HomeMy WebLinkAboutContract 47448-FP1 NN Coded 01.25.2022 Invoice No. 47448-FP1
PO# FW060-9312 CSC No.47448-FP1
Earned - -$27,549.97
$29,216 FORTWORTH
Retainage 29216.98 - 59605-2060000-
B14062-BRETAN
Retainage - $7,051.74 - 59608-2060000-
B14062-BRETAN
WATER DEPARTMENT 59605-1314062
ENGINEERING AND FISCAL SERVICES
NOTICE OF PROJECT COMPLETION CS 47448
DOE 7069
Regarding contract 47448 for Water Relocation on State Highway 114,Part 3 as required by the Water Department as
approved by City Council on 1/12/16 through M&C C-27603 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: $2,405,695.00
Amount of Approved Change Orders: $118,610.00 N2 1
Revised Contract Amount: $2,524,305.00
Total Cost Work Completed: $1,840,986.00
Less Deductions:
Liquidated Damages: 0 Days @$630.00/Day
Other Deductions(see comments):
Total Deduction Amount: $0.00
Total Cost Work Completed: $1,840,986.00
Less Previous Payments: $1,777,167.31
Final Payment Due $63,818.69
Dn v I U//Z Z
Recommended for Acceptance Date
Assistant Director, Water Department
chnstot9her Narder
Christopher Harder(Jan 25,2022 11:55 CST)
Accepted Date
Director, Water Department
Dana Burghdoff(Jan 25,20 11:58 CST
City Manager Date
OFFICIAL RECORD
CITY SECRETARY
FT. WORTH, TX
Project Name: Water Relocation on State Highway 114,Part 3 DOE. Ne:
Comments:
Project 01515
CS 47448
DOE 7069
City Project Numbers 01515 DOE Number 7069
Contract Name Water Relocation on State Highway 114,Part 3 Estimate Number 26
Contract Limits at the Intersection of FM156 and State HWY 114 Payment Number 26
Project Type Sanitary Sewer For Period Ending 10/12/2021
Project Funding
Project Manager Sauceda City Secretary Contract Number 47448
Inspectors Johnson / Wade Contract Date 1/12/2016
Contractor NORTH TEXAS CONTRACTING,INC. Contract Time 430 CD
P.O.BOX 468 Days Charged to Date 419 CD
KELLER, TX 76244 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 $1,840,986.00
Less 0 %Retained $0.00
Net Earned $1,840,986.00
Earned This Period $157,572.70
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 $1,683,413.30
Plus Material on Hand Less 15% $0.00
Balance Due This Payment $157,572.70
Tuesday,October 12,2021 Page 6 of 6
FORTWORTH
CITY OF FORT WORTH
FINAL PAYMENT REQUEST
Contract Name Water Relocation on State Highway 114,Part 3
Contract Limits at the Intersection ofFM156 and State HWY 114
Project Type Water
City Project Numbers 01515
DOE Number 7069
Estimate Number 26 Payment Number 26 For Period Ending 10/12/2021
CD
City Secretary Contract Number 47448 Contract Time 43(FD
Contract Date 1/12/2016 Days Charged to Date 419
Project Manager Sauceda Contract is 73.000 Complete
Contractor NORTH TEXAS CONTRACTING,INC.
P.O.BOX 468
KELLER, TX 76244
Inspectors Johnson / Wade
Tuesday,October 12,2021 Page 1 of 6
City Project Numbers 01515 DOE Number 7069
Contract Name Water Relocation on State Highway 114,Part 3 Estimate Number 26
Contract Limits at the Intersection of FM 156 and State HWY 114 Payment Number 26
Project Type Water For Period Ending 10/12/2021
Project Funding
Section A-Water Improvements
Item Description of Items Estimated Unit Unit Cost Estimated Completed Completed
No. Quanity Total Quanity Total
---------------------------------------
I B 24"PVC C905 Water Pipe 3680 LF $160.00 $588,800.00 2490 $398,400.00
2A 24"DIP Water(Restrained Joints) 125 LF $215.00 $26,875.00
3 24"Water Carrier Pipe(DIP with Res 460 LF $175.00 $80,500.00 460 $80,500.00
4B 16"PVC C905 Water Pipe 145 LF $150.00 $21,750.00 107 $16,050.00
5 16"Water Carrier Pipe(DIP with Res 610 LF $120.00 $73,200.00 366 $43,920.00
6 12"Water Pipe 20 LF $105.00 $2,100.00
7 6"Water Pipe 10 LF $100.00 $1,000.00 5 $500.00
8 24"DIP Water(By Other Than Open Cu 210 LF $500.00 $105,000.00 191 $95,500.00
9 24"Casing By Other Than Open Cut 250 LF $450.00 $112,500.00
10 30"Casing By Other Than Open Cut 370 LF $550.00 $203,500.00 360 $198,000.00
11 36"Casing By Open Cut 220 LF $300.00 $66,000.00 279 $83,700.00
12 36"Casing By Other Than Open Cut 245 LF $900.00 $220,500.00 241 $216,900.00
13 6"Gate Valve 1 EA $1,000.00 $1,000.00 I $1,000.00
14 8"Gate Valve 1 EA $1,500.00 $1,500.00
15 12"Gate Valve 2 EA $2,500.00 $5,000.00
16 16"Gate Valve w/Vault 2 EA $17,000.00 $34,000.00 2 $34,000.00
17 24"Gate Valve w/Vault 3 EA $33,000.00 $99,000.00 1.384 $45,672.00
18 Fire Hydrant 1 EA $3,500.00 $3,500.00 1 $3,500.00
19 3"Water Air Release Valve&Vault I EA $15,000.00 $15,000.00
20 6"Blow Off Valve%v/5"Diameter Man 2 EA $15,000.00 $30,000.00 2 $30,000.00
21A Ductile Iron Water Fittings w/Restr 13 TN $5,000.00 $65,000.00 11.35 $56,750.00
22 Medium Stone Riprap,grouted 100 SY $130.00 $13,000.00 188 $24,440.00
23 Concrete Encasement for Utility Pipe 30 CY $200.00 $6,000.00 38 $7,600.00
24 Connection to Existing 16"Water Mai 2 EA $3,000.00 $6,000.00 2 $6,000.00
25 Connection to Existing 24"Water Mai 4 EA $4,500.00 $18,000.00 4 $18,000.00
26 Water Line Grouting 790 CY $170.00 $134,300.00 90 $15,300.00
27 16"Water Abandonment Plug 1 EA $2,250.00 $2,250.00 1 $2,250.00
28 24"Water Abandonment Plug 12 EA $2,500.00 $30,000.00 6 $15,000.00
29 Salvage 24"Water Valve I EA $3,000.00 $3,000.00
30 Salvage Fire Hydrant 2 EA $1,000.00 $2,000,00 1 $1,000.00
31 Cathodic Protection I LS $20,000.00 $20,000.00 1 $20,000.00
Tuesday,October 12,2021 Page 2 of 6
City Project Numbers 01515 DOE Number 7069
Contract Name Water Relocation on State Highway 114,Part 3 Estimate Number 26
Contract Limits at the Intersection of FM156 and State HWY 114 Payment Number 26
Project Type Water For Period Ending 1 011 2/2 02 1
Project Funding
32 Cone Pvmt Repair,Residential 105 SY $130.00 $13,650.00 181 $23,530.00
33 Cone Pvmt Repair,Arterial/Industria 20 SY $130.00 $2,600.00 144 $18,720.00
34 Trench Safety 4185 LF $1.00 $4,185.00 2517 $2,517.00
35 Topsoil 315 CY $30.00 $9,450.00
36 Block Sod Placement 1870 SY $5.00 $9,350.00 420 $2,100.00
----- ----- - - - --------------------------
Sub-Total of Previous Unit $2,029,510.00 $1,460,849.00
Section B-Sewer Improvements
Item Description of Items Estimated Unit Unit Cost Estimated Completed Completed
No. Quanity Total Quanity Total
----- ----- ----- ---- ----------
1 18"Sewer Pipe 960 LF $125.00 $120,000.00 962 $120,250.00
2 18"Sewer Carrier Pipe(DIP with Res 415 LF $175.00 $72,625.00 413 $72,275.00
3 30"Casing By Open Cut 340 LF $180.00 $6I,200.00 340 $61,200.00
4 30"Casing By Other Than Open Cut 75 LF $550.00 $41,250.00 75 $41,250.00
5 4'Manhole(with Con Shield) 5 EA $3,500.00 $17,500.00 5 $17,500.00
6 4'Extra Depth Manhole 40 VF $400.00 $16,000.00 36.55 $14,620.00
7 Manhole Vacuum Testing 5 EA $200.00 $1,000.00 5 $1,000.00
8 Concrete Collar 5 EA $120.00 $600.00 5 $600.00
9 Pre-CCTV Inspection 1430 LF $1.00 $1,430.00
10 Post-CCTV Inspection 1380 LF $1.00 $1,380.00 1380 $1,380.00
11 Sanitary Line Grouting 100 CY $170.00 $17,000.00
12 18"Sewer Abandonment Plug 4 EA $1,500.00 $6,000.00 4 $6,000.00
13 Remove 4'Sewer Manhole 3 EA $1,500.00 $4,500.00 3 $4,500.00
14 Medium Stone Riprap,grouted 50 SY $130.00 $6,500.00 67 $8,710.00
15 Concrete Encasement for Utility Pipe 10 CY $200.00 $2,000.00 10 $2,000.00
16 Trench Safety 1300 LF $1.00 $1,300.00 1302 $1,302.00
17 Topsoil 100 CY $30.00 $3,000.00
I8 Block Sod Placement 580 SY $5.00 $2,900.00
19 Specified Remobilization I EA $4,000.00 $4,000.00 I $4,000.00
20 Bypass Pumping 1 LS $10,000.00 $10,000.00
21 MH Adustment w/32"Pamrex 5 EA $4,500.00 $22,500.00 5 $22,500.00
22 6"Flexbase,Type A,GR-1 1481 SY $40.00 $59,240.00
23 Utility Markers 5 EA $500.00 $2,500.00
24 Epoxy MH Liner-Warren or Chesterton 28 VF $500.00 $14,000.00
Tuesday,October 12,2021 Page 3 of 6
City Project Numbers 01515 DOE Number 7069
Contract Name Water Relocation on State Highway 114,Part 3 Estimate Number 26
Contract Limits at the Intersection of FM156 and State HWY 114 Payment Number 26
Project Type Sanitary Sewer For Period Ending 10/12/2021
Project Funding
25 Concrete Collar in Flood Area 5 EA $350.00 $1,750.00 3 $1,050.00
26 Post-CCTV Inspection 1155 LF $4.00 $4,620.00
----------------- ---------------------
Sub-Total of Previous Unit $494,795.00 $380,137.00
--------------------------------------
Tuesday,October 12,2021 Page 4 of 6
City Project Numbers 01515 DOE Number 7069
Contract Name Water Relocation on State Hiehway 114,Part 3 Estimate Number 26
Contract Limits at the Intersection ofFMISG and State HWY 114 Payment Number 26
Project Type Sanitary Sewer For Period Ending 10/12/2021
Project Funding
Contract Information Summary
Original Contract Amount $2,405,695.00
Change Orders
CltangeOrderNuntber 1 $118,610.00
Change Order Number 1 $0.00
Total Contract Price $2,524,305.00
i Date �� �1' Total Cost of Work Completed $1,840,986.00
t " Less 0 %Retained $0.00
Date !� / Net Earned $1,840,986.00
Inspection Supervisor Net
This Period $157,572.70
Retninage This Period $0.00
�. Less Liquidated Damages
Pro-ect Manager
Days r@ I Day $0.00
Date LessPavement Deficiency S0.00
Asst.Dircctor/TPW Less Penalty S0.00
Chrisfiopher lfa tde'r Less Previous Pa ment $1,683,413.30
Christopher Harder(Jan 25,202211:55 CST) Date y
Director/Contracting Department Plus Material on Hand Less 15% $0.00
I
Balance Due This Payment $157,572.70
i
Tuesday,October 12,2021 Page 5 of 6
FORTWORTH rev 03/05/07
WATER ENGINEERING & FISCAL SERVICES
FINAL STATEMENT OF CONTRACT TIME
FINAL STATEMENT NO.:26
NAME OF PROJECT: Water Relocation on State Highway 114,Part 3
PROJECT NO.: 1515 CONTRACTOR: North Texas Contracting,Inc.
CITY PROJECT 1515
PERIOD FROM: TO: FINAL INSPECTION DATE: 8/1/2018
WORK ORDER EFFECTIVE:5/23/2016 CONTRACT TIME: 430 O WD O CD
DAY OF DAYS REASON FOR DAYS DAY OF DAYS REASON FOR DAYS
MONTH CHARGED CREDITED MONTH CHARGED CREDITED
DURING DURING
1. 16.
2. 17.
3. 18.
4. 19.
5. 20.
6. 21.
7. 22.
8. 23.
9. 24.
10. 25.
11. 26.
12. 27.
13. 28.
14. 29.
15. 30.
31.
SAT,SUN, RAIN,TOO WET, UTILITIES OTHERS* DAYS TOTAL
&HOLIDAYS &TOO COLD RELOCATIONS CHARGED DAYS
THIS
PERIOD 0 0
PREVIOUS
PERIOD 419 419
TOTALS
TO DATE 419 419
*REMARKS:
a-
CONTRACTOR f DATE INSPOCTOR DATE
o5` Capital Projects Delivery,Water Department
ie City of Fort Worth•1000 T7irockmorton Street•Fort Worth,TX 76012-6311
(817)392-4477•Fax:(817)392-8460
FoRTWORTH
WATER ENGINEERING & FISCAL SERVICES
PIPE REPORT FOR:
PROJECT NAME: Water Relocation on State Highway 114 Part 3
PROJECT NUMBER: 01515
DOE NUMBER: 7069
WATER
PIPE LAID SIZE TYPE OF PIPE LF
WATER 24" PVC C-905 2490
WATER 24" DIP with Restraints 460
WATER 24" DIP BOTOC 191
WATER 16" PVC C-905 107
WATER 16" DIP with Restraints 366
WATER 6" PVC 5
FIRE HYDRANTS: 1 VALVES(16"OR LARGER) 3
PIPE ABANDONED SIZE TYPE OF PIPE LF
WATER 24" DI 1269
WATER 16" DI 1457
DENSITIES: 14
NEW SERVICES:
SEWER
PIPE LAID SIZE TYPE OF PIPE LF
SEWER 18" PVC 962
SEWER 18" DIP with Restraints 413
PIPE ABANDONED SIZE TYPE OF PIPE LF
SEWER 18" PVC 1373
DENSITIES: 5
NEW SERVICES:
WATER ENGINEERING&FISCAL SERVICES
The City of Fort Worth•1000 Throckmorton Street•Fort Worth,TZ 76012-6311
(817)392-4477•Fax:(817)392-8460
FORTWORTH REV_02120/07
WATER ENGINEERING&FISCAL SERVICES
PERFORMANCE EVALUATION OF CONTRACTOR
I) CONTRACTOR&PROJECT DATA
Name of Contractor Project Name
North Texas Contracting State Highway 114& 170 Utility Relocation Part 3
Hater Engineering Inspector DOE Number
Virl-inia Garcia 7069
Water Engineering Inspector Project A•lanager
21 water Q waste water ❑Storm Drainage ❑Pavement Robert Sauceda
Initial Contract Amomtt Project Difficulty
$2,405,695.00 O Simple Routine Q Complex
Feral Contract AmomN Date
$2,405,695.00 6.5.18
11)PERFORMANCE EVALUATION
0-Inadequate 1-Deficient 2-Standard 3-Good 4-Excellent
ELEMENT WEIGHT(x) APPLICABLE 0'/N) RATING(0-4) MAX SCORE SCORE
1 Submission of Documents 2 Y 3 8 6
2 Public Notifications 5 Y 4 20 20
3 Plans on Site 5 Y 1 20 20
4 Field Supervision 15 Y 4 60 60
5 Work Performed 15 Y 4 60 60
6 Finished Product 15 Y 4 60 60
7 Job Site Safety 15 Y 3 60 45
8 Traffic Control Maintenance 15 Y 3 60 45
9 Daily Clean Up 5 Y 3 20 15
10 Citizen's Complaint Resolution 5 Y 4 20 20
1 Property Restoration 5 Y 3 20 15
12 Auer Hours Response 5 Y 3 20 15
13 Project Completion 5 Y 3 20 15
TOTAL ELEMENT SCORE(A) 396
BONUS POINTS(25 Maximum)(B)
TOTAL SCORE(TS) 396
III)CONTRACTOR'S RATING
Maximum Score(MS)=448 or sum of applicable element score maximums which= 448
Rating(ITS/NIS]* 100%) 396 / 448 = 88%
Performance Category Excellent
<20%=Ltadeguale 20%to<40%=Deficient 40%to<60%=Standard 60%to<80%=Good >80%=E,tcellent
Inspector's Comments(INCLUDING EXPLANATION OF BONUS POINTS AWARDED)
Signature fnspector /{ r_ -F qL11 I-, Signature Contractor
Signature Inspector's Supervisor
CONTRACTOR'S COMMENTS
WATER ENGINEERING&FISCAL SERVICES
The City of Fort Worth•1000 Throckmorton Street•Fort Wordi,TX 76012-6311
(817)392-4477•Fax:(817)392-8460
FORTWORTHREV:02/22/07
WATER ENGINEERING AND FISCAL SERVICES
CONTRACTOR'S EVALUATION OF CITY
1)PROJECT INFORMATION Date: 6.5.18
Nance OfContrnctor Project Nave
North Texas Contracting____.__ _ State High wa 114&170 Utility Relocation Part 3
Water Engineering Inspector Project Manager
Virginia Garcia Robert Sauceda
DOE Number JProject Difficulry T)Ve of Contract
7069 0 Simple—OQ Routine 0 Complex Q [2] ❑ El Waste Water Storm Drainage Pavement
Initial Contract Amount Final Contract Anmunt
$2,405,695.00 $2,405,695.00
II)PERFORMANCE EVALUATION
0-Inadequate I -Deficient 2-Standard 3-Good 4-Excellent
ELEMENT RATING ELEMENT RATING
(0-4) (0-4)
INSPECTION EVALUATION PLANS&SPECIFICATIONS
1 Availability of Inspector 1 Accuracy of Plans to Existing Conditions
2 Knowledge of Inspector 2 Clarity&Sufficiency of Details
3 Accuracv of Measured Quantities _ _ 3 Applicability of Specifications
4 Display Of Professionalism 4 Accuracy of Plan Quantities
5 Citizen Complaint Resolution PROJECT MANAGER EVALUATION
6 Performance-Setting up Valve Crews,Labs 1 Knowledge And/Or Problem Resolution
ADMINISTRATION 2 Availability of Project Manager
1 Change Order Processing Time L 3 Communication
2 Timliness of Contractor Payments 4 Resolution of Utility Conflicts
3 Bid Opening to Pre-Con Meeting Timeframe
11I)COMMENTS&SIGNATURES
COMMENTS
Signature Contractor i-
Signature Inspector 1l1 �C.LCI
Signature Inspector's Supervisor ,
INSPECTOR'S COMMENTS
N`Viter Engneering ind Fiscal Services _
The City of Fort W/orth•1000 Throckmorton Street•Fort\Vorth,TX 76012-6311
(817)392-4477•Fax:(817)392-8460
BILLS PAID AFFIDAVIT FOR CONTRACTOR
State of Texas §
County of Tarrant §
BEFORE ME, the undersigned authority, on this day personally appeared Zach Fusilier, known to me to
be a credible person and officer of North Texas Contracting, Inc. and who, being duly sworn, upon his
oath declares and acknowledges as follows:
1. I am a duly authorized agent of North Texas Contracting Inc., which has authorized me to make
this affidavit,and all of the recitations herein are true and correct.
2. Pursuant to City of Fort Worth Contract No. 01515,DOE No 7069 between City of Fort Worth
and North Texas Contracting, Inc. for Sheet State Highway 114 Water Relocation, North Texas
Contracting Inc. has supplied materials and performed labor in connection with the construction
of improvements on real property owned by the City of Fort Worth("the improvements").
3. North Texas Contracting, Inc. has actual knowledge that all bills owed by City of Fort Worth to
North Texas Contracting Inc. for materials supplied or labor performed in connection with the
improvements have been fully paid and satisfied.
4. North Texas Contracting, Inc. has actual knowledge that all bills owed by North Texas
Contracting Inc. to others for materials supplied or labor performed in connection with the
improvements have been fully paid and satisfied.
5. North Texas Contracting Inc. has actual knowledge that there are no claims or liens for materials
supplied or labor performed in connection with the City of Fort Worth Contract.
6. North Texas Contracting Inc. further warrants that should any claim or lien be filed for material
supplied or labor performed in connection with the City of Fort Worth Contract, North Texas
Contracting Inc. will immediately furnish a bond pursuant to Texas Property Code Sections
53.236 through 53.238 for release of each the claim or lien, obtain settlement of any claim or lien,
and furnish the City of Fort Worth written full release. North Texas Contracting, Inc. agrees to
fully indemnify and hold harmless the City of Fort Worth from any and all costs that may occur
by reason of such claims or liens.
EXECUTED this 19th day of August, 2021.
North Texas Contracting Inc.
By
NAME:Zach Fusilier
TITLE: VP
STATE OF TEXAS
COUNTY OF TARRANT
This instrument was acknowledged before me on August 19,2021 by
Zach Fusilier, Vice President of North Texas Contracting,Inc. a
Texas corkwtirlARWhehalf of said corporation.
`���5y Pue�,c••.Q4
[NOT l3 r J TNNKS AOTARY P IC
4
i T•% tT L P� n
i 2j lOTgTE 0�2h0�'• ,mac
CONSENT OF OWNER ❑
SURETY COMPANY ARCHITECT ❑
CONTRACTOR ❑
TO FINAL PAYMENT SURETY ❑
Conforms with the American Institute of OTHER
Architects,AIA Document G707
Bond No SU1136569
PROJECT:
(name, addresS)State Highway 114 Water Relocation-Part 3
Fort Worth,TX
TO (Owner)
ARCHITECT'S PROJECT NO: City Project No.01515
CITY OF FORT WORTH CONTRACT FOR:
1000 Throckmorton Street State Highway 114 Water Relocation-Part 3
Fort Worth TX 76102 --J CONTRACT DATE:
CONTRACTOR:NORTH TEXAS 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)
ARCH INSURANCE COMPANY
300 Plaza Three
Jersey City NJ 07311-1107 , SURETY COMPANY
on bond of (here insert name and address of Contractor)
NORTH TEXAS CONTRACTING, INC.
4999 Keller Haslet Rd.
Keller TX 76248 , 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 , OWNER,
as set forth in the said Surety Company's bond.
IN WITNESS,WHEREOF,
the Surety Company has hereunto set its hand this 8th day of October,2021
ARCH INSURANCE COMPANY
Surety Company
Attest: {
(Seal): Signature of Authorized Representative
Robbi Morales 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
AIC 0000349811
This Power of Attorney limits the acts of those named herein,and they have no authority to hind the Company except in the manner and to the extent herein stateel.
Not valid for Nole,Loan,Letter of Credit,CarrencP Rate,Interest Rate or Residential i"able Guarantees.
POWER OF ATTORNEY
Know All Persons By These Presents:
That the Arch Insurance Company,a corporation organized and existing under the laws of the State of Missouri,having its principal administrative office in Jersey City,
New Jersey(hereinafter referred to as the"Company")does hereby appoint:
Don E.Cornell,Joshua Saunders,Kelly A.Westbrook,Ricardo J.Reyna,Robbi Morales,Sophinie Hunter,Tina McEwan and Tonle Petranck of Dallas,TX
(EACH)
its true and lawfid Attorney(s)in-Fact,to make,execute,seal,and deliver fron the date 0f issuance of this power for and on its behalf as surety,and as its act and deed:
Any and all bonds,undertakings,recognizances and other surety obligations,in the penal sum not exceeding Ninety Million Dollars(S90.000,000.00).
This authority does not permit the same obligation to be split into two or more bonds In order to bring each such bond within the dollar limit of authority as set forth
herein.
The execution of such bonds,undertakings,recognizances and other surety obligations in pursuance of these presents shall be as binding upon the said Company as
fully and amply to all intents and purposes,as if the same had been duly executed and acknowledged by its regularly elected officers at its principal administrative
office in Jersey City,New Jersey.
This Power of Attorney is executed by authority of resolutions adopted by unanimous consent of the Board of Directors of the Company on December 10,2020,true
and accurate copies of which are hereinafter set forth and are hereby certified to by the undersigned Secretary as being in full force and effect:
"VOTED,That the Chairman of the Board,the President,or the Executive Vice President,or any Senior Vice President,of the Surety Business Division,or their
appointees designated in writing and filed with the Secretary, or the Secretary shall have the power and authority to appoint agents and attorneys-in-fact, and to
authorize them subject to the limitations set forth in their respective powers of attorney,to execute on behalf of the Company,and attach the seal of the Company
thereto,bonds,undertakings,recognizances and other surety obligations obligatory in the nature thereof,and any such officers of the Company may appoint agents for
acceptance of process."
This Power of Attorney is signed,sealed and certified by facsimile under and by authority of the following resolution adopted by the unanimous consent of the Board of
Directors of the Company on December 10,2020:
VOTED,That the signature of the Chairman of the Board, the President,or the Executive Vice President,or any Senior Vice President, of the Surety Business
Division,or their appointees designated in writing and filed with the Secretary,and the signature of the Secretary,the seal of the Company,and certifications by the
Secretary,may be affixed by facsimile on any power of attorney or bond executed pursuant to the resolution adopted by the Board of Directors on December 10,2020,
and any such power so executed,sealed and certified with respect to any bond or undertaking to which it is attached,shall continue to be valid and binding upon the
Company.In Testimony Whereof,the Company has caused this instrument to be signed and its corporate seal to be affixed by their authorized officers,this 16"'day
of Au ust,2021. ,IroknCB C
Attested and Certified g O� Arch Insurance Company
4t�:� ,Gti,— wttwKnrf 4 �l L��
sEnc
1971
Regan'A.Shulman,Secretary Stephen C.Ruschak,Executive Vice President
STATE OF PENNSYLVANIA SS
COUNTY OF PHiLADELPHiA SS YtSt4tJt�
I,Michele Tripodi,a Notary Public,do hereby certify that Regan A.Shulman and Stephen C.Ruschak personally known to me to be the same persons whose names
are respectively as Secretary and Executive Vice President of the Arch Insurance Company,a Corporation organized and existing under the laws of the State of
Missouri,subscribed to the foregoing instrument,appeared before me this day in person and severally acknowledged that they being thereunto duly authorized signed,
sealed with the corporate seal and delivered the said instrument as the fi•ee and voluntary act of said corporation and as their own fi•ee and voluntary acts for the uses and
purposes therein set forth.
Cmmonl raith o1 PMnrytrania•Notaty SW /J
AUCHEtE TRIP00i,Notary PeRle rX t
PhiladdPhiacounty Mich le ipodi,Notau ublic
MYComtniuioa ExpkesAdy31,2o2i
CERTIFICATION
CAmmlpion Nuabe 1168622 My commission expires 07/31/2025
1,Regan A.Shulman, Secretary of the Arch Insurance Company,do hereby certify that the attached Power of Attorney dated August 16,2021 on behalf of the
person(s)as listed above is a true and correct copy and that the same has been in fill force and effect since the date thereofand is in full force and effect on the date of
this certificate;and I do further certify that the said Stephen C.Ruschak,who executed the Power of Attorney as Executive Vice President,was on the date ofexecution
ofthe attached Power of Attorney the duly elected Executive Vice President of the Arch Insurance Company.
IN TESTIMONY WHEREOF,I have hereunto subscribed my name and affixed the corporate seal of the Arch Insurance Company on this8th day of October
20_2j_.
Rejad A.Shulman,Secretary
This Power of Attorney limits the acts ofthose named therein to the bonds and undertakings specifically named therein and they have no authority to bind the Company
except in the manner and to the extent herein stated. J�2tgC8
PLEASE SEND ALL CLAIM INQUIRIES RELATING TO THIS BOND TO THE FOLLOWING ADDRESS: Cg' CO3
Arch Insurance—Surety Division
3 Parkway,Suite 1500 r wIGUKAT.f
Philadelphia,PA 19102 sm
1971
Kama
To verify the authenticityo}this PowerofAttorney,please contact Arch Insurance Company atSuretyAuthentic@archinsurance.com
Please refer to the above named Attorney-in-Fact and the details of the bond to which the power Is attached.
AICPOA040120 Printed in U.S.A.
FORTWORTH
October 12,2021
North Texas Contracting,Inc.
P.O.Box 468
Keller,TX 76244
Re:Acceptance Letter
Project Name: Water Relocation on State Highway 114,Part 3
Project Type: Water
Project Ns: 01515
D.O.E.Ns: 7069
Contract Ne: 47448 Dated: 1/12/2016
Gentleman:
On August 01,2018 a final inspection was made on the subject project. There were no punch list items identified
at the 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 01,2018,which is the date of final
inspection 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,
� II
/dn Sn 0/ ti
Tony Sholola,P.E.,Assistant Director Water Department
1\'IP/
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,Water Department
Luke Coffman,Field Operations Superintendent,Waste Water Department
John Kasavich,P.E.,Project Manager,Water Department Capital Delivery
Dunaway and Associates,Consultant
Zach Fusilier,North Texas Contracting,INC.,Contractor
David Johnson,Inspection Supervisor,Water Department Capital Delivery
Virginia Wade,Inspector,Water Department Capital Delivery
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
Co Printed on recycled paper