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Home My WebLink AboutContract 51226-FP1 City Secretary 51226 -FP1 Contract No. FORTWORTH..) Date Received Jun 7,2019 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: 7-ELEVEN LOT 1, BLK A, CROWLEY RD ADDITION City Project No.: 101522 Improvement Type(s): Water M Sewer Original Contract Price: $268,582.00 Amount of Approved Change Order(s): $2,980.00 Revised Contract Amount: $271,562.00 Total Cost of Work Complete: $271,562.00 Brett c Ledbetter(R, Jun 6,2019 Contractor Date CFO Title Mora Construction, Inc. Company Name 4t,4/1~W Jun 6 2019 Matthew Wilson(Jun 6,2019) Project Ins ector Date Keith Ghanma e 6,2019) Jun 6,2019 Project Manager Date �7a;rie cfm ttAnt-ales Janie Scartett Morales(Jun 6,2019) Jun 6,2019 CFA Manager Date m a Susan Al1(Jun 6,2019) Jun 6,2019 Asst. City Manager D to OFFICIAL RECORD CITY SECRETARY Page 1 of 2 FT. WORTH,TX Notice of Project Completion Project Name: 7-ELEVEN LOT 1, BLK A, CROWLEY RD ADDITION City Project No.: 101522 City's Attachments Final Pay Estimate ❑x Change Order(s): ❑x Yes ❑ N/A Pipe Report: 0 Yes ❑ N/A Contractor's Attachments Affidavit of Bills Paid Consent of Surety Statement of Contract Time Contract Time: 180 CD Days Charged: 120 Work Start Date: 10/29/2018 Work Complete Date: 2/26/2019 Page 2 of 2 FoRTWORTH CITY OF FORT WORTH FINAL PAYMENT REQUEST Contract Name 7-ELEVEN Contract Limits LOT 1,BLK A,CROWLEY RD ADDITION Project Type WATER&SEWER City Project Numbers 101522 DOE Number 1522 Estimate Number 1 Payment Number 1 For Period Ending 4/2/2019 CD City Secretary Contract Number Contract Time 18aD Contract Date Days Charged to Date 120 Project Manager NA Contract is 100.00 Complete Contractor MORA CONSTRUCTION,INC. 109 S.STORY#E IRVING, TX 75060 Inspectors OWEN / SMITH Wednesday,April 10,2019 Page 1 of 4 City Project Numbers 101522 DOE Number 1522 Contract Name 7-ELEVEN Estimate Number I Contract Limits LOT 1,BLK A,CROWLEY RD ADDITION Payment Number I Project Type WATER&SEWER For Period Ending 4/2/2019 Project Funding WATER Item Description of Items Estimated Unit Unit Cost Estimated Completed Completed No. Quanity Total Quanity Total --------------------------------------- 1 8"WATER PIPE CO#1 523 LF $70.00 $36,610.00 523 $36,610.00 2 FIRE HYDRANT ASSEMBLY W/6"GATE VALVE 1 EA $5,500.00 $5,500.00 1 $5,500.00 &LEAD 3 1"WATER SERVICE 2 EA $2,800.00 $5,600.00 2 $5,600.00 4 8"GATE VALVE 2 EA $1,600.00 $3,200.00 2 $3,200.00 6 DUCTILE IRON WATER FITTINGS AND I LS $4,650.00 $4,650.00 1 $4,650.00 VERTICAL BENDS 7 TRENCH SAFETY 575 LF $1.00 $575.00 575 $575.00 8 ASPHALT PVMT REPAIR BEYOND DEFINED 7 SY $200.00 $1,400.00 7 $1,400.00 WIDTH 9 TRAFFIC CONTROL I LS $1,100.00 $1,100.00 I $1,100.00 10 24"X 8"TAPPING SLEEVE&VALVE CO#I 1 EA $16,220.00 $16,220.00 1 $16,220.00 -------------------------------------- Sub-Total of Previous Unit $74,855.00 $74,855.00 SEWER Item Description of Items Estimated Unit Unit Cost Estimated Completed Completed No. Quanity Total Quanity Total --------------------------------------- I 8"SEWER PIPE,SELECT BACKFILL CO#1 1215 LF $70.00 $85,050.00 1215 $85,050.00 2 6"SEWER SERVICE TO EASEMENT 26 LF $25.00 $650.00 26 $650.00 3 4'MANHOLE 2 EA $3,400.00 $6,800.00 2 $6,800.00 4 4'DROP MANHOLE 2 EA $6,700.00 $13,400.00 2 $13,400.00 5 TRENCH SAFETY 1245 LF $1.00 $1,245.00 1245 $1,245.00 6 MANHOLE VACUUM TESTING 4 EA $850.00 $3,400.00 4 $3,400.00 7 POST CCTV INSPECTION 1245 LF $1.60 $1,992.00 1245 $1,992.00 8 TRENCH WATER STOPS 3 EA $400.00 $1,200.00 3 $1,200.00 9 20"CASING BY OTHER THAN OPEN CUT 45 LF $370.00 $16,650.00 45 $16,650.00 10 CONCRETE ENCASE SEWER PIPE 50 LF $178.40 $8,920.00 50 $8,920.00 11 ASPHALT PVMT REPAIR BEYOND DEFINED 267 SY $200.00 $53,400.00 267 $53,400.00 WIDTH,RESIDENTIAL 12 TRAFFIC CONTROL I LS $4,000.00 $4,000.00 1 $4,000.00 -------------------------------------- Sub-Total of Previous Unit $196,707.00 $196,707.00 -------------------------------------- Wednesday,April 10,2019 Page 2 of 4 City Project Numbers 101522 DOE Number 1522 Contract Name 7-ELEVEN Estimate Number 1 Contract Limits LOT 1,BLK A,CROWLEY RD ADDITION Payment Number 1 Project Type WATER&SEWER For Period Ending 4/2/2019 Project Funding Contract Information Summary Original Contract Amount $268,582.00 Chanl=e Orders Change Order Number 1 $2,980.00 Total Contract Price $271,562.00 Total Cost of Work Completed $271,562.00 Less %Retained $0.00 Net Earned $271,562.00 Earned This Period $271,562.00 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 $271,562.00 Wednesday,April 10,2019 Page 3 of 4 City Project Numbers 101522 DOE Number 1522 Contract Name 7-ELEVEN Estimate Number I Contract Limits LOT 1,BLK A,CROWLEY RD ADDITION Payment Number I Project Type WATER&SEWER For Period Ending 4/2/2019 Project Funding Project Manager NA City Secretary Contract Number Inspectors OWEN / SMITH Contract Date Contractor MORA CONSTRUCTION,INC. Contract Time 180 CD 109 S.STORY#E Days Charged to Date 120 CD IRVING, TX 75060 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 $271,562.00 Less %Retained $0.00 Net Earned $271,562.00 Earned This Period $271,562.00 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 $271,562.00 Wednesday,April 10,2019 Page 4 of 4 aEVELOPIi ft:b/Qg12-PROJEe7 CHANGE ORDER PROJECT NAME: 7,Eteven Loi I®lock A Crowte Riad'Additton .0KAWE CONTRACT: Vyaler,Seiner,Paying and Drainage,, OSR Nv: GFA#t 201&Q5t). =CITY IPATION.-I No CITY PROJECT# iof522 DbE#.._._ NIA .. WATER Pi2OJECT# IYI 5600e•0600430•101•522,UO1580. $t=YVER.PROJECT#1 P 56008-0700d30.1D7-22.x%D�8U FILE Il. K-3597 MPEOTOR: Phone No: PROJECT MANAGtR; Keith iGhanh a Phone Nq' 817 392.2M CONTRACT UNIT - WAT$R sevvER _ ' ;eriyltici: a"a�iruoE - sr�ia�'I`:uma - co vaiaper =# '.�.,; °t Dov4loper #:;.` a va apsr ,p;,,,: "` Ave Ver ;3= vA opar LAYS .. .. Cost t coal Cast Goat - Cost ORit3lNAL CONTRACT 589,776,W119Wt 5198.807.00 RAVAQ..iY81,608.87 513,996A0. f0,00 EXTRA8f`ODATE f 6,080_00 10,00 1060 f040 GREDTIS TO DATE f0.00 s+> 12.100.80 =c;,. 3 73,31e.28 - $0.00 $0.00 GA4TRAi;T,TODATE $74,885.00 � .:a',."'r 3198.707A0 x� '>; $108.202.59 S15,906A0 S0.00 O AMOUNTpFPROP,GNANOEORDER REViSEll CBRTRAGTAIIOUNT 17,855.ob f186;7b7.tl0 f108 2.69 r $13.985.00 50:00 D TOTAL REV18E0 CONTRACT AMOUNT PAR vNrr f74.8SS.40 ft3b;70T,00 $108,292.30 613,98S.00 10.00 . _ REVISED CM SHARE l*fl CoBC $303,639.69 tMALREMEDCONTRACT 5393,839.69 . . - RBVksed:9D 72-2g71 op Vou are diredod46 make the Niowin Chen es in the canlrect documents: Alok sate the Sanfloty 8eWortine ns shown on Rev t Dfawkws 7 tl W018 CITY 0101TEM P&11cm$ 4 GUMMY 'UNIT ITEM DE5CH11'TION UNITPRICE TOTAL 3331.411? •30 'LF . 8' ewer Pipe,Select Backtill 0,00 S i00.00 3201,070.1 •354 SY Ae hell Pevernent Repair 2tId;00 7d 00,00 " 321tOSO1 •354 SY 6"Lime Treatment S 6.82 $ 2A%p 3311,0243 52 [T 8"Woter Linn,Select BncUlt Y0,00 3 0.00 3312:4209. EA 24"x 8'Topping Sleeve end Valve $1 ,22U.Od $ if;220.00 3312.31U3 4 EA 8'Gut-In Gato Valve .S 7. ,00. . QD.00 TOTAi REASONS FOR CHMGE ORDER Revrslwn to Mta&t w to'avoid Conlllctw vMh onfolow ovoft 4d k1V<hl the area. P014joy 10 SS to aiowocemem olfine ronil out bfiw ktp+tfr_ 1, NO£1tYPi1NIl97tVVLtLStI INTaSCOt1TRACT.DEVE PER1S ESPOHSIBLEFE"1100%OFTfiEGHANGSO"ER COST AIM NO MM9t► SMENtMOMTN�C"YWILLSE8bUONTS1'7NEOE LOPER. RECCtM AENow. APPROVEO, __ a APPROVED; e Tt3xas or a ea State -Mo'M Con111rttctlon (CNrsulh "oor -. .(Aovwloperj f � - sy By: t3 C N9rme: +� Name: a50. _ &'Lrl.. _ Name: f`C G/ TWI Mang, ., C 'now G I I Reused!10,12.3011 Prue 2 i I ORTORTH TRANSPORTATION AND PUBLIC WORKS PIPE REPORT FOR: PROJECT NAME: 7-Eleven Crowley Rd.and Risinger Rd. PROJECT NUMBER: 101522 DOE NUMBER: N/A WATER PIPE LAID SIZE TYPE OF PIPE LF Water 8"inch PVC 575 LF FIRE HYDRANTS: 1 VALVES(16" OR LARGER) PIPE ABANDONED SIZE TYPE OF PIPE LF N/A DENSITIES: All Passed NEW SERVICES: 2- V inch copper 80 LF SEWER PIPE LAID SIZE TYPE OF PIPE LF Sewer 8" inch SDR-26 PVC 1215 LF PIPE ABANDONED SIZE TYPE OF PIPE LF N/A DENSITIES: All Passed NEW SERVICES: 6"inch SDR-26 PVC 26 LF TRANSPORTATION AND PUBLIC WORKS The City of Fort Worth• 1000 Throckmorton Street•Fort Worth,TX 76012-6311 AFFIDAVIT STATE OF TX COUNTY OF Dallas Before me,the undersigned authority, a notary public in the state and county aforesaid, on this day personally appeared Roger Mora, President Of Mora Construction 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; 7-11 Risinger Rd City Project#: 101522 BY Roger Mora, President Subscribed and sworn before me on this date 4th of June, 2019. Notary Public Dallas, TX ` w BRE— T� T C RLES LEDBETTER ��Q1P Y pUg�i Public,State of Texas Comm;Expires 02-09.2023 Notary ID 10398260 CONSENT OF CONTRACTOR SURETY COMPANY ARCHITECT TO FINAL PAYMENT SUBCONTRACTOR SURETY AIA DOCUMENT G707(Modified) OTHER Bond No. 4421273 PROJECT: 7-11 @ Crowley and Risinger-Water,Sanitary Sewer and Storm Drain Improvements (name,address) TO(Contractor) [ City of Fort Worth ] ARCHITECT'S PROJECT NO: 1000 Throckmorton Street Fort Worth,TX 76102-6312 CONTRACT FOR: [ ] CONTRACT DATE: 7/3/2018 SUBCONTRACTOR: Mora Construction,Inc. Po Box 154897 Irving,TX 75015 In accordance with the provisions of the Contract between the Contractor and the Subcontractor as indicated above,the (here insert name and address of Surety Company) SureTec Insurance Company 1330 Post Oak Boulevard,Suite 1100 Houston,TX 77056 , SURETY COMPANY, on bond of(here insert name and address of Subcontractor) Mora Construction,Inc. Po Box 154897 Irving,TX 75015 , SUBCONTRACTOR, hereby approves of the final payment to the Subcontractor, and agrees that final payment to the Subcontractor shall not relieve the Surety Company of any of its obligations to(here insert name and address of Contractor) City of Fort Worth 1000 Throckmorton Street Fort Worth,TX 76102-6312 ,CONTRACTOR, as set forth in the said Surety Company's bond. IN WITNESS WHEREOF, the Surety Company has hereunto set its hand this 5th day of March , 2019 SureTec Insurance Company Surety Company Signature of Authorized Representative Witness: (Seal): Debra Lee Moon 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 AIA DOCUMENT G707 CONSENT OF SURETY COMPANY TO FINAL PAYMENT APRIL 1970 EDITION AIA ONE PAGE 1970 THE AMERICAN INSTITUTE OF ARCHITECTS,1735 New York Ave.,NW,WASHINGTON,D.C. 20006 roA#: 4221756 SureTec 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 Ahe State of Texas, and having its principal office in Houston, Harris County, Texas, does by these presents nxake,constitute and appoint Sammy J. Mullis Jr.,John William Newby,Wilbert Raymond Watson,Troy Russell Key, Sandra Lee Roney, Debra Lee Moon,Andrea Rose Crawford, Linda Michelle Stalder its true and lawful Attorney-in-£act,with full power and authority hereby conferred in it 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 sutetyfor,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 CEO, 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 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 or more suitable persons as Attorneys)-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 I20 of April, 1999) In Witness Whereof, SURETEC INSURANCE COMPANY has caused these:presents to be signed by its CEO, and its corporate seal to be hereto affixed this 3rd day of August ;A.D.2018 SURETEC INS PANY �RANO 0 By: aw i John Kno .,CE State of Texas ss: County of Harris �' •• On this 3rd day of August ,A.D.2018 before the 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 CEO 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.' 11111lf hsY��e,,, aACC?uELYN GREEIJLEAF �> •�,�hi�ta'ry Puhlic,State of Texas Comm.FxAiras05•t&2021 1 ~ p,,,; �` Notary ID'126�J03029 Jacq elyn Greenleaf,Notary Public My commission.expires May 18,2021 1,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 Attomey are in full force and effect. Given under my'hand and the seal of said Company at,Houston,Texas this day of �. ,�A.D. Bre'n ;Beaty,A istant Se tary , Any Instrument issued in excess of the penalty stated above is totally gold and without any valldity. For verification of the authority o this power you may call(713)812-0800 any business day between'8:30 am and 5:00 pm CST. SureTee Insurance Company THIS BOND RIDER CONTAINS IMPORTANT COVERAGE INFORMATION Statutory ComplaintNotice/Filing of Claims To obtain.information.or make a complaint: You may call the Surety's toll free telephone number for information.or to take a, complaint,or file a claim at`:,1-866-732=00K You may also,write to'the Surety at: SureTec.Insurance Company 9737 Great Hills Trail, Suite 320 Austin. Tx 7,8759 You may contact the Texas Department,of Insurance to obtain information on companies,coverage,rights or complaints at 1-8007252- 34339, You may wrife the Texas Department:of.Insuranco,at PO Box 149104' Austin,'TX 7871,4-9,104 Fax#: 512-49040.07 Web:.hltp://vVww.tdi.state.tx.us Email:ConsumerP.rotection@tdi.texas.gov RRE1y1IUM OR CLAIM DISFUTES;':Shpuld 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 df Insurance. Texas Rider 06042014 1 AFFIDAVIT STATE OF TX COUNTY OF Dallas Before me,the undersigned authority, a notary public in the state and county aforesaid, on this day personally appeared Roger Mora, President Of Mora Construction 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; 7-11 Risinger Rd City Project#: 101522 BY Roger Mora, President Subscribed and sworn before me on this date 4th of June, 2019. Notary Public Dallas, TX ` w BRE— T� T C RLES LEDBETTER ��Q1P Y pUg�i Public,State of Texas Comm;Expires 02-09.2023 Notary ID 10398260 CONSENT OF CONTRACTOR SURETY COMPANY ARCHITECT TO FINAL PAYMENT SUBCONTRACTOR SURETY AIA DOCUMENT G707(Modified) OTHER Bond No. 4421273 PROJECT: 7-11 @ Crowley and Risinger-Water,Sanitary Sewer and Storm Drain Improvements (name,address) TO(Contractor) [ City of Fort Worth ] ARCHITECT'S PROJECT NO: 1000 Throckmorton Street Fort Worth,TX 76102-6312 CONTRACT FOR: [ ] CONTRACT DATE: 7/3/2018 SUBCONTRACTOR: Mora Construction,Inc. Po Box 154897 Irving,TX 75015 In accordance with the provisions of the Contract between the Contractor and the Subcontractor as indicated above,the (here insert name and address of Surety Company) SureTec Insurance Company 1330 Post Oak Boulevard,Suite 1100 Houston,TX 77056 , SURETY COMPANY, on bond of(here insert name and address of Subcontractor) Mora Construction,Inc. Po Box 154897 Irving,TX 75015 , SUBCONTRACTOR, hereby approves of the final payment to the Subcontractor, and agrees that final payment to the Subcontractor shall not relieve the Surety Company of any of its obligations to(here insert name and address of Contractor) City of Fort Worth 1000 Throckmorton Street Fort Worth,TX 76102-6312 ,CONTRACTOR, as set forth in the said Surety Company's bond. IN WITNESS WHEREOF, the Surety Company has hereunto set its hand this 5th day of March , 2019 SureTec Insurance Company Surety Company Signature of Authorized Representative Witness: (Seal): Debra Lee Moon 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 AIA DOCUMENT G707 CONSENT OF SURETY COMPANY TO FINAL PAYMENT APRIL 1970 EDITION AIA ONE PAGE 1970 THE AMERICAN INSTITUTE OF ARCHITECTS,1735 New York Ave.,NW,WASHINGTON,D.C. 20006 roA#: 4221756 SureTec 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 Ahe State of Texas, and having its principal office in Houston, Harris County, Texas, does by these presents nxake,constitute and appoint Sammy J. Mullis Jr.,John William Newby,Wilbert Raymond Watson,Troy Russell Key, Sandra Lee Roney, Debra Lee Moon,Andrea Rose Crawford, Linda Michelle Stalder its true and lawful Attorney-in-£act,with full power and authority hereby conferred in it 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 sutetyfor,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 CEO, 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 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 or more suitable persons as Attorneys)-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 I20 of April, 1999) In Witness Whereof, SURETEC INSURANCE COMPANY has caused these:presents to be signed by its CEO, and its corporate seal to be hereto affixed this 3rd day of August ;A.D.2018 SURETEC INS PANY �RANO 0 By: aw i John Kno .,CE State of Texas ss: County of Harris �' •• On this 3rd day of August ,A.D.2018 before the 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 CEO 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.' 11111lf hsY��e,,, aACC?uELYN GREEIJLEAF �> •�,�hi�ta'ry Puhlic,State of Texas Comm.FxAiras05•t&2021 1 ~ p,,,; �` Notary ID'126�J03029 Jacq elyn Greenleaf,Notary Public My commission.expires May 18,2021 1,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 Attomey are in full force and effect. Given under my'hand and the seal of said Company at,Houston,Texas this day of �. ,�A.D. Bre'n ;Beaty,A istant Se tary , Any Instrument issued in excess of the penalty stated above is totally gold and without any valldity. For verification of the authority o this power you may call(713)812-0800 any business day between'8:30 am and 5:00 pm CST. SureTee Insurance Company THIS BOND RIDER CONTAINS IMPORTANT COVERAGE INFORMATION Statutory ComplaintNotice/Filing of Claims To obtain.information.or make a complaint: You may call the Surety's toll free telephone number for information.or to take a, complaint,or file a claim at`:,1-866-732=00K You may also,write to'the Surety at: SureTec.Insurance Company 9737 Great Hills Trail, Suite 320 Austin. Tx 7,8759 You may contact the Texas Department,of Insurance to obtain information on companies,coverage,rights or complaints at 1-8007252- 34339, You may wrife the Texas Department:of.Insuranco,at PO Box 149104' Austin,'TX 7871,4-9,104 Fax#: 512-49040.07 Web:.hltp://vVww.tdi.state.tx.us Email:ConsumerP.rotection@tdi.texas.gov RRE1y1IUM OR CLAIM DISFUTES;':Shpuld 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 df Insurance. Texas Rider 06042014 1