Loading...
HomeMy WebLinkAbout064270-FP1 - Construction-Related - Contract - Drake Tappe Construction-FP1 City Secretary 64270 Contract No. FORT WORTH, Date Received 6/8/2026 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: 8601 Eighty -Six 01 North City City Project No.: 106380 Improvement Type(s): Water Z Sewer 0 Original Contract Price: $150,000.00 Amount of Approved Change Order(s): $2,504.33 Revised Contract Amount: $152,504.33 Total Cost of Work Complete: $152,504.33 PE��_ hi aooe (Jun 4. 2026 11:28:39 CDT) Contractor Managing Partner Title Drake Tappe Construction Company Name , � 19, Jose Flores (Jun 4, 2026 13:08:30 CDT) Project Inspector Ram Tiwari Ram Tiwari (Jun 5 2026 09�10�10 CDT) Project Manager CFA Manager de.Frl..,,,- Lauren Prieur (Jun 8, 2026 10:08:53 CDT) TPW Director Date 06/04/2026 Date 06/05/2026 Date 06/08/2026 Date 06/08/2026 Date OFFICIAL RECORD CITY SECRETARY FT. WORTH, TX Page 1 of 2 Notice of Project Completion Project Name: 8601 Eighty -Six 01 North City City Project No.: 106380 City's Attachments Final Pay Estimate 0 Change Order(s): 0 Yes ❑ N/A Pipe Report: ❑x Yes ❑ N/A Contractor's Attachments Affidavit of Bills Paid Consent of Surety 0 Statement of Contract Time Contract Time: 30 WD Days Charged: 55 WD Work Start Date: 2/11/2026 Work Complete Date: 4/30/2026 Completed number of Soil Lab Test: 23 Completed Number of Water Test: 2 Page 2 of 2 FoRTWORTH CITY OF FORT WORTH FINAL PAYMENT REQUEST Contract Name NORTH CITY EAST ADDITION — LOT 2, BLOCK 2 Contract Limits Project Type WATER & SEWER City Project Numbers 106380 DOE Number 6380 Estimate Number 1 Payment Number 1 For Period Ending 4/30/2026 WD City Secretary Contract Number Contract Date Project Manager NA Contractor DRAKE TAPPE CONSTRUCTION 5900 BALCONES DRIVE AUSTIN, TX 78731 Inspectors T. GARDNER / J. FLORES Contract Time 30 WD Days Charged to Date 55 Contract is 100.00 Complete Friday, May 8, 2026 Pagel of 5 City Project Numbers 106380 DOE Number 6380 Contract Name NORTH CITY EAST ADDITION - LOT 2, BLOCK 2 Estimate Number 1 Contract Limits Payment Number 1 Project Type WATER & SEWER For Period Ending 4/30/2026 Project Funding UNIT I: WATER IMPROVEMENTS Item Description of Items Estimated Unit Unit Cost Estimated Completed Completed No. Quanity Total Quanity Total --------------------------------------- 1 REMOVE CONC PVMT (CO#1) 94 SY $65.00 $6,110.00 94 $6,110.00 2 REMOVE BRICK PVMT (CO#1) 0 SY $80.00 $0.00 0 $0.00 3 REMOVE CONC CURB&GUTTER 70 LF $5.00 $350.00 70 $350.00 4 HYDRATED LIME (CO#1) 0 TN $400.00 $0.00 0 $0.00 5 8" LIME TREATMENT (CO#1) 0 SY $8.00 $0.00 0 $0.00 6 9" CONC PVMT 72 SY $180.00 $12,960.00 72 $12,960.00 7 BRICKPVMTREPAIR (CO#1) 0 SY $150.00 $0.00 0 $0.00 8 6" CONC CURB AND GUTTER 70 LF $25.00 $1,750.00 70 $1,750.00 9 4" WATERLINE LOWERING I EA $6,350.00 $6,350.00 1 $6,350.00 10 TRENCH SAFETY 45 LF $2.00 $90.00 45 $90.00 11 IMPORTED EMBEDMENTBACKFILL, 10 CY $20.00 $200.00 10 $200.00 ACCEPTABLE BACKFILL 12 DUCTILE IRON WATER FITTINGS W/ 1 TN $5,000.00 $5,000.00 1 $5,000.00 RESTRAINT 13 4" WATER PIPE 40 LF $35.00 $1,400.00 40 $1,400.00 14 4" DIP WATER 20 LF $65.00 $1,300.00 20 $1,300.00 15 6" WATER PIPE 5 $43.00 $215.00 5 $215.00 16 CONNECTION TO EXISTING 4"-12" WATER MAIN 1 EA $2,500.00 $2,500.00 1 $2,500.00 17 3" WATER METER AND VAULT 1 EA $25,500.00 $25,500.00 1 $25,500.00 18 REMOVE 2" WATER LINE 45 LF $15.00 $675.00 45 $675.00 19 8" CASING BY OPEN CUT (CO#1) 0 LF $120.00 $0.00 0 $0.00 20 6" FLEXIBLE BASE, TYPE A, GR-1 (CO#1) 72 SY $29.95 $2,156.40 72 $2,156.40 21 IMPORTED EMBEDMENT/BACKFILL, CLSM 2 CY $520.27 $1,040.54 2 $1,040.54 (CO#1) 22 6" GATE VALVE (CO#1) 1 EA $1,223.39 $1,223.39 1 $1,223.39 23 STAMPED CONCRETE PAVEMENT, MATCH 22 SY $195.00 $4,290.00 22 $4,290.00 EX. CONCRETE SECTION & PATTERN (CO#1) Sub -Total of Previous Unit $73,110.33 $73,110.33 UNIT H. SANITARY SEWER IMPROVEMENTS Item Estimated Estimated Completed Completed Description of Items Unit Unit Cost No. Quanity Total Quanity Total --------------------------------------- Friday, May 8, 2026 Page 2 of 5 City Project Numbers 106380 DOE Number 6380 Contract Name NORTH CITY EAST ADDITION — LOT 2, BLOCK 2 Estimate Number I Contract Limits Payment Number 1 Project Type WATER & SEWER For Period Ending 4/30/2026 Project Funding 1 MANHOLE ADJUSTMENT, MINOR 3 EA $750.00 $2,250.00 3 $2,250.00 2 TRENCH SAFETY 42 LF $2.00 $84.00 42 $84.00 3 8" PVC SEWER PIPE, 8' TO 10' (MISC ONLY), 14 LF $80.00 $1,120.00 14 $1,120.00 4 8" PVC SEWER PIPE, 10' TO 12' (MISC ONLY), 28 LF $80.00 $2,240.00 28 $2,240.00 5 EPDXY MANHOLE LINER 39 VF $500.00 $19,500.00 39 $19,500.00 6 4' MANHOLE 2 EA $7,800.00 $15,600.00 2 $15,600.00 7 4' DROP MANHOLE 2 EA $13,000.00 $26,000.00 2 $26,000.00 8 4' EXTRA DEPTH MANHOL -------------------------------------- 36 VF $350.00 $12,600.00 36 $12,600.00 Sub-Total of Previous Unit -------------------------------------- $79,394.00 $79,394.00 Friday, May 8, 2026 Page 3 of 5 City Project Numbers 106380 Contract Name NORTH CITY EAST ADDITION — LOT 2, BLOCK 2 Contract Limits Project Type WATER & SEWER Project Funding Contract Information Summary Original Contract Amount Change Orders Change Order Number 1 Change Order Number 1 Total Contract Price DOE Number 6380 Estimate Number 1 Payment Number 1 For Period Ending 4/30/2026 $150,000.00 $2,504.33 $152,504.33 Total Cost of Work Completed $152,504.33 Less % Retained $0.00 Net Earned $152,504.33 Earned This Period $152,504.33 Retainage This Period $0.00 Less Liquidated Damages Days @ / 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 $152,504.33 Friday, May 8, 2026 Page 4 of 5 City Project Numbers 106380 Contract Name NORTH CITY EAST ADDITION — LOT 2, BLOCK 2 Contract Limits Project Type WATER & SEWER Project Funding Project Manager NA Inspectors T. GARDNER / J. FLORES Contractor DRAKE TAPPE CONSTRUCTION 5900 BALCONES DRIVE AUSTIN, TX 78731 DOE Number 6380 Estimate Number 1 Payment Number 1 For Period Ending 4/30/2026 City Secretary Contract Number Contract Date Contract Time 30 WD Days Charged to Date 55 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 $152,504.33 Less % Retained $0.00 Net Earned $152,504.33 Earned This Period $152,504.33 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 $152,504.33 Friday, May 8, 2026 Page 5 of 5 W O � Z Z � Q W 2 � U � O O Z Z O Q U_ H a U N C > > LO oo o d � 0 w _ U O co � � O O Z m O h O X_ Co (n N M O n o6 O O O 7 _ .0 c0 N LL O� (O CD4 N O Q X Z Yt U Q Z O U } 2 U < Z F U Q Of w F It l It O LL F F it d U U U U LL X i CO L— C) Cl) M N CO N N N M M M co L W z z f Q O F- ~ U LU W , iL 0 � O m z a O z N 0 0 Qo 0 00 3 N N O U O o O 0 O 0 O 0 O 0 O 0 U U p J H LU O W O O O O O O Q O O V3 O fA O fR O fA O fR O fA O Y O U o 0 � N O U O O o o O O o o 0 O O O o U U rn rn ra rn rn ra z o Q EL y a o o 0 0 0 0 0 o 0 O 0 o 0 v 'm o ❑ V 0 w 0 ra 0 w 0 ra 0 w 0 ra N O U o o 0 0 0 o 0 O 0 o o o N O W U •T z c U M U Q CD �❑ y o o 0 o 0 O 0 o 0 O 0 o Z O U a, O ❑ U N O V > O o o O 0 0 O 0 0 O 0 0 O 0 0 O 0 0 U w f» u> f» e» f» M M LU ?j M o� V p N N O O O �y M W W ry ( y% U O O m M fR Q C 1 M n tR O fA O fA M r fR 0 N � � O fR 0 N O U o o 0 0 0 0 o 0 O 0 o 0 � U o O W Qcc C •• O O O d C p o o p o p NO v o n w n » n » y ❑ U O LU a ui z Z ~ o a U W z L- a x z 0 � O U Q <n O ULL, _ U ¢ F ~ Z O w H W~ LU Q �F- Q ❑F-- z O oOa Q LU N > w J UQ O0,F- W O O O W K FO O ZQ cn p Q 7) ❑ LU Er F c� O LO j Q H 0 w U O Q 0 W N O N M O 5� �L M Y.+ 'i W Ll W �M Cc co a_ a 0 N zz W 2 W O w a 9 W Q H Z 7 0 0 0 0 0 0 o v rn o K3 EA EA to ER EA ER EA I— fH ER � � M — V3 EA N V3 fA 4 fA fA y O (J O O O CD O ..... CD OOOO CD O O O 0 O O 0 0 O O 0 0 O O 0 0 O O 0 0 O O 0 ER ER ER EA (A (A EA fA EA ER EA Efl K3 U ago o 0 CD u`riM o00000000 (n 0 0 M� 'DD 0 0 0 0 O O o O LO O M 0 N N 0 0 0 0 0 0 0 0 > U N O^ W iD ` N �, 0 0 E17 fA 0 0 fA (A 0 0 H3 fA 0 0 EA EA ❑ fA EA � � Ef3 (A fA ER EA EA W O O O O O O m N M O U ui 0 0 0 0 0 Di 0 of vi ID o0 O fA L�D N N N N m z c 7 U a` LL U � x W 7 J U U m c U> E U Q c a F a a am w E E m c a °� a > E aj$ C U J f0 U F a C t6 i N O UL�a) Em d E='a w>> m a o m °° �EE omwE o� m` U x W o — cD o LL 1 U O M a a E E } } Z } } lL } } Q } U U H U U U U W U F Z v F N N N Z Q U W F- ❑_ m� O N 0 0 0 0 0 0 OM O U o o rNi rNi rNi rn rNi rMi rMi rn w } � N N N N Q a ao 0 0 0 0 0 0 0 0 0 0 0 0 0 r o 0 0 0 0 0 0 0 0 0 0 0 0 0 � 0 0 0 0 0 0 0 0 0 0 0 0 0 0 y O O O O O O O O O O O O O O O U O O O O O O O O O O O O O O T '� 0 0 Efl (A 0 0 (fl EA 0 0 EA EA 0 0 (A /A 0 0 ffl (A 0 0 fH EA 0 0 (fl EA U �-.-00000000000000 > 0 N 0 0 Vi EA 0 0 fA EA 0 0 Hf EA 0 0 EA EA 0 0 fA EA 0 0 fH EA 0 0 Efl EA ❑ LLJ U_ a F- z D Z 0 F a U U w ❑ 20 Lli Z F F Z Q U ui W H ❑ 4t 07 H U Q a E m a m IL m z d u L C Y N CD N a m LLI ❑ O w a U p 0ui a rW n ui cnn O w w a LL N a Z j N � C � i (o ❑ CZ in c @ W > 0 O a. j U E E a a m a. m z H Q LU w ❑ Z w o c = c :0.: @ w O � � w U J @ o O Q a 0 E 6 a z F Q OR N Vi Ofl. E OCi cc O d N cc O U O � m (n CM w U N Q. - DI @ @ CO o C 6 N N (N @ @ L U N U C p O G1 Q1 (gyp E -`n0 2 V 'O C @ (LO N _0 li G O 0) CL _T j EYcm U u- V m o 0> O .T -'� z U V O O N N E C @ @ 0 N N N N o n w O U T C a) a) a� m O a 0 0 U uj N � CL cl S1 � U_ C Q 0i W z Q E @ m z a z � N a� L sz o o a z U a N ot5 � 1 '— c U ! w «s m 2 _ '@ o o i 3 ~ E O a` 1 U) ui z H co N 07 @ a W C7 N N Of W G L7 Z Z Lr d W x O V a O N Q Z Z Q H Q d } U C O � o 0 � m � G N � x Sf? LL b M WOJ � U �, X Z N U H Z Q } cr < F- c~) Z H LLI F- U it W V 2 W LLJff o uyy) # xL Q LL F Q a 0 UU to L% x L� 6 C) ("1 N co CV 0) QNi C9 ch a ui :' 2 0 p U U w ui CL w ? a 0 2 w o0 3 O U e O n O o O p O o O a 4 = U � r WN p o - S 0 G 0 0 0 0 U O O N i U N N P N N pp � U N Z 6 a a m o o 0 o a o a o N 0 N o N e M ca M o M U o o a o 0 o C ~ Z CW'2 M M N N N N Q (QL R ❑ ft# Z O 0 O 0 O © O N Q @ Y N M N M N U m 6 U C U O N O N o N p N 0 gg C N (! M O M LW W u o n N u O H On F N p N p N M W F M Q N N1 d+ A N a v a O a P o O 0 n o P g P U M M N _ !1 °1 o W ay •• C c O m P O o O p o © w � n P O U > 0 U O a LU z W }' OLLJ 2 q 0 U' O U U) O 2, in F U 6 Z Z O O U W Lo a � w¢ a a a ff a Ofa a n S z Z 0O C1 Or. ELz'y Lu D r © V I Q z z w c7 n LL z Z) LO rq- O LU U UU 2 2 O v a 0 o.�pp-.oc1 o Q rn a d 0 0 o 0 0O fG O NY Ci S S p S O S 4 0 0 H O? 0, 0 t' m V vI Q 4 N (11 N , H di w w. � r w w nj w w w w O U O 0 0,o0o00000 0 0 0 O O O O aSC Ci O a C, 0 o000 0 >, O 0 0 0 0 0 0 0 0 0 0 0 0 0 0 G 0 1 0 U w w ww w w w w w. w w w w w w w w w o y0 10 O'4.0 0 S O 0 0 yy Y I. m o Ili S ri 0 S.0 0 8 0 0$ o 0 0 a 0 a � w N rn N pa W www IaRr w w W O N ✓ °w � w ✓+ N� w w +sNt +n Ms Lk,0SBSSS��S 0 U g C C m w C G �fl N Y7i O N N �i N rn QD 7 N r- w, Z e u 'c � a U Q1 R W d � tl. L U v Z_ ©'s d m.c d c IL a u E E m n? am E e6 Q m m M Y 4s a Tn W N m C N �. c F OD CJ LL m 0 m U � u � 9 } S P N n 6 0� N •- ry. Q I 4 LU h Q S O NO S N N V� N M F Q Q 01 r 0 OR ai d a Ix W 0 0 0 a 0 a g 0 0 0 0 0 0.0 rd- g N faH w W 1a9 N W 404 H W W W K � b Q 0 a 0 0 4 a 0 0 0 0 0 0 G 0 00 S O aa S 0 0 0 c 0 0 0 0 0 0 0 0 0 0 0 U 2%0S4SS0S0$0SS0S y C3�0w w� ww'w w.On �I�wwsi 0 uj _U a a r Z D Z O F a L) U W LU N z } H Z d C> LL LL O � m � I U } a E m m w 0 m 0 W a Q 2 V X O LL co Z O W 4 w 0.0 a a L7 W J z x � a m 2 m ro 0 LL U Q ¢ O C a z z Q Z ICU y W G0C fL ti m a = U m z F z o z G E 6 z F LU w Q w 16 in — m u c � � � a w v Z W o w U y E o m z a CY gi F LLI W U K J a ¢ W u 4 O Q ¢_ o 0 - E LLm z a ea Q o ui F 0 rWj Z U ro � E m LLm m a J E N eff E z y C W m y a U3 a7i N O N O M y.. 'i L LL3 W C �MM Cc W � J FORTWORTH TRANSPORTATION AND PUBLIC WORKS PIPE REPORT FOR: PROJECT NAME: Eighty Six 01 North City CITY PROJECT NUMBER: 106380 WATER PIPE LAID SIZE TYPE OF PIPE LF OPEN CUT 4" PVC C900 40 4" DIP 20 6" PVC C900 5 FIRE HYDRANTS: N/A VALVES (16" OR LARGER) N/A PIPE ABANDONED SIZE TYPE OF PIPE LF N/A N/A N/A N/A DENSITIES: YES ALL PASSED NEW SERVICES: 3"(1) PVC & DIP N/A SEWER PIPE LAID SIZE TYPE OF PIPE LF OPEN CUT 8" SDR 26 42 PIPE ABANDONED SIZE TYPE OF PIPE LF N/A N/A N/A N/A DENSITIES: YES ALL PASSED NEW SERVICES: N/A N/A N/A TRANSPORTATION AND PUBLIC WORKS The City of Fort Worth • 1000 Throckmorton Street • Fort Worth, TX 76012-6311 (817) 392 - 7941 • Fax: (817) 392 - 7845 FORT WORTH, TRANSPORTATION AND PUBLIC WORKS May 6, 2026 Drake Tappe Construction 5900 Balcones Drive #21365 Austin, TX 78731 RE: Acceptance Letter Project Name: Eighty Six 01 North City Project Type: Developer City Project No.: 106380 To Whom It May Concern: On May 6, 2026 a final inspection was made on the subject project. There were no punch list items identified at that time. The final inspection indicates that the work meets the City of Fort Worth specifications and is therefore accepted by the City. The warranty period will start on May 6, 2026, which is the date of the final inspection 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- 392-2237. Sincerely, Ram TWari Ram Tiwari (Jun 5. 2026 09.10.10 CDT) Ram Tiwari, Project Manager Cc: Jose Flores, Inspector Ariel Duarte, Inspection Supervisor Ariel Duarte, Senior Inspector Andrew Goodman, Program Manager Manhard Consulting, Consultant Drake Tappe Construction, Contractor Cross Development, Developer File E-Mail: TPW_Acceptance@fortworthtexas.gov Rev. 08/20/19 DRAKE *TAPPE 06/04/2026 City of Fort Worth CFA Administration 200 Texas St. Fort Worth, TX 76102 RE: Eighty -Six 01 North City CFA# 25-0132 City Project # 106380 IPRC#25-0104 COMPONENTS: Remove and Replace pavement, storm drain system, sewer, water line and subgrade improvements The purpose of this letter is to acknowledge that Drake Tappe Construction have been paid in full by Cross Development for the public improvements constructed to serve Eight six 01 North City in Fort Worth, Texas. As a result, we hereby waive, release and relinquish all rights to assert any claim or demand for lien in connection with this project. Please feel free to contact me with any questions you may have. Sincerely, Bo Maldonado Director of Construction Drake Tappe Construction CONSENT OF SURETY TO FINAL PAYMENT ALA Document G707 OWNER D ARCHITrCT D CONTRACTOR SURETY X3 Rnnd Nn C.M2J;S.rnR OTHER D TO OWNER: ARCHITECT'S PROJECT NO.: (Name and addres) City of Fort Worth 200 Texas Street Fort Worth, TX 76102 PROJECT. (Nim and addrwo CFA25-0132 - North City East Addition - Lot 2, Block 2 CONTRACT FOR: CFA25-0132 - North City East Addition - Lot 2, Block 2 CONTRACT DATED: In accordance with the provisions of the Contract between the Owner and the Contractor as indicated above, the flawn rrmneand addtvwojS7r"!; Great Midwest Insurance Company 800 Gessner Road, Suite 600 Houston, TX 77024 SURETY, on bond of (Insrrr name and addrev gjCon(maur) Dallas Underground, LLC 250 Short Boulevard Dallas, TX 75232 , CONTRACTOR, hereby approves of the final payment to the Contractor, and agrees that final payment to the Contractor shalt not relieve the Surety of any of its obligations to (huvil mmne and mWn of of owner) City of Fort Worth 200 Texas Street Fort Worth, TX 76102 as set forth in said Surety's band. IN WITNESS WHEREOF, the Surety has hereunto set its hand on this date: May 28, 2026 (InWH in ualt/rW the ntwtrh fo(louprl hN rGr rrruneric dnrr arn! tCKrr,) Great Midwest Insurance Comoany t� (S�q»atutr gfardboHzcd trprs5enrarfir) Attest: (sew): Richard H. Mitchell, Attorney -in -Fact Mary G&ce Kelley (Ainredname axrtiek) , OWNER, G707--1994 POWER OF ATTORNEY Great Midwest Insurance Company KNOW ALL MEN BY THESE PRESENTS, that GREAT MIDWEST INSURANCE COMPANY, a Texas Corporation, with its principal office in Houston, TX, does hereby constitute and appoint: Mark W. Edwards, II, Jeffrey M. Wilson, Richard H. Mitchell, William M. Smith, Anna Childress, Alisa B. Ferris, Robert R. Freel its true and lawful Attorneys) -In -Fact to make, execute, seal and deliver for, and on its behalf as surety, any and all bonds, undertakings or other] writings obligatory in nature of a bond. This authority is made under and by the authority of a resolution which was passed by the Board of Directors of GREAT MIDWEST NCE COMPANY, on the 1S' day of April, 2025 as follows: Resolved, that the President, or any officer, be and hereby is, authorized to appoint and empower any representative of the Company or other person or persons as Attorney -In -Fact to execute on behalf of the Company any bonds, undertakings, policies, contracts of indemnity or other writings obligatory in nature of a bond not to exceed One -Hundred Million dollars ($100,000,000.00), which the Company might execute through its duly elected officers, and affix the seal of the Company thereto. Any said execution of such documents by an Attorney -In -Fact shall be as binding upon the Company as if they had been duly executed and acknowledged by the regularly elected officers of the Company. Any Attorney -In - Fact, so appointed, may be removed in the Company's sole discretion and the authority so granted may be revoked as specified in the Power of Attorney. Resolved, that the signature of the President and the seal of the Company may be affixed by electronic mail on any power of atton ted, and the signature of the Secretary, and the seal of the Company may be affixed by electronic mail to any certificate of any such poi any such power or certificate bearing such electronic signature and seal shall be valid and binding on the Company. Any such power uted and sealed and certificate so executed and sealed shall, with respect to any bond of undertaking to which it is attached, continue to and binding on the Company. IN WITNESS THEREOF, GREAT MIDWEST INSURANCE COMPANY, has caused this instrument to be signed by its President, and Seal to be affixed this 8th day of April, 2025. GREAT MIDWEST INSURANCE COMPANY BY / 44k LJ VAIZ! Mark W. Haushill President ACKNOWLEDGEMENT On this 8th day of April 2025, before me, personally came Mark W. Haushill to me known, who being duly sworn, did depose and that he is the President of GREAT MIDWEST INSURANCE COMPANY, the corporation described in and which executed the above instrument; he executed said instrument on behalf of the corporation by authority of his office under the By-laws of said corporation. "" •; CHRISTNABISHOP My Notary ID # 131090M BY EnpiresApri114,20Z9 Christina Bishop Notary Public CERTIFICATE I, the undersigned, Secretary of GREAT MIDWEST INSURANCE COMPANY, A Texas Insurance Company, DO HEREBY CERTIFY tha original Power of Attorney of which the foregoing is a true and correct copy, is in full force and effect and has not been revoked and the resolutions set forth are now in force. Signed and Sealed at Houston, TX this 28th Day of May 2026 BY Patricia an Secretary 'WARNING: Any person who knowingly and with intent to defraud any insurance company or other person, files and application for insurance of claim :ontaining any materially false information, or conceals for the purpose of misleading, information concerning any fact material thereto, commits al raudulent insurance act, which is a crime and subjects such person to criminal and civil penalties. X G) G) ,hrod H O 7d H H K After printing this iabei CONSIGNEE COPY - PLEASE PLACE IN FRONT OF POUCH 9. Fold the printed page along the horizonta± line. 2 Piace label in shipping pouch and affix it to your shipment. N to — � � N o TI Al 0 � ti x 3110 n O O M k = W m x ;a CA - = TN C = ` v 58KJ31A9061484B Use of this system constitutes your agreement to the service conditions in the current Fed Ex Service Guide, available on fedex.com. Fed Ex will not be responsible for any claim in excess of $100 per package, whether the result of loss, damage, delay, non -delivery, misdelivery, or misinformation, unless you declare a higher value, pay an additional charge, document your actual loss and file a timely claim. Limitations found in the current Fed Ex Service Guide apply. Your right to recoverfrom FedExfor any loss, including intrinsic value of the package, loss of sales, income interest, profit, attorney's fees, costs, and other forms of damage whether direct, incidental, consequential, or special is limited to the greater of $100 or the authorized declared value. Recovery cannot exceed actual documented loss. Maximum for items of extraordinary value is $1,000, e.g. jewelry, precious metals, negotiable instruments and other items listed in our Service Guide. Written claims must be filed within strict time limits, see current Fed Ex Service Guide. w o :m D Cn = 0 Cn Z m N m r Z W An rn c�"i, To: Michael Davis Dallas Underground We are sending you: ® Attached ❑ Copy of Letter ❑ Invoice C ' V Laft- M Grlff A Marsh & MCCennan A en g cy uC Company McGriff, A Marsh & McLennan Agency LLC Company Surety Division 2000 International Drive, Suite 600, Birmingham, AL 35243 Phone: (205) 252-9871 LETTER OF TRANSMITTAL ® Consent of Surety ❑ Change Order/ Supplemental Agreement ❑ Performance & Payment Bond No. of Copies: Description: 1 - Final Consent for GM255506 to These are transmitted as checked below: of Ft Worth Date: 05/28/2026 ❑ Certificate of Insurance ❑ Application ❑ Information and/or necessary action ❑ For your file ® As requested ® For your use ❑ Returned for corrections ❑ Please sign as indicated and return Remarks: If you are in need of changes or amendments prior to filing with the obligee, please notify ASAP. Copy to: grace.holderfield@marshmma.com If enclosures are not as noted, kindly notify at once. Signed: Grace Holderfield Information within this document is confidential & proprietary. Copyright © 2025 Marsh & McLennan Agency LLC. All rights reserved. McGriff is a business of Marsh & McLennan Agency LLC. CA License #OH 18131