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HomeMy WebLinkAboutContract 56737-FP1Page 1 of 2 City Secretary Contract No.__________________ Date Received ______________ 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: East Bailey Boswell Road City Project No.:103320 Improvement Type(s): Water Sewer Original Contract Price: $3,115,682.00 Amount of Approved Change Order(s):$214,175.96 Revised Contract Amount:$3,329,857.96 Total Cost of Work Complete:$3,329,857.96 Contractor Date Title Jackson Construction, LTD Company Name Project Inspector Date Project Manager Date CFA Manager Date _______________________________________ __________________________________ TPW Director Date Asst. City Manager Date Page 2 of 2 Notice of Project Completion Project Name: East Bailey Boswell Road City Project No.: 103320 City’s Attachments Final Pay Estimate Change Order(s): Yes N/A Pipe Report:Yes N/A Contractor’s Attachments Affidavit of Bills Paid Consent of Surety Statement of Contract Time Contract Time: 3 0 WD Work Start Date: 1/16/2022 Days Charged: 382 Work Complete Date: 12/20/2023 Completed number of Soil Lab Test: 1028 Completed number of Water Test: 102 CITY OF FORT WORTH Contract Name EAST BAILEY BOSWELL ROAD Contract Limits Project Type WATER & SEWER DOE Number 3320 Estimate Number 1 Payment Number 1 For Period Ending 12/20/2023 FINAL PAYMENT REQUEST City Secretary Contract Number 382 WD Contract Date JACKSON CONSTRUCTION LTD NA 5112 SUN VALLEY DRIVE FORT WORTH TX 76119 GLOVER 3 0 DContract Time Days Charged to Date CompleteContract is 100.00 Contractor , /Inspectors Project Manager City Project Numbers 103320 Wednesday, December 20, 2023 Page 1 of 6 Contract Name EAST BAILEY BOSWELL ROAD Contract Limits Project Type WATER & SEWER DOE Number 3320 Estimate Number 1 Payment Number 1 For Period Ending 12/20/2023 Project Funding City Project Numbers 103320 WATER Item No.Description of Items Estimated Quanity Unit Unit Cost Estimated Total Completed Quanity Completed Total 1 4"-12" Pressure Plug 12 EA $475.00 $5,700.00 12 $5,700.00 2 Trench Safely 4352 LF $1.00 $4,352.00 4352 $4,352.00 3 Utility Markers 1 LS $5,200.00 $5,200.00 1 $5,200.00 4 Ductile Iron Water Fittings w/ Restraint 1 LS $45,000.00 $45,000.00 1 $45,000.00 5 6" Water Pipe 31 LF $67.00 $2,077.00 31 $2,077.00 6 8" Water Pipe (CO #2)119 LF $68.00 $8,092.00 119 $8,092.00 7 12" Water Pipe (CO #1)4053 LF $91.00 $368,823.00 4053 $368,823.00 8 Fire Hydrant 1 EA $6,000.00 $6,000.00 1 $6,000.00 9 Connection to Existing 4"-12" Water Main 2 EA $3,400.00 $6,800.00 2 $6,800.00 10 2" Water Service, Meter Reconnection (CO #1)9 EA $4,000.00 $36,000.00 9 $36,000.00 11 6" Gate Valve 1 EA $1,500.00 $1,500.00 1 $1,500.00 12 8" Gate Valve 12 EA $3,100.00 $37,200.00 12 $37,200.00 13 12" Gate Valve 18 EA $3,400.00 $61,200.00 18 $61,200.00 14 12"x8" Reducer 1 EA $800.00 $800.00 1 $800.00 15 Controlled Low Strength Material 360 LF $75.00 $27,000.00 360 $27,000.00 16 Auto Flushing Device 1 EA $7,000.00 $7,000.00 1 $7,000.00 17 12" DUCTILE IRON WATER PIPE (CO #1)88 LF $105.00 $9,240.00 88 $9,240.00 18 10" SERVICE LINE REPLACEMENT. COMPLETE IN PLACE (CO #2) (CO #10) 0 EA $20,536.02 $0.00 0 $0.00 19 8" WATER LINE LOWERING (CO #3)1 EA $40,755.91 $40,755.91 1 $40,755.91 20 10" SERVICE LINE REPLACEMENT. COMPLETE IN PLACE (CO #10) 2 EA $20,536.03 $41,072.05 2 $41,072.05 21 FIRE HYDRANT (CO #9)1 EA $7,598.86 $7,598.86 1 $7,598.86 $721,410.82 $721,410.82Sub-Total of Previous Unit SEWER Item No.Description of Items Estimated Quanity Unit Unit Cost Estimated Total Completed Quanity Completed Total 1 Post-CCTV Inspection (CO #1)7808 LF $5.00 $39,040.00 7808 $39,040.00 2 Manhole Vacuum Testing (CO #1)17 EA $300.00 $5,100.00 17 $5,100.00 3 Trench Safety (CO #1)6124 LF $1.00 $6,124.00 6124 $6,124.00 4 30" Casing By Open Cut 489 lf $285.00 $139,365.00 489 $139,365.00 Wednesday, December 20, 2023 Page 2 of 6 Contract Name EAST BAILEY BOSWELL ROAD Contract Limits Project Type WATER & SEWER DOE Number 3320 Estimate Number 1 Payment Number 1 For Period Ending 12/20/2023 Project Funding City Project Numbers 103320 5 30" Casing By Other Than Open Cut (CO #1)1947 LF $630.00 $1,226,610.00 1947 $1,226,610.00 6 Utility Markers 10 ea $100.00 $1,000.00 10 $1,000.00 7 8" Ductile Iron Sanitary Sewer Pipe 127 lf $90.00 $11,430.00 127 $11,430.00 8 8" SDR 26 PVC Sanitary Sewer Pipe 3064 lf $38.00 $116,432.00 3064 $116,432.00 9 16" Ductile Iron Sanitary Sewer Pipe (CO #1)2436 LF $127.00 $309,372.00 2436 $309,372.00 10 15" SDR 26 PVC Sanitary Sewer Pipe (CO #1)2442 LF $111.00 $271,062.00 2442 $271,062.00 11 8" Sewer Abandonment Plug 5 ea $55.00 $275.00 5 $275.00 12 Concrete Encase Sewer Pipe 5 cy $200.00 $1,000.00 5 $1,000.00 13 11" Conc Pvmt (CO #1) (CO #4) (CO #9)52 SY $128.00 $6,656.00 52 $6,656.00 14 4" Conc Sidewalk (CO #1) (CO #4)581 SF $11.00 $6,391.00 581 $6,391.00 15 6" Conc Curb and Gutter (CO #1) (CO #4) (CO #7)53 LF $75.00 $3,975.00 53 $3,975.00 16 Ductile Iron Sewer Fittings 1 ls $500.00 $500.00 1 $500.00 17 Manhole Adjustment, Minor 5 ea $500.00 $2,500.00 5 $2,500.00 18 Epoxy Manhole Liner (CO #1)368 VF $290.00 $106,720.00 368 $106,720.00 19 4' Manhole (CO #1) (CO #7)24 EA $8,000.00 $192,000.00 24 $192,000.00 20 4' Drop Manhole 1 ea $13,000.00 $13,000.00 1 $13,000.00 21 Extra Depth Manhole (CO #1) (CO #7)345.25 VF $100.00 $34,525.00 345.25 $34,525.00 22 Water-Tight Hinged Manhole Frame , Cover and Grade Rings 1 ea $825.00 $825.00 1 $825.00 23 Controlled Low Strength Material 200 lf $130.00 $26,000.00 200 $26,000.00 24 Controlled Low Strength Material Backfill Between Manholes (CO #1) 0 EA $20,000.00 $0.00 0 $0.00 25 POTHOLE EXISTING UTILITY CROSSINGS (CO #1) 2 EA $1,500.00 $3,000.00 2 $3,000.00 26 15" SDR 26 PVC (MATERIAL COST) (CO #1)283 LF $37.85 $10,711.55 283 $10,711.55 27 16" DIP (MATERIAL COST ESCALATION) (CO #1) 164 LF $23.47 $3,849.08 164 $3,849.08 28 MANHOLE ADJUSTMENT, MAJOR (CO #3)1 EA $4,918.58 $4,918.58 1 $4,918.58 29 36" RCP, CLASS III (CO #4)34 LF $663.00 $22,542.00 34 $22,542.00 30 REMOVE 36" STORM LINE (CO #4)21 LF $147.00 $3,087.00 21 $3,087.00 31 REMOVE CONC PVMT (CO #4)51 SY $17.00 $867.00 51 $867.00 32 BARRIER FREE RAMP, TYPE P-1 (CO #4)1 EA $3,000.00 $3,000.00 1 $3,000.00 33 5' MANHOLE (CO #7)1 EA $20,424.23 $20,424.23 1 $20,424.23 34 5' EXTRA DEPTH MANHOLE (CO #7)18.75 VF $350.00 $6,562.50 18.75 $6,562.50 35 12" TxDOT CRCP (CO #9)12 SY $798.60 $9,583.20 12 $9,583.20 Wednesday, December 20, 2023 Page 3 of 6 Contract Name EAST BAILEY BOSWELL ROAD Contract Limits Project Type WATER & SEWER DOE Number 3320 Estimate Number 1 Payment Number 1 For Period Ending 12/20/2023 Project Funding City Project Numbers 103320 $2,608,447.14 $2,608,447.14Sub-Total of Previous Unit Wednesday, December 20, 2023 Page 4 of 6 Contract Name EAST BAILEY BOSWELL ROAD Contract Limits Project Type WATER & SEWER DOE Number 3320 Estimate Number 1 Payment Number 1 For Period Ending 12/20/2023 Project Funding City Project Numbers 103320 Contract Information Summary Change Orders $3,115,682.00Original Contract Amount $3,329,857.96Total Contract Price $3,329,857.96 Less Total Cost of Work Completed % Retained $0.00 Net Earned $3,329,857.96 Plus Material on Hand Less 15%$0.00 Balance Due This Payment $3,329,857.96 Less Liquidated Damages Days @ / Day $0.00 Less Penalty LessPavement Deficiency $0.00 $0.00 $0.00Less Previous Payment Earned This Period Retainage This Period $3,329,857.96 $0.00 1 ($6,768.00)Change Order Number 1 $69,453.63Change Order Number 2 $36,924.03Change Order Number 3 $40,755.91Change Order Number 3 $4,918.58Change Order Number 4 $35,216.00Change Order Number 7 $17,111.73Change Order Number 9 $7,598.86Change Order Number 9 $8,965.20Change Order Number 10 $0.01Change Order Number Wednesday, December 20, 2023 Page 5 of 6 Contract Name EAST BAILEY BOSWELL ROAD Contract Limits Project Type WATER & SEWER DOE Number 3320 Estimate Number 1 Payment Number 1 For Period Ending 12/20/2023 Project Funding City Project Numbers 103320 Line Fund Account Center Amount Funded Gross Retainage Net CITY OF FORT WORTH SUMMARY OF CHARGES $3,329,857.96 Less Total Cost of Work Completed % Retained $0.00 Net Earned $3,329,857.96 Plus Material on Hand Less 15%$0.00 Balance Due This Payment $3,329,857.96 Less Liquidated Damages 0 Days @ $0.00 / Day $0.00 Less Penalty LessPavement Deficiency $0.00 $0.00 $0.00Less Previous Payment Earned This Period Retainage This Period $3,329,857.96 $0.00 City Secretary Contract Number 382 WD Contract Date JACKSON CONSTRUCTION LTD NA 5112 SUN VALLEY DRIVE FORT WORTH TX 76119 GLOVER 3 0 WD Contract Time Days Charged to Date CompleteContract is 100.000000 Contractor , /Inspectors Project Manager Wednesday, December 20, 2023 Page 6 of 6 f0 M �- V r N V � N (") m � V � O O Z Z N N C C O O L L Q. d. 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'�x�a�wwu � O� H❑ Q w J a U U U LL� v� LL � � I� W r co v rn N C] � � a w O O Z Z C C L L aa � N d � 3 m � `m > � � � m rn m a�i H � �' (.� a z o� � ~ U U ww a � �o Z � a � U Q N K Q 2 ❑ O U U � U N U Q U K O U N � U � U N U � U a � „ O V � U z a, o � ti U H � a U � U Q > � a � a " Z U � _ _ 0 U < � U W U c U � U 3 0 - ' ' U O U O 2 W � p O r � i U O ti Q W Z U Q � Z� O � � N O r s Q z� � c U U 7 Q F � o� o _ ���� o� w a w w Z Q � O d Z f/l N K o � U H Q O O Q � �� C f � Q o � � � a o � � z o > o O w U �V ¢ tt � m d 3 � a � E � � O � O � C y� �� E � n3 ¢� a ,� `c= m LL a � G � C7 2 0 Z 0 a � RECOMMENDED:APPROVED:APPROVED:By: Halff AssociatesBy: Transwestern Development CompanyBy: Jackson ConstructionName: Joseph Buchanan, P.E.Name: Denton WalkerName: Steve HaberstrohTitle:Project ManagerTitle: Regional PartnerTitle: CFW - Development ServicesCFW - Assistant City ManagerCFW - Assistant City AttorneyBy: By: By: Name: Tyson ThompsonName: Dana BurghdoffName: Richard McCrakenTitle:Development Services Asst. DirectorTitle:Asst. City ManagerTitle: Sr. Asst. Scet. ChiefRECOMMENDED:CFW - *Contract Compliance Manager* Contract Compliance Manager (Project Manager):By signing I acknowledge that I am the person responsibleBy: for the monitoring and administration of this contract, includeensuring all performance and reporting requirements.Name: George Marquez, P.E.There are NO City Funds associated with this ContractTitle:Senior Professional EngineerXThere are City Funds associated with this ContractM&C Number: N/AM&C Date Approved: N/ARevised: 10-12-2011 Page 2 M N O N � O C> � � � Q of � N +.. � W � N N �� N �LI aa � � a� ; o a� �LI � � m �� �� �, � �� �� �� �� 00 ZZ �v 00 a a Z' j N � � r � N O v � � � ¢ Z � � O F U �j W a p N � ? a a U O a U U E :: rc _ � ; w z U a x U _ � c p _ Z _ O a a" � ) F W c °1 � o E � a " � o o ¢ � o � - � U � Q `u � .`o e �� O U � Q m � � C _ '"-n ; ¢ � � � fc m �.4 n � E ai = � `m E � Q U Z H o V U > � V A _ _ p � tl � — 2 U o � � � E c � .,mw ry `v ry F f m � Z U E � � E � _ Q 3 — o � � o tt m � h Z O S � > "3 z w � 'a � U ' '� � o� m E r z � U LL U � E O U F � Q Z E 0 r � ti Q � � Q U a z w � U � rc 3 � � � w -10i U d — � � � E r z a a z z E z' o Q m � a U � FORT�VORTH ��. TRANSPORTATION AND PUBLIC WORKS PIPE REPORT FOR: PROJ�CT NAME: East Bailey Boswell Road C1TY PRO.T�CT NUMBER: 103320 WATER PIPE LAID SIZE TYP� OF PIPE LF DR14 C900 8" PVC 189' DR14 C900 12" PVC 4,141' FIRE HYDRANTS: 1 PIPE ABANDON�D DENSITIES: NEW SERVICES: SIZE f►.lY VALVES (16" OR LARGER) TYPE OF PIPE YES ALL PASSED COPPER LF 11 Each SEW�R PIPE LAID SIZE TYPE OF PIPE LF SDR26 8" PVC 3,064' SDR26 15" PVC 2,725' DIP 16" DIP 2272' PIP� ABANDONED DENSITIES: NEW S�RVICES: SIZE TYP� OF PIP� YES ALL PASSED LF TRt1NSPORTATION AND PUBLIC \`UORKS The Cit�� of Fort Worth • 1000 Tlirockmorron Street • Fort Worth, T� 76012-6311 F�U RT WO RT H�� TRANSPORTATION AND PUBLIC WORKS December 20, 2023 Jacl<son Construction, Ltd. 5112 Sun Valley Dr. Fort Worth, Texas 76119 RE: Acceptance Letter Project Name: East Bailey Boswell Road Project Type: Water, Sanitary Sewer City Project No.: 103320 To Whom It May Concern: On October 17, 2023 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 December 20, 2023. The final inspection and the corrected punch list items indicate that the worl< meets the City of Fort Worth specifications and is therefore accepted by the City. The warranty period will start on December 20, 2023, 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- 392-6826. Sincerely, �� U `���� George Marquez, Project Manager Cc: Joseph Manry, Inspector Mil<e Glover, Inspection Supervisor Randy Horton, Senior Inspector Andrew Goodman, Program Manager Halff, Consultant Jackson Construction, Ltd., Contractor Transwestern Development, Developer File E-Mail: TPW_Acceptance@fartworthtexas.gov Rev. 8/20/19 � ������ CONSTRUCTION LTD. 51 1 Z SUN VALLEY DRIVE FORT WORTH, TX 7� i 19 TEL: 817-572-3303 FAX: 817-478-0443 AFFIDAVIT STATE OF TEXAS COUNT�Y OF TARRANT Before me, the undersigned authority, a notary public in the state and county aforesaid, on this day personally appeared Ali Jackson, Controller 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 andlor - property darnages; On Contract described as; East Bailey Boswell Road Water & Sewer ' BY G� �Z�,�K-�-- Ali Jackson, Controller Subscribed and sworn before me on this date November 9, 2023. Notary Pu li Tarrant, Texas ��„uu,,, �ARMEN L. ESTEP . . . � � `,S�Y P��i�' . . . . . _ . :� ti�:Notary Public. State of Texas _' �?'� "� �. Comm. Expiros 04-06-2024 . . 4i� �(r`�' F �'C`�• � . . � . � � . � � - '�nrtn��` Notery ID 2910611 ca�s�Nr a� SU�ETY �C)�kt�PA�VY T� FINA�. PAYIVIENT owtv�� �.:, ,a�c�►��r�c�r �:� CONTRACTOR {� SURETY [( C?THER Q AIA QQCUMEI�fT G70T Bond No. 1086163 PRpJ�Ci; East Bailey Boswell Road. City Project No. 103320 {r�atr��, addr�Ss) TO (�wner) � � City of Fort Worth / Cow Town Owner L.L.C. (Developer) TX GONrt�,cror�: ,lackson Construction, d. ARCHIT6CT'S PFtOJEGT NQ: CONTRACT FC3f�: Construction C4NTRACT �JATE: September 2, 2021 5112 Sun Valley Drive Fort Worth, TX 76119 In aecordance with the provisinns of the Confract between the 4wner and the Contractor as indi�ated aboue, the {here 4nsert name and adtlress oF Surely Company) The Hanover Insurance Company 440 Lincoln Street , Worcester, MA 01653 on bot�d of there insert nar�te and address af Gontrastor} Jackson Construction, Ltd. 5112 Sun Valley Drive Fort Worth, TX 76119 , SURETY COMPANY, , CONI'F:AGi'OF�, hergby aRproves of the �nai payment fo the Confractor, and agrees ihaE fina! payment io the Contractor shat! not �elieve the Surety Gornpany of any of its c}btigatior�s ko 4nere �nsan name and address ot o+�ner} City of Fort Worth / Cow Town Owner L.L.C. (Developer) TX , OWNERS, as set forth in the said Surety Cvmpany's bond. IIV WITNESS WHEFtEdF, the Surety Company has hereunta sef its hand this Attest: (,v �� � (Seaf�: � � 9th day of November, 2023 The a ver rance Com an 5u fy C4 n Si akure af A horized ReprssEn ve Laurie Pfluq, Attorne -in-Fact Title NOTE� This form is ta de us�d as a oampanion docnment ka A1A D�CUMENT G706, CQNTRRGTtJR'3 AFFIDAVIT OF PAYMENF OF pEB7$ AND CL.AIMS, Current Editian Alt�1 DqGUMkNT G7Q7 •�ONS�iVT flF SURETY COMRANY ii3 FINAI. RAYME�tT � APRIL 1970 �DiTiON • AiA�7 ONE PAGE OO 3970 • TI-tE AhdERiCAN lNSTIFUI"E OF ARCHITEGTS. 973§ lyEW YQRfC AYE., N`N, WqSfi1NGTON, D.G_ 2�OD$ THE HANOVERINSURANCE COMPANY MASSACHUSETT5 BAYINSURANCE COMPANY CITIZENS INSURANCE COMPANY OF AMERICA POWER OF AITORNEY 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: ThatTHE HANOVER INSURANCE COMPANY and MASSACHUSETTS BAY INSURANCE COMPANY, both being corpora#ions organized and exis#ing underthe laws of the State of New Hampshire, and CITIZENS INSURANCE COMPANY OF AMERICA, a corporation organized and existing underthe laws ofthe State of Michigan, (hereinafter individually and collectively the "Company") does hereby constitute and appoint, Jack M. Crowley, Laurie Pfiug , andlor Holly Clevenger Of Wiliis Towers Watson Insurance Services West, Inc of Dallas, TX each individually, ifthere 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 obiigations, in pursuance of these presents, shali 6e 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 fhe 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 Fifty Million and No/100 ($50,000,000) in any single instance That this power is made and executed pursuant to the authority ofthe following Resolutions passed by the Board of Directors ofsaid 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 empowefed to appoint Attorneys-in-fact of the Company, in its name and as it acts, to execute and acknowiedge for and on its behalf as surety any and all bonds, �eCOgniZaltCeS, COnt�aCts of indemniiy, waivers of citation and all otherwritings obligatory in the nature thereof, with powerto attach thereto the seal ofthe Company. Any suCh writings so executed by such Attorneys-in-fact shall be binding upon the Company as if they had been duly executed and acknowiedged 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 respect thereto, granted and executed by the President or Vice President in conjunction with any Vice President ofthe 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 COMPANYand CITIZENS INSURANCE COMPANY OF AMERICA have caused these presents to be sealed with their respective corporate seals, duly attested by two Vice Presidents, this 12th day of September, 2023 v�^k..,'!W� . i: � k�'4 �.`"`�f'�,`.�,q� � �. r � �/sY'stel., ,a, 7i!'+i �, • �' � � � � 19ee � ihe bFunouer tnsurinre 4uinp;iay M+u�sachasctts 8ay tnfae�art Cnx�p�wy CitiEens Ixasuranct Campaap�of Amrr;ca J s H. 4Caxvieckf. Vka Prasitl�nt�� STATE OF CONNECTICUT ) COUNTY OF HARTFORD ) ss. 7)tc tiAno��cr ina�raHce Cw�paa} 4 chusetts Bqy 1esz�ranae Company ee Fnsura�cc Coznp�n� of Americsr tlan N. Mandaxs, Vica Prosident On this 72th day of September, 2023 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 ofAmerica, 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 es OffiCefs were duly affixed and subscribed to said instrument by the authority and direction of said Corporations_ - - , i��'t1t��i �tC)tF!'#1@S- --- ��� Ncitar�r Pubiic, �taie a�t Gunn�jcut � �41TY11155�Ot1 E7SpiFp5,Ili1 ��. �4i�$ � ' , � �e � ��� `,�. 5 , � P �iM G t� .. v:i�'��. , ���� �.��C3i���l�r�, �A� �t ��C , _ �y carnm��s��p� r���`srea Ju�jr �1, �i�� l, the undersigned Vice President of The Hanover Insurance Company, Massachusetts Bay Insurance Company and Citizens Insurance Company of America, hereby certify that the above and foregoing is a full, true and correct copy ofthe Original Power ofAttorney issued by said Companies, and do hereby further certify that the said Powers of Attomey are still in force and effect. GIVEN under my hand and the seals of said Companies, at Woroester, Massachusetts, this 9th day of NOVembef 2023. CERTIFIED COPY 37tE � •t i0su�asct cu» c 8t� I�i , ��y .6 . 4'ttA'�. ti � Ai . . - t�49 ' �+++w�y5 odA R�ne�tr �ke Prsa€deaE