Loading...
The URL can be used to link to this page
Your browser does not support the video tag.
Home
My WebLink
About
Contract 47791-R1FP1
FORTWORTH. CSC No.47791-R1FP1 Nlwo"�� TRANSPORTATION AND PUBLIC WORKS NOTICE OF PROJECT COMPLETION City Project Ns: 02738 Regarding contract 47791-R1 for WATER& SEWER MAIN REPLACEMENT CONTRACT 2015A 1ST RENEWAL as required by the WATER DEPARTMENT as approved by City Council on 06/18/2019 through M&C C-29156 the director of the WATER DEPARTMENT upon the recommendation of the Assistant Director of the Transportation&Public Works Department has accepted the project as complete. Original Contract Prices: $3,000,000.00 Amount of Approved Change Orders: Ns Revised Contract Amount: Total Cost Work Completed: $2,999,969.46 Less Deductions: Liquidated Damages: Days @$210.00/Day Pavement Deficiencies: Total Deduction Amount: Total Cost Work Completed: $2,999,969.46 Less Previous Payments: $2,999,969.46 Final Payment Due $0.00 Z��lootelize� Dec 17 2020 Lauren Prieur(Dec 17,202015:59 CST) 7 Recommended for Acceptance Date Asst. Director, TPW - Capital Delivery Cl iJt0LIML 6W-del- Dec 17, 2020 Christopher H rder(Dec17,202016:000ST) Accepted Date Director, WATER DEPARTMENT Client Department 0 au "A&(6 Dec 17 2020 Dana Burghdoff( c 17,20 17:47 CST) Asst. City Manager Date Comments: OFFICIAL RECORD CITY SECRETARY FT.WORTH, TX w q,o v w-n o j n A.a.o rn o 0. z O y'w b � �' ❑� m n '+ o 0,0 0y Q 2a� az � 3 O H 0.0 P 6,5. n O'O o R o� En 4 4�, o =r o o 0 0 a o F+ y o prw.r5 0 p o �O rO�� y a 9 ►.. d N or IDm o N o � o 0• a b o 0 0 °c o r1 5.ti w o' :0, E w� a rn ° w O O O Ff o o. b n 5' o. a..� o g'o '� o � m d wd� 0 Ro o z Eno "� o Q' o O o ., ova 3 N �c OC J F, V1 L W N m A O O c m O e a > py a 3 ro R n -zi a n n a a d < r 7 m o a x a k k n ro ro r -3 b7 g I--I c z N w a s d C 73 q y O 0 D. Y Y O °, o ° CD 0 0 Z z a rt rn n C7 ? Z n X � a y �� r CA z a a p m Cl o ' ' A N .. cn oa m n a c' vi v, ss vA vi cn rn ss v3 vi v3 �, N N N W W I� o o 10 o o `y ma A A A O O C7 N 0 co v c m V v m I ' l, ' ', ' I � I ' I ! ' ' Illl� II ! '' lllll I IIII ! ! III i t 1 1 I ! , = ro ei �mw �i l h-�i I l l wlwi IOml N�glq az@ut',o�iN 000- as a wo��44oc�c���« m m 0 0 O O'O O 0 0 - i n I, n$I aaaaaa 3 by ss ro as f1 i l I o -- -- - - ----- --- - --- - ------ --- ---- - --- -zl -- ----- 3 ---- — ---- --- --- _-- ------ ----- ---- __—_— w l l l Imlmmlml Ill l I�I�I e�:m s sLm'L"u,L" a I mlmim I I I�I=Imp I ml I�ImIGI�I Imlml Imhl I iulmlm f I�I mlml I I I I I l l r I I hI I I . hil I I i i i I y I a z �sslo'8888883988889.2 �ss'so ass wg s y ss '' r -N.T.T ffi ffi ffiffi,omW�mN��oauwffiffiwNawwaww �o'Il a 000wom 00000a m�> z' 000000g g o go 0 0 000000a g o00000000000a B0000008s0 aj 3 3= of of al I I I olol ololal I I olool �I I I I I I II a - I m _- _�� wwwwwww wwwwww 9w mN o naS�n_S_3m�- o w�wwwuwmwww wn wowmwwHS SNe_ a'ffi - o� ogo pppppppppppp08� u R of of ao I I of I al I I of o` ! to of -6. _ _ II I II� I IIII s st a o 00 o s ! o no o00o0o0 N oo 81 i It I o o o `z i i fI I Ili < I i e o �c ffi� eg Is o of s!e's s I fs lol s sfs�s o 8 Is I of - o m I - s I �y o z II H _y v�3 a oa og,. go g o o g OP n S 8.o o '$ m o SI. oi3 S gig8 to o o I > I � ��� � � i III III III lad �II �I � wo wG)��J . SF3m op wl�o ffiSW w���e 181.o. g, w 8. oho 3 w a e o s 8 S 8 G k t; ;S e k o m £I 13, � I � I I II III III � I ml„� � a�� I I �I �mi III � y NNAN NAgg '4°IR°lRhA 33 G y� mo�" �'i'y l+. m�gy9A4^tzz va�j�1m 12 Urj9p K� `3Fv`3`+�`�t3`3" 000L'b'So 8'.: d� - -eb9s� FFFes $ � $ � aaaae9aonm� yyy a 32e= ..... t�f 20 ^ pa oBiI,, nE333, 9 ^3 I L--gwj*J .�~�saw��zo 20 33 p�S 3aoo 5s'sf a, ,s',S: 3 Fr'�. F s 3 $,`: s -,, � �������� Off, z azzf$'��'� � a�a� TS ���'��-� �g �e�<:r:� �;�S ���& �._ s��'g '• ��Bmn m'�5 $ >E$ 3aSL oa ��$ .s-zA $ s J� Fi�i `e6�i��L'd3 77 ga Y Z Fj n 0 - - - - - �_ ----- 71 s..;l 1 N T T 0 m T T - z A C�•1 ap a s" S 88�5 08 S t g'3 o S S 8 S Ioi 13 a 88 1.8S o t as o� I i I i t I t ns � g o of o -a o u a .R olSIoolo2E2 I t I I iosd l Im I�>�>N„ II is I l g o ll og N Sl s ss oo S 1 s s s o oo 8�o 8o8s oosllo � I a s i g E 8 8 0 O g 8$ '81S 8 S o o, � � I IIII i i I I I of x o� I S s� mso s s:$ s ss I II v� os s s s asl of I I I ! I D > a i hemI „� o sSog a �o ms� a sa sI o o ss d a I��S 5 o g o x S 84 l -b I ti i l i l i i l I „A I ^'mJ R b �• S P. i.31 ass sass$ Sos ASS o'ssssll ❑ SSo SSS 3 mlmmm°iR9FFia qmm n'o W No s,fO 4$ 9Y. a -.- £ - 3 A rs Ps o oI�`r's s'L-y y� all 81818 o m @ 7y - �H - E n Y c a_v m o a- o m w o v a•- w a- - o c�u o w a•-w N o m i 2= sls Fio Ala wio SI> H cz rz ,cccl,I Ih!,{cc!c I1 I^ ^h^ ^ H�y I z I I s 3 o s'ffi s mg ffisffi s msffiffiIffi ffis s g ss x �s o g'gN sss = a o sm asm ossm s�sm m 'm sslsm sss'a$, �sm ssl r ay l m l a� ffiffi o � sls al oi ssm mII s�s i � I ml sI s i ��mlmmis's I I I �sI�ss sIgffis E �ffi i� I m ss i I Im! � m1a o l 2 z 3 a Ig`�+-}'.r ffi ffi ffi r+tu'ffi ffi u a�i:ffi m ffi N vffi ffi ffi N Im d s no �o s o os offi a asm-sso s o o oo 0ppo 8$ m 8 {d3 No s8 S offimm�l Im$ I Ii ffi o mm�E o �$ o� moos �$ o g o �I'I � i I l i l g I I $3 0 0 s l i l g�"o�so o.� I Nsl oil � !s 'o> ' a'' I a'Nal al I I «�« N m � n �• s ,� ffiffi�k �ffi nffii5 vl v 8 8 t n 23 t!:r M:fl I WIffiaffi'Skffi _ffi N ffi' 5.N G- .ffiffi K ffi ffi o S o S"o S 8 ffi.a 8 0 -C o m 8 o e B o • 'f BSSSS 888 oBmSl w I 3 n I ! I, III IIII IIIII ! IIII IIIIIIIIIII III 'ti m� >�N ��'9�'Ri�esaase�y ffi ffi x mlm jh �- � R ,_ : to RNRHRo'1^3Ro RR R'SR RR 4 q^tAq;i;Nld44 i4!,4 � RI R',R mm RluuuKl.;uu. •RI I RR RR°lRRN^2 �+ y. 0 oI «««.<:o 0 o v o 9 9 R g a <h«< . ��c o' NMN --_ avO vIN NNNNNN � � I £ N o. £ £££�. IMN M O O y n C!N - - R R m m 4 A m a a a a a '8'SgS 313 .'m'>Has_sam>ko m; �l li a SRS SR S 'weryo s_ _o v� j' m: v s_sa_a_ ma s_sa Iwm _ m'm a Imm - m aas mR,° eeel 'fg f y000 `'Gl�000� oo m e..- m mGG 3 33 333', no m>'u 3 mau m : mmFuNNFN F£F£0 0 0 3 @ 3 3 3 tl m 313 K 3 G"�3 3 mi 3 3 n M t� N O O O �n n q q 9y qq w fill a"SJ'3 r R m R �'3 3 3 3 3 33 m 33 333 3333333331� 1 C a G6?SS ---'3l'313 33 3333 mWT +p a�a���aaa b r a n r� 3 = z H o =-------- --- =a- o �I�I�I���iIIII�� ACC EIC.0 �C... _ i^ h - ^I^ 1 i^ I ^I1 I^^I^11 y^I_I Ir'I rl l l Ill-i - l g H iq o� 8 8888 88$8 8ffi8 8888ffi 8'8Iffi'8ffi 0 88d8 88889 _ 0 0 0 1. a 'g o� S 8 : r a 3 oI '"&B N o g $ u o ffi ffi m' ffi 2 3 880 8SS $_ II oiol I I II � of I I I o! of � oI I of I of of I of I I of oo o .o. ol . 2- 30 �� 3ffiss�ffiffiffi ffi $ o ffiffi - - -- -- - s�Nlffi 's�xxx �'gr«ffi����ffiffiffis 3 S8 "S 8 8 8"ffi o e os 0 8 I I I o o.o` o 11 J N o 1 o 8000ffi0 .,.00_000000a�0000 o.o e o 8 o s o8 88 g n o e oI I i I �I I i � � i - i =18,00 o o Is o i I I I g'8`6 a to 818 x8 n ��I ffiI s I ss is,HE o��Ssisl I I I I I l i I I I I I g I ova � Iffi la l� Na _.. a _u_u�I ♦>3 g 88 oS oI - m I>8 m S o o�8 ffi '. ffi ,ate&'«, '^ I$'$ ffi5.'$' $$'.�'L"ffi abN' MM ffi� n K " Soso offiffi�ffio g 8ffiso o�� ��o $g 8 8$ o B m 3 o k W egg g�ti o�m m W elm �,��� l y R I�I y Im I Iy I IyIPI I I �I I I� i III yl I I __ g A^t�7N4Naj9 4av ?�33n��1129 NN N N N NN�l33��AAAA s: p p p p p p p p o F-gFFFFPF� �3 � -i-lypo33 n t� �SSSS7C 15.7SX��.$acc '•, >affi�P �nA''Can �Rga� 8a �a , 'eva45 � Y'�� omam um Cr1 A'+ a >> z fil l a94$oy o �n�l$po e$ggg Q p 8ggSs._�' �s+evAp C 8g8 'Baga sgou sio Q f f83. a €�g 3�e 5�a 6 0008g8� �� o o �e5 ss�s s z n n p \ n m . a `•g"o 9S 9S 'a N 4 0 179 R Oil! � yy "�-'- • agog iy� tro" �gggdggg > A O I oC c c I6-iir l ICIT m ll�.l�l.1� I M 1 1 N . Fs' mscccccc I�I�I III < - I- 3� y� g« ss� o s sos y �s'ssls .s s 3Ig go s sss so r „s « « ak Y3' �I' �« BSN�N �. z� offiy «sy `�� y'a 8 III«gs es�No�ous «s« "go ���« N� gogN guo a' oho go � o�go s o�oogo �«�m «�ooso 3g Q^ aSSo 088. S88o a3S 01 i 18 ooel 188�olo I I .. o� III I of a ffi O'0'o8S N88 008 o ffi NS� oS�08 080N o v8_ �8 oe o« N«BN«N�o o«o«m «8«0«««8 vo�aNe o oe � -«gg o o Soo 8 S 80o o 8 8 o a 3 o� - 5 e� 1 o -I I P _ Ig tt �s m y g r88 g88g;8 :$ ge�o Wei g 8 I I o 'sus o888s ( os$a I I < y 3. I I I I s I ff��� I« o $I$ 818 8 I'8 ss gt3is eL «eN ox;m »�« imp' N�«� «' « N'��ag��' ffi &I�'�«egg«gNN13gg�g«o� R o osos.� og0000 0000 �ouoo ego o o Ao oso 3 u u u umo ' sm#V9V m4 i -{ mo�gmi 000ppRR 3R^i$$o mNANN NN'Ar;'QRR RR A. -�-+33 E` RRRRRRRRRRR RRRRR9Rh3 �' n�oc�o-o ,RM1. 88 e Q a �e zzzzs a,m a '3 E�',YSa ;eg crass o'� -333,A zla =�oaS �.x� n § ". cis ol moosm m -aao maan Analz � z ' � e iaz SsN mom= SS mz c�a mm 2 p W ILI Ez n I y y u���PjVj I I oc i- i^lit~ Iy I1^ IN n I^I1 h l i^i a z e g S S o gp p p gg o o S$ r. S. filg oS p o a o58 0 o o80 o8p d o 81.0081.81888118888828 y3 ! ! Im of a' 3 m u m m}'n u� �i o b" o b"a � moo m�So �B��N oho m ffi� o�u a= $$o o o o 0 o S 8 8 $$ S 8 o SSo SS8 �I to I �11 I I ! of I oll of 3"2eg� s S�os ' oS$ o ob o� pa 88 oases goy ipI �go I� g o goi � gI I 13 gg 8j m B vm sr� I, SS�F�SS ��8 t E I I I o i of �a s! 12 w 00 s s s s s la is s s m 9. S Se o�P R 0sI S Ss . �I imI;� I � I _ i i o aa I Ili I A It32,V,„ � .N S„,m � = m s aBgo 0 0� s ono s o 0 3 0 -I o S m S 8 s o .S o S$ o s o 3 I li I I ' I ! I ! II ! 1 ! I III m 9 ro smNW, oe�>Z� aem _oem mwaW, H�wN o ss z m '< O a<'O v o O Op a a,g RI v:p Nlo G O K �o p •.a [N.� ➢z z c yim o 0 0 � .. a s S A A" a s a 9 A 3 3 V! O m 3 D S 0 0 0 3 0 r p y 3 3 3 SIP O A s O._ODy O n O 0yyi00�0 O y0 pa 04 - I 1 O 0 0 0< r.m A O < tl o< o as F A�of w -�D 3O�z F�m 4` R al to"g T v STD-�a?o x^<'O$zm� 55o➢in, oA<j o i`§'o>oa �.mz zm� pink a' <p1k"Ale SD �D <O ;00 D 1<n y`f`fQ <mTNAO r 0-13 $ = =�T �� -1 O O-�-T m➢rT 0-SN T Z z �1D OZZ20X O mS< ly ZZ �O�-D-ii <�m➢mIY '.y A'.N <_OOOp0�2� 'n gv S nm 3 sDS,m O 1 Op=ZyD m �3A0m Fn SmA S'�� D9 yAOAOron < Ss ' �1 ! mo OOS 1 � �lmA 'p min°o<mm czi aID'..(��pD hNylcooapm=`pmozA3mA'^^ � aoa > 4 Tp ya ply.-1 r<O'. G<' ZTN13i1AO < Oo AO �T�K�S�yfmi�POAp 2mZ2 nab ClJ O O S m O O D m Al D 3 to V A D Izii Z.m Z O m m Z S p O Cp DC 0 T T N o p w m 0 3 ZI.. O f9NOAr�S m fmn << O -mZv� ztpi Inoue gg _ D -112 m O C m y O O 3 f 0yn C 1 Ot1 O Oly�I Z. Z O, ZI 2 T O <Im O Z D m 10 N N y C m y 4 f ti Y x ' N yy77 m➢ z m2� p p a� < Im o O�ow_ < 9 l7 D ���nn-Oi A r O O epil O m p C x 1 !V< OZ2 OZ 31,A S m P < O y O f`Nin1C 9 mm OIO m! < O p 4� n C IAtI s D A D N OI Day .p p m D m S C O A m m z �S'r y S A z 0 o � > H iN ! Im N 1 I i�iN N IN I IT IT I �n lu iN I I lu I i IT I IN T'IN H o. z 3� S gs BSS oSdBo .1 0'8o S 8 t" o Io aid u w N� ai 1 ruy�¢ i�o N o 3 oo. oso��.S$I 8 I8oSS8.. I �i I aI ,lo 1 o i$ ioSSo 0d � � 3 J w w w $ a w'ffia� �wI'� S Sw wffiwSa z CS IV>� � � w Ke NA SaS 5 S-8 S8 S.H S � o0 8 Sg o m $ass s' o .ass oso oss .sass si of S I ! 8 go $8H Sg'S o8 II o P. I w w - � so dos so is sgsso os$I I $�s 8 -88s ,8 .8 8 8.. - I I to 11 1 1 11 I y E � � v I I to $s$o �t 1.$$I$$ o$81 8$S � I���xxlae��'xxxa^-'x� xxXxlx�i� m�<. e y v m EL > 5 O S ! Ik'i 8 ffi g+, 'w"� m'a 8':4 It3 w m P� �000 SS �oSogS oho �o S2o 8 3 � ! ` \ \ 7 � I / # . ! � q � k ; \ � ` \ ([ & \/ \ � 2 - )/ � @ !! \\ ■ � � i , | / | I i � n \�\ ` FORTWORTH TRANSPORTATION AND PUBLIC WORKS PIPE REPORT FOR: PROJECT NAME: Water&Sewer Main Replacement Contract 2015A I st Renewal PROJECT NUMBER: 2738 DOE NUMBER: NA WATER PIPE LAID SIZE TYPE OF PIPE LF Water 4" PVC 249.767-LF Water 6" PVC 1061.706-LF Water 8" PVC 1336-LF Water 10" PVC 56.3-LF Water 12" PVC 1497.5-LF Water 8" Carrier Pipe 38-F Water 20" Carrier Pipe 38-LF FIRE HYDRANTS: 20 VALVES(16" OR LARGER) PIPE ABANDONED SIZE TYPE OF PIPE LF DENSITIES: NEW SERVICES: SEWER PIPE LAID SIZE TYPE OF PIPE LF SEWER 8" 10'to 12' PVC 638.31 SEWER 8" 12'to 14' PVC 18 SEWER 8" 0 to 6' DIP 217.6 SEWER 16" 0 to 6' DIP 50 SEWER 16" 6 to 8' DIP 15 SEWER 16" 8 to 10' DIP 15 SEWER 16" 10 to 12' DIP 30 SEWER 16" 12 to 14' DIP 11.8 PIPE ABANDONED SIZE TYPE OF PIPE LF DENSITIES: NEW SERVICES: TRANSPORTATION AND PUBLIC WORKS The City of Fort Worth• 1000 Throckmorton Street•Fort Worth,TX 76012-6311 (817)392-7941 •Fax: (817)392-7845 1 FORT WORTH TRANSPORTATION AND PUBLIC WORKS PIPE REPORT FOR: PROJECT NAME: Water&Sewer Main Replacement Contract 2015A 1st Renewal PROJECT NUMBER: 2738 DOE NUMBER: NA WATER PIPE LAID SIZE TYPE OF PIPE LF FIRE HYDRANTS: VALVES(16" OR LARGER) PIPE ABANDONED SIZE TYPE OF PIPE LF DENSITIES: NEW SERVICES: SEWER PIPE LAID SIZE TYPE OF PIPE LF SEWER 8" PVC 0 to 6'CLSM Backfill 379.4 SEWER 8" PVC 6 to 8'CLSM 74.8 SEWER 8" PVC 8 to 10'CLSM 122 SEWER 8" PVC 10 to 12'CLSM 59 SEWER 8" DIP 8 to 10'CLSM 47 SEWER 8" DIP 10'to 12' 12 SEWER 8" Carrie Pipe Casing 128 SEWER PIPE ABANDONED SIZE TYPE OF PIPE LF DENSITIES: NEW SERVICES: TRANSPORTATION AND PUBLIC WORKS The City of Fort Worth•1000 Throckmorton Street•Fort Worth,TX 76012-6311 (817)392-7941 •Fax: (817)392-7845 FORTWORTH TRANSPORTATION AND PUBLIC WORKS PIPE REPORT FOR: PROJECT NAME: Water&Sewer Main Replacement Contract 2015A 1st Renewal PROJECT NUMBER: 2738 DOE NUMBER: NA WATER PIPE LAID SIZE TYPE OF PIPE LF FIRE HYDRANTS: VALVES(16" OR LARGER) PIPE ABANDONED SIZE TYPE OF PIPE LF DENSITIES: NEW SERVICES: SEWER PIPE LAID SIZE TYPE OF PIPE LF SEWER 42" Wood Box Tunnel W/8"DI 119 SEWER 48" Wood Box Tunnel W/8"DI 71 PIPE ABANDONED SIZE TYPE OF PIPE LF DENSITIES: NEW SERVICES: TRANSPORTATION AND PUBLIC WORKS The City of Fort Worth• 1000 Throckmorton Street•Fort Worth,TX 76012-6311 (817)392-7941 •Fax:(817)392-7845 i I FORT WORTH rev 03/05/07 TRANSPORTATION & PUBLIC WORKS FINAL STATEMENT OF CONTRACT TIME FINAL STATEMENT NO.:10 NAME OF PROJECT: Water&Sewer Main Replacement contract 2015A 1st Renewal PROJECT NO.: 2738 CONTRACTOR: Circle C DOE NO.: PERIOD FROM:0 1/09/18 TO: 11/18/20 FINAL INSPECTION DATE: 18-Nov WORK ORDER EFFECTIVE:11/18/2020 CONTRACT TIME: 365 O WD* CD DAY OF DAYS REASON FOR DAYS DAY OF DAYS REASON FOR DAYS MONTH CHARGED CREDITED MONTH CHARGED CREDITED DURING DURING 1. 16. 2. 17. 3. 18. 4. 19. 5. 20. 6. 21. 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 0 0 0 0 1,034 1,034 PERIOD PREVIOUS 0 0 0 0 0 0 PERIOD TOTALS 10 0 0 0 1,034 1,034 TO DATE *REMARKS: 4v-- CONT CTOR DATE INSPECTOR DATE ENGINEERING DEPARTIENT �` The City of Fort Worth•1000 Throckmorton Street•Fort Worth,TX 76012-6311 F' (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 Teresa S Skelly, President Of William J Schultz Inc dba Circle C Construction Company, 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 fizrnishing 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; First Renewal -Water And Sewer Main Replacements Contract 2015A City Project Number 02738 BY /), 2020. President fnla Subscribed and sworn before me on this date 28 of Oc �w"P�s� MICHELE S LANKFOR +. --•�,� Notary Public £" * STATE OF TEXAS to#11769464 Notary Public ,.• �+;• -r.xis +eMY Tarrant,Texas CONSENT OF SURETY OWNER TO FINAL PAYMENT ARCHITECT ❑ ALA Document G707 CONTRACTOR ❑ SURETY ❑ OTHER ❑ Bond No.TXC608549 TO OWNER: ARCHITECT'S PROJECT NO.: City of Fort Worth City Project No.02738 1000 Throckmorton Street Fort Worth,TX CONTRACT FOR: Utilities CONTRACT DATED: January 9,2018 PROJECT: (name, address) Water&Sewer Main Replacement Contract 2015A Vt Renewal In the City of Fort Worth,TX In accordance with the provisions of the Contract between the Owner and the Contractor as indicated above,the (Insert name and address of Surety) Merchants Bonding Company(Mutual) 6700 Westown Parkway West Des Moines,IA 50266 ,SURETY on bond of (Insert name and address of Contractor) William J.Schultz,Inc.,dba Circle C Construction Company P.O.Box 40328 Fort Worth,TX 76140 ,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 1000 Throckmorton Street Fort Worth,TX 76102 ,OWNER, as set forth in the said Surety's bond. IN WITNESS WHEREOF,the Surety has hereunto set its hand this date: October 28,2020 (Insert in writing the month followed by the numeric date and year.) Merchants Bonding Company(Mutual) (Surety) a (Signature iif authorized representative) A#est: Witness ago Surety: Sheryl A.Klutts,Attorney-in-Fact (Seal): I i ., .�. (Printed name and title) `.fit c- xxrf John A.Miller Note: This form is to be used as a companion document to AIA DOCUMENT G706,CONTRACTOR'S AFFIDAVIT OF PAYMENT OF DEBTS AND CLAIMS, Current Edition AIA DOCUMENT G707 O CONSENT OF SURETY COMPANY TO FINAL PAYMENT!April 1970 Edition•AIAO One Page ©1970-THE AMERICAN INSTITUTE OF ARCHITECTS,1735 Now York Ave.,NW,Washington,D.C.20006 MERCHANT� BONDING COMPANY,. POWER OF ATTORNEY KnowAll Persons By These Presents,that MERCHANTS BONDING COMPANY(MUTUAL)and MERCHANTS NATIONAL BONDING,INC., both being corporations of the State of Iowa(herein collectively called the"Companies")do hereby make,constitute and appoint,Individually, John A Miller;John R Stockton;Sheryl A Klutts their true and lawful Attorneys)-in-Fact,to sign its name as surety(ies) and to execute, seat and acknowledge any and all bonds, undertakings, contracts and other written instruments 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. This Power-of-Attomey is granted and is signed and sealed by facsimile under and by authority of the following By-Laws adopted by the Board of Directors of Merchants Bonding Company(Mutual)on April 23, 2011 and amended August 14,2015 and adopted by the Board of Directors of Merchants National Bonding,Inc.,on October 16,2015. "The President, Secretary,Treasurer, or any Assistant Treasurer or any Assistant Secretary or any Vice President shall have power and authority to appoint Attomeys-in-Fact,and to authorize them to execute on behalf of the Company,and attach the seal of the Company thereto,bonds and undertakings,recognizances,contracts of indemnity and other writings obligatory in the nature thereof." 'The signature of any authorized officer and the seal of the Company may be affixed by facsimile or electronic transmission to any Power of Attorney or Certification thereof authorizing the execution and delivery of any bond, undertaking, recognizance, or other suretyship obligations of the Company,and such signature and seal when so used shall have the same force and effect as though manually fixed.' In connection with obligations in favor of the Florida Department of Transportation only,it is agreed that the power and aut hority 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. 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. In Witness Whereof,the Companies have caused this instrument to be signed and sealed this 11th day of February 2020 apO�P e0•• ;OHO Q1PQ 'Oq�. MERCHANTS BONDING COMPANY(MUTUAL) /•y tr0 4>'•Z: y0 9'O�.y,�; MERCHANTS NATIONAL BONDING,INC. t v 2003 :y: 1933 c; By �,. ,:a�•.� ;mob . •ao. 7 �i •......• '1 : •.•��y" "�9�•.• •.�W �•. President STATE OF IOWA ���"'��""��� ��"•"� COUNTY OF DALLAS ss. On this 11th day of February 2020 before me appeared Larry Taylor, to me personally known,who being by me duly sworn did say that he is President of MERCHANTS BONDING COMPANY(MUTUAL)and MERCHANTS NATIONAL BONDING, INC.; and that the seals affixed to the foregoing instrument are the Corporate Seals of the Companies;and that the said instrument was signed and sealed in behalf of the Companies by authority of their respective Boards of Directors. A, s POLLY MASON 7 ... Commission Number 750576 �r > A r My Commission Expires ova � A January 07,2023 Notary Public (Expiration of notary's commission does not Invalidate this instrument) I,William Warner,Jr.,Secretary of MERCHANTS BONDING COMPANY(MUTUAL)and MERCHANTS NATIONAL BONDING,INC.,do hereby certify that the above and foregoing is a true and correct copy of the POWER-OF-ATTORNEY executed by said Companies,which Is still in full force and effect and has not been amended or revoked. In Witness Whereof,I have hereunto set my hand and affixed the seal of the Companies on this 28th day of October,2020. =_ 2003 Dyzj? �y 1933 v C: Secretary POA 0018 (1/20) "• •,`°�• ••••••••