HomeMy WebLinkAboutContract 59328-FP2-FP2City Secretary
Contract No._5_93_2_8 ___ _
FORT WORTH® Date Received lO/l0/2025
�--...... _,
NOTICE OF PROJECT COMPLETION
(Developer Projects)
10/17/2025
The Transportation and Public Works Department upon the recommendation of the Project
Manager has accepted the following project as complete:
Project Name: Baylor Scott and White Al l Saints
City Project No.: 104199
Improvement Type(s): Water� Sewer�
Original Co ntract Pric e: $538,212.90
Amo unt of Appro ved Change Order(s): $12,704.30
Revised Co ntrac t Amo unt : $550,917.20
To tal Co st of Work Co mplete: $550,917.20
dmanda 1homas 10/10/2025
Amanda Thomas (Oct 10 2025 09:48:08 CDTJ
Contractor Date
Sr. Project Manager
Title
DPR Co nstruction
Company Name
Aud Dt:LdAft 10/10/2025
Project Inspector Date
1;�,4� Pc 10/10/2025
Project Manager Date
10/10/2025
CFA Manager Date
�-7~_,._ 10/10/2025
Lauren Prieur (Oct 10, 202514:48:26 CDT)
TPW Director Date
10/13/2025
As st. City Manager Date
Page 1 of 2
Notice of Project Completion
Project Name: Baylor Scott and White All Saints
City Project No.: 104199
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: 210 WD Days Charged: 331 WD
Work Start Date: 9/11/2023 Work Complete Date: 5/27/2025
Completed number of Soil Lab Test: 197
Completed number of Water Test: 4
Page 2 of 2
CITY OF FORT WORTH
Contract Name BAYLOR SCOTT & WHITE ALL SAINTS
Contract Limits
Project Type WATER & SEWER
DOE Number 4199
Estimate Number 1 Payment Number 1 For Period Ending 5/27/2025
FINAL PAYMENT REQUEST
City Secretary Contract Number
331
WD
Contract Date
DPR CONSTRUCTION
NA
9606 N MOPAC EXPRESSWAY STE 300
AUSTIN TX 78759
T. GARDNER CERVANTES
210WDContract Time
Days Charged to Date
CompleteContract is 100.00
Contractor
,
/Inspectors
Project Manager
City Project Numbers 104199
Friday, August 8, 2025 Page 1 of 5
Contract Name BAYLOR SCOTT & WHITE ALL SAINTS
Contract Limits
Project Type WATER & SEWER
DOE Number 4199
Estimate Number 1
Payment Number 1
For Period Ending 5/27/2025
Project Funding
City Project Numbers 104199
UNIT I: WATER IMPROVEMENTS
Item
No.Description of Items Estimated
Quanity Unit Unit Cost Estimated
Total
Completed
Quanity
Completed
Total
1 4"-12" PRESSURE PLUG 2 EA $600.00 $1,200.00 2 $1,200.00
2 TRENCH SAFETY 80 LF $1.00 $80.00 80 $80.00
3 DUCTICLE IRON WATER FITTINGS W/
RESTRAINT
0.38 TN $20,250.00 $7,695.00 0.38 $7,695.00
4 4" WATER PIPE 30 LF $362.00 $10,860.00 30 $10,860.00
5 6" WATER PIPE 10 LF $440.00 $4,400.00 10 $4,400.00
6 8" WATER PIPE 34 LF $419.00 $14,246.00 34 $14,246.00
7 CONNECTION TO EXISTING 4"-12" WATER
MAIN
2 EA $7,150.00 $14,300.00 2 $14,300.00
8 4" WATER METER AND VALT 1 EA $38,000.00 $38,000.00 1 $38,000.00
9 6" GATE VALVE 1 EA $1,900.00 $1,900.00 1 $1,900.00
10 8" GATE VALVE 1 EA $2,625.00 $2,625.00 1 $2,625.00
$95,306.00 $95,306.00Sub-Total of Previous Unit
UNIT II: SEWER IMPROVEMENTS
Item
No.Description of Items Estimated
Quanity Unit Unit Cost Estimated
Total
Completed
Quanity
Completed
Total
1 REMOVE 8" SEWER LINE 79 LF $139.00 $10,981.00 79 $10,981.00
2 REMOVE 4" SEWER MANHOLE 1 EA $775.00 $775.00 1 $775.00
3 POST-CCTV INSTPECTION 880 LF $2.50 $2,200.00 880 $2,200.00
4 MANHOLE VACUMM TESTING 8 EA $250.00 $2,000.00 8 $2,000.00
5 TRENCH SAFETY 876 LF $1.00 $876.00 876 $876.00
6 CONCRETE COLLAR 1 EA $850.00 $850.00 1 $850.00
7 TRENCH WATER STOPS (CO#1)5 EA $1,150.00 $5,750.00 5 $5,750.00
8 IMPORTED EMBEDMENT/BACKFILL, CSS
(CO#1)
11.14 CY $30.00 $334.20 11.14 $334.20
9 20" CASING BY OPEN CUT 74 LF $249.00 $18,426.00 74 $18,426.00
10 6" SEWER SERVICE, RECONNECTION 1 EA $3,300.00 $3,300.00 1 $3,300.00
11 8" SEWER SERVICE, RECONNECTION 2 EA $3,300.00 $6,600.00 2 $6,600.00
12 8" SEWER PIPE 50 LF $417.00 $20,850.00 50 $20,850.00
13 10" SEWER PIPE 751 LF $319.00 $239,569.00 751 $239,569.00
14 10" DIP SEWER 79 LF $270.00 $21,330.00 79 $21,330.00
Friday, August 8, 2025 Page 2 of 5
Contract Name BAYLOR SCOTT & WHITE ALL SAINTS
Contract Limits
Project Type WATER & SEWER
DOE Number 4199
Estimate Number 1
Payment Number 1
For Period Ending 5/27/2025
Project Funding
City Project Numbers 104199
15 EPOXY MANHOLE LINER 47 LF $410.00 $19,270.00 47 $19,270.00
16 4' MAHOLE 7 EA $10,200.00 $71,400.00 7 $71,400.00
17 4' DROP MAHOLE 2 EA $15,400.00 $30,800.00 2 $30,800.00
18 8" SEWER PLUG 1 EA $300.00 $300.00 1 $300.00
$455,611.20 $455,611.20Sub-Total of Previous Unit
Friday, August 8, 2025 Page 3 of 5
Contract Name BAYLOR SCOTT & WHITE ALL SAINTS
Contract Limits
Project Type WATER & SEWER
DOE Number 4199
Estimate Number 1
Payment Number 1
For Period Ending 5/27/2025
Project Funding
City Project Numbers 104199
Contract Information Summary
Change Orders
$538,212.90Original Contract Amount
$550,917.20Total Contract Price
$550,917.20
Less
Total Cost of Work Completed
% Retained $0.00
Net Earned $550,917.20
Plus Material on Hand Less 15%$0.00
Balance Due This Payment $550,917.20
Less Liquidated Damages
Days @ / Day
$0.00
Less Penalty
LessPavement Deficiency $0.00
$0.00
$0.00Less Previous Payment
Earned This Period
Retainage This Period
$550,917.20
$0.00
1 $12,704.30Change Order Number
Friday, August 8, 2025 Page 4 of 5
Contract Name BAYLOR SCOTT & WHITE ALL SAINTS
Contract Limits
Project Type WATER & SEWER
DOE Number 4199
Estimate Number 1
Payment Number 1
For Period Ending 5/27/2025
Project Funding
City Project Numbers 104199
Line Fund Account Center
Amount
Funded Gross Retainage Net
CITY OF FORT WORTH
SUMMARY OF CHARGES
$550,917.20
Less
Total Cost of Work Completed
% Retained $0.00
Net Earned $550,917.20
Plus Material on Hand Less 15%$0.00
Balance Due This Payment $550,917.20
Less Liquidated Damages
0 Days @ $0.00 / Day $0.00
Less Penalty
LessPavement Deficiency $0.00
$0.00
$0.00Less Previous Payment
Earned This Period
Retainage This Period
$550,917.20
$0.00
City Secretary Contract Number
331
WD
Contract Date
DPR CONSTRUCTION
NA
9606 N MOPAC EXPRESSWAY STE 300
AUSTIN TX 78759
T. GARDNER CERVANTES
210
WD
Contract Time
Days Charged to Date
CompleteContract is 100.000000
Contractor
,
/Inspectors
Project Manager
Friday, August 8, 2025 Page 5 of 5
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34
LF
LF
SEWER
PIPE ABANDONED
TRANSPORTATION AND PUBLIC WORKS
The City of Fort Worth • 1000 Throckmorton Street • Fort Worth, TX 76012-6311
(817) 392 - 7941 • Fax: (817) 392 - 7845
NEW SERVICES:
DENSITIES:
WATER
10'' DIP
10''
50
751
79
LF
79
30
10
SIZE TYPE OF PIPE
SDR26 PVC
8"' SDR26 PVC
SIZE TYPE OF PIPEPIPE LAID
NEW SERVICES:6"(1) SDR26 PVC
SDR26 PVC
DENSITIES:
50
751
10" DIP
10"
FIRE HYDRANTS: VALVES (16" OR LARGER)
LF
PIPE ABANDONED SIZE TYPE OF PIPE
8" SDR26 PVC
TYPE OF PIPE
4" PVC
6" PVC
PIPE LAID
8'' PVC
CITY PROJECT NUMBER:
PROJECT NAME:Baylor Scott and White All Saints
104199
TRANSPORTATION AND PUBLIC WORKS
PIPE REPORT FOR:
SIZE
TRANSPORTATION AND PUBLIC WORKS
August 8, 2025
DPR Construction
3131 McKinney Ave. Suite 200
Dallas, Texas 75204
RE: Acceptance Letter
Project Name: Baylor Scott and White All Saints
Project Type: Water, Sewer, Paving and Street Lights
City Project No.: 104199
To Whom It May Concern:
On June 27, 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 August 8, 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 August 8, 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- .
Sincerely,
Ahmed, Izeldeen, Project Manager
Cc: Ariel Duarte, Inspector
Troy Gardner, Inspection Supervisor
Ariel Duarte, Senior Inspector
Andrew Goodman, Program Manager
Dunaway, Consultant
DPR Construction, Contractor
Baylor Scott & White Health, Developer
File
E-Mail: TPW_Acceptance@fortworthtexas.gov
Rev. 8/20/19
AFFIDAVIT
STATE OF Texas
COLTNTY OF Dallas
Before me, the undersigned authority, a notary public in the state
and county aforesaid, on this day personally appeared Amanda Thomas,
Project Manager Of DPR Construction, A General Partnership, 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;
All Saints Medical Center Garage
. , ��:;
•` � . .:
BY �>x,�..�� -;_�r c_,,...,E..,
F-'
Amanda Thomas
Subscribed and sworn before me on this date 9th of October, 2025.
•`�:>�a.� RENuTAJACKSON
?i;'� �: Notary P blic, 5[ate of Texa9
�'�'•�"'r Comm.Expires08-22-2026
,�1 �� Qc.�f�?-L
�%�,°,�:�'� NotarylD1 3 7 693005
Notary Public
Dallas, Texas
conrsENr o�
SURETY COMPANY
TO F1NAl. PAYMENT
�oniorme w��h th� Amenca� insut�e o�
R�cNtects, WA Dpcumont G7Q7
OWNER ❑
AFiCHIYECi ❑
CONTRRC'�OR ❑
SURETY �]
OTHER ❑
Bona No Q1$233874
PFIOJECi: Water, Sewer. Grading, Paving, & Street Light Improvements to Serve Baylor Scott & White All 5aints
�name, address�
z0 �Ownerl
r`" � ARCH17�C7'S PROJECT NO:
Baylor Scott & White Heaith CONTRACT FQR: Waler, Sewer, Grading, Paving, & 5treet
2401 Soukh 31 st Street Light Improvements ta Serve Baylor ScDtt �& White All Saints
LTempie, TX 765D8 J CON'CRACT DAl'E: May 15, 2023
GOi�TRA�TOR: �PR Construetion
!� aCe4rdnnCo with �e provi�ivae vf the Contrs¢t bccween 1hc Owner and che Coetractor as indEcate� above, thc
p�wf [ru�n rvmr u+d �6C4�a af 9unty Camo�nvl
Liberty Mukual Insurance Company
175 Berkeley Street , Boston, MA 02116
on bond oP R�f7�naartMmeaAdatldt�s+Qf GoMfaO�pl�
, SURETY COMPANY
DPR Constructior�
1450 Veterans BEvd, Redwoad City, CA 94D63
, caNr�cro�,
hercby approvas of thc final payment to the Contract�r, and agrccs that #inal puymant to the Coptr�ciar sh8�1 no! teltavo
the Surety Campany of any af its o61lgations to u+8n �+o�R namo �ne sadro�. � a�e�y
Baylor Sco#t & White Health
24Q1 South 31 st Street , Temple, TX 76508
, ow�u��,
as sa �or�h in the said Surety Company's bond.
iN WlTN�SS. WHEREOF,
thc Surcty Cvmpae� hat hereunto sat its hand this
Attcst: 4�'��`'��/
�g����; Blaice Steinfeldt, Witness
25th doy oi , September, 2025
�JaJ �oswo� �rr
Liberi Mutual lnsurance Com an �- i9iz �
Surery Corngarsy y�,�9ssa�, ,._
�y � `�," /��� �
Signaturc ofAuthorized Ropr�senlative
Doritza Mojica At;ornny-i�•fxt
7itic
�CTE: TN+ (otm b;a bu u�od ae e C�p�9A tlotument to AIA DQCUMENT O7C9. CON7AACTOfI'5 AiFIDAYIi OF PATMENI' GF C A r
Cvrrent Edtlon
ONE PA(i4
_• Libcrty
M�rtual�
SURETY
KNDVYN ALL PERSONS 9Y TiIESE PRE5EHT5: Thal The Ohio Casual�y Insurance Compsny is a corporalion duly arganued under the ia�vs ol the 5tale of New Hampsh�re, ihal
Uberty �,lulual Insurance Company is a caiporation duly organized under Ihe laws of Ihe Slate of Massachusells, and Wes[ Amencan insurance Company is a corporaUon duly
wgan�zed under Ihe laws ot fi�e Stale ol Ind�ana (herein cdleclively cailed Ihe'Compan�es"�, pursuanf to and by auYhonty herein ael ipr�h, does hereby name. conslriula and appanl
Doritza Mojica all of the city o1 San Fra ncisco stale af CA ils true and lewful atlamey-in-fact, with full power and authaity hereby conferted !o a�gn.
axeeule and acknowiedge tl�e following surery bonds, undertakings, recognizances, oonlracts of indemnily, and all other surety obligations relaled Ihereto, �e exeeution of which shall
be bEnding upon Ihe Comparsies as if il had been duly signed and execuEed by its own oKcers:
Princlp�l Nrme: DPR.S.Oil5tfuCtion
pbi;gee r�a,ne; Baylor Scatt 8� White HeaEth
9urety Bond Numher: 0'E82338T4 Bond Amount: 9ee Bond Fam
(�Iyf
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IN WITNESB WHEREOF, 4his Power otAltaney has been subscribed by an authorized ofticar o� otficial 01 the Companies and Ihe corporafe seals of Ihe Compan�es have Deen atfi�ed
IhereEa Ihis 25th day af __ _ 5eptember __ 2025
STATE OF PENNSYLVJWSA ss
COUNTY OF MdNTGQMERY
�l•�u�,�•�t�i•I:�
Liberty Mukual insurance Company
The Ohio Casualty Insurance Company
West American Insurar,ce Company
Liberry Mutual Insurance Company
p4 1NSl/q9 T`SY iHSLq � LN5llq4 The Ohi� Casualty Insurance Carnpany
j 3`aµrva�rp'6� PJ�4pp��uti.* oqyn VP ��Kvop�rF'j'n WeslAme�CdnlnsuranCeCnmpany
Q� i o c�
� 1912 � p 199 9 � s 1991 � •�f�� i( �
� ;f �" � s sr � o d � ! a j _ — . . .
d'� Tar.H.,s`�aD � �hFw1�`�,�aL !s '4n�wnr -0D 0 �
e�7 . *� �S'1 . F� �M . ti� y� - � —
Na€han J Zangerle, A9sistanl Secrelary
On this 2$th day of September 2a25 befure me psrsonally appeared Nalhan J Zangede, who acknowledged hirrt�eff ta be Ihe Assislant Secretary ot Liberfy
Mut€ral In9uranca Cnmpany, The Ohio Casualty Company, and Wesl American Insurance Company. �d thai he, as such, being aulhonzed so tu do, execute Ihe lo�7ang inslrumenl
fw She purposes i}�ere+n �ia3ned by signing on behalf of Ihe corparalions by himseif as a duly author¢ed qfficer
IN WI'THES5 WHEREOF, I have hereunlo subscn6ed my name and atfixed my notanal seal al Ptymouah Meeling, Pennsylvania. on Ihe day and year 6rst above wrillen
Commonweallt� of Pbrmaylvanfa - Nalary $eal
I/I,.: ". I _ Terese PaskNa, Nolary P¢blif:
� ' , Monbaort�ery Counry
�, . My commission erp{res Msrr� 2B. ID29
- � Gommisaion num�er itz6paa
- Memher, PennsyNanu Aawc�e�ian of Ndenes
��-a-e�' /'2e1.�i.1`�,�.
ey:
Tere9a Paslella, Nolary Puhiic
This Power of Attomey Is made and execuled pursuanl lo and by author�ty af ihe folbvnng By-laws and Aulhonzalions of The 6h�a Casualty Insurance Coir�pany, Liberty Mulual
Insurarrce Company. and Wesl Amencan Insuranr,e Campany wt��ch resolutions are naw in full toroe and effecl reading as follows
ARTICLE IV - OFFICEitS: 5ec6on 12 Power of Allomey
Any oKcer or olher otficial af the Cnrporabon auttronzed for Ihal pu�pase in wn6ng by the Chairman or the Presiden[, and subjecl fv such lir�xtation as Ihe Ghairman or the
�resident may prasCnba, shall appoint suCh attorneys-imfact, as may be necessary to acl in behalf of the Corporation lo make, execute seai, adcnowledge and deliver as surery
any and all undertaki�gs, bonds, recogn¢ances ar�d other surery obligations Such attamey9-in-hacl, 9ub�eei to t�e Iwnilations set �orth m Iheu respectrve powers of attomey,
shall have full power to bindlhe Corporelia� by iheir signature anci raiecution of any such insauments and lo alEaeh Iherelo tho seal of t�e Cnrpnrahon When so execuled, such
instNments shall be as binding as if signed by Ihe Presiden[ and attested to by 1he Secrelary. My power or auEhority granted fo any represenlaGue or adamey-in-faci urtder Ihe
provisions of Ihis artic�e may be revoked af any �me by the Board, E#�e Chairtnan, lf�e President or hy ihe officer or af5oers granling sueh pawer or aulhonry
ARTICLE XIII - Execution of Contrac�s: SecSon 5 5urety Bonds ar�d Undertakiogs
My officer of Uie Company authorized for Iha1 purpo9e in wnhng 6y ihe ehaim�an or the presidenl, and sub�ect �a auth Ilmdations as Ihe chairman or the presideni may prescnbe,
shall appaint such attomeysin-tact, as rnay be necessary to acl in behall ot Ihe Canpany tv make, execute, saal, ackno+Medge arx! delrver as surefy any aMi afl underiakings.
bonds, recrogn¢ances and o�er surety obiigalions Such attomeysindacl, su6ject lo the limiiaGons set forth in Iheir respectiva powere ot alfomey, shall have full power to bind
Rhe Campany by lheir signature and vxecEe4iQn of any such instruments and 10 attach Iherelo the seal of ihe Company 4Vhen so executed such inshuments shai! be as b�nding
as if signed by the presidenl a� atlested by Ihe secretary
Ccrtificale of �esignatlorr - The Presidenl oT Ihe Company, acting pur9uanl to me Bylaws of the Company, autFwnzes Nalhan J. Zangerle, Avs�slant Secrelary !o appor�l such
altomeys infacl as may be n�ary !n act on behaif of !he Company lo make, ex�le_ 9e�1, ac:icnowledge and deliver a9 surely any and all u�derlalcings. 6onds, recopn�zances and
olher surely obligalions
Authorlution - By unarnmous cor�sent oi the CnEnpany(s Board of O�rectare, Ihe Company consents that facsimile or rrse�aniqlly reproduced signature of any as9islanl secnelary
of Ehe Company, vuherever appParing upon a certified oopy ol any power ol attomey �ssued by fiie Company im m�ne�tian wilh surety bonds, shall be v�l�d and hindtng upon Ihe
Canpany wilh the same force and effect as though manualty af�ixed_
I, Ressee C Llewdtyn, the unders��ned, A9sislanl SeGetary. of l iberSy Mutual InsUrance Cumpany, The Ohq C.�su21ty Insurance Company, and Wast Mierican Insurance Company
do hereDy terlify thal Ih�s paxer of attarney exea�led by said Cornpaniss €s in full for�e and eftecl and has na! haen revoked
IN TESTIMONY WHEREOF, I have hereunlo se! my hand and afGxed Ihe seals of sab Compan�ee l�is 25ih �y o� Seplem6er 2025
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LMIC, OUC. WAIC • SurePath Ot2025
September 25, 2025
DPR Construction
Attn: Amanda Thomas
3131 McKinr�ey Ave. Suite 200
pallas, TX 752Q4
I,'.!<:F�ti;:i �,:;. +� 7 7J4-�i44- F'3ES�J
Websile wtavca com
G-rr3ail bryan can�.schiC�•rltivcu r.r�m
RE: Bond Numher: 018233874
Obligee: Baylor Scatt 8� White Health
Descriptian: Water, Sewer, Grading, Pa�ing, & Street Light Impro�ements to Serve Baylar
Scott & White All Saints
Attached is the completed dacument per your request. This was issued based upon the inforrr�ation you
provided to our offica and we urge you to check all of the infarmation for accuracy (i.e. Power of Attorney,
signat�res, dates, amounts, descripkion, etc.).
Please �erify #hat the form attached is the form required and complete the execution with the proper
5ignature(s) and seal, if appticable.
If a premium is charged, our ir�voice will follow under a s�parate co��;r. Please note the
premium payment for this bond is due upon receipt.
Thank you for the opportunity to service your surety needs. Should you ha�e any questions, please do not
hesitate to eontact any member of your Willis Towers Watson Surety Team.
5incerely,
Bryan Caneschi
Wiilis Towers Watson Insurance Services West, Inc.
i 420 5outh Tyron 5treet, Suite 6S0
Charlotte, NC 28203