HomeMy WebLinkAboutContract 53246-FP2City Secretary 53246 -FP2
Contract No.
FORTWORTHo
Date Received Apr 12, 2021
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: SOUTHLAND BUSINESS PARK ADDITION
City Project No.: 102283
Improvement Type(s)
Original Contract Price:
Water � Sewer 0
Amount of Appro�ed Change Order(s):
Revised Contract Amount:
Total Cost of Work Complete:
15a,r� Be�G
Dan Bell (Apr 6, 202111:41 CDT)
Contractor
VP
Title
Commerce Construction
Company Name
Necrl Kime
Neal Kime (Apr6, 20211219 CDT)
Project Inspector
�t�G� �foC�re,f
MiLch Holmcs (Apr6, 202113:08 CDT)
Project Manager
,�as�e- sc��Ce-tt Mc��Ce�
Janie Scarlett Morales (Apr7, 2021 P:00 CDT)
CFA Manager
DAI�A BUl'GlhG�O�Ff
Dana Burghdoff ( prS, 2021 P:06 CDT)
Asst. City Manager
Apr 6, 2021
Date
Apr 6, 2021
Date
Apr 6, 2021
Date
Apr 7, 2021
Date
Apr 8, 2021
Date
$328,069.40
$8, 033.30
$336,102.70
$336,102.70
�FFICIAL RECORD
CITY SECRETARY
FT. WORTH, TX
Page 1 of 2
Notice of Project Completion
Project Name: SOUTHLAND BUSINESS PARK ADDITION
City Project No.: 102283
City's Attachments
Final Pay Estimate x❑
Change Order(s): x❑ Yes ❑ N/A
Pipe Report: x❑ Yes ❑ N/A
Contractor's Attachments
Affidavit of Bills Paid
Consent of Surety
�
�
Statement of Contract Time
Contract Time: 90 WD
Days Charged: 199
Work Start Date: 3/30/2020 Work Complete Date: 3/10/2021
Completed number of Soil Lab Test: 73
Completed number of Water Test: 20
Page 2 of 2
�'���r ���Tx
CITY OF FORT WORTH
FINAL PAYMENT REQUEST
Contract Name FORT WORTH SOUTH
Contract Limits SOUTHLAND BUSINESS PARK ADDiTiON, LOT 2, BLK 1
Project Type WATER & SEWER
City Project Numbers 102283
DOE Number 22g3
Estimate Number 1 Payment Number 1 For Period Ending
City Secretary Contract Number
Contract Date
Project Manager NA
Contractor COMMERCE CONSTRUCTiON
13191 CROSSROADS PKWY N, 6TH FLR
CITY OF INDUSTRY � CA 91746
Inspectors OWEN / MILLER
Contract Tim
Days Charged to Date
Contract is 100.00
4/1/2021
W
e 9�J
199
Complete
Tuesday, April 6, 2021 Page 1 of 5
City Project Numbers 102283
Contract Name FORT WORTH SOUTH
Contract Limits SOUTHLAND BUSINESS PARK ADDiTION, LOT 2, BLK 1
Project Type WATER & SEWER
Project Funding
WATER
DOE Number 2283
Estimate Number 1
Payment Number 1
For Period Ending 4/1/2021
Item Description of Items Estimated Unit Unit Cost Estimated Completed Completed
No. Quanity Total Quanity Total
1 REMOVE 12" WATER LINE 250 LF $22.00 $5,500.00 250 $5,500.00
2 VALVE BOX ADJUSTMENT 1 EA $375.00 $375.00 1 $375.00
3 DUCTILE IRON WATER FITTINGS 0.5 TN $21,010.00 $10,505.00 0.5 $10,505.00
W/RESTRAINT
5 8"WATERPIPE 72 LF $71.00 $5,112.00 72 $5,112.00
6 10" WATER PIPE 70 LF $76.00 $5,320.00 70 $5,320.00
7 12" WATERPIPE 250 LF $49.00 $12,250.00 250 $12,250.00
8 CONNECTION TO EXISTING 4"-12" WATER 2 EA $1,792.00 $3,584.00 2 $3,584.00
MAIN
9 2" WATER SERVICE CO#1 3 EA $2,993.00 $8,979.00 3 $8,979.00
11 12" GATE VALVE 1 EA $6,463.00 $6,463.00 1 $6,463.00
12 12" CUT IN GATE VALVE 1 EA $6,463.00 $6,463.00 1 $6,463.00
13 12" X 6" TAPPING SLEEVE & VALVE 2 EA $6,138.00 $12,276.00 2 $12,276.00
14 12" X 8" TAPPING SLEEVE & VALVE 1 EA $6,526.00 $6,526.00 1 $6,526.00
15 12° X 10" TAPPING SLEEVE & VALVE 1 EA $7,755.00 $7,755.00 1 $7,755.00
16 TRENCH SAFETY 535 LF $1.00 $535.00 535 $535.00
17 4" WATER PIPE CO#3 15 LF $64.00 $960.00 15 $960.00
18 4" WATER METER & VAULT CO#3 1 EA $11,335.00 $11,335.00 1 $11,335.00
Sub-Total of Previous Unit $103,938.00 $103,938.00
SEWER
Item Description of Items
No.
1 6"-12" TREE REMOVAL
2 SWPPP > 1 ACRE
3 TRENCHSAFETY
4 TRENCH WATER STOPS CO#2
5 8" SEWER PIPE CO#2
6 8" SEWER PIPE SELECT BACKFILL
7 8" DIP SEWER PIPE, CSS BACKFILL CO#2
8 8" DIP SEWER PIPE, SELECT BACKFILL CO#2
9 EPDXY MANHOLE LINER CO#2
Estimated Unit Unit Cost Estimated Completed Completed
Quanity Total Quanity Total
18 EA $150.00 $2,700.00 18 $2,700.00
1 LS $250.00 $250.00 1 $250.00
1988 LF $1.00 $1,988.00 1988 $1,988.00
5 EA $1,590.00 $7,950.00 5 $7,950.00
690 LF $42.93 $29,621.70 690 $29,621.70
910 LF $51.00 $46,410.00 910 $46,410.00
30 LF $124.00 $3,720.00 30 $3,720.00
448 LF $82.00 $36,736.00 448 $36,736.00
84 VF $330.00 $27,720.00 84 $27,720.00
Tuesday, April 6, 2021 Page 2 of 5
City Project Numbers 102283
Contract Name FORT WORTH SOUTH
Contract Limits SOUTHLAND BUSINESS PARK ADDiTION, LOT 2, BLK 1
Project Type WATER & SEWER
Project Funding
DOE Number 2283
Estimate Number 1
Payment Number 1
For Period Ending 4/1/2021
10 4' MANHOLE CO#2 6 EA $4,377.00 $26,262.00 6 $26,262.00
ll 4' DROP MANHOLE 5 EA $5,405.00 $27,025.00 5 $27,025.00
12 4' EXTRA DEPTH MANHOLE CO#2 63 VF $168.00 $10,584.00 63 $10,584.00
13 POST CCTV INSPECTION CO#2 2078 LF $2.00 $4,156.00 2078 $4,156.00
14 CONNECT TO EXISTING MANHOLE 1 EA $7,042.00 $7,042.00 1 $7,042.00
Sub-Total of Previous Unit �232,164.70 $232,164.70
Tuesday, April 6, 2021 Page 3 of 5
City Project Numbers 102283
Contract Name FORT WORTH SOUTH
Contract Limits SOUTHLAND BUSINESS PARK ADDiTION, LOT 2, BLK 1
Project Type WATER & SEWER
Project Funding
Contract Information Summary
Origival Contract Amount
Change Orders
Change Order Number 1
Change Order Number 2
Change Order Number 3
Total Contract Price
DOE Number 2283
Estimate Number 1
Payment Number 1
For Period Ending 4/1/2021
$328,069.40
($25,836.00)
$21,57430
$12,295.00
$336,102.70
Total Cost of Work Completed $336,102.70
Less % Retained $0.00
Net Earned $336,102.70
Earned This Period $336,102.70
Retainage This Period $0.00
Less Liquidated Damages
Days @ / Day
LessPavement Deficiency
Less Penalty
Less Previous Payment
Plus Material on Hand Less 15%
Balance Due This Payment
$0.00
$0.00
$0.00
$0.00
$0.00
$336,102.70
Tuesday, April 6, 2021 Page 4 of 5
City Project Numbers 102283
Contract Name FORT WORTH SOUTH
Contract Limits SOUTHLAND BUSINESS PARK ADDiTION, LOT 2, BLK 1
Project Type WATER & SEWER
DOE Number 2283
Estimate Number 1
Payment Number 1
For Period Ending 4/1/2021
Project Funding
Project Manager NA
Inspectors OWEN / MILLER
Contractor COMMERCE CONSTRUCTION
13191 CROSSROADS PKWY N, 6TH FLR
CITY OF INDUSTRY � CA 91746
City Secretary Contract Number
Contract Date
Contract Time 90 W
Days Charged to Date 199 W
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
Less % Retained
Net Earned
Earned This Period $336,102.70
Retainage This Period $0.00
Less Liquidated Damages
0 Days @ $0.00 / Day
LessPavement Deficiency
Less Penalty
Less Previous Payment
Plus Material on Hand Less 15%
Balance Due This Payment
$336,102.70
$0.00
$336,102.70
$0.00
$0.00
$0.00
$0.00
$0.00
$336,102.70
Tuesday, April 6, 2021 Page 5 of 5
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PROJECT NAME:
PROJECT NUMBER:
DOE NUMBER:
PIPE LAID
WATER
WATER
WATER
WATER
FIRE HYDRANTS: 0
PIPE ABANDONED
None
DENSITIES:
NEW SERVICES:
PIPE LAID
SEWER
SEWER
SEWER
PIPE ABANDONED
None
DENSITIES:
NEW SERVICES:
FoRTWoRTH
TRANSPORTATION AND PUBLIC WORKS
PIPE REPORT FOR:
Southland Business Park Addn, Lot 2, Block 1
102283
N/A
SIZE
4"
8��
10"
12"
WATER
TYPE OF PIPE
PVC
PVC
PVC
PVC
LF
15
72
70
250
SIZE
VALVES (16" OR LARGER)
TYPE OF PIPE
N/A
LF
YES - Passed
2 inch Copper
4 inch PVC
SEWER
SIZE TYPE OF PIPE LF
8" SDR-26 PVC
8" DIP Sewer Pipe, CSS Backfill
8" DIP Sewer Pipe, Select Backfill
SIZE
8 inch
TYPE OF PIPE
Yes - Passed
PVC
LF
16
4
690
30
448
30
TRANSPORTATION AND PUBLIC WORKS
:,���� The City of Foxt Woxth • 1000 Throckmorton Stxeet • Foxt Woxth, TX 76012-6311
(817) 392 - 7941 • Fax: (817) 392 - 7845
FORT��RTH�
TRANSPORTATION AND PUBLIC WORKS
3/10/2021
Commerce Construction Co., LP
13191 Crossroads Pkwy N, 6tn Floor
City of Industry, CA 91746
RE: Acceptance Letter
Project Name: Southland Business Park Addn, Lot 2, Block 1
Project Type: Water and Sanitary Sewer
City Project No.: 102283
To Whom It May Concern:
On March 10, 2021 a final inspection was made on the subject project. There were no punch list items
identified at that time. The final inspection indicates that the work meets the City of Fort Worth
specifications and is therefore accepted by the City. The warranty period will start on March 10, 2021,
which is the date of the final inspection 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-
392-6826.
Sincerely,
��GG! h`OG�l2f
Mitch Holmes (Apr 6, 202113:08 CDT)
Mitch Holmes, P.E., Project Manager
Cc: Neal Kime, Inspector
Mark Owen, Inspection Supervisor
Edwin R. Rodriguez, Sr., Senior Inspector
Victor V. Tornero, Jr., P.E., Program Manager
Kimley Horn, Consultant
Commerce Construction Co., LP, Contractor
Ft. Worth Everman/Risinger Dev LLC, Developer
File
E-Mail: TPW_Acceptance@fortworthtexas.gov
Rev. 08/20/19
COMMERCE CONSTRUCTION CO., L.P.
Canhador's licenses: 123302 CA, AlbB36 CO3 42911 NV, GCC0000917 GA, 212122 OR
R.E �icense #00255328 (CA)
13191 Crossroads Parkway North � Ciry of Industry, CA 91746-3497
Office (5G7) 699-0453 �� FAX (5G2) G99-�179G
AFFIDAVIT
STATE OF Texas
CPN 102451-024244630
COUNTY OF Tarrant
Before me, the undersigned authority, a notary public in the state and
couuty aforesaid, on this day personally appeared Jolm S. Perldns, Executive
Vice President Of Commerce Construction Co., L.P., lalown to me to be a
credible person, who being by me duly sworn, upon his oath deposed and said;
That all persons, fii7ns, 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 Conh�act described as;
Notice of Project Completion (Developer Projects)
BY
John S, ans, xec ive Vice Presdient
Subscribed and sworn before me on this date 5`�' of April, 2021.
CALIFORNIA ACKNOWLEDGMENT CIVIL CODE § 1189
�v!. '�. '.�. .�..,•. .�.r �t.
yFS t�! � �.}�{: S � ?� .#... .:}9? : #.,
:!+: ;:�#:{'r'.::i):: .� '.%: :'.�:` :t .:}.,}:�'.' . 3.{�'.'� i:�.: ): ;S{.:::�,:i}:S}'•C ?�'i:S•':: .s.x' "+A(•.�
A notary public or other officer completing this certificate verifies only the identity of the individual who signed the document
to which this certificate is attached, and not the truthfulness, accuracy, or validity of that document.
State of California 1
County of � �S ����� j
On ,� %�� �� � % Z� before me, ����� '" � . 7 i'�l�Gf ���!� b � ��� �L ,
Date Here Insert Name and Title of the O ficer
personally appeared ��1��1V� �� �������� �'��
Name(s) of Signer(s)
who proved to me on the basis of satisfactory evidence to be the person(�j whose name(sj is/�e subscribed
to the within instrument and acknowledged to me that he/sk�e/th�y executed the same in his/her/th�r
authorized capacity(ies), and that by his/laet'/theirsignature(s) on the instrument the personjs), or the entity
upon behalf of which the person(�} acted, executed the instrument.
yE-; ��,,,, RENEE M, ARANDA
� : Notary Public - California z
� �:'�=��- = Los Angefes County >
� Commission M 2277370
My Comm. Expires Feb 14, 2023
Place Notary Seal and/or Stamp Above
I certify under PENALTY OF PERJURY under the
laws of the State of California that the foregoing
paragraph is true and correct.
WITNESS my hand and official seal.
Signature
�-e� �<%' ��L�'�%���
Signature of Notary Public
-.�..��
vr � �v��r��
Completing this information can deter alteration of the document or
fraudulent reattachment of this form to an unintended document.
Description of Attached Document
Title or Type of Document:
Document Date:
Number of Pages:
Signer(s) Other Than Named Above:
Capacity(ies) Claimed by Signer(s)
Signer's Name:
❑ Corporate Officer — Title(s):
❑ Partner — ❑ Limited ❑ General
❑ Individual ❑ Attorney in Fact
❑ Trustee ❑ Guardian or Conservator
❑ Other:
Signer is Representing:
Signer's Name:
❑ Corporate Officer — Title(s):
❑ Partner — ❑ Limited ❑ General
❑ Individual ❑ Attorney in Fact
❑ Trustee ❑ Guardian or Conservator
❑ Other:
Signer is Representing:
�02019 National Notary Association
CONSENT OF
SURETY COMPANY
TO FtNAL PAYMENT
Confom►s with the American Institute of
Architects, AIA Document G707
OWNER ❑
ARCHITECT ❑
CONTRACTOR ❑
SURETY 0
OTHER
Bond No 024242884
PROJECT:
f name, address)
TO (Owner)
TX
FORT WORTH EVERMAN/RISINGER DEVELOPMEN� ARCHITECT'S PROJECT NO:
LLC AND THE CITY OF FORT WORTH CONTRACT FOR:
131 E. Exchange Ave., Suite 212 Water, Sewer and Street Improvements, Fort Worth South Lot 2 Block
1, Bldgs. 2& 3, CFA 19-0138, City Project 102283, Commerce ,�ob
Fortwortn TX 76164 �f CONTRACT DATE:
CONTRACTOR: COMMERCE CONSTRUCTION CO., L.P.
In accordance with the provisions of the Contract between the Owner and the Contractor as indicated above, the
(here insert name end address of Surety Company)
LIBERTY MUTUAL INSURANCE COMPANY
175 Berkeley Street
Boston MA 02116 , SURETY COMPANY
on bond of lhere inaert neme and eddress of Comractort
COMMERCE CONSTRUCTION CO., L.P.
13191 Crossroads Parkway North, 6th Floor
City of Industry CA 91746
5th day of April, 2021
hereby approves of the final payment to the Contractor, 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)
FORT WORTH EVERMAN/RISINGER DEVELOPMENT, LLC AND THE CITY OF FORT WORTH
131 E. Exchange Ave., Suite 212
Fort Worth TX 76164
as set forth in the said Surety Company's bond.
IN WITNESS, WHEREOF,
the Surety Company has hereunto set its hand this
Attes • /��
(Se eghan� anes,Witn ss
, CONTRACTOR,
, OWNER,
LIBERTY MUTUAL IN$URANCE COMPANY
Surety mpa �
Signature of Authorized Representative
Donna Garcia Attorney-in-Fact
Title
NOTE; This form is to be used as a companion documant to AIA DOCUMENT G706, CON7RACTOR'S AFfIDAVIT OF PAYMENT OF DEBTS AND CLAIMS,
Current Edition
ONE PAGE
CALIFORNIA ALL-PURPOSE ACKNOWLEDGMENT
A Notary Public or other officer completing this certificate verifies only the identity of the
individual who signed the document to which this certificate is attached, and not the truthfulness,
accuracy, or validity of that document.
State of California
County of Los An.. e�le_s
�PR � � ��;
On before me, Marina Tapia, Notai_y Public , personally
appeai�ed Donna Garcia who proved to me on the basis of satisfactory
evidence to be the person(�) whose name(�) is/� subscribed to the within instrument and
acknowledged to me that �/she/� executed the same in �/her/� authorized capacity(�),
and that by �/her/� signature(�) on the instrument the person(�), or the entity upon behalf of
which the person(s) acted, executed the instrument.
I certify under PENALTY OF PERJURY under the laws of the
State of California that the foregoing paragraph is true and correct.
WTTNESS my hand and official seal.
Signature�/�'�x� ��
Signature of Notary Public
�'�• rn�iru►rEw�n
� ,. ._ in
COMM. # 2333302 <
� `. � ': NOTARY PUBLIC - CALIFORNIA �
% � . ; LOS ANGELES COUNTY Cn
My Comm. E�ires Oct 7, 2024
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.
Llb�l"� Liberty Mutual Insurance Company
Mutual, The Ohio Casualty Insurance Company Certifcate No: s198054-024029
West American Insurance Company
SURETY
POWER OF ATTORNEY
KNOWN ALL PERSONS BY THESE PRESENTS: That The Ohio Casualty Insurance Company is a corporation duly organized under the laws of the State of New Hampshire, that
Liberty Mutual Insurance Company is a corporation duly organized under the laws of the State of Massachusetts, and West American Insurance Company is a corporation duly organized
under the laws of the State of Indiana (herein collectively called the "Companies"), pursuant to and by authority herein set forth, does hereby name, constitute and appoint, B Aleman,
Tracp Aston, Thomas Branigan, Lisa K. Crail. Ashraf Elmasr}�, Samantha Fazzini. Donna Garcia. Simone Gerhard. April n�Iartinez. Rosa E. Ri��as, Paul Rodriquez
Ed���ard C Spector, Manna Tapia, Nafhan Vamold. KD Wapato
all of the city of Los Anaeles state of Califomia each individually if there be more than one named, its true and lawful attorney-in-fact to make,
execute, seal, acknowledge antl tleliver, for antl on its behalf as surety and as its act and deed, any and all undertakings, bonds, recognizances and other surery obligations, in pursuance
of these presents and shall be as binding upon the Companies as if they have been duly signetl by the president and attested by the secretary of the Companies in their own proper
persons.
IN WITNESS WHEREOF, this Power of Attorney has been subscribed by an authorized officer or official of the Companies and the corporate seals of the Companies have been affixetl
thereto this 28th tlay of November , 2018 .
Liberty Mutual Insurance Company
P� 1NSU/�� P�jV INSUR ��NsuRq The Ohio Casualty Insurance Company
,�� �oRPO'�a,��� y� �oaPORar�,9y GP�ORP�R4T�,2n WestAmerican InsuranceCompany >
J 3 o m vQ 2 o m � 3 o cc� (0
� 1912 � 1919 W � �
>3 �yO °: �,o a 1991 0 �/� �n
� ~d�9SSa�H�S�`da3 y° �`�Nnti,vs'�� a3 �( �N�IANP a3 /i�/I%���j �
� e�� * �,� �y� * *ad s�M * ti`'� By' �_ �v�,
c David M. Carey, Assistant Secretary �
- � State of PENNSYLVANIA '?
� � County of MONTGOMERY ss �
�rn
�� On this ?8th tlay of No��ember , 201 S before me personally appeared David M. Carey, who acknowledged himself to be the Assistant Secretary of Liberty Mutual Insurance o
o� Company, The Ohio Casualty Company, and West American Insurance Company, and that he, as such, being authorized so to do, execute the foregoing instrument for the purposes —�
�> therein contained by signing on behalf of the corporations by himself as a duly authorized officer. � w
�� IN WITNESS WHEREOF, I have hereunto subscribed my name and affixed my notarial seal at King of Prussia, Pennsylvania, on the tlay and year first above written. � Q
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�� ,' ;�''Ir��.�,�_,.�F�`� COMMONWEALTH OF PENNSYLVANIA Q�
— 1��;����' . � �
� �� �`,�` 5- Notarial Seal /f/ \ v— -a
� OF Teresa Pastella. Nolary Public T�;9, A'^,' �/� jh /i�% � C
O� Upper MerionT�vp., Montgomery Counry By: L-vi.«-�� t.!_.f.C�U ��a
�(�U � �`�� J\���`�� � My Commission Expires March 28.2027 eresa Pastella, Notary Public ��
� ��� �)-�`��� �`" � \ %� Member, Pennsylvanie Association of Notanes � �
p) i� ��. �l-,Y i�J��'' . � p
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� a� This Power of Attorney is made antl executed pursuant to antl by authority of the following By-laws and Authorizations of The Ohio Casualty Insurance Company, Liberty Mutual ��
o.� Insurance Company, and West American Insurance Company which resolutions are now in full force and effect reatling as follows: o�
� a� ARTICLE IV-OFFICERS: Section 12. PowerofAttorney. ��
o� Any officer or other o�cial of the Corporation authorized for that purpose in writing by the Chairman or the President, and subject to such limitation as the Chairman or the m�
�� Presitlent may prescribe, shall appoint such attorneys-in-fact, as may be necessary to act in behalf of the Corporation to make, execute, seal, acknowledge and deliver as surety > o
�� any and all undertakings, bonds, recognizances and other surety obligations. Such attorneys-in-fact, subject to the limitations set forth in their respective powers of attorney, shall � N
L have full power to bind the Corporation by (heir signature and execution of any such instruments antl to attach (hereto the seal of (he Corporation. When so executed, such '-' °O
Z� instruments shall be as binding as if signed by the President and attested to by the Secretary. Any power or authority granted to any representative or attorney-in-(act untler the ,� m
provisions of this article may be revoked at any time by the Board, the Chairman, lhe President or by the o�cer or officers granting such power or authority. c°O
ARTICLE XIII - Execution of Contracts: Section 5. Surety Bonds and Undertakings. o 0
�
Any officer of the Company authorized for that purpose in writing by the chairman or the president, and subject to such limitations as the chairman or the president may prescribe, �.=
shall appoint such attorneys-in-fact, as may be necessary to act in behalf of the Company to make, execute, seal, acknowledge and deliver as surety any and all undertakings,
bonds, recognizances and other surety obligations. Such attorneys-in-fact subject to the limitations set forth in their respective powers of attorney, shall have full power to bind the
Company by lheir signature antl execution of any such instruments and to attach thereto the seal of the Company. When so executed such instruments shall be as binding as if
signed by the president and attested by the secretary.
Certificate of Designation - The President of the Company, acting pursuant to the Bylaws of the Company, authorizes David M. Carey, Assista�t Secretary to appoint such attorneys-in-
fact as may be necessary to act on behalf of the Company to make, execute, seal, acknowledge and deliver as surety any and all undertakings, bonds, recognizances and other surety
obligations.
Authorization - By unanimous consent of (he Company's Board of Directors, the Company consents that facsimile or mechanically reproduced signature of any assistant secretary of the
Company, wherever appearing upon a certifietl copy of any power of attorney issued by the Company in connection with surety bonds, shall be valid and binding upon the Company with
the same force and effect as though manually affixed.
I, Renee C. Llewellyn, the undersigned, Assistant Secretary, The Ohio Casualty Insurance Company, Liberty Mutual Insurance Company, and West American Insurance Company do
hereby certify that the original power of attorney of which the foregoing is a full, true and correct copy of the Power of Attorney executed by said Companies, is in full force and eftect and
has not been revoked. /r
IN TESTIMONY WHEREOF, I have hereunto set my hand and affixetl the seals of saitl Companies this tlay of ��� Hp�J o �O�
-� �,, .�,,t� � �
P� \N5�,4q P��Y INSUR � \NSU/�q
j2G�RP�Rqro�L� �J=�oavoR,yl�yy \vP4oavoRql�2�
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1912 � o y 1919 � o Q 1991 0 ���f,�,�Gy�
�d�9sSACHU`+��da y° ��'HAMPS�� a� `( �NDIANP a� By• �
g�� **�a ,�yl **�a s�,M **�d Renee C. Llewellyn, Assistant Secretary
LMS-12873 LMIC OCIC WAIC Multi Co 062018