HomeMy WebLinkAboutContract 57779-FP1-FP1
FORTWORTHo
City Secretary
Contract No. 577�9
Date Received 12�26�2023
1/2/24
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: East Offsite Sanitary Sewer to Serve Tradition
City Project No.:103493
Improvement Type(s): Water ❑ Sewer �
Developer Cost City Cost Total Cost
Original Contract Price: $1,887,270.00 $5,427,730.00 $7,315,000.00
Amount of Approved Change Orders(s): -$55,939.30 -$160,879.70 -$216,819.00
Revised Contract Amount: $1,831,330.70 $5,266,850.30 $7,098,181.00
Total Cost of Work Complete: $1,831,330.70 $5,266,850.30 $7,098,181.00
,7aton WiGGi�Fo�al
Jason Williford (Dec 21, 2 23 0920 CST)
Contractor
Project Manager
Title
Mountain Cascade of Texas
Dec 21, 2023
Date
Company Name
���
Ja�V (Dec 2L'20"23 1223 CST)
Project Inspector
,A� �'� �'� P�.a., 6��'
Project Manager
9(L.r,n
Rebecca Diane owen (Dec 26. 2023 08:19 CST)
CFA Manager
� ?
Lauren Prleur (Dec 26, 20231225 CST)
TPW Director
�
W.I�JohnsonU n2202409:16CSTl
Asst. City Manager
Dec 21, 2023
Date
Dec 21, 2023
Date
Dec 26, 2023
Date
Dec 26, 2023
Date
J a n 2, 2024
Date
--- -=2
OFFICIAL RECORD
CITY SECRETARY
FT. WORTH, TX
Notice of Project Completion
Project Name: East Offsite Sanitary Sewer to Serve Tradition
City Project No.: 103493
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: 200 WD Days Charged: 261
Work Start Date: 9/28/2022 Work Complete Date: 11/9/2023
Completed number of Soil Lab Test: 202
Completed number of Water Test: 0
Page 2 of 2
FORTWORTH
CITY OF FORT WORTH
F1NAL PAYMENT REQUEST
Contract Name EAST OFFSITE SANITARY SEWER TO SERVE TRADITION
Contract Limits
Project Type SEWER
City Project Numbers 103493
DOE Number 3493
Estimate Number 1 Payment Number 1
City Secretary Contract Number
Contract Date
Project Manager NA
Contractor Mountain Cascade of Texas
11729 E FM 917
Inspectors
Alvarado, TX 76009
D. WATSON / J. BRADLEY
F+or Period Ending 11/9/2023
WD
Contract Time 20�D
Days Charged to Date 261
Contract is 100.00 Complete
Thursday, December 14, 2023 Page 1 of 5
City Project Numbers 103493
Contract Name EAST OFFSITE SANITARY SEWER TO SERVE TRADITION
Contract Limits
Project Type SEWER
Project Funding
UNTT I: EAST OFFSTI'E SER'ER LINE FACIIITIES
Item
No.
1
2
3
4
5
6
7
8
9
10
11
12
13
14
15
16
17
18
19
20
21
22
23
24
25
26
27
28
29
30
Description of Items
REMOVE 5' SEWER MANHOLE
REMOVE 12" SEWER LINE
LARGE STOINE RIPRAP, DRY
SWPPP> 1 ACRE
SITE CLEARING
TOPSOIL
BLOCK SOD PLACEMENT (GOLF COURSE)
SEEDING, BROADCAST (BERMUDA GRASS)
POST CCTV INSPECTION
VACUUM TEST MANHOLES
BYPASS PUMPING
TRENCHSAFETY
UTILITY MARKERS
CONCRETE COLLAR
TRENCH WATER STOPS
48" CASING BY OPEN CUT
42" CASING BY OTHER THAN OPEN CUT
48" CASING BY OTHER THAN OPEN CUT
24�� �rn sEwEx �cLass 200� �co #i�
30" DII' SEWER (CLASS I50) (CO #1)
4' STD DIA MANHOLE
4' EXTRA DEPTH MANHOLE
S STD DIA MANHOLE
S DROP MANHOLE
5' EXTRA DEPTH MANHOLE
6' MANHOLE
6' EXTRA DEPTH MANHOLE
TRAFFIC CONTROL
SANITARY SEWER JUNCTION STRUCTURE W/
4' RISER
SANITARY SEWER JUNCTION STRUCTURE
COATING
DOE Number 3493
Estimate Number 1
Payment Number 1
For Period Ending 11/9/2023
Estimated Unit Unit Cost Estimated Completed Completed
Quanity Total Quanity Total
2 EA $3,600.00 $7,200.00 2 $7,200.00
25 LF $60.00 $1,500.00 25 $1,500.00
47 SY $100.00 $4,700.00 47 $4,700.00
1 LS $40,000.00 $40,000.00 1 $40,000.00
5.7 AC $7,000.00 $39,900.00 5.7 $39,900.00
1629 SY $7.00 $11,403.00 1629 $11,403.00
1629 SY $6.00 $9,774.00 1629 $9,774.00
67666 SY $1.00 $67,666.00 67666 $67,666.00
13165 LF $1.00 $13,165.00 13165 $13,165.00
35 EA $190.00 $6,650.00 35 $6,650.00
1 EA $170,946.00 $170,946.00 1 $170,946.00
13165 LF $1.00 $13,165.00 13165 $13,165.00
1 LS $2,800.00 $2,800.00 1 $2,800.00
31 EA $700.00 $21,700.00 31 $21,700.00
4 EA $650.00 $2,600.00 4 $2,600.00
230 LF $950.00 $218,500.00 230 $218,500.00
748 LF $1,100.00 $822,800.00 748 $822,800.00
1025 LF $1,500.00 -,537,500.00 1025 1,537,500.00
0 LF $280.00 $0.00 0 $0.00
0 LF $340.00 $0.00 0 $0.00
1 EA $9,500.00 $9,500.00 1 $9,500.00
2 VF $190.00 $380.00 2 $380.00
30 EA $12,000.00 $360,000.00 30 $360,000.00
1 EA $12,400.00 $12,400.00 1 $12,400.00
213 VF $275.00 $58,575.00 213 $58,575.00
2 EA $18,000.00 $36,000.00 2 $36,000.00
11 VF $400.00 $4,400.00 11 $4,400.00
4 MO $2,200.00 $8,800.00 4 $8,800.00
1 EA $42,000.00 $42,000.00 1 $42,000.00
1 EA $16,500.00 $16,500.00 1 $16,500.00
Thursday, December 14, 2023 Page 2 of 5
City Project Numbers 103493
Contract Name EAST OFFSITE SANITARY SEWER TO SERVE TRADITION
Contract Limits
Project Type SEWER
Project Funding
DOE Number 3493
Estimate Number 1
Payment Number 1
For Period Ending 11/9/2023
31 ODOR CONTROL - WAGER 2050 OR EQUAL W/ 21 EA $11,000.00 $231,000.00 21 $231,000.00
BALL VALVE
32 INSTALL EPDXY MANHOLE LINER 430 VF $36�.00 $156,950.00 430 $156,950.00
33 REMOVE & REPLACE CONCRETE DRIVE 284 SY $85.00 $24,140.00 284 $24,140.00
(CART PATH)
34 INSTALL TEMPORARY GRAVEL DRIVE (TEMP. 353 SY $20.00 $7,060.00 353 $7,060.00
CART PATH)
35 REMOVE & REPLACE 4' SIDEWALK 32 SU $85.00 $2,720.00 32 $2,720.00
36 CUT & PLUG EX 10" SS 1 EA $1,500.00 $1,500.00 1 $1,500.00
37 GROUT ABANDONMENT OF 10" SS 3 CY $500.00 $1,500.00 3 $1,500.00
Sub-Total of Previous Unit $3,965,394.00 $3,965,394.00
UN1T II: ALTERNATE "IRADTITON - EAST OFFSITE SE
Item Description of Items Estimated Unit
No. Quanity
38A 18" SOLID WALL PVC PER ASTM F679 189 LF
38B 18" FIBERGLASS SEWER PIPE 189 LF
39A 21" SOLID WALL PVC PER ASTM F679 301 LF
39B 21" FIBERGLASS SEWER PIPE 301 LF
40A 24" SOLID WALL PVC PER ASTM F679 4566 LF
40B 24" FIBERGLASS SEWER PIPE (CO #1) 5937 LF
41A 27" SOLID WALL PVC PER ASTM F679 4113 LF
41B 27" FIBERGLASS SEWER PIPE 4113 LF
42A 21" SOLID WALL PVC PER ASTM F679, CLSM 20 LF
nit Cost Estimated Completed Completed
Total Quaniry Total
$0.00 $0.00 189 $0.00
$200.00 $37,800.00 189 $37,800.00
$0.00 $0.00 301 $0.00
$220.00 $66,220.00 301 $66,220.00
$0.00 $0.00 4566 $0.00
$226.00 -,341,762.00 5937 1,341,762.00
$0.00 $0.00 4113 $0.00
$230.00 $94�,990.00 4113 $94�,990.00
$0.00 $0.00 20 $0.00
42B 21" FIBERGLASS SEWER PIPE, CLSM BACKFILL 20 LF $245.00 $4,900.00 20 $4,900.00
43A 24" SOLID WALL PVC PER ASTM F679, CLSM 60 LF $0.00 $0.00 60 $0.00
BACKFILL
43B 24" FIBERGLASS SEWER PIPE, CLSM BACKFILL 60 LF $260.00 $15,600.00 60 $15,600.00
44A 27" SOLID WALL PVC PER ASTM F679, CLSM 40 LF $0.00 $0.00 40 $0.00
BACKFILL
44B 27" FIBERGLASS SEWER PIPE, CLSM BACKFILL 40 LF $290.00 $11,600.00 40 $11,600.00
45 30" FIBERGLASS SEWER PII'E (CO # 1) 2505 LF $283.00 $708,915.00 250� $708,915.00
Sub-Total of Previous Unit $3,132,787.00 $3,132,787.00
Thursday, December 14, 2023 Page 3 of 5
City Project Numbers 103493
Contract Name EAST OFFSITE SANITARY SEWER TO SERVE TRADITION
Contract Limits
Project Type SEWER
Project Funding
Contract Information Summary
Original Contract Amount
Change Orders
Change Order Number 1
Change Order Number 1
DOE Number 3493
Estimate Number 1
Payment Number 1
For Period Ending 11/9/2023
$7,315,000.00
($55,939.30)
($160,879.70)
Total Contract Price $7>098,181.00
Total Cost of Work Completed g7,098,181.00
Less % Retained $0.00
Net Earned $7,098,181.00
Earned This Period $7>098,181.00
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
$7,098,181.00
Thursday, December 14, 2023 Page 4 of 5
City Project Numbers 103493
Contract Name EAST OFFSITE SANITARY SEWER TO SERVE TRADITION
Contract Limits
Project Type SEWER
Project Funding
DOE Number 3493
Estimate Number 1
Payment Number 1
For Period Ending 11/9/2023
Project Manager NA City Secretary Contract Number
Inspectors D. WATSON / J. BRADLEY Contract Date
Contractor Mountain Cascade of Texas Contract Time 200 WD
11729 E FM 917 Days Charged to Date 261 WD
Alvarado, TX 76009 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
Less % Retained
Net Earned
Earned This Period $7,098,181.00
Retainage This Period $0.00
Less Liquidated Damages
� Days @ $0.00 / Day
LessPavement De�ciency
Less Penalty
Less Previous Payment
Plus Material on Hand Less 15%
Balance Due This Payment
$7,098,181.00
$0.00
$7,098,181.00
$0.00
$0.00
$0.00
$0.00
$0.00
$7,098,181.00
Thursday, December 14, 2023 Page 5 of 5
DEVELOPER-AWARDED-PROJECT CHANGE ORDER
CSC No. 57779-COl
Revised: 12-17-2018
Page 1
INSPECTOR: Jason 8radley Phone No: 214-883-5921
PROJECT MANAGER: Yogesh Patel Phone No: 817392-2373
Asterisk (') indicates New Pay Item
REASONS FOR CHANGE ORDER Change ofpipe material inside wsing (rom DlP to Fiberglass per approved variance request.
RECOMMENDED: APPROVED: APPROVED:
M �•,�� Cu,!-titFttaWa�_ Tasan wUpFord
By.., sv: b ey _.
Name: MattBaacke Name: CurtisAttaway Name: JasonWilliford
Title: Civil Enqineer TiUe: VP of Constructiun TiUe: Proiect Manaaer
APPROVAL RECOMMENDED: APPROVED: APPROVED AS TO FORM AND LEGALRY:
CFW-SponsonngDepartment CFW-AssisfantCityManager CFW-AssistantCityAttomey ��
ey: �' �� .�.,�.,�., a� ey D,, a.,� a� By �/� ,,,�., ,
Name: Taybr Guntlertnan Name: Dana Burphdoff Name: Richard McCracken
Title: Engineering Manager Titie: Assistant CiN Manaoer Title: Senior Assistant City Attorney
RECOMMENDED:
. CFW-'ContractComplianceManager ATfEST "Contra<tComplianceManager(ProjectManager):
By signing I acknowledge that I am the person responsi6le
BY y��� Pr y„,.., a.5,,..... for the monitonng and administretion of this contract, include
ensuring all pertormancc and reporting requirements.
Name: Yopesh Patel Jannette Gootlall
Ciry Secretary �here are NO City Funds associated with Ihis Contract
Title: Senior Professional Engineer
�here are Ciry Funds associated with this Contract
M&C Number. 23-0340
M8C �ate Approved: 4/25/2023
Revised:l2-17-2018
Pa9e 2
FURTW4RTH
TRANSPORTATION AND PUBLIC WORKS
PIPE REPORT FOR:
PROJECT NAME:
PROJECT NUMBER:
DOE NUMBER:
PIPE LAID
FIRE HYDRANTS:
PIPE ABANDONED
DENSITIES:
NEW SERVICES:
East Offsite Sanitary Sewer to Serve Tradition
103493
PIPE LAID
18" Fiberglass Sewer Pipe
21" Fiberglass Sewer Pipe
24" Fiberglass Sewer Pipe
27" Fiberglass Sewer Pipe
30" Fiberglass Sewer Pipe
PIPE ABANDONED
DENSITIES:
NEW SERVICES:
SIZE
SIZE
SIZE
18"
21"
24"
27"
30"
SIZE
WATER
TYPE OF PIPE
VALVES (16" OR LARGER)
TYPE OF PIPE
SEWER
TYPE OF PIPE
Fiberglass
Fiberglass
Fiberglass
Fiberglass
Fiberglass
Y11'/��[�]��I��I
LF
LF
LF
LF
189
321
5997
4153
2505
� TIZ�NSPORT �TION �ND PUBLIC ���ORKS
��������rH�
TRANSPORTATION AND PUBLIC WORKS
September 15, 2016
Mountain Cascade of Texas, LLC
5340 East US Highway 67
Alvarado, TX 76009
RE: Acceptance Letter
Project Name: East Offsite Sanitary Sewer to Serve Tradition
Project Type: Sewer
City Project No.: 103493
To Whom It May Concern:
On November 21, 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 December 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 December 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-
392-2372.
Sincerely,
,A� �mam� 5'�, Pl�.a., 6��
Arash Emami Saleh, Project Manager
Cc: Jason Bradley, Inspector
Don Watson, Inspection Supervisor
Oscar Aguillon, Senior Inspector
Victor Tornero, Program Manager
GM Civil Matt Baacke, Consultant
Mountain Cascade of Texas , Contractor
Hines, Developer
File
E-Mail: TPW_Acceptance@fortworthtexas.gov
Rev. 8/20/19
STATE Of TEXAS
COUNTY OF JOHNSON
AFFIDAVIT
Before me, the undersigned authority, a notary public in the state
and county aforesaid, on this day personally appeared Andrew L.
McCulloch, Vice President Of Mountain Cascade of Texas, 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
F01t W01th has been paid in full;
That there are no claims pending for personal injury and/or
prope1ty damages;
On Contract described as;
East Offsite Sanitary Sewer to Serve Tradition
Subscribed and sworn before me on this date 13th of December, 2023.
:s:_;_. c:;;otary Public
Johnson County, Texas
G�NSENT QF �URETY �WNRR o
TO FINAL PAYMENT ��T��T o
AIAAocur�ent G707 corr��c�nR ❑
SUR�'s1'Y �1
Rnnri N� Q7(1�14�F7 ���'R �
TO QWNER: ARGHPI'ECT'S PROJHCT NO.:
flVwne earda��lrr�J
HT Hwy 114 Development, LP
TX
k'ROjECI`:
(Nu►ner onrl eddi�c�
�ON'��'F' ��= East Offsite Sanitary Sewer to Serve
Tradition, City Project #103493
C�NTRACT DATED:
East Offsite Sanitary Sewer to Serve Tradition, City Project #103493
In acccxdance wieh the provisioru oithe Contracc benveen cl�e Qwner and the Cantracttn as lnciic�tect almve, the
(A+ss+rnorneund addr�.�orof.strrep�l
Liberty Mutual Insurance Company
175 Berkeley Street
Boston, MA 02116
on bnnd of
pnakn narna anAaddraa� q(Contrauorl
Mountain Cascade of Texas LLC
5340 East US Highway 67
Alvarado, TX 76009
� SURF,TX�
, CONTRACfiOR,
l�crthy approv�s of the flnal payment tn the Contrac[ar, and agrees tha� flnal p�yment to th� Cc�ntrlct�r shall n€�t relleve dte Su,�ery uf
any aF lts obliga,flons �a
(hw�rrr rwnte and addtucr a,/'Ou�acrry
HT Hwy 114 Development, LP
TX
as se� forch in said Surecy's tx�rM.
, OWI�iRR,
1N WITNESS 1YrtiGR&qF, [he S�rery has he��eurnc� set i�s 1�and cm ihis dace: December 20, 2023
(htsiord h1 u7�f/r� rbr ruonl6 fhlPae�ed !rp rbn muxrrie dRre and,i�car.!
J�,� tir�svnqy
� ���U�f���
� 1912 �
� � � �ti
m �SSAcinn �,�
����: �;G � `- ;� *
S� �..�_-_- �
� �� Melvin Gillus, Witn� es � ^
I�ib�rty Mutual Insurance Cp�p��y
f�1.�rrrr
(S�{naru�rof«r��bor•/x +rp�wr�uaiitrl
Sarah Murtha, Attorney-in-Fact
(lhfl+lad �raie�e aud tk/vl
��0��--1994
- ' ' L.1�C1't�r
Mutu�il
SURETY
This Power o(Attomey limila the ecta oi thae named heroln, end they heve no authwity ta
bind the Company ezcapt in the manner end to the exta� hereln stated.
Liberty Mutual fnsurance Compeny
The Ohio CasuaMty In�urance Company
West American Insurance Company
POWER OF ATTORNEY
KNOWN ALL PERSONS BY THESE PRESENT3: That The Ohio Casualry Insurance Company is a corpora6on dt�y organrzed under fhe laws of the Stete of N�w Hampshire, thal
Liberty Mulual Insurance Comµany is a corparalion duy organized under the laws a( Ihe Slate of Ma9sachusetts, �nd Wesl American Insurance Company is a corporahon duly
orpan¢ed �der Ihe latvs of Ihe State of Indiana (herein collectively called the 'Canpanies'), pursuarit to and by authority herein set forlh. doea hereby name, constih��e and appoint
Sarah Murtha alf o( Ihe aly of SAii Francjsco_, state of CA ds We and lawful attomey-in-fad, wilh full power and aulhomy hereby conferred to s�n, execute and
acknowledge the folbwinp surety bond:
Pdncip■I Nama: Mountain Cascade of Texas LLC _
Ohligee Name: HT Hwv 714 Development, LP
Suroly Bond Number: 070214357 _ Bond Amaunt: See Bad Form
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IN YVfTNESS WHEREOF, lhis Power of Attorney ha9 been subscnbed by an aulhor¢ed oificer or official of the Canpanies and tlie corporale seals oi Ihe Cort�aniea have been affixed
Ihe�elolhis 20th dayof _ December 2023
Liberty Mutual Insurance Company
The Olao Casualty Insurance Cort�any
4�Nsu�, �tY INgV � tiNSUq WeslAmerican Insurance Company
JJP�n„1'(�v� q'Lm QJp`o�u•uai.qv,F� (I?4pVVAqt'�yc+
Q� � R� � /
� �- � .
� 1912 ^ 0 1919 � � x 1991 �, ' %'� �
Y ;. � 3 i y� ; � 4 � .�:'.r � ���r..•
d,.'*,�,��.E`da o'�,�.w�•��� da'� rS <ra�,��► da'� By: _
��� � ` *a �i�1 � �N �,N • �N Qavid M. Carey, Assista�t Seaefary
STATE OF PENNSYLVANIA ss
COUNTY OF MONTGOMERY
On tl�is 20th day of December , 2023 , before me per�cmally appeared David M. Carey, who acknrnvladged himsef( to De the Assislanf Seerelary of Liberty MuWal
Insurance Company, The Ohio Casuafty Com�ny, and West Ame�c�n Insurance Company, and thal he, as such, being aumorized so to do, execute Ihe foregai� insUument for lhe
purposes Ihere� oontai�d by signir� on behalf of the cArporalions by himsell as a duly aulhorized officer_
IN WRNESS WHEREQF, I have hereunlo subscnbed my name and aflixed my nolanal seal al Plyrnouth Mceting, Pennsylvania, on Ihe day and year firsl above wntten.
�_ F r,i,��
Q, �,,u��r:�:.,'�t
y, � ,� Commanweallh of PennSylvenia • Nolary Sed �
• �s T Teraaa Pastella. NplBry Publ� �/ /� �_. ��
a Mon�gronery Coun�Y r! /�) I�¢ (lG. / ,c:
?;S, fiT My mmrtusy:on exp'ues March 20, 2025 By:.
�;> >1�rP �` Comm�s6a� numher 1126Q44 �
r�m m`� '.lamta� f�rrtn�v,vrtnW Afur. at�cr M�.e'ane+ Teresa Paslella, Nolary Public
This Power of Attomey �s made and exea�ted pursuanl to ar�d by aulhonty of the fdlowing By-laws and Aulfl�zaGons o( The Ohio Casualty Insurance Company, Liberly M�h�al
Insuranoe Ccxnpany, and West Artiencan Insurance Company which resdutions are rrow in full force and effecl reading as folbws
ARTIGLE IV - QFFICERS: Sedan 12 Power of Attamey
we
My o(ficer or other official of Ihe Corporalion aulhorrzed Iar Ihal putpose in wriling by �e Cha�rman w t�e President, and sub�� Io such limilalion as the Chairman or Ihe
Presideni may prescnbe, shall appoint sueh altorneys-in-fact, as may be necessary lo act in behalf of lhe Corporelion lo make, execute, seal, acknnwled{�e ar�d deliver as surety
any and all undertakirsgs, bonda, recQgn¢ances and othee sursty obli��tions. Such atlomeys-u� fact, sub�ect lo Ihe limilalicxis set forlh u� Iheir respeciive powers of attomey,
shall have full power lo bind the Cnrporat� by their signature and execulion of any such instruments and to a[tach therelo qie seal of Ihe Corporalion. When so execuled, sueh
insU�xrt�nls shall be as bindmg as rf signed by dis Ptesident a�d attested to by the Secretary Any power or authonty granfed to any representalive ar attort�ey-in-fact under ihe
provi�ians of this anc�le rr�y be revdted at any bme ay Uie 6oard, Ihe Chairtnan, lhe President or by fhe o�icer or officers granling such power or authonly.
ARTICLE XIII - ExecuUon of Contracta: SecGon 5. Surery Bonds anQ Undertakings
My officer of ihe Company aulhonzed (or fhal purposa in wn6ng by Ihe chvrman or fhe president, and subject lo such IimitaUons � Ihe chauman or the presidenl may prascnbe,
shall appant 9�h attomeys-in-fact, as may be necessary lo act in behal( of ttrs Company to make, execule, seal, acknowledge and delrvet as surety arry and all undertakings,
bonds, recogn¢ances and olher surely oWiQations Su� attomeys-in-fact, subject lo Ihe hmila6ons set fwlh in their respeGnre �wers of atlorney, shall have fulf power to bind
the Canpany by their sgnature and execulion of any s�h inslrum<mts and ta attach fhereto fhe seal of the C�npany VYhen so executed sucti inslruments shall be as binduig
as if signed by Ihe presiden! and attested by the secretary
Certiflcate of Desipnation - The Presidenl of Ihe Canpany, aGing pursuant to Ihe 8yfaws o( the Company, authonzes [3avb M Carey. Assislant 5erxetary lo appoinl such atlomeys-
infact as may be neoessary lo act on behalf of Ihe Comp�y Eo make, exeaite, seal. acknaNedq� and deliver as surety any and all underlaltings, aonda, r�cogn¢ar�ces and other
surety obligalions
AufAorizafion - F:y unanirr�u9 �aseni ol ihr, Canpanys F3o�rd of Directors, tht+ Cen�pany cansenls thai t�raimik� nr m�xn:�niraity ra�,mq�Hxrd signature of any a3sr�lanl secretary
of Iho Company, wtwrt�uor ;�ppeanr� uWm .� cerMied oopy a( any pawer n( allc�mey issu�+i by Ihe Carr�ny in ��nn�.�clWn Kith surely txx�ds. shall be vald and tiKx7�r� upai Ihe
Company wilh the sama force and effecf as though manually affixed.
I, Renee C. Llewelhrn, the urtdersigned, Assistanf Sec�etary, of Liberty Mufual Insuranco Company. The Uhio Casualty fnsurance Company, and W�st Amencan Irisuraneo Company
da hereby cerldy lhal Ihis power of attomey exec�ted by sa�d Canpanies is in full lorc.� and elfecl and has nal been revoked
IN TESTIMONY WHEREOF, I have hereunio sei my hand and affaed the seals of said Companies U�ia 20th day o( December 2023
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December 20, 2023
Mountain Cascade of Texas, LLC
Attn: Cody Sears
5340 East US Hwy 67
Alvarado, TX 76009
�Telephone_ +1 949-8f35-120G
Website: wlwco coni
E-mail: vicky m campbell@wtwco com
RE: Bond Number: 070214357
Obligee: HT Hwy 114 Development, LP
Description: East Offsite Sanitary Sewer to Serve Tradition, City Project #103493
Attached is the completed document per your request. This was issued based upon the information you
provided to our office, and we urge you to check all of the information for accuracy (i.e. Power of Attorney,
signatures, dates, amounts, description, etc.).
Please verify that the form attached is the form required and complete the execution with the proper
signature(s) and seal, if applicable.
If a premium is charged, our invaice will follow under a separate cover. Please note the
premium payment for this bond is due upon receipt.
Thank you for the opportunity to service your surety needs. Should you have any questions, please do not
hesitate to contact any member of your Willis Towers Watson Surety Team.
Sincerely,
Vicky Campbell
Willis Towers Watson Insurance Services West, Inc.
2010 Main Street, Suite 1050
Irvine, CA 92614