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PROJECT ANUAL
FOR
low THE CONSTRUCTION OF
TRAFFIC SIGNAL IMPROVEMENTS TO SERVE
SOUTHSIDE/GRANBURY L AQ
City Pro'ect No.00032
Betsy Price Tom Higgins
Mayor Interim City Manager
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1,
Douglas W. Wiersig, F',E
Director, Transportation Public orks Department
Prepared for
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The City of Fort Worth.
Transportation and Public Works,ks, epar rt
November 201.E
Elizabeth A. Ram 1'rez, P.E.
Beth Ramirez Transportation Engineering,ng LLC
pro 'BPE Firm No. F 14375
PP
OFFICIAL RECORD
CITY �SECRETARY
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Elizabeth � t
T 1VORTK TX
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RECEIVED MAR 0 6
"M&CReview Page,1, of 2
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Of, site aV 1�- ,'4Y: N�i�, ,:v)Iri
N of Fort 7e
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COUNCIL ACT IOU: Approved on 1120/20/
NAL
20TRAFFIC,
REFERENCE
OAT` * ��C-26,650 LOG NA iTS,TO,,S.E"RVE
NOPAI
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G TY, E# CONSENT
PUBLIC'
��� � �� , � execution o�a Cons ruc I� ontrac° with Durable � �� � ��� � 1
S t s o n the
Am �� X54 00.00 o Ins N n Hardware a �
� �pmt
Four raft;Signals L icated i, South, Fort Worth,�(COUNCIL DI S RIOTS 6 a nd,,$)
"it ins the C council authorize the e c it o c u I cont ��
utabl
, ,,,
control,equipment at four tralftic signals located 'in Sout Fort,
IS
T,his ls,�uc/,t,,o.h, Win, a,,Ic,,t,will install new traffic signal hardw,are and co,ntrol, equip,m' 't the
J r,',inte
, at-Cleburne e Road� ry
Wi�st Be",,$treet at,Hemphill, Street
'This pro is/fund6d with Local,Air QualityProgram (LAQP) vonie'.s,. The,new"�t
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We, A �� �. � W �� � �� � �'nt ��� signal operations
a hor by twice unnecessary vehicle stops, delay, fuel consumPtio ���ai �o/ut" w sign aro,part of arterial traffic signa]improvement,pripiects funded by' r Thio
contact authorized by this Mayor and Council Communication.Will replace,the s* are t t
cam'
dour signals t 1bov . �m �� en �W l b �c le
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Ch y,firs n, x���ng contract i t � Ce a ex s nc o Gov nm t�(NCTCOP),1'
r re/irn0uirsomerit for 8 percentof the contract, costs,arid proVide,6 20,
1,
OTC" :,a; i ; expenditures
� ) Funds will I rs the,
. The,fUn0in-9 source percenta es and amount gyre,s aI i d
1,
0 CE
...P 80,percent -NCTCOG i t funds ; s .
peren � 7 critica Capital Improvement�
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Total $4641000i.00
This pirpied was,;advertised for bid sn the 'thStarJelearam on Nov er 5,:201,3:.and�
1 Emtt.�8kor..i emb
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Page 2' f
B I E=>DE R. BID A!Mi, T
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I�f �N
r Durable Special Inc. $45410001.00
Price Anmy s-Staff has determined that un=it pricey red by theslingle,bidder ire reasonable
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and
c sip i sec t bid submittals, n the Dallas-Fort o` ar a or projects,o S�I� s a
type. Thy id a nount f lls w hIn percent of the Engineer's cost esfim' ,ate.
ity mance by
M/WBE,Office- Durable Specialties, Inc compliance with the Q s BDE,Ord*
is in
r pine percent B part" � 10 � his o � "h C � E goal on this c �;�
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b -The, contractor is required to complete Workin 120 calendar days. It"is estimated
Project Sc,,edule
that-the project,wilfbegin April 2014,and be completed b�Ju�ly, 1, 201A.
j, in 11
Th"
11S,project is located, COUNCIL DISTRICTS 6 and 9, Mapsco 76Y, 76Z, 890 and9, 0D.
0
RTI F
[CATION
The � � �� e s Director certifies,that funs are available n errant Capital
t of budge � � �` � ��� �� '.e
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Addendum o,
Traffic Signal Improvements to Serve SouthsJde/G r are bury LAQ
Project rho. 0003,2
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Addendum Issued December 17, 2013
r Bid Date.- December 19 2013
Addendum . 1 includes the follo i'ng changes or clarifications to the Project Manual.
and/or Plans:
1) Project Manual — Bid Proposal
a ,section 00 42 43 Proposal B d Form
i The attached id Form has been revised. Use the revised Bid Form t ►
complete: your bid proposal. Bidders may also use the revised EXCEL
spreadsheet to complete the Bid Form
f
ii) Changes, to, the hied items and quantities for each signal are shown on the last
page of the revised plan set. Changes to the hid form are summarized below:.
r,
(1) Added pay item 0241.04011 - Remove Concrete Drive
(2) Added ay item 3217.1002 - Lane Legend Arrow
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(3) Added pay item 3217.2,0 04 - Lane Legend Only
(4) Added pay item 3217.2001 - Raised Marker TY
(5) Added p - REFL Raised Marker TY-I-C
r x Adjustment
Added � ��tn�w ���C��� 11 -Valve�� �
(7) Renamed pay item 3441.1 C '1 - Pedestrian Push Button Assembly
(8) Deleted pay item 3441.1022 - " Ped Push Button BT N! Station w sign
r
(9) Renamed pay item 3441.1031 to,Audible Pedestrian Pushbutton Station
(10) Deleted pay item 3441.1221 - Furnish/Install 722 Preempt Detector
(11) Added pay item 3441.1 223 - Install Model 722 Preempt Detector
t (12) Deleted play item 3441.1224 .. Furnish/Install Preempt Gable
(13) Added pay item 3441.1 225 - Install Preempt Cable
(14) Added pay item 3441.1323 -4/C 14 A G Loop Lead-In Cable
(15) Deleted pay item 3441 131 - 4/C 14 AWG MuIlti-Conduictor Cable
r
(16) Deleted pay item 3441.1313 - 8/C#14 AWG Multi-Conductor Cable
(17) Added pay item 3441.1321 - 9/C #14 AWG Multi-Conductor C abil+
pay 41.1 X22 - i CSC nductor Cable
(18) Added �. items �4 SIC X14 � �ulti-
r (19) 'Deleted pay item 3441.19, 1 Powder Coat Sig Pole & MA (16-36)
(20) Deleted pair item 3441.1 902 Powder Goat Sig Pile & MIA (40'-48')
(21) Deleted pay iter""ru 3441.1 903 Power Goat Sig Pole & MA (527-601))
f
(22) Deleted pay item 3441.4006 Install Alum Sign Ground Mount
(23)Deleted pay item 3441.4007 Install Alum Sign Ex Pole Mount
Addendum
l Project 00032 Southside/Granbury L Q
Page 1 of
a
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b) Appendix Section S-01, Modified City of Fort rth Specifications
i Specification 26 05 00 Comma n W rl Results for Electrical was inadvertently
left out. Please refer to the attached revised specification which shall apply to,
the r J ect.
ii) Specification 3 Traffic Signals. Several changes have been made to
this, specification since the project was advertised. A revised red-line version
has been attached. The attached revised specification shall govern for this
project.
c Appendix Section S- 2, modified City of Fort lrthl Standard Details
i Replace Details D6014 with the attached version. The attached version shows
9C #14 AWG cable searing -section and 5-section heads, 6C #14 serving
the 3-section heads, and 3/C #14 earring the pedestrian push buttons.
ii) Replace Details D673 and 0674 with the attached versions. The attached
ersi ins call gut the pushbutton units as Audible Pedestrian Pushbutton
Stations as, opposed to Accessible Pedestrian Signal Pushbuttons.
iii), Details have been reprised to show using 4/C #14 for loop detector, lead-in
cahlel, 3/C #14 for pedestrian pushbuttons and 9/C #14, for 4/5 section signal
heads.
2 Plans
a), Plan sheets for Berry at I rne, Berry at Hemphill, and Hem hill and Biddison
have, been revised Revisions are noted on the plan sheet t usin�g a triangular
symbol with a number 1 inside. Quantities in the Bid Form have been revised to
match the Hans.
h Granhury and Gorman:
i The cost to remove the portion of the median for the barrier free rare
shall be ins udeld in pay item 3213.0510 Barrier Pre Reap, Type C-3.
ii) The installation ua ntiti s to trim hack the medians are not adequately
shown on the plans. The hid item quantities on the hid form have been
increased to accommodate the revisions. The contractor r ►ill be
responsioie for adjusting, their hid item costs to complete these revisions
as illustrated in the pilan drawings,.
Addiendum #1
Project 010032-Southiside/Gran ur r LAQ
1
Page 2 of 5
A"!
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iii Run number 3 should be estimated at 1101 feet.
iv The lettering and ramp design standards have been updated ,since the
it ns were prepared by the n ineer. Please download the new ram
standards from uzzsaw. The quantities and pay items have been
r adjusted on the Enid Fora to reflect the new ramp lettering system.
3 Clarof c -ti res
a The, Contractor has 120 calendar days to complete the job upon receiving Notice
1;
to 'Proceed.
b Bidders are encouraged to use the Excel spreadsheet provided on Bulzzsaw to
complete the line item bid form.
c The City will supply the f l'l w rig materials:
i Traffic signal poles, mast arms, street light arms, and anchor bolts
ii) Street light fixtures
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iii) Fader detection sensors, detector cabinet back plates,
and cable
�
iv Preempt detectors and cable
v Cabinets and controllers
1.
d Line items referring to wd r coat signal poles have been removed from the bid
!� pay item list. The City is furnishing, all signal poles and the powder coating v ,ill
be done; by manufacturer. The contractor is not responsible, for powder coating.
VM
e The Contractor shall furnish back plates with all signal heads.
I,, f Two, of'the traffic signals on this project will require contractors t work within 25
1 feet of Fort'W rth Western and Railroad (FWWR) rights-of-way. This requires
the following conditions to be met prior to working at these intersections:
r
i Contractors rs are required to obtain a� diti final insurance, during the time period
O
they are working in near the, railroad.
iii) Contractors must enter, into a Right of Entry Agreement with FWWR.
i PIP Contractors are advised to contact FWWR to be sure they understand the
insurance requirements associated with: the Right of Entry Agreement.
iii) All crew members must complete training provided by FWWR prior to working
in
on the site. If a railroad inspector determines crew members do not have
Addendum #1
Pr t South side Grarnbury LAQ
Page 3 of 5
l
safety training, the .Mob will he shut down. Training is a 2_1/2 hour class that
typically costs 50 per person..
iv Railroad flagigers will he required'.
v Contractors will he required to provide an additional 100 feet f 1 /C #14
AWG at the end of the run to, the railroad cabinet for FWWR to pull wire and
make connections ns in the RR cabinet.
ar
i At Berry and Cleburne, the Contractor will install sidewalk on both sides of the
railroad tracks on the northwest est corner of the intersection, The Contractor will
he required to install sidewalk up to a point close to the outside of the
tracts. Before any sidewalks are installed on the N corner, FWWR will first
install the sidewalk pad between and next 'to the track rails. This section must y
he installed prier to the sidewalk leading up to the railroad tracks. This is
required to wake sure the sidewalk grades match.
vii) contact Bill Parker with Fart Worth Western and railroad at 817-201-4450 or
wrp@fwwr.net for additional information or clarifications regarding the
requirements listed above.
g) Contractors shall submit concrete mix designs to the City prior to placing
concrete. City is responsible for performing and payment for the first set of
concrete Quality Assurance Testing. If the first test fails, the Contractor is
responsible for payment of subsequent Quality Assurance testing until a passing
test occur., Rof r to specification 01 45 23 Testing and Inspection Services. »
h Contractor will be responsible for installation and set-up fees that may be
charged by the radar detection car audible pedestrian pushbutton station
manufacturers. These costs are subsidiary to pay items 3441.1222, 3441.12231
and 3441.1 3 1.
,rR
i Contractors have -five 5 City business days to submit E forms per
specification 00 45 4 .
j contractors shall contact the M/BE office for the latest approved M/B E firms. Do
not assume that M firms approved y TOOT or TRCA are approved by
the ity of Fort Worth.
Please sure to acknowledge your receipt of this Addendum on page 3 of 3 of Bid �u
Form Section 00 4
Addendum #1
Project 00032 Sou.thside/Grain,bury LAQ
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Page 4 of
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Addendurn prepared bar:
Elizabeth A. Ramirez P.E.
817-392-797
be h.rare irez@fortworthtexas.gov
Beth Ramirez Transportation Engineering, L C
TBPE Firm N . F375
IN
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Addendum #1
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Project 00,032- c uths de randury L Q
Page,5 of
I ,
I 005243-1
r
Agreement
W Page I f 4
SECTION 00 52 43
2 AGREEMENT
1r 3
i
THIS AGREEMENT,authorized on Jan um 28,2014 i's made by and between the Cite of Fort
5 Worth, a Texas home rule municipality, acting, by and through its duly authorized City Manager,
r
6 ("City"), and Durable Specialties, I authorized to do business in Texas, acting by and
through its d 1y authorised representative, ("Contractor").
..
.City and Contractor, in consideration of the mutual covenants hereinafter set forth, agree as
follows:
Article 1.WORK
11 Contractor shall complete all, Work as specified or indicated in the Contract Documents for the
12 Project identified herein.
13 Article 2.PROJECT
I„
I
.1 y part 14 °� �project for which the orb under the Contract Documents �a the whole or only�
15 generally described as follows:
1
1 iii . w t m e,, ... 1 f r 1 to �. " 1 ZVI
emu. iomoi i�iuuooimiMOi ranwmmr wmu!mwwowomuwioimnuuu un'� umoiouMUOimmoiuimmou u0000 oom uu. w..w.w.aw.wu�wmo uoimm oom o00 owwuuww.wuuw.auw.w, i uuumw�oa mmruwa
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Article 3. CONTRACT TIME
21 3.1 Tune is of the essence,
22 All time limits for milestones, if any, and Final Acceptance as stated in the Contract
3 Documents are of the essence to this Contract.
4 3.2 Final Acceptance.
ft
25 The Work will be complete for Final Acceptance within 120 calendar days after the date
26 when the Contract Ti_ e commences to run as provided in Paragraph 2.03 of the General
27 Conditions.
28 3.31 Liquidated damages
9 Contractor recognizes that time is of the essence of this Agreement and that City will
30 suffer financial loss if the Work is not com pleted within the dines specified in Paragraph
31 12 above, plus any extension thereof" allowed in accordance with Article 12 of the
32 General Conditions. The Contractor also recognizes the delays, expense and dif wU ties
in a legal preceding the actual loss suffered b the City If the Wort is
f � involved in proving z
l
4 not completed on time. Accordingly, instead of requiring any such proof, Contractor
35 agrees that as liquidated damages for delay (but not as a penalty), Contractor shall pay
36 City i x hundred fifty Dollars ($650) for each day that expires after the time specified in
rr 37 Paragraph 3.2 for Final,acceptance until,the City issues the Final.Letter of Acceptance.
POR
CITY OF FORT WORTH Traffic Signal hnProvements to Serve Southsi le/Gr nbur'LLAQ
STANDARD C'ONSTRUC:TI N PECI FIC ATION DOCUMENTS °DPW-, 2013-00032
ok
Revised ed December 24,201,2
0 rol-
005243-2
Ag,reermue,nt.
"age 2 of 4
l
Article 4.CONTRACT CT RI E
2 City r
agrees dance with the Contract
+ Contractor + r
r
-�C3r
rr 3 Documents an amount in current to ds f`FOUR HUNDRED FIFTY FOUR THOUSAND
4 DOLLARS AND ZERO'CENTS($454,,,000. '
5 Article 5.CONTRACT DOCUMENTS
6 5.1 CONTENTS.
7 A. The Contract Documents which comprise the entire agreement between, City and
Contractor concerning the Work consist of the following:
a
9 1. This Agreement.
2. Attachments to this Agreement:
a. Bid For
Our 2 1 " Proposal Form
13 2 Vender Compliance to State Law on Resldcnt ldder
4 3 Preq ual i flcati n Statement
15 4 State and Federal d ocuments(project.vpecific)
1
h, Current Prevailing Wage Rate Table
or
7 c. fr surance ACORD Form(s)
8 d. Payment Woad
19, e. Performance,rm.ance,Bold
J=
20 f. Maintenance, Bond
21 g. Power of Attorney for the Bonds
22 h. Worker's Compensation Affidavit
23 1. MWBE Commitment Form
24 3. General Conditions.
25 4. ti Plemecntary Conditions.
26 5. Speciffications specifically rude a part of the Contract Documents by attachment
27 or, if not attached, as incorporated by reference and described in the Table of
POP 28, Contents of the Project's Contract Documents.
29 6. Drawings.
30 7. Addenda.
31 8. Documentation submitted by Contractor prier to Notice of Award.
32 19. The following which may be delivered or issued after the Effective Late of the
33 reement and,d, if issued, hecc►rne an incorporated part of the Contract ocuirents:
34 a Notice to"Prc ceed.
35 . Fuld Orders,.
3 , c. Change Orders.
37 d. Letter of Final Acceptance.
3
CITY OF FORT WORTH Traffic Signal Improvements to"Serve Southside,/Granbury LAQ
STANDARD CONSTRUCTION ION SPEC'IF'ICAT ON DOCUMENTS "I•, _,1 m-2013 00032.
Revised December 20,2012
s,
t
005243-3
Agreement
Page 3 or4
1; 1 Article 6.ENDENMFICATION
covenants and reel to indemnify, holed harmless and. defend, at It .
� � Contractor eov � � own
3 expense, the city, its officers, servants and employees, from and against any and all
4 claims arising out off, or alleged to arlisle out of,the work and services to be performed
5 by the contractor, its officers, agents, employees, subcontractors, licenses or invitees
under this contract. This indemnification s or is fieull intended to operate
�r 7 and be effective even if It is allEged or proven that all or some of the damages being
8 sou ht were caused, in whole or In art h an uet o issionr or negligence of the cl
9 This indemnity provision is intended to include, without limitation., indemnity for,
10 costs, expenses and legal fees incurred by the city In defending against such claims and
11 causes of actions.
12
131 6.2 Contractor covenants and agrees to indemnify and hold harmless, at its own expense,
14 the city its officers,servants and employees,from and against any and all loss,damage
15 or destruction of property of the city,arising out of or alleged to urlse out of the work
�J
16 and services to be performed by the contractor, its officers, agents, employees,
17 subcontractors, licensees or invitees under this contract. This indemnification
�y, 1 rovision is s ecif pll intended to operate and be effective evens if it is alle ed or
19 proven that all, or some of the damn es being sought were caused in whole or in curt
20 b any act omission or ne i% ece of the ci
P, 1
22 Article 7. MISCELLkNEOUS
3 7.1 Terms.
t 24 Terms used in this Agreement which are defined in Article f of the General Conditions will
5 have the me .nings ndicated in the General Conditions,
IM
6 7.2 Assignment of Contract.
7 This Agreement, including all of the Contract Documents may not be assigned by the
Contractor without the advanced express written consent of the City.
� 29 7.3 Successors and Assigns.
s.
30 City and Contractor each binds itself, its partners, successors, assigns and legal
f; 31 representative; to the other party hereto, in respect to, all coven ts, agreements and
32 obligations contained in the Contract'Documents.
3 7.4 Severahil ity.
4 Any provision or part of the Contract Documents held to be unconstitutional, void or
5 unenforceable by a court of competent jurisdiction shall he deemed stricken, and all
36 remaining provisions shall continue to e valid and l indin upon CITY an
37 CONTRACTOR.
7.5 Governing Law and Venue.
39 I'his Agreement, including all of the Contract Documents ents is perfon—nahle in the State of
40 Texas. Venue sh.all.l he Tarrant County, Teas, or the United States District Court for the
41 Northern District of Texas,Fort Worth Division.
1T ' 1 �T WORTH Traffic Signal Improvement to Serve South ide/Gr bury LAQ
STANDARD CONSTRUCTION SPECIFICATION D000ME TS TPW-TM-20113-00032
Revised December 20,2012
I
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2 43
grcernen
Page 4 of
r 7 6 Other Provisions.
2 The Contractor agrees, to pay at least minimum, wage per hour for all labor as the same is
3 classified, r u aced and set out 'i copy of e ached hereto an
made a part hereof the same,as if t were copied verbatim herein.,
73 Authon'ty to Sign.
t
Contractor shall
authorized signatory of the Contractor.
8
IN WITNESS WHEREOF, City" and Contractor have executed this Agreement in multiple
counterparts.
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2 This Agreement is effective as oft the last date signed by the Parties, "E ective Date").
3
Contractor,: City of Fort Worth
I A YTA V) C
JJ
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Fernando Costa
r Assistant City Manager
�.� Signature)
Date Ad
rintedJ�arne)ww
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(P I
City Secretary"
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(Seal)
`it * ,
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Address:
M&C C "
CI Sae � � Approved s to Form and Legality,
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Date you 71—ack
Assistant CityAttorney
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16 APPROVAL C . 4
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2O to gas � ersig, �. .
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22 Transportation and Public ors Department.
offICIAL ROCORD
' :CORD
0,jory SlicRITARY
RY
f Traffic Signal Improvements o Str S uthside/Gr b r Q' "FORT WORTH
-" -2 1 00"ANDARD CNNs"rRUCTION PE N TP
Revised December 20,2012
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-1: 13-.1
PERFORMANCE BOND
Page 1 of 2
1 SECTION 00 6113 Bend 2541539
2 PERFORMANCE BOND
3
fop, THE STATE OF TEXAS
5 § KNOW ALL BY THESE PRESENTS.
SEN'D'S
6 COUNTY F TARRANT
7
That we,Durable S eeualnes e known as "Pri'nclpal"here at American
Insurance Company e�f New York , a corporate surety(sureties, ifmore than
10 one)duly authonized to do business,in the State of Texas,know as"Surety"herein ether one
11 or ore),are held and firmly found unto to City of Port Worth,a municipal corporation created.
12 pursuant to the laws of Texas, known as"City"herein, in the penal sum of,FOUR HUNDRED
13 FIFTY FOUR THOUSAND DOLLARS AND ZERO C ENTS ($454,000.00), lawful money of
14 the United States,to be paid in Fort Wow,Tan-ant County,Texas for to payment of which sine,
15 well and truly to be nude,we b V d ourselves', our heirs,execuutors,administrators, successors and
16 assigns,jointly and severally,firrnly by these presents..
17 WHEREAS,the Principal has entered into a ce m written contract with the City
18 awarded the 28 day of����na. � 4, which Contract is hereby referred to and made a part
19 hereof for all purposes as if fully set forth herein,to furnish all materials, e u'
ipm
ent:labor and
other accessories defined by law, to prosecution of the Work, 'including any Change Orders,
21 as provided for in said Contract designated as Traffic Signal Improvements to Serve
22 Southside/Granbury LAQ, City Project No.TPW-TM-2 l3 00032.
f 't cndtn "` s h �tns sih that `the said Principal
23 NOW,24 shall faithfully perform it obligations under the Contract and shall in all respects duly and
25 faithfully perform the 'Work, including ng Change Orders, under the Contract,according to the plans,
26 specifications, and contract documents therein referred to, and as well during any period of
27 extension ef"the Contract that may be granted on the part of the City,then this obligation shall be
28 and become null and void,otherwise to remain in fall force and effect.
29 PROVIDED FURTHER,that f any legal action be filed on this Brand,venue shall lie in
30 Tarrant County,Tee.as or the United States istr et Court for the Northern District of Texas,Fort
31 Worth Division.
CITY OF FORT WORTH Traffic Sigrial Improvements to serve Southside/Granbury LA
STANDARD CONSTRUCTION SPECIFICATl N DOCUMENTS, T PW- - 13-00032
Reprised July 1,2011
P,
0061 3-2
PERFORMANCE,BOND
Page 2 of 2.
s bond is made and executed in compliance with the provisions of Chapter 2253 of'the
"e Government Code amended, �all liabilities i bon shall be deterinied
2 accordance with the Provisions of said statue.
00 4 E4 WITNIESS WHEREOF, e PrinciPal and the Surety have SIGNED and SEALED
5 this inst-ument by duly authorized agents,and officers on this the 14 th day of
6 -Feb rugU 20 14
C
8 Durable S c .alt:* s Inc.
NOW 9
1
Y
12 tl&orna&
3 ATTEST.
C � ,�
6 (Principal)Secrete Narj and T
7
w Address: PO Box 535969
' Grand, re, TX 75053
2 i
Witness, Principal
23 SURETY.
Great Amerlican
25 f1l In Al OfINP
®.
NOR 26
27 rw�
28 01iftature
2
000 3
3 ... Name and Title
32
Address:
_.53D5_jLo_rth Da l h a s Pkwyj #1100
34
35
316
Telephone Number: 972-385-9800
37 Witness as to Surety
318
3
4" ��
4 *Notes: If signed by an offi.cer of the Surety Company, there must be on fie a certified extract
42 tom the by laws sh wfig that this person has authority to sib such obligation. If
3 Surety's Physical address is different from its mailing Address both must be provided.
VA ' � e date of the bond,shall not be prior.to the date the Contract is awarded.
45
CITY OF FORT WORTH Traffic Signal Improvements to Serve Southsid bud°LAQ
STANDARD CONSTRUCTION SPECIFICATION DOCUMENTS T PW-Tfi -2013 00032
Revised July 1,2011
,.
GREAT AMERICAN ICAN INSURANCE COMPANY OF NEW YORK
New York
Administrative Office.301 E 4TH STREET * CINCINNATI,OHIO 45202, * 513-369-5000 # FAX 513-723-2740
The number of Persons authorized by
this power of attorney is not more than FOUR No.0 1i 9950
POWER OF ATT 'RNiE '
KNOW ALL MIEN B THESE'PRESENTS:That the GREAT AMERICAN INSURANCE'COMPANY OF NEW YORK,a corporation
organized and existing under and by virtue of the laws of the State of New York,does hereby nominate,constitute and appoint the
P attorney-in-fact,a in its name,Place and stead to execute on behalf of
person or persons Warned below its true and lawful att ey��rn�-fa�r�t for it and
the said Company,as surety,any and all bonds,undertakings and contracts of suretyship,or other written obligations in the nature
thereof;Provided that the liability of the said Company on any such bored,undertaking or contract of suretyship executed under this
authority shall not exceed the limit stated below.
Name Address Limit of Power
,JACK M.CROWLEY PATRICIA A.SMITH ALL OF ALL
STEVEN R. FOSTER MARIE PERRYMAN A IS F $75,000,01001.00,
`ERAS
This Power of Attorney revokes all Previous Powers issued on behalf of the attorneys)-in-fact named above.
IN WITNESS WHEREOF,the GREAT AMERICAN I NSURANC E COM PANY OF NEW YORK has caused these Presents to be signed
and attested by its appropriate off icers and its corporate seal hereunto affixed this 29TH day of NOVEMBER 2012
Attest GREAT AMERICAN ICAN INSURANCE COMPANY OF NEW YORK
SEAL
r � rrr �r r si ��t,Issrslont S c �
DAVID ID C.KITCHIN(677-377"-2405)
STATE OF OHIO,COUNTY OF HAMILTON-ss
On this 29TH day of NOVEMBER , 2012 ,before me personally appeared DAVID O.I ITOHIN,to me known,
being duly sworn,deposes and says that he resides in Cincinnati,Ohio,than the is a Divisional Sienior Vice President of the Bond
Division of Great American Insurance Company of New"York.,the Company described in and which executed the above instrument;
that he knows the seal;that it was so affixed by authority of his office under the By-Laws of said Company, and that he signed
his name thereto by like authority.
KAREN L.GR SHEI I
NOTARY PUBLIC,STAB OF OH1110 l
MY COMMISSION EXPIRES 02-20-16
4W This Power of Attorney is granted by aiuthoirity of the following resolutions adopted by the Board of Directors of Great
American Insurance Company of New"York by unani mous written consent dated May 14,2009.
RESOLVE "hat the Divisional President,the several Divisional Senior mice Presidents,Divisional"dice Presiden ts and Divisional
Assistant Vice Presidents, or any one of there, be and hereby is authorized, from time to tlrne to appoint o ys-in-Fact
�" ore t Lorne
to execute on behalf of the Company,as surety,any and all bonds undertakings and contracts of suretyship,or other written obligations
in the nature thereof,:to prescribe their respective duties and the respective limits of their authority,and to revoke any such appointment
at any thee.
RESOLVE FURTHER-,That the Company seal and the signature of any of the aforesaid officers and any Secretary or Assistant
Secretary of the Company may be affixed by facsimile to any power of attorney or certificate of either given for the execution of any bond,
undertaking,contract of suretyship,or other written obligation in the nature thereof,such,signature and seal when so used being hereby
adopted by the Company as the original signature of such officer and the original seal of the Company, to be valid and binding upon the
NIFF Company with the same force and effect as though manually affixed.
CERTIFICATION
1,STEPHEN C. BERAHA,Assistant Secretary of Great American.Insurance Company of New'York, do hereby certify that
the foregoing Power of Attorney and the resolutions of the Board of Directors,of May 114, 20,09 have not been revoked)and are
now in full force and effect.
Signed and sealed this 1 May of February, 2014
,
Will
SEAL
Assistanisecrawy
1 S118 I(4/11)
006114-1
PAY T BOND
VIP Page 1 of 2
SECTION 6:114
2 PAYMENTBOND
Bond 2541539
4 STATE OF TEXAS
5 § KNOW A_LL BY THESE PRESENTSW
COUNTY OFTARRANT
M,
8 That we, Durable S e��altie� ��� �►� "��elpal" herein, and
9. Great American Insurance Company of New York a corporate surety
t (sureties), duly a r zed to do business in the State of Teas, known as "Surety' herein
(whether one more), are held and firmly bound unto the City of Fort Worth, a municipal
12 corporation created pursuant to the laws of the State of Texas, known as "City"' herein, in the
'1
13 penal sum of FOUR HUNDRED FUTY FOUR THOUSAND DOLLARS AND ZERO
4 CENTS ($454,000.00 lawful money of-the United States, to be paid " Fort Worth, Tarrant
5 County, Texas,, for the payment of which sum well and truly be made, we bid: ourselves, our
16 heirs, executors, administrators,, successors and assigns,s, jointly d severally,, firmly by these
I"MIN 17 presents:
18 VVIUREAS,Principal has entered into a certain Witten Contract with City, awarded the
19 28 day of Januan, 2, which Contract is hereby referred to and made a part hereof for all
20 purposes as if fully set forth herein, to 'urnlsh all materials, equipment, labor and ether
21 accessories as defined by law, in the prosecution of the Work as provided for *in said Contract and
22 designated as Traffic Signal Improvements to Serve Southside/Granbury LAW, City Project NCB.
t 23 T W-T --2 l3-00032.
24 NOW, THEREFORE, TBE CONDITION OF S L:1GATION is such that if
2 P ' e pal shall pay all monies owing to any d a.. payment bond beneficiary (as defined :n
26 Chapter 2253 of the Texas Government Cede, as amended) in the prosecution of the Work under
2 the Contract, they this eblgatln shall be and beep null and d; otherwise t re ill.
28 force and effect.
1 MW
2' This bored is made and executed in compliance with the provisions of Chapter 225 3 of the
30 Teas Government Code,, as amended, a�n�d all liabilities on this bond shall be determined
3 t accordance with the provisions of said statute.
IF
CITY OF FORT WORTH Traffic Signal Improvements to Serve Southside/Granbury LA
STANDARD CONSTRUCTION SPECIFICATION DOC UMEN S T'Pw- -2013-00032
wised July 1,2011.
006114-1
PAYMENT BOND
Page 1 of 2
SECTION 1 61114
PAYM NT BOND
Bond 2553
4 THE,STATE OF TEXAS §
5 § KNOW ALL BY THESE PRESENTS.
6 COUNTY OF TARRANT §
7
Durable Specia,ines, Inc. known as "Principal" herein, and
8 That we,
9 Great American Insurance, Company of New York a corporate surety
(sureties), duly authorized to, do business in the State of `texas, known as "Surety" here.
�, (whether one or more), are held and firmly hound unto the City of Fort Worth, a municipal
2 corporation cr :t . pursuant the laws of the State of Texas, k `City''' herein, U*a to
IMF penal sum of FOUR HUNDRED FIFTY FOUR THOUSAND DOLLARS AND ZERO
CENTS J$454,00:0.0 lawful money of the United States, to he pled in Fort Worth, Tarrant
IMP 5 County, Texas, for the payment of which sum well and truly he made, we hind ourselves, our
16 heirs, executors, administrators, successors and assigns, jointly and severally, fmuly by these.
t, 7 presents:
"`:SAS,Principal has entered into a certain written Contract with City, aw r ed the
9 28 day of Jan,uarv, 2014 which Contract is hereby referred to and made a part hereof for all
20 purposes as if fully set forth herein, to ftwnish all materials, equipment, a. r and other
21 accessories,as defied by law, M to prosecution of to Wert as provided for in said Contract and
2 designated as Traffic Sisal Improvements to Serve Southside/Granbury LAW, City Project No.
23 'i.? - -2 l 3-0003 2..
24 NOW, TIELEREFORE., TBE CONDITION 0F TFUS OBLIGATION is such that if
25 Prmci*pal shall pay all monies owing to any (and all) payment bond beneficiary as defined
26 Chapter 2253 of the Texas Government Code, as amended M the prosecution n of the Work under
27 the Contract they this blig tion shall he and become null and v r�d otherwise to remain
28 force and effect.
�29 This hoed is made in cow d executed compliance with the provisions of Chapter 2253 of the
30 Texas Government Cade, as amended,, and all liabilities on this bond shall he determm* ed in
31 accordance with the p rovisions of said statute.
C1"1aY OF FORT WORTH Traffic Signal Improvements to S e Southside/Granbury IA
STANDARD,CONMUCTION SPE C TIN DOCUMENTS TPW- -2013-00032
Revised July 1 2011
0061 14-1
PAYMENT BOND
Fags 1 of 2
SECTION 6114
Bond 254153
3
4 THE, STATE OF TEXAS §
10 1
5 § KNOW ALL BY THESE PRESENTS.
6 C O Y OF TARRANT
That we, Durable Specialties,_ Inc.. known "Principal" heref, and
Great American Insurance Company of New York a corporate surety,
0
1 (sureties), duly authorized to do business in the State of Texas. known as "SuretV, ' herein
J 11 (whether one or more), are held and fwmly bound unto the City of Fort Worth,, a municipal
12 corporation created pursuant to the laws of the State of Texas, known as City" here,, in the
13 penal sum of FOUR HIJNDRED FIFTY FOUR THOUSAND DOLLARS AND ZERO
14 C $454 lawful money of the United States, to be paid M Fort Wow, Tarrant
1
15 County, Texas., for the payment of which sum well and truly be made, we bind ourselves, our
16 heirs, executors, administrators, successors and assigns, jointly and severally, firmly by these
presents
18 WHEREAS,Principal has entered into a certain.Witten Contract with City, awarded the
pip
19 28, day of Janua.!:y, 2014, which. Contract is hereby referred to and made a part hereof for all
20 purposes as fully set forth herein, to furnish all materials, equipment, labor and other
AM, 21 accessories as de �., �e by law, the prosecution.of the o�rk as,provided for said Contract and
22 designated as Traffic Signal Improvements to Sere Southside/Granbury LAW, City Project No.
3 -T -2 1 00! 32.
4 NOW, THEREFORE, TBE CONDITION OF TMS OBLIGATION is such that if
25 Principal shall day all monies owing to any d all) payment bond beneficiary as defined in
26 Chapter 225'3 of the Texas Government Cede, as amended) in the prosecution of the Work udder
7 the Contract, then this obligation shall be and become null and void-, otherwise to remain in full
28 force and effect.
29 This bond is made and executed in compliance with the provisions of Chapter 22,53 of the
30 Texas Government Code, as amended, and all liabilities can this bend shall be determined in
31 accordance ce wi the provisions of said statute.
u
CITE"OF'FORT WORTH Traffic sisal Improvements to serve Southside/Granbury LAQ
STANDARD CONSTRUCTION SPECIFICATION DOCI NTT TPA- -2 13-00032
Revised July 1,2011
006114-2
P'AYNENT BOND
0 MW Page 2 of 2
t IN WrrNESS WHEREOF,the Principal and Surety have each SIGN-ED and SEALED
11 2 this instrument by duly authorized agent and freers can this the h day of
3 Fpbruary.pq 14
;
4
PRINCIPAL
Durable Spec . ties Inc.
ATTEST: B
t uri
ur
C WIN _
(Principal) Secrete Nye and
Address: P0 5a59696
Grand Pra r e TX 75053
Witness as to Principal
SURETY:
Great American Insura4ce Company
Ne York -4_1100117
.............o-
ATTEST.- BY:
Si re
Jack M Crowley, t tome n Fact
sire Seere� �e and Title
Address 15305 North is las 'Pkwy. 100
Addz oin, TX 7 + l
mess as to' Surety
Telephone Number: 2
5
All VII
Nteer of the Surety, there must, be on file a certified, from
. If signed by an bylaws showing that this person has authority to sib such obligation., If Surety's physical
address's different from'ts mailing address both must be provided.
9
10 The date of the bond shall not he prior to the date the Contr et ,s awarded.
PO, I I ENID OF SECTION
12
R';;;
910
CITY OF FORTWORTH
Traffic Signal Improvements to Serve Southside/Cffanbury L, .
STANDARD CONSTRUCTION SPECIFICATION DOCUMENTS TPW-TM-2013-00,+ 32
I wised July 1 2011
l/
I%
1/i e
GREAT AMERICAN INSURANCE COMPANY OF NEW YORK
New York
fi
Administrative Office:301 E 4TH STREET o CINCINNATI,ATI,OHI 45202 . 513-369-5000 . FAX 513-723-2740
The number of persons authorized by
this power of attorney is not more than POUR lo.0 1 9950
POWER OF ATTORNEY
KNOW ALL MEN BY THESE PRESENTS:TSB That the GREAT AMERICAN INSURANCE COMPANY OF NEW YORK,a corporation
organized and existing under and by virtue of the lags of the State of New'York,does hereby nominate,constitute and appoint the
person or persons named below its true and lawful attorney in-fact,for it and in its name place and stead to execute on behalf of
the said Company,as surety,any and all'bonds,undertakings and contracts of sulretyship„or other written obligations in the nature
thereof;provided that the liability of the said Company on any such bond,undertaking or contract of suretyship executed under this
authority shall not exceed the limit stated below.
Name Address Limit of Power
JACK M.CROWLEY PATRICIA A.SMITH ALL OF ALL
STEVEN R FOSTER MARIE PERRYMAN ADDISOI I, $75,,000,000.00
TEXAS
PIP This Power of Attorney revokes all previous pourers issued on behalf of the attorney(s)-in-fact named above.
IN WITNESS WHEREOF,the GREAT AMERICAN INSURANCE COMPANY OF NEW YORK has caused these presents to be signed
and attested by its appropriate officers and its corporate seal hereunto affixed this 29TH day of NOVEMBER 201
Attest GREAT AMERICAN INSURANCE COMPANY OF NEW'Y R
P AL fit
Assistant Secrawy Divisional Senior Vice Presir em
DAVID C.KITCHIN(877-377-2405)
STATE OF OHIO,COUNTY OF HAMILTO -ss
On,this 29TH day of NOVEMBER 2012 ,before me personally appeared DAVID C.KITCHI' 1',to me known,
being duly sworn,deposes and says that he resides in Cincinnati,Ohio,that he is a Divisional Senior Vice President of the Bond
Division of Great American Insurance Company of New York,the Company described in and which executed the above instrument;
that he knows the seal;that it was so affixed by authority of his office under the By-Laws of said Company, and that he signed
his name thereto by life authority.
„ . KAREN L.GRSIEII
.
NO�TARY PUBLIC,STATE of OHIO
„ Y COMMISSION EXPIRE$02-20-16
This Power of Attorney is granted by authority of the following resolutions adopted by the Board of Directors of Great
American Insurance Company of New York by unanimous,written consent dated May 14,2009.
RESOLVED: That the Divisional President,the several Divisional Senior' ice Presidents,Divisional dice presidents and Divisional
Assistant Vice Presidents,or any one of them,be and hereby is authorized, from time to urine, to appoint one or more Attorneys-in-Fact
to execute on behalf of the Company,as surety,any and all bonds,undertakings and contracts of suretyship,or other written obligations.
in the mature thereof;to,prescribe their respective duties and the respective limits of their authority,and to revoke any such appointment
at any time.
RESOLVED FURTHER:That the Company seal and the signature olf'any of the aforesaid officers and any;secretary or Assistant
Secretary of the Company may affixed der facsimile to an y°power of attorney or certificate of either given for the execution of any bond,
undertaking,contract of suretyship, or other written obligation in the nature thereof,such signature and seal when so used,being hereby
adopted by the Company as the original signature of,such officer and the original seal of the Company, to be valid”and binding upon the
Company with the same force and effect as though manually,affixed.
CERTIFICATION
1,STEPHEN C.RERAHA,Assistant Secretary of Great American Insurance Company of New"York,,do hereby certify that
the foregoing Po wer of Attorney,and the Resolutions of the Board of Directors of May 1 , 200 have not been revoked and are
now r in full force and effect.
Signed and sealed this 14 C lay of F'eb ruary, 20,14
,nog rr
EAu
x11881(4111)
0061 1 -1
MAINTENANCE,BOND
Page 1 of 3
SECTION 00 6119 Bond 2541539
2 MAINTENANCE BOND
3
4 THE STATE OF TEXAS §
5 § KNOW AILL BY TIRESE PRESENTS.-
6 COLANTY OF TARRANT §
7
8 Tl at we: ura S sec alti es Ine known as"Principal"here. d G �� erican
9 Insurance Company f New York , a corporate surety(sureties, if more than
"
one)dui authorized to .o bus m* ess mw.�e Mate :��'� � lure here Nether one
or more),are held and firmly bound unto the City of Fort Worthy a municipat corporation created
12 pursuant to the laws of the State of Texas,known as"City".herein, n the sum of FOUR
3 HUNI)RED FIFTY. FOUR THOUSAND DOLLARS AND ZFRO CENTS ($4541000.00)
1,
14 lawful money of'the United States,to be paid in Fort Worth,Tarrant,County,Texas, for payment
15 of which sum well and truly be made unto the City d its successors,we b�i d ourselves, our
16 heirs,executors, ad inistrat rs, successors and assigns,j om►tly and severally, y by these
17 presents.
18
t WHEREAS,AS,the P.'r.e pal has entered into.a certain written contract with,the City awarded
20 the 28 day of January,2014, which Contract is hereby referred to and a made part hereof for all
21 purposes as if fully set forth herein,t o furnish all materials, equipment labor and other accessories
22 as defined by law,in e prosecution ofthe Work, including any Work resulting,from a duly.
23 auth . ed Change Ord er(collectively here.,the"Work")as provided for *in said contract and
24 designated as Traffic Signal Improvements to Serve Southside/Granbury L AQ, City Project No.
,; 25 TW-T 2013-000032- and
2
POP 27 WAHEREASI,Principal binds itself to use such materials and to so eo.astruret-the Work 'in
28 accordance with the plans, specifications and Contract Documents that the Work is and will
29 remain free from defects in materials,or workmanship for and during the period of two years
30 after the date of Final Acceptance of the Work by the City("Maintenance P od'); and
0
3
32 WHEREAS, Principal,hinds itself to repair or reconstruct the Work h� whole or part
33 upon receiving notice from the City of the need therefor at any time Within e Maintenance
34 Period.
CITY OF FORT WORTH Traffic Signal Improvements to S e outhsi 1e/ b AQ
STANDARD CONSTRUCTION SPECIFICATION ! U" IE S W- -2013-00032
Revised July 1,2011
0061 19-2
MAIWENANCE BOND
Page 2 c�f 3
2 NOW THEREFORE the condition of this obligation is such that if Principal shall
3 remedy any defective Work, for which ti-ne'y notice was Provided by City,to a completion
4 satisfactory to the City,then this oblx ation.shall become mull and void; otherwise to remai"in
full force and effect.
6
7 PROVIDED,HoWEV� if Principal shall fail so to repair or reconstruct any timely
noticed defective Work, it is agreed that the City may cause any and aU such defective Work to
�s 9 be repaired and/or'reconstructed with all associated costs thereof being borne by the Principal and
10 the Surety under this Maintenance bond;. and
11
12 PROVIDED FURT.EX that if any le� al action be filed on this Bond,venue shall lie in
1.3 Tarrant County,Texas or the United States District Cow for the Northern district of Texas,Fort
14 Worth Division; and
15
16 PROVIDED RT It,than this obli gation shall be continuous in nature and
17 successive recoveries may be had hereon for successive breaches.
1
19
CITY of FORT WORTH Traffic Signal Improvements to See Southside/Gra bury LQ
STANDARD CONSTRUCTION SPECIFICATION DOCUMENTS TP -T—2013-00032
Reed July 1,2011
J"
0061 19-3
MAM�ANCE BOND
Page 3 of 3
1 IN WYMSS WHEREOF,the Principal and the Sure have each SIGNED and SEALED s
I
s t by duly authorized agents and officers the
--1-4ttlayof Feb rte .r
3 20-j,4
4
PRINCEPAL
1aI t e
9 BY
10 ii6wtuv
ATTEST.
12 �n
n
F®RIP
5 � c a1 Scr
..
6 dress ox
1. '� ` TX 750!513
1
�.
20 Witness as to Pnincipal
21 SURETY:
22 Great American :fin e Company.
2 York
.�
24'
I Y;ri'r'
B,& ,. „
26 1jature
27
2
a
2 T S T Name and Title
MI Address: 15305 North Dallas Pkwy. , #1100
32 (Surety Secretes Addison, TX 750 1
33
3
fo Telephone Number: 972-385-9800i
35 wit" as r Surety
3 m�
37 *Note.- if signed by an officer of the Surety Company, there must be on a certified xtrac
��P' 38 from the by-laws showing that this, person has authority to sib: such obligation. If
39 Surety's physical address Is different from its mailing ress, both must be provided.
The date of he!bloind shall not be poor to the date the Contract is awarded.
1
IN
CITY OF FORT WORTH Tic Signal Improvements to Serve So amide/Granbury LA
CONSTRUMGN SPECIFICATION DOURVIENTS TPW - ! 3 x!0032
Revised July 1,2011
i
D
GREAT AMERICAN INSURANCE COMPANY IY F NEW YORK
New York
Administrative office.-:01 E 4TH STREET CINCINNATI,OHIO 45202 * 513-369_5000 * FAX 5:1,3-723-27410
The number of person s authorized by
this power of attorney is not more than FOUR No.0 19950
POWER OF ATTORNEY
' KNOW ALL MEN B THEE PRESENTS: AMERICAN INSURANCE COMPANY I I�E'I�I'YORK,a corporation
or i�z d and existing under an virtue rtue oft at t
M State of New'�orl ,does hereby nominate,constitute and appoint the
or persons named below it t
� � ��� the..
�' , and In its name,place any s cute on behalf of
person said, eI � � ru
teed to�
h
Company, s surety,
r an fact for�t
an all bonds,undertakings a�torne �n
.. l o �,undlrtalMn�s and contracts �suretyship,or other written ololl�atlons in the nature
thereof;provided that the liability� �,�I�t of the said Company on an such bond undertaking�" ndertal�n or contract of suretyship�I�i executed
� � under this
authority shall not exceed the limit stated below.
Name Address Limit of Power,
JACK M.CROWLEY PATRICIA A.SMITH H A►LL OF ALL
PIP STEVEN,,R.FOSTER MARIE PERRYMAN ADDISON, 75,000,000.00
TES
This Power of Attorney revolves all previous powers issued on behalf of the attorneys) in-fact named above.
IN WITNESS WHEREOF,F,the GREAT AMERICAN INSURANCE COMPANY OF NEW YORK has caused these presents to be signed
and attested by its appropriate officers and its corporate seal hereunto affixed this 29TH day of NOVEMBER 1 2012
Attest GREAT AMERICAN INSURANCE COMPANY OF'NEW YORK
SEAL
jj
MYI
.ssrstant,5 cast ry :r xiisronal,"enior.Circe Presidenit
DAVID C.KITCHIN(877-377-2405)
STATE of OHIO,COUNTY F 1-,AMI T I"' -as
On this 29-rH day of NOVEMBER 2012 ,before me personally appeared,DAVID C.KITC I I,to me known,
being duly sworn,deposes and says that he resides in Cincinnati,Ohio,that he is a'Divisional Senior Vice President of the Bond
Division of Great American Insurance Company of New York,,the Company described in and which executed the above instrument;
that he knows the seal;that it was so affixed by authority of his office under the By-Laws of said Company, and that he signed
his name thereto by like authority,
111 EN ROSH II
NOTARY PUBI NwIC,STATE of OHIO
. ICY COMMON EXPIRES
This Power of Attorney is granted by authority of the following resolutions adopted by the Board of Directors of Great
American Insurance Company of New Fork by unanimous written consent dated May 14,2009.
RESOLVED- That the Divisional President,the several Divisional Senior Nice Presidents,Divisional Vice Presidents and Divisional
Assistant Vice Presidents,or any one of theml be and hereby is authorized, from time to time, to appoint one or more,A ttorneys ire-Fact
PIP/ to execute ors behalf of the orn ar y�as surrety,any and all bonds,undertakings and contracts of suretyship,or other written obligations
in the nature thereof,to,prescribe their respective duties and the respective limits o their authority and to revolve any such appointment
ent
at any time.
RESOLVED FU THEP'*That the Company seat and the signature o an y
o t
e aforesaid officers an an y Secretary or Assistant
Secretary of the Company may be affixed by facsimile to any power of attorney or certificate of either given for the execution of any bona,
undertaking,contract ofsuretyship, or other written obligation,in the nature thereof,such signature and seal when so used being hereby
adapted by the Company as the original signature of such officer and the original seal of the Company, to be valid and binding upon the
Company with the same force and effect as though manually affixed.
CERTIFICATION
1,STEPHEN C.EIEF AHA,Assistant Secretary of Great Arnerican Insurance Company of New York,do hereby certify that
the foregoing Power of'Attorney and the Resolutions of the Board of Directors of May 14, 2009 have not been revolved and are
11F 11 now in full force and effect.
Signed and sealed this 1 tray of February3, 2014 ,
�I SEAL
/ >118 I(4111
l
lip
f�
Great Amenican Insurance Company New York
Gp.,L,ArAMERj- CAN Great Amedcan Alliance Insurance Company
,
INSURANCE CROUP eat Amedcan Insurance Company
1MTORTANT NOTICE:
To obtain information or make a complaint:
You may contact the Tunas Department ofInsurance to obtain.info n.-nation on companies,
coverages,rights or complaints at.
1-800-252-3439
You may write the Texas Depart ment f Insuran ce at:
P.O.Box. 1491
Austin TX 7871 .� 4
FAX#1-512-475-1771
Your notice lair acra'Ms t the attached bond d .ay be l er to the.surety co zany that issued
the bond by sending t by cei t l d or registered :mall to the following address.
Mailing Address: Great at rican Insurance Company Claim
P.O. Box 2575
Cincinnati, Ohio 4520 1-2575
Physical Address- Great Aniefican Insurance Company Claim
580 Walnut Street
7th Floor
Cincinnati, Ohio 45202-318,0
You may also contact the Great American Insurance Company Claim office by telephone at
Te" leph ne Number. 1-513-369-5069
If you have a dispute concerning a preMiUM,you should contact the agent first. If you have a
dispute concerning a claim,� ,you should contact the company first.If the dispute is not resolved,
you may contact the Texas Department of Insurance.
ATTACH THIS NOTICE TO YOUR BOND:
This notice for at n on and does not become a part r condition f the attached
document.
MIN
F. 1 2/02)
0061 25-1
CERTIFICATE OF fNSLJR,ANCE
Page 1 of 1
SECTION 010 61, 25
CERTIFICATE OF INSURANCE
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21 END OF SECTION
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CITY OF FORTWORTH Traffic Signal linproveinents to Serve Soutliside/GranbUry LA
STANDARD CONSTRUCTION SPECIFICATION CUMEN 1
TPA TM-2013-00032
Revised Ju, ,
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MATTER THIS CERTIFICATE IS ISSUED AS A " D CONFERS NO RIGHTS UPONTHE CERTIFICATE HOLDER.
BELOW.CERTIFICATE DOES NOT AFFIRMATIVELY OR NEGATIVELY AMEND, EXTEND OR ALTER THE COVERAGE AFFORDED BY THE, POLICIE'W 0 « INSURER(S), AUTHORIZED
REPRESENTATIVE OR kODUCER,AND,THE CERTIFICATE
certificate IMPORTANT: If the certificate holder is an ADDITIONAL INSURED, the policy(leis) must be endorsed. If SUBROG!ATIOiN IS WAIVED1,,subject to
the terms and conditions of the policy,,certain policies may require an endorsement. A statement on this certificate doles not confer riighits to the
., endorsement(s),.
PRODUCER CONTACT
Frank Siddons Insurance Agency 'Fort Worth, PH'ONlE
(817)737-i49143 FAX
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E-MAIL
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2900 INSURE%SLAFFORDING COVERAGE
Fort Worth TX 76116-4016' INSURERA.Continental Casualty_ Insurance I
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INSURED Durable Specialties, Inc. INSURER C B- anover Insurance Co��p
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Prairie INSURER E:
TX 175050 w ..
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TYPE OF INSURANCE
11� POLICY NUMBER I�
GENERAL
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L_qOMMERCIAL GENERAL LIABILITY wM M
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OCCUR 4032510262GL MED EXP,(Any one person)
XCU 7P A
A
Contractual
GEN'L AGGRE�GATE LIMIT APPLIES PER: PRODUCTS-COMP/O!P AGG $ 21 000,000ii
E�POLICY ll PRO- LOC
$
AUTOMOBILE LIw 111 A
10001000
person)
AUTOS ALL OWNED SCHEDULED 259AUTO 5/31/2013
BODILY INJURY(Per accident)
AUTOS,
I� PROPERTY DAMAGE'1A�
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HIRED 4
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........Y IIII
p. II wI IIV OCCUR EACH OCCURRENCE A
EXCESS w CLAIMS-MADE w A
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RETENTION"'.A eA..
WORKERS COMPENSA71ON
AND EMPLOYERSLIABILITY
ANY PROPRIETOPJPARTNER/EXECUTIVE b'..!�F
OFFICER/MEMBER w
(Miandatory �I
DISEASE
If rs S6 descdbe under DISEASE
�! A" ce. O OPERATIONS below
Contractor s Equi i pment IHD9933202EQ 5/31/2014 LeasedlRented Any One Item 250,000
Deductible 1 000
(817)392-8092 SHOULD ANY OF THE ABOVE DESCRIBED POLICIES BE CANCELLED BEFORE
THE r • � � '�w. `w � w � � '.w w �""� '�., w M i � ��...». � •: � • '• � _ M ',',".:1M
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EXPIRATION THEREOF,, WILL BE DELIVERED IN
ACCORDANCE POLICY
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Transportation Public Works
w IZED REPRESENTATIVE#I `
Fort Worth, TX 76102 Steven Siddons/HGRAVE
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