HomeMy WebLinkAboutContract 45717-A3FP1 FORTWORTH, CSC No.45717-A3FP1
TRANSPORTATION AND PUBLIC WORKS
NOTICE OF PROJECT COMPLETION
City Project Ns: 00141
Regarding contract 45717-43 for HEMPHILL ST CONNECTOR PROJECT,FINAL WORKS PACKAGE, GMP2
as required by the TRANSPORTATION&PUBLIC WORKS as approved by City Council on 6/20/2017 through
M&C C-28289 the director of the TRANSPORTATION&PUBLIC WORKS upon die recommendation of the
Assistant Director of the Transportation&Public Works Department has accepted the project as complete.
Original Contract Prices: $35,408,258.00
Amount of Approved Change Orders: ($4,845,567.00) NQ 1,2,3,4
Revised Contract Amount: $30,562,691.00
Total Cost Work Completed: $30,562,691.00
Less Deductions:
Liquidated Damages: Days a $210.00/Day
Pavement Deficiencies:
Total Deduction Amount:
Total Cost Work Completed: $30,562,691.00
Less Previous Payments: $29,660,744.91
Final Payment Due $901,946.09
1azz�� Feb 11, 2021
Lauren Pfieur(Feb 11,202115:34 CST)
Recommended for Acceptance Date
Asst. Director, TPW - Capital Delivery
•
4Villiam-1 ohnso (Feb 12,2021 0G:23 C57) Feb 12 2021
Accepted Date
Director, TRANSPORTATION & PUBLIC WORKS
Client Department
ynwg LAULwe Feb 12, 2021
Dana ew�hdoff(Pe_12,2021 0.t14 CST; -
Asst. City Manager Date
Comments:
OFFICIAL RECORD
CITY SECRETARY
FT.WORTH, TX
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FORTWORTH.
TRANSPORTATION AND PUBLIC WORKS
January 12, 2021
McCarthy Building Companies Inc.
12001 N Central Expressway
Suite 400
Dallas,TX 75243
RE: Acceptance Letter
Project Name: Hemphill St. Connector Project
Project Type: Street Connector
City Project No.: C00141
To Whom It May Concern:
On April 2, 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 April 6, 2020. 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 April 6,2020,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-
392-8485.
Sincerely,
/% AW
Michael Weiss, Project Manager
Cc: Riley Roberson, Inspector
Mike Glover, Inspection Supervisor
Randy Horton,Senior Inspector
Jennifer Roberts, Program Manager
Tran Systems, Consultant
McCarthy Building Companies Inc., Contractor
N/A, Developer
File
E-Mail: TPW_Acceptance@fortworthtexas.gov
Rev.8/20/19
FORTWORTH rev 03/05/07
TRANSPORTATION& PUBLIC WORKS
FINAL STATEMENT OF CONTRACT TIME
FINAL STATEMENT NO.:1
NAME OF PROJECT: Hemphill St.Connector Project
PROJECT NO.: 141 CONTRACTOR: McCarthy Building Company
DOE NO.: N/A
PERIOD FROM:07/24/17 TO: 04/09/20 FINAL INSPECTION DATE: 9-Apr-20
WORK ORDER EFFECTIVE:N/A CONTRACT TIME: 1107 O WD O CD
DAY OF DAYS REASON FOR DAYS DAY OF DAYS REASON FOR DAYS
MONTH CHARGED CREDITED MONTH CHARGED CREDITED
DURING DURING
1. 0 16. 0
2. 0 17. 0
3. 0 18. 0
4. 0 19. 0
5. 0 20. 0
6. 0 21. 0
7. 0 22. 0
8. 0 23. 0
9. 0 24. 0
10. 0 25. 0
11. 0 26. 0
12. 0 27. 0
13. 0 28. 0
14. 0 29• 0
15. 0 30. 0
31. 0
SAT,SUN, RAIN,TOO WET, UTILITIES DAYS TOTAL
&HOLIDAYS &TOO COLD RELOCATIONS OTHERS* CHARGED DAYS
THIS 0
PERIOD
PREVIOUS 0
PERIOD
TOTALS 495
TO DATE
*REMARKS:
CONTRACTAR.v DATE INSPECTOO DATE
ENGINEERING DEPARTMENT
r The City of Fort Worth•1000 Throckmorton Street•Fort Worth,TX 76012-6311
(817)392-7941 •Fax: (817)392-7845
CONSENT OF OWNER ❑
ARCHITECT ❑
SURETY COMPANY CONTRACTOR ❑
TO FINAL PAYMENT SURETY ❑
Conforms with the American Institute of OTHER
Architects,AIA Document 0707 Bond No 106740091,82448048
PROJECT:
(name, addresS)Hemphill Street Extension
TO (Owner) Lancaster Avenue and Vickey Boulevard, Fort Worth,TX,
F ARCHITECT'S PROJECT NO:
CONTRACT FOR:
Hemphill Street Extension from Lancaster Avenue to Vickery Boulevard,City
CITY OF FORT WORTH Project No.00141.City Secretary Contract No.45717
1000 Throckmorton Street CONTRACT DATE:6/22/2017
Fort Worth,TX,76102
CONTRACTOR:MCCARTHY BUILDING COMPANIES, INC.
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)
FEDERAL INSURANCE COMPANY TRAVELERS CASUALTY AND SURETY
202E Hall's Mill Road COMPAOne Tower Square
Whitehouse Station,NJ 08889 Hartford CT 06183 , SURETY COMPANY
on bond of (here Insert name and address of Contractor)
MCCARTHY BUILDING COMPANIES, INC. CONTRACTOR,
12001 N.Central Expressway,Suite 400
Dallas,TX,75243
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)
CITY OF FORT WORTH , OWNER,
1000 Throckmorton Street
Fort Worth,TX,76102
as set forth in the said Surety Company's bond.
IN WITNESS,WHEREOF,
the Surety Company has hereunto set its hand this 23 day of September,2020
FEDERAL INSURANCE COMPANY
TRAVELERS CASUALTY AND SURETY COMPANY
Sure mpan
Attest: Samantha Chierici
(Seal): Signature of Authorized Representative
Susan A Welsh 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
CHUBB
Power of Attorney
Federal Insurance Company I Vigilant insurance Company I Pacific Indemnity Company
Westchester Fire Insurance Company I ACE American insurance Company
Know All by These Presents, that FEDERAL INSURANCE COMPANY. an Indiana corporation,VIGILANT INSURANCE COMPANY. a New fork corporation, PACIFIC
INDEMNITY COMPANY. a Wisconsin corporation, WESTCHESTER FIRE INSURANCE COMPANY and ACE AMERICAN INSURANCE COMPANY corporations of the
Gimmonwealth of Pennsylvania, do each hereby constitute and appoint Samantha Chierici, Jessica B. Dempsey, Debra J. Doyle, Derek J. Elston,
Kristin L Hannigan, Jennifer L. Jakaitis, Andrew Marks, James B. McTaggart, Judith A. Lucky-Eftimov, Sandra M. Nowak, Diane M. O'Leary,
nsted
Nicholas Pantazis, Christina L. Sandoval, Bartiomiej Siepierski, Christopher P. Troha, Aerie Walton, Susan A. Welsh and Sandra M------
W----
ofChicago,Illinois-----------------------------------------------------------------------------------------------------------------------
each as their true anti lawful Attorney-in•Fact to execute under such designation in their nanies and to aliix their corporate seals to and deliver for and on their behalf as surety
thereon or othermse,bonds and undertakings and other writings obligatory In the nature thereof(other than ball bonds)given or executed in the course of business.and any
Instruments amending or altering the sane,and consents to the modilication or alteration orally instrument referred to in said bonds or obligations.
In Witness Whereof,said FEDERAL INSURANCE COMPANY, VIGILANT INSURANCE COMPANY,PACIFIC INDEMNITY COMPANY,WESTCHESTER FIRE INSURANCE
COMPANY and ACE AMERICAN INSURANCE COMPANY have each executed and attested these presents and aff ixed their corporate seals on this 16th day ofJanuary,2020.
Rival M.Chlorrn.As,;!stant Secretary Stephen M.Hanley.Vice III idcnt
dy,a.•t, r,
I1Ii O N[\ J:(S-S IV
Couniw of l huiterdon
On this 161s day ofJanuary,2020 before toe,a Notary Public of New Jersey.personally came Dawn M.Chloros and Stephen M.Ilaney.to me known to be Assistant Secretary-and
Vice President, respectively, of 1°IiDERAI. INSURANCE COMPANY, VIGII.AN'f INSURANCE COMPANY. PACIFIC INDEMNITY CO\IPAN\', \1'IiS'I'CIIIS'I'lilt FIRE INSURANCE
CO\IPANY and r\Cti A\Il:ltlCAN INSURANCE COAIIIANY.the conip:mies which executed the foregoing Power of Attnrney,and the said Dawn M.Chloral and Stephen M.I laney.
being by me duly sworn.severally and each for herself and himself did depose and say that they are Ass(staint Secreian and Vice President,respectively,of FEDEItAI.INSUIb1NCG
COMPANY.VIGILANT INSUIL\NCI-"COMPANY,PACIFIC INDEMNITY COMPANY.WESTCI IES7'IiR FIRE INSUIt\NCI{COMPANY and ACE AIIERIG\N INSURANCE COMPANY and
know the corporate seals thereof,that the seals affixed to the foregoing Power of Attorney are such corporate seals and were thereto affixed by authority of said Companies;and
that their signatures as such officers were duly affixed and subscribed by like authority.
Notarial Seal ��i� KATHERINE J.ADELAAR
pOTAAy NOTARY PUBLIC OF NEW JERSEY
No.2316686
pUBU� Commission Expires July 16.2024 �nlaoy�un�[
CERTIFICATION
Resolutions adopted by the lloards of Directors of FEDI,11r\L INSUItr\NCE CO\II'ANY.VIGILANT INSUTANCE COMPANY.and PACIFIC INI)E\INI'I'Y CO\IPANi'on August:10,2016:
\\'EsIrCI IIiS'rI..R FIRE INSURANCE COMPANY on December 11,2006;and ACE AMERICAN INSURANCE COMP ANY on March 20.2009:
-IttSOLvIi.n.that the following atuhurizations relate to the execution.forand on behalf of the Congianw.Of bonds undertakings.rtco}mizances.conincis and other aTiuen commiinients of the collw my
entered Into in the ordinary course of business(each a-Wrilten C01Ilml0nem-):
(1) Rich of the Chairman.the President and the vice Presidents of tire company e compa is hereby authorized it)execute any Written Comntiunent fir and on Ixhalf of the Cunpanyt under the
seal of the company or othernise.
(2) fach duly appointed auomeyfn•fact of the Compmy is hereby authorized to execute any Wrinen Commitment for and on behalf of the Company.under the seal of the Company or
otherwise.it)the extent that such action is authorized by the gram of powers prmided for in such person's writers appointment a such auorney-in
(:I) Etch of the Chairman.the President and the Vice Presidents of the Company is hereby authorized.forand on behairof the Company.to appufnt in writing any person the attorney-
in-fact or the Connpany with full power and authority toexectue,for and on btlialfoftheConnp:my,under the seal ofthe Company orothemis-e.such written Commitments oflte
Company as may be specifftd in such written appointment.which specification may be by general type or class of Written Commitments or ky specification of one or more particular
Written Commitments.
(4) Each of(lie Chairman.the President and the Tice Presidents of the Company is hereby authorized,forand on behaif of the Compare.in delegate in writing to any otherofftcer ofthe
Company the authority to execute,for and on behalf of the Company,under the Compan's seal or otherwise.such Written Commitments of the Company as are specified in such
written delegation.\vhich spedReation may be by general type or[lass o(Wriuen Commitments or by specification oRme or more particular Written commitments,
(S) The signature ofatky officer or otliLr person executing all),Written commitment or appointment or delLgation pursuant 14)this Resolullun,and tire seal orthe Company.may be affixed ky
facsirnile on such Written commitment or written ap)alntment or delegation.
FURTHERRISOIXED, that the foregoing Resolution shall not hedeudit)beanexclusbestatementufthepowenandauthnttufnticersemploytes:ndatherperxnutoactfarandonbch:dfof
m
lie Company.and such Resolution shall not limit or otherwise affetit the exercise nf:my such power or authority othernise rtidiy gland or vested:
I. Dawn M. Chloros. Assistant Secretary of FEDERAL INSURANCE COMPANY. VIGILANT INSURANCE COMPANY. PACIFIC INDEMNITY COMPANY. WESTCll1STE.It FIRE
INSURANCE COMPANY and ACE AMERICAN INSURANCE COMPANY(the"Cornpanies')do hereby certify that
(i) the foregoing Resolutions adopted by the Board of Directors of the Companies are true,correct and in full force and effect,
(it) the foregoing Power of Attorney is true,correct and in fill force and effect.
Given under my hand anti seals ofsahl Companies at Whitehouse Station,NI,this q IZ 3ry,4411 •
oltiv:n\I(:blunt:.T,sist:mtSarctalj
I N TI IE FATN 1'wou will t To vrRIFv,n It:AUrI WN-11CITY OF TI IIS BOND OR NO'I•ll•'V US OF ANY O'n int sIxITER.PLIJ151i CONTACT US AT:
Telw\hnne(9U4)911:4a4!Ia Fax(!IIiS19111-:IhS6 e•mail:surewchubbconi
r,,,,,ni„on-rrn-v1r;.P1-WFIC-AAIC(rev.11-19)
Travelers Casualty and Surety Company of America
Travelers Casualty and Surety Company
TRAVELERS J� St. Paul Fire and Marine Insurance Company
POWER OF ATTORNEY
KNOW ALL MEN BY THESE PRESENTS:That Travelers Casualty and Surety 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 Susan A.Welsh of Chicago
Illinois , 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.
�Nvo�swt7p UPOJ*�IV A&,,
F41RiFORq a HARrF IL g scAx
W
Stale of Connecticut
Robert L.Raney,Senior Vice President
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 Surely Company of America,Travelers Casually and Surety Company, and St. Paul Fire 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. p•TR
My Commission expires the 30th day of June,2021
o pue�tps* Marie C.Tetreaull,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 Casually 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 skid Companies,which remains in full force and effect.
Dated this 2 3r day of 4�LN 20,2 ,
T��� eJ�ttT ANp•G ��
HARTFOW
Kevin E.Hughes,Assi tant Secretary
To verify the authenticity of this Power of Attorney,please call us at 1-800-421-3880.
Please refer to the above-named Attorney-in-Fact and the details of the bond to which the power is attached.
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CONSENT OF OWNER ❑
ARCHITECT ❑
SURETY( COMPANY CONTRACTOR ❑
TO FINAL PAYMENT SURETY ❑
Conforms with the American Institute of OTHER
Architects,AIA Document G707 Bond No 106740091,82448046
PROJECT:
(name, addreSS)Hemphill Street Extension
TO (Owner) Lancaster Avenue and Vickey Boulevard, Fort Worth,TX,
F ARCHITECT'S PROJECT NO:
CONTRACT FOR:
Hemphill Street Extension from Lancaster Avenue to Vickery Boulevard,City
CITY OF FORT WORTH Protect No.00141.City Secretary Contract No.45717
1000 Throckmorton Street
Fort Worth,Tx,76102 CONTRACT DATE:6/2212017
CONTRACTOR:MCCARTHY BUILDING COMPANIES, INC.
In accordance with the provisions of the Contract between the Owner and the Contractor as indicated above,the
(hero insert name and address of Surety Company)
FEDERAL INSURANCE COMPANY TRAVELERS CASUALTY AND SURETY
202E Hall's Mill Road Square S
Whitehouse Station,NJ 08889 Hartford One Tower Sq are
CT SURETY COMPANY
on bond of (here insert name and address of Contractor)
MCCARTHY BUILDING COMPANIES, INC,
12001 N. Central Expressway, Suite 400 , CONTRACTOR,
Dallas,TX,75243
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)
CITY OF FORT WORTH , OWNER,
1000 Throckmorton Street
Fort Worth,TX, 76102
as set forth in the said Surety Company's bond.
IN WITNESS,WHEREOF,
the Surety Company has hereunto set its hand this 23 day of September,2020
FEDERAL INSURANCE COMPANY
r TRAVELERS CASUALTY AND SURETY COMPANY
Sure=7��
Attest: Samantha Chierici
(Seal): Signature of Authorized Representative
Susan A Welsh Attorney-in-Fact
Title
NOTE: This form Is to be used 'as o companion document to AIA DOCUMENT G706, CONTRACTOR'S AFFIDAVIT OF PAYMENT OF DEBTS AND CLAIMS,
Current Edition
ONE PAGE
CHUBB
Power of Attorney
Federal Insurance Company I Vigilant Insurance Company I Pacific Indemnity Company
Westchester Fire Insurance Company I ACE American Insurance Company
Know All by These Presents, that FEDERAL INSURANCE COMPANY, all Indiana corporation,VIGILANT INSURANCE COMPANY,a New fork corporation, PACIFIC
INDEMNITY COMPANY, a Wisconsin corporation, WESTCHESTER FIRE INSURANCE COMPANY and ACE AMERICAN INSURANCE COMPANY corporations of the
Debra J. Doyle, Derek J. Elston,
Con)monwealth of Pennsylvania, do each hereby constitute and appoint Samantha CJ Judith
Jessica B. Dempsey, y
Kristin L Hannigan, Jennifer L. Jakaitis, Andrew Marks, James B. McTaggart, Judith A. Lucky-Eftimov, Sandra M. Nowak, Diane M. O'Leary,
nsted
Nicholas Pantazis, Christina L. Sandoval, Bartlomiej Siepierski, Christopher P. Troia, Aerie Walton, Susan A. Welsh and Sandra M. W----
---- -------------------------------------
of Chicago,Illinois---•------------------------------------'----
---------------------------------- --------------------------------------
each as their true and lawful Attorney-lit-pact to execute under such designation it their names and to affix their corporate seals to and deliver Rrr and on their behalf as surety
thereon or otherwise.bonds and undertakings and other writings obligatory in the nature thereof(other than bail bonds)given or executed In the course ur bushiess.and any
Instruments amending or altering the same,and consents to the modification or alteration of any Instrument rererretl to in said bonds or obligations.
In Witness Whereof.said FEDERAL INSURANCE COMPANY,VIGILANT INSURANCE COMPANY,PACIFIC INDEMNITY COMPANY,WESTCHESTER FIRE INSURANCE
COMPANY anti ACE AMERICAN INSURANCE COMPANY have each executed anti attested these presents and affixed their corporate seals on this 16i°day ofJanuary,2020.
0-c�
Iktv:n AI.Chloitr•A"ist ml SLrretal� Stephen M.Ilaniq.l`ice III -idt rat
®� — — ��� l �r..,� �e>a""•� ®� _— '�.' � �'\ 7 /' �art c
o
S'I'A'rli Op NEW JI(I(SIi)'
Countyofliunterdon *s'
On this 161^day ol•January,2020 before tile,a Notary Public of New Jersey,personally came Dawn M.Chloros and Stephen M.I laney,to me known to be Assistant Secretary and
Vice President, respectively,of I-TI)ERAL INSURANCE: COMPANY, VIGILANT INSURANCE COMPANY, 11ACI1IC INDEi11NITY COdIPANY. WlSI'Clll?5'1'I:it MHE INSURANCE
COMPANY mid ACE AMIRICAN INSURANCE COMPANY,the companies which executed the Ioregoing Power of Attorney,and the said Dawn Al.Chloros and Stephen Al.I laney,
being by ale duly sworn,severally and each for herselrttd himself did depose and say that they are Assisuun Secretary and Vice President,respectively,of FIiDERAL INSUIb1NCli
COMPANY,VIGILANT INSURANCE COMPANY,PACIFIC INDEMNITY COMPANY,WLST'Cf E'ST'EI(1'll(li INSURANCE COMPANY and ACE AMERICAN INSURANCE COMPANY anti
know the corporate seals thereof,that the seals affixed to the foregoing Posver of Attorney are such corporate seals and were thereto affixed by authority of said Companies;and
that theirsignatures assuch officers were duly afixed anti subscribed by Iike authority.
Notarial Seal a
KATHERINE J.ADELAARNOTARY PUBLIC OF NEW JERSEYNo.2316686
Commleeion Expires Jury 16,2024 CERTIFICATION
Resolutions adopted by the Boards of Directors of FEDERAL INSURANCE COMPANY,VIGILANT'INSUIb\NCE COMPANY.and PACIFIC INDIihiNl'I'Y CODiPANi'un August aQ 2UIfi;
WHS'i'CHIS'rLR FII(E INSURANCE COMPANY on December 11,2006:alai ACE AMERICAN INSURANCE COMPANY on March 20,2009:
'ItANOLVED,that the following auihorlymioas relate to the execution.for and on beh:df orthe company.of bonds,undertakings.recognizances•contracts and other wrhlen commkutents of the Cumisaw
entered into it the ordinary course of bustrmess(each a"iVrit(en conuuitnent-):
(I) Bach or the Chairman,the President and the Vice Presidents of tile company Ishereby autlmrized to execute any Written Commitment for and oil behalrofthe Company.under tile
seal of the Companyor otherwise.
(2) t'ach duly appointed anumtey-in•faci of the company Is herby authorized to execute an)•Written Commitment for and on belratf of the company.under the seal of ilte Cornpany or
othenwise.to the extent that such anion Is authorized by thetp rat of powers proAded for in such personk written appointment as such attorney-In-fact.
(:) Lich of Ile Chairman,the President and the Vice Presidents of tile Company Is hereby authorized.for:mdoil behalfofthe Company.toappolnllnwriting any person the attorney-
hm•fact of the Company with full power and authority to execute,for and on behaifof tile company.tinder the seal of the Company orofllen%ise,such written Commitments ofthe
Company as may be specified in such written appointment.which specification may be by general type or class of Written Commitments or by specification of one or more panicular
Written cnnnill ments.
(d) I•ach of the Chainuan.the President and the Vice I'msidents of tilecmgtanyisherebyautorized,forandonbehalfoftlecompany.LodelegateInwritingtoanywherofficerofthe
company the authority to execute,for and on behaif or the Company.under the Couhpany's seal or otherwise,such written Commitments of the Company as are specifier)in such
wrtttendeiekWom•which spedOcailon may be by general type(it class of Written commitments or by specification ofuneor more particular Written commliments.
(5) 'fhe signature orally officer other person execoing any wriuen commitment orappuhmnentordelegviunpursuanttothisResolmlou,:mdihesealoflheCompany,maybeaffixedby
facsimile on such N'rhteu commitment or written appointment or deki;ation.
FURT11171t it"OLVED. dull the foregoing Itesolutton strait not be deeuavt to be an exctush•e statemeni of the powers and auihority oruMcers,employees:red other persons to act fin-and on behalf of
the company.and such Itesotution shall not limit or oiherMse alreci the exercise of any such power or authority olhen%UL validly granted or wesled."
1• Dawn M.Chloros, Assistant Secretary of FEDERAL INSURANCE COMPANY, VIGILANT INSURANCE COMPANY, PACIFIC INDEMNITY COMPANY, WESTCIIHSTE.R 1:11M
INSURANCE CONIVANY and ACE AMERICAN INSURANCE COMPANY Ube"Companies')do hereby certify that
(B the foregoing Resolutions adopted by Ise Board of Directors orthe Companies are true,correc(and in full force and effect,
(iB the foregoing power orAuorney is true.correct and in full force anti eneci.
Given under my hand anti seals of said Companies al Whitehouse Station,RI,this
000TO
Iktv:n ALChlnn .A�dstant 5r�rcull7v
IN'I'I Ili EWE NI'YOU WISI1'fo VBIIIFY TI Ili Al Tri[E.NTIcriv OF'I'I Its BOND Olt NOTIFY US OF ANY OTI11M MATEIM.11I.10%Sli CONT'ACr US A'r:
'felt trove(41t4ti Rlli•:i-041a F:Ix(9115)411tt•:4GSli Nlllall:SllrelCCr�I'tlllllil,r'mlll
Combined:FED-VIG-PIMFIC-AM(rev.11-19)
Travelers Casualty and Surety Company of America
Travelers Casualty and Surety Company
TRAVELERS Jam` St. Paul Fire and Marine Insurance Company
POWER OF ATTORNEY
KNOW ALL MEN BY THESE PRESENTS:That Travelers Casually and Surety 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 Susan A.Welsh of Chicago
Illinois , 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.
.1.
? WAnr-F. `F4J*,IY Ary0 aG9 W*
{/y
CGUIL
State of Connecticut
City of Hartford ss. Robert L.Raney,SehtorVice President
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 Casually and Surety Company of America,Travelers Casualty and Surety Company, and St. Paul Fire 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. o T4
My Commission expires the 30th day of June,2021
* p���ps Marie C.Telreaull,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 Casually 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 Surely
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 skid Companies,which remains in full force and effect.
Dated this 2 3� day of Q P 2012,-
4,V%.IY AMp a` �
ril!)TrO,ir.. Uxlrc—i IiVR .—
tc0�tree e ;
Kevin E.Hughes,Assi tant Secretary
To verify the authenticity of this Power of Attorney,please call us at 1-800-421-3880,
Please refer to the above-named Attorney-ln-Fact and the details of the bond to which the power is attached.
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CONTRACTOR'S AFFIDAVIT OF PAYMENT OF DEBTS AND CLAIMS
PROJECT: Hemphill Street Connector, GMP 2
City of Fort Worth
200 Texas Street
Fort Worth, TX 76102
OWNER: City of Fort Worth, Fort Worth, TX
PROJECT NUMBER: COFW 00141 McCarthy 2119.000
CONTRACT FOR: Transportation and Public Works
CONTRACT DATED: 06-23-2014
STATE OF TEXAS
COUNTY OF TARRANT
The undersigned hereby certifies that payment has been made in full and all obligations
have otherwise been satisfied for all materials and equipment furnished, for all work, labor, and
services performed, and for all known indebtedness and claims against the Contractor for damages
arising in any manner in connection with the performance of the Contract referenced above for which
the Owner or Owner' s property might in any way be held responsible or encumbered.
CONTRACTOR: McCarthy Building Companies, Inc.
12001 N. Central Expressway, Suite 400
Dallas, TX 75243
DJ
David Wallace, Project Director
Subscribed and sworn to before me on this day:T q 20 31
R,tUq&&Mn
Notary Pu is ` [ y-Yc V\j CC U-"q i t PK5
My Commission Expires: 10 aS a `"'�
Y PUA`; RILEY L SEAHORN
Notary Public. State of Texas
may :+Q Comm.Expires 10.25-2021
o,0�t, Notary ID 13132399.0