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Home My WebLink About065140-FP1 - Construction-Related - Contract - BCAC Underground-FP1 City Secretary Contract No. 65140 FORT WORTH® Date Received 10/12/2026 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: Basswood Retail Lots 3&4 City Project No.: 106840 Improvement Type(s): Water ❑x Sewer ❑x Original Contract Price: $74,100.00 Amount of Approved Change Order(s): Revised Contract Amount: $74,100.00 Total Cost of Work Complete: $74,100.00 Qk iimy hamblin (Oct 6, 2026 07:55:07 CDT) Contractor Vice -President Title BCAC Underground Company Name Rowdy diover (Oct 6, 2026 08:54:47 CDT) Project Inspector e ProjjeDctManager CFA Manager Lauren Prieur (Oct 12, 2026 10:06:58 CDT) TPW Director 10/06/2026 Date 10/06/2026 Date 10/09/2026 Date 10/12/2026 Date 10/12/2026 Date OFFICIAL RECORD CITY SECRETARY FT. WORTH, TX Page 1 of 2 Notice of Project Completion Project Name: Basswood Retail Lots 3&4 City Project No.: 106840 City's Attachments Final Pay Estimate ❑x Change Order(s): ❑ Yes Z❑ N/A Pipe Report: ❑x Yes ❑ N/A Contractor's Attachments Affidavit of Bills Paid Consent of Surety �? Statement of Contract Time Contract Time: 10 WD Days Charged: 38 WD Work Start Date: 6/24/2O26 Work Complete Date: 8/19/2026 Completed number of Soil Lab Test: 19 Completed number of Water Test: 0 Page 2 of 2 FORT WORTH CITY OF FORT WORTH FINAL PAYMENT REQUEST Contract Name BASSWOOD RETAIL LOTS 3 & 4 Contract Limits Project Type WATER & SEWER City Project Numbers 106840 DOE Number 6840 Estimate Number I Payment Number 1 For Period Ending 8/19/2026 WD City Secretary Contract Number Contract Date Project Manager NA Contractor BCAC UNDERGROUND 5000 AIRPORT FRWY HALTOM, TX 76117 Inspectors G. DEYON / R. GLOVER Contract Time 1WD Days Charged to Date 38 Contract is 100.00 Complete Thursday, August 27, 2026 Page 1 of4 City Project Numbers 106840 Contract Name BASSWOOD RETAIL LOTS 3 & 4 Contract Limits Project Type WATER & SEWER Project Funding UNIT I: WATER IMPROVEMENTS DOE Number 6840 Estimate Number 1 Payment Number 1 For Period Ending 8/19/2026 Item Description of Items Estimated Unit Unit Cost Estimated Completed Completed No. Quanity Total Quanity Total 1 DUCTILE IRON WATER FITTINGS W/ 0.075 TN $20,000.00 $1,500.00 0.075 $1,500.00 RESTRAINT 2 2" WATER SERVICE 2 EA $6,350.00 $12,700.00 2 $12,700.00 3 6" GATE VALVE I EA $3,500.00 $3,500.00 1 $3,500.00 4 8" CUT -IN GATE VALVE I EA $12,000.00 $12,000.00 1 $12,000.00 5 UTILITY SERVICE SURFACE RESTORATION 22 SY $50.00 $1,100.00 22 $1,100.00 SEEDING 6 MOBILIZATION 1 LS $25,200.00 $25,200.00 I $25,200.00 Sub -Total of Previous Unit $56,000.00 $56,000.00 UNIT II: SANITARY SEWER IMPROVEMENTS Item Description of Items Estimated Unit Unit Cost Estimated Completed Completed No. Quanity Total Quanity Total 1 6" PVC SEWER PIPE, 8' TO 10' (MISC ONLY), 25 LF $88.00 $2,200.00 25 $2,200.00 CLSM BACKFILL 2 4' MANHOLE 1 EA $13,225.00 $13,225.00 1 $13,225.00 3 UTILITY SERVICE SURFACE RESTORATION 12 SY $50.00 $600.00 12 $600.00 SEEDING 4 4" SEWER ABANDONMENT PLUG 2 EA $1,000.00 $2,000.00 2 $2,000.00 5 TRENCH SAFETY 25 LF $3.00 $75.00 25 $75.00 Sub -Total of Previous Unit $18,100.00 $18,100.00 Thursday, August 27, 2026 Page 2 of 4 City Project Numbers 106840 Contract Name BASSWOOD RETAIL LOTS 3 & 4 Contract Limits Project Type WATER & SEWER Project Funding Contract Information Summary Original Contract Amount Change Orders Total Contract Price DOE Number 6840 Estimate Number 1 Payment Number 1 For Period Ending 8/19/2026 $74,100.00 $74,100.00 Total Cost of Work Completed $74,100.00 Less % Retained $0.00 Net Earned $74,100.00 Earned This Period $74,100.00 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 $74,100.00 Thursday, August 27, 2026 Page 3 of 4 City Project Numbers 106840 Contract Name BASSWOOD RETAIL LOTS 3 & 4 Contract Limits Project Type WATER & SEWER Project Funding Project Manager NA Inspectors G. DEYON / R. GLOVER Contractor BCAC UNDERGROUND 5000 AIRPORT FRWY HALTOM, TX 76117 DOE Number 6840 Estimate Number 1 Payment Number 1 For Period Ending 8/19/2026 City Secretary Contract Number Contract Date Contract Time 10 WD Days Charged to Date 38 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 $74,100.00 Less % Retained $0.00 Net Earned $74,100.00 Earned This Period $74,100.00 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 $74,100.00 Thursday, August 27, 2026 Page 4 of 4 FORT WORTH TRANSPORTATION AND PUBLIC WORKS PIPE REPORT FOR: PROJECT NAME: Basswood Retail Lots 3 & 4 CITY PROJECT NUMBER: 106840 WATER PIPE LAID SIZE TYPE OF PIPE LF N/A FIRE HYDRANTS: N/A VALVES (16" OR LARGER) N/A PIPE ABANDONED SIZE TYPE OF PIPE LF DENSITIES: PASSED & APPROVED NEW SERVICES: 2" Copper 2 EA SEWER PIPE LAID SIZE TYPE OF PIPE LF SDR-26 6" PVC 25 PIPE ABANDONED SIZE TYPE OF PIPE LF DENSITIES: PASSED & APPROVED NEW SERVICES: N/A TRANSPORTATION AND PUBLIC W KS The City of Fort Worth • 1000 Throckmorton Street • Fort Worth, TX 76012-6311 (817) 392 - 7941 • Fax: (817) 392 - 7845 FORT WORTH® TRANSPORTATION AND PUBLIC WORKS August 26, 2026 BCAC Underground LLC 5000 Airport Freeway Frontage Road, Haltom City, TX 76117 RE: Acceptance Letter Project Name: Basswood Retail Lots 3 & 4 Project Type: Water & Sewer Improvements City Project No.: 106840 To Whom It May Concern: On August 21, 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 Sandie.Adhikari@fortworthtexas.gov Sincerely, Sandip Adhikari, Project Manager Cc: Rowdy Glover, Inspector Gary Deyon, Inspection Supervisor Edward Davila, Senior Inspector Sandip Adhikari, Program Manager Ballard and Braughton Engineering, Consultant BCAC Underground LLC, Contractor Siri Oaks Management Inc, Developer File E -Mail: TPW_Acceptance@fortworthtexas.gov Rev. 8/20/19 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 Ben Goodall, CEO Of BCAC UNDERGROUND 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; 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; CPN 106840 Basswood Retail Lots 3 4 BY Ben Goodall CEO Subscribed and sworn before me on this date 1st of October, 2026. Notary Public Tarrant, Tx R. CARPENTER '•: My Notary ID # 128484264 "Te ur iii: Expires May 3, 2028 CONSENT OF SURETY TO FINAL PAYMENT ALA Document G707 Bond No. 4411228 TO OWNER: (Aun e and addr c) City of Fort Worth, TX 100 Fort Worth Trail, Fort Worth, TX 76102 and SiriOaks Management, Inc (Developer) 14800 Quorum Drive Suite 269, Dallas, TX 75254 PROJECT: (1carat• turd address) Basswood Retail - Lots 3-4 CFA Number: CFA 26-0055 OWNER X ARCHITECT X CONTRACTOR XI SL' Rli'IY X OTHER El ARCHITECT'S PROJECT NO.: CONTRACT FOR: Utilities CONTRACT DATED: May 5, 2026 In accordance with the provisions of the Contract between the Owner and the Contractor as indicated ah we, the (hate rt name and addreo- of :Snn•tr) FCCI Insurance Company 6300 University Parkway Sarasota, FL 34240-8424 on bond of (hr_,ert rant and addlrn+s of Confrae tor) BCAC Underground, LLC 5000 Airport Freeway Haltom City, TX 76117 SURETY, CON'TRACrOR, 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 (hrsen narne and aelelrens of Owtivr) City of Fort Worth, TX 14800 Fort Worth Trail, Fort Worth, TX 76102 and SiriOaks Management, Inc (Developer) 14800 Quorum Drive Suite 269, Dallas, TX 75254 IN WITNESS WHEREOF, the Surety has hereunto set its hand on this date: October 5, 2026 On er7 in u'ritin), fin• rno th, followed by the rrnrnerlc dale anc1 iv w'. ) Attest: (Seal): Debra Robinson, Witness FCCI Insurance Company (.lrnrrs') — (.S{a;rrearu•ea/ anl)wrk'drt:pr n5atirr) Neira Hernandez, Attorney -in -Fact (F') later! naun- and (lilt) OWNER, CAUTION: You should sign an original AIA document that has this caution printed -in red. An 1 I original assures that changes will not be obscured as may occur when documents are reproduced. See Instruction Sheet for Limited License for Reproduction of this document. AIA DOCUMENT G707 C ONSENT OI 51!ItElY 1 e) FINAL I ANWEN I • 199•i tit)Illt)N • ',At.•1 0199-1 • 11IF AMERICAN INSiTrt'lT OF ANCHI Il (;IS, l7i5 NEW YOah AVFNI:Ii, NW. WAS1I- ING•I.ON, D.C. ?O(Xk-i29> • WARNING: Unlicensed photocopying violates U.S. copy- right ' laws and will subject the violator to legal prosecution. G707-1994 FCCIGROU11„ 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: Brock Baldwin; Brent Baldwin; William D. Baldwin; Michael B. Hill; John A. Aboumrad; Cynthia Alford; Yamillec Hite; Russ Frenzel; Neira Hernandez 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 $30,000,000.00): $30,000,000.00 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 to�o be hereunto affixed, this 23rd day of July , 2020. Attest: Christina D. Welch, President 1j;' `SE Christopher Shoucair, FCCI Insurance Company L EVP, CFO, Treasurer, Secretary `-F�os�tiv? 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 �+":" PEGGYS OW y 0 CvseH+g2ests Notary Public F aY71.4fl27 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 `' r a E Z1,2o2r Notary Public 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 5th day of October 2026 u�- Christopher Shoucair, EVP, CFO, Treasurer, Secretary FCCI Insurance Company 14ONA-3592-NA-04, 712021