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Contract - Patin Construction, LLC - 11/21/2024 CITY OF ROUND ROCK TRANSPORTATION ;ROUND ROCK TEXAS Project Manual For: McNeil Rd. Extension Railroad Culverts August 2024 Prepared By: AtkinsRealis pp APPROVED BY ;r�`p � F�'�• /; CITY ATTORNEY T TR NEY ;a1NGEE INS I51BEL GSTRO% 97284 101VAL -Z, 3D 7 TBPE Firm Registration No F-474 BID BOND THE STATE OF TEXAS § § KNOW ALL BY THESE PRESENTS: COUNTY OF WILLIAMSON § That Patin Construction,LLC of the City of Taylor County of Williamson State of Texas as Principal, and Naar,National Insurance Companyauthorized under the laws of the State of Texas to act as surety on bonds for principals,are held and firmly bound unto the CITY OF ROUND ROCK,TEXAS("Owner"), in the penal sum of Five Percent(5%)of the total amount of the Bid of the Principal submitted to the Owner, for the Work described below; for the payment whereof, well and truly to be made,and the said Principal and Surety do herby bind themselves and their heirs, administrators, executors, successors and assigns, jointly and severally,as follows: In no case shall the liability of the Surety hereunder exceed the sum of( Five-Percent of Greatest Amount Bid Dollars($ 5%GAB ). THE CONDITIONS OF THIS OBLIGATION ARE SUCH that,whereas,the Principal has submitted the above-referenced Bid to the Owner, for construction of the Work under the "Specifications for Construction of McNeil Rd Extension Railroad Culverts for which Bids are to be opened at the office of Owner on the _9th day of October, . 2024 NOW,THEREFORE,if the Principal is awarded the Contract,and within the time and manner required under the"Instructions to Bidders,"after the prescribed forms are presented to her/him for signature,enters into a written Agreement substantially in the form contained in the Bid Documents,in accordance with the Bid, and files the two (2) bonds with the Owner, one to guarantee faithful performance and the other to guarantee payment for labor and materials,then this obligation shall be null and void;otherwise,it shall be and remain in full force and effect. If, however, Principal fails to enter into a written Agreement with the Owner in accordance with the Bid or Principal and Surety fail to timely deliver to Owner the performance and payment bonds required by the Bid Documents, Surety within five(5)business days after receipt of a written demand from Owner shall pay to Owner the full penal sum of this Bid Bond,subject to the limitation described herein. In the event that suit is brought upon this Bond by the Owner and judgment is recovered, said Surety shall pay all costs incurred by the Owner in such suit, including a reasonable attorney's fee to be fixed by the Court. IN WITNESS WHEREOF, the said Principal and Surety have signed this instrument on this the 9th day of the month of October 2024 . Patin Construction,HE Harco National Insurance Company priS;- alSurety c n-, Kenneth Nitsche Printed Name Printed Name By: By: � Title: S. o Title: Attorney-In-Fact Address: 3800 W.2nd Street Address: 4200 Six Forks Road Suitel4(TO Taylor,Texas 76574 Raleigli NC 27609 00200 4-2020 Page I Bid Bond 00443638 Resident Agent of Surety: Signature Kenneth Nitsche Printed Name 143 E.Austin Street Address Giddings,TX 78942 City,State,Zip Page 2 00200 4-2020 Bid Bond 00443638 ' a t Bond# N/A POWER OF ATTORNEY HARCO NATIONAL INSURANCE COMPANY INTERNATIONAL FIDELITY INSURANCE COMPANY Member companies of IAT Insurance Group, Headquartered:4200 Six Forks Rd,Suite 1400, Raleigh, NC 27609 KNOW ALL MEN BY THESE PRESENTS:That HARCO NATIONAL INSURANCE COMPANY,a corporation organized and existing under the laws of the State of Illinois,and INTERNATIONAL FIDELITY INSURANCE COMPANY,a corporation organized and existing under the laws of the State of New Jersey,and having their principal offices located respectively in the cities of Rolling Meadows,Illinois and Newark,New Jersey,do hereby constitute and appoint GARY A. NITSCHE, NINA K. SMITH, KENNETH NITSCHE, ROBERT K. NITSCHE, CRAIG T. PARKER, ROBERT JAMES NITSCHE, JENNIFER J. BIEHLE Giddings, TX their true and lawful attorney(s)-in-fact to execute, seal and deliver for and on its behalf as surety, any and all bonds and undertakings, contracts of indemnity and other writings obligatory in the nature thereof,which are or may be allowed, required or permitted by law,statute,rule,regulation,contract or otherwise, and the execution of such instrument(s) in pursuance of these presents, shall be as binding upon the said HARCO NATIONAL INSURANCE COMPANY and INTERNATIONAL FIDELITY INSURANCE COMPANY,as fully and amply,to all intents and purposes,as if the same had been duly executed and acknowledged by their regularly elected officers at their principal offices. This Power of Attorney is executed,and may be revoked,pursuant to and by authority of the By-Laws of HARCO NATIONAL INSURANCE COMPANY and INTERNATIONAL FIDELITY INSURANCE COMPANY and is granted under and by authority of the following resolution adopted by the Board of Directors of INTERNATIONAL FIDELITY INSURANCE COMPANY at a meeting duly held on the 13th day of December,2018 and by the Board of Directors of HARCO NATIONAL INSURANCE COMPANY at a meeting held on the 13th day of December,2018. "RESOLVED, that (1) the Chief Executive Officer, President, Executive Vice President, Senior Vice President, Vice President, or Secretary of the Corporation shall have the power to appoint,and to revoke the appointments of,Attorneys-in-Fact or agents with power and authority as defined or limited in their respective powers of attorney, and to execute on behalf of the Corporation and affix the Corporation's seal thereto, bonds, undertakings, recognizances, contracts of indemnity and other written obligations in the nature thereof or related thereto; and (2)any such Officers of the Corporation may appoint and revoke the appointments of joint-control custodians, agents for acceptance of process, and Attorneys-in-fact with authority to execute waivers and consents on behalf of the Corporation;and(3)the signature of any such Officer of the Corporation and the Corporation's seal may be affixed by facsimile to any power of attorney or certification given for the execution of any bond,undertaking,recognizance,contract of indemnity or other written obligation in the nature thereof or related thereto,such signature and seals when so used whether heretofore or hereafter, being hereby adopted by the Corporation as the original signature of such officer and the original seal of the Corporation,to be valid and binding upon the Corporation with the same force and effect as though manually affixed." IN WITNESS WHEREOF,HARCO NATIONAL INSURANCE COMPANY and INTERNATIONAL FIDELITY INSURANCE COMPANY have each executed and attested these presents on this 31st day of December,2023 ft. STATE STATE OF NEW JERSEY STATE OF ILLINOIS �0'pp�OA�� cp�40��e��s County of Essex County of Cook =a r CD SEAL T :_: SEAL. ;p- r 1904 ry O 19i4 ?�� D �J6` D. 1Fa�` Michael F.Zurcher y * M/ ' A Executive Vice President,Harco National Insurance Company and International Fidelity Insurance Company On this 31st day of December,2023 before me came the individual who executed the preceding instrument,to me personally known,and, being by me duly sworn,said he is the therein described and authorized officer of HARCO NATIONAL INSURANCE COMPANY and INTERNATIONAL FIDELITY INSURANCE COMPANY;that the seals affixed to said instrument are the Corporate Seals of said Companies;that the said Corporate Seals and his signature were duly affixed by order of the Boards of Directors of said Companies. ,0',,11NY CRG, IN TESTIMONY WHEREOF, I have hereunto set my hand affixed my Official Seal,at the City of Newark, C, ;,N New Jersey the day and year first above written. �OTA,4? a 9rFOF NEIN� Cathy Cruz a Notary Public of New Jersey My Commission Expires April 16,2029 CERTIFICATION I,the undersigned officer of HARCO NATIONAL INSURANCE COMPANY and INTERNATIONAL FIDELITY INSURANCE COMPANY do hereby certify that I have compared the foregoing copy of the Power of Attorney and affidavit,and the copy of the Sections of the By-Laws of said Companies as set forth in said Power of Attorney,with the originals on file in the home office of said companies,and that the same are correct transcripts thereof,and of the whole of the said originals,and that the said Power of Attorney has not been revoked and is now in full force and effect. IN TESTIMONY WHEREOF,I have hereunto set my hand on this day, October 09,2024 A00134 a �(�_ Irene Martins,Assistant Secretary J 1 00410 STATEMENT OF BIDDER'S SAFETY EXPERIENCE Page 1 00410 8-2014 Statement of Bidder's Safety Experience 00090654 Solicitation Requirements, Contract Forms & Conditions of Contract Statement of Bidder's Safety Experience Section 00410 Bidder must submit a signed Statement of Bidder's Safety Experience form with his Bid; failure to do so will constitute an incomplete Bid that may be rejected. In order to make a responsive Bid, Bidder must provide evidence that it meets minimum OSHA construction safety program requirements, has not been fined by OSHA for any willful safety violations in the past three years, and has a lost time injury rate that doesn't exceed the limits established below. All questions must be answered and data given must be clear and comprehensive. If necessary, questions may be answered on separate attached sheets. Company Name: Patin Construction LLC Address: 3800 W 2nd Street,Taylor,TX 76574 Phone: 512-269-1071 Completed by: Tim Patin Date: 10/09/2024 1. Does the company have a written construction Safety program? C3 Ies ❑No 2. Does the company conduct construction safety inspections? Er?es ❑No 3. Does the company have an active construction safety-training program? [ Yes ❑No 4. Has the company been fined by OSHA for any willful safety violations in the past ❑Yes [�Io three years? 5. Does the company have a lost time injury rate of 7.8 for SIC 15,or 7.6 for SIC 16, alyles ❑No or less over the past three years? Attach the company's OSHA 200/300 logs for the past three years. 6. Does the company or affected subcontractors have competent persons in the following Areas? A. Scaffolding [' Yes []No ❑N/A B. Excavation [lyes ❑No ❑N/A C. Cranes RrYes ❑No ❑N/A D. Electrical ffyes ❑No ❑N/A E. Fall Protection [ryes ❑No ❑N/A F. Confined Spaces eyes ❑No ❑N/A I hereby certify that the above into rue and correct. Signature /� � Title President Page 1 00410 8-2014 Statement of Bidder's Safety Experience 00090654 Attention:This form contains Information relating to employee health and must be used in a manner OSHArs Form 300 (Rev.01/2004) that protects the confidentiality of employees to the Year 2023 Log of Work-Related Injuries and Illnesses g used foxrent occupalonesable lfetyandhealthpurple the Information Isses. U.S.Department of Labor Occupational Safety and Health Administration You must record Information about every work-related Injury or Illness that Involves loss of consciousness,restricted work activity or job transfer,days may from work,or medical treatment Form approved OMB no.1218-0176 beyond first aid.Yea must also record significant work-related injuries and Illnesses that are diagnosed by a physician or licensed health care professional.You must also record workaelated Injuries and Illnesses that meet any of the specific recerding criteria listed In 29 CFR 1904.8 through 1904.12.Feel fee to use two lines for a single case It you need to.You mustoomplete Establishment name Patin Construction LLC an injury and Illness Incident report(OSHA Form 301)or equivalent form for each Injury or Illness recorded on this form.If you're not sure whether a case Is recordable,cap your local OSHA office for help. City Taylor State Texas s Enter the number of (A) (B) (C) (D) (E) (F) CHECK ONLY ONE box for each case based on days the Injured or III Check the'lnjury'column or choose one type of Case Employee's Name Job Title(e.g., Date of Where the event occurred(e.g. Describe Injury or illness,parts of body affected, the most serious outcome for that case: worker was: illness: No. Welder) Injury or Loading dock north end) and object/substance that directly Injured or made 0 onset of person III(e.g.Second degree bums on right (M) g Illness forearm from acetylene torch) Awa On job (mo./day) Y transfer or -2 —_ From restriction L Job transfer Other record- Work (days) or rastdclion able casae (days) _ �/ 3 G) (H) (I) (J) (K) (L) (1) (2) (3) 4) (�) (6) 1 Victor Campos Laborer "-23 EI In TX,near middle school Laceration to top of head X X 2 Darrell Pierce Superintendent 6-29-23 Main Shop Laceration to left middle finger er X X 3 Jacob McDermott Mechanic 12-8-23 Main Shop Laceracten to right middle linger X X Page totals 0 0 0 3 0 0 1 3 1 0 0 0 0 0 Be sure to transfer these totals to the Summary page(Form 300A)before you post it. Public reporting burden for this collector of Information Is estimated to average 14 minutes per response,Inducing time p to review the Instruction,search and gather the date needed,and complete and review the collection of Information. n m Persons are not required to respond to the cofiecdon of Infonmabon unless It displays a currently valid OMB control rq = o number.If you have any comments about Ihese estimates or any aspects of this data collection,contact US a Department of Labor,OSHA Office of Statistics,Room N3644,200 Constitution Ave,NW,Washington,DC 20210.Do not send the completed form to this office. Page 1 of 1 (1) (2) (3) (4) (5) (6) l OSHA's Form 300A (Rev.01/2004) Year 2023 4*1 Summary of Work-Related Injuries and Illnesses U.S.Department ofLaboAdminlatratio On Occupational Safety and Hearth n Form approved OMB no.1218-0176 All establishments covered by Part 1904 must complete this Summary page,even If no Injuries or Illnesses occurred during the year. Remember to review the Log to verify that the entries are complete Using the Log,count the Individual entries you made for each category. Oren mile the totals below, Establishment Information making sure you've added the entries from every page of the log. if you had no cases wife"0." Employees former employees,and their representatives have the fight to review the OSHA Form 3001n Your establishment name Patin Construction LLC Its entirety. They also have limited access to the OSHA Form 301 or its equivalent. See 29 CFR 1904.35,In OSHA's Recordkesping rule,for further details on the access provisions for these forms. Street 3800 W.2nd Street City Taylor State TX Zip 76574 Industry description(e.g.,Manufacture of motor truck trailers) Total number of Total number of Total number of cases Total number of Construction deaths cases with days with job transferor other recordable away frompwork restriction cases Standard Industrial Classification(SIC),H known(e.g.,SIC 3715) 0 0 0 3 1 7 7 1 (G) (H) (I) (J) OR North American Industrial ClasslOcatlon(NAICS),if known(e.g.,336212) 2 3 7 1 1 0 Employment information Total number of Total number of days of days away from job transfer or restriction Annual average number of employees 131 0 0 Total hours worked by all employees last year 326,387.64 (K) (L) Sign here Total number Of... Knowingly falsifying this document may result in a tine. (M) (1) Injury 3 (4) Poisoning 0 (2) Skin Disorder 0 (5) Hearing Loss 0 (3) Respiratory I certify that I have examined this document and that to the best of my knowledge the entries are true,accurate,and Condition 0 (6)All Other Illnesses 0 complete. • Company executive Title Post this Summary page from February 1 to April 30 of the year following the year covered by the form Phone Date Puck reporting burden for this collodion of Information Is estimated to average 58 minutes per response,inducing time to review the Instruction,search and gather the data needed,and complete and review the collection of information.Persons are not required to respond to the collodion of information unless it displays a currently valid OMB ccnbol number.If you have any comments about these estimates or any aspects of this data colleWon,contact:US Department of labor.OSHA Office of Statistics.Room N-3644.200 ConsGWtion Ave.NW.Washinoton.DO 20210, Do not send the comdeted forms to this office. 1 OSHA's Form 300A (Rev.01/2004) Year 2022 <<"> Summary of Work-Related Injuries and Illnesses U.S.Department of Labor Occupational Safety end Hoelth Administration Form no. All esfablishrnents covered by Part 1904 must complete this Summary page,even it injuries a approved CMB 1216 0176 illnesses occurred durmo the year. Remember to review the Lop to verily that the entries are complete Using the Log,count the individual entries you made for each category. Then write the totals below, Establishment information making sure you've added the entries from every page of the log. If you had no cases write"0." Employees former employees,and their representatives have the right to review the OSHA Form 300 in your establishment name Patin Construction,LLC its entirety. They also have limited access to the OSHA Form 301 or its equivalent. See 29 CFR 1904.35,in OSHA's Recordkeepirg rule,for further details on the access provisions for these forms. Street 3800 W 2nd Street Number of Cases City Taylor State Texas zip 76574 Industry description(e.g.,Manufacture of motor truck trailers) Total number of Total number of Total number of cases Total number of Construction deaths cases with days with job transfer or other recordable awav from work restriction cases Standard Industrial Classification(SIC),if known(e.g.,SIC 3715) 0 1 0 0 (G) (H) (I) (J) OR North American Industrial Classification(NAICS),if known(e.g..336212) 2 3 7 1 1 0 Number of Days Employment information Total number of Total number of days of days away from job transfer or restriction Annual average number of employees 142 u Total hours worked by all employees last 16 0 year 357,280 (K) (L) Injury and Illness Types Sign here Total number of... Knowingly falsifying this document may result 1n a fine. (M) (1) Iniury 1 (4) Poisoning 0 (2) Skin Disorder 0 (5) Hearinq Loss 0 (3) Respiratory I certify that 1 have examined M document and that to est of my knowledge the entries are true,accurate,and Condition 0 (6)All Other Illnesses 0 complete. _ - ;4�5/ 3 Company a cutive Post this Summary page from February 1 to April 30 of the year following the year covered by the form Phone Date Public reporting burden for this collection of infamalim is estimated to average 58 mmules per response,including lime to review the instruction,search and gather the data needed,and complete and review the cdlacbm of information.Persons are not required to respond to the collection of information unless it displays a currently valid OMB cmtrd number.If you have any comments about these estimates a any aspects of this data collection,contact:US Deparlawl M I afvx 0,'HA nfrxa M Slatielim Ram N.'3644 2fln finelihdim Avn.NW Wxhimlm hC 2(1710 On nn!mvi IM mmnlWwf fame In this nffim OSHA's Form 300A (Rev.01/2004) Year 2021 <Q� Summary of Work-Related Injuries and Illnesses U.S.Department of Labor Oc<upelionel Satuty end Ilualth A,fi F",n.at+ln,ivml tJAtl,tt, 7�I.i All establishments covered by Part 1904 most complete this Summary page,even d no injuries or illnesses occurred during the year. Remember to review the Lou to verity that the entries are complete Using the Log,count the individual entries you made for each category. Then write the totals below, Establishment information making sure you've added the entries from every page of the log. If you had no cases write"0." Employees former employees,and thea reGresentatives have the right to review the OSHA Form 300,r; Your establishment name Patin Construction LLC. its entirety. They also have limited access to the OSHA Form 301 or its equivalent See 29 CFR 1904 35,in OSHA's Recordkeeping rule,for further details on the access provisions for these forms. Street 3800 W.2nd Street Number of Cases City Taylor State Texas Zip 76574 Industry description(e.g.,Manufacture of motor truck trailers) Total number of Total number of Total number of cases Total number of Construction deaths cases with days with job transfer or other recordable awav from work restriction cases Standard I�ustrial ificatiC),if kno�n(e.g.,SIC 3715) 0 1 0 0 (G) (H) (I) (J) OR North American Industrial Classification C known(e.g.,336212) _2_2_ Number Of Deye;, Employment information Total number of Total number of days of days away from job transfer or restriction Annual average number of employees —/146 ` _ �•u Total hours worked by all employees last 113 0 year5,2734 9.16 (K) (L Injury and Illness Types Sign here Total number of... Knowingly falsifying this document m result in a fine. (M) (1) Iniury 1 (4) Poisoning 0 (2) Skin Disorder 0 (5) Hearinq Loss 0 1 certify that I have examined this document and that to the best of my knowledge the entries are true,accurate,and (3) Respiratory complete. Condition 0 (6)All Other Illnesses 0 Tim Palin President Company executive Title 512-269-1071 11712042 Post this Summary page from February 1 to April 30 of the year following the year covered by the form Phone Date Public reporting burden for this collection of mformaliai is estimated to average 58 mmums per response,including time to review the instruction,search and gather the data needed,and complete and review the collection of information.Persons are not required to respond to the collection of information unless it displays a currently valid OMB ccntrd number.If you have any comments about these estimates or any aspects of this data collection,conlwt.US Department til 14-nSHA O fi-of Slalicli-R—NV,44 900 ComoAAinn A-NW Washinnlnn nr.X)210 Dn uni send m.m 404 1 terms In tfu.s ntfi- M 00300 BID FORM A ii BID FORM PROJECT NAME: McNeil Rd. Extension Railroad Culverts PROJECT LOCATION: Round Rock,Texas OWNER: City of Round Rock,Texas DATE: Gentlemen: Pursuant to the foregoing Notice to Bidders and Instructions to Bidders, the undersigned bidder hereby proposes to do all the Work, to furnish all necessary superintendence, labor, machinery, equipment, tools, materials, insurance and miscellaneous items, to complete all the Work on which he bids as provided by the attached Bid Documents,and as shown on the plans for the construction of McNeil Rd. Extension Railroad Culverts and binds himself on acceptance of this bid to execute the Agreement and bond for completing said Work within the time stated,for the following prices,to wit: Any addenda issued will be posted with the Project Manual and/or Contract Documents on the City's website at https://www.roundrock.gov/solicitations by the close of business on October 4,2024 Prior to submitting a bid, the bidder is responsible for determining if any addenda have been issued and for following any instructions in any addenda issued. Bidder acknowledges receipt of the following Addenda by listing Addendum"number" and"date". BASE BID Bid Approx. Item Description Item Quantit Unit and Written Unit Price Unit Price Amount 1 5.00 STA 100 6002 PREPARING ROW complete in place per for Seventeen thousand dollars and zero cents. 17,000.00 $ 85,000.00 2 2129 SY 162 6002 BLOCK SODDING complete in place per for Thirteen dollars and zero cents. 13.00 $ 27,677.00 3 2129 SY 164 6039 DRILL SEEDING(PERM) (URBAN)(CLAY) complete in place per for One dollars and Zero cents. 1.00 $ 2,129.00 Page 1 of 19 Bid Form . r BASE BID Bid Approx. Item Description Item Quantit Unit and Written Unit Price Unit Price Amount 4 2129 SY 164 6041 DRILL SEEDING(TEMP) (WARM) complete in place per for One dollars and zero cents. 1.00 $ 2,129.00 5 2129 SY 164 6043 DRILL SEEDING(TEMP) (COOL) complete in place per for One dollars and zero cents. 1.00 $ 2,129.00 6 64 MG 168 6001 VEGETATIVE WATERING complete in place per for Twenty dollars and zero cents. 20.00 $ 1,280.00 7 53 SY 400 6006 CUT&RESTORING PAV complete in place per for Four hundred dollars and zero cents. 400.00 $ 21,200.00 8 87 LF 402 6001 TRENCH EXCAVATION PROTECTION complete in place per for Fifteen dollars and zero cents. 15.00 $ 1,305.00 9 294 CY 432 6031 RIPRAP(STONE PROTECTION)(12 IN) complete in place per for Seventy five dollars and zero cents. 75.00 $ 22,050.00 Page 2 of 19 Bid Form ' BASE BID Bid Approx. Item Description Item Quantit Unit and Written Unit Price Unit Price Amount 10 2 LF 464 6009 RC PIPE(CL III)(42 IN) complete in place per for Six thousand dollars and zero cents. 6,000.00 $ 12,000.00 11 2 LF 464 6010 RC PIPE(CL III)(48 IN) complete in place per for Six thousand five hundrej dollars and zero cents. 6,500.00 $ 13,000.00 12 102.0 LF 476 XXXX JACK BOR OR TUN complete in place per for Two thousand five hundred dollars and zero Cents. 2,500.00 $ 255,000.00 13 170.0 LF 476 XXXX JACK BOR OR TUN complete in place per for Two thousand five hundred dollars and zero cents. 2,500.00 $ 442,000.00 14 20.0 0 496 6007 REMOV STR(PIPE) complete in place per for Two hundred fifty dollars and zero cents. 250.00 $ 5,000.00 15 120 LF 506 6002 ROCK FILTER DAMS (INSTALL) (TY 2) complete in place per for Thirty dollars and zero cents. 30.00 $ 3,600.00 Page 3 of 19 Bid Form 1 BASE BID Bid Approx. Item Description Item Quantit Unit and Written Unit Price Unit Price Amount 16 120 LF 506 6011 ROCK FILTER DAMS (REMOVE) complete in place per for Five dollars and zero cents. 5.00 $ 600.00 17 444 SY 506 6020 CONSTRUCTION EXITS (INSTALL)(TY 1) complete in place per for One dollars and zero cents. 1.00 $ 444.00 18 444 SY 506 6024 CONSTRUCTION EXITS (REMOVE) complete in place per for Twenty dollars and zero cents. 20.00 $ 8,880.00 19 713 LF 506 6038 TEMP SEDMT CONT FENCE(INSTALL) complete in place per for Four dollars and zero cents. 4.00 $ 2,852.00 20 713 LF 506 6039 TEMP SEDMT CONT FENCE(REMOVE) complete in place per for One dollars and zero cents. 1.00 $ 713.00 21 713 LF 506 6041 BIODEG EROSN CONT LOGS (INSTL)(12") complete in place per for Five dollars and zero cents. 5.00 $ 3,565.00 Page 4 of 19 Bid Form , 4 BASE BID Bid Approx. Item Description Item Quantit Unit and Written Unit Price Unit Price Amount 22 713 LF 506 6043 BIODEG EROSN CONT LOGS(REMOVE) complete in place per for One dollars and zero cents. 1.00 $ 713.00 23 23 LF 529 6008 CONC CURB&GUTTER (TY Il) complete in place per for Five hundred dollars 500.00 zero and Cents. $ 11,500.00 24 23 LF 529 XXXX RIBBON CURB complete in place per for Five hundred dollars and zero cents. 500.00 $ 11,500.00 25 46 LF 666 6207 REFL PAV MRK TY II(Y) 4" (SLD) complete in place per for One hundred forty five dollars and zero cents. 145.00 $ 6,670.00 26 45 LF 7012 6001 CURB INLET SEDIMENT PROTECTION complete in place per for Fiteen dollars and zero cents. 15.00 $ 675.00 27 3 MO 502 6001 BARRICADES, SIGNS AND TRAFFIC HANDLING complete in place per for Two thousand five hundred dollars and zero cents 2,500.00 $ 7,500.00 Page 5 of 19 Bid Form 3 BASE BID Bid Approx. Item Description Item Quantit Unit and Written Unit Price Unit Price Amount 28 10 % MOBILIZATION complete in place per for Three thousand dollars and zero cents. 3,000.00 $ 30,000.00 29 0 0 0 0 complete in place per for dollars and cents. $ 30 0 0 0 0 complete in place per for dollars and cents. $ 31 0 0 0 0 complete in place per for dollars and cents. $ 32 0 0 0 0 complete in place per for dollars and cents. $ Page 6 of 19 Bid Form TOTAL BASE BID(Items I thru 28 ) ;981 11 i-00 $964,111.00 MF Materials: $385,000.00 All Other Charges: 00 *Total: +ate-- q(�Lf� t . (�0 *Note:This total must be the same amount as shown above for"Total Base Bid" If this bid is accepted,the undersigned agrees to execute the Agreement and provide necessary bonds and insurance certification as per the Instructions to Bidders. The undersigned certifies that the bid prices contained in the bid have been carefully checked and are submitted as correct and final. The Owner reserves the right to reject any or all bids and may waive any informalities or technicalities. RespectfullySubmitted Signature Tim Patin 3800 W 2nd Stroet Taylor,TX 76574 Print Name Address President 512-289-1071 Title Telephone Patin Construction LLC Name of Firm 10-9-2024 Date Secretary,if Bidder is a Corporation Page 1 of 1 Bid Form City of Round Rock,Texas Contract Forms Standard Form of Agreement: Section 00500 City of Round Rock, Texas Standard Form of Agreement between OwnerQAand Contractor / AGREEMENT made as of the / 7 day of 1)41Z 1)14 ,.A in the year 20�'. BETWEEN the Owner: City of Round Rock,Texas(hereafter"Owner"or"City") 221 East Main Street Round Rock,Texas 78664 and the Contractor Patin Construction,LLC ("Contractor") 3800 W.2nd treet Taylor.TX 76574 The Project is described as: McNeil Rd.Extension Railroad Culverts The Engineer is: AtkinsRealis 11801 Domain Blvd.Ste 500 Austin,TX 78758 For and in consideration of the mutual terms, conditions and covenants of this Agreement and all accompanying documents between Owner and Contractor, the receipt and sufficiency of which are hereby acknowledged,Owner and Contractor agree as follows: ARTICLE I THE CONTRACT DOCUMENTS The Contract Documents consist of this Agreement,Conditions of the Contract(General,Supplementary and other Conditions),Drawings,Specifications,Addenda issued prior to execution of this Agreement,other documents listed in this Agreement and Modifications issued after execution of this Agreement;these form the Contract,and are as fully a part of the Contract as if attached to this Agreement or repeated herein. The Contract represents the entire and integrated agreement between the parties hereto and supersedes prior negotiations,representations or agreements, either written or oral.An enumeration of the Contract Documents,other than Modifications,appears in Article 7. ARTICLE 2 THE WORK OF THIS CONTRACT Contractor shall fully execute the Work described in the Contract Documents,except to the extent specifically indicated in the Contract Documents to be the responsibility of others. 00500 4-2020 Page 1 of 5 Standard Form of Agreement 00443647 ARTICLE 3 DATE OF COMMENCEMENT;DATE OF SUBSTANTIAL COMPLETION;DATE OF FINAL COMPLETION 3.1 The date of commencement of the Work shall be the date of this Agreement unless a different date is stated below or provision is made for the date to be fixed in a Notice to Proceed issued by Owner. 3.2 The Contract Time shall be measured from the date delineated in the Notice to Proceed. 33 Contractor shall commence Work within ten1( 0 ) calendar days from the date delineated in the Notice to Proceed. 3.4 Contractor shall achieve Substantial Completion of the items of Work listed on Attachment A to this Agreement no later than N/A N( /A )calendar days from issuance by Owner of Notice to Proceed, and Contractor shall achieve Substantial Completion of the entire Work no later than forty-five 45 )calendar days from issuance by Owner of Notice to Proceed,subject to adjustments of this Contract Time as provided in the Contract Documents. 3.5 If Contractor fails to achieve Substantial Completion of the Work(or any portion thereof)on or before the date(s)specified for Substantial Completion in the Agreement,Contractor shall pay to Owner,as liquidated damages, the sum of six hundred and ten and No/100 Dollars($610 )for each calendar day that Substantial Completion is delayed after the date(s) specified for Substantial Completion. It is hereby agreed that the liquidated damages to which Owner is entitled hereunder are a reasonable forecast of just compensation for the harm that would be caused by Contractor's failure to achieve Substantial Completion of the Work(or any portion thereof)on or before the date(s)specified for Substantial Completion in the Agreement and is not a penalty. It is agreed that the harm that would be caused by such failure, which includes loss of expected use of the Project areas,provision of alternative storage facilities and rescheduling of moving and occupancy dates,is one that is incapable or very difficult of accurate estimation.It is hereby agreed that if Substantial Completion of the Work(or any portion thereof)is not achieved on or before thirty(30)days after the date(s) specified for Substantial Completion in the Agreement, the Owner shall have the option to either collect liquidated damages as set forth herein or to thereafter rely on its remedies under the Contract Documents and at law and in equity, including without limitation, the recovery of actual damages. The date(s) specified for Substantial Completion of the Work(or any portion thereof)in the Agreement shall be subject to adjustment as provided in the Contract Documents. 3.6 Contractor shall achieve Final Completion of the entire Work no later than sixty 660)calendar days from issuance by Owner of Notice to Proceed. ARTICLE 4 CONTRACT SUM 4.1 Owner shall pay Contractor the Contract Sum in current funds for Contractor's full and complete performance of the Work and all of Contractor's obligations under this Agreement. The Contract Sum shall be Nine hundred sixty-four thousand one hundred eleven dollars and zero cents ($ 964,111.00 ),subject to additions and deductions as provided in the Contract Documents. 4.2 Does the Contract Sum include alternates which are described in the Bid Form? No X . Yes .If yes,please provide details below: 00500 4-2020 Page 2 of 5 Standard Form of Agreement 00443647 ARTICLE 5 PAYMENTS 5.1 PROGRESS PAYMENTS 5.1.1 Based upon Applications for Payment submitted to Engineer and Owner by Contractor,and Certificates for Payment issued by Engineer and not disputed by Owner and/or Owner's lender,Owner shall make progress payments on account of the Contract Sum to Contractor as provided below, in Article 14 of the General Conditions, and elsewhere in the Contract Documents. 5.1.2 The period covered by each Application for Payment shall be one calendar month ending on the last day of the month. 5.13 Provided that an Application for Payment is received by Engineer and Owner, and Engineer issues a Certificate of Payment not later than the tenth(10th)day of a month, Owner shall make payment to Contractor of amounts approved by the Owner not later than the tenth(10th)day of the next month.If an Application for Payment is received by Engineer and Owner after the application date fixed above,payment shall be made by Owner not later than one month after the Engineer issues a Certificate for Payment.The Owner shall not have any obligation to pay any amount covered by the Engineer's Certificate for Payment that is disputed by the Owner. 5.1.4 Each Application for Payment shall be based on the most recent schedule of values submitted by Contractor in accordance with the Contract Documents.The schedule of values shall allocate the entire Contract Sum among the various portions of the Work. The schedule of values shall be prepared in such form and supported by such data to substantiate its accuracy as Engineer and Owner may require.This schedule,unless objected to by Engineer or Owner, shall be used as a basis for reviewing Contractor's Applications for Payment. 5.1.5 Applications for Payment shall warrant the percentage of completion of each portion of the Work as of the end of the period covered by the Application for Payment. 5.1.6 Subject to other provisions of the Contract Documents, the amount of each progress payment shall be computed as provided in Article 14 of the General Conditions. 5.1.7 Except with Owner's prior written approval,Contractor shall not make advance payments to suppliers for materials or equipment which have not been delivered and stored at the site. 5.2 FINAL PAYMENT 5.2.1 Final payment, constituting the entire unpaid balance of the Contract Sum, shall be made by Owner to Contractor when: .1 Contractor has fully performed the Contract except for Contractor's responsibility to correct Work, and to satisfy other requirements,if any,which extend beyond final payment;and .2 a final Certificate for Payment has been issued by Engineer and approved by the Owner. 5.2.2 Owner's final payment to Contractor shall be made no later than thirty (30) days after the issuance of Engineer's final Certificate for Payment. In no event shall final payment be required to be made prior to thirty(30) days after all Work on the Contract has been fully performed.Defects in the Work discovered prior to final payment shall be treated as non-conforming Work and shall be corrected by Contractor prior to final payment,and shall not be treated as warranty items. ARTICLE 6 TERMINATION OR SUSPENSION 6.1 The Contract may be terminated by Owner or Contractor as provided in Article 15 of the General Conditions. 00500 4-2020 Page 3 of 5 Standard Form of Agreement 00443647 6.2 The Work may be suspended by Owner as provided in Article 15 of the General Conditions. ARTICLE 7 ENUMERATION OF CONTRACT DOCUMENTS 7.1 The Contract Documents,except for Modifications issued after execution of this Agreement,are enumerated as follows: 7.1.1 The Agreement is this executed version of the City of Round Rock, Texas Standard Form of Agreement between Owner and Contractor,as modified. 7.1.2 The General Conditions are the "City of Round Rock Contract Forms 00700," General Conditions, as modified. 7.1.3 The Supplementa ,Special,and other Conditions of the Contract are those contained in the Project Manual dated August 20,14 7.1.4 The Specifications are those contained in the Project Manual dated August 2024 7.1.5 The Drawings,if any,are those contained in the Project Manual dated August 2024 7.1.6 The Insurance&Construction Bond Forms of the Contract are those contained in the Project Manual dated August 2024 P 7.1.7 The Notice to Bidders,Instructions to Bidders,Bid Form,and Addenda, if any,are those contained in the Project Manual dated August 2024 7.1.8 If this Agreement covers construction involving federal funds, thereby requiring inclusion of mandated contract clauses, such federally required clauses are those contained in the "City of Round Rock Contract Forms 03000,"Federally Required Contract Clauses,as modified. 7.1.9 Other documents,if any,forming part of the Contract Documents are as follows: 3137-26 Work Plan Form,3137-43 Work Plan Form ARTICLE 8 MISCELLANEOUS PROVISIONS 8.1 Where reference is made in this Agreement to a provision of any document, the reference refers to that provision as amended or supplemented by other provisions of the Contract Documents. 8.2 Owner's representative is: Bill Stablein,Project Manager City of Round Rock Transportation Department (512)218-3237 B Stableinp,,rounndrocktexas.gov 83 Contractor's representative is: Ta d J. k t G dQ11.conn 512.g23_°1270 8.4 Neither Owner's nor Contractor's representative shall be changed without ten(10)days'written notice to the other party. 00500 4-2020 Page 4 of 5 Standard Form of Agreement 00443647 8.5 Waiver of any breach of this Agreement shall not constitute waiver of any subsequent breach. 8.6 Owner agrees to pay Contractor from available funds for satisfactory performance of this Agreement in accordance with the bid or proposal submitted therefor,subject to proper additions and deductions,all as provided in the General Conditions, Supplemental Conditions, and Special Conditions of this Agreement,and Owner agrees to make payments on account thereof as provided therein. Lack of funds shall render this Agreement null and void to the extent funds are not available. This Agreement is a commitment of City of Round Rock's current revenues only. 8.7 Although this Agreement is drawn by Owner,both parties hereto expressly agree and assert that,in the event of any dispute over its meaning or application,this Agreement shall be interpreted reasonably and fairly,and neither more strongly for nor against either party. 8.8 This Agreement shall be enforceable in Round Rock,Texas,and if legal action is necessary by either party with respect to the enforcement of any or all of the terms or conditions herein,exclusive venue for same shall lie in Williamson County,Texas. This Agreement shall be governed by and construed in accordance with the laws and court decisions of the State of Texas. 8.9 Both parties hereby expressly agree that no claims or disputes between the parties arising out of or relating to this Agreement or a breach thereof shall be decided by an arbitration proceeding,including without limitation,any proceeding under the Federal Arbitration Act(9 USC Section 1-14)or any applicable state arbitration statute. 8.10 The parties, by execution of this Agreement, bind themselves, their heirs, successors, assigns, and legal representatives for the full and faithful performance of the terns and provisions hereof. This Agreement is entered into as of the day and year first written above and is executed in at least two(2) original copies,of which one is to be delivered to Owner. OWNER CO CTOR CITY RO CK,TEXAS E , or � I Printed Name: Printed Name: Title Title: �Cp G S ,4—_ Date Signed: Z�(q �7o Z`C Date Signed: z el ATT T: City Cler FOR CITY,APPROVED AS!T20RM: oe.... ity ttorney 00500 4-2020 Page 5 of 5 Standard Form of Agreement 00443647 Bond# HSHNSU0864684 PERFORMANCE BOND THE STATE OF TEXAS § § KNOW ALL BY THESE PRESENTS: COUNTY OF WILLIAMSON § That Patin Construction,LLC , of the City of Taylor County of Williamson , and State of Texas , as Principal, and Harco National Insurance Company authorized under the law of the State of Texas to act as surety on bonds for principals, are held and firmly bound unto the CITY OF ROUND ROCK,TEXAS (Owner), in the penal sum of Nine hundred sixty-four thousand one hundred eleven dollars&zero cents Dollars ($ 964,111.00 ) for the payment whereof, well and truly to be made the said Principal and Surety bind themselves, and their heirs, administrators, executors, successors and assigns,jointly and severally,by these presents: WHEREAS, the Principal has entered into a certain written Agreement with the Owner dated the / g day of heA&&4sGC,2072 to which the Agreement is hereby referred to and made a part hereof as fully and to the same extent as if copied at length herein consisting of: McNeil Rd.Extension Railroad Culverts NOW, THEREFORE, THE CONDITIONS OF THIS OBLIGATION IS SUCH, that if the said Principal shall faithfully perform said Agreement and shall, in all respects, duly and faithfully observe and perform all and singular the covenants, conditions and agreements in and by said Agreement, agreed and covenanted by the Principal to be observed and performed, including but not limited to, the repair of any and all defects in said work occasioned by and resulting from defects in materials furnished by or workmanship of,the Principal in performing the Work covered by said Agreement and occurring within a period of twelve (12) months from the date of Final Completion and all other covenants and conditions, according to the true intent and meaning of said Agreement and the Plans and Specifications hereto annexed,then this obligation shall be void; otherwise to remain in full force and effect; PROVIDED, HOWEVER,that this bond is executed pursuant to the provisions of Chapter 2253, Texas Government Code, as amended, and all liabilities on this bond shall be determined in accordance with the provisions of said Chapter 2253 to the same extent as if it were copied at length herein. Page 1 00610 4-2020 Performance Bond 00443639 PERFORMANCE BOND (continued) Surety, for value received, stipulates and agrees that no change, extension of time, alteration or addition to the terms of the Agreement, or to the Work performed thereunder, or the Plans, Specifications, or drawings 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 Agreement,or to the work to be performed thereunder. If Principal fails to faithfully perform said Agreement, Surety, after receipt of written notice of Principal's default, shall perform all of Principal's duties and obligations under the Agreement. If, within ten (10) days after receipt of such notice from Owner, Surety does not commence to complete the obligations of Principal with a contractor acceptable to Owner and diligently complete the performance of the Principal's duties and obligations,Owner shall have the right but not the obligation to have the duties and obligations of Principal performed. In such event, Surety shall pay to Owner,upon demand,all costs,expenses and damages sustained by Owner as a result of Principal's failure to perform its duties and obligations under the Agreement up to the 964,111.00 sum of this Performance Bond, plus all costs and expenses, including attorney's fees and expert and consultant fees incurred by Owner to enforce its rights under this Performance Bond. IN WITNESS WHEREOF, the said Principal and Surety have signed and sealed this instrument this 26th day of November , 20 24 Patin Construction, L Harco National Insurance Company P Surety Jennifer J. Biehle Printed Name r Printed Name c It 7-:�;) _ By: By: Title: Title: Mornty-InWact Address: 800 West 2nd Street Address:We N wark Center, 20th Floor Taylor, TX 76574 Newark,NJ 07102 Resident Agent of Surety: —40 Signa Jennife J. B hle Printed Name 143 E Austin Street Address Giddings, TX 78942 City, State &Zip Code Page 2 00610 4-2020 Performance Bond 00443639 Bond# HSHNSU0864684 PAYMENT BOND THE STATE OF TEXAS § § KNOW ALL MEN BY THESE PRESENTS: COUNTY OF WILLIAMSON § That Patin Construction,LLC , of the City of Taylor County of Williamson , and State of Texas , as Principal, and Harco National Insurance Company authorized under the laws of the State of Texas to act as Surety on Bonds for Principals,are held and firmly bound unto the CITY OF ROUND ROCK, TEXAS (OWNER), and all subcontractors, workers, laborers, mechanics and suppliers as their interest may appear, all of whom shall have the right to sue upon this bond, in the penal sum of Nine hundred sixty-four thousand one hundred eleven dollars and zero cents Dollars($ 964,111.00 )for the payment whereof,well and truly be made the said Principal and Surety bind themselves and their heirs, administrators, executors, successors, and assigns,jointly and severally, by these presents: WHEREAS,the P•inpipal has ntered into a certain written Agreement with the Owner,dated the day of , 202#to which Agreement is hereby referred to and made a part hereof as fully and to the same extent as if copied at length herein consisting of: McNeil Rd. Extension Railroad Culverts NOW, THEREFORE, THE CONDITION OF THIS OBLIGATION IS SUCH, that if the said Principal shall well and truly pay all subcontractors,workers, laborers, mechanics, and suppliers, all monies to them owing by said Principals for subcontracts,work,labor,equipment,supplies and materials done and furnished for the construction of the improvements of said Agreement, then this obligation shall be and become null and void; otherwise to remain in full force and effect. PROVIDED, HOWEVER,that this bond is executed pursuant to the provisions of Chapter 2253, Texas Government Code, as amended, and all liabilities on this bond shall be determined in accordance with the provisions of said Chapter 2253 to the same extent as if it were copied at length herein. Page 1 00620 04-2020 Payment Bond 00437699 PAYMENT BOND (continued) Surety, for value received, stipulates and agrees that no change, extension of time, alteration or addition to the terms of the Agreement, or to the Work performed thereunder, or the plans, specifications or drawings 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. IN WITNESS WHEREOF, the said Principal and Surety have signed and sealed this Instrument this 26th day of November , 20 24. Patin Construction, LLC Harco National Insurance Company Surety Jennifer J. Biehle Printed Name Printed Name By: By. - Title: o Title: r<tol n--Tact Address: 3 0 West 2nd Street Address:'-One ewark Center, 20th Floor Taylor, TX 76574 Newark,NJ 07102 Resident Agent of Surety: -Rz 0& Sign re Jennifer J. 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(\ �� /// - 'Sk`i n. r?:',�t r. y' '1 r I, '1 r k ;f 1 �,7 jz/ �'"S w, k,p ',:A� v4, '1 11 x ,... :,.,a. k" 'a,:.. .°i,ti ":, n� ,..x 7^ `:-: :Jt..i 1\ ,!, tCd':,' 4' �3'. ^yr' l r�.''.4a+'`SSE },r a? �� /'p $ ';;:: W� - -c„ "Tw J ; s- i �. „ y'-•I J °. �/�,.�. - �?:i a r .r'},' 5� ' � n rte- - .F '"* :,yyS� "'"rd3 ,y, :,y M '.; Nr S'....v t -_.;,� :.�. '.,,;,, $-:w.A',': ,/'! {/7��'� .++r �, - {t3-: 3,... *r`` $�,Ja y,i, 1. d 3; 5.-.1, : -AA ', 'p".....,»S:5'�ro�,kt• 7 ,� x r/ ( �p•�F�� �,:"' t a ,,' s"k :.'� tom.,,., f ,v- ''>7, IIc�y..Y?? _ ({{ { j^�`"y',, rte„' , P4,J',R'`�•x� i r % %.,..; , \ �,� .0) r.03 a, % Y , �' r�.lir '$ - �/ „ n. r. r ) ` r 1. v� re ' k +r C � ''., rid . r� w .x d p .1 I,�s x S� un a sfS '� 4. 0 W3,.��� Al, P ��., "� , ` e _; ,��` � *` ti } `: /////f11111 111' Vin' tr, w' T' epyr..,: ,:; ash ' W As.• z.. y: M" Y .,yd4: _ k. thy-_ , F Y fa ,I F ." 9 °A� :" �C �r•.'. W f , t, ti� T r"x ,:�� ' :'�'i - R�� r a k r� �I.t�V i 0, 3 % � v ,. r ??�`' "` t a c x- r m�k,,<,"4 { 7 k .a,. .s •` , b, ; 8`" r, .'s., % - 4 Y A POWER OF ATTORNEY Bond# HSHNSU0864684 HARCO NATIONAL INSURANCE COMPANY INTERNATIONAL FIDELITY INSURANCE COMPANY Member companies of IAT Insurance Group,Headquartered:4200 Six Forks Rd,Suite 1400,Raleigh,NC 27609 KNOW ALL MEN BY THESE PRESENTS:That HARCO NATIONAL INSURANCE COMPANY,a corporation organized and existing under the laws of the State of Illinois,and INTERNATIONAL FIDELITY INSURANCE COMPANY,a corporation organized and existing under the laws of the State of New Jersey,and having their principal offices located respectively in the cities of Rolling Meadows,Illinois and Newark,New Jersey,do hereby constitute and appoint GARY A. NITSCHE, NINA K. SMITH, KENNETH NITSCHE, ROBERT K. NITSCHE, CRAIG T. PARKER, ROBERT JAMES NITSCHE, JENNIFER J. BIEHLE Giddings, TX their true and lawful attorney(s)-in-fact to execute, seal and deliver for and on its behalf as surety, any and all bonds and undertakings, contracts of indemnity and other writings obligatory in the nature thereof,which are or may be allowed, required or permitted by law,statute,rule,regulation,contract or otherwise, and the execution of such instrument(s) in pursuance of these presents, shall be as binding upon the said HARCO NATIONAL INSURANCE COMPANY and INTERNATIONAL FIDELITY INSURANCE COMPANY,as fully and amply,to all intents and purposes,as if the same had been duly executed and acknowledged by their regularly elected officers at their principal offices. This Power of Attorney is executed,and may be revoked,pursuant to and by authority of the By-Laws of HARCO NATIONAL INSURANCE COMPANY and INTERNATIONAL FIDELITY INSURANCE COMPANY and is granted under and by authority of the following resolution adopted by the Board of Directors of INTERNATIONAL FIDELITY INSURANCE COMPANY at a meeting duly held on the 13th day of December,2018 and by the Board of Directors of HARCO NATIONAL INSURANCE COMPANY at a meeting held on the 13th day of December,2018. "RESOLVED, that (1) the Chief Executive Officer, President, Executive Vice President, Senior Vice President, Vice President, or Secretary of the Corporation shall have the power to appoint,and to revoke the appointments of,Attomeys-in-Fact or agents with power and authority as defined or limited in their respective powers of attorney, and to execute on behalf of the Corporation and affix the Corporation's seal thereto, bonds, undertakings, recognizances,contracts of indemnity and other written obligations in the nature thereof or related thereto; and(2)any such Officers of the Corporation may appoint and revoke the appointments of joint-control custodians, agents for acceptance of process, and Attorneys-in-fact with authority to execute waivers and consents on behalf of the Corporation;and(3)the signature of any such Officer of the Corporation and the Corporation's seal may be affixed by facsimile to any power of attorney or certification given for the execution of any bond,undertaking,recognizance,contract of indemnity or other written obligation in the nature thereof or related thereto, such signature and seals when so used whether heretofore or hereafter, being hereby adopted by the Corporation as the original signature of such officer and the original seal of the Corporation,to be valid and binding upon the Corporation with the same force and effect as though manually affixed." IN WITNESS WHEREOF,HARCO NATIONAL INSURANCE COMPANY and INTERNATIONAL FIDELITY INSURANCE COMPANY have each executed and attested these presents on this 31st day of December,2023 Ty ��0 PO NSG STATE OF NEW JERSEY STATE OF ILLINOIS Or0a�r•'1C pP RIS County of Essex County of Cook r a` o c, SEAL 01 z SE : AL c ;b 0 i 1964 : ';�5.t j �4 fk� + Michael F.Zurcher Executive Vice President,Harco National Insurance Company •••"•••••••`'�•,R and International Fidelity Insurance Company On this 31st day of December,2023 before me came the individual who executed the preceding instrument,to me personally known,and, being by me duly sworn,said he is the therein described and authorized officer of HARCO NATIONAL INSURANCE COMPANY and INTERNATIONAL FIDELITY INSURANCE COMPANY;that the seals affixed to said instrument are the Corporate Seals of said Companies;that the said Corporate Seals and his signature were duly affixed by order of the Boards of Directors of said Companies. Pew C IN TESTIMONY WHEREOF,I have hereunto set my hand affixed my Official Seal,at the City of Newark, G,• '' R, New Jersey the day and year first above written. �OTA,,y , Uj, O(/BI\G, ; OF NEW Cathy Cruz a Notary Public of New Jersey CERTIFICATION My Commission Expires April 16,2029 I,the undersigned officer of HARCO NATIONAL INSURANCE COMPANY and INTERNATIONAL FIDELITY INSURANCE COMPANY do hereby certify that I have compared the foregoing copy of the Power of Attorney and affidavit,and the copy of the Sections of the By-Laws of said Companies as set forth in said Power of Attorney,with the originals on file in the home office of said companies,and that the same are correct transcripts thereof,and of the whole of the said originals,and that the said Power of Attorney has not been revoked and is now in full force and effect. IN TESTIMONY WHEREOF,I have hereunto set my hand on this day, November 26,2024 A00134 a - Irene Martins,Assistant Secretary h I n - _ x ,p t'e i c y k.sb : ! #ay, x' a- ' t s Fy #F.I - 1{ t6�`�: a 3a ti,e� s:-"' 'y`• I "I % ." 1. ¢ a., --N./3 p . ' '�iu .kw, +`":�. - k w.. �H '", 3 r'h�, y ,* a �� Y 9"l,o �' t t 'md' t �° ' '�"' y �4. w, r d'� w 5M `" . " „. ;, ;, r: ' -�yp," Y. A,4 d. "7" �. tp,•a.14: '��ry 'H F +h f11 � V Sx t1 1 Mir Yka ,x- 4,, «.tY9�° M ♦°r', '^� e�"4 � .Y x y'I'11 fid' n ^ 'ry.,',. 4 -1 4 Xr. . ,ld 11, 1, w 11 r '� + '�.. 11 M �. ^4c,{�.4Fy' � 4-,'} E',4: ''4'', ,,.:_ rt:: ! 3 !1 1.,.A.,4� i e_ I 1, rt r*J. 11 -'.i,Y :r ` "'" 1, M'f 1g >~ ,fix .15111, i W" _ ,' tt <� Y V .. ��,! r �tl ,A y rw { � r y - ,rM x , '4 .. h - .+ sa, t•. x "a # `. _ > �"`" 2; t-x; r!~fit "c'. .' •k^ „3 ;�''t ,7 -£' '� '�r` Ai-� ':k.. :A xZ'M ,-r�k • §" Fac Lf .y ,� u. y�v c y a 5 .mw. r. „+".4'. 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''^ y ' H ,'4` ;€ .A *t a'Y.: w }- a ,... rg' ,a iI� ,a�..;. ;a,."�;'.; v.k,. t <Ka., �9 y fi 1rY1, '.�},,F •, d;:r4F; -4-;-,%,,,... r K.' .af' a r' .:s;J'- d �J'Vfy_ <�.fV.q ^qty:, . . . rgr"a4. r P f"t I I I- ,� ;,j !ir , ��,,q — , .,,8V 3'" r X LV� a TMr , of .rik` m .t. _R V .`r ?r. t y w' r•-. 1 »w;y,,,.,t -ate .4 ,� �'` F .. I ��.r , .I ; ,.,.,��, .��''— . — ,.,-� I I 'r ­ ;, - �, �.,�! � , ...W, ,_1� I.,",, .� . ,� � ;��, , �p :, ;:,"L I�:# I I " ,I , _ � -1 ,.1�;�, �, "I ,, �j . .-l., • '" y ",.' �.« `:.-' c+ r ,, P 5 rack N _ �;' +* 4 `. a4�•f,- ,' K'* -ti 1. H �.y�,� t... ,hia' a„,^ut F<-'' - •E• n e ,a .:y„ �'� ` _ T :-X � '? �',a%';� 4?�,bhx i._ 11 . v Vw r'k '.`$ a.. 7 3y ..�`'? ,G+, ,,trp�„'yy�� b r..� •.'k -.,� / :j "¢ �k4 r+1 5 x `'1. r:. t '� F 1M1� 'T• .f. {" �.n�l;V: .t" `k.4, :.. J'. yy r ,C ^'h�a t.„y.." k'r - Jn .. '>i' ti1��1���11//// r ?'. s m-. xfi + I 11 I 11 _ „} yg¢ y a - �1 ,, ![ �'�a.•'� �A'rte ' , " gy�� fr S" a iw' `1. //..��., .. s 1 >>''�" I - b# ,� -'4 :�i5 Al, Y '�x,V _Tr -Vs 7 '4 /// '" a t�, ,1\ " 1;, y 1 iF , y�x5s r m n., s ,,, 1�, i, ,* ///lll����l�,k��* { 'yal, - * 4» t d` r `� Y . r I"I" . � as ri ;y, � °#y. J�' , .. , 2* vat"' d ;,i - a{ � ' +ai.s i3 w{p,. kf. r; ,.- -.t , ,.yF' 5 3.., HWM ;`.i ' ,.�',e'"i,- ._- w r•, .,x: t w,. v#v...�,' ..;"i., ,. fi� '- x t., ._Vviw_'' ,. *a... .;^i s. ;:: i IMPORTANT NOTICE AVISO IMPORTANTE To obtain information or make a complaint: Para obtener informaci6n o para presentar una queja: You may contact Harco National Insurance Company Usted puede comunicarse con su Harco National at: Insurance Company al: 1-800-333-4167 1-800-3334167 You may also write to: Harco National Insurance Usted tambien puede escribir a Harco National Company c/o IAT Surety at: Insurance Company c/o IAT Surety at: Attn: Claims Department Attn: Claims Department One Newark Center,201 Floor One Newark Center,20"'Floor Newark,NJ 07102 Newark,NJ 07102 You may contact the Texas Department of Insurance Puede comunicarse con el Departamento de Seguros de to obtain information on companies,coverages,rights Texas para obtener informacion acerca de companias, or complaints at: coberturas,derechos o quejas al: 1-800-252-3439 1-800-252-3439 You may write the Texas Department of Insurance: Puede escribir al Departamento de Seguros de Texas: P.O.Box 149104 P.O.Box 149104 Austin,TX 78714-9104 Austin,TX 78714-9104 Fax:(512)490-1007 Fax:(512)490-1007 Web: www.tdi.texas.eov Web:www.tdi.texas.gov E-mail:ConsumerProtection(a,tdi.texas.i!ov E-mail: ConsumerProtectionnia,tdi.texas.gov PREMIUM OR CLAIM DISPUTES: DISPUTAS SOBRE PRIMAS O RECLAMOS: Should you have a dispute concerning your premium Si tiene una disputa concerniente a su prima o a un or about a claim you should contact the agent or the reclamo,debe comunicarse con el agente o In compania company first.If the dispute is not resolved,you may primero.Si no se resuelve la disputa,puede entonces contact the Texas Department of Insurance. comunicarse con el departamento(TDI). ATTACH THIS NOTICE TO YOUR BOND: UNA ESTE AVISO A SU FIANZA DE GARANTIA: This notice is for information only and does not Este aviso es solo para proposito de informacion y no become a part or condition of the attached document. se convierte en parte o condicion del documento adjunto. Client#:46421 PATINCON DATE(MWDD/YYYY) ACORD. CERTIFICATE OF LIABILITY INSURANCE 10/31/2024 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 policy(ies)must have ADDITIONAL INSURED provisions or 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 any rights to the certificate holder In lieu of such endorsement(s). PRODUCER NAM-ACT Joyce Hinze The Nitsche Group PHONE 979.540-2240 FAx 143 East Austin EMAIL En). (ac,No): ADDRESS: Joyceh@TheNitscheGroup.com Giddings,TX 78942-3299 INSURER(S)AFFORDING COVERAGE NAIC# 979 542-3666 INSURER A:LM Insurance Corporation 33600 INSURED INSURER B:Liberty Insurance Corporation 42404 Patin Construction LLC INSURER C:Texas Mutual Insurance Company 22945 3800 W.2nd Street Certain Underwriters @ Lloyds INSURER D: Y Taylor,TX 76574 INSURER E:Employers Insurance Co of Wausau 21458 INSURER F: COVERAGES CERTIFICATE NUMBER: 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 CONTRACTOR 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. INSR ADDLE UBR POLICY EFF ' POLICY EXP LTR TYPE OF INSURANCE IN$R,WVD POLICY NUMBER M/DD MM/DD/YY LIMITS A X COMMERCIAL GENERAL LIABILITY I TB5Z91475227014 10/25/202,4110/25/2025 EEAACMHgGOECTCURRqRENCE $1,000,000 CLAIMS-MADE I X,1 OCCUR PREMISES EaEr rrence)_ $500,000 X PD Ded:2,000 MED EXP(Any one person) $10 000 PERSONAL&ADV INJURY j$1,000,000 GEN'L AGGREGATE LIMIT APPLIES PER: --GENERAL AGGREGATE- s2,000,000 I ------ POLICY X�'.JECPROT X I LOC PRODUCTS-COMP/OP AGG s2,000,000 OTHER: $ E AUTOMOBILE LIABILITY ASCZ91475227024 0/25/2024 10/25/202 Eo aocidenntSINGLELlMIT 1 000,000 X ANY AUTO BODILY INJURY(Per person) $ OWNED SCHEDULED BODILY INJURY(Per accident) $ AUTOS ONLY j _ AUTOS I X AUTOS ONLY �)( NON-OWNED ! PROPERTY DAMAGE $ �;AUTOS ONLY Par accident X Drive Oth Car $ B X( UMBRELLA LIAB X OCCUR TH7Z91475227034 0/25/2024 10/25/202 EACH OCCURRENCE $5,000,000 EXCESS LIAR CLAIMS-MADE AGGREGATE $5.000.000 DED I XI RETENTION 0 $ `+ WORKERS COMPENSATION 0001212733 /03/2024 06/03/202 X PER OTH- AND EMPLOYERS'LIABILITY STATUTE ER ANY PROPRIETOWPARTNER/EXECUTIVE Y/N E.L.EACH ACCIDENT S1.000.000 OFFICER/MEMBER EXCLUDED') � N I A (Mandatory in NH) E.L.DISEASE-EA EMPLOYEEI$1,000,000 If yes,descnbe under DESCRIPTION OF OPERATIONS below E.L.DISEASE-POLICY LIMIT 1$1,000,000 D Pollution Liab CPL00703001 10/25/2024 10/25/2025 $3,000,000 Aggregate $3,000,000 Occurance Deductible 1 10,000 DESCRIPTION OF OPERATIONS/LOCATIONS I VEHICLES(ACORD 101,Additional Remarks Schedule,may be attached If more space Is required) As per policy provision,Certificate Holder is listed as additional insured in regard to the auto and general liability policies as provided by additional insured endorsement when required by written contract. General liability,auto and workers compensation policies include(s)a 30 Days Notice of Cancellation endorsement providing 30 days advance notice if policy is canceled by the company other than for nonpayment of premium,or direct cancellation by named insured as per policy provision. CERTIFICATE HOLDER CANCELLATION ANY OF THEBEFORE City of Round Rock THE SHOULD EXPIRATION DATE ABOV THEREOF, NOTICEDESCRIBEDIEWIBLL CANCELLED BE DELIVERED N City Manager ACCORDANCE WITH THE POLICY PROVISIONS. 221 E.Main Street Round Rock,TX 78664 AUTHORIZED REPRESENTATIVE ©1988-2015 ACORD CORPORATION.All rights reserved- ACORD 25(2016/03) 1 of 1 The ACORD name and logo are registered marks of ACORD #S1133552/M1131269 579