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Home My WebLink AboutContract 57283-FP1FORTWORTH, TRANSPORTATION AND PUBLIC WORKS NOTICE OF PROJECT COMPLETION -FP1 City Secretary No. 57283 Date Received: 9/1/2023 City Project N!?: 101020 Regarding contract 57283 Park Vista & Keller -Haslet Intersection for as required by the TRANSPORTATION AND PUBLIC WORKS DEPARTMENT as approved by City Council on 3/8/2022 through M&C 22-0156 the director of the TRANSPORTATION AND PUBLIC WORKS DEPARTMENT upon the recommendation of the Assistant Director of the Transportation & Public Works 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: Pavement Deficiencies: Total Deduction Amount: Total Cost Work Completed: Less Previous Payments: Final Payment Due �atYicia L. wa�f>'acl� Recommended for Acceptance Asst. Director, TPW - Capital Delivery A...»., L -- Prip- (S- 1 ?W7 I 5S COT) Accepted Director, TRANSPORTATION AND PUBLIC WORKS DEPARTMENT Asst. City Manager $ 1,580,011.10 $-98,865.11 No 1 $1,481,145.99 $1,481,145.99 Days @ $1, 250 / Day $ $ 1,481,145.99 $ 1,407,088.69 $ 74,057.30 Sep 1, 2023 Date Seel. ?m� Date .. Se p l� - Date Comments: OFFICIAL RECORD CITY SECRETARY FT. WORTH, TX C-620 Signature Page Contractor's Application for Payment To (Owner) City of Fort Worth Invoicing Period (From -To): 7/18/2023 - 7/31/2023 P. 0. FW020-0000007627 From (Contractor): Number: )UT Paving and Construction Inc Project: 101020 Contractor's CFW Vendor No.: 7000002903 City Secretary Contract Number: Approved Change Orders Number 1 2 3 4 5 6 7 8 TOTALS I NET CHANGE BYI CHANGE ORDERS Contractor's Certification 57283 Application For Payment Change Order Summary Additions $55,490.90 $55,490.90 Invoice No.l Invoice Date: 8/24/2023 Remit to ( If Not Automatic Deposit): 9-Final contract Park Vista Blvd and Keller Haslet Rd Intersection Improvements Name: II -$98,865.11 1. ORIGINAL CONTRACT PRICE.......................................................... $ Deletions 2. Net change by Change Orders................................................................. $ $154,356.01 13. Current Contract Price (Line 1 t 2)........................................................ $ 14. TOTAL COMPLETED AND STORED TO DATE (Progress Estimate, Construction Allowance and Change Orders)....... $ 15. RETAINAGE: a. 5.0 % X Work Completed.......... $ b. X Not Used $ c. Total Retainage (Line 5a + Line 5b)................................ $ 6. AMOUNT ELIGIBLE TO DATE (Line 4 - Line 5c)............................. $ $154,356.01 7. LESS PREVIOUS PAYMENTS (Line 6 from prior Application)......... $ 8. AMOUNT DUE THIS APPLICATION ................................................. S 9. BALANCE TO FINISH, PLUS RETAINAGE (Column G on Progress Estimate+ CA + Cos + Line 5 above) .............. $ The Contractor certifies with the submittal of this document and associated Payment Request Submittal on the City of Fort Worth Buzzsaw system that to the best of their knowledge: (1) all previous progress payments received from Owner on account of Work done under the Contract have been applied on account to discharge Contractor's legitimate obligations incurred in connection with Work covered by prior Applications for Payment; (2) title of all Work, materials and equipment incorporated in said Work or otherwise listed in or covered by this Application for Payment will pass to Owner at time of payment free and clear of all Liens, security interests and encumbrances (except such as are covered by a Bond acceptable to Owner indemnifying Owner against any such Liens, security interest or encumbrances); and (3) all Work covered by this Application for Payment is in accordance with the Contract Documents and is not defective. Liquidated Damages $1,250.00 x day dnPz1V1s 01- Doug Sp dtey ( ug 30, 2023 :00 CDT) 10. CONTRACT TIME: Consent of Surety Affidavit of Bills Paid $1,580,011.10 498,865.11 $1,481,145.99 $1,481,145.99 $1,481,145.99 $1,407,088.69 $74,057.30 $0.00 a, Days Awarded 300 b, Days Added by CO 107 C. Total Days 407 d, Days Charged 407 e. Days Remaining This document has been modified from its original form as an EJCDC document and the user did not highlight the modifications. You are encouraged to read the document carefully and consult Legal Counsel prior to its execution. C-620 Urit P... Progress Estimate Progress Estimate City S-y 57283 Contractor's Application Contract Num: Park Vista Blvd and Keller Haslet Rd Intersection Improvements ApplimGon Numbc 9-Final Appli.u.. Period: 7/182023 - 7/31/2023 Apple tion Dr. an_dn_023 A B C D E F G 11in T.W Completed % Bain', to Finish SpeeiOoom. Bid Quantity Unit Ric. Bid Vduc EsGmsted Qu.4ry V.I . Previously Im alled V.Im Slnkrials Prcs.tiy Vnlue This Period d Storod to Dgt. (F) (B - F) Bid Ilan Na. Description S.G. No. U` fMemum InaNllcd Smrcd (not in C) (D a E) B UNIT I: ROADWAY& DRAINAGE IMPROVEMENTS 1 Remove Sidewalk 241.01 245.000000 34.75 57,163.75 245.00000000 $7,163.75 $1,163.75 700.0% 2 Remays Rip Rao__ - __SF 261.08 _ SF 254.000000 $4.50 $1,143.00 254.00000000 _ _. _$7,183.75 $1,143.00 $1,143.00 100.0% 3 _ Remove Concrete Drive 241.0/01 _ SF _ B:d1.000000 5250 $2077.50_ _ _$_7,143.00 $2,077.50S'{077.50 _ _ _ _ 100.0% 4 Remove Cone Pvmt -__ _ 241.1 __.- _ SY 443.0001X70 -. $11.50 _.. - E5,09450 _ _B31.00000000 _ - ._ 443.00000000 55,094.50 $5,09/50 - - _. - 55,09lSO 10011% $5,094 5 Remow AsohaB Pvna _ 241.11 _ SV 985.000000 - -- - - $27.50 _ 527.08750 985.00000000 _ _ 527,OB7.50 E27,087.50 _ E27,667.50 100.0% 6 3' Surface Mifiinq 241.1507 BY 1366.000000 $12A0 $16,39200 1366.00000000 516,39200 E76,39200 -- - - _ - $16,39200 t00A% _ - 7 Remove 24'Storm We 241.3015 _ _ _ --- - -20 LF _ 88.000000 E27,25 _ $1,070.00 _ BB.00000000 -- - E1,870.00 _ _ E1,870.00 _ _ 51,870.00 100A% _ 8 Stan Abandonment Pluq 104 EA 200000D $1,045.00 $ZO90.00 - 2-MODD000 E2,09D.00 _ 52,0%.00 52090.00 100.0% - - - 9_ .. __ Remove 4'Droglnlet _ _ _241.4201EA 2000000 E553.00_ 51,106.00 200000000 _ $1,106.00 -_ - -- E7,106.00 - __..- 10 Remove Headw IVSET_ EA 4.000000 $277.00 $1,108.00 4A0000000 31,108.00 $1,108.00 _$1,106.00 _100.0%____ 1_X - -- 17 6'-12"*Tr Removal _ _241.4401 3293.0104 EA 9.000000 §210.00 200000000 _ $ti94.00 _ E694.00 -_ _ _s__•_ _ 52,429.00 12 PIaM.nhDl. 3393.0104 EA 9.000000 $$54300 10,890.00 E$1,B90.OD _. .$694.00 _222% _ E70,8%.00 13 Ada_ _ Adivatment. Minor _. 3305.01ir-11 EA 3.000000 _ 3.0000W01) $1 _ 100.0% 11 V.1,m So _ Volvo Baa Atllustment _ _ 3.000000 $470.00 5470.00 _ _ 31.410.00 E7,410.00 ,. ._ 3.00000000 _$1,629.00 51,110.00 $1,410.00 57,410.00 _ _ _ _ _$1,829.00 51,470.00 100A% _ 15 _ _.. Remove Sion Panel &Poet _3305.0117__EA 3N1.4108 EA_ _ 9.000000 SB20.00 _ E7,380.00 9.00000000 57,380.00 _ 37,3B0.00 f7,3B0A0 100A% 16 Water Meter &8o_x 9999.017 _ _ EA 1.0000o0 $470.00 _ E470.00 1.00000000 $470.00 _ __ _ _ $470.00 _ _ $470.00 700.0% _Relocate --17 Relo®te Cable Marker _ 0%9.012 EA 2.000000 E7,930.00 53,860.00 200000000 E3,86000 53,860.00 E3,860.00 100.0% 18 Remove3 Diswae Woad Port 9999.013_ EA 1.000000 _ E1,700.00 E7,100A0 1.000000W E7100.00 _ $1,100.00_ 100.0% 79 Iniaation System Remlr 9999.014 _ EA 1.000000 E75,000.00 $15,000.00 1.0000OIXIO $15,000.00 _ $15,000.00 _$7,100.00 515,000.00 100.0% 20 llndasaiOed Eveavation by Plan 3723.0707 CY 1550.000000 _$50_00 E77,500.00 1550.00000000 377,500_00 577,500,00 _ E77,500.00 100.0% _ 21 _ Embankment by Plan _ 3124.0101 CV 100.000000 E5000 $S,000.00 100.00000000 $5,000.00 $5,000.00 $5,000.00 100.0% 22 SwPPPa 1 acre 3.01 LS .000000 D 1.00000000 E7,500.00 E7,50.00 8' Flex6le Bee. TvoA GR-2 3211.0123 SY 1454.000000 _$7,0.00 $30.00 E43,620,O0 _ 1043,00000000 E31,290.00 531,29U.00 531,290.00 71_.7% 512,330.00 _ 24 12Fledble - A, GR-2 ' Be.... _ _ 3211.0125 BY 1835.000000 $45.00 E82,575_00 __,50.00 1917.00000000 E% % _ S,265,00 _ $86,265.00 704.5% _ _ 43,6%.OD 25 _ 3'Asahaq Pvmt TvgeD 32120303 SY 2860.000000 325.00 $71,500.00 2860.00000000 .500.00 $71,500.00 $71,500.00 571,500.00 100.0%___ 26 9' AaahaBBass TvgeB - - 32120503_ SY _ 1339.000000 $53$95.00 1432-WOOOODO ._ _ E%,040.00 $95.824136.040.00 121.1% ._48,835.00 27 3213.0104 BY _ 1961-000000 S%.00 IVQ S.00 E7_27,205.00 143200000 W _ 136.040.00 _ $136,Od0.00 - - $1$7.207.00 - -- $73Q040.00 100.0% -- --- 48,835.00 28 4- Con. 4' Cone Sidewalk Sid 3213.0307 SF %7.000000 E7.50 57,207.50 %1.00000000 57,207.50 - 57,207.50 - $7,20750 100.0% -- - 29 GConmete Driveway 3213.0407_ SF 835.000000 $70.00 S6,356.00 83500000000 SB,350.00 $8.350.00 S8.350.00 --30 Barrier Free Rama, Tvm P-1 _ _ 3213.0506 EA _ _ - - - 8.000000 $1.320.00 $10,560.00 8.00000000 510,560.00 510,560.01) -- - - _700.0% -- $101560.00 10OP1116 - - - 31 6' Cane Curb and Gutter _ 3218.0101 LF 122000000 $56.00 - - $7,076.00 12200000000 $7,076.00 $7,076.00 $7,076.00 BI«k Sad Placement _- 3292.0t BY 5894000000 57.00 537,_219.00 4400.00000000 E30,800.00 530,800.00 _.. _. 82.8%_ $30,800.00 828% SQ419.00 _ _32 33 Seeding, Hvdromulch 329204 SY -------- - 894.000000 _53.00 E2,6B20D _ _ - _ _ _ __ -$2,68200 _. 34 _ _ Traffic Control _._ _ MO 12-OW000 .. E77,100A0 $205,200.00 12.00000000 5205,20000 _ $2D5,200.00 _ _ $:W,20 00_ 10D0% - _ 35 _. _ _ Moblllmtlon _ _3471.0001 _. _ _ - 9999.021 LS_ 1.000000 579,500.00 _ E79,500.00 1.00000000 __ E79,500.00 $79,500.00 _ 100.0% 36 Miscellaneous Utilities Force Ac-mt_ _ 99961022 EA _ _ _ 1.000000 __ __ 51oopric p _ $10Q000.00 _ _ _$79,500.00 -3100,000.00 37 _ Post -CCTV lnaoealon - 3301.0002 LF 1016.000000 $1.40 E1,464.d0 1046.00000000 $7,464.40 $1,464.40 -- - - S1,484.40 100.0% 38 4' Wetedlne Lw.edno 3305.0001 EA 3.000000 $22001p 56,600.00 3.00000000 $6,600.00 S6,fi00.00 100A% 39 Trench Safety .._. _ _ 3305.0109 LF _ 1046.000000 _ $1.25 $1,307.50 _ 7046A0000000 _$6,600.00 $1.307.50 _ $1.307.50 - _ S1,307.50 40 21' RCP. Clasa III 3341.0201 - - - LF 54.000000 ... $97,00 55,238.00 _ _ 54.0000000A55,738.00 55,238.00 _ _ _100.0% 45,238.00 700A% _ 41 _ _ 21' RCP. Clan IV 3347.@02 LF 8.000000 $11&OD _ $944A0 8.000OOO110 E944.00 $914.00 E944.00 100A% 42 24"RCP. Class III ----- - - 3341.02D5 - _ -LF _ 735.000000 _ _ S&5.00 - _ - 562,475_00 735.0000000k._ 262475.00 __ _ $62,475.00 _ - -- - _ $62,475.00 100.0% _ 43 _. 24'RCP. Can IV 3341.0206 LF --_. 48.000000 $134.00 ___- 56,4320D 48.00000000 $6,43200 $6,43200 __. §6,43200 t0O.0% 44 _ _ 2T RCP. Clews ill. 3341A20B LF 56.000000_ _$140.00 S7,_840_00 ___ 56.00000000__57,840.00 _ S7840.00 100.0% _- 45 27"RCP. CIess IV 33N.0209 LF 116.000000 5110.00 $12760.00 116.00000000 S12760.00 12,760.00 $12,7W.00 $12,780.00 100.0% 46 - 48"RCP.CIess_III 3341.0409 LF 30.000000 _ §262.0p _ 57,860.00 --$8,800.00 30.00000000 E7,860_00 _ _ _E7,B60.00 _ S�B60.00 100.0% _ 47 _ 6 Storm Junctlon Boa 33,19.0001 EA 2.D00000 $4,400.00 2.00000000 $8,800.00 $8,800.00 _ E8,800.00 100.0% IB 24'SET.1_Dim 3349_4105 EA 4.000000 E7,650.00 E6,600.00 _ 4.00000000 56,600.OD $6,600.00 $6,600.00 700.0% ELF _ _ 27 SET.1 v1. 3349.4106 EA 1.000000 $1.750.00 $1.750.00 1.00000000 $1.750.00 $1,750.00 $1,756.00 100.0% 16 Recessed Inlet 3349.6002_ EA _ - 2000000 E7,865.00 575,690.00 _ 200000000 515,690.00_ E75,690.00 $15,690.00 100A% _50 51 4' Droq INat 3349.7001 EA 1.000000 $5,375.00 $5,375.00 1.00000000 E5,375.00 55,375.00 $5,375.00 100A% 526DmP_Inlet -_ 3349.7002 EA _ 1.000000 - _ E6,900_00 _ _ 56,900_00 _ 1.00000000 36,90D_0D _ _$6,900.00 56,900.00 100A% _ 53 _ Cotvmote Enmeament for Uepty Pipe 3365.0116 - CY 1.200000 $478.00 _._ - S573.60 120000000 - $573.60 $573.W S573.60 100.0% 54 d' SlA Pvmt MarMna HAS (Wl - 3217.0001 LF 2060.000000 54.53200 2060.00000000 --__-_ Sd.5320D - 55 --- - 4' SLD Pvmt Marklnq HAS (Y) 3217.0002 LF _ _ _ - _ 2750.000000 _ _ _$220 - $220 $6,050.00 ._ _..... 2750.00000000 _ _?4,53200 $6,05D.00 _ _ _ _... _K,53200 $6,050.00 _100.0% $6.050.00 100.0% 56 6' SLD_P Markin. HAS 3217.0201 LF 1010000000 E 11 0.00000000 $ $ E4,444.00 100.0% _ _ 57 _ me M 8'SLO Pvmt MarWno HAS fY).. 3217.0202 LF 150.000000 $4.40 S4,g0 $650.00 5660.00 1W.00000000 $650.00 3680.00 $ESD00 Efi60.00 E6W,00 100.0% 58 24'SLD_Pvml Markin.HAE (W1 3277.OW7 LF 52C000000 - _ y7p_p0 E10,400.00 --520.00000000 E70,400_00 _ _E10,400.00 510,400.00 59 _ lane Lend Armor Legend 3217.1602 EA 6000000 $415.00 _ S2490.00 8.DOWWDO $Z490.00 S2,490.00 _100.0% 52490.DO 100.0% LRaise O 32172104 EA _ §4$8.80 E2 _ _ _ _ _ 6.00D000DO _ _ _ _ 5 _ _5 _61 _ _ _ 61 REF ark REFL Raised MarkorTYlL 32172102 EA 0.000000 50.000000 E8.80 440.00 $d40.W 50.00000000 $440.00 5440.00 $440.00 3440.00 $440.00 _100.0% -5460.W 700.0% 62 REFL Raised Marker TYlI-A-A 3217210 EA 35000000 §B 80 $308.00 6200000000 E565.60 $545.60 $545.60 177.1% 4737.60 -63 REFL Reined Marl II-C-R 32172104_ EA 18.OWMC $8B0 3158.40 2200000000 S793.60 $193.60 $193.60 435.20 64 Remove 4' Pvmt Marking -. - 3217.43M LF 1550.000000 $1.20 $1.860.00 327.00000000 _--E39240 539240 - - _ _1222% -$392.40 21.1% _-- _- $1.467.60 - 65 -- Remove Ir Pvmt Markirq 3217.4303 LF 225.D000o0 5260 $585.00 284.WOo0o00 $738.40 $738.40 3738.40 1262% 4153.40 66 Remove tMandna 3217_4306 LF $$ .55 $$93.50 $393.50 $$93.50 t - 67 ... _ Remove Ralaotl Marker Raised 3217.4307 _ EA 00:000000 300.000000 50.55 _ $165$528.00._ 5165.OD _. 70.00000000 170.00000000 -- - -- --- - 593.50 .. 593.W _ E93.50 6.7% 56.7% S71.51) 68 _ Remove (one Legentl Arrow 2217.4402 FA 2000000 §68:00 $136_00 2.00000000 E736.00 _ _ $136.00 _ ¢736.00 100.0% _ 69 Remove lane Lagand DBL Anew 3217.4403 EA 1.000000 E87.Oa _ 587.00 1.00000000 $87.00 E87.00 $87.00 100.0%_ 70 Remove lane LegendnIV 3441.40 EA 7.00 _ 568.00 _ 1.00000000 5.68.00 _ _ $68.00 _ _ _ $fi8.00 100.0% 71 _ _ _ _ FumishMsWl Alum Sion Ground Mount City Std. 3447.4003 EA _1.000000 9.000000 E675.00 $6,075.00 9.0000000D _ _ $6,075.00 S6,075.00_ $6,075.00 100.09C UNIT TRAFFIC SIGNAL IMPROVEMENTS--- _ _ 72 CON 2'CONDT PVC SCH 80 (n 2605.3015 - LF _ 125.000000 §3200 _ _54,OOD.00 520.00000000 - -- $18,640.00 . $76,640.00 _ _ - $16,610.00 416.0% --� 412,840.00 73 _ 7CONOTPVC SCH 80 (B1_ 2W5.3016 LF 3%.000000 $38.00 515,010.00 E75.010_00 7! _._.__. __. 3'CONDT PVC SCH BO (T) _ 2605.3025 LF ?90.00000D E39.00 f11,310.00 429.00000000 _ _ 578,731.00 i76,731.00 -_- $16,731A0 747.9% 35,121.00 _ 75 3'CONDT PVC SCH BOJBI 2605.3026 LF 395.000000 $45.00 517.775.00 256.00000000 $71,520.00 $71,520.00 5ll 520.00 64.8% $8,25.00 76 3�Sea Signal Hoed Asambly 3441.1001 FA__ _ 12000000 _-- 57,350.OD $16,200.00 1200000000 $16,200.00 $16,200.00 _ _ _ _ _ 576,200.00 100.0% ..___ _ 77 _ _ _ _. Petl Slanal Head AssmblY.__.... .._ _.-_ 3441_1071 EA _ _ _8.000000 E9W.00 .-_ _ S7,BB0_00 _ _ _ 8.00000000 ___ _57,BB0_0 0__ ___ __ ..37,680.00 E7,BB0.00 100.0% -- - 78 --- Audible Pedestrian Pushbutton Station 3441.1031 EA 8.000000 $960.00 57,680.00 8.00000000 S7.650.00 $7,680.00 $7,680.00 100.0% 79 Fumish4naMII BBU Sywtom EXT Mounted_ _ _ -- 3441.1209 EA 1.000000 --- __$9,400.00 $9400.00 _ _ 1.00000000 $94W.00 - $9,400.00 $9,400.00 100.D% 80 Fumishlnetall HVbntl Da:ad.n .,.am---- 3441.1215 APR_ _ 4.000000 $9,300,00 _ $37,200.00 4.00000000 $37,200.00 $37,200.00 _ _ _ __. _ --- - - - S37,20D.00 _100.0% - - 81 FumisMnatall Hvbdd Detection Cable _ 3441.1217 _ LF 884.000000 $3.00 §2,65200 SB4.00000DDO $ZB5ZOD E2652.00 SZ65200 100.0% This document has bom modifial fmm i. origins) I as. FJCDC datum., nrd on, me did m1 highlight th. modi6mtiom. You am mcoamged to rad,hc domm., -11,11y.d cowl, Legal Counsel prim to ib emcuti.. C-620 Unit Price Progress Estimate Progress Estimate CilyS-mry 57283 Contractor's Application Contract Num: For(eOna9Cty Park Vista Blvd and Keller Haslet Rd Intersection Improvements Applimtian Numhr. 9-Final Apptimtion Period: 7/18/2023 - 7l31=3 Applimtion Date: 8242023 A B C D E F G Itmi Tom! Complekd °' Bolero, m Fins, Spmfmaao Bid Quantity Unit Pri<c Bid Value E ti-- Quondty Value PnvioualY huWOcd Value Matais)a PresmdY Value 18ia Period end EtmM tr Dak (F) (B- P) Bid 1(mr No. DcsciPtion UNt 9.0. N. ofMewre Immiled Sex d (not h C) (DtE) B 02 FumieMnshll Model717 Preemptlan DN4dpr _._ 3441.122 _EA_ 4.00WDO__ E965.00 53860.00 4.00000000 53,860.00 $3,860.00 E3560.00 100.0% 3 Fumhhllnabll Preemption Cable LF 884.000000 - E2.90 E2,47520 884.00000000 _ _$22,47510 _ 52,47520 _ $2,475.20 100.0% - --- _8 _ 84_ 14 AWG Mutil-Conductor Cable _3441.1224 3441_1332 LF E250 _ $$73200 _ 85 _ _ _ _ 7/C 14 AWG MUXI-Conductor Cable 71C 3431.1332 ___. ___ LF _. 2".000000 244.000000� _ ___ �� $3.00 373200 758.00000000 _ E2,274.00 $2,274.00 _ 32,274.00 370.7% _$1,2B5.00 31,54200 __- _ 86 _ _ _ 10/C 14 AWG Multi-Cantluctor Cable - _ 3441.1314 _ LF - 225.000000 53.30 E74250 -_ _ 1114.00000000 _ 33,67610 _ _ _ E3,676.20 _- -- _. E3,67fi.20 4%.i% - 32,933.70 87 _. _ _ ZO/C 14 AWG MUIII-Conductor Cable -_ 3441.1315 LF 640.000000 - $6.60 $4,224.00 768.00000000 $S,O6B.B0 ES,O68.B0 _- $5,068.80 120.0% 5844.80 as 3/C Cable AWGMuIlm 3111_7322 _ 1345.0000D0 _ 52S6010_ 7460.00000000 E$180.00 _ E$18.00 20 �06 B9 Condr NO 6lnsukted Elm Condr 6 I _LF _ _ LF_ 20.000000 $3.00 53.00 _ _ _ E60.00 _ 60.00000000 _ 5180.00 _..___..E3,18.a7 _ _ E780.00 _30.0% _ _ _ _ _ _ _ E180.00 300.0% 31Z0.00 _ _ 90 _ _ NO B lneubted Elm Condr _ _3447.1408 _ _ 3441.1409 _ _ LF 1060.0ODD00 SZ60 Y{7%.00_ 1110.00000000 52,886.00_ _ __.$Z886A0 __$ZBB6A0 704.7% -$130.00 91 NO 6 Bare Elm Condr SLD -- ---- 3441.1413 LF _ 10.000D00 $3.00 $30.00 637.DOODODOD $1.911.00 $1,911.00 $1,911.00 6370.o% S1,881.00 -- 92 _-- 71C 14 AWG Multi -Conductor Cobb 3441.1332 LF 395.000000 $3.05 $1.204.75 395.00000000 $1,2W.75 S7,204.75 $1,204.75 100.0% 93 Ground Box TvoeBw/Apan 3441.1502_ EA 4.000000 $7.310.00 $5,210.00 4.000OOOOD _ $5.240.00 $5,240.00 _ ._ _E5,240.00 100.0% 94 _ Ground Box Type0, w/Alston _. _._ 3441.1503 _EA 1.000000 ,900.00 _ _ _ 1.00000000 ,900.00 _ _ _ 100.0% _ 95 Furnish/Install Pole Assembly 3441.1603 EA 6.000000 $1,935.OD E1,150.00 E6,900.00 $ 6.00000000 56,900.00 $ $6,935.00 56,900.00 $6.935_00 _ _ _. _. 56,900.00 100A% --% FumisMnsmll Type 41 Shnat. Pab_ 3441_7611 EA 1.000000 $10,850.00 _ E10,BW.17(1 7.00000000S10,850.00 $10,850.00 97 Fumishllnstall Type 43 Shnal Pole EA 1.000000 S10,860.00 _ $10,860.00 I.00000000 St0,Bfi0.00 E70,860.00 ____f10,850.00 _100.0%_ f70,850.00 100.0% - --- - - % FumisMnstell Type 44 Slonel Pole- - _ _3441.1613 3441.1514 EA _ 2.00DODO _ $10,070.00 $20,140.00 2.00000000 $20,140.00 _ _ $20,140.00 $20.140.00 100.01% 99 FumisMnstall MaNArm 16'-36'_ 3441.1623 EA_ 1.000000 $5p05.00 E5,005.00 1.00000000 $5,005.00 _ _ _.55,005.00 _ _ 55,005.00 _100.0% _ 10D _ _ FumisNlnstall Meat An do-48' _ _ 3441.1624 _ EA _ 3.000000 _ $5,851.00 _ $17.553.00 3.000GOD00 37,553.00 $17,553.DD $17,553:00 100.0% 101 'FumisMnatall Type 33A Ann --__-- - - --- -- --- 3441.1645 FA 3.000000 __ $475.00 $1,425.00 3.00000000 _ $1,425.D0 $1,425.00 _ _ $1.425.00 100.0% 102 TYt Sionnl Foundation_ 3441.1701 EA 6.000000 _ E1,345:00 _ E8,070.00 6.00000000 $8,070.00 _ _ _ E8,070.00 $8,070.00 100.0% 103 on TY3 Si Foundation 3447.170 _ __FA_ 1.00Do00 E4,W0.00 f4,W0.00 _ 1.00000000 _ _ _ $4,640.00 _ $4,640.00 _. _.. _ _ $4,640.00 100.0% 104 on TY45ional Foundation _ _ _3.1704 EA _ _ 3.000000 _-- -1 56,525.00 ,575 _ 319_OD _ 3.00000000 E79,575.00 E19,575.00 519,575.00 100.0% 105 Sonel Cabinet Foundehon-352i a BBU 3441.1715 EA o00000 $6,225.00 __ 56=.00 1.00000000 _ 56,225.00 $6.225.00 _ _ _ . _ $6,225.D0 100.0%_ __ 106 FumisMnatall ATC Slonel Conholbr and 4G Modem 3447.7725 EA 1.00D000 S4,B%.00 51,890.00 _ _ 7.00000000 $4,890.00 $4,090.00 $4,890.00 100.0A 107 F-jahArntall 352 Controller Cabinet Assembly _ _ 3441.1741 EA 1.000000 $20,315.00 520AISD0 1.00000000 $20.315.00 $20,315.00 520,315.00 100.0% 109 11 Metered Petlesml Voland 3441.1901 1.000000 $6,72_$Z800.00 SZ800,00 1.00000000 $6,720.00 . _ $Q720.00 _ __$Z810$6,720.00 100.0% 109 _ Powder n Pole MASinI -36'Phea PovAer Coal Sian Pole end MA i6'-36' Coat _ __EA_ 3441.1901_ _ _ EA 1.000000 32,800.00 52,800.00 1.000OD000 52,800.00 _ 52,800.00 - - - - -- - f2,B00.00 700.0% - - 110 _ Powdm Loet Sian Pale and MA 40_4B' _ _ _ _ 3M7.1902 EA _ 3.000000 $2_,970A0 5B,970.00 _ 3.00000000 38,910.00 _ -- -- $8,970.00 f_8,910.00 _700.0% 111 Powder Coat Pad Pole 3441.1906 EA 6 0000D0 $76.OD $456.00 6.00000000 $456.00 $456.00 $45600 100.0% 113 -et - She Mast An Mount 3441..011 EA_ _ _57$3.00 S$255.00 _ _ 6.000OOOOU 728.00 S5,_ $5.728.00 $5,728.00 100.0% 113 _ CAT5EherneAlum _- CATS Ethernet Cable 9999.037 LF 5.000000 95.000000 _. _ _ 53.00 _ E285.00 95.00000000 E285.00 E285.00 _ $285.00 100.0% 114 PTZ_Cemera - 9999.032 FA__ 1.000000 55,900.00 55,900_00 1.00000000 $5,900.00 55,900.00 $5,900.00 100.0% This dowmmt hm boor modified from its oriSiml farm m m FJCDC dommmt end the uxr did net highlight the modif-lions. You arc mwumgcd In rood dk document ee Uly and coamlt L gal Camacl prim to its ex-ed n. C-620 Unit Price Progress Estimate Progress Estimate city S—wy S7283 Contractor's Application b Cenaac[ Num: Fm(--t): Park Vista Blvd and Keller Haslet Rd Intersection Improvements ApplimtionNumber. 9-Final Applimtion PaiM: 7/18/2023 - 7/31 /2023 Applim6on Dme: SI2J/2023 B C D E F 0 lint T-1 CampI.W I Bolwccm RUA Eslimnted Quwtiry Mmeriels Pmwdy Bid It®No. n=.�,;puan Spai. N.. Upit ofMeosme Bid Qunnfity Unit Prim Bid Value Imm11W Value Previously lnsmlled Voluc Vuiue lfiis Period 810 w I- in C) d S(D I E) Dom (8 (B- F) See4w No. (D+� 0 Totals 61,58D,D11.10 61,476,662.9D $1,476,662.9D $1.476,662.90 93.5% $103,348.20 This doeumwt has b= m di5ed from its original f—asw FJCDC dacumwt wd Om user did not highlight the modifieetiom. You w: weoum6ed to read the dw-mt w ally wd —It Legal Cowsel prior m its csewtiw. C-620 Change Order Progress Estimate Construction Allowance Usage Contractor's Application ADDITIONS For (mrn mc): Park Vista Blvd and Keller Haslet Rd Intersection Improvements City Seems— Application Number. 101020 Contme Noun;57283 9-Final Application Period: 7/182023 - 7/31/2023 Application Dote: 8/24/2023 A B C D E F Ilea Balonm to Finish Total Completed v Specification Qumntny to Add Unit Price Addition Value Estimnt, l Quantity Value Previously Value This Materials PraenOy and Stored to Date (F) (B - F) It=Number Description Unit of Mwura Section No. Installed Installed Value Period Stored (not in C) (DIE) B IIA Tom Pruning _ IS 1.00000000 - $355.52 S355.52 1.00000000 $355.52 $355.52 _ $35532 100MA 116 2605.0111 Furnish/Intn11 Elm Ser Pedcsml Unit 1 EA 1.00000000 S8,447.08 $9.447.08 _ _ $8,447.09 118 TnCounty Invoice Car Tradiee Signal Power Unit 1 _ _ LS 1:00000000 53,252.57 S3=S7 1.00000M0 Ma52.57 $3.252.57 S3252M 100MA 117 ___Amove I-uminano Unit 1_ EA 1.00000000 $875.00 _ $975.00 _1.00000000 $975.00 _ 3875.00 $975.00 100.0% This document has been modified from its original form as, an EtCDC document and the user did not highlight the modifications. You me enwuraged to read the document carefully and consult legal Counsel prior to its execution. C•620 Change Order Totals I I I I I 512,930.17I I S4,483,09I S4,483.09I I I S4,483.09I 34.7% I S8,417.081 This document has been modified from its original form as on WCDC document and the over did not highlight the modifications. You me encouraged to read the document carefully and consult Legal Counsel prior to its eseoution. C-620 Change Order Progress Estimate Construction Allowance Usage Contractor's Application CONSTRUCTION ALLOWANCE ITEMS TO BE REDUCED For (wntmet): 101020 Park Vista Blvd and Keller Haslet Rd Intersection Improvements Application Number. 9-Final Application Period: 7/18/2023 - 7/31/2023 Appliatioa Dale: 8/24/2023 A 8 C D E F Item Specification Quantity to Delete Unit Price Reduction Value Not Used Not Used Net Used Not Used Not Used Net Used Not Used Not Used Bid Item Number Description Unit of Masme Section No. 37 9999.0220 Misccllanenus Utilities Fora A -mat EA 4127.57000000 $1.00 $4.127.57 37 9999.0220 Mi—H-mas Utilities Farce Amount EA 355.52000000 $1.00 _$355.52 _ 37 9999.0220 Miscegmeom Utilities Farce Account EA 8447.08000000 $1.00 S8.447.08 Totals S12.930.17 This document luu been modified from its original form os an E1CDC document and the user did not highlight the modifications. You are: encouraged to read the document carefully and consult Legal Counsel prior to its erecutiou C•620 Change Order Progress Estimate Change Order Number 1 1 I Contractor's Application ADDITIONS For (comad): 101020 Park Vista Blvd and Keller Haslet Rd Intersection Improvements City Secretary 57283 Application Number. 9-Final Contract Num: Application Period 7/18/2023 - 7/31/2023 Application Data: 8/24/2023 A B C D E F Item Addition Total Completed % Balance to Finish Change Order Ilan Specification Unit CO Quantity to Add Unit Price Change Order Estimated Quantity Installed Value Previously Value This Materials PraenOy Installed Voice Period Stomd not in C) ( and Stored to Date (F) (B - F) No. Description ofMeasme Section No. Value (DIE) B 24 12" Flexible Base, Type A. GR-2 Unit SY 92.00000000 $45.00 $3.690,00_ _ $3.690.00 26 6"Ashpa1t Base Type B Unit 1 SY 315.00000000 $53.00 $16,695.00 _ _ _ _ _ _ _ _ _ _ _ 516,695.00 27 9" Cone Fvmt Unit 1 SY 93.00000000 $95.00 $8,835.00 _ _ _ _ _ _ _ S8,835.00 62 REFL Raised Marker TY II•A Unit EA 27.00000000 S8.80 $237.60 S237.60 63 REEL Raised Marker TY II-C-R Unit EA 4.00000000 $9.90 $3520_ _ $35.20 65 Remove8"Pvmt Marking _ Unit LF 59.00000000 $2.60 $153.40 $153.40 72 rCONDTPVCSCH80(T) Unit LF 395.00000000 $32.00 $14640.00 _ $12,640.00 74 3" CONDT PVC SCH 80M _ Unit I LF 139.00000000 $39.00 S5,421.00 _ $5.421.00 85 7/C 14 AWG Multi -Conductor Cable Unit I LF _ 514.00000000 $3.00 $1.542.00 _ _ S1,542.00 86 10/C 14 AWG Multi-Cooductor Coble _ _ _ Unit LF _889.00000000 S3.30 S2,933.70 S2,933.70 87 20/C 14 AWG Multi -Conductor Cable Unit 1 LF 128.00000000 _ _ $6.60 $844.80 _ S844.80 88 _ 3/C 14 AWG Multi -Conductor Cable Unit LF 151.00000000 $2.20 S33220_ _ $33220 89 NO 6 Insulated Elcc Condr Unit LF 40.00000000 S3.00 $120.00 _ $120.00 90 NO 8 Insulated El. Condr Unit LF 50.00000000 $2.60 SI30.00 _____ _ $130.00 91 NO 6 Bare Elec Coadr SLD Unit I LF 627.00000000 $3.00 S1,881.00 _ SIA81.00 This document has been modified from its original form as an E)CDC document and the user did not highlight the modifications. You me encouraged to read the decmnrnt carefully and consult Legal Counsel prior to its -lion. C-620 Change Order Touts I I I I I 555,490.901 I I I I I I I s55.490.901 This document has been modified 6om its original farm os on FJCDC document and the user did not highlight the modifications. You am nemoa6cd to and the document emefully and coronit degol Counsel prim to its execution. Progress Estimate Change Order Number 1 1 Contractor's Application DELETIONS For (contmct): 101020 Park Vista Blvd and Keller Haslet Rd Intersection Improvements Application Number. 9-Final Application Period: 7/18/2023 - 7/31/2023 Application Dutc: 8/24/2023 A B C D E F Item CO Quantity to Deletion Change Ordor Item Dmphoo a SpedOtion Unit orMeanne, Delete Unit Price Change Order Not Uxd Not Used Not Uxd Not Usd Not Used Not U: d Not U,cd Not U,,d No, Section No. Vdue II 6'-12'T=Removnl Unit FA 7.00000000 5347_0k S2.429.00 _ _ 12 Pbmt4"Tree _ unit FA 9.00000000 $1,210.00 S10,890.00 _ _ 23 8" Flexible Bnse, Type A, GR-2 [hit I SY 411.00000000 S30.00 $12,330.00 32 Block Sd Pl—oot Unit I SY 917,00000000 $7.00 $6.419.00 33 8eeding• HydmmchW Unit I SY 894,00000000 $3.00 52,68 -00 sce 36 Millnnaus Utilities Force Amount Unit FA 1.00000000 587,069.83 S87,069.83 64 Remove 4" Pvmt Making_ Unit 1 LF 122300000000 _ _ _ _ _. _ 67 Remove Rowed Mark, Unit 1 FA 130.00000000 50.55 S71.50 _ 73 --`T- CONDT PVC SCH 80 (B) _ Unit 1 LF 395.00000000 538.00 515,010.00 75 �7" CON DT PVC SCH 80 (B) Unit 1 LF 139.00000000 _ 545.00 56,255.00 84 5/C 14_AWG Multi -Conductor Coble Unit 1 LF $14.00000000 S2.50 S1395.00 _�_ 116—2605.011 I Fumi,hA--.11 F1. Ser 1'desml Unit 1 FA 1.00000000 S8,447.08 $8,447.08 Totals 71tis d000mat has been modified from it, original r ns an FJCDC docnmat and the user did not highlight the modifications. You are maumg d to road the document carefully and conault Lego) Counsel prior to its —lion. C-620 Change Order City of Fort Worth Summary of Charges City Secretary Contract Num: I 57283 I Park Vista Blvd and Keller Haslet Rd Intersection I P. O : FW020-0000007627 project Number. 1101020 Improvements Application Period: I 7/18/2023 - 7/31/2023 Application I 9-Final Application Date: I 8/24/2023 Number. Funding Identification (FID) Total Completed Amt Remaining Gross Retainage Net - Original Contract - 34012-0200431-5740010-101020-003980-9999 $514,694.61 $45,557.02 _ 34018-0200431-5740010-101020-003980-9999-18010203 $966,451.38 $53,308.09 0 0 0 0 0 0 0 0 0 Change Order 34012-0200431-5740010-101020-003980-9999 ($44,087.35 34018-0200431-5740010-101020-003980-9999-18010203 ($54,777.76; I o I I o i I o I I 0 1 0 I I 10 1 1 10 1 10 to I i I Change Order 2 34012-0200431-5740010-101020-003980-9999 1 34018-0200431-5740010-101020-003980-9999-18010203 o I I I I 1 I I o 0 I I I= 0 o o I = I I I I I o I ! f I ! I I 0 City of Fort Worth Summary of Charges City Secretary Contract Num: I 57283 I Park Vista Blvd and KellerKaslet Rd Intersection I P. 0.: FW020-0000007627 Project Number. 101020 Improvements Application Period: I 7/18/2023 - 7/31/2023 I Application 9-Final Application Date: 8/24/2023 Number. Funding Identification (FID) Total Completed Amt Remaining Gross Retainage Net i I Change Order 3 34012-0200431-5740010-101020-003980-9999 34018-0200431-5740010-101020-003980-9999-18010203 0 o 0 I 0 o _i I o -- - - o I o I I I o I I I Change Order 34012-0200431-5740010-101020-003980-9999 34018-0200431-5740010-101020-003980-9999-18010203 I o I I o :_ I o I o ! o I 0 ! __ 0 0 o _ _ I Change Order 5 34012-0200431-5740010-101020-003980-9999 34018-0200431-5740010-101020-003980-9999-18010203 I 0 0 - -- o I o I 0 I o I I o I 0 f 0 I City of Fort Worth Summary of Charges City Secretary Contract Num: I 57283 I Park Vista Blvd and Keller Haslet Rd Intersection I P tJ : FW020-0000007627 Project Number. 101020 Improvements Application Period: 7/18/2023 - 7/31/2023 I Application 9-Final Application Date: 8/24/2023 Number: Funding Identification (FID) Total Completed Amt Remaining Gross Retainage Net Change Order 6 34012-0200431-5740010-101020-003980-9999 34018-0200431-5740010-101020-003980-9999-18010203 0 0 0 0 0 0 0 0 0 Change Order 7 34012-0200431-5740010-101020-003980-9999 34018-0200431-5740010-101020-003980-9999-18010203 0 0 0 0 0 0 0 0 0 Change Order 8 34012-0200431-5740010-101020-003980-9999 34018-0200431-5740010-101020-003980-9999-18010203 0 0 0 0 0 0 0 0 0 City of Fort Worth Summary of Charges City Secretary Contract Num: I 57283 Park Vista Blvd and Keller Haslet Rd Intersection P. 0.: FW020-0000007627 project Number: 101020 Improvements Application Period: I 7/18/2023 - 7/31/2023 Application I 9-Final Application Date: 8/24/2023 I Number: Funding Identification (FID) Total Completed Amt Remaining Gross Retainage Net Totals ! 34012-0200431-5740010-101020-003980-9999 $514,694.61 $1,469.67 34018-0200431-5740010-101020-003980-9999-18010203 $966,451.38 ($1,469.67), 0 0 0 0 0 0 0 0 0 Grand Total I $1,481,145.991 1 $0.00 1 1 $0.00 I 1 $74,057.30 FORTWORTH. TRANSPORTATION AND PUBLIC WORKS August 28, 2023 XIT Paving & Construction Inc. 3934 US-287 S. Waxahachie, TX 75165 RE: Acceptance Letter Project Name: Park Vista & Keller -Haslet Intersection Project Type: Paving/Storm Drainage/ Traffic Signals City Project No.: 101020 To Whom It May Concern: On July 25, 2023 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 August 28, 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 28, 2023, 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 682- 715-9424. Sincerely, Mitch Aiton (Aug 31, 2023 03:30 CDT) Mitch Aiton, Project Manager Cc: Travis Overstreet, Inspector Mike Glover, Inspection Supervisor Randy Horton, Senior Inspector Raul Lopez, Program Manager Bridgefarmer & Associates, Inc., Consultant XIT Paving & Construction, Contractor COFW, Developer File E-Mail: TPW_Acceptance@fortworthtexas.gov Rev. 8/20/19 CONSENT OF SURETY COMPANY TO FINAL PAYMENT AIA DOCUMENT G707 OWNER ❑p ARCHITECT ❑ CONTRACTOR ❑ SURETY ❑ OTHER ❑ Bond # 204918T PROJECT: (name, address) Park Vista Boulevard at Keller Haslet Road Intersection Improvements, CPN 101020 Park Vista Blvd. & Keller Haslet Rd., Fort Worth TO (Owner) City of Fort Worth ARCHITECT'S PROJECT NO: 101020 200 Texas Street CONTRACT FOR: Park Vista Boulevard at Keller Haslet Road Fort Worth, TX 76102 Intersection Improvements, CPN 101020 CONTRACT DATE: 03/08/2022 CONTRACTOR: XIT Paving and Construction Inc. In accordance with the provisions of the Contract between the Owner and the Contractor as indicated above, the (here insert name and address oi'Surety Company) Westfield Insurance Company P O Box 5001 Westfield Center, OH 44251-5001, SURETY COMPANY, on bond of (here insert name and address of Contractor) XIT Paving and Construction Inc. 3934 S. Hwy 287 Waxahachie, TX 75165, CONTRACTOR, hereby approves of the final payment to the Contractor, and agrees that final payment to the Contractor shall not relieve the Surety company of any of its obligations to (here insert name and address of Owner) City of Fort Worth 200 Texas Street Fort Worth, TX 76102.OWNER, as set forth in the said Surety Company's bond IN WETNESS WHEROF, The Surety Company has hereunto set its hand this 29th day of August, 2023. Westfield Insurance Company Surety Company ` ? it..._ Cis �J - Signature of Authorized Representative Attesi (sealj� Brady Wilson, Attorney -in -Fact Title NOTE. This Conn is to be used as a comptaiion document to ALA DOCUMENT G706, CONTRACTOR'S AFFIDAVIT OF PAYMENT OF DEIST AND CLAIMS, CmTent Edition AIA DOCUMENT G707 * CONSENT OF SURETY COMPANY TO FINAL PAYMENT *APRIL 1970 EDITION *AIA 1970 THE AMERICAN INSTITUTE OF ARCHITECTS, 1735 NEW YORK AVE. NW WASHINGTON, D.C. 2006 WARNING: Unlicensed photocopying violates U.S. copyright laws and is subject to legal prosecution. THIS POWER OF ATTORNEY SUPERCEDES ANY PREVIOUS POWER BEARING THIS SAME P01"lER # AND ISSUED PRIOR TO OS 25/22, FOR ANY PERSON OR PERSONS NAMED BELOW. General Power of Attorney CERTIFIED COPY POWER NO. 4220012 14 Westfield Insurance Co. Westfield National Insurance Co. Ohio Farmers Insurance Co. Westfield Center, Ohio Know All Men by These Presents, That WESTFIELD INSURANCE COMPANY, WESTFIELD NATIONAL INSURANCE COMPANY and OHIO FARMERS INSURANCE COMPANY, corporations, hereinafter referred to individually as a "Company" and collectively as "Companies," duly organized and existing under the laws of the State of Ohio, and having its principal office in Westfield Center, Medina County, Ohio, do by these presents make, constitute and appoint TONY FIERRO, JOHNNY MOSS, JAY JORDAN, MISTIE BECK, JEREMY BARNETT, JADE PORTER, ROBERT G. KANUTH, JARRETT WILLSON, JACK NOTTINGHAM, BRADY WILSON, BRENNAN WILLIAMSON, JOINTLY OR SEVERALLY of ROCKWALL and State of TX its true and lawful Attorney(s)-in-Fact, with full power and authority hereby conferred in its name, place and stead, to execute, acknowledge and deliver any and all bonds, recognizances, undertakings, or other instruments or contracts of suretyship in any penal limit. - - - - - - - - - - - - - - - - - - " - _ - - _ _ - _ - - _ _ _ - - _ - - - _ - _ _ - - _ _ - - - - - - _ GSTA : OTHIS POWER DEPOSIOTORY F ATTORNEY BONDS. CANNOT BE USED TO EXECUTE NOTE GUARANTEE, MORTGAGE DEFICIENCY, MORTGAGE and to bind any of the Companies thereby as fully and to the same extent as if such bonds were signed by the President, sealed with the corporate seal of the applicable Company and duly attested by its Secretary, hereby ratifying and confirming all that the said Attorney(s)-i n- Fact may do in the premises. Said appointment is made under and by authority of the following resolution adopted by the Board of Directors of each of the WESTFIELD INSURANCE COMPANY, WESTFIELD NATIONAL INSURANCE COMPANY and OHIO FARMERS INSURANCE COMPANY: "Be It Resolved, that the President, any Senior Executive, any Secretary or any Fidelity & Surety Operations Executive or other Executive shall be and is hereby vested with full power and authority to appoint any one or more suitable persons as Attorney(s)-i n- Fact to represent and act for and on behalf of the Company subject to the following provisions: The Attorney -in -Fact. may be given full power and authority for and in the name of and on behalf of the Company, to execute, acknowledge and deliver, any and all bonds, recognizances, contracts, agreements of indemnity and other conditional or obligatory undertakings and any and all notices and documents canceling or terminating the Company's liability thereunder, and any such instruments so executed by any such Attorney -in -Fact shall be as binding upon the Company as if signed by the President and sealed and attested by the Corporate Secretary." "Be it Further Resolved, that the signature of any such designated person and the seal of the Company heretofore or hereafter affixed to any power of attorney or any certificate relating thereto by facsimile, and any power of attorney or certificate bearing facsimile signatures or facsimile seal shall be valid and binding upon the Company with respect to any bond or undertaking to which it is attached." (Each adopted at a meeting held on February 8, 2000). In Witness Whereof, WESTFIELD INSURANCE COMPANY, WESTFIELD NATIONAL INSURANCE COMPANY and OHIO FARMERS INSURANCE COMPANY have caused these presents to be signed by their National Surety Leader and Senior Executive and their corporate seals to be hereto affixed this 25th day of MAY A.D., 2022 . Corporate w..o.plgy�y rauq,. a ' S A �c�N. / WESTFIELD INSURANCE COMPANY Seals rQ\a 4fl• �C` ,o P�.. ••. vSG�^ ,r• � �N?!� /. WESTFIELD NATIONAL INSURANCE COMPANY Affixed��; p •..�. e^ OHIO FARMERS INSURANCE COMPANY SEAL kok w: ,t,, 1 • 8 3,�f.'•.•4• rso. fr'r�$ �•., rrj =��, 48 •:�` � : , State of Ohio v., ""' By: County of Medina ss.: Gary W. tumper, Nationa Surety Leader and Senior Executive On this 25th day of MAY A.D., 2022 , before me personally came Gary W. Stumper to me known, who, being by me duly sworn, did depose and say, that he resides in Medina, OH; that he is National Surety Leader and Senior Executive of WESTFIELD INSURANCE COMPANY, WESTFIELD NATIONAL INSURANCE COMPANY and OHIO FARMERS INSURANCE COMPANY, the companies described in and which executed the above instrument; that he knows the seals of said Companies; that the seals affixed to said instrument are such corporate seals; that they were so affixed by order of the Boards of Directors of said Companies; and that he signed his name thereto by like order. Notarial Seal r`�'� 1 A L "''•. Affixed State of Ohio County of Medina ss.. David A. Kotnik, Attorney at Law, Notary Public My Commission Does Not Expire (Sec. 147.03 Ohio Revised Code) I, Frank A. Carrino, Secretary of WESTFIELD INSURANCE COMPANY, WESTFIELD NATIONAL INSURANCE COMPANY and OHIO FARMERS INSURANCE COMPANY, do hereby certify that the above and foregoing is a true and correct copy of a Power of Attorney, executed by said Companies, which is still in full force and effect; and furthermore, the resolutions of the Boards of Directors, set out in the Power of Attorney are in full force and effect. In Witness Whereof, I have hereunto set my hand and affixed the seals of said Companies at Westfield Center, Ohio, this 29th day of August A:D.,,,2023 ` O�P�nNAC y . SEAL ,*- BPOAC2 (cb`mbined) �(03-22) • % '�"�' L Secretary V-. •1848 p� Frank A. Carrino, Secretary AFFIDAVIT STATE OF Texas COUNTY OF Ellis Before me, the undersigned authority, a notary public in the state and county aforesaid, on this day personally appeared Richard Howarth, Corporate Controller Of XIT Paving and Construction, Inc., 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; Park Vista Boulevard / Keller Haslet Road Intersection Improvements BY 144e/ � Richard Howarth / Corporate Controller Subscribed and sworn before me on this date 28 of August, 2023. c Public =�* WENDY CORINE SPRADLEY - ®^ Notary ID #130187304 - is. TX My Commission Expires TF OF'�4� June 7, 2027