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Home My WebLink AboutContract 44325-FP1 ECRETi �I -- - -- -- -- RACT NO. Depae t f TP&W Const. Services DOE# Date Project Manager '—�""` - �/ ! Risk Management J. Page C WORTH, D.O.E. Brotherton CFA Westerman/Scanned 0 := The Proceeding people have been Co tatted concerning the request for final payment&have released this project for such payment. [`ION AND PUBLIC WORKS , - Clearance Conducted By ShamPROJECT COMPLETION eka Kennedy D.O.E.Ns: 6970 Regarding contract 116970 for HERITAGE PLACE ASSISTED LIVING ADD-WATER& SEWER as required by the WATER DEPARTMENT as approved by City Council on N/A through M&C N/A the director of the WATER DEPARTMENT upon the recommendation of the Assistant Director of the Transportadon&Public Works Department has accepted the project as com Tete. F.Original Contract Prices: D $255,758.00 Amount of Approved Change Orders: MAR 12 2015 TI'Q Revised Contract Amount: By Total Cost Work Completed: $255,758.00 Less Deductions: Liquidated Damages: Days @$210.00/Day Pavement Deficiencies: Total Deduction Amount: Total Cost Work Completed: $255,758.00 Less Previous Payments: $0.00 Final Payment Due $255,758.00 3-i2 -isJ Recommended for Acceptance Date Asst. Director, TPW - Infrastructure Design and Construction Accepted Date Director, WATER DEPARTME T �0 l City Manager Date Comments: P265-541200-608150204583,P275-541200-708130204583 s OFFICIAL RECORD CITY SECRETARY FT- WORTHY TX FORT WORTH CITY OF FORT WORTH FINAL PAYMENT REQUEST Contract Name HERITAGE PLACE ASSISTED LIVING ADDITION Contract Limits Project Type WATER&SEWER City Project Numbers 02045 DOE Number 6970 Estimate Number I Payment Number I For Period Ending 6/23/2014 CD City Secretary Contract Number 116970 Contract Time 36CD Contract Date Days Charged to Date 430 Project Manager Ehia Contract is 000000 Complete Contractor CGI CONSTRUCTION,INC 1200 SUMMIT AVE#444 FORT WORTH, TX 76102 Inspectors LAYER / ODEN Monday,June 23,2014 Page I of 5 City Project Numbers 02045 DOE Number 6970 Contract Name HERITAGE PLACE ASSISTED LIVING ADDITION Estimate Number I Contract Limits Payment Number I Project Type WATER&SEWER For Period Ending 623/2014 Project Funding WATER Item Description of Items Estimated Unit Unit Cost Estimated Completed Completed No. Quanity Total Quanity Total 1 6"PVC WATER PIPE 120 LF $17.00 $2,040.00 120 $2,040.00 2 8"PVC WATER PIPE 1035 LF $19.00 $19,665.00 1035 $19,665.00 3 10"PVC WATER PIPE 552 LF $27.00 $14,904.00 552 $14,904.00 4 CONNECTION TO EXISTING 16"WATER MAIN 1 EA $1,000.00 $1,000.00 1 $1,000.00 5 CONNECTION TO EXISTING 24"WATER MAIN 2 EA $1,000.00 $2,000.00 2 $2,000.00 6 2"WATER SERVICE 2 EA $1,600.00 $3,200.00 2 $3,200.00 7 4"WATER METER AND VAULT 1 FA $10,000.00 $10,000.00 1 $1000.00 8 DUCTILE IRON WATER FITTINGS 0.75 TN $7,000.00 $5,250.00 0.75 $5,250.00 9 FIRE HYDRANT 5 EA $2,200.00 $11,000.00 5 $11,000.00 10 6"GATE VALVE 5 EA $900.00 $4,500.00 5 $4,500.00 11 8"GATE VALVE 2 EA $1,250.00 $2,500.00 2 $2,500.00 12 10"GATE VALVE 4 EA $1,900.00 $7,600.00 4 $7,600.00 13 8"X 4"TAPPING SLEEVE&VALVE I EA $2,200.00 $2,200.00 1 $2,200.00 14 24"X 6"TAPPING SLEEVE&VALVE 1 EA $4,000.00 $4,000.00 1 $4,000.00 15 16"X 8"TAPPING SLEEVE&VALVE 1 EA $5,500.00 $5,500.00 1 $5,500.00 16 24"X 8"TAPPING SLEEVE&VALVE I EA $6,000.00 $6,000.00 1 $6,000.00 17 MISC STRUCTURE ADJUSTMENT 1 EA $1,500.00 $1,500.00 1 $1,500.00 18 TRENCH SAFETY 1707 LF $1.00 $1,707.00 1707 $1,707.00 Sub-Total of Previous Unit $104,566.00 $104,566.00 SEWER Item Description of Items Estimated Unit Unit Cost Estimated Completed Completed No. Quanity Total Quanity, Total --------------------------------------- 1 -------- — ------------------ - 1 8"SEWER PIPE 2264 LF $23.00 $52,072.00 2264 $52,072.00 2 8"SEWER PIPE,CSS BACKFILL 60 LF $575.00 $34,500.00 60 $34,500.00 3 4'MANHOLE 12 EA $3,100.00 $37,200.00 12 $37,200.00 4 Y MANHOLE 1 EA $4,200.00 $4,200.00 1 $4,200.00 5 5'EXTRA DEPTH MANHOLE 5 VF $280.00 $1,400.00 5 $1,400.00 6 EPDXY MANHOLE LINER 20 VF $240.00 $4,800.00 20 $4,800.00 7 CONCRETE ENCASE SEWER PIPE 30 LF $25.00 $750.00 30 $750.00 8 CLAY DAMS 2 EA $500.00 $1,000.00 2 $1,000.00 Monday,June 23,2014 Page 2 of 5 OFFICIAL RECORD CITY SECRETARY FT.WORTH,TX i City Project Numbers 02045 DOE Number 6970 Contract Name HERITAGE PLACE ASSISTED LIVING ADDITION Estimate Number 1 Contract Limits Payment Number I Project Type WATER&SEWER For Period Ending 6/23/2014 Project Funding 9 TRENCH SAFETY 2324 LF $2.75 $6,391.00 2324 $6,391.00 10 POST CCTV INSPECTION 2324 LF $2.25 $5,229.00 2324 $5,229.00 11 MANHOLE VACUUM TESTING 13 EA $250.00 $3,250.00 13 $3,250.00 12 UTILITY MARKERS 1 LF $400.00 $400.00 1 $400.00 --- ------ ---------- --- ------------------ Sub-Total of Previous Unit $151,192.00 $151,192.00 --------------------------------------- Monday,June 23,2014 OFFICIAL RECORD CITY SECRETARY FT. WORTH, TX City Project Numbers 02045 DOE Number 6970 Contract Name HERITAGE PLACE ASSISTED LIVING ADDITION Estimate Number I Contract Limits Payment Number Project Type WATER&SEWER For Period Ending 6232014 Project Funding Contract Information Summary Original Contract Amount $255,758.00 Chanae Orders Total Contract Price $255,758.00 ate !X W-J0v Total Cost of Work Completed $255,758.00 Contr Less %Retained $0.00 /S� Net Earned $255,758.00 Date / Earned This Period $255,758.00 Inspection S o`r '✓ Retainage This Period $0.00 Date 3 �� Less Liquidated Damages Project M r / Days @ /Day $0.00 DateLessPavement Deficiency $0.00 �Dre�t., MItructun:Design anC!ons ction Less Penalty $0.00 VDate 3 Less Previous Payment $0.00 Director/Contracting Department '(S Plus Material on Hand Less 15% $0.00 C, 4,51n-,6-d,L(,J IJ Balance Due This Payment $255,758.00 Monday,June 23,2014 Page 4 of 5 OFFICIAL RECORD CITU SECRETARY FT. WORTHS TX 99 � 9UVg MAR 12 2015 City Project Numbers 02045 By DOE Number 6970 Contract Name HERITAGE PLACE ASSISTED LIVING ADDITION Estimate Number 1 Contract Limits Payment Number 1 Project Type WATER&SEWER For Period Ending 6232014 Project Funding Project Manager Ehia City Secretary Contract Number 116970 Inspectors LAYER / ODEN Contract Date Contractor CGI CONSTRUCTION,INC Contract Time 360 CD 1200 SUMMIT AVE#444 Days Charged to Date 430 CD FORT WORTH, TX 76102 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 $255,758.00 Less %Retained $0.00 Net Earned $255,758.00 Earned This Period $255,758.00 Retainage This Period $0.00 Less Liquidated Damages 0 Days @ $0.00 /Day $0.00 LessPavement Deficiency $0.00 Less Penalty $0.00 Less Previous Payment $0.00 Plus Material on Hand Less 15% $0.00 Balance Due This Payment $255,758.00 Monday,June 23,2014 OFFICIAL RECOR 5 of 5 CITY SECRETARY L!!WORTI�1, T FORTWORTHREV:02/20/07 TRANSPORTATION AND PUBLIC WORKS PERFORMANCE EVALUATION OF CONTRACTOR CONTRACTOR&PROJECT DATA Name of Contractor Project Name CGI Construction Heritage Place Assisted Living Center DOE Inspector DOE Number Weyman Oden 6970 DOE Inspector Project Manager 0 water 0 Waste water[:] Storm Drainageo Pavement Fred Ehia Initial Contract Amount Project Detcu/ty $255,758.00 0 Simple Routine 0 Complex Final Contract Amount Date $255,758.00 6/20/2014 I1)PERFORMANCE EVALUATION 0-Inadequate I-Deficient 2-Standard 3-Good 4-Excellent ELEMENT WEIGHT(x) APPLICABLE(Y/N) RATING(0-4) MAX SCORE SCORE 1 Submission of Documents 2 Y 4 8 8 2 Public Notifications 5 Y 3 20 15 3 Plans on Site 5 Y 3 20 15 4 Field Supervision 15 Y 4 60 60 5 Work Performed 15 Y 4 60 60 6 Finished Product 15 Y 3 60 45 7 Job Site Safety 15 Y 4 60 60 8 Traffic Control Maintenance 15 Y 4 60 60 9 Daily Clean Up 5 Y 4 20 20 10 Citizen's Complaint Resolution 5 Y 3 20 15 I Property Restoration 5 Y 4 20 20 12 After Hours Response 5 Y 4 20 20 13 Project Completion 5 Y 4 20 20 TOTAL ELEMENT SCORE(A) 418 BONUS POINTS(25 Maximum)(B) TOTAL SCORE(TS) 418 III)CONTRACTOR'S RATING Maximum Score(MS)=448 or sum of applicable element score maximums which= 448 Rating([TS/MS]*100%) 418 / 448 = 93% Performance Category Excellent <20%=Inadequate 20%to<40%=Deficient 40%to<60%=Standard 60%to<80%=Good >_80%=Excellent Inspector's Comments(INCLUDING EXPLANATION OF BONUS POINTS AWARDED) Signature DOE Inspector ,CLA—_ o a ,_ Signature Contractor oNJA / .. Irsliv-F L�1" Signature DOE Inspector's Supervisor � CONTRACTOR'S COMMENTS TRANSPORTATION AND PUBLIC WORKS f The City of Fort Worth• 1000 Throckmorton Street•Fort Worth,TX 76012-6111 (817)392-7941 •Fax:(817)392-7845 OFFICIAL RECORD CITY SECRETAR'' FT.WORTH,X ,Tl' FORTWORTHREV:02/22/07 TRANSPORTATION AND PUBLIC WORKS CONTRACTOR'S EVALUATION OF CITY 1)PROJECT INFORMATION Date: 6/20/2014 Name of Contractor Project Name CGI Construction Heritage Place assisted Living Center DOE Inspector Project Manager We an Oden Fred Ehia DOE Number ProjectDicul(v Type of Contract 6970 1 0 Simple OQ Routine 0 Complex Q water[21 Waste WaterO Storm Drainage0 Pavement Initial Contract Amount Final Contract Amount $255,758.00 $255,758.00 II)PERFORMANCE EVALUATION 0-Inadequate 1 -Deficient 2-Standard 3 -Good 4-Excellent ELEMENT RATING ELEMENT RATING (0-4) (0-4) INSPECTION EVALUATION P PLANS&SPECIFICATIONS 1 Availability of Inspector 1 Accuracy of Plans to Existing Conditions 2 Knowledge of Inspector 2 Clarity&Sufficiency of Details 3 Accuracy of Measured Quantities 3 Applicability of Specifications 4 Display Of Professionalism 4 Accuracy of Plan Quantities 5 Citizen Complaint Resolution PROJECT MANAGER EVALUATION 6 Performance-Setting up Valve Crews,Labs I Knowledge And/Or Problem Resolution ADMINISTRATION 2 Availability of Project Manager I Change Order Processing Time 3 Communication 2 Timliness of Contractor Payments 4 Resolution of Utility Conflicts 3 Bid Opening to Pre-Con Meeting Timeframe EM COMMENTS&SIGNATURES COMMENTS Signature Contractor 4 P"411411 It/It 4 Signature DOE Inspector Signature DOE Inspector's Supervisor INSPECTOR'S COMMENTS TRANSPORTATION AND PUBLIC WO 1 The City of Fort Worth•1000 Throckmorton Street•Fort orth,TX 76012-6311 (817)392-7941 •Fax:(817)392-784 i OFFICIAL RECORD CITY SECRETARY FT. WORTH, TX FORTWORTH TRANSPORTATION AND PUBLIC WORKS PIPE REPORT FOR: PROJECT NAME: Heritage Place assisted Living Center PROJECT NUMBER: 02045 DOE NUMBER: 6970 WATER PIPE LAID SIZE TYPE OF PIPE LF water loin PVC SDR-14 552 water 8in PVC SDR-14 1035 water 6in PVC SDR-14 120 FIRE HYDRANTS: 5 VALVES(16"OR LARGER) PIPE ABANDONED SIZE TYPE OF PIPE LF DENSITIES: yes NEW SERVICES: tin copper 20 4in PVC SDR-14 10 SEWER PIPE LAID SIZE TYPE OF PIPE LF Sewer Bin PVC SDR-26 2324 PIPE ABANDONED SIZE TYPE OF PIPE LF DENSITIES: yes NEW SERVICES: 6in PVC SDR-26 8 8in PVC SDR-26 8 8in PVC SDR-26 6 TRANSPORTATION AND PUBLIC WORKS f The City of Fort Worth• 1000 Throckmorton Street•Fort Worth,TX 76012-6311 0 (817)392-7941 •Fax:(817)392-7845 OFFICIAL RECORD CITY SECRETARY FT.WORTH,TX TCG Development, LLC 1200 Summit Ave., Suite 444 Fort Worth,TX 76102 June 23, 2014 City of Fort Worth 1000 Throckmorton Street Fort Worth,TX 76102 RE: Heritage Place Assisted Living Development Bond Per Agreement between TCG Development, LLC and CGI Construction, Inc. pertaining to the construction of certain improvements described as paving, drainage, street lights, water & sanitary sewer to service Heritage Place Assisted Living, TCG Development, LLC hereby waives any liquated damages resulting from running over the contract time as specified in the agreement. Sincerely, TCG Development, LLC Donny Edwrds President OFFICIAL RECORD CITY SECRETARY FT.!NORTH,TX 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 Robert Bullock, Executive Vice President Of CGI Construction, 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; Paving,Drainage, Street Lights,Water& Sanitary Sewer at Heritage Place Assisted Living Center BY _ Robert Bullock/EVP Subscribed and sworn before me on this date 23th of June,2014. OFFICIAL RECORD CITY SECRETARY FT.WORTH,TX Notary Public Tarrant,Texas - � SHMNA ESKINS fAyCOMMISSION EXPIRES March 7,2016 OFFICIAL RECORD CITY SECRETARY FT.WORTH,TX i Bond No. 70096278 The Guarantee Company of North America USA GUARANTEE" POWER OF ATTORNEY Southfield,Michigan KNOW ALL BY THESE PRESENTS:That THE GUARANTEE COMPANY OF NORTH AMERICA USA,a corporation organized and existing under the laws of the Stale of Michigan,having its principal office in Soulhfietd,Michigan,does hereby constitute and appoint John W Schuier,Walter E.Benson,Jr.,Steve Dobson Time Insurance Agency,Inc. If&true and lawful attorney(s)-in-fact to execute, seal and deliver for and on its behalf as surely. any and all bonds and undertakings,contracts of indemnity and other writings obligatory in the nature thereof,which are or maybe allowed,required or permitted bylaw,statute,rule,regulat on,cont act or otherwise. The execution of such Inslrurnent(s)in pursuance of these presents,shat;be as binding upon THE GUARANTEE COMPANY OF NORTH AMERICA USA as fully and amply,to all intents and purposes,as if the some had been duly executed and acknowledged by its regularly elected officers at the Principal office. The Power of Attorney is executed and may be certified so,and may be revoked,pursuant to and by authority of Article IX,Section 8.03 of the By-Laws i adopted by the Board of Directors of THE GUARANTEE COMPANY OF NORTH AMERICA USA at a meeting held on the 31°day of December,2003. The President,or any Vice President,acting with any Secretary or Assistant Secretary,shall have power and authority: E I. To appoint Attorney(s)-intact, and to authorize them to execute on behalf of the Company,and attach the Seal of the Company thereto, f bonds and undertakings,contracts of indemnity and other writings of ligalory in the nature theraol;and 2. To revoke,at any irtne,any such Altorney-in-fact and revoke the authority given,except as provided below 3 In connection with obligations in favor of the Florida Department of Transportation only,tt is agreed that the power and authority hereby given g to the Altomey-ln-Fad includes any and all consents for the release of retained percentages and/or final estimates on ergineedrng and construction con'acts required by the State of Florida Department of Transporialion. It is fully understood that consenting to the State of Florida Department of Transportation making payment of the final estimate to the Contractor and/or its assignee,shalt not relieve this surety company of any of its obligations under its bond. 1. In connection with Obligations in favor of the Kentucky Department of Highways only,d is agreed that the power and authority hereby given to ! the Attorney-in-Fact cannot be modified or revoked unless prior written personal notice of such interM has been given to the Commissioner— Department of Highways of the Commonwealth of Kentucky at least thirty(30)days prior to the modification or revocation. Further,this Power of Attorney is signed and sealed by facsimile pursuant to resolution of the Board of Directo s of the Company adopted at a meeting } duty called and held on the 91h day of December 2011,of which the following is a true excerpt: t RESOLVED tial the signature of any authorized officer and the seal of the Company may be affixed by facsimile to any Power of Attorney or cedtification thereof authorizing Inc execution and delivery of any bond,undertaking,contracts of indemnity and other wnungs obligatory in the nature thereof,and such signature and seal when so used shalt have the same force and effect as though manually affixed. ,+xTxe iN WETNESS WHEREOF,THE GUARANTEE COMPANY OF NORTH AMERiCA USA has caused this instrument to be signed and f t T its corporate seal to be affixed by its authorized officer,this 23rd day of February,2012 i 4 Sr THE GUARANTEE COMPANY OF NORTH AMERICA USA ( STATE OF MICHIGAN Stephen C.Ruschak,President R COO Randall Mussefman,Secretary County of Oakland ! On this 23rd day of February,2012 before me came the individuals who executed the preceding instrument,to me personalty known,and being by me duly swam,said that each is the herein described and authorized officer of The Guarantee Company of North America USA;that the seal afTixed to said 1 instrument is the Corporate Seat of said Company;that the Corporate Seal and each signature were duty affixed by order of the Board of Directors of Cynthia A Taker IN WITNESS WHEREOF,I have hereunto set my hard at The Guarantee Notary Public,Slate of Mrctrgan Company of North America USA offices the day and year above written. County of Oakland My Commission Expires February 27, 2018 Acting in Oakland County t i,Randall Mussetman,Secretary of THE GUARANTEE COMPANY OF NORTH AMERICA USA,do hereby Certify that the above and foregoing is a true and correct copy of a Power of Attorney executed by THE GUARANTEE COMPANY OF NORTH AMERICA USA,which Is stili in full force and efled. IN WITNESS WHEREOF,I have thereunto set my hand and attached the seat of said Company this 24th day M jlJng, 20 14 Randall Musselman,Secretary } OFFICIAL RECORD t CITY SECRETARY FT. WORTH, TX i Bond No. 70096284 TW The Guarantee Company of forth America USA GUARANTEE' Southfield,Michigan POWER OF ATTORNEY KNOW ALL BY THESE PRESENTS.That THE GUARANTEE COMPANY OF NORTH AMERICA USA,a corporation organized and existing under the laws of the State of Michigan,having its principat office in Southfield.Michigan,does hereby constitute and appoint John W.Schuler,Wafter E.Benson,Jr.,Steve Dobson Time Insurance Agency.Inc. its true and lawful attorney(s)-in-fact to execute,seal and deliver for and on its behalf as surety, any and all bonds and undertakings,contracts of indemnity and other writings obligatory in the nature thereof,which are or may be allowed,required or permitted by law,statute.rule,regulation,contract or otherwise. The execution of such instrument(s)in pursuance of these presents,shall be as binding upon THE GUARANTEE COMPANY OF NORTH AMERICA USA as fully and amply,to all intents and purposes,as if the same had been duly executed and acknowledged by its regularly elected officers at the principal office. The Power of Attorney is executed and may be certified so,and may be revoked,pursuant to and by authority of Article IX,Section 6.133 of the By-Laws adapted by the Board of Directors of THE GUARANTEE COMPANY OF NORTH AMERICA USA at a meeting held on the 31"day of December,2003. The President,or any Vice President,acting with any Secretary or Assistant Secretary,shall have power and authority. 1. To appoint Attorneys)-in-fact, and to authorize them to execute on behalf of the Company, and attach the Seal of the Company [hereto, bonds and undertakings,contracts of indemnity and other writings obligatory in the nature thereof;and 2. To revoke,at any tune,any such Attorney-in-fact and revoke the authority given,except as provided below j 3. In connection with obligations in favor of the Florida Department of Transportation only,It Is agreed that the power and authority hereby given to the Attorney-in-Fad includes any and all consents for the release of retained percentages and/or final estimates on engineering and construction contracts requtred by the State of Florida Department of Transportation, It is fully understood that consenting to the Stale of Florida Department of Transportation making payment of the final estimate to the Contractor and/or its assignee,shall not relieve this surety company of any of its obligations under its bond 4, In connection with obligations in favor of the Kentucky Department of Highways only,it is agreed that the power and authority hereby given to the Attorney-in-Fact cannot be modified or revoked unless prior written personal notice of such intent has been given to the Commissioner— Department of Highways of the Commonwealth of Kentucky at least thirty(30)days prior to the modification or revocation. Further,this Power of Attorney is signed and sealed by facsimile pursuant to resolution of the Board of Directors of the Company adopted at a meeting duly called and held on the 8th day of December 2011,of which the following is a true excerpt: S 1 RESOLVED that the signature of any authorized officer and the seal of the Company may be affixed by facsimile to any Power of Attorney or certification f thereof authorizing the execution and delivery of any bond, undertaking,contracts of indemnity and other writings obligatory in the nature thereof,and such signature and seal when so used shall have the same force and effect as though manually affixed, .,■*�` IN WITNESS WHEREOF,THE GUARANTEE COMPANY OF NORTH AMERICA USA has caused this instrument to be signed and t k4 is corporate seal to be affixed by its authorized officer,this 23n1 day of February,2012. t q s7 THE GUARANTEE COMPANY OF NORTH AMERICA USA t //7 STATE OF MICHIGAN Stephen C.Rusehak,President&COO Randall Mussalman,Secretary County of Oakland On this 23rd day of February,2012 before me came the individuals who executed the preceding instrument,to me personally known,and being by me duly sworn,said that each is the herein described and authorized officer of The Guarantee Company of North America USA;that the seal affixed to said i instrument is the Corporate Seal of said Company;that the Corporate Seal and each signature were duty affixed by order of the Board of Directors of Cynthia A Takai IN WITNESS WHEREOF,I have hereunto set my hard at The Guarantee Notary Public,State of Michigan Company of North America USA offices the day and year above written County of Oakland My Commission Expires February 27, 2018 Acing in Oakland Counly I,Randall Musselman,Secretary of THE GUARANTEE COMPANY OF NORTH AMERICA USA,do hereby certify that the above and foregoing is a true and correct copy of a Power of Attorney executed by THE GUARANTEE COMPANY OF NORTH AMERICA USA,which is still in full force and effect. IN WITNESS WHEREOF,I have thereunto set my hand and attached the seal of said Company this 24th day of June, 201 �• Randall Mtxiaelman,Secretary 1 c OFFICIAL RECORD CITY SECRETARY FT. WORTH; TX CONSENT OF SURETY OWNER _ TO FINAL PAYMENT ARCHITECT AIA DOCUMENT G707 CONTRACTOR _ 70096276 SURETY _ (Instructions on reverse side) OTHER TO(OWNER) (Name and address) ARCHITECT'S PROJECT NO: City of Fort Worth 1000 Throckmorton Fort Worth,TX 76102 PROJECT: (Name and address) Paving,Drainage,Street Light,Water&Sanitary Sewer Improvements to serve Heritage Place Assisted Living,Proj.No.02045 CONTRACT AMOUNT: $748,571.00 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) The Guarantee Company of North America USA 1 Towne Square,Suite 1470 Southfield,MI 48076 SURETY, on bond of (here insert name and address of Contractor) CGf Construction,Inc. 1200 Summitt Avenue,Suite 444 CONTRACTOR, Fort Worth,TX 76102 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 1000 Throckmorton OWNER, 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 24th day of June 2014 (Insert in writing the month fotfowing by the numeric date and year) Theil3ttarantee Company of North America USA Surty pa Attest:� ,}�%V�w Seal V Signat e f Authorized Representative Title John W.Schuler .Attomeyin-Fact AIA DOCUMENT G707 CONSENT OF SURETY COMPANY TO FINAL PAYMENT 1994 EDITION AIA6 One Page ® THE AMERICAN INSTITUTE OF ARCHITECTS,1735 NEW YORK AVE.,NW John W.Schuler,Attorney-in-Fact OFFICIAL RECORD CITY SECRETARY FT. NORTH, TX i CONSENT OF SURETY OWNER TO FINAL PAYMENT ARCHITECT AIA DOCUMENT G707 CONTRACTOR _ 70096284 SURETY _ (Instructions on reverse side) OTHER TO(OWNER) (Name and address) ARCHITECT'S PROJECT NO: City of Fort Worth 1000 Throckmorton Fort Worth,TX 76102 PROJECT; (Name and address) Paving,Drainage, Street Lights,Water&Sanitary Sewer Improvements to serve Heritage Place Assisted Living CONTRACT AMOUNT: $748,571.00 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) The Guarantee Company of North America USA I Towne Square,Suite 1470 Southfield,M148076 SURETY, on bond of (here insert name and address of Contractor) CGI Construction, Inc. 1200 Summitt Avenue,Suite 444 CONTRACTOR, Fort Worth,TX 76102 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 1000 Throckmorton OWNER, Fort Worth,TX 76102 s as set forth in the said Surety Company's bond. IN WITNESS WHEREOF,the Surety Company has hereunto set its hand this 24th day of June 2014 (insert in writing the month following by the numeric date and year) The arantee Company of North America USA - ' T C pT Attest:Q�}(` �j t��. �� ,�I�u b ^- Li 1� Seal Signale f Authorized Representative Title John W.Schuler Attorney-in-Fact kA DOCUMENT 7707 CONSENT OF SURETY COMPANY TO FINAL PAYMENT 1994 EDITION AIA8 One Page Oc THE AMERICAN INSTITUTE OF ARCHITECTS,1735 NEW YORK AVE.,NW John W. Schuler,Attorney-in-Fact OFFICIAL RECORD CITY SECRETARY FT. WORTH, TX FORTWORTH rev 03/05/07 DEPARTMENT OF ENGINEERING FINAL STATEMENT OF CONTRACT TIME FINAL STATEMENT NO.:I NAME OF PROJECT: Heritage Place Assisted Living Center PROJECT NO.: 02045 CONTRACTOR: CGI Construction DOE NO.: 6970 PERIOD FROM:04/15/13 TO: 06/19/14 FINAL INSPECTION DATE: 25-Jun WORK ORDER EFFECTIVE:4/15/2013 CONTRACT TIME: 360 Q Wli cl DAY OF DAYS REASON FOR DAYS DAY OF DAYSREASON FOR DAYS MONTH CHARGED CREDITED MONTH CHARGED CREDITED DURING DURING 1. 16. 2. 17. 3. 18. 4. 19. 5. 20. 6. 21. 7. 22. 8. 23. 9. 24. 10. 25. 11. 26. 12. 27. 13. 28. 14. 29. 15. 30. 31. SAT,SUN, RAIN,TOO WET, UTILITIES DAYS TOTAL &HOLIDAYS &TOO COLD RELOCATIONS OTHERS* CHARGED DAYS THIS PERIOD 0 0 0 0 430 430 PREVIOUS 0 0 0 0 0 0 PERIOD TOTALS _ 0 0 0 0 430 430 TO DATE *REMARKS: gems CONTRA DA E INSPECTOR OFFICIALRSD ENGINEERING DEPARTMENT ��►VK The City of Fort Worth•1000 Throckmorton Street•Fort Worth, 6 (817)392-7941 •Fax:(817)392-7845 FTS WOUNj TX