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HomeMy WebLinkAboutContract 58376-A1FP1-FP1 FORT WORTH. City Secretary Contract No. 58376-A1 Date Received 11/8/2024 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: Tradition, Phase 4B City Project No.: 103865 Improvement Type(s): Water ❑x Sewer ❑x Original Contract Price: $1, 642, 934.56 (Amount of Approved Change Order(s): $7,383.00 (Revised Contract Amount: $1,650,317.56 (Total Cost of Work Complete: $1,650,317.56 win konn (Nov 7,202407:31 CST) Nov 7, 2024 Contractor Date Executive VP of Operations Title PCI Company Name S" 1&ham Nov 7 2024 Steve Johnson 7, 202416:29 CST) Project Inspector Date Mosadage Mokawww (een,?E Nov $ 2024 Project Manager Date "` Nov 8 2024 Rebecca Owen (Nov 8, 2024 08:29 CST) CFA Man ag r Date L Nov 8, 2024 TPW Director Date w Nov 8, 2024 Asst. City Manager Date OFFICIAL RECORD CITY SECRETARY Page 1 of 2 FT. WORTH, TX Notice of Project Completion Project Name: Tradition, Phase 4B City Project No.: 103865 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: 120 WD Days Charged: 240 Work Start Date: 8/14/2023 Work Complete Date: 10/8/2024 Completed number of Soil Lab Test: 864 Completed number of Water Test: 29 Page 2 of 2 FORT WORTH CITY OF FORT WORTH FINAL PAYMENT REQUEST Contract Name TRADITION, PHASE 4B Contract Limits Project Type WATER & SEWER City Project Numbers 103865 DOE Number 3865 Estimate Number 1 Payment Number 1 City Secretary Contract Number Contract Date For Period Ending 10/8/2024 WD Project Manager NA Contractor PCI CONSTRUCTION, INC. P.O. BOX 2967 McKINNEY , TX 75070 Inspectors D. WATSON / S. GARCIA Contract Time 12WD Days Charged to Date 240 Contract is 100.00 Complete Wednesday, October 23, 2024 Page 1 of 5 City Project Numbers 103865 Contract Name TRADITION, PHASE 4B Contract Limits Project Type WATER & SEWER Project Funding UNIT I: WATER FACIIRIES Item Description of Items No. 1 4"-12" PRESSURE PLUG 2 TRENCH SAFETY 3 DUCTILE IRON WATER FITTINGS w/ RESTRAINT 4 8" PVC WATER PIPE 5 8" PVC WATER PIPE, CSS BACKFILL 6 12" PVC WATER PIPE 7 STD. FIRE HYDRANT ASSEMBLY w/ 6" GATE VALVE & VALVE BOX DOE Number 3865 Estimate Number 1 Payment Number 1 For Period Ending 10/8/2024 Estimated Unit Unit Cost Estimated Completed Completed Quanity Total Quanity Total 4 EA $888.00 $3,552.00 4 $3,552.00 6686 LF $0.10 $668.60 6686 $668.60 1.43 TN $22,512.00 $32,192.16 1.43 $32,192.16 5819 LF $64.90 $377,653.10 220 LF $80.50 $17,710.00 647 LF $110.90 $71,752.30 8 EA $8,820.00 $70,560.00 8 CONNECT TO EXISTING 8" W.L. STUB -OUT 1 EA $1,290.00 $1,290.00 9 1" DOMESTIC WATER SERVICES 152 EA $1,255.00 $190,760.00 10 8" GATE VALVE & VALVE BOX 20 EA $2,470.00 $49,400.00 11 12" GATE VALVE & VALVE BOX 2 EA $4,513.00 $9,026.00 12 1" WATER SERVICE (IRRIGATION) CO#1 1 EA $2,552.00 $2,552.00 13 1.5" WATER SERVICE (IRRIGATION) 1 EA $3,031.00 $3,031.00 14 4" PVC SLEEVES CO#1 100 LF $18.00 $1,800.00 Sub -Total of Previous Unit $831,947.16 UNIT n: SANITARY SEWER FACKRIES Item Description of Items Estimated Unit Unit Cost Estimated No. Quanity Total ------------------------------ 12 POST -CCTV INSPECTION 5988 LF $3.70 $22,155.60 13 VACCUM TEST MANHOLES 27 EA $192.00 $5,184.00 14 TRENCH SAFETY 5988 LF $0.60 $3,592.80 15 TRENCH WATER STOPS 14 EA $1,290.00 $18,060.00 16 SDR-26 4" SEWER SERVICES 154 EA $1,562.00 $240,548.00 17 8" SDR-26 PVC SEWER PIPE 5529 LF $61.70 $341,139.30 18 8" PVC SANITARY SEWER PIPE w/ CSS 459 LF $90.30 $41,447.70 BACKFILL 19 EPDXY MANHOLE LINER 13 VF $531.00 $6,903.00 20 T STD. DIA. MANHOLE 27 EA $4,484.00 $121,068.00 21 T EXTRA DEPTH MANHOLE 104 VF $172.00 $17,888.00 5819 $377,653.10 220 $17,710.00 647 $71,752.30 8 $70,560.00 1 $1,290.00 152 $190,760.00 20 $49,400.00 2 $9,026.00 1 $2,552.00 1 $3,031.00 100 $1,800.00 $831,947.16 Completed Completed Quanity Total 5988 $22,155.60 27 $5,184.00 5988 $3,592.80 14 $18,060.00 154 $240,548.00 5529 $341,139.30 459 $41,447.70 13 $6,903.00 27 $121,068.00 104 $17,888.00 Wednesday, October 23, 2024 Page 2 of 5 City Project Numbers 103865 Contract Name TRADITION, PHASE 4B Contract Limits Project Type WATER & SEWER Project Funding DOE Number 3865 Estimate Number 1 Payment Number 1 For Period Ending 10/8/2024 22 8' END AND PLUS 3 EA $128.00 $384.00 3 $384.00 Sub -Total of Previous Unit $818,370.40 $818,370.40 -------------------------------------- Wednesday, October 23, 2024 Page 3 of 5 City Project Numbers 103865 Contract Name TRADITION, PHASE 413 Contract Limits Project Type WATER & SEWER Project Funding Contract Information Summary Original Contract Amount Change Orders Change Order Number 1 DOE Number 3865 Estimate Number 1 Payment Number 1 For Period Ending 10/8/2024 $1,642,934.56 $7,383.00 Total Contract Price $1,650,317.56 Total Cost of Work Completed $1,650,317.56 Less % Retained $0.00 Net Earned $1,650,317.56 Earned This Period $1,650,317.56 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 $1,650,317.56 Wednesday, October 23, 2024 Page 4 of 5 City Project Numbers 103865 Contract Name TRADITION, PHASE 4B Contract Limits Project Type WATER & SEWER Project Funding Project Manager NA Inspectors D. WATSON / S. GARCIA Contractor PCI CONSTRUCTION, INC. P.O. BOX 2967 McKINNEY, TX 75070 DOE Number 3865 Estimate Number 1 Payment Number 1 For Period Ending 10/8/2024 City Secretary Contract Number Contract Date Contract Time 120 WD Days Charged to Date 240 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 $1,650,317.56 Less % Retained $0.00 Net Earned $1,650,317.56 Earned This Period $1,650,317.56 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 $1,650,317.56 Wednesday, October 23, 2024 Page 5 of 5 REVIEWED By Mosadage Mohammdeen at 11:26 am, Oct 07, 2024 DEVELOPER -AWARDED -PROJECT CHANGE ORDER PROJECT NAME: Tradition - Phase 413 I CHANGE (CONTRACT: (A) Water/Sewer/Storm Drain, (B) Paving, (C) Street Lights ORDER No: ICFA# 22-0111 I CITY PARTICIPATION'( NO ICITY PROJECT# 103865 I ICITY SECRETARY CONTRACT# 58376 I 1 I FID # 30114-0200431-103865-EO7685 I I X # X-27200 I I FILE # W-2813 I INSPECTOR: Sergio Garcia Phone No: 817-647-2524 PROJECT MANAGER: Mo Mohammdeen Phone No: 682-402-7050 CONTRACT UNIT WATER SEWER DRAINAGE I PAVING STREETLIGHTS I CONTRACT Developer ' � _ Developer DAYS Cost City Co. Developer Cost Developer Cost Developer Cost City Cost Cost (ORIGINAL CONTRACT $824,564.16 ' $0.00 $818,370.40 $1,367,852.10 IIIIIIIIIIIIIIIWDDO $1,342,820.75 $0.00 $174,117.DO IIIIIIIIIIIIIIIIIIIIIIIIII' 205 EXTRAS TO DATE $0.00 ' $0.00 $0.00 $0.00 ILIr $O.00 $0.00 $0.00 $0.00 IIIIr roo 7 ICREDITS TO DATE $0.00 ' $0.00 $0.00 $0.00 i $`0.0�0� $0.00 $0.00 $0.00 ' W.00 M ICONTRACT TO DATE $824,564.16 ' $0.00 $818,370.40 $1,367,852.10 IIIIIII1blipo $1,342,820.75 E0.00 $174,117.DO 1 $0.DO 205 (AMOUNT OF PROP. CHANGE ORDER $7,383.00 ' $0.00 $0.00 $0.00 IIIIIIIIIIIIIIIIII� $0.00 $0.00 $0.00 &L&I)0 0 IREASED CONTRACT AMOUNT $831,947.16 $0.00 $818,370.40 $1,367,852.10 IIIIIIIIIIIIIIIIII� $1,342,820.75 &$0.00 $174,117.DO IIIIIIIIIIIIIIIIIIIIIIIIII♦ 205 TOTAL REVISED CONTRACT AMOUNT PER UNIT $831,947.16 $818,370.40 $1,367,852.10 I $1,342,820.75 $174,117.00 REVISED COST SHARE Dev. Cost: $4,535,107.41 TOTAL REVISED CONTRACT $4,535,107.41 I You are directed to make the following changes in the contract documents* UNIT I: WATER IMPROVEMENTS CITY BID ITEM Developer PAY ITEM # # QUANTITY UNIT ITEM DESCRIPTION CFW Unit Pnce UNIT PRICE Cost City Cost TOTAL 43' 3312.2004 1 EA 1" Water Service(Irrigahon) $2,552.00 $2,552.00 $0.00 $2,552.001 44' 3312.2104 1 EA 1.5" Water Service(Irngatwn) 1 $3,031.00 $3,031.00 $0.00 $3,031.001 45' 9999.0011 100 LF 4" PVC Sleeves $18.00 $1,800.00 $0.00 $1,800.001 I I I TOTAL UNIT I: WATER IMPROVEMENTS I I I I $7,383.001 I I Asterisk (') indicates New Pay Item Revised12-17-2018 Page 1 REASONS FOR CHANGE ORDER 1. Added Irrigation Services/Sleeves NO CITY FUNDS INVOLVED IN THIS CONTRACT. DEVELOPER IS RESPDNSISLE FOR 19D% OF TFiE CHANGE ORDER COSTA NO NO RVAMS M'tF NT FARM TKF : C-:SYY Yell 1 fRF 4i?llCitiT Oky TiIF PFVITI.ORFti RECOMMENDED; APPROVED: APPROVED; Mars11a4. Gopdwln and (nc. HT HNF'Y 114 DBaefv "afg LP PCI I5 firm, Inc Name: �& 71 pull Uaft Beecka, P,E._ f�amv: ���.� r�a,,.ro, N®rs� fe{.r d Title. Project Ergaiees Till: -�� TBIe=slC APPROVAL RECOMMENDED: APPROVED: APPROVED AS TO FORM AND LEGALITY: CFW - Water Department CFW - Assistant City Manager By By: Name. Name: Title: Title RECOMMENDED: CFW - *Contract Compliance Manager ATTEST By l REVIEWED Name. ley mosaaage.eonammnoan arfnas am, ooear, ea Jannette S. Goodall City Secretary Title M&C Number. M&C Dale Approved. CFW - Assistant City Attorney By: Name: Title: * 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. 0 There are NO City Funds associated with this Contract L{There are City Funds associated with this Contract Revised: 12-17-2018 Page 2 5EcrlOH 00 42 43 Developer Awmded Prpjecis - PROT'OSA I. FOR1 I Tiodition, Phos 4B, City Project N 103 S65 UNIT PRICE B 1 U REVIEWED By Mosadage Mohammdeen at 11:26 am, Oct 07, 2024 1 Prpjeci Item Infamnalion Bidder's Pmposnl f Bidtisl Description I Specification Unit or Bid Unit Price Bid Vallm hem Semen No. 'Mcward Quantlry Water FacHilles f 1 0241.1118 4"-12" Pressure P1up 0241 14 EA 4 MUM $2,552.00 2 3345.0109 Trench5alety 330510 LF isg% $0.10 5660S0 [ 3 3311,0001 Cuclile Iran WaterFillinps wl Restraint 3311 t1 TON 1.43 $22,512,C 532,IW.16 4 3311.9241 8" PVC Water Pipe 3911 10. LF 5,818 564.90 5377,653.10 3311 ]2 5 3311.0241 6" PVC WaterPlpe, CSS Backafl 3311 10. LF 22C 580,50 317,710.00 3311 12 6 3311,0461 12" PVC Water Pipe 331112 LF 847 $1i0.96 S71,752.30 1 7 3312.0001 Std. Fire Hydrant Assembly w! 6" Gate Valve & Valve Box 351240 EA 8 SB.820.00 $70.560.00 8 3312.0117 Connect to Exlslir{ 8" W.L. Stub -out 331225 EA 1 $1.200.00 Si.290,00 I 9 3312.2003 1" Domestic WsleSorvlces 3312 10 EA 152 $1.255.00 S190.760.00 I lU 3312.3003 8!'Gate Valve & Valve Box 3$ 12 20 EA 20 $2.470M $49.400.00 11 3312,3005 12" Gate Valve & Valve Box 3$12 20 EA 2 $4.513.00 $9.028.00 Water Subtotal $624,594.16 Sonitajj5ewar Fadlitles 12 MCI Post -CCTV InspecWn 33 01 31 LF 5,980 $3.70 $22,155.B0 13 3301.0101 Vacuum Test Manholes 33 01 &7 EA 27 $192.00 $5.194.00 14 3305.0109 Trench6afety 330510 LF 5,988 SO.ed 53,592,80 15 3305.0113 Trench Water Stops 3305 15 EA 14 $1,290.00. 818,060.00 i8 3331.3101 SOR-2s4"SewerZervices 333150 EA 154 51,562.L0 $240,540.00 33 1 i 10, 17 3331.4115 8" SOR-28 PVC Sewer Pipe 3331 12, LF 5,529 $61.70 $341,139.36 11r 3331 20 33 11 10, ill 3331.4110 6" PVC 6anitary Sewer Pipe W/ CSS BacidAl 33 31 12, LF 458 580.30 543,447.70 [I 33 31 20 G 19 33.39.0001 Epoxy Manhole Liner 33 39 60 VF 13 $531.00 _ _ s8,903.00 20 _ 3339.i001 4' Std. Din. Mannale 33 39 10, EA 27 $4,484,00 $121.060.00 33 $9 20 21 3333.f003 4' Farts Oaplh Manhole 333910. 1134 5172.99 517,088.00 33 CVF [ 22 5999.0001 8' End and Plug 00 00 86 EA 3 51213.00 $384,00 to Cite ry Sewer Sublow I $818,3191.40 Storm Craln Facilities 23 3137.0104 Medium R{p�,tso. dry 31 37 00 BY 10 $97M $970,00 I 24 3305.0109 Trench Safety 33 C5 i0 LF 3.323 W 2[ $864.80 25 _ 3305,0112 Concrete Collar 330517 EA 0 _ $477.00 S3.616.00 1 26 3341.0201 21" RCP, Class Ill 3341 10 LF 3.12 S74.70 S23.306.49 1 27 $341.0205 24" RCP, Class ill 3341 i0 LF 526 $07.70 $46,305.80 28 3341.0208 27" RCP, Ciass 111 3341 10 LF 341 $95.80 $32,667.50 29 3541,0202 3C" RCP, Class HI 3441 10 LF 575 $113,40 $65.205.00 1 30 1341.0309 36" RCP, Class Ill 3341 10 LF 134 S158.50 $20,971.00 1 31 2341,0402 42" FRCP, Class III 34541 10 LF 214 $216.90 $46,416.80 32 3341.0409 48" RCA, Class 111 3341 10 LF 403 6272,30 $134.243,00 I 33 3341.0502 54" RCP, Ciass III 1441 10 LF 391 $350,20 $136,928.20 34 3349.01301 4' Ctorm Junction Box 33 49 10 EA 4 $5,555.00 $22,220.00 35 3349A702 5' Storm JuncHon Box 3349 10 EA 2 $6,234.00 S16.468.00 36 3349.0102 4' Manhole Riser 334910 EA 3 $3,050.00 $9.150.00 41 3349A111 42" SET, 1 ppipe 33 49 40 EA 1 55,46i.0o $5,481,00 1 37 3349.5001 10' Curb lnlel 314920 FA 10 $7.148.00 $71.400.00 1 30 3349.6002 15' Curb Inlet 334920 EA 6 $9,306.00 $55,836.00 39 3349,51303 7,0' Curb Inlet 34 49 20 EA 2 $11.463.00 $22.926,00 44 999SX001 3' Crap Mal 009000 EA 2 $5,902.00 $1 1.804AC 1 41 9999.00029'xVR.C.B.,Cie ss111 00.0000 LF 728 $862.00 5040,332.00 42 9999.0003 Concrete, Apron - 90 00 00 SY 5 $132,00 S660.00 �to rm ❑ra In Suhtola1 S1,361,052.1Q WaterlSanitery Suw r7Storm Crain Facllltfes Subtotal 1 $3,010,788.eq C1trF; t mi WMTIt r„8�P n Rr NIARn CnYSfelCnO fflPF%ftlV&Il.-nnMOPP.RAWMnFn f RUNCTS Ci�r4oJ.w Ale39n nrx Rriwf fm•y 3v, 1y10 Ep J3 J1 ]Ij; Yr�r •1 Bid summaryry Water7Sanitary SewerlStorm Drain Facilities Subtotal Total Bid " PerfoanancelPayment and 2-year Malntanance Bonds" Grand Total This hid Is submilled by the enlKy 113ted below: Company. PCt Canssrucrlon, Inc, Streat Address: 405 Inrerc hango Street Cdy, Slate, Zip Cade: McKlnney, TX 75071 PAorim 072-�a2.2782 Can[netor rgrces to wmptete W OR IC rvr FINA L ACCEPTA 11C E n 11h1n CONTRACT,. to run cr p-1d,d le the C-1 Cendtlivgs. $3,010,780.66 $3,0t6,785, 66 $47,640.00 $3,Ofi6,ARfi.fi6 '•PLEASE NGTE: BONDS ARE NOT A DID 3TEh 01 :4/" S[grtalura � � Oat. 120 Ire,kina rlryi $fro OF SRLT ION crrrvrroar rnanr Tn�iw.xw.�o srv�v,o„roxsTRict ton emruaar � +>�r�.Awua»!urxr�m. _rs r9pr�ejonrtosul F�Pn,LNlay ll, mra YOu�1 nNPvR.iil Bid summaryry WateNSanitary SewerlStorm Drafn Facflitles Subtotal Total Bld " Perfatmanca7Payment and 2-year trtalntona Fite Bonds" Grand Total This hid is submilled by the enlKy 115led below: Company. PCt Cnnstructlon, Inc, Street Addlm ss, 4051nterc hango Street Ctty, Stale, 2Ep Cade; McKlnnoy, TX 75071 Mow 672-�62.2782 C-1-t1 agrees1 ,p1d,WORK for FINALACCEPTANCEn11,1, CONTRACT,. mm-- to run m p-1d,d le the Q-1 C-difl.m. $3,0 40,786, 66 $3,We 786,66 $47,640,00 $3,668,42&.66 -PLEASE N(YTE: BONDS ARE NOT A DID 3TRN Sigrtdlurfl % rf . :��(Perr7 I r/� V • `" j` P4+r A ►� 110 1ru l W t d.p END O$ SEMON crrYwn TW Klm U4&a M-4u SrA1�17ARL Lo TrWXIMIV wus'0.wos,,i.nEVEinpkx nwAvslxuru(uo9[•rs 0"hj-,l0]H5 kw Mwi.eaJ.s,y 4, WH W424) nu V,-A FORTWORTH TRANSPORTATION AND PUBLIC WORKS PIPE REPORT FOR: PROJECT NAME: Tradition 4-B CITY PROJECT NUMBER: Fort Worth, Texas. CPN 103865 WATER PIPE LAID SIZE TYPE OF PIPE LF PVC 8" PVC 5819 PVC 12 PVC 647 FIRE HYDRANTS: yes- 8 VALVES (16" OR LARGER) N/A PIPE ABANDONED SIZE TYPE OF PIPE LF N/A DENSITIES: Yes NEW SERVICES: Yes 1" Copper=152 152 I SEWER I PIPE LAID SIZE TYPE OF PIPE LF Yes 8" PVC 5529.0 LF PIPE ABANDONED SIZE TYPE OF PIPE LF DENSITIES: YES NEW SERVICES: 4" PVC 154.0 Ea. TRANSPORTATION AND PUBLIC WORKS The City of Fort Worth • 1000 Throckmorton Street • Fort Worth, TX 76012-6311 (817) 392 - 7941 • Fax: (817) 392 - 7845 FORTWORTH. TRANSPORTATION AND PUBLIC WORKS October 21, 2024 PCI Construction, Inc. 5208 Tennyson, Pky, suit 130 Plano ,Texas. 75024 RE: Acceptance Letter Project Name: Tradition, phase 4-13 Project Type: Developer City Project No.: CPN 103865 To Whom It May Concern: On October 8, 2024 a final inspection was made on the subject project. There were punch list items identified at that time. The punch list items were completed on October 10, 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 October 10, 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)392-2373. Sincerely, Mosadage Mohawrwrdeew, P. U. Arash Emami Saleh, Project Manager Cc: Steven Johnson, Inspector Donald Watson, Inspection Supervisor Aaron Ybarra, Senior Inspector Andrew Goodman, Program Manager Goodwin and Marshall, Consultant PCI Construction, Contractor Hines, Developer File E-Mail: TPW_Acceptance@fortworthtexas.gov Rev. 8/20/19 AFFIDAVIT STATE OF Texas COUNTY OF Collin Before me, the undersigned authority, a notary public in the state and county aforesaid, on this day personally appeared Eric M. Lindberg, VP of Finance Of PCI 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, Storm Drainage for Tradition 4B - CPN 103865 BY Eric M. Lindberg - VP of Finance Subscribed and sworn before P this date 17th of October, 2024. Y"�'• BREEMITCHELL Notary Public N'. y My Notary ID # 123944876 Collin County, State of .rF SE+~ Expires September 26, 2027 .�F.. Texas CONSENT OF OWNER SURETY COMPANY ARCHITECT TO FINAL PAYMENT CONTRACTOR SURETY AIA DOCUMENT G707 OTHER PROJECT: Tradition Phase 4B, Ft Worth TX (name, address) TO (Owner) [ HT Hwy 114 Development L.P. c/o Hines Interests 2200 Ross Ave #4200W Dallas, TX 75201 CONTRACTOR: PCI Construction, Inc. P.O. Box 2967 McKinney, TX 75070 El El El Bond No. 2340222 ARCHITECT'S PROJECT NO: CONTRACT FOR: CONTRACT DATE: 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) Swiss Re Corporate Solutions America Insurance Corporation 1200 Main St., Suite 800 , SURETY COMPANY, on bond of (here insert name and address of Contractor) PCI Construction, Inc. P.O. Box 2967 McKinney, TX 75070 , CONTRACTOR, hereby approves of the final payment to the Contractors, 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) HT Hwy 114 Development L.P. c/o Hines Interests 2200 Ross Ave #4200W, Dallas, TX 75201 ,OWNER, as set forth in the said Surety Company's bond. IN WITNESS WHEREOF, the Surety Company has hereunto set its hand this 17th Attest: (Seal):�"— day of October 2Q24 Swiss Re Corporate Solutions America Insurance Surety Company Signature of Authorized Representative Debra Lee Moon Title Attornev-In-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 AIA DOCUMENT G707 • CONSENT OF SURETY COMPANY TO FINAL PAYMENT • APRIL 1970 EDITION • AIA® ONE PAGE © 1970 • THE AMERICAN INSTITUTE OF ARCHITECTS, 1735 New York Ave., NW, WASHINGTON, D.C. 20006 SWISS RE CORPORATE SOLUTIONS SWISS RE CORPORATE SOLUTIONS AMERICA INSURANCE CORPORATION ("SRCSAIC") SWISS RE CORPORATE SOLUTIONS PREMIL'R INSURANCE CORPORATION ("SRCSPIC") WESTPORT INSURANCE CORPORATION ("WIC') GENERAL POWER Or ATTORNEY KNOW ALL MEN BY THESE PRESENTS, THAT SRCSAIC, a corporation duly organized and existing under laws of the State of Missouri, and having its principal office in the City of Kansas City, Missouri, and SRCSPIC, a corporation organized and existing under the laws of the State of Missouri and having its principal office in the City of Kansas City, Missouri, and WIC, organized under the laws of the State of Missouri, and having its principal office in the City of Kansas City, Missouri, each does hereby make, constitute and appoint: JOHN R. WARD, THOMAS DOUGLAS MOORS, EMILY ALLISON MIKESKA, ALLYSON W. DEAN, MONICA RUBY VEAZI Y, JOHN WILLIAM NEWBY, TROY RUSSELL KEY, DEBRA LEE MOON, ANDREA ROSE CRAWFORD, SANDRA LEE RONEY, FAITH ANN I llUrY, ANDREW GARI 111 ADDISON, PATRICK THOMAS COYLE, MICHAEL DONALD HENDRICKSON, BRYAN KELLY MOORS, ELIZ.ABF-1'11 OR'rlZ, ANA OWENS, nETrY 1 REEII, AND ANDREW PATRICK CLARK JOINTLY OR SEVERALLY Its true and lawfid Attomey(s)-in-Fact, to make, execute, seal and deliver, for and on its behalf and as its act and deed, bonds or other writings obligatory in the nature of a bond on behalf of each of said Companies, as surety, on contracts of suretyship as are or may be required or permitted by law, regulation, contract or otherwise, provided that no bond or undertaking or contract or suretyship executed under this authority shall exceed the amount of: TWO HUNDRED MILLION ($200,000,000.00) DOLLARS This Power of Attorney is granted and is signed by facsimile under and by the authority of the following Resolutions adopted by the Boards of Directors of both SRCSAIC and SRCSPIC at meetings duly called and held on the 18th of November 2021 and WIC by written consent of its Executive Committee dated July 18, 2011. "RESOLVED, that any two of the President, any Managing Director, any Senior Vice President, any Vice President, the Secretary or any Assistant Secretary be, and each or any of them hereby is, authorized to execute a Power of Attorney qualifying the attorney named in the given Power of Attorney to execute on behalf of the Corporation bonds, undertakings and all contracts of surety, and that each or any of them hereby is authorized to attest to the execution of any such Power of Attorney and to attach therein the seal of the Corporation; and it is FURTHER RESOLVED, that the signature of such officers and the seal of the Corporation may be affixed to any such Power of Attorney or to any certificate relating thereto by facsimile, and any such Power of Attorney or certificate bearing such facsimile signatures or facsimile seal shall be bindine upon the Corporation when so affixed and in the future with reeard to anv bond, undertaking or contract of surety to which it is attached." ,.";�\O13S PRffdtF o�JQRPof? Tl/% q F•. SG' cw : By '. V E ik Janssens, Scnior Vtcc President of SRCSAIC & Senior Vice President SEAL m ofSRCSPIC & Senior Vice President of WIC K%ha 4� pJ) Gerald Jagrosrski, Vice President of SRCSAIC & Vice President of SRCSPIC & Vice President of wlc IN WITNESS WI IEREOF, SRCSAIC, SRCSPIC, and WIC have caused their official seals to be hereunto affixed, and these presents to be signed by their authorized officers this 1 nth day of January 20 24 Swiss Re Corporate Solutions America Insurance Corporation State of Illinois Swiss Re Corporate Solutions Premier Insurance Corporation County of Cook ss Westport Insurance Corporation On this 11 th day of January 20.24� before me, a Notary Public personally appeared Erik Janssens , Senior Vice President of SRCSAIC and Senior Vice President of SRCSPIC and Senior Vice President of WIC and Gerald Jaerowski , Vice President of SRCSAIC and Vice President of SPCSPIC and Vice President of WIC, personally known to me, who being by me duly sworn, acknowledged that they signed the above Power of Attorney as officers of and acknowledged said instrument to be the voluntary act and deed of their respective companies. otCvu seA� CHRISTNA'MANiSCj NOTARY ptlBi iC STAJi OF ll M co, ti1o' t�Qntw{.d I, Jeffrev Goldbere. the duly elected Senior Vice President and Assistant Secretary of SRCSAIC and SRCSPIC and WIC, do hereby certify that tht; above an,1 foregoing is a true and correct copy of a Power of Attorney given by said SRCSAIC and SRCSPIC and WIC, which is still in full tbrce and effect. IN WITNESS WHEREOF, I have set my hand and affixed the seals of the Companies this 17th day of October , 20 24 Jeffrey Goldberg, Senior Vice President 1v Assistant Secretary of SRCSAIC and SRCSPIC and WIC IMPORTANT NOTICE In order to obtain information or make a complaint: You may contact the Surety Claims Department at 1-816-235-3702 You may call Swiss Re Corporate Solutions America Insurance Corporation or Swiss Re Corporate Solutions Premier Insurance Corporation for information or to make a complaint at: 1-816-235-3702 You may also write to Swiss Re Corporate Solutions America Insurance Corporation or Swiss Re Corporate Solutions Premier Insurance Corporation at the following address: 1200 Main Street, Suite 800 Kansas City, MO 64105 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: httn://www.tdi.state.tx.us E-mail:ConsumerProtection(&tdi.state.tx.us PREMIUM OR CLAIM DISPUTES: Should you have a dispute concerning your premium or about a claim you should first contact the Swiss Re Corporate Solutions America Insurance Corporation or Swiss Re Corporate Solutions Premier Insurance Corporation. 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. Para obtener informacion o para someter un queja: Puede comunicarse con Surety Claims Department al 1-816-235-3702. Usted puede Ilamar Swiss Re Corporate Solutions America Insurance Corporation o Swiss Re Corporate Solutions Premier Insurance Corporation para infonmacion o para someter una queja al: 1-816-235-3702 Usted tambien puede escribir a Swiss Re Corporate Solutions America Insurance Corporation o Swiss Re Corporate Solutions Premier Insurance Corporation al: 1200 Main Street, Suite 800 Kansas City, MO 64105 Puede escribir al Departmento de Seguros de Texas para obtener informacion acerca de companias, coberturas, derechos o quejas al: 1- 800-252-3439 Puede escribir al Departmento de Seguros de Texas: P.O. Box 149104 Austin, TX 78714-9104 Fax: (512) 475-1771 Web: httn:///www.tdi.state.tx.us E-mail: Consu merProtection(ltdi.state.tx.us DISPUTAS SOBRE PRIMAS O RECLAMOS: Si tiene una disputa concerniente a su prima o a un reclamo, debe comunicarse con el Swiss Re Corporate Solutions America Insurance Corporation o Swiss Re Corporate Solutions Premier Insurance Corporation primero. Si no se resuelve la disputa, puede entonces comunicarse con el Departmento de Seguros de Texas. UNA ESTE AVISO A SU POLIZA: Este aviso es solo para proposito de infromacion y no se converte en parte o condicion del documento adjunto.