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HomeMy WebLinkAboutContract 55840-FP2 City Secretary 55840 -FP2 Contract No. FORTWORTH, Date Received Oct 17,2022 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: Downing Drive Industrial City Project No.: 103290 Improvement Type(s): ❑x Paving ❑ Drainage ❑x Street Lights ❑ Traffic Signals Original Contract Price: $184,189.00 Amount of Approved Change Order(s): $2,500.00 Revised Contract Amount: Total Cost of Work Complete: $186,689.00 hfectorRivera Oct 13, 2022 Hector Rivera(Oct 13,2022 10:44 CDT) Contractor Date RIDGEMONT COMMERCIAL CONSTRUCTION Title Sr. Project Manager Company Name 4"zD Oct 13, 2022 Project Inspector Date Oct 13, 2022 Project Manager Date aj4 _IG 6`11&I7D�- Oct 13 2022 -)wayne o Ha rsfor(Oct 13,202211:18 CDT) e CFA Manager Date Z—/C— Oct 13, 2022 Interim TPW Director Date ° Oct 14 2022 'illiam: - 202210:1 CDT) e Asst. City Manager Date OFFICIAL RECORD CITY SECRETARY FT. WORTH, TX Page 1 of 2 Notice of Project Completion Project Name: Downing Drive Industrial City Project No.: 103290 City's Attachments Final Pay Estimate ❑x Change Order(s): ❑x Yes ❑ N/A Contractor's Attachments Affidavit of Bills Paid Consent of Surety Statement of Contract Time Contract Time 243 WD Days Charged: 267 Work Start Date: 6/15/2021 Work Complete Date 10/11/2022 Completed number of Soil Lab Test: 71 Completed number of Water Test: 4 Page 2 of 2 FORT WORTH CITY OF FORT WORTH FINAL PAYMENT REQUEST Contract Name DOWNING DRIVE INDUSTRIAL Contract Limits Project Type PAVING&STREET LIGHTS City Project Numbers 103290 DOE Number 3290 Estimate Number I Payment Number I For Period Ending 8/30/2022 WD City Secretary Contract Number Contract Time BUM Contract Date 6/15/2021 Days Charged to Date 267 Project Manager NA Contract is 100.00 Complete Contractor RIDGEMONT COMPANY 1520 W.WALNUT HILL LANE IRVING, TX 75038 Inspectors MILLER,W / VAUGHN,T Tuesday,October 11,2022 Page 1 of 4 City Project Numbers 103290 DOE Number 3290 Contract Name DOWNING DRIVE INDUSTRIAL Estimate Number 1 Contract Limits Payment Number 1 Project Type PAVING&STREET LIGHTS For Period Ending 8/30/2022 Project Funding UNIT IV:PAVING IMPROVEMENTS Item Estimated Estimated Completed Completed Description of Items Unit Unit Cost No. Quanity Total Quanity Total --------------------------------------- 1 REMOVE CONCRETE CURB AND GUTTER 874 LS $7.50 $6,555.00 874 $6,555.00 2 4"CONCRETE SIDEWALK 1110 SY $50.00 $55,500.00 1110 $55,500.00 3 7"CONCRETE DRIVEWAY 5850 SF $5.50 $32,175.00 5850 $32,175.00 4 BARRIER FREE RAMP TYPE P-1 12 EA $230.00 $2,760.00 12 $2,760.00 5 6"CONCETE CURB AND GUTTER 348 LF $15.00 $5,220.00 348 $5,220.00 6 TOPSOIL 229 CY $35.00 $8,015.00 229 $8,015.00 7 SEEDING HYDROMULCH 685 SY $2.00 $1,370.00 685 $1,370.00 8 CONC.PVMT REPAIR ARTERIAL(CO#2) 10 SY $250.00 $2,500.00 10 $2,500.00 Sub-Total of Previous Unit $114,095.00 $114,095.00 UNIT V:STREET LIGHTING Item Estimated Estimated Completed Completed Description of Items Unit Unit Cost No. Quanity Total Quanity Total 1 INSULATED ELEC CONDR 6648 LF $3.00 $19,944.00 6648 $19,944.00 2 GROUND BOX TYPE B 7 EA $700.00 $4,900.00 7 $4,900.00 3 FURNISHANSTALL 240-480 VOLT SINGLE 1 EA $6,500.00 $6,500.00 1 $6,500.00 PHASE TRANSOCKET METERED PEDESTAL 4 RDWY ILIUM ASSMBY TY 19,18A,19,AND D- 11 EA $2,350.00 $25,850.00 11 $25,850.00 40 5 RDWY ILIUM FOUNDATION TY 3,5,6,AND 8 11 EA $1,400.00 $15,400.00 11 $15,400.00 Sub-Total of Previous Unit $72,594.00 $72,594.00 Tuesday,October 11,2022 Page 2 of 4 City Project Numbers 103290 DOE Number 3290 Contract Name DOWNING DRIVE INDUSTRIAL Estimate Number 1 Contract Limits Payment Number 1 Project Type PAVING&STREET LIGHTS For Period Ending 8/30/2022 Project Funding Contract Information Summary Original Contract Amount $184,189.00 Change Orders Change Order Number 2 $2,500.00 Total Contract Price $186,689.00 Total Cost of Work Completed $186,689.00 Less %Retained $0.00 Net Earned $186,689.00 Earned This Period $186,689.00 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 $186,689.00 Tuesday,October 11,2022 Page 3 of 4 City Project Numbers 103290 DOE Number 3290 Contract Name DOWNING DRIVE INDUSTRIAL Estimate Number 1 Contract Limits Payment Number 1 Project Type PAVING&STREET LIGHTS For Period Ending 8/30/2022 Project Funding Project Manager NA City Secretary Contract Number Inspectors MILLER,W / VAUGHN,T Contract Date 6/15/2021 Contractor RIDGEMONT COMPANY Contract Time 180 WD 1520 W.WALNUT HILL LANE Days Charged to Date 267 WD IRVING, TX 75038 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 $186,689.00 Less %Retained $0.00 Net Earned $186,689.00 Earned This Period $186,689.00 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 $186,689.00 Tuesday,October 11,2022 Page 4 of 4 c> (U F Q cm) cm) rn z p O U C o 0 N U 2 Z, o cg U o J W w Vn w n O O O P, N S N N N O O U o 0 o 0 z t% 0 o 0 _ w _` o» o» O ¢ o z o a o N N w o 0 LU Uz o Cl) ov N Of Cl) Cl) aO N n Q O ULU w Q U Z N (jco OO OO Q N RS U 0 a o 0 0 a) LO LO U Q 0 a a) a) � ir, NER o O W W > n U o" o O w of o o uj Q z z 0 O 0 0LU J W O O U o a 0 O H O O U o b d Q U W W w co m N a U w M m Q - a o o rn y C Ln C N N M W IL w v r S o•S 0 0 0 a 0 o" ci J m W N Q o0 > a`� N W U o 0 0 N O (0 N Z_` O» O» U 0) U N _ E O W vi W .>_ Q O) 0 } Q io 0000_ m 0 O 0 M N o o N » •• O C M O O (h CL N N O W O 0 O > N N - w .. 00 0 U LLIrn Q U 0 o Y o 0 "' 0 0? h w z 00 O � O w K F W ¢F m W Q U < Z z N o UZ Q w Q a Q U K U cwi_1 Q p O � w W Q � F- 0 a w > H U O O D o 0 0 a ZO N N K Q Q H U 0 0 w w ¢ U �of U -- O U _ LU Z_ Q Z U) J F O 00 U Z Q H W D J U) O � �w z O > N O LL OLU p W U U U 0 IL LL Z W O w U � Q 0 a� Q O � N LL d C _0 U) 7 U O 0 04 / § § §§ § \ § _ \\\\\\ \ \ } B; / ( §§ § § q § ) } yLo LoGg ° ~ $ { a \_\\\_\ § NEl Cc0 R 2 j w k ) § 0 N 0 b E § § } w . k a 0 3 & 2 z p § \ { o ( - \ § } ƒ a) COC)-C - ] 0 - [ & nnk * Gcu LU 0 » qcu / # / / § § � - ^ \ L �OL � ;;Tx 0 _ ° ) / mW & \ \ � w \ Lu ¥ \ \ e , ] \ cu \ -J 3 ] ) w � / / 0 0 \ ) _ o . § k co G R § \ 53§ ± 53 � & ) \ KB ( § 3 t j j / \� °� � � cu c Z / .. / \ » oW S e g C / § w g o £ / \ §, \ \ \ \ \ / Lk ) 7 ) § / / \ § § 0 k E 3 \ a [ ° } z ■ ) } ) \ \ § co E o z 'IT w cu } < } § E / 2 � ~ k o LL \ \ 0 § / \ ) CL LLI ) f 0 DocuSign Envelope ID:817E6A93-FDOB-4204-88BD-89EA01744BE4 SIGNATURE PAGE TO CITY OF FORT WORTH COMMUNITY FACILITIES AGREEMENT DEVELOPER AWARDED PROJECT CHANGE ORDER NO. 1 PROJECT NAME: DOWNING DRIVE CFA#: CFA21-0039 DEVELOPER: CRP/CHI DOWNING OWNER, L.P., a Delaware limited partnership By: CRP/CHI DOWNING GP, L.L.C., a Delaware limited liability company, its general partner By: CRP/CHI DOWNING VENTURE, L.L.C., a Delaware limited liability company, its sole member By: CHI NORTH TEXAS 108 DOWNING, L.P., a Delaware limited partnership, its administrative member By: CHI DEVELOPMENT GP, L.L.C., a Delaware limited liability company, its general partner Name: William G. Mundinger, III Title: Vice President Date: 9/15/2022 w � / \ 8 2 @ 2 g CA k � ( 0 § 2 ( k0 ® ® ® 8 § / - F3 C%l § \ < / q K ± z S Cl) kG b co 2 \ , & & ) coh o\ \ [ u / §L z< > / 0 Q Q \ E / } \ � - O kk 0 f \ m = _ _ \ *\ § §\ § § k _ \ \ ƒ / g LO co $ / « '> - Iw 2 = & I & k O %* e g $ e 0) 3 > 2 E o k f 2 k 00 _ 19 r r § E S S R _C0W _ 0c0 ) t < 2 \ \ \ > 0 3 ± § / 4 4 » k kV l � k z k LU 0 < ■LU # # / < \ k E 2 # \ \ / e f < G 8 > e ) ± z < K 3 e o w o § / @ § 0 0 2 / / ( < A } / 8 2 8 e G / ƒ ƒ o e o = c / z z / 0 o > \ # i # i i # \ j < \ / < z / § § z < e z z e 2 jR \ / § 7 § % j % z 5 z / > 0 f = 0 o 0 4 m E 4 = § [ 5 / < z R I 2/ \ S�D GCO Zia)m N LD -®_®--®/ e}}f)(() k § §) /1 §Lr) ] \ ce /_ 0 / /\5/ < % \ \ - cn§ ) \ / _ N o f ) E } j } \ w E E - & « J z / b § ) § ) 2§ ] = k §2kk \\ \k ) /§ ) � w §) e= FF I m - w z § E `w ;It ƒ LU ILIL § _ ww ® § j U) w ) 0 \ e LL � k \ \ \ g » 3 ° $ \ § ( e ) # § o > 00 @ - { / k j \ \ \ 2 2 LL \ 2 z - 0 z ] / § Sk §§ §§ §§ §Eli Ln / § - zw § § \ o & _ m » CD C4 ) § g \ \ E $ � 'IT ® o = % z a j ƒ 2 / § § 2 z 2 N / \ ] S N� -- « - 5 § D@ E - cl \ - + � � ) ffff § § - / § ( \ ƒ 9 \ § `) mmmm � ® k / f [ AAA ®A \ / \ \ zw § k f \ .. .. a \ \ co E co2 § z ) o \ \ § k / 9 \ ~ § § Q ] ! & § ¥ 2 § \ k k ` c ) 3 > I f 0 DocuSign Envelope ID:817E6A93-FDOB-4204-88BD-89EA01744BE4 SIGNATURE PAGE TO CITY OF FORT WORTH COMMUNITY FACILITIES AGREEMENT DEVELOPER AWARDED PROJECT CHANGE ORDER NO. 2 PROJECT NAME: DOWNING DRIVE CFA#: CFA21-0039 DEVELOPER: CRP/CHI DOWNING OWNER, L.P., a Delaware limited partnership By: CRP/CHI DOWNING GP, L.L.C., a Delaware limited liability company, its general partner By: CRP/CHI DOWNING VENTURE, L.L.C., a Delaware limited liability company, its sole member By: CHI NORTH TEXAS 108 DOWNING, L.P., a Delaware limited partnership, its administrative member By: CHI DEVELOPMENT GP, L.L.C., a Delaware limited liability company, its general partner By: RL ALuL&kw Name: William G.Mundinger, III Title: Vice President Date: 9/15/2022 FORTWORTH. TRANSPORTATION AND PUBLIC WORKS October 11, 2022 Ridgemont Commercial Construction 1520 W. Walnut Hill Lane Irving,TX 75038 RE: Acceptance Letter Project Name: Downing Drive Industrial Project Type: 01,02,03 & 06 City Project No.: 103290 To Whom It May Concern: On September 13, 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 October 11, 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 October 11, 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- 392-5565. Sincerely, Yogesh Patel, Project Manager Cc:Tamara Vaughn, Inspector Wade Miller, Inspection Supervisor Ariel Duarte, Senior Inspector Victor Tornero, Program Manager Cody Hodge, PE. Halff Engineering, Consultant Ridgemont Commercial Construction, Contractor William Mundinger III, Developer File E-Mail: TPW_Acceptance@fortworthtexas.gov Rev.8/20/19 AIA w Document G706' - 1994 Contractor's Affidavit of Payment of Debts and Claims PROJECT: (Name and address) ARCHITECT'S PROJECT NUMBER: OWNER: Downing Drive ARCHITECT: ❑ Downing Drive&I35 West CONTRACT FOR:General Construction CONTRACTOR: Fort Worth,TX SURETY: ❑ TO OWNER: (Name and address) CONTRACT DATED:January 25,2021 OTHER:❑ CRP/CHI Downing Owner,L.P. 3819 Maple Avenue Dallas,TX 75219 STATE OF: Texas COUNTY OF: Dallas The undersigned hereby certifies that, except as listed below,payment has been made in full and all obligations have otherwise been satisfied for all materials and equipment furnished,for all work,labor,and services performed,and for all known indebtedness and claims against the Contractor for damages arising in any manner in connection with the performance of the Contract referenced above for which the Owner or Owner's property might in any way be held responsible or encumbered. EXCEPTIONS: SUPPORTING DOCUMENTS ATTACHED HERETO: CONTRACTOR: (Name and address) 1. Consent of Surety to Final Payment. Whenever Ridgemont Commercial Construction Surety is involved,Consent of Surety is 1520 W. WaInut Hill Lane required. AIA Document G707,Consent of Irving,TX 75038 Surety,may be used for this purpose Indicate Attachment ® Yes ❑ No BY: l� The following supporting documents should he attached (Signat re of authorized representative) hereto if required by the Owner: _Dixie Hanner,Vice President 1. Contractor's Release or Waiver of Liens, (Printed name and title) conditional upon receipt of final payment. 2. Separate Releases or Waivers of Liens from Subscribed and sworn to before me on this date: Subcontractors and material and equipment suppliers,to the extent required by the Owner, accompanied by a list thereof. - 641k,4Aa_ J_Lr�� No tc: onna � � ` 3. Contractor's Affidavit of Release of Liens(AIA My �v a � n Expire%t 3 Document G706A). * STATE OF TEXAS MY Comm.Exp,12/23/2023 NOTARY ID 116W4.2 AIA Document G706"—1994.Copyright©1970 and 1994 by The American Institute of Architects.All rights reserved.The"American Institute of Architects," "AIA,"the AIR Logo,and"AIA Contract Documents"are registered trademarks and may not be used without permission.This document was produced by AIA � software at 12:28:34 CT on 10/12/2022 under Order No.21 1 4 3 52475 which expires on 08/25/2023,is not for resale,is licensed for one-time use only,and may only be used in accordance with the AIA Contract Documentse Terms of Service.To report copyright violations,e-mail copyright@aia.org. User Notes: (3139ADA51) CONSENT OF OWNER ❑ SURETY COMPANY ARCHITECT ❑ TO FINAL PAYMENT CONTRACTOR ❑ SURETY ❑ AIA DOCUMENT G707 OTHER Bond No. PRF9370741 PROJECT: Downing Drive Industrial- Utility and Paving Improvemelnts (name,address) TO(Owner) [ City of Fort Worth ] ARCHITECT'S PROJECT NO: 1000 Throckmorton Street Fort Worth,TX 76102-6312 CONTRACT FOR: ] CONTRACT DATE: CONTRACTOR: The Ridgemont Company 1520 W.Walnut Hill Lane Irving,TX 75038-3701 In accordance with the provisions of the Contract between the Owner and the Contractor as indicated above, the (here insert name and address of Surety Company) Colonial American Casualty and Surety Company 1299 Zurich Way,5th Floor , SURETY COMPANY, Schaumburg, IL 60196-1056 on bond of(here insert name and address of Contractor) The Ridgemolnt Company 1520 W. Walnut Hill Lane Irving,TX 75038-3701 , CONTRACTOR, hereby approves of the final payment to the Contractors, and agrees that final payment to the Contractor shall not relieve the Surety Company of any of its obligations to (here insert name and address of Owner) City of Fort Worth 1000 Throckmorton Street Fort Worth,TX 76102-6312 ,OWNER, as set forth in the said Surety Company's bond. IN WITNESS WHEREOF, the Surety Company has hereunto set its hand this 12th day of October 2Q22 Colonial American Casualty and Surety Company Surety Company Signature of Authorized Representative Attest: (Seal): Debra Lee Moon Attorne -In=Fact Title NOTE: This form is to be used as a companion document to AIA DOCUMENT G706,CONTRACTOR'S AFFIDAVIT OF PAYMENT OF DEISTS AND 45LAIMS, Current Edition AIA DOCUMENT G707•CONSENT OF SURETY COMPANY TO FINAL PAYMENT•APRIL 1970 EDITION•AIA® ONE PAGE O 1970•THE AMERICAN INSTITUTE OF ARCHITECTS, 1735 New York Ave.,NW,WASHINGTON,D.C. 20006 ZURICH AMERICAN INSURANCE COMPANY COLONIAL AMERICAN CASUALTY AND SURETY COMPANY FIDELITY AND DEPOSIT COMPANY OF MARYLAND POWER OF ATTORNEY KNOW ALL MEN BY THESE PRESENTS:That the ZURICH AMERICAN INSURANCE COMPANY,a corporation of the State of New York, the COLONIAL AMERICAN CASUALTY AND SURETY COMPANY, a corporation of the State of Illinois,and the FIDELITY AND DEPOSIT COMPANY OF MARYLAND a corporation of the State of Illinois (herein collectively called the "Companies"), by Robert D.Murray,Vice President,in pursuance of authority granted by Article V,Section 8,of the By-Laws of said Companies,which are set forth on the reverse side hereof and are hereby certified to be in full force and effect on the date hereof,do hereby nominate,constitute, and appoint Sammy Joe MULLIS,JR.,Suzanne Elizabeth NIEDZWIEDZ,John William NEWBY,Joshua D.TRITT,Sandra Lee RONEY,Debra Lee MOON,Andrea Rose CRAWFORD,Troy Russell KEY,Cheri Lynn IRBY of Addison,Texas,EACH,its true and lawful agent and Attorney-in-Fact,to make,execute,seal and deliver,for,and on its behalf as surety,and as its act and deed: any and all bonds and undertakings,and the execution of such bonds or undertakings in pursuance of these presents,shall be as binding upon said Companies,as fully and amply,to all intents and purposes, as if they had been duly executed and acknowledged by the regularly elected officers of the ZURICH AMERICAN INSURANCE COMPANY at its office in New York,New York.,the regularly elected officers of the COLONIAL AMERICAN CASUALTY AND SURETY COMPANY at its office in Owings Mills, Maryland., and the regularly elected officers of the FIDELITY AND DEPOSIT COMPANY OF MARYLAND at its office in Owings Mills, Maryland., in their own proper persons. The said Vice President does hereby certify that the extract set forth on the reverse side hereof is a true copy of Article V,Section 8,of the By-Laws of said Companies,and is now in force. IN WITNESS WHEREOF,the said Vice-President has hereunto subscribed his/her names and affixed the Corporate Seals of the said ZURICH AMERICAN INSURANCE COMPANY, COLONIAL AMERICAN CASUALTY AND SURETY COMPANY, and rFIDELITY AND DEPOSIT COMPANY OF MARYLAND,this 19th day of February,A.D.2021. ATTEST: ZURICH AMERICAN INSURANCE COMPANY COLONIAL AMERICAN CASUALTY AND SURETY COMPANY FIDELITY AND DEPOSIT COMPANY OF MARYLAND By: Robert D.Murray Vice President By. Dawn E.Brown Secretary State of Maryland County of Baltimore On this 19th day of February, A.D.2021, before the subscriber,a Notary Public of the State of Maryland,duly commissioned and qualified,Robert D. Murray,Vice President and Dawn E.Brown,Secretary of the Companies,to me personally known to be the individuals and officers described in and who executed the preceding instrument,and acknowledged the execution of same,and being by me duly swom,deposeth and saith,that he/she is thesaid officer of the Company aforesaid,and that the seals affixed to the preceding instrument are the Corporate Scats of said Companies,and that the said Gorpcirate Scats and the signature as such officer were duly affixed and subscribed to the said instrument by the authority and direction of the said Corporations. IN TESTIMONY WHEREOF,I have hereunto set my hand and affixed my Official Seal the day and year first above written. .` ?. ``Y,fy O►1O1r0''J�CJt_.Q. lryyVy�� �.•.,q;t4;��� Constance A.Dunn,Notary Public My Commission Expires:July 9,2023 P Y Authenticity of this bond can be confirmed at bondvalidator.zuriehna.com or 410-559-8790 EXTRACT FROM BY-LAWS OF THE COMPANIES "Article V,Station 8,Attorneys-in-Fact.The Chief Executive Officer,the President,or any Executive Vice President or Vice President may, by written instrument under the attested corporate seal, appoint attorneys-in-fact with authority to execute bonds, policies, recognizances, stipulations, undertakings, or other like instruments on behalf of the Company, and may authorize any officer or any such attorney-in-fact to affix the corporate seal thereto;and may with or without cause modify of revoke any such appointment or authority at any time." CERTIFICATE I, the undersigned, Vice President of the ZURICH AMERICAN INSURANCE COMPANY, the COLONIAL AMERICAN CASUALTY AND SURETY COMPANY, and the FIDELITY AND DEPOSIT COMPANY OF MARYLAND, do hereby certify that the foregoing Power of Attorney is still in full force and effect on the date of this certificate;and I do further certify that Article V,Section 8,of the By-Laws of the Companies is still in force. This Power of Attorney and Certificate may be signed by facsimile under and by authority of the following resolution of the Board of Directors of the ZURICH AMERICAN INSURANCE COMPANY at a meeting duly called and held on the 15th day of December 1998. RESOLVED:"That the signature of the President or a Vice President and the attesting signature of a Secretary or an Assistant Secretary and the Seal of the Company may be affixed by facsimile on any Power of Attorney...Any such Power or any certificate thereof bearing such facsimile signature and seal shall be valid and binding on the Company." This Power of Attorney and Certificate may be signed by facsimile under and by authority of the following resolution of the Board of Directors of the COLONIAL AMERICAN CASUALTY AND SURETY COMPANY at a meeting duly called and held on the 5th day of May, 1994,and the following resolution of the Board of Directors of the FIDELITY AND DEPOSIT COMPANY OF MARYLAND at a meeting duly called and held on the 1 Oth day of May,1990. RESOLVED:"That the facsimile or mechanically reproduced seal of the company and facsimile or mechanically reproduced signature of any Vice-President, Secretary, or Assistant Secretary of the Company, whether made heretofore or hereafter, wherever appearing upon a certified copy of any power of attorney issued by the Company,shall be valid and binding upon the Company with the same force and effect as though manually affixed. IN TESTIMONY WHEREOF,I have hereunto subscribed my name and affixed the corporate seals of the said Companies, this 12th day of October 2022 $8AL Rom, ttN By: Brian M.Hodges Vice President TO REPORT A CLAIM WITH REGARD TO A SURETY BOND,PLEASE SUBMIT A COMPLETE DESCRIPTION OF THE CLAIM INCLUDING THE PRINCIPAL ON THE BOND,THE BOND NUMBER,AND YOURCONTACT INFORMATION TO: Zurich Surety Claims 1299 Zurich Way Schaumburg,IL 60196-1056 www.EgportsfclaimsCa?zurichna.com 800-6264577 ZURICH Texas Important Notice IMPORTANT NOTICE AVISO IMPORTANTE To obtain information or make a complaint: Para obtener informaci6n o para presentar una queja: You may call Zurich North America's toll-free telephone Usted puede Ilamar al n6mero de tel6fono gratuito de number for information or to make a complaint at: Zurich North America's para obtener informac16n o para 1-800-382-2150 presentar una queja al: 1-800-382-2150 You may contact the Texas Department of Insurance to obtain information on companies, coverages, rights,or Usted puede comunicarse con el Departamento de Se- complaints at: guros de Texas para obtener informaci6n sobre com- 1-800-252-3439 paths,coberturas, derechos, o quejas al: 1-800-252-3439 You may write the Texas Department of Insurance: Usted puede escribir al Departamento P.O. Box 149104 de Seguros de Texas a: Austin,TX 78714-9104 P.O. Box 149104 Fax: (512)490-1007 Austin,TX 78714-9104 Web: www.tdi.texas.gov Fax: (512)490-1007 E-mail: ConsumerProtection@tdi.texas.gov Sitio web: www.tdi.texas.gov E-mail: ConsumerProtection@tdi.texas.gov PREMIUM OR CLAIM DISPUTES: Should you have a dispute concerning your premium or DISPUTAS POR PRIMAS DE SEGUROS O about a claim,you should contact the company first. If RECLAMACIONES: the dispute is not resolved,you may contact the Texas Si tiene una disputa relacionada con su prima de seguro Department of Insurance. o con una reclamaci6n, usted debe comunicarse con la compania primero. Si la disputa no es resuelta, usted ATTACH THIS NOTICE TO YOUR POLICY: puede comunicarse con el Departamento de Seguros de This notice is for information only and does not become Texas. a part or condition of the attached document ADJUNTE ESTE AVISO A SU PbLIZA: Este aviso es solamente para prop6sitos informativos y no se con- vierte en parte o en condici6n del documento adjunto. U-GU-296-E(06/15) Page 1 of 1