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Contract 60829-FP1
FORTWORTH. -FP1 City Secretary Contract No. 60829 Date Received 7/10/2024 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: Tradition, Phase 4D City Project No.: 104235 Improvement Type(s): ❑ Paving ❑x Drainage ❑ Street Lights ❑ Traffic Signals (Original Contract Price: $88,771.50 (Amount of Approved Change Order(s): $0.00 Revised Contract Amount: $0.00 (Total Cost of Work Complete: $88,771.50 Kevin Ge' rstenkorn(Jul 10. 202409:08 CDT) Jul 10, 2024 Contractor Date Executive VP of Operations Title PCI Construction Company Name C� % Jut 10, 2024 Project Inspector Date .4� s AXa., /0.c- Jul 10, 2024 Project Manager Date Jul 10, 2024 f a�� en (Jul 10, 202410:35 CDT) CFpA Manager Date Jul 10) 2024 la,�rPnPr�P���(u,i in ?mai�na rnn TPW Director Date cp�' J u l 12) 2024 Asst. City Manager Date OFFICIAL RECORD CITY SECRETARY FT. WORTH, TX Page 1 of 2 Notice of Project Completion Project Name: Tradition, Phase 4D City Project No.: 104235 City's Attachments Final Pay Estimate ❑x Change Order(s): ❑ Yes ❑x N/A Contractor's Attachments Affidavit of Bills Paid ` Consent of Surety Statement of Contract Time Contract Time 58 WD Days Charged: 55 Work Start Date: 4/01/2024 Work Complete Date: 7/3/2024 Completed number of Soil Lab Test: 90 Completed number of Water Test: 2 Page 2of2 FORT WORTH CITY OF FORT WORTH FINAL PAYMENT REQUEST Contract Name TRADITION, PHASE 4D Contract Limits Project Type STORM DRAIN City Project Numbers 104235 DOE Number 4235 Estimate Number 1 Payment Number 1 For Period Ending City Secretary Contract Number Contract Date Project Manager NA Contractor PCI CONSTRUCTION, INC. P.O. BOX 2967 MCKINNEY, TX 75070 Inspectors A. DUARTE / E. TINNER Contract Time Days Charged to Date Contract is 100.00 7/3/2024 WD 1 WD 55 Complete Friday, July 5, 2024 Page 1 of 4 City Project Numbers 104235 Contract Name TRADITION, PHASE 4D Contract Limits Project Type STORM DRAIN Project Funding UNIT & STORM DRAIN IMPROVEMENTS Item No. 14 15 16 17 18 19 20 21 22 Description of Items Estimated unit Quanity MEDIUM RIPRAP, DRY 12 SY TRENCH SAFETY 342 LF 21" RCP, CLASS III 34 LF 24" RCP, CLASS 111 165 LF 30" RCP, CLASS III 143 LF 4' STORM JUNCTION BOX I EA 30" SLOPED END HEADWALL I EA 10' CURB INLET 2 EA 4' CURB INLET 1 EA Sub -Total of Previous Unit DOE Number 4235 Estimate Number I Payment Number 1 For Period Ending 7/3/2024 Unit Cost Estimated Total $130.00 $1,560.00 $0.70 $239.40 $112.70 $3,831.80 $128.20 $21,153.00 $180.10 $25,754.30 $5,977.00 $5,977.00 $8,120.00 $8,120.00 $7,446.00 $14,892.00 $7,244.00 $7,244.00 $88,771.50 Completed Completed Quanity Total 12 $1,560.00 342 $239.40 34 $3,831.80 165 $21,153.00 143 $25,754.30 1 $5,977.00 1 $8,120.00 2 $14,892.00 1 $7,244.00 $88,771.50 Friday, July 5, 2024 Page 2 of 4 City Project Numbers 104235 Contract Name TRADITION, PHASE 4D Contract Limits Project Type STORM DRAIN Project Funding Contract Information Summary Original Contract Amount Change Orders Total Contract Price DOE Number 4235 Estimate Number I Payment Number 1 For Period Ending 7/3/2024 $88,771.50 $88,771.50 Total Cost of Work Completed $88,771.50 Less % Retained $0.00 Net Earned $88,771.50 Earned This Period $88,771.50 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 $88,771.50 Friday, July 5, 2024 Page 3 of 4 City Project Numbers 104235 Contract Name TRADITION, PHASE 4D Contract Limits Project Type STORM DRAIN Project Funding Project Manager NA Inspectors A. DUARTE / E. TINNER Contractor PCI CONSTRUCTION, INC. P.O. BOX 2967 McKINNEY , TX 75070 DOE Number 4235 Estimate Number I Payment Number 1 For Period Ending 7/3/2024 City Secretary Contract Number Contract Date Contract Time 13 WD Days Charged to Date 55 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 $88 771.50 Less % Retained $0.00 Net Earned $88,771.50 Earned This Period $88,771.50 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 $88 771.50 Friday, July 5, 2024 Page 4 of 4 FORTWORTH. TRANSPORTATION AND PUBLIC WORKS July 3, 2024 PCI Construction 405 Interchange Street McKinney, Texas 75071 RE: Acceptance Letter Project Name: Tradition Phase 4D Project Type: Water & Storm Drain City Project No.: 104235 To Whom It May Concern: On July 3, 2024 a final inspection was made on the subject project. There were no punch list items identified at that time. The final inspection indicates that the work meets the City of Fort Worth specifications and is therefore accepted by the City. The warranty period will start on July 3, 2024, which is the date of the final inspection 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- 392-2373. Sincerely, 4z fa", PWa., P(�_ Arash Emami Saleh, Project Manager Cc: Eric Tinner, Inspector Troy Gadner, Inspection Supervisor Ariel Duarte, Senior Inspector Andrew Goodman, Program Manager Goodwin & Marshall Inc., Consultant PCI Construction, Contractor Hines, Developer File E-Mail: TPW_Acceptance@fortworthtexas.gov Rev. 08/20/19 AFFIDAVIT STATE OF Texas COUNTY OF Collin Before me, the undersigned authority, a notary public in the state and county aforesaid, on this day personally appeared Troy Mitchell, Controller Of PCI 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; Water, Sewer, Storm Drain - CPN 104235 Tradition Phase 41) B-71 Troy Mitchell -Controller Subscribed and sworn before me on this date 9th of July, 2024. Notary Public Collin County, •.�� .• .... ;, •., ;,.,,.,. ,., ,,.., ,.;,..•.,,..: State of Texas eREE _, h. MITCHELL My Notary ID # 123944875 Expires September 26, 2027 CONSENT OF OWNER SURETY COMPANY ARCHITECT TO FINAL PAYMENT CONTRACTOR SURETY AIA DOCUMENT G707 OTI IER PROJECT: Tradition Phase 4D (name, address) TO (Owner) [ City of Fort Worth 1000 Throckmorton Street Fort Worth, TX 76102-6312 CONTRACTOR: PCI Construction, Inc. P.O. Box 2967 McKinney, TX 75070 0 Bond No. 2352560 ARCHITECT'S PROJECT NO: CONTRACT FOR: CONTRACT DATE: 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) Swiss Re Corporate Solutions America Insurance Corporation , SURETY COMPANY, 1200 Main St., Suite $00 on bond of (here insert name and address of Contractor) PCI Construction, Inc. P.O. Box 2967 McKinney, TX 75070 , CONTRACTOR, hereby approves of the final payment to the Contractors, 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 76102-6312 OWNER, as set forth in the said Surety Company's bond. IN WITNESS WHEREOF, the Surety Company has hereunto set its hand this 9th day of July 2Q24 AtEest: (Seal): I� Swiss Re Corporate Solutions America Insurance Surety Company Signature of Authorized Representative Faith Ann Hilty, Attornev-In-Fact Title NOTE: This form is to be used as a companion document to AIA DOCUMENT G706, CONTRACTOR'S AFFIDAVIT OF PAYMENT OF DEBTS AND CLAIMS.: Current Edition _ AIA DOCUMENT G707 • CONSENT OF SURETY COMPANY TO FINAL. PAYMENT. APRIL 1970 EDITION • AIAQ ONE PAGE, © 1970 • THE AMERICAN INSTITUTE OF ARCHITECTS, 1735 New York Ave., NW, WASHINGTON, D.C. 20006 SWISS RE CORPORATE SOLUTIONS SWISS RE CORPORATE SOLUTIONS AMERICA INSURANCE CORPORATION ("SRCSAIC") SWISS RE CORPORATE SOLUTIONS PREMIER INSURANCE CORPORATION ("SRCSPIC) WESTPORT INSURANCE CORPORATION ('WIC") GENERAL POWER OF ATTORNEY KNOW ALL MEN BY THESE PRESENTS, THAT SRCSAIC, a corporation duly organized and existing under laws of the State of Missouri, and having its principal office in the City of Kansas City, Missouri, and SRCSPIC, a corporation organized and existing under the laws of the State of Missouri and having its principal office in the City of Kansas City, Missouri, and WIC, organized under the laws of the State of Missouri, and having its principal office in the City of Kansas City, Missouri, each does hereby make, constitute and appoint: JOHN R. WARD, THOMAS DOUGLAS MOORE, EMILY ALLYSON MIKESKA, ALLYSON W. DEAN, MONICA RUBY VEAZEY, JOHN WILLIAM NEWBY, TROY RUSSELL KEY, DEBRA LEE MOON, ANDREA ROSE CRAWFORD. SANDRA I_FE RONEY, FAITH ANN HILTY. ANDREW OARETH ADDISON, PATRICK THOMAS COYLE, MICHAEL DONALD HENDRICKSON, BRYAN KELLY MOORE, ELIZABETH ORTIZ, ANA OWENS, BETTY J REEH, AND ANDREW PATRICK CLARK JOINTLY OR SEVERALLY Its true and lawful Attomey(s)-in-Fact, to make, execute, seal and deliver, for and on its behalf and as its act and deed, bonds or other writings obligatory in the nature of a bond on behalf of each of said Companies, as surety, on contracts of suretyship as are or may be required or permitted by law, regulation, contract or otherwise, provided that no bond or undertaking or contract or suretyship executed under this authority shall exceed the amount of: TWO HUNDRED MILLION ($200,000,000.00) DOLLARS This Power of Attorney is granted and is signed by facsimile under and by the authority of the following Resolutions adopted by the Boards of Directors of both SRCSAIC and SRCSPIC at meetings duly called and held on the 18th of November 2021 and WIC by written consent of its Executive Committee dated July 18, 2011. "RESOLVED, that any two of the President, any Managing Director, any Senior Vice President, any Vice President, the Secretary or any Assistant Secretary be, and each or any of them hereby is, authorized to execute a Power of Attorney qualifying the attorney named in the given Power of Attorney to execute on behalf of the Corporation bonds, undertakings and all contracts of surety, and that each or any of them hereby is authorized to attest to the execution of any such Power of Attorney and to attach therein the seal of the Corporation; and it is FURTHER RESOLVED, that the signature of such officers and the seal of the Corporation may be affixed to any such Power of Attorney or to any certificate bindine upon relating thereto by facsimile, and any such Power of Attorney or certificate bearing such facsimile signatures or facsimile seal shall be the Corporation when so affixed and in the future with reeard to anv bond, undertaking or contract of surety to which it is attached." q.,� i.r,.'i..:..',.,_,-_ �y.'s ,,oJj:ONSPRE�y/F,9''• •` o� P 0 R Sys .. , • - ° �' •: i'�' Erik Jnnssenr, Senior Via President of SRCSAIC &Senior Vice President t•�$� ofSRCSPIC & Senior Vice President of WIC .�` O•..• !SSO�;�\• ssi '�� ...r. BY �y,••'�, N�,.` ''•, Su„* ttt Gerold Jagroxski, Vice President of SRCSAIC & Vice President ofSRCSPIC 1 & Vim President of WIC IN WITNESS WHEREOF, SRCSAIC, SRCSPIC, and WIC have caused their official seals to be hereunto affixed, and these presents to be signed by their authorized officers this I Ith day of January 20 24 Swiss Re Corporate Solutions America Insurance Corporation State of Illinois Swiss Re Corporate Solutions Premier Insurance Corporation County of Cook ss Westport Insurance Corporation On this I Ith day of January 20 24� before me, a Notary Public personally appeared Erik Janssens , Senior Vice President of SRCSAIC and Senior Vice President of SRCSPIC and Senior Vice President of WIC and Gerald Jaarowski , Vice President of SRCSAIC and Vice President of SPCSPIC and Vice President of WIC, personally known to me, who being by me duly swom, acknowledged that they signed the above Power of Attorney as officers of and acknowledged said instrument to be the voluntary act and deed of their respective companies. OFFIGM SEAL CHpxnHA MMISCO 1, Jefi'rev Goldberg, the duly elected Senior Vice President and Assistant Secretary ofSRCSAI�rSRCSPIC'R and WLC, do hereby certify that the db_ove-at.j foregoing is a true and correct copy of a Power of Attorney given by said SRCSAIC and SRCSPIC and WIC, which i; sUll-irr full -force an'TTeffect.:,- IN WITNESS WHEREOF, I have set my hand and affixed the seals of the Companies this 9th day of lulu = 40-24, . = Jeffrey Goldberg, Senior Vice President.&' Assistant Secretary of SRCSAl add- SRCSPIC and WIC ' IMPORTANT NOTICE In order to obtain information or make a complaint: You may contact Jeffrey Goldberg, Vice President - Claims, at 1-800-338-0753. You may call Swiss Re Corporate Solutions America Insurance Corporation or Swiss Re Corporate Solutions Premier Insurance Corporation's toll -free number for information or to make a complaint at: 1-800-338-0753 You may also write to Swiss Re Corporate Solutions America Insurance Corporation or Swiss Re Corporate Solutions Premier Insurance Corporation at the following address: 1450 American Lane, Suite 1100 Schaumburg, IL 60173 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) 475-1771 Web: httD://www.tdi.state.tx.us E-mail:ConsumerProtectio nQtdi.state.tx. us PREMIUM OR CLAIM DISPUTES: Should you have a dispute concerning your premium or about a claim you should first contact the Swiss Re Corporate Solutions America Insurance Corporation or Swiss Re Corporate Solutions Premier Insurance Corporation. 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. AV ISO IMPORTANTE Para obtener informacion o para someter un queja: Puede comunicarse con Jeffrey Goldberg, Vice President - Claims, al 1-800-338-0753. Usted puede llamr al numero de telefono gratis de Swiss Re Corporate Solutions America Insurance Corporation o Swiss Re Corporate Solutions Premier Insurance Corporation's para informacion o para someter una queja al: 1-800-338-0753 Usted tambien puede escribir a Swiss Re Corporate Solutions America Insurance Corporation o Swiss Re Corporate Solutions Premier Insurance Corporation al: 1450 American Lane, Suite 1100 Schaumburg, IL 60173 Puede escribir al Departmento de Seguros de Texas para obtener informacion acerca de companias, coberturas, derechos o quejas al: 1- 800-252-3439 Puede escribir al Departmento de Seguros de Texas: P.O. Box 149104 Austin, TX 78714-9104 Fax: (512) 475-1771 Web: httD://www.tdi.state.tx.us E-mail:ConsumerProtection a(b.tdi.state.tx.us DISPUTAS SOBRE PRIMAS O RECLAMOS: Si tiene una disputa concerniente a su prima o a un reclamo, debe comunicarse con el Swiss Re Corporate Solutions America Insurance Corporation o Swiss Re Corporate Solutions Premier Insurance Corporation primero. Si no se resuelve la disputa, puede entonces comunicarse con el Departmento de Seguros de Texas. UNA ESTE AVISO A SU POLIZA: Este aviso es solo para proposito de infromacion y no se converte en parte o condicion del documento adjunto.