HomeMy WebLinkAbout064614-FP3 - Construction-Related - Contract - Burleson Construction Inc.-FP3
City Secretary 64614
Contract No.
FORT WORTH®
Date Received 9/14/2026
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 Nam: Green Brick Retail
City Project No.: 106220
Improvement Type(s): Water ❑x Sewer ❑x
Original Contract Price:
$112,766.90
Amount of Approved Change Order(s):
$263.90
Revised Contract Amount:
$113,030.80
Total Cost of Work Complete:
$113,030.80
Kam
Contractor
Project Executive
Title
Burleson Construction Inc.
Company Name
Project Inspector
Raw 1/wan'
Ram Tiwari (Set, 14 2026 091503 CDT)
Project Manager
CFA Manager
OfQ,r.,�.... 7r..:...,,..
Lauren Prieur (Sep 14, 2026 13:58:51 CDT)
TPW Director
08/27/2026
Date
09/11/2026
Date
09/14/2026
Date
09/14/2026
Date
09/14/2026
Date
OFFICIAL RECORD
CITY SECRETARY
FT. WORTH, TX
Page 1 of 2
Notice of Project Completion
Project Name: Green Brick Retail
City Project No.: 106220
City's Attachments
Final Pay Estimate 0
Change Order(s): 0 Yes ❑ N/A
Pipe Report: 0 Yes ❑ N/A
Contractor's Attachments
Affidavit of Bills Paid
Consent of Surety a
Statement of Contract Time
Contract Time: 60 WD
Work Start Date: 2/10/2026
Completed number of Soil Lab Test: 49
Completed number of Water Test: 5
Days Charged: 60 WD
Work Complete Date: 8/14/2026
Page 2 of 2
FORT WORTH
CITY OF FORT WORTH
FINAL PAYMENT REQUEST
Contract Name GREEN BRICK RETAIL DEVELOPMENT
Contract Limits
Project Type WATER & SEWER
City Project Numbers 106220
DOE Number 6220
Estimate Number I Payment Number I
City Secretary Contract Number
Contract Date
For Period Ending 8/14/2026
WD
Project Manager NA
Contractor BURLESON CONSTRUCTION INC.
13340 S GESSNER ROAD
MISSOURI CITY, TX 77489
Inspectors T. GARDNER / W. FAUVER
Contract Time 60 WD
Days Charged to Date 60
Contract is 100.00 Complete
Thursday, August 27, 2026 Page 1 of4
City Project Numbers 106220
Contract Name GREEN BRICK RETAIL DEVELOPMENT
Contract Limits
Project Type WATER & SEWER
Project Funding
UNIT I: WATER IMPROVEMENTS
DOE Number 6220
Estimate Number 1
Payment Number 1
For Period Ending 8/14/2026
Item
Description of Items
Estimated Unit
Unit Cost
Estimated
Completed
Completed
No.
Quanity
Total
Quanity
Total
1
REMOVE 16" WATER LINE
5 LF
$173.00
$865.00
5
$865.00
2
ABANDON 16" WATER VALVE
I EA
$1,066.22
$1,066.22
I
$1,066.22
3
ABANDON 8" WATER VALVE
2 EA
$1,065.08
$2,130.16
2
$2,130.16
4
SALVAGE 16" WATER VALVE
1 EA
$2,960.00
$2,960.00
1
$2,960.00
5
12" WATER PIPE
97 LF
$205.71
$19,953.87
97
$19,953.87
6
6" WATER PIPE
10 LF
$55.00
$550.00
10
$550.00
7
1" WATER SERVICE
2 EA
$1,989.00
$3,978.00
2
$3,978.00
8
2" WATER SERVICE
2 EA
$2,949.00
$5,898.00
2
$5,898.00
9
6" GATE VALVE
2 EA
$3,711.71
$7,423.42
2
$7,423.42
10
12" GATE VALVE
2 EA
$8,804.00
$17,608.00
2
$17,608.00
11
FIRE HYDRANT
1 EA
$5,732.01
$5,732.01
1
$5,732.01
Sub -Total
of Previous Unit
$68,164.68
$68,164.68
UNIT II-- SANITARY SEWER IMPROVEMENTS
Item Description of Items Estimated Unit
Unit Cost Estimated
Completed
Completed
No. Quanity
Total
Quanity
Total
1 WASTEWATER ACCESS CHAMBER 4 EA
$7,865.00 $31,460.00
4
$31,460.00
2 8" SEWER PIPE (CO#1) 254 LF
$52.78 $13,406.12
254
$13,406.12
Sub -Total of Previous Unit
$44,866.12
$44,866.12
Thursday, August 27, 2026 Page 2 of 4
City Project Numbers 106220
Contract Name GREEN BRICK RETAIL DEVELOPMENT
Contract Limits
Project Type WATER & SEWER
Project Funding
Contract Information Summary
Original Contract Amount
Change Orders
Change Order Number 1
Total Contract Price
DOE Number 6220
Estimate Number 1
Payment Number 1
For Period Ending 8/14/2026
$112,766.90
$263.90
$113,030.80
Total Cost of Work Completed $113,030.80
Less % Retained $0.00
Net Earned $113,030.80
Earned This Period $113,030.80
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
$113,030.80
Thursday, August 27, 2026 Page 3 of 4
City Project Numbers 106220
Contract Name GREEN BRICK RETAIL DEVELOPMENT
Contract Limits
Project Type WATER & SEWER
Project Funding
Project Manager NA
Inspectors T. GARDNER / W. FAUVER
Contractor BURLESON CONSTRUCTION INC.
13340 S GESSNER ROAD
MISSOURI CITY , TX 77489
DOE Number 6220
Estimate Number 1
Payment Number 1
For Period Ending 8/14/2026
City Secretary Contract Number
Contract Date
Contract Time 60 WD
Days Charged to Date 60 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 $113,030.80
Less % Retained $0.00
Net Earned $113,030.80
Earned This Period $113,030.80
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
$113,030.80
Thursday, August 27, 2026 Page 4 of 4
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FORT WORTH
TRANSPORTATION AND PUBLIC WORKS
PIPE REPORT FOR:
PROJECT NAME:
Green Brick Retail
PROJECT NUMBER:
106220
DOE NUMBER:
N/A
WATER
PIPE LAID
SIZE
TYPE OF PIPE
LF
OPEN CUT
12"
PVC
97 LF
OPEN CUT
6"
PVC
10 LF
FIRE HYDRANTS: I
VALVES (16" OR LARGER)
N/A
PIPE ABANDONED
SIZE
TYPE OF PIPE
LF
N/A
DENSITIES:
YES - ALL PASSED
NEW SERVICES:
1"
COPPER
2 EA
2"
COPPER
2 EA
SEWER
PIPE LAID
SIZE
TYPE OF PIPE
LF
OPEN CUT
8"
PVC
254 LF
PIPE ABANDONED
SIZE
TYPE OF PIPE
LF
N/A
DENSITIES:
YES - ALL PASSED
NEW SERVICES:
N/A
TRANSPORTATION AND PUBLIC WORKS
The City of Fort Worth • 1000 Throckrnorton Street • Fort Worth, TX 76012-6311
(817) 392-7941 • Fax: (817) 392-7845
FORT WORTH®
TRANSPORTATION AND PUBLIC WORKS
August 27, 2026
Burleson Construction Inc.
13340 S Gessner Road
Missouri City, TX 77489
RE: Acceptance Letter
Project Name: Green Brick Retail
Project Type: Water, Sanitary Sewer, and Paving
City Project No.: 106220
To Whom It May Concern:
On August 18, 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 August 26, 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 August 26, 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-
392-2237.
Sincerely,
Rvii 1iwa,-i
Rem Tiwari (Sep 14, 2026 091503 CDT)
Ram Tiwari P.E., Project Manager
Cc: Thomas Hite, Inspector
Cody Horton, Inspection Supervisor
Oscar Aguillon, Senior Inspector
Andrew Goodman, Program Manager
Winkellman & Associates Inc., Consultant
Burleson Construction Inc., Contractor
SDI Realty Advisors, Developer
File
E -Mail: TPW_Acceptance@fortworthtexas.gov
Rev. 8/20/19
AFFIDAVIT
STATE OF TX
COUNTY OF Fort Bend
Before me, the undersigned authority, a notary public in the state
and county aforesaid, on this day personally appeared Jacob Jordan,
Principal/ VP New Construction Of Burleson Construction 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;
Green Brick Retail - Rancho Canyon Way & Sendera Ranch Blvd, Fort
Worth, TX 76052
BY
Jaco Jo n 'ncipal/ VP New Construction
Subscribed and sworn before me on this date I91h of August, 2026.
%�
GISELE ACUNA
Notary Pubto, State of Texas
My Commission GxpIres
November 06, 202a
.'`,°t .M' NOTARY 1 9 D 1348256-1
Notary Public
Fort Bend, Texas
CONSENT OF SURETY
TO FINAL PAYMENT
BOND# 4410704
PROJECT
(name, address)
Green Brick Retail Buildings A & B
Rancho Canyon Way & Sendera Ranch Blvd., Fort Worth, TX 76052
TO (Obligee)
SDI Rancho Canyon, LLC
1800 West Loop South, Suite 1850, Houston, TX 77027
CONTRACTOR
Burleson Construction Inc.
13340 S. Gessner Rd., Missouri City, TX 77489
PROJECT # 63918.0A
In accordance with the provisions of the Contract between the Obligee and the Contractor as indicated above,
the (here insert name and address of Surely Company)
FCCI Insurance Company
6300 University Parkway, Sarasota, FL 34240 ,SURETY COMPANY,
on bond of (here insert name and address of contractor)
Burleson Construction Inc. 13340 S. Gessner Rd., Missouri City, TX 77489 ,CONTRACTOR,
hereby approves of the final payment to the Contractor, and agrees that final payment to the Contractor shall
not relieve the Surety company of any of its obligations to (here insert name and address of Obligee)
SDI Rancho Canyon, LLC
1800 West Loop South, Suite 1850, Houston, TX 77027 OBLIGEE
as set forth in the said Surety Company's bond
IN WITNESS WIIEROF,
The Surety Company has hereunto set its hand this 18th day of August 20 26
FCCI Insurance Company
Surety Company
Signature of Authorized presentative
Attest:
(seal): Kaylee Parise Attorney -in -Fact
Title
FCCrGROUPNCt:
GENERAL POWER OF ATTORNEY
Know all men by these presents: That the FCCI Insurance Company, a Corporation organized and existing under
the laws of the State of Florida (the "Corporation") does make, constitute and appoint:
Allen Bale; Chris Brower; Dana Mickey; Dane Bubela; Daniel Cokenour; Ericka Hamman; Nikki Adams; Greg Wilkerson; Jason Nobles; Margery
Hall; Parker Hamilton; Samantha Kato; Eyvoune Cantu; Raul Barberena, Jr. ; Blake Thurmond; Melynda Montgomery; Kaylee Parise
Each, its true and lawful Attorney -In -Fact, to make, execute, seal and deliver, for and on its behalf as surety, and
as its act and deed in all bonds and undertakings provided that no bond or undertaking or contract of suretyship
executed under this authority shall exceed the sum of (not to exceed $40,000,000.00): $40,000,000.00
This Power of Attorney is made and executed by authority of a Resolution adopted by the Board of Directors. That
resolution also authorized any further action by the officers of the Company necessary to effect such transaction.
The signatures below and the seal of the Corporation may be affixed by facsimile, and any such facsimile
signatures or facsimile seal shall be binding upon the Corporation when so affixed and in the future with regard to
any bond, undertaking or contract of surety to which it is attached.
In witness whereof, the FCCI Insurance Company has caused these presents to be signed by its duly authorized
officers and its corporate Seal to be hereunto affixed, this 20th day of December, 2024.
Attest: lr �?Go paw°?; .�_
Christina D. Welch, President : v: Sr s Christopher Shoucair,
FCCI Insurance Company EVP, CFO, Treasurer, Secretary
FCCI Insurance Company
State of Florida
County of Sarasota
Before me this day personally appeared Christina D. Welch, who is personally known to me and who executed
the foregoing document for the purposes expressed therein.
My commission expires: 2/27/2027 '.:;;�, rEeorsNow
1
e 6J
Co loon HHs2052S
'` Ems7eMuwy27,2027
Notary Public
an
State of Florida
County of Sarasota
Before me this day personally appeared Christopher Shoucair, who is personally known to me and who executed
the foregoing document for the purposes expressed therein.
My commission expires: 2/27/2027
B041Ae,y27,
Notary Public
env
CERTIFICATE
I, the undersigned Secretary of FCCI Insurance Company, a Florida Corporation, DO HEREBY CERTIFY that the
foregoing Power of Attorney remains in full force and has not been revoked; and furthermore that the February 27, 2020
Resolution of the Board of Directors, referenced in said Power of Attorney, is now in force.
Dated this 18th day of August , 2026
Christopher Shoucair, EVP, CFO, Treasurer, Secretary
FCCI Insurance Company
1-IONA•3592-NA-04, 112025
IMPORTANT NOTICE
To obtain information or make a complaint:
You may call FCCI Insurance Group's (FCCI)* toll -free telephone number for information or to make a complaint
at 1-800-226-3224.
You may also write to FCCI Insurance Group Compliance Department e-mail at StateComplaintfcci-group.com.
For Claims, you may write to FCCI insurance Group Claim Department e-mail at newclaim(cr7,fcci-group.com
You may contact the Texas Department of Insurance to obtain information on companies, coverages, rights or
complaints at 1-800-252-3439.
You may write the Texas Department of Insurance:
PO Box 149104
Austin TX 78714-9104
Fax: 1-512-490-1007
Web: http:/iwww.tdi.texas,gov
E-mail: ConsumerProtections(r�tdi.texas.Qov
PREMIUM OR CLAIM DISPUTES
Should you have a dispute concerning your premium or about a claim you should contact FCCI first. If the
dispute is not resolved, you may contact the Texas Department of Insurance.
ATTACH THIS NOTICE TO YOUR BOND
This notice is for information only and does not become a part or condition of the attached documents.
*The FCCI Insurance Group includes the following insurance carriers: Brierfield Insurance Company, FCCI Advantage
Insurance Company, FCCI Commercial Insurance Company, FCCI Insurance Company, Monroe Guaranty Insurance
Company, and National Trust Insurance Company.
1-BD-TX-21690-NTP-07 15 Page 1 of 1
Copyright 2015 FCCI Insurance Group.