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Contract 54805-FP3
City Secretary 54805 FP3 Contract No. FORT WORTH,". Date Received Sep 14,2021 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: TRAILS OF ELIZABETH CREEK PHASE 8 City Project No.: 102608 Improvement Type(s): ❑ Paving ❑ Drainage ❑x Street Lights ❑ Traffic Signals Original Contract Price: $112,701.66 Amount of Approved Change Order(s): $1,992.06 Revised Contract Amount: $114,693.72 Total Cost of Work Complete: $114,693.72 kl?hg-�G L4 Richard Wolfe(Sep 10,2 2114:23 CDT) Sep 10,2021 Contractor Date President Title Independent Utility Construction,Inc. Company Name Jessf davi10,202115:38CDT) Sep 10,2021 Project Inspector Date KhalKhal.r�af�ri P.E.P.E. Khal Jaafari P.E.(Sep 10,202119:49 CDT) Sep 10,2021 Project Manager Date xl Sep 13,2021 CFA Mana er Date Dana Burghdoff(Sep 13,20 22:03 CDTt,61 Sep 13,2021 Asst. City Manager Date OFFICIAL RECORD CITY SECRETARY FT.WORTH, TX Notice of Project Completion Project Name: TRAILS OF ELIZABETH CREEK PHASE 8 City Project No.: 102608 City's Attachments Final Pay Estimate ❑x Change Order(s): ❑x Yes ❑ N/A Contractor's Attachments Affidavit of Bills Paid Consent of Surety Statement of Contract Time Contract Time: 150 WD Days Charged: 141 Work Start Date: 12/21/2020 Work Complete Date: 8/30/2021 Completed number of Soil Lab Test: 755 Completed number of Water Test: 12 Page 2 of 2 FORT WORTH CITY OF FORT WORTH FINAL PAYMENT REQUEST Contract Name TRAILS OF ELIZABETH CREEK PHASE 8 Contract Limits Project Type ST LIGHT City Project Numbers 102608 DOE Number 2608 Estimate Number 1 Payment Number 1 For Period Ending 9/10/2021 City Secretary Contract Number Contract Time Contract Date Days Charged to Date 141 Project Manager NA Contract is 100.00 Complete Contractor INDEPENDENT UTILITY CONSTRUCTION 5109 SUN VALLEY DRIVE FORT WORTH, TX 76119 Inspectors GLOVER/ DAVIS Friday,September 10,2021 Page 1 of 4 City Project Numbers 102608 DOE Number 2608 Contract Name TRAILS OF ELIZABETH CREEK PHASE 8 Estimate Number 1 Contract Limits Payment Number 1 Project Type ST LIGHT For Period Ending 9/10/2021 Project Funding ST LIGHT Item Estimated Estimated Completed Completed Description of Items Unit Unit Cost No. Quanity Total Quanity Total --------------------------------------- 1 2"CONDT PVC SCH 80 CO#1 1926 LF $13.18 $25,384.68 1926 $25,384.68 2 RDWY ILLUM FOUNDATION 24 EA $1,195.52 $28,692.48 24 $28,692.48 3 6-6-6 TRIPLEX ALUM ELEC CONDUCTOR CO#1 1926 LF $3.56 $6,856.56 1926 $6,856.56 4 RDWY ILLUM POLES 24 EA $1,960.00 $47,040.00 24 $47,040.00 5 F&I LED LIGHT FIXTURE 70W ATBO COBRA 24 EA $280.00 $6,720.00 24 $6,720.00 -------------------------------------- Sub-Total of Previous Unit $114,693.72 $114,693.72 -------------------------------------- Friday,September 10,2021 Page 2 of 4 City Project Numbers 102608 DOE Number 2608 Contract Name TRAILS OF ELIZABETH CREEK PHASE 8 Estimate Number 1 Contract Limits Payment Number 1 Project Type ST LIGHT For Period Ending 9/10/2021 Project Funding Contract Information Summary Original Contract Amount $112,701.66 Change Orders Change Order Number 1 $1,992.06 Total Contract Price $114,693.72 Total Cost of Work Completed $114,693.72 Less %Retained $0.00 Net Earned $114,693.72 Earned This Period $114,693.72 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 $114,693.72 Friday,September 10,2021 Page 3 of 4 City Project Numbers 102608 DOE Number 2608 Contract Name TRAILS OF ELIZABETH CREEK PHASE 8 Estimate Number 1 Contract Limits Payment Number 1 Project Type ST LIGHT For Period Ending 9/10/2021 Project Funding Project Manager NA City Secretary Contract Number Inspectors GLOVER/ DAVIS Contract Date Contractor INDEPENDENT UTILITY CONSTRUCTION Contract Time 5109 SUN VALLEY DRIVE Days Charged to Date 141 FORT WORTH, TX 76119 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 $114,693.72 Less %Retained $0.00 Net Earned $114,693.72 Earned This Period $114,693.72 Retainage This Period $0.00 Less Liquidated Damages 0 Days @ $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 $114,693.72 Friday,September 10,2021 Page 4 of 4 ® § 2 / g ; 2 s z @ $ o 0 0 o e o < o w 2 Cl) m m > o g m o s � - c ] @ \ @ / 2 m $ a m « > z o CD * § j / { m m # m m # I # H m \ f / % j / J o \ \ \ / \ § \ 2 ° kQ me < i\ ) .. H� z j § § >En o ` > § \ \ \< G > En gG % zz > ° 20 \ m # # G (n n ) m > §M z - ao § § Q z § I m Qe 3 z z w - R e / » » % e G C. 0) \ a / § g m / § @ \ CD ~ ( N r « c / m 7 \ 2 / m � > 8 } o \ 0 ® ` \ ` \ / \ j m 2 22 % ° ® _ $ § G > z K ID \ $ e c \ Ie \ { § e / J ® ® ® ~ t \ (D ( � ° 2 00 f � / \ m / § q - n \ ) o H �_ I \ ) § � \ � / \\ e P n 3 © :a :, m d 0 Z / % 3 / .. 0 \ \ R \ 7 � � 0 m ] , g g k ? ° � � k 0 CD 22 2m w CD \ D in m ■m � e ( § { E a % § , ® $ n n I o � sCD ) \ / } w � _ § « \ E - \ > / \ k �m \ \ \ ±± g 2. a 3 _ \\ m;z \I o ; ? \ \ § 2\ \ \ CD ) Co \ � ® ID CO . k k \ \ � \ C) 0 E CD z z $ ° 2J a \ M. 2 = 2 \ ° Z \ \QCD � \~ z 5 ° }p ! �m ; ° } ( QL mz \ = §/ \� �\ \ _ /e a - g _ > CD{ > , $ M> ] / § @) , \ ^ \ \ � § \ \ / m ) (D m m 2 a3 \ - / /j f w / m { \ M 3 5 } ( 7 � mw \ _ \ ( ( ca } \ m m 2 2 � CD / > 2 » m k� 0 . ) 7 / � D > ° \ D ' z g / 3 -g J o A g \ o \ \ / ` FORTWORTHO TRANSPORTATION AND PUBLIC WORKS August 30, 2021 Independent Utility Construction, Inc. 519 Sun Valley Dr. Fort Worth, Texas 76119 RE: Acceptance Letter Project Name: Trails of Elizabeth Creek Phase 8 Project Type: Street Lights City Project No.: 102608 To Whom It May Concern: On August 17, 2021 a final inspection was made on the subject project. There were punch list items identified at that time. The punch list items were completed on August 30, 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 August 30, 2021, which is the date of the punch list completion 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 817- 392-7872. Sincerely, Khal Qafari P.E. KhaIJaafari P.E.(Sep 10,202119:49 CDT) Khal Jaafari, Project Manager Cc:Jesse Davis, Inspector Mike Glover, Inspection Supervisor Randy Horton,Senior Inspector Victor Tornero, Program Manager LJA Consultant, Consultant Independent Utility Construction, Inc., Contractor Foresatar USA Teal Estate Group, Inc., Developer File E-Mail: TPW_Acceptance@fortworthtexas.gov OFFICIAL RECORD CITY SECRETARY FT.WORTH, TX AFFIDAVIT STATE OF TEXAS COUNTY OFTARRANT Before me, the undersigned authority, on this day personally appeared RICHARD WOLFE, President of INDEPENDENT UTILITY CONSTRUCTION, INC. known to me to be a credible person, and after being duly sworn by me, 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 injury and/or property damages; On Contract described as: Trails of Elizabeth Creek Ph8—City Project No. 102608 BY: -rze�,4 Richard Wolfe, President MFB D AND SWORN TO BEFORE ME on this day of 2021. CHRISTINA GARCIA =x;' n_Notary Public, state of Texas Comm. 2024fires 12-20 oary Public, State of Texas ''nM 0 Notary ID 130940785 CONSENT OF OWNER ❑ SURETY COMPANY ARCHITECT El CONTRACTOR ❑ TO FINAL PAYMENT SURETY ❑ OTHER (SIMILAR TO MA DOCUMENT G707) RECEIVED AW 26 2021 Bond No.098370P PROJECT: Street Lighting Improvements to serve Trails of Elizabeth Creek Phase 8 (name,address) Fort Worth,TX TO (Owner) ARCHITECTS PROJECT NO: F City of Fort Worth CONTRACT FOR: 200 Texas Street Fort Worth,TX 76102 CONTRACT DATE: CONTRACTOR: Independent Utility Construction,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) Westfield Insurance Company 555 Republic Drive,Suite 450 ,SURETY COMPANY, Plano,TX 75074 on bond of(here insert name and address of Contractor) Independent Utility Construction,Inc. 5109 Sun Valley Drive ,CONTRACTOR, Fort Worth,TX 76119 hereby approves of the final payment to the Contractor, and agrees that the 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 200 Texas Street Fort Worth,TX 76102 ,OWNER, as set forth in the said Surety Company's bond. IN WITNESS WHEREOF, The Surety Company has hereunto set its hand this 26th day of August 2021 WESTFIELD INSURANCE COMPANY Surety Co ByA�� - Signature of Authorized Representa Attest: (Seal): Kyle W. Sweeney Attorney-in-Fact Title Note:This form is intended to be used as a companion document to the Contractor's Affidavit of Payment of Debts and Claims,Current Edition THIS POWER OF ATTORNEY SUPERCEDES ANY PREVIOUS POWER BEARING, I t115 SAMt POWER#AND ISSUED PRIOR TO 04/20111, FOR ANY PERSON OR PERSONS NAMED BELOW. General POWER NO. 4220052 06 Power Westfield Insurance Co. of Attorney Westfield National Insurance Co. Ohio Farmers Insurance Co. CERTIFIED COPY Westfield Center, Ohio Know All Men by These Presents, That WESTFIELD INSURANCE COMPANY, WESTFIELD NATIONAL INSURANCE COMPANY and OHIO FARMERS INSURANCE COMPANY, corporations, hereinafter referred to individually as a "Company" and collectively as "Companies," duly organized and existing under the laws of the State of Ohio, and having its pr(,hcipal office in Westfield Center, Medina County, Ohio,do by these presents make, constitute and appoint CHARLES D. SWEENEY, MICHAEL A. SWEENEY, KYLE W. SWEENEY, ELIZABETH GRAY, JOINTLY OR SEVERALLY of FORT WORTH and State of TX its true and lawful Attorney(s)-in-Fact,with full power and authority hereby conferred in its name, place and stead, to execute, acknowledge and deliver any and all bonds, recognizances, undertakings, or other instruments or contracts of suretyship- - - - - - - - -- - - - - - - - - - - - - - - - - - - - - - - -- - - - - - - - - - - - - - - - - - - - - - - -- - - - LIMITATION: THIS POWER OF ATTORNEY CANNOT BE USED TO EXECUTE NOTE GUARANTEE, MORTGAGE DEFICIENCY, MORTGAGE GUARANTEE, OR BANK DEPOSITORY BONDS. and to bind any of the Companies thereby as fully and to the same extent as if such bonds were signed by the President,sealed with the corporate seal of the applicable Company and duly attested by its Secretary, hereby ratifying and confirming all that the said Attorney(s)-in-Fact may do in the premises. Said appointment is made under and by authority of the following resolution adopted by the Board of Directors of each of the WESTFIELD INSURANCE COMPANY,WESTFIELD NATIONAL INSURANCE COMPANY and OHIO FARMERS INSURANCE COMPANY: 'Be It Resolved,that the President, any Senior Executive, any Secretary or any Fidelity& Surety Operations Executive or other Executive shall be and is hereby vested with full power and authority to appoint any one or more suitable persons as Attorney(s)-in-Fact to represent and act for and on behalf of the Company subject to the following provisions: The Attorney-in-Fact. may be given full power and authority for and in the name of and on behalf of the Company,to execute,acknowledge and deliver, any and all bonds, recognizances, contracts, agreements of indemnity and other conditional or obligatory undertakings and any and all notices and documents canceling or terminating the Company's liability thereunder, and any such instruments so executed by any such Attorney-in-Fact shall be as binding upon the Company as if signed by the President and sealed and attested by the Corporate Secretary." 'Be it Further Resolved,that the signature of any such designated person and the seal of the Company heretofore or hereafter affixed to any power of attorney or any certificate relating thereto by facsimile, and any power of attorney or certificate bearing facsimile signatures or facsimile seal shall be valid and binding upon the Company with respect to any bond or undertaking to which it is attached.' (Each adopted at a meeting held on February 8,2000). In Witness Whereof, WESTFIELD INSURANCE COMPANY, WESTFIELD NATIONAL INSURANCE COMPANY and OHIO FARMERS INSURANCE COMPANY have caused these presents to be signed by their Senior Executive and their corporate seals to be hereto affixed this 20th day of APRIL A.D.,2011 _ Corporate ram• 'SUR,t + fpNAL p�� WESTFIELD INSURANCE COMPANY Seals �orQ`a..«....�C4•si :�c.......<...NS''., 111SU Affixed ..: .n+ •G tt ••.•::,y�'=a WESTFIELD NATIONAL INSURANCE COMPANY `,; xx `tC3 cL� '`k�µ�iF fQ•� OHIO FARMERS INSURANCE COMPANY AL State of Ohio Richard L. Kinnaird, Jr., National Surety Leader and County of Medina ss.: Senior Executive On this 20th day of APRIL A.D.,2011 , before me personally came Richard L. Kinnaird, Jr. to me known, who, being by me duly sworn, did depose and say,that he resides-in Medina, Ohio;that he is Senior Executive of WESTFIELD INSURANCE COMPANY,WESTFIELD NATIONAL INSURANCE COMPANY and OHIO FARMERS INSURANCE COMPANY, the companies described in and which executed the above instrument;that he knows the seals of said Companies;that the seals affixed to said instrument are such corporate seals;that they were so affixed by order of the Boards of Directors of said Companies; and that he signed his name thereto by like order. Notarial .•`•••�„""''rr , Seal Affixed • William J. Kahelin,A rney at Law, Notary Public State of Ohio 0 J.. o My Commission Does Not Expire(Sec. 147.03 Ohio Revised Code) County of Medina ss.: I, Frank A.Carrino, Secretary of WESTFIELD INSURANCE COMPANY,WESTFIELD NATIONAL INSURANCE COMPANY and OHIO FARMERS INSURANCE COMPANY, do hereby.certify that the above and foregoing is a true and correct copy of a Power of Attorney, executed by said Companies,which is still in full force and effect; and furthermore,the resolutions of the Boards of Directors,set out in the Power of Attorney are in full force and effect. In Witness Whereof, I have hereunto set my hand and affixed the seals of said Companies at Westfield Center, Ohio, this 26th day of A D., Augus;•TWsu•t % 2021 ONAr ,, SEA _ il ; =o: Secretary `•.,1 ,� .� .o; ;•1848 ,••`a; Frank A. Carrino, Secretary BPOAC2 (combined) (06-02)