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Contract 52346-FP1
City Secretary Contract No. 52346 -FP1 FORTWORTH, Date Received Feb 24,2020 NOTICE OF PROJECT COMPLETION (Developer Projects) The Transportation and Public Worsts Department upon the recommendation of the Project Manager has accepted the following project as complete; Project Name: North Tarrant Medical Offices City Project No.: 101595 Improvement Type(s): © Paving ❑ Drainage ❑ Street Lights ❑ Traffic Signals Original Contract Price: $20,630.00 Amount of Approved Change Order(s): Revised Contract Amount: $20,630.00 Total Cost of Work Complete: $20,630,00 GOttLGt`I �1R�/ Scott LanRr 9 Feb 10, 2020 Contractor Date Project Manager Title TO Dal Utilities Company Name Feb 11, 2020 Trov ardner(Feb 11.2020) _ Project Inspector Date Fred Ehia(Feb 20,2020) Feb 20,2020 Project Manager Date ,7alf4 c�G 2ttRot--a1&r Feb 21 2020 Janie Sarlett Morales(Feb 21,2020) 7 CFA Manager Date Lw Dana Burrgghdoff( 21,20 Feb 21,2020 Asst. City Manager Date OFFICIAL RECORD CITY SECRETARY FT.WORTH,TX Page 1 of 2 Notice of Project Completion Project Name: North Tarrant Medical Offices City Project No.: 101595 City's Attachments Final Pay Estimate ❑x Change Order(s): ❑ Yes Z NIA Contractor's Attachments Affidavit of Bills Paid Consent of Surety Statement of Contract Time Contract Time: 180 CD Days Charged: 180 Work Start Date: 8/12/2019 Work Complete Date: 1/31/2020 Page 2 of 2 FO RT WO RT H CITY OF FORT WORTH FINAL PAYMENT REQUEST Contract Name NORTH TARRANT MEDICAL OFFICES Contract Limits Project Type DRAINAGE&PAVING City Project Numbers 101595 FIDE Number t595 Estimate Number 0 Payment Number 0 For Period Ending 1/1/2001 CD City Secretary Contract Number Contract Time KD Contract Date 3/5/2019 Days Charged to Date Project Manager Contract is 100.00 Complete Contractor TRI DAL EXCAVATION&UTILITIES INC 540 COMMERCE ST SOUTHLAKE, TX 76092 Inspectors CORDOVA / GARDNER,T Wednesday,February 5,2020 Page 1 of 4 City Project Numbers 101595 DOE Number 1595 Contract Name NORTH TARRANT MEDICAL OFFICES Estimate Number 0 Contract Limits Payment Number 0 Project Type DRAINAGE&PAVING For Period Ending 1/1/2001 Project Funding Item Description of Items Estimated Unit Unit Cost Estimated Completed Completed No. Quanity Total Quanity Total ---------- -- - - - ---- - - -------- ------ ----- Sub-Total of Previous Unit UNIT IV:PAVING M&PROVEMENPS Item Description of Items Estimated unit Unit Cost Estimated Completed Completed No. Quanity Total Quanity Total - -- - -- --- ----------------------- 1 4"CONC SIDEWALK 3506 5F $5,00 $17,530.00 3506 $17,530.00 2 TRAFFIC CONTROL 1 MO $3,000.00 $3,000.00 1 $3,000,00 3 TRAFFIC CONTROL DETAILS I EA $100.00 $100.00 1 $100.00 ----------- - - - -- ----------- - ----------- Sub-Total of Previous Unit $20,630.00 $20,630.00 ------------ - --------------- - ----------- Wednesday,February 5,2020 Page 2 of City Project Numbers I01595 DOE Number 1595 Contract Name NORTH TARRANT MEDICAL OFFICES Estimate Number I Contract Limits Payment Number I Project Type DRAINAGE&PAVING For Period Ending I13 U2020 Project Funding Contract Information Summa><� Original Contract Amount $20,630.00 Change Orders Total Contract Price $20,630,00 Total Cast of Work Completed $20,630.00 Less %Retained $0.00 Net Earned $20,630.00 Earned This Period $20,630,00 Retainage This Period $0.00 Less Liquidated Damages Days a@ 1 Day $0.00 LessPavement Deficiency $0.00 Less Penalty $0.00 Less Previous Payment $0.00 Plus Material on Hand Less 15% $U0 Balance Due This Payment $20,630.00 Wednesday,February 5,2020 Page 3 of 4 City Project Numbers 101595 DOE Number 1595 Contract Name NORTH TARRANT MEDICAL OFFICES Estimate Dumber I Contract Limits Payment Number I Project Type DRAINAGE&PAVING For Period Ending 1/3112020 Project Funding Project Manager City Secretary Contract Number Inspectors CORDOVA I GARDNER,T Contract Date 3/5/2019 Contractor TRI DAL EXCAVATION&UTILITIES INC Contract Time 80 CD 540 COMMERCE ST Days Charged to Date CD SOI]THLAKE* TX 76092 Contract is .000000 Complete CITY OF FORT WORTH SUMMARY OF CHARGES Line Fund Account Center Amount Grass Retainage Net Funded ----------------- - ------------ - -------- Total Cost of Work Completed $20,630 00 Less %Retained $0.00 Net Earned $20,630.00 Earned This Period $20,630.00 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 Nand Less 15% $0.00 Balance Due This Payment $20,630.00 Wednesday,February 5,2020 Page 4 of 4 FORT WORTH rev 03/05/07 TRANSPORTATION& PUBLIC WORKS FINAL STATEMENT OF CONTRACT TIME FINAL STATEMENT NO..Final NAME OF PROJECT. North Tarrant Medical Offices PROJECT NO.: 101595 CONTRACTOR: Tri Dal Utilities DOE NO.. 19-0328 PERIOD FROM.08/12/19 TO. 01/3I/20 FINAL INSPECTION DATE: 23-Jan-20 WORK ORDER EFFECTIVE:8/12/2019 CONTRACT TIME; 180 Q WI)* CD DAY OF DAYS REASON FOR DAYS DAY OF DAYS REASON FOR DAYS MONTH DUNG CREDITED MONTH DUNG CREDITED 1. 16. 2. 17. 3. 18. 4. 19. 5. 20. 5. 21. 7. 22. 8. 23. 9. 24. 10. 25. 11. 26. 12. 27. 13. 28. 14. 29. 15. 30. M. SAT,SUN, RAIN,TOO WET, UTILITIES DAYS TOTAL &HOLIDAYS &TOO COLD RELOCATIONS OTHERS* CHARGED DAYS THIS 180 180 180 PERIOD PREVIOUS PERIOD TOTA LS 180 180 180 TO DATE *REMARKS; CONTRACTOR DATE INSPECTOR DATE ENGINEERING DEPARTWIENT The City of Fort Worth• 1000 Throckmorton Street•Fort Worth,TX 76012-6311 (817)392-7941 •Fax:(817)392-7845 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 Scott Langham, Project Manager Of Tri Dal Utilities, 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; North Tarrant Medical Offices City Project#: 101595 BY / / Scott Langham Subscribed and sworn before me on this date 6th of February, 2020. 41, Notary rc �0 ��• F� Tarrant County, Texas o 7 � - CONSENT OF OWNER ❑ SURETY COMPANY ARCHITECT ❑ TO FINAL PAYMENT CONTRACTOR ❑ AIA DOCUMENT G707 SURETY ❑ OTHER ❑ Bond# 107025407 PROJECT:North Tarrant Medical Offices TO(Owner): CONTRACT FOR: Construction City of Fort Worth 1000 Tbrockmorton Street Fort Worth, TX 76102 CONTRACT DATE: 3/5/2019 CONTRACTOR: Tri Dal Utilities, Ltd. In accordance with the provisions of the Contract between the Owner and the Contractor as indicated above,the Travelers Casualty and Surety Company of America One Tower Square Hartford, CT 06183 , SURETY COMPANY, on bond of Tri Dal Utilities,Ltd. 540 Commerce St. Southlake,TX 76092 ,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 City of Fort Worth 1000 Throckmorton Street Fort Worth,TX 76102 , 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 February,2020. Travelers Casualty and Surety Company of America Surety ignatuIle authors reps ative Attest: (Seal) Melissa Wilson,Witness Felix Navejar Nance Attorney-In-Fact oo �4AltttF'IM, : i 6ri • Y V I.�I /ice AIA DOCUMENT G707 CONSENT OF SURETY COMPANY TO FINAL PAYMENT'E}Pl�1)? �Wa i'llN't1 f 0 1970-THE AMERICAN INSTITUTE OF ARCHITECTS,1735 NEW YORK AVE.,NW., f GT(�f,D. �Qdb6 TRAV�LERS Travelers Casualty and Surety Company of America Travelers Casualty and Surety Company St. Paul Fire and Marine Insurance Company POWER OF ATTORNEY KNOW ALL MEN BY THESE PRESENTS:That Travelers Casually and Surety Company of America,Travelers Casualty and Surety Company,and St. Paul Fire and Marine Insurance Company are corporations duly organized under the laws of the State of Connecticut(herein collectively called the "Companies"),and that the Companies do hereby make,constitute and appoint Felix Navejar,of Grapevine,Texas,their true and lawful Attorney-in- Fact to sign,execute,seal and acknowledge any and all bonds, recognizances,conditional undertakings and other writings obligatory in the nature thereof on behalf of the Companies in their business of guaranteeing the fidelity of persons,guaranteeing the performance of contracts and executing or guaranteeing bonds and undertakings required or permitted in any actions or proceedings allowed by law. IN WITNESS WHEREOF,the Companies have caused this instrument to be signed,and their corporate seals to be hereto affixed,this 3rd day of February, 2017. tYilSyJor���770,( Robert L, Raney,Se Vice President CORN. IPA State of Connecticut City of Hartford ss. On this the 3rd day of February,2017,before me personally appeared Robert L. Raney,who acknowledged himself to be the Senior Vice President of Travelers Casualty and Surety Company of America, Travelers Casualty and Surety Company, and St. Paul Fire and Marine Insurance Company, and that he,as such, being authorized so to do,executed the foregoing instrument for the purposes therein contained by signing on behalf of the corporations by himself as a duly authorized officer. In Witness Whereof, I hereunto set my hand and official seal. OY m My Commission expires the 30th day of June,2021 •* e C.T C �� Mane C.Tetreault, Notary Public This Power of Attorney is granted under and by the authority of the following resolutions adopted by the Boards of Directors of Travelers Casualty and Surety Company of America,Travelers Casualty and Surety Company, and St. Paul Fire and Marine Insurance Company,which resolutions are now in full force and effect, reading as follows: RESOLVED, that the Chairman, the President, any Vice Chairman, any Executive Vice President, any Senior Vice President, any Vice President, any Second Vice President, the Treasurer, any Assistant Treasurer, the Corporate Secretary or any Assistant Secretary may appoint Attorneys-in-Fact and Agents to act for and on behalf of the Company and may give such appointee such authority as his or her certificate of authority may prescribe to sign with the Company's name and seal with the Company's seal bonds, recognizances, contracts of indemnity, and other writings obligatory in the nature of a bond,recognizance,or conditional undertaking,and any of said officers or the Board of Directors at any time may remove any such appointee and revoke the power given him or her;and it is FURTHER RESOLVED, that the Chairman, the President, any Vice Chairman, any Executive Vice President, any Senior Vice President or any Vice President may delegate all or any part of the foregoing authority to one or more officers or employees of this Company,provided that each such delegation is in writing and a copy thereof is filed in the office of the Secretary; and it is FURTHER RESOLVED, that any bond, recognizance, contract of indemnity, or writing obligatory in the nature of a bond, recognizance, or conditional undertaking shall be valid and binding upon the Company when(a)signed by the President,any Vice Chairman,any Executive Vice President,any Senior Vice President or any Vice President, any Second Vice President, the Treasurer, any Assistant Treasurer, the Corporate Secretary or any Assistant Secretary and duly attested and sealed with the Company's seal by a Secretary or Assistant Secretary; or(b)duly executed (under seal, if required) by one or more Attorneys-in-Fact and Agents pursuant to the power prescribed in his or her certificate or their certificates of authority or by one or more Company officers pursuant to a written delegation of authority;and it is FURTHER RESOLVED,that the signature of each of the following officers: President,any Executive Vice President, any Senior Vice President,any Vice President, any Assistant Vice President, any Secretary, any Assistant Secretary, and the seal of the Company may be affixed by facsimile to any Power of Attorney or to any certificate relating thereto appointing Resident Vice Presidents,Resident Assistant Secretaries or Attorneys-in-Fact for purposes only of executing and attesting bonds and undertakings and other writings obligatory in the nature thereof,and any such Power of Attorney or certificate bearing such facsimile signature or facsimile seal shall be valid and binding upon the Company and any such power so executed and certified by such facsimile signature and facsimile seal shall be valid and binding on the Company in the future with respect to any bond or understanding to which it is attached. I, Kevin E. Hughes, the undersigned, Assistant Secretary of Travelers Casualty and Surety Company of America, Travelers Casualty and Surety Company, and St. Paul Fire and Marine Insurance Company,do hereby certijjh?Aj% ove and foregoing is a true and correct copy of the Power of Attorney executed by said Companies,which remains in full force and effeelkol Dated this Vh dayof February, 2020. '•`•"• r�` �•" 1 O '•� io 07 an • � • �� .F� � � � .ter p,..'�' •• .••,Z` ? Kevin E. Hughes,Assistant Secretary tip To verify the authenticity of this Power o us at 1-800-421 3880. Please refer to the above-named Attorney-in-Fact and the 6► of the band to which the power is attached