Loading...
HomeMy WebLinkAboutContract 52292-FP1 NN Coded 12.12.22 Vendor Name: Thalle Invoice No.52292-FP1 Invoice Date:12/09/2022 FORTWORTH CSC No.52292-FP1 Release Retainage-$515,417.42 FID 56017-2060000-CO1227-CRETAN WATER DEPARTMENT ENGINEERING AND FISCAL SERVICES NOTICE OF PROJECT COMPLETION 59602-CO1227 CS 52292 Regarding contract 52292 for Sanitary Sewer Main 257 Upper&Middle Village Creek Parallel Relief Main Part 2A as required by the Water Department as approved by City Council on 4-16-2019 through M&C C-29096 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: $11,073,509.70 Amount of Approved Change Orders: $119,942.54 NO 2 Revised Contract Amount: $11,193,452.24 Total Cost Work Completed: $10,993,452.24 Less Deductions: Liquidated Damages: 0 Days @$630.00/Day Other Deductions(see comments): Total Deduction Amount: $0.00 Total Cost Work Completed: $10,993,452.24 Less Previous Payments: $10,478,034.82 Final Payment Due $515,417.42 Lz-z Recommended for AcceptancA Date Assistant Director, Water Department aw4z phi H"C7et• Christopher FNrder(Dec 13,202209:33CST) Accepted Date Director, Water Department Dana a"i_i aff Dana Burghdoff ec13,202216:11CST) City Manager Date OFFICIAL RECORD CITY SECRETARY FT.WORTH,TX Project Name: DOE. Ns: Sanitary Sewer Main 257 Upper&Middle Village Creek Parallel Relief Main Part Comments: 59602-CO1227 CS 52292 City Project Numbers 01227 DOE Number 1227 Contract Name Sanitary Sewer Main 257,Upper and Middle Village Creek Parallel Relier M Estimate Number 38 Contract Limits Council District 8 Payment Number 38 Project Type Sewer For Period Ending 3/31/2022 Project Funding Project Manager Argomaniz City Secretary Contract Number 52292 Inspectors Johnson / Reed Contract Date 4/16/2019 Contractor Thalle Construction Co.Inc. Contract Time 1147 CD Days Charged to Date 885 CD 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 $10,993,452.24 Less 0 %Retained $0.00 Net Earned $10,993,452.24 Earned This Period $515,418.02 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 $10,478,034.22 Plus Material on Hand Less 15% $0.00 Balance Due This Payment $515,418.02 Thursday,December 8,2022 Page 6 of 6 v RTH CITY OF FORT WORTH FINAL PAYMENT REQUEST Contract Name Sanitary Sewer Main 257,Upper and Middle Village Creek Parallel Relier Main Contract Limits Council District 8 Project Type Sewer City Project Numbers 01227 DOE Number 1227 Estimate Number 38 Payment Number 38 For Period Ending 3/31/2022 CD City Secretary Contract Number 52292 Contract Time 114CD Contract Date 4/16/2019 Days Charged to Date 885 Project Manager Argomaniz Contract is 98.000 Complete Contractor Thalle Construction Co.Inc. Inspectors Johnson / Reed Thursday,December 8,2022 Page 1 of 6 City Project Numbers 01227 DOE Number 1227 Contract Name Sanitary Sewer Main 257,Upper and Middle Village Creek Parallel Relier M Estimate Number 38 Contract Limits Council District 8 Payment Number 38 Project Type Sewer For Period Ending 3/31/2022 Project Funding Sewer Item Description of Items Estimated Unit Unit Cost Estimated Completed Completed No. Quanity Total Quanity Total ---- ---- ----------- ----------- 40 3110.0105 24"and Larger Tree Rem 10 EA $1,000.00 $10,000.00 10 $10,000.00 41 0330.0001 Concrete Encase Sewer P 170 CY $500.00 $85,000.00 170 $85,000.00 42 9999.0007 Gravel Road Repair 985 SY $3.50 $3,447.50 985 $3,447.50 43 3292.0400 Seeding,Hydromulch(Be 60600 SY $0.25 $15,150.00 60600 $15,150.00 44 9999.0008 Resprig Easement Area w 69120 SY $0.40 $27,648.00 69120 $27,648.00 45 3305.0104 Ground Water Control I LS $1.00 $1.00 1 $1.00 46 3339.0002 Epoxy Structure Liner( 4950 SF $18.00 $89,100.00 4950 $89,100.00 47 3339.0001 Epoxy Manhole Liner(5'(CO#2) 421 VF $275.00 $115,775.00 421 $115,775.00 48 9999.0009 Tree Protection Tempora 1 LS $1.00 $1.00 1 $1.00 49 3125.0101 SWPPP >_1 acre 1 LS $30,000.00 $30,000.00 1 $30,000.00 50 3471.0001 Traffic Control 1 LS $1.00 $1.00 1 $1.00 51 9999.0010 Santa Homes Propertysi I LS $1.00 $1.00 1 $1.00 52 9999.0011 Kluck Property site req 1 LS $1.00 $1.00 1 $1.00 53 9999.0012 Berger Property site re I LS $1.00 $1.00 1 $1.00 54 9999.0013 Bartosh Property site r 1 LS $1.00 $1.00 1 $1.00 55 9999.0014 Vargas Property site re 1 LS $5,000.00 $5,000.00 1 $5,000.00 56 9999.0015 Vernon Property site re 1 LS $1.00 $1.00 1 $1.00 57 9999.0016 Jones Property site req 1 LS $1.00 $1.00 1 $1.00 58 9999.0017 Ferris Property site re 1 LS $1.00 $1.00 1 $1.00 59 9999.0018 Deer Creek Stables Prop 1 LS $1.00 $1.00 1 $1.00 60 9999.0019 Mary Kathryn Arnold Tru 1 LS $1.00 $1.00 1 $1.00 61 9999.0020 Gutierez Property site I LS $1.00 $1.00 1 $1.00 62 9999.0021 Pre-Construction Topogr 1 LS $40,000.00 $40,000.00 1 $40,000.00 63 9999.0022 Post-Construction Topog I LS $1.00 $1.00 1 $1.00 64 9999.0023 Construction Staking I LS $2,500.00 $2,500.00 1 $2,500.00 65 9999.0024 Construction Survey(As I LS $1.00 $1.00 1 $1.00 66 9999.0025 Construction Allowance 1 LS $200,000.00 $200,000.00 1 3331.4701 60"Fiberglass Sewer Pi(CO#2) 10641 LF $405.00 1,309,605.00 10641 4,309,605.00 2 9999.0001 60"Fiberglass Sewer Pi(CO#2) 1859 LF $530.00 $985,270.00 1859 $985,270.00 3 3331.4709 60"Fiberglass Sewer Pi 1820 LF $750.00 .,365,000.00 1820 ,1,365,000.00 4 3331.4514 48"Fiberglass Sewer Pi 30 LF $400.00 $12,000.00 30 $12,000.00 Thursday,December 8,2022 Page 2 of 6 City Project Numbers 01227 DOE Number 1227 Contract Name Sanitary Sewer Main 257,Upper and Middle Village Creek Parallel Relier M Estimate Number 38 Contract Limits Council District 8 Payment Number 38 Project Type Sewer For Period Ending 3/31/2022 Project Funding 5 3331.4514 48"Fiberglass Sewer Pi 160 LF $400.00 $64,000.00 160 $64,000.00 6 3331.4414 3 6"Fiberglass Sewer Pi 160 LF $350.00 $56,000.00 160 $56,000.00 7 3331.4108 6"Sewer Pipe 17 LF $200.00 $3,400.00 17 $3,400.00 8 3305.0109 Trench Safety 12920 LF $0.01 $129.20 12920 $129.20 9 3231.0412 6'Fences,Wood(CO#2) 0 LF $26.00 $0.00 10 3231.0211 Barbed Wire Fence,Meta 2880 LF $6.50 $18,720.00 2880 $18,720.00 11 3231.0123 6'Chain Link,Aluminum 480 LF $27.00 $12,960.00 480 $12,960.00 12 0241.0500 Remove Fence 3570 LF $1.00 $3,570.00 3570 $3,570.00 3305.1307 84"Steel Casing By Oth 1750 LF 3305.1307 84"Tunnel Liner Plate 1750 LF 3305.1307 84"Wood Box Tunnel By(CO#2) 1859 LF $1,360.00 !,528,240.00 1859 2,528,240.00 14 3301.0001 Pre-CCTV Inspection 20340 LF $1.00 $20,340.00 20340 $20,340.00 15 3301.0002 Post-CCTV Inspection 14670 LF $1.00 $14,670.00 14670 $14,670.00 16 3305.0115 Vacuum Excavation 18 EA $800.00 $14,400.00 18 $14,400.00 17 9999.0002 Connect to Existing60" 1 EA $1,200.00 $1,200.00 1 $1,200.00 18 3339.1105 5'Type A Manhole(CO#2) 15 EA $11,000.00 $165,000.00 15 $165,000.00 19 3339.1001 4'Manhole(including O 1 EA $9,000.00 $9,000.00 1 $9,000.00 20 3339.1102 5'Drop Manhole 3 EA $12,000.00 $36,000.00 3 $36,000.00 21 3339.1103 5'Extra Depth Manhole(CO#2) 234 VF $180.00 $42,120.00 234 $42,120.00 22 3339.1003 4'Extra Depth Manhole 8 VF $120.00 $960.00 8 $960.00 23 3305.0112 Concrete Collar(5'Dia(CO#2) 18 EA $1,000.00 $18,000.00 18 $18,000.00 24 3305.0112 Concrete Collar(4'Dia 1 EA $1,000.00 $1,000.00 1 $1,000.00 25 9999.0003 Odor Control Unit(CO#2) 5 EA $5,000.00 $25,000.00 5 $25,000.00 26 9999.0004 Plug for Future Connect I EA $500.00 $500.00 1 $500.00 27 9999.0005 Sewer Tie-In Reconnecti 3 EA $500.00 $1,500.00 3 $1,500.00 28 3305.0110 Utility Markers 1 LS $2,000.00 $2,000.00 1 $2,000.00 29 3231.0306 16'Gate,Steel 27 EA $1,400.00 $37,800.00 28 $39,200.00 30 3301.0101 Manhole Vacuum Testing(CO#2) 18 EA $150.00 $2,700.00 18 $2,700.00 31 9999.0006 Junction Box and Siphon 4 EA $500.00 $2,000.00 4 $2,000.00 32 3339.2001 Sanitary Sewer Junction 1 LS $200,000.00 $200,000.00 1 $200,000.00 33 3339.2001 Sanitary Sewer Junction 1 LS $200,000.00 $200,000.00 1 $200,000.00 34 3339.2001 Sanitary Sewer Siphon B(CO#1) 0 LS $150,000.00 $0.00 0 $0.00 35 3339.2001 Sanitary Sewer Siphon 1 LS $150,000.00 $150,000.00 1 $150,000.00 36 3137.0102 Large Stone Riprap,dry 525 CY $120.00 $63,000.00 525 $63,000.00 Thursday,December 8,2022 Page 3 of 6 City Project Numbers 01227 DOE Number 1227 Contract Name Sanitary Sewer Main 257,Upper and Middle Village Creek Parallel Relier M Estimate Number 38 Contract Limits Council District 8 Payment Number 38 Project Type Sewer For Period Ending 3/31/2022 Project Funding 37 3110.0102 6"-12"Diameter Tree Re 135 EA $300.00 $40,500.00 135 $40,500.00 38 3110.0103 12"-18"Diameter Tree R 15 EA $500.00 $7,500.00 15 $7,500.00 39 3110.0104 18"-24"Diameter Tree R 20 EA $750.00 $15,000.00 20 $15,000.00 67 Sipon Structure Sta. 145+84 less Gabion Baskes 1 LS $131,356.14 $131,356.14 1 $131,356.14 (CO#1) 68 CAP Composite Manhole frame&Cover Add. 1 EA $7,976.40 $7,976.40 1 $7,976.40 Cost(CO#1) -------------------------------------- Sub-Total of Previous Unit $11,192,052.24 $10,993,452.24 -------------------------------------- Thursday,December 8,2022 Page 4 of 6 City Project Numbers 01227 DOE Number 1227 Contract Name Sanitary Sewer Main 257,Upper and Middle Village Creek Parallel Relier M Estimate Number 38 Contract Limits Council District 8 Payment Number 38 Project Type Sewer For Period Ending 3/31/2022 Project Funding Contract Information Summary Original Contract Amount $11,073,509.70 Change Orders Change Order Number 1 ($10,667.46) Change Order Number 2 $130,610.00 Total Contract Price .9i-t- 92;OSZZ42. r� Date ,Z ZZ Total Cost of Work Completed $10,993,452.24 Con actor Less 0 %Retained $0.00 /l Date/) Net Earned $10,993,452,24 -I'^7L Inspection Supervisor 4ite Earned This Period $515,418.02 -I� 7Retainage This Period $0.00 rr l�� 2Z Less Liquidated Damages Project Manager Days @ /Day $0.00 N/A Date LessPavement Deficiency $0.00 A�st.Tirector Wv� Less Penalty $0.00 Christopher Hlarder(Dec 13,202209:33CST)Date Less Previous Payment $10,478,034.22 Director/Contracting Department Plus Material on Hand Less 15% $0.00 Balance Due This Payment $515,418.02 Thursday,December 8,2022 Page 5 of 6 City of Fort Worth Inspector's Estimate Worksheet City Project Numbers 01227 Contract Name Sanitary Sewer Main 257, Upper and Middle Village C DOE Number 1227 Contract Limits: Council District 8 Estimate Number 38 Project Type Sewer Payment Number 38 Control Number 1227 For Period Ending Contract: 52292 Contract Date: 4/16/2019 Contract Time 1147 CD Inspectors Johnson / Reed Days Charged to Date CD Date Prepared by Inspector ! / Contract is %Complete Construction ID: 12777 Item Description of Items Estimated Uni Unit Cost Previous Quanity Completed Total Cost No. Quanity Quanity for Month Quanity -------------------------------------- Sewer 40 3110.0105 24"and Larger Tree 10 EA $1,000.00 10 Rem 41 0330.0001 Concrete Encase 170 CY $500.00 170 Sewer P 42 9999.0007 Gravel Road Repair 985 SY $3.50 985 43 3292.0400 Seeding, Hydromulch 60600 SY $0.25 60600 (Be 44 9999.0008 Resprig Easement 69120 SY $0.40 69120 Area w 45 3305.0104 Ground Water Control 1 LS $1.00 1 46 3339.0002 Epoxy Structure Liner 4950 SF $18.00 2475 ( at)7r ysso Sri SSo 47 3339.0001 Epoxy Manhole Liner 421 VF $275.00 440 (5' 48 9999.0009 Tree Protection 1 LS $1.00 1 Tempora 49 3125.0101 SWPPP >_1 acre 1 LS $30,000.00 1 50 3471.0001 Traffic Control 1 LS $1.00 1 51 9999.0010 Santa Homes 1 LS $1.00 1 Property si 52 9999.0011 Kluck Property site 1 LS $1.00 1 req 53 9999.0012 Berger Property site 1 LS $1.00 1 re Tuesday,November 29,2022 Page 1 City of Fort Worth Inspector's Estimate Worksheet City Project Numbers 01227 Contract Name Sanitary Sewer Main 257, Upper and Middle Village C DOE Number 1227 Contract Limits: Council District 8 Estimate Number 38 Project Type Sewer Payment Number 38 54 9999.0013 Bartosh Property site r 1 LS $1.00 1 55 9999.0014 Vargas Property site 1 LS $5,000.00 1 re 56 9999.0015 Vernon Property site 1 LS $1.00 1 re 57 9999.0016 Jones Property site 1 LS $1.00 1 req 58 9999.0017 Ferris Property site re 1 LS $1.00 1 59 9999.0018 Deer Creek Stables 1 LS $1.00 1 Prop 60 9999.0019 Mary Kathryn Arnold 1 LS $1.00 1 Tru 61 9999.0020 Gutierez Property site 1 LS $1.00 1 62 9999.0021 Pre-Construction 1 LS $40,000.00 1 Topogr 63 9999.0022 Post-Construction 1 LS $1.00 1 Topog 64 9999.0023 Construction Staking 1 LS $2,500.00 1 65 9999.0024 Construction Survey 1 LS $1.00 1 (As 66 9999.0025 Construction 1 LS 200,000.00 Allowance 1 3331.4701 60"Fiberglass Sewer 10641 LF $405.00 10750 Pi 2 9999.0001 60"Fiberglass Sewer 1859 LF $530.00 1859 Pi 3 3331.4709 60"Fiberglass Sewer 1820 LF $750.00 1820 Pi 4 3331.4514 48"Fiberglass Sewer 30 LF $400.00 30 Pi 5 3331.4514 48"Fiberglass Sewer 160 LF $400.00 160 Pi 6 3331.4414 36"Fiberglass Sewer 160 LF $350.00 160 Pi 7 3331.4108 6"Sewer Pipe 17 LF $200.00 17 Tuesday,November 29,2022 Page 2 City of Fort Worth Inspector's Estimate Worksheet City Project Numbers 01227 Contract Name Sanitary Sewer Main 257,Upper and Middle Village C DOE Number 1227 Contract Limits: Council District 8 Estimate Number 38 Project Type Sewer Payment Number 38 8 3305.0109 Trench Safety 12920 LF $0.01 12920 9 3231.0412 6'Fences,Wood 0 LF $26.00 c) 10 3231.0211 Barbed Wire Fence, 2880 LF $6.50 2880 Meta 11 3231.0123 6'Chain Link, 480 LF $27.00 480 Aluminum 12 0241.0500 Remove Fence 3570 LF $1.00 3570 3305.1307 84"Steel Casing By 1750 LF Oth 3305.1307 84"Tunnel Liner 1750 LF Plate 3305.1307 84"Wood Box 1859 LF $1,360.00 1859 Tunnel By 14 3301.0001 Pre-CCTV Inspection 20340 LF $1.00 20340 15 3301.0002 Post-CCTV Inspection 14670 LF $1.00 14670 16 3305.0115 Vacuum Excavation 18 EA $800.00 18 17 9999.0002 Connect to Existing 1 EA $1,200.00 1 60" 18 3339.1105 5'Type A Manhole 15 EA $11,000.00 16 19 3339.1001 4'Manhole(including 1 EA $9,000.00 1 O 20 3339.1102 5'Drop Manhole 3 EA $12,000.00 3 21 3339.1103 5'Extra Depth 234 VF $180.00 253 Manhole 22 3339.1003 4'Extra Depth 8 VF $120.00 8 Manhole 23 3305.0112 Concrete Collar(5' 18 EA $1,000.00 19 / Dia 24 3305.0112 Concrete Collar(4' 1 EA $1,000.00 1 Dia 25 9999.0003 Odor Control Unit 5 EA $5,000.00 6 S 26 9999.0004 Plug for Future 1 EA $500.00 1 Connect Tuesday,November 29,2022 Page 3 City of Fort Worth Inspector's Estimate Worksheet City Project Numbers 01227 Contract Name Sanitary Sewer Main 257, Upper and Middle Village C DOE Number 1227 Contract Limits: Council District 8 Estimate Number 38 Project Type Sewer Payment Number 38 27 9999.0005 Sewer Tie-In 3 EA $500.00 3 Reconnecti 28 3305.0110 Utility Markers 1 LS $2,000.00 1 29 3231.0306 16'Gate, Steel 27 EA $1,400.00 28 30 3301.0101 Manhole Vacuum 18 EA $150.00 19 Testing —�� /8 —/ O) 31 9999.0006 Junction Box and 4 EA $500.00 4 Siphon 32 3339.2001 Sanitary Sewer 1 LS 200,000.00 1 Junction 33 3339.2001 Sanitary Sewer 1 LS 200,000.00 1 Junction 34 3339,2001 Sanitary Sewer 0 LS 150,000.00 0 Siphon B(CO#1) 35 3339.2001 Sanitary Sewer 1 LS 150,000.00 1 Siphon B 36 3137.0102 Large Stone Riprap, 525 CY $120.00 525 dry 37 3110.0102 6"-12"Diameter Tree 135 EA $300.00 135 Re 38 3110.0103 12"-18"Diameter 15 EA $500.00 15 Tree R 39 3110.0104 18"-24"Diameter 20 EA $750.00 20 Tree R 67 Sipon Structure Sta. 145+84 less 1 LS 131,356.14 1 Gabion Baskes(CO#1) 68 CAP Composite Manhole frame& 1 EA $7,976.40 1 Cover Add. Cost(CO#1) :stimated Total This Unit $11,192,052.24 Completed Total This Unit 1,018,842.24 -- (�-7sl %O,) Tuesday,November 29,2022 Page 4 City of Fort Worth Inspector's Estimate Worksheet City Project Numbers 01227 Contract Name Sanitary Sewer Main 257, Upper and Middle Village C DOE Number 1227 Contract Limits: Council District 8 Estimate Number 38 Project Type Sewer Payment Number 38 Total Itemized Amount(Including Change Order $11,192,052.24 DATE Total Cost of Work Completed /p 9%3, YA' Inspector Less —:� % Retained SY7 Net Earned /O Previous Payment $10,478,034.22 Material on Hand 15% / Balance Due This Payment L 7G5%G� Tuesday,November 29,2022 Page 5 4. 0 cc o 0 0 o Cl O O O o O o O o Cl Cl 0 0 0 0 o O -- o o r O O o o O O O o O o o O O o 0 0 0 0 o o r- o o a o a obn E-+ O o r h o c� Z.; O s9 v3 sa s� ss o n ss t ss cz G CDto M .�-i^ Oi .�-i^ CDh y W Gn N = M 69 I-ti 69 69 69 69 69 EH co O O Vl O O O — — — --. — .-. .-. ,--i .-. .-. .-. — .--i n O N_ N O 01 a � o O' U o O o cn O o O o 0 0 0 0 o O o 0 o O o 0 0 O CC N 7 O O O O O O O O O O CCC O O O C) O O M O O o6 O O o o EFi ss 6s V3 .-. t- sA o V) sa V) ss � o si 91 ss s o V� 69 N O O C 69 69 69 O vS b9 69 Q Y J cn w w V) cn U) Cn cn Co V) Co C/) cn rn A w U aUD > a a a a a a a a a a a a a +- o 0 0 ftf CDv� o .N. -. r n a A uo C 0 w C N •r--� cQ w o x m ca ` m a"i O fl' o o a, a. -S4 lz V] CD .-. l-D O o0 7 N 7D D, O O O O O O O O O O O CD CD 'yam O O `7 O O O O O O O O O O O O O O O CO CCCCD O O O O O O O O O O O O O O O VU1 o O 0� N 0\ O\ 01 O1 U a, O\ 01 Ot O1 0\ O1 O1 0\ O M C) N � OM M M C N 7 Ooi OCi � � C\ ol C, 001 OOi � N A M O C) M Ol M M M D\ M M O, C, 0\ O\ (01 01, Cl 01 O� O1 OC ^� C 0 •.� G U C WI� O N M 7' �O [l 00 O% O N M -It [- 00 01 O U E.q A W U O --� N M 7 N r-- O, CD O O O C) CD O O �„ M M � 4 7 '7' 7 -t 7 '7 -r 7 7 � 7 '7 7 7 — A^ O O O O O O O O O O O O O O O O O t 7 -t 7 7 7 -It -I- 7 '7 '7 7 'r N N N N N N N N N N N N N N N N N N N N N 0 O O O O O O O O O O O O O O O O O O O O N .� O O O O O O O O O O O O N O O O O O O O N O O V1 O O O O O O 01 O O O O O O O F 69 O 69 O 69 O h O O O O O O v1 10 N O O O O 'ct h N M 'OV in. d V 6N9 CD b ,N-� tn � 69 00 N_ � N O et 11 64 M 0) M 69 69 69 69 69 h 6) 69 cn fA O1 O O O O .h-i O CD O CD ON O CDW N M 10 10 N 00 00 h �n 'ch h •1U� C14 N M O �. N J� R O O' U w o 0 Cl 0 0 0 0 0 0 0 0 0 0 - o 0 0 0 0 0 0 0 0 0 0 0 0 0 0 Cl 0 0 0 0 0 0 0 o vn Cl 0 0 0 0 0 u o 0 o vi o 6 6 6 6 6 0 10 16 r,: ,-: 69 O 69 O 69 O O M V1 O O h O 64 N 69 N 69 69 69 O O v1 O 7 h h 7 •zl- M N 69 69 M 00 F.' O N O 69 69 69 69 b9 69 69 6G9 N 69 cra U A a a a a a a w o 0 0 0 �" •--� .-. .--i .--i .--i .r00 Vl N O b b t" N W O Oh O O h �. h 00 •4+ O W a0 M N O N M - - 00 — N Wa N 4t a O 0 0 v O O •y o E° R i i i a i i p O o 0 0 c _ o «° � con cn c b as a a F a •� V] V] Q y vi vNi H y ti O O u" Y U C as 2 V 0 2O0 O02 O '" r N ✓ ca rri >� U a Fao o u w8 a9oUy UOx ti W L r W fW LT. (T. N ,� O CI] F 3 U U i 0 0 0 0 0 0 0 00 00 'D i �` W U v v is o U U U o v M F 0.1 Co P: 00 00 0o P P, > 0 N N N N N N O O O ao ,N- -+ M CD h h h N .�-. O O O O CD O h O h v1 h O �: N O CD O O 00 00 .--i U O CDO o O o •a• O e} O O O O O O O O N vJ 01 D1 01 01 D\ .� D\ V'1 'r .--i .� V'1 V'� N .-� 'n O U O1 01 O1 O\ O1 01 M O1 M M M M M O M M M 4 O O O O O O N O1 O\ O1 as O1 O1 M O1 M cn M M M M N N N N M m M M M M A O1 O1 O1 01 01 O1 M 01 M M M M M M M M M O M M M M M M 00 L d IN N M eF 1n \O O 10 10 1p 10 10 1D .--� N M 7 Wn 10 h 00 Q .Ll T R E.y O1 O N Cl C,4 V1 h 00 01 C. N M -,I- �n 10 h 00 01 O N 'b N N N N N N N N N N M M M M M M M M M M 7 �t 7 7 'cl' 7 V' 7 C) =1 7 C) CDO O O O O O O O O ClO O O O O O O O O O O O .� N N N N N N N N N N N N N N "a, N I'll N It- I*. N ,I- N -IT F „I• w 0 O O O O O O O O O O O O O O O O O O O O O O O .may m O O O O O O O O O O O O O O O O O O O O O O O O y� O O O O O O O O O O O O O O O O O O O O O O O �o ro [� O O O O N � O O O O O O O O O O O 69 O O O O O N N O O O 0\ O O O N v) O N r� O O O O O N N O M _ ”" N D\ N N O O O Cl) O r- W) G1 69 M 7 69 N 69 69 M 69 69 O O N 10 lzt• V) M 1�N 69 69 69 64 69 cNq cqq c+a 6 q 69 69 s~n `-� •-� M 'ct N CD ..-� N N O M •-. w w N m N N O.� R O O' U h o 0 o O O o 0 o O o C. o O o 0 o O O o O O O o o o O O O o O O o O o O o Cl 0 o O o o O O O o 6 6 6 0 0 0 6 6 6 6 0 6 o c o 6 6 0 o c o 6 oCD D „'�"„� N C0 O CD CD CD CD CD O CD O W) O O CD O CDO CDN N O O O N N O � N O O O O M 69 69 N .-. 69 64 O O O O 69 69 69 69 69 69 O O N N GA F/a Fii F 1 Ffi y Q Q w d d Q cn d v) v) on co d ¢ ¢ V) a� w 00 N N Zpt w 0 U cv X a p o =it o Otit O v O» Fad" Ea CD -0 r.o 0 0 o ¢� ay o Q Q U U c G �e °°' c6 Xo a3i a3i a3i a3i + d) 4) 2 ro v> > Oa 00 Cl) V) � o ro A Q a T ro X X U ci V W N Z C .L C N N m R y Q N .% 00 o E� A W W o 0 0 3 O m c c c cn U U O a ti � � r/ � a 'o !� °2 N M M cq � M 7 N O �o �o N N M 7 3 O O O O O O _ O O O O O O O O O O O O O O +�•, � O .--� O .•r _ O .r O O O CD .-. .r .--� N O O O O O O O O O O N N N N O O O O D, a; O) 0\ O\ 01 N vi a1 (7; Oi ON O. O) 01 ON l� O O O O N O) cn M M CD O O M M O) 01 ON M O 01 M M M M +1 0 A 0O M ( 1 M M M M M M O) CN O) m N M D M M M M � M M M en M M m ON O O) M M M O\ M M M M M M M M C/) 00 F+ O N 7 N n 01 .� M �o t- 00 0, U N N N N N N N N N N M M M M M M M M M M �c Q .0 R ro E.y M - N �o r, oo O1 O •--i N rn 7 N �o l- 00 01 O N m V' N M 'fl •� cY 7 'cP 7 "t -,d- N N N N N N N N N N Z G to 1p �o \p M y b 7 7 7 'd• 7 'l- 7 eh 7 'r 7 7 -t d' 'f Ch C• 7 7 V 7 N M O O O Cl O Cl O O O O O O O O O O O O O O O O O 00 •� ►•Y v v v v v v v I. � " - Ir � �r v ct v � v �o H N N N N N N cV N N N N N N N N N N N N N N N N N _ I § _ _ \ / Gwl � 2 ` D ) k t ■ \ 7 $ a k7 / : 2 ^ ® O / A 2 w 3 / j ) \ 4 \ ) 2. / b u \ / \ § © k \ cl 2 - / m / f g FORTWORTHrev 03/05/07 WATER ENGINEERING & FISCAL SERVICES STATEMENT OF CONTRACT TIME STATEMENT NO.: 38 NAME OF PROJECT: Sanitary Sewer Main 257 Upper&Middle Village Creek Parallel Relief Main 2A PROJECT NO.: CO1227 CONTRACTOR: Thalle CITY PROJECT: CO1227 PERIOD FROM:06/3 0/21 TO: 12/08/22 WORK ORDER EFFECTIVE:7/1/2019 CONTRACT TIME: 540 Q WD Q CD DAY OF DAYS REASON FOR DAYS DAY OF DAYS REASON FOR DAYS MONTH CHARGED CREDITED MONTH CHARGED CREDITED DURING DURING 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 361 361 PREVIOUS PERIOD 715 715 TOTALS TO DATE 1076 1076 *REMARKS: �/ INSPECTOR 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 CONSENT OF SURETY OWNER ❑ TO FINAL PAYMENT ARCHITECT` ALA Document G707 CQ3N`MCMR ❑ Bond No. 8252-44-41 Federal Insurance Company SURETY ❑ Bond No. 015205405 Liberty Mutual Insurance Company OTHER ❑ TO OWNER: ARCHITECT'S PROJECT NO.: (Narneandaddm=) City of Fort Worth 200 Texas Street CONTRACT FOR- Fort Worth, Texas 76102-6314 PROJECT: CONTRACT DATED: (11mnc and addnz� City Project No. 01227-Sanitary Sewer Main 257, Upper and Middle Village Creek Relief Main-Part 2A In accordance with the provisions of tl:e Contract between the Owner and the Contractor as indicated above,the flnsrrt rramrand addr�ofS7arrpj Federal Insurance Company, 202E Hall's Mill Road, Whitehouse Station, NJ 08889 Liberty Mutual Insurance Company, 175 Berkeley Street, Boston, MA 02116 SURETY, on bond of flnsert name and addrrac ofConrraror) Thalle Construction Co., Inc. 900 NC Highway 86 North Hillsborough, NC 27278 CONTRACTOR, hereby approves of the final payment to the Cannacror,and agrees that Gnat payment to the Contractor shall not relieve the Surety of any of irs obligations to (hUert n=eaad addr=C?(0--) City of Fort Worth 200 Texas Street Fort Worth, Texas 76102-6314 as set forth in said Surety's band OWNER, LN WITNMS WHEREOF,the Surery has hereunto set its hand on this date: May 12,2022 flraxrt liruritG{gtCr mm�rbfdrou�lbyrltc muncTicdrzrra:u!)�rrr.) Federal Insurance Company Libe ut 'al Insurance Company Attest: atr nPrrsentan'tr) (Sear Krystal L. Stravato,Attorney-In-Fact Jaclyn Thomas, Witness (Printed itarrrr and tif)c) G707--1994 Acknowledgement of Surety Company State of New Jersev County of Morris On the 12"'day of May,2022 before me personally appeared Krvstal L.Stravato to me known,who being by me duly sworn, did depose and say;that(s)he is the attorney-in-fact of Federal Insurance Company, the corporation that executed the foregoing instrument, and acknowledged to me that such corporation executed the same. In witness whereof, I have hereunto set my hand and affixed my official seal, at my office in the above county,the day and year written above. Notary Public SendyaJemeeDroMRM- -- Notaiy_PubAc ts Ste of NewJersey Aly oorrrrntssllon 19.2=. Acknowledgement of Surety Company State of New Jersev County of Morris On the 121 day of May.2022 before me personally appeared Krvstal L.Stravato to me known,who being by me duly sworn, did depose and say; that (s)he is the attorney-in-fact of Liberty Mutual Insurance Comnan_v_ the corporation that executed the foregoing instrument, and acknowledged to me that such corporation executed the same. In witness whereof, I have hereunto set my hand and affixed my official seal, at my office in the above county,the day and year written above. Public Bandy s James-BrowrrN - Notary Public - State of New Jersey My�rtuntssion expires September 1%2G2e FEDERAL INSURANCE COMPANY STATEMENT OF ASSETS,UABILMES AND SURPLUS To POLICYHOLDERS Statutory Basis December 31,2021 (in thousands) ASSETS UABILMES AND SURPLUS TO POLICYHOLDERS Cash and Short Tenn Investments S (587,308) Outstanding Losses end Loss Expenses S 8,701,383 United States Govemment,State Reinsurance Payable on Losses and and Miaticipal Bands 4 271,53-0 Expenses 1,484,196 Other Bands Uneamed Premiums 2,400,711 stocks 5,994,873 Ceded Reinsurance Premiums Payable 368,332 Other Invested Assets 975•� Other Liabilities 498,472 1,847,712 — TOTAL INVESTMENTS 12022.201 TOTAL LIABILITIES 13,451.094 Investments in Affiliates: Cap tal Stock Great Northern Ins.Co. 414,638 20,980 Vigilant Ins.Co. Paid-In Surplus 2,711,474 Chubb Indemnity Ins.Co. Unassigned Unassigned Funds 1,9D3,522 Chubb National Ins,Co. 183,242 OtherAffiliatas 190,801 SURPLUS TO POLICYHOLDERS 4,635,978 Premiums Receivable 116,373 - Other Assets 1,726,653 3 078,466 TOTAL ADMITTED ASSETS TOTAL LIABILITIES AND S 18,087,070 SURPLUS S18,087,070 Investments are valued in accordance with requirements of the National Association of Insurance Comrnissionees.At December 31,2021, i--tmems with a carrying value of$509,085,182 were deposited with government authorities as regWrad by law. STATE OF PENNSYLVANIA COUNTY OF PHILADEL.PHIA John Taylor,being duly swum,says that he is Senior Vice Pies dent of Federal Insurance and belief the tomgoing is a true and correct statement of the said �pany and that to the best of his knowledge n Companys financial condition as of the 31 st day of December,2021, Sworn before ��A�Gh ��+ !A President L o � � q oomtmr=on expr Commonwealth of Pennsyhwfla-Notary Seal Jaime L.Yates,Notary Public Philadelphia County MY commission expires SeWmber 19.2023 Commission slumber 1357M Member,Pennsylvania AssociaUcn of Notaries 0 Liberty LIBERTY MUTUAL INSURANCE COMPANY Mutual. FINANCIAL STATEMENT—DECEMBER 31,2021 SURETY Assets Liabilities Cash and Bank Deposits......................................... $2,234,770,744 Unearned Premiums................................................ $9,106,965,847 *Bonds—U.S Government..................................... 4,250,615,811 Reserve for Claims and Claims Expense................. 25,279,158,493 *Other Bonds............................................................ 16,983,165,862 Funds Held Under Reinsurance Treaties................. 315,537,902 *Stocks..................................................................... 20,075,458,019 Reserve for Dividends to Policyholders.................. 1,726,291 Additional Statutory Reserve.................................. 139,634,000 Real Estate.............................................................. 182,250,567 Reserve for Commissions,Taxes and Agents'Balances or Uncollected Premiums........... 7,607,687,836 Other Liabilities................................................ 8,638,106,801 Accrued Interest and Rents..................................... 120,173,987 Total.................................................................S43,481,129,334 Other Admitted Assets............................................ 14,076,622,575 Special Surplus Funds................. $178,192,363 Capital Stock............................... 10,000,075 Paid in Surplus............................ 11,804,736,755 Unassigned Surplus..................... 10,056,686,874 Total Admitted Assets.....................................565 530.745 401 Surplus to Policyholders.................................22,049,616,067 Total Liabilities and Surplus................................565 530.745.401 F --- n. - _ * Bonds are stated at amortized or investment value;Stocks at Association Market Values. y r 1°12 a - The foregoing financial information is taken from Liberty Mutual Insurance Com an s financial q��, ? - statement filed with the state of Massachusetts Department of Insurance. p y' Y 1, TIM MIKOL.AJEWSKI,Assistant Secretary of Liberty Mutual Insurance Company, do hereby certify that the foregoing is a true, and correct statement of the Assets and Liabilities of said Corporation,as of December 31,2021,to the best of my knowledge and belief. IN WITNESS WHEREOF, I have hereunto set my hand and affixed the seal of said Corporation at Seattle, Washington, this 8t'day of March,2022. Assistant Secretary S-12621.MIGa 322 CHu ;=; ES, Power of Attorney Federal Insurance Company I Vigilant Insurance Company I Pacific Indemnity Company Westchester Fire Insurance Company I ACE American Insurance Company Know All by These Presents,that FEDERAL INSURANCE COMPANY,an Indiana corporation,VIGILANT INSURANCE COMPANY,a New York corporation,PACIFIC INDEMNITY COMPANY,a Wisconsin corporation,WESTCHESTER FIRE INSURANCE COMPANY and ACE AMERICAN INSURANCE COMPANY corporations ofthe Commonwealth of Pennsylvania, do each hereby constitute and appoint Thomas MacDonald, Marisol Mojica, Edward Reilly, Krystal L. Stravato, Jaclyn Thomas and Kevin T. Walsh Jr. of Whippany,New Jersey;Andrea E.Gorbert of Jericho,New York;Neil C.Donovan,and Gerard Leib of Berwyn,Pennsylvania----------------__ each as[heir 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 theirbehalf 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 amending or altering the same,and consents to the modification or alteration of any instrument referred to in said bonds or obligations. In Witness Whereof,said FEDERAL INSURANCE COMPANY,VIGILANT INSURANCE COMPANY,PACIFIC INDEMNITY COMPANY,WESTCHESTER FIRE INSURANCE COMPANY and ACE AMERICAN INSURANCE COMPANY have each executed and attested these presents and affixed their corporate seals 4,_� onthis 6rh day of April,2022. i`JVl7-aJ r�! e 1- 5�-A_56l11...� -"L Darn M.Chlorct;,Aa6istan t SetT,-tirg Stephen M.H3ncy.Vice Prt_�iden t QT STATE OF NEW JERSEY County Of Hunterdon ss. On this 6m day of April,2022 before me,a Notary Public of New Jersey,personally came Dawn M.Chloros and Stephen M.Haney,tome known to be Assistant Secretary and Vice President,respectively,of FEDERAL INSURANCE COMPANY,VIGILANT INSURANCE COMPANY,PACIFIC INDEMNITY COMPANY,WESTCHESTER FIRE INSURANCE COMPANY and ACE AMERICAN INSURANCE COMPANY,the companies which executed the foregoing Power Of Attorney,and the said Dawn M.Chloros and Stephen M.Haney,being by me duly sworn, severally and each for herself and himself did depose and say that they are Assistant Secretary and Vice President,respectively,of FEDERAL INSURANCE COMPANY,VIGILANT INSURANCE COMPANY,PACIFIC INDEMNITY COMPANY,WESTCHESTER FIRE INSURANCE COMPANY and ACE AMERICAN INSURANCE COMPANY and know the corporate seals thereof,that the seals affixed to the foregoing Power of Attorney are such corporate seals and were thereto affixed by authority of said Companies;and that their signatures as such officers were duly affixed and subscribed by like authority. Notarial Seal K qo pOTApy�� KATHERINE J.ADELAAR NOTARY PUBLIC OF NEW JERSEY PUBLIC No.2316585 Y �RgEa Co`mn"Ss Expires July 16,2024 Notary Pub[Ic CERTIFICATION Resolutions adopted by the Boards of Directors of FEDERAL INSURANCE COMPANY,VIGILANT INSURANCE COMPANY,and PACIFIC INDEMNITY COMPANY on August 30,2016; WESTCHESTER FIRE INSURANCE COMPANY on December 11,2006;and ACE AMERICAN INSURANCE COMPANY on March 20,2009: -RESOLVED,that the following authorizations relate to the execution,for and on behalf of the Company,of bonds,undertakings,recognirances,contracts and other written commitments ofthe Company entered into in the ordinary course of business(each a-Written Commitment,): (1) Each of the Chairman,the President and the Vice Presidents of the Company is hereby authorized to execute any Written Commitment for and on behalf of the Company,under the seal ofthe Company or otherwise. (2) Each duly appointed attorney-in-fact ofthe Company is hereby authorized to execute any Written Commitment for and on behalf of the Company,under the seal of the Company or otherwise, to the extent that such action is authorized by the grant ofpcwem provided for in such person's Written appointment as such attorney-in-face (3) Each of the Chairman,the President and the Vice Presidents of the Company is hereby authorized,forand on behalf ofthe Company.to a ppointin fact of the Company with full power and authorityto execute,for and on behalfofthe company,under the seal ofthe Company or Otherwise such Written Commitments ofthe Company as may be specified in such written appointment,which specification may be b writing Y Person the attorney-In- Commitments. Y y general type or class of Written Commitments or by specification of one or more particular Written (4) Each of the Chairman,the President and the vice Presidents of the Company is hereby authorized,for and on behalf of the Company,to delegate in writing to any other officer of the Company the authority to execute,for and on behalf of the Company,under the Company's seal or otherwise,such Written Commitments of the Company as are specified in such written delegation,which specification may be by general type or class of Written Commitments or by specification of one or more particular Written Commitments. (5) The signature of any officer or other person executing any Written Commitment or appointment or delegation pursuant to this Resolution,and the seal of the Company,may be affixed by facsimile on such Written Commitment or written appointment or delegation. FURTHER RESOLVED,that the foregoing Resolution shall not be deemed to be an exclusive statement of the Powers and authority of o,Yicers,employees and other persons to act for and on behalf ofthe Company,and such Resolution shall not limit or otherwise affect the exercise of any such power or authority otherwise validly granted or vested.- 1,Dawn M.Chloros,Assistant Secretary of FEDERAL INSURANCE COMPANY,VIGILANT INSURANCE COMPANY,PACIFIC INDEMNITY COMPANY,WESTCHESTER FIRE INSURANCE COMPANY and ACE AMERICAN INSURANCE COMPANY(the"Companies")do hereby certify that (i) the foregoing Resolutions adopted by the Board of Directors of the Companies are true,correct and in full force and effect, (ii) the foregoing Power of Attorney is true,correct and in full force and effect Given under my hand and seals of said Companies at Whitehouse Station,NJ,this May 12, 2022 0- DJvm NI.ChI xv.:LvL tan[Secretary'' IN THE EVENT YOU WISH TO VERIFY THE AUTHENTICITY OF THIS BOND OR NOTIFY US OF ANY OTHER M1fATTER PLEASE CONTACT US AT: Tcicohone 908 903-3493 Fax 9081903-3656 e-mail:surety@chubb.com Combined:FED-VIG-PI-WFIC-AAIC(rev.11-19) This Power of Attorney limits the acts of those named herein,and they have no authority to bind the Company except in the manner and to the extent herein stated. Liberty Liberty Mutual Insurance Company mutual The Ohio Casualty Insurance Company Certificate No:8207604-985316 SURETY West American Insurance Company POWER OF ATTORNEY KNOWN ALL PERSONS BY THESE PRESENTS:That The Ohio Casualty Insurance Company is a corporation duly organized under the laws of the State of New Hampshire,that Liberty Mutual Insurance Company is a corporation duly organized under the laws of the State of Massachusetts,and West American Insurance Company is a corporation duly organized under the laws of the State of Indiana(herein collectively called the"Companies"),pursuant to and by authority herein set forth,does hereby name,constitute and appoint. Edward Reilly;Jaclyn Thomas;Kevin T.%Valsh Jr.:Krystal L.Stravato;Marisol Mojica;Michael Marino'Thomas MacDonald all of the city of Whippanv state of NJ each individually if there be more than one named,its true and lawful attomeyin-fact to make, execute,seal,acknowledge and deliver,for and on its behalf as surety and as its act and deed,any and all undertakings,bonds,recognizances and other surety obligations,in pursuance of these presents and shall be as binding upon the Companies as if they have been duly signed by the president and attested by the secretary of the Companies in their own proper persons. IN WITNESS WHEREOF,this Power of Attorney has been subscribed by an authorized officer or official of the Companies and the corporate seals of the Companies have been affixed thereto this 6th day of April 1 2022 . INStj Liberty Mutual Insurance Company ��Po RPO -yy JP�of INS& INSU� The Ohio Casualty Insurance Company R �T =`oaPo-roy0 West American Insurance Company > ; 1912� a o = 1919 1991 0 5�e1aa *P*�aa3 .s�'tiouHP�aa� B T O M * 1 Y co State of PENNSYLVANIA Dawd M.Carey,Assistant Secretary s m County of MONTGOMERY ss U O E On this 6th day of April 2022 before me personally appeared David M.Carey,who acknowledged himself to be the Assistant Secretary of Liberty Mutual Insurance 0aD 'FaCompany,The Ohio Casualty Company,and West American Insurance Company,and that he,as such,being authorized so to do,execute the foregoing instrument for the purposes 0 therein contained by signing on behalf of the corporations by himself as a duly authorized officer. m co a IN WITNESS WHEREOF,I have hereunto subscribed my name and affixed my notarial seal at King of Prussia,Pennsylvania,on the day and year first above written. < cc (N o m �5a PASTS Q) �+. .�Or+ty� Commonwealth cif PennsyMania•Notary Seal 0 �� �,'7 Teresa Pastella,Notary Puoiic a O OF � Montgomery County i My commission e�ires March 28.2025 ��� �� 0) cn����P;�'G Commission number 7?26W4 p a) to U ��RY� � Member,Pennsyhania Augcianon o!Nctanes Teresa Pastella,Notary Public Q This Power of Attorney is made and executed pursuant to and by authority of the following By-laws and Authorizations of The Ohio Casualty Insurance Company, Liberty Mutual N 0-Si Insurance Company,and West American Insurance Company which resolutions are now in full force and effect reading as follows: 3 6 ARTICLE IV—OFFICERS:Section 12.Power of Attorney. a M Any officer or other official of the Corporation authorized for that purpose in writing by the Chairman or the President,and subject to such limitation as the Chairman or the President may prescribe,shall appoint such attomeys-in-fact,as may be necessary to act in behalf of the Corporation to make,execute,seal,acknowledge and deliver as surety U tB o j a) any and all undertakings,bonds,recognizances and other surety obligations.Such attorneys-in-fact,subject to the limitations set forth in their respective powers of attomey,shall-o cc o = have full power to bind the Corporation by their signature and execution of any such instruments and to attach thereto the seal of the Corporation.When so executed,such o m Z U instruments shall be as binding as if signed by the President and attested to by the Secretary.Any power or authority granted toy representative or attomey-in-fact under the-0provisions of this article may be revoked at any time by the Board,the Chairman,the President or by the officer or officers granting such power or authority. o ARTICLE XIII—Execution of Contracts:Section 5.Surety Bonds and Undertakings. ti n Any officer of the Company authorized for that purpose in writing by the chairman or the president,and subject to such limitations as the chairman or the president may prescribe, shall appoint such attomeys-in-fact,as may be necessary to act in behalf of the Company to make,execute,seal,acknowledge and deliver as surety any and all undertakings, bonds,recognizances and other surety obligations.Such attomeys-in-fact subject to the limitations set forth in their respective powers of attorney,shall have full power to bind the Company by their signature and execution of any such instruments and to attach thereto the seal of the Company.When so executed such signed by the president and attested by the secretary. instruments shall be as binding as if Certificate of Designation—The President of the Company,acting pursuant to the Bylaws of the Company,authorizes David M.Carey,Assistant Secretary to appoint such attomeys-in- fact at may be necessary to act on behalf of the Company to make,execute,seal,acknowledge and deliver as surety any and all undertakings,bonds,recognizances and other surety obligations. Authorization—By unanimous consent of the Company's Board of Directors,the Company consents that facsimile or mechanically reproduced signature of any assistant secretary of the Company,wherever appearing upon a certified copy of any power of attorney issued by the Company in connection with surety bonds,shall be valid and binding upon the Company with the same force and effect as though manually affixed. I,Renee C.Llewellyn,the undersigned,Assistant Secretary,The Ohio Casualty Insurance Company,Liberty Mutual Insurance Company,and West American Insurance Company do hereby certify that the original power of attorney of which the foregoing is a full,true and correct copy of the Power of Attorney executed by said Companies,is in full force and effect and has not been revoked. IN TESTIMONY WHEREOF,I have hereunto setmy hand and affixed the seals of said Companies this 12th day of May 2022 ?�INSU� I-SY INS& INSU j pR=GPOIj •j� Q•'1G�M ,�ot yy `o'�oaPo'��'9 y r; o m Y ; 1912go - 0 1919 mu, =1991� n — � Yd.�e�S•+cHUS dL yid tiwMPS�pyJ�o rs, 'HouxP �ai� By: * H1 * tN gy * >a Renee C.Llewellyn,Assistant Secretary LMS-12873 LMIC OCIC WAIC MuitiCo 022? FORTWORTH WATER ENGINEERING & FISCAL SERVICES PIPE REPORT FOR: PROJECT NAME: Sanitary Sewer main 257 Upper&Middle VC parallel Relief Main Part 2A PROJECT NUMBER: CO1227 DOE NUMBER: 52292 WATER PIPE LAID SIZE TYPE OF PIPE LF FIRE HYDRANTS: VALVES(16" OR LARGER) PIPE ABANDONED SIZE TYPE OF PIPE LF DENSITIES: NEW SERVICES: SEWER PIPE LAID SIZE TYPE OF PIPE LF Sewer 60" Fiberglass 14320 SEWER 48" Fiberglass 190 SEWER 36" Fiberglass 160 SEWER 6" PVC 17 PIPE ABANDONED SIZE TYPE OF PIPE LF SEWER 4" RCP 14670 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 FORTWORTHREV:02/20/07 Capital Projects Delivery,Water Department PERFORMANCE EVALUATION OF CONTRACTOR 1) CONTRACTOR&PROJECT DATA Name of Contractor Project Name thalle Construction Co.Inc Sanitary Sewer Main 257 Upper&Middle Village Creek 2A If'ater Engineering Inspector DOE Number Jesse Reed CO 1227 Ifater Engineering Inspector Project Manager ❑Water ❑✓ Waste Water ❑Storm Drainage ❑Pavement John Kasavich,PE Initial Contract Amount Project Diffrcwhy $11,073,509.70 p Simple Routine Q Complex Final Contract Amount Date $1 1,193,452.24 12/8/2022 II)PERFORMANCE EVALUATION 0-Inadequate 1-Deficient 2-Standard 3-Good 4-Excellent ELEMENT WEIGFIT(x) APPLICABLE(Y/N) RATING(0-4) MAX SCORE SCORE I Submission of Documents 2 Y 2 8 4 2 Public Notifications 5 Y 3 20 15 3 Plans on Site 5 Y 3 20 15 4 Field Supervision 15 Y 1 60 15 5 Work Performed 15 Y 2 60 30 6 Finished Product 15 Y 3 60 45 7 Job Site Safety 15 Y 3 60 45 8 Traffic Control Maintenance 15 Y 3 60 45 9 Daily Clean Up 5 Y 3 20 15 10 Citizen's Complaint Resolution 5 Y 3 20 1 15 11 Property Restoration 5 Y 3 20 15 12 After Hours Response 5 Y 3 20 15 13 Project Completion 5 Y 2 20 10 TOTAL ELEMENT SCORE(A) 284 BONUS POINTS(25 Maximum)(B) TOTAL SCORE(TS) 284 I11)CONTRACTOR'S RATING Maximum Score(MS)=448 or sum of applicable element score maximums which= 448 Rating(ITS/MSI*100%) 284 / 448 = 63% Performance Category Good <20%=Inacfegneate 20%to<40%=Deficient 40%to<60%=Standard 60%to<80%=Good >80%=Excellent Inspector's Comments(INCLUDING EXPLANATION OF BONUS POINTS AWARDED) Signature Inspector Signature Contractor Signature Inspector's Supervisor CONTRACTOR'S COMMENTS Capital Projects Delivery,Water Departrnent The City of Fort Worth•1000'1'hrockmorton Street•Fort Worth,TX 76012-6311 (817)392-4477•Fax:(817)392-8460 FORTWORTH REV:02`22/07 Capital Projects Delivery,Water Department CONTRACTOR'S EVALUATION OF CITY I)PROJECT INFORMATION Date: 21-Mar-22 Name of Contractor Project Name Thalle Construction Co,Inc Sanitary Sewer Maur 257 Upper&Middle Village Creek paral Pater Engineering Inspector Project Manager Jesse Reed John Kasavich,PE DOE Nrunber Project Difficulty T)pe ojContract CO1227 O simple Q Routine Q Complex ❑water E]waste Water ❑storm Drainage ❑Pavement Initial Contract Amount Final Contract Amount $11,073,509.70 $11,092,059.70 II)PERFORMANCE EVALUATION 0-Inadequate I-Deficient 2-Standard 3-Good 4-Excellent ELEMENT RATING ELEMENT RATING INSPECTION EVALUATION PLANS&SPECIFICATIONS 1 Availability of Inspector 13 1 Accuracy of Plans to Existing Conditions 2 2 Knowledge of Inspector 13 2 Clarity&Sufficiency of Details 2 j 3 Accuracy of Measured Quantities 3 3 Applicability of Specifications 2 4 Display Of Professionalism 3 4 Accuracy of Plan Quantities $ 5 Citizen Complaint Resolution 3 PROJECT MANAGER EVALUATION 6 Performance-Setting up Valve Crews,Labs 3 1 Knowledge And/Or Problem Resolution 3 ADMINISTRATION 2 Availability of Project Manager 2 1 Change Order Processing Time 2 3 Communication 3 2 Timliness of Contractor Payments 3 4 Resolution of Utility Conflicts 3 3 Bid Opening to Pre-Con Meeting Timeframe 2 II1)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,TX 76012-6311 (817)392-4477•Fax:(817)392-8460 FORT WORTH December 08,2022 Thalle Construction Company,Inc 900 NC 86 North Hillsborough,NC 27278 Re:Acceptance Letter Project Name: Sanitary Sewer Main 257 Upper&Middle Village Creek Parallel Main Part 2A Project Type: Sewer Project Ns: C01227 DOE.Ns: NA Contract Ns: 52292 Dated: 12/8/2022 Gentleman: On August 26,2021 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 August 27,2021. 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 August 27,2021,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 John Kasavich PE,Project Manager,Water Department Capital Projects Delivery David R Johnson,Inspection Supervisor,Water Department Capital Projects Delivery Jesse Reed,Inspector,Water Department Capital Projects Delivery Plummer,Consultant Thalle, Contractor File WATER DEPARTMENT ENGINEERING AND FISCAL SERVICES THE CITY OF FORT WORTH * 1000 THROCKMORTON STREET * FORT WORTH, TExas 76102 817-392-8240 * Fax 817-392-8195 Cp Printed on recycled paper