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Home My WebLink About061917-FP4 - Construction-Related - Contract - Conatser Construction TxLPFORT �VORTH�> -FP4 City Secretary Contract No. 61917 Date Received 12/19/2025 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: Madero Phase 10 City Project No.: 104901 Improvement Type(s): ❑ Paving ❑ Drainage 0 Street Lights ❑ Traffic Signals Original Contract Price: $267,630.00 Amount of Approved Change Order(s): $1,500.00 Revised Contract Amount: Total Cost of Work Complete: �� Arturo Sancen (Dec 18,➢075 11:04:33 CST; Contractor Superintendent Title CONATSER CONSTRUCTION TxLP $269,130.00 $269,130.00 12/18/2025 Date Company Name �d . Husscu Hoeers (iiec ia,�ms iz�6:so csi; Project Inspector � Project Manager o�� CFA Manager �°�..�.?,,:.,,,,_ i,��o.�, Pro�,r(oo�i9,�m,o9�,soecsT� TPW Director 12/18/2025 Date 12/19/2025 Date 12/19/2025 Date 12/19/2025 Date OFFICIAL RECORD CITY SECRETARY FT. WORTH, TX Page 1 of 2 Notice of Project Completion Project Name: Madero Phase 10 City Project No.: 104901 City's Attachments Final Pay Estimate ❑x Change Order(s): 0 Yes ❑ N/A Contractor's Attachments Affidavit of Bills Paid �'� Consent of Surety � Statement of Contract Time Contract Time: 280 WD Days Charged: 264 WD Work Start Date: 9/30/2024 Work Complete Date: 11/11/2025 Completed number of Soil Lab Test: 1266 Completed number of Water Test: 30 Page 2 of 2 F��r ��T x CITY OF FORT WORTH FINAL PAYMENT REQUEST Contract Name MADERO, PHASE 10 Contract Limits Project Type STREET L1GHT City Project Numbers 104901 DOE Number 4901 Estimate Number 1 Payment Number 1 For Period Ending 11/11/2025 WD City Secretary Contract Number Contract Date Project Manager NA Contractor CONATSER CONSTRUCTION TxLP 5327 WICHITA ST FORT WORTH� TX 76119 Inspectors G.DEYON / R.ROGERS Contract Time �g�'� Days Charged to Date 264 Contract is 100.0o Complete Friday, December 5, 2025 Page L of 4 City Project Numbers 104901 Contract Name MADERO, PHASE 10 Contract Limits Project Type STREET LIGHT Project Funding UNTI' V: STREET LiGHTING IMPROVEMENTS (RESiDE DOE Number 4901 Estimate Number � Payment Number 1 For Period Ending 11/1U2025 Item EsHmated Estimated Completed Completed Description of items Unit Unit Cost No. Quanity Total Quanity Total 1 2" CONDT PVC SCH 80 (T) 2524 LF $15.00 $37,860.00 2524 $37,860.00 2 LED LIGHTING FIXTURE (138� 43 EA $750.00 $32,250.00 43 $32,250.00 3 INSTALL TYPE 33A ARM 43 EA $600.00 $25,800.00 43 $25,800.00 4 RDWY ILLUM ASSEMBLY TY 18,18A,19, AND D- 43 EA $2,500.00 $107,500.00 43 $107,500.00 40 5 RDWY ILLUM FOUNDATION TY 3,5,6, AND 8 43 EA $1,200.00 $51,600.00 43 $51,600.00 6 3-#10 COPPER WIRE 2524 LF $5.00 $12,620.00 2524 $12,620.00 Sub-Total of Previous Unit $267,630.00 $267,630.00 UNTI' V: STREETLIGHTING IMPROVEMENTS (N SAND Item Description of Items Estimated Unit Unit Cost Estimated ComPleted Completed No. Quanity Total Quanity Total 1 RELOCATE GROUND BOX (CO#2) 2 EA $750.00 $1,500.00 2 $1,500.00 Sub-Total of Previous Unit $t,soo.00 �i,soo.00 Friday, December 5, 2025 Page 2 of 4 City Project Numbers 104901 Contract Name MADERO, PHASE 10 Contract Limits Project Type STREETLIGHTS Project Funding Contract Information Summary Original Contract Amount Change Orders Change Order Number 2 Total Contract Price DOE Number 4901 Estimate Number � Payment Number 1 For Period Ending 11/1U2025 $267,630.00 $1,500.00 $269,130.00 Total Cost of Work Completed $269,130.00 Less % Retained $0.00 Net Earned $269,130.00 Earned This Period $269,130.00 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 $269,130.00 Friday, December 5, 2025 Page 3 of 4 City Project Numbers 104901 Contract Name MADERO, PHASE 10 Contract Limits Project Type STREETLIGHTS DOE Number 4901 Estimate Number � Payment Number 1 For Period Ending 11/1U2025 Project Funding Project Manager NA Inspectors G.DEYON / R.ROGERS Contractor CONATSER CONSTRUCTION TxLP 5327 WICHITA ST FORT WORTH� TX 76119 City Secretary Contract Number Contract Date Contract Time 280 WD Days Charged to Date 264 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 Less % Retained Net Earned Earned This Period $269.130.00 Retainage This Period �0.00 Less Liquidated Damages � Days @ $0.00 / Day LessPavement Deficiency Less Penalty Less Previous Payment Plus Material on Hand Less 15% Balance Due This Payment $269,130.00 $0.00 $269,130.00 $0.00 $0.00 $0.00 $0.00 $0.00 $269,130.00 Friday, December 5, 2025 Page 4 of 4 Docusign Envelope ID: A609ADFB-2AC9-4391-BDE3-C1CD56600F6E DEVELOPER-AWARDED-PROJECT CHANGE ORDER PROJECT NAME: MADERO PHASE 10 (UNIT 1) WATER, (UNIT II) SEUVER, (UNIT III) STORMWATER, (UNIT IV) PAVEMENT, &(UNIT CHANGE CONTRACT: V1 STREET LIGHTS ORDER No: CFA # 24-006 I CITY PARTICIPATION:I NO CITY PROJECT # 104901 FID # FID # 30114-0200431-104901-E07685 � X-Number X-z7ss7 FILE # W-3014 INSPECTOR: PROJECT MANAGER: ORIGINAL CONTRACT EXTRAS TO DATE CREDITS TO DATE CONTRACT TO DATE AMOUNT OF PROP. CHANGE ORDER R T�TAL REV�SED CONTRACT AMOUNT PER UNIT REVISED COST SHARE I TOTAL REVISED CONTRACT Steven Wester Phone No: 682-287-3465 Sandip Adhikari Phone No: 817-392-8424 CONTRACT UNIT WATER SEWER I PAVING Develope► Cost C Coat DeveloperCost Cosl DeveloDerCost C Cop 57,219,661.00 f0.00 I 51,576,264.00 f0.00 I 52,508,046.76 f0.00 57,219,661.00 SG.00 51,576,264.00 i0.00 52,608,046J6 f0.00 . 17.100.Oi` I 5�,279,661.00 f0_00 51,693,364.00 SD.00 52,506,04635 t0.tl0 51,219,661.00 51.593„364.00 S2,SU8.OM167b Dev. Cost: ;7,812,593,76 Clry Cost 57,872,593.75 DRAINAGE STREET LIGHTS Developer IeveloverCost C Co�t tost CI Co�1 S$223,892.00 i0.00 5267.630.00 l0.00 =2,223,89200 � E0.00 _ f j287.830.00 f2,223,89200 � f0_00 5267,630.00 � f0.00 52,223.8920U 5267.630.00 i0.D0 CONTRACT DAYS 280 28U 0 Zeo i REVIEWED By Sandip Adhikari at 6:02 pm, Oct 16, 2024 Docusign Envelope ID: A609ADFB-2AC9-4391-BDE3-C1CD56600F6E You are directed to make the following changes in the contract documents: UNIT II: SANITARY SEWER IMPROVEMENTS �RESIDENTIAL INFRASTRUCTUREI IPAY ISEM # , C'3331#3101 M I QU �N�TITY I U� I I4' SEW f S2NIC2 $NIT 900 00 $ TO17 100.00 I TOTAL UNIT 11: SANITARY SEWER IMPROVEMENTS (RESIDENTIAL INF STRUCTURE) S 17,100.00 Asterisk (') indicates new Pay Item REASONS FOR CHANGE ORDER This change order inGudes the addition of 19 sewer services for future Madero Phase 7 lots NO CITY FUNDS INVOLVED IN THIS CONTRACT. DEVELOPER IS RESPONSfBLE FOR 100% OF THE CHANGE ORDER COST AND NO REIMBURSEMENT FROM THE CITY WILI. BE SOUGHT BY THE DEVELOPER. RECOMMENDED: APPROVED: APPROVED: LJA Engineering, Inc GB Sc�l2@f�, ��C Conatser Co structi sr .�� BY:�i�D��t �auMU.�, By: � �9E9BSF968FBF435... Name: Daniel Betten, P.E. Name: Bobby Samuel . Name: Brock Hugg(ns HU lI IU 1 I LC� Tdle:Pro'�ectManager Tftle: U�recTo�olLanBDeve�ornent Sianer THIe: President email: dbetten(l�Ije.com email: bsamuel(9greenbrickpartners.com email: brock(lpconatserconstruction.com � REVIEWED By Sandip Adhikari at 6:02 pm, Oct 16, 2024 Docusign Envelope ID: 3F7EA192-3EC8-4B31-8D1A-835D1678BABF DEVELOPER-AWARDED-PROJECT CHANGE ORDER PROJECT NAME: MADERO PHASE 1U (UNIT 1) WATER, (UNIT II) SEWER, (UNIT III) STORMWATER, (UNIT 11n PAVEMENT, &(UNIT CONTRACT: V1 STREET LIGHTS CFA # 24-0068 I CITY PARTICIPATION:I NO ICITY PROJECT# 104901 IFID # FID # 30114-0200431-10490'I-E07685 IX-Number X-279s7 I FILE # � W-3014 INSPECTOR: Steven Wester PROJECT MANAGER: Sandip Adhikari Phone No: 682-287-3465 Phone No: 817-392-8424 1 IWATER SEWE Developer Cost Clty Cosc Developer Cost ORIGINALCONTRACT =1,219,661.00 50.00 51,576,264.00 EXTRAS TO DATE 50.00 50.00 517,100.00 CREDITS TO DATE 50.00 SA00 � 50.00 ICONTRACT TO DATE 51,279,661.00 50,00 � 51,693,364.00 IAMOUNT OF PROP. CHANGE ORDER =0.00 54.00 � 50.00 REVISED CONTRACT AMOUNT f1,219,661.00 fo.Ga I 57,693,J64.00 TOTAL REVISED CONTRACT AMOUNT I CONTRACT I1NIT R I PAVING � C!ry Cop peveloper Cost ;0.00 52,608,D46.76 50.00 f0.D0 f0.00 50.00 46.00 f2,506,046.75 30.l70 �18,360d; 50.00 j2,489.69675 Ci4y Cosl �i� �r� LQ.OQ 50.06 10.00 SO.�fl PER UNIT 51,219,681.00 S1,b93,3fi4_00 =2,489,696.75 REVISED COST SHARE IDeV. COSt; 57,798,766.75 G1ly COtL' TOTAI REVISED CONTRACT I jT,796,788.75 REVIEWED CHANGE ORDER No: 2 DRAINAGE STREEI Developer Cost 52,223,89200 50.00 ;0.00 52,223,89200 S 3,046.00 52,226,937.00 qeveioper Clty Cost Cost EO.OD 3267,630.00 E6.00 50.00 tO��IQ 50.00 50.00 5267,630.00 fQ.00 I S 1,600.00 SD.QO I 5269,13U.00 LIGHTS Cryy Cost 5 P.OQ f9.00 f6�90 f6�0o 50.00 50.00 =2,226,937.00 � 5269,730.00 54.00 By Sandip Adhikari at 5:27 pm, May 01, 2025 CONTRACT DAYS 280 0 0 280 0 280 Docusign Envelope ID: 3F7EA192-3EC8-4B31-8D1A-835D1678BABF You are directed to make the following changes in the contract documents: UNIT III: DRAINAGE IMPROVEMENTS (RESIDENTIAL INFRASTRUCTUREI I CITY BID ITEM PAY ITEM # # I QUANTITY I UNIT ITEM DESCRIPT19N � 5 3341.D208 � -43 LF 27" RCP, Class (II � 8 3341.0309 I 43 I LF 36" RCP, Class III � TOTAL DRAINAGE UNIT III: DRAINAGE IMPROVEMENTS {SENDERA RANCH BOULEVARD SOUTH SECTION - MASTER INFRASTRUCTUREI ciTv eio ireM PAY ITEM # # QUANTITY UNIT ITEM DE$ �jIPT lON 7' 0241.3014 9 LF Remo�e 21�Startn Line 8' 0241.4201 1 EA Remove 4' Drap Inlet 9' 0241.4800 14 SY Remave Rip Rap TOTAL DRAINACaH UNIT PRICE TOTAL $ 105.00 $ 4,515.00) $ 130.00 $ �,590.00 ; 1,075.00 UNIT PRICE TOTAL $ 30.00 $ 270.00 $ 1,000.00 $ 1,000.00 $ 50.00 $ 700.00 $ 1.970.00 UNIT IV: PAVING IMPROVEMENTS fSE DERA RANCH BOULEVARD NORTH SECTION - MASTER INFRASTRUCTUREI CITY BID ITEM PAY ITEM # # QUANTITY UNIT I ITEM vESCR�PTI� N UNIT PRICE 1 3211.0400 -1 TN HVdrffied Lime i42 Ibs/sy) $ 275.00 I$ Z 3211.0502 -47 SY 8" Lime Treatment $ 5.00 $ 3 3213.0105 � -86 I SY 10" Conc Pvmt 6 3291.0100 15 I CY T I$ 94.00 $ q p,soil � $ 28.00 $ 7 3292.0100 90 I SY I Block Sod Placement $ 8.00 $ 9 9999.0026 � -3 I LF I Construct Std. Pvmt. Header �$ 25.00 $ 10 9999.0031 I -9 1 LF I Saw-Cut Curb �$ 20.00 $ 15 9999.0036 I -1 I EA I TYPE II-CR 4" RPM �$ 4.00 $ 16 9999.0037 I 72 LF I REFL PAV MRK N I(V� 6") SNG)(SLD) �$ 5.00 �$ 17 9999.0038 I -10 LF I REFL PAV MRK TY IfWl� ''1 SNG1 (BRK? I$ 5.00 I$ 18 9999.0039 I 6 I LF I REFLPAVMRKTYI(W1(��)�SNG)(SLDf I$ 15.001 $ 11NIT N: PAVING IMPROVEMENTS (SENDERA RANCH BOULEVARD NORTH SECTION - MASTER INFRASTRUCTURE� j UNIT IV: PAVING IMPROVEMENTS lSENDERA RANCH BOULEVARD SOUTH SECTION - MASTER INFRASTRUCTUREj CITY 81D ITEM I PAY ITEM # # QUANTITY UNIT ITEM DESCRIP I�Q N UNIT PRICE 1 3211.0400 -1.8 TN Hvdrated L me Ia�lbs/sv't $ 275.00 $ 2 3211.o502 -86 SY 8" Lime Treatment $ 5.00 $ 3 3213.0105 -88 SY 10" Conc Pvmt �$ 94.00 $ 5 3291.0100 17 I CY Tq P,soil 6 3292.0100 I 100 I SY I Block Sod Placement I$ 28.00 $ I $ 8.00 $ 16 9999.0050 I -84 I LF I Remove REFL PAV MRK TY ISSS��n_n`. `6"1(SNG)�SLD) + $ 5.OD $ �� I 9999.0051 I -25 I LF I Remove REFL PAV MRKTY IfW)(18�1(SNGI(SLD) I$ 15.00 $ 21 � 9999.0036 I 16 EA � TYPE II-CR 4" RPM �$ 4.00 $ 2z I 9999.0037 I -740 LF REFL PAV MRK TY I W}`6"J SNG) SLD) I$ 5.00 $ 24 I 9999.0039 S1 LF I REFL PAV MRK TYI V�J 18�) SNG)�LD) �$ 15.00 $ 2�� I 9999A054 � 300 LF I REFL PAV MRK TY�4�(8"�( NG)(�LD) �$ 6.00 $ 28" I 9999.0055 I 7 I SY I Removal of 1" Conc Avmt � $ ao.00 $ UNIT IV: PAVING IMPROVEMENTS ISENDERA RANCH BOULEVARD SOUTH SECTtON - MASTER INFRASTRUCTURE S REVIEWED TOTAL {275.001 (235.OD1 f8,a84.007 420.00 720.00 i75.00) (180.06� �a.00r 360.00 (50.00) �D.00 (7,313.00) TOTAL f495.001 (430.00) {8.272.001 476.00 800.00 f420.001 i375.001 64.00 (3,700.001 {765.00) 1,80D.00 Zso.00 (11,037.00) By Sandip Adhikari at 5:27 pm, May 01, 2025 Docusign Envelope ID: 3F7EA192-3EC8-4B31-8D1A-835D1678BABF UNIT V: STREET LIGHTING IMPROVE ENTS (SENDERA RANCH BdULEVARD NORTH SECTION - MASTER INFRASTRUCTURES CITY BID ITEM PAY ITEM # # QUANTITY UNIT JI ITEM D� CRIPT QN UNIT PRICE TOTAL � 1' 9999.0056 2 � EA I Relocate �roun� Box I$ 750.00 $ 1,500.00 f I UNIT V: SiREET LIGHTING IMPROVEMENTS fSENDERA RANCH BOULEVARD NORTH SECTON - MASTER INFRASTRUCTURE} ; 1,500.00 � Asterisk (`) indicates new Pay ttem REASONS FOR CHANGE ORDER This change order inGudes median pavement revisions, ground box relocation and striping revisions to Sendera Ranch BNd. It also upsizes a segment of stortn pipe to align with the stortn drain cak�lations. NO CITY FUNDS INVOLVED IN THIS CONTRACT. DEVELOPER IS RESPONSIBLE FOR 100 % OF THE CHANGE ORDER COST AND Nd REIMBURSEMENT FROM THE CITY WILL BE SOUGHT BY THE DEVELOPER. RECOMMENDED: LJA Engineering, Inc ey: ��o � Name: Daniel Betten. P.E. APPROVED: Signed by: GBTM Sendera LLC BY: l�bti(�� Sa.w�u.c,l, atarsaryoornrv��... Name: BObby 5amuel APPROVED: Conatser Construction BY� ��r►+4..- � a�a.` Name: Adam Bur�s Tdle: ProjeG Manaper email: dbetten(�Ija.com r�ie: Authori zed Si gner bsamuel@greenbrickpartners email: REVIEWED Title: Manager COemail: adamaQco�atserconstruction.com By Sandip Adhikari at 5:28 pm, May 01, 2025 F��%�Tx� TRANSPORTATION AND PUBLIC WORKS November 11, 2025 Conatser Construction 5327 witchita st Fort Worth Texas 76119 RE: Acceptance Letter Project Name: Madero 10 Project Type: Water,sewer,paving, storm drain, street lighting City Project No.: 104901 To Whom It May Concern: On November 11, 2025 a final inspection was made on the subject project. There were no punch list items identified at that time. The final inspection indicates that the work meets the City of Fort Worth specifications and is therefore accepted by the City. The warranty period will start on November 11, 2025, which is the date of the final inspection and will extend of two (2) years in accordance with the Contract Documents. If you have any questions concerning this letter of acceptance, please feel free to contact me at 817- 392-8424. Sincerely, �,,.,n,� ��_ Sandip Adhikari, Project Manager Andrew Goodman, Program Manager Cc: Russell Rogers, Inspector Gary Deyon , Inspection Supervisor Lorrie Pitts, Senior Inspector Andrew Goodman, Program Manager UA Engineering, Consultant Conatser Construction, Contractor CBTM Senderra LLC, Developer File E-Mail: TPW_Acceptance@fortworthtexas.gov Rev. 08/20/19 a►�� r�r�vt�� s�'��r� o� �r�:x�� .rav�•�� o� �r�►��v't' Rcfi}re me, ti�e unc�erSl��ed ��thori[y. � Notary Public rn the stat� arfd �o��y �foresaid, on ihis day pers�nally appcarcd Brc�ck �f�ggins, P�esi�enl a�Co�at�er l�ax4�gem�erit �"xtoup, Inc., getter�� parizicr �f �c�nntser L�o��:tian T7C. LP, known to mc W�e a credible persan, vvi�e� be�n� by ntc dtily sv►+arn, upars his cYst3t t�epose� artd s�id: Tltat all p�r�t�, Ilrms, a.R�r��iatinns, c�r�x�racin�s or ��ther t�rganixzrl�orts #`umishing f��c�r a�cilc�r n�wteri�l� have been paid in Full; Thc'lt ��1C. 4V�i�� RC�1�� CS#A�t15I7�� 7� f.I'iC CICjf CL1lLRGlI lil Lk1� Ci� �� F'O�'i �i1�}1, has �..'C[l �!�ll� l[l �41��; ACl{� 'Thut ��cre �rc �o claims �ending far persona� inje�ry andlor pro�ae�y dam�ges; Cln C:onir�ct clt;sc.ribod as: 1VIAQER� PI-�. ]U VflATFR, SANI"I'ARY S�WER, DRAII�IAGE, PAVING 8c STRF.,ET LICi-�T IMFROVEINENTS I��A PR,� # 2�—i�)CaS crr�r ��a��:r # io��o� CITY OF �URT ��RT�-I STATE 4F TE�AS CCINA'TS�:�t CD?�ISTRi1CT1QN T�, I.P . �rack H�g,g� Sub�cribed anti sworn �o t�rfc�r� me tl�s l�' �y of Nov�mbcr, 2�25. ��rrieHin�r HoSE r+aranrruwr:,w+�r[of �ei�+ � ; �c� 13��7a3� ' � ' rc,nu �xr. +t_;�u-xa�s t� �� .�_ � �i'.��._. �lotary Public in T$r�ant Cour�t}°, 'I`exas . �OI�SE��` OF s��r �a��irr TO FI�V�IL PAI�IVIENT �ar�larne� witlr st� AR►rrican Inatit�te of �+r+�. �a �o�,z o�a� PRE},#E�T: �n�m9� �ddvl��Madera Phas$ 7Q FOrt Worttt. TX TQ �Qwne�r� lCa�TM SENp€F�A LLC AND TIiE CfTi' OF FbRi V1�pRTH 5501 ►td� [7r,. SWiFe 300W � TX 7502� 6oRd Na �2�375$ � ARG�iETECT'S Pl�OJEC�' ND: �F�2a�aos� �QNTRACT F�R: CllrGl�es $ P�v�rig fOr N1�4Er0 Pk�SA ia J cor��w�cT a��: CDNTRACTQR: CD#�►a��R �ONS�tUCr�O� rx, �.�. [n accordsrite with the pravisiaps af #!xe Gontract betwcren tlse Qvv�r and t�c Con�act�r as i.�icsted �v+e, t�e {hr� r..rr �rer+a .em rndrrr. o� s.rr�y Eomp++*v3 BFRlCi.,EY INSURAdVGE GDMFANY -075 Si��f�a�0�1 F�08�d ��,��, c� asa�o . suA€rr co��ar��r nR �on� nf n�r� +�.Kx �u+i..�d � or �w�staa CD�HATS�R CONSTRtJGTIE)IV T74. L.P. �3271M11�#:�ka St �aR WMh T!L 7Bi1�8035 . CONTRAC"�OR, her+e�y ap�mves of tffe fir�t� payment t� t�SC �4ntraciar, and agrncs that f�nsl payn�cnt co thc Cor�trac�or sl�all not ro]ievc tF�c 5ur�ety Cornpa�y of any o�its obi�gslivr�s #o aw.. r�, �.�,..�o.�.� a� c.�� GBTM S�f�1[3�RA L�.� AlVp THE �1TY OF FOF�T 4VO�i��! 5541 HE84�u�rter� Qr., 5urte 30dW P�ano �t 75�24 , qWHER, �s set forth im 3.ht said 5urety �ompast�� band. IN WI'fl�ESS, 1�i3ERFAF� thc S�rery Cvmpany has hcraunto set its 3r$nd this ��: �� (S�sl}: ` �� dsy of r�we�ra�er, �2� BERKLEY I�lSIkRANCE ��MpA�lY Surery Campany �..�� Signaturo ofAuttxo�iud Reprosont,�tire .�b :i M�al�s Title Atta rne�r-in-F aet AIOTE: 1'hw fqnn y t4 ea ur�A as a aane�frEn Oot�xnwa Lo- AIA �OC�l�MElY� 0�41i. CO�aTRACTpR"S #FFlGAVIT Q�F Pl�YM�iT OF Gf$TS Ak0 GLAlfNS. �u�►�nt [df�a� OWN�R ❑ ARCHITECT � cor��►ac�ro� � �l1RETY 0 (7�F'IEf� dNE PAQE