HomeMy WebLinkAboutContract 54691-FP1 FORT WORTH,
TRANSPORTATION AND PUBLIC WORKS
NOTICE OF PROJECT COMPLETION
City Secretary No:54691-FP 1
Date Received: Oct 24, 2022
City Project Ne:101451
Regarding contract 54691 for 2018 CIP YEAR 2 CONTRACT 4 as required by the TRANSPORTATION AND
PUBLIC WORKS DEPARTMENT as approved by City Council on 08/11/2020 through M&C 20-05441 the
director of the TRANSPORTATION AND PUBLIC WORKS DEPARTMENT upon the recommendation
of the Assistant Director of the Transportation&Public Works Department has accepted the project as complete.
Original Contract Prices: $6,594,285.30
Amount of Approved Change Orders: $ 2,580.00 NO
Revised Contract Amount: $ 6,596,865.30
Total Cost Work Completed: $5,858,136.79
Less Deductions:
Liquidated Damages: 0 Days Q$650.00/Day
Pavement Deficiencies: $ (13,612.80)
Final Inspection Adj. (Gross)
Total Deduction Amount: $ (13,612.80)
Total Cost Work Completed: $5,844,523.99
Less Previous Payments: $5,565,229.95
Final Payment Due $279,294.04
Oct 19, 2022
Recommended for Acceptance Date
Interim Asst. Director, TPW - Capital
Delivery
Z-az-.4"V1 iot'4� Oct 19, 2022
Accepted Date
Interim Director, TRANSPORTATION AND PUBLIC WORKS
DEPARTMENT Client Department
_WilliamQ" Oct 20, 2022
Johnson(Oct 0,2022 08:57 CDT)
Asst. City Manager Date
Comments: OFFICIAL RECORD
CITY SECRETARY
FT. WORTH, TX
C-620 Signature Page
Contractor's Application for Payment Invoice No. 21 -FINAL
To(Owner) City of Fort Worth Invoicing Period(From-To): Invoice Date:
8-24-2022 to 9-30-2022 10/3/2022
P.O• FW020-0000004722 From(Contractor): Remit to(If Not Automatic Deposit):
Number: Woody Contractors Inc.
Contractor'sCFW Vendor No.:
Project: 101451 0000035314
City Secretary Contract 54691 Contract
Number; Namme::2018 CIP Year 2-Contract 4
Application For Payment
Change Order Summary
Approved Change Orders 1. ORIGINAL CONTRACT PRICE........................................................ S $6,594,285.30
Number Additions Deletions 2. Net change by Change Orders............................................................... S S2,580.00
1 $4,450.00 $1,870.00 3. Current Contract Price(Line 1 1 2)...................................................... S $6,596,865.30
2 4. TOTAL COMPLETED AND STORED TO DATE
3 (Progress Estimate,Construction Allowance and Change Orders)..... S $5,844,523.99
4 5. RETAINAGE:
5 / a. X $5,844,523.99 Work Completed......... S
6 b. X Not Used $
7 c.'Total Relainnge(Line 5a+Line 5b).............................. S
8 6, AMOUNT ELIGIBLE'TO DATE(Litre 4-Litre 5c)........................... $ $5,844,523.99
TOTALS $4,450.00 $1,870.00 17. LESS PREVIOUS PAYMENTS(Line 6 from prior Application)......, S S5,565,229.95
NET CHANGE BY $2,580 00 8. AMOUNT DUE THIS APPLICATION............................................... S $279,294.04
CHANGE ORDERS 19.VALANCE TO FINISH,PLUS RETAINAGE
(Column G on Progress Estimate+CA+COs+Line 5 above)............. S $752,341.32
Contractor's Certification 10. CONTRACT'TIME:
The Contractor certifies with the submittal of this document and associated Payment Request Submittal n. Days Awarded 540
on the City of Fort Worth Buzzsaw system that to the best of their knowledge:(1)all previous progress b, Days Added by CO
payments received from Owner on account of Work done under the Contract have been applied on C. Total Days 540
account to discharge Contractor's legitimate obligations incurred in connection with Work covered by
prior Applications for Payment;(2)title of all Work,materials and equipment incorporated in said
Work or otherwise listed in or covered by Ibis Application for Payment will pass to Owner at time of d. Days Charged 528
payment free and clear of all Liens,security interests and encumbrances(except such as are covered by
a Bond acceptable to Owner indemnifying Owner against any such Liens,security interest or e. Days Remaining 12
encumbrances);and(3)all Work covered by this Application for Payment is ill accordance with the
Contract Documents and is not defective.
Liquidated Damnges net,$650.00 x Day
1-3�ct 18,2022 15:23 CDT)
This document has been modified from Its original form as an EJCDC document and the user did not highlight the
modifications.You are encouraged to read the document carefully and consult Legal Counsel prior to Its execution.
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Progress Estininte Construction Allowance Usnge Contractor's Application
ADDITIONS
ra(moumg 101451 201R CIP Y-2-C601rnd,4 Cny sw.n,ry SJ691 AmlkaimNunhr. 21-FINAL
croMr,n NYM:
,y1JI:aRn wA,J. 8.24-2022 to 9-30.2022 10IJI2022
A n c n R F
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SS! HI AR? CI' MOONING, SAN Si/AO.M 60.0 m0000 $2,I00.00 SI,IOOAO S1,Imoo 100% Sl,9MM
107 1.111i1 AR2 Cl' 20060000060 S13.0 SIyAO.M 90.OD000Om f),IS6A0 $),ISO" S),IIOM 63A1S S)•IIO.M
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Ida R--t Wvu Smk,a Nfu P+,R m Cl"m A— AR( is IOMODMI 321900.M $1,900.0 1000OOON 37,9M.M 31,9MM $1,900M 1M0`:
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Progress Estimate Construction Allowance Usnge Contractor's Application
CONSTRUCTION ALLOWANCE ITEMS TO BE REDUCED
r.(+a y 101451 20I8CIPYrnr2-Conlmrt4 .\7ylwnm*°a9,7, 21-FINAL
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ADDITIONS
p.0-11)' 101451 2018CIPY-2-Conlr.cl4 CIIys.,,4q 54691 Applk,*.N-b1 21-FINAL
cmwa N9m:
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A II C O R
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Prokress Estimate Change Order Number I Contractor's Application
DELETIONS
Fw(cmva<0: 101451 2018 CIP Year 2-Cant ral4 AppOn4m NwnM: 21-FINAL
Appl"fi.PeMk 8-24.2022 to 9-30.2022 Appik.d.O,b: 10A11012
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City of Fort Worth Summary of Charges
CitySecrmary Contract Num: 54691 2018 CIP Yew-2-Contract 4 p,p,; FW020-0000004722 project Number. I01451
Application Period: 8.24-2022 to 9.30-2022 Application 21-FINAL Application Date: 10/3/2022
Number:
- --- -
Funding Idonllficatlon(FID) I Total Com lelod �—Aml Romainlne I Grose Retainego Net
Original Contract
34018-0200431-5740010-101451-002480-9999-18010199 $3,167,858.79 $603 602.22 $13,812.00 $13,812.00
69601-0600430-5740010-101451-001780 $2 136 616.40 $55 962.20 100
59607-070043D-5740010-101451-001780 $450,201.10 $65,797.00 rn 1l l
52002-0200431-6740010.101451-002880-9999 $05 497.70 $28,769.90 n nu
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Change Orderl
34018-0200431-5740010-101451-002480-9999-18010199 a ul l n.url full n ulI
59601-0600430-5740010-101451-001780 $4.450.00 $1,870.00 nil
69607-070043D-5740010-101451-001780 tl nu I13j "•1'10
52DD2-0200431-5740010.101451-002880-9999 Mjill nu u.pu of
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City of Fort Worth Summary of Charges
City Secretary Contract Num: 54691 2018 CIP Yen 2-Contract 4 P.p.. FW020.0000004722 project Number: 101451
Application Period: 8-24-2022 to 9-30-2022 Application 21-FINAL Application Date: 10/3/2022
Number:
Fundln9 IdentlOcatlon FID Total Completed Amt Romalnin Gross I ( Rotalnago Not
Chango Order 3 -
34018-0200431-5740010-101451-002480-9999-18010199 nlu
69601-0600430-5740010.101451.001780
69607-0700430.5740010-101451-001700 "''' _ " 11!"'
52002-0200431-5740010-101451.0028g0-9999
0
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Change Order 4
34018-0200431-5740010-101461.002480-9999-18010199 '!'" '!"' 01
59601-0600430-5740010.101451-001700
69607-0700430.5740010-101451-001780 uo nn unu
52002-0200431-5740010-101451-002880-9999 "!! 110 "ii1
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Chan eOrder6
134018-0200431-5740010-101451-002460-9999-18010199
59601-0600430-5740010.101451-001780 ,!"'
59607-0700430-5740010-101451-001780 I WO 1,o
52002-0200431-5740010-101451-002880-9999
0
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6')
City of Fort Worth Summary of Charges
City Secretary Contract Num: 54691 2018 CIP Yen-2-Contract 4 P.p• FN020-0000004722 Project Number: 101451
Application Period: 8-24-2022 to 9-30-2022 "pp1iolion 21-FINAL Application Dnto: 10/3/2022
pplica r:
Funding IdontiPlcation(FID) Total Com leled Amt Romainin Gross J ( Rotainago ( Not
Chengo Order 8
34018-0200431-5740010-101451-002480-9999-18010199
59601-0600430-5740010-101451-00178D
59607-0700430-5740010-101451-001780 "ul
52002-0200431-5740010-101461-0028B0-9999 "' 11k,
0
0 Uu a tin
p 1Oiil
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0 s,u,in .1 0 oll
-Chan a Order 7
34018-0200431-5740010.101451-002480-9999-18010199 IOH JlAW
59601-0600430-5740010-101451-001780 ,l1) )'j')
59807-0700430-5740010-101451-001780 cp i.n'i
52002-0200431-5740010-101461-002080-9999
0 uw 1 wI
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Change Order 8
34018-0200431-5740010-101451-002480-9999-18010199
59601-0600430-5740010-101451-001780 "01 IN
59607-0700430-6740010-101451-001780 I Joi) I
52002-0200431-5740010-101451-002880-9999
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City of Fort Worth Summary of Char es
City Secretary Contract Num: 54691 2018 CIP Year 2-Contract 4 P.O,: FW020.0000004722 Project Number: 101451
Application Period: 8-24-2022 to 9-30-2022 Application 21-FINAL Application Date: 10/3/2022
Number:
Funding Identiticatlon(FID) Total Dom lotad -AmtRommining Gross Rotalnage Not
I
Totals
34018-0200431-5740010-101451-002480-9999-18010199 $3,167.858.79 $603 682.22 $13 612.OD $13.612.80
69601-0600430-6740010-101451-001780 $2.140,960.40 1 $54,092.20
59607-0700430-5740010-101451-001780 $450,201.10 $66.797.00 rill
52002-0200431-5740010-101451-002000-9999 $65,497.70 $28 769.90
D
0
0 A 1)
0
0 I
0 nn
0 rtl u,i n ot,
Grand Total 5,844,623.99 $762,341.32 1 ($13,612.00) 292,906.84 $279.294.04
I
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------.`_—��--- CSC No.54691-CO1
Change Order bequest
Project Name 12018 CIP Year 2,Contract 4 City Sec No. 54691
Project No.(s)59 6 0 1159 6 0 713 4 0 1015 2 00 2.101451 DOE No, N/Fl City Pro.No, 101451
Project Water,Sanitary Sewer,Storm Water Improvements followed by Paving Improvement on several streets In CD 2.
Descfiplton
Conlractorl Woody ConVac6ae,Inc. Change Order II u Date: 12122/2020
City Project Mgr.I Liam Conlon City Inspector I Tamara Vaughn
Phone Number:1 017-392.6624 Phone Number, 662-225-9106
Dept, UNIT 1:Water I UNIT 2:SoWor I UNIT 3:TPW UNIT 4:SW Totals Calandar Days
(Calandar Days)
Original Contract Amount $2,192,470.60 $516,990,10 $3,771,641.00 $114,267.60 $6,694.205.30 540
Extras to Dale
Credits to Dale
Pending Change Orders(in M&C Process)
Contract Cost to Data $2,192,470,60 $516,998.10 $3,771,641.00 $114,267.60 $6,594,205.30 640
Amount of Proposed Change Order $2,500.00 $0,00 $0.00 $0,00 $2,680.00
Revised Contract Amount r$2,195,058.60 $515,990.10 $3,771,541.00 $114,267.60 $6,696,865.30 640
Orlg.Funds Available for Change Orders 9,624.30 $25,800.00 $100,677.00 $11,427.40 $335,428.70
Remaining Funds Available for this CO 7,044.30 $26,800.00 $100,577.00 $11,427.40 $332,840.70
Additional Funding(If necessary) 0,00 $0.00 $0,00 $0,00 $0.00
CHANGE ORDERS to DATE(INCLUDING THIS ONE)AS%OF ORIGINAL CONTRACT 0.04%
$ ,242,050.63
JUSTIFICATION(REASONS)FOR CHANGE ORDER
Change Order No.1 provides For the Installation of 2-Inch water service In letu of a 1-Inch water service that
was listed at a location on Clinton Avenue at the thne the project was advertised for bid.
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It is understood and agreed[hat the acceptance of this Change Order by the controctor conslilutes on accord and satisfaction and represents payment
in full(both time and money)for all costs arising out of,or Incidental to,the above Change Order,
Contractor's Company Name Contractor Name Contractor Signature Date
Woody Contracting,Inc. Troy Woody I „, - Dec 22,2020
Inspector Mal
��p( Project Manage y``) �7)Dale 2:awl ! ''-"- NO3.2020 /• o tl f'j� '/' !�� /
Director Water Del Conslrucll 1 Supervisor Tf De t V Dale
Assistant City Attorney Assistant CityManager Dale
Dear Dec 28,2020
Council Action If required)
M&C Number NIA M&C Date Approved
lF�]�T ���1Ea�CI3l City of Fort Worth
= _ Change Order Additions
Project Name 2018 CIP Year 2,Contract 4 Cily Sec No. 54091
Project No.(s) 59601/59607134018/52002-101451 DOM.= Clly Pro.No. 101451
Project Water,Sanitary Sewer,Storm Water improvements followed by Paving Improvement on several streets In CD 2.
Descripllon
Contractor Woody Conlracling,Inc. Change Order# M Date: 1212212020
City Project Mgr. Liam Conlon Clly Inspector Tamara Vaughn
AQQI hIONS
U�SZ;R1PTIUN DEPT G1ly Unit Unit Cost Tofal
52 2"Water Service UNIT 1:Water 1.00 EA 1$3,500.00 $3,500.00
53 2"Water Service,Meter Reconnect UNIT 1:Water 1.00 EA J$950.00 $950.00
UNIT 1:Water $4,460.00
UNIT 2:Sewer
UNIT 3:TPW
UNIT 4:SW
Additions Sub Total $4,450.00
Page 2 of 4
IF'a`> g VV0 R—Ju-1-11 city of Foci:VVot�(h
(change Order Deletions
Project Name 2010 CIP Year 2,Conlrarl 4 City Sec No. 1 54691
Project No,(s) 59G01159607134018/52002-101451 DOE No. N/A City Pro.No. F101451
Project Description Water,Sanitary Sewer,Storm Water Improvements followed by Paving improvement on several streets in CD 2.
Contractor Woody Contracting,Inc, Change Orderly Date 12/2212020
City Project Mgr. Liam Conlon City Inspector Tamara Vaughn
DELETIONS
ITEM DESCRIPTION I DEPT I Glty Unit Unit Cost JTotal
G 1"Waler Service UNIT 1:Water 1.00 EA $1,500.00 $1,500.00
7 1"Water Service,Meter Reconnect UNIT 1:Water 1.00 EA $370.00 $370.00
UNIT 1:Water $1,870.00
UNIT 2:Sewer
UNIT 3:TPW
UNIT 4:SW
Deletions Sub Total $1,870.00
Page 3 of 4
MIWBE- Broakdown for this Change Order
MWBE Sub Type of Service Amount for this CO
Total $0.00
Previous Change Orders
Cot► DATE AMOUNT
Total $0.00
Contract Comullance Manager
By signing I acknowledge that I am the person responsible
for the monitoring and adminish'atlon of this contract,including
ensuring all performance and reporting requirements,
Signature
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co \J k 00J
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Name of Employee
Title
ATTEST:
r ��� U •
MaryJ,Kayser
Clty Secretary
FORTWORTH
TRANSPORTATION AND PUBLIC WORKS
PIPE REPORT FOR:
PROJECT NAME: 2018 CIP Yr.2 Contract 4
CITY PROJECT NUMBER: 101451
WATER
PIPE LAID SIZE TYPE OF PIPE LF
8" PVC 8924
8" DIP 54
6" PVC 144
FIRE HYDRANTS: 11 VALVES(16"OR LARGER)
PIPE ABANDONED SIZE TYPE OF PIPE LF
DENSITIES:
NEW SERVICES: 1"(250) Copper
1.5"(1) Copper
2"(1) Copper
SEWER
PIPE LAID SIZE TYPE OF PIPE LF
8" PVC SDR-26 1398
8" DIP 248
PIPE ABANDONED SIZE TYPE OF PIPE, LF
DENSITIES:
NEW SERVICES: 4"(37) PVC SDR-26
TRANSPORTATION AND PUBLIC WORKS
The City of Fort Worth-1000 Throckmorton Street-Fort Wordi,'IX 76012-6311
(817)392-7941 -Fax:(817)392-7845
FORT WORTH.
TRANSPORTATION AND PUBLIC WORKS
October 7, 2016
Woody Contractors Inc.
650 Tower Road
Kennedale TX 76060
RE: Acceptance Letter
Project Name:CIP 2018 Contract 4
Project Type: 01,02,03,04
City Project No.: 101451
To Whom It May Concern:
On July 28, 2022 a final inspection was made on the subject project. There were punch list items
identified at that time. The punch list items were completed on October 7, 2022. 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 October 7, 2022, which is the date of
the punch list completion and will extend of two (2)years in accordance with the Contract Documents.
If you have any questions concerning this letter of acceptance, please feel free to contact me at 817-
392-5565.
Sincerely,
Mary Hanna, Project Manager
Cc:Tamara Vaughn, Inspector
Wade Miller, Inspection Supervisor
Ariel Duarte,Senior Inspector
Mary Hanna, Program Manager
Halff Engineering, Consultant
Trent Woody,Wood Construction, Contractor
N/A, Developer
File
E-Mail: TPW_Acceptance@fortworthtexas.gov
Rev.8/20/19
CONSENT OF OWNER ❑
SURETY COMPANY ARCHITECT Q
CONTRACTOR ❑
TO FINAL. PAYMENT o�R ❑
(SIMILAR TO AIA DOCUMENT G707)
Bond No. K40201737
PROJECT: 2018 CIP Year 2 -Contract 4
(name,address) Fort Worth,TX
TO (Owner)
ARCHITECT'S PROJECT NO:
City of Fort Worth CONTRACT FOR:
200 Texas Street
Fort Worth,TX 76102
CONTRACT DATE:
CONTRACTOR: Woody Contractors,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 Surely Company)
Vigilant Insurance Company
2001 Bryan Street,Suite 3600 ,SURETY COMPANY,
Dallas,TX 75201
on bond of(here insert name and address of Contractor)
Woody Contractors,Inc.
650 Tower Drive ,CONTRACTOR,
Kennedale,TX 76060
hereby approves of the final payment to the Contractor,and agrees that the final payment to the Contractor shall not relieve the
Surety Company of any of its Obligations t0(hero insert name and address of Owner)
City of Fort Worth
200 Texas Street ,OWNER
Fort Worth,TX 76102
as set forth in the said Surety Company's bond.
IN WITNESS WHEREOF,
The Surety Company has hereunto set its hand this 11 th day of July 2022
VIGILANT INSURANCE COMPANY
Surety Company
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Signature ofA uthorized 11,61fresentatTive
Attest: 7
(Seal): Kyle W. Sweeney _ Attorney—in—Fact
Title
Note:This form is intended to be used as a companion document to the Contractor's Affidavit of Payment of Debts and Claims,Current Edition
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C H U S s
Power of Attorney
Federal Insurance Company I'Vigilant Insurance Company I Pacific Indemnity Company
Know All by These Presents,That FBWRAL INSURANCE COMPANY,an Indiana corporation,VIGILANT INSURANCE COMPANY,a New York corporation,and PACIFIC
INDEMNITY COMPANY, a Wisconsin corporation, do each hereby constitute and appoint Elizabeth Gray, Charles D. Sweeney, Kyle W. Sweeney and
Michael A,Sweeney of Fort Worth,Texas.................................................................................. . . _ _...._._....._
each as their true and lawful Attorney-In-Fact to execute under such designation In their names and to affix their corporate seals to and deliver for and on their behalf as surety
thereon or otherwise,bonds and undertakings and other writings obligatory In the nature thereof(other than bail bonds)given or executed In the course of business,and any
instruments antending or altering the same,and consents to the modifcatlon or alteration ofany Instrument referred to In said bonds or obligations.
In Witnese Whereof,sold FEDERAL INSURANCE COMPANY,VIGILANT INSURANCE COMPANY,and PACIFIC INDEMNITY COMPANY have each executed and attested these
presents and.affixed their corporate seals on this 161E day ofSeptember,2010,
11awn M.ChImm AmisltmtSLcretufy Stephan K theicy,VlcoViy.-ldent
t
14 .
STATE OF NBWJBRSBY
Countyorifunterdon 68'
Onthisl6'a day ofSaptember,2010,before.me,a Notary Public OrNewlersaly,personally came Dawn M.Chloros,tome known to be Assistant Secretary or"DERAL INSURANCE
COMPANY,VIGILANT INSURANCE COMPANY,and PACIFIC iNDRMNITY COMPANY,the companies which executed the foregoing Power of Attorney,and the said Dawn M,
j Chloros,being by me duly sworn,did deposa and say that she is Assistant Secretary of FBDBRAL INSURANCE COMPANY,VIGILANT INSURANCE COMPANY,and PACIFIC
INDEMNITY COMPANY and knows the corporate seals thereof,that the seals affixed to the foregoing Power of Attorney are such corporate seals and were thereto affixed by
autborlty.of sald Companies;and that she signed said Power of Attorney as Assistant Secretary of said Companies by like authority.,and that she Is acquainted with Stephen M.
Haney,and knows him lobe Vice President of Bald Companlesi and that(he,signatum ofStophen M,Haney,subscribed to said Power of Attorney Is In the genuine handwriting of
Stephen M,Haney,and was thereto subscribed by authority ofsaid comparties and In deponerifs presence.
Notarial Seal rAp ItA-flieRINEJ,ADVLAAR
NOTARY NUOLIO OP"NEW JERUCY
pUBNo fia.RS
tloltrmlealpn Expirresoa Juiy 1e,2024 NnlsryfaJxlr.
CERTIFICATION
Resolutions adopted by the.Boards of Dlrectorsof FEDERAL INSURANCE COMPANY,VIGILANT INSURANCS COMPANY,and PACIFIC)NDEMNITY COMPANY on August 30,2016;
"RBSOLVEU,thal.the fbgowlrgauthorhatlons;+elate tothoexeeatlon,fbrand on behalfof IheCompany,ofbonds,undertakings,recognizanoes,contracts and other written commitments oflhe company
entered Into In the ordinary course of business(oneb a"Written Commllmenl"),
(D Bach of the Chairman,the president and the Vice presidents of the Compa ny 19 hereby authorzed to execute any Written Com mh ment for and onbehalfoftheCompany,un der the
seat oftixncompany at,otherwise,
(2) Bach duly appointed anomeylndact of the Company Is hereby outhorked to execute any Written Commitment for and on behalf of ilia Company,under the seal of the Company or
otherwise,to the extent thatsueh action Is authorized by the grant oQrowers provided for in such person's written appointment as such attorney-Inrfact.
(3) Bach of tho Chairman,the president and the Vice Prealdents of Ilia company la hereby laid orixed,fbr and oil behalfoftheCompany,tosppolntInwriting any person tile attorney.
in-fact of tine company with fail power andauthoritytoexecute,for and on behalfortheCompany,under the seal ofthe Company or all netwtse,such Written Camndtmenisorthe
Compa ny as may be opedfled In such written appointment,which sped Notion may be by general typo or elm of Wrluen commitments or by specification of one or more particular
Written Commltmelrte.
(4) Bach of the Chairman,the president and the vice Presldonle of ill u Company is hereby attiliodrad,far and oil behal f of the Company.to dolagate In writing(a any oth or officer of the
Compiler the authority to execute,for aad on behalf of the Company,tinder the Company's seat or otherwise,such Written Commitments of ibe Company as are sped fled in such
writ ton delegation,which specification may be by general type or class of Wrinen Commlenews or byspedficadon of one or more particular Written,Coal mitments,
(b) The algriliture ofany offlcor or other person executing any Written CommItimiu;or a ppoin imetit or dokV lion purttlant to this Resolution.a nd the seal of the Compa ny,may be affixed by
faainUia on such Written Canmltment or-written appointment or delegation,
FURT111 RROSOLVED,that the fore oing Resohndon shall not bedeemodtobeailexclusivestatementoflhepowerearidauthorityofoffeers,employeesandothen•persons to act for and onbehxifof
the Company,and such Itosolutionshaltnotlimitorollnerwlsaaffedtheexerciwofanysuchpowerorauthorityutherwlsovalidlyraantcdorvested."
],Dawn M,Chloros,Assistant Secretary of FBDBRAL INSURANCE COMPANY,VIGILANT INSURANCE COMPANY,and PACIFIC INDEMNITY COMPANY(the^Companies')do hereby
cenlfythat
(0 the foregoing Resolutions adopted by the Board ofDlrectors ofthe Companies are true,correct and In fall force and effect,
01) the foregoing Power ofAttomey N true,correct and in full force and effect,
Given tinder my hand and seals ofsald Companies at Whitehouse Station,NJ,this 11th day of July 2022,
�• Dawn Rt.I;illf>rlx;,7�C'Slal{Illl$C1;lY'Iill
IN Will EV.ENTYOU WISH IO VBRIFY'IYIRA VrDENTiCf1 Y OFTMS BOND OR KOPY US OF ANYOTHnR NATTBR,PLUASH CON7'ACC US An
Fete h ne 90g)+J03 3493 Itax B )903.3858 e•mall,sqre!XQchubbcom
FED,VIG•PI(rov.00•10)
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 Troy Woody,
President Of Woody Contractors, 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 frill;
That there are no claims pending for personal injury and/or
property damages;
On Contract described as;
2018 CIP YEAR 2 CONTRACT 4 _
BY
T it,cby% oody - President
Subscribed and sworn before me on this date 11"` I Day of July, 2022.
I,
Notary lie
Tarrant,Texas
LUz A RAVELO
e.GIII e`.o'. Notary Public,Stale of Texas
$•��y(p►�,1.: My Commission Expires
ti^,•``� N April 28,2023
NOTARY 10 12860410.0