HomeMy WebLinkAbout063787-FP2 - Construction-Related - Contract - Duke Inc. General Contractors-FP2
City Secretary
Contract No. 63787
FORT WORTH.
Date Received 5/1 /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: Brewer Blvd
City Project No.: 105960
Improvement Type(s): Water ❑x Sewer ❑x
Original Contract Price:
$1,438,111.00
Amount of Approved Change Order(s):
-$18,534.00
Revised Contract Amount:
$1,419,577.00
Total Cost of Work Complete:
$1,419,577.00
Erfk Boraks (Apr 27, 2026 11:49:37 CDT)
Contractor
Duke Inc. General Contractors
Title
Duke INC. General Contractors
Company Name
M i'�rkins (Apr 27, 2026 11:55:56 CDT
Project Inspector
kh,il 3aafavi' T u
K hzl Ja N, P-E. (A,, 2026 20-56 45 CDT)
Project Manager
CFA Manager
de,.,,.,.,.,Z,.,,,_
Lauren Prieur (May 1. 2026 13:52:38 CDT)
TPW Director
04/27/2026
Date
04/27/2026
Date
04/30/2026
Date
05/01 /2026
Date
05/01 /2026
Date
Page 1 of 2
Notice of Project Completion
Project Name: Brewer Blvd
City Project No.: 105960
City's Attachments
Final Pay Estimate ❑x
Change Order(s): ❑x Yes ❑ N/A
Pipe Report: ❑x Yes ❑ N/A
Contractor's Attachments
Affidavit of Bills Paid
Consent of Surety
Statement of Contract Time
Contract Time: 120 WD
Work Start Date: 9/30/2025
Completed number of Soil Lab Test: 196
Completed number of Water Test: 10
Days Charged: 132 WD
Work Complete Date: 4/15/2026
Page 2 of 2
FoRTWORTH
CITY OF FORT WORTH
FINAL PAYMENT REQUEST
Contract Name BREWER BLVD
Contract Limits
Project Type WATER & SEWER
City Project Numbers 105960
DOE Number 5960
Estimate Number 1 Payment Number 1 For Period Ending 4/15/2026
WD
City Secretary Contract Number
Contract Date
Project Manager NA
Contractor DUKE INC. GENERAL CONTRACTORS
13740 MIDWAY ROAD, STE 804
DALLAS , TX 75244
Inspectors M.GLOVER / M. PERKINS
Contract Time 12WD
Days Charged to Date 132
Contract is 100.00 Complete
Thursday, April 16, 2026 Page I of 5
City Project Numbers 105960
Contract Name BREWER BLVD
Contract Limits
Project Type WATER & SEWER
Project Funding
UNIT I: WATER IMPROVEMENTS
DOE Number 5960
Estimate Number 1
Payment Number 1
For Period Ending 4/15/2026
Item
Description of Items
Estimated Unit
Unit Cost
Estimated
Completed
Completed
No.
Quanity
Total
Quanity
Total
---------------------------------------
1
12" WATER PIPE
756 LF
$135.00
$102,060.00
756
$102,060.00
2
CONNECTION TO EXISTING 24" WATER MAIN
I EA
$19,250.00
$19,250.00
1
$19,250.00
3
12" WATERLINE LOWERING
1 EA
$9,425.00
$9,425.00
1
$9,425.00
4
12" DIP WATER
23 LF
$160.00
$3,680.00
23
$3,680.00
5
12" GATE VALVE
3 EA
$6,400.00
$19,200.00
3
$19,200.00
6
24" STEEL CASING PER DETAIL D106
20 LF
$225.00
$4,500.00
20
$4,500.00
7
12" WATER PIPE, CLSM BACKFILL
25 LF
$35.00
$875.00
25
$875.00
8
FIRE HYDRANT
I EA
$6,165.00
$6,165.00
1
$6,165.00
9
4" -12" PRESSURE PLUG
3 EA
$3,250.00
$9,750.00
3
$9,750.00
10
TRENCH SAFETY
781 LF
$6.00
$4,686.00
781
$4,686.00
11
8" WATER METER AND VAULT(CO# 1)
0 EA
$61,650.00
$0.00
0
$0.00
12
8" WATER PIPE
20 LF
$70.00
$1,400.00
20
$1,400.00
13
8" GATE VALVE
1 EA
$3,775.00
$3,775.00
1
$3,775.00
14
6" PVC WATER PIPE
34 LF
$60.00
$2,040.00
34
$2,040.00
15
6" GATE VALVE
I EA
$2,850.00
$2,850.00
1
$2,850.00
16
DUCTILE IRON WATER FITTINGS
1.5 TN
$9,350.00
$14,025.00
1.5
$14,025.00
w/RESTRAINT
17
6" WATER METER AND VAULT(CO#1)
1 EA
$38,941.00
$38,941.00
1
$38,941.00
18
--------------------------------------
FIRE HYDRANT RELOCATION(CO#1)
1 LS
$4,175.00
$4,175.00
1
$4,175.00
Sub-Total of Previous Unit
$246,797.00
$246,797.00
UNIT IL SANITARY SEWER IMPPOVEMENTS
Item
Description of Items
Estimated Unit
Unit Cost
Estimated
Completed
Completed
No.
Quanity
Total
Quanity
Total
1
18" SEWER PIPE
1291 LF
$171.00
S220,761.00
1291
$220,761.00
2
18" SEWER PIPE
25 EA
$9,495.00
$237,375.00
25
$237,375.00
3
4' MANHOLE
2 EA
$11,125.00
$22,250.00
2
$22,250.00
4
4' DROP MANHOLE
97 LF
$290.00
$28,130.00
97
$28,130.00
5
18" DIP SEWER
30 LF
$300.00
$9,000.00
30
$9,000.00
6
36" STEEL CASING PER DETAIL D106
95 LF
$270.00
$25,650.00
95
$25,650.00
7
30" STEEL CASING PER DETAIL D106
154 LF
$245.00
$37,730.00
154
$37,730.00
Thursday, April 16, 2026 Page 2 of 5
City Project Numbers 105960 DOE Number 5960
Contract Name BREWER BLVD Estimate Number 1
Contract Limits Payment Number 1
Project Type WATER & SEWER For Period Ending 4/15/2026
Project Funding
8
24" STEEL CASING PER DETAIL D106
83
VF
$200.00
$16,600.00
83
$16,600.00
9
4' EXTRA DEPTH MANHOLE
12
VF
$585.00
$7,020.00
12
$7,020.00
10
EPDXY MANHOLE LINER
1
EA
$1,850.00
$1,850.00
1
$1,850.00
11
CONNECT TO EX SEWER
27
EA
$175.00
$4,725.00
27
$4,725.00
12
MANHOLE VACUUM TESTING
18
EA
$375.00
$6,750.00
18
$6,750.00
13
CONCRETE COLLAR
4446
LF
$4.00
$17,784.00
4446
$17,784.00
14
TRENCH SAFETY
4446
LF
$2.50
$11,115.00
4446
$11,115.00
15
POST -CCTV INSPECTION
1888
LF
$130.00
$245,440.00
1888
$245,440.00
16
15"SEWER PIPE
384
LF
$240.00
$92,160.00
384
$92,160.00
17
16" DIP SEWER
20
LF
$45.00
$900.00
20
$900.00
18
18" SEWER PIPE, CSS BACKFILL
321
LF
$115.00
$36,915.00
321
$36,915.00
19
12" SEWER PIPE
40
LF
$35.00
$1,400.00
40
$1,400.00
20
12" SEWER PIPE, CSS BACKFILL
405
LF
$195.00
$78,975.00
405
$78,975.00
21
12" DIP SEWER
163
LF
$75.00
$12,225.00
163
$12,225.00
22
8" SEWER PIPE
60
LF
$30.00
$1,800.00
60
$1,800.00
23
--------------------------------------
8" SEWER PIPE, CSS BACKFILL
865
CY
$65.00
$56,225.00
865
$56,225.00
Sub-Total
of Previous Unit
$1,172,780.00
$1,172,780.00
Thursday, April 16, 2026 Page 3 of 5
City Project Numbers 105960
Contract Name BREWER BLVD
Contract Limits
Project Type WATER & SEWER
Project Funding
Contract Information Summary
Original Contract Amount
Change Orders
Change Order Number 1
Change Order Number 2
DOE Number 5960
Estimate Number 1
Payment Number 1
For Period Ending 4/15/2026
$1,438,111.00
($22,709.00)
$4,175.00
Total Contract Price $1,419,577.00
Total Cost of Work Completed $1,419,577.00
Less % Retained $0.00
Net Earned $1,419,577.00
Earned This Period $1,419,577.00
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
$1,419,577.00
Thursday, April 16, 2026 Page 4 of 5
City Project Numbers 105960
Contract Name BREWER BLVD
Contract Limits
Project Type WATER & SEWER
Project Funding
Project Manager NA
Inspectors M.GLOVER / M. PERKINS
Contractor DUKE INC. GENERAL CONTRACTORS
13740 MIDWAY ROAD, STE 804
DALLAS, TX 75244
DOE Number 5960
Estimate Number 1
Payment Number 1
For Period Ending 4/15/2026
City Secretary Contract Number
Contract Date
Contract Time 120 WD
Days Charged to Date 132 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 $1,419,577.00
Less % Retained $0.00
Net Earned $1,419,577.00
Earned This Period $1,419,577.00
Retainage This Period $0.00
Less Liquidated Damages
0 Days @ S0.00 / 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
$1,419,577.00
Thursday, April 16, 2026 Page 5 of 5
DEVELOPER -AWARDED -PROJECT CHANGE ORDER
PROJECT NAME:
BREWER BLVD
CHANGE
CONTRACT:
WATER, SANITARY SEWER, STORM DRAIN, PAVING, GRADING, 8 STREET
LIGHT
ORDER No:
CFA #
25-0094 CITY PARTICIPATION:
NO
CITY PROJECT #
105960
CITY SECRETARY CONTRACT It
63787
FID #
30114-0200431.106960.EO7685
1
X #
28414
FILE #
K.3332
INSPECTOR: Cristobal Fuentes Phone No: 682-213-0475
PROJECT MANAGER: Amanda Mala Phone No: 817-562-3350
CONTRACT UNIT
WORKING
DAYS
WATER
SEWER
DRAINAGE
PAVING
STREET LIGHTS
Developer
Cost
CI Cori
Developer Cost
cityCost
Developer
Cost
city Cost
Developer
Cost
CII Cost.
City Coll
ORIGINAL CONTRACT
$265.331.00
$0.00
$1.172,780.00
$0.00
$1,777,700.00
$0.00
$400,258.60
$0.00
$0.00
120
EXTRAS TO DATE
$0.00
50.00
$0.00
$0.00
SO.00
$0.00
$0.00
$0.00
t
$0.00
CREDITS TO DATE
$0.00
S0,00
$0.00
90.00
$0.00
$0.00
$0.00
$0.00.
30.00
CONTRACT TO DATE
$265 331: 0
S0.00
$1.172,750.00
$0.00
$1,777,700.00
$0.00
$468.953.60
$0.00
$0.00
0
AMOUNT OF PROP. CHANGE ORDER
($22,709.00)
$0.00
30.00
50.00
$0.00
$0.00
50.00
50.00
SO.00
0
REVISED CONTRACT AMOUNT
$242.622.00
$0.00
$1.172.760.00
50.00
$1.717.700.00
$0.00
$408,958.60
$0.00
$60,052.60
$0.00
0
TOTAL REVISED CONTRACT AMOUNT PER
UNIT
$242.622.00
51,172,780.00
S1,777,700.00
$488,958.60
$66.052.50
REVISED COST SHARE
Dev. Cost:
$3,738,113.10
City Cost:
SOSKi
TOTAL REVISED CONTRACT
$3,738,113.10
REVIEWED
By Ahmed Musa at 5:05 pm, Jan 07, 2026
Revised: 12-17.2010 Page 1
You are directed to make the following changes In the contract documents:
IINIT 1• WATER
PAY ITEM #
CITY BID ITEM
#
UNIT
CFW Unit
ITEM DESCRIPTION Price
UNIT PRICE
Developer
Cos!
CI Cost*3000
33122804
331211
1
a'Watar Malt, and Vaolt-R.-.d from Contract
$000
-$61650.00
($61,6500(1)
$0.00
$000
$000
3312.2803
33121t
0,00
1
6" Water Meter and Vault
so.00
S389,11.00
$30.90L00
$0.00
$0.00
$000
$0.00
w.D0
$0.00
$000
$000
$0.00
$000
$000
$000
$000
woo
$0.00
s0.00
$000
$0.00
w D0
$0.00
$0.00
$0,00
woo
s000
S0.00
$000
5000
$000
s0,D0
$000
so.00
WOO
30 DO
$000
w00
$000
s0o0
$000
$000
$000
$0.00M
s000
w.00
s0.00
5000
WOO
$0.00
TOTAL UNIT : WATER IMPROVEMENTS 22 709.00 0.00 1622,709.00)
IINIT 11• CaNITARV CFWFR IMRRr1VFa1FNTC /Rnnama rn n�nr,ircAl:l,amn nlMnr llnal
PAY ITEM#
CITY BID ITEM
#
QUANTITY
UNIT
ITEM DESCRIPTION
UNIT PRICE
Developer
Cast
City COO
TOTAL
Koo
10.D0
$000
$0.00
$0.00
$0.00
$000
$000
$0.00
$000
$000
$000
$000
$000
$000
w.00
$000
$000
$0.00
$000
$0.00
$0.00
$000
$0.00
50.00
$0.00
$000
s0.00
$000
w.00
$0.00
$000
w.00
s00o
woo
$000
$000
w.00
$000
$0.00
$0.00
$0.00
TOTAL UNIT It: SANITARY SEWER IMPROVEMENTS 0.00 0.00 $0.00
Asterisk (') Indicates New Pay Item
REVIEWED
By Ahmed Musa at 5:05 pm, Jan 07, 2025
Revised. 12-17.2018 Page 2
REASONS FOR CHANGE ORDER The 8' watermeter called out on WL-C(DO" STA 0-19.93 will be reduced to a 6' waler meter.
RECOMMENDED:
Amanda Male
1
Name:Amanda Mata
Title: Project Manager
APPROVED:
Name.
APPROVED:
APPROVAL RECOMMENDED: APPROVED: APPROVED AS TO FORM AND LEGALITY:
CFW - Water Department CFW - Assistant City Manager CFW - Assistant City Attorney
By: Not Applicable Date: By: Not Applicable Date: By-, Not Applicable Date:
Name: Not Applicable Name: Not Applicable Name: Not Applicable
Title: Not Applicable Title: Not Appiable Title: Not Applicable
RECOMMENDED:
CFW - 'Contract Compliance Manager ATTEST ' Contract Compliance Manager (Project Manager):
01/07/2026 By signing I acknowledge that t am the person responsible
By: Dale: for the monitoring and administration of this contract,
Name:
Ahmed Musa By: Not Applicable Date: and ensuring all performance and reporting requirements
Title:
Professional Engineer Name: Jannette S. Goodall CaThere are NO City Funds associated with this Contract
Title: City Secretary []There are City Funds associated with this Contract
MBC Number: NIA
M&C Dale Approved: NIA
REVIEWED
By Ahmed Musa at 5:05 pm, Jan 07, 2026
Revised, 12-17-2018 Page 3
DEVELOPER -AWARDED -PROJECT CHANGE ORDER
PROJECT NAME:
BREWER BLVD
CHANGE
CONTRACT:
WATER. SANITART SEWER. STORM DRAIN. PAVING, GRADING. 8 STREET
LIGHT
ORDER No:
CFA0
25-0094 CITY PARTICIPATION:
NO
CITY PROJECT#
105960
CITY SECRETARY CONTRACT #
NIA
FID #
30114-0200431-105960-EO7685
2
x #
28414
FILE #
K-3332
INSPECTOR:
PROJECT MANAGER:
Michael Perkins
- Gristobsl Fucintca- L� Phone No:
Amanda Mata Phone No:
RECEIVED
682-213-0475
817-562-3350 By Kha/ Jaafari at 11:09 am, Mar 26, 2026
CONTRACT UNIT
WORKING
DAYS
WATER
SEWER
DRAINAGE
PAVING
STREETLIGHTS
Develop.,
Cost
City cost
Developer Cost
city Ceel
Developer
Cos!
Ctty Coe1
Developer
Cos!
City Call
Developer
Cost
City Cael
ORIGINAL CONTRACT
$265,331.00
WOO
$1.172,780.00
$0,00
11.777700.00
Woo
$488,959.60
60.OD
$56,052.50
30.00
120
EXTRAS TO DATE
$0.00
$0 00
$0.00
SO.00
$0.00
$0.00
$0.00
S0.00
$0.00
50.00
CREDITS TO DATE
$22,709.00
$0.00
$0.00
SO.00
$0.00
Woo
$0.00
1000
$0.00
$0.00
CONTRACT TO DATE
$242.622.00
$0.00
$1.172,780.00
$0.00
$1.777,700.00
$0,00
$408,966.60
30.00
$58.052.50
30,00
120
AMOUNT OF PROP. CHANGE ORDER
S4,175.00
90.00
1 20.00
30,00
$0.00
$0.00
SO.00
90.00
60.00
10.00
0
REVISED CONTRACT AMOUNT
3246797.00
-00
31172760.00
30.09
31777,700.00
$0.00
$488,965.60
$0.00
$66,052.60
20.00
120
TOTAL REVISED CONTRACT AMOUNT PER
UNIT
3246,797.00
S1.172,780.00
$1,777,700.00
3488,958.60
$56,062.50
REVISED COST SHARE
Dev. Cost: $3,742,288.10 CRY Coat: SO.DO
TOTAL REVISED CONTRACT
$3,742,288.10
Revised: 12.17.2018 Page 1
You are directed to make the following changes In the contract documents
UNIT I: WATER IMPROVEMENTS
PAY ITEM Y
CITY BID ITEM
0
QUANTITY
UNIT
CFW Unll
ITEM DESCRIPTION Prlce
UNIT PRICE
Developer
Cast
City COM
TOTAL
BBB0.0001
000000
100
LS
Flre Hyd—I Reloo&lion
S4175,00
S4175.00
$4,175.00
$0.00
$4.175.00
50.00
$0.00
$0.00
$0.00
S0.00
$0.00
TOTAL UNIT 1: WATER O E N S 17 .00 0.00 54176.00
Asterisk (') Indicates New Pay Item
RECEIVED
By Khal Jaafari at 11:11 am, Mar 26, 2026
Revised: 12-17-2018 Page 2
REASONS FOR CHANGE ORDER
RECOMMENDED:
Amanda Mate
Name: Amanda Mata
Title: Project Manager
Relocation of Existing Fire hydrant
APPROVED:
RECEIVED
By Kha1 Jaafari of 11:11 am, Mar 26, 2026
APPROVED:
APPROVAL RECOMMENDED: APPROVED: APPROVED AS TO FORM AND LEGALITY:
CFW - Water Department CFW - Assistant City Manager CFW- Assistant City Altorney
By: _ Not Applicable Date: By: Not Applicable Dale: By: Not Applicable Date:
Name: Not Applicable Name: Not Applicable Name: Not Applicable
Title: Not Applicable Title: Not Applicable Title: Not Applicable
RECOMMENDED:
CFW- *Contract Compliance Manager
Name:
Title:
M&C Number: NIA
M&C Date Approved: NIA
ATTEST
By: Not Applicable Date:
Name: Jannelte S. Goodall
Tille: City Secretary
Contract Compliance Manager (Project Manager):
By signing I acknowledge that I am the person responsible
for the monitoring and administration of this contract,
and ensuring all performance and reporting requirements
There are NO City Funds associated with this Contract
❑There are City Funds associated with this Contract
Revised: 12-17-2018 Page 3
FORTWORTH
TRANSPORTATION AND PUBLIC WORKS
PIPE REPORT FOR:
PROJECT NAME: Brewer Boulevard
CITY PROJECT NUMBER: 105960
WATER
PIPE LAID
SIZE
TYPE OF PIPE
LF
C-900
12"
PVC
756
American Fastite Pipe (Bell Spigot)
12"
Ductile Iron Pipe
23
C-900
8"
PVC
20
C-900
6"
PVC
34
FIRE HYDRANTS: I
VALVES (16" OR LARGER)
0
PIPE ABANDONED
SIZE
TYPE OF PIPE
LF
DENSITIES:
yes
NEW SERVICES:
6"
PVC
I
SEWER
PIPE LAID
SIZE
TYPE OF PIPE
LF
American Fastite Pipe (Bell Spigot)
18"
Ductile Iron
97
SDR-26
18"
PVC
1291
SDR-26
15"
PVC
1888
American Fastite Pipe (Bell Spigot)
16"
dUctile Iron
384
SDR-26
12"
PVC
321
American Fastite Pipe (Bell Spigot)
12"
Ductile Iron
405
SDR-26
8"
PVC
163
PIPE ABANDONED
SIZE
TYPE OF PIPE
LF
DENSITIES:
yes
NEW SERVICES:
8"
PVC
1
TRANSPORTATION AND PUBLIC WORKS
'The City of Fort Worth • 1000 Throckmorton Street • Fort Worth, TX 76012-6311
FORTWORTH.
TRANSPORTATION AND PUBLIC WORKS
April 15, 2026
Duke Inc, General Contractors
13740 Midway Rd Suite 804
Dallas, TX 75244
RE: Acceptance Letter
Project Name: Brewer Boulevard
Project Type: Water & Sanitary Sewer
City Project No.: 105960
To Whom It May Concern:
On April 7, 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 April 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 April 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-
392-7830.
Sincerely,
klhaC ,7aaMVI' T E
Khal J,aa(ad PE fApi 30 202E 2C.5641 CDT,
Khal Jaafari, Project Manager
Cc: Michael Perkins, Inspector
Mike Glover, Inspection Supervisor
Randy Horton, Senior Inspector
Andrew Goodman, Program Manager
Westwood, Consultant
Duke Inc, Contractor
Duke Inc, Developer
File
E-Mail: TPW_Acceptance@fortworthtexas.gov
Rev.8/20/19
Final Pills Paid Affidavit
by Contractor
BEFORE ME, the undersigned authority, personally appeared DUKE INC. , GENERAL CON (hereinafter referred to as
"Contractor"), known to me to be a credible person, and after being by me duly sworn, upon oath stated and affirmed that:
"My naive is ROBERT J STONE III and I ain the PRESIDENT of
DUKE INC., GENERAL CO
hereafter sometimes referred to in this affidavit as "Contractor", Contractor's business address is
13740 MIDWAY ROAD, SUITEThe undersigned Contractor has personal knowledge of the facts stated herein and
has full authority to make the agreements in this affidavit on behalf of Contractor.
Pursuant to and in accordance with a written construction contract between DUKE INC. , GENERAL 'Contractor, and
AMFP V CHISHOLM T� Owner/Administrator, Contractor furnished materials and labor for the construction,
renovation, or repair of improvements located on or relating to project known as BREWER BLVD located
at 3.0240 BREWER BLVD City of CROWLEY 0 TARRANT County, Texas, legally
described in Exhibit "A" attached hereto and made a part hereof for all purposes (the "Property"). All work provided
for under said written construction contract, together with all changes and supplements thereto, has been fully
completed in accordance with the tenns and provisions thereof.
Contractor has paid each of its subcontractors, laborers, suppliers and materialmen in full for all labor and materials
provided to Contractor for or in connection with the construction, renovation, or repair of improvements on or relating to
the subject Property, or any portion thereof, excepting only the amounts owed for the following specified bills to the
persons identified below. Contractor warrants and represents that the following specified bills will be paid to Contractor
by Owner/Administrator in reliance on this Final Bills Paid Affidavit:
Name of Payee
Address
Telephone No.
Amount Owed
BANDERA UTILITY
5750 GENISIS
817-925-1391
$3,215,811.00
CWT CONSTRUCTION LLC
18219 COUNTY RD
281-499-6372
$488,958.60
CS UTILITY
4101 WEST GREEN
817-676-1788
$56,052.50
Other than the above specified bills owed to the above referenced persons, Contractor is not aware of any unpaid bills,
claims, demands, or causes of action by any of its subcontractors, laborers, suppliers, or materialmen for or in connection
with the furnishing of labor or materials, or both, for the construction, renovation, or repair of improvements located on or
related to the subject Property.
In consideration of the funds paid to Contractor by Owner/Administrator and by Lender on behalf of Owner/Administrator
in reliance on this affidavit, Contractor waives and releases all of Contractor's statutory and constitutional mechanic's lien
rights connected with the construction of the Project, conditioned on the actual payment or collection if payment is made
by check or draft.
Contractor further understand that this Final Bills Paid Affidavit is being given pursuant to and in accordance with
Sections 53.085 and 53,259 of the Texas Property Code and that the intentional, knowing, or reckless making of a false or
misleading statement in this Affidavit constitutes an offense under said Section and is a Class A misdemeanor,
Contractor hereby indemnifies and holds harmless Owner/Administrator from any and all claims, demands or causes of
action, and any costs, expenses, and attorney's fees incurred in connection therewith, arising from or connected with, the
statements and representations contained herein."
Form 16 — Final Bills Paid Affidavit Page 1 of 3
EXECUTED this V33-7 day of APRIL 12026
DUKE INC GENERAL CONTRAJt'bS
[N*meIC ntracto ompany]
By
Printed NameROBERT J STONE III
Title: PRESIDENT
Notary's Acknowledgement
Before ine, the undersigned authority, on this day personally appeared
who first being duly sworn by me to be the person whose name is subscribed to the foregoing Final Bills Paid Affidavit,
acknowledged that he/she has the authority to make this Final Bills Paid Affidavit, and further acknowledged to me that he/
she executed the same for the purpose and consideration therein expressed.
GIVEN UNDER MY HAND AND SEAL OF OFFICE on this the �U- day of 20 ZCa.
(Seal)
Notary P lic, ate of Texas
Y PO,� BEN M DAVID My commission expires
?r°•' Notary Public, State of Texas
:1' Comm. Expires 07-15-2029
Notary ID 129489196
Form 16 — Final Bills Paid Affidavit Page 2 of 3
EXHIBIT "A"
Form 16 — Final Bills Paid Affidavit Page 3 of 3
*-_ AIA Document GIOT 1994
Consent of Surety to Final Payment
PROJECT: (__Value and address) ARCHITECT'S PROJECT NUMBER: OWNER. tX]
Brewer Blvd: CONTRACT FOR: ARCHITECT ( ]
Job No. 21.100 GONTRACTOR, [ ]
Sanitary sewer; stornr sewer �€ paving CONTRACT DATED: improvements on Brew,SURETY er Blvd. 04-09-2025 [ ]
TO OWNER: (vante and addr-ess)
OTHER: [
City of Fort Worth
1000 Throckmorton St: Fort Worth, TX
76107
In accordance with the provisions of the Contract between the Owner and the Contractor as indicated above. the
(Insert name and address of Sure)y
Insurors Indemnity Company
POO Brea 32577: Waco. TX 76701
on bona of SURETY.
Y.
(Insert nonce and address of C'onn-acror•)
Duke, Inc. Gteneral Contractors
1370 Nlid«ay Road #804; Dallas, TX 75244
hereby approves of the final payment to the Contractor, and agrees that final payment to the Contractor shall ca1ti-TltaCToR.
not relieve the Surety of any of its obligations to
(Insei7 naine and address of Owner)
City of Fort Worth
1000 Throcltmorton St: Fort Worth. TX 76107
as set forth in said Surety s bond. ONIV 1 R-
I T'iTJ'ITNESS WHEREOF.. the Surety has hereunto set its hand on this date- April 24. 2026
(Insert in Waiting rile month followed by the numeric dare arrd tear.)
Attest:
AA�zc_
f Seal1: •
S ETY IS raatttr er
Zhuk. Anomey-In-Fact
("ringed name and tale)
A Document G707 -1994. Copyright 01982 and 1994 All rights reserved -The American Institute of Architects." -American Institute of Architects.' -AIA - the
AIA Longo. and WA Contract Documents are trademarks of The American Institute of Archrtects This document was produced at 16.24:23 COT on 04,27/2026
under Subscription No.20250134315 which expires on 06/03/2026, 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 reporl copyright violations- e-mail docinfora'tacontracts com.
Ur,er Notes: (69ef$caf5f1b2d23ced2324d)
POWER OF ATTORNEY of INSURORS INDEMNITY COMPANY
Waco, Texas
KNOW ALL PERSONS BY THESE PRESENTS:
Number: CNB-25-0005473-00
That INSURORS INDEMNITY COMPANY, Waco, Texas, organized and existing under the laws of the State of
TEXAS , and authorized and licensed to do business in the State of TEXAS and the United States
of America, does hereby make, constitute and appoint
Maryana Zhuk of the City of Houston State of TEXAS
as Attorney in Fact, with full power and authority hereby conferred upon him to sign, execute, acknowledge, and
deliver for and on its behalf as Surety and as its act and deed, all of the following classes of document, to -wit:
Indemnity, Surety and Undertakings that may be desired by contract, or may be given in any action
or proceeding in any court of law or equity; Indemnity In all cases where indemnity may be lawfully
given and with full power and authority to execute consents and waivers to modify or change or
extend any bond or document executed for this Company.
Attest' cz
Tammy Ti perman, Secretary
State of Texas
County of McLennan
INSURORS INDEMNITY COMPANY
By:
Dave E. Talbert, President
On the 1st day of January„ 2025, before me a Notary Public in the State of Texas, personally appeared Dave E. Talbert
and Tammy Tieperman, who being by me duly sworn, acknowledged that they executed the above Rower of Attorney in their
capacities as President, and Corporate Secretary, respectively, of Insurors Indemnity Company, and acknowledged said Power
of Attorney to be the voluntary act and deed of the Company.
Notary Public, State of Texas
" " ctiwese aws�2�+
Maury eo � ta�7:.e2.�
r DeY f umc mn Expos
Insurors Indemnity Company certifies that this Power of Attorney is granted under and by authority of the
following resolutions of the Company adopted by the Board of Directors on November 11, 2014:
RESOLVED, that all bonds, undertakings, contracts or other obligations may be executed in the name of the Company
by persons appointed as Attorney in Fact pursuant to a Power of Attorney issued In accordance with these Resolutions. Said
Power of Attorney shad be executed in the name and on behalf of the Company either by the Chairman and CEO or the
President, under their respective designation. The signature of such officer and the seal of the Company may be affixed by
facsimile to any Power of Attorney, and, unless subsequently revoked and subject to any limitation set forth therein, any such
Power of Attorney or certificate bearing such facsimile signature and seal shall be valid and binding upon the Company and an y
such power so executed and certified by facsimile signature and seal shall be valid and binding upon the Company with respect
to any bond or undertaking to which it is validly attached.
RESOLVED, that Attorneys in Fact shall have the power and authority, subject to the terms and limitations of the
Power of Attorney issued to them, to execute and deliver on behalf of the Company and to attach the seal of the Company to
any and all bonds and undertakings, and any such instrument executed by such Attorneys in Fact shall be binding upon the
Company as if signed by an Executive Officer and sealed and attested to by the Secretary or Assistant Secretary of the
Company.
1, Tammy Tieperman, Secretary of fnsurors Indemnity Company, do hereby certify that the foregoing is a true excerpt
from the Resolutions of the said Company as adopted by its Board of Directors on November 11, 2014, and that this Resolution
is in full force and effect. I certify that the foregoing Power of Attorney is in full force and effect and has not been revo ked.
In. Witness Whereof, I have set my hand and the seal of INSURORs INDEMNITY COMPANY on this
24th day of A E 2d26
Tammy TI perman, Secretary
NOTE: IF YOU HAVE ANY QUESTION REGARDING THE VALIDITY OR WORDING OF THIS POWER OF ATTORNEY,
PLEASE CALL 800 933 7444 OR WRITE TO US AT P. O. BOX 32577, WACO, TEXAS 76703 OR EMAIL US AT
BONDOE,PTgINSURORSINDEMNITY COM.
UC 2-22-025
INSUMKS
J PO Box 32577
Phone: 877 816 2900 I Waco, Texas 76703-4200
IMPORTANT NOTICE - AVISO TMPORTANT"E
To obtain information or make a complaint:
You may call Insurers Indemnity Company's toll -free
telephone number for information or to make a complaint
at:
1-877-816-2800
You may also write to Insurers indemnity Company at-.
P.O. Box 32577
Waco, TX 76703-4200
Or
823 Washington Ave Ste 200
Waco, TX 76701
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 at:
Consumer Protection (111A A)
F.Q. Box 1.49091
Austin, TX 78714-9091
Fax:512-490-1007
Web: httr)://www.tdi.texas.
E-mail: ConsumerProtecfion@idi.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.
Para obtener informacion o para sometcr una queja:
Usted puede llamar al numeeo de tclefono gratis de
Insurors Indemnity Company's para informacion o para
someter una queja al
1-877-816-2800
Usted tanbien puede escribir a Insurors Indemnity
Company:
P.O. Box 32577
Waco, TX 76703-4200
O
823 Washington Ave Ste 200
Waco, TX 76701
Puede comunicarse con el Departamento de Seguros de
Texas para obtener informacion acerca de companias,
coberturas, derechos o quejas al
1-800-252-3439
Puede escribir al Departamento de Seguros de Texas:
Consumer Protection (I1 I-lA)
P.O. Box 149091
Austin, TX 78714-9091
Fax:512A90-1007
Web: hM://www.tdi.texas,gov
E-mail: ConsmerProtection tdi:texas. ov
DISPUTAS SOBRE PRIMAS Q RECLAMOS:
Si tiene una disputa concemiente a su prima o a un
reclamo, debt comunicarse con el agente o la compania
primero. Si no se resuelve la disputa, puede entonces
comunicarse con el departamento (TDI).
UNA ESTE "ISO A SU POLIZA:
Este aviso es solo para proposito de informacion y no se
convierte en parte o condicion del documento adjunto.
insurorsindemnity.corn