HomeMy WebLinkAboutContract 59086-FP1-FP1
City Secretary 59086
Contract No.
FORTWORTH.
Date Received 6/12/2025
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: Callville Place Ph. II Hughes House
City Project No.: 103819
Improvement Type(s): ❑x Paving ❑ Drainage ❑ Street Lights ❑ Traffic Signals
Original Contract Price: $862,150.00
Amount of Approved Change Order(s):-$734,097.60
Revised Contract Amount: $128,052.40
Total Cost of Work Complete: $128,052.40
�- 06/11 /2025
Contractor Date
Vice President
Title
Rumsey Construction
Company Name
TroyGarc(tier
06/12/2025
Project Inspector
Date
Mofadage Mohaww9eeh,T E
06/12/2025
Project Manager
Date
06/12/2025
CFA Manager
Date
06/12/2025
Lauren Prieur (Jun 12, 2025ll:30 CDT)
TPW Director
Date
Op�-_'
06/13/2025
Asst. City Manager
Date
OFFICIAL RECORD Page 1 of 2
CITY SECRETARY
FT. WORTH, TX
Notice of Project Completion
Project Name: Callville Place Ph. II Hughes House
City Project No.: 103819
City's Attachments
Final Pay Estimate ❑x
Change Order(s): ❑x Yes ❑ N/A
Contractor's Attachments
Affidavit of Bills Paid
Consent of Surety
Statement of Contract Time
Contract Time: 180 WD Days Charged: 342 WD
Work Start Date: 8/16/2023 Work Complete Date: 3/3/2025
Completed number of Soil Lab Test: 33
Completed number of Water Test: 6
Page 2 of 2
FORT WORTH
CITY OF FORT WORTH
FINAL PAYMENT REQUEST
Contract Name CAVILE PLACE - PHASE H - HUGHES HOUSE
Contract Limits
Project Type PAVING IMPROVEMENTS
City Project Numbers 103819
DOE Number 3819
Estimate Number 1 Payment Number 1 For Period Ending
City Secretary Contract Number
Contract Date
Project Manager NA
Contractor RUMSEY CONSTRUCTION, LLC
6617 VILLAGE SPRINGS DRIVE
PLANO , TX 75024
Inspectors W. MILLER / R. WALLACE
Contract Time
Days Charged to Date
Contract is 100.00
3/3/2025
WD
18"
342
Complete
Monday, March 3, 2025 Page 1 of 4
City Project Numbers 103819 DOE Number 3819
Contract Name CAVILE PLACE - PHASE H - HUGHES HOUSE Estimate Number I
Contract Limits Payment Number 1
Project Type PAVING IMPROVEMENTS For Period Ending 3/3/2025
Project Funding
UNIT III- PAVING IMPROVEMENTS
Item Description of Items
Estimated Unit
Unit Cost
Estimated
Completed
Completed
No.
Quanity
Total
Quanity
Total
---------------------------------------
1 REMOVE CONCRETE DRIVE
3650 SF
$5.00
$18,250.00
3650
$18,250.00
2 REMOVE ASPHALT PVMT (CO#1)
240 SY
$45.00
$10,800.00
240
$10,800.00
3 10' WIDE ASPHALT PVMT REPAIR,
0 LF
$360.00
$0.00
0
$0.00
RESIDENTIAL (CO#1),(CO#2)
4 TRAFFIC CONTROL 1 MO $15,000.00 $15,000.00 1 $15,000.00
5 10' WIDE ASPHALT PVMT REPAIR, 720 LF $116.67 $84,002.40 720 $84,002.40
RESIDENTIAL (CO#2)
Sub -Total of Previous Unit $128,052.40 $128,052.40
---------------------------
Monday, March 3, 2025 Page 2 of 4
City Project Numbers 103819
Contract Name CAVILE PLACE - PHASE H - HUGHES HOUSE
Contract Limits
Project Type PAVING IMPROVEMENTS
Project Funding
Contract Information Summary
Original Contract Amount
Change Orders
Change Order Number 1
Change Order Number 2
Total Contract Price
DOE Number 3819
Estimate Number 1
Payment Number I
For Period Ending 3/3/2025
$862,150.00
($792,900.00)
$58,802.40
$128,052.40
Total Cost of Work Completed $128,052.40
Less % Retained $0.00
Net Earned $128,052.40
Earned This Period $128,052.40
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
$128,052.40
Monday, March 3, 2025 Page 3 of 4
City Project Numbers 103819
Contract Name CAVILE PLACE - PHASE H - HUGHES HOUSE
Contract Limits
Project Type PAVING IMPROVEMENTS
Project Funding
Project Manager NA
Inspectors W. MILLER / R. WALLACE
Contractor RUMSEY CONSTRUCTION, LLC
6617 VILLAGE SPRINGS DRIVE
PLANO , TX 75024
DOE Number 3819
Estimate Number 1
Payment Number 1
For Period Ending 3/3/2025
City Secretary Contract Number
Contract Date
Contract Time 180 WD
Days Charged to Date 342 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 $128,052.40
Less % Retained
$0.00
Net Earned
$128,052.40
Earned This Period S128,052.40
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
$128,052.40
Monday, March 3, 2025 Page 4 of 4
REVIEWED
By Arash Emami Saleh at 10:58 am, Aug 22, 2023
DEVELOPER -AWARDED -PROJECT CHANGE ORDER
,PROJECT NAME: CAVILE PLACE - PAHSE II - HUGHES HOUSE I CHANGE
CONTRACT: WATER AND SEWER ORDER No:
,CFA# 22-0054 , CITY PARTICIPATION: NO
CITYPROJECT# 103819 1
IFID # 30114-0200431-103819-EO7685
(FILE # X-27160
INSPECTOR: ADAM PAYAN Phone No: 682-225-9106
PROJECT MANAGER: ARASH EMAMI SALEH Phone No: 817-392-2373
CONTRACT UNIT
WATER SEWER PAVING DRAINAGE , STREET LIGHTS CONTRACT
Developer +tDeveloper DAYS
Devefapor Cost City Coat Developer Coat1V Coat Developer Coat Cosl Ckty Goat ,Cos[ City Coat
,ORIGINAL CONTRACT $566.411.00 $0,00- $53.913.00 �50,00 S862,150.00 $0.00 $0.00 $0.00 $0.00 180
,EXTRAS TO DATE �_.
(CREDITS TO DATE
CONTRACT TO DATE $566,411.00 $0.00 $53.913.01) $862,150.00 $0.00 $0.00 180
(AMOUNT OF PROP, CHANGE ORDER ($326,558.001 ow-_ p8 T92,00.00)
I4REVISEDCONTRACTAMOUNT $259.853.00 $0.00 $53.913.00 $(LN $59.250.00 $0.00 $0.00 180
TOTAL REVISED CONTRACT AMOUNT
PER UNIT $259,853.00 $53,913A $69.250.00 $0.00 $0.00
REVISED COST SHARE Day. Cost: $383,016.00 City C -
TOTAL REVISED CONTRACT $383,016.00
Revised: 10-12.2011 Page 1
REVIEWED
By Arash Emami Saleh at 10:58 am, Aug 22, 2023
You are directed to make the fallowing changes in the Contract dorumehtS
PAY ITEM #
CITY BID ITEM 6 QUANTITY
UNIT
ITEM DESCRIPTION
I UNIT PRICE I
TOTAL I
UNIT I: WATER IMP89WlaRMS
1
0241.1012
-56
LF
REMOVE 6" WATERLINE
$ 34.00
3
3305.6109
1595
LF
TRENCHSAPETY
$ 1.00�
$
(1,595.OD}{
4
33t1.0001
-2.19
TON
DUCTILE IRON WATER FITTINGS W1 RESTRAINT
$ 4.600.00
$
0 5140y1
7
3311.0261
-t220
LF
8" PVC WATER PIPE
$ 135.00
$
(162.260.00)J
8
3311.04fi5
-375
LF
12" PVC WATER PIPE
$ 226.00
$
(841750.00)1
9
3312.000,
-1
EA
FIRE HYDRANT
5 9,OOQ00 $
(0'000.00){
10
3312,0002
-10
EA
WATER SAMPLING STATION
S 2.727.00 $
(27,270.00)�
11
3312-0117
-2
EA
CONNECTION TO EXISTING 4"-12" WATER MAIN
S 4,886,00 $
(9,770.00)I
46
3312.3002
-1
EA
6"GATEVALVE
S 1.977.00 $
(1,977.00){
17
3312.3003
-1
EA
8" GATE VALVE
$ 2,691.00 $
(2.691.00){
18
3312.3c05
-3
EA
f2"GATEVALVE
$ 4,943.00 S
(14,829A0){
TOTAL UNR I: WATER IMPROVEMENTS:
$
1326,558.c0)I
UNtC III: PAVING IMPROVEMENTS
$ 45.00i$
(116,100,00)l
2
024111o0
-2500
SY
REMOVE ASPHALT PVMT
3
I 3240 0117 I
-1880 1
LF
10, WIDE ASPHALT PVMT REPAIR, RESIDENTAL
$ 360.001 $
(676,800.00){
TOTAL, UNIT III: PAVING IMPROVEMENTS:
$
(792,900.00 {
TOTAL
I $
(1.119.458.001
REASONS FOR CHANGE ORDER
Some wager Imprgvmenets removed to the contract per developers request to change phasing ofproject. Changes correspond to Revision No. 1
as shown on sheets 4, 9, 11-13,
20, and 23 of the construction plans.
RECOMMENDED:
kBy:
Nama: TVler wtt
Title : Engineer
APPROVED:
n/1cConaack Bar/o/(�y�\)Salazar Development Inc.
By:
Name: Mike Saunders
TNe: Partner
APPROVED:
By:
Nama: S��O�
Title: BLOCK Representative
Page 2
Revised: 10-12-2011
REVIEWED
By Arash Emami Sa/eh at 4:31 pm, Jul 30, 2024
DEVELOPER -AWARDED -PROJECT CHANGE ORDER
PROJECT NAME:
CAVILE PLACE - PAHSE II - HUGHES HOUSE
I CHANGE
CONTRACT:
WATER AND SEWER
ORDER No:
ICFA #
22-0054 I
CITY PARTICIPATION:( NO
ICITY PROJECT #
103819
IFID #
30114-0200431-103819-EO7685
2
FILE #
X-27160
I
INSPECTOR:
ADAM PAYAN
Phone No:
682-225-9106
PROJECT MANAGER:
ARASH EMAMI SALEH Phone No:
817-392-2373
CONTRACT UNIT
I
WATER
SEWER
PAVING
DRAINAGE
STREET LIGHTS I
CONTRACT
Developer
Developer
DAYS
Developer Cost
City Cost Developer
Cost
City Cost
Developer Cost
City Cost
Cost
City Cost
Cost
City Cost
(ORIGINAL CONTRACT
$586,411.00
$0.00
$53,913.00
$0.00
$862,150.00
$0.00
$0.00
$0.00
$0.00
$0.00
180 I
IEXTRAS TO DATE
ICREDITS TO DATE
$326,558.00
$792,900.00
I
ICONTRACT TO DATE
$259,853.00
$0.00
$53,913.00
$0.00
$69,250.00
$0.00
$0.00
$0.00
$0.00
$0.00
180 I
(AMOUOF PROP. CHANGE ORDER
$ 58,802.40
I
UNT
UNIT
$259,85$2
$0.00
$53.913E53,913.00 00
E0.00
$126.OSE'28052.g0
E0.00
E0.00
$0.00
$0.00
$0.00
160 I
1 c�
I�TAtR�UNiRACT AMOUNT
ER
9853.00
$0.00
E0.00
REVISED COST SHARE
Dev. Cost:
$441,818.40
City Cost:
$0.00
TOTAL REVISED CONTRACT
$441,818.40
Revised: 10-12-2011 Page 1
REVIEWED
By Arash Emami Sa/eh at 4:31 pm, Jul 30, 2024
are directed to make the followina chances in the com ,t documents:
IYou
PAY ITEM#
I CITYBID ITEM# QUANTITY I UNIT
I ITEM DESCRIPTION
I UNIT PRICE I
TOTAL
1
UNIT III: PAVING IMPROVEMENTS
1
I 3
3201.0117 -70 LF
10' WIDE ASPHALT PVMT REPAIR, RESIDENTAL
$ 36000 $
(25,200.00)1
I 5'
3201 0117 720 LF
I I
I 10' WIDE ASPHALT PVMT REPAIR, RESIDENTAL
$ 116.67 $
I
84,002.401
1
TOTAL UNIT III: PAVING IMPROVEMENTS:
$
58,802401
1
TOTAL
1 $
58,802 40 1
REASONS FOR CHANGE ORDER
Some water improvmenets removed to the contract per developer's request to change phasing of project. Changes correspond to Revision No.
1 as shown on sheets 4, 9, 11-
13, 20, and 23 of the construction plans.
RECOMMENDED:
By: rv1'wY`
Name: Tvler ScottScott
Title: Enaineer
APPROVED
By -
Name: Mike Saunders
Title: Partner
APPROVED:
By
Name
PJ Simos
Title:
BLOCK Renmsentatl—
Revised: 10-12-2011 Page 2
FORTWORTH.
TRANSPORTATION AND PUBLIC WORKS
March 3, 2025
Rumsey Construction
4329 Reeder Dr
Carrolton, TX 75010
RE: Acceptance Letter
Project Name: Caville Place Ph.11 Hughes House
Project Type: Water and Wastewater
City Project No.: 103819
To Whom It May Concern:
On February 28, 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 3, 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 3, 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-
392-2423.
Sincerely,
MoJadageMOhawwn (een,T.E
Mosadage Mohammdeen, Project Manager
Cc: Jesse Cervantes, Inspector
Troy Gardner, Inspection Supervisor
Ariel Duarte, Senior Inspector
Andrew Goodman, Program Manager
Kimbley Horn, Consultant
Rumsey Construction, Contractor
McCormak Baron Salazar Developer Inc., Developer
File
E-Mail: TPW_Acceptance@fortworthtexas.gov
Signature:
Signature:
Email: jesica.mceachern@fortworthtexas.gov Email: allison.tidwell@fortworthtexas.gov
Rev.8/20/19
AFFIDAVIT
STATE OF TEXAS
COUNTY OF DENTON
Before me, the undersigned authority, a notary public in the state
and county aforesaid, on this day personally appeared David Hutchinson,
Vice President Of Rumsey Construction, Inc., 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 103519 Callville Place Phase 2 Hughes House - Paving
Improvements.
BY
David Hutchson, VP
Subscribed and sworn before me on this date 1 I th of June„ 2025,
NANCY WEST
iVotary Public, State of Texas
'ems +ec Comm, Expires 05-17-2028
Notary Public Notary ID 1994783
.,�f�o it,�`�
Denton County, exas
CONSENT OF OWNER ❑
SURETY COMPANY ARCHITECT ❑
TO FINAL PAYMENT CONTRACTOR®
SURETY ❑
(SIMILAR TO AIA DOCUMENT G707) OTHER ❑ Bond No. 4484756
PROJECT:
Hughes House Phase I Public Improvements: Wet Utilities
(name, address)
TO (Owner)
McCormack Baron Salazar Development, Inc.
100 N. Broadway, Suite 100
Saint Louis, MO 63102
ARCHITECT'S PROJECT NO:
CONTRACT FOR: Construction
CONTRACT DATE:
CONTRACTOR:
Block WT Hughes House GC Joint Venture
39279 Tommy Moore Rd
Gonzales, LA 70737
In accordance with the provisions of the Contract between the Owner and the Contractor as indicated above, the
Markel Insurance Company, SURETY COMPANY,
on bond of
Block WT Hughes House GC Joint Venture CONTRACTOR,
hereby approves of the final payment to the Contractor, and agrees that the final payment to the Contractor shall not relieve
the Surety Company of any of its obligations to
McCormack Baron Salazar Development, Inc., OWNER,
As set forth in the said Surety Company's bond.
IN WITNESS WHEREOF,
The Surety Company has hereunto set its hand day this 28th Day of May, 2025
Markel Insurance Company
Surety Company
Attest: ` John D. Hampton, Attorney -in -fact
Note: This tbrm is intended to be used as a companion document to the Contractor's Affidavit of Payment of Debts and Claims, Current Edition
POAtt 1810030
JOINT LIMITED POWER OF ATTORNEY
KNOW ALL MEN BY THESE PRESENTS: That SureTec Insurance Company, a Corporation duly organized and existing under 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, does by these presents make, constitute and appoint:
Johnny D. Hampton
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 or jointly, 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 shall not exceed the sum of:
Fifty Million and 00/100 Dollars ($50,000,000.00)
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 Directo rs of SureTec
Insurance Company and Markel Insurance Company:
"RESOLVED, 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 WITNESS 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 23rd day of January , 2023 .
SureTec Insurance Company RAN �.�'RgH�r�r, Marke surance mpany
UPS X ....,cF
m. 0.
W �g SEAL 'r'= By. iA� ` 1 5 4Ti4`' By:
Michael C. Keimig, President * '�`` ndey Tenn' g , Vice President
State of Texas M
County of Harris:
On this 23rd day of January , 2023 A. 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 J1n�
�wl~ �` Notary Public State of Texas By: V V c
Commission # 12947680-5 IMcommission
McClar Notary Public
Y, Y
°F�" Commission FApires March 29,202 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. / �l
IN WITNESS WHEREOF, we have hereunto set our hands, and affixed the Seals of said Companies, on the ` day of
Rnsur Co any i Markel Insurance Company
a
By: By: I i
M. Brent Beaty, Assistant Secretary Andre Marquis, Assista ecretav�
Any Instrument Issued in excess of the penalty stated above is totally void and without any validity. 1810030
For verification of the authority of this Power you may call (713)812-0800 on any business day between 8:30 AM and 5:00 PM CST.
I 11 •l► rex,01mn
SECTION 00 62 19
0062 19- 1
MAINTENANCE BOND
Pagel of 3
2 MAINTENANCE BOND
3
4 THE STATE OF TEXAS §
5 § KNOW ALL BY THESE PRESENTS:
6 COUNTY OF TARRANT §
7
8 That we Block WT Hughes House GC Joint Venture ,known as
9 "Principal" herein and Markel Insurance Company , a corporate surety
10 (sureties, if more than one) duly authorized to do business in the State of Texas, known as
11 "Surety" herein (whether one or more), are held and firmly bound unto the Developer, Fort Worth
12 Housing Solutions, authorized to do business in Texas ("Developer") and the City of Fort Worth,
13 a Texas municipal corporation ("City"), in the sum
14 of Two Million Nine Thousand Seven Hundred Seventy -One and 92/100 Dollars ($ 2,009,771 .92
15 lawful money of the United States, to be paid in Fort Worth, Tarrant County, Texas, for payment
16 of which sum well and truly be made jointly unto the Developer and the City as dual obligees and
17 their successors, we bind ourselves, our heirs, executors, administrators, successors and assigns,
18 jointly and severally, firmly by these presents.
19
20 WHEREAS, Developer and City have entered into an Agreement for the construction of
21 community facilities in the City of Fort Worth by and through a Community Facilities
22 Agreement, CFA Number 22-0054; and
23 WHEREAS, the Principal has
'entered into a certain written contract with the Developer
24 awarded the 'n
day of v v tlr,L{ _ . 2005, which Contract is
25 hereby referred to and a made part hereof for all purposes as if fully set forth herein, to furnish all
26 materials, equipment labor and other accessories as defined by law, in the prosecution of the
27 Work, including any Work resulting from a duly authorized Change Order (collectively herein,
28 the "Work") as provided for in said Contract and designated as Public Water and Wastewater
29 Improvements to Serve Cavile Place — Phase II— Hughes House; and
30
31 WHEREAS, Principal binds itself to use such materials and to so construct the Work in
32 accordance with the plans, specifications and Contract Documents that the Work is and will
33 remain free from defects in materials or workmanship for and during the period of two (2) years
34 after the date of Final Acceptance of the Work by the City ("Maintenance Period"); and
CITY OF FORT WORTH Public Water and Wastewater 1urp,ovements to Serve Cavile Place — Phase H— Hughes House
STANDARD CONSTRUCTION SPECIFICATION DOCUMENTS — DEVELOPER AWARDED PROJECTS CPN: 103819
Revised January 31, 2012
1
2
3
4
5
6
7
8
9
10
11
12
13
14
15
16
17
18
19
20
21
22
23
24
006219-2
MAINTENANCE BOND
Page 2 of 3
WHEREAS, Principal binds itself to repair or reconstruct the Work in whole or in part
upon receiving notice from the Developer and/or City of the need thereof at any time within the
Maintenance Period.
NOW THEREFORE, the condition of this obligation is such that if Principal shall
remedy any defective Work, for which timely notice was provided by Developer or City, to a
completion satisfactory to the City, then this obligation shall become null and void; otherwise to
remain in full force and effect.
PROVIDED, HOWEVER, if Principal shall fail so to repair or reconstruct any timely
noticed defective Work, it is agreed that the Developer or City may cause any and all such
defective Work to be repaired and/or reconstructed with all associated costs thereof being borne
by the Principal and the Surety under this Maintenance Bond; and
PROVIDED FURTHER, that if any legal action be filed on this Bond, venue shall lie in
Tarrant County, Texas or the United States District Court for the Northern District of Texas, Fort
Worth Division; and
PROVIDED FURTHER, that this obligation shall be continuous in nature and
successive recoveries may be had hereon for successive breaches.
CITY OF FORT WORTH Public Water and bVastewater Improvements to Serve Cavile Place — Phase H— Hughes House
STANDARD CONSTRUCTION SPECIFICATION DOCUMENTS — DEVELOPER AWARDED PROJECTS CPN. 103819
Revised January 31, 2012
006219-3
MAINTENANCE BOND
Page 3 of 3
1 IN WITNESS WHEREOF, the Principal and the Surety have each, SIGNED and SEALED this
2 instrument by duly authorized agents and officers on this the �'i {k day of
3 20 Z5.
5 PRINCIPAL:
6 Block WT Hughes House GC Joint Venture
7
9 BY:��
10 Signature
11 A S
13
144� --(Prig 'p` Secr�{ary I Na! an&itle
15
16 Address: sqZq _ 7e- teftZ
17 G-row�
18
19
20 *itness as to Principal
21 SURETY:
22 Markel Insurance Company
23
24 -
25 BY:
26 gnature
27
28 Johnny D Hampton, Attorney -in -fact
29 A Name and Title
30
31 Address: 9270 Sieqen Lane Ste 104
32 (Surety) Secretary Baton Rouoe La 70810
33
34
35 Witness as to Surety Telephone Number: 228-768-1313
36
37 *Note: If signed by an officer of the Surety Company, there must be on file a certified extract
38 from the by-laws showing that this person has authority to sign such obligation. If
39 Surety's physical address is different from its mailing address, both must be provided.
40
41 The date of the bond shall not be prior to the date the Contract is awarded.
42
CITY OF FORT WORTH Public Water and Wastewater Improvements to Serve Cavile Place — Phase II— Hughes House
STANDARD CONSTRUCTION SPECIFICATION DOCUMENTS — DEVELOPER AWARDED PROJECTS CPN. 103819
Revised January 31, 2012
POA# 1810030
JOINT LIMITED POWER OF ATTORNEY
KNOW ALL MEN BY THESE PRESENTS: That SureTec Insurance Company, a Corporation duly organized and existing under 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, does by these presents make, constitute and appoint:
Johnny D. Hampton, Diana Sartwell
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 or jointly, 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 shall not exceed the sum of:
In Unlimited Amounts
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:
"RESOLVED, 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 WITNESS 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 301h day of August , 2024 .
SureTec Insurance Company FLAN U�V cF0 Markel s ance Co any
SEAL
By: J�� �s , 1 f �c '.y' �iT{4` '• Y' By tt —
Michael C. KepAg, President *, ����nrriitt�s`sss` ir>/deyJennin ice President
State of Texas
County of Harris:
On this 30th day of August , 2024 A. 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. ``,,l, r 11 iTt 1t ��r r,I/
IN TESTIMONY WHEREOF, I have hereunto set my hand, and affixed my Officijl� �foVarris, the day and year first above written.
(n By:
(P ,}Q Chelsea Turner, Notary Public
�i My commission expires 7/6/2028
,6E OF���•�.•
13250; , X
We, the undersigned Officers of SureTec Insurance Company and Markel InS%dW 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 n8011 erQ 0-4
IN WITNESS WHEREOF, we have hereunto set our hands, and affixed the Seals of said Companies, on the day of
ureTec Insurance Company Markel Insurance Company
By: By: I ��
M. Brent eaty, Assistant Secretary Adrew Marquis, Assistan I cretary
Any Instrument Issued in excess of the penalty stated above is totally void and without any validity. 1810030
For verification of the authority of this Power you may call (713)812-0800 on any business day between 8:30 AM and 5:00 PM CST.