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Contract 58968-FP1
FORTWORTH, PARK & RECREATION DEPARTMENT NOTICE OF PROJECT COMPLETION -FP1 City Secretary No. 58968 Date Received: 11/14/2024 City Project JV!?: 102319 & 102324 Regarding contract 58968 McPherson & Deer Meadow Park Improvements for as required by the PARK & RECREATION DEPARTMENT as approved by City Council on 12/13/2022 through M&C 22-1067 the director of the PARK & RECREATION DEPARTMENT upon the recommendation of the Assistant Director of the Park & Recreation Department has accepted the project as complete. Original Contract Prices: 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 L Recommended for Acceptance Asst. Director, PARK & RECREATION DEPARTMENT Y Accepted Director, PARK & RECREATION DEPARTMENT Asst. City Manager Comments: $ 1,191,505.50 $ 0.00 No 1 $ 1,191,505.50 $1,145, 242.32 Days @ $650.00/ Day $ 1,145,242.32 $ 1,087,030.20 $ 58,212.12 Nov 13, 2024 Date Nov 14, 2024 Date Nov 14, 2024 Date OFFICIAL RECORD CITY SECRETARY FT. WORTH, TX C-620 Signature Page Contractor's Application for Payment To (Owner), City of Fort Worth Invoicing Period (From - To): 02/01/2024 - 02/29/2024 P. 0. FW080-0000011606 Number: Project: 102319 & 102324 City Secretary Contract 58968 Number: Approved Change Orders Number 1 2 3 4 5 6 7 8 TOTALS NET CHANGE BY CHANGE ORDERS Contractor's Certification Application For Payment Change Order Summary From (Contractor): Northstar Construction LLC Contractor's CFW Vendor No.: 0000009565 202302-10 Final Invoice No. Retainage Release Invoice Date: 9/5/2024 Remit to (If Not Automatic Deposit) co me Naame:: Park Improvements at: McPherson Park & Deer Meadow Park 1. ORIGINAL CONTRACT PRICE............................................................ $ $1,191,505.50 Additions Deletions 2. Net change by Change Orders.................................................................. $ $0.00 $20,831.19 $20,831.19 3. Current Contract Price (Line 1 f 2)........................................................ $ $1,191,505.50 4. TOTAL COMPLETED AND STORED TO DATE (Progress Estimate, Construction Allowance and Change Orders)...... $ $1,145,242.32 5. RETAINAGE: $20,831.19 $0.00 $20,831.19 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 L"Ca f— fly Lucas Heimlich (Oct 24, 2024 09:45 CDT) a. X $1,145,242.32 Work Completed.......... $ b. X Not Used $ c. Total Retainage (Line 5a + Line 5b)................................ $ 6. AMOUNT ELIGIBLE TO DATE (Line 4 - Line 5c).............................. $ $1,145,242.32 7. LESS PREVIOUS PAYMENTS (Line 6 from prior Application)........, $ $1,087,030.20 8. AMOUNT DUE THIS APPLICATION .................................................. $ $58,212.12 9. BALANCE TO FINISH, PLUS RETAINAGE (Column G on Progress Estimate+ CA + COs + Line 5 above) .............. $ $46,263.18 10. CONTRACT TIME: a. b. C. d. e. Consent of Surety Affidavit of Bills Paid Days Awarded 180 Days Added by CO 7 Total Days 187 Days Charged 187 Days Remaining 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 Estimate Progress Estimate CaySeoretary 58968 Contract Nam For (contract): Park Improvements at: McPherson Park & Deer Meadow Park Application P-od: 02/01 /2024 - 02/29/2024 A B Item Specuficahon Unit of Bid Quantty Unit Price But Value Bid Item No. Description Section No. Measure I Unit I: Base Bid Item - McPherson Park I 1-01 Project Sian 015813 EA 1.000OOf $7000ii $700.00 I 1-02 Demo & Site Cleanno f See Pace 9 thru 13 of 271 0241 13 LS 1.000000 $43.000 0 $43.000 00 I 1-03 5" Concrette fSee Pace 4 thru 8 of 271 321320 SF 23550.000000 $7 S,J $173,092 50 [•W�°elk nd 321320 LS 1.000000 ram 5 �BvareualnodeFrootgp See Pace 8 of 27) SEFA 530.000000 I 1-06 Pla aeroua am 3213200 $1.500 ODU $�.90000 14" Concrete Plaground Containment Edge (Mow Strip) (See Page 8 of 27) 32 13 13 1-07 LF 295.000000 .1.00 $12.095.00 I 1-08 6' CFW Bench (See Pace 8 of 271 11 67 13 EA 2 00000 $2.650.00 $5.300.00 I 1-09 Plavaround Eauioment (See Pace 21 of 271 116814 LS 1 OOOOOii $182.000.00 $182.000.00 Playground Surfacing (Engineered Wood Fiber) (See Page 21 & 25 of 27). 116915 1-10 I 1-11 Proposed Plavaround Drainaae Svstem (See Pace 13 of 27). 11 6612 SF LS 5543.000000 1.00000(I $5.50 $4,300 Oil $30.486 50 $4.300 00 I 1-12 Site Erosion Control / Con,S Eif a (See Pace 14 of 271 31 2500 LS 1.00000d $15,400 Od $15,400 00 I 1-13 rio Tree Protection (See Pace 9�hru 13 of 271� 31 1000 LS 1.0000od $2,900 Oil $2,900 00 Playground and 8' Concrete Trail - Site Mass Grading (See Page 9 thru 13 31 23 16 32 1-14 of 27) 91 19 LS 1 000000 $28.000.00 $28.000.00 Playground and Walk - Grass Establishment (See Page 2, 9 thru 13 of 27). 32 92 13 1-15 I LS 1.000000 $32.000 00 $32.000 00 I Unit II: Base Bid Item - Dear Mead- Park I 2-01 I 2-02 Prot Sian Sian Relocation & Site Clearina ( See Pace 16 & 17 of 27) 01 5813 0241 13 EA LS 1.0000od 1.00000(d $700 0i/i/ $23.000 $700.00 $23,000 00 I 2-03 5" Concrete Walk fSee Pace 16 & 17 of 27) 32 13 20 SF 16940.00000l1 35 �$ $71 $124,509 00 I 2-04 5" Concrete Walk and P@vorQand �ntr�{�,fr (See Paae 16 & 17 of 271 32 13 20 SF 485.0000011 $8 3U $4.025 50 I 2-05 ADA Plavaround RamD (Bee Paae 1F of 271 321320 EA 1.0000od $1.100 0i1 $1,100 00 14" Concrete Plaground Containment Edge (Mow Strip) (See Page 16 of 3213 13 2-06 27) LF 2/5000000 $41.00 $12.095.00 I 2-07 6' CFW Bench (See Pace 16 of 27) t 1 67 13 EA 200000 i $2,650.00 $5.300.00 I 2-08 Plavaround Eauioment (See Pace 21 of 271 116814 LS 1 OOOOOii $182.000.00 $182.000.00 Playground Surfacing (Engineered Wood Fiber) (See Page 21 & 25 of 27). 116915 2-09 SF 5545.000000 $5.50 $30.497 50 I 2-10 Proposed Plavaround Drainaae Svstem (See Pace 18 of 27). 116915 LS 1.0000od $4.3000 ii $4,300 00 I 2-11 6' CFW Bench & Concrete Pad (See Pace 16 & 17 of 27) 116713 EA 4.00000d $3.200 $12,800 00 8' HC Table, One (1) Grills, & 312 SF of 5" Concrete Pad (See Page 16 of 116713 2-12 27). LS 1000000 $6.900.00 $6.900.00 Two (2) 6' Picnic Table, Two (2) Grills, & 515 SF of 5" Concrete Pad (See 116713 2-13 Paae 17 of 27). LS 1.000000 $13.700 00 $13.700 00 I 2-14 Propose Backstop (See Pace 17 of 27). 116713 EA 1.00000d $2.950 Oii $2.950 00 SiteTree motion ControlConalwlaj p Ec6mpce (See Pape 20 of 271 31 25 00 LS 1.00000d $8,300 Oil $8,300 00 I 2-15 n (See Pace i8&i9 t12277 312500 LS I00000(i $5000ii $500.00 Playground, 8' Concrete Walk, Picnic Areas, Bench Areas & 31 23 16 31 Baseball/Soccer Practice Fields - Site Mass Grading (See Page 18 & 19 of 23 23 32 91 2-17 27) 19 LS 1000000 $24.500.00 $24.500.00 Playground, Concrete Walk, Picnic Areas, Bench areas & Baseball/Soccer 119113 Practice Fields - Grass Establishment (See Page 2, 18,19 of 27). 2-18 I LS 1.000000 $24,00000 $24,00000 I Unit I: Alternate Bid Items - McPherson Park 6' CFW Bench & Concrete Pad (See Page 4 thru 7 of 27) 11 67 13 32 13 1-21 20 EA 6000000 $3,200.00 $19.200.00 I 1-26 Alt. Walk - 5" Concrete Walk (See Pace 7 of 271 32 1320 SF 5630 OOOOOU $7.3' $41.380.50 Alt. Walk - Site Mass Grading (See Page 12 of 27). 31 23 16 32 1-27 9119 LS 1.000000 $5.10000 $5,10000 1-28 Alt. Walk - Grass Establishment (See Pape 2 & 12 of 27). 32 9213 LS 1.00000d $9,000 Oil $9,000 00 Alt. We - Site Erosion Control / Construction Entrance (See Page 14 of 31 25 00 1-29 27) LS 1000000 $3.700.00 $3.700.00 1-30 Rich of W av Walk - 5" Concrete Walk (See Pace 7 & 8 of 271 32 13 20 SF 1375 OOOOOU $9.00 $12.375.00 Righ of Way We - Site Mass Grading (See Page 12 of 27). 31 23 16 32 1-31 9119 LS 1.000000 $1.00000 $1,00000 1-32 Rich of Wav Walk - Grass Establishment (See Pape 2. 12 & 13 of 27). 32 9213 LS 1.00000d $3,400 Oil $3,400 00 Righ of Way We - Site Erosion Control / Construction Entrance (See 31 2500 1-33 Pape 14 of 27) LS 1000000 $1,100.00 $1.100.00 Propose Backstop (See Page 6 of 27). 11 67 13 32 13 1-34 20 FA 1.000000 $2,95000 $2,95000 Unit II: Alternate Bid Items - Deer Meadows Park Basketball Court - 1955 SF of 5" Concrete Pad/Walk & Purchase & 3213 13 32 2-16 Installation of Basketball Goal (See Pace 16 & 26 of 27). 1320 EA 1 000000 $20.000.00 $20.000.00 2-17 Basketball Court - 6' CFW Bench (See Pace 16 of 27) 11 67 13 EA 200000 i $2.650.00 $5.300.00 Basketball Court - Site Mass Grading (See Page 18 of 27). 31 23 16 32 2-19 9119 LS 1.000000 $1,20000 $1,20000 2-20 Basketball Court - Grass Establishment (See Pace 2 & 18 of 27). 32 92 13 LS 1.00000(J $850 Oil $850 00 I I Unit III- Alternate Bid Items -Allowance C Estimated Quantity Installed I 1.000000001 1 000000001 23550 000000001 1 000000001 1 000000001 rr rr rrlr rrrrlr Contractor's Application AvOication Number 202302-10 Final Retainage Release nualicatwn Date: 9/5/2024 D E F G Total Completed % Balance to Ftmsh Value Previously metalled Value Value This Penod Materials Presemly and Stored to Date (F) (B - F) Stored (not in C) (n+E) B I_ $700.00 1_ I $700001 $700.0ii 100.0% $43.000 001 $43,000 001 $43.000 W�Ji 1000% $173,092501 $173,092501 $173,0925UJ 1000% $1.500001 $1,500001 $1,5000 1000% $4,399 001 $4,399 001 $4.399 0 100 0% $1.100001 $1,100001 $1.1000ii 1000% $9.184.001 $9.184.001 $9.184.00 75.9% $2.911.00 $5.300.001 $5.300.001 $5.300.00 100.0% $182.000.001 $182.000.001 $182.000.00 100.0% $30,486 50I $30,486 50I $30.486 50 100 01 $4,300 001 $4,300 001 $4.300 OCi 100 0 $15,400001 $15,400001 $15.4000ii 1000% $2,900 001 $2,900 001 $2.900 OCi 1000% $28.000.001 $28,000.001 $28.000.00 100.0% $32,000001 I $32,000001 I $32,00000 1000% I $700.00 1 I $700001 $700.oii// 100.0% $23,000001 $23,000001 $23.goo 00J 1000% $112,245821 $112,245821 $112.2458j, 90.21 $12.263.18 $4,025 501 $4,025 501 $4,025 51000% $1,100001 $1, 100001 $1,1000ii 1000% $12.095.001 $12.095.001 $12.095.00 100.0% $5.300.001 15.300.001 $5.300.00 100.0% $182.000.001 $182,000.001 $182.000.00 100.0% $30,497 501 $30,497 50I $30.497 50 100 0% $4.300 001 $4,300 001 $4.300 Oii 100 0% $12,800 00 1 $12,800001 $12,8000ii 1000% $6.900.001 $6.900.001 $6.900.00 100.0% $13,700001 $13,700001 $13,70000 1000% $2.950 001 $2,950 001 $2.950 OB 100 0% $8,300 001 $8,300 001 $8.300 Oil 1000% $500.001 $500001 $500.0d 100.0% $24.500.00 $24.500.00 $24.500.00 100.0% $24,00000 I $24,00000 I $24,00000 1000% I $19.200.001 I $19,200.001 $19.200.00 100.0% $38.910.311 $38,910.311 $38.910.31 94.0% $2.470.19 $5,100001 $5,100001 $5.10000 1000% $9.000 001 $9,000 001 $9 OO Oii 1000% $3.700.001 $3.700.001 $3.700.00 100.0% $12.375.001 $12.375.001 $12,375.00 100.0% $1,000001 $1,000001 $1.00000 1000% $3,400001 $3,400001 $3.4000ii 1000% $1,100.00I $1,100.00I $1.100.00 100.0% I I $2.950.00 I $20.000.001 I $20.000.001 $20.000.00 100.0% $5.300.001 $5.300.001 $5,300.00 100.0% $1,200001 $1,200001 $1,20000 1000% $850.001 $850001 $850.oii 100.0% This document has been modified from its oughud 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 Estimate Progress Estimate IFm(contract): Park Improvements at: McPherson Park & Deer Meadow Park Application Period: 02/01 /2024 - 02/29/2024 A Item Specification Unit of Bid Item No. Description Section No. Measure I 3-04 McPherson Park Allowance NA LS I 3-08 Deer Meadows Park Allowance NA LS I 3-09 Deer Meadows Park Allowance NA LS I 3-10 Deer Meadows Park Allowance NA LS I 3-11 Deer Meadows Park Allowance NA LS I 3-12 Deer Meadows Park Allowance NA LS Cityseoretary 58968 Contract Noun Bid Quantity Unit Price 1.000000 $7.500 00 1.000000 $2.500 00 1.000000 $5,00000 1.000000 $7.500 00 1.000000 $10,00000 1.000000. $15,00000 B C D Bid Value Estimated Quantity Value installed $7.500 00 $2.500 00 $5.000 00 $7.500 00 $10,000 00 $15,000 00 Contractor's Application Appecatron Number 202302-10 Final Retainage Release Aualicatwn Dare: 9/5/2024 E F G Total Completed % Balance to Finish Materials Presently Previously metalled Value Value This Period (vot in C) and Stared W Date (P) (B - P) (D+E) B $7.500.00 $2.500.00 $5.000.00 $7.500.00 $10.000.00 $15.000.00 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 Estimate Progress Estimate Cityseoretary 58968 Contract Nom �Fm(contract): Park Improvements at: McPherson Park & Deer Meadow Park Application Period: 02/01 /2024 - 02/29/2024 A B Item Rid Itcm M1'o. Desorption specrficahco Unit of Bid Quantity Unit Price Bid Value Section No. Measure Totals C D Estimated Quantity Value Installed Contractor's Application A.Wiiiaron Number: 202302-10 Final Retainage Release Apphcatwn Dare: 9/5/2024 E F G Total Completed % Balance to Finish Materials Presently metalled Value Value This Period Stored (vot in C) and Stored W Date (P) (B - P) (D+E) B $1,123,411.13 $1,123,411.13 94.3% $68.094.37 This document has been modified from its onginal 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 Change Order Progress Estimate Construction Allowance Usage ADDITIONS For (contract): Park Improvements at: McPherson Park & Deer Meadow Park Cny Secretary 319 & 102 Contract Num: 58968 (Application Period: 02/01/2024 - 02/29/2024 A B C D Item Estimated Quantity Item Number Description speediest -Unit of Measure Quantity to Add Unit Price Addition Value Installed Value Section No. Unit 3 Alternate Bid Items - Allowance 3-13 Deer Meadows Park Gradin¢ Ls 1,00000000 $1.000.00 3-14 Deer Meadows Park Allowance L3 1,00000000 $1.500.00 TOtal9 Contractor's Application Apphcabon Number. 202302-10 Final Retainage Release Application Date: 9/5/2024 E F Total Completed / Balance to Fmosh Previously Value This Materials Presently Installed Value Perod Stored (not m C) and Stared Date ((B - P) (D+E)B B $1.000.00 100.0% $1.000.00 40.0% This document has been modified from its original form as an E]CDC document and the user did not highlight the mrshficatmos. You are encouraged to read the document carefully and consult Legal Counsel pnor lots executron. C-620 Change Order Progress Estimate Construction Allowance Usage CONSTRUCTION ALLOWANCE ITEMS TO BE REDUCED IF. (contmot). 319 & 102 Park Improvements at: McPherson Park & Deer Meadow Park IApplioatiot Period: 02/01/2024 - 02/29/2024 A B C D � Item Bid Item Number Description Sperdiesbou Unit ofMeasure Quantityto Delete Unit Price Reduction Value Nat Used Not Used Section No. Unit 3 Alternate Bid Items - Allowance 3-0. Deer Meadows Park Allowance LS 1.00000000 $2.500.00 $2.500.00 Totals $2.500.00 Contractor's Application Applioaboa Number: 202302-10 Final Retainage Release Application Date: 9/5/2024 E F Not Used Not Used Not Used Not Used Not Used Not Used This document has been modified from its original form as an EJCDC document and the user did not highlight the numbficabons. You are encouraged to read the document carefully and consult Legal Counsel poor to Rs execution. Progress Estimate Change Order Number I 1 ADDITIONS For (contract): 102319 & 102324 Park Improvements at: McPherson Park & Deer Meadow Park Application Period: 02/01/2024 - 02/29/2024 A Item Change Order Item Description No. McPherson Park 1-01 12"x26" Concrete Playground Edge 1-02 5" Concrete Walk 1-03 HC Pedestrian Ramp 1-04 ROW Clearing & Tree Removal (8 trces) 1-05 Miscellaneous Grading & Cleaning Dear Meadows Park 1-01 Atmos Pot Hole Survey 1-02 Basketball Totals City secretary 58968 Contract Num: B C D Addition Estimated Quantity Previously Value This Specification Unit of CO Quantity to Add Unit Price Change Order Installed Value Installed Value Period Section No. Measure Value -PARD LF 71.00000000 $92.00 _ $6,532.00 71.00000000 $6,532.00 $6,532.00 -PARD SF 91.49900000 $7.35 $672.52 91.49900000 $672.52 $672.52 -PARD LS 1.00000000 $1,900.00 $1,900.00 1.00000000 $1,900.00 $1,900.00 -PARD LS 1.00000000 $5,650.00 $5,650.00 1.00000000 $5,650.00 $5,650.00 -PARD LS 1.00000000 $1,076.67 $1,076.67 1.00000000 $1,076.67 $1,076.67 -PARD LS 1.00000000 $4,125.00 $4,125.00 1.00000000 $4,125.00 $4,125.00 -PARD, LS 1.00000000 $875.00 _ $875.00 1.00000000 $875.00 $875.00 $20.831.19 C-620 Change Order Contractor's Application Application Number: 202302-10 Final Retainage Release Application Date: 9/5/2024 E F Total Completed / Balance to Finish Materials Presently and Stored to Date (F) (B - F) Stored (not in C) (D+E) B $6,532.00 100.0% $672.52 100.0% $1,900.00 100.0% $5,650.00 100.0% $1,076.67 100.0% $4,125.00 100.0% $875.00 100.0% $20.931.19 100.0% 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 Change Order Progress Estimate Change Order Number I 1 DELETIONS For (ountract): 102319 & 102324 Park Improvements at: McPherson Park & Deer Meadow Park (Application Period: 02/01/2024 - 02/29/2024 Item Change Order Item No. Description Unit I - Alternate Bid Items - McPherson Park 1-07 12"xl4" Concrete Playground Containment Has (deduct) 1-26 Alt. Walk - 5" Concrete Walk (deduct) 1-34 Propose Backstop (deduct) Unit III - Alternate Bid Items - Allowance 3-04 McPherson Park Allowance 3-09 Deer Meadows Park Allowance I Totals B C co Quantity to Deletion Specification Unit of Delete Unit Price Change Order Not Used Section No. Measure Value PARD SF 71.00000000 941.00 $2.911.00 PARD SF 336.08000000 $7.35 $2.470.19 PARD EA 1.00000000 $2.950.00 $2.950.00 PARD LS 1.00000000 $7.500.00 $7.500.00 PARD LS 1.00000000 $5.000.00 $5.000.00 $20.931.19 Contractor's Application Application Number: 202302-10 Final Retainage Release Application Date: 9/5/2024 D E F Not Used Not Used Not Used Not Used Not Used Not Used Not Used This document has been modified from its original form as an EJCDC document and the user did not highlight the modifications. You are encomaged to read the document carefully and consult Legal Counsel prior to its execution. City of Fort Worth Summary of Charges City Secretary Contract Num: 58968 I Park Improvements at: McPherson Park & Deer Meadow I P o : FW080-0000011606 Project Number: 102319 & 102324 Park I` Application Period: 02/01/2024 - 02/29/2024 I Appl 12-10 Final Retainage Application Date: 9/5/2024 Number:ication Funding Identification (FID) Total Completed Amt Remaining Gross Retainage Net Ori_ginaI Contract 130110-0800450-5740010-1023 4-004780 (Deer Meadow Reserve Park $119,856.52 $12,622.49 $1,000.03 $1,000.03 1 134018-2060000-102319-RETAIN $20,676.31 $20,676.31 130110-2060000-102319-RETAIN $11,472.60 $11,472.60 134018-2060000-102324-RETAIN $19,009.98 $19,009.98 130110-2060000-102324-RETAIN $6,053.20 $6,053.20 10 10 10 10 10 Change Order 1 130110-0800450-5740010-102324- 04780 (Deer Meadow Reserve Park 1 34018-2060000-102319-RETAIN 1 30110-2060000-102319-RETAIN 1 34018-2060000-102324-RETAIN 1 30110-2060000-102324-RETAIN 10 10 10 10 10 Change Order 2 130110-0800450-5740010-102324- 04780 (Deer Meadow Reserve Park 1 34018-2060000-102319-RETAIN 1 30110-2060000-102319-RETAIN 1 34018-2060000-102324-RETAIN 1 30110-2060000-102324-RETAIN 10 10 10 10 10 City of Fort Worth Summary of Charges City Secretary Contract Num: 58968 I Park Improvements at: McPherson Park & Deer Meadow I P o : FW080-0000011606 Project Number: 102319 & 102324 Park I` Application Period: 02/01/2024 - 02/29/2024 I ApplNumber:ication 12-10 Final Retainage Application Date: 9/5/2024 Funding Identification (FID) Total Completed Amt Remaining Gross Retainage Net I Totals 130110-0800450-5740010-102324-004780 (Deer Meadow Reserve Park 1 34018-2060000-102319-RETAIN 1 30110-2060000-102319-RETAIN 1 34018-2060000-102324-RETAIN 1 30110-2060000-102324-RETAIN 10 10 10 10 10 $119,856.52 $12,622.49 $1,000.03 $1,000.03 $20,676.31 $20,676.31 $11,472.60 $11,472.60 $19,009.98 $19,009.98 $6,053.20 $6,053.20 Grand Total 1 1 $119,856.52 1 1 $12,622.49 1 1 $1,000.03 1 1 $0.00 1 1 $58,212.12 1 FORTWORTH. TRANSPORTATION AND PUBLIC WORKS October 10, 2024 NorthStar Construction, LLC 2112 Solona Street Fort Worth, Tx 76117 RE: Acceptance Letter Project Name: Park Improvements at: McPherson Park & Deer Meadow Park. Project Type: Park Improvements City Project No.: 102319 & 102324 To Whom It May Concern: On December 14, 2023 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- 392-5734. Sincerely, F; ii) alel Carlos Gonzalez, Project Manager Cc: Cristobal Fuentes, Inspector Mike Glover, Inspection Supervisor Randy Horton, Senior Inspector Joel McElhany, Program Manager Parks & Recreation, Consultant NorthStar, Contractor City of Fort Worth, Developer File E-Mail: TPW_Acceptance@fortworthtexas.gov 0 Before & After Pictures 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 Michael A. Heimlich, President Of Northstar Construction, LLC, 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; CPN #102319 & 102324, Park Improvements at McPherson Park & Deer Meadow Park //J BY �Q f`� Lv ti J. Michael A. Heimlich, President Subscribed and sworn before me on this date 4"' of September, 2024. - +•••.++ ++taxi ta�t.�ta:ik�tac:aa:§TINItZ r. a S�PnY PU6G SANDY U. MA�IiiN�� ID #6930887 Notary Pu i y s, 5 My Commission Expires 4�°F October 06, 2026 Tarrant County..,,.....>.................�.............. State of Texas CONSENT OF OWNER ❑ SURETY COMPANY ARCHITECT ❑ TO FINAL PAYMENT CONTRACTOR ❑ SURETY ❑ AIA DOCUMENT G707 OTHER Bond No. SUR0075462 PROJECT: PARK IMPROVEMENTS AT McPHERSON PARK & DEER MEADOWS PARK, (name, address) Fort Worth, TX TO (Owner) [ City of Fort Worth ] ARCHITECT'S PROJECT NO: 200 Texas Street Fort Worth, TX 76102 CONTRACT FOR: [ ] CONTRACT DATE: December 13, 2022 CONTRACTOR: Northstar Construction, LLC 2112 Solona Street Fort Worth, TX 76117 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) Northstar Construction, LLC 2112 Solona Street ,CONTRACTOR, Fort Worth, TX 76117 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 1st Attest: f y"� y_ (Seal): day of April Argonaut Insurance Company Surety Company L 'a g Signature of Authorized Repre ntative Sandra Lee Roney Title ,OWNER, 2Q24 Attornev-In-Fact NOTE: This form is to be used as a companiol+dccUment.to .AIA DOCUMENTG706, CONTRACTOR'S AFFIDAVIT OF PAYMENT OF DEBTS AND CLAIMS, Current Edition AIA DOCUMENT G707 • CONSENT OF SUi F.-b COMPANY Tn FIMA-L-TAYMENT • APRIL 1970 EDITION • AIA® ONE PAGE © 1970 • THE AMERICAN INSTITUTE OF ARCHITO&S, 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: F.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 of Illinois and having its principal office in the County of Cook, Illinois does hereby nominate, constitute and appoint: Trov Russell Kev. Debra Lee Moon. Andrea Rose Crawford_ Sandra Lee Ronev. Colin E. Conly, Allvson W. Dean, Emil,/ Allison Mikeska. Thomas Douglas Moore. Monica Rubv Veazey John R. Ward Their true and lawful agent(s) and attomey(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 dther=undertakings in suretyship provided, however, that the penal sum of any one such instrument executed hereunder shall not exceed the sum of $107,116-000.00 This Power of Attorney is granted and is signed and sealed under and by the authority of the follow ng Resolution adopted by the Board of Directors of Argonaut Insurance Company: "RESOLVED, That the President, Senior Vice President, Vice President, Assistant Vice Presidet Secretary, Treasurer and each of them hereby is authorized to execute powers of attorney, and such authority can be executed by use of facsimile `signature, which may be attested or acknowledged by any officer or attorney, of the Company, qualifying the attorney or attorneys namedjn they giveri,,power of attorney, to execute in behalf of, and acknowledge as the act and deed of the Argonaut Insurance Company, all bond undertakings,anJrnntracts of suretyship, and to affix the corporate seal thereto." IN WITNESS WHEREOF, Argonaut Insurance Company has caused itsi authorized officer on the 19th day of November, 2021. a�. to be hereunto affixed and these presents to be signed by its duly Argonaut Insurance Company SEAL by: 1948 uN.. STATE OF TEXAS 6 i� 1?• Y ` Gary E. Grose President COUNTY OF HARRIS SS: "......" On this 19th day of November, 202;1`A D�, before me, a Notary Public of the State of Texas, in and for the County of Harris, duly commissioned and qualified, came THE ABOVE OFFICER Wf1-IE COMPANY, to me personally known to be the individual and officer described in, and who executed the preceding instrument, and he acknowledged the execution of same, and being by me duly sworn, deposed and said that he is the officer of the said Company aforesaid, and that the seat`a�gd to the preceding instrument is the Corporate Seal of said Company, and the said Corporate Seal and his signature as � §. officer were duly affxefand su'tscribed to the said instrument by the authority and direction of the said corporation, and that Resolution adopted by the Board of Directois''of'said=Colnpany, referred to in the preceding instrument is now in force. IN TEST1N10$YV HEREOF, I have hereunto set my hand, and affixed my Official Seal at the County of Harris, the day and year first above written. ,k iu KATHr_EEN M -F- -P` P... ...... STATE OF TEXAS � o.� MY CQMM. EXP, 07/t5/25 osh NOTARY ID 557302-8 (Notary Public) I, the undersigned Officer of the Argonaut Insurance Company, Illinois Corporation, do hereby certify that the original POWER OF ATTORNEY of which the foregoing is a full, true and correct copy is still in full force and effect and has not been revoked. IN WITNESS WHEREOF, I have hereunto set my hand, and affixed the Seal of said Company, on the i St day of April 2024 A1/ 1tr49--- 2; ....... _ = Austin W. King Secretary IF YOU HAVE QUESTIONS ON AUTHENTICITY OF THIS DOCUMENT CALL (833) 820 - 9137. IMPORTANT NOTICE To obtain information or make a complaint: You may call Argonaut Insurance Company and its affiliates by telephone for information or to make a complaint: ARGONAUT INSURANCE COMPANY Please send all notices of claim on this bond to: Argo Surety Claims (413) 773-6359 Deliveries Only: 225 W. Washington, 24th Floor, Chicago, IL 60606 United States Postal Service: P.O. Box 469011, San Antonio, TX 78246 You may contact the Texas Department of Insurance to obtain information on companies, coverages, rights or complaints at: (512) 490-1007 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: ConsumerProtection(&tdi.state.tx.us PREMIUM OR CLAIM DISPUTES: Should you have a dispute concerning your premium or about a claim you should contact your agent or Argo Surety first. If the dispute is not resolved, you may contact the Texas Department of Insurance. ATTACH THIS NOTICE TO YOUR BOND: This notice is for information only and does not become a part or condition of the attached document and is given to comply with Texas legal and regulatory requirements. Park Improvements at McPherson Park & Deer Meadows Park Before & After Pictures McPherson Park (CD8) — Before 2023 McPherson Park (CD8) —After 2024 Park Improvements at McPherson Park & Deer Meadows Park Before & After Pictures Deer Meadow Park (CD8) — Before 2023 lilm-k 4NOW .00 A` Deer Meadow Park (CD 8) — After 2024