Loading...
HomeMy WebLinkAboutContract 53040-FP1 �)D) K)f1' ' C�kv�TPIo CSC No. 53040-FP1 �� •o � -loa l � � TRANSPORTATION AND PUBLIC WORKS C j S 3 0�� NOTICE OF PROJECT COMPLETION City Project Ns: 102196 Regarding contract 53040 for SEWER MAIN EXTENSIONS REPLACEMENT AND RELOCATIONS 2019 as required by the WATER DEPARTMENT as approved by City Council on 09/17/2019 through IvI&C C-19-0162 the director of the WATER DEPARTMENT upon the reconunendation of the Assistant Director of the Transportation& Public Works Department has accepted the project as complete. Original Contract Prices: $1,000,000.00 Amount of Approved Change Orders: Ns 1 Revised Contract Amount: $1,000,000.00 Total Cost Work Completed: $996,255.63 Less Deductions: Liquidated Damages: Days @$210.00/Day Pavement Deficiencies: Total Deduction Amount: $0.00 Total Cost Work Completed: $996,255.63 Less Previous Payments: $903,027.78 ( Final Payment Due $88,227.85 I-rauren Prieur Jan 12,2021 7,,,ren?riov,ij,u,12,70.,1 ci.'' Recommended for Acceptance Date Asst. Director, TPW - Capital Delivery ClLst�,� 9 6fydel- Jan 22,2021 + } ChristopherH rder(Jan22,202108:05CST) Accepted Date Director, WATER DEPARTMENT Client Department naw gu"A&ff Jan 22,2021 Dana Burghdoff( n22,20 11:23 CST) ??' Asst. City Manager Date Comments: OFFICIAL RECORD CITY SECRETARY FT WORTH, TX o o q,r! 00 H•JO�' Ao o aw ocm , � • 3 g-'� v 0 5. w •G w w. 110 d am•�_ O =o 0 o D (d1 Q p >. b p w p o rn o O C91 N (D G A = a o- O> � m �.�»y o'_ < <0• .". vim, _ � ro CuLlS-Q 4 v �OiR � ��i 3 p x'•o S= � O o ° r'3 w a w N 0 a n z 7 OC ro O Cn W `' 7. Z o_ HO d CO-7 a _ m co d x ro CJ P H b 0 H 0 m a 7 © x m ty k ?t 5 C ° C 7 0 0 3 m C 3 t.0 z 17 z o ro (D jo d �> O t F7 {v z o �• + z _ N CD ry n Qv Pd O CD { CD OQ `� ... G G H O G O w O v e o 0 `l tb Gl 0\ m cwi rn � N o io iv o 0 _� pO u• W W 4> O O A N O N C N (D I t I fI ` I I I b I , I , A I ' I : I II it I i illl Ii i 111 I � I Iii I II ! I I ' II I I I 9999919'•49�R R�499'99i9%'%9I99°J99NH H,N.N NN999R9919 avoboRov 4'gogR'%yIR 9,99R 9,H H,NNNNN99999949 R 4RR9 R,44,R 8,f oi QSQQQ4$g�"sa4'9$? vgvgS AAAPgPAl�Y�SPRW1'NQ•S6Q:WAN4S6aW.AN4o64ff$ SggS _l�$$� pop.avvaASARR �4S,Cvp'ptyp la ysR� Ap �gp ,R� gS a S ,$II'IIII s8ELzF'�SYliII�I,iIIIiIiI'IiII ItSfE C.8!E N�..j�iI1I�f�II,$nFN's4a�E._'49 I It!il�Ii1iIIr F 0a_.R�ti,IIi;IiI�;!,j!!x'I'�aF Vo�4N,'I,lIII a�-s8EGrF 5W4s�IiIIl;iiIfI.',a�$46E?c0.�iliI{I;i!I'iI��IiIIIII IIii'x FsIIi s4 8E�A?i`fl�CIlIi';iI!IIipI!�BI�8 n�M CN�SI'fIIilllIs$I8 lI n!x q�4C�q IilEilIi:,;,;iiI!{I:II'8 i r4-8E4„C nmWI!ilIllIi•III,iiIiIx!I Il il�I 8`�ELcF QW liiIflIlIi'IIf1 II,ia,gg$y,CWS9�IIii I'III(I I 8��s CS0.A:II!i�,IIi!,ii1 I�IE-n4CGNIlI!i!jIIIiII,itIiII�II Il iE s I�C SN�4''iliII�II�f'ifiI II I,�i,�rMaC*9Q(li'lIII't��I rmlE'n4r CWQ i!,(I;�IjI''I'�I�IIk'I iI rS4§4�C n�IlIIiIl!iIIliII'II:�'tI'gi,aI'C 0.!I�l�i'IIl�;IIiiiIfII-s 1C0.�IllliI!IIIik II 1-n F A;II1(jll!°,Ii�lI�I!''uM 8E{�jssN.!IlfrII{!1IIII'IliIfI{II'R'I x'II;Ii I E Q�ji,II!1;II!IilIIiI.�I x I.$i�4:9 II+I!IIlfIlIIIIz4 a"W III�;I!�CIiIIIIItIIII '$i nIQ IiIiII!iilili�ICIiI8 s WiIIiIII'II!IiIIij$I x;A�IIiIiIIllIIIIIiI rINIEo 8 II1I(1I'„!:i;IIiI'�II!i�i.a;r�54sJ ii'i.�IIIl�;lI'iIIl'i�il•kIiI_I5 r M i�iIiftiIi,!1IlIIiIIIIlkl�n nEa-4W lIIiII�'sIiI N1IE£9 IIIiiIIIIIIi�!f'IIIIQlI8 S0.iIlI,IiIi(II,Ij�;IIIiI{lIiIi r EL fS4lIliI Ill'.;;tIj'IfIi!I'�.sIi,'�rHaV IxiIlIiiIIl!Ii IlI�iI xIa Eis 9 II1IIliIii'I'IIIIil s s n9aV�iI!iI1I,IiIiIiIlIIIiI',iiIx n IEe�I`W;i!IiI!!I`tI!If1BI`Ns-CLa n a 0.4r-.{LitrIIiIIII�III�M IiISx 4 A SW�I;l':i�x Il!aos4 r6�IIIiIII('i'iII1!IiiIi;ill+(IlI'j�1l r a4�rs5N4',!IlillI;It•l.II!!�1IiIil p iE4sY a�nQ�I'I)i�iI1l'I'sIIY SEM a 9I'1I�l sflfIi•I����ggs�$E4S%IiiI'IIIil'lIII�iIII��I,,�g-g n 0.Wi'IiI.Ii'.'l;iIiI�II��I:"n gg8nA 9l�IIiI!I{lltIIiIIlji'I8S r rNA�ill!Il-'IIi•I:li'#�4"sSNQI!plfItIIlii1I�IIil 0.SQ!lI,l:IIll!IIIIII'I�C 4i 4"e_.0.'IiI�l�!IiI',iII�lI I P�4S 460.ItII!iii:iI-F II�i,A54 IiilitlI!IiI''iIiIIIII!}I PS W.iaiiI!IIIII1t;x,iI';!i�''�I C S�A 9 liIl IIIIII�4�a,eN.iIIII�I{IlIil!1iIIIl iiI��sA E4§46 fIIlIIII,j!IIf!I!Ili1iItlI$i�III§��8 P6R llftI,IIIi'II'S$s GJ W6�T I llIIII�l IIII.i!;IIl'II(I I rI gg$.a li''liiI•ii!III'x:gS w^oIIiIiil!l{Ii!III1�IiIx oI SPH�a IiIl�IIll�IIiIl;I,G8,EPN lIIIiII,lIitII;$II I�I iws P64 IlIli!i�l'III':��$EMuP69'II�iIlI!,iII�1i��II'I�Eis""P Wwi!'lIiIIiI`.I�iiliIIIiI�lII�gg$S�,9As.�ilIIl'I.'I!iIiII.•E�A^9AjlIIlIIliiliIIi!�Ii'I II�If'I$!-y5��,�An�!It!;lI:Illl!��II'II l'III s II Nz I��-s�NQ.{;�II'!I;;II!jl_i$s��A4.I(i IlIIIBI 8�E0.YW!IilitijiIiI'�III�II!IitII,$ s e€_89BI1I.�:!Il.lIiiIIIIIiI IIiI S iEL�e s_4 0.l`Il{iI,IlII�iii!II�I�IIIi_IIB.I$S yE4�ao_AN.I��lIIiIIi1�l�I:'�'II xNsaIn sSNA IIl�:1I'•'(In�,8ss$����s 4NQS!Ii'I!!i�;.�I�8n�IILSfs��S5#Y S0.Q gS R6QSS W4hN4 4 I (z PicRFFcF . .. FFc cccF FFccFFFCCFF cW 9 Fe=No8 llii,.!iIlti�iiI�!III II!II F : � ub . '§ 81 8 8 8s8$ ss 88138,$$ .rnxnr: rT,!4'& v, sVxrx•xn n. nn xp uxna In ssssF &Iss rnl 1 i i IL lnanxxnnntsnrx}s xxnnnxxkrz pIO n a , SI S 4 R p is But. sMill' sn x"e_ca 0.as I!I�;if;:II:llIIIiII•IIiI iIIjiii�II!��I �$8 a�Y`+l''i•I'i+slI•'i�iI�l '� :�:■ op� N3ea;OXi-�YOa , 4� 9 IIt IIfi ! : ! f IQ 9 9 .1 1:oj cl:Z' q q:zi cvq -14A 4A 4144 414 Ei Zi- I ";1 -1I2 19Z .1 9Z2 N �4 4'�r, ";�4,4: 9-.9.!a: - I .:.R . -%� %i 592 9 �16 tilt1:1 . rIo,. -1 �,e -R.- j21 Hitgg IvUP Is liRjC9 1 a Z�x 11 -xf! l i i i�5Ii: I v 44R - Rjq uiu To! 171 19 19 f I it 211,Eli H 441 g g s�Z:Ux g g "e_:g 55 5 up, 2 S,;z F;r: 'r 1�1Z r �r.Ig lr-!r cz IC r c:r tz,r cz�r F; Cz 9 r-r r 9 c rF �S 8 99$9 is 9.1198981S 8 spas 9 8: 0 P RA s'T 19 is: 8 0:S,8 8 8 p S,v p 8 K spa 8,*g a 11:11114,H IN M!212�tz -tz 1!2!!,P v!!!,1: !2 v!2!v�n It m v WO I fl.H;;9�.H 11 81 Big I H 81111 T -11 H I H HI! I I 111,11:111RIO 8118.88-81 1 1 81 8 ��: I l ; � ; ; j � � ; � ll : ; ; ; iil I ; I . I I I � � i , ! I i I ala a 9!3 j!3 v P p H 1.1.3 11 is 9 S 1;13.9 I lip �� I> .�� I I �,�II I I ! I ( , I ! III tlli ! � dill ! , ! ICI I � ; Ii � II � I F�•� ; ; i I ! ! f � I l i I , I 4 f l i i , j j I J [ I , , I ! I (( I l i II T � THi � iii � ICI ' ' ; ' i fll � lfi Illlj 1 ' ' � ' ► � � � � ' ' j 11 ��� � ' ' � � Il � � 9 I :x!t,4,m v III IHUI "0 1 pip t I, 8;8: FS 9 19 8 19,'13 8;, air i i II'i�9^�oN9 f' •�.N99�o9 f 4991iII94i!89 I9$'p9l!�9$'�9 I$gE`'�h1!!$#-°���Iqp#N39�2 1I:.4„%I$�-gt1Igo7 N9�% 9�a9• ENV j '�Nq;•�Nt�I['��%1I1�A g�I$€': !!�'II I�x9<�I!!R�<a.g5:l.%�°]n�I�o%$�]Rp%1.II�%g'�gN;r%.�%!I•�%'��T1%1%�%QIl�%t%�II�''�'fIlI�Q�I'°II A��A:I,1 A�'''�A'I!�A.�A y�yiA Ag��{A,I'.$�$A',�'$�QA:�-�A I A$ �'�,g2,. f�e'q1 ��Rry I� �$�i �N'�! S� �ja� !N�! .EEi �$I ! ;��. i ! I�!�. I �I����g j '�'�,�117�' I�' ! ! dal °'�R,��°�i��'��� j �SI�I•a,°� I �' I� ctf�l �i''.f ti, ij, ; [i. ' n,�l�. �. :��:�r�0 Qi'tl I �! I I R r18j1 P P'}} I ! Rlil§�:P �•- b st ! I I l I I I I :I ! °' lam• gg l t !�I l i {8' I I f g Is I I %s v i ! I i i I a I i I I ei"eeki5' z.'r_"S-9E9Y' '4a xxxx�'tl 4,4 t.,r r V V' 1; l;r 1+4 „ i PE b 'cp,SIP.alc.elcc!cclp.e'FP'ccc:c(ccR!FF,FI�FFF'I?'GppxpI fil9FF5 If Iii � II ' I ! Ii I ! i � ill ' � i I �: l � l l 111iil � i• I � li ! I � 'ffigI 9i ffi8 ;g$.fg411g8gffiiigSg�'Rg�!g�'g8I$$8'!$ffig$I$�$YIPg�$��kg�r$+0g$8$�l Ialffia,a:o$;iI .r^a I goPg�gYg�vg-g'$}N�I-1 IN-IgY IYgI g�gN I9$?$2'$olS4 'yg� � �81 ` 18.518 8'S'81 S!8 8! 'iS lif 81i5 7518 iS 1YS 8'75 S tS�tS' � i I ! ! I S'8 8 818 S:tS Yf I i i81 8 81�8 25125!if !8: I I ' 19 `� �Xt y; �� � I�:�8�1 �,8g� � ��is�;��•�' I��, � ���;�� �B ; �;>s�� �� �I����I��� ��I��i�����'� I��j� I���� � z� gt k lk.8813 8:$$1$ ,$ k$Bklk$' 'kk. ki k$k:k.$ $'$ $I98:9 f$k$$8:8,$$I$99 i8$i$:$13$Ik$I$ ik$Ik. 19:$!k l l HTMT fd H � i , . "Itt' alxa n uu !BSI,-. pp� i� II # IIINil i ,8$'BI81$: 81 : 1'$i8i$. i$81$ l$'8i8.k($ "8kl$: $I$I$ $i `d� it ' Ili llII IIIII ! ! ij Iil ! i Ill ' lil '; i J f 111 IIiII ! II11 I I S; I I f+•l �-! I$ Tn' ! I iG�I ! N Y Q i � -� 81 ' I � , I i i I I. ! l I � rL � �' •�8 I '� $ik ss! S ; I Sls! I 8188$ !880 :8888 I I ! I I � r I ! 8 I : $188E: i Il ' I ' hill II I ! li III I' ) it f ! IjyIIM; I g ! ;sl I$$ i ! $$I :$B� :k I $! I I 's:s•s$ ,$:ki�i :k�:�$: + ! I l i I ! I 8 ! �' I I ! i i t $Ik:�'�i i I llI . liB ki$iiSli ! i ! lil fi ilrll. !s&'8B1 I l ( � jl ! i ' I I I � I jl � I : I � � Ii I � ; fI � b•� R � l I ii � lll ! � I i I III ! I I ill li I l i 3 Il illy I I I II II ilf«Ifli I I I l, i @y (7 I I I I I ! I � I }•�i ! i �l+ � I I I � j f f I �i Iogy� l>': $I I Y�Ik51 }SP I •b I ' � $I ; I I�: �� P l�l I� ICI 1 � � ! I i i ! � F i I ; � � ., �+73.NY '1J'i I L y ffi I I 'sl s lei !81p�I$f Ig'8I-i I I ! ! I I E' i� . I I!n•s-�Is§�8:s_sHtr sa,s8s,+sl!'e�`es 1:11111H§ l �t-B;!a Il �s�8I'u�s !���s lG:x si,s Ip Ii,N„;�s!� s,slI�6 '!8�'��la!�IIr�s! •rx .BlB�II ssl'�'s�'gl�_bslIls��gI�l=aa's�! ib��H'I o!I :1� ° fca �� iI Bie a it ,f 9 ! I ! I ! � •, i i ' l ; l j , I III I i I I I I I I I ! I f: n y I I ! I -'I9F,°Fr 9.9.9909919� y {y IalQ i Q lc�,�91 �8 � �I�� 1 33gFF11. ��i�a.ggtatjgz3Za3s$r1 1 :2 : � � ��q8g {g'��I � j I , I Ca a aa$aNj&M.f ly a !R'L CS'RIp aBs�s;8V�i,iI•I'lIjII�(�I;liIjI'�I'I!`��B�III s$8 sI:i„-sB.t 1.I'�_��;p�B'Ihas.s! j'�(IlI:iIi II I9IB�!i'lI�I;II!IIIi�li B�Il!�!,I�IIt'I,l{III:1 xIII I B a4RRD8Ii�asII 8.�!Ii:I(Ih�','�,�x�rI��IIIIIlI`IiI b e II�i1I.'si,IIIII o i�B�aii�l1ItlI'''�1IIIl�I!l;'III8kIiI 8�s"8Il a�e�II;I�iII,,I�:iI'I:lIl,Ii,I M M II-s-�i:�a8i!�33Q Ij�jIldi�il1IfI j I II.�B�-$p S��,(,ll'liII,'I1�'�'_�Wi' �H��„G�Ei.+1�:.�illI1II�,p;'I!,Iv�IIOi nggtNI'.$BRo8I 8$o i''i!!!Il1ll•'I!!iIiIlI'.;;$an ilI1ljIIIIlIIIIIIIiI�Il S s ban�'IlI1llI'iI,''��I C'•sao'IlII1;�{I!iliIlI1I!',IiII B lI_1Ii�(Il'lI(CIi'!lII!IiiIitlC'Isg-4z��v&jIIlIIllII�IIIIIII'iIi i(a�B�s-Ma ill:�lIlIilIiii'�;t 3����i'i'�sSs�z 1'.I?'Iii!fiII:il'h,'i"-§$!i,llII�iIIil''1IIIi'�i�Im.i#3'��;IIIlI••Il'II�t,IIIfrB�iys+s w�1>mP$�"a:s<e+3f iIi!alip�I��N I R ptt���:4$ata'�lIftjIIIl►Il1III1{I,�iI B 1`de4#a iI+I:II!IIIi'IiiII�Ii�B:#-ajl:','IllIlff;iI�'IIIIII:II����BgsB�,y8$ga.�qzC r R�s � gg gos9e" ig!$w. ..;IijIII!IlI;a_'Es,:_��jl�I:I�I�1CItI,I';a�sII�I�I!�u��S$x .9sf '= a e - � �IIIII'IIIII,'II�aa 2I i E'rii rjII'�III4II8Iii�1,�n��!a m5 l 71i 2';IlI�fI��IIIIII,ii1 '2:mI!Itl'IljII1$�I j 2 ¢G,RfFFPRP2Vv ccccc c cc—0 �1I,III'lIIiIjl�:I �� �'g�y2"�!I:II!IjI�IIa c G� Sg•IIl�I,IIIIIII III c I c�'eGC l.'IIaII'IIIja:!II':�t ssssr gP KIDS isss slsIN sxs i$ 8g!z88.8ppBS fps 1. IIr 818 3GBCx Is!FBIB8i889$. 88:8 8 gig 8811118:8 tt:xpsa� axa ss B.aBB 'SIs81B.B8&:s:assss:s rr ss B, I � u s s If �i €xY<�•����<�<���� _ m ecH- "�y gSn onw �°. d� l I ! II I jl IJ ,4v !2. ,4'.c `fix n i2 �s BlsistBiB$IBsl�s (13581$1$H .4is'ESSBSI� I�88s!�58$:� 'BI n �: f; I I I . , � ro ' I ' �: '.. � y � 70 I � � � � i i I � P er N _ � I i � � I I i � „ � � � � � � W i � '. � � O � I Root i I� � � � i �: I I I N I � ' . I � � = � , , ' i � o � : i � ' g� x I i '� � I R� � C �o � 3 i � I I i 6 n II I 'n i � ' � i _ ��[++ ' v N 0 b I �. � i i l I � � II i i � ' � '� �� � I , � ' _ I � il i , � � � ' ; ;� � �� �� ' � ' ' ' �s � ' I � I I �9 � I � i � l s� � i �s � � � il �� I i i � I� I � � � 1 0.� �, II�� ' � ICI � o ��F � i I 11 � i I . , ', : � � . � i s � ; i k I � I �� I - � I � j I I I I I � ' I I I' e I I I I I I I , C � � 1 � � i I , s a� fi f i I I 3� , i i I 4 � I I i �, � ICI � � I ��. i m� n 9• � 'J� W I I � u p � II _ I� a)6 6 6 6 Ei 6 6 6 m 0) 0) C. C3 I (D CD CD CD rp n CD Iz (D 4 C* O C:) CD ca Ln C3 C. R C>C) 20 yn �!=r 9)0 CF):3 m= 60 cop to(I o CD(D (D o co :3 O. to 0 CL :3 im ri ................ to rL IC9 'Efi 0\ o _ 1. 1. _... .L.: _.- -- - - - -- - co co U) -t 10 w n C=> (D 0 CD O co ID co C� CM 5 6 5 5 CD CD CD 9 C) W a C) 0 C? o n CD 0 C) CD o CD C) =r QM ID (Do to 0 EL 6 to coo,, (0(D (D 0 0 w (D CD 0o --,il Ch A C4 ul C, CD CD -n 0 CD CLO .... .. .... .. CD cn U3 ID O O bi ltl O A7, I OW CD C> CD O �j IN C) o C) CD C) C� CD 0 CA C�C? C? C� "n z 0 C) 00 0 o 5 9 V co'm to M m s"= m 5: (D= m (D (C)CD co m 0 (00 CD 0 (Do CD a. CO a Co 2L CD m 9. :3. Ul 0 Lj C) rA ro 0 zz 0 a co b � da ID CO CD C/) CD ID 17. 0 R. C- 7 _ - CN :1 7 0 66 0 0 0 0 0 0 0� CD N 0 0 m O � � v CD O Il P 7 � a N O 'U G) t7 co a O co O 7 7. D. (D s -1 co m -S, N d Er G O• ul O G W � O T A O i A ^1 n a -n0 y 69 w (D (d'D I o " b rn rn O N � w w w y a zb o O - _ _ O o. O i "S I m m 03 WN cn rr PD N A O C. bD (A CYI o z y � c d o � 69 � T I W ¢ O Ja m 00 coo O N N O I E 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 furnishing labor and/or materials have been paid in full; I That the wage scale established by the City Council in the City of � J Fort Worth has been paid in full; u i That there are no claims pending for personal injury and/or property damages; I On Contract described as; Sewer Main Extensions,Replacements&Relocations Contract 2019 City Project No. 102196 BY President Subscribed and sworn before me on this date 8 of Januar 1. MICHELE S LANKFORU I Notary Public *' *11' STATE OF TEXAS 'a�9i +pq Notary ID#1176940.6 ''F of.�' MY Comm. October 7.2023 Notary Public ��,�'^ �• _ Tarrant,Texas CONSENT OF SUR]Ci TY OWNER ® ! TO FINAL PAYMENT ARCHITECT ❑ AIA Document G707 CONTRACTOR ❑ SURETY ❑ OTHER ❑ Bond No.TXC611166 TO OWNER: ARCHITECT'S PROJECT NO.: City of Fort Worth City Project No.102196 1000 Throckmorton Street Fort Worth,TX CONTRACT FOR: Utilities CONTRACT DATED: September 17,2019 PROJECT: (name, address) Sewer Main Extensions,Replacements,and Relocations,Contract 2019 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 ofContracta) 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 Throcicmorton 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: January 08,2021 (Insert in writing the month followed by the numeric date and year.) Merchants Boi-Wing Company(Mutual) (Surety) -he a. V-,e� (Signatm'e of anthorized presentative) Witness as to Surety: Sheryl A.I{lutts,Attorney-in-Fact (Sea 1*1 (Printed name and title) Jo A. filler 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®CONSENT OF SURETY COMPANY TO FINAL PAYMENT 9 April 1970 Edition®AIA© One Page ©1970 u THE AMERICAN INSTITUTE OF ARCHITECTS,1735 New York Ave.,NW,Washington,D.C.20006 F MERC Ts BONDING C®MPANY,�, POWER OF ATTORNEY Know All 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 surely(ies) and to execute, seal 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 i actions or proceedings allowed by law. This Power-of-Attorney 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 Attorneys-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 horny 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. t! In Witness Whereof,the Companies have caused this instrument to be signed and sealed this 11 th day of February 2020 '��.....uej. •• - •. . � O ........... A • MERCHANTS BONDING COMPANY(MUTUAL) pGR'gj�'O.f„ ;�� O�P099y,,c: MERCHANTS NATIONAL BONDING,INC. cZd? -o- Giese 0C1j: .Q: •z: �:3• 2003 ;��);: y. 1933 ;•y: By << 0,+3 .•...,+,.` •••�y `1 a President W • 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. �PRt s POLLY MASON o Commission Number750576 ��a` 7- °°°° My Commission Expires + ,oWP • January 07,2023 Notary Public (Expiration of notary's commission does not invalidate this instrument) PP 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 8thi day of January,2021 co ``^.S', '�' a'• 1933 ;'C: Secretary 00 v 2003 8,0: POA 0018 (1/20) I� F®RT WORTH., TRANSPORTATION AND PUBLIC WORKS STATEMENT OF CONTRACT TIME S"!', TE-NIENT# FINAI.STATElNlIi.N I'# 1 CPN 102196 NANIF.OF PRO.IIX'T: Sewer Main Extensions,Replacement and Relocations 2019 ('ono actor _ Circle C YEAR; 2020 -- l'ROJE'('T NO.: FINAL INSPECTION DATE 12J16/2020 102196 1 CONTRACT-1'IME, 365 x I'FRIOD FROM: jDL%'FL0r�tt:.N't tY 1 Nj I N WORK ORDER EFFECTIVE: 2J29/2020 BEG(y!n) MID(y/n) Y 78.6% DA1 OF MONTH DAYS REASON FOR DAY OF JIONTII DAYS REASON FOR CHARGED DAYS CREDITED CHARGED DAYS CREDITED 1 16 Wed 0 OTH 2 17 Thu 0 OTH 3 18 Fri 0 OTH 4 19 Sat 0 OTH 5 20 Sun 0 OTH 6 21 Mon 0 OTH 7 22 Tue 0 OTH 8 23 Wed 0 OTH 9 24 Thu 0 OTH 10 25 Fri 0 OTH 11 26 Sat 0 OTH 12 27 Sun 0 OTH 13 28 Mon 0 OTH 14 29 Tue 0 OTH 15 30 Wed 0 OTH 31 Thu 0 OTH ; NA Wkn&Hol Wea utl Oth Not Applicable SAT.SLJN.and WEATHER UTILITIES 0'1'1MRS DAYS TOTAL DAYS HOLIDAYS REI.00A'I'E CHARGED THIS PERIOD 0 0 0 0 0 PREVIOI'S PERIOD 0 287 287 I'OT ALTO DATE 0 0 0 0 287 1 287 REMARKS: I ' - I Signature: Q�/GtJJ Signature: (Print Namc) ,/&1 a, Jon ,,r r Shawn Fargo CONTRACTOR t DATE •L INSPECTOR DATE 12123/2020 I 4 FORTWORTH TRANSPORTATION AND PUBLIC WORKS PIPE REPORT FOR: PROJECT NAME: Sewer main extensions relocation and replacement 2019 PROJECT NUMBER: 102196 DOE NUMBER: 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 American eagle 8" PVC 1784 AMERICAN 8" Ductile iron 595 PIPE ABANDONED SIZE TYPE OF PIPE LF 6" Clay 440 DENSITIES: NEW SERVICES: 4" Pvc 25 6" Pvc 17 8" Pvc 8 TRANSPORTATION AND PUBLIC WORKS The City of Fort Worth•1000 Throclunorton Street•Fort Worth,TX 76012-6311 (817)392-7941 •Fax:(817)392-7845