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City Secretary
Contract No.__________________
Date Received ______________
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: ACN Fossil Creek
City Project No.: 104255
Improvement Type(s): Paving Drainage Street Lights Traffic Signals
Original Contract Price: $108,231.92
Amount of Approved Change Order(s):
Revised Contract Amount:
Total Cost of Work Complete:$108,231.92
Contractor Date
Title
Bob Moore Construction
Company Name
Project Inspector Date
Project Manager Date
CFA Manager Date
______________________________________ __________________________________
TPW Director Date
Asst. City Manager Date
Page 2 of 2
Notice of Project Completion
Project Name: ACN Fossil Creek
City Project No.: 104255
City’s Attachments
Final Pay Estimate
Change Order(s): Yes N/A
Contractor’s Attachments
Affidavit of Bills Paid
Consent of Surety
Statement of Contract Time
Contract Time: 71
Work Start Date: 9/23/2024
Days Charged: 124
Work Complete Date: 5/6/2025
Completed number of Soil Lab Test: 19
Completed number of Water Test: 7
FORTWORTH
CITY OF FORT WORTH
F1NAL PAYMENT REQUEST
Contract Name ACN FOSSIL CREEK EXPRESS CFA
Contract Limits
Project Type DRAINAGE
City Project Numbers 104255
DOE Number 4255
Estimate Number 1 Payment Number 1 For Period Ending
City Secretary Contract Number
Contract Date
Project Manager NA
Contractor BOB MOORE CONSTRUCTION, INC.
1110 N WATSON ROAD
ARLINGTON , TX 76011
Inspectors T. GARDNER / C. HAYES
Contract Time
Days Charged to Date
Contract is 100.00
5/6/2025
WD
68JD
124
Complete
Tuesday, July 8, 2025 Page 1 of 4
City Project Numbers 104255
Contract Name ACN FOSSIL CREEK EXPRESS CFA
Contract Limits
Project Type DRAINAGE
Project Funding
UNTT III: DRAINAGE IMPROVEMENTS
Item Description of Items Estimated Unit Unit Cost
No. Quanity
1 REMOVE 33" STORM LINE 15 LF $20.00
2 REMOVE 20' RECESSED INLET 1 EA $1,500.00
3 COVC. PVMT REPAIR ARTERIAL 212 SY $225.00
4 TRENCH SAFETY 109 LF $1.00
5 24" RCP, CLASS III 93 LF $145.00
6 20' RECESSED CURB INLET 1 EA $15,000.00
7 6' STORM JUSNCTIO BOX 1 EA $10,000.00
8 CONNECT 18" SD TO BACK OF EXISTING 1 LS $1,600.00
DOE Number 4255
Estimate Number 1
Payment Number 1
For Period Ending �/6/2025
Estimated Completed Completed
Total Quaniry Total
$300.00 IS $300.00
$1,500.00 1 $1,500.00
$47,700.00 212 $47,700.00
$109.00 109 $109.00
$13,485.00 93 $13,485.00
$15,000.00 1 $15,000.00
$10,000.00 1 $10,000.00
$1,600.00 1 $1,600.00
Sub-Total of Previous Unit $89,694.00 $89,694.00
UNTI' IV: PAVING IlVIPROVEMENTS
Item Description of Items Estimated Unit Unit Cost Estimated Completed Completed
No. Quanity Total Quanity Total
1 REMOVE SIDEWALK 427 SF $6.00 $2,562.00 427 $2,562.00
2 REMOVE CONC CURB & GUTTER 127 LF $10.00 $1,270.00 127 $1,270.00
3 7" CONCRETE DRNEWAY 817 SF $5.76 $4,70592 817 $4,705.92
4 TRAFFIC CONTROL 2 MO $5,000.00 $10,000.00 2 $10,000.00
Sub-Total of Previous Unit $18,537.92 $18,537.92
Tuesday, July 8, 2025 Page 2 of 4
City Project Numbers 104255
Contract Name ACN FOSSIL CREEK EXPRESS CFA
Contract Limits
Project Type PAVING
Project Funding
Contract Information Summary
Original Contract Amount
Change Orders
Total Contract Price
DOE Number 4255
Estimate Number 1
Payment Number 1
For Period Ending �/6/2025
$108,231.92
$108,231.92
Total Cost of Work Completed $108,231.92
Less % Retained $0.00
Net Earned $108,231.92
Earned This Period $108,231.92
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
$108,231.92
Tuesday, July 8, 2025 Page 3 of 4
City Project Numbers 104255
Contract Name ACN FOSSIL CREEK EXPRESS CFA
Contract Limits
Project Type PAVING
Project Funding
Project Manager NA
Inspectors T. GARDNER / C. HAYES
Contractor BOB MOORE CONSTRUCTION, INC.
1110 N WATSON ROAD
ARLINGTON , TX 76011
DOE Number 4255
Estimate Number 1
Payment Number 1
For Period Ending �/6/2025
City Secretary Contract Number
Contract Date
Contract Time 60 WD
Days Charged to Date 124 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
Less % Retained
Net Earned
Earned This Period $108,231.92
Retainage This Period $0.00
Less Liquidated Damages
� Days @ $0.00 / Day
LessPavement Deficiency
Less Penalty
Less Previous Payment
Plus Material on Hand Less 15%
Balance Due This Payment
$108,231.92
$0.00
$108,231.92
$0.00
$0.00
$0.00
$0.00
$0.00
$108,231.92
Tuesday, July 8, 2025 Page 4 of 4
��������x�
TRANSPORTATION AND PUBLIC WORKS
June 5, 2025
Bob Moore Construction
3611 William D. Tate Ave.
Grapevine, TX 76051
RE: Acceptance Letter
Project Name: ACN Fossil Creek
Project Type: Water, Sewer, Paving, and Drainage
City Project No.: 104255
To Whom It May Concern:
On May 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 4, 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 4, 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-
392-6251.
Sincerely,
Gu��
Andrew Goodman, Project Manager
Cc: Charles Hayes, Inspector
Troy Gardner, Inspection Supervisor
Cody Horton, Senior Inspector
Andrew Goodman , Program Manager
Westwood, Consultant
Bob Moore Construction, Contractor
Star Dragon Properties, LLC, Developer
File
E-Mail: TPW_Acceptance@fortworthtexas.gov
Rev.8/20/19
AFFIDAVIT
STATE OF TEXAS
COUNTY OF TARRANT
Before me, the undersigned authority, a notaiy public in the state
and county aforesaid, on this day personally appeared Tucker O'Neal,
Vice Presdient Of Bob Moore Construction, Inc., 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;
Public Improvements consisting of Paving and Drainage ,O�
�`�
BY ��
Tucker O'Neal, Vice President
Subscribed and sworn before me on this date 17th of September, 2025.
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Notary Public
Tarrant County, Texas
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� ��1P3�YP�BGC DEBRA KAY MOORE
�*Ot Notary Public, State of Texas
+ `�%qT�OFS�,�p`� My Comm. Exp.11/08/2025
. Netary ID 574100-3
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CONSENT OF
SURETY COMPANY
TO FINAL PAYMENT
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OWNER
ARCHITECT
CONTRACTOR
SURETY
OTHER
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Bond #107603699
PROJECT: ACN Fossil Creek
(name, address) 4300 Fossil Creek Blvd. Fort Worth, TX 76137
TO (Contractor)
I
Bob Moore Construction, Inc.
3611 William D. Tate Avenue
Grapevine, TX 76051
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OBLIGEE: Land Dragon Properties Holdings, Inc.
PROJECT NUMBER: 104255
CONTRACT FOR: Paving & Drainage
CONTRACT DATE: May 13, 2024
In accordance with the provisions of the Contract between the Contractor and the obligee as indicated above �ner�
insert name and address of Surety Company)
Travelers Casualty and Surety Company of America
One Tower Square
Hartford, CT 06183
on bond of (here insert name and address of Obligee)
Land Dragon Properties Holdings, Inc.
1163 Fairvvay Drive
City of Industry, CA 91789
OBLIGEE,
hereby approves of the final payment to the Obligee, and agrees that final payment to the Obligee shall not relieve
the $U�O�/ COfTtpBtly Of 8fly Of ItS Ob�i98t10f1S t0 (here insert name and address of Contractor)
Bob Moore Construction, Inc.
3611 William D. Tate Avenue
Grapevine, TX 76051
SURETY COMPANY,
CONTRACTOR,
as set forth in the said Surety Company's bond.
IN WITNESS WHEREOF, the Surety Company has hereunto set its hand this 18�' day of September, 2025.
Travelers Casualtv and Suretv Comqanv of America
S ty Company
Sign e of Aut rized Representative
Attes4: /,'�r�� /�_ ,��
(Seaq: ( `(—� — — Pavton Blanchard, Attornev-in-Fact
� Title
NOTE: This fon;. is to be used as a companion document to AIA DOCUMENT G706, CONTRACTOR'S AFFIDAVIT OF PAYMENT OF DEBTS AND
CLAIMS, i.�rrent Edition
AIA DOCUAAENT GT07 • CONSENT OF SURETY COMPANY TO FINAL PAYMENT • APRIL 1970 EDITION • AIA� ONE PAGE
m 1970 • THE AMERICAN INSTITUTE OF ARCHITECTS. 1735 NEW YORK AVE.. NW, WASHINGTON, D.C. 20006
TRAVELERS�
Travelers Casualty and Surety Company of America
Travelers Casualty and Surety Company
St. Paul Fire and Marine Insurance Company
POWER OF ATTORNEY
KNOW ALL MEN BY THESE PRESENTS: That Travelers Casualty and Surety Company of America, Travelers Casualty and Surety Company, and St.
Paui Fire and Marine �nsurance Company are corporations duly organized under the laws of the State of Connecticut (herein collectively called the
"Companies"), and that the Companies do hereby make, constitute and appoint Payton Bianchard of FORT WORTH ,
Texas , their true and iawful Attomey-in-Fact to sign, execute, seal and acknowledge any and all bonds, recognizances,
conditional undertakings and other writings obligatory in the nature thereof on behalf of the Companies in their business of guaranteeing the
fidelity of persons, guaranteeing the performance of contracts and executing or guaranteeing bonds and undertakings required or permitted in any
actions or proceedings allowed by law.
IN WITNESS WHEREOF, the Companies have caused this instrument to be signed, and their corporate seals to be hereto affixed, this 17th day of January,
2019.
�,�yY=�fY}� +ya,tr �No �E
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State of Connecticut
City of Hartford ss.
By:
Robert L. Rane , enior Uce President
On this the 17th day of January, 2019, before me personally appeared Robert L. Raney, who acknowledged himself to be the Senior �ce President
of Travelers Casualty and Surety Company of America, Travelers Casualty and Surety Company, and St. Paui Fire and Marine insurance Company, and
that he, as such, being authorized so to do, executed the foregoing instrument for the purposes therein contained by signing on behalf of said
Companies by himself as a duly authorized officer.
IN WITNESS WHEREOF, I hereunto set my hand and official seal
My Commission expires the 30th day of June, 2021
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won�m `
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°"�''f0 Anna P. Nowik, Notary Public
This Power of Attomey is granted under and by the authority of the following resolutions adopted by the Boards of Directors of Travelers Casualty and
Surety Company of America, Travelers Casuaity and Surety Company, and St. Paul Fire and Marine Insurance Company, which resolutions are now in full
force and effect, reading as foilows:
RESOLVED, that the Chairman, the President, any Vice Chairman, any Executive �ce President, any Senior Vice President, any Vice President, any
Second �ce President, the Treasurer, any Assistant Treasurer, the Corporate Secretary or any Assistant Secretary may appoint Attomeys-in-Fact and
Agents to act for and on behalf of the Company and may give such appointee such authority as his or her certificate of authority may prescribe to sign
with the Company's name and seal with the Company's seai bonds, recognizances, contracts of indemnity, and other writings obligatory in the nature of a
bond, recognizance, or conditional undertaking, and any of said officers or the Board of Directors at any time may remove any such appointee and revoke
the power given him or her; and it is
FURTHER RESOI.VED, that the Chairman, the President, any �ce Chairman, any Executive �ce President, any Senior Vice President or any Vice
President may delegate all or any part of the foregoing authority to one or more officers or employees of this Company, provided that each such
delegation is in writing and a copy thereof is filed in the office of the Secretary; and it is
FURTHER RESOLVED, that any bond, recognizance, contract of indemnity, or writing obligatory in the nature of a bond, recognizance, or conditional
undertaking shall be vatid and binding upon the Company when (a) signed by the President, any Vice Chairman, any F�cecutive Vce President, any
Senior �ce President or any �ce President, any Second Vice President, the Treasurer, any Assistant Treasurer, the Corporate Secretary or any
Assistant Secretary and duly attested and sealed with the Company's seal by a Secretary or Assistant Secretary; or (b) duly executed (under seal, if
required) by one or more Attorneys-in-Fact and Agents pursuant to the power prescribed in his or her certificate or their certificates of authority or by one
or more Company officers pursuant to a written delegation of authority; and it is
FURTHER RESOLVED, that the signature of each of the foilowing officers: President, any Executive Vice President, any Senior �ce President, any Vice
President, any Assistant Vice President, any Secretary, any Assistant Secretary, and the seal of the Company may be affixed by facsimile to any Power of
Attorney or to any certificate relating thereto appointing Resident �ce Presidents, Resident Assistant Secretaries or Attomeys-in-Fact for purposes only of
executing and attesting bonds and undertakings and other writings obligatory in the nature thereof, and any such Power of Attomey or certificate bearing
such facsimile signature or facsimile seal shall be valid and binding upon the Company and any such power so executed and certified by such facsimile
signature and facsimile seal shail be valid and binding on the Company in the future with respect to any bond or understanding to which it is attached.
I, Kevin E. Hughes, the undersigned, Assistant Secretary of Travelers Casualty and Surety Company of America, Travelers Casualty and Surety
Company, and St. �a�ul Fire and Marine Insurance Company, do hereby certify that the above and foregoing is a true and correct copy of the Power of
Attorney �xacuteci hy said Companies, which remains in full force and effect.
Dated this SSth �ay ofr Spptember , 2025
C�u.,� 'J'�Tr�yes ��.
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Kevin E. Hughes, Assi tant Secretary
To verify the authenticity of this Powe� ofAttorney, p/ease ca// us at 1-800-411-3880.
P/ease Pete� to the above-named Attorney-in-Pact and the detai/s of the bond to which this Power ofAttorney is attached.