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Contract 58321-FP1
AC Coded 08.11.23 Vendor Name: WILLIAM J SCHULTZ Invoice No.: 58321-FP1 Invoice Date: 08/08/2023 Release Retainage - $35,788.06 FID 56002-2060000-103324-RETAIN FORTWORTH WATER DEPARTMENT ENGINEERING AND FISCAL SERVICES NOTICE OF PROJECT COMPLETION CSC No. 58321-FP1 56002-103324 CS 58321 Regarding contract 58321 for Water and Sanitary Sewer Rehabilitation West Wind Apartments as required by the Water Department as approved by City Council on 9/13/2022 through M&C 22-0722 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: Amount of Approved Change Orders: Revised Contract Amount: Total Cost Work Completed: Less Deductions: Liquidated Damages: Other Deductions(see comments): Total Deduction Amount: Total Cost Work Completed: Less Previous Payments: Final Payment Due 6n'J S 6 14, Recommehded for Acceptance Assistant Director, Water Department Chri5toal7er ff67rde;v Christopher Harder (Aug 11, 2023 08:26 CDT) Accepted Director, Water Department TnCu�Gg �i �� Dana Burghdghdoff (Au 1, 202CDT) City Manager $808,115.58 $0.00 Ns 1 $808,115.58 $715,761.00 0 Days @ $730.00/ Day $0.00 $715,761.00 $679,972.94 $35,788.06 Date Date Date OFFICIAL RECORD CITY SECRETARY FT. WORTH, TX Project Name: Water and Sanitary Sewer Rehabilitation West Wind Apartments DOE. Ns: Comments: 56002-103324 CS 58321 City Project Numbers 103324-1 Contract Name Water and Sanitary Sewer Rehabilitation West Wind Appartments Contract Limits Council District 3 Project Type Sewer Project Funding Project Manager Zohne Inspectors Johnson / Martinez Contractor CIRCLE C CONSTRUCTION COMPANY PO BOX 40328 FORT WORTH, TX 76140 DOE Number 0262 Estimate Number 4 Payment Number 4 For Period Ending 8/3/2023 City Secretary Contract Number 58321 Contract Date 9/13/2022 Contract Time 120 CD Days Charged to Date 214 CD Contract is .000000 Complete CITY OF FORT WORTH SUMMARY OF CHARGES Line Fund Account Center Amount Gross Retai❑age Net Funded Total Cost of Work Completed $715,761.00 Less 0 % Retained $0.00 Net Earned $715,761.00 Earned This Period $35,787.75 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 $679,973.25 Plus Material on Hand Less 15% $0.00 Balance Due This Payment $35 787.75 Thursday, August 3, 2023 Page 6 of 6 FORT WORTH CITY OF FORT WORTH FINAL PAYMENT REQUEST Contract Name Water and Sanitary Sewer Rehabilitation West Wind Appartments Contract Limits Council District 3 Project Type Water City Project Numbers 103324-1 DOE Number 0262 Estimate Number 4 Payment Number 4 For Period Ending City Secretary Contract Number 58321 Contract Date 9/13/2022 Project Manager Zohne Contractor CIRCLE C CONSTRUCTION COMPANY PO BOX 40328 FORT WORTH, TX 76140 Inspectors Johnson / Martinez Contract Time Days Charged to Date Contract is 89.000 8/3/2023 CD 12GD 214 Complete Thursday, August 3, 2023 Page 1 of 6 City Project Numbers 103324-1 DOE Number 0262 Contract Name Water and Sanitary Sewer Rehabilitation West Wind Appartments Estimate Number 4 Contract Limits Council District 3 Payment Number 4 Project Type Water For Period Ending 8/3/2023 Project Funding Unit 1 Water Item Description of Items Estimated Unit Unit Cost Estimated Completed Completed No. Quanity Total Quanity Total --------------------------------------- 1 9999.0001 6" to 8" Pipe Enlargement 727 LF $198.00 $143,946.00 727 $143,946.00 2 3311.0261 8" PVC Water Pipe 10 LF $125.00 $1,250.00 10 $1,250.00 3 3311.0252 8" DIP Water, CSS Backfil 41 LF $250.00 $10,250.00 41 $10,250.00 4 3311.0161 6" PVC Water Pipe 10 LF $100.00 $1,000.00 10 $1,000.00 5 3312.2203 2" Water Service 4 EA $3,000.00 $12,000.00 6 $18,000.00 6 3312.2201 2" Water Service, Meter 4 EA $1,500.00 $6,000.00 6 $9,000.00 7 3312.2103 1 1/2" Water Service 2 EA $2,800.00 $5,600.00 8 3312.2101 1 1/2" Water Service, Met 2 EA $1,500.00 $3,000.00 9 3312.2003 1" Water Service* I EA $2,500.00 $2,500.00 10 3312.2001 1" Water Service, Meter R I EA $1,500.00 $1,500.00 11 3312.3103 8" Cut -in Gate Valve 1 EA $6,500.00 $6,500.00 1 $6,500.00 12 3312.3003 8" Gate Valve 2 EA $2,500.00 $5,000.00 2 $5,000.00 13 3312.3002 6" Gate Valve I EA $2,000.00 $2,000.00 1 $2,000.00 14 3312.0117 Connection to Existing 4" 5 EA $4,500.00 $22,500.00 5 $22,500.00 15 0171.0001 Construction Staking 1 LS $4,000.00 $4,000.00 1 $4,000.00 16 0171.0102 As -Built Survey I LS $1,000.00 $1,000.00 1 $1,000.00 17 0241.1402 Salvage 6" Water Valve 2 EA $500.00 $1,000.00 2 $1,000.00 18 0241.1513 Salvage 1 1/2" Water Mete 1 EA $500.00 $500.00 19 0241.1514 Salvage 2" Water Meter 1 EA $500.00 $500.00 6 $3,000.00 20 3201.0112 5' Wide Asphalt Pvmt Repa 17.5 LF $250.00 $4,375.00 60 $15,000.00 21 3201.0201 Asphalt Pvmt Repair Beyon 5 SY $65.00 $325.00 22 3201.0614 Cone Pvmt Repair, Residen 46.444444 SY $250.00 $11,611.11 48 $12,000.00 23 3213.0301 4" Cone Sidewalk 162 SF $25.00 $4,050.00 80 $2,000.00 24 3213.0401 6" Concrete Driveway 620 SF $35.00 $21,700.00 471 $16,485.00 25 3216.0101 6" Cone Curb and Gutter 83 LF $55.00 $4,565.00 63 $3,465.00 26 3291.0100 Topsoil 4.5370370 CY $50.00 $226.85 22.5 $1,125.00 27 3292.0100 Block Sod Placement 27.222222 SY $20.00 $544.44 450 $9,000.00 28 3304.0101 Temporary Water Services 1 LS $5,000.00 $5,000.00 1 $5,000.00 29 3305.0103 Exploratory Excavation of 4 EA $2,000.00 $8,000.00 4 $8,000.00 30 3305.0108 Miscellaneous Adjustments 1 LS $10,000.00 $10,000.00 1 $10,000.00 31 3305.0109 Trench Safety 75 LF $25.00 $1,875.00 75 $1,875.00 Thursday, August 3, 2023 Page 2 of 6 City Project Numbers 103324-1 DOE Number 0262 Contract Name Water and Sanitary Sewer Rehabilitation West Wind Appartments Estimate Number 4 Contract Limits Council District 3 Payment Number 4 Project Type Water For Period Ending 8/3/2023 Project Funding 32 3305.0203 Imported EmbedmentBackfi 10 CY $250.00 $2,500.00 33 3305.0207 Imported EmbedmentBackfi 10 CY $85.00 $850.00 34 3311.0001 Ductile Iron Water Fittin 0.97 TO $12,500.00 $12,125.00 0.97 $12,125.00 35 3471.0001 Traffic Control 0.5 MO $5,500.00 $2,750.00 0.5 $2,750.00 36 3471.0003 Traffic Control Details I EA $2,500.00 $2,500.00 1 $2,500.00 37 -------------------------------------- 9999.0002 Water Construction Allowa 1 LS $20,000.00 $20,000.00 Sub-Total of Previous Unit $343,043.41 $329,771.00 Unit 2 Sewer Item Description of Items Estimated Unit Unit Cost Estimated Completed Completed No. Quanity Total Quanity Total --------------------------------------- 1 3331.1102 6" to 8" Pipe Enlargement 928 LF $185.00 $171,680.00 982 $181,670.00 2 3331.4116 8" Sewer Pipe, CSS Backfi 5 LF $155.00 $775.00 3 3331.4115 8" Sewer Pipe 5 LF $100.00 $500.00 4 3331.4120 8" DIP Sewer Pipe with P 56 LF $250.00 $14,000.00 5 3331.3201 6" Sewer Service 1 EA $2,500.00 $2,500.00 1 $2,500.00 6 3339.1001 4' Manhole 8 EA $8,500.00 $68,000.00 7 $59,500.00 7 3339.1003 4' Extra Depth Manhole 8.45 VF $450.00 $3,802.50 8.45 $3,802.50 8 3331.3101 4" Sewer Service w/ 2-way 10 EA $2,200.00 $22,000.00 1 $2,200.00 9 3339.0001 Epoxy Manhole Liner 8.1600000 VF $400.00 $3,264.00 31.59 $12,636.00 10 0171.0001 Construction Staking I LS $5,000.00 $5,000.00 1 $5,000.00 11 0171.0102 As -Built Survey 1 LS $1,000.00 $1,000.00 1 $1,000.00 12 0241.2201 Remove 4' Sewer Manhole 6 EA $1,500.00 $9,000.00 6 $9,000.00 13 3201.0112 5' Wide Asphalt Pvmt Repa 25 LF $250.00 $6,250.00 67 $16,750.00 14 3201.0201 Asphalt Pvmt Repair Beyon 5 SY $65.00 $325.00 15 3201.0614 Cone Pvmt Repair, Residen 60.666667 SY $250.00 $15,166.67 16 3213.0301 4" Cone Sidewalk 186 SF $25.00 $4,650.00 360 $9,000.00 17 3213.0401 6" Concrete Driveway 723 SF $35.00 $25,305.00 312 $10,920.00 18 3216.0101 6" Cone Curb and Gutter 53 LF $55.00 $2,915.00 10.5 $577.50 19 3291.0100 Topsoil 9 CY $50.00 $450.00 22.5 $1,125.00 20 3292.0100 Block Sod Placement 54 SY $20.00 $1,080.00 450 $9,000.00 21 3301.0001 Pre -CCTV Inspection 1010.45 LF $10.00 $10,104.50 1010.45 $10,104.50 22 3301.0002 Post -CCTV Inspection 1010.45 LF $10.00 $10,104.50 1010.45 $10,104.50 23 3301.0101 Manhole Vacuum Testing 8 EA $250.00 $2,000.00 7 $1,750.00 Thursday, August 3, 2023 Page 3 of 6 City Project Numbers 103324-1 Contract Name Water and Sanitary Sewer Rehabilitation West Wind Appartments Contract Limits Council District 3 Project Type Sewer Project Funding 24 3305.0103 Exploratory Excavation of 6 EA 25 3305.0107 Manhole Adjustment, Minor 4 EA 26 3305.0109 Trench Safety 100 LF 27 3305.0112 Concrete Collar 4 EA 28 3305.0203 Imported Embedment/Backfii 10 CY 29 3305.0207 Imported Embedment/Backfi 10 CY 30 3331.0103 8" Sewer Pipe, Point Repa 60 LF 31 3471.0001 Traffic Control 0.5 MO 32 3471.0003 Traffic Control Details I EA 33 ---------------------- 9999.0003 Sewer Construction Allowa 1 LS ---------------------- Sub-Total of Previous Unit DOE Number 0262 Estimate Number 4 Payment Number 4 For Period Ending 8/3/2023 $2,000.00 $12,000.00 6 $12,000.00 $3,500.00 $14,000.00 $35.00 $3,500.00 100 $3,500.00 $550.00 $2,200.00 7 $3,850.00 $250.00 $2,500.00 $100.00 $1,000.00 $250.00 $15,000.00 60 $15,000.00 $5,000.00 $2,500.00 0.5 $2,500.00 $2,500.00 $2,500.00 1 $2,500.00 $30,000.00 ---------------- $30,000.00 ---------------- $465,072.17 $385,990.00 Thursday, August 3, 2023 Page 4 of 6 City Project Numbers 103324-1 Contract Name Water and Sanitary Sewer Rehabilitation West Wind Appartments Contract Limits Council District 3 Project Type Sewer Project Funding Contract Information Summary Original ContractAmount Chanze Orders Contractor Date Inspection Supervisor r � Date Project Maurer rr f&�I I ;s U i0L r, 1 Date t">l1t7i ZS Asst. Directorrn"Ww ChrISI-anhrr Harder Christopher Harde'r(Aug 11, 202308:26 CDT) Date Director / Contracting Department Total Contract Price DOE Number 0262 Estimate Number 4 Payment Number 4 For Period Ending 8/3/2023 $808,115.58 $808,115.57 Total Cost of Work Completed $715,761.00 Less 0 % Retained $0.00 Net Earned $715,761.00 Earned This Period $35,787.75 Retainage This Period $0.00 Less Liquidated Damages Days @ / Day LessPavement Deficiency Less Penalty Less Previous Payment Plus Material on Hand Less 15% Balance Due This Payment $0.00 $0.00 $0.00 $679,97325 $0.00 $35,787.75 Thursday, August 3, 2023 Page 5 of 6 FORTWORTH rev 03/05/07 WATER ENGINEERING & FISCAL SERVICES FINAL STATEMENT OF CONTRACT TIME FINAL STATEMENT NO.: 8/3/2023 NAME OF PROJECT: Water And Sanitary Sewer Rehabalitiation PROJECT NO.: 103324-1 CONTRACTOR: Circle C Consrtuction CITY PROJECT 58321 PERIOD FROM:04/10/23 TO: 08/03/23 FINAL INSPECTION DATE: 8/3/2023 WORK ORDER EFFECTIVE:4/10/2023 CONTRACT TIME: I20 Q WD QQ CD DAYS DAYS DAY OF REASON FOR DAYS DAY OF REASON FOR DAYS MONTH CHARGED CREDITED MONTH CHARGED CREDITED DURING DURING 1. 16. 2. 17. 3. 1 & 4. 19. 5. 20. 6. 21. 7. 22. 8. 23. 9. 24. 10. 25. 11. 26. I2. 27. 13. 28. 14. 29. 15. 30. 31. SAT, SUN, RAIN, TOO WET, UTILITIES DAYS TOTAL & HOLIDAYS & TOO COLD OTHERS* RELOCATIONS CHARGED DAYS THIS PERIOD 51 51 PREVIOUS PERIOD 64 64 TOTALS TO DATE 115 115 *REMARKS: CONTRACTOR DATE INSPECTOR DATE Capital Projects Delivery, Water De artment The City of Fort Worth • 200 Texas Street -Fort North, TX 76012-6311 (817) 392 - 4477 • Fax: (817) 392 - 8460 FORTWORTH Capital Projects Delivery, Water Department CONTRACTOR'S EVALUATION OF CITY I) PROJECT INFORMATION Name of Contractor Circle C Construction Water Engineernig Inspector Stephen Martinez DOENranGer Project Difficulty 2 2 Q simple * Routine Q Complex Initial Contract Amount $808,115.58 II) PERFORMANCE EVALUATION 0 - Inadequate 1 - Deficient 2 - Standard ELEMENT INSPECTION EVALUATION I Availability of Inspector 12 Knowledge of Inspector 3 Accuracy of Measured Quantities 4 Display Of Professionalism 15 Citizen Complaint Resolution 6 Performance - Setting up Valve Crews, Labs ADMINISTRATION 1 Change Order Processing Time 2 Tirnliness of Contractor Payments 3 Bid Opening to Pre -Con Meeting Timeframe III) COMMENTS & SIGNATURES COMMENTS Signature Contractor Signature Inspector Signature Inspector's Supervisor INSPECTOR'S COMMENTS REV: 02/22/07 Date: 18-Aug-23 Project Name Water And Sanitary Sewer Rehahabilitation West Winds Project Manager Brenda Oropeza Type of Contract Q Water ❑� Waste Water ❑ Storm Drainage ❑ Pavement Final Contract Amount $715,761.00 3 - Good 4 - Excellent RATING ELEMENT RATING (0 - 4) (0 - 4) PLANS & SPECIFICATIONS L4 1 Accuracy of Plans to Existing Conditions y 14 2 Clarity & Sufficiency of Details U Lf 3 Applicability of Specifications y y 14 Accuracy of Plan Quantities y W MANAGER EVALUATION L4 1PROJECT 1 Knowledge And/Or Problem Resolution y 2 Availability of Project Manager 1 3 Communication L 4 Resolution of Utility Conflicts y y Capital Projects Delivery; Water Department The City of Fort Worth • 1000 Throckmorton Street • Fort Worth, TT 76012-6311 (817) 392 - 4477 • Fat: (817) 392 - 8460 FoRTWORTHREV. 02/20/07 Capital Projects Delivery, Water Department PERFORMANCE EVALUATION OF CONTRACTOR 1) CONTRACTOR & PROJECT DATA rVaure of Contractor Project Name Circle C Construction Water and Santitary Sewer Rehabilitation West Winds Water Engineering Inspector DOE Nurnber Stephen Martinez 262 Water Engineering Inspector Project Manager 0 Water P1 Waste Water ❑ Storm Drainage ❑ Pavement Brenda Oropeza Initial Contract Amount Project Difficulty $808,115.58 I0 Simple QQ Routine Q Complek Contract Amount Date IFinal $715,761.00 1808/08/2023 11) PERFORMANCE EVALUATION 10 - Inadequate 1 - Deficient 2 - Standard 3 -Good 4 - Excellent (ELEMENT WEIGHT (x) APPLICABLE (YIN) 1 Submission of Documents 2 Y 12 Public Notifications 5 Y 13 Plans on Site 5 Y 14 Field Supervision 15 Y 15 Work Performed 15 Y 16 Finished Product 15 Y 17 Job Site Safety 15 Y 8 Traffic Control Maintenance 15 Y 9 Daily Clean Up 5 ' Y 110 Citizen's Complaint Resolution 5 Y `I 1 Property Restoration 5 Y 12 After Hours Response 5 Y 113 Project Completion 5 ' Y III) CONTRACTOR'S RATING RATING (0 - 4) IMAXSCORE ISCORE I 4 8 8 4 20 20 4 20 20 4 ' 60 60 3 60 45 1 3 60 45 1 4 ! 60 1 60 1 3 60 45 1 3 20 15 3 20 15 l 4 20 20 4 20 20 4 20 20 TOTAL ELEMENT SCORE (A) 393 BONUS POINTS (25 Maximum) (B) TOTAL SCORE (TS) 393 Maximum Score (MS) = 448 or sum of applicable element score maximums which = 448 Rating (ITSI MS] * 100%) 393 / 448 = 88% Performance Category Excellent <20%=1lradequate 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 r—y (_e_� {�3t--f�Ce LA—._ Signature Contractor . Signature Inspector's Supervisor CONTRACTOR'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 FORTWORTH WATER ENGINEERING & FISCAL SERVICES PIPE REPORT FOR: PROJECT NAME: Water And Sanitary Sewer Rehabilitation West Wind Apartments PROJECT NUMBER: 103324-1 DOE NUMBER: 262 WATER PIPE LAID SIZE TYPE OF PIPE Pipe Burstig 8" HDPE FIRE HYDRANTS: VALVES (16" OR LARGER) PIPE ABANDONED SIZE TYPE OF PIPE DENSITIES: NEW SERVICES: SEWER PIPE LAID SIZE TYPE OF PIPE Pipe Enlargment 8" HDPE PIPE ABANDONED SIZE TYPE OF PIPE 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 LF LF LF LF 727 928 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 CIRCLE C CONSTRUCTION, known to me to be a credible person, who being by me duly sworn, upon his oath deposed and said; That all person, 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 damage; On Contract described as; Water and Sanitary Sewer Rehabilitation West Wind Apartments Project Number 103324-1 NflOIELE S LANKFi?i:i Notary Public i SWEOFTEXAS { NOlary: #11759466 j My r.omm. Exp. October 7, 2(M Subscribed and sworn before me on this 3 rd BY Day of )c,+ , 2023. If: lns Q , ,�- Notary Public in Tarrant Coun TX CONSENT OF SURETY OWNER TO FINAL PAYMENT ARCHITECT ❑ AIA Document G707 CONTRACTOR ❑ SURETY ❑ OTHER ❑ Bond No. TXC615587 TO OWNER: City of Fort Worth 1000 Throckmorton Street Fort Worth, TX PROJECT: (name, address) Water and Sanitary Sewer Rehabilitation West Wind Apartments in the City of Fort Worth, TX ARCHITECT'S PROJECT NO.: City Project No. 103324-1 CONTRACT FOR: Utilities CONTRACT DATED: September 13, 2022 In accordance with the provisions of the Contract between the Owner and the Contractor as indicated above, the (Insert name and address ofSureg) Merchants Bonding Company (Mutual) 6700 Westown Parkway West Des Moines, IA 50266 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 76102 , OWNER, as set forth in the said Surety's bond. IN WITNESS WHEREOF, the Surety has hereunto set its hand this date: August 03, 2023 (Insert in writing the month followed by the numeric date and year.) Merchants Bonding Company (Mutual) (Sur41el, _t/li�� C/l (Signature ofauthariord representative) ;Witness ;I!(as to Surety: Sberyl A. Klutts, Attorney -in -Fact :(Se (Printed name and title) n A. Miller 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'%k BONDING COMPANYn 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, d/b/a Merchants National Indemnity Company (in California only) (herein collectively called the "Companies") do hereby make, constitute and appoint, individually, John A Miller; Sheryl A Klutts their true and lawful Attorneys) -in -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-Attomey 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 Attomeys-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 Attomey-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 Attomey-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 20th day of March 2023 ••""."•••. ........ MERCHANTS BONDING COMPANY (MUTUAL) (IONq� •. ••�O\�G CQ*A• MERCHANTS NATIONAL BONDING, INC. GptPO/?,4' �O�ORP0,9 1 • dib/a MERCHANTS NATIONAL INDEMNITY COMPANY j 2003 : ; y 1933 ; c: By 'rJa �{y *\��� President STATE OF IOWA '••��i7 �.+•' •. ;� �..• COUNTY OF DALLAS ss. On this 20th day of March 2023 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. �V-5-19 lain Lee o Commission Number 702737 s:, My Commission E gires Z r April 14, 2024 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 3rd day of August, 2023. G C� . P•(..... • ap�N .. �A v: :Q: �Z: •s: •3� v 2003 1933 : y� Secretary POA 0018 (10/22) """". City of Fort Worth Inspector's Estimate Worksheet City Project Numbers 103324-1 Contract Name Water and Sanitary Sewer Rehabilitation West Wind DOE Number 0262 Contract Limits: Council District 3 Estimate Number 4 Project Type Water Payment Number 4 Control Number 026201 For Period Ending (I / h. / Contract: 58321 Contract Date: 9/13/2022 Contract Time 120 CD Inspectors Johnson / Martinez Days Charged to Date CD Date Prepared by Inspector 0 / 3 / 13 Contract is % Complete Construction ID: 14859 Item Description of Items Estimated Uni Unit Cost Previous Quanity Completed Total Cost No. Quanity ----------------------- Quanity for Month Quanity Unit 1 Water 1 9999.0001 6" to 8" Pipe 727 LF $198.00 727 Enlargement 2 3311.0261 8" PVC Water Pipe 10 LF $125.00 10 3 3311.0252 8" DIP Water, CSS 41 LF $250.00 41 Backfil 4 3311.0161 6" PVC Water Pipe 10 LF $100.00 10 5 3312.2203 2" Water Service 4 EA $3,000.00 6 6 3312.2201 2" Water Service, 4 EA $1,500.00 6 Meter 7 3312.2103 1 1/2" Water Service 2 EA $2,800.00 8 3312.2101 1 1/2" Water Service, 2 EA $1,500.00 Met 9 3312.2003 1" Water Service" 1 EA $2,500.00 10 3312.2001 1" Water Service, 1 EA $1,500.00 Meter R 11 3312.3103 8" Cut -in Gate Valve 1 EA $6,500.00 1 12 3312.3003 8" Gate Valve 2 EA $2,500.00 2 13 3312.3002 6" Gate Valve 1 EA $2,000.00 1 14 3312.0117 Connection to Existing 5 EA $4,500.00 5 4" 15 0171.0001 Construction Staking 1 LS $4,000.00 1 16 0171.0102 As -Built Survey 1 LS $1,000.00 1 Thursday, August 3, 2023 Page 1 City of Fort Worth Inspector's Estimate Worksheet City Project Numbers 103324-1 Contract Name Water and Sanitary Sewer Rehabilitation West Wind DOE Number 0262 Contract Limits: Council District 3 Estimate Number Project Type Water Payment Number 17 0241.1402 Salvage 6" Water 2 EA $500.00 2 Valve 18 0241.1513 Salvage 1 1/2" Water 1 EA $500.00 Mete 19 0241.1514 Salvage 2" Water 1 EA $500.00 6 Meter 20 3201.0112 5' Wide Asphalt Pvmt 17.5 LF $250.00 60 Repa 21 3201.0201 Asphalt Pvmt Repair 5 SY $65.00 Beyon 22 3201.0614 Conc Pvmt Repair, 46.44444 SY $250.00 48 Residen 23 3213.0301 4" Conc Sidewalk 162 SF $25.00 80 24 3213.0401 6" Concrete Driveway 620 SF $35.00 471 25 3216.0101 6" Conc Curb and 83 LF $55.00 63 Gutter 26 3291.0100 Topsoil 4.537037 CY $50.00 22.5 27 3292.0100 Block Sod Placement 27.22222 SY $20.00 450 28 3304.0101 Temporary Water 1 LS $5,000.00 1 Services 29 3305.0103 Exploratory Excavation 4 EA $2,000.00 4 of 30 3305.0108 Miscellaneous 1 LS $10,000.00 1 Adjustments 31 3305.0109 Trench Safety 75 LF $25.00 75 32 3305.0203 Imported 10 CY $250.00 Embedment/Backfi 33 3305.0207 Imported 10 CY $85.00 Embedment/Backfi 34 3311.0001 Ductile Iron Water Fittin 0.97 TO $12,500.00 0.97 35 3471.0001 Traffic Control 0.5 MO $5,500.00 0.5 36 3471.0003 Traffic Control Details 1 EA $2,500.00 1 37 9999.0002 Water Construction 1 LS $20,000.00 Allowa Thursday, August 3, 2023 Page 2 4 4 City of Fort worth Inspector's Estimate Worksheet City Project Numbers 103324-1 Contract Name Water and Sanitary Sewer Rehabilitation West Wind Contract Limits: Council District 3 Project Type Water DOE Number 0262 Estimate Number 4 Payment Number 4 3.95, 77./ c.G -------------------------------------- stimated Total This Unit $343,043.41 Completed Total This Unit $329,771.00 --------------------------------- Construction ID: 14860 Item Description of Items Estimated Uni Unit Cost Previous Quanity Completed Total Cost No. Quanity Quanity for Month Quanity --------------------------------------- Unit 2 Sewer 1 3331.1102 6" to 8" Pipe 928 LF $185.00 982 Enlargement 2 3331.4116 8" Sewer Pipe, CSS 5 LF $155.00 Backfi 3 3331.4115 8" Sewer Pipe 5 LF $100.00 4 3331.4120 8" DIP Sewer Pipe 56 LF $250,00 with P 5 3331.3201 6" Sewer Service 1 EA $2,500.00 1 6 3339.1001 4' Manhole 8 EA $8,500.00 7 7 3339.1003 4' Extra Depth Manhole 8.45 VF $450.00 8.45 8 3331.3101 4" Sewer Service w/ 2- 10 EA $2,200.00 1 way 9 3339.0001 Epoxy Manhole Liner 8.160000 VF $400.00 31.59 10 0171.0001 Construction Staking 1 LS $5,000.00 1 11 0171.0102 As -Built Survey 1 LS $1,000.00 1 12 0241.2201 Remove 4' Sewer 6 EA $1,500.00 6 Manhole 13 3201.0112 5' Wide Asphalt Pvmt 25 LF $250.00 67 Repa 14 3201.0201 Asphalt Pvmt Repair 5 SY $65.00 Beyon 15 3201.0614 Conc Pvmt Repair, 60.66667 SY $250.00 Residen 16 3213.0301 4" Conc Sidewalk 186 SF $25.00 360 Thursday, August 3, 2023 Page 3 City of Fort Worth Inspector's Estimate Worksheet City Project Numbers 103324-1 Contract Name Water and Sanitary Sewer Rehabilitation West Wind Contract Limits: Council District 3 Project Type Sewer 17 3213.0401 6" Concrete Driveway 18 3216.0101 6" Conc Curb and Gutter 19 3291.0100 Topsoil 20 3292.0100 Block Sod Placement 21 3301.0001 Pre -CCTV Inspection 22 3301.0002 Post -CCTV Inspection 23 3301.0101 Manhole Vacuum Testing 24 3305.0103 Exploratory Excavation of 25 3305.0107 Manhole Adjustment, Minor 26 3305.0109 Trench Safety 27 3305.0112 Concrete Collar 28 3305.0203 Imported Embedment/Backfi 29 3305.0207 Imported Embedment/Backfi 30 3331.0103 8" Sewer Pipe, Point Repa 31 3471.0001 Traffic Control 32 3471.0003 Traffic Control Details 33 9999.0003 Sewer Construction Allowa DOE Number 0262 Estimate Number 4 Payment Number 4 723 SF $35.00 312 53 LF $55.00 10.5 9 CY $50.00 22.5 54 SY $20.00 450 1010.45 LF $10.00 1010.45 1010.45 LF $10.00 1010.45 8 EA $250.00 7 6 EA $2,000.00 6 4 EA $3,500.00 100 LF $35.00 100 4 EA $550.00 7 10 CY $250.00 10 CY $100.00 60 LF $250.00 60 0.5 MO $5,000.00 0.5 1 EA $2,500.00 1 1 LS $30,000.00 38S S�� - - / ;stimated Total This Unit $465,072.17 Completed Total This Unit $385,990.00 --------------------------------------- Thursday, August 3, 2023 Page 4 City of Fort Worth Inspector's Estimate Worksheet City Project Numbers 103324-1 Contract Name Water and Sanitary Sewer Rehabilitation West Wind DOE Number 0262 Contract Limits: Council District 3 Estimate Number 4 Project Type Sewer Payment Number 4 Total Itemized Amount (Including Change Order $808,115.57 �'; Total Cost of Work Completed DATE " ;�'r ..,: `,,:%' Inspector o Less d /o Retained Net Earned 761 Previous Payment $679,972.95 Material on Hand 15% Balance Due This Payment Thursday, August 3, 2023 Page 5 FORTWORTH. T August 03, 2023 Circle C Construction Company 500 W. Trammel Ave. Fort Worth, TX 76140 Re: Acceptance Letter Project Name: Water and Sanitary Sewer Rehabilitation West Wind Apartments Project Type: Water/Sewer Project Ns: 103324-1 DOE. Ns: 0262 Contract Ns: 58321 Gentleman: Dated: 8/3/2023 On August 03, 2023 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 03, 2023. 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 03, 2023, 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, i 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 Brenda Oropeza, Project Manager, Water Department Capital Projects Delivery David R Johnson, Inspection Supervisor, Water Department Capital Projects Delivery Stephen Martinez, Inspector, Water Department Capital Projects Delivery , Consultant Keegan jonkers Circle C, Contractor File Fort Worth AII-America City WATER DEPARTMENT THE CITY OF FORT WORTH * 200 TEXAS STREET * FORT WORTH, TEXAS 76102 I I �„ 817-392-8240 * FAx 817-392-8195 1964. 1993 • 2011 C,- Printed on recycled paper