HomeMy WebLinkAboutContract 61792-FP4FORT WORTH
-FP4
City Secretary 61792
Contract No.
Date Received 9/9/2025
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: Tradition Winding Meadows Drive North
City Project No.: 105116
Improvement Type(s): Water ❑x Sewer ❑x
Original Contract Price: $1,011,522.57
Amount of Approved Change Order(s): $53,197.51
Revised Contract Amount: $1,064,720.08
Total Cost of Work Complete: $1,064,720.08
.1&w.,-k M&C�bb&n 09/09/2025
James ACK,1,h-'S-9. 202, OG 16:31 CDT
Contractor Date
Project Manager
Title
LH Lacy Company
Company Name
9-16-1(?—
09/09/2025
Project Inspector
Date
MosadageMo%aww em,P.E
09/09/2025
Project Manager
Date
09/09/2025
CFA Manager
Date
^47'�-*
09/09/2025
TPW Director
Date
09/10/2025
Asst. City Manager
Date
OFFICIAL RECORD
CITY SECRETARY Page 1 of 2
FT. WORTH, TX
Notice of Project Completion
Project Name: Tradition Winding Meadows Drive North
City Project No.: 105116
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: 190 WD Days Charged: 215 WD
Work Start Date: 9/9/2024 Work Complete Date: 8/14/2025
Completed number of Soil Lab Test: 600
Completed number of Water Test: 17
Page 2 of 2
FO TWORTH
CITY OF FORT WORTH
FINAL PAYMENT REQUEST
Contract Name TRADITION, WINDING MEADOWS DRIVE NORTH
Contract Limits
Project Type WATER & SEWER
City Project Numbers 105116
DOE Number 5116
Estimate Number 1 Payment Number 1
City Secretary Contract Number
Contract Date
Project Manager NA
Contractor L.H. LACY COMPANY
P.O. BOX 541297
Inspectors
For Period Ending 8/14/2025
WD
Contract Time 5WD
Days Charged to Date 215
Contract is 100.00 Complete
DALLAS, TX 75354
T. GARDNER / J. RODGERS
Friday, August 29, 2025 Page 1 of 5
City Project Numbers 105116 DOE Number 5116
Contract Name TRADITION, WINDING MEADOWS DRIVE NORTH Estimate Number 1
Contract Limits Payment Number 1
Project Type WATER & SEWER For Period Ending 8/14/2025
Project Funding
UNIT I: WATER IMPROVEMENTS
Item
Description of Items
Estimated Unit
Unit Cost
Estimated
Completed
Completed
No.
Quanity
Total
Quanity
Total
1
4"-12 PRESSURE PLUG
6 EA
$301.96
$1,811.76
6
$1,811.76
2
TRENCH SAFETY
4677 LF
$0.31
$1,449.87
4677
$1,449.87
3
24" CASING BY OPEN CUT
55 LF
$262.31
$14,427.05
55
$14,427.05
4
DUCTILE IRON WATER FITTINGS W/
2.8 TN
$12,142.19
$33,998.13
2.8
$33,998.13
RESTRAINT
5
6" WATER PIPE
42 LF
$43.00
$1,806.00
42
$1,806.00
6
8" PVC WATER PIPE
499 LF
$84.97
$42,400.03
499
$42,400.03
7
12" PVC WATER PIPE
3933 LF
$112.07
$440,771.31
3933
$440,771.31
8
12" PVC WATER PIPE, CSS BACKFILL
120 LF
$113.92
$13,670.40
120
$13,670.40
9
12" DIP WATER
85 LF
$130.70
$11,109.50
85
$11,109.50
10
12" DIP WATER, CSS BACKFILL
40 LF
$158.32
$6,332.80
40
$6,332.80
11
STD. FIRE HYDRANT ASSEMBLY W/ 6" GATE
4 EA
$6,648.79
$26,595.16
4
$26,595.16
VALVE & VALVE BOX
12
CONNECTION TO EXISTING 20" WATER MAIN
1 EA
$3,405.68
$3,405.68
1
$3,405.68
13
2" COMBINATION AIR VALVE ASSEMBLY FOR
1 EA
$15,134.53
$15,134.53
1
$15,134.53
WATER
14
12" GATE VALVE
10 EA
$4,546.14
$45,461.40
10
$45,461.40
15
8" GATE VALVE & VALVE BOX
5 EA
$2,367.89
$11,839.45
5
$11,839.45
16
12" CLEANING WYE
5 EA
$1,989.27
$9,946.35
5
$9,946.35
17
8" -12" POLLY PIG
5 EA
$299.52
$1,497.60
5
$1,497.60
18
1.5" Water Service (Irrigation) (CO#1)
2 EA
$2,367.62
$4,735.24
2
$4,735.24
19
6" Sch 40 PVC Sleeves (CO#1)
2540 LF
$13.40
$34,036.00
2540
$34,036.00
Sub -Total of Previous Unit $720,428.26 $720,428.26
-------------------
UNIT H. SANITARY SEWER IMPROVEMENTS
Item
Description of Items
Estimated Unit
Unit Cost
Estimated
Completed
Completed
No.
Quanity
Total
Quanity
Total
18
POST - CCTV INSPECTION
1621 LF
$1.83
$2,966.43
1621
$2,966.43
19
VACUUM TEST MANHOLES (CO#2)
7 EA
$142.13
$994.91
7
$994.91
20
TRENCH SAFETY
1621 LF
$1.30
$2,107.30
1621
$2,107.30
21
CONCRETE COLLAR
5 EA
$592.24
$2,961.20
5
$2,961.20
22
TRENCH WATER STOPS
3 EA
$1,440.62
$4,321.86
3
$4,321.86
Friday, August 29, 2025
Page 2 of 5
City Project Numbers 105116 DOE Number 5116
Contract Name TRADITION, WINDING MEADOWS DRIVE NORTH Estimate Number 1
Contract Limits Payment Number 1
Project Type WATER & SEWER For Period Ending 8/14/2025
Project Funding
23 20" CASING BY OPEN CUT
50 LF
$235.80
$11,790.00
50
$11,790.00
24 20" CASING BY OTHER THAN OPEN CUT
146 LF
$549.39
$80,210.94
146
$80,210.94
(CO#2)
25 SDR - 26 4" SEWER SERVICES
7 EA
$1,542.73
$10,799.11
7
$10,799.11
26 8" SDR -26 PVC SEWER PIPE
321 LF
$76.75
$24,636.75
321
$24,636.75
27 8" DIP SEWER PIPE
324 LF
$150.07
$48,622.68
324
$48,622.68
28 8" DIP SEWER PIPE, CSS BACKFILL
55 LF
$214.90
$11,819.50
55
$11,819.50
29 10" SEWER PIPE
542 LF
$105.08
$56,953.36
542
$56,953.36
30 4' STD. DIA. MANHOLE
6 EA
$9,529.80
$57,178.80
6
$57,178.80
31 REMOVE, BORE, REPLACE 4' S.S.M.H.
1 EA
$11,999.59
$11,999.59
1
$11,999.59
32 DEEP TRENCH BACKFILL
273 LF
$41.14
$11,231.22
273
$11,231.22
33 PROTECTO401 COATING
379 LF
$10.00
$3,790.00
379
$3,790.00
34 8" PLUG
2 EA
$90.96
$181.92
2
$181.92
35 CONNECT TO EXISTING 10" S.S.
1 EA
$1,726.25
$1,726.25
1
$1,726.25
Sub -Total of Previous Unit
$344,291.82
$344,291.82
Friday, August 29, 2025 Page 3 of 5
City Project Numbers 105116
Contract Name TRADITION, WINDING MEADOWS DRIVE NORTH
Contract Limits
Project Type WATER & SEWER
Project Funding
Contract Information Summary
Original Contract Amount
Change Orders
Change Order Number 1
Change Order Number 2
DOE Number 5116
Estimate Number 1
Payment Number 1
For Period Ending 8/14/2025
$1,011,522.57
$38,771.24
$14,426.27
Total Contract Price $1,064,720.08
Total Cost of Work Completed $1,064,720.08
Less % Retained $0.00
Net Earned $1,064,720.08
Earned This Period $1,064,720.08
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
$1,064,720.08
Friday, August 29, 2025 Page 4 of 5
City Project Numbers 105116 DOE Number 5116
Contract Name TRADITION, WINDING MEADOWS DRIVE NORTH Estimate Number 1
Contract Limits Payment Number 1
Project Type WATER & SEWER For Period Ending 8/14/2025
Project Funding
Project Manager NA City Secretary Contract Number
Inspectors T. GARDNER / J. RODGERS Contract Date
Contractor L.H. LACY COMPANY Contract Time 50 WD
P.O. BOX 541297 Days Charged to Date 215 WD
DALLAS, TX 75354 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 $1,064,720.08
Less % Retained $0.00
Net Earned $1,064,720.08
Earned This Period $1,064,720.08
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
$1,064,720.08
Friday, August 29, 2025 Page 5 of 5
PROJECT NAME:
CONTRACT:
CFA #
CITY PROJECT #
CITY SECRETARY CONTRACT #
FID #
X#
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
Tradition - Winding Meadows Drive North
(A) Water/Sewer/Storm Drain, (B) Paving, (C) Street Lights
24-0077 I CITY PARTICIPATION:
105116
61792
30114-0200431-105116-EO7685
X-27955
K-3209
John Rogers Phone No:
Mo Mohammdeen Phone No:
WATER I SEWER
Developer
Cost I City Cost Developer Cost City Cost
$681,657.02 I $0.00 I $329,865.55 I $0.00
$0.00 I $0.00 I $0.00 I $0.00
$0.00 I $0.00 I $0.00 I $0.00
$681,657.02 I $0.00 I $329,865.55 I $0.00
$38,771.24 I $0.00 I $0.00 I $0.00
$720,428.26 I $0.00 I $329,865.55 I $0.00
$720,428.26 $329,865.55
Dev. Cost: $4,468,071.37
You are directed to make the following changes in the contract documents:
NO
682-210-8044
682-402-7050
CHANGE
ORDER No:
1
REVIEWED
By Mosadage Mohammdeen at 10:29 am, Dec 16, 2024
CONTRACT UNIT
DRAINAGE
I PAVING
I STREET
LIGHTS
I CONTRACT
Developer
DAYS
Developer Cost City Cost
Developer Cost
City Cost
Cost
City Cost
$1,370,174.02 $0.00
I $1,838,787.60
$0.00
$208,815.94
$0.00
190
$0.00 $0.00
I $0.00
$0.00
$0.00
$0.00
$0.00 $0.00
I $0.00
$0.00
$0.00
$0.00
$1,370,174.02 $0.00
I $1,838,787.60
$0.00
$208,815.94
$0.00
190
$0.00 $0.00
I $0.00
$0.00
$0.00
$0.00
0
$1,370,174.02 $0.00
I $1,838,787.60
$0.00
$208,815.94
$0.00
190
$1,370,174.02
$1,838,787.60
$208,815.94
City Cost:
$4,468,071.37
UNIT I: WATER IMPROVEMENTS
CITY BID ITEM
PAY ITEM # # QUANTITY UNIT ITEM DESCRIPTION CFW Unit Price UNIT PRICE
66' 3312.2103 2 EA 1.5" Water Service (Irrigation) $2,367.62
67' 9999.0022 2540 LF 6" Sch 40 PVC Sleeves $13.40
TOTAL UNIT I: WATER IMPROVEMENTS
Asterisk (') indicates New Pay Item
Developer
Cost
City Cost
TOTAL
$4,735.24
$0.00
$4,735.24
$34,036.00
$0.00
$34,036.00
$38,771.24
Revised: 12-17-2018 Page 1
REASONS FOR CHANGE ORDER 1. Added Irrigation Services/Sleeves
RECOMMENDED:
GMci��vil//
Name: Matt Baacke
Title: Project Engineer
APPROVAL RECOMMENDED:
CFW - Water Department
By:
Name:
Title:
APPROVED: APPROVED:
HT HWY 114 Development LP LH Lacy Company, Ltd.
By: By: �IL%Z 4L11711,.
Name: Dusty Dellinger Name: Renlamr�in I J akp
Title: Construction Manager Title: VICP. Prp,;i pnt
APPROVED:
CFW - Assistant City Manager
By:
Name:
Title:
RECOMMENDED:
CFW - *Contract Compliance Manager ATTEST
By: �REVIEWED _ 1
By M—dage Mohammde- at 10:29 am, Dec 16, 2024 J
Name: Jannette S. Goodall
City Secretary
Title:
M&C Number:
M&C Date Approved:
I_19J:Z011FUlr7_F'mCe77o7:7JiI9oIrlmxe7_1g1WA
CFW - Assistant City Attorney
By:
Name:
Title:
* Contract Compliance Manager (Project Manager):
By signing I acknowledge that I am the person responsible
for the monitoring and administration of this contract, include
ensuring all performance and reporting requirements.
ElThere are NO City Funds associated with this Contract
❑There are City Funds associated with this Contract
Revised: 12-17-2018 Page 2
PROJECT NAME:
CONTRACT:
`
ICFA #
CITY PROJECT #
CITY SECRETARY CONTRACT#
IFID #
IX#
IFILE #
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
REVIEWED
By Mosadage Mohammdeen at 4:30 pm, Dec 20, 2024
DEVELOPER -AWARDED -PROJECT CHANGE ORDER '
Tradition - Winding Meadows Drive North CHANGE
(A) Water/Sewer/Storm Drain, (B) Paving, (C) Street Lights ORDER No:
24-0077 CITY PARTICIPATION] NO
105116
61792
2
30114-0200431-105116-E07685
X-27955
K-3209
John Rogers Phone No: 682-210-8044
Mo Mohammdeen Phone No: 682-402-7050
CONTRACT UNIT
WATER
SEWER
DRAINAGE
PAVING
Developer
Developer - - --
Developer
Developer
Cost
Cost _ City Cost
Cost
City Cost
Cost
$681,657.02
$329,865.55 $0.00
$1,370,174.02
$0.00
$1,838,787.60 -
$38,771.24
$0.00 _ -0"
$0.00
$0.00
$0.00 -
$0.00
$0.00 _ _.10
$0.00
$0.00
$0.00
$720,428.26
$329,865.55 $6,00
$1,370,174.02
$0.00
$1,838,787.60 -
$0.00
$14,426.27 $@_B0
$1,183.74
$0.00
$0.00 -
$720,428.26
$344,291.82 _ $aJIG
$1,371,357.76
$1,838,787.60 -
$720,428.26
$344,291.82
$1,.7
;57.76
$1,838,T8T.60
Dev. Cost:
$4,483,681.38
You are directed to make the following changes in the contract documents
CITY B#D ITEM
PAY ITEM #
QUANTITY
19
E
3301.0101
I
1
24
3305.1103
26
I
I I
CITY BID ITEM
I
PAY ITEM #
#
QUANTITY
41
3305.0109
1,086
Asterisk (') indicates New Pay Item
$4,483,681.38
UNIT II: SEWER IMPROVEMENTS
UNIT
ITEM DESCRIPTION CFW Unit Price
UNIT PRICE
EA
Vacuum Test Manholes
$142.13
LF
20" Casing By Other Than Open Cut
$549.39
TOTAL UNIT II: SEWER IMPROVEMENTS
`I
UNIT 111: STORM DRAIN IMPROVEMENTS
UNIT
ITEM DESCRIPTION CFW Unit Price
UNIT PRICE
LF
Trench Safety
$1.09
TOTAL UNIT III: STORM DRAIN IMl 1tOVEMENTS
TOTAL CHANGE ORDER:
STREET LIGHTS
:ost city cost
$208,815.94
$0.00
$0.00
$208,815.94
$0.00 S
$208,815.94
$208,815.94
Developer
Cost City Cost
$142.13 $0.00
$14,284.1 1 $0,00
1
Developer
Cost City Cost
$1,183.74 $0.00
CONTRACT
DAYS
190
190
0
190
TOTAL
$142.13
$14,284.14
$14,426.27
TOTAL
$1,113.74
$1,183.74
$15,610.01
Revised: 12-17-2018 Page 1
REASONS FOR CHANGE ORDER 1. Updated 20" Casing and Vacuum Test Manhole to match approved plans for Sewer
2. Updated Trench Safety to match approved plans for Storm Drain
RECOMMENDED: APPROVED: APPROYFD: '
GMcivil HT HWY 114 Development LP LH cy Im a V L
By: —1 Ww— By: By:
Name: Matt Baacke Name: Dusty Dellinger owaom.� _ Name:
Title: Project Engineer Title: Construction Manaqer Title.
APPROVAL RECOMMENDED: APPROVED: APPROVED AS TO FORM AND LEGALITY:
CFW - Water Department CFW- Assistant City Manager CFW- Assistant City Attorney
By: By. By:
Name: Name: Name:
Title: Title: Title:
RECOMMENDED:
------ ATrrcT * Contract Compliance Manager (Project Manager):
- REVIEWED BY signing I acknowledge that I am the person responsible
By: for the monitoring and administration of this contract, include
ensuring all performance and reporting requirements.
Name: _ By Mosadage Mohammdeen at 4:30 pm, Dec 20, 2024
QThere are NO City Funds associated with this Contract
Title:
❑There are City Funds associated with this Contract
M&C Number:
M&C Date Approved:
Revised: 12-17-2018 Page 2
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FORT WORTH
TRANSPORTATION AND PUBLIC WORKS
PIPE REPORT FOR:
PROJECT NAME:
Tradition Winding Meadows Drive North
CITY PROJECT NUMBER:
CPN 105116
WATER
PIPE LAID
SIZE TYPE OF PIPE
Open Trench
6" PVC - C-905
Open Trench
8" PVC -C- 905
Open Trench
12" PVC-C-905
Open Trench
12" DIP
FIRE HYDRANTS: 4
PIPE ABANDONED
N-A
DENSITIES:
NEW SERVICES:
PIPE LAID
Open Trench
Open Trench
Open Trench
PIPE ABANDONED
N-a
SIZE
1.5"
SIZE
8"
8"
10"
SIZE
LF
42 LF
499 LF
4050 LF
1205 LF
VALVES (16" OR LARGER) N/A
TYPE OF PIPE LF
YES all Passed
Copper
SEWER
TYPE OF PIPE
PVC SDR 26
DIP
PVC SDR 26
TYPE OF PIPE
DENSITIES: N-A
NEW SERVICES: 4" PVC
LF
LF
TRANSPORTATION AND PUBLIC WORKS
The City of Fort Worth • 1000 Throckmorton Street • Fort Worth, TX 76012-6311
(817) 392 - 7941 • Fax: (817) 392 - 7845
2 EA
321 LF
379 LF
542 LF
7 EA
FORTWORTH.
TRANSPORTATION AND PUBLIC WORKS
August 28, 2025
LH Lacy Company, Ltd.
1880 Crown Dr. #1200
Dallas,TX 75234
RE: Acceptance Letter
Project Name: Tradition Winding Meadows Drive North
Project Type: Water, Sewer, Drainage
City Project No.: 105116
To Whom It May Concern:
On August 21, 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 August 28, 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 August 28, 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-
392-2443.
Sincerely,
Mosadage Mohawdem,,T E.
Mosadage Mohammdeen, Project Manager
Cc: John Rogers, Inspector
Troy Gardner, Inspection Supervisor
Emanuel Nieto, Senior Inspector
Andrew Goodman, Program Manager
GM Civil, Consultant
LH Lacy Company, Ltd, Contractor
Hines, Developer
File
E-Mail: TPW_Acceptance@fortworthtexas.gov
Rev. 8/20/19
AFFIDAVIT
STATE OF Texas
COUNTY OF Dallas
Before me, the undersigned authority, a notary public in the state
and county aforesaid, on this day personally appeared Bobby Gordon,
President Of L.H. Lacy Company, 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;
City Project #105116 - Winding Meadows Drive, North
BY
Bobby rdon, President
Subscribed and sworn before me on this date 3 of September, 2025.
Qom_
Notary Public
Dallas County, State of
Texas
DARLENE CONEY
Notary ID #10317301
My Commission Expires
March 9, 2028 =
CONSENT OF SURETY
TO FINAL PAYMENT
"Document G707
Bond No. 5316989
TO O1VNFR:
(Mane and ad&m)
City of Fort Worth & HT Hwy 114 Development, LP.
2700 Commerce St., Suite 1600
Dallas, TX 75226
PROJECT:
(1jwne am1 a
Winding Meadows Drive North - Utility Improvements
OWNER
ARCMTrcr
CONTRACTOR
SURETY
OTHER
ARCHITECT'S PROJECT NO.:
CONTRACT FOR: Construction
CONTRACT DATED:
In accordance with the provisions of the Contract between die Owner and the Contracttx as indiatmi alxwe, the
(/rase .vj
Great American Insurance Company
301 East Fourth Street
Cincinnati, OH 45202
on bond of
(JrWrn name and addrm q(C.onfradur)
L.H. Lacy Company, Ltd.
1880 Crown Dr., Suite 1200
Dallas, TX 75234
IN
, SURETY,
, 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
th maf nameand addre u nfOrener)
City of Fort Worth & HT Hwy 114 Development, LP.
2700 Commerce St., Suite 1600
Dallas, TX 75226
as set forth in said Surety's bond.
, OWNER,
IN WITNESS WHEREOF, the Surety has hereunto set its hand on this date: August 26, 2025
(InwH in avWoW The umnrb/oUoa ed bp && munerk dare and)xman)
_ILN*
Great American Insurance Company
Su .-1:')
'^ r
By:
15Wwrurr ofambadzed n-prrsrivathwi
David T. Miclette Attorney -in -Fact
(AYnred name• mid ride)
G707-1994
GREAT AMERICAN INSURANCE COMPANY®
Administrative Office: 301 E 4TH STREET • CINCINNATI, OHIO 45202 • 513-369-5000 • FAX 513-723-2740
The number of persons authorized by
this power of attorney is not more than THIRTEEN
No.0 22621
POWER OF ATTORNEY
KNOW ALL MEN BY THESE PRESENTS: That the GREAT AMERICAN INSURANCE COMPANY, a corporation organized and existing under
and by virtue of the laws of the State of Ohio, does hereby nominate, constitute and appoint the person or persons named below, each individually if more than
one is named, its true and lawful attomey-in-fact, for it and in its name, place and stead to execute on behalf of the said Company, as surety, any and all bonds,
undertakings and contracts of suretyship, or other written obligations in the nature thereof; provided that the liability of the said Company on any such bond,
undertaking or contract of suretyship executed under this authority shall not exceed the limit stated below.
Name Address Limit of Power
STACEY BOSLEY NIKOLE JEANNETTE AARON HAWLEY ALL
ASHLEY BRITT DAVID T. MICLETTE ALL OF HOUSTON, TEXAS $100,000,000
LUCAS LOMAX NANCY RIOS
WILL DUKE STACY OWENS
RITA G. GULIZO BARRY K MCCORD
ROBERT C. DAVIS KATHLEEN CUCKLER
This Power of Attorney revokes all previous powers issued on behalf of the attomey(s)-in-fact named above.
IN WITNESS WHEREOF the GREAT AMERICAN INSURANCE COMPANY has caused these presents to be signed and attested by its appropriate
officers and its corporate seal hereunto affixed this 17TH day of APRIL 1 2025
Attest GREAT AMERICAN INSURANCE COMPANY
�•
Assistant Secretary
GDivisional Senior ice President
STATE OF OHIO, COUNTY OF HAMILTON - ss: JOHN K. WEBSTER (877-377-2405)
On this 17TH day of APRIL 2025 , before me personally appeared JOHN K. WEBSTER, to me
known, being duly sworn, deposes and says that he resides in Cincinnati, Ohio, that he is a Divisional Senior Vice President of the Bond Division of Great
American Insurance Company, the Company described in and which executed the above instrument; that he knows the seal of the said Company; that the seal
affixed to the said instrument is such corporate seal; that it was so affixed by authority of his office under the By -Laws of said Company, and that he signed his
name thereto by like authority.
Ott SUSAN A KOMRST
Notary Public
State of Ohio
My Comm, Exptres
May 18, 2030
This Power of Attorney is granted by authority of the following resolutions adopted by the Board of Directors of Great American Insurance Company
by unanimous written consent dated June 9, 2008.
RESOLVED: That the Divisional President, the several Divisional Senior Vice Presidents, Divisional Vice Presidents and Divisonal Assistant Vice
Presidents, or any one of them, be and hereby is authorized, from time to time, to appoint one or more Attorneys -in -Fact to execute on behalf of the Company,
as surety, any and all bonds, undertakings and contracts ofsuretyship, or other written obligations in the nature thereof,' to prescribe their respective duties and
the respective limits of their authority; and to revoke any such appointment at any time.
RESOLVED FURTHER: That the Company seal and the signature of any of the aforesaid officers and any Secretary or Assistant Secretary of the
Company may be affixed by facsimile to any power of attorney or certificate of either given for the execution of any bond undertaking, contract of suretyship,
or other written obligation in the nature thereof, such signature and seal when so used being hereby adopted by the Company as the original signature ofsuch
officer and the original seal of the Company, to be valid and binding upon the Company with the same force and effect as though manually affixed.
CERTIFICATION
I, STEPHEN C. BERAHA, Assistant Secretary of Great American Insurance Company, do hereby certify that the foregoing Power of Attorney and
the Resolutions of the Board of Directors of June 9, 2008 have not been revoked and are now in full force and effect.
Signed and sealed this 26th day of August 2025' _
Assistant S-6r 1ry
S1029AJ (04/25)