HomeMy WebLinkAbout062450-FP1 - Construction-Related - Contract - Urban InfraconstructionFORTWORTH.
TRANSPORTATION AND PUBLIC WORKS
NOTICE OF PROJECT COMPLETION
-FP1
City Secretary No:
62450
Date Received: 05/14/2026
City Project No: 105046
Regarding Contract 62450 2025 Concrete Restoration Contract 1 for as required by the
Transportation & Public Works Department as approved by City Council on 11/19/24 through M&C 24-1030
the Director of the Transportation & Public Works Department, upon the recommendation of the Assistant Director
of the Transportation & Public Works 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:
Pavement Deficiencies:
Total Deduction Amount:
Total Cost of Work Completed:
Less Previous Payments:
Final Payment Due:
Patricia L. Wadsack (May 12, 2026 10:58:04 CDT)
$3,156,248.00 Days 300
$631,700.00 No 2 Days Added by CO 50
$3,787,948.00 Total Days 350
$3,727,880.74 Days Charged231
Days @ /Day = $ 0.00
$ 0.00
$3,727,880.74
($ 3,541,486.66)
$ 186,394.08
Recommended for Acceptance
Assistant Director, Transportation & Public Works — Capital Delivery
Lauren Prieur (May 12, 2026 11:01:27 CDT)
Accepted
Director, Transportation & Public Works
05/12/2026
Date
05/12/2026
Date OFFICIAL RECORD
CITY SECRETARY
FT. WORTH, TX
w
a�
C C L a
O w O N m
a
w u co
C O
.0 y O a w u -
CL m ° a v v
w 2 E E a
Q N U
Q 3
C C
O L m
L o• w E `o a
c
m O c w
c
o v Q a w
m 'o =_ E
V o
j
Y a✓
Y O O
N y ❑
IOU U
E 3 c 3 J o
> o w
° u
d Y a 0 L U L w
a 0 U
m aL+ �: c
c
0 0 o g y 3
.. w
m 0 c
v a m
c v $ v o b v
1O ;�
a
N
c w w
a
a
Q
E12
a
u c g a° m
0 3
v O m o
E
a
'� a o c E �'
m
a
w w
E a d
Y v w m E m w
a v 'to •a p c o
m
o
n�
M
❑
C
O
v
h L w w 3 z;
UJ L -O 9 O U
O
O
N
W
0
o
y o w o m o.
O
•O
U A OJ
OD
w
W
L 't' T O ry O L Q
L' pt
N
1p
T
m
a E m
.. m
LL m Y
3 a c Y c n Y
o
`o v
E
u; m
m
y ba m o m a
S
y
u Y °' L ° N O >
E
O a a m Y
n
o
m 0 3 o
m
c
Q
m
p O. y N
9:
ate-+
v�
" E o f = E a` m
y
9
w L u i T>
N ~ N d d °U
v
J
O
V
H .N.. .M..
O O O V 0 7 t0 00 t0
O O O I, �O n 10 O N
O O O O e-I Ol
O Ln Ln M �--�
Na
00 to
In M N e-I
^ owl
ttJ IO
M l!1 CO
0000 W M to
NO'
N fV V W 10
y p
ri l0 n
M i/} M
n f\ lfl e-I
m M M to
� I
+ E
+ o
••z9
`w
w LL o
-o a
E o v
O A.
Q
w z p M z
r d u V u 2
u Z ' o N '
da Z u Z
ti
0
O
° u
m
N U
W O
_ InC
w
�
O
w
❑ c I w
O m m
..
Q,
w o o v c
'^ E w v c c
w 3 o a
� Q > d.
ti
z
C v 2 ``°
`o
s> E E
E c u
O
j° o y u
? 0
Z U tt
u m
O m O to O O m C p_
E c E -O u w ❑. —
N L V a a j,
m w w
ry o
r
V❑
Q m Q m v o E Q d
v m m 0
*'
Z j�
>
m y E v E^ v� d E ce
E
o z
Oz
m
�� v'V w m w LL v
w¢¢u°uu
—
E
u a Si w
E
u❑
z 2
E
E
o nu o °- "' v °' 00 o°°
u c U E u� p rr w '� ❑
m m 'm' m m o
C) a 00 u
v
�?
w
�m `�
cu u d
t
Z
uo o
?z0
2i
ybq
`w_ mo
. u`°c o o o c v
m ° tp h m
v
row uv'I;
C
to a M, u
z C7
m K
m
00
o d L E E J E m=
O Z u F- u Q Q Q m`
o
U
> lN0 C N
o
°N
ti
m
O
Oa.
U u 1 U
H 7 N
VI 0 u
e-i N M V V w n 00 of
N
d
O
O
O
O
O
O
O
O
O
O O O O
O OIli
O
M
N (
10 vt
N
O
O
O
a H=
O
O
O
O
O
On
LIl
O
N O O 1p
O C O O
V
N
lD lD
ti m
l0
OOi
O
o
(jj
ap
o o o
o 0
n o
in
m
o
o m oco
o
o
oo
.°
m
'^
O
E
—
m e
N
a
o
o
o
0
o
0
o
0
o o o o
0 0 0 0
o
0
o o
0 0
o
0
o
0
a
10
m
o
-o
y Y
o
o
o
0
O
0
o
o 0 0 0
o
in in
ry
o
a LL
E
O
M
O
V1 O
00
�/1
N
O�
0
�
u u� �
va
v1
an
an .n-i
c
h
�
a
))a
o
0
0
0 0 0 0
0
0 0
0
0
C GJ C
N v C
� a
LL
>
7� d
o
o
i/T
o
0
o
o
o
OM
o
o
c
o o o o
- o o
L o
o
n
00
�n �n
Io vi
- N
o
NO
o
0
m
� Y f0
C
�
Ul
N
VF
Ul
v/T n
Z
cL
VT
an
�o
p
>
v „>,
-
o
o
o
o
o
io
0
o
t0
o
o
vt
o 0 o co
o o o o
vt o o ^
o
o
M
o o
o 0
n 7
o
o
0
o
0
v�i O
w
j ate+ N
O
h
O
O
cli
O O O Vim'
Ci
a
a
m m
O tD
O
V
r
LL O
C G
6
.-i
`f
V
(„)
m o
O
O
O
O
O O o o
o
o O
O
O
O
�p ID
o
L.
O
O
O
O O O O
O
O O
O
O
..
o
cL
>
�
N
Q
O
O
O
O
O
O
O O O O
O
O O
O
O
O
O
O
O
O O O O
O
O O
O
O
++
u
E c v.
Ln
«° a
C
c
W C
O
O
O
O
O O O O
O
O O
O
O
p
v
O
o
O
0
O
C
O
C
O O O O
0 0
C
O
c
O O
C C
O
0
O
c
�
o
0
0
0
o o �o
^
0
0 o
M
o
m
w
c
u
o
o
o
0
0
0
0
0
0
0
0
0 0 0 0
0 0 0 0
o N ry
0
0o
0 0
0 0
a m
0
0
M
0
0
E
a
a
ci
o
uO
c
�
�
co C
O
o o O O
O
00
O
c
D
O o
O t00
N
O
m
ti
o
c
O
cr
m f0cr
ti
O
w
>
N
N Uf V1 t}/1
t}/1
�}A u
C
o
o
a
v .0 c
o
0
w
M
m
c
v
v
v v
N
a v
v v
Q
v
c
o
o
o
v
c
u
Y Y v c
v v v u u°
c o
u-
c -o
u u
H
> m
>
m
�
Eo
r
E
u° u° u° E y
E L
E y
Y
o
LL
m
O O
O m u_
o o�
o' o o c o
o
o v
a v a n v
o Eo Eo o
o f
.P
m
"
m
v ai v m v of v ai
N
C V
A
M 'Vmj N m mm mm ml m q N
- O � m 0 O m � m r�o a ni m a m m a m w l.7 an d
6 O
N
m
o
E
v
«ry
'C
«m
'C
«a
'C
«I « n'E
'C �C 'C �C
�C
«o «
'C 'C
�C
'E
m
�C
c
c
O O O E I O O
C O O o I
0 0 0 0 0 0 0 0
>
E O
> 0
'� E
0 0 0 0
> >
LL OM
uo
v c
m Z
d
O
N
cu
to
a
p
O
o
O
0
O
o
N
m
O
o
O
0
O
0
O
0
O
0
O
0
O
0
O
0
O
0
O O
0 0
L
m LL
O
O
O
O
O
O
O
O
O
O
N
N
N
O
O
O
Vi
O
O
O
0
O
O
O
O
O
VT
w
O
N
vT
O
O
N
uT
O
O
N
vx
O
O
O
l/}
O
O
O
vx
0 O
O O
O O
of vti
Lp
0
0
0
0
0
0
0
0
0
0
o
9
o
0 2'
M
O
O
O
O
O
o
O
O
O
O
O
O O
=
w
O
O
00
O
O
O
O
O
O
O
O
O
O O
a
00 O
O
O
O
O
O
O
O
O
O
O
O
O
O
O O
a
y Y
W U
0
O
O
O
o
O
o
N
m
N
O
o
O
0
O
0
O
0
O
0
O
0
O
0
O
0
O
0
O O
0 0
p•
+
O
W
'U}
Lf
=
O O 0
V
VT
UT
l/F
Ul
V!
✓}
VT
l/A
V1
N to
U N
ti
R C O
p m O
H
v. >
0
0
0
0
0
0
o
0
O
0
o
0
0
0
0
0
0
0
0
0
o
0
O
0
o
0
0 0
0 0
V.
•yc w c
N
.n
tin
Vi
of
+n
uT
V1
of
rn
vi of
� a
>
0
O
O
0
O
0
o
ry
m
N
o
o
0
o
0
O
0
O
0
o
0
O
0
o
0
o
0
O
0 0
O O
7 W
O
m
v}
N
N
N
iM1
1/Y
to
V}
V}
N 1A
a
'^
No
a „>,
0
0
0
0
0
co
w
ul
0
0
o
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0 0
0 0
0 0
•� �, �
ry
o
o
�
o
0
0
0
0
0
0
0
0
o O
a
U
o
O
0
o
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
o
0 0
O o
—
—
—
✓1
N
—
—
—
—
— —
a
Qo
0
0
0
0
0
0
0
0
0
0
o
O
o 0
U
a� Y
o
0
0
0
0
0
0
0
0
0
0
0
0
0 0
0
0
0
0
o
O
o
0 0
}�
V
E m y
VI
d ? a
W C
O
O
O
O
O
O
O
O
O
O
O
O
O
O O
W
3
O
O
O
O
O
O
O
O
O
O
O
O
O
O
O
O
O
O
O
O
O
O
O
C
O
W
V
O
O
O
O
O
O
O
O
O
O
O
O
O O
O
O O
C
O
O
O
lD
O
O
O
Ili
�
Lri
O_
O
O
.O
yV
V
N
O
O
N
O
O
Vl
N
O
O
,�
O
O
U}
O
O
N
O
O
�
O
O
VT
O
O
�
O
O
U}
O
O
LT
O
O
U}
O
O
�
O
O
� �
O 0
O O
u
C
C
N
n
n n
>
C
LO m
O
O
O
O
N
ti
O
O
Ili
r
O
O
O
N
O
O
C
N
O
O
O
M
0
O
C
w
m
O
N
O
O
O
O
-
O O
J
cr
C
O
u •-
a c
v � z
v v
if1-0
o m m
3- � A LL v v vJi 3 N 3_ d
a v w rco m
io io n. eo
4
0 o w c o
v o
u= = u F x x o m Y m o v
E
N
v
Y a+ VI u+ lGl
.0 .0 .0
O O O
a+ n
.0
O
E w E Ol 'E O �+ -E N N M a+ 7 w N E O Y n H m
.0 .0 .0 ry .0 N .0 N .0 .0 N .0 N .� N .0 ry .0
O O O O O O O O O O O
a p-
m 2
d
O
M
p
0
o
0
0
0
0
0
0
0
0
0
In
0 0 0 0 0
o o vl o 0
0 0
0
0
0
1p
N
y L
y N=
O
O
O
VI
O
O
O
O
O
O
O
N
01
00
O O h O O
O O O O
O O .m-I O 06
O
O
Y
c 00
a
m
v*
i.n
ai
lri vi o ao
a yr
.n
m
jp LL
m
0
m
0
0
o
o
0
o
0
0
In
0 0 0 o
o o Vl m o 0
o o
0 0
0
0
0
m
m
m
o
o
0
o
0
m
o o ll�o
o 0 o
o o
o
'y
v
=
m
o0
m ^i Io
o0
m
m a
n o
m o
o
o
o
o
o
o
o o o o 0
o o
o
a
to
.0
-
—
—
w
-
—
— — — - —
w
N
a
o
o
0
o
o
O
o 0 0 o O
o 0
o
v
_
y Yo
+
O
0
VI
0
O
0
o
tll
N
O o vl o 0
N O
o W
01
o
�.
G
p, o LL
O
ll
O
W
cl l00
Moo
x
E o 0
1i
ui
,n
.n
N
.n v>• m
0 C m
M
H
0
o
O
o
0
0
0 co O o 0
0 0
o
p
m a
C W C
N
V1
N
t/T
N
N
UT UT N U} V}
N VT
a/1
N ` N o
� a
o
0
o
o
0
o
o
0
o
0
o
In
o o 0 o o
o o un o 0
o o
o ao
o
o
a
r.
Tp
7 d
o
o
o
o
W
o
W
ai
m
p
co
'� �+ 10
N
•-f
N
co.
n
a
M
w
No
a „>,
c
o
o
0
0
ul
0
o
o
0
o
0
0
o
0
o
o
In
o o 0 o o
o o o o o
o o v o 0
o o
o o
0 0
0
o
0
w
p�
•, �+ N
N
�
N
O
O
N
O O ^ O 01
O O
O
a
U
o
0
0
0
0
0
0
0
0
0
0
0
0 0 0 0 0
0 0 0 0 0
0 0
0 0
0
0
0
Q
a
0
o
IN
—
—
—
—
—
— — — — —
N 1n
N
—
m a
i
Qo
'^
o
o
o
o
o
o o o o o
o o
o
o
0
0
0
0
0
0 0 0 0 0
0 0
0
�-•�
V
E 1C0 � W
VI
a
cf
V
W C
O
O
O
O
O
O
O O O O O
O O
O
W
3
O
O
O
O
O
O
O
O
O
O
O
O
O
O
o
O
o
O O O O O
O O O O O
O O O O
N W
O dl
V u1
O
c.•
O
O
O
O
O
_
O
O
O O O
02
>
a
O
O
O
O
O
O
O O O O O
V
V
o0 M
N
N
C
O
N
O
O
U}
O
V1
O
N
N
O O O O O
N o N N o a
to N
O
O
>•
tD
o
N
N
N
oo
.ti O o I O
O O
O
m m
cr
d
C
O
•-
a
u
c
z
0
E
y
o
ri
E
a
E
Y
c
o v
o
z
3
3
a o
� a`
v
Q
o c
N
o
o
v
w
v
o
.°c o a o `_n o Q U
m m Y
u
E
v
jo
c ` E E'o g
c
>@ o
E
G
O
O
N C O cy
N N O
O v 00 � 00 3 v O C 0
O� O j
co`^
m u
-
o
0
odo�o�o
o �ln co � vvoi uo
o
a
y
a
V
N
O. N-
Q N
D. ti
O .^-� m¢ c n N
T O O C
C
al
N
o
N
o
M> N ]. N ].
H m I- m H
.0
MO T O N O m N M
m Q a Ol 5 V
O1 '-
C O
N
v
Y M N M
C NCC MC MC MC MC MC MC MCC 'E E — E
O O O O O O O O O O O O O j E
m 2
�
a
0
e
cu
to
a
CSC No. 62450-COI
FORT WORTH, City of Fort Worth
Change Order Request
Project Name 2025 Concrete Restoration Contract 1 City Sec # 62450
Client Project #(s) 105046
Project Panel Replacement at Trinity Blvd and Meacham Blvd
Description
Contractor Urban lnfraconstruction,LLC Change Order# 1 Date 3/17/2025
City Project Mgr. Tariqul Islam City Inspector Ben Weaverling
Dept.
Original Contract Amount
Extras to Date
Credits to Date
Pending Change Orders (in M&C Process)
Contract Cost to Date
TPW
Totals
Contract Time
(CD)
$3,156,248.00
$3,156,248.00
300
$3,156,248.00
$3,156,248.00
300
Amount of Proposed Change Order
$0.00
5
Revised Contract Amount $3,156,248.00
Original Funds Available for Change Order $157,812.00
Remaining Funds Available for this CO $157,812.00
Additional Funding (if necessary)
CHANGE ORDERS to DATE (INCLUDING THIS ONE) AS % ORIGINAL CONTRACT
MAX ALLOWABLE CONTRACT AMOUNT (ORIGINAL CONTRACT COST + 25%)
$3,156,248.00
305
$157,812.00
$157,812.00
0.00%
$3,945,310.00
JUSTIFICATION (REASONS) FOR CHANGE ORDER
This change order will add a new 4-inch subdrain item to the contract. The 4-inch subdrain will be installed behind the curb along a 340-foot section of
Trinity Boulevard to address a groundwater issue encountered during panel replacement. The subdrain will collect groundwater and discharge it into a
nearby curb inlet, preventing damage to the pavement structure and ensuring long-term durability. The project team reviewed a quote for the subdrain
installation and deemed it reasonable based on comparable recent bids. The construction allowance pay item will be used to cover the cost of this change.
To do this additional work, 5 days are proposed to add to the contract.
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
Contractor (Name)
Contract Signature
I Date
Urban Infraconstruction, LLC
Anup Tamrakar
; _,,,,,;ILI1.
Apr 10, 2025
Inspector/Inspection Supervisor
Date
Project and Contract Compliance Manager
Date
tsen Fa rr e"" T'-"
Apr 14, 2025
A4W
Apr 14, 2025
Prn_ ram Manager
Date
Senior Capital Project Officer
Date
Z&A(m Are
Apr 14, 2025
Mjy"
Apr 14, 2025
Assistant Director (Dept)
Date
Director, Contracting Department (Dept)
Date
em u- v"!1`r `-�'-'
Apr 14, 2025
Apr14,2025
Assistant City Attorney
Date
Assistant City_Manager
Date
Apr16,2025
Apr20,2025
Council Action (if required)
p44�nq�
fORT��d900
ATTEST:
v'
Pip ��1d
Annette Goodall, City Secretary
Kati QEXASo4p
M&C Number I NA I M&C Date Approved NA
OFFICIAL RECORD
CITY SECRETARY
FT. WORTH, TX
FORT WORTH City of Fort Worth
-1 ---- Change Order Additions
Project Name 2025 Concrete Restoration Contract 1 City Sec # 62450
Client Project # 105046
Contractor Urban Infraconstruction, LLC PM Tariqul Islam Inspector Ben Weaverling
Change Order Submittal # I Date 3/17/2025
ADDITIONS
Change Order Additions Page 2 of 4
FoaRM City of Fort Worth
Change Order Deletions
Project Name 2025 Concrete Restoration Contract 1 City Sec 4 62450
Client Project p 105046
Contractor r Urban Infraconstruction, LLC PM Tariqul Islam Inspector Ben Weaverling
Change Order Submittal k F 1 Date 3/17/2025
DELETIONS
Change Order Deletions Page 3 of 4
M/SBE for this Change Order
M/SBE Sub Type of Service Amount for this CO
Not Applicable I Not Applicable I Not Applicable
Total 1 $0.00
Previous Change Orders
Co # DATE AMOUNT
Not Applicable Not Applicable
Total $0.00
105046-CNCO-2025 Concrete Restoration
Contract 1, CO 1
Interim Agreement Report
Created: 2025-04-08
By: Andrea Munoz (Andrea. M unoz@fortworthtexas.gov)
Status: Out for Signature
Transaction ID: CBJCHBCAABAAu1A9wDmb54rS-XnomevxD1tEtivFe vk
Agreement History
2025-04-14
Agreement history is the list of the events that have impacted the status of the agreement prior to the final signature. A final audit report will
be generated when the agreement is complete.
"105046-CNCO-2025 Concrete Restoration Contract 1, CO 1"
History
Document created by Andrea Munoz (Andrea. Munoz@fortworthtexas.gov)
2025-04-08 - 4:02:46 PM GMT- IP address: 204.10.90.100
Document emailed to Crystal Greene (crystal.greene@fortworthtexas.gov) for filling
2025-04-08 - 4:23:28 PM GMT
Document emailed to anup@urbaniconstruct.com for signature
2025-04-08 - 4:23:29 PM GMT
Document emailed to Ben Weaverling (Ben.Weaverling@fortworthtexas.gov) for signature
2025-04-08 - 4:23:29 PM GMT
Andrea Munoz (Andrea. Munoz@fortworthtexas.gov) added alternate form filler Alexandra
Ripley (Alexandra.Ripley@fortworthtexas.gov). The original form filler Crystal Greene
(crystal.greene@fortworthtexas.gov) can still fill the form.
2025-04-08 - 4:23:46 PM GMT- IP address: 204.10.90.100
Document emailed to Alexandra Ripley (Alexandra.Ripley@fortworthtexas.gov) for filling
2025-04-08 - 4:23:46 PM GMT
Email viewed by anup@urbaniconstruct.com
2025-04-08 - 4:30:46 PM GMT- IP address: 67.200.196.10
Email viewed by Alexandra Ripley (Alexandra.Ripley@fortworthtexas.gov)
2025-04-09 - 5:23:46 PM GMT- IP address: 204.10.90.100
FORT WORTH I Powered by
Adobe
Acrobat Sign
6-'0 Form filled by Alexandra Ripley (Alexandra.Ripley@fortworthtexas.gov)
Form filling Date: 2025-04-09 - 5:32:49 PM GMT - Time Source: server- IP address: 204.10.90.100
�o Email viewed by Ben Weaverling (Ben.Weaverling@fortworthtexas.gov)
2025-04-09 - 8:57:47 PM GMT- IP address: 107.115.171.69
Signer anup@urbaniconstruct.com entered name at signing as Anup Tamrakar
2025-04-11 - 0:51:15 AM GMT- IP address: 107.115.171.41
r5' Document e-signed by Anup Tamrakar (anup@urbaniconstruct.com)
Signature Date: 2025-04-11 - 0:51:17 AM GMT - Time Source: server- IP address: 107.115.171.41
zo Document e-signed by Ben Weaverling (Ben.Weaverling@fortworthtexas.gov)
Signature Date: 2025-04-14 - 1:52:17 PM GMT - Time Source: server- IP address: 47.189.253.24
Document emailed to Daniel Roy (daniel.roy@fortworthtexas.gov) for signature
2025-04-14 - 1:52:21 PM GMT
Document emailed to Tariqul Islam (Tariqul.Islam@fortworthtexas.gov) for signature
2025-04-14 - 1:52:21 PM GMT
i Email viewed by Tariqul Islam (Tariqul.Islam@fortworthtexas.gov)
2025-04-14 - 1:53:09 PM GMT- IP address: 208.184.124.181
L-5® Document e-signed by Tariqul Islam (Tariqul.Islam@fortworthtexas.gov)
Signature Date: 2025-04-14 - 1:57:34 PM GMT - Time Source: server- IP address: 208.184.124.181
Email viewed by Daniel Roy (daniel.roy@fortworthtexas.gov)
2025-04-14 - 2:02:34 PM GMT- IP address: 204.10.90.100
Document e-signed by Daniel Roy (daniel.roy@fortworthtexas.gov)
Signature Date: 2025-04-14 - 2:02:54 PM GMT - Time Source: server- IP address: 204.10.90.100
e Document emailed to Zelalem Arega (Zelalem.Arega@fortworthtexas.gov) for signature
2025-04-14 - 2:02:57 PM GMT
FORTWORTH.. Powered by
Adobe
Acrobaba#Sign
105046-CNCO-2025 Concrete Restoration
Contract 11 Co 1
Interim Agreement Report 2025-04-14
Created: 2025-04-14
By: Andrea Munoz (Andrea.Munoz@fortworthtexas.gov)
Status: Out for Signature
Transaction ID: CBJCHBCAABAAKvRBNK8xv2SpTew7SzpcHgYfFGwlOaCU
Agreement History
Agreement history is the list of the events that have impacted the status of the agreement prior to the final signature. A final audit report will
be generated when the agreement is complete.
"105046-CNCO-2025 Concrete Restoration Contract 1, COV Hi
story
�J Document created by Andrea Munoz (Andrea.Munoz@fortworthtexas.gov)
2025-04-14 - 5:35:21 PM GMT- IP address: 204.10.90.100
"7. Document emailed to Zelalem Arega (Zelalem.Arega@fortworthtexas.gov) for signature
2025-04-14 - 5:57:10 PM GMT
Email viewed by Zelalem Arega (Zelalem.Arega@fortworthtexas.gov)
2025-04-14 - 6:05:56 PM GMT- IP address: 208.184.124.181
FURTVWORTH. P—"- '
Adobe
Acrobat Sign
FORT WORTH(k,
Routing and Transmittal Slip
Transportation and Public Works
Department
DOCUMENT TITLE: 2025 Concrete Restoration Contract 1, CO 1
M&C CPN 105046 CSO # 62450 DOC#
DATE:
INITIALS
DATE OUT
TO: 1. Crystal Greene (Business Support
1
Apr 9, 2025
2.Urban Infraconstruction LLC— Anup
Tamrakar
AT
Apr 10 2025
s. Ben Weaverling (Inspector)
WN&W
Apr 14, 2025
4. Daniel Roy (Sr. Inspector)
AIRoy
Apr 14, 2025
5.Tariqul Islam (PM)
r`
ranclul Islam
Apr 14 2025
Zelalem Arega (PGM)
6.elalem
Are a
Apr 14, 2025
7. Mary Hanna (SCPO)
Apr 14, 2025
8. Patricia Wadsack (AD)
Apr 14, 2025
9. Lauren Prieur (Director)
auren91eu,
Apr 14, 2025
10. Doug Black (ACA)
W
Douglas Black
Apr 16, 2025
11. Jesica McEachern (ACM)
iC)A
Apr 20, 2025
12. Jannette Goodall (CS)
JG ya
Apr 21, 2025
DOCUMENTS FOR CITY MANAGER'S SIGNTURE: All documents received from any and all City
Departments requesting City Manager's signature for approval MUST BE ROUTED TO THE
APPROPRIATE ACM for approval first. Once the ACM has signed the routing slip, Jay will review
and take the next steps.
NEEDS TO BE NOTARIZED: U Yes ❑✓ No
RUSH: ❑ Yes ❑✓ No SAME DAY: ❑ Yes ❑✓ No NEXT DAY: ❑Yes ❑✓ No
ROUTING TO CSO: ❑✓ Yes [—]No
Action Required:
o As Requested ❑ Attach Signature, Initial and Notary Ta
■ Signature/Routing and or Recording
❑ Comment
❑ File
Return to: Please call at ext. for pick up when completed. Thank you.
CSC No. 62450-0O2
FORT WORTH. City of Fort Worth
Change Order Request
Project Name 2025 Concrete Restoration Contract 1 City Sec # 1 62450
Client Project #(s) 105046
Project Description Panel Replacement at Trinity Blvd and Meacham Blvd
Contractor Urban Infraconstruction, LLC Change Order# 2 Date 7/10/2025
City Project Mgr. Tariqul Islam City Inspector Ben Weaverling
Contract Time
Dept TPW Totals (CD)
Original Contract Amount $3,156,248.00 $3,156,248.00 300
Extras to Date 5
Credits to Date
Pending Change Orders (in M&C Process)
Contract Cost to Date $3,156,248.00 $3,156,248.00 305
Revised Contract Amount $3,787,948.00 $3,787,948.00 350
Original Funds Available for Change Orders $157,812.00 $157,812.00
Remaining Funds Available for this CO $157.812.00 $157,812.00
Additional Funding (if necessary) $473,888.00 $473,888.00
CHANGE ORDERS to DATE (INCLUDING THIS ONE) AS % OF ORIGINAL CONTRACT 20.01 %
MAX ALLOWABLE CONTRACT AMOUNT (ORIGINAL CONTRACT COST + 25% $3,945,310.00
JUSTIFICATION (REASONS) FOR CHANGE ORDER
This change order will add Amon Carter Boulevard from Trinity Boulevard to pavement change (approximately 360 ft north of Trinity Blvd) for the reconstruction of failing
concrete pavement. This segment of Amon Carter Boulevard is in critical condition due to the severe deterioration caused by heavy truck traffic and requires immediate
attention to prevent further degradation and ensure the safety and functionality of the road.
The staff have reviewed and verified the quantities for the additional work under this change order. The staff supports the contractor's request for an additional 45 days to
complete the expanded scope of work.
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 Managersigning below acknowledges
that he/she is the person responsible for the monitoring and administration of this contract, including ensuring all performance and reporting requirements.
Contractors Company Name
Contractor (Name) IContract Signature
Date
Urban Infraconstruction, LLC
I Anup Tamrakar _ _
09/24/25
Inspector/Inspection Supervisor
Date
Project and Contract Compliance Manager
Date
09/30/25
i
09/30/25
Program Manager
Date
Senior Capital Project Officer
Date
_3�Mtradttlt._
10/03/25
ft�=
10/03/25
Assistant Director (Dept)
Date
Director, Contracting Department (Dept)
Date
10/03/25
-*-- V -
10/03/25
Assistant City Attorney
Date
Assistant City Manager
Date
10/08/25
10/13/25
Council Action (if required) _
ATTEST'
Jannette Goodall, City Secretary
an
M&C Number 25-0856
0 has
adcnn�Ez asoa
M&C Date Approved 9116I2025
OFFICIAL RECORD
CITY SECRETARY
FT. WORTH, TX
FORT WORTH City of Fort Worth
v---- Change Order Additions
Project Name 2025 Concrete Restoration Contract 1 City Sec # 62450
Client Project # 105046
Contractor Urban Infraconstruction, LLC PM Tariqul Islam InspectorF Ben Weaverling
Change Order Submittal # 0 Date 7110/2025
ADDITIONS
ITEM
DESCRIPTION
DEPT
City
Unit
Unit Cost
Total
Item-2
3471.0001 Traffic Control
TPW
2.00000000
MO
10,000.00
20,000.00
Item- 3
3471.0002 Portable Message Sign
TPW
8.00000000
WK
$500.05
4,000.00
Item-4
0241.0401 Remove Concrete Drive
TPW
200.00000000
SF
$10.00
2,000.00
Item- 5
3213.0401 6" Concrete Driveway
TPW
200.00000000
SF
$15.00
3,000.00
Item- 8
9999.0001 Remove Concrete and Replace with 9" Concrete Pavement
TPW
3,400.00000000
SY
$129.05
438,600.00
Item-12
3211.0122 Flex Base, Type A, GR-2
TPW
750.00000000
CY
$138.00
$103,500.00
Item-17
9999.0004 Geogrid Tensar (TRIAX 140-475) or Approved equal
TPW
3,400.00000000
SY
$14.00
47,600.00
Item-30
0241.0100 Remove Sidewalk
TPW
200.00000000
SF
$10.00
2,000.00
Item- 34
3213.0301 4" Conc Sidewalk
TPW
200.00000000
SF
$15.00
3,000.00
tem-39
3212.0401 H MAC Transition
TPW
20.00000000
TN
$400.00
8,000.00
TPW
$631,700.00
i
Sub
rotal Additions
1611 700 GO
Change Order Additions Page 2 of 5
FOR._ r�RTH City of Fort Worth
Change Order Deletions
Project Name 2025 Concrete Restoration Contract 1 City Sec # 62450
Client Project # 105046
Contractor Urban Infraconstruction, LLC PM Tariqul Islam Inspector Ben Weaverling
Change Order Submittal # 0 Date 711012025
DELETIONS
ITEM
DESCRIPTION
DEPT
Oty
Unit
Unit Cost
Total
TPW
$0.00
Sub
otal Deletions
Change Order Deletions Page 4 of 5
M&C Review
Page 1 of 2
CITY COUNCIL AGENDA
Create New From This M&C
Official site of the City of Fort Worth, Texas
FORT WORTH
REFERENCE **M&C 25- 202025 CONCRETE
DATE: 9/16/2025 NO.: 0856 LOG NAME: RESTORATION CONTRACT
1 CO2
CODE: C TYPE: CONSENT PUBLIC NO
HEARING:
SUBJECT: (CD 5) Authorize Execution of Change Order No. 2, in the Amount of $631,700.00, and
the Addition of 45 Calendar Days to the Construction Contract with Urban
Infraconstruction LLC, for the 2025 Concrete Restoration Contract No. 1 Project; for
a Revised Contract Amount of $3,787,948.00
RECOMMENDATION:
It is recommended that the City Council authorize execution of Change Order No. 2 in the amount of
$631,700.00, and the addition of 45 calendar days to the City Secretary Contract No. 62450 with
Urban Infraconstruction LLC, for the construction of the 2025 Concrete Restoration Contract No. 1
project (City Project No. 105046) for a revised contract amount of $3,787,948.00.
DISCUSSION:
On November 19, 2024, Mayor & Council Communication (M&C) 24-1030 awarded City Secretary
Contract No. 62450 with Urban Infraconstruction LLC, in the amount of $3,156,248.00 for the
construction of the 2025 Concrete Restoration Contract No. 1 project (City Project No. 105046) at
Meacham Boulevard from Gold Spike Drive to Pylon Street, and Trinity Boulevard from Amon Carter
Boulevard to High River Road.
On April 20, 2025, Change Order No. 1 administratively authorized 340 linear feet of 4-inch subdrain
behind the curb along Trinity Boulevard to address groundwater issues encountered during
construction, at no additional cost.
Change Order No. 2 will add Amon Carter Boulevard from Trinity Boulevard to where the pavement
changes (approximately 360 feet north of Trinity Boulevard) for the reconstruction of failing concrete
pavement. This segment of Amon Carter Boulevard is in critical condition due to the severe
deterioration caused by heavy truck traffic and requires immediate attention to prevent further
degradation and ensure the safety and functionality of the road.
Staff has reviewed and verified the quantities for the additional work under this Change Order No. 2. In
addition, to complete this work, staff recommends extending the contract time by 45 calendar days.
The following table summarizes previous contract actions and change orders:
Construction Contract
Date
Amount
Original Contract (M&C 24-1030)
11/19/2024
$3,156,248.00
Change Order No. 1
04/20/2025
$0.00
Change Order No. 2
This M&C
$631,700.00
Revised Contract Amount
IL
$3,787,948.00
This change order will have no impact on the Transportation and Public Works Department's annual
operating budget. Funding is budgeted in the General Capital Projects Fund for the Transportation
and Public Works Department for the purpose of funding the 2025 Concrete Restoration Contract No.
1 project, as appropriated.
This project is located in COUNCIL DISTRICT 5.
http://apps.cfwnet.org/council packet/mc review. asp?ID=33716&councildate=9/16/2025 9/17/2025
M&C Review
Page 2 of 2
FISCAL INFORMATION/CERTIFICATION:
The Director of Finance certifies that funds are available in the current capital budget, as previously
appropriated, in the General Capital Projects Fund for the 2025 Concrete Rest Contract 1 project to
support the approval of the above recommendation and execution of the change order. Prior to any
expenditure being incurred, the Transportation and Public Works Department has the responsibility to
validate the availability of funds.
TO
Fund Department Account Project Program Activity Budget Reference # Amount
ID I I ID I Year (Chartfield 2)
Fund Department Account Project Program Activity Budget I Reference # I Amount
ID I I ID I I I Year I (Chartfield 2)
Submitted for City Manager's Office by:
Originating Department Head:
Additional Information Contact:
Jesica McEachern (5804)
Lauren Prieur (6035)
Monty Hall (8662)
ATTACHMENTS
202025 CONCRETE RESTORATION CONTRACT 1 CO2 funds avail.docx (CFW Internal)
FID Table 2025 CONCRETE RESTORATION CONTRACT 1 CO2.xlsx (CFW Internal)
Form 1295 CPN 105046 CO2.pdf (CFW Internal)
MC Map AmonCarter CPN 105046.pdf (Public)
SAM Search Report Urban Infraconstruction LLC.pdf (CFW Internal)
http://apps.cfwnet.org/council packet/mc review. asp?ID=33716&councildate=9/16/2025 9/17/2025
CERTIFICATE OF INTERESTED PARTIES
FORM 1295
1of1
Complete Nos. 1- 4 and 6 if there are interested parties.
OFFICE USE ONLY
Complete Nos. 1, 2, 3, 5, and 6 if there are no interested parties.
CERTIFICATION OF FILING
Certificate Number:
1
Name of business entity filing form, and the city, state and country of the business entity's place
of business.
2025-1337903
Urban Infraconstruction, LLC.
Farmers Branch, TX United States
Date Filed:
07/16/2025
2
Name of governmental entity or state agency that is a party to the contract for which the form is
being filed.
City of Fort Worth
Date Acknowledged:
3
Provide the identification number used by the governmental entity or state agency to track or identify the contract, and provide a
description of the services, goods, or other property to be provided under the contract.
105046 -CO2
Reconstruction of failing concrete pavement on Amon Carter Boulevard from Trinity Boulevard to 360ft north of Trinity Blvd.
4
Name of Interested Party
City, State, Country (place of business)
Nature of interest
(check applicable)
Controlling
Intermediary
Urban Infraconstruction, LLC.
Farmers Branch, TX United States
X
5
Check only if there is NO Interested Party. ❑
6
UNSWORN DECLARATION
/ /
My name is rl u � ,M �+I� c. ,(" and my date of birth is A
Myaddressis 2-227 L nets, 8 Joi',5, . -S4c Sod , FrirMerS �rc,nCh /x 75Z3�J uSF�
(city) (state) (zip code) (country)
I declare under penalty of perjury that the foregoing is true and correct.
!
Executed in i County,State of / e-kS S {k , on the �� day of J u 1LJ 20 ZS.
k\ (mo ) (year)
Signature of aN ( agent of contracting business entity
larant)
Forms provided by Texas Ethics Commission www.ethics.state.tx.us Version V4.1.0.f10dOM
Four WORTHO
Routing and Transmittal Slip
Transportation and Public Works
Department
DOCUMENT TITLE: 2025 Concrete Restoration Contract 1, CO 2
M&c cPN 105046 cso # 62450 Doc#
DATE:
INITIALS
DATE OUT
To: 1. Crystal Greene (Business Support)�
09/24/25
2.Urban Infraconstruction LLC— Anup
Tamrakar
AV
At
09/24/25
3. Ben Weaverling (Inspector)
-At-77-1117
09/30/25
4. Daniel Roy (Sr. Inspector)
PIL
09/30/25
5.Tariqul Islam (PM)
T)
09/30/25
6Zelalem Arega (PGM)
.n
A,ep
10/03/25
7 Mary Hanna (SCPO)
Wrl
10/03/25
s. Patricia Wadsack (AD)
pL�/'
10/03/25
9 Lauren Prieur (Director)
�a, F .
10/03/25
10. Doug Black (ACA)
Doug as Black
10/08/25
11. Jesica McEachern (ACM)
10/13/25
12. Jannette Goodall CS
10/13/25
DOCUMENTS FOR CITY MANAGER'S SIGNTURE: All documents received from any and all City
Departments requesting City Manager's signature for approval MUST BE ROUTED TO THE
APPROPRIATE ACM for approval first. Once the ACM has signed the routing slip, Jay will review
and take the next steps.
NEEDS TO BE NOTARIZED: U Yes ❑✓ No
RUSH: ❑ Yes❑✓ No SAME DAY: ❑ Yes ❑✓ No NEXT DAY: ❑ Yes ❑✓ No
ROUTING TO CSO: ❑✓ Yes [—]No
Action Required:
❑ As Requested ❑ Attach Signature, Initial and Notary Ta
FORT WORTH.,
City Secretary's Office
Contract Routing & Transmittal Slip
Contractor's Name: Urban Infraconstruction, LLC
Subject of the Agreement: Please see justification on change order.
M&C Approved by the Council? * Yes ® No ❑
If so, the M&C must be attached to the contract.
Is this an Amendment to an Existing contract? Yes ❑ No
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? *Yes ❑ No 0 If only specific information is
Confidential, please list what information is Confidential and the page it is located.
1295 Form (page 8) is attached per the comment below, but please redact it from the CSO website
Effective Date:
If different from the approval date.
Expiration Date:
If applicable.
Is a 1295 Form required? * Yes 8 No ❑
*If so, please ensure it is attached to the approving M&C or attached to the contract.
Project Number: If applicable. 105046
*Did you include a Text field on the contract to add the City Secretary Contract (CSC)
number? Yes 9 No ❑
Contracts need to be routed for CSO processing in the followingorder
1. Katherine Cenicola (Approver)
2. Jannette S. Goodall (Signer)
3. Allison Tidwell (Form Filler)
*Indicates the information is required and if the information is not provided, the contract will be
returned to the department.
CONSENT OF SURETY
TO FINAL PAYMENT
AfADocumeni G707
Bond No. S7A2S00004774
TO OWNrR:
lrvuna. taarl eaklnx '�1
City of Fort Worth, Texas
200 Texas Street
Fort Worth, TX 76102
PROJECT:
INewre and adelnaxl
2025 Concrete Restoration Contract 1
City Project Number: 105046
OWNER X
ARCHITECT �
COIN T1tACTOR G�
SURETY DO
OTHER Ll
ARCHITECT'S PRC!IRCT NO -
CONTRACT' FOR: 2025 Concrete Restoration
Contract 1
CONTTRACTDATED: November 19, 2024
In accordance with the provisions of the Contract het�Aleen the Owner and the Cuntl ictor as indicated ahtwe, the
(11rXII neanc cord arldnre of .4rrrrtty
American Alternative Insurance Corporation
555 College Road East - P.O. Box 5241
Princeton, NJ 08543
. SURETY.
on htmd of
llrr.Wrr nemu aard ruklnso rf conrraclori
Urban Infraconstruction LLC
2512 Gravel Drive
Fort Worth, TX 76118
, CONTRACTOR,
herehy approves of the final payment to the Contractor, aml agrees chat final paymcnt to the Contractor shall not relieve the Surety of
any of its obligations to
patwnname and ruldrexrof inue•r,
City of Fort Worth, Texas
200 Texas Street
Fort Worth, TX 76102
as set forth in said Surety's hond.
OWNER,
IN WITNESS WHEREOF, the Surety has hereunto set its hand on this cute: November 14, 2025
!lrrxrr in u•rnrni[ rbe rnontbfollonr^d hat dx rrrrnaerac <Iarr rnatf rxcra 1
American Alternative Insurance
A I VU —,
' rciunrnnrr „J urrrl ni. al n:raw lrrNrt:•1
At[",
(Seal') Debra Robinson, Witness Yamillec Ramos, Attorney -in -Fact
(Primed ar(rnn• and ndw — —
CAUTION: You should sign an original AIA document that has this caution pritatt o -ate fed-. An
original assures that changes will not be obscured as may occur when documents are-re-pioduced.
See Instruction Sheet for Limited License for Reproduction of this document.
AIA DOCUMENT G707 CONSENT OF SI *W,.IY T'O FINAI PAYt IEN`t • ] Y)-r 1-01110N - AIA
01994 • TFIF: AMIRRICAN INS'rl n—n OF ARCHITFCtS, Ri5 NEW YORK AVENI F NW. *A..S i-
INGTON, D C. 2(0)(, 529) • WARNING: Unlicensed photocopying violates U.S. copy-
right laws and vAl subject the violator to legal prosecution.
G707-1994
CERTIFIED COPY POWER OF ATTORNEY
KNOW ALL MEN BY THESE PRESENTS: That the AMERICAN ALTERNATIVE INSURANCE CORPORATION, a corporation organized and existing by virtue of the
laws of the State of Delaware ("Corporation") with offices at 555 Coltege Road East, Princeton, N.J. 08543, has made, constituted and appointed, and by these presents,
does make, constitute and appoint:
Russ Frenzel; Brady K. Cox; William D. Baldwin; Brent Baldwin; Michael S. Hill; Keith Rogers; Sam Freireich;
Brock Anglin; Cindy Alford; Yamillee Ramos; Neira Hernandez; Katherine Vanikiotis; and Kristi Date
its tore and lawful Attomeys-in-Fact, at Princeton, in the State of New Jersey, each of them atone to have full power to act without the other or others, to make, execute and
deliver on its behalf, as Surety or Co -surely, bonds and undertakings given for any and all purposes, also to execute and deliver on its behalf as aforesaid renewals, extensions,
agreements, waivers. consents or stipulations relating to such bonds or undertakings provided, however, that no single bond or undertaking so made• executed and delivered shall
obligate said Company for any portion of the penal sum thereof in excess of the sum of One Hundred Million Dollars f$100,000,000f.
Such bonds and undertakings for said purposes, when duly executed by said Attomey(s)-in-Fact, shall be binding upon said Company as fully and to thesame extent as if signed
by the President of said Company under its corporate seal attested by its Secretary.
This appointment is made under and by authority of a certain Resolution adopted at a meeting of the Board of Directors of said Company duty held on the 27th
day of August. 1975, a copy of which appears below.
IN WITNESS WHEREOF, the AMERICAN ALTERNATIVE INSURANCE CORPORATION has caused its corporate seal to be hereunto affixed, and these presents to be signed
by its duly authorizedofficers this 241hday of September, 2021,
By:
Michael G. Kerner
President
Attest:
1115 TI_IN5
Ignacio Rivera
Deputy General Counsel & Secretary
STATE OF NEW JERSEY, COUNTY OF SOMERSET
The foregoing instrument was acknowtedged before me by means of online notarization this 24"' day of September, 2021, by Michael G. Kerner and Ignacio Rivera, who are
personally known to me.
SECRETARY'S CERTIFICATE
The undersigned, Ignacio Rivera, hereby certifies:
ill n Sanfilippo otary Public
S to of New Jersey
My Commission Expires February 8, 2026
1. That the undersigned is Secretary of American Alternative Insurance Corporation. a corporation of the State of Delaware:
2. That the original power of allomey of which the foregoing is a copy was duly executed on behall' of said Corporation on the day of its date, and has not since been
revoked. amended or moditied; that the undersigned has compared the foregoing copy thereof with said original power of attomcy, and that the same is a trite and correct
copy ofsaid original power of attumey and of the whole thereof;
3. That the original resolution ol'which the following is a copy wa,, duly adopted at, and recorded in the minutes of, a regular meeting ol'the Board of
Directors ofsaid Corporation duly held on August 4. 1998, and has not since been revoked, amended or modified.
RESOLVED, that each of the following officers of this Corporation, namely, the President, the Executive Vice President, the Senior Vice Presidents,
and the Vice Presidents, be, and they hereby are, authorized. from time to time in their discretion, to appoint such agent or agents or attorney or
attomeys-in-fact as deemed by them necessary or desirable for the purpose of carrying on this Corporation's business, and to empower such agent
or agents or attorney or attorneys -in -Tact to execute and deliver. in this Corporation's name and on its behalf, and under its seal or otherwise, surety
bonds, surety undertakings or surely contracts made by this Corporation as surety thereon.
RESOLVED, that the signature of any authorized officer of the Corporation and the Corporation's seal may be affixed by facsimile to any power of
attorney and revocation of any power of attorney or certificate of either given for the execution of any surety bond, surety ondertaking, or surety
contract, such signature and seal, when so used being hereby adopted by the Corporation as the original signature of'such officer and the original
seal of the Corporation, to be valid and binding upon the Corporation with the same force and effect as though manually affixed.
FURTHER RESOLVED, that any prior appointments by the Corporation of MGAs are, in all respects, hereby ratified, confirmed and approved.
FURTHER RESOLVED, that the Secretary or any Assistant Secretary of this Corporation is hereby authorized to certify and deliver to any person to whom
such certification and delivery may be deemed necessary and desirable in the opinion ofsuch Secretary or Assistant Secretary, a true copy of the foregoing
resolution.
4. The undersigned has compared the foregoing copies ofsaid original resolutions as so recorded, attd they are the same true and correct copies ofsaid
original resolutions as so recorded and of the whole thereof.
Witness the hand of the undersigned and the seal ofsaid Corporation thisl4th day of _ November -1025
AMERICAN ALTERNATIVE INSURANCE CORPORkTION
. SEAS.= Itmwt¢t7::eaa(sep.A.O�t tsUGelb• - - -
F El, Ignacio Rivera �t(V-
11111t11„Y„S _ - -
Deputy General Counsel & Secretary , � TRS-101 1-
Affidavit of Compliance with
City of Fort Worth
Prevailing Wages
I,_ Samuel Hernandez Project Engineer
(Name of person signing affidavit) (Title)
do hereby certify that the wages paid to all employees of Urban Infraconstruction LLC
(Company Name)
for all hours worked on the
CPN 105046 — 2025 Concrete restoration Contract 1
(Project name and location)
project, during the period from January 131h, 2025 to September 251h, 2025
(Project Dates)
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
been or will be made, directly or indirectly, from any wages paid in connection with this project, other than those
provided by law.
Sworn to and subscribed in my presence this ��� day of c��(r�l1 20 Uz/
TARYN PHILLIPS
Notary Public, State of Texas-- '
1z Comm. Expires 04-14-2029 ✓'� --
IM;Notary ID 133039193
(Notary Public)
Revised 3/08/2024
BILLS PAID AFFIDAVIT
C•�rT'19: t•]a
COUNTY OF Dallas
Before me, the undersigned authority, a notary public in the state and
county aforesaid, on this day personally appeared John Chen, VP of Finance
of Urban Infraconstruction LLC, 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;
On Contract described as;
2025 FORT WORTH CONCRETE RESTORATION CONTRACT I
John Chen, VP of Finance
Subscribed and sworn before me on this date 29 of January, 2026.
Notary Public
Dallas County, Texas
•�'YP%, TARYN PHILLIPS
z L�� Notary Public, State of Texas
y +� Comm. Expires 04-14-2029
Notary ID 133039193
FORT WORTH
TRANSPORTATION AND PUBLIC WORKS
February 17, 2026
Urban Infraconstruction
526 N Britain Rd.
Irving, Tx. 75061
RE: Acceptance Letter
Project Name: Concrete restoration project 2025
Project Type: City
City Project No.: 105046
To Whom It May Concern:
On September 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 September 25, 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 September 25,
2027, 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-
880-4257.
Sincerely,
Tariqul Islam, Project Manager Tarq,I Is:an,(May 6, 202608:26:42 CDT)
Zelalem Arega, Program Manager ��t,,,�,�.,,�
Zelalem Arega (May 8, 2026 09:30:02 CDT)
Cc: Ben Weaverling, Inspector
Mike Glover, Inspection Supervisor
Cristobal Fuentes, Senior Inspector
Zelalem Arega Program Manager
N/A, Consultant
Urban Infraconstruction, Contractor
N/A, Developer
File
E-Mail: TPW_Acceptance@fortworthtexas.gov
Rev. 8/20/19