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HomeMy WebLinkAboutContract 57215-R2CSC No. 57215-R2 CITY OF FORT WORTH 2nd RENEWAL OF AGREEMENT WHEREAS, this Renewal of Agreement is between the City of Fort Worth, ("CITY"), and Westhill Construction, Inc. ("CONTRACTOR"); and WHEREAS, M&C 22-0100 (February 8, 2022) authorized the Original Agreement and up to 3 renewals ("Renewal") for the Project generally described as: Utility Cut Street Repair Conti -act 2022 (City Secretary #57215); and WHEREAS, CITY and CONTRACTOR exercised the first renewal of the Original Agreement on Awrust 26, 2022; and WHEREAS, CITY and CONTRACTOR desire to exercise the second renewal of the Original Agreement; and WHEREAS, funding for this 2nd Renewal is available and appropriated pursuant to 25773-09-2022 NOW, THEREFORE, it is agreed by the CITY and CONTRACTOR as follows: Article I The Original Agreement is hereby renewed for a second term as described therein. Article II The CONTRACTOR's compensation for this Renewal shall remain $1,000,000, as specified in the Original Agreement. Article III All other provisions of the Original Agreement shall remain in full force and effect. OFFICIAL RECORD CITY SECRETARY FT. WORTH, TX Second Renewal of Agreement Page 1 of2 Utility Cut Repair Contract 2022 Westhill Construction, Inc. CSC No. 57215-R2 EXECUTED and EFFECTIVE as of the date subscribed by the City's designated City Manager. APPROVED: City of Fort Worth Dana elvrandafnF Dana Burghdof (JUP3, 202311:46 EDT) Dana Burglldoff Assistant City Manager DATE: Jul 3, 2023 APPROVAL RECOMMENDED: l'.l7ti'rPo � tfa�de� Chrl-phe,H rde,(Jun 27, 202312:26 CDT) Chris Harder, P.E. Director, Water Department Westhill Construction, Inc. Angela Reynolds President DATE: . l^l ( -� APPROVED AS TO FORM AND LEGALITY: M&C: 22-0100 (Authorization) Date: February 8, 2022 D Black (Ju13, 202310:36 CDT) Douglas W. Black Assistant City Attorney ATTEST: Jannette Goodall City Secretary Contract Compliance Manager: By signing, I acknowledge that I am the person responsible for the monitoring and administration of this contract, including ensuring all performance and reporting requirements. OFFICIAL RECORD Chris Underwood CITY SECRETARY Senior Engineering Technician FT. WORTH, Tx 11 second Renewal of Agreement Page 2 of 2 Utility Cut Repair Contract 2022 Wesdiill Construction, Inc. Official site of the City of Fort Worth, Texas CITY COUNCIL AGENDA FORTNVORTII Create New From This M&C DATE: 2/8/2022 REFERENCE NO.: **M&C 22-0100 LOG NAME: CODE: C TYPE: CONSENT PUBLIC HEARING: 60UCRC2022- WESTHILL NO SUBJECT: (ALL) Authorize Execution of a Contract with Westhill Construction, Inc., in an Amount Up to $1,000,000.00 for the Utility Cut Street Repair Contract 2022 at Various Locations Throughout the City RECOMMENDATION: It is recommended that the City Council authorize execution of a contract with Westhill Construction, Inc. in an amount up to $1,000,000.00 for the Utility Cut Street Repair Contract 2022 at various locations and authorize up to three renewals. DISCUSSION: The work to be performed under this contract consists of utility street street repairs which are necessary after main replacements and repairs are made by the Water Department's Field Operations crews. The Water Department is neither staffed nor equipped to perform some of the larger repairs. This contract is necessary to maintain a reasonable repair schedule, minimize disruption to the public and ensure street repairs do not adversely impact the life of the remaining street. The project was advertised for bid on November 11, 2021 and November 18, 2021 in the Fort Worth Star -Telegram and on December 9, 2021 the following bids were received: Bidder Amount Time of Completion Westhill Construction, Inc. $1,769,875.00 1365 Calendar Days Staff has reviewed the bid and proposed unit prices and considers them to be fair and reasonable. The bid documents included stipulations that the total quantities listed may not reflect actual quantities and that the amount budgeted for the projects is $1,000,000.00. Payments will be made based on actual measured quantities. The bid documents also included a stipulation giving the City the option to renew (subject to appropriated funding) this contract three times under the same terms, conditions and unit prices. This is budgeted in the Other Contractual Services account, which has approximately $19,672,916.71 available; after this contract the remaining balance will be approximately $18,672,916.71. AGREEMENT TERMS: The agreement may be renewed for three additional renewals at the City's option. The renewal action will not require City Council approval provided that the City Council has appropriated sufficient funds to satisfy the City's obligation during the renewal terms. This amendment will not impact the agreement terms that have already been set in place. M/WBE OFFICE: Westhill Construction, Inc. is in compliance with the City's Business Equity Ordinance by committing to 26 percent Business Equity participation on this project. The City's Business Equity goal on this project is 25 percent. ADMINISTRATIVE CHANGE ORDER: An administrative change order or increase may be made by the City Manager up to the amount allowed by relevant law and the Fort Worth City Code and does not require specific City Council approval as long as sufficient funds have been appropriated. This project is located in ALL COUNCIL DISTRICTS. FISCAL INFORMATION/CERTIFICATION: The Director of Finance certifies funds are available in the current operating budget as appropriated, in the Fiscal year 2022 operating budget of the Water and Sewer Fund. Prior to an expenditure being made, the department has the responsibility to validate the availability of funds. Future year appropriations are subject to Mayor and Council approval. Fund Department Account Project Program Activity Budget Reference # Amount ID _ _ �_ Oct Year (Chartfield 2) l FROM Fund Department Account ( Project Program Activity Budget Reference # Amount J ID ID Year (Chartfield 2) _ Submitted for City Manager's Office bv: Originating Department Head: Additional Information Contact: Dana Burghdoff (8018) Chris Harder (5020) J. Chris Underwood (2629) ATTACHMENTS 60UCRC2022-WESTHILL 1295.pdf (CFW Internal) 60UCRC2022-WESTHILL Compliance Memo.pdf (CFW Internal) 60UCRC2022-WESTHILL FID Table (NN 01.05.22).docx (CFW Internal) UCRC2022-WESTHILL SAM.pdf (CFW Internal) WesthillFundsAvailabilitv.pdf (CFW Internal) 0061 13 - 1 PERFORMANCE BOND Page 1 of 2 1 SECTION 00 6113 BOND # 5312550-R2 2 PERFORMANCE BOND 3 4 THE STATE OF TEXAS § 5 § KNOW ALL BY THESE PRESENTS: 6 COUNTY OF TARRANT § 7 8 That we, Westhill Construction. Inc. known as "Principal" 9 herein and Markel Insurance Company , a corporate surety(sureties, if more 10 than one) duly authorized to do business in the State of Texas, known as "Surety" herein (whether 11 one or more), are held and firmly bound unto the City of Fort Worth, a municipal corporation 12 created pursuant to the laws of Texas, known as "City" herein, in the penal sum of, One 13 Million and 00/100 Dollars ($ 1,000,000.00 ), lawful money of the United States, to be paid in 14 Fort Worth, Tarrant County, Texas for the payment of which sum well and truly to be made, we 15 bind ourselves, our heirs, executors, administrators, successors and assigns, jointly and severally, 16 firmly by these presents. 17 WHEREAS, the Principal has entered into a certain written contract with the City 18 awarded the 8"' day of February , 20 22 , which Contract is hereby referred to and made a 19 part hereof for all purposes as if fully set forth herein, to furnish all materials, equipment labor 20 and other accessories defined by law, in the prosecution of the Work, including any Change 21 Orders, as provided for in said Contract designated as Utility Cut Repair Contract 2022; City 22 Proiect No. UC-01 2022 — Second Renewal 23 NOW, THEREFORE, the condition of this obligation is such that if the said Principal 24 shall faithfully perform it obligations under the Contract and shall in all respects duly and 25 faithfully perform the Work, including Change Orders, under the Contract, according to the plans, 26 specifications, and contract documents therein referred to, and as well during any period of 27 extension of the Contract that may be granted on the part of the City, then this obligation shall be 28 and become null and void, otherwise to remain in full force and effect. 29 PROVIDED FURTHER, that if any legal action be filed on this Bond, venue shall lie in 30 Tarrant County, Texas or the United States District Court for the Northern District of Texas, Fort 31 Worth Division. CITY OF FORT WORTH UTILITY CUT REPAIR STANDARD CONSTRUCTION SPECIFICATION DOCUMENTS CONTRACT 2022 — SECOND RENEWAL Revised July 1, 2011 City Project No. UC-01 2022 0061 13 - 2 PERFORMANCE BOND Page 2 of 2 1 This bond is made and executed in compliance with the provisions of Chapter 2253 of the 2 Texas Government Code, as amended, and all liabilities on this bond shall be determined in 3 accordance with the provisions of said statue. 4 IN WITNESS WHEREOF, the Principal and the Surety have SIGNED and SEALED 5 this instrument by duly authorized agents and officers on this the 6th day of June 6 , 20 23 . 7 8 9 ]0 11 12 13 14 15 16 17 18 19 20 21 22 23 24 25 26 27 28 29 30 31 32 33 34 35 36 37 38 39 40 41 42 43 44 ATTEST: (Principal) Secretary i Witness as to rin /i6tne7ssas7t(ur/- Tammy Tinh PRINCIPAL: Westhill Construction, Inc. Sign e Aneela Reynolds, President Name and Title Address: P.O. Box 2016 Cleburne. TX 76031 SURETY: Markel Insurance Company BY( -I\ Stgnature Teresa Godsev, Attorney -In -Fact Name and Title Address: 4521 Hiehwoods Pkwv Glen Allen, VA 23060 Telephone Number: 866-732-0099 *Note: If signed by an officer of the Surety Company, there must be on file a certified extract from the by-laws showing that this person has authority to sign such obligation. If Surety's physical address is different from its mailing address, both must be provided. The date of the bond shall not be prior to the date the Contract is awarded. CITY OF FORT WORTH UTILITY CUT REPAIR STANDARD CONSTRUCTION SPECIFICATION DOCUMENTS CONTRACT 2022 — SECOND RENEWAL Revised July 1, 2011 City Project No. UC-01 2022 1 2 3 4 THE STATE OF TEXAS 5 6 COUNTY OF TARRANT PI 0061 14 - 1 PAYMENT BOND Page 1 of 2 SECTION 00 6114 BOND #5312550-R2 PAYMENT BOND § KNOW ALL BY THESE PRESENTS: 8 That we, Westhill Construction, Inc. , known as 9 "Principal" herein, and Markel Insurance Company , a corporate surety 10 (sureties), duly authorized to do business in the State of Texas, known as "Surety" herein 11 (whether one or more), are held and firmly bound unto the City of Fort Worth, a municipal 12 corporation created pursuant to the laws of the State of Texas, known as "City" herein, in the 13 penal sum of One Million and 00/100 Dollars ($ 1,000,000.00), lawful money of the United 14 States, to be paid in Fort Worth, Tarrant County, Texas, for the payment of which sum well and 15 truly be made, we bind ourselves, our heirs, executors, administrators, successors and assigns, 16 jointly and severally, firmly by these presents: 17 WHEREAS, Principal has entered into a certain written Contract with City, awarded the 18 8"' day of February , 20 22 , which Contract is hereby referred to and made a part hereof for all 19 purposes as if fully set forth herein, to furnish all materials, equipment, labor and other 20 accessories as defined by law, in the prosecution of the Work as provided for in said Contract and 21 designated as Utility Cut Repair Contract 2022; City Proiect No. UC-01 2022 — Second 22 Renewal 23 NOW, THEREFORE, THE CONDITION OF THIS OBLIGATION is such that if 24 Principal shall pay all monies owing to any (and all) payment bond beneficiary (as defined in 25 Chapter 2253 of the Texas Government Code, as amended) in the prosecution of the Work under 26 the Contract, then this obligation shall be and become null and void; otherwise to remain in full 27 force and effect. 28 This bond is made and executed in compliance with the provisions of Chapter 2253 of the 29 Texas Government Code, as amended, and all liabilities on this bond shall be determined in 30 accordance with the provisions of said statute. 31 CITY OF FORT WORTH UTILITY CUT REPAIR STANDARD CONSTRUCTION SPECIFICATION DOCUMENTS CONTRACT 2022 — SECOND RENEWAL Revised July 1, 2011 City Project No. UC-01 2022 1 2 0061 14 - 2 PAYMENTBOND Page 2 of 2 IN WITNESS WHEREOF, the Principal and Surety have each SIGNED and SEALED this instrument by duly authorized agents and officers on this the 6th day of 3 June 4 5 6 7 8 9 10 11 12 ,20 23_ PRINCIPAL: Westhill Construction. Inc. ATTEST: BY Signature (Principal) Secret Witness as to Princi Anaela Reynolds, President Name and Title Address: P.O. Box 2016 Cleburne, TX 76031 SURETY: Markel Insurance Comoanv ATTEST: BY: 0 NO Sig na ure Teresa Godsev, Attorney -In -Fact (Surety) Secretary Name and Title a fitness a o rety — Tammy Tinh Address: 4521 Hiahwoods Pkwv Glen Allen. VA 23060 Telephone Number: 866-732-0099 Note: If signed by an officer of the Surety, there must be on file a certified extract from the bylaws showing that this person has authority to sign such obligation. If Surety's physical address is different from its mailing address, both must be provided. The date of the bond shall not be prior to the date the Contract is awarded. END OF SECTION CITY OF FORT WORTH STANDARD CONSTRUCTION SPECIFICATION DOCUMENTS Revised July 1, 2011 UTILITY CUT REPAIR CONTRACT 2022 — SECOND RENEWAL City Project No. UC-01 2022 1 2 3 4 5 6 7 1.1 SECTION 00 61 19 0061 19 - 1 MAINTENANCE BOND Page] of 3 MAINTENANCE BOND BOND # 5312550-R2 THE STATE OF TEXAS § § KNOW ALL BY THESE PRESENTS: COUNTY OF TARRANT § 8 That we Westhill Construction. Inc, known as "Principal" 9 herein and Markel Insurance Company , a corporate surety 10 (sureties, if more than one) duly authorized to do business in the State of Texas, known as 11 "Surety" herein (whether one or more), are held and firmly bound unto the City of Fort Worth, a 12 municipal corporation created pursuant to the laws of the State of Texas, known as "City" herein, 13 in the sum of One Million and 00/100 Dollars ($ 1,000,000.00 ), lawful money of the United 14 States, to be paid in Fort Worth, Tart -ant County, Texas, for payment of which sum well and truly 15 be made unto the City and its successors, we bind ourselves, our heirs, executors, administrators, 16 successors and assigns, jointly and severally, firmly by these presents. 17 18 WHEREAS, the Principal has entered into a certain written contract with the City awarded 19 the 8`1 day of February , 20 22 , which Contract is hereby referred to and a made part hereof 20 for all purposes as if fully set forth herein, to furnish all materials, equipment labor and other 21 accessories as defined by law, in the prosecution of the Work, including any Work resulting from 22 a duly authorized Change Order (collectively herein, the "Work") as provided for in said contract 23 and designated as Utility Cut Repair Contract 2022, Citv Project No. UC-01 2022 — Second 24 Renewal; and 25 26 WHEREAS, Principal binds itself to use such materials and to so construct the Work in 27 accordance with the plans, specifications and Contract Documents that the Work is and will 28 remain free from defects in materials or workmanship for and during the period of two (2) years 29 after the date of Final Acceptance of the Work by the City ("Maintenance Period"); and 30 31 WHEREAS, Principal binds itself to repair or reconstruct the Work in whole or in part 32 upon receiving notice from the City of the need therefor at any time within the Maintenance 33 Period. 34 CITY OF FORT WORTH UTILITY CUT REPAIR STANDARD CONSTRUCTION SPECIFICATION DOCUMENTS CONTRACT 2022 — SECOND RENEWAL Revised July I, 2011 City Project No. UC-01 2022 1 2 3 4 5 6 7 8 9 10 11 12 13 14 15 16 17 18 19 0061 19-2 MAINTENANCE BOND Page 2 of 3 NOW THEREFORE, the condition of this obligation is such that if Principal shall remedy any defective Work, for which timely notice was provided by City, to a completion satisfactory to the City, then this obligation shall become null and void; otherwise to remain in full force and effect. PROVIDED, HOWEVER, if Principal shall fail so to repair or reconstruct any timely noticed defective Work, it is agreed that the City may cause any and all such defective Work to be repaired and/or reconstructed with all associated costs thereof being borne by the Principal and the Surety under this Maintenance bond; and PROVIDED FURTHER, that if any legal action be filed on this Bond, venue shall lie in Tarrant County, Texas or the United States District Court for the Northern District of Texas, Fort Worth Division; and PROVIDED FURTHER, that this obligation shall be continuous in nature and successive recoveries may be had hereon for successive breaches. CITY OF FORT WORTH STANDARD CONSTRUCTION SPECIFICATION DOCUMENTS Revised July 1, 2011 UTILITY CUT REPAIR CONTRACT 2022 — SECOND RENEWAL City Project No. UC-01 2022 0061 19-3 MAINTENANCE BOND Page 3 of 3 1 IN WITNESS WHEREOF, the Principal and the Surety have each SIGNED and SEALED this 2 instrument by duly authorized agents and officers on this the 6th day of June 3 120 23 5 6 7 8 9 10 11 ATTEST: 12 13 14 (Principal) Secretary 15 16 17 1 19 20 Witness as to Principal 21 22 23 24 25 26 27 28 29 ATTEST: 30 31 32 (Surety) Secretary 33 34 35 �itnessasure —Tammy Tinh 36 If signed by an officer of the Surety Company, there must be on file a certified extract from the by-laws showing that this person has authority to sign such obligation. If Surety's physical address is different from its mailing address, both must be provided. The date of the bond shall not be prior to the date the Contract is awarded. 37 *Note 38 39 40 41 PRINCIPAL: Westhill Construction, Inc. Signat Anaela Reynolds, President Name and Title Address: P. O. Box 2016 Cleburne, TX 76031 SURETY: Markel Insurance Comi)anv BY A 10 C%a. Signature Teresa Godsey, Attomev-In-Fact Name and Title Address: 4521 Hiahwoods Pkwy Glen Allen, VA 23060 Telephone Number: 866-732-0099 41 G !1_1% CITY OF FORT WORTH UTILITY CUT REPAIR STANDARD CONSTRUCTION SPECIFICATION DOCUMENTS CONTRACT 2022 — SECOND RENEWAL Revised July 1, 2011 City Project No. UC-01 2022 PDA# 5312550-R2 Markel Insurance Company LIMITED POWER OF ATTORNEY Know All Men by These Presents, That 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 Teresa Godsey Its true and lawful Attorney -in -fact, with full power and authority hereby conferred in its name, place and stead, to execute, acknowledge and deliver any and all bonds, recognizances, undertakings of other instruments or contracts of suretyship to include waivers to the conditions of contracts and consents of surety for, providing the bond penalty does not exceed Principal: Westhill Construction, Inc. Obligee: City of Fort Worth Amounts: $ 1000000 and to bind the Company thereby as fully and to the same extent as if such bond were signed by the President, sealed with the corporate seal of the Company and duly attested by its Secretary, hereby ratifying and confirming all that the said Attorney -in -Fact may do in the premises. Said appointment is made under and by authority of the following resolution of the Board of Directors of Markel Insurance Company: RESOLVED, That the President, any Senior Vice President, Vice President, Assistant Vice President, Secretary, Assistant Secretary, Treasurer or Assistant Treasurer shall be and is hereby vested with full power and authority to appoint any one or more suitable persons as Attorney(s)-in- Fact to represent and act for on behalf of the Company, subject to the following provisions: Attorney -in -Fact may be given full power and authority for and in the name of and on behalf of the Company, to execute, acknowledge and deliver, any and all bonds, recognizances, contracts, agreements or indemnity and other conditional or obligatory undertakings and any and all notices and documents canceling or terminating the Company's liability thereunder, and any such instruments so executed by any such Attorney - in -Fact shall be binding upon the Company as if signed by the President and sealed and effected by the Secretary. FURTHER RESOLVED, thatthe signature of any authorized officer and seal of the Company heretofore or hereafter affixed to any power of attorney or any certificate relating thereto by facsimile, and any power of attorney or certificate bearing facsimile signature or facsimile seal shall be valid and binding upon the Company with respect to any bond or undertaking to which it is attached. In Witness Whereof, MARKEL INSURANCE COMPANY has caused these presents to be signed by its Vice President, and its corporate seal to be hereto affixed this 13th day of January 2023, \)VkAtlrNVC �OMARK INS NCEC P Y State of Texas +ayt° .� S By: County of Travis: =0a. SEAL tXZ L dey Jennings{ Vrce President On this 13th day of January 2023 before me personally came Lindey Jennings, tome known, who being by me duly sworn, did depose and say that he resides in Travis County, Texas, where he is Vice President of MARKEL INSURANCE COMPANY, the company described in and which executed the above instrument; that he knows the seal of said Company; 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 Company; and that he signed his name thereto by like order. �I JULIE E. MCCLARY By: •��qY �P�e' �- _ Notary PublIC State Of Texas Julie cClary, Notary Public '< Commission # 12947680-5 My c mission expires 3/29/2026 }' Commission Expires March 29, 2026 1, Andrew Marquis, Assistant Secretary of MARKEL INSURANCE COMPANY, do hereby certify that the above and foregoing is true and correct copy of a Power of Attorney, executed by said Company, which is still in full force and effect; and, furthermore, the resolutions of the Board of Directors, set out in the Power of Attorney are in full force and effect. Given under my hand and the seal of said Company at Austin, Texas this 6th day of June 20 By: Andri4v Marquis, Assist Secretary Any Instrument issued in excess of the penalty stated above is totally void and without any validity. For verification of the authority of this Power you may call (713) 812-0800 on any business day between 8:30 AM and 5:00 PM CST. Markel Insurance Company THIS BOND RIDER CONTAINS IMPORTANT COVERAGE INFORMATION 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: Markel Insurance Company 9500 Arboretum Blvd., Suite 400 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: httD://www.tdi.state.tx.us 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. MIC TX Rider TDI Required Notices rev 07_2022 Page 1 of 1 WESTCON-05 TGODSEY ACORO CERTIFICATE OF LIABILITY INSURANCE DATE (MMIDD/YYYY)5/31/2023 THIS CERTIFICATE IS ISSUED AS A MATTER OF INFORMATION ONLY AND CONFERS NO RIGHTS UPON THE CERTIFICATE HOLDER. THIS CERTIFICATE DOES NOT AFFIRMATIVELY OR NEGATIVELY AMEND, EXTEND OR ALTER THE COVERAGE AFFORDED BY THE POLICIES BELOW. THIS CERTIFICATE OF INSURANCE DOES NOT CONSTITUTE A CONTRACT BETWEEN THE ISSUING INSURER(S), AUTHORIZED REPRESENTATIVE OR PRODUCER, AND THE CERTIFICATE HOLDER. IMPORTANT: If the certificate holder is an ADDITIONAL INSURED, the policy(ies) must have ADDITIONAL INSURED provisions or be endorsed. If SUBROGATION IS WAIVED, subject to the terms and conditions of the policy, certain policies may require an endorsement. A statement on this certificate does not confer rights to the certificate holder in lieu of such endorsement(s). PRODUCER License # 4682 ( CONTACT Fort Worth, TX -Hub International Insurance Services I PHONE g17 820-8100 FAX 817 870-0310 3221 Collinsworth (A/C, No, Ext): ( ) (A/C, No):( ) Fort Worth, TX 76107 I ADD"RIESS: ftw.service@hubinternational.com INSURER(S) AFFORDING COVERAGE NAIC # INSURER A:Amerisure Mutual Insurance Company 23: INSURED INSURER B:Amerisure Insurance Company 19488 Westhill Construction, Inc. INSURER C : 402 N. Border INSURER D : Cleburne, TX 76033 INSURER E INSURER F : I COVERAGES CERTIFICATE NUMBER: REVISION NUMBER: THIS IS TO CERTIFY THAT THE POLICIES OF INSURANCE LISTED BELOW HAVE BEEN ISSUED TO THE INSURED NAMED ABOVE FOR THE POLICY PERIOD INDICATED. NOTWITHSTANDING ANY REQUIREMENT, TERM OR CONDITION OF ANY CONTRAST OR OTHER DOCUMENT WITH RESPECT TO WHICH THIS CERTIFICATE MAY BE ISSUED OR MAY PERTAIN, THE INSURANCE AFFORDED BY THE POLIC ES DESCRIBED HEREIN IS SUBJECT TO ALL THE TERMS, EXCLUSIONS AND CONDITIONS OF SUCH 'OLICIES. LIMITS SHOWN MAY HAVE BEEN REDUCED BY 'AID CLAIMS. INSR TYPE OF INSURANCE ADDL SUBR POLICY NUMBER L.TR INSD WVD POLICY EFF POLICY EXP IMM/DD/YYYYI tMM/DD/YYYYI LIMITS A X COMMERCIAL GENERAL LIABILITY EACH OCCURRENCE $ 1,000,000I CLAIMS -MADE OCCUR CPP1324096 2/28/2023 2/28/2024 DAMAGETO S(RENTED PREMISES R occurrence) 1,010,000I $ 1 �'��� MED EXP (Any one person) $ 1000OOOI PERSONAL & ADV INJURY $ 2000000 :: GEN'L AGGREGATE LIMIT APPLIES PER: GENERAL AGGREGATE $ POLICY ❑X PE& LOC PRODUCTS - COMP/OP AGG $ 2,000,0001 EMPLOYEE BENEFI 1,000,000 OTHER: $ A 1,000,000 AUTOMOBILE LIABILITY (EaacccidentSINGLELIMIT $ X1 ANY AUTO CA1324095 2/28/2023 2/28/2024 BODILY INJURY (Per person) $ OWNED AUTOS ONLY SCHEDULED AUTOS BODILY INJURY (Per accident) $ X AUTOS ONLY X A�TOS ONEY PROPERTY) AGE (Per accident) $ $ II B 1,000,000I X UMBRELLA LIAB X OCCUR EACH OCCURRENCE $ EXCESS LIAB Ind CLAIMS -MADE CU1324097 2/28/2023 2/28/2024 AGGREGATE $ 1,000,000I DED I X I RETENTION $ 0 $ I B WORKERS COMPENSATION X STATUTE I EERH AND EMPLOYERS' LIABILITY Y / N WC2018729 2/28/2023 2/28/2024 ACCIDENT 1,000,0001 $ ANY PROPRIETOR/PARTNER/EXECUTIVE N / A E.L. EACH OFFICER/MEMBER EXCLUDED? (Mandatoryin NH) E.L. DISEASE - EA EMPLOYEE $ 1,000,0001 If yes, describe under 1,000,0001 DESCRIPTION OF OPERATIONS below E.L. DISEASE - POLICY LIMIT $ DESCRIPTION OF OPERATIONS / LOCATIONS / VEHICLES (ACORD 101, Additional Remarks Schedule, may be attached if more space is required) The General Liability and Auto Liability policies includes a blanket automatic additional insured endorsement that provides additional insured status to the certificate holder only when there is a written contract between the named insured and the certificate holder that requires such status subject to policy terms and conditions. The General Liability additional insured endorsements include ongoing and products/completed operations. The General Liability, Auto Liability and Workers Comp policies include a blanket automatic waiver of subrogation endorsement that provides this feature only when there is a written contract between the named insured and the certificate holder that requires it subject to policy terms and conditions. The General Liability and automobile liability policies contain a special endorsement with "Primary and Noncontributory" wording subject to policy terms and conditions. General liability policy has the additional insured endorsement number CG 20 10 11 85. General liability policy has blanket contractual liability - railroads coverage when required by SEE ATTACHED ACORD 101 CERTIFICATE HOLDER CANCELLATION SHOULD ANY OF THE ABOVE DESCRIBED POLICIES BE CANCELLED BEFORE City of Fort Worth Texas THE EXPIRATION DATE THEREOF, NOTICE WILL BE DELIVERED IN Y ACCORDANCE WITH THE POLICY PROVISIONS. ATTN: J. Chris Underwood 1000 Throckmorton Street Fort Worth, TX 76102 AUTHORIZED REPRESENTATIVE ACORD 25 (2016/03) © 1988-2015 ACORD CORPORATION. All rights reserved. The ACORD name and logo are registered marks of ACORD