HomeMy WebLinkAboutContract 5665-FP256655-FP2
City Secretary
Contract No. 56655
FORT WORTH,,
Date Received 10/30/2023
EW
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: 7-Eleven #41631
City Project No.: 103031
Improvement Type(s): Water ❑x Sewer ❑x
Original Contract Price:
$116,480.87
Amount of Approved Change Order(s):
$12,172.13
Revised Contract Amount:
$128,653.00
Total Cost of Work Complete:
$128,653.00
Jos Galv t 27, 2023 13:25 CDT)
Contractor
Project Manager
Title
Verdad Real Estate and Construction Services
Company Name
Jer y Koonce(Oct 28, 202312 12 CDT)
Project Inspector
mwt
ram time (Oct 30, 2023 09:23 CDT)
Project Manager
9(L.�.n
Rebecca Ma ne Owen lQct 30, 2023 09:30 CDT)
CFA Manager
_ A. F.I.
Lauren Prieur (Oct 30, 2023 09 33 CDT)
TPW Director
William J�31. 2023 15:37 CDT)
Asst. City Manager
Oct 27, 2023
Date
Oct 28, 2023
Date
Oct 30, 2023
Date
Oct 30, 2023
Date
Oct 30, 2023
Date
Oct 3l, 2023
Date
OFFICIAL RECORD
CITY SECRETARY
FT. WORTH, TX
Notice of Project Completion
Project Name: 7-Eleven #41631
City Project No.: 103031
City's Attachments
Final Pay Estimate 0
Change Order(s): 0 Yes ❑ N/A
Pipe Report: 0 Yes ❑ N/A
Contractor's Attachments
Affidavit of Bills Paid
Consent of Surety
Statement of Contract Time
Contract Time: 56 WD
Days Charged: 226
Work Start Date: 4/4/2022 Work Complete Date: 4/10/2023
Completed number of Soil Lab Test: 80
Completed number of Water Test: 2
Page 2 of 2
FORT WORTH
CITY OF FORT WORTH
FINAL PAYMENT REQUEST
Contract Name 7-ELEVEN #41631 CHAPEL CREEK & WESTPOINT BLVD
Contract Limits
Project Type WATER IMPROVEMENTS
City Project Numbers 103031
DOE Number 3031
Estimate Number 1 Payment Number 1 For Period Ending 4/10/2023
WD
City Secretary Contract Number Contract Time 5WD
Contract Date Days Charged to Date 226
Project Manager NA Contract is 100.00 Complete
Contractor VERDAD CONSTRUCTION SERVICES
1211 S WHITE CHAPEL BLVD
SOUTHLAKE , TX 76092
Inspectors G.DEYON / J. KOONCE
Wednesday, September 6, 2023 Page 1 of 5
City Project Numbers 103031 DOE Number 3031
Contract Name 7-ELEVEN #41631 CHAPEL CREEK & WESTPOINT BLVD. Estimate Number 1
Contract Limits Payment Number 1
Project Type WATER IMPROVEMENTS For Period Ending 4/10/2023
Project Funding
L"01118 WITAN 011Ia I1I I w Koil DILI I WIN R
Item
Description of Items
Estimated Unit
Unit Cost
Estimated
Completed
Completed
No.
Quanity
Total
Quanity
Total
---------------------------------------
1
TRENCH SAFETY
911 LF
$1.12
$1,020.32
911
$1,020.32
2
DUCTILE IRON WATER FITTINGS W/
0.186 TO
$5,562.00
$1,034.53
0.186
$1,034.53
RESTRAINT (CO #1)
3
8" PVC WATER PIPE (CO #1)
845.32 LF
$60.00
$50,719.20
845.32
$50,719.20
4
12" PVC WATER PIPE
74 LF
$71.00
$5,254.00
74
$5,254.00
5
FIRE HYDRANT (CO #1)
0 EA
$4,000.00
$0.00
0
$0.00
6
WATER SAMPLING STATION
1 EA
$3,845.00
$3,845.00
1
$3,845.00
7
CONNECTION TO EXISTING 12" WATER MAIN
1 EA
$2,176.00
$2,176.00
1
$2,176.00
8
1" WATER SERVICE
1 EA
$1,028.00
$1,028.00
1
$1,028.00
9
2" WATER SERVICE
1 EA
$2,144.00
$2,144.00
1
$2,144.00
10
UTILITY SERVICE SURFACE RESTORATION
186 SY
$6.00
$1,116.00
186
$1,116.00
SODDING
11
8" GATE VALVE (CO #1)
2 EA
$1,957.00
$3,914.00
2
$3,914.00
Sub -Total of Previous Unit
$72,251.05
$72,251.05
UNTT 11: SANT1'ARY SEWER IMPROVEMENTS
Item
Description of Items
Estimated Unit
Unit Cost
Estimated
Completed
Completed
No.
Quanity
Total
Quanity
Total
---------------------------------------
1
CONCRETE COLLARS (CO #1)
4 EA
$425.00
$1,700.00
4
$1,700.00
2
TRENCH WATER STOPS
2 EA
$465.00
$930.00
2
$930.00
3
8" SEWER PIPE
385 LF
$60.00
$23,100.00
385
$23,100.00
4
T MANHOLE
2 EA
$2,413.00
$4,826.00
2
$4,826.00
5
T DROP MANHOLE
1 EA
$4,380.00
$4,380.00
1
$4,380.00
6
T EXTRA DEPTH MANHOLE
9 VF
$196.00
$1,764.00
9
$1,764.00
7
POST - CCTV INSPECTION (CO #1)
409.86 LF
$1.95
$799.23
409.86
$799.23
8
MANHOLE VACUUM TESTING (CO #1)
4 EA
$175.00
$700.00
4
$700.00
9
TRENCH SAFETY (CO #1)
409.86 LF
$1.12
$459.04
409.86
$459.04
10
EPDXY MANHOLE LINER
39 VF
$70.00
$2,730.00
39
$2,730.00
11
UTILITY SERVICE SURFACE RESTORATION
86 SY
$6.00
$516.00
86
$516.00
SODDING
12
TRENCH WATER STOP (CO #1)
1 EA
$465.00
$465.00
1
$465.00
13
8" SEWER PIPE CSS BACKFILL (CO #1)
24.86 LF
$100.00
$2,486.00
24.86
$2,486.00
Wednesday, September 6, 2023 Page 2 of 5
City Project Numbers 103031 DOE Number 3031
Contract Name 7-ELEVEN #41631 CHAPEL CREEK & WESTPOINT BLVD. Estimate Number 1
Contract Limits Payment Number 1
Project Type SANITARY SEWER IMPROVEMENTS For Period Ending 4/10/2023
Project Funding
14 4' MANHOLE (CO #1)
1 EA
$7,748.71
$7,748.71
1 $7,748.71
15 T EXTRA DEPTH MANHOLE (CO #1)
9.14 VF
$295.69
$2,702.61
9.14 $2,702.61
16 EPDXY MANHOLE LINER (CO #1)
13.14 VF
$80.00
$1,051.20
13.14 $1,051.20
17 UTILITY SERVICE SURFACE RESTORATION
5.52 SY
$8.00
$44.16
5.52 $44.16
SODDING (CO #1)
Sub -Total of Previous Unit $56,401.95 $56,401.95
Wednesday, September 6, 2023 Page 3 of 5
City Project Numbers 103031
Contract Name 7-ELEVEN #41631 CHAPEL CREEK & WESTPOINT BLVD.
Contract Limits
Project Type SANITARY SEWER IMPROVEMENTS
Project Funding
Contract Information Summary
Original Contract Amount
Change Orders
Change Order Number 1
Change Order Number 1
Total Contract Price
DOE Number 3031
Estimate Number 1
Payment Number 1
For Period Ending 4/10/2023
$116,480.87
($3,001.87)
$15,174.00
$128,653.00
Total Cost of Work Completed $128,653.00
Less % Retained $0.00
Net Earned $128,653.00
Earned This Period $128,653.00
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
$128,653.00
Wednesday, September 6, 2023 Page 4 of 5
City Project Numbers 103031
Contract Name 7-ELEVEN #41631 CHAPEL CREEK & WESTPOINT BLVD.
Contract Limits
Project Type SANITARY SEWER IMPROVEMENTS
Project Funding
Project Manager NA
Inspectors G.DEYON / J. KOONCE
Contractor VERDAD CONSTRUCTION SERVICES
1211 S WHITE CHAPEL BLVD
SOUTHLAKE , TX 76092
DOE Number 3031
Estimate Number 1
Payment Number 1
For Period Ending 4/10/2023
City Secretary Contract Number
Contract Date
Contract Time 56 WD
Days Charged to Date 226 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 $128,653.00
Less % Retained
$0.00
Net Earned
$128,653.00
Earned This Period $128,653.00
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
$128,653.00
Wednesday, September 6, 2023 Page 5 of 5
REVIEWED
By Kiran Konduru at 3:17 pm, Oct 21, 2022
DEVELOPER -AWARDED -PROJECT CHANGE ORDER
PROJECT NAME:
7-Eleven #41631 Chapel Creek & Westpoint
CHANGE
CONTRACT:
Paving, Water and Sanita Sewer
ORDER No:
CFA#
21-0120 CITY PARTICIPATION: No
CITY PROJECT#
103031
DOE*
30114-0200431-103031-E07685
IPRC #
IPRC 20-0171
1
X-FILE #
X-26805
FILE #
I K-2741
INSPECTOR: Jeremy Koonce Phone No: 817-527-5406
PROJECT MANAGER: Kiran Konduru Phone No: 817-392-2237
CONTRACT UNIT
WATER
SEWER
PAVING
DRAINAGE
STREET LIGHTS
CONTRACT
Developer
Cost
City Cost
Developer
Cost
City Cost
Developer
Cost
City Cost
Developer
Cost
City Cost
Developer
Cost
City Cost
DAYS
ORIGINAL CONTRACT
$75,252.92
$41,227.95
$102,408.17
EXTRAS TO DATE
CREDITS TO DATE
CONTRACT TO DATE
$75,252.92
$0.00
$41,227.95
$0.00
$0.00
$0.00
$0.00
$0.00
$0.00
$0.00
56
AMOUNT OF PROP. CHANGE ORDER
($3,001.87)
$15,174.00
REVISED CONTRACT AMOUNT
$72,251.05
$0.00
$56,401.95
i $0.00
$1D2,408.17 1
$0.00
$0.00 i
$0.00
$O.OD
I SO.00
56
TOTAL REVISED CONTRACT AMOUNT
PER UNIT
$72,251.05
$56,401.95
$102,408.17
$0.00
$0.00
REVISED COST SHARE
Dev. Cost: $231,061.17 City Cost: $0.00
TOTAL REVISED CONTRACT
$231,061.17
REVIEWED
By Kiran Konduru at 3:17 pm, Oct 21, 2022
You are directed to make the followinq changes in the contract documents
CITY BID ITEM
PAY ITEM # #
QUANTITY
UNIT
ITEM DESCRIPTION
UNIT PRICE
TOTAL
UNIT I WATER
2
3311.0001
-0.614
TON
DUCTILE IRON FITTINGS
$5,562.00
-$3,415.07
3
3311.0261
8.32
LF
8" PVC WATER PIPE
$60.00
$499.20
5
3312.0001
-1
EA
FIRE HYDRANT
$4,000.00
-$4,000.00
11
3312.3003
2
EA
8" GATE VALVE
$1,957.00
$3,914.00
UNIT TOTAL
-$3,001.87
UNIT II SANITARY SEWER
1
3305.0112
1
EA
CONCRETE COLLAR
$425.00
$425.00
7
3301.0002
24.86
LF
POST CCTV INSPECTION
$1.95
$48.48
8
3301.0101
1
EA
MANHOLE VACCUUM TESTING
$175.00
$175.00
9
3305.0109
24.86
LF
TRENCHSAFETY
7$1.12
$27.84
12`
3305.0113
1
EA
TRENCH WATER_ STOP
F $4 55.00
$465.00
13`
3331.4116
24.86
LF
8" SEWER PIPE CSS BACKFILL
$100.00
$2,486.00
14`
3339.1001
1
EA
4' MANHOLE
$7,748.71
$7,748.71
15`
3339.1003
9.14
VF
4' EXTRA DEPTH MANHOLE
$295.69
$2,702.61
16`
3339.0001
13.14
VF
EPDXY MANHOLE LINER
$80.00
$1,051.20
17`
3292.0101
5.52
SY
UTILTY SERVICE SURFACE RESTORATION SODDING
$8.00
$44.16
UNIT TOTAL
$15,174.00
TOTAL
$12,172.13
UNIT I WATER
Water conflict between proposed FH location and existing light pole. The conflict was discussed with Water department and The construction plans reflect The
revisions to The Waterimprovements approved by Water department.
UNIT II SANITARY SEWER
The project had a Conflict between existing 60" storm culvert that crosses under westpoint blvd and connection point to existing 8" Sanitary sewer. There is nc
room to set the manhole per field conditions. The conflict was discussed with water department and the sewer alignment was shifted to tie in to the manhole
REASONS FOR CHANGE ORDER upstream. Additional sewer easement was dedicated for the new sewer alignment The construction plans reflect the revisions approved by water department.
NO CITY FUNDS INVOLVED IN THIS CONTRACT. DEVELOPER IS RESPONSIBLE FOR 100% OF THE CHANGE ORDER COST AND NO
REIMBURSEMENT FROM THE CITY WILL BESOUGHT BY THE DEVELOPER.
RECOMMENDED: APPROVED: APPROVED:
(Consulting Engineer) i Devela (Contractor)
By: By: ,� By. -
Name: Samantha Rent Name aCob MOSS N
Title: Engineer Title: Project Manager Title:
DEVELOPER -AWARDED -PROJECT CHANGE ORDER
PROJECT NAME:
7-Eleven #41631 Chapel Creek and Westpoint
CHANGE
CONTRACT:
Paving, Water, and Sanitary Sewer
ORDER No:
CFA#
21-0120 CITY PARTICIPATION: No
CITY PROJECT #
103031
FID #
30114-0200431-103031-EO7685
2
IPRC #
IPRC 20-0171
X-FILE #
X-26805
FILE #
K-2741
INSPECTOR:
PROJECT MANAGER:
Jeremy Koonce Phone No: 817-527-5406
Kiran Konduru Phone No: 817-392-2237
APPROVED
CONTRACT UNIT
WATER
SEWER
PAVING
DRAINAGE
STREET LIGHTS
CONTRACT
Developer
Cost
City Cost
Developer
Cost
City Cost
Developer
Cost
City Cost
Developer
Cost
City Cost
Developer
Cost
City Cost
DAYS
ORIGINAL CONTRACT
$75,252.92
$41,227.95
$102,408.17
$0.00
56
EXTRAS TO DATE
$15,174.00
CREDITS TO DATE
$3,001.87
CONTRACT TO DATE
$72,251.05
$0.00
$56,401.95
$0.00
$102,408.17
1 $0.00
$0.00
1 $0.00
$0.00
$0.00
56
AMOUNT OF PROP. CHANGE ORDER
$7,099.00
REVISED CONTRACT AMOUNT
$72,251.05
$0.00
$56,401.95
$0.00
$102,408.17
$0.00
$0.00
$0.00
$7,099.00
1 $0.00
56
TOTAL REVISED CONTRACT AMOUNT
PER UNIT
$72,251.05
$56,401.95
$102,408.17
$0.00
$7,099.00
REVISED COST SHARE
Dev. Cost: $238,160.17 City Cost: $0.00
TOTAL REVISED CONTRACT
$238,160.17
Revised: 10-12-2011 Page 1
PPppVED
REASppls FpK"
LppER is R E1 ERg� E FOR
100°lo OF THE CHANGE ORDER C
DEVE DEv, PPRpVEp
{Delete if theme is City participation)
Name'. .
Title'.
Re�ised10-�2-2p11
1N THtS CONTB SpVO'VAT 6Y THE A
S 1Nv01-vEDHE CtT( WW �Contractor�
Np CIB RSEMENT FROM PPRpvEp: Calvan
REIM A BYJose
C�1 ,rr,8 coon
CManager
peveloper� N me. Constru
REOMMENDED. �
ineer? BY•,
(Consulting Eng Moses Castro
Name'
Rent prolect Manager
BT- Samantha _ -Title.
Prp�ect M�
Page 2
FORTWORTH
TRANSPORTATION AND PUBLIC WORKS
PIPE REPORT FOR:
PROJECT NAME: 7-Eleven #41631
CITY PROJECT NUMBER: 103031
L
WATER
PIPE LAID
SIZE
TYPE OF PIPE
LF
C-900
8"
PVC
845.32
C-900
12"
PVC
74
FIRE HYDRANTS: 0
VALVES (16" OR LARGER)
PIPE ABANDONED
SIZE
TYPE OF PIPE
LF
DENSITIES:
Yes
NEW SERVICES:
1"
Copper
1 EA
2"
Copper
1 EA
SEWER
PIPE LAID
SIZE
TYPE OF PIPE
LF
SDR-26
8"
PVC
385
PIPE ABANDONED
SIZE
TYPE OF PIPE
LF
DENSITIES:
Yes
NEW SERVICES:
4"
PVC
I EA
TRANSPORTATION AND PUBLIC WORKS
The City of Fort Worth • 1000 Throckmorton Street • Fort Worth, TX 76012-6311
(817) 392 - 7941 • Fax: (817) 392 - 7845
FORT WORTH
....,
TRANSPORTATION AND PUBLIC WORKS
July 17, 2023
Verdad Construction Services
1211 South White Chapel Blvd.
Southlake, TX 76092
RE: Acceptance Letter
Project Name: 7-Eleven #41631
Project Type: Developer
City Project No.: 103031
To Whom It May Concern:
On April 10, 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 16, 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 16, 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
Jeremy.Koonce@fortworthtexas.gov.
Sincerely,
mwt tiwan'
ram bwari (Od9D, 2023 09:23 CDT)
Ram Tiwari, Project Manager
Cc: Jeremy Koonce, Inspector
Troy Gardner, Inspection Supervisor
Gary Deyon, Senior Inspector
Andrew Goodman, Program Manager
Evolving Civil Engineering + Planning, Consultant
Verdad Construction Services, Contractor
Verdad Construction Services, Developer
File
E-Mail: TPW_Acceptance@fortworthtexas.gov
OFFICIAL RECORD
CITY SECRETARY
FT. WORTH, TX
AFFIDAVIT
STATEOFTX
COUNTYOFT ant
Before me, the undersigned authority, a notary public in the state
and county aforesaid, on this day personally appeared Jose Galvan, Project
Manager Of Verdad, known to me to be a credible person, who being by
me duly sworn, upon his oath deposed andsaid;
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;
7-Eleven 441631 Chapel Creek CPN 103031
BY
Jose alvan, Project Manager
Subscribed and sworn before me on this date 13th of September, 2023.
otary Public
County, State J
1>vnnl Ix
G Notarryy ublicEY
tit STATEOFTSXAS
NOTARY ID# 13372016-0
�t w Ap61 21, 202G
CONSENT OF SURETY
TO FINAL PAYMENT
BOND NO.: 4450185
TO OBLIGEE:
(Name and Address)
City of Fort Worth
420 Throckmorton St., Ste 620
Fort Worth, TX 76102
PROJECT:
(Name and Address)
7-Eleven #41631
PRINCIPAL: Verdad Construction Services
OWNER
❑
ARCHITECT
❑
CONTRACTOR
❑
SURETY
0
CONTRACT FOR:
Water Pipe and Utility Work
CONTRACT DATED:
August 11, 2021
At the request of the Obligee and the Principal indicated above, (Insert name and address of Surety)
SureTec Insurance Company
2103 CityWest Blvd., Suite 1300
Houston, TX 77042 , Sl`1RETY,
on bond of
(Insert name and address of contractor) Verdad Construction Services
1211 S. White Chapel Blvd., Southtake, TX 76092
,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 Obtieee 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 ana auuta- c y ue ch. —A-ti— bein, deetaed 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) City of FortWorth
420 Throckmorton St., Ste 620 Fort Worth, TX 76102
as set forth in said Surety's bottd.
,OBLIGEE,
IN WITNESS WHEREOF, the Surety has hereunto set its hand on this date: April 19, 2023
(Insert in writing the month followed by the numeric date and year.)
Attest:
(Seat):
CONSENT TO FINAL PAYMENT
SureTec Insurance Company
(Surety)
Z411
(Signature of authorizedrepresen�atfte)
Trenae Marsh \ _
, Attorney -in -Fact
(Printed name and title)
REV. 1.1.2004
POA #: 4221098
SureTec Insurance Company
LIMITED POWER OF ATTORNEY
Know All Men by These ;Presents, That SURETEC INSURANCE COMPANY (the. "Company"), a corporation duly organized and
existing under the laws of the State of Texas, and having its principal office in Houston, Barris County, Texas, does by these presents
make, constitute and appoint
Farrah Carlton, Greg S. Hotchkiss, Michael J. Hotchkiss, Kenneth G. Hotchkiss, Tye H. Justice, Wesley L_ Weatherred Kari Fumerola, Daphne B. Clark,
Gary D. Lindsey, Jennifer Lang Kelley, Trenae Marsh, Maryana Zhuk
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, recognizance&, undertakings or 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
Five Million and 001100 Dollars ($5,000,000.00)
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
seat of the Company and duly attested by its Secretary, hereby ratifying and confirming all that the said Attomey-in-Fact may do in the
premises. Said appointment is made under and by authority of the following resolutions of the Board. of Directors of the SureTec
Insurance Company:
Be it Resolved, that the President, any Vice -President, any Assistant Vice -President, any Secretary or any Assistant Secretary 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 and 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 of 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 Corporate Secretary.
Be it Resolved, that the signature of any authorized officer and seal of the Company .heretofore or hereafter affixed to any power of attorney or
any certificate relating thereto by facsimile, and any power of attorney or certificate bearing facsimile signature or facsimile seal shall be valid
and binding upon the Company with respect to any bond or undertaking to which it is attached. (Adopted at a meeting held on 2ffk of April,
1999)
1" Witness Whereof, SURETEC INSURANCE COMPANY has caused these presents to be signed by its President, and its corporate seal
to be hereto affixed this som day of March A.D. 2023
= SURETEC INSURANCE COMPANY
Qi 0__ By:
Jehael C. Keimig, Presiden
State of Texas +n ` 4
SS:
County of Harris
On this sort day id March A.D. 2023 before the personally came Michael C. Keimig, to me known, anti say, that he resides in Elouston, Texas, that
he is president of SURETEC lhjgjj{fA�L.� COMPANY, the ompanytdescribedng by me �n and orn, did executed
the above instrument; that o knows the seal of said Company; that the seal affixed to said instrument is such corporate stall- that it was sa yea by
order of the board of Directors of said Company; and that he signed his name thereto by like order-
w.
TANYA sNEE[)
Ei
y polic State of Texasintl
scion# }�8571231t*n Explte5 0�/30/2027 Tanya Sneed, Nota ablic
Itily commission expires March 30, 2027
I, M. Brent $eaty, Assistant Secretary of SURETEC INSURANCE COMP
ANY, do hereof a Power of Attornev executed by said Company, which is still in full force and effect; andrfify that theathe eso allots of the Board of D rectors bove and foreoing is a true and correct oPY
out in the Power of Attomey are in full force and effect.
ermare
J ,set
Given under my stand and the seal of said Company at Houston, Texas this / ,
a A.D.
_ B nt Bea Want
Any instrument issued in excess o€ the penal s For verification of the authority of this
pater penalty
fated above is totally void and without -any validity. 4221098
you may call (713) 812-0800 any business day between 8:30 am and 6.01� "-CST.-