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HomeMy WebLinkAbout062713-FP1 - Construction-Related - Contract - Linbeck Group, LP-FP1 City Secretary Contract No. 62713 FORT WORTH, Date Received 7/14/2026 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: West 8th Development City Project No.: 105684 Improvement Type(s): ❑x Paving ❑x Drainage ❑ Street Lights ❑ Turn Lane Original Contract Price: $1,529,623.83 Amount of Approved Change Order(s): $1,291,350.50 Revised Contract Amount: $2,820,974.33 Total Cost of Work Complete: $2,820,974.33 .lamps St—'nc (.lull 13 2026 16-4q-14 CDT) Contractor Project Manager Title Linbeck Group, LP Company Name Brandon Gibson RmnAnn f;ihcnn (.1d14 2026 1021 59 con Project Inspector .4 /0�f- ProjjeDcttMManager 1/1 CFA Manager 2026 10:29:19 CDT) TPW Director 07/13/2026 Date 07/14/2026 Date 07/14/2026 Date 07/14/2026 Date 07/15/2026 Date OFFICIAL RECORD CITY SECRETARY FT. WORTH, TX Page 1 of 2 Notice of Project Completion Project Name: West 8th Development City Project No.: 105684 City's Attachments Final Pay Estimate 0 Change Order(s): Z Yes ❑ N/A Contractor's Attachments Affidavit of Bills Paid Consent of Surety Statement of Contract Time Contract Time: 71 WD Days Charged: 204 WD Work Start Date: 3/17/2025 Work Complete Date: 6/29/26 Completed number of Soil Lab Test: 704 Completed number of Water Test: 2 Page 2 of 2 FoRTWORTH CITY OF FORT WORTH FINAL PAYMENT REQUEST Contract Name WEST 8TH DEVELOPMENT Contract Limits Project Type DRAINAGE & PAVING City Project Numbers 105684 DOE Number 5684 Estimate Number 1 Payment Number 1 City Secretary Contract Number Contract Date Project Manager NA Contractor LINBECK GROUP, LP 201 MAIN STREET, SUITE 1801 FORT WORTH, TX Inspectors M.GLOVER / B.GIBSON For Period Ending 6/29/2026 Contract Time Days Charged to Date 204 Contract is 100.00 Complete 76102 Tuesday, June 30, 2026 Page 1 of 6 City Project Numbers 105684 Contract Name WEST 8TH DEVELOPMENT Contract Limits Project Type DRAINAGE & PAVING Project Funding UNIT III: DRAINAGE IMPROVEMENTS Item Description of Items Estimate Estimated Unit No. Quanity ----------------------- 1 REMOVE CONC PVMT 1345 SY 2 24" PRESSURE PLUG 1 EA 3 REMOVE CONC CURB & GUTTER(CO#1) 634 LF 4 REMOVE 2 1 " STORM LINE 24 LF 5 CONC PVMT REPAIR, ARTERIAL/INDUSTRIAL 1348 SY 6 6" CONC CURB AND GUTTER(CO#1) 651 LF 7 TRENCH SAFETY(CO#1) 1178 LF 8 24" RCP, CLASS III(CO#1) 1124 LF 9 4'STORM JUNCTION BOX(CO# 1) 5 EA 10 REMOVE ASPHALT PVMT 725 SY 11 10' WIDE ASPHALT PVMT REPAIR, 488 LF ARTERIAL(CO#1) 12 ASPHALT PVMT REPAIR BEYOND DEFINED 187 SY WIDTH, ARTERIAL (CO#1) DOE Number 5684 Estimate Number 1 Payment Number 1 For Period Ending 6/29/2026 Unit Cost Estimated Total $50.00 $67,250.00 $3,500.00 $3,500.00 $10.00 $6,340.00 $50.00 $1,200.00 $261.50 $352,502.00 $35.00 $22,785.00 $5.00 $5,890.00 $300.00 $337,200.00 $11,170.00 $55,850.00 $50.00 $36,250.00 $450.00 $219,600.00 $300.00 $56,100.00 Completed Completed Quanity Total 1345 $67,250.00 1 $3,500.00 634 $6,340.00 24 $1,200.00 1348 $352,502.00 651 $22,785.00 1178 $5,890.00 1124 $337,200.00 5 $55,850.00 725 $36,250.00 488 $219,600.00 187 $56,100.00 13 21" RCP CLASS III (CO#1) 40 LF $285.00 $11,400.00 40 $11,400.00 14 20' CURB INLET (CO#1) 1 EA $20,000.00 $20,000.00 1 $20,000.00 Sub -Total of Previous Unit $1,195,867.00 $1,195,867.00 UNIT IV: PAVING IMPROVEMENTS Item Description of Items No. 1 REMOVE SIDEWALK(CO#1)(CO#2) 2 REMOVE ADA RAMP(CO#1) 3 REMOVE CONCRETE DRIVE(CO#1)(CO#2) 4 REMOVE CONC PVMT(CO#I)(CO#2) 5 REMOVE ASPHALT PVMT(CO# 1)(CO#2)(CO#3)(CO#4) 6 REMOVE CONC CURB&GUTTER(CO# I)(CO#2)(CO#3 ) 7 REMOVE CONC VALLEY GUTTER 8 12"-18" TREE REMOVAL(CO#I) 9 SWPPP> 1 ACRE(CO#1) Estimated Unit Unit Cost Estimated Completed Completed Quanity Total Quanity Total 4045 SF $3.65 $14,764.25 4045 $14,764.25 7 EA $400.00 $2,800.00 7 $2,800.00 2850 SF $8.00 $22,800.00 2850 $22,800.00 423 SY $76.50 $32,359.50 423 $32,359.50 2299.2 SY $54.00 $124,156.80 2299.2 $124,156.80 1178 LF $14.00 $16,492.00 1178 $16,492.00 47 SY $90.00 $4,230.00 47 $4,230.00 2 EA $2,200.00 $4,400.00 2 $4,400.00 0 LS $6,695.76 $0.00 0 $0.00 Tuesday, June 30, 2026 Page 2 of 6 City Project Numbers 105684 Contract Name WEST 8TH DEVELOPMENT Contract Limits Project Type DRAINAGE & PAVING Project Funding 10 10' WIDE ASPHALT PVMT REPAIR, ARTERIAL(CO#1) 11 ASPHALT PVMT REPAIR BEYOND DEFINED(CO# I ) 12 8" LIME TREATMENT(CO#1)(CO#2)(CO#3) 13 8" CONC PVMT(CO#1)(CO#2)(CO#3)(CO#4) 14 4" CONC SIDEWALK(CO#1)(CO#2)(CO#3)(CO#4) 15 8" CONCRETE DRIVEWAY(CO#1) 16 BARRIER FREE RAMP, TYPE R-1 17 BARRIER FREE RAMP, TYPE P-1(CO#1) 18 6" CONC CURB AND GUTTER(CO# 1)(CO#2)(CO#3)(CO#4) 19 BLOCK SOD PLACEMENT(CO#1)(CO#3)(CO#4) 20 PLANT 3" TREE(CO#1)(CO#3)(CO#4) 21 PLANT 4" TREE(CO#3) 22 FURNISHANSTALL ALUM SIGN GROUND MOUNT CITY STD.(CO#1)(CO#2)(CO#3) 23 REMOVE AND REINSTALL SIGN PANEL AND POST 24 TRAFFIC CONTROL(CO#1)(CO#4) 25 REMOVE GRAVEL(CO#2) 26 TREE PROTECTION(CO#1) 27 ASPHALT CONTRACTOR CHANGE (CO#1)(CO#2) 10.1 10' WIDE ASPHALT PVMT REPAIR, ARTERIAL(CO# 1)(CO#2)(CO#4) 11.1 ASPHALT PVMT REPAIR BEYOND DEFINED(CO#1)(CO#2)(CO#4) 9.1 SWPPP> 1 ACRE(CO#1) 28 3" ASPHALT PVMT TYPE D(CO#3) 29 4" ASPHALT BASE TYPE B(CO#3) 30 6" FLEXIBLE BASE, TYPE A, GR-l(CO#3) 31 WEATHER/PHASING GRADING IMPACTS 32 RESTRIPING 33 REMOVE GUARDRAIL 34 UNFORSEEN DEMOLITION 35 SIGNAGE LABOR DOE Number 5684 Estimate Number 1 Payment Number 1 For Period Ending 6/29/2026 0 LF $140.00 $0.00 0 $0.00 0 SY $108.00 $0.00 0 $0.00 1368 SY $12.00 $16,416.00 1368 $16,416.00 1578.25 SY $161.74 $255,266.16 1578.25 $255,266.16 13178.5 SF $17.74 $233,786.59 13178.5 $233,786.59 1425 SF $17.98 $25,621.50 1425 $25,621.50 3 EA $2,456.00 $7,368.00 3 $7,368.00 3 EA $2,456.00 $7,368.00 3 $7,368.00 2252.24 LF $30.77 $69,301.42 2252.24 $69,301.42 1539 SY $63.62 $97,911.18 1539 $97,911.18 10 EA $4,050.92 $40,509.20 10 $40,509.20 3 EA $11,203.00 $33,609.00 3 $33,609.00 8 EA $243.56 $1,948.48 8 $1,948.48 2 EA $400.00 $800.00 2 $800.00 15.462 MO $1,624.00 $25,110.29 15.462 $25,110.29 2220 SF $2.65 $5,883.00 2220 $5,883.00 34 EA $1,490.34 $50,671.56 34 $50,671.56 25 TN $773.00 $19,325.00 25 $19,325.00 676.25 LF $224.00 $151,480.00 676.25 $151,480.00 232 SY $283.00 $65,656.00 232 $65,656.00 1 LS $10,830.76 $10,830.76 1 $10,830.76 784 SY $48.00 $37,632.00 784 $37,632.00 784 SY $60.00 $47,040.00 784 $47,040.00 784 SY $25.83 $20,250.72 784 $20,250.72 1 LS $64,182.25 $64,182.25 1 $64,182.25 1 LS $3,035.87 $3,035.87 1 $3,035.87 1 LS $1,445.00 $1,445.00 1 $1,445.00 1 LS $33,251.00 $33,251.00 1 $33,251.00 1 LS $2,532.00 $2,532.00 1 $2,532.00 Tuesday, June 30, 2026 Page 3 of 6 City Project Numbers 105684 DOE Number 5684 Contract Name WEST 8TH DEVELOPMENT Estimate Number 1 Contract Limits Payment Number 1 Project Type DRAINAGE & PAVING For Period Ending 6/29/2026 Project Funding 36 DAGGER COST ADJUSTMENTS 1 LS $74,873.80 $74,873.80 1 $74,873.80 Sub -Total of Previous Unit $1,625,107.33 $1,625,107.33 Tuesday, June 30, 2026 Page 4 of 6 City Project Numbers 105684 Contract Name WEST 8TH DEVELOPMENT Contract Limits Project Type DRAINAGE & PAVING Project Funding Contract Information Summary Original Contract Amount Change Orders Change Order Number 1 Change Order Number 1 Change Order Number 2 Change Order Number 4 Change Order Number 3 DOE Number 5684 Estimate Number 1 Payment Number 1 For Period Ending 6/29/2026 $1,529,623.83 $522,525.00 $734,475.28 ($198,075.76) $282,525.73 ($50,099.75) Total Contract Price $2,820,974.33 Total Cost of Work Completed $2,820,974.33 Less % Retained $0.00 Net Earned $2,820,974.33 Earned This Period $2,820,974.33 Retainage This Period $0.00 Less Liquidated Damages Days g / 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 $2,820,974.33 Tuesday, June 30, 2026 Page 5 of 6 City Project Numbers 105684 Contract Name WEST 8TH DEVELOPMENT Contract Limits Project Type DRAINAGE & PAVING Project Funding Project Manager NA Inspectors M.GLOVER / B.GIBSON Contractor LINBECK GROUP, LP 201 MAIN STREET, SUITE 1801 FORT WORTH, TX 76102 DOE Number 5684 Estimate Number 1 Payment Number 1 For Period Ending 6/29/2026 City Secretary Contract Number Contract Date Contract Time Days Charged to Date 204 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 $2,820,974.33 Less % Retained $0.00 Net Earned $2,820,974.33 Earned This Period $2,820,974.33 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 $2,820,974.33 Tuesday, June 30, 2026 Page 6 of 6 REVIEWED By Izeldeen Ahmed at 4:21 pm, Dec 05, 2025 DEVELOPER -AWARDED -PROJECT CHANGE ORDER PROJECT NAME: Water, Sewer, Paving, and Storm Drain Improvements to Serve West 8th Development CHANGE CONTRACT: Water, Sewer, Pavin ,and Draina a ORDER No: CFA# 24-011I9 CITY PARTICIPATION: NO CITY PROJECT # 105684 CITY SECRETARY CONTRACT# 62713 FID # 30114-0200431-105684-EO7685 1 X # X-28272 FILE # W-3080 INSPECTOR: Brandon Gibson Phone No: 214-779-2335 PROJECT MANAGER: Izeldeen Ahmed Phone No: 817-392-7830 CONTRACT UNIT WATER SEWER DRAINAGE PAVING STREETLIGHTS WORKING Developer Cost City Cost Develo er Cost City Cost Developer Cost CityCost Develo er Cost CI Cost Develo er Cost City Cost DAYS ORIGINAL CONTRACT $141.380.00 $0.00 $551,990.00 $0.00 $673,342.00 1H)AD $856,281.83 $0.00 $0.00 $0.00 0 EXTRAS TO DATE $0.00 $0.00 $0.00 $0.00 $0.00 $0.00 $0.00 $0.00 $0.00 $0.00 0 CREDITS TO DATE $0.00 $0.00 $0.00 $0.00 $0.00 $0.00 $0.00 $0.00 $0.00 $0.00 0 CONTRACT TO DATE S14l,380.00 $0.00 $551,990.00 $0.00 $673,342.00 $0.00 $856,281.83 $0.00 $0.00 $0.00 0 AMOUNT OF PROP. CHANGE ORDER $116,520.00 $0.00 ($81,730.001 $0.00 $522,525.00 $0.00 $734,475.28 $0.00 $0.00 $0.00 0 REVISED CONTRACT AMOUNT $257.900.00 $0.00 $470,260.00 $0.00 $1,195,867.00 $0,00 $1,590,757.11 1 $0.00 $0.00 $0.00 0 TOTAL REVISED CONTRACT AMOUNT PERUNIT $257,900.00 $470,260.00 $1,195,867.00 $1,590,757.11 $0.00 REVISED COST SHARE Dev. Cost: $3,514,784.11 City Cost: $0.00 TOTAL REVISED CONTRACT $3.514,784.11 Revised: 12-17-2018 Page 1 You are directed to make the follovAng changes in the contract documents: IINIT I• WATER IAIPRnVFMFNTC REVIEWED By lzeldeen Ahmed at 4:21 pm, Dec 05, 2025 PAY ITEM # CITY BID ITEM # QUANTITY UNIT ITEM DESCRIPTION UNIT PRICEr$43 Cost C Cost TOTAL 4 0241.1100 115,00 SY Remove Asphalt Pvml $50.00 0 $0.00 55.750.00 5 0241.1300 34.00 LF Remove Conc Curb 8 Gutter $10.000 $0.00 $340.00 6 0241.1118 4 EA 4'-12' Pressure Plug$2,000.000 $0.00 $8.000.00 8 3201.0127 66 LF 10' Wide Asphalt Pvml Repair, Arterial $450.00 .00 $0.00 $38.700.00 9 3201.0202 31.0 SY Asphalt Pvml Repair Beyond Defined Width, Arterial $300.0000 $0.00 $9,300.00 12 3216.0101 38 LF 6" Conc Curb Gutter $35.00 00 $0.00 $1,330.00 13 3305.0109 86 LF Trench Safety$5.000 $0.00 E430.00 14 3311.0001 0.39 TON Ductile Iron Water Fittings wl Restraint 54,000.00 $1,560.00 $0.00 $1.560.00 15 3311.0141 21 LF 6"Water Pie $340.00 $7,140.00 $0.00 $7,140.00 16 3312.0117 1 EA Connection to Existing 41 -1 2' Water Main $18.000.00 $18,000.00 $0.00 $18,000.00 17 3312.2203 1 FA 2" Water Service $6.000.00 $6,000.00 SO.00 $6.000.00 18 3312.3002 1 EA 6" Gale Valve $2,730.00 $2.730.00 $0.00 $2.730.00 19 9999.0003 2 EA Kill Existing Water Services $1.500.00 $3,000,00 $0.00 $3,000.00 New Item 20 3305.0003 1 EA 8" Water Line Lowering $5,500.00 $5,500.00 $0.00 $5,500.00 New Item 21 3312.2103 1 EA 1 1/2' Water Service $5,500.00 $5,500.00 $0.00 $5,500.00 New lfem 22 3312.3003 1 EA 8" Gale Valve $3,Tl 1 $3,Z40.00 $0.00 $3.240.00 TOTAL UNIT I: WATER IMPROVEMENTS $116,520.00 $0.00 $116.520.00 IINIT 11- CAMITAPV CFWFR 1MPRDVFMF1JTC PAY ITEM # CITY BID ITEM # QUANTITY UNIT ITEM DESCRIPTION UNIT PRICEr$29.700.00 r Cost CityCost TOTAL 2 0241.1000 -7 SY Remove Conc Pvmt $50.0000 $0.00 $350.00 3 0241.1100 -47 SY Remove Asphalt Pvmt $50.00 .00 $0.00 $2,350.00 4 0241.1300 -10 LF Remove Conc Curb 8 Gutter $10.0000 $0.00 $100.00 10 3201.012766 LF 10' Wide Asphalt Pvml Repair, Arterial 5450.00 $0.00 $29,700.00 11 3201.0202 10 SY Asphalt Pvmt Repair Beyond Defined Width, Arterial $300:00.00 $0.00 $3,000.00 14 3216.0101 2 LF 6" Conc Curb &Gutter $35.000 $0.00 $70.00 15 3301.0002 -164 LF Post -CCTV Inspection $5.0000 $0.00 $820.00 16 3301.0101 -3 EA Manhole Vacuum Testing $300.00 S900.00 $0.00 $900.00 17 3305.0109 -66 LF Trench Safety $5.00 $330.00 S0.00 $330.00 18 3305.0112 -2 EA Concrete Collar $500.00 S1,000.00 $0.00 $1,000.00 23 3331.3302 -1 EA 8' 2-Way Cleanoul $2.500.00 $2,5W.00 $0.00 S2,500.00 24 3331.4115 -170 LF 8" Sewer Pie $225.00 S38,250.00 0.00 538.250.00 25 3331.5747 -6 LF 8' Sewer Pipe CLSM Back811 $500.00 S3.000.00 SO.00 S3,000.00 27 3339.1001 -3 EA 4' Manhole $9,500.00 $28,500.00 S0.00 $28,5W.00 New Item 30 3331.3202 1 EA 6" 2-Wa Cleanoul $5.000.00 $5.000.00 $0.00 $5,000.00 New Item 31 3331.41108 6 LF 6" Sewer Pie $3,000.00 $18.000.00 $0.00 $18,000.00 TOTAL UNIT II: SANITARY SEWER IMPROVEMENTS 1 7 0.0 0.00 $81 730.00 UNIT III: DRAINACF IMPRnVFMFNTS PAY ITEM # CITY BID ITEM # QUANTITY UNIT ITEM DESCRIPTION UNIT PRICE Develo er Cost City Cost TOTAL 3 0241.1300 28 LF Remove Conc Curb 8 Gutter $10.00 $280.00 $0.00 $280.00 6 3216.0101 45 LF 6" Conc Curb & Ginter $35.00 $1.575.00 $0.00 $1,575.00 7 3305.0109 488 LF Trench Safety $5.00 $2.440.00 $0.00 S2,440.00 Revised: 12-17-2018 Page 2 REVIEWED By Izeldeen Ahmed at 4:21 pm, Dec 05, 2025 8 3341.0205 434 LF 24' RCP Class III $300.00 $130.200.00 $0.00 $130,200.00 9 3349.0001 4 EA 4' Storm Junction Box $11.170.00 $44.660.00 $0.00 $44.680.00 New Item 10 0241.1100 725 SY Remove Asphalt Pvmt $50.00 $36.250.00 $0.00 $36.250.00 New Item 11 3201.0127 488 LF 10' Wide Asphalt Pvmt Repair. Arterial $450.00 $219.600.00 $0.00 $219,600.00 New Item 12 3201.0202 187 SY Asphalt Pvmt Repair Beyond Defined Width, Arterial $300.00 $56,100.00 $0.00 $56,100.00 New Item 13 3341.0201 40 LF 21' RCP Class III $285.00 $11.400.00 $0.00 $11.400.00 New Item 14 3349.5003 1 EA 20' Curb Inlet $20.000.00 $20,000.00 $0.00 S20,000.00 TOTAL UNIT [II: DRAINAGE IMPROVEMENTS $522,525.00 $0.00 $522,525.00 I]NIT IV- PAVFMFNT IMPROVEMFNTS PAY ITEM 4 CITY BID ITEM fI QUANTITY UNIT ITEM DESCRIPTION UNIT PRICErS78,5170.00 Cost CityCast TOTAL 1 0241.0100 1725 SF Remove Sidewalk $3.65 5 SO.00 $6,296.25 2 0241.0300 4 EA Remove ADA Ram $400.000 $0.00 $1,600.00 3 0241.0401 1981 SF Remove Concrete Drive $8.00 00 $0.00 $15,848.00 4 0241.1000 91 SY Remove Conc Pvmt $76.50 0 $0.00 $6,961.50 5 0241.1100 1455 SY Remove Asphalt Pvmt $54.00 .00 $0.00 $78,570.00 6 0241.1300 331 LF Remove Conc Curb & Gutter $14.00 0 $0.00 $4,634.00 8 3110.0103 1 EA 12'-18'Tree Removal $2.200.0000.00 $0.00 $2,200.00 9 3125.0101 1 LS SWPPPx 1 acre $4.135.00 $4,135.00 $0.00 $4.135.00 10 3201.0127 -205 LF 10' Wide Asphalt Pvmt Repair, Arterial S140.00 $28,700.00 $0.00 $28,700.00) New Item 10.1 3201.0127 803 LF 10' Wide Asphalt Pvmt Repair, Arterial $224.00 $179.872.00 $0.00 $179.872.00 11 3201.0202 -111 SY Asphalt Pvmt Repair Beyond Defined S108.00 $11,988.00 $0.00 511,988.00 New Item 11.1 3201.0202 199 SY Asphalt Pvmt Repair Beyond Defined $283.00 $56,317.00 $0.00 $56,317.00 12 3211.0502 1159 SY 8' Lime Treatment $12.00 $13.908.00 $0.00 $13.908.00 13 3213.0103 1159 SY 8'Conc Pvmt $161.74 $187,456.66 $0.00 $187,456.66 14 3213.0301 5005 SF 4' Conc Sidewalk $17.74 $88,788.70 $0.00 $88.788.70 15 3213.0403 910 SF 8' Concrete Driveway $17.98 $16,361.80 $0.00 $16,361.80 17 3213.0506 1 EA Barrier Free Ramp, Type P-11 $2.456.00 $2,456.00 $0.00 $2,456.00 18 3216.0101 1031 LF 6' Conc Curb & Gutter $30.77 $31,723.87 $0.00 31,723.87 19 3292.0100 466 SY Block Sod Replacement 63.62 29,646.92 $0.00 $29,646.92 20 3293.0103 3 EA Plant 3' Tree 4,050.92 12,152.76 0.00 12,152.76 22 3441.4003 2 EA FurnishOnslall Alum Sign Ground Mount City Std. 243.56 87.12 0.00 487. 22 24 3471.0001 6 MO Traffic Control $1,624.00 $9.744.00 $0.00 $9,744.00 26 9999.0002 5 EA Tree Protection $1,490.34 $7,451.70 $0.00 $7,451.70 New Item 27 1 9999.0004 1 24 TON Asphalt Contractor Change $773.00 $18.552.00 $0.00 $18,552.00 TOTAL UNIT IV: PAVEMENT IMPROVEMENTS S734.475.28 $0.00 $734,475.28 I Asterisk (') Indicates New Pay Item Revised: 12-17-2018 Page 3 REASONS FOR CHANGE ORDER Additional water, sewer, paving added to the confrad for additional development Changes correspond to Revision No. 1 as shown on sheets 7, 8, 9A, 11, 13A, 15, 17, 17A, 23. 25, 26, 26A, 30A, 308, 30C, 30D, 36, 36A, 368, 36C, 36D, 38, 40 of the construction plans. RECOMMENDED: APPROVED: (Consu!tim En ineerl (Developer) Title:Engagement Manger I Principal APPROVAL RECOMMENDED: CFW- Water Department APPROVED: (Contractor) Name: Kevin Imming Title: Vice President / Senior Client Executive APPROVED: APPROVED AS TO FORM AND LEGALITY: 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 Tile: Not Applicable Title: Not APPilcable RECOMMENDED: CFW - eCominacr Compliance Manager ATTEST REVIEWED By: Not Applicable Defer By Izetdeen Ahmed of 4:22 pm, Dec 05, T0T5 Noma: Jennette S. Goodell Title: True: City Secretary MRC Number: NIA MAC Date Approved: WA • 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. Thera are NO City Funds associated Win this Conlrect There are City Funds associated with this Contract Revised: 12-17-2018 Page 4 REVIEWED `By lzeldeen Ahmed at 4:26 pm, Dec 05, 2025 DEVELOPER -AWARDED -PROJECT CHANGE ORDER PROJECT NAME: Water, Sewer, Paving, and Storm Drain Improvements to Serve West 8th Development CHANGE CONTRACT: Water, Sewer, Paving, and Draina e ORDER No: CFA# 24-0119 CITY PARTICIPATION: NO CITY PROJECT # 105684 CITY SECRETARY CONTRACT # 62713 FID # 30114-0200431-105684-EO7685 2 X # X-28272 FILE # W-3080 INSPECTOR: Brandon Gibson Phone No: 214-779-2335 PROJECTMANAGER: lzeldeen Ahmed Phone No: 817-392-7830 CONTRACT UNIT WATER SEWER DRAINAGE PAVING STREETLIGHTS WORKING Developer Cost Clly Cost Developer Cost City Cost Developer Cost City Cost Developer Cost City Cost Develo er Cost Cli Cost DAYS ORIGINAL CONTRACT S141,380.00 S0.00 $551,990.00 $0.00 $673,342.00 $0.00 $856.281.83 $0.00 So.00 $0.00 0 EXTRAS TO DATE $116,520.00 S0.00 $0.00 $0.00 $522,525.00 $0.00 $734,475.28 $0.00 $0.00 $0.00 0 CREDITS TO DATE $0.00 $0.00 $81,730.00 $0.00 $0.00 $0.00 $0.00 $0,00 $0.00 $0.00 0 CONTRACT TO DATE S257,900.00 $0.00 $470,260.00 $0.00 S1,195,867.00 $0.00 $1.590.757.11 $0.00 $0.00 $0.00 0 AMOUNT OF PROP. CHANGE ORDER $106,070.00 $0.00 $11,790.00 $0.00 $0.00 $0.00 S798,075.76 50.00 $0.00 $0.00 0 REVISED CONTRACT AMOUNT $363.970,00 _ _ $0.00 $482,050.00 1 $0,00 $1.195,867.00 $0.00 $1,392.681.35 $0.00 $0.00 $0.00 0 TOTAL REVISED CONTRACT AMOUNT PER UNIT $363.970.00 $482,050.00 $1,195,867.60 $1.392,681.35 $0.00 REVISED COST SHARE Dev. Cost: $3,434,568.35 City Cost: $0.00 TOTAL REVISED CONTRACT $3,434,568.35 Revised: 12-17-2018 Page 1 You are directed to make the following changes In the contract documents: 11-T I• W ATCo REVIEWED By 1zeldeen Ahmed at 4:26 pm, Dec 05, 2025 PAY ITEM # CITY BID ITEM # QUANTITY UNIT ITEM DESCRIPTION UNIT PRICE Develo er Cost City Cost TOTAL 8 3201.0127 20 LF 10' Wide Asphalt Pvmt Repair. Arterial $450.00 $9.000.00 $0.00 $9.000.00 9 3201.0202 40 SY Asphalt Pvmt Repair Beyond Defined $300.00 $12.000.00 $0.00 $12.000.00 12 3216.0101 20 LF 6' Conc Curb and Gutter $35.00 $700.00 $0.00 $700.00 13 3305.0109 60 LF Trench Safety $5.00 $300.00 $0.00 $300.00 17 3312.2203 1 EA 2" Water Service $6,000.00 $6.000.00 $0.00 $6,000.00 New Item 23 3305.0002 2 EA 6" Water Line Lowering $38.715.00 $77,430.00 $0.00 $77.430.00 New Item 25 3217 41201 20 LF Fire Lane Striping $32.00 $640.00 SO.00 1 $640.00 I U I AL UNI I I: WAI EK IMPROVEMENTS 5106,070.00 IWO0 $106,070.00 1INrr It, SANITARV SLWFw I11,1100r1UPI P-Q PAY ITEM # CITY BID ITEM # QUANTITY UNIT ITEM DESCRIPTION UNIT PRICE Develo er Cost City Cost TOTAL 3 0241.1100 15 BY Remove Asphalt Pvmt $50.00 $750.00 $0.00 $750.00 11 3201.0202 15 SY Asphalt Pvmt Repair Beyond Defined $300.00 $4,500.00 $0.00 $4,500.00 New Item 32 9999.0005 1 EA Remove & Cap Existing SS Service al Main $6.540.00 $6,540.00 $0.00 $6,540.00 TOTAL UNIT It: SANITARY SEWER IMPROVEMENTS $111,790.00 $0.00 $11,790.00 UNIT IV- PAVEMENT IMPROVFMFNTS PAY ITEM# CITY BID ITEM # QUANTITY UNIT ITEM DESCRIPTION UNIT PRICE Developer Cost City Cost TOTAL 1 0241.0100 -480 SF Remove Sidewalk $3.65 S1,752.00 $0.00 S1,752.00 3 0241.0401 -150 SF Remove Concrete Drive $8.00 $1,200.00 $0.00 $1,200.00 4 0241.1000 1 BY Remove Conc Pvml $76.50 $76.50 $0.00 $76.50 5 0241.1100 -254 SY Remove Asphalt Pvmt $54.00 $13.716.00 $0.00 S13,716.00 6 0241.1300 -59 LF Remove Conc Curb & Gutter S14.00 $626.00) $0.00 $826.00) 10A 3201.0127 -185 LF 10' Wide Asphalt Pvmt Repair, Arterial S224.00 S41,440.00) $0.00 S41,440.00 11.1 3201.0202 46 BY Asphalt Pvmt Repair Beyond Defined $283.00 313.018.00 $0.00 S13.018.00 12 3211.0502 -545 BY 8" Lime Treatment $12.00 $6,540.00 $0.00 $6,540.00 13 3213.0103 -545 BY 8"Conc Pvmt $161.74 S88,148.30 $0.00 $88,148.30 14 3213.0301 -1153 SF 4'Canc Sidewalk $17.74 $20.454.22 $0.00 $20,454.22 18 3216.0101 -168 LF 6" Conc Curb & Gutter $30.77 $5,169.36 $0.00 $5,169.36 22 3441.4003 -3 EA FurnishMstall Alum Sign Ground Mount City Std. $243.56 S730.68 $0.00 $730.68 25 9999,0001 -2238 SF Remove Gravel $2.65 $5,930.70 $0.00 $5,930.70 27 9999.0004 1 TON As halt Contractor Chan a $773.00 $773.00 0.00 773.00 IVIH UNI I IV: YAV r-i1 Iffl-U-1v LNIJ IUtl U/0./b U.UU 51atl,0/�./e Asterisk I') Indicates New Pay Item Revised: 12-17-2018 Page 2 REASONS FOR CHANGE ORDER Additional water tap on Cooper. Sewer kill tap. Parking space removal on Pruitt St. and 9th Ave Changes correspond to Revision No. 2 as shown on sheets 7. 6, 9A. 16, 17, 17A, 24, 25, 26, AND 26A or (he construction plans. RECOMMENDED: APPROVED: APPROVED: (Consulting Engineer) (Developer) (Contractor) 'Name: Justin Wells Nardi``/ (YI ltftaW ��,,r �'}l,.. Noma: Kevin lmmino Title: Engagement Manger I Principal Tige:SY�PLCU.1�', UC V IJt� Title: Vice President / Senior Client Executive APPROVAL RECOMMENDED: APPROVED: APPROVED AS TO FORM AND LEGALITY: CFW - Water Department CFW - Assistant City Manager CFW - Assistant CityAttorney By: Not Applicable Data: By: Not Applicable Date: By: Not Applicable Date: Name: Not Applicable Name: Not Applicable Name: Not Applicable Title: Not Applicable Tide: Not Applicable Title: Not Applicable RECOMMENDED: CFW -'Contract Compkance Manager ATTEST REVIEWED By: Not Applicable Date: By lzeldeen Ahmed at 4:26 jam, Dec 05, 2025 Name: Jannede S. Goodall Title: Title: City Secretary M&C Number: N/A M&C Date Approved: N/A Contract Compliance Manager (Project Manager): By signing I acknowledge that I am the person responsible for the monitoring and administration of this conlracl, and ensuring ell 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 J REVIEWED By Izeldeen Ahmed at 3:59 pm, Apr 21, 2026 DEVELOPER -AWARDED -PROJECT CHANGE ORDER PROJECT NAME: Water, Sewer. Paving, and Storm Drain Improvements to Serve West eth Development CHANGE CONTRACT: Water, Sewer, Paving, and Dralna a ORDER No: CFA # 24-0119 CITY PARTICIPATION: NO CITY PROJECT # 105684 CITY SECRETARY CONTRACT # 62713 FID # 30114-0200431-105604-EO7685 3 x # 1-11212 FILE # W-3080 INSPECTOR: Brandon Gibson Phone No: 214-779-2335 PROJECT MANAGER: Izeldeen Ahmed Phone No: 817-392-7830 CONTRACT UNIT WATER SEWER DRAINAGE PAVING STREETLIGHTS WORKING Developer Cost CltyGost Develo er Cost City Cost Develo er Cost CI Cost Developer Cost CftyCQvt Oevelo er Cost City Cost DAYS ORIGINAL CONTRACT Sl41j3nh00 10 00 $551,960.o0 $0.00 $673.342.00 50.00 $856,201.83 $9.00 $0.00 $0.00 0 EXTRAS TO DATE $222,590.00 $0.00 $11,790.00 $0.00 $522,625.00 40.00 $734,476.28 $0.00 $0,00 $0.00 0 CREDITS TO DATE $0,00 10.0 1151,730.00 30.00 $0.00 90.00 $198,076.76 50.00 $0.00 $0.00 0 CONTRACT TO DATE $367970.00 10.o0 S462050.00 10.00 $1,195,067.00 10.00 $1,392.661.35 Senn $0.00 $0.00 0 AMOUNT OF PROP, CHANGE ORDER (5120.190.001 10.00 soon 10.00 10.00 10.00 1150,099.761 $0.00 $0.00 10.00 0 REVISED CONTRACT AMOUNT $243.780.00 1 $0.00 3482,050.00 30.00 31,196,867.00 1 S0,00 $1,347,501.60 1 $0.04 $0.00 1 $0,00 0 TOTAL REVISED CONTRACTAMOUNT PER UNIT 3243780.00 $482,050.00 $1,195,867.00 $1342,581.60 $0.00 REVISED COST SHARE Dev. Cost: $3,264,270.60 City Cost: $0.00 TOTAL REVISED CONTRACT $3,264,278.60 Revised: 12-17-2018 Page 1 You are directed to make the following changes in the contract documents: UNIT I- WATER IMPROVEMENTS REVIEWED By Izeldeen Ahmed at 3:59 pm, Apr 21, 2026 PAY ITEM If CITY BID ITEM # QUANTITY UNIT ITEM DESCRIPTION UNIT PRICE Developer Cost City Cost TOTAL 1 0241.0100 -83 SF Remove Sidewalk $5.00 (3415.001 S0.00 ($415.00) 4 0241.1100 -42 SY Remove Asphalt Pvml $50.00 (32.100.00) 50.00 ($2.100.00) 5 0241.1300 -40 LF Remove Conc CurbSGutter $10.00 S480.00) $0.00 ($480.00) 5 0241,1118 -3 EA 4"-12' Pressure Plug $2 000.00 S6,000.00) $0.00 $6,000.00) 8 3201.0127 -32 LF t0' Wide Asphalt Pvml Repair, Arterial $450.00 (S14.400.00) S0.00 (314.400.001 9 3201.0202 A2 SY Asphalt Pvml Repair Beyond Defined Width Arterial S300.00 (S12,600.00) $0.00 512,600 00) 11 3213.0301 -83 SF 4'Conc Sidewalk $15.00 ($1,245.011) $0.00 $1.245.00) 12 3216.0101 -48 1 LF 6' Canc Curb and Gutter 1 $35.00 (S1,680.00) $0.00 (S1.680.00 13 3305.0109 -32 LF Trench Safe $5.00 ($160.00) $0.00 (3160.00) 16 3311.0141 -32 LF 6" Water Pi $340.00 310.880.00) 70.00 16 3312.0117 -3 EA Connection to Existing4"-12" Water Maln $18.000.00 (S54.000.00) $0.00 17 3312.2203 -2 EA 2" Water Service S6.000.00 512,000.00) $0.00 �$2.730.00) 18 3312.3002 -1 EA 5' Gate Valve $2.730.00 ($2,730.00) $0.00 19 9999.0003 -1 EA Kill Exislino Water Services $1,500.00 (51,500.001 $0.00 OT U PROVEMENTS IS120,190.00)$120,190.00 UNIT Nc PAVING IMPROVEMENTS PAY ITEM # CITY BID ITEM # QUANTITY UNIT ITEM DESCRIPTION UNIT PRICE Develo ar Cost CRYCost TOTAL 5 0241.1100 2 SY Remove Asphalt Pvml $54.00 $108.00 S0.00 $108.00 6 0241.1300 2 LF Remove Conc Curb6Gutter $14.00 $28.00 $0.00 S28.00 12 3211.0502 -784 SY 8" Lime Treatment $1200 (S9,408.00) $0.00 ($9.408.00) 13 3213.0103 -784 SY 8, Conc Pvml $161.74 ($126,804.16) $0.00 S12Q804.16 14 32130301 •38 SF 4'Conc Sidewalk S17.74 S674.12 $0.00 ($674.12) 18 3216.0101 -129 LF 6" Cone Curb and Gutter $30.77 ($3.969 331 S0.00 53,969.33 19 3292.0100 193 SY Block Sod Placement $03.62 s11,8 2.46 $0.00 $11,642.48 20 3293.0103 -4 EA Plant 3" Tree $4,050.92 $16.203.68) S0.00 (S16,203.68) 21 3293.0104 -1 FA Plant 4"Tree $11.203.00 S11.203.00 $0.00 (S11,203.00) 22 3441.4003 6 EA Furnishllnstall Alum Sign Ground Mount CitySld. $243.56 S1,461.36 $-0,00 $1,461.36 New Item 28 3212.0303 784 SY 3" Asphalt Pvml Type D $48,00 337,632.00 S0.00 $37.632.0(1 New Item 29 3212.0501 794 SY 4' Asphalt Base Type B $60.00 $47,040.00 $0.00 $47.040.00 New It.. 30 3211.0112 784 SY 6" Flexible Base, Type A. OR-1 1 $25.83 $20,250.72 $0.00 990,260.72 TOTAL UNIT I: WATER IMPROVEMENTS $50 099.76) $0.00 (S60 099.75) Asterisk (') Indicates New Pay Rem Revised: 12-17-2010 Page 2 REASONS FOR CHANGE ORDER Remove proposed wafer laps on 91h Ave. Existing water tap on 91h bet— Pruitt and Pennsylvania to remain Alley pavement change from mocrete to asphalt. Sidewalk revisions to avoid construction conflicts Planting and irrigation revisions Changes correspond to Revision No. 3 as shown on sheets 7, 6. 16, 17, 17A, 23, 25. 26, 26A, 38. 42, 43. 43b. 44. and 45 of the construction plans. RECOMMENDED: APPROVED: (Developer) Title: Director - Site Development I Principal Title: U Q(� APPROVED: (Contractor) Name: Kevin Imming Tide: Vice President / Senior Client Executive 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 Dale: Name: Not Applicable Name: Not Appicable Name: Nol Applicable Title: Not Aoolicable Title: Not Apolicable Title: Not Aunitcable RECOMMENDED: CFW- 'Contract Compliance Manager ATTEST • Contract Compliance Manager (Project Manager): By signing I acknowledge that I am the person responsible for the monitoring and adminlstralion of this contract, REVIEWEDBy: Not Applicable Dale: d ensuring all performance and reporting requirements. By Izeldeen Ahmed at 3:59 pm, Apr 21, 2026 Name: Jannette S. Goodall 0 Thanere are NO City Funds associated with this Contract Title: City Secretary ❑ There ere City Funds associated wNh this Contract MBC Number: NIA M&C Dale Approved: NIA Revised: 12-17-2018 Page 3 DEVELOPER -AWARDED -PROJECT CHANGE ORDER PROJECT NAME: Water, Sewer, Paving, and Storm Drain Improvements to Serve West 8th Development CHANGE CONTRACT: Water, Sewer, Paving, and Drainage ORDER No: CFA# 24-0119 CITY PARTICIPATION: NO CITY PROJECT# 105684 CITY SECRETARY CONTRACT # 62713 FID # 30114-0200431-105684-EO7685 4 X # X-28272 FILE # W-3080 INSPECTOR: Brandon Gibson Phone No: 214-779-2335 PROJECT MANAGER: Izeldeen Ahmed Phone No: 817-392-7830 REVIEWED By Izeldeen Ahmed at 9:54 am, Apr 09, 2026 CONTRACT UNIT WATER SEWER DRAINAGE PAVING STREETLIGHTS WORKING Developer Cost City Cost Develo er Cost City Cost Developer Cost City Cost Develo er Cost City Cost Developer Cost City Cost DAYS ORIGINAL CONTRACT $141,380A0 $0.00 $551,990.00 $0,00 $673.342.00 $0.00 $856.281.83 $0.00 $0.00 $0.00 0 EXTRAS TO DATE $222,590.00 $0.00 $11,790.00 $0.00 $522,525.00 $0.00 $734,475.28 $0.00 $0.00 $0.00 0 CREDITS TO DATE $120,190.00 $0Ao $81,730.00 $0.00 $0.00 $0.00 $248,175.61 $0.00 $0.00 $0.00 0 CONTRACT TO DATE $243.780.00 $0.00 $482,050.00 $0.00 $1,195,867.00 $0.00 $1,342,581X0 $0.00 $0.00 $0.00 0 AMOUNT OF PROP. CHANGE ORDER $0.00 50.00 $0.00 $0.00 $0.00 $0.00 $282,525.73 $0.00 $0.00 $0.00 0 REVISED CONTRACT AMOUNT $243,780.00 $0.00 $482,050.00 $0.00 $1,195,867.00 $0.00 $1.625,107.33 j $0.00 1 $0.00 $0.00 0 TOTAL REVISED CONTRACT AMOUNT PER UNIT $243,780.00 $482,050.00 $1,195,867.00 $1,625,107.33 $0.00 REVISED COST SHARE Dev. Cost: $3,546,804.33 City Cost: $0.00 TOTAL REVISED CONTRACT $3.546,804.33 Revised: 12-17-2018 Page 1 You are directed to make the following changes in the contract documents: r ndlT R1. DAMM, 0.1-I REVIEWED By Izeldeen Ahmed at 9:54 am, Apr 09, 2026] PAY ITEM # CITY BID ITEM # QUANTITY UNIT ITEM DESCRIPTION UNIT PRICE Develo er Cosl CityCost TOTAL 5 0241.1100 88.2 SY Remove Asphalt halt Pvmt $54.00 $4,762.80 $0.00 $4,762.80 New Item 10.1 3201.0127 58.25 LF I(Y Wide Asphalt Pvmt Repair, Arterial $224.00 $13,048.00 $0.00 $13.048.00 New Item 11.1 3201.0202 79 BY Asphalt Pvmt Repair Beyond Defined $283.00 $22,357.00 $0.00 $22,367.00 13 3213.0103 210.25 BY 8" Conc Pvmt $161.74 $34,005.84 $0.00 $34,005.84 14 3213.0301 791.5 SF 4"Conc Sidewalk $17.74 $14,041,21 $0.00 $14.041.21 18 3216.0101 45.24 LF 6"Conc Curb and Gutter $30.77 $1,392.03 $0.00 $1,392.03 19 3292.0100 138 BY Block Sod Placement $63.62 $8.779.56 $0.00 $8,779.56 20 3293.0103 -1 EA Plant 3" Tree $4,050.92 ($4,050.92) $0.00 54,050.92 24 3471.0001 5.462 MO Traffic Control $1,624.00 $8,870.29 $0.00 $8,870.29 New Item 31 9999.0006 1 LS Weather/Phasing Grading Impacts $64,182.25 $64.182.25 $0.00 $64,182.25 New Item 32 9999.0007 1 LS Restdping $3,035.87 $3,035.87 $0.00 $3,035.87 New Item 33 9999.0008 1 LS Remove Guardrail $1,445.00 $1,445.00 $0.00 $1,445.00 New Item 34 9999.0009 1 LS Unforseen Demolition $33,251.00 $33,251.00 $0.00 $33,251.00 New Item 35 9999.0010 1 LS Si na a Labor $2.532.00 $2,532.00 $0.00 $2,532.00 New Item 36 9999.0011 1 LS Dagger Cost Adjustments $74,873.80 $74,873.80 $0.00 $74.873.80 TOTAL UNIT IV: PAVING IMPROVEMENTS 5282.525.73 50.00 5282 525.73 Asterisk (') indicates New Pay Item Revised: 12-17-2018 Page 2 REASONS FOR CHANGE ORDER Remove 3'tree along Cooper St. Additional asphalt pavement replacement in 91h Ave- south of Pruitt St Price adjustments related to rework, unlbrseen demolition, and cost changes RECOMMENDED: (Consulting Engineer) Name: Tide: APPROVED: (Developer) Title: Dale: APPROVED: (Contractor) 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 Dale: BY Not Applicable Dale Name: Not Applicable Name: Not Applicable Name: Not Applicable Title: Not Applicable Title: Not Applicable Title: Not Applicable RECOMMENDED: CFW - 'Contract Compliance Manager REVIEWED By /zeldeen Ahmed at 9:54 am, Apr 09, 2026 Title: M&C Number: N/A M&C Date Approved: NIA Revised: 12-17-2018 ATTEST Name: Jannetle S. Goodall Title: City Secretary Dale: • 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 Page 3 FORTWORTH. TRANSPORTATION AND PUBLIC WORKS June 29, 2026 Linbeck Group, LLC 1263 W Rosedale St Fort Worth, TX 76104 RE: Acceptance Letter Project Name: West 81h Development Project Type: Paving, Storm Drain City Project No.: 105684 To Whom It May Concern: On May 4, 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 June 29, 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 June 29, 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, a� 14hxal 10C_ Izeldeen Ahmed, Project Manager Cc: Brandon Gibson, Inspector Mike Glover, Inspection Supervisor Randy Horton, Senior Inspector Andrew Goodman, Program Manager Dunaway, Consultant Limbeck Group, LLC, Contractor Cooks Childrens Heathcare Systems, Developer File E-Mail: TPW_Acceptance@fortworthtexas.gov Rev. 8/20/19 AFFIDAVIT OF BILLS PAID nI-1(4,0 STATE OF TEXAS k COUNTY O1: � i1R-P N j § BEFORE ME. the undersigned authority, a Notary Public in and for said County and Stale, on this day personally appeared dames Stevens (-Affianl"), known to me to be the person whose name is subscribed below, who, being by me first duly sworn on oath, deposed and stated as follows: I . "fly name is lames Stevens . I am over the age of eighteen (18) years, of sound mind, capable of making this allidavit, and personally acquainted with the lacts stated herein, each of which is true and correct. 2. 1 am the Proiecl Manager (title/capacity) of Linbeck Group, LLC. __._ ("Contractor'), and am authorized to make this allidavit on Contractor's behalf. 3. Contractor furnished labor, materials, equipment, and/or services under a contract dated 3/172025 with Cook Children's ("Owner"'), for the constriction of improvements known as West S" Development , located in Foil Worth , in Tarrant County, Texas, and more particularly described as: West 8" Development (the "Project"). 4. All bills, claims, and accounts for labor, materials, equipment, and services furnished by Contractor, and by all subcontractors, sub -subcontractors, laborers, and material suppliers ofany tier engaged by or through Contractor, in connection with the construction of improvements on the project, have been fully paid and satisfied, EXCEPT for the following (if none, state -NONE-): NONE 5. There are no unpaid claims, unsatisfied judgments, or liens — including but not limited to mechanic's, materialnran's, or laborer's liens — of any kind arising out of the construction of the Project, except as listed above, and no person or entity has a right to claim a lien against the project except as so listed. 6. This affidavit is made to induce The City of fort Worth (Owner, Lender, and!or Title Company, as applicable) to disburse finds and/or issue a policy of title insurance covering the Project, with the knowledge and intent that it will be relied upon in doing so. 7. Contractor agrees to indemnify and hold harmless the Owner, its lender, and the title company insuring title to the Project Iron any loss, cost, expense, or attomey's fees arising out of the falsity of any statement made in this affidavit or arising from any lien or claim against the Project for labor, materials, equipment, or services furnished through the date of this affidavit which is not disclosed above. S. This affidavit is given after due inquiry and investigation, and I have personal knowledge of the matters stated limin, and further Affiant sayeth not. -� - , 5 "! = -.- Affiant Signature Printed Name: James Stevens SWORN TO AND SUBSCRIBED before me by �UrnP" J��eVCV1S on this the 13111 day of J L. (" 20Z(P , to certify which witness my hand and official seal. ALMA TORREZ Notari, Public in and for the State of Texas 4 NOTARY PUBUC STATE OF TEXAS Printed Name: H LM p EZ ,.?"ofS f.�' MY COMM. EXP. 04/29/30 1 2� NOTARY ID 4269838 My Commission Expires: 01�/0,41r W50 CONSENT OF SURETY OWNER ❑ TO FINAL PAYMENT APICI-iITFCT a AiADr�cuiq�en G7f17 CONTRACTOR ❑ sURMY ❑ Bond No. 9399610 OTHER 7-1 TO OWNER. ARCHITECT'S PROJECT NO.: (Name eurd adtlrvv) Cook Children's Medical Center & City of Fort Worth CONTRACT' FOR: Construction PROJECT- CONTRACT DATED: (13trrne arrd ae%h-Q Water, Sewer, Paving & Storm Drain Improvements to Serve West 8th Development In accordance with the provisions of the Contract between the Owner and the Contractor as indicated above, the (hisartname crudoddr ofStr"1 Zurich American Insurance Company 1299 Zurich Way Schaumburg, IL 60196 , SURFTY, on bond of {ltrserr rramr arecl addrrssgfCw?nvctor) Linbeck Group, LLC 3900 Essex Lane, Suite 1200 Houston, TX 77027 , CONTRACTOR, hereby approves of the final payment to the Contractor, and agrees that final payment to the Contractor shall not relieve the Surety of any of its obligations to (1uwrt narneand uddmo of Otene) Cook Children's Medical Center & City of Fort Worth as set forth in said Surety's bond. IN WITNESS)XHERiOF, the Surety has hereunto set its nand on this date: July 13, 2026 (lawn In uiVi g; the nrorttb falfou ed bt t1x rrro:rcrfc dame and Pear,) .r Q1 S Attest., (Seam. ` l Zurich American Insurance Comllan (�urrlk7 (5�rratrtr atrtiwr9x�d rxrtatlr�l U Kelly Nicole Enghauser, Attorney -in -Fact 0i 11ow mare =1 1111e) G707--1994 ZURICH AMERICAN INSURANCE COMPANY COLONIAL AMERICAN CASUALTY AND SURETY COMPANY FIDELITY AND DEPOSIT COMPANY OF MARYLAND POWER OF ATTORNEY KNOW ALL MEN BY THESE PRESENTS: That the ZURICH AMERICAN INSURANCE COMPANY, a corporation of the State of New York, the COLONIAL AMERICAN CASUALTY AND SURETY COMPANY, a corporation of the State of Illinois, and the FIDELITY AND DEPOSIT COMPANY OF MARYLAND a corporation of the State of Illinois (herein collectively called the "Companies"), by Christopher Nolan, Vice President, in pursuance of authority granted by Article V, Section 8, of the By -Laws of said Companies, which are set forth on the reverse side hereof and are hereby certified to be in full force and effect on the date hereof, do hereby nominate, constitute, and appoint Blake S. BOHLIG, Jessica HOFF, Nicole LANGER, Brian D. CARPENTER, Heather R. GOEDTEL, Michelle HALTER, Craig OLMSTEAD, Kelly Nicole ENGHAUSER, Laurie PFLUG, Haley PFLUG, Kathryn E. KADE, of Bloomington, Minnesota„ its true and lawful agent and Attorney -in -Fact, to make, execute, seal and deliver, for, and on its behalf as surety, and as its act and deed: any and all bonds and undertakings, and the execution of such bonds or undertakings in pursuance of these presents, shall be as binding upon said Companies, as fully and amply, to all intents and purposes, as if they had been duly executed and acknowledged by the regularly elected officers of the ZURICH AMERICAN INSURANCE COMPANY at its office in New York, New York., the regularly elected officers of the COLONIAL AMERICAN CASUALTY AND SURETY COMPANY at its office in Owings Mills, Maryland., and the regularly elected officers of the FIDELITY AND DEPOSIT COMPANY OF MARYLAND at its office in Owings Mills, Maryland., in their own proper persons. The said Vice President does hereby certify that the extract set forth on the reverse side hereof is a true copy of Article V, Section 8, of the By -Laws of said Companies, and is now in force. IN WITNESS WHEREOF, the said Vice -President has hereunto subscribed his/her names and affixed the Corporate Seals of the said ZURICH AMERICAN INSURANCE COMPANY, COLONIAL AMERICAN CASUALTY AND SURETY COMPANY, and FIDELITY AND DEPOSIT COMPANY OF MARY-LAND, this 22nd day May A.D. 2025. of ATTEST: ZURICH AMERICAN INSURANCE COMPANY COLONIAL AMERICAN CASUALTY AND SURETY COMPANY FIDELITY AND DEPOSIT COMPANY OF MARYLAND 1 By: Christopher Nolan Vice President By: Dawn E. Brown Secretary State of Maryland County of Baltimore On this 22nd day of May A.D. 2025, State of Maryland, duly commissioned and qualified, Secretary of the Companies, to me personally known to be preceding instrument, and acknowledged the execution of sam she is the said officer of the Company aforesaid, and that Seals of said Companies, and that the said Corporate Seals and said instrument by the authority and direction of the said Corporations. c}�asua ty,,, �J``GpV41 SU,9!j �v:�IOPPOgq�d'e:; -�PfpQ�POq',�+�ti�, p0p•�'Q,POgq�ya'': e E:U m.2; e<= SEAL !�- 3Qap R+eo" of SEAL 1s*_ �'•1 n::w..'� Y : i, Aj • 1890 +�J� '����p�unu�P`�`.�` ��i,�Wr�,y YDP�,.•```` i'p�nu,.,.nP`p"`• before the subscriber, a Notary Public of the Christopher Nolan, Vice President and Dawn E. Brown, the individuals and officers described in and who executed the and being by me duly sworn, deposeth and saith, that he/ he seals affixed to the preceding instrument are the Corporate the signature as such officer were duly affixed and subscribed to the IN TESTIMONY WHEREOF, I have hereunto set my hand and affixed my Official Seal the day and year first above written. Genevieve M. Maison Notary Public My Commission Expire January 27, 2029 Authenticity of this bond can be confirmed at bondvalidator.zurichna.com or 410-559-8790 EXTRACT FROM BY-LAWS OF THE COMPANIES "Article V, Section 8, Attorneys -in -Fact. The Chief Executive Officer, the President, or any Executive Vice President or Vice President may, by written instrument under the attested corporate seal, appoint attomeys-in-fact with authority to execute bonds, policbs, recognizances, stipulations, undertakings, or other like instruments on behalf of the Company, and may authorize any officer orany such attorney -in -fact to affix the corporate seal thereto; and may with or without cause modify of revoke any such appointment or authority at any time." CERTIFICATE I, the undersigned, Vice President of the ZURICH AMERICAN INSURANCE COMPANY, the COLONIAL AMERICAN CASUALTY AND SURETY COMPANY, and the FIDELITY AND DEPOSIT COMPANY OF MARYLAND, do hereby certify that the foregoing Power of Attorney is still in full force and effect on the date of this certificate; and I do further certify that Article V, Section 8, of the By -Laws of the Companies is still in force. This Power of Attorney and Certificate may be signed by facsimile under and by authority of the following resolution of the Board of Directors of the ZURICH AMERICAN INSURANCE COMPANY at a meeting duly called and held on the 15th day of December 1998. RESOLVED: "That the signature of the President or a Vice President and the attesting signature of a Secretary or an Assistant Secretary and the Seal of the Company may be affixed by facsimile on any Power of Attorney ... Any such Power or any certificate thereof bearing such facsimile signature and seal shall be valid and binding on the Company." This Power of Attorney and Certificate may be signed by facsimile under and by authority of the following resolution of the Board of Directors of the COLONIAL AMERICAN CASUALTY AND SURETY COMPANY at a meeting duly called and held on the 5th day of May, 1994, and the following resolution of the Board of Directors of the FIDELITY AND DEPOSIT COMPANY OF MARYLAND at a meeting duly called and held on the 1 Oth day of May, 1990. RESOLVED: "That the facsimile or mechanically reproduced seal of the company and facsimile or mechanically reproduced signatue of any Vice -President, Secretary, or Assistant Secretary of the Company, whether made heretofore or hereafter, wherever appearing upon a certified copy of any power of attorney issued by the Company, shall be valid and binding upon the Company with the same force and effect as though manually affixed. IN TESTIMONY WHEREOF, I have hereunto subscribed my name and affixed the corporate seals of the said Companies, this 13th day of July 2026 . +u +++,......,un,.,, �F.POgtis�''� �Q`;:'•ppq�4�'o�''' .���0�'Q.POq`'+s�.c�''. ;1vSEAL mio o="SEAL`n:� :o\ JD3: :mot I -tee y 444Ei.VYOP'ti+,0`',`` n....n+u KKR PA�&L Mary Jean Pethick Vice President TO REPORT A CLAIM WITH REGARD TO A SURETY BOND, PLEASE SUBMIT A COMPLETE DESCRIPTION OF THE CLAIM INCLUDING THE PRINCIPAL ON THE BOND, THE BOND NUMBER, AND YOUR CONTACT INFORMATION TO: Zurich Surety Claims 1299 Zurich Way Schaumburg, IL 60196-1056 renortsMaimsazurichna. com 800-626-4577 Authenticity of this bond can be confirmed at bondvalidator.zurichna.com or 410-559-8790