HomeMy WebLinkAbout059067-FP2 - Construction-Related - Contract - Thalle Construction Company Inc.AC Coded 08.04.2026
Vendor Name: THALLE
CONSTRUCTION COMPANY INC
Vendor ID #: 0000039669
Invoice No.: 59067-FP1
Release Retainage:
FID 56021-2060000-102688-RETAIN
$1,000,115.88
FID 56002-2060000-102688-RETAIN
$420.43
FORT WORTH
WATER DEPARTMENT
ENGINEERING AND FISCAL SERVICES
NOTICE OF PROJECT COMPLETION
CSC No. 59067 -FP2
Regarding contract 59067 Westside III 42-Inch Water Transmission Main as required by the Water
Department as approved by City Council on 02/28/2023 through M&C 23-0184 the Assistant Director of
the Water Department, upon the recommendation of the Engineering Manager, Capital Delivery
Division, has accepted the project as complete.
Original Contract Prices: $ 19,873,823.75
Amount of Approved Change Orders: $ 149,022.56 No# 5
Revised Contract Amount: $ 20,022,846.31
Total Cost Work Completed: $ 20,010,726.31
Less Deductions: $
Liquidated Damages: 0 Days @ $ 650.00 / Day
Other Deductions (see comments): $ 0
Total Deduction Amount: $ 0
Total Cost of Work Completed: $ 20,010,726.31
Less Previous Payments: $ 19,010,190.00
Final Payment D e: $ 1,000,536.31
dll % 2 y /z-1:
Recom ended for Acceptance Date
Assistant Director, Water Department
08/12/2026
Accepted Date
Director, Water Department
OFFICIAL RECORD
CITY SECRETARY
FT. WORTH, TX
FORTWORTH "v 12/26/25
FINAL STATEMENT OF CONTRACT TIME
STATENIENT NO.: 29 Final
AND FINAL
NAME Ol PROJECT: Westside III 42-inch Water Transmission Main
PROJECT NO.: 102688-1
DOE NO.:
N/A CONTRACTOR: Thalle Construction
PERIOD FRO1%1:12/01/25
TO: 12/12/25
FINAL INSPECTION DATE: 12112/25
WORK ORDER 1-AFFECTIVE:
04/24/23
CONTRAC•' —FUME.: DAY OF 1070 0 WD IN CD
DAPS
DAPS
DAV O C Ii:Ui S
REASON FOR DAPS
CHARGED REASON FOR DAPS
MONTH
CREDITED
MONTII CREDITED
DURING
DURING
I, Mon 1
16.
2. Tue 1
17.
3. Wen 1
18.
4• Thu 1
19,
5. Fri 1
20.
6. Sat 1
21.
7, Sun 1
22.
8. Mon 1
23.---�_��_
9. Tue 1
24.
10. Wen 1
25.
1 L�Thu 1
26.
12. Fri 1
Stop Time
27.
14.
29.
S.
30.
31.
SAT, SUN, &
RAIN, TOO WET,
UTILITIES
1)A1 S
TOTAL
OTHERS r
HOLIDAYS
& TOO COLD
RELOCATIONS
CHARGED
DAYS
'I'111S
PERIOD
12
12
PREVIOUS
I LAUOD
1058
1058
TOTALS
TO DATE
1070
1070
REMARKS:
CONTRACTOR DATE INSPECTOR DATE
The City of Fort Worth • 100 Fort Worth Trail Fort V"orth'I'X. 76102
(817) 392 -8275
FORTWORTH
Date: 7/15/2026
RE: Acceptance Letter
Project Name: Westside III 42-inch Water Transmission Main
Project Type: Water Main
Project No: 102688-1
City Secretary Contract No: 59067
To Whom It May Concern:
On December 121h 2025 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 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 817-392-6054.
Sincerely,
/07 ov � S L-) � 14(l
Tony Sholola, P.E., Assistant Director, Water Department
TS /
Cc: Chris Harder, P.E., Director, Water Department
Laura Wilson, P.E., Deputy Director, Water Department
Victor V. Tornero Jr., P.E., Sr. Capital Projects Officer, Water Department
Walter Norwood, Project Manager
Wade Miller, Construction Manager
Donald Watson, Construction Inspection Supervisor
Carmen Drake, Senior Construction Inspector
Nakia McCain, Construction Inspector
Kimley Horn, Consultant
Thalle Construction, Contractor
FORTWORT11. REV:03/12126
Capital Projects Delivery, Water Department
CONTRACTOR'S EVALUATION of CITY
I) PROJECT INFORMATION Date: 7 /7 7i�
Name of Contractor
Ode
+15�' uG vt
Project Name _
tntc rani#-1i3 t„
%Sid 1'1 HZci WA
hispector
Wt
1
praMCC
Proje
t A-It{anager /
al'fe- ✓vices oGl
Citl' Praject Atumber
59 0 67
Prcyect Difftcultt,
1 0 Simple 0 Routine 0 Complex
Type a% Contract
Water f Wastewater 0 Storm Drainage 0 Pavement 0
Initial Contract Amount
1 q 8�3 8� 3 . �5
Final Contract Amount
20 010/ ?A6. 31
II) PERFORMANCE EVALUATION
0 - Inadequate 1- Deficient 2 - Standard 3 - Good 4 - Excellent
ELEMENT
RATING
(0-4)
ELEMENT
RATING
(0-4)
INSPECTION
EVALUATION
PLANS & SPECIFICATIONS
I
Availability of Inspector
N
I
Accuracy of Plans to Existing Conditions
N
2
Knowledge of Inspector
y
2
Clarity & Sufficiency of Details
3
Accuracy of Measured Quantities
q
3
Applicability of Specifications
'1
4
Display Of Profess ionalismn
1 4
Accuracy of Plan Quantities
y
5
Citizen Complaint Resolution
N
PROJECT &MANAGER EVALUATION
6
Performance - Setting tip Valve Crews, Labs
N
I
Knowledge And/Or Problem Resolution
N
ADMINISTRATION
2
Availability of Project Manager
I
Change Order Processing Time
q
3
Communication
2
Timliness of Contractor Pa meats
4
Resolution of Utility Conflicts
3
Bid Opening to Pre -Con Meeting Timeframe
III) COMMENTS & SIGNATURES
COMMENTS 07ree ow ler io work wiA
Signature Contractor
Signature Inspector
Signature Inspection Supervisor
INSPECTOR'S COMMENTS
Capital Protects Delivcry. \\rater Department
The City or Fort Worth • 100 Fort Worth Trail, Fort Worth, TX 76102
517-392-X275
9RT WORTW0.1�
Capital Projects Delivety, Water Department
Performance of Contractors Evaluation
Nome o%Conu•actnr
Project NIame _
d� 42, kults,m:,5
Stti�� 1n LAa i
Project Number
k
Tr Ere of Conu•acl
Water Waste Water O Storm Drainage O Pavement
Project d4 roger
T e r J b✓ VJ�
Initial 0onfroet.4niount
q � 4,318 a). q-L
)
Project Dorcultp
Simple Routine Q Complex Q
Final Contract Arrunmt
Q0I Dio.�L6.51
Dale
..7�
II) PERFORMANCE EVALUATION
0 - Inadeauate I - Deficient 2 - Standard 3 - Good 4 - Excellent
ELEMENT
WEIGHT(
APPLICABLE (Y / N)
RATING (0 - 4)
MAX SCORE
SCORE
I Submission of Documents
2
Y
4
8
2 Public Notifications
5
Y
4
20
3 Plans on Site
5
Y
4
20
4 Field Supervision
15
Y
4
60
5 Work Performed
15
Y
4
60
6 Finished Product
15
Y
4
60
7 Job Site Safety
15
Y
4
60
8 Traffic Control Maintenance
15
Y
4
60
9 Daily Clean Up
5
Y
4
20
10 Citizen's Complaint Resolution
5
Y
4
20
11 Property Restoration
5
Y
4
20
12 After Hours Response
5
Y
4
20
13 Project Completion
5
Y
4
20
III) CONTRACTOR'S RATING
Maximum Score (MS) = 448 or sum of applicable element score maxinturns which =
Rating ( ITS / NIS) * 100%) 448 448 = 100%
Performance Category
<20%= huldequate 207s, to <40%= Deficient 403f,to <60%= Slwulurd 60%to <S0%= Good
Inspector's Comments (INCLUDING EXPLANATION OF BONUS POINTS ANVARDED)
A -- n,
TOTAL ELEMENT SCORE (A) BONUS 448
POINTS (25 Maximum) (B)
TOTAL SCORE (TS)
448
?:80%= &cellew
inspcctorS Signilure tyrit'l— Contractors Signiture
Capital Projects Delivery Water Department
The City of Fort Worth. 100 Fort Worth Trail Fort Worth TX. 76102
(817)392-8275
FORTWORTH
Water Department
PIPE REPORT FOR:
PROJECT NAME: Westside III 42-inch Water Transmission Main
CITY PROJECT NUMBER: 102688-1
WATER
PIPE LAID
SIZE
TYPE OF PIPE
LF
Open Cut
42"
Steel Awwa C200
10,990
Open Cut
42"
Steel Awwa C200 Restranied
8,802
BOTOC
42"
Steel Awwa C200 Carrier
700
Open Cut
36"
Steel Awwa C200 Restrained
499
BOTOC
36"
Steel Awwa C200 Carrier
562
Open Cut
16"
PVC
214
Op[en Cut
12"
PVC
40
FIRE HYDRANTS: 2
VALVES (16" OR LARGER)
14
PIPE ABANDONED
SIZE
TYPE OF PIPE
LF
N/A
PIPE REMOVED
SIZE
TYPE OF PIPE
LF
N/A
DENSITIES:
Yes
NEW SERVICES:
N/A
SEWER
PIPE LAID
SIZE
TYPE OF PIPE
LF
N/A
PIPE ABANDONED
SIZE
TYPE OF PIPE
LF
DENSITIES:
NEW SERVICES:
Fort Worth Water Department
The City of Fort \Vorth • 100 Fort Worth Tr. 76102
AFFIDAVIT OF BILLS PAID
1011011109=0:f_.1
KNOW ALL MEN BY THESE PRESENTS:
COUNTY OF JOHNSON
Personally, before me the undersigned authority, on this day appeared JASON ESPARZA, who being duly
sworn on oath, says that he is a representative of THALLE CONSTRUCTION CO., INC. and that the contract
for the construction of the project, designated as:
23-388
CITY OF FORT WORTH
WESTSIDE III — PHASE 1-42" WATER TRANSMISSION MAIN
CITY PROJECT NO, 102688-1
has been satisfactorily completed and that all bills for materials, apparatus, fixtures, machinery, labor, and
equipment used in connection with the construction of this project have been fully paid through the
month of NOVEMBER 2025,
<71-
Signature
Area Manager
Title
Sworn to and subscribed before me this, the 121h day of November 2025.
Dine J WII$On LUA
My Com0120n Expires
20l202 Notary Public in akely�--
W
Notary ID 10870U8 JOHNSON County, Texas
Bond No. K41643249 Federal Insurance Company
Bond No. 015220487 Liberty Mutual Insurance Company
CONSENT OF SURETY
TO FINAL PAYMENT
A/A Document G707
(Instructions on reverse side)
TO OWNER:
(Name and addn ar)
City of Fort Worth
200 Texas Street
OWNER
ARCHITECT
CONTRACTOR
SURETY ✓
OTHER
ARCHITECT'S PROJECT NO.:
CONTRACT FOR:
Fort Worth, TX 76102 WESTSIDE III - PHASE I - 42-INCH WATER TRANSMISSION
MAIN -City Proiect No. 102688-1
PROJECT: CONTRACT DATED: February 28, 2023
(,Name a»d arilrem)
WESTSIDE III - PHASE I - 42-INCH WATER TRANSMISSION MAIN -City Project No. 102688-1
In accordance with the provisions of the Contract between the Owner and the Contractor as indicated above, the
(Inset/ urine and etddnav of Snn pal
Federal Insurance Company
202E Hall's Mill Road
Whitehouse Station, NJ 08889
on bond of
(Inwri nume and adilrm,, of Contractur)
Thalle Construction Co., Inc.
900 NC Highway 86 North
Hillsborough, NC 27278
Liberty Mutual Insurance Company
175 Berkeley Street
Boston, MA 02116
, SURETY,
, 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
(btse)t name and addre i uJ'Otrner)
City of Fort Worth
200 Texas Street
Fort Worth, TX 76102
as set forth in said Surety's bond.
1N WITNESS WHEREOF, the Surety has hereunto set its hand on this date: November 12, 2025
(Insert in toitlt{q Ox nron1b follotred bt the numetir date tine! tear.)
Attest:
(Seal): William ik Drayt Kir. , Witness as to Surety
Liberty Mutual Insurance Company
Federal Insurance Company
(surer)
DAL'a
(ISignatln'e(J« it/. ied )X,/)rt• !al rel
Jaclyn Malley
1I'rintedni«ne«nrltirle) Attorney -in -Fact
, OWNER,
CAUTION: You should sign an original AIA document that has this caution printed in red. An
i I original assures that changes will not be obscured as may occur when documents are reproduced.
See Instruction Sheet for Limited License for Reproduction of this document.
AIA DOCUMENT G707 • CONSF.N7' OF SURMY TO FINAL PAYMENT • MI EDITION • ' A41
01994 • THE AMERICAN IN.STI7I.TF OF ARCH111M, 1755 NFW YORKAVF.NIT, NW. WASH-
INGTON, D.C. 2000(r5292 • WARNING: Unlicensed photocopying violates U.S. copy- G707-1994
right laws ana will subloct the violator to legal prosecution.
ACKNOWLEDGEMENT OF SURETY COMPANY
STATE OF NEW JERSEY
COUNTY OF MORRIS
ON THE 12`I' DAY OF November, 2025 BEFORE ME PERSONALLY APPEARED Jaclyn Maffev TO ME KNOWN,
WHO BEING BY ME DULY SWORN, DID DEPOSE AND SAY; THAT (S)HE IS THE ATTORNEY -IN -FACT OF
Federal Insurance Company, THE CORPORATION THAT EXECUTED THE FOREGOING INSTRUMENT, AND
ACKNOWLEDGED TO ME THAT SUCH CORPORATION EXECUTED THE SAME.
IN WITNESS WHEREOF, I HAVE HEREUNTO SET MY HAND AND AFFIXED MY OFFICIAL SEAL, AT MY
OFFICE IN THE ABOVE COUNTY, THE DAY AND YEAR WRITTEN ABOVE.
cz
Notary Public
Sandy S. J8mes-9row"s
Notary Public
State of New Jersey
My commission expires September 19, 2026
ACKNOWLEDGEMENT OF SURETY COMPANY
STATE OF NEW JERSEY
COUNTY OF MORRIS
ON THE 12`I' DAY OF November, 2025 BEFORE ME PERSONALLY APPEARED Jaclyn Maffev TO ME KNOWN,
WHO BEING BY ME DULY SWORN, DID DEPOSE AND SAY; THAT (S)HE IS THE ATTORNEY -IN -FACT OF
Liberty Mutual Insurance Company THE CORPORATION THAT EXECUTED THE FOREGOING INSTRUMENT,
AND ACKNOWLEDGED TO ME THAT SUCH CORPORATION EXECUTED THE SAME.
IN WITNESS WHEREOF, I HAVE HEREUNTO SET MY HAND AND AFFIXED MY OFFICIAL SEAL, AT MY
OFFICE IN THE ABOVE COUNTY, THE DAY AND YEAR WRITTEN ABOVE.
Notaryt ublic
Sandy S. Jameiz-Browns
Notary Public
State of New Jersey
My commission expires September 19, 2026
Liberty POWER OF ATTORNEY
Mutual. Liberty Mutual Insurance Company
SURETY The Ohio Casualty Insurance Company
West American Insurance Company
Certificate No: 8213270-985316
KNOWN ALL PERSONS BY THESE PRESENTS: That The Ohio Casualty Insurance Company is a corporation duly organized under the laws of the State of New Hampshire, that
Liberty Mutual Insurance Company is a corporation duly organized under the laws of the State of Massachusetts, and West American Insurance Company is a corporation duly organized
under the laws of the State of Indiana (herein collectively called the "Companies"), pursuant to and by authority herein set forth, does hereby name, constitute and appoint, Ryan Gray;
Jaclyn Maffey; Michael Marino; Marisol Mojica; Andreah Moran; Krystal L. Stravato; Kevin T. Walsh, Jr.
all of the city of Whippany state of N1 each individually if there be more than one named, its true and lawful attorney -in -fact to make,
execute, seal, acknowledge and deliver, for and on its behalf as surety and as its act and deed, any and all undertakings, bonds, recognizances and other surety obligations, in pursuance
of these presents and shall be as binding upon the Companies as if they have been duly signed by the president and attested by the secretary of the Companies in their own proper
persons.
IN WITNESS WHEREOF, this Power of Attorney has been subscribed by an authorized officer or official of the Companies and the corporate seals of the Companies have been affixed
thereto this 4th day of March 2025
Liberty Mutual Insurance Company
P� INsub POSY INS&,p INSUo The Ohio Casualty Insurance Company
j?�oaPO�ro'yp� QJ:ooaPOj4 �`9y0 3�oaPO�roynm West American Insurance Company
1912q0 i=1919� c a 1991 o v;E
E/ / 1
n�+ dJ1 JSACHU=" .dLNAMPga`,aL (S �NDIAN�' ,dal` / 'C U
By: m
to Nathan J. Zangerle, Assistant Secretary 0
a `m Slate of PENNSYLVANIA ss c 5
County of MONTGOMERY o
—0 a) On this 4th day of Nlarch 2025 before me personally appeared Nathan J. Zangerle, who acknowledged himself to be the Assistant Secretary of Liberty Mutual Insurance
m Company, The Ohio Casualty Company, and West American Insurance Company, and that he, as such, being authorized so to do, execute the foregoing instrument for the purposes
t; > therein contained by sianina on behalf of the corporations by himself as a duly authorized officer.
N 3
_-p
y
09)
N O
O W
C N
0) in
rn9)
O._C
IN WITNESS WHEREOF, I have hereunto subscribed my name and affixed my notarial seal at Plymouth Meeting, Pennsylvania, on the day and year first above written.
5P PAST
Qti �roNtie F� Commonwealth or Pennsylvania - Notary seal
Teresa Pastella, Notary Public
OF Montgomery County
My commission expires March 28.2029 By
Commission number 1126044
y NSy0 G Member, Pennsylvania Association of Notaries
�ARy t�0
Notary Public
This Power of Attorney is made and executed pursuant to and by authority of the following By-laws and Authorizations of The Ohio Casually Insurance Company, Liberty Mutual
Insurance Company, and West American Insurance Company which resolutions are now in full force and effect reading as follows:
ARTICLE IV- OFFICERS: Section 12. Power of Attorney.
Any officer or other official of the Corporation authorized for that purpose in writing by the Chairman or the President, and subject to such limitation as the Chairman or the
President may prescribe, shall appoint such attomeys-in-tact, as may be necessary to act in behalf of the Corporation to make, execute, seal, acknowledge and deliver as surety
any and all undertakings, bonds, recognizances and other surety obligations. Such attomeys-in-fact, subject to the limitations set forth in their respective powers of attorney, shall
have full power to bind the Corporation by their signature and execution of any such instruments and to attach thereto the seal of the Corporation. When so executed, such
instruments shall be as binding as if signed by the President and attested to by the Secretary. Any power or authority granted to any representative or attomey-in-fact under the
provisions of this article may be revoked at any time by the Board, the Chairman, the President or by the officer or officers granting such power or authority.
ARTICLE XIII - Execution of Contracts: Section 5, Surety Bonds and Undertakings.
Any officer of the Company authorized for that purpose in writing by the chairman or the president, and subject to such limitations as the chairman or the president may prescribe,
shall appoint such attomeys-in-fact, as may be necessary to act in behalf of the Company to make, execute, seal, acknowledge and deliver as surety any and all undertakings,
bonds, recognizances and other surety obligations. Such attomeys-in-fact subject to the limitations set forth in their respective powers of attorney, shall have full power to bind the
Company by their signature and execution of any such instruments and to attach thereto the seal of the Company. When so executed such instruments shall be as binding as if
signed by the president and attested by the secretary.
Certificate of Designation - The President of the Company, acting pursuant to the Bylaws of the Company, authorizes Nathan J. Zangerle, Assistant Secretary to appoint such
attomeys-in-fact as may be necessary to act on behalf of the Company to make, execute, seal, acknowledge and deliver as surety any and all undertakings, bonds, recognizances and
other surety obligations.
Authorization - By unanimous consent of the Companys Board of Directors, the Company consents that facsimile or mechanically reproduced signature of any assistant secretary of the
Company, wherever appearing upon a certified copy of any power of attorney issued by the Company in connection with surety bonds, shall be valid and binding upon the Company with
the same force and effect as though manually affixed.
I, Renee C. Llewellyn, the undersigned, Assistant Secretary, The Ohio Casualty Insurance Company, Liberty Mutual Insurance Company, and West American Insurance Company do
hereby certify that the original power of attorney of which the foregoing is a full, true and correct copy of the Power of Attorney executed by said Companies, is in full force and effect and
has not been revoked.
IN TESTIMONY WHEREOF, I have hereunto sel .Try hand and affixed the seals of said Companies this 12th day of November , 2025 .
P� �ils41J P�t`t INS& INSUR
o°aP°ryr yC+ I % c°aPmegr�9y `4Po°aPo�r �c+
`Opt° m
� 1912 0 ° 1919 0 s 1991 .
`Yd"�'9SIcHU�eaa tl "NA pP3� aa3 t/s �N°IAN► By:
Renee C. Llewellyn, Assistant Secretary
C E
O N
G
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O N
i
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LMS-12873 LMIC OCIC WAIC Multi Co 02/24
Liberty
Mutual®
SURETY
Assets
Cash and Bank Deposits
*Bonds — U.S Government ......
*Other Bonds .....................
*Stocks.. ............................
LIBERTY MUTUAL INSURANCE COMPANY
FINANCIAL STATEMENT — DECEMBER 31, 2024
.. $4,608,826,756.00
.. $4,281,375,446.74
$21,566,489,527.26
$15,589,644,012.00
Real Estate..........................................................$86,497,925.00
Agents' Balances or Uncollected Premiums ... $7,512,975,129.00
Accrued Interest and Rents...............................$225,249,712.00
Other Admitted Assets .................................. $19,367,663,200.00
Total Admitted Assets.................$74,539,483,661.00
Liabilities
Unearned Premiums ...................................... $9,890,896,878.00
Reserve for Claims and Claims Expense..... $29,467,071,865.00
Funds Held Under Reinsurance Treaties.......... $341,948,172.00
Reserve for Dividends to Policyholders ...................
$954,025.00
Additional Statutory Reserve ............................
$150,547,865.00
Reserve for Commissions, Taxes and
Other Liabilities ..............................................
$5,049,906,410.00
Total .............................................. $47,104,416,171.00
Special Surplus Funds ......................................
$174,153,086.00
Capital Stock .......................................................
$10,000,075.00
Paid in Surplus............................................1
$13,209,595,772.00
Unassigned Surplus .....................................
$13,415,980,561.00
Surplus to Policyholders ..............................
$27,435,067,490.00
Total Liabilities and Surplus....... $74,539,483,661.00
* Bonds are stated at amortized or investment value; Stocks at Association Market Values.
The foregoing financial information is taken from Liberty Mutual Insurance Company's financial statement filed with the Massachusetts Department of
Insurance.
I, TIM MIKOLAJEWSKI, Assistant Secretary of Liberty Mutual Insurance Company, do hereby certify that the foregoing is a
true, and correct statement of the Assets and Liabilities of said Corporation, as of December 31, 2024, to the best of my
knowledge and belief.
IN WITNESS WHEREOF, I have hereunto set my hand and affixed the seal of said Corporation at Seattle, Washington, this
8th day of March, 2025.
Uoo1NS(/R �
hJ RPOR4r
1912 o
Timothy A. Mikolajewski, Assistant Secretary
LMS-1262/LMIC
FEDERAL INSURANCE COMPANY
STATEMENT OF ASSETS, LIABILITIES AND SURPLUS TO POLICYHOLDERS
ASSETS
Cash, Cash Equivatents, and ST Investments
United States Government, State
and Municipal Bonds
Other Bonds
Stocks
Other Invested Assets
TOTAL INVESTMENTS
Investments in AHilfates:
Great Northern Ins. Co.
Vigilant Ins. Co.
Chubb National Ins. Co.
Chubb Indemnity Ins. Co.
Chubb Ins. Co. of New Jersey
Chubb Lloyds Ins. Co. of Texas
Other Affiliates
Premiums Receivable
Other Assets
Statutory Basis
Dacembat 31, 2024
(in thousands)
LIA810TIES AND
SURPLUS TO POLICYHOLDERS
$ (355,746)
Outstanding Losses and Loss Expenses
Reinsurance Payable on Losses and Expenses
3.847,216
Unearned Premiums
9,063,626
Ceded Reinsuranca Premiums Payable
361.684
Other Liabilities
1,562,503
14,479,183
TOTAL LIABILITIES
444,946
392.348
204,099
185,760
41,523
6,140
71,980
2,574,791
3,039,474
Capital Stock
Paid -In Surplus
Unassign9d Funds
SURPLUS TO POLICYHOLDERS
TOTAL LIABILITIES ANO
$10,612,093
1,730,604
3,117,855
417,703
583,379
16,461,834
20,980
2,711,474
2,245,956
4,978.410
TOTAL ADMITTED ASSETS $ 21.440,244 SURPLUS $ 21,440,244
lnvestments are valued in accordance with requirements of the Nation Association of insurance Commissioners. At December 31, 2024.
Investments with a carrying value of $569,829,993 were deposited with government authorities as requ red by law.
STATE OF PENNSYLVANIA
COUNTY OF PHILADELPHIA
John Tayfor, being duly sworn, says that he is Senior Vice President of Federal Insurance Company and that to the best of his knowledge
and belief the forego'. Is a true and correct statement ofthesaid Companys financial condition as of the 31 st day of December, 2024.
SWNm befor th' C_I ZU �1
Senior V 71 resident
NotaryPublic My comp, ssion expires
Commor.weallh — Penrsylvama - Notary Seal
Diane W ight, Notary Public
Philadelphia County
My commission expiresAugust 8, 2027
Commission number 1235748
Member, Pennsylvania Assocletion of Notarles
CHUBB'
Power of Attorney
Federal Insurance Company I Vigilant Insurance Company I Pacific Indemnity Company
Westchester Fire Insurance Company I ACE American Insurance Company
Know All by These Presents, that FEDERAL INSURANCE COMPANY, an Indiana corporation, VIGILANT INSURANCE COMPANY, a New York corporation, PACIFIC INDEMNITY
COMPANY, a Delaware corporation, WESTCHESTER FIRE INSURANCE COMPANY and ACE AMERICAN INSURANCE COMPANY corporations of the Commonwealth of Pennsylvania,
do each hereby constitute and appoint Ryan Gray, Marisol Mojica, Andreah Moran, Krystal L. Stravato, Jaclyn Malley and Kevin T. Walsh Jr. of Whippany,
New Jersey; Andrea E. Gorbert and Mariya Leonidov of Jericho, New York; Neil C. Donovan and Gerard Leib of Berwyn, Pennsylvania ------------------
each as their true and lawful Attorney -in -Fact to execute under such designation in their names and to affix their corporate seals to and deliver for and on their behalf as surety thereon
or otherwise, bonds and undertakings and other writings obligatory in the nature thereof (other than bail bonds) given or executed in the course of business, and any Instruments
amending or altering the same, and consents to the modification or alteration of any instrument referred to in said bonds or obligations.
In Winless Whereof, said FEDERAL INSURANCE COMPANY, VIGILANT INSURANCE COMPANY, PACIFIC INDEMNITY COMPANY, WESTCHESTER FIRE INSURANCE COMPANY
and ACE AMERICAN INSURANCE COMPANY have each executed and attested these presents and affixed their corporate seals on this 71h day of October, 2024.
\ l
Rupert HD Swindells. A s; istant Secretary
*et,u it
: r� (!- PTO
STATE OF NEW JERSEY
County ofHunterdon Ss.
11'arren Eichhorn.Vice Prc idoit
On this Th day of October, 2024 before me, a Notary Public of New Jersey, personally came Rupert HD Swindells and Warren F.ichhorn, to me known to be Assistant Secretary and
Vice President, respectively, of FEDERAL INSURANCE COMPANY, VIGILANT INSURANCE COMPANY, PACIFIC INDEMNITY COMPANY, WESTCHESTER FIRE INSURANCE COMPANY and
ACE AMERICAN INSURANCE COMPANY, the companies which executed the foregoing Power of Attorney, and the said Rupert HD Swindells and Warren Eichhorn, being by me duly
sworn, severally and each for himself did depose and say that they are Assistant Secretary and Vice President, respectively, of FEDERAL INSURANCE COMPANY, VIGILANT INSURANCE
COMPANY, PACIFIC INDEMNITY COMPANY, WESTCHESTER FIRE INSURANCE COMPANY and ACE AMERICAN INSURANCE COMPANY and know the corporate seals thereof, that the
seals affixed to the foregoing Power of Attorney are such corporate seals and were thereto affixed by authority of said Companies; and that their signatures as such officers were duly
affixed and subscribed by like authority.
Notarial Seal 0
Albert Contursi
NOTARY PUBLIC OF NEW JERSEY
Flo S02n2369
Commission Expires August 22,2027
NotaryPublic
CERTIFICATION
Resolutions adopted by the Boards of Directors of FEDERAL INSURANCE COMPANY, VIGILANT INSURANCE COMPANY, and PACIFIC INDEMNITY COMPANY on August 30, 2016;
WESTCHESTER FIRE INSURANCE COMPANY oil December 11, 2006; and ACE AMERICAN INSURANCE COMPANY on March 20, 2009:
"RESOLVED, that the following authorizations relate to the execution, for and on behalf of the Company, of bonds, undertakings, recognizances, contracts and other written commitments ofthe Company
entered Into In the ordinary course of business (each a "Written Commitment'):
(1) Each of the Chairman, the President and the Vice Presidents of the Company is hereby authorized to execute any Written Commitment forand on behalf of the Company, under the seal
ofthe Company or otherwise,
(2) Each duly appointed attorney -in -fad ofthe Company Is hereby authorized to execute any Written Commitment for and on behalf of the Company, under the seal ofthe Company or otherwise,
to the extent that such action is authorized by the grant of powers provided for in such person s written appointment as such attorney -in -fact.
(3) Each of the Chairman, the President and the Vice Presidents of the Company is hereby authorized, for and on behalfofthe Company, to appoint in writing any person the attorney -In -
fact of the Company with full power and authority to execute, for and on behalfofthe Company, under the seal ofthe Company or otherwise, such Written Commitments ofthe Company
as may be specified In such written appointment which specification may be by general type or class of Written Commitments or by specification of one or more particular Written
Commitments.
(4) Each of the Chairman, the President and the Vice Presidents of the Company is hereby authorized, for and on behalf ofthe Company, to delegate In writing to any other officer ofthe
Company the authority to execute, for and on behalf of the Company, under the Company's seal or otherwise, such Written Commitments ofthe Company as are specified in such written
delegation, which specification may be by general type or class of Written Commitments or by specification ofone or more particular Written Commitments.
(5) The signature of any officer or other person executing any Written Commitment or appointment or delegation pursuant to this Resolution, and the seal of the Company, may be affixed by
facsimile on such Written Commitment or written appointment or delegation.
FURTHER RESOLVED, that the foregoing Resolution shall not be deemed to be an exclusive statement ofthe powers and authority of officers, employees and other persons to act for and on behalf of the
Company, and such Resolution shall not limit or otherwise affect the exercise of any such power or authority otherwise validly granted or vested:
I, Rupert HD Swindells, Assistant Secretary of FEDERAL INSURANCE COMPANY, VIGILANT INSURANCE COMPANY, PACIFIC INDEMNITY COMPANY, WESTCHESTER FIRE INSURANCE
COMPANY and ACE AMERICAN INSURANCE COMPANY (the "Companies") do hereby certify that
(i) the foregoing Resolutions adopted by the Board of Directors of the Companies are true, correct and in full force and effect,
(11) the foregoing Power of Attorney is true, correct and in fall force and effect.
Given under my hand and seals of said Companies at Whitehouse Station, NJ, this November 12, 2025
Rupert HD Stv;ndelis. Assistant Sea etary
IN THE EVENT YOU WISH TO VERIFY THE AUTHENTICITY OF THIS BOND OR NOTIFY US OF ANY OTHER MATTER, PLEASE CONTACT US AT:
Telephone (908) 903.3493 Fax (908) 903- 3656 e-mail: surety@chubb.com
Combined: FED-VIG-PI-WFIC-AAIC (rev. 11-19)
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FORTWORTH.
City Secretary's Office
Contract Routing & Transmittal Slip
Contractor's Name: Thalle Construction
Subject of the Agreement: Westside III 42-inch Water Transmission Main
M&C Approved by the Council? * Yes ® No ❑
If so, the IIlI&C must be attached to the conti-act.
Is this an Amendment to an Existing contract? Yes ❑ No 8 CSC 59067
If so, provide the original contract nannber and the amendment number.
Is the Contract "Permanent"? *Yes 8 No ❑
If zmsao•e, see back page for permanent contract listing.
Is this entire contract Confidential? *Yes ❑ No R If only specific information is
Confidential, please list what information is Confidential and the page it is located.
Effective Date: N/A
If different ftoin the approval date.
Expiration Date: N/A
If applicable.
Is a 1295 Form required? * Yes ❑ No
*If so, please ensure it is attached to the approving M&C or attached to the contract.
Project Number: If applicable. 102688-1
*Did you include a Text field on the contract to add the City Secretary Contract (CSC)
number? Yes ® No ❑
Contracts need to be routed for CSO processing in the followingorder:
rder:
1. Katherine Cenicola (Approver)
2. Jannette S. Goodall (Signer)
3. Allison Tidwell (Form Filler)
*Indicates the information is required and if the in_for•mation is not provided, the contract ivill be
retan°ned to the department.