HomeMy WebLinkAboutContract 58808-FP2FORTWORTH.
-FP2
City Secretary 58808
Contract No.
Date Received 10/21/2024
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: Talon Hills Phase IV
City Project No.: 103653
Improvement Type(s): Water 0 Sewer 0
Original Contract Price:
$1,197,426.80
Amount of Approved Change Order(s): $8,669.00
Revised Contract Amount: $1,206,095.80
Total Cost of Work Complete: $1,206,095.80
Oct 21, 2024
Contractor Date
Vice President
Title
Burnsco Construction
Company Name
MrOn )4rindg
Oct 21 2024
Adrian Aran da (Oct 21, 2024 09:08 CDT)
7
Pr ect Inspector
Date
/
Oct 21, 2024
Manager
Date
Project
Rebecca Owen (Oct 21, 202412:24 CDT)
Oct 21, 2024
C/F"9A Manager
Date
Oct 21, 2024
Lauren Prieur (Oct 21, 202412:25 CDT)
TPW Director
Date
op��
Oct 21, 2024
Asst. City Manager
Date
OFFICIAL RECORD
CITY SECRETARY Page 1 of 2
FT. WORTH, TX
Notice of Project Completion
Project Name: Talon Hills Phase IV
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
Statement of Contract Time
Contract Time: 180 WD Days Charged: 320
Work Start Date: 4/10/2023 Work Complete Date: 9/25/2024
Completed number of Soil Lab Test: 297
Completed number of Water Test: 13
Page 2 of 2
FORT WORTH
CITY OF FORT WORTH
FINAL PAYMENT REQUEST
Contract Name Talon Hill, Phase IV
Contract Limits
Project Type WATER & SEWER IMPROVEMENTS
City Project Numbers 103653
DOE Number 3653
Estimate Number 1 Payment Number 1 For Period Ending 9/25/2024
WD
City Secretary Contract Number 58808 Contract Time 9WD
Contract Date 12/16/2022 Days Charged to Date 320
Project Manager NA Contract is 100.00 Complete
Contractor BURNSCO CONSTRUCTION, INC.
6331 SOUTHWEST BLVD
FORT WORTH, TX 76132
Inspectors D. WATSON / P. JONES
Wednesday, October 16, 2024 Page 1 of 4
City Project Numbers 103653 DOE Number 3653
Contract Name Talon Hill, Phase IV Estimate Number 1
Contract Limits Payment Number 1
Project Type WATER & SEWER IMPROVEMENTS For Period Ending 9/25/2024
Project Funding
Unit I: Water Improvements
Item
Description of Items
Estimated Unit
Unit Cost
Estimated
Completed
Completed
No.
Quanity
Total
Quanity
Total
1
Trench Safety
6017 LF
$0.10
$601.70
6017
$601.70
2
Ductile Iron Water Fittings w/Restraint
3.1 TO
$7,740.00
$23,994.00
3.1
$23,994.00
3
8" DIP Water
100 LF
$150.00
$15,000.00
100
$15,000.00
4
8" PVC Water Pipe
5917 LF
$63.50
$375,729.50
5917
$375,729.50
5
Fire Hydrant
6 EA
$7,400.00
$44,400.00
6
$44,400.00
6
Connection to Existing 4"-12" Water Main
5 EA
$1,200.00
$6,000.00
5
$6,000.00
7
1" Water Service
109 EA
$1,430.00
$155,870.00
109
$155,870.00
8
8" Gate Valve
17 EA
$2,460.00
$41,820.00
17
$41,820.00
Sub -Total of Previous Unit
$663,415.20
$663,415.20
Unit H: Sanitary Sewer Improvements
Item
Description of Items
Estimated Unit
Unit Cost
Estimated
Completed
Completed
No.
Quanity
Total
Quanity
Total
1
Post -CCTV Inspection (CO#1)
3369 LF
$3.40
$11,454.60
3369
$11,454.60
2
Manhole Vacuum Testing
20 EA
$120.00
$2,400.00
20
$2,400.00
3
Trench Safety (CO#1)
3369 EA
$1.00
$3,369.00
3369
$3,369.00
4
Trench Water Stops
12 EA
$1.00
$12.00
12
$12.00
5
Imported Embed/CSS
100 LF
$57.00
$5,700.00
100
$5,700.00
6
8" Sewer Pipe (CO#1)
3369 LF
$75.00
$252,675.00
3369
$252,675.00
7
4"Sewer Service
105 EA
$1,300.00
$136,500.00
105
$136,500.00
8
4' Manhole (CO#1)
18 EA
$4,380.00
$78,840.00
18
$78,840.00
9
4' Drop Manhole
3 EA
$5,350.00
$16,050.00
3
$16,050.00
10
4' Extra Depth Manhole
48 VF
$190.00
$9,120.00
48
$9,120.00
11
Epoxy Manhole Liner (CO#1)
65 VF
$384.00
$24,960.00
65
$24,960.00
12
--------------------------------------
Connect to Existing System
2 EA
$800.00
$1,600.00
2
$1,600.00
--------------------------------------
Sub-Total
of Previous Unit
$542,680.60
$542,680.60
Wednesday, October 16, 2024 Page 2 of 4
City Project Numbers 103653
Contract Name Talon Hill, Phase IV
Contract Limits
Project Type WATER & SEWER IMPROVEMENTS
Project Funding
Contract Information Summary
Original Contract Amount
Change Orders
Change Order Number 1
DOE Number 3653
Estimate Number 1
Payment Number 1
For Period Ending 9/25/2024
$1,197,426.80
$8,669.00
Total Contract Price $1,206,095.80
Total Cost of Work Completed $1,206,095.80
Less % Retained $0.00
Net Earned $1,206,095.80
Earned This Period $1,206,095.80
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
$1,206,095.80
Wednesday, October 16, 2024 Page 3 of 4
City Project Numbers 103653
Contract Name Talon Hill, Phase IV
Contract Limits
Project Type WATER & SEWER IMPROVEMENTS
Project Funding
Project Manager NA
Inspectors D. WATSON / P. JONES
Contractor BURNSCO CONSTRUCTION, INC.
6331 SOUTHWEST BLVD
FORT WORTH, TX 76132
DOE Number 3653
Estimate Number 1
Payment Number 1
For Period Ending 9/25/2024
City Secretary Contract Number 58808
Contract Date
12/16/2022
Contract Time
90 WD
Days Charged to Date
320 AID
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 $1,206,095.80
Less % Retained
$0.00
Net Earned
$1,206,095.80
Earned This Period S1,206,095.80
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
$1,206,095.80
Wednesday, October 16, 2024 Page 4 of 4
REVIEWED
By Andrew Goodman at 4:00 pm, Jun 05, 2023
DEVELOPER -AWARDED -PROJECT CHANGE ORDER
IPROJECT NAME:
TALON HILL, PHASE IV CHANGE
CONTRACT:
Burnsco Construction, Inc. ORDER No:
ICFA#
CFA22-0038 I CITY PARTICIPATION: NO
CITY PROJECT #
COFW # 103653
IFID #
1
30114-0200431-103653-EO7685
FILE #
W-2815
INSPECTOR:
Phone No:
PROJECT
Drew Goodman, P.E. Phone No: 817-392-6251
MANAGER:
CONTRACT UNIT
WATER SEWER PAVING DRAINAGE STREET LIGHTS
Developer
Cost
City Cost
Developer Cost
City Cost
Developer Cost
(ORIGINAL CONTRACT
$
663,415.20
$ 534,011.60
EXTRAS TO DATE
ICREDITS TO DATE
.
CONTRACT TO DATE
$
663,415.20
$. -
$ 534,011.60
$
$ -
AMOUNT OF PROP.
CHANGE ORDER
$
-
$ 8,669.00
$ -
CONTRACT
MVISED
OUNT
$
663,415.20
-
$ 542,680.60
$ -
$ -
TOTAL REVISED
CONTRACT AMOUNT
PER UNIT
$
663,415.20
$
542,680.60
$
REVISED COST SHARE Dev. Cost:
TOTAL REVISED
CONTRACT
$1,533,650.10
Developer
City Cost Cost City Cost Developer Cost City Cost
$ 327,554.30
$ - $ 327,554.30 $ $ - $ -
$ - $
$ - $ 327,554.30 $ - $
$ 327,554.30 1 $ -
City Cost: $0.
$1,533,650.10
CONTRACT
DAYS
90
90
90
Revised: 10-22-2011 Page 1
REVIEWED
By Andrew Goodman at 4:00 pm, Jun 05, 2023
You are directed to make the following changes in the contract documents
(Unit II: Sewer Improvements
I PAY ITEM # CITY BID ITEM # QUANTITY UNIT ITEM DESCRIPTION
UNIT PRICE
TOTAL I
I 1 3301 31 25 LF 3301.0002 Post -CCTV Inspection
$
3.4 $
85.001
I 3 33 05 10 25 LF 3305.0109 Trench Safety
$
1.0 $
25.001
I 6 3331 20 25 LF 3331.4115 8" Sewer Pipe
$
75.0 $
1,875.001
I 8 33 39 10, 33 39 20 1 EA 3339.1001 4' Manhole
$
4,380.0 $
4,380.001
1 11 33 39 60 6 VF 3339.0001 Epoxy Manhole Liner
$
384.0 $
2,304.001
I TOTAL
$
8,669.001
REASONS FOR CHANGE ORDER:
Revise Line SS-1 to avoid conflict with existing Electrical Transformer.
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:
(Developer)
(Contractor)
By:
By:
Name: Osama Nashed, P.E. Name:
Name: Albert Grantges
Title: Project Manager Title: 2 dN N tit-
Title: Vice President
Revised: 10-22-2011 Page 2
T-1 0",
......... .
745
74QO
735 H
725
720
4 715
710 /J5
U.
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BLOCK B
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ff
TALON HILL PHASE IV
CITY OF FORT WORTH
NTC UNTY,T-
745 OF FORT
TRAN—RT—N ANN ILRLC IA— HIT.
7.
PROP. SAN. SEWER PLAN & PROFILE
LINE SS-1 (1 OF 2)
735 -O—..�j —T
6: o du
FORTWORTH
TRANSPORTATION AND PUBLIC WORKS
PIPE REPORT FOR:
PROJECT NAME: Talon Hills Phase 4
CITY PROJECT NUMBER: 103653
WATER
PIPE LAID SIZE TYPE OF PIPE
Open -Trench 8" PVC
Open -Trench 8" DIP
LF
5,917 LF
100 LF
FIRE HYDRANTS: 6 VALVES (16" OR LARGER)
PIPE ABANDONED SIZE TYPE OF PIPE LF
N/A
DENSITIES: Taken -Pass
NEW SERVICES: 1" DOM 1,420 LF
I SEWER I
PIPE LAID SIZE TYPE OF PIPE LF
Open -Trench 8" SDR-26 3,344 LF
PIPE ABANDONED SIZE TYPE OF PIPE LF
N/A
DENSITIES: Taken -Pass
NEW SERVICES: 4" SDR-26 1,353 LF
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
September 30, 2024
Bunsco Construction Inc.
6331 Southwest Blvd
Benbrook TX 76132
RE: Acceptance Letter
Project Name: Talon Hills Phase IV
Project Type: Water, Sewer, Drainage
City Project No.: 103653
To Whom It May Concern:
On September 30, 2024 a final inspection was made on the subject project. There were no punch list
items identified at that time. The final inspection indicates that the work meets the City of Fort Worth
specifications and is therefore accepted by the City. The warranty period will start on September 30,
2024, which is the date of the final inspection 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-
392-6251.
Sincerely,
Andrew Goodman P.E, Project Manager
Cc: Adrian Aranda , Inspector
Donald Watson , Inspection Supervisor
Aaron Ybarra , Senior Inspector
Victor V. Torneo P.E , Program Manager
A.N.A Consultant LLC , Consultant
Burnsco Construction Inc. , Contractor
BYD Talon Hill Development, LLC , Developer
File
E-Mail: TPW_Acceptance@fortworthtexas.gov
Rev. 08/20/19
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 Ab Grantges,
Contract Mgr, Of Burnsco Construction, 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;
Talon Hill Phase IV - Water, Sanitary Sewer and Storm Drain
BY
IkL-
Ab GrantgR Contract Manager
Subscribed and sworn before me on this date 21st of October, 2024.
l'
i
Notary Public
Tarrant County, Texas
4N.
KASSANDRA CANALES
Notary Public, State of Texas
Comm. Expires 01-23-2027
.9 ...}
%•,,,q„l++ Notary ID 134158873
CONSENT OF
SURETY COMPANY
TO FINAL PAYMENT
Conforms with the American Institute of
Architects, AIA Document G707
OWNER
❑
ARCHITECT
❑
CONTRACTOR
❑
SURETY
❑
OTHER
Bond No 022234560
PROJECT:
(name, addresS)Talon Hill Phase IV -Water, Sanitary Sewer, and Drainage Improvements
Fort Worth TX
TO (Owner)
Ir ARCHITECT'S PROJECT NO:
BYD TALON FP, LLC AND CITY OF FORT WORTH CONTRACT FOR:
1109 Glade Road Talon Hill Phase IV - Water, Sanitary Sewer, and Drainage
Improvements
Colleyville TX 76034 CONTRACT DATE:
CONTRACTOR: BURNSCO CONSTRUCTION, INC.
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 Company)
LIBERTY MUTUAL INSURANCE COMPANY
175 Berkeley Street
Boston MA 02116 ,SURETY COMPANY
on bond of (here insert name and address of Contractor)
BURNSCO CONSTRUCTION, INC.
6331 Southwest Boulevard
Benbrook TX 76132
,CONTRACTOR,
hereby approves of the final payment to the Contractor, and agrees that final payment to the Contractor shall not relieve
the Surety Company of any of its obligations to (here insert name and address of Owner)
BYD TALON FP, LLC AND CITY OF FORT WORTH
1109 Glade Road
Colleyville TX 76034 , OWNER,
as set forth in the said Surety Company's bond.
IN WITNESS, WHEREOF,
the Surety Company has hereunto set its hand this
Attest: , !a iwx F 1 ►wG� — -
(Seal):
17th day of October, 2024
LIBERTY MUTUAL INSURANCE COMPANY
Surety Company
Signature bfAuthorized Representative
Snnhinia Hunter
Title
Atto rnev-i n -Fact
NOTE: This form is to be used as a companion document to AIA DOCUMENT G706, CONTRACTOR'S AFFIDAVIT OF PAYMENT OF DEBTS AND CLAIMS,
Current Edition
ONE PAGE
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.
Lib►er _ J Liberty Mutual Insurance Company
Mutual. The Ohio Casualty Insurance Company Certificate No: 8205467-022020
SURETY West American Insurance Company
POWER OF ATTORNEY
KNOWN ALL PERSONS BY THESE PRESENTS: That The Ohio Casualty Insurance Company is a corporation duly organized under the laws of the State of New Hampshire, that
Liberty Mutual Insurance Company is a corporation duly organized under the laws of the State of Massachusetts, and West American Insurance Company is a corporation duly organized
under the laws of the State of Indiana (herein collectively called the "Companies"), pursuant to and by authority herein set forth, does hereby name, constitute and appoint, Don E.
Cornell; Joshua Saunders; Kelly A. Westbrook; Mikaela Peppers; Ricardo J. Reyna; Robbi Morales; Sophinie Hunter; Tina McEwan; Tonie Petranek
all of the city of Dallas state of TX each individually if there be more than one named, its true and lawful attorney -in -fact to make,
execute, seal, acknowledge and deliver, for and on its behalf as surety and as its act and deed, any and all undertakings, bonds, recognizances and other surety obligations, in pursuance
of these presents and shall be as binding upon the Companies as if they have been duly signed by the president and attested by the secretary of the Companies in their own proper
persons.
IN WITNESS WHEREOF, this Power of Attorney has been subscribed by an authorized officer or official of the Companies and the corporate seals of the Companies have been affixed
thereto this 23rd day of April 2021
Liberty Mutual Insurance Company
Q� INS(/Rq Pity INS&A a Wsbgq The Ohio Casualty Insurance Company
=u°aPO�ra��� °oRPOPrgTo9yn �Gz°OaPO+gTF,kn West American Insurance Company
1912 0 1919 g 1991� 0
Z ry O d O
O dV19s`SgCHUs4'�.laa Z°�NAMPsa •aa� `!s �NDIANP �L � �� •N O
co State of PENNSYLVANIA David M. Carey, Assistant Secretary C CC;
Si
m o, County of MONTGOMERY ss o E
On this 23rd day of April 2021 before me personally appeared David M. Carey, who acknowledged himself to be the Assistant Secretary of Liberty Mutual Insurance
Company, The Ohio Casualty Company, and West American Insurance Company, and that he, as such, being authorized so to do, execute the foregoing instrument for the purposes E- Q
a) m therein contained by signing on behalf of the corporations by himself as a duly authorized officer. o
�IN WITNESS WHEREOF, I have hereunto subscribed my name and affixed my notarial seal at King of Prussia, Pennsylvania, on the day and year first above written. Q
c•NI 0
CU a0
— `srrttyp- fi Commonwealth of Pennsylvania - Notary Seal
do xU� 7� Teresa Pastella, Notary Public
N Montgomery County C
CF' My commission expires March 28, 2025 By:
�<r Commission number 1126044
N Member, Pennsylvania Association of Notaries ees, PBStaIIa, Notary Public Q p
r�
m 9 p o
L
a; This Power of Attorney is made and executed pursuant to and by authority of the following By-laws and Authorizations of The Ohio Casualty Insurance Company, Liberty Mutual 3 00
•� Insurance Company, and West American Insurance Company which resolutions are now in full force and effect reading as follows: o N
a�
ARTICLE IV -OFFICERS: Section 12. Power of Attorney. ,
o 12 Any officer or other official of the Corporation authorized for that purpose in writing by the Chairman or the President, and subject to such limitation as the Chairman or the --oa o
a President may prescribe, shall appoint such attorneys -in -fact, as may be necessary to act in behalf of the Corporation to make, execute, seal, acknowledge and deliver as surety m
>a)
I-any and all undertakings, bonds, recognizances and other surety obligations. Such attorneys -in -fact, subject to the limitations set forth in their respective powers of attorney, shall -o
o = have full power to bind the Corporation by their signature and execution of any such instruments and to attach thereto the seal of the Corporation. When so executed, such o cu
Z t, instruments shall be as binding as if signed by the President and attested to by the Secretary. Any power or authority granted to any representative or attorney -in -fact under the -
provisions of this article may be revoked at any time by the Board, the Chairman, the President or by the officer or officers granting such power or authority, ILLn
ARTICLE XIII - Execution of Contracts: Section 5. Surety Bonds and Undertakings.
Any officer of the Company authorized for that purpose in writing by the chairman or the president, and subject to such limitations as the chairman or the president may prescribe,
shall appoint such attorneys -in -fact, as may be necessary to act in behalf of the Company to make, execute, seal, acknowledge and deliver as surety any and all undertakings,
bonds, recognizances and other surety obligations. Such attorneys -in -fact subject to the limitations set forth in their respective powers of attorney, shall have full power to bind the
Company by their signature and execution of any such instruments and to attach thereto the seal of the Company. When so executed such instruments shall be as binding as if
signed by the president and attested by the secretary.
Certificate of Designation - The President of the Company, acting pursuant to the Bylaws of the Company, authorizes David M. Carey, Assistant Secretary to appoint such attorneys -in -
fact as may be necessary to act on behalf of the Company to make, execute, seal, acknowledge and deliver as surety any and all undertakings, bonds, recognizances and other surety
obligations.
Authorization - By unanimous consent of the Company's Board of Directors, the Company consents that facsimile or mechanically reproduced signature of any assistant secretary of the
Company, wherever appearing upon a certified copy of any power of attorney issued by the Company in connection with surety bonds, shall be valid and binding upon the Company with
the same force and effect as though manually affixed.
I, Renee C. Llewellyn, the undersigned, Assistant Secretary, The Ohio Casualty Insurance Company, Liberty Mutual Insurance Company, and West American Insurance Company do
hereby certify that the original power of attorney of which the foregoing is a full, true and correct copy of the Power of Attorney executed by said Companies, is in full force and effect and
has not been revoked.
IN TESTIMONY WHEREOF, I have hereunto set my hand and affixed the seals of said Companies this 17th day of October , 2024 .
y INSU,Q
ORPO�TOy�lt�
F'
; 19121, o
rd�.S19 us dD
9j7
LMS-12873 LMIC OCIC WAIC Multi Cc 02121
P\11 INS&q � INSURq
Vy 2°00.PORgl�`9ym P� pPPORgro4,
° y 1919 o a 1991 0
41 1ANP �,aa� By Renee C. Llewellyn, Assistant Secretary
Liberty
1SURETY
TEXAS
IMPORTANT NOTICE
To obtain information or make a complaint:
You may call toll -free for information or to
make a complaint at
1-877-751-2640
You may also write to:
2200 Renaissance Blvd., Ste. 400
King of Prussia, PA 19406-2755
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
Consumer Protection (I I I-1A)
P. O. Box 149091
Austin, TX 78714-9091
FAX: (512) 490-1007
Web: http://www.tdi.texas.iiov
E-mail: ConsumerProtection4,tdi.texas.gov
PREMIUM OR CLAIM DISPUTES:
Should you have a dispute concerning your
premium or about a claim you should first
contact the agent or call 1-800-843-6446.
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.
TEXAS
AVISO IMPORTANTE
Para obtener informacion o para someter una
queja:
Usted puede llamar al numero de telefono gratis
para informacion o para someter una queja a]
1-877-751-2640
Usted tambien puede escribir a:
2200 Renaissance Blvd., Ste. 400
King of Prussia, PA 19406-2755
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 Consumer Protection (I I I-1A)
P. O. Box 149091
Austin, TX 78714-9091
FAX # (512) 490-1007
Web: http://www.tdi.texas.aov
E-mail: ConsumerProtection4,,tdi.texas.eov
DISPUTAS SOBRE PRIMAS O RECLAMOS:
Si tiena una disputa concerniente a su prima o a
un reclamo, debe comunicarse con el agente o
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.
NP 70 68 09 01
LMS-15292 10115