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Home My WebLink AboutContract 51954-FP1F��T��H -,.,_.,..� .,.�„�- WATER DEPARTMENT ENGINEERING AND FISCAL SERVICES NOTICE OF PROJECT COMPLETION CSC No. 51954-FP1 S9�o�-I�O�'7� C S �' ) q S� DOE. Ns: N/A Regarding contract 51954 for Crowley Relief Interceptor M-325 Part 3 as required by the Water Department as approved by City Council on 1/15/19 through M&C G29014 the Director of the Water Department, upon the recommendation of the Sr. Capital Projects Officer, Capital Projects Delivery, Water Department, has accepted the project as complete. Original Contract Prices: Amount of Approved Change Orders: Revised Contract Amount: Total Cost Work Completed: Less Deductions: Liquidated Damages: Other Deductions(see comments): Total Deduction Amount: Total Cost Work Completed: Less Previous Payments: Final Payment Due � '4 �� '--" - �' � Recommended for Acceptance Assistant Director, Water Department � ��i � � i i Accepted Director, Water Department $3,420,821.00 Ns 0 $3,420,821.00 $3,169,787.00 Days @ $630.00/ Day ' ' $0.00 $3,169,787.00 $2,859,012.65 $310,774.35 � I � � =� Date Date �'`/Gt [�GL�GIGlG�D� Dana Burghdoff IJu�8; 2021� City Manager Date OFFICIAL REC�RD CITY SECRETARY FT. VIIORTH, TX Project Name: Crowley Relief Interceptor M-325 Part 3 DOE. Ns: N/A Comments: �v r c�s19 �Q��p�- yvzog c�17/2� }� City Project Numbers 100276 Contract Name Crowlcy Relier Interceptor M-325 For Village Creek Basin Part 3 Contracf Limits Council District 6 Project Type Sewer s��- �Uo �'7� c s s-� q �-<l DOE Number t270 Estimate Number 3� Payment Number 30 ForPeriad Ending 11/11/2620 Project Funding Project Manager Fu Inspectors .Tohnson / Brice Contractor CIRCL� C CONSTRUCTION COMPANY PO BOX 40328 FORT WORTH, TX 76140 City Secretary Contract Number 51954 Contract Date 1/15/2019 Contract Tirne 365 CD Days Charged to Aate 373 CD Contract is .000000 Complete CITY OF FORT WORTH SUNIMARY OF CfIARGES Line Fund Acconnt Center Amount Gross Retainage Net Funded 0 S��t�— ��-��1� �31z�,�z�.v� .�d G 2 �� -�- �►�,�d�c.d.�s � ,� ,, ,� .3<- - ��a= Total Cost of Work Completed Less o % Retained Net Earned Earned 'I'his Period $310,77435 Retainage This Period $0.00 Less Liquidated Aamages � Days @ $0.00 / Day LessPavement Aeficiency Less Penalty Less Previous Payment Plus Material on Hand Less 15% Balance Due This Payment $3,169,787.00 $0.00 $3,169,787.00 $0.00 $0.00 $0.00 $z,gs9,012.65 $0.00 $310,77435 Tuesday, May 11, 2021 Page 5 of 5 F�RT V��RT`H CITY OF FORT WORTH FIl�AL PAYMENT REQUEST Contract Name Crowley [Zelier Interceptor M-325 For Village Creek Basin Part 3 Contract Limits Covncil District 6 Project Type Sewer City Project Numbers 100276 DOE Number 1270 Estimate Number 3� Payment Number 3� For Period Ending 11/11/2020 CD City Secretary Contract Number 51954 Contract Date 1/15/20I9 ProjectManager Fu Contractor CIRCLE C CONSTRUCTION COMPANY PO BOX 40328 FORT WORTFI, TX 76140 Inspectors Johnson / Brice Contract Time 36�D Days Charged to Date 373 Contract is 93.000 Complete Tuesday, May 11, 2021 Page 1 of 5 City Project Numbers 100276 Contract Name Crowley Relier Interceptor M-325 For Village Creek Basin PaR 3 Contract Limits CounciI District 6 Project Type Sewer Project Funding DOE Number 1270 Estimate Number 30 Payment Number 30 For Period Ending 11/i l/2020 Sewer Item Description of Items Esrimated Unit Unit Cost Estimated Completed Completed No. Quanity Total Quanity Total -- - ------ ---- ---- -- ------ 7 3331.4307 20" DTP Sewer w/ Protecto 242 LF $200.00 $48,400.00 222 $44,400.00 8 3331.4231 18"DIPSewerw/Protecto 120 LF $120.00 $14,400.00 120 $14,400.00 9 3331.4214 12" DIP Sewer w/ Protecto 74 LF $120.00 $8,880.00 74 $8,880.00 10 3331.4206 10" DIP Sewer w/ Protecto 25 LF $120.00 $3,000.00 25 $3,000.00 11 3331.4210 12" Sewer Pipe, Select Ba 15 LF $95.00 $1,425.00 15 $1,425.00 12 3331.4117 8" Sewer Pipe, Select Bac 40 LF $95.00 $3,800.00 40 $3,800.00 13 3339.1101 5' Manhole 26 EA $6,000.00 $156,000.00 26 $156,000.00 14 3339.1103 5' Extra Depth Manhole 321 VF $200.00 $64,200.00 319.69 $63,938.00 15 3339.2001 Sanitary Sewer Junction St I LS $53,000.00 $53,000.00 1 $53,000.00 F6 33392001 Sanitary Sewer Junction St 1 LS $50,000.00 $50,000.00 1 $50,000.00 17 3305.0109 Trench Safety 8041 LF $1.00 $8,041.00 8232 $8,232.00 18 3305.0207 Lmported EmbedmentBackfi 540 CY $150.00 $75,000.00 19 3305.0116 Concrete Encasement for U 50 CY $150.00 $7,500.00 20 3305.0103 Bxploratory Excavation of 1 EA $2,000.00 $2,000.00 1 $2,000.00 21 3305.0110 Utility Markers (Buried M 1 LS $2,040.00 $2,000.00 1 $2,000.00 22 3305.0110 Utility Markers (Surface 16 EA $200.00 $3,200.00 16 $3,200.00 23 3305.0113 Trench Water Stops 8 EA $2,500.00 $z0,000.00 8 $20,000.00 24 3305.0112 Concrete Collaz 26 EA $450.00 $11,700.00 26 $11,700.00 25 3339.0001 Epoxy Manhole Liner (Warr 477 VF $300.00 $143,100.00 475.69 $142,707.00 26 3301.0002 Post-CCTV Inspection 8535 LF $5.00 $42,675.00 8416 $42,080.00 27 3301.0101 Manhole Vacuum Testing 28 EA $200.00 $5,600.00 28 $5,600.00 28 3339.0002 Epoxy Structure Liner (War 3020 SF $25.00 $75,500.00 3020 $75,500.00 29 3201.0616 Conc Pvmt Repair, Arteria 895 SY $125.00 $111,875.00 327 $40,875.00 30 3211.0112 6" Flexible Base, Type A, 1745 SY $25.00 $43,625.00 1650 $41,250.00 31 3213.0302 5" Conc Sidewalk 50 SF $18.00 $900.00 50 $900.00 32 3216.0102 7" Conc Curb and Gutter 255 LF $40.00 $10,200.00 255 $10,200.00 33 3231.0301 4' Gate, Steel (16' Wide) 5 EA $2,500.00 $12,500.00 5 $12,500.00 34 3292.0400 Seeding, Hydromulch 34600 SY $2.00 $69,200.00 34600 $69,200.00 35 3471.0001 Traffic Control 12 MO $2,000.00 $24,000.00 12 $24,000.00 36 3125.0101 SWPPP >_ 1 acre 1 LS $25,000.00 $25,000.00 1 $25,000.00 37 3110.0102 6"-12" Tree Removal 125 EA $500.00 $62,500.00 125 $62,500.00 Tucsday, May 11, 2021 Page 2 of 5 City Project Numbers 100276 Contract Name Crowley Relier Interceptor M-325 For Village Creek Basin Part 3 Contract Limits Council District 6 Project Type Sewer Project Funding DOE Number 1270 Estimate Number 30 Payment Number 30 Tor Period Ending 11/11/2020 38 3110.0103 12"-18" Tree Removal 13 EA $1,000.00 $13,000.00 13 $13,000.00 39 3110.0104 I8"-24" TreeRemoval 8 EA $1,500.00 $12,000.00 8 $12,000.00 40 3I10.0105 24" and Larger Tree Remov 8 EA $2,500.00 $20,000.00 8 $20,000.00 41 0171.0101 Gonstruction Staking 1 LS $10,000.00 $10,000.00 1 $10,000.00 42 0171.0102 As-Built Survey (Red-Line 1 LS $5,000.00 $5,000.00 I $5,000.00 43 9999.0001 Metering Station (Includi❑ 1 LS $475,000.00 $475,000.00 1$475,000.00 44 9999.0002 Sanitary Sewer Manhole Ve 7 EA $5,000.00 $35,000.00 7 $35,000.00 45 9999.0003 Type III Barricade 1 LS $5,000.00 $5,000.00 1 $5,000.00 46 9999.0004 Tree Protection far the Co 1 LS $35,000.00 $35,000.00 1 $35,000.00 47 9999.00Q5 ConstructionAllowance 1 LS $100,000.00 $100,000.00 1.A 3331.4307 20" DTP Sewer w/ Protecto 5377 LF 1.B 3331.4303 20" Fiberglass Sewer Pipe 5377 LF 1.0 3331.4310 21" PVC ASTM F679 Sewer P 5377 LF $150.Q0 $806,550.00 5443 $816,450.00 2.A 3331.4305 20" DII' Sewer w/ Protecto 1998 LF Z.B 3331.4301 20" Piberglass Sewer Pipe 1998 LF 2.0 3331.4308 21" PVC ASTM F679 Sewer P 1998 LF $125.00 $249,750.00 1998 $249,750.00 3.A 3331.4306 20" D1P Sewer w/ Protecto 150 LF 3.B 3331.4302 20" FiberglassSewerPip 150 LF 3.0 3331.4309 21" PVC ASTM F579 Sewer P 150 LF $200.00 $30,000.00 100 $20,000.00 4 3305.I 106 36" Casing By Other Than 494 LF $700.00 $345,800.00 494 $345,800.00 5 33053009 21" SewerCacrierPipe 40 LF $150.00 $6,000.00 40 �$6,000.00 6 33053008 20"DIPSewerCarrierPip 454 LF $250.00 $113,500.00 494 $123,500.00 Snb-Total of Previous Unii $3,420,821.00 �3,169,787.00 Tuesday, May 11, 2021 Page 3 of S City Project Numbers 100276 Contract Name Contract Limits Project Type Project Funding Crowley Relier Interccptor M-325 For Village Creek Basin Part 3 Council District 6 Sewer Contract Information Summary Original ContractAmount Chan�e Orders ��-�'� � �� vate 5/11/21 Coniractor ��-�^— Date-S// �/ Inspection Supervisor / /f� � ^ �- f . ; r � 1 -�-f'�� `� �%�l' '� Date � , f _ L ; Project Manager � � ) � Date Asst. Director/'I'PW �'��t,o�.� ;vs/�� ,��sm� o�H��a ;,��z�oziienscoi, Date Airector / Coniracting Department Total Contract Price DOE Number 1270 Estimate Number 30 PaymenE Number 30 For Period Ending 11/I 1l2020 $3,420,821.00 $3,420,821.00 Tofal Cost of Work Completed g3,169,787.00 Less 0 % Retained $0.00 NetEarned $3,169,787.00 Earned This Period $310,77435 Retainage This Period $0.00 Less Liquidated Damages Days @ / Aay LessPavement Deficiency Less Penalty Less Previous Payment Pius Material on Hand Less 15% Balance Aue This Payment $0.00 $o.00 $0.00 $2,859,012.65 $0.00 $310,7743 5 Tuesday, May I 1, 2021 Page 4 of 5 FoRT W�R�°� WA']CE�2 ENGINEERING & FISCAL SERVdCES FF10T.AL STATEMENT OF CONT�tACT 'I'I1VYE rev 03/OS/07 FINAL STATEMEN�' N�.: 30 NAME OJF PRO.AECT': Crowiey Relief Interceptor M-325 for Villager Creek Part 3 PROJECT NO.: 100276 CONTRACTOR: Circle C CTTY PROJECT 100276 PERTOD FROM:07/16120 TO: 11/11/20 FINAL INSPECTION DA'TE: 11/I l/2020 WORK ORDER EFFECTNE:1/l5/2019 CONTRA.CT �'�ME: 365 Q WD Q CD DAY OF DAYS �AS�N FOR �7AYS �AX OF DAXS gEASON FOR DAYS MONTgI DU�I2ING �12�I)IB'�Y) MO1�T'Y'di ��G CREDITED 1. 16. 2. a �. 3. 18. 4. 19. 5. 20. 6. 21. 7. 8. 9. 10. 11. 12. 13. 14. 15. THIS PER.IOD PREVIOUS TOTALS TO DATE *REMARKS: 22. 23. 24. 25. 26. 27. 28. 29. 30. 31. RAIN, TOO WET, UTILITIES & TOO COLD RELOCATIONS OTHERS* DAYS CHARGED 80 293 373 TOTAL DAYS 80 293 373 CON�TOR ��E� DATE JINS�OR � DA E�/ 5AT, SUN, & HOLIDAYS Capital Pxojects Deliveiy, Water Department The City of Fost Worth • 1000 Throckmoxton Street • Fort Worth, TX 7G012-6311 (817) 392 - 4477 • F'a}c: (81'� 392 - 8460 PROJECT NAME: PROJECT NUMBER: DOE NUMSER: PIPE LAID FIRE HYDRANTS: PIPE ABANDONED FOR.T VVORTH WATER ENGINEERING & FISCAL SERVICES PIPE REPORT FOR: Crowley Relief Interceptor M-325 far Villa�e Creek part 3 100276 N/A SIZE SIZE WATER TYPE OF PIPE VALVES (16" OR LARGER) TYPE OF PIPE DENSITIES: NEW SERVICES: PIPE LAID Sewer SEWER SEWER SE WER SEWER SIZE 21" ��,� 18" ro�� 12" SEWER TYPE OF PIPE PVC DIP DIP DIP DIP PIPE ABANDONED DENSITIES: NEW SERVICES: SIZE TYPE OF PIPE ]LF LF LF LF 5443 2?? 120 25 15 WATER ENGINEERING & FISCAI, SERVICES The Ciry of Fort Worth • 1000 Throckmorton Street • Fort Worth, T�i 76012-6311 (817) 392 - 4477 • Fax: (817) 392 - 8460 FORTWORTH Capital Projects Delivery, Water Department PERFORMANCE EVALUATTON OF CONTRACTOR n CONTRACTOR & PROJECT DATA Name of Contractor Circle C YYater Engineering Inspector 7esse Reed YYater Engineering Inspector ❑ Water ❑� Wasfe Water ❑ Storm Drainage ❑ Pavement Iniiia( Contract tlmount $3,420,821.00 Final Conlract Amount $3,169,787.00 In PERFORMANCE EVALUATION 0- Inadequate 1- Deficient Z- Standazd 3- Good 3 4 5 6 7 S 9 10 11 12 13 Sabmission of Documents Public Notificarions Plans on Site Field Supervision Work Performed Finished Product Job Site Safety Tr�c Control Maintenance Daily Clean Up Citizen's Complaint Resolution Properiy Restoration Af�er Hours Response 4 - Excellent [T ( X ) AP] 2 5 5 15 15 15 15 15 5 5 5 5 5 Name DOE Nctmber 100276 Project Manager Scott Taylor Praject Drffrculty � Simple Date 5/11/2021 Y Y Y Y Y X Y Y Y Y Y Y Y Q Routine / N) RATING (0 - 4) Iv1AX SCORE 4 8 3 20 4 20 4 60 4 60 3 60 3 60 3 60 3 20 3 20 3 20 3 20 3 20 TOTAL ELEMENT SCOFtE (A) BONUS POINTS (25 Maximum) (D) TOTAL SCORE (TS) IIn CONTRA.CTOR'S RATING Maximum Score (MS) = 448 br-sum of applicable element score maximums which = 448 Rating ([TS / MS] * 100%) 373 / 448 = 83% Performance Category Excelient <20% = Inadequate 20% to <40% = Defzcient 40% to <60% = Standard 60% to <80% = Good >80% = Excellent Inspector's Comments (INCLUDING �XPLANATION OT BONiJS POINT'S AWARD�D) REv: �2,2�,�� Q Camplex SCORE 8 15 20 60 60 45 45 45 15 15 15 15 15 373 373 Si ature Ins ector Si ��' ��/��Q�"�Y gn p gnature Contractor Signature Inspector's Supervisor CONTRACTOR'S COMMENTS Capital Projects Delivery, Watei Department The City of Fort Worth • 1000 Thsockmoxton Street • Fort Worth, TX 76012-6311 Creek part 3 (817) 392 - 4477 • Fax: (817) 392 - 8460 FORTWORTH Capital Projects Delivery, Water Depax�tment CONTRACTOR'S EVALUATION OF CITY n PROJECT INFORMATION Date: 11-Mav-21 Narne of Con�ractor Circle C Water Engineering Inspector Jesse Reed DOE Number Praject Di�culty 100276 0 Simple �Q Routine Initial Contract Amotmt $3,420,821.00 In PERF'ORMANCE EVALUA'TION 0- Inadequate 1- Deficient 2- Standard ELEMENT 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 IIn COMMENTS & STGNATURES CONIMENTS Signature Contractor Signature Inspector Signature Inspector's Supervisor INSPECTOR'S COMMENTS PLANS & SPECIFICA'I'IONS 1 Accuracy of Plans to Existing Conditions 2 Clarity & Sufficiency of Details 3 Applicability of Specif'ications 4 Accuracy of Plan Quautities PRO.)ECT MANAGER EVALUA'TION 1 Knowledge And/Or Problem Resolution 2 Availability of Project Manager 3 Communication 4 Resolution of Utilitv Conflicts %�� '.�� .�-�— � Compfex REV: �2,22,�� Project Name Crowley Relief Interceptoz M-325 for Village Creek Part 3 Praject Manager Scott Taylor Type ofContract ❑ Water Q✓ Waste Water ❑ Storm Drainage ❑ Pavement Final Contract Amounl $3,169,787.00 3 - Good 4 - Excellent RAT'ING ELEMENT rn _ a� RATING rn _ a� � 0 Capital Piojects Delivery, �Uater Departrnent The City of Fort Woxth • 1000 Throckmoxton Street • Fort Worth, 'I� 76012-6311 (817) 392 - 4477 • Fax: {817) 392 - 8460 CONSENT OF SURETY TO FINAL PAYMENT A7.4 Document G707 Bond Na. TXC611146 TO OWNER: City of Fort Worth 1000 Throckmorton Street Fort Worth, TX PROJECT: (name, address) Crowley Retief Interceptor M-325 for Village Creek Easin, Part 3 in the City of Fort Worth, TX OWNER ARCHITECT CONTRACTOR SURETY OTI�R ARCHITECT'S PROJECTNO.: City Project No. 100276 CONTRACT FOR: Utilities CONTRACT DATED: �� ■ ■ ■ ■ In accordance with the provisions of the Contract behveen the Owner and the Contractor as indicafed above, the (Insert name and address ofSurery) Merchants Bonding Company (MutuaI) 6700 Westown Parkway West Des Maines, IA 50266 , SURETY on bond of (Insert name and address ofContractorJ William J. Schultz, Inc., dba Circle C Construcfion 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 sball not relieve the Surety of any of its obligations to (Insert name and address of Owner) Cify of Fort Worth 1000 Throckmorton Street Fort Worth, TX 76102 , OWNER, as set forth in the said Surety's bond. IN WTINESS WIiEREOF, the Surety has hereunto set its hand this date: May 11, 2021 (Insert in writing the month jollowed by the numeric date and year.) "��: Witness as to Su[ety_ i�1' �;; __ , _� . .�:._. _7 = �:.--r= � - John A. Miller ' Merchants Bondinr Campan�- (\�Iutual) (Sureg') / .�'"" �"~� �-- -,`' ��: � ��''�-� - . x.� �Signarure oJcruthorird representaiiveJ Shervl A. HIutts, Attorne��-in-Fact (Pr:nted name and title) 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 Fdition AIA DOCUMENT' G707 � CONSENT OF SURET'Y COMPANY TO FINAL PAYMENT fr Apri] 1970 Edition � AL4� One Page 01970 • THE fiivIERICAN INSTITUT'E OF ARCHITECTS, 1735 New York Ave., NW, Washingron, D.C. 20006 �.ERCHANT_S� BONDING COMPANYTM POWER OF ATTORNEY Know All Persons By These Preserrts, that MERCHANTS BONDING COMPANY (MUTUAL) and MERCHANTS NATIONAL BONDIfVG, INC., both being corporations of the State of lowa (herein collectivety qlled the "Campanies") do hereby make, consfitufe and appoint, individualfy, John A Miller; John R Stockton; Sheryl A Kiutts their true and lawful Attomey(s�in-Fact, to sign its name as surety(ies) and to execute, seal and acknowledge any and all bonds, undertakings, contracts and other written insfruments in the nature thereof, on behalf of the Companies in their business of guaranteeing the fidelity of persons, guaranteeing the perfortnance of contracts and execuiing or guaranteeing bonds and undertakings required or pertnittad in any actions or proceedings allowed by law. This Power-of-Attomey is granted and is signed anci sealed by facsimile under and by authority of the foilowing By-Laws adopted by the Board of Directors of Mercha�rts Bonding Company (Mutual) on April 23, 201� and amended August 14, 2013 and adopted by the Board of Directors of MerchantsNational Bonding, Inc., on October 16, 2075. '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, bands and undertakings, recognizances, contracts of indemnity and otherwritings obligatory in the nature thereof." "The signature of any authorized officer and the seal of the Company may be afiixed by facsimile or electronic transmission to any Power of Attomey or Certfication thereof authorizing the execution and delivery of any bond, undertaldng, recognizance, or other suretyship o 6ligations of fhe Company, and such signature and seal when so used shall have the same force and efiect as though manually ficed." In connection with obllgations in favor of the Florida Deparhnent of iransportation only, it is agreed that the power and aut hority hereby given to the Attomey-in-Fact inGudes any and all consents for the release of retained percentages and/or final estimates on engineering and construcSon contracts required by the State of Florida Department of TranspoRation_ It is fully understood that consenting to the State ofFlorida Department of Transportation making payment of the final estimate to the Contractor and/or its assignee, shafl not relieve this surety company of any of its obliga6ons under its bond. !n cannection with obligations in favor of the Kentucky Department of Highways only, it is agreed that the power and authority hereby given to the Attomey-in-Fad cannot be modified or revoked unless prior written personal notice of such intent has been given to the Commissioner- Department of Highways of the CommonweaRh of Kentuoky at least thirty (30) days prior to the modification or revocation, In Wrtness Whereof, tFie Companies have caused this instrument to be signed and sealed this 11th day of February , 2020 �n.....,� . •`tlONq''• .••�'••. '�•�sA'. PO `1 �•': ; 'ap\N•..�O,hA.. � GJ :'QR Rq'; O r • �-'�F�P� 4• MERCHANTS BONDlNG COMPANY (MUTUAL) '�= G �' =Z � • 0•V� g'9j�.y�; MERCHANTS NATIONAL BONDING, INC. :2:2 -O- v:�' :►"'-:�2 tn: ' :� : 2003 ;�p ' : a'' 1933 �" �' By � . �d�. . a` . yJb acy � � : � . �•••........:� �� '.�•��......••l1 . •.��'••..�.,�.••�. . • . � . • • •' President STATE OF IOWA COUNTY OF DALLAS ss. Dn this 19th day of February 2020 before me appeared Larry Taylor, to me personally known, who being by me duly swom did say that he is President uf MERCHANTS BONDING COMPANY (MUTUAL) and MERCHANTS NATIONAL BONDING, INC.; and that the seals affixed to the foregoing instrument are the Corp�rate Seals of the Companies; and that the said instrument was signed and sealed in 6ehalf of the Companies by authority of iheir respective Boards of Directors. ,��s POLLY MASON , � a a� Commission Number 750576 � ��p..`, . . N1� Commission Expires �- ��. January p7, 2023 Afotary Public (Expiration of notary's commission does not irrvalidate this instrument) I, William Warner, Jr., SecreFary of MERCHANTS BONDING COMPANY (MUTUAL) and MERCHANTS NATIONAL BONDING, INC., do he2by certify that the abo�e and foregoing is a true and correct copy of the POWER-OF ATTORIVEY executed by said Companies, which is still in full force and efFect and has not been amended or revoked. In Witriess 1Nhereof, 1 have hereunto set my hand and affixed the seal of the Companies on this 11th day aF May, 2021. ,........... .••""•. �.�Pq10Nq�'•., . p\NG Cp�•. � .�EiPB/T ��: 'O�• �PO 'Oq• � j. ry ,q-. o . m: •o A,y-. y. `2:ZG �' :Z: ;�, c� �:,� . :Q: -o- p=�: •�':_ -o- �' . 6c� �.ip.s�s�/��, � j:` 2003 ' Z� a' '` 1933 ��C; Secretary ::��` .y . �r. . J'•. '•.;��-•........•;3a�. '••?',��••� •-•`;�d� POA 0018 (1/20) •�'"••�••••••' '••••••• AFFIDAVIT STATE OF Texas COUNT'Y 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 ta be a credible person, who being by me duly sworn, upon his oath deposed and said; That a11 persons, firxns, associations, cozporations, 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 andJor property damages; On Contract described as; Crowley Relief Interceptor M-325 Part 3 City Project Number 100276 BY �� President Subscribed and sworn before me on this date 11 of May, 2021. 1 � � 1,CiY'��.5 Notary Public Tarrant, Texas ,,o,�ar ^�a;,, MICHELE S LANKFOR a, o Nosary Public A�,��%*' 3TA'CE OF 7EXAS --,sTF aF ?�� Notary fD � 1175946-6 _ ,,x n AIY COmrt1. Exp. OctODer 7. 2023 FORTWORTH May 11, 2021 William J. Schultz dba. Circle C Construction Co. PO Boz 40325 Fort Worth, T�i 76140 Re: Acceptance Letter Project Name: Crowley Relief Interceptor M-325 for Village Creek Part 3 Project Type: Se�ver Project No: 100276 D.O.E. Ns: N/A Contract Ns: 51954 Dated: 1/29/2019 Gentleman: On November 11, 2020 a final inspection was made on the subject project. There were no punch list items identified at the time. The fmal inspection indicates that the �vork meets the City of Fort Worth specifications and is therefore accepted by the City. The warranty period will start on November 11, 2020, which is the date of final inspection and �vill eztend for (2) years in accordance �vith the Contract Documents. If you have any questions concerning this letter of acceptance, please feel free to contact me at (817) 392-60�4 Yours Truly, �--- �y � � ,. , �� `; :� � _ , Tony Sholola, P.E., Assistant Director Water Department MI' / cc: Chris Harder, P.E., Director, Water Department Laura Wilson, P.E., Deputy Director, Water Department Captain Michael Skains, Fire Department Cesar Zavala, Field Operations Superintendent, ��later Department B?ll Lundvall, Field Operations Superintendent, Waste Water Department Scott Taylor, P.E. , Project Manager Brenda Ustasio, P.E., Teau�e Nall and Perl�ins , Consultant William J. Schultz dba Circle C Constiliction Campany, Contractor David Johnson, Inspection Superoisor, Water Engineering and Fiscal Services Raymond Brice, Inspector, Water Engineering and Fiscal Services File WATER DEPARTMENT ENGINEERING AND FISCAL SERVICES THE CITY OF FORT WORTH * lOOO THROCKMORTON STREET * FORT WORTH, TEXAS %F)LOZ 817-392-8240 * F.aY 817-392-8195 `� Printed on recycled paper