HomeMy WebLinkAboutContract 54396-FP1 FORTWORTH@
TRANSPORTATION AND PUBLIC WORKS
NOTICE OF PROJECT COMPLETION
City Secretary No: 54396-FP 1
Date Received;August 19, 2022
City Project Ne:101766
Regarding contract 54396 for Northpark Improvements as required by the PARK&RECREATION
DEPARTMENT as approved by City Council on09/24/2019 through M&C 19-0206 the director of the PARK
&RECREATION DEPARTMENT upon the recommendation of the Assistant Director of the
Transportation&Public Works Department has accepted the project as complete,
Original Contract Prices: $4,467,496.00
Amount of Approved Change Orders: $0.00 N9
Revised Contract Amount: $4,467,496.00
Total Cost Work Completed: $4,441,088.69
Less Deductions:
Liquidated Damages; 0 Days Q$650,00/Day
Pavennent Deficiencies:
Total Deduction Amount: $0.00
Total Cost Worlc Completed; $4,441,088,69
Less Previous Payments: $4,220,284,26
)'inalPaymentDue $ 220,804.43
�sa. Aug 17, 2022
Recommended for Date
Acceptance Asst.Director,
PARK& RECREATION
D EPTM ENT
Aug 19, 2022
Accepted Date
Director,PARK&RECREATION DEPARTMENT
Client Department
Aug 19, 2022
Asst. City Manager Date
Comments: OFFICIAL RECORD
CITY SECRETARY
FT. WORTH, TX
C-620 Signature Page
Contractor's Application for Payment Invoice No. 16 -Final
Invoicing Period(From-To): Invoice Date:
To(Owner): City of Fort Worth 7/1/2022-7/15/2022 7/22/2022
From(Contractor): Remit to(If Not Automatic Deposit):
P.° FW080-0000009604 Dean Construction
Number: 701 Hall Street
Dean Construction
Cedar I-Till,TX 75104 701 Hall Street
Project: North Park Improvements
Contractors CFW Vendor No.: Cedar Hill,TX 75104
7000001741
City Secretary Contract 54396 Contract North Park Improvements
Number. Name:
Application For Payment
Change Order Summary
Approved Change Orders 1. ORIGINAL CONTRACT PRICE......................................................... $ 4,467,496.00
Number Additions Deletions 2. Net change by Change Orders............................................................... $
1 3. Current Contract Price(Line 1 f 2) $ 4,467,496.00
2 4. TOTAL COMPLETED AND STORED TO DATE
3 (Progress Estimate,Construction Allowance and Change Orders)...... $ 4,441,088.69
4 5. RETAINAGE:
5 a. X $ Work Completed......... $
6 b. X $ Not Used $
7 c.Total Retainage(Line Sa+Line 5b).............................. $
8 6. AMOUNT ELIGIBLE TO DATE(Line 4-Line 5c)............................ $ 4,441,088.69
TOTALS 7. LESS PREVIOUS PAYMENTS(Line 6 from prior Application)....... $ 4,220,284.26
NET CHANGE BY 8. AMOUNT DUE THIS APPLICATION................................................ $ 220,804.43
CHANGE ORDERS 9.BALANCE TO FINISH,PLUS RETAINAGE
(Column G on Progress Estimate+CA+Cos+Line 5 above)............. $ 26,407.31
Contractor's Certification 10. CONTRACT TIME:
The Contractor certifies with the submittal of this document and associated Payment Request Submittal a, Days Awarded 482
on the City of Fart Worth Buzzsaw system that to the best of their knowledge:(1)all previous progress Days Added by CO
payments received from Owner on account of Work done under the Contract have been applied on Total Days 482
account to discharge Contractor's legitimate obligations incurred in connection with Work covered by
prior Applications for Payment;(2)title of all Work,materials and equipment incorporated in said
Work or otherwise listed in or covered by this Application for Payment will pass to Owner at time of Days Charged 442
payment free and clear of all Liens,security interests and encumbrances(except such as are covered by
a Bond acceptable to Owner indemnifying Owner against any such Liens,security interest or Days Remaining 40
encumbrances);and(3)all Work covered by this Application for Payment is in accordance with the
Contract Documents and is not defective.
Gr�eb�(Aug 16,2022 09:55 CDT)
This document has been modified from its original form as an EJCDC document and the user did not highlight the
modifications.You are encouraged to read the document carefully and consult Legal Counsel prior to its execution.
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City of Fort Worth Summary of Charges
City Secretary ContractNum: 54396 North Park Improvements P.O„ FNV080-0000009604 project Number. North Park Improvem(
Application Period: 7/1/2022-7/15/2022 Application 16-Final Application Date: 7/22/2022
Number.
Funding tdenti0cation(FID) Total Completed Amt Remaining Gross Retainage F Net
Original Contract
34018-2060000-101764-RETAIN $ 600.000.00 $30,000.00 $30,000.00
30100-2060000-101766-RETAIN $ 1.100.000.00 $ 31,838.00 $55,271.52 $55,271.52
34018-2060000-101766-RETAIN $ 1,425,000.00 - - $71,250.00 $71,250.00
34018-2060000-102968-RETAIN $ 750,000.00 - $37,500.01 $37,500.01
34014-2060000-101766-RETAIN $ 523,577.69 $ 12.080.31 $26.782.90 $26,782.90
34014-0800450-5740010-101766-004980-9999-14020103 !Ou +10.00 00i -( u0 lu oa
30100-0800450-5740010-101766-004980.9999 ':O.Ou 0.00 Eri.rO FO CO
0 z 0 Un £n.CG 3n nO 5.p,nn
0 :1)00 .0 On Sn.C'O i0i)O .^n.60
0 `0 0 :U L,UO F,npU 00 t--n.tiO
Change Order 1
34018-2060000-101764-CRETAN "7 Or' :0 OU b'7 C0 :u of "0 r'o
30100-2060000-101766-CRETAN 'n Of, ,0.u0 :I 00
34018-2060000-101766-CRETAN °0 nn sn_OO Sn.CO -0 n0
34018-2060000-102968-CRETAN =C.nn E.n.Op
34014-2060000-101766-CRETAN ;O.0,' ;C n0 £0 G4
0 ;U.On 'gi p.U'J ::'r CO i(!f:p ,n urn
0 SO On 0 C0 SD OO 9n 00 y,n.Cr-i
0 EU Cn U OG F❑CO :;b nU
0 -11 50 ou a 00 '0 au
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I
Change Order
34018-2060000-101764-CRETAN =1)UD n Flu
30100-2060000-101766-CRETAN -o.OD c0.0u 30 Cl) 5n o0
34018-2060000-101766-CRETAN 0 00 50.00i ;np0 cn<in
34018-2060000-102968-CRETAN '�q nn :0 US gn.nU c<�riu��
34014-2060000-101766-CRETAN CD 00 :o.GC, :)Qnp sn nn
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City of Fort Worth Summary of Charges
City Secretary Contract Nun: 54396 North Park Improvements P.O.: nVO80-0000009604 Project Number: North ParkImprovem
Application Period: 7/l/2022-7/15/2022 Application 16-Final Application Date: 7/22/2022
Number:
Funding Identification(FID) ___I_o_t_al__C_o__m_llletedj Amt Remaining Gross Retalnage F Net 1
Change Order 3
34018-2060000-101764-CRETAN -11
30100-2060000-101766-CRETAN !Lin f 0 UC.
34018-2060000-101766-CRETAN o un g(Lpp nC ]u np
34018-2060000-102968-CRETAN .')0) 'J1 0CID 3u PO
34014-2060000-101766-CRETAN o r:n
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Chan a Order 4
34018-2060000-101764-CRETAN !a'' ':L"!c `J 4U
30100-2060000-101766-CRETAN - �10 6C'.Ou -u.00
34018-2060000-101766-CRETAN :G Od - -' ;0,0'3
34018-2060000-102968-CRETAN _ 0u10 :0 np 34014-2060000-101766-CRETAN 'l 0„ _C.0(
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--- Chan eOrderS ----- - - --- --
34018-2060000-101764-CRETAN
30100-2060000-101766-CRETAN A 00 Z,(1 59 CCi
34018-2060000-101766-CRETAN :'i 00 ZO 00 SO U0
34018-2060000-102968-CRETAN -'!CO oU.0u --,IC,
34014-2060000-101766-CRETAN `I On SU 00 " ' `n CO
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City of Fort Worth Summary of Charges
City Secretary Contract N=: 54396 North Park improvements P.O.: FW080-0000009604 Pmject Number. North Park Improvem
Application Period: 7/1/2022-7/15/2022 Application 16-Final Application Date: 7/22/2022
Number.
Funding Identification(FID) F Total Completed-1 Amt Remaining Gross Retains a Net
Change Order 6
34018-2060000-101764-CRETAN uu :O.uU 'CO
30100-2060000-101766-CRETAN O,rvn ;0.un r n 01.1 ;a UJ i 0
34018-2060000-101766-CRETAN f 1)0 60 �0 r 0 u0
34018-2060000-102968-CRETAN 0 Ou t,ri 0_p i.00i
34014-2060000-101766-CRETAN 0.70 _U :la .n.Ori
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ChariilvOrder 7 --- -
34018-2060000-101764-CRETAN Uu ra.tu
30100-2060000-101766-CRETAN
34018-2060000-101766-CRETAN :C G! U Ou :Sn CO
34018-2060000-102968-CRETAN SJ 00 JO
34014-2060000-101766-CRETAN .0 f,1 O.OG u0
0 n r,n
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I
Change Order 8
34018-2060000-101764-CRETAN
30100-2060000-101766-CRETAN U!)
34018-2060000-101766-CRETAN -]1,0 U Our
34018-2060000-102968-CRETAN A 0.1 SC'.0L, I I I
34014-2060000-101766-CRETAN U
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City of Fort Worth Summary of Charges
City Secretary Contract Num: 54396 North Park Improvements P.0.: nV080-0000009604 Project Number. North Park Improvem
Application Period: 711/2022-7/15/2022 Application Number. 16-Final Application Date: 7/22/2022
Funding Identification(FID) Total Completed Amt Remaining Gross Retainage F Net
Totals
34016-2060000-101764-CRETAN $600000.00 - $30000.00 $30000.00
30100-2060000-101766-CRETAN $1100000.00 $31838.00 1 1 0 $55,271.52 $55,271.52
34018-2060000-101766-CRETAN $1425000.00 $71250.00 $71250.00
34018-2060000-102968-CRETAN $750 000.00 $37 500.01 $37 500.01
34014-2060000-101766-CRETAN $523 577.69 $12 080 31 $26 782.90 $26 782.90
34014-0800450-5740010-101766-004980-9999-14020103 7J 'u.00
30100-0800450-5740010-101766-004980-9999 (I+r
o :,r., o`o nu
0 �grn ro
�I ..).�.p
0 or, oo: co
Grand Total $4,398,577.69 $43,918.31 $0.00 $220,804.43 $220,804.43
-, \\ WO R,`T H
TRANSPORTATION AND PUBLIC WORKS
PIPE REPORT FOR:
PROJECT NAME: North Park Improvements
PROJECT NUMBER: 101766
DOE NUMBER; N/A
WATER
PIPE LAID SIZE TYPE OF PIPE LF
Yes 2" Poly 681
FIRE HYDRANTS: N/A VALVES(16" OR LARGER) N/A
PIPE ABANDONED SIZE TYPE OF PIPE LF
N/A N/A N/A N/A
DENSITIES: Yes
NEW SERVICES: 2" Poly 1
SEWER
PIPE LAID SIZE TYPE OF PIPE LF
Yes 6" PVC 657'
PIPE ABANDONED SIZE TYPE OF PIPE LF
N/A N/A N/A N/A
DENSITIES: Yes
NEW SERVICES: 6" PVC 1
TRANSPORTATION AND PUBLIC WORKS
FORT WORTH00
TRANSPORTATION AND PUBLIC WORKS
August 1, 2022
Dean Construction
701 Hall St,
Cedar Hill,TX 75104
RE: Acceptance Letter
Project Name: Northpark Improvements
Project Type: Facility Improvements For Northparl<
City Project No.: 101766
To Whom It May Concern:
On April 8, 2022 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 2, 2022. 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 August 1,2022,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)
392-5734.
Sincerely,
F
Carlos Gonzalez, Project Manager
Cc:Travis Overstreet, Inspector
Mike Glover, Inspection Supervisor
Randy Horton,Senior Inspector
Joel McElhany, Program Manager
Dunaway,Consultant
Dean Consultant, Contractor
PARD, Developer
File
E-Mail: TPW_Acceptance@fortworthtexas.gov
Before&After Photos
Rev.8/20/19
CONSENT OF OWNER ❑
SURETY COMPANY ARCHITECT ❑
TO FINAL PAYMENT CONTRACTOR ❑
SURETY ❑
AIA DOCUMENT G707 OTHER ❑
Bond No. BCDIL082449
PROJECT: North Park Improvements A2
(name,address) Fort Worth,TX 76244
TO(Owner)
City of Fort Worth Architect's Project No.:
4200 South Frwy.,Ste 2200
Fort Worth,TX 76115 Contract For: North Park Improvements A2
Fort Worth,TX 76244
Contract Date: March 5,2021
Contractor: Dean Electric,Inc.dba Dean Construction,701 Hall Street,Cedar Hill,TX 75104
In accordance with the provision of the Contract between the Owner and the Contractor as indicated above,
the The Hanover Insurance Company, SURETY COMPANY, on bond of Dean Electric, Inc.dba Dean
Construction,CONTRACTOR, hereby approves the final payment to the Contractor, and agrees that final
payment to the Contractor shall not relieve the Surety Company of any of its obligations City of Fort Worth,
OWNER,as set forth in the said Surety Company' bond.
1N WITNESS WHEREOF,
the Surety Company has hereunto set is hand this 10th Day of June. 2022
The Hanover Insurance Company
Surety Company
Signatilk Mf Authorid4d Representative
Peggy Hogan Attorney-In-Fact
Attest:
(Seal):
Note: This form is to be used as a companion document to AIA DOCUMENT G706,CONTRACTOR'S AFFIDAVIT OF
PAYMENT OF DEBTS AND CLAIMS,Current Edition
AIA DOCUMENT G707• CONSENT OF SURETY COMPANY TO FINAL PAYMENT a April 1970 Edition •AIA® One
Page
02970•THE AMERICAN INSTITUTE OF ARCHITECTS, 1735 New York Ave., NW,Washington, D.C.20006
THE HANOVER INSURANCE COMPANY
MASSACHUSETTS SAY INSURANCE COMPANY
CITIZENS INSURANCE COMPANY OF AMERICA
POWER OF ATTORNEY
THIS Power of Attorney limits the acts of those named herein,and they have no authority to bind the Company except in the manner and to the
extent herein stated.
KNOW ALL PERSONS BY THESE PRESENTS:
That THE HANOVER INSURANCE COMPANY and MASSACHUSETTS BAY INSURANCE COMPANY,both being corporations organized and existing under the
laws of the State of New Hampsh;re,and CITIZENS INSURANCE COMPANY OF AMERICA a corporation organized and existing under the laws of the State of
Michigan,(hereinafter individually and collectively the'Company')does hereby constitute and appoint.
Steven Lott,David Oxford,Peggy Hogan,Sherrel Breazeale andfor Bart Russ
Of Consolidated Insurance Partners of Dallas,TX each individually,if there be more than one named,as its true and lawful attomey(s)-in-fact to sign,execute,
seal,acknowledge and deliver for,and on its behalf,and as its act and dead any place within the United States,any and all surety bonds, recognizences,
undertakings,or other surety obligations.The execution of such surety bonds,recognlzances,undertakings or surety obligations,in pursuance of these presents,
shall be as binding upon the Company as if they had been duly signed by the president and attested by the secretary of the Company,in their own proper parsons.
Provided however,that this power of attorney limits the acts of those named herein,and they have no authority to bind the Company except in the manner stated
and to the extent of any I m tation stated below-
Any such obligations in the United States,not to exceed Thirty Milllon and Noll00($30,000,000)in any single instance
That this power is made and executed pursuant to the authority of the fol:ovAng Resolutions passed by the Board of Directors of said Company,and sold Resolutions
remain in full force and effect:
RESOLVED- That the President or any Vice President,in conjunction with any Vice President,be and they hereby are authorized and empowered to
appoint Attorneys-in-fact of the Company,in its name and as it acts,to execute and acknowledge for and on its behalf as surety,any and all bonds,
recognizances,contracts of indemnity waivers of citation and aI,otherwritings obligatory in the nature thereof,with power to attach thereto the seal ofths
Company.Any such writings so executed by such Attomeys-in-fact shall be binding upon the Company as if they had been duly executed and
acknowledged by the regularly elected officers of the Company-n their own proper persons
RESOLVED That any and all Powers of Attorney and Certified Copies of such Powers of Attorney and certification in respect thereto,granted and
executed by the President or Vice President in conjunction with any Vice President of the Company,shall be binding on the Company to the same extent
as if all signatures therein were manually affixed,even though one or more of any such signatures thereon may be facsimile.(Adopted October 7,1981—
The Hanover Insurance Company:Adopted Apri:14,1982—Massachusetts Bay Insurance Company:Adopted September 7,2001—Citizens Insurance
Company of America and affirmed by each Company on March 24.2014,
IN WITNESS WHEREOF,THE HANOVER INSURANCE COMPANY MASSACHUSETTS BAY INSURANCE COMPANY and CITIZENS INSURANCE COMPANY
OF AMERICA have caused these presents to be sealed with their respective corporate seals,duly attested by two Vice Presidents,this 26e'day of April,2022,
THE HANOVER INSURAWE COMPANY THE HANOVER INSURANCE COMPANY
MASSACHUSETTB Q&f URANCE COMPANY MASSACHUSETTS BAY INSURANCE COMPANY
CITIZENS INSU 8 PANY OF AMERICA cnam INSURANCE COMPANY OF AN[ERICA
ryan J e Hloe Proudsmjp&p H.Kawledd.Vim President
.n.
an
THE COMMONWEALTH OF MASSACHUSETTS )
COUNTY OF WORCESTER )ss.
On this 26"' day of April, 2022 before me came the above named Executive Vice President and Vice President of The Hanover Insurance Company,
Massachusetts Bay Insurance Company and Citizens Insurance Company of America,to me personally known to be the individuals and officers described herein,
and acknowledged that the seals affixed to the preceding instrument are the corporate seals of The Hanover Insurance Company,Massachusetts Bay Insurance
Company and Citizens Insurance Company of America,respectively,and that the said corporate seals and their signatures as officers were duly affixed and
subscribed to said instrument by the authority and direction of said Corporations.
ARLEEN V. SIMONS
Notary
�AlOtat�LlHGf W35�
kty commissbn FIpins Arleen Imons,NotaryFuStic
Jura is. =3 My Commlaalon Expires June 15,2023
1,the undersigned Vice President of The Hanover Insurance Company,Massachusetts Bay Insurance Company and Citizens Insurance Company of America,
hereby certify that the above and foregoing is a full,true and correct copy of the Original Power of Attorney issued by said Companies,and do hereby further certify
that the said Powers of Attorney are still in force and effect. �7
GIVEN under my hand and the seals of said Companies,at Worcester,Massachusetts,this_SOY day of-TGC�JE L-0ZZ
THE HANOVER INSURANCE COMPANY
Y INSURANCE COMPANY
0INU
GE PINY OF AMERICA
CERTIFIED COPY f,lbhn A.Roweddor,VIe.PkfiRvt
Texas Complaint Notice
Commercial Lines
IMPORTANT NOTICE AVISO IMPORTANTE
To obtain information or make a complaint: Para obtener informacion o para someter una queja:
You may call The Hanover Insurance Company/ Usted puede Ilamar al numero de telefono gratis de
Citizens Insurance Company of America's toll-free The Hanover Insurance Company/Citizens Insurance
telephone number for information or to make a Company of America's para informacion o para
complaint at: someter una queja al:
1-800-343-6044 1-800-343-6044
You may also write to The Hanover Insurance Company/ Usted tambien puede escribir a The Hanover Insurance
Citizens Insurance Company of America at: Company/Citizens Insurance Company of America al:
440 Lincoln Street 440 Lincoln Street
Worcester,MA 01653 Worcester,MA 01653
You may contact the Texas Department of Insurance Puede comunicarse con el Departamento de Seguros
to obtain information on companies,coverages, de Texas para obtener informacion acerca de
rights or complaints at: companias,coberturas,derechos o quejas al:
1-800.252-3439 1-800-252-3439
You may write the Texas Department of Insurance: Puede escribir al Departamento de Seguros de Texas:
P.0.Box 149104 P.0.Box 149104
Austin,TX 78714-9104 Austin,TX 78714-9104
Fax:(512)475-1771 Fax:(512)475-1771
Web:http://www.tdi.texas.gov Web:http://www.tdi.texas.gov
E-mail:ConsumerProtection@tdi.texas.gov E-mail:ConsumerProtection@tdi.texas.gov
PREMIUM OR CLAIM DISPUTES: DISPUTAS SOBRE PRIMAS 0 RECLAMOS:
Should you have a dispute concerning your premium Si tiene una disputa concerniente a su prima o a un
or about a claim you should contact the agent or the reclamo,debe comunicarse con el agente o la com-
company first.If the dispute is not resolved,you may pania primero.Si no se resuelve la disputa,puede
contact the Texas Department of Insurance. entonces comunicarse con el departamento(TDI).
ATTACH THIS NOTICE TO YOUR POLICY: This UNA ESTE AVISO A SU POLIZA: Este aviso es solo
notice is for information only and does not become para proposito de informacion y no se convierte en
a part or condition of the attached document. pane o condicion del documento adjunto.
The Hanover Insurance Company 1440 Lincoln Street,Worcester,MA 01653
191-1457-12/131 Page 1 of 1 Citizens Insurance Company of America 1008 North Highlander Way,Howell,MI 48843 hanover.com
AFFIDAVIT
STATE OF Texas
COUNTY OF Dallas
Before me, the undersigned authority, a notary public in the state
and county aforesaid, on this day personally appeared Gregory Firebaugh,
President Of Dean Electric, Inc. dba Dean Construction, 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;
FW080-0000009604 North Park Improvements 54396
BY
Gregory Firebaugh
Subscribed and sworn before me on this date 1 Oth of June, 2022.
a� PY P �i K. C. HAR R I S
Notary Public .�P•• Vie%
_r°; ;�:Notsry Public,State of Texas
Dallas Texas :. `
Comm.Expires 70-28-2024
'��;,°;,;:�� Notary,)p 130879922
North Park Improvements
Before & After Pictures
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North Park(CD4)—Before 2018
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North Park(CD4)—After 2018
North Park Improvements
Before & After Pictures
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North Park(CD4)—Before 2018
North Park(CD4)—After 2022