HomeMy WebLinkAboutContract 60750-FP2-FP2
City Secretary 60750 Contract No. ______ _
fORTWORTH® Date Received 3•7•2025
03/11/2025
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): � Paving � Drainage □Street Lights
Original Contract Price: $257,242.81
Amount of Approved Change Order(s): $0.00
Revised Contract Amount:
Total Cost of Work Complete:
t{/&µn, f3'. � William B. Lehmkuhl (Mar 7. 202514:33 CST)
Contractor
Project Manager
Title
JT Vaughn Construction, LLC
Company Name
Sti :Peddibhotta Sri Peddibhotla (Mar 7. 202515:07 CST)
Project Inspector
:SM-w,t., f=
Project Manager
,J4q Kandice Memck (Mar 7 202516:04 CST:
CFA Manager ;e_,.,?n.:..... Lauren Prieur (Mar 7, 202516:12 CST)
TPW Director
Asst. City Manager
$0.00
$257,242.81
Mar 7, 2025
Date
Mar 7, 2025
Date
Mar 7, 2025
Date
Mar 7, 2025
Date Mar 7, 2025
Date
Mar 10, 2025
Date
□Traffic Signals
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): ❑ Yes 0 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 DRAINAGE
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 4
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 DRAINAGE For Period Ending 1/17/202�
Project F+unding
UNIT III: DRAINAGE IMPROVEMENTS
Item Description of Items
No.
1 10' WIDE ASPHALT PVMT REPAIR, ARTERIAL
2 ASPHALT PVMT REPAIR BEYOND DEFINED
WIDTH, PVMT REPAIR,
Estimated Unit Unit Cost Estimated Completed Completed
Quanity Total Quanity Total
174 LF $434.00 $75,516.00 174 $75,516.00
37 SY $381.00 $14,097.00 37 $14,097.00
3 TRENCH SAFETY 174 LF $5.00 $870.00 174 $870.00
4 21" RCP, CLASS 45 LF $315.00 $14,175.00 45 $14,17�.00
5 24" RCP, CLASS 136 LF $359.00 $48,824.00 136 $48,824.00
6 4' STORM JLTNCTION BOX 2 EA $9,707.00 $19,414.00 2$19,414.00
7 21" PRESSURE PLUG 1 EA $820.00 $820.00 1 $820.00
Sub-Total of Previous Unit $173,716.00 $173,716.00
LTNTI' IV: PAVING IMPROVEMENTS
Item Description of Items
No.
1 REMOVE ADA RAMP
2 REMOVE CONC CURB& GUTTER
3 4" CONC SIDEWALK
4 8" CONCRETE DRNEWAY
6 BARRIER FREE RAMP, TYPE R-1
7 REMOVE AND REINSTALL SIGN PANEL &
POST
Estimated Unit Unit Cost Estimated Completed Completed
Quaniry Total Quanity Total
1 EA $847.00 $847.00 1 $847.00
112 LF $10.00 $1,120.00 112 $1,120.00
4623 SF $11.36 $�2,517.28 4623 $52,517.28
1601 SF $9.53 $1�,257.53 1601 $15,257.53
1 EA $1,485.00 $1,485.00 1 $1,485.00
1 EA $300.00 $300.00 1 $300.00
8 TRAFFIC CONTROL 4 EA $3,000.00 $12,000.00 4 $12,000.00
Sub-Total of Previous Unit $83,526.81 $83,526.81
Thursday, March 6, 2025 Page 2 of 4
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 PAVING For Period Ending 1/17/202�
Project F+unding
Contract Information Summary
Original Contract Amount
Change Orders
Total Cost of Work Completed $257,242.81
Less % Retained $0.00
Net Earned $257,242.81
Earned This Period $257,242.81
Retainage This Period $0.00
Less Liquidated Damages
Days @ / Day
LessPavement Deficiency
Less Penalty
Less Previous Payment
Plus Material on Hand Less 15%
Total Contract Price
$257,242.81
$257,242.81
$0.00
$0.00
$0.00
$0.00
$0.00
$257,242.81
Balance Due This Payment
Thursday, March 6, 2025 Page 3 of 4
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 PAVING 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 $257,242.81
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
$257,242.81
$0.00
$257,242.81
$0.00
$0.00
$0.00
$0.00
$0.00
$257,242.81
Thursday, March 6, 2025 Page 4 of 4
FORTVVORTH�
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: 03, 04
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,
5lr��.,���ti
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