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Home My WebLink AboutContract 54497-FP1City Secretary 54497 Contract No. FORT WORTH� Date Received May 3, 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: Raising Cane's #506 City Project No.: 102536 Improvement Type(s): 0 Paving Original Contract Price: � Drainage Amount of Approved Change Order(s): Revised Contract Amount: Total Cost of Work Complete: �`G�7��v- l ,�E�� Matthew Qark fApr 97, J0� 1 1635 CDT) Contractor Division Mana�er Title Embree Construction Group Inc Company Name c��G!/GGI f�GIGl/�l�� Steven Aguifre (Ap 28, 2021 08:03 CDT) Project Inspector Pacnck �r,dey;�pr 9,2O2109:45CDT) Project Manager Tanie scarle�f Mor-Ales Janie Scarlett Morales (Apr29, 202115:45 CDT) CFA Manager �� Dana Bwghdoff (Aor29 20 134CDT Asst. City Manager -FP1 ❑x Street Lights ❑ Traffic Signals $135,733.65 $135,733.65 $135,733.65 Apr 27, 2021 Date Apr 28, 2021 Date Apr 29, 2021 Date Apr 29, 2021 Date Apr 29, 2021 Date OFFICIAL RECORD CITY SECRETARY FT. WORTH, TX Page 1 of 2 Notice of Project Completion Project Name: Raising Cane's #506 City Project No.: 102536 City's Attachments Final Pay Estimate ❑x Change Order(s): ❑ Yes 0 N/A Contractor's Attachments Affidavit of Bills Paid � Consent of Surety �.� Statement of Contract Time Contract Time: 100 WD Days Charged: 71 Work Start Date: 10/26/2021 Work Complete Date: 2/26/2021 Completed number of Soil Lab Test: 49 Completed number of Water Test: 4 Page2of2 FORTWORTH CITY OF FORT WORTH FINAL PAYMENT REQUEST ConU�act Name RAISING CANES NO 506 Contract Limits Project Type DRAINAGE, PAVING, LIGHTS City Project Numbers 102536 DOE Number 2536 Estimate Number 1 Payment Number 1 City Secretary Contract Number Contract Date 8/20/2020 For Period Ending 4/12/2021 W Project Manager NA Contractor EMBREE CONSTRUCTION GROUP, INC. 8050 AIRPORT RD. GEORGETOWN , TX 78628 Inspectors CORDOVA, R/ AGUIRRE, S Contract Time 10�1 Days Charged to Date �1 Contract is 100.00 Complete Tuesday, April 27, 2021 Page 1 of 5 � City Project Number Contract Name Contract Limits Project Type Project Funding 102536 RAISING CANES NO 506 DRAINAGE, PAVING, LIGHTS UNTT III: DRAINAGE In�IPROVENI�NTS DOE Number 2536 Estimate Number 1 Payment Number 1 For Period Ending 4/12/2021 Item Estimated Estimated Completed Completed Description of Items Unit Unit Cost No. Quanity Total Quanity Total — — — — — — — — — — — — — — — — — — — — — — — — — — — — — — — — — — — — — — - I 5' MANHOLE 1 EA $3,500.00 $3,500.00 1 $3,500.00 2 18" RCP CLASS III 130 LF $65.00 $8,450.00 130 $8,450.00 Sub-Total of Previous Unit $11,950.00 $11,950.00 UNIT IV: PAVING IlVIPROVENIENTS Item Description of Items Estimated Unit Unit Cost Estimated Completed Completed No. Quanit,y Total Quanity Total — — — — — — — — — — — — — — — — — — — — — — — — — — — — — — — — I REMOVE CONCRETE DRIVE 639 SF $2.60 $1,661.40 639 $1,661.40 2 REMOVE CONCRETE SIDEWALK 890 SF $2.20 $1,958.00 890 $1,958.00 3 REMOVE ASPHALT PVMT 1115 SY $10.67 $11,897.05 I 115 $ I 1,897.05 4 REMOVE CONC CURB & GUTTER 124 LF $6.10 $756.40 124 $756.40 5 HYDRATED LIIv1E 17 TN $220.00 $3,740.00 17 $3,740.00 6 6" LIME TREATMENT 1115 SY $7.69 $8,574.35 I 115 $8,574.35 7 3" ASPHALT PVMT TYPE D 1115 SY $9.75 $10,87125 1115 $10,87125 8 7" ASPHALT BASE TYPE B 1115 SY $11.00 $12,265.00 11 I S $12,265.00 9 4" CONC SIDEWALK 2836 SY $5.75 $16,307.00 2836 $16,307.00 10 6" CONCRETE DRNEWAY 4248 SF $4.65 $19,75320 4248 $19,75320 11 BARRIER FREE RAMP, TYPE P-1 6 EA $400.00 $2,400.00 6 $2,400.00 12 6" CONCRETE CURB AND GUTTER 292 LF $12.50 $3,650.00 292 $3,650.00 Sub-Total of Previous Unit $93,833.65 $93,833.65 UNTI' V: STR��T LIGII'I'ING I11�fPROV�11�iENTS Item Description of Items Estimated Unit Unit Cost Estimated Completed Completed No. Quanity Total Quanity Total 1 2" CONDT PVC SCH 80 (T) 370 LF $14.00 $5,180.00 370 $5,180.00 2 2° CONDT PVC SCH 80 1 LF $3,200.00 $3,200.00 1 $3,200.00 3 GROUND BOX TYPE B W/ APRON 2 EA $700.00 $1,400.00 Z $1,400.00 4 FURNISH/INSTALL LED LIGHTING FIXTURE 70 2 EA $350.00 $700.00 2 $700.00 WATT ATBO COBRA HEAD 4 FURNISH/INSTALL LED LIGHTING FIXTURE 137 WATT ATB2 COBRA HEAD 5 RDWY ILLUM FOi.JNDATION TY 1 Tuesday, April 27, 2021 1 EA $600.00 $600.00 1 $600.00 Z EA $1,250.00 $2,500.00 Z $2,500.00 Page 2 of 5 City Project Numbers 102536 Contract Name RAISING CANES NO 506 Contract Limits Project Type DRAINAGE, PAVING, LIGHTS Project Funding DOE Number 2536 Estimate Number l Payment Number 1 Tor Period Ending 4/12/2021 6 FURNISH/INSTALL RDWAY ILLUM TY 1 I POLE 2 EA $1,960.00 $3,920.00 2 $3,920.00 8 FURNISH/INSTALL RDWAY IL,LUM TY 18 POLE I EA $2,250.00 $2,250.00 I $2,250.00 9 RDWYILLUMFOiJNDATIONTY3 2 EA $1,550.00 $3,100.00 2 $3,100.00 10 FURNISH/INSTALL i20*240 VOLT SINGLE 1 EA $6,500.00 $6,500.00 1 $6,500.00 PHASE METERED PEDESTAL 11 DISPOSE OF POLE AND MAST ARM ASSEMBLY 1 EA $600.00 $600.00 1 $600.00 Sub-Total of Previous Unit $29,950.00 $29,950.00 Tuesday, April 27, 2021 Page 3 of 5 City Project Numbers 102536 Contract Name Contract Limits Project Type Project Funding RAISING CANES NO 506 DRAINAGE, PAVING, LIGHTS Contract Information Summary Original Contract Amount Change Orders Total Contract Price DOE Number 2536 Estimate Number 1 Payment Number 1 For Period Ending 4/12/2021 $135,733.65 $135,733.65 Total Cost of Work Completed Less % Retained Net Earned Earned This Period $135,733.65 Retainage This Period $0.00 Less Liquidated Damages Days @ / Day LessPavement Deiiciency Less Penalty Less Previous Payment Plus Nlaterial on Hand Less 15% Balance Due This Payment � $135,733.65 $0.00 $135,733.65 $0.00 $0.00 $0.00 $0.00 $0.00 $135,733.65 Tuesday, April 27, 2021 Page 4 of 5 I` City Project Numbers 102536 Contract Name RAISING CANES NO 506 Contract Limits Project Type DRAINAGE, PAVING, LIGHTS DO� Number 2536 Estimate Number 1 Payment Number 1 For Period Ending 4/12/2021 Project Funding Project Manager NA Inspectors CORDOVA, R/ AGUIRRE, S Contractor EMBREE CONSTRUCTION GROUP, INC. 8050 AIRPORT RD. GEORGETOWN , TX 78628 City Secretary Contract Number - Contract Date 8/20/2020 Contract Time 100 W Days Charged to Date 71 W Contract is 000000 Complete CITY OF FORT WORTH SUMMARY OF CHARGES Line Fund Account Center Amount Gross Retainage Net Funded — — — — — — — — — — — — — — — — — — — — — — — — — — — — — — — — — — — — — Total Cost of Wor•lc Completed Less % Retained Net Earned Earned This Period $135,733.65 Retainage This Period $0.00 Less Liquidated Damages � Days @ $0.00 / Day LessPavement Deficiency Less Penalty Less Previous Payment Plus A'Iaterial on Hand Less 15% Balance Due This Payment $135,733.65 $0.00 $135,733.65 $0.00 $0.00 $0.00 $0.00 $0.00 $135,733.65 Tuesday, Apri! 27, 2021 Page 5 of 5 F�ORTWORTH� TRANSPORTATION AND PUBLIC WORI<S March 1, 2021 Embree Construction Group, Inc. 4747 William Drive Georgetown, Tx 78633 RE: Acceptance Letter Project Name: Raising Cane's #506 Project Type: Water,Sanitary Sewer,Paving,Drainage and Street Light City Project No.: 102536 To Whom It May Concern: On February 23, 2021 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 February 26, 2021. The final inspection and the corrected punch list items indicate that the worl< meets the City of Fort Worth specifications and is therefore accepted by the City. The warranty period will start on February 26, 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)392-2443. Sincerely, Patrick dey (Apr 9, 2021 09:45 CDT) Patrick Bucl<ley, Project Manager Cc: Steven Aguirre, Inspector Ron Cordova, Inspection Supervisor Edward Davila, Senior Inspector VictorTornero, Program Manager Kimley-Horn, Consultant Embree Construction Group Inc., Contractor Raising Cane's Resturant's L.L.C., Developer File E-Mail: TPW_Acceptance@fortworthtexas.gov Rev.8/20/19 AFFIDAVIT STATE OF Texas COUNT� QF Tarrant Before me, the undersigned authority, a notaz'y public in the state and county aforesaid, on Ehis day personally appeared Matt Clark, Division Manager Of Embree Construction Group, Inc., known to me to be a credible person, who being by me duly sworn, upon his oath deposed and said; That all persons, �rms, associations, corporations, or ather organizations furnishing labor andlor cnaterials 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 na claims pending for persanal injury andlor property damages; On Contract described as; CFA#20-0019 CP# 102356 IPRC#20-0OOb BY Matt Clark, Division Manager Subscribed and sworn before me on this date 27th of April, 2Q21. � Natar � ublic Williamson, Texas `��,�ti►, i t i n 1 r r,,,,�� .�`��\ �N1 A w�< �''�. . ! � �:�\Q�,o,�p,RY AG�I /.9 �.. ` •. •fi y _ ��' N— =.�� . �� l3� 35 y�,� ' ``�: i �'p�'' �... ••'' ^j �� i��ft0?! s? 11►24� \`\`• 006213 � i FERFORi1AANtE BQND Pagf 1 of 3 BOND NO.: 58S293719 1 2 3 4 5 s THE STATE OF TExAS COUNtY OF TARRANT $ § SECTION 00 b2 �3 PERFQRMANCE 60Nd § KNOW ALL BY THfSE PRESENTS: 7 That we, Embree �anstruc�iort Group. Inc. ,_ , known as 8 "P�indpal" herein and � Liberty Mutual lnsurance Company , a torp�rate 9 surety(sureties, if more than onej duly authorized #a do 6usiness in the State af Texas, knawn as 10 "Suret�' herein jwhether one or morej, are held and firmly baund unta the �evelaper, Ralsing 11 Cane's Rettaurants, LLC authorized to do bu5iness iq Texas ("Developer") and the City af Fort f2 Worth, a Texas municipal carporation ("Cit�i`}, in the penal sur� of, Two Hundred Six fihausand 13 Eight Hundred 5ixteen & 65l10Q Dallar5 {SZOS,825.65�. 14 lawful money of the United States, to be paid �n Fort Worth, Tarrant Caunry, Texas far the 15 payment of which sum well and truly to be made joindy u�to the Develaper and the Clty as dual 16 obligees, we bind ourselves, our heirs, executors, adrrsinistra#ors, successors and assigns, jointly 17 and severally, firmly by these presents. 18 WHEREAS, Oeveloper and City fiave entered into an Agreement for the construction of 19 community #acitlties in t�e City af Fort Warth by and through a Community Facilities Agreement� 20 CFA Number CFA20-0019;and 21 WHEREAS, the Principal has entered into a certain written cantract wlth the Develnper awarded 22 the day of 20_, which Contract is hereby referrecf to and rttade a 23 part hereof fdr afl purpases as if fully set forth herein, to fumish al I materials, equipment labor 24 and other accessories deflned by law, in the prosetution of the Work, including any Change 25 Orders, as prnvided for in said Contract des�gnated as RaisiRg Cane's �506. 26 NOW, THERFFORE, the candition af this obligation is such that if the sald Principal shall 27 faithfully pe�form it obligations under the Centract and shaU in all respects duty and faithfuily 28 perform the Work, including Change Orders, under the Contract, accarding to the plans, 29 specifications, and cantract dnruments therein referred to, an�l as wei! during any period of arr o� r�Rr wo�N STANDARD CITY CONDITiONS — DENEi,OPER AWARDED PROlEC75 Revlsed lanuary 31, 201� Ralsh+gCane'e a506 C1TY PRO1fCTlY0.1�IS36 oa a2 ia - 2 PERFQRAAkhCE BONO P�aa 2 0# 3 1 2 3 extenstan of the Contract that may be granted on the part of the De�efoper and/or City, then this nbligation shall be and become null and void, otherwise to remain in #ull force and effect. PROVIDED FURTHEit, that if any legal attlon be filed on this Bond, venue shail lie in 4 iarrant Caunty, Texas or the United States District Cou�t for the Northern District of Texas, Fort 5 Worth Divisian. 6 7 8 9 10 11 12 i3 ia is �s 17 18 19 za zi zz 23 24 �S z� 27 28 29 30 31 32 33 3d 35 36 asu a�rr: Liberty Mutual Insurance Campany dTY Of FOA7 WORTH Roisinp Cone's p506 STA NDARD CITY CONDiTtpNS - OEVEIOFER AWIIROED PRQIECTS a1i� PR�IECT N0.10153b Reased January 31, 2012 This bond is made and executed in compliance with the provisions of Chapter 2253 of the Texas Govemment Cade, as amended, and afi liabifities o� this bond st�all be determined in accordance with the pravisians of said statue. iN WRNESS WNEREOF, #he Princlpal and the Surety have SIGNED and SEAIED this instrument by duly authorized agents and officers an this the 2�st day �f �ugust .2020 . ATTES7: Shannon Roberson {principal) Secretary _ ll * = _ • i - �i h. • � • • � � BY� . Signature Matthew Clark, P�oject Manager Name and Title address: 4747 Witliams Drive Georgetown, TX 78fi33 �ness as to Principal 0062f3-3 PERFQRMANCE BOND Pa�e 3 of 3 1 3 4 5 5 7 a 9 IO 11 I2 I3 24 1S 16 17 I8 19 2Q 2i zz 23 za 25 26 ��{ � Witness as to Surety tca�en�a aoss, Searetary) BY: �/�7Jt�d�-,�� - Signature Kenneth �litsche, Aftomay-tn-Fact Name and Title Address: P.O. Box 34526 Seattls, WA 98124 Telephflne Number: 246-473-6210 •Note: If signed by an ofticer af the Surety Company, there m�st be on fiie a certi�ed extract from the by-laws shawing thac this person has autharity ta sign such abtigatinn. !f 5uret�s physital address is different fram its mailing address, bath must be provided. The date of the bond shaN not be prior ta the date the Contract is awarded. CtiY OF fORT WOR7tl SYANOARD GTY CON017tONS - OENELOPER AWAIldED PROlECTS Revisrd Janudry 31, 2012 RoJslnq Cn»e's p506 tt7YPROJFCF N0.102536 006214-1 PAYMENT 80ND Pa`eiof3 BONp NO.: 583213719 1 z 3 4 5 6 7 $ 9 10 li 12 I3 14 15 16 17 SECTION 00 6214 PAYMENT 80ND TH E STAtE Of TEXAS COUNTY OF TARRANT $ § $ KNOW All BY 1'HESE PRESENTS: tF,at we, Embree Construction Group: Inc. , known as "PrinCipal" herein, and — Liberty Mutual Insurance Company � corporate surety ( or sureties if more than one}, duiy autfiorixed to do business in the State of Texas, known as "Suret�' herein {whether one or morej, are held and firmly bound unto the �evelape�, Raising Car�e's Restaurants, LLC, authorized to do business in Texas "(Qevelope�), anc! the City nf Fort Worth, a iexas municipaf corporation {"Cit�''j, in the penal sum af Two Hundred Six Titousand Ei�ht„ Hundred Sixteen & 6511�0 Doliars iS206,826.651, lawful money of the United States, to be patd in Fort Worth, Tarrant Caunty, iexas, for the payment of which sum well and truly be made jointly unto the developer and the City as dual obligees, we bind ourselves, our heirs, executors, administratars, successors and assigns, jointiy and severaqy, firmly by these presents: 18 WNEREAS, Develaper and City have entered into an Agreement for the tonstruction of i9 communfty facHities in the City of Fort Warth, by and through a Cammunity Facilities 20 Agreement, CFA Number C�AZO-0019;and 2i WHER�AS, Principal has entered into a certa�n written Contract with Developer, 22 awarded the day of __ . 20�,, which Contract is hereby 23 referred to and made a part hereof for all purposes as if fuily set farth herein, to furnish all 24 materials, equipment, labor and other accessories as defined by law, in the prasecutian of the 25 Work as provided for in sald Contract and designated as Rarsing Cane's7i506. 26 NOW, THFREFCRE, THE CONDITION OF THIS OBLiGAT10N is suth that if Principal sh�l! 27 pay ail manies awfng to any {and all) payment bond beneficiary (as defined in Chapter 2253 of 28 the Texas Government Code, as amended) in the prosecution of the Work under the Contract, CITY Of FORT wORTH Aohing Cone's +�506 5'fAN0AR0 pTY CONDIT10N5—GfVELOPER AWAFtDEp PRQIEGTS CITYAROJECFNo. ]02536 Revised lanuary 31, 20i2 00 6214 2 PAYMENT BONd Page 2 oF 3 1 then this obligatian shall be an� became null and void; atherwise to remain in full fo�ce ar�d 2 effect. 3 This bond is made and executed in campliance wit�t the provisions of Chapter 2253 af 4 the iexas Government Cade, as amended, and all I€abilities an #his band shall be cletermirted in 5 accordance with the pravisions of said statute. 5 IN WITNf.55 WHEREQF, the Printipal and Surety have each SIGNED and SEALED this 7 instrument by duly authorized agents and officers on this the 21st day af g Augusi , z� 20 r7 RRINCiPAI: Embree Canstruction Group, Inc. ATTESi': BY: f � —�=-- ------------ Signature Shannan Roberson (F�incipalj Secretary Matthew Clark, Project Manager Name and Title Address; 4747 Williams Drive � -- Witness as to P�incipai C1TV Of FOAi WQRTH STANDARO CI7Y tONOR10N5 - DEVELOPER AWAROE D PR01Eti5 Revised lanuary 31, 2Q12 Georgetown, TX 78633 SUREiY: � Liberty Mutual Insurance Company Rctsing Cone's A�50b CRi' AROlECT No. 102536 006214-3 PAYMENT BOND Paat 3 ai 3 AITEST: BY: ,� ,_ �� Signature {Suretyj Secretary Witness �s to Surety (Canellia Doss, Secretary} 1 Kenneth Nitsche, Attorney-In-Fact Name and Title Address: �.0. Box 3d52s Seattle, WA 98124 Telephone Number: 206-473-6210 2 Nate: If signed by an afficer of ihe 5urety, there must be on file a certlfled extract from the 3 bylaws shawirtg that this persan has authority to sign such obligation. If Suret�/s physical 4 address is different from its maEling address, both must be provided. 5 6 The date of the bond shall not be prior to the date the Contract is awarded. 7 8 L�;LZ•I��I ClTlf Cf FORT WORTH Rprs��y Carte's Ar506 STANOAAD dTY CONDITIONS - UEVELOPER AWARDED PRp1ECT5 GTl'PRO1fC7 No. ]02536 Revised January 31, 2012 OOb219-! MAINTENANCE BOND page i of 4 BOND NO.: 58S213719-0Q 1 2 3 4 5 6 7 SECTION 00 6Z 19 MAiNTENANC� BONO TH� STATE OF TD(AS COUFITY OF TARRANT That we Embre 8 "Prin�ipal" herein and � § � KNOW ALL BY TMESE PRESfNTS: y Mutual Insurance Com known as a corporate surety 9 ��ureties, if more than one� duly authorized to dn business in the 5tate nf Texas, known as 10 "Surety"' herei� (whether one or morej, are heEd and firmly bound unta the Devekoper, Raisir�g 11 Cane's Restaurants, LLC autharized to do l�usiness in Texas ("aevelope�") and the City of Fort 12 Worth, a Texas municipal corporatian {"Cit�'f, in the sum of Two Hundred 51x Thousand 13 Ei�ht Hunclred Si�een & 651100 pollars fS206,8�6.651, 14 lawful money of the United States, ta be paid in Fflrt Worth, Tarrant County, Texas, for payment iS af which sum weil and truly be made jointly unto the Devaloper and the City as duai obl'rgees 16 and thei� successors, we bind ourselves, our heirs, executars, adminlstratars, �uccessvrs and 17 assigns, jainily and severally, flrmly by these presents. 18 19 WFIEREAS, �eveloper and tity have entered inta an Agreement for the construction of 20 community fatilities in the City of Fort Worth hy and through a Community Facilfties Agreement, 21 CFA Number CFA20-0019;and 22 WHEItEAS� the Principal has entered into a certain written co�#�act wl#h the Developer 23 awa�cfed the day af _, __ . 20 , which Contract is 24 hereby referred ta artd a made part hereof for all purpases as if fully set forth herein, ta furnish 25 a{I materials, equ3pment labor and ather aecessories as defned by law, in the prasecution of the 26 Warlc, including any Work �esuEting from a duly authorized Change Order {collectively herein, 27 the "Workaj as provided for in said Contract and designated as Raising Cane's A�SQ6 and 28 pTY 4F F�RT WORTFf Rahlrtg Cane's A�506 STANDARD EI iY COND�i[ON S— DEVEEB?ER AWMDE� PRQ1EC75 GIY PR01fCE Ne. 102536 Revised January 31, 2Q11 00 6219 2 MAINTENANCE BBhD Pa`e 2 of 4 1 WFIEREAS, Principal binds itself ta use such materials and to sa const�uct the Work in 2 accordance with the pfans, specifications a�d Contrect Qocuments that the Work is and will 3 cemain free from defects in mate�ials or workmanship for and during the period of !wo (2j years 4 after the date of Final Acceptance of the Work by the City ("Maintenance Per�od"); and 5 6 WHE�tEAS, Principal 6inds i#seff to repair or reconstruct the Work in whole o� in part upon 7 receiving notice from the Qeveloper andjor City of the need thereaf at any time w3tF�in the S Maintenance Period. 9 1C1 NOW 7HEREfORE, the conditio� of this obtigation is 5uch that if Principai shall remedy 11 any defective Wark, for which timely notice was provided ny Developer dr City, to a completion 12 satisfactory to the City, then this obligation shall became null and vaid; atherwise to remain in 13 fuEl force and effect. 14 15 PROVIDEd, HOWEVER, if Principal shall fai! so ta repai� or recanstruct any timely 16 naticed defective Work, it is agreed that the Developer or City may cause any and all such �7 deiective Work to be repaired and/or retonstructed with all assocfated tosts thereof being 18 borne by the Principa! and the Surety under this Maintenance Bond; and 19 2a PROVID�D FURTHER, that if any legal action be filed art this Bond, venue shall Ife in 2i Tarrant Gounty, TexaS or the Unfted 5ta#es Oistrict Court far #he Northe�n District of Texas, Fort 22 Worth bivision; and 23 24 PRQViDED FURTHElt, that this obligatian shall be tontinuous in nature and suuessive 25 reco�eries may be had hereon for 5uccessive breaches. xs CiTY OF FORT WORTN RohlnQ Cone's +M505 STANDARO CITY CONDIT10N5—DfVELOPER AWARDED PROiECTS CnYPRO1fC7No. 102536 Eterlaed lanuary 31, 2G12 00 6219 • 3 MAINTENANCE 80N0 Page 3 of 4 1 z 3 4 5 6 7 $ 9 ia �x 12 13 14 15 16 17 18 19 Zo zl 22 23 za 25 zs 27 2$ 29 30 31 32 33 S 36 37 38 39 iN WITNESS WHEREOF, the Princfpal and the Surety have each SIGMED and SEALED this instrument by dvly authorized agents and officers on this the 2�st day of August zo zo . AiTE57: PR! NCIPAL: Embree Constr�c#ion Group, �nc. BY: • � Signature Shannon Roberson {princlpalj Secr�tary Matthew Clark, Pro ect Mana er Name and Titie Address: �747 wiltlams Drive Georgetown, TX 78633 -� � Witness as to Principal CITY Of F4Ri WORTH SiqNE?ARO CITY CONDI710NS — p�1/ELOPER AWARDED pItOJECTS Ravisedlaeuary 31, 2012 SU RE7Y:Q Liberty Mutual Insurance Company BY: _,'��1�' �,� Signature Retslnp larte't N506 dTYPRQlfCT No. ID2536 00 6219 - 4 MAIN�ENANCE BONO Pa�e a ot a 1 2 3 4 5 6 7 8 9 10 il AiTEST; (Suretyj Secre#ary WitnQSS ds to Su�ety (Canellia Doss, Secretary) Kenneth Nitsche, Attomey-In-Fact Name and Title Address: P.o. Box 3a�26 Seattle, WA 34526 Te{ephone Number: 206-473-6210 12 �Note: If signed by an offlcer of the Surety Company, there must be on file a certified extract 13 from the by-laws shawing that this person has authority to sign such obligation. If 14 Surety�s physical address is different from its maifing address, both must be provided. 15 16 The date of the bond sF�all not be priar to the date the Contract is awarded. 17 pTY �f FORT WORTH RcislnQCorte's R50b STANDARO CI lY CONDiT10N5 — DEVElOPER AWARDEO PIEOlECTS Cl1YPROIEGT No. 10�536 Revisedlanuiry 31, 2012 Liberty Mutual. SURE7Y Liberty Mutual tnsurance Company The Ohio CasuaSty Insurance Company West American Insurance Company POWER OF ATTORNEY Certificate No: 8203793 - 974127 KNOWN ALL PERSONS BY YHESE Pi2ESENTS: Thet The Ohio Casualty Insurance Company is a corporation duly organized uMer the laws of the State oi New Fiempshire, thai Liberty Mulual Insurance Company is a corporation duly organized under fhe laws oi ihe State oi Massachusetts, and West American lnsurance Canpany is a corporation dufy organixed under lhe laws of the Stake oi Indisna (herein cdlectively called the'Companies ), pursuant to and by authodly herein set forth, does hereby name, constihrte and appoint, Kenneth Nitsche; Ga A. Nitsche, Robert James Nitsche; Robeft K. Nitsche; Ccai Parker; T�lina Smitki all of the city of Giddin�2s stete oi TX each mdividually if there be more than one named, its true and la►vhil sttomeyin•fact to make, execute, sea1, acknowledge and deliver fa and on ds behaff as surety end as its act and deed, any and all undertakings, bonds, recognizanoes and other surety obligations, in pursuenca of these presents and shall be as binding upon the Companies as if they have been duly s+gned by Ihe president and attested by the seaelary of tha Companies in their awn proper persans. IN WRNESS WHEREOF, this Power ot qttomey has been subs�xibed by an authorized o�icer ar oihcial of tha Compan�es and the corporate seals oi the Compenies have been affuced thereto 1hi5 22nd day of May , 2020 . Slate oi PENNSYIVANiA Counly of MONTGOMERY ss Liberty Mutual Insurance Compeny ��Nsu tr iNB� � 1N8Uq� The Ohio Casualty Insurance Company ��,cjPO'�+r��,� �,�o+�'O�4f�Rty� � r�,o�*a4r� n� Wesi Amencan Insurance Company � 1812 � a 1919 � � 7881 � A�� /` �� y d ( O > d'`�O°�cNu+�ra: s� �h�MM'� D� �lS, 'aoun* ,�a / �9j� * ►`t� ��'1 r 1�� M + �� By' - David M. Carey, Assistant Secretary N N c .� � � On tha 22nd day of May 2020 before me personally appeared Dawd M. Carey, who acknowledged himsel! to be fhe Assistent Secretary of Liberty Mutual Insurance � � Company, The Ohio Cesualty Company, and Wes1 American Insurance Comparry, and that he, as such, being authorized so to do, execute the taegoing ins6rument for the purposes � w � therein contained by sgning an behaN of fhe corporations by himself as a duy aulhorized oSficer. � � — ' � .y � � � � y � d c 1N WITNESS WHEREOF, I have hereunta subsaibed my name and affixed my notanal seal al King ot Prussia, Pennsylvania, on the day and year first ebove writlan. ,,��,ON WEq.,,.:. O �t Thie Power o( Attomey limits the acts of those named herein, and they have no aut�ority fo bind the Company except In the mdnner and to the extent herein slated. �v z:�. �,�r-�, �e�`��,. COMAAONWEALTH OF PENNSYLV/WIA NOfa�al $epl Tarese Peglgllp. Np18ry Ple41iC Upper Merqn Twp Mpnlgornery Counly 8]t: My Commissqn E�pres March 28.2p21 R+n-+�a. PanneYh'anir Aasatlalion of NOWr4ee / This Power oi Attomey is made and exewted pursuant to and by authority of the tollowing Bylaws and Authorirations oi The Oh o Casualty Insurance Canpany, Liberry Mutual Insurance Company. and West American Insurance Canpany which resduUons are now in fu0 force and etiect reading as idlows: ARTICLE N- OFFICERS: Section 12. Power oi Attamey. Any officer ar other aifipal oi the Corpotation authorized far theS purpose in writing by 1he Cheirman or the President, and subject lo such bmitation as the Chaimtan a the President mey prescnbe, shall appo'nt such attomeys-in-fact, as may be necessary to act in bahaH of the Corpcxation to make, execute, seal. acknowledge and deliner as sureiy a�y and all undeRakings, bonds, recagnizances and other surety o6lgations. Such ariomeys-in-fect, subject ta the limitahons sel fath in their respecdve pa�rers o! attomey, shall have hrll power to 6ind the Corporation by their signature and execution af any such instruments and to aitach thereto the seal oi the Carporation. When so executad, such instruments shaA be as binding as d signed by the President and attested to by the Secretary. Any power a authority granted to any representative or attomey-in-fact under the provisiorts of this article may 6e revoked at any time by the Board, tt�e Chairman, the Presidant or by the officer or officers granting such power a autltarity. ARTICLE XI11- ExecuUon o! Cantracts: 5ection 5. Surely Bonds and Undertekings. Any officer of fhe Comparry authorized fa ihal purpose in wnting by the chairtnan or the president, and subject to such limitations as the chauman a tha president may prescribe, shall appant such attomeys-in-fact. as may be necessary to act in behalf oi the Compa�y to make, execute, saal, acknowledge and defirrer es surety any and aN undertakings. bonds, recagnizances and olher surety obligatians. Such attomeysin-fact subject lo the limitations set forth in their respective powers oi ettamey, shan have fuA power io bind the Comparry by their signalure and execution of any such instruments and to attach Shereto the seal ot {ha Canpany. When sa execuled such insduments sha7 be as binding as it sgned by the president and attested by she secretary. Certiflcate o! �ealgnaGon - The President of t�e Campany, ac6ng pursuant lo the Bylaws of the Company, a�thorizes David M. Carey, Assistani Secrelary to appant such attomeys-in fact as may be necessary io act on behalf of the Comparry to make, execute, seal, acknowledge end deliver as surety ar�y and af undertakings. bonds, recognizances and other surety obligations. AutharizaUon - By unanimous consent nt the Company's Board of Directars, the Canpany consents that tacsimile or mechanica ly reproduced signalure of any assistant seaetary ot the Company, wherever appesring upon a cer6fied copy of any power ot adomey issued by the Company in connaction wilh surely bonds, shall be vand and binding upon the Company vntlt tfie same torce and ef}ed as though manually affixed. I, Renee C. I.lewellyn, the undersgned, Assistant Secretary, The Ohia Casualty Insurance Company, Liberty MuWal Insurance Company, and West Americen Insurance Company do hereby oertilly that fhe origina' power of attomey oT which the fcNegoing is a full, true and coRect capy oi the Power of Aitomey executed by said Companies, is �n ►ull iorce and etfect and has nat heen revaked. IN TESTIMONY WHEREOF. i have hereunto set my hend and atfixed Ihe seals of said Companies Ih's 21 st day of August , 2020 . 'V SNSUR9 �,tY IN9V � 1NSU�p,f j�'�u�'6 C�� J y,,'qpa4r� `Vr o�r 'yC+ � S �O m Q' � FO i� � 1912 � o� 1919 4 0 4 1991 0 ��,l„(�ly� d�+�� *�° aaa ��,y",r.*��ae ra�M�*"��a $y. Ftenee C. LlewelFyn, AssisWn#Seaebry --- LMS-12873 LMIC OCIC WAIC Mulii Co iifi3 O M �� d � O N 1p N � G O� o� o� ea � �o C N .• cp �� cd �� o� _� _ Liberty 1VIu#.ua1. SURETY TEXAS IMPORTANT NQTICE To obtain information ar make a complaint: You may call tall-free for informatian or to make a complaint at: 2Q6-473-621d You may also write to: Liberty Mutual Surety Claims P.O. Box 34525 Seattle, WA 98124 You may contact the Texas Department of Insuranee ta abtain information an eompanies, coverages, rights ar complaints at I -800-252-3439. You may write the Texas Degartrment of Insurance Consumer Protection { 111- l A) P. O. Box 149091 Austin, TX 78714-9091 FAX: {S 12) 490-1 OQ7 Web: http:/(www.tdi.texas.gov &mail: CansumerProtectionCc�tdi.texas.gov FREMIUM OR CLAIM DISPUTES: Should you have a dispute concerning your premium ar about a claim you should first cantact the agent or call 1-$00-843-6446. If the dispute is not resolved, you may contact the Texas Department af Insurance. ATTACH THIS NOTICE TO YOUR POLICY: This notice is far information only and does not become a part or condition of the attached document. 1►1 ilil�:�fi�I�jl Liberty Mutual Surety Attention: LMS Claims P.O. Box 3452fi Seattle, WA 98124 Phone: 206•473-6210 F�x; 866•548-6837 Email: HOSCt@Iibertymut�FsLcom www,LibertyMutual5uretyCiarms.com TEXAS AVISO IMPORTANTE Para obtener informacion a para someter una queja: Usted puede llamar al numero de telefono gratis para informacion o para sameter una queja al: 206-473-6210 Usted tambien puede escribir a: Liberty Mutual Surety Claims P.O. Box 34526 - �eattle, WA 98124 Puede comunicarse con el Departamento de Seguros de Texas para obtener informacion acerca de companias, cober[uras, derechas o quejas al 1-80�-252-3439. Puede escribir al Departamento de Seguros de Texas Consumer Protection { I 11-1 A) F. O. Box 149091 Austin, TX 78714-9091 FAX # {512) 490-1007 Web: http://www.tdi.texas.gov E-mail: ConsumerProtection tdi.texas. ov DISPUTAS SOBRE PRIMAS 0 RECLAM4S: Si tiena una disputa concerniente a su prima o a un reclamo, debe comunicarse con el agente o 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 informacion y no se canvierte en parte o condicion del dacumento adjunto. �Ms-�sssse �a�s