HomeMy WebLinkAboutContract 46926-FP1 EwED FORTWORTH®
Vac CSC No.46926-FP1
FEB 24 20�
AAy OFFOAT��
rz TRANSPORTATION AND PUBLIC WORKS
NOTICE OF PROJECT COMPLETION
City Pto(ect Ns: 00700
Regarding contract 46926 for HEMPHILL BERRY URBAN VILLAGE as required by the
TRANSPORTATION AND PUBLIC WORKS as approved by City Council on 06/16/2015 through M&C C-27331
the director of the TRANSPORTATION AND PUBLIC WORKS upon the recommendation of the Assistant
Director of the Transportation&Public Works Department has accepted the project as complete.
Original Contract Prices: $670,337.80
Amount of Approved Cbange Orders: (511,648m) Ns 1l 2 w4 3
Revised Contract Amount: $658,689.75
Total Cost Work Completed: $649,692.22
Less Deductions:
Liquidated Damages: Days Q S210.00/Day
Pavement Deficiencies:
Total Deduction Amount: $0.00
Total Cost Work Completed: $649,682.22
Less Previous Payments: $648,412.57
Final Payment Due $1,269.65
ZA"rety pry' Feb 19,2020
Lauren Prieur(Feb 19,2020)
Recommended for Acceptance Date
Ass�t.. Director,TPW - Capital Delivery
j
WiWam Joffson(Feb 19,2020) Feb 19,2020
Accepted Date
Director,TRANSPORTATION AND PUBLIC WORKS
Client Department
Dgna Br
Dana Burghdoff(reb20,2020) Feb 20,2020
Asst. City Manager Date
Comments:
OFFICIAL RECORD
CITY SECRETARY
FT. WORTH,TX
Department of'fPW Const.Services
Date
CPN# r5 - �t
Project Manager. ea wood E •t
Risk 1Vlauagement 5. 2' 4�s
D.G.E. grotherton
Water V. Gn�ier
CFA Janie Morales/Scanned❑
t �[ the request
eo le have been ContaTtoe ec[£vr such
payment.
The proceeding p P
for final payment&have released this p
Clearance Conducted B Etta Ba
FORT WORTH
CITY OF FORT WORTH
FINAL PAYMENT REQUEST
Contract Name Hemphill Berry Urban Village
Contract Limits
Project Type STREETSCA.PE
City Project Numbers 00700
DOE Number 6055
Estimate Number 22 Payment Number 22 For Period Ending 9/7/2018
W
City Secretary Contract Number 46926 Contract"Lime 65V
Contract Date 6/16/2015 Days Charged to hate 65
Project Manager Newton Contract is 98.000 Complete
Contractor C.GREEN SCAPING,LP
8917 HAWK AVE.
NORTH MCHLAND , TX 76180
HILLS
Inspectors RODGERS / SCHARFENBERG
Friday,December 20,2019 Page 1 of 5
City Project Numbers 00700 DOE Number 6055
Contract Name Hemphill Berry Urban Village Estimate Number 22
Contract Limits Payment Number 22
Project Type STREETSCAPE For Period Ending 9/V2018
Project Funding
STREETSCAPE
Item Description of Items Estimated Unit Unit Cost Estimated Completed Completed
No. Qunnity Total Quanity Total
1 PREPARING ROW I0 ST $1,820,00 $18,200,00 10 $18,200,00
2 PREPARING ROW, 12-24"TREE REMOVAL 2 EA $1,400.00 $2,800.00 2 $2,800.00
3 REMOVING CONC WALKS(CO#2) 1150,75 SY $18.00 $20,713.50 1080,75 $19,453.50
4 REMOVING CONC DRIVES(CO#2) 217 SY $18.00 $3,906.00 217 $3,906.00
5 REMOVING CONC(CURB AND GUTTER)(CO 127 LF $14.00 $1,778,00 127 $1,77&00
#2)
6 REMOVING STAB BASE AND ASPH PAV(2"- 70.4 SY $20.00 $1,408.00 70A $1,408.00
(CO#2)
7 BLOCK SODDING(CO#2) 192 SY $5.00 $960,00 26.6 $133.00
8 IRRIGATION SYSTEM 1 LS $32,200,00 $32,200.00 1 $32,200,00
9 PLANT MATERIAL(4"POT) 3298 EA $4.40 $14,511,20 3298 $14,511,20
10 MULCH 376 SY $8.90 $3,346,40 376 $3,346.40
11 PLANT SOIL MIX 162 CY $66.00 $10,692,00 162 $10,692.00
12 PLANT MATERIAL(MIN 4"CAL)(CO 92) 32 EA $870,00 $27,840,00 31 $26,970.00
13 PLANT MAINTENANCE 24 MO $1,440.00 $34,560.00 24 $34,560,00
18 DRILL SHAFT'(24")(CO#1) 155 LF $270.00 $41,850.00 155 $41,850.00
20 PVC PIPE(SDR-35)(411)(CO#2) 975 LF $28.40 $27,690.00 975 $27,690.00
21 MOBILIZATION i LS $30,000,00 $30,000.00 1 $30,000,00
22 BARRICADES,SIGNS AND TRAF 6 MO $4,200,00 $25,200,00 6 $25,200.00
HANDLING(CO#1)
23 COLORED TEXTURED CONC(4")(CO#2) 352.48 SY $97.00 $34,190.56 335.43 $32,536.71
24 CONC CURB&GUTTER(TY 11)(CO#2) 323.85 LF $29.00 $9,391,65 323.85 $9,391.65
25 INTERSECTION,DRIVEWAYS,AND TURNOUT 302.9 SY $68A0 $20,718.36 298.77 $20,435.87
(CO 92)
26 CURB RAMPS(TY 4)(CO#1) 2 EA $1,890.00 $3,780.00 2 $3,780.00
27 CONC SIDEWALKS(4")(ROCK SALT FINIS(CO 721.56 SY $60.60 $43,726.54 703.34 $42,622.40
#2)
28 CONDUIT(PVC)(SCH 80)(2")(CO#1)(CO#2) 1280 LF $18.60 $23,808.00 1280 $23,808.00
29 CONDUIT(PVC)(SCH 90)(2"BORE)(CO#1) 1426 LF $31.80 $45,346.80 1426 $45,346,80
(CO#2)
30 CONDUIT(PVC)(SCH 80)(4"BORE)(CO#1)(CO 791 LF $38.70 $30,611.70 749 $28,986,30
#2)
31 GROUND BOX TY A(122311)W/APRON 2 EA $2,840.00 $5,680.00 2 $5,680.00
32 RELOCATE SMALL ROADWAY SIGN 12 EA $220.00 $2,640.00 12 $2,640.00
Friday,December 20,2019 Page 2 of 5
City Project Numbers 00700 DOE Number 6055
Contract Name Hemphill Berry Urban Village Estimate Number 22
Contract Limits Payment Number 22
Project Type STREETSCAPE For Period Ending 9l712018
Project Funding
33 LANDSCAPE AMENITY(BENCH) 27 EA $2,990.00 $80,730.00 27 $80,730,00
34 TREE PROTECTION(PROTECTIVE FENCE)(CO 225 LF $12.00 $2,700.00 225 $2,700.00
42)
35 EROSION CONTROL LOGS(8"DIA)(CO#2) 150 LF $4.00 $600.00 150 $600.00
36 TRASH RECEPTACLE(CO 92) 10 EA $1,790.00 $17,900,00 10 $17,900.00
37 ADJUST UTILITY BOXES,VAULTS&MANHO I I EA $940.00 $10.340.00 11 $10,340,00
38 REMOVE&RELOCATE SIGN AND GROUND Ll I LS $7,600.00 $7,600.00 1 $7,600.00
39 LIGHT POLE FOOTING(REMOVE) 7 EA $300.00 $2,100,00 7 $2,100.00
40 MODIFY CONDUIT 70 LF $22.00 $1.540.00 70 $1,540.00
41 WATER METER BOXES(CO#1) 24 EA $297.00 $7,128,00 24 $7,128.00
42 SEAL OVER TEXTURED CONCRETE(CO 42) 4945.59 SF $1.50 $7,418,39 3382.49 $5,073,74
43 COST DIFFERENCE FOR TREE SPECIES(CO#2) 8 EA $300.00 $2,400.00 8 $2,400.00
44 FREIGHT FOR ONE TRASH RECEPTACLE(CO I LS $375,00 $375,00 1 $375.00
#2)
45 Water Bill Reimbursement for extra (CO#2) 1 EA $309,65 $309.65 1 $309,65
46 Black Sod Correction(CO#3) 1 EA $960.00 $960.00 1 $960.00
Sub-Total of Previous Unit $659,649.74 $649,682.22
Friday,December 20,2019 Page 3 of 5
City Project Numbers 00700 DOE Number 6055
Contract Name Hemphill Berry Urban Village Estimate Number 22
Contract Limits Payment Number 22
Project Type STREETSCAPE For Period Ending 917/2018
Project Funding
Contract Information Summary
Original Contract Amount $670,337.80
Change Orders
Change Order Number ] ($15,565A0)
Change Order Number 2 $2,647,30
Change Order Number 3 $2,229,65
Total Contract Price $659,649.75
U— ate �! Total Cost of Work Completed $649 682 21
Conlr t Less %Retained $0.00
r' Date a Net Earned $649,682.22
nspeclion 5urvisor Earned This Period $1,269.65
Retainage This Period $0.00
Date Less Liquidated Damages
Project Manager
Days @ 1 Day $0.00
Date LessPavement Deficiency $0.00
Asst.DirectoifrPW Less Penalty $0.00
Date Less Previous Payment $648,412.57
Director/Contracting Department Plus Material on bland Less 15% $0.00
Balance Due This Payment $1,269,65
Friday,December 20,2019 Page 4 of 5
City Project Numbers 00700 DOE Number 6055
Contract Name Hemphill Berry Urban Village Estimate Number 22
Contract Limits Payment Number 22
Project Type STREETSCAPE For Period Ending 9/7/2018
Project Funding
Project Manager Newton City Secretary Contract Number 46926
Inspectors [LODGERS / SCHARFENBERG Contract Date 6116120I5
Contractor C.GREEN SCAPING,LP Contract Time 65 W
89I7 HAWK AVE, Days Charged to Date 65 W
NORTH RICHLAND , TX 76180 Contract is .000000 Complete
HILLS
CITY OF FORT WORTH
SUMMARY OF CHARGES
Line Fund Account Center Amount Gross Retainage Net
Funded
Total Cost of Work Completed $649,682.2I
Less %Retained $0.00
Net Earned $649,682.22
Earned This Period $1,269.65
Retainage This Period $0,00
Less Liquidated Damages
0 Days @ $0.00 1 Day $0.00
LessPavement Deficiency $0,Q0
Less Penalty $0.00
Less Previous Payment $648,41157
Plus Material on Hand Less 15% $0.00
Balance Due This Payment $1,269.65
['rid ay,December 20,2019 Page 5 of 5
I
MYSUREIAW
FORT WORTIL City of Fort Worth ',-3NTR.4'cT "—4oau—o -�--a
Change Order Request Breakdown
Project Name Hemphill[Berry Urban Village City Sec# 46926
Client Project#(s) CPN#0700 DOE 6055 CSJ 0902 48 829
Contractorl C Green Scaping PNl Lissette Acevedo Inspectorl Roy Scharfenberg
Change Order Submittal# Date 5/17/2016
Dept. planning Contract Time
Totals WD
Original ContractAmount $670,337.80 $670,337,80 65
Extras to Date
Credits to Date
Pending Change Orders(in M&C Process)
Contract Cost to Date _ $670,337.80 65
Amount of Proposed Change Order 55 00 "� 1 $15,555.00 60
Revised Contract Amount $5 � . —_ r��. 7N $654,772.80 125
Original Funds Available for Change Orders $0.00
Remaining Funds Available for this CQ
Additional Funding(If necessary) kftn'aau"on
CHANGE ORDERS to DATE{INCLUDING THIS ONE}AS%OF ORIGINAL CONTRACT
MAXALLOWABLE CONTRA CTAMOUNT(ORIGINAL CONTRACT COST+25%) � �+Q•
Item 18: 24"Drill Shafts, Were utilized project wide in lieu of the 18"drilled shaft to meet Tx Dot requirements
Item 22: BARRICADES,SIGNS&TRAFFIC HANDLING,Project contract time was suspended during the project and extended
Item 29: CONDUIT PVC(SCH 80)(2")BORE, (Electrical)2"Bore quantities were extended to avoid damage to existing tree roots between
Sta 8+00 3T Lf-Sta 13+00 35'Lf &To avoid damage or removal to Walmart`s existing drive ways.
Item 30: CONDUIT PVC(SCH 80)(4")BORE,(Irrigation)To avoid damage or removal to Walmes existing drive ways 1 to avoid damage to
existing tree roots located sta.8+40-Sta 9+50 35'Rt
New Line item: Water Meter Boxes, To replace existing out of compliance damaged water meter boxes, Water meter boxes to be replaced
per City of Ft Worth Specification Division#33
C.Green Scaping, Li'was unable to perform construction activities during two time suspension periods:(1)October 23,2015 to December 8,
2015 and(2)December 21,2015 to January 11,2016. These time suspensions were the result of the following:
1.Several design issues on original plans related to the street fighting design.
2.City had to resolve several issues with the street lights:what style or model number of pedestrian lights were going to be installed,supply of
anchor bolts and templates,relocation of foundations to avoid tree drainage,additional bore on northwest quadrant of project,and removal of
additional trees for light installations.
3.City had to work with TxDOT'to revise concrete mix design.
4.Tree and light locations need to be adjusted/omitted to accommodate current businesses drive approaches.
5.Design change on tree species.
In addition to the time suspensions above,C.Green Scaping,LP bid this project to work on both sides of the street simultaneously. During a
community meeting,the Clty instructed Green Scaping that they could only work en one half of the road before starting work on the other half.
Due to this direction,Green Scaping requests an additional 60 working days to complete the project.
The City of Ft.Worth and C.Green Scaping,LP are both in agreeance on the additional 60 working days requested.
I
Fo?T� City of Fort Worth
Change Order Additions
Pmjecl Name HempNg I Berry Utan Nllaga City Sec# ho926
Client Project# CPN#0100 DOE 6055 CS,I 09M 48 V9
Contraclor G Green Scaping PM Llsse{te Aceredo Inspector Roy Scharfenberg
Change Order Suhmiltal# Date 5f1712016
ADDITIONS
nit unjMost Fotaj /
anrnng 1
P ann ng 3.0 Monlhly
manning 71095,
0 DUI P C jbUll 5U) ')13ORE LYM8.204 annfng
xxc Ater eler xes annfng 00
i
F
Planning $73,836.00
uh o A Sons g,
Change Order Additions Page 1 of 1
i
a rw r City of Fort Worth
Change Order Deletions
Project Name Hemphil I 6erpy Urban Village City Sec# 46926
Glfenlprojmt# CRNrF 0700 OOE 6055 CSJ G02 O 629
Contractor C Green scaping PM Llssette Acevedo Inspector Roy Sehaderlberg
Change DrderSubmittaf# 0 Gale 571T12016
DELETIONS
v UM Unutcosi o!
ann ng , t(
7 a nine Ton j $370.05 >C
16 MCRO SURFACING 65-OOGOOODOI Ton 1 5"C.lu 442.25020
17 1DRILISHIA1'} ann ng 4,70,OOOOMI L 2 .CC
631.20OG 1PW n 22 a
CONDUIT28 j H ) "} ennrng1,035.00mml1 .60 f
P13nnfn 9,4121.60
u o! IeCons 8,
Change Order Deletions Page 1 of R
FORT WORTH, City of Fort Worth
Change Order Request Breakdown
Project Name Hemphill/Berry Urban Village City Sec# 46926
Client Project#(s)l CPN#0700 DOE 6055 CSJ 0902 48 829
Contractorl C Green Scaping PM Lissette Acevedo Inspectorl Roy Scharfenberg
Change Order Submittal# 0 Date 10/21/2016
Dept. Planning Contract Time
Totals WD
Original Contract Amount $670,337.80 $670,337,80 65
Extras to Date
Credits to Date $15,565.00 $15,565.00
Pending Change Orders(in M&C Process)
Contract Cost to Date $6 7 $654,772,80 65
Amount of Proposed Change Order $2,647.30 $2,647.30 60
Revised Contract Amount $657 42010 125
Original Funds Available for Change Orders $0 00
Remaining Funds Available for this CO $15,565.00 $15,565.00
Additional Funding(if necessary)
CHANGE ORDERS to DATE(INCLUDING THIS ONE)AS° OF ORIGINAL CONTRACT 1,g3a7o
1bfA1fALLOWABLE CONTRACT AMOtlNT{ORIGIN CONTRACT COST+25%) $$37,.522.25
M Ill.
This Change order is intened to clean up the project addtions and del ions and zero out any under runs and over runs.
Item 42 SEALER OVER TEXTURED CONCRETE was authorized b TPW to add additional protection to the colored textured concrete.
Item 43 COST DIFFERENCE FOR TREE SPECIES CHANGE wa authorized by TPW under the recomendation of the Parks Dept.
Item 44 FREIGHT FOR ONE TRASH RECEPTACLE is to compe sate the contractor for the shipping cost of an additional Trash receptacle
Item 36 TRASH RECEPTACLE to place a damaged trash receta a at approx Sta.8+50 35 RT that was involved in a traffic incident
3)(,0-7.30
Fop-WORTH City of Fort Worth
Change Order Additions
Project Name I HernphIJIlEe"UrtanVpI6ge City Sec# 4692fi
Client Project# LCPN#0700 DOE 8055 CSJ 0902 48 829
Contracim C Green Scaping PM Ussetle Acevedo Inspector Roy Schaalenherg
Change Order Sti bmwal# 0 Date 10f211201fi
ADDITION5
y unit uriltCost a
anning
anning L
ann g
UUNDU IT FVGanning
TRASH RECEPTACLE Na—nalng
--MD 42 SEALER OVER TEXTURED CONCRETE PlanningSp
D DIFFERENCE lannmg
Am-jr-—M-Elurs I FOR H E annng
canning
TURNOUT-WAYS,AND finning ill, 00
1
Planning $27036.05
u ota lions
Change Order Additions Page 1 of 1
ro rwo City of Fort Worth
Change Order Deletions
Project Name Hemphill!Berry Urban Village City Sec# 46928
Client Projeel# I CPN#0700 DOE 6055 CSJ 0902 48 829 ry ]
Conlraclor C Green Scaping PME L+ssi t;e Acevedo Inspector Roy Scharfenherg
Change Order Submittal# 0 Dale 1012i12018
DELETIONS
UnH Unitt ola 7
N K Planning
N IV Hanning
5 RE MOVING U lanning f 127MOMM L
7 BLOCK amm�g 5. Y 7. Z ,
PLANTammig 7
L A } PTanfliflg
GUTTERI ammng v
2 ) anning
annng
EROSION CONTROL- anning
N lammng Y 7.
=Plarininq $18.38&75
Change order Deletions Page 1 of t
CITY SECRETARY
FORT WORTH, City of Fort Worth
CONTRACT NO.111111�
Change Order Request Breakdown
PfojectNarnej Herriphi€l!Berry Urban Village City Sec# r 46926
Client Project#(s) CPN#0700 DOE 6055 CSJ 090248 829
Contractorl C Green Scaping PM Lissette Acevedo Inspector Roy Scharfenberg
Change Order Submittal# Date 3/14/2019
Dept. Planning Contract Time
Totals D
Original Contract Amount $670,337.80 $670,337.80 65
Extras to Date $2,647.30 $2,647.30
Credits to Date $16,565.00 $15,565.00
Pending Change Orders(in M&C Process)
Contract Cost to Date $657,420,10 $657,420.10 65
Amount of Proposed Change Order $1,259.65 $1,269.65 60
Revised Contract Amount $638,689,75 $658,689.75 125
Original Funds Available for Change Orders $0 00
Rem ain1ng Funds Available for this CO $12,917.70 $12,917 70
Additlonal Funding(if necessary)
CHANGE ORDERS to DATE fINCLUDING THIS ONE)AS%OF ORIGINAL CONTRACT 1,74%.
MAXALLOWABLE CONTRACTAMOUNT{ORIGINAL CONTRACT COST+25%) $837 922.25
This change order is correcting funds owed for line item 7-Block Sodding to Green Scaping. In change order 2,a credit was applied at the
wrong unit cost,this will correct the amount owed to Green Scaping,
In addition,the water bills that are owed to Green Scaping after warranty period ended,
MUM. RECORD
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0 Liberty
�mutuil-
SURETY Bond # 022036917
OWNER
CONSENT OF SURETY ARCHITECT ❑
TO FINAL PAYMENT CONTRACTOR ❑
Conforms with the American Institute of SURETY ❑
Architects,AIA Document G707 OTHER ❑
TO OWNER: The City of Fort Worth ARCHITECT'S PROJECT NO.:
Purchasing Division CSJ:0902 48 829;City Project#✓'00700
(Name andaddnss) 1000 Throckmorton Street CONTRACT FOR:
Fort Worth,TX 76102 Construction of Pedestrian&Streetscape Improvements
PROJECT: Hemphill Berry Urban Village CONTRACT DATED:
(Name and address)
In accordance with the provisions of the Contract behveen the Owner and the Contractor as indicated above,the
(Innerl name and address of,L'areyy)
Liberty Mutual Insurance Company
175 Berkeley Street, Boston, Massachusetts 02116
SURETY,
on bond of
(Invert game and address oy'Conrrorror)
C Green Scaping, LP
2401 Handley Ederville Rd.
Fort Worth,TX 76118
,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
{laeerr name and address of thrner)
The City of Fort Worth
1000 Throckmorton Street
Fort Worth,TX 76102 OWNER,
as set forth in said Surety's band.
IN W ITNESS WHEREOF,the Surety has hereunto set its hand on this date: [November 18, 2019
Ilpnerr in wruzeyK rhr maneh fallaired by the nameric dare and year.)
Liberty Mutual Insurance Company
(Sanely)
- d'av(1a,'
Attest: (Signu e of ana d representative)
t�'1►1 cY R r
J aero,a�r-L`I
Fo n Cyndy Cates,Attorney In Fact
v g Z 0 (Printed mate and ride)
���8-0cHusti yN
0,17 * tta
LMS-12134 1=1
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.
Liberty Liberty Mutual Insurance Company
Mutual The Ohio Casualty insurance Company Certificate No: 8200272
SURETYWest American Insurance Company
POWER OF ATTORNEY
KNOWN ALL PERSONS BY THESE PRESENTS-That The Ohio Casualty Insurance Company is a corporation du€p organized under the laws of the State of New Hampshire,that
Liberty Mutual Insurance Company is a corporation duty organized under the laws of the State of Massachusetts,and West American Insurance Company is a corporation duty 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,
Kyrie KeIsue,Cyndy Cates,Maurice Haywood,James E.King,JeffP.Kirtg
all of the city of Denton state of TX each individually if there be more than one named,its true and lawful attomey-in-fact to make,
execute,seal,acknowledge arid 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 I I th day of January , 2019
Liberty Mutual Insurance Company
1H8r■ 't1 11% tHsuR The Ohio Casualty Insurance Company
`oµr°�+w$C r�`�P o�PO'4r�y �GP�o � q* West American Insurance Company
S a Mtn a 2 �°a n � _r din cv
19120 0 � 1919m0 4 1991 6 /] in
N �r4CH1]`+E�-dad G��kAMP`'ap a �r11ANP L� ff �C n' 0]
a
a■y * to �'�rl * �� s3M * ��° By: _. N
C David M.Carey,Assistant Secretary
{° State of PENNSYLVANIAIt
Z County of MONTGOMERY m
0 y On this I t th day,of ,.January 2019 before me personally appeared David M.Carey,who acknowledged 0 y edged himself to be the Assistant Secretary of Liberty Mutual Insurance ❑
❑� Company,The Ohio Casualty Comparry,and West American Insurance Company,and that he,as such,being authorized so to do,execute the foregoing instrument for the purposes
> [herein contained by signing on behalf of the corporations by himself as a duly authorized officer. U w
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. n
C COMMONWEALTH OF PENNSYLVANIA Q,�,
- Notarial Semi
rt7 }' " or Teresa Paslalla,Notary Public % _� ® ❑C
O 2 Upper Nrewn Top.,Montgomery(:aunty By: �[•C/LC� '(-!Ta q`y
C ��c;�� My Commission Expires March 28, Teresa Pastels,Notary Public
j Vl QRY Member,Pennsyhmnla AasacaGon of ractar6es 0
c 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 w
o E- Insurance Company,and West American Insurance Company which resolutions are now in full force and effect reading as follows: ❑ m
E ut ARTICLE IV—OFFICERS:Section 12,Power of Attomey.
o% Any officer or other official of the Corporation authorized for that purpose in writing by the Chairman or the President,and subject to such Imitation as the Chairman or the
-0 a President may prescribe,shall appoint such aftomeys-in-fact,as may be necessary to act in behalf of the Corporation to make,execute,seal,acknowledge and deliver as surety >o
Ca r_ any and all undertakings,bonds,recognize nces and other surety obligations.Such attomeys-in-fact,subject to the Imitations set forth in their respective powers of attorney,shall 0 N
> W 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 0O
instruments shall be as binding as 9 signed by the President and attested to by the Secretary.Any power or authority granted to any representative or attomey-in-fact under the a M
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. o 0
ARTICLE XI II—Execution of Contracts:Section 5.Surely Bonds and Undertakings. Q-
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,I°r
shall appoint such attomeys4ri-fact,as may be necessary to act in behalf of the Company to make,execute,seal,acknowledge and deliver as surely any and ail undertakings,
bonds,recognizances and other surely 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 V
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 attorneys-in-
fact as may be necessary to act on behalf of the Company to make,execute,seal,acknowledge and deliver as surely any and all undertakings,bonds,recog nizan oes and other surety
obligations.
AuthorliatiOn—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 abmey issued by the Company In connection with surety bonds,shall be valid and binding upon the Company with
the same farce and effect as though manually affixed.
I,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 fulil,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 al ixeo,he seats of said Companies this l8th day of November 2019
v 1N8U I,( INS& d i15SU4
j Q'4oRPnr��'Lnsn ��
r 1912 r
� � � .c�i919
Y YS . �. .r aS H���p ■ By.
��+ ®arKus as kanvGa rs `rx�a�a Renee C.Llewellyn,Assistant Secretary
L MS-12873 LMIC OCIC WAIC Multi Co 06201a
Liberty Liberty MutuaI Surety
Attention:UAS Claims
Mutual. PO Box 3R4526
Sea,WA 98124
SURETY Phone:(206)473-6210
Fax(866)W-6813
Email:H0SCL@ilbertymutua].rorT1
Li berty Mutua lSuretyCiai ms.ca m
TEXAS TEXAS
DMORTANT NOTICE AVISO Il TORTANTE
To obtain inforration or make a complaint: Para obtener infonnacion 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 information o para someter una queja al
1-877-751-2640 1-877-751-2640
You may also write to: Usted tambien puede escribir a:
Liberty Mutual Surety Claims Liberty Mutual Surety Claulls
PO Box 34526 PO Box 34526
Seattle, WA 98124 Seattle, WA 98124
You may contact the Texas Department of Puede comunicarse con el Departamento de
Insurance to obtain information on companies, Seguros de Texas para obtener information
coverages, rights or complaints at acerca de companias, coberturas, derechos o
1-800-252-3439 quejas al
1-800-252-3439
You may write the Texas Department of Insurance Puede escribir at Departamento de Seguros
Consumer Protection(111-1A) de Texas Consumer Protection(111-1A)
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: httl2://www.tdi.texas.9-ov Web:http:llwww.tdi.texas.gov
E-mail: ConstuiierProtecdgnUtdi.texas;gov E-mail:ConsumerProtection�tdi.texas.gov
PREMIUM OR CLAIM DISPUTES: DISPUTAS SOBRE PRIMAS O 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 infornation only and does not Este aviso es solo para proposito de information
become a part or condition of the attached y no se convierte an parte o condition del
document. documento adjunto.
NP70680901
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 Curtis J. Green,
Vice President Of C. Green Scaping, LP,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;
Hemphill Berry Urban Village; City Project No. 00700
BY
oao
is J. Green, Vice President
Subscribed and sworn bef eon this date 22 of November, 2019.
STACY LEE GEIGENMILLER
=z* %i, Notary Public, State of Texas
tart'Pub ' Comm. Expires 43-13-2022
yj ..
Tarrant, Texas ''++,, ;,,0 Notary ID 125617920
rev 03/05/07
rr : f1fryr� ��ctis FORTW�RTH
a- .
TRANSPORTATION&PUBLIC WORKS
FINAL STATEMENT OF CONTRACT TIME
I
FINAL STATEMENT NO.:22 i
NAME OF PROJECT: Hem2hill Berry Urban Village
PROJECT NO.: 00700- CONTRACTOR: C Green Scaping
DOE NO.: 6055
PERIOD FROM:09/14/15 TO: 1 I119115 FINAL INSPECTION DATE: 3-Jul-18 j
WORK ORDER EFFECTIVE:9/14/2015 CONTRACT TIME: 65 0 VVD ■ CD
DAY OF DAYS REASON FOR DAYS DAY❑F DAYS REASON FOR DAYS
MONTH CHARGED CREDITED MONTH CHARGED CREDITED j
DURING DURING
1. Sun 1 16. Mon 1
2. Mon 1 17. Tue 1
3. Tue 1 18, Wed I
4• Wed 1 19. Thu I Stop Time
5. Thu l 20.
6. Fri 1 21.
7. Sat l 22.
8. Sun 1 23.
9. Mon I 24.
10. Tue 1 25,
11. Wed I 26.
12. Thu I 27.
13. Fri I 28.
14. Sat 1 29.
15. Sun 1 30.
31.
SAT,SUN, RAIN,TOO WET, UTILITIES DAYS TOTAL
&HOLIDAYS &TOO COLD RELOCATIONS OTHERS* CHARGED DAYS
THIS {
PERIOD 19 19
PREVIOUS
PERIOD 46 46
TOTALS
TO DATE 65 65
*REMARKS:
d .cr - r
CONT TOR DATE INSPECT R DATE
ENGINEERING DEPARTMENT
The City of Fort Worth- 1000 Throclunorton Street•Fort Worth,TX 76012-6311
(817)392-7941 •Fax:(817)392-7845