HomeMy WebLinkAbout062168-FP2 - Construction-Related - Contract - Sedalco Construction Services-FP2
City Secretary
Contract No. 62168
FORT WORTH..,
Date Received 7/27/2026
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: Addition & Renovations W.C. Stripling Middle School
City Project No.: 105494
Improvement Type(s): Water 0 Sewer 0
Original Contract Price:
$13,030.00
Amount of Approved Change Order(s):
$3,350.00
Revised Contract Amount:
$16,380.00
Total Cost of Work Complete:
$1.6,380.00
L:r Ia v K&mc."a kw
LQaa erschbaum (Jul 21, 2026 14:34:27 CDT)
Contractor
Project Manager
Title
Sedalco Construction Services
Company Name
Roderic"K SaKer
Roderick Baker (Jul 22 2026 UM23 CDT)
Project Inspector
k& (7aafaYr
Khal Jaafari P.E. IJu 24. 2026 18,43:50 CDT)
Project Manager
CFA Manager
Lauren Prieur (Jul 28, 2026 10:50:43 CDT)
199TWTA5117-M. 74
07/21 /2026
Date
07/22/2026
Date
07/24/2026
Date
07/27/2026
Date
07/28/2026
Date
OFFICIAL RECORD
CITY SECRETARY Page 1 of 2
FT. WORTH, TX
Notice of Project Completion
Project Name: Addition & Renovations W.C. Stripling Middle School
City Project No.: 105494
City's Attachments
Final Pay Estimate ❑x
Change Order(s): ❑x Yes ❑ N/A
Pipe Report: ❑x Yes ❑ N/A
Contractor's Attachments
Affidavit of Bills Paid
Consent of Surety
Statement of Contract Time
Contract Time: 51 WD
Work Start Date: 3/17/2025
Completed number of Soil Lab Test: 54
Completed number of Water Test: 2
Days Charged: 263 WD
Work Complete Date: 7/17/26
Page 2 of 2
FoRT WORTH
CITY OF FORT WORTH
FINAL PAYMENT REQUEST
Contract Name ADDITION AND RENOVATIONS W.C. STRIPLING MIDDLE SCHOOL
Contract Limits
Project Type WATER & SEWER
City Project Numbers 105494
DOE Number 5494
Estimate Number I Payment Number I
City Secretary Contract Number
Contract Date
For Period Ending 7/17/2026
WD
Project Manager NA
Contractor SEDALCO CONSTRUCTION SERVICES
4100 FOSSIL CREEK BLVD
FORT WORTH, TX 76137
Inspectors M.GLOVER / R.BAKER
Contract Time 5WD
Days Charged to Date 263
Contract is 100.00 Complete
Monday, July 20, 2026 Page 1 of 4
City Project Numbers 105494 DOE Number 5494
Contract Name ADDITION AND RENOVATIONS W.C. STRIPLING MIDDLE SCHOOL Estimate Number I
Contract Limits Payment Number 1
Project Type WATER & SEWER For Period Ending 7/17/2026
Project Funding
UNIT I: WATER IMPROVEMENTS
Item
Description of Items
Estimated Unit
No.
Quanity
-----------------------
1
6" CONC PVMT REPAIR, RESIDENTIAL
20 SY
2
6" WATERLINE LOWERING
1 EA
3
8" WATERLINE LOWERING
I EA
4
TRENCH SAFETY
45 LF
5
STEEL FITTINGS(CO#2)
0.4 TN
6
6" PVC WATER PIPE, DR14
23 LF
7
CONNECTION TO EXISTING 4"-12" ATER MAIN
2 EA
8
2" WATER SERVICE, METER RECONNECTION
1 EA
9
6" GATE VALVE
I EA
10
TRAFFIC CONTROL
1 MO
11
4" DIP WATER(CO#2)
35 LF
Sub -Total of Previous Unit
UNTr II- SANITARY IMPROVEMENTS
Unit Cost
Estimated
Completed
Completed
Total
Quanity
Total
----------------
$65.00
$1,300.00
20
S1,300.00
$850.00
$850.00
1
$850.00
$950.00
$950.00
1
$950.00
$30.00
$1,350.00
45
$1,350.00
$6,250.00
$2,500.00
0.4
$2,500.00
$60.00
$1,380.00
23
$1,380.00
$950.00
$1,900.00
2
$1,900.00
$500.00
$500.00
1
$500.00
$1,400.00
$1,400.00
1
$1,400.00
$2,000.00
$2,000.00
1
$2,000.00
$60.00
$2,100.00
35
$2,100.00
$16,230.00
$16,230.00
Item Description of Items Estimated Unit Unit Cost Estimated Completed Completed
No. Quanity Total Quanity Total
1 EXPDXY MANHOLE LINER 1 VF $150.00 $150.00 1 $150.00
Sub -Total of Previous Unit $150.00 $150.00
--------------------------------------
Monday, July 20, 2026 Page 2 of 4
City Project Numbers 105494 DOE Number 5494
Contract Name ADDITION AND RENOVATIONS W.C. STRIPLING MIDDLE SCHOOL Estimate Number 1
Contract Limits Payment Number 1
Project Type WATER & SEWER For Period Ending 7/17/2026
Project Funding
Contract Information Summary
Original Contract Amount $13,030.00
Change Orders
Change Order Number 1 $3,350.00
Total Contract Price $16,380.00
Total Cost of Work Completed $16,380.00
Less % Retained $0.00
Net Earned $16,380.00
Earned This Period $16,380.00
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
$16,380.00
Monday, July 20, 2026 Page 3 of 4
City Project Numbers 105494 DOE Number 5494
Contract Name ADDITION AND RENOVATIONS W.C. STRIPLING MIDDLE SCHOOL Estimate Number 1
Contract Limits Payment Number 1
Project Type WATER & SEWER For Period Ending 7/17/2026
Project Funding
Project Manager NA
Inspectors M.GLOVER / R.BAKER
Contractor SEDALCO CONSTRUCTION SERVICES
4100 FOSSIL CREEK BLVD
FORT WORTH, TX 76137
City Secretary Contract Number
Contract Date
Contract Time 51 WD
Days Charged to Date 263 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 $16,380.00
Less % Retained $0.00
Net Earned $16,380.00
Earned This Period $16,380.00
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
$16,380.00
Monday, July 20, 2026 Page 4 of 4
DEVELOPER -AWARDED -PROJECT CHANGE ORDER
PROJECT NAME:
ADDITION AND RENOVATIONS W.C. STRIPLING MIDDLE SCHOOL
CONTRACT:
WATER, SEWER, PAVING 8 DRAINAGE IMPROVEMENTS
CHANGE
ORDER No:
CFA It
CFA24-0042 CITY PARTICIPATION: NO
CITY PROJECT #
105494
CITY SECRETARY CONTRACT #
62168
FID #
30114-0200431-105494•E07685
2
X #
128134
FILE 11
SD-0733
INSPECTOR: Baker Roderick Phone No: 817 392 8306 RECEIVED
PROJECT MANAGER: Khal Jaafari P.E. Phone No: 817 392 7872 By Khal Jaafarl at 2:59 pm, Jun 01, 2026
CONTRACT UNIT
WORKING
DAYS
WATER
SEWER
DRAINAGE
PAVING
STREETLIGHTS
Developer
Cost
City Cost
Developer Cost
City Cost
eva oper
Cost
City Cost
Developer
Cost
City Cost
Developer
Cost
City Cast
ORIGINAL CONTRACT
$12,880.00
$0.00
$150.00
$0.00
$44,522.00
$0.00
$111,280.00
$0.00
$0.00
$0.00
51
EXTRAS TO DATE
$0.00
$0.00
$0.00
$0.00
$0.00
$0.00
$0.00
$0.00
$0.00
$0.00
CREDITS TO DATE
$O.OD
$0.00
$0.00
$0.00
$5.000.00
$0.00
$0.00
$0.00
$0.00
$0.00
CONTRACT TO DATE
$12.880.00
$0.00
$150.00
$0.00
$39,522.00
$0.00
$111.280.00
$0,00
$0.00
$O.OD
51
AMOUNT OF PROP. CHANGE ORDER
$3.350.00
$0.00
$0.00
s0.o0
$0.00
$0.00
$0.00
$0.00
$0.00
$0.00
0
REVISED CONTRACT AMOUNT
$16,230.00
$0.00
$150.00
$0.00
$3%S22.00
$0.00
$111 280.00
$0.00
$0.00
1 $0.00
51
TOTAL REVISED CONTRACT AMOUNT PER
UNIT
$16,230.00
$150.00
$39.522.00
$111,280.00
$0.00
REVISED COST SHARE
Dev. Cost:
$167,182.00
City Cost:
$0.00
TOTAL REVISED CONTRACT
$1167,182.00
Revised: 12-17.2018 Page I
You are directed to make the following changes In the contract documents
PAY REM It
CITY BID ITEM
#
QUANTITY
UNIT
CFW Unit
ITEM DESCRIPTION Price
UNIT PRICE
Developer
Cost
City Cost
TOTAL
5
33 11 14
020
TON
3311-0011 Steel Fltfings
$0,2W.00
$1.250.00
$0.00
$1.250.00
11'
331110
35.00
LF
3311.0051 4' DIP Water
$00.00
S2,100.(NI
$0.00
$2,100,00
$0.00
$0.00
50.00
JJ.J'e.Ve Jv.uu pf,JJu.uu
Asterisk (`) Indicates New Pay Item
RECEIVED
By Khal Jaafari at 3:00 pm, Jun 01, 2026
Revised: 12-17-2018 Page 2
REASONS FOR CHANGE ORDER Bid quantity reconcile to match the construction plan.
RECOMMENDED:
JO Infrastructure. LLC
By
Name: .41 lu M. Sipes. PE
Title: Engineer of Record
APPROVED:
Fort Worth Independent School District
By:
Name: Carl Al red
Title: Senior Officer, Operations
RECEIVED
By Khal Jaafari at 3:00 pm, Jun 01, 2026
APPROVED:
SEDALCO
Name: Logan Kerschbaum
Title: Project Manager
APPROVAL RECOMMENDED: APPROVED: APPROVED AS TO FORM AND LEGALITY:
CFW - Water Department CFW • Assistant City Manager CFW - Assistant City Attorney
By: Not Applicable Date: By: Not Applicable Dale: By: Not Applicable Date:
Name: Not Applicable Name: Not Applicable Name: Not Applicable
Title: Not Applicable Title: Not Applicable Title: Not Applicable
RECOMMENDED:
CFW - 'Contract Compliance Manager ATTEST
By: Date:
By-, Not Applicable Date: _
Name:
Name: Janrelte S. Goodall
Title:
Title: City Secretary
M&C Number. _ NIA
M&C Date Approved: N/A
3 /0% / 7-026
' Contract Compliance Manager (Project Manager):
By signing I acknowledge that i am the person responsible
for the monitoring and administration of this contract,
and ensuring all performance and reporting requirements.
e There are NO City Funds associated with this Contract
n There are City Funds associated with (his Contract
Revised: 12-17-2018 Page J
FORT WORTH
TRANSPORTATION AND PUBLIC WORKS
PIPE REPORT FOR:
PROJECT NAME:
Stripling Middle School
CITY PROJECT NUMBER: 105494
WATER
PIPE LAID
SIZE
TYPE OF PIPE
LF
WATER
6"
PVC
23
WATER
4"
DIP
35
FIRE HYDRANTS:
N/A
VALVES (16" OR LARGER)
PIPE ABANDONED
SIZE
TYPE OF PIPE
LF
DENSITIES:
NEW SERVICES:
2"xl
SEWER
PIPE LAID
SIZE
TYPE OF PIPE
LF
N/A
PIPE ABANDONED
SIZE
TYPE OF PIPE
LF
DENSITIES:
NEW SERVICES:
TRANSPORTATION AND PUBLIC WORKS
The City of Fort Worth • 1000'I'hrockmorton Street • Fort Worth, TX' 76012-6311
FORTWORTH.
TRANSPORTATION AND PUBLIC WORKS
July 17, 2026
Sedalco Construction Services
4100 Fossil Creek Blvd.
Fort Worth, TX 76137
RE: Acceptance Letter
Project Name: W.0 .Stripling Middle School
Project Type: Water, Sanitary Sewer
City Project No.: 105494
To Whom It May Concern:
On June 9, 2026 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 July 17, 2026. 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 July 17, 2026, 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-
392-7872.
Sincerely,
KhaC )7aafaV1 T U
Khal Ja far P.E. (Ail 21 2026 18 4350 CDT)
Khal Jaafari, Project Manager
Cc: Roderick Baker, Inspector
Mike Glover, Inspection Supervisor
Randy Horton, Senior Inspector
Andrew Goodman, Program Manager
JQ Civil Engineering, Consultant
Sedalco Construction Services, Contractor
Fort Worth School Distric, Developer
File
E-Mail: TPW_Acceptance@fortworthtexas.gov
Rev.8/20/19
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 Logan Kerschbaurn,
Project Manager Of Sedalco, 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;
FWISD W.C. STRIPLING M.S. - PUBLIC WORKS AMENDMENT
BY
LOGAN KERS AUM, PROJECT MANAGER
Subscribed and sworn before one on this date 20th of July, 2026.
Notary Public
Tarrant, Texas
R'..Pea
KIND VAUGHAN
• �:
wotuy Public
STATE OF TEXAS
Consent of Surety
to Final Payment
AIA DOCUMENT G707
Bond Number: 30168337
TO OVVNER:
(Name and address)
City of Fort Worth
1000 Throckmorton Street
Fort Worth, TX 76102
PROJECT:
(Name and address)
Additions & Renovations W.C. Stripling Middle School
CFA - Water, Sewer, Paving, Drainage
2100 Clover Lane, Fort Worth, TX 76107
OVVNER
0
ARCHITECT
CONTRACTOR
0
SURETY
OTHER
ARCHITECT'S PROJECT NO.:
CONTRACT FOR: Construction
CONTRACT DATED:
In accordance with the provisions of the Contract between the Owner and the Contractor as included above, the
National Fire Insurance Company of Hartford, 151 N. Franklin Street, Chicago, IL 60606
(Insert name and address of Surety)
SURETY, on bond of SEDALCO-POST L, A Joint Venture
(Insert name and address of Contractor)
4100 Fossil Creek Blvd., Fort Worth, TX 76137 CONTRACTOR,
hereby approves of the final payment to the Contractor, and agrees that final payment to the Contractor shall not relieve the
Surety of any of its obligations to City of Fort Worth
(Insert name and address of Owned
1000 Throckmorton Street, Fort Worth, TX 76102
as set forth in the said Surety's bond.
, OWNER,
IN WITNESS WHEREOF, the Surety has hereunto set its hand on this date: July 21, 2026
(Insert in writing the month folwved by the numeric dote and year.)
National Fire Insurance Company of Hartford
Attest: N .�
(Seal):
(S a ure of authori re sentative)
Amber Jones, Attorney -in -Fact
(Printed name and title
Printed in cooperation with the American Institute of Architects (AIA)
The language in this document conforms exactly to the language used in AIA Document G707 - Consent of Surety Company to Final Payment -
1994 Edition.
POWER OF ATTORNEY APPOINTING INDIVIDUAL ATTORNEY -IN -FACT
Know All Men By These Presents, That Continental Casualty Company, an Illinois insurance company, National Fire Insurance Company of Hartford, an
Illinois insurance company, and American Casualty Company of Reading, Pennsylvania, a Pennsylvania insurance company (herein called "the CNA Companies"), are
duly organized and existing insurance companies having their principal offices in the City of Chicago, and State of Illinois, and that they do by virtue of the signatures
and seals herein affixed hereby make, constitute and appoint
Darrin Weber, Amber Jones, April Penny, Julie Baumberger, Evelyn Marie Henson
, Individually
of Dallas, TY, their true and lawful Attomey(s)-in-Fact with full power and authority hereby conferred to sign, seal and execute for and on their behalf bonds,
undertakings and other obligatory instruments of similar nature
- In Unlimited Amounts -
and to bind them thereby as fully and to the same extent as if such instruments were signed by a duly authorized officer of their insurance companies and all the acts of
said Attorney, pursuant to the authority hereby given is hereby ratified and confirmed.
This Power of Attorney is made and executed pursuant to and by authority of the By -Laws and Resolutions, printed below, duly adopted, as indicated, by the
Boards of Directors of the insurance companies.
In Witness Whereof, the CNA Companies have caused these presents to be signed by their Vice President and their corporate seals to be hereto affixed on this
25th day of February, 2026.
Continental Casualty Company
*y LNSue� 4._,P
vpMr o� @ National Fire Insurance Company of Hartford
o°^x*eAmerican Casualty Company of Readin Pennsylvania
utY n,
SEAL < 1902
`
teol Larry Kasten Vice President
State of South Dakota, County of Minnehaha, ss:
On this 25th day of February, 2026, before me personally came Lary Kasten to me known, who, being by me duly sworn, did depose and say: that he resides in
the City of Sioux Falls, State of South Dakota; that he is a Vice President of Continental Casualty Company, an Illinois insurance company, National Fire Insurance
Company of Hartford, an Illinois insurance company, and American Casualty Company of Reading, Pennsylvania, a Pennsylvania insurance company described in and
which executed the above instrument; that he knows the seals of said insurance companies; that the seals affixed to the said instrument are such corporate seals; that
they were so affixed pursuant to authority given by the Boards of Directors of said insurance companies and that he signed his name thereto pursuant to like authority,
and acknowledges same to be the act and deed of said insurance companies.
My commission expires K WALSH
December 4, 2031 DMOT
K. Walsh IN Utz Not
ary Public
CERTIFICATE
I, Paula Kolsrud, Assistant Secretary of Continental Casualty Company, an Illinois insurance company, National Fire Insurance Company of Hartford, an Illinois
insurance company, and American Casualty Company of Reading, Pennsylvania, a Pennsylvania insurance company do hereby certify that the Power of Attorney
herein above set forth is still in force, and further certify that the By -Laws and Resolutions of the Board of Directors of the insurance companies printed below are still
in force. In testimony whereof I have hereunto subscribed my name and affixed the seal of the said insurance companies this 21' day of July, 2026.
Continental Casualty Company
�,C 3NSi1A� ei�pMw ash National Fire Insurance Company of Hartford
F �+ American Casualty Company of Reading, Pennsylvania
O��TF ` nQs di `p(,031►OBgt�o �
Z • y �+dy, JULY 31, AS
gi SEAL � � ,.�� � '�'a 1• a�°r
teo'► � �
61;�� �,"
Paula Kolsrud Assistant Secretary
Authorizing By -Laws and Resolutions
ADOPTED BY THE BOARD OF DIRECTORS OF EACH OF CONTINENTAL CASUALTY COMPANY, NATIONAL FIRE INSURANCE COMPANY,OF
HARTFORD, and AMERICAN CASUALTY COMPANY OF READING, PENNSYLVANIA (as defined above, the "CNA Companies"):
This Power of Attorney is made and executed pursuant to and by authority of the following resolution duly adopted by the Board of Directors of each_of the alruve iNA
Companies at a meeting held on May 12, 1995:
"RESOLVED: That any Senior or Group Vice President may authorize an officer to sign specific documents, agreements and instruments on behalf e€tiW&mpany
provided that the name of such authorized officer and a description of the documents, agreements or instruments that such officer may sign will be provided in
writing by the Senior or Group Vice President to the Secretary of the Company prior to such execution becoming effective."
This Power of Attorney is signed by Larry Kasten, Vice President, who has been authorized pursuant to the above resolution to execute power of attorneys on behalf
of each of the CNA Companies.
This Power of Attorney is signed and sealed by facsimile under and by the authority of the following Resolution adopted by the Board of Directors of each of the above
Companies by unanimous written consent dated the 251s day of April, 2012:
"Whereas, the bylaws of the Company or specific resolution of the Board of Directors has authorized various officers (the "Authorized Officers") to execute various
policies, bonds, undertakings and other obligatory instruments of like nature; and
Whereas, from time to time, the signature of the Authorized Officers, in addition to being provided in original, hard copy format, may be provided via facsimile or
otherwise in an electronic format (collectively, "Electronic Signatures"); Now therefore be it resolved: that the Electronic Signature of any Authorized Officer shall
be valid and binding on the Company."
This Power of Attorney may be signed by digital signature and sealed by a digital or otherwise electronic -formatted corporate seal under and by the authority of the
following Resolution adopted by the Board of Directors of each of the above CNA Companies by unanimous written consent dated the 27th day of April, 2022:
"RESOLVED: That it is in the best interest of the Company to periodically ratify and confirm any corporate documents signed by digital signatures and to ratify
and confirm the use of a digital or otherwise electronic -formatted corporate seal, each to be considered the act and deed of the Company."
Go to www.cnasurety.com > Owner / Obligee Services > Validate Bond Coverage, if you want to verify bond authenticity.
Form F685M/2023
Figure: 28 TAC §1.601(a)(3)
1 IMPORTANT NOTICE
To obtain information or make a complaint:
2 You may contact Continental Casualty Company,
National Fire Insurance Company of Hartford,
American Casualty Company of Reading, PA and
Continental Insurance Company at 312-822-5000.
3 You may call Continental Casualty Company,
National Fire Insurance Company of Hartford,
American Casualty Company of Reading, PA and
Continental Insurance Company's toll -free telephone
number for information or to make a complaint at:
1-877-672-6115
4 You may also write to Continental Casualty
Company, National Fire Insurance Company of
Hartford, American Casualty Company of Reading,
PA and Continental Insurance Company at:
CNA Surety
151 North Franklin, 17th Floor
Chicago, IL 60606
5 You may contact the Texas Department of
Insurance to obtain information on companies,
coverages, rights or complaints at:
1-800-252-3439
6 You may write the Texas Department of
Insurance:
P.O. Box149104
Austin, TX 78714-9104
Fax: (512) 490-1007
Web: www.tdi.texas.gov
E-Mail: ConsumerProtection@tdi.texas.gov
7 PREMIUM OR CLAIM DISPUTES:
Should you have a dispute concerning your
premium or about a claim you should contact
Continental Casualty Company, National Fire
Insurance Company of Hartford, American Casualty
Company of Reading, PA and Continental Insurance
Company first. If the dispute is not resolved, you
may contact the Texas Department of Insurance.
8 ATTACH THIS NOTICE TO YOUR POLICY
This notice is for information only and does not
become a part or condition of the attached
document.
Form F8277-6-2018
AVISO IMPORTANTE
Para obtener informacion o para someter una queja:
Puede comunicarse con Continental Casualty
Company, National Fire Insurance Company de
Hartford, American Casualty Company de Reading, PA
y Continental Insurance Company al 312-822-5000.
Usted puede Ilamar al numero de telefono gratis de
Continental Casualty Company, National Fire
Insurance Company de Hartford, American Casualty
Company de Reading, PA y Continental Insurance
Company's para informacion o para someter una
queja al:
1-877-672-6115
Usted tambien puede escribir a Continental Casualty
Company, National Fire Insurance Company de
Hartford, American Casualty Company de Reading,
PA y Continental Insurance Company:
CNA Surety
151 North Franklin, 17th Floor
Chicago, IL 60606
Puede comunicarse con el Departamento de Seguros
de Texas para obtener informacion acerca de
companies, coberturas, derechos o quejas al:
1-800-252-3439
Puede escribir al Departamento de Seguros de
Texas:
P.O. Box 149104
Austin, TX 78714-9104
Fax: (512) 490-1007
Web: www.tdi.texas.gov
E-Mail: ConsumerProtection@tdi.texas.gov
DISPUTAS SOBRE PRIMAS O RECLAMOS:
Si tiene una disputa concerniente a su prima o a
un reclamo, debe comunicarse con el Continental
Casualty Company, National Fire Insurance
Company de Hartford, American Casualty Company
de Reading, PA y Continental Insurance Company
primero. Si no se resuelve la disputa, puede
entonces comunicarse con el departamento (TDI).
UNA ESTE AVISO A SU POLIZA: Este aviso es
solo para proposito de informacion y no se
convierte en parte o condicion del documento
adjunto.
State of Texas
Claim Notice Endorsement
To be attached to and form a part of Bond No. 30168337
In accordance with Section 2253.021(f) of the Texas Government Code and Section
53.202(6) of the Texas Property Code any notice of claim to the named surety under this
bond(s) should be sent to:
CNA Surety
151 North Franklin, 17th Floor
Chicago, IL 60606
Telephone: 1-877-672-6115
Form F6944-6-2018