HomeMy WebLinkAboutContract 44618-FP1 (2),
Contractor:
CITY OF FORT WORTIi
PROPERTY MANAGEMGNT DEPARTMENT
FACILITIES DIVISION
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NOT1C� OI�' PROJ�CT COMPL�TiON
Contrs�ct Data
City Secretaiy Contract No: 44618,� M&C No.: C-26200 / M&C Date: 04/16/13 /
Project Name: Renovate Auditorium Air Handler and Provide Chilled Water and Hot Water
Redimdancv
Address: 3401 West Lancaster
Architect: Summit Consultants. Inc.
Using Department:
Managing Department:
Schedule:
Costs:
Contract Duration:
Jolmson Controls, lnc.
Public Events
Proper Mana�ement Department
ProjectData: �'iC'W'1� 53�'�- °a4�o�
C3oa- 539iaa- dy�°D�I S
Extensions by Change Order:
Construction Start Date:
Contract Completion Date:
Subst�ntial Completion D�te:
Days eligible for liquidated damages:
Final Acceptance Date:
Original Contract Price:
Number of Change Orders:
Amount of Change Orders:
Final contract Amou�t:
Less Previous Payments:
Final Payment Due:
Liquidlted Damages by Change Ordcr:
Subtnitted by:
Recommended for Acceptance:
��
Recommended for Accept�ilce
Accepted:
�,
• 't'he 270 day contract time was s�
affected buildings at the WRMC
270 calendar days
0 calendar days
Julv 22, 2013
November O5. 2014
November O5. 2014
November O5, 2014
$ 476.951.00 ✓
$3,991.00 ✓
$ 480.942.00,�
$ 456,894.90✓
$ 24,047. I 0 �J �
0 Days nt $0.00/day = $0.00
ACC ilt1CC
t�a�� z �,
ction Manager/Prpject Manager Date
y 3 3 za�s
r ng Department Da
ti 5
r, Usin ep� ent at
�
� �� ���
it City Manager Date
eduled around the various events and sl�ows throu�hout the
���FICIAL �dEGORD 9/24/2001
Clilf SECRE�ARV
!�� e��r�.
� � � ��� � . . .� � �'1'. �IIOR'�'H, �'X
TPW Construction Invoice
Contract: CS44618 p,p, # Payment Datc: 11/30/2014
TO: Johnson Controls, lnc. INV. #.C�..y�(r}¢j.y�,,. L'stimate No. 2 DO�:
709 N rwy t-35 W, Suitc I 11 ProjManager Milam
Fort Worth 'i'X 76102
FOR: Renovate Auditorium Air Handler & Provide Chillcd and Hot Water Pump Redundancy at WItMC
Contract Amount: $551,121.40
Total to Date: $480,942.00 $0.00 $480,942.00
Previous �stimate: �480,942.00 $24,�47.10 $456,894.90
Earned to DaLe: 50.00 ..r(524,047.10) Sz4,047.10
I C302-539120-2d0000400115 $70,(79.40 1'Y14 Roilovcr e 3oa-ao5t�' Q��C.�.QQ' �
� _ _ ---- 1
Total to Date: $70,179.40 $0.00 $70,179.40
Previous Bstimate: �70,179.40 $3,508.97 $G6,670.43
L^'amed to Date: $0.00 �3,SQ8.97) $3,508.97
GG04-539120-0246000 $480,942.00 incltldeSC0111_ /I,?/ �/r AD�b ^�h���
�- G4 v`( ol V
"1'otal to Date: fi410,762.60 $0.00 $41a,762.G0
Previous Estimate: $410,7G2.60 $20,538.13 $390,22R.47
�arned to Date: �0.00 .1($20,538.13) $20,538.13
Y
����-15-c�C�O��i��l'�
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PURCHASE ORDER MUST
APPEAR ON INVOICE
� Management
Person ! Phone Numher.
MCDONALD EXT.2586
Priday, Marcli 27, 2015 GLENN BALOG Page 1 of 1
�epartment Approvat Si nature ! Date: �
.'-�'�r���- � r3-� � �
�:� .��.�y ��
��� � • 012iGINAL
W � C. • c`w�..
�J� \` �� �� � INVOICE
i
,lohnson '� � �` '^' � Directlnquires To: JOHNSON CONTROLS INC
,'J�,�n -I South Region PC Branch
Contrals �j�-1"`ft-�J ""�" �y���C7 3021WBendDrivo
IRVING, TX 75063
�� ,,�, $ �1 (2.� �- b�Z � (00� Federal ID#: 39-0380010
Attn: Mr. Jack Durham
Bill To: City of Fort Worth
401 West 13th Street
Fort Wofth, Texas 76102
Project Name i Project Site 1 Tax Loc Purchase Order 1 Date f Aulhorized B
Renovate Auditorium Air Handler Project No. TPW 2013-02
and provide Chilled and Hot water pump City Secretary's Contract No. 44618
redunda�cy for WRMC, Ft Worth, Texas
��.�,��.� 3.2,. �S �,:� �S �-���� ��.� p�,,�,.,,..
Phone: 866 656-9681
Fax:
Mail Check To: Johnson Conlrols
PO Box 730068
Dallas, TX 75373
3PYL-0008 ( Donald Angeli
000
Period Covered Appiication # Invoice Number Invoice Date Terms
OS/01/2014-08/31/2014 8 0003T813239 11f3011q Due On Receipt
Originai Contract Amount:
Approved Change Orders
New Contract Amount:
Work Compieted To Date:
Less Retention:
Total Less Retention:
Less (nvoiced To Date:
$476,951.00
S3,991.00
$480,942.00
5480,942.00
$0.00
�480,942.00
����-
Q�..� -► 5� OO6 t��?°�°� q
�h� � �.�.T _ �s�l�lt�l�-�'IrU14�
-� ���,ga�I:go �,- J.�. 3•z���5-
Totai Amount Due This Invoice: �7Ar833:3i' � Z�� �� -7 , � O
Work Scheduled Previous Work In Stored Totai Complete Balance 0%
Item Descriptlon Value App�icaGon Place Material and Stored Percent To Finish Retention
A B C D E F G(D+E+F) H(G/C) I(GG) J
1 Materlais $113,061 $113,061 $0 $0 $113,061 100.0% $0 $5,653
Controls-Auditorium $5,445 55,445 Sa 50 $5,445 100.0% 50 §272
ACT 24 VACNDC (8ea.) $2,086 $2,086 $0 $0 32,086 100.0% g0 $104
Adapter 1/4in B X 1/4in M $5 $5 $0 $0 $5 100.0%
(2ea.) SO SO
DP trans wet 0 to 100 (2ea.)
RIB 10amp (4ea.)
DX controller (1 ea.)
Mtg.Base XDig.Conl (1ea.)
Controls - Metasys Upgrade
Unitary Controller (17ea.)
Conl Panel NAE3510 i8�Q0 (2ea.)
Sonsor, 10a0 OHM i/- 1% (52ea.)
&way atr valvewlbarbed (12ea J
DX controller {eea.)
EP lransduccr, ON HI (12ea.)
3PDT 24VAC plup In �elay (109ea.)
3PDT relay base (109ea.)
Ex Module, 6 AI (eea.)
Extension Module (8ea.)
DIN rail mount kit (4ea.)
Pump's & VFD's
BP 100HP 4BOV T12 N2 (SCHWP•1)
BP 25HP 4�OV T7 N2 (SCHWP-2)
BP 20HP 480V Tt N2 (SCIiWP•3)
BP 75HP ABOV 712 N2 (SCFIWP•4)
Chilled Waler Pumps
Suction Dilfusers
Triple Duty Vaives
51,137
�55
$1,9A9
$213
S40,512
58,793
$5,744
$1,088
$1,346
$15,151
$1,592
$1,042
5444
$ 2, 292
$2,013
�1,007
$67,104
$9,608
$3,559
$2,929
$7,833
$31,999
�4,253
$6,923
�1,137
$55
$ 7 ,949
$213
540,512
58,793
55,744
$1,088
$1,346
�15,151
$1,592
$1,042
�aaa
$2,292
§2,013
$1,007
$67,104
$9,608
$3,559
$2,929
^y7,833
531,�J99
$4,253
$6,923
$0 $0 $1,137 100.0%
$0
$0
$0
50
$0
^�0
�0
$0
$0
$0
$0
�o
$0
SO
50
50
�0
$0
$0
$0
$0
$0
�o
$0
$0
30
50
$0
$0
$0
$0
$0
§0
$0
$o
$0
y0
$0
$0
$0
$0
$0
$0
$0
$0
�o
$55
51,949
$213
$40,512
$8,793
$5,744
$1,088
�1,346
$15,151
$1,592
$1,042
$444
$2,292
$2,013
51,007
§67,104
59,608
53,559
$2,929
$7,833
$31,999
54,253
$6,923
100.0%
100.0%
100,0°/a
100.0%
100.0%
100.0%
100.0%
100.0%
100.0%
100.0 %
100.0%
100,0%
100.0%
100.0%
100.0%
100.0%
100.0%
100.0%
100.0%
100.0%
100.0%
100.0%
100.0%
$0
$0
$0
$0
$0
$0
$0
$0
$0
$0
$0
�0
$0
$0
$0
$0
$0
$0
$D
50
$0
$0
$0
�0
�57
S3
�97
$11
Sz,ozs
5440
$287
$54
�67
$758
580
$52
$22
5115
$101
$50
53,355
$480
9178
5146
$392
$1,600
S213
$346
Please reference our invoice number and amount with your payment. Send only to the address on this invoice. Page 1 of 2
2 Instaliation
Auditorium
Electrical - Power
Electrical - Controis
Mechanical
Start up large 4VSD
Controls Technician
Burnett Building
Eleclrical - Controls
Controls Technician
Commissioning
Training & Warranty
3 ProJect Expenses
Project Management
Program Manager
Lead PM - Controls
Project Superintendent
Admi�istration
General Conditions
pe�formance 8� Payment Bond
4 Changer Order #1 - Split
System
5 Change Order #2 - BMS
Materials
Credit
Adapter 1/4in B X 1/4in M
(2ea.)
DX controller (1 ea.)
Mtg.Base XDig.Cont (iea.)
Unitary Controller (17ea.)
3way air valvnwlbarbed (12ea.)
DX controlier (BeaJ
EP lransducer, ON HI (12ea.)
Ex Module, 6 AI (Sea.)
Extension Module (8ea.)
Additions
TEC2626-4
MS-FEC1611-0
MS-IOM2711-OG
M S-IOM4711-0
MS-BACEOL-0
PAKGJJ0026H0
MS-NCE2560
RIBM24S
RIBXGTA10
Totals
$333,698
5277,314
$17,225
$6,625
5240,262
$2,060
511,142
547,731
$19,875
$27,856
53,750
$4,903
530,192
�23,812
S6,010
$9,096
$7,602
$1,104
$4,459
$1,921
$21,555
(517,564)
(�33,354)
(3e?
($1,949)
($213)
($8,793)
(S1,346)
($15,151)
(S 1, 592)
(�2,292)
(�2,013)
515,790
$1,064
§512
$887
y�1,727
S43
$1,204
$7,605
$744
$1,004
ca nnn
Owner cept d Date
c -- -•- � �1'L ��I �
JCI Deilvered � Date
$333,698
$277,314
$17,225
56,625
�240,262
$2,060
511,142
547,731
$19,875
$27,856
$3,750
54,903
$30,192
523,812
�6,010
$9,096
$7,602
$1,104
$4,459
$1,921
�21,555
($17,564)
(§33,354)
(55)
(51,�J49)
("�213)
($8,793)
($1,346)
(�15,151)
(S1,592)
($2,2�J2)
($2,013)
$15,790
$1,064
$512
$887
51,727
$43
S 1,204
57,605
$744
�1,004
$1,000
$480,942
SO
50
30
SO
SO
SO
$0
$0
50
30
50
ao
bo
SO
�0
SO
SO
$0
$0
$0
$0
SO
$0
SO
$0
$0
$0
$0
SO
SO
$0
$0
SO
$0
$0
SO
SO
SO
$0
SO
$0
$0
$0
SO
So
50
SO
$0
$0
$0
SO
�0
$0
SO
So
$o
$0
$0
$0
$0
$0
SO
$0
$0
$o
So
$0
$0
$a
$0
SO
$0
$0
$0
$0
$o
$0
$0
�0
$0
$0
$0
$0
$0
50
$0
$333,698
5277,374
317,225
$6,625
5240,262
S2,060
$11,142
547,731
$19,875
$27,856
$3,750
54,903
530,192
Sz3,812
56,010
$9,096
$7,602
$1,104
§4,459
51,921
$21,555
(517,564)
($33,354j
(S5)
($1,949)
{5213)
($8,793)
($1,346)
($15,151)
($1,592)
($2,292)
($2,013)
$3,088
S1,064
$512
$887
51,727
$43
51,204
$7,605
$744
51, 004
100.0%
100.0%
100.0%
100.0%
100.0%
100.0%
100.0%
100.0%
100.0%
100.0%
100.0%
20.0%
100.0%
100.0%
100.D%
100.0%
100.0%
100.0%
100.0%
100,0%
100.0%
0%
100%
100%
10�%
100%
100%
100%
100%
100%
100%
100%
86°/a
100%
100%
100%
100%
100%
100%
100%
100%
100°/a
$0
SO
SO
£0
$0
$0
$0
$0
$0
$0
SO
$0
$0
$0
$0
$0
§o
$0
50
50
$0
50
30
$0
$0
$0
�0
50
$0
$0
$0
$0
5482
30
$0
$0
�0
$0
$0
$0
$0
$0
$480,942 100.0% �0
f r��tary a �1
�'�,N�c Kimberly L. $eall'
�,a�?�e�'rF� Commission Facpires
'�p��C' 05-34-2016
_ -K.,��.�.s�.�
$16,685
$13,866
S861
5331
$12,013
�103
$557
$2,387
$994
$1,393
S188
5245
$1,5'10
51,191
S301
�455
�380
$55
$223
596
51,078
(§878)
($1,668)
(SO)
($97)
(S11)
($440)
($67)
(5750)
($80)
(5115)
(�101)
5154
S53
$26
$44
$86
�2
$60
5380
S37
�u50
Please reference our invoice number and amouni with your payment. Send only to the address on this invoice. Page 2 of 2
� ��� ; `:
,,,,
�� E� €���� L Accounts Paya6lc Deparlmont Accoss
NIGP Code 6rowse � My Account � Cus[omer Service � Abou[ Currant Organfzation: CITY OF fORT WORTH � MarClt 27, 201611:26:25 AM CDT p Q�..,: �
Home Documents Vicki McDona�d
Invoice #: RET CS44618-FINAL Vendor #:0000001475 Vendor Group #:01 s�a��5: aut-Rooay ro�a���o�,i '�-3
General Itoms Credits Subcontractors Accounts RouUng Attnchmonts Notas Remindor Chango Ordor Summary Back to PO
---
Gonoral Va�ldatian Wamtngs
• Accounl code 15-C302-205000-OOOOOOA00100 is in the red by S3 _509.00. ....
Header information
II7VOICBNUIt1bBC RETCS44618-FINAL InVOiCBStBiUS: AIR-ReadyforAppraval invo(ceType: machinc�
Invoice Aulo-gonerated RPA Invoice IIIVOIC@ DBtB: 11/3012014 Effeet Date: o3�2�no�s
Description:
PaymentAmount: Szn,oa�.�o HandlingCode: ACH(DIRECTDEPOSIT) Payment �p�52014
Date•
Payment Terms: ACH (DIRECT DEPOSII�
Paid-BanklCheck:
Entered By: Vicki McDonald
Credit Amount: So.00
Updated By: vitki Mcoonald
RecetvedDate: �vsonoia11:27:oonM
Purchase Order Information
Purchase order DRPA-15-00067999
Number:
PO Amount: 524,aa7.to
PoVendor Information
V@i7d0 f: 0000001475 - JOHNSON
CONTROLSINC
Vendor RQmit-to Ted codawski
Add1'855: BLDG EFFICIENCY DIVISION
7461 AIRPOR7 FWY
ACH ONLY
RICHLAND HILLS, TX 76118
us
Emaii: Jc�ar-bo-us-
cash. app�IcatlonQjc(. com
Phone: (F366�56•9681
FAX�(972)869-9A21
Id: 12000
Item Information
Invoice Item #/PO Item #: 1
PO
Ilom Stalus
3PCR - Completa Receipt
MAKE:
ASS[T MODEL
ASSET MANUF:
ASSET SERIAL�
ASSET VIN:
ASSET TAG:
EvenlTypo
Exp.
Exp.
Enc.
Enc.
PaymentTerm o
Day:
Alternate id:
Entored Date: oa�z7no�5
Updated Date: oa�z�nois
Payment o p,�
biSCOUOt:
PO Description CS44618 Renovate Aoditorlum Alr Handler 8 Provide
Chilled and Hot Water Pump Redundency al VJRMC
RemainingTo $o� Buyer:
Invoice:
Address Grp: ot
Fed ID: ^^^ooto
vickl
McDoneld
CS44618 Renovate Audltorium Atr Handler 8 Provide Chilled and Hot Water Pump Redundancy al WRMC GG04-2050W-D000000 8
C302-205000-000000400100
Fiscal Year
15
15
15
15
Perm{t Invoieu Olscount Y.
To Pay Amounl
$o.o0 524,047.10
Remit Text:
Oripinal Final
PayAmounl Pay
0.0% S0.00 Yas
Accaunl Coda
GGOA-205000-0D00000
C302405000-000000400100
GG0�1-205000-0000000
C302-205000-OOOWOq00100
Transaction Nnounl
520,53�.13
53,508.97
-520,538,13
-53,508.97
s�b�.�,.�.�.� eo,,���.�:�
����� CERTIFICATE OF
Johnson COMPLETION
Controls
Date: 01/30/2015 JCI Contract Number: 3PYL-0007
l (Name & Address)
City of Fort Worlh
401 W. 13th Street
Fort Worth, Texas 76102
Mike Milam
File
City of Fort Worth
A01 W. 13th Streei
Fort Worth, Texas 76102
N1A
nts List:
Proportlonal Acceptance: Speciflc portion of the proJect has been complete and Owner accepts the portions �
below and noted warran date
X Substantial Completion: Total proJect Is substaniially complete and Owner may engage the system or design�
orlions ihereof for which it is Intended
Substantial Complet(on for Guaranteed Savings: ProJecPs Field Improvements Measures are complete with
regards to Guaranteed Sav(ngs and Owner accepts lhese measures as complete and acknowledges that the
Guarantee Savings Period shall begin on the date of this Ceriiflcate
Final Acceptance; Owner accepis project as totally complete, warranty periods shall begin as noted on lhis
document excludlna anV prev(ous Proportional Acceptance Certificates
A Ilst of itmes to be completed or corrected, prepared by JCI and verifled by lhe owner or hls representat(ve, is below
and or altached hereto If noted below. The fallure lo include any item on such list does nol alter the responsibllily of
JCI to complete all work In accordance with the contract documents.
Date to be In(tial
Addltional Items Remaining to be Completed Completed Complete
by Owner
1 2/16/2015
2
3
4
5
Addional Items atlached on Attachment N/A dated N/A If marked
notes:
Owner accepts the work or deslgnated portion thereof as complele and wlll assume full possesslon
re as of:
erorOwner'sRepresenlative Poslllon Company Slgnalufe ,
as
Senior Construcian • Z,Z •� S'
M(lam Manacter Cltv of Ft Worth `7
0
CONSENT G1F SURETY
TO FINAL PAYMENT
AIA I7ac,xtm2na G707
Bond No. 8230-23-51
TO O\�/NER:
(Na�ne ru�daddrn.cs)
city of Fort wortn
1000 Trockmorton Street
Fort Worth, TX 76102
k'I�OJ�CT:
(Ncune urrd addnax�l
Will Rogers Memorial Convention Center
O\Y/NRR
AItCI-IlTI?CT
co�t�c�•o�
SUR�S TY
OTHF,R
ARCHITECT�s rxoJ�c�r No.:
■
■
■
��
l�.
CONTRAC!' FOIi: AHU and Pump Upgrades & Controls
CONTRACT DATED: May 28, 2013
In accqrdanCe with ihe provisions af the Concract Uenveen tile Owner and the Contraett>r at; indit�tetl abnve, the
pnacrr �rau�c and ucld��.•srojSurrhl
Federal Insurance Company
15 Mountain View Road
Warren, NJ 07059
, ��'I'�'i
on vand oE
(lixcen rzame and addross qjCaN+nctw )
Johnson Controls, Inc.
5757 North Green Bay Road
Milwaukee, WI 53209
, CONTRACT`OR,
llereby approves of the flnal payment co che Conh�actnr, and agrees tl�at ftna[ payment to the Ccmtractor shall nt�r relieve the Su,�ery oE
any of 1�s o}�ligacions to
fD�.calt nt+�Nc und adtGe.� oj4rrRCT)
City of Fort Worth
1000 Trockmorton Street
Fort Worth, TX 76102
as sec fnrcl� in s�id Surety's Ucand.
IN Wi17VrS5 WHGIu'sOF, the SUrery hus hereun�n set irs hand an thi� date: January 16, 2015
pruv�9 Ui u4ill�u{ 1!x nronfb fo!loueuf hN r!x mu�rc�rlc drrtearid��car,�
/I .�% 11�,/ /._
, o�r�,
Federal Insurance Company
(s4ntiN��
(,S�q,rart»rojar��bar� ctir��nntariie�l
Cathy Hutson Attorney-in-Fact
(P�iiurrt rturr:n uird lrtln)
Surety Phone No. 908-903-2000
G7a7---7 99�
Chubb r°WEK �dera� insurance company Attn: surety oepartment
OF vgilant Insurance Company 15 Mountain View Road
Surety AiTORNEY pacific indemnity Company Warren, NJ 07059
owu� .
Know All by These Presents, That FEDERAL INSURANCE COMPANY, an Indiana corporation, VIGILANT INSURA,NCE
COMPANY a New Yor1c corporation, and PACIFIC INDEMNITY COMPANY, a Wisconsin carporation do each hereby constitute and
appoint Ka�hieen A. Crary Cathy Hutson, Daniel J. Kwiecinski, Tracy K. Matthews, Wenc�y S. Mfller, Daniel J. Sapiro
and Lisa M. Slakes af Mitwaukee, Wisconsin—�----- ----- ---�------------.._._.�
each as their true and lawful Attomey in• Fact to execute under such deslgnatlon In their names and to affix their oorporate seais to and deliver for and on tl�eir behalf as surety
fhereon or olhenvlse, bonds end undertakings and other writings obtigelory in the nature ihereof (other lhan bafl banda) given or execx�ted In the course of business, and any
insW ments amending or altering the same, and consents to !he modfllcatlon or aReration of any InsWment referted to In said bonds or obligations.
In VYttriees Whereof, said FEDERAL INSURANCE COMPAt�r, VIGILANT IN3URANCE COMPANY, and PACIFIC INDEMNITY COMPANY have each executed and attested
these presents and affuceti thelr corporate seats on thfs 23 day at OCtOb@f, 2014.
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STATE OF NEW JERSEY
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Counly ot Somersd
on uus 23"d day ot OCtab81'� 2014 batore me, a Natary Public of New Jersey, persanaly came Dawn M. Chbros, lo me known to heAssistant Seaetary of FEDERAL
INSURANCE COMPANY, VIGILANT INSURANCE COMPANY, and PACIFlC INDEMNITY COMPANY, fhe companles whlch executed lhe foregoing Pawer of Attomey, and ihe
sakl Oavm M. Chloros, being by me duy swam, dId depose and say lhat she is Asslshant Seaetary of FEDERAL INSURANCE COMPANY, VICi1UlNT INSURANCE
COMPANY, and PACIFIC INDEMNI7Y CQMPANY and knows the corporate seata lhereof, thet the seals a�xed to the foregoing Power a1 Attomey are such carporate seals
and were lhereto allixed by authority of the By Laws of sald Campanles; and that she signed said Power of Attomey as Assistent Saretary of sald Companles by Iike authodty,
and lhal sha !s ecquainted with Devid B. Mortis, Jr., and knows him ta be Vice President of said Campanies; and that Ihe signatura of David B. Norris, Jr., subsCribed to said
Power otAttomey is in the genume handwrlUng ot DaWd B. Norcis, Jr., and was chereto subscribed by authoriry of sald By- Laws and in deponenPs presenoe.
Nolarial Seai
KnrHewn�e �. r��
Norar�r Pueuc oF ro�nr,�sev Glli�— - �
�c�or,�y No. r�,�sss
�.' Commlasion Expkes Ju}y 18, 20i9
Notary Public
ypUBUC
�y��q�t� , CERTIFICATiON
Extrecl (rom the 6y- Laws of FE INSURANCE COMPANY, VIGILANT INSURANCE COMPANY, and PACIFIC INDEMNfTY COMPANY:
'All pawers of attomey !or ar�d an behaH of the Company may and shell be executed fn ihe name and on behelf of the Comparry, either by the Chairman or lhe
President or a Vice Prnsident or an Asslshant Vice Preside�t, joinlly with the Secretary or an Assistnnt Secretary, under thelr respective de5lgnelions. The
signature o� such oiRcers rt►ay be engraved, printed or fitlwgraphed. The signature of each of Ihe following officers: Chafrman, PresideM, eny Vioe Pmaldent, any
Assistanl Vlce Presldent, any Seaetary, eny NssiSWn! Secretary and the aeal ot the Camparry may be aRxed by fecsimile bo any power of attamey ar U� any
cerlificate relaUng lherelo appointlng ilssistam Sea�etaries or Attomeys- in- Fad tor purposes only of execuUng and attes6ng bonds and undertakings and other
vrtitings obligatory in the nature Ihereof, and any such power of attomey or certiflqte bearing sush fac.simlle afgneture or faplmile seal shall be valld and bindtng
upon the Company and any such power so exeu�ted and cerUfied by such facsimlle signature and tacsimlle seal shail be vaAd and hlnding upon the Company
with respect to atry bond or undertakfng to which it is ettached,'
I, oawn M. Chloros, Assistant Secretary of fEDERAL INSURANCE COMPANY, VIGILANT INSURANCE COMPANY, and PACIFIC lNOEMNITY COMPANY (the'Companles'�
do hereby ceAify that
n the foregoing e�QreG of Ihe 8y Laws oF the Companies Is W e and cortect
(i) the Campanfes are duty licensed and auUiorized to Uansact surely business in all 50 of the United Sfates ot America and U�e DlsUict of Columbia and are
autl�otized by the U.S. Treasury Departme� further, Federdl and Vigilant are Iicensed In the U.S. Virgin Isianda, and Federal is Ifcensed In Americen
Samoa, Guam, Puerto Rlco, and each of the Provinces oF Canada exc8pt Prince Edward Island; and
Qf� ihe foregofng Power of Attomey is hue, oortec� end In full torce and etfect
Given undar my hand end seels ot said Companles a! Warten, NJ this �a n v/� I�� 2 v�✓
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Dawn M. Chloros, Asslstant Secretary
IN THE EVENT YOU WISIi TO NOTIFY US OF A CWM, VERIFY THE AIJTHENTtCITY OF T}i15 BQND OR NOTIFY US OF ANY OTHER MATfER, PLEHSE CONTACT US AT A�DRESS
LIBTEDABDV ORBY Tel hona BO8 803-3483 Fex 90e 9033856 o•maiC ctwbb.com
—Form TSlO� 0225�0—QEFfCONSENT r v. 01=74) --
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Routing & Transmittal Slip
Date: March 27, 2015
To: Department Initials Date
01 Glenn Balog PMD C� -' .��s'
02 Wayne Corum PMD �� 3 f�l�s"
03 Vicki McDonald PMD UhV� 3 3�
04 Kirk Slaughter Public Events/FWCC � � 1�
05 Susan Alanis CMO Q-
06 Vicki McDonald PMD � � ��
From:
Subject:
Amount:
Vicki McDonald x2586
NOTICE OF PROJECT COMPLETION / FINAL PAYMENT
RENOVATE AUDITORIUM AIR HANDLER AND PROVIDE
CHILLED WATER AND HOT WATER PUMP REDUNDANCY
WILL ROGERS MEMORIAL CENTER
$24,047.10
_ Action
X Approval
_ As Requested
Circulate
Comment
_ Coordination
_ File
_ For Clearance
For Correction
For Your Information
,_., Investigate
_ Justify
_ Note & Return
_ Per Conversation
� Prepare Reply
_ See Me
X Signature
_ Other
Remarks: If you should have any questions, please contact me at x2586.
Thank you.
C:18ACKU PDI\W P{W P?.BK2