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Home My WebLink AboutContract 50627-FP1AC Coded 08.15.23 Vendor Name: WILLIAM J SCHULTZ INC Vendor ID: 7744 FORTWORTH CSC No. 50627-FP1 Invoice No. 50627 - FP Invoice Date: 08/14/23 PO#: FW060-11067 Earned: $61,088.69 WATER DEPARTMENT FID: 59601-2060000-100261-RETAIN ENGINEERING AND FISCAL SERVICES $304,720.10 NOTICE OF PROJECT COMPLETION 59601-100261 CS 50627 Regarding contract 50627 for Northside II 30-inch Water Transmission Main as required by the Water Department as approved by City Council on 9/23/2019 through M&C C-28653 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 0i1t, � l) /L. L Rec6mme ded for Acceptance Assistant Director, Water Department chi,&tovher f cider Christopher Harder (Aug 29, 2023 15.56 CDT) Accepted Director, Water Department Dana Burandoff (Au 1. 202.36446 CDT) City Manager $5,910,255.00 $348,185.80 Ns 1-5 $6,258,440.80 $6,155,484.70 0 Days @ $630.00/ Day $0.00 $6,155,484.70 $5,789,675.91 $365,808.79 / q /2,3 —0 / Date Date Date OFFICIAL RECORD CITY SECRETARY FT. WORTH, TX Project Name: Northside II 30-inch Water Transmission Main DOE. Ns: Comments: 59601-100261 CS 50627 City Project Numbers 100261 Contract Name Northside II 30-Inch Water Transmission Main Contract Limits From N Beach St. along SHI70 East to US377 Project Type Water Project Funding Project Manager Fu Inspectors Johnson / Gieger Contractor CIRCLE C CONSTRUCTION COMPANY PO BOX 40328 FORT WORTH, TX 76140 DOE Number 0003 Estimate Number 52 Payment Number 52 For Period Ending 6/1/2023 City Secretary Contract Number 50627 Contract Date 4/3/2018 Contract Time 700 CD Days Charged to Date 963 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 $6,155,484.70 Less 0 % Retained $0.00 Net Earned $6,155,484.73 Earned This Period $365,808.81 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 $5,789,675.92 Plus Material on Hand Less 15% $0.00 Balance Due This Payment $365,808.81 Friday, August 11, 2023 Page 7 of 7 FORTWORTH CITY OF FORT WORTH FINAL PAYMENT REQUEST Contract Name Northside H 30-Inch Water Transmission Main Contract Limits From N Beach St. along SH170 East to US377 Project Type Water City Project Numbers 100261 DOE Number 0003 Estimate Number 52 Payment Number 52 For Period Ending City Secretary Contract Number 50627 Contract Date 4/3/2018 Project Manager Fu Contractor CIRCLE C CONSTRUCTION COMPANY PO BOX 40328 FORT WORTH, TX 76140 Inspectors Johnson / Gieger Contract Time Days Charged to Date Contract is 99.000 6/1/2023 CD Mal) 963 Complete Friday, August 11, 2023 Page I of 7 City Project Numbers 100261 Contract Name Northside II 30-Inch Water Transmission Main Contract Limits From N Beach St. along SH170 East to US377 Project Type Water Project Funding Phase I Item Description of Items No. ----------------- IA 30" DIP Water Pipe (Pressure Class 2 113 30" Steel AWWA C200 Water Pipe (Pres 1C 30" Concrete AWWA C303 Water Pipe (P 2A 30" DIP Water Carrier Pipe (Pressure 2B 30" Steel AWWA C200 Water Carrier Pi 2C 30" Concrete AWWA C303 Water Carrier 3A Ductile Iron Water Fittings w/ Restr 3B Steel Fittings 3C C303 Fittings 4A Cathodic Protection System for Ducti 4B Cathodic Protection System for Steel 4C Cathodic Protection System for Bar W 5 54" Tunnel Liner Plate By Other Than 6 30" x 24" Tapping Sleeve & Valve w/ 7 Connection to Existing 30" Water Mai 8 30" Gate Valve w/ Vault 9 16" Gate Valve w/ Vault 10 4" Combination Air Valve Assembly fo 11 8" Blow Off Valve w/ Vault 12 Concrete Collar for Water Vault 13 imported Embedment/Backfill, Accepta 14 imported Embedment/Backfill, Crushed 15 Imported EmbedmentBackfill, CLSM 16 Temporary Fence, 17 Barbed Wire Fence, Metal Posts 18 Utility Markers 19 Trench Safety 20 Exploratory Excavation of Existing U 21 Seeding, Hydromulch 22 Post -CCTV Inspection 23 SWPPP >_ 1 acre LS DOE Number 0003 Estimate Number 52 Payment Number 52 For Period Ending 6/1/2023 Estimated Unit Unit Cost Estimated Completed Completed Quanity Total Quanity Total ---------------------- 5080 LF $155.00 $787,400.00 5022 $778,410.00 5080 LF 5080 LF 670 LF $200.00 $134,000.00 670 $134,000.00 670 LF 670 LF 1 LS $110,000.00 $110,000.00 1 $110,000.00 1 LS 1 LS 1 LS $70,000.00 $70,000.00 1 $70,000.00 1 LS 1 LS 670 LF $690,00 $455,600.00 670 $455,600.00 1 EA $38,000.00 $38,000.00 1 $38,000.00 1 EA $10,000.00 $10,000.00 1 $10,000.00 3 EA $42,000.00 $126,000.00 3 $126,000.00 2 EA $12,000,00 $24,000.00 2 $24,000.00 3 EA $18,000.00 $54,000.00 3 $54,000.00 2 EA $15,000.00 $30,000.00 2 $30,000.00 10 EA $450.00 $4,500.00 10 $4,500.00 100 CY $25.00 $2,500.00 100 CY $25.00 $2,500.00 100 CY $180.00 $18,000.00 3100 LF $10.00 $31,000.00 3100 $31,000.00 3600 LF $10.00 $36,000.00 3600 $36,000.00 1 LS $1,500.00 $1,500.00 1 $1,500.00 5100 LF $1.00 $5,100.00 5022 $5,022.00 4 EA $1,000.00 $4,000.00 4 $4,000.00 6000 SY $5.00 $30,000.00 6000 $30,000.00 5750 LF $3.00 $17,250.00 5750 $17,250.00 1 LS $10,000.00 $10,000.00 1 $10,000.00 Friday, August 11, 2023 Page 2 of 7 City Project Numbers 100261 Contract Name Northside 11 30-Inch Water Transmission Main Contract Limits From N Beach St. along SH170 East to US377 Project Type Water Project Funding 24 Traffic Control 1 LS 25 Construction Staking 1 LS 26 Construction Survey 1 LS 27 Construction Contingency Allowance (CO#1) 0.74125 LS 28 16" DIP Water Carrier Pipe installed in tunnel(CO#1) 207 LF ---------------------- Sub-Total of Previous Unit Phse II DOE Number 0003 Estimate Number 52 Payment Number 52 For Period Ending 6/l/2023 $8,500.00 $8,500.00 $7,500.00 $7,500.00 $5,000.00 $5,000.00 $100,000.00 $74,125.00 $125.00 $25,875.00 $2,122,350.00 1 $8,500.00 1 $7,500.00 1 $5,000.00 234 $29,250.00 $2,019,532.00 Item Description of Items Estimated Unit Unit Cost Estimated Completed Completed No. --------------------------------------- Quanity Total Quanity Total lA 30" DIP Water Pipe (Pressure Class 2)CO#1,3) 8853 LF $155.00 .,372,215.00 8976 .1,391,280.00 1B 30" Steel AWWA C200 Water Pipe (Pres 9685 LF 1C 30" Concrete AWWA C303 Water Pipe (P 9685 LF 2A 30" DIP Water Carrier Pipe (Pressure 1000 LF $200.00 $200,000.00 1832 $366,400.00 2B 30" Steel AWWA C200 Water Carrier Pi 1000 LF 2C 30" Concrete AWWA C303 Water Carrier 1000 LF 3A Ductile Iron Water Fittings w/ Restr I LS $110,000.00 $110,000.00 1 $110,000.00 3B Steel Fittings 1 LS 3C C303 Fittings I LS 4A Cathodic Protection System for Ducti I LS $85,000.00 $85,000.00 1 $85,000.00 4B Cathodic Protection System for Steel 1 LS 4C Cathodic Protection System for Bar W 1 LS 5 54" Tunnel Liner Plate By Other Than (CO#5) 874 LF $650.00 $568,100.00 874 $568,100.00 6 48" Casing By Open Cut (CO#5) 0 LF $300.00 $0.00 7 12" DIP Water Pipe Installed in Tren 20 LF $80.00 $1,600.00 20 $1,600.00 8 16" DIP Water Pipe Installed in Tren(CO#3) 91 LF $100.00 $9,100.00 91 $9,100.00 9 Connection to Existing 30" Water Mai l EA $10,000.00 $10,000.00 1 $10,000.00 10 Connection to Existing 16" Water Mai(CO#3) 2 EA $5,000.00 $10,000.00 11 30" Gate Valve w/ Vault 10 EA $42,000.00 $420,000.00 6 $252,000.00 12 16" Gate Valve w/ Vault (CO#3) 2 EA $10,000.00 $20,000.00 2 $20,000.00 13 12" Gate Valve w/ Box 2 EA $2,000.00 $4,000.00 2 $4,000.00 14 4" Combination Air Valve Assembly fo 5 EA $18,000.00 $90,000.00 5 $90,000.00 15 8" Blow Off Valve w/ Vault 3 EA $15,000.00 $45,000.00 3 $45,000.00 16 Concrete Collar for Water Vault (CO#3) 21 EA $450.00 $9,450.00 18 $8,100.00 Friday, August 11, 2023 Page 3 of 7 City Project Numbers 100261 DOE Number 0003 Contract Name Northside R 30-Inch Water Transmission Main Estimate Number 52 Contract Limits From N Beach St. along SH170 East to US377 Payment Number 52 Project Type Water For Period Ending 6/1/2023 Project Funding 17 Concrete Collar for Water Valve Box 2 EA $250.00 $500.00 2 $500.00 18 Imported EmbedmentBackfill, Accepta(CO#3) 0 CY $25.00 $0.00 (CO#5) 19 Imported EmbedmentBackfill, Crushed (CO#5) 0 CY $25.00 $0.00 20 Imported EmbedmentBackfill, CLSM (m(CO#3) 0 CY $180.00 $0.00 (CO#5) 21 Cement Modification (13 lbs / SY) (CO#5) 35 TN $150.00 $5,250.00 22 RoadbondENI Soil Stabilizer 130 GA $120.00 $15,600.00 23 8" Cone Pvmt Repair, Arterial/Indust(C0#1,3) 2460 SY $65.00 $159,900.00 2397.1 $155,811.50 24 Temporary Fence 2100 LF $10.00 $21,000.00 4230 $42,300.00 25 Barbed Wire Fence, M 2100 LF $10.00 $21,000.00 2100 $21,000.00 26 6" Cone Curb and Gutter (CO#1) 180 LF $35.00 $6,300.00 401.5 $14,052.50 27 Remove and Replace 2 1 " RCP Class III 25 LF $250.00 $6,250.00 24 $6,000.00 28 Remove and Replace 24" RCP Class ID 50 LF $250.00 $12,500.00 60 $15,000.00 29 Remove and Replace 30" RCP Class III 25 LF $250.00 $6,250.00 24 $6,000.00 30 Utility Markers 1 LS $1,000.00 $1,000.00 1 $1,000.00 31 Exploratory Excavation of Existing U 20 EA $1,000.00 $20,000.00 24 $24,000.00 32 Seeding, Hydromulch (CO#3) 3045 SY $5.00 $15,225.00 3045 $15,225.00 33 Trench Safety 9685 LF $1.00 $9,685.00 9259 $9,259.00 34 Post -CCTV Inspection 10690 LF $3.00 $32,070.00 9087.9 $27,263.70 35 SWPPP >_ 1 acre LS 1 LS $15,000.00 $15,000.00 1 $15,000.00 36 Traffic Control 1 LS $5,500.00 $5,500.00 1 $5,500.00 37 Construction Staking 1 LS $10,000.00 $10,000.00 1 $10,000.00 38 Construction Survey (CO#3) 1.4 LS $5,000,00 $7,000.00 1.4 $7,000.00 39 Construction Contingency Allowance(CO#1,3) 0 LS $125,000.00 $0.00 40 48" Wood Box Tunnelw/3o" DIP(CO#1) 850 LF $450.00 $382,500.00 958 $431,100.00 41 36-Inch Casing BOTOC (CO#2) 207 LF $600.00 $124,200.00 207 $124,200.00 A42 30"X30" DIP MJ Tee (CO#3) I EA $8,600.00 $8,600.00 1 $8,600.00 A43 30"X30" DIP MJ Cross (C043) 1 EA $12,700.00 $12,700.00 1 $12,700.00 A44 30"X24" DIP MJ Reducer (CO#3) 2 EA $3,000.00 $6,000.00 2 $6,000.00 A45 30"X16" DIP MJ Reducer (CO#3) 1 EA $4,000.00 $4,000.00 1 $4,000.00 A46 16"X16" DIP MJ Tee (CO#3) I EA $2,000.00 $2,000.00 1 $2,000.00 A47 Relocation of 20" Waterline and Valve Vault (CO#3) 1 LS $5,000.00 $5,000.00 1 $5,000.00 A48 20" DIP Water Pipe( Pressure Class 200) Installed 60 LF $150.00 $9,000.00 60 $9,000.00 (CO#3) Friday, August 11, 2023 Page 4 of 7 City Project Numbers 100261 DOE Number 0003 Contract Name Northside II 30-Inch Water Transmission Main Estimate Number 52 Contract Limits From N Beach St. along SH170 East to US377 Payment Number 52 Project Type Water For Period Ending 6/1/2023 Project Funding A49 Demoliton of Existing Sign (CO#3) 1 LS $1,500.00 $1,500.00 1 $1,500.00 A50 Tree Removal per Cliper inch (CO#3) 14 EA $1,000.00 $14,000.00 14 $14,000.00 A51 Union Pacific Railroad Flagman (CO#4) 1 LS $88,390.00 $88,390.00 1 $88,390.00 52 Install of city supplied 30-inch gate valve w/ vault 1 EA $18,000.00 $18,000.00 1 $18,000.00 (CO#5) 53 PVC Service Line for Hillwood Property Cattle 1 LS $19,240.00 $19,240.00 1 $19,240.00 (CO#5) 54 Green Scaping Irrigation for bore pit in median 1 LS $22,609.00 $22,609.00 1 $22,609.00 (CO#5) 55 Track Monitoing during BOTOC under UPPR tracks 1 LS $13,682.00 $13,682.00 1 $13,682.00 (CO#5) 56 Production of Bore Monitoring plan as requested by 1 LS $1,200.00 $1,200.00 1 $1,200.00 Rail Pros (CO#5) 57 — — Temporary HDPE line for Westlake Station (CO#5) — — — — — — — — — — — — — — — — 1 LS — — — — $19,240.00 — — — — $19,240.00 — — — — — — 1 — — $19,240.00 — — — — — Sub -Total of Previous Unit 34-,R 5�5:d0 $4,135,952.70 — — — — — — —— — — — — — — — — — — — —— —----------- f,%i3G,090-f Friday, August 11, 2023 Page 5 of 7 City Project Numbers 100261 Contract Na me Northside 1130-Inch Water Transmission Main Contract Limits From N Beach St. along SH170 East to US377 Project Type Water Project Funding Contract Information Summary Original Contract Amount Change Orders Change Order Number 1 Change Order Number I Change Order Number 2 Change Order Number 3 Change Order Number 4 Change Order Number 5 ?? �jl Date Contractor Inssp��ecti��on Supervisor PAJect Manager Date 40/1 d2-3 Asst. Direcloa 1W chnsfion> f'ardev Christopher Harder(Aug 29, 20231556 COT) Date Director/ Contracting Department DOE Number 0003 Estimate Number 52 Payment Number 52 For Period Ending 6/1/2023 $5,910,255.00 $0.00 $97,175.00 $124,200.00 ($0.20) $88,390.00 $38,42t.00 Total Contract Price £6 19R 2� � asap yyo.� Total Cost of Work Completed $6,155,484.70 Less 0 % Retained $0.00 Net Earned $6,155,484.73 Earned This Period $365,808.81 RetainageThis Period $0.00 Less Liquidated Damages Days @ / Day $0.00 LessPavement Deficiency $0.00 Less Penalty $0.00 Less Previous Payment $5,789,675.92 Plus Material on Hand Less 15% $0.00 Balance Due This Payment $365,808.81 Friday, August 11, 2023 Page 6 of 7 FORTWORTH rev03/05107 WATER ENGINEERING & FISCAL SERVICES FINAL STATEMENT OF CONTRACT TIME FINAL STATEMENTNO.:52 NAME OF PROJECT: North Side Il 30 Inch Water Trammission Main PROJECT NO.: 100261 CONTRACTOR: Circle "C" Construction CITY PROJECT 100261 PERIOD FRONT 07r16'33 TO: 07!31/23 FINAL, INSPECTION DATE: 1i28/2021 WORK ORDER EFFECTIVE: 6;11'2018 CONTRACT TIME: 700 0 WD Q CD DAPS DAY OF CIIARGED REASON FOR DAYS DAPS DAY OF REASON FOR DAYS MONTH DURING CREDITED MONTH CHARGED CREDITI-A) DURING 1. 16. 2. 17. 3. 18. 4. 19. 5. 20, 6. 2I. 7, 22 8. 23. 9. 24, I0. 25 11. 26. 12. 27 H. 28. 14. 29. 15. 30. 31. SAT, SUN, RAIN, TOO WET, UTILITIES Dt TOTAL & HOLIDAYS & TOO COLD RELOCATIONS IOTHERS- C DAYS THIS PERIOD 88 PREVIOUS PERIOD 875 TOTALS TO DATE 963 963 *DrfL1ItD W -;: CONTRACTOR DATE INSPECTOR ' DATE Capital Projects Deliven,, Water Department The City of Fort Worth • 200 Texas Street • Fort Worth, TX 76012-6311 (817) 392 4477 • Fax: (817) 392 8460 2 FORTWORTHREV: 02/20/07 Capital Projects Delivery, Water Department PERFORMANCE EVALUATION OF CONTRACTOR 1) CONTRACTOR & PROJECT DATA Name of Contractor Project Name Circle "C" Construction Company North Side I130 Inch Water Transmission Main Water Engineering Inspector DOE Number Paul L. Gieger 100261 Water Engineering Inspector Project Manager Water ❑ Waste Water ❑ Storm Drainage 0 Pavement John Kaswavich Initial Contract Amount Project Difficulty $5,910,255.00 0 Simple 0 Routine Q Complex Contract Amoual Dale 18J712023 1Final $6,155,494.70 11) PERFORMANCE EVALUATION 1 0 - Inadequate I - Deficient 2-Standard 3-Good 4-Excellent ELEMENT WEIGHT (x) APPLICABLE (Y / N) RATING (0 - 4) IMAX SCORE SCORE 1 Submission of Documents 2 Y 3 8 6 2 Public Notifications 5 Y 3 20 15 3 Plans on Site I 5 Y 4 20 20 4 Field Supervision I 15 Y 3 60 45 5 Work Performed 15 I Y 3 60 45 16 Finished Product I 15 I Y 3 60 1 45 17 Job Site Safety 15 Y 3 60 45 18 Traffic Control Maintenance 15 Y 4 60 60 19 Daily Clean Up 5 Y ' 3 20 15 110 Citizen's Complaint Resolution I 5 Y I 3 20 15 Property Restoration + 5 Y + 3 20 1 15 111 12 After Hours Response 5 Y 3 20 1 15 13 Project Completion 5 Y 3 20 15 TOTAL ELEMENT SCORE (A) 356 BONUS POINTS (25 Maximum) (B) TOTAL SCORE (TS) 356 111) CONTRACTOR'S RATING Maximum Score (MS) = 448 or sum of applicable element score maximums which = 448 Rating ( (T5 / MS] * 100%) 356 1 448 = 79% Performance Category Good <20% = Inadequate 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/ Signature Contractor I-e,�, S`r 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 Capital Projects Delivery, Water Departrnent CONTRACTOR'S EVALUATION OF CITY I) PROJECT INFORMATION Nance of Contraclor Circle "C" Construction Company Water Engineering Inspector Paul L. Gieger DOE Number Project Dryficulty 100261 O Simple Q Routine QQ Complex Initial Contract Amount $5,910,255.00 II) PERFORMANCE EVALUATION 0 - Inadequate 1 - Deficient 2 - Standard ELEMENT INSPECTION EVALUATION I Availability of Inspector 12 Knowledge of Inspector 13 Accuracy of Measured Quantities 14 DispIay Of Professionalism 15 Citizen Complaint Resolution 16 Performance - Setting up Valve Crews, Labs JADMINISTRATION I Change Order Processing Time 12 Timliness of Contractor Payments 13 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: 17-Aug-23 Project Nance North Side lI 30 Inch Water Transmission Main Project Manager John Kasavich Type of Contract F] Water ❑ Waste Water ❑ Storm Drainage []✓ Pavement Final Contract Amount $6,155,484.70 3 - Good 4 - Excellent RATING ELEMENT l (0-4) RATING (0 - 4) PLANS & SPECIFICATIONS 4/ 1 Accuracy of Plans to Existing Conditions Y �f r� 12 13 Clarity & Sufficiency of Details Applicability of Specifications AV S/ 14 Accuracy of Plan Quantities y PROJECT MANAGER EVALUATION 1 Knowledge And/Or Problem Resolution y 2 Availability of Proiect Manager S� 3 Communication y 4 Resolution of Utility Conflicts 1/ 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: North Side II 30 Inch Water Transmission Main PROJECT NUMBER: 100261 DOE NUMBER: 100261 WATER PIPE LAID SIZE TYPE OF PIPE DIP 30" DIP DIP 20" DIP DIP 16 " DIP DIP 12 " DIP FIRE HYDRANTS: VALVES (16" OR LARGER) PIPE ABANDONED SIZE TYPE OF PIPE 0 DENSITIES: Yes NEW SERVICES: 0 SEWER PIPE LAID SIZE TYPE OF PIPE 0 PIPE ABANDONED SIZE TYPE OF PIPE 0 DENSITIES: 0 NEW SERVICES: 0 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 16,500 ' 60' 325 20' 14 LF 0 LF LF 0 0 CONSENT OF SURETY OWNER TO FINAL PAYMENT ARCHITECT ❑ AIA Document G707 CONTRACTOR ❑ SURETY ❑ OTHER ❑ Bond No. TXC608555 TO OWNER: City of Fort Worth 1000 Throckmorton Street Fort Worth, TX PROJECT: (name, address) Northside II 30-Inch Water Transmission Main in the City of Fort Worth, TX ARCHITECT'S PROJECT NO.: City Project No. 100261 CONTRACT FOR: Utilities CONTRACT DATED: 2018 In accordance Frith the provisions of the Contract between the Owner and the Contractor as indicated above, the (Insert name and address ofSuren) 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: May 26, 2023 (Insert in writing the month followed by the numeric date and year.) Merchants Bonding Company (Mutual) (Surety) i (Signature ofautho,d representative) Attest: WTEess as to Surety: Sheryl A. Klutts, Attorney -in -Fact (Seal): � i � /� �`-- (Printed name and title) John A.'Wler 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 0 CONSENT OF SURETY COMPANY TO FINAL PAYMENT • April 1970 Edition • AIA® One Page 01970 • THE AMERICAN INSTITUTE OF ARCHITECTS, 1735 New York Ave., NW, Washington, D.C. 20006 MERCHANT BONDING BONDING COMPANY POWER OF ATTORNEY Know All Persons By These Presents, that MERCHANTS BONDING COMPANY (MUTUAL) and MERCHANTS NATIONAL BONDING, INC., both being corporations of the State of Iowa, 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 Attomey(s)-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 . •``�t1OA1 '. • • ' •. MERCHANTS BONDING COMPANY (MUTUAL) P 'q< p�NG.Cr7�A. MERCHANTS NATIONAL BONDING, INC. FLPOR e0 ; O� �tPO 9'• d/b!a MERCHANTS NATIONAL INDEMNITY COMPANY -o- O':0- rn. 2003 : `,? : y : 1933� By • J •.......:iJ�• �•.�� 'L�a•• President STATE OF IOWA �'•.�� • .•`• 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. o 3". t:o�mrrn i+J3s�• �2i37 I�iy Gontmrsaion txp:� IbINN ?.,; 14, 2LI24 (Expiration of notary's commission does not invalidate this instrument) Notary Public 1, 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 hav POA 0018 (10/22) e hereunto set my hand an AZ........... a2�R o R,q�v �s iv 2003 ..�y''•'� ••' Sao' d affixed the seal of the Companies on this 26th day of May, 2023. .Z. ' Q.- 1933 :3s : c• Secretary AFFIDAVIT STATE OF TEXAS COUNTY OF TARRANT Before me, the undersigned authority, a Notary Public in the state and county aforesaid, on this day personally appeared TERESA S SKELLY, PRESIDENT of 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; Northside II 30- Inch Water Transmission Main Project Number 100261 MICHELE S LANKFOR p / Namy Public BY STATE OF TEXAS Notary ID # 117594666 "••n,�,r P�,r Aty Carnet. E1q�. October 3.2023 Subscribed and sworn before me on this fill Day of mcv l , 2023. to uc9r1.n9-. C-)�n TUC1'� Notary Public in Tarrant Count TX FORTWORTH, August 08, 2023 Circle C Construction Company 500 W. Trammel Ave. Fort Worth, TX 76140 Re: Acceptance Letter Project Name: Northside H 30-inch Water Transmission Main Project Type: Water Project Ns?: 100261 DOE. Ns: 0003 Contract Ns: 50627 Gentleman: Dated: 8/8/2023 On January 28, 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 February 04, 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 February 04, 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, it S �lp u 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 Paul Gieger, Inspector, Water Department Capital Projects Delivery , Consultant Keegan Jonkers Circle C, Contractor File Fort Worth All edcaCRY' WATER DEPARTMENT 1 I I I lo' THE CPCY OF FORT WORTH * 200 TEXAS STREET * FORT WORTH, TEXAS 76102 817-392-8240 * FAx 817-392-8195 1964.1993.2011 _S Printed on recycled paper