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Home My WebLink AboutContract 46984-FP3 uepartment or LK&vv const.services CP,N# Date Project Manager Risk Managemen Canady� RT WO RT H CITY SECRETARY D.O.E. Brotherton �.��J'] o CONTRACT(V0, � ( ?L ' �1'j' CFA Westerman/Scanned ��'I 1 Esteban Perez/Scanned The Proceeding people have been Contacted concerning the request for final payment& have CATION AND PUBLIC WORKS 6-122�� released this project for such payment. )F PROJECT COMPLETION Developer Projects) 6bc ?22� Clearance Conducted By �A,aw z� T2s City Project Ns: 02280 �s,r�y�98�f Regarding contract 117226 for KROGER SW 532 as required by the WATER DEPARTMENT as approved by City Council on N/A through M&C N/A the director of the WATER DEPARTMENT upon the recommendation of the Assistant Director of the Transportation&Public Works Department has accepted the project as complete. "EOOriginal Contract Price: $25,896.35 Amount of Approved Change Orders: Na Revised Contract Amount: Total Cost Work Completed: $25,896.35 ---313417 Recorriniended for Acceptance Date Asst. Director, TPW - Infrastructure Design and Construction Accepted / Date Asst, Director, ATER DEPARTMENT Asst. City Manager % Date Comments: tt SPO MAR U Y Rev.9/22/16 City Project Numbers 02280 DOE Number 7226 Contract Name WATER,SEWER,P&D IMPROVEMENTS TO SERVE KROGER SW 532 Estimate Number 1 Contract Limits Payment Number , .1 Project Type WATER&SEWER E2, For Period Ending 1/9/2017 Project Funding Project Manager Long ary Contract Number 117226 Inspectors RODGERS / SALAZAR Contract Date 7/29/2015 Contractor COLLINS&ARNOLD CONSTRUCTION CO.,LLC Contract Time 365 CD 6111 PEACHTREE DUNWOODY RD BLDG B,SUI Days Charged to Date 485 CD ATLANTA, GA 30328 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 $25,896.35 Less %Retained $0.00 Net Earned $25,896.35 Earned This Period $25,896.35 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 $25,896.35 Monday,January 9,2017 Page 4 of 4 FORT WORTH CITY OF FORT WORTH FINAL PAYMENT REQUEST Contract Name WATER,SEWER,P&D IMPROVEMENTS TO SERVE KROGER SW 532 Contract Limits Project Type WATER&SEWER City Project Numbers 02280 DOE Number 7226 Estimate Number 1 Payment Number 1 For Period Ening :1/9/2:017 City Secretary Contract Number 117226 Contract Time 36ED Contract Date 7/29/2015 Days Charged to Date 485 Project Manager Long Contract is 100.00 Complete Contractor COLLINS&ARNOLD CONSTRUCTION CO.,LLC 6111 PEACHTREE DUNWOODY RD BLDG B,SUI ATLANTA, GA 30328 Inspectors RODGERS / SALAZAR Monday,January 9,2017 Page 1 of City Project Numbers 02280 DOE Number 7226 Contract Name WATER,SEWER,P&D IMPROVEMENTS TO SERVE KROGER SW 532 Estimate Number 1 Contract Limits Payment Number 1 Project Type WATER&SEWER For Period Ending 1/9/2017 Project Funding UNIT I:WATER IMPROVEMENTS Item Description of Items Estimated Estimated Completed leted Comleted Unit Unit Cost P p Quanity ------------------------- Total Quanity Total ------- 1 6"PVC WATER PIPE ----- - 51 LF $12.00 $612.00 51 $612.000 2 8"PVC WATER PIPE 12 LF $14.00 $168.00 12 $168.00 3 FIRE HYDRANT 2 EA $1,192.00 $2,384.00 2 $2,384.00 4 2"WATER SERVICE 2 EA $981.00 $1,962.00 2 $1,962.00 5 1"WATER SERVICE 1 EA $239.00 $239.00 1 $239.00 6 CONNECTION TO EXISTING 4"-12"WATER I EA $675.00 $675.00 1 $675.00 MAIN 7 -CONNECTION TO EXISTING 16"WATER MAIN 1 EA $1,721.00 $1,721.00 1 $1,721.00 ---------------- Sub-Total of Previous Unit $7,761.00 $7,761.00 UNIT II:SANITARY SEWER IMPROVEMENTS Item Description of Items Estimated Estimated Com Completed Com leted No. Unit Unit Cost P p Quanity Total Quanity Total ------------ ___ ---------------- __ 1 POST CCTV INSPECTION 523 LF $0.70 $366.10 523 $366.10 2 MANHOLE VACUUM TESTING 6 EA $75.00 $450.00 6 $450.00 3 6"SEWER PIPE 12 LF $13.00 $156.00 12 $156.00 4 8"SEWER PIPE 523 LF $15.00 $7,845.00 523 $7,845.00 5 4'MANHOLE 5 EA $981.00 $4,905.00 5 $4,905.00 6 4'DROP MANHOLE 1 EA $1,872.00 $1,872.00 1 $1,872.00 7 4'EXTRA DEPTH MANHOLE 18.7 VF $85.00 $1,589.50 18.7 $1,589.50 8 6"SEWER SERVICE 1 EA $397.00 $397.00 1 $397.00 9 8"SEWER SERVICE 1 EA $424.00 $424.00 1 $424.00 10-TRENCH SAFETY -- --- 523 LF $0.25 $130.75 523 $130.75 ------------------------------------- Sub-Total of Previous Unit $18,135.35 $18,135.35 Monday,January 9,2017 Page 2 of 4 City Project Numbers 02280 DOE Number 7226 Contract Name WATER,SEWER,P&D IMPROVEMENTS TO SERVE KROGER SW 532 Estimate Number 1 Contract Limits Payment Number 1 Project Type WATER&SEWER For Period Ending 1/9/2017 Project Funding Contract Information Summary Original Contract Amount $25,896.35 Chan6e Orders Total Contract Price $25,896.35 Date Z Total Cost of Work Completed $25,896.35 C ntr Less %Retained $0.00 Date �� Net Earned $25,896.35 Ins tion S e r Earned This Period $25,896.35 /^ Retainage This Period $0.00 % ✓ Date d� ct Manage; Less Liquidated Damages �lDays @ /Day $0.00 DatI LessPavement Deficiency $0.00 Asst.Director/TP -Infrastructure Design and Date 31 1,91 / b Construction Less Penalty $0.00 ` Date ! Less Previous Payment $0.00 Director/Contracting Department Plus Material on Hand Less 15% $0.00 Balance Due This Payment $25,896.35 Monday,January 9,2017 Page 3 of 4 FORTWORTH rev 03/05/07 TRANSPORTATION & PUBLIC WORKS FINAL STATEMENT OF CONTRACT TIME FINAL STATEMENT NO.:1 NAME OF PROJECT: Kroger SW532 PROJECT NO.: 02280 CONTRACTOR: Collins&Arnold DOE NO.; 7226 PERIOD FROM;09/14/15 TO: 02/02/17 FINAL INSPECTION DATE: 2-Feb-17 WORK ORDER EFFECTIVE: CONTRACT TIME: 508 0 WE CD DAY OF DAYS REASON FOR DAYS DAY OF DAYS REASON FOR DAYS MONTH CHARGED CREDITED MONTH CHARGED DURING DURING CREDITED 1. 16. 2. 17. 3. 18. 4. 19. 5. 20. 6. 21. 7. 22. 8. 23 9. 24. 10. 25. IL 26. 12. 27. 13. 28 14. 29. 15. 30. 31. SAT,SUN, RAIN,TOO WET, UTILITIES DAYOTAL THIS &HOLIDAYS & TOO COLD RELOCATIONS OTHERS' ICHARGEDTTDAYS PERIOD 508 PREVIOUS PERIOD TOTALS TO DATE 508 *REMARKS: O TRACTOR ATE INSPECTOR _ ) DATE ENGINEERING DEPARTMENT ` The City of Fort Worth• 1000 Throckmorton Street•Fort Worth,TZ 76012-6311 (817) 392-7941 •Fax: (817) 392-7845 FORTWORTHREV:8/20/16 TRANSPORTATION AND PUBLIC WORKS PERFORMANCE EVALUATION OF CONTRACTOR I) CONTRAfCTOR&PROJECT DATA Name of Contractor Project Name Collins and Arnold Construction Company,LLC Kroger SW 532 Inspector City Project Number Edwin R.Rodriguez, Sr. 02280 Constnu,fJon Components Project Manager Q Water Q Waste Water❑ Storm DrainageEl Pavement Aaron Long,P.E. Initial Contract Amount Project Difficulty $25,896.35 Q Simple QQ Routine O Complex Final Contract Amount Date $25,896.35 2/2/2017 In PERFORMANCE EVALUATION 0-Inadequate l -Deficient 2-Standard 3-Good 4-Excellent ELEMENT WEIGHT(X) APPLICABLE(Y/N) RATING(0-4) MAX SCORE SCORE 1 Submission of Documents 2 Y4 8 8 2 Public Notifications 5 Y 4 20 20 3 Plans on Site 5 Y 4 20 20 4 Field Supervision 15 Y 3 6045 5 Work Performed 15 Y 3 60 45 6 Finished Product 15 Y 4 60 60 7 Job Site Safety 15 Y 4 60 60 8 Traffic Control Maintenance 15 Y 4 60 60 9 Daily Clean Up 5 Y 3 20 15 10 Citizen's Complaint Resolution 5 Y 4 20 20 11 Property Restoration 5 Y 4 20 20 12 After Hours Response 5 Y 4 20 20 13 Project Completion 5 Y 3 20 15 TOTAL ELEMENT SCORE(A) 408 BONUS POINTS(25 Maximum)(B) III)CONTRACTOR'S RATING TOTAL SCORE(TS) 408 Maximum Score(MS)=448 or sum of applicable element score maximums which= 448 Rating([TS/MS] * 100%) 408 / 448 = 91% Performance Category Excellent <20%=Inadequate 20%to<40%=Deficient 40%to<60%=Standard 60%to<80%=Good >80%=Excellent Inspector's Comments(INCLUDING EXPLANATION OF BONUS POINTS AWARDED) Inspector Signature Contractor Signature Inspector's Supervisor Signature �-- CONTRACTOR'S COMMENTS TRANSPORTATION AND PUBLIC WORKS The City of Fort Worth• 8851 Camp Bowie West Blvd. •Fort Worth,TX 76116 • (817) 392-8306 FORTWORTHREV:02/22/07 TRANSPORTATION AND PUBLIC WORKS CONTRACTOR'S EVALUATION OF CITY I)PROJECT INFORMATION Date: 2/2/2017 Name of Contractor Project Name Collins and Arnold Construction Company,LLC Kroger SW 532 DOE Inspector Project Manager Edwin Rodriguez Aaron Long,P.E. DOE Number ProjectDculty Type of Contract 7226 r Simple Q Routine Q Complex E] water 2] Waste Water Storm Drainage0 Pavement Initial Contract Amount Final Contract Amount $25,896.35 $25,896.35 II)PERFORMANCE EVALUATION 0-Inadequate 1 -Deficient 2-Standard 3 -Good 4-Excellent ELEMENT RATING ELEMENT RATING INSPECTION EVALUATION PLANS&SPECIFICATIONS 1 Availability of Inspector 1 Accuracy of Plans to Existing Conditions 2 Knowledge of Inspector 2 Clarity&Sufficiency of Details 3 Accuracy of Measured Quantities 3 Applicability of Specifications { 4 Display Of Professionalism 4 Accuracy of Plan Quantities ' 5 Citizen Complaint Resolution PROJECT MANAGER EVALUATION 6 Performance-Setting up Valve Crews,Labs 1 Knowledge And/Or Problem Resolution 4 ADMINISTRATION 2 Availability of Project Manager 1 Change Order Processing Time 3 Communication 2 Timliness of Contractor Payments 4 Resolution of Utility Conflicts 3 Bid Opening to Pre-Con Meeting Timeframe III)COMMENTS&SIGNATURES COMMENTS Signature Contractor Signature DOE Inspector Signature DOE Inspector's Supervisor INSPECTOR'S COMMENTS TRANSPORTATION AND PUBLIC WORKS , .= The City of Fort Worth• 1000 Throckmorton Street•Fort Worth,Thi 76012-6311 (817) 392-7941 •Fat: (817)392-7845 4 1 1 A Southwest Dallas Division 751 Freeport Parkway Coppell, TX 75019 January 25, 2017 Mr. Edwin R. Rodriguez Sr. Construction Inspector TP/W Infrastructure Design & Construction Phone: 817.392.8306 Cell: 817.223.2261 Re:DAL-532—5241 North Tarrant Parkway, Fort Worth, TX 76244 Dear Mr. Rodriguez: Kroger Company will be waiving the liquidated damages on this project as Kroger Texas LP has not been harmed by the delay.With this letter, the liquidated damage issue has been resolved. Thank you for your assistance with this project. Please let me know if you need additional information or assistance. Sincerely, Ron Ramsey Regional Construction Project Manager Mid Central Region Dallas Division R R/ac FORTWORTH TRANSPORTATION AND PUBLIC WORDS PIPE REPORT FOR: PROJECT NAME: Kroger SW532 PROJECT NUMBER: 02280 DOE NUMBER: 7226 WATER PIPE LAID SIZE TYPE OF PIPE LF Yes 8" PVC 12 Yes 6" PVC 51 FIRE HYDRANTS: 2 VALVES(16" OR LARGER) N/A PIPE ABANDONED SIZE TYPE OF PIPE LF N/A DENSITIES: Yes NEW SERVICES: 2" Copper 3 8" PVC 1 SEWER PIPE LAID SIZE TYPE OF PIPE LF Yes 6" PVC 12 Yes 8" PVC 523 PIPE ABANDONED SIZE TYPE OF PIPE LF N/A DENSITIES: Yes NEW SERVICES: 6" PVC 1 8" PVC 1 TRANSPORTATION AND PUBLIC WORKS The City of Fort Worth• 1000 Throckmorton Street•Fort Worth,TX 76012-6311 ' d (817)392-7941 •Fat: (817)392-7845 CONSENT OF SURETY OWNER F-1 TO FINAL PAYMENT ARC1-HTr:CT ❑ AIADocurnent G707 CONTRACTOR ❑ SURETY %J Bond No. 4135060 OTHER TO OWNER: ARCHITEcrs PROJECT NO.: (NameardadrGx�j Kroger Texas LP and The City of Fort Worth, TX COINTRACT FOR. construction Fort Worth,TX PROJECT. CONTRACT DA'Z'ED: (1&me mrd addax,) Maintenance bond for Kroger#034-00532 Fort Worth TX#02280 In accordance wi€h The provisions of the Contract between die Owner and the Contractor a5 indicated above,the (Jrrs�rY narnrasd addr�n ofSxrrh) Westfield Insurance Company P.O. Box 5001 Westfield Center, OH 44251-5001 SURETY, on bond of flrlSkrr:ranir and addrras gfCorzt�rrctw-) Collins and Arnold Construction Company, LLC 6111 Peachtree Dunwoody Road, Bldg B, Suite 102 Atlanta, GA 30328 CONTRACTOR, hereby approves of the final payment to the Contractor,and agrees that final payment to the Contractor shalt ncx relieve the Surety of any of its obligations to (iii..wrrnarrreaneladdm,&,gfOwvc-yy Kroger Texas LP and The City of Fort Worth, TX Fort Worth,TX OWNER, 2s set forth inn said Surety's borul. IN WITNESS V/TMREOF,the Surety has hereunto set its hand cm this date., January 9, 2017 f/rlatrY in uaitH�tha rrrorrrb follow!�7s rfiC rrruneric dare arrd)�ar,1 ,, v�nsuti, Westfield Insurance Company SEAL ..... (S��nratttrroJautharYzrrlrrprz�»Iatiirl By- Attest.- (Seal): ttest:(Seal): PWAi 1 Kevin M. Neidert Attorney-in-Fact Marie M. Hartley (Ainteduameandlide) Surety Phone No. 330-887-0101 G707-1994 Westfield Insurance Co. General Power of Attorney Westfield National Insurance Co. Ohio Farmers Insurance Co. CERTIFIED COPY Westfield Center, Ohio Know All Men by These Presents,That WESTFIELD INSURANCE COMPANY,WESTFIELD NATIONAL INSURANCE COMPANY,and OHIO FARMERS INSURANCE COMPANY,corporations,hereinafter referred to individually as a"Company"and collectively as"Companies,"duly organized and existing under the laws of the State of Ohio,and having their principal offices in Westfield Center,Medina County,Ohio,do by these presents make, constitute and appoint Kevin M.Neidert of Atlanta and State of GA their true and lawful Attomey(s)-in-Fact,with full power and authority hereby conferred in their names,place and stead,to execute,acknowledge and deliver the following surety bond: Surety Bond Number: 4135060 Principal: Collins and Arnold Construction Company,LLC Obligee; Kroger Texas LP and to bind any of the Companies thereby as fully and to the same extent as if such bonds were signed by the President,sealed with the corporate seal of the applicable Company and duly attested by its Secretary,hereby ratifying and confirming all that the said Attomey(s)-in-Fact may do in the premises. Said appointment is made under and by authority of the following resolution adopted by the Board of Directors of each of the WESTFIELD INSURANCE COMPANY,WESTFIELD NATIONAL INSURANCE COMPANY,and OHIO FARMERS INSURANCE COMPANY: "BE IT RESOLVED,that the President,any Senior Executive,any Secretary or any Fidelity&Surety Operations Executive or other Executive shall be and is hereby vested with full power and authority to appoint any one or more suitable persons as Attomey(s)-in-Fact to represent and act for and on behalf of the Company subject to the following provisions: The Attorney-in-Fact may be given full power and authority for and in the name of and on behalf of the Company,to execute,acknowledge and deliver,any and all bonds,reeognizances,contracts,agreements of indemnity and other conditional or obligatory undertakings and any and all notices and documents cancelling or terminating the Company's liability thereunder,and any such instruments so executed by any such Attomey-in-Fact shall be as binding upon The Company as if signed by the President and sealed and attested by the Corporate Secretary." "BE IT FURTHER RESOLVED,that the signature of any such designated person and the seal of the Company heretofore or hereafter affixed to any power of attorney or any certificate relating thereto by facsimile,and any power of attorney or certificate bearing facsimile signatures or facsimile seal shall be valid and binding upon the Company with respect to any bond or undertaking to which it is attached." (Each adopted at a meeting held on February 8,2000.) In Witness Whereof,WESTFIELD INSURANCE COMPANY,WESTFIELD NATIONAL INSURANCE COMPANY,and OHIO FARMERS INSURANCE COMPANY have caused these presents to be signed by their National Surety Leader and Senior Executive and their corporate seals o be hereto affixed this 1"day of April,A.D.,2014. Nsu •`�iio•rv\t t,.NSG \gWESTFIELD stl INSURANCE COMPANY C, Seas rate �``�� ;a?P••.• ••. ,, NQS.•-*•R?yc WESTFIELD NATIONAL INSURANCE COMPANY Affixed 'g SE�. o= = = p'a *1,RTER OHIO FARMERS INSURANCE COMPANY SEAL m_ e -L o; 1848 a� .... By: Dennis P.Baus, State of Ohio National Surety Leader and Senior Executive Countyof Medina ss.: On thislst day of April,A.D.,2014,before me personally came Dennis P.Baus,to me known,who,being by me duly swom,did depose and say, that he resides in Wooster,Ohio;that he is National Surety Leader and Senior Executive of WESTFIELD INSURANCE COMPANY,WESTFIELD NATIONAL INSURANCE COMPANY,and OHIO FARMERS INSURANCE COMPANY,the companies described in and which executed the above instrument;that he knows the seals of said Companies;that the seals affixed to said instrument are such corporate seals;that they were so affixed by order of the Board of Directors of said Companies;and that he signed his name thereto by Eke order. Notarial P,y P Seal p ..... ... By: Affixed �'+n David A.Komik Attorney at Law,Notary Public My Commission Does Not Expire(Sec.147.03 Ohio Revised Code) State of Ohio County of Medina ss.: CERTIFICATE I,Frank Carrino,Secretary of the WESTFIELD INSURANCE COMPANY,WESTFIELD NATIONAL INSURANCE COMPANY,and OHIO FARMERS INSURANCE COMPANY,do hereby certify that the above and foregoing is a true and correct copy of a Power of Attomey,executed by said Companies,which is still in full force and effect;and furthermore,the resolutions of the Board of Directors,set out in the Power of Attorney are in full force and effect. In Witness Whereof,I have hereunto set my hand and affixed the seal ofsaid Company at Westfield Center,Ohio,this 9th day of January,A.D.,2017. •,\ftp tNBU,p��,•' .•�roNAc iN'• S\NSLR,t ��. ........ We r`�p,•,........,••S,G, �� 'IC B Co. SEAL _ EC-2SEAL Frank Carrino,Secretary 1848 w........ ... .0.... ..... BPOAC (03-01) CONSENT OF SURETY OX"FR ❑ TO FINAL PAYMENT ARChIITFCT D .AIA Document G707 CONTRACTOR ❑ SURFTY $I Bond No. 4135066 OTHER ❑ TO OWNER ARCHITECT'S PROJECT NO.: (blame card ade&M-) City of Fort Worth,TX, Developer Kroger Texas LP COiN'MCi'FOR- Construction Fort Worth,TX PROJECT- CONT IRACT DATED:May 21, 2015 (Nameand adzh-rc) CFA#02280 Kroger SW 532 In Accordance ugth rhe provisions of the Contract between the Owner and the Contractor as indic;atect above,the (Insmrt nom,and addax .jQ Westfield Insurance Company P.O. Box 5001 Westfield Center, OH 44251-5001 SURETY, on bond of (lawn nanreand addmzpf Cowraaar) Collins and Arnold Construction Company, LLC 6111 Peachtree Dunwoody Road, Bldg B, Suite 102 Atlanta, GA 30328 CONTRACTOR, hereby approves of the final payment to the Connector,and agrees that final payment to the Conti-actor shall not relieve the Surety of any of its obligations to (l,zwnrname and addm, ofOwvc-) City of Fort Worth, TX, Developer Kroger Texas LP Fort Worth,TX OWNER, as set forth in said Surety's bond. IN WITNESS WHEREOF,the Surety has hereunto set its hand on this date: January 10, 2017 (Nrsert in uv*ing the montb fUldwed by&e atom r k dare and j ar,1 `� ...........ii . Westfield Insurance Company `� c n (%tretw r SEAL 7�, j Attest: ''n ni,i�i.a i....``. fSYgnahrrr oJatNbor� sl,rp,zrttaritrJ {sear: n o Kevin M. Neidert Attorney-in-Fact Marie M. Hartley,Witnes fJ',Yrred,ran+eandti*) Surety Phone No. 330-887-0101 G707-1994 Westfield Insurance Co. General Power of Attorney Westfield National Insurance Co. Ohio Farmers Insurance Co. CERTIFIED COPY Westfield Center, Ohio Know,411 Men by These Presents,That WESTFIELD INSURANCE COMPANY,WESTFIELD NATIONAL INSURANCE COMPANY,and OHIO FARMERS INSURANCE COMPANY,corporations,hereinafter referred to individually as a"Company"and collectively as"Companies,"duly organized and existing under the laws of the State of Ohio,and having their principal offices in Westfield Center,Medina County,Ohio,do by these presents make, constitute and appoint Kevin M.Neidert of Atlanta and State of GA their true and lawful Attomey(s)-in-Fact,with full power and authority hereby conferred in their names,place and stead,to execute,acknowledge and deliver the following surety bond: Surety Bond Number: 4135066 Principal: Collins and Arnold Construction Company,LLC Obligee: City of Fort Worth,TX,Developer Kroger Texas LP and to bind any ofthe Companies thereby as fully and to the same extent as if such bonds were signed by the President,sealed with the corporate seal of the applicable Company and duly attested by its Secretary,hereby ratifying and confirming all that the said Attomey(s)-in-Fact may do in the premises. Said appointment is made under and by authority of the following resolution adopted by the Board of Directors of each of the WESTFIELD INSURANCE COMPANY,WESTFIELD NATIONAL INSURANCE COMPANY,and OHIO FARMERS INSURANCE COMPANY: "BE IT RESOLVED,that the President,any Senior Executive,any Secretary or any Fidelity&Surety Operations Executive or other Executive shall be and is hereby vested with full power and authority to appoint any one or more suitable persons as Attomey(s)-in-Fact to represent and act for and on behalf of the Company subject to the following provisions: The Attomey-in-Fact may be given full power and authority for and in the name of and on behalf of the Company,to execute,acknowledge and deliver,any and all bonds,recognizances,contracts,agreements of indemnity and other conditional or obligatory undertakings and any and all notices and documents cancelling or terminating the Company's liability thereunder,and any such instruments so executed by any such Attomey-in-Fact shall be as binding upon The Company as if signed by the President and sealed and attested by the Corporate Secretary." "BE IT FURTHER RESOLVED,that the signature of any such designated person and the seal of the Company heretofore or hereafter affixed to any power of attorney or any certificate relating thereto by facsimile,and any power of attorney or certificate bearing facsimile signatures or facsimile seal shall be valid and binding upon the Company with respect to any bond or undertaking to which it is attached." (Each adopted at a meeting held on February 8,2000.) In Witness Whereof,WESTFIELD INSURANTCE COMPANY,WESTFIELD NATIONAL INSURANCE COMPANY,and OHIO FARMERS INSURANCE COMPANY have caused these presents to be signed by their National Surety Leader and Senior Executive and their corporate seals o be hereto affixed this 1"day of April,A.D.,2014. iNsu WESTFIELD INSURANCE COMPANY PZiq Co � orate ioNAt SG1NSIlq;y.E..•,. R?yc: .0�:.••••• ... �S.•• •-•.lyc WESTFIELDNATIONALINSURANCECOMPANY :�` ' `Pr * OHIO FARMERS INSURANCE COMPANY Affixed -y SEAL o= fes: z, �IRTER e' c N; SEAL :0 g. 1818 7:- ::o c 'yC'• 7k .,...,,. •. •, .......... ... r\ J By: Dennis P.Baus, State of Ohio National Surety Leader and Senior Executive County of Medina ss.: On thislst day of April,A.D.,2014,before me personally came Dennis P.Baus,to me known,who,being by me duly swom,did depose and say, that he resides in Wooster,Ohio;that he is National Surety Leader and Senior Executive of WESTFIELD INSURANCE COMPANY,WESTFIELD NATIONAL INSURANCE COMPANY,and OHIO FARMERS INSURANCE COMPANY,the companies described in and which executed the above instrument;that he knows the seals of said Companies;that the seals affixed to said instrument are such corporate seals;that they were so affixed by order of the Board of Directors of said Companies;and that he signed his nacre thereto by like order. Notarial '.I, "" Seal By: 6�iwed%IbL Affixedp= David A.Kotnik,Attorney at Law,Notary Public My Commission Does Not Expire(Sec.147.03 Ohio Revised Code) State of Obio CountyofMedina ss.: CERTIFICATE 1, Frank Carrino,Secretary of the WESTFIELD INSURANCE COMPANY, WESTFIELD NATIONAL INSURANCE COMPANY,and OHIO FARMERS INSURANCE COMPANY,do hereby certify that the above and foregoing is a true and correct copy of a Power of Attomey,executed by said Companies,which is still in full force and effect;and furthermore,the resolutions of the Board of Directors,set out in the Power of Attorney are in full force and effect. In Witness Whereof,I have hereunto set my hand and affixed the seal of said Company at Westfield Center,Ohio,this 10th day of January,A-D.,2017. �oiNsu t.owaci 0S\NSUgt� ,,;Jv .........,NSG'; c Q '3• _ '": ••q2 q\1•RTEqF� '.o N; SEAL m " ii Frank Carrino,Secretary SEAL P =Wi :or o'. 1818 aO ........ `t BPOAC (03-01) AFFIDAVIT STATE OF Georgia COUNTY OF Dekalb Before me,the undersigned authority, a notary public in the state and county aforesaid, on this day personally appeared Jonathan L Arnold, Vice President Of Collins and Arnold Construction Co., 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; I On Contract described as; Right of Way Work for Kroger SW 532 BY v rthis athan L Arnold,Vice President Subscribed and sworn before mee Fust of March, 2017. 030 64oa 'sz 7 6��0v ,gay Public Q 9, % m y, State p o r y do 'eON �v In 00 �3�INN