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Contract 51701-FP1
FORTWORTH, CSC No.51701-FP1 TRANSPORTATION AND PUBLIC WORKS NOTICE OF PROJECT COMPLETION City Project Ns: 02387,02445 Regarding contract 51701 for FY16- CD STREET REPAIR& RECONSTRUCTION PROGRAM as required by the TRANSPORTATION &PUBLIC WORKS as approved by City Council on 12/11/2018 through M&C C-28981 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: $6,171,356.00 Amount of Approved Change Orders: $38,811.90 Ne 1 &2 Revised Contract Amount: $6,210,167.90 Total Cost Work Completed: $5,314,522.87 Less Deductions: Liquidated Damages: Days @$650.00/Day Pavement Deficiencies: Total Deduction Amount: Total Cost Work Completed: $5,314,522.87 Less Previous Payments: $5,048,796.73 Final Payment Due $265,726.14 Lauren Prieur Oct 19,2020 Lauren Prieur(Oct 19,202013:21 CDT) Recommended for Acceptance Date Asst. Director, TPW - Capital Delivery Oct 19,2020 Accepted Date Director, TRANSPORTATION & PUBLIC WORKS Client Department Oct 19,2020 Dana Burghdoff(Oct 19,20 CDTK Asst. 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"t j i t o I n M co 0 0 0 0 0 O FORTWORTH TRANSPORTATION AND PUBLIC WORKS PIPE REPORT FOR: PROJECT NAME: FYI 6-CD Street Repair&Reconstruction PROJECT NUMBER: CPN 02387/02445 DOE NUMBER: N/A WATER SIZE TYPE OF PIPE LF PIPE LAID 30" DIP 1021 Water 2„ PVC 2338 1 Water 1 PVC 4923 Water 811 6„ PVC 295 Water FIRE HYDRANTS: 14 VALVES(16" OR LARGER) (2)30 „ PIPE ABANDONED SIZE TYPE OF PIPE LF DENSITIES: All Passed Co er 915' NEW SERVICES: 1"(103) pp 1 1 232' /2" (22) Copper 2"(18) Copper 102' SEWER SIZE TYPE OF PIPE LF PIPE LAID DIP 365 12" Sanitary Sewer 8" DIP 40 Sanitary Sewer 811 PVC SDR 26 483 Sanitary Sewer LF PIPE ABANDONED SIZE TYPE OF PIPE All Passed 270' DENSITIES: 4„ (18) PVC NEW SERVICES: 15' 6„(1) PVC TRANSPORTATION AND PUBLIC WORKS ,a The City*of Fort Worth•1000 Throckmorton Street•Fort Worth,TX 76012-6311 dd (817)392-7941 •Fax:(817) 392-7845 OWNER 0 CONSENT OF SURETY ARCMTRa TO FINAL PAYMENT CONTRACTOR ❑ .AM Document G707 SURM � OTHPR o.N Bond 1068039 Bo No.R ARCHITECT'S PROJECT NO.: 02387&02445 mpneandmun-) City Of Fort Worth CONTRACT FOR: Paving,Water and Sanitary Sewer Improvements 1000 Throckmorton Street Fort Worth,TX 76102 CONTRACT DATED:December 11,2018 PROJECT: (Nwwandad*nvo FY16-CD9 Street Repair and Reconstruction In accsordoXe wftb the provisions of the Contract between the Ownerand the Conavct(w as indicated aWve,the thm"nm a and awmtr efsare!s) The Hanover Insurance Company 440 Lincoln Street Worcester, MA 01653 * Sunw° oo bond of {Iricerr n ne and addrea grcbwraaar) Jackson Construction, Ltd. 5112 Sun Valley Drive Fort Worth,TX 76119 , CONXR&CTOR, hereby approves of the final payment to the Contractor,and agrees that final payment to the Contractor shall not tr_lieve the Surety of any of its obligations to (lrrarrt nanreand address gf0w-ffer) City of Fort Worth 1000 Throckmorton Street Fort Worth,TX 76102 , QWAIfiR, 2s set f)rEb in Said Suit Ws Mond. IN VATNESS WHEREOF,the Surety has hereunto set its hand on this slate: October 8, 2020 (liu+erl(rrX►�UJrtgforrrmrnbjadlauedb,Nrbemunericda+rartd)earl The Hanover Insurance Company Y) � ( By: :_J (,S wlawro OJaa/ba6=4rX�yatNlllflbl2) �` Attorney-in-Fact Attest: S v\ �,� Teuta Luri Y- (Sew)= (Printed rtaruearrd�(tle) Shend Sharani Surety Phone No. 508-853-7200 x-4476 0707w--1994 THE HANOVER INSURANCE COMPANY MASSACHUSETTS BAY INSURANCE COMPANY CITIZENS INSURANCE COMPANY OF AMERICA POWER OF ATTORNEY 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. KNOW ALL PERSONS BY THESE PRESENTS: That THE HANOVER INSURANCE COMPANY and MASSACHUSETTS BAY INSURANCE COMPANY,both being corporations organized and existing upder ate o laws of the State of New Hampshire,and CITIZENS INSURANCE COMPANY OF AMERICA,a corporation organized and existing under the laws ofthe State of Michigan,(hereinafter individually and collectively the"Company°)does hereby constitute and appoint, Steven R.Foster,Jack M.Crowley,Laurie Pflug,and Teuta Luri Of Willis Towers Watson Insurance Services West,Inc of Dallas,TX each individually,if there be more than one named,as its true and lawful attomey(s)in- y place within the United States,any and all surety bonds, fact to sign,execute,seal,acknowledge and deliver for,and on its behalf,and as its act and deed an recognizances,undertakings,or other surety obligations.The execution of such surety bonds,recognizances,undertakings or secretary obligations,in pursuance of these presents,shall be as binding upon the Company as if they had been duly signed by the president and attested by the secretary of the Company,in their own proper persons.Provided however,that this power of attorney limits the acts of those named herein;and they have no authority to bind the Company except in the manner stated and to the extent of any limitation stated below: Any such obligations in the United States,not to exceed Thirty Five Million and No/100($35,000,000)in any single instance That this power is made and executed pursuant to the authority ofthe following Resolutions passed bythe Board of Directors ofsaid Company,and said Resolutions remain in full force and effect: ent,in conjunction with any Vice President be and they hereby are authorized and empowered to RESOLVED: That the President or any Vice Presid nt Attorneys-in-fact of the Company,in its name and as it acts,to execute and acknowledge for and on its behalf as surety,any and all bonds, appoint repo nizances,contracts of indemnity,waivers of citation and all other writings obligatory in the nature thereof,with powerto attach theeto the seal ofthe Comps acknowledged such the eitings so elected officers of the ttoorneys-in-fact shall be pang in own pro bindingper u sn po the Company as if they had been duly executed and RESOLVED:That any and all Powers of Attorney and Certified Copies of such Powers of Attorney and certification in respect thereto,granted and executed by the President or Vice President in conjunction with any Vice President of the Company,shall be binding on the Company to the same extent as if all signatures therein were manually affixed,even though one or more of any such signatures thereon may be facsimile.(Adopted Oxttober7,1981— The Hanover Insurance Company;Adopted April 14,1982—Massachusetts Bay Insurance Company;Adopted September 7,2001—Citizens Insurance Company of America and affirmed by each Company on March 24,2014) IN WITNESS WHEREOF,THE HANOVER INSURANCE COMPANY,MASSACHUSETTS BAY INSURANCE COMPANY and CITIZENS INSURANCE COMPANY OF AMERICA have caused these presents to be sealed with their respective corporate seals,duly attested by two Vice Presidents,this 1041 THE HANOVER INSURANCE COMPANY day of January,2020. 4ASSA I-COMPANY MASSACHUSETTS BAY INSURANCE COMPANY I SURANCE COMPANY CITIZENS INSURANCE COMPANY OF AMERICA C MPANY OF AMERICA H.4Cawtecki,Vice President u ©Vice President p r4( nn.ojt 9 THE COMMONWEALTH OF MASSACHUSETTS ) COUNTY OF WORCESTER )SS. above named Executive Vice President and Vice On Masai chusettd Ba of y Insurance January, 2020 b and me came a Citizens the Company ofAmerica to me personally known to berthe individuals and officers describInsurance ed hdent of The Hanover insurance erein, and ls of The Hanover Insurance Company and acknowledged insurance Company ofA erica respectively,arument are nd that the corporate aid acorporate seals and their signatures Company,officers wee dully Massachusetts affixed and subscribed to said instrument by the authority and direction of said Corporations. ARLEEN V. SIMONS NotarOITH W$SA M Commission Expires Juneil5,2 colAuONWFn miss anSsn pines Arleen V.Simons,Notary 023 My Commtaslon Expires y June 15, 2023 d Citizens Insurance an I,the undersigned Vice President of The Hanover Insurance Company,ofthe original Massachusetts Powerinsurance ofAtto ey issued by said Companies,and do hereby furth of er certify hereby certify that the above and foregoing is a full,true and cored copy 9 that the said Powers of Attorney are still in force and effect GIVEN under my hand and the seals of said Companies,at Worcester,Massachusetts,this 8r'day of October 2020 THE HANOVER INSURANCE COMPANY CERTIFIED COPY MA ACHUSETTS BAY INSURANCE COMPANY I NS IMSURFlN ES.OMPANY OF AMERICA Carrick A.Btigh,allce-P sident eCONSTRUCTION LTD. 5112 SUN VALLEY DRIVE FORT WORTH,TX 76119 TEL:817-572-3303 FAX 817-478-0443 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 Troy L. Jackson, President Of Jackson Construction, Ltd, 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; FY16 - CD 9 Street Repair and Reconstruction Program BY r L. Jackson,President Subscribed and sworn before me on this date 9th of October,2020. 6 1& Notary ublic Tarrant,Texas CARMEN L. ESTEP Notary Public, State of Texas 'Q= Comm. Expires 04-06-2024 Of, Notary ID 2910611