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HomeMy WebLinkAboutContract 55141-FP1 FORT WORTH. TRANSPORTATION AND PUBLIC WORKS NOTICE OF PROJECT COMPLETION City Secretary No:_55141-FP1 Date Received: Apr 5,2022 City Project Ns: 102878 Regarding contract 55141 for 2021 RIVERSIDE RESURFACING PROJECT as required by the TRANSPORTATION AND PUBLIC WORKS DEPARTMENT as approved by City Council on 12/15/2020 through M&C 20-0944 the director of the TRANSPORTATION AND PUBLIC WORKS DEPARTMENT upon the recommendation of the Assistant Director of the Transportation&Public Works Department has accepted the project as complete. Original Contract Prices: $1,463,619.35 Amount of Approved Change Orders: $ 0.00 No 0 Revised Contract Amount: $1,463,619.35 Total Cost Work Completed: $1,230,447.59 Less Deductions: Liquidated Damages: 0 Days @$650.00/Day Pavement Deficiencies: Total Cost Work Completed: $1,230,447.59 Less Previous Payments: $1,242,302.64 Repayment 3/14/2022 CHK $-11,855.05 Final Payment Due $0.00 zawne Apr4,2022 Lauren Prieur(Apr 4,2022 13:14 CDT) Recommended for Acceptance Date Asst. Director, TPW - Capital Delivery Wj(Apr4,202215:1 DT). Apr 4,2022 Accepted Date Director, TRANSPORTATION AND PUBLIC WORKS DEPARTMENT Client Department b L5=L� Apr 4,2022 Dana Burghdoff(A r4,202 6:55 CDT) Asst. City Manager Date OFFICIAL RECORD Comments: CITY SECRETARY FT.WORTH, TX C4620 Sigrtature Page Contractor's Application for Payment Invoice No. 7 To(0—) City of Fort Worth InyoichsgFedod(From•To): 1—keDale: 1UOU7021•12AIW2021 12MR021 P•0• FW020-0000004956 Fmm(Comada): Remit to(UNa Amonutk Deposit): Nornber Texss M­hls Gronp,Inc.dba Te Bit P i— 102878 Conmarr4 CFW V.&,Ne.: ODODM57 city S R a yh� 55141 C "2021 Riverside Drive Resurfacing Project Applir,don For Paymmt Ch, eOrder Summary A —d ChzneOr&. I.ORIGINAL CONTRACT PRICE S SIA63,61935 Nwibcr Addiders, I3cictiom 2.Net change by Chang,OM-............. S 1 3.Current Contort Prim(Lim l t 2) S S1A63.61935 2 4.TOTAL COMPLETED AND STOREDTO DATE 3 (Progass Esdmatw Core, do.Allooanee and Change Orders).._...S S1,230.44739 4 S.RETAINAGE. 5 s. X SI,230.447.59 Work Completed...._.,.$ 6 D. X Not Used S 7 c.Total Ret,to age(I.ioe Sa+line SD).__._..._..._......$ 5 6.AMOUNT ELIGIBLE TO DATE(Lim 4•Lim 5e).............._._.5 "30.44739 TOTALS 7.LESS PREVIOUS PAYMENTS(Lin,6 from prior App1k,Hoo).._._5 5I3423D2.64 NEr CHANGESY G AMOUNTDUE THIS APPLICATION_........_._.,.,.___,--.5 -S11.555.05 CHANGE ORDERS 9.BALANCE TO FINISH,PLUS RETAINAGE (Col®n Goo ProgressEsfim,te+CA+COs+LIu Sabore) S S233.171.76 Canlrart,Ps Cerfifiradon 10.MWRACTMIE: TMConoort adifies with the cubmineE ofihis douvncnl and sssociascd Payment Request Submitul a. Days A—rded 210 on the City ofyost Worth Bm system dut to Ne It.oruririmewlcdge:(1)di prndmn progress b, Days Addedby CO pq 6taeiydSo.Oxon on accounI of Work done onder the C-1 have boon vpplird on In disch ge Contra e,legitimate obliptio incurred in rmmcrtion with Work eormd by e. Torsi Days 210 prior Applimtions for hymenk(2)till,orall Work,materials and equipmmt imo porsted in said Work or olMmise listed in or covered by rids Application for Pay—,,ill pass to o—at time ofpey—I d. Dqs C6argrd 209 Dee and elear ofall Liens,security intereso and encumbances(rxceyt such as am eorored by a Bond oaepUbl,to Owner trdenniEying 0—trapa1-any such Lierts -,Hy interest or—mbrarn:es); e. Dys Remaining I and(3)ell Work ro—a by this A➢➢lirotion for Payment is in aceoNana with the Conb ocumrnLs an D .A is—deiady,. Liquid Damages$650.00 x d,y TNs 1—raenl has been—.ad from Rs original form as an EICDC doamentartd the user did Tort hlyttbghl the modifications.You are encouraged to read the dowrnent mrsfuly and consult Legal Counsel prW to its exe-6- Cb20 V;.I Pepe Pmye,a E,s.,b Progress Estimate G , 551A1 Contractor's Application Tbt`m"i1` 2021 Riverside Drive Resurfacing Rroject ANl=e - SzamDl lee.�rmi.k IIMI/2021-12/17/2021 A S 6 F � G ,• - � � Bilascb Fiat Swdfsxtw UfiN eYp,mrs] LSa)m9 N E��� vdm "•vds Vdmlb_. 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E iad(bM' vse �tm�Jren h T BCMn Ns BmMa S�mT�m LLief Bipa.'ry rwS R"� Btiv.1e �,.,�,� v.1e n..:d�AeAalYie 11i Y.rid AndVanCl dSudnOc IFl �R•Fl Smi M Nme 'n,p.,e�awae.mv�naty nmN r�w�eicnctrem me a.snam�c�a+`.w .�r"+..•rw.:,m.,.W w,a t.r.�,a ne,�w co�t�emam�. _ Gfi20 Ur4 Pnm Pmrysss 6erzab Progress Estimate ` , s5141 Contractor's Application T"f"O1OY 2021 Riverside Drive Resurt dog ProjectQ 7 11101/2D21-72n7/2021 mr. 12Ma021 c a b e u c ,.mlr.orxa ,: eemPrw rlearsfa SdQrvT uar,n 013 vus E �"'T v.3� rRa..y..._.vd.a vd..Ti:armndfT daMmoas le a P•rl e<xmno ommro- fm.o Tomb Sx St .15 f iR SL 06T.1S B T1v 1�RbSmhm�mdfd[mmuenpmlfmmwFlCDCdzmawdc�4l ettf�`u mfEamsa�x'w�xaamSdm mC L6sysc:t;W am.Yty Ceeialpvmvuscatn Progress Estimate Construction Allavavice Usage Contractor's Application ADDITIONS S.I�T 102976 soil ainn3&art�e)tnvlxCc rnl�n M141 ��. 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L•at3'- ... a - - bevgrl bnmErrncmmmmetrmuvycptr dbi��rise•YuwaumJhlatitiae331u1�m.u3m3CdW3�.abe.nwa Progress Estimate Construction Allowance Usage Contractor's Application CONSTRUCTION ALLOWANCE 1T NIS TO BE REDUCED 10237E 201a—lkam.w,.04V"m u tir....a. 7 11Nm321-12MAaa 17R1IN31 7. 4. wa.c=+cm..�uncr.,aawd mm�.c.mom 1 Progress Estimate Cbange Order Number 0 Contractor's Application ADDITIONS 102876:')a"`^r`°nRaertacny... ssu) 'mr„ 7 foi8 1v01/toi)-IL17RMl °vc )v2mK) �.r Nfl ess ekrf�vunelc°cm�m�laewJeuM+N4 d`�t i ae�aawµd u rtd h 4vu uaf$a/�w.f ty C�r1 w w n wn W n Progress Estimate Change Order Number 0 Contractor's Application DELETIONS 102979 xmaMNe< Rn.rt 7 ly�e'evv.s[ 1Va12021-1.772021 � Ivnrs021 a�� Progress Estimate Change Order Number 0 Contractor's Application ADDITIONS r.Im..n 102878 a:I anmu.nmaanar.u.c ,K n: xlel ..n.m.wt... 7 IIAM021-IV172UI •s�..cs.a nmw� vr.,u mNl mc�'i ^I e m•n Progress Estimate Change Order Number 0 Contractor's Application DELETIONS 103678 7ax1 a;..,,u<urt..a,,.nmrm7m aees.�e>:�.*. 7 s IIA11201•iL172o11 IL—o ros u m.m wu.d i tmne+cv�6m....Frztt'a�.r�mafm4obe� �, II Progress Estimate Change Order Number Contractor's Application ADDITIONS �e°x 1a2818 2nt w...,ueoa..numaaenk.a �s"itl" sssn �` x r� IOomml-IV11rt021 we )tatrs.n w Progress Estimate Change Order Number 0 Contractor's Application DELETIONS t•luuvt Im878 Sul PFenMeDr(.eanrrna.ernlnr n.es�r. � '�"y3O1� 11rDi/IC31-1L1]fi031 °� >YIIrsRt urpu+erra D•mm m�bu r c3..¢D.in ei.tra u. t nay w � c+mswv[m..u3ARe:m.f vkmaav GnYa �.-�--t.,vu�aaebne.-.tea v.u�de�I.pc..uansu n...uys Progress Estimate Change Order Number 0 Contractor's Application ADDITIONS °•�""� lm$78 3oEl airtnY.D�.re.+.rtaxl,.IRt 7 n+nt IMM02l.1L1712011 '�1°teb°"" inxfnnx u�.;. wm � n m•n . I ®rsrn.xm�m.«�w x u�i.r ee w�wv unr�3 m®n�W awe ve s�m D�2o.a,D� Progress Estimate Change Order Number Contractor's Application DELETIONS ral®et 2nl ahvdQeDdrt a...maKr..lrt c 7 11878 de nroinoii-ivnrson c ss co— e- — WUwM t twa rutr✓stuueacr�6�piel�sas.d+�a�d®�Wcrlwb�4�mem� l I I Progress Estimate Change order Number l--J Contractor's AppHention ADD—CINR cal®t I036]8 Slit RhenYea•he RaMmYarrya of sn'. v 7 tiyavm:a IVG@021-iL012621 vcdi.a.r. ItRirsrst •mo �RN�Ya 5�s� (V P�tR VNf 1a�]ne c1�Ru��.�ic \f•< atl\ RW 1 N£� � A n >rs+�8vmDCCCa<ga W aemnAf a V Wi+de ma.�.<\r x�•adwml�a..ese�d yM�aat Wlcmiwntae•n•m Progress Estimate Change Order Number 0 Contractor's Application I. DELETIONS gGOC 101578]e aamNe on.e n...rta.r rn(en ] I Ifa1r1M1-1L1]/M lYt9neil �u0e �Vd m��u huwir to � ti ryW t ' 77* e`�xe..Ra�c�v-id�ni.�eesyd�at�t�W'+eu�L Progress Estimate Change Order Number © Contractor's AppIIcation ADDITIONS rn- 102878 Soil aFenNeOAnaenrJ�ebRenluJ SSNi 7 rt� IMM021-121IM021 �" ILiirseil b a.m.nrm ty�Mee. �� km� NMtWM �Gb uNJ� J�' r� SmY SUK1vbC1 W�AE.e B A n J....aW J.n„mFxxa�W tr.mn.vyyntr m5�nm..�ms.®*,c+urtnee4eauer+huf s�.t�p[weni Pl+nsomrs Progress Estimate Change Order Number © Contractor's Application DELETIONS 181818 an w..��ero,lR ar,eKxsu r�kn 1 11101/1011.1IIHQ011 0< lmvaon ,,,a.e.e fO�• ., o�w> m r ,.. eas.��....rxnc dammor Progress Estimate Change Order Number 0 Contractor's Application ADDMONS r.l�r 1018f8 a:xwry,uenm.ve.mazml�n mxs�w. xul "`°' � coat I IN12021•ILI12021 mo-. IYSMoiI C >n �a w ., Cmkalta Y...�uncsos.W e.mN.n4i`N4 Progress Estimate Change Order Number l—� Contractor's Application DELETIONS 102878 3R1 Nrmbeori.ean.rnvignyrn � � ] +rW+n3� 11NII3021-/Yl]IE031 3vlirsn3 uy %mcnn aV�°f 1Mn tY..sgtr w om4a �wi.+w•a�+S��bpi aMwmw�rs� md�ra rRvnn�w�ina�mwv Nae P.p YJ. Progress Estimate Change Order Number ® Contractor's Application AMMONS 102878 10it WrtnM<DNrsan<rt«i«Pnl.< ss1Jt '+ `"'E`J"' Rei6 wotrzort-]vnrzen "� tvz]mxJ we<.rea o�<xoe.� �a :� anD...,.,w �,r,e � m6da""_. ".< .m,�.y a v�r•�:`r�,"°,,. '��' U n aswJve< Progress Estimate Change Order Number ® Contractor's Application DELETIONS r.la.,: 102878 7 11/01lx021.IMM021 - Ivtn2pl o� a a.urya City of Fort Worth Sui mary of Char es City Sec wyConoactNum 55141 2021 Riverside Drive Resurfacing Project P.O.: r1Y020-0000004956 pmj-N'..ber. 102878 Application Period: 11/01/2021-12/17/2021 A7�lnmb«a 7 Application Oat,: 1227/2021 Fund'ng Identificatlon(FID1 Total bomoleted Aml Remaining Gross Retainage Nat Original Contmet 30100-0200431-5740010.102878-0D6280-9999 $1 230 447 59 $23317176 ($/T,23939) 1577.239.39)- 0 0 0 0 0 0 0 0 0 0 Change Order 1 30100-02004315740010-102678�006260.9999 0 0 0 0 0 0 D 0 0 0 CAan9e Ordar 2 30100-02ME-5740010-102878-006280.9999 0 0 0 0 0 0 0 0 0 0 Citv of Fort Worth Summary of Char es Ciry SmelaryContradNom: 55141 2021 Riverside Drive Resurfacing Project P.O.: F%VO20-0000004956 project Number 102878 Application Period: IM-02I-12/17/2021 AN mhra 7 Applieadon Date: 12/272021 Funding Identification 1PIDj Tofal Cgm0leled Amt Remalging Gross Retainage Net Change Order 30100-02OD4315740010-102878-0082804999 0 0 0 0 0 0 0 0 0 0 Change Order b - 30100-02004315740010-102878-008280-9999 0 0 0 0 0 0 0 0 0 0 _._.. Change Orders 30100-0200431.5740010-102878-008280-9899 0 0 0 0 0 0 0 0 0 0 Citv of Fort Worth Summary of Charges CitySe—Uq ContrectNum: 55141 2021 Riverside Drive Resurfacing Project P.O.: FW020-0000004956 p jmt Number•. 102878 Applicadon Pcdod: 11/01/2 021-1211712021 Appl-bon 7 Application Datr. 12/27/2021 Number. Funding Identification iFIDI Total Completed Amt Remaining Grass Retainage Net Chance Order 8 004 30100-02315740010.102878A 2W0 999 0 0 0 0 0 0 0 0 0 0 Change Ortler 7 30100-0200431-5740010-102878-006260.9999 0 0 0 0 0 0 0 0 0 0 Change Order 30100-02004315740010-1028781)06280-9999 0 0 0 0 0 0 0 0 0 0 City of Fort Worth Summary of Charges City Se—tuy C..Mut Nu 1: 55141 2021 Riverside Drive Resurfacing Project P.O.; FW020.0000004956 p jmt Number. 102578 Application Peded: 11/0112021-IVI72021 Applice5on 7 Applicatim D.ta: er 12272021 Numb Funding Identification lFlD) Togl Completed Aml Remalnin9 Grass Reminage Net .. Totats .. - . 30100-02004315740010-102878-006280-9999 $1.230447.59 $233171.76 ($77239.39) ($7723939) 0 0 0 0 0 0 0 0 0 0 Grand Total 1 $1,230.447.59 1 $233,171.76 1 1 $77,2MM (565,384.35) $11855.04 FORTWORTH. TRANSPORTATION AND PUBLIC WORKS March 28, 2022 Texas Bit 420 Decker Dr.,Suite 200 Irving,TX 75062 RE: Acceptance Letter Project Name: 2021 Riverside Resurfacing Project Project Type: Paving City Project No.: 102878 To Whom It May Concern: On November 9, 2021 a final inspection was made on the subject project. There were punch list items identified at that time. The punch list items were completed on March 28, 2022. The final inspection and the corrected punch list items indicate that the work meets the City of Fort Worth specifications and is therefore accepted by the City. The warranty period will start on March 28, 2022,which is the date of the punch list completion and will extend of two (2)years in accordance with the Contract Documents. If you have any questions concerning this letter of acceptance, please feel free to contact me at (817) 392-2486. Sincerely, Tariqul Islam(Apr4,202212:41 CDT) Tariqul Islam, Project Manager Cc: Cody Horton, Inspector Billy Owen, Inspection Supervisor Edwin R. Rodriguez, Sr.,Senior Inspector Victor V.Tornero Jr., P.E., Program Manager City of Fort Worth, Consultant Texas Bit, Contractor City of Fort Worth, Developer File E-Mail: TPW_Acceptance@fortworthtexas.gov Rev.8/20/19 CONSENT OF SURETY OWNER TO FINAL PAYMENT ARCHITECT AIA Document G707 CONTRACTOR SURETY (Instructions on reverse side) Bond No. 014221680 OTHER TO OWNER: ARCHITECT'S PROJECT NO: (Nance and address) City of Fort Worth 200 Texas Street Forth worth,TX 76102 CONTRACT FOR: 2021 Riverside Resurfacing Project City project No.102878 PROJECT: CONTRACT DATED: (Name and address) 2021 Riverside Resurfacing Project City project No.102878 In accordance with the provisions of the Contract between the Owner and the Contractor as indicated above,the (Insert name and address of Surety) Liberty Mutual Insurance Company 175 Berkeley Street Boston,MA 02116 ,SURETY, on bond of (Insert name and address of Contractor) Texas Materials Group,Inc.dba TexasBit,A CRH Company 420 Decker Drive#200 Irving,TX 75062 ,CONTRACTOR, hereby approves of the final payment to the Contractor, and agrees that final payment to the Contractor shall not relieve the Surety of any of its obligations to (Insert name and address of owner) City of Fort Worth 200 Texas Street Forth Worth,TX 76102 OWNER, as set forth in said Surety's bond. IN WITNESS WHEREOF,the Surety has hereunto set its hand on this date: March 29,2022 (Insert in writing the month followed by the numeric date and year.) Liberty Mutual Insurance Company (Surety Jr\ (Sigtu�retu of aullhorized representative) Attest/Witness: (Seal): Stephanie Gross,Attorney-in-Fact Jessica Richmond,Witness (Printed name and title) AIA DOCUMENT 0707 w CONSENT OF SURETY TO FINAL PAYMENT w 1994 EDITION w AIA 01994 w THE AMERICAN INSTITUTE OF ARCHITECTS,1735 NEW YORK AVENUE,NW,WASH- INGTON,D.C. 2GOM5292 w WARNING: Unlicensed photocopying violates U.S. copy- right laws and will subject the violator to legal prosecution. G707-1994 This Parer of AtboIM linits the ads d those rayed herein;and they have no authority to bind the Conpary except in the manner andtothe extent herein stated 60 Liberty. Liberty Mutual Insurance Company Ntut . The Ohio Casualty Insurance Company C.ertificateW. 8204862-022001 SURETYWest American Insurance Company POWER OF ATTORNEY KNOIIlAeI ALL PERSONS BY THESE MO NM That The Cho Casually Insurance Oxrpany is a corporation duly agenzed under the laws of the State of New Hampshire,that Liberty M lual Insurance Carpary is a corporation duty organized under the laws of the State of NlSsadxusetts,and West Anerican Irsuanoe Carpary is a corporation dly organized uiderthe laws of the State of Ird"(herein collectively Called the"Corrpaniesj,pursuant to and by authority herein set forth,does hereby scree,constitute and appoint,_Chelsea Nielson;Jessica Richmond;Joyce A.Johnson;Philip N.Bair,Stephanie Gross all of the Oily of Houston state Of TX each individually if there be rare than one rayed,its true and kry M attorney4n-fact to n►l e, execute,sal,ad=Wedge and deliver,far and on its behalf as surely and as its act and deed,any and all urclerlaldrgs,bonds,recog izanoes and other surety obligations,in push of these presents and shall be as Mincing upon the Compares as if they have been duly signed by the presider#and attested by the secretary of the Companies in their own proper persons. IN IMTNESS VHF,this Power of Phoney has been subscribed by an authorized officer or oilidal of the Companies and the corporate seals of the Companies have been affixed thereto this 12th day d February , 2021 Liberty Mtual Insurance Carp" Py INSr/�, '11 INS& ►NSLpR Th-ChioCasualty lrsuanrceCormpany OR*.Fo�� �4'+�r�oy� Pio¢°DR+ n� WestAnencarlrsuranceCorrpary 1912 0 1919 1991 - ui r C s v o a o rd�~ddreHusdL3 Sa�'y�rrs��L� Yy, `kWnap aa� ` (1) V * By: _ co =m w State of PEM SYLVANA David M Carey,Assistant Secretary as rn Canny of NICNTGavERy o E 42 N Onthis l2th dayd Februany 2021 beoem3 pasaally appeared David M Caret,who adnoaedged himself to be theAssistart Secretary of Liberty Anhel Insurance ;5-I= � m "0 Carpany,The Cho Casualty Carpary,and Vrkst American Insurance Carpary,and that he,as such,being authronzed so to do,eaaec to the foregoing instrument far the purposes therein contained by silting on behalf of the corporations by hirrag as a duly authorized officer. >� m cIN 1NTNESS VW EliEOF,I Frame tereutno subsoribed rry rarrre and affoaed my notarial sal at Klrg ofPnssia Pbnrsyluaria On the day and year first above written. O Co Sp, a o ` Q� ON W Ff , I ranxiwnwharPemsyhmba-Notary seal TP"twa ` �. 0 w C ires l OF MY wanssim exp MarcNowyh 20 2M By; 04) Cotrnsomnumber112wo Member.P msyl am Msawabon of Nduiss 9 BSa PaStElla I�tc?y Plt)IIC Q O N Aqy W O CThis Parer of ABaney is made and e>aecuted pursuant to and by authority of the fbilov ing By-laws and Authorizations of The Clio Casualty Irwwm Corrpany, Liberty Mtual oNo EO. Insurance Corrpay,and West American Irstranm Corrparryvdich resdutiors are nowin full farce and effect reading as fdlwes: no M 2 ARTICLE IV-01FRCUR,Section 12 PowerofAttornpy. s_0? o M Any officer a other official of the Corporation authorized for that pupose in writing by the Chairrrlan or the President,and subject to such limitation as the Chaiman a the�o _ President nay prescribe"stall appoint such attorrep in-fact,as may be neae�y to ad in behalf of the Corporation to rtake e w ter,seal,aclToAedge and driver as any ad all undertakings,bads,recogrizances and other suety obligations.Such attereys-fn4bd,subject to the linitatias set forth in their Y a have fi!I to bind the �pis of attorney,shall� � o pmw Corporation by their signature ad eaa�en of any such irstrurets and to attach thereto the seal of the Capo atim.When so executed,such o err Z instrtnhents shall be as binding as if signed by the President and attested to by the Secretary.Any power or authority gamed to ary representative or attanay-in fact under the m provisions of this article ray be revolaed at any tine by the Bond,the Chamran,the President or by the offioa or offic as panting such lower or atlhority. L0 n ARTICLE ell—Execution of Catrdct Section 5.Surety Bonds and lkdertaWrgs. Any officer of the Corrpary authorized far that purpose in writing by the dhairaw or the president,and subject to such liaitedors as the ctaiman or the president may prescribe, shall appoint such attornWn-fact,as may be necessary to act in behalf of the Company to crake,eaeate,seal,ae ,KWeedge and deliver as suety any and all udert*rgs, bads,rnoogiizarces and other suety obligations.Such aftameys in-fact subject to the limtabo s set forth in their respective pavers of attorney,shall have fill pmMy to bind the Cahpary by their signature and execution of any such instruments and to attach thereto the seal of the Carpary.Wen so eectited such irstrunents shall be as binding as if signed by the president and attested by the secretary. C affmate of Designation—The President of the Carper y,actirg prsuat to the Bylaws of the Cor perry,athrOriZeS Chvid M Carey,Assistant Secretary to appoint such attoyeMn- fad as mey be reoessary to act on behalf of the Con pary to maize,a ma.te,seal,advhanledge and deliver as surely any and all undertakings,bads,reoogrwnces and other suety obligations. Aufhorvifion—E3 unanimous orient of the Cbrrparr/s Board of Directors,the Carpary corsets that facsimile or mechanically reproduced signature of any assistant seaetay of the Corrpary,wherever appearing Leon a certified copy of any p w of attorney issued by the Canpary in correction with suety bads,shall be valid and binding upon the Conpary math the sore force and effect as though manually affoaed I,Ram C.U wellyrr,the ur lerskgred,Assistant Secretary,The Cho Casualty Insurance Carpary,Liberty Mtual Insurance Company,and Vu Ameiran Insurance Carpary do head artily that the original pane of attorney of v h c h the foregoing is a full,true and correct copy of the Pow of Attorhey erae>ated by said Carparies,is in full farce and effect and has not been revoked. IN TESTIMONY WHEREOF,I have hereunto set rry hand"aTDW the seals,of said Campanies this 29th day of March 2022 r"4►ustdR �yt`f ft& ANSO �J �°���• G+ aria o°��s GP °�� � 1912 c 1919 or 1991 n e yti s s 4 O y. 5;?�—/4A Mado 'r B R rree CR LlernellyR Assistant Seaetay LMS-12873 LMIC OCIC WAIC Mufti Co 0201 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 Sam Davis, Vice President of TexasBit, Inc., 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; 2021 Riverside Drive Resurfacing Project Sam Davis Vice President TexasBit, Inc. Subscribed and sworn before me on this �. fib , 2022. g•''"ra`''i, JAMIE GREEN AY A" 3;r Notary Public,State of Texas Comm.Expitea 09-25-2024 NOTA U I IN A D FOR "i`„°;,,�`•`�� Notary ID 12115454 TAR T UNTY, TEXAS . �?My commission expires e-