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HomeMy WebLinkAboutContract 57461-FP1FORTWORTH, TRANSPORTATION AND PUBLIC WORKS NOTICE OF PROJECT COMPLETION +P1 City Secretary No: 57461 Date Received: 9/1/2023 City Project N!?: 102842 Regarding contract 57461 8th Ave Safety & Circulation Improvements for as required by the TRANSPORTATION AND PUBLIC WORKS DEPARTMENT as approved by City Council on 3/8/2022 through M&C 22-0154 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: $ 1,048,541.07 Amount of Approved Change Orders: $ 23,741.74 No 1 Revised Contract Amount: $ 1,072,282.81 Total Cost Work Completed: $ 977,215.25 Less Deductions: Liquidated Damages: _ Days @ $ / Day Pavement Deficiencies: Total Deduction Amount: Total Cost Work Completed: Less Previous Payments: Final Payment Due Ael- � Z- Gllal lzll .� Patricia L. Wadsack (Aug 30. 2023 09:48 CDT) Recommended for Acceptance Asst. Director, TPW - Capital Delivery $ 977,215.25 $ 928,354.49 $ 48,860.76 Aug 30, 2023 Date Aug 30, 2023 Accepted Date Director, TRANSPORTATION AND PUBLIC WORKS DEPARTMENT William Johnson (5 1, 202310:22 CDT) Asst. City Manager Sep 1, 2023 Date Comments: OFFICIAL RECORD CITY SECRETARY FT. WORTH, TX C-620 Signature Page Contractor's Application for Payment Invoice No. 11 FINAL To(0%%=r) City of Fort Worth lmnicing Period(Fmm-To); Imwice Date: 4/l/2023-7/312023 8112023 P.O. FW020-0000007714 From (Contractor): Remit to(IfNct Automatic Deposit >: Numbcr. Fain Gmum Inc. Project: 102842 Contmetars CFW Vendor No.: 0000027241 city secretary comoretumber: 57461 Contract 8th Avenue Safety and Circulation Improvements Project Number: Name: o—: Application For Payment Chance Order Summary (Approved Chanme Orders 11. ORIGINAL CONTRACT PRICE............................................................ S S1.048.541.07 Number Additions Deletions 12. Net chance by Change Orden................................................................... S S23.741.74 1 $120,657.04 $96,915.30 13. Current Contract Price (Line 132).......................................................... S SI.072.282.81 I 2 14. TOTAL COMPLETED AND STORED TO DATE I3 I (Progress Estimate, Construction Allowance and Change Orden)....... S S977.215.25 4 15. RETAINAGE: I 5 I a X $977.215.25 Work Completed.......... S I 6 I Is. X Net Used S I7 I c. Total Retaimee(Lim, 5e+Line 5h)................................. S I 8 16. AMOUNT ELIGIBLE TO DATE (Line 4-Line 50 .............................. S S977,215.25 TOTALS $120,657.04 S96,915.30 17. LESS PREVIOUS PAYMENTS (Line 6 from prior Application)......... S S928.354.49 NEr CHANGEBY S23,741.74 8. AMOUNT DUE THIS APPLICATION................................................... S S48.860.76 CHANGE ORDERS 9. BALANCE TO FINISH, PLUS RETAINAGE (Column G on Progress £stimate+CA+ CDs+ Line 5 a bare) ............... S S95.067.56 Contractor's Certification 10. CONTRACT TIME: The Contractor certifies with the submittal ofthis document and associated Payment Request Submitml is. Days Awarded 150 on the City of Fort Worth Bttosaw system that to the best oftheir knowiedge:(1) all previous progress Is. Days Added by CO 167 payments received from Owner on account of Work, done under the Contract have been applied on Dint to discharge Contractors legitimate obligations incurred in connection vvith Work covered by e• Total Days 3)7 PriorApplications for Payment; (2) title of all Wort:, materials and equipment incorporated in said Work or otherwise listed in orcovered by this Application for Payment will pass to Owner at time of pa)menl free and clear of all Liens, security interests and encumbrances (except such as arc covered by a Bond Da Changed it. Days ge 317 nocepmble to Owner indemnifying 0vmer agaist any such Liens, security interest or encumbrances); e, Days Remaining and (3) ell Work covered by rids Application for Payment is in accordance with the Contract Documents and is not defective. Liquidated Damages S650.00 x dap e5'teue.>,A Sievert Aguirre (AAugif 3, 202315:5:22 CDT) Consent of Surety Affidavit of Bills Paid 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 Unit Price ProOreaa E:Ilmolo Progress i stitnate c,"S-clmy 57161 Contractor's Application Contnc, Nnm- Sth Avenue Safety and Circulation Improvements Project Apphead"aNamber: 11 FINAL Arrr miea rennd. 4/12023-7/312023 App6.ti.. Dme: s1lnozJ A B c D E r G Item Taal completed % Odxmt"FiniJ, Spev;fr4ri. 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P.M Marking HAS(Wf _ 321723 _ -_LF.__. .-_._ -. 835.000000 _ _ _ $3.22 080.12 $2,112.70 73.00000000 440.00000000 51_ $$167.78 _ -_ _ 72% _-„$7,157.78 _40.0%-. _.___ @ __ 3217.02028'SLD PvmI MOMbO HAS Q7-_.__. ]21727 _Up _ LF 35.000000 _. _5322 _- _. $112.70 09.000OOODD 7.78 _ 5157.78- $157.78 _ _- $757.78 t40.0% -$4S.00 -545.08 431 3217.05012PSLDPkml MmkinOHAE(V4)_Sbp_Bua LF 563000000__ 510.32 755.50000000 $1 `60_/.7U -,__ -- - - 30.0% $8,SOG20 _ 430_3217.050124.$LD __72172J Pvmt Meddnp HAE(W7-7bal0lvM, ritatlml 12 I723 LF 762.000000 $7.729.02 338.00000000 $16.004.76 5$1.030.68 _ _ _ 16,030.58 $10.03058 2W_4%-_ -58----4 41- ____ 0217.1002 LarM Lapend Amon 321723 --___- FA._ -. ___.-- 7.000000 _ 161.19_ $161.19 $1.128.33 51,72 7.50000010) _5$1120.58 _ _ $$805.95 _ _ __$1805.05 t00A% _ -. 45 32172102 termL Oed - ..-_ - - _ _ _ EA _ _ 5A00000 -_ $1$am_ MS 5.00000000 -"05.33 .- S605.95 ._._._- ._ _$B�5.a3 100.0% _ 48 ...___32t7z] 32172103 REFL Robed Marker TY ble $SAS $407.72 f48728 62.0000000) __$505.95- $504_78 1WA% 414N _ - 47 11 32171707 REFL Rnhed Marker TYlI-A-A � - 321723 721721 Up LF _ -__ _86A00000 36.000000 - $79716 51.000OOODO _ _ f279Ae $279A8 IiMA5 _ - -_ - $279AB 5279AB U7.7%$8229 48 3217.4306 Remora 6'Pvml MOrkda _-- 1123A00000 _$5A5 $$247.68 170.00000000 $182A0 _ $4B2A0 10.% SZ,708.52 {e 3217.4307 Remove tMarldn6 - - 321723 _-321723 _ __-LIF LF _ 48.000000 _3a 16 $6.16 48.00000000 $247.50 $40625 _ $247.0$4W38 __ - _ S247.68 700.0% 50 Rai,,d 3232,0100 Remove Relall Marker 321723 -. . _ _ _. $8.45 _ $322.50 $40885 _ _ _- _ _ _ _ ._. - S140.55 12GA% . _40�• 51 3292.0100 Core Rol WBII Adler to SlOevrelk 329213 OF OF -SY� 1 000000 /5A00000 $$25.92 _ _ ,140.55 15.00000000 15.00000000 _ ,140.55 $3,913.92 $3,91055 $3.913.92 t00A% 52 _ 1 7282.010081ack Sod Plaxmanl 329217 �------82.000000 f21A2 $2.140.55 E2,135Ae 151.00000000 $3,913.92 $3,913.92 _. - - - $3,913.92 184.1% --_ 41,780.48 -- -- - 5] 3293.0104 PIanl3'Tmo -329343 --EA - 2.000000 $1,779$2.243.74 13.462.44 6.00000000 100.0%______,- 51 3285.0111 Plant4'Troa 330514 EA 8A000D0 E$217.07 $13,452.N 8.00000000 $13,559.04 $st.736N 13.482.44 $$1,N2N -_---� -- 13,46144 $$1,482N 55 3305.0111 Valve Bar Adlllwnpnl wl Cane Cotiar 770511 FA 15.000000 S21].0] $3250.05 8.00000000 51,738.58 ---52,14059 $7,73BSB -- --� � _ 53.3% f1,73056 535% 51,519.49 __.. 58 33122009 YWeler Servlx, Meter Reconnedlon 331210 EA 1.000000 $2,140.50 $2,140.50 1.00000000 #,140.50 -_ _ $2,1405D 100.0% _ 57 337220033, emd&Service 331210 EA 2A00000 2.00000000 513293.16 _ _ -__ - $13297_76 1000% 58 SSaU SIanel Head-bli, 344110 __._$8,616.50 =1,/71A0 _- $13,2W.78 5$7.221.20 11.00000000 _-__ St7=20 $1329 90 5$7.221.20 _ _ -_ -_-. $10,2t2A0 .100A%- _ ._ _ SB 34411011 7411.1011 Pad Signal Heed AlambM Jd 1110 _-_�_. - -_-. EA ._ _._1BA00000 _... 8.000000 5902.65 57,22120 8.00000000 $7,22120 5712120 - _ S7_,22120 100A% 60 ltion Station 3441.1215 Audible P,donslall 344110 FA $1,dBA6 $839715 _ _ _ _ __-_- -- _ _- _ - __ SB,3D7.26 100A% 67 3441.1217 FurnWrala6 Hybrid Detection Hybrid d Dote 344110 _ APR _ .000000 _ _. $10,1$355 40.774$8.39728 $40,774.12 4.00000000 $W196_12 _ 40S131.77418 $40,771.12 _. i$5.396.00 100.0% 82 Cable 7441.121]FumbMnslnti Hybrid Dolaclbn Cabb 314I IO LF SA00000 --1505A00000 53.55 55,342.75 0.00000000 1520.00000000 SS,�6.W $5.3%.00 _ _ ___.. 55,380.00101.0% 459.75_ _ - 63_ 3441.1220 Fumb ..q Modal 711 Preemption Deladar M4110 EA 4.000000 $1,151.53 $4,005.12 4.00000000 -_ S4,605.12 $4,608.12 _... _._. 1",606.12 100.0%__.-_____ 84 3441.1224 FumWNnslaA Preemption Cable M41 10 LF 1505.000000 $3.22 54,048.70 1580.00000000 _SS OB7_80 $5.087.80 _ _ _ _ _ _ _ SS,OB7.60 105.0%_ _ _ 85 3441.1311 51C 14 AWG Multi-Condl clor Coble 344110 LF 620.00=0 $2.71 $1,011D20 620,00000000 $1,68020 $1.680.20 $1.680.20 130.0%- -_ 86 7/41.13147IC 71 AWG Mu16-Conaudor Cable 344110 LF 210.000000 $3.28 $789,00 812.00000000 $2.073.4E $2,013A8 52,013.18 255.0% _ -- 3447.131520IC 14 AWG Mu10 Conductor Cable 3441 IO LF 1115.000000 $7.10 $7.083.40 14115.00000000 $10,131.40 $10,131AO $10.131.40 128.9% _ _�87 88 3441 A= 30C 14 AWG Wfltl-Conduclor Cable 344110 LF 2745.000WO $2.32 $6.368.40 2745.00000000 $6.388.40 $8,368.40 SBASB40 1" 89 3447.7406 NO G Ina,daled Elm, Condr 344110 LF 1135.00ODOD $3.48 $3.949.00 1135.00000000 $3.949.00 $3,949.80 $3.949.80 1010.0% 70 3441.1409 NO 8 Insulated Eloe Condr A4110 LF 2150.000000 $2.77 S5,955.50 2150.00000000 $5.95540 $5,95550 $5,95550 100.0% 71 344.1411 NO 12 insulated Elac Condr M4110 LF 240.000000 $1M S403.20 240.00000000 $403.20 $40320 S40310 100.0% - 72 3441.1414 NO a Sam, Ebc Condr 3441 10 LF 2B5.000000 $2.77 $788.45 285.00000000 $789AS $780.45 $78SAS IOU%-- Thu deeumen, hm born modified Oem iU an9ilet form m an FJCDC Jeamcnt wd uo uam did net hi9hliuht the mod,fodiona You are en-ted to read the docen- cnmlblly and eemul, 1,e Pl Cnunaal prier to i,e.-ion. Progress Estimate Iar(`°"""") 8th Avenue S:lfety and Circulation Improvements Project Apphofmn Pried: 4/1/2023 - 7/31/2023 A Item Ilid It,. N. D..dptien Sedim No, 73 3441.1502 G-WS=TVP*BW/Aplan _ - 344110 74 3441.1503 Gt-,I Box Type D. WApron 34 41 10 75 M41.1603 FtwtIWo9tmlla-14'Ped Pol9Aw" _... 344110 76 3441.1811 F-WhJl lnl Typn41_Slgnal Pale - ___.. YI 4110 n 3441.1623 Fuml"nelal Mato An A16'-38' U4110 78 3441.1701 TY 1 SIgnal Foutt6e0on - _ M 41 10 78 3441.17m TY 3 SIgn,l F-dadon 344110 6D- __- 3441.171361" Cannel Faundauan 3521__--_M41 t0 _81_3441.7741_FImd4NNs1003521 Connollefcabinet AasemNY-_.__N41 IO 82 34111.1840RRFB6uen"y Single SWM(AC) _344110 - 83__.__9141.1"2 RRFBA..WyDo,t0le Slded(AC) 344110 84 -_ -_ 3r41.1901 Powdae Coat SlO Polo wW MA1W-3B 3441:0 _-- _85 7441.1804 _Ptmvlo_r CwI Pod Pale _ _ 3441 10 ___BB- 34411W1 SWVWTto Sl0rIW _ 344110 87 3441,2003 Dip01o0f Polo 0M M MM81_/w_emEy__ -__ 344110 c'yS-,d,t,y 57461 Coot Nom: "20 Unit Pdco Progress Evllmete Contractor's Application A,6.6vn N-1- I 1 HNAL Applicdinn NO, 9/l2023 B C 0 0 F G Tavl ComPlnsd % Mencv lv Fivi.h Unit or BidQ ay Unh Prim Bid Vdm Enimmed Qeantiy Vulua Prtvivvdylnsmlled Volm Velue7hie Period Mmedvla Pmcntly end S(DI la Dam (� (E-F7 Qvami,y ta.mnea This Memum InnnIIN Slortd(mtin C) (D+C) 0 Penal FA 9.W000U $1A48.11 $13,072A9 9.00000000 $13,032.99 E13,032.90 _. 513032.99 100.0%_ EA 5400000 $2134,13 $10,870.85 6.00000000 512,804.7E 512,804.7E _ _ _ _ _ _ _ _ $12,804.78 120.0%-$2,134.13 3.0000OD _ 57,829.83 3.0000D000 $3,828.83 -- E3.320.83 _ 51.82B93 100.0% -..- ._A_- 4.0=100 .___ 12.0202 .. 4A0000000 E57,30E.78 $51,306.76 ._ _ _ i5t,308.78 700.0% _FA 4_000000 __ _$12,E28AB _-. $4.2117.03 _ _-i61,308.76 S78,BDOb2 4.00000000 _ $16,90042 ._.. _ _$16A00.52 51 32 100AnL _EA __.__-.._.. 8_000000 _ 61,302.40 57,014AD _. 0.00000000 $7974A0 S7,E14.40 ____ 57A14A0 --...EA _ EA 0-000000 __ ._ $0.082_59 ___.__22C, .__. 9 .38 _ 4.0000D000 _520,260.30 - - _- _ - _ _ ___5�2m.100_0% _. FA _- I.000000 .___ $B.OBA32 SB aPt.22 _ 7-000000o0 - J9094.22 - ti20,250.38 _.. -- -B'00112 -.--- -- $8.a84.22 1011.0% EA 1.000000 _ $i2,405_73 - -. $22A33.04 _.. -_ _$22,I6 ... _- 522485.04 10DA% EA.... .. _ 2A00000 _ _ S8,7B1A2 $13,683.81 7ODDD0000 2.00000000 aj i13,583.04.___.. $13.68$22,405.73 573.583.& $t3.5e3.E{ 70D.0% FA 1.00W00 __5$B, 19.755 _- $B,5I9J5 _._.-. _ - 7.00000000 _ _ _ . __iB,5t9_75 _ E6,519.75 _ .- 58,519.75 100_0% - - ..- _ EA _. 1.0D0090 $2. M.02 SE,o00.m 4.00000000 $11,000,08 $8,000.08 --__58,00008 10D.0% EA 000 _ ._ $320.11 .0000000 $528.1_ _ - $526.11 $52811 _100_.0% -. EA _ L 511aaz6a 4.00000000 $1L347_B4 s1L347.B4 _S11,347.94 100A% .. EA _ 4_000000 _-7597 _. _52,B38.81- _ _ 511,34].84 4.00000000 $11,347.0I _ $11,3Q.64 ... _ _- _. - _ i11A47A{ tOD.O% _- Thu document by been madi5d hom its arigmnl f m m PJCDC dmtment and the -did not highlight Ihv modiEmti- Yon me e-,cM la rmd Ne demmmt -Ally and mntnit Uvi Cavmel pdar 0 ns vxcemion. Progress Estimate (`" u-)- 8th Avenue Safety and Circulation Improvements Project nnphahen N,ind: 4/12023 - 7/312023 n hem Bid Ilea Ne. Dacdption Sp-n Non Scaron No 3441=7 FumBMmlWd 10'. 14' Washington Standam Light Polo& as Flxlaa LED 344120 _-&B 3 11-= Rdxy glum Foundation TY 7 344120 90 3"IA001 FumisMlrmn Alum Sign Moat Arm Mount _ 344130 _ 91 3441.4003 FumislAnslall Num Sign Ground Mount City Sid. _ _ 344130 _ - 92 U41AO071nomll Alum Sign Ex Polo Mount 344130 -93 3441A110 Remove and Reinstall Sign Pont and Post 344130 W _ 34115011 RRFB SMgIo Sltlotl Eltt 3441 IS 95 - _ 54415012 RRFB Double Sided Elm 744115 -_OG_ _-_ 3471.0001 Ta19c Central 347113 9999.OD01 Yield Triangle, Per City of Fat Wodh Sterltlnd 32172306/3 321723 -_ _07 _ 86 OM.0002 Lon911udlnol Channo0AIzl Mouaatla Cu�Syaltnl___.___ _ 999999 9B 9099.0009 B.,Mr Re. Romp. Type, FwRA.W.W..l 321320 100 9039.000/Traltk Channalim Pyblu tWh CaO 999999 101 9999.0005 Landscapers k&ffi11WWx4Y") -.._ 999999 _ /02 9000.0006 MuICI (3-) __.._-..._. 999999 103 9099.0007 Mulch(4) -_.-._. 999999 104 9999.0000 Rock Cobblo(81 M9999 _-105 9999.0009 Ce 1-11on AOowmleo 999999 Wig.tlon (UNIT 2)-Altomete -__-1 _ 9999.0014 Irdgellon-AN-1. _ _ _ - - _. -. 999999 C-620 Unit Pdco Progress Estlmolo cays-Z' s�4�( Contractor's Application C-nnlracl Num' nppmn6n°Nnmhr.II FINAL ApPlicaion D- 3/l/2023 B C D IS P C Tao'Compleud % B.N,-In Pini:h Unitof Bid Qarlluy UWa Price Bid l'eluc EaimLW VMx Pmiomly lnawllN Voiuc \':due'ILi; PcnoJ and SU)-1°Dsee Marndsoti. (F) 0-F y ( ) Q-14 In:uJh-0This Measure -Quanliy ImmIIN C13• SImN(na in C) (DfB) a 1'r�iml EA 3.000000 3.00000000 S23,810.67 $23.810.67 100100.0%_ -_. - _ __S7,W6.69 _._ __$23A10_87 $4,6a0.90 3.00000000 . _ __$MMO.67 64.6601A0 $4,660.90 $4.680.90 10D.0% ._._Ell _ EA__._ _ _3.000000._51,wagi ___ G.D00000 __. $995.50 50 _ 6.00=000 - $4,977.51) _ _ __.._. ._ - $4.977.50 100.0% EA __. _ _ ____ 13.00(1000 _ _ 5560.63 _. _ _$4.WI• $7 8 13.0D00D000 _ _S4.67750 L .WZ09 $7297-09 _ . _ $7.292.09 10D.0% - _ EA - - - - 28000000 _ S599.02 516,769811 - _ _ _ i18,70Y.38 _ _ EA 4000000 5578.83 i2,2G532.7 _ _-� 200000000 S�t17A6-._-, 51,147.86 51,147.66 50.0% EA 2o0DDD0 _._ 2740056 �.i6 ----- _---- __. -- _ -.. _.. ..._..._.- S1{.40i.ie EA _ -1.000000 $17.59832 -s141 .._- _ MO 5.000000 55,7733�8 _513, 328.MBBBAOAO 8.00000000 $32,210.18 _ - $32240.16 _ _ _ 532240_16 120.0% =55.373.36 _ EA_-.. 22.000000 377.37 $1.702.14 22.00000000 S1,702.14 51,702U 51,70211 100.0% FA _ 8.000000 _ _ $53656 SIA17.e4 8.00000000 - $4,31151 N.311d4 �4A71 A{ 1100.0% EA 3.000000 33.271AS - S9.815.55 _ 5.00000000 §1435925 -. $16.35925 __-__-- 576a 25 166.7% __4_6.50" EA 18.000000 _25MMOO _.- - _$470.67 _. $1,530.72 78.00000000 $3�871228 -_ _$2,321.00 $30,71226 -__ _538.712.26 497.5% _._.__429.16154 - CY .... SOZIM S2,W )0 25.00000000 _ _ $2.321.00 n 1.00 100A% 0V _ .000000 $55.11 5505.T7 _ 7.0000OD00 S565.77 $595.77 ------ ----- --$503.77 100.0% .---- CY 4.000OOO .__..__565.11 S3't0.44 _ _ _. {.000OODDD $340.44 $340.44 _ _ _S340M 100.0% TON 34.000000 U73.81 $16,103.76 _. 34.00000000 $16.103.76 $16.103.76 ... -_ _. 6,103,7E 100.0% LS 1.000000 S100A0aco 5100,=AD _ _ __.. _.._. _..... $100,000.00 LS $32.992.06 $32.99208 _ _1.'42,W_.2A6 100.0% _ This document hes been modihN from ur ai0ind fa,m ea nn C1COC dncumem nrd uhe uam Jid na highlight the modi6ro'ions. Ynu ore encoumgN to read Ilse document easefully and mncull 1-epnl Ceunsel priorlo is clttu'ion. Progress Estimate Qiy 57461 g C-- Nom: 8th Avenue Safety and Circulation Improvements Project IArpuau"" r°d°a: 4112023 - 7/312023 A B C hem spe°ifitd Ueil of Did Q°°nrty ❑°it Pric° Bid v°In° ndi ddQ-tiy Bid Item No. Dmctiplion Salon N, Meawm Tatar 51.8IRSd1.D] C-G20 Unit Pdco PioO— E"Ilmntc Contractor's Application Applioli°"N°m(. 11 FINAL A,Iwntl°n Dm°: S/12023 D E F Q Motoriole Prcamtly TololCmnyl"cd •/. Dnlnna Finish V"lue rreviouxly ln;l°Ilcd V"luc Voluc Tiie Period wd Slm�lo Dot° (F) (-F) Quantity, lnnollN Thie Sfmd (not in C) (D+E) B Pm d S855.833.22 SU55.833.22 $855A3"2 81.8% 158L787J61 This duct..-' Iw be"i modi0°d fmm its ori0ind Iomr. on MCDC d—.—nml the user did n°I hiUNiBht Ih° m°dificmionx You om°ncoum8ed to rmd the document cmefolly and —It 1s 1CO-1 prior toitu—mflon. Progress Estimate Changc Orllcr Nnnfbcr I i I Contractor's Application ADDITIONS r.lwN.v IOM42 114 AvmxesJerymaOmlHim lmpm.m.m. r.o{n•1 w� Mal amm«mm.rl: 11 FINAL .PnIwlwMl.) n ann_n_s - vurzon 0 C D "jp1eNvpOee S inov 8 P 1 11JY^010bNwPIH yyn PmlmM nw}Y. YPMea AWvW Damlh' manwDJumr4rr m MrbrPW N•Pf tTgaMWo ve.�lff4 a. �P_._ V6.f Rbp�MFrnY 4nlr �� V.N}Un �ws Wnbf 6mnlJ Vnw YMIm MCT -- H0. mnNm}'NPM N+v T}P.D M1.W -IYII _ mompbbtm ---- SIRIf L9,ouw bfbbaobboon — -� —fH�DIM __ fHMIM _ _._ _ ._ fHMIM _9ari_ _ fl}H,m IonP __. MAMn mR DI}abI 1WACTw.Niw xix DISom}b-NPIdi N.n Tfwu —mDmmlDucMmvl[nE MLn-Itlll ._ x8.. _. }.mmDm_ Mx.-NR1 In _ — fmfm _fIAHro loom _ _ — fl,nfm _ m,a}fm _— --_mRUP IY.byWII TN fmme9m � ]lHm_ _fl,Wm S.mmomo __ f1.fHm ilfH.m ____ ._ f1,fH.ro I.mAli_ _ Im almnlol Natlblvnbn P.my-lWl G 1.®nm f}pmm _. SlFlnro Im[ml 1TmSm LAmro _. .__._ f},fmm Immt ,_. _. __fmbml Nnm.PW69flD•.Pmm TnR�.Nr�..IhN.n M. PM1Xq.WII 15 __�__ _- Im ful.ImfRniw.ar®bpw M1wq-W)I G ]mbmmN _ ____SI.TH,m _ LI— _il.mm _Immnml_ n,Tlfm _Slmm _ ___ _ __ __ 31]Hro Immt ImxD —. ______. _ _ Im ab1.ImPMMv(lo-a'19pwfFWrtFwiduls -WII G. Ilbnunm Miry_ _SS ADM _ ..I.bmn4m _ !}A>2b SfAftm fLroRfO Im.mt Iln- _ fal.l'No b,....9yryl corv.N..4M..IN.,.n1 PnAq-Wnl _ _.V ___ __Immnm_ _—CAr1?x 3),mbm INnIoaND — I},NlSm __-_ f]m m _ .._ _. Amfm Im i .. _ __ —. — nl _ 141]uD 4ew•esMlGwn Y,wlnim __. Ill !Moll Sllwellenmlr Mlw.m.14111+Nm1 IS Muy-loll_ __I _mvbnm MW-WII L _ - _ lncmmm nAmm — — _. sLTHm _H.bno,m I.bxeextPb _ A6m.m lommbm0 .. f1Am,m __ w,nnm _. ftpobro _ snAmm __ Ypmm Iman � - — �...... _. _... svAmm I1— sLSAtfm mMn.lmmf xmml. a,..n�NRFIr. M1ry•ISLI �• arommm flub Hma amoobam snba ssmu ._ __- a.w Two un—w Imnu wTxff smAfw m»afral muum Progress Estimate Change Order Number 1 1 1 Contractor's Application DELETIONS rm'"'bim` 10Z842 enn nxws.rev sa a,..n.u..lwow.wxm.lrek.l n I FINAL 4/l/2020-71312027 """'"0in1b1a. anliaiJ t m u�w u.nai ne Vx�P4e OnLe NmUW Nm UW NaUH Nx Umd ]a UW Tx UW Nx UW Nm UW la¢vuhrn fsminww m�wmn]u [1ww :�.. as WRYNpNUIr.pv0 Cel�-N Jil. :v ,rmuu...o rn.4 vimdi -]] )]I]w.i lM1fnc Tw,w.n_ � I'mN. •Vaal - 1N swomxm Ya.fr _ 31Aa%_.. -- .n —.A Citv of Fort Worth Summary of Charges 000000771a City Secretary Contract Num: 57461 8th Avenue Safety and Circulation Improvements Project P.O.: FW020- Project Number: �102842 Application Period: 4/1/2023 - 7/31/2023 I Application I 11 TINAL Application Date: 8/1/2023 Number: Funding Identification (FID) I Total Completed Amt Remaining I Gross Retainage Net Oriinl Contract 2002480 ---I- $855,833.2_I_I $130286-0200431-5740010-10192,707.85 1 JJ I I ul; I I 1 o o I I I o F—r I to -- I to o I I I I io I u I I II I I I.I, I,II i o 10 I Change Order 1 I I30286-0200431-5740010-102842-002480 I $121,382.03 ($97,640.29) o 10 to o o I I I "IIII I II o III 'i ''ll•'i . to Change Order 2 '" " '''•" 130286-0200431-5740010-102842- 02480 I'II'I to I I I I I 10 I I I I 1 I I I o 10 o 10 o I I I I I I I I I i a I I it lll,l I I I I ;l: I I t0 City of Fort Worth Summary of Charges City Secretary ContractNum: 57461 8th Avenue Safety and Circulation Improvements Project IP.O.: FW020-0000007714 Project Number: 102842 Application Period: 4/1/2023 - 7/31/2023 I /+PNuumber. mbe on 11 FINAL Application Date: 8/1/2023 Funding Identification (FID) I Totals 30286-0200431-5740010-102842-002480 0 to 10 D 0 to 0 0 0 I Grand Total Total Completed Amt Remaining ] Gross I Retainage I $977,215.25 $95.067.56 I I I I I I I I I I I I I I I I I I I I Net I I I 1 I I I I I I I I I I I I I I I I I I I $977.215.25 1 I $95,067.56 I I $0.00 I I ($48,860.76)I I 1 $48,860.761�C �� FORTWORTH Routing and Transmittal Slip Transportation & Public Works Department DOCUMENT TITLE: 8t" Ave Safety and Circulation Improvements M&C CPN 102842 CSO # 57461 DOC# DATE: 2/7/2023 TO: INITIALS DATE OUT 1. Ilianisse Figueroa Aponte - Review ���,A Feb 9, 2023 2' Larry Frazier Ifrazier(a�faingp.com -sinature signature Feb 8, 2023 Liz 3. Byron McDonald - signature sm Feb 8, 2023 4. Gary Deyon - signature Feb 9, 2023 5. Jose Orozco - signature ,�,ao Feb 9, 2023 6. Mary Hanna - signature NI", Feb 9, 2023 7. Leon Wilson - signature Feb 9 2023 8. Michael Owen - signature- Feb 9, 2023 9. Lauren Prieur - signature A Feb 9, 2023 10. William Johnson - signature 4�, Feb 10, 2023 11. Doug Black - signature a�l Feb 13, 2023 12. Jannette Goodall - signature 1 — Feb 14, 2023 13. TPW Contracts DOCUMENTS FOR CITY MANAGER'S SIGNATURE: All documents received from any and all City Departments requesting City Manager's signature for approval MUST BE ROUTED TO THE APPROPRIATE ACM for approval first. Once the ACM has signed the routing slip, David will review and take the next steps. NEEDS TO BE NOTARIZED: ❑ Yes ® No RUSH: ❑ Yes M No SAME DAY: ❑ Yes ❑ No NEXT DAY: ❑ Yes ❑ No ROUTING TO CSO: M Yes ❑ No Action Required: ❑ Attach Signature, Initial and Notary Tabs ❑ As Requested ❑ For Your Information ® Signature/Routing and or Recording ❑ Comment ❑ File Return To: Please callTPW Contracts at ext. 7233 for pick up when completed. Thank you. CSC No. 57461-COI FORT WORTH, City of Fort Worth Change Order Request Project Name 8th Ave Safety and Circulation Improvements Project City Sec # l 57461 Client Project #(s)l Project) Description This is a Pedestrian Safety and traffic Circulation improvements project Contractorl Fain Group, Inc. Change Order#1 1 I Datel 21712023 City Project Mgr.l Jose A Orozco City Inspectorl Byron McDonald Dept. Paving - Unit I Irrigation- Unit II Contract Time Totals (CD) Original Contract Amount $1,015,549.01 $32,992.06 $1,048,541.07 150 Extras to Date Credits to Date Pending Change Orders (in M&C Process) Contract Cost to Date $1,015,549.01 $32,992.06 $1,048,541.07 150 Amount of Proposed Change Order $23,741.74 $0.00 $0.00 $23,741.74 167 Revised Contract Amount $1,039,290.75 $32,992.06 $1,072,282.81 317 Original Funds Available for Change Orders $50,777.45 $1,649.60 $52,427.05 Remaining Funds Available for this CO $50,777A5 $1,649.60 $52,427.05 Additional Funding (if necessary) CHANGE ORDERS to DATE (INCLUDING THIS ONE) AS % OF ORIGINAL CONTRACT I 2.26% MAX ALLOINABLE CONTRACT AMOUNT (ORIGINAL CONTRACT COST + 25%) Ij $1,310,676.34 JUSTIFICATION (REASONS) FOR CHANGE ORDER IN ACCORDANCE WITH THIS CHANGE ORDER, THE CONTRACTOR SHALL: Furnish all labor and material as per the proposed Change Order. This Change Order will cover the increase in asphalt material cost and remobilization due to postponing the new pavement improvements at 8th Ave and Cooper until the new Cook Children's Medical Center Contractor removed the lane closure on 8th Ave on 12/1912022. Fain provided the City with documentation from asphalt subcontractor pricing at the time of bidding and the new price due to the delays in the project. This change order will also add additional 150 days due to this delay. It will also add 10 additional days for utility conflict with the gas, and 7 days for inclement weather, which also triggered changing the light street foundation. The change order will also include the new bid items needed to remove the existing traffic signal cabinet located at 8th and Terrell Ave to transfer service to the newly installed traffic poles. The City of Fort Worth has compared the unit prices which are being proposed by the contractor to other similar items and accepts the unit costs. The difference in pricing can be justified by the current market pricing, which fluctuates on a monthly basis due to price escalation and inflation. The City finds that the prices that the contractor is proposing are fair and reasonable. The average pricing was compiled from similar items from the 2022 Traffic Signal and Street Lighting Improvements Unit Price Construction Contract bid tabs. It is understood and agreed that the acceptance of this Change Order by the contractor constitutes an accord and satisfaction and represents payment in full (both time and money) for all costs arising out of, or incidental to, the above Change Order. The Project/Program Manager signing below acknowledges that he/she is the person responsible for the monitoring and administration of this contract, including ensuring all performance and reporting requirements. Contractor's Company Name Contractor (Name) Contract Signature Fain Group, Inc. I Larry Imo, I Feb 8, 2023 1Inspectorlinspection Supervisor'" I,,--7,r-a„mot 10 Program Manager jtAss'istant Director (De tp ) JAssistant City Attorney ,WNW ATTEST: Jannette Goodall, City Secretary Date Project and Contract Compliance Manager Feb 8, 2023 .v. n r Date Senior Capital Project Officer Feb 9, 2023 -uc— 9' Date Director, Contracting Department (Dept) Feb 9, 2023 A—•Z- Date Assistant City Manager Feb 13, 2023 Council Action (if required) M&C Number I N/A Feb 9, 2023 Date 0 Feb 9, 2023 M. Date Feb 9, 2023 Feb 10, 2023 M&C Date Approved NIA FORTWORTH City of Fort Worth T Change Order Additions Project Name 181h Ave Safety and Circulation Improvements Project I CitySec # 1 57461 1 CllentProject# I I Conbactorl Fain Group, Inc. I PMI Jose A Orozoo I Inspectorl Byron McDonald I Change Order Submittal # = Dale I 2f712023 I ADDITIONS IItM ' UESCRIPIION DEPI City Unit Unit Cost total 21H 3212.0302 2' Asphalt Base I ype U Paving - Unit 1 4,600.00000000 SY $19.14 $88,044.00 22R 3212.0401 HMACTransition Paving - Unit 1 5.00000000 TN 685.OU $1,925.W 23R 3212.0503 6' Asphalt Base Type B Paving - Unit 1 250.00000000 SY $50.6U $12,650.001 r-2417-1212.0600 HMAC Pavement Level Up avtnP g Onit I ----7bbDWM TN $385.00 $1,926.001 1 106 0170.0101 Remobilization Paving - Unit 1 1.00000000 EA $2,600.00 $2,600.W 1 107 9999.021 Remove Existing Cables From Traffic Signal Cabinet & Reterminale awns — — — — — T.D00OWN LS $1,725.W M25.001 108 3441.1507 Remove Ground Box Paving - Unit I 2.000WOOU EA $402.50 $805.001 109 3441.1709 Pad Pole 510-14') Spread Footing Foundation Paving - Unit I 1.00000000 EA $2,452.40 $2,452.401 110 3441.1749 Remove Signal Controller Cabinet Assembly Paving - Unit I 1.00000000 EA $2,025.W $2,025.001 1 111 3441.2011 Remove signal cabinet foundation Paving - Unit I 1.00000000 LS $2,000.00 $2,000.001 112 9999.0018 Miscellaneous adjustments (Irrigation) Paving - Unit 1 1.00000000 LS $1,725.OU $1,725.001 113 9999.0019 Flags over RRFB's Paving - Unit 1 6.00000000 EA $88.44 $530.641 114 9999.0020 Additional Cost for modified TY 7 Foundation Paving - Unit 1 3.00000000 EA $750.00 $2,250.001 1 I 1 I 1 I I I I 1 I 1 I 1 I 1 1 I 1 1 I 1 1 1 I I I 1 1 1 1 1 I 1 I 1 I I I 1 I 1 Paving - Unit 1 $120,657.041 Irrigation- Unit 11 $0.001 I $0.001 Sub Total Additions $120,657.041 Change Order Additions Page 2 of 4 FOR�H City of Fort Worth Change Order Deletions Project Name 18th Ave Safety and Circulation Improvements Project I CitySec # 1 57461 1 Client Project # I I Contractorl Fain Group, Inc. I PMl Jose A Orozoo I Inspeclorl Byron McDonald l Change Order Submittal If 0 Date 1 2/712023 1 UtLtIIUNS ITEM DESCHiP1ION UtPI C!ty Unit 21 3212.0302 2" Asphalt 8ase I ype 0 Paving - Unit 1 4,60(j00000000 SY 22 3212.0401 HMAC Transibon Paving - Unit 1 5.00000000 TN 23 3212.0503 6" Asphalt Base Type B Paving - Unit I 250.00000000 S 24 3212.0600 HMAC Pavement Level Up Paving - Unit 1 6.00000000 TN 78 3441.1 /01 I Y 1 Signal FOundabon Paving - Unit I 1.00000000 EA Unit Cost total $17.61 $81,282.00 $296.59 $1.482.95 $45.46' ST�36500 $296.59 —$9 482 g5 $1,302.40 �302-01 t ■ Paving - Unit 1 $96,915.301 Irrigation- Unit 11 $0.001 I $0.001 Sub Total Deletions $96,915.301 Change Order Deletions Page 3 of 4 FORTWORTH TRANSPORTATION AND PUBLIC WORKS PIPE REPORT FOR: PROJECT NAME: 8th Ave Safety and Circulation Improvements CITY PROJECT NUMBER: 102842 WATER PIPE LAID SIZE TYPE OF PIPE N/A FIRE HYDRANTS: N/A VALVES (16" OR LARGER) PIPE ABANDONED SIZE TYPE OF PIPE N/A DENSITIES: N/A NEW SERVICES: 1 I SEWER PIPE LAID SIZE TYPE OF PIPE N/A PIPE ABANDONED SIZE TYPE OF PIPE N/A DENSITIES: N/A NEW SERVICES: N/A TRANSPORTATION AND PUBLIC WORKS The City of Fort Worth • 1000 Throckmorton Street • Fort Worth, TX 76012-6311 (817) 392 - 7941 • Fax: (817) 392 - 7845 LF LF LF LF 1 FORTWORTH. M, TRANSPORTATION AND PUBLIC WORKS August 23, 2023 The Fain Group 2500 Great Southwest Pkwy Fort Worth, TX. 76106 RE: Acceptance Letter Project Name: Bch Ave. Safety and Circulation Improvements Project Type: Paving, Irrigation City Project No.: 102842 To Whom It May Concern: On April 13, 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 17, 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 17, 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- 329-6637. Sincerely, C1- A OtTe Jose Orozco, Project Manager Cc: Byron McDonald, Inspector Gary Deyon, Inspection Supervisor Edward D'avila, Senior Inspector Mary Hanna, Program Manager Dunaway, Consultant The Fain Group, Contractor City of Fort Worth, Developer File E-Mail: TPW_Acceptance@fortworthtexas.gov Rev. 8/20/19 CONSENT OF SURETY COMPANY TO FINAL PAYMENT AIA DOCUMENT G707 OWNER X ARCHITECT ❑ CONTRACTOR ❑ SURETY ❑ OTHER ❑ Bond 9 204920C PROJECT: 8th Avenue Safety and Circulation Improvements CPN 102842 (name, address) TO (Owner)City of Fort Worth 200 Texas Street Fort Worth, TX 76102 CONTRACTOR: The Fain Group, Inc. ARCHITECT'S PROJECT NO: 102842 CONTRACT FOR: CONTRACT DATE: March 8, 2022 In accordance with the provisions of the Contract between the Owner and the Contractor as indicated above, the (here insert name and address of Surety Company) Westfield Insurance Company P O Box 5001 Westfield Center, OH 44251-5001 on bond of (here insert name and address of Contractor) The Fain Group, Inc. P O Box164308 Fort Worth, TX 76161 ,SURETY COMPANY, ,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 WITNESS WHEROF, The Surety Company has hereunto set its hand this 1st day of August, 2023 WestfielATnsurance toCmpany /,Z Signa re of Authorizegtepresentative Attest (sl?ah:- ` • - , Johnny Moss, Attorney -in -Fact Title t `-- r NOTE- This tone is -to b@ a;ed as a companion document to AIA DOCUMENT G706, CONTRACTOR'S AFFIDAVIT OF PAYMENT OF DEBT AND CLAIMS, Current Editign 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 POWER # AND ISSUED PRIOR TO 05/25/22, FOR ANY PERSON OR PERSONS NAMED BELOW. General POWER NO. 4220012 14 Power Westfield Insurance Co. of Attorney Westfield National Insurance Co. CERTIFIED COPY 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)-i n- 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. - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - -- LIMITATION: THIS POWER OF ATTORNEY CANNOT BE USED TO EXECUTE NOTE GUARANTEE, MORTGAGE DEFICIENCY, MORTGAGE GUARANTEE, OR BANK DEPOSITORY BONDS. 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)-in-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 ........... a1a,,.',«............. asUfl,(�•. \�ONAC i �MSiI WESTFIELD INSURANCE COMPANY � '�' •�� - 1% OCR �SGp ,',�` '' 4 �'n WESTFIELD NATIONAL INSURANCE COMPANY Affixed acOHIO FARMERS INSURANCE COMPANY '•.�J7GMxat=ro} '=r' SEAL 'CNI►itiEREp a :" : _o• sS�i'•.,y. 17Pr rrf �Y ; ,� •. : (j ; : •8 : 4e State of Ohio """ By: County of Medina ss.: Gary Wftumper, Nations 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\ A L '• Affixed Zip; A State of Ohio N a/o David A. Kotnik, Attorney at Law, Notary Public County of Medina ss.: ':, p �5�;- My Commission Does Not Expire (Sec. 147.03 Ohio Revised Code) Tf OF 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 1 St day of /AU�IlSt ^ 2023- �rP \t�=U 7- SEAL m NI►RiE1PEp�� � f� ' i:, 18413 Secretary +' ... ' a�:' Frank A. Carrino, Secretary BPOAC2 (combined) (03-22) 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 Larry Frazier, President Of The Fain Group,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; Contract Description BY _, J Tarry Frazier, President Subscribed and sworn before me on t s date 21 st of August, 2023. KRISTI TREES i�'tY Pie( _ Notary Public, State of Texas _ N=� Comm. Expires Notary Public 04 15 2027 '9 'oF +' 7334 County, State Y Notar ID 12442