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Contract 54705-FP2
City Secretary Contract No. 54705-FP2 FORTWORTH, Date Received Aug 30,2021 7r- NOTICE OF PROJECT COMPLETION (Developer Projects) The Transportation and Public Works Department upon the recommendation of the Project Manager has accepted the following project as complete: Project Name: Lake Vista Ranch Phase 5 City Project No.: 102289 Improvement Type(s): N Paving ❑ Drainage ❑ Street Lights ❑ Traffic Signals Original Contract Price: $597,733.00 Amount of Approved Change Order(s): $58,471.20 Revised Contract Amount: $656,204.20 Total Cost of Work Complete: $656,204.20 Rob jgy-lor Aug 27,2021 Contractor Date Accounts Receivable Title Gilco Contracting, Inc. Company Name Aug 27,2021 Project Inspector Date Aug 29,2021 Victor V.Tornero Jr.,P.E.(Aug 29,2021 12:59 CDT) Project Manager Date N&'a4l Aug 30,2021 CFA Mgaan�agerr Date ff Dana Burg doff( g3001?15 Aug 30,2021 Asst. City Manager Date OFFICIAL RECORD CITY SECRETARY FT.WORTH, TX Notice of Project Completion Project Name: Lake Vista Ranch Phase 5 City Project No.: 102289 City's Attachments Final Pay Estimate 0 Change Order(s): 0 Yes 0 N/A Contractor's Attachments Affidavit of Bills Paid Consent of Surety Statement of Contract Time Contract Time: 50 WD Days Charged: 140 Work Start Date: 11/20/2020 Work Complete Date: 8/9/2021 Soil Lab Number of Tests: 509 Water Number of Tests: 17 Page 2 of 2 FORT WORTH CITY OF FORT WORTH FINAL PAYMENT REQUEST Contract Name LAKE VISTA RANCH PHASE 5 Contract Limits Project Type PAVING&STREET SIGN IMPROVEMENTS City Project Numbers 102289 DOE Number 2289 Estimate Number 1 Payment Number I For Period Ending 8/16/2021 WD City Secretary Contract Number Contract Time 5WD Contract Date 8/13/2020 Days Charged to Date 140 Project Manager NA Contract is 100.00 Complete Contractor GILCO CONTRACTING,INC. 6331 SOUTHWEST BLVD. BENBROOK, TX 76132-1063 Inspectors MILLER,W / CHATMAN,M Thursday,August 26,2021 Page 1 of 4 i City Project Numbers 102289 DOE Number 2289 Contract Name LAKE VISTA RANCH PHASE 5 Estimate Number 1 Contract Limits Payment Number I Project Type PAVING&STREET SIGN IMPROVEMENTS For Period Ending 8/16/2021 Project Funding UNIT IV:PAVING IMPROVEMENTS Item Description of Items Estimated Unit Unit Cost Estimated Completed Completed No. Quanity Total Quanity Total --------------------------------------- I HYDRATED LIME(CO#1) 202 TN $175.00 $35,350.00 202 $35,350.00 2 6"LIME TREATMENT 13896 SY $3.05 $42,382.80 13896 $42,382.80 3 6"CONC PVMT 11529 SY $38.80 $447,325.20 11529 $447,325.20 4 BARRIER FREE RAMP TYPE R-1 15 EA $2,050.00 $30,750.00 15 $30,750.00 5 BARRIER FREE RAMP TYPE M-2 4 EA $1,850.00 $7,400.00 4 $7,400.00 6 VALVE BOX ADJUSTMENT 14 EA $200.00 $2,800.00 14 $2,800.00 7 MANHOLE ADJUSTMENT,MINOR 15 EA $250.00 $3,750.00 15 $3,750.00 8 TOPSOIL 50 CY $55.00 $2,750.00 50 $2,750.00 9 SEEDING,HYDROMULCH 3000 SF $0.50 $1,500.00 3000 $1,500.00 10 4"CONC SIDEWALK 830 SF $7.50 $6,225.00 830 $6,225.00 11 PAYMENT AND PERFORMANCE BONDS 1 LS $8,900.00 $8,900.00 1 $8,900.00 12 6"LIME TREATMENT(CO#1) 784 SY $3.05 $2,391.20 784 $2,391.20 13 6"CONCRETE PAVING(CO#1) 1475 SY $38.80 $57,230.00 1475 $57,230.00 15 REMOVE AND HAUL OFF RAMPS(CO#3) 1 LS $1,000.00 $1,000.00 1 $1,000.00 16 CURB AND GUTTER(CO 43) 30 LF $45.00 $1,350.00 30 $1,350.00 -------------------------------------- Sub-Total of Previous Unit $651,104.20 $651,104.20 UNIT V:STREET SIGN DIPROVEIINIENTS Item Description of Items Estimated Unit Unit Cost Estimated Completed Completed No. Quanity Total Quanity Total I STREET NAME SIGNS 9 EA $450.00 $4,050.00 9 $4,050.00 2 STOP SIGNS(RI-I) 7 EA $150.00 $1,050.00 7 $1,050.00 -------------------------------------- Sub-Total of Previous Unit $5,100.00 $5,100.00 -------------------------------------- Thursday,August 26,2021 Page 2 of 4 City Project Numbers 102289 DOE Number 2289 Contract Name LAKE VISTA RANCH PHASE 5 Estimate Number 1 Contract Limits Payment Number I Project Type PAVING&STREET SIGN IMPROVEMENTS For Period Ending 8/16/2021 Project Funding Contract Information Summary Original Contract Amount $597,733.00 Change Orders Change Order Number 1 $56,121.20 Change Order Number 3 $2,350.00 Total Contract Price $656,204.20 Total Cost of Work Completed $656,204.20 Less %Retained $0.00 Net Earned $656,204.20 Earned This Period $656,204.20 Retainage This Period $0.00 Less Liquidated Damages Days @ /Day $0.00 LessPavement Deficiency $0.00 Less Penalty $0.00 Less Previous Payment $0.00 Plus Material on Hand Less 15% $0.00 Balance Due This Payment $656,204.20 Thursday,August 26,2021 Page 3 of 4 City Project Numbers 102289 DOE Number 2289 Contract Name LAKE VISTA RANCH PHASE 5 Estimate Number I Contract Limits Payment Number I Project Type PAVING&STREET SIGN IMPROVEMENTS For Period Ending 8/16/2021 Project Funding Project Manager NA City Secretary Contract Number Inspectors MILLER,W / CHATMAN,M Contract Date 8/13/2020 Contractor GILCO CONTRACTING,INC. Contract Time 50 WD 6331 SOUTHWEST BLVD. Days Charged to Date 140 WD BENBROOK, TX 76132-1063 Contract is .000000 Complete CITY OF FORT WORTH SUMMARY OF CHARGES Line Fund Account Center Amount Gross Retainage Net Funded -------------------------------------- Total Cost of Work Completed $656,204.20 Less %Retained $0.00 Net Earned $656,204.20 Earned This Period $656,204.20 Retainage This Period $0.00 Less Liquidated Damages 0 Days n $0.00 /Day $0.00 LessPavement Deficiency $0.00 Less Penalty $0.00 Less Previous Payment $0.00 Plus Material on Hand Less 15% $0.00 Balance Due This Payment $656,204.20 Thursday,August 26,2021 Page 4 of 4 k § � a o CD � 0 ( � g © G ,n k Ia ® ® "CO / j < u § \ § 0 " 7 ) co L \ \ \ / G w \ \ of / mn , o .211 \ \ \ � ) L L } wa / g a � / o G2 ° > Ci % \ \ / § � k ( § T ^ w _ \ f \ \ rz to / 2 O I 0 �_ / CE ® k U / / , 2 G < ƒ 70 ) E R \ o \ / fCF. 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' j k >\ _ > m \ / j z / ) \ k(/§5 $ ( [ / E - O & W ( _ \R /§ { # \ � % ° E c \ � z a / � § § M � I z w \ ) Ln � \\ }j k \ k / \ ( ) 0Lu ° r $ zw §2 Q / } E co | / 2 § Q c E \ � mmz } { \ 2 z k - } 2 } FORTWORTH. TRANSPORTATION AND PUBLIC WORKS August 20, 2021 Gilco Contracting, Inc 6331 Southwest Blvd. Benbrook,Texas 76132 RE: Acceptance Letter Project Name: Lake Vista Ranch Phase 5 Project Type: Paving City Project No.: 102289 To Whom It May Concern: On August 16, 2021 a final inspection was made on the subject project. There were no punch list items identified at that time. The final inspection indicates that the work meets the City of Fort Worth specifications and is therefore accepted by the City. The warranty period will start on August 20, 2021, which is the date of the final inspection and will extend of two (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 682.263.3904. Sincerely, VIMAV V. Victor V.To rnero Jr.,P.E.(Aug 29,202112:59 CDT) Mitch Holmes, Project Manager Cc: Manuel Chatman, Inspector Wade Miller, Inspection Supervisor Shawn Fargo,Senior Inspector Victor Tornero, Program Manager Barron, Stark,&Swift Consulting Engineers LP, Consultant Gilco Contracting Inc, Contractor BNM Lake Vista Development LP, Developer File E-Mail: TPW_Acceptance@fortworthtexas.gov Rev.08/20/19 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 Rob Taylor, Accounts Receivable of Gilco Contracting, Inc., 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, Texas has been paid in full; That there are no claims pending for personal injury and/or property damages; On Contract described as Paving Improvements to serve: Lake Vista Ranch Phase 5 BY: Rob Taylor Subscribed and sworn before me on this 17th of August , 2021. E A CANACES#131652996ission Expires 24,2022 /\ Notary Public Tarrant County, TX CONSENT OF OWNER ❑ SURETY COMPANY ARCHITECT ❑ CONTRACTOR ❑ TO FINAL PAYMENT SURETY ❑ Conforms with the American Institute of OTHER Architects,AIA Document G707 Bond No 022227298 PROJECT: (name, address)Lake Vista Ranch Phase 5-Paving Improvements Fort Worth TX TO (Owner) BNM LAKE VISTA DEVELOPMENT, LP&CITY OF ARCHITECT'S PROJECT NO: FORT WORTH CONTRACT FOR: 9001 Airport Freeway,Suite 400 Lake Vista Ranch Phase 5-Paving Improvements Fort worth TX 76180 CONTRACT DATE: CONTRACTOR:GILCO CONTRACTING, INC. 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) LIBERTY MUTUAL INSURANCE COMPANY 175 Berkeley Street Boston MA 02116 , SURETY COMPANY on bond of (here insert name and address of Contractor) GILCO CONTRACTING, INC. 6331 Southwest Boulevard Benbrook TX 76132 , 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) BNM LAKE VISTA DEVELOPMENT, LP&CITY OF FORT WORTH 9001 Airport Freeway, Suite 400 Fort Worth TX 76180 , OWNER, as set forth in the said Surety Company's bond. IN WITNESS,WHEREOF, the Surety Company has hereunto set its hand this 17th day of August,2021 LIBERTY MUTUAL INSURANCE COMPANY Surety Company Attest: 3, (Seal): `J'n I)'t �U� ^� Signs ure of Authorized Representative Sophinie Hunter Attorney-in-Fact 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 Edition ONE PAGE This Power of Attorney limits the acts of those named herein,and they have no authority to bind the Company except in the manner and to the extent herein stated. Liberty Liberty Mutual Insurance Company Mutual® The Ohio Casualty Insurance Company Certificate No: 8205467-022020 SURETY WestAmerican Insurance Company POWER OF ATTORNEY KNOWN ALL PERSONS BY THESE PRESENTS:That The Ohio Casualty Insurance Company is a corporation duly organized under the laws of the State of New Hampshire,that Liberty Mutual Insurance Company is a corporation duly organized under the laws of the State of Massachusetts,and West American Insurance Company is a corporation duly organized under the laws of the State of Indiana(herein collectively called the"Companies"),pursuant to and by authority herein set forth,does hereby name,constitute and appoint, Don E. Cornell;Joshua Saunders;Kelly A.Westbrook;Mikaela Peppers;Ricardo J.Reyna;Robbi Morales;,Sophinie Hunter;Tina McEwan;Tonie Petranek all of the city of Dallas state of TX each individually if there be more than one named,its true and lawful aftomey-in-fact to make, execute,seal,acknowledge and deliver,for and on its behalf as surety and as its act and deed,any and all undertakings,bonds,recognizances and other surety obligations,in pursuance of these resents and shall be as binding upon the Companies as if the have been dui signed b the resident and attested b the secrets of the Companies in their own propel P 9 P p Y Y 9 Y P Y secretary P p P persons. IN WITNESS WHEREOF,this Power of Attorney has been subscribed by an authorized officer or official of the Companies and the corporate seals of the Companies have been affixed thereto this 23rd day of April 2021 Liberty Mutual Insurance Company P4 WSU,q PVgY INS&,p a 1NSURq The Ohio Casualty Insurance Company °Rqr t<ti 5J�0"-lgr�2 �VPooaPO1i�rF�'0 West American Insurance Company 3 ob m �Q 3 o m w 3 o m 1912 0 1919 0 2 1991 0 � o a o uiE dyl sSA CHUS��.dai> Z0 t�h,NA MPs�`,dL '<s �NDIANP ,cis r ,d V ei7 * 1 3yl * l� ''M * >� By: pia Co State of PENNSYLVANIA David M.Carey,Assistant Secretary Cr 3 D County of MONTGOMERY ss o E o203 On this 23rd day of April 2021 before me personally appeared David M.Carey,who acknowledged himself to be the Assistant Secretary of Liberty Mutual Insurance L m Company,The Ohio Casualty Company,and West American Insurance Company,and that he,as such;being authorized so to do,execute the foregoing instrument for the purposes L— atherein contained by signing on behalf of the corporations by himself as a duly authorized officer. c a IN WITNESS WHEREOF,I have hereunto subscribed my name and affixed my notarial seal at King of Prussia,Pennsylvania,on the day and year first above written. O o2 r . 0-0` v ttlFrb r`+ Commonwealth of Pennsylvania-Notary Seal _ do x Teresa Pastella,Notary Public N•— Montgomery County C E +r ' My commission expires March 28,2025 B 1"&)- O O O Commission number 1126044 Y' N N 'r Member,Pennsylvania Association of Notaries eresa Pastella,Notary Public Q O C This Power of Attorney is made and executed pursuant to and by authority of the following By-laws and Authorizations of The Ohio Casualty Insurance Company,Liberty Mutual 3 oNo E•� Insurance Company,and West American Insurance Company which resolutions are now in full force and effect reading as follows: M 46ARTICLE IV-OFFICERS:Section 12.Power of Attorney. °O Any officer or other official of the Corporation authorized for that purpose in writing by the Chairman or the President,and subject to such limitation as the Chairman or the�— President may prescribe,shall appoint such attorneys-in-fact;as may be necessary to act in behalf of the Corporation to make,execute,seal,acknowledge and deliver as surety m C° > C: any and all undertakings,bonds,recognizances and other surety obligations.Such attorneys-in-fact,subject to the limitations set forth in their respective powers of attorney,shall-0 � �- have full power to bind the Corporation by their signature and execution of any such instruments and to attach thereto the seal of the Corporation.When so executed,such o m Z U instruments shall be as binding as if signed by the President and attested to by the Secretary.Any power or authdrity granted to any representative or attomey-in4act under the m provisions of this article may be revoked at any time by the Board,the Chairman,the President or by the officer or officers granting such power or authority. ARTICLE XIII-Execution of Contracts:Section 5.Surety Bonds and Undertakings. Any officer of the Company authorized for that purpose in writing by the chairman or the president,and subject to such limitations as the chairman or the president may prescribe, shall appoint such attorneys-in-fact,as may be necessary to act in behalf of the Company to make,execute,seal,acknowledge and deliver as surety any and all undertakings, bonds,recognizances and other surety obligations.Such attomeys-in-fact subject to the limitations set forth in their respective powers of attorney,shall have full power to bind the Company by their signature and execution of any such instruments and to attach thereto the seal of the Company.When so executed such instruments shall be as binding as if signed by the president and attested by the secretary. Certificate of Designation-The President of the Company,acting pursuant to the Bylaws of the Company,authorizes David M.Carey,Assistant Secretary to appoint such attorneys-in- fact as may be necessary to act on behalf of the Company to make,execute,seal,acknowledge and deliver as surety any and all undertakings,bonds,recognizances and other surety obligations. it Authorization-By unanimous consent of the Company's Board of Directors,the Company consents that facsimile or mechanically reproduced signature of any assistant secretary of the Company,wherever appearing upon a certified copy of any power of attorney issued by the Company in connection with surety bonds,shall be valid and binding upon the Company with !� the same force and effect as though manually affixed. h I,Renee C.Llewellyn,the undersigned,Assistant Secretary,The Ohio Casualty Insurance Company,Liberty Mutual Insurance Company,and West American Insurance Company do hereby certify that the original power of attorney of which the foregoing is a full,true and correct copy of the Power of Attorney executed by said Companies,is in full force and effect and has not been revoked. IN TESTIMONY WHEREOF,I have hereunto set my hand and affixed the seals of said Companies this 17th day of August 2021 P`1N5U,g9 P�ZY INS&,P a 1NSUR,q I Jam.A°RP.°/ TIC rL� 3� 0.PORATo 1� \VP=°fiP°q 4p — 0 i I rn F F fA ; 1912 0 o y1919� o a 1991 0 Y��9ySACHUS`.a yp NAMPS�\,a�V� '�s �aD,AHP aa3. BY•Renee C.Llewellyn,Assistant 7 ►� �h1 * *� �'M * �� Y Secretary LMS-12873 LMIC OCIC WAIC Multi Co 02/21 Libert , SURETY TEXAS TEXAS IMPORTANT NOTICE AVISO IMPORTANTE 1 To obtain information or make a complaint: Para obtener informacion o para someter una I queja: You may call toll-free for information or to Usted puede llamar al numero de telefono gratis make a complaint at para informacion o para someter una queja al 1-877-751-2640 1-877-751-2640 You may also write to: Usted tambien puede escribir a: 2200 Renaissance Blvd., Ste.400 2200 Renaissance Blvd., Ste. 400 King of Prussia, PA 19406-2755 King of Prussia,PA 19406-2755 You may contact the Texas Department of Puede comunicarse con el Departamento de Insurance to obtain information on companies, Seguros de Texas para obtener informacion coverages, rights or complaints at acerca de companias, coberturas, derechos o 1-800-252-3439 quejas al 1-800-252-3439 You may write the Texas Department of Insurance Puede escribir al Departamento de Seguros Consumer Protection(111-1A) de Texas Consumer Protection(111-1A) P. O. Box 149091 P. O. Box 149091 Austin, TX 78714-9091 Austin, TX 78714-9091 FAX: (512)490-1007 FAX# (512)490-1007 Web: htip://www.tdi.texas.gov Web: http://www.tdi.texas.gov E-mail: ConsumerProtection&tdi.texas. og_v E-mail: ConsumerProtection@tdi.texas.gov PREMIUM OR CLAIM DISPUTES: DISPUTAS SOBRE PRIMAS O RECLAMOS: Should you have a dispute concerning your Si tiena una disputa concerniente a su prima o a premium or about a claim you should first un reclamo, debe comunicarse con el agente o contact the agent or call 1-800-843-6446. primero. Si no se resuelve la disputa, puede j If the dispute is not resolved,you may contact the entonces comunicarse con el departamento (TDI) Texas Department of Insurance. ATTACH THIS NOTICE TO YOUR UNA ESTE AVISO A SU POLIZA: POLICY: This notice is for information only and does not Este aviso es solo para proposito de informacion become a part or condition of the attached y no se convierte en parte o condicion del document. documento adjunto. NP70680901 LMS-15292 10/15