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Contract 54220-FP1
City Secretary Contract No. 54220 -FP1 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: Northside III Offsite Water Improvements City Project No.: 102240 Improvement Type(s): Water 0 Sewer 0 Original Contract Price: $8,780,000.00 Amount of Approved Change Order(s): $118,733,85 Revised Contract Amount: Total Cost of Work Complete: $8,898,733.85 Oct 7,2021 Contractor Date Executive Vice President Title McKee Utility Contractors, Inc Company Name 9,►_cc� Oct 7,2021 Hershel Stan ey Sutte rfield(Oct 7,2021 11:15 CDT) Project Inspector Date ges atel,PE(Oct 7,202112:39 CDT) Oct 7,2021 Project Manager Date Oct 7,2021 Evelyn Roo rts(Oct 7 202112:40 CDT) CFA Manager Date `z�qea U47�w Oct 7 2021 DanaDana Bur�7,20�15 CDT) Asst. City Manager Date OFFICIAL RECORD CITY SECRETARY Page 1 of 2 FT. WORTH, TX Notice of Project Completion Project Name: Northside III Offsite Water Improvements City Project No.: 102240 City's Attachments Final Pay Estimate 0 Change Order(s): 0 Yes ❑ N/A Pipe Report: 0 Yes ❑ N/A Contractor's Attachments Affidavit of Bills Paid Consent of Surety Statement of Contract Time Contract Time: 187 WD Days Charged: 218 Work Start Date: 8/24/2020 Work Complete Date: 8/20/2021 Completed number of Soil Lab Test: 474 Completed number of Water Test: 56 Page 2 of 2 FORT WORTH CITY OF FORT WORTH FINAL PAYMENT REQUEST Contract Name NORTHSIDE III OFFISITE WATER IMPROVEMENTS Contract Limits TO SERVE TRADITION,CENTRAL PHASE Project Type WATER City Project Numbers 102240 DOE Number 2240 Estimate Number 1 Payment Number I For Period Ending 9/30/2021 WD City Secretary Contract Number Contract Time 18WD Contract Date Days Charged to Date 218 Project Manager NA Contract is 100.00 Complete Contractor McKee Utility Inc. 2319 W Main Street Prauge, OK 74864 Inspectors MILLER,W / SUTTERFIELD Thursday,October 7,2021 Pagel of 7 City Project Numbers 102240 DOE Number 2240 Contract Name NORTHSIDE III OFFISITE WATER IMPROVEMENTS Estimate Number 1 Contract Limits TO SERVE TRADITION,CENTRAL PHASE Payment Number I Project Type WATER For Period Ending 9/30/2021 Project Funding UNIT L•WATER IMPROVEMENTS BASE BID Item Description of Items Estimated Unit Unit Cost Estimated Completed Completed No. Quanity Total Quanity Total --------------------------------------- I REMOVE SIDEWALK 510 SF $1.00 $510.00 510 $510.00 2 REMOVE FENCE(CO 4) 5290 LF $0.50 $2,645.00 5290 $2,645.00 3 SITE CLEARING 14.1 AC $10,000.00 $141,000.00 14.1 $141,000.00 4 S WPPP 1 LS $15,000.00 $15,000.00 1 $15,000.00 5 LARGE STONE RIPRAP(CO 4) 240 SY $50.00 $12,000.00 240 $12,000.00 6 ASPHALT PVMT REPAIR BEYOND DEFINED 68 SY $1.00 $68.00 68 $68.00 WIDTH 7 HYDRATED LIME 3.14 TN $1.00 $3.14 3.14 $3.14 8 10"LIME TREATMENT 264 SY $2.00 $528.00 264 $528.00 9 10"CONC PVMT 184 SY $100.00 $18,400.00 184 $18,400.00 10 1VCONCPVMT 112 SY $100.00 $11,200.00 112 $11,200.00 11 6'WIDE SIDEWALK 514 SF $5.00 $2,570.00 514 $2,570.00 12 BARBERD WIRE FENCE,METAL POSTS(CO 4) 5290 LF $2.50 $13,225.00 5290 $13,225.00 13 TOPSOIL 1874 CY $2.50 $4,685.00 1874 $4,685.00 14 BLOCK SOD PLACEMENT 11246 SY $5.00 $56,230.00 11246 $56,230.00 15 SEEDING 142386 SY $0.25 $35,596.50 142386 $35,596.50 16 POST CCTV INSPECTION 20572 LF $1.50 $30,858.00 20572 $30,858.00 17 TRENCH SAFETY 20572 LF $0.50 $10,286.00 20572 $10,286.00 18 UTILITY MARKERS 1 LS $2,500.00 $2,500.00 1 $2,500.00 19 12"PVC WATER PIPE 51 LF $50.00 $2,550.00 51 $2,550.00 20 CONNECTION TO EXISTING 16"WATER MAIN 2 EA $5,000.00 $10,000.00 2 $10,000.00 21 CONNECTION TO EXISTING 36"WATER MAIN 2 EA $40,000.00 $80,000.00 2 $80,000.00 22 CONNECTION TO EXISTING 4" 12"WATER 1 EA $1,500.00 $1,500.00 1 $1,500.00 MAIN 23 2"COMBINATION AIRE VALVE ASSEMBLY 2 EA $10,000.00 $20,000.00 2 $20,000.00 FOR WATER 24 12"GATE VALVE I EA $2,000.00 $2,000.00 1 $2,000.00 25 6"BLOW OFF VALVE 2 EA $25,000.00 $50,000.00 2 $50,000.00 26 8"BLOW OFF VALVE 7 EA $30,000.00 $210,000.00 7 $210,000.00 27 Y MANHOLE I EA $20,000.00 $20,000.00 1 $20,000.00 28 TRAFFIC CONTROL 4 MO $1,000.00 $4,000.00 4 $4,000.00 29 REMOVE&REPLACE EXISTING GRAVEL 5577 SY $10.25 $57,164.25 5577 $57,164.25 DRIVE Thursday,October 7,2021 Page 2 of 7 City Project Numbers 102240 DOE Number 2240 Contract Name NORTHSIDE III OFFISITE WATER IMPROVEMENTS Estimate Number 1 Contract Limits TO SERVE TRADITION,CENTRAL PHASE Payment Number 1 Project Type WATER For Period Ending 9/30/2021 Project Funding 30 TEMPORARY 8'WIDE GRAVEL ROAD 3461 SY $6.00 $20,766.00 3461 $20,766.00 31 REMOVE&REPLACE IRON CATTLEGUARD& 3 EA $1,600.00 $4,800.00 3 $4,800.00 GATE 32 PRESSURE RELEASE VALVE 1 LS $30,000.00 $30,000.00 1 $30,000.00 33 PRESSURE RELEASE VALVE ELECTRICAL 1 LS $95,000.00 $95,000.00 1 $95,000.00 COMPONENTS 34 PRESSURE RELEASE VALVE VAULT 1 LS $55,000.00 $55,000.00 1 $55,000.00 35 REMOVE EX FLUSH VALVE ENCLOSURE& I LS $6,000.00 $6,000.00 1 $6,000.00 CONTROLS 36 INSTALL WIRE GATE 1 EA $500.00 $500.00 1 $500.00 -------------------------------------- Sub-Total of Previous Unit $1,026,584.89 $1,026,584.89 UNIT 2:PRV ACCESS DRIVE INIPROVENIENTS Item Description of Items Estimated Unit Unit Cost Estimated Completed Completed No. Quanity Total Quanity Total --------------------------------------- 39 6'CHAIN LINK FENCE 164 LF $25.00 $4,100.00 164 $4,100.00 42 EXCAVATION 345 CY $10.00 $3,450.00 345 $3,450.00 43 4"ACP(CO 4) 256 SY $100.00 $25,600.00 256 $25,600.00 44 8"L T S AND SELECT MATERIAL 101 SY $7.00 $707.00 101 $707.00 45 CRUSHED GRAVEL(CO 4) 182 SY $7.00 $1,274.00 182 $1,274.00 -------------------------------------- Sub-Total of Previous Unit $35,131.00 $35,131.00 ALTERNATE 1A BID Item Description of Items Estimated Unit Unit Cost Estimated Completed Completed No. Quanity Total Quanity Total --------------------------------------- 1 36"DIP WATER 11623 LF 2 36"STEEL AWWA C200 WATER PIPE 11623 LF 3 36"CONCRETE AWWA C303 WATER PIPE 11623 LF $205.00 I,382,715.00 11623 2,382,715.00 4 36"DIP WATER,CSS BACKFILL 101 LF 5 36"STEEL AWWA C200 WATER PIPE CSS 101 LF BACKFILL 6 36"CONCRETE AWWA C303 WATER PIPE CSS 101 LF $235.00 $23,735.00 101 $23,735.00 BACKFILL 7 36"DIP WATER RESTRAINED JOINTS 8244 LF 8 36"STEEL AWWA C200 WATER PIPE 8244 LF RESTRAINED JOINTS Thursday,October 7,2021 Page 3 of 7 City Project Numbers 102240 DOE Number 2240 Contract Name NORTHSIDE III OFFISITE WATER IMPROVEMENTS Estimate Number I Contract Limits TO SERVE TRADITION,CENTRAL PHASE Payment Number 1 Project Type PAVING&ALT For Period Ending 9/30/2021 Project Funding 9 36"CONCRETE AWWA C303 WATER PIPE 8244 LF $235.00 ,937,340.00 8244 1,937,340.00 RESTRAINED JOINTS 10 DUCTILE IRON WATER FITTINGS 21.09 TN W/RESTRAINT 36"PIPE 11 36"STEEL PIPE FITTINGS I LS 12 36"CONCRETE PIPE FITTINGS 1 LS $87,255.11 $87,255.11 1 $87,255.11 13 6"COMBINATION AIR VALVE ASSEMBLY FOR 6 EA $20,000.00 $120,000.00 6 $120,000.00 WATER 14 36"AWWA BUTTERFLY VALVE W/VAULT 13 EA $85,000.00 ,105,000.00 13 1,105,000.00 15 36"WATER CARRIER PIPE 604 LF $110.00 $66,440.00 604 $66,440.00 16 54"CASING BY OTHER THAN OPEN CUT 604 LF $2,000.00 ,208,000.00 604 1,208,000.00 17 CATHODIC PROTECTION FOR 36"PIPE I LS $30,000.00 $30,000.00 1 $30,000.00 18 ADDITIONAL WATER LINE DEPTH(CO 1) 1 LS $87,481.49 $87,481.49 1 $87,481.49 -------------------------------------- Sub-Total of Previous Unit $7,047,966.60 $7,047,966.60 ALTERNATE 2A BID Item Description of Items Estimated Unit Unit Cost Estimated Completed Completed No. Quanity Total Quanity Total --------------------------------------- 1 16"WATER PIPE,CSS BACKFILL 20 LF $60.00 $1,200.00 20 $1,200.00 2 16"DIP WATER(RESTRAINED JOINTS) 16 LF $45.00 $720.00 16 $720.00 3 16"PVC C905 WATER PIPE 1704 LF $90.00 $153,360.00 1704 $153,360.00 4 16"PVC C905 WATER PIPE(RESTRAINED 330 LF $100.00 $33,000.00 330 $33,000.00 JOINTS) 7 16"(DIP)WATER CARRIER PIPE 301 LF $100.00 $30,100.00 301 $30,100.00 8 DUCTILE IRON WATER FITTINGS 0.42 TN $3,500.00 $1,470.00 0.42 $1,470.00 W/RESTRAINT(16"PIPE) 9 16"GATE VALE W/VAULT(CO 2) 3 $10,000.00 $30,000.00 3 $30,000.00 10 ADDITIONAL PUC AND ACCESSORIES(CO2) 1 LS $2,127.50 $2,127.50 1 $2,127.50 11 COATED 30'CASINB BY OPEN CUT(CO 3) 111 LF $315.86 $35,060.46 111 $35,060.46 12 COATED 30'CASING BY OTHER THAN OPEN 190 LF $2,115.86 $402,013.40 190 $402,013.40 CUT(CO 3) -------------------------------------- Sub-Total of Previous Unit $689,051.36 $689,051.36 BONDS Item Description of Items Estimated Unit Unit Cost Estimated Completed Completed No. Quanity Total Quanity Total --------------------------------------- I BONDS 1 EA $100,000.00 $100,000.00 1 $100,000.00 Thursday,October 7,2021 Page 4 of 7 City Project Numbers 102240 DOE Number 2240 Contract Name NORTHSIDE III OFFISITE WATER IMPROVEMENTS Estimate Number I Contract Limits TO SERVE TRADITION,CENTRAL PHASE Payment Number I Project Type PAVING&ALT For Period Ending 9/30/2021 Project Funding -------------------------------------- Sub-Total of Previous Unit $100,000.00 $100,000.00 -------------------------------------- Thursday,October 7,2021 Page 5 of 7 City Project Numbers 102240 DOE Number 2240 Contract Name NORTHSIDE III OFFISITE WATER IMPROVEMENTS Estimate Number 1 Contract Limits TO SERVE TRADITION,CENTRAL PHASE Payment Number 1 Project Type PAVING&ALT For Period Ending 9/30/2021 Project Funding Contract Information Summary Original Contract Amount $8,780,000.00 Change Orders Change Order Number 1 $67,481.49 Change Order Number 2 $12,127.50 Change Order Number 3 $34,873.86 Change Order Number 4 $4,251.00 Total Contract Price $8,898,733.85 Total Cost of Work Completed $8,898,733.85 Less %Retained $0.00 Net Earned $8,898,733.85 Earned This Period $8,898,733.85 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 $8,898,733.85 Thursday,October 7,2021 Page 6 of 7 City Project Numbers 102240 DOE Number 2240 Contract Name NORTHSIDE III OFFISITE WATER IMPROVEMENTS Estimate Number I Contract Limits TO SERVE TRADITION,CENTRAL PHASE Payment Number 1 Project Type PAVING&ALT For Period Ending 9/30/2021 Project Funding Project Manager NA City Secretary Contract Number Inspectors MILLER,W / SUTTERFIELD Contract Date Contractor McKee Utility Inc. Contract Time 180 WD 2319 W Main Street Days Charged to Date 218 WD Prauge, OK 74864 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 $8,898,733.85 Less %Retained $0.00 Net Earned $8,898,733.85 Earned This Period $8,898,733.85 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 $8,898,733.85 Thursday,October 7,2021 Page 7 of 7 FoRTWORTH TRANSPORTATION AND PUBLIC WORKS PIPE REPORT FOR: PROJECT NAME: Northside III Offsite Water Improvements to Serve Traditions Central Phase PROJECT NUMBER: 102240 DOE NUMBER: N/A WATER PIPE LAID SIZE TYPE OF PIPE LF C 303 Concrete 36" concrete wrapped 11623 C 303 Concrete 36" Restrained Joint 8244 36"water pipe 36" water carrier pipe 604 16"DIP 16" DIP restrained joint 16 16"PVC 16" slip joint 1704 16"PVC 16" Restrained joint 330 16"DIP 16" DIP 301 12"PVC 12" slip joint 51 FIRE HYDRANTS: I ea VALVES(16" OR LARGER) 15 ea PIPE ABANDONED SIZE TYPE OF PIPE LF DENSITIES: yes NEW SERVICES: SEWER PIPE LAID SIZE TYPE OF PIPE LF PIPE ABANDONED SIZE TYPE OF PIPE LF DENSITIES: NEW SERVICES: TRANSPORTATION AND PUBLIC WORKS A The City of Fort Worth- 1000 Throckmorton Street•Fort Worth,T176012-6311 (817)392-7941 •Fax(817)392-7845 FORT WORTH- TRANSPORTATION AND PUBLIC WORKS INSPECTION PUNCH LIST 1. Punch List on Headlight/Punch completed 9/22/2021 Contractor Inspector ni C���-•1 �•, S I 10 tt TT C, iO Z1c'jc7 i A 5. m a Q 0 O A O X Z F 'il C7 O A a m p o r m z A o D Z O �p m �k D Z O D N rn D m m IL m rD- rt1 N pZn Om .� 9 -1 On Q -jSTO OA - m m y ,u m Z ( m O 0 .0 'o .Di* mD Z mo Nco n mni Dk m Z Z D = 0 -1 _{ 11 3 D D C) O m m D O 39 A o c m z A m ut m m v N CoO n Z (n O N W W W D JO O N (n to N N P 0) < o w w 0 w t4 w w H m 0 0 �_ O m a 00 rn °0 U, o v .n m D o o w o (D D N Cl S 0 D o 0 0 `° `° D �7 » z z N 0 0 n n 0 N Q v 10 n o n 0 z o 0 0 o wti N a7 0 < O O p0 IV O O !D 0 N A o w D N O Z ID O m n O o m < N w » ry 0 o m (n i o o v 0 o m w 0 1 o r- _O ) 0 o A N a o 0 n O U N o o -C A� O A 1 .9 m m N N �D P• N � O G O N O � m N o r'mt O o! W 0 y on 0ym 7 z w o N 0 S m D c� O w ry '° z Q p 4 '° e z z z mfo o ni O N .S :V bd O � a trl �, o ^� z m n —S O m 0 o m 1 �\ O •o y E rn m w w m o V m �'D m (D fD 3 ° r' ° m z -u `D 1D m 1D No �, m C m m u m ;u a a p t i' 11 O W O% RE IT °>� A 'o ill =3 _° m n w D o � �i z v N c m m 71rD o 3 fD Pn a ro c X N W (A DO z O N ry F N m !? A F. O 8 O O w Q, m r m (u O � F rN-i n j 0 n O W , ° 14 a n ^ D 01 =, ' oa� O (< n �nrvi prp m y ° ° w E3 E; o z vm (n C (D °. Xl tD A7 ° N G n`m 'D N r o D. 0. N °-'pr•�.�y In ;ua !p °CD a D o � z l to rn G v—Z o(0m a � n o =3 :3 a A n�Oy w f IQ y y O �o N tP H N Matt Baacke From: Jason Buoy <jason@mckeeutility.com> Sent: Saturday,June 5,2021 3:56 PM To: Patel,Yogesh; Eddie Eckart; Matt Baacke Cc: Sood,Vishal;Wong,Soon; Harris, Melissa Subject: RE:Tradition NS-III (CON-20-0126) Change Order#1 Follow Up Flag: Flag for follow up Flag Status: Flagged Item A: (Keep in mind these excavations are in solid rock) • It looks like there is a sheet missing in the attachment for CO1. Sheet 9 was revised on 8/18/20 to lower the ARV due to the dimension constraints with the items housed in the manhole. This ARV was not able to be altered in size and elevation as we had begun laying pipe before the issue was completely ironed out. This sheet netted an additional 613 CY. This is the bulk of the cost related to this CO. • Sheets 12, 13, and 14 of the CO1 attachment indicates to provide a credit for reduced elevation, makes no mention of the ARV's being overl.6 feet deeper at Sta 52+00 and 2.2 feet deeper at station 64+60 which results in an actual net change of close to 0 CY for these sheets. • Notes on sheet 22 Indicate to provide a credit for reduced excavation, makes no mention of the ARV at station 137+00 being 1.4'deeper. This sheet netted an additional 89 CY of excavation. • Notes on sheet 23 indicate to provide a credit for reduced excavation, makes no mention of the ARV at station 154+00 being 1.64'deeper. This sheet netted an additional 89 CY of excavation. • Notes on sheet 27 indicate to provide a credit for reduced excavation. There is no reduced excavation on this sheet from the original bid document. This sheet netted 0 CY of excavation. Item C • Bid documents indicated contractor option for either.440" coated or.50" uncoated steel casing on the BNSF railroad permit. A revised permit was received after the bid on 8/21/20 and indicated no options,only.440" coated was to be used. 0.50" uncoated casing had already been submitted and approved by 7/23/20 and subsequently ordered at that time, unbeknownst to McKee that a forthcoming change was going to occur with this. The cost change was to add coating to the casing. • Revised sheet 30 elevation of the pipeline was lowered by 1.8' between stations 64+77 and 67+94, resulting in additional excavation at the bore and receiving pit locations on either side of the railroad. Regards, Jason Buoy McKee Utility Contractors, Inc. 2319 West Main, Prague,OK 74864 Office:405.567.3666 Mobile:405.566.7833 �./ irr w w a � Ul O UI p UI O UI q dd a r II c i aa 6 8 M C EIS A 31+ 0 i6 6a 9rr SMrI II 71r I S M UMINE TA 39+00.00 v � I Ioa p {xis jk�'1 g �GM �g Q i`Y I , `� Pl'���� �E � $� I� • I I ��P 8 4h P 8 0 I I I I 1 I a I\ s I I I I I I r I 8 7a �y � I I I ilk It dp�� s 4 1 14r A 110n R ggg; I o I I HAT C g �b } b I I gigAll I _ 7,1. u I A I G I I � I I I I � 7Le 1 I � gg . 8 — 719. �r fi d " I I o.a F� I I MATCILME STA 49+00.00 R V A A s r jr, + 0 0 S Su SMd IS � O O oy - - -- - - w gA�>,�� � 00 � O 43STA 12 "e O � O � O � ��a g �88�aa IMTCFiINE STA 49+00.00 M �s fi b Al ��s n n « 1 ' ph@ ;Sgas i i g R �'� � Spl ��j$ rt.! hip, 14 L019 a� "-—- { ,.!.l] t jo�Amn w I' _ >>:._ N3dA$FCd I I 1 gg i 9 p I q I I I �I ]A. 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In i�i m r �n 008 ,O �:O m 00I,o r�o N FORT WORTH04 TRANSPORTATION AND PUBLIC WORKS September 22,2021 McKee Utility Contractors Inc. 2319 West Main Street Prauge, OK 74864 RE: Acceptance Letter Project Name: Northside III Offsite Water Improvements to Serve Traditions Central Phase Project Type: Developer/Water City Project No.: 102240 To Whom It May Concern: On August 26,2021 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 September 22, 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 September 22, 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, ges ate1,PE(Oct 7,202112:39 CDT) Yogesh Patel,Project Manager Cc: Hershel Stanley Sutterfield, Inspector Wade Miller, Inspection Supervisor Shawn Fargo, Senior Inspector Victor V.Tornero, Program Manager Goodwin and Marshall ,Consultant McKee Utility Contractor Inc., Contractor HT Hwy 114 Development L.P., Developer File E-Mail: Douglas W. Wiersig, P.E., PhD., Director,TPW Chris Harder, P.E.,Assistant Director,Water Richard Martinez,Assistant Director,TPW Wendy Chi-Babulal, P.E.,Water Marisa Conlin,Traffic Engineering Tony Sholola, P.E.,Water Allen Hall, Superintendent,TPW Richard Zavala, Director, PARD John Robert Carman, P.E., Director,Water David Creek,Assistant Director, PARD Rev.9/15/16 AFFIDAVIT STATE OF OKLAHOMA COUNTY OF LINCOLN Before me,the undersigned authority, a notary public in the state and county aforesaid, on this day personally appeared Shane McKee, President Of McKee Utility Contractors, Inc., 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; Offsite Water Line NS - III to serve Tradition BY Shane McKee, President Subscribed and sworn before me on this date 30th of September, 2021. �`r+rrrrNCr An��#py1,% d Notary Pu is m #18°03921 Lincoln County, Oklahoma EXn,04A 2022 'dffj°uunr pro' BOND NO 2306893 OWNER CONSENT OF SURETY ARCHITECT TO FINAL PAYMENT CONTRACTOR Conforms with the American Institute of SURETY Architects,AIA Document G707 OTHER ❑ TO OWNER: ARCI IITrCT'S PROJECT NO.: (A'ame and address) HT HWY 114 Development LP 2200 Ross Ave.,Suite 4200 W CONTRACT FOR: Dallas,TX 75201 PROJECT: CONTRACT DATED:July 2020 (Name and address) NS III Office Water Improvements to Serve Tradition,Central Phase In accordance with the provisions of the Contract between the Owner and the Contractor as indicated above,the (Insert name and address ojSnreg9 North American Specialty Insurnace Company 1450 American Lane,#1100 Schaumburg,IL 60173 SURETY, on bond of ((assert name and address of Cantractor) McKee Utility Contractors,Inc. 2319 West Main Street Prague,OK 74864 ,CONTRACTOR, hereby approves of the final payment to the Contractor,and agrees that final payment to the Contractor shall not relieve the Surety of any of its obligations to (insert name and address oJOdvner) HT HWY 114 Development LP 2200 Ross Ave.,Suite 4200 W Dallas,TX 75201 OWNER, as set forth in said Surety's bond. IN WITNESS WHEREOF,the Surety has hereunto set its hand on this date:September 30,2021 (Insert in itriting[lie mnnth followed by the numeric date and pear.) North American Specialty le rn.ce'(�n?pany (Surety9 Attest: (Si gnn ere nrdkwized repr,er n c) Jamie Burris,Attorney-in-Fact 1l'itncss (Printed name and tide) S-21341GE 10/01 t MP SWISS RE CORPORATE SOLUTIONS NORTH AMERICAN SPECIALTY INSURANCE COMPANY WASHINGTON INTERNATIONAL INSURANCE COMPANY GENERAL POWER OF ATTORNEY KNOW ALL MEN BY THESE PRESENTS.THAT North American Specialty Insurance Company,a corporation duly organized and existing under lams of the State of New Hampshire,and having its principal office in the City of Kansas City,Missouri,and Washington International Insurance Company,a corporation organized and existing under the laws of the State of New I lanlpshirc and having its principal office in the City of Kansas City.Missouri.each does hereby make,constitute and appoint: JOHN K.DEER.VAUcnN P.fiRAIIAM.VAUGIIN P.tiRAIIA\I,JR..STCPIIF.N\I.POLEJIAN.TRAVIS F.1IROWN,DFRORAI1 L.RAPER.JANIII'uuaRIS.snrt.t.l R.SANISEI.. MARK I)%11%%[t L(At I Iy(.j%III%A NKIWILIMIN„U;51I%K/iRI�.I!.IIA\Y•('1.,11'T()\IItHI I:LL.(.1N1.1'LKI-.\\I'_111�R.RA\nl'11 N1 IIII I.it rs,,*11 III)\1A5PFNR\t I.1 JOINTLY OR SGVGRALLY Its Inge and lawful Atorney(s)-in-Fact,to make,execute,seal and deliver,fix and on its behalf and as its act and deed,bonds or other writings obligatory in the nature of a bond on behalf of each of said Companies,as surety,on contracts of suretyship as are or may be required or penniued by law,regulation,contract or otherwise,provided that no bond or undertaking orcontract or suretyship executed under this authority shall exceed the amount of: FIFTY NIILLION(S50,000,000.00)DOLLARS This Power of Attorney is grated and is signed by facsimile under and by the authority of the following Resolutions adopted by the Boards of Directors of both North American Specialty Insurance Company and Washington International Insurance Company at meetings duly called and held on the 9'h of May,2012: "RESOLVED.that any two of the Presidents,any Managing Director,any Senior Vice President,any Vice President.any Assistant Vice President, the Secretary or any Assistant Sccrclary be,and each or any of them hereby is authorized to execute a Power of Attorney qualifying the attorney named in the given Power of Attorney to execute on behaifof the Company bonds,undertakings and all contracts ol'surety,and that each or any of them hereby is authorized to attest to the execution of any such Power of Attorney and to attach therein the seal of the Company: and it is FURTHER RESOLVED,that the signature of such officers and the seal of the Company nuly be affixed to any such Power of Attorney or to any certificate relating thereto by lacsunile,and any such Power of Attorney or certificate hearing such Qncsimile signatures or facsimile seal shall be binding upon the Compam (\lien so affixed anti in the future with regard to any bond,undertaking or contract of surety to which it is attached.** \\\\pUallllq��i m �� \AUTY r/Vr J yQ•GOPPUry,rT.G! �_ ryC?:•gpp'b/8 _�?; F•.:��_ Its ♦:up Atf:G -�f SIJIL :n Nlarn P.\udrnon.ticninr wicrPmldrnl of\wa(hln,um htla nalianal luwr+nrcl"mupam = .S L ff e Z 1973 W+(mj &Sndnr\fret P—idc.i of Noah Antrim Sprciahr In—.—C-1m) \lichad A. nlrrnah.......uncr7.omptm - Srnior Vitt I'tnidcut of North Vmtrion SptclA t)Imunnce f"ompony IN WITNESS WHEREOF,North American Specialty Insurance Company and Washington International Insurance Company have caused their official seals to be hereunto affixed.and these presents to be signed by their authorized officers this I Sth day of FEBRUARY 2o2l . North American Specialty Insurance Company Washington International Insurance Company State of Illinois Count of Cook 5s: On this 1 Sth day of FEBRUARY ,2021 ,before Inc.a Notary Public personally appeared Steven P.Anderson ,Senior Vice President of Washington International Insurance Company and Senior Vice President of North American Speciahy Insurance Company and Michael A.Ito, Senior Vice President of Washington International Insurance Company and Senior Vice President of North American Specialty Insurance Company,personally known tonic,who being by me duly sworn.acknowledged that they signed the above Power of Attorney as officers,of and acknowledged said instrument to be the voluntary act and deed of their respective companies. OFFICIAL SM N.KENIIY t Notrry Path(-Stilt ra t7AU1021 N.yClmmn)onirpm M.Kcnup,Nnbvy Niblic 1. Jcffrev Goldberg . the duly elected Assistant Secretar- of North American Specialty Insurance Company and Washington International Insurance Company,do hereby certify that the above and foregoing is a true and correct copy of a Power of AHorney gi3:eu,by said Nonh American Specialty Insurance Company and Washington International Insurance Company,which is still in full force nd effect:' 0`- IN WITNESS WHEREOF.l have set my hand and affixed the seals of the Companies this�V day of �- Jta'tcy&AjiM;.Vwt Prc>idcl A A(siava St cu;.;41 , K'ar'umtm IMcmn:.uul Inwrstar('.v.,am fi Ncr(h lcaeircan S�:cw:a-tfailzcs.C.rya•`.-�: