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Contract 62907-FP1
-FP1 City Secretary Contract No. 62907 FORT WORTH® Date Received 09/25/2025 NOTICE OF PROJECT COMPLETION (Developer Projects) 10/06/2025 The Transportation and Public Works Department upon the recommendation of the Project Manager has accepted the following project as complete: Project Name: A-1 Homes City Project No.: 106074 Improvement Type(s): Water x❑ Sewer x❑ Original Contract Price: $66,675.00 Amount of Approved Change Order(s): $0.00 Revised Contract Amount: Total Cost of Work Complete: $66,675.00 ttr�tte� Goo6ktah Hunter Goodman "Sep 25, 20214'.43:20 CDT Contractor President Title Patriot Pipeline Company Name 8v)dyP021 Buddv Plri hips Sep 25. 2025144404 DT) Project Inspector Project Manager CFA Manager f /]JJ4 0J1, P4/OJJ4 Lauren Prieur (Sep 25, 202515 03 40 CDT) TPW Director hunter@patriotpipeline103.com Date 09/25/2025 Date 09/25/2025 Date 09/25/2025 Date 09/25/2025 Date 09/30/2025 Asst. City Manager Date Page 1 of 9 OFFICIAL RECORD CITY SECRETARY FT. WORTH, TX Notice of Project Completion Project Name: A-1 Homes City Project No.: 106074 City's Attachments Final Pay Estimate ❑x Change Order(s): ❑ Yes ❑x N/A Pipe Report: © Yes ❑ N/A Contractor's Attachments Affidavit of Bills Paid Consent of Surety Statement of Contract Time Contract Time: 30 WD Days Charged: 22 WD Work Start Date: 6/23/2025 Work Complete Date: 7/23/2025 Completed number of Soil Lab Test: 22 Completed number of Water Test: 3 Page 2of2 FORT WORTH CITY OF FORT WORTH FINAL PAYMENT REQUEST Contract Name A-1 Homes Express CFA Contract Limits Project Type WATER & SEWER City Project Numbers 106074 DOE Number 6074 Estimate Number 1 Payment Number 1 For Period Ending 7/23/2025 WD City Secretary Contract Number Contract Time 30 WD Contract Date Days Charged to Date 22 Project Manager NA Contract is 100.00 Complete Contractor PATRIOT PIPELINE 128 E MAIN ST WHITESBORO , TX 76273 Inspectors T. GARDNER / C. HAYES Monday, September 15, 2025 Page 1 of 4 City Project Numbers 106074 Contract Name Contract Limits Project Type Project Funding A-1 Homes Express CFA WATER & SEWER DOE Number Estimate Number Payment Number For Period Ending 6074 1 1 7/23/2025 UNIT L• WATER IMPROVEMENTS Item Description of Items Estimated Unit Unit Cost Estimated Completed Completed No. Quanity Total Quanity Total 1 WORK ORDER MOBILIZATION 1 EA $2,500.00 $2,500.00 1 $2,500.00 2 4' WIDE ASPHALT PVMT REPAIR 40 LF $300.00 $12,000.00 40 $12,000.00 3 TRENCH SAFETY 40 LF $100.00 $4,000.00 40 $4,000.00 4 DUCTILE IRON WATER FITTINGS W/ 0.5 LF $4,500.00 $2,250.00 0.5 $2,250.00 RESTRAINT 5 6" WATER PIPE 15 LF $925.00 $13,875.00 15 $13,875.00 6 6" WATER PIPE, CLSM BACKFILL 25 LF $1,000.00 $25,000.00 25 $25,000.00 7 1" WATER SERVICE 1 EA $800.00 $800.00 1 $800.00 8 WT TAP TO EX 4"-12" WATER 1 EA $500.00 $500.00 1 $500.00 9 6" GATE VALVE 1 EA $2,500.00 $2,500.00 1 $2,500.00 10 UTILITY SERVICE SURFACE REST. 20 SY $50.00 $1,000.00 20 $1,000.00 Sub -Total of Previous Unit $64,425.00 $64,425.00 UNIT II: SANITARY SEWER IMPROVEMENTS Item No. Description of Items Estimated Unit Unit Cost Estimated Completed Completed Quanity Total Quanity Total 1 4: 2 WAY CLEANOUT 2 4: SEWER SERVICE 1 EA $750.00 $750.00 1 $750.00 1 EA $1,500.00 $1,500.00 1 $1,500.00 Sub -Total of Previous Unit $2,250.00 $2,250.00 Monday, September 15, 2025 Page 2 of 4 City Project Numbers 106074 Contract Name Contract Limits Project Type Project Funding Earned This Period Retainage This Period A-1 Homes Express CFA WATER & SEWER Contract Information Summary Original Contract Amount Change Orders DOE Number Estimate Number Payment Number For Period Ending $66,675.00 Total Contract Price $66,675.00 6074 1 1 7/23/2025 Total Cost of Work Completed $66,675.00 Less % Retained $0.00 Net Earned $66,675.00 $66,675.00 $0.00 Less Liquidated Damages Days @ / 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 $66,675.00 Monday, September 15, 2025 Page 3 of 4 City Project Numbers 106074 Contract Name Contract Limits Project Type Project Funding A-1 Homes Express CFA WATER & SEWER DOE Number Estimate Number Payment Number For Period Ending 6074 1 1 7/23/2025 Project Manager NA City Secretary Contract Number Inspectors T. GARDNER / C. HAYES Contract Date Contractor PATRIOT PIPELINE Contract Time 30 WD 128 E MAIN ST Days Charged to Date 22 WD WHITESBORO, TX 76273 Contract is .000000 Complete CITY OF FORT WORTH SUMMARY OF CHARGES Line Fund Account Center Amount Funded Gross Retainage Net Total Cost of Work Completed $66,675.00 Less % Retained $0.00 Net Earned $66,675.00 Earned This Period $66,675.00 Retainage This Period $0.00 Less Liquidated Damages 0 Days @ $0.00 / 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 $66,675.00 Monday, September 15, 2025 Page 4 of 4 PROJECT NAME: FORT WORTH TRANSPORTATION AND PUBLIC WORKS PIPE REPORT FOR: A-1 Homes CITY PROJECT NUMBER: 106074 WATER PIPE LAID PVC FIRE HYDRANTS: N/A SIZE 6" TYPE OF PIPE C900 LF 40 VALVES (16" OR LARGER) N/A PIPE ABANDONED SIZE TYPE OF PIPE LF DENSITIES: Yes All Passed NEW SERVICES: 1" Domestic Irriagtion 1 Ea SEWER PIPE LAID SIZE TYPE OF PIPE LF PIPE ABANDONED SIZE TYPE OF PIPE LF DENSITIES: Yes All Passed NEW SERVICES: 4 SDR 26 1 Ea. TRANSPORTATION AND PUBLIC WORKS The City of Fort Worth • 1000 Throckmorton Street • Fort Worth, TX 76012-6311 (817) 392 - 7941 • Fax: (817) 392 - 7845 FORT WORTH® TRANSPORTATION AND PUBLIC WORKS August 22, 2025 Patriot Pipeline 128 N Main St. Whitesboro, TX. 76273 RE: Acceptance Letter Project Name: A-1 Homes Project Type: Water City Project No.: 106074 To Whom It May Concern: On August 22, 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 September 2, 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 September 2, 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- 392-8424. Sincerely, Sandip Adhikri, Project Manager Cc: Buddy Phillips, Inspector Troy Gardner, Inspection Supervisor Emanuel Nieto, Senior Inspector Andrew Goodman, Program Manager Micheal G McCay, Consultant Patriot Papline, Contractor DJK Inc., Developer File E-Mail: TPW_Acceptance@fortworthtexas.gov Rev. 8/20/19 AFFIDAVIT STATE OF M'e'C S COUNTY OF QX-3-‘1 ..1 Before me, the undersigned authority, a notary public in the state ancounty aforesaid, on this day personally appeared Name, Title Of Company, 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 andlor materials have been paid in full; That the wage scale establishedby 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, Contract Description BY N3j2arne or Title Subscribed and sworn before me on this date ay ofMd"ntn, ear. -toe. Notary 'filab l i e County, State takiSvr 176.05 OEIGHANN SKIPWQRTH ll 1 1 k NOWry ID 0121254235 w � My Commission Expires 1 April 10. 2028 CONSENT OF SURETY TO FINAL PAYMENT RE: Bond No. HICSW-A221-0154 PROJECT: A-1 Homes Construction of Community Facilities in the City of Fort Worth CFA Number IPR 24.0236 and City Project 106074 TO (Owner): City of Fort Worth CONTRACT FOR: CONTRACT DATE: CONTRACTOR: Iron Armadillo Underground, LLC dba Patriot Pipeline Water & Sewer Improvements To Serve A-1 Homes 01 /0112021 In accordance with the provisions of the Contract between the Owner and the Contractor as indicated above, the Hudson Insurance Company 100 William Street, 5th Floor New York, NY 10038 on bond of Iron Armadillo Underground, LLC dba Patriot Pipeline 700 W. Main Street Gunter, TX 75058 , SURETY COMPANY, , CONTRACTOR, hereby approves of the final payment to the Contractor, and agrees that final payment to the Contractor shall not relieve the Surety Company of any of its obligations to City of Fort Worth 200 Texas Street Fort Worth, TX 76102 ,OWNER, as set forth in the said Surety Company's bond. IN WITNESS WHEREOF, the Surety Company has hereunto set its hand this 17th day of September, 2025. Hudson Insurance Company Surety Company Jeocid Mc '(Seri} tosh, Attorney -in -Fact (,� \ HUDSON INSURANCEcxuur GROUT' POWER OF ATTORNEY HICSW-A221-0171 KNOW ALL MEN BY THESE PRESENTS: That HUDSON INSURANCE COMPANY, a corporation of the State of Delaware, with offices at 100 William Street, New York, New York, 10038. has made, constituted and appointed, and by these presents, does make, constitute and appoint Jeffrey Todd McIntosh, Connie Jean Kregel of the State of Texas its true and lawful Attorney(s)-in-Fact. at New York. New York. each of them alone to have full power to act without the other or others. to make, execute and deliver on its behalf, as Surety, bonds and undertakings given for any and all purposes, also to execute and deliver on its behalf as aforesaid renewals. extensions, agreements, waivers, consents or stipulations relating to such bonds or undertakings provided, however, that no single bond or undertaking shall obligate said Company for any portion of the penal sum thereof in excess of the sum of Twenty Five Million Dollars (S25,000,000.00). Such bonds and undertakings when duly executed by said Attomey(s)-in-Fact, shall be binding upon said Company as fully and to the same extent as if signed by the President of said Company under its corporate seal attested by its Secretary. In Witness Whereof. HUDSON INSURANCE COMPANY has caused these presents to be of its Senior Vicc President thereunto duly thorized, on this 15th clay of November , 20 24 at New York. New York. rporate seal Attest... . Dina Daskalakis No. 01MU6067553 Corporate Secretary STATE OF NEW YORK COUNTY OF NEW YORK. SS. HUDSON INSURANCE COMPANY By. Andrew A. Dickson Senior Vicc President On the l5th day of November 20 24 before me personally came Andrew A. Dickson to me known, who being by me duly sworn did depose and say that he is a Senior Vice President of HUDSON INSURANCE COMPANY, the corporation described herein and which executed the above instrument, that he knows the seal of said Corporation, that the seal affixed to said instrument is such corporate seal, that it was so affixed byibrder of the Board of Directors of said Corporation, and that he signed his name thereto by like order. (Notarial Seal) CERTIFICATION STATE OF NEW YORK COUNTY OF NEW YORK SS. ANN M. MUR E`RY Notary Public, State of New York No 0I M U6067553 Qualified in Nassau County Commission Expires December 10, 2025 The undersigned Dina Daskalakis hereby certifies: That the original resolution, of which the following is a true and correct copy, was duly adopted by unanimous 'written consent of the Board of Directors of Hudson Insurance Company dated July 27's, 2007, and has not since been revoked, amended or modified: -`RESOLVED, that the President, the Executive Vice Presidents, the Senior Vice Presidents and the Vice Presidents shall have the authority and discretion, to appoint such agent or agents, or attorney or attomcys-in-fact, for the purpose of carrying on this Company's surety business, and to empower such agent or agents, or attorney or attomeys-in-fact, to execute and deliver, under this Company's seal or otherwise. bonds obligations, and recognizances, whether made by this Company as surety thereon or otherwise, indemnity contracts, contracts and certificates, and any and all other contracts and undertakings made in the course of this Company's surety business, and renewals, extensions. agreements, waivers, consents or stipulations regarding undertakings so made: and FURTHER RESOVLED, that the signature of any such Officer of the Company and the Company's seal may be affixed by facsimile to any power of attorney or certification given for the execution of any bond, undertaking. recognizance, contract of indemnity or other written obligation in the nature thereof or related thereto, such signature and seal when so used whether heretofore or hereafter, being hereby adopted by the Company as the original signature of such 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." THAT the above and foregoing is a full, true and correct copy of Power of Attorney issued by said Company, and of the whole of the original and that the said Power of Attorney is still in full force and effect and has not been revoked, and furthermore that the Resolution of the Board of Directors, set forth in the said Powezof-Attomcy is now in force. - tWitness the hand of the undersigned and the seal of said Corporation this day of , 20 Dina Daskalakis, Corporate Secretary