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Contract 58376-FP3
FORT WORTH. -FP3 City Secretary 58376 Contract No. Date Received 11/7/2024 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 4-13 City Project No.: 103865 Improvement Type(s): ❑ Paving ❑x Drainage ❑ Street Lights ❑ Traffic Signals Original Contract Price: $1,367,852.10 Amount of Approved Change Order(s): $0.00 Revised Contract Amount: $0.00 Total Cost of Work Complete: $1,367,852.10 Kevin c�er" Y�korn(Nov7, 202407:34 CST) Nov 7� 2024 Contractor Date Executive VP of Operations Title PCI Company Name Steve Tohnson Nov 7 2024 Steve Johnson (Nov 7. 202416:09 CST) Project Inspector Date Moradage Moha�srrdeeti,�E Project Manager Date Nov 7, 2024 Ra��— lNov 7. 1041 S-17 CSTl CFA Manager Date �� Nov 7, 2024 TPW Director Date �v Nov 8, 2024 Asst. City Manager Date OFFICIAL RECORD CITY SECRETARY FT. WORTH, TX Page 1 of 2 Notice of Project Completion Project Name: Tradition, phase 4-B City Project No.: 103865 City's Attachments Final Pay Estimate ❑x Change Order(s): ❑ Yes ❑x N/A Contractor's Attachments Affidavit of Bills Paid Consent of Surety a Statement of Contract Time Contract Time 120 WD Days Charged: 240 Work Start Date: 8/14/2023 Work Complete Date: 10/08/2024 Completed number of Soil Lab Test: 864 Completed number of Water Test: 29 Page 2of2 FORT WORTH CITY OF FORT WORTH FINAL PAYMENT REQUEST Contract Name TRADITION, PHASE 4B Contract Limits Project Type DRAINAGE City Project Numbers 103865 DOE Number 3865 Estimate Number 1 Payment Number 1 City Secretary Contract Number Contract Date For Period Ending 10/8/2024 WD Project Manager NA Contractor PCI CONSTRUCTION, INC. P.O. BOX 2967 McKINNEY , TX 75070 Inspectors D. WATSON / S. GARCIA Contract Time 12WD Days Charged to Date 240 Contract is 100.00 Complete Wednesday, October 23, 2024 Page 1 of 4 City Project Numbers 103865 Contract Name TRADITION, PHASE 4B Contract Limits Project Type DRAINAGE Project Funding UNIT M. STORM DRAIN FACKRIES Item No. 23 24 25 26 27 28 29 30 31 32 33 34 35 36 41 37 38 39 40 41 42 Description of Items Estimated Unit Quanity MEDIUM RIPRAP, DRY 10 SY TRENCH SAFETY 3323 LF CONCRETE COLLAR 8 EA 21" RCP, CLASS III 312 LF 24" RCP, CLASS III 528 LF 27" RCP, CLASS III 341 LF 30" RCP, CLASS III 575 LF 36" RCP, CLASS III 134 LF 42" RCP, CLASS III 214 LF 48" RCP, CLASS III 493 LF 54" RCP, CLASS III 391 LF T STORM JUNCTION BOX 4 EA 5' STORM JUNCTION BOX 2 EA T MANHOLE RISER 3 EA 42" SET, 1 PIPE 1 EA 10' CURB INLET 10 EA 15' CURB INLET 6 EA 20' CURB INLET 2 EA Y DROP INLET 2 EA 9' x 5' R.C.B.. CLASS III 726 LF CONCRERTE APRON 5 SY Sub -Total of Previous Unit DOE Number 3865 Estimate Number 1 Payment Number 1 For Period Ending 10/8/2024 Unit Cost Estimated Total $97.00 $970.00 $0.20 $664.60 $477.00 $3,816.00 $74.70 $23,306.40 $87.70 $46,305.60 $95.80 $32,667.80 $113.40 $65,205.00 $156.50 $20,971.00 $216.90 $46,416.60 $272.30 W4,243.90 $350.20 $136,928.20 $5,555.00 $22,220.00 $8,234.00 $16,468.00 $3,050.00 $9,150.00 $5,481.00 $5,481.00 $7,148.00 $71,480.00 $9,306.00 $55,836.00 $11,463.00 $22,926.00 $5,902.00 $11,804.00 $882.00 $640,332.00 $132.00 $660.00 $1,367,852.10 Completed Completed Quanity Total 10 $970.00 3323 $664.60 8 $3,816.00 312 $23,306.40 528 $46,305.60 341 $32,667.80 575 $65,205.00 134 $20,971.00 214 $46,416.60 493 $134,243.90 391 $136,928.20 4 $22,220.00 2 $16,468.00 3 $9,150.00 1 $5,481.00 10 $71,480.00 6 $55,836.00 2 $22,926.00 2 $11,804.00 726 $640,332.00 5 $660.00 $1,367,852.10 Wednesday, October 23, 2024 Page 2 of 4 City Project Numbers 103865 DOE Number 3865 Contract Name TRADITION, PHASE 413 Estimate Number 1 Contract Limits Payment Number 1 Project Type DRAINAGE For Period Ending 10/8/2024 Project Funding Contract Information Summary Original Contract Amount $1,367,852.10 Change Orders Total Contract Price $1,367,852.10 Total Cost of Work Completed $1,367,852.10 Less % Retained $0.00 Net Earned $1,367,852.10 Earned This Period $1,367,852.10 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 $1,367,852.10 Wednesday, October 23, 2024 Page 3 of 4 City Project Numbers 103865 Contract Name TRADITION, PHASE 4B Contract Limits Project Type DRAINAGE Project Funding Project Manager NA Inspectors D. WATSON / S. GARCIA Contractor PCI CONSTRUCTION, INC. P.O. BOX 2967 McKINNEY, TX 75070 DOE Number 3865 Estimate Number 1 Payment Number 1 For Period Ending 10/8/2024 City Secretary Contract Number Contract Date Contract Time 120 WD Days Charged to Date 240 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 $1,367,852.10 Less % Retained $0.00 Net Earned $1,367,852.10 Earned This Period $1,367,852.10 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 $1,367,852.10 Wednesday, October 23, 2024 Page 4 of 4 FORTWORTH. ,",Moo TRANSPORTATION AND PUBLIC WORKS October 21, 2024 PCI Construction, Inc. 5208 Tennyson, Pky, suit 130 Plano ,Texas. 75024 RE: Acceptance Letter Project Name: Tradition, phase 4-13 Project Type: Developer City Project No.: CPN 103865 To Whom It May Concern: On October 8, 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 October 10, 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 October 10, 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)392-2373. Sincerely, Motadage Mokaww(een,T.6. Arash Emami Saleh, Project Manager Cc: Steven Johnson, Inspector Donald Watson, Inspection Supervisor Aaron Ybarra, Senior Inspector Andrew Goodman, Program Manager Goodwin and Marshall, Consultant PCI Construction, Contractor Hines, Developer File E-Mail: TPW_Acceptance@fortworthtexas.gov Rev. 8/20/19 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 Eric M. Lindberg, VP of Finance 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 frill; That there are no claims pending for personal injury and/or property damages; On Contract described as; Water, Sanitary Sewer, Storm Drainage for Tradition 4B - CPN 103865 BY Eric M. Lindberg - VP of Finance Subscribed and sworn before n this date 17th of October, 2024. '�""°`•'°e''' BREE MI7CHELL Notary Public My Notary ID # 123944876 ".�E'�F iE+� Expires September 26, 2.02'7 Collin County, State of �" �•^. ,.,.' _ Texas CONSENT OF OWNER SURETY COMPANY ARCHITECT TO FINAL PAYMENT CONTRACTOR SURETY AIA DOCUMENT G707 OTHER PROJECT: Tradition Phase 4B, Ft Worth TX (name, address) TO (Owner) [ HT Hwy 114 Development L.P. c/o Hines Interests 2200 Ross Ave #4200W Dallas, TX 75201 CONTRACTOR: PCI Construction, Inc. P.O. Box 2967 McKinney, TX 75070 El El Bond No. 2340222 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 1200 Main St., Suite 800 ,SURETY COMPANY, 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) HT Hwy 114 Development L.P. c/o Hines Interests 2200 Ross Ave #4200W, Dallas, TX 75201 ,OWNER, as set forth in the said Surety Company's bond. IN WITNESS WHEREOF, the Surety Company has hereunto set its hand this 17th Attest: (Seal):�— day of October 2924 Swiss Re Corporate Solutions America Insurance Surety Company Signature of Authorized Representative Debra Lee Moon Title Attornev-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 AIA DOCUMENT G707 • CONSENT OF SURETY COMPANY TO FINAL PAYMENT • APRIL 1970 EDITION • AIAO 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 PREMIL'R INSURANCE CORPORATION ("SRCSPIC") WESTPORT INSURANCE CORPORATION ("WIC') GENERAL POWER Or 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 MOORS, EMILY ALLISON MIKESKA, ALLYSON W. DEAN, MONICA RUBY VEAZI Y, JOHN WILLIAM NEWBY, TROY RUSSELL KEY, DEBRA LEE MOON, ANDREA ROSE CRAWFORD, SANDRA LEE RONEY, FAITH ANN I llUrY, ANDREW GARI 111 ADDISON, PATRICK THOMAS COYLE, MICHAEL DONALD HENDRICKSON, BRYAN KELLY MOORS, ELIZ.ABF-1'11 OR'rlZ, ANA OWENS, nETrY 1 REEII, AND ANDREW PATRICK CLARK JOINTLY OR SEVERALLY Its true and lawfid 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 relating thereto by facsimile, and any such Power of Attorney or certificate bearing such facsimile signatures or facsimile seal shall be bindine upon the Corporation when so affixed and in the future with reeard to anv bond, undertaking or contract of surety to which it is attached." ,.";�\O13S PRffdtF o�JQRPof? Tl/% q F•. SG' cw : By '. V E ik Janssens, Scnior Vtcc President of SRCSAIC & Senior Vice President SEAL m ofSRCSPIC & Senior Vice President of WIC K%ha 4� pJ) Gerald Jagrosrski, Vice President of SRCSAIC & Vice President of SRCSPIC & Vice President of wlc IN WITNESS WI IEREOF, SRCSAIC, SRCSPIC, and WIC have caused their official seals to be hereunto affixed, and these presents to be signed by their authorized officers this 1 nth 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 11 th 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 Jaerowski , Vice President of SRCSAIC and Vice President of SPCSPIC and Vice President of WIC, personally known to me, who being by me duly sworn, 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. otCvu seA� CHRISTNA'MANiSCj NOTARY ptlBi iC STAJi OF ll M co, ti1o' t�Qntw{.d I, Jeffrev Goldbere. the duly elected Senior Vice President and Assistant Secretary of SRCSAIC and SRCSPIC and WIC, do hereby certify that tht; above an,1 foregoing is a true and correct copy of a Power of Attorney given by said SRCSAIC and SRCSPIC and WIC, which is still in full tbrce and effect. IN WITNESS WHEREOF, I have set my hand and affixed the seals of the Companies this 17th day of October , 20 24 Jeffrey Goldberg, Senior Vice President 1v Assistant Secretary of SRCSAIC and SRCSPIC and WIC IMPORTANT NOTICE In order to obtain information or make a complaint: You may contact the Surety Claims Department at 1-816-235-3702 You may call Swiss Re Corporate Solutions America Insurance Corporation or Swiss Re Corporate Solutions Premier Insurance Corporation for information or to make a complaint at: 1-816-235-3702 You may also write to Swiss Re Corporate Solutions America Insurance Corporation or Swiss Re Corporate Solutions Premier Insurance Corporation at the following address: 1200 Main Street, Suite 800 Kansas City, MO 64105 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: httn://www.tdi.state.tx.us E-mail:ConsumerProtection(&tdi.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. Para obtener informacion o para someter un queja: Puede comunicarse con Surety Claims Department al 1-816-235-3702. Usted puede Ilamar Swiss Re Corporate Solutions America Insurance Corporation o Swiss Re Corporate Solutions Premier Insurance Corporation para infonmacion o para someter una queja al: 1-816-235-3702 Usted tambien puede escribir a Swiss Re Corporate Solutions America Insurance Corporation o Swiss Re Corporate Solutions Premier Insurance Corporation al: 1200 Main Street, Suite 800 Kansas City, MO 64105 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: httn:///www.tdi.state.tx.us E-mail: Consu merProtection(ltdi.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.