HomeMy WebLinkAbout063066-FP1 - Construction-Related - Contract - HD Cook's Rock Solid, Inc.FORT�VORTHo
PARK & RECREATION DEPARTMENT -FP1
NOTICE OF PROJECT COMPLETION
City Secretary No: 63066
Date Received: 12/31/2025
City Project No: 104477
Regarding Contract 63066 ARPA Highland Hills Park Improvements for as required bythe Park &
Recreation Department as approved by City Council on 2�11/25 through M&C 25-0100 , the Director of the
Park & Recreation Department, upon the recommendation of the Assistant Director of the Park & Recreation
Department, has accepted the project as complete.
Original Contract Amount:
Amount of Approved Change Orders:
Revised Contract Amount:
Total Cost of Work Completed:
Less Deductions:
Liquidated Damages:
$362,378.00
$9,500.00
$371,878.00
$364,407.90
Days @
Pavement Deficiencies:
Total Deduction Amount:
Total Cost of Work Completed:
Less Previous Payments:
Final Payment Due:
���. �`�(; L :;�.�1,
�
C�
Recommended for Acceptance
Assistant Director, Park & Recreation Department
$0.00
$364,407.90
$328,165.11
$36,242.79
� �
Accepted
Director, Park & Recreation Department
Days 180
No 2 Days Added by CO �
Total Days 180
Days Charged 63
/Day = �0.00
12/29/2025
Date
12/31/2025
Date
OFFICIAL RECORD
CITY SECRETARY
FT. WORTH, TX
.r._.._ �- � � -_ _ • , : .. �
FaRT VV��TH��a
PARD Construction Invoice
City Secretary Contract Number:
63066
Project:
104477 - 104477 - Road & Parking - Highland Hill ParH
Contract Name:
ARPA Highland Hills Park Improvements Construction
Contract
To:
H D Cook's Rock Solid, Inc
Remit: 9500 Arboretum Blvd
400
Austin, TX 78759
SupplierlD:
7000004931
Contract Summary:
1. Original Contract Amount
2. Net Change by Change Orders
3. Current Contract Amount (Line 1+/- Line 2f
4. Total Completed and Stored to Date
(Progress Estimate, Construction Allowance, and
Change Orders)
5. Amount Retained (10.00%)
6. Amount Eligible to Date (Line 4— Line SJ
7. Less Previous Payments (Line 6 from prior InvoiceJ
8. Amount Due this Application
9. Balance to Finish, Plus Retainage
(Line 3 — Line 6)
10. ContractTime
a. Days Awarded
b. Days Added by Change Order
c. Total Contract Days Awarded
d. Days Charged this Invoice
e. Days Charged from Previous Invoice(s)
f. Contrad Days Remaining
Purchase Order:
FW080-0000016031
Invoice Number:
GS-C-00002+GS-G2
Invoicing Period (From —To):
to
$ 362,378.00
$ 9,500.00
$ 371,878.00
$ 364,407.90
$ 0.00
$ 364,407.90
$ 328,165.11
$ 36,242.79
$ 7,470.10
180
0
180
0
63
117
Payment Application Date:
11.06.2025
Estimate Number:
3
Project Manager:
Grissom, Blaise B.
Roles
Inspector:
�Qec'�fa�yec
Sr.lnspector:
eod�y'�{ortor�
Project Manager:
$tatd �eurs
Contractors Certification:
Payment Approvals
Date:
11.21.2025
11.Z1.2025
12.03.2025
The Contractor certifies with the submittal of this document and associated Payment Request
Submittal on the City of Fort Worth eBuilder system that to the best of their knowledge:
(1) all previous progress payments received from Owner on account of Work done under the Contract have been applied on
account to discharge Contractor's legitimate obligations incurred in connection with Work covered by prior Applications for
Payment;
(2) title of all Work, materials and equipment incorporated in said Work or otherwise listed in or covered by this Application for
Payment will pass to Owner at time of payment free and clear of all Liens, security interests and encumbrances (except such as are
covered by a Bond acceptable to Owner indemnifying Owner against any such Liens, security interest or encumbrances); and
(3) all Work covered by this Application for Payment is in accordance with the Contract Documents and is not defective.
Liquidated Damages @$ 650.00 x day
�lGGot� tfG�LeG
Dillon Hazel (Dec 23, 2025 13:52:36 CSTj
Page 1 of 3
FaRTVV��TH�
PARD Construction Invoice
Funding Distribution:
Funding Identification (FIDs)
31001-0800450-5330500-104476-003730
31001-0800450-5330500-104477-003730
31001-0800450-5740010-104477-003780
Contract Bid Items:
A
Bid Item Description Spec. UoM Bid
No. Section Quantity
No.
HH-01 MOBILI2ATION 017000 LS
HH-016 Cem-Lime TN
HH-02 UNCLASSIFIED EXCAVATION 312316 CY
(CHANNEL GRADING TO
DRAIN) BY PLAN
HH-03 UNCLASSIFlED EXCAVATION 312316 CY
(ROADWAY GRADING) BY PLAN
HH-04 EMBANKMENT 312400 CY
HH-OS 3" ASPHALT TYPE D PVMT 32 12 16 SY
(ACCESS DRIVE & PARKING)
HH-06 6" CEMENT STABILIZED IN- SY
PLACERECYCLEDSUBGRADE
USING PULVERIZED PAVEMENT
(MIX WITH 5% CEMENT, CURE
& MICROCRACK)
HH-07 CEMENT 321133 TN
HH-08 TRAFFICCONTROL 347113 LS
HH-09 EROSION CONTROL & SWPPP 31 25 00 LS
HH-10 18" RCP, CLA55 III (IF NEEDED) 33 4110 LF
Amount Earned
$ 00
$ 00
$ 00
B
Unit Price Bid Value
1 5 ao,000.00 S ao,000.00
0 $ 455.00 $ 34,350.00
i,000 S io.00 5 io,000.00
103 $ 75.00 $ 7,725.00
158 $ 20.00 $ 3,160.00
a,aza 5 z6.00 S 11s,1zs.00
3,906 $ 22.50 $ 87,885.00
C
Estimated
Quantity
Installed this
Period
0.0000
0.0000
0.0000
0.0000
0.0000
0.0000
0.0000
Retainage (FIDs)
Insert appropriate retainage FIDs
Insert appropriate retainage FIDs
Insert appropriate retainage FIDs
D E F
Value this Previously Previously
Period Installed Installed
Quantity Value
S oo i.0000 S ao,000.00
5 00 �s.0000 S sa,sso.00
5 0o i,000.0000 5 io,000.00
S oo ioa.0000 5 �,�zs.00
S oo sss.0000 S 3,160.00
$ .00 4,365.2500 $ 113,496.50
$ .00 3,906.0000 $ 87,885.00
Retainage Amount to Pay
Calc Manually °'Q--°' Calc Manually °'Q—°'
Calc Manually °O Calc Manually °°
Calc Manually °O Calc Manually °°
G H I J K
Materials Total Completed Retainage % Balance to
Presently and Stored to this Period (H/B) Finish
Stored Date(D+F+G) (B-H)
(not in F)
S oo S ao,000.00 S oo ioo.00r 5 00
5 00 5 sa,sso.00 5 ao ioo.00i 5 00
S o0 5 io,aoo.00 5 ao ioo.00i S o0
S oo S �,�zs.00 S oo ioo.00r 5 00
S oo $ 3,160.00 5 0o ioo.00r 5 00
$ .00 $ 113,496.50 $ .00 98.58% $ 1,631.50
$ .00 $ 87,855.00 $ .00 100.00% $ .00
�i S 3so.00 S o0 0.000o S o0 0.0000 5 0o S o0 5 0o S o0 o.00r 5 00
1 5 10,000.0o S 10,000.00 0.000o S oo i.0000 S 10,000.0o S oo S lo,000.00 S oo ioo.00r 5 00
1 $ 33,500.00 $ 33,500.00 0.0000 $ .00 1.0000 $ 33,500.00 $ .00 $ 33,500.00 $ .00 100.00% $ .00
3o S izs.00 5 1,no.00 o.0000 S o0 0.000o S oo S oo S oo S o0 o.00r S l,��o.00
Page 2 of 3
FaRTVV��TH�
PARD Construction Invoice
A B C D E F G H I J K
Bid Item Description Spec. UoM Bid Unit Price Bid Value Estimated Value this Previously Previously Materials Total Completed Retainage % Balance to
No. Section Quantity Quantity Period Installed Installed Presently and Stored to this Period (H/B) Finish
No. Installed this Quantity Value Stored Date (D+F+G) (B-H)
Period (not in F)
HH-11 MISC CABLE BARRIER AND TxDOT 772 LF 100 $ 38.63 $ 3,563.00 0.0000 $ .00 0.0000 $ .00 $ .00 $ .00 $ .00 0.00% $ 3,563.00
BOLLARD REPAIR AND/OR
REPLACEMENT (AS NEEDED TO
MOVE, REPAIR, OR REPLACE
FOR CONSTRUCTION
PURPOSES)
HH-12 PARKING LOT STRIPING - HOT 33 17 23 LF
APPLIED THERMOPLASTIC
REFLECTIVE PAVEMENT
MARKINGS- 100 MIL-4"
WHITE W/TYPE II BEADS
HH-13 PARKING LOT STRIPING - HOT 3417 23 LS
APPLIED THERMOPLASTIC
REFLECTIVE PAVEMENT
MARKINGS- 100 MIL-
HANDICAP MARKINGS &
YELLOW SLD (2 AREAS)
HH-14 CONCRETE PAVEMENTTO 321313 SY
REPLACE LOW WATER
CROSSING (IF NEEDED)
HH-15 BLOCK SOD PLACEMENT 32 92 13 SY
aza 5 s.00 5 z,asa.00 o.0000 5 0o sos.s000 $ z,aii.ao $ o0 5 z,asi.ao 5 00 9�.osi 5�z.6o
i S z,soo.00 5 z,soo.00 o.0000 5 0o i.0000 5 z,soo.00 5 00 5 z,soo.00 5 0o ioo.00i 5 00
133 $ 1.00 $ 133.00 0.0000 $ .00 0.0000 $ .00 $ .00 $ .00 $ .00 0.00% $ 133.00
i,600 5 si.00 S l9,sao.00 o.0000 5 0o i,�so.0000 5 l9,sao.00 S oo S i9,sao.00 5 0o ioo.00i 5 00
$ 371,878.00 $ 0.00 $ 364,407.90 $ 0.00 $ 364,407.90 $- 97.99% $ 7,470.10
36,242.79
Page 3 of 3
FORT WORTHM, City of Fort Worth
_��� Change Order Request CSC No. 63066-001
Project Name� Road & Parking-Highland Hills Park � Ciry Sec #� 63066
Client Project #(s)� 104477
Project Demolishing current asphalt drive and parking lots and replacing with new asphalt
Description
Contractor� H D Cook's Rock Solid Inc. � Change Order #� 1 � Datel 6/10/2025
City Project Mgr.� Blaise Grissom � Ciry Inspectorl Charles Hayes
Dept.
Original Contract Amount
Extras to Date
Credits to Date
Pending Change Orders (in M&C Process)
Contract Cost to Date
�Amount of Proposed Change Order
Revised Contract Amount
Original Funds Available for Change Orders
Remaining Funds Available for this CO
PARD
$362,378.00
Contract Time
Totals (CD)
$362,378.00 180
$362,378.00 180
$9,500.00 0
$371,878.00 180
$0.00
Additional Funding (if necessary) $9,500.00 � � � � $9,500.00
CHANGE ORDERS to DATE (INCLUDING THIS ONE) AS % OF ORIGINAL CONTRACT 2.62%
MAX ALLOWABLE CONTRACT AMOUNT (ORIGINAL CONTRACT COST+ 25%) $452,972.50
JUSTIFICATION (REASONS) FOR CHANGE ORDER
During construction it was tletermined by City antl project engineers that cem-lime should be usetl in lieu of cement to stabilize the sub-base layer of the new road and
parking lot, due to soil test results showing a plasticity intlex above 15. This substitution, basetl on the soil contlitions at the site, is allowable by City Stantlartl Construction
Specification, Section 3211 33.
It is understood and agreed that the acceptance of this Change Order by the contractor constitutes an accord and satisfaction and represents payment in
full (both time and money) for all costs arising out of, or incidental to, the above Change Order. The Project/Program Manager signing below
acknowledges that he/she is the person responsible for the monitoring and administration of this contract, including ensuring all performance and
reporting requirements.
Contractor's Company Name
H D Cook's Rock Solid Inc.
Assistant Director (De
Joel McElhany
Troy Gardner
Contractor Name
Charles Cook �
Date Project and Contract
06/11 /2025
06/11/2025 ��°��
Date Director,
06/11/2025 �
Contract Si nature Date
��'� 06/11 /2025
�1ana er Date
06/11 /2025
06/11/2025
Date
06/12/2025
� 06/12/2025 ���� ,°,!'�—�i-,�r!�UTT � 06/12/2025 �
Council Action (if required)
M&C Number � � M&C Date Approved I �
ATTEST: , ��� �
�a��
Jannette Goodall, City Secretary
FORT WnRi'H
��
Project Name � Road & Parkinp-Hiqhland Hills Park
ClientProject# I 104477
Contracrorl H D Cook's Rock Solid Inc.
IItM UtJl:Klf IIUN
NN-1b l;em-Lime
City of Fort Worth
Change Order Additions
� City Sec # � 63066 �
�
� PM� Blaise Grissom I Inspectorl Charles Hayes I
Change Order Submittal # O1 Date � 611012025 �
ADDITIONS
Uth'i U�t� umt umtGost iotai
f'HKU /3.UUUUUUUU IUNS �aSn.uU" �sa,s5u.uu
P{RD $34,350.00
Sub Total Additions $34,350.Od
Change Order Additions Page 2 of 4
FORT WORTH
�
Project Name � Road & Parkinq-Hiqhland Hills Park
Client Project # I 104477
Contractorl H D Cook's Rock Solid Inc.
I I tlVl UtJI.F(IY I IUIV
FiFi-! t,ement
ciry ot Fort wortn
Change Order Deletions
� City Sec # � 63066 �
�
� PMI Blaise Grissom � Inspectorl Charles Hayes I
Change Order Submittal #�1� Date � 6/10/2025 �
UtLt I IVNS
utri ury unic unict,ost iotai
F'HKU /'I.UUUUUUUU I VIVS ySbU.UU yL4,SbU.UU'
�
Nk.zu
�
�
�
�
�
�
1
yza,s5o.00
Sub IotalUeletions $24,S50.U0
Change Order Deletions Page 3 of 4
MISBE for this Change Order
M/SBE Sub Type of Service Amount for this CO
N/A
Total $0.00
Co #
Previous Change Orders
DATE AMOUNT
Total I $0.00 �
Signature: Troy Ga�dher
Email: troy.gardner@fortworthtexas.gov
Signature: �r4d'l�—
Douglas Black (Jun 12, 2�251225 CDT)
��
Signature: ��a� ����� �
Email: joel.mcelhany@fortworthtexas.gov
Email: Douglas.Black@fortworthtexas.gov
FoR_�� ,�
City of Fort Worth
Change Order Request
Project Name� Road & Parking- Highland Hills Park I Ciry Sec #� 63066
Client Project #(s)� 104477
Project Demolishing current asphalt drive and parking lots and replacing with new asphalt
Description
Contractor� H D Cook's Rock Solid Inc. � Change Order #I 2 � Datel 8/11/2025
City Project Mgr.� Blaise Grissom � City Inspectorl Charles Hayes
Dept.
Original Contract Amount
Extras to Date
Credits to Date
Pending Change Orders (in M&C Process)
Contract Cost to Date
�Amount of Proposed Change Order
Revised Contract Amount
Original Funds Available for Change Orders
Remaining Funds Available for this CO
Additional Funding (if necessary)
PARD
$362,378.00
$9,500.00
Contract Time
Totals (CD)
$362,378.00 180
$9,500.00
CHANGE ORDERS to DATE (INCLUDING THIS ONE) AS % OF ORIGINAL CONTRACT 2.62%
MAX ALLOWABLE CONTRACT AMOUNT (ORIGINAL CONTRACT COST+ 25%) $452,972.50
JUSTIFICATION (REASONS) FOR CHANGE ORDER
During construction it was tletermined by City inspectors that adtlitional sod was necessary. Funds to cover atltlitional sotl will be taken from line item HH-1Q which was
butlgetetl on an as-neetletl basis for this project and ended up not being neetled. This is a zero dollar change ortler.
It is understood and agreed that the acceptance of this Change Order by the contractor constitutes an accord and satisfaction and represents payment in
full (both time and money) for all costs arising out of, or incidental to, the above Change Order. The Project/Program Manager signing below
acknowledges that he/she is the person responsible for the monitoring and administration of this contract, including ensuring all performance and
reporting requirements.
Contractor's Compan Name Contractor Name Contract Si nature Date
c aves roox 08 13 202�
H D Cook's Rock Solid Inc. Charles Cook � �
Inspector/Ins�ection Supervisor Date Proiect and Contract Compliance Manaper Date
�.� <�;����
Assistant Director
±e�a ""-f�! _r,
i1q
08 13 202� �����
Date Director, C�
08/17/2025 �e
14/202�
Date
_8/2025
� � 08/18/2025� .'�; "- r�i��! _ � 08/19/2025 �
Council Action if required
M&C Number I N/A � M&C Date Approved IN/A I
�,E�Iz A �-
Jannette Goodall, City Secretary
FORT �� RTH
Project Name � Road & Parking- Highland Hills Park
Client Project # � 104477
Contracrorl H D Cook's Rock Solid Inc.
I I tM UtSl:Klf' I IUN
NN-15 kilock Sotl F'lacement
City of Fort Worth
Change Order Additions
� City Sec # � 63066 �
�
IPM� Blaise Grissom I Inspectorl Charles Hayes I
Change0rderSubmittal# O2 Date � 8111/2025 �
ADDITIONS
Utf'I Uty Unrt UmtGost lotal
f'HKU 18U.UUUUUUUU SY y11.UU� y1,y8U.UU
I P�2D
I Sub Total Additions
$1,980.00
$1,980.00
Change Order Additions Page 2 of 4
FORT WnRTH
.�
Project Name � Road & Parkinq- Hiqhland Hills Park
ClientProject# I 104477
Contractor� H D Cook's Rock Solid Inc.
I I tM UtSGKII' I IUN
FiFi-1U 'ItS" KI,F', 1.18SS III
City of Fort Worth
Change Order Deletions
� City Sec # � 63066 �
�
� PMI Blaise Grissom � Inspectorl Charles Hayes I
Change Order Submittal # �2 Date � 8/1112025 �
UtLt I IVNS
utN i ury unrt unn cost
F'HKU 'Ib.S4UUUUUU Lh y1Lb.UU
PfL�D
Sub IotalUeletions
i otai �
y1,`JifU.UU�
1
i
1
i
1
i
1
i
1
i
1
i
1
i
1
i
1
i
1
i
1
i
1
i
1
i
1
i
1
i
1
i
1
i
1
i
1
i
1
i
1
i
1
i
1
i
1
i
1
i
1
i
1
i
1
i
1
i
1
i
1
i
1
i
1
i
1
i
1
�
$1,980.00�
�
�
�
$1,98U.OU�
Change Order Deletions Page 3 of 4
�
4 31001 7/1/2025 2060000 RETAIN I I (11,163.00)
5 9/3/2025 2060000 RETAIN I I (25,079.79)
6 31001 Total (36,242.79)
7 (36,242.79)
8 IGrand Total , , I , I I I (36,242J9)
.AFFIDAVIT
STATE OF TEXAS
COUNTY OF DENTON
Before me, the un�ersigned autharity, a notary public in the sta�e
and county aforesaid, on this day personalIy appeared Charles Cook,
President Of H. D. Caok's Rock Solid, I�c., known to n�e to be a credible
person, who being by me duly sworn, upon his oath c�eposed and said;
That all persans, fir�ns, assaciations, corporations, or other
organizations furnishing labor and/or rr�aterials have �een 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 far personal injury and/ar
property damages;
On Contract described as;
CPN 104477 Hignland Hills Road Imp�rovements
.,�'
BY i��
� Pre ident
Charl�s Cook, s
Subscribed and sworn before me on this date 10`�' day of October, 2Q25.
� �� �
otary Public
DENTON COUNTY.
TEXAS
John W C4oud
. �' f My Commi55i4n E�pires
* a1812D26
11 Nolary l�
133686320
.. _ . _ �
Affidavit of Compliance with
City af Fort Worth
Prevailing Wages
,, ��l1aK �ax�-1 ���;e�-� ��e�
(Name of person signing affidavit) (Title} v
do hereby certify that the wages paid to all employees of H.D. Cook's Rock Solid, Inc.
for all hours worked on the:
J�j�hland Hills Park Imnrovements CPN 104471
Project, during the period from 05/10/2025 to 08/22/2025
are in compliance with the requirements of Chapter 2258, Texas Government Code
related to paying established City of Fort Worth wage rates per the project bid documents.
I further certify that no rebates or deductions have or will be make, directly ar indirectly,
from any wages paid in connection with this project, other than those provided by law.
.
.
(Signature of Officer or Agent)
Sworn to and subscribed in my presence this
� � day of �Cr��f , 2025.
JoM W Cloud
My COmmission ExpireS
' • 4/812026
Notary 1D
133686320
(Notary Public)
SURETEC INSURANCE COMPANY
2103 CityWest Boulevard, Suite 1300
Houston, TX 77042
OWNER
ARCHITECT
CONSENT OF SURETY CONTRACTOR
TO FINAL PAYMENT SURETY
OTHER
BOND NO.: 4473884
TO OBLIGEE:
(Name and Address)
City of Fort Worth
200 Texas Street
Fort Worth, TX 76102
CONTRACT FOR:
ARPA Highland Hills Park
Improvements, CPN 104477
PROJECT:
(Name and Address)
ARPA Highland Hills Park Improvements, CPN 104477
PRINCIPAL: HD Cook's Rock Solid, Inc. dba
Rock Solid Inc.
CONTRACT DATED:
02/11 /2025
■
■
■
■
■
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
HD Cook's Rock Solid, Inc. dba Rock Solid, Inc., 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 finai payment in accordance with the terms hereof shall not
relieve the Surety of its obligations to The City of Fort Worth, OBLIGEE, as set forth in said
Surety's bond.
IN WITNESS WHEREOF, the Surety has hereunto set its hand on this date: October 21,
2025.
SureTec Insurance Companv
(Surety)
Attest: ��-� ��
� �I�l.i �/��%IJC�
(Signature of �uthorized r2�resentativ�)
Helen Jones, Attorney-in-Fa�t
ro�� #: 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 ful( power and authoriry 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
hereb�� vested with full power and authority to appoint any one or more suitabie persons as Attomey(s)-in-Fact to represent and act for and on
behaif of the Company subject to the following provisions:
Auorney-in-Fact may be given full power and authoriry for and in the name of and of behalY 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
Attomey-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 seaf 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. (.4cfopted at a meeting held on 20'" of April,
1999.)
/n Witness Whereof, SURETEC INSURANCE COMPANY has caused these presents to be signed by its President, and its corporate seal
to be hereto affixed this 3`d day of February , A.D. 2023 .
State of Texas ss:
County of Harris
,�„' �RAn�� n,,� SURETEC INSURANCE COMPANY
\�.� ............. �� �� �,.-
�u,�� X ,q �'',o�' gY: j�-..._",`.
w; w : D= Michael C. Keimig, Preside�
66 h i Z=
')'� �. 1 -� � i
*w,,,,,�,d *.. �.� ,.
�
On this 3`d 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 SIJRF,TEC 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 Direcrors of said Company; and that he signed his name thereto by like order.
.: �;R:;;,;9;.� � � � � � TANYA SNEED �
;° `�'; Notary Public State of Texas
�"-;�;�:` Commission � 128571231
��`��" �`�'� Commission Expires 0313E1/2621 S
�
`� Tanya Sneed, Notar�°�ublic
My commission expires March 30, 2027
I, M. Brent Beaty, Assistant Secretary of SURETEC INSURANCE COMPANY, do hereby certify that the above and f'oregoing is a true and correc[ copy �I
of a Power of Attorney, executed by said Company. which is still in fulf force and effect; and furthermore, the resolutions of the Board of Directors, set
out in the Power of Attornev are in full force and effect.
Given under my hand and the seal of said Company at Houston, Texas this a of Ct0 er f%% 2�25 , A.D.
/
� ,
�:
. B nt Bea , Assistant �ecretary
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.
F�RT�VORTH�
`--�
TRANSPORTATION AND PUBLIC WORKS
October 31, 2016
HD Cook's Rock Solid Inc
1741 US Hwy 377 STE 133
Roanoke, TX 76262
RE: Acceptance Letter
Project Name: Highland Hills Park Improvements
Project Type: Paving
City Project No.: 104477
To Whom It May Concern:
On August 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 August 29, 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 August 29, 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
Bethany.Grissom@FortWorthTexas.�ov .
Sincerely,
��
Blaise Grissom, Project Manager
Geoffrey Smith P.E., Program Manager
(,� Before & After Pictures
Cc: Charles Hayes, Inspector
Troy Gardner, Inspection Supervisor
Manny Nieto, Senior Inspector
Geoffrey Smith P.E., Program Manager
Neel-Shaffer, Consultant
HD Cook's Rock Solid Inc., Contractor
N/A, Developer
File
E-Mail: TPW_Acceptance@fortworthtexas.gov
Rev. 8/20/19
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