HomeMy WebLinkAboutContract 57649-FP1-FP1
FORT WORTH.
City Secretary
Contract No. 57649
Date Received 08/28/2023
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: McPherson Addition Multifamily Development
City Project No.: 103716
Improvement Type(s): Water ❑x
Original Contract Price:
Amount of Approved Change Order(s):
Revised Contract Amount:
Total Cost of Work Complete:
Cal -Weil uftev
Carmen Esters (Aue 23. 2023115:33 CDT)
Contractor
Office Manager
Title
Jackson Construction
Company Name
4""� ;�'
Project Inspector
C'J'� (?�.
Project Manager
Ra Diiae Owen(Auv2R 202309:45 CDT)
CFA Manager
TPW Director
William Johnson (AL 28.202317:08CDV
Asst. City Manager
Sewer ❑x
$2,799,803.00
$93,820.70
$2,893,623.70
$2,893,623.70
Aug 23, 2023
Date
Aug 23, 2023
Date
Aug 28, 2023
Date
Aug 28, 2023
Date
Aug 28, 2023
Date
Aug 28, 2023
Date
OFFICIAL RECORD
CITY SECRETARY Page 1 of 2
FT. WORTH, TX
Notice of Project Completion
Project Name: McPherson Addition Multifamily Development
City Project No.: 103716
City's Attachments
Final Pay Estimate ❑x
Change Order(s): ❑x Yes ❑ N/A
Pipe Report: ❑x Yes ❑ N/A
Contractor's Attachments
Affidavit of Bills Paid
Consent of Surety
Statement of Contract Time
Contract Time: 265 WD Days Charged: 197
Work Start Date: 10/4/2022 Work Complete Date: 8/4/2023
Completed number of Soil Lab Test: 116
Completed number of Water Test: 48
Page 2of2
FORT WORT 11
CITY OF FORT WORTH
FINAL PAYMENT REQUEST
Contract Name MCPHERSON ADDITION MULTIFAMILY DEVELOPMENT
Contract Limits
Project Type WATER & SEWER
City Project Numbers 103716
DOE Number 3716
Estimate Number 1 Payment Number 1
City Secretary Contract Number
Contract Date 6/2/2022
For Period Ending
Project Manager NA
Contractor JACKSON CONSTRUCTION LTD
5112 SUN VALLEY DRIVE
FORT WORTH, TX 76119
Inspectors GARDNER / TAYLOR
Contract Time
Days Charged to Date
Contract is 100.00
8/4/2023
WD
26WD
197
Complete
Tuesday, August 8, 2023 Pagel of 5
City Project Numbers 103716 DOE Number 3716
Contract Name MCPHERSON ADDITION MULTIFAMILY DEVELOPMENT Estimate Number I
Contract Limits Payment Number 1
Project Type WATER & SEWER For Period Ending 8/4/2023
Project Funding
UNIT I: WATER IMPROVEMENTS
Item
Description of Items
Estimated
Unit
Unit Cost
Estimated
Completed
Completed
No.
Quanity
Total
Quanity
Total
1
CONSTRUCTION STAKING
1
LS
$7,400.00
$7,400.00
1
$7,400.00
2
4"-12" PRESSURE PLUG (CO #1)
6
EA
$500.00
$3,000.00
6
$3,000.00
3
TRENCH SAFETY (CO #1) (CO #2)
4547
LF
$0.10
$454.70
4547
$454.70
4
DUCTILE IRON WATER FITTINGS W/
8
TN
$14,000.00
$112,000.00
8
$112,000.00
RESTRAINT
5
6" PVC WATER PIPE (CO #1) (CO #2)
320
LF
$130.00
$41,600.00
320
$41,600.00
6
8" PVC WATER PIPE
190
LF
$150.00
$28,500.00
190
$28,500.00
7
12" PVC WATER PIPE (CO #1)
4015
LF
$170.00
$682,550.00
4015
$682,550.00
8
FIRE HYDRANT (CO #2)
2
EA
$5,900.00
$11,800.00
2
$11,800.00
9
CONNECTION TO EXISTING 4"-12" WATER
2
EA
$3,800.00
$7,600.00
2
$7,600.00
MAIN
10
2" WATER SERVICE (CO #1)
3
EA
$4,500.00
$13,500.00
3
$13,500.00
11
6" WATER METER AND VAULT
2
EA
$44,000.00
$88,000.00
2
$88,000.00
12
6" GATE VALVE
5
EA
$1,500.00
$7,500.00
5
$7,500.00
13
8" GATE VALVE
7
EA
$2,200.00
$15,400.00
7
$15,400.00
14
12" GATE VALVE
12
EA
$3,400.00
$40,800.00
12
$40,800.00
15
36"X12" TAPPING SLEEVE & VALVE
1
EA
$20,000.00
$20,000.00
1
$20,000.00
16
6" BLOW OFF VALVE
1
EA
$7,500.00
$7,500.00
1
$7,500.00
17
24" CASING BY OPEN CUT (CO #1)
20
LF
$185.00
$3,700.00
20
$3,700.00
18
8" WATER METER & VAULT (CO #1)
1
EA
$49,759.00
$49,759.00
1
$49,759.00
Sub -Total of
Previous Unit
$1,141,063.70
$1,141,063.70
UNIT H. SANITARY SEWER IMPROVEMENTS
Item
Description of Items
Estimated
Unit
Unit Cost
Estimated
Completed
Completed
No.
Quanity
Total
Quanity
Total
1
CONSTRUCTION STAKING
1
LS
$9,500.00
$9,500.00
1
$9,500.00
2
REMOVE 12" SEWER LINE
8
LF
$10.00
$80.00
8
$80.00
3
8" SEWER ABANDOMENT PLUG (PLUG/CAP
4
EA
$100.00
$400.00
4
$400.00
FOR FUTURE CONNECTION) (CO #1)(CO #2)
4
UTILITY SERVICE SURFACE RESTORATION
12500
SY
$1.50
$18,750.00
12500
$18,750.00
SEEDING (WATER/SEWER ESMT ON/OFFSITE
5
POST -CCTV INSPECTION (CO #1) (CO #2)
3825
LF
$8.00
$30,600.00
3825
$30,600.00
6
MANHOLE VACUUM TESTING
21
EA
$325.00
$6,825.00
21
$6,825.00
Tuesday, August 8, 2023 Page 2 of 5
City Project Numbers 103716
Contract Name MCPHERSON ADDITION MULTIFAMILY DEVELOPMENT
Contract Limits
Project Type WATER & SEWER
Project Funding
7 TRENCH SAFETY (CO #1)
3872 LF
8 CONCRETE COLLAR (CO #2)
27 EA
9 8" SEWER PIPE (CO #1) (CO #2)
232 LF
10 8" SEWER PIPE CSS BACKFILL
25 LF
11 12" SEWER PIPE
2695 LF
12 12" SEWER PIPE CSS BACKFILL
35 LF
13 15" SEWER PIPE
895 LF
14 4' MANHOLE
21 EA
15 4' EXTRA DEPTH MANHOLE
----------------------
235 VF
Sub-Total
----------------------
of Previous Unit
DOE Number 3716
Estimate Number I
Payment Number 1
For Period Ending 8/4/2023
$5.00
$19,360.00
3872
$19,360.00
$525.00
$14,175.00
27
$14,175.00
$385.00
$89,320.00
232
$89,320.00
$805.00
$20,125.00
25
$20,125.00
$325.00
$875,875.00
2695
$875,875.00
$670.00
$23,450.00
35
$23,450.00
$325.00
$290,875.00
895
$290,875.00
$14,750.00
$309,750.00
21
$309,750.00
$185.00
$43,475.00
235
$43,475.00
$1,752,560.00 $1,752,560.00
------------
Tuesday, August 8, 2023 Page 3 of 5
City Project Numbers 103716
Contract Name MCPHERSON ADDITION MULTIFAMILY DEVELOPMENT
Contract Limits
Project Type WATER & SEWER
Project Funding
Contract Information Summary
Original Contract Amount
Change Orders
Change Order Number 1
Change Order Number 1
Change Order Number 2
Change Order Number 2
DOE Number 3716
Estimate Number I
Payment Number 1
For Period Ending 8/4/2023
$2,799,803.00
$71,456.50
$33,334.00
($6,940.80)
($4,029.00)
Total Contract Price $2,893,623.70
Total Cost of Work Completed $2,893,623.70
Less % Retained $0.00
Net Earned $2,893,623.70
Earned This Period $2,893,623.70
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
$2,893,623.70
Tuesday, August 8, 2023 Page 4 of 5
City Project Numbers 103716
Contract Name MCPHERSON ADDITION MULTIFAMILY DEVELOPMENT
Contract Limits
Project Type WATER & SEWER
Project Funding
Project Manager NA
Inspectors GARDNER / TAYLOR
Contractor JACKSON CONSTRUCTION LTD
5112 SUN VALLEY DRIVE
FORT WORTH, TX 76119
DOE Number 3716
Estimate Number I
Payment Number 1
For Period Ending 8/4/2023
City Secretary Contract Number
Contract Date
6/2/2022
Contract Time
265 WD
Days Charged to Date
197 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 $2,893,623.70
Less % Retained $0.00
Net Earned $2,893,623.70
Earned This Period $2,893,623.70
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
$2,893,623.70
Tuesday, August 8, 2023 Page 5 of 5
REVIEWED 1
lBy Andrew Goodman or 4:56 pm, Mar 16, 2023 J
DEVELOPER -AWARDED -PROJECT CHANGE ORDER
]PROJECT NAME: McPherson Ad0ion Mulli-family Develoomenl I CHANGE
ICONTRACT: Water and Sewer (ORDER No:
ICFA# 2147i3g I CITY PARTICIPATION',] No
IC1TY PROJECT # 10716 I
IOOF # I 1
I WATER PROJECT # I
ISEWER PROJECT # I
IFILE # X-27099 I
INSPECTOR:
Phone No.
PROJECT MANAGER;
Andrew Goodman Phone No
CONTRACT UNIT
WATER
SEWER
PAVING
CRAINAGE
STREET
UGH75
CONTRACT
Davebpar
Davelnper
0avelpper
DAY5
Oavelnm Cml Clty Cost
DWere_Coat Clr7ce41
Co51 City Co.=
Cvet
CINCwt
Coal
CINGwt
IOR1Gl9A1- CONTRACT
31.076.54a.00 10.00
$1.723,255.00 $0.00
5334.243.00 sox
$331.125.00
S0.00
$0.00
50,00
I
IE%TRAS TO OATS
$MDO SO.ao
$0.00 $0.00
soA9 30-00
SOX0
50.00
50.90
10.00
I
ICREDITS TO DATE
10.00 10.00
$0.60 $0.00
53.00 S0.90
SaAO
50.00
SOAD
moo
I
ICONTRACT TO DAIL
s1.076, 50.w $0.00
31.723.25100 $0.00
5334.243.00 SOA0
031,125.00
SOAR
$0.00
$0.00
0 I
]AMOUNT OF PROP. CHANGE ORDER
571.9S6.60
533,334.00 SDAD
555.295.50 $0.00
10.00
$0,00
SO.00
10.00
0 I
AMOUNTr
Si.1N.504.6P 39.00
11.766.696.90 50.00
1400.011.W S0.o0
S331.125BO
SO.00
SO.01
SOoo
0
TOTAL REVISED LONTRACI AMOUNT
IFI-113EDCC-T
PER UNIT
S1.14a.W.LSO
31,756,5119.00
$400.634.50
4331.12500
$0.00
REVISEDCDST SHARE
Oev. Cost;
$3.63e,7S7.00
City Cost:
$0.00
TOTAL REVISED CONTRACT
$1,636,757.00
Yau are directed to make The lulloWhg changes In the contract d-his
ADDITIONS
CITY BID ITEM
PAY ITEM
0
DUANTITY
UNIT
ITEM DESCRIPRON
UNITPRtCE TOTAL
I Pavinpplmp7� vemenls
I
I 3211.➢400
4
15S5@..30
TN
HrdraladILma
S235.00 05.50 1
I 3213,0102
7" UmeC ashrenp (N7 Hydrated)
275 CO
I 3211.0502
6$e.00
SY
nc PIVOt
557agp 50.0 I
C475.00
I 3213VO1
7
300.00
SF
4' Conc Sidevraik
55.25 I
321e, t➢t
9
05.00
LF
VConc Cwband Gutter
52.00 S170.00 I
3217.0001
9
10.00
LF
4m(ya m
$200 520.00
II
3217.0004
II
10
�5,0o
LP
4- d K
52..00 S50.OD
3471ADD1
-
1.40
M0
Trallic Control
3�,500.Do $ SOO.aa I
Tgul Peva.enl
Ad ..4 OA35.51f
4?
I water lmp r0 omen is
I
I 37d5.100q
-
20.00
LF
24' Casi�qjjjj By Open Cot
5165.00 &VO( oo I
I 33050109
3
75.00
LF
frenn,l 581
50.10 s7,50 1
65➢
pe
SS'�.000.BD
I 371222u3
10
EA
2�walef 5orvico
$4,SDD.00 I
I 3312.2804
I
-
1
EA
S' Watar Meld & VaUB
Teul
759.CO j/B 759.00 1
iI rkddiBon {iS 5€8.50 1
I
I Sanitary sewedlI�25I��rr msel4
1
I
I 330f.0002eW
1 3305.0108
5
7
1 e453.aD
a7.00
LF
LF
Past-CC{y In con
Trench SEI91
SS.DO Sl4-9000.0 I
S5.D0 (735.00 I
1 3331.1115
9
47.OD
LF
e'SererP P
$315.00 SID.O95.06 I
I 0241.2103
1
1.00
EA
5'SewarA andomenl Plug (PIW7Ca0 For Fvlure Co00ecI1dN1
$I00 Da 51DD,0B 1
Tatar Sewer Addil4an S33,334.66 1
T.Ud Add11T0e 5176,056.00
You are diraded l9 make the following changes In the conlract documents:
fOed-Uons
CITY B# ITEM]
I PAY IYEMa
OUAM'EN I
UNIT
I REM DESCRIPTION
I UNIT PRICE I TOTAL
I Pavingq too /P�,7emanls
I 3'2}2.GRDO
12 1
150.00 1
SY
I01ock Sad PiacemenllWTlhin R.D.v10
I 55.50 1 S3.74D_00 I
1 walarl ea
en
EA
y9
1 3311.0161
5 I
12.OD I
LF
IS'1PVCIWate roPPPg
1 5�6
SJ5i,3
7oW OeducOl{on1 OA61
Total Change older cwi s17i,Sae.uc
REASONS FOR CHANGE ORDER
Addi -W water,
sewer, ondpaying addedia the rn frad perd-v vpers mqueotf0 add an addW-.1 lane to the t4a1a Grande a,g .. 0 and ro accommodate sN,
plans of acFaeont ck)mfopnenfs along Muslang Rench Rd.
NO CITY FUNDS INVOLVED IN THIS CONTRACT, DEVELOPER IS RESPONSIBLE FOR 100% OF THE CHANGE ORDER COST AND NO
REIMBURSEMENT
FROM THE CITY
WILL BE SOUGHT BY THE DEVELOPER.
RECOMMENDED:
APPROVED: I APPROVED:
Band, FL-pl..
8 Brown, Inc.
Georief Saurpye;t 1 Ja059n CpPalrudhn
-
BY:
.. ,.
BY ri �7 - • By
Name:
Joe LaCroi4 `PE
j �J
Name: i y��( (/ IL1�� Name; LJ( Yi n7
1 r
�/j��\�r]�5� L4 -6 YKA�
rile:
Civil Engineer
r� Title, Till.: pnl • .1
1 Y1U iu:/,A-�
J
a
Revised, I6-12 2011 Page 1
DEVELOPER-AWARDCD-PROJECT CHANGE ORDER
PROJECT NAME:
wamr. sataary sewer. .6-Rw:wlmo��eq,.n: le6�rrkstKr>on Adalwe N�mram7r paratoomak
I C�(.NrE
ICONTRACT:
I ORDER N.
ICFA#
21-0119 I CITY PARTICIPATION:[ No
[
ICITY PROJECT #
10371 B
I
IDOE#
IWATER PROJECT
!V Z
ISEwrR PROJECT #
[FILE #
X-27099
,
INSPECTOR:
Andre Taylor Phone No: 817-223-2275
PROJECT MANAGER:
Andrew Goodman Phope No 817-392.6251
CONTRACT VWT
-- -
WATER 5FVmR PAYING pRA2NAGE
Developer Davebper Oerebpei- - Dovciopet
BTRELT LIGIN6� CONTRACT DAYS
IGRIGINAL CONIAAC7
C.0 CIWCO9 De..I-Cost ChYCom Cast CIN Cq Cnsl
51.076.S4S.00 WN S1.724,256A9 S0.00 S334.243.00 1D.00 33SIA25.90
CIN Goal Cast
1o.00
$0.00
CIN C..,
SOAP [
Ii:XTRAS TO DATE
S73,516.50 IC09 533,3S4,OV
[CRLDITS TOOATE
10.00 S79A3550 $0.00 W.00
S0.300.00 S0.00 SOAO Kan 11.140.0 50.00 moo
30m I
SA40
10.00
11.10
50.00
TO DATE
11,104.79C10 1e.90 $1.7SS,569M 30.110 f400,USAO SG,90 .125.11
SoAO
S0.00
_ _50.00
".ad 0 [
11CONTRACT
Nw1UUNTOF PROP. CHANGE ORDER
(06.940.e01 Se.00 I4a.029.001 SO." ium.1319. So.W 15331.125A01
I'm
SOAO
S0.00
Won 0
EN5E➢ CONTRACT AMOUNT
rj613701770
_
57.137A2170 SSA6 ......"WAo `0-10A0 sdo/ s9.00
50.00
w.00
Mod 0
ipTnL pElnsep CnNaRgCT AMOOMS pSR UNR
51.752.509A0 st.w S0,00
{I
Sot. I
REVISED COST SHARE
Der. Cml: IIZB90,343.70 CIN Cnst:
f0.00
TOTAL REVISED CONTRACT
52,09D363.70
ijlll
!
You ate diretledtq m ke the f0l)oxtn0 eh-ngea In She mm"d tlocumenls
AddI9...
I PAY RFMq
tl QDA.NTIT2
UNIT
ITEM OESCRIPfIOH
UN17PRICE
FOTALSew-
t. Gn, R46
0241.2015
2 2
EA
B"Sewer Rbantlonmcrtt Pluq{PNpf[40 Fpr Future Conncrtipnl �SIWAG
$2p0A0
3305.nL12
7 13
E0.
COr. vet, Collar
S525.W
J
S6,825.00
! }331.4115
S 10
LF
Sewer Pipe
5355.00
$3,85nea I
Total Sewer AddHbn
110.875.00
T-lAddition
$10A75.09
Dedu6lbnl
I I I
I
I I
IPAY ITEM q
e0 QUANTITY
UNIT
ITEM pFS ,C),
I UN TPRICE
TOTAL 1
I WALerIrn-"'emeetr
J
3305.0103
3 8
LE
Trench
h safety
5D.1D
(50JR31 I
33114165
5 8
tF
6'PVC Wa[M PFpe
l
! 3311o003
8 1
EA
Fr. Nydranl
SS.I I
130
:51e4D00]
55.400.00] 3
aI „cm
Total Wafer Dedudlgn
1S6y403ID)
IPAY REM 0
QUANTITY
UNIT
ITEM DE5CRIPTON
I UN TP.CE
TOTAL J
SaniYary sewer3m�7grgmenu
330L.00 2
5 1,363
LF
Post_CCTVlrapecimn
-
I "'Do
I'."o41m1
T-Lal Sewer Ded-I..
1514.904.f103r
hair lancer
qtl
jj
k
PAY 17Emu
QUANTITY
UNIT
ITEM DESCRIPTION
I UNIT PAIrrE
TOTAL
SIOrm Oral O.Impmvements
3341.03n9
1 310
LF
368RCP, Cla55 III
SDD.W,
1552.700A0
I 313"0",
2 6"
SY
Med'um Stan Rippp.e Dated
5235.0C
[$796,65nq} �
1,49.6209
3 2
�
36'SET. 2 pi-
$6,500_DEI
(S1ADD,001 J
9999.0000
4 1,275
Turf Reinforument Mal
S77.0LI
IS63.775.0ul J
T", Ssorm Drain D4tludlen
3$331,125AOI
TEM CITY 010 I
I
1
PAY REM 0
A QUANTITY
UMT
ITEM DESCRIPTION
UNIT PRICE
TOTAL ,
POviee l.- -nh;
0170.0100
1 I
IS
hlghsilzation
5120.W0.00
_
15120.DOI J
a171.0101
2 1
LS
CanslnlcSioq Sud-
5-,BOOAO
02t8130001 1
3123.6101
1 41SO
CY
Un.[a.viT.d Eacn -br Pia.(1-. Rwd6 &Oficibl S1400
IS59.500.W1 J
3211.04M
4 39.6
TN
HYdru.d Linle _ --
S235.00
W 3DIII l
a 11A502
5 2-2
SY
6' Lime Tlesls.egl (65G HYdtatedl
15.00
1511.000.00] I
3213A102
6 2.100
Sy
7' Cune Pmp
567.0D
15140.700pU% I
9213.0301
7 i J00
YF
4' Can. S.L-.Ik
I 18.25
1536300At33 J
4216,moi
8 970
LF
6.0 Cwh-dGnn-r
S1,00
[StN0.001 I
3217, W01
9 73
LF
4' SLD Pvm5 M4iI -HAS (R'1
$2,00
ISISOA31
3217.0004
la 210
LF
4' BRK PYml hfaYina HAS tYS
HAS
$2,ou
ISS40 Dal ,
3217.02n2
I I 150
LF
$' Slit PvmL Marklw (YI
S2A
;5412.501 I
3292.0290
12 230
Sy
BI-L Sod Pbccfw5, iA 3L.O.w)
35.50,
1SL265.W) I
3]9L(I�,L1P
3471.09
13 9.5511
SY
SendinRllNn r! IU13ss1e Dsf15vbcd A-)
ST50',
16343)5 ml I
- 1
MO
T5trfft CN9u-1
S23DODO7
IS2500.00]
5uI1TeWl Paving Dedudlo.
{5400,538So I
Tnmt OeductI
jS753,5W391
REASONS FOR CHANGE ORDER
Chong -order mThds lhere 'ai&lheynriry enC damage irr eemensII CFA2141191u ba ended io Cra71-0120. Akq mftdSaddhVfI 0&S WLW2
PJack t -nd..n .-F.. In m ssm"
NO CNY FUNDS INVOt_VED IN THIS CONTRACT. OEVELOPER 15 RESFONSIEI.E FOR IDM OF THE CHANGE: ORDER COSTAND NO
REIMBURSEMENT FROM THECITY
VVILL BE SOUGHT BY THE DEVELOPER,
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APPROVED:
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BY
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Nam- Joe Lacroix, PE
Name Kevin Eldridge
N-me Danny McCutchen
Civil Engineer
Manager
Project Manager
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Re6M ID-12-1-n11 Pagc I
FORTWORTH
TRANSPORTATION AND PUBLIC WORKS
PIPE REPORT FOR:
PROJECT NAME: McPherson Multifamily Development
CITY PROJECT NUMBER: 103716
WATER
PIPE LAID SIZE TYPE OF PIPE
PVC Water Pipe 6" PVC
PVC Water Pipe 8" PVC
LF
FIRE HYDRANTS: 2 VALVES (16" OR LARGER)
PIPE ABANDONED SIZE TYPE OF PIPE LF
DENSITIES: Densities taken and uploaded to Accela
NEW SERVICES:
320
190
I SEWER
PIPE LAID SIZE TYPE OF PIPE LF
Sewer Pipe 8" 232
Sewer Pipe 8" 2695
Sewer Pipe 15" 895
PIPE ABANDONED
DENSITIES:
NEW SERVICES:
SIZE TYPE OF PIPE
TRANSPORTATION AND PUBLIC WORKS
The City of Fort Worth • 1000 Throckmorton Street • Fort Worth, TX 76012-6311
LF
FORTWORTH,
TRANSPORTATION AND PUBLIC WORKS
August 8, 2023
Jackson Construction
5112 Sun Valley Dr
Fort Worth, Tx 76119
RE: Acceptance Letter
Project Name: McPherson Addition Multifamily Development
Project Type: Water &Sewer
City Project No.: 103716
To Whom It May Concern:
On August 8, 2023 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 August 8, 2023,
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 Drew
Goodman, P.E. Sr. Professional Engineer City of Fort Worth/Development Services
Department Infrastructure Plan Review Center (IPRC) President City of Fort Worth Young
Professionals Zoo Texas Street, Fort Worth, Texas 76102 (817) 392-6251 Office (817) 727-5702 Cell
(817) 392-7854 Fax Andrew. Goodman(&FortWorthTexas.Gov .
Sincerely,
Andrew Goodman, Project Manager
Cc: Andre Taylor, Inspector
Gary Deyon, Inspection Supervisor
Troy Gardner, Senior Inspector
Victor Tornero, Program Manager
Baird, Hampton & Brown Inc, Consultant
Jackson Construction, Contractor
Gabriel Southwest LLC, Developer
File
E-Mail: TPW_Acceptance@fortworthtexas.gov
Rev. 08/20/19
WACKSON
CONSTRUCTION LTD.
5112 SUN VALLEY DRIVE
FORT WORTH, TX 76119
TEL: 817-572-3303
FAX: 817-478-0443
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 Troy L. Jackson,
President Of Jackson Construction, Ltd, 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;
Water, Sanitary Sewer, Storm & Paving Improvements to Serve the
McPherson Addition Multifamily Development
BY /�yl /l
Troy L. kson, President
Subscribed and sworn before me on this date 23rd of August, 2023.
Notary Public
Tarrant, Texas
CARMEN L. ESTEP
6SNotary Public, State of Texas
=v1 :yam (`--- r-- 1 c AA nR_9A9A
Notary ID 2910611
CONSENT OF SURETY
TO FINAL PAYMENT
AIA Doc=ennt G707
Bond No. 1086235
TO OWNEL
rNarne mrd uddresr•1
City of Fort Worth
200 Texas Street
Fort Worth, TX 76102
07JNFR
CONTRACTOR
SURLTY
OTHER
ARCHITECT'S PROJECT NO.:
CONTRACf FOR:
PROJECT: CONTRACT DATED: July 29, 2022
(1lltsrrr arrriadrhu��}
McPherson Addition Multifamily Development, Water, Sanitary, Storm & Paving Improvements
In accotriance with the provisican5 of tl c Contract bemn--en the Owner and the Contractor as indicated above, the
flnsr�t rxanr aird aelditsx of.S�r+�h J
The Hanover Insurance Company
440 Lincoln Street
Worcester, MA 01653
SURETY,
on bcod of
flnwrl narrre ant! addrva [(Cmztraa w)
Jackson Construction, Ltd.
5112 Sun Valley Drive
Fort Worth, TX 76119
, CONTRACTOR,
hereby approves of the final payment to the Contractor, and agrees that final payment to the Contractor shall not relieve the Sure of
any of its obligations to
Ctnwnnanreandaddr+ gor0rrner!
City of Fort Worth
200 Texas Street
Fort Worth, TX 76102
as set forth in said Surety's bona.
+''r ` g
IN WITNESS WRl3RROR, the Surety has hereunto set its hand on this date: August 23, 2023
(Irrstrrl hz kvVing (be nwntb follarrwd kt�The munerk dare and iear )
Aftt}$t:
The Hanover Insurance Company
{sarcg3l)
By:
(SWIM")ofarrtborfzrtlir�a��rtaxiri
Holly Clevenger Attorney -in -Fact
My foiled rrarrre awl r&&)
G707---1994
THE HANOVER INSURANCE COMPANY
MASSACHUSETTS BAY INSURANCE COMPANY
CITIZENS INSURANCE COMPANY OF AMERICA
POWER OF ATTORNEY
THIS Power of Attorney limits the acts of those named herein, and they have no authority to bind the Company except in the manner and to the
extent herein stated.
KNOW ALL PERSONS BY THESE PRESENTS:
ThatTHE HANOVER INSURANCE COMPANY and MASSACHUSETTS BAY INSURANCE COMPANY, both being corporations organized and existing underthe
laws of the State of New Hampshire, and CITIZENS INSURANCE COMPANY OF AMERICA, a corporation organized and existing under the laws of the State of
Michigan, (hereinafter individually and collectively the "Company") does hereby constitute and appoint,
Jack M. Crowley, Laurie Pflug and/or Holly Clevenger
Of Willis Towers Watson Insurance Services West, Inc of Dallas, TX each individually, if there be more than one named, as its true and lawful attomey(s}in-fact
to sign, execute, seal, acknowledge and deliver for, and on its behalf, and as its act and deed any place within the United States, any and all surety bonds,
recognizances, undertakings, or other surety obligations. The execution of such surety bonds, recognizances, undertakings or surety obligations, in pursuance of
these presents, shall be as binding upon the Company as if they had been duly signed by the president and attested by the secretary of the Company, in their own
proper persons. Provided however, that this power of attorney limits the acts of those named herein; and they have no authority to bind the Company except in the
manner stated and to the extent of any limitation stated below:
Any such obligations in the United States, not to exceed Thirty Five Million and No/100 ($35,000,000) in any single instance
That this power is made and executed pursuant to the authority of the following Resolutions passed by the Board of Directors of said Company, and said Resolutions
remain in full force and effect:
RESOLVED: That the President or any Vice President, in conjunction with any Vice President, be and they hereby are authorized and empowered to
appoint Attorneys -in -fact of the Company, in its name and as it acts, to execute and acknowledge for and on its behalf as surety, any and all bonds,
recognizances, contracts of indemnity, waivers of citation and all other writings obligatory in the nature thereof, with powerto attach thereto the seal ofthe
Company. Any such writings so executed by such Attorneys -in -fact shall be binding upon the Company as if they had been duly executed and
acknowledged by the regularly elected officers of the Company in their own proper persons.
RESOLVED: That any and all Powers of Attorney and Certified Copies of such Powers of Attorney and certification in respect thereto, granted and
executed by the President or Vice President in conjunction with any Vice President of the Company, shall be binding on the Company to the same extent
as if all signatures therein were manually affixed, even though one or more of any such signatures thereon may be facsimile. (Adopted October 7,1981—
The Hanover Insurance Company; Adopted April 14,1982 — Massachusetts Bay Insurance Company; Adopted September 7, 2001— Citizens Insurance
Company of America and affirmed by each Company on March 24, 2014)
IN WITNESS WHEREOF, THE HANOVER INSURANCE COMPANY, MASSACHUSETTS BAY INSURANCE COMPANY and CITIZENS INSURANCE COMPANY
OF AMERICA have caused these presents to be sealed with their respective corporate seals, duly attested by two Vice Presidents, this 231d day of August, 2022.
THE HANOVER INSU
MASSACHUSETTS KY INSURANCE
E COMPANY
COMPANY
THE HANOVER INSURANCE COMPANY
MASSACHUSETTS BAY INSURANCE COMPANY
CITIZENS INSURA E C
PANY OF AMERICA
CITIZENS INSURANCE COMPANY OF AMERICA
E3rydn J
e Vice President
J P H. Kawieckl. Vice President
THE COMMONWEALTH OF MASSACHUSETTS )
COUNTY OF WORCESTER ) ss.
On this 23rtl day of August, 2022 before me came the above named Executive Vice President and Vice President of The Hanover Insurance Company,
Massachusetts Bay Insurance Company and Citizens Insurance Company of America, to me personally known to be the individuals and officers described herein,
and acknowledged that the seals affixed to the preceding instrument are the corporate seals of The Hanover Insurance Company, Massachusetts Bay Insurance
Company and Citizens Insurance Company of America, respectively, and that the said corporate seals and their signatures as officers were duly affixed and
subscribed to said instrument by the authority and direction of said Corporations.Qk
ARlEEN V. NS __�C�.
r Notary Public
CDMMONWEALTH OF MASSACHUSETTS
My Commission Expires Areen V. Simons.. otaryPub i"-4
June 15, 2023 My Commission Expires June 15, 2023
I, the undersigned Vice President of The Hanover Insurance Company, Massachusetts Bay Insurance Company and Citizens Insurance Company of America,
hereby certify that the above and foregoing is a full, true and correct copy of the Original Power of Attorney issued by said Companies, and do hereby further certify
that the said Powers of Attorney are still in force and effect.
GIVEN under my hand and the seals of said Companies, at Worcester, Massachusetts, this 23rd day of August, 2023.
CERTIFIED COPY
THE HANOVER INSURANCE COMPANY
M NUSETTS BAY INSURANCE COMPANY
1 S CE COJy1PANY OF AMERICA
ohn A. R-dder, Vice President