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HomeMy WebLinkAboutContract 47748-FP3 FORTWORTH. CITY SECRETARY CONTRACT NO, 4 TRANSPORTATION AND PUBLIC WORKS NOTICE OF PROJECT COMPLETION (Developer Projects) City Project Ns: 02318 _qOY7 7'M Regarding contract 02318 for MARINE CREEK PKWY&NW COLLEGE DR INST& SIGNAL UPGRADE as required by the TRANSPORTATION& PUBLIC WORKS as approved by City Council on N/A through M&C N/A the director of the TRANSPORTATION&PUBLIC WORKS upon the recommendation of the Assistant Director of the Transportation&Public Works Department has accepted the project as complete. Original Contract Price: $98,094.75 Amount of Approved Change Orders; $13,558.20 Ns 2 Revised Contract Amount: $111,652.95 Total Cost Work Completed; $111,652.95 1741 17 Recommen Acceptance Date Asst. Direc W - e 7,KL Accepted Date Director, SPORTATION £ PUBLIC WORKS Asst. City Managersf _ Date_ Ir Depart TP S-W Const.Services CPN# Date Project Manager ' o- Risk Management Canad o "9 I-f Z C011M.AZ*L A►D D.O.E. Brotherton 6 p ~ _ CFA Morales(Scanned o '-,_ DEC — �, 2()E7 GutzlerlScanned 10-24- 11 . �I � L SCO h The Proceeding people have been Contaci' X a concerning the request for final payment have released this project for such payment. T 'H,Tx i Rev.9f2211.6 Clearance Conducted By (Awm& FORT WORTH CITY OF FORT WORTH FINAL PAYMENT REQUEST Contract Name MARINE CREEK PKWY&NW COLLEGE DR INST&SIGNAL UPGRADE Contract Limits Project Type ST LIGHT City Project Numbers 02318 DOE Number 2318 Estimate Number 1 Payment Number 1 For Period Ending 10/26/2017 CD City Secretary Contract Number Contract Time 18aD Contract Date Days Charged to Date 174 Project Manager NA Contract is 100.00 Complete Contractor INDEPENDENT UTILITY CONSTRUCTION 5109 SUN VALLEY DRIVE FORT WORTH, TX 76119 Inspectors LAYER / RODRIGUEZ i i u I! I r �I Thursday,October 26,2017 Page 1 of 5 i City Project Numbers 02318 DOE Number 2318 Contract Name MARINE CREEK PKWY&NW COLLEGE DR INST&SIGNAL UPGRA Estimate Number I Contract Limits Payment Number I Project Type ST LIGHT For Period Ending 10/26/2.017 Project Funding ST LIGHT ItemDescriptiDescription of Items Unit Unit Cost Estimated Estimated Completed Completed No. Quanity Total Quanity Total 1 3"CONDT PVC SCH 40 95 LF $24.13 $2,292.35 95 $2,292.35 2 3"CONDT PVC SCH 40 10 LF $69.00 $690.00 10 $690.00 3 4"SLD PVMT MARKING HAS 220 LF $1.65 $363.00 220 $363.00 4 8"SLD PVMT MARKING HAS 110 LF $4.40 $484.00 110 $484.00 5 24"SLD PVMT MARKING HAE CROSSWALK 360 LF $8.80 $3,168.00 360 $3,168.00 6 24"SLD PVMT MARKING HAE STOP BAR 127 LF $7.70 $977.90 127 $977.90 7 LANE LEGEND ARROW 2 EA $165.00 $330.00 2 $330.00 8 LANE LEGEND DBL ARROW I EA $248.00 $248.00 1 $248.00 9 REFL RAISED MARKER 6 EA $22.00 $132.00 6 $132.00 10 REFL RAISED MARKER 3 EA $22.00 $66.00 3 $66.00 11 REMOVE 12"PVMT MARKING 156 LF $6.60 $1,029.60 156 $1,029.60 12 REMOVE LANE LEGEND ARROW 2 EA $138.00 $276.00 2 $276.00 13 REMOVE LANE LEGEND ONLY 2 EA $182.00 $364.00 2 $364.00 14 3-SECT SIGNAL HEAD ASSEMBLY 4 EA $843.00 $3,372.00 4 $3,372.00 15 PED SIGNAL HEAD ASSEMBLY 4 EA $733.00 $2,932.00 4 $2,932.00 20 FURNISH/INSTALL PREEMPTION CABLE 295 LF $2.67 $787.65 295 $787.65 21 FURNISH/INSTALL RADAR CABLE CO#2 455 LF $5.10 $2,320.50 455 $2,320.50 22 3/C 14 AWG MULTI CONDUCTOR CABLE 1020 LF $3.20 $3,264.00 1020 $3,264.00 23 4/C 14 AWG MULTI CONDUCTOR CABLE 50 LF $3.20 $160.00 50 $160.00 24 5/C 14 AWG MULTI CONDUCTOR CABLE 262 LF $3.20 $838.40 262 $838.40 25 7/C 14 AWG MULTI CONDUCTOR CABLE 275 LF $3.20 $880.00 275 $880.00 26 20/C 14 AWG MULTI CONDUCTOR CABLE 330 LF $5.04 $1,663.20 330 $1,663.20 27 NO 8 INSULATED ELEC CONDR 265 LF $2.74 $726.10 265 $726.10 28 NO 8 INSULATED ELEC CONDR 265 LF $2.74 $726.10 265 $726.10 29 NO 8 BARE ELEC CONDR 105 LF $2.63 $276.15 105 $276.15 30 GROUND BOX TYPE D W/APRON 1 EA $1,080.00 $1,080.00 1 $1,080.00 31 FURNISH/INSTALL 5'PEDESTRAIN PUSH 4 EA $744.00 $2,976.00 4 $2,976.00 BUTTON POLE 32 FURNISH/INSTALL 10'-14'PED POLE 2 EA $837.00 $1,674.00 2 $1,674.00 ASSEMBLY 33 FURNISH/INSTALL MAST ARM 16'-36' 1 EA $4,470.00 $4,470.00 1 $4,470.00 34 TY 1 SIGNAL FOUNDATION 6 EA $1,255.00 $7,530.00 6 $7,530.00 Thursday,October 26,2017 Page 2 of 5 City Project Numbers 02318 DOE Number 2318 Contract Name MARINE CREEK PKWY&NW COLLEGE DR INST&SIGNAL UPGRA Estimate Number 1 Contract Limits Payment Number I Project Type ST LIGHT For Period Ending 10/26/2017 Project Funding 35 TY 4 SIGNAL FOUNDATION 1 EA $3,419.00 $3,419.00 1 $3,419.00 36 FURNISHANSTALL LED LIGHTING FIXTURE 3 EA $475.00 $1,425.00 3 $1,425.00 37 FURNISH/INSTALL LED LIGHTING FIXTURE 2 EA $475.00 $950.00 2 $950.00 38 FURNISH/INSTALL 2070 ATC SIGNAL 1 EA $21,439.00 $21,439.00 1 $21,439.00 CONTROLLER 39 FURNISH/INSTALL ALUM SIGN MAST ARM 5 EA $634.00 $3,170.00 5 $3,170.00 MOUNT 40 FURNISH/INSTALL ALUM SIGN GROUND 1 EA $688.00 $688.00 1 $688.00 MOUNT CITY STD 41 RELOCATE MAST ARM SIGNAL POLE I LS $4,356.00 $4,356.00 1 $4,356.00 42 INSTALL 4G CELL MODEM(INC.ANT.WIRE) 1 EA $1,323.00 $1,323.00 1 $1,323.00 CO#2 43 FURNISHANST METRO SIGN MTNG ARMS 3 EA $798.00 $2,394.00 3 $2,394.00 44 FURNISHANST POLARA NAV APS PED STA 2 EA $1,629.39 $3,258.78 2 $3,258.78 CO#2 45 FURNISHANST POLARA NAV APS PED STA 6 EA $1,581.37 $9,488.22 6 $9,488.22 PED POLE CO#2 46 FURNISHANST WAVETRONX MATRIX DET. 2 EA $6,822.50 $13,645.00 2 $13,645.00 CO#2 Sub-Total of Previous Unit $111,652.95 $111,652.95 Thursday,October 26,2017 Page 3 of 5 City Project Numbers 02318 DOE Number 2318 Contract Name MARINE CREEK PKWY&NW COLLEGE DR INST&SIGNAL UPGRA Estimate Number 1 Contract Limits Payment Number I Project Type ST LIGHT For Period Ending 10/26/2017 Project Funding Contract Information Summary Original Contract Amount $98,094.75 Cbanl!e Orders Change Order Number 2 $13,558.20 Total Contract Price $111,652.95 Date Total Cost of Work Completed $111,652.95 r Contractor Less %Retained $0.00 Date // f,/�7 Net Earned $111,652.95 Ins t'oi Supe 's Earned This Period $111,652.95 / a 4 Retainage This Period $0.00 Date (/1</ Less Liquidated Damages ProjJ�t _ kger Days @ /Day $0.00 Date LessPavement Deficiency $0.00 Assastructure Design a� o tructioo Less Penalty $0.00 i irpc'o r - Date Less Previous Payment $0.00 o r ct� Department Plus Material on Hand Less 15% $0.00 Balance Due This Payment $111,652.95 I I I Ij Thursday,October 26,2017 Page 4 of 5 f City Project Numbers 02318 DOE Number 2318 Contract Name MARINE CREEK PKWY&NW COLLEGE DR INST&SIGNAL UPGRA Estimate Number I Contract Limits Payment Number I Project Type ST LIGHT For Period Ending 10/26/2017 Project Funding Project Manager NA City Secretary Contract Number Inspectors LAYER / RODRIGUEZ Contract Date Contractor INDEPENDENT UTILITY CONSTRUCTION Contract Time 180 CD 5109 SUN VALLEY DRIVE Days Charged to Date 174 CD FORT WORTH, TX 76119 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 $111,652.95 Less %Retained $0.00 Net Earned $111,652.95 Earned This Period $111,652.95 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 $111,652.95 Thursday,October 26,2017 Page 5 of 5 e \ \ / C) 2 E ( § � § co § \ )G ® ® 64 4 / / _ \ _ y o / \ a ) cs C. rL 0 64 4 _ LO w { r V�l 64 i] ° Et j D \ 3 +0 \ Cl)\ \ / > y y� / g u G « / ) / 2 < > ° § ƒ j © z Li m e A \ E - 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V v v C Of M M a, } v v v v C Of 0) 0) CT C6 O N C r A of I C N U 0) O O 61 61 m W m O O o Z m x t 0 Y # LU L r 0 co N Z FW- t0 n m m N M C u7 O Q O v Gl O _N O ro 7 a O W } (if FORTWORTH rev 03/05/07 TRANSPORTATION & PUBLIC WORKS FINAL STATEMENT OF CONTRACT TIME FINAL STATEMENT NO.:1 NAME OF PROJECT: Marine Creek Pkwy&NW College Dr Intersection& Signal Improvements PROJECT NO.: CPN 02318 CONTRACTOR: Independent Utility,Inc. DOE NO.: 7269 PERIOD FROM:05/11/17 TO: 10/31/17 FINAL INSPECTION DATE: 31-Oct-17 WORK ORDER EFFECTIVE: CONTRACT TIME: 174 0 WE* CD DAY OF DAYS REASON FOR DAYS DAY OF DAYS REASON FOR DAYS MONTH CHARGED DURING CREDITED MONTH DURING CREDITED 1. 16. 2. 17. 3. 18. 4. 19. 5. 20. 6. 21. 7. 22. 8. 23. 9. 24. 10. 25. 11. 26. j 12. 27. i 13. 28. 14. 29. 15. 30. 31. SAT,SUN, RAIN,TOO WET, UTILITIES DAYS TOTAL &HOLIDAYS &TOO COLD RELOCATIONS OTHERS* CHARGED DAYS THIS 174 PERIOD PREVIOUS PERIOD TOTALS 174 TO DATE *REMARKS: CONTRACTO DATE 1NSPEC OR DATE ENGINEERING DEPARTMENT The City of Fort Worth• 1000 Throckmorton Street•Fort Worth,TX 76012-6311 (817)392-7941 •Fax: (817)392-7845 FORTWORTHREV:8/20/16 TRANSPORTATION AND PUBLIC WORKS PERFORMANCE EVALUATION OF CONTRACTOR 1) CONTRACTOR&PROJECT DATA Name of Contractor Project Name Independent Utility Construction,Inc. Marine Creek Pkwy and NW College Dr Int&Sig Up Impr Inspector City Project Number Edwin R.Rodriguez, Sr. 02318 Constiz�ctionConponents Q Signal Lights Project Manager ❑ Water❑ wastewater[] Storm Drainage❑ Pavement Patrick Buckley,P.E. Initial Contract Amount Project Dculty $98,094.75 O Simple QQ Routine Q Complex Final Contract Amount Date $111,652.95 10/20/2017 II)PERFORMANCE EVALUATION 0-Inadequate 1-Deficient 2-Standard 3-Good 4-Excellent ELEMENT WEIGHT(X) APPLICABLE(Y/N) RATING(0-4) MAX SCORE SCORE 1 Submission of Documents 2 Y 3 8 6 2 Public Notifications 5 Y 4 20 20 3 Plans on Site 5 Y 4 20 20 4 Field Supervision 15 Y 4 60 60 5 Work Performed 15 Y 4 60 60 i 6 Finished Product 15 Y 4 60 60 7 Job Site Safety 15 Y 4 60 60 8 Traffic Control Maintenance 15 Y 4 60 60 i 9 Daily Clean Up 5 Y 4 20 20 10 Citizen's Complaint Resolution 5 N 11 Property Restoration 5 N 12 After Hours Response 5 N 13 Project Completion 5 Y 4 20 20 TOTAL ELEMENT SCORE(A) 386 BONUS POINTS(25 Maximum)(B) TOTAL SCORE(TS) 386 III)CONTRACTOR'S RATING Maximum Score(MS)=448 or sum of applicable element score maximums which= 388 Rating([TS/MS] * 100%) 386 / 388 = 99% Performance Category Excellent <20%=Inadequate 20%to<40%=Deficient 40%to<60%=Standard 60%to<80%=Good >80%=Excellent Inspector's Comments(INCLUDING EXPLANATION OF BONUS POINTS AWARDED) Inspector Signature 1719 Co actor Signature —5;J z-- 5 Z Inspector's Supervisor Signature CONTRACTOR'S COMMENTS TRANSPORTATION AND PUBLIC WORKS The City of Fort Worth•8851 Camp Bowie West Blvd. •Fort Worth,TX 76116 • (817)392-8306 SII ��I FORTWORTHREV:0212210' TRANSPORTATION AND PUBLIC WORKS CONTRACTOR'S EVALUATION OF CITY I)PROJECT INFORMATION Date: 10/31/2017 Name of Contractor Project Nanre Independent Utility Construction,Inc. Marine Creek Pkwy&NW College Dr Int&Signal U gr Imp DOE Inspector Project Manager Edwin Rodriguez Patrick Buckley,PE DOE Number ProjectDculty Type of Contract 0 Signal Lights 7269 Q Simple Q Routine Q Complex L$,—, Water[:] Waste Water❑ Storm Drainage❑ Pavement Initial Contract Amount l Contract Amount $98,094.75 1,652.95 II)PERFORMANCE EVALUATION 0-Inadequate 1 -Deficient 2-Standard 3 -Good 4-Excellent ELEMENT RATING ELEMENT RATING (0-4) (0-4) 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 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 � II Signature Contractor Signature DOE Inspector Signature DOE Inspector's Superviso �d INSPECTOR'S COMMENTS if TRANSPORTATION AND PUBLIC WORKS The City of Fort Worth•1000 Throckmorton Street•Fort Worth,TX 76012-6311 (817)392-7941 •Fax: (817)392-7845 i AFFIDAVIT STATE OF TEXAS COUNTY OF TARRANT Before me, the undersigned authority, on this day personally appeared RICHARD WOLFE, President of INDEPENDENT UTILITY CONSTRUCTION, INC., known to me to be a credible person, and after being duly sworn by me, 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: Marine Creek Pkwy&Northwest College Drive—City Project No. 02318 BY: Richard AWe,President U\CR ED AND SWORN TO BEFORE ME on this C day of , 2017. CHRISTINA GARCIA !V a%Notary Public,State of Texas =�•. °Q� Comm.Expires 12-20-2020 Notary ID 130940785 otary Public, State of Texas 5109 Sun Valley Drive Fort Worth,Texas 76119 817-478-4444 www.iuctx.com October 27th, 2017 City of Fort Worth CFA Administration 200 Texas St. Fort Worth,TX 76102 Project Name: Marine Creek Pkwy&Northwest College Drive City Project No.: 02318 The purpose of this letter is to acknowledge that Independent Utility Construction, Inc. (the "Contractor") has been paid in full by D.R. Horton - Texas, LTD. (the "Developer") for the public improvements constructed to serve Marine Creek Pkwy & Northwest College Drive in Fort Worth, Texas. As a result,we hereby waive, release and relinquish all rights to assert any claim or demand for lien in connection with this project. Please feel free to contact me with any questions you may have. Sincerely, Richard Wolfe President 5109 Sun Valley Drive Fort Worth,Texas 76119 817-478-4444 www.iuctx.com October 27th, 2017 City of Fort Worth CFA Administration 200 Texas St. Fort Worth,TX 76102 Project Name: Marine Creek Pkwy&Northwest College Drive City Project No.: 02318 Please accept this letter as our formal acknowledgment to the City of Fort Worth that Independent Utility Construction, Inc.,the Street Light Contractor for Marine Creek Pkwv&Northwest College Drive,has not been assessed any liquidated damages under its contract with D.R. Horton-Texas, LTD. I i If you need any further information in regards to this matter,feel free to contact me. Sincerely, I Richard Wolfe President i i I i CONSENT OF OWNER ❑ SURETY COMPANY ARCHITECT ❑ CONTRACTOR ❑ TO FINAL PAYMENT SURETY ❑ OTHER (SIMILAR TO AIA DOCUMENT G707) Bond No. 5063138 PROJECT: Marine Creek Parkway and Northwest College Drive Intersection and Signal Upgrade (name,address)Improvements, Fort Worth, Texas TO (Owner) ARCHITECT'S PROJECT NO: F—City of Fort Worth CONTRACT FOR: Above Project 200 Texas Street Fort Worth, Texas 76102 CONTRACT DATE: CONTRACTOR: Independent Utility Construction, Inc. In accordance with the provisions of the Contract between the Owner and the Contractor as indicated above, the(here insert name and address of Surety Company) Westfield Insurance Company 555 Republic Drive, Suite 450 Plano, Texas 75074 SURETY COMPANY, on bond Of(here insert name and address of Contractor) Independent Utility Construction, Inc. 5109 Sun Valley Drive CONTRACTOR, Fort Worth, Texas 76119 hereby approves of the final payment to the Contractor, and agrees that the final payment to the Contractor shall not relieve the Surety Company Of any of its obligations to(here insert name and address of Owner) City of Fort Worth 200 Texas Street Fort Worth, Texas 76102 OWNER, as set forth in the said Surety Company's bond. IN WITNESS WHEREOF, The Surety Company has hereunto set its hand this 27th day of October 2017 WESTFIELD INSURANCE COMPANY Surety Company By Attest: Signature of Authorized Representative � (Seal): Kyle W. Sweeney Attorney-in-Fact Title Note:This form is intended to be used as a companion document to the Contractor's Affidavit of Payment of Debts and Claims,Current Edition THIS POWER OF ATTORNEY SUPERCEDES ANY PREVIOUS POWER BEARING I HI5 SAMt POWER#AND ISSUED PRIOR TO 04/20/11, FOR ANY PERSON OR PERSONS NAMED BELOW. General POWER NO. 4220052 06 Power Westfield Insurance Co. 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 INSURANCF 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 its principal office in Westfield Center, Medina County, Ohio, do by these presents make,constitute and appoint CHARLES D. SWEENEY, MICHAEL A. SWEENEY, KYLE W.SWEENEY, ELIZABETH GRAY,JOINTLY OR SEVERALLY of FORT WORTH and State of TX its true and lawful Attorney(s)-in-Fact,with full power and authority hereby conferred in its name, place and stead, to execute, acknowledge and deliver any and all bonds, recognizances, undertakings, or other instruments or contracts of suretyship- - - - - - - - -- - - - - - - - - - - - - - - - - - - - - - - -- - - - - - - - - - - - - - - - - - - - - - - -- - - - - LIMITATION: THIS POWER OF ATTORNEY CANNOT BE USED TO EXECUTE NOTE GUARANTEE, MORTGAGE DEFICIENCY, MORTGAGE GUARANTEE, OR BANK DEPOSITORY BONDS. 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 Attorneys)-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 Attorneys)-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, recognizances, contracts, agreements of indemnity and other conditional or obligatory undertakings and any and all notices and documents canceling or terminating the Company's liability thereunder, and any such instruments so executed by any such Attorney-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 Senior Executive and their corporate seals to be hereto affixed this 20th day of APRIL A.D.,2011 . w.w.w.eN ,Juua•n„� ,„,....o.., Corporate tlti "•• ONAt "�. WESTFIELD INSURANCE COMPANY Seals ` S«• �y6' �• •- ••!�Yp ,� 1NSU ;• WESTFIELD NATIONAL INSURANCE COMPANY Affixedw` `o: •GA=, ,2.&% •� OHIO FARMERS INSURANCE COMPANY 4 N '•�ro .r: SEAL :m. 'a—s: •a= Y�=t :, .p �3'. 11348•aa_ ` 41 .•' State of Ohio """"" ”'"•*"''' ` """"" By: yRichard L. Kinnaird, Jr., National Surety Leader and County of Medina ss.: Senior Executive On this 20th day of APRIL A.D.,2011 , before me personally came Richard L. Kinnaird, Jr. to me known, who, being by me duly sworn, did depose and say,that he resides"in.Medina, Ohio;that he is 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 Boards of Directors of said Companies;and that he signed his name thereto by like order. Notarial Seal ,•`Ik A Affixed Abp •' William J. Kahelin, A rney at Law, Notary Public State of Ohio zo d 40 My Commission Does Not Expire(Sec. 147.03 Ohio Revised Code) County of Medina ss.: q I, Frank A. Carrino, Secretary of 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 Attorney, executed by said Companies,which is still in full force and effect;and furthermore,the resolutions of the Boards 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 seals of said Companies at Westfield Center, Ohio, this27 th day of October.., A.D. �,. 2017 ,.. ,..,..,, X:AURA& a, O , i �• HART • ��, 4 .411 v SERI, /�iti-o.�/Y"t 1, L M* •': secretary 1� ,,v: :0 >�: 184 ,� '•.�• j •,z�•. •:o, •e; Frank A. Carrino, Secretary BPOAC2 (combined) (06-02)