HomeMy WebLinkAboutContract 57991-FP2-FP2
FORT WORTH.
City Secretary
Contract No. 57991
Date Received 7/29/2024
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: Texas Christian University Medical School
City Project No.: 104053
Improvement Type(s): x❑ Paving ❑x Drainage x❑ Street Lights ❑ Traffic Signals
Original Contract Price:
Amount ofApproved Change Order(s):
Revised Contract Amount:
Total Cost of Work Complete:
Contractor
Project Manager
Title
Fort Worth Civil Constructors, LLC
Company Name
James6 nn(Jut 25, 202412:16 CDT)
Project Inspector
Project Manager
0",
CFA Manager
LaUr- I>rieui Ju 129. 202411A4 cD❑
TPW Director
C
Asst. City Manager
$754,420.75
$88,027.87
$88,027.87
$842,448.62
Jul 25, 2024
Date
Jul 25, 2024
Date
Jul 26, 2024
Date
Jul 29, 2024
Date
Jul 29, 2024
Date
Jul 29, 2024
Date
OFFICIAL RECORD
CITY SECRETARY Page 1 of 2
FT. WORTH, TX
Notice of Project Completion
Project Name: Texas Christian University Medical School
City Project No.: 104053
City's Attachments
Final Pay Estimate x❑
Change Order(s): ❑x Yes ❑ N/A
Contractor's Attachments
Affidavit of Bills Paid
Consent of Surety.
Statement of Contract Time
Contract Time 112 WD
Work Start Date: 9/6/2022
Completed number of Soil Lab Test: 30
Completed number of Water Test: 6
Days Charged: 218 WD
Work Complete Date: 5/10/2024
Page 2 of 2
FORTWORTH
CITY OF FORT WORTH
FINAL PAYMENT REQUEST
Contract Name TEXAS CHRISTIAN UNIVERSITY SCHOOL OF MEDICINE
Contract Limits
Project Type DRAINAGE, PAVING, LIGHTS
City Project Numbers 104053
DOE Number 4053
Estimate Number 1 Payment Number 1
City Secretary Contract Number
Contract Date 7/15/2022
For Period Ending 6/26/2024
WD
Project Manager NA
Contractor FORT WORTH CIVIL CONSTRUCTORS
1675-B SO. MAIN ST
KELLER , TX 76248
Inspectors AGUILLON / J. GLENN
Contract Time I IWD
Days Charged to Date 218
Contract is 100.00 Complete
Friday, July 19, 2024 Page 1 of 5
City Project Numbers 104053
Contract Name TEXAS CHRISTIAN UNIVERSITY SCHOOL OF MEDICINE
Contract Limits
Project Type DRAINAGE, PAVING, LIGHTS
Project Funding
UNIT lII: DRAINAGE IMPROVEMENTS
DOE Number 4053
Estimate Number 1
Payment Number 1
For Period Ending 6/26/2024
Item
Description of Items
Estimated Unit
Unit Cost
Estimated
Completed
Completed
No.
Quanity
Total
Quanity
Total
1
REMOVE 24" STORM LINE
46 LF
$24.00
$1,104.00
46
$1,104.00
2
REMOVE 10' CURB INLET
2 EA
$3,500.00
$7,000.00
2
$7,000.00
3
TRENCH SAFETY
46 LF
$12.00
$552.00
46
$552.00
4
4' STORM JUNCTION BOX
1 EA
$11,230.00
$11,230.00
1
$11,230.00
5
FRAME COVER AND GRADE RINGS
1 EA
$2,130.00
$2,130.00
1
$2,130.00
-------------
Sub -Total of Previous Unit
$22,016.00
$22,016.00
UNIT IV: PAVING IMPROVEMENTS
Item
Description of Items
Estimated Unit
Unit Cost
Estimated
Completed
Completed
No.
Quanity
Total
Quanity
Total
1
MOBILIZATION
1 LS
$48,547.00
$48,547.00
1
$48,547.00
2
REMOVE SIDEWALK
3866 SF
$4.65
$17,976.90
3866
$17,976.90
3
REMOVE ADA RAMP
4 EA
$1,100.00
$4,400.00
4
$4,400.00
4
REMOVE CONCRETE DRIVE
2443 SF
$4.60
$11,237.80
2443
$11,237.80
5
REMOVE CONCRETE PAVEMENT
123 SY
$41.40
$5,092.20
123
$5,092.20
6
REMOVE ASPHALT PAVEMENT (CO #2)
69.78 SY
$43.00
$3,000.54
69.78
$3,000.54
7
REMOVE CONCRETE CURB & GUTTER (CO#1)
656 LF
$19.00
$12,464.00
656
$12,464.00
8
4" CONCRETE SIDEWALK (CO#1) (CO#2)
5578.61 SF
$17.00
$94,836.37
5578.61
$94,836.37
9
6" CONCRETE DRIVEWAY (CO#1)
1716 SF
$24.00
$41,184.00
1716
$41,184.00
10
BARRIER FREE RAMP TYPE R-1
2 EA
$4,735.00
$9,470.00
2
$9,470.00
11
BRICK PAVEMENT (CO#1) (CO#2)
138.41 SY
$413.00
$57,163.33
138.41
$57,163.33
12
6" CONCRETE CURB AND GUTTER (CO#1)
768 LF
$115.00
$88,320.00
768
$88,320.00
13
UTILITY SERVICE SURFACE RESTORATION
47 SY
$15.00
$705.00
47
$705.00
SODDING (CO#2)
14
REMOVE SIGNAL PANEL AND POST
1 EA
$1,495.00
$1,495.00
1
$1,495.00
15
REMOVE AND REINSTALL SIGN PANEL AND
3 EA
$913.00
$2,739.00
3
$2,739.00
POST
16
TRAFFIC CONTROL
1 LS
$33,212.00
$33,212.00
1
$33,212.00
17
LANDSCAPE AND IRRIGATION
1 LS
$51,537.00
$51,537.00
1
$51,537.00
18
EROSION CONTROL DEVICES
1 LS
$6,612.00
$6,612.00
1
$6,612.00
19
LANDSCAPE & IRRIGATION ADDITIONS (CO#1)
1 LS
$11,124.00
$11,124.00
1
$11,124.00
20
LANDSCAPE ONLY ADDITIONS (CO#2)
I LS
$10,597.00
$10,597.00
1
$10,597.00
Friday, July 19, 2024 Page 2 of 5
City Project Numbers 104053 DOE Number 4053
Contract Name TEXAS CHRISTIAN UNIVERSITY SCHOOL OF MEDICINE Estimate Number I
Contract Limits Payment Number 1
Project Type DRAINAGE, PAVING, LIGHTS For Period Ending 6/26/2024
Project Funding
21
REMOVE BRICK PAVERS & EXCAVATE 5"
939.27 SF
$12.15
$11,412.13
939.27
$11,412.13
DEPTH BY HAND(CO#2)
22
ADDITIONAL 2 HOUR & NO PARKING SIGNS
5 EA
$1,115.00
$5,575.00
5
$5,575.00
AND POSTS(CO#2)
23
REMOVE & REPLACE CURB & GUTTER,
1 LS
$14,500.00
$14,500.00
1
$14,500.00
SIDEWALK @ ATMOS DAMAGE (CO#2)
Sub -Total of Previous Unit
$543,200.27
$543,200.27
UNIT V: STREET LIGHTING IMPROVEMENTS
Item
Description of Items
Estimated Unit
Unit Cost
Estimated
Completed
Completed
No.
Quanity
Total
Quanity
Total
---------------------------------------
1
2" CONDT PVC SCH 40 (T) (CO#1)
1211 LF
$29.00
$35,119.00
1211
$35,119.00
2
NO 6 INSULATED ELEC CONDR (CO#1)
1211 LF
$12.85
$15,561.35
1211
$15,561.35
3
GROUND BOX TYPE B
8 EA
$1,263.00
$10,104.00
8
$10,104.00
4
FURNISH/INSTALL 12-240 VOLT SINGLE PHASE
1 EA
$12,610.00
$12,610.00
1
$12,610.00
5
FURNISH/INSTALL 10'- 14'WSHTN STND POLE
13 EA
$8,572.00
$111,436.00
13
$111,436.00
& FXT
6
LED LIGHTING FIXTURE
5 EA
$784.00
$3,920.00
5
$3,920.00
7
RDWY ILLUMFOUNDATION TY 1,2, AND 4
3 EA
$2,658.00
$7,974.00
3
$7,974.00
8
RDWY ILLUM FOUNDATION TY 3,5,6,8 (CO#2)
4 EA
$2,924.00
$11,696.00
4
$11,696.00
9
RDWY ILLUM FOUNDATION TY 7 (CO#2)
1 1 EA
$2,520.00
$27,720.00
11
$27,720.00
10
RDWY ILLUM TY 11 POLE
3 EA
$3,455.00
$10,365.00
3
$10,365.00
11
RDWY ILLUM TY 18 POLE
2 EA
$4,678.00
$9,356.00
2
$9,356.00
12
HYDRO - VAC TO LOCATE ONCOR PRIMARY
1 LF
$8,227.00
$8,227.00
1
$8,227.00
SERVICE (CO#2)
13
SPREAD FOOTING FOUNDATION FOR TYPE 18
1 EA
$2,924.00
$2,924.00
1
$2,924.00
STREET LIGTING (CO#2)
14
SPREAD FOOTING FOUNDATION FOR
2 EA
$2,520.00
$5,040.00
2
$5,040.00
WASHINGTON STYLE STREET LIGTING (CO#2)
15
REPLACE LIGHT BULBS, FUSES AND ACCESS
1 LS
$5,180.00
$5,180.00
1
$5,180.00
--------------------------------------
PLAT FOR ROSEDALE OLEANDER LIGHTS
--------------------------------------
Sub-Total of Previous Unit
$277,232.35
$277,232.35
Friday, July 19, 2024 Page 3 of 5
City Project Numbers 104053
Contract Name TEXAS CHRISTIAN UNIVERSITY SCHOOL OF MEDICINE
Contract Limits
Project Type DRAINAGE, PAVING, LIGHTS
Project Funding
Contract Information Summary
Original Contract Amount
Change Orders
Change Order Number 1
Change Order Number 2
Change Order Number 2
Change Order Number 1
Total Contract Price
DOE Number 4053
Estimate Number 1
Payment Number 1
For Period Ending 6/26/2024
$754,420.75
$9,600.50
$64,601.87
$13,407.00
$418.50
$842,448.62
Total Cost of Work Completed $842,448.62
Less % Retained $0.00
Net Earned $842,448.62
Earned This Period $842,448.62
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
$842,448.62
Friday, July 19, 2024 Page 4 of 5
City Project Numbers 104053
Contract Name TEXAS CHRISTIAN UNIVERSITY SCHOOL OF MEDICINE
Contract Limits
Project Type DRAINAGE, PAVING, LIGHTS
Project Funding
Project Manager NA
Inspectors AGUILLON / J. GLENN
Contractor FORT WORTH CIVIL CONSTRUCTORS
1675-B SO. MAIN ST
KELLER , TX 76248
DOE Number 4053
Estimate Number 1
Payment Number 1
For Period Ending 6/26/2024
City Secretary Contract Number
Contract Date
7/15/2022
Contract Time
112 WD
Days Charged to Date
218 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 $842,448.62
Less % Retained $0.00
Net Earned $842,448.62
Earned This Period $842,448.62
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
$842,448.62
Friday, July 19, 2024 Page 5 of 5
DEVELOPER -AWARDED -PROJECT CHANGE ORDER
PROJECT NAME: TCU School of Medicine CHANGE
CONTRACT: Water, Sewer, Paving, Storm Drain, Landscape and Street Light ORDER No:
CFA # 22-0074 CITY PARTICIPATION NO
CITY PROJECT # 104053
FILE # K-2968
INSPECTOR: Oscar Aguillon Phone No: 817-392-8306
PROJECT MANAGER: Sandip Adhikari Phone No: 817-392-8424
CONTRACT UNIT
WATER SEWER PAVING DRAINAGE STREETLIGHTS
Developer Developer Developer Developer Dweloper
Cost City cost Cost City cost Cost city cost cost city cost Cost City cost
ORIGINAL CONTRACT $313,910.95 $30,440.00 $468,997.90 $22,016.00 $263,406.85
EXTRAS TO DATE
CREDITS TO DATE
CONTRACT TO DATE $313,910.95 $0.00 $30,440.00 $0.00
AM: JNT OF PROP CHANGE ORDER
RE SED CONTRACT AMOUNT $313.910.95 $0.00 $30,440.00 $0.00
TOTAL REVISED CONTRACT AMOUNT
PER UNIT $313,910.95 $3D,440.00
REVISED COST SHARE Dev. Cost: $1,108,790.70
TOTAL REVISED CONTRACT
$468,997.90 $0.00
$9,600.50
$478,598.40 $0.00
$478,598.40
City Cost
$1,108,790.70
CONTRACT
DAYS
112
$22,016.00 $0.00 $263,406.85 $0.00 112
$418.50
$22,016.00 $0.00 $263,825.35 $0.00 112
$22,016,00 $263,825.35
$0.00
REVIEWED
By Sandip Adhikari at 8:33 am, Jun 18, 2024
Revised 10-12-2011 F.'".I� I
You are directed to make the following changes in the contract documents
Paving
CITY BID ITEM
PAY ITEM if
#
QUANTITY
UNIT
REM DESC IPT1IPN
UNIT PRICE
TOTAL
7
0241.3000
17
LF
Remove Concrete6urb & Gutter
$19 00
$323 00
8
3213.0301
-89
SF
4" Concrete Sidewalk
$17 00
-$1 513.00
9
3213.0401
150
SF
6" Concrete Driveway
$24 00
$3.600 00
11
3214.0100
0.5
SY
Brick Pavement
$413 00
$206 50
12
3216.0101
-36
LF
6" Concrete Curb & Gutter
$115.00
4$4 14000
New 19
9999 0004
1
LS
Landscape & Irrigation Additions
$11 12400
$11,124 00
TOTAL
$9 600 50
Street Lights
CITY BID ITEM
PAY ITEM #
#
QUANTITY
UNIT
ITEM DESCR PT ON
UNIT PRICE
TOTAL
1
2605 3011
10
LF
2' CONDT PVC SCH k (T)
$29 00
$290 00
2
3441 1408
10
LF
NO 6 Insulated Elec Condr
$12 85
$128 50
TOTAL
$41 B 50
REASONS FOR CHANGE ORDER Paving, curb landscape and street light quantity adjustments related to driveway changes on the private s-de l hanges correspond to Revision No 1 as shown
on sheets 6 13 18 24 and 29 of the construction plans.
,mgation material changes to meet TCU speciRcaitons Changes correspond to Revision No 1 as shown on sheet 32
NO CITY FUNDS INVOLVED IN THIS CONTRACT. DEVELOPER IS RESPONSIBLE FOR 100% OF THE CHANGE ORDER COST AND NO
REIMBURSEMENT FROM THE CITY WILL BE SOUGHT BY THE DEVELOPER.
RECOMMENDED:
Dunaway Associates ,
By.�Justin
{ �
Na a Wells, PE
Title' Engagement Manager I Principal
APPROVED:
Texas Chns n v t
i
By
Name To aldvoael
Title Associate Vice Chancellor for
Facilities & Campus Planning
APPROVED:
Fort Worth Civ I Constructors LL::
By z2ea;�- A�urx�au
Name: Doug AI it rnbaliah
Title. Project Manager
REVIEWED
By Sandip Adhikari at 8:33 am, Jun 18, 2024
Revised 10-12-2011 Fagg
DEVELOPER -AWARDED -PROJECT CHANGE ORDER
PROJECT NAME:
TCU School of Medicine
CHANGE
CONTRACT:
Water, Sewer, Paving, Storm Drain, Landscape and
Street Light
ORDER No:
CFA #
22-0074 CITY PARTICIPATION NO
CITY PROJECT #
104053
2
FILE #
K-2968
INSPECTOR:
Oscar Aguillon Phone No:
817-392-8306
PROJECT MANAGER:
Sandip Adhikari Phone No:
817-392-8424
CONTRACT UNIT
WATER SEWER
PAVING DRAINAGE
STREET LIGHTS
CONTRACT
Developer Developer
Developer Developer
Developer
DAYS
Cost City Cost Cost City Cost
Cost City Cost Cost
City Cost
Cost City Cost
ORIGINAL CONTRACT
$313,910.95 $30,440.00
$468.997.90 $22,016.00
�_
$263,406.85
112
EXTRAS TO DATE
$9,600.50
$418.50
CREDITS TO DATE
m
CONTRACT TO DATE
$313,910.95 $0.00
$30,440.00 $0.00
$478,598.40 $0.00 $22,016.00
$0.00
$263,825.35 $0.00
112
AMOUNT OF PROP CHANGE ORDER
$35,22S.14
$63,352.98
$64,601.87
$13,407.00
REVISED CONTRACT AMOUNT
$349.136.09 $0.00 $83,792.98 $0.00
$543,200.27 $0.00 $22,016.00
$0.00
$277,232.35 $0.00
112
TOTAL REVISED CONTRACT AMOUNT
PER UNIT
$349,136.09 $83,792.98
$543,200.27 $22,016.00
$277,232.35
REVISED COST SHARE
Dev. Cost: $1,275,377.69
City Cost
$0.00
TOTAL REVISED CONTRACT
$1,275,377.69
REVIEWED
By Sandip Adhikari at 2:30 pm, Jun 20, 2024
Revised 10-12-2011 P;ige 1
You are directed to make the following changes in the contract documents:
Water
Sewer
Paving
Street Lights
REVIEWED
By Sandip Adhikari at 2:30 pm, Jun 20, 2024
CITY BID ITEM
PAY ITEM #
#
QUANTITY
UNIT
ITEM DESCRIPTION
UNIT PRICE
TOTAL
1
0241.1000
100.71
SY
Remove Concrete Pavement
$38.00
$3,826.98
5
3201.0614
89.35
SY
Conc Pvmt Repair, Residential
$191.30
$17,092.66
6
3201.0616
11.36
SY
Conc Pvmt Reepair, Arterial/Industrial
$211.40
$2,401.50
New 18
9999.0005
3
EA
Kill 1" Water Service & Repair Street
$3,968.00
S11,904.00
TOTAL
$35.225.14
CITY BI#D ITEM
PAY ITEM #
I I
QUANTITY IUNIT
I
ITEM
UNIT PRICE
I$53,352.98
TOTAL
New 5
9999.0006
1
LS
AT&T Manhole Conflict
$53,352 98
TOTAL
$53,352.98
CITY BID ITEM
PAY ITEM #
#
QUANTITY
UNIT
ITEM DESCRIPTION
UNIT PRICE
TOTAL
6
0241.1100
43.78
SY
Remove Asphalt Pavement
$43.00
$1.882.54
8
3213.0301
245.61
SF
4" Concrete Sidewalk
$17.00
$4,175.37
11
3214.0100
38.91
SY
Brick Pavement
$413.00
$16.069.83
13
3292.0101
26
SY
Utility Service Surface Restoration Sodding
$15.00
$390.00
New 20
9999.0004
1
LS
Landscape Only Additions
$10.597.00
$10,597.00
New 21
9999.0007
939.27
SF
Remove Brick Pavers & Excavate 5" Depth by Hand
$12.15
$11.412.13
New22
9999.0008
5
EA
Additional 2 Hour & No Parking Signs and Posts
$1,115.00
S5.575.00
New 23
9999.0009
1
LS
Remove & Replace Curb & Gutter. Sidewalk @, Atmos Damage
$14.500.00
$14.500.00
TOTAL
$64.601.87
CITY BID ITEM
PAY ITEM #
#
QUANTITY
UNIT
ITEM DESCRIPTION
UNIT PRICE
TOTAL
8
3441.3302
-1
EA
Rdw Ilium Foundation TY 3,5,6,8
$2.924.00
-$2,924.00
9
3441.3303
-2
EA
Rdw Ilium Foundation TY 7
$2,520.00
-$5,040.00
New 12
9999.0010
1
LS
Hvdro-Vac to locate ONCOR Prima _ Service
S8.227.00
$8.227.00
New 13
9999.0011
1
EA
Spread Footing Foundation for Type 18 Street Light
$2.924.00
$2.924.00
New 14
9999.0012
2
EA
SDread Footin_q Foundation for Washington Style Street Light
$2.520.00
$5.040.00
New 15
9999.0013
1
LS
Replace light bulbs. fuses and access plat for Rosedale Oleander Lights
$5.180.00
$5,180.00
TOTAL
$13,407.00
REASONS FOR CHANGE ORDER Change order 2 captures pavement overruns that were incured during construction. Street light foundation changes were made to 3 streetlights due to conflicts
with Oncor conduit.
NO CITY FUNDS INVOLVED IN THIS CONTRACT. DEVELOPER IS RESPONSIBLE FOR 100% OF THE CHANGE ORDER COST AND NO
REIMBURSEMENT FROM THE CITY WILL BE SOUGHT BY THE DEVELOPER.
Revised: 10-12-2011 Page 2
RECOMMENDED:
Duna y Associates
By Z �
Na iustin Wells, PE
Title Engagement Manager I Princta! _
APPROVED:
Texas Chn i n
By
Name �qyS kcal vet/ Jj�
Title %
REVIEWED
By Sandip Adhikari at 2:30 pm, Jun 20, 2024
APPROVED:
Fort Worth C vil Constructors. LLC
By TSB: r •a .
Name Dcug Alumbaugh
Titre Project Manager
Revised 10-12 2011 Page :3
FORTWORTH.
TRANSPORTATION AND PUBLIC WORKS
June 26, 2024
Fort Worth Civil Constructors, LLC
PO Box 164513
Fort Worth, TX 76161
RE: Acceptance Letter
Project Name: TCU Medical School
Project Type: Water, Sewer, Paving, Storm Drain, Landscape, Street Lights
City Project No.: 104053
To Whom It May Concern:
On June 25, 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 June 26, 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 June 26, 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-
392-8424, sandip.adhikari@fortworthtexas.gov .
Sincerely,
Sandip Adhikari, Project Manager
Cc: James Glenn, Inspector
Don Watson, Inspection Supervisor
Oscar Aguillon, Senior Inspector
Andrew Goodman, Program Manager
Dunaway Associates, Consultant
Fort Worth Civil Constructors, LLC, Contractor
Texas Christian University, Developer
File
Rev. 9/15/16
AFFIDAVIT
STATE OF TEXAS
COUNTY OF TARRANT
Before me, the undersigned authority, a notary public of the state and county aforesaid,
on this day personally appeared DUSTIN ALUMBAUGH,VICE PRESIDENT of FORT
WORTH CIVIL CONSTRUCTORS, LLC. known to me to be a credible person, who being 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, Paving, Storm Drain, Landscape & Street Light Improvements to serve Texas
Christian University School of Medicine
S
BY
I Nv v
DUS�N ALUMBAUG , VICE PRESIDENT
Subscribed and sworn before me on this 2- 5 day of , 20 .L`f
Notary Public ,
TARRANT COUNTY,
TEXAS
MARC DAVID RAMSEY
w 1Pi'i. PUB ��i
;2,•` �yNotary Public, State of Texas
^- Comm, Expires 08-10.20,27
Notary ID 13032580-6
CONSENT OF OWNER ❑
SURETY COMPANY ARCHITECT ❑
TO FINAL PAYMENT CONTRACTOR ❑
SURETY ❑
AIA DOCUMENT G707 OTHER
Bond No. SUR0067427
PROJECT: Water, Sewer, Paving, Storm Drain, Landscape & Street Light Improvements to serve
(name, address) Texas Christian University School of Medicine
TO (Owner) [ City of Fort Worth
200 Texas Street
Fort Worth, TX 76102
CONTRACTOR: Fort Worth Civil Constructors, LLC
P.O. Box 161727
Fort Worth, TX 76161
ARCHITECT'S PROJECT NO:
CONTRACT FOR:
CONTRACT DATE: July 15, 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)
Argonaut Insurance Company
P.O. Box 469011
San Antonio, TX 78246 , SURETY COMPANY,
on bond of (here insert name and address of Contractor)
Fort Worth Civil Constructors, LLC
P.O. Box 161727
Fort Worth, TX 76161 , 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
200 Texas Street
Fort Worth, TX 76102
as set forth in the said Surety Company's bond.
IN WITNESS WHEREOF,
the Surety Company has hereunto set its hand this 23rd
Witness &v2�
(Seal):
day of July
Argonaut Insurance Company
Surety, inn
Signatx�e of uthorized Representative
Steven Tucker Attornev-In-Fact
Title
2Q24
,OWNER,
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 • AIAO ONE PAGE
O tQ70 e THE AMERICAN INSTITUTE OF ARCHITECTS, 1735 New York Ave., NW, WASHINGTON, D.C. 20006
Argonaut Insurance Company
Deliveries Only: 225 W. Washington, 24th Floor
Chicago, IL 60606
United States Postal Service: P.O. Box 469011, San Antonio, TX 78246
POWER OF ATTORNEY
KNOW ALL MEN BY THESE PRESENTS: That the Argonaut Insurance Company, a Corporation duly organized and existing under the laws of the State
oflllinois and having its principal office in the County of Cook, Illinois does hereby nominate, constitute and appoint:
Bennett Brown. W. Lawrence Brown. Kevin J. Dunn. Tanner Langston. Steven Tucker. Tracv TuckerLV
s
Their true and lawful agent(s) and attorney(s)-in-fact, each in their separate capacity if more than one is named above, to make, execute, seal and deliver for
and on its behalf as surety, and as its act and deed any and all bonds, contracts, agreements of indemnity and other undertakings in suretyship provided,
however, that the penal sum of any one such instrument executed hereunder shall not exceed the sum of.
$97.550,000.00
This Power of Attorney is granted and is signed and sealed under and by the authority of the following Resolution adopted by the Board of Directors of
Argonaut Insurance Company:
"RESOLVED, That the President, Senior Vice President, Vice President, Assistant Vice President, Secretary, Treasurer and each of them hereby is
authorized to execute powers of attorney, and such authority can be executed by use of facsimile signature, which may be attested or acknowledged by any
officer or attorney, of the Company, qualifying the attorney or attorneys named in the given power of attorney, to execute in behalf of, and acknowledge as
the act and deed of the Argonaut Insurance Company, all bond undertakings and contracts of suretyship, and to affix the corporate seal thereto."
IN WITNESS WHEREOF, Argonaut Insurance Company has caused its official seal to be hereunto affixed and these presents to be signed by its duly
authorized officer on the 19th day of November, 2021. Argonaut Insurance Company
• ....RA.. Argonaut
=°€SEAL.;= b
y:
STATE OF TEXAS Gary E. Grose President
COUNTY OF HARRIS SS:
On this 19th day of November, 2021 A.D., before me, a Notary Public ofthe State of Texas, in and for the County of Harris, duly commissioned and
qualified, came THE ABOVE OFFICER OF THE COMPANY, to me personally known to be the individual and officer described in, and who executed the
preceding instrument, and he acknowledged the execution of same, and being by me duly sworn, deposed and said that he is the officer of the said Company
aforesaid, and that the seal affixed to the preceding instrument is the Corporate Seal of said Company, and the said Corporate Seal and his signature as
officer were duly affixed and subscribed to the said instrument by the authority and direction of the said corporation, and that Resolution adopted by the
Board of Directors of said Company, referred to in the preceding instrument is now in force.
IN TESTIMONY WHEREOF, I have hereunto set my hand, and affixed my Official Seal at the County of Harris, the day and year first above written.
. . -, - - skO..F Lan `M . ` fy'`4! Ivy
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N01*1TARYKATHLEEN M MEEKSOTARY PUBLIC)� JSTATE OF Tt=XAS�MY COMM.EXR. 07/1_/25 ID 557902-5 (Notary Public)
I, the undersigned Officer of the Argonaut Insurance Company, Illinois Corporation, do hereby certify that the original POWER OF ATTORNEY ofwhich
the foregoing is a full, true and correct copy is still in full force and effect and has not been revoked.
1N WITNESS WHEREOF, I have hereunto set my hand, and affixed the Seal of said Company, on the 23rd day of July 2024 .
CL'•. 194a Z
s ''��("91S'' �• Austin W. King Secretary
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IF YOU HAVE QUESTIONS ON AUTHENTICITY OF THIS DOCUMENT CALL (833) 820 - 9137.