HomeMy WebLinkAboutContract 58037-FP2-FP2
FORT WORTH
City Secretary
Contract No. 58037
Date Received 03/13/2024
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: Covenant Classical School Additions
City Project No.: 103923
Improvement Type(s): Water ❑x Sewer ❑x
Original Contract Price:
$34,295.00
Amount of Approved Change Order $4,943.34
Revised Contract Amount: $39,238.34
Total Cost of Work Complete: $39,238.34
Nick Lore Mar 13, 2024
Nick Louv (Mar 13. 2M4 09:07 CDT)
Contractor Date
Project Manager
Title
North Texas Contracting, Inc
Company Name
Brian McGill (Mar 13, 2024 09:08 CDT)
Project Inspector
Khal , aaG arl P.E.
Khal Jaafari P.E. (Mar 13, 202416:33 CDT)
Project Manager
Rebecca Owen (Mar 13. 2024 1635 CDT)
CFA Manager
Lauren Prieur (Mar 13, 202416:39 CDT)
TPW Director
Asst. City Manager
Mar 13, 2024
Date
M a r 13, 2024
Date
M a r 13, 2024
Date
Mar 13, 2024
Date
Mar 18, 2024
Date
OFFICIAL RECORD Page 1 of 2
CITY SECRETARY g
FT. WORTH, TX
Notice of Project Completion
Project Name: Covenant Classical School Additions
City Project No.: 103923
City's Attachments
Final Pay Estimate x❑
Change Order(s): ❑x Yes ❑ N/A
Pipe Report: ❑ Yes 2 N/A
Contractor's Attachments
Affidavit of Bills Paid
Consent of Surety
Statement of Contract Time
Contract Time: 120 WD
Work Start Date: 8/29/2023
Completed number of Soil Lab Test: 89
Completed number of Water Test: 0
Days Charged: 85
Work Complete Date: 2/23/2024
Page 2of2
FoRTWORTH
CITY OF FORT WORTH
FINAL PAYMENT REQUEST
Contract Name COVENANT CLASSICAL SCHOOL ADDITION
Contract Limits
Project Type WATER & SEWER
City Project Numbers 103923
DOE Number 3923
Estimate Number I Payment Number 1
City Secretary Contract Number
Contract Date 8/26/2022
Project Manager NA
Contractor NORTH TEXAS CONTRACTING, INC.
P.O. BOX 468
Inspectors
For Period Ending 2/23/2024
WD
Contract Time 12WD
Days Charged to Date 85
Contract is 100.00 Complete
KELLER , TX 76244
G. DEYON / B. MCGILL
Wednesday, March 6, 2024 Page 1 of 4
City Project Numbers 103923
Contract Name COVENANT CLASSICAL SCHOOL ADDITION
Contract Limits
Project Type WATER & SEWER
Project Funding
UNIT I: WATER IMPROVEMENTS
Item
Description of Items
Estimated Unit
No.
Quanity
1
REMOVE 12" WATER VALVE
1 EA
2
REMOVE 8" WATER LINE (CO A4)
15 LF
3
REMOVE 12" WATERLINE
6 LF
4
4"-12" PRESSURE PLUG (CO A4)
2 EA
5
2" WATER SERVICE (CO#A2)
2 EA
6
----------------------
VALVE BOX ADJUSTMENT
2 EA
Sub-Total
of Previous Unit
UNIT II: SANITARY SEWER IMPROVEMENTS
Item Description of Items Estimated Unit
No. Quanity
----------------------
1 REMOVE 8" SEWER LINE 15 LF
2 DUCTILE IRON SEWER FITTINGS 0.1 TN
3 4' MANHOLE 3 EA
4 MANHOLE VACUUM TESTING 3 EA
5 TRENCH SAFETY 20 LF
6 EPDXY MANHOLE LINER 33 VF
7 MANHOLE ADJUSTMENT, MINOR (CO A4) 1 EA
----------------------
Sub-Total of Previous Unit
----------------------
DOE Number 3923
Estimate Number 1
Payment Number 1
For Period Ending 2/23/2024
Unit Cost Estimated Completed Completed
Total Quanity Total
$450.00 $450.00 1 $450.00
$60.00 $900.00 15 $900.00
$32.50 $195.00 6 $195.00
$416.67 $833.34 2 $833.34
$4,000.00 $8,000.00 2 $8,000.00
$100.00 $200.00 2 $200.00
---------------
$10,578.34 $10,578.34
Unit Cost Estimated Completed Completed
Total Quanity Total
----------------
$60.00 $900.00 15 $900.00
$4,300.00 $430.00 0.1 $430.00
$4,450.00 $13,350.00 3 $13,350.00
$250.00 $750.00 3 $750.00
$1.00 $20.00 20 $20.00
$350.00 $11,550.00 33 $11,550.00
$1,660.00 $1,660.00 1 $1,660.00
$28,660.00 $28,660.00
Wednesday, March 6, 2024 Page 2 of 4
City Project Numbers 103923
Contract Name COVENANT CLASSICAL SCHOOL ADDITION
Contract Limits
Project Type WATER & SEWER
Project Funding
Contract Information Summary
Original Contract Amount
Chanhe Orders
Change Order Number A2
Change Order Number A4
Change Order Number A4
Total Contract Price
DOE Number 3923
Estimate Number 1
Payment Number 1
For Period Ending 2/23/2024
$34,295.00
$4,000.00
($716.67)
$1,660.00
$39,238.34
Total Cost of Work Completed $39,238.34
Less % Retained $0.00
Net Earned $39,238.34
Earned This Period $39,238.34
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
$39,238.34
Wednesday, March 6, 2024 Page 3 of 4
City Project Numbers 103923 DOE Number 3923
Contract Name COVENANT CLASSICAL SCHOOL ADDITION Estimate Number 1
Contract Limits Payment Number 1
Project Type WATER & SEWER For Period Ending 2/23/2024
Project Funding
Project Manager NA City Secretary Contract Number
Inspectors G. DEYON / B. MCGILL Contract Date 8/26/2022
Contractor NORTH TEXAS CONTRACTING, INC. Contract Time 120 WD
P.O. BOX 468 Days Charged to Date 85 WD
KELLER , TX 76244 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 $39,238.34
Less % Retained $0.00
Net Earned $39,238.33
Earned This Period $39,238.33
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
$39,238.33
Wednesday, March 6, 2024 Page 4 of 4
DEVELOPER -AWARDED -PROJECT CHANGE ORDER
I PROJECT NAME:
Covenant Classical School
(CONTRACT:
CHANGE
Water, Sewer, Drainage & Paving
ORDER No:
ICFA #
CFA-22-0070 I CITY PARTICIPATION:
NO
I CITY PROJECT #
103923
DOE #
WATER PROJECT #
FID No 30114-0200431-103923-EO7685
Al
(SEWER PROJECT#
FILE #
K-2973
RECEIVED
INSPECTOR:
Brian McGill Phone No:
817-647-2514
PROJECT MANAGER:
Khal Jaafari P.E. Phone No:
817-392-7872 By Khal Jaafari
at 10:48 am,
Jan 04, 2023
CONTRACT UNIT
WATER SEWER
PAVING
DRAINAGE STREET LIGHTS
CONTRACT
Developer Developer
Developer
Developer Developer
DAYS
Cost City Cost Cost City Cost
Cost City Cost
Cost City Cost Cost
City Cost
(ORIGINAL CONTRACT
$7,295.00 $27,000.00
$53,084.00 $0.00
$11,920.00
120
EXTRAS TO DATE
(CREDITS TO DATE
li
(CONTRACT TO DATE
$7,295.00 $0.00 $27,000.00 $0.00
$53,084.00 S0.00
$11,920.00 $0.00 $0.00
$0.00
120
(AMOUNT OF PROP. CHANGE ORDER
($475.00)
0
(REVISED CONTRACT AMOUNT
$7,295.00 $0.00 $27,000.00 $0.00
$52,609.00 $0.00
$11,920.00 $0.00 $0.00
$0.00
120
TOTAL REVISED CONTRACT AMOUNT
PER UNIT
$7,295.00 $27,000.00
$52,609.00
$11,920.00
$0.00
REVISED COST SHARE
Dev. Cost: $98,824.00
'City Cost:
$0.00
TOTAL REVISED CONTRACT
$98,824.00
Revised: 10-12-2011 Page 1
RECEIVED
By Khal Jaafari at 10:49 am, Jan 04, 2023
You are directed to make the following changes in the contract documents
CITY BID ITEM
PAY ITEM # #
QUANTITY
UNIT
ITEM DESCRIPTION UNIT PRICE
TOTAL
3211.0501
95
SY
6" Lime Treatment
I 3211.0400
1.43
TN
Hydrated Lime
3211.0113
95
SY
8" Flexible Base, Type A,GR-1 $5.00
$475.00
TOTAL
$4i,,00,
REASONS FOR CHANGE ORDER
Due to small area, replacing hydrated lime and associated items with flexible base. Changes correspond to Revision No. 1 as shown on sheet C11.00.
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:
Baird, Hampton & Brown, Inc.
By:
Name: Edward Chadwick
Title: Project Manager
APPROVED:
Covenant Classical School
By. •
Name: Christain Ellis
Title: Chair, Building Committee
APPROVED:
North Texas Contracting, Inc.
By:
Name: Nick IV
Title: Project Manager
Revised: 10-12-2011
Page 2
PROJECT NAME:
CONTRACT:
CFA #
CITY PROJECT #
DOE #
WATER PROJECT #
SEWER PROJECT #
FILE #
INSPECTOR:
PROJECT MANAGER:
DEVELOPER -AWARDED -PROJECT CHANGE ORDER
Covenant Classical School
Water, Sewer, Drainage & Paving
CFA-22-0070 CITY PARTICIPATION:I
103923
IFID No 30114-0200431-103923-EO7685
I
I K-2973
Brian McGill
Khal Jaafari P.E.
WATER
Developer
Cost
ORIGINAL CONTRACT
$7,295.00
EXTRAS TO DATE
CREDITS TO DATE
CONTRACT TO DATE
$7,295 00
AMOUNT OF PROP. CHANGE ORDER
$4,000 00
REVISED CONTRACT AMOUNT
$11,295 00
TOTAL REVISED CONTRACT AMOUNT
PER UNIT
$11,295.00
REVISED COST SHARE
Dev. Cost:
TOTAL REVISED CONTRACT
I
01
Phone No: 817-647-2514
Phone No: 817-392-7872
CONTRACT UNIT
SEWER I PAVING I
$27,000.00
$27,000.00
$27,000.00
$27,000.00
$102,824.00
$53,084.00
$475.00
$52,609.00
$52,609.00
$52
$102,824.00
CHANGE
ORDER No:
RECEIVED
By Khal Jaafari at 11:44 pm, Sep 24, 2023
STREET LIGHTS
CONTRACT
DAYS
120
120
0
120
Revised: 10-12-2011 Page 1
You are directed to make the following changes in the contract documents
j CITY BID ITEM
PAY ITEM # # QUANTITY UNIT ITEM DESCRIPTION
3312.2203 5 1 EA 2" Water Service
1 TOTAL
REASONS FOR CHANGE ORDER
Addition of irrigation service. Changes correspond to Revision No. 2 as shown on sheet C5.01
UNIT PRICE TOTAL
$4.000.00 $4,000.00
$4,000.00
RECEIVED
By Khal Jaafari at 11:45 pm, Sep 24, 2023
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:
Baird, Hampton & Brown, Inc. Covenant Clas " chooi •
By: c' By: M.
Name: Edward Chadwick Name: Christain Ellis
Title: Project Manager Title: Chair, Building Committee
APPROVED:
North Texas Contracjk7g, Inc.
By: _.._._
Name: ck Lou
Title: Pro ect Mana er _ _
Revised: 10-12-2011 Page 2
PROJECT NAME:
CONTRACT:
CFA #
CITY PROJECT #
DOE #
WATER PROJECT #
SEWER PROJECT #
FILE #
DEVELOPER -AWARDED -PROJECT CHANGE ORDER
Covenant Classical School
Water, Sewer, Drainage & Paving
CFA-22-0070 CITY PARTICIPATION:[
103923
FID No 30114-0200431-103923-EO7685
K-2973
NO
CHANGE
ORDER No:
A3
INSPECTOR:
Brian McGill
Phone No:
817-647-2514
PROJECT MANAGER:
Khal Jaafari P.E.
Phone No:
817-392-7872
CONTRACT UNIT
WATER
SEWER
PAVING
I DRAINAGE
I
STREET LIGHTS
Developer
Developer
Developer
eveloper
Developer
Cost
City Cost
Cost
CityCost
Cost
City Cost
Cost
City Cost
Cost
City Go
ORIGINAL CONTRACT
$7,295.00
I $27,000.00
$53,084.00
S0.00
$11,920.00
EXTRAS TO DATE
$4,000.00
CREDITS TO DATE
$475.00
CONTRACT TO DATE
$11,295.00
$0.00
$27,000.00
S0.00
$52,609.00
$0.00
$11,920.00
$0.00
$0.00
_ $0.00
AMOUNT OF PROP. CHANGE ORDER
I $3,400.00
REVISED CONTRACT AMOUNT
$11,295.00
$0.00
$27,000.00
S0.00
$52,609.00
$0.00
$15,320.00
50.00
$0.00
$0.00
TOTAL REVISED CONTRACT AMOUNT
PER UNIT
$11,295.00
$27,000.00
$52,609.00
$15,320.00
$0.00
REVISED COST SHARE
Dev. Cost:
$106,224.00
City Cost:
$0.00
TOTAL REVISED CONTRACT
$106,224.00
CONTRACT
DAYS
120
120
0
120
Revised: 10-12-2011 Page 1
You are directed to make the following changes in the contract documents
CITY BID ITEM
PAY ITEM #
# QUANTITY UNIT ITEM DESCRIPTION
UNIT PRICE
TOTAL
3349.5001
4 1 EA 10' Curb Inlet
($5.300.00)
1$5,300.001
3349.8001
4 1 EA 10' Type 2 Inlet
$8,700.00
$8,700.00
TOTAL
$3,400.00
REASONS FOR CHANGE ORDER
Type 2 Inlet used in lieu of standard inlet to avoid conflict with franchise utility in street parkway. Changes correspond to Revision No. 3 as shown on sheet C8.01
& C11.02
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:
Baird, Hampton & Brown, Inc.
By: C
Name: Edward Chadwick
Title: Project Manager
APPROVED:
Covenant Clas chool �� _ •
Name: Christain Ellis
Title: Chair, Building Committee
APPROVED:
North Texas Contr cting, Inc.
By: purY--
Name: Nick
Title: Project Manager
Revised: 10-12-2011 Page 2
PROJECT NAME:
CONTRACT:
CFA #
CITY PROJECT #
DOE #
WATER PROJECT #
SEWER PROJECT #
FILE #
INSPECTOR:
PROJECT MANAGER:
DEVELOPER -AWARDED -PROJECT CHANGE ORDER
Covenant Classical School
Water, Sewer, Drainage & Paving
CFA-22-0070
103923
FID No 30114-0200431-103923-EO7685
K-2973
Brian McGill
Khal Jaafari P.E
CITY PARTICIPATION:1 NO
Phone No:
Phone No:
WATER
Developer
SEWER
Developer
Cost City Cost
Cost CN
ORIGINAL CONTRACT
$7,295.00
$27,000,00
EXTRAS TO DATE
$4.000.00
CREDITS TO DATE
CONTRACT TO DATE
$11,295.00 $0.00
$27,000.00 fl
AMOUNT OF PROP. CHANGE ORDER
($716.67)
$1,660.00
REVISED CONTRACT AMOUNT
$10.578.33 i0.00
$28,660.00 it
TOTAL REVISED CONTRACT AMOUNT
PER UNIT
$10,578.33
$28,660.00
REVISED COST SHARE
Dev. Cost:
$107,167.33
TOTAL REVISED CONTRACT
CHANGE
ORDER No:
A4
DRAINAGE STREET LIGHTS
r Developer
Goat Cost Cky Cost Cost City Cost Cost City Cost
$53,0s4.00 $0.00 $11,920.00
$3,400.00
$475.00
.00 $52,609.00 $0.00 $15,320.00 $0.00 $0.00 i0.00
.00 $52,609.00 50.Ou $15,320.00 i0,00 $0.00 30,00
$52,609.00 $15,320.00 $0.00
Gity Cost: 10.00
$107,167.33
817-647-2514
817-392-7872
CONTRACT UNIT
PAVING
CONTRACT
DAYS
120
120
0
120
Revised: 10-12-2011 Page 1
You are directed to make the following changes in the contract documents :
CITY BID ITEM
PAY ITEM #
# QUANTITY
UNIT
ITEM DESCRIPTION
UNIT PRICE
TOTAL
0241.1013
2 5
LF
Remove 8" Water Line
($60.001
($300.00t
0241.1118
4 1
EA
4"-12" Pressure Plug
($416.67)
($416.671
3305.0107
1
EA
_ Manhole Adjustment, Minor
$1,660.00
$1,660.00
TOTAL ___
$943.33
_
REASONS FOR CHANGE ORDER
Existing water stub out is corroded
and pipe removal omitted from
project. Existing 24" diameter sewer manhole top is within pavement replacement
and being
upgraded to a 30" diameter cover_
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:
Baird. Hampton & Brown, Inc.
BY: _C'�'"�
Name: Edward Chadwick
Title: Project Manager
APPROVED:
Covenant Classical School
By. /i • rAw
Name: Christain Ellis
Title: Chair, Building Committee
APPROVED:
North Texas Contracting, Inc.
By:
Name: Nick L - _1
Title: Proiect Manager
Revised: 10-12-2011 Page 2
FORTWORTH.
M,
TRANSPORTATION AND PUBLIC WORKS
February 23, 2024
North Texas Contracting, Inc
4999 Keller Hicks Rd
Fort Worth, TX 76244
RE: Acceptance Letter
Project Name: Covenant Classical School Addition
Project Type: water, sewer, paving, and drainage
City Project No.: 103923
To Whom It May Concern:
On February 20, 2024 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 February 23, 2024. 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 February 23, 2024, which is the date
of the punch list completion and will extend of two (2) years in accordance with the Contract
Documents.
If you have any questions concerning this letter of acceptance, please feel free to contact me at 817-
392-7872.
Sincerely,
Khal Taafari P. E.
Khal Jaafari P.E. (Mar 13, 202416:33 CDT)
Khal Jaafari, Project Manager
Cc: Brian McGill, Inspector
Gary Deyon, Inspection Supervisor
Edward Davila, Senior Inspector
Andrew Goodman, Program Manager
Baird, Hampton, and Brown, Inc, Consultant
North Texas Contracting, Inc, Contractor
Covenant Classical School, Developer
File
E-Mail: TPW_Acceptance@fortworthtexas.gov
Rev. 8/20/19
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 Nick Louy, PM Of
NORTH TEXAS CONTRACTING, INC, 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;
CPN 103923 Covenant Classical School Addit' ns - Water & Sewer
BY -
Nick Louy
Subscribed and sworn before me on this date 7 of March, 2024.
Av� I A /Q_ �AA /r—
otary Public
TARRANT,TX
Yy ��/LAUREN THOMPSON
'r0 A = Notary Public, State of Texas
Comm. Expires 06-22-2026
or.
"MI 1% Notary ID 131616268
CONSENT OF SURETY TO REDUCTION IN OWNER ❑
OR PARTIAL RELEASE OF RETAINAGE ARCHITECT ❑
ALA Document G707A CONTRACTOR ElSURETY ❑
(Instructions on reverse side) Bond No. SU 1186401 OTHER ❑
TO OWNER: ARCHITECT'S PROJECT NO.:
(Name and address)
COVENANT CLASSICAL SCHOOL AND THE CITY OF FORT
WORTH
1701 Wind Star Way CONTRACT FOR: City Project No. 103923
Fort Worth, TX, 76108 Water, Sanitary Sewer, Drainage, and Paving Improvements for Covenant
Classical School
PROJECT:
(Name and addre&s)
Covenant Classical School
Fort Worth, TX,
CONTRACT DATED:
In accordance with the provisions of the Contract between the Owner and the Contractor as indicated above, the
(Insert name and address of Surety)
ARCH INSURANCE COMPANY
Harborside 3, 210 Hudson Street, Suite 300
Jersey City, NJ, 07311-1107
, SURETY,
on bond of
(Insert name and address of Contractor)
NORTH TEXAS CONTRACTING, INC.
4999 Keller Haslet Rd.
Keller, TX,76248
, CONTRACTOR,
hereby approves the reduction in or partial release of retainage to the Contractor as follows:
Release of Public Water and Sewer Improvements in the amount of $39,238.34
The Surety agrees that such reduction in or partial release of retainage to the Contractor shall not relieve the Surety of any of its
obligations to
(Insert name and address of Owner)
COVENANT CLASSICAL SCHOOL AND THE CITY OF FORT WORTH
1701 Wind Star Way
Fort Worth, TX, 76108
as set forth in said Surety's bond.
, OWNER,
IN WITNESS WHEREOF, the Surety has hereunto set its hand on this date: March 8, 2024
(Insem in writing the month followed by the numeric date and,vear.)
ARCH INSURANCE COMPANY
(Sureh )
(Signature of authorized repmventalfiv)
Attest:
(mil),. �/��c� Robbi Morales, Attornev-i n- Fact
(Printed name and title)
A9& CdOtE UMT 0"7A CON&RNT OF &URRW TO REDUCTION IN OR PARTIAL RRI-EA&R OF
RETAINAGE • 1994 EDMON • 'ALA • 01994 • THE AMERICAN INsTrrUTF OF ARCHITECTS, 1735
NEW YORK AVENUE, NW, WASHINGTON, D.C. 20006-5292 - WARNING: Unlicensed photocopying G707A-1994
violates U.S. copyrlgM Ism and W N subject the violator to lapel prosecution.
00456
This Power of Attorney limits the acts of those named herein, and they have no authority to bind the Company except in the manner and to the extent herein stated.
Not valid for Note, Loan, Letter of Credit, Currency Rate, Interest Rate or Residential Value Guarantees.
POWER OF ATTORNEY
Know All Persons By These Presents:
That the Arch Insurance Company, a corporation organized and existing under the laws of the State of Missouri, having its principal administrative office in Jersey City,
New Jersey (hereinafter referred to as the "Company") does hereby appoint:
Don E. Cornell, Joshua Saunders, Kelly A. Westbrook, Mikaela Peppers, Ricardo J. Reyna, Robbi Morales, Sophinie Hunter, Tina McEwan and Tonle
Petranek of Dallas, TX (EACH)
its true and lawful Attomey(s)in-Fact, to make, execute, seal, and deliver from the date of issuance of this power for and on its behalf as surety, and as its act and deed:
Any and all bonds, undertakings, recognizances and other surety obligations, in the penal sum not exceeding One Hundred Fifty Million Dollars ($150.000.000.00).
This authority does not permit the same obligation to be split into two or more bonds In order to bring each such bond within the dollar limit of authority as set forth
herein.
The execution of such bonds, undertakings, recognizances and other surety obligations in pursuance of these presents shall be as binding upon the said Company as
fully and amply to all intents and purposes, as if the same had been duly executed and acknowledged by its regularly elected officers at its principal administrative
office in Jersey City, New Jersey.
This Power of Attorney is executed by authority of resolutions adopted by unanimous consent of the Board of Directors of the Company on August 31, 2022, true and
accurate copies of which are hereinafter set forth and are hereby certified to by the undersigned Secretary as being in full force and effect:
"VOTED, That the Chairman of the Board, the President, or the Executive Vice President, or any Senior Vice President, of the Surety Business Division, or their
appointees designated in writing and filed with the Secretary, or the Secretary shall have the power and authority to appoint agents and attorneys -in -fact, and to
authorize them subject to the limitations set forth in their respective powers of attorney, to execute on behalf of the Company, and attach the seal of the Company
thereto, bonds, undertakings, recognizances and other surety obligations obligatory in the nature thereof, and any such officers of the Company may appoint agents for
acceptance of process. "
This Power of Attorney is signed, sealed and certified by facsimile under and by authority of the following resolution adopted by the unanimous consent of the Board of
Directors of the Company on August 31, 2022:
VOTED, That the signature of the Chairman of the Board, the President, or the Executive Vice President, or any Senior Vice President, of the Surety Business
Division, or their appointees designated in writing and filed with the Secretary, and the signature of the Secretary, the seal of the Company, and certifications by the
Secretary, may be affixed by facsimile on any power of attorney or bond executed pursuant to the resolution adopted by the Board of Directors on August 31, 2022, and
any such power so executed, sealed and certified with respect to any bond or undertaking to which it is attached, shall continue to be valid and binding upon the
Company. In Testimony Whereof, the Company has caused this instrument to be signed and its corporate seal to be affixed by their authorized officers, this 23'" day
of March, 2023.
Attested and Certified rg 0A Arch Insurance Company
WKfCM,�rE 7'� WeL,,�
1C // 1971 1$
Regan'tt. Shulman, Secretary Stephen C. Ruschak, Executive Vice President
STATE OF PENNSYLVANIA SS
COUNTY OF PHILADELPHIA SS �ISi4Yt�
I, Michele Tripodi, a Notary Public, do hereby certify that Regan A. Shulman and Stephen C. Ruschak personally known to me to be the same persons whose names
are respectively as Secretary and Executive Vice President of the Arch Insurance Company, a Corporation organized and existing under the laws of the State of
Missouri, subscribed to the foregoing instrument, appeared before me this day in person and severally acknowledged that they being thereunto duly authorized signed,
sealed with the corporate seal and delivered the said instrument as the free and voluntary act of said corporation and as their own free and voluntary.7acts for the uses and
purposes therein set forth. /i Cantr+ot:wratm o1 Pertnrttvania - Notuy Stvl Ah�l
AUCHEtE TR1P001, notary Pubtle
muadmoij County podi, Nota liublic
My Cemmiu!on Exp,res July 31, 2025 Comm+uW Number 116MU My commission expires 07/31 /2025
CERTIFICATION
1, Regan A. Shulman, Secretary of the Arch Insurance Company, do hereby certify that the attached Power of Attorney dated March 23. 2023 on behalf of the
person(s) as listed above is a true and correct copy and that the same has been in full force and effect since the date thereof and is in full force and effect on the date of
this certificate; and I do further certify that the said Stephen C. Ruschak, who executed the Power of Attorney as Executive Vice President, was on the date of execution
of the attached Power of Attorney the duly elected Executive Vice President of the Arch Insurance Company.
IN TESTIMONY WHEREOF, I have hereunto subscribed my name and affixed the corporate seal of the Arch Insurance Company on this 8th day of March
2024 /S
Re A. Shulman, Secretary
This Power of Attorney limits the acts of those named therein to the bonds and undertakings specifically named therein and they have no authority to bind the Company
except in the manner and to the extent herein stated. v�a1100 w
PLEASE SEND ALL CLAIM INQUIRIES RELATING TO THIS BOND TO THE FOLLOWING ADDRESS: ` 3
Arch Insurance — Surety Division wroa yf 4
3 Parkway, Suite 1500 Sint
Philadelphia, PA 19102 t97t
— �ifb01�
To verify the authenticity of this Power of Attorney, please contact Arch insurance Company at Surek2Authentic a insurance.som
Please refer to the above named Attorney -in -Fact and the details of the bond to which th€,power is:attached.
AICPOA040120 Printed in U.S.A.