HomeMy WebLinkAboutContract 56655-FP2-FP2
City Secretary 56655
Contract No.
FORT WORTH.
Date Received 05/22/2024
AT
NOTICE OF PROJECT COMPLETION
(Developer Projects)
The Transportation and Public Works Department upon the recommendation of the Project
Manager has accepted the following project as complete:
Project Name: 7-Eleven #41631
City Project No.: 103031
Improvement Type(s): Water x❑ Sewer x❑
Original Contract Price:
$116,480.87
Amount of Approved Change Order(s):
$12,172.13
Revised Contract Amount:
$128,653.00
Total Cost of Work Complete:
$128,653.00
matko-1- caarl�- May 20 2024
Moises Castro (May 20, 202414:17 CDT) J
Contractor Date
Verdad Construction Services
Title
Verdad Real Estate and Construction Services
Company Name
May 20, 2024
Je K—ce(May20,202420:46CDT)
Project Inspector
Date
%'
May 21, 2024
Ram Tiwari (Mav 21, 202411:51 CDT)
Project Manager
Date
May 22, 2024
777 r a0 en(Mav22.202409:20CDT)
CFA Manager
Date
°-�
May 22, 2024
Lauren Prieur (May 22, 202409:27 CDT)
TPW Director
Date
(:)o�
May 23, 2024
Asst. City Manager
Date
OFFICIAL RECORD
CITY SECRETARY Page 1 of 2
FT. WORTH, TX
Notice of Project Completion
Project Name: 7-Eleven #41631
City Project No.: 103031
City's Attachments
Final Pay Estimate ❑x
Change Order(s): ❑x Yes ❑ N/A
Pipe Report: x❑ Yes ❑ N/A
Contractor's Attachments
Affidavit of Bills Paid
Consent of Surety M
Statement of Contract Time
Contract Time: 56 WD
Work Start Date: 4/4/2022
Completed number of Soil Lab Test: 80
Completed number of Water Test: 2
Days Charged: 175
Work Complete Date: 4/10/2023
Page 2of2
FoRTWORTH
CITY OF FORT WORTH
FINAL PAYMENT REQUEST
Contract Name 7-ELEVEN #41631 CHAPEL CREEK & WESTPOINT BLVD.
Contract Limits
Project Type WATER IMPROVEMENTS
City Project Numbers 103031
DOE Number 3031
Estimate Number 1 Payment Number 1 For Period Ending 4/10/2023
WD
City Secretary Contract Number Contract Time 5WD
Contract Date Days Charged to Date 175
Project Manager NA Contract is 100.00 Complete
Contractor VERDAD CONSTRUCTION SERVICES
1211 S WHITE CHAPEL BLVD
SOUTHLAKE , TX 76092
Inspectors G.DEYON / J. KOONCE
Wednesday, September 6, 2023 Page 1 of 5
City Project Numbers 103031
Contract Name 7-ELEVEN #41631 CHAPEL CREEK & WESTPOINT BLVD.
Contract Limits
Project Type WATER IMPROVEMENTS
Project Funding
UNIT I: WATER IMPROVEMENTS
Item Estimated
Description of Items Unit
No. Quanity
1 TRENCH SAFETY 911 LF
2 DUCTILE IRON WATER FITTINGS W/ 0.186 TO
RESTRAINT (CO #1)
3 8" PVC WATER PIPE (CO #1)
4 12" PVC WATER PIPE
5 FIRE HYDRANT (CO #1)
6 WATER SAMPLING STATION
7 CONNECTION TO EXISTING 12" WATER MAIN
8 1" WATER SERVICE
9 2" WATER SERVICE
10 UTILITY SERVICE SURFACE RESTORATION
SODDING
DOE Number 3031
Estimate Number 1
Payment Number 1
For Period Ending 4/10/2023
Unit Cost Estimated
Completed
Completed
Total
Quanity
Total
$1.12 $1,020.32
911
$1,020.32
$5,562.00 $1,034.53
0.186
$1,034.53
845.32
LF
$60.00
$50,719.20
845.32
$50,719.20
74
LF
$71.00
$5,254.00
74
$5,254.00
0
EA
$4,000.00
$0.00
0
$0.00
1
EA
$3,845.00
$3,845.00
1
$3,845.00
1
EA
$2,176.00
$2,176.00
1
$2,176.00
1
EA
$1,028.00
$1,028.00
1
$1,028.00
1
EA
$2,144.00
$2,144.00
1
$2,144.00
186
SY
$6.00
$1,116.00
186
$1,116.00
11
8" GATE VALVE (CO #1)
2 EA
$1,957.00
$3,914.00
2
$3,914.00
Sub -Total of Previous Unit
$72,251.05
$72,251.05
UNIT 11: SANITARY SEWER IMPROVEMENTS
Item
Description of Items
Estimated Unit
Unit Cost
Estimated
Completed
Completed
No.
Quanity
Total
Quanity
Total
---------------------------------------
1
CONCRETE COLLARS (CO #1)
4 EA
$425.00
$1,700.00
4
$1,700.00
2
TRENCH WATER STOPS
2 EA
$465.00
$930.00
2
$930.00
3
8"SEWER PEPE
385 LF
$60.00
$23,100.00
385
$23,100.00
4
T MANHOLE
2 EA
$2,413.00
$4,826.00
2
$4,826.00
5
T DROP MANHOLE
1 EA
$4,380.00
$4,380.00
1
$4,380.00
6
T EXTRA DEPTH MANHOLE
9 VF
$196.00
$1,764.00
9
$1,764.00
7
POST - CCTV INSPECTION (CO #1)
409.86 LF
$1.95
$799.23
409.86
$799.23
8
MANHOLE VACUUM TESTING (CO #1)
4 EA
$175.00
$700.00
4
$700.00
9
TRENCH SAFETY (CO #1)
409.86 LF
$1.12
$459.04
409.86
$459.04
10
EPDXY MANHOLE LINER
39 VF
$70.00
$2,730.00
39
$2,730.00
11
UTILITY SERVICE SURFACE RESTORATION
86 SY
$6.00
$516.00
86
$516.00
SODDING
12
TRENCH WATER STOP (CO #1)
l EA
$465.00
$465.00
1
$465.00
13
8" SEWER PIPE CSS BACKFILL (CO #1)
24.86 LF
$100.00
$2,486.00
24.86
$2,486.00
Wednesday, September 6, 2023 Page 2 of 5
City Project Numbers 103031 DOE Number 3031
Contract Name 7-ELEVEN #41631 CHAPEL CREEK & WESTPOINT BLVD. Estimate Number I
Contract Limits Payment Number 1
Project Type SANITARY SEWER IMPROVEMENTS For Period Ending 4/10/2023
Project Funding
14 T MANHOLE (CO #1) 1 EA
$7,748.71
$7,748.71
1 $7,748.71
15 4' EXTRA DEPTH MANHOLE (CO #1) 9.14 VF
$295.69
$2,702.61
9.14 $2,702.61
16 EPDXY MANHOLE LINER (CO #1) 13.14 VF
$80.00
$1,051.20
13.14 $1,051.20
17 UTILITY SERVICE SURFACE RESTORATION 5.52 SY
$8.00
$44.16
5.52 $44.16
SODDING (CO #1)
Sub -Total of Previous Unit
$56,401.95
$56,401.95
Wednesday, September 6, 2023 Page 3 of 5
City Project Numbers 103031
Contract Name 7-ELEVEN #41631 CHAPEL CREEK & WESTPOINT BLVD.
Contract Limits
Project Type SANITARY SEWER IMPROVEMENTS
Project Funding
Contract Information Summary
Original Contract Amount
Chanhe Orders
Change Order Number 1
Change Order Number 1
Total Contract Price
DOE Number 3031
Estimate Number 1
Payment Number 1
For Period Ending 4/10/2023
$116,480.87
($3,001.87)
$15,174.00
$128,653.00
Total Cost of Work Completed $128,653.00
Less % Retained $0.00
Net Earned $128,653.00
Earned This Period $128,653.00
Retainage This Period $0.00
Less Liquidated Damages
Days @ / Day
LessPavement Deficiency
Less Penalty
Less Previous Payment
Plus Material on Hand Less 15%
Balance Due This Payment
$0.00
$0.00
$0.00
$0.00
$0.00
$128,653.00
Wednesday, September 6, 2023 Page 4 of 5
City Project Numbers 103031
Contract Name 7-ELEVEN #41631 CHAPEL CREEK & WESTPOINT BLVD.
Contract Limits
Project Type SANITARY SEWER IMPROVEMENTS
Project Funding
Project Manager NA
Inspectors G.DEYON / J. KOONCE
Contractor VERDAD CONSTRUCTION SERVICES
1211 S WHITE CHAPEL BLVD
SOUTHLAKE , TX 76092
DOE Number 3031
Estimate Number 1
Payment Number 1
For Period Ending 4/10/2023
City Secretary Contract Number
Contract Date
Contract Time 56 WD
Days Charged to Date 175 WD
Contract is .000000 Complete
CITY OF FORT WORTH
SUMMARY OF CHARGES
Line Fund Account Center Amount Gross Retainage Net
Funded
Total Cost of Work Completed $128,653.00
Less % Retained $0.00
Net Earned $128,653.00
Earned This Period $128,653.00
Retainage This Period $0.00
Less Liquidated Damages
0 Days @ $0.00 / Day
$0.00
LessPavement Deficiency
$0.00
Less Penalty
$0.00
Less Previous Payment
$0.00
Plus Material on Hand Less 15%
$0.00
Balance Due This Payment
$128,653.00
Wednesday, September 6, 2023 Page 5 of 5
PROJECT NAME:
CONTRACT:
CFA #
CITY PROJECT#
DOE #
IPRC #
X-FILE #
FILE #
INSPECTOR:
PROJECT MANAGER:
ORIGINAL CONTRACT
EXTRAS TO DATE
CREDITS TO DATE
CONTRACT TO DATE
AMOUNT OF PROP. CHANGE ORDER
REVISED CONTRACT AMOUNT
TOTAL REVISED CONTRACT AMOUNT
PER UNIT
REVISED COST SHARE
TOTAL REVISED CONTRACT
REVIEWED
By Kiran Konduru at 3:17 pm, Oct 21, 2022
DEVELOPER -AWARDED -PROJECT CHANGE ORDER
7-Eleven #41631 Chapel Creek & Westpoint CHANGE
Pavinq, Water and SanitaSewer ORDER No:
21-0120 I CITY PARTICIPATION: No
103031
30114-0200431-103031-E07685
IPRC 20-0171
X-26805
K-2741
Jeremy Koonce Phone No: 817-527-5406
Kiran Konduru Phone No: 817-392-2237
CONTRACT UNIT
WATER
SEWER
PAVING
DRAINAGE STREET LIGHTS
Developer
Developer
Developer
Developer Developer
Cost City Cost
Cost City Cost
Cost City Cost
Cost City Cost Cost City Cost
$75,252.92
$41,227.96
$102,408.17
$75,252.92 $0.00
$41,227.95 $0.00
$O.00 $0.00
$0.00 $0.00 $0.00 $0.00
($3,001.87)
$15,174.00
$72,251.05 $0.00
$56,401.95 $0.00
$102,408.17 $0.00
$0.00 $0.00 $0.00 $0.00
$72,251.05
$56,401.95
$102,408.17
$0.00 $0.00
Dev. Cost:
$231,061.17
City Cost:
$0.00
$231,061.17
I
]CONTRACT
1 DAYS
56
56
REVIEWED
By Kiran Konduru at 3:17 pm, Oct 21, 2022
You are directed to make the following changes in the contract documents
CITY BID ITEM
PAY ITEM #
# QUANTITY
UNIT
ITEM DESCRIPTION
UNIT PRICE
TOTAL
UNIT I WATER
2
3311.0001 -0.614
TON
DUCTILE IRON FITTINGS
$5,562.00
-$3,415.07
3
3311.0261 8.32
LF
8" PVC WATER PIPE
$60.00
$499.20
5
3312.0001 -1
EA
FIRE HYDRANT
$4,000.00
-$4,000.00
*11
3312.3003 2
EA
8" GATE VALVE
$1,957.00
$3,914.00
UNIT TOTAL
-$3,001.87
UNIT II SANITARY SEWER
1
3305.0112 1
EA
CONCRETE COLLAR
$425.00
$425.00
7
3301.0002 24.86
LF
POST CCTV INSPECTION
$1.95
$48.48
8
3301.0101 1 I
EA
MANHOLE VACCUUM TESTING
$175.00
$175.00
9
3305.0109 24.86 1
LF
TRENCH SAFETY
$1.12
$27.84
12'
3305.0113 1
EA
TRENCH WATER STOP
$465.00
$465.00
13`
3331.4116 24.86 I
LF
8" SEWER PIPE$ BACKFILL
$100.00
$2,486.00
14'
3339.1001 1 1
EA
4' MA 0 E
$7,748.71
$7,748.71
15"
3339.1003 9.14 1
VF
4' EXTRA DEPTH MANHOLE
$295.69
$2,702.61
16"
3339.0001 13.14 1
VF
EPDXY MANHOLE LINER
$80.00
$1,051.20 1
17'
3292.0101 5.52 1
SY UTILTY SERVICE SURFACE RESTORATION SODDING
1 $8.00
$44.16 I
UNITTOTAL
I
$15,174.00 1
TOTAL
I
I
1 $12,172.13 1
UNIT 1 WATER
Water conflict between proposed FH location and existing light pole. The conflict was discussed with Water department and The
construction plans
reflect The
revisions to The Water improvements approved by Water department.
UNITII SANITARY SEWER
The project had a Conflict between existing 60" storm culvert that crosses under westpoint blvd and connection point to existing 8" Sanitary sewer. There is no
room to set the manhole per field conditions. The conflict was discussed with water department and the sewer alignment was shifted to tie in to the manhole
REASONS FOR CHANGE ORDER
upstream. Additional sewer easement was dedicated for the new sewer alignment. The construction plans reflect the revisions approved by water department.
NO CITY FUNDS INVOLVED IN THIS CONTRACT. DEVELOPER IS RESPONSIBLE FOR 100% OF THE CHANGE ORDER COST AND NO
REIMBURSEMENT FROM THE CITY WILL BE SOUGHT BY THE DEVELOPER.
RECOMMENDED:
(Consulting Engineer)
By: _ ���
Name: Samantha Renz
Title: Engineer
APPROVED:
(Develo By:
Name. acob MOSS
Title: Project Manager
APPROVED:
(Contractor) n
N me:�J �o5e G Q ar
Title: '��,� < < .� A4- C . ,
PROJECT NAME:
1 CONTRACT:
CFA #
CITY PROJECT #
IFID #
IPRC #
JX-FILE #
FILE #
INSPECTOR:
PROJECT MANAGER:
ORIGINAL CONTRACT
EXTRAS TO DATE
CREDITS TO DATE
CONTRACT TO DATE
AMOUNT OF PROP. CHANGE ORDER
REVISED CONTRACT AMOUNT
TOTAL REVISED CONTRACT AMOUNT
PER UNIT
REVISED COST SHARE
TOTAL REVISED CONTRACT
DEVELOPER -AWARDED -PROJECT CHANGE ORDER
7-Eleven #41631 Chapel Creek and Westpoint
Pavinq, Water, and Sanitary Sewer
21-0120 CITY PARTICIPATION:
103031
30114-0200431-103031-E07685
IPRC 20-0171
X-26805
K-2741
No
Jeremy Koonce Phone No: 817-527-5406
Kiran Konduru Phone No: 817-392-2237
WATER
Developer
Cost City Cost
$75,252.92
$3,001.87
$72,251.05
$0.00
$72,251.05 1 $0.00
$72,251.05
Dev. Cost:
(APPROVED )
CHANGE
ORDER No:
2
CONTRACT UNIT
SEWER
PAVING
I DRAINAGE
STREET LIGHTS
Developer
Developer
Developer
Developer
Cost City Cost
Cost City Cost
Cost City Cost
Cost City Cost
$41,227.95
$102,408.17
$0.00
$15,174.00
$56,401.95 $0.00
$102,408.17 $0.00
$0.00 $0.00
$0.00 $0.00
1
$7,099.00
$56,401.95 $0.00
$102,408.17 $0.00
$0.00 $0.00
$7,099.00 $0.00
$56,401.95
$102,408.17
$0.00
$7,099.00
$238,160.17
City Cost:
$0.00
$238,160.17
CONTRACT
DAYS
56
56
56
Revised: 10-12-2011 Page 1
You are directed to make the following changes in the contract documents:
CITY BID ITEM
PAY ITEM # # QUANTITY UNIT
1" 2605.0101 1 LS
REASONS FOR CHANGE ORDER
TOTAL
Electric pull box relocation to be removed from proposed right turn lane
ITEM DESCRIPT19N
Electrical Facilities
(APPROVED )
UNIT PRICE TOTAL
$7,099.00 $7,099.00
(Delete if there is City Participation) NO CITY FUNDS INVOLVED IN THIS CONTRACT. DEVELOPER IS RESPONSIBLE FOR 100% OF THE CHANGE ORDER COST AND NO
REIMBURSEMENT FROM THE CITY WILL BE SOUGHT BY THE DEVELOPER.
RECOMMENDED:
(Consulting Engineer)
By: _� e
Name: Samantha Renz
Title: Project Manager
APPROVED:
(Developer)
By: /Vi I�GdO.O� Ci e.O (t &
Name: Moises Castro
Title: Project Manager
APPROVED:
(Contractor)
By: ��d
5t,-S Jose Galvan
N me:
Title: Construction Manager
$7,099.00
Revised: 10-12-2011 Page 2
FORTWORTH
TRANSPORTATION AND PUBLIC WORKS
PIPE REPORT FOR:
PROJECT NAME: 7-Eleven #41631
CITY PROJECT NUMBER: 103031
WATER
PIPE LAID SIZE TYPE OF PIPE LF
C-900 8" PVC 845.32
C-900 12" PVC 74
FIRE HYDRANTS: 0 VALVES (16" OR LARGER)
PIPE ABANDONED SIZE TYPE OF PIPE LF
DENSITIES: Yes
NEW SERVICES: 1" Copper 1 EA
2" Copper 1 EA
SEWER
PIPE LAID SIZE TYPE OF PIPE LF
SDR-26 8" PVC 385
PIPE ABANDONED SIZE TYPE OF PIPE LF
DENSITIES: Yes
NEW SERVICES: 4" PVC 1 EA
TRANSPORTATION AND PUBLIC WORKS
The City of Fort Worth • 1000 Throckmorton Street • Fort Worth, TX 76012-6311
(817) 392 - 7941 • Fax: (817) 392 - 7845
FORTWORTH.
M,
TRANSPORTATION AND PUBLIC WORKS
July 17, 2023
Verdad Construction Services
1211 South White Chapel Blvd.
Southlake, TX 76092
RE: Acceptance Letter
Project Name: 7-Eleven #41631
Project Type: Developer
City Project No.: 103031
To Whom It May Concern:
On April 10, 2023 a final inspection was made on the subject project. There were punch list items
identified at that time. The punch list items were completed on July 16, 2023. The final inspection and
the corrected punch list items indicate that the work meets the City of Fort Worth specifications and is
therefore accepted by the City. The warranty period will start on July 16, 2023, which is the date of the
punch list completion and will extend of two (2) years in accordance with the Contract Documents.
If you have any questions concerning this letter of acceptance, please feel free to contact me at
Jeremy.Koonce@fortworthtexas.gov.
Sincerely,
Ram Tiwari (May 21, 202411:51 CDT)
Ram Tiwari, Project Manager
Cc: Jeremy Koonce, Inspector
Troy Gardner, Inspection Supervisor
Gary Deyon, Senior Inspector
Andrew Goodman, Program Manager
Evolving Civil Engineering + Planning, Consultant
Verdad Construction Services, Contractor
Verdad Construction Services, Developer
File
E-Mail: TPW_Acceptance@fortworthtexas.gov
Rev. 8/20/19
V .ram VE ,7 A D
Notice: This document waives rights unconditionally and states that you have been paid for giving up those rights. It is prohibited for a person to
require you to sign this document if you have not been paid the payment amount set forth below. If you have not been paid, use a conditional
release form.
UNCONDITIONAL WAIVER AND RELEASE ON PROGRESS PAYMENT
Project Tx Ft Worth (Chapel Creek) 7-11 # 41631
Job No. 01163-232
The signer of this document has been paid and has received a progress payment in the sum of $3,771.23 for all
labor, services, equipment, or materials furnished to the property or to Verdad Construction Services, LLC
(person with whom signer contracted) on the property of (owner) located at (location) to the following
extent: iJ6&La-6bAod uhiih" (jobdescription).
The signer therefore waives and releases any mechanic's lien right, any right arising from a payment bond that
complies with a state or federal statute, any common law payment bond right, any claim for payment, and any
rights under any similar ordinance, rule, or statute related to claim or payment rights for persons in the signer's
position that the signer has on the above referenced project to the following extent:
This release covers a progress payment for all labor, services, equipment, or materials furnished to the property
or to Verdad Construction Services. LLC. (person with whom signer contracted) as indicated in the attached
statement(s) or progress payment request(s), except for unpaid retention, pending modifications and changes, or
other items furnished.
The signer warrants that the signer has already paid or will use the funds received from this progress payment to
promptly pay in full all of the signer's laborers, subcontractors, materialmen, and suppliers for all work, materials,
equipment, or services provided for or to the above referenced project in regard to the attached statement(s) or
progress payment request(s).
Date
Tronhv Construction Services LLC (Company name)
By -- -� (Signature)
# (Title)
NOTE: Section 53.281(b)(2), Texas Property Code, requires that the above form be notarized. See Chapter 121, Texas
Civil Practice & Remedies Code, regarding Acknowledgments & Proofs of Written Instruments, or consult an attorney_
For short acknowledgement forms that might be suitable, see Section 121.008 in Chapter 121. Click here to go there.
State of ��`
County of S
This instrument was acknowledged before me on fj46rUqn� aV , 20oq?) byT k)a& ly 1 b—) -
_ _ Notary.
GINGER FRANKLIN Printed ame:�`no1GY-�gi'l�l�
Johnson county
`¢ Notary Publlc, State O; Texas
Comm. Expires 10-28.2025 My Commission Expires:_ l o S.PgQar7
'Fo„� Notary 04 12960864-6
Lien Waiver History
Date Company
104/19/23 Pay
02/21/23 Verdad Construction
Services, LLC
Event
Lien Waiver recieved by email / fax
Sylvia Perez sent Lien Waiver'7. Progress _ Payment _-_Unconditional_Waiver_Release 002.pdf' for Application
For Payment #5 for Trophy Construction Services LLC
PAGE 1 OF 1
CONSENT OF SURETY
TO FINAL PAYMENT
BOND NO.: 4450185
TO OBLIGEE:
(Name and Address)
City of Fort Worth
420 Throckmorton St., Ste 620
Fort Worth, TX 76102
PROJECT:
(Name and Address)
7-Eleven #41631
PRINCIPAL: Verdad Construction Services
OWNER
ARCHITECT
CONTRACTOR
SURETY
OTHER
CONTRACT FOIL:
Water Pipe and Utility Work
CONTRACT DATED:
August 11, 2021
At the request of the Obligee and the Principal indicated above, (,nsert name and address ofszWO
SureTec Insurance Company
2103 CityWest Blvd., Suite 1300
Houston, TX 77042 , SURETY,
on bond of
(Insert name and address of contractor) Verdad Construction Services
1211 S. White Chapel Blvd., Southiake, TX 76M
, CONTRACTOR,
and conditioned on the representation by Obligee that all Contract provisions relating to the payment of final
payment under the Contract have been satisfied by Principal as of the date of final payment, and that no claims
by Obl ieee or any third party are known or believed by Obligee or its representatives to exist as of the date of
final payment, representations as to the What auct accur-m-y Ve th. &.ems ,4;".1,eire� deemed to have
been made by Obligee m connection with this request for Consent of Surety, hereby approves of the final
Payment to the Principal, and agrees that final payment in accordance with the terms hereof shall not relieve the
Surety of its obligations to
(Insert name and address of Obligee) City of Fort Worth
420 Throckmorton St., Ste 620 Fort Worth, TX 76102
,
as set forth in said Surety's band, OBLIGEE,
IN WITNESS WHEREOF, the Surety has hereunto set its hand on this date: April 19, 2023
(Insert in writing the month followed by the numeric date and year.)
SumTec Insurance Company
(Surety)
Attest:
(Seal): w,/ -
CONSENT TO FINAL PAYMENT
(Signature ofauthorized represenf�&e)
Trenae Marsh
Attorney -in -Fact = _-
(Printed name and title) '\
REV. 1.1.2004
POA #-. 4221098
SureTec Insurance Company
LIMITED POWER OF ATTORNEY
Know AM Men by These Presents, That SURETEC INSURANCE COMPANY (the. "Company"), a corporation duly organized and
existing under the laws of the State of Texas, and having its principal office in Houston, Harris County, Texas, does by these presents
make, constitute and appoint
Farrah Carlton, Greg S. Hotchkiss, Michael J. Hotchkiss, Kenneth G. Hotchkiss, Tye H. Justice, Wesley L. Weatherred Kari Fumerola, Daphne B. Clark,
Gary D. Lindsey, Jennifer Lang Kelley, Trenae Marsh, Maryana Zhuk
its true and lawful Attorney -in -fact, with full power and authority hereby conferred in its naive, place and stead, to execute, acknowledge
and deliver any and all bonds, recognizances, undertakings or other instruments or contracts of suretyship to include waivers to the
conditions of contracts and consents of surety for, providing the bond penalty does not exceed
Five Million and 001100 Dollars ($5,000,000.00)
and to bind the Company thereby as fully and to the same extent as if such bond were signed by the President, sealed with the corporate
seat of the Company and duly attested by its Secretary, hereby ratifying and confirming all that the said Attorney -in -Fact may do in the
premises. Said appointment is trade under and by authority of the following resolutions of the Board. of Directors of the SureTec
Insurance Company:
Be it Resolved, that the President, any Vice -President, any Assistant Vice -President, any Secretary or any Assistant Secretary shall be and is
hereby vested with full power and authority to appoint any one or more suitable persons as Attorneys) -in -Fact to represent and act for and on
behalf of the Company subject to the following provisions.
Attorney -in -Fact may be given full power and authority for and in the name of and of behalf of the Company, to execute, acknowledge and
deliver, any and all bonds, recognizances, contracts, agreements or indemnity and other conditional or obligatory undertakings and any and all
notices and documents canceling or terminating the Company's liability thereunder, and any such instruments so executed by any such
Attorney -in -Fact shall be binding upon the Company as if signed by the President and sealed and effected by the Corporate Secretary.
Be it Resolved, that the signature of any authorized officer and seal of the Company heretofore or hereafter affixed to any power of attorney or
any certificate relating thereto by facsimile, and any power of attorney or certificate bearing facsimile signature or facsimile seal shall be valid
and binding upon the Company with respect to any bond or undertaking to which it is attached. (Adopted at a meeting held on 20 of April,
1999.)
In Witness Wkereof, SURETEC INSURANCE COMPANY has caused these presents to be signed by its President, and its corporate seal
to be hereto affixed this loth day of March A.D. 2023 .
So SURETEC INSURANCE COMPANY
>= Michael C. Kei�ig, Presiden
9 S,ijY
State of Texas ss: t� `�• r
....
County of Harris
rr�
On this soap day of March A.D. 2o23 before me personally came Michael C. Keimig, to me known, who, being by me duly sworn, did depose
Id Sax, tiaat he resides in Houston, Texas, that he is President of S77RFTF INSURANCE COMPANY, the company described in and which executed
the above instrument; that o knows the seal of said Company; that the seal affixed to said instrument is such corporate seat; that it was so afivicea by
order of the Board of Directors of said Company; and that he signed his name thereto by like order.
Notary- TANYA SNEER ... _
a' Ptltllic State of Texas
7' _
`•ryei F Colrtmission # 12W
i -- - -
Commission l:lt�ires 027 Tanya Sneed, Notar�"Public
My commission expires March 30, 2027
1, M. Brent Beaty, Assistant Secretary of SURETEC INSURANCE COMP
ANY, do ve and
Of a Power of Attorney, executed by said Company, which is still in full force and effect; and furthermore, #rermoreatbhoe e o -foregoing is a true and correct
of the Hoard of Directors,set
Out in the Power of Attorney are in full force and effect.
Given under my hand and the seal of said Company at Houston, Texas this Gj s f
of l +tG A.D.
B nt Rea stsntt rem�F-
Any_
For instrument issued in excess of the penalty stated above is totally void and without any validity. 422,0ea - _ For verification of the authority of thts power you may tall (713} 842-0BQiI any business day 6etxreen 8 34 am and \ 6.0dl ptrt GST:
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