HomeMy WebLinkAboutContract 61000-FP1-FP1
City Secretary 61000
Contract No.
FORT WORTH.
Date Received 10/24/2024
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: Marine Creek Pkwy and Mustang Rock
City Project No.: 104024
Improvement Type(s): ❑ Paving ❑ Drainage x❑ Street Lights x❑ Traffic Signals
Original Contract Price: $545,791.00
Amount of Approved Change Order(s):
Revised Contract Amount:
Total Cost of Work Complete: $545,791.00
-'e'ziv
CodEr(Oct22La202410:21 CDT) Oct 22, 2024
Contractor Date
Project Manager
Title
Bean Electrical
Company Name
Oct 22, 2024
Project Inspector
Date
IzWdeesv,4%mW,P•E
Oct 24 2024
L-10— Ahrnpd P F (Oct 24 ?n?4 12-12 CDT)
Project Manager
Date
Oct 24, 2024
Rebecca,Owen (Oct 24.202414:43 CDT)
CFA Manager
Date
Lauren Prieur,
Oct 24, 2024
Lauren Prieur (Oct 24, 202414:46 CDT)
TPW Director
Date
C� v
Oct 24, 2024
Asst. City Manager
Date
OFFICIAL RECORD
CITY SECRETARY Page 1 of 2
FT. WORTH, TX
Notice of Project Completion
Project Name: Marine Creek Pkwy and Mustang Rock
City Project No.: 104024
City's Attachments
Final Pay Estimate ❑x
Change Order(s): ❑ Yes ❑x N/A
Contractor's Attachments
Affidavit of Bills Paid ,®,�_
Consent of Surety
Statement of Contract Time
Contract Time 210 WD
Work Start Date: 5/28/2024
Completed number of Soil Lab Test: 20
Completed number of Water Test: 0
Days Charged: 64 WD
Work Complete Date: 9/5/2024
Page 2of2
FORT WO lT H
CITY OF FORT WORTH
FINAL PAYMENT REQUEST
Contract Name MARINE CREEK PKWY @ MUSTANG ROCK RD TRAFFIC SIGNAL
Contract Limits
Project Type PAVING
City Project Numbers 104024
DOE Number 4024
Estimate Number 1 Payment Number 1 For Period Ending
City Secretary Contract Number
Contract Date
Project Manager NA
Contractor BEAN ELECTRICAL, INC
821 E ENON
FORT WORTH, TX 76140
Inspectors M.MEYERS / P.GUERRERO
Contract Time
Days Charged to Date
Contract is 100.00
9/5/2024
WD
21PdD
64
Complete
Thursday, September 26, 2024 Page I of 6
City Project Numbers 104024 DOE Number 4024
Contract Name MARINE CREEK PKWY @ MUSTANG ROCK RD TRAFFIC SIGNAL Estimate Number 1
Contract Limits Payment Number 1
Project Type PAVING For Period Ending 9/5/2024
Project Funding
UNIT IV: PAVING IMPROVEMENTS
Item Description of Items
No.
1 MOBILIZATION
2 REMOVE CONCRETE PVMT
3 REMOVE CONC CURB & GUTTER
4 REMOVE ADA RAMP
5 4" CONC SIDEWALK
6 BARRIER FREE RAMP, TYPE R-1
7 BARRIER FREE RAMP, TYPE P-1
8 6" CONC CURB AND GUTTER
9 24" SLD PVMT MARKING HAE (W)
10 LANE LEGEND ARROW
11 LANE LEGEND ONLY
12 REMOVE 24" PVMT MARKING
13 CONTRAST CROSSWALK PVMT MARKING
14 EXPLORATORY EXCAVATION OF EXISTING
UTILITIES
Estimated Unit
Unit Cost
Estimated
Completed
Completed
Quanity
Total
Quanity
Total
1 LS
$49,810.00
$49,810.00
1
$49,810.00
51 SY
$162.50
$8,287.50
51
$8,287.50
48 LF
$113.00
$5,424.00
48
$5,424.00
3 EA
$2,939.00
$8,817.00
3
$8,817.00
46 SY
$125.50
$5,773.00
46
$5,773.00
1 EA
$8,721.00
$8,721.00
1
$8,721.00
4 EA
$7,161.00
$28,644.00
4
$28,644.00
48 LF
$125.00
$6,000.00
48
$6,000.00
80 LF
$21.00
$1,680.00
80
$1,680.00
4 EA
$250.00
$1,000.00
4
$1,000.00
4 EA
$281.00
$1,124.00
4
$1,124.00
220 LF
$3.90
$858.00
220
$858.00
200 LF
$72.00
$14,400.00
200
$14,400.00
4 EA
$327.00
$1,308.00
4
$1,308.00
Sub -Total of Previous Unit $141,846.50 $141,846.50
- - - - - - - - - - - - - - - - - - -
UNIT VI: TRAFFIC SIGNAL IMPROVEMENTS
Item Description of Items
No.
1 FURNISH/INSTALL ELEC SERV PEDESTAL
2 2" CONDT PVC SCH 80 (T)
3 2" CONDT PVC SCH 80 (B)
4 3" CONDT PVC SCH 80 (T)
5 4" CONDT PVC SCH 80 (B)
6 FURNISH/INSTALL 3-SECT SIGNAL HEAD
ASSEMBLY
7 FURNISH/INSTALL 5-SECT SIGNAL HEAD
ASSEMBLY
8 FURNISH/INSTALL PED SIGNAL HEAD
ASSEMBLY
9 FURNISH/INSTALL AUDIBLE PEDESTRIAN
PUSHBUTTON STATION
Estimated Unit
Unit Cost
Estimated
Completed
Completed
Quanity
Total
Quanity
Total
1 EA
$10,564.00
$10,564.00
1
$10,564.00
90 LF
$33.00
$2,970.00
90
$2,970.00
340 LF
$46.00
$15,640.00
340
$15,640.00
100 LF
$37.00
$3,700.00
100
$3,700.00
340 LF
$56.00
$19,040.00
340
$19,040.00
7 EA
$1,664.00
$11,648.00
7
$11,648.00
3 EA
$2,596.00
$7,788.00
3
$7,788.00
6 EA
$845.00
$5,070.00
6
$5,070.00
6 EA
$1,902.00
$11,412.00
6
$11,412.00
Thursday, September 26, 2024 Page 2 of 6
City Project Numbers 104024
Contract Name MARINE CREEK PKWY @ MUSTANG ROCK RD TRAFFIC SIGNAL
Contract Limits
Project Type PAVING
Project Funding
10 FURNISHANSTALL BBU SYSTEM INTERNAL
11 FURNISH/INSTALL HYBRID DETECTION
SYSTEM
12 FURNISH/INSTALL MODEL 711 PREEMPTION
DETECTOR
13 FURNISH/INSTALL PREEMPTION CABLE
14 FURNISH/INSTALL PTZ CAMERA
15 FURNISH/INSTALL COMMUNICATION MODEM
16 FURNISH/INSTALL CATS ETHERNET CABLE
17 5/C 14 AWG MULTI -CONDUCTOR CABLE
18 7/C 14 AWG MULTI -CONDUCTOR CABLE
19 20/C 14 AWG MULTI -CONDUCTOR CABLE
20 3/C 14 AWG MULTI -CONDUCTOR CABLE
21 NO 6 INSULATED ELEC CONDR
22 NO 10 INSULATED ELEC CONDR
23 NO 6 BARE ELEC CONDR SLD
24 NO 8 BARE ELEC CONDR SLD
25 FURNISH/INSTALL GROUND BOX TYPE B,
W/APRON
26 FURNISH/INSTALL GROUND BOX TYPE D,
W/APRON
27 FURNISH/INSTALL 5' PEDESTRIAN PUSH
BUTTON POLE
28 FURNISH/INSTALL TYPE 41 SIGNAL POLE
29 FURNISH/INSTALL TYPE 43 SIGNAL POLE
30 FURNISH/INSTALL MAST ARM 16' - 36'
31 FURNISH/INSTALL MAST ARM 40' - 48'
32 TY 1 SIGNAL FOUNDATION
33 TY 3 SIGNAL FOUNDATION
34 TY 4 SIGNAL FOUNDATION
35 SIGNAL CABINET FOUNDATION - 352I
36 FURNISH/INSTALL ATC SIGNAL CONTROLLER
37 FURNISH/INSTALL 352I CONTROLLER
CABINET ASSEMBLY
38 REMOVE RRFB ASSEMBLY DOUBLE SIDED
(SOLAR)
DOE Number 4024
Estimate Number 1
Payment Number 1
For Period Ending 9/5/2024
1
EA
$10,352.00
$10,352.00
1
$10,352.00
1
EA
$43,254.00
$43,254.00
1
$43,254.00
4
EA
$2,567.00
$10,268.00
4
$10,268.00
685
EA
$3.00
$2,055.00
685
$2,055.00
1
EA
$6,583.00
$6,583.00
1
$6,583.00
1
EA
$3,288.00
$3,288.00
1
$3,288.00
925
LF
$3.00
$2,775.00
925
$2,775.00
60
LF
$2.80
$168.00
60
$168.00
505
LF
$3.20
$1,616.00
505
$1,616.00
485
LF
$7.80
$3,783.00
485
$3,783.00
580
LF
$2.30
$1,334.00
580
$1,334.00
30
LF
$2.80
$84.00
30
$84.00
1490
LF
$1.55
$2,309.50
1490
$2,309.50
15
LF
$2.80
$42.00
15
$42.00
860
LF
$2.45
$2,107.00
860
$2,107.00
5
EA
$1,448.00
$7,240.00
5
$7,240.00
1
EA
$2,164.00
$2,164.00
1
$2,164.00
2
EA
$1,183.00
$2,366.00
2
$2,366.00
1
EA
$14,985.00
$14,985.00
1
$14,985.00
3
EA
$15,744.00
$47,232.00
3
$47,232.00
1
EA
$7,991.00
$7,991.00
1
$7,991.00
3
EA
$10,022.00
$30,066.00
3
$30,066.00
2
EA
$1,501.00
$3,002.00
2
$3,002.00
1
EA
$5,477.00
$5,477.00
1
$5,477.00
3
EA
$8,081.00
$24,243.00
3
$24,243.00
1
EA
$6,853.00
$6,853.00
1
$6,853.00
1
EA
$33,003.00
$33,003.00
1
$33,003.00
1
EA
$6,303.00
$6,303.00
1
$6,303.00
3
EA
$2,786.00
$8,358.00
3
$8,358.00
Thursday, September 26, 2024 Page 3 of 6
City Project Numbers 104024 DOE Number 4024
Contract Name MARINE CREEK PKWY @ MUSTANG ROCK RD TRAFFIC SIGNAL Estimate Number 1
Contract Limits Payment Number 1
Project Type PAVING For Period Ending 9/5/2024
Project Funding
39
FURNISHANSTALL LED LIGHTING FIXTURE
4 EA
$959.00
$3,836.00
4
$3,836.00
(70 WATT ATBO COBRA HEAD)
40
SALVAGE STREET LIGHT POLE
2 EA
$3,897.00
$7,794.00
2
$7,794.00
41
FURNISH/INSTALL ALUM SIGN MAST ARM
9 EA
$756.00
$6,804.00
9
$6,804.00
MOUNT
42
REMOVE SIGN PANEL AND POST
2 EA
$158.00
$316.00
2
$316.00
43
TRAFFIC CONTROL
3 MO
$2,687.00
$8,061.00
3
$8,061.00
Sub -Total of Previous Unit
$403,944.50
$403,944.50
Thursday, September 26, 2024 Page 4 of 6
City Project Numbers 104024 DOE Number 4024
Contract Name MARINE CREEK PKWY @ MUSTANG ROCK RD TRAFFIC SIGNAL Estimate Number 1
Contract Limits Payment Number 1
Project Type PAVING For Period Ending 9/5/2024
Project Funding
Contract Information Summary
Original Contract Amount
Change Orders
Total Contract Price
$545,791.00
$545,791.00
Total Cost of Work Completed $545,791.00
Less % Retained $0.00
Net Earned $545,791.00
Earned This Period $545,791.00
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
$545,791.00
Thursday, September 26, 2024 Page 5 of 6
City Project Numbers 104024
Contract Name MARINE CREEK PKWY @ MUSTANG ROCK RD TRAFFIC SIGNAL
Contract Limits
Project Type PAVING
Project Funding
Project Manager NA
Inspectors M.MEYERS / P.GUERRERO
Contractor BEAN ELECTRICAL, INC
821 E ENON
FORT WORTH, TX 76140
DOE Number 4024
Estimate Number 1
Payment Number 1
For Period Ending 9/5/2024
City Secretary Contract Number
Contract Date
Contract Time 210 WD
Days Charged to Date 64 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
$545,791.00
Less % Retained
$0.00
Net Earned
$545,791.00
Earned This Period $545,791.00
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
$545,791.00
Thursday, September 26, 2024 Page 6 of 6
FORTWORTH.
TRANSPORTATION AND PUBLIC WORKS
September 5, 2024
Bean Electrical
821 E Enon Ave
Fort Worth, TX 76140
RE: Acceptance Letter
Project Name: Marine Creek and Mustang Rock
Project Type: Traffic Signal
City Project No.: 104024
To Whom It May Concern:
On September 5, 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 19,
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
Izeldeen@fortworthtexas.gov.
Sincerely,
/zeCrle� �l�i�cerJ, P. E
beldeen Ahmed,P.E (Oct 24, 202413:12 CDT)
Ahmed Izeldeen , Project Manager
Cc: pedro.guerrero@fortworthtexas.gov, Inspector
Michael.Myers@fortworthtexas.gov, Inspection Supervisor
feliberto.beltran@fortworthtexas.gov, Senior Inspector
izeldeen.ahmed@fortworthtexas.gov, Program Manager
maddie.white@westwoodps.com, Consultant
mtargos@gmcivil.com , Contractor
Eagel Mountain Saginaw ISD, Developer
File
E-Mail: TPW_Acceptance@fortworthtexas.gov
Rev. 08/20/19
CONTRACTOR'S AFFIDAVIT OF FINAL PAYMENT
STATE OF TEXAS
KNOW ALL MEN BY THESE PRESENTS:
COUNTY OF TARRANT
BEFORE ME, the undersigned authority, on this day personally appeared ROY E. BEAN II
("Affidant"), who, after being by me duly sworn, deposes, and says that it is Bean Electrical, LLC a
Corporation (corporation, partnership, trade name) of TARRANT County, State of Texas
(the "CONTRACTOR"), which said CONTRACTOR was awarded the Contract dated the 13th day of November , 20 24
for the construction of Traffic Signal Imorovements for Marine Creek Parkwav at Mustano Rock Road/Woodbine Cliff Drive
(the "Work"), for a total consideration of $582.909.00 Dollars
to be paid to the said CONTRACTOR (the "Contract"), and that Affidant has full power of authority to make this affidavit.
That Eagle Mountain- Saginaw ISD (the 'OWNER") has approved the final estimate on said Work,
and that the said CONTRACTOR has fully satisfied and paid any and all claims that may be covered by Chapter 53.085 of the
Texas Property Code and Article 5160 of the Revised Civil Statutes of the State of Texas, as amended, or any other applicable statutes
or charter provisions, and that all just bills for labor and materials have been paid and discharged by said CONTRACTOR insofar as they
pertain to the Work in question.
That in addition to any funds which may have been previously paid by the OWNER, the CONTRACTOR hereby accepts the
amount of $11,383.00 Dollars as FULL AND FINAL PAYMENT under the aforementioned Contract, and
hereby waives and releases any right Affidant and/or the CONTRACTOR may have to pursue claims of any nature against the OWNER
and/or the City of Fort Worth, its officers, employees, agents and representatives, arising out of or in any manner connected with the
performance of the Work and/or the Contract, including but not limited to claims of third parties that supplied material and/or labor for
the Work for or through the CONTRACTOR ("Subcontractors"), as well as claims for delay, additional compensation or for recovery of
liquidated damages, which may have been withheld by the OWNER. The CONTRACTOR shall defend, hold harmless and indemnify the
OWNER and the City of Cleburne, its officers, employees, agents and representatives, from any such claims of such Subcontractors,
including but not limited to, any and all liens which may be filed on the subject property as a result of the Contract and/or any claim for
payment which may result from the Contract. The CONTRACTOR further releases the OWNER from any claim or liability arising from any
act or neglect of the OWNER related to or connected with the Contract. This affidavit is given pursuant to the final payment provisions
of the Contract, and shall not be deemed to alter or modify the terms and provisions of said Contract.
By_ R AN II, VP SW REGION
Af6dant Printed me-& Tie
Signature
SUBSCRIBED AND SWORN TO BEFORE ME, this the 14th da October A.D. 20 24
(Notary Pubtic,i gnu dYo�the State of Texas)
(Notary Seal)
\ ���11111111111i/i//
Carlos Veloz �-
Salas
ExP• 101912027 co
-y IO N0.134597239 LQ
'I, I F
I1111
Carlos Veloz Salas
(Printed Name of Notary)
My commission expires: 10f9f2027
CONSENT OF SURETY
TO FINAL PAYMENT
AM Document G707
Bond No. SU 1155282
TO OWNER:
(Name anrd address)
Eagle Mountain Saginaw IS
1600 Mustang Rock Road
Fort Worth, TX 76179
PROJECT:
(Mane and addr6KV
OWNFR
ARCHITECT
CONTRACTOR
SURETY
OTHER
ARCHITECT'S PROJECT NO.:
CONTRACT FOR: Traffic Signal Improvements
CONTRACT DATED: November 13, 2023
Traffic Signal Improvements for Marine Creek Pkwy & Mustang Rock Road/Woodbine Cliff Drive
In accordance with The provisions of the Contract between the Owner and the Contractor as indicated above, the
Onsmt nrrnnrand addntocaf.5}trrryy
Arch Insurance Company
Harborside 3, 210 Hudson Street Suite 300
Jersey City, NJ 07311-1107
, SURETY,
on bond of
flawrr name and addrow q(Conimciur)
Bean Electrical LLC
821 E. Enon Avenue
Fort Worth, TX 76140
, 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
(Onwt7nameandaddm of0wirer)
Eagle Mountain Saginaw IS
1600 Mustang Rock Road
Fort Worth, TX 76179
as set forth in said Surety's bond.
, OWNER,
IN WITNESS WHEREOF, the Surery has hereunto set its hand on this date; October 3, 2024
rhuuri in uvidng for )uowbfoUouwd hp tW nwncdcdate anr(p¢wr.)
Attest: .,.. 11 j
(Sea]),-i t
Nicholas Lattarulo, Suret6itness
Arch Insurance Company
By:'iu
(bY,qmatuir g(arabor)zcd irpnsrntaiir r
Susan J. Lattarulo Attorney -ire -Fact
(Aiured itame anrd IN,-)
G707--1994
00099
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 staled.
Not valid for Note, Loan, Letter of Credil, Currency Rate, Interest Rate or Residential Value Guarantees.
POWER OF ATTORNEY
Know All Persons By These Presents:
That the Arch Insurance Company, a corporation organized and existing under the laws of the State of Missouri, having its principal administrative office in Jersey City,
New Jersey (hereinafter referred to as the "Company") does hereby appoint:
Kelli E Housworth, Sarah Heineman, Susan J. Lattarulo, Thomas F McCoy Jr and Travis J Robles of Denver, CO (EACH)
its true and lawful Attorney(s)in-Fact, to make, execute, seal, and deliver from the date of issuance of this power for and on its behalf as surety, and as its act and deed:
Any and all bonds, undertakings, recognizances and other surety obligations, in the penal sum not exceeding One Hundred Fiftv Million Dollars ($150,000,000.00).
This authority does not permit the same obligation to be split into two or more bonds In order to bring each such bond within the dollar limit of authority as set forth
herein.
The execution of such bonds, undertakings, recognizances and other surety obligations in pursuance of these presents shall be as binding upon the said Company as
fully and amply to all intents and purposes, as if the same had been duly executed and acknowledged by its regularly elected officers at its principal administrative
office in Jersey City, New Jersey.
This Power of Attorney is executed by authority of resolutions adopted by unanimous consent of the Board of Directors of the Company on August 31, 2022, true and
accurate copies of which are hereinafter set forth and are hereby certified to by the undersigned Secretary as being in full force and effect:
"VOTED, That the Chairman of the Board, the President, or the Executive Vice President, or any Senior Vice President, of the Surety Business Division, or their
appointees designated in writing and filed with the Secretary, or the Secretary shall have the power and authority to appoint agents and attorneys -in -fact, and to
authorize them subject to the limitations set forth in their respective powers of attorney, to execute on behalf of the Company, and attach the seal of the Company
thereto, bonds, undertakings, recognizances and other surety obligations obligatory in the nature thereof, and any such officers of the Company may appoint agents for
acceptance of process,"
This Power of Attorney is signed, sealed and certified by facsimile under and by authority of the following resolution adopted by the unanimous consent of the Board of
Directors of the Company on August 31, 2022:
VOTED, That the signature of the Chairman of the Board, the President, or the Executive Vice President, or any Senior Vice President, of the Surety Business
Division, or their appointees designated in writing and filed with the Secretary, and the signature of the Secretary, the seal of the Company, and certifications by the
Secretary, may be affixed by facsimile on any power of attorney or bond executed pursuant to the resolution adopted by the Board of Directors on August 3l, 2022, and
any such power so executed, sealed and certified with respect to any bond or undertaking to which it is attached, shall continue to be valid and binding upon the
Company. In Testimony Whereof, the Company has caused this instrument to be signed and its corporate seal to be affixed by their authorized officers, this 28' day
of July,, 2023.��,
Attested and CJe/,r��tifiedd��Jry! � l ,�Yk4soud
Arch Insuranc(e�/JC/'�noJm�pany
TE
lu Regan . Shulman, Secretary Stephen C. Ruschak, Executive Vice President
STATE OF PENNSYLVANIA SS
COUNTY OF PHILADELPHIA SS
1, Michele Tripodi, a Notary Public, do hereby certify that Regan A. Shulman and Stephen C. Ruschak personally known to me to be the same persons whose names
are respectively as Secretary and Executive Vice President of the Arch Insurance Company, a Corporation organized and existing under the laws of the State of
Missouri, subscribed to the foregoing instrument, appeared before me this day in person and severally acknowledged that they being thereunto duly authorized signed,
sealed with the corporate seal and delivered the said instrument as the free and voluntary act of said corporation and as their own free and voluntary acts for the uses and
purposes therein set forth.
ComtW^VaUhd Perttw}lwale • Notety Sell
NOCHEIE TIIM, ►busy Publle rX t
R%vaddPhta cotnty `
WCommiLftExp3".My31,2025 Mich a podi,Notar blic
CERTIFICATION COMA90lon R'*V 116um My commission expires 07/31/2025
I, Regan A. Shulman, Secretary of the Arch Insurance Company, do hereby certify that the attached Power of Attorney dated .iuly 28.2023 on behalf of the person(s)
as listed above is a true and correct copy and that the same has been in full force and effect since the date thereof and is in full force and effect on the date of this
certificate; and I do further certify that the said Stephen C. Ruschak, who executed the Power of Attorney as Executive Vice President, was on the date of execution of
the attached Power of Attorney the duly elected Executive Vice President of the Arch Insurance Company. 3rd October
IN TESTIMONY WHEREOF, I have hereunto subscribed my name and affixed the corporate seal of the Arch Insurance Company on this _day of ,
2024
R A . U��
Re A. Shulman, Secretary
This Power of Attorney limits the acts of those named therein to the bonds and undertakings specifically named therein and they have no authority to bind the Company
except in the manner and to the extent herein stated.
PLEASE SEND ALL CLAIM INQUIRIES RELATING TO THIS BOND TO THE FOLLOWING ADDRESS: OA
Arch Insurance — Surety Division 9
3 Parkway, Suite 1500 WKMMTE '4
Philadelphia, PA 19102 stht
tYrt
Mtssear�
Toverify the authenticity of this Power of Attorney,. please. contact Arch 9nsurarrca Company at
Please refer, to, the above. named.Attorney-in-Foci and the detrids L f the bond tz which the, power is. attached..
AICPOA040120 Printed. in U.S.A..