HomeMy WebLinkAboutContract 50944-FP1 City Secretary 50944 -FP1
Contract No.
FORTWORTH., Date Received Jun 29,2020
NOTICE OF PROJECT COMPLETION
(Developer Projects)
The Transportation and Public Works Department upon the recommendation of the Project
Manager has accepted the following project as complete:
Project Name: ROCK CREEK RANCH TARLETON STATE UNIVERSITY BREWER BLVD
City Project No.: 101459
Improvement Type(s): ® Paving ® Drainage ® Street Lights ❑ Traffic Signals
Original Contract Price: $5,547,912.00
Amount of Approved Change Order(s): $214,241.33
Revised Contract Amount: $5,762,153.33
Total Cost of Work Complete: $5,762,153.33
nywe#Ed e,� Jun 25 2020
Carmen Estep(Jun 25,20 13:03 CDT) f
Contractor Date
Office Manager
Title
Jackson Construction,Ltd
Company Name
Wu�uuxt�i�,e�Rabef-soti
William RileyRoberson(Jun 25,202014:20 CDT) Jun 25,2020
Project Insp or Date
Debbie J.Willhelm,P n 25,202014:59 CDT) Jun 25,2020
Project Manager Date
Laurie Lewis(Jun 26,202015:14 CDT) Jun 26,2020
CFA Manager Date
0aN41 9&6E Jun 272020
Dana Burghdoff(Mn 27,20 09:28 CDT) f
Asst. City Manager Date
OFFICIAL RECORD
CITY SECRETARY Page 1 of 2
FT. WORTH, TX
Notice of Project Completion
Project Name: ROCK CREEK RANCH TARLETON STATE UNIVERSITY BREWER BLVD
City Project No.: 101459
City's Attachments
Final Pay Estimate
Change Order(s): ® Yes ❑ N/A
Contractor's Attachments
Affidavit of Bills Paid
Consent of Surety
Statement of Contract Time
Contract Time: 240 CD Days Charged: 423
Work Start Date: 6/8/2018 Work Complete Date: 10/3/2019
Page 2of2
FORT WORTH
CITY OF FORT WORTH
FINAL PAYMENT REQUEST
Contract Name ROCK CREEK RANCH
Contract Limits TARLETON STATE UNIVERSITY BREWER BLVD
Project Type PAVING&STORM DRAIN
City Project Numbers 101459
DOE Number 1459
Estimate Number 1 Payment Number 1 For Period Ending 6/23/2020
CD
City Secretary Contract Number Contract Time 346D
Contract Date Days Charged to Date 423
Project Manager NA Contract is 100.00 Complete
Contractor JACKSON CONSTRUCTION LTD
5112 SUN VALLEY DRIVE
FORT WORTH, TX 76119
Inspectors DICKINSON/ MCLAURIN
Tuesday,June 23,2020 Page 1 of 7
City Project Numbers 101459 DOE Number 1459
Contract Name ROCK CREEK RANCH Estimate Number 1
Contract Limits TARLETON STATE UNIVERSITY BREWER BLVD Payment Number 1
Project Type PAVING&STORM DRAIN For Period Ending 6/23/2020
Project Funding
PAVING
Item Description of Items Estimated Unit Unit Cost Estimated Completed Completed
No. Quanity Total Quanity Total
---------------------------------------
1 REMOVE&DISPOSE EXISTING ASPHALT 1045 SY $7.00 $7,315.00 1045 $7,315.00
PVMT CO#2
2 4"CONDT PVC SCH 40 200 LF $11.00 $2,200.00 200 $2,200.00
3 SITE CLEARING 40.79 AC $4,895.00 $199,667.05 40.79 $199,667.05
4 UNCALSSIFIED EXCAVATION BY PLAN 94152 CY $4.85 $456,637.20 94152 $456,637.20
5 EMBANKMENT BY PLAN 5368 CY $1.00 $5,368.00 5368 $5,368.00
6 SWPPP 1 LS $30,000.00 $30,000.00 1 $30,000.00
7 HYDRATED LIME MATERIAL 698 TN $159.91 $111,617.18 698 $111,617.18
8 8"COMPACTED LIME SUBGRADE 43594 SY $2.80 $122,063.20 43594 $122,063.20
9 2"ASPHALT PVMT TYPE D CO#2 694.15 SY $65.00 $45,119.75 694.15 $45,119.75
10 4"ASPHALT BASE TYPE B CO#2 694.15 SY $81.00 $56,226.15 694.15 $56,226.15
11 8"REINF.CONCRETE STREET PAVEMENT 4374.4 SY $39.65 $173,444.96 4374.4 $173,444.96
CO#2
12 10"REINF.CONCRETE STREET PAVEMENT 33288 SY $40.95 1,363,143.60 33288 1,363,143.60
13 8"REINF.CONCRETE STREET PAVEMENT 506 SY $107.00 $54,142.00 506 $54,142.00
(RED STAMPED IN ROUNDABOUT)
14 4"CONCRETE SIDEWALK 11699 LF $39.00 $456,261.00 11699 $456,261.00
15 4"CONCRETE SIDEWALK 1555 LF $28.00 $43,540.00 1555 $43,540.00
16 BARRIER FREE RAMPS 16 EA $1,200.00 $19,200.00 16 $19,200.00
17 4"SLD PVMT MARKING HAS 987.025 LF $0.80 $789.62 987.025 $789.62
18 4"SLD PVMT MARKING HAS 21156 LF $0.80 $16,924.80 21156 $16,924.80
19 4"BRK PVMT MARKING HAS 1089 LF $0.85 $925.65 1089 $925.65
20 4"BRK PVMT MARKING HAS 1429 LF $0.85 $1,214.65 1429 $1,214.65
21 8"DOT PVMT MARKING HAS 205 LF $2.50 $512.50 205 $512.50
22 8"SLD PVMT MARKING HAS 422 LF $1.60 $675.20 422 $675.20
23 8"SLD PVMT MARKING HAS 530 LF $1.60 $848.00 530 $848.00
24 24"SLD PVMT MARKING HAE 429 LF $10.00 $4,290.00 429 $4,290.00
25 LANE LEGEND ARROW 12 EA $320.00 $3,840.00 12 $3,840.00
26 REFL RAISED MARKER 232 EA $3.75 $870.00 232 $870.00
27 REFL RAISED MARKER 16 EA $3.75 $60.00 16 $60.00
28 TOPSOIL 2211 CY $28.50 $63,013.50 2211 $63,013.50
29 BLOCK SOD PLACEMENT 20108 SY $4.00 $80,432.00 20108 $80,432.00
Tuesday,June 23,2020 Page 2 of 7
City Project Numbers 101459 DOE Number 1459
Contract Name ROCK CREEK RANCH Estimate Number 1
Contract Limits TARLETON STATE UNIVERSITY BREWER BLVD Payment Number 1
Project Type PAVING&STORM DRAIN For Period Ending 6/23/2020
Project Funding
30 SEEDING BROADCAST CO#2 120387 SY $1.00 $120,387.00 120387 $120,387.00
31 TRAFFIC CONTROL 12 MO $1,865.00 $22,380.00 12 $22,380.00
32 END OF ROAD BARRICADE CO#2 8 EA $1,500.00 $12,000.00 8 $12,000.00
35 HYDRATED LIME MATERIAL CO#1 348.402 EA $160.00 $55,744.32 348.402 $55,744.32
36 FIRE HYDRATED STEM EXTENSION CO#1 8 EA $2,750.00 $22,000.00 8 $22,000.00
37 MANHOLE ADJUSTMENT MAJOR W/COVER 7 EA $3,404.00 $23,828.00 7 $23,828.00
(60"VAULT)CO#1
38 MANHOLE ADJUSTMENT MAJOR W/COVER 8 EA $3,625.00 $29,000.00 8 $29,000.00
(72"VAULT)CO#1
39 REFL.PAV.MRK.TY:1(W)(WORD)(YIELD) 6 EA $214.50 $1,287.00 6 $1,287.00
CO#1
Sub-Total of Previous Unit $3,606,967.33 $3,606,967.33
STREET LIGHT
Item Description of Items Estimated Unit Unit Cost Estimated Completed Completed
No. Quanity Total Quanity Total
1 2"CONDT PVC SCH 80 DEL CO#1 11542 LF $8.00 $92,336.00 11542 $92,336.00
2 FURNISH/INSTALLELEC SERV PEDESTAL 2 EA $7,000.00 $14,000.00 2 $14,000.00
3 LED LIGHTING FIXTURE 69 EA $500.00 $34,500.00 69 $34,500.00
4 RDWY ILLUM FOUNDATION CO#1 64 EA $1,250.00 $80,000.00 64 $80,000.00
5 RDWY ILLUM TY 18 POLE CO#1 64 EA $2,450.00 $156,800.00 64 $156,800.00
6 2-2-2-4 QUADPLEX ALUM ELEC CONDUCTOR 11542 LF $2.00 $23,084.00 11542 $23,084.00
CO#1
7 FURNISH/INSTALL DECOR MAST ARM 16'-36' 3 EA $3,000.00 $9,000.00 3 $9,000.00
8 FURNISH/INSTALL ALUM SIGN GROUND CITY 63 EA $400.00 $25,200.00 63 $25,200.00
STD
9 INSTALL ALUM SIGN MAST ARM MOUNT 6 EA $700.00 $4,200.00 6 $4,200.00
10 FURNISH/INSTALL TYPE 42 DECOR SIGNAL 3 EA $4,400.00 $13,200.00 3 $13,200.00
POLE
11 TY 3 SIGNAL FOUNDATION 3 EA $2,550.00 $7,650.00 3 $7,650.00
Sub-Total of Previous Unit $459,970.00 $459,970.00
STORM DRAIN
Item Description of Items Estimated Unit Unit Cost Estimated Completed Completed
No. Quanity Total Quanity Total
---------------------------------------
1 21"STORM ABANDONMENT PLUG 4 EA $75.00 $300.00 4 $300.00
2 MEDIUM STONE RIPRAP 1346 SY $49.00 $65,954.00 1346 $65,954.00
Tuesday,June 23,2020 Page 3 of 7
City Project Numbers 101459 DOE Number 1459
Contract Name ROCK CREEK RANCH Estimate Number 1
Contract Limits TARLETON STATE UNIVERSITY BREWER BLVD Payment Number 1
Project Type PAVING&STORM DRAIN For Period Ending 6/23/2020
Project Funding
3 TRENCH SAFETY 9768.3 LF $1.00 $9,768.30 9768.3 $9,768.30
4 21"RCP 3917 LF $50.00 $195,850.00 3917 $195,850.00
5 24"RCP 2227 LF $58.00 $129,166.00 2227 $129,166.00
6 27"RCP 764 LF $65.00 $49,660.00 764 $49,660.00
7 33"RCP 1163 LF $86.00 $100,018.00 1163 $100,018.00
8 36"RCP 649 LF $100.00 $64,900.00 649 $64,900.00
9 39"RCP 237 LF $119.00 $28,203.00 237 $28,203.00
10 42"RCP 43 LF $135.00 $5,805.00 43 $5,805.00
11 48"RCP 118 LF $158.00 $18,644.00 118 $18,644.00
12 54"RCP 114 LF $201.00 $22,914.00 114 $22,914.00
13 60"RCP 61 LF $234.00 $14,274.00 61 $14,274.00
14 8'X 4'BOX CULVERT 125 LF $406.00 $50,750.00 125 $50,750.00
15 8'X Y BOX CULVERT 216 LF $429.00 $92,664.00 216 $92,664.00
16 6-10'X7'BOX CULVERT 135 LF $2,696.00 $363,960.00 135 $363,960.00
17 4'STORM JUNCTION BOX 14 EA $3,900.00 $54,600.00 14 $54,600.00
18 Y STORM JUNCTION BOX 3 EA $5,000.00 $15,000.00 3 $15,000.00
19 6'STORM JUNCTION BOX 2 EA $8,000.00 $16,000.00 2 $16,000.00
20 HEADWALL,BOX CULVERT 53.08 CY $970.00 $51,487.60 53.08 $51,487.60
21 HEADWALL,BOX CULVERT 27.18 CY $970.00 $26,364.60 27.18 $26,364.60
22 HEADWALL,BOX CULVERT 43.05 CY $970.00 $41,758.50 43.05 $41,758.50
23 54"FLARED HEADWALL 1 EA $7,200.00 $7,200.00 1 $7,200.00
24 33"SET 1 PIPE 2 EA $3,600.00 $7,200.00 2 $7,200.00
25 36"SET 1 PIPE 2 EA $3,700.00 $7,400.00 2 $7,400.00
26 60"SET 1 PIPE 1 EA $13,500.00 $13,500.00 1 $13,500.00
27 33"SET 2 PIPES 1 EA $4,600.00 $4,600.00 1 $4,600.00
28 33"SET 2 PIPES 1 EA $4,700.00 $4,700.00 1 $4,700.00
29 10'CURB INLET 2 EA $3,600.00 $7,200.00 2 $7,200.00
30 10'RECESSED INLET 18 EA $3,900.00 $70,200.00 18 $70,200.00
31 10'RECESSED INLET 15 EA $1,975.00 $29,625.00 15 $29,625.00
32 15'RECESSED INLET 8 EA $5,600.00 $44,800.00 8 $44,800.00
33 15'RECESSED INLET 1 EA $3,400.00 $3,400.00 1 $3,400.00
34 4'DROP INLET 6 EA $4,000.00 $24,000.00 6 $24,000.00
35 Y DROP INLET 2 EA $5,300.00 $10,600.00 2 $10,600.00
36 PEDESTRAIN RAIL, 475 LF $90.00 $42,750.00 475 $42,750.00
Tuesday,June 23,2020 Page 4 of 7
City Project Numbers 101459 DOE Number 1459
Contract Name ROCK CREEK RANCH Estimate Number 1
Contract Limits TARLETON STATE UNIVERSITY BREWER BLVD Payment Number 1
Project Type PAVING&STORM DRAIN For Period Ending 6/23/2020
Project Funding
--------------------------------------
Sub-Total of Previous Unit $1,695,216.00 $1,695,216.00
--------------------------------------
Tuesday,June 23,2020 Page 5 of 7
City Project Numbers 101459 DOE Number 1459
Contract Name ROCK CREEK RANCH Estimate Number 1
Contract Limits TARLETON STATE UNIVERSITY BREWER BLVD Payment Number 1
Project Type PAVING&STORM DRAIN For Period Ending 6/23/2020
Project Funding
Contract Information Summary
Original Contract Amount $5,547,912.00
Change Orders
Change Order Number 1 $156,580.32
Change Order Number 2 $57,661.01
Total Contract Price $5,762,153.33
Total Cost of Work Completed $5,762,153.33
Less %Retained $0.00
Net Earned $5,762,153.33
Earned This Period $5,762,153.33
Retainage This Period $0.00
Less Liquidated Damages
Days @ /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 $5,762,153.33
Tuesday,June 23,2020 Page 6 of 7
City Project Numbers 101459 DOE Number 1459
Contract Name ROCK CREEK RANCH Estimate Number 1
Contract Limits TARLETON STATE UNIVERSITY BREWER BLVD Payment Number 1
Project Type PAVING&STORM DRAIN For Period Ending 6/23/2020
Project Funding
Project Manager NA City Secretary Contract Number
Inspectors DICKINSON/ MCLAURIN Contract Date
Contractor JACKSON CONSTRUCTION LTD Contract Time 346 CD
5112 SUN VALLEY DRIVE Days Charged to Date 423 CD
FORT WORTH, TX 76119 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 $5,762,153.33
Less %Retained $0.00
Net Earned $5,762,153.33
Earned This Period $5,762,153.33
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 $5,762,153.33
Tuesday,June 23,2020 Page 7 of 7
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FORTWORTH.
TRANSPORTATION AND PUBLIC WORKS
February 12, 2020
Jackson Construction Ltd.
5112 Sun Valley Dr.
Fort Worth,TX 76119
RE: Acceptance Letter
Project Name: Rock Creek Ranch/Tarleton State University Brewer Boulevard
Project Type: Paving, Drainage, Street Lights
City Project No.: 101459
To Whom It May Concern:
On October 3, 2019 a final inspection was made on the subject project. There were punch list items
identified at that time. The punch list items were completed on February 3, 2020. The final inspection
and the corrected punch list items indicate that the work meets the City of Fort Worth specifications and
is therefore accepted by the City. The warranty period will start on February 3, 2020, which is the date
of the punch list completion and will extend of two (2)years in accordance with the Contract
Documents.
If you have any questions concerning this letter of acceptance, please feel free to contact me at 817-
392-2481..
Sincerely,
Debbie J.Wilhelm,P n 25,202014:59 CDT)
Debbie Wil helm, Project Manager
Cc: William Riley Roberson, Inspector
Doug Dickinson, Inspection Supervisor
Mike Glover,Senior Inspector
Victor Tornero, Program Manager
Goodwin & Marshall, Consultant
Jackson Construction LTD, Contractor
Walton Development& Management TX,LLC, Developer
File
E-Mail: TPW_Acceptance@fortworthtexas.gov
Rev.8/20/19
CONSTRUCTION LTD.
51 1 Z SUN VALLEY DRIVE
FORT WORTH,TX 76119
TEL: 817-572-3303
FAX:817-478-0443
AFFIDAVIT
STATE OF TEXAS
COUNTY OF TARRANT
Before me,the undersigned authority, a notary public in the state
and county aforesaid, on this day personally appeared Troy L. Jackson,
President Of Jackson Construction, Ltd, known to me to be a credible
person, who being by me duly sworn, upon his oath deposed and said;
That all persons, firms, associations, corporations, or other
organizations furnishing labor and/or materials have been paid in full;
That the wage scale established by the City Council in the City of
Fort Worth has been paid in full;
That there are no claims pending for personal injury and/or
property damages;
On Contract described as;
Rock Creek Ranch/Tarleton State University Brewer Boulevard
BY
Tro . Jackson, President
Subscribed and sworn before me on this date 25th of June, 2020.
Notary P 11'c
Tarrant, Texas
vP''F. CARMEN L. ESTEP
..
Notary Public,State of Texas
'QE Comm.Expires 04-06-2024
Notary ID 2910611
CONSENT OF SURETY OWN11111 11
TO FINAL PAYMENT AW-1U=
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WallonO & M TX, LLi:.
5420 LBJ Frwy.#790 CONTRA f FOR. Paving, Drainage,Street UgIII a and 5lgnage
Dallas, TX 75240
Rock CFeok RarlchlTadeldr} Stale- Brewer Blvd
in 2cVnrr15nM MTh,lye rn v6ons sirrm ca ntract hctrvccn die Owner and the Cmrracuvr sus indim d ahtwe,t t,
fL13b+Y�ivtkr�N�#1�r4�4a��+fLY]�
The Hanover Insurance Company
444 Lincoln $]reel
Worcester, MA 01653
, S LUITY,
on bona of
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Jackson C onslruction, Ltd,
5112 Sun Valley Dove
Fort Warn TX 76119
F =NTiRA SV1�
hereby vprom of[he flrw Papnent tra the can tractor, Lind Qms that Anal pgyrrrerlt to rite Wntraacr shall not irlieve ncc Surcry of
arty �z9 ahll�adrntis;o
r��uMrr;Llmi�hF�roidh mr�e]�er,ncr�
Walton D & M TX, LLC
5420 LF,l Fr y, #790
Dallas. TX 75240
as ser Foah in said Surety's Nmid,
1S+tWrrKMSWHE CF,she%imybar,b"unro*etimMn(Ionthisdate: Jkine25, 2 020
f1+xm(01xMl?4 pqj rk+++'�+xdr�x+�.1
The Hanover Insurance Company
ri�rr�xrx
By;
rawhlr Jxpr�pr�n+aHhaJ
�'1rTCStG ,lack M. Crowley Attoma ' lit-Fact
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ra4t+�wd�rcu�v prni nRdrf
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Surety Phone No, 509-E53-7 00 x-447$
G707-1994
THE HANOVER INSURANCE COMPANY
MASSACHUSETTS BAY INSURANCE COMPANY
CITIZENS INSURANCE COMPANY OF AMERICA
POWER OFATTORNEY
THIS Power of Attorney limits the acts of those named herein,and they have no authority to bind the Company except in the manner and to the
extent herein stated.
KNOW ALL PERSONS BY THESE PRESENTS:
That THE HANOVER INSURANCE COMPANY and MASSACHUSETTS BAY INSURANCE COMPANY,both being corporations organized and existing underthe laws
of the State of New Hampshire,and CITIZENS INSURANCE COMPANY OF AMERICA,a corporation organized and existing under the laws of the State of Michigan,
(hereinafter individually and collectively the"Company")does hereby constitute and appoint,
Steven R.Foster,Jack M.Crowley,Laurie Pflug,and Teuta Luri
Of Willis Towers Watson Insurance Services West,Inc of Dallas,TX each individually,if there be more than one named,as its true and lawful attorney(s)-in-
fact to sign,execute,seal,acknowledge and deliver for,and on its behalf,and as its act and deed any place within the United States,any and all surety bonds,
recognizances,undertakings,or other surety obligations.The execution of such surety bonds,recognizances,undertakings or surety obligations,in pursuance of these
presents,shall be as binding upon the Company as if they had been duly signed by the president and attested by the secretary of the Company,in their own proper
persons.Provided however,that this power of attorney limits the acts of those named herein;and they have no authority to bind the Company except in the manner
stated and to the extent of any limitation stated below:
Any such obligations in the United States,not to exceed Thirty Five Million and No/100($35,000,000)in any single instance
That this power is made and executed pursuant to the authority of the following Resolutions passed by the Board of Directors of said Company,and said Resolutions
remain in full force and effect:
RESOLVED: That the President or any Vice President,in conjunction with any Vice President,be and they hereby are authorized and empowered to
appoint Attorneys-in-fact of the Company, in its name and as it acts,to execute and acknowledge for and on its behalf as surety,any and all bonds,
recognizances,contracts of indemnity,waivers of citation and all other writings obligatory in the nature thereof,with power to attach thereto the seal of the
Company.Any such writings so executed by such Attorneys-in-fact shall be binding upon the Companyas if they had been dulyexecuted and acknowledged
by the regularly elected officers of the Company in their own proper persons.
RESOLVED:That any and all Powers of Attorney and Certified Copies of such Powers of Attorney and certification in respectthereto,granted and executed
by the President or Vice President in conjunction with any Vice President of the Company,shall be binding on the Company to the same extent as if all
signatures therein were manually affixed,even though one or more of any such signatures thereon may be facsimile.(Adopted October 7, 1981—The
Hanover Insurance Company;Adopted April 14, 1982—Massachusetts Bay Insurance Company;Adopted September 7,2001 —Citizens Insurance
Company of America and affirmed by each Company on March 24,2014)
IN WITNESS WHEREOF,THE HANOVER INSURANCE COMPANY,MASSACHUSETTS BAY INSURANCE COMPANY and CITIZENS INSURANCE COMPANYOF
AMERICA have caused these presents to be sealed with their respective corporate seals,duly attested by two Vice Presidents,this 10th day of January,2020.
THE HANOVER INSU E COMPANY THE HANOVER INSURANCE COMPANY
MASSACHUSETTS Y 1 St1l�ANCE COMPANY MASSACHUSETTS BAY INSURANCE COMPANY
CITI�ZENSS INSURA z C MPANY OF AMERICA
CITIZENS INSURANCE COMPANY OF AMERICA
E3rydri J e Vice President .1 a H.Kawiecki,Vice President
1 P':..r.k..��-`' fin
THE COMMONWEALTH OF MASSACHUSETTS )
COUNTY OF WORCESTER )Ss.
On this 10t' day of January, 2020 before me came the above named Executive Vice President and Vice President of The Hanover Insurance Company,
Massachusetts Bay Insurance Company and Citizens Insurance Company of America,to me personally known to be the individuals and officers described herein,and
acknowledged that the seals affixed to the preceding instrument are the corporate seals of The Hanover Insurance Company,Massachusetts Bay Insurance Company
and Citizens Insurance Company of America,respectively,and that the said corporate seals and their signatures as officers were duly affixed and subscribed to said
instrument by the authority and direction of said Corporations.
� ARLEEN V. SIMONS
`e Notary Public. !�
j C"Gmm0wt& T4 Of MAS.,ACmsms
11 I My Co nmission Expires Aneen V.Simons.Notary public
June 15, 2023 My Commission Expires June 15,2023
1,the undersigned Vice President of The Hanover Insurance Company,Massachusetts Bay Insurance Company and Citizens Insurance Companyof America,hereby
certify that the above and foregoing is a full,true and correct copy of the Original Power of Attorney issued by said Companies,and do hereby further certify that the
said Powers of Attorney are still in force and effect.
GIVEN under my hand and the seals of said Companies,at Worcester,Massachusetts,this 25th day of June 2020
CERTIFIED COPY THE HANOVER INSURANCE COMPANY
MA ACHUSETTS BAY INSURANCE COMPANY
BIZ Ns IN_SV��r,ICE COMPANY OF AMERICA
{` L..�r z
Garrick A.Bligh, eldest