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Contract 56851-FP1
-FP1 City Secretary Contract No. 56851 FORT WORTH. Date Received 05/08/2024 AT NOTICE OF PROJECT COMPLETION (Developer Projects) The Transportation and Public Works Department upon the recommendation of the Project Manager has accepted the following project as complete: Project Name: TB Rivercrest City Project No.: 102654 Improvement Type(s): Water M Sewer 0 Original Contract Price: 1$111,134.00 Amount of Approved Change Order(s): Revised Contract Amount: Total Cost of Work Complete: $111,134.00 � � s� May 7, 2024 Grey Sle -ki(Mav 7. 202409:36 CDT) Contractor Date Project Superintendent Title KWA Construction Company Name Igna Andrade (May 7, 2024 15:46 CDT) May 7, 2024 Project Inspector Date AZm %G May 8, 2024 Ram Tiwari (May 8, 202414:42 CDT) Project Manager Date May 8, 2024 Rebecca Owen (May 8, 2024 14:53 CDT) CFA Manager Date A. Lauren Prieur(May 8, 202414:54 CDT) May 8, 2024 TPW Director Date cp� May 10, 2024 Asst. City Manager Date OFFICIAL RECORD Page 1 of 2 CITY SECRETARY FT. WORTH, TX Notice of Project Completion Project Name: TB Rivercrest City Project No.: 102654 City's Attachments Final Pay Estimate x❑ Change Order(s): ❑ Yes ❑x N/A Pipe Report: x❑ Yes ❑ N/A Contractor's Attachments Affidavit of Bills Paid Consent of Surety Statement of Contract Time Contract Time 120 WD Work Start Date: 3/16/2022 Completed number of Soil Lab Test: 201 Completed number of Water Test: 13 Days Charged: 326 Work Complete Date: 3/18/2024 Page 2of2 FoRTWORTH CITY OF FORT WORTH FINAL PAYMENT REQUEST Contract Name TB RIVERCREST Contract Limits Project Type WATER & SEWER City Project Numbers 102654 DOE Number 2654 Estimate Number 1 Payment Number 1 For Period Ending 3/18/2024 WD City Secretary Contract Number Contract Time 12WD Contract Date 1/19/2022 Days Charged to Date 326 Project Manager NA Contract is 100.00 Complete Contractor KWA 16800 WESTGROVE DRIVE SUITE 300 ADDISON, TX 75001 Inspectors M.GLOVER / J.INOCENCIO Thursday, April 25, 2024 Page 1 of 5 City Project Numbers 102654 DOE Number 2654 Contract Name TB RIVERCREST Estimate Number 1 Contract Limits Payment Number 1 Project Type WATER & SEWER For Period Ending 3/18/2024 Project Funding UNIT I: WATER IMPROVEMENTS Item Description of Items Estimated Unit Unit Cost Estimated Completed Completed No. Quanity Total Quanity Total 1 TRENCH SAFETY 140 LF $6.50 $910.00 140 $910.00 2 DUCTILE IRON WATER FITTINGS 0.2 TN $5,700.00 $1,140.00 0.2 $1,140.00 W/RESTRAINT 3 4"-12" WATER ABANDONMENT PLUG 7 EA $800.00 $5,600.00 7 $5,600.00 4 6" PVC WATER PIPE 66 LF $65.00 $4,290.00 66 $4,290.00 5 4" PVC WATER PIPE 67 LF $60.00 $4,020.00 67 $4,020.00 6 2" WATER SERVICE 1 EA $2,610.00 $2,610.00 1 $2,610.00 7 CONNECTION TO EXISTING 4"-12" WATER 4 EA $2,640.00 $10,560.00 4 $10,560.00 MAIN 8 8"X6" TAPPING SLEEVE & VALVE 4 EA $3,650.00 $14,600.00 4 $14,600.00 9 3" WATER METER AND VAULT 2 EA $14,100.00 $28,200.00 2 $28,200.00 10 CONCRETE ENCASEMENT FOR UTILTTYPIPES 3 CY $400.00 $1,200.00 3 $1,200.00 11 ASPHALT PVMT REPAIR, WATER SERVICE 10 LF $300.00 $3,000.00 10 $3,000.00 12 TRAFFIC CONTROL 1 MO $2,000.00 $2,000.00 1 $2,000.00 13 MOBILIZATION 1 LS $2,000.00 $2,000.00 1 $2,000.00 14 8" GATE VALVE 4 EA $1,500.00 $6,000.00 4 $6,000.00 Sub -Total of Previous Unit $86,130.00 $86,130.00 - - - - - - - - - - - - - - - - - - - UNIT 11: SANITARY SEWER Item Description of Items Estimated Unit Unit Cost Estimated Completed Completed No. Quanity Total Quanity Total --------------------------------------- 1 TRENCH SAFETY 47 LF $20.00 $940.00 47 $940.00 2 10" SEWER ABANDONMENT PLUG 4 EA $900.00 $3,600.00 4 $3,600.00 3 8" SEWER PIPE 45 LF $90.00 $4,050.00 45 $4,050.00 4 8" SEWER SERVICE 2 EA $900.00 $1,800.00 2 $1,800.00 5 4' MANHOLE 2 EA $3,190.00 $6,380.00 2 $6,380.00 6 ASPHALT PVMT REPAIR, SEWER SERVICE 10 LF $300.00 $3,000.00 10 $3,000.00 7 CONCRETE ENCASEMENT FOR UTILITY PIPES 2 CY $400.00 $800.00 2 $800.00 8 TRAFFIC CONTROL 1 MO $1,000.00 $1,000.00 1 $1,000.00 9 MOBILIZATION 1 LS $2,000.00 $2,000.00 1 $2,000.00 10 CONCRETE COLLAR 2 EA $485.00 $970.00 2 $970.00 11 POST -CCTV INSPECTION 47 LF $2.00 $94.00 47 $94.00 Thursday, April 25, 2024 Page 2 of 5 City Project Numbers 102654 Contract Name TB RIVERCREST Contract Limits Project Type WATER & SEWER Project Funding DOE Number 2654 Estimate Number 1 Payment Number 1 For Period Ending 3/18/2024 12 MANHOLE VACUUM TESTING 2 EA $185.00 $370.00 2 $370.00 Sub -Total of Previous Unit $25,004.00 $25,004.00 Thursday, April 25, 2024 Page 3 of 5 City Project Numbers 102654 Contract Name TB RIVERCREST Contract Limits Project Type WATER & SEWER Project Funding Contract Information Summary Original Contract Amount Chanhe Orders Total Contract Price DOE Number 2654 Estimate Number 1 Payment Number 1 For Period Ending 3/18/2024 $111,134.00 $111,134.00 Total Cost of Work Completed $111,134.00 Less % Retained $0.00 Net Earned $111,134.00 Earned This Period $111,134.00 Retainage This Period $0.00 Less Liquidated Damages Days @ / Day LessPavement Deficiency Less Penalty Less Previous Payment Plus Material on Hand Less 15% Balance Due This Payment $0.00 $0.00 $0.00 $0.00 $0.00 $111,134.00 Thursday, April 25, 2024 Page 4 of 5 City Project Numbers 102654 Contract Name TB RIVERCREST Contract Limits Project Type WATER & SEWER Project Funding Project Manager NA Inspectors M.GLOVER / J.INOCENCIO Contractor KWA 16800 WESTGROVE DRIVE SUITE 300 ADDISON, TX 75001 DOE Number 2654 Estimate Number 1 Payment Number 1 For Period Ending 3/18/2024 City Secretary Contract Number Contract Date 1/19/2022 Contract Time 120 WD Days Charged to Date 326 WD Contract is .000000 Complete CITY OF FORT WORTH SUMMARY OF CHARGES Line Fund Account Center Amount Gross Retainage Net Funded Total Cost of Work Completed $111,134.00 Less % Retained $0.00 Net Earned $111,134.00 Earned This Period $111,134.00 Retainage This Period $0.00 Less Liquidated Damages 0 Days @ $0.00 / Day $0.00 LessPavement Deficiency $0.00 Less Penalty $0.00 Less Previous Payment $0.00 Plus Material on Hand Less 15% $0.00 Balance Due This Payment $111,134.00 Thursday, April 25, 2024 Page 5 of 5 FORTWORTH TRANSPORTATION AND PUBLIC WORKS PIPE REPORT FOR: PROJECT NAME: TB Rivercrest CITY PROJECT NUMBER: 102654 WATER PIPE LAID SIZE TYPE OF PIPE LF PVC Water pipe 6 inch PVC Water pipe 66 PVC Water pipe 4 inch PVC Water pipe 67 FIRE HYDRANTS: VALVES (16" OR LARGER) PIPE ABANDONED SIZE TYPE OF PIPE LF n/a n/a n/a n/a DENSITIES: Yes NEW SERVICES: 2" Copper 1 3" Copper 2 SEWER PIPE LAID SIZE TYPE OF PIPE LF 8 inch sewer pipe 8 inch PVC 45 PIPE ABANDONED SIZE TYPE OF PIPE LF DENSITIES: Yes NEW SERVICES: 2 PVC 2 TRANSPORTATION AND PUBLIC WORKS The City of Fort Worth • 1000 Throckmorton Street • Fort Worth, TX 76012-6311 FORTWORTH. TRANSPORTATION AND PUBLIC WORKS April 22, 2024 KWA Construction 16800 Westgrove Drive, #300 Addison, TX 75001 RE: Acceptance Letter Project Name: TB Rivercrest Project Type: Water, and Sewer City Project No.: 102654 To Whom It May Concern: On March 18, 2024 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 April 19, 2024. 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 April 19, 2024, which is the date of the punch list completion and will extend of two (2) years in accordance with the Contract Documents. If you have any questions concerning this letter of acceptance, please feel free to contact me at 817.392.2237. Sincerely, Ram Tiwari (May 8, 2024 14:42 CDT) Ram Tiwari, Project Manager Cc: Jason Inocencio, Inspector Mike Glover, Inspection Supervisor Daniel Roy, Senior Inspector Andrew Goodman, Program Manager BGE Inc., Consultant KWA Construction, Contractor TB Rivercrest, LLC, Developer File E-Mail: TPW_Acceptance@fortworthtexas.gov Rev.8/20/19 AFFIDAVIT STATE OF TEXAS COUNTY OF DALLAS Before me, the undersigned authority, a notary public in the state and county aforesaid, on this day personally appeared BRIAN WEBSTER, PRESIDENT Of KWA CONSTRUCTION LP, 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; TB RIVERCREST BY BRIAN W STER, PRESIDENT Subscribed and sworn before me on this date 3RD of MAY, 2024. PAIGE EDWARDS i ;a: ,� Notary Public, State of Texas Notary Public ?-V.. Comm. Expires 11-21-2027 DALLAS, TEXAS r „°;,,��` Notary ID 128806327 Consent of Surety to Final Payment A/A DOCUMENT G707 Bond No. 46BCSIT9925 TO OWNER: (Name and address) TB Rivercrest LLC 14643 Dallas Pkwy., Ste. 420 Dallas, TX 75254 and City of Fort Worth 1000 Throckmorton Street Fort Worth, TX 76102 PROJECT: TB Rivercrest CFA (Name and address) OWNER ARCHITECT CONTRACTOR SURETY OTHER ARCHITECT'S PROJECT NO.: CONTRACT FOR: Construction CONTRACT DATED: January 19, 2022 In accordance with the provisions of the Contract between the Owner and the Contractor as included above, the Hartford Fire Insurance Company One Hartford Plaza, Hartford, CT 06155-0001 (Insert name and address of Surety) SURFFY. on bond of KWA Construction, L.P. (Insert name and address of Contractor) 16800 Westgrove Drive, Suite 300, Addison, TX 75001 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 toCity of Fort Worth, 1000 Throckmorton Street, Fort Worth, TX 76102 (Insert name and address of Owner) TB Rivercrest LLC, 14643 Dallas Pkwy., Ste. 420, Dallas, TX 75254 as set forth in the said Surety's bond. OWNER, IN WITNESS WHEREOF, the Surety has hereunto set its hand on this date: Mayes 2024 (Insert in writing the month followed by the numeric date and year) Attest: (Seal): Hartford Fire Insurance Company (Sure ty) (Signature of authorize representadvo) Amber Jones, Attorney -in -Fact (Printed name and title Printed in cooperation with the American Institute of Architects (AIA) The language in this document conforms exactly to the language used in AIA Document G707 - Consent of Surety Company to Final Payment - 1994 Edition. Direct Inquiries/Claims to: THE HARTFORD POWER OF ATTORNEY BOND, T-11 Haford Plaza Hartford,One onne tcut06155 Bond.Claims anthehartford.com call: 888-266-3488 or fax: 860-757-5835 KNOW ALL PERSONS BY THESE PRESENTS THAT: Agency Name: WEBER GROUP ADVISORS Agency Code: 4 6- 5 0 8 8 94 Hartford Fire Insurance Company, a corporation duly organized under the laws of the State of Connecticut Hartford Casualty Insurance Company, a corporation duly organized under the laws of the State of Indiana Hartford Accident and Indemnity Company, a corporation duly organized under the laws of the State of Connecticut Hartford Underwriters Insurance Company, a corporation duly organized under the laws of the State of Connecticut Twin City Fire Insurance Company, a corporation duly organized under the laws of the State of Indiana Hartford Insurance Company of Illinois, a corporation duly organized under the laws of the State of Illinois Hartford insurance Company of the Midwest, a corporation duly organized under the laws of the State of Indiana Hartford Insurance Company of the Southeast, a corporation duly organized under the laws of the State of Florida having their home office in Hartford, Connecticut, (hereinafter collectively referred to as the "Companies") do hereby make, constitute and appoint, up to the amount of Unlimited : Julie Baumberger, Amber Jones, April Penny, Darrin J. Weber of DALLAS, Texas their true and lawful Attorney(s)-in-Fact, each in their separate capacity if more than one is named above, to sign its name as surety(ies) only as delineated above by ®, 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. In Witness Whereof, and as authorized by a Resolution of the Board of Directors of the Companies on May 23, 2016 the Companies have caused these presents to be signed by its Assistant Vice President and its corporate seals to be hereto affixed, duly attested by its Assistant Secretary. Further, pursuant to Resolution of the Board of Directors of the Companies, the Companies hereby unambiguously affirm that they are and will be bound by any mechanically applied signatures applied to this Power of Attorney. f/1 •W� "=l..F•".°„rr;•.: 'a�',. wu+ � - r+,..l,a.r• �•N•rt• .:Y7o ekt `i 11179 •}r} 1v71 Shelby Wiggins, Assistant Secretary Joelle L. LaPierre, Assistant Vice President STATE OF FLORIDA ss. Lake Mary COUNTY OF SEMINOLE On this 20th day of May, 2021, before me personally came Joelle LaPierre, to me known, who being by me duly swom, did depose and say: that (s)he resides in Seminole County, State of Florida; that (s)he is the Assistant Vice President of the Companies, the corporations described in and which executed the above instrument; that (s)he knows the seals of the said corporations; that the seals affixed to the said instrument are such corporate seals; that they were so affixed by authority of the Boards of Directors of said corporations and that (s)he signed his/her name thereto by like authority. �J ypCf = Jessica Ciccone My Commission HH 122280 Expires June 20, 2025 I, the undersigned, Assistant Vice President of the Companies, 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 effective as of May 7, 2024 Signed and sealed in Lake Mary, Florida. ,.�Aj��trlp• �V•Ml ,♦t�'ar_ ..Jp a tayV J' HMV's 4,n.,, ' ` .e«•r..rr.:: ; tear ,,..•b,#: ,d� 0ti x r ;s �, 0 4� �,:1oK`'., ' A•.utN =-` 1079 a 9�1v79 -797� +� \ r ♦ � � ryt'.% ,�f0� '���A -• 1•,t • * +{'n.,lt Lla015• �aalaaa•�'h;�a Keith D. Dozois, Assistant Vice President IMPORTANT NOTICE To obtain information or make a complaint You may contact your Agent. You may call The Hartford's Consumer Affairs toll - free telephone number for information or to make a complaint at: 1-800-451-6944 You may contact the Texas Department of Insurance to obtain information on companies, coverages, rights, or complaints at: 1-800-252-3439 You may write the Texas Department of Insurance: P.O. Box 149104 Austin, TX 78714-9104 Fax: (512) 490-1007 Web: www. tdi. texas. qov E-mail: ConsumerProtection@tdi. texas. gov PREMIUM OR CLAIM DISPUTES: Should you have a dispute concerning your premium or about a claim, you should contact the (agent) (company) (agent or the company) first. if the dispute is not resolved, you may contact the Texas Department of Insurance. ATTACH THIS NOTICE TO YOUR POLICY: This notice is for information only and does not become a part or condition of the attached document. AVISO IMPORTANTE Para obtener informacion o para presentar una queja: Usted puede comunicarse con su Agente. Usted puede llamar at numero de telefono gratuito de The Hartford's Consumer Affairs para obtener informacion o para presentar una queja al: 1-800-451-6944 Usted puede comunicarse con el Departamento de Seguros de Texas para obtener informacion sobre companias, coberturas, derechos, o quejas al: 1-800-252-3439 Usted puede escribir at Departamento de Seguros de Texas a: P.O. Box 149104 Austin, TX 78714-9104 Fax: (512) 490-1007 Sitio web: www. tdi. texas. qov E-mail: ConsumerProtection@tdi.texos.gov DISPUTAS POR PRIMAS DE SEGUROS 0 RECLAMACIONES: Si tiene una disputa relacionada con su prima de seguro o con una reclamacion, usted debe comunicarse con (el agente) (la compania) (el agente o la compania) primero. Si la disputa no es resuelta, usted puede comunicarse con el Departamento de Seguros de Texas. ADJUNTE ESTE AVISO A SU POLIZA: Este aviso es solamente para propositos informativos y no se convierte en parte o en condicion del documento adjunto. © 2018 by The Hartford. Classification: Internally Controlled. All fights reserved. No part of this document may be reproduced, published or used without the permission of The Hartford. Producer Compensation Notice You can review and obtain information on The Hartford's producer compensation practices at www.thehartford.com or at 1-800-592-5717, HR 00 H093 00 0207 © 2007, The Hartford Page 1 of 1