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Contract 54110-FP3
-FP3 FORT WORTH. City Secretary Contract No. 54110 Date Received 09/10/2024 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: Crystal Springs Sanitary Sewer Relocation City Project No.: 101881 Improvement Type(s): Water ❑ Sewer x❑ Developer Cost City Cost Total Cost Sewer Improvements $386,893.60 $386,893.60 $773,787.20 Original Contract Price: $386,893.60 $386,893.60 $773,787.20 Amount of Approved Change Order(s): Change Order No. 1 -$87,078.00 -$87,078.00 -$174,156.00 Change Order No. 2 $33,168.90 $33,168.90 $66,337.80 Revised Contract Amount: $332,984.50 $332,984.50 $665,969.00 Total Cost of Work Complete: $332,984.50 $332,984.50 $665,969.00 Sep 6, 2024 Contractor Date v.P. Title Rumsey Construction, LLC Company Name tle��l�eG s sCi1 Sep p 6 2024 Hershel Stan lev Sutterfiel� 202409:47tDT) Project Inspector Date 9 Sep 9, 2024 Project Manager Date WA\ Se 10 2024 Rebecca Owen (Sep 10, 202408:39 CDT) p , CFA Manager Date Sep 10, 2024 Lauren Prieur (Sep 10, 202409:44 EDT) TPW Director Date f Sep 10, 2024 Asst. City Manager Date OFFICIAL RECORD CITY SECRETARY Page 1 of 2 FT. WORTH, TX Notice of Project Completion Project Name: Crystal Springs Sanitary Sewer Relocation City Project No.: 101881 City's Attachments Final Pay Estimate 0 Change Order(s): 0 Yes ❑ N/A Pipe Report: 0 Yes ❑ N/A Contractor's Attachments Affidavit of Bills Paid Consent of Surety Statement of Contract Time Contract Time: 300 WD Work Start Date: 8/3/2020 Completed number of Soil Lab Test: 35 Completed number of Water Test: 0 Days Charged: 618 WD Work Complete Date: 6/17/2024 Page 2 of 2 FORT WORTH CITY OF FORT WORTH FINAL PAYMENT REQUEST Contract Name 24" M-206 SANITARY SEWER RELOCATION FOR CRYSTAL SPRINGS Contract Limits Project Type SANITARY SEWER City Project Numbers 101881 DOE Number 1881 Estimate Number 1 Payment Number 1 For Period Ending 6/17/2024 WD City Secretary Contract Number Contract Time 3WD Contract Date 6/10/2020 Days Charged to Date 618 Project Manager NA Contract is 100.00 Complete Contractor RUMSEY CONSTRUCTION, LLC 6617 VILLAGE SPRINGS DRIVE PLANO, TX 75024 Inspectors GARDNER / SUTTERFIELD Tuesday, September 3, 2024 Page 1 of 4 City Project Numbers 101881 DOE Number 1881 Contract Name 24" M-206 SANITARY SEWER RELOCATION FOR CRYSTAL SPRINGS Estimate Number I Contract Limits Payment Number 1 Project Type SANITARY SEWER For Period Ending 6/17/2024 Project Funding UNIT H. SANITARY SEWER IMPROVEMENTS Item Description of Items Estimated Unit Unit Cost Estimated Completed Completed No. Quanity Total Quanity Total 1 42" CASING BY OTHER THAN OPEN CUT (CO 245 LF $970.00 $237,650.00 245 $237,650.00 #1 & 2) 2 24" SEWER CARRIER PIPE (CO #1 & 2) 245 LF $205.00 $50,225.00 245 $50,225.00 3 24" SEWER PIPE (CO #1 & 2) 0 LF $82.00 $0.00 0 $0.00 4 24" DIP SEWER (CO #1 & 2) 797 LF $163.00 $129,911.00 797 $129,911.00 5 24" SEWER ABANDONMENT PLUG 2 EA $1,042.00 $2,084.00 2 $2,084.00 6 REMOVE 4' SEWER MANHOLE 1 EA $1,547.00 $1,547.00 1 $1,547.00 7 TOPSOIL 305 CY $46.00 $14,030.00 305 $14,030.00 8 SEEDING, HYDROMULCH 5300 SY $5.00 $26,500.00 5300 $26,500.00 9 PRE -CCTV INSPECTION 1005 LF $8.00 $8,040.00 1005 $8,040.00 10 POST -CCTV INSPECTON (CO #1) 1094 LF $6.00 $6,564.00 1094 $6,564.00 11 MANHOLE VACUUM TESTING (CO #1 & 2) 9 EA $231.00 $2,079.00 9 $2,079.00 12 TRENCH SAFETY (CO #1) 833 LF $7.00 $5,831.00 833 $5,831.00 13 EPDXY MANHOLE LINER (CO #I & 2) 97 VF $310.00 $30,070.00 97 $30,070.00 14 T MANHOLE (CO #1 & 2) 8 EA $5,910.00 $47,280.00 8 $47,280.00 15 T DROP MANHOLE 1 EA $11,346.00 $11,346.00 1 $11,346.00 16 T EXTRA DEPT MANHOLE (CO 91 & 2) 82.6 VF $217.00 $17,924.20 82.6 $17,924.20 17 CONCRETE COLLAR (CO #2) 10 EA $906.00 $9,060.00 10 $9,060.00 18 SANITARY LINE GROUTING 133 CY $174.00 $23,142.00 133 $23,142.00 19 6"-12" TREE REMOVAL 13 EA $111.00 $1,443.00 13 $1,443.00 20 12"18" TREE REMOVAL 2 EA $188.00 $376.00 2 $376.00 21 24" AND LARGER TREE REMOVAL (CO #2) 2 EA $938.00 $1,876.00 2 $1,876.00 22 SWPPP 1 ACRE l LS $10,841.00 $10,841.00 1 $10,841.00 23 BYPASS PUMPING 1 LS $23,563.00 $23,563.00 1 $23,563.00 24 UTILITY MARKERS 1 LS $56.00 $56.00 1 $56.00 25 18" SEWER PIPE (CO #2) 40 LF $113.27 $4,530.80 40 $4,530.80 -------------------------------------- Sub -Total of Previous Unit $665,969.00 $665,969.00 Tuesday, September 3, 2024 Page 2 of 4 City Project Numbers 101881 DOE Number 1881 Contract Name 24" M-206 SANITARY SEWER RELOCATION FOR CRYSTAL SPRINGS Estimate Number I Contract Limits Payment Number 1 Project Type SANITARY SEWER For Period Ending 6/17/2024 Project Funding Contract information Summary Original Contract Amount $773,787.20 Change Orders Change Order Number 1 ($174,156.00) Change Order Number 2 $66,337.80 Total Contract Price $665,969.00 Total Cost of Work Completed $665,969.00 Less % Retained $0.00 Net Earned $665,969.00 Earned This Period $665,969.00 Retainage This Period $0.00 Less Liquidated Damages Days @ / 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 $665,969.00 Tuesday, September 3, 2024 Page 3 of 4 City Project Numbers 101881 DOE Number 1881 Contract Name 24" M-206 SANITARY SEWER RELOCATION FOR CRYSTAL SPRINGS Estimate Number I Contract Limits Payment Number 1 Project Type SANITARY SEWER For Period Ending 6/17/2024 Project Funding Project Manager NA Inspectors GARDNER / SUTTERFIELD Contractor RUMSEY CONSTRUCTION, LLC 6617 VILLAGE SPRINGS DRIVE PLANO , TX 75024 City Secretary Contract Number Contract Date 6/10/2020 Contract Time 30 WI) Days Charged to Date 618 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 $665,969.00 Less % Retained $0.00 Net Earned $665,969.00 Earned This Period $665,969.00 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 $665,969.00 Tuesday, September 3, 2024 Page 4 of 4 CSC No. 54110-COl DEVELOPER -AWARDED -PROJECT CHANGE ORDER PROJECT NAME: 24-Inch M-206 Sanitary Sewer Relocation for Crystal Springs 154110 CHANGE CONTRACT: ORDER No: CFA # I20-0020 I CITY PARTICIPATION:( YES CITY PROJECT* 1101881 I IDOE # IN/A I I WATER PROJECT # N/A 1 I I SEWER PROJECT* 59607-5310350-10007-001380 �X-23409 I IFILE # I INSPECTOR: Michael Flute Phone No: 817.262.8999 PROJECT MANAGER: Khal Jaafari, P.E. Phone No: 817.392.7872 I CONTRACT UNIT I WATER I SEWER PAVING SIGNAGE AND LIGHTING I WORKING DAYS Developer Cost City Cost (Developer Cost eveloper I City Cost I Cost I City Cost UevelopeDrRAWAGE Cost I City Cost Developer Cost City Cost ORIGINAL CONTRACT $0.00 S0.00 I $386,893.60 S386,893.60 S0.00 I S0.00 50.00 50.00 $0.00 I 50.00 I 30 EXTRAS TO DATE $0.00 I $0.00 S0.00 I So.00 $0.00 I S0.00 I S0.00 I $0.00 I 50.00 50.00 I 0 CREDrrs TO DATE $0.00 I aoo $0.00 I So.00 I S0.00 S0.00 S0.00 I so. 00 So.00 50.00 0 CONTRACT TO DATE $0.00 50.00 $386,893.60 I S386,893.60 so.00 I so. 00 $0.00 Sti.00 I 30 (AMOUNT OF PROP. CHANGE ORDER I $0.00 50.00 ($87,078.00) I (S27. 078.0U. $0.00 �C:- S0.00 S0.00 $0.00 S0.00 0 IRWUE�M=$0.00 $0.00 5299.815' 50.00 $0.00 $0.00 50.00 $0.00 30 AMOUNT PER I50.00 I I I UNIT S 00 SS99,I3'120�9.815.60 $0.00 S0.00 S0.00 REVISED COST SHARE Dev. Cost $299,815.60 City Cost $299,815.60 TOTAL REVISED CONTRACT $599,631.20 You are directed to make the followinq change, I ;he contract documents: PAY ITEM T CITY BID ITEM I OUANTnY I UNIT ITEM DESCRIPTION UNIT PRICE DEVELOPER COST TOTAL init COSTCnY 11: Sanitarryi°�'Sewer ImP p ov.'[gmenu er Than 2 305.2002 (157) LF 24" Water�am'er Pipe (for SanRtrV Sewer) $205.00 16.092.50) 16.092.50) ($32, 8b 00)) 1 3 331.4317 202 LF 24" Sewer Pipe $82.00 8.282.00 8,282.00 $16.564.00 1 4 3311.0651 (451 LF 24" DIP Wafer (for Sanitary Sewer) $163.00 (3,667.50) (3,667.50) (S7.335.00) I 10 3301.0002 T LF Post -CCTV Inspection $6.00 9.00 9.00 $18.00 I 11 301.0101 (1) EA Manhole Vacuum Testinq $231.00 (115.50) (115.50) 1 ($231.00) I 12 3305.0109 158 LF Trench Safer $7.00 553.00 553.00 1 S1,106.00 13 339.0001 26 VF Go' Manhole Liner I S310.00 1 4.030.00 I 4,030.00 1 S8.060.00 14 339.1101 (1) EA 5'M rIhole I $5,910.00 (2.955.00) I (2.955.00) (S5.910.00) I 16 339.1103 (9) VT 5' Extra Depth Manhole I $217.00 I (976.50) (976.50) 1 (SI.953.00) GRAND TOTAL I I (87,078.00) (87.078.00) I ($174,156.00) REASONS FOR CHANGE ORDER Met with Dean Kuhn at TRWD and have agreed up on an alternative alignment to help facilitate reduced boring lengths along corridor. Plan revision(s) were necessary due to unforseen overall project cost to relocate gas line valve north ofsite. The change order will decrease the contract amount for both city and developer. City Participation is 50150 with the developer. RECEIVED By Khal Jaafari at 2:46 pm, Jul 16, 2024 Revised: 10-12-2011 Page 1 RECOMMENDED: IGmley--Hom and Associates, Inc. 8"Alltr7o"t, mar)Ld�lyv Brandon Middleton (Jun 27, 2024 08:54 CDT) By: Name: Brandon Middleton Title: Proiect Engineer APPROVAL RECOMMENDED: CFW - Sponsoring Department s� P'r By: Name: Suby Varuqhese Title: Encineerinq Manaqer RECOMMENDED: (CFVW--'Contrtra�ct Compliance Manager) NL�I /G�Cito �r By, Khal Jaa(ari P Jun 202414:02 CDT Name: Khal Jafari. P.E. Title: Professional Engineer M&C Number. 21-0382 M&C Date Approved: 6/8/2021 APPROVED: SW Crystal Springs, LLC Aaron Sharma" By'. Aaron Sherman (Jun 28, 2024 12:03 CDT) Name: Aaron Sherman Title: President APPROVED: CFW - Assistant City Manager i5ayc�r. �Lu% Dana Burghdoff (Jul 2024 11: 8 CDT) Name: Dana Burqhdoff Title: Assistant City Manager ATTEST: Jaannette S Goodall City Secretary APPROVED: Rumsey Construction, LLC BT- Name: Corey C. Caughron Title: Vice President APPROVED AS TO FORM AND LEGALITY: CFW - Assistant City Attorney - � �- Richard McCracken (Jul 11,2024 09:40 CDT) Name: Richard McCracken Title: Sr Assist City Attorney ' Contract Compliance Manager (Project Manager): By signing I acknowledge that I am the person responsible for the monitoring and administration of this contract, include ensuring all performance and reporting requirements. ❑ There are NO City Funds associated with this Contract 0 There are City Funds associated with this Contract RECEIVED By Khal Jaafari at 2:50 pm, Jul 16, 2024 Revised: 10-12-2011 Page 2 CSC No. 54110-0O2 DEVELOPER -AWARDED -PROJECT CHANGE ORDER PROJECT NAME: 24-Inch M-206 Sanitary Sewer Relocation for Crvstal Sprinqs CHANGE CONTRACT: 54110 ORDER No: CFA# 20-0020 CITY PARTICIPATION: YES CITY PROJECT # 101881 CITY SECRETARY CONTRACT # 48795 2 WATER PROJECT # NA SEWER PROJECT # 59607-531 0350-10007-001380 FILE # X-23409 INSPECTOR: Stanley Sutterfield Phone No: 817.240.4037 PROJECT MANAGER: Khal Jaafari, P.E. Phone No: 817.392.7872 CONTRACT UNIT WATER J SEWER DRAINAGE PAVING SIGNAGE ANrUGG CONTRACT DAYS Developer Developer eveloper Cost City Cost �DeveloperCost Cost Cost Post Developer CostORIGINAL CONTRACT S0.00 S0.00 S386,893.60 �'l,� �o i'l'� git $0.0000 r I $0.00 S0.00 30 EXTRAS TO DATE I SD.00 So.00 S0.00 I $0.00 S0.0000 I $0.00 I $0.00 0 CREDITS TO DATE I 50.00 S0.00 I S87,078.00 $87,07&00 I 50.0000 ` $0.00 S0.00 0 ICONTRACT TO DATE S0.00 I S0.00 $299,815.60 S2dc ,:r., �.G6 $0.00 S0.00 S0.00 I S0.00 S0.0030 AMOUNT PROP.. CHANGE ORDER S0.00 Sl!ULI $33,168.90 $33,168.90 $9,770.40 $0.09 S0.00 $0.00 S0.00 0 OOF RTJJLREVISED TT AM UNT 50.00 $332,984.50 :ia;�%,d�ma Ali $9,770.40 S0.00 $0A0 $0.00 30 AMOUNT PER$0.00 UNIT 50.00 S6651969.00 $9,770.40 $0.00 $0.00 REVISED COST SHARE Dev. Cost: $342,754.90 City Cost: TOTAL REVISED CONTRACT S675,739.40 RECEIVED By Khal Jaafari at 2:54 pm, Jul 16, 2024 Revised: 12-17-2018 Page 1 You are directed to make the following changes "[tithe r ocuments: PAY ITEM T OUANTrrY UNIT ITEM DESCRIPTION UNIT PRICE PRICE COST CITY COST I TOTAL nit II: Sanitary Sewer Improvements I 1 3305.1107 (14) LF 42" Casino By Other Than Open Cut 970.00 ,790.00) ($6.790.00 ($13.580.00) 2 33052002 (14) LF 24" Water Carrier Pioe (for Sanitary Sewer) 205.00 S1,435.00) �S6 ($1,435.00$2870.00) 3 3331.4317 (729) LF 24"Sewer Pioe 82.00 29,889.00) (529.689.00 (59,776.00) I I 4 3311.0651 693 LF 24" DIP Water (for Sanitary Sewer) I 163.00 $56.479.50 556,479.50 5112.959.00 I 11 3301.0101 2 EA - Manhole Vacuum Testinq 231.00 5231.00 $231.00 5462.00 I I 13 3339.0001 24 VF Ep0 Manhole Liner I 310.00 53.720.00 53,720.00 $7.440.00 I I 14 3339.1101 2 EA 5` Manhole I 5910.00 1 55,910.00 55,910.00 511,820.00 I 16 3339.1103 12 VF 5' Extra Deoth Manhole I 217.00 1 51,302.00 I S1.302.00 1 $2.604.00 I 17 3305.0112 2 EA Concrete Collar I 906.00 1 5906.00 I 5906.00 I 51.812.00 21 3110.0105 1 EA 24" and Le pr Tree Removal 938.00 I 5469.00 1 5469.00 1 $938.00 25 3331.4225 40 LF 18" Sewer Pipe I 11327 I 52.265.40 I 52,265.40 1 $4,530.80 I SUBTOTALI I 533,168.90 I 533,168.90 I 566,337.80 Unit III: Drainaqe I 26• 241.3021 60 LF Remove 42" Storm Line 26.79 $1.607.40 I 50.00 $1,607.40 I 27• 3341.0402 60 LF 42" RCP. Class III 136.05 58,163.00 50.00 $8.163.00 SUBTOTAL 59,770.40 I $0.00 $9,770.40 GRAND TOTAL $76,108.2O Asterisk r) indicates New Pay Item not originally within public bid REASONS FOR CHANGE ORDER Change orderincludes: (1) changed pipe material due to supply chain availability issues throughout life of project and (2) added drainage scope due to an unforseen or documented storm line conflict with sewer vetical alignment Total increase to the original contract amount is divded 50150 city/dev costs. RECEIVED By Khal Jaafari at 2:54 pm, Jul 16, 2024 Revised:12-17-2018 Page 2 RECOMMENDED: Kmley-Horn and Associates, Inc. Name: Brandon Middleton Title: Proiect Enaineer APPROVAL RECOMMENDED: CFW- Sponsoring Department s s�✓. ya.•PC By: Name: Subv Varuahese Title: Engineerinq Manaqer RECOMMENDED: (CFW- 'ContractCoompliance Manager) Name: Khal Jafari. P.E. Title: Professional Enqineer M&C Number. 20-0315 M&C Date Approved: 5/5/2020 APPROVED: SW Crystal Springs, LLC Aaron Sherman By: Name: Aaron Sherman Title: President APPROVED: CFW - Assistant City Manager bona. Sura� Name: Dana Burghdoff Title: Assistant Citv Manager APPROVED: Rumsey Construction, LLC By:/, Name: Corey C. Caughron Title: Vice President APPROVED AS TO FORM AND LEGALITY: CFW-Assistant CityAttomey Name: Richard McCracken Title: Sr Assist City Attorney ATTEST: ' Contract Compliance Manager (Project Manager): h tea- , By signing I acknowledge that I am the person responsible By for the monitoring and administration of this contract, include ensuring all performance and reporting requirements. Jannette S Goodall I ❑ There are NO City Funds associated with this Contract City Secretary I O There are City Funds associated with this Contract RECEIVED By Khal Jaafari at 2:54 pm, Jul 16, 2024 Revised:12-17-2018 Page 3 FORT WORTH, TRANSPORTATION AND PUBLIC WORKS PIPE REPORT FOR: PROJECT NAME: Crystal Springs 24" CITY PROJECT NUMBER: 101881 1 WATER PIPE LAID SIZE TYPE OF PIPE N/A FIRE HYDRANTS: N/A PIPE ABANDONED N/A DENSITIES: NEW SERVICES: PIPE LAID DIP PVC PIPE ABANDONED N/A DENSITIES: NEW SERVICES: LF VALVES (16" OR LARGER) N/A SIZE TYPE OF PIPE LF N/A N/A SEWER SIZE TYPE OF PIPE 24" DIP 18" PVC SIZE N/A TYPE OF PIPE Yes TRANSPORTATION AND PUBLIC W KS The City of Fort Worth • 1000 Throckmorton Street • Fort Worth, TX 76012-6311 (817) 392 - 7941 • Fax: (817) 392 - 7845 LF 797 40 LF FORTWORTH. TRANSPORTATION AND PUBLIC WORKS July 19, 2024 Rumsey Construction LLC 4329 Reeder Carrollton, Texas 75010 RE: Acceptance Letter Project Name: Crystal Springs 24" Project Type: Sewer City Project No.: 101881 To Whom It May Concern: On May 23, 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 June 17, 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 June 17, 2024, which is the date of the punch list completion and will extend of two (2) years in accordance with the Contract Documents. If you have any questions concerning this letter of acceptance, please feel free to contact me at 817- 392-7872. Sincerely, Khal Jaafari , Project Manager Cc: Hershel Stanley Sutterfield, Inspector Troy Gardner, Inspection Supervisor Cody Horton, Senior Inspector Khal Jaafari, Program Manager Kimley Horn , Consultant Rumsey Construction, LLC, Contractor SW Crystal Springs, LLC, Developer File E-Mail: TPW_Acceptance@fortworthtexas.gov Rev. 8/20/19 AFFIDAVIT STATE OF Texas COUNTY OF Tarrant Before me, the undersigned authority, a notary public in the state and county aforesaid, on this day personally appeared Corey Caughron, VP Of Rumsey Construction, Inc, known to me to be a credible person, who being by me duly sworn, upon his oath deposed and said; That all persons, firms, associations, corporations, or other organizations furnishing labor and/or materials have been paid in full; That the wage scale established by the City Council in the City of Fort Worth has been paid in full; That there are no claims pending for personal injury and/or property damages; On Contract described as; Water, Sanitary Sewer, Drainage and Paving Improvements to Serve Crystal Springs City Project No. 100252 BY 7sda /4day rey Caughron, VP Subscribed and sworn before me on of February, 2024. Notary Public Denton, TX w SARAN PEREZ Notary Pub,State of Texas comm, YP� 1�91"2o2a N®ter x �dg7 �: CONSENT OF SURETY COMPANY TO FINAL PAYMENT AIA DOCUMENT G707 OWNER ❑x ARCHITECT ❑ CONTRACTOR ❑ SURETY ❑ OTHER PROJECT: 24" M-206 Sanitary Sewer Relocation to serve Crystal Springs (name, address) Fort Worth, TX TO (Owner) CITY PROJECT NO: Stillwater Capital and The City of Fort Worth CONTRACT FOR: Sanitary Sewer Fort Worth, TX CONTRACT DATE: June, 2020 �— BOND NO: 1077899 CONTRACTOR: Rumsey Construction, LLC 4329 Reeder Drive Carrollton, TX 75010 In accordance with the provisions of the Contract between the Owner and the Contractor as indicated above, the (here insert name and address of Surety as it appears in the bond). The Hanover Insurance Company SURETY COMPANY, on bond of (here insert name and address of Contractor as it appears in the bond), Rumsey Construction, LLC , 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 (here insert name and address of Owner) (Stillwater Capital and the City of Fort Worth as set forth in the said Surety's bond. IN WITNESS WHEREOF, the Surety has hereunto set its hand this 21st day of February The Hanover Insurance Company Surety Signature of Au orized Representative , OWNER, , 2024 - _-i, (/, ,�kll �`M �' Allyson W. Dean, Attorney -in -Fact Attest: �__���� ;` air ��...�.-.,...w„�= (Seal): ,; Title AIA DOCUMENT G707 • CONSENT OF SURETY TO FINAL PAYMENT • APRIL 1970 ONE PAGE EDITION • AIA 0 • © 1970 9 THE AMERICAN INSTITUTE OF ARCHITECTS, 1735 NEW YORK AVE., NW, WASHINGTON, D.C. 20006 THE HANOVER INSURANCE COMPANY MASSACHUSETTS BAY INSURANCE COMPANY CITIZENS INSURANCE COMPANY OF AMERICA POWER OF ATTORNEY THIS Power of Attorney limits the acts of those named herein, and they have no authority to bind the Company except in the manner and to the extent herein stated. KNOW ALL PERSONS BY THESE PRESENTS: That THE HANOVER INSURANCE COMPANY and MASSACHUSETTS BAY INSURANCE COMPANY, both being corporations organized and existing under the laws of the State of New Hampshire, and CITIZENS INSURANCE COMPANY OF AMERICA, a corporation organized and existing under the laws of the State of Michigan, (hereinafter individually and collectively the "Company") does hereby constitute and appoint John R. Ward, Douglas Moore, Emily Mikeska, Eva O. Limmer and/orAllyson Dean Of Ward & Moore Insurance Services LP of Dallas, TX, Gatesville, TX and Temple, TX each individually, if there be more than one named, as its true and lawful attorney(s)-in-fact to sign, execute, seal, acknowledge and deliver for, and on its behalf, and as its act and deed any place within the United States, any and all surety bonds, recognizances, undertakings, or other surety obligations. The execution of such surety bonds, recognizances, undertakings or surety obligations, in pursuance of these presents, shall be as binding upon the Company as if they had been duly signed bythe president and attested by the secretary of the Company, in their own proper persons. Provided however, that this power of attorney limits the acts of those named herein; and they have no authority to bind the Company except in the manner stated and to the extent of any limitation stated below: Any such obligations in the United States, not to exceed Thirty Five Million and No/100 ($35,000,000) in any single instance That this power is made and executed pursuant to the authority of the following Resolutions passed by the Board of Directors of said Company, and said Resolutions remain in full force and effect: RESOLVED: That the President or any Vice President, in conjunction with any Vice President, be and they hereby are authorized and empowered to appoint Attorneys -in -fact of the Company, in its name and as it acts, to execute and acknowledge for and on its behalf as surety, any and all bonds, recognizances, contracts of indemnity, waivers of citation and all other writings obligatory in the nature thereof, with powerto attach thereto the seal of the Company. Any such writings so executed by such Attorneys -in -fact shall be binding upon the Company as if they had been duly executed and acknowledged by the regularly elected officers of the Company in their own proper persons. RESOLVED: That any and all Powers of Attorney and Certified Copies of such Powers of Attorney and certification in respect thereto, granted and executed by the President or Vice President in conjunction with any Vice President of the Company, shall be binding on the Company to the same extent as if all signatures therein were manually affixed, even though one or more of any such signatures thereon may be facsimile. (Adopted October 7, 1981 — The Hanover Insurance Company; Adopted April 14, 1982 — Massachusetts Bay Insurance Company; Adopted September 7, 2001 — Citizens Insurance Company of America) IN WITNESS WHEREOF, THE HANOVER INSURANCE COMPANY, MASSACHUSETTS BAY INSURANCE COMPANY and CITIZENS INSURANCE COMPANY OF AMERICA have caused these presents to be sealed with their respective corporate seals, duly attested by two Vice Presidents, this 41h day of April, 2018. The Hanover Insurance Company The Hanover Insurance Company Massachusetts Bay Insubance Company Citizens Insurance Company of America o°'""' Massachusetts Bay Insurance company -.. Citizens Insurance Companvof America /} r a.�..` � � Iti79 � 1984 O ! ��...--'e'er !"'�'S -�-=">� s�-.�........t¢,#:,-•t John G. Roche, EL P and President James H. Kawiecldd, 'Glee President THE COMMONWEALTH OF MASSACHUSETTS ) COUNTY OF WORCESTER ) ss. On this 4V" day of April, 2018 before me came the above named Vice Presidents of The Hanover Insurance Company, Massachusetts Bay Insurance Company and Citizens Insurance Company of America, to me personally known to be the individuals and officers described herein, and acknowledged that the seals affixed to the preceding instrument are the corporate seals of The Hanover Insurance Company, Massachusetts Bay Insurance Company and Citizens Insurance Company of America, respectively, and that the said corporate seals and their signatures as officers were duly affixed and subscribed to said instrument by the authoritv and direction of said Corporations. OIANE J. MARINO Notatary Pu6Na 4��r�'fi 1K+L/W�LN LbYY01g1E MY M F-q*-Morch Ui:u a d.. a w, Notary Public �' IIA43 Nl1y Connn,ssion E.pi— ?J—h 4.2022 I, the undersigned Vice President of The Hanover Insurance Company, Massachusetts Bay Insurance Company and Citizens Insurance Company of America, hereby certify that the above and foregoing is a full, true and correct copy of the Original Power of Attorney issued by said Companies, and do hereby further certify that the said Powers of Attorney are still in force and effect. GIVEN under my hand and the seals of said Companies, at Worcester, Massachusetts, this 215' day of February 2024 J CERTIFIED COPY /ra Theodorc G Martinet, Vice Pr sident� Hanover Insurance Group - IMPORTANT NOTICE To obtain information or make a complaint: You may call The Hanover Insurance Company/ Citizens Insurance Company of America's toll -free telephone number for information or to make a complaint at: 1-800-608-8141 Texas Complaint Notice Commercial Lines AVISO IMPORTANTE Para obtener informacion o para someter una queja: Usted puede Ilamar al numero de telefono gratis de The Hanover Insurance Company/Citizens Insurance Company of America's para informacion o para someter una queja al: 1-800-608-8141 You may also write to The Hanover Insurance Company/ Usted tambien puede escribir a The Hanover Insurance Citizens Insurance Company of America at: Company/Citizens Insurance Company of America al: 440 Lincoln Street Worcester, MA 01615 You may contact the Texas Department of Insurance to obtain information on companies, coverages, rights or complaints at: 1-800-252-3439 You may write the Texas Department of Insurance: P. O. Box 149104 Austin, TX 78714-9104 Fax: (512) 475-1771 Web: http://www.tdi.texas.gov E-mail: ConsumerProtection@tdi.texas.gov PREMIUM OR CLAIM DISPUTES: Should you have a dispute concerning your premium or about a claim you should contact the agent or the company first, If the dispute is not resolved, you may contact the Texas Department of Insurance. ATTACH THIS NOTICE TO YOUR POLICY This notice is for information only and does not become a part or condition of the attached document. 440 Lincoln Street Worcester, MA 01615 Puede comunicarse con el Departamento de Seguros de Texas para obtener informacion acerca de companias, coberturas, derechos o quejas al: 1-800-252-3439 Puede escribir al Departamento de Seguros de Texas: R O. Box 149104 Austin, TX 78714-9104 Fax: (512) 475-1771 Web: http://www.tdi.texas.gov E-mail: ConsumerProtection@tdi.texas.gov DISPUTAS SOBRE PRIMAS O RECLAMOS: Si tiene una disputa concerniente a su prima o a un reclamo, debe comunicarse con el agente o la com- pania primero. Si no se resuelve la disputa, puede entonces comunicarse con el departamento (TDI). UNA ESTE AVISO A SU POLIZA: Este aviso es solo para proposito de informacion y no se convierte en parte o condicion del documento adjunto. The Hanover Insurance Company 1440 Lincoln Street, Worcester, MA 01653 lei-1457 (12JA Page 1 of 1 Citizens Insurance Company of America 1808 North Highlander Way, Howell, MI 48843 hanover.com