HomeMy WebLinkAboutContract 52898-FP1F(� RT �V(� RT H
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WATER DEPARTMENT
ENGINEERING AND FISCAL SERVICES
NOTICE OF PROJECT COMPLETION
$1,023,700.00
DOE. Ns: N/A
Regarding contract 52898 for Fort Worth EMWTP 1 HSP-H-20 and Hydro Tank as required b}� the i�C/ater
Department as approved bp Citj� Council on 9/17/19 through IVI&C 19-0166 the Director of the ��/ater Department,
upon the iecommendaYon of the Sr. Capital Projects Officer, Capital Projects Delivery, \�/ater Department, has accepted
the pioject as complete.
Original Contract Prices:
Amount of Approved Change Orders:
Revised Contract Amount:
Total Cost Work Completed:
Less Deductions:
Liyuidated Damages:
Other Deductions(see comments):
Total Deduction Amount:
Total Cost Work Completed:
Less Previous Payments:
Final Payment Due
� �1 � h � �
�
Recommended for Acceptance
Assistant Director, Water Department
chrisfopher- l�qrder
ChristopherHarderifc1ar22,20?11332CDTl
Accepted
Director, Water Department
�� 8�������
Dana Buighdoff (��iar22, 20 1420 CDT
City Manager
$56,258.49 Ns 6
$1,079,958.49
$1,079,958.49
$0.00
$1,079,958.49
$1,047,559.81
$32,398.68
CSC No. 52898-FP1
Days @ $630.00/ Day
`� I' V �
1
Date
Mar 23, 2021
Date
M a r 23, 2021
Date
OFFICIAL RECORD
CITY SECRETARY
FT. WORTH, TX
Project Name: Fort ��/orth EIVI��rI`P 1 HSP-H-20 and Hydro Tank DOE. Ns: N/A
Comments:
Non-PO Voucl�er
City Project Numbers 100277
Contract Name Fort Woith EMWTP [ HSP-H-20 and HydroTank
Contract Limits Eagle Mountain WaterTreatment Facility
Project Type Water
Project Funding
Project Manager Fu
Inspectors Johnson / Drake
Contractor ARCHER WESTERN
2121 AVENUE J, STE. 103
ARLINGTON, TX 76006
DOE Number 0025
Estimate Number �8
Payment Number 18
For Period Ending 3/15/2021
City Secretary Contract Number 52898
Contract Date 9/l7/2019
Contract Time 455 CD
Days Charged to Date 427 CD
Contract is .000000 Complete
CITY OF FORT WORTH
SUMMARY OF CHARGES
Line Fund Account Center Amount Gross Retainage Net
Funded
1 56017-100277 $1,023,700.00 $0.00 $ + 32,398.68 $32,398.68
56017--2060000--100277-RE TA1N--
Total Cost of Warlc Completed
Less 0 % Retained
Net Earned
Earned This Period $32,398.68
Retainage Tl�is Period $0.00
Less Liquidated Damages
0 Days @ $0.00 / Day
LessPavement Deficiency
Less Penalty
Less Previous Payment
Plus Material on Hand Less 15%
Balance Due Tl�is Payment
$1,079,958.49
$0.00
$1,079,958.49
$0.00
$0.00
$0.00
$1,047,559.81
$0.00
$32,398.68
Tuesday, March 16, 202 ] Page 4 of 4
FORTWORTH
Nlaich 16, 2021
Archer �Y/estein
2121 rltrenue J, STE. 103
Arlington, T�i 46006
Re: Acceptance Letter
Project Name: Fort �YToith ENI�Y�'TP 1 HSP-H-20 and HS�dro Tank
Project Type: �Y�ater
Project N's: 100277
D.O.E. N's: N/A
Contiact N's: 52898 Dated: 9/17/2019
Gentleman:
On IVlarch 09, 2021 a final u7spection was made on the subject pioject. There �veie no punch list items identified
at the tune. The final inspection indicates that d�e �vork meets the Cit�T of Fort Worth specifications and is
therefore accepted by the Cit3�. The �varrant�� period will start on Nlarch 09, 2021 ,�vhich is dze date of final
inspection and �vill ezeend for (2) j�ears in accordance �vith the Contract Documents.
If 5�ou have an3r questions concerning this letter of acceptance, please feel free to contact me at (817) 392-6054
I'ours Truly,
�-
i �f
,�'�„ l� � � �G
/�i, � �
Ton3� Sholola, P.E., Assistant Director ��ater Department
1�IP /
cc Chris Harder, P.E., Directoi, Water Department
Laura �Y/ilson, P.E., Deput�T Director, ��ater Department
Captain Nlichael Skains, Fite Dep�rtment
Cesai Zavala, Field Operations Superintendent, �X�atei Department
Bill Lundvall, Field Operations Superintendent, �Y/aste �Vater Department
Dena Johnson, P.E. , Project Nlanager
Olivia Kerss, P.E., Freese and Nichols, Consultant
1�cher ��lestern, Contractor
David Johnson, Inspection Supei�risor, ���atei Engineering and Fiscal Seivices
Carmen Diake, Inspector, `Y/ater Engineering and Fiscal Services
File
WATER DEPARTMENT
ENGINEERING AND FISCAL SERVICES
THE CITY OF FORT WORTH * lOOO THROCKMORTON STREET * FORT WORTH, Texns 76102
817-392-8240 * F.a� 817-392-8195
�p Printed on recycled paper
Fo�TW�RTH
CITY OF FORT WORTH
FINAL PAYMENT REQUEST
Contract Name Fort Worth EIviWTP 1 HSP-H-20 and E[ydro Ta�ilc
Contract Limits Eagle Mountain Water Treatment Facility
Project Type Water
City Project Numbers 100277
DOE Number 0025
�stimate Number 18 Payment Number 18 For Period �nding 3/15/2021
CD
City Secretary Contract Number 52898
Contract Date 9/17/2014
Project Manager Fu
Contractor ARCHER WESTERN
2121 AVENLJE J, STE. 103
ARLINGTON, TX
Inspectors Johnson / Drake
76006
Contract Time 45�D
Days Charged to Date 427
Contract is 100.00 Complete
Tuesday, March 16, 2021 Page 1 of 4
City Project Numbers 100277
Contract Name Fort WoRI� EMWTP 1 HSP-H-20 and Hydro Tank
Contract Limits Eagle Mountain Water Trealment Facility
Project Type Water
Project Funding
Water
DOE Number 0025
Estimate Number 18
Payment Number 1g
For Period Ending 3/IS/2021
Item Description oCItems �stimnted Unit Unit Cost �stimated Completed Completed
No. Quanity Total Quaaity Total
i Install ne�v pump, vaives, hydropneum I LS ,023,700.00 ,023,700.00 1•(,o23,700.00
2 Install additional DIP for rivised tank location I LS $12,917.71 $12,917.71 1 $12,917.71
3 Install ne�v gate and Fencing 1 LS $3,514.88 $3,514.88 I $3,514.88
4 Install filler flange on HSP-20 I LS $4,896.07 $4,896.07 1 $4,896.07
5 Gate Grounding forCommunications Tower I LS $1,784.48 $1,784.48 1 $1,784_48
6 Field macliining ofbarrel HSP-H-20 to restore level 1 LS $17,689.40 $17,689.40 l $17,689.40
7 Non-Fused disco, Adjacent to Panel HHP I LS $7,225.5 ] $7,225.51 1 $7,225.51
8 Prep and Coat HSP 18,19 &20 CO#I I LS $4,271.93 $4,271.93 I $4,27L93
9 Install Air Filters on HSP-H-20-VFD Water (CO#6) I LS $3,958.51 $3,958.51 1 $3,958.51
Sub-Total of Previous Unit $(,079,958.49 $I,079,958.49
Tuesday, March 16, 2021 Page 2 of 4
City Project Numbers 100277
Contract Name Fort Wo�th EMWTP 1 H3P-H-20 and Hydro Tank
Contr�ct Limits Eagle Mountain Water Treatment Facility
ProjectType Water
Project Funding
Contract InCormatiun Sum
Original Conh•act Amount
Change Orders
Change Order Number 1
Change Order Number 3
Change Order Number 4
Ch�nge Order Number 5
Change Order Number 6
�� �--D�t� 3--I b-zl
i �mlr •lnr
Date � ���/ ��/
Inspection 5u er�is4r r
iun� 5��1� fuI 7'�'
_��A� .� �h S�n Date '�/'�'''� �
Project Manager
Date
Asst. Director/TPW
CH✓isto�he✓ %Pa✓de✓
�h��=raphe�H��de�rM�«�,������3�3����, Date
Director / Contracting Department
Total Contract Price
DO�Number 0025
Gstimate Number ►8
Payment Number �8
For Period �nding 3/IS/202I
$1,023,700.00
$21,328.66
$1>784.d8
$24,914.91
$4,27 I .93
$3,958.5 l
$1,079,958.49
Total Cost oi Worlc Completed
Less o % Retained
Net �arned
�arned This Period $32,398.75
Retainage This Period $0.00
Less Liquidated Damages
Days @ / Day
LessPavement Deficiency
Less Penalty
Less Previous Payment
Pl�s M�terial on Hand Less 15%
Balance Due This Payment
$1,079,958.�19
$0.00
$1,079,958.49
$0.00
$0.00
$0.00
$1,0�47,559.81
$0.00
$32,398.68
Tuesday, March I 6, 2021 Page 3 of 4
F(�RT�ORTH
�
_ : {J _
WATER ENGINEERING & FISCAL SERVICES
FINAL STATEMENT OF CONTRACT TIME
FINAL STATEM�NT NO. 19
NAM� OF PROJECT: EMWTP 1 HSP - H- 20 and
PROJECT NO.: 100277
rev 03/OS/07
Hydro Tank
CONTRACTOR: ARCHER Western
CITY PRO,TEC7 100277
PERIOD FROM O1/O1/21 TO: O1/31/21 FINAL INSPECTION DATE: 3/9/2021
WORK ORDER EFFECTIVE I2/2/2019 CONTRACT TIME 435 O WD OO C�
DAY OF DAYS �ASON FOR DAYS DA,Y OF DAYS REASON FOR DAYS
MONTH CHARGED CREDITED MONTH CHARGED CREDITED
DURING DURING
1. 16.
2. 17.
3. 18.
4. 19.
5. 20.
6.
7.
8.
9.
10.
11.
12.
13.
14.
15.
SAT, SUN, RAIN, TOO WET,
& HOLIDAYS & TOO COLD
THIS
PERIOD
PREVIOUS
PERIOD
TOTALS
TO DATE
.�r,,,.T . ,,,��
21,
22.
23.
24.
25.
26.
27.
28.
29.
30.
31.
TIES DAYS TOTAL
CATIONS OTHERS " CHARGED DAYS
I 0 0
427 427
427 427
��
Capital Pr�jeccs Deliver}�, ZYlaterDep�tme�t
The Citp of Fort Woxth • 1000 '17uockmox-tan 5uee� � H'c}it �oith,'I�i 7G012-G311
(817) 392 - 4477 • Fax: (817) 392 - 8460
CSC No. 52898-006
FOPT WORTH City of Fort Worth
Change Order Request
Project Name: Fort Worth EMWTP 1 HSP-H-20 and Hydro Tank Cily Sec No.: 52898
i
Project No.(s): 56017-0600430-001780 DOE No. N/A City Proj. No.: 100277
Project Description:� Installation of a second Hydropnematic tank at lhe Eagle Mountain Water Treatment Plant
Contractor: Archer Western Construction, LLC Change Order# �6 Date: 1/13l2021
Cily Project Mgr. Dena Johnson City Inspeclor: Carmen Drake
Phone Number:�17-392-7866 Phone Number: 817-392-8347
Dept,
Original Contract Amount
Exlras to Date
Credits to Date
Pending Change Orders (in M&C Process)
Conlract Cost lo Date
Amount of Proposed ChanAe Order
Original Funds Available for Change Orders
Remaining Funds Available for Ihis CO
Additional Funding (if necessary)
Water
98
185.00
,51
Totals Contract Time
(Calender days)
)23,700.00 395
�2,298.98 040
175,998.98 435
3,958.51 020
i,957.49 455
1,185.00
3,958.51 ,
CHANGE ORDERS fo DATE (INCLUDING TNIS ONE) AS % OF ORIGINAL CONTR,4CT 5.50%
MAXALLOWABLE CONTRACTAMOUNT (ORlGINAL CONTRACT COST+ 25%) $1,279,625.00
JUSTIFICATION (REA50NS) FOR CHANGE
Change Order No. 6 provides for the installation of air filters on HSP-H-20VFD as requested by plant operations
staff. The filters will extend the life of the components. There are sufficient funds available in the project to pay
for the change order.
Staff recommends an additional 20 calendar days on the project for delivery and installation of the filters.
It is understood and agreed that the acceptance of this Change Order by ihe contractor cons(itu(es an accord and salisfaction and represents payment
in full (bolh iime and money) for all costs arising out of, or incidental to, lhe above Change Order.
FORT WC)RTH City of Fort Worth
Change Order Additions
Project Name Fort Worth EMWTP 1 HSP-H-20 and Hydro Tank Cify Sec No.: 52898
Project No.(s); 56017-0600430-001780 DOE No, N/A Cify Proj. No.: 100277
Project I Installation of a secontl Hydropnematic tank at the Eagle Mountain Wafer Treatment Plant
Description
Contractor Archer Western Consfruction, LLC Change Order:� Date: 1l13/2021
Cily Project Mgr. Dena Johnson City Inspector Carmen Drake
ADDITIONS
DEPT Q Unit Unit Cost Total
9 Install Air Flilters on HSP-H-20-VFD Water Water 1.00 LS �3,958.51 �3,958.51
Water $3,958.51
r�ige i oi i Addilions Sub Total $3,958.51
FORT WORTH City of Fort Worth
Change Order Deletions
Project Name Fort Worth EMWTP 1 HSP-H-20 and Hydro Tank
Projecl No.(s): 56017-0600430-001780 DOE No. N/A
Project Descripfion I Installafion of a second Hytlropnematic tank at the Eagle Mountain Water Treatment Plant
City Sec No.: 52898
City Proj. No.: 100277
Contractor Archer Western Construction, LLC Change Order: �6 Date 1/13/2021
City Project Mgr. Dena Johnson City Inspecfor: Carmen Drake
DELETIONS
Page 1 of 1
Contracfi Compliance Mana�er
By signing I acknowledge that7 am fhe peison responsi6le
�oi• the monitoring and adminish�ation of this con�'act, including
ensui7ug allperformance andreportingrequirements.
�v�2� �,�eilna-er�
/�
Signature
Dena johnson
Name ofEmployee
Project Manager
Title
ATTEST;
r U •U ��
Mary J, I<ayser
Clty Secretary
FQ RT V�O RT H
� _
j '.
Capital Projects Delivery, Watei Departmer�t
CONTRACTOR'S EVALUATION OF CITY
[) PROJECT INFORMATION
Nante ofConh•aclor
Archer Westem Construction LLC
6(�nler Engineering L�speclor
Cartnen Drake
DOE Nrirnber Projecl Drffrculry
100274 � Simple Q Routine Q Complex
7i7ilial Co�rh•acl A�i�ounl
$1,023,000,00
II) PERFORMAIVCE EVALUATION
Date: � 15-Mar-21
REV: �2,22,��
Projec! Na�i1e
EMWTP 1 HSP -H- 20 HYDRO TANK
Projecl Nlanager
Jeff Kendall
Type of Conh•acl
� Water ❑ Waste Water ❑ Storm Drainage ❑ Pavement
Finnl Conh•acl �lmaunl
$1,079,958.48
0- Inadequate 1- Deficient 2- Standard 3- Good 4- Excellent
ELENIEN'I' I RATING ELEMENT
io - �)
iNSPECTION EVALUATION
1 Availability of Inspector
2 Knowledge of Inspector
3 Accuracy of Measured Quantities
4 Display Of Professionalism
5 Citizen Complaint Resolution
6 Performance - Setting up Valve Crews, Labs
ADMINISTRATION
1 Change Order Processing Time
2 Timliness of Contractor Payments
3 Bid Opening to Pre-Con Meeting Timeframe
Iln COMMENTS & SIGNATURES
COMMENTS
Signature Contractor
Signature Inspector
Signature Inspector's Supervisor
1NSPECTOR'S COMMENTS
PLANS & SPECIFICATIONS
1 Accuracy of Plans to Existing Conditions
2 Clarity & Su�ciency of Details
3 Applicability of Specifications
4 Accuracy of Plan Quantities
PROJECT MANAGER EVALUATION
1 Knowledge And/Or Problem Resolution
2 Availability of Project Manager
3 Communication
4 Resolution of Utility Conflicts
c /�r
./
�.��- - 1 � �-c
RATING
Capital Pxojects Deli��ery, �Vater Department
The City of Fort �`(/otth • 1000 Th�:ockmotton Street • Fart �`Uorth, TX 76012-6311.
(817) 392 - 4477 • Faa: (817) 392 - 8460
FORTWORTH
Capital Projects Delivery, Water Departtnent
PERFORMI�NCE EVALUATION OF CONTRACTOR
1) CONTRACTOR & PROJ�CT DATA
Nanie of Canlracla•
Archer Western
FYnfer Engineering Inspeclor
Carmen Drake
f�aler Engineei�ing Inspeclor
❑✓ Water ❑ Waste Water ❑ Storm Drainage ❑ Pavement
Inilial Confracf Arirounl
1,023, 000.00
Final Conh•ncr Amoun�
$1,079,958.48
II) PERFORMANCE EVALUATION
Projeci Name
EMWTP 1 HSP- H- 20 HYDRO TANK
DOE Number
100277
Projecl Nlanager
Dena Johnson
Projecl D�cull}�
QQ Simple Q Routine
Dale
3/15/2021
REV: 02/20/07
Q Complex
0- Inadequ�te l- Deficient 2- Standard 3- Good 4- Excellent
ELEMENT WEIGHT ( X) APPLICABLE (Y / N) [tATING (0 - 4) MAX SCORE SCORE
1 Submission of Documents 2 Y 4 8 8
2 Public Notifications 5 Y 3 20 15
3 Plans on Site 5 Y 4 20 20
� Field Supervision 15 Y 4 60 60
5 Work Performed 15 Y 4 60 60
6 Finished Product 15 Y 4 60 60
7 Job Site Safery 15 Y 4 60 60
8 Traffic Control Maintenance IS Y 3 60 45
9 Daily Clean Up 5 Y 3 20 15
10 Citizen's Complaint Resolution 5 Y 3 20 15
1 I Property Restoration 5 Y 4 20 20
12 After Hours Response 5 Y 4 20 20
13 Project Completion 5 Y 4 20 20
TOTAL ELEMEN't' SC:UK� (A) 41 tS
BONUS POINTS (25 MaYimum) (B)
TOTAL SCORE (TS) 418
IIn CONTRACTOR'S RATING
Ma�imum Score (MS) = 448 or sum of applicable element score maximums which =
Rating ((TS / MS] * 100%) 413 / d43 = 93%
Performance Category Excellent
dd8
<20% =litnde�rrnre 20% lo <40% � l,�eJicieirr �D% to <60% = Stcrnrinrd 60°a ro <80% = Good >_80% = Excellei7t
Inspectm•'s Comments (INCLUDIN%G\PLAN:�"1'ION OF BONUS POINTS A11'ARD�D)
l I
� ,r�;� �,� � ��
Signature Inspector �!��%� � � �f' Signature Contractor . �.
Signature Inspector's Supervisor
CONTRACTOR'S COMMENTS
Capital Piojects llelivery, D(/atei Depaxtment
The Cit�� of Fort Worth • 1000 Throckmorton Street • Foxt Woith, T�i 76012-G311
(817) 392 - �kF77 • Fa�: (817) 392 - 8�460
F4RTWORTH
�- =- � � :-� : - -
,
,�
�
WATER ENGINEERING & FISCAL SERVICES
PIPE REPORT FOR:
PROJECT NAME:
PROJECT NUMBER:
DOE NUMBER:
PIPE LAID
N/A
FIRE HYDRANTS:
PIPE ABANDONED
DENSITIES:
NEW SERVICES:
PIPE LAID
PIPE ABANDONED
EMWTP 1 HSP -H- 20 HYDRO TANK
100277
SIZE
�y I�A �I
SIZE
SIZE
WATER
TYPE OF PIPE
VALVES (16" OR LARGER)
TYPE OF PIPE
SEWER
TYPE OF PIPE
TYPE OF PIPE
LF
LF
LF
DENSITIES:
NEW SERVICES:
LF
���ATER ENGINEERING & FISC�I, SER�'ICES
The Cit�� of Fort ��/oidi • 1000 Throckmorton Stieet • Fort �Uoith, TZ 76012-6311
(817) 392 - 4477 • Fat: (817) 392 - 8460
� �
����J� Docurnent �la7T� -1994
o..:.�.
��� _
Consenf Of Surety to Final Payment
Bond Number: 107145399
PROJECT; (Naine and address) ARCHITECT'S PROJECT NUMBER: OWNER;
Fort Worth EMWTP 1 HSP-H-20 Fort Worrh EMWTP 1 HSP-H-20 ARCHITECT: ❑
Hydro Tank CONTRACT FOR: Hydro Tank
Fort Worth, TX 76102 CONTRACTOR: ❑
TO OWNER; (Name and address) CONTRACT DATEDCity Project No. 100277
City of Fort Worth September 17, 2019 SURETY: �
1(J00 Thrackmorton Street OTHER; ❑
Fort Worth, TX 76102
In accordance wiih the provisions of the Contract betwcen the Owner and the Contractor as indicated above, the
(lxserc name and addre.ss of Sure�y)
Travelers Casualty and Surety Company
One Tower SGuare
Hartford, CT 06183
, SURETY,
on bond af
(tnserl na+ne nnd address of Ca�lraclorJ
Archer Westem Construction, LLC
1411 Greenway Dr.
Irving, TX 75038
,CONTRACTOR,
hereby approves of the final payment to the Contractor, and agrees that fina[ payment to the Gontractor shall
not relieve the Surety of any of its obligations to
(Inserl name and address of (hvnerJ
City of Fort Worth
1000 Thrackmorton Street
Fort VJorth, TX 76102
, OWNER,
as set forth in said Surety's bond.
IN WITNESS WHEREOF, the Surety has hereunto set its hand on this date: March 4, 2021
(Insert in writrr�g the nronth followed by 1he mmreric da►e und year.)
Travelers Casualty Surety Company
•et �
_ �--�`.
(Signanire oJ'aud�orize representnlire)
Witn ss� Patricia Collins, Attornev-in-EacC
� (Prin�ed name �rnd tille)
By:
Sheryl Solomon, � ess
AIA Document C3707"' —1994. Copyright � 1982 and 1994 by The American Instllu[e of Archltecls. All rlghla reaerved. WARNING: Yhis AIA'� Document Is
protuctad by U,S. CO�yfly�l{ L:1\Y 1:II�I illl(3ff1:1110I1:11'frr.alioti. Unautiiorijod ronroduction or illsiribution of this AIA'�' Document, or ahy partion oF it,
may resull In severe r,ivil ancl eriminal pon:+ltin:;, and �vill Ue p�oSocutod to tiio rnaximum vxiont F�osslk�le under ihe law.
(389ADA62)
TRAVELERS�J `\�
Travelers Casualty and Surety Company of America
Travelers Casualty and Surety Company
St. Paul Fire and Marine Insurance Company
POWER OF ATTORNEY
KNDW ALl MEN BY THESE PRESENTS: Thet Trevelers Casualty and Surety Company of America, Travelers Casually and Surery Company, and 5t.
Paul Fire and Marine Insurance Compeny are corporations duly organized under the laws of the State of Connecticut (herein collectively called the
"Companies"), and that the Companles do hereby make, constltute and appolnt Patricla Colllns of SARASOTA ,
FloNde , thelr true and lawful Attorney-in-Fact to slgn, execute, seal and acknowledge any and all bonds, recognizances,
condltlonel undertakings and other wrltings obligatory in the nature thereof on behalf of the Companles in thelr buslness of guaranteeing the
fidelity of persons, guaranteeing the performence of contracts and executing or gueranteeing bonds and undertakfngs required or permllted fn 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 afflxed, lhis 17th day of January,
2019,
�.,..�-
3 ���,�� a��sv aao, ��1>�* ii
l �
t��� ' t1:St�FOR�. �' WTORiq
� ��COK4. $ CONK �
e° � � �
f � ����� �".�r ^aye fp •
State of Connecticut
City of Hartford ss.
/ /
Sy: /
Robert L. Rane , enfor Vlce President
On ihis the 171h day of Januery, 2019, before me personally appeared Robert L. Raney, who acknowledged himself to he the Senlor Vice President
of Travelers Cesually and Surety Company of America, Travelers Casuaity and 5urety Company, and St. Paul Ffre and Marine Insurence Company, and
ihat he, as such, being authorized so to do, executed the foregoing fnstrument for the purposes therein contained by signing on behalf of safd
Comoanies bv himself as a dulv authorized officer,
IN WITNESS WHEREOF, I hereunto set my hand and official seal.
My Commiseion explres the 30th day of June, 2021
r � ; r Q :vo.L;t,,t /����:�l2
(� f10YARY � /��i� ,w � �
1« +Ne' ;rj %�HA
Ni�a�.ir, � �%!�1
t
` Anne P. Nowik, Noiary Public
'`.��,�hYFGY ���
This Power of Attorney is granted under and by the authority of the follow(ng resolulions adopted by the Boards of Directors oi Trevelera Casualry and
Surety Company of Amerlca, 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, lhat the Chairman, the President, any Vice Chairman, any Execulive Vice President, any Senior Vice President, any Vice Presidant, any
Second Vice President, lhe Treasurer, any Aseistant Treasurer, the Corporate Secretary or any Assistant Secretary may appoint Attomeys-in-Fact and
Agenls to act for and on hehalf of the Company and may give such eppointee such aulhoriry as his or her certificate of authority may prescribe to slgn
with Ihe Company's name and seal wlth the Company's seal bonds, recognizances, contracts oF indemnity, and other writings o6ligatory in the nature of a
bond, recognlzance, or condllional undertaking, and any of said offlcers 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 Senlor Vice President or any Vice
President may delegate all or any part of the foregoing authority to one or more of�cers or employees of ihls Company, provlded that each such
delegation is in writing and a copy thereof is Flled In the office of lhe 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 Compeny when (a) signed by the President, any Vice Chalrmen, any Executive Vice Presldent, any
Senior Vice President or any Vice President, any 5econd Vice President, the Treasurer, any Asslstant Treasurer, the Corporate Secretary or any
Assistant Secretary and duly attested and sealed wlth the Company's seal by a Secretary or Asslstant Secretary; or (b) duly executed (under seal, if
required) by one or more Attorneys-In-Fact and Agents pursuant to the power prescrl6ed fn hls or her certlflcete or thelr cerliflcates of authority or by one
or more Company officers pursuant to a written delegation of authorlly; and it Is
FURTHER RESOLVED, that the signature of each of ihe following officers: President, any Executive Vice President, any Senior Vice President, any Vice
Presideni, any Asslatant Vice President, any Secretary, any Assistant Secretary, and the seal of the Company may be afflxed by facslmile to any Power of
Attomey or to any certificate releting thereto appointlng Resident Vlce Presidents, Resident Aasistant Secretarles or Attomeys-in-Fact for purposes oniy of
executing and altesting bonds and undertakings end other writings obligatory in the nature thereof, and any such Power of Attomey or certlflcate bearing
such facsimlle signature or facsimile seal shall be valid and binding upon the Company and any such power so execuled and certifled by such (acsimlle
signature and facsimlle seal shall be valid and binding on the Company in the future wlth respect to any bond or understanding to which it is attached.
1, Kevin E. Hughes, the underslgned, Assistanl Secretary of Travelers Cesualty and Surety Company of Americe, Travelers Casualty and Surety
Company, and St. Paul Flre and Marine Insurance Company, do hereby certlfy that the above and foregoing Is a true end correct copy of ihe Power of
Attomey executed by said Companles, which remalna in full force and effect.
Dated thls 4 day o( March , 2021
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� Kevin E. Hughes, Assl tant Secretary
To vedly the autheni/Nty of th/s Pawer aFAE[axney, p/ease cal/ us at 1-800-421-3880.
P/ease rerier to the above-named Atl�orney-In-Fect and the deta!/; of rhe bond to wh/ch thls Power ofAtYorneyls atteched,
CONTRACTOR'S AFFIDAVIT OF
PAYMENT OF DEBTS AND CLAIMS
PROJECT: Fort Worth EMWTP 1 HSP-H-20 Hydro Tank PROJECT NUMBER:
OWNER: city of Fort worth 100277
CONTRACTOR: Archer Western Construction LLC 219114
ENGINEER: Freese and Nichols
The Contractor, in accordance with the Contract Documents, herehy certifies that, except as lisfed below, all
obligations for all materials and equipment furnished, for all work labor, and servrces performed, and for al! known
indebtedness and claims against fhe Contractor for damages arising in any manner in connection with the
performance of the Contract referenced above for which fhe Owner or his properfy might in any way be held
responsible have been paid in full or have ofherwise been satisfied in full.
EXCEPTIONS: (If none, write "NONE". The Contractor shall furnish a bond, acceptable to the Owner,
for each exception.)
NONE
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CONTRACTOR'S AFFIDAVIT OF RELEASE OF LIENS
PROJECT: Fort Worth EMWTP 1 HSP-H-20 Hydro Tank
OWNER: citv of Fort worth
CONTRACTOR: Archer Western Construction, LLC
ENGINEER: Freese and Nichols
PROJECT NUMBER:
100277
219114
The Contractor, in accordance with the Contract Documents, and in consideration for the full and final payment to
the Contractor for all se►vices in connection with the project, does hereby waive and release any and alI liens, or
any and all claims to liens which the Contractor may have on or afiecting the project as a result of its contract(s)
for the Project or for performing labor and/or furnishing materials in any way connected with the construction of
any aspect of the project. The Contractor further certifies and warrants that al/ subcontractors of labor and/or
materials for the Project, except as listed below, have ,been paid in full for all labor and/or materials supplied to, for,
through or af the direct or indirect request of the Contractor prior to, through and including the date of this affidavit.
EXCEPTIONS:
NONE
(If none, write "NONE". The Contractor shall furnish a bond, acceptable to the Owner, for
each exception.)
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CONTRACTOR
By
Title Business Group Leader
Subscribed and sworn �ef re i
Notary Public:
.�
of March 20
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My Commission Expires: �uly 3, zozs