HomeMy WebLinkAboutContract 51422-FP1 City Secretary 51422 -FP1
Contract No.
FORTWORTH., Date Received May 27,2020
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: Heritage Trace Parkway Roundabout to Serve Citadel at Presidio
City Project No.: 101586
Improvement Type(s): Water ® Sewer ❑
Original Contract Price: $13,827.50
Amount of Approved Change Order(s):
Revised Contract Amount:
Total Cost of Work Complete: $13,827.50
6E0'F66Z X'fz0 Apr 17,2020
GEORG E TRABAZO(Apr 17,20201
Contractor Date
PROJECT MANAGER 660W-e-
Title Taber
George abazo(May 27,202012:15 CDT)
MCMAHON CONTRACTING LP
Company Name
144 wmeLAarc;lrl Apr 20 2020
Julius McLaurin(Apr 20,2020) p
Project Inspector Date
75eddce-1. Wd&U-6*v M 27 2020
Debbie J.Willhelm(May 27,202013:21 CDT) a y
Project Manager Date
Laurie Lewis
Laurie Lewis(May 27,202013:30 CDT) May 27,2020
dQ4%9:?' g���� Date
Dana Burghdoff(May27,2 1a:52 CD May 27,2020
Asst. City Manager Date
OFFICIAL RECORD
CITY SECRETARY Page 1 of 2
FT.WORTH,TX
Notice of Project Completion
Project Name: Heritage Trace Parkway Roundabout to Serve Citadel at Presidio
City Project No.: 101586
City's Attachments
Final Pay Estimate
Change Order(s): ❑ Yes ® N/A
Pipe Report: ® Yes ❑ N/A
Contractor's Attachments
Affidavit of Bills Paid
Consent of Surety
Statement of Contract Time
Contract Time: 120 CD Days Charged: 220
Work Start Date: 5/14/2019 Work Complete Date: 3/27/2020
Page 2of2
FORT WORTH
CITY OF FORT WORTH
FINAL PAYMENT REQUEST
Contract Name HERITAGE TRACE PARKWAY ROUNDABOUT TO SERVE
Contract Limits THE CITADEL AT PRESIDIO
Project Type WATER
City Project Numbers 101586
DOE Number 1586
Estimate Number 1 Payment Number 1 For Period Ending 4/9/2020
CD
City Secretary Contract Number Contract Time 120D
Contract Date Days Charged to Date 220
Project Manager NA Contract is 100.00 Complete
Contractor McMAHON CONTRACTING,LP
P.O.BOX 153086
IRVING, TX 75015
Inspectors DICKINSON/ CHAMBERS
Thursday,April 9,2020 Page 1 of 4
City Project Numbers 101586 DOE Number 1586
Contract Name HERITAGE TRACE PARKWAY ROUNDABOUT TO SERVE Estimate Number 1
Contract Limits THE CrrADEL AT PRESIDIO Payment Number 1
Project Type WATER For Period Ending 4/9/2020
Project Funding
WATER
Item Description of Items Estimated Unit Unit Cost Estimated Completed Completed
No. Quanity Total Quanity Total
---------------------------------------
1 SPECIFIED REMOBILIZATION 1 EA $5,000.00 $5,000.00 1 $5,000.00
2 SALVAGE FIRE HYDRANT 2 EA $1,500.00 $3,000.00 2 $3,000.00
3 TRENCH SAFETY 97 LF $2.10 $203.70 97 $203.70
4 6"PVC WATER PIPE 97 LF $30.90 $2,997.30 97 $2,997.30
5 6"GATE VALVE 2 EA $1,313.25 $2,626.50 2 $2,626.50
--------------------------------------
Sub-Total of Previous Unit $13,827.50 $13,827.50
--------------------------------------
Thursday,April 9,2020 Page 2 of 4
City Project Numbers 101586 DOE Number 1586
Contract Name HERrrAGE TRACE PARKWAY ROUNDABOUT TO SERVE Estimate Number 1
Contract Limits THE CrrADEL AT PRESIDIO Payment Number 1
Project Type WATER For Period Ending 4/9/2020
Project Funding
Contract Information Summary
Original Contract Amount $13,827.50
Change Orders
Total Contract Price $13,827.50
Total Cost of Work Completed $13,827.50
Less %Retained $0.00
Net Earned $13,827.50
Earned This Period $13,827.50
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 $13,827.50
Thursday,April 9,2020 Page 3 of 4
City Project Numbers 101586 DOE Number 1586
Contract Name HERITAGE TRACE PARKWAY ROUNDABOUT TO SERVE Estimate Number 1
Contract Limits THE CITADEL AT PRESIDIO Payment Number 1
Project Type WATER For Period Ending 4/9/2020
Project Funding
Project Manager NA City Secretary Contract Number
Inspectors DICKINSON/ CHAMBERS Contract Date
Contractor McMAHON CONTRACTING,LP Contract Time 120 CD
P.O.BOX 153086 Days Charged to Date 220 CD
IRVING, TX 75015 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 $13,827.50
Less %Retained $0.00
Net Earned $13,827.50
Earned This Period $13,827.50
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 $13,827.50
Thursday,April 9,2020 Page 4 of 4
FORTWORTH
TRANSPORTATION AND PUBLIC WORKS
PIPE REPORT FOR:
PROJECT NAME: Heritage Trace Parkway Roundabout To Serve the Citadel at Presidio
PROJECT NUMBER: CPN#101586
DOE NUMBER: N/A
WATER
PIPE LAID SIZE TYPE OF PIPE LF
Yes 6" PVC 97
FIRE HYDRANTS: 2 VALVES(16"OR LARGER) N/A
PIPE ABANDONED SIZE TYPE OF PIPE LF
DENSITIES: Yes
NEW SERVICES:
SEWER
PIPE LAID SIZE TYPE OF PIPE LF
PIPE ABANDONED SIZE TYPE OF PIPE LF
DENSITIES:
NEW SERVICES:
TRANSPORTATION AND PUBLIC WORKS
The City of Fort Worth• 1000 Throckmorton Street•Fort Worth,TX 76012-6311
(817) 392-7941 •Fax: (817) 392-7845
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 Shelley Peterson,
Accounts Receivable Of McMahon Contracting, L.P., 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;
Phase I of The Citadel located at Heritage Trace Parkway and Tehama
Ridge Parkway in Fort Worth, Texas n
BY MVall P�&D -
Shelley Peterson
Subscribed and sworn before me on this date 7th of April, 2020.
2�AHY: SHANDA BQGGS
Notary Public
* State of Texas
Notary Public fy9lF°f��*¢ 48-5
MyCo p#Expires�08 30 2D2z
Dallas, Texas
CONSENT OF OWNER ❑
SURETY COMPANY ARCHITECTO
❑
TO FINAL PAYMENT SURETYcroR
Conforms with the American institute of OTHER
Architects,A1A Document G707
Bond No 9291024
PROJECT:
(name, add res5)Heritage Trace Pkwy Roundabout-Citadel at Presidio
Fort Worth,TX
TO (owner)
[NORTH PRESIDIO,LLC AND THE CITY OF FORT ARCHITECT'S PROJECT NO: 101586
WORTH CONTRACT FOR:
4514 Cole Avenue,Suite 1 100 Paving, Drainage,& Street Lights-Heritage Trace Parkway
Roundabout to Serve Citadel at Presidic
Dallas TX 75025 CONTRACT DATE:
CONTRACTOR: MCMAHON CONTRACTING, LP
In accordance with the provisions of the Contract between the Owner and the Contractor as indicated above,the
(here insert name and address of Surety Company)
COLONIAL AMERICAN CASUALTY AND SURETY COMPANY
1299 Zurich Way
Schaumburg IL 60196 , SURETY COMPANY
on bond of (here insert name and address of Contractor)
MCMAHON CONTRACTING, LP
3019 Roy Orr Blvd.
Grand Prairie TX 75050 , CONTRACTOR,
hereby approves of the final payment to the Contractor, and agrees that final payment to the Contractor shall not relieve
the Surety Company of any of its obligations to !here insert name and address of owner)
NORTH PRESIDIO, LLC AND THE CITY OF FORT WORTH
4514 Cole Avenue, Suite 1100
Dallas TX 75025 , OWNER,
as set forth in the said Surety Company's bond,
IN WITNESS,WHEREOF,
the Surety Company has hereunto set its hand this 17th day Of April, 2020
COLONIAL AMERICAN CASUALTY AND SURETY COMPANY
Surety Company
Attest: ' yr��� � a � C f
(Seal): ®.��-�— Signature of Authorized Representative
Robbi Morales Attorney-in-Fact
Title
NOTE: This form is to be used as a companion document to AIA DOCUMENT G706, CONTRACTOR'S AFFIDAVIT OF PAYMENT OF DEBTS AND CLAIMS,
Current Edition
ONE PAGE
F
ZURICH 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 Article 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 Ricardo J. REYNA,Tina MCEWAN,Don E. CORNELL,Joshua SAUiNDERS, Robbi MORALES,Sophinie.HUNTER,
Kelly A.WESTBROOK and Tonie PETRANEK,all of Dallas,Texas, EACH, its true and lawful agent and Attorney-in-Fact.to make,
execute, seat and deliver. for,and on its behalf as surety.and as its act and deed; any and all bonds and undertakings,and the execution
of such bonds or undertakings in pursuance of these presents,shall be as binding upon said Companies.as fully and amply,to all 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 hereof is a true copy of Article V, Section S,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 8`t'day of November.A.D.2019.
ow
cx t S'W �D Os
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ATTEST:
ZURICH AMERICAN INSURANCE COMPANY
COLONIAL AMERICAN CASUALTY AND SURETY COMPANY
FIDELITY AND DEPOSIT COMPANY OF MARYLAND
By,- Robert D. Murray
Tice President
By; Dmvn E.Brown
Seeretar v
State of Maryland
County of Baltimore
On this 8th day of November 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 executed the preceding instrument,and acknowledged the execution of same_and being by me duly sworn,deposetli and saith,that
he/she is the said officer of the Company aforesaid,and that the seals affixed to the preceding instrument are the Corporate Seals of said Companies,and
that the said Corporate Seals and the signature as such officer were duly affixed and subscribed to the said instrument by the authority and direction of the
said Corporations.
IN TESTIMONY WHEREOF,I have hereunto set my hand and affixed my Official Seal the day and year first above written.
t ,
-,,`.,�,.•.i;:1'l 17�-`. �""�j"Y 'rC,Ft' ..�1. t��a-`l•,q'�/
Constance A.Dunn,Notary Public
My Commission Expires:July 9,2023
EXTRACT FROM BY-LAWS OF THE COMPANIES
"Article V.Section 8.Attornevs-in-Fact, The Chief Executive Officer.the President or any Executive Vice President or Vice President
map, by written instrument under the attested corporate seal. appoint attorneys-in-fact with authority to execute bonds. policies,
recognizance& 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, Secretary 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 foregoing
Power of Attorney is still in full force and effect 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 COMPAI`1Y 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 Seal of the Company may be aft fixed by facsimile on any Power of Attorney...Any such Power or any cer ificate 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 5th day of
May. 1994. and the following resolution of the Board of Directors of the FIDELITY AND DEPOSIT COMPAiTY OF MARYLAND at a
ineeting duly called and held on the 10th day of May, 1990.
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 issued 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 Rrrs day of April 2020
SAL
4 •ryyn l�'a.NN,J
By: Brian M. Hodges
Vice President
TO REPORT A CLAIM WITH REGARD TO A SURETY BOND,PLEASE SUBMIT A COMPLETE DESCRIPTION
OF THE CLAIM INCLUDING THE PRINCIPAL ON THE BOND,THE BOND NUMBER,AND YOUR CONTACT
INFORMATION TO:
Zurich Surety Claims
1299 Zurich Way
Schaumburg,IL 60196-1056
www.reportsfc l aims fcnzuri chna,cam
800-626-4577
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 Shelley Peterson,
Accounts Receivable Of McMahon Contracting, L.P., 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;
Phase I of The Citadel located at Heritage Trace Parkway and Tehama
Ridge Parkway in Fort Worth, Texas n
BY MVall P�&D -
Shelley Peterson
Subscribed and sworn before me on this date 7th of April, 2020.
2�AHY: SHANDA BQGGS
Notary Public
* State of Texas
Notary Public fy9lF°f��*¢ 48-5
MyCo p#Expires�08 30 2D2z
Dallas, Texas
CONSENT OF OWNER ❑
SURETY COMPANY ARCHITECTO
❑
TO FINAL PAYMENT SURETYcroR
Conforms with the American institute of OTHER
Architects,A1A Document G707
Bond No 9291024
PROJECT:
(name, add res5)Heritage Trace Pkwy Roundabout-Citadel at Presidio
Fort Worth,TX
TO (owner)
[NORTH PRESIDIO,LLC AND THE CITY OF FORT ARCHITECT'S PROJECT NO: 101586
WORTH CONTRACT FOR:
4514 Cole Avenue,Suite 1 100 Paving, Drainage,& Street Lights-Heritage Trace Parkway
Roundabout to Serve Citadel at Presidic
Dallas TX 75025 CONTRACT DATE:
CONTRACTOR: MCMAHON CONTRACTING, LP
In accordance with the provisions of the Contract between the Owner and the Contractor as indicated above,the
(here insert name and address of Surety Company)
COLONIAL AMERICAN CASUALTY AND SURETY COMPANY
1299 Zurich Way
Schaumburg IL 60196 , SURETY COMPANY
on bond of (here insert name and address of Contractor)
MCMAHON CONTRACTING, LP
3019 Roy Orr Blvd.
Grand Prairie TX 75050 , CONTRACTOR,
hereby approves of the final payment to the Contractor, and agrees that final payment to the Contractor shall not relieve
the Surety Company of any of its obligations to !here insert name and address of owner)
NORTH PRESIDIO, LLC AND THE CITY OF FORT WORTH
4514 Cole Avenue, Suite 1100
Dallas TX 75025 , OWNER,
as set forth in the said Surety Company's bond,
IN WITNESS,WHEREOF,
the Surety Company has hereunto set its hand this 17th day Of April, 2020
COLONIAL AMERICAN CASUALTY AND SURETY COMPANY
Surety Company
Attest: ' yr��� � a � C f
(Seal): ®.��-�— Signature of Authorized Representative
Robbi Morales Attorney-in-Fact
Title
NOTE: This form is to be used as a companion document to AIA DOCUMENT G706, CONTRACTOR'S AFFIDAVIT OF PAYMENT OF DEBTS AND CLAIMS,
Current Edition
ONE PAGE
F
ZURICH 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 Article 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 Ricardo J. REYNA,Tina MCEWAN,Don E. CORNELL,Joshua SAUiNDERS, Robbi MORALES,Sophinie.HUNTER,
Kelly A.WESTBROOK and Tonie PETRANEK,all of Dallas,Texas, EACH, its true and lawful agent and Attorney-in-Fact.to make,
execute, seat and deliver. for,and on its behalf as surety.and as its act and deed; any and all bonds and undertakings,and the execution
of such bonds or undertakings in pursuance of these presents,shall be as binding upon said Companies.as fully and amply,to all 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 hereof is a true copy of Article V, Section S,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 8`t'day of November.A.D.2019.
ow
cx t S'W �D Os
EAI.. .....� , ,
N r.�*,Hey?
ATTEST:
ZURICH AMERICAN INSURANCE COMPANY
COLONIAL AMERICAN CASUALTY AND SURETY COMPANY
FIDELITY AND DEPOSIT COMPANY OF MARYLAND
By,- Robert D. Murray
Tice President
By; Dmvn E.Brown
Seeretar v
State of Maryland
County of Baltimore
On this 8th day of November 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 executed the preceding instrument,and acknowledged the execution of same_and being by me duly sworn,deposetli and saith,that
he/she is the said officer of the Company aforesaid,and that the seals affixed to the preceding instrument are the Corporate Seals of said Companies,and
that the said Corporate Seals and the signature as such officer were duly affixed and subscribed to the said instrument by the authority and direction of the
said Corporations.
IN TESTIMONY WHEREOF,I have hereunto set my hand and affixed my Official Seal the day and year first above written.
t ,
-,,`.,�,.•.i;:1'l 17�-`. �""�j"Y 'rC,Ft' ..�1. t��a-`l•,q'�/
Constance A.Dunn,Notary Public
My Commission Expires:July 9,2023
EXTRACT FROM BY-LAWS OF THE COMPANIES
"Article V.Section 8.Attornevs-in-Fact, The Chief Executive Officer.the President or any Executive Vice President or Vice President
map, by written instrument under the attested corporate seal. appoint attorneys-in-fact with authority to execute bonds. policies,
recognizance& 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, Secretary 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 foregoing
Power of Attorney is still in full force and effect 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 COMPAI`1Y 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 Seal of the Company may be aft fixed by facsimile on any Power of Attorney...Any such Power or any cer ificate 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 5th day of
May. 1994. and the following resolution of the Board of Directors of the FIDELITY AND DEPOSIT COMPAiTY OF MARYLAND at a
ineeting duly called and held on the 10th day of May, 1990.
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 issued 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 Rrrs day of April 2020
SAL
4 •ryyn l�'a.NN,J
By: Brian M. Hodges
Vice President
TO REPORT A CLAIM WITH REGARD TO A SURETY BOND,PLEASE SUBMIT A COMPLETE DESCRIPTION
OF THE CLAIM INCLUDING THE PRINCIPAL ON THE BOND,THE BOND NUMBER,AND YOUR CONTACT
INFORMATION TO:
Zurich Surety Claims
1299 Zurich Way
Schaumburg,IL 60196-1056
www.reportsfc l aims fcnzuri chna,cam
800-626-4577