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060404-A1-FP1 - Construction-Related - Contract - Rockport Construction Group, LLC
-FP1 FORT WORTH"' City Secretary Contract No. 6o4o4-Al Date Received 12/2/2025 NOTICE OF PROJECT COMPLETION (Developer Projects) 12/05/2025 The Transportation and Public Works Department upon the recommendation of the Project Manager has accepted the following project as complete: Project Name: Envision Imaging Center City Project No.: 105019 Improvement Type(s): ❑ Paving ❑ Drainage ❑x Street Lights ❑ Turn Lane Original Contract Price: $122,711.00 Amount of Approved Change Order(s): $1,687.00 Revised Contract Amount: $124,398.00 Tota I Cost of Work Complete: $124,398.00 Contractor President Title Rockport Construction Group, LLC Company Name — " �7 x - "3 �' Project Inspector Rare Tiwari Project Manager CFA Manager TPW Director 12/02/2025 Date 12/02/2025 Date 12/02/2025 Date 12/02/2025 Date 12/02/2025 Date OFFICIAL RECORD CITY SECRETARY FT. WORTH, TX Page 1 of 2 Notice of Project Completion Project Name: Envision Imaging Center City Project No.: 105019 City's Attachments Final Pay Estimate ❑x Change Order(s): ❑x Yes ❑ N/A Contractor's Attachments Affidavit of Bills Paid Consent of Surety 0 Statement of Contract Time Contract Time: 100 WD Days Charged: 97 WD Work Start Date: 3/12/2025 Work Complete Date: 8/11/2025 Completed number of Soil Lab Test: 109 Completed number of Water Test: 6 Page 2 of 2 FORT WORTH CITY OF FORT WORTH FINAL PAYMENT REQUEST Contract Name ENVISION IMAGING CENTER Contract Limits Project Type STREET LIGHTING City Project Numbers 105019 DOE Number 5019 Estimate Number 1 Payment Number 1 For Period Ending 8/11/2025 WD City Secretary Contract Number Contract Date Project Manager NA Contractor HURST ELECTRIC 229 W HURST BLVD HURST, TX 76053 Inspectors D. WATSON / S. GARCIA Contract Time 6WD Days Charged to Date 97 Contract is 100.00 Complete Friday, November 21, 2025 Page 1 of 4 City Project Numbers 105019 DOE Number 5019 Contract Name ENVISION IMAGING CENTER Estimate Number 1 Contract Limits Payment Number I Project Type STREET LIGHTING For Period Ending 8/11/2025 Project Funding UNTT V: STREET LIGHTING IMPROVEMENTS Item Description of Items Estimated Unit Unit Cost Estimated Completed Completed No. Quanity Total Quanity Total --------------------------------------- 1 FURNISH/INSTALL 101'-14' WASHINGTON 7 $8,255.23 $57,786.61 7 $57,786.61 STANDARD LIGHT POLE & FIXTURE LED 2 FURNISHIINSTALL ARTERIAL WOOD POLE 1 $2,569.45 $2,569.45 1 $2,569.45 ARM & ATBO COBRA HEAD - GALVAIZED 3 GROUND BOX TYPE B 3 $2,101.12 $6,303.36 3 $6,303.36 4 2" COND PVC SCH 80 (T) 323 $83.17 $26,863.91 323 $26,863.91 5 FURNISH/INSTALL 120-240V SINGLE PH. 1 $11,545.14 $11,545.14 1 $11,545.14 6 EQUIPMENT/BUCKET TRUCK/ OTHER 1 $17,642.53 $17,642.53 1 $17,642.53 7 EQUIPMENT/BUCKET TRUCK/ OTHER 1 $1,687.00 $1,687.00 1 $1,687.00 -------------------------------------- RESISTIVITY TEST (CO#2) Sub-Total of Previous Unit $124,398.00 $124,398.00 Friday, November 21, 2025 Page 2 of 4 City Project Numbers 105019 Contract Name ENVISION IMAGING CENTER Contract Limits Project Type STREET LIGHTING Project Funding Contract Information Summary Original Contract Amount Change Orders Change Order Number 2 Total Contract Price DOE Number 5019 Estimate Number 1 Payment Number I For Period Ending 8/11/2025 $122,711.00 $1,687.00 $124,398.00 Total Cost of Work Completed $124,398.00 Less % Retained $0.00 Net Earned $124,398.00 Earned This Period $124,398.00 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 $124,398.00 Friday, November 21, 2025 Page 3 of 4 City Project Numbers 105019 Contract Name ENVISION IMAGING CENTER Contract Limits Project Type STREET LIGHTING Project Funding Project Manager NA Inspectors D. WATSON / S. GARCIA Contractor HURST ELECTRIC 229 W HURST BLVD HURST, TX 76053 DOE Number 5019 Estimate Number 1 Payment Number I For Period Ending 8/11/2025 City Secretary Contract Number Contract Date Contract Time 60 WD Days Charged to Date 97 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 $124,398.00 Less % Retained $0.00 Net Earned $124,398.00 Earned This Period $124,398.00 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 $124,398.00 Friday, November 21, 2025 Page 4 of 4 W O Z Z W W 2 � U � O CM O Z O a a U_ H a a H N U c E O cl aci E U c w. (6 J 00 00 O W N c c w c > o o m m iL O ro � O r o a o o a a o o W > > N O N Z F U F z O U } 2 a z F LU LU U a Of LU LU Of �# d U) �# 0 a 0 5151TI X LL N m LO N I` N � � I- I - OD OD T ` .� co V O E 21 co w w U) W U a z a F U W O w a c9 z(n o 0 Q 0 0 O ❑ 3 � O 0 U o o 0 0 0 0 0 0 0 0 0 0 _ .- tR tR tR tR tR tR p O U o ro J w w M O O O W O O O o O N q) 0 O > N N N py N cm OU v3 v; O 0 O U Y o o o 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 O _ U en en en en en en Lq z M > ao o O N O O O O O 0 N N O O O 0 N N O > o 0 U N pM N pM N pM 0 O U o o 0 0 0 0 0 0 0 0 o o y O w U en en en en en en H z o U Q a m ❑ y o O 0 O 0 O 0 O 0 O 0 O M Z O C ° w w w w w w "' U d o ❑ U 0 0 U 0 o 0 0 0 0 0 0 0 0 0 0 U en en en en en en o u❑i � LU o ui LU W v c'j r4 I- w to p O O w;� � N � [Ca4 ❑ 0 O U O o o O 0 0 O 0 0 O 0 0 O 0 0 O 0 0 � W r U ua ua ua ua ua w o Q � W O O O N p p p aD o "' o "' `D o Ij m o O 6 ❑ U 69 N O K ul a z U 0 < a O Lu Z z Q Q z Z)U O Q w O U = a Z U) O w U W U F z] U UJ a d U � U ❑ vz > Lu o a zww00o ❑ aif�O U 0 F p> O Z H K Z W J 3 w Z O > H O LU O 0 W Uw Q w I c a N (D 0) (6 IL E GI w W a O w z 0 a a U V O x LL Y cn N z r 0) a a w m § § < \ \ § 6 zI e e Cl ) e � � \ \ . � N 0 N � � � � E � � 04 � W � � U cc ca GROUND TEST FIELD NK REPORT LIGHTNING PROTECTION 206 E. Walnut St, #1404 Decatur, TX 76234 940-231-5121 DFW/Houston/OKC www.nskip.com connect@nskip.com Project "Name Client Location Envision Imaging Center Hurst Electric 1101 Fort Pennsylvania Ave FWorth, Texas 75014 fi Weather Conditions: Soil>; Sunny ❑ Sandy ❑ Cloudy X Clay ❑ Rain ❑ Loamy ❑ Wind ❑ Silty ❑ Fog ❑ Chalky ❑ Ice ❑ Peaty ❑ Snow .......... .�.�;;...�:.;�rti�;i,�K-_;•.. .,f. 4mmary 07e11t Results Attached ;. , �4 v� c� �•��Ya,`�A?; EaExc �,.: �.�•.�.-3 crt�.. � E, �f ,_� 3J= r�F. :�x{ �n�.��'e''�.,a�i���l�Y,•,:. NSK LIGHTNING PROTECTION SERVING TEXAS AND SURROUNDING STATES WITH LIGHTNING PROTECTION AND GROUNDING SYSTEMS N ING PROTECTION GROUND TEST FIELD REPORT Test Results 206 E. Walnut St, #1404 Decatur, TX 76234 940-231-5121 DFW/Houston/OKC www.nskip.com connect@nsklp.com Pass 0 Fail De$cntQon ,ef Systems Test4d u Total fnt�ty:,#k ft.Wr Resistance MeasurenenS ,.� w;c . 4'.'r",." 'jam•. k�- Ground Rod # 1 1.33 G Ground Rod # G Ground Rod # 0 Ground Rod # 0 Ground Rod # Q Ground Rod # 0 Ground Rod # 0 Ground Rod # 0 Ground Rod # 0 Ground Rod # G Ground Rod # Q Ground Rod # 0 Ground Rod # 0 Ground Rod # G Ground Rod # f2 Ground Rod # Ground Rod # G Ground Rod # Q Ground Rod # G Ground Rod # G Ground Rod # S2 NSK LIGHTNING PROTECTION SERVING TEXAS AND SURROUNDING STATES WITH LIGHTNING PROTECTION AND GROUNDING SYSTEMS FORTWORTH. TRANSPORTATION AND PUBLIC WORKS October 15, 2025 Rockport Construction Group, LLC 8400 Belleview Dr., Ste #140 Plano, TX 75024 RE: Acceptance Letter Project Name: Envision Imaging Center Project Type: Paving, Street Lights City Project No.: 105019 To Whom It May Concern: On October 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 November 19, 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 November 19, 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- 392-2237. Sincerely, Ram Tiwari I Tfe 11111, �.?o;su_t � areT:� Ram Tiwari, P.E., Project Manager Cc: Sergio Garcia, Inspector Don Watson, Inspection Supervisor Oscar Aguillon, Senior Inspector Andrew Goodman, P.E., Program Manager Barron -Stark Engineers, LP, Consultant Rockport Construction Group, LLC, Contractor The Lee Anderson Family I. Limited Partnership, Developer File E-Mail: TPW_Acceptance@fortworthtexas.gov Rev.8/20/19 AFFIDAVIT STATE OF TEXAS COUNTY OF COLLIN Before me, the undersigned authority, a notary public in the state and county aforesaid, on this day personally appeared DONALD LOTZ, PRESIDENT Of ROCKPORT CONSTRUCTION GROUP, 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; GENERAL CONTRACTOR BY DONALD LOTZ, PRESIDENT Subscribed and sworn before me on this date 5TH of SEPTEMBER, 2025. lk.-L-rh.rpvt� Notary Public COLLIN COUNTY TEXAS ;_ KATHERINE LYNN THURMOND *= *= My Notary ID # 125376813 '' Expires August 31, 2029 TM Document G707 -1994 Consent of Surety to Final Payment PROJECT: (Name and address) ARCHITECT'S PROJECT NUMBER: OWNER: [ ] N/A ARCHITECT: [ ] CPN 105019 - Envision Imaging Group - CONTRACT FOR: Street Lighting CONTRACTOR: [ ] 1101 Pennsylvania Avenue, Fort Worth, TX CONTRACT DATED: SURETY: [X] 76014 09-25-2023 OTHER: [ ] TO OWNER: (Vance and address) The Lee E. Anderson Family I. Limited Partnership 1101 Pennsylvania Avenue, Fort Worth, TX 76014 In accordance with the provisions of the Contract (Insert name and address of Strreo)? The Hanover Insurance Company 440 Lincoln Street Worcester, MA 01615 on bond of (Insert name and address of Conb actor) Hurst Electric, LP 229 W Hurst Blvd Hurst, TX 76053 the Owtrer and the Contractor as indicated above, the hereby approves of the final payment to the Contractor, and agrees that final payment to the Contractor shall not relieve the Surety of any of its obligations to (Insert name and address of chine?) The Lee E. Anderson Family I. Litnited Partnership 1101 Pennsylvania Avenue, Fort Worth, TX 76014 as set forth in said Surety's bond. IN WITNESS WHEREOF, the Surety has hereunto set its hand on this date (Insert in writing the month followed by the numeric date and year.) a Attest: (Seal): D/(� c SUR TY (Signature) (Printed name and title) ,SURETY, ,CONTRACTOR, , O«TNER, AIA Document G707 —1994. Copyright ©1982 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 of Architects. This document was produced at 09:34:44 CST on 11/25/2025 under Subscription No.20250158484 which expires on 09/05/2026, is not for resale, is licensed for one-time use only, and may only be used in accordance with the AIA Contract Documents Terms of Service. To report copyright violations, e-mail docinfo@aiacontracts.com. User Notes: (6925cb73a04154e14d857f92) THE HANOVER INSURANCE COMPANY MASSACHUSETTS BAY INSURANCE COMPANY CITIZENS INSURANCE COMPANY OF AMERICA POWER Oh ATTORNEY THIS Power of Attorney limits the acts of those named herein, and they have no authority to bind the Company except in the manner and to the extent herein stated. KNOW ALL PERSONS BY THESE PRESENTS: That THE HANOVER INSURANCE COMPANY and MASSACHUSETTS BAY INSURANCE COMPANY, both being corporations organized and existing underthe laws of the State of New Hampshire, and CITIZENS INSURANCE COMPANY OF AMERICA, a corporation organized and existing under the laws of the State of Michigan, (hereinafter individually and collectively the "Company") does hereby constitute and appoint, Michele Brockman, Suzanne Van Meter, Brett Atwell, Donovan Pawelek, Yousef Foteh and/or Lettie Tovar Of Insurica of Plano, TX each individually, if there be more than one named, as its true and lawful attorney(s)-in-fact to sign, execute, seal, acknowledge and deliver for, and on its behalf, and as its act and deed any place within the United States, any and all surety bonds, recognizances, undertakings, or other surety obligations. The execution of such surety bonds, recognizances, undertakings or surety obligations, in pursuance of these presents, shall be as binding upon the Company as if they had been duly signed by the president and attested by the secretary of the Company, in their own proper persons. Provided however, that this power of attorney limits the acts of those named herein; and they have no authority to bind the Company except in the manner stated and to the extent of any limitation stated below: Any such obligations in the United States, not to exceed Thirty Million and Noll00 ($30,000,000) in any single instance That this power is made and executed pursuant to the authority of the following Resolutions passed by the Board of Directors of said Company, and said Resolutions remain in full force and effect: RESOLVED: That the President or any Vice President, in conjunction with any Vice President, be and they hereby are authorized and empowered to appoint Attorneys -in -fact of the Company, in its name and as it acts, to execute and acknowledge for and on its behalf as surety, any and all bonds, recognizances, contracts of indemnity, waivers of citation and all other writings obligatory in the nature thereof, with power to attach thereto the seal ofthe Company. Any such writings so executed by such Attorneys -in -fact shall be binding upon the Company as if they had been duly executed and acknowledged by the regularly elected officers of the Company in their own proper persons. RESOLVED: That any and all Powers of Attorney and Certified Copies of such Powers of Attorney and certification in respect thereto, granted and executed by the President or Vice President in conjunction with any Vice President of the Company, shall be binding on the Company to the same extent as if all signatures therein were manually affixed, even though one or more of any such signatures thereon may be facsimile. (Adopted October 7,1981— The Hanover Insurance Company; Adopted April 14, 1982 — Massachusetts Bay Insurance Company; Adopted September 7, 2001 — Citizens Insurance Company of America and affirmed by each Company on March 24, 2014) IN WITNESS WHEREOF, THE HANOVER INSURANCE COMPANY, MASSACHUSETTS BAY INSURANCE COMPANY and CITIZENS INSURANCE COMPANY OF AMERICA have caused these presents to be sealed with their respective corporate seals, duly attested by two Vice Presidents, this 23rd day of May, 2024 f•. The Itauover insurance Company Massaehosetts Say Insurance Company Citizens insurance Companyof Amerka " A / 4�t�A J H. Kawteckl, Vice President STATE OF CONNECTICUT ) COUNTY OF HARTFORD The Hanover Insurance Company Rldhachustits Bay Insurance Company it as Insuran ceitce Company of America Icon M, Mendoza, Vice President On this 231d day of May, 2024 before me came the above named Executive Vice President and Vice President ofThe Hanover Insurance Company, Massachusetts Bay Insurance Company and Citizens Insurance Company of America, to me personally known to be the individuals and officers described herein, and acknowledged that the seals affixed to the preceding instrument are the corporate seals of The Hanover Insurance Company, Massachusetts Bay Insurance Company and Citizens Insurance Company of America, respectively, and that the said corporate seals and their signatures as officers were duly affixed and subscribed to said instrument by the authority and direction of said Corporations. We4,nd1Lq1,0ume Ntarypwc,f Co+Ine Ucut Y Coittmissbn ExAas Jul 31, 2025 Mn atou es, eta u b tiny conuttissi n ex ires July 31, 2025 1, the undersigned Vice President of The Hanover Insurance Company, Massachusetts Bay Insurance Company and Citizens Insurance Company of America, hereby certify that the above and foregoing is a full, true and correct copy of the Original Power of Attorney issued by said Companies, and do hereby further certify that the said Powers of Attorney are still in force and effect. yy�� ,, l,� GIVEN under my hand and the seals of said Companies, at Worcester, Massachusetts, this Cday of_�w� h `i�w The an a lnsurance omps M c is Bay Im any CERTIFIED COPY ( C1 a aura ce Am ahn Roweddcr, Vice President IMPORTANT NOTICE To obtain information or make a complaint: You may call The Hanover Insurance Company/ Citizens Insurance Company of America's toll -free telephone number for information or to make a complaint at: 1-800-343-6044 Texas Complaint Notice Commercial Lines AVISO IMPORTANTE Para obtener information o para someter una queja: Usted puede Ilamar al numero de telefono gratis de The Hanover Insurance Company/Citizens Insurance Company of America's para information o para someter una queja al: 1-800-343-6044 You may also write to The Hanover Insurance Company/ Usted tambien puede escribir a The Hanover Insurance Citizens Insurance Company of America at: Company/Citizens Insurance Company of America al: 440 Lincoln Street Worcester, MA 01653 You may contact the Texas Department of Insurance to obtain information on companies, coverages, rights or complaints at: 1-800-252-3439 You may write the Texas Department of Insurance: P. 0. Box 149104 Austin, TX 78714-9104 Fax: (512) 475-1771 Web: http://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, 440 Lincoln Street Worcester, MA 01653 Puede comunicarse con el Departamento de Seguros de Texas para obtener information acerca de companias, coberturas, derechos o quejas al: 1-800-252-3439 Puede escribir al Departamento de Seguros de Texas: P. 0. Box 149104 Austin, TX 78714-9104 Fax: (512) 475-1771 Web: http://www.tdi.texas.gov E-mail: ConsumerProtection@tdi.texas.gov DISPUTAS SOBRE PRIMAS 0 RECLAMOS: Si tiene una disputa concerniente a su prima o a un reclamo, debe comunicarse con el agente o la com- pania primero. Si no se resuelve la disputa, puede entonces comunicarse con el departamento (TDI). UNA ESTE AVISO A SU POLIZA: Este aviso es solo para proposito de information y no se convierte en parte o condition del documento adjunto. The Hanover Insurance Company 1440 Lincoln Street, Worcester, MA 01653 181-1457(12113) Page l of l Citizens Insurance Company of America 1808 North Highlander Way, Howell, MI 48843 hanover.com