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Home My WebLink About059983-FP1 - Construction-Related - Contract - Jackson Construction-FP1 FORTWORTH� City Secretary 59983 Contract No. Date Received 3/4/2026 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: Water Improvements to Serve Tobias Place City Project No.: 103820 Improvement Type(s): Water ❑x Sewer ❑ IOriginal Contract Price: IAmount of Approved Change Order(s): �Revised Contract Amount: Total Cost of Work Complete c�� (;arm�n I.�[nn fl nb 27 202fi 08'.23 26 CS I1 Contractor Office Manager Title Jackson Construction Company Name `�� Project Inspector ��i� .A�,�� Project Manager a�� CFA Manager �g.,ti... %��...,ti. Lauren Prieur (Mar 4. 2026 142G26 CST) TPW Director $170,490.00 $ 0.00 $ 0.00 $170,490.00 02/27/2026 Date 03/04/2026 Date 03/04/2026 Date 03/04/2026 Date 03/04/2026 Date �FFICIAL RECORD CITY SECRETARY FT. WORTH, TX Page 1 of 2 Notice of Project Completion Project Name: Water Improvements to Serve Tobias Place City Project No.: 103820 City's Attachments Final Pay Estimate ❑x Change Order(s): ❑ Yes 0 N/A Pipe Report: ❑x Yes ❑ N/A Contractor's Attachments Affidavit of Bills Paid � Consent of Surety �.a Statement of Contract Time Contract Time: 35 WD Days Charged: 45 WD Work Start Date: 2/12/2024 Work Complete Date: 4/22/2024 Completed number of Soil Lab Test: 7 Completed number of Water Test: 5 Page 2 of 2 FORTWORTH y � CITY OF FORT WORTH FINAL PAYMENT REQUEST Contract Name TOBIAS PLACE Contract Limits Project Type WATER & SEWER City Project Numbers 103820 DOE Number 3820 Estimate Number � Payment Number i For Period Ending 4/22/2024 WD City Secretary Contract Number Contract Date Project Manager NA Contractor JACKSON CONSTRUCTION LTD 5112 SUN VALLEY DRNE FORT WORTH � TX 76119 Inspectors O AGUILLON / J. GLENN Contract Time 35 WD Days Charged to Date 45 Contract is 100.00 Complete Thursday, May 30, 2024 Page 1 of 4 City Project Numbers 103820 Contract Name TOBIAS PLACE Contract Limits Project Type WATER & SEWER Project Funding UNIT 1: WATER IMPROVEMENTS DOE Number 3820 Estimate Number � Payment Number � For Period Ending 4/22/2024 Item Description of Items Estimated Unit Unit Cost Estimated No. Quanity Total 1 GONC PVMT REPAiR, RESiDENTIAL 63 SY $350.00 $22,050.00 2 TRENCH SAFTEY 43 LF $2.00 $86.00 3 DUCTILE IIZON WATER FITTINGS W/ 03 TN $14,000.00 $4,200.00 RESTRAINT 4 6" DIP WATER 43 LF $368.00 $15,824.00 5 2" WATER SERVICE 1 EA $7,100.00 $7,100.00 6 6" WATER METER AND VAULT 2 EA $41,300.00 $82,600.00 7 6" GATE VALVE 2 EA $2,900.00 $5,800.00 8 REMOVE 8" WATERLINE 20 LF �10.00 $200.00 9 SALVAGE 2" WATER METER 2 EA $300.00 $600.00 10 UTILITY SERVICE SURFACE RESTORATION 65 SY $22.00 $1,430.00 SEEDING ll REMOVE SIDEWALK 16 SF $5.00 $80.00 12 4" CONC SiDEWALK 16 SF �20.00 $320.00 13 TRAFFICCONTROL I MO $1,000.00 $1,000.00 14 REMOVE WATER SERVICE 2 EA $2,700.00 $5,400.00 15 CONNECTION TO EXISTING 4"-12" WATER 2 EA $11,900.00 $23,800.00 MAIN Completed Completed Quanity Total 63 $22,050.00 43 $86.00 0.3 $4,200.00 43 1 2 2 20 2 65 $15,824.00 $7,100.00 $82,600.00 $5,800.00 $200.00 $600.00 $1,430.00 16 16 I 2 2 $80.00 $320.00 $1,000.00 $5,400.00 $23,800.00 Sub-Total of Previous Unit �i7o,490.00 �i7o,490.00 Thursday, May 30, 2024 Page 2 of 4 City Project Numbers 103820 Contract Name TOBIAS PLACE Contract Limits Project Type WATER & SEWER Project Funding Contract Information Summary Original Contract Amount Chan�e Orders Total Cost of Work Completed $170,490.00 Less % Retained $0.00 Net Earned $170,490.00 Earned This Period �170,490.00 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 Total Contract Price DOE Number 3820 Estimate Number � Payment Number � For Period Ending 4/22/2024 $170,490.00 $170,490.00 $0.00 $0.00 $0.00 $0.00 $0.00 $170,490.00 Thursday, May 30, 2024 Page 3 of 4 City Project Numbers 103820 Contract Name TOBIAS PLACE Contract Limits Project Type WATER & SEWER DOE Number 3820 Estimate Number � Payment Number � For Period Ending 4/22/2024 Project Funding Project Manager NA Inspectors O AGUILLON / .T. GLENN Contractor 1ACKSON CONSTRUCTION LTD 5112 SUN VALLEY DRIVE FORT WORTH, TX 76119 City Secretary Contract Number Contract Date Contract Time 35 WD Days Charged to Date 45 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 $170,490.00 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 $170,490.00 $0.00 $170,490.00 $0.00 $0.00 $0.00 $0.00 $0.00 $170,490.00 Thursday, May 30, 2024 Page 4 of 4 PROJECT NAME: PROJECT NUMBER: DOE NUMBER: PIPE LAID DIP WATER PIPE FIRE HYDRANTS: PIPE ABANDONED DIP WATER PIPE DENSITIES: NEW SERVICES: PIPE LAID PIPE ABANDONED DENSITIES: NEW SERVICES: FORTWORTH TRANSPORTATION AND PUBLIC WORKS PIPE REPORT FOR: Tobias Place EXpress CFA CPN 103820 WATER SIZE TYPE OF PIPE 6" D1P SIZE g�� YES SIZE SIZE VALVES (16" OR LARGER) TYPE OF PIPE DIP PASSED SEWER TYPE OF PIPE TYPE OF PIPE TRANSPORTATION AND PUBLIC WORKS �� The Ciry of Fort Worth • 1000 Throckmorton Street • Fort Worth, TX 76012-63ll (81 � 392 - 7941 • Fax: (817) 392 - 7845 LF LF LF LF 43' 20' Fo�� TRANSPORTATION AND PUBLIC WORKS May 2, 2024 Jackson Construction 5112 Sun Valley Dr Fort Worth, TX 76119 RE: Acceptance Letter Project Name: Tobias Place Water Improvements Project Type: Water City Project No.: 103820 To Whom It May Concern: On May 2, 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 May 2, 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- 392-7252. Sincerely, �� .�� Madiha Alshammry, P.E., Project Manager Cc: James Glenn, Inspector Donald Watson, Inspection Supervisor Oscar Aguillon, Senior Inspector Andrew Goodman, P.E., Program Manager Spiars Engineering, Consultant Jackson Construction LP, Contractor Ojala Partners LP, Developer File E-Mail: TPW_Acceptance@fortworthtexas.gov Rev. 08/20/19 .� � �C��OG� eCONSTRUCTION LTD. 51 1 Z SUN VALLEY DRIVE FORT WORTH, TX 761 19 TEL: 817-57Z-3303 FAX: 817-478-0443 AFFIDAVIT STATE OF TEXAS • 1► • ::::► Before me, the undersigned authority, a notary public in the state and county aforesaid, on this day personally appeared Troy L. Jackson, President Of Jackson Construction, Ltd, known to me to be a credible person, who being by me duly sworn, upon his oath deposed and said; T'hat 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; Water Improvements to serve Tobias Place BY � � ��/�=��r�I / Troy . Jackson, President Subscribed and sworn before me on this date 15th of April, 2024. /� � ./'`�.i � �.--� � ,. � . -- � � �`"��"'' CARMEN L. ESTEP � l�Y PGB i =r°: �:�i Notary Public. State of Texas ="9:,, ,.+�� Comm. Expires 04-06-2028 �°� `�� Notary ID 2910611 .,,�o�„�. CONSEMT t�F SURETY TO FINAL PAYOAENT .AI�k l�ocu�x�a� G7Qi Bond No. 1103976 � t��1�i�R Fl�ame arrd w•Irtlr.al Tobias Place, LP & City of Fort Worth, TX C?W�+IF.R �ca�zrecr C4�",€'�C�'�R sv.� c��.� ARCHIi'ECT'S PRL1,jEC'F �C?.: Ct?�+I�'R�C'� FQR: Construction TX �'I2t}�ECT: (Nutneondacitlnrs� �C�N'I'Ii�1�'�' Z3A�: October 27, 2023 Tobias Place Water Improvements / CPN103820 .irs ac�arc�ance w�th zhe pra�+ssions c�4�xi �e Cantracc l�seetween r��e Uwner and the Cc.�ntractc�r as inefi9c.�teE1 ai.�c3v�, xhe (litsc�rt,xuusadstd addr�srof,Srrrc+�l The Hanover Insurance Company 440 Lincoln Street Worcester, MA 01653 ■ ■ � � ■ , �RF.7CY, oz� bonci of flaoKrr rramea:r�Jaddra*sof'Cor31ms7or) Jackson Construction, Ltd. 5112 Sun Valley Drive Fort Worth, TX 76119 , CO:NTRACI'UR, Iier�'by appm�s af the flr,at payrr�ent tu che Contr�actcsr, and agrees c1�a� i�nat payt�aent co rhe Gcmtraccar s��al4 r�cx relieue ehe Surery of any of irs obligation.s co ld��:+ttrtnunreur:dadtlren o,ft7nmer} Tobias Place, LP & City of Fort Worth, TX TX , oWr��, as sec fnrch im said Surecy s taar�ct. IN WiTi�ttxs5 vt�i�RrOF, the Surety t�as %ereunto set it� l�and t�n [�is dar.e: April 15, 2024 (la�rl rt� u37tl��qq tlle iNarrtb jcaliouHrf 3sk tGc mezreric cle�u�rrt icar,l �i2E�t: `�� (Seal}: �` 'l " � � The an e �surance Company f� ,Y� / _ � � � �rafux�burY G�xprrsN�uu,itr) d Laurie Pflug Attorney-in-Fact (PtAtt�atf rtan:e�rruttfrle�3 G70T�'f994 THE HANOVERINSURANCE COMPANY MASSACHUSETTS BAYINSURANCE COMPANY CITIZENS INSURANCE COMPANY OF AMERICA POWER OFAITORNEY 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: ThatTHE HANOVER INSURANCE COMPANY and MASSACHUSETfS BAY INSURANCE COMPANY, both being corpora#ions organized and exis#ing 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, Jack M. Crowley, Laurie Pflug , andlor Holly Cfevenger Of Willis Towers Watson Insurance Services West, Inc of Dallas, TX each individually, if there be more than one named, as its true and lawful attomey(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 attomey 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 Fifty Million and No/100 (550,000,000) 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 Resoiutions remain in fuil force and effect: RESOLVED: That the President or any Vice President, in conjunction with a�y 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 acknowiedge for and on its behalf as surety, any and all bonds, recognizances, contracts of indemnity, waivers ofcitation and all otherwritings obligatory in the nature thereof, with powerto attach thereto the seal ofthe Company. Any such writings so executed by such Attorneys-in-fact shali 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 Attomey and Certified Copies of such Powers of Attorney and certification in respect thereto, granted and executed by the President or Uce President in conjunction with any Vice President of the Company, shalt 6e binding on the Company to the same extent as if all signatures therein were manualiy affixed, even though one or more of any such signafures fhereon may be facsimile. (Adopted October 7,1981— The Hanover Insurance Company; Adopted April 14,1982 — Massachusetts Bay insurance Company; Adopted September 7, 2001—Ci6zens 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 �ce Presidents, this 12i'' day of September, 2023 � .�� ; �. �. .�� - �,�� '1.1se Iiacnsfvcr i�surarue �ump�a� �'f�ucha�etts B�y iaaaFaate Ca�p,�a� Citarns lasur�xce Campaoyyf Amerka J H. iacki� KAt+� , . STATE OF CONNECTICUT COUNTY OF HARTFORD ) ss. TI►c Nanover lusurae�ce Cv4ttpanv h cAusetts Sax Insarance Gompauy �s iasneaece Campany of America Ilan [N. Mondoza, VicQ Prosident On this 72�h day of September, 2023 before me came the above named Executive �ce President and �ce President of The Hanover Insurance Company, Massachusetts Bay Insurance Company and Citizens Insurance Company ofAmerica, to me personaily known to 6e the individuals and officers described herein, and acknowledged that the seals aifixed to the preceding insWment are the corporate seals of The Hanover Insurance Company, Massachusetts Bay insurance Gompany and Citizens Insurance Company of America, respectively, and that the said wrporate seals and their signatures as officers were duly aifixed and subscribed to said instrument by the authority and direction of said Corporations. ' �IMenay Latoumes- -- W�tB[y PvbYC, St3t8 U( Cpt1f1BC21CUt �rr c«►��,+�►es r�r ��. �vz� n T+ � t "�. ,�? :��':��*�.., �., uf€�rtd;r Latoas es,_��`�" . AAy �ammia��n +�x is�es July 31, 2t13.,� � : I, 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 fuil, true and correct copy of the Original Power of Attomey issued by said Companies, and do hereby further certify that the said Powers of Attomey are still in force and effect. GIVEN under my hand and the seals of said Companies, at Worcester, Massachusetts, this 15th day of Aprii 2024. CERTIFIED COPY '[hc +� loaursnst ompa • M ta 8s7 In� aY surn ce An+ --.., o4e Rewcd�er, Yiee Pratdeat