HomeMy WebLinkAboutContract 55162-FP1 FORT WORT H.
TRANSPORTATION AND PUBLIC WORKS
NOTICE OF PROJECT COMPLETION
City Secretary No: 55162-FP 1
Date Received: Oct 28, 2022
City Project Ns: 102864
Regarding contract 55162 for 2021 RESURFACING PROJECT as required by the TRANSPORTATION AND
PUBLIC WORKS DEPARTMENT as approved by City Council on 12/15/2020 through M&C 20-0947 the
director of the TRANSPORTATION AND PUBLIC WORKS DEPARTMENT upon the recommendation
of the Assistant Director of the Transportation&Public Works Department has accepted the project as complete.
Original Contract Prices: $1,563,752.00
Amount of Approved Change Orders: $ 98,909.45 Ns 1,2
Revised Contract Amount: $1,662,661.45
Total Cost Work Completed: $1,659,176.69
Less Deductions:
Liquidated Damages: 0 Days @$650.00/Day
Pavement Deficiencies:
Total Deduction Amount: $0.00
Total Cost Work Completed: $1,659,176.69
Less Previous Payments: $1,576,217.86
Final Payment Due $82,958.83
Oct 27, 2022
Recommended for Acceptance Date
Asst. Director, TPW - Capital Delivery
/Ouu� Oct 27, 2022
Accepted Date
Interim Director, TRANSPORTATION AND PUBLIC WORKS
DEPARTMENT Client Department
Q Oct 27 2022
Wi Ilia m Johnson(Oct 7,202212:10 CDT)
Asst. City Manager Date
OFFICIAL RECORD
Comments:
CITY SECRETARY
FT. WORTH, TX
r C-620 Signature Page
Contractor's Application for Payment Invoice No. 16 Final
To(Owmer) City of Fort Worth Invoicing Period(From-To): Invoice Date.
la6rzozz
P.O. FW020-004939 I—(Contract«): Remit to(ifNca Automatic Dcposit):
Number. PEACHTREE CONSTRUCTION LTD
project: 102864 Contractor's CFW VerdorNe:
0000007231
city secretary Contract55162 Camara Number. 2021 ResurfacingProject
wsbm Name:
Application For Payment
Change Order Summary
Approvedrs L ORIGINAL CONTRACT PRICEAdditions Deletions 2.Net change by Change Orden...................................................................$ S98,909A5
S54,481.20 3.Current Contract Price(Line 1t2).........................................................S S1,662,661.45
$103,948.25 S59,420.00 4.TOTAL COMPLETED AND STORED TO DATE
(Progress Estimate,Construction Allowance and change Orders).......$ $1,659,176.69
5.RETAINAGE;
X $1.659,176.69 \York Completed.........$
b. X Not Used $
7 c.Total Refithuse(Line Sa+Line 5b)................................$
8 6.AMOUNT ELIGIBLE TO DATE(Line 4-Line 5c).............................$ $1,659,176.69
TOTALS S158,329AS $59,420.00 7,LESS PREVIOUS PAYMENTS(Line 6 from prior Application)........S $1,576,217.86
NETCHANGEBY $98,909.45 S.AMOUNT DUE THIS APPLICATION..................................................S S82,958.83
CHANGE ORDERS 9.BALANCE TO FINISH,PLUS RETAINAGE
(Column G on Progress£stimate+CA+COs+Line 5 above)..............S $3,494.76
Contractor's Certification 10.CONTRACTTI\IE:
The Contractor certifies uith the submitat ofthis document and associated Payment Request Submittal a. Days Awarded 230
on the City of Fort Worth Huasaw system that to the best of their knowledge:(1)all previous progress b Days Added by CO 110
payments received from Osmer on account of Work done under the Contract have been applied on
account to discharge Contractors legitimate obligations incurred in connection with Work covered by c. Total Days 340
prior Applications for Payment;(2)title ofall Work,materials and equipment incorporated in said
Work or othenaiw listed in or covered by this Application for Payment will pass to Oumr at time of Ds Charged payment free and clear of all Liens,security interests and encumbrances(except such as are covered by d. ys ge 339
a Bond acceptable to Ouwer indemnifying Ouner against any such Liens,security interest or e. Days Remaining I
encumbrances);and(3)all Work covered by this Application for Payment is in accordance with the
Contract Documents and is not detective.
Liquidated Damages S650 x day
B Taylor(tct 19,2022 09:06 CDT)
This document has been mod'died 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 consu8 Legal Counsel prior to its execution.
C620 Unit P-PIG,-E55r11 ate
Progress Estimate sr 55162
F«(rx 2021 Resurfacing Project
AP�liwllo,eeam:
A B c D
Iwn
5p«ifiraDm tkis of BM pnrtiry Umt Pria Oid Vila EaimsIN V�4iry Va. Prtsiomlylwilkd Value Vil«This PviOd
BM 1lem No. Dry iplm SttOan No. Sl- Inaalled
1 0135.0201 REMOBILIZARON 0171)D0 EA 1.000000 s1,o000o $0000.00 5.0D000D00 SS.o00.00 $5,000.00
2 3216.0102 REMOVECONCCURGUTTERFA 321613 _ LF 3900.000000 51.10 $3.00.00_ 6393.74000000 $7,053./7 $7.033.11
3 0241.0401 REMOVE
E OV CONCRETGUI'TER 024113 LF 4200.000D00 E$1.10 st$5,4D0.00 _ 697720000DDODW _$7.W7.86 $.2$7.831,70
4 3213NDI 6'COVECOECRITEIAYE 3213. SF 8700.000000 $1.10 $7,370.00 72W.00000000 57.839.70 57,8J9.]o
5 02410100 REMOVE
SIDEWALK
'!AY D24113 SF 7200.000000 $1.00 $5$210.011 _ 7217.00000000 $5S71AB $S$471.46
6 0241.03"'"Co'C SIDEV. 3213. SF 200000000 sam .210.00_ 449A7000000 828.76 $828.76
7 321 J.0301 4'CONC SIDEl'lALK 321320 SF 200.000000 E830 $1.260.00 449A1000000 E2.828.]8 _ $2.025.]6
8 32130322 COECCURBATBACKOFSIOEI'JALK f610 121ntllmv) 024114 _ LF _20.000000 $1826 _$525.00
_ B 321603017-CONE ALLEVALLEYGUTTER 32111J BY 90.000000 378.90 __ 5567.00 732.85000UU0 - $2b70A] $2,510.66
10 111fi0111 REV. VALLEY 024113 BY 30.000000 $2.10 $$525.00 178.06000000 $19985.06 $79,985.08
11 02110.1 8 RI ERFREER EI 321320 SF 260.000000 $2.10 _ ,350.00 -
12 3213,0503 BARRIER FREE".W.TYPE R-1 321320 SF 200.000oo0 $28.90 $7,350.00
13 3213.0503 BARRIER FREE RAMP.TYPE M-1 321320 SF 100.000o00 $30.50 _ S2,890.00
14 32100506 BARRIER FREE RAI.',P.TYPE 51-2 321320 SF 100.000000 $30.50 53,050.00 33].00000000 E10,278b0 570.278.50
15 0213050fi BARRIII-PAVR FREE EMENT
LVSRTYPE N _ D24115 SF 500.Ootwx; $$am $752,50.00_-___985.89000000 301,765.88 _ S22.4 14.75
17 3241.1302 3-A VEMENT PULVE T,TYPE _ _ 321616 _ BY 46000.000000 $Bb5 S307.300.00_ 469B5.630DODW $718.880.14 $307$718.55.68
1] 3212.0302 CEMEN MODFICATIIfT,26 bl 321133 BY 48000.000000 IosAo $70.J600.00 46985.63000000 $110,932.45 $118.932.14
45
18 _3211.06D0 CEI,IEH M4D IFICA RO E6155/sY_ M 10. _ IN 590.o00000 $105A0 $$15.050.00 609.91000000 $118.932.{5 5118,932A5
79 3110.010224-112"TRE D LARGER.TREE RElAOVALI 31 IBM EA 4.000000 $3.50D.00 5$2,000.00
20 3123.01026'-12'TSIFIEDEXCAL 322316 _ EA 70000_00 32,]50A0 _ _EZ,750.00
90
21 3123.0101 LOCK SOD EO E%CAVATI T 329213 BY S0.00o000 $12.60 12_0DO 275.42000000 $17.138.00_ _$$7,136.90
22 32920100 ST PB00REPLACEMENT 3217B BY 14o0.o00000 $12.60 $$1550.00 10DOODD00 37,24s.00 $1,24500
23 3217.0105 BTOP 6AR5 PAVEl.1ENT l.1ARKING3 J21)2l LF 100.000000 $7550 $/,550.00 65.00000000 $100750 51,00].50
24 3217.0001 4"SOLIDTHER),IOPIASRCfHASILANEUNE 3217D LF 7D0.0006W _ $125 $125.00 160ADOODDDO $2o0A0_ _ $200.00
25 3217.0002 4"SOLID THERMOPLASTICA-ASI CENTER LINE 12172J LF _ 160.600D00_-_ $1.25 $125.00 5M110000000 $650.00_ $650.00
26 12-INCH SOLID PAVEMENT MARKING(CR0SSWALX-1'IHITE) 121723 LF 1D0.000000 $5.00 $800.00
3217.0501 24'SOLID WHITE THERAIOPIA.STIC(HAE)CROSSWALK 3217D
27 LINES LF 1110.0D000U $15.50 $1.550.00 60.00000006 _ $775.00 sns.o0
28 3217.5001 CURB ABBESS PAINTING 321723 EA IM.000000 $4410 $5.280.00 71.000000M _ $3,124.00 _ $3,124.00
29 3291.0100 TOPSOIL 329119 CY 1o0.0000o6 $55.00 $5b00.00 142.00000000 $7.810.00 $7,810.00
30 3211.0122 FLEXBASE,TYPEA GR.2 321123_ _ GY 200.0W000 $42A0 38.400.01)- 11250000000 51725.01- - $i,725.00
31 3305A108 MISCELLANEOUSADJUST1d ENT MI MS) 000508_ Ls __-_7_000D00 }7.00DAO 57390.00 _ 0.75000000 51.050.00_ $1,050.00
32 3305.0108 MISCELLANEOUS STRUCTIIREAOWISTMEM 33w1 BY 1.000000 $390310 $390.00
3305.0111 WATER VALVE 80%ADJUSTMENT(YIRH STEEL RISER) 3J 6511O303
33 17 EA 1.000000 $25DA0 $250.00
3305.0172 WATER VALVE BOXADNSTMENT(WNH CONCRETE 3305I45305
34 _RISERI 17 EA 76.o00000 $300.00 54,e00A0 25.00000000 57500.00_ $7.500.00
35 331200031-INCH STANDARD CONCRETE
33 1210 EA 70.o00oo0 $220A0
36 331220031-INCH HOLE ADJUSTMENT
JUSTMEN MITE METER BOX 1I 1A to EA 70.000000 $220.00 E$500.00
37 33490107 I,1ANHOLEAOJUSTMENTMIT-KEEL RISEF6 311914 FA 1.000000 SSOOAO $500.00
_ 38 3305_0112 hWIHOLANEOUS STRUCTURE
ADJUSTMENT IN AR_I 33014
3031i EA 18.000009 5900.00 $14 100A0 21_00000000 527600.00 $2I,600.00
3305.0708MISCELW:EOUS STRUCNRE ADJUSTMENT(S STORM 3J OJ I{
39 DRAIN IN M TOP- EA 7.000000 $3.DODAO E3.000.00
3305.0108 STRUCNRE ADJU3TMFM(10'STORM 130J I1
40___DMINIDI WTOP) _ EA -. 1.000000. $1,4110.66 SMOOM
41 0318.07016•PERFORATED SUBDRAW PIPE 13 4600 LF 700.000000 $YiAO 52.]00.00 15.00000000 5/05.00 3405.00-- -_-- --
12 9999.0000 SRE CLEARING BY f00.000000 522.00 $2.200.00
43 9999.0W0 REMOVE CCRCT PVMT BY 70.o00oo0 $25.00 5250.00- _ --
44 9M OO96 PAVINGCONSTRUCTION ALLOWANCE EA 1.000000 $80,000.00 580,000.00
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Progress Estimate Change Order Number �1 Contractor's Application
ADDITIONS
P«fwrJr+'+k 102864 2021 Rnurf¢ing Projeel ciySwRry s5162 AKi'r"°)""b" 16 Final
cmo-.nuw.
Alp.-Pa - AvpYatim Dau: 1016r2022
A 0 C D E F
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45 6iob w6l wAieSe3m µeat b'.nmi190 a3) '_ 2Np0.00000000 lZ01 SJb.MW_2.110J60J000 W.Mlt ._S{J.TS61! _ CIS �19]IA2
K ___l:vb bGi eBac)c3aw v+ydmo+l90 m3) __ nl.oDx0000 SL65_ S-W.7S 1)5.00}TJ000 _ SIU.]1 SJ6l.)5 _ _ _ S .15 lm0
47 _IS'vd n51><bry µray�lPom11 _ 10400000000 SII.N 5195].1J I50,00000000 _ SI.)60.50 $I,]6550 S,1A0 90.4_y_ $I..
4S 2J ed�nfil uurSe Nnm�1125 m2I V 51.W0)WOD 51"9 n55.06 41.00000000 56)1.99 E6)1.99_ _ 5671.99 759X S215A7
49 J'rtnatirc mvla,pK II NA FA I67.00000000_ Sf.00 SUSAO 163.00000000 __591SOo SM.00 _ __ S.M. 9)Y.: Sam
4'rthcme awrSc,pK nCA _ PA 9A0000000 55.00 H5.00 IIAO)00000 SSS.M $11.. __ __ SS5.00 IT21X 31A.
!1 TArnwPTP«nW 1125 vd)r;,�c6a5 fl'+ghl'rtrawl wmw PA S.OJp0000D ul1 52510.60 S.00DD0000 E139115 SI,SSI.TS _ _ SI01.25 6 R; SMIS
!2 ]Tamr peR«aW(123 w11a«d'OVLI^ FA I.000OOQY) S73.75 S3)3.)5 1.00000000 SI)3.)5 SI)3.)5 _ _ S..]5 106015
51 Themwphai«e!«awllla mTllMaT1)1'r11$m1W FA II.OA000DO 551.]5 E6)L)3 I1.00PJ0000 _ S-15 S6)L]S 100.0f5
54 ThmnopUe:Y aTrimQe(125 mi155av1 FA 1.00000000 S156)5 W.73 1.G1000000 51.-I SI,u625 -JIN6T5 JOI •S9]]30
T«a4 W 6I.20 M114AI SSE 124A2 SS I1JA! 93.A.: li ll6)B
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Progress Estimate Change Order Number �1 Contractor's Application
DELETIONS
102864 2611 R.Ud.dng ft j.al Als&x�^Nmo^m 16 FI..I
ApS-a>n HIIM22
A U C D E F
M p kNo
CT"^CONdi� Sdifutim U�ve( CO�Ym Uti PA-e CTxq Oetld Nd UaN NIX Usstl NIXUmd NIXUW NIXUssd Nd Ux.f NIXUW T'd Uxd
Na � Satioo Na Mcurt �� Vane
ne m,,,n,�awa ew.rw m.a:,d;Fwr u,e Etcoc a«,d.+i,m�heav ddm6WPal�Jm
euuumm.vo,da IX,as.�m w u.n�m d,<rePy>,anon 1<pl c«,u<i p'vr u u a,apy.
Progress Estimate Cliange Order Number 0 Contractor's Application
ADDITIONS
Fw(mmxlk 102864 2011 Re fttingft0jtti CrySaawry 55162 •A.6 N ` 16 Fin.]
Cm m Nam
AppL P'. A°°5'°" la6l202S
A D C D E F
Y®
Da4namF�h
CIa,3e A0u Wm A6fmi(twSe F�Ie1 Q,amy P,M.0, Valle_ Alaukls Prams Totil Cae.
Sp N' Uo'tef CO Qvw4ym Adt Uei Pr'ec l'aLc avE SuedmDue (F) (D-F)
Fa �S� Sm:a Na Mare Ade+V� NGMi Iambi Vaim Pao1 Smre1(mtuC) (pJEI R
2 Rmm<CmE Cv6&liver OiJI.IJ00 V 12oo.0YY,-MS SI.10_ _ SI,l W SUM00
J ]+Cae CurbWGauc 9216010E U_ IMI PYTYYJ00 131.00
A Rm —A O2JIA100 SF _ _211OpYTYA SI.03 StSA]t — SM75
_ 1 J'Cax Sifeca"a 1213,0J01 SF . ft,6)0.00 — —_
1t.6M00
_ __ Rose Cm:Va0<y Gvea OiJ1.IJ00 SF _IJO.W}kN100 SIL9D_-_ S26J6.00
10 _)^Cmc VJO:y Guvr JE160J01 SF IA5.00'.YAW_ S11J30 SI]2130
11_ _DurcrFm Rupp,T>tt M.1 121 0 SF ]J1.0.U?J000 SM SIX—_ __. _ S"
IS _pyniflttpuryy Tnr P-1 32110503 SF 25t0000]000 S)O30 Si.16)30 _ _ — — _ S)-16].SO
_ 21 _Ue.4 .Eun 112J0101 CY iLL00000ND SIpUp 59 Np00 — SV.+�000
JS SlmAok Alw (x'e5 3-.0112 FA 500000000 SSG000 S]100.00_— — — S7.200A0
Tay Si 61L35 SI 115
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Progress Estimate Change Order Number 0 Contractor's Application
DELETIONS
Fa(aao-ank ]0286�t 2021 Resurfacing Proferl Aeo+�tiv tl hv:
16 Finel
APAb Pahl Aro'aiw Dtic 1016/2022
A B C D E F
Item CO Q+cntaPe Dcttiat Ctug
t1u+Sa0egcrinm Spadllne ; ( �� Una PiaY Nd Vrei Na UwS Na Uwt Na UcN Na UaS NNUW NN Uxd Na Uvd
12 Baba FrteRmg TPeRI _ 521-1 SF pp.pppppOW M75 S)J5000
1] 5'AgAct Par�eN,TSPe D _ _3212AV2 SY ISOQO.U00000 515J _ S.9—
19 Ei WLWIvgS Tra Rmmil 31100102_ EA 40ppppppp uMW 514,000W
__21 0hck SOJ ReP1_maN __ 12920199 SY IM,.W00000 512 ___St&Ixw
TN
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mMS�ati+�v Yw art eecwa.SNbmf Oa 6iarca ac(WlyW mwt LplCamal Svbr b ss c.mmv
City of Fort Worth Summary of Charges
City SecretaryContmdNum: 1 55162 2021 Resurfacing Project P,O„ FW020-004939 ProjmtNumber: 102864
Application Period: 0 Appli.tio
Numbcr.n 16 Final Application Date: 10/6/2022
Funding Identification(FID) Total Completed Amt Remalnin Gross Relainage Net
Ori Inal Contract
30100-0200431-5740010-102864-006280.9999 $1,607,052.27 $43,300.27
0 I I I
0
p
0 I
0
0
0
0
0
0
Change Order
30100-0200431-5740010-102864-006280-9999 52124A2 $2,356.78
0
0
0
0
0
0
0
0
o
o
I I I
Chan eOrder2
30100-0200431-5740010-102864-006280-9999 I $59 548.25
0
0
0
0
0
0
o I I I I I
0
0
0
City of Fort Worth Summary of Charges
City Secretary Contmet Num: 55162 2021 Resurfacing Project P,O„ FW020-004939 Project Number: 102864
Application Period: 0 Number. 16 Final Application Date: 10/6/2022
Application
Funding Identification(FID) Total Com leted I Amt Remaining Gros Retalnage Net
Chan eO06280-99rder3 ---
30100-0200431-5740010-102864-099
0
0
0
0
0
0
0
0
0 I I I I I I
0 —
I
Change Order 4 -
30100-0200431-5740010-102864-006280-9999
0
0
0
0
0
0
0
0
0
0
Change Order 5
30100-0200431-5740010-102864-006280-9999
0
0
0
0
0
0
0
o
o
o
City of Fort Worth Summary of Charges
City Secretary Contract Num: 1 55162 2021 Resurfacing Project P.O.. FW020-004939 Project Number. 102864
Application Pedod: 0 Application 16 Final Application Dale: 1 0/612 0 2 2
Number
Fundlna Identl0cation(FID) F Total Completed Amt Remainln Gross fI Retalnage Net
�I
Change Order
30100-0200431-5740010-102864-006280-9999
0
0
0
0
0
0
0
0
0
0
I
Chan-go Order -
30100-0200431-5740010-102864-006280-9999
0
0
0
0
0
0
0
0
0
0
I
Change Order
30100-0200431-5740010-102864-006280-9999
0
0
0
0
0
0
0
o —I
0
0
City of Fort Worth Summary of Charges
City SecretaryContmaNum: 1 55162 2021 Resurfacing Project P.O.: FW020-004939 ProjcctNumber. 102864
Application Period: 0 Appltcanon 16 Final Application Date: 10/6/2022
Number
Funding Identification(FID) Total Com leted Amt Remainin Gross I F-Retainaqe--1 I Net
Totals
30100-0200431-5740010-102864-006280-9999 $1,659,176.69 $18,604.76
0
o
0
0
0
o
0
0
o I I I I
o
Grand Total 1,659,176.69 $18,604.76 0.00 1 1 (82,958.83) 582,958.83
FORTWORTH.
TRANSPORTATION AND PUBLIC WORKS
October 14, 2022
Peacttree Construction, LTD
5801 Park Vista Circle
Keller,Texas 76244
RE: Acceptance Letter
Project Name: 2021 Resurfacing Project
Project Type: Paving
City Project No.: 102864
To Whom It May Concern:
On June 9, 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 16, 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 June 16, 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-
392-7830.
Sincerely,
.a.
Taric uI Islam(Oct 20,2022 09:02 CDT)
Tariq Islam, Project Manager
Cc: Robert Riley, Inspector
Ronald Cordova, Inspection Supervisor
Gary Deyon, Senior Inspector
Victor Tornero, Program Manager
N/A, Consultant
Peachtree Construction, LTD, Contractor
N/A, Developer
File
E-Mail: TPW_Acceptance@fortworthtexas.gov
Rev.8/20/19
i
AFFIDAVIT
i
STATE OF TEXAS
I
i
COUNTY OF Tarrant
i
1
Before me, the undersigned authority, a Notary Public in the state and county
aforesaid, on this day personally appeared Brendan Tam(name), Project Manager
(title), of Peachtree Construction, Ltd., 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 City of Fort Worth has been paid; and
That there are no claims pending for personal injury and/or property damages;
On Contract described as;
s
2021 Resurfacing Project
By
Subscribed and sworn before me on this day of Wt'VAr ,20 2 1
Notary lic in Ta4anV County, Texas
Wn Reiter
Commission Expires
28/2023No.130350671
CONSENT OF OWNER
SURETY COMPANY ARCHITECT ❑
TO FINAL PAYMENT CONTRACTOR ❑
Conforms tvith the American Institute of SURETY
Architects,AIA Document G707 OTHER ElBond�# 107311$74
PROJECT: 2021 Resurfacing Project, City Project No. 102864
TO(Owner)
City of Fort Worth ARCHITECT'S PROJECT NO.
200 Texas Street
Fort Worth, TX 76102 CONTRACT FOR:
CONTRACT DATE:
CONTRACTOR: Peachtree Construction, Ltd., 5801 Park Vista Circle, Keller, TX 76248
In accordance with the provisions of the Contract between the Owner and the Contractor as above,the
Travelers Casualty and Surety Company of America
9601 McAllister Freeway, Suite 700 SURETY COMPANY,
San Antonio, TX 78216
on bond of
Peachtree Construction, Ltd.
5801 Park Vista Circle, Keller, TX 76248 ,CONTRACTOR,
hereby approves of 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 to
City of Fort Worth
200 Texas Street OWNER,
Fort Worth, TX 76102
as set forth in the said Surety Company's bond.
IN WITNESS WHEREOF,
the Surety Company has hereunto set its hand this 19 day of October 2022
Suret Company Travelers Casualty and Surety Company
p y of America
11RA 6-1-1
Witnesc�Ll G Signature of Authorized Represe tive Teresa.Ayala-Attorney-In-Fact
Linda K Edwards
NOTE:This form is to be used as a companion document to AIA DOCUMENT Cs706,CONTRACTOR'S AFFIDAVIT OF PAYMENT
OF DEBTS AND CLAIMS,
Current Edition
00439€21OU ONE PAGE
Travelers Casualty and Surety Company of America
! Travelers Casualty and Surety Company
T1RAVELERS St. Paul Fire and Marine Insurance Company
POWER OF ATTORNEY
KNOW ALL MEN BY THESE PRESENTS: That Travelers Casualty and Surety Company of America, Travelers Casualty and Surety Company, and
St. Paul Fire and Marine Insurance Company are corporations duly organized under the laws of the State of Connecticut (herein
collectively called the"Companies"),and that the Companies do hereby make,constitute and appoint Teresa Ayala of
FT WORTH , Texas , their true and lawful Attomey(s)-in-Fact to sign, execute, seal and
acknowledge any and all bonds, recognizances, conditional undertakings and other writings obligatory in the nature thereof on behalf of
the Companies in their business of guaranteeing the fidelity of persons, guaranteeing the performance of contracts and executing or
guaranteeing bonds and undertakings required or permitted in any actions or proceedings allowed by law.
IN WITNESS WHEREOF,the Companies have caused this instrument to be signed,and their corporate seals to be hereto affixed,this 21st day of April,
2021.
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State of Connecticut
By:
City of Hartford ss. Robert L.Rene , enior Vice President
On this the 21st day of April, 2021, before me personally appeared Robert L. Raney, who acknowledged himself to be the Senior
Vice President of each of the Companies, and that he, as such, being authorized so to do, executed the foregoing instrument for the
purposes therein contained by signing on behalf of said Companies by himself as a duly authorized officer.
IN WITNESS WHEREOF,I hereunto set my hand and official seal.
My Commission expires the 30th day of.tune,2026 * N OTARY
Anna P.Nowik,Notary Public
This Power of Attorney is granted under and by the authority of the following resolutions adopted by the Boards of Directors of each of
the Companies,which resolutions are now in full force and effect,reading as follows:
RESOLVED, that the Chairman, the President, any Vice Chairman, any Executive Vice President, any Senior Vice President, any Vice
President,any Second Vice President, the Treasurer, any Assistant Treasurer, the Corporate Secretary or any Assistant Secretary may appoint
Attorneys-in-Fact and Agents to act for and on behalf of the Company and may give such appointee such authority as his or her certificate of authority
may prescribe to sign with the Company's name and seal with the Company's seal bonds, recognizances, contracts of indemnity, and other writings
obligatory in the nature of a bond, recognizance, or conditional undertaking, and any of said officers or the Board of Directors at any time may
remove any such appointee and revoke the power given him or her;and it is
FURTHER RESOLVED, that the Chairman, the President, any Vice Chairman, any Executive Vice President, any Senior Vice President or
any Vice President may delegate all or any part of the foregoing authority to one or more officers or employees of this Company, provided
that each such delegation is in writing and a copy thereof is filed in the office of the Secretary;and it is
FURTHER RESOLVED, that any bond, recognizance, contract of indemnity, or writing obligatory in the nature of a bond, recognizance,
or conditional undertaking shall be valid and binding upon the Company when (a) signed by the President, any Vice Chairman, any Executive
Vice President, any Senior Vice President or any Vice President, any Second Vice President, the Treasurer, any Assistant Treasurer, the
Corporate Secretary or any Assistant Secretary and duly attested and sealed with the Company's seal by a Secretary or Assistant Secretary;
or (b) duly executed (under seal, if required) by one or more Attorneys-in-Fact and Agents pursuant to the power prescribed in his or her
certificate or their certificates of authority or by one or more Company officers pursuant to a written delegation of authority;and it is
FURTHER RESOLVED, that the signature of each of the following officers: President, any Executive Vice President, any Senior Vice President,
any Vice President, any Assistant Vice President, any Secretary, any Assistant Secretary, and the seal of the Company may be affixed by facsimile to
any Power of Attorney or to any certificate relating thereto appointing Resident Vice Presidents, Resident Assistant Secretaries or Attorneys-in-
Fact for purposes only of executing and attesting bonds and undertakings and other writings obligatory in the nature thereof, and any such Power of
Attorney or certificate bearing such facsimile signature or facsimile seal shall be valid and binding upon the Company and any such power so executed
and certified by such facsimile signature and facsimile seal shall be valid and binding on the Company in the future with respect to any bond or
understanding to which it is attached.
1, Kevin E. Hughes, the undersigned, Assistant Secretary of each of the Companies, do hereby certify that the above and'foregoing is a
true and correct copy of the Power of Attorney executed by said Companies,which remains in full force and effect.
Dated this 19 day of October 2022
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Kevin E, Hughes,Assistant Secretary
To verify the authenticlty of this Power ofAttorney,please call us at 1-800-421-3880.
Please refer to the above-namedA ttoraey(s)-&-Fact and the details of the hand to which this PowerofA ttorney is attached