HomeMy WebLinkAbout060706-FP4 - Construction-Related - Contract - Venus Construction CompanyFQRT�VORTH�
-FP4
City Secretary
Contract No. 60706
Date Received 2�3/2026
AT
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: Meadow Lakes Phase II
City Project No.: 104081
Improvement Type(s): Water � Sewer x❑
Original Contract Price: Water
Original Contract Price: Sewer
Amount of Approved Change Order(s): Water
Amount of Approved Change Order(s): Sewer
Revised Contract Amount: Water
Revised Contract Amount: Sewer
Total Cost of Work Complete:
Developer
Cost
$789,409.48
$1,140,135.82
$246.24
$4,726.40
$789,655.72
$1,144,862.22
$1,934,517.94
City Cost
Total Cost
$862,789.72
$1,544,867.91
$14,729.74
$76,713.90
$877,519.46
$1,621,581.81
$2,499,101.27
i _ - � .� : �, , .,
.
Project Manager
Title
Venus Construction Company
Company Name
O�, F�
Project Inspector
�°� �`wr3
Project Manager
e���� �
CFA Manager
�g.,ti... %��...,ti.
Lauren Prieur (Feb 3, 2026 11:13:52 CST)
TPW Director
02/02/2026
Date
02/02/2026
Date
02/03/2026
Date
02/03/2026
Date
02/03/2026
Date
$73,380.24
$404,732.09
$14,483.50
$71,987.50
$87,863.74
$476,719.59
$564,583.33
�FFICIAL RECC?RD
CITY SECRETARY
Page 1 of 2
FT. WORTH, TX
Notice of Project Completion
Project Name: Meadow Lakes Phase II
City Project No.: 104081
City's Attachments
Final Pay Estimate 0
Change Order(s): 0 Yes ❑ N/A
Pipe Report: 0 Yes ❑ N/A
Contractor's Attachments
Affidavit of Bills Paid
��
Consent of Surety �
Statement of Contract Time
Contract Time: 190 WD Days Charged: 344 WD
Work Start Date: 5/21 /2024 Work Complete Date:1 /8/2026
Completed number of Soil Lab Test: 1112
Completed number of Water Test: 41
Page 2 of 2
FORTWORTH
CITY OF FORT WORTH
F1NAL PAYMENT REQUEST
Contract Name MEADOW LAKES PHASE II
Contract Limits
Project Type WATER & SEWER
City Project Numbers 104081
DOE Number 4801
Estimate Number 1 Payment Number 1 For Period Ending
City Secretary Contract Number
Contract Date
Project Manager NA
Contractor VENUS CONSTRUCTION COMPANY
1426 S. MAIN P O BOX 90
MANSFIELD � TX 76063
Inspectors G.DEYON / O.FRIAS
Contract Time
Days Charged to Date
Contract is 100.00
1/8/2026
WD
190WD
344
Complete
Thursday, January 29, 2026 Page 1 of 5
City Project Numbers 104081
Contract Name MEADOW LAKES PHASE II
Contract Limits
Project Type WATER & SEWER
Project Funding
UNTT I: WATER IMPROVEMENTS
Item Description of Items
No.
1 4"• 12" PRESSURE PLUG
2 TRENCHSAFETY
3 DUCTILE IRON WATER FILLINGS W/
RESTRAINT
4 6" PVC WATER PIPE DR-14. ACCEPTABLE
BACKFILL
5 8" DII' WATER
6 8" PVC WATER PIPE(CO#1)
7 FIRE HYDRANT
8 CONNECTION TO EXISTING 4"� 12" WATER
MAIN
DOE Number 4801
Estimate Number 1
Payment Number �
For Period Ending 1/8/2026
Estimated Unit Unit Cost �stimated Completed Completed
Quanity Total Quanity Total
3 EA $1,064.83 $3,194.49 3 $3,194.49
5869 LF $0.19 $1,115.11 5869 $1,115.11
3.2 TN $9,306.03 $29,77930 3.2 $29,77930
50 LF
$75.00 $3,750.00
50 $3,750.00
80 LF
5939 LF
6 EA
3 EA
$304.92 $24,393.60
$81.89 $486,344.71
$5,179.53 $31,077.18
$2,050.33 $6,150.99
80 $24,393.60
5939 $486,344.71
6 $31,077.18
3 $6,150.99
9 1" WAER SERVICE 160 EA $1,488.30 $238,128.00 160 $238,128.00
10 6" GALE VALVE 6 EA $2,000.00 $12,000.00 6 $12,000.00
ll 8" GATE VALVE(CO#1) 17 EA $2,446.24 $41,586.08 17 $41,586.08
Sub-Total of Previous Unit �877,519.46 $877,519.46
UNTI' II: SANITARY SEWER
Item
No.
1
2
3
4
5
6
7
8
9
10
11
12
13
Description of Items
SANITARY LINE GROUTING
REMOVE 4' SEWER MANHOLE
POST-CCTV INSPECTION
MANHOLE VACUUM TESTING
TRENCHSAFELY
TRENCH WATER STOPS
8"SEWER PIPE
8" SEWER PINE, CSS BACKFILL
12" SEWER PIPE
15" SEWER PIPE
15" SEWER PIPE CSS BACKFILL
24" SEWER PIPE
24" SEWER PIPE CSS BACKFILL
Estimated Unit Unit Cost �stimated Completed Completed
Quanity Total Quanity Total
29.5 CY $1,452.03 $42,834.89 29.5 $42,834.89
3 EA $2,495.63 $7,486.89 3 $7,486.89
5997 LF $4.24 $25,427.28 5997 $25,427.28
29 EA $423.50 $12,281.50 29 $12,281.50
5997 LF $031 $1,859.07 5997 $1,859.07
11 EA $659.48 $7,254.28 11 $7,254.28
3048 LF $79.08 $241,035.84 3048 $241,035.84
160 LF $190.34 $30,454.40 160 $30,454.40
474 LF $113.57 $53,832.18 474 $53,832.18
1938 LF $143.65 $278,393.70 1938 $278,393.70
80 LF $293.45 $23,476.00 80 $23,476.00
267 LF $288.52 $77,034.84 267 $77,034.84
30 LF $456.48 $13,694.40 30 $13,694.40
Thursday, January 29, 2026 Page 2 of 5
City Project Numbers 104081
Contract Name MEADOW LAKES PHASE II
Contract Limits
Project Type WATER & SEWER
Project Funding
14 4" SEWER SERVICE
15 4' MANHOLE
16 5' MANHOLE
17 4' OREN MANHOLE
18 4' EXTRA DEPTH MANHOLE
19 S' EXIRA DEATH MANHOLE
20 EPDXY MANHOLE LINER
21 8" SS PLUG
22 CONNECT TO EXISTING SYSTEM
23 PRE-CCTV INSPECTION (CPN 102152
M95/M325)(CO#1)
24 Conn. Exist. MH w/24" Sewer by Coring (City
Justin,(CO#1)
25 BYPASS PUMPING(SMALL DIA.)(12") (CPN
103381-1)(CO#1)
26 6' CHAIN LINK FENCE, STEEL(FROM
VENUS)(CO#1)
DOE Number 4801
Estimate Number 1
Payment Number 1
For Period Ending 1/8/2026
157 EA
24 EA
2 EA
3 EA
88 VF
25.5 VF
170 VF
5 EA
2 EA
360 LF
$2,132.65 $334,826.05
$7,002.88 $168,06912
$12,296.78 $24,593.56
$15,800.00 $47,400.00
$210.00 $18,480.00
$689.70 $17,58735
$645.00 $109,650.00
$544.60 $2,723.00
$3,236.78 $6,473.56
$7.99 $2,876.40
157 $334,826.05
24 $168,06912
2 $24,593.56
3 $47,400.00
88 $18,480.00
25.5 $17,587.35
170 $109,650.00
5 $2,723.00
2 $6,473.56
360 $2,876.40
1 EA $10,587.50 $10,587.50
1 LS $48,000.00 $48,000.00
170 LF $75.00 $12,750.00
1 $10,587.50
1 $48,000.00
170 $12,750.00
27 ABANDON MANHOLE (ARV) (FROM CFA 1 EA $2,500.00 $2,500.00 1 $2,500.00
ORD.)(CO#1)
Sub-Total of Previous Unit $1,62t,581.8t $1,621,581.8t
Thursday, January 29, 2026 Page 3 of 5
City Project Numbers 104081
Contract Name MEADOW LAKES PHASE II
Contract Limits
Project Type WATER & SEWER
Project Funding
Contract Information 5ummary
Original Contract Amount
Change Orders
Change Order Number 1
Change Order Number 1
DOE Number 4801
Estimate Number 1
Payment Number 1
For Period Ending 1/8/2026
$2,407,657.63
$14,729.74
$76,713.90
Total Contract Price $2,499,101.27
Total Cost of Work Completed �2,499,101.27
Less % Retained $0.00
Net Earned �2,499,101.27
Earned This Period $2,499,101.27
Retainage This Period �0.00
Less Liquidated Damages
Days @ / Day
LessPavement Deficiency
Less Penalty
Less Previous Payment
Plus Material on Hand Less 15%
Balance Due This Payment
$0.00
$0.00
$0.00
$0.00
$0.00
$2,499,101.27
Thursday, January 29, 2026 Page 4 of 5
City Project Numbers 104081
Contract Name MEADOW LAKES PHASE II
Contract Limits
Project Type WATER & SEWER
Project Funding
Project Manager NA
Inspectors G.DEYON / O.FRIAS
Contractor VENUS CONSTRUCTION COMPANY
1426 S. MAIN P O BOX 90
MANSFIELD, TX 76063
DOE Number 4801
Estimate Number 1
Payment Number �
For Period Ending 1/8/2026
City Secretary Contract Number
Contract Date
Contract Time 190 WD
Days Charged to Date 344 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
Less % Retained
Net Earned
Earned This Period $2,499,101.27
Retainage This Period $0.00
Less Liquidated Damages
� Days @ $0.00 / Day
LessPavement Deficiency
Less Penalty
Less Previous Payment
Plus Material on Hand Less 15%
Balance Due This Payment
$2,499,101.27
$0.00
$2,499,101.27
$0.00
$0.00
$0.00
$0.00
$0.00
$2,499,101.27
Thursday, January 29, 2026 Page 5 of 5
F+DRT ��RTH�}
City Secretary's Office
Contract Routing & Transmittal Slip
Contractor's Name: venus Construction
Subject of the Agreement: CSN (60706)
Change Order for additional water and sewer items added to the contract per City's request to serve existing
Fort Worth residents to the north and west. Changes correspond to Revision No. 4,5 as shown on sheet 10
and Revision No. 1 as shown on sheet 60 of the construction plans.
M&C Approved by the Council? * Yes ❑ No 8
If so, the M&C must be attached to the contract.
Is this an Amendment to an Existing contract? Yes ❑ No 8
If so, provide the original contract number and the amendment number.
Is the Contract "Permanent"? *Yes 8 No ❑
If unsure, see back page for permanent contract listing.
Is this entire contract Confidential? XYes ❑ No 8 If only specific information is
Confidential, please list what information is Confidential and the page it is located.
Effective Date: 12/10/2025
If�different from lhe approval dale.
Expiration Date:
If applicable.
Is a 1295 Form required? * Yes ❑ No 8
*If so, please ensure it is attached to the approving M&C or attached to the contract.
Proj ect Number: If applicable. 104081
*Did you include a Text field on the contract to add the City Secretary Contract (CSC)
number? Yes 8 No ❑
Contracts need to be routed for CSO processin� in the followin� order:
1. Katherine Cenicola (Approver)
2. Jannette S. Goodall (Signer)
3. Allison Tidwell (Form Filler)
*Indicates the infor7nation is required and if the information is nol provided, the contract will be
returned to the department.
Permanent Contracts
Advanced Funding Agreements
Architect Service
Community Facilities
Completion Agreement
Construction Agreement
Credit Agreement/ Impact Fees
Crossing Agreement
Design Procurement
Development Agreement
Drainage Improvements
Economic Development
Engineering Services
Escrow Agreement
Interlocal Agreements
Lake Worth Sale
Maintenance Agreement/Storm Water
Parks/Improvement
Parks/Other Amenities
Parks/Play Equipment
Project Development
Property/Purchase (Property owned by the City)
Property/Sales (Property owned by the City)
Property/Transfers (Property owned by the City)
Public Art
Sanitary Sewer Main Replacements
Sanitary Sewer Rehabilitations
Settlements (Employees Only)
Streets/Maintenance
Streets/Redevelopment
Streets/Repairs
Streets/Traffic Signals
Structural Demolition (City owned properties)
Utility Relocation
Water Reclamation Facility
Water/Emergency Repair
Water/Interceptor
Water/Main Repairs
Water/Main Replacement
Water/Sanitary Sewer Rehabilitation
Water/Sewer Service
Water/Storage Tank
PROJECT NAME:
CONTRACT:
CFA #
CITY PROJECT #
CITY SECRETARY CONTRACT #
FID #
X#
FILE #
INSPECTOR:
PROJECT MANAGER:
ORIGINALCONTRACT
EXTRAS TO DATE
CREDITS TO DATE
CONTRACTTO DATE
AMOUNT OFPROP.CHANGE ORDER
REVISED CONTRACT AMOUNT
TOTAL REVISED CONTRACT AMOUNT PER
UNIT
REVISED COST SHARE
TOTAL REVISED CONTRACT
DEVELOPER-AWARDED-PROJECT CHANGE ORDER
Meadow Lakes Phase II
Water, Sewer Pavinq, Drainaqe & Street Liqhts Improvements
23-0147 I CITY PARTICIPATION:I
104081
60706
0114-0200431-104081-E07685
27330
W-2831
Omar Frias Phone No:
George Marquez Phone No:
WATER SEWER
Developer Cost City Cost Developer Cost City Cost
$789,409.48 $73,380.24 $1,140,135.82 $404,732.09
$0.00 $0.00 $0.00 $0.00
$0.00 $0.00 $0.00 $0.00
$789,409.48 $73,380.24 $1,140,135.82 $404,732.09
$246.24 $14,483.50 $4,726.40 $71,987.50
$789,655.72 $87,863.74 $1,144,862.22 $476,719.59
$877,519.46 $1,621,581.81
Dev. Cost: $3,980,770.76
CHANGE
ORDER No:
YES
1
(817)647-2497
(817)392-6826
CONTRACT UNIT
DRAINAGE PAVING STREET LIGHTS
Developer Cost City Cost Developer Cost City Cost Developer Cost City Cost
$388,704.32 $0.00 $1,503,943.50 $0.00 $153,605.00 $0.00
$0.00 $0.00 $0.00 $0.00 $0.00 $0.00
$0.00 $0.00 $0.00 $0.00 $0.00 $0.00
$388,704.32 $0.00 $1,503,943.50 $0.00 $153,605.00 $0.00
$0.00 $0.00 $0.00 $0.00 $0.00 $0.00
$388,704.32 $0.00 $1,503,943.50 $0.00 $153,605.00 $0.00
$388,7D4.32 $1,503,943.50 $153,605.00
City Cost: $564,583.33
$4,545,354.09
WORKING
DAYS
190
0
110
300
You are directed to make the following changes in the contract documents:
PAY ITEM #
6
11
PAY ITEM #
24"
25"
26"
27"
28*
�
Asterisk (*) indicates New Pay Item
UNIT I: WATER IMPROVEMENTS
CITY BID ITEM # QUANTITY UNIT ITEM DESCRIPTION CFW Unit Price UNIT PRICE Developer Cost City Cost TOTAL
3311.0261 150 LF 8" PVC Water Pipe $84.00 881.89 $ -$ 12,283.50 $ 12,283.50
3311.0261 1 EA 8" Gate Valve $2,200.00 $2,446.24 $ 24s24 $ 2,200.00 $ 2,44s.24
$0.00 $0.00 $ -
TOTAL UNIT I: WATER IMPROVEMENTS 246.24 14 483.50 $ 14,729.74
� � � � � � � �
UNI' II: SANITARY SEWER IMPROVEMENTS
CITY BID ITEM # QUANTITY UNIT ITEM DESCRIPTION CFW Unit Price UNIT PRICE Developer Cost City Cost TOTAL
3301.0001 360 LF PreCCTV Inspection (CPN 102152 M95/M325) $5.00 $7.99 $1,076.40 $1,800.00 $2,876.40
1 EA Conn. Exist. MH w/24" Sewer by Coring (City Justin,
Westside Sewer CP1&CP2) $11,000.00 $10,587.50 $0.00 $10,587.50 $10,587.50
3303.0001 1 LS Bypass Pumping(Small Dia.)(12") (CPN 103381-1) $48,000.00 $48,000.00 $0.00 $4$000.00 $48,000.00
3231.0113 170 LF 6' Chain Link Fence, Steel(from Venus) $60.00 $75.00 $2,550.00 $10,200.00 $12,750.00
24114.0001 1 EA Abandon Manhole(ARV)(from CFA Ord.) $1,400.00 $2,500.00 $1,100.00 $1,400.00 $2,500.00
$0.00 $0.00 $0.00
$0.00 $0.00 $0.00
TOTAL UNIT II: SANITARY SEWER IMPROVEMENTS $4.726.40 71.987.50 $76,713.90
� �
ents t� t�e n��h and West. Ghan985 COrresP
ond to Re�ision No- 4�5 as Sn�wn �n sheet
,S �q�est to serve existing Fo� Wo�h resid
ppPROVED: 16�2025
added to the � 6Qrof the construction p�ans ��e 12I
�ons�r�ction
and saWer on sheet Venus r�=�•,
water � asshown � S�zU ..
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ir-. o
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� sr,Enar toe� litle:
8 . �ono nsna ��G�,LITY:
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M� g. neSQ a�e Np CitY Funds � wNh�h�s �ont�act
�,�� Name, Sup Var M a e� EST 12�22�2025 � Thete � �ity Funds ass��iated
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CFW' x�0ntract Gom pate'. Name:
�� ueta��
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FORTWQRTH
TRANSPORTATION AND PUBLIC WORKS
PIPE REPORT FOR:
PROJECT NAME: Meadow Lakes Phase 2
CITY PROJECT NUMBER: 104081
� WATER
PIPE LAID SIZE TYPE OF PIPE
6" water pipe 6" PVC Pipe DR-14
8° water pipe 8" PVC water pipe
FIRE HYDRANTS: 8
PIPE ABANDONED
NA
DENSITIES:
NEW SERVICES:
�
PIPE LAID
8" sewer pipe
12" sewer pipe
15" swer pipe
24" sewer pipe
PIPE ABANDONED
8" SS FM pipe
DENSITIES:
NEW SERVICES:
VALVES (16" OR LARGER)
SIZE TYPE OF PIPE
Densities taken and passed uploaded to Accela
1" 160 copper services
SIZE
g��
12"
15"
24"
SIZE
g��
SEWER
TYPE OF PIPE
PVC
PVC
PVC
PVC
TYPE OF PIPE
PVC
Densities taken and passed were uploaded to Accela
4" 4" PVC
LF
LF
50
5,789
LF
3,208
474
2,018
297
LF
1,738
157
TRANSPORTATION AND PUBLIC WORKS
The City of Fort Worth • 1000 Thxockmorton Stseet • Fort Worth, TX 76012-6311
�`o�� ����rx�
TRANSPORTATION AND PUBLIC WORKS
January 15, 2026
Venus Construction LLC
1426 S. Main
Mansfield, TX 76063
RE: Acceptance Letter
Project Name: Meadow Lakes Phase 2
Project Type: Water,sewer,paving,drainage & street light improvements
City Project No.: 104081
To Whom It May Concern:
On January 9, 2026 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 January 15, 2026. 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 January 15, 2026, 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-
392-6826.
Sincerely,
�� ���
George Marquez , Project Manager
Cc: Omar Frias, Inspector
Gary Deyon, Inspection Supervisor
Lorrie Pitts, Senior Inspector
Andrew Goodman, Program Manager
ANA Consultants LLC, Consultant
RPM xConstruction LLC, Contractor
Elite Development and Construction LLC, Developer
File
E-Mail: TPW_Acceptance@fortworthtexas.gov
Rev. 8/20/19
AFFIDAVIT
STATE OF Texas
COLTNTY OF Tarrant
Before me, the undersigned authority, a notary public in the state
and county aforesaid, on this day personally appeared Samuel McAda, VP
Of Venus Construction Company, 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;
Meadow Lakes Phase 2 Project # CPN 104081
BY
Samuel McAda / Vice President �
Subscribed and sworn before me on this date 30 of January, 2026.
V ��/'U/ty�yt: �✓
Notary Public
Johnson County
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6�tig �v"' ��1� i aede
. . ft!l�98f1956�«"
Band Number: CA 5362204
CONSENT OF
SURETY COMPANY
TO FINAL PAYMENT
PRO,�ECT: Meadow Lakes Phase 2
(r�ame. address)
TO (Owner)
ELITE
DEVELQPMENT & CONST, LLC &
100 Fort Wortih Trail �
Fort Worth, TX 7fi102 f
CONTRACTOR:
Venus Construction Company
1426 S. Main
Mansfield, TX 76063
Caty of Ft Worth
1521 Wagonwheel Dr.
Keller, TX 7b248
F[NAL CONTIiACT PRICE:
In accordance with the pravisions of the Contract between the Owner and the Contractor as indicated
above, the (here insert narr�e and address of 5urety Co.)
Great American Insurance Company
P.O. B4� 5425
Cincinnati, OH 45201-5425
on 6ond of {here insert naine and address af Contractor)
Venus Construction Company
1426 S. Main
Mansfield, TX 76063
, SURETY COMPANY,
,CONTRACTOR
hereby appraves of the �nal payment to the Contractor and agrees that final payment to the
ContrTctor shall not relieve the Surety Company pf any of its obligations to (here insert name and
address ot' Owner)
ELTTE City p� Ft Worth
DEVELOPMEI�7T & CONST, LIsC &
100 Fort Worth Trail � 1521 Wagonwheel Dr.
Fnrr Wnr�h _'TX 7F7 f17 � Kpl 1 F?r. T3{ '7F,�4 R � QW]vEi R�
as set forth i� the said Surety Company's Bond.
[N WITNESS WHEREOF,
the Surety Company has hereunto set its h�nd this 3oth day Q� .7anuary � zo2�
(SLAL)
OWNER ❑
ARCHITECT []
GONTRACTOR �
SUR�,TY ❑
OTHER ❑
CONTRACT FOR:
PROJECT NO
Meadow Lakes
Phase 2
io4a��
CONTRACT DATE:
Great American Insurance Company
� Sure ompany
�� �
` i�n�t Authorized Representative
Lloyd Ray Pitts J'r - Attorney-Tn-Fact
Tit�e
GREAT AMERICAN 1N�URANCE COMPANY�
Administrati�� Office: 301 E 4TH STREET • CINCINNATI, OHIO 45242 • 5� 3-369-50p0 � FAX 513-723-2740
The number of persons authorized Uy
lhis power of attorney is not more tlian TWO
No.O 20935
POWER OF ATTOIiNEY
KIlOW ALLi1RE�' BYTH�:SE PRESE,NT'S: That the GAEATAMERICAN WSURANCE COMPA1�fY, a cor�oration organized and existing uuder
and by virtue of the laws of the 5tate of Ol�io, does liereby nominate, constitute and appoint the person or persons named beluw, each individualiy if more than
one is namet�, its true and lawful attomey-in-fact, far it and in its name, place and stead to execute on behalf of the said Coinpany, as surety, any and alf bonds,
undertakings and contracts of suretyshi�, or other written obGgations in the nature thereof; provided that the liability of the said Cotngany on any such bond,
undertaking or contract oFsuretyship executed under this autharity shai] not exceed the limit stated below.
Name Address Limit of Power
LLOYD FZAY PIiTS, JR. BOiH OF BOTH
WILLIAEvI b. BIRD50NG DALLAS, TEXAS $100,000,000
This Power of Attorney revokes all previous powers issued on behalf of the attornay{sj-in-fact named above.
[ V W1TI�fE55 WHEREOF the GREAT AVIERlCAIV INSURANCE COMPANY has caused Fhese presents to be signed and attestad by its apprapriate
officers aced tis carporate sea3 hereunto aiiiaed tEtis 10TH day of DECEMS�R 2020
Attest GREATAM�RECAI� INSUREINCE COMPAI�iY
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Assisfastt Secrelarr Di��isiona! Senior t4ce Pi�sideiet
STA7'E OF OH10, COUNTY OF EIAMILTON - ss: nn.aaK vicnaio {a7�-s��-zaas�
On this 10TH day of DECEMBER , 2020 , before �ne persona!!y appeared MARK VICAR[O, to me knawn,
being duly sworn, deposes and says t]�at he resides in Cincinnati, Ohio, that l�e is a Divisional 5enior Vice President of the Bond 1�ivisioii of Great American
lnsura��ce Companr, the Coi3�pany described ii� 1nd wl�ic h executed the abovc instrunteut; that he knows the seal ofthe said Company: that the seal affixed to the
said i��stre€m�nt is such corporlte seal; that it w1s so aiiixed br author�tv of his ottice under tlie By-Laws of said Company, and that lie signed his name thereto
by iike authority.
` �.,-�,�,, 5U5AN A KOHORST
-� �= Notary Pu6lic
� State o( Qhia
YG��L'�. '�`' TY 1.QI�if11. EX����ia
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This Power ofAttorney is granted by authority of thc foI[owing resolutions ado�tcd by the Board of Directors of Great American Insurance Coc��pany
by unanimous written consent dated Iune 9, 2008.
RESOL t/ED: Tha1 the Dirisianal Presidenl, Ihe sereral Dir•i.�in�rcrl SenioF• �ce Pre,sidents, Drrisiaaul �ce Presidents und Di»i,soncrl hssislcrnt I�ice
Presideisis, or mry one qJ�tlsent, be crnd lzeiel��� is crtillsnri�ec+.fian tinae tn fi�1�e, to u��point nne o1• rmare Rltor�nevs-in-Fcect In exeetrte ai1 behalf nj�tlte Cnrriperral;
rts surefy, crnv afid ull bond.c, unclertnlcings coad ronit'act.c nJ �ctrr-ett�shij�, o�� otl�er• w�•itten nhlig�ations iv� rhe i�atarre lhereof to prescribe lheir respectii�e dutie,s and
tJre :espectii�e limits of'their• atdhnF•ity; und to yet�oke a�ry suclt a�poi�tlriaent at crn�� liine,
R�:50L 4 Ed FURTHER: TFrat tl�e Con:�nnr se�r! a�:d tlee signaarare of cuty of the n%resaid o�rcers card arry Secreicu y a-:lssasturrt Secretar-y of the
Contpanv nrav be uj�zrerl by f'acsrmile to nny poirer• oj cattrn•rrey or� certnc�ate of erthe�� gire:� for the execrrtion of'crtry ho�tcl, z�ndertaking, corrtract of'szaretyshrp,
or ather �a�ritten nbligation in the ncetarre tlte�eqJ,' such sigiaah�re ai�d seal when so arsed heing herehy c�dopte�l6�� the Cnmpany as the ariginul signcit:tfz; of'sa�ch
of�i'cer pn[l the orif;rnnl sec�l of the Comp�ny, tu be valld and blrrrling zipon the Conrperny iv}th the sanae,foree and effect as though rFaanuallv a,�ax�ecl.
CE,RTIFICATION
a, ST�PHFN C. $ERAHA, Assistant Secretary of GreatAmerican Insurance Company. do hereby certiCy that the foregoing AowerofAttorney and
tlie 2esolutions af t1�e Soard of Directors of Jurse 9, 2008 have not 6een revoked und are now in f�i11 force and effect.
Signed nnd sealed this
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+= � .'�'i,: 3
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3pth day of
January , 2026 ,
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A.S.sistrr�tt Secrcic:r}' ��
S7029AH �03/20}
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��T����t'�
��suRartc� �saup
iMPCIRTA,NT NDTi�CE:
Great American �nsurance Company of k�tew Ynxk
Great Am�rican Alliance Insurance Company
Great American Insuranee Camgany
Ta obtain informatia�� or make a complaint:
Yo� may contact the Texas D��artment of insvrance to obta�n znFormation on� companies,
cflvera,ge.s, rights ar �amplaints at:
1-5�0-252-3439
Yau rnay write the Texas Depart�nent of �ns�rance at:
P.O. Bax 14�1i?�
Austrn, T� 787]�-9091
FAX: 1-5 t 2-490,1 i}�7
Your r�atice of cla9m against the attaehed band may he given ta the surety cor�p�ny that
issued 'the bond E�y s�ntling it by certi�ed nx r�gistexeci n�ai] to �e fc�l;owing address:
Mailing Address:
Physical Address:
Great A�erican �nsurance Conr�pany
P.CJ. Box 2119
�inci�nati, Dhin �52{}2
Great American Insurance Cnmgany
301 E. Fourth Streat
Cincannati, �io 4S2Q2
Yo� may alsa contact the Great,A3nerican lnsuranee Cornpany Ciaim offee by;
Fax:
TelephQne:
Em€aii:
1-sss-2��-��oc
1-513�3b9-5�191
�€�rir�ciaims@gaia.com
PREMIUM UR CLA,�M DISPUT�S:
Xf you have a dispase co�cerning a premiurn, yau should contact the agent first. 7f you
h�ve a disp�€te �v�cemin� a olaim, you should contact the ctsmp�y first. If tf�e dispute is
not resolved, yau rnay cs�ntact ih� Texas Departinent of Insurancu.
AT'i'ACH THIS 1�OTi�E TO YOUR, �OND:
This notice i� Fvr inf�r�atiot� only and does not becona�: a part c�x condition af the attached
dacument.
r.�s�R u ni� �}