HomeMy WebLinkAboutContract 60582-FP1FORT WORTH.
-FP1
City Secretary
Contract No. 60582
Date Received 08/22/2024
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: Lowe's of Haslet, TX
City Project No.: 104900
Improvement Type(s): Water 0 Sewer ❑x
(Original Contract Price: $167,247.59
(Amount of Approved Change Order(s): $7,470.00
(Revised Contract Amount: $174,717.59
Total Cost of Work Complete: $174,717.59
Contractor
President
Title
Wildstone Construction John Kolb
Company Name
Hershel Stanley Sutterfield(Ad15, 202414:24 T)
Project Inspector
-00�
Project Manager
n
Rebecca Owen (Aug 22, 202412:21 CDT)
CFA Manaaer
TPW Director
Asst. City Manager
Aug 14, 2024
Date
Aug 15, 2024
Date
Aug 22, 2024
Date
Aug 22, 2024
Date
Aug 22, 2024
Date
Aug 25, 2024
Date
OFFICIAL RECORD
CITY SECRETARY Page 1 of 2
FT. WORTH, TX
Notice of Project Completion
Project Name: Lowe's of Haslet, TX
City Project No.: 103654
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 0
Statement of Contract Time
Contract Time: 12 WD
Days Charged: 57
Work Start Date: 3/12/2024 Work Complete Date: 7/8/2024
Completed number of Soil Lab Test: 4
Completed number of Water Test: 11
Page 2 of 2
FORT WORTH
CITY OF FORT WORTH
FINAL PAYMENT REQUEST
Contract Name LOWE'S OF HASLET, TX
Contract Limits
Project Type WATER & SEWER
City Project Numbers 104900
DOE Number 4900
Estimate Number 1 Payment Number 1 For Period Ending
City Secretary Contract Number
Contract Date
Project Manager NA
Contractor WILDSTONE CONSTRUCTION
P O BOX 164429
FORT WORTH, TX 76161
Inspectors T. GARDNER / S. SUTTERF
Contract Time
Days Charged to Date
Contract is 100.00
7/8/2024
WD
12 WD
57
Complete
Wednesday, July 24, 2024 Page 1 of 5
City Project Numbers 104900 DOE Number 4900
Contract Name LOWE'S OF HASLET, TX Estimate Number 1
Contract Limits Payment Number 1
Project Type WATER & SEWER For Period Ending 7/8/2024
Project Funding
UNIT I: WATER IMPROVEMENTS
Item
Description of Items
Estimated Unit
Unit Cost
Estimated
Completed
Completed
No.
Quanity
Total
Quanity
Total
1
CONNECTION TO EXISTING 4% 12" WATER
MAIN
5 EA
$1,500.00
$7,500.00
5
$7,500.00
2
2" WATER SERVICE (CO#1)
0 LF
$913.16
$0.00
0
$0.00
3
8" PVC WATER PIPE
12 LF
$81.48
$977.76
12
$977.76
4
12" PVC WATER PIPE
385 LF
$125.14
$48,178.90
385
$48,178.90
5
DUCTILE IRON WATER FITTINGS W/
4 TN
$4,627.99
$18,511.96
4
$18,511.96
RESTRAINT
6
SALVAGE FIRE HYDRANT
1 EA
$500.00
$500.00
1
$500.00
7
REMOVE 12" WATERLINE
357 LF
$15.00
$5,355.00
357
$5,355.00
8
FIRE HYDRANT
2 EA
$9,178.29
$18,356.58
2
$18,356.58
9
6" GATE VALVE
1 EA
$1,637.49
$1,637.49
1
$1,637.49
10
8" GATE VALVE
1 EA
$3,018.31
$3,018.31
1
$3,018.31
11
12" GATE VALVE
2 EA
$4,937.24
$9,874.48
2
$9,874.48
12
10" CUT -IN GATE VALVE
1 EA
$4,488.31
$4,488.31
1
$4,488.31
13
TRENCH SAFETY
427 LF
$5.00
$2,135.00
427
$2,135.00
14
12" WATER PIPE, CSS BACKFILL
66 LF
$50.00
$3,300.00
66
$3,300.00
15
10" PVC WATER PIPE
34 LF
$103.50
$3,519.00
34
$3,519.00
16
2" WATER SERVICE (DOMESTIC) (CO#1)
1 EA
$13,697.40
$13,697.40
1
$13,697.40
17
--------------------------------------
2" WATER SERVICE (IRRIGATION) (CO#1)
1 EA
$13,697.40
$13,697.40
1
$13,697.40
Sub-Total of Previous Unit
$154,747.59
$154,747.59
UNIT
II: SANITARY IMPROVEMENTS
Item
Description of Items
Estimated Unit
Unit Cost
Estimated
Completed
Completed
No.
Quanity
Total
Quanity
Total
1
MANHOLE ADJUSTMENT, MINOR
5 EA
$1,000.00
$5,000.00
5
$5,000.00
2
8" SEWER SERVICE
1 ES
$7,500.00
$7,500.00
1
$7,500.00
3
4" MANHOLE (CO#2)
1 EA
$4,500.00
$4,500.00
1
$4,500.00
4
CONCRETE COLLAR FOR MANHOLE (CO#2)
1 EA
$500.00
$500.00
1
$500.00
5
SANITARY LINE GROUTING (CO#2)
0.2 CY
$300.00
$60.00
0.2
$60.00
6
4"-12" PRESSURE PLUG (CO#2)
1 EA
$700.00
$700.00
1
$700.00
7
REMOVE EXISTING WASTEWATER ACCESS
2 EA
$300.00
$600.00
2
$600.00
CHAMBER (CO#2)
Wednesday, July 24, 2024 Page 2 of 5
City Project Numbers 104900 DOE Number 4900
Contract Name LOWE'S OF HASLET, TX Estimate Number 1
Contract Limits Payment Number I
Project Type WATER & SEWER For Period Ending 7/8/2024
Project Funding
8 6" SEWER(CO#2) 6 LF
$100.00
$600.00
6 $600.00
9 TRENCH SAFETY (CO42) 6 LF
$5.00
$30.00
6 $30.00
10 MAHOLE VACUUM TESTING (CO#2) I EA
$200.00
$200.00
1 $200.00
11 POST -CCTV INSPECTION 20 LF
$14.00
$280.00
20 $280.00
Sub -Total of Previous Unit
-------------------------------------
$19,970.00
$19,970.00
Wednesday, July 24, 2024 Page 3 of 5
City Project Numbers 104900
Contract Name LOWE'S OF HASLET, TX
Contract Limits
Project Type WATER & SEWER
Project Funding
Contract Information Summary
Original Contract Amount
Change Orders
Change Order Number 1
Change Order Number 2
Total Contract Price
DOE Number 4900
Estimate Number 1
Payment Number I
For Period Ending 7/8/2024
$167,247.59
$0.00
$7,470.00
$174,717.59
Total Cost of Work Completed $174,717.59
Less % Retained $0.00
Net Earned $174,717.59
Earned This Period $174,717.59
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
$174,717.59
Wednesday, July 24, 2024 Page 4 of 5
City Project Numbers 104900 DOE Number 4900
Contract Name LOWE'S OF HASLET, TX Estimate Number 1
Contract Limits Payment Number 1
Project Type WATER & SEWER For Period Ending 7/8/2024
Project Funding
Project Manager NA City Secretary Contract Number
Inspectors T. GARDNER / S. SUTTERF Contract Date
Contractor WILDSTONE CONSTRUCTION Contract Time 12 WD
P O BOX 164429 Days Charged to Date 57 WD
FORT WORTH, TX 76161 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 $174,717.59
Less % Retained
$0.00
Net Earned
$174,717.59
Earned This Period $174,717.59
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
$174,717.59
Wednesday, July 24, 2024 Page 5 of 5
DEVELOPER -AWARDED -PROJECT CHANGE ORDER
PROJECT NAME:
Lowe's of Haslet. Texas
CONTRACT:
WATER & SEWER
CHANGE
ORDER NO:
GFA #
23-0072
CITY PARTICIPATION:I NO
CITY PROJECT#
104900
IFIO #
30114-02i)0431-104900-E07685
1
FILE #
NIA
INSPECTOR:
Stanley Sutterfield
Phone No: 817-240-4037
PROJECT MANAGER:
Sandip Adhikari
Phone No: 817-392-8424
CONTRACT UNIT I
WATER SEWER PAVING DRAINAGE STREET LIGHTS CONTRACT
Developer Developer Oeveloper Developer Developer DAYS
Cost City Cost Cost City Cost Cost CityCost Cost . city Cost - Cost 'City Cost
(ORIGINAL CONTRACT S154,7A7,59 $0.00 $12,500.00 SO-00 12
EXTRAS TO DATE
CREDITS TO DATE _
CONTRACT TO DATE S154r747.59 50.00 $12,5D0.00 $0.00 n.. 12
(AMOUNT OF PROP. CHANGE ORDER $0.00
IREVISEDCONTRAC AMOUN7 $154.747.59 $0.00 $12,500.00 $0.00 .12TOTAL RE VFSfD C�NTRACT AMOUNT
PER UNIT S154,747.59 $12,500-00
REVISED COST SHARE Dev. cost: $167,247.59 City Cost 50.00
TOTAL REVISED CONTRACT $167,247.59 1
REVIEWED
By Sandip Adhikari at 1:31 pm, Mar 27, 2024
Revised, 10-12-2011 Page 1
You are directed to make the followinq changes in the contract documents:
CITY BID REM
PAY ITEM p
QUANTITY
UNIT
S �IPTI N
UNIT PRICE
I
TOTAL I
I 2
3312.2203 -30
LF
Wa of ervic
S91316
427``394.6Q 1
I 16,
3312.2203 1
EA
2' Water Service%%DOMESTICi
$13,697.40
$13.697.40
I 17'
I
3312.2203 1
Fes.
2' Water Service 11RiOi�E RIGAT)
$13,697.40
$13.697,40
I
TOTAL
$0.001
' indicates a new pay item is added
REASONS FOR CHANGE ORDER
Revised bid quantifies in executed
comracf to toclude both Comestic and irngateon waler selwces.
NO CRY FUNDS INVOLVED IN THIS CONTRACT. DEVELOPER IS RESPONSIBLE FOR 160%OF THE CHANGE ORDER COST AND NO
REIMBURSEMENT FROM THE CITY WILL 13E SOUGHT BY THE DEVELOPER.
RECOMMENDED: APPROVED: APPROVED:
Freeland & Kauffman, Inc Lowe's/Home Confers, LLC Wildstone Construction. LLC
BY:— ' z . A -� Hy: r By:
i _
Name: i c.': > •r"-Fc a�-.5 Name:
t7s. V��""-+� K� Name: j�pryana 1Vja1'tine7,
Title: VI[-C_ l�irr � �:�:�.i Title- \IV-J - '�s.GCr..+ii Ttae: Proiect ManalJer 03/20/2024
REVIEWED
By Sandip Adhikari at 1:31 pm, Mar 27, 2024
Revised: 10-12-2011 PAW 2
DEVELOPER -AWARDED -PROJECT CHANGE ORDER
(PROJECT NAME:
Lowe's of Haslet, Texas
I
CHANGE
CONTRACT:
Water & Sewer
ORDER No:
CFA #
23-0072 I
CITY PARTICIPATION:( No
ICITYPROJECT#
104900
I
IFID #
30114-0200431-104900-EO7685
2
I
IFILE #
NIA
I
INSPECTOR:
Stanley Sutterrield
Phone No:
817-240-4037
PROJECT MANAGER:
Sandip Adhikad
Phone No:
817-392-0424
CONTRACT UNIT
I
WATER SEWER
PAVING DRAINAGE
STREET LIGHTS
I CONTRACT
Developer Developer
Developer Developer
De" oper
DAYS
Cost CNY.Cost Cost
City Cook
Cost Clty Coet Cost
C ty Cast
Cost City Cost
IORIGINAL CONTRACT
$154,747.59 ,U-00 $12,500.00
$0.00
12
(EXTRAS TO DATE
I
(CREDITS TO DATE
I
{I CONTRACT TO DATE
$154,747.59 $0.00 $12,500.00
$moo
$0.00 -$0.00 $0.110
30.00
$0.00 $0.00
12
(AMOUNT OF PROP. CHANGE ORDER
S7,470.00
I
REVISED CONTRACT AMOUNT
$154,747.59 .$0.00 519,970.00
S0.00.
$0.00 $0.00 $0.00
$0.00., _
$0.00 S"
12
TOTAL REVISED CONTRACT AMOUNT
PER UNIT
$154.747.59 $19.970.00
$0.00
$0.00
I 110.00
REVISED GOST SHARE
Day. Cost: $174.717.59
city case:
TOTAL REVISED CONTRACT
$174.717.69
I
REVIEWED
By Sandip Adhikari at 10:24 am, May 22, 2024
Revised: 10-12-2011 Pago 1
You are directed to make the following changes in the contract documents:
CITY 91#1 ITEM
PAY ITEM 0
QUANTITY
UNIT
ITE JAI TON I UNIT PRICE
TOTAL
3'
3339.1001 _ 1
EAj,.{(-I���
I I $00
5
5, 1
EA
COt�CR JT�g FOR MANHOLE 500.
1 $SDD.OD
$500.001
$500.Q01
I 5'
01
_ 24 0
�,�(,( V,
y� NG 1 $300.00
I 6'
_ 241.1178 t I EA
4'- as G I $700.00
700.001
$700.001
I T
9999.0001 2 1 EA
�
REMOVE EXISTIN S CESS CHAMBER 1 $300.00
$600.001
I 8'
3331A108 6
I
LF
6'Sewe rP 1 $100.00 1
$600.001
1 9'
I 3305.0109 6
LF
I Trench Safety 1 $5.00 I
$30,001
10' _ _
1 3301.0101 I 1
EA
I Manhole Vacuum Yeating $200.00 I
$200.001
11'
1 33,01.0002 I 20 1 LF
I Post -CCTV Inspection S14.00 1
$280.001
1
TOTAL 1
$7,470.001
' - New pay item added
REASONS FOR CHANGE ORDER
Due to field adjustments revised bid quantifies
in executed contract to include new sanitary sewer manhole and removal of exisfing access chamber
NO CITY FUNDS INVOLVED IN THIS CONTRACT. DEVELOPER IS RESPONSIBLE FOR 100% OF THE CHANGE ORDER COST AND NO
REIMBURSEMENT FROM THE CITY WILL
BE SOUGHT BY THE DEVELOPER.
RECOMMENDED:
APPROVED: APPROVED:
Freeland & Kauffman. Inc
Lowe's Home Centers, LLC wilds tone ConsV cti n. LLC
Name: pq �-,
Name: f\�'��'` �aa""""� Name: Doriana M Martinez 05/17/2024
Title: �(�Cf \k" J>E.3 1
Title: Y t c f AgS,DEit1 Title: Project Manager
REVIEWED 1
l By Sandip Adhikari at 10:24 am, May 22, 2024 J
Revised: 10-12-2D11 Page 2
FORTWORTH
TRANSPORTATION AND PUBLIC WORKS
PIPE REPORT FOR:
PROJECT NAME: Lowes of Haslet
CITY PROJECT NUMBER: 104900
WATER
PIPE LAID SIZE TYPE OF PIPE LF
PVC 8" PVC 12
PVC 12" PVC 385
PVC 10" PVC 34
FIRE HYDRANTS: 2 ea VALVES (16" OR LARGER) N/A
PIPE ABANDONED SIZE TYPE OF PIPE LF
N/A
DENSITIES: yes
NEW SERVICES: 2" DOM copper 1 ea
2" IRR copper 1 ea
SEWER
PIPE LAID SIZE TYPE OF PIPE LF
PVC 6" PVC 6
PIPE ABANDONED SIZE TYPE OF PIPE LF
N/A
DENSITIES: yes
NEW SERVICES: 8" 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
FORTWORTHe
M"
TRANSPORTATION AND PUBLIC WORKS
August 14, 2024
Wildstone Construction, LLC
12850 Highway 287
Fort Worth, Texas 76052-2616
RE: Acceptance Letter
Project Name: Lowe's of Haslet
Project Type: Developer water/sewer
City Project No.: 104900
To Whom It May Concern:
On July 8, 2024 a final inspection was made on the subject project. There were punch list items
identified at that time. The punch list items were completed on August 13, 2024. The final inspection
and the corrected punch list items indicate that the work meets the City of Fort Worth specifications and
is therefore accepted by the City. The warranty period will start on August 13, 2024, which is the date of
the punch list completion and will extend of two (2) years in accordance with the Contract Documents.
If you have any questions concerning this letter of acceptance, please feel free to contact me at 817-
392-8424.
Sincerely,
Sandip Adhikari, Project Manager
Cc: Hershel Stanley Sutterfield, Inspector
Troy Gardner, Inspection Supervisor
Cody Horton, Senior Inspector
Andrew Goodman, Program Manager
Freeman and Kauffman, Inc, Consultant
Wildstone Construction, LLC, Contractor
Lowe's Home Centers, LLC, Developer
File
E-Mail: TPW_Acceptance@fortworthtexas.gov
Rev.8/20/19
WILDSTONE
CoN�li�le�lonl, LLC
AFFIDAVIT
STATE OF Texas
COUNTY OF Tarrant
Before me, the undersigned authority, a notary public in the state and county
aforesaid, on this day personally appeared John Kolb, President of Wildstone Construction, LLC,
known to me to be a credible person, who being by me duly sworn, upon his oath deposed and
said;
That all persons, firms, associations, corporations, or other organizations furnishing
labor and/or materials have been paid in full;
That the wage scale established by the City Council in the City of Fort Worth has been
paid in full;
That there are no claims pending for personal injury and/or property damages;
On Contract described as:
Lowes of Haslet CPN: 104900
BY
resident
Subscribed and sworn before me on this cbife 26th of July, 2024.
LXdW
Notary Public
Tarrant, Texas
DORIANA MARGARITA MARTWEZ
'o`?P..�s%�' Notary Public, State of Texas
s b+Ps Comm. Expires 04-29.2025
'14kof� Notary !D 133070077
12850 Highway 287 Office: 817-847-8660
Fort Worth, TX 76052 Fax: 817-847-8019
CONSENT OF SURETY
TO FINAL PAYMENT
Conforms with the American Institute of
Architects, AIA Document G707
TO OWNER:
(Name and address)
City of Fort Worth
1500 N Main St,
Fort Worth, TX 76164
PROJECT:
(Name and address)
Lowe's - Avondale - Haslet & HWY 287 - Site Utilities CFA Number 104900
Bond No: 107969738
OWNER
ARCHITECT
CONTRACTOR
SURETY
OTHER
ARCHITECT'S PROJECT NO.: CPN 104900
CONTRACT FOR: OCP: $167,247.59
FCP: $154.983.00
CONTRACT DATED:
In accordance with the provisions of the Contract between the Owner and the Contractor as indicated above, the
(Insert name and address of Sare. ry)
Travelers Casualty and Surety Company of America
One Tower Square,
Hartford, CT 06183
,SURETY,
on bond of
(Insert name and address q f Contractor)
Wildstone Construction, LLC
12850 US-287,
Haslet, TX 76052 , CONTRACTOR.,
hereby approves of the final payment to the Contractor, and agrees that final payment to the Contractor shall not relieve the Surety of any
of its obligations to
(Insert name and address of (honer)
City of Fort Worth
1500 N Main St,
Fort Worth, TX 76164 OWNER,
as set forth in said Surety's bond.
IN WITNESS WHEREOF, the Surety has hereunto set its hand on this date: July 25, 2024
(Insert in writing the month followed by the numeric date and year.)
Attest
Bridget Truxi , Witness
Travelers Casualty and Surety Company of America
(Surety)
Si a�o aw oIr rued re rose Ve-
Sean J McCauley Jr. Attorney-in-Fac t
(Printed name and title) -
S-21341GE 10101
XDP
TRAVELERS
Travelers Casualty and Surety Company of America
Travelers Casualty and Surety Company
St. Paul Fire and Marine Insurance Company
POWER OF ATTORNEY
KNOW ALL MEN BY THESE PRESENTS: That Travelers Casualty and Surety Company of America, Travelers Casualty and Surety Company, and
St. Paul Fire and Marine Insurance Company are corporations duly organized under the laws of the Stale of Connecticut (herein
collectively called the "Companies"), and that the Companies do hereby make, constitute and appoint SEAN J MCCAULEY JR of
DALLAS , Texas , their true and lawful Attorney(s)-in-Fact to sign, execute, seal and
acknowledge any and all bonds, recognizances, conditional undertakings and other writings obligatory 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.
IN WITNESS WHEREOF, the Companies have caused this instrument to be signed, and their corporate seals to be hereto affixed, this 21st day of April,
2021.
F th 'yTY AN,
Dow. e'3 CONK
�Nt
P
! ��.
State of Connecticut
City of Hartford ss.
By:
dert L. Rane , enior Vice President
On this the 21st day of April, 2021, before me personally appeared Robert L. Raney, who acknowledged himself to be the Senior
Vice President of each of the Companies, and that he, as such, being authorized so to do, executed the foregoing instrument for the
purposes therein contained by signing on behalf of said Companies by himself as a duly authorized officer,
IN WITNESS WHEREOF, I hereunto set my hand and official seal.
My Commission expires the 30th day of June, 2026
VOTARY
puWY
Anna P. Nowik, Notary Public
Hw
This Power of Attorney is granted under and by the authority of the following resolutions adopted by the Boards of Directors of each of
the Companies, which resolutions are now in full force and effect, reading as follows;
RESOLVED, that the Chairman, the President, any Vice Chairman, any Executive Vice President, any Senior Vice President, any Vice
President, any Second Vice President, the Treasurer, any Assistant Treasurer, the Corporate Secretary or any Assistant Secretary may appoint
Attorneys -in -Fact and Agents to act for and on behalf of the Company and may give such appointee such authority as his or her certificate of authority
may prescribe to sign with the Company's name and seal with the Company's seal bonds, recognizances, contracts of indemnity, and other writings
obligatory in the nature of a bond, recognizance, or conditional undertaking, and any of said officers or the Board of Directors at any time may
remove any such appointee and revoke the power given him or her; and it is
FURTHER RESOLVED, that the Chairman, the President, any Vice Chairman, any Executive Vice President, any Senior Vice President or
any Vice President may delegate all or any part of the foregoing authority to one or more officers or employees of this Company, provided
that each such delegation is in writing and a copy thereof is filed in the office of the Secretary; and it is
FURTHER RESOLVED, that any bond, recognizance, contract of indemnity, or writing obligatory in the nature of a bond, recognizance,
or conditional undertaking shall be valid and binding upon the Company when (a) signed by the President, any Vice Chairman, any Executive
Vice President, any Senior Vice President or any Vice President, any Second Vice President, the Treasurer, any Assistant Treasurer, the
Corporate Secretary or any Assistant Secretary and duly attested and sealed with the Company's seal by a Secretary or Assistant Secretary;
or (b) duly executed (under seal, if required) by one or more Attorneys -in -Fact and Agents pursuant to the power prescribed in his or her
certificate or their certificates of authority or by one or more Company officers pursuant to a written delegation of authority: and it is
FURTHER RESOLVED, that the signature of each of the following officers: President, any Executive Vice President, any Senior Vice President,
any Vice President, any Assistant Vice President, any Secretary, any Assistant Secretary, and the seal of the Company may be affixed by facsimile to
any Power of Attorney or to any certificate relating thereto appointing Resident Vice Presidents, Resident Assistant Secretaries or Attorneys -in -
Fact for purposes only of executing and attesting bonds and undertakings and other writings obligatory in the nature thereof, and any such Power of
Attomey or certificate bearing such facsimile signature or facsimile seal shall be valid and binding upon the Company and any such power so executed
and certified by such facsimile signature and facsimile seal shall be valid and binding on the Company in the future with respect to any bond or
understanding to which it is attached.
1, Kevin E. Hughes. the undersigned. Assistant Secretary of each of the Companies. do hereby certify that the above and foregoing is a
true and correct Copy of the Power of Attorney executed by said Companies, which remains in full force and effect.
Dated this 25th day of July , 2024
Kevin E. Hueg%he s, Psssi tan# Secretary
To verify the authentrcity of this Power ofAttorney, please call us at 1-800-421-3880.
Please refer to the above -named Attomey(s)-in-Fact and the details of the bond to which this power of Attorney is attached.
Texas Department of Insurance
Certificate No. 115 6 2
Certificate of Authority
THIS IS TO CERTIFY THAT
Company No. 0 8 —0 0 5 217
TRAVELERS CASUALTY AND SURETY COMPANY OF AMERICA
HARTFORD, CONNECTICUT
has complied with the laws of the State of Texas applicable thereto and is hereby authorized to transact the
business of
Fire; Allied Coverages; Hail —growing craps only; Rain; Inland Marine;
Ocean Marine; Aircraft --Liability & Physical Damage: 4orkers'
Compensation & Employers' Liability; Employers' Liability;
Automobile --Liability & Physical Damage; Liability other than
Automobile; Fidelity & Surety; Glass; Burglary & Theft; Forgery;
Boiler & Machinery; Credit; Livestock and Reinsurance on all linCS
authorized to he written on a direct basis
insurance within the scale of Trxas_ This Certificate of Authority shall be in full force and cft'cet Until it is
revoked, canceled or suspended according to law.
IN TFSTIMONY WHEREOF, witness my baud and sell Of
office AL Austin. Texas, this
1st - day Of July A.D_ _ Lg97
ELTON BOMER
comMISSIONEROFINS LR NCE
BY r-
th A. Wilcox
Director
Insurer scrvicc;