HomeMy WebLinkAboutContract 59836-FP1-FPl
City Secretary 59836Contract No. _____ _
fORTWORTH® Date Received 2/11/2025
NOTICE OF PROJECT COMPLETION
(Developer Projects)
2/20/2025
The Transportation and Public Works Department upon the recommendation of the Project
Manager has accepted the following project as complete:
Project Name: Waterline Abandonment
City Project No.: 104927
Improvement Type(s): Water�
Original Contract Price:
Sewer�
$56,280.00
Amount of Approved Change Order(s): $232,115.00
Revised Contract Amount:
Total Cost of Work Complete:
M&:w-A. �&f't'ff:tJ-' Marco A Guerrero (Fe 11, 202511:0 0 CST)
Contractor Project Manager
Title
Vaughn Construction
Company Name
Adrian Aranda Adrian Aranda (Feb 11, 2025 11:01 CST)
Project Manager
Kandice Merrick (Feb 11, 2025 14:47 CST)
CFA Man�er
Je__.%.:_,._ Lauren Prieur (Feb 11, 202514:50 CST)
TPW Director
Asst. City Manager
$288,395.00
$288,395.00
Feb 11, 2025
Date
Feb 11, 2025
Date Feb 11, 2025
Date Feb 11, 2025
Date
Feb 11, 2025
Date
Feb 12, 2025
Date
Page 1 of 2
Notice of Project Completion
Project Name: Waterline Abandonment
City Project No.: 104927
City's Attachments
Final Pay Estimate 0
Change Order(s): 0 Yes ❑ N/A
Pipe Report: 0 Yes ❑ N/A
Contractor's Attachments
Affidavit of Bills Paid �
Consent of Surety �
Statement of Contract Time
Contract Time: 14 WD Days Charged: 273 WD
Work Start Date: 9/25/2023 Work Complete Date: 12/2/2024
Completed number of Soil Lab Test: 27
Completed number of Water Test: 11
Page 2 of 2
FORTWORTH
CITY OF FORT WORTH
F1NAL PAYMENT REQUEST
Contract Name WATER LINE ABANDONMENT FOR JPS PHYCHIATRIC EMERGENCY C
Contract Limits
Project Type WATER & SEWF,R IMPROVF.MF,NTS
City Project Numbers 104927
DOE Number 4927
Estimate Number 1 Payment Number 1
City Secretary Contract Number
Contract Date
For Period Ending 12/2/2024
WD
Project Manager NA
Contractor VAUGHN CONSTRUCTION
9160 STERLING STREET SUITE 100
IRVING, TX 75063
Inspectors D. WATSON / A. ARANDA
Contract Time S�JD
Days Charged to Date 213
Contract is 100.00 Complete
Monday, February 10, 2025 Page 1 of 5
City Project Numbers 104927 DOE Number 4927
Contract Name WATER LINE ABANDONMENT FOR JPS PHYCHIATRIC EMERGENC Estimate Number 1
Contract Limits Payment Number 1
Project Type WATER & SEWER IMPROVEMENTS For Period Ending 12/2/2024
Project F+unding
L?NTI' I: WATER IMPROVEMENTS
Item Description of Items
No.
1 CONSTRUCTION STAKING
2 REMOVE SIDEWALK (CO # 1 & #2)
3 WATER LINE GROUTING
4 REMOVE 6" WATER LINE
5 4" - 12" WATER ABANDONMENT PLUG
6 REMOVE 6" WATER VALVE
7 CONC PVMT REPAIR, RESIDENTIAL (CO #1)
8 4" CONC SIDEWALK (CO #1 & 2)
9 UTILITY SERVICE SURFACE RESTORATION
SODDING (CO #2)
10 TRENCH SAFETY (CO #1 & 2)
11 DUCTILE IRON WATER FITTINGS
W/RESTRAINT (CO #2)
12 8" PVC WATER PIPE (CO #2)
13 WATER SAMPLING STATION (CO #2)
14 8" GATE VALVE
15 CONNECTION TO EXISTING 4"-12" WATER
MAIN (CO #1)
16 TRAFFIC CONTROL (CO #1 & 2)
17 SALVAGE FIRE HYDRANT (CO #1)
18 IMPORTED EMBEDMENT/BACKFILL, CSS (CO
#1)
19 6" PVC WATER PII'E (CO #1 & 2)
20 FIRE HYDRANT ASSEMBLY (CO #1)
21 6" GATE VALVE (CO #1 & 2)
22 REMOVE 18" WATER LINE (CO #2)
23 ASPHALT PVMT REPAIR, WATER SERVICE
(CO #2)
24 ASPHALT PVMT REPAIR BEYOND DEFINED
WIDTH, RESIDENTIAL (CO #2)
25 6" CONC CURB AND GUTTER (CO #2)
26 16" DIP WATER (CO #2)
27 16" DIP WATER, CLSM BACKFILL (CO #2)
Estimated Unit Unit Cost Estimated Completed Completed
Quanity Total Quanity Total
1 LS $2,200.00 $2,200.00 1 $2,200.00
112 SF $65.00 $7,280.00 112 $7,280.00
0.63 CY $6,000.00 $3,780.00 0.63 $3,780.00
� LF $300.00 $1,500.00 5 $1,500.00
6 EA $600.00 $3,600.00 6 $3,600.00
1 EA $1,200.00 $1,200.00 1 $1,200.00
30 SY $400.00 $12,000.00 30 $12,000.00
128 SF $75.00 $9,600.00 128 $9,600.00
10 SY $400.00 $4,000.00 10 $4,000.00
189 LF $20.00 $3,780.00 189 $3,780.00
0.7 TN $20,000.00 $14,000.00 0.7 $14,000.00
55 LF $300.00 $16,500.00 55 $16,500.00
2 EA $8,500.00 $17,000.00 2 $17,000.00
1 EA $1,500.00 $1,500.00 1 $1,500.00
2 EA $5,000.00 $10,000.00 2 $10,000.00
225 MO $4,000.00 $9,000.00 225 $9,000.00
1 EA $500.00 $500.00 1 $500.00
44 CY $60.00 $2,640.00 44 $2,640.00
34 LF $100.00 $3,400.00 34 $3,400.00
1 EA $3,060.00 $3,060.00 1 $3,060.00
2 EA $1,030.00 $2,060.00 2 $2,060.00
38 LF $300.00 $11,400.00 38 $11,400.00
2 LF $350.00 $700.00 2 $700.00
25 SY $375.00 $9,375.00 25 $9,375.00
60 LF $112.00 $6,720.00 60 $6,720.00
38 LF $500.00 $19,000.00 38 $19,000.00
7 LF $600.00 $4,200.00 7 $4,200.00
Monday, February 10, 2025 Page 2 of 5
City Project Numbers 104927 DOE Number 4927
Contract Name WATER LINE ABANDONMENT FOR JPS PHYCHIATRIC EMERGENC Estimate Number 1
Contract Limits Payment Number 1
Project Type WATER & SEWER IMPROVEMENTS For Period Ending 12/2/2024
Project F+unding
28 CONNECTION TO EXISTING 16-18" WATER 2 EA $6,000.00 $12,000.00 2$12,000.00
MAIN (CO #2)
29 3: WATER METER & VAULT (CO #2) 1 EA $45,000.00 $4�,000.00 1 $45,000.00
30 18" X 8" TAPPING SLEEVE & VALVE (CO #2) 2 EA $12,000.00 $24,000.00 2 $24,000.00
Sub-Total of Previous Unit $260,995.00 $260,995.00
U�ITI' II: SER'ER IMPROVEMENTS
Item Description of Items Estimated Unit Unit Cost Estimated Completed Completed
No. Quanity Total Quaniry Total
1 ASPHALT PVMT REPAIR, SEWER SERVICE (CO 24 LF $200.00 $4,800.00 24 $4,800.00
#2)
2 8" DIP SEWER SERVICE (CO #2) 34 LF $400.00 $13,600.00 34 $13,600.00
3 WASTEWATER ACCESS CHAMBER (CO #2) 1 EA $9,000.00 $9,000.00 1 $9,000.00
Sub-Total of Previous Unit $27,400.00 $27,400.00
Monday, February 10, 2025 Page 3 of 5
City Project Numbers 104927 DOE Number 4927
Contract Name WATER LINE ABANDONMENT FOR JPS PHYCHIATRIC EMERGENC Estimate Number 1
Contract Limits Payment Number 1
Project Type WATER & SEWER IMPROVEMENTS For Period Ending 12/2/2024
Project F+unding
Contract Information Summary
Original Contract Amount
Change Orders
Total Cost of Work Completed g2gg,395.00
Less % Retained $0.00
Net Earned $288,395.00
Earned This Period $288,395.00
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
Total Contract Price
�56,2so.00
$288,395.00
$0.00
$0.00
$0.00
$0.00
$0.00
$288,395.00
Monday, February 10, 2025 Page 4 of 5
City Project Numbers 104927 DOE Number 4927
Contract Name WATER LINE ABANDONMENT FOR JPS PHYCHIATRIC EMERGENC Estimate Number 1
Contract Limits Payment Number 1
Project Type WATER & SEWER IMPROVEMENTS For Period Ending 12/2/2024
Project F+unding
Project Manager NA
Inspectors D. WATSON / A. ARANDA
Contractor VAUGHN CONSTRUCTION
9160 STERLING STREET SUITE 100
IRVING, TX 75063
City Secretary Contract Number
Contract Date
Contract Time 53 WD
Days Charged to Date 273 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
Less % Retained
Net Earned
Earned This Period $288,395.00
Retainage This Period $0.00
Less Liquidated Damages
� Days @ $0.00 / Day
LessPavement Deficiency
Less Penalty
Less Previous Payment
Plus Material on Hand Less 15%
Balance Due This Payment
$288,395.00
$0.00
$288,395.00
$0.00
$0.00
$0.00
$0.00
$0.00
$288,395.00
Monday, February 10, 2025 Page 5 of 5
DEVELOPER-AWARDED-PROJECT CHANGE ORDER
REVIEWED
By Debbie J. Willhelm at 5:10 pm, Sep 28, 2023
Revisetl:70-12-2011
Page 7
INSPECTOR: Patrick Jones Phone No: 682-329-9639
PROJECT MANAGER: Debbie Wilhelm Phane No: 817-392-2481
NO CITY FUNDS INVOLVED IN THIS CONTRACT. DEVELOPER IS RESPONSIBLE FOR 100% OF THE CHANGE ORDER COST AND NO
REIMBURSEMENT FROM THE CITY WILL BE SOUGHT BY THE DEVELOPER.
RECOMMENDED: APPROVED: APPROVE�:
Teague Nall & Perkins, Inc T mdnf County Hospital Distric! J.T Vaughn ConSVucfion, LLC
/�/� __1_ B JPS /Hea�lth N,,etwoi 1 /�/�
By_ ,��i'�J�l.i "�,/ — . � % _ V ✓ L/� �/V�/�' Li" V" BY: / "/.� �
Name: Scott Gibson, P.E. Name: Dr. Karen Duncan Name: Marco Guenero
TiOe: Team Leader Title: President and CEO Title: Pmiecf Manaoer
Revisetl: 10-12-2011
Page 2
REASONS FOR CHANGE ORDER Fire Hytlrant ielocafion added b fhe contract lo accommotlate improvements to Pnvafe Onve. Changes coirespond to Revisibn No. 1 as shown on shee(5 5 and e ol
(he cronsfiuction plans.
Revisetl:l0-12-2011
ragc i
DEVELOPER-AWARDED-PROJECT CHANGE ORDER
INSPECTOR: Palrick Jones Phone No: 682-329•9639 REVIEWED
PROJECT MANAGER: Debbie Wilhelm Phone No: 817-392-2481
By Debbie J. Willhelm at 10:03 am, Mar 07, 2024
NO CIN FUNDS INVOLVEO IN THIS CONTRACT. DEVELOPER IS ftESPONSIBLE FOR 100 % OF TFIE CHANGC- ORDER COST AND MO
REIMBURSEAtENT FROM THE CITY WILL BE SOUGH7 BY THE DEVELOPER.
RECOMMENDED: APPROVED: aPaROVED:
Teapua Nall S Perkins, inc Tartanf GomntyHospifalOisldcf
(rlb JPS Hcal(h ehtror'q
BY. ,�A.C�.--- -
8:
Name: Scott A. GiCson. P.E. N Jill Farre�l
TiOe: Team Leatler Tille: .la�eiirn • Ezecutive VP, C00
J T Vaughn ConsNucfion, LLC
,..., .,
%G% ��',; )
By: �� / �� r-;��=-..
�
Name: Marco Guettero
Tille: . Proiect Manaaer
Revised: 10.12-2011
f'age 2
rctqaVrvS hVR GHANGE ORDER Jennrngs Ave iva(eiand sanilary se��e�service rmpmvemenls added (o Ihe scope. Changes comspond fo P.evision No. 2 as s0orn on slire�s 3, 5, 5,, ib, ?:�, ;;r,✓
f0 0/ fhe constn¢fion p/ans.
F�RTWORTH
TRANSPORTATION AND PUBLIC WORKS
PIPE REPORT FOR:
PROJECT NAME: Waterliine Abandonment
CITY PROJECT NUMBER: 104927
PIPE LAID SIZE
Open-Trench 16"
Open-Trench 8"
FIRE HYDRANTS: 1
PIPE ABANDONED
N/A
DENSITIES:
NEW SERVICES:
WATER
TYPE OF PIPE
DIP
PVC
LF
38 LF
30 LF
VALVES (16" OR LARGER)
SIZE TYPE OF PIPE LF
6" (unkown) 645 LF
3"
Taken-Pass
PVC
14 LF
SEWER
PIPE LAID SIZE TYPE OF PIPE LF
Open-Trench N/A N/A N/A
PIPE ABANDONED
N/A
DENSITIES:
NEW SERVICES:
SIZE
g��
TYPE OF PIPE
Taken-Pass
DIP
LF
34 LF
TR�NSPORT:�TION 1�ND PUBLIC `��ORI�S
The City- of Fort ��'orth • 1000 Thxockmarton Stxeet • Fort ��'orth, T� 76012-6311
(817) 392 - 7941 • Fax: (817) 392 - 7845
�o��r ����r��
TRANSPORTATION AND PUBLIC WORKS
January 21, 2025
Vaughn Constrcuction
9160 Sterling St Suite 100
Irving TX 75063
RE: Acceptance Letter
Project Name: Waterline Abandonment
Project Type: Water, Paving, and Sewer
City Project No.: 104927
To Whom It May Concern:
On December 10, 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 January 17, 2025. 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 January 17, 2025, 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-
392-2481.
Sincerely,
���o�,ct�' �ro�
Debbie Willhelm P.E , Project Manager
Cc: Adrian Aranda, Inspector
Donald Watson, Inspection Supervisor
Aaron Ybarra , Senior Inspector
AndrewGoodman P.E., Program Manager
Scott A. Gibson , Consultant
Vaughn Construction , Contractor
Tarrant County Hospital District, Developer
File
E-Mail: TPW_Acceptance@fortworthtexas.gov
Rev. 8/20/19
_ �
4.^jli��f
:`��_��:�� Do�umenf G74fi� — � 994
Contractor's Affidavif of Paymenf of Deb�s and Claims
PROJECT: (Name and address)
Water Line Abandonment for JPS
Psychiatric Emergency Center
(PEC)
TO OWNER: (Name and address)
Tarrant County Hospital District
d/b/a JPS Health Network
1500 S. Main St.
Fort Worth, TX 76104
STATE OF: TEXAS
COUNTY OF: HARRIS
ARCHITECT'S PROJECT NUMBER:
N/A
CONTRACT FOR: Construction
CONTRACT DATED:
OWNER: U
ARCHITECT: ❑
CONTRACTOR: ❑
SURETY: ❑
OTHER: ❑
The undersigned hereby certifies that, except as listed belaw, payment has been made in full and all obligations have otherwise
been satisfted for all materials and equipment furnished, far all work, labor, and services performed, and for ali known
indebtedness and claims against the Contractor for damages arising in any manner in connection with the performance of the
Contract referenced above far which the Owner or Owner's property might in any way be held responsible or encumbered.
EXCEPTIONS:
All payments have been made in accordance with our agreements with our subcontractors and suppliers. Retainage amounts
will be paid promptly upon receipt of our retainage. Cantractor will hold Owner harmless from anyone who may allege
otherwise.
SUPPORTING DOCUMENTS ATTACfiED HERETO:
1. Consent of Surety to Final Payment. Whenever
Surety is involved, Consent of Surety is
required. AIA Document G707, Consent of
Surety, may be used for this purpose
Indicate Attachment ❑ Yes � No
if required by the Owner;
1. Co ��crnr's Release or Waiver of Liens,
ent�diti • 1 upon receipt of final paytnent.
2. Separate Rcicasey • Waivers of Liens from
Subcontractors and m< � ial and equipment
suppliers, to the extent ri��� '�•d by the Owner,
accompanied by a list thereof.
3. Contractor's Affidavit of Release of
CONTRACTOR: (Nurne and address)
J. T. Vaughn Construction, LLC
10355 Westpark Drive
Houston, TX 77042
BY:
(Signatureo� rNu�ri +d •�:j�i'c.tie++lufiva:j
Danny Thompson, CEO
(Printed name and title)
� �
Notary u, u:; Palrie.ia A', O'Neal �
My Commission Expires: 11/12/2027
Stibscrib�d and sworn to before me on this date: �� '� ��,1,t�+
�r 7
• ,�
.
""' PATRICIA A O'NEAL
�r�y} 4�� I�IOt& PublfC, Sl8i9 Of T8x&S
N �l}Y �`,pR7R1[SSIOII �%�IF9S
� ���� rtoNe�a�� 1 �, �oa7
�a „'..•.•• 4VpTARY ID 1s7'fi27-7
AIA Document G706 — 1994. Copyright OO 1970 and 1994. All rights reserved. "The American Institute of Architects," "American Ins[itute of Architects," "AIA," the
AIA Logo, and "AIA Contract Documents" are trademarks of The American Institute of Architects. This document was produced at 12:05:31 ET on 01129/2025
under Order No.4104247505 which expires on 03/11/2025, is not far resale, is licensed for one-time use only, and may only be used in accordance wi[h the AIA
Con[ract Documents° Terms of Service. To report copyright violations, e-mail docinfo@aiaconiracts.com.
User Notes: (3B9ADA54)
�
1�j�;`���'
= Document Gl���A - � 994
Contractor's Affidavit of Release of Liens
PROJECT: (Nnme and addres,$) ARCHITECT'S PRQJECT NUMBER: OWNER: ❑
Water Line Abandonment for 7PS N/A ARCHITECT: ❑
Psychiatric Emergency Center (PEC)
TO OWNER: (Name and address)
Tarrant County Hospital District
d/b/a JPS Health Network
1500 S. Main St.
Fort Worth, TX 76104
STATE OF: TEXAS
COUNTY OF: HARRIS
CONTRACT FOR: Construction
CONTRACT DATED:
CONTRACTOR: ❑
SURETY: ❑
OTHER: ❑
The undersigned hereby certifies that to the best of the undersigned's knowledge, information and belief, except as listed
below, the Releases or Waivers of Lien attached hereto include the Contractor, all Subcontractors, all suppliers of materials
and equipment, and all pecformers of Work, labor or services who have or may have liens or encumbrances or the right to
assert liens or encumbrances against any property of the Owner arising in any manner out of the performance of the Contract
referenced above.
EXCEPTIONS:
All payments have been made in accordance with our agreements with our subcontractors and suppliers. Retainage amounts
will be paid promptly upon receipt of our retainage. Contractor witl hold Owner harmless from anyone who may allege
otherwise.
� Release or Waiver of Liens,
upon receipt of final payment.
2.
Separate Releases or 1• s of Liens from
Subcontractors and material �tn iiprnenl
suppliers, to the extent required by tl�� •ni
CONTRACTOR: (Name and address)
J. T. Vaughn Construction, LLC
10355 Westpark Drive
Houston, TX 77[]�2
BY:
'f,�u�Ilt 'e U uullrurl�e[i
r�p1•�.�enrulr c)
Danny Thompson, CEO
(Printed name and title)
scri%��I a z� swcrrr�tv heFcrrc me on this date: 1��%
� . l
❑tary t'ublic: Palr3c�a A, C)'�leal
My Commission Expires: l 1/12/2927
,?*;;:'�;;e� PATRICfA A 0'NEAL
:r �� Nolnry Pu�lic, Stete of Texes
���; � My CQmmission Expi�es
;;r � l�ovember 12, 2d27
�•••'•°E:�°�''� NOTARY ID 197627-7
AIA �ocument G706A — 1994. Copyright OO 1982 and 1994. Afl rights reserved. "The American Institute of Architects," "American Institute of Architects," "AIA," Ihe
AIA Logo, and "AIA Contract Documents" are trademarks of The American Institute of Architects. This document was produced at 12:05:54 ET on 01I29I2025
under Order No.4104247505 which expires on 03I11I2025, is not for resale, is licensed for one-lime use only, and may only be used in accordance wilh [he AIA
Contract Documents° Terms of Service. To report copyright violations, e-mail docinfo@aiaconiracts.com.
User Notes: (3B9ADA59)
CONSENT OF
SURETY COMPANY
TO FINAL PAYMENT
• �/► ►
ARCHITECT
CONTRACTOR
SURETY
AIA DOCUMENT G707 Bond No. K416331a4-Q1 OTHER
PROJECT: Water Line Abandonment for JPS Psychiatric Emergency Center (PEC)
(name, address)
TO (Owner)
Tarrant County Hospital District
dba JPS Health Network
1500 S. Main St.
Fort Worth, TX 76104
CONTRACTOR: J.T. Vaughn Construction, LLC
ARCHITECT'S PROJECT NO:
CONTRACT FOR: Construction
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}.
Federal Insurance Company
202B Hall's Mill Road
Whitehouse Station, NJ 08889
on bond of (here insert name and address of Contractor}
J.T. Vaughn Construction, LLC
10355 Westpark Drive
Houston, TX 77042
,SURETY,
,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)
Tarrant County Hospital District
dba JPS Health Network
1500 S. Main St.
Fort Worth, TX 76104
as set forth in the said Surety Company's bond.
IN WITNESS WHEREOF,
the Surety Company has hereunto set its hand this
Witness: r
(Seal): 1
Namesia Anderson
, OWNER,
2025
Federal Insurance Company
Su,•� y c4�»p�«y
Signature of Aulliar'�� �•es�i tiv�
Vickie Lacy, Attorney-in-Fact
Title
NOTE: This form is to be used as a companion dacument to AIA DOCUMENT G706, CONTRACTOR'S AFFIDAVIT OF
PAYMENT OF DEBTS AND CLAIMS, Current Edition
28th Day of January,
AIA DOCUMENT G707 • CONSENT OF SURETY COMPANY TO FINAL PAYMENT • APRIL 1970 EDITION • AIA� OO 1970 • THE
AMERICAN INSTITUTE OF ARCHITECTS, 1735 NEW YORK AVE., NW, WASHINGTON, D.C. 20006
CHUBB�
Power of Attorney
Federal Insurance Company � Vigilant Insurance Company � Pacific Indemnity Company
Westchester Fire Insurance Company � ACE American lnsurance Company
Know All by These Presents, that FEDERAL INSURANCE COMPANY, an Indiana carporation, VIGILANT INSURANCE COMPANY, a New York corporation, PACIFIC INDEMNITY
COMPANY, a Delaware corporation, WESTCHESTER FIRE INSURANCE COMPANY and ACE AMERICAN INSURANCE COMPANY corpora[ions of the Commonwealth of Pennsylvania,
do each hereby constitute and appoint Naf112518 Af1d2f50f1, Joseph R. Aulbert, Marc W. Boots, Ashley Coleman, Richard Covington, Stephanie Moore Harold,
Ashley Koletar, Vickie Lacy, Melanie Salinas, Ryan Varela, Dylan Yaung and Maria D. Zuniga of Houston, Texas; Susan Golla of San Antonio, Texas ----
each as their true and lawful Attorney-in-Fact to execute under such designation in their names and to affix their corporate seals [o and deliver for and on their behalf as surety thereon
or otherwise, 6onds and undertakings and other writings obligatory in the nature thereof (other than bai] bonds) given or executed in the course oF business, and any instruments
amending or altering the same, and consents to the modification or alteratian af any instrument referred to in said bonds or obligations
In Witness Whereof, said FEDERAL INSURANCE COMPANY, VIGILANT INSURANCE COMPANY, PACIFIC 1NDEMNITY COMPANY, WESTCHESTER FIRE INSURANCE COMPANY
and ACE AMERICAN INSURANCE COMPAIYY have each executed and attested these presents and affixed their corporate seals on this 30� day of December, 2024.
��� i, -4�, t� 3�' i.��
Ruperc HD S�rindelLs,,�ssistant Secretan�
-•• ��- �
��C �.. •,�
,�:n �� �..�`�� �i,.� ��` �.�
v �
\.1`)��
11:u•ron Eichhurn. \ icc Pi��iJcni
�� � :: ,x.�,;, � „, , a �
n •�a f � k �J�Y,M� � f � � � e��
���. '
STATE OF NEW JERSEY
County of Hunterdon
On this 30� day of Decemher, 2024 6efore me, a Notary Public of New Jersey, personally came Rupert HD Swindells and Warren Eichhorn, to me known to be Assistant Secretary and
Vice President, respectively, of FEDERAL INSURANCE COMPANY, VIGILANT INSURANCE COMPANY, PACIFIG 1NDEMN ITY COMPANY, WESTCHESTER FI RE INSURANCE COMPANY and
ACE AMERICAN INSURANCE COMPANY, the companies which executed the foregoing Power of Attorney, and the said Rupert HD Swindells and Warren Eichhorn, being by me duly
sworn, severally and each for himself did depose and say that theyare Assistant Secretary and Vice Presiden[, respectively, of FEDERAL INSURANCE COMPANY, VIGILANT INSURANCE
COMPANY, PACIFIC INDEMNITY COMPANY, WESTCHESTER FIRE INSURANCE COMPANY and ACE AMERICAN WSURANCE COMPANY and know the corporate seals thereof, that the
seals affixed to the foregoing Power of Attorney are such corporate seals and were thereto affixed by authority aFsaid Companies; and that their signatures as such officers were duly
affixed and suhscribed by like authority.
NotarialSeal c MbertConturzi
�, � IJOTARY PUBLIC OF N�EW lEtiSEY
` "r':��" No502{i2369
y"+�e�� y Commission E�ires August 2'Z,2027
�'�G�1
kppry pukllc
CERTIFICATIQN
Resolutions adopted by the Boards of Directors of FEDERAL INSURANCE COMPANY, VIGILANT 1NSURANCE COMPANY, and PACIFIC INDEMNITY COMPANY on August 30, 2016;
WESTCHESTER FIRE INSllRANCE COMPANY on December 11, 2006; and ACE AMER[CAN INSURANCE COMPANY on March 20, 2009:
"RESOLVED, that the following authorizations rclate eo the execution, for and on behalf of the Company, of honds, undertakings, recognizanres, contracts and o[her written rommitments of the Company
entered into in the ardinary murse o(husiness (each a"Written Commitment"):
(1) Each of the Chairman, the President and the Vice Presidents of theCompanyishereby authorized tnexecuteanyWrittenCommi[ment forandonbehalFoftheCompany,undertheseal
of thc Company or othcrwisc
(2) Each duly appointed attorney-imfact of the Company is hereby authorized to execute any Written Commi[ment for and on behal(o( the Company, under [he seal of the Company or otherwise,
to the extent that such action is authorized by the grent of powers provided for in such person's written appointment as such a[[orney-im(act
(3J Each of thc Chairman, [he Presidmt and thc Vice Presidents of theCompanyisherebyauthnrized.forandon bchalfoftheCompany,mappointinwriting any person thc attorncy-in-
fact of the Company with full power andauthoritytocxecute, for and on bchalfoftheCompany, under the sealo(theCompanyoroMerwisqsuch Written Commi[mentsoftheCompany
as may 6e specified in such written appointrnent, which specification may be by general type nr class of Writtrn Commi[menLs or by specifica[ion oF one or more particular Written
Commi[ments
(4) Each of the Chainnan, the President and the Vice Presidents of the Company is hereby authorized, for and on brhalf of [he Company, to delega[e in writing to any other officer of thc
Company the auNiority to executq for and on 6ehalf of the Company, under the Company's seal �r otherwise, such Wri[[en Commitments of the Company as are specified In such wri[ten
delegation, which specification may 6e 6y general type or class of Written Commitments or byspecifica[ion of one or more par[icular Written Commitments.
(5) The signature of any officer or other person executing any Written Commi[ment or appointment or delegation pursuan[ [o [his Resolution, and the seal of the Company, may be afFlxed by
facsimile on such Written Commitment or written appointment ordelegation
FURTHER RESOLVEq that the foregoing Resolution shall not he decmed to be an exciusive statemen[ o(the powers and authority o(of(icers, employees and other persons [o act for and on behalf of the
Company, and such Resolution shall not limit or otherwise affect the exercise ofany such power or au[horityo[herwise validly granted or vested."
I, Rupert HD Swindeils, Assistant Secretary of FEDERAL INSURANCE COMPANY, V[G[LANT INSURANCE COMPANY, PACIFIC IN DEMNITY COMPANY, W ESTCHESTER FIRE INSURANCE
COMPANY and ACE AMERICAN INSURANCE COMPANY (the "Companies"} do hereby certify that
(iJ the foregoing Resolutions adopted 6y the Board of Directors af the Companies are true, correct and in full force and effect,
(ii] the Foregoing Power of Attorney is true, correct and in full force and effect
Given under my hand and seals of said Companies at Whitehouse Station, NJ, this 2gth day of January� 2�25
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Rupert HD Stivindells, Assistant Secretar}�
IN TfiE GVENTYOU WISH TO VERIFYTHEAUTHENTICITYOF�'IS[S BOND OR NOT1fYUSOI� AfJY OTHER MATTER, PLEASE CONTACT US AT:
l-cic hnnr 4L1H 9f13•'id•1:1 {�ax 71}B 903-3656 c-m.i!: s�ire� farhuli[+rnm
Com6ined: FED-VIG-PI-WFIC-AAIC (rev 11-19)