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HomeMy WebLinkAboutContract 61213FORTWORTH. CSC No. 61213 CONTRACT FOR THE CONSTRUCTION OF BRICK PAVEMENT REHAB UNIT PRICE CONTRACT City Project No. 105115 Mattie Parker Mayor David Cooke City Manager Lauren Prieur Director, Transportation and Public Works Department Prepared for The City of Fort Worth TRANSPORTATION AND PUBLIC WORKS 2023 OFFICIAL RECORD CITY SECRETARY FT. WORTH, TX FORT WORTH(.:) *40ir , "' City of Fort Worth Standard Construction Specification Documents Adopted September 2011 00 00 00 STANDARD CONSTRUCTION SPECIFICATION DOCUMENTS Page 1 of 6 SECTION 00 00 00 TABLE OF CONTENTS Division 00 - General Conditions Last Revised 0005 10 Mayor and Council Communication 07/01/2011 0011 13 Invitation to Bidders 07/19/2021 0021 13 Instructions to Bidders 11/02/2021 0035 13 Conflict of Interest Statement 02/24/2020 00 41 00 Bid Form 09/30/2021 00 42 43 Proposal Form Unit Price 01/20/2012 0043 13 Bid Bond 09/11/2017 00 43 37 nno n�= nno n�z Vendor Compliance to State Law Nonresident Bidder Bidde s Pr-eg alifieations Foment 06/27/2011 nQii�1t not nno n�3 00 45 26 Pr-eg alifieatie St Pr-eq ,. li fi .atior -App, -e-at on Contractor Compliance with Workers' Compensation Law nQ ii�21 07/01/2011 00 45 40 Business Equity Goal 10/27/2021 00 52 43 Agreement 10/06/2023 0061 13 Performance Bond 07/01/2011 0061 14 Payment Bond 07/01/2011 0061 19 Maintenance Bond 07/01/2011 00 61 25 Certificate of Insurance 07/01/2011 00 72 00 General Conditions 08/23/2021 00 73 00 Supplementary Conditions 10/06/2023 Division 01- General Requirements Last Revised 01 1100 Summary of Work 12/20/2012 01 25 00 Substitution Procedures 07/01/2011 01 31 19 Preconstruction Meeting 08/17/2012 01 31 20 Project Meetings 07/01/2011 01 32 16 Construction Schedule 10/06/2023 01 32 33 Preconstruction Video 07/01/2011 01 33 00 Submittals 12/20/2012 01 35 13 Special Project Procedures 03/11/2022 01 45 23 Testing and Inspection Services 03/09/2020 01 50 00 Temporary Facilities and Controls 07/01/2011 01 5526 Street Use Permit and Modifications to Traffic Control 03/22/2021 0157 13 Storm Water Pollution Prevention Plan 07/01/2011 01 58 13 Temporary Project Signage 07/01/2011 01 60 00 Product Requirements 03/09/2020 01 66 00 Product Storage and Handling Requirements 07/01/2011 01 70 00 Mobilization and Remobilization 11/22/2016 01 71 23 Construction Staking and Survey 02/14/2018 01 74 23 Cleaning 07/01/2011 01 77 19 Closeout Requirements 03/22/2021 01 78 23 Operation and Maintenance Data 12/20/2012 01 78 39 Project Record Documents 07/01/2011 CITY OF FORT WORTH BRICK PAVEMENT REHAB UNIT PRICE CONTRACT STANDARD CONSTRUCTION SPECIFICATION DOCUMENTS CITY PROJECT NO 105115 Revised October 6, 2023 00 00 00 STANDARD CONSTRUCTION SPECIFICATION DOCUMENTS Page 2 of 6 Technical Specifications which have been modified by the Engineer specifically for this Project; hard copies are included in the Project's Contract Documents Division 32 - Exterior Improvements 32 1123 Flexible Base Courses 32 1320 Concrete Sidewalks, Driveways and Barrier Free Ramps 32 1416 Brick Unit Paving Division 33 - Utilities 3305 14 Adjusting Manholes, Inlets, Valve Boxes, and Other Structures to Grade Technical Specifications listed below are included for this Project by reference and can be viewed/downloaded from the City's website at: htti):Hfortworthtexas.2ov/tuw/contractors/ or httvs:Hapus.fortworthtexas.gov/Proi ectResources/ Division 02 - Existing Conditions Last Revised 0241 13 Selective Site Demolition 03/11/2022 0241 15 Paving Removal 02/02/2016 Division 03 - Concrete 033000 C" Ix Pl^ te 03io�2 03-34-13 Controlled l e Tow St,.o,-,,,tl, M tofu (C S i 4 12/2042012 Division 26 - Electrical 260543 Undergr-e ,..,1 Duets andRaee,: ays for- >rlootriaal Eye 0701Q 26-03-38 Eommuriaati �6 Division 31- Earthwork 31 00 00 Site Clearing 03/22/2021 3123 16 Unclassified Excavation 01/28/2013 31� �4 00 Emi-a. k afAs 01 io 4�tJ 3100 Gabiens 1'1 i�lz 3 1� �. 1 2 ��-zvriviz Division 32 - Exterior Improvements 32 01 1 4 T U 12�2042012 �-i-vrro Tcrr�vrary-��[Ya'lllt Itl�ixgzccparr rrazvrzvzz 320129 r ner-ete Pa-y ng U 12/2042012 CITY OF FORT WORTH BRICK PAVEMENT REHAB UNIT PRICE CONTRACT STANDARD CONSTRUCTION SPECIFICATION DOCUMENTS CITY PROJECT NO 105115 Revised October 6, 2023 00 00 00 STANDARD CONSTRUCTION SPECIFICATION DOCUMENTS Page 3 of 6 Z7�3 27�9 32 1133 Flexible Base !''.,ufses Time Treated Base (`oufsow Cement Treated Base Courses 12/'f�zr204201-2 Q/7rc�-20aoiz 06/10/2022 3'� T ;,,,,;a Trea4e l coil fteaklizaaf n4/o 1�t5 32 1216 '27�3 Asphalt Paving A 12/20/2012 32 13 13 s,.hak Pa-y ng C -aek Sealants Concrete Paving 12/'fr�-zvriviz 06/10/2022 32 13 20 32 1373 Gone,-ete Side all-0, D,i.,eways ,-ad nafr-ier- Ffe3 rLant'rA f",., T ;mot Sealants Pa-y 12/n�22 11 /' 0,L2viz 32 14 16 e fete ng lfick TJ-N.'t lw"ing 12/20,L2012 32 1613 32 3 32 5 Concrete Curb and Gutters and Valley Gutters Pa-,,e., et# >\R.,,.kings rw-b Address Paip ing 12/09/2022 06/10 n�i 1 11 1 /n�13 3231 3 27�0 3232 13 Chain Fences and Gates W -e Fences and Ga4es C %n Plao a Concrete Retaining g Walls 12/20,L2012 12/20,L2012 06 /no c�a 3291 19 Topsoil Placement and Finishing of Roadway Right-of-ways 03/11/2022 32 92 13 Sodding 05/13/2021 3292 14 N0:4 *W' :' 05/1 3293 43 Trees and U.--.ruLc 12/�Q Division 33 - Utilities Aa.,nhele Tesg+i. 330130 30 33 0131 Sewer- and Close C .,,,,;t Television (CCT3» I-aspo t;on Fwl.:afy SeweF 09/nmr07,90 9 03/10 1� �i 3301 32 Closed-r;rc,,;t Television (CCTv) Inspecfi6i—StG1�`R�l�03/1 1 022 3303 10 33 04 10 %'rw0 Pl.t�'nx/tY.....f Existing Sewer- Systo TeipA Bending .,*.a Qeetfieal 1sel.,tie 12/'fr�rzvrzviz 12/'fizrzvriviz 33 04-12 133 04-30 MagrzjcWm Anode C tt,edie Pr-ete tie System Temperar-y x/a4e f Sef,,; n , Testing - 12/�tz n�/nQ„ 1�n 33 04 40 33 05 10 Cleaning and eepta-nee of W4e Mains Utility Trench Excavation, Embedment, and Backfill 02/06,L2013. 04/02/2021 1 71 /7zz�-20/-2012 33--05 12 3305 13 .. Wa4e - Line Lower -in Frame, Cover and Grade Rings Adjusting 1�,�� T Other-� t., t 2V3'ui 6 2S, H3 E}tr�Zu i'�1�6�'c2S� isl3 vt�ivca�'2Sze 09/09/2022 1�i 33--0�-44 3305 16 Gfade Concrete Water Vaults n�/10 12/20/2012 3305 17 '2'23 05 20 Concrete Collars erg 03/11/2022 12/'frz�-zvriviz 1 71 /'fez 330521 21 33-03-23 33 4 Tunnel Liner- Plate d Tu�rewlixg T,,,..,..el T ; last.,llafie -, F r..rrief Pipe i Casing Plate 12/2n/2n12 -� 12/09,L20i or- of 330526 26 3s-v5-av��7srv7rr U 14-y Ti a-ke -s/T ...,., a fs i� v �7lll%1:4 12/'fez �r2vrcvrc 33 1105 33 11 0 1�91 , PIutO, ,Rs".7 Gaskets Ductile ir-e Pipe 12/20a012 11 /n 2 CITY OF FORT WORTH BRICK PAVEMENT REHAB UNIT PRICE CONTRACT STANDARD CONSTRUCTION SPECIFICATION DOCUMENTS CITY PROJECT NO 105115 Revised October 6, 2023 00 00 00 STANDARD CONSTRUCTION SPECIFICATION DOCUMENTS Page 4 of 6 3,, 1 1 �� �� pt et;le 1 F nn/20420,'7 �n0:4�1trj..l��S �T 12 Polyvinyl rt.le,.;ae (nvr4 n.essufe Pipe no/no�i ✓3 11 13 et3 Pr000uro Pir. a, Ba f Wrapped, Stool Cylinder- Type 17lrcr20QO12 ?,3 11 11 wed 9tod Pir_ ,,,.a—� 12/'�12 33 1210 Water Services 1-inch to 2-inch 02/14/2017 132 , 2 1 1 Large Ala4e . >\ aetefs 1 2 /�12 nc/no�15 Des l;ef4 33 12 20 33 1221 Seated Gate Valve n WW k P_ub sur gamed a„tteff y Valves nn /7vT 23QO19 to tef mains 33 1225 33 12 30 33 1240 Cenneet;e.. Existing Al 02/03. Geml.;fia4 e., Air- Valve n sse,v.l.l;es 4Z 11V-t ,/ j `xl4o, Systems , 2/7r�rzvriviz L';.� n, /0 4 33 1250 W-atar Ewmr) a Sta4ions , 2 /zz 20QO 12 � 3331 2 Sta-ad.,.a Blew off Valve 0 �Z00 Ql^1a41'JI�% 6/19QO12 Gtffea in Ulaee Pipe irrnn4 12/�12 ?% �3 Fiber -glass Reiffef:ee.l Pipe for- !`...,.,;tom. Sa* t ffy SeweF 12/'f�zrzvriviz i? 3i ks High Dens;t.. Polyethylene e (DvE) Dlrj x Eanl ,-Sewer nn /7vT 23QO19 333120 Uely.yi y G left e (PVC) r_fa-yi CwAitary r�owwe-r--r4ppe no/no�i 333121 EmAilar der Pipe ZZ 41 �� �z 33 3123 S.,r; Sewc r T g 12/20,L20 2 � Eli-- grin �� S.,..;tafy Sewef Pipe L`,..1argeme,..t , 2/7zzrzv/-2viz 333150 S,,..;tafy Sewef Sef-,4 ,e retffeetimr,. xAd I; n nn /o�t3 22�8 3339 10 11�v a Air- Va4ye fee Sa-m tafy Sewer- x:e,.ee Mains 12/20/2012 EBi�41'/trl�t l �� Cast i Dl.,ee !'o e.ete T\R.,ft eles 12/'ice n.eeast rene.ete manholes 12/7 z 333930 33 39 40 3-3 39-C8 33 41 Fiber -glass Manholes ,2/7rc�-20QO12 Wastewa4e, n e ess rt,,.mbe,. (WAG) r) , 21�� �€or F -4, ,, c o,:,o, cta , t ,, os 04 / Reiff ,.ee,l rere,.ete Ste Sewer- Pipe/r„lyet4s 07/n� 1�n Z , 1 1 �, 1 � � � f High Density Polyethylene ( OF 12/2042017 �,) iiYSt� Des 33 41 �rpIJ�� D ei fe feel Uelyethy e,.e (V .PE) Piro „ /1 s ,-3 ^1 !1 13 46( Palk..,. ,.,. y ewe Pipe F f St.0 T��� n6/1�22 drainage 171 /' 33 --� 33 4601 z mom Draim 07/n�14- 33 4602 07/01 011 33--499 Plaoa Manholes ..a.7 T„ „tie., Bees 12/20QO14 r,,,.>, inlets n3/1�,�22 32�o 32�4v a -a Drop 14e.,,1.� ally an ,,,..,,.,lls 07/n1 L2011 err �r��..e o„,n Division 34 - Transportation 34 41 T,-.,Ff;e Signals- 03/lei 34 41 10.0 nt Gap it 12/1aL201e �v-r rr�tt'1;C�3xnei�t�l �rrtr6ner C—a�iaet �zrrvravz� 34 41 rrt c10.02 n t t 13 it SpuE�xixei�r� �ntreaereeifi c4i6n 02,L2012 34 41 10.03 n r-rtt&ehm€fft G S6ftw4'kFeSpe-vpveificc^cti6ii 0iQ0Q ?/I 11 11 T e, , T,-.,ffie Signals , , /7 3 ?/I 11 13 ne,.,e. ing T,-..ff e Signals n'2/l�i 34 41 2n 7' t n &sembl;es 12/2042012 7rrrzv ��' ��U�,.' rra-avrtvzz 34 n�0T r 0 �tor�1. r �T�T� ia>a}� l'��rvs 6115QO1 c34 .oz 06r15rsoz-S 34�03 Residcrtil LEDTL�, L wmi ipoa n6/,o�I-5 CITY OF FORT WORTH BRICK PAVEMENT REHAB UNIT PRICE CONTRACT STANDARD CONSTRUCTION SPECIFICATION DOCUMENTS CITY PROJECT NO 105115 Revised October 6, 2023 00 00 00 STANDARD CONSTRUCTION SPECIFICATION DOCUMENTS 34 4130 AlumKNUM 9gls 34 41 50 Single Mode Fiber- Optie Cable 3471 13 Traffic Control Appendix FE-4.01 GC--40,1 Um FE-4.06 Lac., .dour >~iw;, efff ef4 l Condition .,t Site GC-6.06. D Minority and Women Owned Business Enterprise Compliance GC-6.07 Wage Rates GCI-6-M IN itG-ax.a r T Fib-S.21 N GN-0.0 General Notes GR nl 60 nn Pr-e tier Requi ka mcnts GS-0.0 Standard Construction Details END OF SECTION Page 5 of 6 114242013. 02/o�6 03/22/2021 CITY OF FORT WORTH BRICK PAVEMENT REHAB UNIT PRICE CONTRACT STANDARD CONSTRUCTION SPECIFICATION DOCUMENTS CITY PROJECT NO 105115 Revised October 6, 2023 City of Fort Worth, Texas Mayor and Council Communication DATE: 02/13/24 M&C FILE NUMBER: M&C 24-0116 LOG NAME: 202024 BRICK PAVEMENT UNIT PRICE CONTRACT SUBJECT (ALL) Authorize Execution of a Unit Price Contract with C. Greenscaping, LP, in an Amount Not to Exceed $550,000.00 for Task Order Construction Services Related to Brick Pavement Rehabilitation Projects at Various Locations with Two Consecutive One Year Renewals for the Same Amount RECOMMENDATION: It is recommended that the City Council authorize execution of a unit price contract with C. Greenscaping, LP, in an amount not to exceed $550,000.00 for task order construction services for brick pavement rehabilitation projects at various locations in the City, with up to two consecutive one year renewals for the same amount. DISCUSSION: This contract will provide construction services on an as -needed (task order) basis for brick pavement rehabilitation projects throughout the City. The brick rehabilitation projects include the installation of brick pavement, brick sidewalks, curb ramps, driveways, concrete curb and gutter, and other localized pavement maintenance activities. The contract amount is capped at $550,000.00. The contract may be renewed up to two (2) consecutive one year renewals for the same amount. The project was bid in a low bid format to determine unit prices to be paid when task orders are issued under the brick pavement rehabilitation unit price projects. This project was advertised for bid on November 2, 2023, and November 9, 2023, in the Fort Worth Star -Telegram. On November 30, 2023, the following bid was received: Bidder IC. Greenscaping, LP Amount $3,149,474.60 This task order contract will serve current and future capital projects as -needed, and a funds availability verification will be performed by the Transportation & Public Works Contract Compliance Managers prior to task order assignment. M/WBE OFFICE— C. Greenscaping, LP, is in compliance with the City's Business Equity Ordinance by committing to 100% MWBE participation on this project. The City's MBE goal on this project is 15%. This unit price contract is located in ALL COUNCIL DISTRICTS. FISCAL INFORMATION / CERTIFICATION: The Director of Finance certifies that funds are available in the current capital budgets, as previously appropriated, in the various capital improvement program funds to support the approval of the recommendation and execution of the contract. Prior to any expenditure being incurred, the Transportation & Public Works Department has the responsibility to validate the availability of funds. Submitted for Citv Manaaer's Office bv: William Johnson 5806 Oriainatina Business Unit Head: Lauren Prieur 6035 Additional Information Contact: Monty Hall 8662 0011 13 INVITATION TO BIDDERS Page 1 of 2 1 SECTION 00 1113 2 INVITATION TO BIDDERS 3 RECEIPT OF BIDS 4 Sealed bids for the construction of BRICK PAVEMENT REHABILITATION UNIT PRICE 5 CONTRACT, City project No. 105115 will be received by the City of Fort Worth Purchasing 6 Office until 1:30 P.M. CST, Thursday, November 30, 2023 as further described below: 7 8 City of Fort Worth 9 Purchasing Division 10 200 Texas Street 11 Fort Worth, Texas 76102 12 13 Bids will be accepted by: US Mail, Courier, FedEx or hand delivery at the address above; 14 15 Bids will be opened publicly and read aloud at 2:00 PM CST in the City Council Chambers. 16 17 GENERAL DESCRIPTION OF WORK 18 The major work will consist of the (approximate) following: brick pavement, brick sidewalk and 19 brick curb ramp repair and/or replacement, repair and installation of concrete curb & gutter, curb 20 ramps, sidewalk and driveways. The purpose of this invitation is to set unit prices, the City's 21 contract budget may be less than the bid amounts, therefore, the City is not obligated to award the 22 contract for the full bid amount. 23 24 DOCUMENT EXAMINATION AND PROCUREMENTS 25 The Bidding and Contract Documents may be examined or obtained on-line by visiting the City 26 of Fort Worth's Purchasing Division website at httt)://www.fortworthtexas.gov/Durchasin�_ / and 27 clicking on the link to the advertised project folders on the City's electronic document 28 management and collaboration system site. The Contract Documents may be downloaded, 29 viewed, and printed by interested contractors and/or suppliers. 30 31 Copies of the Bidding and Contract Documents may be purchased from Tariqul Islam, 817-392- 32 2486, email: tariqul.islam@fortworthtexas.gov. City of Fort Worth, TPW, 5001 James Avenue, 33 Fort Worth, TX 76115. 34 35 The cost of Bidding and Contract Documents is: $30.00 36 37 EXPRESSION OF INTERSEST 38 To ensure potential bidders are kept up to date of any new information pertinent to this project, all 39 interested parties are requested to email Expressions of Interest in this procurement to the City 40 Project Manager and the Design Engineer. The email should include the company's name, 41 contact person and that individual's email address and phone number. All Addenda will be 42 distributed directly to those who have expressed an interest in the procurement and will also be 43 posted in the City of Fort Worth's purchasing website at http://fortworthtexas.gov/purchasing/ 44 45 PREBID CONFERENCE — Web Conference 46 A prebid conference will be held as discussed in Section 00 21 13 - INSTRUCTIONS TO 47 BIDDERS at the following date, and time via a web conferencing application: 48 DATE: Thursday, November 16, 2023 49 TIME: 10.00 A.M. CITY OF FORT WORTH BRICK PAVEMENT REHAB UNIT PRICE CONTRACT STANDARD CONSTRUCTION SPECIFICATION DOCUMENT City Project No. 105115 Revised 7/19/2021 50 51 52 53 54 55 56 57 58 59 60 61 62 63 64 65 66 67 68 69 70 71 72 73 74 75 76 77 78 79 80 81 0011 13 INVITATION TO BIDDERS Page 2 of 2 Invitations with links to the web conferencing application will be distributed directly to those who have submitted an Expression of Interest. If a prebid conference is held, the presentation and any questions and answers provided at the prebid conference will be issued as an Addendum to the call for bids. If a prebid conference is not being held, prospective bidders can e-mail questions or comments in accordance with Section 6 of the Instructions to Bidders referenced above to the project manager(s) at the e-mail addresses listed below. Emailed questions will suffice as "questions in writing." If necessary, Addenda will be issued pursuant to the Instructions to Bidders. CITY'S RIGHT TO ACCEPT OR REJECT BIDS City reserves the right to waive irregularities and to accept or reject any or all bids. AWARD City will award a contract to the Bidder presenting the lowest price, qualifications and competencies considered. FUNDING Any Contract awarded under this INVITATION TO BIDDERS is expected to be funded from revenues generated from bonds, grants etc. and reserved by the City for the Project. INQUIRIES All inquiries relative to this procurement should be addressed to the following: Attn: Tariqul Islam, City of Fort Worth Email: tariaul.islam(a,fortworthtexas.2ov ADVERTISEMENT DATES November 2, 2023 November 9, 2023 END OF SECTION CITY OF FORT WORTH BRICK PAVEMENT REHAB UNIT PRICE CONTRACT STANDARD CONSTRUCTION SPECIFICATION DOCUMENT City Project No. 105115 Revised 7/19/2021 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 31 32 33 34 35 36 37 38 39 40 41 42 43 44 45 46 47 SECTION 00 2113 INSTRUCTIONS TO BIDDERS 1. Defined Terms 0021 13 INSTRUCTIONS TO BIDDERS Pagel of 8 1.1. Capitalized terms used in these INSTRUCTIONS TO BIDDERS are defined in Section 00 72 00 - GENERAL CONDITIONS. 1.2. Certain additional terms used in these INSTRUCTIONS TO BIDDERS have the meanings indicated below which are applicable to both the singular and plural thereof. 1.2.1. Bidder: Any person, firm, partnership, company, association, or corporation acting directly through a duly authorized representative, submitting a bid for performing the work contemplated under the Contract Documents. 1.2.2. Nonresident Bidder: Any person, firm, partnership, company, association, or corporation acting directly through a duly authorized representative, submitting a bid for performing the work contemplated under the Contract Documents whose principal place of business is not in the State of Texas. 1.2.3. Successful Bidder: The lowest responsible and responsive Bidder to whom City (on the basis of City's evaluation as hereinafter provided) makes an award. 2. Copies of Bidding Documents 2.1. Neither City nor Engineer shall assume any responsibility for errors or misinterpretations resulting from the Bidders use of incomplete sets of Bidding Documents. 2.2. City and Engineer in making copies of Bidding Documents available do so only for the purpose of obtaining Bids for the Work and do not authorize or confer a license or grant for any other use. 4. Examination of Bidding and Contract Documents, Other Related Data, and Site 4.1. Before submitting a Bid, each Bidder: 4.1.1. Shall examine and carefully study the Contract Documents and other related data identified in the Bidding Documents (including "technical data" referred to in Paragraph 4.2. below). No information given by City or any representative of the City other than that contained in the Contract Documents and officially promulgated addenda thereto, shall be binding upon the City. 4.1.2. Should visit the site to become familiar with and satisfy Bidder as to the general, local and site conditions that may affect cost, progress, performance or furnishing of the Work. CITY OF FORT WORTH BRICK PAVEMENT REHAB UNIT PRICE CONTRACT STANDARD CONSTRUCTION SPECIFICATION DOCUMENT City Project No. 105115 Revised/Updated November 2, 2021 0021 13 INSTRUCTIONS TO BIDDERS Page 2 of 8 48 4.1.3. Shall consider federal, state and local Laws and Regulations that may affect cost, 49 progress, performance or furnishing of the Work. 50 51 4.1.4. OMITTED 52 53 4.1.5. Shall study all: (i) reports of explorations and tests of subsurface conditions at or 54 contiguous to the Site and all drawings of physical conditions relating to existing 55 surface or subsurface structures at the Site (except Underground Facilities) that 56 have been identified in the Contract Documents as containing reliable "technical 57 data" and (ii) reports and drawings of Hazardous Environmental Conditions, if any, 58 at the Site that have been identified in the Contract Documents as containing 59 reliable "technical data." 60 61 4.1.6. Is advised that the Contract Documents on file with the City shall constitute all of 62 the information which the City will furnish. All additional information and data 63 which the City will supply after promulgation of the formal Contract Documents 64 shall be issued in the form of written addenda and shall become part of the Contract 65 Documents just as though such addenda were actually written into the original 66 Contract Documents. No information given by the City other than that contained in 67 the Contract Documents and officially promulgated addenda thereto, shall be 68 binding upon the City. 69 70 4.1.7. Should perform independent research, investigations, tests, borings, and such other 71 means as may be necessary to gain a complete knowledge of the conditions which 72 will be encountered during the construction of the project. For projects with 73 restricted access, upon request, City may provide each Bidder access to the site to 74 conduct such examinations, investigations, explorations, tests and studies as each 75 Bidder deems necessary for submission of a Bid. Bidder must fill all holes and 76 clean up and restore the site to its former conditions upon completion of such 77 explorations, investigations, tests and studies. 78 79 4.1.8. Shall determine the difficulties of the Work and all attending circumstances 80 affecting the cost of doing the Work, time required for its completion, and obtain all 81 information required to make a proposal. Bidders shall rely exclusively and solely 82 upon their own estimates, investigation, research, tests, explorations, and other data 83 which are necessary for full and complete information upon which the proposal is 84 to be based. It is understood that the submission of a proposal or bid is prima -facie 85 evidence that the Bidder has made the investigations, examinations and tests herein 86 required. 87 88 4.1.9. Shall promptly notify City of all conflicts, errors, ambiguities or discrepancies in or 89 between the Contract Documents and such other related documents. The Contractor 90 shall not take advantage of any gross error or omission in the Contract Documents, 91 and the City shall be permitted to make such corrections or interpretations as may 92 be deemed necessary for fulfillment of the intent of the Contract Documents. 93 94 4.2. Reference is made to Section 00 73 00 — Supplementary Conditions for identification of: 95 CITY OF FORT WORTH BRICK PAVEMENT REHAB UNIT PRICE CONTRACT STANDARD CONSTRUCTION SPECIFICATION DOCUMENT City Project No. 105115 Revised/Updated November 2, 2021 0021 13 INSTRUCTIONS TO BIDDERS Page 3 of 8 96 4.2.1. those reports of explorations and tests of subsurface conditions at or contiguous to 97 the site which have been utilized by City in preparation of the Contract Documents. 98 The logs of Soil Borings, if any, on the plans are for general information only. 99 Neither the City nor the Engineer guarantee that the data shown is representative of 100 conditions which actually exist. 101 102 4.2.2. those drawings of physical conditions in or relating to existing surface and 103 subsurface structures (except Underground Facilities) which are at or contiguous to 104 the site that have been utilized by City in preparation of the Contract Documents. 105 106 4.2.3. copies of such reports and drawings will be made available by City to any Bidder 107 on request. Those reports and drawings may not be part of the Contract 108 Documents, but the "technical data" contained therein upon which Bidder is entitled 109 to rely as provided in Paragraph 4.02. of the General Conditions has been identified 110 and established in Paragraph SC 4.02 of the Supplementary Conditions. Bidder is 111 responsible for any interpretation or conclusion drawn from any "technical data" or 112 any other data, interpretations, opinions or information. 113 114 4.2.4. Standard insurance requirements, coverages and limits. 115 116 4.3. The submission of a Bid will constitute an incontrovertible representation by Bidder: (i) 117 that Bidder has complied with every requirement of this Paragraph 4, (ii) that without 118 exception the Bid is premised upon performing and furnishing the Work required by the 119 Contract Documents and applying the specific means, methods, techniques, sequences or 120 procedures of construction (if any) that may be shown or indicated or expressly required 121 by the Contract Documents, (iii) that Bidder has given City written notice of all 122 conflicts, errors, ambiguities and discrepancies in the Contract Documents and the 123 written resolutions thereof by City are acceptable to Bidder, and when said conflicts, 124 etc., have not been resolved through the interpretations by City as described in 125 Paragraph 6., and (iv) that the Contract Documents are generally sufficient to indicate 126 and convey understanding of all terms and conditions for performing and furnishing the 127 Work. 128 129 4.4. The provisions of this Paragraph 4, inclusive, do not apply to Asbestos, Polychlorinated 130 biphenyls (PCBs), Petroleum, Hazardous Waste or Radioactive Material covered by 131 Paragraph 4.06. of the General Conditions, unless specifically identified in the Contract 132 Documents. 133 134 5. Availability of Lands for Work, Etc. 135 136 5.1. The lands upon which the Work is to be performed, rights -of -way and easements for 137 access thereto and other lands designated for use by Contractor in performing the Work 138 are identified in the Contract Documents. All additional lands and access thereto 139 required for temporary construction facilities, construction equipment or storage of 140 materials and equipment to be incorporated in the Work are to be obtained and paid for 141 by Contractor. Easements for permanent structures or permanent changes in existing 142 facilities are to be obtained and paid for by City unless otherwise provided in the 143 Contract Documents. 144 CITY OF FORT WORTH BRICK PAVEMENT REHAB UNIT PRICE CONTRACT STANDARD CONSTRUCTION SPECIFICATION DOCUMENT City Project No. 105115 Revised/Updated November 2, 2021 0021 13 INSTRUCTIONS TO BIDDERS Page 4 of 8 145 5.2.Outstanding right-of-way, easements, and/or permits to be acquired by the City are listed 146 in Paragraph SC 4.01 of the Supplementary Conditions. In the event the necessary right- 147 of -way, easements, and/or permits are not obtained, the City reserves the right to cancel 148 the award of contract at any time before the Bidder begins any construction work on the 149 project. 150 151 5.3. The Bidder shall be prepared to commence construction without all executed right-of- 152 way, easements, and/or permits, and shall submit a schedule to the City of how 153 construction will proceed in the other areas of the project that do not require permits 154 and/or easements. 155 156 6. Interpretations and Addenda 157 158 6.1. All questions about the meaning or intent of the Bidding Documents are to be directed to 159 City in writing on or before 2 p.m., the Monday prior to the Bid opening. Questions 160 received after this day may not be responded to. Interpretations or clarifications 161 considered necessary by City in response to such questions will be issued by Addenda 162 delivered to all parties recorded by City as having received the Bidding Documents. 163 Only questions answered by formal written Addenda will be binding. Oral and other 164 interpretations or clarifications will be without legal effect. 165 166 Address questions to: 167 168 City of Fort Worth 169 200 Texas Street 170 Fort Worth, TX 76102 171 Attn: Tariqul Islam, Transportation and Public Works 172 Email: tariqul.islam@fortworthtexas.gov 173 Phone: 817-392-2486 174 175 176 6.2. Addenda may also be issued to modify the Bidding Documents as deemed advisable by 177 City. 178 179 6.3. Addenda or clarifications may be posted via the City's electronic document management 180 and collaboration system at httr)s:Hdoes.b360.autodesk.com/shares/13ca3ae4-455d- 181 4973-ab374509al45afc9 182 183 6.4. A prebid conference may be held at the time and place indicated in the Advertisement or 184 INVITATION TO BIDDERS. Representatives of City will be present to discuss the 185 Project. Bidders are encouraged to attend and participate in the conference. City will 186 transmit to all prospective Bidders of record such Addenda as City considers necessary 187 in response to questions arising at the conference. Oral statements may not be relied 188 upon and will not be binding or legally effective. 189 190 7. Bid Security 191 192 7.1. Each Bid must be accompanied by a Bid Bond made payable to City in an amount of five 193 (5) percent of Bidder's maximum Bid price, on the form attached or equivalent, issued 194 by a surety meeting the requirements of Paragraph 5.01 of the General Conditions. 195 CITY OF FORT WORTH BRICK PAVEMENT REHAB UNIT PRICE CONTRACT STANDARD CONSTRUCTION SPECIFICATION DOCUMENT City Project No. 105115 Revised/Updated November 2, 2021 0021 13 INSTRUCTIONS TO BIDDERS Page 5 of 8 196 7.2. The Bid Bonds provided by a Bidder will be retained until the conditions of the Notice of 197 Award have been satisfied. If the Successful Bidder fails to execute and return the 198 Contract Documents within 14 days after the Notice of Award conveying same, City 199 may consider Bidder to be in default, rescind the Notice of Award and act on the Bid 200 Bond. Such action shall be City's exclusive remedy in the event Bidder is deemed to 201 have defaulted. 202 203 8. Contract Times 204 The number of days within which, or the dates by which, Milestones are to be achieved in 205 accordance with the General Requirements and the Work is to be completed and ready for 206 Final Acceptance is set forth in the Agreement or incorporated therein by reference to the 207 attached Bid Form. 208 209 9. Liquidated Damages 210 Provisions for liquidated damages are set forth in the Agreement. 211 212 10. Substitute and "Or -Equal" Items 213 The Contract, if awarded, will be on the basis of materials and equipment described in the 214 Bidding Documents without consideration of possible substitute or "or -equal" items. 215 Whenever it is indicated or specified in the Bidding Documents that a "substitute" or "or- 216 equal" item of material or equipment may be furnished or used by Contractor if acceptable to 217 City, application for such acceptance will not be considered by City until after the Effective 218 Date of the Agreement. The procedure for submission of any such application by Contractor 219 and consideration by City is set forth in Paragraphs 6.05A., 6.05B. and 6.05C. of the General 220 Conditions and is supplemented in Section 0125 00 of the General Requirements. 221 222 11. Subcontractors, Suppliers and Others 223 224 11.1. In accordance with the City's Business Equity Ordinance No.25165-10-2021 the City 225 has goals for the participation of minority business and/or women business 226 enterprises in City contracts $100,000 or greater. See Section 00 45 40 for the 227 M/WBE Project Goals and additional requirements. Failure to comply shall render 228 the Bidder as non -responsive. 229 230 Business Equity Ordinance No.25165-10-2021, as amended (replacing Ordinance 231 No. 24534-11-2020), codified at: 232 httos://codelibrarv.amleaal.com/codes/ftworth/latest/ftworth tx/0-0-0-22593 233 234 11.2. No Contractor shall be required to employ any Subcontractor, Supplier, other person 235 or organization against whom Contractor or City has reasonable objection. 236 237 12. Bid Form 238 239 12.1. The Bid Form is included with the Bidding Documents; additional copies may be 240 obtained from the City. 241 CITY OF FORT WORTH BRICK PAVEMENT REHAB UNIT PRICE CONTRACT STANDARD CONSTRUCTION SPECIFICATION DOCUMENT City Project No. 105115 Revised/Updated November 2, 2021 0021 13 INSTRUCTIONS TO BIDDERS Page 6 of 8 242 12.2. All blanks on the Bid Form must be completed and the Bid Form signed in ink. 243 Erasures or alterations shall be initialed in ink by the person signing the Bid Form. A 244 Bid price shall be indicated for each Bid item, alternative, and unit price item listed 245 therein. In the case of optional alternatives, the words "No Bid," "No Change," or 246 "Not Applicable" may be entered. Bidder shall state the prices for which the Bidder 247 proposes to do the work contemplated or furnish materials required. All entries shall 248 be legible. 249 250 12.3. Bids by corporations shall be executed in the corporate name by the president or a 251 vice-president or other corporate officer accompanied by evidence of authority to 252 sign. The corporate seal shall be affixed. The corporate address and state of 253 incorporation shall be shown below the signature. 254 255 12.4. Bids by partnerships shall be executed in the partnership name and signed by a 256 partner, whose title must appear under the signature accompanied by evidence of 257 authority to sign. The official address of the partnership shall be shown below the 258 signature. 259 260 12.5. Bids by limited liability companies shall be executed in the name of the firm by a 261 member and accompanied by evidence of authority to sign. The state of formation of 262 the firm and the official address of the firm shall be shown. 263 264 12.6. Bids by individuals shall show the Bidder's name and official address. 265 266 12.7. Bids by joint ventures shall be executed by each joint venture in the manner indicated 267 on the Bid Form. The official address of the joint venture shall be shown. 268 269 12.8. All names shall be typed or printed in ink below the signature. 270 271 12.9. The Bid shall contain an acknowledgement of receipt of all Addenda, the numbers of 272 which shall be filled in on the Bid Form. 273 274 12.10. Postal and e-mail addresses and telephone number for communications regarding the 275 Bid shall be shown. 276 277 12.11. Evidence of authority to conduct business as a Nonresident Bidder in the state of 278 Texas shall be provided in accordance with Section 00 43 37 — Vendor Compliance 279 to State Law Non Resident Bidder. 280 281 13. Submission of Bids 282 Bids shall be submitted on the prescribed Bid Form, provided with the Bidding Documents, 283 at the time and place indicated in the Advertisement or INVITATION TO BIDDERS, 284 addressed to Purchasing Manager of the City, and shall be enclosed in an opaque sealed 285 envelope, marked with the City Project Number, Project title, the name and address of 286 Bidder, and accompanied by the Bid security and other required documents. If the Bid is sent 287 through the mail or other delivery system, the sealed envelope shall be enclosed in a separate 288 envelope with the notation "BID ENCLOSED" on the face of it. 289 290 14. Withdrawal of Bids 291 CITY OF FORT WORTH BRICK PAVEMENT REHAB UNIT PRICE CONTRACT STANDARD CONSTRUCTION SPECIFICATION DOCUMENT City Project No. 105115 Revised/Updated November 2, 2021 0021 13 INSTRUCTIONS TO BIDDERS Page 7 of 8 292 14.1. Bids addressed to the Purchasing Manager and filed with the Purchasing Office may 293 be withdrawn prior to the time set for bid opening. A request for withdrawal must be 294 made in writing and delivered to the Purchasing Office to receive a time stamp prior 295 to the opening of Bids. A timely withdrawn bid will be returned to the Bidder or, if 296 the request is within one hour of bid opening, will not be read aloud and will 297 thereafter be returned unopened. 298 299 14.2. In the event any Bid for which a withdrawal request has been timely filed has been 300 inadvertently opened, said Bid and any record thereof will subsequently be marked 301 "Withdrawn" and will be given no further consideration for the award of contract. 302 303 15. Opening of Bids 304 Bids will be opened and read aloud publicly. An abstract of the amounts of the base Bids and 305 major alternates (if any) will be made available to Bidders after the opening of Bids. 306 307 16. Bids to Remain Subject to Acceptance 308 All Bids will remain subject to acceptance for a minimum of 90 days or the time period 309 specified for Notice of Award and execution and delivery of a complete Agreement by 310 Successful Bidder. City may, at City's sole discretion, release any Bid and nullify the Bid 311 security prior to that date. 312 313 17. Evaluation of Bids and Award of Contract 314 17.1. City reserves the right to reject any or all Bids, including without limitation the rights 315 to reject any or all nonconforming, nonresponsive, unbalanced or conditional Bids 316 and to reject the Bid of any Bidder if City believes that it would not be in the best 317 interest of the Project to make an award to that Bidder. City reserves the right to 318 waive informalities not involving price, contract time or changes in the Work and 319 award a contract to such Bidder. Discrepancies between the multiplication of units of 320 Work and unit prices will be resolved in favor of the unit prices. Discrepancies 321 between the indicated sum of any column of figures and the correct sum thereof will 322 be resolved in favor of the correct sum. Discrepancies between words and figures 323 will be resolved in favor of the words. 324 325 17.1.1. Any or all bids will be rejected if City has reason to believe that collusion exists 326 among the Bidders, Bidder is an interested party to any litigation against City, 327 City or Bidder may have a claim against the other or be engaged in litigation, 328 Bidder is in arrears on any existing contract or has defaulted on a previous 329 contract, Bidder has performed a prior contract in an unsatisfactory manner, or 330 Bidder has uncompleted work which in the judgment of the City will prevent or 331 hinder the prompt completion of additional work if awarded. 332 333 17.2. In addition to Bidder's relevant prequalification requirements, City may consider the 334 qualifications and experience of Subcontractors, Suppliers, and other persons and 335 organizations proposed for those portions of the Work where the identity of such 336 Subcontractors, Suppliers, and other persons and organizations must be submitted as 337 provided in the Contract Documents or upon the request of the City. City also may 338 consider the operating costs, maintenance requirements, performance data and 339 guarantees of major items of materials and equipment proposed for incorporation in 340 the Work when such data is required to be submitted prior to the Notice of Award. 341 CITY OF FORT WORTH BRICK PAVEMENT REHAB UNIT PRICE CONTRACT STANDARD CONSTRUCTION SPECIFICATION DOCUMENT City Project No. 105115 Revised/Updated November 2, 2021 0021 13 INSTRUCTIONS TO BIDDERS Page 8 of 8 342 17.3. City may conduct such investigations as City deems necessary to assist in the 343 evaluation of any Bid and to establish the responsibility, qualifications, and financial 344 ability of Bidders, proposed Subcontractors, Suppliers and other persons and 345 organizations to perform and furnish the Work in accordance with the Contract 346 Documents to City's satisfaction within the prescribed time. 347 348 17.4. Contractor shall perform with his own organization, work of a value not less than 349 3 5 % of the value embraced on the Contract, unless otherwise approved by the City. 350 351 17.5. If the Contract is to be awarded, it will be awarded to lowest responsible and 352 responsive Bidder whose evaluation by City indicates that the award will be in the 353 best interests of the City. 354 355 17.6. Pursuant to Texas Government Code Chapter 2252.001, the City will not award 356 contract to a Nonresident Bidder unless the Nonresident Bidder's bid is lower than 357 the lowest bid submitted by a responsible Texas Bidder by the same amount that a 358 Texas resident bidder would be required to underbid a Nonresident Bidder to obtain a 359 comparable contract in the state in which the nonresident's principal place of 360 business is located. 361 362 17.7. A contract is not awarded until formal City Council authorization. If the Contract is 363 to be awarded, City will award the Contract within 90 days after the day of the Bid 364 opening unless extended in writing. No other act of City or others will constitute 365 acceptance of a Bid. Upon the contract award, a Notice of Award will be issued by 366 the City. 367 368 17.7.1. The contractor is required to fill out and sign the Certificate of Interested 369 Parties Form 1295 and the form must be submitted to the Project Manager 370 before the contract will be presented to the City Council. The form can be 371 obtained at httus://www.ethics.state.tx.us/data/forms/1295/1295.udf 372 373 17.8. Failure or refusal to comply with the requirements may result in rejection of Bid. 374 375 18. Signing of Agreement 376 377 18.1. When City issues a Notice of Award to the Successful Bidder, it will be accompanied 378 by the required number of unsigned counterparts of the Project Manual. Within 14 379 days thereafter, Contractor shall sign and deliver the required number of counterparts 380 of the Project Manual to City with the required Bonds, Certificates of Insurance, and 381 all other required documentation. 382 383 384 18.2. City shall thereafter deliver one fully signed counterpart to Contractor. 385 386 387 END OF SECTION CITY OF FORT WORTH BRICK PAVEMENT REHAB UNIT PRICE CONTRACT STANDARD CONSTRUCTION SPECIFICATION DOCUMENT City Project No. 105115 Revised/Updated November 2, 2021 00 35 13 CONFLICT OF INTEREST STATEMENT Page 1 of 1 SECTION 00 36 13 CONFLICT OF INTEREST STATEMENT Each bidder, offeror or respondent to a City of Fort Worth procurement is required to complete a Conflict of Interest Questionnaire or certify that one is current and on file with the City Secretary's Office pursuant to state law. If a member of the Fort Worth City Council, any one or more of the City Manager or Assistant City Managers, or an agent of the City who exercise discretion in the planning, recommending, selecting or contracting with a bidder, offeror or respondent is affiliated with your company, then a Local Government Officer Conflicts Disclosure Statement (CIS) may be required. You are urged to consult with counsel regarding the applicability of these forms and Local Government Code Chapter 176 to your company. The referenced forms may be downloaded from the links provided below. Form CIQ (Conflict of Interest Questionnaire) (state.tx.us) https://www.ethics. state.tx, us/data/forms/conflict/CIS.pdf 1 CIQ Form does not apply ❑ CIQ Form is on file with City Secretary ❑ CIQ Form is being provided to the City Secretary X CIS Form does not apply ❑ CIS Form is on File with City Secretary ❑ CIS Form is being provided to the City Secretary BIDDER: C. Green Scaping, LP 2401 Handley Ederville Rd Ft. Worth, TX 76118 END OF SECTION CITY OF FORT WORTH STANDARD CONSTRUCTION SPECIFICATION DOCUMENTS Revised February 24, 2020 By: Curtis J. Green Signature . Title: Vice President BRICK PAVEMENT REHAB UNIT PRICE CONTRACT 105115 00 41 00 Bid Proposal Workbook 00 41 00 BID FORM Page 1 of 3 SECTION 00 41 00 BID FORM TO: The Purchasing Manager c/o: The Purchasing Division 200 Texas Street City of Fort Worth, Texas 76102 FOR: BRICK PAVEMENT REHAB UNIT PRICE CONTRACT City Project No.: 105115 Units/Sections: BRICK PAVING 1. Enter Into Agreement The undersigned Bidder proposes and agrees, if this Bid is accepted, to enter into an Agreement with City in the form included in the Bidding Documents to perform and furnish all Work as specified or indicated in the Contract Documents for the Bid Price and within the Contract Time indicated in this Bid and in accordance with the other terms and conditions of the Contract Documents. 2. BIDDER Acknowledgements and Certification 2.1. In submitting this Bid, Bidder accepts all of the terms and conditions of the INVITATION TO BIDDERS and INSTRUCTIONS TO BIDDERS, including without limitation those dealing with the disposition of Bid Bond. 2.2. Bidder is aware of all costs to provide the required insurance, will do so pending contract award, and will provide a valid insurance certificate meeting all requirements within 14 days of notification of award. 2.3. Bidder certifies that this Bid is genuine and not made in the interest of or on behalf of any undisclosed individual or entity and is not submitted in conformity with any collusive agreement or rules of any group, association, organization, or corporation. 2.4. Bidder has not directly or indirectly induced or solicited any other Bidder to submit a false or sham Bid. 2.5. Bidder has not solicited or induced any individual or entity to refrain from bidding. 2.6. Bidder has not engaged in corrupt, fraudulent, collusive, or coercive practices in competing for the Contract. For the purposes of this Paragraph: a. "corrupt practice" means the offering, giving, receiving, or soliciting of any thing of value likely to influence the action of a public official in the bidding process. b. "fraudulent practice" means an intentional misrepresentation of facts made (a) to influence the bidding process to the detriment of City (b) to establish Bid prices at artificial non-competitive levels, or (c) to deprive City of the benefits of free and open competition. c. 'collusive practice" means a scheme or arrangement between two or more Bidders, with or without the knowledge of City, a purpose of which is to establish Bid prices at artificial, non- competitive levels. CITY OF FORT WORTH BRICK PAVEMENT REHAB UNIT PRICE CONTRACT STANDARD CONSTRUCTION SPECIFICATION DOCUMENTS 105115 Revised 9/30/2021 00 41 00 Bid Proposal Workbook.xlsx 0041 00 BID FORM Page 2 of 3 d. 'coercive practice" means harming or threatening to harm, directly or indirectly, persons or their property to influence their participation in the bidding process or affect the execution of the Contract. 4. Time of Completion 4.1. The Work will be complete for Final Acceptance within the days specified in each task order. 4.2. Bidder accepts the provisions of the Agreement as to liquidated damages in the event of failure to complete the Work (and/or achievement of Milestones) within the times specified in the Agreement. 5. Attached to this Bid The following documents are attached to and made a part of this Bid: ,, . This Bid Form, Section 00 41 00 Required Bid Bond, Section 00 43 13 issued by a surety meeting the requirements of Paragraph 5.01 of the General Conditions. Proposal Form, Section 00 42 43 . Vendor Compliance to State Law Non Resident Bidder, Section 00 43 37 e. MWBE Forms (optional at time of bid) 19/Conflict of Interest Affidavit, Section 00 35 13 *If necessary, CIQ or CIS forms are to be provided directly to City Secretary h. Any additional documents that may be required by Section 12 of the Instructions to Bidders 6. Total Bid Amount 6.1. Bidder will complete the Work in accordance with the Contract Documents for the following bid amount. In the space provided below, please enter the total bid amount for this project. Only this figure will be read publicly by the City at the bid opening. 6.2. It is understood and agreed by the Bidder in signing this proposal that the total bid amount entered below is subject to verification and/or modification by multiplying the unit bid prices for each pay item by the respective estimated quantities shown in this proposal and then totaling all of the extended amounts. Total Bid 7. Bid Submittal This Bid is submitted on November 30, 2023 $3,149,474.60 by the entity named below. CITY OF FORT WORTH STANDARD CONSTRUCTION SPECIFICATION DOCUMENTS Revised 9/30/2021 BRICK PAVEMENT REHAB UNIT PRICE CONTRACT 105115 Ft. Worth - CPN 105115; Brick Pavement Rehab.xlsx Respectfully submitted, By: -- �(Signature) Curtis J. Green (Printed Name) Title: Vice President Company: C. Green Scaping, LP Address: 2401 Handley Ederville Rd Ft. Worth, TX 76118 State of Incorporation: Texas Email: cgreen@greenscaping.com Phone: 817-577-9299 END OF SECTION Receipt is acknowledged of the following Addenda: lAddendum No. 1: jAddendum No. 2: NIA Addendum No. 3: ^ Addendum No. 4: 1 Corporate Seal: 0041 00 BID FORM Page 3 of 3 Initial CITY OF FORT WORTH BRICK PAVEMENT REHAB UNIT PRICE CONTRACT STANDARD CONSTRUCTION SPECIFICATION DOCUMENTS 105115 Revised 9/30/2021 00 41 00 Bid Proposal Workbook UNIT PRICE BID BID ITEM NO. 1 I Railroad Flagmen I 2 Remove Sidewalk Bricks 3 Remove Brick Curbs (Planters) 4 Remove ADA Ramp Bricks 5 Remove Brick Pavement Description 6 Remove Detectable Warning Brick or Pavers 7 Remove Asphalt Pavement 8 Remove Stamped Concrete 9 Remove Concrete Curb & Gutter 10 Remove Concrete Base 11 Remove Concrete Sidewalk 12 Remove Concrete Drive 13 Remove Concrete Pavement 14 jSite Clearing 0042 43 BID PROPOSAL Page I of4 SECTION 00 42 43 PROPOSALFORM Bidder's Application PROJECT ITEM INFORMATION BIDDER'S PROPOSAL Specification Section ( Unit of I Quantity Quantity (Max Unit Price Bid Value No. Measure Range per range) 1 UNIT 9 - General Requirements I 013513 I WD I SOI 101 $ 240.00 $ 2,4D0.00 BASE BID - UNIT 1- General Conditions) $ 2,400.00 I UNIT 2-Existing Conditions 1-100 Soo $ 5.00 $ 500.00 101-500 500 $ 4.00 $ 2,000.00 , 024113 SF 501-1000 1000 $ 4.00 $ 4,000.00 1001+ 1001 $ 4.00 $ 4,004.00I 1-50 50 $ 30.00 $ 500.00 51-1D0 100 $ 9.00 $ 900.00) 024115 LF 101-500 500 $ 9.00 $ 4,500.00 501+ Sol $ 9.00 $ 4,509.00 1-500 Soo $ 6.00 $ 3,000.00 024113 SF 501-1000 1000 $ 5.00 $ 5,000.00 3001+ 1001 $ 5.00 $ 5,D05.00I 1-100 100 $ 36.00 $ 3,600.00 I 101-500 Soo $ 35.00 $ 17,500.00 024115 SY 501-1000 1000 $ 34.00 $ 34,000.00 1001+ 1001 $ 34.00 $ 34,034.00. 1-50 50 $ 6.00 5 300.00 02 41 13 SF I 51-100 100 $ 6.00 $ 600.00 301+ 101 $ 6.00 $ 606.00 1-10 30 $ 40.00 $ 400.00 11-50 50 $ 40.00 $ 2,000.00 02 41 15 SY 51-100 100 $ 35.00 $ 3,500.D0 101+ 101 $ 35.00 $ 3,535.00 1-100 100 $ 36.00 $ 3,600.00 I 101-500 500 $ 32.00 $ 16,000.00 0241 15 SY 501-1000 1000 $ 32.00 $ 32,000.00I 1001+ 1001 $ 30.00 $ 30,030.00 1-50 50 $ 20.00 $ 1,000.00 I 51-100 100 $ 15.00 $ 1,500.00 02 41 13 LF 101-150 ISO $ 15.00 $ 2,250.00 151+ 151 $ 15.00 $ 2,265.00I 1-10 10 $ 40.00 $ 400.00 ' 11-20 20 $ 40.00 $ 800.00 02 41 13 SY 21-30 30 $ 40.00 $ 1,200.00 30+ 31 $ 40.00 $ 1,240.00 1-50 50 $ 5.00 $ 250.00 I 51-100 100 $ 4.00 $ 400.00 024113 SF 101-500 500 $ 4.00 $ 2,000.00 501+ 501 $ 4.00 $ 2,004.00) 1-150 150 $ 5.00 $ 750.00I 024113 SF I 151-Soo Soo $ 4.00 $ 2,000.00 I 501-1000 1000 $ 4.00 $ 4,000.00) 1001+ 1001 $ 4.00 $ 4,004.00 1-10 to $ 60.00 $ 600.00 02 41 15 SY I 11-50 5o $ 55.00 $ 21750.00 51-300 100 $ 50.00 $ 5,000.00 101+ 101 $ 50.00 $ 5,050.00 BASE BID - UNIT 2- Existing Conditions $ 255,086.00I UNIT 3 - Earthwork I 10-500 500 $ 36.00 $ 18,00o.00 310000 SY 150nwo 1o00 $ 34.00 $ 34,000.00 3001+ 1001 $ 32.00 $ 32,032.00 CITY OF FOR] WORTH STANDARD CONSTRIK'11ON SITCHWATK)N D(x-II IFNIS Ro�dsa19i30'2021 BRK'K PAVEMENT REIIAB UNIT PRICE CONTRACT 105115 I W,,nh - CI'N 105115; Imck P-n-t Rehab also UNIT PRICE BID BID ITEM NO. 1 I Railroad Flagmen 15 (Unclassified Excavation Description 16 Flexible Base, Type A, GR-1 17 7" Conc Pvmt HES 18 8" Conc Pvmt HES 19 9" Conc Pvmt HES 20 10" Conc Pvmt HES 21 11" Conc Pvmt HES 22 4" Conc Sidewalk 23 4" Conc Sidewalk, Adjacent to Curb 24 Conc Curb (6" - 8") at Back of Sidewalk 25 6" Concrete Driveway 26 ADA Ramp Bricks 27 Brick Sidewalk Repair 28 Brick Pavement Repair 30 Brick Ramp 31 7" Conc Curb and Gutter 32 Remove and Replace 9" Conc Valley Gutter CUY OF LORI N'OR'nI SIANDARD CONSIRUCIION SI'F.CR;K'AT R)N IX) UMFNIS Reis V 9/30/2021 004243 DID PROPOSAL Pap 2 of 4 SECTION 00 42 43 PROPOSALFORM Bidder's Application PROJECT ITEM INFORMATION BIDDER'S PROPOSAL Specification Section Quantity Quantity (Max I o I Measure Ran l Unit Price J Bid Value UNIT 1- General Requirements 013513 I WD 1 10' 101 $ 240.001 $ 2,400.00 BASE BID - UNIT 1- General Conditions $ 2,400.00 UNIT 2 -Existing Conditions I 312316 I 1-100 10 f 101+I 300I $ 3B..00 $ 3,88.00 BASE BID - UNIT 3-Earthwork $ 91,870.00 UNIT 4 - Extalor improvements 1-50' 50' $ 168.00 $ Ij 8,400.00 51-100 100 $ 1S8.00 $ 15,800.001 321123 CY 1 101-500 500 $ 158.00 $ 79,000.00 501+ 501 $ 156.00 $ 78,156.00 1-10 10 $ 270,00 $ 2,700.00 11-50 50 $ 250.00 $ 12,500.00 3213 13 SY 51-100 100 $ 230.00 $ 23,000.00 101+ 101 $ 220.00 $ 22,220.00 1-10 10 $ 279.00 5 2,790.00 11-50 50 $ 259.00 $ 12,950.00 32 1313 SY 51-100 100 $ 239.00 $ 23,900.00I 101+ 101 $ 229.00 5 23,129.00 1-10 10 $ 288.00 $ 2,880.00 321313 SY 11-50 50 $ 268.00 $ 13,400.00 51.100 100 $ 248.00 $ 24,800.00 101+ 101 $ 238.00 $ 24,038.00 1-10 10 $ 297.00 $ 2,970.00 321313 SY 11-50 50 $ 277.00 $ 13,850.00 51-100 100 $ 257.00 $ 25,700.00 I 101+ 101 $ 247.00 $ 24,947.00 1-10 30 $ 306.00 $ 3,060.00 11-50 50 $ 286.00 $ 14,300.00 321313 SY 51.100 100 $ 266.00 $ 26,600.00 101+ 101 $ 256.00 $ 25,856.00 1-50 50 $ 12.00 $ 600.00 51-100 100 $ 12.00 $ 1,200.00 32 1320 SF 101-500 500 $ 9.00 $ 4,5D0.00 501+ 501 $ 9.00 $ 4,509.00 1-50 50 $ 13.00 $ 650.00 51-100 100 $ 13.00 $ 1300.00 32 13 20 SF 101-500 500 $ 10.00 $ 5:000.00 501+ 501 $ 10.00 $ 5,010.00 1-so 50 $ 16.00 $ 800.00 51-100 1D0 $ 14.00 $ 1,400.00 32 1320 LF ( 101-500 500 $ 12.00 $ 6,000.00 501+ 501 $ 12.00 $ 6,012.00 1-150 150 $ 14.00 $ 2,100.00 151-500 Soo $ 13.00 $ 6,500.00 32 13 20 5F 501-1000 1000 $ 11.00 $ 11,000.00 1001+ 1001 $ 11.00 $ 11,011.00 1-5010 500 $ 16.00 $ 8,000.00 32 14 16 SF 501 -1000 1000 $ 16.00 $ 16,000.00 1001+ 1001 $ 16.00 $ 16,016.00 1-100 100 $ 30.00 $ 3,000.00 101-500 Soo $ 28.00 $ 14,000.00 321416 SF 501-1000 10D0 $ 27.00 $ 27,000.00 1001+ 1001 $ 26.00 $ 26,026.00 1-100 100 $ 330.00 $ 33,000.00 321416 SY 101-500 500 $ 320.00 $ 160,000.00 501-1000 1000 $ 310.00 $ 310,000.00 3000+ 1001 $ 300.00 $ 300,300.00 1-100 100 $ 26.00 $ 2,600.00 32 14 16 SF 101-500 Soo $ 24.00 $ 1210D0.00 501-1D00 1000 $ 23.00 $ 23,000.00 1001+ 1001 $ 23.00 $ 23,023.00 1-so 50 $ 58.00 $ 2,900.00 I 51-100 100 $ 56.00 $ 5,600.00 32 16 13 tF 101450 150 $ 54.00 $ 81100.00 151+ 151 $ 54.00 $ 8,154.00 1-50 50 $ 152.00 $ 7,600.00 024113/321613 SY 51-100 too $ 148.00 $ 14,800.00 101-200 200 $ 144.00 $ 28,800.00 BRICK PAWMI NT R[HAII UNn PRK'F-CONTRACI 105115 11 Wonh - CPN 103115; Brick P-i-it Rclub xlsx 00 42 43 BID PROPOSAL. Page 3 of 4 SECTION 00 42 43 PROPOSALFORM UNIT PRICE BID Bidder's Application PROJECT ITEM INFORMATION BIDDER'S PROPOSAL BID ITEM Description Specification Section I Unitof I Quantity ) Quantity(Max Unit Price Bid Value NO. No. ) Measure Range per range) UNIT 1-General Requirements 1 I Railroad Flagmen I 013513 I WD I 101 101 $ 240.00 I $ 2,400.00 BASE BID - UNIT 1- General Conditions) $ 2,400.00 UNIT 2 - Existing Conditions iq 201+ 201 $ 144.00 $ 28,944.001 1-10 10 $ 70.00 $ 700.001 33 Topsoil 329119 CY 11 -SO 50 $ 64.00 $ 3,200.00 50+ 51 $ 59.00 $ 3,009.DO 1-50 50 $ 11.00 $ 550.001 34 Block Sod Placement 32 92 13 SY 1 51-100 100 $ 10.00 $ 1,000.00 1 1o0+ 101 $ 9.00 $ 909.00I BASEbID- UNIT 4- Exterior Improvements $ 1,662,769.00I I UNIT 5 - Utilities 1-5 5 $ 520.00 $ 2,600.00' 35 Manhole Adjustment, Minor 330514 EA 1 6-10 10 $ 500.00 $ 5,000.00 ll+ 11 $ 500.00 $ S,Soo.Do 1-5 5 $ 320.00 $ 1,600.00 36 Valve Box Adjustment 330514 EA 6-10 10 $ 300.00 $ 3,000.00 11+ 11 $ 3DO.00 $ 3,300.00 1-5 5 $ 180.00 $ 900.00 37 1- Inch Standard Plastic Water Meter Box 331210 EA ( 6.10 10 $ 160.00 $ 1,600.00 11+ 11 $ 160.00 $ 1,760.00 1-5 5 $ 230.00 $ 1,150.00 1 38 1- Inch Standard Concret Water Meter Box 331210 EA 1 6-10 10 $ 210.00 $ 2,100.001 1 11+ 11 $ 210.00 $ 2,310.DO 1 BASE BID - UNIT 5 - Utilities $ 30,820.00 UNIT 6 - Transportation 1 IA 4 $ 800.00 $ 3,200.00 1 39 Portable Message Sign 3471 13 WK 5-20 20 $ 800.00 $ 16,000.00 21+I 21 $ 800.00 $ 16,800.001 1-2 2 $ 2,400.00 $ 4,800.00 40 Traffic Control 024113 MO 3-6 6 $ 2,400.00 $ 14,400.00 7+ 7 $ 2,400.00 $ 16,800.00 BASE BID - UNIT 6-Utilities $ 72,000.00 I UNIT 7 - Non -Standard Items 41 Work Order Mobilization ($0-$50,000) 017000 EA 1 1 $ 2,000.00 $ 2,000.001 1 42 Work Order Mobilization ($50,001 - $200,000) 017000 EA 1 1 $ 5,000.00 $ 5,000.00 43 Work Order Mobilization S200,001-$500,000) 017000 EA 1 1 $ 10,000.00 $ 10,000.001 1 44 Work Order Mobilization($500,DD0+) 017000 EA 1 1 $ 15,000.00 $ 15,000.001 1-100 100 $ 4.00 $ 400.00 45 Remove and Salvage Sidewalk Brick 02 41 13/ 32 14 16 SF I 101-500 5DO $ 3.70 $ 1,850.00 1 501-1000 1000 $ 3.60 $ 3,600.00 3001+ 1001 $ 3.60 $ 3,603.601 1-100 100 $ 158.00 $ 15,800.DO 46 Remove and Repair Brick Pavement (City supplied Brick) 024113/ 32 1416 SY 101-500 Soo $ 154.00 $ 77,000.00 1 501-1000 1000 $ 152.00 5 152,000.00 3000+ 1001 $ 152.00 $ 152,152,00 1-100 100 $ 36.00 $ 3,600.00 47 Remove and Salvage Pavement Brick 02 41 13/ 32 14 16 SY 101-500 Soo $ 33.00 $ 16,500.00 1 501-1000 1000 $ 32.00 $ 32,000.00 1000+ 1001 $ 32.00 $ 32,032.00 1-10 10 $ 30.00 $ 300.00 48 Detectable Warning Brick or Pavers 32 13 20 SF 1 11-50 50 $ 22.00 $ 1,100.00 50+ 51 $ 20.00 $ 1,020.00 1-50 50 $ 58.00 $ 2,900.001 49 Brick Curb 321416 LF 51-100 Too $ 54.00 $ 5,400.00 1 301-500 500 $ 53.00 $ 26,500.00 501+ 501 $ 52.00 $ 26,052.00 TxDOT Item 528 1-75 75 $ 142.00 $ 10,650.00 50 4" Stamped Integral Colored Concrete Colored Textured SY 1 76.200 200 $ 130.00 $ 26,000.00 Concrete and 1 201-500 Soo $ 120.00 $ 60,000.00 Landscape Pavers 501+ 501 $ 120.00 $ 60,120.00 TxDOT Item 528 1-75 75 $ 220.00 $ 16,500.00 51 11" Stamped Integral Colored Concrete Colored Textured SY 1 76-200 200 $ 210.00 $ 42,000.00 Concrete and 1 201-500 Soo $ 200.00 $ 100,000.00 Landscape Pavers I 501+ 501 $ 200.00 $ 100,200.00 1-5 5 $ S30.00 $ 2,650.00 52 Flowable Backfill TxDOT Item 401 �, 1 6-10 10 $ 510.00 $ 51100.00 Flowable Backfill 1 11-15 15 $ 500.00 $ 7,500.00 16+ 16 $ 500.00 $ 8,000.00 1 53 Irrigation Repair Allowance LS 1 1 $ 10,000.00 $ 10,000.00 1 BASE BID - UNIT 7-don-Standard Items $ 1,034,529.60 CnY OF TORT \VORTn BRICK PAVFb1FN r REHAB UNIT PRICE CONTRACT SIANDARD ('ONSIRUf,1I)N SPI'CIFICATTON IX) .tISIILNTS 105115 Rc,i,c49/302021 Il Werth-CPN 105115; Bricl. Ya�cment Rel�nb �Isx 00 42 43 BID PROPOSAL. Page 4 era SECTION 00 42 43 PROPOSALFORM UNIT PRICE BID Bidder's Application PROJECT ITEM INFORMATION BIDDER'S PROPOSAL BID ITEM Description I Specification Section I Unit of I Quantity I Quantity(Max Unit Price Bid Value NO. No. Measure I Range per range) JI J UNIT 1- General Requirements 1 I Railroad Flagmen I 013513 I WD I 101 10' $ 240.00 $ 2,400.00 lBASE BID - UNIT 1- General conditions $ 2,400.00� UNIT 2 - Existing Conditions BASE BID SUMMARY UNIT BASE BID 1 BASE BID - UNIT 1- General Conditions $ 2,400.00 2 BASE BID - UNIT 2- Existing Conditions $ 255,086.00� 3 BASE BID - UNIT 3-Earthwork $ 91,870.00� 4 BASE BID - UNIT 4- Exterior Improvements $ 1,662,769.00' 5 BASE BID - UNIT 5-Utilities $ 30,820.D0) 6 BASE BID - UNIT 6-Transportation $ 72,000.0" 7 BASE BID - UNIT 7-Non-Standard Items $ 1,034,529.60 TOTAL BASE BID $ 3,149,474.60 C HN OP TORT WORIII BRICK PAWMENI REHAB UNN PRICE CONIRACT S IANDARD CONSIRUCTION SPECIIICAI ION IWUMENIS 105115 Re,i.,M 9/30/2021 11 Wemh -CPN 105115; Brick Pa-1-1 Rebab xlsa SECTION 00 43 13 BID BOND KNOW ALL BY THESE PRESENTS: 00 43 13 BID BOND Page 1 of 2 That we, C Green Scaping, LP , known as "Bidder" herein and Merchants Bonding Company (Mutual) a corporate surety duly authorized to do business in the State of Texas, known as "Surety" herein, are held and firmly bound unto the City of Fort Worth, a municipal corporation created pursuant to the laws of Texas, known as "City" herein, in the penal sum of five percent (5%) of Bidder's maximum bid price, in lawful money of the United States, to be paid in Fort Worth, Tarrant County, Texas for the payment of which sum well and truly to be made, we bind ourselves, our heirs, executors, administrators, successors and assigns, jointly and severally, firmly by these presents. WHEREAS, the Principal has submitted a bid or proposal to perform Work for the following project designated as BRICK PAVEMENT REHAB UNIT PRICE CONTRACT NOW, THEREFORE, the condition of this obligation is such that if the City shall award the Contract for the foregoing project to the Principal, and the Principal shall satisfy all requirements and conditions required for the execution of the Contract and shall enter into the Contract in writing with the City in accordance with the terms of such same, then this obligation shall be and become null and void. If, however, the Principal fails to execute such Contract in accordance with the terms of same or fails to satisfy all requirements and conditions required for the execution of the Contract, this bond shall become the property of the City, without recourse of the Principal and/or Surety, not to exceed the penalty hereof, and shall be used to compensate City for the difference between Principal's total bid amount and the next selected bidder's total bid amount. PROVIDED FURTHER, that if any legal action be filed on this Bond, venue shall lie in Tarrant County, Texas or the United States District Court for the Northern District of Texas, Fort Worth Division. IN WITNESS WHEREOF, the Principal and the Surety have SIGNED and SEALED this instrument by duly authorized agents and officers on this the 30 day of November 2023. ATTEeSs ) \E Witness as to i pa CITY OF FORT WORTH STANDARD CONSTRUCTION SPECIFICATION DOCUMENTS Revised 9/30/2021 PRINCIPAL: C Green Scaping, LP BY: Signature Oil tame and Title BRICK PAVEMENT UNIT PRICE CONTRACT 105115 00 41 00 Bid Proposal Workbook Tit�ras to Sure0age Terry - Customer Representative Attach Power of Attorney (Surety) for Attorney -in -Fact 00 43 13 BID BOND Page 2 of 2 Address: 2401 Handley Ederville Road Fort Worth. TX 76118 SURETY: Merchants Bonding Company (Mutual) BY: Aaigln"aturo iLUL m Ginny Buchanan - Power of Attorney Name and Title Address: PO Box 14498 Des Moines. IA 50306-3498 Telephone Number: 800-678-8171 *Note: If signed by an officer of the Surety Company, there must be on file a certified extract from the by laws showing that this person has authority to sign such obligation. If Surety's physical address is different from its mailing address, both must be provided. The date of the bond shall not be prior to the date the Contract is awarded. END OF SECTION CITY OF FORT WORTH STANDARD CONSTRUCTION SPECIFICATION DOCUMENTS BRICK PAVEMENT UNIT PRICE CONTRACT 105115 Revised 9/30/2021 00 41 00 Bid Proposal Workbook Know All Persons By These Presents, that MERCHANTS BONDING COMPANY (MUTUAL) and MERCHANTS NATIONAL BONDING, INC., both being corporations of the State of Iowa, d/b/a Merchants National Indemnity Company (in California only) (herein collectively called the "Companies") do hereby make, constitute and appoint, individually, Chris Long; Erin Neill; Ginny Buchanan; James E King; Jeffery Buckley; Kyle King; Kylie Kelsoe; Melissa Pirkey; Stephen Hopkins their true and lawful Attorney(s)-in-Fact, to sign its name as surety(ies) and to execute, seal and acknowledge any and all bonds, undertakings, contracts and other written instruments in the nature thereof, on behalf of the Companies in their business of guaranteeing the fidelity of persons, guaranteeing the performance of contracts and executing or guaranteeing bonds and undertakings required or permitted in any actions or proceedings allowed by law. This Power-of-Attomey is granted and is signed and sealed by facsimile under and by authority of the following By -Laws adopted by the Board of Directors of Merchants Bonding Company (Mutual) on April 23, 2011 and amended August 14, 2015 and adopted by the Board of Directors of Merchants National Bonding, Inc., on October 16, 2015. "The President, Secretary, Treasurer, or any Assistant Treasurer or any Assistant Secretary or any Vice President shall have power and authority to appoint Attorneys -in -Fact, and to- authorize them to execute on behalf of the Company, and attach the seal of the Company thereto, bonds and undertakings, recognizances, contracts of indemnity and other writings obligatory in the nature thereof." "The signature of any authorized officer and the seal of the Company may be affixed by facsimile or electronic transmission to any Power of Attorney or Certification thereof authorizing the execution and delivery of any bond, undertaking, recognizance, or other suretyship obligations of the Company, and such signature and seal when so used shall have the same force and effect as though manually fixed" In connection with obligations in favor of the Florida Department of Transportation only, it is agreed that the power and aut hority hereby given to the Attomey-in-Fact includes any and all consents for the release of retained percentages and/or final estimates on engineering and construction contracts required by the State of Florida Department of Transportation. It is fully understood that consenting to the State of Florida Department of Transportation making payment of the final estimate to the Contractor and/or its assignee, shall not relieve this surety company of any of its obligations under its bond. In connection with obligations in favor of the Kentucky Department of Highways only, it is agreed that the power and authority hereby given to the Attorney -in -Fact cannot be modified or revoked unless prior written personal notice of such intent has been given to the Commissioner - Department of Highways of the Commonwealth of Kentucky at least thirty (30) days prior to the modification or revocation. In Witness Whereof, the Companies have caused this instrument to be signed and sealed this 6th day of January 2023 . ��,.•,`JOIY4 �••�. +, • • G ' • •,• MERCHANTS BONDING COMPANY (MUTUAL) .� Q� ..... •. n�........ •. MERCHANTS NATIONAL BONDING, INC. �' µp 0/� •' % ; Off' '(iPU jrt' a50•. d/b/a MERCHANTS NATIONAL INDEMNITY COMPANY Co 4�r'O -o- fl •r- -a- �,Z: 2003 : 0; .d 1933 ; By N .�.vi�.. ��',� •y��`;`......•'\�'�ri President STATE OFIOWA `'.1;;( �..•' r•••'••.• COUNTY OF DALLAS ss. " ... On this 6th day of January 2023 before me appeared Larry Taylor, to me personally known, who being by me duly sworn did say that he is President of MERCHANTS BONDING COMPANY (MUTUAL) and MERCHANTS NATIONAL BONDING, INC.; and that the seals affixed to the foregoing instrument are the Corporate Seals of the Companies; and that the said instrument was signed and sealed in behalf of the Companies by authority of their respective Boards of Directors. fain;, KtmLee ,r Commission Number 702737 ` ' My Caommiss on Expires r f April 14, 2024 Notary Public (Expiration of notary's commission does not invalidate this instrument) I, William Warner, Jr., Secretary of MERCHANTS BONDING COMPANY (MUTUAL) and MERCHANTS NATIONAL BONDING, INC., do hereby certify that the above and foregoing is a true and correct copy of the POWER -OF -ATTORNEY executed by said Companies, which is still in full force and effect and has not been amended or revoked. In Witness Whereof, I have hereunto set my hand and affixed the seal of the Companies on this 30 day of November 2023 ��.••Pq�UNq� • �y1E1, Cad.. w Vt ZZ:�• -O- d:�: .N,:;�' -d-��, •...ten Gv�i'rs�/i v : 2003 ; `� : 1933 ; , secretary POA0018 (10/22) ""'" �•����•• 00 43 37 VENDOR COMPLIANCE TO STATE LAW Page 1 of 1 SECTION 00 43 37 VENDOR COMPLIANCE TO STATE LAW NON RESIDENT BIDDER Texas Government Code Chapter 2252 was adopted for the award of contracts to nonresident bidders. This law provides that, in order to be awarded a contract as low bidder, nonresident bidders (out-of-state contractors whose corporate offices or principal place of business are outside the State of Texas) bid projects for construction, improvements, supplies or services in Texas at an amount lower than the lowest Texas resident bidder by the same amount that a Texas resident bidder would be required to underbid a nonresident bidder in order to obtain a comparable contract in the State which the nonresident's principal place of business is located. The appropriate blanks in Section A must be filled out by all nonresident bidders in order for your bid to meet specifications. The failure of nonresident bidders to do so will automatically disqualify that bidder. Resident bidders must check the box in Section B. A. Nonresident bidders in the State of , our principal place of business, are required to be percent lower than resident bidders by State Law. A copy of the statute is attached. Nonresident bidders in the State of our principal place of business, are not required to underbid resident bidders. B. The principal place of business of our company or our parent company or majority owner is in the State of Texas.CK BIDDER: C. Green Scaping, LP 2401 Handley Ederville Rd By: Curtis J. Green Ft. Worth, TX 76118 (Signature) Title: Vice President Date: 11 /30/23 END OF SECTION CITY OF FORT WORTH BRICK PAVEMENT REHAB UNIT PRICE CONTRACT STANDARD CONSTRUCTION SPECIFICATION DOCUMENTS 105115 Revised 9/30/2021 00 41 00 Bid Proposal Workbook] 2 3 4 5 6 7 8 9 10 12 13 14 15 16 17 18 19 20 21 22 23 24 25 26 27 28 29 30 31 32 33 34 35 36 37 38 39 00 45 26 - 1 CONTRACTOR COMPLIANCE WITH WORKER'S COMPENSATION LAW Page 1 of 1 SECTION 00 45 26 CONTRACTOR COMPLIANCE WITH WORKER'S COMPENSATION LAW Pursuant to Texas Labor Code Section 406.096(a), as amended, Contractor certifies that it provides worker's compensation insurance coverage for all of its employees employed on City Project No. 105115 Contractor further certifies that, pursuant to Texas Labor Code, Section 406.096(b), as amended, it will provide to City its subcontractor's certificates of compliance with worker's compensation coverage. CONTRACTOR: C. Green Scaping, LP By: Curtis J. Green Company (Please Print) 2401 Handley Ederville Rd Signature: Address Ft. Worth, TX 76118 Title: Vice President City/State/Zip (Please Print) STACY LEE GEIGENMILLER THE STATE OF TEXAS ?z� Notary Public, State of Texas COUNTY OF TARRANT Qy.+P Comm. Expires 03-13-2026 Notary ID 125617920 BEFORE ME, the undersigned authority, on this day personally appeared Curtis J. Green , known to me to be the person whose name is subscribed to the foregoing instrument, and acknowledged to me that he/she executed the same as the act and deed of C. Green Scaoinp, LP for the purposes and consideration therein expressed and in the capacity therein stated. GIVEN UNDER MY HAND AND SEAL OF OFFICE this 30 day of November 2023. Notary Publicon and for De State of Texas END OF SECTION CITY OF FORT WORTH STANDARD CONSTRUCTION SPECIFICATION DOCUMENTS Revised July I, 2011 BRICK PAVEMENT REHAB UNIT PRICE CONTRACT CITY PROJECT NO. 105115 00 45 40 - 1 Business Equity Goal Page 1 of 2 1 SECTION 00 45 40 2 Business Equity Goal 3 APPLICATION OF POLICY 4 If the total dollar value of the contract is $100,000 or more, then a Business Equity goal is applicable. 5 A Business Equity Firm refers to certified Minority-, and/or Women-, owned Business Enterprises 6 (M/WBEs). 7 8 POLICY STATEMENT 9 It is the policy of the City of Fort Worth to ensure the full and equitable participation of Business Equity 10 Firms when applicable, in the procurement of all goods and services. All requirements and regulations 11 stated in the City's Business Equity Ordinance No.25165-10-2021, (replacing Ordinance No. 24534-11- 12 2020 (codified at: httDs://codelibrarv.amle2al.com/codes/ftworth/latest/ftworth tx/0-0-0-22593) apply to 13 this bid. 14 15 BUSINESS EOUITY PROJECT GOAL 16 The City's Business Equity goal on this project is 15% of the total bid value of the contract (Base bid 17 applies to Parks and Community Services). 18 19 METHODS TO COMPLY WITH THE GOAL 20 On City contracts where a Business Equity Goal is applied, offerors are required to comply with the City's 21 Business Equity Ordinance by meeting or exceeding the above stated goal or otherwise comply with the 22 ordinance through one of the following methods: 1. Commercially useful services performed by a 23 Business Equity prime contractor, 2. Business Equity subcontracting participation, 3. Combination 24 of Business Equity prime services and Business Equity subcontracting participation, 4. Business 25 Equity Joint Venture/Mentor-Protege participation, 5. Good Faith Effort documentation, or 6. 26 Prime contractor Waiver documentation. 27 28 SUBMITTAL OF REOUIRED DOCUMENTATION 29 Applicable documents (listed below) must be received by the Purchasing Division, OR the offeror shall 30 EMAIL the Business Equity documentation to the assigned City of Fort Worth Project Manager or 31 Department Designee. Documents are to be received no later than 2:00 p.m., on the third City 32 business day after the bid opening date, exclusive of the bid opening date. 33 34 The Offeror must submit one or more of the following documents: 35 1. Utilization Form and Letter(s) of Intent, if the goal is met or exceeded; 36 2. Good Faith Effort Form and Utilization Form, including supporting documentation, if 37 participation is less than stated goal, or no Business Equity participation is accomplished; 38 3. Prime Contractor Waiver Form, including supporting documentation, if the Offeror will perform 39 all subcontracting/supplier opportunities; or 40 4. Joint Venture/Mentor-Protege Form, if goal is met or exceeded with a Joint Venture or Mentor- 41 Protege participation. 42 43 These forms can be found at: 44 Business Equity Utilization Form and Letter of Intent 45 httDs://anus.fortworthtexas.2ov/Pro_iectResources/ResourcesP/60 - MW E/Business Equity Utilization 46 Form DVIN 2022 220324.Ddf 47 48 Letter of Intent CITY OF FORT WORTH BRICK PAVEMENT REHAB UNIT PRICE CONTRACT STANDARD CONSTRUCTION SPECIFICATION DOCUMENTS City Project No. 105115 Revised October 27, 2021 004540-2 Business Equity Goal Page 2 of 2 1 httDs://anus.fortworthtexas.e_ov/Pro_iectResources/ResourcesP/60 - MWBE/Letter of Intent DVIN 2 2021.Ddf 4 Business Equity Good Faith Effort Form 5 httns://aDDs.fortworthtexas.2ov/ProiectResources/ResourcesP/60 - MWBE/Good Faith Effort 6 Form DVIN 2022.Ddf 7 8 Business Equity Prime Contractor Waiver Form 9 httns://aDDs.fortworthtexas.2ov/ProiectResources/ResourcesP/60 - MWBE/MWBE Prime Contractor 10 Waiver-220313.ndf 11 12 13 14 15 16 17 18 19 20 21 22 23 24 25 26 27 28 29 30 Business Equity Joint Venture Form httr)s://aDDs.fortworthtexas.2ov/ProiectResources/ResourcesP/60 - MWBE/MWBE Joint Venture 220225.Ddf FAILURE TO ACHIEVE THE GOAL OR OTHERWISE COMPLY WITH THE ORDINANCE WILL RESULT IN THE BIDDER/OFFEROR BEING DECLARED NON -RESPONSIVE AND THE BID REJECTED. FAILURE TO SUBMIT THE REOUIRED BUSINESS EOUTY DOCUMENTATION OR OTHERWISE COMPLY WITH THE ORDINANCE WILL RESULT IN THE BID BEING DECLARED NON- RESPONSIVE, THE BID REJECTED AND MAY SUBJECT THE BIDDER/OFFEROR TO SANCTIONS AS DESCRIBED IN SEC. 20-373 OF THE ORDINANCE. For Questions, Please Contact The Business Equity Division of the Department of Diversity and Inclusion at (817) 392-2674. END OF SECTION CITY OF FORT WORTH BRICK PAVEMENT REHAB UNIT PRICE CONTRACT STANDARD CONSTRUCTION SPECIFICATION DOCUMENTS City Project No. 105115 Revised October 27, 2021 00 52 43 - 1 Agreement Page 1 of 6 SECTION 00 52 43 AGREEMENT THIS AGREEMENT, authorized on Februarv. 13. 2024, is made by and between the City of Fort Worth, a Texas home rule municipality, acting by and through its duly authorized City Manager, ("City"), and C. Green Scaping LP, authorized to do business in Texas, acting by and through its duly authorized representative, ("Contractor"). City and Contractor may jointly be referred to as Parties. City and Contractor, in consideration of the mutual covenants hereinafter set forth, agree as follows: Article 1. WORK Contractor shall complete all Work as specified or indicated in the Contract Documents for the Project identified herein. Article 2. PROJECT The project for which the Work under the Contract Documents may be the whole or only a part is generally described as follows: BRICK PAVEMENT REHAB UNIT PRICE CONTRACT CITY PROJECT NUMBER 105115 Article 3. CONTRACT PRICE City agrees to pay Contractor for performance of the Work in accordance with the Contract Documents an amount, in current funds, up to FIVE HUNDRED FIFTY THOUSAND AND 00/100 DOLLARS ($550,000.00). Contract price may be adjusted by change orders duly authorized by the Parties. Article 4. CONTRACT TIME 4.1 Final Acceptance. The Work shall be complete for Final Acceptance within the number of days specified in each task order. 4.2 Liquidated Damages Contractor recognizes that time is of the essence for completion of Milestones, if any, and to achieve Final Acceptance of the Work and City and the public will suffer from loss of use if the Work is not completed within the time(s) specified in Paragraph 4.1 above. The Contractor also recognizes the delays, expense and difficulties involved in proving in a legal proceeding, the actual loss suffered by the City if the Work is not completed on time. Accordingly, instead of requiring any such proof, Contractor agrees that as liquidated damages for delay (but not as a penalty), Contractor shall pay City Six Hundred Fifty AND 00/100 Dollars ($650.00) for each day that expires after the time specified in Paragraph 4.1 for Final Acceptance until the City issues the Final Letter of Acceptance. 4.3 Renewals This contract may be renewed up to 2 (two) consecutive one-year renewals, upon the expiration of contract funds, under the same terms, conditions, and unit prices. In no event shall the contract's total time exceed five years from the initial Effective Date. OFFICIAL RECORD CITY SECRETARY FT. WORTH, TX CITY OF FORT WORTH BRICK PAVEMENT REHAB UNIT PRICE CONTRACT STANDARD CONSTRUCTION SPECIFICATION DOCUMENTS CITY PROJECT NO. 105115 Revised December 8, 2023 00 52 43 - 2 Agreement Page 2 of 6 Article 5. CONTRACT DOCUMENTS 5.1 CONTENTS: A. The Contract Documents which comprise the entire agreement between City and Contractor concerning the Work consist of the following: 1. This Agreement. 2. Attachments to this Agreement: a. Bid Form 1) Proposal Form 2) Vendor Compliance to State Law Non -Resident Bidder 3) Prequalification Statement 4) State and Federal documents (project specific) b. Current Prevailing Wage Rate Table c. Insurance Certification Form (ACORD or equivalent) d. Payment Bond e. Performance Bond f. Maintenance Bond g. Power of Attorney for the Bonds h. Worker's Compensation Affidavit i. MBE and/or SBE Utilization Form 3. General Conditions. 4. Supplementary Conditions. 5. Specifications specifically made a part of the Contract Documents by attachment or, if not attached, as incorporated by reference and described in the Table of Contents of the Project's Contract Documents. 6. Drawings. 7. Addenda. 8. Documentation submitted by Contractor prior to Notice of Award. 9. The following which may be delivered or issued after the Effective Date of the Agreement and, if issued, become an incorporated part of the Contract Documents: a. Notice to Proceed. b. Field Orders. c. Change Orders. OFFICIAL RECORD d. Letter of Final Acceptance. CITY SECRETARY FT. WORTH, TX Article 6. INDEMNIFICATION 6.1 Contractor covenants and agrees to indemnify, hold harmless and defend, at its own expense, the city, its officers, servants and employees, from and against any and all claims arising out of, or alleged to arise out of, the work and services to be performed by the contractor, its officers, agents, employees, subcontractors, licenses or invitees under this contract. This indemnification provision is specifically intended to operate and be effective even if it is alleged or proven that all or some of the damages being sought were caused, in whole or in part, by anv act, omission or negligence of the citv. This indemnity provision is intended to include, without limitation, indemnity for costs, expenses and legal fees incurred by the city in defending against such claims and causes of actions. CITY OF FORT WORTH BRICK PAVEMENT REHAB UNIT PRICE CONTRACT STANDARD CONSTRUCTION SPECIFICATION DOCUMENTS CITY PROJECT NO. 105115 Revised December 8, 2023 00 52 43 - 3 Agreement Page 3 of 6 6.2 Contractor covenants and agrees to indemnify and hold harmless, at its own expense, the city, its officers, servants and employees, from and against any and all loss, damage or destruction of property of the city, arising out of, or alleged to arise out of, the work and services to be performed by the contractor, its officers, agents, employees, subcontractors, licensees or invitees under this contract. This indemnification urovision is specifically intended to overate and be effective even if it is alleged or vroven that all or some of the damages being sought were caused, in whole or in Dart, by anv act, omission or negligence of the city. Article 7. MISCELLANEOUS 7.1 Terms. Terms used in this Agreement which are defined in Article 1 of the General Conditions will have the meanings indicated in the General Conditions. 7.2 Assignment of Contract. This Agreement, including all of the Contract Documents may not be assigned by the Contractor without the advanced express written consent of the City. 7.3 Successors and Assigns. City and Contractor each binds itself, its partners, successors, assigns and legal representatives to the other party hereto, in respect to all covenants, agreements and obligations contained in the Contract Documents. 7.4 Severability/Non-Waiver of Claims. Any provision or part of the Contract Documents held to be unconstitutional, void or unenforceable by a court of competent jurisdiction shall be deemed stricken, and all remaining provisions shall continue to be valid and binding upon City and Contractor. The failure of City or Contractor to insist upon the performance of any term or provision of this Agreement or to exercise any right granted herein shall not constitute a waiver of City's or Contractor's respective right to insist upon appropriate performance or to assert any such right on any future occasion. 7.5 Governing Law and Venue. This Agreement, including all of the Contract Documents is performable in the State of Texas. Venue shall be Tarrant County, Texas, or the United States District Court for the Northern District of Texas, Fort Worth Division. 7.6 Authority to Sign. Contractor shall attach evidence of authority to sign Agreement if signed by someone other than the duly authorized signatory of the Contractor. 7.7 Non -appropriation of Funds. In the event no funds or insufficient funds are appropriated by City in any fiscal period for any payments due hereunder, City will notify Vendor of such occurrence and this Agreement shall terminate on the last day of the fiscal period for which appropriations were received without penalty or expense to City of any kind whatsoever, except as to the portions of the payments herein agreed upon for which funds have been appropriated. CITY OF FORT WORTH BRICK PAVEMENT REHAB UNIT PRICE CONTRACT STANDARD CONSTRUCTION SPECIFICATION DOCUMENTS Revised December 8, 2023 OFFICIAL RECORD CITY PROJECT NO. 105115 CITY SECRETARY FT. WORTH, TX 00 52 43 - 4 Agreement Page 4 of 6 7.8 Prohibition On Contracts With Companies Boycotting Israel. Contractor, unless a sole proprietor, acknowledges that in accordance with Chapter 2271 of the Texas Government Code, if Contractor has 10 or more full time -employees and the contract value is $100,000 or more, the City is prohibited from entering into a contract with a company for goods or services unless the contract contains a written verification from the company that it: (1) does not boycott Israel; and (2) will not boycott Israel during the term of the contract. The terms "boycott Israel" and "company" shall have the meanings ascribed to those terms in Section 808.001 of the Texas Government Code. By signing this contract, Contractor certifies that Contractor's signature provides written verification to the City that if Chapter 2271, Texas Government Code applies, Contractor: (1) does not boycott Israel; and (2) will not boycott Israel during the term of the contract. 7.9 Prohibition on Boycotting Energy Companies. Contractor acknowledges that in accordance with Chapter 2276 of the Texas Government Code, the City is prohibited from entering into a contract for goods or services that has a value of $100,000 or more, which will be paid wholly or partly from public funds of the City, with a company (with 10 or more full-time employees) unless the contract contains a written verification from the company that it: (1) does not boycott energy companies; and (2) will not boycott energy companies during the term of the contract. The terms "boycott energy company" and "company" have the meaning ascribed to those terms by Chapter 2276 of the Texas Government Code. To the extent that Chapter 2276 of the Government Code is applicable to this Agreement, by signing this Agreement, Contractor certifies that Contractor's signature provides written verification to the City that Contractor: (1) does not boycott energy companies; and (2) will not boycott energy companies during the term of this Agreement. 7.10 Prohibition on Discrimination Against Firearm and Ammunition Industries. Contractor acknowledges that except as otherwise provided by Chapter 2274 of the Texas Government Code, the City is prohibited from entering into a contract for goods or services that has a value of $100,000 or more which will be paid wholly or partly from public funds of the City, with a company (with 10 or more full-time employees) unless the contract contains a written verification from the company that it: (1) does not have a practice, policy, guidance, or directive that discriminates against a firearm entity or firearm trade association; and (2) will not discriminate during the term of the contract against a firearm entity or firearm trade association. The terms "discriminate," "firearm entity" and "firearm trade association" have the meaning ascribed to those terms by Chapter 2274 of the Texas Government Code. To the extent that Chapter 2274 of the Government Code is applicable to this Agreement, by signing this Agreement, Contractor certifies that Contractor's signature provides written verification to the City that Contractor: (1) does not have a practice, policy, guidance, or directive that discriminates against a firearm entity or firearm trade association; and (2) will not discriminate against a firearm entity or firearm trade association during the term of this Agreement. CITY OF FORT WORTH OFFICIAL RECORD CITY SECRETARY FT. WORTH, TX BRICK PAVEMENT REHAB UNIT PRICE CONTRACT STANDARD CONSTRUCTION SPECIFICATION DOCUMENTS Revised December 8, 2023 CITY PROJECT NO. 105115 00 52 43 - 5 Agreement Page 5 of 6 7.11 Immigration Nationality Act. Contractor shall verify the identity and employment eligibility of its employees who perform work under this Agreement, including completing the Employment Eligibility Verification Form (I-9). Upon request by City, Contractor shall provide City with copies of all I-9 forms and supporting eligibility documentation for each employee who performs work under this Agreement. Contractor shall adhere to all Federal and State laws as well as establish appropriate procedures and controls so that no services will be performed by any Contractor employee who is not legally eligible to perform such services. CONTRACTOR SHALL INDEMNIFY CITY AND HOLD CITY HARMLESS FROM ANY PENALTIES, LIABILITIES, OR LOSSES DUE TO VIOLATIONS OF THIS PARAGRAPH BY CONTRACTOR, CONTRACTOR'S EMPLOYEES, SUBCONTRACTORS, AGENTS, OR LICENSEES. City, upon written notice to Contractor, shall have the right to immediately terminate this Agreement for violations of this provision by Contractor. 7.12 No Third -Party Beneficiaries. This Agreement gives no rights or benefits to anyone other than the City and the Contractor and there are no third -party beneficiaries. 7.13 No Cause of Action Against Engineer. Contractor, its subcontractors and equipment and materials suppliers on the PROJECT or their sureties, shall maintain no direct action against the Engineer, its officers, employees, and subcontractors, for any claim arising out of, in connection with, or resulting from the engineering services performed. Only the City will be the beneficiary of any undertaking by the Engineer. The presence or duties of the Engineer's personnel at a construction site, whether as on -site representatives or otherwise, do not make the Engineer or its personnel in any way responsible for those duties that belong to the City and/or the City's construction contractors or other entities, and do not relieve the construction contractors or any other entity of their obligations, duties, and responsibilities, including, but not limited to, all construction methods, means, techniques, sequences, and procedures necessary for coordinating and completing all portions of the construction work in accordance with the Contract Documents and any health or safety precautions required by such construction work. The Engineer and its personnel have no authority to exercise any control over any construction contractor or other entity or their employees in connection with their work or any health or safety precautions. CITY OF FORT WORTH OFFICIAL RECORD CITY SECRETARY FT. WORTH, TX BRICK PAVEMENT REHAB UNIT PRICE CONTRACT STANDARD CONSTRUCTION SPECIFICATION DOCUMENTS Revised December 8, 2023 CITY PROJECT NO. 105115 005243-6 Agreement Page 6 of 6 IN WITNESS WHEREOF, City and Contractor have each executed this Agreement to be effective as of the date subscribed by the City's designated Assistant City Manager ("Effective Date"). Contractor: C. Green Scaping, LP By: Curtis 4,202410:20 CST) Signature Curtis Green (Printed Name) VP Title 2401 Handley Ederville Road Address Fort Worth, TX 76118 City/State/Zip Mar 4, 2024 Date City of Fort Worth By: Jesica McEachern Assistant City Manager Apr 1, 2024 Date nan o F Foa. *00 oP Attest: p ono g=o A .+e,sua�++ aan�n�op54a Jannette Goodall, City Secretary (Seal) M&C: 24-0116 Date: 02-13-2024 Contract Compliance Manager: By signing, I acknowledge that I am the person responsible for the monitoring and administration of this contract, including ensuring all performance and reporting requirements. tw Tariqul Islam (Mar4, 202410:28 CST) Tariqul Islam Project Manager Approved as to Form and Legality: !jam Douglas Black (Mar 28, 2024 00:10 CDT) Douglas W. Black Sr. Assistant City Attorney CITY OF FORT WORTH STANDARD CONSTRUCTION SPECIFICATION DOCUMENTS Revised December 8, 2023 APPROVAL RECOMMENDED: X Lauren Prieur (Mar 20, 202414:37 CDT) Lauren Prieur, Director Transportation & Public Works Department BRICK PAVEMENT REHAB UNIT PRICE CONTRACT CITY PROJECT NO. 105115 OFFICIAL RECORD CITY SECRETARY FT. WORTH, TX 006113-1 PERFORMANCE BOND Page 1 of 2 1 SECTION 00 6113 Bond N0:100285117 2 PERFORMANCE BOND 3 4 THE STATE OF TEXAS § 5 § KNOW ALL BY THESE PRESENTS: 6 COUNTY OF TARRANT § 7 That we, C. Green Scaninv- LP, known as "Principal' herein and 8 Merchants Bonding Company (Mutual) , a corporate surety(sureties, if more than 9 one) duly authorized to do business in the State of Texas, known as "Surety" herein (whether one t0 or more), are held and firmly bound unto the City of Fort Worth, a municipal corporation created 11 pursuant to the laws of Texas, known as "City" herein, in the penal sum of, FIVE HUNDRED 12 FIFTY THOUSAND AND 00/100 DOLLARS ( $550,000.001, lawful money of the United States, 13 to be paid in Fort Worth, Tarrant County, Texas for the payment of which sum well and truly to 14 be made, we bind ourselves, our heirs, executors, administrators, successors and assigns, jointly 15 and severally, firmly by these presents. 16 WHEREAS, the Principal has entered into a certain written contract with the City 17 awarded the 131" day of February 2024, which Contract is hereby referred to and made a part 18 hereof for all purposes as if fully set forth herein, to furnish all materials, equipment labor and 19 other accessories defined by law, in the prosecution of the Work, including any Change Orders, 20 as provided for in said Contract designated as BRICK PAVEMENT REHAB UNIT PRICE 21 CONTRACT, City Project No.105115. 22 NOW, THEREFORE, the condition of this obligation is such that if the said Principal 23 shall faithfully perform it obligations under the Contract and shall in all respects duly and 24 faithfully perform the Work, including Change Orders, under the Contract, according to the plans, 25 specifications, and contract documents therein referred to, and as well during any period of 26 extension of the Contract that may be granted on the part of the City, then this obligation shall be 27 and become null and void, otherwise to remain in full force and effect. 28 PROVIDED FURTHER, that if any legal action be filed on this Bond, venue shall lie in 29 Tarrant County, Texas or the United States District Court for the Northern District of Texas, Fort 30 Worth Division. CITY OF FORT WORTH BRICK PAVEMENT REHAB UNIT PRICE CONTRACT STANDARD CONSTRUCTION SPECIFICATION DOCUMENTS CITY PROJECT NO. 105115 Revised December 8, 2023 0061 13 - 2 PERFORMANCE BOND Page 2 of 2 1 This bond is made and executed in compliance with the provisions of Chapter 2253 of the 2 Texas Government Code, as amended, and all liabilities on this bond shall be determined in 3 accordance with the provisions of said statue. 4 IN WITNESS WHEREOF, the Principal and the Surety have SIGNED and SEALED 5 this instrument by duly authorized agents and officers on this the 28 day of 6 February . 20 24 . 7 8 9 10 li 12 13 14 15 16 17 18 19 20 21 22 23 24 25 26 27 28 29 30 31 32 33 34 35 36 37 38 39 40 41 42 43 44 45 ATTEST: � (Principal) cretary Witness as to Principal 74�2) Witns as to Sur Page Terry - Customer Representative PRINCIPAL: C. Green Scaoinl _ LP �risf_ Le, Name and Title Address: 2401 Handley Ederville Road Fort Worth, Texas 76118 SURETY: Merchants Bonding Company (Mutual) Ginny Buchanan - Power of Attorney Name and Title Address: PO Box 14498 Des Moines. IA 50306-3498 Telephone Number: 800-678-8171 Email Address: info@merchantsbonding.com *Note: If signed by an officer of the Surety Company, there must be on file a certified extract from the by-laws showing that this person has authority to sign such obligation. If Surety's physical address is different from its mailing address, both must be provided. The date of the bond shall not be prior to the date the Contract is awarded. CITY OF FORT WORTH BRICK PAVEMENT REHAB UNIT PRICE CONTRACT STANDARD CONSTRUCTION SPECIFICATION DOCUMENTS CITY PROJECT NO. 105115 Revised December 8, 2023 MERCHANTs BONDING COMPANY. POWER OF ATTORNEY Know All Persons By These Presents, that MERCHANTS BONDING COMPANY (MUTUAL) and MERCHANTS NATIONAL BONDING, INC., both being corporations of the State of Iowa, d/b/a Merchants National Indemnity Company (in California only) (herein collectively called the "Companies") do hereby make, constitute and appoint, individually, Chris Long; Erin Neill; Ginny Buchanan; James E King; Jeffery Buckley; Kyle King; Kylie Kelsoe; Melissa Pirkey; Stephen Hopkins their true and lawful Attorney(s)-in-Fact, to sign its name as surety(ies) and to execute, seal and acknowledge any and all bonds, undertakings, contracts and other written instruments in the nature thereof, on behalf of the Companies in their business of guaranteeing the fidelity of persons, guaranteeing the performance of contracts and executing or guaranteeing bonds and undertakings required or permitted in any actions or proceedings allowed by law. This Power -of -Attorney is granted and is signed and sealed by facsimile under and by authority of the following By -Laws adopted by the Board of Directors of Merchants Bonding Company (Mutual) on April 23, 2011 and amended August 14, 2015 and adopted by the Board of Directors of Merchants National Bonding, Inc., on October 16, 2015. "The President, Secretary, Treasurer, or any Assistant Treasurer or any Assistant Secretary or any Vice President shall have power and authority to appoint Attomeys-in-Fact, and to authorize them to execute on behalf of the Company, and attach the seal of the Company thereto, bonds and undertakings, recognizances, contracts of indemnity and other writings obligatory in the nature thereof." "The signature of any authorized officer and the seal of the Company may be affixed by facsimile or electronic transmission to any Power of Attorney or Certification thereof authorizing the execution and delivery of any bond, undertaking, recognizance, or other suretyship obligations of the Company, and such signature and seal when so used shall have the same force and effect as though manually fixed." In connection with obligations in favor of the Florida Department of Transportation only, it is agreed that the power and aut hority hereby given to the Attomey-in-Fact includes any and all consents for the release of retained percentages and/or final estimates on engineering and construction contracts required by the State of Florida Department of Transportation. It is fully understood that consenting to the State of Florida Department of Transportation making payment of the final estimate to the Contractor and/or its assignee, shall not relieve this surety company of any of its obligations under its bond. In connection with obligations in favor of the Kentucky Department of Highways only, it is agreed that the power and authority hereby given to the Attomey-in-Fact cannot be modified or revoked unless prior written personal notice of such intent has been given to the Commissioner - Department of Highways of the Commonwealth of Kentucky at least thirty (30) days prior to the modification or revocation. In Witness Whereof, the Companies have caused this instrument to be signed and sealed this 6th day of January 2023 RpOR'q 'oZi jxi_2 _0_ 2003 MERCHANTS BONDING COMPANY (MUTUAL) MERCHANTS NATIONAL BONDING, INC. dlbla MERCHANTS NATIONAL INDEMNITY COMPANY By President STATE OF IOWA '.••• �••• •++►+.++•+ COUNTY OF DALLAS ss. "... On this 6th day of January 2023 , before me appeared Larry Taylor, to me personally known, who being by me duly sworn did say that he is President of MERCHANTS BONDING COMPANY (MUTUAL) and MERCHANTS NATIONAL BONDING, INC.; and that the seals affixed to the foregoing instrument are the Corporate Seals of the Companies; and that the said instrument was signed and sealed in behalf of the Companies by authority of their respective Boards of Directors. MmLee S ' CrxnrrCsxm iss= E Imes My Corimiss� �I 114, M Notary Public (Expiration of notary's commission does not invalidate this instrument) I, William Warner, Jr., Secretary of MERCHANTS BONDING COMPANY (MUTUAL) and MERCHANTS NATIONAL BONDING, INC., do hereby certify that the above and foregoing is a true and correct copy of the POWER -OF -ATTORNEY executed by said Companies, which is still in full force and effect and has not been amended or revoked. In Witness Whereof, I have hereunto set my hand and affixed the seal of the Companies on this 28 day of February 2024ze: - a... a 040 1933 ' C Secretary 2003 .J . . POA 0018 (10/22) 0061 14 - 1 PAYMENTBOND Page I of 2 1 SECTION 00 6114 2 PAYMENT BOND Bond NO: 100285117 3 4 THE STATE OF TEXAS § 5 § KNOW ALL BY THESE PRESENTS: 6 COUNTY OF TARRANT § 7 That we, C. Green Scauina LP, known as "Principal" herein, and 8 Merchants Bonding Company (Mutual) , a corporate surety 9 (sureties), duly authorized to do business in the State of Texas, known as "Surety" herein 10 (whether one or more), are held and firmly bound unto the City of Fort Worth, a municipal 11 corporation created pursuant to the laws of the State of Texas, known as "City" herein, in the 12 penal sum of FIVE HUNDRED FIFTY THOUSAND AND 00/100 DOLLARS (S550.000.00), 13 lawful money of the United States, to be paid in Fort Worth, Tarrant County, Texas, for the 14 payment of which sum well and truly be made, we bind ourselves, our heirs, executors, 15 administrators, successors and assigns, jointly and severally, firmly by these presents: 16 WHEREAS, Principal has entered into a certain written Contract with City, awarded the 17 13t1' day of February 2024, which Contract is hereby referred to and made a part hereof for all 18 purposes as if fully set forth herein, to furnish all materials, equipment, labor and other 19 accessories as defined by law, in the prosecution of the Work as provided for in said Contract and 20 designated as BRICK PAVEMENT REHAB UNIT PRICE CONTRACT, City Project 21 No.105115. 22 NOW, THEREFORE, THE CONDITION OF THIS OBLIGATION is such that if 23 Principal shall pay all monies owing to any (and all) payment bond beneficiary (as defined in 24 Chapter 2253 of the Texas Government Code, as amended) in the prosecution of the Work under 25 the Contract, then this obligation shall be and become null and void; otherwise to remain in full 26 force and effect. 27 This bond is made and executed in compliance with the provisions of Chapter 2253 of the 28 Texas Government Code, as amended, and all liabilities on this bond shall be determined in 29 accordance with the provisions of said statute. 30 CITY OF FORT WORTH BRICK PAVEMENT REHAB UNIT PRICE CONTRACT STANDARD CONSTRUCTION SPECIFICATION DOCUMENTS CITY PROJECT NO. 105115 Revised December 8, 2023 006114-2 PAYMENTBOND Page 2 of 2 1 IN WITNESS WHEREOF, the Principal and Surety have each SIGNED and SEALED 2 this instrument by duly authorized agents and officers on this the 28 day of 3 February , 20 24 . 4 5 6 7 8 9 10 IF 12 ATTEST: A01- C _db I V-1 rv-a-D (Principal)-cretary (J Witness as to Principal ATTEST: (Surety) S c eta Monica Salazar < PAP Wiliness as to�uret Y Page Terry - Customer Representative PRINCIPAL: C. Green Scaninr, LP BY•�ggnature Name and Title Address: 2401 Handley Ederville Road Fort Worth, Texas 76118 SURETY: Merchants Bonding Company (Mutual) BY: Signa 4 Ginny Buchanan - Power of Attorney Name and Title Address: PO Box 14498 Des Moines, IA 50306-3498 Telephone Number: 800-678-8171 Email Address: info@merchantsbonding.com Note: If signed by an officer of the Surety, there must be on file a certified extract from the bylaws showing that this person has authority to sign such obligation. If Surety's physical address is different from its mailing address, both must be provided. The date of the bond shall not be prior to the date the Contract is awarded. END OF SECTION CITY OF FORT WORTH BRICK PAVEMENT REHAB UNIT PRICE CONTRACT STANDARD CONSTRUCTION SPECIFICATION DOCUMENTS CITY PROJECT NO. 105115 Revised December 8, 2023 MERCE A.NT'Sft , BONDING COMPANY. POWER OF ATTORNEY Know All Persons By These Presents, that MERCHANTS BONDING COMPANY (MUTUAL) and MERCHANTS NATIONAL BONDING, INC., both being corporations of the State of Iowa, d/b/a Merchants National Indemnity Company (in California only) (herein collectively called the "Companies") do hereby make, constitute and appoint, individually, Chris Long; Erin Neill; Ginny Buchanan; James E King; Jeffery Buckley; Kyle King; Kylie Kelsoe; Melissa Pirkey; Stephen Hopkins their true and lawful Attomey(s)-in-Fact, to sign its name as surety(ies) and to execute, seal and acknowledge any and all bonds, undertakings, contracts and other written instruments in the nature thereof, on behalf of the Companies in their business of guaranteeing the fidelity of persons, guaranteeing the performance of contracts and executing or guaranteeing bonds and undertakings required or permitted in any actions or proceedings allowed by law. This Power -of -Attorney is granted and is signed and sealed by facsimile under and by authority of the following By -Laws adopted by the Board of Directors of Merchants Bonding Company (Mutual) on April 23, 2011 and amended August 14, 2015 and adopted by the Board of Directors of Merchants National Bonding, Inc., on October 16, 2015. "The President, Secretary, Treasurer, or any Assistant Treasurer or any Assistant Secretary or any Vice President shall have power and authority to appoint Attomeys-in-Fact, and to authorize them to execute on behalf of the Company, and attach the seal of the Company thereto, bonds and undertakings, recognizances, contracts of indemnity and other writings obligatory in the nature thereof." "The signature of any authorized officer and the seal of the Company may be affixed by facsimile or electronic transmission to any Power of Attorney or Certification thereof authorizing the execution and delivery of any bond, undertaking, recognizance, or other suretyship obligations of the Company, and such signature and seal when so used shall have the same force and effect as though manually fixed." In connection with obligations in favor of the Florida Department of Transportation only, it is agreed that the power and aut hority hereby given to the Attomey-in-Fact includes any and all consents for the release of retained percentages and/or final estimates on engineering and construction contracts required by the State of Florida Department of Transportation. It is fully understood that consenting to the State of Florida Department of Transportation making payment of the final estimate to the Contractor and/or its assignee, shall not relieve this surety company of any of its obligations under its bond. In connection with obligations in favor of the Kentucky Department of Highways only, it is agreed that the power and authority hereby given to the Attomey-in-Fact cannot be modified or revoked unless prior written personal notice of such intent has been given to the Commissioner - Department of Highways of the Commonwealth of Kentucky at least thirty (30) days prior to the modification or revocation. In Witness Whereof, the Companies have caused this instrument to be signed and sealed this 6th day of January 2023 •``•P�to11114t '. :o D�LPO/pq z:2 -0- v' 2003 • •'o ki'' 9 .•' MERCHANTS BONDING COMPANY (MUTUAL) MERCHANTS NATIONAL BONDING, INC. d/b/a MERCHANTS NATIONAL INDEMNITY COMPANY By President 772!�_ STATE OF IOWA '•. 1 .•' `•. .• COUNTY OF DALLAS ss. �•�""""``"� On this 6th day of January 2023 , before me appeared Larry Taylor, to me personally known, who being by me duly sworn did say that he is President of MERCHANTS BONDING COMPANY (MUTUAL) and MERCHANTS NATIONAL BONDING, INC.; and that the seals affixed to the foregoing instrument are the Corporate Seals of the Companies; and that the said instrument was signed and sealed in behalf of the Companies by authority of their respective Boards of Directors. 4 :x z nNKiw.Lee Cotnrttissxur tdurrker 702737 ; < 44 Gomn on Forges AAit 14, 2024 Notary Public (Expiration of notary's commission does not invalidate this instrument) I, William Warner, Jr., Secretary of MERCHANTS BONDING COMPANY (MUTUAL) and MERCHANTS NATIONAL BONDING, INC., do hereby certify that the above and foregoing is a true and correct copy of the POWER -OF -ATTORNEY executed by said Companies, which is still in full force and effect and has not been amended or revoked. In Witness Whereof, I have hereunto set my hand and affixed the sea! of the Companies on this 28 day of February , 2024 �•.••P�IONq�••.,� •©�©t.PO q4.4`. � v 2003 ; i7 '. 1933 secretary .7� POA 0018 (10/22) """ • • 0061 19 - 1 MAINTENANCE BOND Page 1 of 3 1 SECTION 00 6119 2 MAINTENANCE BOND Bond NO: 100285117 3 4 THE STATE OF TEXAS § 5 § KNOW ALL BY THESE PRESENTS: 6 COUNTY OF TARRANT § 7 That we C. Green Scanini2 LP. known as "Principal' herein and 8 Merchants Bonding Company (Mutual) , a corporate surety (sureties, if more than 9 one) duly authorized to do business in the State of Texas, known as "Surety" herein (whether one 10 or more), are held and firmly bound unto the City of Fort Worth, a municipal corporation created 11 pursuant to the laws of the State of Texas, known as "City" herein, in the sum of FIVE 12 HUNDRED FIFTY THOUSAND AND 00/100 DOLLARS f $550.000.001. lawful money of the 13 United States, to be paid in Fort Worth, Tarrant County, Texas, for payment of which sum well 14 and truly be made unto the City and its successors, we bind ourselves, our heirs, executors, 15 administrators, successors and assigns, jointly and severally, firmly by these presents. 16 17 WHEREAS, the Principal has entered into a certain written contract with the City 18 awarded the 13" day of February 2024, which Contract is hereby referred to and a made part 19 hereof for all purposes as if fully set forth herein, to furnish all materials, equipment labor and 20 other accessories as defined by law, in the prosecution of the Work, including any Work resulting 21 from a duly authorized Change Order (collectively herein, the "Work") as provided for in said 22 contract and designated as BRICK PAVEMENT REHAB UNIT PRICE CONTRACT, City 23 Project No.105115; and 24 WHEREAS, Principal binds itself to use such materials and to so construct the Work in 25 accordance with the plans, specifications and Contract Documents that the Work is and will 26 remain free from defects in materials or workmanship for and during the period of two (2) years 27 after the date of Final Acceptance of the Work by the City ("Maintenance Period"); and 28 29 WHEREAS, Principal binds itself to repair or reconstruct the Work in whole or in part 30 upon receiving notice from the City of the need therefor at any time within the Maintenance 31 Period. 32 CITY OF FORT WORTH BRICK PAVEMENT REHAB UNIT PRICE CONTRACT STANDARD CONSTRUCTION SPECIFICATION DOCUMENTS CITY PROJECT NO. 105115 Revised December S, 2023 1 2 3 4 5 6 7 8 9 10 11 12 13 14 15 16 17 18 19 0061 19-2 MAINTENANCE BOND Page 2 of 3 NOW THEREFORE, the condition of this obligation is such that if Principal shall remedy any defective Work, for which timely notice was provided by City, to a completion satisfactory to the City, then this obligation shall become null and void; otherwise to remain in full force and effect. PROVIDED, HOWEVER, if Principal shall fail so to repair or reconstruct any timely noticed defective Work, it is agreed that the City may cause any and all such defective Work to be repaired and/or reconstructed with all associated costs thereof being borne by the Principal and the Surety under this Maintenance bond; and PROVIDED FURTHER, that if any legal action be filed on this Bond, venue shall lie in Tarrant County, Texas or the United States District Court for the Northern District of Texas, Fort Worth Division; and PROVIDED FURTHER, that this obligation shall be continuous in nature and successive recoveries may be had hereon for successive breaches. CITY OF FORT WORTH BRICK PAVEMENT REHAB UNIT PRICE CONTRACT STANDARD CONSTRUCTION SPECIFICATION DOCUMENTS CITY PROJECT NO. 105115 Revised December S, 2023 006119-3 MAINTENANCE BOND Page 3 of 3 IN WITNESS WHEREOF, the Principal and the Surety have each SIGNED and SEALED this 2 instrument by duly authorized agents and officers on this the 28 day of 3 February 2024 . 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 31 32 33 34 35 36 37 38 39 40 41 42 43 ATTEST: (Principal) S retary Witness as to Principal ATTEST: (Surety) Secre ary Moo1'ca Salazar Will ss as to�Sty Page Terry - Customer Representative PRINCIPAL: C Green Scanint,. LP BY: � ignature CI Name and Title Address: 2401 Handley Ederville Road Fort Worth, Texas 76118 SURETY: Merchants Bonding Company (Mutual) Mr,1 . -1 i Ginny Buchanan - Power of Attorney Name and Title Address: PO Box 14498 Des Moines, IA 50306-3498 Telephone Number: 800-678-8171 Email Address: info@merchantsbonding.com *Note: If signed by an officer of the Surety Company, there must be on file a certified extract from the by-laws showing that this person has authority to sign such obligation. If Surety's physical address is different from its mailing address, both must be provided. The date of the bond shall not be prior to the date the Contract is awarded. CITY OF FORT WORTH BRICK PAVEMENT REHAB UNIT PRICE CONTRACT STANDARD CONSTRUCTION SPECIFICATION DOCUMENTS CITY PROJECT NO. 105115 Revised December 8, 2023 ,4" ERHANT BONDING COMPANY. POWER OF ATTORNEY Know All Persons By These Presents, that MERCHANTS BONDING COMPANY (MUTUAL) and MERCHANTS NATIONAL BONDING, INC., both being corporations of the State of Iowa, d/b/a Merchants National Indemnity Company (in California only) (herein collectively called the "Companies") do hereby make, constitute and appoint, individually, Chris Long; Erin Neill; Ginny Buchanan; James E King; Jeffery Buckley; Kyle King; Kylie Kelsoe; Melissa Pirkey; Stephen Hopkins their true and lawful Attorneys) -in -Fact, to sign its name as surety(ies) and to execute, seal and acknowledge any and all bonds, undertakings, contracts and other written instruments in the nature thereof, on behalf of the Companies in their business of guaranteeing the fidelity of persons, guaranteeing the performance of contracts and executing or guaranteeing bonds and undertakings required or permitted in any actions or proceedings allowed by law. This Power -of -Attorney is granted and is signed and sealed by facsimile under and by authority of the following By -Laws adopted by the Board of Directors of Merchants Bonding Company (Mutual) on April 23, 2011 and amended August 14, 2015 and adopted by the Board of Directors of Merchants National Bonding, Inc., on October 16, 2015. "The President, Secretary, Treasurer, or any Assistant Treasurer or any Assistant Secretary or any Vice President shall have power and authority to appoint Attorneys -in -Fact, and to authorize them to execute on behalf of the Company, and attach the seal of the Company thereto, bonds and undertakings, recognizances, contracts of indemnity and other writings obligatory in the nature thereof." "The signature of any authorized officer and the seal of the Company may be affixed by facsimile or electronic transmission to any Power of Attorney or Certification thereof authorizing the execution and delivery of any bond, undertaking, recognizance, or other suretyship obligations of the Company, and such signature and seal when so used shall have the same force and effect as though manually fixed." In connection with obligations in favor of the Florida Department of Transportation only, it is agreed that the power and aut hority hereby given to the Attomey-in-Fact includes any and all consents for the release of retained percentages and/or final estimates on engineering and construction contracts required by the State of Florida Department of Transportation. It is fully understood that consenting to the State of Florida Department of Transportation making payment of the final estimate to the Contractor and/or its assignee, shall not relieve this surety company of any of its obligations under its bond. In connection with obligations in favor of the Kentucky Department of Highways only, it is agreed that the power and authority hereby given to the Attomey-in-Fact cannot be modified or revoked unless prior written personal notice of such intent has been given to the Commissioner - Department of Highways of the Commonwealth of Kentucky at least thirty (30) days prior to the modification or revocation. In Witness Whereof, the Companies have caused this instrument to be signed and sealed this 6th day of January 2023 . .•*""""'•., .••'"'••* MERCHANTS BONDING COMPANY (MUTUAL) •.••P•�IOMq� �•�1NG Cp��. MERCHANTS NATIONAL BONDING, INC. LP0,0 •�O ` 4Zf; d(i o' •. y dlb/a MERCHANTS NATIONAL INDEMNITY COMPANY 2003 ; �: .• 1933 z By '.�J�k •.......••;�t��` �,ef....• `��*. President STATE OFIOWA ••.�•�•�?•�••..• *.*�••*.* COUNTY OF DALLAS ss. On this 6th day of January 2023 before me appeared Larry Taylor, to me personally known, who being by me duly sworn did say that he is President of MERCHANTS BONDING COMPANY (MUTUAL) and MERCHANTS NATIONAL BONDING, INC.; and that the seals affixed to the foregoing instrument are the Corporate Seals of the Companies; and that the said instrument was signed and sealed in behalf of the Companies by authority of their respective Boards of Directors. ti Kbn fRe Commission Number 7D27' '.7 My Commrsum Expires AprR 14,2024 Notary Public (Expiration of notary's commission does not invalidate this instrument) I, William Warner, Jr., Secretary of MERCHANTS BONDING COMPANY (MUTUAL) and MERCHANTS NATIONAL BONDING, INC., do hereby certify that the above and foregoing is a true and correct copy of the POWER -OF -ATTORNEY executed by said Companies, which is still in full force and effect and has not been amended or revoked. In Witness Whereof, I have hereunto set my hand and affixed the seal of the Companies on this 28 day of February 2024 •'aPO/p' a �O 'ql;. OZ ��O: 1933 G,: Secretary . v . 2003 -jam: y. r:,d b ,.. POA 0018 (10/22) Policy Number: 6E3-34-02 COMMERCIAL AUTO CA04491116 THIS ENDORSEMENT CHANGES THE POLICY. PLEASE READ IT CAREFULLY. PRIMARY AND NONCONTRIBUTORY - OTHER INSURANCE CONDITION This endorsement modifies insurance provided under the following: AUTO DEALERS COVERAGE FORM BUSINESS AUTO COVERAGE FORM MOTOR CARRIER COVERAGE FORM With respect to coverage provided by this endorsement, the provisions of the Coverage Form apply unless modified by the endorsement. A. The following is added to the Other Insurance B Condition in the Business Auto Coverage Form and the Other Insurance — Primary And Excess Insurance Provisions in the Motor Carrier Coverage Form and supersedes any provision to the contrary: This Coverage Form's Covered Autos Liability Coverage is primary to and will not seek contribution from any other insurance available to an "insured" under your policy provided that: 1. Such "insured" is a Named Insured under such other insurance; and 2. You have agreed in writing in a contract or agreement that this insurance would be primary and would not seek contribution from any other insurance available to such "insured". The following is added to the Other Insurance Condition in the Auto Dealers Coverage Form and supersedes any provision to the contrary: This Coverage Form's Covered Autos Liability Coverage and General Liability Coverages are primary to and will not seek contribution from any other insurance available to an "insured" under your policy provided that: 1. Such "insured" is a Named Insured under such other insurance, and 2. You have agreed in writing in a contract or agreement that this insurance would be primary and would not seek contribution from any other insurance available to such "insured". CA 04 49 11 16 © Insurance Services Office, Inc., 2016 Page 1 of 1 r� _...eX,1SMutuar WORKERS' COMPENSATION INSURANCE WORKERS' COMPENSATION AND WC 42 06 01 EMPLOYERS LIABILITY POLICY Agent copy TEXAS NOTICE OF MATERIAL CHANGE ENDORSEMENT This endorsement applies only to the insurance provided by the policy because Texas is shown in Item 3.A. of the Information Page. In the event of cancellation or other material change of the policy, we will mail advance notice to the person or organization named in the Schedule. The number of days advance notice is shown in the Schedule. This endorsement shall not operate directly or indirectly to benefit anyone not named in the Schedule. Schedule 1. Number of days advance notice: 30 2. Notice will be mailed to: PER LIST ON FILE This endorsement changes the policy to which it is attached effective on the inception date of the policy unless a different date is indicated below. (The following "attaching clause" need be completed only when this endorsement is issued subsequent to preparation of the policy.) This endorsement, effective on 5113/23 at 12:01 a.m. standard time, forms a part of: Policy no. 0001252254 of Texas Mutual Insurance Company effective on 5113/23 Issued to: C GREEN SCAPING LP "/1 This is not a bill Authorized representative NCCI Carrier Code: 29939 5116/23 PO Box 12058, Austin, TX 78711-2058 1 of 1 texasmutual.com 1 (800) 859-5995 1 Fax (800) 359-0650 WC 42 06 01 /EMC INSURANCE EMPLOYERS MUTUAL CASUALTY COMPANY Policy Number: 6J33402 --- 24 C GREEN SOAPING LP Eff Date: 05/13/23 Exp Date: 05/13/24 C O M M E R C I A L U M B R E L L A S C H E D U L E R E T A I N E D L I M I T --------------------------- Self Insured Retention $10,000 SCHEDULE OF UNDERLYING INSURANCE - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - Commercial Auto Liability Company: Employers Mutual Casualty Company Policy Number: 6E33402 Policy Period: 05/13/23 to 05/13/24 Minimum Applicable Limits Covered Auto Liability $ 1,000,000 Each Accident - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - Commercial General Liability Company: EMCASCO Insurance Company Policy Number: 6D33402 Policy Period: 05/13/23 to 05/13/24 Occurrence Basis Minimum Applicable Limits General Aggregate $ 2,000,000 Products -Completed Operations Aggregate $ 2,000,000 Personal and Advertising Injury $ 11000,000 Each Occurrence $ 11000,000 Employee Benefit Liability $ 1,000,000 Each Employee $ 2,000,000 Aggregate Date of Issue 05/15/23 BPP FORM CU7001A ED. 11-15 BPP 05/13/23 072 LN 6J33402 2401 /EMC INSURANCE Paqe 2 EMPLOYERS MUTUAL CASUALTY COMPANY Policy Number: 6J33402 --- 24 C GREEN SOAPING LP Eff Date: 05/13/23 Exp Date: 05/13/24 Employers Liability Company: Texas Mutual Insurance Company Policy Number: 0001252254 Policy Period: 05/13/23 to 05/13/24 Minimum Applicable Limits Bodily Injury by Accident Bodily Injury by Disease Bodily Injury by Disease $ 1,000,000 Each Accident $ 1,000,000 Each Employee $ 1,000,000 Policy Limit Date of Issue 05/15/23 BPP FORM CU7001A ED. 11-15 BPP 05/13/23 072 LN 6J33402 2401 Policy Number: 6D3-34-02 COMMERCIAL GENERAL LIABILITY THIS ENDORSEMENT CHANGES THE POLICY. PLEASE READ IT CAREFULLY. GENERAL LIABILITY ELITE EXTENSION - TEXAS This endorsement modifies insurance provided under the following: COMMERCIAL GENERAL LIABILITY COVERAGE FORM The COMMERCIAL GENERAL LIABILITY COVERAGE FORM is amended to include the following clarifications and extensions of coverage. The provisions of the Coverage Form apply unless modified by endorsement. A. EXPECTED OR INTENDED INJURY Section I — Coverage A, Exclusion a. is amended as follows: a. "Bodily injury" or "property damage" expected or intended from the standpoint of the insured. This exclusion does not apply to "bodily injury" or "property damage" resulting from the use of reasonable force to protect persons or property. B. NON -OWNED WATERCRAFT Section I — Coverage A, Exclusion g.(2) is amended as follows: (2) A watercraft you do not own that is: (a) Less than 60 feet long; and (b) Not being used to carry person(s) or property for a charge; C. EXTENDED PROPERTY DAMAGE COVERAGE Section I — Coverage A, Exclusions j.(3) and (4) is amended to add the following: Paragraphs (3) and (4) of this exclusion do not apply to tools or equipment loaned to you, provided they are not being used to perform operations at the time of loss. SCHEDULE Limits Of Insurance Deductible $5,000 Each Occurrence $250 Per Claim $10,000 Annual Aggregate a. The each occurrence limit listed above is the most we will pay for all damages because of "property damage" to property in the care, custody and control of or property loaned to an insured as the result of any one "occurrence", regardless of the number of: (1) insureds; The aggregate limit listed above is the most we will pay for all damages because of "property damage" to property in the care custody and control of or property loaned to an insured during the policy period. Any payment we make for damages because of "property damage" to property in the care, custody and control of or property loaned to an insured will apply against the General Aggregate Limit shown in the declarations. b. Our obligation to pay damages on your behalf applies only to the amount of damages in excess of the deductible amount listed above. We may pay any part or all of the deductible amount listed above. We may pay any part or all of the deductible amount to effect settlement of any claim or "suit" and upon notification by us, you will promptly reimburse us for that part of the deductible we paid. c. If two or more coverages apply under one "occurrence", only the highest per claim deductible applicable to these coverages will apply. d. Insurance provided by this provision is excess over any other insurance, whether primary, excess, contingent or any other basis. Since insurance provided by this endorsement is excess, we will have no duty to defend any claim or "suit" to which insurance provided by this endorsement applies if any other insurer has a duty to defend such a claim or "suit". If no other insurer defends, we will undertake to do so, but we will be entitled to the insured's rights against all those other insurers. D. PROPERTY DAMAGE — ELEVATORS Section I — Coverage A.2. Exclusions paragraphs j.(3), j.(4), j.(6) and k. do not apply to use of elevators. (2) claims made or "suits" brought; This insurance afforded by this provision is excess (3) persons or organizations making claims or over any valid and collectible property insurance bringing "suits". (including any deductible) available to the insured and Section IV — Commercial General Liability Conditions Paragraph 4. Other Insurance. CG7578.3(2-19) Includes copyrighted material of ISO Properties, Inc. with its permission. Page 1 of 6 E. FIRE, LIGHTNING OR EXPLOSION DAMAGE Except where it is used in the term "hostile fire", the word fire includes fire, lightning or explosion wherever it appears in the Coverage Form. Under Section I — Coverage A, the last paragraph (after the exclusions) is replaced with the following: Exclusions c. through n. do not apply to damage by fire, smoke or leakage from automatic fire protection systems to premises while rented to you or temporarily occupied by you with permission of the owner. A separate limit of insurance applies to this coverage as described in Section III — Limits of Insurance. F. MEDICAL PAYMENTS If Section I — Coverage C. Medical Payments Coverage is not otherwise excluded from this Coverage Form: The requirement, in the Insuring Agreement of Coverage C., that expenses must be incurred and reported to us within one year of the accident date is changed to three years. G. SUPPLEMENTARY PAYMENTS Supplementary Payments — Coverages A and B Paragraphs 1.b. and 1.d. are replaced by the following: 1.b. Up to $5,000 for cost of bail bonds required because of accidents or traffic law violations arising out of the use of any vehicle to which the Bodily Injury Liability Coverage applies. We do not have to furnish these bonds. 1.d. All reasonable expenses incurred by the insured at our request to assist us in the investigation or defense of the claim or "suit', including actual loss of earnings up to $500 a day because of time off from work. H. SUBSIDIARIES AS INSUREDS Section II — Who Is An Insured is amended to add the following: 1.f. Any legally incorporated subsidiary in which you own more than 50% of the voting stock on the effective date of this policy. However, insured does not include any subsidiary that is an insured under any other general liability policy, or would have been an insured under such a policy but for termination of that policy or the exhaustion of that policy's limits of liability. I. BLANKET ADDITIONAL INSUREDS — AS REQUIRED BY CONTRACT Section II — Who Is An Insured is amended to include as an additional insured any person(s) or organization(s) subject to provisions in Paragraph 2. below, (hereinafter referred to as additional insured) when you and such person(s) or organization(s) have agreed in a written contract or written agreement that such person(s) or organization(s) be added as an additional insured on your policy provided that the written contract or agreement is: a. Currently in effect or becomes effective during the policy period; and b. Executed prior to an "occurrence" or offense to which this insurance would apply. However, the insurance afforded to such additional insured: a. Only applies to the extent permitted by law; and b. Will not be broader than that which you are required by the contract or agreement to provide for such additional insured; and c. Applies only if the person or organization is not specifically named as an additional insured under any other provision of, or endorsement added to, Section II — Who Is An Insured of this policy. 2. As provided herein, the insurance coverage provided to such additional insureds is limited to: a. Any Controlling Interest, but only with respect to their liability arising out of their financial control of you; or premises they own, maintain, or control while you lease or occupy these premises. This insurance does not apply to structural alterations, new construction and demolition operations performed by or for that person or organization. b. Any architect, engineer, or surveyor engaged by you but only with respect to liability for "bodily injury", "property damage" or "personal and advertising injury" caused, in whole or in part, by your acts or omissions or the acts or omissions of those acting on your behalf: (1) In connection with your premises; or (2) In the performance of your ongoing operations. With respect to the insurance afforded to these additional insureds, the following additional exclusion applies: This insurance does not apply to "bodily injury", "property damage" or "personal and advertising injury" arising out of the rendering of or the failure to render any professional services by or for you, including: (1) The preparing, approving, or failing to prepare or approve, maps, shop drawings, opinions, reports, surveys, field orders, change orders or drawings and specifications; or (2) Supervisory, inspection, architectural or engineering activities. CG7578.3(2-19) Includes copyrighted material of ISO Properties, Inc. with its permission. Page 2 of 6 This exclusion applies even if the claims This insurance does not apply to: against any insured allege negligence or (a) "Bodily injury', "property damage" or other wrongdoing in the supervision, hiring, "personal and advertising injury" employment, training or monitoring of arising out of operations performed others by that insured, if the 'occurrence" for the federal government, state or which caused the "bodily injury" or municipality; or "property damage", or the offense which caused the "personal and advertising (b) "Bodily injury' or "property damage" injury", involved the rendering of or the included within the "products - failure to render any professional services completed operations hazard". by or for you. e. Any vendor, but only with respect to "bodily c. Any manager or lessor of a premises injury' or "property damage" arising out of leased to you, but only with respect to "your products" which are distributed or sold liability arising out of the ownership, in the regular course of the vendor's maintenance or use of that part of a business. premises leased to you, subject to the With respect to the insurance afforded to following additional exclusions: these vendors, the following additional This insurance does not apply to: exclusions apply: (1) Any "occurrence" which takes place (1) The insurance afforded any vendor does after you cease to be a tenant in that not apply to: premises. (a) "Bodily injury' or "property damage" (2) Structural alterations, new construction for which any vendor is obligated to or demolition operations performed by pay damages by reason of the or on behalf of such additional insured. assumption of liability in a contract or agreement. This exclusion does not d. Any state or governmental agency or apply to liability for damages that any subdivision or political subdivision, subject to vendor would have in the absence of vendor the following: contract or agreement; (1) This insurance applies only with respect (b) Any express warranty unauthorized to the following hazards for which any by you; state or governmental agency or subdivision or political subdivision has (c) Any physical or chemical change in issued a permit or authorization in the product made intentionally by connection with premises you own, rent any vendor; or control and to which this insurance (d) Repackaging, except when applies: unpacked solely for the purpose of (a) The existence, maintenance, repair, inspection, demonstration, testing, construction, erection or removal of or the substitution of parts under advertising signs, awnings, instructions from the manufacturer, canopies, cellar entrances, coal and then repackaged in the original holes, driveways, manholes, container; marquees, hoist away openings, (e) Any failure to make such sidewalk vaults, street banners or inspections, adjustments, tests or decorations and similar exposures; servicing as any vendor has or agreed to make or normally (b) The construction, erection or undertakes to make in the usual removal of elevators; or course of business, in connection with the distribution or sale of the (c) The ownership, maintenance or use products; of any elevators covered by this insurance. (f) Demonstration, installation, (2) This insurance applies only with respect servicing or repair operations, except such operations performed to operations performed by you or on at any vendor's premises in your behalf for which any state or connection with the sale of the governmental agency or subdivision or product; political subdivision has issued a permit or authorization. (g) Products which, after distribution or sale by you, have been labeled or relabeled or used as a container, part or ingredient of any other thing or substance by or for any vendor; or CG7578.3(2-19) Includes copyrighted material of ISO Properties, Inc. with its permission. Page 3 of 6 (h) "Bodily injury" or "property damage" arising out of the sole negligence of any vendor for its own acts or omissions or those of its employees or anyone else acting on its behalf. However, this exclusion does not apply to: (i) The exceptions contained in Subparagraphs (d) or (f); or (i i) Such inspections, adjustments, tests or servicing as any vendor has agreed to make or normally undertakes to make in the usual course of business, in connection with the distribution or sale of the products. (2) This insurance does not apply to any insured person or organization, from whom you have acquired such products, or any ingredient, part or container, entering into, accompanying or containing such products. f. Any Mortgagee, Assignee Or Receiver, but only with respect to their liability as mortgagee, assignee, or receiver and arising out of the ownership, maintenance, or use of the premises by you. This insurance does not apply to structural alterations, new construction and demolition operations performed by or for that person or organization. g. Any Owners Or Other Interests From Whom Land Has Been Leased, but only with respect to liability arising out of the ownership, maintenance or use of that part of the land leased to you. With respect to the insurance afforded to these additional insureds, the following additional exclusions apply: (1) This insurance does not apply to: (a) Any "occurrence" which takes place after you cease to lease that land; (b) Structural alterations, new construction or demolition operations performed by or on behalf of such additional insured. h. Any person or organization from whom you lease equipment, but only with respect to liability for "bodily injury', "property damage" or "personal and advertising injury" caused, in whole or in part by your maintenance, operation or use of equipment leased to you by such person(s) or organization(s). A person's or organization's status as an additional insured under this endorsement ends when their contract or agreement with you for such leased equipment ends. With respect to the insurance afforded to these additional insureds, this insurance does not apply to any "occurrence" which takes place after the equipment lease expires. i. Any Owners, Lessees, or Contractors for whom you are performing operations, but only with respect to liability for "bodily injury", "property damage" or "personal and advertising injury" caused, in whole or in part, by: (1) Your acts or omissions; or (2) The acts or omissions of those acting on your behalf; in the performance of your ongoing operations for the additional insured. A person's or organization's status as an additional insured under this endorsement ends when your operations for that additional insured are completed. With respect to the insurance afforded to these additional insureds, the following additional exclusions apply: This insurance does not apply to: (1) "Bodily injury", "property damage" or "personal and advertising injury" arising out of the rendering of, or the failure to render, any professional architectural, engineering or surveying services, including: (a) The preparing, approving, or failing to prepare or approve, maps, shop drawings, opinions, reports, surveys, field orders, change orders or drawings and specifications; or (b) Supervisory, inspection, architectural or engineering activities. This exclusion applies even if the claims against any insured allege negligence or other wrongdoing in the supervision, hiring, employment, training or monitoring of others by that insured, if the "occurrence" which caused the "bodily injury" or "property damage", or the offense which caused the "personal and advertising injury", involved the rendering of or the failure to render any professional architectural, engineering or surveying services. CG7578.3(2-19) Includes copyrighted material of ISO Properties, Inc. with its permission. Page 4 of 6 (2) 'Bodily injury" or "property damage" occurring after: (a) All work, including materials, parts or equipment furnished in connection with such work, on the project (other than service, maintenance or repairs) to be performed by or on behalf of the additional insured(s) at the location of the covered operations has been completed; or (b) That portion of "your work" out of which the injury or damage arises has been put to its intended use by any person or organization other than another contractor or subcontractor engaged in performing operations for a principal as a part of the same project. j. Any Grantor of Licenses to you, but only with respect to their liability as grantor of licenses to you. Their status as additional insured under this endorsement ends when: 1. The license granted to you by such person(s) or organization(s) expires; or 2. Your license is terminated or revoked by such person(s) or organization(s) prior to expiration of the license as stipulated by the contract or agreement. k. Any Grantor of Franchise, but only with respect to their liability as grantor of a franchise to you. I. Any Co-owner of Insured Premises, but only with respect to their liability as co- owner of any insured premises. m. Any Concessionaires Trading Under Your Name, but only with respect to their liability as a concessionaire trading under your name. 3. Any insurance provided to any additional insured does not apply to "bodily injury", "property damage" or "personal and advertising injury" arising out of the sole negligence or willful misconduct of the additional insured or its agents, "employees" or any other representative of the additional insured. 4. With respect to the insurance afforded to these additional insureds, the following is added to Section III — Limits of Insurance: If coverage provided to any additional insured is required by a contract or agreement, the most we will pay on behalf of the additional insured is the amount of insurance: a. Required by the contract or agreement; or b. Available under the applicable Limits of Insurance shown in the Declarations; whichever is less. This endorsement shall not increase the applicable Limits of Insurance shown in the Declarations. J. COVERAGE FOR INJURY TO CO -EMPLOYEES AND/OR YOUR OTHER VOLUNTEER WORKERS Section II — Who is an Insured, Paragraph 2.a. (1) is amended to add the following: e. Paragraphs (a), (b), and (c) do not apply to your "employees" or "volunteer workers" with respect to "bodily injury" to a co -"employee" or other "volunteer worker'. Damages owed to an injured co -"employee" or "volunteer worker" will be reduced by any amount paid or available to the injured co - "employee" or "volunteer worker" under any other valid and collectible insurance. K. HEALTH CARE SERVICE PROFESSIONALS AS INSUREDS - INCIDENTAL MALPRACTICE Section II — Who is an Insured, Paragraph 2.a. (1) (d) is amended as follows: This provision does not apply to Nurses, Emergency Medical Technicians, or Paramedics who provide professional health care services on your behalf. However this exception does not apply if you are in the business or occupation of providing any such professional services. L. NEWLY FORMED OR ACQUIRED ORGANIZATIONS Section II — Who Is An Insured, Paragraph 3.a. is replaced by the following: 3.a. Coverage under this provision is afforded until the end of the policy period. This provision does not apply if newly formed or acquired organizations coverage is excluded either by the provisions of the Coverage Form or by endorsements. M. DAMAGE TO PREMISES RENTED TO YOU Section III — Limits of Insurance, Paragraph 6. is replaced by the following: Subject to 5.a. above, the Damage To Premises Rented To You Limit, or $500,000, whichever is higher, is the most we will pay under Coverage A for damages because of "property damage" to any one premises, while rented to you, or in the case of damage by fire, lightning, explosion, smoke or leakage from automatic protection systems, while rented to you or temporarily occupied by you with permission of the owner. CG7578.3(2-19) Includes copyrighted material of ISO Properties, Inc. with its permission. Page 5 of 6 N. MEDICAL PAYMENTS— INCREASED LIMITS Section III — Limits of Insurance, Paragraph 7. is replaced by the following: 7. Subject to Paragraph 5. above, $10,000 is the Medical Expense Limit we will pay under Coverage C for all medical expenses because of "bodily injury" sustained by any one person, unless the amount shown on the Declarations of this Coverage Part for Medical Expense Limit states: C P (a) No Coverage; or (b) $1,000; or (c) $5,000; or (d) A limit higher than $10,000. DUTIES IN THE EVENT OF OCCURRENCE, OFFENSE, CLAIM OR SUIT Section IV — Commercial General Liability Conditions Paragraph 2. is amended to add the following: 1. The requirement in Condition 2.a. that you must see to it that we are notified as soon as practicable of an "occurrence" or an offense which may result in a claim, applies only when the "occurrence" or offense is known to: (1) You, if you are an individual or a limited liability company; (2) A partner, if you are a partnership; (3) A member or manager, if you are a limited liability company; (4) An "executive officer" or insurance manager, if you are a corporation; or (5) A trustee, if you are a trust. 2. The requirement in Condition 2.b. that you must see to it that we receive notice of a claim or "suit" as soon as practicable will not be considered breached unless the breach occurs after such claim or "suit" is known to: (1) You, if you are an individual or a limited ability company; (2) A partner, if you are a partnership; (3) A member or manager, if you are a limited liability company; (4) An "executive officer" or insurance manager, if you are a corporation; or (5) A trustee, if you are a trust. PRIMARY AND NONCONTRIBUTORY — ADDITIONAL INSURED EXTENSION Section IV — Commercial General Liability Conditions Paragraph 4. Other Insurance is amended to add the following: This insurance is primary to and will not seek contribution from any other insurance available to an additional insured under your policy provided that: (1) The additional insured is a Named Insured under such other insurance; and (2) You have agreed in writing in a contract or agreement that this insurance would be primary and would not seek contribution from any other insurance available to the additional insured. However, if the additional insured has been added as an additional insured on other policies, whether primary, excess, contingent or on any other basis, this insurance is excess over any other insurance regardless of the written agreement between you and an additional insured. Q. UNINTENTIONAL FAILURE TO DISCLOSE EXPOSURES Section IV — Commercial General Liability Conditions Paragraph 6. Representations is amended to add the following: If you unintentionally fail to disclose any exposures existing at the inception date of your policy, we will not deny coverage under the Coverage Form solely because of such failure to disclose. However, this provision does not affect our right to collect additional premium or exercise our right of cancellation or non - renewal. This provision does not apply to any known injury or damage which is excluded under any other provision of this policy. R. WAIVER OF TRANSFER OF RIGHTS OF RECOVERY AGAINST OTHERS TO US Section IV — Commercial General Liability Condition Paragraph 8. Transfer Of Rights Of Recovery Against Others To Us is amended to add the following: We waive any right of recovery we may have against any person or organization because of payments we make for injury or damage arising out of: 1. Your ongoing operations; or 2. "Your work" included in the "products -completed operations hazard". However, this waiver applies only when you have agreed in writing to waive such rights of recovery in a contract or agreement, and only if the contract or agreement: 1. Is in effect or becomes effective during the term of this policy; and 2. Was executed prior to loss. S. MENTAL ANGUISH Section V — Definition 3. is replaced by the following: "Bodily injury" means bodily injury, sickness or disease sustained by a person, including mental anguish or death resulting from bodily injury, sickness or disease. T. LIBERALIZATION If we revise this endorsement to provide greater coverage without additional premium charge, we will automatically provide the additional coverage to all endorsement holders as of the day the revision is effective in your state. CG7578.3(2-19) Includes copyrighted material of ISO Properties, Inc. with its permission. Page 6 of 6 Policy Number: 6J3-34-02 COMMERCIAL LIABILITY UMBRELLA THIS ENDORSEMENT CHANGES THE POLICY. PLEASE READ IT CAREFULLY. PRIMARY AND NONCONTRIBUTORY - OTHER INSURANCE CONDITION - AUTOMATIC STATUS WHEN REQUIRED IN A WRITTEN CONTRACT This endorsement modifies insurance provided under the following: COMMERCIAL LIABILITY UMBRELLA COVERAGE PART A. The following is added to Section III — Limits of Insurance: We will not pay more on behalf of the additional insured than the lesser of: 1. The Limits of Insurance required in a written contract on a non-contributory basis for such additional insured, but only to the extent the required Limits of Insurance are in excess of the "underlying insurance"; or 2. The Limits of Insurance available after the payment of "ultimate net loss" on any insured's behalf from any claim or "suit". This provision is included within and does not act to increase the Limit of Insurance stated in the Declarations. Coverage will not be broader than the coverage provided by the "underlying insurance" listed in the "Schedule of Underlying Coverages". B. Paragraph 5. of Section IV — Conditions is replaced by the following: 5. Other Insurance a. This insurance is excess over, and shall not contribute with any of the other insurance, whether primary, excess, contingent or on any other basis. However: (1) This condition will not apply to other insurance specifically written as excess over this Coverage Part. (2) The insurance provided under this Coverage Part is primary to and will not seek contribution from any other insurance available to an additional insured, provided that: (a) The additional insured is a Named Insured under such other insurance; (b) You have agreed in writing in a contract or agreement that this insurance would be primary and would not seek contribution from any other insurance available to the additional insured. When this insurance is excess, we will have no duty under Coverages A or B to defend the insured against any "suit" if any other insurer has a duty to defend the insured against that "suit". If no other insurer defends, we will undertake to do so, but we will be entitled to the insured's rights against all those other insurers. b. When this insurance is excess over other insurance, we will pay only our share of the "ultimate net loss" that exceeds the sum of: (1) The total amount that all such other insurance would pay for the loss in the absence of the insurance provided under this Coverage Part; and (2) The total of all self -insured amounts other insurance. deductible and under all that CU7468(1-17) Includes copyrighted material of ISO Properties, Inc. with its permission. Page 1 of 1 Policy Number: 6D3-34-02 COMMERCIAL INTERLINE THIS ENDORSEMENT CHANGES THE POLICY. PLEASE READ IT CAREFULLY. NOTICE OF CANCELLATION PROVIDED BY US TO PERSON(S) OR ORGANIZATION(S) WITH WHOM YOU HAVE AGREED IN A WRITTEN CONTRACT OR AGREEMENT This policy is subject to the following additional Conditions: If we cancel this policy by notice to the first Named Insured, for any statutorily permitted reason other than for non- payment of premium, notice of such cancellation will be provided at least thirty (30) days in advance of the cancellation effective date to any person(s) or organization(s) with whom you have agreed in a written contract or agreement to provide such person(s) or organization(s) with a notice of cancellation but only if: 1. You have provided the name and address of such person(s) or organization(s) to your authorized agent; and 2. Your authorized agent provides us with that list within three (3) business days from the date we request it from them. If notice is mailed, proof of mailing to the last known mailing address of such person(s) or organization(s) will be sufficient proof of notice. Failure to provide such notice to such person(s) or organization(s) will not amend or extend the date the cancellation becomes effective, nor will it negate cancellation of the policy. Failure to send notice shall impose no liability of any kind upon us, our agents or our representatives. IL7447.6(10-17) Includes copyrighted material of ISO Properties, Inc. with its permission. Page 1 of 1 Policy Number: 6D3-34-02 COMMERCIAL GENERAL LIABILITY THIS ENDORSEMENT CHANGES THE POLICY. PLEASE READ IT CAREFULLY. ADDITIONAL INSURED - OWNERS, LESSEES OR CONTRACTORS - AUTOMATIC STATUS WHEN REQUIRED IN CONSTRUCTION CONTRACT OR AGREEMENT INCLUDING COMPLETED OPERATIONS - PRIMARY AND NONCONTRIBUTORY This endorsement modifies the insurance provided under the following: COMMERCIAL GENERAL LIABILITY COVERAGE FORM A. Section II — Who Is An Insured is amended to surveys, field orders, change orders or drawings include as an additional insured: and specifications; or 1. Any person or organization for whom you are performing operations when you and such person or organization have agreed in writing in a contract or agreement that such person or organization be added as an additional insured on your policy; and 2. Any other person or organization you are required to add as an additional insured under the contract or agreement described in Paragraph 1. above. Such person(s) or organization(s) is an additional insured only with respect to liability for "bodily injury", "property damage" or "personal and advertising injury" caused, in whole or in part, by: a. Your acts or omissions, or b. The acts or omissions of those acting on your behalf; in the performance of: a. your ongoing operations for the additional insured; or b. "Your work" for the additional insured and included in the "products — completed operations hazard". However, the insurance afforded to such additional insured described above: a. Only applies to the extent permitted by law; and b. Will not be broader than that which you are required by the contract or agreement to provide for such additional insured. B. With respect to the insurance afforded to these additional insureds, the following additional exclusion applies: This insurance does not apply to "bodily injury," "property damage" and "personal and advertising injury" arising out of the rendering of, or the failure to render, any professional architectural, engineering or surveying services including: b. Supervisory, inspection, architectural or engineering activities. This exclusion applies even if the claims against any insured allege negligence or other wrongdoing in the supervision, hiring, employment, training or monitoring of others by the insured, if the "occurrence" which caused the "bodily injury" or "property damage", or the offense which caused the "personal and advertising injury", involved the rendering of, or the failure to render, any professional architectural, engineering or surveying services. C. With respect to the insurance afforded to these additional insureds, the following is added to Section III — Limits Of Insurance: The most we will pay on behalf of the additional insured is the amount of insurance: 1. Required by the contract or agreement described in Paragraph A.1.; or 2. Available under the applicable Limits of Insurance shown in the Declarations; whichever is less. This endorsement shall not increase the applicable Limits of Insurance shown in the Declarations. D. The following is added to the Other Insurance Condition and supersedes any provision to the contrary: Primary and Noncontributory Insurance This insurance is primary to and will not seek contribution from any other insurance available to an additional insured under your policy provided that: (1) The additional insured is a Named Insured under such other insurance; and (2) You have agreed in writing in a contract or agreement that this insurance would be primary and would not seek contribution from any other insurance available to the additional insured. a. The preparing, approving, or failing to prepare E. All other terms and conditions of this policy remain or approve maps, shop drawings, opinions, reports, unchanged. CG7174.3(10-13) Includes copyrighted material of ISO Properties, Inc. with its permission. Page 1 of 1 Policy Number: 6E3-34-02 COMMERCIAL AUTO THIS ENDORSEMENT CHANGES THE POLICY. PLEASE READ IT CAREFULLY. COMMERCIAL AUTO ELITE EXTENSION This endorsement modifies insurance provided under the following: BUSINESS AUTO COVERAGE FORM The BUSINESS AUTO COVERAGE FORM is amended to include the following clarifications and extensions of coverage. With respect to coverage provided by this endorsement, the provisions of the Coverage Form apply unless modified by the endorsement. A. TEMPORARY SUBSTITUTE AUTO PHYSICAL DAMAGE Section I — Covered Autos Paragraph C. Certain Trailers, Mobile Equipment, and Temporary Substitute Autos is amended by adding the following: If Physical Damage Coverage is provided by this coverage form for an "auto" you own, the Physical Damage Coverages provided for that owned "auto" are extended to any "auto" you do not own while used with the permission of its owner as a temporary substitute for the covered "auto" you own that is out of service because of breakdown, repair, servicing, "loss" or destruction. The coverage provided is the same as the coverage provided for the vehicle being replaced. B. AUTOMATIC ADDITIONAL INSUREDS The Who Is An Insured provision under Covered Autos Liability Coverage is changed to include the following as an "insured": 1. Where Required by a Contract or Agreement the following is added: The Who Is An Insured provision contained in the Business Auto Coverage Form is amended to add the following: Any person or organization whom you become obligated to include as an additional insured under this policy, as a result of any contract or agreement you enter into which requires you to furnish insurance to that person or organization of the type provided by this policy, but only with respect to liability covered by the terms of this policy, arising out of the use of a covered "auto" you own, hire or borrow and resulting from the acts or omissions by you, any of your "employees" or agents. The insurance provided herein will not exceed: C. EMPLOYEES AS INSUREDS The following is added to the Section II — Covered Autos Liability Coverage, Paragraph A.1. Who Is An Insured provision: Any "employee" of yours is an "insured" while using a covered "auto" you don't own, hire or borrow in your business or your personal affairs. D. EMPLOYEE HIRED AUTOS 1. Changes In Covered Autos Liability Coverage The following is added to the Who Is An Insured provision: An "employee" of yours is an "insured" while operating an "auto" hired or rented under a contract or agreement in an "employee's" name, with your permission, while performing duties related to the conduct of your business. 2. Changes In General Conditions Paragraph 5.b. of the Other Insurance Condition in the Business Auto Coverage Form is replaced by the following: For Hired Auto Physical Damage Coverage, the following are deemed to be covered "autos" you own: a. Any covered "auto" you lease, hire, rent or borrow; and b. Any covered "auto" hired or rented by your "employee" under a contract in an "employee's" name, with your permission, while performing duties related to the conduct of your business. However, any "auto" that is leased, hired, rented or borrowed with a driver is not a covered "auto". E. NEWLY FORMED OR ACQUIRED ORGANIZATIONS (1) The coverage and/or limits of this policy, or Section II — Covered Autos Liability Coverage, (2) The coverage and/or limits required by said A.1. Who Is An Insured is amended by adding the contract or agreement, following: whichever is less. CA7450(11-17) Includes copyrighted material of ISO Properties, Inc. with its permission. Page 1 of 5 Any organization which you acquire or form after the effective date of this policy in which you maintain ownership or majority interest. However: (1) Coverage under this provision is afforded only up to 180 days after you acquire or form the organization, or to the end of the policy period, whichever is earlier. (2) Any organization you acquire or form will not be considered an "insured" if: (a) The organization is a partnership or a joint venture; or (b) That organization is covered under other similar insurance. (3) Coverage under this provision does not apply to any claim for "bodily injury" or "property damage" resulting from an "accident" that occurred before you formed or acquired the organization. F. SUBSIDIARIES AS INSUREDS Section II — Covered Autos Liability Coverage, A. 1. Who Is An Insured is amended by adding the following: Any legally incorporated subsidiary in which you own more than 50% of the voting stock on the effective date of this policy. However, "insured" does not include any subsidiary that is an "insured" under any other automobile liability policy or was an "insured" under such a policy but for termination of that policy or the exhaustion of the policy's limits of liability. G. SUPPLEMENTARY PAYMENTS Section II — Covered Autos Liability Coverage, A.2.a. Coverage Extensions, Supplementary Payments (2) and (4) are replaced by the following: (2) Up to $5,000 for cost of bail bonds (including bonds for related traffic law violations) required because of an "accident" we cover. We do not have to furnish these bonds. (4) All reasonable expenses incurred by the "insured" at our request, including actual loss of earnings up to $500 a day because of time off from work. H. FELLOW EMPLOYEE COVERAGE In those jurisdictions where, by law, fellow employees are not entitled to the protection afforded to the employer by workers compensation exclusivity rule, or similar protection. The following provision is added: Subparagraph 5. of Paragraph B. Exclusions in Section II — Covered Autos Liability Coverage does not apply if the "bodily injury" results from the use of a covered "auto" you own or hire. I. TOWING Section III — Physical Damage Coverage, A.2. Towing is replaced with the following: We will pay for towing and labor costs incurred, subject to the following: a. Up to $100 each time a covered "auto" of the private passenger type is disabled; or b. Up to $500 each time a covered "auto" other than the private passenger type is disabled. However, the labor must be performed at the place of disablement. J LOCKSMITH SERVICES Section III — Physical Damage Coverage, A.4. Coverage Extensions is amended by adding the following: We will pay up to $250 per occurrence for necessary locksmith services for keys locked inside a covered private passenger "auto". The deductible is waived for these services. K. TRANSPORTATION EXPENSES Section III — Physical Damage Coverage, A.4. Coverage Extensions Subparagraph a. Transportation Expenses is replaced by the following: (1) We will pay up to $75 per day to a maximum of $2,500 for temporary transportation expense incurred by you because of the total theft of a covered "auto" of the private passenger type. We will pay only for those covered "autos" for which you carry either Comprehensive or Specified Cause Of Loss Coverage. We will pay for temporary transportation expenses incurred during the period beginning 48 hours after the theft and ending, regardless of the policy's expirations, when the covered "auto" is returned to use or we pay for its "loss". (2) If the temporary transportation expenses you incur arise from your rental of an "auto" of the private passenger type, the most we will pay is the amount it costs to rent an "auto" of the private passenger type which is of the same like kind and quality as the stolen covered "auto". L. AUDIO, VISUAL, AND DATA ELECTRONIC EQUIPMENT COVERAGE ADDED LIMITS Audio, Visual, And Data Electronic Equipment Coverage Added Limits of $5,000 Per "Loss" are in addition to the sublimit in Paragraph C.1.b. of the Limits Of Insurance provision under Section III — Physical Damage Coverage. M. HIRED AUTO PHYSICAL DAMAGE Section III — Physical Damage Coverage, A.4. Coverage Extensions is amended by adding the following: CA7450(11-17) Includes copyrighted material of ISO Properties, Inc. with its permission. Page 2 of 5 If hired "autos" are covered "autos" for Liability Coverage, and if Comprehensive, Specified Causes of Loss, or Collision coverage is provided for any "auto" you own, then the Physical Damage coverages provided are extended to "autos" you hire, subject to the following limit and deductible: (1) The most we will pay for loss to any hired "auto" is the lesser of Actual Cash Value or Cost of Repair, minus the deductible. (2) The deductible will be equal to the largest deductible applicable to any owned "auto" for that coverage. No deductible applies to "loss" caused by fire or lightning. (3) Subject to the above limit and deductible provisions, we will provide coverage equal to the broadest coverage applicable to any covered "auto" you own. We will pay up to $1,000, in addition to the limit above, for loss of use of a hired auto to a leasing or rental concern for a monetary loss sustained, provided it results from an "accident" for which you are legally liable. However, any "auto" that is leased, hired, rented or borrowed with a driver is not a covered "auto". N. AUTO LOAN OR LEASE COVERAGE Section III — Physical Damage Coverage Paragraph A.4. Coverage Extensions is amended by the addition of the following: In the event of a total "loss" to a covered "auto" which is covered under this policy for Comprehensive, Specified Cause of Loss, or Collision coverage, we will pay any unpaid amount due, including up to a maximum of $500 for early termination fees or penalties, on the lease or loan for a covered "auto", less: 1. The amount paid under the Physical Damage Coverage Section of the policy; and 2. Any: a. Overdue lease/loan payments at the time of the "loss'; b. Financial penalties imposed under a lease for excessive use, abnormal wear and tear or high mileage; c. Security deposits not returned by the lessor; d. Costs for extended warranties, Credit Life Insurance, Health, Accident or Disability Insurance purchased with the loan or lease; and O. PERSONAL PROPERTY OF OTHERS Section III — Physical Damage Coverage, A.4. Coverage Extensions is amended by adding the following: We will pay up to $500 for loss to personal property of others in or on your covered "auto." This coverage applies only in the event of "loss" to your covered "auto" caused by fire, lightning, explosion, theft, mischief or vandalism, the covered "auto's" collision with another object, or the covered "auto's" overturn. No deductibles apply to this coverage. P. PERSONAL EFFECTS COVERAGE Section III — Physical Damage Coverage, A4. Coverage Extensions is amended by adding the following: We will pay up to $500 for "loss" to your personal effects not otherwise covered in the policy or, if you are an individual, the personal effects of a family member, that is in the covered auto at the time of the "loss". For the purposes of this extension personal effects means tangible property that is worn or carried by an insured including portable audio, visual, or electronic devices. Personal effects does not include tools, jewelry, guns, money and securities, or musical instruments Q. EXTRA EXPENSE FOR STOLEN AUTO Section III — Physical Damage Coverage, A4. Coverage Extensions is amended by adding the following: We will pay up to $1,000 for the expense incurred returning a stolen covered "auto" to you because of the total theft of such covered "auto". Coverage applies only to those covered "autos" for which you carry Comprehensive or Specified Causes Of Loss Coverage. R. RENTAL REIMBURSEMENT Section III — Physical Damage Coverage, A.4. Coverage Extensions is amended by adding the following: 1. This coverage applies only to a covered "auto" for which Physical Damage Coverage is provided on this policy. 2. We will pay for rental reimbursement expenses incurred by you for the rental of an "auto" because of "loss" to a covered "auto". Payment applies in addition to the otherwise applicable amount of each coverage you have on a covered "auto". No deductibles apply to this coverage. e. Carry-over balances from previous loans or 3. We will pay only for those expenses incurred leases. during the policy period beginning 24 hours Coverage does not apply to any unpaid amount after the "loss" and ending, regardless of the due on a loan for which the covered "auto" is not policy's expiration, with the lesser of the the sole collateral. following number of days. CA7450(11-17) Includes copyrighted material of ISO Properties, Inc. with its permission. Page 3 of 6 a. The number of days reasonably required to repair or replace the covered "auto". If "loss" is caused by theft, this number of days is added to the number of days it takes to locate the covered "auto" and return it to you; or b. 30 days. 4. Our payment is limited to the lesser of the following amounts: a. Necessary and actual expenses incurred; or b. $75 per day, subject to a $2,250 limit. 5. This coverage does not apply while there are spare or reserve "autos" available to you for your operations. 6. If "loss" results from the total theft of a covered "auto" of the private passenger type, we will pay under this coverage only that amount of your rental reimbursement expenses which is not already provided for under the Physical Damage — Transportation Expense Coverage Extension included in this endorsement. 7. Coverage provided by this extension is excess over any other collectible insurance and/or endorsement to this policy. S. AIRBAG COVERAGE Section III — Physical Damage Coverage, B.3.a. Exclusions is amended by adding the following: If you have purchased Comprehensive or Collision Coverage under this policy, the exclusion relating to mechanical breakdown does not apply to the accidental discharge of an airbag. T. NEW VEHICLE REPLACEMENT COST The following is added to Paragraph C. Limit Of Insurance of Section III — Physical Damage Coverage In the event of a total "loss" to your new covered auto of the private passenger type or vehicle having a gross vehicle weight of 20,000 pounds or less, to which this coverage applies, we will pay at your option: a. The verifiable new vehicle purchase price you paid for your damaged vehicle, not including any insurance or warranties. b. The purchase price, as negotiated by us, of a new vehicle of the same make, model, and equipment, or most similar model available, not including any furnishings, parts, or equipment not installed by the manufacturer or their dealership. c. The market value of your damaged vehicle, not including any furnishings, parts, or equipment not installed by the manufacturer or their dealership. We will not pay for initiation or set up costs associated with a loans or leases. For the purposes of this coverage extension a new covered auto is defined as an "auto" of which you are the original owner that has not been previously titled which you purchased less than 180 days prior to the date of loss. U. LOSS TO TWO OR MORE COVERED AUTOS FROM ONE ACCIDENT Section III — Physical Damage Coverage, D. Deductible is amended by adding the following: If a Comprehensive, Specified Causes of Loss or Collision Coverage "loss" from one "accident' involves two or more covered "autos", only the highest deductible applicable to those coverages will be applied to the "accident". If the application of the highest deductible is less favorable or more restrictive to the insured than the separate deductibles as applied in the standard form, the standard deductibles will apply. This provision only applies if you carry Comprehensive, Collision or Specified Causes of Loss Coverage for those vehicles, and does not extend coverage to any covered "autos" for which you do not cant' such coverage. V. WAIVER OF DEDUCTIBLE — GLASS REPAIR OR REPLACEMENT Section III — Physical Damage Coverage, D. Deductible is amended by adding the following: If a Comprehensive Coverage deductible is shown in the Declarations it does not apply to the cost of repairing or replacing damaged glass. W. DUTIES IN THE EVENT OF ACCIDENT, CLAIM, SUIT, OR LOSS Section IV — Business Auto Conditions, A.2. ❑uties In The Event Of Accident, Claim, Suit Or Loss is amended by adding the following: Your obligation to notify us promptly of an "accident", claim, "suit' or "loss" is satisfied if you send us the required notice as soon as practicable after your Insurance Administrator or anyone else designated by you to be responsible for insurance matters is notified, or in any manner made aware, of an "accident', claim, "suit" or "loss". X. WAIVER OF TRANSFER OF RIGHTS OF RECOVERY Subparagraph 5. of Paragraph A. Loss Conditions of Section IV — Business Auto Conditions is deleted in its entirety and replaced with the following. Transfer Of Rights Of Recovery Against Others To Us If any person or organization to or for whom we make payment under this Coverage Form has rights to recover damages from another, those rights are transferred to us. That person or organization must do everything necessary to secure our rights and must do nothing after "accident" or "loss" to impair them. CA7450(11-17) Includes copyrighted material of ISO Properties, Inc, with its permission. Page 4 of 5 However, we waive any right of recovery we may have against any person, or organization with whom you have a written contract, agreement or permit executed prior to the "loss" that requires a waiver of recovery for payments made for damages arising out of your operations done under contract with such person or organization. Y. UNINTENTIONAL FAILURE TO DISCLOSE EXPOSURES Section IV — Business Auto Conditions, B.2. Concealment, Misrepresentation, Or Fraud is amended by adding the following: If you unintentionally fail to disclose any exposures existing at the inception date of this policy, we will not deny coverage under this Coverage Form solely because of such failure to disclose. However, this provision does not affect our right to collect additional premium or exercise our right of cancellation or non - renewal. Z. MENTAL ANGUISH Section V — Definitions, C. is replaced by the following: "Bodily injury" means bodily injury, sickness or disease sustained by a person, including mental anguish or death resulting from bodily injury, sickness or disease. AA. LIBERALIZATION If we revise this endorsement to provide greater coverage without additional premium charge, we will automatically provide the additional coverage to all endorsement holders as of the day the revision is effective in your state. CA7450(11-17) Includes copyrighted material of ISO Properties, Inc, with its permission. Page 5 of 5 Policy Number: 6E3-34-02 COMMERCIAL INTERLINE THIS ENDORSEMENT CHANGES THE POLICY. PLEASE READ IT CAREFULLY. NOTICE OF CANCELLATION PROVIDED BY US TO PERSON(S) OR ORGANIZATION(S) WITH WHOM YOU HAVE AGREED IN A WRITTEN CONTRACT OR AGREEMENT This policy is subject to the following additional Conditions: If we cancel this policy by notice to the first Named Insured, for any statutorily permitted reason other than for non- payment of premium, notice of such cancellation will be provided at least thirty (30) days in advance of the cancellation effective date to any person(s) or organization(s) with whom you have agreed in a written contract or agreement to provide such person(s) or organization(s) with a notice of cancellation but only if: 1. You have provided the name and address of such person(s) or organization(s) to your authorized agent; and 2. Your authorized agent provides us with that list within three (3) business days from the date we request it from them. If notice is mailed, proof of mailing to the last known mailing address of such person(s) or organization(s) will be sufficient proof of notice. Failure to provide such notice to such person(s) or organization(s) will not amend or extend the date the cancellation becomes effective, nor will it negate cancellation of the policy. Failure to send notice shall impose no liability of any kind upon us, our agents or our representatives. IL7447.6(10-17) Includes copyrighted material of ISO Properties, Inc. with its permission. Page 1 of 1 Policy Number: 6J3-34-02 COMMERCIAL LIABILITY UMBRELLA THIS ENDORSEMENT CHANGES THE POLICY. PLEASE READ IT CAREFULLY. BLANKET WAIVER OF SUBROGATION WHEN REQUIRED IN A WRITTEN CONTRACT OR AGREEMENT This endorsement modifies insurance provided under the following COMMERCIAL LIABILITY UMBRELLA COVERAGE FORM The Transfer of Rights Of Recovery Against Others To Us Condition under Section IV — Conditions is amended by the addition of the following: We waive any right of recovery we may have against any person or organization against whom you have agreed to waive such right of recovery in a written contract or agreement because of payments we make for injury or damage arising out of your ongoing operations or "yourwork" done under a contract with the person or organization and included in the "products -completed operations hazard". CU7460(12-15) Includes copyrighted material of 150 Properties, Inc. with its permission. Page 1 of 1 --exasmutuar WORKERS' COMPENSATION INSURANCE WORKERS' COMPENSATION AND WC 42 03 04 B EMPLOYERS LIABILITY POLICY Agent copy TEXAS WAIVER OF OUR RIGHT TO RECOVER FROM OTHERS ENDORSEMENT This endorsement applies only to the insurance provided by the policy because Texas is shown in item 3.A. of the Information Page. We have the right to recover our payments from anyone liable for an injury covered by this policy. We will not enforce our right against the person or organization named in the Schedule, but this waiver applies only with respect to bodily injury arising out of the operations described in the schedule where you are required by a written contract to obtain this waiver from us. This endorsement shall not operate directly or indirectly to benefit anyone not named in the Schedule. The premium for this endorsement is shown in the Schedule. Schedule 1. ( ) Specific Waiver Name of person or organization (X)Blanket Waiver Any person or organization for whom the Named Insured has agreed by written contract to furnish this waiver. 2. Operations: All Texas operations 3. Premium: The premium charge for this endorsement shall be 2.00 percent of the premium developed on payroll in connection with work performed for the above person(s) or organization(s) arising out of the operations described. 4. Advance Premium: Included, see Information Page This endorsement changes the policy to which it is attached effective on the inception date of the policy unless a different date is indicated below. (The following "attaching clause" need be completed only when this endorsement is issued subsequent to preparation of the policy.) This endorsement, effective on 5113/23 at 12:01 a.m. standard time, forms a part of: Policy no. 0001252254 of Texas Mutual Insurance Company effective on 5113/23 Issued to: C GREEN SCAPING LP "/—, This is not a bill Authorized representative NCCI Carrier Code: 29939 5116/23 PO Box 12058, Austin, TX 78711-2058 1 of 1 texasmutual.com 1 (800) 859-5995 1 Fax (800) 359-0650 WC 42 03 04 B FORT WORTH. Routing and Transmittal Slip Transportation & Public Works Department DOCUMENT TITLE: Brick Pavement Rehabilitation. Unit Price Contract M&C: 24-0116 Date: 03/20/24 CPN: 105115 CSO: 61213 To: Name 1 Donnette Murphy 2. TPW AD: Patricia Wadsack 3. Lauren Prieur 4. Priscilla Ramirez 5. Doug Black 6. William Johnson 7 Ronald Gonzales 8 Jannette Goodall 9 Allison Tidwell 10. TPW Contracts Department Initials Risk -Approver R TPW-Approver ��- TPW-Signer Legal -Approver Legal -Signer ACM -Signer` CSCO-Approver P CSCO-Signer CSCO-Form Filler TPW DOC#: Date Out 03/20/24 03/20/24 03/20/24 03/21 /24 33/28/24 04/01 /24 )4/02/24 04/02/24 04/02/24 CC: Program Manager, Sr. CPO, TPW BSPAP Recon Team, TPW Records Room, TPW Contracts DOCUMENTS FOR CITY MANAGER'S SIGNATURE: All documents received from any and all City Departments requesting City Manager's signature for approval MUST BE ROUTED TO THE APPROPRIATE ACM for approval first. Once the ACM has signed the routing slip, David will review and take the next steps. NEEDS TO BE NOTARIZED: [-]YES ®No RUSH: [—]YES ®No SAME DAY: DYES ❑No NEXT DAY: ❑YES ❑No ROUTING TO CSO: ®YES ❑No Action Re wired: ❑ Attach Signature, Initial and Notary Tabs ❑ As Requested ❑ For Your Information ® Signature/Routing and or Recording ❑ Comment ❑ File Link to the General Conditions & Technical Specs Return To: Please notify TPWContracts@a fortworthtezas.gov for pickup when complete. Call ext. 7233 or ext. 8363 with questions. Thank you! FORT WORTH. Routing and Transmittal Slip Transportation & Public Works Department DOCUMENT TITLE: Brick Pavement Rehab Unit Price Contract M&C: 24-0116 CPN: 105115 CSO: Date: To: Name Department 1. C. Green Scaping LP Vendor 2. Tariqul Islam TPW 3. Michelle Hadley -McGhee TPW 4. Donnette Murphy Risk Mgnt 5. Patrick Wadsack TPW 6. Lauren Prieur TPW 7 Doug Black Legal 8 Janet McEachern CMO 9 Jannette Goodall CSO 10. TPW Contracts TPW DOC#: Initials Date Out CC: Program Manager, Sr. CPO, TPW BSPAP Recon Team, TPW Records Room, TPW Contracts ALSO List: - Bus Sppt: Alexiz Ramirez: Prg Mgr Mary Hanna: Sr CPO — Mary Hanna DOCUMENTS FOR CITY MANAGER'S SIGNATURE: All documents received from any and all City Departments requesting City Manager's signature for approval MUST BE ROUTED TO THE APPROPRIATE ACM for approval first. Once the ACM has signed the routing slip, David will review and take the next steps. NEEDS TO BE NOTARIZED: ❑YES ®No RUSH: [-]YES ®No SAME DAY: ❑YES ❑No NEXT DAY: [-]YES ❑No ROUTING TO CSO: ®YES ❑No Action Required: ❑ As Requested ❑ For Your Information ® Signature/Routing and or Recording ❑ Comment ❑ File ❑ Attach Signature, Initial and Notary Tabs Return To: Please notify TPWContracts(&,fortworthtexas.gov for pickup when complete. Call ext. 7233 or ext. 8363 with questions. Thank you! FORTWORTH. Routing and Transmittal Slip Transportation & Public Works Department DOCUMENT TITLE: Brick Pavement Rehabilitation, Unit Price Contract M&C: 00-0000 CPN: 105115 CSO: 00000 DOC#: Date: 02/12/24 To: Name Department Initials Date Out 1. Curtis Green/C G Scaping Vendor -Signer 03/04/24 2. Proj Mgr: Tariqul Islam TPW-Signer 03/04/24 3. Michelle Hadley -McGhee TPW-Review-,� 03/18/24 4. 5. li 6. 7 8 9 10. CC: Program Manager, Sr. CPO, TPW BSPAP Recon Team, TPW Records Room, TPW Contracts DOCUMENTS FOR CITY MANAGER'S SIGNATURE: All documents received from any and all City Departments requesting City Manager's signature for approval MUST BE ROUTED TO THE APPROPRIATE ACM for approval first. Once the ACM has signed the routing slip, David will review and take the next steps. NEEDS TO BE NOTARIZED: DYES ®No RUSH: DYES ®No SAME DAY: DYES ❑No NEXT DAY: DYES ❑No ROUTING TO CSO: ®YES ❑No Action Required: ❑ Attach Signature, Initial and Notary Tabs ❑ As Requested ❑ For Your Information ® Signature/Routing and or Recording ❑ Comment ❑ File https://fortworthtexas.sharepoint.com/sites/tpwgis/CPFS/Lists/Request%20Log/Attachments/12940/General%2OCondit Return To: Please notify TPWContractsnfortworthtexas.gov for pickup when complete. Call ext. 7233 or ext. 8363 with questions. Thank you! t �.�/ Bond Verification From: Lisa Lawson To: Hadlev-McGhee. Michelle Subject: FW: PLEASE REPLY - BOND VERIFICATION REQUEST [CPN ##105115 - Brick Pavement Rehabilitation, Unit Price Contract] Date: Wednesday, March 13, 2024 9:58:45 AM Attachments: imaae001.Dno CAUTION: This email originated from outside of the City of Fort Worth email system. Do not click any links or open attachments unless you recognize the sender and know the content is safe. Good Morning, Yes, this is a valid bond. The information below is correct. Thank you, Lisa Lawson I Sr. Contract Underwriting Account Specialist Merchants Bonding CompanyTM street 6700 Westown Parkway, West Des Moines, IA 50266-7754 mailing P.O. Box 14498, Des Moines, IA 50306-3498 direct (515) 558.8765 toll free (800) 678.8171 web www.merchantsbondin2.com MERCHANT BONDING COMI"ANY C0MM0N SENSE SURETY SINCE 19330 From: Hadley -McGhee, Michelle <Michelle.Hadlev-McGhee(@fortworthtexas.EOV> Sent: Tuesday, March 12, 2024 8:38 AM To: Merchants Bonding Info <Info(@merchantsbondin2.onmicrosoft.com> Subject: FW: PLEASE REPLY - BOND VERIFICATION REQUEST [CPN ##105115 - Brick Pavement Rehabilitation, Unit Price Contract] CAUTION:This email originated from outside of Merchants Bonding Company. Do not click links or open attachments unless you recognize the sender and know the content is safe. Please see bond verification request below. Vppr,eeia ti vc & Looking forward, Mieh'C11Q flfiMe(52hQQ Contract Compliance Specialist T P W City of Fort Worth 200 Texas St. * Ft Worth, TX 76102 817-392-7233 Michelle. Had lev-McGhee@fortworthtexas.aov From: Hadley -McGhee, Michelle Sent: Tuesday, March 12, 2024 8:16 AM To: dianaadame(@ramevkine.com Subject: PLEASE REPLY - BOND VERIFICATION REQUEST [CPN ##105115 - Brick Pavement Rehabilitation, Unit Price Contract] 03/12/2024 Good morning. The City of Fort Worth is in receipt of the following referenced bond(s) — BOND #100285117, in the amount of $550,000.00 (Five Hundred Fifty Thousand and 00/100 Dollars), from C Green Scaping, LP, for City Project #105115 (Brick Pavement Rehabilitation, Unit Price Contract). Please provide confirmation that both the bond(s) and dollar amount(s) are valid. Your prompt attention to this matter is greatly appreciated! If there are additional questions or concerns, please do not hesitate to contact me at, michelle. had ley-mcahee(@fortworthtexas.aov, or by phone, 817-392-7233. Should this request have reached you in error, or needs to be directed elsewhere, please be so kind to provide the name of the contact, with both an email address & phone number of the person or department being referenced. It is appreciated. ,fooklgg fotwatd c5� p0%goteciative, C&ic/ehle 0gad1VVYc Thee Contract Compliance Specialist City of Fort Worth Transportation & Public Works (TPW) 200 Texas Street, Fort Worth, TX 76102 Direct: 817-392-7233 Michelle.Hadlev-McGhee(a)fortworthtexas.aov City of Fort Worth — Working together to build a strong community. FORT WORTH,: This e-mail message is intended only for the use of the individual or entity to which it is addressed, and may contain information that is privileged, confidential and exempt from disclosure under applicable law. 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