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062167-FP1 - Construction-Related - Contract - Pavement Services Corporation
FORTWORTH. -FP1 City Secretary 62167 Contract No. Date Received 11/24/2025 12/09/2025 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: Givens Trinity Addition Lot 1, Block 1 City Project No.: 104555 Improvement Type(s): ❑x Paving ❑x Drainage ❑x Street Lights ❑ Traffic Signals Original Contract Price: $300,631.27 Amount of Approved Change Order(s): $0.40 Revised Contract Amount: $300,631.67 Total Cost of Work Complete: $300,631.67 11/18/2025 Contractor Date President Title Pavement Services Corp. Company Name 11/19/2025 �I nq (Nov 19, 2025 06:29:45 CST) Project Inspector Date K�s sq ST 11/23/2025 Project Manager Date Jz� 11/24/2025 CFA Manager Date 15e.7. 11/24/2025 Lauren Prieur (Nov 24, 202511:22:18 CST) TPW Director Date ow 11/30/2025 Asst. City Manager Date OFFICIAL RECORD CITY SECRETARY Page 1 of 2 FT. WORTH, TX Notice of Project Completion Project Name: Givens Trinity Addition Lot 1, Block 1 City Project No.: 104555 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: 60 WD Days Charged: 48 WD Work Start Date: 5/5/2025 Work Complete Date: 10/8/2025 Completed number of Soil Lab Test: 64 Completed number of Water Test: 8 Page 2 of 2 CITY OF FORT WORTH Contract Name GIVENS TRINITY ADDITION LOT 1, BLOCK 1 Contract Limits Project Type DRAINAGE, PAVING & STREETLIGHTS DOE Number 4555 Estimate Number 1 Payment Number 1 For Period Ending 10/8/2025 FINAL PAYMENT REQUEST City Secretary Contract Number 48 WD Contract Date PAVEMENT SERVICES CORPORATION NA P.O. BOX 1107 EULESS TX 76037 M.GLOVER B.WEAVERLING 60WDContract Time Days Charged to Date CompleteContract is 100.00 Contractor , /Inspectors Project Manager City Project Numbers 104555 Tuesday, November 4, 2025 Page 1 of 5 Contract Name GIVENS TRINITY ADDITION LOT 1, BLOCK 1 Contract Limits Project Type DRAINAGE, PAVING & STREETLIGHTS DOE Number 4555 Estimate Number 1 Payment Number 1 For Period Ending 10/8/2025 Project Funding City Project Numbers 104555 UNIT III: DRAINAGE IMPROVEMENTS Item No.Description of Items Estimated Quanity Unit Unit Cost Estimated Total Completed Quanity Completed Total 1 18" RCP CLASS III 200 LF $217.75 $43,550.00 200 $43,550.00 2 4' DROP INLET 1 EA $7,000.00 $7,000.00 1 $7,000.00 3 18" PARALLEL HEADWALL, 1 PIPE 3 EA $3,200.00 $9,600.00 3 $9,600.00 4 1" to 1 3/4" STONE RIPRAP DRY (CO#1)120 SY $19.17 $2,300.40 120 $2,300.40 $62,450.40 $62,450.40Sub-Total of Previous Unit UNIT IV: PAVING IMPROVEMENTS Item No.Description of Items Estimated Quanity Unit Unit Cost Estimated Total Completed Quanity Completed Total 1 REMOVE ASPHALT PVMT 95 SY $12.00 $1,140.00 95 $1,140.00 2 REMOVE CONC PVMT 630 LF $5.00 $3,150.00 630 $3,150.00 3 2" EXTRA WIDTH ASPHALT PAVEMENT REPAIR 147 SY $45.79 $6,731.13 147 $6,731.13 4 6" FLEXIBLE BASE, TYPE A, GR-1 884 SY $25.96 $22,948.64 884 $22,948.64 5 8" CONC PVMT 884 SY $93.61 $82,751.24 884 $82,751.24 6 6" CONC CURB AND GUTTER 630 LF $41.46 $26,119.80 630 $26,119.80 7 6" SLD PVMT MARKING HAS (W)100 LF $7.00 $700.00 100 $700.00 8 8" SLD PVMT MARKING HAS (W)405 LF $1.75 $708.75 405 $708.75 9 18" SLD PVMT MARKING HAE (W)405 LF $1.75 $708.75 405 $708.75 10 LANE LEGEND ARROW 1 EA $248.98 $248.98 1 $248.98 11 LANE LEGEND ONLY 1 EA $248.98 $248.98 1 $248.98 12 4" CONC SIDEWALK 7550 SF $7.50 $56,625.00 7550 $56,625.00 13 BARRIER FREE RAMP, TYPE P-1 5 EA $1,500.00 $7,500.00 5 $7,500.00 14 BARRIER FREE RAMP, TYPE P-2 1 EA $1,500.00 $1,500.00 1 $1,500.00 15 TRAFFIC CONTROL 1 MO $6,100.00 $6,100.00 1 $6,100.00 $217,181.27 $217,181.27Sub-Total of Previous Unit UNIT V: STREET LIGHTING IMPROVEMENTS Item No.Description of Items Estimated Quanity Unit Unit Cost Estimated Total Completed Quanity Completed Total 1 FURNISH/INSTALL LED LIGHTING FIXUTER (70 WATTS ATBO COBRA HEAD 7 EA $3,000.00 $21,000.00 7 $21,000.00 Tuesday, November 4, 2025 Page 2 of 5 Contract Name GIVENS TRINITY ADDITION LOT 1, BLOCK 1 Contract Limits Project Type DRAINAGE, PAVING & STREETLIGHTS DOE Number 4555 Estimate Number 1 Payment Number 1 For Period Ending 10/8/2025 Project Funding City Project Numbers 104555 $21,000.00 $21,000.00Sub-Total of Previous Unit Tuesday, November 4, 2025 Page 3 of 5 Contract Name GIVENS TRINITY ADDITION LOT 1, BLOCK 1 Contract Limits Project Type DRAINAGE, PAVING & STREETLIGHTS DOE Number 4555 Estimate Number 1 Payment Number 1 For Period Ending 10/8/2025 Project Funding City Project Numbers 104555 Contract Information Summary Change Orders $300,631.27Original Contract Amount $300,631.67Total Contract Price $300,631.67 Less Total Cost of Work Completed % Retained $0.00 Net Earned $300,631.67 Plus Material on Hand Less 15%$0.00 Balance Due This Payment $300,631.67 Less Liquidated Damages Days @ / Day $0.00 Less Penalty LessPavement Deficiency $0.00 $0.00 $0.00Less Previous Payment Earned This Period Retainage This Period $300,631.67 $0.00 1 $0.40Change Order Number Tuesday, November 4, 2025 Page 4 of 5 Contract Name GIVENS TRINITY ADDITION LOT 1, BLOCK 1 Contract Limits Project Type DRAINAGE, PAVING & STREETLIGHTS DOE Number 4555 Estimate Number 1 Payment Number 1 For Period Ending 10/8/2025 Project Funding City Project Numbers 104555 Line Fund Account Center Amount Funded Gross Retainage Net CITY OF FORT WORTH SUMMARY OF CHARGES $300,631.67 Less Total Cost of Work Completed % Retained $0.00 Net Earned $300,631.67 Plus Material on Hand Less 15%$0.00 Balance Due This Payment $300,631.67 Less Liquidated Damages 0 Days @ $0.00 / Day $0.00 Less Penalty LessPavement Deficiency $0.00 $0.00 $0.00Less Previous Payment Earned This Period Retainage This Period $300,631.67 $0.00 City Secretary Contract Number 48 WD Contract Date PAVEMENT SERVICES CORPORATION NA P.O. BOX 1107 EULESS TX 76037 M.GLOVER B.WEAVERLING 60 WD Contract Time Days Charged to Date CompleteContract is 100.000000 Contractor , /Inspectors Project Manager Tuesday, November 4, 2025 Page 5 of 5 RECEIVED By Khal Jaafari at 6:43 pm, Apr 11, 2025 DEVELOPER -AWARDED -PROJECT CHANGE ORDER PROJECT NAME: Givens Trinity Addition (CONTRACT: CHANGE Water, Sewer, Drainage, pavement & street liqht Improvements ORDER No: ICFA# CFA23-0005 I CITY PARTICIPATION:( NO ICITY PROJECT# 104555 CITY SECRETARY CONTRACT # NIA I 1 FID # 30114-0200431-104555-E07685 X # X-28283 FILE # K-3047 INSPECTOR: Ben Weaverling Phone No: 817-392-8306 PROJECT MANAGER: Khal Jaafari P.E. Phone No: 817-392-7872 CONTRACT UNIT WATER SEWER DRAINAGE PAVING STREET LIGHTS CONTRACT Developer Developer Developer Developer DAYS Cost City Cost Developer Cost City Cost Cost City Cost Cost City Cost Cost City Cost ORIGINAL CONTRACT $30,750.00 $0.00 $29,402.50 $0.00 $62,450.00 $0.00 $21-1,181.27 $0.00 $21,000.00 $0.66 60 EXTRAS TO DATE $0,00 $0.00 $0.00 $0.00 $0,00 $0.00 $0.00 $0.00 $0.00 $0.00 CREDITS TO DATE $0.00 $0.00 $0.00 $o.00 $0A0 $0.00 $0.00 $0.00 $0.00 $0.00 CONTRACT TO DATE $30,750.00 $0.00 $29,402.50 $0.00 $62,450.00 $0.00 $217,181.27 $0.00 $21,000.00 $0.00 60 AMOUNT OF PROP. CHANGE ORDER I $0.00 $0.00 _ $0.00 $0.00 $0.40 $0.00 $0.00 $0.00 _ $0.00 $0.00 0 REVISED CONTRACT AMOUNT I $30,750.00 $0,00 $29,402.50 $0.00 $62,450.40 $0.00 $217,181.27 $0.00 $21,000.00 $0.00 60 TOTAL REVISED CONTRACT AMOUNT PER UNIT I $30,750,00 $29,402.50 $62,450.40 $217,181.27 $21,000,00 REVISED COST SHARE Dev, Cost: $360,784.17 City Cost: TOTAL REVISED CONTRACT $360,784.17 Revised: 12-17-2018 Page 1 You are directed to make the following changes in the contract documents CITY BID ITEM PAY ITEM # # QUANTITY UNIT 4 3337 01100 (120.00) SY 4 3337 01100 120.00 SY Asterisk (") indicates New Pay Item RECEIVED By Khal Jaafari at 6:43 pm, Apr 11, 2025 Drainage IMPROVEMENTS CFW Unit Developer ITEM DESCRIPTION Price UNIT PRICE Cost City Cost TOTAL 1" to 1 3W' Stone Rip Rap Dry $19.17 ($2,300.00) ($2,300.00) 1" to 1 314" Stone Rip Rap Dry $19.17 $2,300.40 $2,300.40 $0.00 $0.00 TOTAL Drainage IMPROVEMENTS 1 1 1 0.40 1 $0.00 $0,40 Revised: 12-17-2018 Page 2 REASONS FOR CHANGE ORDER Minor mathmatical Error due to rounding is being corrected via a Change Order RECOMMENDED: (Consulting Engineer) By: Name: Title: y/�1ee.� Fna�noo.r APPROVAL RECOMMENDED CFW - Water Department By, Name: NIA Title: RECEIVED By Khai Jaafari at 6:43 pm, Apr 11, 2025 APPROVED: %By—;7�'-- Name Cc�� b (}tom IVC-r�S Title: e—r APPROVED: CFW- Assistant City Manager By', Name- NIA Title APPROVED: (Contractor) BY= Name:_��i(� ('9•i�L/1�j Title: APPROVED AS TO FORM AND LEGALITY: CFW- Assistant City Attorney By: Name: NIA Title: RECOMMENDED: CFW- `Contract Compliance Manager ATTEST " Contract Compliance Manager (Project Manager): By signing I acknowledge that I am the person responsible By: for the monitoring and administration of this contract, include NIA ensuring all performance and reporting requirements. Name: NIA Jannette S. Goodall City Secretary There are NO City Funds associated with this Contract Title: El There are City Funds associated with this Contract M&C Number NIA M&C Date Approved: NIA Revised: 12-17-2018 Page 3 FORTWORTH. TRANSPORTATION AND PUBLIC WORKS August 19, 2025 Pavement Services Corporation 4000 Tarrant Main Street Euless, Texas 76040 RE: Acceptance Letter Project Name: Givins Trinity Addition Project Type: DEV City Project No.: 104555 To Whom It May Concern: On September 23, 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 October 8, 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 October 8, 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- 392-7800. Sinncceerreely, Khal 1-fan V. N-2,402523'. 1 CST) Khal Jaafari, Project Manager Cc: Ben Weaverling, Inspector Mike Glover, Inspection Supervisor Daniel,Roy; Senior Inspector Andrew Goodman, Program Manager Di Sciulld-Terry, Stanton & Assoc., Consultant Pavement Services Corp, Contractor Givins Trinity, Developer File E-Mail: TPW_Acceptance@fortworthtexas.gov Rev. 8/20/19 PAVEMENT SERVICES Affidavit of Pills Paid Project: Givens Trinity Addition Job No.: 104555 PAVEMENT SERVICES CORPORATION P.O. BOX 1107 EULESS, TEXAS 76039-1107 817-540-0652 / 1-877-NOpothole www.NOpothole.com Pavement Services Corporation (contractor) swears that it has already paid in full all its laborers, subcontractors, materialmen, and suppliers for all work, materials, equipment, or services provided for or to the above referenced project and is in good standing with Givens Trinity LLC (Owner). Date: November 18" 2025 Pavement Services Corporation By ) President STATE OF TEXAS COUNTY OF���,-�t,� (Company Name) (Signature) (Title) This instrument was acknowledged before me on by (nam of officer), P,- Sr�1,p� (title of officer) of 10,7 ewe,, p�,f ���yt/i � �p,� � �,o n (name of corporation acknowledging) a -1—e S (state of incorporation) corporation, on behalf of said corporation. Notary Public Printed Name: e,6? -117y eQ le°� Cz%Z My Commission Expires: 9— / © -.2 -7 CATHY L. COLEMAN `. 'yPady _o _Notary Public, State of Texas _ Comm. Expires 09.15-2027 Notafy ID 11731959 Page IofI SURETEC INSURANCE COMPANY 2103 CityWest Boulevard, Suite 1300 Houston, TX 77042 OWNER ❑ ARCHITECT ❑ CONSENT OF SURETY CONTRACTOR ❑ TO FINAL PAYMENT SURETY ❑ OTHER ❑ BOND NO.: 4471974 TO OBLIGEE: (Name and Address) City of Fort Worth 200 Texas Street Fort Worth, TX 76102 PROJECT: (Name and Address) Community Facilities Agreement CFA23.0005 PRINCIPAL: Pavement Services Corporation CONTRACT FOR: Construction of community facilities in the City of Fort Worth CONTRACT DATED: 02/13/2024 At the request of the Obligee and the Principal indicated above, SureTec Insurance Company, 2103 CityWest Boulevard, Suite 1300, Houston, TX 77042, SURETY, on bond of Pavement Services Corporation, CONTRACTOR, and conditioned on the representation by Obligee that all Contract provisions relating to the payment of final payment under the Contract have been satisfied by Principal as of the date of final payment, and that no claims by Obligee or any third party are known or believed by Obligee or its representatives to exist as of the date of final payment, representations as to the truth and accuracy of the foregoing conditions being deemed to have been made by Obligee in connection with this request for Consent of Surety, hereby approves of the final payment to the Principal, and agrees that final payment in accordance with the terms hereof shall not relieve the Surety of its obligations to The City of Richardson, OBLIGEE, as set forth in said Surety's bond. IN WITNESS WHEREOF, the Surety has hereunto set its hand on this date: November 11, 2025. SureTec Insurance Comr)anv (Surety) (Signature of a horized ref)resentative) Attest: �-� Helen Jones, A torney-in-Fact POA #: 4221966 SureTec Insurance Company LIMITED POWER OF ATTORNEY Know All Men by These Presents, That SURETEC INSURANCE COMPANY (the "Company"), a corporation duly organized and existing under the laws of the State of Texas, and having its principal office in Houston, Harris County, Texas, does by these presents make, constitute and appoint Helen Jones, Kevin Daniel, Leo Charles Taylor its true and lawful Attorney -in -fact, 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 waivers to the conditions of contracts and consents of surety for, providing the bond penalty does not exceed and to bind the Company thereby as fully and to the same extent as if such bond were signed by the President, sealed with the corporate seal of the Company and duly attested by its Secretary, hereby ratifying and confirming all that the said Attorney -in -Fact may do in the premises. Said appointment is made under and by authority of the following resolutions of the Board of Directors of the SureTec Insurance Company: Be it Resolved, that the President, any Vice -President, any Assistant Vice -President, any Secretary or any Assistant Secretary shall be and is hereby vested with full power and authority to appoint any one or more suitable persons as Attomey(s)-in-Fact to represent and act for and on behalf of the Company subject to the following provisions: Attorney -in -Fact may be given full power and authority for and in the name of and of behalf of the Company, to execute, acknowledge and deliver, any and all bonds, recognizances, contracts, agreements or indemnity and other conditional or obligatory undertakings and any and all notices and documents canceling or terminating the Company's liability thereunder, and any such instruments so executed by any such Attorney -in -Fact shall be binding upon the Company as if signed by the President and sealed and effected by the Corporate Secretary. Be it Resolved, that the signature of any authorized officer and seal of the Company heretofore or hereafter affixed to any power of attorney or any certificate relating thereto by facsimile, and any power of attorney or certificate bearing facsimile signature or facsimile seal shall be valid and binding upon the Company with respect to any bond or undertaking to which it is attached. (Adopted at a meeting held on 20'h of April, 1999) In Witness Whereof, SURETEC INSURANCE COMPANY has caused these presents to be signed by its President, and its corporate seal to be hereto affixed this 3rd day of February , A.D. 2023 . gym„ SURETEC INSURANCE COMPANY q�C" By: ( l 1i w: W a= Michael C. Keimig, Preside le State of Texas ss: •••- _ County of Harris *«°' On this 31 day of February A.D. 2023 before me personally came Michael C. Keimig, to me known, who, being by me duly sworn, did depose and say, that he resides in Houston, Texas, that he is President of SURETEC INSURANCE COMPANY, the company described in and which executed the above instrument; that he knows the seal of said Company; that the seal affixed to said instrument is such corporate seal; that it was so affixed by order of the Board of Directors of said Company; and that he signed his name thereto by like order. TANYA ��Pr . Notary Public State Eof Texas A21 Commission # 128571231 Commission Expires 03/30/2027 Tanya Sneed, Nota ublic My commission expires March 30, 2027 I, M. Brent Beaty, Assistant Secretary of SURETEC INSURANCE COMPANY, do hereby certify that the above and foregoing is a true and correct copy of a Power of Attorney, executed by said Company, which is still in full force and effect; and furthermore, the resolutions of the Board of Directors, set out in the Power of Attorney are in full force and effect. Given under my hand and the seal of said Company at Houston, Texas this 11th a of Novjember7 /12025 A.D. I i . Bilent Bealy, Assistant Secretary Any instrument issued in excess of the penalty stated above is totally void and without any validity. For verification of the authority of this power you may call (713) 812-0800 any business day between 8:30 am and 5:00 pm CST.