HomeMy WebLinkAboutContract 55942-FP2City Secretary 55942 -FP2
Contract No.
FORTWORTH.
Date Received 3/17/2023
NOTICE OF PROJECT COMPLETION
(Developer Projects)
The Transportation and Public Works Department upon the recommendation of the Project
Manager has accepted the following project as complete:
Project Name: Village Creek Distribution Center
City Project No.: 103072
Improvement Type(s): Water [x Sewer nx
Original Contract Price:
Amount of Approved Change Order(s):
Revised Contract Amount:
Total Cost of Work Complete:
L7kti� Jwal� y lovy a sang
-tin Swai m(Nov 202216.20 CST) Jon DSorg (Mar l ,202313:44 CST)
Contractor
Vice President
Title
The Conlan Company
Company Name
Project Inspector
Kiran Konduru (Mar 16, 2023 09:17 CDT)
Project Manager
Rebecca Diane Owen (Mar 16, 2023 09:33 CDT)
CFA Manager
I ...— Prlau r (Mar 16. J023 09t56 CDT)
Interim TPW Director
William Johnson (M 16.202312:25 CDT)
Asst. City Manager
$108,664.75
$9,684.00
$118,348.75
Nov 22, 2022
M a r 10, 2023
Date
Nov 23, 2022
Mar 10, 2023
Date
Mar 16, 2023
Date
M a r 16, 2023
Date
M a r 16, 2023
Date
Mar 16, 2023
Date
OFFICIAL RECORD
CITY SECRETARY
FT. WORTH, TX
Page 1 of 2
Notice of Project Completion
Project Name: Village Creek Distribution Center
City Project No.: 103072
City's Attachments
Final Pay Estimate Ox
Change Order(s): ❑x Yes ❑ N/A
Pipe Report: x❑ Yes ❑ N/A
Contractor's Attachments
Affidavit of Bills Paid
Consent of Surety i
Statement of Contract Time
Contract Time: 190 WD Days Charged: 224
Work Start Date 10/04/2021 Work Complete Date: 09/06/222
Soil Lab Number of Tests 138
Water Number of Tests: 6
Page 2 of 2
FORT WORTH
CITY OF FORT WORTH
FINAL PAYMENT REQUEST
Contract Name VILLAGE CREEK DISTRIBUTION CENTER
Contract Limits
Project Type WATER & SEWER
City Project Numbers 103072
DOE Number 3072
Estimate Number I Payment Number I
City Secretary Contract Number
Contract Date 6/22/2021
For Period Ending
Project Manager NA
Contractor THE CONLAN COMPANY
1501 LBJ FREEWAY STE 550
FARMERS BRANCH, TX 75234
Inspectors CORDOVA, R / MCDONALD
Contract Time
Days Charged to Date
Contract is 100.00
9/6/2022
WD
19WD
224
Complete
Thursday, November 10, 2022 Page I of 4
City Project Numbers 103072
Contract Name VILLAGE CREEK DISTRIBUTION CENTER
Contract Limits
Project Type WATER & SEWER
Project Funding
UNIT I: WATER IMPROVEMENTS
DOE Number 3072
Estimate Number I
Payment Number I
For Period Ending 9/6/2022
Item
Description of Items
Estimated Unit
Unit Cost
Estimated
Completed
Completed
No.
Quanity
Total
Quanity
Total
---------------------------------------
1
8' PVC WATER PIPE
115 LF
$39.00
$4,485.00
115
$4,485.00
2
12' PVC WATER PIPE
831 LF
$57.00
$47,367.00
831
$47,367.00
3
16" DIP WATER
44 LF
$278.00
$12,232.00
44
$12,232.00
4
2" WATER PIPE
1 EA
$6,252.00
$6,252.00
1
$6,252.00
5
8" GATE VALVE
1 EA
$1,481.00
$1,481.00
1
$1,481.00
6
12" GATE VALVE
3 EA
$2,448.00
$7,344.00
3
$7,344.00
7
16" X 8" TAPPING SLEEVE & VALVE
1 EA
$6,423.00
$6,423.00
1
$6,423.00
8
CONNECTION TO EXISTING 4"-12" WATER
MAIN
1 EA
$3,320.00
$3,320.00
1
$3,320.00
9
CONNECTION TO EXISTING 16" WATER MAIN
I EA
$3,683.00
$3,683.00
1
$3,683.00
10
TRENCH SAFETY
990 LF
$1.00
$990.00
990
$990.00
11
DUCTILE IRON WATER FITTINGS
0.25 TN
$1,059.00
$264.75
0.25
$264.75
W/RESTRAINT
12
AUTOMATIC FLUSHER
1 EA
$5,877.00
$5,877.00
1
$5,877.00
13
FIRE HYDRANT
I EA
$3,231.00
$3,231.00
1
$3,231.00
14
--------------------------------------
EROSION CONTROL
I LS
$6,453.00
$6,453.00
1
$6,453.00
Sub-Total of Previous Unit
$109,402.75
$109,402.75
UNIT H: SANITARY SEWER IMPROVEMENTS
Item
Description of Items
Estimated Unit
Unit Cost
Estimated
Completed
Completed
No.
Quanity
Total
Quanity
Total
1
8" SEWER PIPE
5 LF
$66.00
$330.00
5
$330.00
2
4' MANHOLE
1 EA
$2,419.00
$2,419.00
1
$2,419.00
3
POST CCTV INSPECTION
5 LF
$1.00
$5.00
5
$5.00
4
TRENCH SAFETY
5 LF
$1.00
$5.00
5
$5.00
5
MANHOLE VACUUM TESTING
1 EA
$100.00
$100.00
1
$100.00
6
CONCRETE COLLAR
1 EA
$1,083.00
$1,083.00
1
$1,083.00
7
--------------------------------------
4' EXTRA DEPTH MANHOLE
12 VF
$417.00
$5,004.00
12
$5,004.00
- -
Sub-Total of Previous Unit
- - - - - - - - - - - - - - - - - - - - -
- - -
$8,946.00
- - - -
- - - -
$8,946.00
- - - -
Thursday, November 10, 2022 Page 2 of 4
City Project Numbers 103072
Contract Name VILLAGE CREEK DISTRIBUTION CENTER
Contract Limits
Project Type WATER & SEWER
Project Funding
Contract Information Summary
Original Contract Amount
Change Orders
Change Order Number 1
Total Contract Price
DOE Number 3072
Estimate Number I
Payment Number I
For Period Ending 9/6/2022
$108,664.75
$9,684.00
$118,348.75
Total Cost of Work Completed $118,348.75
Less % Retained $0.00
Net Earned $118,348.75
Earned This Period $118,348.75
Retainage This Period $0.00
Less Liquidated Damages
Days @ / Day
$0.00
LessPavement Def►ciency
$0.00
Less Penalty
$0.00
Less Previous Payment
$0.00
Plus Material on Hand Less 15%
$0.00
Balance Due This Payment
$118,348.75
Thursday, November 10, 2022 Page 3 of 4
City Project Numbers 103072
Contract Name VILLAGE CREEK DISTRIBUTION CENTER
Contract Limits
Project Type WATER & SEWER
Project Funding
Project Manager NA
Inspectors CORDOVA, R / MCDONALD
Contractor THE CONLAN COMPANY
1501 LBJ FREEWAY STE 550
FARMERS BRANCH, TX 75234
DOE Number 3072
Estimate Number 1
Payment Number 1
For Period Ending 9/6/2022
City Secretary Contract Number
Contract Date
6/22/2021
Contract Time
190 WD
Days Charged to Date
224 WD
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 $118,348.75
Less % Retained
$0.00
Net Earned
$118,348.75
Earned This Period $118,348.75
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
$0.00
Plus Material on Hand Less 15%
$0.00
Balance Due This Payment
$118,348.75
Thursday, November 10, 2022 Page 4 of 4
DocuSlgn Envelope ID:77E08020.069E-4691.81C7-0861D056A52C
DEVELOPER -AWARDED -PROJECT CHANGE ORDER
PROJECT NAME:
Village Creek Distribution Center
CONTRACT:
Water, Sewer, Paving, Drainage, 8 Street Light Improvements to Serve Village Creek
Distribution Center
CHANGE
ORDER No:
CFA It
CFA21.0033 CITY PARTICIPATION:1 no
CITY PROJECT #
103072
IPRC i!
IPRC21-0008
AD #
30114.0200431.103012-EO7682
X it
X-26886
FILE N
K-2827
INSPECTOR: Steven Agulde Phone No: 817-392-8306
PROJECT MANAGER: I<Iran Kandou Phone No: 817.392-2237
CONTRACT UNIT
CONTRACT
DAYS
WATER
SEWER
PAVING
DRAJNAGE
STREET UGHTS
ovs opor
Cost
CHYCost
00voloper
Cod
City Cw1
Dbvalopor
Coal
City Cool
13mloper
Cost
CRY Cost
D4volopor
Cost
CllyCat
ORIGINAL CONTRACT
$99,710.75
$8,046.00
$235,307.05
$100,173.00
$24,647.67
190
EXTRAS TO DATE
$0.00
40.00
$0.00
$0.00
$0.00
CREDITS TO DATE
$0.00
$0.00
$0,00
_
$0.00
$0.00
CONTRACT TO DATE
$99.710.75
$0.00
56'"0.00
$0.00
$235,397.05
$0.00
$10011173.00
$0.00
$24,647.67
$0.00
100
AMOUNT OF PROP. CHANGE ORDER
$9,684.00
$0.00
1$12,D57.53
$0.00
$0.00
0
REVISED CONTRACT AMOUNT
$100,402.76
$0.00
$8,046.00
1 $0.00
$777,439.57
$0.00
$100.173.00
$0.00
$247,7.6T
$0.00
190
TOTAL REVISED CONTRACT AMOUNT
PER UNIT
$109402.76
$8,946.00
$272,439.62
$100,173.00
$24.647.67
REVISED COST SHARE
Day. Cost: $465,000.04 City Cost:
TOTAL REVISED CONTRACT
$465,608.84
Revised: 10.12.2011 Pego 1
DocuSign Envelope ID: 77EO8020.069E-4691.61C7-9861D066A52C
Ym. era diraelnrl to mnRn Ihn fnll—lnn .h..— In Ihw rnnlrar:l don, —I,
PAY REM9
CITY DID REM
4
OUANTRY
UNIT
ITEM DESCRIPTION
UNIT PRICE TOTAL
Unit 1: Water Improvements
13'
3312.0001
1 EA
I Fire Hydrant $3,231,00
$3231.00
14'
9999.0003
1 LS
I Erosion Control Blankets 46,453.00
$6,453.00
Total Unit 1: Water Improvements
$9.684.00
Unit IV: Paving Improvements
1
3201.0203 -845
LF
I Asphalt Pvml Repair Beyond Defined Width, Industrial
$16.67
5 14,001.6
6
3292.0401 1.582
SY
I Wily Service Surface Rosloration - Restoration Hydromulch
I S0.660
1 $1 044.12
Total Unit IV: Pavingjpiprovernents
I S (12,957.5.))
TOTAL
I (S3.273.531
REASONS FOR CHANGE ORDER If was deamod unessosaryto have the proposod water lino odonslon along Porkor Hondorson to be vndor tho road. A Variance request was made end approved
VAR21.OM
NO CITY FUNDS INVOLVED IN THIS CONTRACT. DEVELOPER IS RESPONSIBLE FOR 100 % OF THE CHANGE
REIMBURSEMENT FROM THE CITY WILL BE SOUGHT BY 711E DEVELOPER.
—.e7uiw W v14e0 �/:
RECOMMENDED: APPROVED: Frank 7Dzzl [-i'"
- ..i. EN1Yr))Cf4�, APPROVED: j
(ConsuFrank TOZZi ion Sorg llingEnglnoor) (DavaloperJ (Confracror►'/
By. Wlnkalmonn & Associates By. Granite (Village Crook), LLC By: The Conlon Company
Name: Will Winkelmann Name: Jon Sorg Name: Nata Honer
Title: Vice President Tide: Vice President Title: Superintendent
Revised: 10-12.2011 Pago 2
0
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n WATER PLAN AND PROFILE 1 - PUBLIC A1$N „� Wi`nkelmann
VILLAGE CREEK DISTRIBUTION CENTER ii" -^ ^u'^ :, Io 05 and PN tER-N InwSou P.uN me xEv.salt eNn
FORT WORTH, TEXASgN G.4 •' „�••'• R I" m/te/:nll swr a coss_Rwrar/ — nxn
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R E V I E W.,-1))
By Kiran f<onduru at 11:53 am, Apr 08, 2022
DEVELOPER -AWARDED -PROJECT CHANGE ORDER
PROJECT NAME:
Village Creek Distribution Center
CONTRACT:
Water, Sewer, Paving, Drainage, & Street Light Improvements to Serve Village Creek
Distribution Center
CHANGE
ORDER No:
CFA #
CFA21-0033 CITY PARTICIPATION: no
CITY PROJECT #
103072
IPRC #
IPRC21-0008
FID #
30114-0200431-103072-E07fi82
2
X #
X-26886
FILE #
K-2827
INSPECTOR: Steven Aguirte Phone No: 817-392-8306
PROJECT MANAGER: Kiran Kandou Phone No: 817-392-2237
CONTRACT UNIT
WATER
SEWER
PAVING
DRAINAGE
STREETLIGHTS
CONTRACT
Developer
Cost
City Cost
Developer
Cost
City Cost
Developer
Cost
City Cost
Developer
Cost
City Cost
Developer
Cost
City Cost
DAYS
ORIGINAL CONTRACT
$99.716.75
48,946.00
$236,397.06
$100.113.00
$24,647.57
190
EXTRAS TO DATE
$9.684.00
40.00
$0.00
$0.00
$0.00
CREDITSTODATE
$0.00
40.00
$12,957.53
40.00
$0.00
CONTRACTTODATE
$109,402.75
$0.00
$8,946.00
$Oleo
$222,439.62
$0.00
$100,173.00
$0.00
$24,647.57
$0.00
190
AMOUNT OF PROP. CHANGE ORDER
$0.00
$0.00
$0.00
$0.00
(54,206.95)
0
REVISED CONTRACT AMOUNT
S10%402.75
$0.00
$8,946.00
$0.00
$222,439.52
$0.00
$100,173.00
$0.00
$20,438.62
1 $0,00
190
TOTAL REVISED CONTRACT AMOUNT
PERUNIi
$109,402.75
$8,946.00
$222,439.62
$100,173.00
$20,438.62
REVISED COSTSHARE
Dev.Cost: $461,399.89 City cost: $0,00
TOTAL REVISED CONTRACT
$461,399.89
Revised: 10-12-2011 Page 1
DocuSign Envelope ID: 43BEIIC2B-B291-4632-AO5D-78E656892ABB REVIEWED
By Kiran Konduru at 91:53 am, Apr 08, 2022
You are directed In make [tin fellomino channel In the contract documents -
CITY aID ITEM
PAY ITEM N fl
QUANTITY UNIT
ITEM DESCRIPTION
UNITPRICE
TOTAL
Unit V: Streot LI h Ing Improvements
1
3441.3037
•1
EA
Fumish/Install 10' • 14' Washington
$2,938.36
93 52.0.36)
2
3441.3110
i
EA
Install Lighting Fixture
5296.92
1 (5296.92)
3
1 3441.3201
1 •1
EA
I LED Lighting Fixture
$973.67
1 ($973.67)
TOTAL
1 1&4.20,95)
REASONS FOR CHANGE ORDER
Routing of overhead electric linos along Village Creek changed to avoid powar pole relocations per Oncor
NO CITY FUNDS INVOLVED IN THIS CONTRACT. DEVELOPER 15 RESPONSIBLE FOR 100%OF THE CHANGE ORDER GrOST ND
REIMBURSEMENT FROM THE CITY WILL DE SOUGHT BY THE DEVELOPER.
Dacuslgned by: Docoslgned by:
r4o" S>� Frank To V7,
nf:r.nMMFNnFn APPR6VFn: APPnnVFn•
Consultin En,mear Dun Jury t-ranI( IOzzl
( ,y ry' ) (Developer) (Contrncfor
By: Winkelmonn & Associates By. Granite (ViI'age Creek). LLC By: The Conlin Company
Name: WIII Wlnkelmann Name: Jon Sorg Name: Nate Hanor
Title: Vice President Title: Vice President T1de: Superinlandont
Revised: 10-12-2011 Page 2
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FORT WORTH
TRANSPORTATION AND PUBLIC WORKS
PIPE REPORT FOR:
PROJECT NAME: Village Creek Distribution Center
CITY PROJECT NUMBER: 103072
WATER
PIPE LAID
SIZE
TYPE OF PIPE
LF
C900
8"
PVC
115
C900
12"
PVC
831
DIP
16"
DUCKTILE IRON
44
FIRE HYDRANTS: 1
VALVES (16" OR LARGER)
1 EACH
PIPE ABANDONED
SIZE
TYPE OF PIPE
LF
DENSITIES:
YES PASSED
NEW SERVICES:
2"
COPPER
1 EACH
SEWER
PIPE LAID
SIZE
TYPE OF PIPE
LF
SDR 26
8"
PVC
5
PIPE ABANDONED
SIZE
TYPE OF PIPE
LF
N/A
DENSITIES:
YES PASSED
NEW SERVICES:
TRANSPORTATION AND PUBLIC WORKS
The City of Fort Worth • 1000 Throckmorton Street • Fort Worth, TX 76012-6311
(817) 392 - 7941 • Fax: (817) 392 - 7845
FORTWORTH.
TRANSPORTATION AND PUBLIC WORKS
November 2, 2022
The Conlan Company
1501 LBJ Freeway, Suite 550
Farmers Branch, Texas 75234
RE: Acceptance Letter
Project Name: Village Creek
Project Type: Water, Sewer, Drainage
City Project No.: 103072
To Whom It May Concern:
On September 6, 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 November 1, 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 November 1, 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-
392-2237.
Sincerely,
X,
Kiran Konduru (Mar 16, 2023 09:17 CDT)
Kiran Konduru, Project Manager
Cc: Byron McDonald, Inspector
Ron Cordova, Inspection Supervisor
Edward Davila, Senior Inspector
Victor Tornero, Program Manager
Winkelmann & Associates, INC., Consultant
The Conlan Company, Contractor
Hefner Properties., Developer
File
E-Mail: TPW_Acceptance@fortworthtexas.gov
Signature:
Email:
Rev.8/20/19
AFFIDAVIT
STATE OF Texas
COUNTY OF Dallas
Before me, the undersigned authority, a notary public in the state
and county aforesaid, on this day personally appeared Justin Swaim, Vice
President Of The Conlan 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;
Scope of work for CFA City Project #103072
BY
stin Swaim, Vice President
Subscribed and sworn before me on this date 18th of November, 2022.
Vcv--N
Notary Public
Dallas, Texas
ALISQN MARIE WATSON
Notary Public, State of Texas
Comm. Expires 07-07-2024
Plotary ID 132556124
CONSENT OF SURETY
TO FINAL PAYMENT
AM Docunwnt G707
Bond No. 30133525
TO OWNI .
(Name rr,rd udelrnw)
Granite (Village Creek), LLC and City of Fort Worth, Texas
200 Texas Street
Fort Worth, TX 76102
PROJECr:
(Mmm-arrd add raW
OWNER ❑
ARCA ECT ❑
CONTRACTOR L`i
SURM Y ❑
OTHM ❑
ARCHITECT'S PROJECT NO,:
WeleM 1,74TiiiOZ01LA
COIV'1RACT'I)ATED: June 22, 2021
Village Creek Distribution Center, City Project No.: 103072, 5005 Parker -Henderson Road, Fort Worth, TX (Water,
Sanitary Sewer, Drainage, Paving and Street Lighting Improvements); CFA Number: 21-033
In acwrdance kith the provisions orthe Contract between the Owner and the Contractor as Indicated above, the
(lntmt name and addhxt nf.SrrrgI J
Continental Casualty Company
151 N. Franklin Street
Chicago, IL 60606
, SC.II FTY,
on bond of
(lrrerrrnamecurdcrrlr)rc.crgr rrrrrrd�r)
The Conlan Company
1501 LBJ Freeway, Suite 550
Farmers Branch, TX 75234
, CON'I'dtACTOR,
hereby approves of the final jAyment to die Contmctor, and agrees that final payment to the Contractor shall not relieve the Surety of
any of Its obligations ro
(Ina+lt rrtrura and ucldretc oJ[7r, wcr)
Granite (Village Creek), LLC and City of Fort Worth, Texas
200 Texas Street
Fort Worth, TX 76102
, OWNER,
as set Forth in said Surety's bond.
IN NYATNGWS WHRREOF, the Swviy has bereunto set its hand can this date; November 10, 2022
(Irrxr+rl to a9 flh tlx n+arr� folrnrrvt l hr r!H nr+,rracfc rlrt+rand ictirr,!
Continental Casualty Company
(srrr�ra1-
(S7rrrarraxQrurrr6oryxrd rrpr�uturrrrrl
Attest. y
(Ses1)c Deborah B. Sasser Attorney -in -Fact
C rney
Elizabefh White {)htrrrEdrrauuarrofrfrlr)
G707----19.94
POWER OF ATTORNEY APPOINTING INDIVIDUAL ATTORNEY -IN -FACT
Know All Men By These Presents, That Continental Casualty Company, an Illinois insurance company, National Fire Insurance Company of
Hartford, an Illinois insurance company, and American Casualty Company of Reading, Pennsylvania, a Pennsylvania insurance company (herein called
"the CNA Companies"), are duly organized and existing insurance companies having their principal offices in the City of Chicago, and State of Illinois,
and that they do by virtue of the signatures and seals herein affixed hereby make, constitute and appoint
Brian E Madden, Deborah B Sasser, Bart Peppers, Brittany L Triplett, Felisa H Vaughan, Elizabeth White, Individually
of Alpharetta, GA, their true and lawful Attomey(s)-in-Fact with full power and authority hereby conferred to sign, seal and execute for and on their
behalf bonds, undertakings and other obligatory instruments of similar nature
- In Unlimited Amounts
and to bind them thereby as fully and to the same extent as if such instruments were signed by a duly authorized officer of their insurance companies and
all the acts of said Attorney, pursuant to the authority hereby given is hereby ratified and confirmed.
This Power of Attorney is made and executed pursuant to and by authority of the By -Law and Resolutions, printed on the reverse hereof, duly
adopted, as indicated, by the Boards of Directors of the insurance companies.
In Witness Whereof, the CNA Companies have caused these presents to be signed by their Vice President and their corporate seals to be hereto
affixed on this 24th day of February, 2022.
CA`acry
c+ �
r cati� :a+Arg 4� ; �$' �WGOR�OftAr�D
z y
�U $EAL tZ r Sul 92
1897 HARD •
State of South Dakota, County of Minnehaha, ss:
Continental Casualty Company
National Fire Insurance Company of Hartford
American Casualty Company of Re ing, Pennsylvania
Paul T. Bruflat ce President
On this 24th day of February, 2022, before me personally came Paul T. Bruflat to me known, who, being by me duly sworn, did depose and say:
that he resides in the City of Sioux Falls, Slate of South Dakota; that he is a Vice President of Continental Casualty Company, an Illinois insurance
company, National Fire Insurance Company of Hartford, an Illinois insurance company, and American Casualty Company of Reading, Pennsylvania, a
Pennsylvania insurance company described in and which executed the above instrument; that he knows the seals of said insurance companies; that the
seals affixed to the said instrument are such corporate seals; that they were so affixed pursuant to authority given by the Boards of Directors of said
insurance companies and that he signed his name thereto pursuant to like authority, and acknowledges same to be the act and deed of said insurance
companies.
+4hh4ti 4yY..4h.............. 4
` M. BENT ),
I NOTARY PUBLIC gam., ff
��6OUTH DAKOTA�l
+.ftiy44..�tiy�44..Y4YY4�44Y4 �
My Commission Expires March 2, 2026 M. Bent Notary Public
CERTIFICATE
I, D. Johnson;Assistant Secretary of Continental Casualty Company, an Illinois insurance company, National Fire Insurance Company of Hartford,
an Illinois insurance company, and American Casualty Company of Reading„ Pennsylvania, a Pennsylvania insurance company do hereby certify that the
Power of Attorney herein above set forth is still in force, and further certify that the By -Law and Resolution of the Board of Directors of the insurance
companies printed on the reverse hereof is still in force. In testimony whereof I have hereunto subscribed my name and affixed the seal of the said
insurance companies this I Oth day of November, 2022.
%%SURq'ttc� oSEAL
pORPOAAre C1 LY 1897 NAR
Form F6853-4/2012
Continental Casualty Company
National Fire Insurance Company of Hartford
American Casualty Company of Reading, Pennsylvania
D. Johnson Assistant Secretary
Go to www.cnasurety.com > Owner / Obligee Services > Validate Bond Coverage, if you want to verify bond authenticity.
Authorizing By -Laws and Resolutions
ADOPTED BY THE BOARD OF DIRECTORS OF CONTINENTAL CASUALTY COMPANY:
This Power of Attorney is made and executed pursuant to and by authority of the following resolution duly adopted by the Board of Directors of the Company at a
meeting held on May 12, 1995:
"RESOLVED: That any Senior or Group Vice President may authorize an officer to sign specific documents, agreements and instruments on behalf of the Company
provided that the name of such authorized officer and a description of the documents, agreements or instruments that such officer may sign will be provided in
writing by the Senior or Group Vice President to the Secretary of the Company prior to such execution becoming effective."
This Power of Attorney is signed by Paul T. Bmflat, Vice President, who has been authorized pursuant to the above resolution to execute power of attorneys on
behalf of Continental Casualty Company.
This Power of Attorney is signed and sealed by facsimile under and by the authority of the following Resolution adopted by the Board of Directors of the Company by
unanimous written consent dated the 250s day of April, 2012:
"Whereas, the bylaws of the Company or specific resolution of the Board of Directors has authorized various officers (the "Authorized Officers")to execute
various policies, bonds, undertakings and other obligatory instruments of like nature; and
Whereas, from time to time, the signature of the Authorized Officers, in addition to being provided in original, hard copy format, may be provided via facsimile or
otherwise in an electronic format (collectively, "Electronic Signatures"); Now therefore be it resolved: that the Electronic Signature of any Authorized Officer
shall be valid and binding on the Company. "
ADOPTED BY THE BOARD OF DIRECTORS OF NATIONAL FIRE INSURANCE COMPANY OF HARTFORD:
This Power of Attorney is made and executed pursuant to and by authority of the Following resolution duly adopted by the Board of Directors of the Company by
unanimous written consent dated May 10, 1995:
"RESOLVED: That any Senior or Group Vice President may authorize an officer to sign specific documents, agreements and instruments on behalf of the Company
provided that the name of such authorized officer and a description of the documents, agreements or instruments that such officer may sign will be provided in
writing by the Senior or Group Vice President to the Secretary of the Company prior to such execution becoming effective."
This Power of Attorney is signed by Paul T. Brufiat, Vice President, who has been authorized pursuant to the above resolution to execute power of attorneys an
behalf of National Fire Insurance Company of Hartford.
This Power of Attorney is signed and sealed by facsimile under and by the authority of the following Resolution adopted by the Board of Directors of the Company by
unanimous written consent dated the 25' day of April, 2012:
"Whereas, the bylaws of the Company or specific resolution of the Board of Directors has authorized various officers (the "Authorized Officers")to execute
various policies, bonds, undertakings and other obligatory instruments of like nature; and
Whereas, from time to time, the signature of the Authorized Officers, in addition to being provided in original, hard copy format, may be provided via facsimile or
otherwise in an electronic format (collectively, "Electronic Signatures"), Now therefore be it resolved: that the Electronic Signature of any Authorized Officer
shall be valid and binding on the Company. "
ADOPTED BY THE BOARD OF DIRECTORS OP AMERICAN CASUALTY COMPANY OF READING, PENNSYLVANIA'
This Power of Attorney is made and executed pursuant to and by authority of the following resolution duly adopted by the Board of Directors of the Company by
unanimous written consent dated May 10, 1995:
"RESOLVED: That any Senior or Group Vice President may authorize an officer to sign specific documents, agreements and instruments on behalf of the Company
provided that the name of such authorized officer and a description of the documents, agreements or instruments that such officer may sign will be provided in
writing by the Senior or Group Vice President to the Secretary of the Company prior to such execution becoming effective."
This Power of Attorney is signed by Paul T. Bruflat, Vice President, who has been authorized pursuant to the above resolution to execute power of attorneys on
behalf of American Casualty Company of Reading, Pennsylvania,
This Power of Attorney is signed and sealed by facsimile under and by the authority of the following Resolution adopted by the Board of Directors of the Company by
unanimous written consent dated the 2511 day of April, 2012:
"Whereas, the bylaws of the Company or specific resolution of the Board of Directors has authorized various officers (the "Authorized Officers")to execute
various policies, bonds, undertakings and other obligatory instruments of like nature; and
Whereas, from time to time, the signature of the Authorized Officers, in addition to being provided in original, hard copy format, may be provided via facsimile or
otherwise in an electronic format (collectively, "Electronic Signatures"), Now therefore be it resolved: that the Electronic Signature of any Authorized Officer
shall be valid and binding on the Company. "