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Home My WebLink AboutContract 58701-FP1.FORT WORTH® TRANSPORTATION AND PUBLIC WORKS NOTICE OF PROJECT COMPLETION -FPlCity Secretary No: 58701 Date Received: 121 12124 City Project N!!: 1 02931 Regarding contract 58701 , 2022 Bond Year 1 -Contract 5 for as required by the TRANSPORTATION AND PUBLIC WORKS DEPARTMENT as approved by City Council on 612212021 through M&C 21-0409 the director of the TRANSPORTATION AND PUBLIC WORKS DEPARTMENT upon the recommendation of the Assistant Director of the Transportation & Public Works Department has accepted the project as complete. Original Contract Amount: 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 Pafric;ia L-. wadsac;� Patricia L. Wadsack (Dec 6, 202410:17 CST) Recommended for Acceptance Asst. Director, TPW -Capital Delivery Lauren Prieur (Dec 6, 202410:24 CST) Accepted $ 5401,926.50 Days 400 $ 0.00 N9 _1_ Days Added by co_O __ $ 5,401,92 6.50 TotalDays 400 $ 4,571 ,700.06 Days Charged 378 __ Days@$ ____ / Day ---- $ 4,571,700.06 $ 4,343, 115.06 $ 228,585.00 Dec 6, 2024 Date Dec 6, 2024 Date Director, TRANSPORTATION AND PUBLIC WORKS DEPARTMENT Dec 6, 2024 Asst. City Manager Date Comments: C-620 Signature Page Contractor's App ' �o"°a`� City of Fort R'orth P ° FW020-009097 Number P��;�� 102931 Ciry Secratary Contract Cp,701 Number: J� \i � a � � � � � � NETCHANGE CHANGE ORDE Application For Payment Change Order Summary Additions $1500.00 $1500.00 ORIGINALWNTRACTPRICE .......................................................... $ $5,401,926.50 Netchange by Change Orders ................................................................. $ Curren[ Con[ract Price (Line 1 t 2) ........................................................ $ $5,401,926.50 TOTAL COMPLETED 9ND STORED TO D9TE (Progress Esfimate, Construc[ion Allowance and Change Orders)....... $ $4,571,700.06 RETAINAGE: a. X $4.�71,700A6 WorkComple[ed.......... $ b. X Not Used $ c. Total Re[ainage (Line Sa + Line 56) ................................ $ AMOUNT ELIGIBLE TO DATE (Line 4- Line Sc) ............................. $ $4,571,700.06 LESS PREVIOUS PAYMENTS (Line 6 from prior Application)......... $ $4,343,ll5.06 9MOUNT DUE THIS APPLIC9TION ................................................. $ S22S,585.00 BAL.4NCE TO FIMSH, PLUS RETAINAGE (Column G on Progrus Estima[e+ CA + COs + Line 5 above) ............... $ $83Q226.44 . CONTRACT TIME: n for Payment Invoice No. 17-FINAL oicing Period (From - To)�. Im oioc Date�. 10-1-24 to 10-31-24 11/5/2024 m(Conh-acto�): Rcmit Lo ( If Aot Aummatic Daposit )�. McClendon Construction Company rtracW�'s CFW Vendor No.- 0000007403 Conh"` 2022 Bond Year 1- Contract 5 Name- Dele[ions $1500.00 $1500.00 Contractor's Cerfi(ication The Contractor ce�fi6es ��tli the submittal of tliis document and associated Payment Request Submittal on the City of Fort Wortl� Buzzsa�� s:-stem tl�at to the best of their la�o�dedge- (1) all pre� ious progress payments recei� ed &om O��ier on accowrt of Work done wide� the Contract ha��e been applied on accowit to discharge Contracto�'s legifimate obligabons incurred in connection ��•itl� Work co� ered by prior Applications fo� Payment (2) bGe of all Wo�k. mate�ials and equipment incorporated in said Work o� othernise listed in or co�-e�ed by this Applicabon for Pa}m�ent ��•ill pass to O�tner at time of pa}ment free and clear of all Liens_ sacurih° interests and encwnb�ances (except such as a�a coceced by a Bond acceptabla to Oe°nec indemn�fi�fng Oe°nac agafnst any such Lfens_ secunty fnterest or enwmbeances): and (3) all Work eocered bv thfs Applicahon for Payment is fn accordance e°rth tl�e Conhac[ Documen[s and is not defectice. Liquida[ed Damages 5650.00 x day i� a, Days Awarded qp0 b, Days Added by CO �, To[al Days 4pp d, Days Charged 37g e, Days Remaining 22 � �� This document has been modifed from its original form as an EJCDC document and the user did not highlight the modifications. You are encouraged to read ihe document carefully and consult Legal Counsel prior to its execution. ,..._ i .� i �,,. i _._ _i ...�., � � �� e.i�a.. � .,�ii.� � `^". Cuuh�acror's A�plicunun � � � Cuuh�acror's A�plicunun Progress Esnmate , Cuuh�acror's A�plicunun o-sao cnaoaa o�ae� Progress Estimate Construction Allowance Usage Contractor's Application ADDITIONS o-sao cnaoaa o�ae� � � � � � � � � � � � � � � � � o-sao cnaoaa o�ae� Progress Estimate Cons[ruction Allowance Usage Contractor's Application CONSTRUCTION ALLOWANCE ITEMS TO BE REDUCED ��°"••n- 102931 zoneuuaFearl-a�m�nars °on�°'"n". 17-H7NAL �'�'�a�°�� 10-1-2-Itu10.31-21 °o°�°" tV�/202-1 o-sao cnaoaa o�ae� Progress Estimate Change Order Number 0 Contractor's Application ADDITIONS F°"ioo1n°�- 102931 �0�2BuodYeu��l-conrc��e5 ' gy�Ut nwN""i66- 17-FP1AL Ce �1O°Veio°. IU-1-23tu1IH31-2J °O°Det L/5/2U2J I�z a �Q, 5,� uvtr. b�� d�� 1 It I _ o� "�^ �i.a..M1 o. �` E ..�, wu�e �� vu �. u�. � _,.... ,..�_ . ri e)� o-sao cnaoaa o�ae� � � � � � � � � � � � � � � � I o-sao cnaoaa o�ae� Progress Estimate Change Order Number 0 Contractor's Application DELETIONS '�"""`n- 102931 zone�uave.r�-a�mr;��rs „ww�,na_ 17-FP1AL w"a"� �a�-u�u�o-3�-zi w°," �vyzuz� m� ,.�oiocuNsreucrwN.ai.�omaN�.ea.a�wo� i. �.n�oo�w aio�o�o aisuo o-sao cnaoaa o�ae� Progress Esfimate Change Order Number 0 Contractor's Application ADDITIONS "°""'•n- 102931 zuzzBondl'rar�-cona�ay5 :x�m """N��"- 17- H7NAL °o°v"'°°. 10.1-2JtulU31-24 °o°D°" 11/'v2UZJ N�. �u �` � w�o� ��.�T � y ._�va. i�a�� .. ,. .� " ,.i. � . �,. . �.,� � ��e)� R c� , o-sao cnaoaa o�ae� - -----------�- o-sao cnaoaa o�ae� Progress Esfimate Change Order Number 0 Contractor's Application DELETIONS �w""".n- 102931 zone��ati�e:��i-c��m:�Ms '"wT'��'na- 17-H7NAL °o°v`"°°. 10.1-2JtolU31-24 °o°D°" 11/'v2UZJ o-sao cnaoaa o�ae� Progress Esfimate Change Order Number 0 Contractor's Applicafion "°""'•n- 102931 zuzzuonarrari-cona�ays :x�m � �''P "wN°",n"- 17-H7NAL °"°°°Veio°. 10.1-2JtolU31-24 "°°De" ll/:2oiJ ��,�„s�c..i��„ _u�� ,��.},,.�,: �:iFr�.� r.� e�� r i �.,�,.. � : ,�__, No °c °� ,.-0��N�. ��ns�a �� d ��, ��d w��-� � � _ o-sao cnaoaa o�ae� � � � � � � � � � � � � � � � � o-sao cnaoaa o�ae� Progress Esfimate Change Order Number 0 Contractor's Application DELETIONS �w""".n- 102931 zone��ati�e:��i-c��m:�Ms '"wT'��'na- 17-H7NAL °o°v`"°°. 10.1-2JtolU-31-24 "°°De" ll/:2oi4 o-sao cnaoaa o�ae� Progress Esfimate Change Order Number 0 Contractor's Application o-sao cnaoaa o�ae� � � � � � � � � � � � � � � � � o-sao cnaoaa o�ae� Progress Esfimate Change Order Number 0 Contractor's Application DELETIONS �w""".n- 102931 zone��ati�e:��i-c��m:�Ms '"wT'��'na- 17-H7NAL °o°v`"°°. 10.1-2JtolU-31-24 "°°De" ll/:2oi4 o-sao cnaoaa o�ae� Progress Esfimate Change Order Number 0 Contractor's Application o-sao cnaoaa o�ae� � � � � � � � � � � � � � � � � o-sao cnaoaa o�ae� Progress Esfimate Change Order Number 0 Contractor's Application DELETIONS �w""".n- 102931 zone��ati�e:��i-c��m:�Ms '"wT'��'na- 17-H7NAL °o°v`"°°. 10.1-2JtolU-31-24 "°°De" ll/:2oi4 o-sao cnaoaa o�ae� Progress Esfimate Change Order Number 0 Contractor's Application o-sao cnaoaa o�ae� � � � � � � � � � � � � � � � � o-sao cnaoaa o�ae� Progress Esfimate Change Order Number 0 Contractor's Application DELETIONS �w""".n- 102931 zone��ati�e:��i-c��m:�Ms '"wT'��'na- 17-H7NAL °o°v`"°°. 10.1-2JtolU-31-24 "°°De" ll/:2oi4 o-sao cnaoaa o�ae� Progress Esfimate Change Order Number 0 Contractor's Application ADDITIONS "°""'•n- 102931 zuzzBondl'rar�-cona�ay5 :x�m "wN°",n"- 17- H7NAL °o°v"'°°. 10.1-2JtolU31-24 "°°De" ll/:2oiJ �u �e v �v � ' � - �'-'� n,�. °` � w� o� �� ,�T . �wn . . . _ . .,. . , . � n� � , o-sao cnaoaa o�ae� - -----------�- o-sao cnaoaa o�ae� Progress Esfimate Change Order Number 0 Contractor's Application DELETIONS �w""".n- 102931 zone��ati�e:��i-c��m:�Ms '"wT'��'na- 17-H7NAL °o°v`"°°. 10.1-2JtolU-31-24 "°°De" ll/:2oi4 o-sao cnaoaa o�ae� Progress Esfimate Change Order Number 0 Contractor's Application o-sao cnaoaa o�ae� � � � � � � � � � � � � � � � � o-sao cnaoaa o�ae� Progress Esfimate Change Order Number 0 Contractor's Application DELETIONS �w""".n- 102931 zone��ati�e:��i-c��m:�Ms '"wT'��'na- 17-H7NAL °o°v`"°°. 10.1-2JtolU-31-24 "°°De" ll/:2oi4 Cin�Secretan-ContrsctNum: � �8701 Appl�calion Peciod- i of Fort Worth Summary of Cf 2022 Bond Year 1- Contract 5 P. O. : 10-1-24 to 10-31-24 �PP��ca[ion Number Funding Identification (FID) Total Completed Amt Remaining Original Contract 56002-0600430-5740010-102931-001780-9999 $1.994,659.31 5303,26020 56002-0700430-5740010-102931-001780-9999 $144280.00 565,230.00 34027-0200431-5740010-102931-002480-9999-22010199 $2325,28775 5441,50375 52002-0200431-5740010-102931-002880-9999 $105,973.00 521,73250 0 0 0 0 0 0 0 Change Order 1 56002-0600430-5740010-102931-001780-9999 56002-0700430-5740010-102931-001780-9999 34027-0200431-5740010-102931-002480-9999-22010199 52002-0200431-5740010-102931-002880-9999 _ 0 0 0 0 0 0 0 $L.500.00 (51,500.00) Change Order 2 56002-0600430-5740010-102931-001780-9999 56002-0700430-5740010-102931-001780-9999 34027-0200431-5740010-102931-002480-9999-22010199 52002-0200431-5740010-102931-002880-9999 0 0 0 0 0 0 0 �vozaoo9o9� 17-Fi\ A I Projec[Number 102931 Applicahon Date_ 11/5/2024 Gross Retainage Net Cin�Secretan-ContrsctNum: � �8701 Appl�calion Peciod- i of Fort Worth Summary of Cf 2022 Bond Year 1- Contract 5 P. O. : 10-1-24 to 10-31-24 �PP��ca[ion Number �vozaoo9o9� 17-Fi\ A I Projec[Number 102931 Applicahon Date_ 11/5/2024 Funding Identification (FID) Total Completed Amt Remaining Gross Retainage Net Change Order 3 56002-0600430-5740010-102931-001780-9999 56002-0700430-5740010-102931-001780-9999 34027-0200431-5740010-102931-002480-9999-22010199 52002-0200431-5740010-102931-002880-9999 0 0 0 0 0 0 0 Change Order 4 56002-0600430-5740010-102931-001780-9999 56002-0700430-5740010-102931-001780-9999 34027-0200431-5740010-102931-002480-9999-22010 52002-0200431-5740010-102931-002880-9999 0 0 0 0 0 0 0 Change Order 5 56002-0600430-5740010-102931-001780-9999 56002-0700430-5740010-102931-001780-9999 34027-0200431-5740010-102931-002480-9999-22010199 52002-0200431-5740010-102931-002880-9999 0 0 0 0 0 0 0 Cin�Secretan-ContrsctNum: � �8701 Appl�calion Peciod- i of Fort Worth Summary of Cf 2022 Bond Year 1- Contract 5 P. O. : 10-1-24 to 10-31-24 �PP��ca[ion Number �vozaoo9o9� 17-Fi\ A I Projec[Number 102931 Applicahon Date_ 11/5/2024 Funding Identification (FID) Total Completed Amt Remaining Gross Retainage Net Change Order 6 56002-0600430-5740010-102931-001780-9999 56002-0700430-5740010-102931-001780-9999 34027-0200431-5740010-102931-002480-9999-22010199 52002-0200431-5740010-102931-002880-9999 0 0 0 0 0 0 0 Change Order 7 56002-0600430-5740010-102931-001780-9999 56002-0700430-5740010-102931-001780-9999 34027-0200431-5740010-102931-002480-9999-22010 52002-0200431-5740010-102931-002880-9999 0 0 0 0 0 0 0 Change Order 8 56002-0600430-5740010-102931-001780-9999 56002-0700430-5740010-102931-001780-9999 34027-0200431-5740010-102931-002480-9999-22010199 52002-0200431-5740010-102931-002880-9999 0 0 0 0 0 0 0 City of Fort Worth Summary of Charges �vozaoo9o9� Cin� Secretan- Contrsct Num: �8701 2022 Bond Year 1- Contract 5 P. O. : Project Number 102931 Appl�cahonPeciod- 10-1-24to10-31-24 APP��cation 17-FiVAI. ApplicahonDate_ 11/5/2024 Number Funding Identification (FID) Total Completed Amt Remaining Gross Retainage Net Totals 56002-0600430-5740010-102931-001780-9999 $1.994,659.31 5303,26020 56002-0700430-5740010-102931-001780-9999 $144280.00 565,230.00 34027-0200431-5740010-102931-002480-9999-22010199 $2,326,787.75 S44Q00375 52002-0200431-5740010-102931-002880-9999 $105,973.00 521,73250 0 0 0 0 0 0 0 Grand Total $4,571,700.06 $830,226.44 $0.00 ($228,585.01) $228,585.01 FORTWORTH� Routing and Transmittal Slip Transportation & Public Works Department �OCjJM�i N'j' Z'17'L,�i : Change order #1— 2022 Bond Year 1— Contract 5 M&C: CPN: 102931 CSO: 58701 DOC#: Date: To: Name Department Initials Date Out 1. Sophia Flores TPW - initials Sep 3, 2024 2. Dan McClendon McClendon Construction DM Sep 4� 2024 - si nature 3. Victor Gutierrez TPW - si nature sep 4, 2024 5. Christian Cardona TPW - signature �� Sep 4, 2024 6. Gregory Robbins TPW - signature �R Sep 4, 2024 7. Mary Hanna TPW - signature ��' Sep 4, 2024 8. Patricia Wadsack TPW - signature ��.� Sep 4, 2024 9. Lauren Prieur TPW - signature ,F Sep 4, 2024 10. Doug Black Legal - signature �6 Sep 6, 2024 11. Jesica McEachern CMO - signature „„ Sep 12, 2024 12. Jannette Goodall CSO - signature ,; Sep 12, 2024 13. TPW Contracts DOCUMENTS FOR CITY MANAGER'S SIGNATURE: All documents received from any and all City Departments requesting City Manager's signature for approval MUST BE ROUTED TO THE APPROPRIATE ACM for approval first. Once the ACM has signed the routing slip, David will review and talce the next steps. NEEDS TO BE NOTARIZED: ❑YES �No RUSH: �YES ❑No SAME DAY: ❑YES ❑No NEXT DAY: ❑YES �No ROUTING TO CSO: �YES ❑No Action Reauired: ❑ As Requested ❑ For Your Information � Signature/Routing and or Recording ❑ Comment ❑ File ❑ Attach Signature, Initial and Notary Tabs Return To: TPWContracts�ic,FortWorthTexas.gov at ext. 7233 for pick up when completed. Thank you! CSC No. 58701-CO1 FORT WORTH;, City of Fort Worth �� Change Order Request Project Name 2022 Bond Year 1- Contract 5 City Sec # 58701 Client Project #(s) 102931 Project Description Reconstruction of existing pavement with proposed water & sanitary sewer in various locations. Contracto McClendon Construction Company, Inc Change Order # 1 Date 8/29/2024 City Project Mgr. Christian Cardona City Inspector Victor Gutierrez Dept. Original Contract Amount Extras to Date Cretlits to Date Pentling Change Orders (in M&C Process) Contract Cost to Date Original Funds Available for Change Ortlers Remaining Funds Available for this CO Atlditional Funtling (if necessary) 705.50 771.00 Contract Time Totals (CD) �401,926.50 400 ,958.00 CHANGE ORDERS to DATE (INCLUDING THIS ONE) AS % OF ORIGINAL CONTRACT 0.00% MAXALLOWABLECONTRACTAMOUNT(ORIGINALCONTRACTCOST+25%) $6;752,408.13 JUSTIFICATION (REASONS) FOR CHANGE ORDER ACCORDANCE WITH THIS CHANGE ORDER REQUEST, THE CONTRACTOR SHALL: Furnish all labor antl material as per the attachetl proposetl Change Ortler #1. is change order provides the necessary pay item quantities to allow for the installation of the new historic address tile at the intersection of E Vickery Boulevard and Ash �scent Street Due to the condition of the existing historic address tile, it is necessary to replace it, as it was not salvageable. The price to install the historic address tile has been compared to similar projects, and staff verified that it is reasonable. will be no additional time for the work. It is understood and agreed that the acceptance of this Change Order by the contractor constitutes an accord and satisfaction and represents payment in full (both time and money) for all costs arising out of, or incidental to, the above Change Order. The Project/Program Manager signing below acknowledges that he/she is the person responsible for the monitoring and administration of this contract, including ensuring all performance and reporting requirements Contractor's Com an Name Contractor Name Contract Si nature Date McClendon Construction Companv. Inc Dan McClendon /��+� Sep 4, 2024 r�,� Assistant Director Assistant Unit 1: Water I Unit 2: Sewer I Unit 3: Paving I Unit 4: Stormwal $2,297,919.50 $209,510.00 $2,766,791.50 $127,705.50 Date Pro ect and Contract Sep 4, 2024 '%��'�� Sep 4, 2024 h��.�✓ Date Director, Sep 4, 2024 �t?r Date Assistant Sep 6, 2024 Council Action (if req M&C Number � Date Sep 4, 2024 Sep 4, 2024 Date Sep 4, 2024 Date Sep 12, 2024 M&C Date Approvetl 0 ATTEST: �.., �� Jannette Goodall, City Secretary FoR__ r�� H City of Fort Worth Change Order Additions Project Name 2022 Bond Year 1- Contract 5 City Sec # 58701 Client Project # 102931 Contracto McClendon Construction Company, Inc PM Christian Cardona Inspector Victor Gutierrez Change Order Submittal #�1 Date 8/29/2024 ADDITIONS Change Order Additions Page 2 of 5 Foe� a�H City of Fort Worth Change Order Deletions Project Name 2022 Bond Year 1- Contract 5 Ciry Sec # 58701 ClientProject# 102931 Contracto McClendon Constmction Company, Inc PM Christian Cardona Inspector Vicror Gutierrez Change Order Submittal #�1 Date 8/29/2024 � � �11� � � •� ��`�� .... ii i • . � . � . .. � i i iiiii � ', �� , �� - ---- - - ---- - - ---- - - ---- - - ---- - - ---- - - ---- - - ---- - - ---- - - ---- - - ---- - - ---- - - ---- - - ---- - - ---- - - ---- - - ---- - - ---- - - ---- - - ---- - - ---- - - ---- - - ---- - - ---- - - ---- - - ---- - - ---- - - ---- - - ---- - - ---- - - ---- - - ---- - - ---- - - ---- - - ---- - - ---- - - ---- - - ---- - - ---- - - ---- - - ---- - - ---- - - ---- - - ---- - - ---- - - ---- - - ---- - - ---- - - ---- -I ��il ��I �, ��i ,� �� . ��• • , �� Change Order Deletions Page 3 of 5 MISBE for this Change Order FoRTWoRTH TRANSPORTATION AND PUBLIC WORKS PIPE REPORT FOR: PROJECT NAME: 2022 Bond Year 1- Contract 5 CITY PROJECT NUMBER: 102931 WATER PIPE LAID SIZE TYPE OF PIPE LF 16" C905 Water 16" PVC 5� 8" Water 8" PVC 5,623 8" DIP Water 8" DIP 38 6" Water 6" PVC 73 FIRE HYDRANTS: 5 EA PIPE ABANDONED 0 DENSITIES: NEW SERVICES: SIZE 2�� 1" VALVES (16" OR LARGER) TYPE OF PIPE All Densities Passed Domestic Domestic LF 2 EA 82 EA 1 EA SEWER PIPE LAID SIZE TYPE OF PIPE LF 8" Sewer 8" PVC 190 PIPE ABANDONED 0 DENSITIES: NEW SERVICES: SIZE 4" TYPE OF PIPE All Densities Passed Domestic LF 1 EA TIZ�NSPORT_�TION ��ND PUBLIC ��ORKS The Citt� of Fort Worth • 1000 Throckmorton Stieet • Fort Wordi, TX 76012-6311 �si�� 3�z - ��4i • FaA: �si�� 3�z - �s45 ��x� TRANSPORTATION AND PUBLIC WORKS September 6, 2024 McClendon Construction Co.,lnc P.O. Box 999 Burleson,TX 76097 RE: Acceptance Letter Project Name: 1022 Bond Year 1- Contract 5 Project Type: V City Project No.: 102931 To Whom It May Concern: On June 28, 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 6, 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 November 6, 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- 944-4936. Sincerely, Christian Cordona ��"`�2'��"� , Project Manager Cc: Victor Gutierrez, Inspector Donald Watson, Inspection Supervisor Oscar Aguilion, Senior Inspector Gregory Robbins �� , Program Manager Transystens Corp, Consultant McClendon Construction, Contractor City of Fort Worth, Developer File E-Mail: Douglas W. Wiersig, P.E., PhD., Director, TPW Richard Martinez, Assistant Director, TPW Marisa Conlin, Traffic Engineering Allen Hall, Superintendent, TPW John Robert Carman, P.E., Director, Water Chris Harder, P.E., Assistant Director, Water Wendy Chi-Babulal, P.E., Water Tony Sholola, P.E., Water Richard Zavala, Director, PARD David Creek, Assistant Director, PARD Rev. 9/15/16 CONSENT OF SURETY COMPANY TO FINAL PAYMENT AIA DOCUMENT G707 OWNER ❑ ARCHITECT ❑ CONTRACTOR ❑ SURETY ❑ OTHER Bond No. TXC616274 PROJECT: 2022 Bond Year 1 Contract 5 City Pro,ject l�o. 102931 (name, address) TO (Owner) [ City of Fart Worth, Texas 200 Texas Street T� ort �orth, TX 76102 CONTRACTOR: McClendon Construction Comgany, Ync. 548 Me�noria[ Plaza Burleson, TX 7b024 � � ARCHITECT'S PROJECT NO: CONTRACT FOR: CONTRACT DATE: l�ovember 29, 2022 In accordance with the provisions af the Contract belween Lhe Owner and the Contractor as indica�ed above, the (here insert name and address of Surety Company) Nierchants Bonding Company (Mutual) P.O. Box 14498 , SURETY COMPANY, Des MoEnes, IA 50306-349$ on bond of (here insert name and address of Contractor) McClendon Construction Co�napany, Inc. 548 Memorial Plaza Burleson, TX 76a24 , CONTRACTOR, hereby approves of the fina] payrnent to the Contractors, and agrees that final payment to the Contractor shalI not relieve the Surety Company of any of itS obligatlOris to {here insert name and address of Owner) City af Fort Worth, Texas 20� Texas Street Fort Worth, TX 76102 as se# forth in the said Surety Company's bond. IN �ITNESS WHEREOF, the Surety Company has hereunto set its hand this 1st day of November 2424 Merchants Bonding Company (Mutual} 5 ,OWNER, � Signature Authdriz�d Representative At�est; 4 � (Sea�j:� Betty J. eh Attornev-Yn-Fact Title NOTE: This form is to he used as a companion document to AIA DOCi3MENT G706, COTITRACTOI2'S AFPIDAVIT OF PAYMENT OF DEBTS AND CLAIMS, Current Editiun AIA DOCUMENT G707 • CONSEN� OF SURETY COMPANY TO FINAL PA'YMENT • APR[L 1970 ED[TION • AIA �O ONE PAC�E O 1970 • THE ANIERICAN INSTITUTE OP ARCHITECTS, 1735 Ne�v York Ave., NW, WASHITTGTON, �.C. 20006 �,.�RCHA�TT�� SONDII�G COMPA.NYF,� POWER OF ATTORNEY KnowAll Persons 8y These Presents, that MERCHANTS BONDING COMPANY (MUTUAL) and MERCHAN7S NATIONAL BONDING, INC., both being corporations af the State af lowa, dlbla Merchan#s iVatipnal Indemnity Company (in California only) (herein collectively called the "Companies") do here6y make, constitute and appoint, individ�ally, A[lyson W Dean; Ana Owsns; Andrea Rose Crawford; Andrew Garefh Addison; Beify J Reef�; Bryan Kelly Moare; Golin E Gonfy; bebra Lee Maon; Elizabeti� Ortiz; Emily Allison Mikeska; Faith Ann Hilty; John R Ward; Miehae] DanaEd Hendrickson; A/�onica Ruby Veazey; Patrick Thomas Coyle; Sandra Lee Roney; Thomas �ouglas Moore; Troy Russel[ Key their true and lawful Attomey(s)-irt-Fact, to sigrt its name as surefy{ies) and ta execute, seal and acknowledge any and all 6onds, undertakings, contracts and other wriifen instruments in the nature thereof, on behalf of the Gompanies in the�r business of guaranteeing tF�e firJeiify of persons, guaranteeing the performance of con#racts and executing or guaranteeing honds and undertakings required or permiited i� any acfions or proceedings allowed t�y law. This Power-of-Aiiorney is granted and is signed and sealed by facsimile under and by authority of the following By-Laws adopted by the Board of Directors of Merchants Bonding Cornpany (Mutual) on April 23, 2011 and ameRded A�gust 14, 2095 and April 27, 2024 and adopted by #he Board of Directors of iti/lerchants National Bonding, Inc., on Octaber 18, 2015 and amended on Apri! 27, 2024. "The PresEdent, Secreiary, Treasurer, or any Assistant Treasurer or any Assistant Secretary or any Vice Pres'sdent shall have pawer and authority to appoint Attorneys-in-Fact, and to authorize them ta execute on behalf of the Company, and attach fhe seai oi the Company fhereto, bands a�d undertak€ngs, recogrsizances, contracts of indemnity and otherwritings obligatory in the nature thereof." "The signature of any authorized officer and the seal of the Company may be affixed 6y facsimile or electronic iransmission ta any Power of Attorney or Cert€fication ihereof authorizing the execution and delivery of any bond, undertaking, recngnizance, or other suretyship obligations of ihe Company, and such signature and seal wher� so used shall have the same iorce and effect as though manually fxed." In connectian with obligations in favor of the Florida Department of Transportation only, it is agreed that ihe power and aut horiry hereby given to the Attorney-in-Fact inc[udes any and all consents for the release of retained percentages andlar final estimates an e�gineering and construction contracts req�ired by the State oP Florida Qepartment of Trensportation. Et is fully understood that consenting to the State of Florida �eparfinent of Transportation making payment of the final estimate to the Contractor andlor its assignee, s[�all not reiieve this surety company af any nf its obligetions under its bond. ln connection with obligations in favor of the Kentucky Department of Highways only, it is agreed that the power and authority hereby given to t3�e Attorney-in-Fact cannot 6e modified or revoked unless prior written personal notice of such intent has bean gi�en to the Commissioner- Department of Highways of the Commonweaith of Keniucky at least fhirty (30) days prior to the modification or re�ocation. In Witness Whereof, the Companies have caused this instrument to be signed and seafed this 29th daY o� .luly � 2024 • f�il�rar • r. �i� �',A' �e, •. . • ��#G Ga• � MERCHANTS BONdING COMPANY (MLlTUALj ' �•!,p0 ,.' � � �0��'.Pp''r�A. • MERCHANTS NATIONALBOI�QING, INC. c�r.�; •�oR R,4+;:• uy ; • Q A' •. q'. d!b!a M�RCHANFS NATIONAL INDEMPlITY COMPANY �Z:�.' �:�' + w�S;= �j�S�y�r :4. -a- G. ,f-....,, -a- Q . � 'v'•. 2003 ��; :�,�, 1933 = e: sy � :d�;. .�� :vd. •y�:' -. ••'�,•' •. .��,.•-....••'� �• (y••.....•••,rJ . . ,„.,- � . President STATE L7F [OWA �'•.. '� ..`' , ' •. � � . .` CflU�'�TY CiF QAI.LAS ss. ��"`"""'* � � On ihis 2gth day of July 2024 , before me appeared Larry Taylor, to me personally known, who being by me d�ly sworn did say that he is President of MERCHANTS BON�ING COMPANY {MUTUAL) and MERCHANTS NATIONAL BdNDING, INC.; and that #he seals afFixad to the foregoing instrument are the Corporate Seals of the Companies; and that the said instrument was signecF and sealed in behalf of the Compahies by authority of their respective Boards of birectors. �,,,,._--�""`-� ��.�'A�s Penr�i Miller �'��- �,, " � ,,�j, � Cornmission Number 787952 '� --�-� ��r T • • �rty Commission Expires '"�i. � �� r` rc�vvA January 20, z027 �---,-��.� Notary Publrc (�xpiratio� of notary's comrrsission does not invalidate this instrument) I, Elisabeth 5andersfeld, Secreiary of MERCHANTS BONDWG COMPANY (MI�TUAL) and MERGNAN75 NA710NAL BONdING, INC., do hereby certiiy that the a6o�e and foregoing is a trus and correct copy oP the POWER-OF-ATTORNEY execufed by said Companies,which is still in full iorce and effect and has not been amended or revoked. In Witness Whereof, ! have hereunto set my hand and affixed the seaE of the Companies on if�is ��day o€ �a�`e/�-+�-�i` �� 'F��tf/��:�Na��+ '�iv�+...�� (�'� � V �� / �t� • f1j�431 _ �¢� • � �* � �.e�� d ��+G�• �,`y . C,,ORp 0lp'q� : y; i�O,G�'qt P� 9q�y�� • �Y `a'� -a- C'.C� ��:Z' -o- �; : : z ': 2003 �� : ! y' i 933 : � � Secretary =vf �. ' ; : ,��;. .��:' :+.V�� •.. � •. . ��'� �.' �� , .; f • a POA 0018 (6/24) ��`'",�•'•"•,+• • � � �•••• �ERCHANTS ��NDING CaMPANY�M MERCHANTS BOND]IVG COMPANY €'.O. BOX ]4498 DES MOINES, iA 50306-34i8 PHOIVE: (S00} 678-8171 FAX: (5I5} 243-3854 Have a comp[aint or need help? If you have a problem wit� a claim or your premium, cafl your insurance company or HMO first. If you can't work out the issue, the Texas Department af Insurance may he able to help. Even if ynu file a complaint wi�h the Texas Department a� Insurance, you should also file a comp[a�nt or appea� through your insurance corr�pany or HMO. If you don't, you may lose your right to appeal. To get information or file a complaint with your ins�rance company or HMO: Merchants Bonding Company Call: Com�liar�ce Officer at {$00) 671-8171 Toll-free: (800) 671-517� EmaiL regulatory@merchantsbonding.corn Mai[: P.O. Bax 14498, Des Moines, lawa 503Q6-3498 ihe 7'exas Department of Insurance To get help with an insurance question or file a complaint with the state: Call with a q€�estion: 1-800-252-3439 File a Camplaint: www.tdi.texas.go� Email: ConsumerProtection@tdi.texas.gov Mall: C'nnciimPr Pr�tPrtinn, MC'• C'Cl-C�P! Taxa� nPnartm�nt �f Insiiranr�; '� :• 1 1 1 . : 1 '�' i. • ' . • �' ' . . •. Si tiene un problema con una reclamacion o con su prima de segUro, Ilame primero a su compania d� seguros o HMO. Si no puede resolver �I problema, es posib[e que �1 Departamento de Seguros de Texas (Texas Department af l�surance, por su nombre en ingles) pueda ayudar. Aun si usted presenta una queja an�Ce el Departamento de 5eguros de Texas, tambien debe presentar ur�a queja a traves del proceso de quejas o de apelaciones de su compania de seguros o HMO. Si no io hace, podria perder su derecho para apelar. SUP 0032 TX (7123) Para obtener informacion o para �resentar una queja ante su compania de seguros o HMO: Merchants Bandi�tg Campany Llame a: Compliance Officer al (800) 671-8171 Telefono gratuito: (800) 678-817� Correo electronico: regulatory@merchantsbonding.com Direccion postal: P.O. Box 14498 , Des Moines, lowa, 50306--349$ EI Departamento de Seguros de Texas Para obtener ayuda con una pregunta relacionada con las seguras o para presentar una queja ante el �stado: Llame con sus pre�untas al: 1-800-252-3439 presente una que�a en: www.tdi.texas.gov Correo electr6nico: ConsumerProtection@tdi.texas.gov Direccion postal: Consumer Protection. MC: CO-CP, Texa,s Department of Insurance PO Box �2030 Austin TX 75711-2030 SUP 0032 7X (7123) �ERCHAI�TTS BONDING COMPANYr� M�RCHANTS BONDING COMPANY (MU�'IJAL) •�'.O. BOX 14�98 • D�S MO[N�S, IOWA 5�306-3498 1'HOI�E: (800? 678-S771 • FAX: (515} 243-3854 ADdENDUM TO BOND This Adtlendum is i n reference to the bond(s) to which it is attached. Merchants Bonding Carr�any (Mutual) (`Merchants_) deerr� the digital or electronic image of Merchants`" corporate sea! below affixed to tl�e bond(s) to the same e>ctent as if a raised corparate seal was physically stamped or i mpressed upon the �ond(s). The digital or efectronic seal below shall have the same force and effett as though manual ly fixec[ to the bond(s). A I I terms o� the bond(s} remai n the same. Signed anc! effecti�e March 23, 2a20. MERCHANTS BONDING COMPANY (MUTUAL) '�.... .. : ��-�"�-��`�F,o" :��Q'0�� '�!: : C, '�.�; ;�',c . . :��.-'.'_ -o- �: . : y� 1933 �-"e; :�� . a�;��.. . • �`:�a�« e •�• �i e• r •o�Rss. gy � � ------_--�� -��--------------- Larry7aylor, President A�da�it of Compliance with City of Fort Worth Pr��ailing Wages Justin 8iair Vice Presid�nt (Name of person signing affdavit) (Title} do hereby certify that the wages paid to all employees of McCiendon Construciion Ca., Inc. (Company Name) for ail hours warked on the CPN 10Z931 - 2.022 Bond Year 1 Contract 5 (Project name and [oca#ion) project, during the period fram 3-20-2023 ta 10-31-24 (Project Dates) are in compliance with the requirements of Chapter 2258, Texas Go�ernment Code related to paying estabEished City of Fort worth wage rates per the proj�ct bid cfocuments. I further certify that no rebates or deductions have been or wil! be made, directiy or i�directly, frorn any wages paid in connection with this project, o#her than those pro�ided by law. (Signaiure of Officer or Agent) Sworn to and subscribed in my presence this �� day of �QV � 20 Z-�-�' ��iurr�� MISTY WEEB � �{T�Y ;;l�9 �: ;z°;:.�j.� o;Notery Public, Siate of Texes =`�'•.7� '�� Carnm, Expiras 01-09-2026 %� �F �y4 '��,rwi��` ��t8ry ID 126$3$467 (Notary Pubiic) Re�ised 3/Q$/2Q24