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Contract 53039-FP1
FORT WORTH® TRANSPORTATION AND PUBLIC WORKS NOTICE OF PROJECT COMPLETION City Secretary No: 53039 -F P 1 Date Received:12/12/22 City Project Ns: 102195 Regarding contract for Water main Extension Replacement&Relocation Contract 2019 as required by the TRANSPORTATION AND PUBLIC WORKS DEPARTMENT as approved by City Council on 9/17/2019 through M&C C-190158 the director of the TRANSPORTATION AND PUBLIC WORKS DEPARTMENT upon the recommendation of the Assistant Director ofthe Transportation&Public Works Department has accepted the project as complete. Original Contract Prices: $2,000,000.00 Amount of Approved Change Orders: $0.00 N2 Revised Contract Amount: $2,000,000.00 Total Cost Work Completed: $ 1,993,135.26 Less Deductions: Liquidated Damages: 0 Days Q$650.00/Day Pavement Deficiencies: Total Deduction Amount: $0.00 Total Cost Work Completed: $1,993,135.26 Less Previous Payments: $1,993,135.26 Final Payment Due $6,864.74 ft -1-44 �w��•. Dec 8, 2022 Recommended for Acceptance Date Asst. Director, TPW - Capital Delivery Dec 8 2022 Christopher Hard (Dec& ZDZZ 15:29 CSTI Accepted Date Director, TRANSPORTATION AND PUBLIC WORKS DEPARTMENT Client Department Alfa Dec 8. 2022 Dana Rur¢hdnff(D 8.2022 10 CST) Asst. City Manager Date Comments: OFFICIAL RECORD CITY SECRETARY FT.WORTH,TX a v w c rn i`4 0 N 0 o fyn M � n No o a U CA 69) V) w H Q V3 V1 Ifl V3 � � � V3 V9 Vl Vf pp o h � T o � •� b�A N ro Q e d v o V 8 W o _ z i � O a _ c >• ,ta F � fx n a F U a y R q ) o o Pi 00 c o v `o A a0 a O S F U41 C4 fY - � �" °� a u ❑ � '�' A m 0 a 0.0 W U C y q o DS iC d F E w o W O U ro a p a p U Q U c O O a O U >, r 94 o w o z o z" u a a � 9 v w �y U E.y �•+ N N'1 Q y b n 00 Ol co n �y m z o U ❑ C'—v G... C O n C o cm d Fy Q EWy .p ❑'ei U ❑ O P, ° O O ti cu �J' Q F Pam• E E U 3 g NW � �wo �I 0. q N ti. iNN) d S,�'b•�yC N ❑ aCi C ❑O V O �y O �py?a O 'j.. 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J w I 9 n7 I I i y , g. z I d p 69 � O O ! o t i � i w III � i N O i j FORTWORTH TRANSPORTATION AND PUBLIC WORKS PIPE REPORT FOR: PROJECT NAME: Water Main Extensions,Replacements 2019 PROJECT NUMBER: 102195 DOE NUMBER: WATER PIPE LAID SIZE TYPE OF PIPE LF PVC 4" C-900 493 PVC 6" C-900 896 PVC 8" C-900 3,413 PVC 12" C-900 541 FIRE HYDRANTS: 23 VALVES(16" OR LARGER) PIPE ABANDONED SIZE TYPE OF PIPE LF DENSITIES: YES NEW SERVICES: 1" COPPER 853 1.5" COPPER 210 2" COPPER 619 SEWER PIPE LAID SIZE TYPE OF PIPE LF PIPE ABANDONED SIZE TYPE OF PIPE LF DENSITIES: NEW SERVICES: TRANSPORTATION AND PUBLIC WORKS The City of Fort Worth• 1000 Throckmorton Street•Fort Worth,TX 76012-6311 d) 1 (817)392-7941 •Fax: (817) 392-7845 1 FO RT WO RT H R TRANSPORTATION AND PUBLIC WORKS November 22, 2022 Circle C Construction P.O. Box 40328 Fort Worth,Tx 76140 RE: Acceptance Letter Project Name: Water Main Replacements, Extensions 2019 Project Type: Water City Project No.: 102195 To Whom It May Concern: On November 22, 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 November 22, 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 817 392-7829. Sincerely, Adolfo Lopez Adolfo Lopez(Dec 7,202214:29 CST) Adolfo Lopez, Project Manager Cc: Steve Cisneros, Inspector Mike Glover, Inspection Supervisor Randy Horton, Senior Inspector Lawrence Hamilton, Program Manager CFW Water Dept., Consultant Circle C, Contractor CFW, Developer File E-Mail: TPW_Acceptance@fortworthtexas.gov Rev.08/20/19 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; Water Main Extensions, Replacements, and Relocations Contract 2019 City Project Number 102195 BY P sident Subscribed and sworn before me on this date 6 of July, 2022. Pie••>,MJCHELE S LANKFOR FO Notary Public STATE OF TEXAS Notary ID 117594g g MY Comm,EV.October 7,2M Notary Public Tarrant, Texas CONSENT OF SURETY OWNER TO FINAL PAYMENT ARCHITECT ❑ ALA Document G707 CONTRACTOR ❑ SURETY ❑ OTHER ❑ Bond No.TXC611167 TO OWNER: ARCHITECT'S PROJECT NO.: City of Fort Worth City Project No. 102195 1000 Throckmorton Street Fort Worth,TX 76111 CONTRACT FOR: Utility Improvements CONTRACT DATED: September 17,2019 PROJECT: (name, address) Water Main Extensions,Replacements&Relocations Contract 2019 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 50266-7754 , 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 76111 ,OWNER, as set forth in the said Surety's bond. IN WITNESS WHEREOF,the Surety has hereunto set its hand this date: July 06,2022 (Insert in writing the month followed by the numeric date and year.) Merchants Bonding Company(Mutual) (Surety) (Signature of authorized representative) A#est: itness as to Surety: Sheryl A.Klutts,Attorney-in-Fact (Seal):'/ (Printed name and title) e $8�4m John A.Miller,Witness 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 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)-i n-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-Attorney 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 Attorneys-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 Attorney-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 (�P O/Q' �0: �'p�• RP 0' '�.y•, MERCHANTS BONDING COMPANY(MUTUAL) MERCHANTS NATIONAL BONDING,INC. 2003 :`zjc :a' 1933 �.e: By �.�•.. .... �•....• 'L1 President STATE OFIOWA ,•''''"""''•'•'' •.•' "•�•• COUNTY OF DALLAS ss. On this 11th day of February 2020 before me appeared Larry Taylor, to me personally known, who being by me duly sworn 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. APµIA(0 POLLY MASON o v Commission Number 750576 °°°° 6 My Commission Expires 10WP 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 6th day of July,2022. ''.............. •,•. ..•. CO GORP 0%i9 •�O•�OR P 0 q��!9y�• �l��!�����/////yyyyyrrrrr CO -O- G:�: .I_:ae -4- 0:—: 2003 �lj; a 1933 c' Secretary POA 0018 (1/20) ""•"''' ••