HomeMy WebLinkAboutContract 57087-FP1-FP1
FORT WORTH.
City Secretary
Contract No. 57087
Date Received 10/19/2023
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: Wayfare Multifamily
City Project No.: 103516
Improvement Type(s): M Paving
Original Contract Price:
Amount of Approved Change Order(s):
Revised Contract Amount:
Total Cost of Work Complete:
W. Keith 9ov�
W. Keith Jones (Oct A, 2023 13:18 CDT)
Contractor
President
Title
IMS Construction
Company Name
Adtlian At anda
Adrian Aranda (Oct 19, 202314:18 CDT)
Project Inspector
T e66� 9.
Project Manager
-X&IJ"`
Rebecca Diane Owen (Oct 19.202316:35 CDT)
CFA Manager
_A
Lauren Pneur (Oct 19.202316:47 CDT)
TPW Director
William John-n(O 20.202311:11CDT)
Asst. City Manager
0 Drainage N Street Lights ❑ Traffic Signals
$1, 904, 324.69
$41,634.00
$1,945,958.69
$1,945,958.69
Oct 19, 2023
Date
Oct 19, 2023
Date
Oct 19, 2023
Date
Oct 19, 2023
Date
Oct 19, 2023
Date
Oct 20, 2023
Date
OFFICIAL RECORD
CITY SECRETARY
FT. WORTH, TX Page 1 of 2
Notice of Project Completion
Project Name: Wayfare Multifamily
City Project No.: 103516
City's Attachments
Final Pay Estimate x❑
Change Order(s): ❑x Yes ❑ N/A
Contractor's Attachments
Affidavit of Bills Paid
Consent of Surety
Statement of Contract Time
Contract Time 120 WD
Work Start Date: 3/21 /2022
Completed number of Soil Lab Test: 573
Completed number of Water Test: 23
Days Charged: 293
Work Complete Date: 9/15/2023
Page 2 of 2
FORT WO 1T H
CITY OF FORT WORTH
FINAL PAYMENT REQUEST
Contract Name WAYFARE MULTIFAMILY (CIBOLO HILLS PARKWAY)
Contract Limits
Project Type DRAINAGE & PAVING
City Project Numbers 103516
DOE Number 3516
Estimate Number 1 Payment Number 1 For Period Ending 9/15/2023
WD
City Secretary Contract Number Contract Time 12WD
Contract Date 12/6/2021 Days Charged to Date 293
Project Manager NA Contract is 100.00 Complete
Contractor 1MS CONSTRUCTION
5690 WATERMELON ROAD, SUITE 400
NORTHPORT, AL 35473
Inspectors D. WATSON / A. ARANDA
Wednesday, October 18, 2023 Page 1 of 6
City Project Numbers 103516 DOE Number 3516
Contract Name WAYFARE MULTIFAMILY (CIBOLO HILLS PARKWAY) Estimate Number I
Contract Limits Payment Number 1
Project Type DRAINAGE & PAVING For Period Ending 9/15/2023
Project Funding
UNIT III: DRAINAGE IMPROVEMENTS
Item
Description of Items
Estimated
Unit Unit Cost
Estimated
Completed
Completed
No.
Quanity
Total
Quanity
Total
1
REMOVE RIP RAP
1706
$2.06
$3,514.36
1706
$3,514.36
2
REMOVE HEADWALL/SET
1
$4,150.00
$4,150.00
1
$4,150.00
3
LARGE STONE RIPRAP DRY (CO #1)
270
$90.00
$24,300.00
270
$24,300.00
4
TRENCH SAFETY (CO #1)
2621
$1.00
$2,621.00
2621
$2,621.00
5
21" RCP CLASS lII
193
$56.00
$10,808.00
193
$10,808.00
6
21" RCP CLASS IV
8
$66.00
$528.00
8
$528.00
7
24" RCP CLASS lII
1280
$68.00
$87,040.00
1280
$87,040.00
8
30" RCP CLASS III
183
$125.00
$22,875.00
183
$22,875.00
9
30" RCP CLASS IV
248
$135.00
$33,480.00
248
$33,480.00
10
42" RCP CLASS III (CO #1)
339
$175.00
$59,325.00
339
$59,325.00
11
7X3 BOX CULVERT
370
$475.00
W5,750.00
370
$175,750.00
12
4' STORM JUNCTION BOX
9
$7,600.00
$68,400.00
9
$68,400.00
13
5' STORM JUNCTION BOX
1
$9,500.00
$9,500.00
1
$9,500.00
14
4' MANHOLE RISER
2
$6,500.00
$13,000.00
2
$13,000.00
15
10' RECESSED CURB INLET
9
$5,100.00
$45,900.00
9
$45,900.00
16
20' RECESSED CURB INLET
1
$8,100.00
$8,100.00
1
$8,100.00
17
HEADWALL (CH-FW-O) (DIA=42 IN)
1
$6,200.00
$6,200.00
1
$6,200.00
18
WINGWALL (PW-1) (HW=3FT)
1
$41,350.00
$41,350.00
1
$41,350.00
Sub -Total of Previous Unit $616,841.36 $616,841.36
UNIT IV: PAVING IMPROVEMENTS
Item Description of Items
No.
1 REMOVE SIDEWALK
2 REMOVE CONC CURB & GUTTER
3 SITE CLEARING
4 UNCLASSIFIED EXCAVATION
5 EMBANKMENT BY PLAN
6 SWPPP 1 ACRE
7 LAREGE STONE RIPRAP DRY
8 HYDRATED LIME
Estimated Unit Unit Cost Estimated Completed Completed
Quanity Total Quanity Total
49 SF $1.00 $49.00 49 $49.00
1016 LF $12.00 $12,192.00 1016 $12,192.00
1 LS $2,640.00 $2,640.00 1 $2,640.00
12656 CY $3.50 $44,296.00 12656 $44,296.00
5573 CY $3.00 $16,719.00 5573 $16,719.00
1 LS $18,700.00 $18,700.00 1 $18,700.00
24 SY $90.00 $2,160.00 24 $2,160.00
179 TN $160.40 $28,711.60 179 $28,711.60
Wednesday, October 18, 2023 Page 2 of 6
City Project Numbers 103516 DOE Number 3516
Contract Name WAYFARE MULTIFAMILY (CIBOLO HILLS PARKWAY) Estimate Number I
Contract Limits Payment Number 1
Project Type DRAINAGE & PAVING For Period Ending 9/15/2023
Project Funding
9
8" LIME TREATMENT
8530 SY
$3.25
$27,722.50
8530
$27,722.50
10
4" CONC SIDEWALK
2750 SY
$55.13
W1,607.50
2750
$151,607.50
11
BARRIER FREE RAMP, TYPE R-1
2 EA
$1,942.50
$3,885.00
2
$3,885.00
12
BARRIER FREE RAMP, TYPE P-1
2 EA
$1,942.50
$3,885.00
2
$3,885.00
13
4" SLD PVMT MARKING HAS (W)
712 LF
$1.33
$946.96
712
$946.96
14
4" BRK PVMT MARKING HAS (W)
4304 LF
$1.33
$5,724.32
4304
$5,724.32
15
8" SLD PVMT MARKING HAS (W)
712 LF
$2.65
$1,886.80
712
$1,886.80
16
24" SLD PVMT MARKING HAE (W)
176 LF
$16.10
$2,833.60
176
$2,833.60
17
LANE LEGEND ARROW
8 EA
$247.25
$1,978.00
8
$1,978.00
18
LANE LEGEND ONLY
8 EA
$287.50
$2,300.00
8
$2,300.00
19
REFL RAISEDE MARKER TY II-C-R
108 EA
$4.92
$531.36
108
$531.36
20
6" TOPSOIL
650 CY
$13.80
$8,970.00
650
$8,970.00
21
SEEDING, HYDROMULCH
5714 SY
$1.17
$6,685.38
5714
$6,685.38
22
FURNISH/INSATLL ALUM SIGN GROUND
12 EA
$416.98
$5,003.76
12
$5,003.76
MOUNT CITY STD.
23
REMOVE SIGN PANEL AND POST
1 EA
$169.76
$169.76
1
$169.76
24
TRAFFIC CONTROL
1 MO
$3,750.00
$3,750.00
1
$3,750.00
25
RAIL (HANDRAIL) (TY E)
108 LF
$162.00
$17,496.00
108
$17,496.00
26
10.5" CONC PAVEMENT
7793 SY
$95.03
V40,568.79
7793
$740,568.79
27
10.5" COMMERCIAL DRIVE APPROACH
2 EA
$22,575.00
$45,150.00
2
$45,150.00
28
END OF ROAD BARRICADE
1 EA
$914.25
$914.25
1
$914.25
29
CURB RAMP AT CIBOLO HILLS PKWY AND
2 EA
$1,942.50
$3,885.00
2
$3,885.00
BUS 287
Sub -Total of Previous Unit $1,161,361.58 $1,161,361.58
- - - - - - - - - - - - - - - - - - -
UNIT V: STREET LIGHTING IMPROVEMENTS
Item
Description of Items
Estimated Unit
Unit Cost
Estimated
Completed
Completed
No.
Quanity
Total
Quanity
Total
1
2" CONDT PVC SCH 80 (T)
1105 LF
$22.00
$24,310.00
1105
$24,310.00
2
RDWY ILIUM FOUNDATION TY 3,5,6, AND 8
19 EA
$1,600.00
$30,400.00
19
$30,400.00
3
FURNISH/INSTALL RDWAY ILIUM TY 18 POLE
15 EA
$2,555.00
$38,325.00
15
$38,325.00
4
FURNISH/INSTALL TYPE 33A ARM
16 EA
$479.00
$7,664.00
16
$7,664.00
5
FURNISH/INSTALL LED LIGHTING FIXTURE
16 EA
$700.00
$11,200.00
16
$11,200.00
(137 WATT ATB2)
6
RELOCATE STREET LIGHT POLE
4 EA
$1,970.00
$7,880.00
4
$7,880.00
7
GROUND BOX TYPE B W/APRON
19 EA
$1,000.00
$19,000.00
19
$19,000.00
Wednesday, October 18, 2023
Page 3
of 6
City Project Numbers 103516 DOE Number 3516
Contract Name WAYFARE MULTIFAMILY (CIBOLO HILLS PARKWAY) Estimate Number I
Contract Limits Payment Number I
Project Type STREET LIGHTING For Period Ending 9/15/2023
Project Funding
8 RECONNECT CONDUCTOR
40 EA
$155.00
$6,200.00
40
$6,200.00
9 NO 10 INSULATED ELEC CONDR
2330 LF
$1.55
$3,611.50
2330
$3,611.50
10 NO 6 INSULATED ELEC CONDR
6695 LF
$2.65
$17,741.75
6695
$17,741.75
11 REMOVE EXISTING GROUND BOX
1 EA
$400.00
$400.00
1
$400.00
12 REMOVE EXISTING CONDUIT AND
890 LF
$1.15
$1,023.50
890
$1,023.50
CONDUCTORS
Sub -Total of Previous Unit
$167,755.75
$167,755.75
Wednesday, October 18, 2023 Page 4 of 6
City Project Numbers 103516
Contract Name WAYFARE MULTIFAMILY (CIBOLO HILLS PARKWAY)
Contract Limits
Project Type STREET LIGHTING
Project Funding
Contract Information Summary
Original Contract Amount
Change Orders
Change Order Number I
DOE Number 3516
Estimate Number I
Payment Number 1
For Period Ending 9/15/2023
$1,904,324.69
$41,634.00
Total Contract Price $1,945,958.69
Total Cost of Work Completed $1,945,958.69
Less % Retained $0.00
Net Earned $1,945,958.69
Earned This Period $1,945,958.69
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
$1,945,958.69
Wednesday, October 18, 2023 Page 5 of 6
City Project Numbers 103516
Contract Name WAYFARE MULTIFAMILY (CIBOLO HILLS PARKWAY)
Contract Limits
Project Type STREET LIGHTING
Project Funding
Project Manager NA
Inspectors D. WATSON / A. ARANDA
Contractor IMS CONSTRUCTION
5690 WATERMELON ROAD, SUITE 400
NORTHPORT , AL 35473
DOE Number 3516
Estimate Number I
Payment Number I
For Period Ending 9/15/2023
City Secretary Contract Number
Contract Date
12/6/2021
Contract Time
120 WD
Days Charged to Date
293 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 $1,945,958.69
Less % Retained $0.00
Net Earned $1,945,958.69
Earned This Period $1,945,958.69
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
$1,945,958.69
Wednesday, October 18, 2023 Page 6 of 6
DEVELOPER -AWARDED -PROJECT CHANGE ORDER
PROJECT NAME: Wavfare Multifamilv
CONTRACT: CS 57087
ICFA# 21-0104 I CITY PARTICIPATION:( Yes
ICITY PROJECT # 103516
IFID # 30114-0200431-103516-EO7685
FILE # X-27026, W-2790
INSPECTOR:
PROJECT MANAGER:
(ORIGINAL CONTRACT
EXTRAS TO DATE
ICREDITS TO DATE
ICONTRACT TO DATE
(AM�OODUNTT O�F PPRROP. CH
ANGE ORDER
TA� REVISED NNTRACT AMOUNT
REVISED COST SHARE
TOTAL REVISED CONTRACT
Jesse Davis Phone No: 817-863-3705
Debbie Willhelm Phone No: 817-392-2481
CHANGE
ORDER No:
CSC No. 57087-CO1
CONTRACT UNIT I
WATER SEWER PAVING DRAINAGE STREET LIGHTS & SIGNS I CONTRACT
Developer Developer Developer Developer DAYS
Cost City Cost Developer Cost City Cost Cost Citv Cost Cost City Cost Cost City Cost
$495,729.42 $148,017.70 $165,850.39 $0.00 $1,161,361.58 $0.00 $575,207.36 $0.00 $167,755.75 $0.00 120
III
$575,207.36 $167,755.75 $0.00 120
$41,634.00 $0.00 $0.00 0
$616,841.36 $167,755.75 $0.00 120
$616,841.36 $187,765.75
$148,017.70
1,361.58 $0.00
0.00 $0.00
1,361.58 $0.00
$1,161,361.58
City Cost:
$2,843,126.20
Revised 10-12-2011 Page 1
are directed to make the following changes in the c ntract docurtlents
IYou
CITY BID ITEM
PAY ITEM #
# QUANTITY UNIT
ITEM DESCRIPTION
UNIT PRICE Developer Cost
City Cost
UNIT IA -]HATE] IMPROVEMENT (CITY -DEVELOPER COST SHARE)
I NEW
3312.2203 3 I EA
Y'Water Service
$4,350.00 Yv13.050.00
�0:00
1 3
3305.0109 120 I LF
I
Trench Safety
$1.00 $120.00
$a 00
I
Subtotal Unit [A -Water Improvements (City -Developer Cost Share
$13,170.00
$0.00
You are directed to make the following
c anges in the cpntract docu�}ents
CITY BID ITEM
PAY ITEM #
# QUANTITY UNIT
ITEM DESCRIPTION
UNIT PRICE
Developer Cast
City Cost
I
I
UNIT I([[[ -SEWER
I
I NEW
3305.1104 1 160 I LF 1
24" Casing by Other Than Open Cut
$465.00
$74 400.00
$0.00
1
Subtotal Unit II Sanitary Sewer Improvements
$74,�00.00
$0.00 1
You are directed to make the following
changes in the cPntract documIllents
CITY BID ITEM
I
PAY ITEM #
I QUANTITY I UNIT
ITEM DESCRIPTION
UNIT PRICE Developer Cost
City Cost
1
UNIT III - DRAINACr IMPROVEMENTS
1
1 3
3137.0102 5 SY
Large Stone Ripmp, dry
$90.00 $450.00
$0.00 1
1 4
3305.0109
234
LF
Trench Safety
$1.00 $234.00
$0.00
1 10
3341.0402
234
LF
42" RCP, Class III
$175.00 $40.950.00
$0.00
1
Subtotal Unit III - Dminage Improvements
$41,634.00
$0.00
GRAND TOTALI
1$129,204.00 1
$0.00 1
Asterisk (") indicates New Pay Rem
REASONS FOR CHANGE ORDER
Portion of the sanitary sewer under private parking lot will be installed by bore. Added irrigation services to private development. Extend
storm pipe to provide cover
for water line. Changes correspond to Plan Revision 02, 03, and 04
as shown on Sheets 8, 10, 11, 12, 17, 18, 20, 35, 37, 40, and 46 of the construction plans. No
additional days are requested for this change order.
This project has City Participation. This change order does not affect City Participation. Developer is responsible for 100 % of the change order cost and no
reimbursement from the City will be sought by the Developer.
[SIGNATURES APPEAR ON THE FOLLOWING PAGE]
Revised 10-12-2011 Page 2
e.nm nNI'olutions
A 4 LmanLda M��
By Amanda —.(Apr I7,203309 Do CDT)
Name: Amanda Mats, PE
Title Project Manager
APPROVAL RECOMMENDED:
CFW- Water Department
By 0
Name Taylor Gunderman, PE
Title: Engineering Manager
RECOMMENDED:
CFW- *Contrect Compliance Manager
D.66a By: 9
Name: Debbie J. Willhelm. PE
Title Senior Professional Engineer
M&C Number: M&C21-0769
M&C Date Approved 9/28/2021
APPROVED:
Wayfare Development Group- Cibolo Hills, LLC
By
� 1.3fltit�a P, ..,3 o.IDTI
Name: Jackson Wallace
Title President & CEO
APPROVED:
CFW - Assistant City Manager
D �re L
By: .171
Name: Dana Burghdoff
Title: Assistant City Manager
APPROVED:
IMS Construction
By ke¢nst22/'6'Af5'f3EDn
Name: Keith Jones
Title President
APPROVED AS TO FORM AND LEGALITY:
CFW - Assistant City Attorney
By, 101mh,,,..,1.-1.1<—
Name: Richard McCracken
Title: Semor Assistant City Attorney
ATTEST
* Contract Compliance Manager (Project Manager):
A
By signing I acknowledge that I am the person responsible
for the monitoring and administration of this contract, include
ensuring all performance and reporting requirements.
Jannette S. Goodall
City Secretary
❑There are NO City Funds associated with this Contract
❑' There are City Funds associated with this Contract
Revised: 10-12-2011 Page 3
FORTWORTH.
M"
TRANSPORTATION AND PUBLIC WORKS
9/15/2023
IMS Construction
5690 Watermelon Rd., Suite 400
Northport, AL 35473
RE: Acceptance Letter
Project Name: Cibolo Hills Wayfare Multi -Family
Project Type: Water/Sewer/Drainage/Paving/Street Lighting
City Project No.: 103516
To Whom It May Concern:
On June 20, 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 15, 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 15,
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 871-
392-2481.
Sincerely,
T e66� Cy ui�'D,�,z
Debbie Willhelm , Project Manager
Cc: Adrian Aranda , Inspector
Donald Watson , Inspection Supervisor
Aaron Ybarra , Senior Inspector
Jeff Hicks , Program Manager
Thomas C. Bartowski , Consultant
Bandera Utility Contractors Inc, Contractor
Wayfare Cibolo Hills LCC , Developer
File
E-Mail: TPW_Acceptance@fortworthtexas.gov
Rev. 8/20/19
AFFIDAVIT
STATE OF ALABAMA
COUNTY OF TUSCALOOSA
Before me, the undersigned authority, a notary public in the state and county aforesaid,
on this day personally appeared William Keith Jones, President of fMS 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:
Wayfare Multifamily Cibolo Hills Parkway
BY: i
V�illiam Keit ones, President
Subscribed mud s►i'orn before nic on this date 19"' of Oetober, 2023.
4NoaryPublic
� J�_C� I
Tuscaloosa, Alabama qi8� 9 a C��r,
ev A R
,1����•aee roe' ��? i
� � w
SUS LIC' ` �a
Q'
CONSENT OF SURETY
TO FINAL PAYMENT
NA Document G7M
Bond No. CIC907794
TO OTM.
(Mawandaikew
City of Fort Worth, Texas
200 Texas Street
Fort Worth, Texas 76102
PROIBCT.
(Nonewrdeddn)
WAYFARE MULTIFAMILY (CIBOLO HILLS PARKWAY)
TRAFFIC SIGNAL MODIFICATION TO SERVE
BUSINESS 287 AND CIBOLO HILLS PARKWAY
OWNER
ARCHITECT
CONTRACTOR
supsl y
Onm
ARCIn xrs PROJECT NO.:
CONTRACT FOR; Development/Subdivision
CONTRACT DATED:
In Mardance with the provisions of the Contract between the Owneranci the Coniswr(w as ind sted above, the
lJwont r�ormaarad add�sgjSlaerrJ
CAPITOL INDEMNITY CORPORATION
P.O. BOX 5900
Madison, WI 53705
on bond of
Onaerr name and ad&=gjCownraur)
WAYFARE DEVELOPMENT GROUP-CIBAOLO HILLS, LLC
5690 Watermelon Rd Suite 400
Northport, AL 35473
j■
sm
■
is
SURM,
, CONTRACTOR
hereby approves of the fmai payment to the Contractor, and agrees that final payment to the Contractor shall not neiieve the Surety of
any of its obligations to
(Insw nave medaddrerr gromer)
City of Fort Worth, Texas
200 Texas Street
Fort Worth, Texas 76102
as set ftth In said Surety's bond.
, OWNKk
IN VYrDM V HB MF, the Snrety has hereunto set its hand on this date: October 19, 2023
(lr,.aw fir x+AfrE rbr wa�ete)bfteamib,�,6e muec{c dmr ax/Xem:l
Captial Indemnity Corporation
)4
By. l�
(5{gosMargjatNborizrd+tprrttn lkrJ
Debra Johnson, ttomey-in-Fact
0wmd Aaronmld 4*)
Surety Phone No. 813-498-6275
0707-1994
Lock Fields
CAPITOL INDEMNITY CORPORATION GIC907794
POWER OF ATTORNEY Bond Number
KNOW ALL MEN BY THESE PRESENTS, That the CAPITOL INDEMNITY CORPORATION, a corporation of the State of Wisconsin, having its
principal offices in the City of Middleton, Wisconsin, does make, constitute and appoint
------------DEBRA JOHNSON, DOUGLAS L. RIEDER-, JAMES C. CONGELIO; JAMES NASH CONGELIQ; MARGARET S. MEYERS------------_-
-.-------- - -----.----•---------- -- -- ---- W WESLEY HAMILTON: MICHAEL J. BROWN------ ----------- . --------------- -- --- -
its true and lawful Attorney(s)-in-fact, to make, execute, seal and deliver for and on its behalf, as surety, and as its act and deed, any and all bonds, undertakings
and contracts of suretyship, provided that no bond or undertaking or contract of suretyship executed under this authority shall exceed in amount the sum of
ALL WRITTEN INSTRUMENTS IN AN AMOUNT NOT TO E XCEED:
This Power of Attorney is granted and is signed and sealed by facsimile under and by the authority of the following Resolution adopted by the Board of Directors
of CAPITOL INDEMNITY CORPORATION at a meeting duly called and held on the 15th day of May, 2002.
"RESOLVED, that the President, Executive Vice President, Vice President, Secretary or Treasurer. acting individually or otherwise, be and they hereby are
granted the power and authorization to appoint by a Power of Attorney for the purposes only of executing and attesting bonds and undertakings, and other
writings obligatory in the nature thereof, one or more resident vice-presidents, assistant secretaries and attorney(s)-in-fact, each appointee to have the powers and
duties usual to such offices to the business of this company; the signature of such officers and seal of the Company may be affixed to any such power of attorney
or to any certificate relating thereto by facsimile, and any such power of attorney or certificate bearing such facsimile signatures or facsimile seat shall be valid
and binding upon the Company, and any such power so executed and certified by facsimile signatures and facsimile seal shall be valid and binding upon the
Company in the future with respect to any bond or undertaking or other writing obligatory in the nature thereof to which it is attached. Any such appointment
may be revoked, for cause, or without cause, by any of said officers, at any time"
In connection with obligations in favor of the Florida Department of Transportation only, it is agreed that the power and authority hereby given to the Attorney -
in -Fact includes any and all consents for the release of retained percentages and/or final estimates on engineering and construction contracts required by the State
of Florida Department of Transportation. It is fully understood that consenting to the State of Florida Department of Transportation making payment of the final
estimate to the Contractor and/or its assignee, shall not relieve this surety company of any of its obligations under its bond.
In connection with obligations in favor of the Kentucky Department of Highways only, it is agreed that the power and authority hereby given to the Attorney -in -
Fact cannot be modified or revoked unless prior written personal notice of such intent has been given to the Commissioner - Department of Highways of the
Commonwealth of Kentucky at least thirty (30) days prior to the modification or revocation.
IN WITNESS WHEREOF, the CAPITOL INDEMNITY CORPORATION has caused these presents to be signed by its officer undersigned and
its corporate seal to be hereto affixed duly attested, this Ist day of September, 2022.
Attest: T %
Ryan J. Byrnes
Senior Vice President,
Chief Financial Officer and Treasurer
—7 .
Todd Burrick
Chief Underwriting Officer
CAPITOL INDEMNITY CORPORATION
6 V44� 1/1e
Adam L. Sills
Chief Executive Officer and President
STATE OF WISCONSIN
COUNTY OF DANE j S.S.:
On the 1st day of September, 2022 before me personally came Adam L. Sills, to me known, who being by me duly swom, did depose and say: that he
resides in the County of New York, State of New York; that he is Chief Executive Officer and President of CAPITOL INDEMNITY
CORPORATION, the corporation described in and which executed the above instrument; that he knows the seat of the said corporation; 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 corporation and that he signed his name thereto by
like order. \\�\9+!�!
David J. Regele
STATE OF WISCONSIN Notary Public, Dane Co., WI
COUNTY OF DANE S.S.:// "din l 111+111111 �\\\\ My Commission Is Permanent
1, the undersigned, duly elected to the office stated below, now the incumbent in CAPITOL INDEMNITY CORPORATION, a Wisconsin Corporation,
authorized to make this certificate, DO HEREBY CERTIFY that the foregoing attached Power of Attorney remains in full fskse •and• -had not been
revoked; and furthermore, that the Resolution of the Board of Directors, set forth in the Power of Attorney is now in force.
� =
Signed and sealed at the City of Middleton, State of Wisconsin this 19th day of October
- Suzanne M.Broadbent.` •... �j
��� ` Assistant Secretary
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THIS DOCUMENT HAS BEEN GENERATED FOR A SPECIFIC BOND. IF YOU HAVE ANY QUESTIONS CONCERNING THE
AUTHENTICITY OF THIS DOCUMENT CALL 800-475-4450. CIC-ePOA-M (Rev. 09-2022)