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Home My WebLink About062025-FP1 - Construction-Related - Contract - SJ Louis of Construction of Texas Ltd.AC Coded 01.09.25 Vendor Name: S J LOUIS CONSTRUCTION OF TEXAS LTD VendorID:0000007647 Invoice No.: 62025 - FP1 Invoice Date: ##/##/#### Release Retainage: $69,193.89 FID: 56022-2060000-103497-RETAIN $10,043.57 56019-2060000-103497-RETAIN $59,150.32 City Secretary No: 62025 -FP1 Date Received: O1/12/202E City Project No: 103497 � Regarding Contract 62025 , Marine Creek Sanitary Sewer Parallel Interceptor Part 1. for as required by the Water i ,! Department as approved by City Council on 08 13 24 through M&C 24-0677, the Director of the Water Department, � upon the recommendation of the Assistant Director of the Water Department, has accepted the project as complete. i Original Contract Amount: � Amount of Approved Change Orders: � Revised Contract Amount: �� Total Cost of Work Completed: � Less Deductions: Liquidated Damages: Pavement Deficiencies: Tota) Deduction Amount: Total Cost of Work Completed: Less Previous Payments: Final Payment Due: � �� i�� 1�, f�ecom �ended for Acceptance Assistant Director, Water Department ��, �� - Accepted Director, Water Department FORTWO�.THo WATER DEPAR7MENT NOTICE OF PROIECT COMPLETION $2.893,650.00 Days 150 5566.044.40 No 2 Days Added by CO 45 $3,459.694.40 Total Days 195 $3,459,694.40 Days Charged 239 0 Days @ 0.00 Day = 0.00 0.00 0.00 S3.459.694.40 S3.390,500.51 569.193.89 Date Date • . . , � . �. , , ;�,L � . •: � •-.�,��.;. � „_, .;: , ' + � • � . - . � � I.r i, ' �I 5+�'�`e. : -� `• , � i/� �� i�alz� OFFICIAL RECORD CITY SECRETARY FT. WORTH, TX �� r FORTWORTH � � � � k�-^ , ■ f FINAL STATEMENT OF CONTRACT TIME �� o3�osio� STATEMENT NO.: � I I AND FINAL NAME OF PROJECT: Manne Creek SS Parallel Intercepter M-278 M-2458 Part 1 PROJF,CT NO.: 1o3ae7 DOE NO.: rvrn CONTRACTOR: s� �outs •�' r� �'q S_�-Th. PERIOD FROM: 07/01/25 TO: 07/15/25 FINAL INSFECTION DATE: 07115/25 " WORK ORDEK �I�FECTIVE: 11I18/24 CONTRACT TIMG: 150 Q WD � CD DAY OF DAYS REASON FOR DAYS DAY OF DAYS IiEASON FOR DAYS MONTH CNARGED CREDITED MONTH CHARGED CREDITED DURING DURING 1. Mon 1 �6. 2• Tue 1 », 3. Wed 1 I8. 4• Thur s. Fri 6• Sat 7. Suh S• Mon 9•Tue �o.Wed 11. Thur 12. Fri 13. Sat �4• Sun �s• Mon THIS PERIOD PREVIOUS PERIOD I'07'ALS TO DATE "REMARKS: � 19. � zo. � 21. 1 22• � 23. � 2a. 1 is. 1 26. 1 2�. 1 28. � 29. '� 30. 31. SAT, SUN, RAIN, TOO WET, UTILITIES & HOLIDAYS & TOO COLD RELOCATIONS OTHERS * �AYS TOTAL CHARGED DAYS 15 15 224 224 239 239 , , �.�.� - �i � � �% �z�z� �� ,-�,�;, � ��, , � � �, , �� ; �CONTRACTOR DATE , SPECTOR '• ,,� ENGINEERING DEP.'rRTMENT �� The City of Fort Worth • 1000 Throci;morton Street • Fort Worth, TX 76012-G311 (81'� 392 - 7941 • Fax: (81� 392 - 7845 ;...-;. ,;.__ ,_ � DATE FORTWORTH Date: 01 /07/2026 RE: Acceptance Letter Project Name: Marine Creel< Sanitary Sewer Parallel Interceptor Part Project Type: 60" Sewer Slip Line Project No: CPN# 103497 Contract No: 62025 To Whom It May Concern: On July 15th 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 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 (g17) 392- 6054 Sincerely, � p n,� � o � Tony Sholola, P.E., Assistant Director, Water Department TS / Cc: Chris Harder, P.E., Director, Water Department Laura Wilson, P.E. Deputy Director Water Department Bijay Upreti, P.E. Project Manager Victor V. Tornero Jr., P.E.,Sr. Capital Projects Officer" Wade Miller, Construction Manager Inspection Supervisor Carmen Drake, Senior inspector Kimley Horn, Consultant S.J. Louis, Contractor 51 Louis Item # Description Unit 1.001 3331.0218 60" Sewer Pioe, Slio Lininq (Pre-CCN SubsidiaN) Unit 1.002 3339.1205 6' Tvpe A Manhole Unit 1.003 3339.12'11 6' Tee Base Manhole Unit 1.004 3339.1203 6' Extra Depth Manhole Unit 1.005 3339.12�3 6' Tee Base ExVa Depth Ma�hole Unit 1.006 0241.2202 Remove 5' Sewer Manhole Unit 1.007 3339.000'I Epoxy Manhole Liner Unit 1.008 3305.0112 Concrete Collar Unit 1.009 329'1.0100 Toosoil Unit 1.010 3292.0400 Seedinp, HYdromulch Unit 1.011 0171.0101 Construction Stakinq Unit�.012 0171.0102 As-BuiltSurvev Unit 1.013 3125.0101 SWPPP = 1 acre Unit 1.014 330�.0002 Post-CCN Insoection Unit �.015 3301.0101 Manhole V�Fuum Testinq Unit 1.016 3305.0'109 Trench SafetV Unit 1.D17 3471.0001 Traffic ogtrol Unit 1.018 0� 35.0101 Railroa� Coordination (BNSF, UPRR, 8� TriniN Metro) Unit 1.019 9999.0001 Railroad Flaqmen and Construction Observation Allowance (BNSF� Unit 1.020 9999.D002 Railroad Flaqmen a9 d �onstruct�on Observation Allowance tUPRR Unit 1.021 0135.0102 Railroad Flapmen (Tnniiv Metrol Unit 1.022' 9999.0003 Construction Allowance Unit 1.023 "Special" Cross/Tee Base Manhole w/6" Diameter Precast Concrete Rise CO#1 Unit �.024 Additional Bypass Pumpinp and FiberGlass Joint Glassinq CO2 Unit 1.025 Removal 8 Disposal of Concrete and Contaminated Materials CO2 Total UoM LF EA EA V F EA VF EA CY SY LS LS LS LF EA LF MO LS LS �$ D LS LS LS Unit Cost $ 4,612.00 $ 60,000.00 $ 84,000.00 $ 511.00 $ 511.00 $ 2,500.00 $ soa.00 $ 2,500.00 $ 50.00 $ 1.00 $ 4,000.00 $ 1,000.00 $ 10,000.00 $ 3.00 $ 1.000.00 $ 1.00 $ 1,500.00 $ 15,000.00 $ '100,000.00 $ 100,000.00 $ 2,5D0.00 $ 163,464.52 $ 333,53'1.25 $ 239,018.13 Org Qty 5�3.00 1.00 1.00 9.00 7.00 2.00 2s.00 2.00 126.00 2,252.00 1.OD 1.00 1.00 503.00 1.00 65.00 2.00 1.00 1.OD 1.00 30.00 Original Contact Rev Qty $ 2,319,836.00 503.00 $ 60,0OO.OD - $ 84,000.00 1.00 $ 4,599.00 - $ 3,577.00 7.00 $ 5,000.00 2.00 $ 22,512.00 28.00 $ 5,000.00 2.00 $ 6,300.00 126.00 $ 2,252.00 2,252.00 $ 4,000.00 1.00 $ 1,000.00 1.00 $ 10,000.00 'I.�O $ 1,509.00 503.OD $ 1,000.00 2.00 $ 65.00 65.00 $ 3,000.00 3.00 $ 15,000.00 1.00 $ 100,000.00 0.57 $ 100,000.00 1.79 $ 75,000.00 0.40 $ 70,000.00 $ - 1.00 $ - 1.00 $ - 1.00 $ 2,893,650.00 Revised Contract Completed Qty Work Completed Retainage $ 2,319,636.00 503.00 $ 2,319,836.00 $ 46,396.73 $ - - $ - $ - $ 84,000.00 1.00 $ 84,000.00 $ 1,680.00 $ - - $ - $ - $ 3,577.00 7.00 I$ 3,577.00 $ 7'1.54 $ 5,000.00 2.00 $ 5,000.00 $ '100.00 $ 22,512.00 28.00 $ 22,512.00 $ 450.24 $ 5,000.00 2.00 $ 5,000.00 $ 1D0.00 $ 6,300.00 126.00 $ 6,300.00 $ 126.00 $ 2,252.00 2,252.00 �$ 2,252.00 $ 45.04 $ 4,000.00 1.00 $ 4,000.00 $ 80.00 $ 1,OOD.00 1.00 $ 1,000.00 $ 20.00 $ 10,000.00 1.00 $ 10,0OO.OD $ 200.00 $ 1,509.00 503.00 $ 'I,SD9.00 $ 3D.18 $ 2.000.00 2.00 $ 2,000.00 $ 40.00 $ 65.00 65.00 $ 65.00 $ 1.30 $ 4,500.00 3.00 $ 4,500.00 $ 90.D0 $ 95,OOO.DO 1.00 $ 15,000.00 $ 30D.00 $ 57,420.00 0.57 $ 57,420.00 $ '1,148.40 $ �78,710.00 1.79 $ 178,709.50 $ 3,574.18 $ 1,000.00 0.40 $ 1,000.00 $ 20.00 $ - $ - $ - $ 163,464.52 1.00 $ 163,464.52 $ 3,26929 $ 333,531.25 1.00 $ 333,531.25 $ 6,670.63 $ 239,018.13 1.00 $ 239,018.13 $ 4,780.36 $ 3,459,694.90 $ 3,459,694.40 S 69,193.89 Paid To Date $ 2,273.439.27 $ - $ 82,320.00 $ - $ 3,505.46 $ 4,900.00 $ 22,061.76 $ 4,900.00 $ 6,174.00 $ 2,206.96 $ 3,920.00 $ 96D.00 $ 9,800.00 $ 1,478.82 $ 1,960.00 $ 63.70 $ 4,410.00 $ 14,700.00 $ 56,271.60 $ 175,135.32 $ 980.00 $ - $ '160,195.23 $ 326,860.62 $ 234,237.77 $ 3,390,500.51 $3,459,694.40 $ (69,193.B9) $ 3,39D,500.51 CSC 62025 - CPN 103497 1/ 1 iZJ22/2D25 Original Contract CO#1 CO#2 Revised Contract Totat Work Completed Less Deductions: Liquidated Damages Other Deductions Total Cost of Work Completed Less Payments to Date Final Payment Due $ 2,893,650.00 $ 63,865.52 $ 502,178.88 $ 3,459,694.40 $3,459,694.40 $ - $ - $ 3,459,694.40 $ 3,390,500.51 $ 69,193.89 PROJ�CT NANI�: PROJ�CT NUNIB�R: CSC NUn�IBGR: � INSTALLATION M�TfIOD P'IR� HYDRANTS # PIP� ABANDON�D PIP� I2�A�IOV�D D�NSITI�S: N�W S�RVIC�S: LOCATION & NIET�R SIZG � INSTALLATION NI�THOD Slip Line PIPE ABANDON�D PIPE R�MOVED D�NSITI�S: N�W S�RVICES: LOCATION FORTWORTH WATER ENGINEERING & FISCAL SERVICES PIPE REPORT FOR: Marine Creek SS Parallel Interceptor M-279 & M-245B Part 1 Slip Line CPN 103497 62025 WATGR PIPG PIP� DIANIGT�R TYP� Or PIP� VALV�S (16" OR LARG�R) � PIP� DIANIGT�R TYP� OF PIP� PIP� DIAMGTGR TYP� OF PIP� S��VER PIPE PIP� DIAA�I�T�R TYP� OF PIPE 60' HOBAS pipe PIPE DIAA�fET�R TYPE OF PIPE Pass WAT�R �NGIN��RING & FISCAL SERVICES The Cit}� of I�ort Worth • 100 P'ort Wortl� Trail• Fort \!Vorth, TX 76102 (817) 392 - 4477 • I'ax: (817) 392 - 8460 Li' LF LI' LT 503 LF Revision 8/27/2025 FORT �'VORTH �--.6-sZ,�.,• �,, _�.�T ..� `�i Capital Piojects Dclivery, Watet Department CONTRACTOR'S EVALUATION OF CITY I) PROJ�CT INFOl2MA7'ION Nan�e ofConlrncror S,J. Louis Constcuction Ff�nlei� Gngineering /nspedor Nakia McCain DOE NtunLer Projecl DiJficu(ty Q Simple Q Routine Q Complex lnilia! Conlracl Amoiuv $2,893,650.00 II) PCRFORMANC� �VALUATION Date: � 7-Nov-25 arv: oziaaio� Projcc! Nnu�e Marine Cceelc SS Parallel Interceptor M-279&M-245B Pact I ProjeG ti/a�rager Bijay Upreti 7j+�e ojConlracl ❑ Water � Waste Water ❑ Storm Dralnage ❑ Pavement ri�tal Conlracl Auiounl ��t�m � 3.yS�►�G9y q� 0- Inadequate 1- Deficient 2- Standai•d 3- Good 4- Excellent IEL6MENT I RAT(NG ELEMENT �� - ��) IIYSP�CTION �VALUA7'tON i Availability of Inspector 2 ICnowled�e of Inspector 3 Accuracy of Measured Quantities 4 Display Of Professionalism �5 Citizen Complaint Resolution ,6 Perforinance - Selting up Valve Crews, Labs � ADMINISTRATION � l Change Order Pcocessing Time �2 Timliness of Contractor Payments �3 Bid Opening to Pce-Con Meeting Timefi�ame IlI) COMM�NTS & SIGNATUR�S CONIMGNTS Signature Contractor Signature Tnspector Signature Inspector's Supervisor INSPGCTOR'S COMM�NTS 3 3 2 � z 3 O 1 Z PLANS & SP�CIFICATIOI�15 1 Accuracy of Ptans to Existing Conditions 2 Clarity & Sufficiency of Details 3 Applicability of 5pecifications 4 Accuracy of Plan Quantities PROJ�CT MANAGGR �VALUATION 1 ICnowledge And/Or Problem Resolution 2 Availability of Project Manager 3 Corrununication 4 Reso(ution of Utility Conflicts 1 .� IRATING (0 - 4) O j 2 Z � 2 � Z Z � Capital Projects Deliveiy, Water llepartment The City oEFort Worth • 1000 Throcicmorton St�eet • Fort Worth,'I� 76012-6311 (817) 392 - 4477 � Faz: (817) 392 - 84G0 �ORT �V�RT H , ,lA�� . Capitat Projects Deliveiy, Water Departinent PERFORMANCE EVALUATION OF CONTRACTOR RGV: 02/20/09 I) CONTRACTOR & PROJL�CT DATA Non�e ofCoitu•aclor Project Naiee S.J. Louis Consh•uction Marine Creek SS Pai•allel Interception M-279&M-2A58 Partl 11'afer Gngineering l�rspeclor' DOL' Niu��ber Nakia McCaiii 4Yaler Gngineering hispeclor ProJecl A/n�rager ❑ Water � Waste Water ❑ Storm Dralnage ❑ Pavement Bijay Upreti lnitialCanlracf An�o�eU Project I�IJficid(}, $2,893,650.00 �Q Simple /'ina! Ca�h•ac! ilnio�u�l r yp Dale '��J/�JIJ�JL ��.��i■��r. II) PGRFORMANC� EVALUATION i 0- Inadequate 1- Deficient 2- Slaiidard 3- Good �1- Exce lenl �ELEMGNT WEIGhtT ( x ) APPLICABLE (Y /N) i Submission of Docusnents 2 1' 2 PublicNotifications 5 1' �3 Plans on Site 5 Y �4 Field Supervision �5 Y � 5 Work Perfor�ned I S Y �6 Finished Product 15 Y �7 Job Site Safety l5 Y �8 Traffic Controi Maintenance ]5 Y �9 Daily Clean Up S Y � 10 Citizen's Complaint Resolution 5 Y �11 Propecty Resroration S Y 12 ARer• Hours Response 5 Y � t3 Project Completion 5 Y Q Routine � Complex �1tAi'1NG (0 - A) MAX SCORE 3 8 3 20 3 20 3 60 3 60 3 b6 3 60 3 60 2 20 3 20 2 20 2 20 2 20 TO'I'AL ELEMENT SCORE (A) 80NUS POINTS (25 Maximum) (B; TO'I'AL SCORC (TS, III) CONTRAC'I'OR'S RATING Maximum Score (MS) = 448 or sum of applicable ele�nent score maximums �vhich = 448 Rating ([TS / MSj `` 100°/u) 316 / 4d8 = 71 % Performance C�tegory Good SCOitF 6 15 15 4S �5 45 45 45 10 15 l0 10 10 316 3lG <20% = Inadeqanle 20% to <40% = Deficienf 40% �o <GO% = Stnndnrrf 60% ro<80% = Good >_80% _�.icellen� Inspector's Comnticnts (1NCt�Un1NG G\PLr�NAT10N O'f [30NUS PO(NTS A�VARDGD) Signaturc Inspector `�' / �f' Signatu�'e Inspector's Supervisor CON7'RACTOR'S COMMENTS � / .�� . . /l� � � � Capit�l Projects Deliveiy, �Y/ater Depactment The City of Fort Worth • 1000 Tluoclunorton Street • Fort Woith,'I� 76092-G391 (817) 392 - �4477 • Fa�: (817) 392 - 84G0 �. LiberLy Mutualo SURETY POWER OF ATTORNEY Liberty Mufual Insurance Company Certificate No: 8213854 —190003 The Ohio Casualty Insurance Company West American insurance Company KNOWN ALL PERSONS BY THESE PRESENTS: That The Ohio Casualty Insurance Company Is a corporation duly organized under Ihe laws oi lhe State o( New Hampshire, that Liberty Mutual Insurance Company is a corporation duly arganfzed under ihe laws of the State ot Massachusetts, and West American Insurance Company is a corporaUon duly organized under the laws of Ihe State ot Indiana (herein collec8vely calied the "Companies"�, pursuant to and by authority herefn set forth, does hereby name, consUtute and appofnf, Blake S. IIohlig; Brian D. Carpenter; Charles Draper, Kelly Nicole En�jh�auser; Heather R. Goedtel; Erik T. Gunkei; Michelle Halter; Jessica Hecker, Kathryn E. Kade; Nicole Langer, Crnig Olmstead; Haley Pflug; Laurie Pflug; Michelle Ward; Sara Whitfield all of the dry ot Bloomin�ton state ot MN each individually if there be more than one named, its lrue and law(ul attomey-In-fact to make, execute, seal, adcnowledge and deliver, (or and on its behaif as surety and as its act and deed, any and ali undertakings, bonds, recognizances and olher surety obligations, in pursuance of these presents and shall be as binding upon ihe Companies as ii they have been duly signed by lhe president and attested by the secretary of Ihe Companies in their own proper persons. IN WITNESS WHEREOF, this Power of Attorney has been subsaibed by an authorized otficer or o�cial of the Companies and the corporate seals ot the Companies have been affixed theretolhis 17th dayo( April , 2025 . —' Liberty Mutual Insurance Company —' ��Nsuq �tV INSV ��NSUq The Ohio Casualty Insurance Company ji�oaPO�ro�'n� �Jrp�RP��1t,�y� �PropPO�roynm WestAmericanlnsuranceCompany � � m W � Y 9s1912�y 3 y y 1919`�� o Q 1991 3 N� � dpl s'�CHUS� ,dD O�'NAMPsa D� �! �HDIANP a �� N O � a�l * F�, �yl * *�d S�M * *aa gy. ;_ � � Nathan J. Zangerle, Asslstant Secretary Q' � � c`a State of PENNSYLVANIA ss '� � �� County of MONTGOMERY o E �� On Ihis t7th day of AQril , 2025 betore me personally appeared Nathan J. Zangerle, who acknowledged himseif to 6e the Rssistant Secretary o( Liberty Mutuai insurance �� m Company, The Ohio Casualty Company, and West American Insurance Company, and that he, as such, being aulhorized so to do, execute fhe toregoing InsUument (or the purposes `� �� thereln conlained by signing on behal( of the corporations by hfmseif as a duly authorized ofticer. �@� a� � _� IN WITNESS WHEREOP,1 have hereunto subscribed my name and affixed my notarlai seal al Plymouth Meeting, Pennsylvanla, on ihe day and year first above wrltten. c •� A P � N �rSPop`yS��C CommomveallholPennsylvania•NolarySeai pj O C '� (`0 N � � � (0 � � c � •— o� � U (D C > a> o� ZU ,� `� l� Fq<' Cr Teresa Paslella, Ndery Pubiic � �;i^��-c�-W �F ' N,onlgamery Counly �� MymmmissbneMp'vesMarch28,2029 By• %"vuko`'� i[4 !�� c Canmisslon qumber 1726044 �'SY�-��'`�4�� Memher, bennsylvan(a Associetion ol Nolarfas Teresa Pastella, Notary Public �'�hY PV`3 This Power ot Attorney is made and execuled pursuant lo and by authority ot the (oilowing By-laws and Authoriza6ons of The Ohio Casuaity Insurance Company, Libedy Insurance Company, and West American Insurance Company which resoluUons are now in full force and effect reading as follows: � 4� � T._ C � c0 � � i � Q O O� � � Mutual 3 � aM ARTICLE IV — OFFICERS: Seclion 12. Power ai Atlomey. o 0 Any officer or olher otficial of the Corporation aulhorized for that purpose in wrilfng by the Chairman or the President, and subject lo such Ilmitatlon as ihe Chairman or lhe �.— President may prescribe, shail appoint such attomeys-in-(act, as may 6e necessary to act in behali of Ihe Corporalion to make, execute, seal, acknowledge and deliver as surely � t° any and all undertakings, bonds, recognizances and olher surety obligalions, Such attomeys-in-fact, subject to lhe limitations set forth in iheir respective powers of aflomey, shall -o � have full power to bind the Corporalion by lheir signature and execulion of any such instruments and to attach (hereto the seal of the Corporalion. When so executed, such o a� insUuments shall be as binding as if signed by ihe President and attested to by the Secrelary. Any power or authority granted to any representative or attomey-in•(acl under the -Q � provisions of ihis a�tide may be revoked at any time by the Board, Ihe Chalrman, the President or by the o�icer or oificers granting such power or aulhorily. � a ARTICLE XIII — Execution of Contracts: Section 5. Surety 8onds and Undertakings. Any officer of the Company authorized for that purpose in writing by the chairman or lhe president, and subject to such limitations as ihe chairman or fhe president may prescribe, shall appoint such attomeys-in-fact, as may be necessary to act in behaif of the Company to make, execute, seal, acknowledge and deliver as surety any and all undertakings, — bonds, recognizances and other surety obligations. Such aflorneys•in-fact subJect to the Ilmilations set forih in their respeclive powers of attomey, shail have full power to bind the Company by thelr signalure and execulion of any such instruments and to attach thereto the seal of the Company. When so executed such instrumenls shall be as binding as if signed by fhe president and attested by the secretary. Certiticate of Designation — The President of the Company, acUng pursuant io the Bylaws oi the Company, authorizes Nalhan J. Zangerte, Assislant Secrelary to appoint such attomeys•in-fact as may be necessary to act on behalf of Ihe Company to make, execule, seal, acknowledge and deiiver as surety any and all undertakings, bonds, recognizances and other surety obligatlons. Authorization — By unanimous consent o( Ihe Company's Board of Directors, the Company consents thal facsimile or mechanically reproduced signalure of any assislant secretary of ihe Company, wherever appearing upon a certified copy of any power oF attomey Issued by the Company in connec(ion with surety bonds, shall be valfd and binding upon the Company wilh the same force and eNect as though manually affixed. I, Renee C. Llewellyn, the undersigned, Assistant Secretary, The Ohio Casualty Insurance Company, Llberty Mutuai Insurance Company, and West American Insurance Company do hereby cer6fy lhat ihe odginal power of attomey of which the forego(ng is a fuil, true and correct copy ot the Power of Attomey executed by said Companies, is in full force and eHect and has not been revoked. IN TESTIMONY WHEREOF, I have hereunto set my hand and aifixed the seals of said Companies this i 5th day of luly , 2025 . v INS�R �SY INSU�1 � 1N3(/�, j=4pPPOq,1TOq�j.�(� �J�4�PPOt�roq.� `VP=opvo��o2�t+� v i�� ¢� � 199 2 � o� 1919 � o Q 1991 0 " L,�a�'Gi'�- d�,'s°',�,�us�'�da3 y� �NAMP6�,aD� rS �NOIANP da� By� Renee C. Llewell n AssistantSecreta e,� * �.� �yl * ra ,,M * �a Y , ry LMS-12873 LMIC OCIC WAIC Mulli Co 02/24 �a�T �UORZ'H The City of Fort Worth PROJECT: OWNER: CONTRACTOR'S AFFIDAVIT OF RELEASE OF LIENS Marine Creek Sanitary Sewer Parallel Interceptor M-279 & M- 2456 Part 1 Siipline City of Fort Worth, Texas CONTRACTOR: S.J. Louis Construction of Texas, Ltd. ENGlNEER: Kimlev Horn PROJECT NUMBER: 103497 �22a06 I The Confractor, in accordance with fhe Contract Documents, and in consideration for the fuil and final payment to the Contractor for a(1 services in connection with fhe project does hereby waive and release any and all liens, or any and all claims to /iens whlch the Contractor may have on or affecting the project as a result of its contract(s) for the Projeci or for performing labor and/or furnishing maierials in any way connected with the construction of any aspecf of the project. The Contractor further ce►tifies and warrants that all subcontractors of labor and/or maieria/s for the Project, except as listed below, have been paid in full for all labor and/or mate�ials supplied to, for, through or at the direct or indirect request of the Contractor prior to, through and including the date of this affidavit. EXCEPTIONS: None (If none, write "NONE". The Contractor shall furnish a bond, acceptable to the Owner, for each exception.) CONTRACTOR S.J. Louis Co�'st ction ,�Texas. Ltd. �-, By Adam Lunsford � ��,A ,. Title Vice President � Subscribed and sworn t, befor me this 16 day of Julv Notary Public: � My Commission Expires: U�� !$ �Zc1 L� , 20 25 �,�;�';`v�,,, ARIA I nURa pqREDES �'., .?"� My Notary ID # 130612880 N; •'•�Il'•...•'�t.` •• ;f q;.;;: Expires April 15, 2028 1 I � � �- . 1 ��ii�r W��z��1� CONSENT OF SURETY COMPANY TO FINAL PAYMENT City of Fort Worth, TX IPROJ ECl': IOW NER: ICONTRAC70R: �ENGINEER: Marine Creek Sanitary Sewer Parallel Interceptor M-279 & M- 2458 Part 1 Slipline Citv of Fort Worth. Texas S.J. Louis Construction of Texas, Ltd. Kimlev Horn PROJECT NUMBER: 103497 22406 The Surety Company, on bond of ihe Contractorlisted above for the referenced project, In accordance with the Contract Documents, hereby approves final payment io the ConEractor, and agrees that final paymenf to the � Contractor shall not relieve fhe Surety Company of any of its obligaiions to the Owner under the terms of the Contract and as set forth in said Surety Company's bond. In witness whereof, the Surety Company has hereunto set its hand this 15th day of Julv 20 25. Liberty Mutual Insurance Company Surety Company gy c�l t�-��_ Authorize Representativ J Title Haley Pflug, Attorney-in-Fact Address: 8400 Normandale Lake Blvd., Suite 1700 Bloomington, MN 55437 � v+suR JP°�nP��jo��tn ` F ,�t1912yo rdV1'aJAC11U5�aa'� B/� * �a Attach Power of Attorney F�RT��RTHo City Secretary's Office Contract Routing & Transmittal Slip Contractor's Name: SJ Louis Construction of Texas LTD Subj ect of the Agreement: Fi na l Pay a pp M&C Approved by the Council? * Yes ❑ No ❑✓ If �so, the M&C must be attached to the contract. Is this an Amendment to an Existing contract? Yes ❑✓ No ❑ 62025 If �so, provide the original contract number and the amendment number. Is the Contract "PermanenY'? *Yes 0 No ❑ If �unsure, see back page for permanent contract listing. Is this entire contract Confidential? *Yes ❑ No ❑✓ If only specific information is Confidential, please list what information is Confidential and the page it is located. Effective Date: 1/7/2026 Expiration Date: N/A If different from the approval date. If applicable. Is a 1295 Form required? * Yes ❑ No ❑✓ *If �so, please ensure it is attached to the approving M&C or attached to the contract. Proj ect Number: If applicable. 103497 *Did you include a Text field on the contract to add the City Secretary Contract (CSC) number? Yes ❑✓ No ❑ Contracts need to be routed for CSO processin� in the followin� order: 1. Katherine Cenicola (Approver) 2. Jannette S. Goodall (Signer) 3. Allison Tidwell (Form Filler) *Indicates the information is required and if the information is not provided, the contract will be returned to the department.