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HomeMy WebLinkAboutContract 54380-FP1 City Secretary 54380 -FPl Contract No. FORT WORM., Date Received Jan 26,2023 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: Westside Heights City Project No.: 102269 Improvement Type(s): Water ® Sewer Original Contract Price: $538,708.00 Amount of Approved Change Order(s): $61,954.00 Revised ContractAmount: Total Cost of Work Complete: $600,662.00 47aWeiWaY2 AQzyY Jan 3 2023 James wade Allard(Jan 3,202317:22 CST) Contractor Date vice president Title Trophy Construction Services Company Name mlc-A G Y. , 4da - Jan 4 2023 Michael V.Flute(Jan 4,2023 07:22 CST) Project Inspector Date Khal Jaafari P.E. 192 9:08 CS-0• Jan 19) 2023 Project Manager Date 9�'�1&^ Jan 20 2023 Rebecca Diane Owen(Jan 20,2023 07:57 CST) 7 CFA Manager Date Jan 20 Lauren Prieur(Jan 20,2023 08:13 CST, 2023 Interim TPW Director Date Jan 23 2023 William Johnson(Ja .202313:01 g-U Asst. City Manager Date OFFICIAL RECORD CITY SECRETARY FT.WORTH,TX Page 1 of 2 Notice of Project Completion Project Name:Westside Heights City Project No.: 102269 City's Attachments Final Pay Estimate Change Order(s): ® Yes ❑ N/A Pipe Report: ® Yes ❑ N/A Contractor's Attachments Affidavit of Bills Paid Consent of Surety Statement of Contract Time Contract Time: 190 WD Days Charged: 448 Work Start Date 10/16/2020 Work Complete Date: 10/3/2022 Soil Lab Number of Tests 571 Water Number of Tests: 58 Page 2of2 FORT WORTH CITY OF FORT WORTH FINAL PAYMENT REQUEST Contract Name WESTSIDE HEIGHTS Contract Limits Project Type WATER&SEWER City Project Numbers 102269 DOE Number 2269 Estimate Number 1 Payment Number 1 For Period Ending 10/15/2022 WD City Secretary Contract Number Contract Time 6WD Contract Date 6/10/2020 Days Charged to Date 448 Project Manager NA Contract is 100.00 Complete Contractor TROPHY CONSTRUCTION SERVICES LLC 236 E.ELLISON STREET BURLESON, TX 76028 Inspectors MILLER,W/ FLUTE,M Tuesday,December 20,2022 Page 1 of 5 City Project Numbers 102269 DOE Number 2269 Contract Name WESTSIDE HEIGHTS Estimate Number 1 Contract Limits Payment Number 1 Project Type WATER&SEWER For Period Ending 10/15/2022 Project Funding UNIT L•WATER IMPROVEMENTS Item Description of Items Estimated Unit Unit Cost Estimated Completed Completed No. Quanity Total Quanity Total --------------------------------------- 1 TRENCH SAFETY 5574 LF $0.50 $2,787.00 5574 $2,787.00 2 CONCRETE ENCASEMENT FOR UTILITY PIPES 1 CY $125.00 $125.00 1 $125.00 3 DUCTILE IRON WATER FITTINGS 1.6 TN $5,000.00 $8,000.00 1.6 $8,000.00 W/RESTRAINT(CO#1) 4 4"PVC WATER PIPE(CO#2) 299 LF $15.00 $4,485.00 299 $4,485.00 5 8"PVC WATER PIPE 277 LF $18.00 $4,986.00 277 $4,986.00 6 12"DIP WATER 30 LF $47.00 $1,410.00 30 $1,410.00 7 12"DIP WATER,CLSM BACKFILL 38 LF $57.00 $2,166.00 38 $2,166.00 8 12"PVC WATER PIPE 4920 LF $20.00 $98,400.00 4920 $98,400.00 9 12"PVC WATER PIPE,CLSM BACKFILL 20 LF $39.00 $780.00 20 $780.00 10 FIRE HYDRANT 8 EA $3,000.00 $24,000.00 8 $24,000.00 11 CONNECTION TO EXISTING 4"-12"WATER 2 EA $1,600.00 $3,200.00 2 $3,200.00 MAIN 12 1 1/2"WATER SERVICE 1 EA $600.00 $600.00 1 $600.00 13 2"WATER SERVICE 2 EA $800.00 $1,600.00 2 $1,600.00 14 6"GATE VALVE(CO#2) 9 EA $700.00 $6,300.00 9 $6,300.00 15 8"GATE VALVE 7 EA $1,000.00 $7,000.00 7 $7,000.00 16 12"GATE VALVE 17 EA $1,400.00 $23,800.00 17 $23,800.00 17 3"WATER METER&VAULT(CO#1) 2 EA $15,000.00 $30,000.00 2 $30,000.00 Sub-Total of Previous Unit $219,639.00 $219,639.00 UNIT IL•SANITARY SEWER IMPROVEMENTS Item Description of Items Estimated Unit Unit Cost Estimated Completed Completed No. Quanity Total Quanity Total 1 REMOVE CONC PVMT 67 SY $20.00 $1,340.00 67 $1,340.00 2 REMOVE ASPHALT PVMT 811 SY $4.00 $3,244.00 811 $3,244.00 4 10'WIDE ASPHALT PVMT REPAIR, 290 LF $120.00 $34,800.00 290 $34,800.00 RESIDENTIAL 5 CONC PVMT REPAIR,ARTERIAUINDUSTRIAL 67 SY $150.00 $10,050.00 67 $10,050.00 6 POST-CCTV INSPECTON(CO#1) 4873 LF $1.00 $4,873.00 4873 $4,873.00 7 MANHOLE VACUUM TESTING(CO#1) 27 LF $90.00 $2,430.00 27 $2,430.00 8 TRENCH SAFETY(CO#1) 4836 LF $1.00 $4,836.00 4836 $4,836.00 Tuesday,December 20,2022 Page 2 of 5 City Project Numbers 102269 DOE Number 2269 Contract Name WESTSIDE HEIGHTS Estimate Number 1 Contract Limits Payment Number 1 Project Type WATER&SEWER For Period Ending 10/15/2022 Project Funding 9 CONCRETE ENCASEMENT FOR UTILITY PIPES 5.5 CY $120.00 $660.00 5.5 $660.00 10 4"SEWER SERVICE,RECONNECTION 6 EA $900.00 $5,400.00 6 $5,400.00 11 8"SEWER PIPE(CO#1&2) 4307 LF $29.00 $124,903.00 4307 $124,903.00 12 8"SEWER PIPE CSS BACKFILL 100 LF $100.00 $10,000.00 100 $10,000.00 13 8"DIP SEWER PIPE 366 LF $42.00 $15,372.00 366 $15,372.00 14 8"SEWER PIPE,CLSM BACKFILL 100 LF $130.00 $13,000.00 100 $13,000.00 15 EPDXY MANHOLE LINER 78 VF $300.00 $23,400.00 78 $23,400.00 16 4'MANHOLE(CO#1&2) 30 EA $3,000.00 $90,000.00 30 $90,000.00 17 4'DROP MANHOLE 1 EA $4,200.00 $4,200.00 1 $4,200.00 18 4'EXTRA DEPTH MANHOLE 85 VF $75.00 $6,375.00 85 $6,375.00 19 5'MANHOLE 2 EA $4,800.00 $9,600.00 2 $9,600.00 20 5'EXTRA DEPTH MANHOLE 28 VF $85.00 $2,380.00 28 $2,380.00 21 CONNECT TO EXISTING MANHOLE 3 EA $2,000.00 $6,000.00 3 $6,000.00 22 REMOVE 4"SEWER MANHOLE(CO#1) 1 EA $8,000.00 $8,000.00 1 $8,000.00 23 ABANDON SEWER PIPE W/FL.OW FILL(CO#2) 108 EA $20.00 $2,160.00 108 $2,160.00 Sub-Total of Previous Unit $383,023.00 $383,023.00 Tuesday,December 20,2022 Page 3 of 5 City Project Numbers 102269 DOE Number 2269 Contract Name WESTSIDE HEIGHTS Estimate Number 1 Contract Limits Payment Number 1 Project Type WATER&SEWER For Period Ending 10/15/2022 Project Funding Contract Information Summary Original Contract Amount $538,708.00 Change Orders Change Order Number 1 $43,214.00 Change Order Number 2 $18,740.00 Total Contract Price $602,662.00 Total Cost of Work Completed $602,662.00 Less %Retained $0.00 Net Earned $600,662.00 Earned This Period $600,662.00 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 $600,662.00 Tuesday,December 20,2022 Page 4 of 5 City Project Numbers 102269 DOE Number 2269 Contract Name WESTSIDE HEIGHTS Estimate Number 1 Contract Limits Payment Number 1 Project Type WATER&SEWER For Period Ending 10/15/2022 Project Funding Project Manager NA City Secretary Contract Number Inspectors MILLER,W/ FLUTE,M Contract Date 6/10/2020 Contractor TROPHY CONSTRUCTION SERVICES LLC Contract Time 60 WD 236 E.ELLISON STREET Days Charged to Date 448 WD BURLESON, TX 76028 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 $602,662.00 Less %Retained $0.00 Net Earned $600,662.00 Earned This Period $600,662.00 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 $600,662.00 Tuesday,December 20,2022 Page 5 of 5 � � 0 N q / eCD 2 z E E 4 . a - m a 0. � )LLI 3 � LU 70 % z $ u « W § / c § \ [ ) CL E \ _ � k G © w ƒ } \ / \ / \ \ \ / s ± ! wa § ; ; u z (1) / § ) z \ \ \ / / % / k3 ) z } } 2 / « o ® § 2 § - \ \ \ \ § \ � \ @ ` ; � � E E ƒ m LY ° _ \ \ \ LU / / $ $ - / f7 5 } E ` co (D ( G / ` - - ' m 4 m 3 J z 3 { j = \ \ J . { / \ e \ » $ k j ® k ± k \ e ) w z § 2 z ® \ ® u \ z k k j \ A w e \ z < < } \ Lu \ § 2 g § = n ( � Ir \ } § \ \ ° / 2 § ± \ 3 3 / u / # _ _ it m u 2 e < e y - = E j § ƒ \ / k 5 i \ \ \ \ \ / \ } E o 0 o E \ E e = 0 u e < C - / - REVIE WEED By khal Jaafari at 2:05 pm, Jun 23, 2021 , YOU are directed!o make the fW0,1Irq oho es m the comract documents CITY HID ITEM -" PAY ITEM tt ti I QUANTITY UNIT 3-Water 3311.0001 0.2 TON - _ _ - UNIT PRICE TOTAL .iR Gain! __ $ 5,000.00 ? 17'-Water 3312.2801 2 EA _ -"°_ _ El n1d 4JLT $15p00.00 $ 30,tHF0.00 —_� ATER TDTP -- $3t OW.00 8-Sewer- 3301 CCO2- 4 LF post C,C $ 1,001& - _ 4.00 7-Sewer 3301.0101 1 EA Alanhole Vac.._ - S 90.00 $ W.00 8-Sewer 3305.0109 4 LF Trench S=telves _ $ 1.00 S d.00 11-Sewer - 3331.41 16 4 LF 8"Sewer Pie $ 29.00 $ � 116.00 16-Sewer 3339.1001 2 FA 4'Manhole - $ 3.000.00 $ 6,000.00 21-Server 5emm01 -1 EA Cmuxect to Existing Manho:e $ 2,000.00 S i?.W11A 22'-Sevier 2241.220' 1 EA Remove 4'Sewer Manhole $ 8,000.00 $ 8000.10 SEWER TOTAL S 12,214.00 REASONS FOR CHANGE ORDER Waterfavision due to location of existing water transmission main. Wafer Meter and Vauttleft cut ojrMe original contract for tot 1.Sewerrewsien due to the location of an existing gas main found during canstuction. - NO CITY FUNDS INVOLVED IN THIS CONTRACT.DEVELOPER IS RESPONSIBLE FOR 100%OF THE CHANGE ORDER COST AND NO REIMBURSEMENT FROM THE CITY WILL DE SOUGHT BY THE DEVELOPER. RECOMMENDED: APPROVED: APPROVED: mrn4,i a J� Azle Avd �'S TrophyyC nns^�hueti— By: fey: �lxl�1/G � Name:Andrea Taylor,PE Name.Ryan Vorehees Name:Wade ANard Title:Proiect Manager Tide:Owner Title:Vice President Revised:10-12-2011 - Page 2 G D- . / \ (� § \� k 3/ \ a ( \ \ \ � U co 0) � \: . \ \ E ± & & e t o ® r § / ° \ / A < \ } C - e E g 0 % § } kG \ f ƒ \ \ k � / § / * . e * � § - \ { \ \ \ \ \ \ \ % « } / ƒ / 2 m � , \ \ m . \ / © C / { m ƒ ( ] 0 \ ° \ _ § !No / # { \ y j 2 g _ - J § R w 0 ) } / ) [ di # © e o 0 L \ \ j z@ u 2 = < a c ± e m u \ § \ } 2 k % \ § § j ~ / « � ® # / ~ / ° » ° z °& ` ) # a - / ` w \ 0 / \ c z 5 %\ ) z ( / ( ) a o 0 o E 4 E s o d 3 0 , e . J . \ cl 90 §\/ z 2\/ 2 . \a/ ew_\\ / \ u . . / . \ § { f \ \ ) . \ ) CL ƒ 2 \ } ) \ ee « - ƒ e , } (1) k 8 « & \/j\} � @/7 © _ : k #» © 7¥ }» I\ \ \ \ \\ . \ E+ } (e & /' ( \ )\ § ` / [\ $ \{ ®G � ) « LU \ \ / A ( \ ) . \ 0» §_j± %%5~ ® 72 = 171- § eo ( / e ( \7 k \ »~ \ ± 2 , ( /§ § + % £ @ GG ec 2& z J 2 ■ §-)\ \}}\ (_ ( ' Jcr § \ 5§ S } \ \/) / gd + \ <1 £ ) a / r / $ ) 2 . 2 { i }y o { \ ƒ\ } { � § / \ < FORT WORTH TRANSPORTATION AND PUBLIC WORKS PIPE REPORT FOR: PROJECT NAME: Westside Heights PROJECT NUMBER: 102269 DOE NUMBER: NA WATER PIPE LAID SIZE TYPE OF PIPE LF DR-14 C-900 PVC 4 Inch DR-14 299 DR-14 C-900 PVC 8 Inch DR-14 277 DR-14 C-900 PVC 12 Inch DR-14 4920 FIRE HYDRANTS;8 VALVES(16"OR LARGER) PIPE ABANDONED SIZE TYPE OF PIPE LF DENSITIES: Yes NEW SERVICES: 11/2" Domestic Copper 1 2" Domestic Copper 2 SEWER PIPE LAID SIZE TYPE OF PIPE LF SDR-26 PVC C900 8 Inch PVC 4307 DIP 8 Inch DIP 366 PIPE ABANDONED SIZE TYPE OF PIPE LF DENSITIES: Yes NEW SERVICES: 4" (Reconnect) SDR 26 PVC 6 01 TRANSPORTATION AND PUBLIC WORKS The City of Fort Worth• 1000 Throckmorton Street•Fort Worth,TX 76012-6311 (817) 392-7941 •Fax: (817) 392-7845 FORT WORTH. TRANSPORTATION AND PUBLIC WORKS December 15,2022 Trophy Construction Services 236 E. Ellison Street Burleson Tx 76208 RE: Acceptance Letter Project Name: Westside Heights Project Type: Water,Sewer, Drainage City Project No.: 102269 To Whom It May Concern: On October 25, 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 December 15, 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 December 15, 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- 392-7872. Sincerely, Kha[Jaafari P.E. n19,2 9:08 CST) Khal Jaafari, Project Manager Cc: Michael Flute, Inspector Wade Miller, Inspection Supervisor Emanuel Nieto,Senior Inspector Victor Tornero, Program Manager MMA(Andrea Taylor), Consultant Trophy Construction Services,Contractor Azle Ave Apts. LLC, Developer File E-Mail: TPW_Acceptance@fortworthtexas.gov OFFICIAL RECORD CITY SECRETARY FT.WORTH,TX Final Bills Paid Affidavit by Contractor BEFORE ME,the undersigned authority,personally appeared J. Wade Allard(hereinafter referred to as"Contractor"), known to me to be a credible person,and after being by me duly sworn,upon oath stated and affirmed that: "My name is J. Wade Allard and I am the Vice President[title] of Trophy Construction Services LLC,hereafter sometimes referred to in this affidavit as"Contractor". Contractor's business address is 236 E.Ellison St.Burleson, TX 76028. The undersigned Contractor has personal knowledge of the facts stated herein and has full authority to make the agreements in this affidavit on behalf of Contractor. Pursuant to and in accordance with a written construction contract between Trophy Construction Services LLC, Contractor, and Gold Creek Homes, Owner/Administrator,Contractor furnished materials and labor for the construction,renovation,or repair of improvements located on or relating to project known as Westside Heights located at 5050 Azle Ave., City of Fort Worth., Tarrant County,Texas,legally described in Exhibit"A"attached hereto and made a part hereof for all purposes(the "Property"). AlI work provided for under said written construction contract,together with all changes and supplements thereto, has been fully completed in accordance with the terms and provisions thereof. Contractor has paid each of its subcontractors,laborers, suppliers and materialmen in full for all labor and materials provided to Contractor for or in connection with the construction,renovation, or repair of improvements on or relating to the subject Property,or any portion thereof, excepting only the amounts owed for the following specified bills to the persons identified below. Contractor warrants and represents that the following specified bills will be paid to Contractor by Owner/Administrator in reliance on this Final Bills Paid Affidavit: Name of Pa ee Address Telephone No. Amount Owed I. 2. 3. 4. 5. Other than the above specified bills owed to the above referenced persons, Contractor is not aware of any unpaid bills,claims, demands, or causes of action by any of its subcontractors, laborers, suppliers,or materialmen for or in connection with the furnishing of labor or materials,or both, for the construction,renovation,or repair of improvements located on or related to the subject Property. In consideration of the funds paid to Contractor by Owner/Administrator and by Lender on behalf of Owner/Administrator in reliance on this affidavit,Contractor waives and releases all of Contractor's statutory and constitutional mechanic's lien rights connected with the construction of the Project,conditioned on the actual payment or collection if payment is made by check or draft. Contractor further understand that this Final Bills Paid Affidavit is being given pursuant to and in accordance with Sections 53.085 and 53.259 of the Texas Property Code and that the intentional,knowing,or reckless making of a false or misleading statement in this Affidavit constitutes an offense under said Section and is a Class A misdemeanor. Form 11.08— Final Bills Paid Affidavit Page 1 of 3 CDBG Disaster Recovery Program September 2013 Contractor hereby indemnifies and holds harmless Owner/Administrator from any and all claims, demands or causes of action, and any costs,expenses,and attorney's fees incurred in connection therewith,arising from or connected with,the statements and representations contained herein." EXECUTED this 29th day of December ,2022. Trophy Construction Services LLC [Name of Contractor Company] By: Printed Name:J. Wade Allard Title:Vice President WARNING: If it is determined through monitoring that the on-site support documentation of actual costs does not agree with the itemized invoice(s) submitted, the Subrecipient will be subject to repayment of Community Development Block Grant Disaster Recovery Program. Subrecipient may not request funds in excess of the actual amount expended for repair, rehabilitation, reconstruction, or new construction of the eligible home. Notary's Acknowledgement Before me,the undersigned authority,on this day personally appeared_ . W0& V, who first being duly sworn by me to be the person whose name is subscribed to the foregoing Final Bills Paid Affidavit,acknowledged that he/she has the authority to make this Final Bills Paid Affidavit,and further acknowledged to me that he/she executed the same for the purpose and consideration therein expressed. #� GIVEN UNDER MY HAND AND SEAL OF OFFICE on this the Ze-day of y 20 2,2 . (Seal) Y AV MA. GINGER FRANKLIN or Johnson County No Pu 'c, State of Texas Notary PuUic,State Of Texas My commi lion expires =st, q Comm.Expires 10-28-2025 9rFo`s "' Notary ID 12960864-6 Form 11.08—Final Bills Paid Affidavit Page 2 of 3 CDBG Disaster Recovery Program September 2013 CONSENT OF OWNER ❑ SURETY COMPANY ARCHITECT ❑ TO FINAL PAYMENT CONTRACTOR ❑ SURETY ❑ AIA DOCUMENT G707 OTHER Bond No. 4435692 PROJECT: Westside Heights Apartments-underground utilities (water,sewer,storm drain) (name,address) TO(Owner) [ Azle Ave Apts,LLC ] ARCHITECT'S PROJECT NO: 801 Briarwood St. Weatherford,TX 76087 CONTRACT FOR: Westside Heights ] CONTRACT DATE: CONTRACTOR: Trophy Construction Services LLC 236 E. Ellison St. Burleson,TX 76028 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) SureTec Insurance Company 2103 CityWest Boulevard, Suite 1300 , SURETY COMPANY, Houston,TX 77042 On bond of(here insert name and address of Contractor) Trophy Construction Services LLC 236 E. Ellison St. Burleson,TX 76028 , 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) Azle Ave Apts,LLC 801 Briarwood St. Weatherford,TX 76087 ,OWNER, as set forth in the said Surety Company's bond. IN WITNESS WHEREOF, the Surety Company has hereunto set its hand this 29th day of December 2Q22 SureTec Insurance Company Surety Company 71 Signature of Authorized Representative Attest: (Seal):Lisa Ortiz Patricia Ann L the 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 DEBTS AND CLAIMS, Current Edition AIA DOCUMENT G707•CONSENT OF SURETY COMPANY TO FINAL.PAYMENT•APRIL 1970 EDITION•AIA® ONE.PAGE 0 1970 9 THE AMERICAN INSTITUTE OF ARCHITECTS, 1735 New York Ave.,NW,WASHINGTON.D.C. 20006 POA# 4221767 JOINT LIMITED POWER OF ATTORNEY KNOW ALL MEN BY THESE PRESENTS:ThatSureTec Insurance Company,a Corporation duly organized and existing under the laws of the State of Texas and having its principal office in the County of Harris,Texas and Markel Insurance Company(the"Company"), a corporation duly organized and existing under the laws of the state of Illinois,and having its principal administrative office in Glen Allen,Virginia,does by these presents make,constitute and appoint: Bryan K. Moore, Gary W.Wheatley, Betty J. Reeh, Michael D. Hendrickson, Patricia Ann Lyttle, Andrew Addison, Elizabeth Ortiz, Patrick Coyle,Ana Tomes Their true and lawful agent(s)and attorneys)-in-fad,each in their separate capacity if more than one is named above,to make,execute,seal and deliver for and on their own behalf,individually as a surety or jointly,as oo-sureties,and as their act anddeed any and all bonds and other undertaking in suretyship provided,however, that the penal sum of any one such instrument executed hereunder shall not exceed the sum of: Twenty Million and 00/100 Dollars($20,000,000.00) This Power of Attorney is granted and is signed and sealed under and by the authority of the following Resolutions adopted by the Board of Directors of Sure'rec Insurance Company and MarkelinsuranceCompany: "RESOLVED,Thatthe President,any Senior Vice President,Vice President,Assistant Vice President,Secretary,Assistant Secretary,Treasurer or Assistant Treasurer and each of them hereby is authorized to execute powers of attorney,and such authority can be executed by use of facsimile signature,which may be attested or acknowledged by any officer or attorney,of the company,qualifying the attorney or attorneys named inthe given power of attorney,to execute in behalf of,and acknowledge as the actand deed of the SureTec Insurance Company and Markel Insurance Company,asthe case may be,all bond undertakings and contracts of suretyship,and to affix the corporate seal thereto." IN WITNESS WHEREOF,Markel Insurance Company and SureTec Insura nce Company have caused their official seal to be hereunto affixed and these presents to be signed by their duky authorized officers on the 24th day of March 2021. d SureTec Insurance Company yRAN +p+r'I'+rrq� arksurance Qpmpany By:V4 � W 1 W =Y� SEAL 4t a 7+ e, � t �1 By; Michael C.Keimig,President ` +n'•.,1 _.— ndeyJennir f,Vice President State of Texas �� * rn IJON%% County of Harris: On this 241h day of March ,2021 A.n.,hefnre me,a Notary Public of the State of Texas,in and for fire County of Harris,duly commissioned and qualified,came THE ABOVE OFFICERS OF THE COMPANIES,to me personally known to be the individuals and officers described in,who executed the preceding instrument,and they acknowledged the execution of same,and being by me duly sworn,disposed and said that they are the officers of the said companies aforesaid,and that the seals affixed to the proceeding instrument are the Corporate Seals of said Companies, and the said Corporate Seals and their signatures as officers were duly affixed and subscribed to the said instrument by the authority and direction of the said companies,and that Resoiutons adopted by the Board of Directors of said Companies referred to in the preceding instrument is now in force. IN TESTIMONY WHEREor,I have hereunto set my hand,and affixed my Official Sea at the County of Harris,the day and year first above written. ",.x , �XENIA CHAVEZ .�;. Notary PubliC,118te al Texas y.' ;•i NatarylD#12011166-9 By: 3 My commissiot Exerts X!Via Notary Public q„,.,,• SEPTEIMBER 10,2024� 4'y mmission expires 9/10/2024 We,the undersigned Officers of SureTec Insurance Company and Markel Insurance Company do herby certify that the original POWER OF ATTORNEY of which the foregoing is a full,true and correct copy is still in full force and effect and has not been revoked. IN WITNESS WHEREOF,we have hereunto setour hands,and affixed the Seals of said Companies,on the 29th day of December 2022 ur cwntSecretary Ma el Insurance Company By. BY: ' M.Br ndrew Marquis,Assistantse 5try Any Instrument Issued in excess of the penalty stated above is totally void and without anyvalidity.4221767 Fo r ve rif ication of the authority of t,�Vs Power you may call(713 M812-0800 on any b Ia ine ss day between 8:30 AM and 5:00 PM CST. SureTec Insurance Company IMPORTANT NOTICE Statutory Complaint Notice/Filing of Claims To obtain information or make a complaint: You may call the Surety's toll free telephone number for information or to make a complaint or file a claim at: 1-866-732-0099. You may also write to the Surety at: SureTec Insurance Company 9737 Great Hills Trail, Suite 320 Austin, TX 78759 You may contact the Texas Department of Insurance to obtain information on companies, coverage, rights or complaints at 1-800-252- 3439. You may write the Texas Department of Insurance at: PO Box 149104 Austin, TX 78714-9104 Fax#: 512-490-1007 Web: http://www,tdi.texas.gov Email: ConsumerProtection@tdi.texas.gov PREMIUM OR CLAIMS DISPUTES: Should you have a dispute concerning your premium or about a claim,you should contact the Surety first. If the dispute is not resolved,you may contact the Texas Department of Insurance. ------------------------------------------------------------------------------------------------------------------------------ Texas Rider 872019 1