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�ORT WORTH
CITY OF FORT WORTH
FINAL PAYMENT REQUEST
Contract Name LAKES OF RIVER TRAILS,PHASE 13
Contract Limits
Project Type STREET LIGHT
City Project Numbers 02284
DOE Number 7228
Estimate Number I Payment Number I For Period Ending 9/1/2015
CD
City Secretary Contract Number 417228 Contract Time 9CD
Contract Date Days Charged to Date 256
Project Manager Ehia Contract is 100.00 Complete
Contractor STF DESIGN AND BUILD COMPANY
2820 E BELKNAP ST
FORT WORTH, TX 76111
Inspectors LAYER HOUSTON
Tuesday,September 01,2015 Page 1 of
City Project Numbers 02284 DOE Number 7228
Contract Name LAKES OF RIVER TRAILS,PHASE l3 Estimate Number I
Contract Limits Payment Number I
Project Type STREET LIGHT For Period Ending 911/2015
Project Funding
STREET LIGHT
Item Description of Items Estimated Unit Unit Cost Estimated Completed Completed
No. Quanity Total Quanity Total
I RDWY H-LUM FOUNDATION 14 EA $568.00 $7,952.00 14 $7,952.00
2 RDWY ILLUM ASSMBLY 14 EA $1,595.00 $22,330-00 14 $22,330.00
3 15OW NIH PC LIGHTING FIXTURE 14 EA $285.00 $3,990.00 14 $3,990.00
4 2"CONDT PVC SCH 80 1705 LF $9.00 $15,345.00 1705 $15,345.00
5 6-6-6 TRIPLEX ALUM ELEC CONDUCTOR 1705 LF $1.56 $2,659.80 1705 $2,659.80
————————————————---—————------ —————————————
Sub-Total of Previous Unit $52,276.80 $52,276.80
Tuesday,September 01,2015 Page 2 of 4
City Project Numbers 02284 DOE Number 7228
Contract Name LAKES OF RIVER.TRAILS,PHASE 13 Estimate Number I
Contract Limits Payment Number I
Project Type STREET LIGHT For Period Ending 9/1/2015
Project Funding
Contract Information Summary
Original Contract Amount $52,276,80
Change Orders
Total Contract Price $52,276.80
Total Cost of Work Completed
Date c�/r, $52,276.80
Contr Less %Retained $0.00
Net Earned $52,276.80
Date
Inspection Su`�erv' Earned This Period $52,276.80
Retainage This Period $0.00
Date 0 Less Liquidated Damages
Project Man r
Days @ /Day $0.00
Dat LessPavement Deficiency $0.00
Asst.,DNectornTW-Infrastructure Design and Construction Less Penalty $0.00
T
L--1� 0. J�� Date 21�.J— Less Previous Payment $0.00
Director I utracting Department d9 Plus Material on Hand Less 15% $0.00
Balance Due This Payment $52,276.80
Tuesday,September 01,2015 Page 3 of 4
City Project Numbers 02284 DOE Number 7228
Contract Nome LAKES OF ROVER TRAILS,PHASE 13 Estimate Number I
Contract Limits Payment Number I
Project Type STREET LIGHT For Period Ending 9/1/2015
Project Funding
Project Manager Ehia City Secretary Contract Number 417228
Inspectors LAYER / HOUSTON Contract Date
Contractor STF DESIGN AND BUILD COMPANY Contract Time 90 CD
2920 E BELKNAP ST Days Charged to Date 256 CD
FORT WORTH, TX 76111 Contract is 000000 Complete
CITY OF FORT WORTH
SUMMARY OF CILA,,RGES
Line Fund Account Center Amount Gross Retainage Net
Funded
——————————————————— ---————————————————--
Total Cost of Work Completed $52,276.80
Less %Retained $0.00
Net Earned $52,276.80
Earned This Period $52,276.80
Retainage This Period $0.00
Less Liquidated Damages
0 Days@ $0,00 /Day $0.00
LessPavement Deficiency WOO
Less Penalty $0.00
Less Previous Payment $0.00
Plus Material on Hand Less 15% $0.00
Balance Due This Payment $52,276.80
Tuesday,September 01,2015 Page 4 of 4
FORT WORTH i rev 03/05i07
FINAL sTxnl�,MENT OF CON'ritAcTuME
NAME OF RROHCM Lai7s 13
PERIOD FROM'12/1 5/1 ro. 0812511 s
.�. FI A.I:,INSV C °14CN: ACE- �"-..A�u�-1.5
WO ORDER EF FE��ItiF:1/15�2()1 CO]Vr AC'r TUVIE. .
�. .. ..M.�.. m EE
TRAY OF DAYS REASON FOR DAYS DAY OF DAYS REASON FOR AYS
MONTH CHARGED CREDITED MONT11 CHARGED
CREME
DURING D G
1. 16.
2. a u
3. 1&
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11® 26.
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13® 28.
14. 290
15. 30.
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SAT,SUIT, RAIN,TOO WET, u}II flEaS OTHERS HAYS TOTAL&HOLIDAYS &TOO COLD REF:OCXF1t7NS (MARGEI} DAYS
'I'I1ls f) f) fs fly
�ERIOD 25� 2 56
PERIOD
TOTALS fT 0 0 fT 256 256
TO DATE
*REMARKS:
CON' ClF DAIS EC TOR I�A°�E
TE,'NGlii" .ET'J.lF TC:.T DE13 YCr re NT
nis i o Frmrt Ewer «10001.1irocknior..ton Street-l(ort Wortl TX 6012-6311:
(817)392-7941 -Fwx:(Blo 392-7845
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State OfTexas
County DfTarrant
Before me,the undersigned authority,a Notary Pub||c|ntbestateundcoumyaforeoa|d,onthixday
appeared Larry Hussey, Vice President of STF Design and Build Co. Inc.,known to be a credible person,
who byme duly sworn, upon his oath deposed andsaid,
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 Ft Worth has been paid;and
That there are no claims pending for personal injury and/or property damages;
On Contract described as;
Lakes of River Trails Phase l3 (Pt.Worth Tx. DOE#7Z28
By
Subscribed and sworn before meon this day of ^--
Virn
July 31,2017 Notary Public in Tarrant County Texas
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CONSENT OF OWNER
SURETY COMPANY ARCH17sCT
cowrn��Tu�
TO FINAL PAYMENT
SURETY
or*sn Bond No. 4398272
AN DOCUMENT 87D7
PROJECT: Lakes of River Trails,Phase 13
(name, address)
TO(Owner)
F— —1
| | ARCHITECT'S PROJECT NO:ouoa4
R|,orbmnu|nvemunent Ltd.
2550 S. Precinct Line Road oowTRAor FOR: Street Lighting o e|octhoa|Work
Fort Worth,TX 76181
|
CONTRACT DATE:
|
�� ��
CONTRACTOR: GTp Design 8 Build Company,Inc,
In accordance with the provisions of the Contract between the Owner and the Contractor as Indicated above, the
(here insert name and address m surety Company)
nupnTeo Insurance Company
1oao Post Oak a|vu..Suite 11uo
Houston,TX 7705* SURETY COMPANY,
nn bond uf(here insert name and address mContractor)
yTF Design&Bui|dCompany,Inc.
0000 East Belknap Street
Fort Worth,Txro111
oowrnAnToR,
hereby approves of the final payment m the Contractor, and aom*n that final payment to the Cnntrammrahu|/ muE
relieve the Surety Company of any of its obligations/om"re insert name and address",Owner)
Rivarbenu Investment,Ltd,
ommna.Precinct Line Road
ForLYYohb.TX701x1 oVVNERS,
as set forth in the said Surety Company's bond.
/m WITNESS WHEREOF,
the Surety Company has hereunto set its hand this 27m day of Avoust.2o1s�
SumTno Insurance Company
Surety Qompanx
Signature or Authorized Representative
Attest
(Seat Alicia Grumbles.Aftornev-in-Fact
Title
NOTE: This form In to he wed as 2 companion document to AIA DOCUMENT G706,CONTRACTOR'S AFFIDAVIT OF PAYMONT OF DEBTS AND
CLAIMS,Current Edition
xm DOCUMENT srm'oowoENTora n To FINA1.pmIM p ONE PAGE
9`nm'`"tm°=n/c*n/nc7'rurEvrxncnocF-M.n»o NEW YORK AVE'mVY.YV^on/wsrvm.o.c�zumu
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4221178
LUMTED PONVER OF ATTORNEY
K;-oiv All Alen by T&?se F'e esen.u, 'flat SURETEC I1\181JfLAR`CE COIYLPATIY (the "Company"), a corporation duly organized and
existing under the laws of the State of Texas, and having its principal office in Houston, Liaacis County, Texas, does by these presents
make,constitute and appoint.
Tracy L.Gingras,Gary E. McElroy,Alicia Grumbles
its true and lawful Attorney-in-fact with full power and authority hereby conferred in its name,place and stead,to execute,acknowledge
and deliver any and all bonds,recognizances,undertakings or other instruments or contracts of suretyship to include waivers to the
canditions of contracts and consents of surety for:
Five Million and 001100 Dollars($5,000,000,011)
and to bind the Company tiaereby as fully and to the same extent as if such bond were signed by the PresidcnC sealed with the corporate
seal of the Company.and duly attested by its Secretary, hereby ratifying and confirming all that the said Attorney-in-Fact may do in the
premises. Said sopointment shalt continue in force until_ 1zt3vzols _and is made under and by authority of the following
resolutions of the Board of Directors of the SureTec Insurance Company:
Be it Resolved, that the President,any Vice-President,any Assistant Vice-President,any Secretary or any assistant Secretary shall be and is
beyuby vested with full power and authority to appoint any One or more suitable persons as Attarney(s)-in'-Fact to relrre-sent and act for and on
behalf ofthe Company subject to the following provisions:
Altorney-in-Fact may be given full power and.duthority for and in tho'name of and of behalf of the Company,to execute,acknowledge and
deliver,any and all bonds,recognizances,contracts,agreements or indemnity and other conditional or obligatory undertakings and any and all
notices and documents canceling or terminating the Company's liability thereunder, and any such instruments so executed by any such
Attarney-in-Fact snarl be binding upon the Company as if signed by the President and sealed and effected by the Corporate Secretary,
Be it Resolved,that the signature of any authorised officer and seal of the Company heretofore or hereafter affixed to any power of attorney or
any certificate relating thereto by facsimile,and any power of attorney or certificate bearing facsimile signature or facsimile seal shall be valid
and binding upon the Company with respect to any bond or undertaking to which it is attaohed, (Adopted at a meeting held on 200 of Apr I,,
1999,)
In Witness Whereof,SURETRC fNSURANCE C01VITIANy has caused these presents to be signed by its President,and its corporate seal
to be hereto atnxed this 60, day of Novems A.D. 2014
SURETRC INSURANCE COMPANY
SU �C
` y `, a y; _ o
w nz F®hn a Jr:/ resident
State of Texas ss:
County of Harris gr'
On this 6th day of H-w6-,A.D. 2014 before me personally cane John Knox Ir.,to me kno-rm,who,being by me duly sworn,did depose and say,that be
resides in Houston, Texas, that he is President of SURE°IC INSURANCE CONFANY, the company described in and which executed the above
instrument;that ie knows the seal of said Company;that the seal affixed to said instrument is such corporate seal;that it was so affixed-by order of the
Hoard of Directors of said Company;and that he signed bas name thereto by bite order.
�1V
=eAll ONADO licse/ta/2otz 3acc' elynIYkakdonado,Notary Public
My commission expires May 18,2017
1,M,Brent Beaty,Assistant Secretary of SURETEC INSURANCE COWANY,do hereby certify that the above and foregoing is a true and corr ect copy
of a Power of Attorney,executed by said Company,which is slip in full farce and effect;and furthermore,the resolutions of the Hoard of Directors,set
out in the Power of Attorney are in full force and effect.
0S A.D.
Given under my hand and the seal of said Company at Houston,Texas this day of WA,,it,,t Bre t , ary
Any Instrument Issued in excess of the penalty stated above is totally void and without any valldlty,
For verlf€cation of the authority of this power you may call(713)812.0800 any business day between 8:DO am and 6:00 prey CST.
i
RiverBend Investment, LTD
August 31,2015
City of Fort Worth
Fort Worth,Texas
Riverbend Investment,Ltd. agrees to waive liquidated damages on the Lakes of River Trails Phase XIII
D.O.E Project 47228 for Paving and Water, Sanitary Sewer & Drainage Improvements and Street
Luting.
Thank you for your assistance in this matter.
Sincerely,
Riverbend Investment Ltd.
By its General Partner
RBE Investment Corp.
Kenneth B.Newell
President
KBN:le
P, O. Box 185104 Fort Worth, Texas 76181 Metro: 817-589-9001 Fax: 817.284-4100
FORTWORTH 1ktEgV:6I2/20/07
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�°
TRANSPORTATTON AND PUBLIC WORKS
I) CO1'd'I'I2.rkC`I:'(.)R&I'It(7dF(::r DATA
Mane of Confr acror � � I'roje<.a'ISr°rfine
S11"13es�:wa&Bnn.n:l.tl(;o.,lrn.c Lakes tllixer"frails,.�nase 13
---. �.
13C3�,In,r ertor° £)C?di Mypnbe
Garey Houston n 7228
d u4"E Inspaec^ror Pr°alrc^r atf"oraopger
El water L-1 waste.water .w S......Drainage �.w...� Vaswt�rrr�rut Freda &�
InitialContr°exctA®ruraaxsa project I)i culty
$52,276M 0 S1mpw Routhe: C)c wnnp ex
Final Contract Aaaacoarnt Date
$52,276.80 8/28/2.01.5
�. __._. _ _ w .
PURFORNIANCE IJVA7_aUATI:ON
0-Inadequate I-Def cient 2...Standard 5..Good 4••Excellent
El, 11C IV"I° W EnKIIIT be I:E'I'I Y.,ABLEz(Y'/ I) GI.A J INN(d-4) MAX SCORE SC:a�fkls
I Submission anl"Docurrraenls 2 Y 4 8 �
2 Public Notitfications _ .5 IC 4 20 261
3 Plans on Sate 4 20 2.61
4 Field Supervision 15 Y 661 60
5 Work Performed 15 Y 4 60 60
6 Fiaxished l°rodurct I..5 Y 4 661 60
7 lob Site Safety 15 Y 4 � 60 60
II 'fl"ral-(ic Control Mairatenxaarece Il5 1?' _ +1 60 60
9 Daily Clean Up 5 4 20 20
10 C",ilia_err"s Complaint R.cse lutS�c>�e�n 5 Y 4 263 20
11 lxrope rty 11.e:10ration 5 Y 4 20 20
12 er 1,1otrrs Ides ranse 5 Y 4 261 .2C
13 Project Cuur.u.rletion 5 4 20 261
"I"CD1CAI.TELL E^,ITr SCORE( ) 448
BONUS E'63N"I°S(25 M'sxarlrazuano(B)
TOTAL SCORE, (Il,S) 448
RD CONTRAcrowSRATMG
.Jmuuua Score(MS)=448 anE sum,of applicable element score r:araxcinana.ums Whl(;lu w:.- 448
Rating(ITS i MS]*1:00%) 448 448 100%
Performance;Category Excellent
<261%=lhafade qu ate 20%fo<40%=Dasfila:°l of 40*16 lru*aEP'%- ,Ttararlard 60%to w"80%=Claxrxn6 r"IIBI "x°oeP7extt
Inspector's Comments(INCI.,UDIN G P, 'I.,A.PVA"l'I(:N OF:l#ONUS OE1+ S A.WA:&WED)
IX
Signature ll(1l;lrn lx ae.laut , `te r ".'s..° Si vnalure Contractor
a.ctaxr
p,
Sl nutature DOE lrnslxectuxr's Supa.rrriio; Z~
COMMEMS
T11A
NS.1.101MATION ANI.)P[31ll:1¢. ()T.k.KS
The City ra6,•Fort Worth-1.06161"l°1nr«ckruort:or•,r St.xtet•1:IX°e rt ort.b.,,TX 76012-6311
(81 7)392-7941 ®lf=(111.""l)392-7845
FORTWORTHREV:02122/07
TRANSPORTATION AND PUBLIC WORKS
CONTRACTOR'S EVALUATION OF CITY
1)PROJECT INFORMATION Date:
(Name of Contractor Project Name
STF Design&Build Co.,Inc :Lakes of River Trails,Phase 13
',DOE Impector Project Manager
Garey Houston ;Fred Ehia
]DOENumber Troject Difficulty
I ;Type ofContract
7228 �0 Simple * Routine 0 complex [:1 Water ❑Waste Water ❑ Storm Drainage ❑ Pavement
11nitial ContractAmount iFinal ContractArnowit
1$52,276.80 ($52,276.80
111)PERFORMANCE EVALUATION
0-Inadequate --I-Deficient 2-Standard 3 -Good. 4 -
iELEMENT 1 RKIING IELENffi'NT RATING
(0-4) (0-4)
JINSPECTION EVALUATION JPLANS&SPECIFICATIONS
11 1 Accuracy of Plans to Existing Conditions
!!2 Knowledge of Inspector 1 12 Clarity&Sufficiency of Details
13 Accuracy of Measured Quantities 1 13 Applicability of Specifications
i4 Display Of Professionalism - Accuracy of Plan Quantities
- R—EXhfJ -5
15 Citizen Complaint Resolution Fk&1E C—T f V A10--N-
,6 Performance-Setting up Valve Crews,Labs 11 Knowledge And/Or Problem Resolution
ADMINISTRATION 12 Availability of Project Manager
I Change Order Processing Time Communication
nfli
i2 Tiniliness of Contractor Payments
13 Bid Opening to Pre-Con Meeting Timelrame L4 Resolution of Utility Co cts
l
"COMMENTS&SIGNATURES
CO
Signature Contractor
Signature DOE Inspector
Signature DOE Inspector's Supervisor
INSPECTOR'S COACWE NTS
TRANSPORTATION AND PUBLIC WORKS
The City o Fort Worth• 10007luockmorton Street•Fort Worth,TX 76012-6311
(817) 392-7941 -Fax:(817) 392-7845