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Home My WebLink About064355-FP3 - Construction-Related - Contract - Jackson Construction, Ltd.-FP3 City Secretary 64355 Contract No. FORT WORTH.., Date Received 8/13/2026 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: Valley Brook Phase 8 City Project No.: 105917 Improvement Type(s): Water ❑x Sewer ❑x Original Contract Price: $211,515.00 Amount of Approved Change Order(s): Revised Contract Amount: $211,515.00 Total Cost of Work Complete: $211,515.00 (lack ke /f 07/31 /2026 Jack Keffler (Jul 1 -A; 10:53:45 CDT) Contractor Date Estimator Title Jackson Construction LTD Company Name i3ran�aft' 66bg&fv Brandon Gibson (Jul 3� 2026 14,06,09 CDT) 07/31 /2026 Project Inspector Date 08/13/2026 Project Manager Date 08/13/2026 CFA Manager Date 08/13/2026 Lauren Prieur (Aug 13, 2026 14:35:15 CDT) TPW Director Date OFFICIAL RECORD CITY SECRETARY Page 1 of 2 FT. WORTH, TX Notice of Project Completion Project Name: Valley Brook Phase 8 City Project No.: 105917 City's Attachments Final Pay Estimate ❑x Change Order(s): ❑ Yes x❑ N/A Pipe Report: ❑x Yes ❑ N/A Contractor's Attachments Affidavit of Bills Paid Consent of Surety L Statement of Contract Time Contract Time: 90 WD Days Charged: 80 WD Work Start Date: 2/2/2026 Work Complete Date: 7/27/26 Completed number of Soil Lab Test: 87 Completed number of Water Test: 2 Page 2 of 2 FoRT WORTH CITY OF FORT WORTH FINAL PAYMENT REQUEST Contract Name VALLEY BROOK PH. 8 Contract Limits Project Type WATER & SEWER City Project Numbers 105917 DOE Number 5917 Estimate Number 1 Payment Number 1 For Period Ending 7/27/2026 WD City Secretary Contract Number Contract Date Project Manager NA Contractor JACKSON CONSTRUCTION LTD 5112 SUN VALLEY DRIVE FORT WORTH, TX 76119 Inspectors M. GLOVER / B. GIBSON Contract Time 9WD Days Charged to Date 80 Contract is 100.00 Complete Monday, July 27, 2026 Page 1 of 4 City Project Numbers 105917 DOE Number 5917 Contract Name VALLEY BROOK PH. 8 Estimate Number I Contract Limits Payment Number I Project Type WATER & SEWER For Period Ending 7/27/2026 Project Funding UNIT I. WATER IMPROVEMENTS Item Description of Items Estimated Unit Unit Cost Estimated Completed Completed No. Quanity Total Quanity Total --------------------------------------- 1 MOBILIZATION 1 LS $5,000.00 $5,000.00 1 $5,000.00 2 DUCTILE IRON WATER FITTINGS W/ 0.25 TN $20,000.00 $5,000.00 0.25 $5,000.00 RESTRAINT 3 6" PVC WATER PIPE 25 LF $89.00 $2,225.00 25 $2,225.00 4 8" PVC WATER PIPE 415 LF $104.00 $43,160.00 415 $43,160.00 5 FIRE HYDRANT I EA $6,400.00 $6,400.00 1 $6,400.00 6 CONNECTION TO EXISTING 4"-12" WATER MAIN l EA $6,200.00 $6,200.00 1 $6,200.00 7 1" WATER SERVICE 14 EA $2,750.00 $38,500.00 14 $38,500.00 8 6" GATE VALVE I EA $2,000.00 $2,000.00 1 $2,000.00 9 8" GATE VALVE I EA $3,000.00 $3,000.00 1 $3,000.00 10 TRANCH SAFETY 440 LF $1.00 $440.00 440 $440.00 Sub -Total of Previous Unit $111,925.00 $111,925.00 UNIT H: SANITARY SEWER IlVIPROVEMENTS Item Description of Items Estimated Unit Unit Cost Estimated Completed Completed No. Quanity Total Quanity Total I POST -CCTV INSPECTION 390 LF $10.00 $3,900.00 390 $3,900.00 2 MANHOLE VACUUM TESTING 1 EA $250.00 $250.00 1 $250.00 3 TRENCH SAFETY 390 LF $1.00 $390.00 390 $390.00 4 4" SEWER SERVICE 14 EA $2,400.00 $33,600.00 14 $33,600.00 5 8" SEWER PIPE 390 LF $130.00 $50,700.00 390 $50,700.00 6 4'MANHOLE 1 EA $10,750.00 $10,750.00 1 $10,750.00 Sub -Total of Previous Unit $99,590.00 $99,590.00 Monday, July 27, 2026 Page 2 of 4 City Project Numbers 105917 Contract Name VALLEY BROOK PH. 8 Contract Limits Project Type WATER & SEWER Project Funding Contract Information Summary Original Contract Amount Change Orders Total Contract Price DOE Number 5917 Estimate Number 1 Payment Number 1 For Period Ending 7/27/2026 $211,515.00 $211,515.00 Total Cost of Work Completed $211,515.00 Less % Retained $0.00 Net Earned $211,515.00 Earned This Period $211,515.00 Retainage This Period $0.00 Less Liquidated Damages Days @ / Day $0.00 LessPavement Deficiency $0.00 Less Penalty $0.00 Less Previous Payment $0.00 Plus Material on Hand Less 15% $0.00 Balance Due This Payment $211,515.00 Monday, July 27, 2026 Page 3 of 4 City Project Numbers 105917 Contract Name VALLEY BROOK PH. 8 Contract Limits Project Type WATER & SEWER Project Funding Project Manager NA Inspectors M. GLOVER / B. GIBSON Contractor JACKSON CONSTRUCTION LTD 5112 SUN VALLEY DRIVE FORT WORTH, TX 76119 DOE Number 5917 Estimate Number I Payment Number 1 For Period Ending 7/27/2026 City Secretary Contract Number Contract Date Contract Time 90 WD Days Charged to Date 80 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 $211,515.00 Less % Retained $0.00 Net Earned $211,515.00 Earned This Period $211,515.00 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 $211,515.00 Monday, July 27, 2026 Page 4 of 4 FORTWORTH TRANSPORTATION AND PUBLIC WORKS PIPE REPORT FOR: PROJECT NAME: Valley Brook: Phase 8 CITY PROJECT NUMBER: 105917 WATER PIPE LAID SIZE TYPE OF PIPE LF PVC 8" C-900 415 PVC 6" C-900 25 FIRE HYDRANTS: I VALVES (16" OR LARGER) PIPE ABANDONED SIZE TYPE OF PIPE LF DENSITIES: Yes NEW SERVICES: 1" Copper 14 EA SEWER PIPE LAID SIZE TYPE OF PIPE LF PVC 8" SDR26 390 PIPE ABANDONED SIZE TYPE OF PIPE LF DENSITIES: yes NEW SERVICES: 4" SDR26 14 EA TRANSPORTATION AND PUBLIC WORKS The City of Fort Worth • 1000 Throckmorton Street • Fort Worth, TX 76012-6311 FORT WORTH, TRANSPORTATION AND PUBLIC WORKS July 27, 2026 Jackson Construction 5112 Sun Valley Dr. Fort Worth, Texas 76119 RE: Acceptance Letter Project Name: Valley Brook, Phase 8 Project Type: Water, Sanitary Sewer City Project No.: 105917 To Whom It May Concern: On July 27, 2026 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 July 27, 2026, which is the date of the final inspection and will extend of two (2) years in accordance with the Contract Documents. If you have any questions concerning this letter of acceptance, please feel free to contact me at 817- 392-7252. Sincerely, Madiha Alshammry, Project Manager Cc: Brandon Gibson, Inspector Mike Glover, Inspection Supervisor Randy Horton, Senior Inspector Andrew Goodman, Program Manager Baird, Hampton, & Brown, Consultant Jackson Construction, Contractor Hunter Vick, Developer File E-Mail: TPW_Acceptance@fortworthtexas.gov Rev.08/20/19 @JACKSON CONSTRUCTION LTD. 5112 SUN VALLEY DRIVE FORT WORTH, TX 76119 TEL: 817-572-3303 FAX: 817-478-0443 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 Troy L. Jackson, President Of Jackson Construction, Ltd, known to me to be a credible person, who being by me duly sworn, upon his oath deposed and said; 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; Valley Brook Phase 8 BY Tro . Jackson, President Subscribed and sworn before me on this date 31 st of July, 2026. J Notaryf-r blic Tarrant, ex CARMEN L. ESTEP • qP�; .. vB �i q2;. Notary Public, State of Texas Comm. Expires 04-06-2028 Notary ID 2910611 ,v WP Consent of Surety to Final Payment Document G707 Bond No.: 1119416 PROJECT: (Name and address) ARCHITECT'S PROJECT NUMBER: OWNER D Valley Brook Phase 8, CFA No. CFA25-0035 CONTRACT FOR: Valley Brook Phase 8, ARCHITECT CFA No. CFA25-0035 CONTRACTOR TO OWNER: (Name and address) CONTRACT DATED: SURETY Haynie Hill, LLC OTHER O 3419 Westminster Ave #341-G Dallas, TX 75205-1387 In accordance with the provisions of the Contract between the Owner and the Contractor as indicated above, the (Insert namo and address of Surety) The Hanover Insurance Company 440 Lincoln Street, Worcester, MA 01653 , SURETY, on hand of (Insert name and address of Contractor) Jackson Construction, Ltd. 5112 Sun Valley Dr, Fort Worth, TX 76119-6410 ,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 (Insert name and address of Owner) Haynie Hill, LLC 3419 Westminster Ave #341-G, Dallas, TX 75205-1387 as set forth in said Surety's bond. IN WITNESS WHEREOF, the Surely has hereunto set its hand on this date. July 30, 2026 (insert in writing the month followed by the numeric date and year.) r Attest: Haley Pulley, Witness (seal) The Hanover Insurance Company_ (Surely) By: (Signature of aulhor! d representative) Malerie Janet Williams, Attorney -in -Fact (Printed name and title) , OWNER, THE HANOVER INSURANCE COMPANY MASSACHUSETTS BAY INSURANCE COMPANY CITIZENS INSURANCE COMPANY OF AMERICA POWER OF ATTORNEY THIS Power of Attorney limits the acts of those named herein, and they have no authority to bind the Company except in the manner and to the extent herein stated. KNOW ALL PERSONS BY THESE PRESENTS: That THE HANOVER INSURANCE COMPANY and MASSACHUSETTS BAY INSURANCE COMPANY, both being corporations organized and existing underthe laws of the State of New Hampshire, and CITIZENS INSURANCE COMPANY OF AMERICA, a corporation organized and existing under the laws of the State of Michigan, (hereinafter individually and collectively the "Company") does hereby constitute and appoint, Connor Wolpert, Jonathan Gleason, Doritza Mojica, Michelle Anne McMahon, Ashley Alexis, and/or Malaria Janet Williams Of Willis of Connecticut, LLC of Hartford, CT each individually, if there be more than one named, as its true and lawful attorney(s)-in-fact to sign, execute, seal, acknowledge and deliver for, and on its behalf, and as its act and deed any place within the United States, any and all surety bonds, recognizances, undertakings, or other surety obligations. The execution of such surety bonds, recognizances, undertakings or surety obligations, in pursuance of these presents, shall be as binding upon the Company as if they had been duly signed by the president and attested by the secretary of the Company, in their own proper persons. Provided however, that this power of attorney limits the acts of those named herein; and they have no authority to bind the Company except in the manner stated and to the extent of any limitation stated below: Any such obligations in the United States, not to exceed Twenty Million and No/100 ($20,000,000) in any single instance That this power is made and executed pursuant to the authority of the following Resolutions passed by the Board of Directors of said Company, and said Resolutions remain in full force and effect: RESOLVED: That the President or any Vice President, in conjunction with any Vice President, be and they hereby are authorized and empowered to appoint Attorneys -in -fact of the Company, in its name and as it acts, to execute and acknowledge for and on its behalf as surety, any and all bonds, recognizances, contracts of indemnity, waivers of citation and all other writings obligatory in the nature thereof, with powerto attach thereto the seal ofthe Company. Any such writings so executed by such Attorneys -in -fact shall be binding upon the Company as if they had been duly executed and acknowledged by the regularly elected officers of the Company in their own proper persons. RESOLVED: That any and all Powers of Attorney and Certified Copies of such Powers of Attorney and certification in respect thereto, granted and executed by the President or Vice President in conjunction with any Vice President of the Company, shall be binding on the Companyto the same extent as if all signatures therein were manually affixed, even though one or more of any such signatures thereon may be facsimile. (Adopted October 7,1981— The Hanover Insurance Company; Adopted April 14, 1982 — Massachusetts Bay Insurance Company; Adopted September 7, 2001 —Citizens Insurance Company of America and affirmed by each Company on March 24, 2014) IN WITNESS WHEREOF, THE HANOVER INSURANCE COMPANY, MASSACHUSETTS BAY INSURANCE COMPANY and CITIZENS INSURANCE COMPANY OF AMERICA have caused these presents to be sealed with their respective corporate seals, duly attested by two Vice Presidents, this 22nd day of April 2025 l he Hanover Insurance Company Massachusetts Bay Insurnrce Company Citizens Insurance ('smpany,of Amerka 6)wm 44L� t0s H. Kawackl, Vice President STATE OF CONNECTICUT COUNTY OF HARTFORD ) ss. '1 he Ilaaover losuraacc Company T chuselu fay hassrance Company as Insu net Company of America ,,V�J - /Z F --.a , Ilan54--t- M. Mendoa, Vice President On this 22nd day of April, 2025 before me came the above named Executive Vice President and Vice President of The Hanover Insurance Company, Massachusetts Bay Insurance Company and Citizens Insurance Company of America, to me personally known to be the individuals and officers described herein, and acknowledged that the seals affixed to the preceding instrument are the corporate seals of The Hanover Insurance Company, Massachusetts Bay Insurance Company and Citizens Insurance Company of America, respectively, and that the said corporate seals and their signatures as officers were duly affixed and subscribed to said instrument by the authority and direction of said Corporations. ijKATiHLE M AL SIRARD N61cwy Public Co n"WrIvwiaith of Maswchu"Mt: my C MMIWOR 6piws Seofnn6ar 2, 507 Kati aan M.31rard, No ub is My ca mission expires, S tembsr 2,10Y7 I, the undersigned Vice President of The Hanover Insurance Company, Massachusetts Bay Insurance Company and Citizens Insurance Company of America, hereby certify that the above and foregoing is a full, true and correct copy of the Original Power of Attorney issued by said Companies, and do hereby further certify that the said Powers of Attorney are still in force and effect. GIVEN under my hand and the seals of said Companies, at Worcester, Massachusetts, this 30th day of July _ 2026 CERTIFIED COPY Thalasunace ompa i1 c a Bay, las any Cl n surascc Annular—ti a Rswedder, Vice President Telephone: +1 860 278 1320 Website: wtwco.corn July 30, 2026 Jackson Construction, Ltd. ATTN: Jack Keffler 5112 Sun Valley Drive Fort Worth, TX 76119 RE: Bond Number: 1119416 Obligee: Haynie Hill, LLC Description: Valley Brook Phase 8, CFA No. CFA25-0035 Attached is the completed document per your request. This was issued based upon the information you provided to our office, and we urge you to check all of the information for accuracy (i.e. Power of Attorney, signatures, dates, amounts, description, etc.). Please verify that the form attached is the form required and complete the execution with the proper signature(s) and seal, if applicable. If a premium is charged, our invoice will follow under separate cover and premium payment for this bond is due upon receipt. Please note that the first term's premium related to any renewable obligation is considered fully earned. Thank you for the opportunity to service your surety needs. Should you have any questions, please do not hesitate to contact any member of your WTW Surety Team. Sincerely, Loudan Braun Loudan. araun(Mwtwco.com Willis Towers Watson Northeast, Inc. 10 State House Square, 11'" Floor Hartford, CT 06103