Tax 2011B-CN130529 fli) C )S
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May 29, 2013
ATTN: Keith Marvin, P.E.
City of Coppell, Texas
PO Box 9478
Coppell, TX 75019
972-304-3681
Re: City of Coppell,Vanbebber Dr Impry Project Closeout Documents
Dear Mr. Marvin:
Enclosed are the final closeout documents for the Vanbebber Drive construction project
including the"Contractor's Affidavit of Full& Final Payment", "Consent of Surety to
Final Payment", lien waivers and Final pay estimate.
For any questions, contact me at 972-674-2950.
Sincerely,
obert Farrow
CEO/COO
rfarrow @cpscivil.com
CONSENT OF OWNER
SURETY COMPANY ARCHITECT
TO FINAL PAYMENT CONTRACTOR
SURETY
AIA DOCUMENT G707 OTHER
Bond No. ASB-536482
PROJECT: Construction of the Tax 2011 and 2010 Street Improvements Vanbebber Drive Project No.
(name,address) Tax 2011B and Willow Springs Drive Project No.Tax 2010A Bid No. Q-0612-01
TO(Owner) [ City of Coppell ] ARCHITECTS PROJECT NO:
255 Parkway Blvd.
Coppell,TX 75019-2602 CONTRACT FOR: Construction
[ ] CONTRACT DATE:
CONTRACTOR: CPS Civil LLC
1215 Crest Lane Drive
Duncanville, TX 75137
In accordance with the provisions of the Contract between the Owner and the Contractor as indicated above,the
(here insert name and address of Surety Company)
American Safety Casualty Insurance Company
100 Galleria Parkway,Suite 700
, SURETY COMPANY,
Atlanta,GA 30339
on bond of(here insert name and address of Contractor)
CPS Civil LLC
1215 Crest Lane Drive
Duncanville,TX 75137 , CONTRACTOR,
hereby approves of the final payment to the Contractors,and agrees that final payment to the Contractor shall not relieve
the Surety Company of any of its obligations to(here insert name and address of Owner)
City of Coppell
255 Parkway Blvd.
Coppell,TX 75019-2602 ,OWNER,
as set forth in the said Surety Company's bond.
IN WITNESS WHEREOF,
the Surety Company has hereunto set its hand this 25th day of April , 2013
American Safety Casualty Insurance Company
Surety Company
A
/§74"'atlaj-4.e-
Signature of Authorized Represen e
Attest: / .,
(Seal): 47,' Sandra Lee Roney Attorney-In-Fact
Title
NOTE: This form is to be used as a companion document to AIA DOCUMENT G706,CONTRACTOR'S AFFIDAVIT OF PAYMENT OF DEBTS AND CLAIMS,
Current Edition
AIA DOCUMENT G707 CONSENT OF SURETY COMPANY TO FINAL PAYMENT APRIL 1970 EDITION AIA ONE PAGE
1970 THE AMERICAN INSTITUTE OF ARCHITECTS,1735 New York Ave.,NW,WASHINGTON,D.C. 20006
NUMBER
AS B-536624
AMERICANIN SAFE1YINSURANCE POWER OF ATTORNEY
KNOW ALL MEN BY THESE PRESENTS,that American Safety Casualty Insurance Company has made, constituted and appointed,and by these
presents does make,constitute and appoints Patricia Lee Bartlett, Carolyn J. Goodenough,Sammy Joe Mullis,Jr.,John William
Newby,Sandra Lee Roney,Michael Tullis, Mary Jo Zakrzewski, Kristi Meek
its true and lawful attorney-in-fact,for it and its name, place,and stead to execute on behalf of the said Company, as surety,bonds, undertaking and
contracts of suretyship to be given to
ALL OBLIGEES
provided that no bond or undertaking or contract of suretyship executed under this authority shall exceed in amount the sum of
***THREE MILLION***($3,000,000.00) DOLLARS***
This Power of Attorney is granted and is signed and sealed by facsimile under and by the authority of the following Resolution adopted by the Board of
Directors of the Company of the 6th day of August,2009.
RESOLVED,that the President in conjunction with the Secretary or any Assistant Secretary may appoint attorneys-in-fact or agents with authority as
defined or limited in the instrument evidencing the appointment in each case,for and on behalf of the Company, to execute and deliver and affix the
seal of the Company to bands,undertakings, recognizances,and suretyship obligations of all kinds;and said officers may remove any such attorney-in-
fact or agent and revoke any power of attorney previously granted to such persons.
RESOLVED FURTHER,that any bond,undertaking,recognizance,or suretyship obligation shall be valid and binding upon the company when:
(I)when signed by the President or any Vice-President and attested and sealed (if a seal is required)by any Secretary or Assistant Secretary or(ii)
when signed by the President or any Vice-President or Secretary or Assistant Secretary,and counter-signed and sealed(if a seal is required)by a duly
authorized attorney-in-fact or agent;or(iii)when duly executed and sealed(if a seal is required)by one or more attorney-in-fact or agents pursuant to
and within the limits of the authority evidenced by the power of attorney issued by the Company to such person or persons.
RESOLVED FURTHER,that the signature of any authorized officer and the seal of the Company may be affixed by facsimile to any power of attorney
or certification thereof authorizing the execution and delivery of any bond, undertaking, recognizance,or other suretyship obligations of the Company;
and such signature and seal when so used shall have the same force and effects as though manually affixed.
IN WITNESS WHEREOF,American Safety Casualty Insurance Company has caused its official seal to be hereunto affixed, and these presents to be
signed by its President and attested by its Secretary this 6th day of yp
August,2009
A t:
i4 .
1 j1fj
Ambuj Jain 4 y Joseph D.Sco r.
STATE OF GEORGIA ) rd,
COUNTY OF COBB )
On this 6`h day of August,2009,before me personally came Joseph D.Scotto,Jr.,to me known,who,being by me duly sworn,did depose and say that
he is the President of American Safety Casualty Insurance Company,the corporation described in and which executed the above instrument;that he
knows the seal of the said corporation:that the seal affixed to the said instrument is such corporate seal;that is was so affixed by order of the Board of
Directors of said corporation and that he signed his name thereto by like order.
i
t t
JAM E1lu4EY A allki a I.
Note/Puma tun co..GA
"Y°11111111184:1164:41111141°' 13,2Lt12 Jami =:iley,Notary Public
I,the undersigned, Secretary of American Safety Casualty Insurance Company, an Oklahoma corporation, DO HEREBY CERTIFY,that the foregoing
and attached Power of Attorney remains in full force and has not been revoked;and furthermore that the Resolution of the Board of Directors,set forth
in the said Power of Attorney,is now in force.
'ON-
Signed
and sealed in the City of Atlanta,in the State of Georgia ,,-.; Dated this25 day of A—" ` , /L l ,
:
„, . Ambuj Jain
ORIGINALS OF THIS POWER OF ATTORNEY ARE PRINTED WITH RED NUMERICAL;NUMBERS
DUPLICATES SHALL HAVE THE SAME FORCE AND EFFECT AS AN ORIGINAL ONLY WHEN ISSUED IN CONJUNCTION WITH THE ORIGINAL.
1. IMPORTANT NOTICE AVISO IMPORTANTE
To obtain information or make a complaint: Para obtener informacion o para someter una
queja:
2. You may contact your claims representative at Puede comunicarse con su claims representative al
1-800-388-3647. 1-800-388-3647.
3. You may call American Safety Casualty Usted puede Ilamar al numero de telefono gratis de
Insurance Company's toll-free telephone number American Safety Casualty Insurance Company's
for information or to make a complaint at: para informacion o para someter una queja al:
1-800-388-3647 1-800-388-3647
4. You may also write to American Safety Casualty Usted tambien puede escribir a American Safety
Insurance Company at: Casualty Insurance Company al:
100 Galleria Parkway, Suite 700 100 Galleria Parkway, Suite 700
Atlanta, GA 30339 Atlanta, GA 30339
5. You may contact the Texas Department of Puede Comunicarse con el Departamento de
Insurance to obtain information on companies, Seguros de Texas para obtener informacion acerca
coverages, rights or complaints at: de companias, coberturas, derechos o quejas al:
1-800-252-3439 1-800-252-3439
6. You may write the Texas Department of Puede escribir al Departamento de Seguros de
Insurance: Texas:
P. O. Box 149104 P. O. Box 149104
Austin, TX 78714-9104 Austin, TX 78714-9104
Fax: (512) 475-1771 Fax: (512) 475-1771
Web: http://www.tdi.state.tx.us Web: http://www.tdi.state.tx.us
E-mail: ConsumerProtection(a�tdi.state.tx.us E-mail: ConsumerProtection(a�tdi.state.tx.us
7. PREMIUM OR CLAIM DISPUTES: DISPUTAS SOBRE PRIMAS 0 RECLAMOS:
Should you have a dispute concerning your Si tiene una disputa concerniente a su prima o a un
premium or about a claim you should contact the reclamo, debe comunicarse con el agent o surety
agent or surety first. If the dispute is not resolved, primero. Si no se resuelve la disputa, puede
you may contact the Texas Department of entonces comunicarse con el departamento (TDI).
Insurance.
UNA ESTE AVISO A SU POLIZA: Este aviso es
8. ATTACH THIS NOTICE TO YOUR POLICY: solo para proposito de informacion y no se
This notice is for information only and does not convierte en parte o condicion del documento
become a part or condition of the attached adjunto.
document.