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Home My WebLink AboutContract 59244-FP1FORT WORTH. -FP1 City Secretary 59244 Contract No. Date Received 5/1/2025 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: Palladium Oak Grove City Project No.: 104281 Improvement Type(s): x❑ Paving ❑ Drainage ❑ Street Lights ❑ Traffic Signals Original Contract Price: $227,625.00 Amount of Approved Change Order(s): $19,497.44 Revised Contract Amount: $247,122.44 Total Cost of Work Complete: $247,122.44 a� Apr 28, 2025 Contractor Date CFO Title FB Potter Concrete, LLC Company Name ��- Apr 28, 2025 Carlos Gafcia (Apr 28, 202514:36 CDT) Project Inspector Date UbsMageMoharWeeti,.E May 1, 2025 Project Manager Date May 1, 2025 1-lic, 11,rnck Mav 1.202515:14 CDT) CFA Manager Date "V .,7. May 3 2025 1 auien Prieur! N ay 3. 2025 09 33 CIDI TPW Director Date Qp�—' May 4, 2025 Asst. City Manager Date OFFICIAL RECORD CITY SECRETARY Page 1 of 2 FT. WORTH, TX Notice of Project Completion Project Name: Palladium Oak Grove City Project No.: 104281 City's Attachments Final Pay Estimate x❑ Change Order(s): ❑x Yes ❑ N/A Contractor's Attachments Affidavit of Bills Paid Consent of Surety' Statement of Contract Time Contract Time: 240 WD Days Charged: 233 WD Work Start Date: 8/16/2023 Work Complete Date: 9/25/2024 Completed number of Soil Lab Test: 96 Completed number of Water Test: 18 Page 2of2 FoRTWORTH CITY OF FORT WORTH FINAL PAYMENT REQUEST Contract Name PALLADIUM OAK GROVE Contract Limits Project Type PAVING City Project Numbers 104281 DOE Number 4281 Estimate Number 1 Payment Number 1 For Period Ending 9/25/2024 WD City Secretary Contract Number Contract Time 24U'D Contract Date Days Charged to Date 233 Project Manager NA Contract is 100.00 Complete Contractor FB POTTER CONCRETE LLC 1596 E. MAIN STREET, SUITE 200 WAXAHACHIE, TX 75165 Inspectors G. DEYON / C. GARCIA Friday, November 22, 2024 Page 1 of 4 City Project Numbers 104281 DOE Number 4281 Contract Name PALLADIUM OAK GROVE Estimate Number 1 Contract Limits Payment Number 1 Project Type PAVING For Period Ending 9/25/2024 Project Funding UNIT IV: PAVING IMPROVEMENTS Item Description of Items Estimated Unit Unit Cost Estimated Completed Completed No. Quanity Total Quanity Total 1 8" CONCRETE DRIVEWAY 180 SY $85.30 $15,354.00 180 $15,354.00 2 4" CONC SIDEWALK (CO#3) 652 SY $79.72 $51,977.44 652 $51,977.44 3 BARRIER FREE RAMP 5 EA $350.00 $1,750.00 5 $1,750.00 4 REMOVE CONCRETE DRIVE 115 SY $27.00 $3,105.00 115 $3,105.00 5 TRAFFIC CONTROLS 1 LS $3,500.00 $3,500.00 1 $3,500.00 6 6" CONC CURB AND GUTTER (CO#3) 172 LF $36.00 $6,192.00 172 $6,192.00 7 REMOVE ASPHALT DRIVE (CO#3) 1120 SF $3.00 $3,360.00 1120 $3,360.00 8 REMOVE GAURDRAIL 20 LF $3.00 $60.00 20 $60.00 9 CONCRETE RIPRAP (FLUME) 863 SY $170.00 $146,710.00 863 $146,710.00 10 REMOVE SIDEWALK (CO#3) 2 SF $465.00 $930.00 2 $930.00 11 REMOVE CONC CURB & GUTTER (CO#3) 60 LF $24.00 $1,440.00 60 $1,440.00 12 ASPHALT PVMT REPAIR BEYOND DEFINED 77 SY $72.00 $5,544.00 77 $5,544.00 WIDTH(CO#3) 13 MOBILIZATION(CO#3) 1 LS $7,200.00 $7,200.00 1 $7,200.00 -------------------------------------- Sub -Total of Previous Unit $247,122.44 $247,122.44 Friday, November 22, 2024 Page 2 of 4 City Project Numbers 104281 Contract Name PALLADIUM OAK GROVE Contract Limits Project Type PAVING Project Funding Contract Information Summary Original Contract Amount Change Orders Change Order Number 3 Change Order Number 4 Total Contract Price DOE Number 4281 Estimate Number 1 Payment Number 1 For Period Ending 9/25/2024 $227,625.00 $4,689.44 $14,808.00 $247,122.44 Total Cost of Work Completed $247,122.44 Less % Retained $0.00 Net Earned $247,122.44 Earned This Period $247,122.44 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 $247,122.44 Friday, November 22, 2024 Page 3 of 4 City Project Numbers 104281 Contract Name PALLADIUM OAK GROVE Contract Limits Project Type PAVING Project Funding Project Manager NA Inspectors G. DEYON / C. GARCIA Contractor FB POTTER CONCRETE LLC 1596 E. MAIN STREET, SUITE 200 WAXAHACHIE , TX 75165 DOE Number 4281 Estimate Number 1 Payment Number 1 For Period Ending 9/25/2024 City Secretary Contract Number Contract Date Contract Time 240 WD Days Charged to Date 233 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 $247,122.44 Less % Retained $0.00 Net Earned $247,122.44 Earned This Period $247,122.44 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 $247,122.44 Friday, November 22, 2024 Page 4 of 4 DocuSign Envelope ID: D743BB06-A39C-478D-80C7-7F6D07E27A3C REVIEWED ` By Mosadage Mohammdeen at 10:19 am, Sep 12, 2023 DEVELOPER -AWARDED -PROJECT CHANGE ORDER PPROJECT NAME: PALLADIUM OAK GROVE I CHANGE CONTRACT: Water, Pavinq, Drainaqe and Street Liqhts ORDER No: ICFA # CFA22-0086 CITY PARTICIPATION:( N/A CITY PROJECT # 104281 IPRC # IPRC22-0146 IFID # 30114-0200431-104281-EO7685 IX -Number X-27464 IFILE # W-2862 INSPECTOR: Eric Yarger Phone No: PROJECT MANAGER: VICTOR TORNERO, JR. P.E. Phone No: 817-392-7830 CONTRACT UNIT WATER SEWER PAVING DRAINAGE STREET LIGHTS CONTRACT DAYS Developer Developer Developer Developer Cost City Cost Cost City Cost Cost Citv Cost Cost City Cost Developer Cost City Cost IORIGINAL CONTRACT $175,915.00 $0.00 $67,381.00 $0.00 $227,625.00 $0.00 $293,195.00 $0.00 $157,266.00 $0.00 120 (EXTRAS TO DATE $0.00 $0.00 $0.00 $0.00 $0.00 $0.00 $0.00 $D.00 $ - $0.00 CREDITS TO DATE $0.00 $0.00 $0.00 $0.00 $0.00 $0.00 $0.00 $0.00 $0.00 $0.00 I CONTRACT TO DATE $175,915.00 $0.00 $67,381.00 $0.00 $227,625.00 $0.00 $293,195.00 $0.00 $157,266.00 $0.00 I 120 (AMOUNT OF PROP. CHANGE ORDER $ - $ 2,050.00 1 $0.00 $0.00 $ - REVISEDCONTRACTAMOUNT $175,915.00 $0.00 $69,431.00 $0.00 $227,625.00 $0.00 $293,195.00 $0.00 $157,266.00 $0.00 120 TOTAL REVISED CONTRACT AMOUNT PER UNIT $175,915.00 $69,431.00 $227,625.00 $293,195.00 $157,266.00 REVISED COST SHARE Dev. Cost: $923,432.00 City Cost: $0.00 TOTAL REVISED CONTRACT $923,432.00 Revised: 10-12-2011 Page 1 DocuSign Envelope ID: D743BB06-A39C-478D-8OC7-7F6D07E27A3C You are directed to make the following changes in the contract documents: CITY BID ITEM PAY ITEM # # QUANTITY UNIT ITEM DESCRIPTION UNIT 1: Water Improvements I UNIT II: Sanitary Sewer Improvements Total 3201.0202 1 13' 15 SY Asphalt Pvmt Repair Beyond Defined Width 0241.2101 14' 1 EA I 4" Sewer Abandonment iuq I I UNIT II: Sanitary Sewer Improvements Total UNIT III: Drainaqe Improvements 1 UNIT III: Drainage Improvements Total UNIT V: Street Liqhtinq Improvements UNIT V: Street Lightinq Improvements Total I TOTAL Asterisk (`) indicates New Pay Item REASONS FOR CHANGE ORDER Added existing sewer service abandonment REVIEWED By Mosadage Mohammdeen at 10:19 am, Sep 12, 2023 UNIT PRICE $ 90.00 $ $ 700.00 $ 1$ 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: APPROVED: [i°&Hsi Ofi� )Mgineer) Eel7ERWigned by: on�jVV igned by: y.y: I b i G�ln�t. E9542BC98F6C440._ A39FBBBCCA854EE... 853E47886AD2410... Name: Jonathan Hake - Cross Enqineerinq Name: Scott Johnson - Palladium East Berry, Ltd. Name: John Kolb - Wildstone Construction Title: Vice President Title: Senior Vice President Title: President TOTAL 1,350.OD 700.00 2.050.00 Revised: 10-12-2011 Page 2 i vtl 640 EX. 12" SS LINE s4, ... PUBLIC SS NORTH ... §Y3 - 635 w3+ 65, 655 -r€ p_ 655 CAUTIONII Eel,ting UUIU- In Aroo. Contractor 10° n � Z�. 3e ,hall determine loeatlon and elevatlon If all utllltT,, prior to e.n.- 11*1 ✓3 Cono-otor vhml Inform Engt .er of 630 630 650 650 only aonmets prmr to con.tructlon. - L i Neck 625 / I 1 625 645 +a= 645 E.i.ting UtIllu.. Shawn Per m-Built owm.Dnt.. ConNotor toFlald "leyLacatlan nd Depth f All Ulllidea Prior5 toC -tloo antl Notify Engln..r ofanYDhcrepancloe.620 620 640�. 640 Natc All Improwmenty Up-SV.am of Mete, O - • --- Are Privet. and By 6ep-to Contract / J Tempormary S—ob May Be Roqul,d to - I Dc 11W) r-la v , t No Colt— No. S—I 615 615 635 w-. 635 Inthas.oupt.d. 610 610 630 t er rr 630 0+00 1+00 REVIEWED 6rAf.,tlw gf.m,Ind..n.rrr:sD.n, ap rg, apn J =O _ 0 40 00 GRAPHIC SCALE 1" 1'=40' WATER & SANITARY SEWER NOTES 1. All atedoI, Ind natruction Mall be In ....do,,, Mth th. City of Fort Warty Standard Sp7.111. tlpn. antl Conatrvetlon Stondordy. and Standard Spaclflo,t5an. far Public Work. C... huatlon prepared by North Central Tana. Council of —non, nt• (Lot..t ftaN.lon). antl to th. reguiauono of The T...a —onI..lon on EnNronmentIt Ouollty. 2. EeLHng utllltl., a e hown .oh—teally and are for too eontmet- guidance only. The loc.uon antl/or .lewtlon of -I.Ung u[ilitie, a ahown whth... pion, . e based o cord. of Nv a utility cempenlea, and, ere .... IN., m .nb taken In In. R.1d.OeThI contractor mu.t call to vpproprlat. utlllty c..PonY at least 72 In —prior to any ...-U.o to r.q-t e..ct field Iocatl.n of uVilti... 3. The eo tractor ,hall I, r pon.lble for prot.ctlnq all ealvtlnq Mprowments In the .-I, on, of thi. preJ.at The controctor la -ponelble for epos, of d.mago to.1y .a'U" Improvement. durinq o nVuctlon. Rep.i, ,hall b. equal to r better on candill- prior to mnaNucuon. 4. All sewer (In,. shall be PVC SDR-26 5. All monhoi. Hm god. must match golbn.d grvde In p.wd a o No, I., c netructed in Wool ... pe vreva must haw a final rlm gradeai. Inches (6-) above final grvde. 6. All w or plpo shall ba DR-14, Cl- 2D0 PVC water pipe, conforming to AWWA 400 vtvndard.. e.cept MI. Lln.. y. Contractor oh.11 b. r..p... ible for mointotning -non ,fety requlr.m.nty In a w d,n,I with the Ivte,t .tandard. of MGM- I, any .Nor agency h.Nog juAatlletlon for vaeawtlon no l,nching crocedurev Contractor shall proWtla and Implement v trench aaf.ty plan omDlNng Ith O.S H.A 8. Flre eprlokIl, IIn. hall be eI.d and Inotolled by a state licensed controctor. FlrLlne ahown for reference only. pvnehr .t...ge. R,. Prate tloln brooms areofw Rm M,maand ConVolcvl yyytem, u.e.. FIRE LINE NOTE 1. All underground gry Ilne and r—to M. piping shall be o o,T—no of Cleey 200/DR 14 or better. Embedment shall b. No. 4 cru.h.d .tone. Dopt, of Buryl- m 1-on If 48 inche. from grade to the top of the pips All ,d.,g,.U,d ill, Ilne. beglo at the point of action to the circulatlnq public/privet. water main and terminate at - top of me spigot place 1 ft obow N. nolnhed floor and no — than 5 tt Inside Na W(ding. HT" STO IF — 1.tX.11 y.ln CALL BEFORE YOU DIG —,•. r I,�P�..d x.mmmo wv � WSS STUDY NO. WSL-2022-1895 Qj Added Abandnnmant of Ea SS S—I N � I l,mc Dn¢.: Rcn,ienc D.re �. 0+75 0+00 >ns/:.Ira 1 ba/u,nnz, R CC ENGINE&SING CITY BENCHMARK: SITE BENCHMARK: IR RVII/211"^ 2 C1\OVV CONSULZ•ANIS F.4 Ieaoo _ a v*V v one., . MI��PpP wn.r ee. a•u,P�f. ... .� •-cp .arm m�r..a�,a I4 lvua/2nr n y5wv sIn„ nkt;,,w..r z4n]Smg o.a enaa�wu .i�.••. p�i.nn'• b t I5 12/nt /'ll_ 'P=�eum'0'.• Tm,P£Pom N. FSWS 9l]0 : �� D w e]pDa n en,N {/�^ •^• polM I4 nl/I-/�u21 n CheeNnl RP 6alc , LL'...�4 w. - .oulnwrt mmw u. weJ.cl pmP+Iy.• bD•+.-6g0.]I I T n2/n2 /"02M1 C.LL(..L I C_LC1. IHI 1"�40' V:1".a' •"•��@/Ol/t� Ile..nbu'. be (®1-1TL houn pdor to digging) SANITARY SEWER I I'l,, PI AN & PROFILE CS PALLADIUM OAK GROVE PALLADIUM OAK GROVE, LTD. CITY OF FORT WORTH, TEXAS U REVIEWED By Mosadage Mohammdeen at 11:12 am, Dec 11, 2023 DEVELOPER-AINARDED-PROJECT CHANGE ORDER / PROJECT NAME: PALLADIUM OAK GROVE CHANGE CONTRACT: Water, Paving, Drainage and Street Lights ORDER No: CFA # CFA22-0086 CITY PARTICIPATION: N/A CITY PROJECT # 104281 IPRC # IPRC22-0146 2 FID # 30114-0200431-104281-E07685 X-Number X-27464 FILE # W-2862 INSPECTOR: Eric Yarger Phone No: PROJECT MANAGER: VICTOR TORNERO, JR. P.E. Phone No: 817-392-7830 CONTRACT UNIT WATER SEWER PAVING DRAINAGE STREET LIGHTS CONTRACT DAYS Developer Developer Developer Developer Cost City Cost Cost Clty Cost Cost City C Cost Clay C Developer Cost CIt1r Cost ORIGINAL CONTRACT $175,915.00 $0.00 $67,881.00 .1 $0.00 $227,625.00 $0.00 ° $293,195.00 $0.00 $157,266.00 $0.00 120 EXTRAS TO DATE $0.00 $0.00 $2,050.00 $0.00 $0.00 $0.00 . $0.00 $0. $ $0.00 j CREDITS TO DATE $0.00 $0.00 $0.00 $0.00 $0.00 $0.00 $0.00 $ $0.00 $0.00 i � CONTRACT TO DATE $175,915.00 $0.00 $69,431.00 $0.00 $227,625.00 $0.00 $293,195.00 $0.00 $157,266.00 $0.00 120 AMOUNT OF PROP. CHANGE ORDER REVISED CONTRACT AMOUNT $ $175,915.00 $0.00 $ $0.00 $69,431.00 $0 $227,625.00 $0.011 $ 3,386.00 $296,581.00 $0.00 $ $157,266.00 $0.00 120 TOTAL REVISED CONTRACT AMOUNT PER UNIT $175,915.00 $69,431.00 $227,625.00 $296,581.00 $157,266.00 REVISED COST SHARE Dev. Cost: $926,818.00 City Cost: $0.00 TOTAL REVISED CONTRACT $926,818.00 Revised: 10-12-2011 Page 1 You are directed to make the follo=nq chances in the contract documents: CITY BID ITEM PAY ITEM # # QUANTITY U VIT `UNIT I: Water Improvements (UNIT II: Sanitary Sewer Improvements Total UNIT ll: Sanitary Sewer Improvements Total UNIT III: Drainage jrnpr, vpinenis 313T0103 11" 25 SY Large Stone Riprap, Groutec III: Drainaip+ proyements Total IUN�T LNT V: Stree4 LigUtlnq Improvements UNIT V: Street Liahtina Improvements Total TOTAL Asterisk (') indicates New Pay Item REASONS FOR CHANGE ORDER Added grouted rip rap NO CITY FUNDS INVOLVED IN THIS CONT " CT. DEVELOPER IS I REIMBURSEMENT FROM THE CITY WILL SOUGHT BY THE DE' ;.Jathan ENDE APPROVED: ng gineer) (Developer) me Hake -Cros En Bering Nam Scott J sident I/ Title: Seniglr Vice REVIEWED By Mosadage Mohammdeen at 11:13 am, Dec 11, 2023 ITEM DESCRIPTION UNIT PRICE TOTAL S 135.44 $ BLE FOR 100% OF THE CHANGE ORDER COST AND NO APPROVED: (Corwacw By, East Berry, Ltd. Name; .ahn KOIIWjkWwe Constriction Title: Rrasid!&i 3,386.00 3,386.00 Revised: 10-12-2011 Page 2 PROJECT NAME: CONTRACT: CFA # CITY PROJECT # IPRC # FID # X-Number FILE # INSPECTOR: PROJECT MANAGER: ORIGINAL CONTRACT EXTRAS TO DATE CREDITS TO DATE CONTRACT TO DATE AMOUNT OF PROP. CHANGE ORDER REVISED CONTRACT AMOUNT TOTAL REVISED CONTRACT AMOUNT PER UNIT REVISED COST SHARE TOTAL REVISED CONTRACT DEVELOPER -AWARDED -PROJECT CHANGE ORDER PALLADIUM OAK GROVE Water, Paving, Drainage and Street Lights CFA22-0086 CITY PARTICIPATION: N/A 104281 IPRC22-0146 30114-0200431-104281-EO7685 X-27464 W-2862 Carlos Garcia Phone No: 817-925-4381 Mosadage Mohammdeen Phone No: 817-392-2443 REVIEWED By Mosadage Mohammdeen at 10:07 am, Mar 11, 2024 10 CHANGE ORDER No: 3 CONTRACT UNIT WATER SEWER PAVING DRAINAGE Developer Developer Developer Developer Cost City Cost Cost City Cost Cost City Cost Cost City Cost $175,915.00 $0.00 $67,381.00 $0.00 $227,625.00 E0.00 $293,195.00 $0.00 $0.00 $0.00 $2,050.00 $0.00 t $0.00 ' $0.00 $3,386.00 $0.00' $0.00 $0.00 $0.00 $0.00 $0.00 $o.0o $0.00 $0.00' $175,915.00 $69,431.00 $227,625.00 $296,581.00 $ $ $ 4,689.44 $175,915.00 $0.00 $69,431.00 $0.00 $232,314.44 $0.00 $296,581.00 $0.00 $175,915.00 $69,431.00 $232,314.44 $296,581.00 Dev. Cost: $931,507.44 City Cost: $931,507.44 STREET LIGHTS CONTRACT DAYS Developer Cost City Cost $157,266.00 ' $0.00 120 $ $0.00 $0.00 $0.00 $157,266.00 120 $157,266.00 120 $157,266.00 Revised: 10-12-2011 Page 1 REVIEWED By Mosadage Mohammdeen at 10:07 am, Mar 11, 2024 You are directed to make the tollowing changes in the contract documents: CITY BID ITEM PAY ITEM # # QUANTITY UNIT ITEM DESCRIPTION UNIT PRICE UNIT IV: Paving Improvements 10* 2 SF 0241.0100 Remove Sidewalk $ 465.00 $ 2 2 SF 3213.0301 4" Conc Sidewalk $ 79,72 $ 11* 60 LF 0241.1300 Remove Conc CurbBGutter $ 24.00 $ 6 60 LF 3216.0101 6" Conc Curb and Gutter $ 36.00 $ UNIT IV: Paving Improvements Total I I I I $ TOTAL $ Asterisk (*) indicates New Pay Item REASONS FOR CHANGE ORDER Added curb and sidewalk removal and replacement NO CITY FUNDS INVOLVED IN THIS CONT CT. DEVELOPER I RESPONSIBLE FOR 100% OF THE CHANGE ORDER COST AND NO REIMBURSEMENT FROM THE CITY WILL E SOUGHT BY THE VELOPER. RE MEN APPROVED: I APPROVED: ( nsultin ngineer) (Develo (Contractor) By: By: _ By: // ta-'Z 0001aZ/LQi2. nathan Hake - Cro hearing Name: ott Jo on - dlalladium East Berry, Ltd. Name: Brandi Prather - FB Potter Concrete, LLC tie: Vice President Title: Senior Vice spent Title: CFO TOTAL 930.00 159.44 1,440.00 2,160.00 4,689.44 4,689.44 Revised: 10-12-2011 Page 2 PROJECT NAME: I CONTRACT: ICFA # CITY PROJECT # IIPRC # IFID # IX -Number FILE # INSPECTOR: PROJECT MANAGER: (ORIGINAL CONTRACT EXTRAS TO DATE (CREDITS TO DATE ICONTRACT TO DATE (AMOUNT OF PROP. CHANGE ORDER (REVISED CONTRACT AMOUNT TOTAL REVISED CONTRACT AMOUNT PER UNIT REVISED COST SHARE TOTAL REVISED CONTRACT REVIEWED By Mosadage Mohammdeen at 11:34 am, Jul 09, 2024 DEVELOPER -AWARDED -PROJECT CHANGE ORDER PALLADIUM OAK GROVE I CHANGE Water, Pavinq, Drainaqe and Street Liqhts ORDER No: CFA22-0086 CITY PARTICIPATION: N/A 104281 IPRC22-0146 4 30114-0200431-104281-EO7685 X-27464 W-2862 Carlos Garcia Phone No: 817-925-4381 Mosadage Mohammdeen Phone No: 817-392-2443 WATER I SEWER Developer beveloper Cost I City Cost Cost City Cost $175,915.00 I $0.00 I $67,381.00 $0.00 $0.00 I $0.00 I $2,050.00 $0.00 $0.00 $0.00 I $0.00 $0.00 $175,915.00 $0.00 I $69,431.00 $0.00 $ I I $ $175,915.00 I $0.00 I $69,431.00 $175,915.00 I $69,431.00 Dev. Cost: $946,315.44 CONTRACT UNIT PAVING I DRAINAGE STREET LIGHTS beveloper eveloper (Cost I (Developer Cost City Cost City Cost Cost City Cost $227,625.00 $0.00 $293,195.00 I $0.00 $157,266.00 $0.00 $4,689.44 $0.00 I $3,386.00 I $0.00 $ $0.00 $0.00 $0.00 I $0.00 I $0.00 $0.00 $0.00 $232,314.44 $0.00 I $296,581.00 I $0.00 $157,266.00 $0.00 $ 14,808.00 I I $ $247,122.44 $0.00 $296,581.00 I $0.00 $157,266.00 $247,122.44 $296,581.00 $157,266.00 City Cost: $0.00 $946,315.44 CONTRACT DAYS 120 120 120 Revised: 10-12-2011 Page 1 You are directed to make the following changes in the contract documents: CITY BID ITEM PAY ITEM # # QUANTITY UNIT UNIT IV: Paving Improvements 7 688 SF 12* 77 SY 13* 1 LS UNIT IV: Paving Improvements Total Asterisk (*) indicates New Pay Item REASONS FOR CHANGE ORDER Added asphalt removal and replacement REVIEWED By Mosadage Mohammdeen at 11:34 am, Jul 09, 2024 ITEM DESCRIPTION 0241.0402 Remove Asphalt Drive 3201.0202 Asphalt Pvmt Repair Beyond Defined Width Mobilization TOTAL UNIT PRICE $ 3.00 $ $ 72.00 $ $ 7,200.00 $ $ TOTAL NO CITY FUNDS INVOLVED IN THIS CONT CT. DEVELOPER IS RESPONSIBLE FOR 100 % OF THE CHANGE ORDER COST AND NO REIMBURSEMENT FROM THE CITY WILL E SOUGHT BY THE DEVELOPER. REC MEND APPROVED: APPROVED: (C sulting g1 ) (Developer) (Contractor) By: By: 9& zze� 7.9.2024By 07/09/2024 nathan Hake - Cros E neerinq Name: Scott Jo nson - Palladium East Berry, Ltd. Name: Jordan Lannuier - Treymore Construction Vice President Title: Senior Vice President Title: SPM 2,064.00 5,544.00 7,200.00 14.808.00 14,808.00 Revised: 10-12-2011 Page 2 FORTWORTH. M, TRANSPORTATION AND PUBLIC WORKS November 18, 2024 FB Potter Concrete, LLC 1596 E. Main Street Waxahachie, Texas 75165 RE: Acceptance Letter Project Name: Palladuim Oak Grove Project Type: Paving City Project No.: 104281 To Whom It May Concern: On October 1, 2024 a final inspection was made on the subject project. There were punch list items identified at that time. The punch list items were completed on November 18, 2024. The final inspection and the corrected punch list items indicate that the work meets the City of Fort Worth specifications and is therefore accepted by the City. The warranty period will start on November 18, 2024, which is the date of the punch list completion 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 817- 925-4381. Sincerely, Mosadage Mohawicen,T.E Mohammdeen, Mosadage, Project Manager Cc: Carlos Garcia, Inspector Gary Deyon, Inspection Supervisor Lorrie Pitts, Senior Inspector Mohammdeen, Mosadage, Program Manager Cross Engineering Consultants, Consultant FB Potter Concrete, Contractor Palladium Oak Grove, Developer File E-Mail: TPW_Acceptance@fortworthtexas.gov Rev. 8/20/19 Potter Concrete, LLC COMMERCIAL • RESIDENTIAL • MULTIFAMILY - ARCHITECTURAL 1596 E Main St. Suite 200-Waxahachie, TX. 75165 Office - 972 937 7050- Fax - 972 937 1036 09/26/2024 City of Fort Worth CFA Administration 200 Texas St. Fort Worth, TX 76102 RE: Palladium Oak Grove CFA# 22-0191 City Project # 104281 IPRC# 22-0146 COMPONENTS: Paving The purpose of this letter is to acknowledge that FB Potter Concrete, LLC has been paid in full by Palladium Oak Grove, LTD. for the public improvements constructed to serve Palladium Oak Grove in Fort Worth, Texas. As a result, we hereby waive, release and relinquish all rights to assert any claim or demand for lien in connection with this project. Please feel free to contact me with any questions you may have. Sincerely, Brandi Prather CFO BOND #: PB02484500062 CONSENT OF SURETY OWNER ° TO FINAL PAYMENT ARCHITECT ❑ CONTRACTOR ❑ AIA Document G707 SURETY (Instructions on reverse side) OTHER ❑ TO OWNER: ARCHITECT'S PROJECT NO.: N/A (Name and address) City of Fort Worth 200 Texas St. CONTRACT FOR: City Walks and Paving Fort Worth, TX 76102 PROJECT: CONTRACT DATED: April 21, 2023 (Maine and address) Palladium Oak Grove In accordance with the provisions of the Contract between the Owner and the Contractor as indicated above, the (Insert name and address of Surety) Philadelphia Indemnity Insurance Company One Bala Plaza, Suite 100 Bala Cynwyd, PA 19004 ,SURETY, on bond of (Insert name and address ofCantractor) FB Potter Concrete, LLC 1596 E. Main Street, Suite 200 Waxahachie, TX 75165 -CONTRACTOR, hereby approves of the final payment to the Contractor, and agrees that final payment to the Contractor shall not relieve the Surety of any of its obligations to (Insert name and address of Owner) City of Fort Worth 200 Texas St. Fort Worth, TX 76102 OWNER, as set forth in said Surety's bond, IN WITNESS WHEREOF, the Surety has hereunto set its hand on this date: 5p��,qmb& ,2'7I 90Zq (Insert in writing the matithfallowed Lv the numeric date andnear) `' Philadelphia Indemnity Insurance ColrptnX (Surety) - - -Aa (Signature ofauthorized reprnsentairve) -• ; �' ..... Attest: II i61rL (Seal): Michael J. Hotchkiss Trenae Marsh, Attorney -in -Fact (Printed tame and title) CAUTION: You should sign an original AIA document that has this caution printed in red. An original assures that changes will not be obscured as may occur when documents are reproduced. See Instruction Sheet for Limited License for Reproduction of this document. AIA DOCUMENT G707 - CONSENT OF SURETY TO FINAL PAYMENT- 1994 EDITION - AIA Page 1 of 2 1994 - THE AMERICAN INSTITUTE OF ARCHITECTS, 1735 NEW YORK AVENUE, NW, WASH- INCtTON, D.C- 20006-5292 - WARNING; Unlicanseu photocopying violates U.S. copy- G7i}7-� 994 right laws and will subject the violator to legal prosecution. aiafp PHILADELPHIA INDEMINITY INSURANCE COMPANY One Bala Plaza, Suite 100 Bala Cynwyd, PA 19004-0950 Power of Attorney KNOW ALL PERSONS BY THESE PRESENTS: That PHILADELPHIA INDEMNITY INSURANCE COMPANY (the Company), a corporation organized and existing under the laws of the Commonwealth of Pennsylvania, does hereby constitute and appoint GreQory S. Hotchkiss. Farrah Carlton. Kari Fumerola. Daphne B. Clark. Marvana Zhuk. Tve H. Justice. Jennifer Lan¢ Kellev, Kengeth G. Hotchkiss. Trrnaa,Marsh., Afichael Hotchkiss. Gary Lindsev and/or W. L. Weatherred of Hotchkiss Insurance Aeencv. LLC.. its true and lawful Attorney -in -fact with full authority to execute on its behalf bonds, undertakings, recognizances and other contracts of indemnity and writings obligatory in the nature thereof, issued in the course of its business and to bind the Company thereby, in an amount not to exceed S50.000.000. This Power of Attorney is granted and is signed and sealed by facsimile under and by the authority of the following Resolution adopted by the Board of Directors of PHILADELPHIA INDEMNITY INSURANCE COMPANY on the le of November, 2016. RESOLVED: That the Board of Directors hereby authorizes the President or any Vice President of the Company: (1) Appoint Attomey(s) in Fact and authorize the Attorney(s) in Fact to execute on behalf of the Company bonds and undertakings, contracts of indemnity and other writings obligatory in the nature thereof and to attach the seal of the Company thereto; and (2) to remove, at any time, any such Attorney -in -Fact and revoke the authority given. And, be it FURTHER RESOLVED: That the signatures of such officers and the seal of the Company may be affixed to any such Power of Attorney or certificate relating thereto by facsimile, and any such Power of Attorney so executed and certified by facsimile signatures and facsimile seal shall be valid and binding upon the Company in the future with respect to any bond or undertaking to which it is attached. IN TESTIMONY WHEREOF, PHILADELPHIA INDEMNITY INSURANCE COMPANY HAS CAUSED THIS INSTRUMENT TO BE SIGNED AND ITS CORPORATE SEALTO BE AFFIXED BY ITS AUTHORIZED OFFICE THIS 5TH DAY OF MARCH, 2021. '927. (Seal) PJ0G1.wnb, President & CEO Philadelphia Indemnity Insurance Company On this 5's day of March, 2021 before me came the individual who executed the preceding instrument, to me personally known, and being by me duly sworn said that he is the therein described and authorized officer of the PHILADELPHIA INDEMNITY INSURANCE COMPANY; that the seal affixed to said instrument is the Corporate seal of said Company; that the said Corporate Seal and his signature were duly affixed. COlmnanweaithC, FanM*anW-Mary Seal Notary Public_ i/llnBSsB?ACRenZ!e' NotaryP:IW Montgomery County MycmcrrnvlSSEsr.ases kloyamCar3.2t124 Commission number t3M94 Rtemaer. r�atinsytva^:eAssoe at on of Notafts residing at Bala Cynwyd, PA My commission expires: November 3, 2024 I, Edward Sayago, Corporate Secretary of PHILADELPHIA INDEMNITY INSURANCE COMPANY, do hereby certify that the foregoing resolution of the Board of Directors and the Power of Attorney issued pursuant thereto on the 5' day March, 2021 are true and correct and are still in full force and effect. I do further certify that John Glomb, who executed the Power of Attorney as President, was on the date of execution of the attached Power of Attorney the duly elected President of PHILADELPHIA INDEMNITY INSURANCE COMPANY. n In Testimony Whereof I have subscribed my name and affixed the facsimile seal of each Company this �J day of 192 i = Edward Say -ago CorporaW ScrcL3+9 PHH,ADELPMA mlnwilmw I'Sa suRA cE.t: U4lrAi0 -