HomeMy WebLinkAboutContract 62994-FP1-FP1
City Secretary 62994
Contract No.
FORT WORTH,
Date Received 8/21/2025
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: Mall Circle Building Ex CFA
City Project No.: 105768
Improvement Type(s): Water ❑x Sewer ❑
Original Contract Price: $12,674.00
Amount of Approved Change Order(s):
Revised Contract Amount:
Total Cost of Work Complete: $12,674.00
dyL�' 08/20/2025
I,,h,,D um.U.29JS1 4ECDT,
Contractor Date
Standard Site Utilities
Title
Standard Site Utilities, LLC
Company Name
08/20/2025
Ja noce to (Aug 20, 202515:40:54 CDT)
Project Inspector
Date
4F�-
08/21/2025
Project Manager
Date
08/21/2025
CFA Manager
Date
/X.71�
08/21/2025
Lauren Prieur (Aug 21, 202509:31:34 CDT)
TPW Director
Date
08/21/2025
Asst. City Manager Date
OFFICIAL RECORD Page 1 of 2
CITY SECRETARY
FT. WORTH, TX
Notice of Project Completion
Project Name: Mall Circle Building Ex CFA
City Project No.: 105768
City's Attachments
Final Pay Estimate ❑x
Change Order(s): ❑ Yes ❑x N/A
Pipe Report: ❑x Yes ❑ N/A
Contractor's Attachments
Affidavit of Bills Paid
Consent of Surety
Statement of Contract Time
Contract Time: 10
Work Start Date: 5/14/2025
Completed number of Soil Lab Test: 5
Completed number of Water Test: 2
Days Charged: 12
Work Complete Date: 6/20/2025
Page 2 of 2
FORT WORT 11
CITY OF FORT WORTH
FINAL PAYMENT REQUEST
Contract Name MALL CIRCLE BUILDING EXCFA
Contract Limits
Project Type WATER
City Project Numbers 105768
DOE Number 5768
Estimate Number 1 Payment Number 1 For Period Ending 6/20/2025
WD
City Secretary Contract Number Contract Time IWD
Contract Date Days Charged to Date 12
Project Manager NA Contract is 100.00 Complete
Contractor STANDARD SITE UTILITIES, LLC
3121 BENTON ST
GARLAND, TX 75042
Inspectors M.GLOVER / J.INOCENCIO
Monday, August 4, 2025 Page 1 of 4
City Project Numbers 105768
Contract Name MALL CIRCLE BUILDING EXCFA
Contract Limits
Project Type WATER
Project Funding
UNIT I: WATER IMPROVEMENTS
DOE Number 5768
Estimate Number I
Payment Number 1
For Period Ending 6/20/2025
Item
Description of Items
Estimated Unit
Unit Cost
Estimated
Completed
Completed
No.
Quanity
Total
Quanity
Total
1
REMOVE CONC PVMT
18 SY
$43.00
$774.00
18
$774.00
2
CONC PVMT REPAIR, ARTERIAL/INDUSTRIAL
18 SY
$95.00
$1,710.00
18
$1,710.00
3
6" PVC WATER PIPE
22 LF
$145.00
$3,190.00
22
$3,190.00
4
6" CUT -IN GATE VALVE
1 EA
$4,180.00
$4,180.00
1
$4,180.00
6
TRENCH SAFETY
22 LF
$10.00
$220.00
22
$220.00
7
TRAFFIC CONTROL
1 MO
$2,600.00
$2,600.00
1
$2,600.00
Sub -Total of Previous Unit
$12,674.00
$12,674.00
Monday, August 4, 2025 Page 2 of 4
City Project Numbers 105768
Contract Name MALL CIRCLE BUILDING EXCFA
Contract Limits
Project Type WATER
Project Funding
Contract Information Summary
Original Contract Amount
Change Orders
Total Contract Price
DOE Number 5768
Estimate Number I
Payment Number 1
For Period Ending 6/20/2025
$12,674.00
$12,674.00
Total Cost of Work Completed $12,674.00
Less % Retained $0.00
Net Earned $12,674.00
Earned This Period $12,674.00
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
$12,674.00
Monday, August 4, 2025 Page 3 of 4
City Project Numbers 105768
Contract Name MALL CIRCLE BUILDING EXCFA
Contract Limits
Project Type WATER
Project Funding
Project Manager NA
Inspectors M.GLOVER / J.INOCENCIO
Contractor STANDARD SITE UTILITIES, LLC
3121 BENTON ST
GARLAND, TX 75042
DOE Number 5768
Estimate Number 1
Payment Number 1
For Period Ending 6/20/2025
City Secretary Contract Number
Contract Date
Contract Time 10 WD
Days Charged to Date 12 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 $12,674.00
Less % Retained $0.00
Net Earned $12,674.00
Earned This Period $12,674.00
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
$12,674.00
Monday, August 4, 2025 Page 4 of 4
FO-RTWORTH
41,
TRANSPORTATION AND PUBLIC WORKS
PIPE REPORT FOR:
PROJECT NAME: Mall Circle
CITY PROJECT NUMBER: 105768
1 WATER
PIPE LAID SIZE TYPE OF PIPE
6" PVC water pipe 6" PVC fire line
FIRE HYDRANTS: VALVES (16" OR LARGER)
PIPE ABANDONED SIZE TYPE OF PIPE
DENSITIES:
NEW SERVICES: 1 Fire line
I SEWER
PIPE LAID SIZE TYPE OF PIPE
PIPE ABANDONED SIZE TYPE OF PIPE
DENSITIES:
NEW SERVICES:
TRANSPORTATION AND PUBLIC WORKS
The City of Fort Worth • 1000 Throckmorton Street • Fort Worth, TX 76012-6311
(817) 392 - 7941 • Fax: (817) 392 - 7845
LF
LF
LF
LF
22
FORTWORTH.
M,
TRANSPORTATION AND PUBLIC WORKS
June 30, 2025
Standard Site Utillites LLC
3121 Benton st.
Garland, Texas
RE: Acceptance Letter
Project Name: Mall Circle
Project Type: Water fire line and paving
City Project No.: 105768
To Whom It May Concern:
On June 27, 2025 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 June 30, 2025. 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 June 30, 2025, 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-
392-8306.
Sincerely,
4�
Ahmed Musa, Project Manager
Cc: Jason Inocencio, Inspector
Mike Glover, Inspection Supervisor
Daniel Roy, Senior Inspector
Andrew Goodman, Program Manager
MLD Engineering PLLC, Consultant
Standard Site Utilities LLC, Contractor
Sam Fan 1700 Mall Circle LLC, Developer
File
E-Mail: TPW_Acceptance@fortworthtexas.gov
Rev. 8/20/19
BILLS PAID AFFIDAVIT FOR CONTRACTOR
State of Texas
County of Tarrant
BEFORE ME, the undersigned authority, on this day personally appeared Heather Davis, known to me to
be a credible person and officer of Standard Site Utilities and who, being duly sworn, upon his oath
declares and acknowledges as follows:
1. I am a duly authorized agent of Standard Site Utilities, which has authorized me to make this
affidavit, and all of the recitations herein are true and correct.
2. Pursuant to Private Development Contract No. CFA25-0038 between 1700 Mall Circle, LLC and
Standard Site Utilities for Mall Circle Building, Standard Site Utilities has supplied materials and
performed labor in connection with the construction of improvements on real property owned by
1700 Mall Circle, LLC in the City of Fort Worth ("the improvements").
3. Standard Site Utilities has actual knowledge that all bills owed by 1700 Mall Circle, LLC to
Standard Site Utilities for materials supplied or labor performed in connection with the
improvements have been fully paid and satisfied.
4. Standard Site Utilities has actual knowledge that all bills owed by Standard Site Utilities to others
for materials supplied or labor performed in connection with the improvements have been fully
paid and satisfied.
5. Standard Site Utilities has actual knowledge that there are no claims or liens, for materials
supplied or labor performed in connection with the Private Development Contract.
6. Standard Site Utilities further warrants that should any claim or lien be filed for material supplied
or labor performed in connection with the Private Development Contract, Standard Site Utilities
will immediately furnish a bond pursuant to Texas Property Code Sections 53.236 through 53.238
for release of each the claim or lien, obtain settlement of any claim or lien, and furnish the City of
Fort Worth written full release. Standard Site Utilities agrees to fully indemnify and hold
harmless the City of Fort Worth from any and all costs that may occur by reason of such claims
or liens.
EXECUTED this _ c�O day of Nr,
STATE OF TEXAS
COUNTY OF DALLAS
20g
(Name o ontrac or
By
NAME -
TITLE:
This instrument was acknowledged before me onG b I
��y"� C�► ir�t��i� o Cif 1 ' C� n a
corporation, on behalf of said corporation.
[NOTARY PUBLIC STAM ��RY PUe TIFFANY ANNE WHITAKER NO Y PUBLIC
_ Notary ID #131512086
N My Commission Expires
�'+rt orP March 30, 2026
Bond No. CNB-44150-00
0062 19-1
MAINTENANCE BOND
Page 1 of 3
1 SECTION 00 62 19
2 MAINTENANCE BOND
3
4 THE STATE OF TEXAS §
5 § KNOW ALL BY THESE PRESENTS:
6 COUNTY OF TARRANT §
7
8 That we Standard Site Utilities, LLC , known as
9 "Principal" herein and Insurors Indemnity Company , a corporate surety
10 (sureties, if more than one) duly authorized to do business in the State of Texas, known as
I I "Surety" herein (whether one or more), are held and finely bound unto the Developer,
12 1700 Mall Circle, LLC, authorized to do business in Texas ("Developer") and the City of Fort
13 Worth, a Texas municipal corporation ("City"), in the sum
14 of Twelve Thousand Six Hundred Seventy -Four and 00/100 Dollars ($ 12,674.00 )
15 lawful money of the United States, to be paid in Fort Worth, Tarrant County, Texas, for payment
16 of which sum well and truly be made jointly unto the Developer and the City as dual obligees and
17 their successors, we bind ourselves, our heirs, executors, administrators, successors and assigns,
18 jointly and severally, finely by these presents.
19
20 WHEREAS, Developer and City have entered into an Agreement for the construction of
21 community facilities in the City of Fort Worth by and through a Community Facilities
22 Agreement, CFA Number (A a5 - Cio''SPs ;and
23 WHEREAS, the Principal has entered into a certain written contract with the Developer
24 awarded the day of 20_a6, which Contract is
J
25 hereby referred to and a made part hereof for all purposes as if fully set forth herein, to furnish all
26 materials, equipment labor and other accessories as defined by law, in the prosecution of the
27 Work, including any Work resulting from a duly authorized Change Order (collectively herein,
28 the "Work") as provided for in said Contract and designated as Mall Circle Build ; and
29
30 WHEREAS, Principal binds itself to use such materials and to so construct the Work in
31 accordance with the plans, specifications and Contract Documents that the Work is and will
32 remain free from defects in materials or workmanship for and during the period of two (2) years
33 after the date of Final Acceptance of the Work by the City ("Maintenance Period"); and
34
CITY OF FORT WORTH Mall Circle Building
STANDARD CITY CONDITIONS — DEVELOPER AWARDED PROJECTS /05768
Revised January 31, 2012
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006219-2
MAINTENANCE BOND
Page 2 of 3
WHEREAS, Principal binds itself to repair or reconstruct the Work in whole or in part
upon receiving notice from the Developer and/or City of the need thereof at any time within the
Maintenance Period.
NOW THEREFORE, the condition of this obligation is such that if Principal shall
remedy any defective Work, for which timely notice was provided by Developer or City, to a
completion satisfactory to the City, then this obligation shall become null and void; otherwise to
remain in full force and effect.
PROVIDED, HOWEVER, if Principal shall fail so to repair or reconstruct any timely
noticed defective Work, it is agreed that the Developer or City may cause any and all such
defective Work to be repaired and/or reconstructed with all associated costs thereof being borne
by the Principal and the Surety under this Maintenance Bond; and
PROVIDED FURTHER, that if any legal action be filed on this Bond, venue shall lie in
Tarrant County, Texas or the United States District Court for the Northern District of Texas, Fort
Worth Division; and
PROVIDED FURTHER, that this obligation shall be continuous in nature and
successive recoveries may be had hereon for successive breaches.
CITY OF FORT WORTH
STANDARD CITY CONDITIONS — DEVELOPER AWARDED PROJECTS
Revised January 31, 2012
Mall Circle Building
105768
006219-3
MAINTENANCE BOND
Page 3 of 3
1 IN WITNESS WHEREOF, the Principal and the Surety have each SIGNED and SEALED this
2 instrument by duly authorized agents and officers on this the l $ day of f k, ncLi"t s
3 , 200—.
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ATTEST:
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(Principal) Secretary
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Witness as to Principal
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ATTEST:
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PRINCIPAL:
Standard Site Utilities, LLC
BY:
S ature
ame and Title
Address: 3121 Benton Street
Garland, TX 75042
SURETY:
Insurors Indemnity Company
BY: rWIL----
Signature
Brady Wilson, Attorney -in -Fact
Name and Title
31 N/a Address: 2255 Ridge Road, Ste. 333
32 (Surety) Secretary
Rockwall, TX 75087
33 34
35 Witness as to Surety Telephone Number: 972-772-7220
36 Brooke Gordon, Client Service Specialist
37 *Note: If signed by an officer of the Surety Company, there must be on file a certified extract
38 from the by-laws showing that this person has authority to sign such obligation. if
39 Surety's physical address is different from its mailing address, both must be provided. _ -
40
41 The date of the bond shall not be prior to the date the Contract is awarded.
42
CITY OF FORT WORTH Mall Circle Building
STANDARD CITY CONDITIONS — DEVELOPER AWARDED PROJECTS 105768
Revised January 31, 2012
I N S U7'_7_11_�_"__`__ S
POWER OF ATTORNEY of INSURORS INDEMNITY COMPANY
Waco, Texas
KNOW ALL PERSONS BY THESE PRESENTS:
Number: CN2-44150-oo
That INSURORS INDEMNITY COMPANY, Waco, Texas, organized and existing under the laws of the State of Texas,
and authorized and licensed to do business in the State of Texas and the United States of America, does hereby
make, constitute and appoint
Bradv Wilsonof the Citv of Rockwall. State of TX
as Attorney in Fact, with full power and authority hereby conferred upon him to sign, execute, acknowledge and
deliver for and on its behalf as Surety and as its act and deed, all of the following classes of document, to -wit -
Indemnity, Surety and Undertakings that may be desired by contract, or may be given in any action
or proceeding in any court of law or equity; Indemnity in all cases where indemnity may be lawfully
given and with full power and authority to execute consents and waivers to modify or change or
extend any bond or document executed for this Company.
Tammy Tiepd(tan, Sear tary
State of Texas
County of McLennan
INSURORS INDEMNITY COMPANY
__ �Z� I -_b4
[have E. Talbert, President
On the 11"' day of November, 2014, before me a Notary Public in the State of Texas, personally appeared Dave E.
Talbert and Tammy Tieperman, who being by me duly sworn, acknowledged that they executed the above Power of Attorney in
their capacities as President, and Corporate Secretary, respectively, of Insurers Indemnity
Power of Attorney to be the voluntary act and dead of th ompany. /rah;"==.
! Notary Public
1 •;` STATE OF TEXAS f
_ 6i�;r Ii O2236897
ntary Public, State of Texas i my Lamm. E0, May, 21, 2925di114101, I
Insurers Indemnity Company certifies that this Power of Attorney is granted under and by authority of the
following resolutions of the Company adopted by the Board of Directors on November 11, 2014:
RESOLVED, that all bonds, undertakings, contracts or other obligations may be executed in the name of the Company
by persons appointed as Attorney in Fact pursuant to a Power of Attorney issued in accordance with these Resolutions. Said
Power of Attorney shall be executed in the name and on behalf of the Company either by the Chairman and CEO or the President,
under their respective designation. The signature of such officer and the seal of the Company may be affixed by facsimile to any
Power of Attorney, and, unless subsequently revoked and subject to any limitation set forth therein, any such Power of Attorney
or certificate bearing such facsimile signature and seal shall be valid and binding upon the Company and any such power so
executed and certified by facsimile signature and seal shall be valid and binding upon the Company with respect to any bond or
undertaking to which it is validly attached.
RESOLVED, that Attorneys in Fact shall have the power and authority, subject to the terms and limitations of the Power
of Attorney issued to them, to execute and deliver on behalf of the Company and to attach the seal of the Company to any and all
bonds and undertakings, and any such instrument executed by such Attorneys in Fact shall be binding upon the Company as if
signed by an Executive Officer and sealed and attested to by the Secretary or Assistant Secretary of the Company.
I, Tammy Tieperman, Secretary of Insurers Indemnity Company, do hereby certify that the foregoing is a true excerpt
from the Resolutions of the said Company as adopted by its Board of directors on November 11, 2014, and that this Resolution
is in full force and effect. I certify that the foregoing Power of Attorney is in full force and effect and has not been revoked.
In Witness Whereof, I have set my hand and the seal of INSURORS INDEMNITY COMPANY on this
dayof... ..._._.......... ........ _--- -- ----------- ...
r
Tammy Tiepe47 an; S eta
NOTE: IF YOU HAVE ANY QUESTION REGARDING THE VALIDITY OR WORDING OF THIS POWER OF ATTORNEY,
PLEASE CALL 800 933 7444 OR WRITE TO US AT P. O. BOX 32577, WACO, TEXAS 76703 OR EMAIL lt'S AT
BONDD EPTOINSU RORSINDEM N ITY.CONt.