HomeMy WebLinkAboutContract 53048-FP1 City Secretary 53048 -FP1
Contract No.
FORTWORTH. Date Received Oct 7,2021
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: Crimson Ridge
City Project No.: 101913
Improvement Type(s): Water 0 Sewer ❑x
Original Contract Price: $479,962.50
Amount of Approved Change Order(s): $13,300.00
Revised Contract Amount:
Total Cost of Work Complete: $493,262.50
s Aug 24,2021
Contractor Date
Project Superintendent
Title
Xpert Design and Construction
Company Name
Aug 24,2021
Ja R iz(Aug24,202113:55 CDT)
Project Inspector Date
Yoc,esh Pafe% P E Aug4 2021
Y�h Patel,P.E.(Aug 24,202117:06 CDT) g
Project Manager Date
9. Sep 2,2021
CFA Manager Date
Dana Burg Sep 2,2021
Asst. City Manager Date
OFFICIAL RECORD
CITY SECRETARY Page 1 of 2
FT. WORTH, TX
Notice of Project Completion
Project Name: Crimson Ridge
City Project No.: 101913
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: 180 WD Days Charged: 240
Work Start Date: 12/9/2021 Work Complete Date: 6/25/2021
Page 2 of 2
FORT WORTH
CITY OF FORT WORTH
FINAL PAYMENT REQUEST
Contract Name CRIMSON RIDGE
Contract Limits
Project Type WATER&SEWER
City Project Numbers 101913
DOE Number 9130
Estimate Number I Payment Number 1 For Period Ending 6/25/2021
W
City Secretary Contract Number Contract Time 180V
Contract Date 11/4/2019 Days Charged to Date 240
Project Manager NA Contract is 100.00 Complete
Contractor XPERT DESIGN&CONSTRUCTION
1469 S.4TH STREET
LOUISVILLE, KY 40208
Inspectors CORDOVA / RUIZ,J
Wednesday,July 14,2021 Page 1 of 4
City Project Numbers 101913 DOE Number 9130
Contract Name CRIMSON RIDGE Estimate Number I
Contract Limits Payment Number I
Project Type WATER&SEWER For Period Ending 6/25/2021
Project Funding
WATER IMPROVEMENTS
Item Description of Items Estimated Unit Unit Cost Estimated Completed Completed
No. Quanity Total Quanity Total
---------------------------------------
1 CONNECT TO EXISTING 4"-12"WATER MAIN 1 EA $2,500.00 $2,500.00 1 $2,500.00
2 4"WATER PIPE 44 LF $25.00 $1,100.00 44 $1,100.00
3 8"WATER PIPE 1692 LF $30.00 $50,760.00 1692 $50,760.00
4 12"WATER PIPE 561 LF $48.00 $26,928.00 561 $26,928.00
5 TRENCH SAFETY 2297 LF $1.00 $2,297.00 2297 $2,297.00
7 4"WATER METER AND VAULT I EA $15,000.00 $15,000.00 1 $15,000.00
8 8"GATE VALVE 4 EA $1,600.00 $6,400.00 4 $6,400.00
9 4"-12"PRESSURE PLUG 5 EA $650.00 $3,250.00 5 $3,250.00
10 FIRE HYDRANT 3 EA $3,500.00 $10,500.00 3 $10,500.00
11 8"WATERLINE LOWERING 7 EA $2,500.00 $17,500.00 7 $17,500.00
12 12"WATERLINE LOWERING 1 EA $3,500.00 $3,500.00 1 $3,500.00
13 HYDRO-GUARD AUTOMATED FLUSHER I EA $8,500.00 $8,500.00 1 $8,500.00
14 DUCTILE IRON WATER FITTINGS W/ 1.5 TN $4,500.00 $6,750.00 1.5 $6,750.00
RESTRAINT
62 12"GATE VALVE(CO#3) 1 EA $2,800.00 $2,800.00 1 $2,800.00
63 8"METER&VAULT(CO#3) 1 EA $14,100.00 $14,100.00 1 $14,100.00
--------------------------------------
Sub-Total of Previous Unit $171,885.00 $171,885.00
SEWER IMPROVEMENTS
Item Description of Items Estimated Unit Unit Cost Estimated Completed Completed
No. Quanity Total Quanity Total
---------------------------------------
15 12"SEWER PIPE 4150 LF $40.00 $166,000.00 4150 $166,000.00
16 8"SEWER PIPE 235 LF $28.00 $6,580.00 235 $6,580.00
17 TRENCH SAFETY 4385 LF $0.50 $2,192.50 4385 $2,192.50
18 POST-CCTV INSPECTION 4385 LF $1.00 $4,385.00 4385 $4,385.00
19 12"SEWER PIPE,CSS BACKFILL 292 LF $35.00 $10,220.00 292 $10,220.00
20 4'MANHOLE 25 EA $4,500.00 $112,500.00 25 $112,500.00
21 MANHOLE VACUUM TESTING 25 EA $750.00 $18,750.00 25 $18,750.00
22 4"-12"PRESSURE PLUG 5 EA $150.00 $750.00 5 $750.00
--------------------------------------
Sub-Total of Previous Unit $321,377.50 $321,377.50
--------------------------------------
Wednesday,July 14,2021 Page 2 of 4
City Project Numbers 101913 DOE Number 9130
Contract Name CRIMSON RIDGE Estimate Number I
Contract Limits Payment Number i
Project Type WATER&SEWER For Period Ending 6/25/2021
Project Funding
Contract Information Summary
Original Contract Amount $479,962.50
Change Orders
Change Order Number 3 $13,300.00
Total Contract Price $493,262.50
Total Cost of Work Completed $493,262.50
Less %Retained $0.00
Net Earned $493,262.50
Earned This Period $493,262.50
Retainage This Period $0.00
Less Liquidated Damages
Days @ /Day $0.00
LessPavement Deficiency $0.00
Less Penalty $0.00
Less Previous Payment $0.00
Plus Material on Hand Less 15% $0.00
Balance Due This Payment $493,262.50
Wednesday,July 14,2021 Page 3 of
City Project Numbers 101913 DOE Number 9130
Contract Name CRIMSON RIDGE Estimate Number I
Contract Limits Payment Number 1
Project Type WATER&SEWER For Period Ending 6/25/2021
Project Funding
Project Manager NA City Secretary Contract Number
Inspectors CORDOVA / RUIZ,J Contract Date 11/4/2019
Contractor XPERT DESIGN&CONSTRUCTION Contract Time 180 W
1469 S.4TH STREET Days Charged to Date 240 W
LOUISVILLE, KY 40208 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 $493,262.50
Less %Retained $0.00
Net Earned $493,262.50
Earned This Period $493,262.50
Retainage This Period $0.00
Less Liquidated Damages
0 Days @ $0.00 /Day $0.00
LessPavement Deficiency $0.00
Less Penalty $0.00
Less Previous Payment $0.00
Plus Material on Hand Less 15% $0.00
Balance Due This Payment $493,262.50
Wednesday,July 14,2021 Page 4 of 4
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FORT WORTH
TRANSPORTATION AND PUBLIC WORKS
PIPE REPORT FOR:
PROJECT NAME: Crimson Ridge
PROJECT NUMBER: 101913
DOE NUMBER: N/A
WATER
PIPE LAID SIZE TYPE OF PIPE LF
C900 12" PVC 561
C900 8" PVC 1692
C900 4" PVC 44
FIRE HYDRANTS: 3 VALVES(16" OR LARGER) N/A
PIPE ABANDONED SIZE TYPE OF PIPE LF
N/A N/A N/A N/A
DENSITIES: Density Test Taken All Passed
NEW SERVICES: 3" WATER METER&VAULT 1 EA.
4" WATER METER&VAULT 1 EA.
SEWER
PIPE LAID SIZE TYPE OF PIPE LF
SDR-26 12" PVC 4150
SDR-26 8" PVC 235
PIPE ABANDONED SIZE TYPE OF PIPE LF
N/A N/A N/A N/A
DENSITIES: Density Test Taken All Passed
NEW SERVICES: N/A N/A N/A
TRANSPORTATION AND PUBLIC WORKS
ti� The City of Fort Worth• 1000 Throckmorton Street•Fort Worth,TX 76012-6311
s
(817)392-7941 •Fax: (817)392-7845
FORTWORTH.
TRANSPORTATION AND PUBLIC WORKS
July 29, 2021
Xpert Design and Construction
1469 S.4T"ST
Louisville, KY 40208
RE: Acceptance Letter
Project Name: Crimson Ridge
Project Type: Paving, Drainage, Water, Sanitray, and Street Lights
City Project No.: 101913
To Whom It May Concern:
On May 14, 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 June 25, 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 June 25, 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-
392-2373.
Sincerely,
Yociesh Patel, P.E.
Yog�-sh Patel,P.E.(Aug 24,2021 17:06 CDT)
Yogesh Patel, Project Manager
Cc:James Ruiz, Inspector
Ron Cordova, Inspection Supervisor
Edward Davila, Senior Inspector
Victor Tornero, Program Manager
Dunaway, Consultant
Xpert Design and Construction, Contractor
LDG Development, LLC, Developer
File
E-Mail: TPW_Acceptance@fortworthtexas.gov
Rev.8/20/19
PERFORMANCE BOND #3466707
Page 1 of 3
DUPLICATE BOND
PERFORMANCE BOND
THE STATE OF TEXAS § KNOW ALL BY THESE PRESENTS:
COUNTY OF TARRANT
That we,LDG Development,LLC,known as'Principal"herein and SureTec Insurance Company,
a corporate surety (sureties, if more than one) duly authorized to do business in the State of
Texas,known as"Surety"herein (whether one or more),are held and firmly bound unto the
Developer, LDG Multifamily,LLC,authorized to do business in Texas("Developer")and the
City of Fort Worth, Texas, a Texas municipal corporation ("City"), in the penal sum of
Two Million Sixty Six Thousand Seventy Eight and 50/100 Dollars($2,066,078.50),lawful money
of the United States,to be paid in Fort Worth,Tarrant County, Texas for the payment of which sum well
and truly to be made jointly unto the Developer and the City as dual obligees,we bind ourselves,our
heirs,executors,administrators, successors and assigns,jointly and severally,firmly by these presents.
WHEREAS, Developer and City have entered into an Agreement for the construction of
community facilities in the City of Fort Worth by and through a Community Facilities
Agreement, CFA Number 18-01 8 0; and
WHEREAS, the Principal has entered into a certain written contract with the Developer
awarded the day of , which Contract is hereby referred to and made a
part hereof for all purposes as if fully set forth herein,to furnish all materials,equipment labor
and other accessories defined by law, in the prosecution of the Work, including any Change
Orders, as provided for in said Contract designated as Crimson Ridge.
NOW, THEREFORE,the condition of this obligation is such that if the said Principal
shall faithfully perform it obligations under the Contract and shall in all respects duly and
faithfully perform the Work,including Change Orders,underthe Contract,according to the plans,
specifications, and contract documents therein referred to,and as well during any period of
extension of the Contract that may be granted on the part of the Developer and/or City,then this
obligation shall be and become null and void, otherwise to remain in full force and effect.
CITY OF FORT WORTH
STANDARD CITY CONDITIONS-DEVELOPER AWARDED PROJECTS
Revised January 31,2012
PERFORMANCE BOND
Page 2 of 3
PROVIDED FURTHER,that if any legal action be Sled on this Bond,venue shall lie in
T&=ACowlty,Taus or@seUnited Stan CowtfortheNoathern District ofTems,Fort
WordMivid m.
This bond is made and==Md in oompliance with the provisions ofChaptw 2253 ofthe
Tom Government Code,as amended,and all liabilities on this bond shall be determined in
aeomiance with the pmvisions of said statue.
IN WITNESS WHEREOF,the Principal and the Surety have SIGNED and SEALED
this hwtnimeat by duly autharized ageats and officers onthisthe day of
PRINCIPAL:
LDG DeyelopmmL LLC
ATTEST
(am) Secretary
Name and Tit c
Address: 1469 S Fourth St
- Louisville.KY 40208
�r 1 8 as to P ncip a
.........
issio. '�i� SURETY:
oFer�7'2p?a+Q.. SmTec Iuswance Comnaav
is NOTARY :?
G
NA=.2 pU 61.E
Fq a!Y
R GL, `�����
Name and Title:
Monica A.Kaiser Attor c -in-Fact
Address: 2103 Cif West Blvd Ste 1300
Houston,TX 77042
VionrA Haller,�Wa urety Telephone Number.013-812-0800
CITYOFFORT WORTH
STANDARDCITYCONDITIONS-DEVELOPERAWARDED PROJECTS
Ravired January 31,2012
PEMRMANCE BOND
Page 3 of 3
*Nate: If signed by an officer ofthe Surety Company,dune must be on Me a cer ied wrft t
fum the by-laws showing fled this person has authority to up such obligation. If
Surety's pbysical address is different fiu m ifsmsiling address,both must bepmvided.
The date of the bond shall not be prior to the date the Contract is awarded.
POA#: 1710005
SureTec Insurance Company
LIMITED POWER OF ATTORNEY
Know All Men by These Presents, That SURETEC INSURANCE COMPANY (the "Company"), a corporation duly organized and
existing under the laws of the State of Texas, and having its principal office in Houston, Harris County, Texas, does by these presents
make,constitute and appoint
John B.Ayres, Monica A. Kaiser,Todd P. Loehnert, Paula J.Teague, Michael W. Baxter, Madison Haller
its true and lawful Attorney-in-fact, with full power and authority hereby conferred in its name,place and stead,to execute, acknowledge
and deliver any and all bonds, recognizances, undertakings or other instruments or contracts of suretyship to include waivers to the
conditions of contracts and consents of surety for,providing the bond penalty does not exceed
Fifteen Million and 001100 Dollars($15,000,000.00)
and to bind the Company thereby as fully and to the same extent as if such bond were signed by the CEO,sealed with the corporate seal
of the Company and duly attested by its Secretary, hereby ratifying and confirming all that the said Attorney-in-Fact may do in the
premises. Said appointment is made under and by authority of the following resolutions of the Board of Directors of the SureTec
Insurance Company:
Be it Resolved, that the President,any Vice-President, any Assistant Vice-President,any Secretary or any Assistant Secretary shall be and is
hereby vested with full power and authority to appoint any one or more suitable persons as Attomey(s)-in-Fact to represent and act for and on
behalf of the Company subject to the following provisions:
Attorney in-Fact may be given full power and authority for and in the name of and of behalf of the Company, to execute, acknowledge and
deliver,any and all bonds,recognizances,contracts,agreements or indemnity and other conditional or obligatory undertakings and any and all
notices and documents canceling or terminating the Company's liability thereunder, and any such instruments so executed by any such
Attorney-in-Fact shall be binding upon the Company as if signed by the President and sealed and effected by the Corporate Secretary.
Be it Resolved that the signature of any authorized officer and seal of the Company heretofore or hereafter affixed to any power of attorney or
any certificate relating thereto by facsimile,and any power of attorney or certificate bearing facsimile signature or facsimile seal shall be valid
and binding upon the Company with respect to any bond or undertaking to which it is attached. (Adopted at a meeting meld on 20,of April,
1999)
In Witness Whereof, SURETEC INSURANCE COMPANY has caused these presents to be signed by its CEO, and its corporate seal to
be hereto affixed this ath day of October ,A.D.2019 .
yoHCF SURETEC INS PANY
•,q •roA By: John Kno .,CE
State of Texas ss: 7 t d y•.'Y
County of Harris
On this 8lh day of October , A.D. 2019 before me personally came John Knox Jr.,to me known, who,being by me duly sworn, did depose and say,
that he resides in Houston,Texas, that he is CEO of SURETEC INSURANCF COMPANY, thr company described in and which executed the above
instrument;that he knows the seal of said Company; that the seal affixed to said instrument is such corporate seal;that it was so affixed by order of the
Board of Directors of said Company;and that he signed his name thereto by like order.
"iuurr' 1hGClUFI;VN (_1RFEtJL€AF
7,.,,
- c,c tfotary Pur�;ir., :.14 4 O{ FH\R9
Notary ID 12603 9029 Jacq elyn Greenleaf,Notary Public
t------------- My commission expires May 18,2021
I,M. Brent Beaty,Assistant Secretary of SURETEC INSURANCE COMPANY,do hereby certify that the above and foregoing is a true and correct copy
of a Power of Attorney, executed by said Company, which is still in full force and effect;and furthermore,the resolutions of the Board of Directors,set
out in the Power of Attorney are in full force and effect.
Given under my hand and the seal of said Company at Houston, Texas this day of A.D.
.B
red Beaty,MistAnt S tary
i
Any instrument issued in excess of the penalty stated above is totally void and without any validity. 1710005
For verification of the authority of this power you may call(713)812-0800 any business day between 8.30 am and 5:00 pm CST.
DEVELOPMENT BOND
GUARANTEEING PERFORMANCE
AND PAYMENT OF IMPROVEMENTS
Bond No. 3466708
KNOW ALL MEN BY THESE PRESENTS, that we, LDG Development,LLC,as
Principal,and (SureTec Insurance Company),a corporation organized and existing under
the laws of the State of Texas, and fully authorized to transact business in the State of
Texas,as surety,are held and firmly bound unto CITY OF FORT WORTH,TEXAS,200
Texas Street,Fort Worth,Texas,76102, as Obligee,in the penal sum of($2,066,078.501
lawful money of the United States of America, for the payment of which well and truly to be
made,we bind ourselves,our heirs,executors,administrators,successors and assigns,
jointly and severally,firmly by these presents.
WHEAREAS,(LDG Development,LLC)has agreed to construct in(Tarrant
Countyl,in the CITY OF FORT WORTH,TEXAS the following improvements:
(Crimson Ridgel
WHEREAS,in the event of bankruptcy,default or other nonperformance by
Principal,claims against Principal or the development,Obligee may be left without
adequate satisfaction.
NOW,THEREFORE,THE CONDITION OF THIS OBLIGATION IS SUCH, that
if the said Principal shall construct,or have constructed, the improvements herein
described,and shall pay for the cost of all labor, materials and equipment furnished in
connection with the construction of said improvements,and shall save the Obligee harmless
from any loss,cost or damage by reason of its failure to complete the construction of said
improvements or by reason of its failure to pay for the cost of same,then this obligation
shall be null and void, otherwise to remain in full force and effect; and upon receipt of a
claim by the City of Fort Worth indicating that the construction of said improvements has
not been completed,or that the costs for same have not been paid,the Surety will pay to the
City of Fort Worth such amount up to the amount of this bond which will allow the City of
Fort Worth to complete construction of said improvements and to pay for the costs of same.
We hereby agree with you that the draft(s)drawn under and in compliance with the terms
of this bond will be duly honored upon presentation at:
(Surety)SureTec Insurance Companymail code: ,
(Surety Address)2103 City West Blvd,Ste 1300
Attn:_Dale Greig or by facsimile to(surety:SureTec Insurance Company
Fax Number713-812-0406confrimed by a phone call at713-812-0800
PROVIDED FURTHER,that this bond shall automatically be increased by the
amount of any change order,supplemental agreement or amendment which increase the
price of the aforementioned contract.
PROVIDED FURTHER,that if any legal action be filed on this bond,the laws of
the State of Texas shall apply and that venue shall lie exclusively in Tarrant County,Texas.
AND PROVIDED FLIRTER,that the said surety,for value received,hereby
stipulates and agrees that no charge,extension of time,alteration or addition to the terms of
any contract for the public affect its obligation on this bond,and it does hereby waive notice
of any such change,extension of time,alteration or addition to the terms of such contract.
This bond is given pursuant to the provisions of Section 212.073 of the Texas Local
Government Code,as such may amended from time to time.
Signed,sealed and dated this day of .20
DEVELOPER'S NAME SureTec Insurance Company
Principal Suretyl
E
By: By: PA,
Attorney4w Fatt
POA€. 1710005
SureTec Insurance Company
LIMITED POWER OF ATTORNEY
Know All Men by These Presents, That SURETEC INSURANCE COMPANY (the "Company"), a corporation duly organized and
existing under the laws of the State of Texas, and having its principal office in Houston, Harris County, Texas, does by these presents
make,constitute and appoint
John B. Ayres, Monica A. Kaiser, Todd P. Loehnert, Paula J.Teague, Michael W. Baxter, Madison Haller
its true and lawful Attorney-in-fact, with full power and authority hereby conferred in its name, place and stead,to execute, acknowledge
and deliver any and all bonds, recognizances, undertakings or other instruments or contracts of suretyship to include waivers to the
conditions of contracts and consents of surety for,providing the bond penalty does not exceed
Fifteen Million and 001100 Dollars($15,000,000.00)
and to bind the Company thereby as fully and to the same extent as if such bond were signed by the CEO,sealed with the corporate seal
of the Company and duly attested by its Secretary, hereby ratifying and confirming all that the said Attorney-in-Fact may do in the
premises. Said appointment is made under and by authority of the following resolutions of the Board of Directors of the SureTec
Insurance Company:
Be it Resolved, that the President, any Vice-President,any Assistant Vice-President,any Secretary or any Assistant Secretary shall be and is
hereby vested with full power and authority to appoint any one or more suitable persons as Attorneys)-in-Fact to represent and act for and on
behalf of the Company subject to the following provisions:
Attorney-in-.Fact may be given full power and authority for and in the name of and of behalf of the Company,to execute, acknowledge and
deliver,any and all bonds,recognizances,contracts,agreements or indemnity and other conditional or obligatory undertakings and any and all
notices and documents canceling or terminating the Company's liability thereunder, and any such instruments so executed by any such
Attorney-in-Fact shall be binding upon the Company as if signed by the President and sealed and effected by the Corporate Secretary.
Be it Resolved that the signature of any authorized officer and seal of the Company heretofore or hereafter affixed to any power of attorney or
any certificate relating thereto by facsimile,and any power of attorney or certificate bearing facsimile signature or facsimile seal shall be valid
and binding upon the Company with respect to any bond or undertaking to which it is attached. (Adopted at a meeting held on 20"of April.
1999.)
In Witness Whereof, SURETEC INSURANCE COMPANY has caused these presents to be signed by its CEO, and its corporate seal to
be hereto affixed this 8th day of October A.D.2019 .
IV SURETEC INS PANY
yuRANCF
W�i X 4 0 By:
John Kno r.,CE
State of Texas ss
County of Harris
On this 8th day of October, A.D. 2019 before me personally came John Knox Jr.,to me known,who,being by me duly sworn,did depose and say,
that he resides in Houston,Texas, that he is CEO of SURETEC INSURANCE COMPANY, the company described in and which executed the above
instrument;that he knows the seal of said Company;that the seal affixed to said instrument is such corporate seal;that it was so affixed by order of the
Board of Directors of said Company;and that he signed his name thereto by like order.
1-J
1 �' 6? Jac el n Greenleaf,Nota Public
,a) ryID ._63t33J2 4 Y rY
My commission expires May 18,2021
I,M.Brent Beaty,Assistant Secretary of SURETEC INSURANCE COMPANY,do hereby certify that the above and foregoing is a true and correct copy
of a Power of Attorney, executed by said Company, which is still in full force and effect;and furthermore,the resolutions of the Board of Directors,set
out in the Power of Attorney are in full force and effect.
Given under my hand and the seal of said Company at Houston, Texas this day of , A.D.
Br en Beaty,A istaut S tary
Any instrument issued in excess of the penalty stated above is totally void and without any validity. 1710005
For verification of the authority of this power you may call(713)812-0800 any business day between 8:30 am and 5:00 pm CST.
i A
F�
RIDER
To be attached to and form a part of:
Bond No. 3466708
T of Bond: Developer's Bond
ype
Executed by LDG Development,LLC , as Principal,
and by sureTec Insurance Company , as Surety, in
favor ofc y of Ft wort,, Tx and dated
In Consideration of the premium charged for the attached bond, it is hereby agreed to
change:
Changino Principal Name
From: LDG Development,LLC
TO: Xpert Design and Construction LLC
This rider is effective 1110712019
This rider is executed upon the express condition that the surety's liability under said
bond shall not be cumulative and shall in no event exceed the amount specifically set
forth in said bond or any existing certificate changing the amount of said bond.The
referenced bond shall be subject to all its agreements, limitations and conditions except
as herein expressly modified.
SIGNED, SEALED AND DATED this 71h day of November ,2019
BY: dl�,
Monica A.Kaiser • r Momey In Fact
Surety Phone No. (713)812:0800
' POA#: 1710005
SureTec Insurance Company
LIMITED POWER OF ATTORNEY
Know Alt Men by These Presents, That SURETEC INSURANCE COMPANY (the "Company"), a corporation duly organized and
existing under the laws of the State of Texas, and having its principal office in Houston, Harris County, Texas, does by these presents
make,constitute and appoint
John B.Ayres, Monica A. Kaiser, Todd P. Loehnert, Paula J.Teague, Michael W. Baxter, Madison Haller
its true and lawful Attorney-in-fact,with full power and authority hereby conferred in its name,place and stead,to execute,acknowledge
and deliver any and all bonds, recognizances, undertakings or other instruments or contracts of suretyship to include waivers to the
conditions of contracts and consents of surety for,providing the bond penalty does not exceed
Fifteen Million and 001100 Dollars($15,000,000.00)
and to bind the Company thereby as fully and to the same extent as if such bond were signed by the CEO,sealed with the corporate seal
of the Company and duly attested by its Secretary, hereby ratifying and confirming all that the said Attorney-in-Fact may do in the
premises. Said appointment is made under and by authority of the following resolutions of the Board of Directors of the SureTec
Insurance Company:
Be it Resolved, that the President, any Vice-President,any Assistant Vice-President,any Secretary or any Assistant Secretary shall be and is
hereby vested with full power and authority to appoint any one or more suitable persons as Attomey(s)-in-Fact to represent and act for and on
behalf of the Company subject to the following provisions:
Attorney-in-Fact may be given full power and authority for and in the name of and of behalf of the Company,to execute, acknowledge and
deliver,any and all bonds,recognizances,contracts,agreements or indemnity and other conditional or obligatory undertakings and any and all
notices and documents canceling or terminating the Company's liability thereunder, and any such instruments so executed by any such
Attorney-in-Fact shall be binding upon the Company as if signed by the President and sealed and effected by the Corporate Secretary.
Be it Resolved, that the signature of any authorized officer and seal of the Company heretofore or hereafter affixed to any power of attorney or
any certificate relating thereto by facsimile,and any power of attorney or certificate bearing facsimile signature or facsimile seal shall be valid
and binding upon the Company with respect to any bond or undertaking to which it is attached. (Adopted at a meeting held on 20'of April,
1999.)
In Witness Whereof, SURETEC INSURANCE COMPANY has caused these presents to be signed by its CEO, and its corporate seal to
be hereto affixed this 8th day of October A.D.2019 .
SURETEC INS PANY
..URANO�
o By:
W w a= John Kno ,CE
State of Texas ss: � .1 r
County of Harris ••-».
On this 8th day of October, A.D. 2019 before me personally came John Knox Jr.,to me known, who,being by me duly sworn,did depose and say,
that he resides in Houston,Texas, that he is CEO of SURETEC INSURANCE COMPANY,the company described in and which executed the above
instrument;that he knows the seal of said Company;that the seal affixed to said instrument is such corporate seal;that it was so affixed by order of the
Board of Directors of said Company;and that he signed his name thereto by like order.
=i�1.2'u.�
.C,, 1 T 4 x::R
�590
St12° Jacq elyn Greenleaf,Notary Public
t. ---- --- --- '"""" My commission expires May 18,2021
I,M.Brent Beaty,Assistant Secretary of SURETEC INSURANCE COMPANY,do hereby certify that the above and foregoing is a true and correct copy
of a Power of Attorney,executed by said Company, which is still in full force and effect;and furthermore,the resolutions of the Board of Directors,set
out in the Power of Attorney are in full force and effect.
Given under my hand and the seal of said Company at Houston, Texas this 7th day of4NNomber 2019 A.D.
A.Bren1AIStant Ste. tary
Any instrument issued in excess of the penalty stated above is totally void and without any validity. 1710005
For verification of the authority of this power you may call(713)812-0800 any business day between 8:30 am and 5:00 pm CST.
AFFIDAVIT
STATE OF Kentucky
COUNTY OF Jefferson
Before me, the undersigned authority, a notary public in the state
and county aforesaid, on this day personally appeared Mark Lechner,
Manager Of Xpert Design& Construction, 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;
Crimson Ridge: CPN 101913-Crimson Ridge- t nd Se r
BY
ar ec er, nager
Subscribed and sworn before me on this date 11 of August, 2021.
ary Public
J fferson, n uc y
P ''yniss/o''•�B
NOTAR;,
z y ptJ$G
//4RG E11Y-0\ \��
AFFIDAVIT
STATE OF Kentucky
COUNTY OF Jefferson
Before me, the undersigned authority, a notary public in the state
and county aforesaid, on this day personally appeared Mark Lechner,
Manager Of Xpert Design & Construction, 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;
Crimson Ridge: CPN 101913-Crimson Ridge-Street Lights - Traffic
Signals
BY
ar e er, Nt5nager
Subscribed and sworn before me on this date 11 of August, 2021.
otary Pu
efferson, ent cky
.��P .• misslo••.�'B '
CD
pUBLIG
.� �. 4, �
..'kID#09�''
44,RG E i 1 Y,
PERFORMANCE BOND #3466707
Page 1 of 3
DUPLICATE BOND
PERFORMANCE BOND
THE STATE OF TEXAS § KNOW ALL BY THESE PRESENTS:
COUNTY OF TARRANT
That we,LDG Development,LLC,known as'Principal"herein and SureTec Insurance Company,
a corporate surety (sureties, if more than one) duly authorized to do business in the State of
Texas,known as"Surety"herein (whether one or more),are held and firmly bound unto the
Developer, LDG Multifamily,LLC,authorized to do business in Texas("Developer")and the
City of Fort Worth, Texas, a Texas municipal corporation ("City"), in the penal sum of
Two Million Sixty Six Thousand Seventy Eight and 50/100 Dollars($2,066,078.50),lawful money
of the United States,to be paid in Fort Worth,Tarrant County, Texas for the payment of which sum well
and truly to be made jointly unto the Developer and the City as dual obligees,we bind ourselves,our
heirs,executors,administrators, successors and assigns,jointly and severally,firmly by these presents.
WHEREAS, Developer and City have entered into an Agreement for the construction of
community facilities in the City of Fort Worth by and through a Community Facilities
Agreement, CFA Number 18-01 8 0; and
WHEREAS, the Principal has entered into a certain written contract with the Developer
awarded the day of , which Contract is hereby referred to and made a
part hereof for all purposes as if fully set forth herein,to furnish all materials,equipment labor
and other accessories defined by law, in the prosecution of the Work, including any Change
Orders, as provided for in said Contract designated as Crimson Ridge.
NOW, THEREFORE,the condition of this obligation is such that if the said Principal
shall faithfully perform it obligations under the Contract and shall in all respects duly and
faithfully perform the Work,including Change Orders,underthe Contract,according to the plans,
specifications, and contract documents therein referred to,and as well during any period of
extension of the Contract that may be granted on the part of the Developer and/or City,then this
obligation shall be and become null and void, otherwise to remain in full force and effect.
CITY OF FORT WORTH
STANDARD CITY CONDITIONS-DEVELOPER AWARDED PROJECTS
Revised January 31,2012
PERFORMANCE BOND
Page 2 of 3
PROVIDED FURTHER,that if any legal action be Sled on this Bond,venue shall lie in
T&=ACowlty,Taus or@seUnited Stan CowtfortheNoathern District ofTems,Fort
WordMivid m.
This bond is made and==Md in oompliance with the provisions ofChaptw 2253 ofthe
Tom Government Code,as amended,and all liabilities on this bond shall be determined in
aeomiance with the pmvisions of said statue.
IN WITNESS WHEREOF,the Principal and the Surety have SIGNED and SEALED
this hwtnimeat by duly autharized ageats and officers onthisthe day of
PRINCIPAL:
LDG DeyelopmmL LLC
ATTEST
(am) Secretary
Name and Tit c
Address: 1469 S Fourth St
- Louisville.KY 40208
�r 1 8 as to P ncip a
.........
issio. '�i� SURETY:
oFer�7'2p?a+Q.. SmTec Iuswance Comnaav
is NOTARY :?
G
NA=.2 pU 61.E
Fq a!Y
R GL, `�����
Name and Title:
Monica A.Kaiser Attor c -in-Fact
Address: 2103 Cif West Blvd Ste 1300
Houston,TX 77042
VionrA Haller,�Wa urety Telephone Number.013-812-0800
CITYOFFORT WORTH
STANDARDCITYCONDITIONS-DEVELOPERAWARDED PROJECTS
Ravired January 31,2012
PEMRMANCE BOND
Page 3 of 3
*Nate: If signed by an officer ofthe Surety Company,dune must be on Me a cer ied wrft t
fum the by-laws showing fled this person has authority to up such obligation. If
Surety's pbysical address is different fiu m ifsmsiling address,both must bepmvided.
The date of the bond shall not be prior to the date the Contract is awarded.
POA#: 1710005
SureTec Insurance Company
LIMITED POWER OF ATTORNEY
Know All Men by These Presents, That SURETEC INSURANCE COMPANY (the "Company"), a corporation duly organized and
existing under the laws of the State of Texas, and having its principal office in Houston, Harris County, Texas, does by these presents
make,constitute and appoint
John B.Ayres, Monica A. Kaiser,Todd P. Loehnert, Paula J.Teague, Michael W. Baxter, Madison Haller
its true and lawful Attorney-in-fact, with full power and authority hereby conferred in its name,place and stead,to execute, acknowledge
and deliver any and all bonds, recognizances, undertakings or other instruments or contracts of suretyship to include waivers to the
conditions of contracts and consents of surety for,providing the bond penalty does not exceed
Fifteen Million and 001100 Dollars($15,000,000.00)
and to bind the Company thereby as fully and to the same extent as if such bond were signed by the CEO,sealed with the corporate seal
of the Company and duly attested by its Secretary, hereby ratifying and confirming all that the said Attorney-in-Fact may do in the
premises. Said appointment is made under and by authority of the following resolutions of the Board of Directors of the SureTec
Insurance Company:
Be it Resolved, that the President,any Vice-President, any Assistant Vice-President,any Secretary or any Assistant Secretary shall be and is
hereby vested with full power and authority to appoint any one or more suitable persons as Attomey(s)-in-Fact to represent and act for and on
behalf of the Company subject to the following provisions:
Attorney in-Fact may be given full power and authority for and in the name of and of behalf of the Company, to execute, acknowledge and
deliver,any and all bonds,recognizances,contracts,agreements or indemnity and other conditional or obligatory undertakings and any and all
notices and documents canceling or terminating the Company's liability thereunder, and any such instruments so executed by any such
Attorney-in-Fact shall be binding upon the Company as if signed by the President and sealed and effected by the Corporate Secretary.
Be it Resolved that the signature of any authorized officer and seal of the Company heretofore or hereafter affixed to any power of attorney or
any certificate relating thereto by facsimile,and any power of attorney or certificate bearing facsimile signature or facsimile seal shall be valid
and binding upon the Company with respect to any bond or undertaking to which it is attached. (Adopted at a meeting meld on 20,of April,
1999)
In Witness Whereof, SURETEC INSURANCE COMPANY has caused these presents to be signed by its CEO, and its corporate seal to
be hereto affixed this ath day of October ,A.D.2019 .
yoHCF SURETEC INS PANY
•,q •roA By: John Kno .,CE
State of Texas ss: 7 t d y•.'Y
County of Harris
On this 8lh day of October , A.D. 2019 before me personally came John Knox Jr.,to me known, who,being by me duly sworn, did depose and say,
that he resides in Houston,Texas, that he is CEO of SURETEC INSURANCF COMPANY, thr company described in and which executed the above
instrument;that he knows the seal of said Company; that the seal affixed to said instrument is such corporate seal;that it was so affixed by order of the
Board of Directors of said Company;and that he signed his name thereto by like order.
"iuurr' 1hGClUFI;VN (_1RFEtJL€AF
7,.,,
- c,c tfotary Pur�;ir., :.14 4 O{ FH\R9
Notary ID 12603 9029 Jacq elyn Greenleaf,Notary Public
t------------- My commission expires May 18,2021
I,M. Brent Beaty,Assistant Secretary of SURETEC INSURANCE COMPANY,do hereby certify that the above and foregoing is a true and correct copy
of a Power of Attorney, executed by said Company, which is still in full force and effect;and furthermore,the resolutions of the Board of Directors,set
out in the Power of Attorney are in full force and effect.
Given under my hand and the seal of said Company at Houston, Texas this day of A.D.
.B
red Beaty,MistAnt S tary
i
Any instrument issued in excess of the penalty stated above is totally void and without any validity. 1710005
For verification of the authority of this power you may call(713)812-0800 any business day between 8.30 am and 5:00 pm CST.
DEVELOPMENT BOND
GUARANTEEING PERFORMANCE
AND PAYMENT OF IMPROVEMENTS
Bond No. 3466708
KNOW ALL MEN BY THESE PRESENTS, that we, LDG Development,LLC,as
Principal,and (SureTec Insurance Company),a corporation organized and existing under
the laws of the State of Texas, and fully authorized to transact business in the State of
Texas,as surety,are held and firmly bound unto CITY OF FORT WORTH,TEXAS,200
Texas Street,Fort Worth,Texas,76102, as Obligee,in the penal sum of($2,066,078.501
lawful money of the United States of America, for the payment of which well and truly to be
made,we bind ourselves,our heirs,executors,administrators,successors and assigns,
jointly and severally,firmly by these presents.
WHEAREAS,(LDG Development,LLC)has agreed to construct in(Tarrant
Countyl,in the CITY OF FORT WORTH,TEXAS the following improvements:
(Crimson Ridgel
WHEREAS,in the event of bankruptcy,default or other nonperformance by
Principal,claims against Principal or the development,Obligee may be left without
adequate satisfaction.
NOW,THEREFORE,THE CONDITION OF THIS OBLIGATION IS SUCH, that
if the said Principal shall construct,or have constructed, the improvements herein
described,and shall pay for the cost of all labor, materials and equipment furnished in
connection with the construction of said improvements,and shall save the Obligee harmless
from any loss,cost or damage by reason of its failure to complete the construction of said
improvements or by reason of its failure to pay for the cost of same,then this obligation
shall be null and void, otherwise to remain in full force and effect; and upon receipt of a
claim by the City of Fort Worth indicating that the construction of said improvements has
not been completed,or that the costs for same have not been paid,the Surety will pay to the
City of Fort Worth such amount up to the amount of this bond which will allow the City of
Fort Worth to complete construction of said improvements and to pay for the costs of same.
We hereby agree with you that the draft(s)drawn under and in compliance with the terms
of this bond will be duly honored upon presentation at:
(Surety)SureTec Insurance Companymail code: ,
(Surety Address)2103 City West Blvd,Ste 1300
Attn:_Dale Greig or by facsimile to(surety:SureTec Insurance Company
Fax Number713-812-0406confrimed by a phone call at713-812-0800
PROVIDED FURTHER,that this bond shall automatically be increased by the
amount of any change order,supplemental agreement or amendment which increase the
price of the aforementioned contract.
PROVIDED FURTHER,that if any legal action be filed on this bond,the laws of
the State of Texas shall apply and that venue shall lie exclusively in Tarrant County,Texas.
AND PROVIDED FLIRTER,that the said surety,for value received,hereby
stipulates and agrees that no charge,extension of time,alteration or addition to the terms of
any contract for the public affect its obligation on this bond,and it does hereby waive notice
of any such change,extension of time,alteration or addition to the terms of such contract.
This bond is given pursuant to the provisions of Section 212.073 of the Texas Local
Government Code,as such may amended from time to time.
Signed,sealed and dated this day of .20
DEVELOPER'S NAME SureTec Insurance Company
Principal Suretyl
E
By: By: PA,
Attorney4w Fatt
POA€. 1710005
SureTec Insurance Company
LIMITED POWER OF ATTORNEY
Know All Men by These Presents, That SURETEC INSURANCE COMPANY (the "Company"), a corporation duly organized and
existing under the laws of the State of Texas, and having its principal office in Houston, Harris County, Texas, does by these presents
make,constitute and appoint
John B. Ayres, Monica A. Kaiser, Todd P. Loehnert, Paula J.Teague, Michael W. Baxter, Madison Haller
its true and lawful Attorney-in-fact, with full power and authority hereby conferred in its name, place and stead,to execute, acknowledge
and deliver any and all bonds, recognizances, undertakings or other instruments or contracts of suretyship to include waivers to the
conditions of contracts and consents of surety for,providing the bond penalty does not exceed
Fifteen Million and 001100 Dollars($15,000,000.00)
and to bind the Company thereby as fully and to the same extent as if such bond were signed by the CEO,sealed with the corporate seal
of the Company and duly attested by its Secretary, hereby ratifying and confirming all that the said Attorney-in-Fact may do in the
premises. Said appointment is made under and by authority of the following resolutions of the Board of Directors of the SureTec
Insurance Company:
Be it Resolved, that the President, any Vice-President,any Assistant Vice-President,any Secretary or any Assistant Secretary shall be and is
hereby vested with full power and authority to appoint any one or more suitable persons as Attorneys)-in-Fact to represent and act for and on
behalf of the Company subject to the following provisions:
Attorney-in-.Fact may be given full power and authority for and in the name of and of behalf of the Company,to execute, acknowledge and
deliver,any and all bonds,recognizances,contracts,agreements or indemnity and other conditional or obligatory undertakings and any and all
notices and documents canceling or terminating the Company's liability thereunder, and any such instruments so executed by any such
Attorney-in-Fact shall be binding upon the Company as if signed by the President and sealed and effected by the Corporate Secretary.
Be it Resolved that the signature of any authorized officer and seal of the Company heretofore or hereafter affixed to any power of attorney or
any certificate relating thereto by facsimile,and any power of attorney or certificate bearing facsimile signature or facsimile seal shall be valid
and binding upon the Company with respect to any bond or undertaking to which it is attached. (Adopted at a meeting held on 20"of April.
1999.)
In Witness Whereof, SURETEC INSURANCE COMPANY has caused these presents to be signed by its CEO, and its corporate seal to
be hereto affixed this 8th day of October A.D.2019 .
IV SURETEC INS PANY
yuRANCF
W�i X 4 0 By:
John Kno r.,CE
State of Texas ss
County of Harris
On this 8th day of October, A.D. 2019 before me personally came John Knox Jr.,to me known,who,being by me duly sworn,did depose and say,
that he resides in Houston,Texas, that he is CEO of SURETEC INSURANCE COMPANY, the company described in and which executed the above
instrument;that he knows the seal of said Company;that the seal affixed to said instrument is such corporate seal;that it was so affixed by order of the
Board of Directors of said Company;and that he signed his name thereto by like order.
1-J
1 �' 6? Jac el n Greenleaf,Nota Public
,a) ryID ._63t33J2 4 Y rY
My commission expires May 18,2021
I,M.Brent Beaty,Assistant Secretary of SURETEC INSURANCE COMPANY,do hereby certify that the above and foregoing is a true and correct copy
of a Power of Attorney, executed by said Company, which is still in full force and effect;and furthermore,the resolutions of the Board of Directors,set
out in the Power of Attorney are in full force and effect.
Given under my hand and the seal of said Company at Houston, Texas this day of , A.D.
Br en Beaty,A istaut S tary
Any instrument issued in excess of the penalty stated above is totally void and without any validity. 1710005
For verification of the authority of this power you may call(713)812-0800 any business day between 8:30 am and 5:00 pm CST.
i A
F�
RIDER
To be attached to and form a part of:
Bond No. 3466708
T of Bond: Developer's Bond
ype
Executed by LDG Development,LLC , as Principal,
and by sureTec Insurance Company , as Surety, in
favor ofc y of Ft wort,, Tx and dated
In Consideration of the premium charged for the attached bond, it is hereby agreed to
change:
Changino Principal Name
From: LDG Development,LLC
TO: Xpert Design and Construction LLC
This rider is effective 1110712019
This rider is executed upon the express condition that the surety's liability under said
bond shall not be cumulative and shall in no event exceed the amount specifically set
forth in said bond or any existing certificate changing the amount of said bond.The
referenced bond shall be subject to all its agreements, limitations and conditions except
as herein expressly modified.
SIGNED, SEALED AND DATED this 71h day of November ,2019
BY: dl�,
Monica A.Kaiser • r Momey In Fact
Surety Phone No. (713)812:0800
' POA#: 1710005
SureTec Insurance Company
LIMITED POWER OF ATTORNEY
Know Alt Men by These Presents, That SURETEC INSURANCE COMPANY (the "Company"), a corporation duly organized and
existing under the laws of the State of Texas, and having its principal office in Houston, Harris County, Texas, does by these presents
make,constitute and appoint
John B.Ayres, Monica A. Kaiser, Todd P. Loehnert, Paula J.Teague, Michael W. Baxter, Madison Haller
its true and lawful Attorney-in-fact,with full power and authority hereby conferred in its name,place and stead,to execute,acknowledge
and deliver any and all bonds, recognizances, undertakings or other instruments or contracts of suretyship to include waivers to the
conditions of contracts and consents of surety for,providing the bond penalty does not exceed
Fifteen Million and 001100 Dollars($15,000,000.00)
and to bind the Company thereby as fully and to the same extent as if such bond were signed by the CEO,sealed with the corporate seal
of the Company and duly attested by its Secretary, hereby ratifying and confirming all that the said Attorney-in-Fact may do in the
premises. Said appointment is made under and by authority of the following resolutions of the Board of Directors of the SureTec
Insurance Company:
Be it Resolved, that the President, any Vice-President,any Assistant Vice-President,any Secretary or any Assistant Secretary shall be and is
hereby vested with full power and authority to appoint any one or more suitable persons as Attomey(s)-in-Fact to represent and act for and on
behalf of the Company subject to the following provisions:
Attorney-in-Fact may be given full power and authority for and in the name of and of behalf of the Company,to execute, acknowledge and
deliver,any and all bonds,recognizances,contracts,agreements or indemnity and other conditional or obligatory undertakings and any and all
notices and documents canceling or terminating the Company's liability thereunder, and any such instruments so executed by any such
Attorney-in-Fact shall be binding upon the Company as if signed by the President and sealed and effected by the Corporate Secretary.
Be it Resolved, that the signature of any authorized officer and seal of the Company heretofore or hereafter affixed to any power of attorney or
any certificate relating thereto by facsimile,and any power of attorney or certificate bearing facsimile signature or facsimile seal shall be valid
and binding upon the Company with respect to any bond or undertaking to which it is attached. (Adopted at a meeting held on 20'of April,
1999.)
In Witness Whereof, SURETEC INSURANCE COMPANY has caused these presents to be signed by its CEO, and its corporate seal to
be hereto affixed this 8th day of October A.D.2019 .
SURETEC INS PANY
..URANO�
o By:
W w a= John Kno ,CE
State of Texas ss: � .1 r
County of Harris ••-».
On this 8th day of October, A.D. 2019 before me personally came John Knox Jr.,to me known, who,being by me duly sworn,did depose and say,
that he resides in Houston,Texas, that he is CEO of SURETEC INSURANCE COMPANY,the company described in and which executed the above
instrument;that he knows the seal of said Company;that the seal affixed to said instrument is such corporate seal;that it was so affixed by order of the
Board of Directors of said Company;and that he signed his name thereto by like order.
=i�1.2'u.�
.C,, 1 T 4 x::R
�590
St12° Jacq elyn Greenleaf,Notary Public
t. ---- --- --- '"""" My commission expires May 18,2021
I,M.Brent Beaty,Assistant Secretary of SURETEC INSURANCE COMPANY,do hereby certify that the above and foregoing is a true and correct copy
of a Power of Attorney,executed by said Company, which is still in full force and effect;and furthermore,the resolutions of the Board of Directors,set
out in the Power of Attorney are in full force and effect.
Given under my hand and the seal of said Company at Houston, Texas this 7th day of4NNomber 2019 A.D.
A.Bren1AIStant Ste. tary
Any instrument issued in excess of the penalty stated above is totally void and without any validity. 1710005
For verification of the authority of this power you may call(713)812-0800 any business day between 8:30 am and 5:00 pm CST.
AFFIDAVIT
STATE OF Kentucky
COUNTY OF Jefferson
Before me, the undersigned authority, a notary public in the state
and county aforesaid, on this day personally appeared Mark Lechner,
Manager Of Xpert Design& Construction, 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;
Crimson Ridge: CPN 101913-Crimson Ridge- t nd Se r
BY
ar ec er, nager
Subscribed and sworn before me on this date 11 of August, 2021.
ary Public
J fferson, n uc y
P ''yniss/o''•�B
NOTAR;,
z y ptJ$G
//4RG E11Y-0\ \��
AFFIDAVIT
STATE OF Kentucky
COUNTY OF Jefferson
Before me, the undersigned authority, a notary public in the state
and county aforesaid, on this day personally appeared Mark Lechner,
Manager Of Xpert Design & Construction, 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;
Crimson Ridge: CPN 101913-Crimson Ridge-Street Lights - Traffic
Signals
BY
ar e er, Nt5nager
Subscribed and sworn before me on this date 11 of August, 2021.
otary Pu
efferson, ent cky
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