The URL can be used to link to this page

Home My WebLink AboutContract 57472-FP1FORT WORTHa City Secretary -FP1 Contract No. 57472 Date Received 02/21/2024 AT 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: Cohix Phase 1 City Project No.: 103287 Improvement Type(s): ❑ Paving ❑ Drainage Original Contract Price: Amount of Approved Change Order(s): Revised Contract Amount: Total Cost of Work Complete: x❑ Street Lights ❑ Traffic Signals Feb 19, 2024 Contractor Date President Title Independent Utility Construction INC Company Name $47,439.56 $164,288.36 $164,288.36 &�)-w �- Feb 19, 2024 William Fauver (Feb 19.202407:33 CST) Project Inspector Date Feb 21, 2024 Kha(,,�215,55 Cf Project Manager Date 41- Feb 21, 2024 0— n(Feb 21, 202416:09 CST) CFA Manager Date A. Feb 21, 2024 Lauren Prieur (Feb 21, 202416:11 CST) TPW Director Date Cp�� Feb 22, 2024 Asst. City Manager Date OFFICIAL RECORD CITY SECRETARY FT. WORTH, TX Page 1 of 2 Notice of Project Completion Project Name: Cohix Phase 1 City Project No.: 103287 City's Attachments Final Pay Estimate ❑x Change Order(s): ❑x Yes ❑ N/A Contractor's Attachments Affidavit of Bills Paid Consent of Surety Statement of Contract Time Contract Time 280 WD Work Start Date: 6/13/2022 Completed number of Soil Lab Test: 750 Completed number of Water Test: 18 Days Charged: 369 Work Complete Date: 1/31/2024 Page 2of2 FoRTWORTH CITY OF FORT WORTH FINAL PAYMENT REQUEST Contract Name COHIX PHASE 1 Contract Limits Project Type STREET LIGHTING IMPROVEMENTS City Project Numbers 103287 DOE Number 3287 Estimate Number 1 Payment Number 1 City Secretary Contract Number Contract Date 12/21/2021 For Period Ending 1/31/2024 WD Contract Time 2WD Days Charged to Date 369 Project Manager NA Contractor INDEPENDENT UTILITY CONSTRUCTION 5109 SUN VALLEY DRIVE FORT WORTH, TX 76119 Inspectors E. DAVILA / W. FAUVER Contract is 100.00 Complete Thursday, February 15, 2024 Page 1 of 4 City Project Numbers 103287 DOE Number 3287 Contract Name COHIX PHASE 1 Estimate Number 1 Contract Limits Payment Number 1 Project Type STREET LIGHTING IMPROVEMENTS For Period Ending 1/31/2024 Project Funding UNIT VI. STREET LIGHTING IMPROVEMENTS Item Description of Items Estimated Unit Unit Cost Estimated Completed Completed No. Quanity Total Quanity Total 1 2" CONDT PVC SCH 80 (T) (CO #1) (CO #3) 3087 LF $13.68 $42,230.16 3087 $42,230.16 2 NO 10 INSULATED ELEC CONDR (CO #1) 1935 LF $4.12 $7,972.20 1935 $7,972.20 3 FURNISH/INSTALL TYPE 33B ARM 27 EA $150.00 $4,050.00 27 $4,050.00 4 FURNISH/INSTALL LED LIGHTING FIXTURE (70 27 EA $250.00 $6,750.00 27 $6,750.00 WATT ATBO COBRA HEAD) 5 FURNISH/INSTALL RDWAY ILLUM TY 11 POLE 27 EA $1,474.00 $39,798.00 27 $39,798.00 6 RDWY ILLUM FOUNDATION TY 1,2, AND 4 27 EA $1,184.00 $31,968.00 27 $31,968.00 7 NO 2 INSULATED ELEC CONDR (CO #3) 1152 LF $4.50 $5,184.00 1152 $5,184.00 8 FURNISH/INSTALL LED LIGHTING FIXTURE) 4 EA $450.00 $1,800.00 4 $1,800.00 (CO #3) 9 FURNISH/INSTALL TYPE 33A ARM (CO #3) 4 EA $250.00 $1,000.00 4 $1,000.00 10 RDWY ILLUM FOUNDATION TY 3, 5, 6 AND 8 4 EA $1,384.00 $5,536.00 4 $5,536.00 (CO #3) 11 RDWY ILLUM TY 18 POLE (CO #3) 4 EA $2,100.00 $8,400.00 4 $8,400.00 12 GROUND BOX TYPE B (CO #3) 3 EA $800.00 $2,400.00 3 $2,400.00 13 FURNISH/INSTALL 240-480 VOLT METERED I EA $7,200.00 $7,200.00 1 $7,200.00 -------------------------------------- PEDESTAL (CO #3) Sub-Total of Previous Unit $164,288.36 $164,288.36 Thursday, February 15, 2024 Page 2 of 4 City Project Numbers 103287 Contract Name COHIX PHASE 1 Contract Limits Project Type STREET LIGHTING IMPROVEMENTS Project Funding Contract Information Summary Original Contract Amount Change Orders Change Order Number 1 Change Order Number 3 Total Contract Price DOE Number 3287 Estimate Number 1 Payment Number 1 For Period Ending 1/31/2024 $116,848.80 $160.20 $47,279.36 $164,288.36 Total Cost of Work Completed $164,288.36 Less % Retained $0.00 Net Earned $164,288.36 Earned This Period $164,288.36 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 $164,288.36 Thursday, February 15, 2024 Page 3 of 4 City Project Numbers 103287 Contract Name COHIX PHASE 1 Contract Limits Project Type STREET LIGHTING IMPROVEMENTS Project Funding Project Manager NA Inspectors E. DAVILA / W. FAUVER Contractor INDEPENDENT UTILITY CONSTRUCTION 5109 SUN VALLEY DRIVE FORT WORTH, TX 76119 DOE Number 3287 Estimate Number 1 Payment Number 1 For Period Ending 1/31/2024 City Secretary Contract Number Contract Date 12/21/2021 Contract Time 25 WD Days Charged to Date 369 WD 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 $164,288.36 Less % Retained $0.00 Net Earned $164,288.36 Earned This Period $164,288.36 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 $164,288.36 Thursday, February 15, 2024 Page 4 of 4 PROJECT NAME: CONTRACT: CFA # CITY PROJECT # DOE # FID # FILE # INSPECTOR: PROJECT MANAGER: ORIGINAL CONTRACT EXTRAS TO DATE CREDITS TO DATE CONTRACT TO DATE AMOUNT OF PROP. CHANGE ORDER REVISED CONTRACT AMOUNT TOTAL REVISED CONTRACT AMOUNT PER UNIT REVISED COST SHARE TOTAL REVISED CONTRACT DEVELOPER -AWARDED -PROJECT CHANGE ORDER Cohix Ph 1 A - Water, Sewer, Drainage B - Paving C - Street Lights 21-0144 103287 30114-0200431-103287-EO7685 X-26892 Troy Gardner Khal Jaafari CITY PARTICIPATION: Yes Phone No: 682-215-8720 Phone No: 817-392-7872 CHANGE ORDER No: Al, 131, C1 RECEIVED By Khal Jaafari at 12:11 am, Aug 23, 2022 CONTRACT UNIT WATER I SEWER I PAVING I DRAINAGE �evelo STREET LIGHTS CONTRACT er DAYS Developer Cost City Cost Developer Cost I City Cost (Developer Cost City Cost (Developer Cost I City Cost Cost City Cost $1,076,386.89 $60,234.31 $1,165,072.00 I I $1,393,061.40 I $1,216,275.00 I $116,848.80 I 225 WD $1,076,386.89 $60,234.31 $1,165,072.00 I $0.00 $1,393,061.40 $0.00 I $1,216,275.00 I $0.00 $116,848.80 $0.00 I 225 WD $2,000.00 $1,490.00 I $114,101.00 I I $160.20 $1,078,386.89 $60,234.31 $1,166,562.00 I $0.00 $1,507,162.40 $0.00 I $1,216,275.00 I $0.00 $117,009.00 $0.00 I 225 WD $1,138,621.20 $1,166,562.00 I $1,507,162.40 I $1,216,275.00 $117,009.00 Dev. Cost: $5,085,395.29 City Cost: $5,145,629.60 Revised: 10-12-2011 Page 1 You are directed to make the following changes in the contract doe. um nts CITY BID ITEM PAY ITEM # # QUANTITY UNIT 12 9999.0000 1 EA You are directed to make the following changes in the contract docum nts CITY BID ITEM PAY ITEM # # QUANTITY UNIT 5 3331.3101 1 EA You are directed to make the following changes in the contract docur"gnts CITY BID ITEM PAY ITEM # # QUANTITY UNIT 3 3211.0501 -0.40 SY 4 3211.0502 0.40 SY 5 32 11 .0400 0.14 TON 6 3213.0301 0.015 SF You are directed to make the following changes in the contract documents CITY BID ITEM PAY ITEM # # QUANTITY UNIT 2 3211.0502 -0.1 SY 3 3211.0400 0.358 TON 14 3292.0100 3695 SY 15 3291.0100 616 CY You are directed to make the following changes in the contract docum nts CITY BID ITEM PAY ITEM # # QUANTITY UNIT 1 2605.3015 1 9 LF 2 3441.1410 9 LF RECEIVED By Khal Jaafari at 12:11 am, Aug 23, 2022 UNIT IA: WATER IMPROVEMENTS ITEM DESCRIPTION UNIT PRICE TOTAL 1 1/2" Irrigation Service $2,000.00 $2,000.00 I TOTAL $2,000.00 I UNIT /I: SANITARY SEWER IMPROVEMENTS ITEM DESCRIPTION UNIT PRICE TOTAL 4" Sewer Service $1,490.00 $1,490.00 I TOTAL $1,490.00 I UNIT IV., PAVING IMPROVEMENTS ITEM DESCRIPTION UNIT PRICE TOTAL 6" Lime Treatment $3.10 -$1.24 8" Lime Treatment $3.65 $1.46 I Hydrated Lime $180.00 $25.20 I 4" Conc Sidewalk $5.75 $0.09 I TOTAL $25.51 UNIT V. OFFSITE PAVING IMPROVEMENTS ITEM DESCRIPTION UNIT PRICE TOTAL 8" Lime Treatment $3.25 -$0.33 I Hydrated Lime $180.00 $64.44 Block Sod Placement $16.38 $60,524.10 I Topsoil $86.83 $53,487.28 I TOTAL $114,075.50 I UNIT VI., STREET LIGHTING IMPROVEMENTS ITEM DESCRIPTION UNIT PRICE TOTAL 2" CONDT PVC SCH 80(T) $13.68 $123.12 NO 10 Insulated Elec Condr $4.12 $37.08 I TOTAL $160.20 REASONS FOR CHANGE ORDER Added missing bid items, adjusted rounding error in paving quantities, shifted streetlight to avoid driveway. Revised: 10-12-2011 Page 2 DocuSign Envelope ID: FF7E3867-E92B-491 E-9856-8D797C361 F42 RECOMMENDED: By: Shield Engineering Group. PLLC Name - Title: UI4_0 Pj{9!5dpEw'r RECEIVED By Khal Jaafari at 12:12 am, Aug 23, 2022 APPROVED: DocuSigned by: By: ( —F.,—.star tar SUSA Realstate Group, Inc. Name: 4F0... Tape: Vice Presi dent APPROVED: By: Bu sCq Construction, Inc — Name: Tite: Vice President By: Gitco Contracgng. Inc Name: V C �- ✓�`'��— True: 1fi 9�S l By: Independent U01ity Construction, Inc Name: (Z� ilk t{�G Title: President Revised: 10-12-2011 Page 3 PROJECT NAME: CONTRACT: CFA # CITY PROJECT # DOE# WATER PROJECT # SEWER PROJECT # FILE # INSPECTOR: PROJECT MANAGER: ORIGINAL CONTRACT EXTRAS TO DATE ICREDITS TO DATE (CONTRACT TO DATE (AMOUNT OF PROP. CHANGE ORDER IREVISED CONTRACT AMOUNT TOTAL REVISED CONTRACT AMOUNT PER UNIT REVISED COST SHARE TOTAL REVISED CONTRACT DEVELOPER -AWARDED -PROJECT CHANGE ORDER Cohix Ph 1 CHANGE B - Paving ORDER No: 21-0144 CITY PARTICIPATION:( No 103287 3B 30114-0200431-103287-EO7685 30114-0200431-103287-EO7685 X-26892 Bill Fauver Phone No: 817-897-3698 Khal Jaafari Phone No: 817-392-7872 RECEIVED By Khal Jaafari at 2:06 pm, Nov 14, 2023 CONTRACT UNIT WATER SEWER I PAVING DRAINAGE STREET LIGHTS Developer Developer Developer Developer - -- Developer Cost City Cost Cost City Cost Cost Cost City Cost Cost City Cost t $1,393,061.40 ;. S $375128.24 $0.00 $0.00 $0.00 .$0.00 $1,768,189.64 $0.00 $0.00 $0.00 $0.00 $0.00 $0.00 $0.00 $0.00 $0.00 $0.0 ;1 768189.64 $0.00 $0.00 $0.00 $0.00 $0.00 $0.00 $0.00 $1,768,189.64 $0.00 $0.00 Dev. Cost: $1,768,189.64 City Cost: $0.00 $1,768,189.64 I (CONTRACT DAYS 225 225 225 You are directed to make the following changes in the contract documents CITY BID ITEM PAY ITEM # # QUANTITY UNIT ITEM DESCRIPTION UNIT PRICE TOTAL Unit IV: Paving I 8 3213.0501 -2 EA Barrier Free Ramp, Type P-1 $2,095.29 -$4,190.58 14* 3213.0504 2 EA Barrier Free Ramp, Type M-2 $2,095.29 $4,190.58 TOTAL $0.00 Asterisk (*) indicates New Pay Item REASONS FOR CHANGE ORDER Sidewalk ramps adjusted due to constructability constraints in field. This change order pertains to Revision 2 of construction plans. NO CITY FUNDS INVOLVED IN THIS CONTRACT. DEVELOPER IS RESPONSIBLE FOR 100 % OF THE CHANGE ORDER COST AND NO REIMBURSEMENT FROM THE CITY WILL BE SOUGHT BY THE DEVELOPER. Revised: 10-12-2011 Page 1 RECOMMENDED: ConsulEr,... U— By: Shield Name: RVof^ IiIII I PE Title: Vice President APPROVED: Developer By: d5 Name: SIFAHE"� gQIN Title: J7aJELo�ME� DtREGa►Z APPROVED: Contractor� By: Name: Lela McQuien Title: Vice President, Ooarations Revised: 10-12-2011 Page 2 IPROJECT NAME: CONTRACT: ICFA # CITY PROJECT # IDOE # WATER PROJECT # SEWER PROJECT # I FI LE # INSPECTOR: PROJECT MANAGER: IORIGINAL CONTRACT (EXTRAS TO DATE (CREDITS TO DATE (CONTRACT TO DATE (AMOUNT OF PROP. CHANGE ORDER IREVISED CONTRACT AMOUNT TOTAL REVISED CONTRACT AMOUNT PER UNIT REVISED COST SHARE TOTAL REVISED CONTRACT DEVELOPER -AWARDED -PROJECT CHANGE ORDER Cohix Ph 1 C - Street Lights 21-0144 103287 30114-0200431-103287-EO7685 30114-0200431-103287-EO7685 X-26892 CITY PARTICIPATION: No CHANGE ORDER No: 3C Bill Fauver Phone No: 817-897-3698 RECEIVED Khal Jaafari Phone No: 817392-7B72 By Khal Jaafari at 12:32 pm, Oct 25, 2023 CONTRACT UNIT WATER SEWER PAVING DRAINAGE STREETLIGHTS I CONTRACT Developer Developer Developer Developerj DAYS Developer Cost Cost Cost Cost Cost $116,848.8225 I $160.20 I $0.00 $0.00 $0.00 $0.00 $0.00 $0.00 $0.00 $0.00 $117,009�0225 $47,279.36 $0.00 $0.00 $0.00 $0.00 $0.00 $0.00 $0.00 $0.00 1 $16 288.3225 $0.00 $0.00 $0.00 $0.00 $164,288.36 I Dev. Cost: $164,288.36 City Cost: $164,288.36 You are directed to make the following changes in the contract docum mis CITY BID ITEM PAY ITEM # # QUANTITY UNIT Unit VI: Street Lights 1 2605.3015 1,152 LF 7* 3441.1405 1,152 LF 8* 3441.3051 4 EA 9* 3441.1632 4 EA 10* 3441.3302 4 EA 11* 3441.3342 4 EA 12* 3441.1501 3 EA 13* 3441.1772 1 EA Asterisk (*) indicates New Pay Item REASONS FOR CHANGE ORDER ITEM DESCRIPTION 2" CONDT PVC SCH 80(T) NO 2 Insulated Elec Condr FurnishAnstall LED Lighting Fixture (137 watt ATB2 Cobra Head) Furnish/Install Type 33A Arm Rdwy Ilium Foundation TY 3,5,6, and 8 Rdwv Illum TY 18 Pole Ground Box Type B Furnishlnstall 240-480 Volt Metered Pedestal GRAND TOTAL UNIT PRICE TOTAL 1 $13.68 $15,759.36 I $4.50 $5,184.00 $450.00 $1.800.00 I 1 $250.00 $1,000.00 1 $1,384.00 $5,536.00 1 $2,100.00 I $8,400.00 1 $800.00 $2,400.00 1 $7,200.00 I $7,200.00 TOTALI I $47,279.36 1 $47,279.36 Added street lights on median along McPherson Boulevard. This Change Order pertains to Revision 2 of construction plans. NO CITY FUNDS INVOLVED IN THIS CONTRACT. DEVELOPER IS RESPONSIBLE FOR 100 % OF THE CHANGE ORDER COST AND NO REIMBURSEMENT FROM THE CITY WILL BE SOUGHT BY THE DEVELOPER. Revised: 10-12-2011 Page 1 RECOMMENDED: By: Name: 1�VAKJ Ik Iw , PIE Title: V Q APPROVED: (Developer) By: v!_ Name: F✓E� gRW Title: D6�bL�AM�t+r 171iti6L7DR APPROVED: (Contractor%//y, Name: Richard Wolfe Title: President r RECEIVED By Khal Jaafari at 12:32 pm, Oct 25, 2023 Revised: 10-12-2011 Page 2 FORTWORTH. M, TRANSPORTATION AND PUBLIC WORKS February 8, 2024 Independent Utility. 5109 Sun Valley DR Fort Worth TX 76119 RE: Acceptance Letter Project Name: Cohix Phase 1 Project Type: Street Lights City Project No.: 103287 To Whom It May Concern: On February 8, 2024 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 February 8, 2024, 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 Khal Jaafari. 817-392-7872. Sincerely, K� ��) P� alp Khal Jaafari (Feal, 202415:55 CST) Khal Jaafari, Project Manager Cc: William Favour, Inspector Donald Watson, Inspection Supervisor Aaron Ybarra, Senior Inspector Andrew Goodman, Program Manager Shield Engeering, Consultant Burnsco Construction INC., Contractor Forestar, Developer File E-Mail: TPW_Acceptance@fortworthtexas.gov Rev. 08/20/19 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 RICHARD WOLFE, PRESIDENT Of INDEPENDENT UTILITY CONSTRUCTION, INC., 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; Cohix Phase 1 - City Project No. 1032 BY Riclfe, President Subscribed and sworn before me on this date 19th of February, 2024. Notary Public Tarrant County, State of _ Texas Y "I'' CHRISTINA GARCIA Notary Public, State of Texas :9r +!�F Comm. Expires 12-20-2024 Notary ID 130940785 CONSENT OF OWNER ❑ SURETY COMPANY ARCHITECT ❑ CONTRACTOR ❑ TO FINAL PAYMENT o�R ❑ (SIMILAR TO AIA DOCUMENT G707) PROJECT: City Project # 103287 for Street Lighting to serve Cohix Phase 1, (name, address) Fort Worth, TX TO (Owner) F— City of Fort Worth 200 Texas Street Fort Worth, TX 76102 1 CONTRACTOR: Independent Utility Construction, Inc. Bond No. 170884G ARCHITECT'S PROJECT NO: CONTRACT FOR: --.1 CONTRACT DATE: 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 955 Garden Park Drive, Suite 230 SURETY COMPANY, Allen, TX 75013 on bond of (here insert name and address of Conti -actor) Independent Utility Construction, Inc. 5109 Sun Valley Drive CONTRACTOR, Fort Worth, TX 76119 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, TX 76102 OWNER, as set forth in the said Surety Company's bond. IN WITNESS WHEREOF, The Surety Company has hereunto set its hand this Attest: (Seal): 16th day of February , 2024 WESTFIELD INSURANCE COMPANY Surety Company By Signature o uthorize'blepresentative/ Kyle W. Sweeney Attorney —in —Fact Title Note: This form is intended 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 THIS SAME POWER # AND ISSUED PRIOR TO 08/23/23, FOR ANY PERSON OR PERSONS NAMED BELOW General POWER NO. 4220052 06 Power Westfield Insurance Co. of Attorney Westfield National Insurance Co. CERTIFIED COPY Ohio Farmers Insurance Co. 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, DAVID SWEENEY, JOINTLY OR SEVERALLY of FORT WORTH and State of TX its true and lawful Attorneys) -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 in any penal limit. - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - 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 National Surety Leader and Senior Executive and their corporate seals to be hereto affixed this 23rd day of AUGUST A.D., 2023 . Corporate "g "�" AWESTFIELD INSURANCE COMPANY Seals P\A ..... ,lC �a��•nN •�/s'''c ��SURA WESTFIELD NATIONAL INSURANCE COMPANY Affixed :p': ��ir F OHIO FARMERS INSURANCE COMPANY r ' �: vii&RTER4- 3 3 : sro _�. �i i3C=4.1 ran State of Ohio """' By: County of Medina ss.: Gary W. _tumper, Nationahurety Leader and Senior Executive On this 23rd day of AUGUST A.D., 2023 , before me personally came Gary W. Stumper to me known, who, being by me duly sworn, did depose and say, that he resides in Medina, OH; that he is National Surety Leader and 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 Affixed , P,: ••""'-••. State of Ohio p tyo David A. Kotnik, Attorney at Law, Notary Public County of Medina ss.: v��,- My Commission Does Not Expire (Sec. 147.03 Ohio Revised Code) Te0F°, 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 16LAday of LUYIA SO SEAL ,s•�\ti. �. rC� .t ��P . _ per%,, •..•':.G��SU��'�.,,'i y ' fvMARTER �' ` =H SEAL : _ f®= `cn, Secretary7r' rase : ��'} = vj: 'p' 3�•. ��4� :�$; ° 4 Frank A. Carrino, Secretary BPOAC2 (combined) (03.22)