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Contract 55380-FP1
FORT WORTH® TRANSPORTATION AND PUBLIC WORKS NOTICE OF PROJECT COMPLETION City Secretary No:_55380-FPI Date Received:-Dec 8,2022 City Project No: 101584 Regarding contract 55380 for E NORTHSIDE DRIVE @ COLD SPRINGS ROAD ROUNDABOUT PROJECT as required by the TRANSPORTATION AND PUBLIC WORKS DEPARTMENT as approved by City Council on 01/12/2021 through M&C 21-0026 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: $2,247,084.50 Amount of Approved Change Orders: $ Ne 1 Revised Contract Amount: $2,247,084.50 Total Cost Work Completed: $2,150,541.32 Less Deductions: Liquidated Damages: 0 Days @$650.00/Day Pavement Deficiencies: Total Deduction Amount: $0.00 Total Cost Work Completed: $2,150,541.32 Less Previous Payments: $2,120,792.81 Final Payment Due $ 29,748.50 Dec 8,2022 Recommended for Acceptance Date Asst. Director, TPW - Capital Delivery � Dec 8,2022 Accepted Date Interim Director, TRANSPORTATION AND PUBLIC WORKS DEPARTMENT Client Department William Johnson(De ,202214:48 CSi1 Dec 8,2022 Asst. City Manager Date Comments: OFFICIAL RECORD CITY SECRETARY FT.WORTH,TX C-620 Signature Page Contractor's Application for Payment Invoice No. Final To(Owner) City of Fort Worth Invoicing Period(From-To): Invoice Date: P.°. FW020-0000005209 From(Contractor): Remit to(If Not Automatic Deposit): Number: Reyes Group LTD Project: 101584 Contractor's CFW Vendor No.: 0000034667 City Secretary Contract 55380 Contract Number: Namme::E Northside Drive&Cold Spring Application For,Payment Change Order Summary Approved Change Orders 1. ORIGINAL CONTRACT PRICE............................................................. $ $2,247,084.50 Number Additions Deletions 2. Net change by Change Orders................................................................... $ 1 3. Current Contract Price Line 1 t 2 2 4. TOTAL COMPLETED AND STORED TO DATE 3 (Progress Estimate,Construction Allowance and Change Orders)....... $ $2,150,541.32 4 5. RETAINAGE: 5 a. X $2,150,541.32 Work Completed........., $ 6 b. X Not Used S 7 c.Total Retainage(Line 5a+Line 5b)................................ $ 8 6. AMOUNT ELIGIBLE TO DATE(Line 4-Line 5c).............................. $ $2,150,541.32 TOTALS 7. LESS PREVIOUS PAYMENTS(Line 6 from prior Application)......., S $2,120,792.81 NET CHANGE BY 8. AMOUNT DUE THIS APPLICATION................................................... $ $29,748.50 CHANGE ORDERS 9.BALANCE TO FINISH,PLUS RETAINAGE (Column G on Progress Estimate+CA+COs+Line 5 above)............... $ $96,543.18 Contractor's Certification 10. CONTRACT TIME: The Contractor certifies with the submittal of this document and associated Payment Request Submittal a. Days Awarded 260 on the City of Fort Worth Buzzsaw system that to the best of their knowledge:(1)all previous progress b, Days Added by CO 190 payments received from Owner 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 450 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 d, Days Charged 450 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 e. Days Remaining encumbrances);and(3)all Work covered by this Application for Payment is in accordance with tlue Liquid Damages$650.00 x day Marcos G.Reyes(Dec 2215:11 C 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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S161m am00000a E sulW trap to Jbt sa,,,.uee Lwiwe smm sia�aw a9P0000m u�m umam , �aml:sara9e scan LwtLm+kn warm u. < si oiaao mm3 TI warm u 2 slmm skim xammooP uvlm smm smW » vfnmlJ sr.».sea<I Lava.,a.a.Lrr-nr>.t .,aim Fn. x sxalm fxam imJmoca sxdW scum ss46W ,Waf. 5m mla 0.maaOwMaa9MLary Ce»xar u615m tl»00000050 un5m tm Oi v=a Sy Exam 46dm 36dm0omm —1. S955am IW ve-> 5m WI35�4sysaceOrsSP'LD- PnAc 359 39 E95mm J3 5m Wlsv Fax n.l+a s} J6d Sam iS,a1m Yeommoc4 1RW uaam Sf!ttW Ira P4 74. �9 WIrf fmmra Kw 6trm n.ltt C. B 11OI9m 9,1I.m 9ammmq as t]IW .UIm E91nW 1WG% n 9m Wle w<,eaLr<eb..Fz aI F,,.v s Jra s2sm f94W Juammm9 Es u3m s9 S4sW Si)»mal. 9w9Wm)9I 0mma:0xv1l:.TTrrrn<eP�.Fe.ve . v,I,,I,.I, =v,0 zm5 lS aw9rWb w4 It 0000PWo sW aw ubamm II m0m v' —la14 u ummm wm %4— si u1a11 um Ir;% o il.ao Progress Estimate 55380 Contractor's Apptication E Norlhside Drive&Cold Spring Asss�d�n' Fl..l vmn: u.-,se• srmr. �+� us`ea era. re��a`m"r r.eY n.,:zsru,..is s�rz,v.� �n.� �� e �:�� a��rm�erxu r.��se��edreg=a`u Gfi20 Changa Crdcr Progress Estimate Construction Allowance Usage Contractor's Application ADDITIONS FOf I`�rtr'r) 101584 E\-Inid<DriP<&Cold Spring �'�' <!°'f' S5380 AFka—T 1`<' Final cmra<Nw .19Pliwrcnhrioi AFplionm Dx<. A B C D E F Rtl° ioWC �etN 9 DJarceb Fmi+h Swim Q.u2iryb Mi LtniRu< Adtni<n\sLe c...v<d�nr9xJ Vahe V+tu<l'6u SLeaielaD y WSraN UD¢e (F) (D-F) Bnn Evdc D<.oiSaim Sntial:o. Itrvt NAl<w< InxJIN Intldkd\'aYs PaW ved(mmC) (D.E) D tl 3)390DJI3'Sbrml�tim8m � I.ON00300 19 NEJ6 59,:OJJ6 IOOJOOAM Mm)6 59�'OOJ6 19,1r)J5 )000'.. N Cue]Ne BrriulVJi Ffi IASIB ----- LF -- _ _._.. SAOP)?J010.___._.SJ6.01 S±u}2000 SNOOOOWJO._ ._..�2000. _fM,f30.O9 _..... _ f']S±J 00 laJ nl'. If Rebut Ca<vefe Dxria t\'sll B<tne<n lfuur LF 1T10000D000 SI00) S5,TD)00 'n W000W0_ _11,-w Ef,)JJ OJ 10)%: _ _. _ W CrW CUF: fs CavN<Bmnit'ill EA 200000001 EJ IJJ O] 51561100 200000000 __SIip00 SIS,6,S03 fI5,N9a] I1-11 tt Tdlnicv-R'ani65ipq Tmp Suyyay WRde<ta].(a ifxxl LS i OOD)D000 _f>,1>f 0] S),3J500 1%000000 3Ft�APuk lb<r N 90 d<5<.<.\B aIM«per Dn' IIXS _1300))}riY)_ $11111 1J5.9B1(0 1JQ000000)l S)S.It— Uf t111A__. __... EJS H9160 ID]Oli n __ r....rill\'aNPok Armn WL�¢l Fim<a mEati+a tl'ad Win LS 100)YYJ61 EIO.SB2 r0 SIn,1810J 100)}}})J E10,1E20) SIQ2S100 _ _ 110,1816)_IOOgY_ 19 Remme Etiuma B'V<h< IOOY}JOYJ SI,I10 b1 f1,er)GO Ib»))Yh] SI,B5040 SI,IS0.00 11950P) 10J0fY Inxillt'<w 6'Bxe V<h<aitM1Sut F __IQ)00)D)0 _. SJ)MO]_. EJ.2<)O] 10}Y)Tx:N EJ,±5000—_fff100J EJ.300] I00044 91 Remn<WPhg Etivtiry Smia EA 16)DYJO)J S1f90J 1]r101 IhhYi!rYl SI5000 lI50.00 S]'00) IMO°. ____ 9± gm]E�iuvg Cuay WCmvefefQltex Oxe Veh< IA_ IOYiYDY}] S±,Ib]W S±,I(•]O] If�AAn:bY] S?,10000 31,100.01 Er 10][•] ip]G'.'e 9l Lw111;ew1•Pl'C\\'xa Lve/Rmv.<Etixvy LS 0)3DYliJ E1,11)nJ E).39JOJ IODYYA1J0 121i000 _S2,D000 tdfaioca.SSrp_Sigry R'avug Siaq Tmq Rean<uyfa Ffin<± IS, .....__10))_DY]0 51955@] 51,155 PJ 16UY)Y))-_,__SIt6�f00 SI,r5f00 E 1650) 93 Relccxe Cavefe DamalV<R la Flvu2 LS I009]0)DJ EJ.±30�Y] E1,230 a] 100D>)001.__ _.tfswau. El,1fJ O1 SJ'•J rV rrJ. __ -- S6 R<W-x<W Reaatify6W Qu5mfu CannepmuR'<II EA -20Y000011 SJ,NS b] 17y— iW0000G__ s7. P) SI,34]P] 1),51J 00 r: 1119.1J1.96 1111131.95 mu.m."I 1 IIIWLIS 10)OJ: lbu A+•..w Au t<en m�dil<d Gun iuuienJf u®EKDCd WG+euadxlmt:�.yarh rmAfwisa t'a xemwgalbrcai Gx�w<fWryWaanuR Le3il Cemuel Sriabin e.naia a620 cnago txdc< Progress Estimate Construction Allowance Usage Contractor's Application CONSTRUCTION ALLOWANCE ITEMS TO BE REDUCED Fu(—) 101584 ENorthside Dm'<&Cold Spring Fi..I A{gdirYim Pns}t AlgAicYis DRe A B C D 8 F ium Bid±nm S.Sed< IJxyam SC«��xe[q' IIvaNA!••e.. W'<AYb Oci6e Vat l9iae Rdxtim Vdu MVW 1:a U<cd fid U<W h'M V<N tbttl.N ±:�x U�a1 ra VEW h'n IJtN Stttia�o n 999900±±Cm��PmIAIFmvice P])±00 EA IOOOOOJU SW,63i S6 393,63i 96 SSSY OJ±±Casswtim Allvna�< P]]±6J E.t IpYYlP1J EJ�9IIPJ E3J.SI]O] � _—��- 5199 tIt.96 ni<a.awc«„ar�<ada�i�o-�,wr<,neKvicex..Mmwm<�e:�mn�;p+u�< �wu�:a„rw.r<�.+�utmv<m, <.r<r llrw<ass�rt«W c..H<I E.:xum<.<win G620 Change Order Progress Estimate Construction Allowance Usage Contractor's Application AMMONS F«(caatan): 101584 E Norlh,ide Drive&Cold Spring ^>'g"'ata`5' 55380 'Mp1iaheA� Final conmd Nnm ApplicationF ie3 Appliatim Dats: A D C D E F Item a. [islawx to Fuush Edimated QuadRy P kd-dyW Value This AlatsaalsR.C) Tdal d1.Dsd Itsm Numhr Dea,,,'pim Spy iron UnitofMeamre QuadRyto Add Vsdt Prig Addition Vahs ImtillM Value Lwlkd Vdus Psaad Storcd(nd'm C) aM StD,to Dats (F) (D-F) Snlim No. (D+E) D 13 3349.00014-Stara Jupdim B., EA 1.00000000 S9400.36 S94%.36 _1.00000000 $9,{00.36 $940036 59,400.36 MCI% 84 Concede l3asdsr\l'a11 M IA&III LF 570.00000000 S36.00 S20,52000 570.00000000 S20,520.00 S20520.00 _ 520520.00 1000% 15 Rebate CookieB fro Wa1113s1xvxn Ph. IX 57000000000 S10.00 S5,70000 570.00000000 S5,70000 _$5,?00.00 $5,70900 1000.° 86 Crash CLd,ionf CawTde Dvaa\t'all EA 2,00000000 $],e EJ.00 515,64800 2.00000000 SI5,61900 515,E4tA0 513,648.00 1000° 87 Addition-Naming 9igiu,Temp ShippingaM Rdnlas�fa Rossi IS 1.00000000 57,{]5.00 S7.47500 1_00000000 5],4]500 51475A0 9],3]5.00 IOOO o 18 _. }Raggm NA Noun fa 80&3sa Ap ,411m.pa Day _ 11RS J20.00000000 5112.13 SJ5,891.60 320.00000000 533,981.60 S35 Bt160 _ _ 515,89I.60 1000°a 81 ImaI13\t'ood Pole Aran aM lJgM Fiawram Fasting Wood Polu 13 100000000 510,282.00 510,28200 1.00000000 510,282.OU $IO'!B°_2.00 _ $10,282.00 1000, 89 Remosx£using 8'Va1sx EA I.00000000 51,950.00 51,85000 1.00000000 SI,850.00 SI,ISOAO _ SI,850.00 1000s 90 Imtall New B'Vals Vaire xiOs Stacl: EA 1,00000000 S1,E5000 S125000 1.00000000 S3,E50.00 51,230.W S32,.50.00 1000, 91 Rsmosx end Plug EdatmgSmia FA I,a9oa9000 S]50.00 S75000 1.00000000 5750.00 175OA0 _-_ 5750.00 1000.: 92 Drnw Fasting Cuing vd Canlde fa New Oats Vahx IS 1.00000000 S1.300.00 $2,10000 1.00000000 5E,10000 517,00.00 _321_,_00.00 100.0_: 93 1-11 Nns 8'PVC Watt IJne/Remasx Fasting M 1.00000000 52,580.00 $2,51000 1.00000000 S2,58000 S2S10.00 $25�80.00 100.014 94 Additional Stops Sigm,\\'aming Sign,Temp ReaMar;fa Phue2 _ 1S 1.00000000 51,86300 $1,865.00 1-00000000 SI,B6500 SI<163.00 _SI,865.00 1000.: 95 Rsiacate Csnrde D.+rtitt Wall to Phase2 IS 1.00000000 53.25000 53,25000 1.00000000 SJ,25000 53,250.00 S3350.00 100.0% 96__ Rd-aM Rnxdify Crash Cuimf CawTde Dartitt Nall EA 2.00000000 S3,795.00 37,390.00 2.00000000 S],59000 57,39000 57,590.00 1000°: Ts4a4 5128141.96 SI28141.96 5128141.96 _M28,14-1,961 100.014 1 This da wmla hu besn modifiMf iu Mewl f uanVCDC dwv .Md,usst did ndhighlight the mMiliatimc 1'ouorsen-wng.itonoddwd,, urdbllya -19 Upjt C-Apd-itsernvtim C6M Change Order Progress Estimate Construction Allowance Usage Contractor's Application CONSTRUCTION ALLOWANCE ITEMS TO BE REDUCED F.(C0 .): 101584 E Norlluidc Drlrr&Cold Spring Applscnim N.., r. Final A.Tfi.flan Pcriad: AppliWim Dnr. A D C D E F Item Did Item Rmnher I,,iptim Spwi'ficatim V d.U,. Q—IyI0Delne Urdt Prix RNu im Value Rol Uud Na Vud N.Vsad Nat Vsed Rot Used Rot VsN Na Usd RM Uznd S Yim Ro. 82 99990022 CCM1 i.Ml— 0073 00 EA 1.00000000 S91,621.96 $94,624,96 82 9999002E CgLNY.YIm Allouvns 007300 E.1 I.00000000 S33,517.00 S33,317.00 Totdt 5I28341.96 This dwvnseN hss hmnwdigiif ds origivlf ssan&CDC dwwrcmaed de vxdidnat hippti�u the nvdificatiov I'm are emwngN to lead the d vmmt carcfutty aed rovuH Iegsl Cwvei priato its e�msdm C-620 Cherge Order Progress Estimate Change Order Number 1 Contractor's Application ADDITIONS F.(—,I): 101584 E Northride Drive&Cold Spring City S,T y 55380 Appl"tie,X—k- Final CeM Tum AppH-im Period: AWfic tian Date: A B C D E F Lem Addiiian Tail Cavfeed % MI—Io Fiwh Chv,Se Orderitem Spm'fxation COQuatlnyto Add Vrtit Prim Chvi�Orda Eninaned Qumity Vaue Pre ioudy Value Thu n(ateriau Prunxly vd St dto M. (e-F) Nw D—pd- Shim Na U"it of\leamre Vaue 1-11M u Ikd Value Period &.ed in C) (p+E) 0 ------------- Totab Thv dowment hss been nwdified f,ib origi.1 usnEfCW dovmmt a,A the user did rct higMi&the mediri tim Y.are—,,r dto read0 dovmmtu &Ily"N ft L,4 C..]prior to iB—tiaw CL20 Chmge Order Progress Estimate Change Order Number 1 Contractor's Application DELETIONS F«(artran): 101584 E Norihride Drive&Cold Spring Final Appliestwn Perio3 Appiimtiml)- A B C D E F item W. Chsnge ONer Item Spnif.otim CO QuaNM1)to Usdt Prim Gunge Order NM Uud Notbhed NoUmd Nd Uud No Used Notlhed No Used Na Used No. Dvcnpim Sr7im No. UNt of\(easvrc Delete Value iota8 Thu davmaM1 h.been modified flan its aigiml fam.an VCDC dwvmem W th uur did no I igWigm dre modia.aliau Ym ue er .Wd toread the doamnn mefuliy utd m 11 LepICwmei pi—iue.<nvtim c-sm cn>a�e aae< Progress Estimate Change Order Number 0 Contractor's Application ADDITIONS 101584 EX.r&Ade Drke&Cold Spring Catsmay 553SO Cmirat h5m'. AlTdza�m Paiol Aff-- A CD fi F 4nn ❑ilev�u Fiden Adtitim C].up EYvrYW Q�rday Prnamly VetueT� Mttw4RTC TcW C®..){Jned Adi ltwt Rix \'4e w3P C4ege CNntt® �� llrvtM3kaue WQ�ryu Q�4r Vehx iwilkd IwilIW\'eFx Pervi Seed lrcaeC) �� B _ T�44 Pwa.,.��.wd�,o..arN4®da�wr�,.nelmcaa w�rx�.ma�.awAu;�.ax m„nr�,max ra a.ea...�+el..+da a.a,xm�..wgw�Irgd c�,x<i m..urz�«.w.e —a,. man Progress Estimate Change Order Number 0 Contractor's Application DELETIONS Fa l—M, 101554 ENorlhsI&DH.&Cold Spdg Finel �y�e�s�y Nclicei.n Due A 0 e D F 1� WQ Ma RMim Qwge C}.rys QJ°14m []�eipim �saifir� L4etdAkawe RMe Vow Pia Udx VeAe twt USA MUai t:et UaM t:ur�'sN CIot USN S:atlNetl A'c1 UuJ }MUSH tw SMim1w. Itur dS.wWAvbemmS6fud Gcmiia m�yulf vaE1COC1 1WtM1e un Cdu�F:�lijarh mwrK,r�a,.vw.s s.....a�uastr«s:swA wae,.w+t��dl.ia uiu«aw... G6I0 Change Oetler Progress Estimate Change Order Number 0 Contractor's Application ADDITIONS F.(—). 101514 Mowde Drive&cldsvdg L1tY3melq 55300 Cmfree2:w q{itiilaPeriod AI44iutem— p E C D E F iiw 0ilaeeb Fmid� (Tag Qder Item NQuveayw Pdf Cat Hier ChaNekda En'vmtNQ.va�ry Vehe Pmsscn7 Vatueifiv Maenils Rarnip a>iSuCNb Date Rl ��� t:e. ��� 6aatimt:o Urvldblunae VeAe Wu11N LutillM\'s!ue Rritl Sud(�eim C) (DIM E iela4 "Ibis drw�erahukernmwfifiN5rmae m6m(f vmEICDCA W�Te ucdA mt iu¢��t th mofifiaxvn l'o+re na<arytlwred�te d�-u�re cve(Wh xaf emeiltlegl Caw<�ieiauiu e�nvim Cfi20 Change Older Progress Estimate Change Order Number 0 Contractor's Application DELETIONS Fame ) 101584 Ernraulae Ddve&Cold Spring °al"°°I'� Final aieura�ea*� .tea+a+maer. p D C D E F Chxye Qdn nan 0.vrFti um Spxilwtim �g—M1O Uo#Piee 'huDeg3 t:a UaM ila Uud 1:a Uwi Da Uaal .�'�a l'ssi 1:a UUA t:ca l.'sN t:s UaW Snl'm IW Uaedrkuve Delete Vehr ilia davmehu kemmaAGN G®umyWf nnEKOC hewn!Wit ua d:d ee b+e-UW+dr vat iw 5'c�remwyd cured dr drv�xtweWh'ed hLegl Cew+el laiabua cawvim City of Fort Worth Summary of Charges City Secretary Contract Num: 55380 E Northside Drive&Cold Spring P.0.: FW020-0000005209 project Number: 101584 Application Period: 0 Application Number: Final Application Date: 1/0/1900 Funding Identification(FID) I Total Completed Amt Remaining Gross ( Retainage Net -------- - --- — —— — — Original Contract 34018-0200431-5740010-101584-003980-9999-18010203 $2,150,541.32 $96,543.18 $81,872.18 0 Cu $61,872.18) 0 U(i SO,(III 0 �,�.-i i 0 S0 00 0 ,I ;).UO 0 t.0 ai OC 0 I,n 1.0 0.00 ;u.00 0 n n0 q 00 0 :Xi ';0 00 .0 011 0 ;'I)(10 1 0 U O iJO 0 00 Change Order 1 34018-0200431-5740010-101584-003980-9999-18010203 0 .0) 0 n SC 00 '50 00 0 ::0 Cl .>O,CO 0 30 CC F•0 OO 0 ;;1)W) '40.(lil 0 PG C'cl -;0 00 0 U 1-41 ;r1 Uu 0 n 00 50 00 0 1 fin 00 � SD 00 '30.OD Change Order 2 34018-0200431-5740010-101584-003980-9999-18010203 oO_0 0 0 'jl '50,00 rei U S(i.Ul Id 0 u 9 00 0 0 ��(u) _"J :'O CO _ o sa ua 0 �� uao o ilo 00 0 - L I I, City of Fort Worth Summary of Charges City Secretary ContractNum: 55380 LNorthside Drive&Cold Spring p.0.: FW020-0000005209 Project Number: 101584 Application Period: 0 ApplicationNumber: Final Application Date: 1/0/1900 Funding Identification(FID) I I Total Completed I FA t Remaining I Gross Retainage Net Change Order3 34018-0200431-5740010-101584-003980-9999A8010203 Lul U('0 0 'i0 0!) p O.Op PU.!]ti 0 li,i.ri0 I ;0 Crl 0 ;0.0n 7.00 :0 OU 0 a0.00 `0-ririI r I "�i SD OU p D.Du 0.nu gyp, g(LOu 0 ;;0 00 S.J.C'U30.00 I '3U.U0 0d!.0D $D.OIi a.l n i GO.Ob I Change Order4 34018-0200431-5740010-101584-003980-9999-18010203 UU 0 3p OU 0 S01J1) 0 d)J)n 5'-i,UG 0 =o.op I U cn 0 ao 0 k,)ao sa o0 0 e.uo o.ca 0 >n-nu so as 0 ;,o.00 sani� 0 .;o ro I I I su UU 0 ;o.no SU.OU I Change Orders 34018-0200431-5740010-101584-003980-9999-18010203 0 o au 0 o.uu 0 so.no o ,aa 10 I 0 o.w) 0 SO CIO o Fl- o I n,00 City of Fort Worth Summary of Charges City Secretary ContractNum: 55380 ENorthside Drive&Cold Spring p.0.: FW020-0000005209 project Number: 101584 Application Period: O ApplicationNumber: Final Application Date: 1/0/19OO Funding Identification(FID) Total Completed I ( Amt Remaining-j r Gross ( Retainage I Net Change Order6—-- -F 34018-0200431-5740010-101584-003980-9999-18OiO203 C u.au Su.0u p I 311 00 ;QL`0 p �0 OU EC.rn 0 0 C0.ou aoo 0 I s0 Co so 00 0 n 00 FQOC 0 I =:o oa au0 0 SO Oo SC,C0 0 SO 00 O GC I i I Change Order 7 34018-0200431-5740010-101584-003980-9999-18010203 u.OU 1fI SO.O0 p CO 0 50.00 $QOO SC 00 o sr,ao o •a.!i:i bo.o, 5,i.!n 0 o p rn.nn 0 00 oaoo I SC 00 0 i,C.00 ,non 0 dC OC 0.00 -'0 00 0 UJOU 1.00 Change Order 34018-0200431-5740010-101584-003980-9999-18010203 0 30JJ0 0 p ;C CC o I I I GQCC !,c 0 30 Oi:� SO CI! 0 I>i1 00 S0I 11 0 50 UC 30 0 _O C,u 0.0�) 0 s0 oC Sn C0 o m So.uo City of Fort Worth Summary of Charges City Secretary Contract Num: 55380 E Northside Drive&Cold Spring p.0.: FW020-0000005209 Project Number: 101584 Application Period: 0 Application Final Application Date: 1/0/1900 Number: Funding Identification(FID) Total Completed I I Amt Remaining r Gross Retainage Net --------, - -F Totals 34018-0200431-5740010-101584-003980-9999-18010203 $2,150,541.32 $96,543A8 $81,872.18 $81,872.18 o 0 00 0 AO 0 oD 00 p `(1 00 0 nU uCi 80 00 0 �i E-000 o o 00 o I ,,0 00 � Grand Total $2,150,541.32 1 $96,543.18 ($81,872.18) ($111,620.67) $29,748.49 CSC No.55380-COI FOR_ _T WORTH. City of Fort Worth *14� Change Order Request Project Name E.Northside Dr.&Cold Springs Rd Roundabout City Sec# 55380 Client Project#(s) 101584 Project Description The project provides for the construction of a multi-lane roundabout at E.Northside Drive and Cold Springs Road intersection. Contractor Reyes Group,Ltd. Change Order# 1 Date City Project Mgr. Shweta Rao City Inspector Habte Taezaz Contract Time Dept. TPW Totals (CD) Original Contract Amount $2,247,084.50 $2,247,084.50 260 Extras to Date Credts to Date Pending Change Orders(in M&C Process) Contract Cost to Date $2,247,084.50 $2,247,084.60 260 Amount of Proposed Change Order 96 Revised Contract Amount $2,247,084.50 $2,247,084.50 356 Original Funds Available for Change Orders Remaining Funds Available for this CO Additional Funding(if necessary) CHANGE ORDERS to DATE(INCLUDING THIS ONE)AS%OF ORIGINAL CONTRACT MAX ALLOWABLE CONTRACT AMOUNT(ORIGINAL CONTRACT COST+25%) $2,808,855.63 JUSTIFICATION(REASONS)FOR CHANGE ORDER Construction Time: Original contract time was 180 working days.The City desires to change the contract time to calendar days.Based on the NTP date of 4/12/2021,180 working days corresponds to 260 calendar days.Construction start date has been delayed due to permitting.Construction began on 7/26021.Total additional contract time by this Change order is 96 calendar days. It is understood and agreed that the acceptance of this Change Order by the contractor constitutes an accord and satisfaction and represents payment in full(both time and money)for all costs arising out of,or incidental to,the above Change Order.The Project/Program Manager signing below acknowledges that he/she is the person responsible for the monitoring and administration of this contract,including ensuring all performance and reporting requirements. Contractor's Company Name Contractor(Name) Contract Signature Date Reyes Group aison Cherian Oct 26,2021 InspectorAnspection Supervisor Date Project and Contract Compliance Manager Date Oct 26,2021 - - Oct 26,2021 Program Manager Date Senior Capital Project Officer Date s o r Oct 27,2021 /''- Oct 28,2021 Assistant Director(Dept) Date Director,Contracting Department(Dept) Date pelf err` Nov 1,2021 Q1 Nov 1,2021 Assistant City Attorney Dale Assistant City Manager Date 082A Nov 1,2021 a+r�a N ov 2,2021 Council Action(d required) M&C Number M&C Date Approved ATTEST: a Ronald P.Gonzales,Acting City Secretary o�oFORp�aad o G��d -o o o ° -1d d o=A V d oo°* d OFFICIAL RECORD 0 o d �aaa>1 QE�1aA44pA c' CITY SECRETARY FT.WORTH,TX FORT WORTH City of Fort Worth -1T__ Change Order Additions Project Name E.Northside Dr.&Cold Springs Rd Roundabout City Sec 0 55380 Client Project 101584 Contractor Reyes Group,Ltd PM Shweta Rao InspectoF Habte Taezaz Change Order Submittal N O1 Dale ADDITIONS Unit Unit s o a TPW $0.00 —Sub Total ikons Change Order Additions Page 2 of 5 PORT WORTH City of Fort Worth I— Change Order Deletions Projed Name I E.Northside Dr.&Cold S nn s Rd Roundabout City Sec# 55380 Client Project# 1 101584 Contractor Reyes Group LLld. PM Shweta Rao Inspector Habte Teem Change Order Submiltal# O1 Date C� OELEIIONS y Unit UnitCost o a TPW $0.00 Sub I otal Deletions Change Order Deletions Page 3 of 5 MISBE for this Change Order MISBE Sub Type of Service Amount for this CO Total $0.00 Previous Change Orders co# DATE AMOUNT Total $0.00 FORTWORTH. Routing and Transmittal Slip Transportation & Public Works Department DOCUMENT TITLE: E. Northside Dr at Cold Springs Roundabout Construction Contract — Change Order #2 M&C: N/A CPN: 101584 CSO: 55380 DOC#: 1 Date: 4/11/2022 To: Name Van Pham Department Initials Date Out 1. Jaison Cherian Contractor 17L 04/13/22 2. Wade Miller, Inspector Supervisor TPW - signature !- 04/12/22 3. Shweta Rao, PM TPW - signature .- 04/12/22 4. Lissette Acevedo, PgM TPW - Review 04/13/22 5. Martin Phillips, Sr. CPO TPW - Review mA P 04/14/22 6. Lauren Prieur, AD TPW- Review ,,Z,-Z-"�9 04/14/22 7. William Johnson, Director TPW - signature 04/15/22 8. Doug Black, Legal Signatures 04/15/22 9. Dana Burghdoff, CMO Signatures 04/18/22 10. Jannette Goodall, CSO Signature lfiL04/19/22 DOCUMENTS FOR CITY MANAGER'S SIGNATURE: All documents received from any and all City Departments requesting City Manager's signature for approval MUST BE ROUTED TO THE APPROPRIATE ACM for approval first. Once the ACM has signed the routing slip, David will review and take the next steps. NEEDS TO BE NOTARIZED: ❑YES ®No RUSH: ❑YES ®No SAME DAY: ❑YES ❑No NEXT DAY: ❑YES ❑No ROUTING TO CSO: ®YES ❑No Action Required: ❑ Attach Signature, Initial and Notary Tabs ❑ As Requested ❑ For Your Information ® Signature/Routing and or Recording ❑ Comment ❑ File Return To: Shweta.Rao(a,FortWorthTexas. ov at ext. 8022 for pick up when completed. CSC No.55380-CO2 FOR, _ T I"'— City of Fort Worth Change Order Request Project Name E.Northside Dr.&Cold Springs Rd Roundabout City Sec# 55380 Client Project#(s) 101584 Project Description The project provides for the construction of a multi-lane roundabout at E.Northside Drive and Cold Springs Road intersection. Contractor Reyes Group,Ltd. Change Order# 2 Date 4/11/2022 City Project Mgr. Shweta Rao City Inspector Habte Taezaz Dept. TPW Contract Time Totals (CD) Original Contract Amount $2,247,084.50 $2,247,084.50 260 Extras to Date 96 Credits to Date Pending Change Orders(in M&C Process) Contract Cost to Date $2,247,084.50 $2,247,084.50 356 Go to ADD&DEL Tabs to Enter CO Backup $0.00 60 Revised Contract Amount $2,247,084.50 $2,247,084.50 416 Original Funds Available for Change Orders $0.00 Remaining Funds Available for this CO $0.00 Additional Funding(if necessary) CHANGE ORDERS to DATE(INCLUDING THIS ONE)AS%OF ORIGINAL CONTRACT 0.00% MAXALLOWABLE CONTRACT AMOUNT(ORIGINAL CONTRACT COST+25%) $2,808,855.63 JUSTIFICATION(REASONS)FOR CHANGE ORDER IN ACCORDANCE WITH THIS CONSTRUCTION CHANGE ORDER,THE CONTRACTOR SHALL: Construction Time: Additional days needs to be added to the construction contract for due to delays in revision of traffic control plan to allow for safety of workers and the public,Water valve relocation,Weather delays due to deep freeze causing concrete supplier issues,Industry wide issues with labor shortages due to the recent Covid pandemic.The documentation to support the addition of time is attached to this Change order. It is understood and agreed that the acceptance of this Change Order by the contractor constitutes an accord and satisfaction and represents payment in full(both time and money)for all costs arising out of,or incidental to,the above Change Order. The Project/Program Manager signing below acknowledges that he/she is the person responsible for the monitoring and administration of this contract,including ensuring all performance and reporting requirements. Contractor's Company Name Contractor(Name) Contract Signature Date Reyes Group Ltd Jaison Cherian 7airahChmlah 04/13/22 Inspector/Inspection Supervisor Date Project and Contract Compliance Manager Date 04/12/22 =-— - 04/12/22 Program Manager Dale Senior Capital Project Officer Date 04/13/22 d P 04/14/22 Assistant Director(Dept) Date Director,Contracting Department(Dept) Dale Pugh 04/14/22 04/15/22 Assistant City Attorney Date Assistant City Manager Dale BA 04/15/22 Dana Eurdoff 04/18/22 Council Action(if required) M&C Number M&C Date Approved ATTEST: �neCtn..0 6��dall Jannette Goodall,City Secretary FORT WORTH City of Fort Worth 1v--- Change Order Additions Project Name E.Northside Dr.&Cold Springs Rd Roundabout City Sec# 55380 Client Project# 1015B4 Contractor Reyes Group,Ltd, PM Shwela Rao Inspectorl Habte Taezaz Change Order Submittal# 0 Date 4/11/2022 ADDITIONS ITEM DESCRIPTION ULF,I ty Unit Unit Cost Total TPW $0.00 u I otal Additions Change Order Additions Page 1 of 1 Foal WORTH City of Fort Worth V-- Change Order Deletions Project Name E.Norlhside Dr.8 Cold Springs Rd Roundabout City Sec# 55380 Client Project# 101584 Contractor Reyes Group,Ltd. PM Shweta Rao Inspector Hable Taew Change Order Submittal# Dale 4/1112022 DELEI IUNS HEMn n Cost Total TPW $0.00 Sub I otal Delebons Change Order Deletions Page 1 of 1 M/SBE for this Change Order M/SBE Sub Type of Service Amount for this CO Total $0.00 Previous Change Orders co# DATE AMOUNT 1 11/3/2021 $0.00 Total $0.00 FORTWORTH© Routing and Transmittal Slip Transportation & Public Works Department DOCUMENT TITLE: Northside Dr at Cold Springs Roundabout Project- Change Order 3 M&C: CPN: 101584 CSO: 55380 DOC#: 1 Date: 10/26/2022 To: Name Department Initials Date Out 1. Marcos Reyes, Contractor Reyes Oct 28, 2022 2. Habte Taezaz, Inspector TPW Oct 28, 2022 3. Ariel Duarte, Sr. Inspector TPW ?� Oct 28, 2022 4. Shweta Rao, PM TPW Oct 28, 2022 5. Lissette Acevedo, PgM TPW CA Oct 29, 2022 6. Lissette Acevedo, Interim Sr. CPO TPW o�v Oct 29, 2022 7 Martin Phillips, Interim AD TPW NO Oct 31, 2022 8 Lauren Pricur, Interim Director TPW « Oct 31, 2022 9 Doug Black, Legal Legal dwb Nov 2, 2022 10. William Johnson, ACM CMO — Nov 2, 2022 11. Janette Goodall, CSO CSO Nov 3, 2022 CC: Program Manager,Sr. CPO,TPW BSPAP Recon Team,TPW Records Room,TPW Contracts DOCUMENTS FOR CITY MANAGER'S SIGNATURE: All documents received from any and all City Departments requesting City Manager's signature for approval MUST BE ROUTED TO THE APPROPRIATE ACM for approval first. Once the ACM has signed the routing slip,David will review and take the next steps. NEEDS TO BE NOTARIZED: ❑YES ®No RUSH: ❑YES ®No SAME DAY: DYES ❑No NEXT DAY: ❑YES [:]No ROUTING TO CSO: ®YES ❑No Action Required: ❑ Attach Signature,Initial and Notary Tabs ❑ As Requested ❑ For Your Information ® Signature/Routing and or Recording ❑ Comment ❑ File Return To: Please notify TPWContracts(a,fortworthtexas.gov for pickup when complete. Call ext. 7233 or ext. 8363 with questions. Thank you! CSC No. 55380-CO3 FOR_ _TWORTH. City of Fort Worth Change Order Request Project Name I E.Northside Dr.&Cold Springs Rd Roundabout City Sec# 155380 Client Project#(s)l 101584 Project Description The project provides for the construction of a multi-lane roundabout at E.Northside Drive and Cold Springs Road intersection. Contractor Reyes Group,Ltd. Change Order# 3 Date City Project Mgr.I Shweta Rao City Inspector Hable Taezaz Enter Department(s)to the Right and Contract Time Contract Day Type Totals (CD) Original Contract Amount $2,247,084.50 $2,247,084.50 260 Extras to Date 156 Credits to Date Pending Change Orders(in M&C Process) Contract Cost to Date $2,247,084.50 $2,247,084.50 416 Go to ADD&DEL Tabs to Enter CO Backup34 Revised Contract Amount $2,247,084.50 $2,247,084.50 450 Original Funds Available for Change Orders $0.00 Remaining Funds Available for this CO $0.00 Additional Funding(if necessary) CHANGE ORDERS to DATE(INCLUDING THIS ONE)AS%OF ORIGINAL CONTRACT 0.00% MAXALLOWABLE CONTRACT AMOUNT(ORIGINAL CONTRACT COST+25%) $2,808,855.63 JUSTIFICATION(REASONS)FOR CHANGE ORDER IN ACCORDANCE WITH THIS CONSTRUCTION CHANGE ORDER,THE CONTRACTOR SHALL: Construction Time: The contract was originally executed for 180 working days and change order 1 was executed to change it to calendar days.The construction start was delayed by 90 days due to revision and approval of Traffic Control Plan.These days were also added to the contract with Change Order 1 to update the notice to proceed date.This did not include delay during construction. Change order 2 added 60 days to construction duration due to delay in procurement of concrete and other site materials and also shortage of staff due to COVID pandemic. The contractor was trying to establish vegetation and in spite of watering on daily basis,the vegetation was not established due to severely hot weather conditions.The contractor also experienced delays in receiving the materials for landscaping from the vendors.Even with the challenges experienced by the contractor on this project, they opened the intersection for operation on June 3rd,which is within the originally allotted time duration for the project. This Change Order proposes to add 34 days to the contract due to the above-mentioned vegetation supply-side circumstances and the unusually hot weather's impact on establishing vegetation..The landscaping completed on June 14 and the TPW inspectors had a pre-final walk to prepare punch list on July 6. It Is understood and agreed that the acceptance of this Change Order by the contractor constitutes an accord and satisfaction and represents payment in full(both time and money)for all costs arising out of,or incidental to,the above Change Order. The Project/Program Manager signing below acknowledges that he/she is the person responsible for the monitoring and administration of this contract,including ensuring all performance and reporting requirements. Contractor's Company Name Contractor(Name) Contract Signature Reyes Group Ltd Marcos G Reyes Oct 28,2022 Inspector/Inspection Supervisor Date Project and Contract Compliance Manager Date 1A.A /_ Oct 28,2022 sc b o Oct 28,2022 Program Manager Date Senior Capital Project Officer Date J�&fl,.t,. Oct 29,2022 ..5X.Lit- Oct 29,2022 Assistant Director(Dept) Date Director,Contracting Department(Dept) Date r¢ Fr Oct 31,2022 u F:. Oct 31,2022 Assistant City Attorney Date Assistant City Manager Date _ Nov 2,2022 Nov 2,2022 Council Action(if required) M&C Number M&C Date Approved O ATTEST: ,7vx��tfs Jannette Goodall,City Secretary PORT WORTH City of Fort Worth 1Ir — Change Order Additions Project Name E.Northside Dr.&Cold Springs Rd Roundabout City Sec# 55380 Client Project# 101584 Contractor Reyes Group,Ltd, PM Shwela Rao Inspector Habte Taezaz Change Order Submittal# 0 Dale O ADDITIONS HEM DESCRIPTION DEPI QtY Unit Unit Cost I ota Sub Total Additions Change Order Additions Page 2 of 5 FORT WORTH City of fort Worth v--- Change Order Deletions Project Name E.Northside Dr.&Cold Springs Rd Roundabout City Sec# 55380 Client Project# 101584 Contractor Reyes Group,Ltd. PMj Shweta Rao Inspector HableTaezaz Change Order Submittal# Date DELETIONS Unit Unit Cost o a Sub oial Deiebons Change Order Deletions Page 3 of 5 M/SBE for this Change Order M/SBE Sub Type of Service Amount for this CO Total $0.00 Previous Change Orders CO# DATE AMOUNT 1 11/3/2021 $0.00 2 4/18/2022 $0.00 Total $0.00 FORTWORTH TRANSPORTATION AND PUBLIC WORKS PIPE REPORT FOR: PROJECT NAME: E northside @ Cold Springs Roundabout PROJECT NUMBER: CPN: 101584 DOE NUMBER: N/A WATER PIPE LAID SIZE TYPE OF PIPE LF 6" PVC 5 FIRE HYDRANTS: 1 VALVES(16" OR LARGER) N/A PIPE ABANDONED SIZE TYPE OF PIPE LF DENSITIES: NEW SERVICES: 1(1") Copper SEWER PIPE LAID SIZE TYPE OF PIPE LF PIPE ABANDONED SIZE TYPE OF PIPE LF DENSITIES: NEW SERVICES: TRANSPORTATION AND PUBLIC WORKS 0 The City of Fort Worth• 1000 Throckmorton Street•Fort Worth,TX 76012-6311 (817)392-7941 •Fax: (817)392-7845 FORTWORTH. TRANSPORTATION AND PUBLIC WORKS November 9, 2022 Reyes Group. 1520 Parker Road Grand Prairie Tx 75050 RE: Acceptance Letter Project Name: E Northside Drive At Cold Springs Road Roundabout Project Type: 01,03,04 &06 City Project No.: 101584 To Whom It May Concern: On October 3, 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 November 9, 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 November 9, 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- 392-8022 Sincerely, sA� AS& Rao Shweta, Project Manager Cc: Habte Taezaz, Inspector Wade Miller, Inspection Supervisor Ariel Duarte, Senior Inspector Lissette Acevedo, Program Manager Halff Associates, Inc., Consultant Reyes Group Inc., Contractor N/A, 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 Illinois COUNTY OF Cook Before me, the undersigned authority, a notary public in the state and county aforesaid, on this day personally appeared Marcos G. Reyes, President Of Reyes Group 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 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; City of Fortworth - E. Northside Drive & Cold Springs Road Roundabout City Project No. 101584 BY 100, Mar dos G. Rey - President Subscribed and sworn before me on this date 5th of December, 2022. Notary Public Cook, Illinois LISA A NOLAN NoiRPY OFFICIAL SEAL Pueu� Notary Public-State of lliinois srarE of ui Commission ExpiseS rruhas Y June27,2024 CONSENT OF OWNER SURETY COMPANY ARCHITECT TO FINAL PAYMENT CONTRACTOR AIA DOCUMENT G707 SURETY OTHER Bond# 107382715 PROJECT: E. Northside Drive&Cold Springs Road Roundabout (name,address) ARCHITECT'S PROJECT NO: 101584 TO(Owner) { City of Fort Worth 200 Texas Street CONTRACT FOR: General Fort Worth,TX 76102 } CONTRACT DATE: January 12,2021 CONTRACTOR: Reyes Group, Ltd. 1520 Parker Road Grand Prairie,TX 75050 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) Travelers Casualty and Surety Company Of America One Tower Square Hartford,CT 06183 SURETY COMPANY, on bond of(here insert name and address of Contractor) Reyes Group,Ltd. 1520 Parker Road Grand Prairie,TX 75050 ,CONTRACTOR, hereby approves of the final payment to the Contractor,and agrees that final payment to the Contractor sball not relieve the Surety Company of any of its obligations to(here insert name and address of Owner) City of Fort Worth 200 Texas Street Fort Worth,TX 76102 ,OWNER, as set forth in the said Surety Company's bond. IN WITNESS WHEREOF, the Surety Company has hereunto set its hand this December 1,2022. Travelers Casualty and Surety Company Of America (Surety Company) (Signature of Authorize epresentative) Witness: �JJJ y, Courtney A Flaska, A mey In Fact (Seal) """`"t (Title) 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•APRIL 1970 EDITION•AiA& ONE PAGE T p1970*THE AMERICAN INSTITUTE OF ARCHITECTS,1735 NEW YORK AVE.,NW,WASHINGTON,D.C.20006 Surety Company Acknowledgement STATE OF ILLINOIS COUNTY OF COOK SS: On this s- day of DC(f M , 2022,before me personally appeared Courtney A.Flaska,to me known,who,being by me duly sworn,did depose and say: that(s)he resides at Schaumburg, Illinois,that(s)he is the Attorney in Fact of CIASIOL WIA W Q 6'fn :rv,,A ,the corporation described in and which executed the ann xed instrument;41t(s)he knowa cot�porate{�q'seal of said corporation; that the seal affixed to said instrument is such corporate seal; that it was so affixed by order of the Board of Directors of said corporation; that(s)he signed his/her name thereto by like order; and that the liabilities of said corporation do not exceed its assets as ascertained in the manner provided by law. ry Public in and for t e above Coun a d State My Commission Expires: 04/22/26 OFFICIAL SEAL IUCiRNNE BiSCHOFF' Notary Pubiic- State of iliinois Commission Expires Apr.22,2tl2ti Travelers Casualty and Surety Company of America � Travelers Casualty and Surety Company TRAVELERS J 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 Courtney A Flaska of SCHAUMBURG , Illinois , their true and lawful Atiorney(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. WAS-3 4*��trr AiYp♦' W , . State of Connecticut By: City of Hartford ss. Robert L.Rane 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. �e/G xaum My Commission expires the 30th day of June,2026 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. i, 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 1 St day of December , 2022 + w 00kK KAL , wraarl Kevin E.Hughes,Assr tant Secretary To verify the authenticity of this Power of Attorney,please call us at I-800-421 3880. Please refer to the above-named Attomey(s)-in-Fact and the details of the bond to which this Power ofAttomey is attached.