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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 $15,610.01 Revised: 12-17-2018 Page 1 REASONS FOR CHANGE ORDER 1. Updated 20" Casing and Vacuum Test Manhole to match approved plans for Sewer 2. Updated Trench Safety to match approved plans for Storm Drain RECOMMENDED: APPROVED: APPROYFD: ' GMcivil HT HWY 114 Development LP LH cy Im a V L By: —1 Ww— By: By: Name: Matt Baacke Name: Dusty Dellinger owaom.� _ Name: Title: Project Engineer Title: Construction Manaqer Title. APPROVAL RECOMMENDED: APPROVED: APPROVED AS TO FORM AND LEGALITY: CFW - Water Department CFW- Assistant City Manager CFW- Assistant City Attorney By: By. By: Name: Name: Name: Title: Title: Title: RECOMMENDED: ------ ATrrcT * Contract Compliance Manager (Project Manager): - REVIEWED BY signing I acknowledge that I am the person responsible By: for the monitoring and administration of this contract, include ensuring all performance and reporting requirements. Name: _ By Mosadage Mohammdeen at 4:30 pm, Dec 20, 2024 QThere are NO City Funds associated with this Contract Title: ❑There are City Funds associated with this Contract M&C Number: M&C Date Approved: Revised: 12-17-2018 Page 2 mom�__� �L r WITH MANHOLEFRAME, COVER, 15r00 -lb+pp - I)+W -CONK. d'DIA.-..N. NO.3 - TC4 e RINGS PER DFTA1l D219 - _ _ _ - _WIiHMANHOIF iRAMR COVER, )33 PER CONS)RUCTCONCRETFCOLLAR &RIxGSPFR DETAIL OTI9 �)31 ��—coRPo5960 PFO1KNON �s — / \ N=.`7TIC9T02'tCRER COLLAR �, a N=1069695.St31 J \ E=2321301.2)22 e)31 F•233d010.H8Td 10"5.3. SIa I)+23.id 3.3.xNE NO, i \ 15 CONSI. d'DIA. S.xN. NO.M.2 \ \ 35 sxa Ort —>3d ^ 8 - WRX MA _ is [nsPM[ i R RINGS So — PER DETAIL D279 - \ _ CONSIRUC) CONCRETE COWR E 2-312.9833 E=TJT6311.9H39 7J5— — — - / FPHSE9A Sm R.— S.x uxF °S-<• \ \ sr a0cr w CONST. A'DIA. S.S.M.X. \ _ 20,pp' / WDH MANHOIF FRAME, COVER \ CONSTRUCT CONCREI i1c R 2awe doaE - - - Cr E - I •23213H).365I dN4N9 I uDUNr ° )34 / sm ls.Ts.ali xx uNE sr•-1 � I — ..-_DU IFNIEaPanF�-,.. .r -,. _$ _�. _ > I, _ Id 732 3—Sa-DAS ILNERGvmnrurER, — O — Q n 733 ® I z Sb 11+7195-LIME I-d"c z aEGw ub 8 3 3 awn REMOVE&RFIIACEd xS.M.H. ss eoaf vn )sDas(ENtRIq p - (REPLACE ONCE RORFIS COMPIFE) L)31 -SrtE - - (IVCPIPESDR}61 (X-T)ITS) -- _ SAM MYNOLDS ROAD\- J — -- --,.— S.S. ALINE "S-4 a N 1, r.II.T,�xHNNEy I W+E S GRAPHIC SCALE I'�4(Y D d0 W Ip UTILITY LEGEND —sue PROPOSED SANITARY SEWER &MANHOLE PROPOSED WATER LINE &GATE VALVE —� PR OPOSED ME HYDRANT PROPOSED S NGLE SEWER SERVICE 0 EXUNG SANITARY —ER &—HOLE - - EXGBNG WATER LINE &GATE VALVE EXUNG FEE HYDRANT IWATE WERS—Y#: NS-20T3-T77 PR POSED GROUND PROFIT£ PROPOSED GROUND PROFILE I PROFILE SCALE ®CENTERLINE OF PIPE CENIERUNE OF PIPE onzoMals 111 yeelcW Scole I"-a� 735 --------------------- 735 _ EXIS}INGGRWIND _ PRONLE- 21 730 ®CENgRDNEDFPIPE — -T 730 I2 s b-Gni IF svEauvl M„� vEwFYI - - O n 725 l ai oi' ; l - rlxu rErery _ OiMryC PIPE SOR300. I6OO •O.SIR CONSTRUCT ENCH - - STOP 11-1 RTER STOP .11 %w/P. 79 2w _ I� r 725 269 LP. CTO COI CO" OF hTCIIpRSpq.26--- PRO q Of 10'ryC PIIE 1-26 � Q ®0.309L 20NT T)3 Lf. �_ `^ Elp^PVC pTpF 30RTd 720 A TA-ZEDCEMENFJ SiaflIL ZED BACKFILL OF CEMENT ABIUIED 720 -- OU Uz 2EF- L 715 EX.ID•33.D. Ld. I �f=°„ Dr.a s �o ;ova _G x 715 - -lwlmW nucxlxss - - - __ =asxs'IconrEO„ O n• �zO'> i„po� „ MN�oOn ^�^' : w 710 ud �u3:ui�: _ pa "o o „ EGA > HR:gym: 93,E 710 ry I 705 o z0, �. � 705 C06�i Ciiw 700 R E2E III 0I 0 9 9 i 9 700 F 4-23 41 .•..AB . BNGX 1A5066 LJ dED..I°RID DSG I —P, A AJN I I REVIEW: I„ 10of69 S.S. LINE nS-4n 13+p8 14+p0 IswO Id+lb I]+pD 18+W 19+88 2— 21+Dp WPrWGrrt Na VSP ev wvtlTIPN PPSNIsspx OPrWcrvLLUxLv E\1DT2D - imdlnnn\Pone\Pnoae - Nortn\9anCn9 Neoxma\5"EETS\l--ss-'MJ.ae9 on Dec 21 2111 10.31 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)