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Home My WebLink AboutContract 48495-FP1 Depart n TW Const,Services G?N# Da � 1 Project Manager tT'WORT H. Risk Management Canad D.O.E. Brotherton CITY SECRETARY ij.S>4 ��1 CFA Morales/ScanneSL NI MCT NO. Gutzler/Scanned CCY The Proceeding people have been Contacted concerning the request for final payment&have ATION AND PUBLIC WORKS released this project for such payment. F PROJECT COMPLETION Developer Projects) Clearance Conducted By 04,affi City Project Ns: 100387 --- Cs, z/9`f96 Regarding contract 100387 for ALLIANCE MEDICAL CENTER as required by the WATER DEPARTMENT as approved by City Council onie director of the WATER DEPARTMENT upon the recommendation of the Assi rtation&Public Works Department has accepted the project as complete. JAN 0 $ 2018 Original Contract Price: _ $328,466.13 Amount of Approved Change Orders: Ns Revised Contract Amount: Total Cost Work Completed: $328,466.13 r" Recommended .or Acceptance Date Asst. Director, TPW - Infras r tune D49skwi-and��ion LX Accepted Date Asst. Director, WATER DEPARTMENT Asst. City Manager Date Comments: OFFICIAL RECORD W CITY J tCRET�R' aA 1' FT.1 RT ,TRK Rev.9/22/16 o CEIVE j JAN 0 82018 5q (vb ) - 16� City Project Numbers 100387 ey DOE Number 0387 Contract Name ALLIANCE MEDICAL CENTER Estimate Number 1 Contract Limits Payment Number 1 Project Type WATER&SEWER For Period Ending 5/17/2017 Project Funding Project Manager NA City Secretary Contract Number Inspectors LAYER / KINGSMORE Contract Date Contractor DPR CONSTRUCTION Contract Time 120 CD 9606 N MOPAC EXPRESSWAY STE 300 Days Charged to Date 113 CD AUSTIN, TX 78759 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 $328,466.13 Less %Retained $0.00 Net Earned $328,466.13 Earned This Period $328,466.13 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)Eland Less 15% $0.00 Balance Due This Payment $328,466.13 Wednesday,May 17,2017 Page 4 of 4 FoRTWORTH CITY OF FORT WORTH FINAL PAYMENT REQUEST Contract Name ALLIANCE MEDICAL CENTER Contract Limits Project Type WATER&SEWER City Project Numbers 100387 DOE Number 0387 Estimate Number 1 Payment Number 1 For Period Ending 5/17/2017 CD City Secretary Contract Number Contract Time 12GD Contract Date Days Charged to Date 113 Project Manager NA Contract is 100.00 Complete Contractor DPR CONSTRUCTION 9606 N MOPAC EXPRESSWAY STE 300 AUSTIN, TX 78759 Inspectors LAYER / KINGSMORE Wednesday,May 17,2017 Page 1 of 4 City Project Numbers 100387 DOE Number 0387 Contract Name ALLIANCE MEDICAL CENTER Estimate Number I Contract Limits Payment Number I Project Type WATER&SEWER For Period Ending 5/17/2017 Project Funding WATER Item Description of Items Estimated Unit Unit Cost Estimated Completed Completed No. Quanity Total Quanity Total 1 CONNECTION TO EXISTING 12"WATER MAIN 1 EA $888.77 $888.77 1 $888.77 2 6"GATE VALVE 7 EA $1,079.22 $7,554.54 7 $7,554.54 3 8"GATE VALVE 10 EA $1,592.17 $15,921.70 10 $15,921.70 4 12"GATE VALVE 3 EA $2,685.46 $8,056.38 3 $8,056.38 5 DUCTILE IRON WATER FITTINGS 1.8 TN $9,011.21 $16,220.18 1.8 $16,220.18 W/RESTRAINT 6 FIRE HYDRANT 3 EA $2,937.19 $8,811.57 3 $8,811.57 7 2"WATER SERVICE WITH 2"AUTOMATIC 1 EA $11,125.00 $11,125.00 1 $11,125.00 WATER FLUSHER 8 6"PVC WATER PIPE 259 LF $29.82 $7,723.38 259 $7,723.38 9 8"PVC WATER PIPE 1338 LF $33.80 $45,224.40 1338 $45,224.40 10 12"PVC WATER PIPE 391 LF $47.11 $18,420.01 391 $18,420.01 11 TRENCH SAFETY 1988 LF $0.53 $1,053.64 1988 $1,053.64 12 CONC PVMT REPAIR,ARTERIAL/INDUSTRIAL 273 SY $59.99 $16,377.27 273 $16,377.27 Sub-Total of Previous Unit $157,376.84 $157,376.84 SEWER Item Description of Items Estimated Unit Unit Cost Estimated Completed Completed No. Quanity Total Quanity Total 1 POST CCTV INSPECTION 1750 LF $1.52 $2,660.00 1750 $2,660.00 2 MANHOLE VACUUM TESTING 6 EA $190.46 $1,142.76 6 $1,142.76 3 4'MANHOLE 5 EA $5,139.74 $25,698.70 5 $25,698.70 4 4'DROP MANHOLE 1 EA $6,184.90 $6,184.90 1 $6,184.90 5 4'EXTRA DEPTH MANHOLE 48 VF $200.00 $9,600.00 48 $9,600.00 6 6"SEWER PIPE 25 LF $91.42 $2,285.50 25 $2,285.50 7 8"SEWER PIPE 1277 LF $68.92 $88,010.84 1277 $88,010.84 8 10"SEWER PIPE 448 LF $71.31 $31,946.88 448 $31,946.88 9 TRENCH SAFETY 1750 LF $1.04 $1,820.00 1750 $1,820.00 10 CONC PVMT REPAIR,ARTERIAL/INDUSTRIAL 29 SY $59.99 $1,739.71 29 $1,739.71 Sub-Total of Previous Unit $171,089.29 $171,089.29 Wednesday,May 17,2017 Page 2 of 4 City Project Numbers 100387 DOE Number 0387 Contract Name ALLIANCE MEDICAL CENTER Estimate Number i Contract Limits Payment Number 1 Project Type WATER&SEWER For Period Ending 5/17/2017 Project Funding Contract Information Summary Original Contract Amount $328,466.13 Chance Orders Total Contract Price $328,466.13 Date / a Total Cost of Work Completed $328,466.13 /Contfor Less %Retained $0.00 �, �� Date Net Earned $328,466.13 Inspection Supervisor Earned This Period $328,466.13 �e Retainage This Period $0.00 o Dateo f'U Pro�cManager Less Liquidated Damages � _ Days @ /Day $0.00 Date ' ' r� LessPavement Deficiency $0.00 Asst.D Xeg+TPW-I�rtiature Besi�n an ons c i �z,tom�7� � Less Penalty $0.00 / n _ Date �✓ �� ? ) Less Previous Payment $0.00 Director/Contracting Department Plus Material on Hand Less 15% $0.00 Balance Due This Payment $328,466.13 Wednesday,May 17,2017 Page 3 of 4 FORT WORTH rev 03/05/07 1 (KY TRANSPORTATION & PUBLIC WORKS FINAL STATEMENT OF CONTRACT TIME FINAL STATEMENT NO.:1 NAME OF PROJECT: Alliance Medical Center PROJECT NO.: 100387 CONTRACTOR: Venus Construction DOE NO.: PERIOD FROM:05/01/17 TO: 05/30/17 FINAL INSPECTION DATE: 16-May-17 WORK ORDER EFFECTIVE:1/23/2017 CONTRACT TIME: W jZti O WE 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 PERIOD 113 PREVIOUS 0 PERIOD TOTALS TO DATE 113 'REMARKS: NTRAC,Tg< DATE INSPECTOR DATE ENGINEERING DEPARTMENT The City of Fort Worth• 1000 Throckmorton Street•Fort Worth,TZ 76012-6311 9 (817) 392-7941 •Fax: (817) 392-7845 FORTWOR7HREV:02,22,07 TRANSPORTATION AND PUBLIC WORKS CONTRACTOR'S EVALUATION OF CITY n PROJECT INFORMATION Date: Name of Contractor Project Name DPR Alliance Medical Center DOE Inspector Project Manager Alan Kingsmore Fred Ehia DOE Number Type of Contract 100387 Simple Routine Q Complex Q Water wastewater[] Storm Drainage Pavement Initial Contract Amount Final Contract Amount $328,466.13 $328,466.13 II)PERFORMANCE EVALUATION 0-Inadequate 1 -Deficient 2-Standard 3 -Good 4-Excellent ELEMENT RATING ELEMENT RATING (0_4) INSPECTION EVALUATION PLANS&SPECIFICATIONS 1 Availability of Inspector �1 1 Accuracy of Plans to Existing Conditions j 2 Knowledge of Inspector Li 2 Clarity&Sufficiency of Details 4� 3 Accuracy of Measured Quantities G 3 Applicability of Specifications 4 Display Of Professionalism L/ 4 Accuracy of Plan Quantities L 5 Citizen Complaint Resolution /( PROJECT MANAGER EVALUATION 6 Performance-Setting up Valve Crews,Labs A 1 Knowledge And/Or Problem Resolution ADMINISTRATION 2 Availability of Project Manager 1 Change Order Processing Time `I 3 Communication y 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 (a The City of Fort Worth• 1000 Throckmorton Street•Fort Worth,TX 76012-6311 (817) 392-7941 •Fax: (817) 392-7845 FG {',T ��VC-1,1T1,L REV:8/20/16 TRANSPORTATION AND PUBLIC WORKS PERFORMANCE EVALUATION OF CONTRACTOR I) CONTRACTOR&PROJECT DATA Name of Contractor Project Name DPR Alliance Medical Center Inspector City Project Number Alan Kingsmore 100387 Constnictibn Components Project Manager 2 Water 0 Waste Water❑ Storm Drainage0 Pavement Fred Ehia Initial Contract Amount Project Dffculty $328,466.13 Q Simple Q Routine Q Complex Final Contract Amount Date $328,466.13 15/16/2017 I1)PERFORMANCE EVALUATION 0-Inadequate I-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 4 8 8 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 6 Finished Product 15 Y 4 60 60 7 Job Site Safety 15 Y 4 60 60 8 Traffic Control Maintenance 15 Y 4 60 60 9 Daily Clean Up 5 Y 4 20 20 10 Citizen's Complaint Resolution 5 Y 4 20 20 11 Property Restoration 5 Y 4 20 20 12 After Hours Response 5 Y 4 20 20 13 Project Completion 5 Y 4 20 20 TOTAL ELEMENT SCORE(A) 448 BONUS POINTS(25 Maximum)(B) TOTAL SCORE(TS) 448 III)CONTRACTOR'S RATING Maximum Score(MS)=448 or sum of applicable element score maximums which= 448 Rating([TS/MS] * 100%) 448 / 448 = 100% Performance Category Excellent <20%=Inadequate 20%to<40%=Deficient 40%to<60%=Standard 60%to<80%=Good >80%=Excellent Inspector's Comments(INCLUDING EXPLANATION OF BONUS POINTS AWARDED) Inspector Signature Contractor Signature Inspector's Supervisor Signature ;ft 6e CONTRACTOR'S COMMENTS TRANSPORTATION AND PUBLIC WORKS The City of Fort Worth• 8851 Camp Bowie West Blvd.•Fort Worth,TK 76116• (817)392-8306 FORTWORTH TRANSPORTATION AND PUBLIC WORKS PIPE REPORT FOR: PROJECT NAME: Alliance Medical Center PROJECT NUMBER: 100387 DOE NUMBER: WATER PIPE LAID SIZE TYPE OF PIPE LF Yes 6" PVC 259LF Yes 8" PVC 1338LF Yes 12" PVC 391LF FIRE HYDRANTS: 3 VALVES(16" OR LARGER) PIPE ABANDONED SIZE TYPE OF PIPE LF DENSITIES: Yes NEW SERVICES: 6" PVC 7 SEWER PIPE LAID SIZE TYPE OF PIPE LF Yes 6" PVC 25LF Yes 8" PVC 1277LF Yes 10" PVC 448LF PIPE ABANDONED SIZE TYPE OF PIPE LF DENSITIES: YES NEW SERVICES: 8" PVC 5 TRANSPORTATION AND PUBLIC WORKS . p The City of Fort Worth• 1000 Throckmorton Street•Fort Worth,TX 76012-6311 (817)392-7941 •Fax: (817) 392-7845 Bond No. 018039738 OWNER CONSENT OF SURETY ARCHITECT TO FINAL PAYMENT CONTRACTOR 0 Conforms with the American Institute of SURETY Architects,AIA Document G707 OTHER EJ.. TO OWNER: ARCHITECTS PROJECT NO.: (Nameandaddress) North Texas-MCA,LLC d/ba Medical Center of Alliance and City of Fort Worth,Texa 3101 N Tarrant Pkwy CONTRACT FOR: Alliance Medical Center Fort Worth, TX 76177 PROJECT: CONTRACT DATED: August 11, 2016 (Name and address) Offsite Water Line&Sanitary Sewer Sewer Improvements to serve Alliance Medical Center In accordance with the provisions of the Contract between the Owner and the Contractor as indicated above,the (Insert name and address ofSareo) Liberty Mutual Insurance Company 175 Berkeley Street,Boston,MA 02116 SURETY, on bond of (Insert name and address of Cantrador l 1 DPR Construction,A General Partnership 1450 Veterans Blvd Redwood City, CA 94063 ,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) North Texas-MCA,LLC d/ba Medical Center of Alliance and City of Fort Worth,Texa 3101 N Tarrant Pkwy Fort Worth,TX 76177 ,OWNER, as set forth in said Surety's bond. E IN WITNESS WHEREOF,the Surety has hereunto set its hand on this date: (Insert in writing the month followed by the numeric date and year) May 17, 2017 Liberty Mutual Insurance Company (Surety) 5f' I Attest: �. (Signature Vfauthortzed representative) �l 1H00 tPq"-rrD o?s Cynthia M. Partin Attorney-in-Fact ma �y (Printed name and title) �rOH VASS•C�J4 S-2134/1-M 10101 XDP f Ir This Power ofAttome 's y hmtf the acts of those named herein,and they have no authority to bind the Company except in the manner and to the extent herein stated.Not valid for mortgage,note,loan,letter of credit,bank deposit,currency rate,interest rate or residual value guarantees.To con'rm the validity of this Powerof Attomey call 610.832- 8240 between 9:00 am and 4:30 pm EST on any business day, y r r t Liberty Mutual Insurance Company The Ohio Casualty Insurance Company WestAmerican Insurance Company POWER OF ATTORNEY KNOWN ALL PERSONS BY THESE PRESENTS:ThatThe Ohio Casualty Insurance Company Is a corporation duly organized under the taws of the State of New Hampshire,that Liberty Mutual insurance Company is a corporation duly organized under the laws of the State of Massachusetts,and West American Insurance Company is a corporation duly organized under the lays of the State of Indiana(herein collectively called the'Companiee),pursuant to and by authority herein setforfh,does hereby name,constitute and appoint,Cynthia M.Partin of the city of Columbia state of SC its true and lawful attorney-in•fact,with full power and authority hereby conferred to sign,execute and acknowledge the following surety bond: Principal Name: DPR Construction,A General Partnership Obligee Name: North Texas-MCA LLC dfba Medical Center of Alliance and City of Fort Worth Taxa Surety Bond Number: 018039738 Bond Amount: See Bond Farm E IN WITNESS WHEREOF,this Powerof Attorney has been subscribed byan authorized officer or official of the Companies and the corporate seals of the Companies have been affixed thereto this 6,day ofMareh,2017. q`�A4oaeo'q ti yJ'1I� ti `cQN po�`Rgy� The Ohio Casualty Insurance Company Liberty Mutual Insurance Company o o g ¢ Wes l merican Insurance Company m �y 1912 as y 1919 a N 1991 a n �YACNJ� tom' �! HAM4S��? yi �NOIA�t' By: * * David 'Carey,Assistant Secretary STATE OF PENNSYLVANIA ss COUNTY OF MONTGOMERY On this 61 day ofMJ 2017 before me personally appeared David M.Carey,who acknowledged himself to be the Assistant Secretary of Liberty Mutuaf insurance Company,The Ohio Casualty Company,and West American Insurance Company,and that he,as such,befog authorized so to do,execute the foregoing instrument for the purposes therein contained by signing on behalf of the corporations by himself as a duty authorized officer, IN WITNESS WHEREOF,I have hereunto subscribed my name and affixed my notarial seal at King of Prussia,Pennsylvania,on the day and year first above written. ASN PAST COMMONWEALTH OF PENNSYLVANIA �f��ap�MoaW"(yCy Notarial Seat Teresa Pastella,Notary Public OF Upper MerionTwp.,Montgomery County By: 9 �`Q My Commission Expires March 28,2021 *TrZsaPa`stelIa, Otary P b1i0 �A 4' Member,Pennsylvania Association of Notaries- Ry This Power of Attorn isTrlade and executed pursuant to and by authority of the following By-laws and Authorizations of The Ohio Casualty Insurance Company,Liberty Mutual insurance Company,and WestAmedcan Insurance Company which resolutions are now in full force and effect reading as follows: ARTICLE IV—OFFICERS—Section 12.Power of Attorney.Any officer or other official of the Corporation authorized for that purpose in writing by the Chairman or the President,and subject to such limitation as the Chairman or the President may prescribe,shalt appoint such attorneys-in-fact,as maybe necessary to act in behalf of the Corporation to make,execute, seal,acknowledge and deliver as surety any and all undertakings,bonds,recognizances and other surety obligations. Such attomeys-in-fact,subject to the limitations set forth in their respective powers of attorney,shall have foil power to bind the Corporation by theirsignature and execution of any such instruments and to attach thereto the sea[of the Corporation. When so executed,such instruments shall be as binding as if signed by the President and aifested to by the Secretary.Any power or authority granted to any representative or attorney- in-fact under the provisions of this article may be revoked at any time by the Board,the Chairman,the President or by the officer or officers granting such power or authority. ARTICLE XIII—Execution of Contracts—SECTION S.Surely Bonds and undertakings.Anyofficer of the Company authorized for that purpose In writing by the chairman or the president, and subject to such fimitallons as the chairman or the president may prescribe,shall appoint such atlomeys-fn-fact,as may be necessaryto act in behalf of the Company to make,execute, sea[,acknowledge and deliver as surety any and all undertakings,bonds,recognizances and other surety obligations. Such aftomeys-in-fact subject to the limitations set forth in their respective powers of attorney,shall have full power to bind the Company by their signature and execution of any such Instruments and to attach thereto the seat of the Company.When so executed such instruments shall be as binding as if signed by the president and attested by the secretary. Certificate of Designation—The Presidentof the Company,acting pursuant to the Bylaws of the company,authorizes David M.Carey,Assistant Secretary to appointsuch attorneys-in- fact as may be necessary to act on Waif of the Company to make,execute,seat,acknowledge and deliver as surety any and all undertakings,bonds,recognizances and other surety rt obligations. Authorization—By unanimous consent of the Company's Board of Directors,the Company consents thatfacsimile ormechanically reproduced signature ofanyassistant secretary of the Company,wherever appearing upon a certified copy of any power of attorney issued by the Company in connection with surety bonds,shall be valid and binding upon the Company with the same force and effect as though manually affixed. I,Renee C.Llewellyn,the undersigned,Assistant Secretary,The Ohio Casualty Insurance Company,Liberty Mutual insurance Company,and West American Insurance Company do hereby certify that the original powerof attorney of which the foregoing Is a hull,true and correct copy of the Power of Attorney executed by said Companies,is in full force and effect and has not been revoked, i IN TESTIMONY WHEREOF,I have hereunto setmy hand and affixed the seals of said Companies this 17th day of May 12017 �P4tNSUg4 �PLZY INsU� �ytNSUgq \�LpRPOIj��,'f'r.� 3 4,th�C.ORPDIZy�F��F 4,Q��CpRPOq,4T C'F` 6 r, p rt : 1 �1 �O r} 1912 z 1919 °3 1991 By: °s.. ��a y = e ee C.Lfe e0 sfstantSecretary 'Oi)9SSACN�`'" T` yip�hAMps�!� '� �MolAS1P ! AFFIDAVIT STATE OF Texas COUNTY OF Dallas Before me, the undersigned authority, a notary public in the state and county aforesaid, on this day personally appeared Sean Ashcroft, Project Executive Of DPR Construction, 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; Offsite Water Line & Sanitary to Se Hance Me cal nter BY than Ashc Pft Sub cribed and sworn before on thi to 10 of November, 2017. i otary Public Dallas County, Te I q y TRIG * My Notary Ila#10709944 Expitoe November 30,2020 Bond No. 018039738 OWNER CONSENT OF SURETY ARCHITECT TO FINAL PAYMENT CONTRACTOR p Conforms with the American Institute of SURETY Architects,AIA Document G707 OTHER TO OWNER: ARCHITECT'S PROJECT NO.: (Nameandaddress) North Texas-MCA,LLC diba Medical Center of Alliance and City of Fort Worth,Texa 3101 N Tarrant Pkwy CONTRACT FOR: Alliance Medical Center Fort Worth, TX 76177 PROJECT: CONTRACT DATED: August 11, 2016 (!+tame and address) Offsite Water Line&Sanitary Sewer Sewer Improvements to serve Alliance Medical Center 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 manic and address ofCantraetor) DPR Construction,A General Partnership 1450 Veterans Blvd Redwood City, CA 94063 ,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 nonce and address of Owner) North Texas-MCA,LLC diba Medical Center of Alliance and City of Fort Worth,Texa 3101 N Tarrant Pkwy Fort Worth, TX 76177 ,OWNER, as set forth in said Surety's bond. IN WITNESS WHEREOF,the Surety has hereunto set its hand on this date: (Insert in writing the month followed by the numeric date and year.) May 17, 2017 Liberty Mutual insurance Company 1't , By: 1: i �LX Q Attest: (Sig)taitire fauffiorizedrepresentative) ay 1ORaORAtED Cynthia M. Partin Attorney-in-Fact HC 7 5912 c (Primed name and title) �r40h'HaSSi,��vg S-2134/LM 10101 XDP 0062 19-1 MAINTENANCE BOND Page j of 3 SECTION 00 62 19 2 MAINTENANCE BOND No, 018039738 3 4 THE STATE OF TEXAS § 5 § KNOW ALL BY THESE PRESENTS: 6 COUNTY OF TARRANT § 7 8 That we DPR Construction Gerieral ParwersliiR -—----- -- knownas 9 "Principal"herein and Lib,tevty Mutual Insurance C�qrrjpa y a corporate surety 10 (sureties, if more than one)duly authorized to do business in the State of Texas,known as 11 "Surety"herein(whether one or more), are held and firmly bound unto the Developer,NorthTexas-MCA, LLC d/b/a Medical Center of Alliance authorized to do business in Texas ("Developer")and the City of Fort 13 Worth,a Texas municipal corporation("City"),in the sum 14 of'rfime iii, imi,rwcnty U n Ei_ghtFhousandFq rUll dred Sixty Six Qpllars;ind 13110o Dollars 328,466.13 15 lawful money of the United States,to be paid in Fort Worth,Tarrant County,Texas,for payment 16 of which sum well and truly be made jointly unto the Developer and the City as dual obligees and 17 their successors,we bind ourselves,our heirs, executors, administrators,successors and assigns, 18 jointly and severally,firmly by these presents. 19 20 WHEREAS, Developer and City have entered into an Agreement for the construction of t� 21 community facilities in the City of Fort Worth by and through a Community Facilities 22 Agreement,CFA Number 2016-04 ;and 23 WHEREAS,the Principal has entered into a certain written contract with the Developer 24 awarded the 1 Ith day of _,__ August ------ 20 16 ,which Contract is --------- 25 hereby referred to and a made part hereof for all purposes as if fully set forth herein,to furnish all 26 materials, equipment labor and other accessories as defined by law,in the prosecution of the 27 Work,including any Work resulting from a duly authorized Change Order(collectively herein, 28 the"Work") as provided for in said Contract and designated as—Offsite Water Line&Sanitary Sewer hn P r o _verrie:is to serve Alliance Medical;and 29 30 WHEREAS,Principal binds itself to use such materials and to so construct the Work in 31 accordance with the plans, specifications and Contract Documents that the Work is and will 32 remain free from defects in materials or workmanship for and during the period of two (2)years 33 after the date of Final Acceptance of the Work by the City("Maintenance Period");and 34 CITY OFPORT NORIT-1. Medical Center Alliance STANDARD CITY CONDITIONS-DEVFT,OPFR AWARDED PROJECTS Project No.251210006 Revised January 31,2012 THIS POWER OF ATTORNEY IS NOT VALID UNLESS IT IS PRINTED ON RED BACKGROUND. This Power of Attorney limits the acts of those named herein,and they have no authority to bind the Company except in the manner and to the extent herein stated. Certificate No.6073784 American Fire and Casualty Company Liberty Mutual Insurance Company The Ohio Casualty Insurance Company West American Insurance Company POWER OF ATTORNEY KNOWN ALL PERSONS BY THESE PRESENTS: That American Fire&Casualty Company and The Ohio Casualty Insurance Company are corporations duly organized under the laws of the State of New Hampshire,that Liberty Mutual Insurance Company is a corporation duly organized under the laws of the State of Massachusetts,and WestAmerlcan Insurance Company is a corporation duly organized under the laws of the State of Indiana(herein collectively called the"Companies"),pursuant to and by authority herein set forth,does hereby name,constitute and appoint, Brad Lorenzetti;Cynthia M. Partin;Heidi K.Harrell;James M. Maloney; Pamela Brandt; Rebecca E.Cano all of the city of Columbia ,state of SC each individually if there be more than one named,its true and lawful attorney-in-fact to make,execute,seal,acknowledge and deliver,for and on its behalf as surety and as its act and deed,any and all undertakings,bonds,recognizances and other surety obligations,in pursuance of these presents and shall be as binding upon the Companies as if they have been duly signed by the president and attested by the secretary of the Companies in their own proper persons. IN WITNESS WHEREOF,this Power of Attorney has been subscribed by an authorized officer or official of the Companies and the corporate seals of the Companies have been affixed thereto this 10th day of April 12013 American Fire and Casualty Company N The Ohio Casualty Insurance Company y O Liberty Mutual Insurance Company aWest American Insurance Company E C m By: Q C STATE OF WASHINGTON ss Gregory W.Davenport,Assistant Secretary = COUNTY OF KING dOn this 10th day of April 2013 ,before me personally appeared Gregory W. Davenport,who acknowledged himself to be the Assistant Secretary of American M 0 O Fire and Casualty Company,Liberty Mutual Insurance Company,The Ohio Casualty Company,and West American Insurance Company,and that he,as such,being authorized so to do, >%(1)p execute the foregoing instrument for the purposes therein contained by signing on behalf of the corporations by himself as a duly authorized officer. 4)LU > IN WITNESS WHEREOF,I have hereunto subscribed my name and affixed my notarial seal at Seattle,Washington,on the day and year first above written. `O p, d J O Q M C By: �e C p KD Riley,Notalij Public do °: ti op _ This Power of Attorney is made and executed pursuant to and by authority of the following By-laws and Authorizations of American Fire and Casualty Company,The Ohio Casualty Insurance M y}, Company,Liberty Mutual Insurance Company,and West American Insurance Company which resolutions are now in full force and effect reading as follows: c o '`•of cn 1- ARTICLE IV-OFFICERS-Section 12.Power of Attorney.Any officer or other official of the Corporation authorized for that purpose in writing by the Chairman or the President,and subject p r- 4) N to such limitation as the Chairman or the President may prescribe,shall appoint such attorneys-in-fact,as may be necessary to act in behalf of the Corporation to make,execute,seal, O acknowledge and deliver as surety any and all undertakings,bonds,recognizances and other surety obligations. Such attorneys-in-fact,subject to the limitations set forth in their respective 'a 3 E d powers of attorney,shall have full power to bind the Corporation by their signature and execution of any such instruments and to attach thereto the seal of the Corporation. When so '— C executed,such instruments shall be as binding as if signed by the President and attested to by the Secretary.Any power or authority granted to any representative or attorney-in-fact under > L the provisions of this article may be revoked at any time by the Board,the Chairman,the President or by the officer or officers granting such power or authority. m = ARTICLE XIII-Execution of Contracts-SECTION 5.Surety Bonds and Undertakings.Any officer of the Company authorized for that purpose in writing by the chairman or the president, 00 > i and subject to such limitations as the chairman or the president may prescribe,shall appoint such attorneys-in-fact,as may be necessary to act in behalf of the Company to make,execute, M O seal,acknowledge and deliver as surety any and all undertakings,bonds,recognizances and other surety obligations. Such attorneys-in-fact subject to the limitations set forth in their "oo Z v respective powers of attorney,shall have full power to bind the Company by their signature and execution of any such instruments and to attach thereto the seal of the Company. When so O o executed such instruments shall be as binding as if signed by the president and attested by the secretary. v O . Certificate of Designation-The President of the Company,acting pursuant to the Bylaws of the Company,authorizes Gregory W. Davenport,Assistant Secretary to appoint such r attomeys-in-fact as may be necessary to act on behalf of the Company to make,execute,seal,acknowledge and deliver as surety any and all undertakings,bonds,recognizances and other surety obligations. Authorization-By unanimous consent of the Company's Board of Directors,the Company consents that facsimile or mechanically reproduced signature of any assistant secretary of the Company,wherever appearing upon a certified copy of any power of attorney issued by the Company in connection with surety bonds,shall be valid and binding upon the Company with the same force and effect as though manually affixed. I,David M.Carey,the undersigned,Assistant Secretary,of American Fire and Casualty Company,The Ohio Casualty Insurance Company,Liberty Mutual Insurance Company,and West American Insurance Company do hereby certify that the original power of attorney of which the foregoing is a full,true and correct copy of the Power of Attorney executed by said Companies, is in full force and effect and has not been revoked. IN TESTIMONY WHEREOF,I have hereunto set my hand and affixed the seals of said Companies this//a day of/ GV�,20-Z& . David M.Carey;Assistant Secretary LMS_12673_092012 910 of 1000