HomeMy WebLinkAboutContract 49535-FP2 City Secretary�953� FP2
Contract No.
FORT WORTHO) Date Received Sep 6,2018
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: WATERSBEND NORHT PH.4B
City Project No.: 100550
Improvement Type(s): X Paving LZ Drainage ❑x Street Lights O Traffic Signals
Original Contract Price: $1,815,250.00
Amount of Approved Change Order(s): $20,779.00
Revised Contract Amount: $1,836,029.00
Total Cost of Work Complete: $1,836,029.00
f2l-z Lha
Bertha Glanulis(Aug 22.2018) Aug 22,2018
Contractor Date
Controller
Title
Conatser Construction TX,LP
Company Name
Aug 23,2018
Project Inspector Date
�i..(S.'013) Sep 6,2018
Project Manager Date
X77&/21,-giLett �Oja�et Sep 6,2018
Janie Scarlett Morales(Sep 6,2013)
CFA Manager Date
Susan Alanis(Sep'�2o118 Sep 6,2018
Asst. City Manager Date
R .C. 1V�17 Page 1 of 2
r4Ti CF Font NOV
r,:,-l}1 SSCR�SARY
Notice of Project Completion
Project Name:WATERSBEND NORHT PHAB
City Project No.: 100550
City's Attachments
Final Pay Estimate
Change Order(s): ® Yes ❑ N/A
Contractor's Attachments
Affidavit of Bills Paid
Consent of Surety '
Statement of Contract Time
Contract Time: 256 CD Days Charged: 334
Work Start Date: 9/18/2017 Work Complete Date: 8/17/2018
Page 2 of 2
C
City Project Numbers 100550 DOE Number 0550
Contract Name WATT RSBEND NORTH PHASE 413 Estimate Number I
Contract Limits Payment Number I
I
Project Type STORM DRAIN&PAVING For Period Ending 8/17/2018
I
Project Funding ri
Project Manager NA City Secretary Contract Number II
Inspectors DICKINSON / GREENWOOD Contract Date �)
Contractor CONATSER CONSTRUCTION TzLP Contract Time 196 CD
1
5327 WICHITA ST Days Charged to Date 334 CD
FORT WORTH, TX 76119 Contract is .000000 Complete
t�
CITY OF FORT WORTII
SUMMARY OF CHARGES
Line Fund Account Center Amount Gross Retainage Net
Funded
1
Total Cost of Work Completed $1,836,029.00
Less %Retained $0.00 +
Net Earned $1,836,029.00
Earned This Period $1,836,029.00
i
Retainage This Period $0.00
Less Liquidated Damages
1'
0 Days @ $0.00 /Day $0.00 II
LessPavement Deficiency $0.00 1`
Less Penalty $0.00
Less Previous Payment $0.00 !i
Plus Material on Hand Less 15% $0.00 I!
i
Balance Due This Payment $1,836,029.00
it
I;
Monday,August 20,2018 Page 5 of 5
l
FORT WORTH
CITY OF FORT WORTH
FINAL PAYMENT REQUEST
Contract Name WATERSBEND NORTH PHASE 4B
Contract Limits
Project Type STORM DRAIN&PAVING
City Project Numbers 100550
DOE Number 0550
Estimate Number I Payment Number I For Period Ending 8/17/2018
CD
City Secretary Contract Number Contract Time 19ED
Contract Date Days Charged to Date 334
Project Manager NA Contract is 100.00 Complete
Contractor CONATSER CONSTRUCTION TxLP
5327 WICHITA ST
FORT WORTH, TX 76119
Inspectors DICKINSON / GREENWOOD
Monday,August 20,2018 Page 1 of 5
I
City Project Numbers 100550 DOE Number 0550
Contract Name WATERSBEND NORTH PHASE 4B Estimate Number 1
Contract Limits Payment Number I
Project Type STORM DRAIN&PAVING For Period Ending 8/17/2018
Project Funding
STORM DRAIN
Item Description of Items Estimated Unit Unit Cost Estimated Completed Completed
No. Quanity Total Quanity Total
I 10'CURB INLET 14 EA $2,500.00 $35,000.00 14 $35,000.00
2 TX Y DROP INLET 2 EA $3,500.00 $7,000.00 2 $7,000.00
3 2'X2'DROP INLET I EA $2,500.00 $2,500.00 1 $2,500.00
4 10'X6'JUNCTION BOX 1 EA $9,500.00 $9,500.00 1 $9,500.00
5 2'X2'JUNCTION BOX I EA $2,500.00 $2,500.00 1 $2,500.00
6 Y STORM JUNCTION 1 EA $4,790.00 $4,790.00 1 $4,790.00
7 6'STORM JUNCTION 2 EA $5,990.00 $11,980.00 2 $11,980.00
8 NEENAH#R-4380 5 EA $250.00 $1,250.00 5 $1,250.00
9 15"HDPE PIPE 320 LF $42.00 $13,440.00 320 $13,440.00
10 8'X4'RCB CLASS IV 126 LF $405.00 $51,030.00 126 $51,030.00
11 7'X3'RCB CLASS IV(CO#2) 91 LF $315.00 $28,665.00 91 $28,665.00
12 21"CLASS III RCP 575 LF $57.00 $32,775.00 575 $32,775.00
13 24"CLASS III RCP 641 LF $65.00 $41,665.00 641 $41,665.00
1.4 27"CLASS III RCP 70 LF $73.00 $5,110.00 70 $5,110.00
15 36"CLASS III RCP 421 LF $97.00 $40,837.00 421 $40,837.00
16 39"RCP CLASS III 472 LF $105.00 $49,560.00 472 $49,560.00
17 42"RCP CLASS III 426 LF $113.00 $48,138.00 426 $48,138.00
18 48"RCP CLASS Ill 251 LF $128.00 $32,128.00 251 $32,128.00
19 51"CLASS III RCP 399 LF $134.00 $53,466.00 399 $53,466.00
20 TRENCH SAFETY 3782 LF $0.50 $1,891.00 3782 $1,891.00
21 48"SET 1 PIPE 1 EA $4,000.00 $4,000.00 1 $4,000.00
22 REMOVE 30"STORM LINE 10 LF $30.00 $300.00 10 $300.00
23 REMOVE 5'DROP INLET I EA $1,000.00 $1,000.00 1 41,000.00
24 CONCRETE COLLAR 7 EA $500.00 $3,500.00 7 $3,500.00
25 GABION MATTRESS 27 SY $150.00 $4,050.00 27 $4,050.00
Sub-Total of Previous Unit $486,075.00 $486,075.00
PAVING
Item Description of Items Estimated Unit Unit Cost Estimated Completed Completed
No. Quanity Total Quanity Total
-----------------------------------------
1 6"CONCRETE PAVEMENT(CO 32) 20478 SY $34.00 $696,252.00 20478 $696,252.00
Monday,August 20,2018 Page 2 of 5
City Project Numbers 100550 DOE Number 0550
Contract Name WATERSBEND NORTH PHASE 4B Estimate Number I
Contract Limits Payment Number 1
Project Type STORM DRAIN&PAVING For Period Ending 8/1712018
Project Funding
2 6"LIME TREATED SUBGRADE 22021 SY $3.00 $66,063.00 22021 $66,063.00
3 HYDRATED LIME C 30LBS 330 TN $173.00 $57,090.00 330 $57,090.00
4 8"CONCRETE PAVEMENT 4782 SY $40.00 $191,280.00 4782 $191,280.00
5 8"LIME TREATED SUBGRADE 5091 SY $3.00 $15,273.00 5091 $15,273.00
6 HYDRATED LIME a 30LBS 77 TN $173.00 $13,321.00 77 $13,321.00
7 P-1 RAMP 24 EA $1,215.00 $29,160.00 24 $29,160.00
8 M-1 RAMP 8 EA $1,200.00 $9,600.00 8 $9,600.00
9 5'CONCRETE SIDEWALK(CO#2) 2495 LF $16.25 $40,543.75 2495 $40,543.75
10 Y CONCRETE SIDEWALK COLLECTOR 1977 LF $16.25 $32,126.25 1977 $32,126.25
11 CONNECT TO CURB&GUTTER 169 LF $20.00 $3,380.00 169 $3,380.00
12 REMOVE END OF ROAD BARRICADE 4 EA $200.00 $800.00 4 $800.00
13 CONCRETE HEADER 138 LF $20.00 $2,760.00 138 $2,760.00
14 TRAFFIC CONTROL 1 LS $1,500.00 $1,500.00 1 $1,500.00
15 ASPHALT PAVING REPAIR(CO 42) 130 SY $60.00 $7,800.00 130 $7,800.00
16 SAWCUT EXISTING DRIVEWAY(CO#2) 3 EA $1,500.00 $4,500.00 3 $4,500.00
17 REMOVE EXISTING RAMPS(CO#2) 6 EA $600.00 $3,600.00 6 $3,600.00
18 CONCRETE CURB&GUTTER(CO#2) 108 LF $20.00 $2,160.00 108 $2,160.00
19 MAILBOX PADS(CO#2) 3 EA $1,200.00 $3,600.00 3 $3,600.00
20 4"SLEEVE BYBORE(CO#2) 60 EA $22.00 $1,320.00 60 $1,320.00
Sub-Total of Previous Unit $1,182,129.00 $1,182,129.00
ST LIGHT
Item Description of Items Estimated Unit Unit Cost Estimated Completed Completed
No. Quanity Total Quanity Total
---__.- --------------.--.—_ _._ --------
1 ATBO 20BLEDE70 MVOLT R2 27 EA $800.00 $21,600.00 27 $21,600.00
2 CONCRETE FOUNDATION TYPE 1 27 EA $2,000.00 $54,000.00 27 $54,000.00
3 INSTALL TYPE 11 POLE W/TYPE 33 B ARM 27 EA $1,000.00 $27,000.00 27 $27,000.00
4 2"CONDT PVC SCH 80 2007 LF $12.00 $24,084.00 2007 $24,084.00
5 NO 6 INSULATED ELEC CONDR 6021 LF $3.00 $18,063.00 6021 $18,063.00
6 ST SIGN W/STOP SOGN OR WARNING SIGN 23 EA $595.00 $13,685.00 23 $13,685.00
7 ST SIGN W/O STOP SIGN 5 EA $489.00 $2,445.00 5 $2,445.00
8 ST MARKER BLADE 36 EA $193.00 $6,948.00 36 $6,948.00
Sub-Total of Previous Unit $167,825.00 $167,825.00
Monday,August 20,2018 Page 3 of 5
City Project Numbers 100550 DOE Number 0550
Contract Name WATERSSEND NORTH PHASE 413 Estimate Number 1
Contract Limits Payment Number 1
Project Type STORM DRAIN&PAVING For Period Ending 8/17/2018
Project Funding
Contract Information Summary
Original Contract Amount $1,815,250.00
ChanIze Orders
Change Order Number 2 $20,779.00
Total Contract Price $1,836,029.00
Total Cost of Work Completed $1,836,029.00
Less %Retained $0.00
Net Earned $1,836,029.00
Earned This Period $1,836,029.00
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 $1,836,029.00
Monday,August 20,2018 Page 4 of 5
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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 Brock Huggins, President of Conatser Management Group, Inc.,
general partner of Conatser Construction TX_ LP, 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; and
That there are no claims pending for personal injury and/or property damages;
On Contract described as:
WATERSBEND NORTH,PHASE 4B
WATER,SANITARY SEWER,STORM DRAIN,PAVING
AND STREET LIGHT IMPROVEMENTS
DOE#: N/A
CFA PRJ#:N/A
CITY PROJCT M 100550
CITY OF FORT WORTH
STATE OF TEXAS
CONATSER CONSTRUCTION TX,LP
i }`,'•'p s,A` BERTHA GIANULIS
j s?' Notary Pub11C,Stote of Texas =�
My Commission ExpfreS Brock Huggins
September 18, 2019 e.
Subscribed and sworn to before me this 19'day of July,2
Notary Public in Tarrant County, Texas !�\�
CONSENT OF OWNER ❑
SURETY COMPANY ARCHITECT ❑
CONTRACTOR ❑
TO FINAL PAYMENT SURETY ❑
Conforms with the American Institute of OTHER
Architects,AIA Document G707
Bond No 0210038
PROJECT:
(name, address)Watersbend North, Phase 46
Ft.Worth,TX
TO (Owner)
BLOOMFIELD HOMES, L.P.AND CITY OF FORT -J ARCHITECT'S PROJECT NO:City Project No. 100550
WORTH CONTRACT FOR:
1050 E.Highway 114,Suite 210 Paving,Drainage Street Ligghis,Water,&Sanitary Sewer for
Watersbend North Phase 4B
Southlake TX 76092 _f CONTRACT DATE:
CONTRACTOR:CONATSER CONSTRUCTION TX, L.P.
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}
BERKLEY INSURANCE COMPANY
475 Steamboat Road
Greenwich CT 06830 , SURETY COMPANY
on bond of (here insert name and address of Contractor)
CONATSER CONSTRUCTION TX, L.P.
5327 Wichita St.
Fort Worth TX 76119-6035 , 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 Owner)
BLOOMFIELD HOMES,L.P.AND CITY OF FORT WORTH
1050 E. Highway 114,Suite 210
Southlake TX 76092 , OWNER,
as set forth in the said Surety Company's bond.
IN WITNESS,WHEREOF,
the Surety Company has hereunto set its hand this 13th day of July,2018
BERKLEY INSURANCE COMPANY
Surety Company
Attest:
(Seal): ��� � .,
Signature of Authorized Representative
Robbi Morales Attorney-in-Fact
Title
NOTE: This form is to be used as a companion document to AIA DOCUMENT G706, CONTRACTOR'S AFFIDAVIT OF PAYMENT OF DEBTS AND CLAIMS,
Current Edition
ONE PAGE
No.BI-7280g
POWER OF ATTORNEY
BERKLEY INSURANCE COMPANY
WILMINGTON,DELAWARE
NOTICE: The warning found elsewhere in this Power of Attorney affects the validity thereof. Please review carefully.
�s KNOW ALL MEN BY THESE PRESENTS, that BERKLEY INSURANCE COMPANY (the "Company"), a corporation duly
organized and existing under the laws of the State of Delaware,having its principal office in Greenwich, CT,has made, constituted
and appointed, and does by these presents make, constitute and appoint: Ricardo J. Reyna; Don E. Cornell; Vena DeLene
-0 ' Marshall; Sophinie Hunter; Robbi Morales; Kelly A. Westbrook; or Tina McEwan of Aon Risk Services Southwest, Inc. of
° Dallas, TX its true and lawful Attomey-in-Fact, to sign its name as surety only as delineated below and to execute, seal,
acknowledge and deliver any and all bonds and undertakings,with the exception of Financial Guaranty Insurance,providing that no
u single obligation shall exceed Fifty Million and 00/100 U.S. Dollars (U.S.S50,000,000.00), to the same extent as if such bonds
had been duly executed and acknowledged by the regularly elected officers of the Company at its principal office in their own
E
22 proper persons.
d u This Power of Attorney shall be construed and enforced in accordance with, and governed by, the laws of the State of Delaware,
Z j without giving effect to the principles of conflicts of laws thereof. This Power of Attorney is granted pursuant to the following
C= resolutions which were duly and validly adopted at a meeting of the Board of Directors of the Company held on January 25,2010:
y
o c RESOLVED, that, with respect to the Surety business written by Berkley Surety Group, the Chairman of the Board, Chief
= u Executive Officer, President or any Vice President of the Company, in conjunction with the Secretary or any Assistant
o Secretary are hereby authorized to execute powers of attorney authorizing and qualifying the attorney-in-fact named therein to
c execute bonds, undertakings, recognizances, or other suretyship obligations on behalf of the Company, and to affix the
o ❑ corporate seal of the Company to powers of attorney executed pursuant hereto; and said officers may remove any such
attomey-in-fact and revoke any power of attorney previously granted;and further
w RESOLVED,that such power of attorney Iimits the acts of those named therein to the bonds,undertakings,recognizances, or
other suretyship obligations specifically named therein,and they have no authority to bind the Company except in the manner
y; > and to the extent therein stated;and further
E c RESOLVED, that such power of attorney revokes all previous powers issued on behalf of the attorney-in-fact named; and
0 en further
RESOLVED, that the signature of any authorized officer and the seal of the Company may be affixed by facsimile to any
power of attorney or certification thereof authorizing the execution and delivery of any bond, undertaking, recognizance, or
other suretyship obligation of the Company;and such signature and seal when so used shall have the same force and effect as
though manually affixed. The Company may continue to use for the purposes herein stated the facsimile signature of any
-o E person or persons who shall have been such officer or officers of the Company, notwithstanding the fact that they may have
T; ceased to be such at the time when such instruments shall be issued.
0 o IN WITNESS WHEREOF, the Comp ny has caused these presents to be signed and attested by its appropriate officers and its
se corporate seal hereunto affixed thisday of 2016.
v t Attest: Berkley Insurance Company
� E-
Z ci (Si'al) By
Ira S.Lederman t J It . .after
Executive Vice President&Secretary \\\S' 6ior Vleb President
c
WARNING:THIS POWER INVALID IF NOT PRINTED ON BLUE"BERKLEY"SECURITY PAPER.
V '^
o STATE OF CONNECTICUT)
N ) ss:
° A COUNTY OF FAIRFIELD )
Sworn to before me, a Notary Public in the State of Connecticut, this 21 day of�,e46, , 2016,by Ira S.Lederman and
Jeffrey >vi. Hafter who are sworn to me to be the. Executive Vice President anti Secretary, and�Jte Senior Vice President,
4 respectively, of Berkley Insurance Company.MANOTA RUNDBAI<EN
NOTA
� o RY PUBLIC
MY COMMISSION EXPIRES Notary Public,State of Connecticut
Z APRIL 30,2019
Z 'r. CERTIFICATE
GC 0Q 1, the undersigned,Assistant Secretary of BERKLEY INSURANCE COMPANY", DO HEREBY CERTIFY that the foregoing is a true,correct
yand complete copy of the original Power of Attorney;that said Power of Attorney has not been revoked or rescinded and that the authority of the
Attorney-in-Fact set forth therein,who executed the bond or undertaking to which this Power of Attorney is attached,is in full force and effect as
of this date.
Given under my hand and seal of the Company,this 13 thday of July
(Seal) -�
Vincent P:-Forte-
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 Brock Huggins, President of Conatser Management Group, Inc.,
general partner of Conatser Construction TX_ LP, 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; and
That there are no claims pending for personal injury and/or property damages;
On Contract described as:
WATERSBEND NORTH,PHASE 4B
WATER,SANITARY SEWER, STORM DRAIN,PAVING
AND STREET LIGHT IMPROVEMENTS
DOE#: N/A
CFA PRJ#:N/A
CITY PROJCT#: 100550
CITY OF FORT WORTH
STATE OF TEXAS
CONATSER CONSTRUCTION TX,LP
BERTHA GIANULIS `
041 '`_ Notary Public,State of Texas - -
q My commission Expires Brock Huggins
GI September 18, 2019
Subscribed and sworn to before me this 191 day of July,2
Notary Public in Tarrant County, Texas !�\�
gra 7-;�-7
CONSENT OF OWNER ❑
SURETY COMPANY ARCHITECT ❑
CONTRACTOR ❑
TO FINAL PAYMENT SURETY ❑
Conforms with the American Institute of OTHER
Architects,AIA Document G707
Bond No 0210038
PROJECT;
(name, address)Watersbend North, Phase 4B
Ft.Worth,Tx
TO (Owner)
BLOOMFIELD HOMES,L.P.AND CITY OF FORT ARCHITECT'S PROJECT NO:City Project No. 100550
WORTH CONTRACT FOR:
1050 E.Highway 114,Suite 210 Paving,Drainage Street Liqqhts,Water,&Sanitary Sewer for
Watersbend North Phase 4B
Southlake TX 76092 CONTRACT DATE:
CONTRACTOR: CONATSER CONSTRUCTION TX, L.P.
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)
BERKLEY INSURANCE COMPANY
475 Steamboat Road
Greenwich CT 06830 , SURETY COMPANY
on bond of (here insert name and address of Contractor)
CONATSER CONSTRUCTION TX, L.P.
5327 Wichita St.
Fort Worth TX 76119-6035 , 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 Owner)
BLOOMFIELD HOMES,L.P.AND CITY OF FORT WORTH
1050 E. Highway 114,Suite 210
Southlake TX 76092 , OWNER,
as set forth in the said Surety Company's bond.
IN WITNESS,WHEREOF,
the Surety Company has hereunto set its hand this 13Th day of July; 2018
BERKLEY INSURANCE COMPANY
Surety Company
Attest: �, I
(Seal): Signature of Authorized Representative
Robbi Morales Attorney-in-Fact
Title
NOTE: This form is to be used as a companion document to AIA DOCUMENT G706, CONTRACTOR'S AFFIDAVIT OF PAYMENT OF DEBTS AND CLAIMS,
Current Edition
ONE PAGE
No.13I-7280g
POWER OF ATTORNEY
BERKLEY INSURANCE COMPANY
WILMINGTON,DELAWARE
NOTICE: The warning found elsewhere in this Power of Attorney affects the validity thereof. Please review carefully.
KNOW ALL MEN BY THESE PRESENTS, that BERKLEY INSURANCE COMPANY (the "Company"), a corporation duly
M1 organized and existing under the Iaws of the State of Delaware,having its principal office in Greenwich,CT,has made,constituted
p and appointed, and does by these presents make, constitute and appoint: Ricardo J. Reyna; Don E. Cornell; Dena DeLene
v 'J Marshall; Sophinie Hunter; Robbi Morales; Kelly A. Westbrook; or Tina McEwan of Aon Risk Services Southwest, Inc. of
Dallas, TX its true and lawful Attorney-in-Fact, to sign its name as surety only as delineated below and to execute, seal,
acknowledge and deliver any and all bonds and undertakings,with the exception of Financial Guaranty Insurance,providing that no
y p single obligation shall exceed Fifty Million and 00/100 U.S. Dollars (U.S.S50,000,000.00), to the same extent as if such bonds
whad been duly executed and acknowledged by the regularly elected officers of the Company at its principal office in their own
proper persons.
U This Power of Attorney shall be construed and enforced in accordance with, and governed by, the laws of the State of Delaware,
Z 1:L`J without giving effect to the principles of conflicts of laws thereof. This Power of Attorney is granted pursuant to the following
o resolutions which were duly and validly adopted at a meeting of the Board of Directors of the Company held on fanuary 25,2010:
o c RESOLVED, that, with respect to the Surety business written by Berkley Surety Group, the Chairman of the Board, Chief
Executive Officer, President or any Vice President of the Company, in conjunction with the Secretary or any Assistant
Secretary are hereby authorized to execute powers of attorney authorizing and qualifying the attorney-in-fact named therein to
} execute bonds, undertakings, recognizances, or other suretyship obligations on behalf of the Company, and to affix the
o corporate seal of the Company to powers of attorney executed pursuant hereto; and said officers may remove any such
¢ attorney-in-fact and revoke any power of attorney previously granted;and further
RESOLVED,that such power of attorney limits the acts of those named therein to the bonds,undertakings,recognizances,or
other suretyship obligations specifically named therein, and they have no authority to bind the Company except in the manner
and to the extent therein stated;and further
RESOLVED, that such power of attorney revokes all previous powers issued on behalf of the attorney-in-fact named; and
CZ
0 on further
RESOLVED, that the signature of any authorized officer and the seal of the Company may be affixed by facsimile to any
power of attorney or certification thereof authorizing the execution and delivery of any bond, undertaking, recognizance, or
other suretyship obligation of the Company; and such signature and seal when so used shall have the same force and effect as
though manually affixed. The Company may continue to use for the purposes herein stated the facsimile signature of any
d 1~ person or persons who shall have been such officer or officers of the Company, notwithstanding the fact that they may have
o ceased to be such at the time when such instruments shall be issued.
o o IN WITNESS WHEREOF, the Comp ny has caused these presents to be signed and attested by its appropriate officers and its
o _!ecorporate seal hereunto affixed thisday of �,� L 2016.
v Attest: Berkley Insurance Company
Ira S.Lederman )Snioi�
I` . after
� Executive Vice President 8c Secretary \\ V � �President
(Seal) By
N WARNING:THIS POWER INVALID IF NOT PRINTED ON BLUE"BERKLEY"SECURITY PAPER.
a a STATE OF CONNECTICUT)
N ) s5:
COUNTY OF FAIRFIELD )
Sworn to before me, a Notary Public in the State of Connecticut, this 2Z' day o 2016,by Ira S.Lederman and
Jeffrey M. Hafter who are sworn to me to be the Executive Vice President and Secretary, and t ie Senior Vice President,
u
x respectively,of Berkley Insurance Company.MARIAC.RUNDQAICEN //
NOTARYPUBLIC ll.� ,. ,�, / 1�4_
MY COMMISSION EXPIRES Notary Public,State of Connecticut
z APRIL 30,2019
Z E CERTIFICATE
vu I, the undersigned,Assistant Secretary of 13ERKLEY INSURANCE COMPANY, DO HEREBY CERTIFY that the foregoing is a true,correct
Q� and complete copy of the original Power of Attorney;that said Power of Attorney has not been revoked or rescinded and that the authority of the
Attomey-in-Fact set forth therein,who executed the bond or undertaking to which this Power of Attorney is attached,is in full force and effect as
of this date.
Given under my hand and seal of the Company,this 13 thday of July
(Seal) -�
Vincent P.-Forte
Green Sheet W a t e rs b e n d N o rt h
,PHAB CPN 100550 Paving ,
g
- -_ _ - - _ = --- Drainage, Lights
Adobe Sign Document History 10/08/2018
Created: 08/21/2018
-" - - '- - By: Etta Bacy(etta.bacy@fortworthtexas.gov)
Status: Signed
Transaction ID: CBJCHBCAABAAZCyt4lBcMhkY2WX-CBIpvmOc5ZaB8Ouj
"Green Sheet Watersbend North PHAB CPN 100550 Paving, Dr
ainage, Lights" History
Document created by Etta Bacy(etta.bacy@fortworthtexas.gov)
08/21/2018-8:58:51 AM CDT-IP address:209.194.29.100
Document emailed to Bertha Gianulis (bertha@conatserconstruction.com)for signature
08/21/2018-9:05:55 AM CDT
5 Document viewed by Bertha Gianulis (bertha@conatserconstruction.com)
08/21/2018-4:24:25 PM CDT-IP address:99.190.212.39
(9 Bertha Gianulis (bertha@conatserconstruction.com) uploaded the following supporting documents:
G File Attachment 1
G File Attachment 2
08/22/2018-1:55:29 PM CDT
6a Document e-signed by Bertha Gianulis (bertha@conatserconstruction.com)
Signature Date:08/22/2018-1:55:29 PM CDT-Time Source:server-IP address:199.227.35.58
Document emailed to Matt Cain (mcain@multatech.com)for signature
08/22/2018-1:55:32 PM CDT
Document viewed by Matt Cain (mcain@multatech.com)
08/22/2018-7:10:35 PM CDT-IP address: 107.138.181.13
64 Document e-signed by Matt Cain (mcain@multatech.com)
Signature Date:08/23/2018-7:16:18 AM CDT-Time Source:server-IP address:209.194.29.90
C'b Document emailed to Edward Davila (edward.davila@fortworthtexas.gov)for approval
08/23/2018-7:16:20 AM CDT
Adobe sign
'LL Document viewed by Edward D'avila (edward.davila@fortworthtexas.gov)
08/25/2018-9:56:14 AM CDT-IP address:209.194.29.100
Document approved by Edward D'avila (edward.davila@fortworthtexas.gov)
Approval Date:08/25/2018-9:57:46 AM CDT-Time Source:server-IP address:209.194.29.100
C' Document emailed to Fred Ehia (freidoon.ehia@fortworthtexas.gov)for signature
08/25/2018-9:57:47 AM CDT
SLI Document viewed by Fred Ehia (freidoon.ehia@fortworthtexas.gov)
09/06/2018-8:36:48 AM CDT-IP address:209.194.29.100
GS4 Document e-signed by Fred Ehia (freidoon.ehia@fortworthtexas.gov)
Signature Date:09/06/2018-9:18:58 AM CDT-Time Source:server-IP address:209.194.29.100
Document emailed to Janie Scarlett Morales Ganie.morales@fortworthtexas.gov)for signature
09/06/2018-9:19:01 AM CDT
Document viewed by Janie Scarlett Morales oanie.morales@fortworthtexas.gov)
09/06/2018-9:34:20 AM CDT-IP address:209.194.29.100
o. Document e-signed by Janie Scarlett Morales Qanie.morales@fortworthtexas.gov)
Signature Date:09/06/2018-9:35:06 AM CDT-Time Source:server-IP address:209.194.29.100
'y Document emailed to Susan Alanis (susan.alanis@fortworthtexas.gov)for signature
09/06/2018-9:35:19 AM CDT
Document viewed by Susan Alanis (susan.alanis@fortworthtexas.gov)
09/06/2018-11:42:22 AM CDT-IP address:209.194.29.100
60. Document e-signed by Susan Alanis (susan.alanis@fortworthtexas.gov)
Signature Date:09/06/2018-11:42:40 AM CDT-Time Source:server-IP address:209.194.29.100
C'-, Document emailed to Allison Tidwell (cso_finalpay@fortworthtexas.gov)for filling
09/06/2018-11:42:42 AM CDT
Document viewed by Allison Tidwell (cso_finalpay@fortworthtexas.gov)
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6a Form filled by Allison Tidwell (cso_finalpay@fortworthtexas.gov)
Form filling Date:09/06/2018-3:45:06 PM CDT-Time Source:server-IP address:209.194.29.100
Document emailed to Trudy Brotherton (therese.brotherton@fortworthtexas.gov)for delivery
09/06/2018-3:45:18 PM CDT
'n Document viewed by Trudy Brotherton (therese.brotherton@fortworthtexas.gov)
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FORT WORTH.
Adobe Sign
Document receipt acknowledged by Trudy Brotherton (therese.brotherton@fortworthtexas.gov)
Receipt Acknowledgement Date:09/07/2018-9:10:34 AM CDT-Time Source:server-IP address:68.184.178.9
w Document emailed to Julie A Geho Qulie.geho@fortworthtexas.gov)for delivery
09/07/2018-9:10:36 AM CDT
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Receipt Acknowledgement Date:09/07/2018-1:31:56 PM CDT-Time Source:server-IP address:209.194.29.100
D4 Document emailed to Monica De Anda (monica.deanda@fortworthtexas.gov)for delivery
09/07/2018-1:31:57 PM CDT
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: o. Document receipt acknowledged by Monica De Anda (monica.deanda@fortworthtexas.gov)
Receipt Acknowledgement Date:10/03/2018-10:19:15 AM CDT-Time Source:server-IP address:209.194.29.100
C'w Document emailed to Sylvia Kelley(tpwcfafiscal@fortworthtexas.gov)for delivery
10/03/2018-10:19:17 AM CDT
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Receipt Acknowledgement Date:10/08/2018-2:30:51 PM CDT-Time Source:server-IP address:209.194.29.100
ujv Signed document emailed to Susan Alanis (susan.alanis@fortworthtexas.gov), Trudy Brotherton
(therese.brotherton@fortworthtexas.gov), Bertha Gianulis (bertha @conatserconstruction.com), Edward D'avila
(edward.davila@fortworthtexas.gov), and 8 more
10/08/2018-2:30:51 PM CDT
FORT WORTH,
Adobe Sign