HomeMy WebLinkAboutContract 57993-FP1-FP1
FORT WORTH.
City Secretary
Contract No. 57993
Date Received 10/09/2023
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: Ridglea Village Multifamily
City Project No.: 103851
Improvement Type(s): Water ❑x
Original Contract Price:
Amount of Approved Change Order(s):
Revised Contract Amount:
Total Cost of Work Complete:
Marc Maeruder (Oct'-1 202315:22 CDT)
Contractor
Project Director
Title
Rumsey Construction
Company Name
LAG nan A! nda
Adrian Aranda (Oct 2, 2023 15:23 CDT)
Project Inspector
kh&14 ,7aai aVi T E.
Khal Jaafari P.E.(Oct 4, 202312:19 CDT)
Project Manager
Rebecca Diane Owen (Oct 9, 202312:21 CDT)
CFA Manager
X.21
Lauren P rieu r (Oct 9, 2023 12:27 CDT)
TPW Director
William In1n-111 t 9. 202314:10 CDT)
Asst. City Manager
Sewer ❑x
$565,105.72
$0.00
$565,105.72
$565,105.72
Oct 2, 2023
Date
Oct 2, 2023
Date
Oct % 2023
Date
Oct 9, 2023
Date
Oct 9, 2023
Date
Oct 9, 2023
Date
OFFICIAL RECORD Page 1 of 2
CITY SECRETARY
FT. WORTH, TX
Notice of Project Completion
Project Name: Ridglea Village Multifamily
City Project No.: 103851
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'
Statement of Contract Time
Contract Time: 385 WD
Work Start Date: 10/3/2022
Completed number of Soil Lab Test: 192
Completed number of Water Test: 16
Days Charged: 167
Work Complete Date: 9/8/2023
Page 2 of 2
FORT WO 1T H
CITY OF FORT WORTH
FINAL PAYMENT REQUEST
Contract Name RIDGLEA VILLAGE MULTIFAMILY
Contract Limits
Project Type WATER & SEWER IMPROVENENTS
City Project Numbers 103851
DOE Number 3851
Estimate Number 1 Payment Number 1
City Secretary Contract Number
Contract Date 6/6/2022
For Period Ending
Project Manager NA
Contractor JPI CONSTRUCTION, LLC
600 E. LAS COLINAS BLVD., SUITE 1800
IRVING,, TX 75039
Inspectors D. WATSON / M. WILSON
Contract Time
Days Charged to Date
Contract is 100.00
9/8/2023
WD
36WD
167
Complete
Tuesday, September 26, 2023 Pagel of 5
City Project Numbers 103851
Contract Name RIDGLEA VILLAGE MULTIFAMILY
Contract Limits
Project Type WATER & SEWER IMPROVENENTS
Project Funding
UNIT I: WATER IMPROVEMENTS
DOE Number 3851
Estimate Number 1
Payment Number 1
For Period Ending 9/8/2023
Item
Description of Items
Estimated Unit
Unit Cost
Estimated
Completed
Completed
No.
Quanity
Total
Quanity
Total
1
Remove 8" Water Line
1148 LF
$22.00
$25,256.00
1148
$25,256.00
2
4"-12" Pressure Plug (CO #1)
6 EA
$250.00
$1,500.00
6
$1,500.00
3
3" Water Pipe (CO #1)
0 LF
$87.00
$0.00
0
$0.00
4
6" PVC Water Pipe
176 LF
$98.00
$17,248.00
176
$17,248.00
5
12" PVC Water Pipe (Restrained Joints)
10 LF
$242.00
$2,420.00
10
$2,420.00
6
Connection to Existing 4"-12" Water Main
13 EA
$4,000.00
$52,000.00
13
$52,000.00
7
2" Water Service
7 EA
$2,033.00
$14,231.00
7
$14,231.00
8
3" Water Meter and Vault
2 EA
$26,500.00
$53,000.00
2
$53,000.00
9
6" Gate Valve
6 EA
$1,396.00
$8,376.00
6
$8,376.00
10
Salvage 3/4" Water Meter
32 EA
$1,587.00
$50,784.00
32
$50,784.00
11
Salvage Fire Hydrant
1 EA
$750.00
$750.00
1
$750.00
12
Trench Safety
274 LF
$1.00
$274.00
274
$274.00
13
Ductile Iron Water Fittings w/ Restraint
1.52 TN
$2,061.00
$3,132.72
1.52
$3,132.72
14
3" Pressure Plug (CO #1)
0 EA
$250.00
$0.00
0
$0.00
15
Traffic Control
1 MO
$4,500.00
$4,500.00
1
$4,500.00
16
4" Water Pipe (CO #1)
88 LF
$87.00
$7,656.00
88
$7,656.00
-------------------
Sub -Total of Previous Unit
$241,127.72
$241,127.72
UNIT H- SEWER IMPROVEMENTS
Item
Description of Items
Estimated Unit
Unit Cost
Estimated
Completed
Completed
No.
Quanity
Total
Quanity
Total
---------------------------------------
1
4"-12" Pressure Plug
4 EA
$250.00
$1,000.00
4
$1,000.00
2
Remove 6" Sewer Line
2111 LF
$22.00
$46,442.00
2111
$46,442.00
3
Remove 4' Sewer Manhole
2 LF
$500.00
$1,000.00
2
$1,000.00
4
Manhole Vacuum Testing
13 EA
$250.00
$3,250.00
13
$3,250.00
5
10" Pipe Enlargement
178 LF
$137.00
$24,386.00
178
$24,386.00
6
6" Sewer Pipe
34 LF
$76.00
$2,584.00
34
$2,584.00
7
8" Sewer Pipe
1664 LF
$85.00
$141,440.00
1664
$141,440.00
8
8" Sewer Pipe, CSS Backfill
62 LF
$92.00
$5,704.00
62
$5,704.00
9
Epoxy Manhole Liner
50 VF
$350.00
$17,500.00
50
$17,500.00
10
4' Manhole
12 EA
$4,587.50
$55,050.00
12
$55,050.00
Tuesday, September 26, 2023 Page 2 of 5
City Project Numbers 103851
Contract Name RIDGLEA VILLAGE MULTIFAMILY
Contract Limits
Project Type WATER & SEWER IMPROVENENTS
Project Funding
DOE Number 3851
Estimate Number 1
Payment Number 1
For Period Ending 9/8/2023
11 4' Drop Manhole 1 EA
$14,434.00
$14,434.00
1 $14,434.00
12 Trench Safety 1938 LF
$1.00
$1,938.00
1938 $1,938.00
13 Imported EmbedmentBackfill, Select Fill 17 CY
$250.00
$4,250.00
17 $4,250.00
14 Traffic Control 1 MO
$5,000.00
$5,000.00
1 $5,000.00
Sub -Total of Previous Unit
$323,978.00
$323,978.00
Tuesday, September 26, 2023 Page 3 of 5
City Project Numbers 103851
Contract Name RIDGLEA VILLAGE MULTIFAMILY
Contract Limits
Project Type WATER & SEWER IMPROVENENTS
Project Funding
Contract Information Summary
Original Contract Amount
Change Orders
Change Order Number 1
Total Contract Price
DOE Number 3851
Estimate Number 1
Payment Number 1
For Period Ending 9/8/2023
$565,105.72
$0.00
$565,105.72
Total Cost of Work Completed $565,105.72
Less % Retained $0.00
Net Earned $565,105.72
Earned This Period $565,105.72
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
$565,105.72
Tuesday, September 26, 2023 Page 4 of 5
City Project Numbers 103851
Contract Name RIDGLEA VILLAGE MULTIFAMILY
Contract Limits
Project Type WATER & SEWER IMPROVENENTS
Project Funding
Project Manager NA
Inspectors D. WATSON / M. WILSON
Contractor JPI CONSTRUCTION, LLC
600 E. LAS COLINAS BLVD., SUITE 1800
IRVING, , TX 75039
DOE Number 3851
Estimate Number I
Payment Number 1
For Period Ending 9/8/2023
City Secretary Contract Number
Contract Date
6/6/2022
Contract Time
365 WD
Days Charged to Date
167 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 $565,105.72
Less % Retained $0.00
Net Earned $565,105.72
Earned This Period $565,105.72
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
$565,105.72
Tuesday, September 26, 2023 Page 5 of 5
DocuSign Envelope ID: A066CC5B-3A5D-4053-A985-2CAODA9BOA14
PROJECT NAME:
CONTRACT:
CFA #
CITY PROJECT #
DOE #
FID #
FILE #
INSPECTOR:
PROJECT MANAGER:
DEVELOPER -AWARDED -PROJECT CHANGE ORDER
JPI - Ridglea Village Multifamily
Water & Sanitary Sewer
22-0047
103851
30114-0200431-103851-E07685
W-2808
ADRIAN ARANDA
KHALJAAFARI
CITY PARTICIPATION:
Phone No:
Phone No:
WATER
SEWER
Developer
Developer
Cost
City Cost
Cost
City Cost
ORIGINAL CONTRACT
$241,127.72
$323,978.00
EXTRAS TO DATE
CREDITS TO DATE
CONTRACT TO DATE
$241,127.72
$0.00
$323,978.00
$0.00
AMOUNT OF PROP. CHANGE ORDER
$0.00
$0.00
REVISED CONTRACT AMOUNT
$241,127.72
$0.00
$323,978.00
$0.00
TOTAL REVISED CONTRACT AMOUNT
PER UNIT
$241,127.72
$323,978.00
REVISED COST SHARE
Dev. Cost:
$565,105.72
TOTAL REVISED CONTRACT
No
CHANGE
ORDER No:
1
(817) 392-4477 RECEIVED
(817) 392-7872 By Khal Jaafari at 4:32 pm, N
CONTRACT UNIT
PAVING DRAINAGE STREET LIGHTS
Developer Developer Developer
Cost City Cost Cost City Cost Cost City Cost
$0.00 $0.00 $0.00 $0.00 $0.00 $0.00
$0.00 $0.00 $0.00 $0.00 $0.00 $0.00
$0.00 $0.00 $0.00
City Cost: $0.00
$565,105.72
Ov 16, 2022
CONTRACT
DAYS
0
0
Revised: 10-12-2011 Page 1
DocuSign Envelope ID: A066CC5B-3A5D-4053-A985-2CAODA9BOA14
You are directed to make the following changes in the contract documents
CITY BID ITEM
PAY ITEM #
# QUANTITY UNIT
ITEM DESCRIPTION
UNIT PRICE TOTAL
3" Pressure Plug
14 -2 EA
Removed 3" Pressue Plug from bid tab
250 -500
0241.1118 4"-12" Pressure Plug
2 2 EA
2 additional pressure plugs
250 500
3" Water Pipe
3 -88 LF
3" Water Pipe to be Removed
87 -7656
4" Water Pipe
88 LF
4" water pipe to be added
87 7656
TOTAL
01
REASONS FOR CHANGE ORDER
Developer request to update water connection due to lack of 3" service pipe. RECEIVED
By Khal Jaafari
at 4:32 pm, Nov 16, 2022
RECOMMENDED:
APPROVED: APPROVED:
(Consulting Engineer) �Doc u"Signed by:
(Developer) reDO-Signed by: (Contractor)
D—Signed by:
`
F2
lckcTF on
i�ho-rel Sew
By:
By: By.
l
1/(( 6%20f2(Awh
7eff Landon 11,
9`Jb...
Blake TaU/3yloU/r04y1:
4d 6(i11/16/2022 Richaapen 11/16/2022
Name:
Name: Name:
Engineer of Record
SVP, Regional Development Par�ter VP
Area Construction Manager.
Title:
g
Title: i e.
Revised: 10-12-2011 Page 2
DocuSign
Certificate Of Completion
Envelope Id: A066CC5B3A5D4053A9852CAODA9BOA14
Subject: Complete with DocuSign: Development Change Order No.1_Rev.pdf
Source Envelope:
Document Pages: 2 Signatures: 3
Certificate Pages: 5 Initials: 0
AutoNav: Enabled
Envelopeld Stamping: Enabled
Time Zone: (UTC-06:00) Central Time (US & Canada)
Record Tracking
Status: Original
11/16/2022 2:40:22 PM
Signer Events
Jeff Landon
Jeff.Landon@kimley-horn.com
Engineer of Record
Security Level: Email, Account Authentication
(None)
Electronic Record and Signature Disclosure:
Accepted: 11/16/2022 3:27:45 PM
ID:4b20d2d2-3507-429e-a861-7de6a155db13
Richard Deapen
Richard.deapen@jpi.com
VP Area Construction Manager.
JPI Construction, LLC
Security Level: Email, Account Authentication
(None)
Electronic Record and Signature Disclosure:
Not Offered via DocuSign
Blake Taylor
blake.taylor@jpi.com
SVP, Regional Development Partner
JPI Construction, LLC
Security Level: Email, Account Authentication
(None)
Electronic Record and Signature Disclosure:
Not Offered via DocuSign
In Person Signer Events
Editor Delivery Events
Agent Delivery Events
Intermediary Delivery Events
Certified Delivery Events
Holder: Ryan Gherardi
Ryan.Gherardi@jpi.com
Signature
D44DocuSiig-ned byyI:..
3 t A��t
3D92D08500984...
Signature Adoption: Pre -selected Style
Using IP Address: 134.238.171.64
E4,... Si,n,d by:
0894A2DEB941D...
Signature Adoption: Pre -selected Style
Using IP Address: 108.237.31.58
by:
EDSi,n1dT
743E28D..
Signature Adoption: Pre -selected Style
Using IP Address: 206.50.227.3
Signature
Status
Status
Status
Status
Status: Completed
Envelope Originator:
Ryan Gherardi
600 E Las Colinas BLVD
STE 1800
Irving, TX 75039
Ryan.Gherardi@jpi.com
IP Address: 172.103.85.217
Location: DocuSign
Timestamp
Sent: 11/16/2022 2:46:31 PM
Viewed: 11/16/2022 3:27:45 PM
Signed: 11/16/2022 3:28:13 PM
Sent: 11/16/2022 2:46:31 PM
Resent: 11/16/2022 3:28:15 PM
Viewed: 11/16/2022 3:29:19 PM
Signed: 11/16/2022 3:31:22 PM
Sent: 11/16/2022 3:31:24 PM
Viewed: 11/16/2022 4:05:16 PM
Signed: 11/16/2022 4:05:32 PM
Timestamp
Timestamp
Timestamp
Timestamp
Timestamp
Carbon Copy Events
Status
Timestamp
Matthew Crow
ED
Sent: 11/16/2022 4:05:33 PM
matthew.crow@jpi.com
Security Level: Email, Account Authentication
(None)
Electronic Record and Signature Disclosure:
Accepted: 11/4/2022 8:22:45 AM
ID:75a096ea-6a93-4282-93b0-b177dda3275d
Chase Addington
ED
Sent: 11/16/2022 4:05:35 PM
chase.addington@jpi.com
VP, Area Development Partner
Security Level: Email, Account Authentication
(None)
Electronic Record and Signature Disclosure:
Accepted: 11/16/2022 11:33:20 AM
ID:d0192c91-363f-4a28-8ffc-c077f76fa472
Witness Events
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Timestamp
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Timestamp
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Hashed/Encrypted
11/16/2022 2:46:31 PM
Certified Delivered
Security Checked
11/16/2022 4:05:16 PM
Signing Complete
Security Checked
11/16/2022 4:05:32 PM
Completed
Security Checked
11/16/2022 4:05:35 PM
Payment Events Status Timestamps
Electronic Record and Signature Disclosure
Electronic Record and Signature Disclosure created on: 3/19/2020 10:21:10 AM
Parties agreed to: Jeff Landon, Matthew Crow, Chase Addington
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Construction, LLC.
FORTWORTH
TRANSPORTATION AND PUBLIC WORKS
PIPE REPORT FOR:
PROJECT NAME: Ridglea Village Water and Sewer
CITY PROJECT NUMBER: 103851
WATER
PIPE LAID SIZE TYPE OF PIPE
Open -Trench 6" PVC
12" PVC
LF
176 LF
10 LF
FIRE HYDRANTS: VALVES (16" OR LARGER)
PIPE ABANDONED SIZE TYPE OF PIPE LF
DENSITIES:
Taken -Pass
NEW SERVICES:
2"
IRR
80 LF
2"
DOM
80 LF
SEWER
PIPE LAID
SIZE
TYPE OF PIPE
LF
Open -Trench
6"
PVC
34 LF
Open -Trench
8"
PVC
1726 LF
PIPE ABANDONED
SIZE
TYPE OF PIPE
LF
Open -Trench
6"
Cast Iron
2,111 LF
DENSITIES:
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
FORTWORTH.
M,
TRANSPORTATION AND PUBLIC WORKS
September 13, 2023
Rumsy Construction
4329 Reeder Dr
Carrolton, TX 75010
RE: Acceptance Letter
Project Name: Ridglea Village
Project Type: Water and Sewer
City Project No.: 103851
To Whom It May Concern:
On August 7, 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 September 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 September 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-
392-7872.
Sincerely,
khat ,7aai'aYi T
Khal Jaafan P.E. (Octg, 202312:19 CDT)
Khal Jaafari P.M , Project Manager
Cc: Adrian Aranda, Inspector
Donald Watson , Inspection Supervisor
Aaron Ybarra , Senior Inspector
Victor V. Tornero Jr. , Program Manager
Jeffrey Landon , Consultant
Rumsy Construction , Contractor
JPI , Developer
File
E-Mail: TPW_Acceptance@fortworthtexas.gov
Rev. 8/20/19
DocuSign Envelope ID: B7F76EAA-E80A-4133-9543-393038284047
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 Marc Magruder,
Project Director Of JPI Construction, LLC, 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;
JPI Ridglea Village Multifamily. CF�J;;;P,447,JCity Project # 103851.
BYF �^'`'' 9/28/2023
Proje'Mir'ector, JPI Construction, LLC
Subscribed and sworn before me on this 28th day of September, 2023.
DocuSigned by:
BCA7F8DF14C2433...
Notary Public
Dallas, Texas
------------
BRANDON COMEAU
:*
Notary ID
134349383
My Commission Expires
5/9/2027
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Seattle, WA 98101
www.usi.com
Tel: 206.441.6300
September 29, 2023
FedEx Priority Ovemight
Karissa Harding
JPI Companies
600 East Las Colinas Blvd
Ste 1800
Irving, TX 75039
RE: Consent of Surety for Final Payment to the City of Ft Worth
For Jefferson Ridglea Village
Atlantic Bond #8000ii694 & 800011745
Dear Karissa:
Please find attached the Consent of Surety for the above captioned bonds which will need to be signed and
filed with the City of Fort Worth along with any other required documents.
Once the City accepts these Consents for these 2 bonds, please be sure to forward the City's Release
documentation to my attention so we can be sure to close out the bonds.
Should you require further assistance or if you have any questions, please do not hesitate to contact me at
2o6-291-4997 or at Debbie.lindstrom@usi.com
Sincerely,
AIXXIe
Debbie Lindstrom
Surety Acct Executive, AVP
Surety Services
Property & Casualty • Employee Benefits • Personal Risk • Retirement Consulting
The USI ONE Advantage*
CONSENT OF SURETY
TO FINAL PAYMENT
"Doci~W G707
City of Fort Worth, Texas
200 Texas Street
Fort Worth, TX 76102
PROJECT:
mhmemrd ad*wV
Jefferson Ridglea Village
3601 Westridge Avenue
Fort Worth, TX 76116
OWNRR
❑
ARCHIMT
o
COXMCTOR
O
SURETY
O
OTHFR
❑
ARCHITECT'S PROJECT NO.:
CONTRACT FOR Jefferson Ridglea Village - Construct Water
and Sewer Improvements In Tarrant Co.
CONTRACT DATED:
In accordance with the provisions of t1x Contract between the Owner and the Contractor as Indicated above, the
()nsw m meand miMmuolSwery)
Atlantic Specialty Insurance Company
605 Highway 169 North, Suite 800
Plymouth, MN 55441
, SURETY,
on bond of
(learn name and addresaofCovr(ruaw)
Jefferson Ridglea Village, LLC
600 East Las Colinas Blvd, Ste 1800
Irving, TX 75039
COYTRACTOR,
hereby approves of the final payment to the Contractor, and agrees that final payment to the C )ntmctor shalt nix relieve the Sureryof
any of Its obligations to
(GtaM name and addrea o/Orrner)
City of Fort Worth, Texas
200 Texas Street
Fort Worth, TX 76102
as set forth In said Surety%s bond.
IN WrMTESS WHEREOF, the Surety has hereunto set its hand on this date: September 28, 2023
(lectern to tmVnig we moetbfbdkued brthemamrkdawandyw.)
•I Will • •.
rAT; R"'..
Jamie Armfield , Attomey-in-Fact
0*9 d uwse axl mk)
. OWN k
G707-1994
owl
intact
1 INSURANCE I.r
Power of Attorney
KNOW ALL MEN BY THESE PRESENTS, that ATLANTIC SPECIALTY INSURANCE COMPANY, a New York corporation with its principal office in Plymouth,
Minnesota, does hereby constitute and appoint: Amber Engel, Brandi Heinbaugh, Debbie Lindstrom, Holly E. Ulfers, Jamie Armfield, Kathleen M. Mitchell,
Kathy Nye, Kristine Santamaria, Marina Matyunin, Roxana Palacios, Scott Alderman, Tara Koloski, each individually if there be more than one named, its true and
lawful Attorney -in -Fact, to make, execute, seal and deliver, for and on its behalf as surety, any and all bonds, recognizances, contracts of indemnity, and all other writings
obligatory in the nature thereof; provided that no bond or undertaking executed under this authority shall exceed in amount the sum of: unlimited and the execution of such
bonds, recognizances, contracts of indemnity, and all other writings obligatory in the nature thereof in pursuance of these presents, shall be as binding upon said Company as if
they had been fully signed by an authorized officer of the Company and scaled with the Company seal. This Power of Attorney is made and executed by authority of the
i
following resolutions adopted by the Board of Directors of ATLANTIC SPECIALTY INSURANCE COMPANY on the twenty-fifth day of September, 2012:
Resolved: That the President, any Senior Vice President or Vice -President (each an "Authorized Officer") may execute for and in behalf of the Company any and
all bonds, recognizances, contracts of indemnity, and all other writings obligatory in the nature thereof, and affix the seal of the Company thereto; and that the
Authorized Officer may appoint and authorize an Attorney -in -Fact to execute on behalf of the Company any and all such instruments and to affix the Company
seal thereto; and that the Authorized Officer may at any time remove any such Attomey-in-Fact and revoke all power and authority given to any such Attomey-in-
Fact.
Resolved: That the Attomey-in-Fact may be given full power and authority to execute for and in the name and on behalf of the Company any and all bonds,
recognizances, contracts of indemnity, and all other writings obligatory in the nature thereof, and any such instrument executed by any such Attomey-in-Fact shall
be as binding upon the Company as if signed and sealed by an Authorized Officer and, further, the Attomey-in-Fact is hereby authorized to verify any affidavit
required to be attached to bonds, recognizances, contracts of indemnity, and all other writings obligatory in the nature thereof.
This power of attorney is signed and sealed by facsimile under the authority of the following Resolution adopted by the Board of Directors of ATLANTIC SPECIALTY
INSURANCE COMPANY on the twenty-fifth day of September, 2012:
Resolved: That the signature of an Authorized Officer, the signature of the Secretary or the Assistant Secretary, and the Company seal may be affixed by
facsimile to any power of attorney or to any certificate relating thereto appointing an Attomey-in-Fact for purposes only of executing and sealing any bond,
undertaking, recognizance or other written obligation in the nature thereof, and any such signature and seal where so used, being hereby adopted by the Company
as the original signature of such officer and the original seal of the Company, to be valid and binding upon the Company with the same force and effect as though
manually affixed.
IN WITNESS WHEREOF, ATLANTIC SPECIALTY INSURANCE COMPANY has caused these presents to be signed by an Authorized Officer and the seal of the Company
to be affixed this first day of January, 2023.
'Qv`�pPPOR TF9Z�s_
€C, SEAL m
r ell
1986 0 = By
STATE OF MINNESOTA %y6�~Fw roP� das Sarah A. Kolar, Vice President and General Counsel
]HENNEPIN COUNTY "1 d
On this first day of January, 2023, before me personally came Sarah A. Kolar, Vice President and General Counsel of ATLANTIC SPECIALTY INSURANCE COMPANY, to
me personally known to be the individual and officer described in and who executed the preceding instrument, and she acknowledged the execution of the same, and being by me
duly swom, that she is the said officer of the Company aforesaid, and that the seal affixed to the preceding instrument is the seal of said Company and that the said seal and the
signature as such officer was duly affixed and subscribed to the said instrument by the authority and at the direction of the Company.
4•; ALISON'WAN NASN.TROUT ,
NOTARY PUBLIC•MINNESOTA � l�'�"`""it/u-
My
Commission Expires
January 31, 2025 Notary Public
1, the undersigned, Secretary of ATLANTIC SPECIALTY INSURANCE COMPANY, a New York Corporation, do hereby certify that the foregoing power of attorney is in full
force and has not been revoked, and the resolutions set forth above are now in force.
Signed and sealed. Dated 28th day of September220 3.
SG4y •.
q �pFPOR4,F 1,"
:h SEAL m:
1986
Flns Power of Attorney expires `r2s hFsy roP� as e$
Jannuary 31, 2025 ,ti INsKara L.B. Barrow, Secretary
u 4 ,,,,
Please direct bond verifications to jumiyjQintactlnsur nee corn
CONSENT OF SURETY
TO FINAL PAYMENT
ALA DecumeW 6707
Rnnd Nn .. .......�
TO O%VNER
1>iasne msdA&6rW
City of Fort Worth, Texas
200 Texas Street
Fort Worth, TX 76102
PROJECT:
(Nameand&d&%%t►
Jefferson Ridglea Village
3601 Westridge Avenue
Fort Worth, TX 76116
OWNRR
ARCHITr•.CT
CONTRACTOR
SURETY
OTHER
ARCHITECT'S PROJECT NO.:
CONTRACT' FOR: Construct Water ki'ipuj /uivants in
Tarrant Co. CFA #3
51 • �ilvl b ._ r0r
In accordance with the provisions of the Contract between die Owner and the Contractor as Indicated above, the
llnsc"name and asa rmgr 3 mq,)
Atlantic Specialty Insurance Company
605 Highway 169 North, Suite 800
Plymouth, MN 55441 SURETY
on bond of
flnwn name andaddreoQ(ConnnU(sr)
Jefferson Ridglea Village, LLC
600 East Las Colinas Blvd, Ste 1800
Irving, TX 75039 , CONTRACTOR,
hereby approves of the final payment to the Contractor, and agrees that final payment to the Contractor shall ncx relieve the Surery of
any of its obligations to
(1aQW name and adder of Oa ner)
City of Fort Worth, Texas
200 Texas Street
Fort Worth, TX 76102
2s set forth in said Surety's bond
IN WITNISS WHEREOF, the Surety has bemunto set its hand on this date: September 28, 2023
(Anil in a,r*1j*(henrontbfollwwdbyroenwnerkdaWw;dyW.)
Atlantic Specialty Insurance Company
(3ksM'l
41&
ofar.tbo►faed irp+�rnrolkr)
Jamie Armfield, Attomey-in-Fact
fl%u d sonic a)d lltk)
. OWN%R,
f_-7n'7 1[fOA
CT!�!Ct
cs Power of Attorney
Surety Bond No: 800011745 mwipal:Jefferson Ridglea Village, LLC
obtigee: City of Fort Worth, Texas
KNOW ALL MEN BY THESE PRESENTS, that ATLANTIC SPECIALTY INSURANCE COMPANY,a New York corporation with its pnncipal office in Plymouth.
Minnesota, does hereby constitute and appoint J mle Armfield , each individually if there be more than one named, its true and lawful Attorney -in
-Fact, to make, execute, seal and deliver, for and on its behalf as surety, any and all bonds, recognizances, connar" of indemnity, and all other writings obligatory in the nature
thereof: provided that no band or undertaking executed under this authority shall exceed in amount the sum of shay million dollar (f60J)00r000) and the execution of such
bonds, recognizances, contracts of indemnity, and all other writings obligatory in the mature thereof in pursue= of these presents, shall be as binding upon said Company as if
they had been fully signed by an authorized officer of the Company and sealed with the Company seal. This Power of Attorney is made and executed by authority of the
following resolutions adopted by the Board of Directors of ATLANTIC SPECIALTY INSURANCE COMPANY on the twenty-fifth day of September, 2012:
Resolved: That the President, any Senior Vice President or Vice -President (each an "Authorized Officer") may execute for and in behalf of the Company any and
all bonds, recognizances, contracts of indemnity, and all other writings obligatory in the nature thereof, and affix the seal of the Company thereto: and that the
Authorized Officer may appoint and authorize an Attorney -in -Fact to execute on behalf of the Company any and all such instruments and to affix the Company
seal thereto; and that the Authorized Officer may at any time remove any such Auciroey-in-Fad and revoke all power and authority given to any such Attorney -in -
Fact.
Resolved: That the Attorney -in -Fad may be given full power and authority to execute for and in the name and on behalf of the Company any aid all bonds.
recognizances, contracts of indemnity, and all other writings obligatory in the nature thereof, and any such instrument executed by any such Attormey-in-Fact shall
be as binding upon the Company as if signed and sealed by an Authorized Officer and. further, the Attomey=m-Fact is hereby authorized to verify any affidavit
required to be attached to bonds. recognizances, contracts of indemnity, and all other writings obligatory in the nature thereof.
This power of attorney is signed and sealed by facsimile under the authority of the following Resolution adopted by the Board of Directors of ATLANTIC SPECIALTY
INSURANCE COMPANY on the twenty-fifth day of September, 2012:
Resolved: That the signature of an Authorized Officer, the signature of the Secretary or the Assistant Secretary, and the Company seal may be affixed by
facsimile to any power of attorney or to any certificate relating thereto appointing an Attorney -in -Fad for purposes only of executing and scaling any bond,
undertaking, recognizance or other written obligation in the nature thereof, and any such signature and seal where so used, being hereby adopted by the Company
as the original signature of such officer and the original seal of the Company, to be valid and binding upon the Company with the same fora and effect as though
manually affixed.
IN WITNESS WHEREOF, ATLANTIC SPECIALTY INSURANCE COMPANY has caused these presents to be signed by an Authorized Officer and the seal of the Company
to be affixed this fifth day of Match, 2020.
STATE OF MINNESOTA
HENNEPIN COUNTY
tY INaV
SFJ4L a
Y'•, ,;
"f1j1'h`1r vo *fit,
,f
Paul J. Brehm, Senior Vice President
On this fifth day of March, 2020. before me personally came Paul J. Brehm, Senior Vice President of ATLANTIC SPECIALTY INSURANCE COMPANY,to me personally
known to be the individual and officer described in and who executed the preceding instrument. and he acknowledged the execution of the same, and being by me duly sworn,
that he is the said officer of the Company aforesaid, and that the seal affixed to the preceding instrument is the seal of said Company and that the said seal and the signature as
such officer was duly affixed and subscribed to the said instrument by the authority and at the ditecoon of the Company.
ALISON DWAN MASH•TRWT f5�71�
NOTARY PUBLIC • Ig1NNESOTA
My Commisslon Expires
January 31, 2026
Notary Public
1, the undersigned, Asvistant Secretary of ATLANTIC SPECIALTY INSURANCE COMPANY, a New York Corporation, do hereby certify that the foregoing power of arttrncy
is in full force and has ntA been revoked, and the resolutions ad forth above are now in face.
Signed and sealed. Dared 28th day of September, 2023 ,
�4IOMt c7i
, /wG6 V
'�i''� w� '�►
1y'-•# • its Chnstophcr V. Jerry, Secretary