HomeMy WebLinkAbout063260-FP4 - Construction-Related - Contract - Embree ConstructionFORT WORTH"'
City Secretary -FP4
Contract No. 63260
Date Received 11/12/2025
NOTICE OF PROJECT COMPLETION
(Developer Projects)
11/19/2025
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): ❑x Paving ❑ Drainage ❑ Street Lights ❑ Bridge
Original Contract Price:
$102,832.54
Amount of Approved Change Order(s):
$10,142.50
Revised Contract Amount:
$112,975.04
Total Cost of Work Complete:
$112,975.04
Joel lxtine (N 11. 202511:04:017
Contractor
Project Manager
Title
Embree Construction
Company Name
M�c� T>e-zatiwc
Project Inspector
Project Manager
—V
CFA Manager
TPW Director
u0�1 —1
Asst. City Manager
11/07/2025
Date
11/11/2025
Date
11/11/2025
Date
11/12/2025
Date
11/12/2025
Date
11/14/2025
Date
OFFICIAL RECORD
CITY SECRETARY Page 1 of 2
FT. WORTH, TX
Notice of Project Completion
Project Name: Chick-Fil-A Eastchase
City Project No.: 105843
City's Attachments
Final Pay Estimate ❑x
Change Order(s): ❑x 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
FORT WORTH
CITY OF FORT WORTH
FINAL PAYMENT REQUEST
Contract Name CHICK-FIL-A I-30 & EASTCHASE 05947
Contract Limits
Project Type PAVING
City Project Numbers 105843
DOE Number 5843
Estimate Number 1 Payment Number 1
City Secretary Contract Number
Contract Date
For Period Ending 10/14/2025
WD
Project Manager NA
Contractor EMBREE CONSTRUCTION GROUP, INC.
8050 AIRPORT RD.
GEORGETOWN, TX 78628
Inspectors D. WATSON / N. DEZAUX
Contract Time 5WD
Days Charged to Date 59
Contract is 100.00 Complete
Thursday, October 30, 2025 Page 1 of 4
City Project Numbers 105843 DOE Number 5843
Contract Name CHICK-FIL-A I-30 & EASTCHASE 05947 Estimate Number 1
Contract Limits Payment Number 1
Project Type PAVING For Period Ending 10/14/2025
Project Funding
UNIT M. PAVING IMPROVEMENTS
Item
Description of Items
Estimated Unit
Unit Cost
Estimated
Completed
Completed
No.
Quanity
Total
Quanity
Total
1
CONSTRUCTION STAKING
I LS
$5,000.00
$5,000.00
1
$5,000.00
2
REMOVE CONC CURB & GUTTER
310 LF
$11.29
$3,499.90
310
$3,499.90
3
SITE CLEARING
I LS
$3,086.00
$3,086.00
1
$3,086.00
4
4" CONC SIDEWALK
4191 SF
$7.15
$29,965.65
4191
$29,965.65
5
6" CONCRETE DRIVEWAY
3235 SF
$7.18
$23,227.30
3235
$23,227.30
6
6" CONC CURB AND GUTTER
282 LF
$6.00
$1,692.00
282
$1,692.00
7
TOPSOIL
71 CY
$113.38
$8,049.98
71
$8,049.98
8
BLOCK SOD PLACEMENT
851 SY
$19.19
$16,330.69
851
$16,330.69
9
TRAFFIC CONTROL
2 MO
$3,750.00
$7,500.00
2
$7,500.00
10
BARRIER FREE RAMP, TYPE P-1
8 EA
$300.00
$2,400.00
8
$2,400.00
11
LANE LEGEND ARROW
2 EA
$400.00
$800.00
2
$800.00
12
6" SLD PVMT MARKING HAS (W)
169 LF
$7.58
$1,281.02
169
$1,281.02
13
PREFORMED THERMOPLASTIC CONTRACT
1 EA
$1,000.00
$1,000.00
1
$1,000.00
MARKINGS 24" STOP BARS (CO 1)
14
PREFORMED THERMOPLASTIC CONTRAST
16 EA
$295.00
$4,720.00
16
$4,720.00
MARKINGS 24" X-WALK (CO 1)
15
REMOVE 24" PVMT MARKING & CROSSWALK
17 EA
$205.00
$3,485.00
17
$3,485.00
(CO 1)
9B
TRAFFIC CONTROL (CO 1)
1 WK
$937.50
$937.50
1
$937.50
--------------------------------------
Sub -Total of Previous Unit
$112,975.04
$112,975.04
Thursday, October 30, 2025 Page 2 of 4
City Project Numbers 105843
Contract Name CHICK-FIL-A I-30 & EASTCHASE 05947
Contract Limits
Project Type PAVING
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
$102,832.54
$10,142.50
$112,975.04
Total Cost of Work Completed $112,975.04
Less % Retained $0.00
Net Earned $112,975.04
Earned This Period $112,975.04
Retainage This Period $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
$112,975.04
Thursday, October 30, 2025 Page 3 of 4
City Project Numbers 105843
Contract Name CHICK-FIL-A I-30 & EASTCHASE 05947
Contract Limits
Project Type PAVING
Project Funding
Project Manager NA
Inspectors D. WATSON / N. DEZAUX
Contractor EMBREE CONSTRUCTION GROUP, INC.
8050 AIRPORT RD.
GEORGETOWN, TX 78628
DOE Number 5843
Estimate Number 1
Payment Number 1
For Period Ending 10/14/2025
City Secretary Contract Number
Contract Date
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 $112,975.04
Less % Retained
$0.00
Net Earned
$112,975.04
Earned This Period $112,975.04
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
$112,975.04
Thursday, October 30, 2025 Page 4 of 4
DEVELOPER -AWARDED -PROJECT CHANGE ORDER REVIEWED
By IZMdem Ahmedat 1:24 pm, Oct 14, 2025
PROJECT NAME:
Chick-fil-A#05g4T Ft WOM TX
CHANGE
CONTRACT:
PAVING
ORDER No:
CFA#
25 058 CITY PARTICIPATION:1 NO
CITY PROJECT#
105843
CITYSECRETARYCONTRACT#
53260
1
FID It
30114020N31-105843-E07685
X #
2836T
FILE It
K-3326
INSPECTOR: NICK DEZAUX Phone No:
PROJECT MANAGER: IZELDEEN AHMED Phone N.
■
Ym are directed' to make the l Iming changes in the contract documents:
IjE=
IjE�
IjE�
IjE
���
�
Ell♦
EMI♦
EMI♦
Asterisk (') Indicates New Pay Item
REASONS FOR CHANGE ORDER EXISTING CROSSWALK MARKINGS DOES NOT LINE UP ON EDERVILLE RD TO NEW DESIGN ADA RAMP. PER INSPECTION REQUEST WE WILL NEED TO
REMOVE EXISTING CROSSWALK MARKING AND INSTALL NEW MARKINGS. WITH SHIFITING THE NEW MARKINGS WILL REQUIRE THE STOP BAR TOM
SHIFTED BACK A FEW FEET THIS WILL REQUIRE STOP BAR TO BE REMOVED AND RE MARKED.
WE WILLNEED ANADDED 5 DAYS AND 1 WEEK OF ADDED CONTROL FOR THE INSTALLERS TO ARRIVE TO COMPLETED WORK.
PER CITY INSPCTION REQUEST, WE WERALSO INSTRUCTED TO REMOVE THE CROSSWALK TOME MEDIAN OFF EASTQHASE TO 1700 EASTACHASEADA
RAMP TO MATCH NEW LAYOUT.
WE WERE INSTURCTED BY CITY PROJECT MANAGER TO PROVIDE A DEDUCT CHANGE ORDER FOR THE ELECTRIC SERVICE PEDESTAL THAT IS NO
LONGER REQUIRED.
RECOMMENDED: APPROVED: APPROVED:
(Ca lq ErIF—) fDava0w9,91,mk-fil-A fGnfmd �.¢
B . Dale: iW1412025 B� `^'""^`7 "ICI Dare: t0lid12025 BY I ,pw %eiiluz y �: 1W1a 6
Nem John BOYtl N�a_CpuNwy Yvwy Ngpa; Jcel MaNa
T� C--ct— Consdlant TN,; PrlM,ypal Cpnebaclb, w T#le: Prged Manager
APPROVAL RECOMMENDED'. APPROVED: APPROVED AS TO FORM AND LEGAL":
CFW-Wafer O P—f CFW-Aesiafaaf Co Manager CFW-Aaa -t CI(y Aflpmey
B, Nd Applicable Gale: By: NIX Applicable Dale: By. Not Applicable Dale:
Name: Nd Applicable Name: Nd Appli— Name: Nd Applicable
Tde: Not Apdi.bW Title: Nd Applicable Title: Nd Applicable
RECOMMENDED:
CFW-'Cpdracf Compliance Manager ATTEST Contmd Compliance Manager (Project Manager):
By signing I ack-Medge the I am the perem respmsibi,
REVIEWED— a pr me mdnngdng and adminlata dndmia wntmct.
By: Nd Applicable Ode: antl ensuring all performance and repMing requirements
By /zeldeen Ahmed of 1:24 pm, Ocf id, N115
Names Ja- S. Goodall I@ There are NO City Funds asadcided with this Coninxt
Tld :
Title: City Secretary ❑Thom are City Funds associated with this Don(rect
M&C Number: NIA
M&C Date Apprwed: NIA
Revised: 1.17-2018 Page 1
FORTWORTH.
M"
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,
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
lyk-AIA
Document G706 -1994
Contractor's Affidavit of Payment of Debts and Claims
PROJECT: (Name and address)
Chick-Fil-A - Fort Worth, TX
1700 Eastchase Pkwy
Fort Worth, TX 76120
TO OWNER: (Name and address)
Chick-Fil-A, Inc.
5200 Buffington Rd
Atlanta, GA 37922
STATE OF: TEXAS
COUNTY OF: WILLIAMSON
ARCHITECT'S PROJECT NUMBER:
Mayse & Associates
148750 Quorum Dr. Suite 201
Dallas, TX 75254
CONTRACT FOR: General Contractor
CONTRACT DATED: 03/04/2025
OWNER:
ARCHITECT:
CONTRACTOR:
SURETY,
OTHER:
The undersigned hereby certifies that, except as listed below, payment has been made in full and all obligations have otherwise
been satisfied for all materials and equipment furnished, for all work, labor, and services performed, and for all known
indebtedness and claims against the Contractor for damages arising in any manner in connection with the performance of the
Contract referenced above for which the Owner or Owner's property might in any way be held responsible or encumbered.
EXCEPTIONS:
None
SUPPORTING DOCUMENTS ATTACHED HERETO:
1. Consent of Surety to Final Payment. Whenever
Surety is involved, Consent of Surety is
required. AIA Document G707, Consent of
Surety, may be used for this purpose
Indicate Attachment ❑ Yes ® No
The following supporting documents should be attached
hereto if required by the Owner:
Contractor's Release or Waiver of Liens,
conditional upon receipt of final payment.
2, Separate Releases or Waivers of Liens from
Subcontractors and material and equipment
suppliers, to the extent required by the Owner,
accompanied by a list thereof.
3. Contractor's Affidavit of Release of Liens (AIA
Document G706A).
CONTRACTOR: (Name and address)
EMBREE CONSTRUCTION GROUP, INC.
4747 WILLIAMS DRIVE
GEORGETOWN, TX 78633
BY: 711.
(Signature of authorized representative)
-mot C'Awk - \g6 PY>eSd w -
(Printed name and title)
Subscribed and sworn to before me on this date:
Notary Public: v v V
My Commission Expires: r, '� 1,ZU
+ Z
MACON BOYCE
Notary Public, State of Texas
= Q= Comm. Expires03-26-2028
Notary ID 134825297
AIA Document G706 — 1994. Copyright ® 1970 and 1994. All rights reserved "The American Institute of Architects," "American Institute of Architects," "AIA," the
AIA Logo, and "AIA Contract Documents" are trademarks of The American Institute o1 Architects. This document was produced at 15:23:02 CT on 11 /10/2025
under Order No.2114469092 which expires on 1213012025, is not for resale, is licensed for one-time use only, and may only be used in accordance with the AIA
Contract DocumentsO Terms of Service. To report copyright violations, e-mail decinfo@aiacontracts.com.
User Notes: (3139ADA50)
CONSENT OF SURETY TO PAYMENT FOR
STORED MATERIALS
OWNER Ix I
ARCHITECT ❑
CONTRACTOR ❑
SURETY ❑
OTHER ❑
TO OWNER:
(NAME AND ADDRESS) ARCHITECT'S PROJECT NO.:
City of Fort Worth
100 Fort Worth Trail
Fort Worth, TX 76102
Paving improvements for
CONTRACT FOR: Chick-fil-,4 at I-30 &
Eastchase, Fort Worth, TX 76120
PROJECT: Chick-fil-A I-30 & Eastchase 05947
(NAME AND ADDRESS) CONTRACT DATED: 06/13/25
1700 Eastchase Pkwy
Fort Worth, TX 76120
In accordance with the provisions of the Contract between the Owner and the Contractor as indicated above, the
(Insert name and address of Surety)
Markel Insurance Company
2103 CityWest Blvd., # 1300, Houston, TX 77042-2832 , SURETY,
on bond of
(Insert name and address of Contractor)
Embree Construction Group, Inc. CONTRACTOR,
4747 Williams Drive, Georgetown, TX 78633
hereby approves payment to the Contractor for materials stored by Contractor at Contractor's warehouse as
follows:
Stored Materials In The Amount Of $102,832.54 located at 1700 Eastchase Pkwv, Fort Worth, TX 76120
The Surety agrees that such payment to the Contractor shall not relieve the Surety of any of its obligations to
(Insert name and address of Owner)
City of Fort Worth
100 Fort Worth Trail
Fort Worth, TX 76102
as set forth in said Surety's bond. # 4484018 OWNER,
IN WITNESS WHEREOF, the surety has hereunto set its hand on this date: November 6, 2025
(Insert in writing the month followed by the numeric date and year)
�A(W8N,amr--
Attest: Witness
(Sea,):
Markel Insurance Company
(Surety)
(WhatuV of authorized representative)
Jody Robinson, Attorney -In -Fact
(Print Name & Title)
POA# 4221022
JOINT LIMITED POWER OF ATTORNEY
KNOW ALL MEN BY THESE PRESENTS: That SureTec Insurance Company, a Corporation duly organized and existing under the laws of the State of Texas and having its
principal office in the County of Harris, Texas and Markel Insurance Company (the "Company"), a corporation duly organized and existing under the laws of the state
of Illinois, and having its principal administrative office in Glen Allen, Virginia, does by these presents make, constitute and appoint:
Randall D. Stewart, Jody Robinson, Melissa Williams
Their true and lawful agents) and attorney(s)-in-fact, each in their separate capacity if more than one is named above, to make, execute, seal and deliver for and on
their own bef}a f, individually as a surety or jointly, as co -sureties, and as their act and deed any and all bonds and other undertaking in suretyship provided, however,
that the penal sum of any one such instrument executed hereunder shall not exceed the sum of:
Fifty Million and 001100 Dol'ars ($50,000,000.00)
This Power of Attorney:s grated and is signed and sealed under and by the authority of the following Resolutions adopted by the Board of Directors of SureTec
Insurance Company and Marke niuramp Company:
"RESOLVED, That the President, any Senior Vice President, Vice President, Assistant Vice President, Secretary, Assistant Secretary, Treasurer or Assistant Treasurer
and each of them hereby is authorized to execute powers of attorney, and such authority can be executed by use of facsimile signature, which may be attested or
acknowledged by any officer or attorney, of the company, qualifying the attorney or attorneys named in the given power of attorney, to execute in behalf of, and
acknowledge as the act and deed of the SureTec Insurance Company and Markel Insurance Company, as the case may be, all bond undertakings and contracts of
suretyship, and to affix the corporate seal thereto."
IN WITNESS WHEREOF, Markel Insurance Company and SureTec Insurarwe Company have caused their official seal to be hereunto affixed and these presents to be
signed by their duly authorized officers on the 6th day of M&Th , 102y .
S�mTe,. InsuranceCcmpany y�tRANp `��sv",,,�� MarkelI ranee Co ny
LU.....,,1Fn0
: p�pOFf%I E"Co S
UJ
av X 5 =4 SEAL : b-
=�= By:
By 7� 1*! J%, �.�� n yJennin ice President
Michael C. Keimig, esident `'.••.'"'' •,hjrir*rt�t+��•
State of Texas
County of Harris:
On this 6th day of March 1 2025 A. D., before me, a Notary Public of the State of Texas, in and for the County of Harris, duly commissioned and qua ified,
came THE ABOVE OFFICERS OF THE COMPANIES, to me personally known to be the individuals and officers described in, who executed the preceding instrument, and
they acknowledged the execution of same, and being by me duly sworn, disposed and said that they are the officers of the said companies aforesaid, and that the
seals affixed to the proceeding instrument are the Corporate Seals of said Companies, and the said Corporate Seals and their signatures as officers were duly affixed
and subscribed to the said instrument by the authority and direction of the said companies, and that Resolutions adopted by the Board of Directors of said Companies
referred to in the preceding instrument is now in force.
t%%"tttttrrr,1rf
IN TESTIMONY WHEREOF, I have hereunto set my hand, and affixed my Official3e4e t�arris, the day and year first above written.
O�ARy PV�` tC9
= _ �� ' By,
Chelsea Turner, Notary Public
Y"My commission expires 7/6/2028
"IF -1 gyp'
2.
We, the undersigned Officers of SureTec Insurance Company and Markel InlyC�dg�bertify that the original POWER OF ATTORNEY of which the
foregoing is a full, true and correct copy is still in full force and effect and has r{ei�i'eFi�j•GG •�
���rrttttNttt
IN WITNESS WHEREOF, we have hereunto set our hands, and affixed the Seals of said Companies, on the 6th day of November 2025
SureTec Insurance Company
By.
M- Bren Beaty, Assistant Secretary
wz rkel Insurance Company
By. i
drew Margt s, Assista ecretary
Any Instrument Issued in excess of the penalty stated above is totally void and without any validity. 4221022
For verification of the authority of this Power you may call (713)812-0800 on any business day between 8:30 AM and 5:00 PtA CST.
Markel Insurance Company
THIS BOND RIDER CONTAINS IMPORTANT COVERAGE INFORMATION
Statutory Complaint Notice/Filing of Claims
To obtain information or make a complaint: You may call the Surety's toll free telephone number for information or
to make a complaint or file a claim at: 1-866-732-0099. You may also write to the Surety at:
Markel Insurance Company
9500 Arboretum Blvd., Suite 400
Austin, TX 78759
You may contact the Texas Department of Insurance to obtain information on companies, coverage, rights or
complaints at 1-800-252- 3439. You may write the Texas Department of Insurance at:
PO Box 149104
Austin, TX 78714-9104
Fax#: 512-490-1007
Web: h!W://www.tdi.state.tx.us
Email: ConsumerProtection@tdi.texas.gov
PREMIUM OR CLAIMS DISPUTES: Should you have a dispute concerning your premium or about a claim, you
should contact the Surety first. If the dispute is not resolved, you may contact the Texas Department of
Insurance.
MIC TX Rider TDI Required Notices rev 07_2022 Page 1 of 1