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2017-121•�� • � � � ,:� R , ...... � ��.� 1 , �� , ��'.. � , ..... l ,, ♦ l :� � ♦ � ,' � � �:.. • ........ � 1 . �. ��, ., � . �,:� � �I � � � '�. ! ) � !'... � ! ��. '�,,. • � . � ; , �....... � � �........ .::� � '.. � '.' � . .� � .,.: �... ! �� ... 1 ♦. � �� , �.,. � �.... � �� ' � :� �.... . . � . � � ;..... , � � ��. � �,,,, � ��. . � ��. �: ��. . ! :� � � ,' ,�.� ! ! �,; ,.. � .. � ...... . , ♦ �.,. � �.. I ♦ R � �' � � ,...., '�. � � , .� !,. ! , , � �� [ .� , ',, �' � , # R ! �'..... � ��. � � . � �� ,,,, ':� �1 �. .' � i., WHEREAS, the City has solicited, received, and tabulated campetitive bids for the construction of public works, or irnprovements in accordance with the procedures af STATE law and City ardinances; and ' � .�- � �- • . • � . � �-a �-��•' . - - * . �� -� • � � � -� � � * • s �- ' - � � . t r � � � r� . . � � . . w �- � - � ,.,. '��. � .� • ,, . 1 !� : � ' .� �. '�� '��, .� �'��.. � ��. � •�. .. � � � ♦ # � � # � `' � � •' - R • # ' !' � �', � � � � �,� M" �'• i ! . � i'• � ��'� . y � . !, �- � *" _ ,� _ � - � M # t *' � ! ' * " � ♦ �' , * '-� ' !' w ' f .. � �.. � �.' ♦ . • • ��. � �� ' � . ��. � ' �' �� ...... • : ',. � ' � ,, *.. ..�.. BID NUMBER CONT CTOR AMOUNT 6375 Dickerson Canstruction Company, Inc. $1,038,1$7 � -� . . � .�• y . � - .�� •- � � • � _ r . �. . - �- � � � - � � � � � � • � � ' � � � . -• -� . � .rr � -� •- ,� .' � � . ' -• , - - r- -M . � _ � : •�- # . - - - � � + - , . � ' + � r- r . � r. �• w . � . � � �' - ...•� -�• � - . *- - -r . � -� � - - - - - , - � , * �- M . - � _ � � � - � * � r � � . _ . � �. - � w . -� -• . � .�• � -w - • � -r . � . . - r � �. - � - � : �*- � : w ' *�� . . + t� ' ' " �' • - the terms, conditions, plans, and specifications, standards, quantities, and specified sums cantained therein. SECTION 4. The City Council of the City of Denton, Texas hereby expressly delegates the authority to take any actions that may be required, or permitted to be perfarmed by the City of Denton under Bid 6375 ta the City Manager ofthe City of Denton, Texas, or his designee. SECTION 5. That upon acceptance and approval of the above competitive bids, and the execution of contracts for the public works and improvements as authorized herein, the City Council hereby authorizes the expenditure of funds in the manner, and in the amount as specified in such approved bids and authorized contracts executed pursuant thereto. SECTION 6. That this ordinance shall became effective immediately upan its passage and approval. PASSED AND APPROVED this the _ �� , _ day of �� . � 2017. -��" �� . °� `�` � u ....:. �`k : 6' ATTS, MAYOR ATTEST: JENNIFER WALTERS, CITY SECRETARY BY: � � ��.�� ,� APPROVED AS TO LEGAL FORM: AARON LEAL, 1NTERIM CITY ATTORNEY �.. _ � ��, .� ��.� �� . w � �� ': � BY:_,_ �.�� .��_ .�''��`��. �.,,.�, r� ��'�� _.�._.__.� �� a —� �� ` DocuSign Envelope ID: FC8EFC37-79E7-4134-BDC4-OA1A29D460B9 �a ; , -. �__ r =- � - aaaaaa,— � � Docusign City Counci) Transmitta) Coversheet IFB 6375 File Name Pecan Creek Interceptor IV Purchasing Contact Karen smith City Council Target Date 4/ls/1� Contract Value $l,o3s,ls� Piggy Back Option no Contract Expiration "�A DocuSign Envelope ID: FC8EFC37-79E7-4134-BDC4-OA1A29D460B9 CONTRACT BY AND BETWEEN CITY OF DENTON, TEXAS AND DICKERSON CONSTRUCTION CO, INC (IFB 6375) STATE OF TEXAS § COUNTY OF DENTON § THIS AGREEMENT, made and entered into this date April 1s, 2ov by and between Citv of Denton of the County of Denton and State of Texas, acting through Todd Hileman thereunto duly authorized so to do, hereinafter termed "OWNER," and Dickerson Construction Co, Inc., 1130 N. Louisiana, Celina, TX 75009 of the City of Celina, County of Collin, and State of Texas , hereinafter termed "CONTRACTOR." WTTNESSETH: That for and in consideration of the payments and agreements hereinafter mentioned, to be made and performed by OWNER, and under the conditions expressed in the bonds attached hereto, CONTRACTOR hereby agrees with OWNER to commence and complete performance of the work specified below: IFB #6375 — PECAN CREEK INTERCEPTOR IV in the amount of $1,038,187.00 and all extra work in connection therewith, under the terms as stated in the General Conditions of the agreement; and at his (or their) own proper cost and expense to furnish all materials, supplies, machinery, equipment, tools, superintendence, labor, insurance, and other accessories and services necessary to complete the work specified above, in accordance with the conditions and prices stated in the Proposal and the Performance and Payment Bonds, attached hereto, and in accordance with all the General Conditions of the Agreement, the Special Conditions, the Notice to Bidders (Advertisement for Bids), and Instructions to Bidders, as referenced herein and on file in the office of the Purchasing Agent, and in accordance with the plans, which includes all maps, plats, blueprints, and other drawings and printed or written explanatory matter thereof, and the Specifications therefore, as prepared by: City of Denton En ing eerin� Services all of which are referenced herein and made a part hereof and collectively evidence and constitute the entire contract. Independent Status It is mutually understood and agreed by and between City and Contractor that Contractor is an independent contractor and shall not be deemed to be or considered an employee of the City of Denton, Texas, for the purposes of income tax, withholding, social security taxes, vacation or sick lea�e benefits, worker's compensation, or any other City employee benefit. City shall not have supervision and control of Contractor or any employee of Contractor, and it is expressly understood that Contractor shall perform the services hereunder according to the attached specifications at the general direction of the City Manager of the City of Denton, Texas, or his IFB 6375 DocuSign Envelope ID: FC8EFC37-79E7-4134-BDC4-OA1A29D460B9 designee under this agreement. Indemnification CONTRACTOR COVENANTS AND AGREES TO AND DOES HEREBY INDEMNIFY, HOLD HARMLESS AND DEFEND, AT ITS OWN EXPENSE, OWNER, ITS OFFICERS, SERVANTS AND EMPLOYEES, FROM AND AGAINST ANY AND ALL CLAIMS OR SUITS FOR PROPERTY LOSS OR DAMAGE AND/OR PERSONAL INJURY, INCLUDING DEATH, TO ANY AND ALL PERSONS, OF WHATSOEVER KIND OR CHARACTER, WHETHER REAL OR ASSERTED, ARISING OUT OF THE WORK AND SERVICES TO BE PERFORMED HEREUNDER BY CONTRACTOR, ITS OFFICERS, AGENTS, EMPLOYEES, SUBCONTRACTORS, LICENSEES OR INVITEES, WHETHER OR NOT CAUSED, IN WHOLE OR IN PART, BY THE ALLEGED NEGLIGENCE OF THE OFFICERS, SERVANTS, OR EMPLOYEES OF THE OWNER. CONTRACTOR LIKEWISE COVENANTS AND AGREES TO, AND DOES HEREBY INDEMNIFY AND HOLD HARMLESS OWNER DURING THE PERFORMANCE OF ANY OF THE TERMS AND CONDITIONS OF THIS CONTRACT, WHETHER ARISING OUT OF IN WHOLE OR IN PART, ANY AND ALL ALLEGED ACTS OR OMISSIONS OF OFFICERS, SERVANTS, OR EMPLOYEES OF THE OWNER. THE PROVISIONS OF THIS PARAGRAPH ARE SOLELY FOR THE BENEFIT OF THE PARTIES HERETO AND NOT INTENDED TO CREATE OR GRANT ANY RIGHTS, CONTRACTUAL OR OTHERWISE, TO ANY OTHER PERSON OR ENTITY. Choice of Law and Venue This agreement shall be governed by the law of the State of Texas and venue for its construction and enforcement shall lie in the courts of Denton County, Texas. The CONTRACTOR hereby agrees to commence work on or after the date established for the start of work as set forth in written notice to commence work and complete all work within the time stated in the Proposal, subject to such extensions of time as are provided by the General and Special Conditions. The OWNER agrees to pay the CONTRACTOR in current funds the price or prices shown in the Proposal, which forms a part of this contract, such payments to be subject to the General and Special Conditions of the Contract. Right to Audit The OWNER shall have the right to audit and make copies of the books, records and computations pertaining to this agreement. The CONTRACTOR shall retain such books, records, documents and other evidence pertaining to this agreement during the contract period and five years thereafter, except if an audit is in progress or audit findings are yet unresolved, in which case records shall be kept until all audit tasks are completed and resolved. These books, records, documents and other evidence shall be available, within 10 business days of written IFB 6375 DocuSign Envelope ID: FC8EFC37-79E7-4134-BDC4-OA1A29D460B9 request. Further, the CONTRACTOR shall also require all Subcontractors, material suppliers, and other payees to retain all books, records, documents and other evidence pertaining to this agreement, and to allow the OWNER similar access to those documents. All books and records will be made available within a 50 mile radius of the City of Denton. The cost of the audit will be borne by the OWNER unless the audit reveals an overpayment of 1% or greater. If an overpayment of 1% or greater occurs, the reasonable cost of the audit, including any travel costs, must be borne by the CONTRACTOR which must be payable within five business days of receipt of an invoice. Failure to comply with the provisions of this section shall be a material breach of this contract and shall constitute, in the OWNER' S sole discretion, grounds for termination thereof. Each of the terms "books", "records", "documents" and "other evidence", as used above, shall be construed to include drafts and electronic files, even if such drafts or electronic files are subsequently used to generate or prepare a final printed document. Payment and Performance Bonds Contractor will be required to furnish original performance and payment bonds for one hundred (100%) percent of the total submission price before work is to commence. The Contractor shall assume all costs in increasing the bond limits if change orders are formally approved. Bonds shall be in accordance with the V.T.C.A Government Code Section 2253.021, as amended, from a surety licensed to do business in the State of Texas. The City, at its option, may waive the payment and performance bond requirements for projects of less than $50,000. Bond forms are attached and shall be returned upon notice of contract award by the City. Bonds should be forwarded to the City of Denton within fourteen (14) calendar days from contract award. This contract is not fully executed until payment and performance bonds are received and accepted by the City. Upon approval, a purchase order will be issued. IFB 6375 DocuSign Envelope ID: FC8EFC37-79E7-4134-BDC4-OA1A29D460B9 IN WITNESS WHEREOF, the parties of these presents have executed this agreement in the year and day first above written. OWNER CITY OF DENTON DocuSigned 6y: BY: �� i�,t,w�cun, ��IAN CITY MANAGER CONTRACTOR DICKERSON CONSTRUCTION CO, INC DocuSigned by: BY: ��,t .�;��.�o.. A ��'�'�� AGENT Lewis Dickerson NAME PRESIDENT TITLE 972-382-2123 PHONE NUMBER dcc.jld@sbcglobal.net EMAIL ADDRESS ATTEST: JENNIFER WALTERS, CITY SECRETARY DocuSigned by: ,�un,�,iFt,V' �1a.�e,t�S C5BFAFC1821946D... APPROVED AS TO LEGAL FORM: AARON LEAL, INTERIM CITY ATTORNEY DocuSigned by: ,�b�t,ln, �,i C821996C2A2B439... IFB 6375 DocuSign Envelope ID: FC8EFC37-79E7-4134-BDC4-OA1A29D460B9 Certif'icate of Interested Parties Electronic Filing In 2015, the Texas Legislature adopted House Bill 1295, which added section 2252.908 of the Government Code. The law states that the City may not enter into this contract unless the Contractor submits a disclosure of interested parties (Form 1295) to the City at the time the Contractor submits the signed contract. The Texas Ethics Commission has adopted rules requiring the business entity to file Form 1295 electronically with the Commission. Contractor will be repuired to furnish an ori�inal notarized Certif'icate of Interest Parties before the contract is awarded, in accordance with Government Code 2252.908. The contractor shall: l. Log onto the State Ethics Commission Website at : l�tt�s://www.ethies.state.tx.us/wl�atsnew/elf info forml295.1�tm 2. Register utilizing the tutorial provided by the State 3. Print a copy of the completed Form 1295 4. Enter the Certificate Number on page 2 of this contract. 5. Sign and notarize the Form 1295 6. Email the notarized form to purel�asin� ,eitvofdenton.eom with the contract number in the subject line. (EX: Contract 1234 — Form 1295) The City must acknowledge the receipt of the filed Form 1295 not later than the 30th day after Council award. Once a Form 1295 is acknowledged, it will be posted to the Texas Ethics Commission's website within seven business days. IFB 6375 DocuSign Envelope ID: FC8EFC37-79E7-4134-BDC4-OA1A29D460B9 INSURANCE REQUIREMENTS AND WORKERS' COMPENSENTATION REQUIREMENTS Upon contract execution, all insurance requirements shall become conti^actual obligations, which the successful contractor shall have a duty to maintain throughout the course of this contract. STANDARD PROVISIONS: Without limiting any of the other obligations or liabilities of the Contractor, the Contractor shall provide and maintain until the contracted work has been completed and accepted by the City of Denton, Owner, the minimum insurance coverage as indicated hereinafter. Contractor shall file with the Purchasing Department satisfactory certificates of insurance including any applicable addendum or endorsements, containing the contract number and title of the project. Contractor may, upon written request to the Purchasing Department, ask for clarification of any insurance requirements at any time; however, Contractor shall not commence any work or deliver any material until he or she receives notification that the contract has been accepted, approved, and signed by the City ofDenton. All insurance policies proposed or obtained in satisfaction of these requirements shall comply with the following general specifications, and shall be maintained in compliance with these general specifications throughout the duration of the Contract, or longer, if so noted: • Each policy shall be issued by a company authorized to do business in the State of Texas with an A.M. Best Company rating of at least A or better. Any deductibles or self-insured retentions shall be declared in the proposaL If requested by the City, the insurer shall reduce or eliminate such deductibles or self-insured retentions with respect to the City, its officials, agents, employees and volunteers; or, the contractor shall procure a bond guaranteeing payment of losses and related investigations, claim administration and defense expenses. • Liability policies shall be endorsed to provide the following: Name as Additional Insured the City of Denton, its Officials, Agents, Employees and volunteers. ■ That such insurance is primary to any other insurance available to the Additional Insured with respect to claims covered under the policy and that this insurance applies separately to each insured against whom claim is made or suit is brought. The inclusion of more than one insured shall not operate to increase the insurer's limit of liability. • Cancellation: City requires 30 day written notice should any of the policies described on the certificate be cancelled or materially changed before the expiration date. Should any of the required insurance be provided under a claims made form, Contractor shall maintain such coverage continuously throughout the term of this contract and, without lapse, for a period of three years beyond the contract expiration, such that occurrences arising during the contract term which give rise to claims made after expiration of the contract shall be covered. IFB 6375 DocuSign Envelope ID: FC8EFC37-79E7-4134-BDC4-OA1A29D460B9 • Should any of the required insurance be provided under a form of coverage that includes a general annual aggregate limit providing for claims investigation or legal defense costs to be included in the general annual aggregate limit, the Contractor shall either double the occurrence limits or obtain Owners and Contractors Protective Liability Insurance. • Should any required insurance lapse during the contract term, requests for payments originating after such lapse shall not be processed until the City receives satisfactory evidence of reinstated coverage as required by this contract, effective as of the lapse date. If insurance is not reinstated, City may, at its sole option, terminate this agreement effective on the date of the lapse. SPECIFIC ADDITIONAL INSURANCE REQUIREMENTS: All insurance policies proposed or obtained in satisfaction of this Contract shall additionally comply with the following marked specifications, and shall be maintained in compliance with these additional specifications throughout the duration of the Contract, or longer, if so noted: [X] A. Generai Liability Insurance: General Liability insurance with combined single limits of not less than $1,000,000.00 shall be provided and maintained by the Contractor. The policy shall be written on an occurrence basis either in a single policy or in a combination of underlying and umbrella or excess policies. If the Commercial General Liability form (ISO Form CG 0001 current edition) is used: • Coverage A shall include premises, operations, products, and completed operations, independent contractors, contractual liability covering this contract and broad form property damage coverage. • Coverage B shall include personal injury. • Coverage C, medical payments, is not required. If the Comprehensive General Liability form (ISO Form GL 0002 Current Edition and ISO Form GL 0404) is used, it shall include at least: Bodily injury and Property Damage Liability for premises, operations, products and completed operations, independent contractors and property damage resulting from explosion, collapse or underground (XCU) exposures. • Broad form contractual liability (preferably by endorsement) covering this contract, personal injury liability and broad form property damage liability. [X] Automobile Liability Insurance: Contractor shall provide Commercial Automobile Liability insurance with Combined Single Limits (CSL) of not less than $500,000 either in a single policy or in a combination of basic and umbrella or excess policies. The policy will include bodily injury and property damage liability arising out of the operation, maintenance and use of all automobiles and mobile equipment used IFB 6375 DocuSign Envelope ID: FC8EFC37-79E7-4134-BDC4-OA1A29D460B9 in conjunction with this contract. Satisfaction of the above requirement shall be in the form of a policy endorsement for: • any auto, or • all owned hired and non-owned autos. [X] Workers' Compensation Insurance Contractor shall purchase and maintain Workers' Compensation insurance which, in addition to meeting the minimum statutory requirements for issuance of such insurance, has Employer's Liability limits of at least $100,000 for each accident, $100,000 per each employee, and a $500,000 policy limit for occupational disease. The City need not be named as an "Additional Insured" but the insurer shall agree to waive all rights of subrogation against the City, its officials, agents, employees and volunteers for any work performed for the City by the Named Insured. For building or construction projects, the Contractor shall comply with the provisions of Attachment 1 in accordance with §406.096 of the Texas Labor Code and rule 28TAC 110.110 of the Texas Workers' Compensation Commission (TWCC). [] Owner's and Contractor's Protective Liability Insurance The Contractor shall obtain, pay for and maintain at all times during the prosecution of the work under this contract, an Owner's and Contractor's Protective Liability insurance policy naming the City as insured for property damage and bodily injury which may arise in the prosecution of the work or Contractor's operations under this contract. Coverage shall be on an"occurrence" basis and the policy shall be issued by the same insurance company that carries the Contractor's liability insurance. Policy limits will be at least $500,000.00 combined bodily injury and property damage per occurrence with a$1,000,000.00 aggregate. [] Fire Damage Legai Liability Insurance Coverage is required if Broad form General Liability is not provided or is unavailable to the contractor or if a contractor leases or rents a portion of a City building. Limits of not less than each occurrence are required. [ ] Professionai Liability Insurance Professional liability insurance with limits not less than $1,000,000.00 per claim with respect to negligent acts, errors or omissions in connection with professional services is required under this Agreement. [ ] Buiiders' Risk Insurance Builders' Risk Insurance, on an All-Risk form for 100% of the completed value shall be provided. Such policy shall include as "Named Insured" the City of Denton and all subcontractors as their interests may appear. IFB 6375 DocuSign Envelope ID: FC8EFC37-79E7-4134-BDC4-OA1A29D460B9 ATTACHMENT 1 [X] Workers' Compensation Coverage for Building or Construction Projects for Governmental Entities A. Definitions: Certificate of coverage ("certificate")-A copy of a certificate of insurance, a certificate of authority to self-insure issued by the commission, or a coverage agreement (TWCC-81, TWCC-82, TWCC-83, or TWCC-84), showing statutory workers' compensation insurance coverage for the person's or entity's employees providing services on a project, for the duration of the project. Duration of the project - includes the time from the beginning of the work on the project until the contractor's/person's work on the project has been completed and accepted by the governmental entity. Persons providing services on the project ("subcontractor" in §406.096) - includes all persons or entities performing all or part of the services the contractor has undertaken to perform on the project, regardless of whether that person contracted directly with the contractor and regardless of whether that person has employees. This includes, without limitation, independent contractors, subcontractors, leasing companies, motor carriers, owner-operators, employees of any such entity, or employees of any entity which furnishes persons to provide services on the project. "Services" include, without limitation, providing, hauling, or delivering equipment or materials, or providing labor, transportation, or other service related to a project. "Services" does not include activities unrelated to the project, such as food/beverage vendors, office supply deliveries, and delivery of portable toilets. B. The contractor shall provide coverage, based on proper reporting of classification codes and payroll amounts and filing of any overage agreements, which meets the statutory requirements of Texas Labor Code, Section 401.011(44) for all employees of the Contractor providing services on the project, for the duration of the project. C. The Contractor must provide a certificate of coverage to the governmental entity prior to being awarded the contract. D. If the coverage period shown on the contractor's current certificate of coverage ends during the duration of the project, the contractor must, prior to the end of the coverage period, file a new certificate of coverage with the governmental entity showing that coverage has been extended. E. The contractor shall obtain from each person providing services on a project, and provide to the governmental entity: 1. a certificate of coverage, prior to that person beginning work on the project, so IFB 6375 DocuSign Envelope ID: FC8EFC37-79E7-4134-BDC4-OA1A29D460B9 the governmental entity will have on file certificates of coverage showing coverage for all persons providing services on the project; and 2. no later than seven days after receipt by the contractor, a new certificate of coverage showing extension of coverage, if the coverage period shown on the current certificate of coverage ends during the duration of the project. F. The contractor shall retain all required certificates of coverage for the duration of the proj ect and for one year thereafter. G. The contractor shall notify the governmental entity in writing by certified mail or personal delivery, within 10 days after the contractor knew or should have known, of any change that materially affects the provision of coverage of any person providing services on the project. H. The contractor shall post on each project site a notice, in the text, form and manner prescribed by the Texas Workers' Compensation Commission, informing all persons providing services on the project that they are required to be covered, and stating how a person may verify coverage and report lack of coverage. L The contractor shall contractually require each person with whom it contracts to provide services on aproject, to: l. provide coverage, based on proper reporting of classification codes and payroll amounts and filing of any coverage agreements, which meets the statutory requirements of Texas Labor Code, Section 401.011(44) for all of its employees providing services on the project, for the duration of the project; 2. provide to the contractor, prior to that person beginning work on the project, a certificate of coverage showing that coverage is being provided for all employees of the person providing services on the project, for the duration of the project; 3. provide the contractor, prior to the end of the coverage period, a new certificate of coverage showing extension of coverage, if the coverage period shown on the current certificate of coverage ends during the duration of the project; 4. obtain from each other person with whom it contracts, and provide to the contractor: a. a certificate of coverage, prior to the other person beginning work on the proj ect; and b. a new certificate of coverage showing extension of coverage, prior to the end of the coverage period, if the coverage period shown on the current certificate of coverage ends during the duration of the proj ect; IFB 6375 DocuSign Envelope ID: FC8EFC37-79E7-4134-BDC4-OA1A29D460B9 5. retain all required certificates of coverage on file for the duration of the project and for one year thereafter; 6. notify the governmental entity in writing by certified mail or personal delivery, within 10 days after the person knew or should have known, of any change that materially affects the provision of coverage of any person providing services on the proj ect; and 7. Contractually require each person with whom it contracts, to perform as required by paragraphs (1) -(7), with the certificates of coverage to be provided to the person for whom they are providing services. J. By signing this contract or providing or causing to be provided a certificate of coverage, the contractor is representing to the governmental entity that all employees of the contractor who will provide services on the project will be covered by workers' compensation coverage for the duration of the project, that the coverage will be based on proper reporting of classification codes and payroll amounts, and that all coverage agreements will be filed with the appropriate insurance carrier or, in the case of a self-insured, with the commission's Division of Self-Insurance Regulation. Providing false or misleading information may subject the contractor to administrative penalties, criminal penalties, civil penalties, or other civil actions. K. The contractor's failure to comply with any of these provisions is a breach of contract by the contractor which entitles the governmental entity to declare the contract void if the contractor does not remedy the breach within ten days after receipt of notice of breach from the governmental entity. IFB 6375 DocuSign Envelope ID: FC8EFC37-79E7-4134-BDC4-OA1A29D460B9 IFB 6375 - Pricing Sheet for Construction of Pecan Creek Interceptor IV I Respondent's Name: Dickerson Construction Co, Inc II Principal Place of Business (City and State) Celina, TX Respondent is a Corporation, Partnership, sole Proprietorship, III Indvidual? Corporation Respondent can meet time requirement of Qualification #4 under IV Bidder Qualifications (Y/N)? y Total calendar days after Notice to Proceed is issued by City for � substatial completion (Maximum of 330): 330 Total calendar days after Notice to Proceed is issued by City for VI project start: 30 Wastewater Proposal Pricing: Item Description Quantity Unit Unit Price Total 1 Surety Bonds 1 LS $ 30,000.00 $ 30,000.00 2 Project Signs 2 EA $ 1,000.00 $ 2,000.00 3 General Site Preparation 1 LS $ 5,000.00 $ 5,000.00 4 Barricades, Warning Signs and Detours 1 LS $ 10,000.00 $ 10,000.00 5 Excavation Protection 2278 LF $ 7.00 $ 15,946.00 6 Temporary Erosion Contro) 1 LS $ 7,500.00 $ 7,500.00 7 4' I.D. Concrete Manhole (0-6 ft deep) 1 EA $ 3,000.00 $ 3,000.00 8 5' I.D. Concrete Manhole (0-6 ft deep) 1 EA $ 4,500.00 $ 4,500.00 10 5' I.D. Concrete Drop Manhole (0-6 ft deep) 3 EA $ 4,500.00 $ 13,500.00 11 6' I.D. Concrete Drop Manhole (0-6 ft deep) 2 EA $ 7,000.00 $ 14,000.00 12 Additional Concrete Manhole Depth (>6 ft deep) 38 VF $ 250.00 $ 9,500.00 13 Core into Existing Manhole 1 EA $ 2,000.00 $ 2,000.00 14 4" Sanitary Sewer Service 17 EA $ 1,300.00 $ 22,100.00 15 6" Sanitary Sewer Service 9 EA $ 2,500.00 $ 22,500.00 16 8" Sanitary Sewer with Pavement Repair 273 LF $ 150.00 $ 40,950.00 17 8" Sanitary Sewer Unpaved 20 LF $ 100.00 $ 2,000.00 18 24" Sanitary Sewer Unpaved 28 LF $ 140.00 $ 3,920.00 19 27" Sanitary Sewer Unpaved 0 LF $ - $ - 20 30" Sanitary Sewer Unpaved 1379 LF $ 165.00 $ 227,535.00 21 30" Sanitary Sewer with Pavement Repair 578 LF $ 280.00 $ 161,840.00 23 30" Sanitary Sewer in Casing 40 LF $ 325.00 $ 13,000.00 25 42" Steel Casing / Tunnel Liner Plate by Tunnel 40 LF $ 800.00 $ 32,000.00 26 Cut and Plug Existing Sanitary Sewer Line 8 EA $ 1,000.00 $ 8,000.00 27 Abandon Existing Manhole 11 EA $ 1,000.00 $ 11,000.00 28 Remove Existing Manhole 3 EA $ 2,500.00 $ 7,500.00 29 Bypass Pumping 1 LS $ 30,000.00 $ 30,000.00 DocuSign Envelope ID: FC8EFC37-79E7-4134-BDC4-OA1A29D460B9 IFB 6375 - Pricing Sheet for Construction of Pecan Creek Interceptor IV I Respondent's Name: Dickerson Construction Co, Inc II Principal Place of Business (City and State) Celina, TX Respondent is a Corporation, Partnership, sole Proprietorship, III Indvidual? Corporation Respondent can meet time requirement of Qualification #4 under IV Bidder Qualifications (Y/N)? y Total calendar days after Notice to Proceed is issued by City for � substatial completion (Maximum of 330): 330 Total calendar days after Notice to Proceed is issued by City for VI project start: 30 Wastewater Proposal Pricing: Item Description Quantity Unit Unit Price Total 31 Water Main Lowering 1 EA $ 5,000.00 $ 5,000.00 WastewaterTotal $ 704,291.00 Water Proposal Pricing: Item Description Quantity Unit Unit Price Total 50 Excavation Protection 348 LF $ 5.00 $ 1,740.00 51 6" PVC C900 Water with Pavement Repair 38 LF $ 125.00 $ 4,750.00 53 12" PVC C900 Water with Pavement Repair 310 LF $ 145.00 $ 44,950.00 56 6" Gate Valve 2 EA $ 1,000.00 $ 2,000.00 58 12" Gate Valve 2 EA $ 2,000.00 $ 4,000.00 59 Fire Hydrant Assembly 1 EA $ 4,400.00 $ 4,400.00 61 12" Tapping Sleeve Connection 1 EA $ 5,700.00 $ 5,700.00 63 6" Cut-in Connection 2 EA $ 2,850.00 $ 5,700.00 64 Cut and Plug Existing Water Line 2 EA $ 1,100.00 $ 2,200.00 65 Remove Valve Stack 2 EA $ 100.00 $ 200.00 66 Remove Fire Hydrant Assembly 1 EA $ 1,000.00 $ 1,000.00 68 6" Line Stop 2 EA $ 3,600.00 $ 7,200.00 Water Total $ 83,840.00 Alternate A Wastewater Proposal Pricing: Item Description Quantity Unit Unit Price Total 5 Excavation Protection 506 LF $ 5.00 $ 2,530.00 7 4' I.D. Concrete Manhole (0-6 ft deep) 2 EA $ 3,000.00 $ 6,000.00 9 4' I.D. Concrete Drop Manhole (0-6 ft deep) 1 EA $ 3,500.00 $ 3,500.00 12 Additional Concrete Manhole Depth (>6 ft deep) 3 VF $ 250.00 $ 750.00 14 4" Sanitary Sewer Service 1 EA $ 2,000.00 $ 2,000.00 16 8" Sanitary Sewer with Pavement Repair 506 LF $ 146.00 $ 73,876.00 22 8" Sanitary Sewer in Casing 35 LF $ 50.00 $ 1,750.00 24 12" Steel Casing by Bore 35 LF $ 250.00 $ 8,750.00 DocuSign Envelope ID: FC8EFC37-79E7-4134-BDC4-OA1A29D460B9 IFB 6375 - Pricing Sheet for Construction of Pecan Creek Interceptor IV I Respondent's Name: Dickerson Construction Co, Inc II Principal Place of Business (City and State) Celina, TX Respondent is a Corporation, Partnership, sole Proprietorship, III Indvidual? Corporation Respondent can meet time requirement of Qualification #4 under IV Bidder Qualifications (Y/N)? y Total calendar days after Notice to Proceed is issued by City for � substatial completion (Maximum of 330): 330 Total calendar days after Notice to Proceed is issued by City for VI project start: 30 Wastewater Proposal Pricing: Item Description Quantity Unit Unit Price Total 26 Cut and Plug Existing Sanitary Sewer Line 1 EA $ 750.00 $ 750.00 30 Aerial Crossing Removal 1 EA $ 2,750.00 $ 2,750.00 Alternate A Wastewater Total $ 102,656.00 Alternate A Water Proposal Pricing: Item Description Quantity Unit Unit Price Total 50 Excavation Protection 650 LF $ 5.00 $ 3,250.00 51 6" PVC C900 Water with Pavement Repair 75 LF $ 125.00 $ 9,375.00 52 8" PVC C900 Water with Pavement Repair 40 LF $ 135.00 $ 5,400.00 53 12" PVC C900 Water with Pavement Repair 535 LF $ 145.00 $ 77,575.00 54 12" PVC C900 Water in Casing 35 LF $ 70.00 $ 2,450.00 55 24" Steel Casing by Bore 35 LF $ 400.00 $ 14,000.00 56 6" Gate Valve 1 EA $ 1,000.00 $ 1,000.00 57 8" Gate Valve 2 EA $ 1,300.00 $ 2,600.00 58 12" Gate Valve 2 EA $ 2,000.00 $ 4,000.00 59 Fire Hydrant Assembly 1 EA $ 4,400.00 $ 4,400.00 60 1" Water Service Connection 1 EA $ 2,200.00 $ 2,200.00 61 12" Tapping Sleeve Connection 1 EA $ 5,700.00 $ 5,700.00 62 2" Cut-in Connection 1 EA $ 700.00 $ 700.00 63 6" Cut-in Connection 1 EA $ 2,850.00 $ 2,850.00 64 Cut and Plug Existing Water Line 4 EA $ 1,100.00 $ 4,400.00 65 Remove Valve Stack 4 EA $ 100.00 $ 400.00 66 Remove Fire Hydrant Assembly 1 EA $ 1,000.00 $ 1,000.00 67 2" Line Stop 1 EA $ 2,500.00 $ 2,500.00 68 6" Line Stop 1 EA $ 3,600.00 $ 3,600.00 Alternate A Water Total $ 147,400.00 DocuSign Envelope ID: FC8EFC37-79E7-4134-BDC4-OA1A29D460B9 IFB 6375 - Pricing Sheet for Construction of Pecan Creek Interceptor IV I Respondent's Name: II Principal Place of Business (City and State) Respondent is a Corporation, Partnership, sole Proprietorship, III Indvidual? Respondent can meet time requirement of Qualification #4 under IV Bidder Qualifications (Y/N)? Total calendar days after Notice to Proceed is issued by City for � substatial completion (Maximum of 330): Total calendar days after Notice to Proceed is issued by City for VI project start: Wastewater Proposal Pricing: Item Description Base Bid Total (Wastewater + Wa Dickerson Construction Co, Inc Celina, TX Corporation Y 330 30 Quantity �Unit � Unit Price � Total $ 788,131.00 Base Bid Plus Alternate A Total � � � �$ 1,038,187.00 DocuSign Envelope ID: FC8EFC37-79E7-4134-BDC4-OA1A29D460B9 :'l `' i � : � : � ''' •'�� .�- _. . � � 4,` Cm � � � �r�� f� � � °° � � � L � a � � ~� �� a� e � � e � er � �� a�. c�� r�� ,4 � . �Z � �` . .�..�s� � k" � � �.._..� .. �a.�� ,.,. �.._.�. .�.�.�� ", � �.. ,?. �.1 � • i � : 1' `' ' ' ` i � � � � ' �' ta� � �� L�� `�� - ,� �-�� t� � �� __��t x_ � �, d �;.� r�i `��,`s �� , � �a° - �'� �� `� _ � w.�.�.... �._�.��....._. ��_._._.. —��,...—� .__ Alternate A represents an additive alternate which the City may elect to add to the scope of tlus project. The decision to add Alternate A to the project will be made solely at the discretion of the City. If the City does not include Alternate A in the bid award, then the award of the contract will be based on the Total Base Bid alone with the lowest responsive proposal for purposes of award being the conforming responsible bidder offering the lowest cost for the base bid. The award of the contract will be based on the Tota1 Base Bid. If the City includes Alternate A in the bid award, then the award af the contract will be based on the Tata1 Base Bid plus the Altemate A Bid with t,he lowest responsive praposal for purposes of award bein� the conforxning responsible bidder offering the lowest cost far both the base bid and alternate bid. The base bid work and the alternate bid work shall not be split for purposes of award. In the event of the award of a contract to the undersigned, the undersigned will furnish a performance bond and a payment bond for the full amount of the contract, to secure proper compliance with the terms and provisions of the contract, to insure and guarantee the work until final campletion and acceptance, and to guarantee payment for all lawful claims for labor performed and materials fi�rnished in the fulfillment of the contract. It is understood that the work praposed to be done sha11 be accepted, when fully completed and finished in accordance with the plans and specifications, to the satisfaction of the Engineer. The undersigned certifies that the bid prices contained in this proposal have been carefully checked and are submitted as correct and final. Unit and lump sum prices as shown far each item listed in this proposal, shall control over eXieriSlOriS. The undersigned agrees this bid becomes the property of the City af Denton after the ofiicial opening, .R� ... �.�. DocuSign Envelope ID: FC8EFC37-79E7-4134-BDC4-OA1A29D460B9 - �- • -� . . - . - � . ♦ -• r - - - • . . �� ' -r' . • � ►' ' , a . , t � . .- , � , -a , „ . .� . ., - � -` -� , �' - �- . � I�. � � - : + 1 s�- � � -a .. � -�,, •' •��-� � • ,� * .��- �. � • . � �' � Addendum No. 1 dated _.� ,� � � � � �..._� � �.... .—m__ Received ._ �� ..� �� . � _— � �.. Addend No. 2 dated .. w .._._ __.. Received . ___. _. � _. Addendum No. 3 dated _ _�_ ,� �_ Received �.._. Received � mm _ Addendum No. 4 dated .... �........ _.�,��.�....... �_.. ._ Addendum No. 5 dated Received ___ . . `� �.�� .�'�� $ �_�� CONT CTOR � BY �� q� ��.�.�� , s�� a � � �r" � �bs �`1 _..�.��_ ��a �� i �, � � a r� �°� �� `� � �� . . _.. _ _ City and State Seal & Auth.or�zat�on (If a Corporation) �. � � �- � � - � � �� _ Telephone � �� 1� ��@, � �� ` __.� E-mail DocuSign Envelope ID: FC8EFC37-79E7-4134-BDC4-OA1A29D460B9 ��'' � , • � , , . •� • �; • ' ' ., -• . 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" 1' � � '�� -•�.. � 1:��.' � � .� �' '. � ! �".. �� '�. : R � �: � r •` . .• •. � ... � - • �.. � �! � � �: ��: _ � . ' _ � '. � ' �, . - � , . �.:•:.� � 4� � & f� „� � � i� �� ,� � � � � �d � ., ��__ ._�., �oMPf�� BY �� ' $� �� '� �� T �� - � � � � � � �� aA�� _ . _�. Street Address , � �{ �Yr .'�� m��;�:�� City and State `�'��'�� :1��'T ��+ ��'�'��.��+s�� r:�'Y`��I'�"+4�LT �_� DocuSign Envelope ID: FC8EFC37-79E7-4134-BDC4-OA1A29D460B9 � '� �' 1'' ' � �1 � ; � . - • - - , � - - . . - . � � - - � . � - - . - _ , � � � �-� . • . .. ��:� • � ; � �.:�.. + � �: �. , .: R • .. � �. - � � • ' - • �- -� •�,. � � . •- . . • � Tota1 ��,..._ � �? � � � � _ � � - � . -� . - � . . � • . � , `:. ! ♦ . � R... $ 8�' � �` �t�. Q �s � � � � '.� � �_. � __ .�� -___�� - .. Co1V1�il�.V 1 BY ��. � � � � � � ��;..�� . �C��,� ��_� . � � � � � �P'-� /'� � s��?� a a+P la, � _ _ ....�.�..� � StTBet ACi(j.I'eSS � w��w� � � ��wd�.��w.:�� ... �. ..,..V...��,m�.� City and State '�`� � ��'�� ` s� ��l.�t� �� %� ��' �' � 'Y'I_ :� _ �' ��,� I��'��'�'1 i� �'_'� �-�� . � ��I` �� L� �+e � 14 ��s� �i' � �'"�� '��I''1 .: ��'.. R' �; DocuSign Envelope ID: FC8EFC37-79E7-4134-BDC4-OA1A29D460B9 1 t t �� t � �s� x _ � �� yl � , �� , ,��t U �t , ,I�I ,� , - � ��t�z �C � �� `��_ � _ �� ._. � �� • - � - . . i. . . _ � ��r�� r� ��n��r �urety, are held and firmly bound unto _ ,_ . . - -. - � . . ,, , Obligee, in the sum of Dollars ($ 5% of G.A.B.) for the payment of which we bind ourselves, our legal representatives, successors and assigns, jointly and severally, firmly by these presents. HEREAS, Principal has submitted or is about to submit a proposal to Obligee on a contract for Pecan Creek Interceptor IV O, THEREFORE, if the said contract be awarded to Principal and Principal shall, within such time as may be specified, enter into the contract in writing and give such bond or bonds as may be specified in the bidding or contract documents with surety acceptable to Obligee; or if Principal shall fail to do so, pay to Obligee the damages which Obligee may sufFer by reason of such failure not exceeding the penalty of this bond, then this obligation shall be null and void; otherwise to remain in full force and effect. Signed, sealed and dated March 30, 2017. Dicker�� nstruction Company, Inc. (Principal) e�y • . . (Seal) � �w��inental +�: sualty Compan�/ �` (su �ty)��. w � �.. B�/ ; _ � � o� �.� � �� . _ Roxanne G Brune, A rn�+,+-in-Fa�t RerANlM Commftenenesxou Alalc�° DocuSign Envelope ID: FC8EFC37-79E7-4134-BDC4-OA1A29D460B9 ��; • � �. , � �� I 1 1 !. , 1 Know All Men By 'I'hese Presents, That Continental Casualty Company, an Illinois insurance oompany, National Fire Insurnnce Company of H ford, an Illinois insurance company, nnd erican Cssualty Company of Reading, Pennsylvania, a Pennsylvania insurance compsny (herein called "the A Compenies"), are duly organized and existing insurance eompenie.9 hpvin� the3r principal o ces rn the City of Chicago, and State of Lllinois, and that they do by virtue of Clie signatures and seals huKein affixed hereby make, constitute and appoint Sue Kohler, avid R Groppell, everly A Ireland, Sharen Groppell, oxanne G rane, Sharon Cavanaugh, urt A sk, Fruncine ay, Gloria V' a, Indivi ua y of Houston, TX, their true nnd lawfu] Attomey(s)-in-Fact with fuIl pvwer and authority hereby conferred to sign, scal and execute for and on the9r behalf bonds, undertakings and ather obligatory instruments of eimilar nature - In UnIImited Amounts - and to bind them thereby as fully and to the sarrte extent as if such inshv'nents were stgned by a duiy authorized officer of their insurence companies end all the acts of said Attorney, pursnnnt to the authority heteby given is hereby ratified and confimted. 'I`his Power of Attomey is madc and cxecuted pursuant to and by authority of the By-Law snd Resolutions, printeci on the ceverse hereof, duly sdopteci, as indicated, by the Boards of Directors of the insurance companies. In Witness ereof, the CNA Cornpanies have caused these presents to be signed by thelr Vice President and their corporate seals to be hereto affixed on this lst day of August, 2016. ��,�r�,� Continental Casualty Company '��' '��'�, ��'�`� ry-��''�� National Fu°e Insurance Company of H ford ooRpoAare � :�� '��ar��,� � eric �� lfi,y Comp y c�i F{��►clir�;�, Pe sylv ia '� . � � � � �,� SEA� �;, �, � � rui�� ' ,� - . , , �t��a`t � �t��r�� . �.�.. � - ...., ...� _ _ � �.� ��aLzl T. �ruPl�t `4'i�� r��icle�it Stata of South Dakota, County af Minnehaha, ss: On this 1 st day of August, 2016, before me persanally c e Paul T. Bruflat to me known, who, baing by me duly swom, dld depose and say< that hc res{des in the Ciry of Sioux Faps, Stdte of Soixth Dakota; that he is a Vice President of Continental Casualty Company, an I11►nois insurance company, National Fire Insurance Company of Hartford, an Illinois insurance company, and American Casualty Company of Reading, Pennsylvania, a Pennsylvania insurance company described in and wh9clt �ecuted the above rnshument; that he knows the seals of sa►d insuranoa companies; that the seals affixed to the said instrument are such corporsre seals; that they were so affixed pursusnt to authority glven by the Boards of Directors of said insurance companies and that he 9igned his name thereto pursuant to 19ke authority, and acknowledges ssme to be the act and deed of 9uid insursnce companies, �� , J MOHR �,,�' p�'4115p'f"{14�LY7=�y .��.�.� .a13rvLi��+uGT+3�� 7.'�' 4 � � * ' ' . � �� / �� . �# F 4 . � � �.;. �.�1 : � :��.! I, D. Bult, Assistant 5ecretary of Continental Casualty Company, en Illrnois inaurance company, National Pire Insurance Company of Hartford, an Illinois insurance company, and American Casualty Company of Reading, Penneylvanla, a Pennsylvania insursnce company do hereby certify that the Power of Attorney herein above set forth is still in force, and further certify that the By-Law and Resolution of the Board of Dlrectors of the insurance compsnies printed on the reverse hereof is still in force. In testimony whereof I have h unto subscribed my name and affixed the se�l of tlee said at�sttr�rac� ca�ptatii�s �his 30t1i __.______ d�y csf I��cti 2017 ��n�t��.� � s��s��r�,� , ��,� �� G ORAiB E &'�� t26�i'��,� � • � �b .gEAI. � ��, � � � � i9 E �� '� �� i ��r �� r Form F'6853-4/2012 . . �: . : i. � � . � � � . _ �i I� R> : _,. . , . s DocuSign Envelope ID: FC8EFC37-79E7-4134-BDC4-OA1A29D460B9 r i�, � ;i::� '• � i ; �!' � ; :� • � �' � � �' � • • This Power of Attarney is made and executeci pursuant to snd by authority of the following reso(ution du{y adopted by the Board of Directors of the Compsny at a meeting held on May 12, 1995: "RESOLVED: That any Senior or Group Vice Presidant may authorize an officer to slgn specific documents, agreements and inehuments on behalf of the Cosnpany provided that the naine of such authorized officer and a description of the doaiments, agreements or inshu nts that such o�cer may sign will be provided in wr►ting by the Senior or Group Vice President to the Secretary of the Cornpany prior to such execution becoming effective:' 'This Power of Attomey is signed by Paul T`. Bruflat, Vice Pres►dent, who has been authorized pursuant to the above resolution to execute power of attomeys on behalf of Continentat Casualry Compsny. This E'��a�c�.€° c�f` Att��r�,��y fs *t�,wtsr�l G�Ard ;+�wal�:rl �y ��s�s,vi� �'�rci€�r .�ntl try the authority of the following Resolution adopted by thc Board of Dlrectors of the Com��r��b�� y ri�iaoisi��ar� writt��t d��t�c�� i�st� �h� ��gar c��y �!° �tg�rif„ �(� ��: °'Whereas; the bylaws of the Company or speciflc resolution af the Board of Directors has authorized various officers (the "Authorized Officers") to execute various policies, bonds, undertakings and other obligatory inshuments of like nature; and Whereas, feom time to time, the signature af the Authorized Officers, ln addition to being provided in original, hard copy foitnat, may be prov�ded via facsimile or atherwise in an electronic format (collectively, "Electron►c Signatures"); Now therefore be it resolved: tltat the Electronic Signature of sny Authorized Officer shall be valid and binding on the Compeny." ,�,�• �,�.•t�',!• •� �, �; �� •R This Power of Attorney is made and executed pursuant to and by autharity of the following resolution duly adopted by the Board of Directors of the Compsny by unanimous written cansent dated May ] 0, 1995: "RESOLVED: That any Senior ar Group Vice President may authodze an officer to sign speciPic documents, agreamants and instruments on behalf of the Company provided that khe name of such authorized oft"icer and a description of the doaiments, agreements or instru�nts that such officer rnay s'rgn will be provided in writing by the Seniar or Group Vice President to the Secretary of the Company prior to such execution becoming effectivee" Tliis Power of Attamey is signed by Psul T. Bruflat, Vica President, who has been authorized pursuant to the abova resolution to execute power of attomeys on behalf af National fire Insurance Company of Hartford. 'I°hira i'csta�r• �af` AitErat��.y is signcd and s�:riC�:c� by� 1'�c��m�l� �a3��i�r s�ttd t�� the authority of the following Resolulion adopted by the Bosrd of Directors of the Co��Mp�� lr�� rkaa��rb€�� written conse��t s�;��i�€ ih� 2�ws' s�s� sz�"�"��ri'ii, 2t��'�: "Whereas, the byla�vs of the Compauy or specific resolution of the Board of Directors has authorized various officers (the "Authorized Officers") to execute various policies, bands, undertakings and other obligatory lnstruments of like nature; and Whereas, fram time to time, tlie signature of the Authorized Office�, in add[tion to being provided in onginal, hard copy format, may ba provided vis facsi,riile or otherwise in an electranic format (collectively, "]Electronic Signatures"); Now therefore be rt resolved: that the Eleclronlc Signature of sny Authorized Officer slial! be vaiid and Uinding on the Q�rnpany." r�� r :�- � • •• �; • � r This Power of Attorney is made and executed pursuant to and by authority of the following resolution duly adopted by the Baard of Diractors of the Campany by unanimous written rnnsent dated May 10, 1995: `�ItE50LVED: Thst any Senior or Group Vice President may suthorize an officer to sign specific documents, agreements and instruments on behalf af the Company provided that the name of such suthorized officer and a descriptlon of the doaiments, agreements or instru nts that such officer may eign will be provided in writing by the Senior or Group Vice President to the Secretery of the Company prior to such exeaition becorrung effective." This Power of Attomey is signed by Paul T. Bruflat, Vlce President, who has been authorized pursuant to the above resolution to execute power of attomeys an behalf of Atnerican Casualty Company of Reading, Pennsylvania, Tiiis k'+�r��:a� s:s� ,"�Itc]��ray is siy��sxd ,a�atd x�;�s�a�1 by It��:s`sr��I� tiaa�cic� ��e�tl �y the authority of the fnllowing Resolution adopted by tha Bosrd of Directors of the Con,Fa�s�� k_g;� ��s��a�a��us writ�c°�� co�a�c r�� riusl,:�i @h� 1��, €ln�r uf'��3ri!„ �Ci1�: "Whereas, the bylaws of the Company or specifc resolution of the Board of Directois has authorized varioua officers (the "Authorized Officcrs") to execute various policies, bonds, undertakings and other obligatory instruments of lrke nature; and Whereas, fram time to time, the signature of the Authorized Officers, in addition to being provided in original, hard copy format, may be provided vis facslmile or otherwise in an electronic format (collectively, "Electronic 5ignatUres`�; Now therefore be it resolved: that the Electronlc Signature of any Autharized Officer shall be valid and binding on the Cbmpany." DocuSign Envelope ID: FC8EFC37-79E7-4134-BDC4-OA1A29D460B9 Figure: 28 TAC §1.601(a)(3) * r To obtain information or make a complaint: 2 You may contact C�ntinental Casualty Company, National Fire Insurance Company, American Casualty Company or Continental Insurance Company at 312-822-5000. 3 You may call Continental Casualty Company, National Fire Insurance Company, American Casualty Company or Continental Insurance Company's toll-free telephone number for information or to make a complaint at; 4 You may also write to Continental Casualty Company, National Fire Insurance Company, American Casualty Company or Continental Insurance Company at; CNA Surety 333 South Wabash ChiCago, IL 60604 5 You may contact the Texas Department of Insurance to obtain information on companies, coverages, rights or complaints at: ;�� 6 You may write the 7exas Depa�tment of Insurance: P,O. �ox 149104 Austin, TX 78714-9104 Fax: (512) 475-1771 Web: http://v�nnnrv.tdi,state,tx.us E-Mail; ConsumerProtectionQidi.state.tx.us 7 PREMIUM OR CLAIM DISPUTE3: Should you have a dispute concerning your premium or about a claim you should contact Continental Casualty Company, National Fire Insurance Company, American Casualty Company or Continental Insurance Company first. If the dispute is not resolved, you may contact the Texas Department of Insurance. 8 ATTACH THIS NOTIC� TO YQUR POLICY: This notice is for information anly and does not become a part or condition of the attached document. Form F8277 � • ...; . . .._ � . -- _. _ Puede comunicarse con Continental Casualty Company, National Fire Insurance Company, American Casualty Company or Continental Insurance Company al 312-822-5000. Usted puede Ilam�r al numero de telefono gratis de Continental Casualry Company, National Fire Insurance Company, American Casualty Company or Continental Insurance Company's para informacion o para someter una queja al: Usted tambien puede escribir a Continental Casualry Company, National Fire Insurance Company, American Casualiy Company or Continental Insurance Company: CNA Surety 333 3outh Wabash Chicago, IL 6d604 " -.- . . _ �-�, - • .- _. .-, �, - .. .. - . . - .- . ._ .�- .� ,- . , _ - Puede escribir af pepartamento de Seguros de Texas: P.O.Box149104 Austin, TX 78714-9104 Fax: (512) 475-1771 Web: http://www.tdi.state.tx.us E-Mail: ConsumerProtectian�tdi.state.tx.us DISPUTAS SOBRE PRIMAS 0 R�CLAM03: Si tiene una disputa concerniente a su prima o a un reclamo, debe comunicarse can el Continental Casualty Company, National Fire Insurance Company, American Casualty Company or Continental Insurance Company primero. Si no se resuelve la disputa, puede entonces comunicarss con el departamento (7DI), � • - .- .. ., � . ... .._ . . . , . . . :. .. .. . . . .. .. - . :. � DocuSign Envelope ID: FC8EFC37-79E7-4134-BDC4-OA1A29D460B9 • • i , � ;, �,�r � � � . � . .. . • . . . .. - Thia queatlonnalre reflects changea made to the law by H.B. 23, 84th Leg., Regular Sesslon. • � `� p, . �' �� • This questionnaire is being filed in accordance with Chapter 1 i6, Local Government Code, � Date Recefved by a vendorwho has a business relationship as defined by Section 176.001(1-a) with a local governmental entity and the vendor meets requirements under Sectian 176.006(a). By law this questionnaire must be filed with the records administrator of the local governmental entity not later than the 7th business day after the date the vendor becames aware of facts that require the statement to be filed. See Section 176.006(a-1), Local Government Code. A vendor commits an offense if the vendor knowingly violates Section 176.006, Local Governrnent Code. An offense under this section is a misdemeanor. Name of vendor who has a buslness relatlonshlp wlth local governmental entity. are 4diin� an u�a�� to a�rew��ly flled qu��i�r�nalre. (The law requires that you file an updated completed questionnaire with the appropriate filing authority not later than the 7th business day after the date on which you became aware that the originally filed questionnaire was in��mpl�t� or inaccurate.� Name of local government officer about whom the Informatlon In thls sectlon Is being dlsclosed. C � Nast� �.w . of Officer This section (item 3 including subparts A, B, C, & D) must be completed for each officer with whom the vendor has an employment or other business relationship as defined by Section 176.001(1-a), Local Government Code. Attach additional pages to this Form CIQ as necessary. A. Is the local government officer named in this section receiving or likely to receive taxable income, other than investment income, from the vendor? �� Yes No B. Is the vendor receiving or likely to receive taxable income, other than investment income, from or at the direction of the Iocal gavernment officer named in this section AND the 4axable income is not received from the local governmental entity? � Yes No C, Is the filer of this questionnaire employed by a corporation or other business entity with respect to which the local gavernment officer serves as an officer or director, or holds an ownership interest of one percent or more? . Yes No D. Describe each employment or business and family relationship with the local government officer named in this section. m Signature of vendor doing buslness with the governmental entity �� : Da4e Adopted 8/7/2015 Certificate Of Completion Envelope Id: FC8EFC3779E74134BDC40A1A29D460B9 Subject: City Council Docusign Item - 6375 Source Envelope: Document Pages: 25 Signatures: 4 Supplemental Document Pages: 0 Initials: 0 Certificate Pages: 6 AutoNav: Enabled Payments: 0 Envelopeld Stamping: Enabled Time Zone: (UTC-06:00) Central Time (US & Canada) Record Tracking Status: Original 4/7/201 7 1 1:37:13 AM Signer Events Karen E. Smith karen.smith@cityofdenton.com Assistant Purchasing Manager City of Denton Security Level: Email, Account Authentication (Optional) Electronic Record and Signature Disclosure: Not Offered via DocuSign ID: Lewis Dickerson dcc.jld@sbcglobal.net PRESIDENT Security Level: Email, Account Authentication (Optional) Electronic Record and Signature Disclosure: Accepted: 4/7/2017 11:54:16 AM ID:1eb1ff91-47c9-4269-b9ae-de930708165e John Knight john.knight@cityofdenton.com Deputy City Attorney City of Denton Security Level: Email, Account Authentication (Optional) Electronic Record and Signature Disclosure: Not Offered via DocuSign ID: Julia Winkley julia.winkley@cityofdenton.com Contracts Administration Supervisor City of Denton Security Level: Email, Account Authentication (Optional) Electronic Record and Signature Disclosure: Not Offered via DocuSign ID: Holder: Karen E. Smith karen.smith@cityofdenton.com Signature I � Using IPAddress: 129.120.6.150 oo��s�yoea ny: � /r�,'s D ��k��o.. �-- 0424 F 42 D D B C F457... Using IPAddress: 172.0.161.150 �oo��s�yoea ny: a�. ��- C821996C2A2B439... Using IPAddress: 129.120.6.150 • + - -�; Using IPAddress: 129.120.6.150 Status: Completed Envelope Originator: Karen E. Smith karen.smith@cityofdenton.com IP Address: 129.120.6.150 Location: DocuSign Timestamp Sent: 4/7/2017 11:48:41 AM Viewed: 4/7/2017 11:48:53 AM Signed: 4/7/2017 11:49:41 AM Sent: 4/7/2017 11:49:43 AM Viewed: 4/7/2017 11:54:16 AM Signed: 4/7/2017 1:53:38 PM Sent:4/7/2017 1:53:41 PM Viewed: 4/7/2017 2:01:25 PM Signed: 4/7/2017 2:01:32 PM Sent: 4/7/2017 2:01:36 PM Viewed: 4/7/2017 2:55:06 PM Signed: 4/19/2017 9:42:22 AM � , � ��a Signer Events Todd Hileman todd.hileman@cityofdenton.com City Manager City of Denton Security Level: Email, Account Authentication (Optional) Electronic Record and Signature Disclosure: Accepted: 2/8/2017 6:52:51 PM ID:8154723a-9757-4d53-a4b5-794656233671 Jennifer Walters jennifer.walters@cityofdenton.com City Secretary City of Denton Security Level: Email, Account Authentication (Optional) Electronic Record and Signature Disclosure: Not Offered via DocuSign ID: In Person Signer Events Editor Delivery Events Agent Delivery Events Intermediary Delivery Events Certified Delivery Events Carbon Copy Events Julia Winkley julia.winkley@cityofdenton.com Contracts Administration Supervisor City of Denton Security Level: Email, Account Authentication (Optional) Electronic Record and Signature Disclosure: Not Offered via DocuSign ID: Sherri Thurman sherri.thurman@cityofdenton.com Security Level: Email, Account Authentication (Optional) Electronic Record and Signature Disclosure: Not Offered via DocuSign ID: Jane Richardson jane.richardson@cityofdenton.com Assistant City Secretary City of Denton Security Level: Email, Account Authentication (Optional) Electronic Record and Signature Disclosure: Not Offered via DocuSign ID: Signature �000�s�yoea by: ��,�, C�I�G�U, B776C711BAOD454... Using IPAddress:47.190.47.120 Signed using mobile CDocuSignetl by: Un.�n.lFt,lr �A�.tt,Y'S CSBFAFC1821946D... Using IPAddress: 129.120.6.150 Signature Status Status Status Status Status � � �: Timestamp Sent: 4/19/2017 9:42:26 AM Viewed: 4/19/2017 9:51:35 AM Signed: 4/19/2017 9:52:01 AM Sent: 4/19/2017 9:52:04 AM Viewed: 4/19/2017 10:21:48 AM Signed: 4/19/2017 10:22:09 AM Timestamp Timestamp Timestamp Timestamp Timestamp Timestamp Sent: 4/7/2017 1:53:40 PM Sent: 4/7/2017 1:53:40 PM Viewed: 4/10/2017 9:05:57 AM Sent: 4/19/2017 9:42:25 AM Viewed: 5/1/2017 9:46:10 AM Carbon Copy Events Robin Fox Robin.fox@cityofdenton.com Security Level: Email, Account Authentication (Optional) Electronic Record and Signature Disclosure: Accepted: 10/9/2015 1:39:51 PM ID:04463961-03db-4c4d-9228-d660d6146ed6 Jennifer Bridges jennifer. bridges@cityofdenton.com Procurement Assistant City of Denton Security Level: Email, Account Authentication (Optional) Electronic Record and Signature Disclosure: Not Offered via DocuSign ID: Jane Richardson jane.richardson@cityofdenton.com Assistant City Secretary City of Denton Security Level: Email, Account Authentication (Optional) Electronic Record and Signature Disclosure: Not Offered via DocuSign ID: Jim Wilder james.wilder@cityofdenton.com Security Level: Email, Account Authentication (Optional) Electronic Record and Signature Disclosure: Not Offered via DocuSign ID: Notary Events Envelope Summary Events Envelope Sent Certified Delivered Signing Complete Completed Status � � �" � � �' Status Hashed/Encrypted Security Checked Security Checked Security Checked Timestamp Sent: 4/19/2017 9:42:25 AM 6 -Ya'iii[li�7f��iyil[�lf��afif��1�U Sent: 4/19/2017 10:22:14 AM Sent: 4/19/2017 10:22:16 AM Viewed: 4/24/2017 8:39:56 AM Timestamp Timestamps 4/19/2017 10:22:16 AM 4/19/2017 10:22:16 AM 4/19/2017 10:22:16 AM 4/19/2017 10:22:16 AM Payment Events Status Timestamps Electronic Record and Signature Disclosure Electronic Record and Signature Disclosure created on: 4/20/2015 9:25:38 AM Parties agreed to: Lewis Dickerson, Todd Hileman, Robin Fox ELECTRONIC RECORD AND SIGNATURE DISCLOSURE From time to time, City of Denton (we, us or Company) may be required by law to provide to you certain written notices or disclosures. 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Acknowledging your access and consent to receive materials electronically To confirm to us that you can access this information electronically, which will be similar to other electronic notices and disclosures that we will provide to you, please verify that you were able to read this electronic disclosure and that you also were able to print on paper or electronically save this page for your future reference and access or that you were able to e-mail this disclosure and consent to an address where you will be able to print on paper or save it for your future reference and access. Further, if you consent to receiving notices and disclosures exclusively in electronic format on the terms and conditions described above, please let us know by clicking the 'I agree' button below. By checking the 'I Agree' box, I confirm that: • I can access and read this Electronic CONSENT TO ELECTRONIC RECEIl'T OF ELECTRONIC RECORD AND SIGNATURE DISCLOSURES document; and • I can print on paper the disclosure or save or send the disclosure to a place where I can print it, for future reference and access; and • Until or unless I notify City of Denton as described above, I consent to receive from exclusively through electronic means all notices, disclosures, authorizations, acknowledgements, and other documents that are required to be provided or made available to me by City of Denton during the course of my relationship with you. i� � r� � :� r STATE OF TEXAS § BOND NO. 929628872 COUNTY OF DENTON § KNOW ALL MEN BY THESE PRESENTS: That ��9��_m��"��G��.��;[5�� ., ,p��r, whose address is 1��(� ��1 �m ��?��.�� '��r�� °1�� '�i�iJ��, hereinafter called Principal, and ��m��cra��;l �"��;��1�� :�'��a��, a corporation organized and existing under the laws of the State of Texas, and fully authorized to transact business in the State of Texas, as Surety, are held and firmly bound unto the City of Denton, a municipal corporation organized and existing under the laws of the State of Texas, hereinafter called Owner, in the penal sum of one millimon� thirty ei�ht �.�.�..�.w_.�� " �� . ��"�` �.� �m...��,.. .m.�,,�m_�_� �w" �?�t�(��), in lawful money of ��ca�.��e� ��., ��c�� .� a}�ri -,a��;�� c��r�� r�� c� CENT5 1 C�� 1� the United 5tates, to be paid in Denton County, Texas, for the payment of which sum well and truly to be made, we hereby bind ourselves, our heirs, executors, administrators, successors, and assigns, jointly and severally, firmly by these presents. This Bond shall automatically be increased by the amount of any Change Order or 5upplemental Agreement, which increases the Contract price, but in no event shall a Change Order or Supplemental'Agreement, which reduces the Contract price, decrease the penal sum of this Bond. THE OBLIGATION TO PAY SAME is conditioned as follows: Whereas, the Principal entered into a certain Contract, identified by �l,F� �� "��9?�, with the City of Denton, the Owner, S Pecan Creek Interce�tor IVUU. dated April 18, 2017, for IFB # 637mm NOW, THEREFORE, if the Principal shall well, truly and faithfully perform and fulfill all of the undertakings, covenants, terms, conditions and agreements of said Contract in accordance with the Plans, Specifications and Contract Documents during the original term thereof and any extension thereof which may be granted by the Owner, with or without notice to the Surety, and during the life of any guaranty or warranty required under this Contract, and shall also well and truly perform and fulfill all the undertakings, covenants, terms, conditions and agreements of any and all duly authorized modifications of said Contract that may hereafter be made, notice of which modifications to the Surety being hereby waived; and, if the Principal shall repair and/or replace all defects due to faulty materials and warkmanship that appear within a period of two (2) years from the date of final completion and final acceptance of the Work by the Owner; and, if the Principal shall fully indemnify and save harmless the Owner from all costs and damages which Owner may suffer by reason of failure to so perform herein and shall fully reimburse and repay Owner all outlay and expense which the Owner may incur in making good any default or deficiency, then this obligation shall be void; otherwise, it shall remain in full force and effect. Contract 6375 PROVIDED FURTHER, that if any legal action be filed upon this Bond, exclusive venue shall lie in Denton County, State of Texas. AND PROVIDED FURTHER, that the said Surety, for value received, hereby stipulates and agrees that no change, extension of time, alteration or addition to the terms of the Contract, or to the Work to be performed thereunder, or to the Plans, Specifications, Drawings, etc., accompanying the same, shall in anywise affect its obligation on this Bond, and it does hereby waive notice of any such change, extension of time, alteration or addition to the terms of the Contract, or to the Work to be performed thereunder, or to the Plans, Specifications, Drawings, etc. This Bond is given pursuant to the provisions of Chapter 2253 of the Texas Government Code, as amended, and any other applicable statutes of the State of Texas. The undersigned and designated agent is hereby designated by the Surety herein as the Resident Agent in Denton County to whom any requisite notices may be delivered and on whom service of process may be had in matters arising out of such suretyship, as provided by Article 7.19-1 of the Insurance Code, Vernon's Annotated Civil Statutes of the State of Texas. IN WITNESS WHEREOF, this instrument is executed in three copies, each one of which shall be deemed an original, this the 18th day of April, 2017. ATTEST: �"�- ��..��...�,....� BY: � SECRETARY ATTEST: ,� �� BY; .W � Gloria Villa, Witness PRINCIPAL I�i�1M.�3��c��a �'c��wm�t�w�.G�ta. ��a__�"ca��r�s��, �ru�;,, BY: PRESIDLa�I'�S��I` SURETY The Resident Agent of the Surety in Harris County, Texas for delivery of notice and service of the process is: NAME: i��z� Bartull�, ContinentalIT�'a��1�� '-c�r��IT��r STREET ADDRESS, 5151 S�n F�li�ae, S�.�ite 1�QQ, Hca�ast�an, Tex�s,,,,,,77(�5� (NOTE: Date of Performance Bond must be date of Contract. If Resi�lenl Agent is not a corporation, give a person's name.) Contract 6375 STATE OF TEXAS COUNTY OF DENTON BOND NO. 929628872 KNOW ALL MEN BY THESE PRESENTS: That Dic��m�� '��r��;ta•�.a�� +C ��w��, whose address is 1 6�� . %��z�r��ti�rt��rv +��1��, TX 75009, hereinafter called Principal, and � ._.m.....w.�_ �„`a��N��rrt��l �"ti��s��1� �".�.rrr7 ��, a corporation organized and existing under the laws of the State of Texas, and fully authorized to transact business in the State of Texas, as Surety, are held and firmly bound unto the City of Denton, a municipal corporation organized and existing under the laws of the State of Texas, hereinafter called Owner, and unto all persons, iirms, and corporations who may furnish materials for, or perform labor upon, the building or im rovements hereinafter referred to in the enal sum o�� ►�� r �.l�a%�m°t� �;i��l�� i��cr��r�� p , p llr . ��i��r�� a�'t ��i ��-��v�°n a:��rll��:� ��r7�1 ��:a�CENTS ��1�038�,187.00`�, in lawful money of the United States, to be paid in Denton, County, Texas, for the payment of which sum well and truly to be made, we hereby bind ourselves, our heirs, executors, administrators, successors, and assigns, jointly and severally, firmly by these presents. This Bond shall autornatically be increased by the amount of any Change Order or Supplemental Agreement which increases the Contract price, but in no event shall a Change Order or Supplemental Agreement which reduces the Contract price decrease the penal sum of this Bond. THE OBLIGATION TO PAY SAME is conditioned as follows: Whereas, the Principal entered into a certain Contract, identified by Il'�3 �� (a �:7�, with the City of Denton, the Owner, dated ��LL,� �� ll��_l i, for IFB # 6375 Pecan �� c;�� Interce�tor IV, NOW, THEREFORE, if the Principal shall well, truly and faithfully perform its duties and make prompt payment to all persons, firms, subcontractors, corporations and claimants supplying labor and/or material in the prosecution of the Work provided for in said Contract and any and all duly authorized modifications of said Contract that may hereafter be made, notice of which modifications to the Surety being hereby expressly waived, then this obligation shall be void; otherwise it shall remain in full force and effect. PROVIDED FURTHER, that if any legal action be filed on this Bond, exclusive venue shall lie in Denton County, Texas. AND PROVIDED FURTHER, that the said Surety, for value received, hereby stipulates and agrees that no change, extension of time, alteration or addition to the terms of the Contract, or to the Work to be performed thereunder, or to the Plans, Speciiications, Drawings, etc., accompanying the same, shall in anywise affect its obligation on this Bond, and it does hereby waive notice of any such change, extension of time, alteration or addition to the terms of the Contract, or to the Work to be performed thereunder, or to the Plans, Specifications, Drawings, etc. Contract 6375 This Bond is given pursuant to the provisions of Chapter 2253 of the Texas Government Code, as amended, and any other applicable statutes of the State of Texas. The undersigned and designated agent is hereby designated by the Surety herein as the Resident Agent in Denton County to whom any requisite notices may be delivered and on whom service of process may be had in matters arising out of such surety, as provided by Article 7.19-1 of the Insurance Code, Vernon's Annotated Civil Statutes of the State of Texas. IN WITNESS WHEREOF, this instrument is executed in three copies, each one of which shall be deemed an original, this the 18t" day of April, 2017. ATTEST: BY: �m_� `� M ;C'.��:� �� .�..,�� ATTEST: � � BY: Gloria Villa, Witness PRINCIPAL l�ui��.��°�a�� "�a��[r��:�t��a'�� C�� a�zr�� a��. BY: µ �._ PRESIDENT SURETY The Resident Agent of the Surety in Harris County, Texas for delivery of notice and service of the process is: NAME: Ron Bartulla,mmContinental Casualt Com an STREET ADDRESS: 51 � 1 ��ta� ��li��+�, ��%�� t=��,� � �I��t�a�� `�"��4�� 7"��.�� (NOTE.• Date of Payment Bond must be date of Contract. If Resident Agent is not a corporation, give a person's name.) Contract 6375 X � y; 7 � Sue Kohler, David R Groppell, Beverly A Ireland, Sharen Groppell, Roxanne G Brune, Sharon Cavanaugh, Kurt A Risk, Francine Hay, Gloria Villa, Indivldually � ,, � : � � � � � 4 k� t orizi y- s a es 1 ti s �w�� r: .��► r � �� , �,�, � h � • � �- - � � w r . � ►� �, � � �� 4 � �� s - , r �� w � �r � � « - : � r + r + � i . y s "[�ESOLVED: That any Senior or Group Vice President may authorize an officer to sign specific documents, a�reements and ins ments on behalf of the Company pravided that the narne of such authorized officer and a description of the doaiments, agreements or instrurr�nts that such officer may sign will be provided in writing by the 5enior or Group Vice President to the Secret of the Company prior to such execution becomfng effactive." �*... . � . �� . � . F,, � C ,Y . s .. 1' I A F' . .:�.� `4 f ' . 1� ': . �y ,., . 4 �.1 1 ...., . E+,,,... ♦ f" y �. f � 1 e'.�� This p��:w��u�r ��" J'4��rpwm�� is aigned end ��a�� by �'��a��mile ¢�vn��c^r �and by the authoriry of tha following Resolution adopted by the Board of Directors of the Com��a�� Y ��arw��iA��wa�t� wrilten oonse�� a�W��N th� "��w�� day a�� pzu'��, 2012: "Whereas, the bylaws of the Company or specifie resolution of the Board of Direetors has authorized various officers (the "Authorized Officers"} to execute various policies, bonds, undertakings and other obligatory instruments of like natura; and Whereas, from time to time, the signature of the Authorized Officers, in additlon to being provided in origlnal, hard copy format, may ba provided via facsimile or atherwise in an electronic fortnat (collectiveiy, "Electronic Signatures"}; Now therefore be it resolved; that the Electronic Signature of any Authorized Officer shall be valid and binding on the Company." � 1 A1 ,,.,,f � fi ... . 4 y. � � * ,,., I � . I � � , F ! * ..� f .. This Power of Aktomey is made and executed pursuant to and by authority of the follow�ng resolukion duly adopted by the Boazd of° Directors of the Company by unanigr�ous written consent ciated May 10, 1995: SOLVED: That any Senior or Group Vice Pres'sdent may authorize an officer ta sign specific documents, agreements and rnstrurnents an behalf of the Company provtded that the name oPsuch authorized officer and a description of the doaaments, agreements ar instrutr�uts that such officer may sign will be provided in wrlting by the 5enior or Group Vice President to the 5ecretary of the Company prior to such execution becoaung effective" This Power of Attorney is s►gned by Pauf T. Bruflat, Vice President, who has been authorized pursuant to the above resolution to execute power of attomeys on behalf of Nationa! fire Insurance Company of Hartford. This �'�w��r �,�N�" ��qN�r��b��r is signe�i �u��S �r��elu:ul by �"q�«„�'�mile une�� a� a�nd by the authority of the Following Resolution adopted by the Board of Directors of the Com�� r„� ��,+� �aew �p�rn�r��a„� written tx�sq��a��a ��a�� th� �.�°�" day oP��a�°uQ, 2012: , s F . . + r, � �. � � + - .s ti � i . � . , t , �� , , � ^� 4 ., y ♦ ♦ r� u� b� � � �� t � , �� i� Whereas, from time to time, the signature of the Authorized Officers, in addition to being pravided in original, hard copy format, may be provided via facsimile or othenvise in an electronic fonnat (collectively, `Blectronic Signatures"}; Now thereforebe it resolved: that the Electronic Signalure oFany Authorized Ofticer shall be valid and binding an the C`,ompany." :r �I f. .�,. r �. � � + ,� �4'�.'.. 4 `.�6 �A' 4�.' '�1 f f�.. i .', � �� ' f 11�. / �I��Fk' 4 ` sM �X. f � ..'M 1 .If. i��, 4�.�. 4 '4 � , '" 1 � M 1 � {:^ y ,,. * .,.. 4 i..f' +;� ' �y .. . � �, ... y-i�.. 1.,.. ' � ��.A. I ►.'.. 1. ��. . .. � � .e 4 "�� 4 ! � /' � ♦ � �� if '1k ' �:+ -' ' : y� " ,�.� 4�' " .,� I•.,.:f w 1 �... i �! .�1 f •.. f 1 ' .. f #... 1. i�',1 1, .,f ♦. 4.,: This Power of Attorney is signed by Paul T. Bruflat, Vice President, who has been authorized pursuant fo khe above resolution to execute power of attorneys on behalf of American Casualty Company of Reading, Pennsylvania. This k""rvaw�w m;7�" ��ro��'a�� is sigrted and ��y�l+:�� by F'��ami(e r�Mt�tu�� rtd by the autliarity of the following Resalution adopted by the Board of Dircctors of the Comgs ahu� �;y �da��r�ce�uaa� written consea�p� �1a��a�� thu�r ��`� day �V a�p�w°�fl, 2012: "Whereas, the bylaws of the Company or specific resolution of the Board of Directo� has authorized various officers (the "Authorized Officers"} to execute various policies, bands, undertakings ar'd other obligatory ins ments of like nature; and Whereas, from time to time, the signature of the Authorized Officers, in addition to heing provided in original, hard copy format, may be provided via facsimile or otherwise in an eVectronic format (collectively, "Electronic Signatures"}; Now therefore be it resolved: that the Electronlc Signature of any Authorized Officer shall be valid and binding on the Cbmpany," Figure: 28 TAC §1.6Q1(a)(3) 1 IMPORTANT NOTICE To obtain information or make a complaint: 2 You may contact Cantinental Casualty Company, National Fire Insurance Company, American Casualty Company or Continental Insurance Company at 312-822-5000. 3 You may call Continental Casualty Company, National Fire Insurance Company, American Casuaity Company or Continental Insurance Company's talf-free telephone number for information or to make a complaint at; 1-877-672-6115 4 You may also write to Continental Casualty Company, National Fire Insurance Company, American Casualty Company or Continental Insurance Company at; CNA Surety 333 South Wabash ChiCago, IL 606Q4 5 You may contact the 7exas Department of Insurance to obtain information on companies, coverages, rights or complaints at: 1-800-252-3439 6 You may write the Texas Department of Insurance; P,O. Box 149104 Austin, TX 78714-91Q4 Fax: (512) 475-1771 Web: http://www.tdi.state.Uc.us E-Mail: ConsumerProtection@tdi.state.tx.us 7 PREMIUM OR CLAIM DISPUTES: Should you have a dispute concerning your premium or about a claim you should contact Continental Casualty Company, National Fire Insurance Company, American Casualty Company or Continental Insurance Company first. If the dispute is not resolved, you may contact the Texas Qepartment of Insurance. S ATTACH THI$ NOTICE TO YQUR POLICY: This notice is for information only and does not become a part or condition of the attached document. Form F8277 AVISO IMPORTANTE Para obtener info�mac#on o para someter una queja: Puede comunicarse con Continental Casualty Company, National Fire Insurance Company, American Casualty Company or Continental Insurance Company al 312-822-5000. Usted puede Ilamar al numero de telefono gratis de Continental Casualty Company, National Fire Insurance Company, American Casualty Company or Continental Insurance Company's para informacion o para someter una queja al: 1-877-672-8115 Usted tambien puede escribir a Continental Casualty Company, National Fire Insurance Company, American Casualty Company or Continental Insurance Company: CNA Surety 333 South Wabash Chicago, IL 6d604 Puede comunicarse con el Departamento de Seguras de Texas para obtener informacion acerca de companias, coberturas, derechos o quejas al: 1-800-252-3439 Puede escribir al Departamento de Seguros de Texas: P.O. Box 149104 Austin, TX 78714-9104 Fax: (512) 475-1771 Web: http://www.tdi.state,tx.us E-Mail: ConsumerProtection�tdi.state.tx.us DISPUTAS SOBRE PRIMAS 0 RECLAMOS: Si tiene una disputa concerniente a su prima o a un reclamo, debe comunicarse con el Continental Casualty Company, National Fire Insurance Company, American Casualty Company or Continental Insurance Company primero. Si no se resuelve la disputa, puede entonces comunicarse con e! departamento (TDI), UNA ESTE AVISO A SU POLIZA: Este aviso es solo para proposito de informacion y no se convierte en parte o condicion del documento adju nto. _._ R��' DATE (MMIDD/YYYY) CERTIFICATE OF LIABILITY INSURANCE ,�,� �"�. 4/ii/zoi� .�._.�......_�. � �..�.,��,.�..._.�..��....._.� �w __ THIS CERTIFICATE IS ISSUED AS A MATTER OF INFORMATION ONLY AND CONFERS NO RIGHTS UPON THE CERTIFICATE HOLDER. THIS CERTIFICATE DOES NOT AFFIRMATIVELY OR NEGATIVELY AMEND, EXTEND OR ALTER THE COVERAGE AFFORDED BY THE POLICIES BELOW. THIS CERTIFICATE OF INSURANCE DOES NOT CONSTITUTE A CONTRACT BETWEEN THE ISSUING INSURER(S), AUTHORIZED REPRESENTATIVE OR PRODUCER, AND THE CERTIFICATE HOLDER. ._��. _ � IMPORTANT: If the certificate holder is an ADDITIONAL INSURED, the poticy(ies) must be endorsed. If SUBROGATION IS WAIVED, subject to the terms and conditions of the policy, certain policies may require an endorsement. A statement on this certificate does not confer rights to the certificate holder in lieu of such endorsement(s). .�e�, � .�. _ ......._ PRODUCER � �� JEi1ri.1�eY' Ed61�Z'd5 hNFh�44f_ _ . „ . _... , ..... ��i� �I�.,�,�Fl��,,,..� _ .—... .,,.. ( 9 �� AX 021 A� S�N"��-':!'w.S.� 7 - ....... �„A,,,IC No��. ,,. Keystone Southwest Insurance Agency (972)771-3861 �z)��z-i P O Box 1747 edwards@kswins.com Rockwall TX 75087 .... _ ...... __ ............... . INSURED Dickerson Construction Co., Inc. 1130 N Louisiana Dr Celina TX 75009 . COVERAGES CERTIFICATE NUMBER:17-18 INSURER�S) AFFORDING COVERAGE NAIC # ....... m nroe Guarantyq,2nsurance Com�an� �nasua�� n Ma __. Insurance Com�any,_ _ __ INSURE.R B FCCI�........,,,,., ... ................. . _..............— ............. ............ ______ ance Gron.�........ .... INSUReR C FCC2... Insur. _,..---- ., . ._ .-- .,.. InlsuR�R p�ianover Insuranee Company p INSURER E : INSLIRER F ; � REVISION NUMBER: ...� _ _��..��.. � _....._.. THIS IS TO CERTIFY THAT THE POLICIES OF INSURANCE LISTED BELOW HAVE BEEN ISSUED TO THE INSURED NAMED ABOVE FOR THE POLICY PERIOD INDICATED. NOTWITHSTANDING ANY REQUIREMENT, TERM OR CONDITION OF ANY CONTRACT OR OTHER DOCUMENT WITH RESPECT TO WHICH THIS CERTIFICATE MAY BE ISSUED OR MAY PERTAIN, THE INSURANCE AFFORDED BY THE POLICIES DESCRIBED HEREIN IS SUBJECT TO ALL THE TERMS, EXCLUSIONS AND CONDITIONS OF SUCH POLICIES. LIMITS SHOWN MAY HAVE BEEN REDUCED BY PAID CLAIMS. �.,._, ....... .,,..,,, Inl5I2 -.___.. _ � _ _._. _._.di�iCYL �i��t�. ---- --��- ---- VOLYGY�EFF �l�GJq,t�b° IEXk� �� I TYPE OF INSURANCE � PpLICY NUMBER .MMIDD/YYYY� Nt�k6�S�B�F'd1'Y'Y LIMITS ..,.�._ ........�..�.�. _..... }( COMMERCIAL GENERAL LIABILITY ' EACH dCCURRENCE $ 1, 000 , 000 . . �NMAf�� "I�U �iEY�1 �� , , .. .. .......... ....... 100 000 A � � CLAIMS-MA6E � X� OCCUR PREMISES„�Ea occurren� � _ . CPP0022308 4/11/2017 4/11/2018 MED EXP (MY one personi � 10 000 _ _ �_ . PERSONAL&ADVINJURY $ 1,000,000 _ ,_. .._ m . . .__._ ._ _ ..... GEN'L AGGREGATE LIMIT APPLIES PER: GENERAL AGGfdEGATE '� °Z r 000 , OOQ - � --..__ _ POLICY X WA�� LOC PRODUCTS - COMPtdP AGG $ 2, 000 , OOd . I._.� J8_C,F" ❑ „�,,.... ,. ........ .. .— ............. ----- . ... .. � E.rnployrrisnt Prart�r.,es I_iaF� Ins � 100 , 000 r l'7"Yi1l�2Y'�i' AUTOMO.. �....��. ��W� C11itI��CC��Clt��VP�0. t i 4_Ihu�1 r... _..._ -- ,�,. 000 000�_ � BILE LIABILITY mm� $ 1, , � X� ANY AU70 i BODILY INJURY (Per person) $ g. ,, .m. _.__.._.. _ � ,, „ , , . � IALLbWNED SCHEDULED Cp, 100d12667 4/11/2017 4/11/2018 BODILYINJURY(Peraccident) �� AUTd5 _.__ AUTdS � ' tdON-OWNED d'"8{t�iYl N qN Ga�Ml�A1 ��"'mm $ � 1,_�� f HIREp AUTOS AUTOS I U insured�m�� ------ I otonst combined r ��..__ _ ...... .....��.�.. _._ � � .__.. �__ ..� o a a , o o a X UMBRELLALIAB X OCCUR EACH OCCURRENCE �6 1 pQp,Qpq __ r. � B ( DEDES XIA�� %f�� CLAIMS�-MA�D�E � �0023310� A/11/2017 4/11/2018 �� „�� „ �� 1 OOQ 000 �i .... .�._�..�X,,,, , ... . .. - ,,,,...,, ,,.i r . WORKERS COMPENSATION � F�Ei� � U'I H I....... � AND EMPLOVERS' LIABILITY Y/ N , S,TATUTF,,, __ER ., ANY PROPRIETORIPARTNER/EXECUTIVE E L EACH ACCIDENT I$ 1� QQQ � OOp � QFFICER/MEMBER E}(CLUDED? � N / A �� -- ---- ��-- � -� C (Mandatory in NH} WCOOdd4037 10/3(2016 10{3/2017 E L DISEASE EA fNk� t fD4d I� $ 1 f 000 f 000 � If yes, describe under u ..._ _. _ _ . ,�YE.SCRIPTIQN OF OPERATIONS below F_�.I_, C)ISE.ASF - PCYL6C;Y LIMI"f' y' $ 1 000 000 , .,,,_....._� ... . . ..... :. . �.�.�. _ .......�.�.._ . W�.�.� _.�.... � - .: : . .. L7 I Cantractor' s E ipment IHDA847864-01 4/11/2017 4/11/2018 Leased/Rented Equipment $25 , 000 , �L, �______� _ _ ��.. _.... �.. �.� __.... � DESCRIPTION OF OPERATIONS / LOCATIONS / VEHICLES (ACORD 101, Additional Remarks Schedule, may be attached if more space is required) I RE: Pecan Creek. The General Liability and Business Auto policies include blanket additional insured endorsements that provide additional insured status to any person or organization when there is a written contract that requires such status. The General Liability, Business Auto, and Workers Compensation policies include blanket waivers of subrogation that provide a waiver of subrogation to any person or organization when there is a written contract that requires such status. CERTIFICA'T� �-I City of Denton 901B Texas Street Denton, TX 76209 ACORD 25 (2014l01) INSn25 r�naan,ti CANCELLATION SHOULD ANY OF THE ABOVE DESCRIBED POLICIES BE CANCELLED BEFORE THE EXPIRATION DATE THEREOF, NOTICE WILL BE DELIVERED IN ACCORDANCE WITH THE POLICY PROVISIONS. AUTHORIZED REPRESENTATIVE kt I1.1_.I.Cvzl & .F�.7:;ey�/JEC�INF d''`T� � � � �O 1988-2014 ACORD CORPORATION. All rights reserved. The ACORD name and logo are registered marks of ACORD