Loading...
HomeMy WebLinkAboutContract 57853-FP2-FP2 FORT WORTH. City Secretary Contract No. 57853 Date Received 3/26/2025 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 Parkway Logistics Park City Project No.: 103620 Improvement Type(s): Water ❑x Sewer ❑x Original Contract Price: $1,120,749.40 Amount of Approved Change Order(s): Revised Contract Amount: Total Cost of Work Complete: $1,120,749.40 ����v s , M a r 24, 2025 Kvle Sm ith fM a r24. 202512:48 CDTI Contractor Date Project Manager Title The Ridgemont Company Company Name Mar 24, 2025 Hector Montoya arU, 202515:33 CDT) Project Inspector Date M a r 26, 2025 Project Manager Date Mar 26, 2025 Kandir(Mar 26. 202508:49 CDT) CFA Manager Date X.?^�^- M a r 26, 2025 Lauren Prieur (Mar 26, 2025 08:52 CDT) TPW Director Date \ M a r 27, 2025 Asst. City Manager Date OFFICIAL RECORD CITY SECRETARY Page 1 of 2 FT. WORTH, TX Notice of Project Completion Project Name: Heritage Trace Parkway Logistics Park City Project No.: 103620 City's Attachments Final Pay Estimate ❑x Change Order(s): ❑ Yes ❑x N/A Pipe Report: © Yes ❑ N/A Contractor's Attachments Affidavit of Bills Paid Consent of Surety Statement of Contract Time Contract Time: 360 WD Work Start Date: 10/12/2022 Completed number of Soil Lab Test: 1,357 Completed number of Water Test: 18 Days Charged: 427 WD Work Complete Date: 12/13/2024 Page 2of2 FORT WORTH CITY OF FORT WORTH FINAL PAYMENT REQUEST Contract Name HERITAGE TRACE PARKWAY Contract Limits Project Type WATER & SEWER City Project Numbers 103620 DOE Number 3620 Estimate Number 1 Payment Number 1 City Secretary Contract Number Contract Date 7/21/2022 For Period Ending 12/13/2024 WD Contract Time 36WI) Days Charged to Date 427 Project Manager NA Contractor RIDGEMONT COMPANY 1520 W. WALNUT HILL LANE IRVING , TX 75038 Inspectors G.DEYON / H.MONTOYA Contract is 100.00 Complete Friday, March 21, 2025 Page 1 of 5 City Project Numbers 103620 DOE Number 3620 Contract Name HERITAGE TRACE PARKWAY Estimate Number 1 Contract Limits Payment Number 1 Project Type WATER & SEWER For Period Ending 12/13/2024 Project Funding UNIT I: WATER IMPROVEMENTS Item Description of Items Estimated Unit Unit Cost Estimated Completed Completed No. Quanity Total Quanity Total 1 REMOVE 8" WATER LINE 77 LF $20.00 $1,540.00 77 $1,540.00 2 SALVAGE AND RELOCATE 8" BLOW -OFF 1 EA $18,285.00 $18,285.00 1 $18,285.00 VALVE AND VAULT 3 TRENCH SAFETY 3061 LF $0.50 $1,530.50 3061 $1,530.50 4 UTILITY MARKERS 1 LS $4,560.00 $4,560.00 1 $4,560.00 5 20" WATER CARRIER PIPE 120 LF $205.00 $24,600.00 120 $24,600.00 6 DUCTILE IRON WATER FITTINGS 2.52 TN $6,782.50 $17,091.90 2.52 $17,091.90 W/RESTRAINT 7 6" PVC WATER PIPE 173 LF $38.00 $6,574.00 173 $6,574.00 8 12" PVC WATER PIPE 3178 LF $79.00 $251,062.00 3178 $251,062.00 9 FIRE HYDRANT 5 EA $4,061.00 $20,305.00 5 $20,305.00 10 2" WATER SERVICE 4 EA $3,086.00 $12,344.00 4 $12,344.00 11 6" GATE VALVE 5 EA $1,310.00 $6,550.00 5 $6,550.00 12 8" GATE VALVE I EA $1,925.00 $1,925.00 1 $1,925.00 13 12" GATE VALVE 17 EA $2,964.00 $50,388.00 17 $50,388.00 14 12" X 2" TAPPING SLEEVE & VALVE 4 EA $1,425.00 $5,700.00 4 $5,700.00 15 -------------------------------------- 16" X 12" TAPPING SLEEVE & VALVE 1 EA $21,690.00 $21,690.00 1 $21,690.00 Sub-Total of Previous Unit $444,145.40 $444,145.40 UNIT u: SEWER IMPROVEMENTS Item Description of Items Estimated Unit Unit Cost Estimated Completed Completed No. Quanity Total Quanity Total 1 MEDIUM STONE RIPRAP, DDRY 290 SY $65.00 $18,850.00 290 $18,850.00 2 POST -CCTV INSPECTION 2439 LF $1.00 $2,439.00 2439 $2,439.00 3 MANHOLE VACUUM TESTING 15 EA $1,000.00 $15,000.00 15 $15,000.00 4 TRENCH SAFETY 2439 LF $1.00 $2,439.00 2439 $2,439.00 5 UTILITY MARKERS 1 LS $1,875.00 $1,875.00 1 $1,875.00 6 CONCRETE ENCASEMENT FOR UTILITY PIPES 25 CY $85.00 $2,125.00 25 $2,125.00 7 20" SEWER CARRIER PIPE 110 LF $225.00 $24,750.00 110 $24,750.00 8 8" DIP SEWER PIPE 100 LF $135.00 $13,500.00 100 $13,500.00 9 8" PVC SEWER PIPE, 0' TO 6' (MISC ONLY) 2289 LF $100.00 $228,900.00 2289 $228,900.00 Friday, March 21, 2025 Page 2 of 5 City Project Numbers 103620 DOE Number 3620 Contract Name HERITAGE TRACE PARKWAY Estimate Number 1 Contract Limits Payment Number 1 Project Type WATER & SEWER For Period Ending 12/13/2024 Project Funding 10 8" PVC SEWER PIPE, > 15' (MISC ONLY), 1483 LF $145.00 $215,035.00 1483 $215,035.00 SELECT BACKFILL 11 8" SEWER PIPE, CLSM BACKFILL 109 LF $150.00 $16,350.00 109 $16,350.00 12 EPDXY MANHOLE LINER 306 VF $285.00 $87,210.00 306 $87,210.00 13 5' MANHOLE 15 EA $15.00 $225.00 15 $225.00 14 5' EXTRA DEPTH MANHOLE 216 VF $216.00 $46,656.00 216 $46,656.00 15 CONNECT TO EXISTING SANITARY SEWER 1 EA $1,250.00 $1,250.00 1 $1,250.00 LINE -------------------------------------- Sub-Total of Previous Unit -------------------------------------- $676,604.00 $676,604.00 Friday, March 21, 2025 Page 3 of 5 City Project Numbers 103620 DOE Number 3620 Contract Name HERITAGE TRACE PARKWAY Estimate Number 1 Contract Limits Payment Number 1 Project Type WATER & SEWER For Period Ending 12/13/2024 Project Funding Contract Information Summary Original Contract Amount $1,120,749.40 Change Orders Total Contract Price $1,120,749.40 Total Cost of Work Completed $1,120,749.40 Less % Retained $0.00 Net Earned $1,120,749.40 Earned This Period $1,120,749.40 Retainage This Period $0.00 Less Liquidated Damages Days @ / Day LessPavement Deficiency Less Penalty Less Previous Payment Plus Material on Hand Less 15% Balance Due This Payment $0.00 $0.00 $0.00 $0.00 $0.00 $1,120,749.40 Friday, March 21, 2025 Page 4 of 5 City Project Numbers 103620 Contract Name HERITAGE TRACE PARKWAY Contract Limits Project Type WATER & SEWER Project Funding Project Manager NA Inspectors G.DEYON / H.MONTOYA Contractor RIDGEMONT COMPANY 1520 W. WALNUT HILL LANE IRVING, TX 75038 DOE Number 3620 Estimate Number 1 Payment Number 1 For Period Ending 12/13/2024 City Secretary Contract Number Contract Date 7/21/2022 Contract Time 360 " Days Charged to Date 427 WD Contract is .000000 Complete CITY OF FORT WORTH SUMMARY OF CHARGES Line Fund Account Center Amount Gross Retainage Net Funded Total Cost of Work Completed $1,120,749.40 Less % Retained $0.00 Net Earned $1,120,749.40 Earned This Period $1,120,749.40 Retainage This Period $0.00 Less Liquidated Damages 0 Days @ $0.00 / Day $0.00 LessPavement Deficiency $0.00 Less Penalty $0.00 Less Previous Payment $0.00 Plus Material on Hand Less 15% $0.00 Balance Due This Payment $1,120,749.40 Friday, March 21, 2025 Page 5 of 5 PROJECT NAME: PROJECT NUMBER: DOE NUMBER: PIPE LAID WATER CARRIER PIPE C900 PVC C900 PVC FIRE HYDRANTS: 5 PIPE ABANDONED C900 PVC DENSITIES: NEW SERVICES: FORTWORTH TRANSPORTATION AND PUBLIC WORKS PIPE REPORT FOR: HERITAGE TRACE PARKWAY 103620 SIZE 20" 6" 12" SIZE 8" 2" PIPE LAID SIZE SEWER CARRIER PIPE 20" DIP SEWER PIPE 8" SDR-26 PVC 8" SDR-26 PVC, > 15' (MISC ONLY), 8" SELECT BACKFILL SEWER PIPE, CLSM BACKFILL 8" PIPE ABANDONED SIZE N/A DENSITIES: NEW SERVICES: 8" WATER TYPE OF PIPE WATER CARRIER PIPE C900 PVC C900 PVC VALVES (16" OR LARGER) TYPE OF PIPE C900 PVC TAKEN & PASSED WATER SERVICE SEWER TYPE OF PIPE SEWER CARRIER PIPE DIP SEWER PIPE SDR-26 PVC SDR-26 PVC, > 15' (MISC ONLY), SELECT BACKFILL SEWER PIPE, CLSM BACKFILL TYPE OF PIPE TAKEN & PASSED TRANSPORTATION AND PUBLIC WORKS The City of Fort Worth • 1000 Throckmorton Street • Fort Worth, TX 76012-6311 (817) 392 - 7941 • Fax: (817) 392 - 7845 LF 120 173 3178 N/A LF 77 4- EACH LF 110 100 2289 1483 LF 109 2 EACH FORTWORTH. TRANSPORTATION AND PUBLIC WORKS February 12, 2025 THE RIDGEMONT COMPANY 1520 W. WALNUT HILL LANE IRVING, TX 75038 RE: Acceptance Letter Project Name: HERITAGE TRACE PARKWAY LOGISTICS PARK Project Type: WATER, SEWER, PAVING, DRAINAGE AND STREET LIGHTING IMPROVEMENTS City Project No.: 103620 To Whom It May Concern: On December 13, 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 February 7, 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 February 7, 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- 392-6251. Sincerely, Andrew Goodman, Project Manager Cc: Hector Montoya, Inspector Gary Deyon, Inspection Supervisor Edward Davila, Senior Inspector Andrew Goodman, Program Manager HALFF Associates, Inc, Consultant The Ridgemont Company; Wildstone Construction, LLC; Jackson Construction, Ltd., Contractor Crow Holdings Industrial, Developer File E-Mail: Douglas W. Wiersig, P.E., PhD., Director, TPW Richard Martinez, Assistant Director, TPW Marisa Conlin, Traffic Engineering Allen Hall, Superintendent, TPW John Robert Carman, P.E., Director, Water Chris Harder, P.E., Assistant Director, Water Wendy Chi-Babulal, P.E., Water Tony Sholola, P.E., Water Richard Zavala, Director, PARD David Creek, Assistant Director, PARD Rev. 9/15/16 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 Construction, 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; CPN 103620 Heritage Trace Parkway Water, Sewer, Drainage, Paving, and Street Lighting Subscribed and sworn Notary PublI'c County, Stag BY �41 Name or Title on this date 20 of January, 2025. ^� MAUREEN MCf)ot4NELL NatarY Pubfic STATE OF TEXAS 9 10# 12973278,9 �� .mycarom. Mal 3, 2026 1 CONSENT OF OWNER ❑ SURETY COMPANY ARCHITECT ❑ TO FINAL PAYMENT CONTRACTOR ❑ SURETY ❑ AIA DOCUMENT G707 OTHER Bond No. PRF9396393 PROJECT: Heritage Trace Parkway. CFA Project #103620, Ft. Worth TX (name, address) TO (Owner) [ City of Fort Worth ] ARCHITECT'S PROJECT NO: 1000 Throckmorton Street Fort Worth, TX 76102-6312 CONTRACT FOR: [ ] CONTRACT DATE: CONTRACTOR: The Ridgemont Company 1520 W. Walnut Hill Lane Irving, TX 75038-3701 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 & Fidelity and Deposit Company Of Maryland 1299 Zurich Way, 5th Floor , SURETY COMPANY, Schaumburg, IL 60196-1056 on bond of (here insert name and address of Contractor) The Ridgemont Company 1520 W. Walnut Hill Lane Irving, TX 75038-3701 , CONTRACTOR, hereby approves of the final payment to the Contractors, and agrees that final payment to the Contractor shall not relieve the Surety Company of any of its obligations to (here insert name and address of Owner) 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 Attest: (Seal): ,OWNER, day of December 2924 Colonial American Casualty and Surety Company & Fidelity and Deposit Companv Of Mil Surety Company Signature of Authorized Representative Faith Ann Hilty, Attornev-In-Fact Title NOTE: This corm is to be used as a companion document to AIA DOCUMENT G706,, COiNT.RACTOR 'S AFFIDAVIT OF PAYMENT OF DEBTS AND CLAIMS, Current Edition AIA DOCUMENT 0707 • CONSENT OF SURETY COMPANY TO FINAL PAYMENT • APRIL 1970 EDITION • AIAO ONE PAGF, O im •'rHE AMERICAN INSTITUTE OF ARCHITECTS, 1735 New York Ave•,. NW, WA 519INGTON, D.C. 20006 51111111lIf, GyENEVIEVE M. MAISON = ''•m UBLIC, NOTARY PUBLIC BALTIMORECOUWY,MG %,l2ip�t> 'S,� IdyComftsianExpirc,JANUARY27.2025 ' nnn 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 sea], appoint attorneys -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 I, 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 or 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 1 Olh 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 hereafter, wherever appearing upon a certified copy of any power of attorney issued by the Company, shall 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 _ 17#h day of December 2024 . 5 515111l111lff 1155111111l1l I!! 1i+15111if!!lfff ......... �OJ', ;G�yy SNSU !C� ``�o`Qps51 COR7Aa�i ,gyp s, a, •,... Ryq,��f.� m• ' Q4G = ��; QP OR GRq q'•tim p QP09'''..a Al F!f �SEAL'io=�'o - Ex` SEALm` _ SEAL ifE �'''�fff!l1111I15151\5++``` +',,,'!!l�Ill1l 1115115x ``, fflfflll ll ll5l55+�+ i5, � 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 bondvalidator.zurichna.com or 410-559-8790 ZURICH AMERICAN INSURANCE COMPANY COLONIAL AMERICAN CASUALTY AND SURETY COMPANY FIDELITY AND DEPOSIT COMPANY 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, ofthe By -Laws of said Companies, which arc 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., the 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 By -Laws of said Companies, and is now in force. IN WITNESS WHEREOF, the said Vice -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. ,,,,Ip 1131rh44, ,4t Ga5GaI1,Vd �� `,+aulnmrahgry,' ,nvumm�,,, i'O ��J.:rn :`tra •'Q,P Oq,� "F!`s OO°C 4p9,q ;71-'� USI ALrn' "�"{ O ri o _ � voQ P?•o a 3a c n=USEALntg` ,', SEALniaz' ......1!ll ll llt,tt+\+\`+` II I4t1, rr,l......rljjl�+`+` A•I••I Es,r. ZURICH AMERICAN INSURANCE COMPANY COLONIAL AMERICAN CASUALTY AND SURETY COMPANY FIDELITY AND DEPOSIT COMPANY OF MARYLAND By: Robert D. Murray Vice President By: Dawn E. 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 Stale 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 ofsame, 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 TESTIMONY WI -IL -RE -OF, 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 bondvalidator.zurichna.com or 410-559-8794 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. "ISO IMPORTANTE Para obtener informaci6n o para presentar una queja: Usted puede Ilamar al numero de tel6fono gratuito de Zurich North America's para obtener informaci6n o para presentar una queja al: 1-800-382-2150 Usted puede comunicarse con el Departamento de Se- guros de Texas para obtener informaci6n sabre com- pahlas, 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 reclemaci6n, usted debe comunicarse con la companla 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 propasitos informativos y no se con- vierte en parte o en condicion del documento adjunto. U-GU-296-E (06115) Page 1 of 1