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Contract 54211-FP1
FORTWORTH CSC No. 54211-FP1 WATER DEPARTMENT ENGINEERING AND FISCAL SERVICES NOTICE OF PROJECT COMPLETION 5(0 oo aa(039 cs all Regarding contract 54211 for 2020 Miscellaneous Sanitary Sewer manhole Repair as required by the Water Department as approved by City Council on 6/23/2020 through M&C 20-0458 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: $225,000.00 Amount of Approved Change Orders: $782.70 Ns 1 Revised Contract Amount: $225,782.70 Total Cost Work Completed: Less Deductions: Liquidated Damages: Days @$365.00/Day Other Deductions(see comments): Total Deduction Amount: $0.00 Total Cost Work Completed: $225,782.70 Less Previous Payments: $225,782.70 Final Payment Due $0.00 12- Recommended for Acceptance Date Assistant Director, Water Department Christopher 4arder(Jul 20,202117:02 CDT) Accepted Date Director, Water Department D'qnc7 Bu�cihd%ff Dana Burghdoff(Tul 21,202109:48 CDT) City Manager Date OFFICIAL RECORD CITY SECRETARY FT. WORTH, TX Project Name: 2020 Miscellaneous Sanitary Sewer manhole Repair DOE. Ne: Comments: ( I j ow, TRANSMITTAL FORM DATE: July 1,2021 TO: City of Fort Worth-Attn: Chris Underwood Water Dept REFERENCE: 2020 Misc Sanitary Sewer Manhole 927 Taylor Street Repair Contract Fort Worth,TX 76102 Ph:817.392.2629 ITEM(S)SUBMITTED INCLUDE: Attached 0 0 COPIES DESCRIPTION 1 Consent of Surety to Final Payment THESE ITEMS ARE TRANSMITTED AS INDICATED BELOW: (If enclosures are not as shown,kindly notify us at once.) For Approval Approved as submitted Resubmit copies for approval �X For your use Approved as noted Submit copies for distribution �X As requested For Signature 0 Return corrected prints For review&comment REMARKS: cc: File Bobbi Dowland bobbi(a_)acepipe.com (816)241-2891 Ace Pipe Cleaning,Inc. 6601 Universal Avenue Kansas City,MO 64120-1330 CONSENT OF OWNER ❑ SURETY COMPANY ARCHITECT ❑ TO FINAL PAYMENT CONTRACTOR ❑ SURETY X OTHER ❑ AIA DOCUMENT G707 Bond No. 107286730 PROJECT: 2020 Miscellaneous Sanitary Sewer Manhole Repair Contract, Project No. 102639 TO(Owner) ARCHITECT'S PROJECT NO: City of Fort Worth CONTRACT FOR: 2020 Miscellaneous Sanitary Sewer Manhole 1000 Throckmorton Street Repair Contract, Project No. 102639 Fort Worth,TX 76102 CONTRACT DATE: -%J AS I a D CONTRACTOR: Ace Pipe Cleaning, Inc. 6601 Universal Avenue Kansas City, MO 64120 In accordance with the provisions of the Contract between the Owner and the Contractor as indicated above, the (here insert name and address of Surety Company) Travelers Casualty and Surety Company of America 215 Shuman Boulevard, Naperville, IL 60563 SURETY COMPANY, On bond Of(here insert name and address of Contractor) Ace Pipe Cleaning,Inc. 6601 Universal Avenue, Kansas City, MO 64120 , CONTRACTOR, hereby approves of the final payment to the Contractor, and agrees that final payment to the Contractor shall not relieve the Surety Company of any of its obligations to(here insert name and address of owner) City of Fort Worth 1000 Throckmorton Street, Fort Worth,TX 76102 as set forth in the said Surety Company's bond. OWNERS, IN WITNESS WHEREOF, the Surety Company has hereunto set its hand this 23rd day of June 2021 . Travelers Casualty and Surety Company of America Surety Com Signature of Auth rizedA epresentative Witness: (Seal): /• /, Oscar F. Rincon Attorney-In-Fact Todd D. Baraniak Title 215 Shuman Blvd., Naperville, IL 60563 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•APRIL 1970 EDITION•AIA® ONE PAGE ©1970•THE AMERICAN INSTITUTE OF ARCHITECTS.1735 NEW YORK AVE.,NW,WASHINGTON,D.C.20006 Travelers Casualty and Surety Company of America AW Travelers Casualty and Surety Company TRAVELERS J St. Paul Fire and Marine Insurance Company POWER OF ATTORNEY KNOW ALL MEN BY THESE PRESENTS:That Travelers Casualty and Surety Company of America,Travelers Casualty and Surety Company,and St. Paul Fire and Marine Insurance Company are corporations duly organized under the laws of the State of Connecticut (herein collectively called the "Companies"),and that the Companies do hereby make,constitute and appoint Oscar F.Rincon of Chicago/Naperville,Illinois,their true and lawful Attorney-in-Fact to sign,execute, seal and acknowledge any and all bonds, recognizances, conditional undertakings and other writings obligatory in the nature thereof on behalf of the Companies in their business of guaranteeing the fidelity of persons, guaranteeing the performance of contracts and executing or guaranteeing bonds and undertakings required or permitted in any actions or proceedings allowed by law. IN WITNESS WHEREOF,the Companies have caused this instrument to be signed,and their corporate seals to be hereto affixed,this 3rd day of February, 2017. ���y��0y� e,O,�TYA,ype IE HAWOFA uf' L9t A COW. State of Connecticut By: L%%�^ � �✓' City of Hartford ss. Robert L.Raney,Se for Vice President On this the 3rd day of February,2017,before me personally appeared Robert L.Raney,who acknowledged himself to be the Senior Vice President of Travelers Casualty and Surety Company of America,Travelers Casualty and Surety Company,and St. Paul Fire and Marine Insurance Company,and that he,as such,being authorized so to do,executed the foregoing instrument for the purposes therein contained by signing on behalf of the corporations by himself as a duly authorized officer. In Witness Whereof,I hereunto set my hand and official seal. p.T� My Commission expires the 30th day of June,2021 �CAnuR. C 3.a�� t t �c+�g��G$ Marie C.Tetreault,Notary Public 'yMECS'F This Power of Attorney is granted under and by the authority of the following resolutions adopted by the Boards of Directors of Travelers Casualty and Surety Company of America,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,that the Chairman,the President,any Vice Chairman, any Executive Vice President, any Senior Vice President,any Vice President, any Second Vice President,the Treasurer, any Assistant Treasurer,the Corporate Secretary or any Assistant Secretary may appoint Attomeys-in-Fact and Agents to act for and on behalf of the Company and may give such appointee such authority as his or her certificate of authority may prescribe to sign with the Company's name and seal with the Company's seal bonds, recognizances, contracts of indemnity, and other writings obligatory in the nature of a bond,recognizance,or conditional undertaking,and any of said officers 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 Senior Vice President or any Vice President may delegate all or any part of the foregoing authority to one or more officers or employees of this Company,provided that each such delegation is in writing and a copy thereof is filed in the office of the 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 Company when(a)signed by the President,any Vice Chairman,any Executive Vice President,any Senior Vice President or any Vice President, any Second Vice President, the Treasurer, any Assistant Treasurer, the Corporate Secretary or any Assistant Secretary and duly attested and sealed with the Company's seal by a Secretary or Assistant Secretary; or(b) duly executed (under seal,if required)by one or more Attorneys-in-Fact and Agents pursuant to the power prescribed in his or her certificate or their certificates of authority or by one or more Company officers pursuant to a written delegation of authority;and it is FURTHER RESOLVED,that the signature of each of the following officers:President,any Executive Vice President,any Senior Vice President,any Vice President,any Assistant Vice President,any Secretary,any Assistant Secretary,and the seal of the Company may be affixed by facsimile to any Power of Attorney or to any certificate relating thereto appointing Resident Vice Presidents,Resident Assistant Secretaries or Attorneys-in-Fact for purposes only of executing and attesting bonds and undertakings and other writings obligatory in the nature thereof,and any such Power of Attorney or certificate bearing such facsimile signature or facsimile seal shall be valid and binding upon the Company and any such power so executed and certified by such facsimile signature and facsimile seal shall be valid and binding on the Company in the future with respect to any bond or understanding to which it is attached. I, Kevin E. Hughes, the undersigned, Assistant Secretary of Travelers Casualty and Surety Company of America, Travelers Casualty and Surety Company, and St. Paul Fire and Marine Insurance Company,do hereby certify that the above and foregoing is a true and correct copy of the Power of Attorney executed by said Companies,which remains in full force and effect. Dated this ^ day of J'V(\9 7 Z,l tlp G� eaw. 2 W CONN. o � SLtt Kevin E.Hughes,Assistant Secretary To verity the authenticity of this polder ofAttorney,please call Us at.1-800-421-3880. Please refer to the above,narned Attorney-in-Fact and the details of the bond to which the power is attached. TRAVELERS ," STATE OF ILLINOIS COUNTY OF KENDALL I, Gina M.Damato a Notary Public in and for said County,do hereby certify that Oscar F.Rincon Attorney-in-Fact,of the: THE TRAVELERS INDEMNITY COMPANY TRAVELERS CASUALTY&SURETY COMPANY TRAVELERS CASUALTY&SURETY COMPANY OF AMERICA FARMINGTON CASUALTY COMPANY UNTIED STATES FIDELITY AND GUARANTY COMPANY ST.PAUL FIRE AND MARINE INSURANCE COMPANY FIDELITY AND GUARANTY INSURANCE COMPANY FIDELITY AND GUARANTY INSURANCE UNDERWRITERS,INC. ST.PAUL GUARDIAN INSURANCE COMPANY ST.PAUL MERCURY INSURANCE COMPANY Who is personally known to me to be the same person,whose name is subscribed to the foregoing, instrument,appeared before me this day in person,and acknowledged that they signed,sealed,and delivered said instrument for and on behalf o£ THE TRAVELERS INDEMNITY COMPANY TRAVELERS CASUALTY&SURETY COMPANY TRAVELERS CASUALTY&SURETY COMPANY OF AMERICA FARMINGTON CASUALTY COMPANY UNITED STATES FIDELITY AND GUARANTY COMPANY ST.PAUL FIRE AND MARINE INSURANCE COMPANY FIDELITY AND GUARANTY INSURANCE COMPANY FIDELITY AND GUARANTY INSURANCE UNDERWRITERS,INC. ST.PAUL GUARDIAN INSURANCE COMPANY ST.PAUL MERCURY INSURANCE COMPANY For the uses and purposed therein set forth. Given under my hand and notarial seal at my office in the City of Naperville in said County,this day of J A.D.20 21 Notary Public `s 6M M.DAWIA'TO NOTARY iPL)SM-STATF-OF ILL NOIS MY CO MCI 5�5,2U24 Print Form Final Bills Paid Affidavit by Contractor BEFORE ME,the undersigned authority,personally appeared ACE PIPE CLEANING INC (hereinafter referred to as "Contractor"),known to me to be a credible person,and after being by me duly sworn,upon oath stated and affirmed that: "My name is BRUCE VANTINE and I am the SECRETARY TREASURE of ACE PIPE CLEANING INC hereafter sometimes referred to in this affidavit as"Contractor". Contractor's business address'is 6601 UNIVERSAL AVE, RCMC The undersigned Contractor has personal knowledge of the facts stated bcrcin and has full authority to make the agreements in this affidavit on behalf of Contractor. Pursuant to and in accordance with a written construction contract between ACE PIPE CLEANING I1 Contractor,and CITY OF FT WORTH ,Owner/Administrator,Contractor furnished materials and labor for the construction, renovation,or repair of improvements located on or relating to project known as 2 02 o MISC MH REPAIRS located at FT WORTH TX ,City of FT WORTH 0 County,Texas,legally described in Exhibit"A"attached hereto and made a part hereof for all purposes (the"Pruperty"). All work provided for under said written construction contract, together with all changes and supplements thereto, has been fully completed in accordance with the terms and provisions thereof: Contractor has paid each of its subcontractors, laborers, suppliers and materialmen in full for all labor and materials provided to Contractor for or in connection with the construction,renovation, or repair of improvements un or relating to the subject Property, or any portion thereof., excepting only the amounts owed for the following specified bills to the persons identified below. Contractor warrants and represents that the following specified bills will be paid to Contractor by Owner/Administrator in reliance on this Final Bills Paid Affidavit: Name of Payee Address Telephone No. Amount Owed Other than the above specified bills owed to the above referenced persons, Contractor is not aware of any unpaid bills, claims,demands,or causes of action by any of its subcontractors,laborers,suppliers,or materialmen for or in connection with the furnishing of labor or materials,or both,for the construction,renovation,or repair of improvements located on or related to the subject Property. In consideration of the funds paid to Contractor by Owner/Administrator and by Lender on behalf of Owner/Adminisnrator in reliance on this affidavit,Contractor waives and releases all of Contractor's statutory and constitutional mechanic's lien rights connected with the construction of the Project,conditioned on the actual payment or collection if payment is made by check or draft. Contractor fin•dier understand that this Final Bills Paid Affidavit is being given pursuant to and in accordance with Sections 53.085 and 53.259 of the Texas Property Code and that the intentional,knowing,or reckless making of a false or misleading statement in this Affidavit constitutes an offense under said Section and is a Class A misdemeanor. Contractor hereby indemnifies and holds harmless Owner/Administrator from any and all claims, demands or causes of action, and any costs, expenses,and attorney's fees incurred in connection therewith,arising from or connected with,the statements and representations contained herein." Form 16—Final Bills Paid Affidavit Page 1 of 3 May 1, 2009 EXECUTED this F---]day of JULY 2021 . ACE PIPE CLEANIN INC (Name of Contractor Company] 11-9 Printed Name:BRUCE VANTINE Title: SECRETARY TREASURER Notary's Acknowledgement Before nie,the undersigned authority,on this day personally appeared who first being duly sworn by me to be the person whose name is subscribed to the foregoing Final Bills Paid Affidavit, acknowledged that he/she has the authority to make this Final Bills Paid Affidavit,and further acknowledged to me that he/ she executed the same for the purpose and consideration therein expressed. GIVEN UNDER MY HAND AND SEAL OF OFFICE on this the 7�- day of JA If 20 A I (Seal) Notary Public,State of S ow—,' =ANNERE My commission expires� --�pOURRI "lay County 8563�025 Form 16—Final Bills Paid Affidavit Page 2 of 3 May 1,2009 EXHIBIT"A" Form 16—Final Bills Paid Affidavit Page 3 of 3 May 1, 2009 FORT WORTH July 16,2021 Ace Pipe Cleaning,Inc. 6601 universal Avenue Kansas City,Mo 64120 Re:Acceptance Letter Project Name: 2020 Miscellaneous Sanitary Sewer Manhole Repair Contract Project Type: Sewer Project Ns: 102639 DOE. Ns: N/A Contract N2: 54211 Dated: 7/16/2021 Gentleman: On June 23,2021 a final inspection was made on the subject project. There were punch list items identified at the time. The punch list items were completed on June 23,2021. The final inspection and the corrected punch list items indicate that the work meets the City of Fort Worth specifications and is therefore accepted by the City. The warranty period will start on June 23,2021,which is the date of punch list completion and will extend for(2) years in accordance with the Contract Documents. If you have any questions concerning this letter of acceptance,please feel free to contact me at(817) 392-6054 Yours Truly, C A_l Tony Sholola,P.E.,Assistant Director,Water Department TS / cc: Chris Harder,P.E.,Director,Water Department Laura Wilson,P.E.,Deputy Director,Water Department Captain Michael Strains,Fire Department Bill Lundval,Sanitary Sewer Systems Superintendent,Water Department Cesar Zavala, Water Systems Superintendent,Water Department ,Project Manager David R Johnson,Inspection Supervisor, Capital Projects Delivery,Water Department Inspector,Capital Projects Delivery,Water Department Consultant Contractor File WATER DEPARTMENT ENGINEERING AND FISCAL SERVICES THE CITY OF FORT WORTH * 1000 THROCKMORTON STREET * FORT WORTH, TEXAS 76102 817-392-8240 * FAX 817-392-8195 Cp Printed on recycled paper