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City Secretary
Contract No.__________________
Date Received ______________
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: Cedarbrook Beltmill Phase 5
City Project No.: 104497
Improvement Type(s): Paving Drainage Street Lights Traffic Signals
Original Contract Price: $1,817,905.40
Amount of Approved Change Order(s):
Revised Contract Amount:
Total Cost of Work Complete:$1,817,905.40
Contractor Date
Title
Gilco Contracting, Inc.
Company Name
Project Inspector Date
Project Manager Date
CFA Manager Date
______________________________________ __________________________________
TPW Director Date
Asst. City Manager Date
Page 2 of 2
Notice of Project Completion
Project Name: Cedarbrook Beltmill Phase 5
City Project No.: 104497
City’s Attachments
Final Pay Estimate
Change Order(s): Yes N/A
Contractor’s Attachments
Affidavit of Bills Paid
Consent of Surety
Statement of Contract Time
Contract Time 207 WD
Work Start Date: 7/10/2023
Days Charged: 207 WD
Work Complete Date: 9/11/2024
Completed number of Soil Lab Test: 20
Completed number of Water Test: 0
CITY OF FORT WORTH
Contract Name CEDARBROOK-BELTMILL PHASE 5
Contract Limits
Project Type PAVING
DOE Number 4497
Estimate Number 1 Payment Number 1 For Period Ending 9/11/2024
FINAL PAYMENT REQUEST
City Secretary Contract Number
207
WD
Contract Date
GILCO CONTRACTING, INC.
NA
6331 SOUTHWEST BLVD.
BENBROOK TX 76132-1063
M.GLOVER E.WALKER
50WDContract Time
Days Charged to Date
CompleteContract is 100.00
Contractor
,
/Inspectors
Project Manager
City Project Numbers 104497
Thursday, September 26, 2024 Page 1 of 4
Contract Name CEDARBROOK-BELTMILL PHASE 5
Contract Limits
Project Type PAVING
DOE Number 4497
Estimate Number 1
Payment Number 1
For Period Ending 9/11/2024
Project Funding
City Project Numbers 104497
UNIT IV: PAVING IMPROVEMENTS
Item
No.Description of Items Estimated
Quanity Unit Unit Cost Estimated
Total
Completed
Quanity
Completed
Total
1 6" CONC PVMT 27586.6 SY $50.60 $1,395,881.96 27586.6$1,395,881.96
2 4" CONC SIDEWALK 8036 SF $8.20 $65,895.20 8036 $65,895.20
3 4" CONC SIDEWALK (6' WIDE)2992 SF $8.40 $25,132.80 2992 $25,132.80
4 BARRIER FREE RAMP, TYPE R-1 12 EA $3,101.15 $37,213.80 12 $37,213.80
5 BARRIER FREE RAMP, TYPE R-1 (10' WIDE)2 EA $6,000.00 $12,000.00 2 $12,000.00
6 BARRIER FREE RAMP, TYPE P-1 8 EA $2,378.55 $19,028.40 8 $19,028.40
7 6" LIME TREATMENT 29489.2 SY $3.25 $95,839.90 29489.2 $95,839.90
8 HYDRATED LIME 442.337 TN $305.45 $135,111.84 442.337 $135,111.84
9 TRAFFIC CONTROL 1 MO $4,800.00 $4,800.00 1 $4,800.00
10 END-OF-ROAD BARRICADE 2 EA $1,500.00 $3,000.00 2 $3,000.00
11 REMOVE END-OF-ROAD BARRICADE 1 EA $300.00 $300.00 1 $300.00
12 CONNECT TO EXISTING PAVEMENT BY
SAWCUT
112 LF $10.00 $1,120.00 112 $1,120.00
13 TRUCK APRON 236 SF $20.00 $4,720.00 236 $4,720.00
14 50' WIDE ASPHALT PVMT REPAIR,
RESIDENTIAL
139 SY $128.50 $17,861.50 139 $17,861.50
$1,817,905.40 $1,817,905.40Sub-Total of Previous Unit
Thursday, September 26, 2024 Page 2 of 4
Contract Name CEDARBROOK-BELTMILL PHASE 5
Contract Limits
Project Type PAVING
DOE Number 4497
Estimate Number 1
Payment Number 1
For Period Ending 9/11/2024
Project Funding
City Project Numbers 104497
Contract Information Summary
Change Orders
$1,817,905.40Original Contract Amount
$1,817,905.40Total Contract Price
$1,817,905.40
Less
Total Cost of Work Completed
% Retained $0.00
Net Earned $1,817,905.40
Plus Material on Hand Less 15%$0.00
Balance Due This Payment $1,817,905.40
Less Liquidated Damages
Days @ / Day
$0.00
Less Penalty
LessPavement Deficiency $0.00
$0.00
$0.00Less Previous Payment
Earned This Period
Retainage This Period
$1,817,905.40
$0.00
Thursday, September 26, 2024 Page 3 of 4
Contract Name CEDARBROOK-BELTMILL PHASE 5
Contract Limits
Project Type PAVING
DOE Number 4497
Estimate Number 1
Payment Number 1
For Period Ending 9/11/2024
Project Funding
City Project Numbers 104497
Line Fund Account Center
Amount
Funded Gross Retainage Net
CITY OF FORT WORTH
SUMMARY OF CHARGES
$1,817,905.40
Less
Total Cost of Work Completed
% Retained $0.00
Net Earned $1,817,905.40
Plus Material on Hand Less 15%$0.00
Balance Due This Payment $1,817,905.40
Less Liquidated Damages
0 Days @ $0.00 / Day $0.00
Less Penalty
LessPavement Deficiency $0.00
$0.00
$0.00Less Previous Payment
Earned This Period
Retainage This Period
$1,817,905.40
$0.00
City Secretary Contract Number
207
WD
Contract Date
GILCO CONTRACTING, INC.
NA
6331 SOUTHWEST BLVD.
BENBROOK TX 76132-1063
M.GLOVER E.WALKER
50
WD
Contract Time
Days Charged to Date
CompleteContract is 100.000000
Contractor
,
/Inspectors
Project Manager
Thursday, September 26, 2024 Page 4 of 4
FO RT �VU RT H �
TRANSPORTATION AND PUBLIC WORKS
September 11, 2024
GILCO CONTRACTING,INC.
6331 SOUTHWEST BLVD.
BENBR001<,TEXAS 76132
RE: Acceptance Letter
Project Name: CEDARBRO01<-BELTMILL PHASE 5
Project Type: PAVING
City Project No.: 104497
To Whom It May Concern:
On June 17, 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 September 11, 2024. The final
inspection and the corrected punch list items indicate that the worl< meets the City of Fort Worth
specifications and is therefore accepted by the City. The warranty period will start on September 11,
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,
�.r�v i���
Ram Tlwan (Oct 1, 20240852 CDT)
RAM TIWARI P.E., Project Manager
Cc: EDDIE WALKER, Inspector
MIKE GLOVER, Inspection Supervisor
DAIEL ROY, Senior Inspector
ANDREW GOODMAN, Program Manager
PELETON LAND SOUTIONS, Consultant
GILCO CONTRACTING,INC., Contractor
D R HORTON TX,LTD, Developer
File
E-Mail: TPW_Acceptance@fortworthtexas.gov
Rev. 8/20/19
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 Rob Taylor,
Accounts Receivable of Gilco Contracting, 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, Texas has been paid in full;
That there are no claims pending for personal injury and/or
property damages;
On Contract described as Paving Improvements to serve:
Cedarbrook at Beltmill Phase 5
�,.� ' � ,�.%,.:
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BY: Rob Taylor
Subscribed and sworn before me on this 29th of Ma�_, 2024.
......�.�...�..__...
�� �+r ' KASSANDRACANALES
�� `,�`�R�.���a.�
� =��" �:`�_Notary Public, State of Texas
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} %,,,����,� Notary ID 134158873
Notai u ic
Tarrant County, TX
CONSENT OF
SURETY COMPANI�'
TO FiNAL PAYMENT
Conforms with the American tnstitute of
Architects, AIA Document G707
OWIVER ❑
ARCHITECT ❑
CONTRACTOR ❑
SURETY ❑
OTHER
Bond No 022235998
PROJECT:
(name, 8dd�eSS�Cedarbrook at Beltmill Phase 5- Paving Improvements
Fort wortn Tx
TO (Owner)
ID.R. HORTON — TEXAS, LTD AND CITY OF FORT � ARCHITECT'S PROJECT NO:
WORTH CONTRACT FOR:
6751 North Freeway Cedarbrook at Beltmill Phase 5- Paving Improvements
Fort wortn TX 76131 �f CONTRACT DATE:
CONTRACTOR: GILCO CONTRACTING, INC.
In accordance with the provisions of the Contract between the Owner and the Contractor as indicated above, the
(here insert nama and address of Surety Company)
LIBERTY MUTUAL INSURANCE COMPANY
175 Berkeley Street
Boston MA 02116 , SURETY COMPANY
on bond of (here insert narne anci address of Contractor)
GILCO CONTRACTING, INC.
6331 Southwest Boulevard
Benbrook TX 76132 , 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 (hare insert name and address of Owner)
D.R. HORTON - TEXAS, LTD A ND CITY OF FORT WORTH
6751 North Freeway
Fort Worth TX 76131
as set forth in the said Surety Company's bond.
IN WIT'NESS, WHEREOF,
the Surety Company has hereunto set its hand this 29th day of May, 2024
, OWNER,
LIBERTY MUTUAL INSURANCE COMPANY
Surety Company
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Attest t�. ,�,,:, �2 �� . `%_ � � �
(Seal) �`�°� �� � � `'`�``-"" - Signa�uthorized Representative
Sophinie Hunter Attorney-in-Fact
Title
NOTE: This lorm is to be usad as a companion document to AIA DOCUMENT G706, CONTRAC70R'S AFFIDAVIT OF PAYMENT OF DEBTS AND CLAIMS,
Current Edition _
ONEPAGE
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This Power of Attorney limits the acts of those named herein, and they have no authority to
bind the Company except in the manner and to the extent herein stated.
Liberty Mutual Insurance Company
The Ohio Casualty Insurance Company
West American Insurance Company
POWER OF ATTORNEY
KNOWN ALL PERSONS BY THESE PRESENTS: That The Ohio Casualty Insurance Company is a corporation duly organized untler the laws of the State of New Hampshire, that
Liberty Mutual Insurance Company is a corporation duly organized under the laws of the State of Massachusetts, and West American Insurance Company is a corporation duly organized
under the laws of the State of Indiana (herein collectively called the "Companies"), pursuant to and by authority herein set forth, does hereby name, constitute and appoint, Don E.
Cornell; Joshua Saunders; Kelly A. Westbrook; Mikaela Peppers; Ricardo J. Reyna; Robbi Morales; Sophinie Hunter; Tina McEwan; Tonie Petranek
Certificate No: 8205467-022020
all of the city of Dallas state of TX each individually if there be more than one named, its true and lawful attorney-in-fact to make,
execute, seal, acknowletlge and tleliver, for and on its behalf as surety antl as its act and deed, any and all undertakings, bonds, recognizances antl other surety obligations, in pursuance
of these presents and shall be as binding upon the Companies as if they have been duly signed by the president antl attested by the secretary of the Companies in their own proper
persons.
IN WITNESS WHEREOF, this Power of Attorney has been subscribed by an authorized officer or offcial of the Companies and the corporate seals of the Companies have been affixetl
thereto this 23rd day of April , 2021 .
State of PENNSYLVANIA
County of MONTGOMERY
Liberty Mutual Insurance Company
P� �NSURQ P�SY �NSUR a�Nsu,pq The Ohio Casualty Insurance Company
,�0 4pRP�Rql y� yJ GOaP�R4T 9.L �P VOaP�R4T ti�, West American Insurance Company
J? Focn Q3 Fo n �3 Foc� /;
� 1912 a o 1919 � � 1991 0 ,� f�j,�r
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d s se a o sa i P r`� f,"?t'rr� f�-rs�,
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m,� * �� �yl * �� �M * �� By: ' ,� `"
David M. Carey, Assistant Secretary
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"� On this 23rd day of April 2021 before me personally appearetl Davitl M. Carey, who acknowledged himself to be the Assistant Secretary of Liberty Mutual Insurance �
� �o Company, The Ohio Casualty Company, and West American Insurance Company, and that he, as such, being authorized so to do, execute the foregoing instrument for the purposes �
�� therein contained bv sianina on behalf of the corporations by himself as a duly authorized officer. �
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IN WITNESS WHEREOF, I have hereunto subscribed my name and a�xed my notarial seal at King of Prussia, Pennsylvania, on the day and year first above written.
�� �* �. ., .r ,€ Commonwealth of Pennsylvania - Notary Seal
� �y Teresa Pastella, Notary Public �
Ntontgomery Caunry
�' My commission expires March 28, 2025 By • �,�� �����
;$ comm�ss�on��mbe���zaoaa TeresaPastella,NotaryPublic
i`�. � Member, Pennsylvania Association of Notades
.s
This Power of Attorney is made and executed pursuant to and by authority of the following By-laws and Authorizations of The Ohio Casualty Insurance Company, Liberty Mutual
Insurance Company, and West American Insurance Company which resolutions are now in full force and effect reading as follows:
ARTICLE IV— OFFICERS: Section 1 2. Power of Attorney.
Any offcer or other offcial of the Corporation authorized for that purpose in writing by the Chairman or the President, and subject to such limitation as the Chairman or the
President may prescribe, shall appoint such attorneys-in-fact, as may be necessary to act in behalf of the Corporation to make, execute, seal, acknowledge and deliver as surety
any antl all undertakings, bonds, recognizances and other surety obligations. Such attorneys-in-fact, subject to the limitations set forth in their respective powers of attorney, shall
have full power to bind the Corporation by their signature and execution of any such instruments and to attach thereto the seal of the Corporation. When so executed, such
instruments shall be as binding as if signed by the President and attested to by the Secretary. Any power or authority granted to any representative or attorney-in-fact under the
provisions of this article may be revoked at any time by the Board, the Chairman, the President or by the officer or officers granting such power or authority.
ARTICLE XIII — Execution of Contracts: Section 5. Surety Bonds and Undertakings.
Any officer of the Company authorized for that purpose in writing by the chairman or the president, and subject to such limitations as the chairman or the president may prescribe,
shall appoint such attorneys-in-fact, as may be necessary to act in behalf of the Company to make, execute, seal, acknowledge and deliver as surety any and all undertakings,
bonds, recognizances and other surety obligations. Such attorneys-in-fact subject to the limitations set forth in their respective powers of attorney, shall have full power to bind the
Company by their signature and execution of any such instruments and to attach thereto the seal of the Company. When so executed such instruments shall be as binding as if
signed by the president and attested by the secretary.
Certificate of Designation — The President of the Company, acting pursuant to the Bylaws of the Company, authorizes David M. Carey, Assistant Secretary to appoint such attorneys-in-
fact as may be necessary to act on behalf of the Company to make, execute, seal, acknowledge and deliver as surety any and all undertakings, bonds, recognizances and other surety
obligations.
Authorization — By unanimous consent of the Company's Board of Directors, the Company consents that facsimile or mechanically reproduced signature of any assistant secretary of the
Company, wherever appearing upon a certifed copy of any power of attorney issued by the Company in connection with surety bonds, shall be valid and bintling upon the Company with
the same force and effect as though manually affixed.
I, Renee C. Llewellyn, the undersigned, Assistant Secretary, The Ohio Casualty Insurance Company, Liberty Mutual Insurance Company, and West American Insurance Company do
hereby certify that the original power of attorney of which the foregoing is a full, true and correct copy of the Power of Attorney executed by said Companies, is in full force and effect and
has not been revoked.
IN TESTIMONY WHEREOF, I have hereunto set my hand and affixed the seals of said Companies this 29th day of May , 2024 .
P� INSURq P�SV INSUR � 1NS��,
j =GDµPORqTOi'm �J=4�0.PORq Q92� pPGp4tP0ljqrO2R\
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� 1912 � 0 1919 � � 1991 0 ��,��,��„��+�-w.
r 9,, �" 3 i yF r" ° a 3 BY:
d�, sq�„„s� aa °`�aqMPs� aa �s �ND�pNP ,aa Renee C. Llewellyn, Assistant Secretary
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TEXAS
IMPORTANT NOTICE
To obtain information or make a complaint
You may call toll-free for information or to
make a complaint at
1-877-751-2640
You may also write to:
2200 Renaissance B lvd., Ste. 400
King of Prussia, PA 19406-2755
You may contact the Texas Department of
Insurance to obtain information on companies,
coverages, rights or �omplaints at
1-800-252-3439
You may write the Texas Department of Insurance
Consumer Protection (111-1 A)
P. O. Box 149091
Austin, TX 78714-9091
FAX: (512) 490-1007
Web: htt�p://www.tdi .texas. o�v
E-mail: ConsumerProtection(a�tdi.texas.gov
PREMIUM OR CLAiIM DISPUTES:
Should you have a dispute concerning your
premium or about a claim you should first
contact the agent or call 1-800-843-6446.
If the dispute is not resolved, you may contact the
Texas Department of Insurance.
ATTACH THIS NO"I'ICE TO YOUR
POLICY:
This notice is for information only and does not
become a part or condition of the attached
document.
TEXAS
AVISO IMPORTANTE
Para obtener informacion o para someter una
queja:
Usted puede llamar al numero de telefono gratis
para informacion o para someter una queja al
1-877-751-2640
Usted tambien puede escribir a:
2200 Renaissance Blvd., Ste. 400
King of Prussia, PA 19406-2755
Puede comunicarse con el Departamento de
Seguros de Texas para obtener informacion
acerca de companias, coberturas, derechos o
quejas al
1-800-252-3439
Puede escribir al Departamento de Seguros
de Texas Consumer Protection (ll 1-lA)
P. O. Box 149091
Austin, TX 78714-9091
FAX # (512) 490-1007
Web: http://www.tdi.texas. o�v
E-mail: ConsumerProtection(a�tdi.texas. o�v
DISPUTAS SOBRE PRIMAS O RECLAMOS:
Si tiena una disputa concerniente a su prima o a
un reclamo, debe comunicarse con el agente o
primero. Si no se resuelve la disputa, puede
entonces comunicarse con el departamento (TDI)
UNA ESTE AVISO A SU POLIZA:
Este aviso es solo para proposito de informacion
y no se convierte en parte o condicion del
documento adjunto.
NP 70 68 09 Ol
LMS-15292 10/15