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Home My WebLink AboutContract 44516-CO3 (2)-� ;; ��'� ��`�A�� Services DOE# Risk Management.t�a�e - D.O.E. Brotherton CFA WestermanlScanned The Procesding people have 6een Co tted concemin� payment & have released this proJect for such payment. Clearance Conducted By Shameka Kennedy TION AND PUBLIC WORKG PROJECT COMPLETION D.O.E. Ns: 6589 Regarding conuact 44516 for WATER&SEWER REPLACE CONT 2009 WSM-P as required bp the WATER DEPARTMENT as appraved bp City Coundl on 5/7/2013 thcough M&C G26240 the director of the WATER DEPARTMENT upon the recommeadatioa af the Assistant Director of the Transportation & Public Works Department has accepted the project as complete. �' � r� r: _ = .; i�'r:.� Original Contract Prices: �� `'' " a �`jG �" �� $2,210,111.00 r j� l� . Amount of Approved Change Orders: AU6 2 5 201� � $Z98,352.00 Ns 1& 2 Revised Contract Amount: 8y �� _s _ $2,508,463.00 Total Cost Work Completed: Less Deductions: Liquidated Damages: Pavement Deficiencies: Total Deduction Amount: Totel Cost Work Completed: Less Previous Payments: Final Payment Dne Recommended for Acceptance Asst. Director, TPW - Infrastructure Design and Construction _ - � ��% r �-�-_� Accepted / Asst. Director, WATER DEPARTMC#� �' . � � �-2 "'l_` � � ) l --- - - -- - -- - -�--- Asst. City Manager $2,436,466.20 $2,436,466.20 $2,314,642.89 5121,823.31 I� �53-�1�SS C S 1-i4S^I (o Days @ $210.00/ Day _ �?� /� Date _ _ � .�s ,,=- Dati � Date �� Comments: P253-541200-603170148583, P258-541200-703170148583 °t�u� � s 2�� G� � I � kT WORTH« request for final i�; � _ 4 ,1 , - '1 1} _ � .,. � _ � Is` �i ,.': .,r;T, ., . ��-- - co �-� � �ul�G �a5 3 -61y�sr cs .�.�� zo�5 City Project Numbers 01485 0�_ _��^�_ ___.J Contract Name Water/Sanitary Se�ver Replac Contract 2009 WSM-P on Walton Av Contract Limits �✓esthaven Dr, Encanto Dr, Wolens Way, Leith Av, WiserAv, Project Type WATER & SEWER Project Funding Project Manager Sauceda Inspectors / WATSON Contractor CIRCLE C CONSTRUC770N COMPANY PO BOX 40328 FORT WORTH , TX 76140 DOE Number 6589 Estimate Number 46 Payment Number 46 For Period Ending 721R015 City Secretary Contract Number Contract Date Contract Time Days Charged to Date Contract is 000000 •�fiGi 5/7/2013 630 CD 629 CD Complete CTTY OF FORT WOR'�j #/ S_vUU � Zg(p �" SUMMARY OF CHAR�,�, ��, �, �� i1 / �.�.r ! `-�' � Line Fund Account Center Amount Gross Retainage Net Funded ��53-DI��--�f7S� -- p,Ul �".�1��1 C�� N75`%,l ��s�ol�_� _—Iv3��05_°� -e- ��-��,��' D Total Cost of Woric Completed $2�436,466.20 Less % Retained $0.00 Net Earued $2,436,466.20 Tuesday, July 28, 2015 Earned This Period $121,8233] Retainage This Period 50.00 Less Liquidated Damages 0 Days @ $0.00 / Day LessPavement Deficiency Less Penalty Less Previous Payment Plus Material on I3and Less 15% Balaoce Due This Payment $0.00 $0.00 $0.00 $2,314,642.89 $0.00 $121,82331 Page 6 of 6 i Fo�T woR�cH CITY OF FORT WORTH FINAL PAYMENT REQUEST Contract Name Water/Sanitary Sewer Replac Contract 2009 WSM-P on Walton Av Contract Limits Westhaven Dr, Encanto Dr, Wolens Way, Leith Av, Wiser Av, Project Type WATER & SEWER City Project Numbers 01485 DOE Number 6589 Estimate Number 46 Payment Number 46 City Secretary Contract Number 44516 Contract Date 5/7/2013 Project Manager Sauceda Contractor CIRCLE C CONSTRUCTTON COMPANY PO BOX 40328 FORT WORTH , TX 76140 Inspectors / WATSON For Period Ending 7/21/2015 CD Contract Time 63�D Days Charged to Date 629 Contract is 97.000 Complete Tuesday, July 28, 2015 Page 1 of 6 City Projecf Numbers 01485 Contract Name Water/Sanitary Sewer Replac Contract 2009 WSM-P on Walton Av Contract Limits Westhaven Dr, Encanfo Dr, Wolens Way, Leith Av, Wiser Av, Project Type WATER & SEWER Project Funding Sanitary SewerTmpmvements DOE Number 6589 Estimate Number 46 Paymeni Number 46 For Period Ending 7121l2015 Item Descriptiou of Items Estimated Unit Unit Cost Esrimated Complefed Completed No. Quanity Total Quanity Total - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - I SWPPP > 1 acre 1 LS $4,500.00 $4,500.00 1 $4,500.00 2 5' Wide Asphalt Pvmt Repau, Arteria 2870 LF $38.00 $109,060.00 2885 $109,630.00 3 Asphalt Pvmt Regair Beyond Defined W 250 SY $10_00 $2,500.00 120 $1,200.00 4 Temporary Asphait Paving Repair 8595 LF $7.00 $60,165.00 10490 $73,430.00 5 Conc Pvmt Repair, Residen6al 13 SY $75.00 $975.00 2 $150.00 6 6" Concrete Driveway 465 SF $7.00 $3,255.Q0 987 $6,909.00 7 7" Conc Curb and Gutter 120 LF $25.00 $3,000.00 160 $4,000.00 8 4` Chain Link, Steel 120 LF $10.00 $1,200.00 125 $1,250.00 9 6' Fences, Wood 20 LF $15.00 $300.00 50 $750.00 10 8'Fences, Wood 40 LF $15.00 $600.00 40 $600.00 i i Block Sod Placement 80 SY $10.00 $800.00 690 $6,900.00 12 Pre-CCTV Inspection 1980 LF $4.00 $7,920_00 7081.8 $28,327.20 13 Post-CCTV Inspection 10556 LF $2.00 $21,112.00 7455 $14,910.00 14 Manhofe Vacuum Tes6ng 48 EA $100.00 $4,800.00 44 $4,400.00 15 Trench Safery 8578 LF $1.00 $8,578.00 7026 $7,026.00 16 Concrete Collaz 52 EA $300.00 $15,600.00 23 $6,900.00 17 8" PVC Water Pipe 15 !F $75.00 $1,125.00 18 8" PVC Water Pipe, C3S Bacl�ll 20 LF $65.00 $1,300.00 20 $1,300.00 19 Service Reinstatement, Pipe Enlazgem 26 ER $750.00 $19,50�.00 34 $25,500.00 20 4" Sewer Service 177 EA $200.0� $35,400.00 169 $33,800.00 21 8" Sewer Pipe, CSS Backfill 80 LF $65.00 $5,200.00 20 $1,300.00 22 Epoxy Manhole Liner 140 VF $185.00 $25,900.00 23 WastewaterAccessChamber 3 EA $1,800.00 $5,400.00 24 4'Manhole 44 EA $3,200.00 £140,800.00 50 $160,000.00 25 4' Drop Manhole 3 EA $4,000.00 $12,000.00 3$12,000.00 26 4' Extra Depth Maril�ole 35 VF $150.00 $5,250.00 34.5 $5,175.00 27 4' Shallotv Manhole 1 EA $2,600.00 $2,600.00 1 $2,600.OD 28 Traffic Control 5 MO $2,500.00 $12,500.00 5 $12,500.00 29 8" Horizonal Direcrional Drill 200 LF $85.00 $17,000.00 200 $17,000.00 30 Manhole Rehabilitation 3 EA $2,000.00 $6,000.00 5 $10,000.00 32 Raised Marker TY W 60 EA $7.00 $420.00 Tuesdag July 28, 2015 Page 2 of 6 City Project Numbers 01485 Contract Name WaterlSanitary Sewer Replac Contract 2009 WSM-P on Walton Av Contract Limits Westhaven Dr, Encanto Dr, Wolens Way, L,eith Av, Wiser Av, ProjeCt Type WATER & SEWER Project Funding DOE Number 6589 Estimate Nnmber 46 Payment Number 4b For Period Ending 7(21/2015 33 Raised Marker TY Y 80 EA $7.00 $560.00 34 REFL Raised Marker TY I-C 12 EA $14.00 $168.00 35 REFL Raised Marker TY II-A-A 38 EA $14.00 $532.00 37 8" Sewer Pipe 8465 LF $36.00 £304,740.00 7396 $266,256.00 38 8" PipeEnlargement CO#1 2000 LF $52.00 £104,000.00 2785 $144,820A0 39 Remove Fence 180 LF $5.00 $900.00 205 $1,025.00 40 Sanitary Line Grouting 25 CY $120.00 $3,000.00 20 $2,400.00 41 6" Sewer Abandonment Plug 4 EA $500.00 $2,000.00 42 Remove 4' Sewer Manhole 26 EA $8D0.00 $20,800.00 21 $16,800.00 43 4" Sewer Setvice 177 EA $400.00 $70,800.00 159 $63,600.00 44 ConcPvmtRepair 41 SY $85.00 $3,485.00 45 4" SERVICE RECONNECTS CO#1 2 EA $750.00 $1,500.00 Sub-Total of Previous Unit $1,047,245.00 $1,046,958.20 Water Improvemenis Item Description of Items Estimated Unit Unit Cost �s6mated Completed Completed No. Quanity Totat Quanity Total 1 Remove 8" Water Valve ll EA $200.00 $2,200.00 10 $2,000.00 2 Remove 12" Water Valve 3 EA $400.00 $1,200.00 3 $1,200.00 3 Salvage Fire Hydrant COltl 17 EA $600.00 $10,200.00 17 $10,200.00 4 Salvage3/4"WaterMeterCO#1 261 EA $50.00 $I3,050.00 203 $10,150.00 5 Salvage 1" WaterMeter 1 EA $I00.00 $100.00 9 $900.00 6 Salvage 1 1/2" WaterMeter IS EA $100.00 $1,500.00 27 $2,700.00 7 Salvage2"WaterMeter I7 EA $100.00 $1,700.00 36 $3,600.00 8 SWPPP > 1 acre 1 LS $3,500.00 $3,500.00 I $3,500.00 9 5' Wide Asphait Pvmt Repair, Artcria 2890 LF $35.00 $101,150.00 2890 $101,150.00 10 Temporary Asphalt Paving Repair 12820 LF $7.00 $89,740.00 10188 $'71,316.00 11 Conc Pvmt Repair, Residential CO#1 237 SY $85.00 $20,145.00 237 $20,145.00 12 6" Concrete Driveway C0#1 1150 SF $7.00 $8,050.00 1090 $7,630.00 13 Topsoil 20 CY $20.00 $400_00 30 $600.00 14 Block Sod Placement CO#1 91 SY $10.00 $910.00 530 $5,300.00 ] 5 Temporary Water Services CO#I 1.39 LS $40,000.00 $55,600.00 1.39 $55,600.00 16 TrenchSafetyCO#1 14697 LF $1.00 $14,697.00 I3935 $13,935.00 17 Ductile Iron Water Fittings �v! Restr CO#1 6.7 TO $6,500.00 $43,550.00 6.7 $43,550.00 Tuesday, July 28, 201 S Page 3 of 6 City Project Numbers 01485 Contract Name WaterlSanitary Sewer Replac Contract 2009 WSM-P on Walfon Av Confract Limits Westhaven Dr, Encanto Dr, Wolens Way, Leith Av, Wiser Av, Project Type WATER & SEWER Proj ect Funding DOE Number G589 Estimafe Number 46 Payment Number 46 For Period Ending 7/21/2015 18 Fue Hydrant CO#I 17 EA $2,500.00 $42,500.00 17 $42,500.00 19 Connection to Existing 6" Water Main 4 EA $1,500.00 $6,000.00 4 $6,000.00 20 Connection to E�cisting S" Water Main l 1 EA $1,500.00 $16,500.00 11 $16,500.00 21 Connection to Esisting 12" Water Mai 4 EA $2,000.00 $8,000.00 1 $2,000.00 22 Connection to Existing 16" Water Mai 1 EA $2,500.00 $2,500.00 1 $2,540.00 23 2" Combination Air Valve Assembly fo 1 EA $3,800.00 $3,800.00 1 $3,800.00 24 1" Water Service, Meter Reconnection COfFl CO#2 270 EA $400.00 $108,000.00 258 $103,200.00 25 1" Water Service CO#1 CO#2 270 EA $200.00 $54,000.00 258 $51,600.00 26 1 U2" WaterService,MeterReconnec 15 EA $500.00 $7,SOO.OQ 17 $8,500.00 27 1 1!2" Water Service CO#2 20 EA $300.00 $6,000.00 17 $5,100.00 28 2" Water Service, Meter Reconnectio 17 EA $600.00 $10,200.00 24 $14,400.00 29 2" Water Service CO#2 19 EA $400.00 $7,600.00 24 $9,600.00 30 6" Gate Valve CO#I 17 EA $700.00 $11,900.00 16 $11,200.00 31 8" Gate Valve CO#1 20 EA $950.00 $19,000.00 18 $17,100.00 32 12" Gate Valve 10 EA $1,700.00 $17,000.00 10 $17,000.00 33 Tr�c Control CO#1 6 MO $1,500.00 $9,000.00 6 $9,000.00 34 Conc Pvmt Repair, ArteriaUlndustria 9 5Y $85.00 $765.00 9 $765.00 35 16" PVC C905 Water Pipe 970 LF $65.00 $63,050.00 968 $62,920.00 36 12" PVC Water Pipe 3785 LF $54.00 £204,390.00 3814 $205,956.00 37 12" DIP Water 30 LF $85.00 $2,550.00 20 $1,700.00 38 8" PVC Water Pipe COfF 1 CO#2 10319 LF $42.00 £433,398.00 9606 $403,452.00 39 8" D1P Water 125 LF $75.00 $9,375.00 26 $1,950.00 40 6" PVC Water Pipe 153 LF $41.00 $6,273.00 186 $7,626.00 4f Water Line Grouting 25 CY $120.00 $3,000_00 25 $3,000.00 42 8" WaterAbandonmentPIug 2 EA $500.00 $1,000.00 2 $1,000.00 43 Remove 6" Water Valve 16 EA $200.00 $3,200.00 16 $3,200.00 44 6" CONC CURB & GiJ"i'TER CO#1 300 LF $25_00 $7,500.00 30 $750.00 45 6" FLEX BASE CO#1 1000 SF $7.00 $7,000.00 1359 $9,513.00 46 IMPORTATED EMBEDMENT CO#1 333 CY $25.00 $8,325.00 47 REMOVE 8" GATE VALVE CO#1 2 EA $200.00 $400.00 2 $40Q.00 48 REMOVE 6" GATE VALVE COi�I 4 EA $200.00 $800.00 4 $800.00 49 ROADWAY STRIPPING CO#1 1 LS $7,500.00 $7,500.00 1 $7,500.00 50 ADDITIONAL EMBEDI4IEN'P CQ#1 1 LS $5,500.00 $5,500.00 1 -$5,500.00 Sub-Total of Previous Unit $1,461,218.00 $1,389,508.00 Tuesday, July 28, 2015 Page 4 of 6 City Project Numbers 01485 Contract Name WatedSanitary Sewer Replac Contract 2009 WSM-P on Walton Av Contract Limits Westhaven Dr, Encanto Dr, Wolens Way, Leith Av, Wiser Av, Project Type WATER & SEWER Project Funding Total Contract Price Contract Information Summary Original ContractAmount Chan�e Orders Change Order Number 1 Chaoge Order Number 2 � !� Date —��-� �4 7 s Contractor � :�(��;�J':�il�l llatec�(G %� Inspection Supervi�eff , If J � Design and Cpnstryctic n9ra �'/�S�f ��irector / Contracting DOE Number 6589 Estimate Number 46 Payment Number 46 For Period �nding 7/21/2015 $2,210,111.00 $261,882.00 $36,470.00 $2,508,463.00 Total Cost of Work Completed Less % Retained Net Earned Earned This Period $121,82331 Retainage This Period $0.00 Less Liquidated Damages Days @ / Day LessPavement Deficiency Less Penalty Less Previous Payment Plus Material on Hand Less 15% Balance Due This Payment $2,436,46620 $0.00 $2,436,466.20 $0.00 $0.00 $0.00 $2,314,642.89 $0.00 $121,82331 Tuesday, July 28, 2015 Page 5 of 6 FORTWORTH TRANSPORTATION AND PUBLIC WORKS CONTR.ACTOR'S EVALUATION OF CITY I) PRO,T�CT INFORMATION Name of Contraclor Circle C Conshuction DOE Inspector Don Watson DOE Number Project D�culty 6589 � Simple QQ Routine Q Complex 1 Contract Amounf 10.111.00 In PERFORMANC� �VALUATION 0- Inadequate 1- Deficient 2- Standard 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 Processin Time 2 Timliness of Contractor Payments 3 Bid Openin� to Pre-Con Meeting Timeframe Iin COMMENTS & SIGNATURES COMMENTS Signature Contractor Signature DOE Inspector Signature DOE Inspector's Supervisor INSPECTOR'S COMMENTS Project Name Water & Sewer Replacement Project Manager Robert Saueda Type of Conlracl ✓Q Water❑� Waste WaterO Frnal Contract Amount �W $2,436,466.20 3 - Good 4 - Excellent RATING ELEMENT (0 - 4) � PLANS & SPECIFICATIONS 1 Accuracy of Plans to Existing Conditions 2 Clarity & Sufficiency 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 Utilitv Conflicts Date: 17/31 /2015 REV: �2,22,�� Contract 2009 WSM-P Storm Drainag� Pavement RATING (0 - 4) TR�INSPORTr1TION r1ND PUBLIC WORKS -��` The Ciry of Fort Worth • 1000 Throclunorton Street • Foxt Worth, TX 76012-6311 ; (817) 392 - 7941 • Fax: (817) 392 - 7845 � i ii REV: 02/20/07 TRANSPORTATION AND PUBLIC WORKS PERFORMANCE EVALUATION OF CONTR.ACTOR n CONTRACTOR & PROJECT DATA Name of Ca�traclar Circle C Construction DOE Inspector Don Watson DOElnspector ❑� Water ❑� Waste Water❑ Storm Drainag� Pavement Initial Contract Amount $2,210,111.00 Final Contrac� Amount II) PERFORMANCE �VALUATION Praject Name Water & Sewer DOE Nunrber 6589 Project Manager Robert Saueda Project D�culry � Simple 7/31/2015 Contract 2009 WSM-P Q Roudne � Complex 0- Inadequate 1- Deficient 2- Standard 3- Good 4- Excellent ELEMENT WEIGHT ( x) APPLICABLE (Y / I� RATING (0 - 4) MAX SCORE SCORE 1 Submission of Documents 2 Y 4 8 8 2 Public Not�cations 5 Y 4 20 20 3 Plans on Site 5 Y 4 20 20 4 Field Supervision I S Y 4 60 60 5 Work Performed 15 Y 3 60 45 6 Finished Product 15 Y 4 60 60 7 Job Site Safety 15 Y 4 60 60 8 Tr�c Control Maintenance 15 Y 4 60 60 9 Daily Clean Up 5 Y 4 20 20 10 Citizen's Com laint Resolution 5 Y 4 20 20 11 Property Restoration 5 Y 4 20 20 12 After Hours Res onse 5 Y 4 20 20 13 Project Completion 5 Y 4 20 20 TOTAL ELEMENT SCORE (A) BONUS POINTS (25 Ma�cimum) (B) TOTAL SCORE (TS) IIn CONTRACTOR'S RATING Maximum Score (MS) = 448 or sum of applicable element score maximums which = 448 Reting ([TS / MS] * 100%) 433 / 448 = 97% Performance Category Exceltent <20% _/nadequate 20% to <40% = Deficient 40% to <60% = Standard 60% to <80% = Good >_80% = Fxcellent Inspector's Comments (INCLUDING EXPLANATION OF BONUS POINTS ANARDED) Signature DOE Inspectar Signature DOE Inspector's Supervisor CONTRACTOR'S COMMENTS :/� . �� : ire Contractor TR�INSPORT�TION �ND PUBLIC WORKS 433 433 /�ss��.�,oa The Ciry of Fart Worth • 1000 T7�ockmorton Street • Fort Woxth, TX 76012-6311 (817) 392 - 7941 • Fax: (817) 392 - 7845 ��i / , TRANSPORTATION AND PUBLIC WORKS PIPE REPORT FOR: PROJECT NAME: PROJECT NUMBER: DOE NUMBER: PIPE LAID C905 Water Water Water Water Water FII2E HYDRANTS: 17 PIP� ABANDONED DENSITIES: NEW SERVICES: PIPE LAID Sewer Sewer Sewer ' I' : �\►111]�L�l1 DENSITIES: NEW SERVICES: _/'��-_ \�"/- . Water/Sanitary Sewer Replacement Contract WSM-P 1485 6589 SIZE 16" 12" 12" 8�� 8�� 6" SIZE SIZE g�� 8�� 4�� SIZG WATER TYPE OF PIPE PVC PVC DIP PVC DIP PVC VALVES (16" OR LARGER) TYPE OF PIPE SEWER TYPE OF PIPE C900 Pipe Enlargment C900 TYPE OF PIPE TRc�NSPORTr1TION t1ND PUBLIC WORKS The City of Fort Woxth • 1000 Throckmorton Street • Fort Worth, TX 76012-6311 (81'� 392 - 7941 • Fax: (817) 392 - 7845 LF 968 3814 20 9606 26 186 LF LF 7396 2785 159 LF AFFIDAVIT STATE OF Texas COUNTY OF Tarrant Before me, the undersigned authority, a notaxy public in the state and county aforesaid, on this day personally appeared Teresa S Skelly, Vice President Of Circle C Construction, 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 injuiy andlor property damages; On Contract described as; __ Water and Sanitary Sewer Replacement Contract 2009 WSM-P DOE b589 BY ��_. �� c c�r�-�� VTeresa S Skell Vice Presient Subscribed and sworn before me on this date 15 of . m uSh�.�.��J . L�-n` ( 2015. ,o Pµ, ��m�=: �rrcx�L� s. r.��r�FaR�a r� `,�� Iota�� Public �'�9r�. _ �+Pyr STRTE aF [ EJCf1S OF S „ �Y �mm. Exp. Qctober 7, 2015 COI�TSENT OF SURETY TO FINAL PAYMENT AIA Document G707 Bond No. TXC107214 TO OWNER: City of Fort Worth 1000 Throckmorton Street Fort Worth, TX 76111 OWNER ARCHITECT CONTRACTOR SURETY OTHER ARCHITECT'S PROJECT NO.: City Project No. 01485; DOE No. 6589 CONTRACT FOR: Utility Improvements CONTRACT DATED: May 07, 2013 PROJECT: (name, address) Water and Sanitary Sewer Replacement Contract 2009 WSM-P in the Ciry of Fort Worth, TX In accordance �vith the provisions of the Contract between the Owner (Insert mm�e artd address ojSurery) Merchants Bonding Company (Mutual) 2100 Fleur Drive Des Moines, IA 50321-1158 on bond of (Ir�sert name and address of Contractor) William J. Schultz, Inc., dba Circle C Construction Company P. O. Box 40328 Fort Worth, TX 76140 hereby approves of the final payment to the Contractor, of any of its obligations to (Inser! name and address of Owner) City of Fort Worth 1000 Throckmorton Street Fort Worth, TX 76111 as set forth in the said Surety's bond. the Contractor as indicated above, the ►� ■ ■ ■ ■ ,SURETY ,CONTRACTOR, and agrees that final payment to the Contractor shall not relieve the Surety , OWNER, IN WITNESS WHEREOF, the Surety has hereunto set its hand this date: May 13, 2015 (Insert in wriling the month fo!lowed by N�e ntnneric date mtd year.) �sE: ' Witness as to Surety: (Seal): `� f ' ,� � � '� ,�'�r_ _ � �• John A. Miller, Witness Sheryl A. Klutts, Attorney-in-Fact (Printed 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, Curren[ Edition AIA DOCUMENT G707 � CONSENT OF SURETY COMPANY TO FINAL PAYMENT � April 1970 Edition � AIAO One Page 01970 • THE AMERICAN INSTITUTE OF ARCHITECTS, 1735 New York Ave., NW, Washington, D.C. 20006 MERCHANTS BONDING COMPANYTM POWER OF ATTORNEY Know All Persons By These Presents, that MERCHANTS BONDING COMPAt�Y (MUTUAL) and MERCHANTS NATIONAL BONDING, INC., both being corporations duly organized under the laws of the State of lowa (herein collectively called the "Companies"), and that the Companies do hereby make, constitute and appoint, individua�ly, John A Miller; John R Stockton; Sheryl A Klutts of Fort Worth and State of Texas their true and Iawful Attorney-in-Fact, with full power and authority hereby conferred in their name, place and stead, to sign, execute, acknowledge and deliver in their behalf as surety any and all bonds, undertakings, recognizances or other written obiigations in the nature thereof, subject to the limitation that any such instrumeni shall not exceed the amount of: TEN MII�LION ($10,000,000.00) DOLLARS and to bind the Companies thereby as fully and to the same extent as if such bond or undertaking was signed by the duly authorized officers of the Companies, and all the acts of said Attorney-in-Fact, pursuant to the authority herein given, are hereby ratified and confirmed. Tfiis Power-of-Attomey is made and executed pursuant to and by authority of the following By-Laws adopted by the Board of Directors of the Merchants Bonding Company (Mutual) on April 23, 2011 and adopted by the Board of Directors of Merchants National Bonding, Inc., on October 24, 2011. "The President, Secretary, Treasurer, or any Assistant Treasurer or any Assistant Secretary or any �ce President shali have power a�d 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 ihe nature thereof. The signature of any authorized officer and the seal of the Company may be a�xed by facsimile or electronic transmission to any Power of Attomey or Certification thereof authorizing the execution and delivery of any bond, undertaking, recognizance, or other suretyship obiigations of the Company, and such signature and seal when so used shail have the same force and effect as though manually fixed." In Witness Whereof, the Companies have caused this instrument to be signed and sealed this 13thday of August , 2014 , '"�rttUtfi.�C :��q� -p- 20Q� STATE OF IOWA COUNTY OF POLK ss. � .�•_••. `�. . ��N� , CO,�j•. t9a: ;m0•44P�1q A9'• ._� _ �y.v q�.y�� . ►:� � .f-tz -o- o; . ; � ' : y- 1933 � c; ' : � •. ��,�. ��.�i� •��,��•.....•�`-�'a, ,�� . � �'s . •...... MERCHANTS BONDING COMPANY (MUTUAL) MERCHANTS NATfONAL B�NDING, INC. By �� President On this 13th day of August 2014, before me appeared Larry Tayior, to me personally known, who being by me duly sworn did say that he is President of the MERCHANTS BONDWG COMPANY (MUTUAI) and MERCHANTS NATIONA� BONDING, INC.; and that the seals a�xed to the foregoing instrument is fhe 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. In Testimony Whereof, I have hereunto set my hand and affixed my Official Seal at the City of Des first above written. �pR�A�s WENDY WOODY a y C��mission Numbe� 7�4554 ? ° ° ° ° : My Commission Expires �o�,,P June 20, 2017 Moines, lowa, the day and year Notary Pu6tic, Polk County, lowa STATE OF IOWA COUNTY OF POLK ss. i, William Warner, Jr., Secretary of the MERCHANTS BONDING COMPANY (MUTUAL) and MERCHANTS NATIONAL BONDIN�, 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 stiil in full force and effect and has not been amended or revoked. In Witness Whereof, I have hereunto this 13thday ot May .,,: POA 0014 (7/14) my hand and affixed the seal of the Companies on S• ,.•�*� tUff,�� '•, .�`� '- . - �°'.� .�°� ��'�'' �Q' ti' � ..p_ �:t�'., �L: ' ,�,�: �003 :;� - d'a` ` ...�:��t�'a' '-�'.�,it _..a`' �...... �. • �\N� �O�lj`•, : �o��gPUq.�a,9• . �y �G �?,,�.y,t,: .r--:��' -o- o; . :�� .3' y, isss : c: •�Y. •.;'�;��. . � . . •`.a; • •..... �� Secretary MERC�3[ANTS BONDING COMPANYTM MERCHANTS BONDING COMPANY (MUTUAL) • MERCHANTS NATIONAL SOi�JDING, I[�IC. 2100 FLEUR DRIVE • DES MOINES, IOWA 50321-1158 � t800) 678-8171 •(515) 243-3854 FAX 1 , � ♦ i To obtain information or make a complaint: You may contact your insurance agent at the telephone number provided by your insurance agent. You may call Merchants Bonding Company (Mutual) toll-free telephone number for information or to make a compiaint at: 1-800-678-8171 You may contact the Texas Department of Insurance ta obtain information on companies, coverages, rights or complaints at: 1-800-252-3439 You may write the Texas Department of Insurance at: P. O. Box 149104 Austin, TX 78714-9104 Fax: (512) 475-1771 Web: htip://www.tdi.state.tx.us E-mail: CansumerProtection@tdi.texas.gov PREMIUM AND CLAIM DISPUTES: Should you have a dispute concerning your premium or about a claim you should contact the agent first. If the dispute is not resolved, you may contact the Texas Department of Insurance. ATTACH THIS NOTfCE TO YOUR POLICY: This notice is for information only and does not become a pa�t or condition of the attached document. SUP 0032 TX (12/13) O RT WO RT H rev 03/OS/07 ,� TRANSPORTATION & PUBLIC WORKS FINAL STATEMENT OF CONTRACT TIME FINAL STATEMENT NO. 46 NAME OF PROJECT: Water & PROJECT NO.: Sewer 1485 PERIODFROM7\1\IS TO: 7\15\IS WORK ORDER EFFECTIVE 7/11/2013 DAYS Contract 2009 WSM-P CONTRACTOR: Circle DOE NO. 6589 FINAL 1NSPECTION DAT�: 19-Dec CONTRACT TIME 630 O W� CD DAY OF REASON FOR DAYS MONTH CHARGED CREDITED niiurNr, l. 2. 3. 4. 5. 6. 7. 8. 9. 10. 11. 12. 13. 14. 15. Su M T W. 'I'h F S Su M T W Th F S Su � � � � � � � � � � � � � � � Other Other Other Other Other Other Other Other Other Other Other Other Other Other Other 16. 17. 18. 19. 20. 21. 22. 23. 24. 25. 26. 27. 28. 29. 30. 31. DAY OF I DAYS^ MONTH CHARGED REASON FOR DAYS CREDITED SAT, SUN, RAIN, TOO WET, UTILITI�S �T,�� * DAYS TOTAL & HOLIDAYS & TOO COLD RELOCATIONS CHARGED DAYS THIS 0 0 0 15 0 15 PERiOD PREVIOUS 0 0 0 91 629 720 PERIOD TOTALS 0 0 0 106 629 735 TO DATE ' K�1V1AK1iJ; CONTRACTOR The City of Fort ENGINEERING DEP11R'I'�fENT (81� 392 - 7941 • Fax: (81� 392 - 7845