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HomeMy WebLinkAboutContract 48603-FP4 City Secretary 48603 -FP4 Contract No. Date Received Feb 6,2020 FORT WORTHO 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: PARK VISTA BLVD City Project No.: 02319 Improvement Type(s): M Paving © Drainage ® Street Lights ❑ Traffic Signals Original Contract Price: $845,184.64 Amount of Approved Change Orders): Revised Contract Amount: Total Cost of Work Complete: $845,184.64 ke 7ivfl'rgto# J Mike FardnL an 24, 2020 Contractor Date Division Manager Title Crossland Construction Co., Inc. Company Name rhd M4&r Jan 24 2020 Thomas Miller(Jan 24,2020J f Project Inspector Date 110a&el� Jan 24, 2020 Patrick Buckley(Jan 24,2020) Proje,ctp ana er Date �7a�rre JC4 PAlvyalef Jan 31 2020 Janie Scarlett Morales(Jan 31,2020) CFA Manager Date Dana aBBu�rghdoff( 3,2020T Feb 3,2020 Asst. City Manager Date OFFICIAL RECORD CITY SECRETARY Page I of 2 FT.WORTH, TX Notice of Project Completion Project Name: PARK VISTA BLVD City Project No.: 02319 City's Attachments Final Pay Estimate Change ❑rder(s): ❑ Yes © NIA Contractor's Attachments Affidavit of Bills Paid Consent of Surety Statement of Contract Time Contract Time: 358 CD Days Charged: 670 Work Start Date: 1/30120 1 7 Work Complete Date: 1 1/301201 8 Page 2of2 FORTWORTH CITY OF FORT WORTH FINAL PAYMENT REQUEST Contract Name PARK VISTA BOULEVARD Contract Limits Project Type PAVING&DRAINAGE City Project Numbers 02319 DOE Number 230 Estimate Number I Payment Number 1 For Period)ending 7/1/2019 City Secretary Contract Number Contract Tune Contract Date Days Charged to Date 670 Contract is I00.00 Complete Project Manager NA Contractor CROSSLAND CONSTRUCTION COMPANY,INC. 861 N COL.EMAN,STE 100 PROSPER, TX 75079 Inspectors LAYER 1 MILLER Monday,July 1,2019 Page I of 6 i�'a City Project Numbers 02319 DOE Number 2319 Contract Name PARK VISTA BOULEVARD Estimate Number I Contract Limits Payment Number I Project Type PAVING&DRAINAGE For Period Ending 7/1/2019 Project Funding REMOVALS WALMART DRIVEWAY Item Description of Items Estimated Unit Unit Cost Estimated Completed Completed No. Quanity Total Quanity Total I REMOVE SIDEWALK f J 6361 SF $0.85 $5,406,85 6361 $5,406.85 2 REMOVE FENCE 1767 LF $1.00 $1,767.00 1767 $1,767.00 3 REMOVE CGNC PVMT 4027 SY $8.75 $35,236.25 4027 $35,236.25 4 REMOVE 10'CURB INLET 4 EA $1,065.00 $4,260.00 4 $4,260.00 5 SALVAGE FIRE HYDRANT 2 EA $I,230.00 $2,460.00 2 $2.460,00 6 REMOVE SIGN I EA $111.00 $111.00 l $111.00 --------- -------------- --- ------------- Sub-Total of Previous Unit $49.241.10 $49,241.10 PAVING WALMART DRIVEWAY Item Description of Items Estimated Unit Unit Cost Estimated Completed Completed No, Quanity Total Quanity Total ^ l HYDRATED LIME 115 TN $179.50 $20,52T50 �r 115 $20,527.50 2 8"LIME TREATMENT 5493 SY $2.77 $15,215A] 5493 $15,215,61 3 4"CONC SIDEWALK 9690 SF $6.15 $59,593.50 9690 $59,593.50 4 BARRIER FREE RAMP 8 EA $770.00 $6,160.00 8 $6,160,00 5 BARRIER FREE RAMP 4 EA $1,085.00 $4,340.00 4 $4,340.00 6 10.5"CONIC PVMT 5155 SY $61.00 $314,455.00 5155 $314,455.00 7 BIKE RAMP 4 EA $825.00 $3,300.00 4 $3,300.00 8 10.5"BROOM rNTEGRAL COLOR CONCRETE 858 SY $144.13 $123,663.54 858 $123,663.54 ISLAND 9 4"STAMPED INTEGRAL COLOR CONCRETE 583 SY $83.71 $48,802.93 583 $48,802.93 ISLAND ---------------- ------ ------------------ Sub-Total of Previous Unit $596,058.08 $596,058.08 DRAINAGE WALMART DRIVEWAY Item Description of Items Estimated Unit Unit Cost Estimated Completed Completed No, Quanity Total Quanity Total 1 TRENCH SAFETY f T 240 LF $1.12 $268.80 240 $268.80 2 24"RCP CLASS 111 219 LF $89.77 $1%659.63 219 $l%659.63 3 36"RCP CLASS Ill 21 LF $134,63 $2,827.23 21 $2,827.23 4 10'RECESSED INLET 4 EA $5,050,00 $20,200.00 4 $20,200.00 5 20'TYPE 2 INLET I EA $16,621,00 $16.621.00 1 $16,621.00 Monday,July 1,2019 Page 2 of 6 City Project Numbers 02319 DOE Number' 2319 Contract[Name PARK VISTA BOULEVARD Estimate Number I Contract Limits Payment Number I Project Type PAVING&DRAINAGE For Period Ending 7/1/2019 Project Funding Sub-Total of Previous Unit $59,57&66 $59,576,66 SIGNING&PAVING WALMART DRIVEWAY Item Description of Items Estimated Unit Ussit Cost Estimated Completed Completed No. Quanity Total Quanity Total -1 4"SLD PVMT MARKING HAS 974 LF $2.22 $2,162,28 974 $2,162.28 2 4"SLD PVMT MARKING HAS 60 LF $2.22 $133,20 60 $133.20 3 4"BRK PVMT MARKING HAS 240 LF $2.22 $532.80 240 $532.80 4 4"DOT PVMT MARKING HAS 10] LF $2.22 $224.22 lot $224.22 5 8"SLD PVMT MARKING HAS 834 LF $2.99 $2,493.66 834 $2,493.66 6 12"SLD PVMT MARKING HAE 125 LF $4.43 $553.75 125 $553.75 7 24"SLID PVMT MARKING HAE 450 LF $8.59 $3,865.50 450 $3,865,50 8 LANE LEGEND ARROW 10 EA $205,00 $2,050.00 10 $2,050,00 9 LANE LEGEND BIKE 3 EA $249.00 $747.00 3 $747.00 10 REFL RAISED MARKER 1 EA $6.00 $&00 1 $6.00 11 REFL RAISED MARKER 23 EA $6.00 $138.OD 23 $138.00 12 FURN[SH/INSTALL ALUM SIGN GROUND 27 EA $821.00 $22,167.00 27 $22,167.00 MOUNT 13 4"BIKE PVMT MARKINGS HAS 92 LF $2.22 $204.24 92 $204,24 14 12"DOT PVMT MARKING RAE 86 LF $4A3 $380.98 86 $380.98 15 LANE LEGEND YIELD 6 EA $261,00 $1.566.00 6 $%566.00 16 LANE LEGEND TRIANGLE(18°) 58 EA $47.00 $2.726.00 58 $2,726.00 -------------------- -------------------- Sub-Total of Previous Unit $39,950.63 $39,950.63 ST LIGHT WALMART DRIVEWAY Item Description of Items Estimated Unit Unit Cost Estimated Completed Completed No. Quanity 'Total Quanity Total 1 _ 2"CONOT PVC SCH 80 J 1010 LF _ $7.00 $7,070.00 1010 $7,070.00 2 GROUND BOX TYPE B WIAPRON 9 EA $721.00 16,489.00 9 $6,499.00 3 RDWY ILLUM ASSEMBLY 4 EA $2,71&00 $10,864.00 4 $10,864.00 4 RDWY ILLUM ASSEMBLY 2 EA $3,797.00 $7,594,00 2 $7,594.00 5 RDWY ILLUM FOUNDATION 6 EA $1,164.00 $6,984.00 6 $6.994.00 6 LED LIGHTING FIXTURE 4 EA $770.55 $3,082.20 4 $3,082,20 7 2-2-2-4 QUADPLEX ALUM ELEC CONDUCTOR 1225 LF $3.27 $4.005.75 1225 $4,005.75 Monday,]lily 1,2019 Page 3 of 6 City Project Numbers 02319 DOE Number 2319 Contract Name PARK VISTA BOULEVARD Estimate Number 1 Contract Limits Payment Number 1 Project Type PAVING&DRAINAGE For Period Ending 7/1/2019 Project Funding Sub-Total of Previous Unit $46,088.95 $46,088.95 LANDSCAPE&IRR.IGATION WALMART DRMWAY Item Description of Items Estimated Unit Unit Cost Estimated Completed Completed No. Qunntly Total Quanity Total 1 ^ WTOPSOIL 493 CY $16.39 $8,080.27 f 493 $8,090.27 2 SEEDING 1482 SY $0.90 $1,333.80 1482 $1.333.90 3 STEEL EDGE 162 LF $4.09 $662.58 162 $662.58 4 PLANT 5 GALLON SHRUB 57 EA $30.00 $1,710.00 57 $1.710.00 5 PLANT 1 GALLON SHRUB 512 EA $25.00 $12,800.00 512 $12,800.00 6 AGGREGATEINATURALSTONE 16.6 CY $1,318.95 $2L,894.57 16.6 $21,894,57 7 IRRIGATION SYSTEM AT WAL MART I LS $7,788.00 $7,788.00 1 $7.788.00 DRIVEWAY Sub-Total of Previous Unit $54,269.22 $54,269.22 --- ------------ ------------------------ Monday,July 1,2019 Page 4 of 6 City Project Numbers 02319 DOE Number 2319 Contract Name PARK VISTA BOULEVARD Estimate Number I Contract Limits Payment Number I Project Type PAVING&DRAINAGE For Period Ending 7/1/2019 Project Funding Contract Information Sununar Original Contract Amount $845,184.64 Change Orders Total Contract Price $845,184,64 Total Cost of Work Completed $845,184.64 Less %Retained $0.00 Net Earned $845.1854.64 Earned This Period $845,184.64 Retainage This Period $0.00 Less Liquidated Damages Days Q 1 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 $845,184.64 Monday,duly 1,2019 Page 5 of 6 City Project Numbers 02319 DOE Plumber 2319 Contract Name PARK VISTA BOULEVARD Estimate Number 1 Contract Limits Payment Plumber t Project Type PAVING&DRAINAGE For Period]ending 7/1/2019 Project Funding Project Manager NA City Secretary Contract Number Inspectors LAYER / MILLER Contract Date Contractor CROSSLAND CONSTRUCTION COMPANY,INC. Contract Time 861 N COLEMAN,STE 100 Days Charged to Date 670 PROSPER, TX 75078 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 $845,184.64 Less %Retained $0.00 Net Earned $845,184.64 Earned This Period $845,184.64 Reta1nage This Period $0.00 Less Liquidated Damages 0 Days® $0.00 1 Day $0.00 LessPavement Deficiency $0.00 Less Penalty $0.00 Less PreVi0n8 Payment $0.00 Plus Material on Hand Less 15% $0.00 Balance Due This Payment $845,184.64 Monday,July 1,2019 Page 6 of 6 AFFIDAVIT OF TOTAL RELEASE AND CERTIFICATION OF ALL BILLS PAID THE UNDERSIGNED hereby certifies that he(or she)has examined and is authorized and empowered to execute this Affidavit as the owner,partner,or officer as the case may be,of the contractor named below("the Contractor")employed in connection with the construction project("the Project")mentioned below. In consideration for the full and final payment to the Contractor for all services in connection with the Project, the Contractor hereby releases and waives all liens and claims to liens which the Contractor may have on or affecting the Project or Project property as a result of the Contractor's contract(s) for the Project or for performing labor and/or furnishing materials that are in any way connected with any construction of any building(s)or improvement(s) for the Project whether on the Project property or elsewhere. The Contractor further certifies and warrants that all subcontractors of labor and/or materials supplied to,for,through or at the direct or indirect request of the Contractor and/or subcontractor have been paid. 1. __ Crossland Construction (Print or type the firm or individual name of the Contractor) 2. 833 SE Ave Columbus KS 66725 (Print or type the Contractor's address) 3. Todd Ketterman Print or type the name of the person signing for the Contractor) 4. Vice President (Print or type the position of the person signing for the Contractor) S. Description of the Project(use an additional page,if necessary): WM Ft.Worth 2834-00 6. Date that the project was totally completed: 4/20118 The undersigned certifies that the foregoing information is true and correct and acknowledges that the owner of the Project has placed a material reliance on such information in directing final payment to the Contractor. EXECUTED this 1 A day of 20 I$_. (To be s gned by the per n hown in Item 3 above) Subscribed and sworn before me this 19 day of January ,20 18 Notary Public: Q � My Commission Expires: END OF AFFIDAVIT CINDY SPAHAN NOTARY PUBLIC STATE OF KAN AS STATE OF KANSAS My App.Ex 01770-9 WM 2834 Ft.Worth,TX CONSENT OF SURETY OWNER ❑ TO FINAL PAYMENT ARCHITECT ❑ ALA Document G707 CONTRACTOR ❑ SURETY ❑ Bond No. 8244-48-77 109231119 OTHER ❑ TO OWNE1 ARCHITECT'S PROJECT �vo (NRine ewdaddruv) Wal-Mart Stores Texas.LLC and the City of Fort Worth,Texas 1000 Throckmorton Street CONTRAC'C FOR: Construction Fort Worth, TX 76102-6311 PROJF-cr: CON'[`RA.CT DATED: awimeundaddhvt) Park Vista Boulevard(From Keller-Hicks Rd.to Ray White Rd.), City Project#02319 In accordance with the provLsions orthe Contract between the Owner and the Contractor as indicated alxtve,the (Irrsev[Heart ern[!ur&litrs of Spr,efpy Federal Insurance Company, 202E Hall's Mill Road, Whitehouse Station, NJ 08889 and Colonial American Casualty and Surety Company 1 Fidelity and Deposit Company of Maryland 1 Zurich American Insurance Company, 1299 Zurich Way, 5th Floor, Schaumburg, IL 60196 Supm.TY, on bond of (►nwra name cnrr►eddirssgy(Comura(.rwry Crossland Construction Company, Inc. PO Box 45, 833 S. East Avenue Columbus, KS 66725 CONTRACTOR, hereby approves of the final payment to the Contractor,and agars that final payment to the Contractor shall not relieve the Surety of any of its obligattnns to gnwrrrunne and uddm vofmHer) Wal-Mart Stores Texas, LLC and the City of Fort Worth,Texas 1000 Throckmorton Street Fort Worth, TX 76102-6311 OWNER, as set forth in said Surety s bond. LN WITNESS WHERE-Or,the Surety I'm hereunto set its hand tin this date: December 17,2019 (huamr frm xnfmGr)t r,Gr rmmwu8 fafFarrrxf hr rrir!d:nrrrric drrrearrrls�+rrrl Federal Insurance Company and Colonial American Casualty and Surety Company 1 Fidelity and Deposit Company of Maryland I Zurich American Insurance Company (SN".1 By: CJ urrmbnmYxd mr/urx+mm+urrirl Id. eit,Att ' r nicA z a itness w. 114"0041h ) ` 4G 'A �.'. L,. •,� W SEAL c �„ ■ !' , :'• <<, ins_ • i t' �.��-� �'r,� r. ., • f .r.md, :•, ,,,,,1 G707.••-1994 "CHt_JBB Power of Attorney FederaI Insurance Company I Vigilant insurance Company I Pacific Indemnity Company Know AU by These Presents.Thai FEDERAL INSURANCE COMPANY,an Indiana cxrrpiwaliun.VIGILANT INSURANCE COMPANY.a New York ctnpttrafiun.and PACIFIC INDEMNITY COMPANY.it IVisctmwn corporation.do each hereby consiilute and appoint Bret S.Burton,Timothy H.Heffel,David B.McKinney,Todd Alan Rambo, Timothy Craig Smith, Myriah A. Valdivia and Desiree E. Westmoreland of Wichita, Kansas; Katherine J. Breit, Monica F. Donatelli, Carolyn J.Johnson,Kelly E.Kimmel,and S.Mark Wilkerson of Overland Park,Kansas-----------------_--_--_--__--.-__----_---.---------------_--_._--.--_--.--.------ each as their true and lawful.Attorney in-Fact to ext:cute under such designation in iherr names and to affix their totfx3rate seals.In and del'nrr Inr and On their hehalI as surer thereon or oihercise.hom;6 and undertakings and other writings obiigarory in the narure thereof(usher dt:ut hail bonds)joren or executed in the course of business.and any insirumems amending or altering the same,anti consenh to the modification or alteration of any instrument referred to in said bonds or obligalions. In Witness Whereof.said FEDERAL INSURANCE COMPANY.VIGILANT INSURANCE COMPANY.anti PACIFIC INDEMNITY COMPANY havve each executed and attested Ihe-se pre'se'nLs and affixed Ilunr corprrate seals(m this 20" day of March.201R- Itry n%1 1111+44 n AW4H=1n1 krrot III SkJAhCll%I I l:nt.y 1 Wo:I's-04,1 1I STATE OF NL"f JERSEY County Orliurtterdnn s' On this 24YI day of March.2019,before me.a-Notary Public of New Jersey,personally cane Dawn M.Chlonm,to me known to 1w Assistant Secretary Of FEDERAL INSURANCE COMPANY.VIGILANT INSURANCE COMPANY.and PACIFIC INDEMNITY COMPANS,the companies which executed the Rpregaing Pnwer of Attomey.and the said pawn M. Chloral.being by me duly sworn,did depose and say that she is ASSiStanT SeLreiary of FEDERAL INSURANCE COMPANY,VICILINf INSURANCE COMPANY.and PACIFIC INDEMNITY COMPANY and knu ws the corporate seals thereof,that the seals affixed to the fore'gtling;Power of Attorney arc such corporate seals and were thereto affixed by authurin•of said Companies;and that she sigried said Ptsw•er of Attumey as Assistant secretary Of said Gumpanies by like authority:and that she is acquainted with Stephen M- Haney.and knows him ttt he Vice President of said Companies:and that the sipature al'Stephen lit I laney.suhx-ribed In said Power of Anumey is in the genuine handwr'inng of 51ephen NI-Haney,and was Ihereru suhscrtbed by authorin nI'said Companies anti in deMinenI Is presence- Nutarial Seal ROSE euRrLS WARY ro 50 4E14,11 £Y N S.n.m le 500724OC �1 .� Canrife rt P•mtat 16werEte 71..1tT7 V x:n]N11,11, CERTIFICATION Resolutions adopted by the MartisidDirerturs of FEDERAL INSL RANCE COMPANY.%IGILAINT INSURANCE COMPANY,and PACIFIC INOENI\l-l- COMPANY(in August 30.2016! -REs0LVElX Thai the fi dluw Ingalls hwimlions reline to the execvt It in.li it and on behalf of the Company,of bun&undenakinF:s,rm Vinnce%ci intraels and tither written Lvmmil me9ll]Idthe Grotp:my entered iniu In the urdinan ottlrw of hushrx—Leitch i'%%'rhtvn rttntmpr me'nt-): lb Each ttf the Chamnan-the Prc',ident and the V1Lr Presklems;of she Companyislx'reb)a toth irized topewcuwan}written LiPnicniumsit for and tm Ik- iIfttf rheCvm$xtnp.under the seal of the C.xn(xmy or rxherxvcsc. (2) Each July apiximi d uwmep-in-fao nl she[ermri:my i+lard+)authorized to esLxvte arM written taimmitmeni lair and on behalf of rIu Company,under the gal of the Cumpam or (xherwise.to the exieru that such anlun is aui hurixcd by thx•jumnt of powers pn nidcxl for In such person i written allpl nntment as suLti attorney•imilaLt- (31 Each of the Chmirmin.the PresiJent and the flea•Presidents iif the t'rtmpxm)Is hcreb)authorLmd.Atr and on behalf 1111he t:ttnrpam.to aplwim In wriiIng am person the attomcy. tn•faLt of the Compam with full power andauthurn)Iutexewaue.fur and tin hchallor The iompan).under the sealOft heCOMItanyor(3lhcntisr.suchWnti nCmrmhmenuofuk e:nmpaI%W as may he-j)VC1 iLd in suit written appolntment,which sftcwifkarhm may he h)general Type or clo-of Written CommrtmCnis tv by sfnwilleatltin of one sir mtx•e part4cular written I:ommitmenls. hat Each M the Chairman the Prc'VJent and the Wire I'retidemli nr the Company is hereh)nurhnrly dJitr and tin behalf of the Cumprt).Irt delLystty hI w risings to any cniKr oRbcer of the Coniptm)the atuhortty on ex=w.for and on behalf of the Cumpany.nmtkT the Company's seal ttr[xherwtse.such w'Iinen Cnrnmhmunis of dw Cornlxtn)as are slivolied In such written deleypuim-which spcuficalion may be by RLm-ml hype or&is'so1 Written Commitments or by specifiealkn ofone or inure particular Wrirmn Catmmilnxmts. 41f The sWLilore of any ofluer ter their perm exec-Lifi g-in)wry=ten Commit meth nr apritdmmein orWelisation pursuam to iltrs Re tphudon,and the..r,II4 the(almpany.may be affixed by Iicsimile an stich W11trn Cumm hmenr ur w rip e'n aI"tlntmmt tit detpLtl]tin FURTIIER RES V En,that the kirv,*ting,Re-dui w in shall it,K he deemed to Ix-an eXCIUSh ie{talentertl of the Inlets aad.i uthxlrny nI ofilcers.employLxw and usher pcmtnu by ati for and tm h eNI11 411 the Crxnpany.and suctk Res;iludon Ala 11 ntK limps or otherwise atrert the excrdce of an)such txmer t,r our horsy itthea'wt c talidh grimed smelled." I,Dawn M.Chlortls..Assistant Secretary of FEITERAL INSURANCE COMPANY.VICILIVT ENSURANCF.CONIPA NY.and PACIFIC INDESINM COMPANY(the"Companies-1 do hereby certifN that (1) the foregoing Resolutions adopted by the Board of Directors Of the Companies are IrLw.correct and in full force and effivi. (11) the foregoing Power of Anorney is it ue.correca and in full fbirve and effect. Given un der �myhandandSeakOfsaidConr pan iesatWhltehotew Still lon.NJ.1his 17th day of December, 2019 a.W- tin:n Ni Ihhr-t Iwgmll%u:iLCn) IxI'I IF.EI'E�r 111L 1t[513 Ttie hTo kms:i`.1nt119031 ss-sIt'IT5 i)E�If Jst,Yl9eei I Is BOND L36;t;7'fiFS[ '1:1surL'erl�citER ubh.t�m R.PLEGti£CntiT:1f:f l5:1'r: L''t+ttll ' T' . : : FED-VIG-PI prev 08-18) r~`"""" .•��� • d ,••rr�trrrHnHH.L►Lai ZVRICII AMERICAN INSURANCE COMPANY COLONIAL AMERICAN CASUALTY AND SURETY COMPANY FIDELITY AND DEPOSIT COMPANY OF MARYLAND POWER OF ATTORNEY KNOW ALL MEN BY THESE PRESENTS:That the ZURICH AMERICAN INSURANCE COMPANY,a corporation of the State of New York. the COLONIAL AMERICAN CASUALTY AND SURETY COMPANY,a corporation of the State of Illinois,and the FIDELITY AND DEPOSIT COMPANY OF MARYLAND a corporation of the State of Illinois (herein collectively called the "Companies'), by Robert D.Murray,Vice President.in pursuance of authority granted by Artie le V.Section 8.of the By-Laws of said Companies,which are set forth on the reverse side hereof and are hereby certified to be in Full force and effect on the date hereof:do hereby nominate.constitute, and appoint S. Mark WILKERSON, hell► E. KINIMEL,Morgan DEWEV,Monica F. DONATELLI,Debra L.WAIX Carolyn J. JOHNSON and Katherine J. BREIT,all of Overland Park, Kansas, EACH, its true and lawful agent and Attomey-in-Fact, to make. execute,seal and deliver,for.and on its behalf as surety,and as its act and deed: any and all bonds and undertakings,and Lhe execution of such bonds or undertakings in pursuance of these presents,shall be as binding upon said Companies.as fully and amply.to ail intents and purposes,as if they had been duly executed and acknowledged by the regularly elected officers of the ZURICH AMERICAN INSURANCE COMPANY at its office in New York. New York., the regularly elected officers of the COLONIAL AMERICAN CASUALTY AND SURETY COMPANY at its office in Owings Mills, Maryland., and the regularly elected officers of the FIDELITY AND DEPOSIT COMPANY OF MARYLAND at its office in Owings Mills. Maryland.,in their own proper persons. The said Vice President does hereby certify that the extract set forth on the reverse side hem-of is a true copy of Article V.Section 8,of the By-Laws of said Companies,and is now in force. IN WITNESS WHEREOF,the said Vice-President has hereunto subscribed his/her names and affixed the Corporate Seals of the said ZURICH AMERICAN INSURANCE COMPANY, COLONIAL AMERICAN CASUALTY AND SURETY COMPANY, and FIDELITY AND DEPOSIT COMPANY OF MARYLAND.this 12th day of June.2019. � p 711p7� t+�17Jy IiAL ATTEST: Z1.1RICII AMERICAN INSIIRANC F:CONII'.N1N' COLONIAL AMERICAN CASIIALTF AND Si RF I-N CO)IP INN FIDELITY AND DEPOSIT CO►1PANY OF MARNT N N 1) Av: Roberr D.Marren (Ice President BY: Dawn E. Brotrn 5ecretary State of Maryland County of Baltimore On this 12th day of June.A-D-2019. before the subscriber.a Notary Public of the State of Maryland,duly commissioned and qualified,Robert D. Murray,Vice President and Dawn E.Brown,Secretary of the Companies.to me personally known to be the individuals and officers described in and who cxceutcd the preceding instrument,and acknowledged the execution of same.and being by me duly sworn.depuseth and saith,that lie she is the said officer of the Company aforesaid.and that the seals affixed to the preceding instrument arc the Corporate Seals ol•said Companies,and that the said Corporate Seals and the signature as such officer were duly affixed and subscribed to the said instrumem by the authority and direction of the said Corporations. IN TESTIMONY WHEREOF.I have hereunto sct my hand and affixed my Official Seal the day and year first above written. P�.f,ti a;r•.. � ,I.LIUin lilllll���y }' w �' ,, iFJSL/�,�•,ti� G�gtii Id ,ft F N ti••.. .t . if Liblic rrrf ��^hi.iG � �, �Mv Om�X�.l l]rl 1�4 L).2t�'� '�' �•• Qj i TESLA Lti- 16C`a�J 1/trY+RwV ,•�'•r.,,,h,rli,+, EXTRACT FROM BY-LAWS OF THE COMPANIES "Article V,Section 8,Attomc s-in-i~act. The Chief Excrui i N c Officer.the President.or any Executive Vice President or Vice President may, by written instrument under the attested corporate al. appoint attomeys-in-face with authority to execute bonds, policies, recognizances.stipulations, undertakings.or other like instruments on behalf of the Company, and may authorize any officer or any such attorney-in-fact to affix the corporate seal thereto,and may with or without cause modify of revoke any such appointment or authority at any time." CERTIFICATE 1, the undersigned, Vice President of the ZURICH AMERICAN INSURANCE COMPANY. the COLONIAL AMERICAN CASUALTY AND SURETY COMPANY,and the FIDELITY AND DEPOSIT COMPANY OF MARYLAND,do hereby certify that the forcgoing Power of Attorney is~till in Full force and cfTeet on the date of this certificate;and I do further certify that Article V,Section 8,of the By-Laws of the Companies is still in force. This Power of Attorney and Certificate may be signed by facsimile under and by authority of the following resolution of the Board of Directors of the ZURICH AMERICAN INSURANCE COMPANY at a meeting duly called and held on the 15th day of December 1998. RESOLVED: "That the signature of the President or a Vice President and the attesting signature of a Secretary or an Assistant Secretary and the ScaI of the Company may be affixed by facsimile on any Power of Attorney...Any such Power or any certificate thereof bearing such Facsimile signature and seal shall be valid and binding on the Company." This Power of Attorney and Certificate may be signed by Facsimile under and by authority of the following resolution of the Board of Directors of the COLONIAL AMERICAN CASUALTY AND SURETY COMPANY at a meeting duly called and held on the 51h day of May, 1994.and the fullm%ing resolution of the Board of Directors of the FIDELITY AND DEPOSIT COMPANY OF MARYLAND at a meeting duly called and held on the 1 Oth day of May, I990. RESOLVED: "That the facsimile or mechanically reproduced seal of the company and facsimile or mechanically reproduced signature of any Vice-President,Secretary.or Assistant Secretary of the Company. whether made heretofore or hereafter,wherever appearing upon a certified copy of any power of attorney issuer,!by the Company,shall be valid and binding upon the Company with the same force and effect as though manually affixed. IN TESTIMONY WHEREOF,I have hereunto subscribed my name and affixed the corporate seals of the said Companies. this 17th day of December 2019 .90l�QTr •" � T6 Ina CAL S tnr •: l,`ad� lone r�$ \•�J� �,4u�t� ... ��mom Brian M.Hodges.Vice President TO REPORT A CLAIM WITH REGARD TO A SURETY BOND,PLEASE SUBMIT A COMPLETE DESCRIPTION OF THE CLAIM INCLLID1NG THE PRINCIPAL ON THE BOND,THE BOND N1IMBER,AND YOl1R CONTACT INFORMATION TO: Zurich Surety Claims 1299 Zurich Way Schaumburg,IL 60196-1056 %vvv%v.rt oT1sfc1aims a zurichna.cum 800-626-4577 Policyholder Information Notice IMPORTANT NOTICE AVISO IMPORTANTE To obtain information or make a complaint: Para obtener informacion o para someter una queja: You may call Chubb's toil-free telephone number listed puede llamar al ndmero de telefon❑ gratis for information or to make a complaint at de Chubb's para information o para someter una queja al 1-800-36-CHUBB 1-800-36-CH UBB You may contact the Texas Department of Puede comunicarse con el Departamento de Insurance to obtain information on companies. Seguros de Texas para obtener informacion acerca coverages, rights or complaints at de companies, coberturas, derechos o quejas al 1-600-252-3439 1-800-252-3439 You may write the Texas Department of Insurance Puede escribir al Departamento de Seguros de Texas P.O. Box 149104 P.O. Box 149104 Austin, TX 787I4-9104 Austin, TX 78714-9104 FAX # (5I7) 475-177I FAX # (512) 475-1771 Web: http:llwww.tdi.state.tx.us Web: http:Jlwww.tdi.state.tx.us E-mail: ConsumerProtection@tdi.state.tx.us E-mail: ConsumerProtection@tdi.state.tx.us PREMIUM OR CLAIM DISPUTES: DISPUTAS SOBRE PRIMA O RECLAMOS: Should you have a dispute concerning your premium Si tiene una disputa concemiente a su prima o a un or about a claim you should contact the agent first. reclamo, debe comunicarse con el agente primero. If the dispute is not resolved, you may contact the Si no se resueve la disputa, puede entonces Texas Department of Insurance. comunicarse con el departamento(TDI). ATTACH THIS NOTICE TO YOUR POLICY.• UNA ESTE AVISO A SU POLIZA: Tli i,, notice is for information only and does not Este aviso es solo para prop6,. to de informacion y become a part or condition of the attached no se convierte en parte o condition del documento document. adjunto. Form 99.10-0299[Rev.1-08 ZURICH Texas Important Notice IMPORTANT NOTICE AVISO 1MPORTANTE To obtain information or make a complaint: Para obtener informaci6n o para presentar una queja: You may call Zurich North America's toll-free telephone Usted puede Ilamar al numero de tel&fono gratuito de number for information or to make a complaint at: Zurich North America's para obtener informaci6n o para 1-800-382-2150 presentar una queja al 1-800-382-2150 You may contact the Texas department of Insurance to obtain information on companies, coverages, rights, or Usted puede comunicarse con el ❑epartamento de Se- complaints at: guros de Texas para obtener informaci6n sabre com- 1-800-252-3439 panias, coberturas,derechos, o quejas al: 1-800-252-3439 You may write the Texas Department of Insurance: Usted puede escribir al Departamento P.O. Box 149104 de Seguros de Texas a: Austin, TX 78714-9104 P.O. Box 149104 Fax: (512)490-1007 Austin,TX 78714-9104 Web: www.tdi.texas.gov Fax: (512)490-1007 E-mait: ConsumerProtection@tdi.texas.gov Sitio web: www.tdi.texas.gov E-mail: ConsumerProtection@tdi.texas.gov PREMIUM OR CLAIM DISPUTES: Should you have a dispute concerning your premium or DISPUTAS POR PRIMAS DE SEGUROS O about a claim, you should contact the company first. If RECLAMACIONES: the dispute is not resolved, you may contact the Texas Si tiene una disputa relacionada con su prima de seguro Department of Insurance. o con una reclamaci6n, usted debe comunicarse con la compaMa primero.Si la disputa no es resuelta, usted ATTACH THIS NOTICE TO YOUR POLICY: puede comunicarse con el ❑epartamento de Seguros de This notice is for information only and does not become Texas. a part or condition of the attached document. ADJUNTE ESTE AVIS❑ A SU POLIZA: Este aviso es solamente para prop6sitos informativos y no se con- vierte en parte o en condici6n del documento adjunto. 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