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Contract 55567-FP2
City Secretary 55567 -FP2 Contract No. FORTWORTH. Date Received Mar3,2022 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: Ridgeview Farms PH 7 City Project No.: 101429 Improvement Type(s): Water ❑x Sewer ❑x Original Contract Price: $459,626.90 Amount of Approved Change Order(s): $0.00 Revised Contract Amount: Total Cost of Work Complete: $459,626.90 TgSOn Fahr Mar 1 2022 Jason Fuhr(Mar 1,2022 11:30 CST) Contractor Date Superintendent Title PCI Construction, Inc. Company Name r� �'/" � Mar 1,2022 Project Inspector Date C'J�� ,P�. Mar 2,2022 Project rManager Date :7gel c�GGI!'LG��Awnl I Mart 2022 Janie Scarlett Morales(Mar 2,2022 14:25 CST) CFA Manager Date B�A6u7� Mar 2 2022 Dana Burehdoff Mar 2.202 1:56 CST) , Asst. City Manager Date OFFICIAL RECORD CITY SECRETARY Page 1 of 2 FT. WORTH, TX Notice of Project Completion Project Name: Ridgeview Farms PH 7 City Project No.: 101429 City's Attachments Final Pay Estimate ❑x Change Order(s): ❑x Yes ❑ N/A Pipe Report: ❑x Yes ❑ N/A Contractor's Attachments Affidavit of Bills Paid Consent of Surety Statement of Contract Time Contract Time: 155 CD Days Charged: 166 Work Start Date: 5/24/2021 Work Complete Date: 2/8/2022 Completed number of Soil Lab Test: 212 Completed number of Water Test: 46 Page 2 of 2 FORT WORTH CITY OF FORT WORTH FINAL PAYMENT REQUEST Contract Name RIDGEVIEW FARMS PHASE 7 Contract Limits Project Type WATER&SEWER City Project Numbers 101429 DOE Number 1429 Estimate Number 1 Payment Number 1 For Period Ending 2/8/2022 WD City Secretary Contract Number Contract Time 69M Contract Date Days Charged to Date 166 Project Manager NA Contract is 100.00 Complete Contractor PCI CONSTRUCTION,INC. P.O.BOX 2967 McKINNEY, TX 75070 Inspectors OWEN / HORTON Monday,February 28,2022 Page 1 of 4 City Project Numbers 101429 DOE Number 1429 Contract Name RIDGEVIEW FARMS PHASE 7 Estimate Number I Contract Limits Payment Number 1 Project Type WATER&SEWER For Period Ending 2/8/2022 Project Funding WATER Item Estimated Estimated Completed Completed Description of Items Unit Unit Cost No. Quanity Total Quanity Total --------------------------------------- 1 8"WATER PIPE 3011 LF $25.60 $77,081.60 3011 $77,081.60 2 8"PVC WATER PIPE,CSS BACKFILL 20 LF $41.90 $838.00 20 $838.00 3 Fire Hydrant Assembly 4 EA $5,043.00 $20,172.00 4 $20,172.00 4 Ductile Iron Water Fittings w/Restraint 0.92 TN $5,415.00 $4,981.80 0.92 $4,981.80 5 Connection to Existing 4"-12"Water Main 4 EA $869.00 $3,476.00 4 $3,476.00 6 8"Gate Valve 7 EA $1,379.00 $9,653.00 7 $9,653.00 7 1"Water Service 94 EA $854.00 $80,276.00 94 $80,276.00 8 Trench Safety 3011 LF $0.10 $301.10 3011 $301.10 Sub-Total of Previous Unit $196,779.50 $196,779.50 SEWER Item Estimated Estimated Completed Completed Description of Items Unit Unit Cost No. Quanity Total Quanity Total 1 4'MANHOLE 12 EA $3,020.00 $36,240.00 12 $36,240.00 2 8"SEWER PIPE 2777 LF $32.70 $90,807.90 2777 $90,807.90 3 8"WATER PIPE 143 LF $48.90 $6,992.70 143 $6,992.70 4 8"SEWER PIPE 103 LF $61.00 $6,283.00 103 $6,283.00 5 4'EXTRA DEPTH MANHOLE 3 VF $128.00 $384.00 3 $384.00 6 4"SEWER SERVICE 94 EA $877.00 $82,438.00 94 $82,438.00 7 CONNECT TO EXISTING MH 2 EA $2,195.00 $4,390.00 2 $4,390.00 8 TRENCH SAFETY 5667 LF $1.00 $5,667.00 5667 $5,667.00 9 MANHOLE VACUUM TESTING 12 EA $182.40 $2,188.80 12 $2,188.80 10 POST CCTV INSPECTION 3023 LF $6.00 $18,138.00 3023 $18,138.00 11 TRENCH WATER STOPS 6 EA $1,553.00 $9,318.00 6 $9,318.00 --------------------------------------- Sub-Total of Previous Unit $262,847.40 $262,847.40 --------------------------------------- Monday,February 28,2022 Page 2 of 4 City Project Numbers 101429 DOE Number 1429 Contract Name RIDGEVIEW FARMS PHASE 7 Estimate Number I Contract Limits Payment Number 1 Project Type WATER&SEWER For Period Ending 2/8/2022 Project Funding Contract Information Summary Original Contract Amount $459,626.90 Change Orders Total Contract Price $459,626.90 Total Cost of Work Completed $459,626.90 Less %Retained $0.00 Net Earned $459,626.90 Earned This Period $459,626.90 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 $459,626.90 Monday,February 28,2022 Page 3 of 4 City Project Numbers 101429 DOE Number 1429 Contract Name RIDGEVIEW FARMS PHASE 7 Estimate Number I Contract Limits Payment Number 1 Project Type WATER&SEWER For Period Ending 2/8/2022 Project Funding Project Manager NA City Secretary Contract Number Inspectors OWEN / HORTON Contract Date Contractor PCI CONSTRUCTION,INC. Contract Time 60 WD P.O.BOX 2967 Days Charged to Date 166 WD McKINNEY, TX 75070 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 $459,626.90 Less %Retained $0.00 Net Earned $459,626.90 Earned This Period $459,626.90 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 $459,626.90 Monday,February 28,2022 Page 4 of 4 FORTWORTH TRANSPORTATION AND PUBLIC WORKS PIPE REPORT FOR: PROJECT NAME: Ridgeview Farms Ph. 7 CITY PROJECT NUMBER: 101429 WATER PIPE LAID SIZE TYPE OF PIPE LF OPEN CUT 8" PVC 3,011 LF FIRE HYDRANTS: 4 VALVES(16" OR LARGER) N/A PIPE ABANDONED SIZE TYPE OF PIPE LF N/A DENSITIES: YES-ALL PASSED NEW SERVICES: V DOM.COPPER 94 Ea. SEWER PIPE LAID SIZE TYPE OF PIPE LF OPEN CUT 8" PVC 2880 LF PIPE ABANDONED SIZE TYPE OF PIPE LF N/A DENSITIES: YES-ALL PASSED NEW SERVICES: 4" PVC 94 Ea. TRANSPORTATION AND PUBLIC WORKS The City of Fort Worth• 1000 Throckmorton Street•Fort Worth,TX 76012-6311 (817)392-7941 •Fax: (817)392-7845 ) ( � � ) � § IL � I u k � # Vl\ 0 � ! � ■ � �� x ■ ; , R § § ;\ & | ) Ck k k {/ ® - . \} * E )Cl � ) 2 f $ ° )( k # z \ j \\ � ° ƒ§ \ �Q - / | 2 \} 9/ � { ; - ° © � § 09 § � } � } \ \§ g ! / 8 \ § �/ m b k( ■ ° \ / � ( £ } 2 , q 2 _ zi �§ W ) ° CL` $ ° §F; � | R ) ! ¥ , ,� (( / » § § ; § -2 - 5 } / ( !] §; \ ƒ { * MO ! k § /§ § m , ! � § ] ■ 9 /7 ; } k } ) j \ § ) \ \ !! § § k \ \(`� /k( ;§ ( / | ) / § r§ , ( { (if \ A § / ) °® � m / R [ \ [ 02 ) ) � 22 . ! a ram] § § \ ) ( } ( j ( �G � ! § � k % 0000l � E fm § E � ° 2 § ) 0 a FORTWORTH. TRANSPORTATION AND PUBLIC WORKS 2/23/2022 PCI Construction, Inc. P.O. Box 2967 McKinney,TX 75070 RE: Acceptance Letter Project Name: Ridgeview Farms Ph. 7 Project Type:Water, Sewer, Storm Drain City Project No.: 101429 To Whom It May Concern: On February 28, 2022 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 February 28, 2022,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 (817) 392-6251. Sincerely, C'�' Andrew Goodman, Project Manager Cc: Cody Horton, Inspector Wade Miller, Inspection Supervisor Emanuel Nieto, Senior Inspector Victor Tornero, Program Manager Kimley-Horn and Associates, Inc., Consultant PCI Construction, Inc., Contractor The Cambridge Companies, Developer File E-Mail: TPW_Acceptance@fortworthtexas.gov Rev.08/20/19 AFFIDAVIT STATE OF Texas COUNTY OF Collin Before me,the undersigned authority, a notary public in the state and county aforesaid, on this day personally appeared Eric M. Lindberg, VP of Finance Of PCI Construction, 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 has been paid in full; That there are no claims pending for personal injury and/or property damages; On Contract described as; Ridgeview Farms Phase 7 - 101429 (Water, Sewer, Storm Drain Infrastructure) BY Eric M. Lindberg- VP of Finance Subscribed and sworn before me on this date 26th of January, 2022. Notary Public Collin County, State of Texas - `" BREE MITCHELL Notary ID#123944875 My Commission Expires ' September 26, 2023 CONSENT OF WNER SURETY COMPANY ARCHITECT TO FINAL PAYMENT CONTRACTOR SURETY AIA DOCUMENT G707 OTHER Bond No. 2316053 PROJECT: Ridgeview Farms, Phase 7, Project#101429 (name,address) -Water, Sanitary Sewer and Storm Drain Improvements TO (Owner) City of Fort Worth ] ARCHITECT'S PROJECT NO: 1000 Throckmorton Street Fort Worth, TX 76102-6312 CONTRACT FOR: CONTRACT DATE: CONTRACTOR: PCI Construction, Inc. P.O. Box 2967 McKinney,TX 75070 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) North American Specialty Insurance Company 1200 Main Street, Suite 800 Kansas Ci , MO 64105 , SURETY COMPANY, on bond of(here insert name and adress of Contractor) PCI Construction, Inc. P.O. Box 2967 McKinney, TX 75070 , CONTRACTOR, hereby approves of the final payment to the Contractors, 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 76102-6312 ,OWNER, as set forth in the said Surety Company's bond. IN WITNESS WHEREOF, the Surety Company has hereunto set its hand this 28th day of February 2922 North American Specialty Insurance Company Surety Company � c-a. y _ Signature of Authorized Representative Attest: (Seal): Debra Lee Moon Attorney-In-Fast Title 1 NOTE: This fomt 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 SWISS RE CORPORATE SOLUTIONS NORTH AMERICAN SPECIALTY INSURANCE COMPANY WASHINGTON INTERNATIONAL INSURANCE COMPANY WESTPORT INSURANCE CORPORATION GENERAL POWER OF ATTORNEY KNOW ALL MEN BY THESE PRESENTS,THAT North American Specialty Insurance Company,a corporation duly organized and existing under laws of the State of New Hampshire,and having its principal office in the City of Kansas City,Missouri and Washington International Insurance Company a corporation organized and existing under the laws of the State of New Hampshire and having its principal office in the City of Kansas tty,Missouri and Westport Insurance Corporation,prganized under the laws of the State of Missouri,and having Its principal office in the City of ansas City,lvvlissoun,each does hereby make constitute and appoint: JOHN WILLIAM NEWBY,TROY RUSSELL KEY,DEBRA LEE MOON,ANDREA ROSE CRAWFORD,SANDRA LEE RONEY,SUZANNE ELIZABETH NIEDZWIEDZ, CHERI LYNN IRBY,JOSHUA D.TRITT AND COLIN E.CONLY JOINTLY OR SEVERALLY Its true and lawful Attomey(s)-in-Fact,to make,execute,seal and deliver,for and on its behalf and as its act and deed,bonds or other writings obligatory in the nature of a bond on behalf of each of said Companies,as surety,on contracts of suretyship as arc or may be required or permitted by law,regulation,contract or otherwise,provided that no bond or undertaking or contract or suretyship executed under this authority shall exceed the amount of TWO HUNDRED MILLION($200,000,000.00)DOLLARS This Power of Attorney is granted and is signed by facsimile under and by the authority of the following Resolutions adopted by the Boards of Directors of North American Specialty Insurance Company and Washington International Insurance Company at meetings duly called and held on March 24,2000 and Westport Insurance Corporation by written consent of its Executive Committee dated July 18,2011. "RESOLVED,that any two of the President,airy Senior Vice President,any Vice President,any Assistant Vice President, the Secretary or any Assistant Secretary be,and each or any of them hereby is authorized to execute a Power of Attorney qualifying the attorney named in the given Power of Attorney to execute on behalf of the Company bonds,undertakings and all contracts of surety,and that each or arty of them hereby is authorized to attest to the execution of any such Power of Attorney and to attach therein the seal of the Company; and it is FURTHER RESOLVED,that the signature of such officers and the seal of the Company may be affixed to any such Power of Attorney or to any certificate relating thereto by facsimile,and any such Power of Attorney or certificate bearing such facsimile signatures or facsimile seal shall be binding upon the Company when so affixed and in the future with regard to any bond,undertaking or contract of surety to which it is attached." raWlWaaapq �?j�-r,�_ypECdlttY'"'+a+ '(tON,u B , 'G PA '.:'(,� Rfy`. Slrren P.Anderson,Senior Mire President of Washington International Insurance Company S •. �- al SEAL 'i ~ &Senior Vier President of North American Specialty Insunarr Company % Q &^Senior Vice President of Westport Insurance Corporationes By ►{ *•,N�'� ••• Fxlk Janssens,Senior Vice President of Washington international Insurance Company A &Senior Vice President of North American Specialty Insurance Company &Senior Vice President of Westport Insurance Corporation IN WITNESS WHEREOF,North American Specialty Insurance Company,Washington International Insurance Company and Westport Insurance Corporation have caused their official seals to be hereunto affixed,and these presents to be signed by their authorized officers this this 7th day of DECEMBER 20 21 North American Specialty Insurance Company Washington International Insurance Company State of Illinois Westport Insurance Corporation County of Cook ss: On this 7th day of DECEMBER,20 21,before me,a Notary Public personally appeared Steven P.Anderson ,Senior Vice President of Washington International Insurance Company and Senior Vice President of North American Specialty Insurance Company and Senior Vice President of Westport Insurance Corporation and Erik Janssens Senior Vice President of Washington International Insurance Company and Senior Vice President of North American Specialty Insurance Company and Senior Vice President of Westport Insurance Corporation,personally known to me,who being by me duly swom,acknowledged that they signed the above Power of Attorney as officers of and acknowledged said instrument to be the voluntary act and deed of their respective companies. YASME A.PATEL Or r1N A BEAt c••- 10 NOuryPattac,Sutaolaanaa - = My Cammiafion EapFws - _ _ •i' IAey 28.I0I9 Yasmin A.Patel,Notary 1,Jeffrey Goldber>;,the duly elected Senior Vice President and Assistant Secretary of North American Specialty Insurance&ompany;Washj igto-n _ International Insurance Company and Westport Insurance Corporation do hereby certify that the above and foregoing is a true andcorect et�y_-Qi a Power of Attorney given by said North American Specialty Insurance Company,Washington International Insurance Compa*and-WestRn±f' _- Insurance Corporation which is still in full force and effect. - IN WITNESS WHEREOF,I have set my hand and affixed the seals of the Companies this 28th day of February 20 22 All Jeffrey Goldberg,Senior Vice President&Assistant Secretary of Washington International Insurance Company& North American Specialty Insurance Company&Vitt President&Assistant Secretary of Westport Inwranee Corporation North American Specialty Insurance Company Washington International Insurance Company Westport Insurance Corporation TEXAS CLAIMS INFORMATION IMPORTANT NOTICE ADVISO IMPORTANTE In order to obtain information or make a complaint: Para obtener informacion o para someter un queja: You may contact Jeffrey Goldberg,Vice President Puede comunicarse con Jeffrey Goldberg,Vice — Claims at 1-800-338-0753 President—Claims,al 1-800-338-0753 You may call Washington International Insurance Usted puede Ilamr al numero de telefono gratis de Company and/or North American Specialty Insurance Washington International Insurance Company and/or Company's and/or Westport Insurance Corporation North American Specialty Insurance Company's and/or toll-free number for information or to make a Westport Insurance Corporation para information o complaint at: para someter una queja al: 1-800-338-0753 1-800-338-0753 You may also write to Washington International Usted tambien puede escribir a Washington Insurance Company and/or North American Specialty International Insurance Company and/or North Insurance Company and/or Westport Insurance American Specialty Insurance Company and/or Corporation at the following address: Westport Insurance Corporation al: 1200 Main Street 1200 Main Street Suite 800 Suite 800 Kansas City,MO 64105 Kansas City,MO 64105 You may contact the Texas Department of Insurance Puede escribir al Departmento de Seguros de Texas to obtain information on companies,coverages, para obtener informacion acerca de companias, rights or complaints at: coberturas,derechos o quejas al: 1-800-252-3439 1-800-252-3439 You may write the Texas Department of Insurance: Puede escribir al Departmento de Seguros de Texas: P.O. Box 149104 P.O. Box 149104 Austin,TX 78714-9104 Austin,TX 78714-9104 Fax: (512)47 5-17 71 Fax: (512)475-1771 Web: ha2a//www.td1i.state-tx-u-- Web: httns//www.tdi.statP.tx-,js Email:ConsumerProtection@tdi.state.tx us Email:ConsumerProtection@tdi.state.tx.us PREMIUM OR CLAIM DISPUTES: DISPUTAS SOBRE PRIMAS 0 RECLAMOS: Should you have a dispute concerning your premium Si tiene una disputa concerniente a su prima o a un or about a claim you should first contact the reclamo,debe comunicarse con el Washington Washington International Insurance Company and/or International Insurance Company and/or North North American Specialty Insurance Company and/or American Specialty Insurance Company and/or Westport Insurance Corporation. If the dispute is not Westport Insurance Corporation primero. Si no se resolved,you may contact the Texas Department of resuelve la disputa, puede entonces comunicarse Insurance. con el Departmento de Seguros de Texas. ATTACH THIS NOTICE TO YOUR POLICY: UNA ESTE AVISO A SU POLIZA This notice is for information only and does not Este aviso es solo para proposito de infromacion y no become a part or condition of the attached se converte en parte o condicion del documento document. adjunto.