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Home My WebLink AboutContract 58095-FP2Page 1 of 2 City Secretary Contract No.__________________ Date Received ______________ 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: Walsh Ranch Quail Valley – Planning Area 3 West City Project No.: 103899 Improvement Type(s): Water Sewer Original Contract Price: $1,829,666.00 Amount of Approved Change Order(s):-$97,794.00 Revised Contract Amount:$1,731,872.00 Total Cost of Work Complete:$1,731,872.00 Contractor Date Title Conatser Construction Company Name Project Inspector Date Project Manager Date CFA Manager Date _______________________________________ __________________________________ TPW Director Date Asst. City Manager Date Page 2 of 2 Notice of Project Completion Project Name: Walsh Ranch Quail Valley – Planning Area 3 West City Project No.: 103899 City’s Attachments Final Pay Estimate Change Order(s):Yes N/A Pipe Report:Yes N/A Contractor’s Attachments Affidavit of Bills Paid Consent of Surety Statement of Contract Time Contract Time: 160 WD Work Start Date: 11/19/2022 Days Charged: 237 Work Complete Date: 10/31/2023 Completed number of Soil Lab Test: 660 Completed number of Water Test: 20 CITY OF FORT WORTH Contract Name WALSH RANCH - QUAIL VALLEY - PLANNING AREA 3 WEST - PHASE Contract Limits Project Type WATER & SEWER IMPROVEMENTS DOE Number 3899 Estimate Number 1 Payment Number 1 For Period Ending 11/1/2023 FINAL PAYMENT REQUEST City Secretary Contract Number 237 WD Contract Date CONATSER CONSTRUCTION TxLP NA 5327 WICHITA ST FORT WORTH TX 76119 G. DEYON S. WESTER 160WDContract Time Days Charged to Date CompleteContract is 100.00 Contractor , /Inspectors Project Manager City Project Numbers 103899 Tuesday, November 7, 2023 Page 1 of 5 Contract Name WALSH RANCH - QUAIL VALLEY - PLANNING AREA 3 WEST - PHAS Contract Limits Project Type WATER & SEWER IMPROVEMENTS DOE Number 3899 Estimate Number 1 Payment Number 1 For Period Ending 11/1/2023 Project Funding City Project Numbers 103899 UNIT I: WATER IMPROVEMENTS Item No.Description of Items Estimated Quanity Unit Unit Cost Estimated Total Completed Quanity Completed Total 1 REMOVE 8" WATER LINE 11 LF $20.00 $220.00 11 $220.00 2 4" - 12" PRESSURE PLUG 1 EA $1,500.00 $1,500.00 1 $1,500.00 3 8" DIP WATER 430 LF $64.00 $27,520.00 430 $27,520.00 4 8" DIP WATER, CLSM BACKFILL 376 LF $74.00 $27,824.00 376 $27,824.00 5 8" PVC WATER PIPE 5174 LF $52.00 $269,048.00 5174 $269,048.00 6 CONCRETE ENCASEMENT FOR UTILITY PIPES 5 CY $400.00 $2,000.00 5 $2,000.00 7 FIRE HYDRANT 9 EA $4,600.00 $41,400.00 9 $41,400.00 8 DUCTILE IRON WATER FITTINGS W/RESTRAINT (CO #1 & #2) 4.3 TN $9,000.00 $38,700.00 4.3 $38,700.00 9 CONNECTION TO EXISTING 16" WATER MAIN 2 EA $5,500.00 $11,000.00 2 $11,000.00 10 CONNECTION TO EXISTING 4" - 12" WATER MAIN 3 EA $2,000.00 $6,000.00 3 $6,000.00 11 1" WATER SERVICE 117 EA $1,100.00 $128,700.00 117 $128,700.00 12 8" GATE VALVE 17 EA $1,600.00 $27,200.00 17 $27,200.00 13 TRENCH SAFETY 5980 LF $1.00 $5,980.00 5980 $5,980.00 14 16" X 8" TAPPING SLEEVE & VALVE (CO #2)2 EA $7,500.00 $15,000.00 2 $15,000.00 15 1" WATER SERVICE - TAP EXISTING MAIN (CO #1) 1 EA $2,100.00 $2,100.00 1 $2,100.00 16 REMOVE AND RELOCATE FIRE HYDRANT (CO#4) 1 EA $3,500.00 $3,500.00 1 $3,500.00 17 6" GATE VALVE (CO#4)1 EA $1,500.00 $1,500.00 1 $1,500.00 18 1" IRRIGATION SERVICE (CO#4)1 EA $1,100.00 $1,100.00 1 $1,100.00 19 1 1/2" IRRIGATION SERVICE (CO#4)2 EA $2,500.00 $5,000.00 2 $5,000.00 $615,292.00 $615,292.00Sub-Total of Previous Unit UNIT II: SANITARY SEWER IMPROVEMENTS Item No.Description of Items Estimated Quanity Unit Unit Cost Estimated Total Completed Quanity Completed Total 1 REMOVE 10" SEWER LINE 42 LF $30.00 $1,260.00 42 $1,260.00 2 CONCRETE ENCASE SEWER PIPE (CO #2)4 CY $400.00 $1,600.00 4 $1,600.00 3 CONC PVMT REPAIR, RESIDENTIAL (CO #2)55 SY $120.00 $6,600.00 55 $6,600.00 4 8" SEWER PIPE (CO #1 & #2)4819 LF $56.00 $269,864.00 4819 $269,864.00 5 8" SEWER PIPE, CSS BACKFILL (CO #1 & #2)434 LF $66.00 $28,644.00 434 $28,644.00 Tuesday, November 7, 2023 Page 2 of 5 Contract Name WALSH RANCH - QUAIL VALLEY - PLANNING AREA 3 WEST - PHAS Contract Limits Project Type WATER & SEWER IMPROVEMENTS DOE Number 3899 Estimate Number 1 Payment Number 1 For Period Ending 11/1/2023 Project Funding City Project Numbers 103899 6 10" SEWER PIPE 610 LF $80.00 $48,800.00 610 $48,800.00 7 10" SEWER PIPE, CSS BACKFILL 61 LF $90.00 $5,490.00 61 $5,490.00 8 10" SEWER CARRIER PIPE 70 LF $126.00 $8,820.00 70 $8,820.00 9 20" CASING BY OTHER THAN OPEN CUT 70 LF $740.00 $51,800.00 70 $51,800.00 10 4' MANHOLE (CO #1 & #2)59 EA $4,400.00 $259,600.00 59 $259,600.00 11 4' DROP MANHOLE (CO #2)4 EA $6,400.00 $25,600.00 4 $25,600.00 12 4' EXTRA DEPTH MANHOLE (CO #1 & #2)265 VF $215.00 $56,975.00 265 $56,975.00 13 EPOXY MANHOLE LINER (CO #1 & #2)400 VF $425.00 $170,000.00 400 $170,000.00 14 4" SEWER SERVICE (CO #1)117 EA $850.00 $99,450.00 117 $99,450.00 15 TRENCH SAFETY (CO #1)5924 LF $1.00 $5,924.00 5924 $5,924.00 16 POST-CCTV INSPECTION (CO #1)5924 LF $4.00 $23,696.00 5924 $23,696.00 17 MANHOLE VACUUM TESTING (CO #1)60 EA $150.00 $9,000.00 60 $9,000.00 18 CONCRETE COLLAR 6 EA $1,500.00 $9,000.00 6 $9,000.00 19 UTILITY MARKERS 5 EA $367.00 $1,835.00 5 $1,835.00 20 RECONFIGURE 8" SANITARY SEWER PIPE (CO #2) 327 LF $86.00 $28,122.00 327 $28,122.00 21 DISPOSAL OF MANHOLE (CO #2)3 EA $1,500.00 $4,500.00 3 $4,500.00 $1,116,580.00 $1,116,580.00Sub-Total of Previous Unit Tuesday, November 7, 2023 Page 3 of 5 Contract Name WALSH RANCH - QUAIL VALLEY - PLANNING AREA 3 WEST - PHAS Contract Limits Project Type WATER & SEWER IMPROVEMENTS DOE Number 3899 Estimate Number 1 Payment Number 1 For Period Ending 11/1/2023 Project Funding City Project Numbers 103899 Contract Information Summary Change Orders $1,829,666.00Original Contract Amount $1,731,872.00Total Contract Price $1,731,872.00 Less Total Cost of Work Completed % Retained $0.00 Net Earned $1,731,872.00 Plus Material on Hand Less 15%$0.00 Balance Due This Payment $1,731,872.00 Less Liquidated Damages Days @ / Day $0.00 Less Penalty LessPavement Deficiency $0.00 $0.00 $0.00Less Previous Payment Earned This Period Retainage This Period $1,731,872.00 $0.00 1 ($35,400.00)Change Order Number 1 ($145,851.00)Change Order Number 2 $6,600.00Change Order Number 2 $65,757.00Change Order Number 4 $11,100.00Change Order Number Tuesday, November 7, 2023 Page 4 of 5 Contract Name WALSH RANCH - QUAIL VALLEY - PLANNING AREA 3 WEST - PHAS Contract Limits Project Type WATER & SEWER IMPROVEMENTS DOE Number 3899 Estimate Number 1 Payment Number 1 For Period Ending 11/1/2023 Project Funding City Project Numbers 103899 Line Fund Account Center Amount Funded Gross Retainage Net CITY OF FORT WORTH SUMMARY OF CHARGES $1,731,872.00 Less Total Cost of Work Completed % Retained $0.00 Net Earned $1,731,872.00 Plus Material on Hand Less 15%$0.00 Balance Due This Payment $1,731,872.00 Less Liquidated Damages 0 Days @ $0.00 / Day $0.00 Less Penalty LessPavement Deficiency $0.00 $0.00 $0.00Less Previous Payment Earned This Period Retainage This Period $1,731,872.00 $0.00 City Secretary Contract Number 237 WD Contract Date CONATSER CONSTRUCTION TxLP NA 5327 WICHITA ST FORT WORTH TX 76119 G. DEYON S. WESTER 160 WD Contract Time Days Charged to Date CompleteContract is 100.000000 Contractor , /Inspectors Project Manager Tuesday, November 7, 2023 Page 5 of 5 Walsh Ranch - Quail Valley - PA3W - C DEVELOPER-AWARDED-PROJECT CHANGE ORDER PROJECT NAME: Walsh Ranch - Quail Valley - PA3W - C CHANGE CONTRACT: Water (A), Sewer (B), Drainage (C), Paving (D), Street Lighting (E) ORDER No: CFA #: 22-0022 CITY PARTICIPATION: No CITY PROJECT #: � 03899 DOE #: N/A � FID #: 301'140200431-103899-E07685 FILE #: X-27223, W-2816 INSPECTOR: Steven Wester Phone No: (682) 287-3465 PROJECT MANAGER: Sandip Adhikari Phone No: (817) 392-8424 CONTRACT UNIT 1 WATER 2 SEWER 3 DRAINAGE 4 PAVING 5 STREET LIGH7ING CONTRACT DAYS Developer Cost Ci Cost Developer Cost Ci Cost Deveioper Cost C Cost Developer Cost Ci Cost Developer Cost Ci Cost COST PARTICIPATION h 1 �0.00 % 100.D0 % 100.00 % 1 �0.00 % i oo.00 i ORIGINAL CONTRACT S 632,992.00 5 1,196,674.00 5 701,087.00 S 1,577,'166.75 S 529,533.00 160 EXTRAS TO DA7E CREDITS TO DATE CONTRACTTODATE 5 632,992.00 5 1,196,674.�0 5 707,087.0� S 1,577,�66.75 S 529,533.00 160 AMOUNT OF PROP. CHANGE ORDER S (35,400_DO) (145,65�.00) 5 (e� 42TDC� l420 E73.00� 81.32�.00) REVISEDCONTRACTAMOUNT 5 597,592.D0 $ 1,D50,823,00 5 615,660.OD 4 1,156,293.75 S 448,210.00 160 TOTALREVISEDCONTRACTAMOUNTPER g597,592.D0 S1,D50,823.00 5615,660.00 51,156,293.75 5448,210.00 UNIT REVISED COST SHARE Dev. Cost: 53,868,578.75 City Cost: TOTAL REVISED CONTRACT $3,868,578.75 Ci Costfrom Chan e Order: 50.00 REV►EWED By Sandip Adhikari at 11:02 am, Dec 14, 2022 Page 1 Walsh Ranch - Quail Valley - PA3W - C You are directed to make the following changes in the contract documents: PAY ITEM # CITY BID ITEM # QUANTITY UNIT 15 3312.2003 -19 EA 1" Water Service - Tap Existing Main 8 3311.0001 0.5 TON Ductile Iron Water Fittings w/ Restraint ITEM DESCRIPTION I UNIT PRICE I TOTAL $2,100.00 539,900.00) $9,000.00 $4,500.00 Unit I: Water Imorovements S (35,400.00) REVIEWED By Sandip Adhikari at 11:02 am, Dec 14, 2022 Page 2 Walsh Ranch - Quail Valley - PA3W - C REVI EWED By Sandip Adhikari at 11:02 am, Dec 94, 2022 Page 3 Walsh Ranch - Quail Valley - PA3W - C You are directed to make the following changes in the contract documents: PAY ITEM # CITY BID ITEM # QUANTITY UNIT ITEM DESCRIPTION UNIT PRICE TOTAL Unit III: Drainage Improvements 1 3341 A201 -82 LF 21" RCP, Class III $65.00 S5,330.00) 2 3341.0205 -466 LF 24" RCP, Class III $75.00 �34,950.00 6 3349.0001 -2 EA 4' Storm Junction Box $7,000.00 514,000.00 10 3349.5001 -4 EA 10' Curb Inlet $4,000.00 516,000.00 15 3305.0109 -548 LF Trench Safet $1.00 S548.00 16 9999.0002 -2 EA Facto Storm W e Connection $500.00 �1,000.00 17 3301.0002 -4533 LF Post-CCTV Ins ection $3.00 '�13.599.00 Unit III: Drainage Improvements S (85,427.00) REVIEWED By Sandip Adhikari at 11:02 am, Dec 94, 2022 Page 4 Walsh Ranch - Quail Valley - PA3W - C You are directed to make the following changes in the contract documents: PAY ITEM # CITY BID ITEM # QUANTITY UNIT ITEM DESCRIPTION UNIT PRICE TOTAL Unit IV: Pavin Improvements 2 3213.0103 -3741 SY 8" Conc Pvmt $58.50 $218,S48.50) 3 9999.0008 -603 SY 6" Conc Unrein Pvmt $40.00 $24,120.00) 6 3211.0502 -4135 SY 8" Lime Treatment $3.50 �14,472.50 7 3211.0400 -74.4 TN H drated Lime 8" Pave 36 Ibs/s $210.00 �15,624.00�� 8 3213.0302 -13376 SF 5" Conc Sidewalk $4.75 563,536.00 9 3213.0501 -10 EA Barrier Free Ram , T e R-1 $1,900.00 S19,000.00) 11 0241.1300 -604 SY Remove Conc Pavin $20.00 512,080.00 12 9999.0003 -3 EA Furnish/Install Walsh Ranch St le Si n Post & Foundation w/Re ulato Si n& Name Blades $1,700.00 S5,100.00) 14 9999.0005 -44 LF "No Parkin "Stri in $4.00 $176.00 15 3217.000'I -198 LF 4" SLD Pvmt Markin HAS W $4.00 5792.00 16 3217.0501 -312 LF 24" SLD Pvmt Markin HAE W �20.00 �6,240.00 17 9999.0009 -540 LF 6" SLD Pvmt Markin HAE B $6.00 53,240.00 18 3217.0102 -1634 LF 6" SLD Pvmt Markin HAS $6.00 �9,E04.00 19 2605.3031 -62 LF 4" CONDT PVC SCH 40 T $32.00 S1,984.00 20 3292.0100 -2042 SY Block Sod Placement $8.00 $16,336.00 21 3291.1000 -340 CY To soil $28.00 �9,520.00 Unit IV: Paving Improvements $ (420,873.00) REVIEWED By Sandip Adhikari at 91:02 am, Dec 94, 2022 Page 5 Walsh Ranch - Quail Valley - PA3W - C You are directed to make the following changes in the contract documents: PAY ITEM # CITY BID ITEM # QUANTITY UNIT ITEM DESCRIPTION UNIT PRICE TOTAL Unit V: Street Light Improvements 2 9999.0007 -3 EA Furnish/Install Walsh Ranch 30' Street Li ht Pole & LED Fixture $14,500.00 $43,500.00) 4 3441.3301 -3 EA Rdw Illum Foundation TY 1,2, and 4 $1,500.00 �,4,500.00' 5 3441.1408 -2271 LF NO 6 Insulated Elec Condr $8.00 $18,168.00 6 3441.1501 -4 EA Ground Box T e B $950.00 �3,800.00 7 2605.3015 -757 LF 2" CONDT PVC SCH 80 T $15.00 511.355.00 8 3441.1771 -1 EA Furnish/Install 240-480 Volt Sin le Phase Metered Pedestal �9,500.00 59,500.00 New 9 3441.1771 1 EA Furnish/Install 120-240 Volt Sin le Phase Metered Pedestal $9,500.00 $9,500.00 Unit V: Street Light Improvements 3 (81,323.00) REVIEWED By Sandip Adhikari at 11:02 am, Dec 14, 2022 Page 6 DocuSign Envelope ID: 949CD44F-7E5B-4C8D-9967-F22B656BC12A Walsh Ranch - Quail Valiey - PA3W - C REASONS FOR CHANGE ORDER 1 Removed Walsh Ave from this set of plans, including all infrastructure within Walsh Ave. These items were added to CPN103935 2 Water line removed curves and added fittings 3 4 5 6 7 NO CITY FUNDS INVOLVED IN THIS CONTRACT. DEVELOPER IS RESPONSIBLE FOR 100 % OF THE CHANGE ORDER COST AND NO REIMBURSEMENT FROM THE CITY WILL BE SOUGHT BY THE DEVELOPER. inc. �.tti, M.avl.ia By: 966tSEQ3c�Yl4i2... Name: Jordan V. Marlia, P.E. Title: Project Manager Quaii Valley Devc V�,_LL� %_,___ ,_ f_, ,_ (,II,(, �,arpc,v�dc,v By: �— Name: Seth Caroenter Titie: Vice President DoeuSigned by. Conatser Construc ion TX., , By: 5D50600229CF44A... Name: Brock Huaoins Title: President REVIEWED By Sandip Adhikari at 91:02 am, Dec 14, 2022 9/28/2022 2:38:24 PM Page 7 Waish Ranch - Quail Valley - PA3W - C DEVELOPER-AWARDED-PROJECT CHANGE ORDER INSPECTOR: Steven Wester Phone No: (682) 287-3465 PROJECT MANAGER: Sandip Adhikari Phone No: (817) 392-8424 CONTRACT UNIT 1 WATER 2 SEWER 3 DRAINAGE 4 PAVING 5 STREET LIGHTING CONTRACT DAYS Developer Cost Ci Cost Developer Cost Ci Cost Developer Cost Cit Cost Developer Cost Cit Cost Developer Cost Ciry Cost COSTPARTICIPATION % 100.00% 100.00% 100.00% '100.00% 100.00% ORIGINALCONTRACT S 632,992.00 S 1,196,674.00 $ 701,087.00 5 1,577,766.75 5 0.00 730 EXTRAS TO DATE CRE�ITS TO DATE 5 (�5,400.00) (�45.851.00) i"c5 a27.On1 5 (a20,E7a.001 CONTRACTTODATE S 597,592.00 $ 1,050,823.00 S 615,66�.00 5 1,156,293.75 S 0.00 130 AMOUNT OF PROP. CHANGE ORDER $ fi,60D.00 S 65,757.00 S 400.00 REVISEDCONTRACTAMOLINT $ 6D4,192.00 $ '1,116,580.00 5 616.060.OD S 1,156,293.75 S 0.00 130 TOTAL REVISED CONTRACT AMOUNT PER $604,�92.00 51,'116,580,00 5616,060.00 51,156,293.75 50.00 UNIT REVISED COST SHARE Dev. Cost: $3,493,125.75 City Cost: TOTAL REVISED CONTRACT 53,493,125.75 Ci Cost from Chan e Order: $0.00 REVIEWED By Sandip Adhikari at 10:37 am, Mar 23, 2023 Page 1 Walsh Ranch - Quail Vailey - PA3W - C You are directed to make the following changes in the contract documents: PAY ITEM # CITY BID ITEM # QUANTITY UNIT ITEM DESCRIPTION 14 3312.4112 1 EA 16" x 8" Tapping Sleeve & Valve 8 3311.0001 -0.1 TON Ductile Iron Water Fittings w/ Restraint REVIEWED By Sandip Adhikari at 10:37 am, Mar 23, 2023 UNIT PRICE � TOTAL $7,500.00 $7,500.00 $9,000.00 (S900.00j Unit I: Water Improvements $ 6,600.00 Page 2 Walsh Ranch - Quail Valley - PA3W - C REVIEWED By Sandip Adhikari at 10:37 am, Mar 23, 2023 Page 3 Walsh Ranch - Quail Valley - PA3W - C You are directed to make the following changes in the contract documents: PAY ITEM # CITY BID ITEM # QUANTITY UNIT ITEM DESCRIPTION � UNIT PRICE � TOTAL Unrt III: Dramage Improvements New 18 3341.3501 40 LF 24" PP Pi e $85.00 $3,400.00 2 3341.0205 -40 LF 24" RCP, Class III $75.00 53,000.00 Unit III: Drainage Improvements $ 400.00 REVIEWED By Sandip Adhikari at 10:37 am, Mar 23, 2023 Page 1 DocuSign Envelope ID: 2E5BA218-B2B0-44D7-A884-DE148606D307 Walsh Ranch - Quail Valley - PA3W - C REASONS FOR CHANGE ORDER 1 Revised design of Santiarty & Storm Drain around gas crossings in coordination with gas company. 2 Revised Water connection to existing 16" main to provide tapping sleeve. 3 Revised Pavement Removal for Full Panei Replacement NO CITY FUNDS INVOLVED IN THIS CONTRACT. DEVELOPER IS RESPONSIBLE FOR 100 % OF THE CHANGE ORDER COST AND NO REIMBURSEMENT FROM THE CITY WILL BE SOUGHT BY THE DEVELOPER. RECOMMENDED: APPROVED: APPROVED: wFT tt-Co� a�rs,�l b�' Quail Val y Dev�cjo. VC LG '- . L •- Conatser onst D�eu�IRne�d�y: Y.l�r�`�^""' I�I.A.YUCI. By�C�Iw��U�' y ��db- �g� g E g � 5 5q 44A �7 g Fo3� 0 F 8192 9428... SD 0 0229CF ... Name: JO9da6V. N�ar�is�E�. Name: Setl� Garpenter Name: Brock Huqqins Title: Project Manager Title: Senior Vice President Title: President REVIEWED By Sandip Adhikari at 10:37 am, Mar 23, 2023 Page 5 DocuSign Envelope ID: 59532C19-1946-4E16-BA95-C900D35283C6 Waish Ranch - Quail Valley - PA3W - C DEVELOPER-AWARDED-PROJECT CHANGE ORDER INSPECTOR: Steven Wester Phone No: (682) 287-3465 PROJECT MANAGER: Sandip Adhikari Phone No: (817) 392-8424 CONTRACT UNIT 1 WATER 2 SEWER 3 DRAINAGE 4 PAVING 5 STREET LIGHTING CONTRACT DAYS Developer Cost City Cost Developer Cost City Cost Developer Cost City Cost Developer Cost City Cost Developer Cost Ciry Cost COSTPARTICIPATION % 100.00% 100.00% 100.00% ioo.00i 100.00% ORIGINAL CONTRACT 5 632,992.00 S '1,196,674.00 S 70'1,087.00 5 1,577,166.75 S 0.00 130 EXTRAS TO DATE S 6,600.�0 S 65,757.00 5 400.0� CREDITS TO DATE S (35 a00.0o) S (145,E51.00) '05,42ZOOj V+20,L73_00) CONTRACTTODATE S 604,192.00 5 1,116,580.00 S 616,060.00 S 1,156,293.75 5 0.00 130 AMOUNT OF PROP. CHANGE ORDER S 27,745.5� REVISEDCONTRACTAMOUNT 5 604,192.00 5 '1,1'16,580.00 S 641,805.50 5 1,156,293.75 $ 0.00 130 TOTALREVISEDCON7RACTAMOUNTPER $604,'I92.00 51,'116,560.00 5645,805.50 51,156,293.75 50.00 UNIT REVISED COST SHARE Dev. Cost: 53,520,87� 25 City Cost: TOTAL REVISED CONTRACT $3,520,871.25 Ci Cost from Chan e Order: $0.00 REVIEWED By Sandip Adhikaii at 10:45 am, Jun 21, 2023 Page 1 DocuSign Envelope ID: 59532C19-1946-4E16-BA95-C900D35283CB Walsh Ranch - Quail Valley - PA3W - C You are directed to make the following changes in the contract documents: PAY ITEM # CITY BID ITEM # QUANTITY UNIT t 2 3341.0205 158 LF 24" RCP, Class III 14 3137.0104 47 SY Medium Stone Ri 15 3305.0109 158 LF Trench Safe New 19 3349.4105 2 EA 24" SET, 1 i e New 20 9999.0013 195 SY Landlok 450 TRM d ITEM DESCRIPTION I UNIT PRICE I TOTAL $75.00 $11,850.00 $105.00 $4,935.00 $1.00 $158.00 $3,500.00 $7,000.00 $19.50 $3,802.50 Unit III: Drainage Improvements $ 27,745.51 REVIEWED By Sandip Adhikari at 10:45 am, Jun 21, 2023 Page 2 DocuSign Envelope ID: 59532C19-1946-4E16-BA95-C900D35283CB Walsh Ranch - �uail Valley - PA3W - C REASONS FOR CHANGE ORDER 1 Added culvert under roadway to avoid water pooling on gas company stand pipes. NO CITY FUNDS INVOLVED IN THIS CONTRACT. DEVELOPER IS RESPONSIBLE FOR 100 % OF THE CHANGE ORDER COST AND NO REIMBURSEMENT FROM THE CITY WILL BE SOUGHT 6Y THE DEVELOPER. RECOMMENDED: APPROVED: APPROVED: C��u�tt-c�l�ar�s, I�ic. �jev'D�.ain, M.a.Yi,ia Name: ��ordan�V�M�ar4a?P:E. Title: Project Manager DoeuSl ned by. Quail V leB f�,�vcpVL LLC � Y `� w 9308FE819299426... Name: Seth Carpenter Title: Senior Vice President REVIEWED By Sandip Adhikari at 10:45 am, Jun 21, 2023 Conatse Cons�ru , Sl�d�b�: ` � �� Name: SHro�k Nuq9C544A... Title: President Page 3 DocuSign Envelope ID: 59809B2D-4C35-4E5E-9C55-01A39AC9EOF7 Walsh Ranch - Quail Vailey- PA3W - C DEVELOPER-AWARDED-PROJECT CHANGE ORDER INSPECTOR: Steven Wester Phone No: (682) 287-3465 PROJECT MANAGER: Sandip Adhikari Phone No: (817) 392-8424 CONTRACT UNIT 1 WATER 25EWER 3DRAINAGE dPAVING SSTREETLIGHTING CONTRACT DAYS Developer Cost Ciry Cost Developer Cost City Cost Developer Cost City Cost Developer Cost City Cost Developer Cost City Cost COST PARTICIPATION % 1 D0.�0� 100.00 % 10�.00 % 100.00 % 100.00 % ORIGINALCONTRACT S 632,992.00 S 1.'196,674.00 S 701,087.OD S 1,577,'166.75 S 0.00 '130 EXTRAS TO DATE S 6,600.00 5 65,757.00 5 26,'145.50 CREDITS TO DATE S (35,A00.00) 1145.851.00) 5 (85,527 00) ;.20,67�.�01 CONTRACTTODATE $ 604,192.00 5 1,116,580.00 5 643,805.50 5 1,156,293.75 5 0.00 '130 AMOUNTOFPROP.CHANGEORDER 5 ii,ioo.00 REVISEDCONTRACTAMOUNT S 615,292.00 $ 'I,1'16,580.00 S 643,805.50 S 1,156,293.75 S 0.00 130 TOTALREVISEDCONTRACTAMOUNTPER $615,292.00 51,116,560.00 $649,805.50 $1,�56,293.75 50.00 UNIT REVISED COST SHARE Dev. Cost: 53,531,971.25 City Cost: TOTAL REVISED CONTRACT $3,53�,971.25 Ci Cost from Chan e Order: SD.00 REVIEWED By Sandip Adhikari at 2:55 pm, Ocf 03, 2023 Page 1 DocuSign Envelope ID: 59809B2D-4C35-4E5E-9C55-01A39AC9EOF7 Walsh Ranch - Quail Valley - PA3W - C You are directed to make the following changes in the contract documents: PAY ITEM # CITY BID ITEM # QUANTITY UNIT New 16 9999.0014 1 EA Remove and R New 17 3312.3002 1 EA 6" Gate Valve New 18 3312.2003 1 EA 1" Irrigation Sei New 19 3312.2103 2 EA 1 1/2" Irrigation ITEM DESCRIPTION Unit I: Water Imp ate Fire Hvdrant REVIEWED By Sandip Adhikari at 2:55 pm, Oct 03, 2023 UNIT PRICE I TOTAL � $2 Unit I: Water Imoro� Page 2 DocuSign Envelope ID: 59809B2D-4C35-4E5E-9C55-01A39AC9EOF7 Walsh Ranch - Quail Valley - PA3W - C REASONS FOR CHANGE ORDER 1 Plan Revision 4-Added Irrigation Meters NO CITY FUNDS INVOLVED IN THIS CONTRACT. DEVELOPER IS RESPONSIBLE FOR 100 % OF THE CHANGE ORDER COST AND NO REIMBURSEMENT FROM THE CITY WILL BE SOUGHT BY THE DEVELOPER. RECOMMENDED: APPROVED: APPROVED: �pweeuoS or�se, dn Quail Vaile evc DoeuSlgned hy: ry-it-Zl�g i bcy' �� ' Conatser onstrvct' TX., L P y: .�bY'D�aan. �l.aY�,ta Y: Sc.Tw �'c.In�U'' �� %��''�� g6 d4 8FEB �SD50600229CF44A... Name: Jortla66�0�1�a P�': Name: carpe �28_" Zt� }t�f Name: Brock Huqgins Title: Project Manager Title: Senior Vice President Title: President REVIEWED By Sandip Adhikari at 2:55 pm, Oct 03, 2023 Page 3 CITY PROJECT NUMBER: PROJECT NAME:Walsh Ranch - Quail Valley PA3W-C 103899 TRANSPORTATION AND PUBLIC WORKS PIPE REPORT FOR: SIZE TYPE OF PIPE DIP 8 Ductile Iron Pipe PVC 8 C900 PIPE LAID FIRE HYDRANTS:9 VALVES (16" OR LARGER)N/A LF PIPE ABANDONED SIZE TYPE OF PIPE N/A DENSITIES:Yes All Passed 1.5" Copper pipe NEW SERVICES:1" Copper pipe SIZE TYPE OF PIPE N/A SIZE Ductile iron pipe TYPE OF PIPE PVC 8" SDR 26 PVC 10" SDR26 PIPE LAID ductile iron pipe 10" DENSITIES: WATER Yes All Passed LF 430 5174 TRANSPORTATION AND PUBLIC WORKS The City of Fort Worth • 1000 Throckmorton Street • Fort Worth, TX 76012-6311 (817) 392 - 7941 • Fax: (817) 392 - 7845 4"NEW SERVICES:SDR 26 1750 1790 10 LF LF SEWER 4819 610 70 PIPE ABANDONED Rev. 8/20/19 TRANSPORTATION AND PUBLIC WORKS November 7, 2023 Conatser Construction TX, L.P. 5327 Wichita St Fort Worth, Texas 76119 RE: Acceptance Letter Project Name: Walsh Ranch Quail Valley – PA3W-C Project Type: Water , Sewer, Storm Drain, Paving City Project No.: 103899 To Whom It May Concern: On October 31, 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 November 7, 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 November 7, 2023, which is the date of the punch list completion and will extend of two (2) years in accordance with the Contract Documents. If you have any questions concerning this letter of acceptance, please feel free to contact me at 817- 392-8424. Sincerely, Sandip Adhikari, P.E. , Project Manager Cc: Steven Wester , Inspector Gary Deyon , Inspection Supervisor Troy Gardner, Senior Inspector Andrew Goodman, P.E. , Program Manager Huitt- Zollars , Consultant Conatser Construction , Contractor Quail Valley Devco VLO, LLC , Developer File E-Mail: TPW_Acceptance@fortworthtexas.gov AFFIDAVIT STATE OF TEXAS COUNTY OF TARRANT Before me, the undersigned authority, a Notary Public in the state and county aforesaid, on this day personally appeared Brock Huggins, President of Conatser Management Group, Inc., general partner of Conatser Constructian TX. LP, 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; and That there are no claims pending far personal injury and/or property damages; On Contract described as: WALSH — PA3W-C WATER, SANITARY SEWER, DRAINAGE, & PAVING IMPROVEMENTS CFA PRJ #: 22-0022 CITY PROJECT #:103899 CITY OF FORT WORTH STATE OF TEXAS CONATSER CONSTRUCTION TX, LP Brock Hug� s Subscribed and sworn to before me this 18�' day of October, 2023. ` ^ ��.� ot�+'p� KAtHER1N R 5E 2��' Notary Pubflc, state otTexas Notary Public in Tarrant County, Texas ,g „ !D# 133467933 �`'�,oFt�+e My Commissfon Expires Novemter 30, 2025 �ONSENT OF SURETY COMPANY TO FINAL PAYMENT Conforms with the American Institute of Architects, AIA Document G707 own�E� ❑ ARCHI7ECT ❑ Ct3NTRACTOR ❑ SURETY ❑ QTHEi� Bond No 0247476 PROJECT: (name, edd�eSS)Walsh Ranch-Quail Valley-Planning Area 3 West Ph C Fort Worth, TX TQ (Owner) QUAIL VALLEY DEVCO VLO, LLC AND THE CiTY 4F� ARCHITECT'S PROJECT NO: CFA No. D2-0022 F(1RT 1IV(1RTH 400 S. Record St., Suite 1200 Dallas C�NTRACT FOR: IPRC22-D014 - Walsh Ranch - Quail Valley�- Planning Area 3 West - Phase C (PA3W-C) - Uiilities & Paving Tx �52a2 � CONTRACT DATE: CONTRACTOR: CONATSER CONSTRUCTION TX, L.P. In accordance with the provisions of the Contract between the Owner and the Contractor as indicated abave, the (hare insert name end addreu of Surety Companyl BFRKLFYJNSURANCE COMPANY 475 Steamboat Road Greenwich CT 06830 , SURETY COMPANY on bflnd of ihere insert name end address of Contrector) CONATSER CONSTRUCTION TX, L.P. 5327 Wichita St. Fort Worth TX 76119-6035 3rd hereby approves of the final payment to the Con�ractor, and agrees that final payment to the Contractor shall not relieve the Surety Company of any of its obligations to (hare inseR name and addrass of �wner) QUAIL VALLEY DEVCO VLO, LLC AND THE CITY QF FORT WORTH 400 S. Record St., Suite 1200 Dallas TX 75202 as set forth in the said Surety Company's bond. IN WITNESS, WHEREOF, the Surety Company has hereunto set its hand this Attest: /1 - �c��_ (Seal); `��''-� day of October, 2023 , CONTRACTOR, , owNER, BERKLEY INSURANCE COMPANY Surety Company �.� � -7vi Signature of Authorized Regresentative b i [e Attorne -in-Fact Title NOTE: This form is to be used es a companian document to AIA �OCUMENT G706, CONTRACTOR'S AFFIDAVIT OF PAYMENT OF DEBTS AND CLAIMS, Currertt Edition ONE PAGE POWER OF .ATTORNEY BERIa�EY INSURANCE COMPriNY WILMINGTON, DELAVJ,ARE No. BI-7280k NOTICE: The warnmg. found elsewhere in this Power of Attorney affects the validity thereof. Please review carefully. -o � � x � � .b ... a � � � �: � .� � �, � � � �; � � � � � � ❑ a� � � � � o a, > � � o .� � a� � � K o .� � U 4; ° o � �: i � oC a. � � � ,S' U E"" W �L "C� y � � � 'n � � 0 o,i a. � .� � � � � ' � � � � �, U � 'O � � .., b � � `'" c 0 � o0 o .x U � � ip � v � � . H KNOW ALL MEN BY THESE PRESENTS, that BERKLEY INSURANCE COMP,ANY (the "Company�'), a corporation duly organized and.existing under the ]aws of the State of Deiaware, having its principal affice in Greenwich, CT, has :made, constituted and ap,p.ointed, and does by these presents make, canstitute and appoinr iefcacdo J. Reyna; Don � ConteU; Sopliinie Flunfer,• Robbi Morales; ICelly A. Westbrook; Ti�xa McEwatt; Jnslcua Sauxrlers; Touie Petrm:ek; or Mikaela Peppets of Aon Risk Services Soutluuest, lnc. of'Dal/as, TX its true and la�ufui Atitorney-in-Fact, to sign its name as surety only as delineated below and to execute, seal, aclrnowledge and deliver any and all bonds and undertakings, with the exception of Financial Guaranty Insurance, providing that no single obligation shall exceed Fifty Miilion and 00/100 U.S. Dollars {IT.S.S50,000,000.00), to the same .extent as if such bonds had been duly executed and acIrnowledged by the regularly elected officers .of the Gompany at its principal office in their own proper persons. Tlus Ppwer of Attorney shall be construed and enforced in accardance with, and governed by, the laws of the SEate oi Delaware, without giying e. ffect to the principles of conflicts of [aws thereof This Power of Attomey is granted pucsuant to #he following resolutions wliicti were duly and validly adopted at a meeting of the $oard of Directors of the Company held on January 25, 2010: RESOLVED, that, v✓ith respect to the Surety business written by Berkley Surety, the Chaiiman of the Board, Chief Executive Officer, President or any Viee President of the Company,_ in conjunction with the Seeretary or .any Assistant Secretary are hereby authorized ta execute powers of attorney authorizing .and qualifying the attomey-in-faef named therein to execute bonds, undertakings, recognizances, or other sucetyship obligations on behalf of the Company, and to affix the corporate seal of the Company to powers of attomey executed pursuant bereto; and said officers may remove any such attorney-in-fact and revoke any power of attorney previously granted; and further RESOLVED, that such power of attomey limits the acts caf those named therein tb the bonds, undertakings, recognizances, or other suretyship ohligations specificaily named therein, and they have no authority to bind the Company except in the manner and to the extent therein stated; and further RESOLVED, that such power of attomey revokes al[ previous powers issued on behalf of the attorney-in-fact named; and further RESOLVED, that the signature_ of any authorized officer aiEd the seal of the Company may be �xed by facsimile to any power of attorney or certification thereof authorizing the execufion and delivery of any bond, undertaldng, recna 77ance, or other sureryship obligation of the Company; and such signattire and seal when so used sha[i have the same force and effect as though manually affixed. The Company may continve to ase for ihe purposes herein stated the facsimile signature of any person or persons who shall have been such officer or officers of the Company, notwithstanding the fact that they may have ceased to be such .at the time when such instruments shail be issued. iN WI'f'i3ES5 «!i�R�OF; thc Company h2s c�used these presenYs to: be si�ed. aud attesied by its appxop[iate a fFicers a:nd ils c.or�oratz seal hereunCo affuced this ��"'day of 3b�_, r�[tesL' Bcrkl Tnsur2nce (�ompany (Seaf) By �y ;{, , �✓. . ederrttan 7e �er_ F�cecufive Vi�e �'rrsideuf & SecreEary '4. S'. ice es�iclent '�'+r�1�NiNG: T�ITS 7'O'R!�A.I�fVf1Y;Ti� 1It NOT PiZI�`�EIl ON�3LU� "13�1tYS��Y" SECURITY PA:P�K STATB O�' C07�IhI�C'�`IC[JT ) ) ss: COi9NTX Uk' FAIItFZL'�LD ) Sivarn to before me, a Natary Public: in the State of �onneciic�t, this � d�} of. M ,��. `by La. S. Lcderman and Jeffircp I��. Ei�i�et' �vho are .t�vorn in me #o �be ihe Ex4ctrtivc Vice 1'resirien. Secretazy, and Seniar ��irz .PresidenL respcctitiely; �of Perkley Insurance Company. f�'4N�T�y ��A;� ' � co►�rafCr�cu�' � CO�L�Q��a� otaz;� �tibtic; State oC Connecticm C�RTTF. I�AT� I, ihc undersi�ned;.Assistarit Secretary of BEIKKL� INSI3iU'�I�EC�. COlti!1PANY IiO.HEREBY CERTIFY thatt6c t:ore�oing is a tYue, correcr and compl�te copp of tlye ori,�al Pov��er of�ft�irne�; t�iat said Power o£/�ttorney has not be,enrevoked or resoinded and that the aufharicy a�f il�e r'1tEornevan-l;act set #"ocih tl�crein, �ho exeCuted Lhe bond or tutdertaldt}g to �vhicb: t.his J�o�i'eC o.f ltforney is attached; _is;in fuil ffli�ce:and e�fect as bLihis date. %�1 Give� under'myband.and seai of ftte Coinpait}; this 3�C� tia3+ of � C t O 2 � 2 3 (Sca1) 'Vinccnt P. rort2 AFFIDAVIT STATE OF TEXAS COUNTY OF TARRANT Before me, the undersigned authority, a Notary Public in the state and county aforesaid, on this day personally appeared Brock Huggins, President of Conatser Management Group, Inc., general partner of Conatser Constructian TX. LP, 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; and That there are no claims pending far personal injury and/or property damages; On Contract described as: WALSH — PA3W-C WATER, SANITARY SEWER, DRAINAGE, & PAVING IMPROVEMENTS CFA PRJ #: 22-0022 CITY PROJECT #:103899 CITY OF FORT WORTH STATE OF TEXAS CONATSER CONSTRUCTION TX, LP Brock Hug� s Subscribed and sworn to before me this 18�' day of October, 2023. ` ^ ��.� ot�+'p� KAtHER1N R 5E 2��' Notary Pubflc, state otTexas Notary Public in Tarrant County, Texas ,g „ !D# 133467933 �`'�,oFt�+e My Commissfon Expires Novemter 30, 2025 �ONSENT OF SURETY COMPANY TO FINAL PAYMENT Conforms with the American Institute of Architects, AIA Document G707 own�E� ❑ ARCHI7ECT ❑ Ct3NTRACTOR ❑ SURETY ❑ QTHEi� Bond No 0247476 PROJECT: (name, edd�eSS)Walsh Ranch-Quail Valley-Planning Area 3 West Ph C Fort Worth, TX TQ (Owner) QUAIL VALLEY DEVCO VLO, LLC AND THE CiTY 4F� ARCHITECT'S PROJECT NO: CFA No. D2-0022 F(1RT 1IV(1RTH 400 S. Record St., Suite 1200 Dallas C�NTRACT FOR: IPRC22-D014 - Walsh Ranch - Quail Valley�- Planning Area 3 West - Phase C (PA3W-C) - Uiilities & Paving Tx �52a2 � CONTRACT DATE: CONTRACTOR: CONATSER CONSTRUCTION TX, L.P. In accordance with the provisions of the Contract between the Owner and the Contractor as indicated abave, the (hare insert name end addreu of Surety Companyl BFRKLFYJNSURANCE COMPANY 475 Steamboat Road Greenwich CT 06830 , SURETY COMPANY on bflnd of ihere insert name end address of Contrector) CONATSER CONSTRUCTION TX, L.P. 5327 Wichita St. Fort Worth TX 76119-6035 3rd hereby approves of the final payment to the Con�ractor, and agrees that final payment to the Contractor shall not relieve the Surety Company of any of its obligations to (hare inseR name and addrass of �wner) QUAIL VALLEY DEVCO VLO, LLC AND THE CITY QF FORT WORTH 400 S. Record St., Suite 1200 Dallas TX 75202 as set forth in the said Surety Company's bond. IN WITNESS, WHEREOF, the Surety Company has hereunto set its hand this Attest: /1 - �c��_ (Seal); `��''-� day of October, 2023 , CONTRACTOR, , owNER, BERKLEY INSURANCE COMPANY Surety Company �.� � -7vi Signature of Authorized Regresentative b i [e Attorne -in-Fact Title NOTE: This form is to be used es a companian document to AIA �OCUMENT G706, CONTRACTOR'S AFFIDAVIT OF PAYMENT OF DEBTS AND CLAIMS, Currertt Edition ONE PAGE POWER OF .ATTORNEY BERIa�EY INSURANCE COMPriNY WILMINGTON, DELAVJ,ARE No. BI-7280k NOTICE: The warnmg. found elsewhere in this Power of Attorney affects the validity thereof. Please review carefully. -o � � x � � .b ... a � � � �: � .� � �, � � � �; � � � � � � ❑ a� � � � � o a, > � � o .� � a� � � K o .� � U 4; ° o � �: i � oC a. � � � ,S' U E"" W �L "C� y � � � 'n � � 0 o,i a. � .� � � � � ' � � � � �, U � 'O � � .., b � � `'" c 0 � o0 o .x U � � ip � v � � . H KNOW ALL MEN BY THESE PRESENTS, that BERKLEY INSURANCE COMP,ANY (the "Company�'), a corporation duly organized and.existing under the ]aws of the State of Deiaware, having its principal affice in Greenwich, CT, has :made, constituted and ap,p.ointed, and does by these presents make, canstitute and appoinr iefcacdo J. Reyna; Don � ConteU; Sopliinie Flunfer,• Robbi Morales; ICelly A. Westbrook; Ti�xa McEwatt; Jnslcua Sauxrlers; Touie Petrm:ek; or Mikaela Peppets of Aon Risk Services Soutluuest, lnc. of'Dal/as, TX its true and la�ufui Atitorney-in-Fact, to sign its name as surety only as delineated below and to execute, seal, aclrnowledge and deliver any and all bonds and undertakings, with the exception of Financial Guaranty Insurance, providing that no single obligation shall exceed Fifty Miilion and 00/100 U.S. Dollars {IT.S.S50,000,000.00), to the same .extent as if such bonds had been duly executed and acIrnowledged by the regularly elected officers .of the Gompany at its principal office in their own proper persons. Tlus Ppwer of Attorney shall be construed and enforced in accardance with, and governed by, the laws of the SEate oi Delaware, without giying e. ffect to the principles of conflicts of [aws thereof This Power of Attomey is granted pucsuant to #he following resolutions wliicti were duly and validly adopted at a meeting of the $oard of Directors of the Company held on January 25, 2010: RESOLVED, that, v✓ith respect to the Surety business written by Berkley Surety, the Chaiiman of the Board, Chief Executive Officer, President or any Viee President of the Company,_ in conjunction with the Seeretary or .any Assistant Secretary are hereby authorized ta execute powers of attorney authorizing .and qualifying the attomey-in-faef named therein to execute bonds, undertakings, recognizances, or other sucetyship obligations on behalf of the Company, and to affix the corporate seal of the Company to powers of attomey executed pursuant bereto; and said officers may remove any such attorney-in-fact and revoke any power of attorney previously granted; and further RESOLVED, that such power of attomey limits the acts caf those named therein tb the bonds, undertakings, recognizances, or other suretyship ohligations specificaily named therein, and they have no authority to bind the Company except in the manner and to the extent therein stated; and further RESOLVED, that such power of attomey revokes al[ previous powers issued on behalf of the attorney-in-fact named; and further RESOLVED, that the signature_ of any authorized officer aiEd the seal of the Company may be �xed by facsimile to any power of attorney or certification thereof authorizing the execufion and delivery of any bond, undertaldng, recna 77ance, or other sureryship obligation of the Company; and such signattire and seal when so used sha[i have the same force and effect as though manually affixed. The Company may continve to ase for ihe purposes herein stated the facsimile signature of any person or persons who shall have been such officer or officers of the Company, notwithstanding the fact that they may have ceased to be such .at the time when such instruments shail be issued. iN WI'f'i3ES5 «!i�R�OF; thc Company h2s c�used these presenYs to: be si�ed. aud attesied by its appxop[iate a fFicers a:nd ils c.or�oratz seal hereunCo affuced this ��"'day of 3b�_, r�[tesL' Bcrkl Tnsur2nce (�ompany (Seaf) By �y ;{, , �✓. . ederrttan 7e �er_ F�cecufive Vi�e �'rrsideuf & SecreEary '4. S'. ice es�iclent '�'+r�1�NiNG: T�ITS 7'O'R!�A.I�fVf1Y;Ti� 1It NOT PiZI�`�EIl ON�3LU� "13�1tYS��Y" SECURITY PA:P�K STATB O�' C07�IhI�C'�`IC[JT ) ) ss: COi9NTX Uk' FAIItFZL'�LD ) Sivarn to before me, a Natary Public: in the State of �onneciic�t, this � d�} of. M ,��. `by La. S. Lcderman and Jeffircp I��. Ei�i�et' �vho are .t�vorn in me #o �be ihe Ex4ctrtivc Vice 1'resirien. Secretazy, and Seniar ��irz .PresidenL respcctitiely; �of Perkley Insurance Company. f�'4N�T�y ��A;� ' � co►�rafCr�cu�' � CO�L�Q��a� otaz;� �tibtic; State oC Connecticm C�RTTF. I�AT� I, ihc undersi�ned;.Assistarit Secretary of BEIKKL� INSI3iU'�I�EC�. COlti!1PANY IiO.HEREBY CERTIFY thatt6c t:ore�oing is a tYue, correcr and compl�te copp of tlye ori,�al Pov��er of�ft�irne�; t�iat said Power o£/�ttorney has not be,enrevoked or resoinded and that the aufharicy a�f il�e r'1tEornevan-l;act set #"ocih tl�crein, �ho exeCuted Lhe bond or tutdertaldt}g to �vhicb: t.his J�o�i'eC o.f ltforney is attached; _is;in fuil ffli�ce:and e�fect as bLihis date. %�1 Give� under'myband.and seai of ftte Coinpait}; this 3�C� tia3+ of � C t O 2 � 2 3 (Sca1) 'Vinccnt P. rort2