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Sandy Lake Med-CS040818T H E C I T Y O F COPPELL �. � S � August 18, 2004 Rick Hughes CF Jordan Construction 9639 Greenville Ave Dallas TX 75243 RE: Sandy Lake Plaza Medical Building Addition ( Coppell Health Care) Final Acceptance Dear Mr. Hughes: The improvements in the above referenced project were inspected during construction by the City of Coppell Engineering Department and were installed according to plans and our specifications governing such work. As of this date, the facilities are accepted subject to the two -year maintenance agreement. Thank you for your cooperation during this construction, and if I can be of further service, please contact me at (972) 304 -3685. Sincerely, G/ ar"Campbe 4g Construction Inspector Office Phone: (972) 304 -3685 Fax: (972) 304-3570 cc: Ken Griffin, Director of Engineering & Public Works Rhonda Brothers, Engineering Secretary Glenn Hollowell, Director of Public Works Greg Jones, Chief Building Official Tim Oates, Fire Marshal Travis Attanasio, Brockette- Davis -Drake 255 PARKWAY * P.O BOX 9470 * COPPELL TX 75019 * TEL 972/462 0022 * FAX 972/304 3673 AUG 12 2OG4 10 NO 077 P,1 "T � Sur4ty A Dlviaion gfP-U Insurance Company ?,b, Box 3967 Popria, IL 616123967 P4ow 309.692-1000 500- , 645 -2402 Fax: 309692.8637 I.NOW ALL MIEN BY THESE PRESENTS LICENSE AND PERMIT BOND Bo N RSB4 035 881 That we, Centennial Concrete, In as Principal, and the RLI Insurance Company, a corporation duly licMsed to do business in the state of _ TP xa as Surety, are held and firmly bound until the Vi , „f c„pn , State of Texas , Obligee, in the penal sum of Ten Thousand Dollars _ -- l$ 14.0 ) DOLLARS, lawflil money of the United States, to be paid to the said Obligee, for which payment well and truly to be made, we bind ourselves and our legal representatives, jointly and severally by these presents T- CONDITION OF THE ABOVE OBLIGATION IS SUCH, That whereas; the said Principal has beea licensed as a(n) C o n r te - e f P n„ t r a c to r by the Obligee. NOW, THEREFOM, if the said shall faiThWiy perform the, lftiie&Audan,all things comply With the laws ftd ordimaacei§ ; including all Amendments thereto, pertaining to the license or permit applied for, then this obligation to be void, othetWise to remain. , in full force and e5ect ti nti l fors period commenemg on the 12 t h da of A u g u s 2 0 0 4, . and eildinr oii the r day of A, j 9ii, t — , — 204L5 This bond may be terminated at any time by the Surety upon sending written notice to the clerk of the Political Subdivision with whom this bond is filed and to the Principal, addressed to them at their first knoru address, and at the expiration of thirty (30) days ' from the mailing of said notice, or as soon thereafter as permitted by applicable law, Whichever 1s later, this bond shall terminate and the Surety shall thereupon be relieved from any liability fox awry acts or omissions of the Principal subsequent to said date To or Corporate Officer) Countersigned By s�1� z +, 1),, t- Sharon Minitra Resident Agent Principal (Additional Parttler or Partners) aPOpy �'� RBI Insurance Company AL 0 S,r�`'` By C Jonathan E. Michael President R0 10120 ,30 R:�LRETf' 4 Division `?Mnsurance Company, pOWET OF ATTORNEY P o B ox irrevocable) Peoria, IL t,�b12 -3967 � Know AU Men by These Presents: BOND NO. RSB4035881 That this Power of Attorney is not valid or in effect unless attached to the bond which it authorizes executed, but may be detached by the approving officer if desired. That RLI Insurance Company, an Illinois corporation, does hereby make, constitute and appoint: BOBBIE WATKINS, SHIRLEY WEBB, SHARON MINITRF in the City of DALLAS , State of TEXAS its true and lawful Agent and Attorney -in -Fact, with full power and authoritv hereby conferred, to sign, execute, acknowledge and deliver for and on its behalf as Surety, the following bonds. An ORIGINAL bond required by Statute, Decree of Court or Ordinance for AUTHORITY - - LIMIT (A) _ FIDUCIARY ADMINISTRATOR'S, PERSONAL REPRESENTATIVE'S AND EXECUTOR'S 4 Division `?Mnsurance Company, pOWET OF ATTORNEY P o B ox irrevocable) Peoria, IL t,�b12 -3967 � Know AU Men by These Presents: BOND NO. RSB4035881 That this Power of Attorney is not valid or in effect unless attached to the bond which it authorizes executed, but may be detached by the approving officer if desired. That RLI Insurance Company, an Illinois corporation, does hereby make, constitute and appoint: BOBBIE WATKINS, SHIRLEY WEBB, SHARON MINITRF in the City of DALLAS , State of TEXAS its true and lawful Agent and Attorney -in -Fact, with full power and authoritv hereby conferred, to sign, execute, acknowledge and deliver for and on its behalf as Surety, the following bonds. An ORIGINAL bond required by Statute, Decree of Court or Ordinance for AUTHORITY - - LIMIT (A) _ FIDUCIARY ADMINISTRATOR'S, PERSONAL REPRESENTATIVE'S AND EXECUTOR'S $500,000 GUARDIAN'S, CONSERVATEE'S OR CONSERVATOR'S OF INCOMPETENT ADULTS $250,000 BANKRUPTCY TRUSTEE'S OR RECEIVER'S TO LIQUIDATE $250,000 REFEREE'S TRUSTEE'S, AND COMMISSIONER'S TO SELL. REAL ESTATE $250,000 RECEIVER'S IN STATE COURT ONLY $ 50,000 TESTAMENTARY TRUSTEE'S GUARDIAN'S OR CONSERVATOR'S OF MINORS $ 50,000 $ 10,000 (B) COURT PLAINTIFF'S BOND (EXCEPT RESTRAINING ORDER, INJUNCTION AND BAIL BONDS) (FOR BANKS) S25,000 DEFENDANT'S BOND $2 $2 00,000 ' Authority (C) LICENSE AND PERMIT COUNTY CITY TOWN, VILLAGE OR OTHER MUNICIPALITY AS OBLIGEE $25 STATE AS OBLIGEE (Except the following bonds) SPECIAL FUEL USER BOND No Aut Aut Authority CERTIFICATE OF TITLE ............... ............................... $ $ 15,000 OUTDOOR ADVERTISER ................... ............................... $ 10,000 PERSONNEL EMPLOYMENT ASSI STANCE ...................... ............................... $ 5,000 PUBLIC WEIGHER .................................................................. ............................... $ 5,000 SUPERHEAVY OVERSIZED OVER AXLE, OVER GROSS WEIGHT TOLERANCE PERMIT $ 15,000 XXXX XXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXX UNITED STATES OF AMERICA OR OTHER BRANCH OF THE FEDERAL GOVERNMENT - No Authority (D) CONTRACT OR PERFORMANCE OR LABOR AND MATERIAL OR SUB - DIVISION OR SITE IMPROVEMENT OR MAINTENANCE OR CONSTRUCTION BID BONDS No Authority (E) PUBLIC OFFICIAL NOTARY ANY PUBLIC OFFICIAL AND DEPUTIES (Except Agents for Fish and Game License) $ 50,000 $ 50,000 (F) ANY BOND OF INDEMNITY PROVIDED THERE IS ATTACHED TO THIS POWER OF ATTORNEY, WRITTEN AUTHORITY IN THE FORM OF AN ENDORSEMENT OR LETTER, SIGNED BY THE PRESIDENT, VICE PRESIDENT As SECRETARY, TREASURER OR ASSISTANT SECRETARY OF RLI Insurance Company SPECIFICALLY AUTHORIZING Determined ITS EXECUTION. FOR CONFIRMATION OF THE WRITTEN AUTHORITY PLEASE CONTACT RLI Insurance Company By RLI AT 800 - 645 -2402, (309- 692 -1000 IN ILLINOIS). Insurance Company Note: Authority Limit refers to the aggregate amount for any single obligation, regardless of the number of instruments issued for that obligation. THIS POWER OF ATTORNEY does not authorize any OPEN PENALTY BONDS OR UTILITY BONDS. The acknowledgment and execution of such document by the said Attorney -in -Fact shall be as binding upon this Company as if such bond had been executed and acknowledged by the regularly elected officers of this Company RLI Insurance Company further certifies that the following is a true and exact copy of a Resolution adopted by the Board of Directors of RLI Insurance Company, and now in force, to -wit: "All bonds, policies, undertakings, Powers of Attorney or other obligations of the corporation shall be executed in the corporate name of the Company by the President, Secretary any Assistant Secretary, Treasurer or an Vice President, or by such other officers as the Board of Directors may authorize. The President, any Vice President, Secretary any Assistant Secretary or the Treasurer may appoint Attorneys in Fact or Agents who shall have authority to issue bonds, policies, or undertakings in the name of the Companv The corporate seal is not necessary for the validity of anv bonds, policies, undertakings, Powers of Attomev or other obligations of the corporation. The signature of any such officer and the corporate seal may be printed by facsimile." IN WITNESS WHEREOF the said RLI Insurance Company has caused these presents to be executed by its President with its corporate seal affixed this 26TH day of MARCH 2003 ttt,un0" +w RLI Insurance Com an C 0 �o G oRPORA ).� ' S s SEAL State of Illinois ss County of Peoria L I •• p�`��.� , q , J1u N nr ,�N On this 26TH day of MARCH 2003 . before me, a Notary Public, persona y appeare onat n E. Mich_CT who being by me duly sworn, acknow e gge t at a signe the above Power of Attorney as the aforesaid officer of the RLI Insurance Company and acknowledged said instrument to be the voluntary act and deed of said corporation. "OFFICIAL SEAL" FVERIE cH t. MONTGOMERY Notary Public :OMMISS N LVMES 02 /02 /04 P y By P& President CERTIFICATE 1, the undersigned officer of RLI Insurance Company, a corporation of the State of Illinois, do hereby certify that the attached Power of Attorney is in full force and effect and is irrevocable; and furthermore, that the Resolution of the Company as set forth in the Power of Attorney is now / in�force In testimony whereof, I have a m to set y h d a d the se o &2S " RLI Insurance Company this * day of ;�� RLI Insurance Company By President 'IMPORTANT This date must be filled in before it is attached to the bon must be the same date as the bond. * * ** OLD REPUBLIC ** Old Republic Surety Company * * Old Republic Insurance Company * * Bituminous Casualty Corporation MAINTENANCE BOND BCN 1049500 BOND NO KNOW ALL MEN BY THESE PRESENTS That DIG ASSURED, INC as Principal, and Bituminous Casualty Corporation organized under the laws of the State of Illinois authorized to do a surety business in the State of Texas, Stemmo S uit e 4 Dallas, TX 75356 firmly bound unto City of Coppell, Texas in the sum of Eleven Thous Seven H and no /100 ($ 11,700 00 ), lawful money of the United States of America, for the payment of well and truly to be made, we bind ourselves, our heirs, executors, administrators, successors and assigns, jointly and severally, firmly by these presents SEALED with our seals and dated this 6th day of August 2004 WHEREAS, on the the said DIG ASSURED, INC as contractor, entered into a contract for WATER, STORM DRAINAGE AND SANITARY SEWER UTILITY WORK FOR Coppell Healthcare Coppell, Texas for the sum of Twenty -Three Thousand Three Hundred Nin ety -Seve a nd no /100 ( $ 23,397 00 ); and, WHEREAS, under the terms of the specifications for said work, the said DIG ASSURED, INC is required to give a bond for Eleven Thousand Seven Hundred and no /100 - - - - - - - - - - ($ 11,700 00 ) , to Drotect OF CO PPELL, TEXAS RIGHT OF WAY UTILITY WORK against the result of faulty materials or workmanship for a period of TWO year(s) from and after the date of the completion and acceptance of same, namely until August 6, 2006 NOW THEREFORE, if the said DIG ASSURED, INC shall for a period of TWO year(s) from and after the date of the completion and acceptance of same by CITY OF COPPELL, TEXAS replace any and all defects arising in said work whether resulting from defective materials or defective workmanship, the above obligation to be void; otherwise to remain in full force and effect in with office at 7610 as Surety, are held and a corporation and Principal DIG ASSURED, INC Surety Bituminous Casualty Corporation By Shane Allen President Ross Garrett Attorney -in -Fact BITUMINOUS Casualty Corporation POWER OF ATTORNEY KNOW ALL MEN BY THESE PRESENTS That BITUMINOUS CASUALTY CORPORATION an Illinois stock insurance corporation, sloes make constitute and appoint - ROSS GARRETT, KAREN HUTCHERSON, DEEANNA PRICE, OF EULESS, TX its true and lawful Attorneys -in -Fact. with full power and authority for and on behalf of the company as surety, to execute and deliver and affix the seal of the company thereto (if a seal is requirerfi bonds, midertakings recognizances or other written obligations in the nature thereof ,other than it bonds, bank depository bonds, mortgage deficiency bonds, mortga�� u., �,ty corns „rantees of install!! -en' papw !ilo i „to ; ilanty hr,,rd . self insrrance workers can sensation bonds guaranteeing payment of benefits, asbestos hate rent r .t; ,rt lion, v,slr ins;gement hands nwanut bcrds 1, ',lank tog hones, as follows. A LL WRITTEN INSTRUMENTS IN AN AMOUNT NOT TO EXCEED AN AGGREGATE OF ONE MILLION FIVE HUNDRED THOUSAND ($1,500,000) ----- - - - - -- FOR ANY SINGLE OBLIGATION, REGARDLESS OF THE NUMBER OF INSTRUMENTS ISSUED FOR THE OBLIGATION. and to h no RI -I iMINOUS LASUALTY CORPORATION thereby, and all of the acts of said Attorneys -in -Fact, pursuant to these presents, are ratified and confirmed. This document ,s not -,lid oflI = primed n; colored background and is multi - colored- This appointment is made under and by authority of the board of directors at a special meeting held on Seotemt,e, h lluwer of Attorney is signed and sealed by facsimile under and by the authority of the 'allowing resolutions adopted by the board of directors of the BITUMINUU , ASUALiY )RPORATION on September 1 1988 RESOLVF1) WRIWR that the chairman president, or any vice- president surety of the Corporation. in conjunction with the secretary or any assistant secretary of the r;orporat , he ancf heresy are authorized and directed to execute and deliver to such persons as such officers of the Corporation may deem appropriate, Powers of Attorney in t,;e `n, ,re�;enced to end attached to the minutes of this meeting. authorizing such persons to execute and deliver and affix the seal of the Corporation to bonds, undertakings, ie,;g,u j, 7 infi s,?retyship obligations of all kinds, other than bail bonds, bank depository bonds. mortgage deficiency bonds, mortgage guaranty bonds, guarantees of nstaun,. m aper ,nd ra;te guaranty bonds The said officers may revoke any Power of Attorney previously granted to any such person. The authority of any Power of Attorney oil rated r ioy .,ut:n ?it, "er ut the Corporation as aforesaid shall not exceed five million dollars ($5 000,000 00 except (a) bonds required to be filed as open penalty bonds, w)o 0: tiled with any court or governmental authority requiring an unlimited penalty in bonds filed in that count Pf 1 A 1 ijRFHFR tl rat i iy bond undertaking recognizance or suretyship obligation shall be valid and binding upon the Corporation �r �gred ? the hairman president or anv vice president surety of the Corporation and attested d sealed (if a seal be required) by any secretary or assistant :r. pttcq' .. ill vnen sign =d by duly authorized attorney -m -fact and sealed with the seal of the Corporation (if a seal is re(_luired). Rt �,, i IRTHFP tha the signature of any officer designated above and the seal of the Corporation, may h, affixed by facsimile to any Power of Attorney or certification fhe,eol ,ut~,oriz nu the execution, and delivery of any bond, undertaking, recognizance, or other suretyship obligations of the Corporation and such signature and seal when ;, ;sect have the same f „rce and effect as though manually affixed. IN N i NHFF3EOF BITUMINOUS CASUALTY CORPORATION has caused these ,resents to be signed by its proper officer, and its r or pot air .Pa V, br- :iffi Ked this- 2 Q TN day of TTTT-Y 9 n n 4__ BITUMINOUS CASUALTY CORPORATION SEA[. 9ec.re?ar, Suret Vice President - Surety STATE OF VViSGONSIN COUNTY OF WAUKESHA On this 2 0TH day of ,uTT,y 2 n n a , personally came before me, JAMES E. LEE and_._DAVID G. MENZEL to me known to be individuals and officers of the BITUMINOUS CASUALTY CORPORATION who executed the above nstr.in,ent and they each acknowledged the execution of the same and being by me duly sworn, did severally depose and say; that they are the said „ fficers of the corporation aforesaid and that the seal affixed to the above instrument is the seal of the corporation, and that said urporate seal and their signatures as such officers were duly affixed and subscribed to the said instrument by the authority of the board of directors of said corporation Notary Public My commission expires. 01/16/2005 CERTIFICA E I the :undersigned secretary of the BITUMINOUS CASUALTY CORPORATION an Illinois stock insurance corporation, CERTIFY that the foregoing and attached power of attorney remains in full force and has not been revoked and furthermore that the Resolutions of the board of i,erinrs set forth in the Power of Attorney are now in force 93-8130 = Signed and sealed at the City of Brookfield_ L/ day of SEAL /As sistant Secretary - Surety S W.I.S., INC. DBA DUNCAN, THIS DOCUMENT IS NOT VALID UNLESS PRINTED ON COLORED BACKGROUND AND IS MULTI ORSC 21 _ , ; -, TO: LANNIE McLAIN FR: DAWN LANKFORD DATE: 3 AUG 04 PAGES: 1 PLEASE PREPAREA 2 YEAR 50% MAINTENCE BOND FOR THE FOLLOWING. R. O. W, VA UES FOR: COPPELL HEAL THCARE STORM DRAIN 3 VF CONNECT TO EXISTING 110.00 330.00 TOTAL 330.00 WATER 90 LF 6" DR14 PVC WATER LINE 1300 1,17000 32 LF 8" DR14 PVC WATER LINE 16.00 512.00 7 EA IRON FITTINGS 30000 2,100.00 1 EA FIRE HYDRANT 1,400.00 1 1 EA 6" DETECTOR CHECK IN VAULT 6,200.00 6,200 00 1 EA 2" SERVICE W /DOUBLE CHECK 1,800.00 1,800.00 2 EA 6" GATE VALVE 595.00 1,190.00 1 EA 8" GATE VALVE 795.00 795.00 1 EA 8" TAP ON 12" MAIN 2,200.00 2,200.00 25 SY REMOVE /REPLACE PAVING 95.00 2,375.00 WATER TOTAL 19,742.00 SANITARY 20 LF 1 EA 1 EA 6" SANITARY BY BORE 85.00 WASTEWATER ACCESS DEVICE 1,050.00 CORE EXISTING MANHOLE 300.00 SANITARY TOTAL 1,70000 1,050.00 300.00 3,050.00 TRENCH SAFETY TOTAL R. 0. W 275.00 23,397.00 PH 972 488 8666 CELL. 214.208 5388 FX. 972 488 8482 E. dawn_lankford @digassured com