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Contract 48080-FP1
Departmpt of TPW Const. Services l CPN#3_�b Date Project Manager IiL r7/ - li Risk Management S. Cann y — - "T WO RT Ho C� ` C �� D.O.E. Brotherton — n—/1 CONTRACT NO. Water Dept. Esteban Perez CFA Westerman/Scanned ❑ f "2�? TION AND PUBLIC WORKS The Proceeding people nave been Contacted concerning the request I PROJECT COMPLETION for final payment&bave released this project for such payment• fneveloper Projects) Cle,•11-pli—rmid.wfod Rv R.ttn Rnev ( �� �i ` Zyv 'ty Project Ns: 100370 C -l� �c� L/3 � Regarding contract 100370 for WALSH RANCH-QUAIL ALLEY PHASE IA as required Ie TRANSPORTATION& PUBLIC WORKS as approved by City Council on N/A ditough M&C N/A the director of the TRANSPORTATION&PUBLIC WORKS upon die recommendation of the Assistant Director of the Transportation&Public Works Department has accepted die project as complete. Original Contract Price: $2,155,968.75 Amount of Approved Change Orders: ($481,417.50) Ns 1,2&3 Revised Contract Amount: $1,674,551.25 Total Cost Work Completed: $1,674,551.25 Recom nde or Acceptance Date Asst. ' ector, TPW - Infrastructure Design and Construction Accepted Date Director, TRANSPORTAT N & PUBLIC WORKS �121211) Asst. City Manager Date Comments: jorJAZLED OFFICIAL RECORD FEB CITY SECRETARY I,�t1eX: FT.WORTH,TX Rev.9/22/16 FORT WORTH CITY OF FORT WORTH FINAL PAYMENT REQUEST Contract Name WALSH RANCH-QUAIL VALLEY-PHASE 1A Contract Limits Project Type STORM DRAIN,PAVING,ST LIGHT City Project Numbers 100370 DOE Number 0370 Estimate Number 1 Payment Number 1 For Period Ending 2/2/2017 CD City Secretary Contract Number Contract Time 180:D Contract Date Days Charged to Date 157 Project Manager NA Contract is 100.00 Complete Contractor CONATSER CONSTRUCTION TxLP 5327 WICHITA ST FORT WORTH, TX 76119 Inspectors LAYER / HOUSTON Thursday,February 2,2017 Page I of 5 �o City Project Numbers 100370 DOE Number 0370 Contract Name WALSH RANCH-QUAIL VALLEY-PHASE IA Estimate Number 1 Contract Limits Payment Number 1 Project Type STORM DRAIN,PAVING,ST LIGHT For Period Ending 2/2/2017 Project Funding STORM DRAIN ItemDescription of Items Estimated Unit Unit Cost Estimated Completed Completed No. Quanity Total Quanity Total 1 21"RCP 155 LF $45.00 $6,975.00 155 $6,975.00 2 24"RCP 919 LF $50.00 $45,950.00 919 $45,950.00 3 30"RCP 1850 LF $62.00 $114,700.00 1850 $114,700.00 4 36"RCP 352 LF $82.00 $28,864.00 352 $28,864.00 5 42"RCP CO#3 331 LF $98.00 $32,438.00 331 $32,438.00 6 48"RCP 356 LF $120.00 $42,720.00 356 $42,720.00 7 60"RCP 183 LF $185.00 $33,855.00 183 $33,855.00 8 60"RCP CLASS III-RADIUS PIPE 134 LF $200.00 $26,800.00 134 $26,800.00 9 6X4 BOX CULVERT 158 LF $250.00 $39,500.00 158 $39,500.00 10 10'CURB INLET 21 EA $2,600.00 $54,600.00 21 $54,600.00 11 6'DROP INLET C093 2 EA $5,000.00 $10,000.00 2 $10,000.00 12 FACTORY STORM WYE CONNECTION 16 EA $300.00 $4,800.00 16 $4,800.00 13 4'STORM JUNCTION BOX 5 EA $4,000.00 $20,000.00 5 $20,000.00 14 5'STORM JUNCTION BOX 2 EA $5,000.00 $10,000.00 2 $10,000.00 15 6'STORM JUNCTION BOX 1 EA $6,000.00 $6,000.00 1 $6,000.00 16 CONCREE RIPRAP 214 SY $90.00 $19,260.00 214 $19,260.00 17 MEDIUM STONE RIPRAP,DRY CO#3 617.5 SY $55.00 $33,962.50 617.5 $33,962.50 18 24"FLARED HEADWALL, 1 PIPE 1 EA $2,000.00 $2,000.00 1 $2,000.00 19 36"FLARED HEADWALL, 1 PIPE 1 EA $3,000.00 $3,000.00 1 $3,000.00 20 42"FLARED HEADWALL,2 PIPES 1 EA $4,000.00 $4,000.00 1 $4,000.00 21 60"PARALLEL HEADWALL,1 PIPE 1 EA $6,500.00 $6,500.00 1 $6,500.00 22 CONCRETE HEADWALL 2-6'X4'BOX CULVERT I EA $11,500.00 $11,500.00 1 $11,500.00 23 CONCRETE DETENTION STRUCTURE FOR 1 LS $45,000.00 $45,000.00 1 $45,000.00 POND'B' 25 CONCRETE PILOT CHANNEL CO#3 175 LF $30.00 $5,250.00 175 $5,250.00 26 CONCRETE COLLAR 4 EA $250.00 $1,000.00 4 $1,000.00 27 POST CCTV INSPECTION 4450 LF $2.00 $8,900.00 4450 $8,900.00 28 TRENCH SAFETY 4371 LF $1.00 $4,371.00 4371 $4,371.00 29 T HAY MATTING CO#3 8650 LF $0.45 $3,892.50 8650 $3,892.50 Sub-Total of Previous Unit $625,838.00 $625,838.00 ------------------------- ------- -------- Thursday,February 2,2017 Page 2 of 5 City Project Numbers 100370 DOE Number 0370 Contract Name WALSH RANCH-QUAIL VALLEY-PHASE I Estimate Number I Contract Limits Payment Number I Project Type STORM DRAIN,PAVING,ST LIGHT For Period Ending 2/2/2017 Project Funding PAVING Item Description of Items Estimated Unit Unit Cost Estimated Completed Completed No. Quanity Total Quanity Total 1 7.5"CONC PVMT CO#I CO#2 20551.5 SY $36.50 $750,129.75 20551.5 $750,129.75 2 6"UNREINFORCED CONC PVMT 587 SY $28.00 $16,436.00 587 $16,436.00 3 8"LIME TREATMENT CO#1 CO#2 21603 SY $4.75 $102,614.25 21603 $102,614.25 4 HYDRATED LIME CO#1 CO#2 453.35 TN $175.00 $79,336.25 453.35 $79,336.25 8 STREET HEADER CO#1 532 LF $20.00 $10,640.00 532 $10,640.00 9 TYPE III BARRICADE CO#1 CO#3 4 EA $500.00 $2,000.00 4 $2,000.00 10 REMOVE SIDEWALK 4014 SF $1.00 $4,014.00 4014 $4,014.00 11 REMOVE CON PVMT 27 SY $20.00 $540.00 27 $540.00 12 4"SLD PVMT MARKING HAS 1250 LF $1.50 $1,875.00 1250 $1,875.00 13 4"SLD PVMT MARKING HAS 900 LF $1.50 $1,350.00 900 $1,350.00 14 24"SLD PVMT MARKING HAE CO#1 1160 LF $12.00 $13,920.00 1160 $13,920.00 15 4"DOUBLE YELLOW SOLID LINES&TYPE II A- 4447 LF $2.00 $8,894.00 4447 $8,894.00 A 16 8"CENTER GORE LINE 2120 SF $4.00 $8,480.00 2120 $8,480.00 17 8"MERGING GORE LINE 3096 SF $4.00 $12,384.00 3096 $12,384.00 18 FURNISH/INSTALL ALUM SIGN GROUND 2 EA $650.00 $1,300.00 2 $1,300.00 MOUNT CITY STD 19 16"PVC SCH 40 CO#3 580 LF $60.00 $34,800.00 580 $34,800.00 Sub-Total of Previous Unit $1,048,713.25 $1,048,713.25 Thursday,February 2,2017 Page 3 of 5 City Project Numbers 100370 DOE Number 0370 Contract Name WALSH RANCH-QUAIL VALLEY-PHASE IA Estimate Number 1 Contract Limits Payment Number 1 Project Type STORM DRAIN,PAVING,ST LIGHT For Period Ending 2/2/2017 Project Funding Contract Information Summary Original Contract Amount $2,155,968.75 Chanee Orders Change Order Number 1 $32,874.50 Change Order Number 2 $2 953.00 g > Change Order Number 3 ($517,245.00) Total Contract Price $1,674,551.25 } Date �' a Total Cost of Work Completed $1,674,551.25 Cont r Less %Retained $0.00 Net Earned $1,674,551.25 Date �-�Z//- Ins cti r Earned This Period $1,674,551.25 Retainage This Period $0.00 i Date Less Liquidated Damages Project M ag Days @ /Day $0.00 Date 2 _-2— LessPavement Deficiency $0.00 ircc `(IP I pastructure Design and Construction Less Penalty $0.00 l,✓ , IN Date Z 3 Less Previous Payment $0.00 Direct /Contracting Departnynt Plus Material on Hand Less 15% $0.00 Balance Due This Payment $1,674,551.25 I i I i I Thursday,February 2,2017 Page 4 of 5 �I i. City Project Numbers 100370 DOE Number 0370 Contract Name WALSH RANCH-QUAIL VALLEY-PHASE IA Estimate Number I Contract Limits Payment Number I Project Type STORM DRAIN,PAVING,ST LIGHT For Period Ending 2/2/2017 Project Funding Project Manager NA City Secretary Contract Number Inspectors LAYER / HOUSTON Contract Date Contractor CONATSER CONSTRUCTION TxLP Contract Time 180 CD 5327 WICHITA ST Days Charged to Date 157 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 $1,674,551.25 Less %Retained $0.00 Net Earned $1,674,551.25 Earned This Period $1,674,551.25 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 $1,674,551.25 Thursday,February 2,2017 Page 5 of 5 FORTWORTH rev 03/05/07 TRANSPORTATION& PUBLIC WORKS FINAL STATEMENT OF CONTRACT TIME FINAL STATEMENT NO. 1 NAME OF PROJECT: Walsh Ranch Quail Valley IA PROJECT NO.: 100370 CONTRACTOR: Conatser Construction DOE NO. N/A PERIOD FROM 08/23/16 TO: 02/02/17 FINAL INSPECTION DATE: 2-Feb-17 WORK ORDER EFFECTIVE 8/23/2016 CONTRACT TIME 180 O WD O CD DAY OF DAYS REASON FOR DAYS DAY OF DAYS REASON FOR DAYS MONTH DURING CREDITED MONTH DING CREDITED 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 DAYS TOTAL &HOLIDAYS &TOO COLD RELOCATIONS OTHERS* CHARGED DAYS THIS 0 0 0 0 157 157 PERIOD PREVIOUS 0 0 0 0 0 0 PERIOD TOTALS 0 0 0 0 157 157 TO DATE *REMARKS: CONTRACTOR DATE INSPECTQ DATE ENGINEERING DEPARnT ENT (a The Cite of Fort Worth• 1000 Throckmorton Street•Fort Worth,TX 76012-6311 (817)392-7941 •Fax: (817)392-7845 City of Fort Worth Inspector's Estimate Worksheet City Project Numbers 100370 Contract Name WALSH RANCH-QUAIL VALLEY-PHASE 1A DOE Number 0370 Contract Limits Estimate Number 1 Project Type STORM DRAIN,PAVING,ST LIGHT Payment Number 1 17 Control Number 037002 For Period Ending_/ / 147 Contract: Contract Tim 180 CD Contract Date �.�7 CD Inspectors LAYER / HOUSTON Days Charged to Date / / 17 Contract is fod %Complete Date Prepared by Inspector Construction ID: 10910 Item Description of Items Estimated Uni Unit Cost Previous Quanity Completed Total Cost No. Quanity Quanity for Month Quanity STORM DRAIN 1 21"RCP 155 LF $45.00 b-;5 2 24"RCP 919 LF $50.00 1e e ! 3 30"RCP 1850 LF $62.00 s 7 4 36"RCP 352 LF $82.00 �p 5 42"RCP U3o LF $98.00 6 48"RCP 356 LF $120.00 } 7 60"RCP 183 LF $185.00 33 `5- 00 8 60"RCP CLASS III-RADIUS 134 LF $200.00 PIPEOva C,e'. 9 6X4 BOX CULVERT 158 LF $250.00 o 0 -- --- 10 10'CURB INLET 21 EA $2,600.00 2� a /O 11 6'DROP INLET �(� -8- EA $5,000.00 2 C 12 FACTORY STORM WYE 16 EA $300.00 / !` CONNECTION 13 4'STORM JUNCTION BOX 5 EA $4,000.00 6 14 5'STORM JUNCTION BOX 2 EA $5,000.00 15 6'STORM JUNCTION BOX 1 EA $6,000.00 /� �� Q a RC1 16 CONCREE RIPRAP 214 SY $90.00 17 MEDIUM STONE RIPRAP, DRY -13690.5 SY $55.00 (�/7, C/{7, � 33 f",-5-6 18 24"FLARED HEADWALL, 1 PIPE 1 EA $2,000.00 / Z © . 6 Friday,January 27,2017 Pagel City of Fort Worth Inspector's Estimate Worksheet City Project Numbers 100370 Contract Name WALSH RANCH-QUAIL VALLEY-PHASE 1A DOE Number 0370 Contract Limits Estimate Number 1 Project Type STORM DRAIN,PAVING,ST LIGHT Payment Number 1 19 36"FLARED HEADWALL, 1 PIPE 1 EA $3,000.00 }� � ' 20 42"FLARED HEADWALL,2 1 EA $4,000.00 PIPES' ' 21 60"PARALLEL HEADWALL, 1 1 EA $6,500.00 I PIPE 22 CONCRETE HEADWALL 2-6'X4' 1 EA $11,500.00 / BOX CULVERT ' ! 23 CONCRETE DETENTION 1 LS $45,000.00 STRUCTURE FOR POND'B' 24 CONCRETE DETENTION /-4'LS $32,500.00 s STRUCTURE FOR POND'OF1' ® 25 CONCRETE PILOT CHANNEL - �03LF $30.00 /�jr S Z��. �d 26 CONCRETE COLLAR 4 EA $250.00 ° 27 POST CCTV INSPECTION 4450 LF $2.00 0, 60 28 TRENCH SAFETY 4371 LF $1.00 �3 7/' y� 71 _ a e"' estimated Total This Unit $698,276.50 Completed Total This Unit Construction ID: 10911 Item Description of Items Estimated Uni Unit Cost Previous Quanity Completed Total Cost No. Quanity Quanity for Month Quanity PAVING � c j 1 7.5"CONC PVMT 5592 SY $36.50 p 2 6"UNREINFORCED CONC PVMT587 SY $28.00 3 8"LIME TREATMENT 2144 g SY $4.75 2-1663 ,460 IU2�C/y ?$ �v fid ' 4 HYDRATED LIME �/ 459— N $175.00 5 BARRIER FREE RAMP -6 EA $1,000.00 6 BARRIER FREE RAMP �FI EA $1,200.00 7 5"CONC SIDEWALK /���� 52082 SF $4.00 Friday,January 27,2017 Page 2 City of Fort Worth Inspector's Estimate Worksheet City Project Numbers 100370 Contract Name WALSH RANCH-QUAIL VALLEY-PHASE 1A DOE Number 0370 Contract Limits Estimate Number 1 Project Type STORM DRAIN,PAVING,ST LIGHT Payment Number I Coil 8 STREET HEADER X24 507 LF $20.00 tj 9 TYPE III BARRICADE A-6 q EA $500.00 00- 10 REMOVE SIDEWALK 4014 SF $1.00 0//'go 11 REMOVE CON PVMT 27 SY $20.00 12 4"SLD PVMT MARKING HAS 1250 LF $1.50 13 4"SLD PVMT MARKING HAS 900 LF $1.50 14 24"SLD PVMT MARKING HAE 1080 LF $12.00 CJ(--J 15 4"DOUBLE YELLOW SOLID 4447 LF $2.00 LINES&TYPE 11 A-A 16 8"CENTER GORE LINE 2120 SF $4.00 17 8"MERGING GORE LINE 3096 SF $4.00 30,'?w 12- fS 0 18 FURNISH/INSTALL ALUM SIGN 2 EA $650.00 GROUND MOUNT CITY STD /40,00 1,stirnated Total This Unit $1,313,641.75 Completed Total This Unit Construction ID: 10912 Item Description of Items Estimated Uni Unit Cost Previous Quanity Completed Total Cost No. Quanity Quanity for Month Quanity ST LIGHT 0 1 2"CONDT PVC SCH 80 AGErr LF $8.00 2 GROUND BOX TYPE B la EA $750.00 (9 %— 3 LED LIGHTING FIXTURE EA $550.00 4 RDWY ILLUM FOUNDATION ,2G EA $1,200.00 5 FURNISH/INSTALL RDWY ILLUM 2d 2g LF $2,550.00 6 -2-2-4 QUADPLEX ALUM ELEC �AW7 EA $3.50 2 CONDUCTOR 67 7 FURNISH/INSTALL ALUM SIGN -2--2'EA $450.00 GROUND MOUNT CITY STD 0 Friday,January 27,2017 Page 3 City of Fort Worth Inspector's Estimate Worksheet City Project Numbers 100370 Contract Name WALSH RANCH-QUAIL VALLEY-PHASE 1A DOE Number 0370 Contract Limits Estimate Number 1 Project Type STORM DRAIN,PAVING,ST LIGHTT� Payment Number 1 t 8 INSTALL ALUM SIGN GROUND i y2 EA $200.00 U MOUNT �,stimated Total This Unit $144,050.50 Completed Total This Unit Total Itemized Amount(Including Change Order $27455;968.75 DATE �/ Total Cost of Work Completed Ins(S_for Less %Retained Net Earned 6W 0 , A� Previous Payment $0.00 Material on Hand 15% .' 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That the wage scale established by the City Council in the City of Fort Worth, has been paid in full; and That there are no claims pending for personal injury and/or property damages; On Contract described as: WALSH RANCH QUAIL VALLEY—PH 1A WATER& SS, STORM DRAIN AND PAVING IMPROVEMENTS DOE#: N/A CFA PRJ#: 2016-041 CITY PROJCT #: 100370 CITY OF FORT WORTH STATE OF TEXAS CONAT ONSTRUCTION TX,LP Brock Huggins Subscribed and sworn to before me this 2nd day of 7N6 ary, 2017. BERTHA GIANULIS ry Public in Tarrant County Texas d a i ,arR:•"tea.'',. I.>..,.• Notary Public,State of Texas My Commission Expires ! September 18, 2019 CONSENT OF OWNER ❑ SURETY COMPANY ARCHITECT ❑ CONTRACTOR ❑ TO FINAL PAYMENT SURETY ❑ Conforms with the American Institute of OTHER Architects, AIA Document G707 Bond No 0201473 PROJECT: (name, address)Walsh Ranch-Quail Valley- Phase 1A Fort Worth,TX TO (Owner) CFA No.2016-041 QUAIL VALLEY LAND COMPANY,LLC AND THE CITY I ARCHITECT'S PROJECT NO: City Project No. 100370 OF FORT WORTH CONTRACT FOR: 8401 N.Central Expressway,Suite 350 Water,Sewer,Drainagge Paving and Street-Light Improvements for Walsh Ranch-Quail Valley-Phase 1 A Dallas TX 75225 CONTRACT DATE: CONTRACTOR:CONATSER CONSTRUCTION TX, L.P. In accordance with the provisions of the Contract between the Owner and the Contractor as indicated above,the there Insert name and address of Surety Company) BERKLEY INSURANCE COMPANY 475 Steamboat Road Greenwich CT 06830 , SURETY COMPANY on bond of (here insert name and address of Contractor) CONATSER CONSTRUCTION TX, L.P. 5327 Wichita St. Fort Worth TX 76119-6035 , CONTRACTOR, 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) QUAIL VALLEY LAND COMPANY, LLC AND THE CITY OF FORT WORTH 8401 N. Central Expressway, Suite 350 Dallas TX 75225 , OWNER, as set forth in the said Surety Company's bond, IN WITNESS,WHEREOF, the Surety Company has hereunto set its hand this 2nd day of February,2017 BERKLEY INSURANCE COMPANY �Surety Company Attest: VJ� (9J�1 t ` �u� .��✓1��� (Seal): Signature of Authorized Representative Robbi Morales Attorney-in-Fact Title NOTE: This form is to be used as a companion document to AIA DOCUMENT G706, CONTRACTOR'S AFFIDAVIT OF PAYMENT OF DEBTS AND CLAIMS, Current Edition ONE PAGE No. BI-72801' POWER OF ATTORNEY BERKLEY INSURANCE COMPANY WILMINGTON, DELAWARE NOTICE: The warning found elsewhere in this Power of Attorney affects the validity thereof. Please review carefully. a KNOW ALL MEN BY THESE PRESENTS, that BERKLEY INSURANCE COMPANY (the "Company"), a corporation duly Ca organized and existing under the laws of the State of Delaware, having its principal office in Greenwich, CT, has made, constituted p and appointed, and does by these presents make, constitute and appoint: Ricardo J. Reyna; Don E. Cornell; Vena DeLene •5 Marshall;Sophinie Hunter;Robb!Morales; or Kelly A. Westbrook of Aon Risk Services Southwest,Inc. of Dallas, TX its true and lawful Attorney-in-Fact, to sign its name as surety only as delineated below and to execute, seal, acknowledge and deliver any and all bonds and undertakings, with the exception of Financial Guaranty Insurance, providing that no single obligation shall exceed Fifty Million and 00/100 U.S. Dollars (U.S.$50,000,000.00), to the same extent as if such bonds had been duly executed and acknowledged by the regularly elected officers of the Company at its principal office in their own proper persons. -2 5 This Power of Attorney shall be construed and enforced in accordance with, and governed by, the laws of the State of Delaware, without giving effect to the principles of conflicts of laws thereof. This Power of Attorney is granted pursuant to the following L resolutions which were duly and validly adopted at a meeting of the Board of Directors of the Company held on January 25, 2010: a RESOLVED, that, with respect to the Surety business written by Berkley Surety Group, the Chairman of the Board, Chief Or- Executive Officer, President or any Vice President of the Company, in conjunction with the Secretary or any Assistant '— Secreta are hereby authorized to execute powers of attorney authorizing and qualifying the attorney-in-fact named therein CZ Secretary Y P Y g 9 fY g Y- o ° to execute bonds, undertakings, recognizances, or other suretyship obligations on behalf of the Company, and to affix the Q) corporate seal of the Company to powers of attorney executed pursuant hereto; and said officers may remove any such attorney-in-fact and revoke any power of attorney previously granted;and further RESOLVED, that such power of attorney limits the acts of those named therein to the bonds, undertakings, recognizances, Hw or other suretyship obligations specifically named therein, and they have no authority to bind the Company except in the manner and to the extent therein stated; and further RESOLVED, that such power of attorney revokes all previous powers issued on behalf of the attorney-in-fact named; and further 0 RESOLVED, that the signature of any authorized officer and the seal of the Company may be affixed by facsimile to any •E power of attorney or certification thereof authorizing the execution and delivery of any bond, undertaking, recognizance, or other suretyship obligation of the Company; and such signature and seal when so used shall have the same force and effect as 3 though manually affixed, The Company may continue to use for the purposes herein stated the facsimile signature of any S person or persons who shall have been such officer or officers of the Company, notwithstanding the fact that they may have .D ¢ ceased to be such at the time when such instruments shall be issued. IN WITNESS WHEREOF, the Company has cau e'- these presents to be signed and attested by its appropriate officers and its 0 o corporate seal hereunto affixed this A f�ay of l/f�. -15. c ori. Attest: Berkley Insurance Company p (Seal) By / By o Ira S, e erman Je after °o Senior Vice President&Secretary e r Preside WARNING- THIS POWER INVALID IF NOT PRINTED ON BLUE "BERKLEY" SECURITY PAPER.. F.p STATE OF CONNECTICUT) n ) ss: N COUNTY OF FAIRFIELD ) PC Sworn to before me, a Notary Public in the State of Connecticut, this-DOlotary �'� 2015, by Ira S. Lederman and Cd S Jeffrey M. Hafter who are sworn to me to be the Senior Vice President and Sn the Senior Vice Precedent, respectively, of Berkley Insurance Company. MARIA C.RUNDBAKEN NOTARY PUBLIC �� L F�'� Q MY COMMISSION EXPIRES ublic, State ofConnecticut o APRIL 30,2019 U CERTIFICATE I, the undersigned, Assistant Secretary of BERKLEY INSURANCE COMPANY, DO HEREBY CERTIFY that the foregoing is a true, correct and complete copy of the original Power of Attorney; that said Power of Attorney has not been revoked or rescinded 3 Y and that the authority of the Attorney-in-Fact set forth therein, who executed the bond or undertaking to which this Power of Attorney is attached, is in full force and effect as of this date. Given under my hand and seal of the Company,this 2nd day of February/1 2017 (Seal) '41 - Aa