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Contract 57479-FP1
FoRTWORTH. TRANSPORTATION AND PUBLIC WORDS NOTICE OF PROJECT COMPLETION City Secretary No: 57479 -FP1 Date Received: 3/8/2023 City Project Ns; 103455 Regarding contract 57479 for 2022 HMAC Surface Overlay Project (Mt View & Virginia Ln) as required by the TRANSPORTATION AND PUBLIC WORKS DEPARTMENT as approved by City Council on 02/22/2022 through M&C 22-0117 the director of the TRANSPORTATION AND PUBLIC WORKS DEPARTMENT upon the recommendation of the Assistant Director ofthe Transportation & Public Works Department has accepted the project as complete. Original Contract Prices: Amount of Approved Change Orders: Revised Contract Amount: Total Cost Work Completed: Less Deductions: Liquidated Damages: Pavement Deficiencies: Total Deduction Amount: Total Cost Work Completed: Less Previous Payments: $1,027,828.84 $ 0.00 Ns 0 $ 1,027,828.84 $593,161.01 $0.00 $593,161.01 $ 563,502.96 Final Payment Due $ 29,658.05 Recommended for Acceptance Asst. Director, TPW - Capital Delivery Lauren Prieur (Mar8, 202315:52 CST) Accepted Director, TRANSPORTATION AND PUBLIC WORKS DEPARTMENT Client Department Asst. City Manager Comments: 0 Days© $650.00/ Day Mar 8, 2023 Date Mar 8, 2023 Date Mar 8, 2023 Date OFFICIAL RECORD CITY SECRETARY FT. WORTH, TX C-620 Signature Page Contractor's Application for Payment Invoice No. 8-Final To(Owner): City of Fort Worth Invoicing Period (From -To): Invoice Date: 6/152022 - 01131/2023 MM023 P. 0. FW020-007733 From (Contractor): Remit to ( If Nat Automatic Deposit): Number: Advanced Paving Acquisition LTD Project: 103455 Contactors CFW Vender No.: 0000023239 City Secretary Contact 57479 Number. cme: 2022 HMAC Surface Overlay Project (Mt View & Virginia Ln) N Name: Application For Payment Change Order Summary Approved Change Orders Number Additions Deletions 1 2 3 4 5 6 7 8 TOTALS NETCHANGEBY CHANGE ORDERS Certification The Contractor certifies with the submittal of this document and associated Payment Request Submittal on the City of Fort North Bensaw system that to the best of their lmowledge: (1) all previous progress payments received from Owner on account of 1Vork done under the Contract have been applied on account to discharge Contactors legitimate obligations incurred in connection with Work covered by prior Applications for Payment; (2) title of all Mork, 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 payment free and clear ofall Liens, security interests and encumbmnces (except such as arc covered by a Bond acceptable to Owner indemnifying Owner against any such Liens, security interest or encumbrances); and (3) all Work covered by this Application for Payment is in accordance with the Contract Documents and is not defective. Damages S650.00 s day 540y L. 4dLLd `t Sam L. Garrett (Mar 8, 2023 10:47 CST) 1. ORIGINAL CONTRACT PRICE......................................................... S SI,027,828.84 2. Net change by Change Orders................................................................ S 3. Current Contract Price (Line 1 t 2)....................................................... S SI,027,828.84 4. TOTAL C051PLETED AND STORED TO DATE (Progress Estimate, Construction Allowance and Change Orden)...... S S593,161.01 5. RETAINAGE: a. X $593,161.01 work Completed.......... S b. X Not Used S c. Total Relainage (Line 5a+Line Sb) ............................... S 6. AMOUNT ELIGIBLE TO DATE (Line 4 - Line Sc)............................ S S593,161.01 7. LESS PREVIOUS PAY51ENTS (Line 6 from prior Application)........ S S563,502.96 B. AMOUNT DUE THIS APPLICATION ................................................ S S29,658.05 9. BALANCE TO FINISH, PLUS RETAINAGE (Column G on Progress Estimate+ CA + Cos + Line 5 above)............. S S434,667.83 10. CONTRACT TIME: a. Days Awarded 180 b. Days Added by Co C. Total Days NO d, Days Charged 169 C. Days Remaining I I 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. Cb20 Un1 P'ce Pleyess Es[ms& Progress Estimate a5� 57479 Contractor's Application 2022 HAIAC Sartace Overlay Pmjml (MI View & Virginia Ln) —'— a -Final AFv6mm4M.d 6nY2022-01212023 _ 222R02] F '� FCdpmoy Um Me ad\'im ��°7 \d< Fte.4dYYeLtl Yim Yive T4s Ni.M 4�mfM.y T.mlcmSidN af5mdu[me (OrE) Y exsam�vi>.Y d.m �{ee �w6acv u U 1 ._ .2 3 1 6 _ 6 - ] 0 _- 9 10 _ 11 13 13 _td 16 _16 11 10 ---f9 -30 _ 21 22 _ 23 24 -_-25 __ 26 _ -2' 28 - 29 -30 31 32 33 3f 35 36 3Y39) 4t 42 - 12 0f350N11 REJACPoL¢ATKK! Wd11_ REN.O/E CCNC CURB 6 O_. 321 . T' CONC CURB O GLRTER 1213-1 REMOVE-OC E RETE CRNEI'/AY 13W0i 6'C0.':CR[TE OR- 100 RENOYE SDEWPu( 12/30301 d'CONCR-ciE SOEYIPLN W4114. R GIfFTER EIJOVE C0.'X:RETF VPLLEY 3215 M1 T' CW:C VPLLER GUITI]2 .110300 1--I R-1 3213[b01 BARR ER FREE RP\P TYPE RR 3213 fGW_'ER 11 E R11,P, TYFE M-1 - 321305N EPATd ER FREERAVP, ttPE M-2_ 3213117. 6ARRE ERAVP, ttPEP-1 pldl t)W fi'PAVEVENT RAVERPA110N - 321201023- ARPW T PAVBVEnjLPED _ 3211dW CEA'E]R JGgRGigS{I6.Mhy 2d'NIDLF ER iHEERE40VP1 3 00 2 IS iR 4p/AL - 31230161 1RiCV55 _E _VA- 329201W BLOCK B. PEFXALf3.tE!-!! 321103Cd STOP BPRB PAVENE3IT NANFI NG 3111 W01 6'SOLIO TtEAN.OPW511C(W511A^.E LINE_ 311)OWI 6'BOLI0 T:ERAYWfASTIC O'/'BI CE31TERt1NE 321i16612d'SOLIOWHITE T1Ekl!OPLA6TIC(IUE1 CH015'IPLK 1211-1 ClIROPWRE55 PP.NTI'.G 3291111W TOPSPL __. _ 32 012i FLEXBXSE, AGR2 _. - 1W01Cd ]AISCR JUSLN n jlIf0.1T&63- y01Cd NJ6CELW£OUS STRUCNPEPDA]STW.�R .l40111 WATER PLV VE BOX AD TV R`((AT STEEL REER) 3 0112 WATER VPLVE BOX PDVST]. 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W%43 33 Pd td i312 t0 111210 33d910 11 4 f104 3M 14 FA _ lF - IF BE -Sr SF Y SY 9Y -- -SF --Sr _ BE - BY BY BY 111 EA EA -Cl SI 1F LF lF- EA LY CY - LS LS EA EA EA EA EA SI EA OOOOOo - R02 YId2 3132 3132 )013 )OU - -ia >0 10W 1050 t0000]000 1000 210 f30W 13Wp 169 --- 3 3 )1 NW 165 -21)0 2W i0a _- _ _ dd_ 600 i2O- _ -1" - 5. _ --5 - ----- 5 - --1 20 W I S,WOW _ - 4565 5396C U65 - 5943 --- - Si d3 402i --53850 - - - 1110% -- _-0b -_-_3'22U0 S196p 619fi0 61900 1d 61Y.10 11,_. -_ . ..-11d,0%.1U 526E 36T 20 12 211 5292ddA 51 ),dE66! 550,f01 15 -SI,E95% SI,)W W %3W W 513.10000 St uO%00 11, 15300 12. 1.0% 62W,1WW 52),005W S150W W %OWW - - SIc,CdOW 5226fi 15 51,1W 00 51,1W W S?200W St,1W %00000 - .-w _. _--SS,WOW ST6WW 382500 51650W OWhoW0 SI,WOW St 0]O W S100WW 1I035113WW0 112359000C90 )fd9<00W00 11]NY100p 1566ffANW0 ]91850000000 81050000W 610' 0 101)J]OD0000 220109m0000 f12910pC000 6585 D]000000 6565.W1WW0 E800000000 S.WOWWO_ 11)5Wo0a%b- ------ - - -- - - -090691600-- --- e6opo6pm -_- - - 61W95R13d000000O0 - S1032d39 51632921E 5?]5352 5311Fd 09 S3,6df 3T 4'.932]63 41 Zi593 59,2d5W %d0632 K1,6df%-iV,_ s56.30TY5 5.111 -- 3116,SSd50 514.190W SIS,00000 31032/39 S16T 29d 16 5275253 531 37 SJ,6dd J) %5321.63 43,D5% 59,21550 A.d563I $;ffi962 3%301 ]5 $118,55160- 511,1%OD $15,000W - $1t6WW - 51.53190 SI(L000 3t31 .KW0I0000 ___ - _-s1U3zd 39 -_i_.,.416 -- 52.i5252 3312edW -_ _ -U.fidd 3) -365,32]63 S].21E 93 ---69,id560 --- SJ.d512 3 3 .41 566% 226% '2; 222% 1121X 1201% 1.1% 10d)% i— St,00pW 5 ,73171 $125.0730d S9,y3569 -S2N369 3135922] -5),2II 63 SL0 SO 11,S45W -51%J2 -5395113E 41 F000 51 321U 5132d 36 SSP.1. 511354550 513E%00 3160WW SJ,.lWOG 52.26915 - -- 41,1W00 -- _- S1.t0000 --Yx,AOW 118,'.AOW - S6,M. ..-...St65 ti 55.om. �S _ ___ __ _ -- ��-- __ _ _ __ -- -- ---- - - _ - - --- - --- �--- - - -- - - --- _ _ _ __ 5%30I.)6 -$1f4,55750 -__ - SOT'. -fiU1% _ SIfiS fA SS,OJOW S3 WOW Vow- - -_%W -- $1375 - - 1550 5530 g2200 326130 55200 $5BC0 SS-. %WpW -53%00 5165W - 53W W ----- 55000 -Sf0,0WW _ _ - _ - - - -- -- -- - - - - ---- -_-- -��9000 M-w 509% ---W..b. - - - - - - -- -- - --._. -51,53dd0 _. - - $1.36u - ___ -. _ - r6C3�5 - -_ -- - - -- - -- ----- 3d 531 - -..--- 51,00000 0 0DSi -.-3N. �1 ,11900 -Tb% - - --- - )% INo% 1d104%% _-.iS1J,.fi%061 R1 9 -- ----- OW ---51650W ---pY;dO10p90p0 W -5<p,000pp �.m Eatm �d6ad hvm mnW F.maaEJclyd.,<�madlBemaddr k2tbitl6e w.Sfimv Tw ae eaxe5efurmdltrdaaem u.AOyd. ..tqi c...9dryaumeusv Citv of Fort Worth Summary of Charaes City Secretary Contract Num: 1 57479 2022 HMACSurface Overlalyt Project(Mt View& Virginia P 0: 1,1V020-007733 Project Number: 103455 Application Period: 6/15/2022 - 01/31/2023 Appliwtw° 8-final Application Date: 2/22/2023 Number Funding Identification (FID) ( Utal Completed 1 Amt Remaining I Gross I I Retainage Net -original Contract $593,161.01 $434,867.83 30100-0200431-5740010-103455-006280-9998 0 I I 0 0 0 I 0 I 0 0 0 I I 0 0 Chan a Order1 I 30100-02OC431-5740010-103455-006280-9999 0 I 0 I 0 I I o I 0 0 0 I 0 I 0 I I 0 I - _ Chan a Order 2 30100-0200431-5740010-103455-006280-9999 0 0 0 0 0 I 0 I I I 0 o o o I ----- - - - I- ---------- L-- - — - — -— Citv of Fort Worth Summary of Charaes City Secretary ContractNum: 57479 2022 HMAC Surface OverlaynProject (Mt View & Virginia P. 0.: MV020-007733 Project Number. 103455 Application Period: 6/15/2022 - 01/31/2023 Application 8-Final Application Date: 2/22/2023 Number. Funding Identification (FE CI I( Total Completed 1 Amt Remaining Gross ---j Retainage F— Net I ( Change Order 3 30:1:-0200431-5740010-103455-006280-9999 0 1t, 0 I 1 0 I I I 0 I =411 0 =F== 0 0 o I I 0 1 ——- - -.....Chan eOrder4 --— ---- —I ---- 30100-0200431-5740010-103455-006280-9999 0 I I 0 I 0-- 0 0 I o I 0 o I I o I I I 0 I Change Order 5 30100-0200431-5740010.103455-006280.9999 0 0 0 I 0 I 0 I I 0 0 0 0 1 0 Citv of Fort Worth Summary of Charaes City Secretary ContractNum: 57479 2022 HNTACSurface OverlayProjectView & Virginia P. 0.: 11V020-007733 Project Number. 103455 Application Period: 6/15/2022 - 01/31/2023 Application 8-Final Application Date: 2/22/2023 Number. Funding Identlfication (FID) I I Total Completed I I Amt Remaining r Retainege I I Net I Change Order 6 30100-0200431-5740010-103455-006260-9999 0 o I I o I i o I I o I I 0 I 0 I o I I 0 I I o I Chan a Order? 30100-0200431-5740010-103455-0062M9999 o 0 0 0 o I j_, 0 0 o I 0 I Chan a Order 8 30100-0200431-5740010-103455-006260-9999 0 0 0 0 I 0 0 0 i 0 o I o I Citv of Fort Worth Summary of Charaes CitySecn aryContmctNum: 57479 2022 HMAC Surface Overlay Project roject(Mt View & Virginia P 0.: FIV020-007733 projectNumbee 103455 Application Period: 6/15/2022 - O1/31/2023 Application 8-Final Application Date: 2/22/2023 Number. Funding Identification (Fg I I Total Completed $593,161.01 I I Amt Remaining 1 I Gross I —I Retainage I Net I Totals $434,667.83 30100-0200431-5740010-103455-006280-9999 0 0 0 I 0 0 0 I o I 0 o 0 Grand Total 1 1 $593,161.011 1 $434,667.83 1 1 $0.00 $29,658.05 $29,658.05 FORT WORTH„ TRANSPORTATION AND PUBLIC WORKS November 11, 2022 Advanced Paving 2311 Joefield rd Dallas TX, 75229 RE: Acceptance Letter Project Name: 2022 HMAC Surface Overlay Contract Project Type: Paving City Project No.: 103455 To Whom It May Concern: On November 11, 2022 a final inspection was made on the subject project. There were no punch list items identified at that time. The final inspection indicates that the work meets the City of Fort Worth specifications and is therefore accepted by the City. The warranty period will start on November 11, 2022, which is the date of the final inspection 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- 392-6747. Sincerely, Iretomiwa Otuyelu, Project Manager Cc: Curtis Hollingsworth, Inspector Donald Watson, Inspection Supervisor Aaron Ybarra, Senior Inspector Mary Hanna P.E., Program Manager N/A, Consultant Advanced Paving, Contractor N/A, Developer File E-Mail: TPW_Acceptance@fortworthtexas.gov Rev.08/20/19 AFFIDAVIT STATE OF Texas COUNTY OF Dallas Before me, the undersigned authority, a notary public in the state and county aforesaid, on this day personally appeared Sam L. Garrett, Owner Of Advanced Paving Company, 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 firrnishing 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; 2022 HMAC Surface Overlay BY Sam L. Garrett Subscribed and sworn before me on this date 24th of January, 2023, Nit ry Public as, Texas K BECKY GARRETTNotary ID #3802638My Commission Expires October 11, 2024 CONSENT OF SURETY COMPANY TO FINAL PAYMENT Conforms with the American Institute of Architects, AIA Document G707 PROJECT: (name, address)2022 HMAC Surface Overlay TO (Owner) CITY OF FORT WORTH 1000 Throckmorton Street For, Worth TX 76102 CONTRACTOR: ADVANCED PAVING CO. OWNER ❑ ARCHITECT ❑ CONTRACTOR ❑ SURETY ❑ OTHER Fort Worth TX ARCHITECT'S PROJECT NO: CONTRACT FOR: 2022 HMAC Surface Overlay _I CONTRACT DATE: Bond No TXC615321 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) MERCHANTS BONDING COMPANY (MUTUAL) 6700 Westown Parkway West Des Moines IA 50266 , SURETY COMPANY on bond of (here insert name and address of Contractor) ADVANCED PAVING CO 2311 Joe Field Rd. Dallas TX 75229-3326 , 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 (here insert name and address of Owner) CITY OF FORT WORTH 1000 Throckmorton 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 Attest:,, 1 1c�•vG:� (Seal): 24th day of January, 2023 MERCHANTS BONDING COMPANY (MUTUAL) Surety Company Signature of Authorized Representative Sophinie Hunter Attorney -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 ONE PAGE _MERCHAN"T� BONDING COMPANY,-. POWER OF ATTORNEY Know All Persons By These Presents, that MERCHANTS BONDING COMPANY (MUTUAL) and MERCHANTS NATIONAL BONDING, INC., both being corporations of the State of Iowa, d/b/a Merchants National Indemnity Company (in California only) (herein collectively called the "Companies") do hereby make, constitute and appoint, individually, Don E Cornell; Josh Saunders; Kelly A Westbrook; Mlkaela Peppers; Ricardo J Reyna; Robbi Morales; Sophinie Hunter; Tina McEwan; Tonle Petranek their true and lawful Altorney(s)-in-Fact, to sign its name as surety(les) and to execute, seal and acknowledge any and all bonds, undertakings, contracts and other written instruments 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. This Power -of -Attorney is granted and is signed and sealed by facsimile under and by authority of the following By -Laws adopted by the Board of Directors of Merchants Bonding Company (Mutual) on April 23, 2011 and amended August 14. 2015 and adopted by the Board of Directors of Merchants National Bonding, Inc., on October 16, 2015. "The President, Secretary, Treasurer, or any Assistant Treasurer or any Assistant Secretary or any Vice President shall have power and authority to appoint Attorneys -in -Fact, and to authorize them to execute on behalf of the Company, and attach the seal of the Company thereto, bonds and undertakings, recognizances, contracts of indemnity and other writings obligatory in the nature thereof." "The signature of any authorized officer and the seal of the Company may be affixed by facsimile or electronic transmission to any Power of Attorney or Certification thereof authorizing the execution and delivery of any bond, undertaking, recognizance, or other suretyship obligations of the Company, and such signature and seal when so used shall have the same force and effect as though manually fixed." In connection with obligations in favor of the Florida Department of Transportation only, it is agreed that the power and aut hority hereby given to the Attorney -in -Fact Includes any and all consents for the release of retained percentages and/or final estimates on engineering and construction contracts required by the Slate of Florida Department of Transportation. It is fully understood that consenting to the State of Florida Department of Transportation making payment of the final estimate to the Contractor and/or its assignee, shall not relieve this surety company of any of its obligations under its bond. In connection with obligations in favor of the Kentucky Department of Highways only, it Is agreed that the power and authority hereby given to the Attorney -in -Fact cannot be modified or revoked unless prior written personal notice of such Intent has been given to the Commissioner - Department of Highways of the Commonwealth of Kentucky at least thirty (30) days prior to the modification or revocation. In Witness Whereof, the Companies have caused this instrument to be signed and sealed this 8th day of December 2022 ,` .......... MERCHANTS BONDING COMPANY (MUTUAL) �I p'.P(0 q� �� ,•�O •.. ... • �N"A MERCHANTS NATIONAL BONDING, INC. LNG.O., ` hy;GORPURq ,� ; �O•FlPOg9�9y� • dlb/a MERCHANTS NATIONAL INDEMNITY COMPANY 2003 :'C) : y 1933 ..'•c: By •'•�� ' •...,...•;�a�:• •'•bdjv*.... ..,\1a6 President STATE OF IOWA '�.,���%7••••,.•` . • • • • • . COUNTY OF DALLAS ss. On this 8th day of December 2022 before me appeared Larry Taylor, to me personally known, who being by me duly sworn did say that he is President of MERCHANTS BONDING COMPANY (MUTUAL) and MERCHANTS NATIONAL BONDING, INC.; and that the seals affixed to the foregoing Instrument are the Corporate Seals of the Companies; and that the said instrument was signed and sealed in behalf of the Companies by authority of their respective Boards of Directors. Kim Lee --- - Commiss,on Numbef 711,2137 Mfy Commiss'on Exk+res r April 14, 2024 ' �Yl 1 i (Expiration of notary's commission does not invalidate this instrument) Notary Public I, William Warner, Jr., Secretary of MERCHANTS BONDING COMPANY (MUTUAL) and MERCHANTS NATIONAL BONDING, INC., do hereby certify that the above and foregoing is a true and correct copy of the POWER -OF -ATTORNEY executed by said Companies, which is still in full force and effect and has not been amended or revoked. In Witness Whereof, I have hereunto set my hand and affixed the seal of the Companies on this 24th day of January , 2023 NX ,..0,P(10N.4 ,MNG Cob,,,* -Q:► -0- d:_ .t--.jam -o- —.. o• y 2003 1933 C; Secretary 'svd;•., .•� . vd. .ace',• POA 0018 (10/22) ""•••'•• ""' '40 MERCHANTS BONDING COMPANY,, MERCHANTS BONDING COMPANY (MUTUAL) • MERCHANTS NATIONAL BONDING, INC. P.O. Box 14498 • DES MOINE-S, IOWA S0306-3498 - (800) 678-8171 • (515) 243-3854 FAX IMPORTANT NOTICE Have a complaint or need help? If you have a problem with a claim or your premium, call your insurance company first. If you can't work out the issue, the Texas Department of Insurance may be able to help. Even if you file a complaint with the Texas Department of Insurance, you should also file a complaint or appeal through your insurance company. If you don't, you may lose your right to appeal. Merchants Bonding Company (Mutual) To get information or file a complaint with your insurance company: Call: Compliance Officer at 800-678-8171 Toll -free: 1-800-6 7 8-8171 Emai►: regulatory@merchantsbonding.com Mail: P.O. Box 14498, Des Moines, IA 50306-3498 To get insurance information you may also contact your agent: Aon Risk Services Southwest Inc Call: 214-989-0000 Mail: PO Box 803507, Dallas TX 75380 The Texas Department of Insurance To get help with an insurance question or file a complaint with the state: Call with a question: 1-800-252-3439 File a complaint: www.tdi.texas.gov Email: ConsumerProtection@tdi.texas.gov Mail: MC 111-1A, P.O. Box 149091, Austin, TX 78714-9091 SUP 0032 TX (11/19)