HomeMy WebLinkAboutContract 56954-FP1FORT WORTHo
-FP1
City Secretary
Contract No. 56954
Date Received10/25/2024
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: Waterside Townhomes Phase 1
City Project No.: 102794
Improvement Type(s): Water ❑x Sewer ❑x
Original Contract Price: $536,503.50
Amount of Approved Change Order(s);-$75,520.00
Revised Contract Amount: $460,983.50
Total Cost of Work Complete: $460,983.50
Matthew 6a"d Oct 25 2024
Matthew Gaunt (Oct 25, 202411:23 CDT) J
Contractor Date
Dennett Construction
Title
Dennett Construction
Company Name
-11)A
Oct 25 2024
William Fauver (Oct 25, 202411:25 CDT)
7
Project Inspector
Date
Oct 25, 2024
Project Manager
Date
'^
Owen 25, 202417:12 CDT)
Oct 25 2024
.a (Oct
J
CFA Manager
Date
n
''rieur 25, 202417:22 CDT)
Oct 25 2024
�. (Oct
J
TPW Director
Date
Cp�"
Oct 30, 2024
Asst. City Manager
Date
OFFICIAL RECORD
CITY SECRETARY
FT. WORTH, TX Page 1 of 2
Notice of Project Completion
Project Name: Waterside Townhomes Phase 1
City Project No.: 102794
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: 68 WD
Work Start Date: 2/14/2022
Completed number of Soil Lab Test: 106
Completed number of Water Test: 28
Days Charged: 477
Work Complete Date: 6/24/2024
Page 2 of 2
FORT WORTH
CITY OF FORT WORTH
FINAL PAYMENT REQUEST
Contract Name WATERSIDE TOWNHOMES PHASE I
Contract Limits
Project Type WATER & SEWER
City Project Numbers 102794
DOE Number 2794
Estimate Number 1 Payment Number I
City Secretary Contract Number
Contract Date
For Period Ending 6/24/2024
WD
Project Manager NA
Contractor DENNETT CONSTRUCTION
2313 CULLEN ST
FORT WORTH, TX 76106
Inspectors GLOVER / ROBERSON
Contract Time 6WD
Days Charged to Date 477
Contract is 100.00 Complete
Monday, October 7, 2024 Page 1 of 5
City Project Numbers 102794 DOE Number 2794
Contract Name WATERSIDE TOWNHOMES PHASE I Estimate Number I
Contract Limits Payment Number I
Project Type WATER & SEWER For Period Ending 6/24/2024
Project Funding
UNIT I: WATER IMPROVEMENTS
Item
Description of Items
Estimated Unit
Unit Cost
Estimated
Completed
Completed
No.
Quanity
Total
Quanity
Total
1
Remove 6" Water Line
91 LF
$19.00
$1,729.00
91
$1,729.00
2
Remove 8" Water Line
75 LF
$19.00
$1,425.00
75
$1,425.00
3
Remove 1211 Water Line
786 LF
$18.00
$14,148.00
786
$14,148.00
4
4"- 12 " Pressure Plug
2 EA
$500.00
$1,000.00
2
$1,000.00
5
Remove 6" Water Valve
6 EA
$250.00
$1,500.00
6
$1,500.00
6
Remove 12" Water Valve
6 EA
$250.00
$1,500.00
6
$1,500.00
7
Salvage Fire Hydrant
1 EA
$2,400.00
$2,400.00
1
$2,400.00
8
SWPPP> 1 acre
1 LS
$5,100.00
$5,100.00
1
$5,100.00
9
Exploratory Excavation of Existing Utilities
2 EA
$1,500.00
$3,000.00
2
$3,000.00
10
Trench Safety
1147 LF
$1.00
$1,147.00
1147
$1,147.00
11
Ductile Iron Water Fittings w/ Restraint
4.5 TN
$1,977.00
$8,896.50
4.5
$8,896.50
12
6" PVC Water Pipe
82 LF
$32.00
$2,624.00
82
$2,624.00
13
12" PVC Water Pipe
1025 LF
$77.00
$78,925.00
1025
$78,925.00
14
12" PVC Water Pipe, CLSM Backfill
40 LF
$103.00
$4,120.00
40
$4,120.00
15
Fire Hydrant
4 EA
$4,089.00
$16,356.00
4
$16,356.00
16
Connection to Existing 4"-12" Water Main
2 EA
$1,648.00
$3,296.00
2
$3,296.00
17
2" Combination Air Valve Assembly for Water
1 EA
$8,047.00
$8,047.00
1
$8,047.00
18
1" Water Service
40 EA
$996.00
$39,840.00
40
$39,840.00
19
6" Gate Valve
4 EA
$1,053.00
$4,212.00
4
$4,212.00
20
12" Gate Valve (CO #1)
8 EA
$2,564.00
$20,512.00
8
$20,512.00
Sub -Total of Previous Unit $219,777.50 $219,777.50
- - - - - - - - - - - - - - - - - - -
UNIT II: SEWER IMPROVEMENTS
Item
Description of Items
Estimated Unit
Unit Cost
Estimated
Completed
Completed
No.
Quanity
Total
Quanity
Total
1
4"-12" PRESSURE PLUG
1 EA
$500.00
$500.00
1
$500.00
2
REMOVE 8" SEWER LINE (CO #1)
116 LF
$16.00
$1,856.00
116
$1,856.00
3
REMOVE SEWER JUNCTION STRUCTURE
1 LS
$1,650.00
$1,650.00
1
$1,650.00
4
POST CCTV INSPECTION
920 LF
$2.00
$1,840.00
920
$1,840.00
5
MANHOLE VACUUM TESTING
10 EA
$250.00
$2,500.00
10
$2,500.00
6
TRENCH SAFETY (CO #1)
952 LF
$1.00
$952.00
952
$952.00
Monday, October 7, 2024 Page 2 of 5
City Project Numbers 102794
Contract Name WATERSIDE TOWNHOMES PHASE I
Contract Limits
Project Type WATER & SEWER
Project Funding
7
8
9
10
11
12
13
14
15
16
17
EXPLORATORY EXCAVATION OF EXISTING
1 EA
UTILITIES
TRENCH WATER STOPS
9 EA
4" SEWER SERVICE (CO#2)
0 EA
10" SEWER PIPE (CO #2)
207 LF
10" SEWER PIPE CSS BACKFILL
20 LF
10" DIP SEWER
712 LF
10" DIP SEWER CSS BACKFILL
20 LF
4' MANHOLE
2 EA
4' SHALLOW MANHOLE
8 EA
4" SEWER SERVICE(CO#2)
40 EA
CONCRETE ENCASEMENT FOR UTILITY PIPES
--------------------
26.24 CY
Sub-Total of Previous Unit
DOE Number 2794
Estimate Number 1
Payment Number 1
For Period Ending 6/24/2024
$1,500.00
$1,500.00
1
$1,500.00
$500.00
$4,500.00
9
$4,500.00
$4,648.00
$0.00
0
$0.00
$42.00
$8,694.00
207
$8,694.00
$77.00
$1,540.00
20
$1,540.00
$112.00
$79,744.00
712
$79,744.00
$142.00
$2,840.00
20
$2,840.00
$2,969.00
$5,938.00
2
$5,938.00
$2,989.00
$23,912.00
8
$23,912.00
$1,105.00
$44,200.00
40
$44,200.00
$2,250.00
$59,040.00
26.24
$59,040.00
$241,206.00 $241,206.00
Monday, October 7, 2024 Page 3 of 5
City Project Numbers 102794
Contract Name WATERSIDE TOWNHOMES PHASE I
Contract Limits
Project Type WATER & SEWER
Project Funding
Contract Information Summary
Original Contract Amount
Change Orders
Change Order Number 1
Change Order Number 1
Change Order Number
Change Order Number 2
Total Contract Price
DOE Number 2794
Estimate Number 1
Payment Number 1
For Period Ending 6/24/2024
$536,503.50
$5,128.00
$2,032.00
($82,680.00)
$460,983.50
Total Cost of Work Completed $460,983.50
Less % Retained $0.00
Net Earned $460,983.50
Earned This Period $460,983.50
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
$460,983.50
Monday, October 7, 2024 Page 4 of 5
City Project Numbers 102794 DOE Number 2794
Contract Name WATERSIDE TOWNHOMES PHASE I Estimate Number 1
Contract Limits Payment Number 1
Project Type WATER & SEWER For Period Ending 6/24/2024
Project Funding
Project Manager NA City Secretary Contract Number
Inspectors GLOVER / ROBERSON Contract Date
Contractor DENNETT CONSTRUCTION Contract Time 68 WD
2313 CULLEN ST Days Charged to Date 477 WD
FORT WORTH, TX 76106 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 $460,983.50
Less % Retained
$0.00
Net Earned
$460,983.50
Earned This Period S460,983.50
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
$460,983.50
Monday, October 7, 2024 Page 5 of 5
DocuSign Envelope ID: 44B94627-8B99-4DFF-9BF7-204A9BCA18DA
DEVELOPER -AWARDED -PROJECT CHANGE ORDER
(PROJECT NAME:
WATERSIDE TOWNHOMES PHASE 1
(CONTRACT:
WATER, SEWER, AND PAVING
ICFA#
CFA21-DD74 I
CITY PARTICIPATION:( NO
I CITY PROJECT#
102794
IFID #
30114-0200431-102794-EO7685
IFILE #
W-2728; X-26678
INSPECTOR:
Riley Robertson
Phone No: 682-213-1837
PROJECT MANAGER:
Debbie Willhelm
Phone No: 817-392-2481
CONTRACT UNIT
WATER SEWER PAVING I
I Cost City Cost lCost City Cost lcost City Cos
IORIGINAL CONTRACT $214,649.50 I $321,854.00 I $62,999.50
I EXTRAS TO DATE $0.00 I $0.00 I $0.00
ICREDITS TO DATE $0.00 I $0.00 I $0.00
(CONTRACT TO DATE $214,649.50 $0.00 I $321,854.00 $0.00 I $62,999.50 $0.00
(AMOUNT OF PROP. CHANGE ORDER $ 5,128.00 I $ 2,032.00 I $ 10,823.00
R+E�/`Ig1� .9NT\RAGT AMOUNT $219,777.50 $0.00 I $323,886.00 $0.00 I $73,822.50 $0.00
TOTA�REVISED CONTRACT AMOUNT I PER UNIT $219,777.50 $323,866.00 I $73,822.50
REVISED COST SHARE Dev. Cost: $617,486.00 City Cost:
TOTAL REVISED CONTRACT $617,486.00
CHANGE
ORDER No:
I
I
REVIEWED
By Debbie J. Willhelm at 8:44 am, Aug 19, 2022
DRAINAGE STREET LIGHTS CONTRACT
r I IDeveloper I I DAYS
Cost City Cost Cost City Cost
$0.00 1 $0.00 I I 68
$0.00 I I $0.00 I I
$0.00 I I $0.00 I I
$0.00 I $0.00 I $0.00 I $0.00 I 68
I I I I 68
$0.00 I $0.00 I $0.00 I $0.00 I 136
$0.00 $0.00
$0.00
Revised: 10-12-2011 Page 1
DocuSign Envelope ID: 44B94627-8B99-4DFF-9BF7-204A9BCA18DA
IYou are directed to make the following c
CInqes in the TY BID ITEM contractdocuments:
I I I UNIT PRICE I TOTAL PAY ITEM # # I UNIT ITEM DESCRIPTION
(UNIT I: WATER IMPROVEMENTS
I 20 I 3312.3005 1 2 I EA I 12" Gate Valve I $ 2,564.00 I $ 5\\128.00
1 UNIT I: WATER IMPROVEMENTS SUBTOTAL $ 8,128.00
I
1UNIT II: SEWER IMOVEMENTS PR
I 0241.2013 41 LF I Remove 8" Sewer Line $ 16.001 $ 656.00
I 6 3305.0109 32 LF Trench Safety $ 1.00 $ 32.00
I 10 3331.4201 32 LF 10" Sewer Pipe $ 42.00 $ 1 \\344.00
1 UNIT rr�: SEWER IMPROVEMENTS SUBTOTAL $ 2,032.00
I
1UNIT IV: PAVING IMPROVEMENTS
I 11 I 3471.001 I 1 I Mo I Traffic Control $ 2,850.001 $ 2,850.00
I NEW 3201.0616 67 SY Cone Pvmt Repair, Arterial/ Industrial $ 119.00 $ 7,973.00
1 UNIT IV: PAVING IMPROVEMENTS $ 10,823.00
I
1 TOTAL 1 $ 17,983.00
REASONS FOR CHANGE ORDER Existing sewer line found at elevation inconsistant with as -built plans. Existing sewer lateral to be removed and new lateral installed at correct elevation.
Additionally, 2 - 12" gate valves to be installed at connections to existing 12" water line for isolocation and testing purposes. Changes correspond to Revision No.
1 as shown on sheets 7, 9-11, 15, 19, and 23 of the construction plans.
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.
IjECo'_ rAENDFF: APPROVED: APPROVED:
KK mrre -HHom an Associates, Inc. Hines Waterside LLC Dennett Construction LC
By By see attached By:
Name: CT, Brewer, P.E. Name: Robert W. Witte Name Edward Serna
Title: Associate Title: Senior Managing Director Title Superintendent
Revised: 10-12-2011 Page 2
DocuSign Envelope ID: 44B94627-8B99-4DFF-9BF7-204A9BCA18DA
HINES WATERSIDE LLC, a Delaware limited liability company
By: Hines Waterside Associates LP, a Texas limited partnership,
its sole member
By: Hines Interests Limited Partnership, a Delaware limited
partners�is i9 sgeneral partner
DS
By: io(�n� W
Na : a9 Witte
Title: Senior Managing Director
DEVELOPER -AWARDED -PROJECT CHANGE ORDER
PROJECT NAME: WATERSIDE TOWNHOMES PHASE 1 CHANGE
(CONTRACT: WATER, SEWER, AND PAVING ORDER No:
ICFA# CFA21-0074 I CITY PARTICIPATION:( NO
ICITY PROJECT # 102794
2
IFID # 30114-0200431-102794-EO7685
FILE # W-2728; X-26678
REVIEWED
INSPECTOR:
Brandon Phillips
Phone No:
682-715-7010
PROJECT MANAGER:
Debbie Willhelm Phone No:
817-392-2481
By Debbie J. Willhelm at 11:47 am, Jun 01, 2023
CONTRACT UNIT
WATER
SEWER
PAVING
DRAINAGE STREET LIGHTS
CONTRACT
Developer
Developer
Developer Developer
Developer
DAYS
Cost City Cost
Cost City Cost
Cost City Cost Cost
City Cost Cost City Cost
IORIGINAL CONTRACT
$214,649.50 I
I $321,854.00 I
I $62,999.50 I
$0.00 $0.00
I 68
I EXTRAS TO DATE
$5,128.00 I
I $2,032.00 I
I $10,823.00 I
$0.00 $0.00
I 68
ICREDITS TO DATE
$0.00
I $0.00 I
I $0.00 I
$0.00 $0.00
I
(CONTRACT TO DATE
$219,777.50 $0.00
I $323,886.00 I $0.00
I $73,822.50 $0.00 I
$0.00 $0.00 $0.00 $0.00
I 136
(AMOUNT OF PROP. CHANGE ORDER
$0.00 1
I $ (82,680.00)1
I $0.00 I
I
I 0
I REVISED G9NTRA9T AMOUNT
$219,777.50 I $0.00
I $241,206.00 I $0.00
I $73,822.50 1 $0.00 I
$0.00 $0.00 I $0.00 $0.00
I 136
TOTAL REVISED ACT AMOUNT
PER UNIT
$219,777.50
I $241,206.00
$73,822.50 I
$0.00 I $0.00
REVISED COST SHARE
Dev. Cost:
$534,806.00
City Cost:
$0.00
TOTAL REVISED CONTRACT
$534,806.00
Revised: 10-12-2011 Page 1
han.qes
are directed to make the followinqdocuments:�
IITEMe c
IYou
CITY BID
I QUaN I I
I
PAY ITEM # # UNIT ITEM DESCRIPTION UNIT PRICE
TOTAL
I
(UNIT II: SEWER IMPROVEMENTS
I 9 3331.3101 -40 EA 4" Sewer Service $ 4,648.00
$085,920.00)
I 15(NEW)
3331.3101
40
I EA
4" Sewer Service
$ 1105.00I
$ 44,200.00
I 16 NEW)
3305.0116
26.24
CY
Concrete Encasement for Utility Pipes
$ 2:250.00
$ 59,040.00
UNIT II: SEWER IMPROVEMENTS SUBTOTAL
$ (82,680.00)
I
I TOTAL
I $ (82,680.00)
REASONS FOR CHANGE ORDER Changes correspond to Revision No. 2 as shown on sheet 10 of the construction plans. Due to low cover, concrete encasement is needed for the sewer laterals.
Additionally, there was a reduction of $3, 543/EA unit cost for the 4" sewer services.
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.
R�C9yM�AEND9: APPROVED: APPROVED:
Kim a -HHorn and Associates, Inc. Hines Waterside LLC Dennett Construction LC
By: I By: �o¢e t�.ciroa By.
Name: Co v rewer, P.E. Name: Jose Campos Name: Edward Serna
Title: Associate Title: Senior Construction Manaqer Title: Superintendent
Revised: 10-12-2011 Page 2
FORTWORTH
TRANSPORTATION AND PUBLIC WORKS
PIPE REPORT FOR:
PROJECT NAME: Waterside Townhomes
CITY PROJECT NUMBER: 102794
WATER
PIPE LAID SIZE TYPE OF PIPE
Open Trench 6" C 900 PVC
Open Trench 12" C 900 PVC
LF
82 If
1025 If
FIRE HYDRANTS: 4 6" VALVES (16" OR LARGER) N/A
PIPE ABANDONED SIZE TYPE OF PIPE LF
N/A N/A N/A
DENSITIES: yes
NEW SERVICES: 1" DOM COPPER 430 LF
I SEWER
PIPE LAID SIZE TYPE OF PIPE LF
OPEN TRENCH 10" DIP 207 LF
PIPE ABANDONED SIZE TYPE OF PIPE LF
N/A N/A N/A
DENSITIES: yes
NEW SERVICES: 4" DIP 605 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.
TRANSPORTATION AND PUBLIC WORKS
August 2, 2024
Dennett Construction LC
2313 Cullen Street
Fort Worth TX 76106
RE: Acceptance Letter
Project Name: Waterside Townhomes Phase 1
Project Type: Water, Sewer and Paving
City Project No.: 102794
To Whom It May Concern:
On August 2, 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 August 2, 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 682-
213-1612.
Sincerely,
Debbie J. Willhelm, Project Manager
Cc: William Fauver, Inspector
Donald Watson, Inspection Supervisor
Aaron Ybarra, Senior Inspector
Andrew Goodman P.E, Program Manager
Kimley Horn, Consultant
Dennett Construction LC, Contractor
Hines, 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 Fln Neve, Vice
President Of Scott Dennett 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;
Waterside Townhomes Phase 1
BY
f Fln Neve, Vice President
Subscribed and sworn before me on this date 14th of October, 2024.
Notary Ptexas
lie
Tarrant,
KASEY DENNETT
Notary Public, State of Texas
':,�""�•� Comm. Expires 09-02-2026
Notary ID 133944634
CONSENT OF
SURETY COMPANY
TO FINAL PAYMENT
AIA DOCUMENT G707
OWNER X
ARCHITECT ❑
CONTRACTOR ❑
SURETY ❑
OTHER ❑
Bond # 178866C
PROJECT: WATER, SEWER, & PAVING IMPROVEMENTS TO SERVE WATERSIDE TOWNHOMES
PHASE I
(name, address)
TO (Owner)Hines Waterside LLC
2200 Ross Ave, Ste 420OW
Dallas, TX 75201
CONTRACTOR: Scott Dennett Construction, L.C.
ARCHITECT'S PROJECT NO: 20164
CONTRACT FOR: WATER, SEWER, & PAVING
IMPROVEMENTS
CONTRACT DATE: February 15, 2021
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)
Westfield Insurance Company
P O Box 5001
Westfield Center, OH 44251-5001
on bond of
(here insert name and address of Contractor)
Scott Dennett Construction, L.C.
2313 Cullen Street
Fort Worth, TX 76107
,SURETY COMPANY,
,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)
Hines Waterside LLC
2200 Ross Ave, Ste 420OW
Dallas, TX 75201 OWNER,
as set forth in the said Surety Company's bond
IN WITNESS WHEROF,
The Surety Company has hereunto set its hand this 22nd day of October, 2024
Attest W— c_�e w.
(seal): Brooke Gordon. Client Service Specialist
Westfield Insurance Company
Surety Company
Av.'O� W,
Signature of Authorized Representative
Brennan Williamson, Attorney -in -Fact
Title
-- r
NOTE. This form is to be used as a companion document to AIA DOCUMENT G706, CONTRACTOR'S AFFIDAVIT OF PAYMENT OF DEBT AND CI;AIMS,
CwTent Edition
AIA DOCUMENT C707 * CONSENT OF SURETY COMPANY TO FINAL PAYMENT *APRIL 1970 EDITION *AIA
1970 THE AMERICAN INSTITUTE OF ARCHITECTS, 1735 NEW YORK AVE. NW WASHINGTON, D.C. 2006 `
WARNING: Unlicensed photocopying violates U.S, copyright laws and is subject to legal prosecution.
THIS POWER OF ATTORNEY SUPERCEDES ANY PREVIOUS POWER BEARING THIS SAME
POWER # AND ISSUED PRIOR TO 10110/24, FOR ANY PERSON OR PERSONS NAMED BELOW.
General POWER NO. 4220012 14
Power Westfield Insurance Co.
of Attorney Westfield National Insurance Co.
Ohio Farmers Insurance Co.
CERTIFIED COPY Westfield Center, Ohio
Know All Men by These Presents, That WESTFIELD INSURANCE COMPANY, WESTFIELD NATIONAL INSURANCE COMPANY and OHIO
FARMERS INSURANCE COMPANY, corporations, hereinafter referred to individually as a "Company' and collectively as "Companies,' duly
organized and existing under the laws of the State of Ohio, and having its principal office in Westfield Center, Medina County, Ohio, do by these
presents make, constitute and appoint
TONY FIERRO, JOHNNY MOSS, JAY JORDAN, JEREMY BARNETT, JADE PORTER, ROBERT G. KANUTH, JARRETT WILLSON,
JACK NOTTINGHAM, BRADY WILSON, BRENNAN WILLIAMSON, JAROD DAGGERS, CALEB HALE, RYAN COX, JOINTLY OR
SEVERALLY
of ROCKWALL and State of TX its true and lawful Attorney(s)-in-Fact, with full power and authority hereby conferred in its name,
place and stead, to execute, acknowledge and deliver any and all bonds, recognizances, undertakings, or other instruments or contracts of
suretyship in any penal limit, and to bind any of the Companies thereby as fully and to the same extent as if such bonds were signed by the
President. sealed with the corporate seal of the applicable Company and duly attested by its Secretary, hereby ratifying and confirming all that the
said Attorney(s)-in-Fact may do in the premises. Said appointment is rnade under and by authority of the following resolution adopted by the
Board of Directors of each of the WESTFIELD INSURANCE COMPANY, WESTFIELD NATIONAL INSURANCE COMPANY and OHIO FARMERS
INSURANCE COMPANY:
"Be It Resolved, that the President, any Senior Executive, any Secretary or any Fidelity & Surety Operations Executive or other Executive 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:
The Attorney -in -Fact may be given full power and authority for and in the name of and on behalf of the Company, to execute, acknowledge and
deliver, any and all bonds, recognizances, contracts, agreements of 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 as binding upon the Company as if signed by the President and sealed and attested by the Corporate Secretary."
"Be it Further Resolved, that the signature of any such designated person and the 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 signatures or facsimile
seal shall be valid and binding upon the Company with respect to any bond or undertaking to which it is attached." (Each adopted at a meeting
held on February 8, 2000).
in Witness Whereof, WESTFIELD INSURANCE COMPANY, WESTFIELD NATIONAL INSURANCE COMPANY and OHIO FARMERS INSURANCE
COMPANY have caused these presents to be signed by their National Surety Leader and Senior Executive and their corporate seals to be hereto
affixed this 10th clay of OCTOBER A.D., 2024 .
Corporate ..�'+^'++++,,
Seals ,r'\ guRAkc;%.,
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WESTFIELD INSURANCE COMPANY
WESTFIELD NATIONAL INSURANCE COMPANY
Hffixed�.
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OHIO FARMERS INSURANCE COMPANY
SEA)
SEAL
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State of Ohiow,,.r..�''r
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County of Medina ss.:
Gary W.'Stumper, National Surety Leader and
Senior Executive
On this 10th day of OCTOBER A.D., 2024 , before me personally came Gary W. Stumper to me known, who, being by me duly sworn,
did depose and say, that he resides in Medina, OH; that he is National Surety Leader and Senior Executive of WESTFIELD INSURANCE
COMPANY, WESTFIELD NATIONAL INSURANCE COMPANY and OHIO FARMERS INSURANCE COMPANY, the companies described in and which
executed the above instrument; that he knows the seals of said Companies; that the seals affixed to said instrument are such corporate seals; that
they were so affixed by order of the Boards of Directors of said Companies; and that he signed his name thereto by like order.
Notarial `+N,q....++•4r, rN•
Seal a•` Al A L
Affixed Y
State of Ohio .l+ 40 David A. Kotnik, Attorney at Law, Notary Public
County of Medina ss.: %,, A 4 -rt. My Commission Does Not Expire (Sec. 147.03 Ohio Revised Code)
r7 OF --.
I, Frank A. Carrino, Secretary of WESTFIELD INSURANCE COMPANY, WESTFIELD NATIONAL INSURANCE COMPANY and OHIO FARMERS
INSURANCE COMPANY, do hereby certify that the above and foregoing is a true and correct copy of a Power of Attorney: executed by said
Companies, which is still in full force and effect; and furthermore, the resolutions of the Boards of Directors, set out in the Power of Attorney are
in full force and effect.
In Witness Whereof, I have hereunto set my hand and affixed the seals of said Companies at Westfield Center, Ohio, this 22nd day of
October A.D.: 2024 -
SEAT. m
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..j_aSJJ �RSp�""�
m; ia3 Frank A. Carrino, Secretary
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BPOAC2 (combined) (05-24)