HomeMy WebLinkAboutContract 57680-FP1-FP1
City Secretary
Contract No. 57680
FORT WORTH.
Date Received 08/28/2023
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: The Citadel
City Project No.: 103496
Improvement Type(s): Water ❑x
Original Contract Price:
Amount of Approved Change Order(s):
Revised Contract Amount:
Total Cost of Work Complete:
Contractor
V.P.
Title
Triton GC, LLC
Company Name
Project Inspector
Saru�c�-
Sandip Adhii�ari, P.E.(Aug 28, 2023 08:53 CDT)
Project Manager
Rebecca Diane Owen (Aue 28.202309:18 CDT)
CFA Manager
TPW Director
William Johnson (A4 28. 202317:08 CDT)
Asst. City Manager
Sewer ❑x
$320,978.01
$138,192.50
$459,170.51
$459,170.51
Aug 24, 2023
Date
Aug 25, 2023
Date
Aug 28, 2023
Date
Aug 28, 2023
Date
Aug 28, 2023
Date
Aug 28, 2023
Date
OFFICIAL RECORD
CITY SECRETARY Page 1 of 2
FT. WORTH, TX
Notice of Project Completion
Project Name: The Citadel
City Project No.: 103496
City's Attachments
Final Pay Estimate x❑
Change Order(s): ❑x Yes ❑ N/A
Pipe Report: x❑ Yes ❑ N/A
Contractor's Attachments
Affidavit of Bills Paid
Consent of Surety I
Statement of Contract Time
Contract Time: 60 WD Days Charged: 169
Work Start Date:7/14/2022 Work Complete Date: 6/29/2023
Completed number of Soil Lab Test: 30
Completed number of Water Test: 4
Page 2of2
FoRTWORTH
CITY OF FORT WORTH
FINAL PAYMENT REQUEST
Contract Name THE CITADEL
Contract Limits
Project Type WATER & SEWER IMPROVEMENTS
City Project Numbers 103496
DOE Number 4960
Estimate Number 1 Payment Number 1
City Secretary Contract Number
Contract Date 1/5/2022
For Period Ending 6/29/2023
WD
Contract Time 6WD
Days Charged to Date 169
Project Manager NA
Contractor TRITON GC, LLC
102 S GOLIAD STREET# 111M
ROCKWALL , TX 75087
Inspectors GLOVER / WALKER
Contract is 100.00 Complete
Monday, July 31, 2023 Page 1 of 5
City Project Numbers 103496 DOE Number 4960
Contract Name THE CITADEL Estimate Number 1
Contract Limits Payment Number 1
Project Type WATER & SEWER IMPROVEMENTS For Period Ending 6/29/2023
Project Funding
UNIT I WATER IMPROVEMENTS
Item
Description of Items
Estimated Unit
Unit Cost
Estimated
Completed
Completed
No.
Quanity
Total
Quanity
Total
1
4"-12" WATER ABANDON,ENT PLUG
1 EA
$200.00
$200.00
1
$200.00
2
SALVAGE FIRE HYDRANT
1 EA
$2,500.00
$2,500.00
1
$2,500.00
3
8" WATERLINE LOWERING (CO #1)
4 EA
$4,600.00
$18,400.00
4
$18,400.00
4
TRENCH SAFETY (CO #1)
2542 LF
$2.00
$5,084.00
2542
$5,084.00
5
DUCTILE IRON WATER FITTINGS
2.8 TN
$7,250.00
$20,300.00
2.8
$20,300.00
W/RESTRAINT (CO #1)
6
8" PVC WATER PIPE, SELECT BACK FILL (CO
921 LF
$32.00
$29,472.00
921
$29,472.00
#1)
7
FIRE HYDRANT
3 EA
$5,750.00
$17,250.00
3
$17,250.00
8
1" WATER SERVICE
2 EA
$2,200.00
$4,400.00
2
$4,400.00
9
6" WATER PIPE, SELECT BACKFILL (CO #1)
145 EA
$28.00
$4,060.00
145
$4,060.00
10
2" WATER SERVICE
4 EA
$2,500.00
$10,000.00
4
$10,000.00
11
8" GATE VALVE
4 EA
$3,000.00
$12,000.00
4
$12,000.00
12
10"X8" TAPPING SLEEVE & VALVE (CO #1)
0 EA
$2,500.00
$0.00
0
$0.00
13
6" GATE VALVE
4 EA
$1,500.00
$6,000.00
4
$6,000.00
14
8" PVC WATER PIPE (CO #1)
921 LF
$30.00
$27,630.00
921
$27,630.00
15
6" PVC WATER PIPE (CO #1)
145 LF
$25.00
$3,625.00
145
$3,625.00
16
REMOVE CONC PVM
2.2 SY
$20.00
$644.00
32.2
$644.00
17
6" CONC PVM
2.2 SY
$30.00
$966.00
32.2
$966.00
18
10" PVC WATER PIPE (CO #1)
35 LF
$496.00
$17,360.00
35
$17,360.00
19
10" WATERLINE LOWERING (CO #1)
3 EA
$7,250.00
$21,750.00
3
$21,750.00
20
10" PVC WATER PIPE, SELECT BACKFILL (CO
496 LF
$35.00
$17,360.00
496
$17,360.00
#1)
21
10" GATE VALVE (CO #1)
3 EA
$5,750.00
$17,250.00
3
$17,250.00
22
REMOVE 8" WATERLINE (CO #1)
179 LF
$30.00
$5,370.00
179
$5,370.00
23
REMOVE 10" WATERLINE (CO #1)
496 LF
$32.00
$15,872.00
496
$15,872.00
24
REMOVE 6" WATERLINE (CO #1)
30 LF
$28.00
$840.00
30
$840.00
Sub -Total of Previous Unit $258,333.00 $258,333.00
- - - - - - - - - - - - - - - - - - -
UNIT H SEWER IMPROVEMENTS
Item Description of Items Estimated Unit Unit Cost Estimated Completed Completed
No. Quanity Total Quanity Total
---------------------------------------
Monday, July 31, 2023 Page 2 of 5
City Project Numbers 103496
Contract Name THE CITADEL
Contract Limits
Project Type WATER & SEWER IMPROVMENTS
Project Funding
DOE Number 4960
Estimate Number 1
Payment Number 1
For Period Ending 6/29/2023
1 TRENCH SAFETY
656 LF
$2.00
$1,312.00
656
$1,312.00
2 6" SEWER SERVICE
2 EA
$1,250.00
$2,500.00
2
$2,500.00
3 6" SEWER PIPE,CSS BACKFILL
10 LF
$50.00
$500.00
10
$500.00
4 8" SEWER PIPE, CSS BACKFILL
10 LF
$60.00
$600.00
10
$600.00
5 8" SEWER PIPE, SELECT BACKFILL
262 LF
$60.00
$15,720.00
262
$15,720.00
6 T MANHOLE
7 EA
$5,500.00
$38,500.00
7
$38,500.00
7 EPDXY MANHOLE LINER
74 VF
$425.00
$31,450.00
74
$31,450.00
8 12" SEWER PIPE, CSS BACKFILL
30 LF
$73.00
$2,190.00
30
$2,190.00
9 12" SEWER PIPE, SELECT BACKFILL
353 LF
$76.12
$26,870.36
353
$26,870.36
10 6" SEWER PIPE SELECT BACKFILL
41 LF
$50.00
$2,050.00
41
$2,050.00
11 8" SEWER PIPE
262 LF
$60.00
$15,720.00
262
$15,720.00
12 4" EXTRA DEPTH MANHOLE
74 VF
$318.55
$23,572.70
74
$23,572.70
13 4 DROP MANHOLE
1 EA
$5,500.00
$5,500.00
1
$5,500.00
14 MANHOLE VACUUM TESTING
8 EA
$225.00
$1,800.00
8
$1,800.00
15 12" SEWER PIPE
353 LF
$50.00
$17,650.00
353
$17,650.00
16 TRAFFIC CONTROL
1 MO
$2,780.95
$2,780.95
1
$2,780.95
17 REMOVE CONC PVM
7.7 SY
$15.00
$1,015.50
67.7
$1,015.50
18 6' CONC PVM
7.7 SY
$30.00
$2,031.00
67.7
$2,031.00
19 8" FLOW FILL BACKFILL UNDER ROAD
17.9002 CY
$192.40
$3,444.00
17.9002
$3,444.00
REPAIR (CO #2)
20 MANHOLE ADJUSTMENT, MAJOR (CO #3)
1 EA
$3,754.00
$3,754.00
1
$3,754.00
21 LOWERED WASTEWATER ACCESS CHAMBER
1 EA
$1,877.00
$1,877.00
1
$1,877.00
(CO #3)
Sub -Total of Previous Unit
$200,837.51
$200,837.51
Monday, July 31, 2023 Page 3 of 5
City Project Numbers 103496
Contract Name THE CITADEL
Contract Limits
Project Type WATER & SEWER IMPROVMENTS
Project Funding
Contract Information Summary
Original Contract Amount
Chanhe Orders
Change Order Number 1
Change Order Number 2
Change Order Number 3
Total Contract Price
DOE Number 4960
Estimate Number 1
Payment Number 1
For Period Ending 6/29/2023
$320,978.01
$129,117.50
$3,444.00
$5,631.00
$459,170.51
Total Cost of Work Completed $459,170.51
Less % Retained $0.00
Net Earned $459,170.51
Earned This Period $459,170.51
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
$459,170.51
Monday, July 31, 2023 Page 4 of 5
City Project Numbers 103496
Contract Name THE CITADEL
Contract Limits
Project Type WATER & SEWER IMPROVMENTS
Project Funding
Project Manager NA
Inspectors GLOVER / WALKER
Contractor TRITON GC, LLC
102 S GOLIAD STREET# 111M
ROCKWALL , TX 75087
DOE Number 4960
Estimate Number 1
Payment Number 1
For Period Ending 6/29/2023
City Secretary Contract Number
Contract Date
1/5/2022
Contract Time
60 WD
Days Charged to Date
169 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 $459,170.51
Less % Retained $0.00
Net Earned $459,170.51
Earned This Period $459,170.51
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
$459,170.51
Monday, July 31, 2023 Page 5 of 5
DocuSign Envelope ID: 6D517DE9-26FA-40CB-B2F0-389803986EC3
PROJECT NAME:
CONTRACT:
CFA #
CITY PROJECT #
FID #
FILE #
INSPECTOR:
PROJECT MANAGER:
1
REVIEWED
DEVELOPER -AWARDED -PROJECT CHANGE ORDER By Sandip Adhikari at 4:35 pm, Aug 18, 2022
1
The Citadel
Water & Sanitary Sewer Improvements
CFA21-0117 CITY PARTICIPATION:1
103496
30114-0200431-103496-EO7685
Eddie Walker Phone No
Sandip Adhikari Phone No
WATER
Developer
Cost
City Cost
ORIGINAL CONTRACT
$129,215.50
EXTRAS TO DATE
CREDITS TO DATE
$2,500.00
CONTRACT TO DATE
$126,715.50
$0.00
AMOUNT OF PROP. CHANGE ORDER
$131,617.50
REVISED CONTRACT AMOUNT
$258,333.00
$0.00
TOTAL REVISED CONTRACT AMOUNT
PER UNIT
$258,333.00
REVISED COST SHARE
Dev. Cost:
TOTAL REVISED CONTRACT
SEWER
Developer
Cost City Cost
$191,762.51
$191,762.51 $0.00
$191,762.51 $0.00
$191,762.51
$450,095.51
No
469-658-510(
817-392-842,e
CONTRACT UNIT
PAVING
Developer
Cost I City Cost
$0.00 $0.00
$0.00 $0.00
$0.00
City Cost:
$450,095.51
CHANGE
ORDER No:
1
DRAINAGE
Developer
Cost I City Cost
$0.00 $0.00 $0.00 $0.00
$0.00 $0.00 $0.00 $0.00
$0.00 I $0.00
$0.00
I
STREET LIGHTS I CONTRACT
Developer j DAYS
Cost I City Cost
1
1
60
60
Revised: 10-12-2011 Page 1
DocuSign Envelope ID: 6D517DE9-26FA-40CB-B2F0-389803986EC3
You are directed to make the following changes in the contract documents:
CITY BID ITEM
PAY ITEM # # QUANTITY
18* 3311.0361 496
14 3311.0261 179
15 3311.0161 41
3 3305.0003 2
19* 3305.0004 3
6 3311.0263 179
20* 3311.0363 496
9 3311.0143 41
21* 3312.3004 3
22* 0241.1013 179
23* 0241.1014 496
24* 0241.1012 30
4 3305.0109 1561
5 3311.0001 1.41
Asterisk (*) Indicates New Pay Item
Items to be Credited:
1-10"x8" Tapping Sleeve & Valve ($2,500)
REVIEWED
By Sandip Adhikari at 4:35 pm, Aug 18, 2022
UNIT
ITEM DESCRIPTION
I UNIT PRICE
TOTAL
LF
10" PVC Water Pipe
$35.00
$17,360.00
LF
8" PVC Water Pipe
1 $30.00
$5,370.00
LF
6" PVC Water Pipe
$25.00
$1,025.00
EA
8" Waterline Lowering
$4,600.00
$9,200.00
EA
10" Waterline Lowering
$7,250.00
$21,750.00
LF
8" PVC Water Pipe, Select Backfill
$32.00
$5,728.00
LF
10" PVC Water Pipe, Select Backfill
$35.00
$17,360.00
LF
6" PVC Water Pipe Select Backfill
$28.00
$1,148.00
EA
10" Gate Valve
$5,750.00
$17,250.00
LF
Remove 8" Waterline
$30.00
$5,370.00
LF
Remove 10" Waterline
$32.00
$15,872.00
LF
Remove 6" Waterline
$28.00
$840.00
LF
Trench Saftey
1 $2.00
$3,122.00
TON
Ductile Iron Water Fiftingsw/Restraint
I $7,250.00
$10,222.50
$131,617.50
REASONS FOR CHANGE ORDER An existing water line was removed and replaced to set at a lower elevation to have adequate coverage. Changes correspond to Revision #1 as shown on sheets
C3.2, C3.3, & C3.5 of the construction plans.
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:
Urban Structure
By: Xci 'f JA.
Name: Nick Keran
Title: Project Engineer
APPROVED:
Rainmark, Inc.
Artemio De La Vega
Name:
Title: Manager
APPROVED:
Triton GC, LLC
By: �o.s4rw.
Rt e u b"L7
Reese Baez
Name:
Title:
President
Revised: 10-12-2011
Page 2
DEVELOPER -AWARDED -PROJECT CHANGE ORDER
PPROJECT NAME:
The Citadel
(CONTRACT:
CHANGE
Water R Sanitary Sewer Improvements
ORDER No:
CFA #
CFA21-0117 CITY PARTICIPATION.1 No
CITY PROJECT #
103496
2
FID #
30114-0200431-103496-EO7685
FILE #
INSPECTOR:
Eddie Walker Phone No:
469-658-5100
PROJECT MANAGER:
Sandip Adhikari Phone No:
817-392-8424
CONTRACT UNIT
WATER SEWER
PAVING DRAINAGE STREET LIGHTS
CONTRACT
Developer Developer
Developer Developer
Developer
DAYS
Cost City Cost Cost City Cost
Cost City Cost Cost
City Cost Cost City Cost
(ORIGINAL CONTRACT
$129,215.50 $191,762.51
EXTRAS TO DATE
$131,617.50
CREDITS TO DATE
$2,500.00
ICONTRACTTO DATE
$258,333.00 $0.00 $191,762.51 $0.00
$0.00 $0.00 $0.00
$0.00 $0.00 $0.00
0
AMOUNT OF PROP. CHANGE ORDER
$3,444.00
REVISED CONTRACT AMOUNT
$258,333.00 $0.00 $195,206.51 $0.00
$0.00 $0.00 $0.00
$0.00 $0.00 $0.00
0
TOTAL REVISED CONTRACT AMOUNT
PER UNIT
$258,333.00 - $195,206.51
S0.00
$0.00 $0.00
REVISED COST SHARE
Dev. Cost: $453,539.51
City Cost:
$0.00
TOTAL REVISED CONTRACT
$453,539.51
REVIEWED
By Sandip Adhikari at 7:24 am, Jun 14, 2023
Revised: 10-12-2011 Page 1
You are directed to make the following changes in the contract documents:
PAY ITEM I CRY BID ITEM I QUANTITY
I
I 9' I 9999.0001 I 17.9 I
- New pay item added
REASONS FOR CHANGE ORDER
UNIT I ITEM DESCRIPTION
Unit II: Sanitary Sewer Improyy�men
CY i $" Flow�ll backfill under road repair
TOTAL
Backfill needed to be added underneath the roadway pavement due to manhole lowering.
UNIT PRICE
192.40
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:
APPROVED:
(Consulting Engineer)
(Developer)
/
Name: Nick Keran
Name: % `t
Title: Project Manager
rue:
REVIEWED
By Sandip Adhikari at 7:24 am, Jun 14, 2023
APPROVED:
(Contractor) / /
By: kf& d I�%dtiP
Name:
Title: !/1 )
TOTAL
3,444.00 I
$3,444.001
Revised:10-12-2011
Page 2
DEVELOPER -AWARDED -PROJECT CHANGE ORDER
I PROJECT NAME:
The Citadel
ICONTRACT:
CHANGE
Water & Sanitary Sewer Improvements
ORDER No:
CFA#
CFA21-0117 I CITY PARTICIPATION:(
No
CITY PROJECT #
103496
IFID #
30114-0200431-103496-EO7685
3
I FILE #
INSPECTOR
Eddie Walker Phone No:
469-658-5100
PROJECT MANAGER:
Sandip Adhikari Phone No:
817-392-8424
CONTRACT UNIT
WATER SEWER
PAVING DRAINAGE STREET LIGHTS
CONTRACT
Developer Developer
Developer Developer
Developer
DAYS
Cost City Cost Cost City Cost
Cost City Cost Cost
City Cost Cost City Cost
(ORIGINAL CONTRACT
$129,215.50 $191,762.51
(EXTRAS TO DATE
$131,61750 $3,444.00
(CREDITS TO DATE
$2,500.00
CONTRACT TO DATE
$256,333.00 $0.00 $195,206.51 $0.00
$0.00 $0.00 $0.00
$0.00 $0.00 $0.00
0
AMOUNT OF PROP. CHANGE ORDER
$5,631.00
REVISED CONTRACT AMOUNT
$258,333.00 $0.00 $200,837.51 $0.00
$0.00 $0.00 $0.00
$0.00 $0.00 $0.00
0
TOTAL REVISED CONTRACT AMOUNT
PER UNIT
$258,333.00 $200,837.51
$0.00
$0.00 $0.00
REVISED COST SHARE
Dev. Cost: $459,170.51
. City Cost:
$0.00
TOTAL REVISED CONTRACT
$459,170.51
REVIEWED
By Sandip Adhikari at 7:26 am, Jun 14, 2023
Revised:10-12-2011 Page 1
s in
he
tract docum
You are directed to make the following � CiTM BTD ItTEM I nOUANTITY ents
PAY ITEM UNIT � IT DESCRIPTION UNIT PRICE
Unit][: Sanitary Sewer Improvers is
20' 3305.0106 1 EA nhole Adjustment. Major 3,754.00
21' I 9999.0002 I 1 I EA I MaLowered Wastewater Access Chamber I 1,877.00
TOTAL
- New pay item added
REASONS FOR CHANGE ORDER
Needed to lowermanhole and wastewater access chamberrim elevation to final grade.
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: ./ -A- 4eJl.
Name: Nick Keran
Title: Project Manager
APPROVED:
APPROVED:
(Developer) (Contractor)
By: �-`7 �-52— / By:
Name: Name: dilOP .��/ram
Title: f/f' �� G/� ��i�'r�;.t!/GT%Glt/ Title:
REVIEWED
lBy Sandip Adhikari at 7:26 am, Jun 14, 2023
TOTAL
3.754.00
1,877.00
$5,631.00
Revised: IG-12-2011 Page 2
FORT WORTH
TRANSPORTATION AND PUBLIC WORKS
PIPE REPORT FOR:
PROJECT NAME: The Citadel
CITY PROJECT NUMBER: 103496
1 WATER
PIPE LAID SIZE TYPE OF PIPE
PVC 8" PVC
FIRE HYDRANTS: 3 VALVES (16" OR LARGER)
PIPE ABANDONED SIZE TYPE OF PIPE
DENSITIES: YES
NEW SERVICES:
I SEWER
PIPE LAID SIZE TYPE OF PIPE
PVC 8" PVC
PIPE ABANDONED SIZE TYPE OF PIPE
DENSITIES: YES
NEW SERVICES:
TRANSPORTATION AND PUBLIC WORKS
The City of Fort Worth • 1000 Throckmorton Street • Fort Worth, TX 76012-6311
(817) 392 - 7941 • Fax: (817) 392 - 7845
LF
LF
LF
LF
FORT WORTH,
TRANSPORTATION AND PUBLIC WORKS
June 29, 2023
TRITON,GC. LLC.
102 GOLLAD
ROCKWALL,TX. 75087
RE: Acceptance Letter
Project Name: THE CITADEL
Project Type: WATER & SEWER
City Project No.: 103496
To Whom It May Concern:
On June 28, 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 July 25, 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 July 25, 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,
Saru%�{r%��, P. E.
Sandip Adhi ari, P.E.(Aug 23, 202308:53 CDT)
Sandip Adhikari, Project Manager
Cc: Eddie Walker, Inspector
Mike Glover, Inspection Supervisor
Daniel Roy, Senior Inspector
Victor Tornero, Program Manager
URBAN STRUCTURE, Consultant
TRITON,GC.,LLC.., Contractor
RAINMARK,INC., Developer
File
E-Mail: TPW_Acceptance@fortworthtexas.gov
Rev. 8/20/19
AFFIDAVIT
STATE OF
COUNTY OF
Before me, the undersigned authority, a notary public in the state
and county aforesaid, on this day personally appeared Name, Title Of
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 furnishing labor and/or materials have been paid in full;
That the wage scale established by the City Council in the City of
Fort Worth has been paid in full;
That there are no claims pending for personal injury and/or
property damages;
On Contract described as;
Contract Description
B r'es iclerl t
Name or Title
Subscribed and sworn before me on this date'Day of Man -di, Year.
vWtoa ,max
NotaiNPublPe
oun
o``1lrv'''. KARLA TALIA SANCHEZ
4o'R. U6'i
_a:°,• ma's Notary Public, State of Texas
Comm. Expires 06-01-2027
Notary ID 134387171
III
MARKEL
MARKEL INSURANCE COMPANY
CONSENT OF SURETY
TO FINAL PAYMENT
BOND NO.: 4453165
TO OBLIGEE:
(Name and Address)
Rainmark, Inc.
4514 Cole Ave, Suite 815
Dallas, TX 75205
PROJECT:
(Name and Address)
The Citadel - PAD 8 Shell Bldg (Utilities) - Project #
15105-02
PRINCIPAL: Triton GC, LLC
OWNER ❑
ARCHITECT ❑
CONTRACTOR ❑
SURETY ❑
OTHER ❑
CONTRACT FOR:
General Construction -
Utilities
CONTRACT DATED:
At the request of the Obligee and the Principal indicated above, (Insertnameanal addressofsurety)
Markel Insurance Company, 4521 Highwoods Pkwy, Glen Allen, VA 23060,SURETY,
on bond of (Insert name and address of Contractor)
Triton GC, LLC, CONTRACTOR,
and conditioned on the representation by Obligee that all Contract provisions relating to the payment
of final payment under the Contract have been satisfied by Principal as of the date of final payment,
and that no claims by Obligee or any third party are known or believed by Obligee or its
representatives to exist as of the date of final payment, representations as to the truth and accuracy
of the foregoing conditions being deemed to have been made by Obligee in connection with this
request for Consent of Surety, hereby approves of the final payment to the Principal, and agrees that
final payment in accordance with the terms hereof shall not relieve the Surety of its obligations to
(Insert name and address of Obligee)
Rainmark, Inc.,OBLIGEE,
as set forth in said Surety's bond.
IN WITNESS WHEREOF, the Surety has hereunto set its hand on this date: August 24, 2023.
(Insert in writing the month followed by the numeric date and year.)
Markel Insurance Company(Surety)
(Signcture of authorized representative)
Jacob Pollok, Attorney -in -Fact
MIC, SIC COS Final Payment rev 012022 Page 1 of 1
POA# 4453165
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
Jacob Pollok
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: Triton GC, LLC
Obligee: Rainmark, Inc.
Amounts: $ 320,978.01
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, that the signature of any authorized officer and seal of the Company heretofore or hereafter affixed to any power ofattorney
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 corporates alto be hereto affixed
this 13th dayof January 2023.
,�t��C,MARK INS NCE C P Y
: •pPP0 '�•jr• i `
State of Texas =Wt <P :0 By:
County of Travis: _�; SE�— t> dey Jennings V ce President
On this 13t1 dayof 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.
' JULIE E. MCCLARY By: �' ► ► `�
Notary Public State of Texas Julie cClary, Notary Public
Commission # 12947680 5 My cr
�r mission expires 3/29/2026
� •�•*� DF SE4;r
Commission Expires March 29, 2026
I, 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 24th day of August 2044.
Andr Tv, Marquis, Assist-'U 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 072022 Page 1 of 1