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HomeMy WebLinkAboutContract 48435-FP1 FORT WORTH. CITY SECRETARY ��-- CONTRACT NO. 'T- TRANSPORTATION AND PUBLIC WORKS NOTICE OF PROJECT COMPLETION (Developer Projects) e()q +eoALed /!/ 11City Pro ect Ns: 100327 Regarding contract 100327 for THE VILLAGES OF EAGLE MOUNTAIN PHASE III as required by the TRANSPORTATION&PUBLIC WORKS as approved by City Council on N/A through M&C N/A the director of the TRANSPORTATION&PUBLIC WORKS upon the recommendation of the Assistant Director of the "Transportation&Public Works Department has accepted the project as complete. Original Contract Price: $627,841.92 Amount of Approved Change Orders: Ne Revised Contract Amount: Total Cost Work Completed: $627,841.92 _ L p RecommeprPW or Acceptance Date t. Di A re - 17 �esjgn o Accept Date 4M Director, TRANSPORTATION & PUBLIC WORKS Asst. City Manager Departent of TP&W Const. Services Date CPN# y�Z Dat Project Manager Risk Management tanad07AB- Comments: D.O.E. Brotherton CFA Morales/Scanned 1 0-11b-I �► Gutzler/Scanned -10--( -M The Proceeding people have been Contacted OFFICIAL REM concerning the request for final payment& have CITY SES wI TARY DEC " I N117 released this project for such payment. I"T.ViOI''8"'H,TX Initialt --- Rev.9/22115 Clearance Conducted By PAma(az 99w* FORTWQRTH CITY OF FORT WORTH FINAL PAYMENT REQUEST Contract Name THE VILLAGES OF EAGLE MOUNTAIN PHASE III Contract Limits Project Type PAVING City Project Numbers 100327 DOE Number 0327 Estimate Number I Payment Number I For Period Ending 11/1/2017 CD City Secretary Contract Number Contract Time 6aD Contract Date Days Charged to Date 60 Contract is 100.00 Complete Project Manager NA Contractor JLB CONTRACTING,L.L.C. PO BOX 24131 FORT WORTH, TX 76124-1131 Inspectors DICKINSON / BUTLER Wednesday,November 1,2017 Page 1 of 4 City Project Numbers 100327 DOE Number 0327 Contract Name THE VILLAGES OF EAGLE MOUNTAIN PHASE III Estimate Number I Contract Limits Payment Number I Project Type PAVING For Period Ending 11/1/2017 Project Funding PAVING Item Description of Items Estimated Unit Unit Cost Estimated Completed Completed No Quanity Total Quanity Total 1 HYDRATED LIME 256.86 TN $160.00 $41,097.60 256.86 $41,097.60 2 6"LIME TREATMENT 17124 SY $2.00 $34,248.00 17124 $34,248.00 3 6"CONC PVMT 16063 SY $31.94 $513,052.22 16063 $513,052.22 4 4"CONC SIDEWALK 1480 SF $4.50 $6,660.00 1480 $6,660.00 5 BARRIER FREE RAMP 12 EA $1,116.00 $13,392.00 12 $13,392.00 6 BARRIER FREE RAMP 4 EA $807.00 $3,228.00 4 $3,228.00 7 REMOVE BARRICADE&CONNECT TO 8 EA $240.00 $1,920.00 8 $1,920.00 EXISTING PAVEMENT 8 PAVEMENT HEADER 58 LF $9.95 $577.10 58 $577.10 9 INSTALL TYPE III BARRICADE&RIP RAP 2 EA $3,421.00 $6,842.00 2 $6,842.00 10 FURNISHANSTALL ALUM SIGN GROUND 5 EA $470.00 $2,350.00 5 $2,350.00 MOUNT CITY I 1 FURNISH/INSTALL ALUM SIGN GROUND 2 EA $416.00 $832.00 2 $832.00 MOUNT CITY 12 FURNISH/INSTALL ALUM SIGN EX.POLE 1 EA $113.00 $113.00 1 $113.00 MOUNT 13 FURNISHANSTALL ALUM SIGN STREET LIGHT I EA $202.00 $202.00 1 $202.00 MOUNT BLADE PAIR ONLY 14 RDWY SIGN 2 EA $416.00 $832.00 2 $832.00 15 RDWY SIGN 2 EA $416.00 $832.00 2 $832.00 16 RDWY SIGN 4 EA $416.00 $1,664.00 4 $1,664.00 --------- ---- Sub-Total of Previous Unit $627,841.92 $627,841.92 Wednesday,November 1,2017 Page 2 of 4 City Project Numbers 100327 DOE Number 0327 Contract Name THE VILLAGES OF EAGLE MOUNTAIN PHASE III Estimate Number I Contract Limits Payment Number I Project Type PAVING For Period Ending 11/1/2017 Project Funding Contract Information Summary Original Contract Amount $627,841.92 Chance Orders Total Contract Price $627,841.92 Date 46// Total.7 Total Cost of Work Completed $627,841.92 Contractor Less %Retained $0.00 / Net Earned $627,841.92 Date��^�&—1,7 Earned This Period $627,841.92 Inspection Supervisor Retainage This Period $0.00 Date C27 /7 Less Liquidated Damages *Asst. ect Days @ /Day $0.00 Date LessPavement Deficiency $0.00 I an ons uch n r Less Penalty $0.00 / 7C�e 1 Less Previous Payment $0.00 Date Director/ ontracting Departm t Plus Material on Hand Less 15% $0.00 Balance Due This Payment $627,841.92 Wednesday,November 1,2017 Page 3 of 4 City Project Numbers 100327 DOE Number 0327 Contract Name THE VILLAGES OF EAGLE MOUNTAIN PHASE III Estimate Number 1 Payment Number I Contract Limits For Period Ending 11/1/2017 Project Type PAVING Project Funding Project Manager NA City Secretary Contract Number Inspectors DICKINSON / BUTLER Contract Date Contractor 7LB CONTRACTING,L.L.C. Contract Time 60 CD PO BOX 24131 Days Charged to Date 60 CD FORT WORTH, TX 76124-1131 Contract is .000000 Complete CITY OF FORT WORTH SUMMARY OF CHARGES Line Fund Account Center Amount Gross Retainage Net Funded Total Cost of Work Completed $627,841.92 Less %Retained $0.00 Net Earned $627,841.92 Earned This Period $627,841.92 Retainage This Period $0.00 Less Liquidated Damages 0 Days @ $0.00 /Day $0.00 LessPavement Deficiency $0.00 Less Penalty $0.00 Less Previous Payment $0.00 Plus Material on Hand Less 15% $0.00 Balance Due This Payment $627,841.92 Wednesday,November 1,2017 Page 4 of 4 rev 03/05/07 FoRTWORTH � i TRANSPORTATION &PUBLIC WORKS FINAL STATEMENT OF CONTRACT TIME FINAL STATEMENT NO.:I NAME OF PROJECT: The Villages of Eagle Mountain Phase 43 PROJECT NO.: 327 CONTRACTOR: JLB Contracting DOE NO.: NA PERIOD FROM:03/14/17 TO: 05/13/17 FINAL INSPECTION DATE: 23-Oct WORK ORDER EFFECTIVE:10/30/2017 CONTRACT TIME: 601 0 W9* CD DAYS DAY ODAYS F REASON FOR DAYS DAY OF CHARGED REASON FOR DAYS CHARGED CREDITED MONTH CREDITED MONTH DURING DURING 1. 16. 2. 17. 3. 18. 4. 19. 5. 20. 6. 21. 7. 22. 8. 23. 9. 24. 10. 25. 11. 26. 12. 27. 13. 28. 14. 29. 15. 30. 31. SAT,SUN, RAIN,TOO WET, UTILITIES OTHERS* DAYS TOTAL &HOLIDAYS &TOO COLD RELOCATIONS CHARGED DAYS THIS 0 0 0 163 60 223 PERIOD PREVIOUS 0 0 0 0 0 0 PERIOD TOTALS 0 0 0 163 60 223 TO DATE *REMARKS: CONTRACTOR DATE INSPECTOR DATE ENGINEERING DEPARTMENT The City of Fort Worth•1000 Throckmorton Street•Fort Worth,TX 76012-6311 n ' (817)392-7941 •Fax:(817)392-7845 FORTWORTHREV:02/22/07 TRANSPORTATION AND PUBLIC WORKS CONTRACTOR'S EVALUATION OF CITY I PROJECT INFORMATION Date: 11/3/2017 Project Name Name of Contractor amThe Villages of Eagle Mountain Phase#3 JLB Contracting DOE Inspector Project Manager Donald Watson Aro Long DOE Number Project D culty 7)pe of Cono-act 100327 O Simple ❑Q Routine ❑ Complex ❑ Water❑ Waste Water❑ Storm Drainage0 Pavement Initial Contract Amount Final Contract Amount $627,841.92 $627,841.92 II)PERFORMANCE EVALUATION 0-Inadequate 1 -Deficient 2-Standard 3 -Good 4-Excellent RATING ELEMENT RATING ELEMENT (0-4) (0-4) PLANS&SPECIFICATIONS INSPECTION EVALUATION – – - 1 Availabili of Inspector 1 Accuracy of Plans to Existing Conditions 2 Knowledge of Inspector 2 Clarity& Sufficiency of Details n 3 Accuracy of Measured Quantities 3 Applicability of Specifications 4 Display Of Professionalism— 5 Accuracy of Plan Quantities -- s Citizen PROJECT MANAGER EVALUATION 5 Complaint Resolution _ _ -- -�- -- 6 Performance- Setting up Valve Crews,Labs 1 Knowledge And/or Problem Resolution r -- - 2Availability of Project Manager ADMINISTRATION T- 1 Chane Order Processing Time 3 Communication �-..__ g - 2 Timliness of Contractor Payments 4 Resolution of Utility Conflicts_ 3 Bid Opening to Pre-Con Meeting Timeframe III)COMMENTS&SIGNATURES COMMENTS Signature Contractor Signature DOE Inspector Signature DOE Inspector's Supervisor INSPECTOR'S COMMENTS —TRANSPORTATION AND PUBLIC WORKS The City of Fort Word,• 1000 Throckmorton Street•Fort Worth TY 76012-6311 (817)392-7941 •Fax: (817) 392-7845 FORTWORTH REV:02/20/07 TRANSPORTATION ANL PUBLIC WORTzS PERFORMANCE EVALUATION OF CONTRACTOR I) CONTRACTOR&PROJECT DATA Nance of Contractor Project Name Name Villages of Eagle Mountain Phase 93 JLB Contracting DOE Inspector DOE Number 100327 Donald Watson Project reect Manager DOE Inspector Water❑ Waste Water❑ Storm Drainage0 Pavement Aron Long Initial Contract Amount ProjectDiculty $627,841.92 Q Simple Q Routine Q Complex Final Contract Amount Date $627,841.92 11/3/2017 II)PERFORMANCE EVALUATION 0-Inadequate 1-Deficient 2-Standard 3-Good 4-Excellent ELEMENT WEIGHT(X) APPLICABLE(Y/N) RATING(0-4) MAX SCORE SCORE 4 g 8 1 Submission of Documents 2 Y 20 20 2 Public Notifications 5 Y 4 3 Plans on Site 5 Y 3 20 1560 45 4 Field Supervision 15 Y 3 Y 3 60 45 5 Work Performed 15 60 60 6 Finished Product 15 Y 4 Y 4 60 60 7 Job Site Safety 15 3 60 45 8 Traffic Control Maintenance 15 Y Y 3 20 15 9 Daily Clean Up 5 4 20 20 10 Citizen's Complaint Resolution 5 Y 5 Y 3 20 15 11 Property Restoration 20 15 12 After Hours Response 5 Y 3 Y 3 20 15 13 Project Completion 5 TOTAL ELEMENT SCORE(A) 378 BONUS POINTS(25 Maximum)(B) TOTAL SCORE(TS) 378 III)CONTRACTOR'S RATING Maximum Score(MS)=448 or sum of applicable element score maximums which= 448 Rating(ITS/MS] * 100%) 378 / 448 = 84% Performance Category Excellent <20%=Inadequate 20%to<40%=Deficient 40%to<60%=Standard 60%to<80%=Good >_80%=Excellent Inspector's Comments(INCLUDING EXPLANATION OF BONUS POINTS AWARDED) Signature DOE Inspector Signature Contractor Signature DOE Inspector's Supervisor CONTRACTOR'S COMMENTS TRANSPORTATION AND PUBLIC WORKS The City of Fort Worth• 1000 Throckmorton Street•Fort Worth,TK 76012-6311 D (817) 392-7941 •Fax: (817)392-7845 AB Contracting, LLC PO Box 24131 Fort Worth, TX 76124 AFFIDAVIT STATE OF TEXAS COUNTY OF TARRANT Before me, the undersigned authority, a Notary Public in the state aforesaid, on this day personally appeared SAM DAVIS, PRESIDENT OF JLB CONTRACTING, LLC, known to me to be a credible person, who being by me duly sworn, upon his oath disposed and said: That all persons, firms, associations, corporations or other organizations furnishing labor and/or materials have been paid in full; That there are no claims pending for personal injury and/or property damages; On contract described as Villages of Eagle Mountain — Phase III, Fort Worth, Texas JLB CONTRACTING, LLC BY ''-� President Subscribed and sworn before me on this ay of I`�D✓�^ �� 12011. JAMIE GREENWAY �Pf1V PVei _Notary Public,State of Texas . Comm. Expires 09-25-2020NOT RY PU LIC IN AND F '•;FOF`�.` Notary ID 1211545-4 z T RgNT COUNTY, TEXAS My commission expire ' CONSENT OF OWNER ❑ SURETY COMPANY ARCHITECT ❑ CONTRACTOR ❑ TO FINAL PAYMENT SURETY ❑ OTHER (SIMILAR TO AIA DOCUMENT G707) Bond No. 4598238 PROJECT: The Villages of Eagle Mountain - Phase III (name,address)Fort Worth, Texas TO (Owner) ARCHITECT'S PROJECT NO: F—City of Fort Worth CONTRACT FOR: Above Project 200 Texas Street Fort Worth, Texas 76102 CONTRACT DATE: CONTRACTOR: JLB Contracting, LLC 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) Westfield Insurance Company 555 Republic Drive, Suite 450 Plano, Texas 75074 ,SURETY COMPANY, on bond of(here insert name and address of Contractor) JLB Contracting, LLC P.O. Box 24131 'CONTRACTOR, Fort Worth, Texas 76124 hereby approves of the final payment to the Contractor, and agrees that the 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 Fort Worth 200 Texas Street OWNER, Fort Worth, Texas 76102 as set forth in the said Surety Company's bond. IN WITNESS WHEREOF, The Surety Company has hereunto set its hand this 7th day of November 2017 WESTFIELD INSURANCE COMPANY Surety Comp By Signature o uthorized'kepresentative Attest: , (Seal): Kyle W Sweeney Attorney-in-Fact Title Note:This form is intended to b;,used as a companion document to the Contractor's Affidavit of Payment of Debts and Claims,Current Edition THIS POWER OF ATTORNEY SUPERCEDES ANY PREVIOUS POWER BEARINU I HIZ5 JAMt POWER#AND ISSUED PRIOR TO 04120/11, FOR ANY PERSON OR PERSONS NAMED BELOW. POWER NO. 4220052 06 General Westfield Insurance Co. Power of Attorney Westfield National Insurance Co. Ohio Farmers Insurance Co. CERTIFIED COPY Westfield Center, Ohio Know All Men by These Presents, That WESTFIELD INSURANCE COMPANY, WESTFIELD NATIONAL INSURANCE COMPANY and OHIO FARMERS INSURANCE COMPANY, corporations, hereinafter referred to individually as a "Company- and collectively as "Companies," duly organized and existing under the laws of the State of Ohio, and having its principal office in Westfield Center, Medina County, Ohio, do by these presents make,constitute and appoint CHARLES D. SWEENEY, MICHAEL A. SWEENEY, KYLE W. SWEENEY, ELIZABETH GRAY, JOINTLY OR SEVERALLY of FORT WORTH and State of TX its true and lawful Attorney(s)-in-Fact,with full power and authority hereby conferred in its name, place and stead, to execute, acknowledge and deliver any and all bonds, recognizances, undertakings, or other instruments or contracts of suretyship- - - - - - - - -- - - - - - - - - - - - - - - - - - - - - - - -- - - - - - -- LIMITATION: THIS POWER OF ATTORNEY CANNOT BE USED TO EXECUTE NOTE GUARANTEE, MORTGAGE DEFICIENCY, MORTGAGE GUARANTEE, OR BANK DEPOSITORY BONDS. and to bind any of the Companies thereby as fully and to the same extent as if such bonds were signed by the President,sealed with the corporate seal of the applicable Company and duly attested by its Secretary, hereby ratifying and confirming all that the said Attorney(s)-in-Fact may do in the premises. Said appointment is made under and by authority of the following resolution adopted by the Board of Directors of each of the WESTFIELD INSURANCE COMPANY,WESTFIELD NATIONAL INSURANCE COMPANY and OHIO FARMERS INSURANCE COMPANY: "Be It Resolved,that the President,any Senior Executive, any Secretary or any Fidelity& Surety Operations Executive or other Executive shall be and is hereby vested with full power and authority to appoint any one or more suitable persons as Attorney(s)-in-Fact to represent and act for and on behalf of the Company subject to the following provisions: The Attorney-in-Fact. may be given full power and authority for and in the name of and on behalf of the Company,to execute,acknowledge and deliver, any and all bonds, recognizances, contracts, agreements of indemnity and other conditional or obligatory undertakings and any and all notices and documents canceling or terminating the Company's liability thereunder, and any such instruments so executed by any such Attorney-in-Fact shall be as binding upon the Company as if signed by the President and sealed and attested by the Corporate Secretary." "Be it Further Resolved,that the signature of any such designated person and the seal of the Company heretofore or hereafter affixed to any power of attorney or any certificate relating thereto by facsimile,and any power of attorney or certificate bearing facsimile signatures or facsimile seal shall be valid and binding upon the Company with respect to any bond or undertaking to which it is attached." (Each adopted at a meeting held on February 8,2000). In Witness Whereof, WESTFIELD INSURANCE COMPANY, WESTFIELD NATIONAL INSURANCE COMPANY and OHIO FARMERS INSURANCE COMPANY have caused these presents to be signed by their Senior Executive and their corporate seals to be hereto affixed this 20th day of APRIL A.D.,2011 Corporate s ay"" tiy, • N " "•. WESTFIELD INSURANCE COMPANY P �•' Yft �\o AC f,11SUpp��"� Seals tsQN,.•• .,C�%< <r`a?.• NSG: WESTFIELD NATIONAL INSURANCE COMPANY Affixed 4' .n. ''•.p o; P: ��:'• :e^ OHIO FARMERS INSURANCE COMPANY ti SEALRTEa4f� _ „e. 849 A_ 1 .'�_ { • . . By: State of Ohio •••.*.•1••''`• """"' �•" Richard L. Kinnaird, Jr., National Surety Leader and County of Medina ss.: Senior Executive On this 20th day of APRIL A.D.,2011 , before me personally came Richard L. Kinnaird, Jr. to me known, who, being by me duly sworn, did depose and say,that he resides-in Medina, Ohio;that he is Senior Executive of WESTFIELD INSURANCE COMPANY,WESTFIELD NATIONAL INSURANCE COMPANY and OHIO FARMERS INSURANCE COMPANY, the companies described in and which executed the above instrument;that he knows the seals of said Companies;that the seals affixed to said instrument are such corporate seals;that they were so affixed by order of the Boards of Directors of said Companies;and that he signed his name thereto by like order. Notarial �•..•••••�'N••..,,,, Seal r`°�\A L S a• Affixed O\`"tr/�% William J. Kahelin,A rney at Law, Notary Public State of Ohio :N d O My Commission Does Not Expire(Sec. 147.03 Ohio Revised Code) County of Medina ss.: y I, Frank A..Carrino, Secretary of WESTFIELD INSURANCE COMPANY,WESTFIELD NATIONAL INSURANCE COMPANY and OHIO FARMERS INSURANCE COMPANY, do hereby.certify that the above and foregoing is a true and correct copy of a Power of Attorney, executed by said Companies,which is still in full force and effect;and furthermore,the resolutions of the Boards of Directors,set out in the Power of Attorney are in full force and effect. In Witness Whereof, I have hereunto set my hand and affixed the seals of said Companies at Westfield Center, Ohio, this 7th day of Nove W.- AD+'" 2017 OasUfll.t�`c P�\ONA(CO P SEn -�: •� CHAR fRE'p �� 4 Nf '-�" - SEAL :m_ zo :mac / Secretary � � •:o, ;,1849.`�= Frank A. Carrino, Secretary RPOAC2 (combined) (06-02) CONSENT OF OWNER ❑ SURETY COMPANY ARCHITECT ❑ CONTRACTOR ❑ TO FINAL PAYMENT BUROTHET ❑ (SIMILAR TO AIA DOCUMENT G707) Bond No. 4598238 PROTECT: The Villages of Eagle Mountain - Phase III (name,address)Fort Worth, Texas TO (Owner) ARCHITECT'S PROJECT NO: City of Fort Worth CONTRACT FOR: Above Project 200 Texas Street Fort Worth, Texas 76102 CONTRACT DATE: CONTRACTOR: TLB Contracting, LLC 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) Westfield Insurance Company 555 Republic Drive, Suite 450 Plano, Texas 75074 SURETY COMPANY, on bond of(here insert name and address of Contractor) JLB Contracting, LLC P.O. Box 24131 CONTRACTOR, Fort Worth, Texas 76124 hereby approves of the final payment to the Contractor, and agrees that the 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 Fort Worth 200 Texas Street Fort Worth, Texas 76102 OWNER, as set forth in the said Surety Company's bond. IN WITNESS WHEREOF, The Surety Company has hereunto set its hand this 7th day of November 2017 WESTFIELD INSURANCE COMPANY Surety Company By Signature of ed epresentative Attest: i (Seal): Kyle W. Sweeney Attorney-in-Fact Title Note:This form is'mended to be used as a companion document to the Contractor's Affidavit of Payment of Debts and Claims,Current Edition THIS POWER OF ATTORNEY SUPERCEDES ANY PREVIOUS POWER BEARING 1 HIS SAMt POWER#AND ISSUED PRIOR TO 04/20111, FOR ANY PERSON OR PERSONS NAMED BELOW. POWER NO. 4220052 06 General Westfield Insurance Co. Power of Attorney Westfield National Insurance Co. Ohio Farmers Insurance Co. CERTIFIED COPY Westfield Center, Ohio Know All Men by These Presents, That WESTFIELD INSURANCE COMPANY, WESTFIELD NATIONAL INSURANCE COMPANY and OHIO FARMERS INSURANCE COMPANY, corporations, hereinafter referred to individually as a "Company" and collectively as "Companies," duly organized and existing under the laws of the State of Ohio, and having its principal office in Westfield Center, Medina County, Ohio, do by these presents make,constitute and appoint CHARLES D. SWEENEY, MICHAEL A. SWEENEY, KYLE W.SWEENEY, ELIZABETH GRAY, JOINTLY OR SEVERALLY of FORT WORTH and State of TX its true and lawful Attorney(s)-in-Fact,with full power and authority hereby conferred in its name, place and stead, to execute, acknowledge and deliver any and all bonds, recognizances, undertakings, or other instruments or contracts of suretyship- - - - - - - - -- - - - - - - - - - - - - - - - - - - - - - - -- - - - - - - - - - - - - - - - - - - - - - - -- - - - - LIMITATION: THIS POWER OF ATTORNEY CANNOT BE USED TO EXECUTE NOTE GUARANTEE, MORTGAGE DEFICIENCY, MORTGAGE GUARANTEE, OR BANK DEPOSITORY BONDS. and to bind any of the Companies thereby as fully and to the same extent.as if such bonds were signed by the President,sealed with the corporate seal of the applicable Company and duly attested by its Secretary, hereby ratifying and confirming all that the said Attorney(s)-in-Fact may do in the premises. Said appointment is made under and by authority of the following resolution adopted by the Board of Directors of each of the WESTFIELD INSURANCE COMPANY,WESTFIELD NATIONAL INSURANCE COMPANY and OHIO FARMERS INSURANCE COMPANY: "Be It Resolved,that the President, any Senior Executive, any Secretary or any Fidelity& Surety Operations Executive or other Executive shall be and is hereby vested with full power and authority to appoint any one or more suitable persons as Attorney(s)-in-Fact to represent and act for and on behalf of the Company subject to the following provisions: The Attorney-in-Fact may be given full power and authority for and in the name of and on behalf of the Company,to execute,acknowledge and deliver,any and all bonds, recognizances, contracts, agreements of indemnity and other conditional or obligatory undertakings and any and all notices and documents canceling or terminating the Company's liability thereunder, and any such instruments so executed by any such Attorney-in-Fact shall be as binding upon the Company as if signed by the President and sealed and attested by the Corporate Secretary." 'Be it Further Resolved,that the signature of any such designated person and the seal of the Company heretofore or hereafter affixed to any power of attorney or any certificate relating thereto by facsimile,and any power of attorney or certificate bearing facsimile signatures or facsimile seal shall be valid and binding upon the Company with respect to any bond or undertaking to which it is attached." (Each adopted at a meeting held on February 8,2000). -In Witness Whereof, WESTFIELD INSURANCE COMPANY, WESTFIELD NATIONAL INSURANCE COMPANY and OHIO FARMERS INSURANCE COMPANY have caused these presents to be signed by their Senior Executive and their corporate seals to be hereto affixed this 20th day of APRIL A.D.,2011 Corporate r�•"'s�}I,t "•., 1nNgr'Z ��NSup�:,, WESTFIELD INSURANCE COMPANY Seals �� .«•••.NC•" ,•`SPT.• -.!bg'' �S -'7 WESTFIELD NATIONAL INSURANCE COMPANY Affixed �v`• w+ '+t►= ?o: •GA ;'�`` •'��'e�`a OHIO FARMERS INSURANCE COMPANY 4 N• r�J� ♦ro :F-: SEAL :m_ '1 ''•.� �r j "; :. •:O; ��dr': 1846 State of Ohio "" " ""............ Richard L. Kinnaird, Jr., National Surety Leader and County of Medina ss.: Senior Executive On this 20th day of APRIL A.D.,2011 , before me personally came Richard L. Kinnaird, Jr. to me known, who, being by me duly sworn, did depose and say,that he resides An Medina, Ohio;that he is Senior Executive of WESTFIELD INSURANCE COMPANY,WESTFIELD NATIONAL INSURANCE COMPANY and OHIO FARMERS INSURANCE COMPANY, the companies described in and which executed the above instrument;that he knows the seals of said Companies;that the seals affixed to said instrument are such corporate seals;that they were so affixed by order of the Boards of Directors of said Companies;and that he signed his name thereto by like order. Notarial ` Seal ai A I_ Affixed ........ O.�����/ •' William J. Kahelin,A rney at Law, Notary Public State of Ohio -0% d 40 My Commission Does Not Expire(Sec. 147.03 Ohio Revised Code) County of Medina ss.: y I, Frank A.Carrino, Secretary of WESTFIELD INSURANCE COMPANY,WESTFIELD NATIONAL INSURANCE COMPANY and OHIO FARMERS INSURANCE COMPANY, do hereby.certify that the above and foregoing is a true and correct copy of a Power of Attorney, executed by said Companies,which is still in full force and effect;and furthermore,the resolutions of the Boards of Directors, set out in the Power of Attorney are in full force and effect. In Witness Whereof, I have hereunto set my hand and affixed the seals of said Companies at Westfield Center, Ohio, this 7th day of A of 2017 ., SIMi t�4 2► u~i', SEALn; : 1 c 1 / Secretary X48 : = Frank A. Carrino, Secfetary BPOAC2 (combined) (06-02)