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Home My WebLink About063260-FP2 - General - Contract - Chick-fil-A, Inc.FORT WORTH® -FP2City Secretary Contract No. 63260------- Date Received 11/5/2025 11/10/2025 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: Chick-Fil-A Eastchase City Project No.: 105843 Improvement Type(s): □ Paving Original Contract Price: □ Drainage □Street Lights IZI Traffic Signal $57,055.00 Amount of Approved Change Order(s): -$21,513.00 Revised Contract Amount: Total Cost of Work Complete: Robert A webb Robert A Webb (Nmr 4 29?5] 3-39·31 CST) Contractor SW Regional President Title Lumin8 Transportation Technologies, LLC Company Name Project Inspector 11�,a� Pc Project Manager CFA Manager ;e.,....,?n.:-. Lauren Prieur {Nov 5 202513:32·05 CSTJ TPW Director Asst. City Manager 11/04/2025 Date 11/04/2025 Date 11/04/2025 Date 11/05/2025 Date 11/05/2025 Date 11/05/2025 Date $35,542.00 $35,542.00 Page 1 of 2 Notice of Project Completion Project Name: Chick-Fil-A Eastchase City Project No.: 105843 City's Attachments Final Pay Estimate 0 Change Order(s): 0 Yes ❑ N/A Contractor's Attachments Affidavit of Bills Paid �� Consent of Surety �� Statement of Contract Time Contract Time: 50 WD Days Charged: 59 WD Work Start Date: 7/21/2025 Work Complete Date: 10/14/2025 Completed number of Soil Lab Test: 67 Completed number of Water Test: 4 Page 2 of 2 FORTWORTH CITY OF FORT WORTH FINAL PAYMENT REQUEST Contract Name CHICK-FIL-A I-30 & EASTCHASE 05947 Contract Limits Project Type TRAFFIC City Project Numbers 105843 DOE Number 5843 Estimate Number 1 Payment Number 1 For Period Ending 10/14/2025 WD City Secretary Contract Number Contract Time SAJD Contract Date Days Charged to Date 59 Project Manager NA Contract is 100.00 Complete Contractor LUMIN8 TRANSPORTATION TECHNOLOGIES, LL Inspectors � D. WATSON / N. DEZAUX Tuesday, November 4, 2025 Page 1 of 4 City Project Numbers 105843 Contract Name CHICK-FIT,-A I-30 & I:AS'I'CHASI? 05947 Contract Limits Project Type TRAFFIC DOE Number 5843 Estimate Number 1 Payment Number 1 For Period Ending 10/14/2025 Project Funding UNIT V: TR.AFFIC IMPROVEMENTS Item Description of Items No. 1 FURNISH/INSTALL ELEC SERV PEDESTAL (CO 1) 2 3" CONDT PVC SCH 80 (T) 3 FURNISH/INSTALL GROLTND BOX TYPE B, W/APRON 4 FURNISH/INSTALL 5' PEDESTRIAN PUSHBUTTON STATION POLE 5 INSTALL PEDESTRIAN PUSHBUTTON STATION 2 EA 6 TY 1 SIGNAL FOLTNDATION 1 EA Sub-Total of Previous Unit Estimated Unit Unit Cost Estimated Completed Completed Quaniry Total Quaniry Total 0 EA $21,�13.00 $0.00 0 $0.00 16 LF $41.00 $656.00 2 EA $3,574.00 $7,148.00 1 EA $5,794.00 $5,794.00 16 $656.00 2 $7,148.00 1 $5,794.00 $9,973.50 $19,947.00 2 $19,947.00 $1,997.00 $1,997.00 1 $1,997.00 $35,542.00 $35,542.00 Tuesday, November 4, 2025 Page 2 of 4 City Project Numbers 105843 Contract Name CHICK-FIT,-A I-30 & I:AS'I'CHASI? 05947 Contract Limits Project Type TRAFFIC Project Funding Contract Information Summary Original Contract Amount Change Orders Change Order Number 1 Total Contract Price DOE Number 5843 Estimate Number 1 Payment Number 1 For Period Ending 10/14/2025 $s�,oss.00 ($21,513.00) $35,542.00 Total Cost of Work Completed $35,542.00 Less % Retained $0.00 Net Earned $35,542.00 Earned This Period $35,542.00 Retainage This Period $0.00 Less Liquidated Damages Days @ / Day LessPavement De�ciency 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 $35,542.00 Tuesday, November 4, 2025 Page 3 of 4 City Project Numbers 105843 Contract Name CHICK-FIT,-A I-30 & I:AS'I'CHASI? 05947 Contract Limits Project Type TRAFFIC Project Funding DOE Number 5843 Estimate Number 1 Payment Number 1 For Period Ending 10/14/2025 Project Manager NA City Secretary Contract Number Inspectors D. WATSON / N. DEZAUX Contract Date Contractor LUMIN8 TRANSPORTATION TECHNOLOGIES, LL Contract Time 50 WD Days Charged to Date 59 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 $35,542.00 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 $35,542.00 $0.00 $35,542.00 $0.00 $0.00 $0.00 $0.00 $0.00 $35,542.00 Tuesday, November 4, 2025 Page 4 of 4 DEVELOPER-AWARDED-PROJECTCHANGEORDER REVIEWED By Izeltleen Ahmedaf f:�4 pm, Oct id, �0�5 PROJEGT NAME: Chick-fil-A #�594] Ft Wonh. TX CHANGE CONTRACT: PAVING ORDERNo: GFA# 2Soasa qTYPARTICIPATION: NO qTY PROJECT k 105843 GITV SEGRETARV GONTRAGT# 632fi0 � FID # 30114-0200J31-1 0 5 8 4 3E0)685 X # 283fi] FILE # K-3326 Yw are tlirecled to make Ihe fdlowing changes in iM1e conlrecl tlocumenls: RECOMMENDED: APPROVED: APPROVED: �CmsullrrgEngineei� (D=vel �„C.k��Ck-fil-A IConhecroi��q�y er. .�.r'3..,,.� oae�. io�+a�zozs av: ��`g"'1�(�""W o�e: ay. .1�ofl"�"''"7 o�e: Nam ion�aova n�-me:�° n�e: ^a � nn� co:� v� �o� coos�uam nue� .me: APPROVAL RELOMMENDEO: AGPROVEO: EU AS TO FORM ANO LEGALITY: CFW � Waicr Departmenf GFW- Asss(ani Cily Manager CFW � Assis(anl Gi(y A(lomey Bv NdApplicable Da�e: By: No�Applica�le Oale: By: NotAppllcable Date: Name: NotApO��able Nxme: NotApplicable Name: NolApPlicable Ttle: NotApdicade Title: No�Apdicable Title: No�Apdicada RELOMMEN�ED: C�w- �Confiacf Cwnpiia ATTEST ' Conhacl Lompliance Manager (Pro�ec[ Manager�: By signing I acknwAetlge �ha� I am tha parson respmsida REVIEWED m, me monna�ne a�a aam��s��aro� or m�s �omra��, BylzeldeenAhmedatl:2dpm,Ocfid,2025 BY No�Apdicable Date: antlensuringallpertormanceandreporlingrequiramenis Name: Jannat[aS.Gootlall �+TM1ereareNOCityFundsassociatedwilhlhisConlroc� rne: rue: c�n sec.�ary ❑me�e are cny w�as assoaa�ea wun m�s co�,o-aa M&G Number NIA M&G�ateApproved: NIA Revised:l2-1]-2018 Page 1 INSPEGTOR: NICK DEZAUX Phone No: PROJECT MANAGER: IZELDEEN AHMED Phone No: REASONS FOR CHANGE ORDER MaNKINGS DOES NOT LINE UP ON EDERVILLE Hi� iO NEW DESIGN ADA RAMP. PER INSPECTION RE4UE5T WE WILL NEED T0 REMOVE EXIS IiNG CkOSS WALK MARNING AND WSTALL NEW MARKINGS. WITH SHIFITiNG THE NEW MARKINGS WILL REQUiRE TNE STOP BAR TO BE SHIFTEO BACK A FEW FEEr THlS WILL REOUIRE SiOP BAR TO BE REMOVE� ANp RE MARNED WEWI�L NEEp AN ADUED 5 pAYS ANO i WEEKOFADOEO CONTROL FOR ih'E iNSTALLERS TOARRIVE iOCOMPLETED WORK. PEH CITV �NSPC�ION REOUESi. WF wER AL50 /NSTRUCTED TO REM1aOVE iHE CROSS WALK TO THE MEDIAN OFF EASiCNASE TO t)00 EASiACHASE ADA RAMP TO MA TCH NEW LAYOui WE WERE INSTURCiED BY C'TY PROJECT MnrvAGER IO PROVIDE A DEDUCT Ch'AnGE ORDER FOR 1HE ELECTRIC SERVICE PEDESTAL iHAi IS NO LONGER NEQU�RED. ��x� TRANSPORTATION AND PUBLIC WORKS September 24, 2025 Embree Construction Group 4747 Williams Dr Georgetown, TX 78633 RE: Acceptance Letter Project Name: Eastchase Parkway Chick-fil-A Project Type: Devloper City Project No.: 105843 To Whom It May Concern: On October 23, 2025 a final inspection was made on the subject project. There were no punch list items identified at that time. The final inspection indicates that the work meets the City of Fort Worth specifications and is therefore accepted by the City. The warranty period will start on October 23, 2025, which is the date of the final inspection 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- 392-7830. Sincerely, a�� P� Izeldeen Ahmed P.M , Project Manager Cc: Nickolas Dezaux, Inspector Donald Watson, Inspection Supervisor Aaron Ybarra , Senior Inspector Andrew Goodman P.M, Program Manager Cushman, Consultant Embree Construction Group, Contractor Chick-Fil-A, Developer File E-Mail: TPW_Acceptance@fortworthtexas.gov Rev. 08/20/19 � � '1 a11i�5;�C3��'�� i�id� ! �i;'1.i1�! s��1rS AFFIDAVIT STATE OF TEXAS COUNTY OF TARRANT 10/30/2025 city of Fort worth CFA Administration 100 Fort Worth Trail Fort Worth, TX 76102 RE: Chick-fil-A I-30 & Eastchase 05947 CFA#25-0058 City Project # 105843 IPRC#25-0015 COMPONENTS: Traffic Signal The purpose of this letter is to acknowledge that LUMIN8 TRANSPORTATION TECHNOLOGIES, LLC f/k/a Bean Electrical, LLC have been paid in full by Embree Construction Group, Inc. for the public improvements constructed to serve Chick-fil-A I-30 & Eastchase 05947 in Fort Worth, Texas. As a result, we hereby waive, release and relinquish all rights to assert any claim or demand for lien in connection with this project. Please feel free to contact me with any questions you may have. Sincerely, Ro ert A. Webb SW Regional President Regional office: 821 E Enon Ave Fort Worth, Tx. 76140 (817) 561-7400 www.lumin8.com Corporate Office: 5920 Lamar St Arvada, Colorado 80003 (303)422-7985 GONSENT aF SURETY OWNRR o TO FINAL PAYMENT �tc�-nTrcr p AiA Dacu��at �7�7 cQrtrx�c7•oR ❑ sv�rx � Rnnri Nn f�\/HN�l1(1R7��i41 �T�� 1 ro ovrnv�x: ,�Cxz�crs �x�J�cr �vo.: (Na�ne andadclmar) Chick-Fil-A, Inc. ��o,�cr: (Ncune and a�ltlrrtc�} Chick-Fil-A- Fort Worth, TX C01�T'TRACI'F4R: Chick-Fil-A- Fort Worth, TX C�ONTI2A�'£DA'i�D: June 9, 2025 In acasrciance wich rhe provisions af the Contract between �he Owner and ti-►e Ct�ntractc�r as inc�it�ateci alx�ve, the (Insert rnuirr aud aetd�st af.s?�re'!YJ Harco National Insurance Company 4200 Six Forks Road, Suite 1400 Raleigh, NC 27609 on b�nd of (tn.a: rr Mama anrl aclrhr�c q/'Contradur) Lumin8 Transportation Technologies LLC dba Bean Electrical LLC 5920 Lamar Street Arvada, CO 80003 � St3RETX, , CONTRACI'OR, hereby apprnves of ihe flnai payment co the Contraetnr, and agrees that i�na( payrnent to r.he Cc�ntraccnr shal! ncyt re}ieve d-�e Surery c�f any of ics obligacto.ns �o (G�.�rn namracrnd udtl+�sx o,/'Ouwer) Chick-Fil-A, Inc. as se� fnrch 3n said 5urery's %c�rrci. , oWNHR, 1N WiTN&SS WH�R��F, rhe surery has hereun�o set its hanc! c�r� ihis date: October 30, 2025 (huu�Y !tr uvfH��q f/� urontb faltoued hN tlxe n�unertc rlare and t+�ar.l Harco National Insurance Company (Sx�rlrJ (5�urturr gfutr�boryzrd rr �ztatia+rl AileSC: �S Susan J. Lattarulo, Attorney-in-Fact [P�i�Ured itau:e autllitlr) ��{n-�-'i gsa POWER OF ATTORNEY Bond # DVHNSU0872541 HARCO NATIONAL INSURANCE COMPANY INTERNATIONAL FIDELITY INSURANCE COMPANY Member companies of IAT Insurance Group, Headquartered: 4200 Six Forks Rd, Suite 1400, Raleigh, NC 27609 KNOW ALL MEN BY THESE PRESENTS: That HARCO NATIONAL INSURANCE COMPANY, a corporation organized and existing under the �aws of the State of Illinois, and INTERNATIONAL FIDELITY INSURANCE COMPANY, a corporation organized and existing under the laws of the State of New Jersey, and having their principal offices located respectively in the cities of Roiling Meadows, Illinois and Newark, New Jersey, do hereby constitute and appoint THOMAS F. MCCOY JR, KELLI E. HOUSWORTH, TRAVIS J. ROBLES, SUSAN J. LATTARULO Denver, CO their true and lawful attorney(s)-in-fact to execute, seal and deliver for and on its behalf as surety, any and all bonds and undertakings, contracts of indemnity and other writings obligatory in the nature thereof, which are or may be allowed, required or permitted by law, statute, rule, regulation, contract or otherwise, and the execution of such instrument(s) in pursuance of these presents, shall be as binding upon the said HARCO NATIONAL INSURANCE COMPANY and INTERNATIONAL FIDELITY INSURANCE COMPANY, as fully and amply, to all intents and purposes, as if the same had been duly executed and acknowledged by their regularly elected officers at their principal offices. This Power of Attorney is executed, and may be revoked, pursuant to and by authority of the By-Laws of HARCO NATIONAL INSURANCE COMPANY and INTERNATIONAL FIDELITY INSURANCE COMPANY and is granted under and by authority of the following resolution adopted by the Board of Directors of INTERNATIONAL FIDELITY INSURANCE COMPANY at a meeting duly held on the 13th day of December, 2018 and by the Board of Directors of HARCO NATIONAL INSURANCE COMPANY at a meeting heid on the 13th day of December, 2018. "RESOLVED, that (1) the Chief Executive Officer, President, Executive Vice President, Senior Vice President, Vice President, or Secretary of the Corporation shall have the power to appoint, and to revoke the appointments of, Attorneys-in-Fact or agents with power and authority as defined or limited in their respective powers of attorney, and to execute on behalf of the Corporation and affix the Corporation's seal thereto, bonds, undertakings, recognizances, contracts of indemnity and other written obligations in the nature thereof or related thereto; and (2) any such Officers of the Corporation may appoint and revoke the appointments of joint-control custodians, agents for acceptance of process, and Attorneys-in-fact with authority to execute waivers and consents on behalf of the Corporation; and (3) the signature of any such Officer of the Corporation and the Corporation'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 seals when so used whether heretofore or hereafter, being hereby adopted by the Corporation as the original signature of such officer and the original seal of the Corporation, to be valid and binding upon the Corporation with the same force and effect as though manuaily affixed." IN WITNESS WHEREOF, HARCO NATIONAL INSURANCE COMPANY and INTERNATIONAL FIDELITY INSURANCE COMPANY have each executed and attested these presents on this 31st day of December, 2023 ,,�.��,,,,� �.��,�NSU9 � : z�0�4 arortqr�?'�,� : S�A� =0'. t9se i,�j :; �dy .`,<trr,a�� 'ab - ,� I,y •,..�.. ••*�; �...��.•+•'� ��a�atr �,�,.� �� l �� o �' SEAL `� � �— 19Q4 �,, 4 �1�� rkl ,� �,�a STATE OF NEW JERSEY STATE OF ILLINOIS County of Essex County of Cook Michael F. Zurcher Executive Vice President, Harco National Insurance Company and International Fidelity Insurance Company On this 31st day of December, 2023 , before me came the individual who executed the preceding instrument, to me personally known, and, being by me duly sworn, said he is the therein described and authorized officer of HARCO NATIONAL INSURANCE COMPANY and INTERNATIONAL FIDELITY INSURANCE COMPANY; that the seals affixed to said instrument are the Cnrporate Seals of said Companies; that the said Corporate Seals and his signature were duly affixed by order of the Boards of Directors of said Companies. ,,,,� -'''GP'�'�Y �R(��; -,, :� �ao-fqRy� �3 : ct>�. �c'(/Bl.1G ; ��:' ��x NE`N ��' . IN TESTIMONY WHEREOF, I have hereunto set my hand affixed my Official Seal, at the City of Newark, New Jersey the day and year first above written. �� U Cathy Cruz a Notary Public of New Jersey My Commission Expires April 16, 2029 CERTIFICATION I, the undersigned officer of HARCO NATIONAL INSURANCE COMPANY and INTERNATIONAL FIDELITY INSURANCE COMPANY do hereby certify that I have compared the foregoing copy of the Power of Attorney and affidavit, and the copy of the Sections of the By-Laws of said Companies as set forth in said Power of Attorney, with the originals on file in the home office of said companies, and that the same are correct transcripts thereof, and of the whole of the said originals, and that the said Power of Attorney has not bean revoked and is now in fuli force and effect. IN TESTIMONY WHEREOF, I have hereunto set my hand on tnis day, Qctober 30, 2025 A00922 ��X-r^AQ _ - Irene Martins, Assistant Secretary