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Home My WebLink AboutContract 60750-FP1-FPlCity Secretary Contract No. 5 o 75o------ FORT WORTH® 3.7.2025 Date Received ____ _ 03/07/2025 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: Cook Children's Medical Center City Project No.: 105009 Improvement Type(s): Water� Sewer� Original Contract Price: $526,662.00 Amount of Approved Change Order(s): $76,004.00 Revised Contract Amount: Total Cost of Work Complete: William B. L-ehml--uhl William B. Lehmkuhl (Mar 6, 2025 15:37 CST) Contractor Project Manager Title JT Vaughn Construction, LLC Company Name Sri Peddibhotla (Mar 6, 2025 15:41 CST) Project Inspector S�f!� Project Manager Kandice Merrick (Mar 1 2025 09·31 CST) CFA Manager �--?n.:.-. Lauren Prieur (Mar7, 2025 09:40 CST) TPW Director Asst. City Manager $602,666.00 $602,666.00 Mar 6, 2025 Date Mar 6, 2025 Date Mar 7, 2025 Date Mar 7, 2025 Date Mar 7, 2025 Date Mar 7, 2025 Date Page 1 of 2 Notice of Project Completion Project Name: Cook Children's Medical Center City Project No.: 105009 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: 80 WD Days Charged: 163 WD Work Start Date: 2/26/2024 Work Complete Date: 1/17/2025 Completed number of Soil Lab Test: 124 Completed number of Water Test: 2 Page 2 of 2 FORTWORTH CITY OF FORT WORTH F1NAL PAYMENT REQUEST Contract Name COOK CHILDREN'S MEDICAL CENTER, HEALTH AND COMMLTNITY C Contract Limits Project Type WATER & SEWER City Project Numbers 105009 DOE Number 5009 Estimate Number 1 Payment Number 1 City Secretary Contract Number Contract Date For Period Ending 1/17/202� WD Project Manager NA Contractor J.T. VAUGHN CONSTRUCTION, LLC 10355 WESTPARK DR. HOUSTON , TX 77042 Inspectors D. WATSON / J. GLENN Contract Time 8�� Days Charged to Date 163 Contract is 100.00 Complete Thursday, March 6, 2025 Page 1 of 5 City Project Numbers 105009 DOE Number 5009 Contract Name COOK CHILDREN'S MEDICAL CENTER, HEALTH AND COMMLTNITY Estimate Number 1 Contract Limits Payment Number 1 Project Type WATER & SEWER For Period Ending 1/17/202� Project F+unding L?NTI' I: WATER IMPROVEMENTS Item Description of Items No. 1 REMOVE 8" WATER LINE 2 4"-12" PRESSURE PLUG 3 4"-12" WATER ABANDONMENT PLUG 4 REMOVE CONC CURB & GUTTER 5 10' WIDE ASPHALT PVMT REPAIR, ARTERIAL 6 ASPHALT PVMT REPAIR BEYOND DEFINED WIDTH, ARTERIAL 7 CONC PVMT REPAIR, ARTERIAL/ INDUSTRIAL 8 6" CONC CURB & GUTTER 9 8" WATERING LOWERING 10 FIRE HYDRATED STEM EXTENSION 11 TRENCH SAFETY 12 DUCTILE IRON WATER FITTINGS W/ RESTRAINT 13 8" WATER PIPE 14 FIRE HYDRATED 15 CONNECTION TO EXISTING 4"-12" WATER MAIN Estimated Unit Quanity 75 LF 2 EA 1 EA IS LF 199 LF 44 SY 17 SY IS LF 1 EA 1 EA 199 LF 0.62 TN 198 LF 1 EA 1 EA Unit Cost Estimated Completed Completed Total Quaniry Total $48.00 $3,600.00 75 $3,600.00 $701.00 $1,402.00 2 $1,402.00 $1,165.00 $1,165.00 1 $1,165.00 $23.00 $345.00 I S $345.00 $419.00 $83,381.00 199 $83,381.00 $381.00 $16,764.00 44 $16,764.00 $427.00 $83.00 $3,510.00 $1,170.00 $5.00 $2,200.00 $271.00 $9,360.00 $8,190.00 $7,259.00 $1,245.00 $3,510.00 $1,170.00 $995.00 $1,364.00 $53,658.00 $9,360.00 $8,190.00 17 IS 1 1 199 0.62 198 1 1 $7,259.00 $1,245.00 $3,510.00 $1,170.00 $995.00 $1,364.00 $53,658.00 $9,360.00 $8,190.00 16 1 1/2" WATER SERVICE 1 EA $7,020.00 $7,020.00 1 $7,020.00 17 2" WATER SERVICE 1 EA $7,484.00 $7,484.00 1 $7,484.00 18 6" GATE VALVE 2 EA $3,510.00 $7,020.00 2 $7,020.00 19 8" GATE VALVE 2 EA $5,148.00 $10,296.00 2$10,296.00 20 1 1/2" PRESSURE PLUG 1 EA $351.00 $351.00 1 $351.00 21 2" PRESSURE PLUG 1 EA $468.00 $468.00 1 $468.00 Sub-Total of Previous Unit $226,047.00 $226,047.00 L?NTI' II: SANTTARY IMPROVEMENTS Item Description of Items Estimated Unit Unit Cost Estimated Completed Completed No. Quanity Total Quaniry Total 1 REMOVE SIDEWALK (CO#1) 116 SF $20.00 $2,320.00 116 $2,320.00 2 REMOVE CONC CURB GUTTER (CO#1) 33 LF $10.00 $330.00 33 $330.00 3 REMOVE 6" SEWER LINE 211 LF $50.00 $10,550.00 211 $10,550.00 Thursday, March 6, 2025 Page 2 of 5 City Project Numbers 105009 DOE Number 5009 Contract Name COOK CHILDREN'S MEDICAL CENTER, HEALTH AND COMMLTNITY Estimate Number 1 Contract Limits Payment Number 1 Project Type WATER & SEWER For Period Ending 1/17/202� Project F+unding 4 � 6 7 8 9 10 11 12 13 14 IS I6 17 18 19 20 1 EA 200 LF 26 SY 10 SY 116 SF 25 LF 319 LF 4 EA 209 LF 3 EA 1 EA 319 LF 46 VF 3 EA 10.3 VF 1 LS 1 LS $3,000.00 $3,000.00 $419.00 $83,800.00 $381.00 $9,906.00 $477.00 $4,770.00 $23.00 $2,668.00 $83.00 $2,075.00 $5.00 $1,595.00 $1,872.00 $7,488.00 $5.00 $1,045.00 $176.00 $528.00 $100.00 $100.00 $336.00 $107,184.00 $819.00 $37,674.00 $8,073.00 $24,219.00 $700.00 $7,210.00 $10,388.00 $10,388.00 $59,769.00 $59,769.00 1 $3,000.00 200 $83,800.00 26 $9,906.00 REMOVE 4' SEWER MANHOLE 10' WIDE ASPHALT PVMT REPAIR, ARTERIAL ASPHALT PVMT REPAIR BEYOND DEFINED WIDTH, ARTERIAL CONC PVMT REPAIR, ARTERIAL/INDUSTRIAL 4" CONC SIDEWALK (CO#1) 6" CONC CURB & GUTTER (CO#1) POST -CCTV INSPECTION MANHOLE VACUUM TESTING (CO#1) TRENCHSAFETY CONCRETE COLLAR TRENCH WATER STOPS 8" SEWER PIPE EPDXY MANHOLE LINER 4" MANHOLE 4"EXTRA DEPTH MANHOLE MOBII.IZATION (CO#1) REHABILITATION OF EXISTING SEWER MANHOLE (CO#1) 10 $4,770.00 116 $2,668.00 25 $2,075.00 319 $1,595.00 4 $7,488.00 209 $1,045.00 3 $528.00 1 $100.00 319 $107,184.00 46 $37,674.00 3 $24,219.00 103 $7,210.00 1 $10,388.00 1 $59,769.00 Sub-Total of Previous Unit $376,619.00 $376,619.00 Thursday, March 6, 2025 Page 3 of 5 City Project Numbers 105009 DOE Number 5009 Contract Name COOK CHILDREN'S MEDICAL CENTER, HEALTH AND COMMLTNITY Estimate Number 1 Contract Limits Payment Number 1 Project Type WATER & SEWER For Period Ending 1/17/202� Project F+unding Contract Information Summary Original Contract Amount Change Orders Change Order Number 1 Total Contract Price $526,662.00 $76,004.00 $602,666.00 Total Cost of Work Completed $602,666.00 Less % Retained $0.00 Net Earned $602,666.00 Earned This Period $602,666.00 Retainage This Period $0.00 Less Liquidated Damages Days @ / Day LessPavement Deficiency Less Penalty Less Previous Payment Plus Material on Hand Less 15% Balance Due This Payment $0.00 $0.00 $0.00 $0.00 $0.00 $602,666.00 Thursday, March 6, 2025 Page 4 of 5 City Project Numbers 105009 DOE Number 5009 Contract Name COOK CHILDREN'S MEDICAL CENTER, HEALTH AND COMMLTNITY Estimate Number 1 Contract Limits Payment Number 1 Project Type WATER & SEWER For Period Ending 1/17/202� Project F+unding Project Manager NA Inspectors D. WATSON / J. GLENN Contractor J.T. VAUGHN CONSTRUCTION, LLC 10355 WESTPARK DR. HOUSTON , TX 77042 City Secretary Contract Number Contract Date Contract Time 80 WD Days Charged to Date 163 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 $602,666.00 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 $602,666.00 $0.00 $602,666.00 $0.00 $0.00 $0.00 $0.00 $0.00 $602,666.00 Thursday, March 6, 2025 Page 5 of 5 DocusignEnvelopelD B9F410D0-1F9B-48EF-851B-4AD26F391C08 DEVELOPER-AWARDED-PROJECT CHANGE ORDER INSPECTOR: Sri Peddibhotla Phone No: 682-718-6979 PROJECT MANAGER: Shawn Garner Phone No: 817-392-7252 CONTRACT UNIT WATER SEWER PAVING DRAINAGE STREETLIGHTS CONTRACT Developer Developer Developer Developer Developer DAYS Cost City Cost Cost Ciry Cost Cost City Cost Cost City Cost Cost City Cost ORIGINAL CONTRACT 5226,047.00 $300,615.00 $83,526.81 $173,716.00 80 EXTRAS TO DATE CREDITS TO DATE CONTRACT TO DATE $226,047.00 50.00 $300,615.00 E0.00 $83,526.81 $0.00 $173,716.00 $0.00 $0.00 $0.00 80 AMOUNT OF PROP. CHANGE ORDER $76,004.00 20 REVISED CONTRACT AMOUNT $226,047.00 50.00 $376,619.00 E0.00 $83,526.81 $0.00 $173,716.00 $0.00 $0.00 $0.00 100 TOTAL REVISED CONTRACT AMOUNT PER UNIT $226,047.00 $376,619.00 $83,526.81 $173,716.00 $0.00 REVISED COST SHARE Dev. Cost: $859,908.81 City Cost: $0.00 TOTAL REVISED CONTRACT $859,908.51 Revised: 10-12-2011 Page 1 Docusign Envelope ID: B9F410D0-1F9B-48EF-851B-4AD26F391COS You are directed to make the following changes in the contract documents : 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: Dunaway Associates Cook Children's Medical Center By: � By��„_S,.i< Nan e: Justin Wells, PE Name: Spencer Seals Title: Engagement Manager Title: Vice President, Construction and Real Estate Revised:10-12-2011 APPROVED: Vaughn Construction EY: ,��.:tif�.:.��/�'L-.% Name: Ben Lehmkuhl Title: Proiect Manaaer REVIEWED By Shawn Garner, PE at 9:24 am, Jan 22, 2025 Page 2 REASONS FOR CHANGE ORDER This change o�der is to add a 4 inch drop sewer service to the existing manhole located at STA 0+00 to bring the manhole up to specification. This change order also adds the removal and replacement of the existing curb and gut[er and sidewalk for a cons[ruction entrance. FORTWORTH TRANSPORTATION AND PUBLIC WORKS PIPE REPORT FOR: PROJECT NAME: COOKS CHILDREN' S MEDICAL CENTER HEALTH AND COMMUNITY CENTER CITY PROJECT NUMBER: 105009 WATER PIPE LAID SIZE TYPE OF PIPE LF PVC 8" DR-14 198 LF FIRE HYDRANTS: 1 VALVES (16" OR LARGER) PIPE ABANDONED SIZE TYPE OF PIPE PVC 8" DR-14 DENSITIES: NEW SERVICES: 1.5" 2�� PIPE LAID PVC SIZE g�� PIPE ABANDONED PVC SIZE 6" Water Service(Copper) Water Service(Copper) SEWER TYPE OF PIPE SDR-26 TYPE OF PIPE SDR-26 DENSITIES: NEW SERVICES: 8" SDR-26 TIZ�NSPORT �TION ��ND PUBLIC ��10Ri�S The City of Fort Worth • 1000 Throckmorton Street • Fort Worth, TX 76012-6311 (817) 392 - 7941 • Fax: (817) 392 - 7845 LF LF LF 75 LF 1 Unit 1 Unit 319 LF 2ll LF 1 Unit FORTWORTH� TRANSPORTATION AND PUBLIC WORKS February 6, 2025 JT VAUGHN CONSTRUCTION L.L.0 10355 WEST PARK DR. HOUSTON, TX-77042 RE: Acceptance Letter Project Name: COOKS CHILDREN'S MEDICAL CENTER HEALTH AND COMMUNITY CENTER Project Type: 01,02 City Project No.: 105009 To Whom It May Concern: On February 6, 2025 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 March 4, 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 March 4, 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- 392-7252. Sincerely, Slcc�,�,z SCc�,u�. 0 Shawn Garner, P.E., Project Manager Cc: Sri Peddibhotla, Inspector Don Watson, Inspection Supervisor Oscar Aguillon, Senior Inspector Andrew Goodman, Program Manager Dunaway, Consultant JT VAUGHN CONSTRUCTION L.L.C, Contractor Cooks Children's, Developer File E-Mail: TPW_Acceptance@fortworthtexas.gov Rev.8/20/19 � �+;!;+1�?,`,; ':��' �� Docum�nt �lD�"A -1�94 Contractor's Affidavit of Release of Liens PROJECT: (Nnrne and address) ARCHITECT'S PRdJECT NUMBER: Water, Sewer, Paving and Storm Drain N/A Improvements to Serve Cook Children's Medical Center Health and Community Center TO OWNER: (Name a�id addl•ess) Cook Children's Medical Center 801 7th Avenue Fort Worth, TX 76104 STATE OF: TEXAS COUNTY OF: fIARRIS CONTRACT FOR: Conshuction CONTRACT DATEQ: December 7, 2023 OWNER: [] ARCHITECT: ❑ CONTRACTOR: ❑ SURETY: ❑ OTHER: ❑ The undersigned hereby certifes that to the best of the undersigned's knowledge, information and belief, except as ]isted below, the Releases or Waivers of Lien attached hereto include the Contractor, all Subcontractors, all suppliers of materials and equipment, and all performers of Work, labor or services who have or may have ]iens or encumbrances or the right to assert liens or encumbrances against any properiy 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. Contractar wili hold Owner harmless from anyone who may allege oflierwise. Release or Waiver of Liens, upon receipt of final payment. 2. Separate Releases or W.� • s�l' Liens from Subcontractors and material an � muit suppliers, to the extent required by the CONTRACTOR: (Name and address) J. T. Vaughn Construction, LLC 10355 Westpark Drive Houton, TX 77[1 Z BY: (Signature u/ rrcrll� ri� r! representative) _L?anty T'F�atn��tic�n. C'[:Q (Printed nante and title) ihecf and sworn.to before me on this datc:�I.'� �r /f� /l � `� �`7 ?tic�irzi'y 'ttl�l ic: ��•i� A. O'Nea My Commission Expires: 11/12/2027 r t;oi7'�i; �, PATRICIA A O'NEAL dr ° �� t�Ofery Put�lic, 51ate of Texae 4+ N!y Commissian Er,pires s��_�^ � Na�amber t2, 2(327 � �` 4' � �•' NOTARY ID 187827-7 AIA Document G706A — 1994. Copyright OO 19B2 and 1994. All rights reserved. "The American Instiiute of Architects," "American Institute of Architects," "AIA," the AIA Logo, and "AIA Contract Documents" are trademarks of The American Institute of Architec[s. This document was produced at 14:16:58 ET on 02IO6I2025 under Order No.4104247505 which expires on 03111 /2025, is not for resale, is licensed for one-[ime use only, and may only be used in accordance with the AIA Contract Documents� Terms oF Service To report copyright violations, e-mail docinfo@aiacontracts.com. User Notes: (3B9ADA5D) I� ��i'3!��; =��== D�cum�nt �7��° - � 994 — Contracfor's Affidavif of Payment of Debts and Claims PROJECT: (Name and address) Water, Sewer, Paving and Storm Drain Improvements to Serve Cook Children's Medical Center Health and Community Center ARCHITECT'S PROJECT NUMBER: N/A OWNER: ❑ ARCHITECT: ❑ CONTRACTOR: ❑ SURETY: ❑ OTHER: ❑ TO OWNER: (Name and address) Cook Children's Medical Center 801 7th Avenue Fort Worth, TX 76104 STATE OF: TEXAS COUNTY OF: HARRIS CONTRACT FOR: Construction CONTRACT DATED: December 7, 2023 '1'he undersigned hereby certifies that, except as listed below, payment has been made in full and all obligations have otherwise been satisfied for all materials and equipment furnished, far all work, labor, and services performed, and for all known indebtedness and claims against the Contractor for damages arising in any manner in connection with the performance of the Contract referenced above for which the Owner or Owner's praperty 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. Contractor will hold Owner harmless from anyone who may allege otherwise. SUPPORTING DOCUMENTS ATTACHED 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 required by lhe Otivner: 1. Cnn or's Release or Waiver of Liens, conditiun on receipt of final payment. 2. Separate R�l�ascs Waivers of Liens from Subcontractors and irr� �• 1 and equipment suppliers, to the extent r��ut by the Owner, accompanied by a list thereof. 3. Contractor's Affidavit of Release of Licns�ftiAi.4 GONTRACTOR: (Name and address) J. T. Vaughn Construction, LLC 14355 Westpark Drive Fiouston, TX 77042 8Y: (Signalui•e uJ ur.�ljrr rr �rl represenlutive) Danny Thompson, CEO (Printed name and tit[e) Subscribed and sworn�a before me on this date: �� ' � � Notary Puhlic: I'a�rieia A. O tieal My Commission Expires: 11/12/2027 � � "'FµY i�bry PAiRIC#A A O'NEAL `�° �� Natary Publlc, Stete of Texas t � - �+Ay CvmmfssEon Expires . • ^' �': ` Navember i 2, 2027 ' ��'°�`0' ='"" NOTARY fD 197827-7 i .,-.,v,' ::-T�. .. AIA Document G706 — 1994. Copyright �O 1970 and 1994. All rights reserved. "The American InstiWte of Architects," "American Institute of Archi[ects," "AIA," the AIA Logo, and "AIA Contract �ocuments" are trademarks of The American Institute of Architects. This document was produced a[ 14:16:39 ET on 02IO6I2025 under Order No 4� 04247505 which expires on 03I11I2025, is not For resale, is licensed for one-lime use only, and may only be used in accordance with the AIA Contract Documents° Terms of Service To report copyright violations, e-mail docinfo@aiacontracts.com. User Notes: (3B9ADA5C) i CONSENT �F SURETY COMPANY TO FINAL PAYMENT O WNER ARCHITECT CONTRACTOR SURETY AIA DOCUMENT G707 Bond No. 200Q338 OTHER PROJECT: Water, Sewer, Paving and Storm Drain Improvements to Serve Cook Children's Medical Center Health and Community Center TO (Owner) Cook Children's Medical Center 80l 7`�' Avenue Fort Worth, TX 76104 ARCHITECT'S PROJECT NO: CONTRACT FOR: Construction CONTRACT DATE: December 7, 2023 CONTRACTOR: J.T. Vaughn Construction, LL 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}. SureTec Insurance Company 2103 CityWest Boulevard, Suite 1300 Houston, TX 77042 on bond of (here insert name and address of Contractor) J.T. Vaughn Construction, LLC 10355 Westpark Drive Houston, TX 77042 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) Cook Children's Medical Center 801 7t�' Avenue Fort Worth, TX 76104 ,CONTRACTOR, , SURETY, , OWNER, as set forth in the said Surety Company's bond. IN WITNESS WHEREOF, the Surety Company has hereunto set its hand this 6th Day of February, 2025 Witness: • (Seal): Michael Garcia SureTec l�asur� Cc,�npa�ty Surety Com ►ny Signature of Auti�nrir. Repr�ese«tative Ashley Coleman, Attorney-in-Fact Title N(�TE: This form is to be used as a companion document to AIA DOCUMENT G706, CONTRACTOR'S AFF[DAVIT OF P.AYMENT OF DEBTS AND CLAIMS, Current Edition AIA DOCUMENT G707 • CONSENT OF SURETY COMPANY TO FINAL PAYMENT • APRIL 1970 EDITION • AIA� �O 1970 • THE AMERICAN INSTITUTC OF ARCHITECTS, 1735 NEW YORK AVE., NW, WASHINGTON, D.C. 20006 POA# 4221914 JOINT LIMITED POWER OF ATTORNEY KNOW ALL MEN BY THESE PRESENTS: That SureTec Insurance Company, a Corporation duly organized and existing unde� the laws of the State of Texas and having its principal office in the County of Harris, Texas and Markel Insurance Company (the "Company"), a corporation duly organized and existing under the laws of the state of Illinois, and having its principal administrative office in Glen Allen, Virginia, daes byihese presents make, constitute and appoint: Marc W. Boots, Vickie Lacy, Richard Covington, Maria D. Zuniga, Joseph R. Aulbert, Ashley Koletar, Ryan Varela, Stephanie Moore Harold, Dylan Young, Ashley Coleman, Melanie Salinas, Jacob Boots Their true and lawful agent(s) and attorney(s)-in-fact, each in their separate capacity if more than one is named above, to make, execute, seal and deliver for and on their own behalf, individually as a surety orjointly, as co-sureties, and as their act and deed any and all bonds and other undertaking in suretyship provided, however, that the penal sum of any one such instrument executed hereunder shalf not exceed the sum of: Fifty Million and 00l104 Dollars {$�0,000,000.00) This Power of Attorney is granted and is signed and sealed under and by the authority of the following Resolutions adopted by the Board of Directors of SureTec Insurance Company and Markel Insurance Company: "RESdLVED, That the President, any Senior Vice President, Vice President, Assistant Vice President, Secretary, Assistant Secretary, Treasurer or Assistant Treasurer and each of them hereby is authorized to execute powers of attorney, and such authority can be executed by use of facsimile signature, which may be attested or acknowledged by any officer or attorney, of the company, qualifying the attorney or attorneys named in the given power of attorney, to execute in behalf of, and acknowledge as the act and deed of the SureTec Insurance Company and Markel Insurance Company, as the case may be, all bond undertakings and contracts of suretyship, and to affix the corporate seal thereto." IN WITNE55 WHEREOF, Markel Insurance Company and SureTec Insurance Company have caused their official seal to be hereunto affixed and these presents to be signed by their duly authorized officers on the 2oth day of september , 2024 . SureTec Insurance Company sv:!'/ Michael C. Keimig, President State of Texas County of Harris: 4�r'�yRANG�C+ ,�` x 9 `3 w�w b 7� ` 1.....� � �. � � J��7 �RA NC�q � ��; GSEAL �� =�'•., ��ts�� : �: �''��,+*u,�ti+`•• On this 2oth day of septemeer, 2o2a q, D., before me, a Notary Public of the State of Texas, in and for the County of Harris, duly commissioned and qualified, came THE ABOVE OFFICERS OF THE COMPANIES, to me personally known to be the individuals and officers described in, who executed the preceding instrument, and they acknowledged the execution of same, and being by me duly sworn, disposed and said that they are the officers of the said companies aforesaid, and that the seals affixed to the proceeding instrument are the Corporate Seals of said Companies, and the said Corporate Seals and their signatures as officers were duly affixed and subscribed to the said instrument by the authority and direction of the said companies, and that Resolutions adopted by the Board of Directors of said Companies referred to in the preceding instrument is now in force. IN TESTIMONY WHEREOF, I have hereunto set my hand, and affixed my Official Seal at the County of Harris, the day and year first above written. �� JULIE E. MCCLARY , "• �� Notary Public State af Texas �� C = Commission # 12947680-5 BY� „.,`.:' 1 ie E. McClary, Notary Public -' Commission Fxpires March 29, 2026 y commission expires 3/29/2026 We, the undersigned Officers of SureTec Insurance Company and Markel Insurance Company do herby certify that the original POWER OF ATTORNEY of which the foregoing is a full, true and correct copy is still in full force and effect and has not been revoked. IN WITNESS WHEREOF, we have hereunto set our hands, and affixed the Seals of said Companies, on the 6th day of F�E7CU8Cj1 2�25 ur surap� Company Y� I Q � M. 8� ri[ Beaty, A sistant Secretary Any Instrument Issued in excess of the penalty stated above is totally void and without any validity. 4221914 For verification of the authority of this Power you may call (713)812-0800 on any business day between 830 AM and 5:00 PM CST Markel Insurance Company i CONSENT �F SURETY COMPANY TO FINAL PAYMENT O WNER ARCHITECT CONTRACTOR SURETY AIA DOCUMENT G707 Bond No. 200Q338 OTHER PROJECT: Water, Sewer, Paving and Storm Drain Improvements to Serve Cook Children's Medical Center Health and Community Center TO (Owner) Cook Children's Medical Center 80l 7`�' Avenue Fort Worth, TX 76104 ARCHITECT'S PROJECT NO: CONTRACT FOR: Construction CONTRACT DATE: December 7, 2023 CONTRACTOR: J.T. Vaughn Construction, LL 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}. SureTec Insurance Company 2103 CityWest Boulevard, Suite 1300 Houston, TX 77042 on bond of (here insert name and address of Contractor) J.T. Vaughn Construction, LLC 10355 Westpark Drive Houston, TX 77042 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) Cook Children's Medical Center 801 7t�' Avenue Fort Worth, TX 76104 ,CONTRACTOR, , SURETY, , OWNER, as set forth in the said Surety Company's bond. IN WITNESS WHEREOF, the Surety Company has hereunto set its hand this 6th Day of February, 2025 Witness: • (Seal): Michael Garcia SureTec l�asur� Cc,�npa�ty Surety Com ►ny Signature of Auti�nrir. Repr�ese«tative Ashley Coleman, Attorney-in-Fact Title N(�TE: This form is to be used as a companion document to AIA DOCUMENT G706, CONTRACTOR'S AFF[DAVIT OF P.AYMENT OF DEBTS AND CLAIMS, Current Edition AIA DOCUMENT G707 • CONSENT OF SURETY COMPANY TO FINAL PAYMENT • APRIL 1970 EDITION • AIA� �O 1970 • THE AMERICAN INSTITUTC OF ARCHITECTS, 1735 NEW YORK AVE., NW, WASHINGTON, D.C. 20006 POA# 4221914 JOINT LIMITED POWER OF ATTORNEY KNOW ALL MEN BY THESE PRESENTS: That SureTec Insurance Company, a Corporation duly organized and existing unde� the laws of the State of Texas and having its principal office in the County of Harris, Texas and Markel Insurance Company (the "Company"), a corporation duly organized and existing under the laws of the state of Illinois, and having its principal administrative office in Glen Allen, Virginia, daes byihese presents make, constitute and appoint: Marc W. Boots, Vickie Lacy, Richard Covington, Maria D. Zuniga, Joseph R. Aulbert, Ashley Koletar, Ryan Varela, Stephanie Moore Harold, Dylan Young, Ashley Coleman, Melanie Salinas, Jacob Boots Their true and lawful agent(s) and attorney(s)-in-fact, each in their separate capacity if more than one is named above, to make, execute, seal and deliver for and on their own behalf, individually as a surety orjointly, as co-sureties, and as their act and deed any and all bonds and other undertaking in suretyship provided, however, that the penal sum of any one such instrument executed hereunder shalf not exceed the sum of: Fifty Million and 00l104 Dollars {$�0,000,000.00) This Power of Attorney is granted and is signed and sealed under and by the authority of the following Resolutions adopted by the Board of Directors of SureTec Insurance Company and Markel Insurance Company: "RESdLVED, That the President, any Senior Vice President, Vice President, Assistant Vice President, Secretary, Assistant Secretary, Treasurer or Assistant Treasurer and each of them hereby is authorized to execute powers of attorney, and such authority can be executed by use of facsimile signature, which may be attested or acknowledged by any officer or attorney, of the company, qualifying the attorney or attorneys named in the given power of attorney, to execute in behalf of, and acknowledge as the act and deed of the SureTec Insurance Company and Markel Insurance Company, as the case may be, all bond undertakings and contracts of suretyship, and to affix the corporate seal thereto." IN WITNE55 WHEREOF, Markel Insurance Company and SureTec Insurance Company have caused their official seal to be hereunto affixed and these presents to be signed by their duly authorized officers on the 2oth day of september , 2024 . SureTec Insurance Company sv:!'/ Michael C. Keimig, President State of Texas County of Harris: 4�r'�yRANG�C+ ,�` x 9 `3 w�w b 7� ` 1.....� � �. � � J��7 �RA NC�q � ��; GSEAL �� =�'•., ��ts�� : �: �''��,+*u,�ti+`•• On this 2oth day of septemeer, 2o2a q, D., before me, a Notary Public of the State of Texas, in and for the County of Harris, duly commissioned and qualified, came THE ABOVE OFFICERS OF THE COMPANIES, to me personally known to be the individuals and officers described in, who executed the preceding instrument, and they acknowledged the execution of same, and being by me duly sworn, disposed and said that they are the officers of the said companies aforesaid, and that the seals affixed to the proceeding instrument are the Corporate Seals of said Companies, and the said Corporate Seals and their signatures as officers were duly affixed and subscribed to the said instrument by the authority and direction of the said companies, and that Resolutions adopted by the Board of Directors of said Companies referred to in the preceding instrument is now in force. IN TESTIMONY WHEREOF, I have hereunto set my hand, and affixed my Official Seal at the County of Harris, the day and year first above written. �� JULIE E. MCCLARY , "• �� Notary Public State af Texas �� C = Commission # 12947680-5 BY� „.,`.:' 1 ie E. McClary, Notary Public -' Commission Fxpires March 29, 2026 y commission expires 3/29/2026 We, the undersigned Officers of SureTec Insurance Company and Markel Insurance Company do herby certify that the original POWER OF ATTORNEY of which the foregoing is a full, true and correct copy is still in full force and effect and has not been revoked. IN WITNESS WHEREOF, we have hereunto set our hands, and affixed the Seals of said Companies, on the 6th day of F�E7CU8Cj1 2�25 ur surap� Company Y� I Q � M. 8� ri[ Beaty, A sistant Secretary Any Instrument Issued in excess of the penalty stated above is totally void and without any validity. 4221914 For verification of the authority of this Power you may call (713)812-0800 on any business day between 830 AM and 5:00 PM CST Markel Insurance Company