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HomeMy WebLinkAboutContract 50306-FP1 Invoice No. 50306-FP1 NN Coded 03.08.22 (� $46,703.58 - Retainage - 59608-2060000-FORTY RTH CSC No.50306-FP1 B45002-BRETAN WATER DEPARTMENT ENGINEERING AND FISCAL SERVICES NOTICE OF PROJECT COMPLETION 59608-1345002 CS 50306 Regarding contract 50306 for M-339 Sewer Main Improvements as required by the Water Department as approved by City Council on 2-6-2018 through M&C C-28574 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: $984,998.00 Amount of Approved Change Orders: $0.00 Ns I Revised Contract Amount: $984,998.00 Total Cost Work Completed: $934,072.15 Less Deductions: Liquidated Damages: 0 Days @$210.00/Day Other Deductions(see comments): Total Deduction Amount: $887,368.57 Total Cost Work Completed: $46,703.58 Less Previous Payments: $0.00 Final Payment Due $46,703.58 Z Recommended for Acceptance Date Assistant Director, Water Department Christopher Hard (Mar8,202208A2 CST) Accepted Date Director, Water Department ✓n?ea�Gl�GI`1G�0 Dana Burghdoff(M r 8,2022 fCf.32 CST) City Manager Date OFFICIAL RECORD CITY SECRETARY FT. WORTH, TX Project Name: M-339 Sewer Main Improvements DOE. Ns: Comments: 59608-B45002 CS 50306 City Project Numbers B45002 DOE Number 4500 Contract Name M-339 Sewer Main Improvements Estimate Number 14 Contract Limits Morrison Dr.I.H.30 Frontage Rd/Morrison Dr.intersection Payment Number 14 Project Type Sewer For Period Ending 5/26/2021 Project Funding Project Manager Fu City Secretary Contract Number 50306 Inspectors Johnson / Drake Contract Date 2/6/2018 Contractor CIRCLE C CONSTRUCTION COMPANY Contract Time 550 CD PO BOX 40328 Days Charged to Date 786 CD FORT WORTH, TX 76140 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 $934,072.15 Less 0 %Retained $0.00 Net Earned $934,072.15 Earned This Period $46,703.61 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 $887,368.54 Plus Material on Hand Less 15% $0.00 Balance Due This Payment $46 703.61 Monday,February 07,2022 Page 5 of 5 FORT WORTH CITY OF FORT WORTH FINAL PAYMENT REQUEST Contract Name M-339 Sewer Main Improvements Contract Limits Morrison Dr.I.H.30 Frontage Rd/Morrison Dr.intersection Project Type Sewer City Project Numbers B45002 DOE Number 4500 ' Estimate Number 14 Payment Number 14 For Period Ending 5/26/2021 CD City Secretary Contract Number 50306 Contract Time 55GD Contract Date 2/6/2018 Days Charged to Date 786 Project Manager Fu Contract is 95.000 Complete Contractor CIRCLE C CONSTRUCTION COMPANY PO BOX 40328 FORT WORTH, TX 76140 Inspectors Johnson / Drake e Monday,February 07,2022 Page 1 of 5 City Project Numbers B45002 DOE Number 4500 Contract Name M-339 Sewer Main Improvements Estimate Number 14 Contract Limits Morrison Dr.I.H.30 Frontage Rd/Morrison Dr.intersection Payment Number 14 Project Type Sewer For Period Ending 5/26/2021 Project Funding Sewer Item Description of Items Estimated Unit Unit Cost Estimated Completed Completed No. Quanity Total Quanity Total 5 3201.0202 Asphalt Pvmt Repair Beyon 150 SY $65.00 $9,750.00 6 3201.0614 Conc Pvmt Repair,Residen 50 SY $125.00 $6,250.00 339.33 $42,416.25 7 3217.0001 4"SLD Pvmt Marking HAS( 30 LF $15.00 $450.00 8 3217.4201 Fire Lane Marking 30 LF $25.00 $750.00 9 3292.0400 Seeding,Hydromulch 230 SY $5.00 $1,150.00 2500 $12,500.00 10 3301.0001 Pre-CCTV Inspection 3650 LF $5.00 $18,250.00 3650 $18,250.00 11 3301.0002 Post-CCTV Inspection 3650 LF $3.00 $10,950.00 3650 $10,950.00 12 3301.0101 Manhole Vacuum Testing 14 EA $200.00 $2,800.00 14 $2,800.00 13 3303.0001 Bypass Pumping 1 LS $65,000.00 $65,000.00 1 $65,000.00 14 3305.0103 Exploratory Excavation of 10 EA $1,000.00 $10,000.00 7 $7,000.00 15 3305.0109 Trench Safety 1048 LF $1.00 $1,048.00 1102 $1,102.00 16 3305.0110 Utility Markers 1 LS $1,500.00 $1,500.00 1 $1,500.00 17 3305.0112 Concrete Collar 1 EA $450.00 $450.00 18 3305.0113 Trench Water Stops 2 EA $500.00 $1,000.00 2 $1,000.00 19 3331.0108 18"Sewer Pipe,Point Rep 270 LF $155.00 $41,850.00 295 $45,725.00 20 3341.0103 18"RCP,Class III 30 LF $150.00 $4,500.00 50 $7,500.00 21 3341.0201 21"RCP,Class III 30 LF $150.00 $4,500.00 30 $4,500.00 22 3471.0001 Traffic Control 6 MO $2,500.00 $15,000.00 6 $15,000.00 23 3471.0002 Portable Message Sign 24 WK $350.00 $8,400.00 18 $6,300.00 24 9999.0001 Remove 5'Recessed Open B 1 EA $1,500.00 $1,500.00 1 $1,500.00 25 9999.0002 5'Recessed Open Back Inl 1 EA $5,500.00 $5,500.00 1 $5,500.00 26 9999.0003 Gravel(crushed rock-6" 70 CY $35.00 $2,450.00 130 $4,550.00 27 9999.0004 Construction Allowance 1 LS $75,000.00 $75,000.00 28 3339.1001 4'Manhole(with Spectras 14 EA 29 3339.1003 4'Extra Depth Manhole(w 120 VF 30 3339.1001 4'Manhole(Armorock Poly 14 EA 31 3339.1003 4'Extra Depth Manhole(A 120 VF 32 3339.1001 4'Manhole(Armorock Poly 14 EA 33 3339.1001 4'Manhole(with Warren E 14 EA $4,500.00 $63,000.00 14 $63,000.00 34 3339.1003 4'Extra Depth Manhole(w 120 VF $335.00 $40,200.00 87.34 $29,258.90 1 3331.1107 10"-18"Pipe Enlargement 2700 LF $155.00 $418,500.00 2522 $390,910.00 Monday,February 07,2022 Page 2 of 5 City Project Numbers B45002 DOE Number 4500 Contract Name M-339 Sewer Main Improvements Estimate Number 14 Contract Limits Morrison Dr.I.H.30 Frontage Rd/Morrison Dr.intersection Payment Number 14 Project Type Sewer For Period Ending 5/26/2021 Project Funding 2 3331.4225 18"Sewer Pipe(ASTM F679 950 LF $155.00 $147,250.00 1102 $170,810.00 3 0241.2201 Remove 4'Sewer Manhole 13 EA $1,000.00 $13,000.00 12 $12,000.00 4 3125.0101 SWPPP >1 acre 1 LS $15,000.00 $15,000.00 1 $15,000.00 Sub-Total of Previous Unit $984,998.00 $934,072.15 Monday,February 07,2022 Page 3 of 5 City Project Numbers B45002 DOE Number 4500 Contract Name M-339 Sewer Main Improvements Estimate Number 14 Contract Limits Morrison Dr.LH.30 Frontage Rd/Morrison Dr.intersection Payment Number 14 Project Type Sewer For Period Ending 5/26/2021 Project Funding Contract Information Summary Original Contract Amount $984,998.00 Chance Orders Change Order Number 1 $0.00 Total Contract Price $984,998.00 Date 2"7-ZZ Total Cost of Work Completed $934,072.15 Contractor Less 0 %Retained $0.00 Net Earned $934,072.15 Date 7 a Y Earned This Period $46,703-61 Inspection Superviso r Retainage This Period $0.00 W(4AIA Date 7, Less Liquidated Damages Proifect Manager Days @ /Day $0.00 N/A Date LessPavement Deficiency $0.00 Assk Director/TPW Less Penalty $0.00 L!-LA � zi Christopher H aid (M a r 8,202208:42 CST) ate Less Previous Payment $887,368.54 Director/Contracting Department Plus Material on Hand Less 15% $0.00 Balance Due This Payment $46,703.61 Monday,February 07,2022 Page 4 of 5 FORTWORTH rev 03/05/07 WATER ENGINEERING & FISCAL SERVICES FINAL STATEMENT OF CONTRACT TIME FINAL STATEMENT NO.:14 NAME OF PROJECT: M-399 Morrison Dr.I.H. 30 Fronatage Rd? PROJECT NO.: B45002 CONTRACTOR: Circle C Construction CITY PROJECT B45002 PERIOD FROM:04/01/19 TO: 01/05/20 FINAL INSPECTION DATE: 1/5/2020 WORK ORDER EFFECTIVE:4/1/2019 CONTRACT TIME: 950 0 WD* CD DAY OF DAYS REASON FOR DAYS DAY OF DAYS REASON FOR DAYS MONTH HA NEG CREDITED MONTH CHARGED DURING CREDITED 1. 16. 2. 17. 3. 18. 4. 19. 5. 20. 6. 21. 7. 22. 8. 23. 9. 24. 10. 25. 11. 26. 12. 27. 13. 28_ 14. 29. 15. 30. 31. SAT,SUN, RAIN,TOO WET, UTILITIES DAYS TOTAL &HOLIDAYS &TOO COLD RELOCATIONS OTHERS CHARGED DAYS THIS PERIOD 0 0 PREVIOUS PERIOD 786 786 TOTALS TO DATE 786 786 "REMARKS: I CONTRACTOR DATE TNSPECTOR DATE Capital Projects Delivery,Water Department The City of Fort Worth• 1000 Throckmorton Street•Fort Worth,TX 76012-6311 (817) 392-4477•Fax: (817)392-8460 FORT WORTH REV:02120/07 Capital Projects Delivery,Water Department PERFORMANCE EVALUATION OF CONTRACTOR CONTRACTOR&PROJECT DATA Name ofContractor Project Name Circle C Construction M-399 Sewer Main Improvements Water Bnglneering Inspector DOB Number Carmen Drake B 45002 Water Brrglmering Inspector Projeet Manager ❑Water El Waste Water ❑Storm Drainage ❑Pavement Liam Conlon Intrlal Contract Amount Project D($tculty $934,072.15 ©Simpie 0 Routine 0 Complex Final Contract Amount Date $934,072.15 2/7/2022 II)PERFORMANCE EVALUATION 0-inadequate 1-Deficient 2-Standard 3-Good 4-Excellent ELEMENT WEIGHT(x) APPLICABLE(Y1 N) RATING(0-4) IMAX SCORE (SCORE I Submission of Documents 1 2 Y 3 1 8 6 2 Public Notifications 5 Y 3 20 15 3 Plans on Site 5 Y 3 20 15 4 Field Supervision 15 Y 3 60 45 5 Work Performed is Y 3 60 45 6 Finished Product 15 Y 3 60 45 7 Job Site Safb 15 Y 3 60 45 8 Traffic Control Maintenance 15 Y 2 60 30 9 Daily Clean Up 5 Y 3 20 15 10 Citizen's Complaint Resolution 5 Y 3 20 I5 11 Pro2erty Restoration 5 Y 3 20 15 12 After Hours Response 5 Y 3 20 E15 - 13 Project Completion 5 Y 3 20E EJ TOTAL ELEMENT SCORE(A) 321 BONUS POINTS(25 Maximum)(B) TOTAL SCORE(TS) 321 E[1)CONTRACTOR'S RATING Maximum Soore(MS)-448 Z sum of applicable element score maximums which— 448 Rating([T81 MS)A 100%) 321 1 448 = 72% Performance Category Good <20%—Inadequate 20Y4 to<40°a=Defrcient 409 to<60%—Standard 60%to<80%=Good >_80%—Excellent Inspector's Comments(INCLUDING EXPLANATION OF BONUS POINTS AWARDED) Signature Inspector Signature Contractors Signature Inspector's Supervisor CONTRACTOR'S COMMENTS Capital Projects Delivery,Water Department The City of Fort Worth•1000 Thzockmorton Street•Fort Worth,TX 76012-6311 (817)392-4477-Fax.(817)392-8460 FORTWORTHREV:OM2ro7 Capital Projects Delivery,Water Department CONTRACTOR'S EVALUATION OF CITY 1)PROJECT INFORMATION Date: Name of Contractor Project Name Circle C Construction M-339 Sewer Main Improvements Water Engineering Inspector Project Manager Carmen Drake Liam Conlon DOENumber Project Difficulty Type of Contract B 45002 *Simple Q Routine p Complex ❑Water Q Waste Water ❑Storm Drainage ❑Pavement Initial Contract Amount Final Contract Amount $934,072.15 $934,072.15 II)PERFORMANCE EVALUATION 0-Inadequate 1 -Deficient 2-Standard 3-Good 4-Excellent ELEMENT RATING ELEMENT RATING (0-4) (0-4) INSPECTION EVALUATION PLANS&SPECIFICATIONS 1 Availability of Inspector V 1 Accuracy of Plans to Existing Conditions 2 Knowledge of Inspector V 2 Clarity&Sufficiency of Details s 3 Accuracy of Measured Quantities 1./ 3 Applicability of Specifications 4 Display Of Professionalism 4 Accuracy of Plan Quantities 5 Citizen Complaint Resolution '1 PROJECT MANAGER EVALUATION 6 Performance-Setting up Valve Crews,Labs Zf 1 Knowledge And/Or Problem Resolution ADMINISTRATION 12 Availability of Project Man aper 1 Change Order Processing Time ` 3 Communication a. 2 Timliness of Contractor Payments t/ 4 Resolution of Utility Conflicts 3 Bid Opening,to Pre-Con Meeting Timeframe 1I1)COMMENTS&SIGNATURES COMMENTS Signature Contractor Signature Inspector Signature Inspector's Supervisor INSPECTOR'S COMMENTS Capital Projects Delivery,Water Department The City of Fort Worth•1000 Throckmorton Street•Fort Worth,TY 76012-6311 (817)392-4477•Fax:(817)392-8460 FORTWORTH WATER ENGINEERING&FISCAL SERVICES PIPE REPORT FOR: PROJECT NAME: M-399 Sewer Main Improvements PROJECT NUMBER: B 45002 DOE NUMBER: WATER PIPE LAID SIZE TYPE OF PIPE LF 950 10& 18 DR 11 HDPE 2700 10 F 679 PVC FIRE HYDRANTS: VALVES(16" OR LARGER) PIPE ABANDONED SIZE TYPE OF PIPE LF DENSITIES: NEW SERVICES: SEWER PIPE LAID SIZE TYPE OF PIPE LF PIPE ABANDONED SIZE TYPE OF PIPE LF DENSITIES: NEW SERVICES: WATER ENGINEERING&FISCAL SERVICES The City of Fort Worth• 1000 Throckmorton Street•Fort Worth,TX 76012-6311 (817)392-4477•Fax: (817)392-8460 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 TERESA S SKELLY, PRESIDENT of CIRCLE C CONSTRUCTION, known to me to be a credible person,who being by me duly sworn, upon his oath deposed and said; That all person, 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 damage; On Contract described as; M-339 Sewer Main Improvements City Project Number B45002 BY / n I Subscribed and sworn before me on this Day of ,2019. V miCHELE S LANKFORD Notary Public in Tarrant Count ,TX o - - Notary public STATE OFTFXAS d � �y�k 4175sas-s of pey Comm� ' OctoDat' 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 Teresa S Skelly, President Of William J Schultz Inc dba Circle C Construction Company, 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; Contract 2011, WSM-A, Part 2 City Project Number 01928 �--' BY a resident Subscribed and sworn before me on this date 2 of March,2021. *RY P�e�yMICHELE S LANKFOR Notary Public >o �= Notary Public Tarrant Texas *�, ;*' STATE of TEXAS a# Notary ID#117694" Exp.October 7,2 CONSENT OF SURETY OWNER TO FINAL PAYMENT ARCHITECT ❑ AM Document G707 CONTRACTOR ❑ SURETY ❑ OTHER ❑ Bond No.TXC610154 TO OWNER: ARCHITECT'S PROJECT NO.: City of Fort Worth City Project No.01928 1000 Throckmorton Street Fort Worth,TX CONTRACT FOR: Utilities CONTRACT DATED: PROJECT: (name, address) Water and Sanitary Sewer Replacement,WSM-A,Part 2 in the City of Fort Worth,TX In accordance with the provisions of the Contract between the Owner and the Contractor as indicated above,the (Insert name and address of Surety) Merchants Bonding Company(Mutual) 6700 Westown Parkway West Des Moines,IA 50266 SURETY on bond of (Insert name and address of Contractor) William J.Schultz,Inc.,dba Circle C Construction Company P.O.Box 40328 Fort Worth,TX 76140 CONTRACTOR, hereby approves of the final payment to the Contractor, and agrees that final payment to the Contractor shall not relieve the Surety of any of its obligations to (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's bond. IN WITNESS WHEREOF,the Surety has hereunto set its hand this date: March 02,2021 (Insert in writing the month followed by the numeric date and year.) Merchants,t�onding Company(Nlutual) (Surer-.� (Signature Of authorill representame) A#est: -Witness as to Surety: Sheryl A.Mutts,Attornev-in-Fact (Seal) _ (Printed name and title) John A:Miller 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 0 CONSENT OF SURETY COMPANY TO FINAL PAYMENT 0 April 1970 Edition 0 AIAV One Page ©1970•THE AMERICAN INSTITUTE OF ARCHITECTS,1735 New York Ave.,NW,Washington,D.C.20006 MERCHANTS BONDING COMPANY,. POWER OF ATTORNEY Know All Persons By These Presents,that MERCHANTS BONDING COMPANY(MUTUAL)and MERCHANTS NATIONAL BONDING, INC., both being corporations of the State of Iowa(herein collectively called the"Companies")do hereby make,constitute and appoint,individually, John A Miller,John R Stockton;Sheryl A Klutts their true and lawful Attorney(s)-in-Fact, to sign its name as surety(ies) and to execute, seal and acknowledge any and all bonds, undertakings, contracts and other written instruments 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. This Power-of-Attomey is granted and is signed and sealed by facsimile under and by authority of the following By-Laws adopted by the Board of Directors of Merchants Bonding Company (Mutual) on April 23, 2011 and amended August 14, 2015 and adopted by the Board of Directors of Merchants National Bonding,Inc_,on October 16,2015. "The President, Secretary, Treasurer, or any Assistant Treasurer or any Assistant Secretary or any Vice President shall have power and authority to appoint Attomeys-in-Fact, and to authorize them to execute on behalf of the Company, and attach the seal of the Company thereto, bonds and undertakings,recognizances,contracts of indemnity and other writings obligatory in the nature thereof." "The signature of any authorized officer and the seal of the Company may be affixed by facsimile or electronic transmission to any Power of Attorney or Certification thereof authorizing the execution and delivery of any bond, undertaking, recognizance, or other suretyship obligations of the Company,and such signature and seal when so used shall have the same force and effect as though manually fixed." In connection with obligations in favor of the Florida Department of Transportation only,it is agreed that the power and aut hority hereby given to the Attomey-in-Fact includes any and all consents for the release of retained percentages and/or final estimates on engineering and construction contracts required by the State of Florida Department of Transportation. It is fully understood that consenting to the State of Florida Department of Transportation making payment of the final estimate to the Contractor and/or its assignee, shall not relieve this surety company of any of its obligations under its bond. In connection with obligations in favor of the Kentucky Department of Highways only,it is agreed that the power and authority hereby given to the Attorney-in-Fact cannot be modified or revoked unless prior written personal notice of such intent has been given to the Commissioner- Department of Highways of the Commonwealth of Kentucky at least thirty(30)days prior to the modification or revocation. In Witness Whereof,the Companies have caused this instrument to be signed and sealed this 11th day of February 2020 •� .. ., •• w♦. • A•e MERCHANTS BONDING COMPANY may-G��pOR9�`'�y ��y0�PU9q�yZ�; MERCHANTS NATIONAL BONDING,(NCTUAL) e 2003 ;`� y;� 1933 By '.,��+••...�,."�'J?• '.��Y " `1e� President STATE OF IOWA �`'++++++s` •••a s• COUNTY OF DALLAS ss. On this 11 th day of February 2020 before me appeared Larry Taylor, to me personally known, who being by me duly swom did say that he is President of MERCHANTS BONDING COMPANY (MUTUAL)and MERCHANTS NATIONAL BONDING, INC.; and that the seals affixed to the foregoing instrument are the Corporate Seals of the Companies;and that the said instrument was signed and sealed in behalf of the Companies by authority of their respective Boards of Directors. A�►�S POLLY MASON i610VO" Commission Number 750576eMy Commission Expires January 07,2023 Notary Public (Expiration of notary's commission does not invalidate this instrument) I,William Warner,Jr_,Secretary of MERCHANTS BONDING COMPANY(MUTUAL)and MERCHANTS NATIONAL BONDING,INC.,do hereby certify that the above and foregoing is a true and correct copy of the POWER-OF-ATTORNEY executed by said Companies,which is still in full force and effect and has not been amended or revoked. In Witness Whereof, I have hereunto set my hand and affixed the seal of the Companies on this 21 stday of January,2021. .epN.Ueyr • •e..-ee • •,.�p•��o..... .......4 . . ry.:$ _o- fi: ; �ilri^�sCLf+•K/ ,�r.�j•s!/7� 2003 =a = 1933 ;C: Secretary .t,�• .. .yJ. •C�re ♦ � es POA0018 (1/20) '•• +++u,+ e•••aese CONSENT OF SURETY OWNER TO FINAL PAYMENT ARCHITECT ❑ AL4 Document G707 CONTRACTOR ❑ SURETY ❑ OTHER ❑ Bond No.TXC608552 TO OWNER: ARCHITECT'S PROJECT NO.: City of Fort Worth City Project No. B45002 1000 Throckmorton Street Fort Worth,TX CONTRACT FOR: Utilities CONTRACT DATED: ,2018 PROJECT: (name,address) M-339 Sewer Main Improvements in the City of Fort Worth,Texas In accordance with the provisions of the Contract between the Owner and the Contractor as indicated above,the (Insert name and address of Surety) Merchants Bonding Company(Mutual) 6700 Westown Parkway West Des Moines,IA 50266 ,SURETY on bond of (Insert name and address of Contractor) William J.Schultz,Inc.,dba Circle C Construction Company P.O.Box 40328 Fort Worth,TX 76140 CONTRACTOR, hereby approves of the final payment to the Contractor, and agrees that final payment to the Contractor shall not relieve the Surety of any of its obligations to (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's bond. IN WITNESS WHEREOF,the Surety has hereunto set its hand this date: October 30,2019 (Insert in writing the month followed by the numeric date and year.) Merchants Bonding Company(Mutual) (Surety f 7 (Signature ofa itorced representatne) A#est: itneSs as to Surety: Sheryl A.IGutts,Attorney-in-Fact (Seal (Printed name and title) John A.Miller 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 NVERCHANTS BONDING COMPANYTM POWER OF ATTORNEY Know All Persons By These Presents,that MERCHANTS BONDING COMPANY(MUTUAL)and MERCHANTS NATIONAL BONDING,INC., both being corporations of the State of Iowa(herein collectively called the"Companies' do hereby make,constitute and appoint,individually, John A Miller;John R Stockton;Sheryl A Klutts their true and lawful Attomey(s)-in-Fact,to sign its name as surety(ies) and to execute, seal and acknowledge any and all bonds, undertakings, contracts and other written instruments 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. This Power-of-Attomey is granted and is signed and sealed by facsimile under and by authority of the following By-Laws adopted by the Board of Directors of Merchants Bonding Company(Mutual) on April 23, 2011 and amended August 14,2015 and adopted by the Board of Directors of Merchants National Bonding,Inc.,on October 16,2015. "The President, Secretary,Treasurer,or any Assistant Treasurer or any Assistant Secretary or any Vice President shall have power and authority to appoint Attomeys-in-Fact,and to authorize them to execute on behalf of the Company,and attach the seal of the Company thereto,bonds and undertakings,recognizances,contracts of indemnity and other writings obligatory in the nature thereof." "The signature of any authorized officer and the seal of the Company may be affixed by facsimile or electronic transmission to any Power of Attorney or Certification thereof authorizing the execution and delivery of any bond, undertaking, recognizance, or other suretyship obligations of the Company,and such signature and seal when so used shall have the same force and effect as though manually fixed." In connection with obligations in favor of the Florida Department of Transportation only,it is agreed that the power and aut hority hereby given to the Attomey4n-Fact includes any and all consents for the release of retained percentages and/or final estimates on engineering and construction contracts required by the State of Florida Department of Transportation. It is fully understood that consenting to the State of Florida Department of Transportation making payment of the final estimate to the Contractor andlor its assignee, shall not relieve this surety company of any of its obligations under its bond. In connection with obligations in favor of the Kentucky Department of Highways only,it is agreed that the power and authority hereby given to the Attomey-in-Fact cannot be modified or revoked unless prior written personal notice of such intent has been given to the Commissioner- Department of Highways of the Commonwealth of Kentucky at least thirty(30)days prior to the modification or revocation. In Witness Whereof,the Companies have caused this instrument to be signed and sealed this 11th day of February 2020 vORpOR4� yOC'�(>,PU9� 9y' MERCHANTS NATIONAL ONDIINMERCHANTS BONDING NG,(INC.(MUTUAL) • �:+�' 2003 ;�A y: 1933 By •'•i��♦••A •.*;aa• ••.•f•. •\�•• President STATE OFIOWA '•■7W■taa" '°•••°• COUNTY OF DALLAS ss. On this 11 th day of February 2020 before me appeared Larry Taylor,to me personalty known,who being by me duty swom did say that he is President of MERCHANTS BONDING COMPANY (MUTUAL) and MERCHANTS NATIONAL BONDING, INC.; and that the seals affixed to the foregoing instrument are the Corporate Seals of the Companies;and that the said instrument was signed and sealed in behalf of the Companies by authority of their respective Boards of Directors. P� t POLY MASON o y Commission Number750576 �,If/,, mks" My Commission Expires (�`�' January 07,2023 Notary Public (Expiration of notary's commission does rat invalidate this instrument) 1,William Warner,Jr.,Secretary of MERCHANTS BONDING COMPANY(MUTUAL)and MERCHANTS NATIONAL BONDING,INC.,do hereby certify that the above and foregoing is a true and correct copy of the POWER-OF-ATTORNEY executed by said Companies,which Is still in full force and effect and has not been amended or revoked. In Witness Whereof,I have hereunto set my hand and affixed the seal of the Companies on this 2nd day of March,2021. ayau4rr .......... y ��: :m OR 9q'9y �j�. i�✓ v: 2003 ?7 y' 1933 v'C: Secretary POA 0018 (1120) "••• ..... '•°•••••' 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 TERESA S SKELLY, PRESIDENT of CIRCLE C CONSTRUCTION, known to me to be a credible person,who being by me duly sworn,upon his oath deposed and said; That all person, 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 damage; On Contract described as; M-339 Sewer Main Improvements City Project Number B45002 BY Subscribed and sworn before me on this Day of ,2019. MtCHELE S LANKFORD Notary Public in Tarrant Count ;}TX Ndyry Pablic ��dd __' •�* STATE OF TEXAS Of M FORT WORTH March 03,2022 Circle C Construction Company PO Box 40328 Fort Worth,TX 76140 Re:Acceptance Letter Project Name: M-339 Sewer Main Improvements Project Type: Sewer Project Ne: B45002 DOE. Ne: 4500 Contract Ns: 50306 Dated: 3/3/2022 Gentleman: On January 05,2020 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 January 05,2020. 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 January 05,2022,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, 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 Skains,Fire Department Luke Coffman,Sanitary Sewer Systems Superintendent,Water Department Cesar Zavala, Water Systems Superintendent,Water Department Liam Conlon,Project Manager,Water Department Capital Projects Delivery David R Johnson,Inspection Supervisor,Water Department Capital Projects Delivery Carmen Drake,Inspector,Water Department Capital Projects Delivery JD Engineering, Consultant Circle C Construction Company,Contractor File WATER DEPARTMENT ENGINEERING AND FISCAL SERVICES THE C1Ty OF FORT WORTH * 1000 THROCKMORTON STREET * FORT WORTH, TExns 76102 817-392-8240 * Fax 817-392-8195 C. Printed on recycled paper