HomeMy WebLinkAboutContract 56133-FP1FORT WORTH.
City Secretary
-FP1
Contract No. 56133
Date Received 08/14/2023
AT
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: Cowan Place
City Project No.: 103219
Improvement Type(s): x❑ Paving
Original Contract Price:
Amount of Approved Change Order(s):
Revised Contract Amount:
Total Cost of Work Complete:
9 r V C-. kw'C'- ^
Jason E. Keller (Au210, 2023 11:56 CDT)
Contractor
Managing Member
Title
Block Builders, LLC
Company Name
Project Inspector
SandiD Adhik PE.(A- 13. 202311:46 CDT)
Project Manager
Rebecca Diane Owen (Aue 14.2023 09:05 CDT)
CFA Manager
I aui en Prieur!A- 14, 202309:06 CDT)
TPW Director
William I.hn—n Wk 16 202312-17 CDT1
Asst. City Manager
❑ Drainage x❑ Street Lights ❑ Traffic Signals
$160,083.00
$100,507.00
$260,590.00
$260,590.00
Aug 10, 2023
Date
Aug 10, 2023
Date
Aug 13, 2023
Date
Aug 14, 2023
Date
Aug 14, 2023
Date
Aug 14, 2023
Date
OFFICIAL RECORD
CITY SECRETARY Page 1 of 2
FT. WORTH, TX
Notice of Project Completion
Project Name: Cowan Place
City Project No.: 103219
City's Attachments
Final Pay Estimate x❑
Change Order(s): ❑x Yes ❑ N/A
Contractor's Attachments
Affidavit of Bills Paid R
Consent of Surety
Statement of Contract Time
Contract Time 165 WD Days Charged: 154
Work Start Date: 4/11/2022 Work Complete Date: 12/7/2022
Completed number of Soil Lab Test: 77
Completed number of Water Test: 8
Page 2of2
FORT WORT 11
CITY OF FORT WORTH
FINAL PAYMENT REQUEST
Contract Name WATER AND SEWER IMPROVEMENTS TO SERVE COWAN PLACE
Contract Limits
Project Type PAVING
City Project Numbers 103219
DOE Number 3219
Estimate Number 1 Payment Number 1 For Period Ending 12/7/2022
WD
City Secretary Contract Number Contract Time 16WD
Contract Date 9/16/2021 Days Charged to Date 154
Project Manager NA Contract is 100.00 Complete
Contractor BLOCK BUILDERS, LLC
4545 POST OAK PLACE DR.
HOUSTON, TX 77027
Inspectors MILLER, W / HORTON, C
Tuesday, August 8, 2023 Pagel of 5
City Project Numbers 103219
Contract Name WATER AND SEWER IMPROVEMENTS TO SERVE COWAN PLACE
Contract Limits
Project Type PAVING
Project Funding
UNIT III: PAVING IMPROVEMENTS
Item Description of Items
No.
1 REMOVE CONC PVMT
2 TRAFFIC CONTROL
3 8" CONC PVMT HES
4 TOPSOIL
5 BLOCK SOD PLACEMENT
6 CO#1 REMOVAL/DISPOSE 15" CONCRETE &
ASHPHALT
7 CO#1 REMOVAL/ DISPOSE ROCK BACKFILL
8 CO#1 MOISTURE CONDITION & COMPACT
SUBGRADE
9 CO#1 PRIME COAT CRSS-1 H
10 CO#1 4" HMAC UNDERLAYMENT
11 CO#1 DOWEL TO EXISTTING
12 CO#1 11" 4000 PSI CRCP CONCRETE
13 CO#1 BARRTVADES/ ATTENUATER TRUCK
14 CO#1 THERPOPLASTIC STRIPING
15 CO#1 ORIGINAL BID CREDTT(FORTWORTH
REPAIR SECTION
DOE Number 3219
Estimate Number I
Payment Number 1
For Period Ending 12/7/2022
Estimated Unit
Unit Cost
Estimated
Completed
Completed
Quanity
Total
Quanity
Total
542 SY
$54.00
$29,268.00
542
$29,268.00
1 MO
$9,299.00
$9,299.00
1
$9,299.00
542 SY
$198.00
$107,316.00
542
$107,316.00
30 CY
$100.00
$3,000.00
30
$3,000.00
112 SY
$100.00
$11,200.00
112
$11,200.00
2550 SF
$4.85
$12,367.50
2550
$12,367.50
620 SF
$2.55
$1,581.00
620
$1,581.00
397 SY
$6.50
$2,580.50
397
$2,580.50
397 SY
$2.25
$893.25
397
$893.25
397 SY
$68.00
$26,996.00
397
$26,996.00
538 LF
$9.50
$5,111.00
538
$5,111.00
397 SY
$176.00
$69,872.00
397
$69,872.00
1 EA
$10,000.00
$10,000.00
1
$10,000.00
1 EA
$3,700.00
$3,700.00
1
$3,700.00
1 LS
($69,745.00)
($69,745.00)
1
($69,745.00)
16 CO#IOVERHEAD 1 LS $3,167.75 $3,167.75 1 $3,167.75
17 CO#1 PROFIT 1 LS $3,168.00 $3,168.00 1 $3,168.00
--------------------------------------
Sub-Total of Previous Unit $229,775.00 $229,775.00
UNIT IV: STREET LIGHT IMPROVEMENTS
Item Description of Items
No.
1 MOBILIZATION (CO #2)
2 REMOVAL/DISPOSE OF GROUND BOX (CO #2)
3 FURNISH/INSTALL ELECTRIC SERVICE
PEDESTAL (CO #2)
4 FURNISH & INSTALL - TY D GROUND BOX W/
APRON (CO #2)
5 FURNISH/INSTALL CONDUIT - SCHEDULE 80
PVC 2 IN OPEN CUT (CO #2)
Estimated Unit
Unit Cost
Estimated
Completed
Completed
Quanity
Total
Quanity
Total
1 LS
$5,000.00
$5,000.00
1
$5,000.00
1 EA
$600.00
$600.00
1
$600.00
1 EA
$8,000.00
$8,000.00
1
$8,000.00
1 EA
$2,860.00
$2,860.00
1
$2,860.00
25 LF
$185.00
$4,625.00
25
$4,625.00
Tuesday, August 8, 2023 Page 2 of 5
City Project Numbers 103219
Contract Name WATER AND SEWER IMPROVEMENTS TO SERVE COWAN PLACE
Contract Limits
Project Type STREET LIGHT IMPROVEMENTS
Project Funding
6
7
8
9
FURNISH & INSTALL - #8 XHHW CU (CO #2) 80 LF
REMOVE ELECTRIC SERVICE PEDESTAL & 1 LS
DISPOSE (CO #2)
STREET USE PERMIT (CO #2) 1 EA
TRAFFIC CONTROL (CO #2) 1 LS
Sub -Total of Previous Unit
DOE Number 3219
Estimate Number I
Payment Number 1
For Period Ending 12/7/2022
$6.00 $480.00 80 $480.00
$3,000.00 $3,000.00 1 $3,000.00
$250.00 $250.00 1 $250.00
$6,000.00 $6,000.00 1 $6,000.00
$30,815.00 $30,815.00
Tuesday, August 8, 2023 Page 3 of 5
City Project Numbers 103219 DOE Number 3219
Contract Name WATER AND SEWER IMPROVEMENTS TO SERVE COWAN PLACE Estimate Number I
Contract Limits Payment Number I
Project Type STREET LIGHT IMPROVEMENTS For Period Ending 12/7/2022
Project Funding
Contract Information Summary
Original Contract Amount $160,083.00
Change Orders
Change Order Number 1 $69,692.00
Change Order Number 2 $30,815.00
Total Contract Price $260,590.00
Total Cost of Work Completed $260,590.00
Less % Retained $0.00
Net Earned $260,590.00
Earned This Period $260,590.00
Retainage This Period $0.00
Less Liquidated Damages
Days @ / Day
LessPavement Deficiency
Less Penalty
Less Previous Payment
Plus Material on Hand Less 15%
Balance Due This Payment
$0.00
$0.00
$0.00
$0.00
$0.00
$260,590.00
Tuesday, August 8, 2023 Page 4 of 5
City Project Numbers 103219 DOE Number 3219
Contract Name WATER AND SEWER IMPROVEMENTS TO SERVE COWAN PLACE Estimate Number I
Contract Limits Payment Number 1
Project Type STREET LIGHT IMPROVEMENTS For Period Ending 12/7/2022
Project Funding
Project Manager NA
Inspectors MILLER, W / HORTON, C
Contractor BLOCK BUILDERS, LLC
4545 POST OAK PLACE DR.
HOUSTON, TX 77027
City Secretary Contract Number
Contract Date
9/16/2021
Contract Time
165 WD
Days Charged to Date
154 WD
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 $260,590.00
Less % Retained $0.00
Net Earned $260,590.00
Earned This Period $260,590.00
Retainage This Period $0.00
Less Liquidated Damages
0 Days @ S0.00 / 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
$260,590.00
Tuesday, August 8, 2023 Page 5 of 5
PROJECT NAME:
CONTRACT:
CFA #
CITY PROJECT #
FID #
FILE #
DEVELOPER -AWARDED -PROJECT CHANGE ORDER
Cowan Place
Water and Sewer Improvements
21-0049
103219
30114-0200431-103219-EO7685
X-26861
CITY PARTICIPATION:I NO
INSPECTOR: Cody Horton Phone No: 817-475-6903
PROJECT MANAGER: Sandip Adhikari Phone No: 817-392-8424
CONTRACT UNIT
WATER SEWER PAVING
Developer Developer Developer Develope
Cost I City Cost Cost City Cost Cost City Cost Cost
ORIGINAL CONTRACT $54,873.00 I $0.00 I $96,015.00 $0.00 $160,083.00 $0.00 $0.0C
EXTRAS TO DATE
CREDITS TO DATE
CONTRACT TO DATE
$54,873.00 I $0.00
AMOUNT OF PROP. CHANGE ORDER
$0.00 I $0.00
REVISED CONTRACT AMOUNT
$54,873.00 I $0.00
TOTAL REVISED CONTRACT AMOUNT
PER UNIT
$54,873.00
REVISED COST SHARE
Dev. Cost:
TOTAL REVISED CONTRACT
CHANGE
ORDER No:
1
DRAINAGE
STREET LIGHTS
)per
ty Cost Icost City Cost
$0.00 i $0.00 $0.00
I
CONTRACT
DAYS
100
$96,015.00 $0.00 $160,083.00 $0.00 $0.00 1 $0.00 1 $0.00 $0.00 100
$0.00 $0.00 $69,692.00 $0.00 $0.00 I $0.00 $0.00 $0.00 -35
$96,015.00 $0.00 $229,775.00 $0.00 $0.00 I $0.00 I $0.00 $0.00 65
$96,015.00 $229,775.00 $0.00 $0.00
$380,663.00 City Cost: $0.00
$380,663.00
REVIEWED
By Sandip Adhikari at 12:32 pm, Feb 10, 2023
Revised: 10-12-2011 Page 1
You are directed to make the following changes in the contract documents:
CITY BID ITEM
PAY ITEM # # QUANTITY UNIT
ITEM DESCRIPTION
UNIT PRICE TOTAL
6 NA
2550
SF
REMOVAL/DISPOSE 15" CONCRETE & ASPHALT
$4.85
$12,367.50
7 NA
620
SF
REMOVAL/DISPOSE OF ROCK BACKFILL
$2.55
$1,581.00
8 NA
397
SY
MOISTURE CONDITION AND COMPACT SUBGRADE
$6.50
$2,580.50
9 NA
397
SY
PRIME COAT CRSS-1 H
$2.25
$893.25
10 NA
397
SY
4" HMAC UNDERLAYMENT
$68.00
$26,996.00
11 NA
538
LF
DOWEL TO EXISTING
$9.50
$5,111.00
12 NA
397
SY
11" 4000 PSI CRCP CONCRETE
$176.00
$69,872.00
13 NA
1
EA
BARRICADES/ATTENUATER TRUCK
$10,000.00
$10,000.00
14 NA
1
EA
TERMOPLASTIC STRIPING
$3,700.00
$3,700.00
- NA
1
LS
ORIGINAL BID CREDIT (FORT WORTH REPAIR SECTION)
-$69,745.00
-$69,745.00
NA
1
LS
OVERHEAD
$3,167.75
$3,167.75
NA
1
LS
PROFIT
$3,168.00
$3,168.00
TOTAL
$69,692.00
REASONS FOR CHANGE ORDER
Pavement section changes requested by TXDOT during field inspection.
(Delete if there is City Participation) NO CITY FUNDS INVOLVED IN THIS CONTRACT. DEVELOPER IS RESPONSIBLE FOR 100% OF THE CHANGE ORDER COST AND NO
REIMBURSEMENT FROM THE CITY WILL BE SOUGHT BY THE DEVELOPER.
RECOMMENDED:
(Consulting Engineer)
By:
Name: Tyler Scott
Title: Enaineer
Revised: 10-12-2011
APPROVED:
McCoy k Baron Salazar
(Dev 1 r) De v lop ent
By: e,
Name: C. Michael Saunders
Title: Partner
APPROVED:
(Contractor)
By:
Name: 5Justin Murchison
Title: Proiect Manaaer
REVIEWED
By Sandip Adhikari at 12:32 pm, Feb 10, 2023
Page 2
DEVELOPER -AWARDED -PROJECT CHANGE ORDER
PROJECT NAME:
Cowan Place
1 CHANGE
CONTRACT:
Water, Sewer and Street Liqht Improvements
I ORDER No:
CFA #
21-0049
I CITY PARTICIPATION:I NO
CITY PROJECT #
103219
2
FID #
30114-0200431-103219-EO7685
FILE #
X-26861
INSPECTOR:
Cody Horton
Phone No:
817-475-6903
PROJECT MANAGER:
Sandip Adhikari
Phone No:
817-392-8424
CONTRACT UNIT
WATER
SEWER
PAVING
DRAINAGE
STREET
LIGHTS
CONTRACT
Developer
Developer
Developer
Developer
DAYS
Developer Cost
City Cost
Cost
City Cost
Cost
City Cost
Cost
City Cost
Cost
City Cost
ORIGINAL CONTRACT
$54,873.00
$0.00
$96,015.00
$0.00
$160,083.00
$0.00
$0.00
$0.00
$0.00
$0.00
100
EXTRAS TO DATE
I
$69,692.00
CREDITS TO DATE
CONTRACT TO DATE
I $54,873.00
$0.00 I
$96,015.00
$0.00
I $229,775.00
$0.00
$0.00
$0.00
I $0.00
$0.00
100
AMOUNT OF PROP. CHANGE ORDER
I $0.00
$0.00 I
$0.00
$0.00
I $0.00
$0.00
I $0.00
$0.00
$30,815.00
$0.00
I -35
REVISED CONTRACT AMOUNT
I $54,873.00 I
$0.00 I
$96,015.00
$0.00
I $229,775.00
$0.00
I $0.00
$0.00
I $30,815.00
$0.00
I 65
TOTAL REVIS RACT AMOUNT
I
PER UNIT
$54,873.00 I
$96,015.00
$229,775.00
I
$0.00
I $30,815.00
REVISED COST SHARE
IDev. Cost:
$411,478.00
City Cost:
$0.00
TOTAL REVISED CONTRACT
I
$411,478.00
REVIEWED 1
By Sandip Adhikari at 1:37 pm, Jun 06, 2023 J
Revised: 10-12-2011 Page 1
You are directed to make the following changes in the contract documents:
PAY ITEM #
I CITY BID ITEM #
I QUANTITY I
1'
0170.0100
1
2'
3441.1507
1
3'
2605.0111
1
4'
3441.1503
1
5'
2605.3118
25
6'
9999.0001
80
7'
2605.0113
1
8'
999.0002
1
9'
3471.0001
1
New pay item added
REASONS FOR CHANGE ORDER
UNIT
I ITEM DESCRIPTION
I UNIT PRICE I
TOTAL
UNIT V STREET LIGHTS
LS
MOBILIZATION
$5,000.00
$5,000.00
EA
REMOVAL/DISPOSE OF GROUND BOX
$600.00
$600.00
EA
FURNISH/INSTALL ELECTRIC SERVICE PEDESTAL
$8,000.00
$8,000.00
EA
FURNISH & INSTALL - TY D GROUND BOX W/ APRON
$2,860.00
$2,860.00
LF
FURNISH/INSTALL CONDUIT - SCHEDULE 80 PVC 2 INCH OPEN CUT
$185.00
$4,625.00
LF
FURNNISH & INSTALL - #8 XHHW CU
$6.00
$480.00
LS
REMOVE ELECTRIC SERVICE PEDESTAL & DISPOSE
$3,000.00
$3,000.00
EA
STREET USE PERMIT
$250.00
$250.00
LS
TRAFFIC CONTROL
$6,000.00
$6.000.00
TOTAL
$30,815.00
Oncor reloacted overhead lines. Pedestal required for signal light power relocation.
NO CITY FUNDS INVOLVED IN THIS CONTRACT. DEVELOPER IS RESPONSIBLE FOR 100% OF THE CHANGE ORDER COST AND NO
REIMBURSEMENT FROM THE CITY WILL BE SOUGHT BY THE DEVELOPER.
RECOMMENDED:
By:
Name: Tyler Scott
Title: Engineer
REVIEWED
By Sandip Adhikari at 1:37 pm, Jun 06, 2023
APPROR1,10
By.%,
Name: Mike Saunders
Title: Partner
APPROVED:
By:��\
Name: Cody Turner
Title: Proiect Manager
Revised: 10-12-2011 Page 2
FORTWORTH.
M,
TRANSPORTATION AND PUBLIC WORKS
August 8, 2023
Block Builders, LLC
4545 Post Oak Place Dr.
Houston, TX 77027
RE: Acceptance Letter
Project Name: Cowan Place
Project Type: Paving & Street Lights
City Project No.: 103219
To Whom It May Concern:
On February 14, 2023 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 August 8, 2023. 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 August 8, 2023, 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-
392-8424.
Sincerely,
Sandi Adhik ri, P.E.(Aug 13, 202311:46 CDT)
Sandip Adhikari, Project Manager
Cc: Cody Horton, Inspector
Wade Miller, Inspection Supervisor
Emanuel Nieto, Senior Inspector
Victor Tornero, Program Manager
Kimley-Horn, Consultant
Block Builders, LLC, Contractor
FW Cowan Place, LP, Developer
File
E-Mail: TPW_Acceptance@fortworthtexas.gov
Rev. 8/20/19
AFFIDAVIT
STATE OF TEXAS
COUNTY OF HARRIS
Before me, the undersigned authority, a notary public in the state
and county aforesaid, on this day personally appeared Jason Keller,
Managing Member Of Block WT Cowan Place GC Joint Venture, 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 firll;
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;
Cavite Senior Phase I aka Cowan Place
BY �� r
Jason Keller, Managing Member
Subscribed and sworn before me on this date 9th of August, 2023.
Notary Public
.�FY ay
LYDIA L KNOERR
Notary ID #128025457
My Commission Expires
'tFov
July 28, 2026
a
CONSENT OF OWNER ❑
SURETY COMPANY ARCHITECT ❑
TO FINAL PAYMENT CONTRACTOR®
SURETY ❑
(SIMILAR TO AIA DOCUMENT G707) OTHER ❑
PROJECT:
UTILITY IMPROVEMENTS AND RELATED WORK (Cavite Senior Phase 1 a/Ic/a Cowan Place)
(name, address)
TO (Owner)
McCormack Baron Salazar Development, Inc.
720 Olive Street Suite 2500
Saint Louis, MO 63101
ARCHITECT'S PROJECT NO:
CONTRACT FOR: Construction
CONTRACT DATE:/ /
CONTRACTOR:
BLOCK WT COWAN PLACE GC JOINT VENTURE
39279 Tommy Moore Rd
Gonzales, LA 70737
In accordance with the provisions of the Contract between the Owner and the Contractor as indicated above, the
Markel Insurance Company, SURETY COMPANY,
on bond of
BLOCK WT COWAN PLACE GC JOINT VENTURECONTRACTOR,
hereby approves of the fmal payment to the Contractor, and agrees that the final payment to the Contractor shall not relieve
the Surety Company of any of its obligations to
McCormack Baron Salazar Development, Inc., OWNER,
As set forth in the said Surety Company's bond.
IN WITNESS WHEREOF,
The Surety Company has hereunto set its hand day this 17th Day of February, 2023
Markel Insurance Comnanv
Surety Company
Attest: Iry D. Hampton, Attorney -in -fact
Note: This form is intended to be used as a companion document to the Contractor's Affidavit of Payment of Debts and Claims, Current Edition
PORN 1810030
JOINT LIMITED POWER OF ATTORNEY
KNOW ALL MEN BY THESE PRESENTS: That SureTec 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:
Johnny D. Hampton
Their true and lawful agent(s) and attorney(s)-in-fact, 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 orjointly, as co -sureties, and as their act and deed 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:
Fifty Million and 00/100 Dollars ($50,000,000.00)
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 SureTec
Insurance Company and Markel Insurance Company:
"RESOLVED, That the President, Senior Vice President, Vice President, Assistant Vice President, Secretary, 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 in the given power of attorney, to execute in behalf of, and acknowledge as the act and deed of the SureTec
Insurance Company and Markel Insurance Company, as the 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 Insurance Company have caused their official seal to be hereunto affixed and these presents to be
signed by their duly authorized officers on the 26th day of June , 2020 .
SureTec Insurance Company
„oC�V RANG0,
s o,
iWW
By:
3 cc5 2:
Michael C. Keimig, President
i' '• 1
.
Commonwealth of Virginia
""""*'°
County of Henrico SS:
�,%tt1ittrrrr, Markel Insurance Company
`�VRAIVC �%,�i %
�` : UORPOR9j• n i /
"fill
t„`,``s�� R in Russo, Senior Vice President
1*1
On this lath day of June , 2020 A. D., before me, a Notary Public of the Commonwealth of Virginia, in and for the County of Henrico, 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 Resolutions adopted by the Board of Directors of
said Companies referred to in the preceding instrument is now in force. ,se s 4! s r r st 0r 0,
IN TESTIMONY WHEREOF, I have hereunto set my hand, and affixed m 0, $ D tthg typf Henrico, the day and year first above written.
O�PFtY P�6'�'•2�`
MY
COMMISSION - By:�"1--`,�
n NUMBER
O •� _ Donna Donavant, Notary Public
•. 7083968
.' (� ; My commission expires 1/31/2023
We, the undersigned Officers of SureTec Insurance Company and MarkePlr�st%r��C�o(arl® iy dgSlerby 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 ha►t�trl; Stm rFyolc��d.
IN WITNESS WHEREOF, we have hereunto set our hands, and affixed the Seals of said Companies, on the If ' day of �6a"OLCU �oc
WCpanBy
_ Markel Insurance Company
Richard R. Grinnan, Vice President an Secr ary
Any Instrument Issued in excess of the penalty stated above is totally void and without any validity. 1810030
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.