HomeMy WebLinkAbout059539-FP3 - Construction-Related - Contract - Clean Scapes-Austin, LLC-FP3
FORTWORTH.
City Secretary
Contract No. 59539
Date Received 11/20/2025
11/21/2025
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: HCA Behavioral Health Hospital
City Project No.: 104380 *Paving Notice Of Project Completion 2 of 4
Improvement Type(s): 0 Paving ❑ Drainage ❑ Street Lights ❑ Traffic Signals
Original Contract Price:
$4,350.43
Amount of Approved Change Order(s):
$0.00
Revised Contract Amount:
$0.00
Total Cost of Work Complete:
$4,350.43
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6soree finder ere loci 30. 202113s7 45 CDT)
Contractor
Managing Principal
Title
Clean-Scapes-Austin LLC
Company Name
,C, k/—
Donald Watson (Oct 31, 2025 08:45:49 CDT)
Project Inspector
Project Manager
ja�
CFA Manager
10/29/2025
Date
10/31/2025
Date
10/31/2025
Date
11/20/2025
Date
11/20/2025
TPW Director Date
OFFICIAL RECORD
CITY SECRETARY
Page 1 of 2
FT. WORTH, TX
Notice of Project Completion
Project Name: HCA Behavioral Health Hospital
City Project No.: 104380
City's Attachments
Final Pay Estimate 0
Change Order(s): ❑ Yes 0 N/A
Contractor's Attachments
Affidavit of Bills Paid
Consent of Surety
Statement of Contract Time
Contract Time: 45 WD Days Charged: 186WD
Work Start Date: 12/18/2023 Work Complete Date: 11/11/2024
Completed number of Soil Lab Test: 226
Completed number of Water Test: 4
Comment: The developer reduce the charge days from 192 to186.
Page 2 of 2
DocuSign Envelope ID: 8D4158OA-9582-42D5-BF72-14BBOD58DC35
SECTION 00 42 43
Developer Awarded Projects - PROPOSAL FORM
UNIT PRICE BID
00 42 43
DAP - BID PROPOSAL
Page 3 of 4
Bidder's Application
Project Item Information
Bidder's Proposal
Bidlist Item
No.
Description
I
Specification
Section No.
Unit of
Measure
Bid
Quantity
Unit Price
Bid Value
UNIT IV: PAVING IMPROVEMENTS
9
3291.0100 Topsoil
3291 19
CY
58
$22.66
$1,314.28
10
3292.0100 Block Sod Placement
32 92 13
SY
519
$5.85
$3,036.15
TOTAL UNIT IV: PAVING IMPROVEMENTS
$4,350.43
CITY OF FORT WORTH
STANDARD CONSTRUCTION SPECIFICATION DOCUMENTS - DEVELOPER AWARDED PROJECTS
Form Version May 22, 2019
RISINGER ROAD SOUTH INDUSTRIAL PARK
CPN 102560
Copy of 1st Doc Review Bid Proposal_DAP.x1s
DocuSign Envelope ID: 8D4158OA-9582-42D5-BF72-14BBOD58DC35
SECTION 00 42 43
Developer Awarded Projects - PROPOSAL FORM
UNIT PRICE BID
00 42 43
DAP - BID PROPOSAL
Page 4 of 4
Bidder's Application
Project Item Information
Bidder's Proposal
Bidlist Item
No.
Description
Specification
Section No.
Unit of
Measure
Bid
Quantity
Unit Price
Bid Value
Bid Summary
UNIT IV: PAVING IMPROVEMENTS
$4,350.43
Total Construction Bid
$4,350.43
This Bid is submitted by the entity named below:
BIDDER: BY:
Clean Scapes-Austin, LLC
PO Box 203070
TITLE:
Austin, TX 78720 DATE:
Contractor agrees to complete WORK for FINAL ACCEPTANCE within
CONTRACT commences to run as provided in the General Conditions.
George Lindenberg
o..sieoea by:
°WEN11911ricipal
9/26/2023
END OF SECTION
45 working days after the date when the
CITY OF FORT WORTH
STANDARD CONSTRUCTION SPECIFICATION DOCUMENTS - DEVELOPER AWARDED PROJECTS
Form Version May 22, 2019
RISINGER ROAD SOUTH INDUSTRIAL PARK
CPN 102560
Copy of 1st Doc Review Bid Proposal_DAP.x1s
FORT WORTH
CITY OF FORT WORTH
FINAL PAYMENT REQUEST
Contract Name HCA BEHAVORIAL HEALTH HOSPITAL
Contract Limits
Project Type PAVING
City Project Numbers 104380
DOE Number 4380
Estimate Number 1 Payment Number I
City Secretary Contract Number
Contract Date
Project Manager NA
Contractor CLEAN SCAPES-AUSTIN, LLC
PO BOX 203070
For Period Ending 11/11/2024
WD
AUSTIN, TX 78720
Inspectors D. WATSON / HOLLINGSWORT
Contract Time 4WD
Days Charged to Date 192
Contract is 100.00 Complete
Wednesday, June 18, 2025 Page 1 of 4
City Project Numbers 104380
Contract Name HCA BEHAVORIAL HEALTH HOSPITAL
Contract Limits
Project Type PAVING
Project Funding
DOE Number 4380
Estimate Number I
Payment Number I
For Period Ending 11/11/2024
UNIT IV: PAVING IMPROVEMENTS
Item Description of Items Estimated Unit Unit Cost
Estimated
Completed
Completed
No. Quanity
Total
Quanity
Total
9 TOPSOIL 58 CY $22.66
$1,314.28
58
$1,314.28
10 BLOCK SOD PLACEMENT 519 SY $5.85
$3,036.15
519
$3,036.15
Sub -Total of Previous Unit
$4,350.43
$4,350.43
Wednesday, June 18, 2025 Page 2 of 4
City Project Numbers 104380
Contract Name HCA BEHAVORIAL HEALTH HOSPITAL
Contract Limits
Project Type PAVING
Project Funding
Contract Information Summary
Original Contract Amount
Change Orders
Total Contract Price
DOE Number 4380
Estimate Number I
Payment Number I
For Period Ending 11/11/2024
$4,350.43
$4,350.43
Total Cost of Work Completed $4,350.43
Less % Retained $0.00
Net Earned $4,350.43
Earned This Period $4,350.43
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 $4,350.43
Wednesday, June 18, 2025 Page 3 of 4
City Project Numbers 104380 DOE Number 4380
Contract Name HCA BEHAVORIAL HEALTH HOSPITAL Estimate Number I
Contract Limits Payment Number I
Project Type PAVING For Period Ending 11/11/2024
Project Funding
Project Manager NA City Secretary Contract Number
Inspectors D. WATSON / HOLLINGSWORT Contract Date
Contractor CLEAN SCAPES-AUSTIN, LLC Contract Time 45 WD
PO BOX 203070 Days Charged to Date 192 WD
AUSTIN, TX 78720 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
$4,350.43
Less % Retained
$0.00
Net Earned
$4,350.43
Earned This Period $4,350.43
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
$4,350.43
Wednesday, June 18, 2025 Page 4 of 4
FORTWORTH.,
WM
TRANSPORTATION AND PUBLIC WORKS
November 20, 2024
Clean-Scapes-Austin LLC
P.O. Box 203070
Austin, TX 78216
RE: Acceptance Letter
Project Name: HCA Behavioral Health Hospital
Project Type: Water, Sewer and Paving
City Project No.: 104380
To Whom It May Concern:
On November 20, 2024 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 November 20,
2024, 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-
392-8424.
Sincerely,
e
Sandip Adhikari P.E., Project Manager
Cc: Curtis Hollingsworth, Inspector
Donald Watson, Inspection Supervisor
Aaron Ybarra, Senior Inspector
Andrew Goodman P.E., Program Manager
Pacheco -Koch, Consultant
Clean-Scapes-Austin LLC, Contractor
HCA Healthcare, Developer
File
E-Mail: TPW_Acceptance@fortworthtexas.gov
Rev.08/20/19
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 George
Lindenberg, Managing Principal Of Clean Scapes - Dallas, LLC, 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;
Landscape and irrigation.
o.
0
George Lindenberg - Managing Principal
Subscribed and sworn before me on this date 29th of October, 2025.
Notary Public
Dallas, Texas
•: * R&y ID # 12WM24
Eqku Decs r9w 20, 2426
CONSENT OF SURETY
TO FINAL PAYMENT
ALA L)aeun:ent G707
(instructions on reverse side)
TO OWNER:
{Narnr anlyd adrlrmM
City of Fork Worth
100 Fort Worth Trail
Fort Worth, TX 76102
PROTECT:
(Narrirund r umvi
HCA Behavioral Health Hospital
58 cyds of topsoil and 519 sy of bermuda sod
Fort Worth, Texas
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El
ARCHITFCC
❑
CON rlr&CTOR
0
SURMY
11
OTH R
ARCHITECT'S PROJECT NO.:
CON AC t' FOR: Landscape
DEVELOPER DATED: July 20, 2023
Bond Number: 1001193989
In accordance with the prnvisiQns of the Contract between the {honer and the UmtraLio r as indicated ei ove, the
(rrrr rux�rer oral rultlrr�x gjSrrrtvt')
American Contractors Indemnity Company
dba Texas Bonding Company
801 S. Figueroa Street, Ste. 700
Los Angeles, CA 90017
Sl;FM- 1,
on bond of
(lawn mane oral adrlira ca(Canrrmatcxl
Cean Scapes - Austin, LLC
P.O. Box 203070
Austin, TX 78720
, CON T'RACiY K
hemby approves of the Final. Ott to the C.tlntractnr, and agrees that f11121 payment to the Conrractcar shall ntit reliem the Surety of
any of its ouigafions to
(rnSrrr naine and addre" of Gwoierl.
City of Fort Worth
100 Fork Worth Trail
Fort Worth, TX 76102
, OWNER,
as set forth in said SureWs tx)rul.
LN WITNESS l►/FWRFOF, the Surety has hemunro set its !rand on rhi.4 date: October 30, 2025.
anwriinuvttr'rWMemorrrhfv!!o-rd$vthentcwykdatecardstLr:)
American Contractors Indemnity Company
dba Texas Bondin Com an
�M1 {SII,+r#thrrc nj[xtrbe�sixexlr�rr;�irrrui+�'1
(Seal): Brad H. Ballew, Attorne -!n-Fact
r PnAaerl rumor a+rd kr/0)
CAUTION. You should sign an original AIA document that has this caution printed In red. An
1 l original assures that changes will not to obscured as may occur when documents are reproduced.
See Instruction Sheet for Limited License for Reproduction of this document_
AEA DOCUA FNT GM • CON.i ,-ir OF SUMY in F[Nm- FAYMNQ' • 199,4 FAXTION • 'NA
0199� • THE AMERICAN INS11Tt,TF. orARctim4,-rs, 173-,1 m, YomAVt m)E, NV, wASti-
iNG1UN. D.C. ZTKW_s•5Z9_'• WARNING: Unlicertsed photocopy#rtg vkft*s U.S. copy- G707 1994
right kwm and wiH subject the violator to legal prosecution.
Brad H. Ballew or Grant Ballew of Austin, Texas
Its true and I.awfui Attarney4sj-in-fact, eaoh .in their separate capacity if more than one 'is named above, with full
power and authority .
hereby conferred in its"name, place and stead, to execute; acknowledge and deliver any and all bonds; recognizances, undertakings
or other instruments or contracts of suretyship to include riders, amendments, and consents of surety, providing the bond
:, ..:.
penalty does not exceed ""'"'Ten Million"" * [.Dollars { �" $10,000,004.00— }.
This Power .of Attorney shallexpire without: fuither: action "on. April 23rd,: 2026::Thisl. 'over of Attorney is granted under and by authority .
::.of.the following resatiafrans:Adopted by the:Boards pf.. Direct❑rs of the Companies:.:
Be if Resolved, that the President, any Vme-President; any Assistant Vice -President, any Secretary or any Assistant Secretary'she11 be and is hereby
vested with full power and authority to appoint any one or more suitable persons as Attorney(s)-in-Fact to represent and act for and on behalf of the
Company subject zo thee following, provisions:'
Mtomey-in-Fait may be given.iu... power and authoiityfor and in the name . and on behalf of the Cvrnpany, to execute,.adkriawiedge and delivei; any
and all bonds, recognizances -,contracts, agreements or: indern nity, and other conditional or obligatory undertakings., incl ing..any; and alt`�tfrssants
for the release of retained' =percentages andlor final estimates on engineering and construction contracts, and arty and ail notices and documents
canceling or terminating the Company's liability thereunder, and any such instruments so executed by any such Attomeyan-Fact shall be binding upon
the Company as.if signed. by the. President and sealed and effected by the Corporate Secretary.
a.,.._ ,.
8e if Resolved, that the signature of any authorized officer and seal of the.Company heretgfore or hereafter:afrrxed to any power of attomey..nr. any
certificate relating thereto. byfammile, and any power of attorneyox oeni6cate:bearirig farslmile signature or facsim'sle seat shell he valid aril binding
upon the Company with resp'editd any bond or undertaking to which itis attached.
IN WITNESS WHEREOF, The.. Companies have caused this instrument to be signed and their corporate seals to he hereto affixed, this
1.$1t' day Rrii 2022: „
°' 7p$�+�a:;. o•"''N it9T''`'+ . `g Su�"r+,r, ' :ti`1^s3,rar7+'r,R. AMERICAN CONTRACTORS INDEMNITY:CCMPANY, TEXAS
_ ° vvptatR? s�� v,4 t �p.'•y �45�, . `�rp ° �e� BONDING COMPANY, UNITED STATES SURETY COMPANY,
z •'s q-- q �I - n �? ti I J.S. SPEC ALTY INSURANCE COMPANY
. a �= INLRIfiFCM-Ff• -,: ;- - �- - :'Ti �= L^. = r. _
❑aniel.P. Aguilar, Dice President
err
A Notary Public or other officer completing this certificate verifies only the identity of the individual who
Y.. •...s.n.. this certificate is attached, and not the truthfulness; accura or validrt of that document-
State of California
County of Los Angeles
document to
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a :::
flra this 1$th day of April'2D22;.before me; Sonia O..:Carrejo, a notary public, personally appeared iJaniel P- Aguilar, Vice Pres+dent o .
irsreriran Contractors Indemnity Company: Texas bonding .Company, united; States Surety Cvmpan.y and Lt-S- SPecialty Insurance .
Company who proved to me on the basis of satisfactoryevidence to be the person whose name is subscribed #o.the within instrument
and acknowledged to that he executed the same in his authorized capacity, and that by his signature on the instrument the person,
the entityppon'behalf of which the person acted... executed the instrument.
J certify uri[ier PENALTY O ::PERJURY under.the:laws of:the State of California tf3at the fiiregoing paragraph i§ true and Correct::..:.
WITNESS my hand and official seal.
.... .,°_.. .._. -:;. - Natery PuNir •� GHlornia .
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t]gE7sp.:
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1, Kio Lo, Assistant Secretary of American .Contractors Indemnity Company, Texas Bonding Company, United States Surety
Company and U_S. Specialty Insurance Company, do hereby certify ttiat:fhe above and:faregoingps 2 true and'correct copy of a;A:r
of Attomey; executed by said Companies,; vvlich is still in :full. force and effe;. furthermore, the resolutions of the _€3oards of Cirectprs,::;:
set out in the Power of Attorney are in full force and effect.
. . my hand and affixed 'We seals of said, Companies. a Los,
California
th
is Witness Whereof, I have.hereunto set
3�th day-cf. of October
e.
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Band No.
o--� Kio Lo. A ant Secretary
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" visit-trrmaicc.co!-1?ISurety.for more information
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Texas Bonding Company
TEXAS COMPLAINT NOTICE
IMPORTANT NOTICE I AVISO IMPORTANTE I
To obtain information or make a complaint:
1. You may contact your agent.
2. You may call the company's toll free telephone
number for information or to make a complaint at:
1-800-486-6695
3. You may also write to the company at:
Texas Bonding Company
801 South Figueroa Street Suite 700
Los Angeles, CA 90017 USA
4. You may contact the Texas Department of
Insurance to obtain information on companies,
coverages, rights, or complaints at:
1-800-252-3439
5. You may write to the Texas Department of
Insurance at:
Consumer Protection (111-1A)
P.O. Box 12030
Austin, Texas 78711-2030
Fax No. 512- 490-1007
Web: www.tdi.texas.gov
E-mail: ConsumerProtection@tdi.texas.gov
PREMIUM OR CLAIM DISPUTES:
Should you have a dispute concerning your premium
or about a claim you should contact the agent or the
company first. If the dispute is not resolved, you may
contact the Texas Department of Insurance.
ATTACH THIS NOTICE TO YOUR POLICY
This notice is for information only and does not
become a part or condition of the attached document.
Para obtener informacion o para someter una queja:
1. Puede comunicarse con su agente.
2. Usted puede Ilamar a] numero de telefono gratis
de la compania's para informacion o para someter
una queja al:
1-800-486-6695
3. Usted tambien puede escribir a [a compatfi[a:
Texas Bonding Company
801 South Figueroa Street Suite 700
Los Angeles, CA 90017 USA
4. Puede comunicarse con el Departamento de
Seguros de Texas para obtener informacion
acerca de companies, coberturas, derechos, o
quejas al:
1-800-252-3439
5. Puede escribir al Departamento de Seguros de
Texas al:
Consumer Protection (111-1A)
P.O, Box 12030
Austin, Texas 78711-2030
Fax No. 512- 490-1007
Web: www.tdi.texas.gov
E-mail: ConsumerProtection@tdi.texas.gov
DISPUTAS SOBRE PRIMA$ C RECI_AMOS:
Si tiene una disputa concerniente a su prima o a un
reclamo, debe comunicarse can el agente o la
compania primero. Si no se resuelve la disputa,
puede entonces comunicarse con el departamento
(TDI).
UNA ESTE AVISO A SU POLIZA
Esta aviso es solo para proposito de informacion y no
se convierte en parte o condicion del documento
adjunto.
H CCSOTX C ❑ M PLAI N T2023/06