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Contract 43762-FP1
CITY SECRETARY LLL) -' CONMCT NO: Department of TP&W Const~Services DOE# '70 Date l ��. Project iliianager ffW0RTH--,, Risk Management J. aye `-,�- D.O.E. Brotherton V 2 t0 CFA Westerman/Scanne The Proc"dinp people baMan G mirtp the request for final ,� �• prftwo a hre plk"W an project for war peyaWIL ILTION AND PUBLIC WORKS i X13 Ito Clearance Conducted By Shamelm Kennedy F PROJECT COMPLETION 7 D.O.E.JVit: 7043 Regarding contract U7043 for FT WORTH PUBLIC SAFETY CENTER as required by the WATER DEPARTMENT as awed by City Council.on N/A through M&C N/A the director of the WATER DEPARTMENT upon the recoasmendation of the Assistant Director of the Transportation&Public Works Dqattramthasacaptedthe proj Original Contract Prices: D L E V E 5324,013.00 Amount of Approved Change Orde 3 0 ° "'` Nt 1 Revised Contract Amount: sy 5324,013.00 Total Cost Work Completed: 5324,013.00 Less Deductions: Liquidated Damages: Days a 5210.00/Day Pavement Deficiencies: Total Deduction Amount: $0.00 Total Cost Work Completed: $324,013.00 Less Previous Payments: Final Payment Dae 5324,013.00 Recommended for Acceptance Date Asst. Director,TPW -Infrastructure Design and Construction y /z Accepted //��►� to ASS-r, Director, WATER DEPAR JqSST City Manager D Comments: FUND ACCT P265-60915012102 OFFICIAL RECORD CITY SECRETARY FT.WORTH,TX FORT WORTH CITY OF FORT WORTH FINAL PAYMENT REQUEST Contract Name FT WORTH PUBLIC SAFETY CENTER Contract Limits Project Type WATER City Project Numbers 02102 DOE Number 7043 Estimate Number 1 Payment Number I For Period Ending 7/24/2014 CD City Secretary Cootract Number 117043 Contract Time 180:D Contract Date Days Charged to Date 65 Project Manager Jaafari Contract is 000000 Complete Contractor BYRNE/RIDGEMONT A JOINT VENTURE 1520 W.WALNUT HILL LANE IRVING, TX 75038 Inspectors LAYER / BAGBY Tuesday,September 16,2014 Page 1 of 4 City Project Numbers 02102 DOE Number 7043 Contract Name FT WORTH PUBLIC SAFETY CENTER Estimate Number I Contract Limits Payment Number I Project Type WATER For Period Ending 7124/2014 Project Funding WATER Item Estimated Estimated Completed Completed Description of Items Unit Unit Cost No. Quanity Total Quanity Total 1 6"PVC WATER PIPE 118 LF $17.00 $2,006.00 118 $2,006.00 2 8"PVC WATER PIPE 5 LF $19.00 $95.00 5 595.00 3 10"PVC WATER PIPE 93 LF $26.00 $2,418.00 93 52,418.00 4 12"PVC WATER PIPE 3579.6 LF $34.00 $121,706.40 3579.6 $121,706.40 5 12"DIP WATER 93.1 LF $117.00 $10,892.70 93.1 $10,892.70 6 12"WATER CARRIER PIPE 27 LF $90.00 $2,430.00 27 $2,430.00 7 20"CASING 27 LF $283.00 $7,641.00 27 $7,641.00 8 6"GATE VALVE 5 EA $I,100.00 $5,500.00 5 55,500.00 9 10"GATE VALVE 2 EA $2,093.00 $4,186.00 2 $4,186.00 10 12"GATE VALVE 8 EA $2,500.00 $20,000.00 8 $20,000.00 11 FIRE HYDRANT 4 EA 53,500.00 $14,000.00 4 $14,000.00 12 DUCTILE IRON WATER FITTINGS 4.5 TN $6,773.00 530,478.50 4.5 $30,478.50 W/RESTRAINT 13 2"WATER SERVICE I EA $1,820.00 $1,820.00 1 $1,820.00 14 2"WATER SERVICE I EA $2,228.25 $2,228.25 1 52,22825 15 3"WATER METER&VAULT 2 EA $20,072.00 $40;144.00 2 $40,144.00 16 SALVAGE FIRE HYDRANT 1 EA $520.00 $520.00 1 $520.00 17 REMOVE 6"WATER VALVE. 1 EA $520.00 $520.00 1 5520.00 18 4"-12"PRESSURE PLUG I EA $2,500.00 $2,500.00 1 $2,500.00 19 REMOVE 6"WATER LINE 45 LF $12.50 $562.50 45 $562.50 20 TRENCH SAFETY 3820.6 LF SI.00 53,820.60 3820.6 $3,820.60 21 UTILITY MARKERS 1 LS $500.00 $500.00 1 $500.00 22 CONE PVMT REPAIR 66.67 SY $125.10 $8,340.42 66.67 $8,340.42 23 ASPHALT PVMT REPAIR BEYOND DEFINED 100 SY $125.10 $12,510.00 100 $12,510.00 WIDTH 24 SEEDINA HYDROMULCH 4527.1 SY $530 $23,993.63 4527.1 $23,993.63 25 6"CONE CURB&GUTTER 35 LF $20.00 $700.00 35 5700.00 26 CONNECTION TO EXISTING 4"-12"WATER 3 EA $1,500.00 $4,500.00 3 $4,500.00 MAIN 27 SWPPP>1 ACRE 1 LS $0.00 $0.00 1 $0.00 Sub-Total of Previous Unit $324,013.00 $324,013.00 Tuesday,September 16,2014 Page 2 of 4 City Project Numbers 02102 DOE Number 7043 Contract Name FT WORTH PUBLIC SAFETY CENTF,R Estimate Number 1 Contract Limits Payment Number 1 Project Type WATER For Period Ending 7/24/2014 Project Funding Contract Information Summary Original Contract Amount $324,013.00 Change Orders Total Contract Price $324,013.00 Date1 1-4-1/1,!�— Total Cost of Work Completed $324,013.00 Cntrac 1 f Less %Retained $0.00 /� IS Net Earned $324,013.00 Date Inspection Su ry r Earned This Period $324,013.00 I-F(l Z'1 Retainage This Period $0.00 Date Less Liquidated Damages Project Man q Days @ /Day $0.00 LessPavement Deficiency $0.00 Asst.Rector Less Penalty $0.00 Date 3d !f Less Previous Payment $0.00 Q rc,.tor/Contracting Dep ent Plus Material on Hand Less 15% $0.00 Balance Due This Payment $324,013.00 Tuesday,September 16,2014 Page 3 of 4 FORTWORTH rev 03/05/07 TRANSPORTATION& PUBLIC WORKS FINAL STATEMENT OF CONTRACT TIME FINAL STATEMENT NO.:1 NAME OF PROJECT: Fort Worth Public Safety Center PROJECT NO.: 02012 CONTRACTOR: By ne/Ridgemout DOE NO.: PERIOD FROM:09/05/13 TO: 07/22/14 FINAL INSPECTION DATE: 22 Jul-14 WORK ORDER EFFECTIVE:9/5/2013 CONTRACT TIME: 180 O WD® M DAY OF DAYS REASON FOR DAYS DAY OF DAYS REASON FOR DAYS MONTH CHARGED CREDITED MONTH CHARGED CREDITED DURING DURING 1. 16. 2. 17. 3. 18. 4. 19. 5. 20. 6. 21. 7. 22. 8. 23. 9. 24. 10. 25. 11. 26. 12. 27. 13. 28. 14. 29. 15. 30. 31. SAT,SUN, RAIN,TOO WET, UTILITIES OTHERS* DAYS TOTAL &HOLIDAYS &TOO COLD RELOCATIONS CHARGED DAYS THIS 65 65 PERIOD PREVIOUS PERIOD TOTALS TY SECT CRY TO DATE *REMARKS: CTOR DATE 1NSP R DATE ENGINEERING DEPARTMENT The City of Fort Worth•1000 Throckmorton Street•Fort Worth,TX 76012-6311 (817)392-7941 •Fax:(817)392-7845 City Project Numbers 02102 DOE Number 7043 Contract Name FT WORTH PUBLIC SAFETY CENTER Estimate Number 1 Contract Limits Payment Number I Project Type WATER For Period Ending 7/24/2014 Project Funding Project Manager Jaafari City Secretary Contract Number 117043 Inspectors LAYER / BAGBY Contract Date Contractor BYRNE/RIDGEMONT A JOINT VENTURE Contract Time 180 CD 1520 W.WALNUT HILL LANE Days Charged to Date 65 CD IRVING, TX 75038 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 $324,013.00 Less %Retained $0.00 Net Earned $324,013.00 Earned This Period $324,013.00 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 $324,013.00 Tuesday,September 16,2014 Page 4 of 4 FORTWORTH REV:02/22/07 TRANSPORTATION AND PUBLIC WORKS CONTRACTOR'S EVALUATION OF CITY I)PROJECT INFORMATION Date: 7/25/2014 1'Nam e of Contractor Project Name i Byrne/Ridgemont A Joint Venture Fort Worth Public Safety Center ;DOE Inspector Project Manager !Jim Diestel Khal Jaafari 1DOE Number Project Difficulty 2:ype of Contract 17043 O Simple O Routine O Complex B Water ❑ Waste Water ❑ Storm Drainage❑ Pavement /1nniitiial Contract Amount Final Contract Amount $324,013.00 $324,013.00 II)PERFORMANCE EVALUATION 0-Inadequate 1 -Deficient 2-Standard 3-Good 4-Excellent :ELEMENT RATING ELEMENT RATING (0-4) (0-4) INSPECTION EVALUATION PLANS&SPECIFICATIONS I Availability of Inspector y 1 Accuracy of Plans to Existing Conditions y !2 Knowledge of Inspector 2 Clarity&Sufficiency of Details ` 13 Accuracy of Measured Quantities 3 Applicability of Specifications 4 Display Of Professionalism 4 Accuracy of Plan Quantities '1 15 Citizen Complaint Resolution PROJECT MANAGER EVALUATION 6 Performance-Setting up Valve Crews,Labs 1 Knowledge And/Or Problem Resolution ADMINISTRATION 2 Availability of Project Manager 1 Change Order Processing Time 3 Communication y 12 Timliness of Contractor Payments 4 Resolution of Utility Conflicts c 13 Bid Opening to Pre-Con Meeting Timeframe III)COMMENTS&SIGNATURES COMMENTS Signature Contractor _ Signature DOE Inspector Signature DOE Inspector's Supervisor INSPECTOR'S COMMENTS TRANSPORTATION AND PUBLIC WORKS 13 The City of Fort Worth•1000 Throckmorton Street•Fort Worth,TX 76012-6311 (817)392-7941 •Fax:(817)392-7845 FORT WORTH REV 0212-0/07 TRANSPORTATION AND PUBLIC WORKS PERFORMANCE EVALUATION OF CONTRACTOR I) CONTRACTOR& PROJECT DATA Name of Contractor Project,Name Byrne/Relgemont A Joest Venture Fort Worth Public Safety Center DOE Inspector DOE Number Jan Deestel 7043 DOEIn.spector Project Manager ❑ Water ❑ Waste Water ❑ Storm Drainage❑ Pavement Khal Jaafare Initial Contract Amount Prglecl Difficulty $324,013.00 O Simple O Routine O Complex Final Contract Amount Date $324,013.00 7/25/2014 II)PERFORMANCE EVALUATION 0-Inadequate I -Defeceent 2-Standard 3-1 ood 4-Excellent ELEMENT WEII HT(x) APPLICABLE(Y/N) RATINI (0-4) MAX SCORE SCORE I Submission of Documents 2 Y 4 8 8 2 Public Notifications 5 Y 4 20 20 3 Plans on Site 5 Y 4 20 20 4 Field Supervision 15 Y 3 60 45 5 e ork Performed 15 Y 3 60 45 6 FinisPed Product 15 N 3 60 45 7 Mb Sete Safety 15 N 3 60 45 8 Traffec Control Maattenance 15 N 4 60 60 9 Dady Clean Up 5 N 4 20 20 10 Cetezen's Complaatt Resolutcon 5 N 11 Property Restoratcon 5 N 4 20 20 12 After Hours Response 5 N 13 Project Complettnn 5 Y 4 20 20 TOTAL ELEI ENT OCORE(A) 348 BONUOPOINTO(25 I aximum)(B) TOTAL SCORE(TS) 348 III)CONTRACTOR'S RATING Maximum Score(MS)=448 or sum of applicable element score maximums which= 408 Rating(ITS I MSI * 100%) 348 / 408 = 85% Performance Category Excellent <20%—Inadequate 2a%to<4a%=Deficient 4a%to<6a%=Standard 6a%to<8a%—Good >8a%—Excellent Inspector's Comments(INCLUDING EXPLANATION OF BONUS POINTS AWARDED) Signature DOE Inspector L Signature Contractor Signature DOE Inspector's Oupervesor CONTRACTOR'S COMMENTS TRr1NSPORTATION AND PUBLIC WORKS EF The City of Fort Worth• 1000 Throckmorton Street•Fort Worth,TX 76012-6311 0 (817) 392-7941 •Fax: (817) 392-7845 FORT WORTH TRANSPORTATION AND PUBLIC WORKS PIPE REPORT FOR: PROJECT NAME: Fort Worth Public Training Center PROJECT NUMBER: 2102 DOE NUMBER: 7043 WATER PIPE LAID SIZE TYPE OF PIPE LF 6" PVC 118 8" PVC 5 10" PVC 93 12" PVC 3579.9 12" DIP 93.1 FIRE HYDRANTS: 4 VALVES(16"OR LARGER) NIA PIPE ABANDONED SIZE TYPE OF PIPE LF N/A DENSITIES: Yes NEW SERVICES: 2" Copper 2 EA 4" PVC 2 SEWER PIPE LAID SIZE TYPE OF PIPE LF N/A i t PIPE ABANDONED SIZE TYPE OF PIPE LF i N/A DENSITIES: NEW SERVICES: TRANSPORTATION AND PUBLIC WORKS The City of Fort Worth•1000 Throckmorton Street•Fort Worth,TX 76012-6311 (817)392-7941 •Fax:(817)392-7845 CONSENT OF SURETY OWNER ❑ TO REDUCTION IN OR ARCHITECT ❑ PARTIAL RELEASE OF RETAINAGE CONTRACTOR ❑ SURETY ❑ AIA,DOCUMENT G707 A OTHER ❑ Bond No. PRF9094039 (Zurich)/#022034777 (Liberty) PROJECT: City of Fort Worth Public Safety Training Center (name, address) 501 W. Felix Street,Fort Worth,Texas TO(Owner) The Cornell FW Company,LLC ARCHITECT'S PROJECT NO: 100 E.151h Street,Suite 640 CONTRACT FOR: Construction Fort Worth,TX 76102 CONTRACT DATE: In accordance with the provisions of the Contract between the Owner and the Contractor as indicated above,the (here insert name and address of Surety as it appears in the bond). Colonial American Casualty and Surety Co/Fidelity and Deposit Liberty Mutual Insurance Company Co of Maryland/Zurich American Insurance Company 175 Berkley St. SURETY, 1400 American Lane,Tower I, 181h Floor,Schaumburg,IL 60196 Boston,MA 02116 on bond of(here insert name of Contractor as it appears in the bond) Bryne/Ridgemont,a Joint Venture 1520 W. Walnut Hill Lane,Irving,TX 75038-3701 CONTRACTOR, herby approves the reduction in or partial release of retainage to the Contractor as follows: Full retainage release for Maverick Utility Construction,Inc.in the amount of$24,122.81 The Surety agrees that such reduction in or partial release of retainage to the Contractor shall not relieve the Surety of any of its obligatins to(here insert name and address of Owner) The Cornell FW Company,LLC 100 E. 151h Street,Suite 640 OWNER, Fort Worth,TX 76102 as set forth in the said Surety's bond. IN WITNESS WHEREOF, the Surety has hereunto set its hand this 4th day of December 20 14 Colonial American Casualty and Surety Company Fidelity and Deposit Company of Maryland, Zurich American Insurance Companv and Liberty Mutual Insurance Company Surety Signature of Authorized Representative Attest: (Seal): Debra Lee Moon, Attorney-in-Fact Title AIA DOCUMENT G707A•CONSENT OF SURETY TO REDUCTION IN OR PAXTU L RELEASE OF RT'rAINAGE•JUNE 1971 ONE PAGE EDITION • AIA 3• ©1971•THE AMERICAN 1NSTITURE OF ARCHITECTS,17.15 New York Ave.,Nw, WASHINGTON,D.C. 20006 i ZURICH AMERICAN INSURANCE COMPANY COLONIAL AMERICAN CASUALTY AND SURETY COMPANY FIDELITY AND DEPOSIT COMPANY OF MARYLAND POWER OF ATTORNEY KNOW ALL MEN BY THESE PRESENTS:That the ZURICH AMERICAN INSURANCE COMPANY,a corporation of the State of New York,the COLONIAL AMERICAN CASUALTY AND SURETY COMPANY,a corporation of the State of Maryland,and the FIDELITY AND DEPOSIT COMPANY OF MARYLAND a corporation of the State of Maryland (herein collectively called the "Companies"), by THOMAS O. MCCLELLAN, Vice President, in pursuance of authority granted by Article V, Section 8, of the By-Laws of said Companies,which are set forth on the reverse side hereof and are hereby certified to be in full force and effect on the date hereof,do hereby nominate, constitute, and appoint Sammy Joe MULLIS, JR., John William NEWBY, Wilbert Raymond WATSON, Carolyn J. GOODENOUGH,Sandra Lee RONEY,Debra Lee MOON and Andrea Rose CRAWFORD,all of Addison,Texas, EACH its true and lawful agent and Attorney-in-Fact,to make,execute,seal and deliver,for,and on its behalf as surety,and as its act and deed:any and all bonds and undertakings,EXCEPT bonds on behalf of Independent Executors,Community Survivors and Community Guardians. and the execution of such bonds or undertakings in pursuance of these presents,shall be as binding upon said Companies,as fully and amply, to all intents and purposes, as if they had been duly executed and acknowledged by the regularly elected officers of the ZURICH AMERICAN INSURANCE COMPANY at its office in New York, New York., the regularly elected officers of the COLONIAL AMERICAN CASUALTY AND SURETY COMPANY at its office in Owings Mills,Maryland.,and the regularly elected officers of the FIDELITY AND DEPOSIT COMPANY OF MARYLAND at its office in Owings Mills, Maryland.,in their own proper persons. The said Vice President does hereby certify that the extract set forth on the reverse side hereof is a true copy of Article V,Section 8,of the By-Laws of said Companies,and is now in force. IN WITNESS WHEREOF, the said Vice-President has hereunto subscribed his/her names and affixed the Corporate Seals of the said ZURICH AMERICAN INSURANCE COMPANY, COLONIAL AMERICAN CASUALTY AND SURETY COMPANY, and FIDELITY AND DEPOSIT COMPANY OF MARYLAND,this 12th day of September,A.D.2014. ATTEST: ZURICH AMERICAN INSURANCE COMPANY COLONIAL AMERICAN CASUALTY AND SURETY COMPANY FIDELITY AND DEPOSIT COMPANY OF MARYLAND �.. i ItM i X. Assistant Secretary Vice President Eric D.Barnes Thomas D.McClellan State of Maryland City of Baltimore On this 12th day of September,A.D.2014,before the subscriber,a Notary Public of the State of Maryland,duly commissioned and qualified,THOMAS O.MCCLELLAN,Vice President,and ERIC D. BARNES,Assistant Secretary, of the Companies,to me personally known to be the individuals and officers described in and who executed the preceding instrument,and acknowledged the execution of same,and being by me duly swom,deposeth and saith, that helshe is the said officer of the Company aforesaid,and that the seals affixed to the preceding instrument are the Corporate Seals of said Companies,and that thr.said Corporate Seals and the signature as such officer were duly affixed and subscribed to the said instrument by the authority and direction of the said Corporations. IN TESTIMONY WHEREOF,I have hereunto set my hand and affixed my Official Sea]the day and year first above written. i e Maria U.Adamski,Notary Public AFFICIAL RECORD/� My Commission Expires:July 8,2015 CITY SECRETARY POA-F 168-0016B FY. "Iff TX i EXTRACT FROM BY-LAWS OF THE COMPANIES "Article V,Section 8,Attorneys-in-Fact. The Chief Executive Officer,the President,or any Executive Vice President or Vice President may, by written instrument under the attested corporate seal, appoint attorneys-in-fact with authority to execute bonds, policies, recognizances, stipulations,undertakings, or other like instruments on behalf of the Company, and may authorize any officer or any such attorney-in-fact to affix the corporate seal thereto;and may with or without cause modify of revoke any such appointment or authority at any time." CERTIFICATE I, the undersigned, Vice President of the ZURICH AMERICAN INSURANCE COMPANY, the COLONIAL AMERICAN CASUALTY AND SURETY COMPANY, and the FIDELITY AND DEPOSIT COMPANY OF MARYLAND,do hereby certify that the foregoing Power of Attorney is still in full force and effect on the date of this certificate;and I do further certify that Article V,Section 8,of the By-Laws of the Companies is still in force. This Power of Attorney and Certificate may be signed by facsimile under and by authority of the following resolution of the Board of Directors of the ZURICH AMERICAN INSURANCE COMPANY at a meeting duly called and held on the 15th day of December 1998. RESOLVED: "That the signature of the President or a Vice President and the attesting signature of a Secretary or an Assistant Secretary and the Seal of the Company may be affixed by facsimile on any Power of Attorney...Any such Power or any certificate thereof bearing such facsimile signature and seal shall be valid and binding on the Company." This Power of Attorney and Certificate may be signed by facsimile under and by authority of the following resolution of the Board of Directors of the COLONIAL AMERICAN CASUALTY AND SURETY COMPANY at a meeting duly called and held on the 5th day of May, 1994, and the following resolution of the Board of Directors of the FIDELITY AND DEPOSIT COMPANY OF MARYLAND at a meeting duly called and held on the 1 Oth day of May, 1990. RESOLVED: "That the facsimile or mechanically reproduced seal of the company and facsimile or mechanically reproduced signature of any Vice-President,Secretary,or Assistant Secretary of the Company,whether made heretofore or hereafter,wherever appearing upon a certified copy of any power of attorney issued by the Company,shall be valid and binding upon the Company with the same force and effect as though manually affixed. IN TESTIMONY WHEREOF,I have hereunto subscribed my name and affixed the corporate seals of the said Companies, this day of 1 ;g 20\L 'moo ociot� Opti���'+. f eo SEAL a Michael Bond,Vice President THIS.POWEiV0 A'TT'ORNEY 1S NOT VALID.OI NLESS`!T IS PRINTED ON RED:BACKGROUND :, ,::: Thls Power of Attorney hims tfie acts of those named herein end they have no authortty to bind the Company except in the manner and to the"ht h8rein stated ':. .. -._ Amencari Fire and::Casuafty Company_- Liberty Mutual insurance Company - Ger4ficate4o rs+ The Ohio Casuafty.:Insurance Company: jWestAmencan insurance Company A7RYWRFa N .. .:KNOWNALL PERSOI .. .ESE PRESENTS .n- -:.ncan,Fire&Casae Co aY mpany and The Ohio CasuaNy Insurance Company are corporatrdns duly onjaruzed under ilia lav+s of theState of New lf�npslure itratLdrerry tviufgat lnsurarice Companyls$corporation duly argamzed antler the laws of the State Of Massachusetts and YVestAmeilcan lnsuranc a C9nlpery - - >s a capora6on dutyorgamzed uridertiie lawsnf UteState. Indian-herein cdlecifveiy called the"Compenies7i porsaaM tQ end by authority trerern sefiorth does herebyrtariie con�iprte :. :---.7j 7:ht ari5ia i Y c-Andre9 RaaP?- - crit:" Ar yn f f ohr7erro r lila ea iolin Iiarir rSawli tvTichaal Aarcin Wi ms s9fi.[)�_3 Min Y 9fi Sarrmthv:lo9 Mullis=Jr~Sandra L-ee'Roney=fiYSy�fiRssell Kej(;-WtI6eiCRavmrSntJ Watson - . . the cityof drlison state of-TX e8ctf.indivrdttafiyri there be more then one named:tts tryearid fawfui:atloniey mfact tb rrfake;eAWK;seal,acknowledge. -end definer for slid on its behalf as surety aril,sits ad`and deed,any and ati iindeitalan' bonds,.....4 izancea and otherstlrety obfge6ons rn prltsuance-af:tiiese preserds and shat( _be as Hindi - " tite t ompsnres.as d the'fiave beendu neJ.bY the president and attested b the secn2ta of ilia Com"aures m their own er ns n9 W Y. h�9 y. N. P, prop P IN WITNESS WIiER OF this Powerof Attbttieyhas b@en sutuailied try an authorized officer or affiCi l of the Coinpanres an(Lthe do draw seals:of tfte Companies hsv0 been of ikO tfieretothis d of August lois - Amenran Fere and Casualf t;o an` j`�l r �' t" - :4` "�" .. fi ; The Ohro Casnafty�nsurence Comptaoy : -t 3 tri - y;,i '�' a.,.A f�S''' S t } Lrherty:Mutual_insuranoei ompany ....,mq . r: w s WestAmerrcari Insurance Company y C� '. x STATE OF WASHINt; ss Gregory Davenport Assistant Secretary Cre L. COUNTY OFKING - , mw : : ::A L thr this 71tr -t&Autrust 2013 before iiia personaYy appeared Gregory W Davenport.who acknoWedged himself t6 be the Assistant Secretary of A nern�n: cv y .Fae and Ca Ity Cartrpatty,:LitiertyJ�lutuat lnsurence Company The_Ofuu C,stiatty Comp y and West�{mencan fn�rr�ce tiompany end that Jia as such 6eotg authorized so fo do- n p-? erceatte the toregonV instrumeM for the pUrposes therein corlTarned by sigrNng ohbehalf of.tha corporatans by himself as a duly auihorr ed officer : : o >, IN WITNESS WHEREOF l havefiereunto subscribed my name and affix my notanal seal at seattle W iishfngton, the day and yeerfirstabove writteen - 0: I . i" =Q a : �j f- "-:et Qy. .til iXa� C q L .,,.;L :: KD Riley tato Public L C " = '- - { I vmrX. 3 f q _Ti �owerofAttGrrieyrsmadeantloxecutedpuisuant. iktbYeulfwriiyoffhe�fowkrgBytawsandAutlwntaUbns'ofAmericanFireandCasua�(yCorapenyiheOhroCesuellylnsuran. Ino I , Comperry lubpty,Muliral Insurance Compang and West American Insurance Company whxx Fit resolUborls are now m{uA force and eifect readrrg as foibws w ,;< W-E.- ARTICLE iV OFFICERS Seohon 12 Powe'i4 torney.An.11"y officer or other offcaal of ilia Corporation euthorfae-for thatpurpose m wnfing b the ChidT-' an or thdP ieeift6t arvf subject:i'"' s.fA such Ilrrtitadon its Lha Chaliman orahe President may prescribe shat appoint t such momeys-m-fact:ffi may be necessary to pe(in behalf of ilia -twoor,tion fh make execute seat , q acbro»tedga,nd deliver as suretyany and atf underta'j A bards,ren.gmzances and othersurety obbgatrons Such atfomeysan fart suliJed to file lugitaTrpns setlatirm ttietr respedine_a. E m"powers of sUomey shall have.fu8 powerm buM the Corporafwn 6y theh sgriatih and efeeculon of any such mstrumetds aril to attach tltereto ifie3eat of(he CapprahooI. . Vdleri so:: w':.ezecu@adi:aikht iriabttlnerds shall ties truldskj as d signed fiythe Pres�dent and ettesled to by fha Secretary limy powerorauUitiidygr d to aiy representabva ori6tr ey-in fad tNder; >.- . ,q the pmvrslons of thsarfrcle may lid:revoked at:anyLme by tt>Q Board,the Chaimran ilia President of by fhe officer or officals grantingsuwaror authority m= ARTICLE XIII Execution of Contraas SECTION 5:Surety Bonds and Undertakings Arty officer oflfie Company autfpnied far(fiat purii ase in witting by the cliaimran a the presidenf: "c. ?•L :and subject f4 such limitations as the chairman a the president may:prescnbe;shall appoint such attorneysan fact-,s may tie necessary to ad wbehalf at the Gompanyio""make exeade;:1 N. .. :� seal adrriowksige i3nd defrver as surely ang rid afi undertabngs bonds retegnliances and other surety obligations .Such attorneys Iii tact si16]ecYto tthe:limfiationssettorth In their: CV) Z v .respective powt?rsof attorney shag hadefull power to bind ifle Comp ly by tfteirsignature and execution of arty succi instruments end to attach thereto ifie seal of the Corr�any Where so .0 b :D I--executed such atsVum Ms shaA be as bmdmg:as Tf signed trY the presklerrt and,aitested try tnesecretary. p . I. Iq— CertTBcafe"of aesignafion The Frosxienf=of the Company acting pursuantto the Bylewsrof the Coinpart�authorizes Gregory W Davenport Assrsiant Secretary bo appoint such attameysin fit as may be necessary t,,t t;orl�etialf of the Company7a m�ce,_execute seal abkrlowtadga snit defivef as sfinety any:arid aTF undedalungs ixiritls,tecogiihce3 and othersuretyobfgaGons._ = Authoitzat on By unaniriSaus oorisent of the Con�anys--Board of Diredars the any 6i that farsvrole or mechanically repmdiiced signature of any assistant secretary- the CompaPy wherever appearing up. a cakaad coppy ofany power of anamey issued by Me:Company in connecbori With surety bonds,shag be valid arid,binding upon the Gompanyikt thy same forte and etfed as though manually.afiii . _. :I,Daiitd M Careylhe undarstgned,.AssrstaM 5eetetaty tifAmencan'Fire a1. nd Casually Company The Ofuo Casu*Instrra Company t ibertjr M1Auhial Insurance Conpany.end West:,, American Insurance Co - mpanYtiot>BrebycerfifY$ratthe orginalpowetof atWmeyafwhich$ie ibrooing is o fuN true*rid conedcopyofthePiowerof.Attomey exeQlciw bys*Gompon.. i n U force and effect and fw not been revoked tN TMIMONY NMi RI dF i havetrereunto set my hand and affixed thr seal3 of said Canipanles this ': day of 20 f F�ttt �. s r uu 4�t . Y o'1)� -` ya t ti, �# { , Assistant Secretary oj� .. rte'" R..._ �� � �7T... ..". .:.,:�.,:.:,::�*.. - ".IMS_12873_092,12 - ! - ::?I 4a of 400 CONSENT OF OWNER o SURETY COMPANY ARCHITECT ❑ TO FINAL PAYMENT CONTRACTOR ❑ SURETY ❑ Bond No.S413654 OTHER PROJECT: City of Fort Worth Public Safety ARCHITECT'S PROJECT NO. Training Center(Drainage)—Public Portion Only TO: City of Fort Worth,Texas CONTRACT FOR: Utilities Drainage-Public Portion Only CONTRACTOR: Maverick Utility Construction,Inc CONTRACT DATE:OCTOBER 14,2013 In accordance with the provisions of the Contract between the Owner and the Contractor as indicated above, the Employers Mutual Casualty Company SURETY, on Bond of Maverick Utility Construction,Inc. CONTRACTOR, hereby approves of the final payment to the Contractor, and agrees that final payment to the Contractor shall not relieve the Surety Company of any of its obligations to City of Fort Worth,Texas OWNER, as set forth in the said Surety Company's bond. IN WITNESS WHEREOF, the Surety has hereunto set its hand this 1st day of December,2014 Employers Mutual Casualty Company Surety Company Sig�7� ized Representative Attes40SURETY1COMPANYTOFIM Title Steven J.Zin ,Atto ney-ln-Fact (SealP MENTONEPAGE THE FACE AND REVERSE OF DOCUMENT HAVEACOLORED FLAGON EMC ^' INSURANCE P.O.Box 712•Des Moines,IA 50306-0712 I V 0. A89137 CERTIFICATE OF.AUTHORITY INDIVIDUAL ATTORNEY-IN-FACT KNOW ALL MEN BY THESE PRESENTS,that: 1. Employers Mutual Casualty Company,an Iowa Corporation 5. Dakota Fire Insurance Company,a North Dakota Corporation 2. EMCASCO Insurance Company,an Iowa Corporation 6. EMC Property&Casualty Company,an Iowa Corporation 3. Union Insurance Company of Providence,an Iowa Corporation 7. Hamilton Mutual Insurance Company,an Iowa Corporation 4. Illinois EMCASCO Insurance Company,an Iowa Corporation hereinafter referred to severally as"Company"and collectively as"Companies",each does,by these presents,make,constitute and appoint: SHANNON LEWIS,CHARLES K.MILLER,STEVE RICKENBACHER,DAVID C.OXFORD,CLINTON NORRIS,SHERREL M.BREAZEALE,SOPHINIE HUNTER,STEVEN J.ZINECKER,PEGGY G.HOGAN,SHERI R.ALLEN,BRET TOMLINSON its true and lawful aftomey-in-fad,with full power and authority conferred to sign,seal,and execute its lawful bonds,undertakings,and other obligatory instruments of a similar nature as follows: ANY AND ALL BONDS and to bind each Company thereby as fully and to the same extent as if such instruments were signed by the duly authorized officers of each such Company,and all of the ads of said aftomey pursuant to the authority hereby given are hereby ratified and confirmed. The authority hereby granted shall expire APRIL 1,2017 unless sooner revoked. AUTHORITY FOR POWER OF ATTORNEY This Power-of-Attomey is made and executed pursuant to and by the authority of the following resolution of the Boards of Directors of each of the Companies at a regularly scheduled meeting of each company duly called and held in 1999: RESOLVED:The President and Chief Executive Officer,any Vice President,the Treasurer and the Secretary of Employers Mutual Casualty Company shall have power and authority to(1)appoint attorneys-in-fact and authorize them to execute on behalf of each Company and attach the seal of the Company thereto, bonds and undertakings,recognizances,contracts of indemnity and other writings obligatory in the nature thereof;and(2)to remove any such aftomey4ri-fact at any time and revoke the power and authority given to him or her.Aftomeys-in-fad shall have power and authority,subject to the terms and limitations of the power-of-attorney issued to them, to execute and deliver on behalf of the Company, and to attach the seal of the Company thereto, bonds and undertakings,recognizances,contracts of indemnity and other writings obligatory in the nature thereof,and any such instrument executed by any such aftomey-in-fact shall be fully and in all respects binding upon the Company. Certification as to the validity of any power-of-aftomey authorized herein made by an officer of Employers Mutual Casualty Company shall be fully and in all respects binding upon this Company.The facsimile or mechanically reproduced signature of such officer,whether made heretofore or hereafter,wherever appearing upon a certified copy of any power-of-aftomey of the Company,shall be valid and binding upon the Company with the same force and effect as though manually affixed. IN WITNESS THEREOF,the Companies have caused these presents to be signed for each by their officers as shown,and the Corporate seals to be hereto affixed this 17th day of FEBRUARY 2014 Q Seals `,• ro'Nsup � ,,`BOOMP441 'C, Bruce G.Kelley, hairman/11 Michael Fred p° y of Companies 2 3,4 5 8,6;President Assistant Vice President -N of Company 1;Vice Chairman and Vice_ Z; 1863 1953 =< CEO of Company 7 �:�'•, �`T: :Z'. IOWA IOWPI On this 17th day of FEBRUARY AD 2014 before me a ;""OSUR""I" � ;SURA"'•, ,,,�,'(U'Ai'' Nota Public in and for the State of Iowa,personally appeared Bruce G.Kelley and Michael Freel, ,�0� R, ��OppOR����� who,being by me duly sworn,did say that they are,and are known to me to be the Chairman, 3- - = �; o '�;:s- ��= President, vice Chairman and CEO, and/or Assistant Vice President/Assistant Secretary, 3: SEAL SEAL `_ 'W SEAL;A respectively,of each of The Companies above;that the seals affixed to this instrument are the • P ;q�', Q• seals of said corporations;that said instrument was signed and sealed on behalf of each of the bwP*,,'- ,,' ,I .�p ` Companies byy authorityof their respective Boards of Directors;and that the said Bruce G.Kelley 10 '11.1110, """" and Michael Freel,as such officers,acknowledged the execution of said instrument to be the �M TUiti voluntary act and deed of each of the Companies. M113T s� KATHY LYNN LAVEHIDGE My Commission Expires October 10,2016. Commission Number 780769 Gy`C/[� ES a� ��,• o ' My Commission Explrea U l °M' October 10,2016 P Nota ublic i and for the State of Iowa ,��� CERTIFICATE I,James D.Clough,Vice President of the Companies,do hereby certify that the foregoing resolution of the Boards of Directors by each of the Companies, and this Power of Attorney issued pursuant thereto on FEBRUARY 17,2014 on behalf of. SHANNON LEWIS,CHARLES K MILLER,STEVE RICKENBACHER,DAVID C.OXFORD,CLINTON NORRIS,SHERREL M.BREAZEALE,SOPHINIE HUNTER,STEVEN J. ZINECKER,PEGGY G.HOGAN,SHERI R.ALLEN,BRET TOMLINSON are true and correct and are still in full force and effect. In Testimony Whereof I have subscribed my name and affixed the facsimile seal of n each Company this 1st day of December 2014 � � O � Vice President i7 i j I P 7g T NOTICE i TO OBTAIN INFORMATION OR MAKE A COMPLAINT: You may contact Employers Mutual Casualty Company, Union Insurance of Providence, and/or EMCASCO Insurance Company for information or to make a complaint at: a A a Employers Mutual Casualty Company h Attn: Surety Claims P.O. Box 712 Des Moines, IA 50303 (515) 280-2689 (515) 280-2994 Fax s x You may contact the Texas Department of Insurance to obtain information on `r companies, coverages, rights or complaints at: Texas Department of Insurance a P.O. Box 149104 Austin, TX 78714-9104 (800)252-3439 ATTACH THIS NOTICE TO YOUR BOND. This notice is for information only N and does not become a part or a condition of the attached document and is e given to comply with Section 2253-048, Government Code, and Section 53.202, Property Code, effective September 1, 2001. ,r ,6 _ k 7209 'F' CONSENT OF OWNER Fx� SURETY COMPANY ARCHITECT ❑ TO FINAL PAYMENT CONTRACTOR ❑ SURETY ❑ Bond No.5413653 OTHER PROJECT: City of Fort Worth Public Safety ARCHITECT'S PROJECT NO. Training Center(Drainage)—Public Portion Only TO: City of Fort Worth,Texas CONTRACT FOR: Utilities The Cornell Company Drainage-Public Portion Only CONTRACTOR: Maverick Utility Construction,Inc CONTRACT DATE:OCTOBER 14,2013 In accordance with the provisions of the Contract between the Owner and the Contractor as indicated above,the Employers Mutual Casualty Company SURETY, on Bond of Maverick Utility Construction,Inc. CONTRACTOR, hereby approves of the final payment to the Contractor, and agrees that final payment to the Contractor shall not relieve the Surety Company of any of its obligations to City of Fort Worth,Texas OWNER, The Cornell Company as set forth in the said Surety Company's bond. 1N WITNESS WHEREOF, the Surety has hereunto set its hand this 19th day of August,2014 Employers Mutual Casualty Company Surety Company Sign of Authorized Representati Atte _ Title Steven J.Zir(ec r,Att rney-In-Fact (Seal) CO 'ENT O SURE[YCOMPANYTOF L PAYMENT ONE PAGE �W �� P.O.Box 712-Des Moines,IA 50306-0712 No. A89147 CERTIFICATE OF AUTHORITY INDIVIDUAL ATTORNEY-IN-FACT KNOW ALL MEN BY THESE PRESENTS,that: 1. Employers Mutual Casualty Company,an Iowa Corporation 5. Dakota Fire Insurance Company,a North Dakota Corporation 2. EMCASCO Insurance Company,an Iowa Corporation 6. EMC Property&Casualty Company,an Iowa Corporation 3. Union Insurance Company of Providence,an Iowa Corporation 7. Hamilton Mutual Insurance Company,an Iowa Corporation 4. Illinois EMCASCO Insurance Company,an Iowa Corporation hereinafter referred to severally as"Company"and collectively as"Companies",each does,by these presents,make,constitute and appoint: SHANNON LEWIS,CHARLES K.MILLER,STEVE RICKENBACHER,DAVID C.OXFORD,CLINTON NORRIS,SHERREL M.BREAZEALE,SOPHINIE HUNTER,STEVEN J.ZINECKER,PEGGY G.HOGAN,SHERI R.ALLEN,BRET TOMLINSON its true and lawful attorney-in-fact,with full power and authority conferred to sign,seal,and execute its lawful bonds,undertakings,and other obligatory instruments of a similar nature as follows: ANY AND ALL BONDS and to bind each Company thereby as fully and to the same extent as if such instruments were signed by the duly authorized officers of each such Company,and all of the acts of said attorney pursuant to the authority hereby given are hereby ratified and confirmed. The authority hereby granted shall expire APRIL 1,2017 unless sooner revoked. AUTHORITY FOR POWER OF ATTORNEY This Power-of-Attorney is made and executed pursuant to and by the authority of the following resolution of the Boards of Directors of each of the Companies at a regularly scheduled meeting of each company duly called and held in 1999: RESOLVED:The President and Chief Executive Officer,any Vice President,the Treasurer and the Secretary of Employers Mutual Casualty Company shall have power and authority to(1) appoint attorneys-in-fact and authorize them to execute on behalf of each Company and attach the seal of the Company thereto, bonds and undertakings,recognizances,contracts of indemnity and other writings obligatory in the nature thereof;and(2)to remove any such attorney-in-fact at any time and revoke the power and authority given to him or her.Attorneys-in-fact shall have power and authority,subject to the terms and limitations of the power-of-attomey issued to them, to execute and deliver on behalf of the Company, and to attach the seal of the Company thereto, bonds and undertakings, recognizances,contracts of indemnity and other writings obligatory in the nature thereof,and any such instrument executed by any such attorney-in-fact shall be fully and in all respects binding upon the Company. Certification as to the validity of any power-of-attorney authorized herein made by an officer of Employers Mutual Casualty Company shall be fully and in all respects binding upon this Company. The facsimile or mechanically reproduced signature of such officer,whether made heretofore or hereafter, wherever appearing upon a certified copy of any power-of-attorney of the Company,shall be valid and binding upon the Company with the same force and effect as though manually affixed. IN WITNESS THEREOF,the Companies have caused these presents to be signed for each by their officers as shown,and the Corporate seals to be hereto affixed this 17th day of FEBRUARY 2014 Seals �PSGO'�NSU��, G�OOMP,q NY, •• P; 8�9s, Bruce G.Kelley, hairman Michael Freel `OpPOgq fi0 JaAPoq,r,; of Companies 2,3,4,5&6,President Assistant Vice President of Company 1;Vice Chairman and SEAL ;Z; 1863;`; 1953 CEO of Company 7 IOWA '�,/OWP,�• '°/q,'�'�`�Ot��,• o+/*',OWE On this 17th day of FEBRUARY AD 2014 before me a NSU?ANCF.'', ` �p15URq,N ,, uTUA( Notary Public in and for the State of Iowa,personally appeared Bruce G.Kelley and Michael Freel, °- who,being by me duly sworn,did say that they are,and are known to me to be the Chairman, •U�•`OpFa S"'ice D-- -O-.40 9�fi O� �:�O PO 9 f'iy President, Vice Chairman and CEO, and/or Assistant Vice President/Assistant Secretary, SEAL = o SEAL Y W SEAL o respectively,of each of The Companies above;that the seals affixed to this instrument are the .. ; seals of said corporations;that said instrument was signed and sealed on behalf of each of the Companies by authority of their respective Boards of Directors;and that the said Bruce G.Kelley and Michael Freel,as such officers,acknowledged the execution of said instrument to be the TU V �2 voluntary act and deed of each of the Companies. vo MUTUq °9 My Commission Expires October 10,2016. KATHY LYNN LOVEAIDGE Commission Number 780769 o� o� My Commission Expires sUHA `p °" October 10,2016 Nota Public i and for the State of Iowa Es,10� CERTIFICATE- I,James D.Clough,Vice President of the Companies,do hereby certify that the foregoing resolution of the Boards of Directors by each of the Companies, and this Power of Attorney issued pursuant thereto on FEBRUARY 17 2014 on behalf of: SHANNON LEWIS,CHARLES K MILLER,STEVE RICKENBACHER,DAVID C.OXFORD,CLINTON NORRIS,SHERREL M.BREAZEALE,SOPHINIE HUNTER,STEVEN J. ZINECKER,PEGGY G.HOGAN,SHERI R.ALLEN,BRET TOMLINSON are true and correct and are still in full force and effect. In Testimony Whereof I have subscribed my name and affixed the facsimile seal of n each Company this 19th day of August , 2014 4— 114�v Vice President 0 1 . •4 0 -S 1 IMP('3111TANT NOTICE TO OBTAIN INFORMATION OR MAKE A COMPLAINT: You may contact Employers Mutual Casualty Company, Union Insurance of Providence, and/or EMCASCO Insurance Company for information or to make a complaint at: F Employers Mutual Casualty Company Attn: Surety Claims II P.O. Box 712 Des Moines, IA 50303 f (515) 280-2689 (515) 280-2994 Fax 'l f 1: You may contact the Texas Department of Insurance to obtain information on 4 companies; coverages, rights or complaints at: r :L Y Texas Department of Insurance '? P.O. Box 149104 Austin, TX 78714-9104 (800) 252-3439 r ATTACH THIS NOTICE TO YOUR BOND. This notice.is for information only P and does not become a part or a condition of the attached document and is r given to comply with Section 2253-048, Government Code, and Section 1 53.202, Property Code, effective September 1, 2001. 7 E G I R. 7209 MAVERICK I Utility Construction,Inc. P.O.BOX 728 EULESS,TX.76039 PHONE:817-684-0858 FAX:817-684-0360 AFFIDAVIT State of Texas County of Tarrant Before me, the undersigned authority, a notary public in the state and county aforesaid on this day appeared Shane Allen, vice president of Maverick Utility Construction, 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 fiunishing 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; Thanks there are no claims pending for personal injury and/or property damages; On contract described as; Water, Sewer, Paving&, Drainage Improvements to Serve Fort Worth Public Safety Training—Public Portion Only Shane Allen, Vice President Subscribed and sworn before me on this date 181 of August, 2014. -(*Sa BRYAN OWEN YULE t° . - Notary Public.Store W Texas My Commission Expires March 20, 2016