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Contract 53021-FP1
FORTWORTH, CSC No.53021-FP1 TRANSPORTATION AND PUBLIC WORKS NOTICE OF PROJECT COMPLETION City Project Ns: 102111 Regarding contract 53021 for CONCRETE PAVING JOINT SEALANT 2020 AT VARIOUS LOCATIONS as required by the TRANSPORTATION&PUBLIC WORKS as approved by City Council on 10/15/2019 through h/I&C 19-0247 the director of the TRANSPORTATION&PUBLIC WORKS upon the recommendation of the Assistant Director of the Transportation&Public Works Department has accepted the project as complete. Original Contract Prices: $480,400.00 Amount of Approved Change Orders: Ns Revised Contract Amount: $480,400.00 Total Cost Work Completed: $449,385.43 Less Deductions: Liquidated Damages: Days @$210.00/Day Pavement Deficiencies: Total Deduction Amount: Total Cost Work Completed: $449,385.43 Less Previous Payments: $426,916.16 Final Payment Due $22,469.27 Z� /®telize� Oct 3,2020 Lauren Prieur(Oct 3,2020 08:30 CDT) Recommended for Acceptance Date Asst. Director, TPW - Capital Delivery Oct 5,2020 Accepted Date Director, TRANSPORTATION & PUBLIC WORKS Client Department ,Z-4?`iq auLd4t z Oct 5,2020 Dana Burghdoff(0 5,2020 fl21 CDT) Asst. City Manager Date Comments: OFFICIAL RECORD CITY SECRETARY FT.WORTH,TX I a� m E N W N N N 01 O IL a� U a` 'c o U M N Vi V O O V V1 V O O G\ Gl � �,� • U O �..� � o :• � m Q v o U eEi 0 o w Q u o 3 H cn v a N z j a E o g 0. .a o O N U a J w A F o aU Z U U z z C' z U z F o F O O a 6 OZ .. v ry O z U A 1% ¢ .] ¢ q U U ° E � v a� P4 o 0..`v n v u F F W H o c v El 00 2 a � Qi c S O e. y.c o ro o U ooU 0 A .d 0"•p y a L� y `o ..Vr E 0 cr3�;,•o C— chi >.c rN I 6. 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The Guarantee Company of North America USA One Towne Square,#1470 Southfield, MI 48076 ,SURETY, on bond of (Insert name and address of Contractor.) Scodeller Construction, Inc. 51722 Grand River Ave. Wixom, MI 48393 ,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 (Insert name and address of Owner) City of Fort Worth 200 Texas Street Fort Worth, TX 76102 OWNER, as set forth in said Surety's bond. IN WITNESS WHEREOF,the Surety has hereunto set its hand on this date: August 26, 2020 (Insert in writing the montli followed by the numeric date and year.) The Guarantee Comparh of North America USA (Surety) (Sign t of an horized representative) Attest: 4aftQ/k Kathy S.Zack,Attorney-In-Fact - - --___-- (Seal) Heidi D. Patte ude (Printed name and title) CAUTION:You should sign an original AIA Contract Document,on which this text appears in RED.An original assures that changes will not be obscured. AIA Document G707" -1994,Copyright©1970 and 1994 by The American Institute of Architects.All rights reserved.WARNING:This AIA`'' Document is protected by U.S.Copyright Law and International Treaties.Unauthorized reproduction or distribution of this Ale Document,or any portion of it,may result in severe civil and criminal penalties,and will be prosecuted to the maximum extent possible under the law. Purchasers are not permitted to reproduce this document.To report copyright violations of AIA Contract Documents,e-mail The American Institute of Architects'legal counsel,copyrightaaia.org THE The Guarantee Company of North America USA GUARANTEEO Southfield, Michigan POWER OF ATTORNEY NOW ALL BY THESE PRESENTS:That THE GUARANTEE COMPANY OF NORTH AMERICA USA, a corporation organized and existing under the laws of the State of Michigan,having its principal office in Southfield,Michigan,does hereby constitute and appoint Kathy S.Zack,Michael C.Schatz,Heidi D.Pattenaude,Jennifer A.Jarosz,Paul D.Maxwell Cornish,Zack,Hill&Associates,Inc. its true and lawful attorney(s}in-fact to execute,seal and deliver for and on its behalf as surety,any and all bonds and undertakings,contracts of indemnity and other writings obligatory in the nature thereof,which are or may be allowed,required or permitted by law,statute,rule,regulation,contract or otherwise. The execution of such instrument(s)in pursuance of these presents,shall be as binding upon THE GUARANTEE COMPANY OF NORTH AMERICA USA 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 the principal office. The Power of Attorney is executed and may be certified so,and may be revoked,pursuant to and by authority of Article IX,Section 9.03 of the By-Laws adopted by the Board of Directors of THE GUARANTEE COMPANY OF NORTH AMERICA USA at a meeting held on the 31"day of December,2003. The President,or any Vice President,acting with any Secretary or Assistant Secretary,shall have power and authority: 1. To appoint Attorney(s)-in-fact,and to authorize them to execute on behalf of the Company,and attach the Seal of the Company thereto, bonds and undertakings,contracts of indemnity and other writings obligatory in the nature thereof;and 2. To revoke,at any time,any such Attorney-in-fact and revoke the authority given,except as provided below 3. In connection with obligations in favor of the Florida Department of Transportation only,it is agreed that the power and authority hereby given to the Attorney-in-Fact includes any and all consents for the release of retained percentages and/or final estimates on engineering and construction contracts required by the State of Florida Department of Transportation. It is fully understood that consenting to the State of Florida Department of Transportation making payment of the final estimate to the Contractor and/or its assignee,shall not relieve this surety company of any of its obligations under its bond. 4. In connection with obligations in favor of the Kentucky Department of Highways only, it is agreed that the power and authority hereby given to the Attorney-in-Fact cannot be modified or revoked unless prior written personal notice of such intent has been given to the Commissioner—Department of Highways of the Commonwealth of Kentucky at least thirty(30)days prior to the modification or revocation. Further,this Power of Attorney is signed and sealed by facsimile pursuant to resolution of the Board of Directors of the Company adopted at a meeting duly called and held on the 6th day of December 2011,of which the following is a true excerpt: RESOLVED that the signature of any authorized officer and the seal of the Company may be affixed by facsimile to any Power of Attorney or certification thereof authorizing the execution and delivery of any bond, undertaking,contracts of indemnity and other writings obligatory in the nature thereof,and such signature and seal when so used shall have the same force and effect as though manually affixed. IN WITNESS WHEREOF,THE GUARANTEE COMPANY OF NORTH AMERICA USA has caused this instrument to be signed and OJppN+TEECO�re its corporate seal to be affixed by its authorized officer,this 1 st day of March,2018. THE GUARANTEE COMPANY OF NORTH AMERICA USA O� JyQ Q y0 gMAM6R`OP STATE OF MICHIGAN Stephen C.Ruschak,President&Chief Operating Officer Randall Musselman,Secretary County of Oakland On this 1st day of March,2018 before me came the individuals who executed the preceding instrument,to me personally known,and being by me duly sworn, said that each is the herein described and authorized officer of The Guarantee Company of North America USA; that the seal affixed to said instrument is the Corporate Seal of said Company;that the Corporate Seal and each signature were duly affixed by order of the Board of Directors of said Company. Cynthia A. Takai IN WITNESS WHEREOF,1 have hereunto set my hand at The Guarantee *A Notary Public, State of Michigan Company of North America USA offices the day and year above written. County of Oakland �:r ;•; My Commission Expires February 27,2024 Acting in Oakland County I,Randall Musselman,Secretary of THE GUARANTEE COMPANY OF NORTH AMERICA USA,do hereby certify that the above and foregoing is a true and correct copy of a Power of Attorney executed by THE GUARANTEE COMPANY OF NORTH AMERICA USA,which is still in full force and effect. OJ TEECO�.o IN WITNESS WHEREOF,I have thereunto set my hand and attached the seal of said Company this 26th day of August , 2020 0 ��RnrAM�a`Or Randall Musselman,Secretary SWORN STATEMENT State of Michigan County of Oakland Eamonn S.Dwyer being duly sworn deposes and says: That he/she makes this Sworn Statement on behalf of Scodeller Construction,Inc. who is the(contractor)(subcontractor) for an improvement to the following described real property situated in Tarrant County, Texas and described as follows: Project#102111 -City of Fort Worth Concrete Paving Joint Sealant 2020 At Various Locations That the following is a statement of each subcontractor and supplier and laborer, for which laborer the payment of wages or fringe benefits and withholdings is due but unpaid,with whom the(contractor)(subcontractor)has(contracted)(subcontracted)for performance under the contract with the owner or lessee thereof, and that the amounts due to the persons as of the date thereof are correctly and fully set forth opposite their names,as follows: Amount of Laborer Name of Type of Balance to Amount of Labor Fringe Benefits Subcontractor, Improvement Total Contract Amount Amount Complete Wages Due but and Withholding Supplier,or Laborer Furnished Price Already Paid Currently Owing (Optional) Unpaid Due but Unpaid No subcontractors or suppliers on this Da*ect. All of our I ihnr wRnAR benefits frincies,taxe 3.and withholdin s aid in full as o r the contract. 0 0 0 0 That the contractor has not procured material from, or subcontracted with,any person other than those set forth above and owes no money for the improvement. Deponent further says that he or she makes the forgoing statement as the (contractor) (subcontractor) or as of the (contractor) (subcontractor)for the purpose of representing to the owner or lessee of the above-described premises and his or her agents that the above-described property is free from claims of construction liens,or the possibility of construction liens,except as specifically set forth above and except for claims of construction liens by laborers which may be provided pursuant to section 109 of the construction lien act,Act No.497 of the Public Acts of 1980, as amended,being section 570.1109 of the Michigan Complied Laws. WARNING TO OWNER: AN OWNER OR LESSEE OF THE ABOVE-DESCRIBED PROPERTY MAY NOT RELY ON THIS SWORN STATEMENT TO AVOID THE CLAIM OF A SUBCONTRACTOR, SUPPLIER, OR LABORER WHO HAS PROVIDED A NOTICE OF FURNISHING OR A LABORER WHO MAY PROVIDE A NOTICE OF FURNISHING PURSUANT TO SECTION 109 OF THE CONSTRUCTION LIEN ACT TO THE DESIGNEE OR THE OWNER OR LESSEE IF THE DESIGNEE IS NOT NAMED OR HAS DIED. Deponent WARNING TO DEPONENT: A PERSON WHO WITH INTENT TO DEFRAUD,GIVES A FALL SWORN STATEMENT IS SUBJECT TO CRIMINAL PENALTIES AS PROVIDED IN SECTION 110 OF THE CONSTRUCTION LIEN ACT,ACT NO.497 OF THE PUBLIC ACTS OF 1980,AS AMENDED, BEING SECTION 570.2220 OF THE MICHIGAN COMPLIED LAWS. Subscribed and sworn to before me this CHRISTINE E. MATOVSKI day of�Q �j�p�^ �ZQ Notary Public.State of Michigan Countyof Oakland �� MyCommission Expires07-21.2025 Acting in the County of 11toWu _ 014d County, m ich A�State My commission expires: (7-1_1 -2Q S ( I, FORT WORT Ell rev 03/05/07 TRANSPORTATION& PUBLIC WORKS FINAL STATEMENT OF CONTRACT TIME FINAL STATEMENT NO.:3 NAME OF PROJECT: Concrete Paving Joint Sealant 2020 at Various Locations PROJECT NO.: 2111 CONTRACTOR: Scodeller Construction,Inc. DOE NO.: NA PERIOD FROM:0 1/14/20 TO: 07/14/20 FINAL INSPECTION DATE: 14-Jul-20 WORK ORDER EFFECTIVE:1/14/2020 CONTRACT TIME: 170 Q WDQ CD DAY OF DAYS REASON FOR DAYS DAY OF DAYS 1 REASON FOR DAYS MONTH CHARGED CREDITED MONTH CHARGED CREDITED DURING DURING 1. 16. 2. 17. 3. 18. 4. 19. 5. 20. 6. 21. I 7. 22. 8. 23. 9. 24. 10. 25. 11. 26. 12. 27. 13. 28. 14. 29. 15. 30. 31. SAT,SUN, RAIN,TOO WET, UTILITIES DAYS TOTAL & HOLIDAYS &TOO COLD RELOCATIONS OTHERS* CHARGED DAYS THIS PERIOD PREVIOUS PERIOD TOTALS 97 97 TO DATE REMARKS: Eamon.Dwye,(Sep 24,202016: DT) CONTRACTOR DATE IMSPEC DATE ENGINEERING DEPARTT\MNT The C4 of Fort Worth• 1000 Throckmorton Street•Fort North,TL 76012-6311 (817)392-7941 •Fa.:(817)392-7845 i i ,I � �I