HomeMy WebLinkAboutContract 59558-FP1FORT WORTH,
TRANSPORTATION AND PUBLIC WORKS
NOTICE OF PROJECT COMPLETION
-FP1
City Secretary No: 59558
Date Received: 6/14/2024
City Project N!?: 104687
Regarding contract 59558 2023 Bridge Rehabilitation Contract 1 for as required by the
TRANSPORTATION AND PUBLIC WORKS DEPARTMENT as approved by City Council on 5/23/2023 through
M&C 23-0431 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 Amount:
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
Pa-tricia L. wadsaGK
Patricia L. Wad sack (Jun 11, 202408:57 CDT)
Recommended for Acceptance
Asst. Director, TPW - Capital Delivery
$ 942,626.10 Days 210
$ Ns Days Added by CO
$ Total Days
$ 910,332.77 Days Charged 210
Days @ $
$ 910,332.77
$ 864,816.13
$ 45,516.64
Z.
Lauren Prieur (Jun 11, 2024 09:54 CDT)
Accepted
Director, TRANSPORTATION AND PUBLIC WORKS DEPARTMENT
C4'�`'��
- - -- -- --- -- - -
Asst. City Manager
Comments:
Jun 11, 2024
Date
/ Day
Jun 11, 2024
Date
Jun 11, 2024
Date
OFFICIAL RECORD
CITY SECRETARY
FT. WORTH, TX
C-620 Signature Page
Contractor's Application for Payment Invoice No. 9- FINAL
To (Owner) City of Fort Worth
Invoicing Period (From - To): Invoice Date:
02/13/2024 - 02/28/2024 3/28/2024
P. O. F{ W020-0000009880
From (Contractor): Remit to ( If Not Automatic Deposit ):
Number:
Gibson & Associates, Inc.
Project: 104687
Contractor's CFW Vendor No.:
0000009564
City secretary contract 59558
Contract
2023 Bridge Rehabilitation Contract 1
Number:
Nam:
Application For Payment
Change Order Summary
Approved Change Orders
1. ORIGINAL CONTRACT PRICE..........................................................
$ $942,626.10
Number Additions
Deletions 2. Net change by Change Orders.................................................................
$
1
3. Current Contract Price (Line 1 f 2)........................................................
$ $942,626.10
2
4. TOTAL COMPLETED AND STORED TO DATE
3
(Progress Estimate, Construction Allowance and Change Orders).......
$ $910,332.77
4
5. RETAINAGE:
5
a. X $910,332.77 Work Completed..........
$
6
b. X Not Used
S
7
c. Total Retsina a Line Sa +Line Sb ...............................
g ( )
$
8
6. AMOUNT ELIGIBLE TO DATE (Line 4 - Line 5c).............................
$ $910,332.77
TOTALS
7. LESS PREVIOUS PAYMENTS (Line 6 from prior Application)........
$ $864,816.13
NET CHANGE BY
8. AMOUNT DUE THIS APPLICATION .................................................
$ $45,516.64
CHANGE ORDERS
9. BALANCE TO FINISH, PLUS RETAINAGE
(Column G on Progress Estimate+ CA + Cos + Line 5 above) ..............
$ $32,293.33
Contractor's Certification
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 $650.00 x day
ii¢ y ww-1/e2
10. CONTRACT TIME:
a, Days Awarded 210
b, Days Added by CO
C. Total Days 210
d. Days Charged 210
e, Days Remaining
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 Progress Estimele
Progress Estimate
1-I-ntraay
2023 Bridge Rehabilitation Contract 1
Apphcaaon Penad
02/13/2024 - 02/28/2024
In-
Ind.-
Dwcnpnon
1
RE MOBILIZATION
2
�RRFEMM(OVVJI[NGG (COONIC ffPPAVV%1,
4
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5
EMBANKMENT fFINAL)(ORD COMP)(TV B1
6
CO NCPVMTfCONTREINF-CRCPI(7")
7
CEM STABIL BKFL
8
CL C CONC(MISC)
9
APPROACH SLAB
10
(VV�EQRlTTIICAL & OVERHEAD)
CONCC'
12
gSTIR fRR�EPPAAII[R
CLGEAuJI�N(!jG�ANPbf�SEALII,IG E%41 NGJOINTS
LVMER OVERLAY
14
RAILfIOERA�LY
15
MTL W-BEAM GO FEN ITIM POST)
16
TERMINAL ANCHOR SECTION
17
MT L BEAM GO FEN TRANS (TL21
18
DOWNSTREAM ANCHOR TERMINAL SECTION
19
REMOVE METAL BEAM GUARD FENCE
20
GUARDRAIL END TREATMENT fINSTALLI
21
TREE REMOVAL DIA)
24
�fffl4j"{R--12"
9999�NG CO��NAL OWANCEANDSEAL)
A
CaySw ry 59558 Contractor's Application
Cmmuct Nvm:
Annl'-.Number 9-FINAL
Awl -non Dale 3/28/2024
Spsrfiw0w
Brd Qvawty I
Umt ft.Semw
No.
Umt ofMwsure
017000
EA
((JI
1.00000)
$500.06
104fi001
104fi 27
SV
SV
160.00000
80.00000(IJ
$12500
$125.06(
110fi 01
CY
37,10000
$25000
132-6003
360fi001
CY
SV
20.00000
160.000006
$345.06
$287.50
40- 05
CY
37.000006
$345.06
420fi 74
CY
1.400006
$25,000.00
4221015
CY
29.000006
$1.900.06
429fi 07
SF
289400006
$19000
42_ 09
SF
73.000006
$190.06
438fi 01
LF
492.000006
$4000
4396013
SV
14.400006
$435.
450-
54- 01
LF
LF
7381.000006
6]4..006
$43.
$27.56
540fi 05
EA
5.000006
$68].50
54nfi 07
EA
26.000006
$1.045.06
540fi 16
EA
11.000006
$1,210.00
542fi 01
LF
1461t.000006
$11.06
544fi 01
EA
8000006
$3.080.00
752fi005
EA
I000006
$1.000.06
780fi004
LF
20000006
$5000
788100
EA
3.000006
$57.800.06
LS
1 000006
$50.000.00
B C
Brd Valve EsematMQ..t,ly
Installed
D
E
F
Ma[enals t'reee ty
Tot al Completd %
Valve Prenovsly
lru 1W Valve
Val-Thn Penod &ored(vot �v C)
®d $tord to Dah (F)
D+E) B
$20,85750[
$20.857.50
$20.857.W 104.3%
$12.990.6:0
$12.990.6'
$0.06
$12.990_69 129.9%
$9.250.0 '
$9.250.00
$9.250.00 100.0%
$6.900.0
$6.900.0
$6.900.0,`�( 100.0%
$47,972. fff
$47.972. J
$$4372.957020.20504
$17.250.0Q
II
$17.250.0
$17.25035.1%
I19IA29..33%%
$32,500.00
$779.0
$32.
1".2:000
$77.141.4%
$0.0
$12.445
$30,970.00
$12.445.0
:19]0.0006 53%
589.7%
9.680.0
$19.680.O
$19.61022%$28.
922
9
3269210%
$$1$32441.1 324.4]5.1(
J
$00
3244]1.10%
$
$1530
$2,750.00
006 0000%%
$7170.0
I
$$2.]50.0
271700
,
$13,31.0
1.310.0
$16.8520
$13.83510.06$76.852.0
62010004.4%%
$24.640.00
$1.000.0
$24.640.00
$1.000.0
$24.6401
$10006 10000.0%%
0
$1$6200
73.400
1
$1$.2000.00
7340
$1$6.200.0620
06100.%
73400%
G
Balav-ro Frmsh
a-F)
$500.00
-$85].W
-S2.990.63
-$1.972.25
-S4.485.00
$2.500.00
_S22.800.00
$24,016.00
$1.425.00
-S7.025.25
-$814.29
$13.75
$68].50
-$704.00
-$5.20000
$So.000.00
Thn document has been mnd,RM 6om ns ongvul I...- av EICDC document and the user dsd not hrgblrgbt the
modrfiw0ws You are encouraged 0-d the document-InIty-d-reuIt Legal Counsel poor tons -non
C-620 Unit Price Progress Estimate
Progress Estimate
1-(-ay 2023 Bridge Rehabilitation Contract 1
Apphcaaon Penad 02/13/2024 - 02/28/2024
Item
Brd Item No Dwcnpnon
A
Spsrfiwaw Umt ofMwsure Brd Quawty
Sectio No.
aty Swremry 59558
Cmmuct N nn
B
Umt Pn_ Brd Val_
C
EsamatM Quantity
Installed
i
I
I
I
I
I
I
Contractor's Application
Apphr .Number 9- FINAL
Awlrwaon Dale 3/28/2024
D E F G
Total Completd / Balao_m Fn,h
Value Prep Iy lr 1I&I Value Valne Thn Penod Ma[enals presently _d Stord to Date (F) (B-E)
Stored (vot �v C) ID-E) B
This document has been modified 6om ns wgnul I.. as an EICDC document and the user drd not hrgblrgbt the
modrfiwnws You are encouraged m mad the d.... t wrefirllyand_ It Legal Coumel pnm tons exewaon
C-620 Unit Price Progress Estimate
Progress Estimate
IFor (wn" ay 2023 Bridge Rehabilitation Contract 1
Apphcaaon Penad 02/13/2024 - 02/28/2024
Item
Brd Item No Dwcnpnon
Totals
A
Spsrfiwaw Umt ofMwsure Brd Quawty
Sectio No.
aty swa 59558
Cmmuct N nn
B C
Umt Pnce Brd Value EsamatMQuanmy
Installed
$942,626.10
Contractor's Application
Apphr .Number 9- FINAL
Awlrwaon Dale 3/28/2024
E F G
Total Completd / Balaou m Fn,h
Valuc Premwsly 1u 11d Value Value Thn Penod Ma[enals FmeendY ®d Strnd to Date (F) (B-F)
Smred (vot �v C) ID-E) B
$0.00 $910.332.77 96.6% $32.293.33
This document has been modified 6om ns wgnul I.. as an EICDC document and the user drd not hrgblrgbt the
modrfiwnws You are encouraged m mad the d....twrefirlly and —It Legal Coumel pnm tons exewaon
City of Fort Worth Summary of Charges
City Secretary Contract Num: I 59558 I 2023 Bridge Rehabilitation Contract 1 P. 0.: FW020-0000009880
Application Period: I 02/13/2024 - 02/28/2024 I Application I 9- FINAL
Number:
Funding Identification (FID) Total Completed Amt Remaining Gross
Ori_cqVal Contract
130100-0200431-5740010-1046$7-E02680-9999 $910,332.77 $32,293.33 ($0.00)
10
10
10
10
10
10
10
10
10
10
Change Order 1
130100-0200431-5740010-104687-E02680-9999
10
10
10
10
10
10
10
10
10
10
Change Order 2
130100-0200431-5740010-104687-E02680-9999
10
10
10
10
10
10
10
10
10
10
Change Order 3
30100-0200431-5740010-104687-E02680-9999
0
Project Number: 104687
Application Date: 3/28/2024
Retainage Net
($0.00)
City Secretary Contract Num: 59558
Application Period:
Funding Identification (FID)
0
0
0
0
0
0
0
0
0
Change Order 4
30100-0200431-5740010-104687-E02680-9999
0
0
0
0
0
0
0
0
0
0
Change Order 5
30100-0200431-5740010-104687-E02680-9999
0
0
0
0
0
0
0
0
0
0
Change Order 6
30100-0200431-5740010-104687-E02680-9999
0
0
0
0
City of Fort Worth Summary of Charges
2023 Bridge Rehabilitation Contract 1 P. 0.: FW020-0000009880 project Number: 104687
02/13/2024 - 02/28/2024 Application 9- FINAL Application Date: 3/28/2024
Number:
Total Completed Amt Remaining Gross Retainage Net
City Secretary Contract Num: I 59558
Application Period:
Funding Identification (FID)
10
10
10
10
10
10
I
Change Order 7
130100-0200431-5740010-104687-E02680-9999
10
10
10
10
10
10
10
10
10
10
I
Change Order 8
130100-0200431-5740010-104687-E02680-9999
10
10
10
10
10
10
10
10
10
10
I
Totals
130100-0200431-5740010-104687-E02680-9999
10
10
10
10
10
10
10
City of Fort Worth Summary of Charges
2023 Bridge Rehabilitation Contract 1 P. 0.: FW020-0000009880
02/13/2024 - 02/28/2024 I Application I 9- FINAL
Number:
Total Completed Amt Remaining Gross
$910,332.77 $32,293.33 ($0.00)
Project Number: 104687
Application Date: 3/28/2024
Retainage Net
($0.00)
City of Fort Worth Summary of Charges
City Secretary Contract Num: I 59558 I 2023 Bridge Rehabilitation Contract 1 P. 0.: FW020-0000009880 Project Number: 104687
Application Period: I 02/13/2024 - 02/28/2024 I Application I 9- FINAL Application Date: 3/28/2024
Number:
Funding Identification (FID) Total Completed Amt Remaining Gross Retainage Net
I
10 I 1 $0.00 $0.00 $0.00 $0.00
10 I I '0.001 1 $0.001 1 $0.001 1 $0.001 1 $0.001
10 I I 11 $0.00 1 1 $0.00 1 1 - -, I I - I
Grand Total 1 1 $910,332.77 1 1 $32,293.33 1 1 ($0.00)1 1 ($45,516.64)1 1 $45,516.64 1
FORTWORTH.
M,
TRANSPORTATION AND PUBLIC WORKS
May 22, 2024
Gibson and Associates INC
11210 Rylie Crest Dr
Balch Springs, TX 75180
RE: Acceptance Letter
Project Name: Bridge Rehabilitation Contract 1
Project Type: Paving
City Project No.: 104687
To Whom It May Concern:
On February 22, 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 February 12, 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 February 12, 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-
392-7968.
Sincerely,
_LdaN�
Marwan Hafez P.E , Project Manager
Cc: Adrian Aranda , Inspector
Donald Watson , Inspection Supervisor
Aaron Ybarra , Senior Inspector
Omar Elbagalati P.E , Program Manager
Thomas G. Ashcraft , Consultant
Gibson and Asoiciates INC , Contractor
CP&Y an STV Company, Developer
File
E-Mail: TPW_Acceptance@fortworthtexas.gov
Rev. 8/20/19
CONSENT OF
SURETY COMPANY
TO FINAL PAYMENT
Conforms with the American Institute of
Architects, AIA Document G707
PROJECT:
(name, addreSS)2023 Bridge Rehabilitation Contract 1
Fort Worth, TX
TO (Owner)
CITY OF FORT WORTH
1000 Throckmorton Street
Fort Worth TX 76102
CONTRACTOR: GIBSON & ASSOCIATES. INC.
OWNER
❑
ARCHITECT
❑
CONTRACTOR
❑
SURETY
❑
OTHER
Bond No K41680593
ARCHITECT'S PROJECT NO:
CONTRACT FOR:
2023 Bridge Rehabilitation Contract 1 - City Project No. 104687
._I CONTRACT DATE: 5/23/2023
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)
FEDERAL INSURANCE COMPANY
202E Hall's Mill Road
Whitehouse Station NJ 08889 , SURETY COMPANY
on bond of (here insert name and address of Contractor)
GIBSON & ASSOCIATES, INC
P.O. Box 800579
Balch Springs TX 75180-0579 , 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
1000 Throckmorton Street
Fort Worth TX 76102 , OWNER,
as set forth in the said Surety Company's bond.
IN WITNESS, WHEREOF,
the Surety Company has hereunto set its hand this
Attest:
(Seal): •l
30th day of May, 2024
FEDERAL INSURANCE COMPANY
Surety Company
Signature of Authorized Representative
Robbi Morales
Title
Attorney -in -Fact
NOTE: This form is to be used as a companion document to AIA DOCUMENT G706, CONTRACTOR'S AFFIDAVIT OF PAYMENT OF DEBTS AND CLAIMS,
Current Edition
ONE PAGE
CHi_ E;E3
Power of Attorney
Federal Insurance Company I Vigilant Insurance Company I Pacific Indemnity Company
Westchester Fire Insurance Company I ACE American Insurance Company
Know All by These Presents, that FEDERAL INSURANCE COMPANY, an Indiana corporation, VIGILANT INSURANCE COMPANY, a New York corporation, PACIFIC INDEMNITY
COMPANY, a Wisconsin corporation, WESTCHESTER FIRE INSURANCE COMPANY and ACE AMERICAN INSURANCE COMPANY corporations of the Commonwealth of Pennsylvania,
do each hereby constitute and appoint Don E. Cornell, Sophinie Hunter, Tina McEwan, Robbi Morales, Mikaela Peppers, Tonle Petranek, Ricardo J. Reyna,
Joshua Saunders and Kelly A. Westbrook of Dallas, Texas; Steven Dwain Brockinton of Little Rock, Arkansas ---------------------------------- -------------------
each as their true and lawful Attorney -in -Fact to execute under such designation in their names and to affix their corporate seals to and deliver for and on their behalf as surety thereon
or otherwise, bonds and undertakings and other writings obligatory in the nature thereof (other than bail bonds) given or executed in the course of business, and any instruments
amending or altering the same, and consents to the modification or alteration of any instrument referred to in said bonds or obligations.
In Witness Whereof, said FEDERAL INSURANCE COMPANY, VIGILANT INSURANCE COMPANY, PACIFIC INDEMNITY COMPANY, WESTCHESTER FIRE INSURANCE COMPANY
and ACE AMERICAN INSURANCE COMPANY have each executed and attested these presents and affixed their corporate seals on this 9w day of April 2024.
Rupert HD Stwindells. Assistant Se_rttar,
\'�j'kxru
i k Nk%
.w
STATE OF NEW JERSEY
County of Hunterdon ss.
\Carnal Lichhorn, t lcc Pr4vdcnt
Q� ( A
On this 9th day of April, 2024 before me, a Notary Public of New Jersey, personally came Rupert HD Swindells and Warren Eichhorn, to me known to be Assistant Secretary and Vice
President, respectively, of FEDERAL INSURANCE COMPANY, VIGILANT INSURANCE COMPANY, PACIFIC INDEMNITY COMPANY, WESTCHESTER FIRE INSURANCE COMPANYand ACE
AMERICAN INSURANCE COMPANY, the companies which executed the foregoing Power of Attorney, and the said Rupert HD Swindells and Warren Eichhorn, being by me duly sworn,
severally and each for himself did depose and say that they are Assistant Secretary and Vice President, respectively, of FEDERAL INSURANCE COMPANY, VIGILANT INSURANCE
COMPANY, PACIFIC INDEMNITY COMPANY, WESTCHESTER FIRE INSURANCE COMPANY and ACE AMERICAN INSURANCE COMPANY and know the corporate seals thereof, that the
seals affixed to the foregoing Power of Attorney are such corporate seals and were thereto affixed by authority of said Companies; and that their signatures as such officers were duly
affixed and subscribed by like authority.
Notarial Seal OWat c r`q
NO'AN y ,
�Uel1t �
Albert Contursi
NOTARY PUBLIC OF NEW JERSEY
No SUZO2369
Commission Expires August 22,2027
Notary Public
CERTIFICATION
Resolutions adopted by the Boards of Directors of FEDERAL INSURANCE COMPANY, VIGILANT INSURANCE COMPANY, and PACIFIC INDEMNITY COMPANY on August 30, 2016;
WESTCHESTER FIRE INSURANCE COMPANY on December 11, 2006; and ACE AMERICAN INSURANCE COMPANY on March 20, 2009:
"RESOLVED, that the following authorizations relate to the execution, for and on behalf of the Company, of bonds, undertakings, recognizances, contracts and other written commitments of the Company
entered into In the ordinary course of business (each a "Written Commitment"):
(1) Each of the Chairman, the President and the Vice Presidents of the Company is hereby authorized to execute any Written Commitment for and on behalf of the Company, under the seal
ofthe Company or otherwise,
(2) Each duly appointed attorney -in -fact of the Company is hereby authorized to execute any Written Commitment for and on behalf of the Company, under the seal of the Company or otherwise,
to the extent that such action is authorized by the grant of powers provided for in such person's written appointmentas such attorney -in -fact.
(3) Each of the Chairman, the President and the Vice Presidents of the Company is hereby authorized, for and on behalf of the Company, to appoint in writing any person the attorney -in -
fact of the Company with full power and authority to execute, for and on behalfofthe Company, under the seal oftheCompany orotherwise,such Written Commitments ofthe Company
as may be specified in such written appointment, which specification may be by general type or class of Written Commitments or by specification of one or more particular Written
Commitments,
(4) Each of the Chairman, the President and the Vice Presidents of the Company is hereby authorized, for and on behalf of the Cc mpany, to delegate in writing to any other officer of the
Company the authority to execute, for and on behalf of the Company, under the Company's seal or otherwise, such Written Commitments of the Company as are specified in such written
delegation, which specification may be by general type or class of Written Commitments or by specification of one or more particular Written Commitments.
(5) The signature of any officer or other person executing any Written Commitment or appointment or delegation pursuant to this Resolution, and the seal of the Company, may be affixed by
facsimile on such Written Commitment or written appointment or delegation.
FURTHER RESOLVED, that the foregoing Resolution shall not be deemed to be an exclusive statement of the powers and authority of officers, employees and other persons to act for and on behalf of the
Company, and such Resolution shall not limit or otherwise affect the exercise of any such power or authority otherwise validly granted or vested."
I, Rupert HD Swindells, Assistant Secretary of FEDERAL INSURANCE COMPANY, VIGILANT INSURANCE COMPANY, PACIFIC INDEMNITY COMPANY, WESTCHESTER FIRE INSURANCE
COMPANY and ACE AMERICAN INSURANCE COMPANY (the "Companies") do hereby certify that
(1) the foregoing Resolutions adopted by the Board of Directors of the Companies are true, correct and in full force and effect,
(ii) the foregoing Power of Attorney is true, correct and in full force and effect.
Given under my hand and seals of said Companies at Whitehouse Station, NJ, this May 30, 2024
.w"^'� ,,,,�� �r'°t.� � •. ;,"'tea,
t, fx�ysrr.�`
r'
Rupert HO Sm :ndeils. Assistant Se:retan'
IN THE EVENT YOU WISH TO VERIFY THE AUTHENTICITY OF THIS BOND OR NOTIFY US OF ANY OTHER MATTER, PLEASE CONTACT US AT:
Telephone (9081 903- 3493 Fax (908) 903- 3656 e-mail: surety@chubb.com
Combined: FED-VIG-PI-WFIC-AAIC (rev. 11-19)
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 Alan C. Meador, III,
Vice President Of Gibson & Associates, 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;
2023 Bridge Rehabilitation Contract I
BY
Alan C. Meador, III
Subscribed and sworn before me on this date 30th of May, 2024.
Notary Public
Dallas, Texas
PAM N DAVIS
\21P
',.•�.,e�= Notary Public, State of Texas
Comm. Expires03-30-2025
Notary ID 283117-2