HomeMy WebLinkAbout063563-FP1 - Construction-Related - Contract - Interstate Sealant & Concrete, Inc.CSC No. 63563-FP1
AVIATION DEPARTMENT
NOTICE OF PROJECT COMPLETION
Regarding City Secretary Contract #63563 for the construction of Joint Reseal & Pavement
Repair — Phase I at Perot Field Fort Worth Alliance Airport as requested by the Aviation
Department as approved by City Council on 6/10/2025 through M&C 25-0524. The Department
of Aviation has accepted this project as complete.
Original Contract Amount $1,290,918.00
Amount of Approved Change Orders: $10,083.70
Revised Contract Amount: $1,301,001.70
Total Cost Work Completed $1,301,001.70
Less Deductions:
Liquidated Damages 0 Days @ $0.00/Day
Pavement Deficiencies $0.00
Total Deduction Amount: $0.00
Total Cost Work Completed $1,301,001.70
Less Previous Payments $1,301,001.70
Final Payment Due $0.00
� 9w 07/27/2026
Tyler Dale TJul 27, 2026 13:42:29 CDT)
Recommended for Acceptance Date
-4-
Aviation Director
Valeri !ton (Jul 27 6 14:21:31 CDT)
Assistant City Manager
07/27/2026
Date
07/27/2026
OFFICIAL RECORD
Date
CITY SECRETARY
FT. WORTH, TX
AFFIDAVIT
STATE OF WISCONSIN
COUNTY OF _Waukesha
Before me, the undersigned authority, a notary public in the state and county
aforesaid, on this day personally appeared _ Gregory A. Sment of Interstate
Sealant & Concrete, Inc., known to me to be a credible person, who being by me duly
sworn, upon his oath deposed and said;
That all persons, firms, associations, corporations, or other organizations furnishing
labor and/or materials have been paid in full;
That the wage scale established by the City Council in the City of Fort Worth has
been paid in full;
That there are no claims pending for personal injury and/or property damages;
On Contract described as:
Construction of Joint Reseal & Pavement Repair— Phase I at
Perot Field Fort Worth Alliance Airport
By 1
Gr ryA. Sment, President
Subscribed and sworn before me on this 25th day of November 2025.
&"� Z Aw, r, f,
Notary Public in and for the State of Wisconsin
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CONSENT OF
SURETY COMPANY
TO FINAL PAYMENT
Conforms with the American Institute of
Architects, AIA Document G707
OWNER
❑
ARCHITECT
❑
CONTRACTOR
❑
SURETY
❑
OTHER
PROJECT:
(name, addreSS) AFW Joint Reseal & Pavement Repair Phase 1 Construction - City Project No. 104463
TO (Owner)
Bond No 9463068
F ARCHITECT'S PROJECT NO:
CITY OF FORT WORTH CONTRACT FOR:
100 Fort Worth Trail AFW Joint Reseal & Pavement Repair Phase 1 Construction - City
Project No. 104463
Fort Worth TX 76102 --J CONTRACT DATE: 6/10/2025
CONTRACTOR: INTERSTATE SEALANT & CONCRETE, INC.
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)
COLONIAL AMERICAN CASUALTY AND SURETY COMPANY
1299 Zurich Way
Schaumburg IL 60196 , SURETY COMPANY
on bond of (here insert name and address of Contractor)
INTERSTATE SEALANT & CONCRETE, INC.
S40 W24211 Rockwood Way
Waukesha WI 53189
,CONTRACTOR,
hereby approves of the final payment to the Contractor, 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
100 Fort Worth Trail
Fort Worth TX 76102 , OWNER,
as set forth in the said Surety Company's bond.
IN WITNESS, WHEREOF,
the Surety Company has hereunto set its hand this
A"k,Witness: , '
(Seal):
2nd day of December, 2025
COLONIAL AMERICAN CASUALTY AND SURETY COMPANY
Surety Company
Sign tui Authorized Representative
n-Fact
Title
NOTE- This form is to be used as a companion document to AIA DOCUMENT G706, CONTRACTOR'S AFFIDAVIT OF PAYMENT OF DEBTS AND CLAIMS,
Current Edition
ONE PAGE
ZURICH AMERICAN INSURANCE COMPANY
COLONIAL AMERICAN CASUALTY AND SURETY COMPANY
FIDELITY AND DEPOSIT COMPANY OF MARYLAND
POWER OF ATTORNEY
KNOW ALL MEN BY THESE PRESENTS: That the ZURICH AMERICAN INSURANCE COMPANY, a corporation of the State of New York, the
COLONIAL AMERICAN CASUALTY AND SURETY COMPANY, a corporation of the State of Illinois, and the FIDELITY AND DEPOSIT COMPANY
OF MARYLAND a corporation of the State of Illinois (herein collectively called the "Companies"), by Christopher Nolan, Vice President, in pursuance of
authority granted by Article V, Section 8, of the By -Laws of said Companies, which are set forth on the reverse side hereof and are hereby certified to be in full
force and effect on the date hereof, do hereby nominate, constitute, and appoint Kelly CODY, Brian KRAUSE, Roxanne JENSEN, Trudy A.
SZALEWSKI, Jeffrey S. MOORE, Marc SACIA of Green Bay, Wisconsin, its true and lawful agent and Attomey-in-Fact, to make, execute, seal and
deliver, for, and on its behalf as surety, and as its act and deed: any and all bonds and undertakings, and the execution of such bonds or undertakings in
pursuance of these presents, shall be as binding upon said Companies, as fully and amply, to all intents and purposes, as if they had been duly executed and
acknowledged by the regularly elected officers ofthe ZURICH AMERICAN INSURANCE COMPANY at its office in New York, New York., the regularly
elected officers of the COLONIAL AMERICAN CASUALTY AND SURETY COMPANY at its office in Owings Mills, Maryland., and the regularly elected
officers of the FIDELITY AND DEPOSIT COMPANY OF MARYLAND at its office in Owings Mills, Maryland., in their own proper persons.
The said Vice President does hereby certify that the extract set forth on the reverse side hereof is a true copy of Article V, Section 8, of the By -Laws of
said Companies, and is now in force.
IN WITNESS WHEREOF, the said Vice -President has hereunto subscribed his/her names and affixed the Corporate Seals of the said ZURICH
AMERICAN INSURANCE COMPANY, COLONIAL AMERICAN CASUALTY AND SURETY COMPANY, and FIDELITY AND DEPOSIT
COMPANY OF MARYLAND, this 03rd day of March, A.D. 2025.
i�+
.. ATTEST:
ZURICH AMERICAN INSURANCE COMPANY
COLONIAL AMERICAN CASUALTY AND SURETY COMPANY
FIDELITY AND DEPOSIT COMPANY OF MARYLAND
By: Christopher Nolan
Vice President
C_D4— its (QGG-
By: Dawn E. Brown
Secretary
State of Maryland
County of Baltimore
On this 03rd day of March, A.D. 2025, before the subscriber, a Notary Public of the State of Maryland, duly commissioned and qualified, Christopher
Nolan, Vice President and Dawn E. Brown, Secretary of the Companies, to me personally known to be the individuals and officers described in and who
executed the preceding instrument, and acknowledged the execution of same, and being by me duly sworn, deposeth and saith, that he/she is the said officer of
the Company aforesaid, and that the seals affixed to the preceding instrument are the Corporate Seals of said Companies, and that the said Corporate Seals and
the signature as such officer were duly affixed and subscribed to the said instrument by the authority and direction of the said Corporations.
IN TESTIMONY WHEREOF, I have hereunto set my hand and affixed my Official Seal the day and year first above written.
r 'dr•ti %I�C�f JU. hCn—
Genevieve M. Maison
Notary Public
My Commission Expire January 27, 2029
EXTRACT FROM BY-LAWS OF THE COMPANIES
Authenticity of this bond can be confirmed at bondvalidator.zurichna.com or 410-559-8790
"Article V, Section 8, Attomcys-in-Fact. The Chief Executive Officer, the President, or any Executive Vice President or Vice President
May. by %Titten instrument under the attested corporate seal, appoint attorneys -in -fact with authority to execute bonds, policies, recognizances,
stipulations undertakings, or other like instruments on behalf of the Company, and may authorize any officer or any such attorney -in -fact to
affix the corporate seal thereto; and may with or without cause modify of revoke any such appointment or authority at any time."
CERTIFICATE
1, the undersigned, Vice President of the ZURICH AMERICAN INSURANCE COMPANY, the COLONIAL AMERICAN CASUALTY
AND SURETY COMPANY, and the FIDELITY AND DEPOSIT COMPANY OF MARYLAND, do hereby certify that the foregoing Power
of Attorney is still in full force and cffect on the date of this certificate; and I do further certify that Article V, Section 8, of the By -Laws of the
Companies is still in force.
This Power of Attorney and Certificate may be signed by facsimile under and by authority of the following resolution of the Board of
Directors of the ZURICH AMERICAN INSURANCE COMPANY at a meeting duly called and held on the 15th day of December 1998.
RESOLVED: "That the signature of the President or a Vice President and the attesting signature of a Secretary or an Assistant Secretary
and the Seal of the Company may be affixed by facsimile on any Power of Attorney...Any such Power or any certificate thereof bearing such
facsimile signature and seal shall be valid and binding on the Company."
This Power of Attorney and Certificate may be signed by facsimile under and by authority of the following resolution of the Board of
Directors of the COLONIAL AMERICAN CASUALTY AND SURETY COMPANY at a meeting duly called and held on the 5th day of May,
1994, and the following resolution of the Board of Directors of the FIDELITY AND DEPOSIT COMPANY OF MARYLAND at a meeting
duly called and held on the 1 Oth day of May, 1990.
RESOLVED: "That the facsimile or mechanically reproduced seal of the company and facsimile or mechanically reproduced signature
Of any Vice -President, Secretary, or Assistant Secretary of the Company, whether made heretofore or hereafter, wherever appearing upon a
certified copy of any power of attorney issued by the Company, shall be valid and binding upon the Company with the same force and effect
as though manually affixed.
TESTIMONY REOF, 1 have hereunto subscribed my name and affixed the corporate seals of the said Companies,
this day of — ,
owr u.N �.,,nnyn ^ows
^�iCM `'� .b°r�j¢°n�h�, w� aA,^�Y•ur e"4yc,:
r°°avoq�a t '�rany� a3OSEAL"
-M - P ;&L
Mary Jean Pethick
Vice President
TO REPORT A CLAIM WITH REGARD TO A SURETY BOND, PLEASE SUBMIT A COMPLETE DESCRIPTION
OF THE CLAIM INCLUDING THE PRINCIPAL ON THE BOND, THE BOND NUMBER, AND YOUR CONTACT
INFORMATION TO:
Zurich Surety Claims
1299 Zurich Way
SchauMburg, IL 60196-1056
re ortsfclaimsna, uricltna.com
800-626-4577
Authenticity of this bond can be confirmed at bondvalidator.zurichna.com or 410-559-8790
CERTIFICATE OF SUBSTANTIAL COMPLETION
Contract No.: 63563 Contract Date: June 30, 2025
Project Name: AFW Joint Reseal & Pavement Repair NTP Date: August 5, 2025
Phase I Construction
Owner:
City of Fort Worth Aviation Department
Contractor:
Interstate Sealant & Concrete, Inc.
Project Substantial Completion Date: October 9, 2025
The work performed under this contract has been inspected by authorized representatives of the Owner, Contractor, and
Architect/Engineer, and the Project (or specified part of the Project, as indicated above) is hereby declared to be substantially
completed on the above date.
DEFINITION OF SUBSTANTIAL COMPLETION
The date of substantial completion of a project or specified area of a project is the date when the
construction is sufficiently completed in accordance with the contract documents, as modified by
any change orders agreed to by the parties, so that the Owner can occupy or utilize the project or
specified area of the project for the use for which it was intended.
A tentative list of items to be completed or corrected is appended hereto. This list may not be exhaustive, and the failure to
include an item on it does not alter the responsibility of the Contractor to complete all the work following the contract
documents.
Jacobs Eneineering Group, Inc Bv. /Lz — - /Y -A.✓J
Architect/Engineer
Proiect Management Associates PLLC
Authorized Representative
10/09/2025
Resident Project Representative A4yorized Reprekentative u Date
The Contractor accepts the above Certificate of Substantial Completion and agrees to complete and correct the items on the
tentative list within the time indicated. Digitally signed by Brian R.
Brian R. Colbert Colbert
Interstate Sealant & Concrete, Inc. By: Date: 2025.10.09 23:14:1 1-05'00'
Contractor Authorized Representative Date
The Owner accepts the project or specified area of the project as substantially complete and will assume full possession of
the project or specified area of the project at 12:00 PM (time), on October 9, 2025 (date). The responsibility for heat,
utilities, security, and insurance under the contract documents shall be as set forth under "Remarks" below.
City of Fort Worth Aviation Department By: J?,�,;1 10/13/2025
Owner Authorized Representative Date
Remarks: As of this date of Substantial Completion, the Owner takes responsibility for all utilities, maintenance, and damage
to the Work by a third party, security issues, and all insurances, including All Risk/Builders, Risk for the specified area of the
project.
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FORT WORTH
Routing and Transmittal Slip
Aviation
Department
DOCUMENT TITLE: AFW Joint Reseal & Pavement Repair Ph. 1 Construction Closeout
M&C 25-0524 CPN 104463 & 106257 CSO # 63563 DOC#
DATE: 7/27/2026
INITIALS
DATE OUT
TO:
1. Roger Venables
R g r venables
07/27/2026
2. Valerie Washington
WD
07/27/2026
3.
4.
5.
6.
DOCUMENTS FOR CITY MANAGER'S SIGNTURE: 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, Jay will review and
take the next steps.
NEEDS TO BE NOTARIZED: ❑ Yes 0 No
RUSH: ❑ Yes ❑X No SAME DAY: ❑ Yes ❑ No
ROUTING TO CSO: X❑ Yes ❑ No
Action Required:
❑ As Requested
❑ For Your Information
Signature/Routing and or Recording
❑ Comment
❑ File
NEXT DAY: ❑ Yes ❑ No
❑ Attach Signature, Initial and Notary Tabs
Return to: Please call Tyler Dale at ext. 5416 for pick up when completed. Thank you.
FORT WORTH.
City Secretary's Office
Contract Routing & Transmittal Slip
Contractor's Name: Interstate Sealant & Concrete, Inc.
Subject of the Agreement: Closeout Packet for construction of Phase I of the Joint Reseal & Pavement
Repair project at Perot Field Fort Worth Alliance Airport.
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
If so, provide the original contract number and the amendment number.
Is the Contract "Permanent"? *Yes 9 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: N/A
If different from the approval date.
Expiration Date: N/A
If applicable.
Is a 1295 Form required? * Yes ❑ No M
*If so, please ensure it is attached to the approving M&C or attached to the contract.
Project Number: If applicable. 104463 & 106257
*Did you include a Text field on the contract to add the City Secretary Contract (CSC)
number? Yes 8 No ❑
Contracts need to be routed for CSO processing in the following 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.