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HomeMy WebLinkAboutContract 59556-FP1FORT WORTH. City Secretary -FP1 Contract No. 59556 Date Received 1/15/2025 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: Heritage Trace Left Turn Lanes City Project No.: 104079 Improvement Type(s): ❑x Paving Original Contract Price: ❑ Drainage ❑x Street Lights ❑ Traffic Signals Amount of Approved Change Order(s): Revised Contract Amount: Total Cost of Work Complete: V, WS Kvie W Smith (Jan 15. 202513:52 CST) Contractor Project Manager Title The Ridge Company Company Name 4jgeGz{dan 15, 2025 14:08 CST) Project Inspector // I�Z Project Manager Kandi" ""-k (Jan 15. 202519:06 CST) CFA Manager `aiiran Pricier(Ian 15 InI5191R f 1T) TPW Director Asst. City Manager $762,160.30 -$116,171.25 $645,989.05 $645,989.05 Jan 15, 2025 Date Jan 15, 2025 Date Jan 15, 2025 Date Jan 15, 2025 Date J an 15, 2025 Date Jan 16, 2025 Date OFFICIAL RECORD CITY SECRETARY FT. WORTH, TX Page 1 of 2 Notice of Project Completion Project Name: Heritage Trace Left Turn Lanes City Project No.: 104079 City's Attachments Final Pay Estimate ❑x Change Order(s): ❑x Yes ❑ N/A Contractor's Attachments Affidavit of Bills Paid Consent of Surety Statement of Contract Time Contract Time 60 WD Days Charged: 89 Work Start Date: 3/25/2022 Work Complete Date: 11/19/2024 Completed number of Soil Lab Test: 235 Completed number of Water Test: 0 Page 2 of 2 FORT WORTH CITY OF FORT WORTH FINAL PAYMENT REQUEST Contract Name HERITAGE TRACE PARKWAY LEFT TURN LANES Contract Limits Project Type PAVING City Project Numbers 104079 DOE Number 4079 Estimate Number 1 Payment Number I City Secretary Contract Number Contract Date For Period Ending 11/19/2024 WD Project Manager NA Contractor RIDGEMONT COMPANY 1520 W. WALNUT HILL LANE IRVING, TX 75038 Inspectors D. WATSON / D. RODGERS Contract Time 6WD Days Charged to Date 89 Contract is 100.00 Complete Wednesday, December 18, 2024 Page 1 of 5 City Project Numbers 104079 DOE Number 4079 Contract Name HERITAGE TRACE PARKWAY LEFT TURN LANES Estimate Number I Contract Limits Payment Number I Project Type PAVING For Period Ending 11/19/2024 Project Funding UNrIW: PAVING IMPROVEMENTS Item Description of Items Estimated Unit Unit Cost Estimated Completed Completed No. Quanity Total Quanity Total 1 MOBILIZATION 1 LS $13,867.00 $13,867.00 1 $13,867.00 2 CONTRUCTION STAKING 1 LS $5,000.00 $5,000.00 1 $5,000.00 3 REMOVE CONC PVMT 72 SY $33.00 $2,376.00 72 $2,376.00 4 REMOVE CONC CURB & GUTTER CO#1 984 SY $15.00 $14,760.00 984 $14,760.00 5 6"-12" TREE REMOVAL 2 EA $4,000.00 $8,000.00 2 $8,000.00 6 UNCLASSIFIED EXCAVATION BY PHONE 804 CY $7.95 $6,391.80 804 $6,391.80 7 8" 6% HYDRATED LIME 1820 SY $38.65 $70,343.00 1820 $70,343.00 8 4" ASPHALT BASE TYPE B CO#1 870 SY $68.00 $59,160.00 870 $59,160.00 9 10" CONC PVMT CO#1 670 SY $161.75 $108,372.50 670 $108,372.50 10 6" CONC CURB AND GUTTER CO# 1 1373 LF $2.00 $2,746.00 1373 $2,746.00 11 4" SLD PVMT MARKING HAS (W) 354 LF $2.00 $708.00 354 $708.00 12 4" BRK PVMT MARKING HAS (W) CO# 1 225 LF $2.00 $450.00 225 $450.00 13 6" SLD PVMT MARKING HAS (W) 170 LF $3.25 $552.50 170 $552.50 14 12" SLD PVMT MARKING TAPE (W) 161 LF $8.50 $1,368.50 161 $1,368.50 15 12" SLD PVMT MARKING HAE (W) 50 LF $16.00 $800.00 50 $800.00 16 24" SLD PVMT MARKING HAE (W) 26 LF $23.00 $598.00 26 $598.00 17 LANE LEGEN ARROW 4 EA $295.00 $1,180.00 4 $1,180.00 18 LANE LEGEN ONLY 4 EA $35.00 $140.00 4 $140.00 19 REFL RAISED MARKER TY II-C-R 18 EA $5.50 $99.00 18 $99.00 20 REMOVE LANE LEGEND ARROW 2 EA $175.00 $350.00 2 $350.00 21 REMOVE LANE LEGEND ONLY 2 EA $175.00 $350.00 2 $350.00 22 TOPSOIL 132 CY $115.00 $15,180.00 132 $15,180.00 23 SEEDING, HYDROMULCH CO#1 1197 SY $20.25 $24,239.25 1197 $24,239.25 24 RELOCATE STREET LIGHT POLE 1 EA $5,651.00 $5,651.00 1 $5,651.00 25 TRAFFIC CONTROL 6 MO $6,000.00 $36,000.00 6 $36,000.00 26 REMOVE AND RELOCATE GROUND LIGHTS 2 EA $6,000.00 $12,000.00 2 $12,000.00 27 REMOVE AND RELOCATE IRRIGATION 1 EA $5,500.00 $5,500.00 1 $5,500.00 SERVICE 28 REMOVE BARRIER FREE RAMPS 2 EA $2,875.00 $5,750.00 2 $5,750.00 29 ANCHORAGE JOINT 1053 LF $29.50 $31,063.50 1053 $31,063.50 30 FURNISH/INSTALL ALUM SIGN GROUND 4 EA $800.00 $3,200.00 4 $3,200.00 MOUNT TX DOT Wednesday, December 18, 2024 Page 2 of 5 City Project Numbers 104079 DOE Number 4079 Contract Name HERITAGE TRACE PARKWAY LEFT TURN LANES Estimate Number I Contract Limits Payment Number I Project Type PAVING For Period Ending 11/19/2024 Project Funding 31 9' CONC PVMT CO#1 788 SY $95.00 $74,860.00 788 $74,860.00 32 -------------------------------------- T BRK PVMT MARKING HAS (Y) CO#1 92 LF $2.00 $184.00 92 $184.00 ------------------- Sub-Total of Previous Unit $511,240.05 $511,240.05 UNIT VI: TRAFFIC SIGNAL IMPROVEMENTS Item Description of Items Estimated Unit Unit Cost Estimated Completed Completed No. Quanity Total Quanity Total --------------------------------------- 1 2" COND PVC SCH 80 (T) 15 LF $30.00 $450.00 15 $450.00 2 4" COND PVC SCH 80 (T) 35 LF $36.00 $1,260.00 35 $1,260.00 3 4" COND PVC SCH 80 (B) 345 LF $70.00 $24,150.00 345 $24,150.00 4 3-SECTTION SIGNAL HEAD ASSY 4 EA $2,165.00 $8,660.00 4 $8,660.00 5 4-SECTTION SIGNAL HEAD ASSY 4 EA $2,900.00 $11,600.00 4 $11,600.00 6 FURNISH/INSATLL PREEMPTION CABLE 929 LF $3.00 $2,787.00 929 $2,787.00 7 FURNISH/INSTALL MODEL 722 PREEMPTION 2 EA $4,292.00 $8,584.00 2 $8,584.00 DETECTER 8 INSTALL RADAR DETECTION DEVICE I EA $2,300.00 $2,300.00 1 $2,300.00 9 FURNISH/INSATLL RADAR CABLE 929 LF $2.00 $1,858.00 929 $1,858.00 10 4/C 14 AWG MULTI -CONDUCTOR CABLE 80 LF $5.00 $400.00 80 $400.00 11 5/C 14 AWG MULTI -CONDUCTOR CABLE 683 LF $5.00 $3,415.00 683 $3,415.00 12 7/C 14 AWG MULTI -CONDUCTOR CABLE 173 LF $6.00 $1,038.00 173 $1,038.00 13 20/C 14 AWG MULTI -CONDUCTOR CABLE 1240 LF $9.00 $11,160.00 1240 $11,160.00 14 3/C 14 AWG MULTI -CONDUCTOR CABLE 35 LF $5.00 $175.00 35 $175.00 15 GROUND BOX TYPE B 3 EA $2,105.00 $6,315.00 3 $6,315.00 16 INSTALL 5' PEDESTRIAN PUSH BUTTON POLE I EA $2,655.00 $2,655.00 1 $2,655.00 17 INSTALL 10' -14' PED POLE ASSMBLE 2 EA $3,000.00 $6,000.00 2 $6,000.00 18 FURNISH/INSATLL TYPE 41 SIGNAL POLE 1 EA $13,410.00 $13,410.00 1 $13,410.00 19 FURNISH/INSATLL MAST ARM 16-36' 1 EA $8,815.00 $8,815.00 1 $8,815.00 20 FURNISH/INSATLL TYPE 33B ARM I EA $1,130.00 $1,130.00 1 $1,130.00 21 TY 1 SIGNAL FOUNDATION 3 EA $2,100.00 $6,300.00 3 $6,300.00 22 TY 3 SIGNAL FOUNDATION I EA $6,695.00 $6,695.00 1 $6,695.00 23 INSTALL ALUM SIGN MAST ARM MOUNT 6 EA $460.00 $2,760.00 6 $2,760.00 24 -------------------------------------- REMOVE AND RELOCATE PED POLE 1 EA $2,832.00 $2,832.00 1 $2,832.00 -------------------------------------- Sub-Total of Previous Unit $134,749.00 $134,749.00 Wednesday, December 18, 2024 Page 3 of 5 City Project Numbers 104079 Contract Name HERITAGE TRACE PARKWAY LEFT TURN LANES Contract Limits Project Type TRAFFIC SIGNAL Project Funding Contract Information Summary Original Contract Amount Change Orders Change Order Number 1 Total Contract Price DOE Number 4079 Estimate Number I Payment Number 0 For Period Ending 11/19/2024 $762,160.30 ($116,171.25) $645,989.05 Total Cost of Work Completed $645,989.05 Less % Retained $0.00 Net Earned $645,989.05 Earned This Period $645,989.05 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 $645,989.05 Wednesday, December 18, 2024 Page 4 of 5 City Project Numbers 104079 Contract Name HERITAGE TRACE PARKWAY LEFT TURN LANES Contract Limits Project Type TRAFFIC SIGNAL Project Funding Project Manager NA Inspectors D. WATSON / D. RODGERS Contractor RIDGEMONT COMPANY 1520 W. WALNUT HILL LANE IRVING, TX 75038 DOE Number 4079 Estimate Number I Payment Number 0 For Period Ending 11/19/2024 City Secretary Contract Number Contract Date Contract Time 60 WD Days Charged to Date 89 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 $645,989.05 Less % Retained $0.00 Net Earned $645,989.05 Earned This Period $645,989.05 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 $645,989.05 Wednesday, December 18, 2024 Page 5 of 5 DocuSign Envelope ID: 48BF5540-607F-44F3-A28E-47D819138D55 REVIEWED 1 6y Andrew Goodman f a:a2 pm, Feb 20, 2024 J DEVELOPER -AWARDED -PROJECT CHANGE ORDER PROJECT NAME: Heritage Trace Parkway Left Turn Lanes CONTRACT: (IV) Paving, (VI) Traffic Signal CHANGE ORDER No: ICFA # 22-0700 1 CITY PARTICIPATION] No CITY PROJECT # 104079 1 DOE # FILE # K-2975 INSPECTOR: James Ruiz Phone No: 817-205-1256 PROJECT MANAGER: Andrew Goodman Phone No: 817-392-6251 CONTRACT UNIT CONTRACT PAVING Traffic Signal Developer Developer Cost City Cost Coat City Coei ORIGINAL CONTRACT $627,411.30 $134,749.00 360 (EXTRAS TO DATE 0 CREDITS TO DATE 0 + (CONTRACT TO DATE $627,471.30 $0.00 $134,749.00 $0.00 360 (AMOUNT OF PROP. CHANGE ORDER ($116.171.25) $0.00 D IRTbT�L RKNT CT TRACT AMOUNT $511,240.05 $0.00 $134,749.00 $0.00 360 PER UNIT $511,240.05 $134,749.00 REVISED COST SHARE Dev. Cost: $645,989.05 City Coat: $0.00 TOTAL REVISED CONTRACT $645,989.05 Revised: 10-12-2011 P;Ag�- 1 DocuSign Envelope ID: 48BF5540-607F-44F3-A28E-47D819138D55 You are directed to make the following changes in the contract documers CITY BID ITEM PAY ITEM M it OUANTITY I 4 00241.130 20 I 8 3212.0501 -950 9 3213.0105 -785 10 3216.0101 20 ! 12 3217-0003 -92 I 23 3292-0400 10 31 3213.0104 788 ! 32 l 3217,004 92 REASONS FOR CHANGE ORDER REVIEWED 1 6y Andrew Goodin.. st 4:42 pm, Feb 20, 2024 J UNIT UNIT PRICE LF e��ul Removoncrbutter $1 $00 00A SY 4' AsQ� alt Base Typo B $68.00 -$64,600.00 SY 10' COric Pavement $161.75 -$126,973.75 LF 6' Conc Curb and Gutter $2,00 $40.00 LF 4' BRK Pvmt Marking HAS (W) $2.00 -$184.00 SY Seeding, Hvdromulch $20.25 $202.50 SY 9' Conc Pvmt $96.00 I $74,860.00 I LF 4' BRK Pvmt Marking HAS (Y) $2.00 $184.00 TOTAL -$116,171.25t New configuration for connection to Blue Mound Rd, shifts in median locations, pavement marking and street signs. 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: Al APPROVED: Please see attached signature page APPROVE By: Halff Associates Bye CRPICHI HentaW Trace Owner, L.P. By: Rkkwnont Commercial Name. Cg5bf Hodae Name: John B Cooper Name: Paul Camp Title: _Land Development Team Leader Title. Vice President Title: Vice President of Ooerations/Pdnc!Dal Revised: 10-12-2011 Pape 2 FORTWORTH. M" TRANSPORTATION AND PUBLIC WORKS December 17, 2024 The Ridgemont Company d/b/a 1520 W. Walnut Hill Lane Irving, TX 75038 RE: Acceptance Letter Project Name: Heritage Trace Left Turn Lane Project Type: Paving, Signal City Project No.: 104079 To Whom It May Concern: On December 11, 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 December 17, 2024. The final inspection and the corrected punch list items indicate that the work meets the City of Fort Worth specifications and is therefore accepted by the City. The warranty period will start on December 17, 2024, which is the date of the punch list completion and will extend of two (2) years in accordance with the Contract Documents. If you have any questions concerning this letter of acceptance, please feel free to contact me at 817- 392-6251. Sincerely, Andrew Goodman, Project Manager Cc: Dennis Rodgers, Inspector Donald Watson, Inspection Supervisor Oscar Aguillon, Senior Inspector Andrew Goodman, Program Manager Half Associates, Consultant Ridgemont Construction, Contractor CRP/CHI Heritage Trace GP, Developer File E-Mail: TPW_Acceptance@fortworthtexas.gov Signature:S�` Email: allison.tidwell@fortworthtexas.gov Rev. 8/20/19 AFFIDAVIT STATE OF Texas COUNTY OF Tarrant Before me, the undersigned authority, a notary public in the state and county aforesaid, on this day personally appeared Slade Turner, Director Of Ridgemont Commercial Constrution, 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; CPM 144079 Heritage Trace Left Turn Lane Paving, Street Lights BY�''�- Name or Title Subscribed ind sworn before me on this date 17a of Mon ear. i ► 9 Notubli Coun , State os�~ MAtJREEN MCDONNEtl 1 *; Notary Public i "+y STATE OF TEXAS t F CONSENT OF SURETY COMPANY TO FINAL PAYMENT AIA DOCUMENT G707 OWNER ❑ ARCHITECT ❑ CONTRACTOR 4 SURETY ❑ OTHER Bond No. PRF9433052 PROJECT: Heritage Trace Parkway, City Project No.104079 (name, address) TO (Owner) [ City of Fort Worth ] ARCHITECT'S PROJECT NO: 1000 Throckmorton Street Fort Worth, TX 76102-6312 CONTRACT FOR: CONTRACT DATE: The Ridgemont Company dba Ridgemont Commercial CONTRACTOR: Construction 1520 W. Walnut Hill Lane Irving. TX 750,3$-370i_ 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) Colonial American Casualty and Surety Company 1299 Zurich Way, 5th Floor , SURETY COMPANY, Schaumburg, IL 60196-1056 on bond of (here insert name and address of Contractor) The Ridgemont Company dba Ridgemont Commercial Construction 1520 W. Walnut Hill Lane ,CONTRACTOR, Irving, TX 75038-3701 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) City of Fort Worth 1000 Throckmorton Street Fort Worth, TX 76102-6312 as set forth in the said Surety Company's bond. IN WITNESS WHEREOF, the Surety Company has hereunto set its hand this 17th Atte st: (Seal): ,OWNER, day of December 2924 Colonial American Casualty and Surety Company Surety Company Signature of Authorized Representative Title Faith Ann Hilty , Attorney -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 DOCUMENTG707 • 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 ZURICH AMERICAN INSURANCE COMPANY COLONIAL AMERICAN CASUALTY AND SURETY COMPANY FIDELITY AND DEPOSITCOMPANY OF MARYLAND POWER OF ATTORNEY KNOW ALL MEN BY THESE PRESENTS: That the ZURICH AMERICAN INSURANCE" COMPANY, a corporation of the State of New York, the COLONIAL AMERICAN CASUALTY AND SURETY COMPANY, a corporation of the State of Illinois, and the FIDELITY AND DEPOSIT COMPANY OF MARYLAND a corporation of the State of Illinois (herein collectively called the "Companies"), by Robert D. Murray, Vice President, in pursuance of authority granted by Article V, Section 8, of the By -Laws of said Companies, which are set forth on the reverse side hereof and are hereby certified to be in full force and effect on the date hereof, do hereby nominate, constitute, and appoint to o John R.WARD, Monica Ruby VEAZEY, John William NEWBY, Thomas Douglas MOORE ,Sandra Lee RONEY, Debra Lee MOON, Andrea Rose CRAWFORD, Troy Russell KEY, Emily Allison MIKESKA, Allyson W .DEAN, Colin E. CONLY, Andrew Gareth ADDISON, Patrick Thomas COYLE, Michael Donald HENDERICKSON, Bryan Kelly MOORE, Elizabeth ORTIZ Ana OWENS, Betty J. REEH, Andrew CLARK, Faith Ann HILTY of Addison, Texas, its true and lawful agent and Attorney -in -Fact, to make, execute, seal and deliver, for, and on its behalf as surety, and as its act and deed: any and all bonds and undertakings, and the execution of such bonds or undertakings in pursuance of these presents, shall be as binding upon said Companies, as fully and amply, to all intents and purposes, as if they had been duly executed and acknowledged by the regularly elected officers of the ZURICH AMERICAN INSURANCE COMPANY at its office in New York, New York., die regularly elected officers of the COLONIAL AMERICAN CASUALTY AND SURETY COMPANY at its office in Owings Mills, Maryland., and the regularly elected officers of the FIDELITY AND DEPOSIT COMPANY OF MARYLAND at its office in Owings Mills, Maryland., in their own proper persons. The said Vice President does hereby certify that the extract set forth on the reverse side hereof is a true copy of Article V, Section 8, of the lay -Laws of said Companies, and is now in force, IN WITNESS WHEREOF, the said Vicc-President has hereunto subscribed his/her names and affixed the Corporate Seals of the said ZURICH AMERICAN INSURANCE COMPANY, COLONIAL AMERICAN CASUALTY AND SURETY COMPANY, and FIDELITY AND DEPOSIT COMPANY OF MARYLAND, this 31st day of January, A.D. 2024. ,, C2,$1i 111V,7 ''q ..p..usmiygp „muuluyp `oepsnGorq��,, t SCAL ,?�SEALrn SEAL�f' ,,,„.„......r' ATTEST: ZURICH AMERICAN INSURANCE COMPANY COLONIAL AMERICAN CASUALTY AND SURETY COMPANY FIDELITY AND DEPOSIT COMPANY OF MARYLAND By: Robert D. Murray \Vice President By: Dawn C. Brown Secretary State of Maryland County of Baltimore On this 31st day of January, A.D. 2024, before the subscriber, a Notary Public of the State of Maryland, duly commissioned and qualified, Robert D. Murray, Vice President and Dawn E. Brown, Secretary of the Companies, to me personally known to be the individuals and officers described in and who executed the preceding instrument, and acknowledged the execution of same, and being by me duly sworn, deposeth and saith, that he/she is the said officer of the Company aforesaid, and that the seals affixed to the preceding instrument are the Corporate Seals of said Companies, and that the said Corporate Seals and the signature as such officer were duly affixed and subscribed to the said instrument by the authority and direction of the said Corporations. IN'1 rSTIMONY WHEREOF, I have hereunto set my hand and affixed my Official Seal the day and year first above written. Genevieve M. Maison Authenticity of this bond can be confirmed at bon dvalidator.zurich na.com or 410-559-8790 GENEVIEVE M. MAI50N —gy m PLD0 h �` NOTARY PUBLIC BA471MQREC011hrfY,h40 �',��OREc6�•i� MyccmmissmnEipresJANUARY27,2025 EXTRACT FROM BY-LAWS OF THE COMPANIES "Article V, Section 8, Attomevs-in-Fact. The Chief Executive Officer, the President, or any Executive Vice President or Vice President may, by written instrument under the attested corporate seal, appoint attomeys-in-fact with authority to execute bonds, policies, recognizances, stipulations, undertakings, or other like instruments on behalf of the Company, and may authorize any officer or any such attorney -in -fact to affix the corporate seal thereto; and may with or without cause modify of revoke any such appointment or authority at any time." CERTIFICATE 1, the undersigned, Vice President of the ZURICH AMERICAN INSURANCE COMPANY, the COLONIAL AMERICAN CASUALTY AND SURETY COMPANY, and the FIDELITY AND DEPOSIT COMPANY OF MARYLAND, do hereby certify that the foregoing Power of Attorney is still in full force and effect on the date of this certificate; and I do further certify that Article V, Section 8, of the By -Laws of the Companies is still in force. This Power of Attorney and Certificate may be signed by facsimile under and by authority of the following resolution of the Board of Directors of the ZURICH AMERICAN INSURANCE COMPANY at a meeting duly called and held on the 15th day of December 1998, RESOLVED: "That the signature of the President or a Vice President and the attesting signature of a Secretary or an Assistant Secretary and the Seal of the Company may be affixed by facsimile on any Power of Attorney ... Any such Power or any certificate thereof bearing such facsimile signature and seal shall be valid and binding on the Company." This Power of Attorney and Certificate may be signed by facsimile under and by authority of the following resolution of the Board of Directors of the COLONIAL AMERICAN CASUALTY AND SURETY COMPANY at a meeting duly called and held on the 5th day of May, 1994, and the following resolution of the Board of Directors of the FIDELITY AND DEPOSIT COMPANY OF MARYLAND at a meeting duly called and held on the I Oth day of May, 1990. RESOLVED: "That the facsimile or mechanically reproduced seal of the company and facsimile or mechanically reproduced signature of any Vice -President, Secretary, or Assistant Secretary of the Company, whether made heretofore or hereailer, wherever appearing upon a certified copy of any power of attorney issued by the Company, shalt be valid and binding upon the Company with the same force and effect as though manually affixed. IN "TESTIMONY WHEREOF, I have hereunto subscribed my name and affixed the corporate seals of the said Companies, this 17th day of December , 2024 . alLy ,l.� 4 '�l•, ,+y UhFslu 0 - 1p',�'c, S4 ono Z. ~ R rw���4Gg9s� ' b �SEAL�. SEALt„_ _�i SEAL _ =�� z_ J •"•.......... ago " p!lh11 !!!!!fill n !!!!1l1115t511ti llll,l`"`, J 3 �@q' g kjY4tiSln Y` 3Yy§.F`Yii�y"'�,58'p IlV Al e Thomas 0, McClellan Vice President TO REPORT A CLAIM WITH REGARD TO A SURETY BOND, PLEASE SUBMIT A COMPLETE DESCRIPTION OF THE CLAIM INCLUDING THE PRINCIPAL ON THE BOND, THE BOND NUMBER, AND YOUR CONTACT INFORMATION TO: Zurich Surety Claims Authenticity of this bond can be confirmed at bon dvalidator.zurichna.com or 410-559-8790 Texas Important Notice IMPORTANT NOTICE To obtain information or make a complaint: You may call Zurich North America's toll -free telephone number for information or to make a complaint at: 1-800-382-2150 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) 490-1007 Web: www,tdi.texas.gov E-mail: ConsumerProtection@tdi.texas.gov PREMIUM OR CLAIM DISPUTES: Should you have a dispute concerning your premium or about a claim, you should contact the company first. If the dispute is not resolved, you may contact the Texas Department of Insurance. ATTACH THIS NOTICE TO YOUR POLICY: This notice is for information only and does not become a part or condition of the attached document. ZURICH' AVISO IMPORTANTE Para obtener informacion o para presenter una queja: Usted puede Ilamar al numero de telefono gratuito de Zurich North America's para obtener informacion o para presentar una queja al: 1-800-382-2150 Usted puede comunicarse con el Departamento de Se- guros de Texas para obtener informacion sabre com- panias, coberturas, derechos, o quejas al: 1-800-252-3439 Usted puede escribir al Departamento de Seguros de Texas a: P.O. Box 149104 Austin, TX 78714-9104 Fax: (512) 490-1007 Sitio web: www.tdi.texas.gov E-mail: ConsumerProtection@tdi.texas.gov DISPUTAS POR PRIMAS DE SEGUROS O RECLAMACIONES: Si tiene una disputa relacionada con su prima de seguro o con una reclamacion, usted debe comunicarse con la compania primero. Si la disputa no es resuelta, usted puede comunicarse con el Departamento de Seguros de Texas. ADJUNTE ESTE AVISO A SU POLIZA: Este aviso es solamente para propositos informativos y no se con- vierte en parte o en condicion del documento adjunto. U-GU-296-E (06115) Page 1 of 1