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Home My WebLink AboutContract 48056-FP2 , r FORTWORTH. CITY SECRETARY�r CONTRACT NO. ` `$ �-�� •. TRANSPORTATION AND PUBLIC WORKS NOTICE OF PROJECT COMPLETION (Developer Projects) Ci� nCanpeoZ 'NVI® City Project Ns: 100373 •7 4 #y�ll54 Regarding contract 100373 for 7-ELEVEN SOUTHWEST BASSWOQD ADDITION 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. d Original Contract Price: QO zpp ,o .c $30,447.58 Amount of Approved Change Orders: Ns \1� wr- Revised Contract Amount: 0 1 V a 0 c Total Cost Work Completed: $30,447.58 N o > o . y .cam ` >, t) c ra 0 m Q. 0 'C °tf r m c W a' 0 0 a � � c cL a o c � m � c � 0 0 � Mmcn:c (� E � CC� o1 � •� � ! V 6 d � Ld a. d d Z .^'Y W Q d o G1 d 2R LL O d ' r ILU Recommended tance Date Asst. Director, - Development Services Z) W.--Li 4-1 . -/Iw /' .240/Y Accepted 0 Date S Director, TRANSPORTATION & PUBLIC WORKS Asst{ City anager Date 78 9r�,j OFFICIAL RECORD Co ents: G� ' CITY SECRETARY <G `�� C FT.WORTH,TX & Rev.9/22/16 4 FORT WORTH CITY OF FORT WORTH FINAL PAYMENT REQUEST Contract Name 7-ELEVEN SOUTHWEST BASSWOOD ADDITION Contract Limits Project Type PAVING&ST LIGHT City Project Numbers 100373 DOE Number 0373 Estimate Number I Payment Number I For Period Ending 2/19/2018 CD City Secretary Contract Number Contract Time 1 ICD Contract Date Days Charged to Date 470 Project Manager NA Contract is 100.00 Complete Contractor VERTICAL CONSTRUCTION MANAGEMENT LL 1209 SOUTH WHITE CHAPEL BLVD#180 SOUTHLAKE, TX 76092 Inspectors LAYER/ ODEN Wednesday,February 21,2018 Page 1 of 5 el City Project Numbers 100373 DOE Number 0373 Contract Name 7-ELEVEN SOUTHWEST BASSWOOD ADDITION Estimate Number 1 Contract Limits Payment Number I Project Type PAVING&ST LIGHT For Period Ending 2/19/2018 Project Funding PAVING Item Description of Items Estimated Unit Unit Cost Estimated Completed Completed No. Quanity Total Quanity Total 1 FULL DEPTH SAWCUT PAVEMENT 79 LF $8.00 $632.00 79 $632.00 2 REMOVE CONC CURB&GUTTER 75 LF $4.28 $321.00 75 $321.00 3 HYDRATED LIME 2 TN $175.00 $350.00 2 $350.00 4 6"LIME TREATMENT 144 SY $3.33 $479.52 144 $479.52 5 7"CONCRETE DRIVEWAY 1158 SF $3.44 $3,983.52 1158 $3,983.52 6 4"CONC SIDEWALK 1066 SF $3.94 $4,200.04 1066 $4,200.04 7 6"CONC CURB&GUTTER 70 LF $20.20 $1,414.00 70 $1,414.00 Sub-Total of Previous Unit $11,380.08 $11,380.08 STREET LIGHT ItemDescription of Items Unit Unit Cost Estimated Estimated Completed Completed No. Quanity Total Quanity Total 1 CONDUIT BOX I EA $783.00 $783.00 1 $783.00 2 2"CONDT PVC SCH 80 400 LF $22.42 $8,968.00 400 $8,968.00 3 2"CONDT RM I LF $22.42 $22.42 1 $22.42 4 8/C 14 AWG MULTI CONDUCTOR CABLE 400 LF $1.17 $468.00 400 $468.00 5 LED LIGHTING FIXTURE 1 EA $633.00 $633.00 1 $633.00 6 RDWY ILLUM ASSEMBLY 1 EA $905.89 $905.89 1 $905.89 7 RDWY ILLUM FOUNDATION I EA $984.84 $984.84 I $984.84 Sub-Total of Previous Unit $12,765.15 $12,765.15 MISC IMPROVEMENTS ItemDescription of Items Unit Unit Cost Estimated Estimated Completed Completed No. Quanity Total Quanity Total I SITE CLEARING 1 LS $2,000.00 $2,000.00 1 $2,000.00 2 UNCLASSIFIED EXCAVATION BY PLAN 33 CY $8.35 $275.55 33 $275.55 3 BORROW BY PLAN 28 CY $6.90 $193.20 28 $193.20 4 SWPPP>1 ACRE I LS $1,000.00 $1,000.00 1 $1,000.00 5 4"SLD PVMT MARKING TAPE 45 LF $2.58 $116.10 45 $116.10 6 24"SLD PVMT MARKING HAE 20 LF $8.84 $176.80 20 $176.80 7 REMOVE AND REINSTALL SIGN PANEL AND 2 EA $100.00 $200.00 2 $200.00 POST Wednesday,February 21,2018 Page 2 of 5 City Project Numbers 100373 DOE Number 0373 Contract Name 7-ELEVEN SOUTHWEST BASSWOOD ADDITION Estimate Number I Contract Limits Payment Number I Project Type PAVING&ST LIGHT For Period Ending 2/19/2018 Project Funding 8 FURNISH/INSTALL ALUM SIGN GROUND 2 EA $300.00 $600.00 2 $600.00 MOUNT CITY STD 9 SEEDING,HYDROMULCH 670 SY $1.57 $1,051.90 670 $1,051.90 10 TOPSOIL 168 CY $4.10 $688.80 168 $688.80 Sub-Total of Previous Unit $6,302.35 $6,302.35 Wednesday,February 21,2018 Page 3 of 5 City Project Numbers 100373 DOE Number 0373 Contract Name 7-ELEVEN SOUTHWEST BASSWOOD ADDITION Estimate Number 1 Contract Limits Payment Number 1 Project Type PAVING&ST LIGHT For Period Ending 2/19/2018 Project Funding Contract Information Summaiy Original Contract Amount $30,447.58 Chante Orders Total Contract Price $30,447.58 Date �Z; Total Cost of Work Completed $30,447.58 Contractor ,J Less %Retained $0.00 1o, - Date✓�"Z 3 Net Earned $30,447.58 Inspe 'on Supervisor Earned This Period $30,447.58 Retainage This Period $0.00 Date y 7 Less Liquidated Damages ro�ect M n ger Days @ /Day $0.00 Date t LessPavement Deficiency $0.00 Ass . irec ' 1 Less Penalty $0.00 . �✓ Date Less Previous Payment $0.00 Directo Contracting Departn nt Plus Material on Hand Less 15% $0.00 Balance Due This Payment $30,447.58 Wednesday,February 21,2018 Page 4 of 5 City Project Numbers 100373 DOE Number 0373 Contract Name 7-ELEVEN SOUTHWEST BASSWOOD ADDITION Estimate Number I Contract Limits Payment Number I Project Type PAVING&ST LIGHT For Period Ending 2/19/2018 Project Funding Project Manager NA City Secretary Contract Number Inspectors LAYER / ODEN Contract Date Contractor VERTICAL CONSTRUCTION MANAGEMENT LL Contract Time 110 CD 1209 SOUTH WHITE CHAPEL BLVD#180 Days Charged to Date 470 CD SOUTHLAKE, TX 76092 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 $30,447.58 Less %Retained $0.00 Net Earned $30,447.58 Earned This Period $30,447.58 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 $30,447.58 Wednesday,FebrUary 21,2018 Page 5 of 5 FORTWORTH rev 03/05/07 TRANSPORTATION & PUBLIC WORKS FINAL STATEMENT OF CONTRACT TIME FINAL STATEMENT NO.:1 NAME OF PROJECT: 7-Eleven Southwest Basswood Addition PROJECT NO.: 100373 CONTRACTOR: Vertical Construction DOE NO.: N/A PERIOD FROM:11/16/16 TO: 02/19/18 FINAL INSPECTION DATE: 19-Feb-18 WORK ORDER EFFECTIVE:11/16/2016 CONTRACT TIME: 470 Q WfQi CD DAY OF DAYS REASON FOR DAYS DAY OF DAYS REASON FOR DAYS MONTH CHARGED CREDITED MONTH CHARGED CREDITED DURING DURING 1. 16. 2. 17. 3. 18. 4. 19. 5. 20. 6. 21. 7. 22. 8. 23. 9. 24. 10. 25. 11. 26. 12. 27. 13. 28. 14. 29. 15. 30. 31. SAT,SUN, RAIN,TOO WET, UTILITIES DAYS TOTAL &HOLIDAYS &TOO COLD RELOCATIONS OTHERS* CHARGED DAYS THIS 0 0 0 0 470 470 PERIOD PREVIOUS 0 0 0 0 0 PERIOD TOTALS 0 0 0 0 470 470 TO DATE *REMARKS: CONTRACTOR DATE INSPECTOR DATE _ ENGINEERING DEPARTMENT The City of Fort Worth•1000 Throckmorton Street•Fort Worth,TX 76012-6311 (817)392-7941 •Fax:(817)392-7845 FORTWORTHREV:0212210' TRANSPORTATION AND PUBLIC WORKS CONTRACTOR'S EVALUATION OF CITY I)PROJECT INFORMATION Date: 2/20/2018 Name of Contractor Project Name Vertical Construction 7-Eleven Basswood Addition DOE Inspector Project Manager Weyman Oden Gopal Sahu DOE Number Project Difficulty TjpeofContract CPN#100373 O Simple QQ Routine Q Complex ❑ Water❑ Waste Water[:] Storm DrainageE] Pavement Initial Contract Amount Final Contract Amount $30,447.58 $30,447.58 Ill)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 r 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 v( PROJECT MANAGER EVALUATION 6 Performance-Setting up Valve Crews,Labs 1 Knowledge And/Or Problem Resolution i f ADMINISTRATION 2 Availability of Project Manager �l 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 (D The City of Fort Worth•1000 Throckmorton Street•Fort Worth,TX 76012-6311 (817)392-7941 •Fax: (817)392-7845 FORTWORTH REV:02/20/07 TRANSPORTATION AND PUBLIC WORKS PERFORMANCE EVALUATION OF CONTRACTOR I) CONTRACTOR&PROJECT DATA Name of Contractor Project Name Vertical Construction 7-Eleven Basswood Addition DOE Inspector DOE Number Weyman Oden CPN# 100373 DOEInspector Project Manager ❑ Water❑ waste Water❑ Storm Drainage❑✓ Pavement Gopal Sahu Initial Contract Anioimt ProjectDifficulty $30,447.58 O Simple Routine Q Complex Final Contract Amount Date $30,447.58 2/20/2018 In 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 3 20 15 3 Plans on Site 5 Y 3 20 15 4 Field Supervision 15 Y 3 60 45 5 Work Performed 15 Y 3 60 45 6 Finished Product 15 Y 3 60 45 7 Job Site Safety 15 Y 3 60 45 8 Traffic Control Maintenance 15 Y 3 60 45 9 Daily Clean Up 5 Y 3 20 15 10 Citizen's Complaint Resolution 5 Y 3 20 1 15 11 Property Restoration 5 Y 3 20 15 12 After Hours Response 5 Y 3 20 15 13 Project Completion 5 Y 2 20 10 TOTAL ELEMENT SCORE(A) 331 BONUS POINTS(25 Maximum)(B) TOTAL SCORE(TS) 331 III)CONTRACTOR'S RATING Maximum Score(MS)=448 or sum of applicable element score maximums which= 448 Rating(ITS/MS] *100%) 331 / 448 = 74% Performance Category Good <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) Signature DOE Inspector �� ",esc—� Signature Contractor Signature DOE Inspector's Supervisor CONTRACTOR'S COMMENTS _ TRANSPORTATION AND PUBLIC WORKS The City of Fort Worth• 1000 Throckmorton Street•Fort Worth,TX 76012-6311 (817)392-7941 •Fax: (817)392-7845 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 Clint Clements , VP Operations and Construction Of VCM, 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; Public Works B Clint Clements Subscribed and sworn before me on this date 19 of February, 2019. � � _ a°rnv A4BtcTAMMI LYN DAVIS '- Notary ID # 129124687 My Commission Expires Notary PubIie s„F�,E*� September 23.2020 County, State l POA#: 4221098 re ec Insurance Company LIMITED POWER OF ATTORNEY Know All Men by These Presents, That SURETEC INSURANCE COMPANY (the "Company"), a corporation duly organized and existing under the laws of the State of Texas, and having its principal office in Houston, Harris County, Texas, does by these presents make,constitute and appoint Diane M.Thompson, Farrah Carlton, Gregory Hotchkiss,Jennifer Malone, Michael J. Hotchkiss,Kenneth G.Hotchkiss,Tye H.Justice,Wesley L.Weatherred,Teri Holley, Kari Fumerola its true and lawful Attorney-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 to include waivers to the conditions of contracts and consents of surety for: Five Million and 00/100 Dollars($5,000,000.00) and to bind the Company thereby as fully and to the same extent as if such bond were signed by the President, sealed with the corporate seal of the Company and.duly attested by its Secretary,hereby ratifying and confirming all that the said Attomey-in-Fact may do in the premises. Said appointment shall continue in force until 12/31/2016 and is made under and by authority of the following resolutions of the Board of Directors of the SureTec Insurance Company: Be it Resolved that the President, any.Vice-President, any Assistant Vice-President, any Secretary or any Assistant Secretary 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: Attorney-in-Fact may be given fu11 power and authority for and in the name of and of behalf of the Company,to execute, acknowledge and deliver,any and all bonds,recognizances,contracts,agreements or 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 binding upon the Company as if signed by the President and sealed and effected by the Corporate Secretary. Be it Resolved, that the signature of any authorized officer and 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 signature or facsimile seal shall be valid and binding upon the Company with respect to any bond or undertaking to which it is attached. (Adopted at a meeting held on 206 of April, 1999.) In Witness Whereof, SURETEC INSURANCE COMPANY has caused these presents to be signed by its President,and its corporate seal to be hereto affixed this 21 st day of March,A.D.2013. SURETEC INSURANCE COMPANY XANp�w,, By: WF�il w = John IVOX Tresident 3 q State of Texas ss: 7.ip County of Harris '~..* ,.FS On this 21st day of March,A.D.2013 before me personally came John Knox Jr.,to me known,who,being by me duly sworn,did depose and say,that he resides in Houston, Texas, that he is President of SURETEC INSURANCE COMPANY, the company described in and which executed the above instrument;that he knows the seal of said Company;that the seal affixed to said instrument is such corporate seal;that it was so affixed by order of the Board of Directors of said Company;and that he signed his name thereto by like order. JACQUELYN MALDONADO Notary Public State of Texas My Comm.Exp.5/18/2017 Jacq elyn Maldonado,Notary Public My commission expires May 18,2017 I,M.Brent Beaty,Assistant Secretary of SURETEC INSURANCE COMPANY,do hereby certify that the above and foregoing is a true and correct copy of a Power of Attorney, executed by said Company,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. September 2016 Given under my hand and the seal of said Company at Houston, Texas this �°Gam—day of ,A.D. Bre t Beaty,Assistant ecretary Any instrument issued in excess of the penalty stated above is totally void and without any validity. For verification of the authority of this power you may call(713)812-0800 any business day between 8:00 am and 5:00 pm GST. SURETEC INSURANCE COMPANY 9737 Great Hills Trail, Suite 320, Austin, Tx 78759 OWNER ❑ ARCHITECT ❑ CONSENT OF SURETY CONTRACTOR ❑ TO FINAL PAYMENT SURETY El OTHER ❑ BOND NO.: 4409801 TO OBLIGEE: (Name and Address) CONTRACT FOR: City of Ft.Worth Water; Sanitary&Sewer and Paving 200 Texas St. Improvements Fort Worth, TX 76102 PROJECT: CONTRACT DATED: (Name and Address) August 11, 20169 7-Eleven-Basswood 4325 N Frwy SE SB; Ft.Worth, TX 76137 PRINCIPAL: Vertical Construction Management, LLC At the request of the Obligee and the Principal indicated above,(Insert none and address ofSureq) SureTec Insurance Company, 9737 Great Hills Trail, Suite 320, Austin, Tx 78759 SURETY, on bond of (Insert name and address ofContractoi) Vertical Construction Management, LLC 1209 S White Chapel Blvd., Suite 180; Southlake, TX 76092 ,CONTRACTOR, and conditioned on the representation by Obligee that all Contract provisions relating to the payment of final payment under the Contract have been satisfied by Principal as of the date of final payment,and that no claims by Obligee or any third party are known or believed by Obligee or its representatives to exist as of the date of final payment,representations as to the truth and accuracy of the foregoing conditions being deemed to have been made by Obligee in connection with this request for Consent of Surety,hereby approves of the final payment to the Principal,and agrees that final payment in accordance with the terms hereof shall not relieve the Surety of its obligations to (Insert name and address of Obligee) City of Ft.Worth 200 Texas St. Fort Worth, TX 76102 ,OBLIGEE, as set forth in said Surety's bond. IN WITNESS WHEREOF,the Surety has hereunto set its hand on this date: March 21, 2018 (Insert in writing the month followed by the numeric date and year.) SureT"c In ce Co (Stn' ) (Signature of authorized represen t' e) Teri Holley Attest: ,Attorney-in-Fact (Seal): (Printed name and title) SURETEC CONSENT TO FINAL PAYMENT REV. 1.1.2004 POA#: 4221098 SureTec Insurance Company LIlVIITED POWER OF ATTORNEY Snow All Men by These Presents, That SURETEC INSURANCE COMPANY (the "Company"), a corporation duly organized and existing under the laws of the State of Texas, and having its principal office in Houston, Harris County, Texas, does by these presents make,constitute and appoint Diane M.Thompson, Farrah Carlton, Gregory Hotchkiss,Jennifer Malone, Michael J.Hotchkiss, Kenneth G.Hotchkiss,Tye H.Justice,Wesley L.Weatherred,Teri Holley,Kari Fumerola its true and lawful Attorney-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 to include waivers to the conditions of contracts and consents of surety for,providing the bond penalty does not exceed Five Million and 00/100 Dollars($5,000,000.00) and to bind the Company thereby as fully and to the same extent as if such bond were signed by the President,sealed with the corporate seal of the Company and duly attested by its Secretary,hereby ratifying and confirming all that the said Attorney-in-Fact may do in the premises. Said appointment shall continue in force until 12/31/2019 and is made under and by authority of the following resolutions of the Board of Directors of the SureTec Insurance Company: Be it Resolved, that the President,any Vice-President, any Assistant Vice-President, any Secretary or any Assistant Secretary 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: Attorney-in-Fact may be given full power and authority for and in the name of and of behalf of the Company,to execute, acknowledge and deliver,any and all bonds,recognizances,-contracts,agreements or 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 binding upon the Company as if signed by the President and sealed and effected by the Corporate Secretary. Be it Resolved,that the signature of any authorized officer and 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 signature or facsimile seal shall be valid and binding upon the Company with respect to any bond or undertaking to which it is attached. (Adopted at a meeting held on 20,h of April, 1999) In Witness Whereof,SURETEC INSURANCE COMPANY has caused these presents to be signed by its President, is corporate seal to be hereto affixed this 15th day of May ,A.D. 2017 . wyyllYYlYlnYlp,yN SURETEC S V1�L�1, C' .?: ,r0 '''s�' By: UJ i w n_ John Knox resid t State of Texas ss: County of Harris On this 15th day of May ,A-D. 2017 before me personally came John Knox Jr.,to me known,who,being by me y sworn,did depose and say,that he resides in Houston, Texas, that he is President of SURETEC INSURANCE COMPANY, the company described in and which executed the above instrument;that he knows the seal of said Company;that the seal affixed to said instrument is such corporate seal;that it was so affixed by order of the Board of Directors of said Company;and that he signed his name thereto by like order. JACQUELYN GREENLEAF n_Notary Public,State of Texas 9t +ec Comm.Expires 05-18-2021 ',��D;,;:�� Notary ID 126903029 Jacq lyn Greenleaf,Notary Public My commission expires May 18,2021 I,M.Brent Beaty,Assistant Secretary of SURETEC INSURANCE COMPANY,do hereby certify that the above and foregoing is a true and correct copy of a Power of Attorney,executed by said Company,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. Given under my hand and the seal of said Company at Houston,Texas this 21,9t day of Marc 013 A.D. J/)IWLV' M.Brent Beaty,Assistant Sec etary Any instrument issued in excess of the penalty stated above is totally void and without any validity. For verification of the authority of this power you may call(713)812-0800 any business day between 8:00 am and 5:00 pm CST. 't SureTec Insurance Company THIS BOND RIDER CONTAINS IMPORTANT COVERAGE INFORMATION Statutory Complaint Notice To obtain information or make a complaint: You may call the Surety's toll free telephone number for information or to make a complaint at: 1-866-732-0099. You may also write to the Surety at: SureTec Insurance Company 9737 Great Hills Trail, Suite 320 Austin, TX 78759 You may contact the Texas Department of Insurance to obtain information on companies, coverage, rights or complaints at 1-800-252-3439. You may write the Texas Department of Insurance at PO Box 149104 Austin, TX 78714-9104 Fax#: 512-475-1771 PREMIUM OR CLAIM DISPUTES: Should you have a dispute concerning your premium or about a claim, you should contact the Surety first. If the dispute is not resolved, you may contact the Texas Department of Insurance. ---------------------------------------------------------------------------------------------------------------------------- Terrorism Risks Exclusion The Bond to which this Rider is attached does not provide coverage for, and the surety shall not be liable for, losses caused by acts of terrorism, riot, civil insurrection, or acts of war. ------------------------------------------------------------------------------------------------------------------ Exclusion of Liability for Mold, Mycotoxins, Fungi & Environmental Hazards The Bond to which this Rider is attached does not provide coverage for, and the surety thereon shall not be liable for, molds, living or dead fungi, bacteria, allergens, histamines, spores, hyphae, or mycotoxins, or their related products or parts, nor for any environmental hazards, bio-hazards, hazardous materials, environmental spills, contamination, or cleanup, nor the remediation thereof, nor the consequences to persons, property, or the performance of the bonded obligations, of the occurrence, existence, or appearance thereof. Texas Rider 010106