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Home My WebLink About059539-FP5 - Construction-Related - Contract - Brown Excavating Company, Inc.-FP5 City Secretary 59539 Contract No. FORT WORTH, fi Date Received 5/13/2026 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: HCA Behavioral Health Hospital City Project No.: 104380 *Paving Notice of Project Completion 3 of 4 Improvement Type(s): ® Paving ❑ Drainage ❑ Street Lights ❑ Turn Lane Original Contract Price: $4,208.08 Amount of Approved Change Order(s): $0.00 Revised Contract Amount: $0.00 Total Cost of Work Complete: $4,208.08 chu'ckav 7 0.3938 CDT Contractor Comptroller 101^ Brown Excavating Company, Inc. Company Name Project Inspector Project Manager CFA Manager TPW Director 05/07/2026 Date 05/07/2026 Date 05/13/2026 Date 05/13/2026 Date 05/13/2026 Date OFFICIAL RECORD CITY SECRETARY FT. WORTH, TX Page 1 of 2 Notice of Project Completion Project Name: HCA Behavioral Health Hospital City Project No.: 104380 City's Attachments Final Pay Estimate ❑x Change Order(s): ❑ Yes ❑x N/A Contractor's Attachments Affidavit of Bills Paid L& Consent of Surety (J Statement of Contract Time Contract Time: 45 WD Days Charged: 186 WD Work Start Date: 12/18/2023 Work Complete Date: 11/11/2024 Completed number of Soil Lab Test: 226 Completed number of Water Test: 4 Page 2 of 2 FORT WORTH CITY OF FORT WORTH FINAL PAYMENT REQUEST Contract Name HCA BEHAVORIAL HEALTH HOSPITAL Contract Limits Project Type PAVING City Project Numbers 104380 DOE Number 4380 Estimate Number I Payment Number I City Secretary Contract Number Contract Date Project Manager NA Contractor BROWN EXCAVATING COMPANY, INC. P.O. BOX 8599 FORT WORTH , TX 76124 Inspectors C. HORTON / A. YBARRA For Period Ending 11/11/2024 WD Contract Time 4WD Days Charged to Date 186 Contract is 100.00 Complete Monday, May 4, 2026 Page 1 of 4 City Project Numbers 104380 Contract Name HCA BEHAVORIAL HEALTH HOSPITAL Contract Limits Project Type PAVING Project Funding UNIT IV: PAVING IMPROVEMENTS DOE Number 4380 Estimate Number 1 Payment Number I For Period Ending 11/11/2024 Item Description of Items Estimated Unit Unit Cost Estimated Completed Completed No. Quanity Total Quanity Total --------------------------------------- 4 HYDRATED LIME 13.3 TN $154.15 $2,050.20 13.3 $2,050.20 5 6" LIME TREATMENT 739 SY $2.92 $2,157.88 739 $2,157.88 Sub -Total of Previous Unit $4,208.08 $4,208.08 Monday, May 4, 2026 Page 2 of 4 City Project Numbers 104380 Contract Name HCA BEHAVORIAL HEALTH HOSPITAL Contract Limits Project Type PAVING Project Funding Contract Information Summary Original Contract Amount Change Orders Total Contract Price DOE Number 4380 Estimate Number 1 Payment Number I For Period Ending 11/11/2024 $4,208.08 $4,208.08 Total Cost of Work Completed $4,208.08 Less % Retained $0.00 Net Earned $4,208.08 Earned This Period $4,208.08 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 $4,208.08 Monday, May 4, 2026 Page 3 of 4 City Project Numbers 104380 Contract Name HCA BEHAVORIAL HEALTH HOSPITAL Contract Limits Project Type PAVING Project Funding Project Manager NA Inspectors C. HORTON / A. YBARRA Contractor BROWN EXCAVATING COMPANY, INC. P.O. BOX 8599 FORT WORTH , TX 76124 DOE Number 4380 Estimate Number 1 Payment Number I For Period Ending 11/11/2024 City Secretary Contract Number Contract Date Contract Time 45 WD Days Charged to Date 186 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 $4,208.08 Less % Retained $0.00 Net Earned $4,208.08 Earned This Period $4,208.08 Retainage This Period $0.00 Less Liquidated Damages 0 Days @ $0.00 / 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 $4,208.08 Monday, May 4, 2026 Page 4 of 4 FORTWORTH. TRANSPORTATION AND PUBLIC WORKS November 20, 2024 Brown Excavating Company, Inc. PO Box 8599 Fort Worth, TX 76124-0599 RE: Acceptance Letter Project Name: HCA Behavioral Health Hospital Project Type: Water, Sanitary Sewer, and Paving City Project No.: 104380 To Whom It May Concern: On November 20, 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 November 20, 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- 392-6251. Siinnccerrely, A Sandip Adhikari P.E., Project Manager Cc: Aaron Ybarra, Inspector Cody Horton, Inspection Supervisor Oscar Aguillon, Senior Inspector Andrew Goodman P.E., Program Manager Pacheco Koch Consulting Engineers, LLC, Consultant Brown Excavating Company, Inc., Contractor HCA Healthcare, Developer File E-Mail: TPW_Acceptance@fortworthtexas.gov Rev. 08/20/19 AFFIDAVIT STATE OF Texas COUNTY OF Tarrant Before me, the undersigned authority, a notary public in the state and county aforesaid, on this day personally appeared Brian K. Brown, President Of Brown Excavating Company, Inc., 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; HCA Behavioral Hospital paving BY Brian K. Errown, President Subscribed and sworn before me on this date 201h of March, 2026. !Itp. °�e CHARLES D. REED, JR. *,* MY COMMISSION EXPIRES Not Pub i 04/14/2028 NOTARY ID: 128690932 Tarrant County, Texas CONSENT OF SURETY COMPANY TO FINAL PAYMENT Bond #S920-0936 Project: NMCA Behavioral Health Hospital — Earthwork for Entrances To (Owner): City of Fort Worth, Texas 200 Texas Street Ft Worth, TX 76102 Contract For: See above Contract Date: April 27, 2023 Contractor: Brown Excavating Company, Inc. P O Box 8599 Fort Worth, TX 76124 In accordance with the provision of the Contract between the Owner and the Contractor as defined above, the Swiss Re Corporate Solutions Premier Insurance Corporation 1200 Main Street, Suite 800 Kansas City, MO 64105 on bond of Brown Excavating Company, Inc. P O Box 8599 Fort Worth, TX 76124 ,Surety Company, ,Contractor hereby approves of the final payment to the contractor and agrees that final payment to the contractor shall not relieve the Surety Companies of any of their obligations to the City of Fort Worth, Texas 200 Texas Street Ft Worth, TX 76102 .Owner as set forth in the said Surety Company's bond. IN WITNESS WHEREOF, the Surety Companies have hereunto set their hand this 27th day of April, 2026. Witness: AW411'. At�b Brandi Heath, Witness Swiss Re Corporate Solutions Premier Insurance Corporation Surety Com any racy Tuc er, Attorne -m-Fact SWISS RE CORPORATE SOLUTIONS SWISS RE CORPORATE SOLUTIONS AMERICA INSURANCE CORPORATION ("SRCSAIC") SWISS RE CORPORATE SOLUTIONS PREMIER INSURANCE CORPORATION ("SRCSPIC") WESTPORT INSURANCE CORPORATION ("WIC") GENERAL POWER OF ATTORNEY KNOW ALL MEN BY THESE PRESENTS, THAT SRCSAIC, a corporation duly organized and existing under laws of the State of Missouri, and having its principal office in the City of Kansas City, Missouri, and SRCSPIC, a corporation organized and existing under the laws of the State of Missouri and having its principal office in the City of Kansas City, Missouri, and WIC, organized under the laws of the State of Missouri, and having its principal office in the City of Kansas City, Missouri, each does hereby make, constitute and appoint: W. LAWRENCE BROWN, TRACY TUCKER, KEVIN J. DUNN, STEVEN TUCKER, ROBERTA H. ERB, and DOUGLASS A. REED JOINTLY OR SEVERALLY Its true and lawful Attorney(s)-in-Fact, to make, execute, seal and deliver, for and on its behalf and as its act and deed, bonds or other writings obligatory in the nature of a bond on behalf of each of said Companies, as surety, on contracts of suretyship as are or may be required or permitted by law, regulation, contract or otherwise, provided that no bond or undertaking or contract or suretyship executed under this authority shall exceed the amount of: ONE HUNDRED TWENTY FIVE- MILLION ($125,000,000.00) DOLLARS This Power of Attorney is granted and is signed by facsimile under and by the authority of the following Resolutions adopted by the Boards of Directors of both SRCSAIC and SRCSPIC at meetings duly called and held on the 18th of November 2021 and WIC by written consent of its Executive Committee dated July 18, 2011. "RESOLVED, that any two of the President, any Managing Director, any Senior Vice President, any Vice President, the Secretary or any Assistant Secretary be, and each or any of them hereby is, authorized to execute a Power of Attorney qualifying the attorney named in the given Power of Attorney to execute on behalf of the Corporation bonds, undertakings and all contracts of surety, and that each or any of them hereby is authorized to attest to the execution of any such Power of Attorney and to attach therein the seal of the Corporation; and it is FURTHER RESOLVED, that the signature of such officers and the seal of the Corporation may be affixed to any such Power of Attorney or to any certificate relating thereto by facsimile, and any such Power of Attorney or certificate bearing such facsimile signatures or facsimile seal shall be binding upon the Corporation when so affixed and in the future with regard to anv bond, undertaking or contract of surety to which it is attached." r•�,„l11.lYrlllhrl •�,\Hn1Irlirlll/1I • �{ '.,-+Erik Janssens, Senior Vice President of SRCSAIC & Senior Vice President • S E • ' `� - m � � � S E A L ; n ; of SRCSPIC & Senior Vice President of WIC g :o? ' 1973 o0 = =s'. \ .(3�"a`. dss.yisso.�:yiSso�a: ' °s U asgy?a•: •I.l,y,*,,,,,.! , . S • N°\y�,,, By Gerald Jagrowski, Vice President of SRCSAIC & Vice President of SRCSPIC & Vice President of WIC IN WITNESS WHEREOF, SRCSAIC, SRCSPIC, and WIC have caused their official seals to be hereunto affixed, and these presents to be signed by their authorized officers this 6TH day of MARCH 20 24 Swiss Re Corporate Solutions America Insurance Corporation State of Illinois Swiss Re Corporate Solutions Premier Insurance Corporation County of Cook ss Westport Insurance Corporation On this 6TH day of MARCH 20 24 , before me, a Notary Public personally appeared Erik Janssens , Senior Vice President of SRCSAIC and Senior Vice President of SRCSPIC and Senior Vice President of WIC and Gerald Jagrowski , Vice President of SRCSAIC and Vice President of SPCSPIC and Vice President of WIC, personally known to me, who being by me duly sworn, acknowledged that they signed the above Power of Attorney as officers of and acknowledged said instrument to be the voluntary act and deed of their respective companies. OFFICIAL SEAL CHRItS-nNA MMiISCO a L9eE�mllM m wcq �r I, Jeffrey Goldberg. the duly elected Senior Vice President and Assistant Secretary of SRCSAIC and SRCSPIC and WIC, do hereby certify that the above and foregoing is a true and correct copy of a Power of Attorney given by said SRCSAIC and SRCSPIC and WIC, which is still in full force and effect. IN WITNESS WHEREOF, I have set my hand and affixed the seals of the Companies this 27th day of April 20 26 Jeffrey Goldberg, Senior Vice Presidet & Assistant Secretary of SRCSAIC and SRCSPIC and WIC