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Contract 51715-FP4
City Secretary Contract No. 51715 -FP4 FORTWORTH, Date Received Feb 4,2021 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: Rosedale Multifamily City Project No.: 101546 Improvement Type(s): Water ❑x Sewer 0 Original Contract Price: $148,871.00 Amount of Approved Change Order(s): -$6,340.00 Revised Contract Amount: Total Cost of Work Complete: $142,531.00 Gene MGCufGheOn Feb 2 2021 Gene McCutcheon(Feb 2,202108:37 CSC f Contractor Date Project Manager Title Rampart Multifamily Company Name .' *&w Feb 2,2021 Brian McGill(Feb 2,202108:40 7-0 Project Inspector Date ✓MQ 4 7&WheGw Feb 2 2021 Debbie J.Willhelm(Feb 2,202109:16 CST) Project Manager Date 1446e- t-M'q'ra4s' Janie Scarlett Momles(Feb 2,20211& Feb 2,2021 CFA Manager Date Dana BurandofF Feb 2 2021 Dana Burghdoff eb 2,20211956 CST7 Asst. City Manager Date OFFICIAL RECORD CITY SECRETARY Page 1 of 2 FT.WORTH,TX Notice of Project Completion Project Name: Rosedale Multifamily City Project No.: 101546 City's Attachments Final Pay Estimate ❑x Change Order(s): ❑x Yes ❑ N/A Pipe Report: x❑ Yes ❑ N/A Contractor's Attachments Affidavit of Bills Paid Consent of Surety Statement of Contract Time Contract Time: 270 CD Days Charged: 655 Work Start Date: 2/18/2019 Work Complete Date: 12/4/2020 Page 2 of 2 FORT WORTH CITY OF FORT WORTH FINAL PAYMENT REQUEST Contract Name ROSEDALE MULTIFAMILY Contract Limits Project Type WATER&WASTE WATER City Project Numbers 101546 DOE Number 0154 Estimate Number I Payment Number I For Period Ending 12/15/2020 CD City Secretary Contract Number Contract Time 2XI) Contract Date 11/28/2018 Days Charged to Date 653 Project Manager NA Contract is 100.00 Complete Contractor RAMPART MULTIFAMILY,LLC 800 INDUSTRIAL BLVD,SUITE 100 GRAPEVINE, TX 76051 Inspectors CORDOVA / MCGILL,B Friday,January 29,2021 Page I of 5 City Project Numbers 101546 DOE Number 0154 Contract Name ROSEDALE MULTIFAMILY Estimate Number I Contract Limits Payment Number I Project Type WATER&WASTE WATER For Period Ending 12/15/2020 Project Funding UNIT I:IVATER IMPROVEMENTS Item Description of Items Estimated Unit Unit Cost Estimated Completed Completed No. Quanity Total Quanity Total --------------------------------------- I REMOVE 4"WATER LINE 48 LF $30.00 $1,440.00 48 $1,440.00 2 REMOVE 6"WATERLINE 45 LF $30.00 $1,350.00 45 $1,350.00 3 REMOVE 4"WATER VALVE I EA $1,000.00 $1,000.00 1 $1,000.00 4 REMOVE 6"WATER VALVE I EA $1,000.00 $1,000.00 1 $1,000.00 5 REMOVE 12"WATER VALVE(CO A2) I EA $1,000.00 $1,000.00 1 $1,000.00 6 SALVAGE WATER SAMPLING STATION I EA $3,000.00 $3,000.00 1 $3,000.00 7 REMOVE CONCRETE WATER VALVE I EA $3,000.00 $3,000.00 1 $3,000.00 8 SALVAGE 3"WATER METER I EA $2,000.00 $2,000.00 1 $2,000.00 9 8"WATERLINE LOWERING(CO A2) 2 EA $5,000.00 $10,000.00 2 $10,000.00 10 TRENCH SAFETY 772 LF $3.00 $2,316.00 772 $2,316.00 11 DUCTILE IRON FITTINGS W/RESTRAINT 0.2 TN $15,000.00 $3,000.00 0.2 $3,000.00 12 6"PVC WATER PIPE 46 LF $30.00 $1,380.00 46 $1,380.00 13 8"PVC WATER PIPE(COA2) 637 LF $40.00 $25,480.00 637 $25,480.00 14 12"PVC WATER PIPE 15 LF $60.00 $900.00 15 $900.00 15 WATER SAMPLING STATION I EA $2,000.00 $2,000.00 1 $2,000.00 16 CONNECTION TO EXISTING 4"-12"WATER 3 EA $3,000.00 $9,000.00 3 $9,000.00 MAIN 17 1"WATER SERVICE 1 EA $2,000.00 $2,000.00 1 $2,000.00 18 6"WATER METER AND VAULT 1 EA $25,000.00 $25,000.00 1 $25,000.00 19 6"GATE VALVE 2 EA $1,000.00 $2,000.00 2 $2,000.00 20 8"GATE VALVE 4 EA $1,300.00 $5,200.00 4 $5,200.00 21 REMOVE 3"WATER LINE 376 EA $30.00 $11,280.00 376 $11,280.00 -------------------------------------- Sub-Total of Previous Unit $113,346.00 $113,346.00 UNIT II:WASTEWATER IMPROVEMENTS Item Description of Items Estimated Unit Unit Cost Estimated Completed Completed No. Quanity Total Quanity Total --------------------------------------- I REMOVE 6"SEWER LINE 23 LF $50.00 $1,150.00 23 $1,150.00 2 REMOVE 8"SEWRER LINE 42 LF $50.00 $2,100.00 42 $2,100.00 3 8"SEWER ABANDONMENT PLUG 1 EA $500.00 $500.00 1 $500.00 4 REMOVE 4'SEWER MANHOLE(CO Al) 1 EA $2,500.00 $2,500.00 1 $2,500.00 Friday,January 29,2021 Page 2 of 5 City Project Numbers 101546 DOE Number 0154 Contract Name ROSEDALE MULTIFAMILY Estimate Number 1 Contract Limits Payment Number I Project Type WATER&WASTE WATER For Period Ending 12/15/2020 Project Funding 5 PRE-CCTV INSPECTION(CO A2) 65 LF $5.00 $325.00 65 $325.00 6 POST-CCTV INSPECTION 88 LF $5.00 $440.00 88 $440.00 7 MANHOLE VACUUM TESTING(CO A1) 2 EA $1,200.00 $2,400.00 2 $2,400.00 8 MANHOLE ADJUSTMENT MINOR 2 EA $1,000.00 $2,000.00 2 $2,000.00 9 TRENCH SAFETY 154 LF $5.00 $770.00 154 $770.00 10 CONCRETE COLLAR(CO Al) 3 EA $800.00 $2,400.00 3 $2,400.00 11 TRENCH WATER STOPS 2 EA $1,100.00 $2,200.00 2 $2,200.00 13 10"SEWER PIPE,CSS BACKFILL 88 LF $50.00 $4,400.00 88 $4,400.00 14 4'MANHOLE(CO A1) 2 EA $4,000.00 $8,000.00 2 $8,000.00 -------------------------------------- Sub-Total of Previous Unit $29,185.00 $29,185.00 -------------------------------------- Friday,January 29,2021 Page 3 of 5 City Project Numbers 101546 DOE Number 0154 Contract Name ROSEDALE MULTIFAMILY Estimate Number 1 Contract Limits Payment Number 1 Project Type WATER&WASTE WATER For Period Ending 12/15/2020 Project Funding Contract Information Summary Original Contract Amount $148,871.00 Change Orders Change Order Number Al ($10,500.00) Change Order Number A2 $4,160.00 Total Contract Price $142,531.00 Total Cost of Work Completed $142,531.00 Less %Retained $0.00 Net Earned $142,531.00 Earned This Period $142,531.00 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 $142,531.00 Friday,January 29,2021 Page 4 of 5 City Project Numbers 101546 DOE Number 0154 Contract Name ROSEDALE MULTIFAMILY Estimate Number I Contract Limits Payment Number I Project Type WATER&WASTE WATER For Period Ending 12/15/2020 Project Funding Project Manager NA City Secretary Contract Number Inspectors CORDOVA / MCGILL,B Contract Date 11/28/2018 Contractor RAMPART MULTIFAMILY,LLC Contract Time 270 CD 800 INDUSTRIAL BLVD,SUITE 100 Days Charged to Date 653 CD GRAPEVINE, TX 76051 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 $142,531.00 Less %Retained $0.00 Net Earned $142,531.00 Earned This Period $142,531.00 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 $142,531.00 Friday,January 29,2021 Page 5 of 5 0 U O m N < Q C. o o I- z Q N N N N O G U (13 0 O O O O O O O U) () O O O O O 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U W m E �- O [W] Z 12 CL N O wcsw W Y 7k H h C7 m tU R < W V N li z z z O d �02 ' FORT WORTH TRANSPORTATION AND PUBLIC WORKS PIPE REPORT FOR: PROJECT NAME: Rosedale Multifamily PROJECT NUMBER: 101546 DOE NUMBER: N/A WATER PIPE LAID SIZE TYPE OF PIPE LF c900 6" pvc 46 c900 8" pvc 633 c900 12" pvc 15 FIRE HYDRANTS: N/A VALVES(16" OR LARGER) N/A PIPE ABANDONED SIZE TYPE OF PIPE LF N/a DENSITIES: taken/passed NEW SERVICES: 1" copper 1 each SEWER PIPE LAID SIZE TYPE OF PIPE LF sdr-26 10" pvc 88 PIPE ABANDONED SIZE TYPE OF PIPE LF N/A DENSITIES: taken/passed NEW SERVICES: N/A TRANSPORTATION AND PUBLIC WORKS The City of Fort Worth•1000 Throckmorton Street•Fort Worth,TX 76012-6311 (817)392-7941 •Fax: (817)392-7845 FORTWORTH. TRANSPORTATION AND PUBLIC WORKS January 6, 2021 Rampart Multifamily, LLC 800 Industrial Blvd Suite 100 Grapevine,TX 76051 RE: Acceptance Letter Project Name: Rosedale Multifamily Project Type: water, sewer, drainage, paving, street lights City Project No.: 101546 To Whom It May Concern: On December 14, 2020 a final inspection was made on the subject project. There were punch list items identified at that time. The punch list items were completed on January 4, 2021. The final inspection and the corrected punch list items indicate that the work meets the City of Fort Worth specifications and is therefore accepted by the City. The warranty period will start on January 4, 2021, which is the date of the punch list completion and will extend of two (2)years in accordance with the Contract Documents. If you have any questions concerning this letter of acceptance, please feel free to contact me at 817- 392-2481. Sincerely, ,,Wk247. &ZlheGw Debbie IN Uhelm(Feb 2,202109:16 CST) Debbie Wilhelm, Project Manager Cc: Brian McGill, Inspector Ron Cordova, Inspection Supervisor Edward D'avila,Senior Inspector Victor Tornero, Program Manager Stantec, Consultant Rampart Multifamily, LLC, Contractor Rodedale Acquisition, LP, Developer File E-Mail: TPW_Acceptance@fortworthtexas.gov Rev.8/20/19 AFFIDAVIT STATE OF TEXAS COUNTY OF TARRANT Before me, the undersigned authority, a notary public in the state and county aforesaid, on this day personally appeared Clay Thompson, Owner Of Rampart Multifamily, LLC, 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; Rosedale Multifamily BY IfDccember, Thompson, Owner Subscribed and sworn before me on this date 22nd 2020. BERYL ST. CLAIR- ?z° �iNotary Public, State of Texas Comm. Expires 01-30-2023 Notary ID 131873679 Notary Public Tarrant County State of Texas SUBCONTRACT TRAVELERS CASUALTY AND SURETY COMPANY OF AMERICA PERFORMANCE Hartford, Connecticut 06183 BOND (FORM A) Bond No.: 106997560 KNOW ALL BY THESE PRESENTS: That Tri Dal Utilities, Ltd., as Principal hereinafter called Principal, and Travelers Casualty and Surety Company of America, a Connecticut corporation, as Surety, hereinafter called Surety, are held and firmly bound unto Rampart Construction, LLC, 800 Industrial Blvd, Suite 100, Grapevine, TX 76051, as Obligee, hereinafter called Obligee, in the amount of One Hundred Eighty Thousand Eighty-one And No1100--- U.S. Dollars ($180,081.00---), for the payment whereof Principal and Surety bind themselves, their heirs, executors, administrators, successors and assigns,jointly and severally, firmly by these presents. WHEREAS, Principal has by written agreement dated entered into a subcontract with Obligee for Rosedale Multifamily - Water Improvements, Wastewater Improvements, and Drainage Improvements in accordance with drawings and specifications prepared by Owner/Architect, which subcontract is by reference made a part hereof, and is hereinafter referred to as the subcontract. NOW, THEREFORE, THE CONDITION OF THIS OBLIGATION is such that, if Principal shall promptly and faithfully perform said subcontract, then this obligation shall be null and void; otherwise it shall remain in full force and effect. The Surety's obligations hereunder shall not arise unless Principal is in default under the subcontract and has been declared by Obligee to be in default under the subcontract, and Obligee has performed its obligations under the subcontract. In such event, Surety shall have a reasonable period of time: (1) Surety may promptly remedy the default subject to the provisions of paragraph 3 herein, or; (2) Obligee after reasonable notice to Surety may, or Surety upon demand of Obligee may arrange for the performance of Principal's obligation under the subcontract subject to the provisions of paragraph 3 herein; (3) The balance of the subcontract price, as defined below, shall be credited against the reasonable cost of completing performance of the subcontract. If completed by the Obligee, and the reasonable cost exceeds the balance of the subcontract price the Surety shall pay the Obligee such excess, but in no event shall the aggregate liability of the Surety exceed the amount of this bond. If the Surety arranges completion or remedies the default, that portion of the balance of the subcontract price as may be required to complete the subcontract or remedy the default and to reimburse the Surety for its outlays shall be paid to the Surety at the times and in the manner as said sums would have been payable to Principal had there been no default under the subcontract. The term "balance of the subcontract price," as used in this paragraph, shall mean the total amount payable by Obligee to Principal under the subcontract and any amendments thereto, less the amounts heretofore properly paid by Obligee under the subcontract. Any suit by the Obligee under this bond must be instituted before the earlier of: (a) the expiration of one year from the date of substantial completion of the construction work, or (b) one year after the Principal ceased performing the construction work under the subcontract, excluding warranty work. If the limitation set forth in this bond is void or prohibited by law, the minimum period of limitation available to sureties as a defense in the jurisdiction of the suit shall be applicable, and said period of limitation shall be deemed to have accrued and shall commence to run no later than (y) the date of substantial completion of the construction work or (z) the date the Principal ceased performing construction work, excluding warranty work, whichever occurs first. No right of action shall accrue on this bond to or for the use of any person or corporation other than the Obligee named herein or the heirs, executors, administrators or successors of the Obligee. Signed this day of 12018. Tri Dal Utilities, Lt . Travelers Casualty and Surety Company of America By: By: r Ti ullikin, Vice Vresident of Operations elix a ejar orney-+ri-Fact Subcontract Performance Bond Form A.S-2324-2(01-05) SUBCONTRACT PAYMENT BOND Travelers Casualty and Surety Company of America (Private Work) Hartford, CT 06183 Bond No: 106997560 KNOW ALL BY THESE PRESENTS, That we, Tri Dal Utilities, Ltd., called the Principal, and Travelers Casualty and Surety Company of America, a Connecticut corporation, called the Surety, are held and firmly bound unto Rampart Construction, LLC, called the Obligee, in the sum of One Hundred Eighty Thousand Eighty-one And No/100 Dollars ($180.081.00) for the payment whereof said Principal and Surety bind themselves,jointly and severally, as provided herein. WHEREAS, the Principal has entered into a subcontract with the Obligee, dated for Rosedale Multifamily - Water Improvements, Wastewater Improvements, and Drainage Improvements ("Subcontract"). NOW, THEREFORE, if the Principal shall promptly make payment to all Claimants as hereinafter defined for all labor and material used, consumed and incorporated in the performance of the construction work under the Subcontract, then this obligation shall be void; otherwise to remain in full force and effect, subject, however, to the following conditions: 1. A Claimant is defined as one other than the Obligee having both: (a) a contract with the Principal or with a direct subcontractor of the Principal to supply labor and/or materials and said labor and/or materials are actually used, consumed or incorporated in the performance of the construction work under the Subcontract; and (b) an enforceable lien against the property improved under the Subcontract for labor and/or materials used, consumed or incorporated in the performance of the construction work under the Subcontract. 2. The above-named Principal and Surety hereby jointly and severally agree with the Obligee that every Claimant as herein defined who has not been paid in full before the expiration of a period of ninety (90) days after the later of: (a) the date on which the last of such Claimant's work or labor was done or performed or materials were furnished by such Claimant, or(b) the date the Claimant filed an enforceable lien, may bring suit on this bond, prosecute the suit to final judgment for the amount due under Claimant's contract for the labor and/or materials supplied by the Claimant which were used, consumed or incorporated in the performance of the construction work, and have execution thereon. The Obligee shall not be liable for the payment of any costs or expenses of any such suit. 3. No suit or action shall be commenced hereunder by any Claimant: a. After the expiration of one (1) year after the day on which the Claimant last supplied the labor and/or materials for which the claim is made. If this limitation is void or prohibited by law, then the minimum period of limitation available to sureties as a defense in the jurisdiction of the suit shall be applicable, and said period of limitation shall be deemed to have accrued and shall commence to run on the day the Claimant last supplied the labor and/or materials for which the claim is made, and said period of limitation shall be deemed to have accrued and shall commence to run on the day the Claimant last supplied the labor and/or materials for which the claim is made; and b. Other than in a state court of competent jurisdiction in the county or other political subdivision of the state in which the project, or any part thereof, is situated, or in the United States District Court for the district in which the project, or any part thereof, is situated, and not elsewhere. 4. The amount of this bond shall be reduced by and to the extent of any payment or payments made in good faith hereunder. The Surety's liability hereunder is limited, singly, or in the aggregate, to the penal sum of the bond set forth herein. Signed this day of 12018. Principal: Surety: Tri Dal Utilities. Ltd. Travelers Casualty and Surety Company of America By: By: elix Nav ar Tim Mullikin, Vice President of Operations Attorney-in-Fact MAINTENANCE TRAVELERS CASUALTY AND SURETY COMPANY OF AMERICA BOND Hartford, Connecticut 06183 Bond No. 106997560 KNOWN ALL BY THESE PRESENTS: That we, Tri Dal Utilities Ltd., 540 Commerce St., Southlake TX 76092, as Principal, and Travelers Casualty and Surety Company of America, a corporation organized and existing under the laws of the State of Connecticut, as Surety, are held and firmly bound unto Rampart Construction LLC 800 Industrial Blvd, Suite 100, Grapevine, TX 76051, as Obligee, in the total sum of One Hundred Eighty Thousand Eighty-one And No1100 180 081.00 Dollars for the payment whereof said Principal and Surety bind themselves,jointly and severally, as provided herein. WHEREAS, the Principal entered into a contract dated with Rampart Construction, LLC for Rosedale Multifamily - Water Improvements, Wastewater Improvements, and Draina e Improvements. NOW, THEREFORE, THE CONDITION OF THIS OBLIGATION IS SUCH, that if the Principal shall maintain and remedy said Work free from defects in materials and workmanship for a period of two 2 ears from the date of acceptance of the Work (Maintenance Period), then this obligation shall be void; otherwise it shall remain in full force and effect. PROVIDED, HOWEVER, that any suit under this bond shall be commenced no later than one (1) year form the expiration date of the Maintenance Period; provided, however, that if this limitation is prohibited by any law controlling the construction hereof, such limitation shall be deemed to be amended so as to be equal to the minimum period of limitation permitted by such law, and said period of limitation shall be deemed to have accrued and shall commence to run on the expiration date of the Maintenance Period. SIGNED this day of , 2018. Tri Dal Utilities, Ltd. Principal By: Tim ullikin, Vice Pre ident of Operations Travelers Casualty and Surety Company of America Surety By: Felix Nav ar, Attor -in-Fact DUAL Travelers Casualty and Surety Company of America OBLIGEE Hartford, CT 06183 RIDER (Concurrent Execution with Payment and Performance Bonds This Rider is executed concurrently with and shall be attached to and forms a part of Performance and Payment Bonds No. 106997560 (hereinafter individually referred to as "Performance Bond" or "Payment Bond", and collectively referred to as "Bonds") issued by Travelers Casualty and Surety Company of America (hereinafter referred to as"Surety"), as Surety, on the day of , 2018 WHEREAS, on or about the day of , Tri Dal Utilities.Ltd. (hereinafter called the "Principal"), entered into a written agreement with Rampart Construction LLC (hereinafter called the"Primary Obligee") for the construction of the ,°...°^ (hereinafter called the"Contract"); and WHEREAS, the Primary Obligee has requested that the Principal and the Surety execute and deliver to said Primary Obligee the Bonds in connection with the Contract; and WHEREAS, the Primary Obligee has requested the Principal and the Surety execute and deliver this Rider to the Primary Obligee concurrently with the Bonds. NOW, THEREFORE, the undersigned hereby agree and stipulate that the City or Fort worth shall be added to the Bonds as a named obligee (hereinafter referred to as "Additional Obligee"), subject to the conditions set forth below: 1. The Surety shall not be liable under the Bonds to the Primary Obligee, the Additional Obligee, or any of them, unless the Primary Obligee, the Additional Obligee, or any of them, shall make payments to the Principal (or in the case the Surety arranges for completion of the Contract, to the Surety) strictly in accordance with the terms of said Contract as to payments and shall perform all other obligations to be performed under said Contract at the time and in the manner therein set forth. 2. The aggregate liability of the Surety under the Performance Bond, to any or all of the obligees (Primary and Additional Obligees), as their interests may appear, is limited to the penal sum of the Performance Bond; the Additional Obligee's rights hereunder are subject to the same defenses Principal and/or Surety have against the Primary Obligee, and the total liability of the Surety shall in no event exceed the amount recoverable from the Principal by the Primary Obligee under the Contract. At the Surety's election, any payment due under the Performance Bond may be made by joint check payable to one or more of the obligees. 3. The aggregate liability of the Surety under the Payment Bond to any or all of the obligees (Primary and Additional Obligees), and to persons or entities that are entitled to make claim under the Payment Bond (hereinafter, "Claimants"), as their interests may appear, is limited to the penal sum of the Payment Bond; the Primary Obligee's and Additional Obligee's rights hereunder, if any, are subject to the same defenses Principal and/or Surety have against the Primary Obligee and/or the Claimants under the Payment Bond. At the Surety's election, any payment due under the Payment Bond may be made by joint check payable to one or more of the obligees and/or Claimants. Except as herein modified, the Bonds shall be and remains in full force and effect. Signed this day of 2018 . Tri Dal Utilities,Ltd. By: U 0(Principal) µut�iurtr���I L ,,,...,. �, Tim'Mullikin, Vice resident of Operations ��,.•' ; •. �¢': Travelers Casualty and Surety Company of America 4 H� 1FORD, aeS By: p+ Felix Navejar , Attorney-in-Fact r` TEXAS - INFORMATION OR COMPLAINTS NOTICE To obtain information or make a complaint: You may call Travelers toll-free telephone number for information or to make a complaint at: 1-800-328-2189 You may contact the Texas Department of Insurance to obtain information on companies, coverages, rights, or complaints at: 1-800-252-3439 You may write the Texas Department of Insurance PO Box 149104 Austin,TX 78714-9104 Fax (512) 475-1771 Web: http://www.tdi.texas.gov E-mail: ConsumerProtection@tdi.texas.gov PREMIUM OR CLAIM DISPUTES: Should you have a dispute concerning your premium or about a claim you should contact your Agent or Travelers first. If the dispute is not resolved, you may contact the Texas Department of Insurance. ATTACH THIS NOTICE TO YOUR POLICY: This notice is for information only and does not become a part or condition of the attached document. AVISO IMPORTANTE - INFORMACIO/ N O QUEJAS - TEXAS listed puede llamar al numero de telefono gratis de Travelers pars informacio/n o para someter una queja al: 1-800-328-2189 Puede comunicarse con el Departamento de Seguros de Texas para obtener informacio/n acerca de companias, coberturas, derechos o quejes al: 1-800-252-3439 Puede escribir al Departamento de Seguros de Texas PO Box 149104 Austin,TX 78714-9104 Fax(512)475-1771 Web: http://www.tdi.texas.gov E-mail: ConsumerProtection tdi.texas. ov DISPUTAS SOBRE PRIMAS O RECLAMOS: Si tiene una disputa concerniente a su prima o a un reclamo, debe comunicarse con el Agente o Travelers primero. Si no se resuelve la disputa, puede entonces comunicarse con el departamento (TDI). UNA ESTE AVISO A SU POLIZA: Este aviso es solo para proposito de Informacio/n y no se convierte en parte o condition del documento adjunto. NTC-19023Ed.05-13 Page 1 ot 1 © 2013 The Travelers Indemnity Company. All rights reserved. Bond No. 106997560 AR Travelers Casualty and Surety Company of America Travelers TRAVELERS J Casualty and Surety Company St. Paul Fire and Marine Insurance Company POWER OF ATTORNEY KNOW ALL MEN BY THESE PRESENTS:That Travelers Casualty and Surely Company of America,Travelers Casualty and Surety Company,and St. Paul Fire and Marine Insurance Company are corporations duly organized under the laws of the State of Connecticut(herein collectively called the "Companies"), and that the Companies do hereby make,constitute and appoint Felix Navejar,of Grapevine,Texas,their true and lawful Attorney-in- Fact to sign,execute,seal and acknowledge any and all bonds, recognizances,conditional undertakings and other writings obligatory in the nature thereof on behalf of the Companies in their business of guaranteeing the fidelity of persons,guaranteeing the performance of contracts and executing or guaranteeing bonds and undertakings required or permitted in any actions or proceedings allowed by law. IN WITNESS WHEREOF,the Companies have caused this instrument to be signed,and their corporate seals to be hereto affixed,this 3rd day of February, 2017. �}L61ayn, ` Y t � �,� Robert L. Raney, Se or Vice President 06 s R coon �gVA State of Connecticut City of Hartford ss. On this the 3rd day of February,2017,before me personally appeared Robert L.Raney,who acknowledged himself to be the Senior Vice President of Travelers Casualty and Surety Company of America, Travelers Casualty and Surety Company, and St. Paul Fife and Marine Insurance Company, and that he,as such,being authorized so to do,executed the foregoing instrument for the purposes therein contained by signing on behalf of the corporations by himself as a duly authorized officer. In Witness Whereof, I hereunto set my hand and official seal. a Y My Commission expires the 30th day of June,2021 rrW f 4� * Mane C.Tetreault, Notary Public This Power of Attorney is granted under and by the authority of the following resolutions adopted by the Boards of Directors of Travelers Casualty and Surety Company of America,Travelers Casualty and Surety Company, and St. Paul Fire and Marine Insurance Company,which resolutions are now in full force and effect, reading as follows: RESOLVED, that the Chairman, the President, any Vice Chairman, any Executive Vice President, any Senior Vice President, any Vice President, any Second Vice President, the Treasurer, any Assistant Treasurer, the Corporate Secretary or any Assistant Secretary may appoint Attorneys-in-Fact and Agents to act for and on behalf of the Company and may give such appointee such authority as his or her certificate of authority may prescribe to sign with the Company's name and seal with the Company's seal bonds, recognizances, contracts of indemnity, and other writings obligatory in the nature of a bond, recognizance,or conditional undertaking,and any of said officers or the Board of Directors at any time may remove any such appointee and revoke the power given him or her;and it is FURTHER RESOLVED, that the Chairman, the President, any Vice Chairman, any Executive Vice President, any Senior Vice President or any Vice President may delegate all or any part of the foregoing authority to one or more officers or employees of this Company,provided that each such delegation is in writing and a copy thereof is filed in the office of the Secretary;and it is FURTHER RESOLVED, that any bond, recognizance, contract of indemnity, or writing obligatory in the nature of a bond, recognizance, or conditional undertaking shall be valid and binding upon the Company when(a)signed by the President,any Vice Chairman,any Executive Vice President,any Senior Vice President or any Vice President, any Second Vice President, the Treasurer, any Assistant Treasurer, the Corporate Secretary or any Assistant Secretary and duly attested and sealed with the Company's seal by a Secretary or Assistant Secretary; or(b)duly executed (under seal, if required)by one or more Attorneys-in-Fact and Agents pursuant to the power prescribed in his or her certificate or their certificates of authority or by one or more Company officers pursuant to a written delegation of authority; and it is FURTHER RESOLVED,that the signature of each of the following officers: President, any Executive Vice President,any Senior Vice President, any Vice President, any Assistant Vice President, any Secretary, any Assistant Secretary, and the seal of the Company may be affixed by facsimile to any Power of Attorney or to any certificate relating thereto appointing Resident Vice Presidents, Resident Assistant Secretaries or Attorneys-in-Fact for purposes only of executing and attesting bonds and undertakings and other writings obligatory in the nature thereof,and any such Power of Attorney or certificate bearing such facsimile signature or facsimile seal shall be valid and binding upon the Company and any such power so executed and certified by such facsimile signature and facsimile seal shall be valid and binding on the Company in the future with respect to any bond or understanding to which it is attached. I, Kevin E. Hughes, the undersigned, Assistant Secretary of Travelers Casualty and Surety Company of America, Travelers Casualty and Surety Company, and St. Paul Fire and Marine Insurance Company, do hereby certify that the above and foregoing is a true and correct copy of the Power of Attorney executed by said Companies,which remains in full force and effect. Dated this day of 2018. itr►'wrrr �'�ir,rho+ y(!� yd cmyus Kevin E. Hughes,Assistant Secretary To verify the authenticity of this Power of Attorney,please call us at 1-800-42I-3880. Please refer to the above-mined Attorney-in-fact and the details of the bond to which the power is attached.