.00 $1,500.00 3 $1,500.00
7 CONCRETE ENCASE WATER PIPE 3 CY $160,00 $480.00 3 $480.00
8 SWPPP 1 ACRE 1 LS $1,000,00 $1,000.00 1 $1,000.00
9 TEMPRORARY ASPHALT PAVING REPAIR(CO 162 LF $40.00 $6,480.00 162 $6,480.00
#2)
10 8"PVC WATER PIPE(CO#1,2,3) 2257 LF $60X0 S135,420.00 2257 $135,420.00
11 8"DIP WATER 40 LF $85.00 $3,400,00 40 $3,400.00
12 8"WATERLINE LOWERING 2 EA $3,000,00 $6,000,00 2 $6,000.00
13 6"PVC WATER PIPE(CO#1,3) 128 LF $55.00 $7,040,00 129 $7,040.00
14 4"PVC WATER PIPE(CO 91) 75 LF $40.00 $3,000,00 75 $3,000.00
15 2"WATER SERVICE(CO 1,3) 9 EA $2,000.00 $18,000,00 9 $18,000,00
16 1"WATER SERVICE(CO#l,2) 4 EA $1,900,00 $72600.00 4 $7,600,00
17 8"GATE VALVE(CO#3) 6 EA $2,600.00 $15,600.00 6 $15,600,00
18 6"GATE VALVE(CO#1,3) t0 EA $2,000,00 $20,000.00 10 $20,000,00
19 4"GATE VALVE(CO#1) 6 EA $1,100,00 $6,600.00 6 $6,600,00
20 FIRE HYDRANT(CO#3) 6 EA $4,000,00 $24,000,00 6 $24,000.00
21 DUCTILE IRON WATER F=INGS WI 4.5623333 TN $3,000,00 $13,687,00 4.5623333 $13,687.00
RESTRIAN(CO#1,2,3)
22 TRENCH SAFETY(CO#2) 2171 LF $1.00 $2,171,00 2171 $22171.00
23 REM.CONC.PAVEMENT(CO#2,3) 109 SY $142,00 $15,478,00 109 $15,478,00
24 12"X8"TAPPING SLEEVE AND VALVE(CO 03) 1 EA $3,800.00 $3,800.00 1 $3,800.00
--------------------------------------
Sub-Total of PreviouS Unit $299,75100 $299,752,00
UNIT II:SANITARY SEWER IAA MOV3MENTS
Item Description of Items Estimated Unit Unit Cost Estimated Completed Completed
No. Quanity Total Quanity Total
1 REMOVE SIDEWALK 54 SF $4.00 $216.00 54 $216.00
Tuesday,June 11,2019 Page 2 of 5
City Project Numbers 100141 DOE Number P141
Contract Name WATER&SEWER IMPROVEMENTS TO SERVE FORT WORTH ZOO Estimate Number I
Contract Limits Payment Number I
Project Type WATER&SEWER For Period Ending 8/31/2018
Project Funding
2 REMOVE ASPHALT PVMT 23 SY $20.00 $460,00 23 $460,00
3 REMOVE 8"SEWER LINE(CO 43) 39 LF $20.00 $780,00 39 $780,00
4 8"SEWER ABANDONMENT PLUG(CO#3) 4 EA $1,000.00 $4,000,00 4 $4,000,00
5 REMOVE 4'SEWER MANHOLE(CO 43) 3 EA $1,000.00 $3,000,00 3 $3,000,00
6 CONCRETE ENCASE SEWER PIPE 17 CY $130.00 $2,210.00 17 $2,210.00
7 SWPPP 1 ACRE 1 LS $1,000.00 $1,000.00 1 $1,000.00
8 TEMPORARY ASPHALT PAVING REPAIR 29 LF $60.00 $1,740.00 29 $1,740.00
9 4"CONC SIDEWALK 54 SF $10.00 $540.00 54 $540.00
10 POST-CCTV INSPECTION 1673 LF $2.00 $3,346.00 1673 $3,346.00
11 MANHOLE VACUUM TESTING 13 EA $100.00 $1,300.00 13 $1,300.00
12 CONCRETE COLLAR 13 EA $250,00 $3,250.00 13 $3,250.00
13 20"CASING BY OPEN CUT 0 LF $0.00 $0.00
14 20"CASTNB BY OTHER THAN OPEN CUT(CO 250 LF $400,00 S100,000.00 250 $100,000.00
#2,3)
15 12"SEWER CARRIER.PIPE(CO 92) 250 LF $100.00 $25,000.00 250 $25,000.00
16 4"SEWER SERVICE(CO 91) 13 EA $1.000.00 $13,000.00 13 $13,000,00
17 18"SEWER PIPE 25 LF $200.00 $5,000.00 25 $5,000,00
18 12"SEWER PIPE 270 LF $50.00 $13,500.00 270 $13,500,00
19 12"DIP SEWER(CO#2) 174 LF $115.00 $20,010.00 174 $20,010.00
20 8"SEWER PIPE 954 LF $45.00 $42,930.00 954 $42,930.00
T I
21 4'MANHOLE(CO#3) 11 EA $4,500.00 $49,500.00 11 $49,500.00
22 4'MANHOLE WIBOLT DOWN COVER 2 EA $5,000.00 $10,000.00 2 $10.000.00
23 4'EXTRA DEPTH MANHOLE 1 I VF $250.00 $2,750.00 11 $2,750.00
24 4'SHALLOW MANHOLE 2 EA $2,S00.00 $5,000.00 2 $5,000.00
25 TRENCH SAFETY 1490 LF $2.00 $2,980.00 1490 $2,980.00
26 6"SEWER SERVICE(CO#1) 1 EA $1,600,00 $1,600.00 1 $1,600.00
27 WASTER WATER ACCESS(CO 91) 1 EA $3,900.00 $3,900.00 1 $3,900.00
28 1W SEWER PIPE(CO#3) 52 LF $48.00 $2,496.00 52 $2,49&00
29 REMOVE CONCRETE PAVEMENT(CO#3) 20 SY $142.00 $2,840.00 20 $2,840.00
---------------- --------------------------
Sub-Total of Previous Unit $322,348.00 $322,348.00
---------------------------------------
Tuesday,June 11,2019 Page 3 of 5
City Project Numbers 100141 DOE Number P141
Contract Name WATER&SEWER IMPROVEMENTS TO SERVE FORT WORTH ZOO Estimate Number 1
Contract Limits Payment Number I
Project Type WATER&SEWER For Period Ending 8/31/2018
Project Funding
Contract information Summary
Original Contract Amount $509,854.00
Change Orders
Change Order Number 1 $22,615,00
Change Order Number 2 $17,374,00
Change Order Number 3 $34,646,00
Change Order Number 1 $6,500.00
Change Order Number 2 $13,475.00
Change Order Number 3 $17,636.00
Total Contract Price $622,100.00
Total Cost of Work Completed $622,100.00
Less %Retained $0.00
Net Earned $622,100.00
Earned This Period $622,100.00
Retainage This Period $0.00
Less Liquidated Damages
Days @ 1 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 $622,100.00
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Tuesday,June 11,2019 Page 4 of 5
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City Project Numbers 100141 DUE Number P14I
Contract Name WATER&SEWER IMPROVEMENTS TO SERVE FORT WORTH ZOO Estimate Number 1
Contract Limits Payment Number 1
Project Type WATER&SEWER For Period Ending 9/31/2018
Project Funding
Project Manager NA City Secretary Contract Number
Inspectors RODGERS / VASQUEZ Contract Date 2/23/2016
Contractor NORTH TEXAS CONTRACTING,INC. Contract Time 105 CD
P.O.BOX 468 bays Charged to Date 879 CD
KELLER, TX 76244 Contract is .000000 Complete
CITY OF FORT WORTH
SUMMARY OF CHARGES
Line Fund Account Center Amount Funded Gross Retainage Net
Total Cost of Work Completed $622,100.00
Less %Retained $0.00
Net Earned $622,100,00
Earned This Period $622,100,00
Retainage This Period $0,00
Less Liquidated Damages
0 Days® $0.00 1 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 $622,100.00
Tuesday,June H,2019 Page 5 of 5
DEVELOPER-AWARDED-PROJECT CHANGE ORDER
PROJECT NAME: The Fort Worth Zoo CHANGE
CONTRACT: Water&Sewer ORDER No:
CFA# CITY PARTICIPATION: Yes
CITY PROJECT# 100141
DOE# 1
WATERPROJECT# 596015310350-0600430-100141-001580
SEWER PROJECT# 598015310350.0600430-100141.001580
FILE# X.23468
INSPECTOR: Carlos Vasquez Phone Na: 817.392.8306
PROJECT MANAGER: Aaron Lang Phone ND: 817.392.7818
CONTRACT UNIT
WATER SEWER PAVING DRAINAGE STREET LIGHTS CONTRACT
Developer Developer DovM01mr Developer Doveloper DAYS
Coat City Cast Coat City Coal C—t Cle Case Cost CW Cna1 Cost CI Cast
ORIGINAL CONTRACT S225,i17.00 S25d,737.00
EXTRAS TO DATE
CREDITS TO DATE
CONTRACT TO DATE $226,1t7.00 $0.00 $284,737.6D $D.OD SO-00 OD.00 $0.00 50.00 $0.00 SO.DO 0
AMOUNT OF PROP.CHANGE ORDER 522.615.00 $0.06 $6,500.00
REVISEO CONTRACT AMOUNT $247.732,00 $0.00 5201,2,17.00 1 ;OAO 50.00 I S0.00_ SO.DD S0.06 $0.00 SO-00 ❑
TOTAL REVISED CONTRACT AMOUNT
PERUNIT $0.00 SO.DD So.DU
REVISED COST SHARE Dev.Cost: 8539,969.00 City Coat: S13.00
TOTAL REVISED CONTRACT $538,969.00
Revlsad:1012-2011 Pepe 1
You are directed la make the Toltowiog changes In the contract documents,
SANITARY SEWER
CITY&0 REM
PAY ITEM f; 0 QUANTITY UNIT ITEM O€SCRIPTION UNIT PRICE TOTAL
18 333i.3101 1 EA 4'SEWER SERVICE 41,000,00 $1,000.00
28 3331.3201 1 EA 8'SEWER SERVICE S1,B00.00 S7 800.00
27 3339,0003 1 EA WASTEWATER ACCESS CHAMBER S3,800.00 S3 900.00
TOTAL SANITARY SEWER SB.500.00
WATER
CITY&O ITEM
PAY ITEM K e QUANTITY UNIT ITEM DESCRIPTION UNIT PRICE TOTAL
5 0241-1302 1 EA REMOVE B'WATER VALVE 5300.00 5300,00
10 3311.0261 230 LF B'PVCWATERPIPE S60.00 $13600.00
13 3311,0101 9 LF U PVCWATERPIPE $55,00 95.00
14 3311,0061 25 LF 4'PVC WATER PIPE $40.00 31 00100
15 3312-2203 -3 EA 2'WATER SERVICE S2.000.00 -59.000.00
10 3312/003 2 EA 1'WATER SERVICE S7 9BB.00 $3800-00
1B 5912.3002 9 EA 6'GATE VALVE 52,p00.00 S6p0p.00
1B 3312.3001 2 EA 4'GATEVALVE 51,100,00 $2,200.00
21 3311.00o1 0.34 TUN DUCTILE IRON WATER FITTINGS WMESTRAINT 53,000.001 51.020.00
TOTAL WATER $22.615.00
TOTAL PROJECT 529,115.00
REASONS FOR CHANGE OROER AMMonaf building added to Theprdject requiring additional services and remuting of oxisfing Ivateriine.Services upsirad to servaratofher bohVings based on
service needs.
RECOMMENDED: APPROVED: APPROVED:
Dunaway Aasoctatas The 4,VIMg-TurwConfracOng Company NMh Texas
By: 1 Ely:I_J ,(-`'`r—'
Nam ,Q Spry]L ydll��,/ Name:�.�1c+EnlT'x..<ooc-�,Ee..o Narna: -PYa-�
rue PfolifhEr�ylrltJ^T+ue: PPA rlbw
Revised:10-12-2011 Page 2
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DEVELOPER-AWARDED-PROJECT CHANGE ORDER
PROJECT NAME: The Fort Worth Zoo CHANGE
CONTRACT: Water&Sewer ORDER No:
CFA# CITY PARTICIPATIOW-F Yes
CITY PROJECT N i00141
DOE#
2
WATER PROJECT 9 59601-5310350-0600430-100141.001580
SEWER PROJECT# 59601.5310350-060WO-1015141.001580
FILE# %-23460
INSPECTOR' CadosVasque2 Phone NO' 817.392.8306
PROJECT MANAGER: Aaron Long Phone No: 817.392.7818
CONTRACT UNIT
WATER SEWER PAN Kra DRAINAGE STREETLIGHTS CONTRACT
velOper Pe+xlaver We Dper evelOper DexrlOper DAYS
Cael Cigr Cost C051 CI Cc51 Cost City Coat Ceet CRy Ci+1 Coal Oty Curl
ORIQINAL CONTRACT 5M 117A0 U.00 $284,7$7.00 $0-00
EXTRAS TO DATE SYL,816.00 SS N10.00
CREDITS TO DATE
CONTRACTTOOATE 2{77St.po $0.00 6291.237-00 SOAO 50.00 $0.00 $0.00 S9A0 $0.00 IUD 0
AWLLNT OF PROP.CHANGE ORCER $17.174.00 $0.00 573,4175.00 $0.00
REVISED CONTRACT AMOUNT 50.00 $0.00 $0.00 $0.00 $0,00 1 S0.a0 I50.00 SDAO 0
TOTAL REVISED CONTRACT AMMAIT
PER UNIT $295.108.00 $304,7t2.D0 so-oa 50.00 sv.00
REVISED COST SHARE Dar.Cnat: $5d9,81B.00 City com $0.00
TOTAL REVISED CONTRACT 5589,818.00
You are directed to make the fokwing charges in the Contract dnGS mmnta:
SANITARY S EW ER
GTY BID ITEM
PAY ITEM C $ Ot1ANTITY WJIT ITEM DESCRIPTION UNIT PRICE TOTAL
15 1 33135,1103 35 LF 1T Sewer Cwdw PI $00.00 $3 500.00
14 3305.11w 35 LF 20r Casing By Olher Than Open Cul $14,000.00
19 3331.421 - -35 1 LF I 12'DIY Sewer $115.00 $d 025.00
TOTAL SANITARY SEWER 13,MOO
WATER
CITY BID ITEM
PAY ITEM N N r54
TITY UNIT ITEM DESCRIPTION UNIT PRICE TOTAL
10 3311.0261 LF 8'PVC WATER PIPE 80.00 S7 .00
18 3312.2003 EA 1'WATER SERVICE 51,9DD.00 51900.00
21 3311.00018 TOM OUC11LE IRON WATER FITTINGS WR2E$TRAINT $3,010.00 S840.00
3 3205.0400 LF TEMPORARY ASPHAI T PAVING REPAIR 0,00 $2,160.0023 0241A0W SY REMOVE CONCRETE PVMT 14200 54,544.00
0 LF TRENCH SAFETY $1,00 S130Ao
TOTAL WATER 17 37d.00
TOTAL PROJECT $30,8d9.00
REASONS FOR CHANGE ORDER
8.9,v,g move Over arlafing wafer lure,recording Mgaired.Sara pit exlended dive to inspa tdr MAUL.
RECCWA IENOEO: APPROVED: APPROVED!
iY ASfaoaW 1Re V,:yn i;-W--wr.e:Corrrj Cr..r f:cn: ny A'lob 7teas C ramc
Heim IZ L. rV+Name C.Oxa-T Argmc.PrLo Namo•
Tlle: 1,.e �nT
Revised:15-12.2011 Page 1
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DEVELOPER-AWARDED-PROJECT CHANGE ORDER
PROJECT NAME: The Fort Worth Zoo CHANGE
CONTRACT: Water&Sewer ORDER No:
CFA# CITYPARTICIPATION: Yes
CITY PROJECT# 100141
DOE#
3
WATER PROJECT# 59601-5310350-06G0430•100141-001580
SEWER PROJECT# 59601-5310350-0600430-iO0141-001560
FILE#! X-23468
INSPECTOR: Carlos Vasquez Phone No: 817,392-8306
PROJECT MANAGER: Aaron Lang Phone No: 817-392.7818
CONTRACT UNIT
WATER SEWER PAVING DRAINAGE STREET LIGHTS CONTRACT
w per 0-loper Dew oper Owe oper 0
..toper DAYS
Cost CIIy c..t Coss c C..t Cue! CRYCotl CoM City Cost Cost Citycoffil
ORIGINAL CONTRACT S225,11T.00 5254.737.00
EXTRAS TO DATE 539,58SA0 515,97540
CREDITS TO DATE
CONTRACT TO DATE $265,10&00 $304,712.00 S0.00 70A0 50.00 SO.00 40.00 60.00 0
AMOUNT OF PROP.CHANGE ORDER $34,545-00 $0.00 $17,639130 S0.00
REVISED CONTRACT AMOUNT 5299,7S2.00 11 $322,348.00 S0.00 $0.00 $0.00 1 S0.00 50.00 50.00 0
TOTAL REVISED CONTRACT AMOUNT $299 7SZA0 $322.345A0
PER UNIT 56.00 sa.aa $0.00
REVISED COST SHARE Dev.Goat; 3622,100.00 city Coat:
TOTAL REVISED CONTRACT 5622,100.00
You are directed to make the Iellowirgl changes In the contact dowments
SANITARY SEWER
CITY BID ITEM
PAY ITEM N k QUANTITY UNrr ITEM DESCRIPTION UHIT PRICE TOTAL
3 ON 12013 15 LF REMOVE O'SEWER LIN E $20,00 S300.00
4 0241.2103 2 EA e'SEWE R ABAN DONMENT PLUG UM00 $2.000,00
S 0241.2201 1 EA REMOVE 4'SEWER MANHOLE 51,000.00 S1 000,00
C41.0000 20 SY REMOVE CONCRETE PVMT $142.00 $2.840-00
21 3339-1001 2 EA 4'MANHOLE 7i.500.00 $9.000.00
3MI A201 52 LF W SEWER PIPE S2,4W.00
TOTAL SANITARY SEWER 517,636.00
WATER
CITY BID REM
PAY REM• Is M22
UNIT ITEM OESCRIPTION UNIT PRICE TOTAL
4 0241.1210EA 3'-1Z WATER ABANDONMENT PLUG $300.00 $300.00
6 0241-151EA SALVAGE FIRE HYDRANT W0.00 500,00
10 3311AMI LF B'PVC WATER PIPE 60.W S2520.00
13 3311.0161 LF 6'PVC WATER PIPE $55.00 51.285A0
15 3312221M EA 2WATFRSERVICE ZOW.00 S4 000.00
17 331230MEA B'GATE VALVES2,eD0.0018 3312.0002 EA 6'GATE VALVE $2,000.00 54.W0.00
20 -WI-2 0001 1 EA FIRE HYDRANT ,000.00 54,000.00
25 3311.D001 0.24334 TON DUCTILE IRON WATER FITTINGS 1NIRESTRAINT 3, A 5127A0
23 0241.1000 77 SY REMOVE CONCRETE PVMT 5142.00 51 0934.OD
24 9B99.B899 1 EA 12'X 6'TAPPING SLEEVE AND VALVE 3,8D0,00 1.800.00
TOTAL WAVER I S34AA6.00
TOTAL PROJECT 552,282.00
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RFAS ONS FOR CHANGE ORDER
Sam eYpansion,mmufiag of wafer Tina and upsa tff or 5ewar lino mqu,md.
RECOMMENDED: APPROVED; APPROVED:
0 way As Gdola9 The •T MY h Texas Camfrac649
Name; yan LaValley Name: Kermit Fa hrD ,.Ir. Nam,: Carson Collier
,tea: Project Engineer 'Mug: Vice President Tft, Prol eat Mqr..
Ravised:10-12.2011 Page 1
FORTWORTH
TRANSPORTATION AND PUBLIC WORKS
PIPE REPORT FOR:
PROJECT NAME: The Fart Worth Zoo
PROJECT NUMBER: 100141
DOE NUMBER: NIA
WATER
PIPE LAID SIZE TYPE OF PIPE LF
C-900 8" PVC 2257
DIP 8" DIP 40
C-900 6" PVC 128
C-900 4" PVC 75
FIRE HYDRANTS: 5 VALVES(16"OR LARGER) nla
PIPE ABANDONED SIZE TYPE OF PIPE LF
Plug 2"-12" 2"-12" Plug 7 Ea
DENSITIES: yes
NEW SERVICES: None
SEWER
PIPE LAID SIZE TYPE OF PIPE LF
SDR-26 18" PVC 25
SDR-26 12" PVC 270
DIP 12" DIP 174
SDR-26 8" PVC 954
Sewer Carrier Pipe 1211 PVC 250
Casing 20" Casing 250
PIPE ABANDONED SIZE TYPE OF PIPE LF
Plug 8" Plug 2 ea.
DENSITIES: yes
NEW SERVICES: yes 1 ea.
TRANSPORTATION AND PUBLIC WORKS
The City of Fort Worth•1000 Thxoclunorton Street•Fort Worth,-IX 76012-6311
(817)392-7941 •Fax:(817)392-7845
BILLS PAID AFFIDAVIT FOR CONTRACTOR
State of Texas §
County of Denton §
BEFORE ME,the undersigned authority,on this day personally appeared Carson Collier. known to me to
be a credible person and officer of North Texas Contracting, Inc. and who, being duly sworn, upon his
oath declares and acknowledges as follows:
I. I am a duly authorized agent of North Texas Contracting Inc.,which has authorized me to make
this affidavit,and all of the recitations herein are true and correct.
2. Pursuant to City of Fort Worth Contract No. 100141 between Cite of Fort Worth and North Texas
Contracting. Inc. for Water and Sewer Improvements to Servethe Fort Worth Zoo, North Texas
Contracting. Inc. has supplied materials and performed labor in connection with the construction
of improvements on real property owned by the City of Fort Worth{"the improvements'),
3. North Texas Contracting. Inc. has actual knowledge that all bills owed by City of Fort Worth to
North Texas Contracting. Inc. for materials supplied or labor performed in connection with the
improvements have been fully paid and satisfied.
4. North Texas Contracting. Inc, has actual knowledge that all bills owed by North Texas
Cont wting, Inc. to others for materials supplied or labor performed in connection with the
improvements have been fully paid and satisfied.
S. North Texas Contracting.Inc.has actual knowledge that there are no claims or liens for materials
supplied or labor performed in connection with the City of Fort Worth Contract.
6. North Texas Contracting. Inc. further warrants that should any claim or lien be fled for material
supplied or labor performed in connection with the City of Fort Worth Contract, North Texas
Contracting. Inc. will immediately furnish a bond pursuant to Texas Property Code Sections
53.236 through 53.238 for release of each the claim or lien,obtain settlement of any claim or lien,
and furnish the City of Fort Worth written full release. North Texas Contracting. Inc. agrees to
fully indemnify and hold harmless the City of Fort Worth from any and all costs that may occur
by reason of such claims or liens.
EXECUTED this 2Z day of pry.•-�s�.� ,20/S
North Texas Contracting,Inc.
By
NAME:
TITLE: PM.
STATE OF TEXAS
COUNTY OF TARRANT
This instrument was acknowledged before me Zot I by
Carson Collier, Project Manager of North Texas Contractin nc. a
Texas corporation,on behalf of �
sai� `� �� r
� CST�'9dr��r
:`
[NOTARY PUBLIC STAMP] j WARY PU LIC
r?8aZ4�$'r ♦iV
CONSENT OF OWNER ❑
SURETY COMPANY ARCHITECT ❑
CONTRACTOR ❑
TO FINAL PAYMENT SURETY ❑
Conforms with the American Institute of OTHER
Architects,AIA Document G707
Bond No SU1136528
PROJECT:
(name, address
)Fort Worth Zoo North Expansion
Fort Worth.TX
TO (Owner)
Subcontract No
� ARCHITECT'S PROJECT NO: 15885-33A
ITHE WHITING TURNER CONTRACTING COMPANY CONTRACT FOR:
2301 West Plano Parkway.Suite 104 Water&Sewer Improvements to serve Fort Worth Zoo(City Project
#100141)
Plano Tx 75075 —J CONTRACT DATE: 2i2312016
CONTRACTOR: NORTH TEXAS 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)
ARCH INSURANCE COMPANY
300 Plaza Three
Jersey City NJ 0731 1-1 1 07 . SURETY COMPANY
on bond of (here insert name and address of Contractor)
NORTH TEXAS CONTRACTING, INC.
4999 Keller Haslet Rd.
Keller TX 76248 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 oere insert name and address of Owner)
THE WHITING TURNFR CONTRACTING COMPANY
2301 West Piano Parkway,Suite 104
Plano TX 75075 , OWNER,
as set forth in the said Surety Company's bond,
IN WITNESS,WHEREOF,
the Surety Company has hereunto set its hand this 7th day of June, 2018
ARCH INSURANCE COMPANY
j Surety Company
Attest:
(Seal): Signature of Authorized Representative
Robbi Morales Attorney-in Fact
Title
NOTE: This form is to be used as a companion document to AIA DOCUMENT G705, CONTRACTOR'S AFFIDAVIT OF PAYMENT OF DEBTS AND CLAIMS,
Current Edition
ONE PAGE
AIC 0000241370
THIS POWER OFATTORNEY lS NOT VALID UNLESS IT IS PRINTED ON BLUE BACKGROUND.
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. Not valid for Note, Loan, Letter of Credit, Currency Rate,Interest Rate or Residential
Value Guarantees.
POWER OF ATTORNEY
Know All Persons By These Presents:
That the Arch Insurance Company, a corporation organized and existing under the laws of the State of Missouri, having its principal
administrative office in Jersey City, New Jersey(hereinafter referred to as the"Company")does hereby appoint:
Don E. Cornell, Kelly A. Westbrook, Ricardo J. Reyna, Robbi Morales, Sophinie Hunter, Tina McEwan and V. DeLene Marshall of
Dallas,TX(EACH)
its true and lawfut Attorney(s)in-Fact,to make,execute,seal,and deliver from the date of issuance of this power for and on its behalf as
surety,and as its act and deed:
Any and all bonds,undertakings,recognizances and other surety obligations,in the penal sum not exceeding
Ninety Million Dollars($90.000,000.00).
This authority does not permit the same obligation to be split into two or more bonds In order to bring each such bond within the dollar
limit of authority as set forth herein.
The execution of such bonds, undertakings, recognizances and other surety obligations in pursuance of these presents shall be as
binding upon the said Company as fully and amply to all intents and purposes, as if the same had been duly executed and
acknowledged by its regularly elected officers at its principal administrative office in Jersey City, New Jersey.
This Power of Attorney is executed by authority of resolutions adopted by unanimous consent of the Board of Directors of the Company
on September 15, 2011, true and accurate copies of which are hereinafter set forth and are hereby certified to by the undersigned
Secretary as being in full force and effect:
"VOTED, That the Chairman of the Board, the President, or the Executive Vice President, or any Senior Vice President, of the Surety
Business Division, or their appointees designated in writing and filed with the Secretary, or the Secretary shall have the power and
authority to appoint agents and attorneys-in-fact, and to authorize them subject to the limitations set forth in their respective powers of
attorney, to execute on behalf of the Company, and attach the seal of the Company thereto, bonds, undertakings, recognizances and
other surety obligations obligatory in the nature thereof, and any such officers of the Company may appoint agents for acceptance of
process."
This Power of Attorney is signed, sealed and certified by facsimile under and by authority of the following resolution adopted by the
unanimous consent of the Board of Directors of the Company on September 15,2011!
VOTED, That the signature of the Chairman of the Board, the President,or the Executive Vice President,or any Senior Vice President,
of the Surety Business Division, or their appointees designated in writing and filed with the Secretary, and the signature of the
Secretary, the seal of the Company, and certifications by the Secretary, may be affixed by facsimile on any power of attorney or bond
executed pursuant to the resolution adopted by the Board of Directors on September 15, 2011, and any such power so executed,
sealed and certified with respect to any bond or undertaking to which it is attached, shall continue to be valid and binding upon the
Company.
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AIC 0000241370
In Testimony Whereof, the Company has caused this instrument to be signed and its corporate seal to be affixed by their authorized
officers,this 3rd day of April,2018.
Attested and Certified Arch Insurance Company
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SEAL
Patrick K.Nails,Secretary David M. in a stein, Executive Vice President
STATE OF PENNSYLVANIA SS � lAll�
COUNTY OF PHILADELPHIA SS
I, Michele Tripodi, a Notary Public, do hereby certify that Patrick K. Nails and David M. Finkelstein personally known to me to be the
same persons whose names are respectively as Secretary and Executive Vice President of the Arch Insurance Company, a
Corporation organized and existing under the laws of the State of Missouri,subscribed to the foregoing instrument,appeared before me
this day in person and severally acknowledged that they being thereunto duly authorized signed, sealed with the corporate seal and
delivered the said instrument as the free and voluntary act of said corporation and as their own free and voluntary acts for the uses and
purposes therein set forth.
G0MM4N1NE1LLTM Of pCNH1Y11,.YA,Nt11
NOTARIAL SEAL
AAYCmW TRIPM.Koury WAIc 4Michel
Ckyef PlrMadetp*@ PANa. 1,My Casor�htwn Exp�rieS AAy 31, p di, Notary Publicsion expires 07131 2021
CERTIFICATION
I, Patrick K. Nails, Secretary of the Arch Insurance Company,do hereby certify that the attached Power of Attorney dated April 3. 2018
on behalf of the person(s)as listed above is a true and correct copy and that the same has been in full force and effect since the date
thereof and is in full force and effect on the date of this certificate; and I do further certify that the said David M. Finkelstein, who
executed the Power of Attorney as Executive Vice President, was on the date of execution of the attached Power of Attorney the duly
elected Executive Vice President of the Arch Insurance Company.
IN TESTIMONY WHEREOF, I have hereunto subscribed my name and affixed the corporate seal of the Arch Insurance Company on
this 7th day of June 12018
Patrick K.Nails, Secretary
This Power of Attorney limits the acts of those named therein to the bonds and undertakings specifically named therein and they have
no authority to bind the Company except in the manner and to the extent herein stated.
PLEASE SEND ALL CLAIM INQUIRIES RELATING TO THIS BOND TO THE FOLLOWING ADDRESS:
Arch Insurance—Surety Division
3 Parkway,Suite 1500
Philadelphia,PA 19102
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b SEAL
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