HomeMy WebLinkAboutContract 47068-FP1 DepartVan—a
TP W Const. Services
CPiV# Dat rt,�
Projecee IT WORTHO
Risk Management Canad —
D.O.E. Brotherton CITYSECRETARI° / 1�
CFA Morales/Scanned CONTRACTNO.
Gutzler/Scanned
The Proceeding people have been Contacted
concerning the request for final payment& have 'ATION AND PUBLIC WORKS
released this project for such payment. F PROJECT COMPLETION
CV Developer Projects)
Clearance Conducted By PAS City Project Ns: 02572
cs � v05:
Regarding contract 117452 for COPPER CREEK PHASE I as required by the
TRANSPORTATION& PUBLIC WORKS as approved by City Council on N/A through Iv1&C N/A the director
of the TRANSPORTATION&PUBLIC WORKS upon the recommendation of the Assistant Director of the
Transportation&Public Works Department has accepted the project as complete.
Original Contract Price: $5,643,780.50
Amount of Approved Change Orders: $33,500.00 Ne 1
Revised Contract Amount: $5,677,280.50
Total Cost Work Completed: $5,677,280.50
i
Recommended for Acceptance 6ate
Asst, Director, TPW - Infrastructure Design and Construction
D' '� �J. &J S-
Accepte / Date
Di ector, TRANSPORTAT N & PUBLIC WORKS / y24_12
Asst. City Manager V Date
Comments:
EMA,,.ILE"
EWORTNI
RD
RY
2017
MAY X
Initial.
Rev.9/22/16
FORT WORTH
CITY OF FORT WORTH
FINAL PAYMENT REQUEST
Contract Name COPPER CREEK PHASE I
Contract Limits
Project Type STORM DRAIN,PAVING&ST LIGHT
City Project Numbers 02572
DOE Number 7452
Estimate Number 1 Payment Number For Period Ending 4/11/2017
WD
City Secretary Contract Number 117452 Contract Time 30WD
Contract Date Days Charged to Date 391
Project Manager Sahu Contract is 100.00 Complete
Contractor RKM UTILITY SERVICES,INC.
1604 BLUEBANK ROAD
DALLAS, TX 75229-3102
Inspectors LAYER / ODEN
Tuesday,April 11,2017 Page 1 of 6
City Project Numbers 02572 DOE Number 7452
Contract Name COPPER CREEK PHASE I Estimate Number I
Contract Limits Payment Number I
Project Type STORM DRAIN,PAVING&ST LIGHT For Period Ending 4/11/2017
Project Funding
STORM DRAIN
ItemDescriptimr of Items Unit Unit Cost
Estimated Estimated Completed Completed
No. Quanity Total Quanity Total
I 10'DEPRESSED CURB INLET 46 EA $3,000.00 $138,000.00 46 $138,000.00
2 15'DEPRESSED CURB INLET 6 EA $3,400.00 $20,400.00 6 $20,400.00
3 20'DEPRESSED CURB INLET 2 EA $4,100.00 $8,200.00 2 $8,200.00
4 24"SLOPED END HEADWALL I EA $1,500.00 $1,500.00 1 $1,500.00
5 27"SLOPED END HEADWALL I EA $1,900.00 $1,900.00 1 $1,900.00
6 36"SLOPED END HEADWALL 2 EA $3,400.00 $6,800.00 2 $6,800.00
7 42"SLOPED END HEADWALL I EA $4,625.00 $4,625.00 1 $4,625.00
8 48"SLOPED END HEADWALL I EA $5,150.00 $5,150.00 1 $5,150.00
9 30"/36"DOUBLE SLOPED END HEADWALL I EA $6,825.00 $6,825.00 1 $6,825.00
10 21"CLASS III RCP 1467 LF $52.00 $76,284.00 1467 $76,284.00
11 24"CLASS III RCP 1610 LF $58.00 $93,380.00 1610 $93,380.00
12 27"CLASS III RCP 1017 LF $65.00 $66,105.00 1017 $66,105.00
13 30"CLASS III RCP 1520 LF $74.00 $112,480.00 1520 $112,480.00
14 36"CLASS III RCP 884 LF $96.00 $84,864.00 884 $84,864.00
15 39"CLASS III RCP 118 LF $118.00 $13,924.00 118 $13,924.00
16 42"CLASS III RCP 286 LF $133.00 $38,038.00 286 $38,038.00
17 48"CLASS III RCP 328 LF $170.00 $55,760.00 328 $55,760.00
18 FLEXAMAT 2190 SY $7.00 $15,330.00 2190 $15,330.00
19 END&PLUG 24" 1 EA $225.00 $225.00 1 $225.00
20 CONNECT TO EXISTING 36"STORM DRAIN 1 EA $500.00 $500.00 1 $500.00
21 REMOVE EX.36"RCP HEADWALL I EA $1,000.00 $1,000.00 1 $1,000.00
22 REMOVE EX.36"RCP STORM LINE 34 LF $25.00 $850.00 34 $850.00
23 BOX CULVERT WING I LS $557,500.00 $557,500.00 1 $557,500.00
WALLS/HEADWALLS/RAILING
24 7-BARRELL 12'X 10'AND I-BARBELL 8'X 8' 104 LF $5,100.00 $530,400.00 104 $530,400.00
BOX
25 4'X4'SDMH 9 EA $3,665.00 $32,985.00 9 $32,985.00
26 5'X5'SDMH 3 EA $6,400.00 $19,200.00 3 $19,200.00
27 5-SIDED SDMH 2 EA $10,000.00 $20,000.00 2 $20,000.00
28 REMOVAL OF BOX CULVERT PAINTING, 1 LS $33,500.00 $33,500.00 1 $33,500.00
RAILINGS FOR DECORATIVE FINISH CO#1
Sub-Total of Previous Unit $1,945,725.00 $1,945,725.00
Tuesday,April 11,2017 Page 2 of 6
City Project Numbers 02572 DOE Number 7452
Contract Name COPPER CREEK PHASE I Estimate Number I
Contract Limits Payment Number I
Project Type STORM DRAIN,PAVING&ST LIGHT For Period Ending 4/11/2017
Project Funding
PAVING
Item Description of Items Estimated Unit Unit Cost Estimated Completed Completed
No. Quanity Total Quanity Total
1 10"CONCRETE PAVEMENT 9397 SY $43.00 $404,071.00 9397 $404,071.00
2 8"LIME TREATED SUBGRADE 10072 SY $2.50 $25,180.00 10072 $25,180.00
3 HYDRATED LIME a 36lbs/sy 181 TN $170.00 $30,770.00 181 $30,770.00
4 8"CONCRETE PAVEMENT 16350 SY $34.00 $555,900.00 16350 $555,900.00
5 8"LIME TREATED SUBGRADE 17320 SY $2.50 $43,300.00 17320 $43,300.00
6 HYDRATED LIME @ 36 LBS/SY 312 TN $165.00 $51,480.00 312 $51,480.00
7 6"CONCRETE PAVEMENT 37810 SY $27.00 020,870.00 37810 1,020,870.00
8 6"LIME TREATED SUBGRADE 40115 SY $2.00 $80,230.00 40115 $80,230.00
9 HYDRATED LIME a 30 LBS/SY 602 TN $165.00 $99,330.00 602 $99,330.00
10 SAW CUT EX.ASPHALT PAVEMENT 112 LF $6.00 $672.00 112 $672.00
11 BARRIER FREE RAMP TYPE R-1 70 EA $1,100.00 $77,000.00 70 $77,000.00
12 RAMP TYPE P-1 8 EA $1,200.00 $9,600.00 8 $9,600.00
13 4'CONCRETE SIDEWALK 2068 LF $14.00 $28,952.00 2068 $28,952.00
14 10'CONCRETE SIDEWALK 3532 LF $32.00 $113,024.00 3532 $113,024.00
15 CONNECT TO EXISTING CONCRETE HEADER 54 LF $16.00 $864.00 54 $864.00
16 CONCRETE HEADER 580 LF $10.00 $5,800.00 580 $5,800.00
17 PAVEMENT MARKINGS 1 LS $13,635.00 $13,635.00 1 $13,635.00
18 160'SPAN COLLECTOR ROAD BRIDGE 1 LS $685,500.00 $685,500.00 1 $685,500.00
19 TRAFFIC CONTROL I LS $6,400.00 $6,400.00 1 $6,400.00
20 END-OF-ROAD BARRICADE 580 LF $71.00 $41,180.00 580 $41,180.00
Sub-Total of Previous Unit $3,293,758.00 $3,293,758.00
ST LIGHT&PERFORMANCE MAINTENANCE BOND
Item Description of Items Estimated Unit Unit Cost Estimated Completed Completed
No. Quanity Total Quanity Total
1 70W LED LIGHTING FIXTURE 70 EA $3,000.00 $210,000.00 70 $210,000.00
2 137W LED LIGHTING FIXTURE 8 EA $5,225.00 $41,800.00 8 $41,800.00
3 GROUND BOX 7 EA $500.00 $3,500.00 7 $3,500.00
4 2"CONDUIT PVC SCH 40 8923 LF $595 $53,091.85 8923 $53,091.85
5 3"CONDUIT PVC SCH 40 1362 LF $9.95 $13,551.90 1362 $13,551.90
Tuesday,April 11,2017 Page 3 of 6
City Project Numbers 02572 DOE Number 7452
Contract Name COPPER CREEK PHASE I Estimate Number I
Contract Limits Payment Number I
Project Type STORM DRAIN,PAVING&ST LIGHT For Period Ending 4/11/2017
Project Funding
6 INSULATED ELEC CONDR ALUMINUM#6 22683 LF $1.25 $28,353.75 22683 $28,353.75
XHHW
7 PERFORMANCE MAINTENANCE BOND I LS $87,500.00 $87,500.00 I $87,500.00
Sub-Total of Previous Unit $437,797.50 $437,797.50
Tuesday,April 11,2017 Page 4 of 6
City Project Numbers 02572 DOE Number 7452
Contract Name COPPER CREEK PHASE I Estimate Number I
Contract Limits Payment Number I
Project Type STORM DRAIN,PAVING&ST LIGHT For Period Ending 4/11/2017
Project Funding
Contract Information Summary
Original Contract Amount $5,643,780.50
Change Orders
Change Order Number 1 $33,500.00
Total Contract Price $5,677,280.50
�° f _/0
Total Cost of Work Completed $5,677,280.50
Aaa—elt
Date '
Contrac Less %Retained $0.00
Date
j Net Earned $5,677,280.50
Inspect U91-* Earned This Period $5,677,280.50
ate (I a
6-11,117
6 J a7 Retainage This Period $0.00 Pr
'e Manager Less Liquidated Damages
� Days @ /Day $0.00
���
ate LessPavement Deficiency $0.00
As t. 'ector/T/PW' -IInfrastructure esign andel Co/n�truct►on Less Penalty $0.00
+-✓. `^�' at v 7 Less Previous Payment $0.00
Directo Contracting Departmei Plus Material on Hand Less 15% $0.00
Balance Due This Payment $5,677,280.50
Tuesday,April 11,2017 Page 5 of 6
City Project Numbers 02572 DOE Number 7452
Contract Name COPPER CREEK PHASE I Estimate Number I
Contract Limits Payment Number I
Project Type STORM DRAIN,PAVING&ST LIGHT For Period Ending 4/11/2017
Project Funding
Project Manager Salm City Secretary Contract Number 117452
Inspectors LAYER / ODEN Contract Date
Contractor RKM UTILITY SERVICES,INC. Contract Time 300 WD
1604 BLUEBANK ROAD Days Charged to Date 391 WD
DALLAS, TX 75229-3102 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 $5,677,280.50
Less %Retained $0.00
Net Earned $5,677,280.50
Earned This Period $5,677,280.50
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 $5,677,280.50
Tuesday,April 11,2017 Page 6 of 6
FORTWORTH rev 03/05/07
DEPARTMENT OF ENGINEERING
FINAL STATEMENT OF CONTRACT TIME
FINAL STATEMENT NO.:1
NAME OF PROJECT: Copper Creek Phase 1
PROJECT NO.: 2572 CONTRACTOR: RKM Utilities
DOE NO.: 7452
PERIOD FROM:10/12/15 TO: 04/18/17 FINAL INSPECTION DATE: 18-Apr
WORK ORDER EFFECTIVE:10/12/2015 CONTRACT TIME: 389 Wo CD
DAY OF DAYS REASON FOR DAYS DAY OF DAYS REASON FOR DAYS
MONTH CHARGED DURING CREDITED MONTH CHARGED CREDITED
DURING
1. yes 16. yes
2. yes 17. yes
3 yes 18. yes Time Stopped
4. yes 19.
5. yes 20.
6. yes 21.
7. yes 22•
8. yes 23.
9. yes 24.
10. yes 25.
11. yes 26.
12. yes 27.
13. yes 28.
14. yes 29.
15. yes 30.
31.
SAT,SUN, RAIN,TOO WET, UTILITIES DAYS TOTAL
&HOLIDAYS &TOO COLD RELOCATIONS OTHERS* CHARGED DAYS
THIS 6 0 0 0 12 18
PERIOD
PREVIOUS 145 7 0 0 379 531
PERIOD
TOTALS 151 7 0 0 391 549
TO DATE
*REMARKS:
ONTRA OR ATE INSPECTOR DATE
ENGINEERING DEPARTMENT
Yr The City of Fort Worth•1000 Throckmorton Street•Fort Worth,TX 76012-6311
(817)392-7941 •Fax: (817)392-7845
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FORTWORTHREV;02/20/07
TRANSPORTATION AND PUBLIC WORKS
PERFORMANCE EVALUATION OF CONTRACTOR
I) CONTRACTOR&PROJECT DATA
Name of Contractor Project Name
RKM Construction Copper Creek Phase 1
DOE Inspector DOE Number
Weyman Oden 7452
DOE Inspector Project Manager
E] Water❑ Waste Water❑ Storm Drainage✓ Pavement Gopal Sahu
Initial Contract Amount Project Difficulty
$5,205,983.00 Q simple 0 Routine O Complex
Final Contract Amount Date
$5,172,483.00 4/5/2017
II)PERFORMANCE EVALUATION
0-Inadequate 1-Deficient 2-Standard 3-Good 4-Excellent
ELEMENT WEIGHT(x) APPLICABLE(Y/N) RATING(0-4) MAX SCORE SCORE
1 Submission of Documents 2 Y 3 8 6
2 Public Notifications 5 Y 3 20 15
3 Plans on Site 5 Y 3 20 15
4 Field Supervision 15 Y 3 60 45
5 Work Performed 15 Y 3 60 45
6 Finished Product 15 Y 3 60 45
7 Job Site Safety 15 Y 3 60 45
8 Traffic Control Maintenance 15 Y 3 60 45
9 Daily Clean Up 5 Y 3 20 15
10 Citizen's Complaint Resolution 5 Y 3 20 15
11 Property Restoration 5 Y 3 20 15
12 After Hours Response 5 Y 2 20 10
13 Project Completion 5 Y 3 20 15
TOTAL ELEMENT SCORE(A) 331
BONUS POINTS(25 Maximum)(B)
TOTAL SCORE(TS) 331
III)CONTRACTOR'S RATING
Maximum Score(MS)=448 or sum of applicable element score maximums which= 448
Rating([TS/MS] x 100%) 331 / 448 = 74%
Performance Category Good
<20%=Inadequate 20%to<40%=Deficient 40%to<60%=Standard 60%to<80%=Good >_80%=Excellent
Inspector's Comments(INCLUDING EXPLANATION OF BONUS POINTS AWARDED)
Signature DOE Inspector �,.3C Signature Contractor
Signature DOE Inspector's Supervisor
CONTRACTOR'S COMMENTS
TRANSPORTATION AND PUBLIC WORKS
The City of Fort Worth• 1000 Throckmorton Street•Fort Worth,TX 76012-6311
i
(817)392-7941 •Fax: (817)392-7845
FORTWORTHREV 02/22/07
TRANSPORTATION AND PUBLIC WORKS
CONTRACTOR'S EVALUATION OF CITY
I)PROJECT INFORMATION Date: 4/5/2017
Name of Contractor Project Name
RKM Construction Copper Creek Phase 1
DOE Inspector Project Manager
Weyman Oden Gopal Sahu
DOE Number ProjectDcult), Type of Contract
7452 O Simple (§) Routine Q Complex ❑ Water Waste WaterO Storm Drainage❑✓ Pavement
Initial Contract Amount Final Contract 4inount
$5,205,983.00 $5,172,483.00
II)PERFORMANCE EVALUATION
0-Inadequate 1 -Deficient 2- Standard 3 -Good 4-Excellent
ELEMENT RATING ELEMENT RATING
(0-4) (0-4)
INSPECTION EVALUATION PLANS&SPECIFICATIONS
1 Availability of Inspector 1 Accuracy of Plans to Existing Con rtions kt
2 Knowledge of Inspector 2 Clarity& Sufficiency of Details
3 Accuracy of Measured Quantities - 3 Applicability of Specifications
4 Display Of Professionalism 4 Accuracy of Plan Quantities
5 Citizen Complaint Resolution PROJECT MANAGER EVALUATION
6 Performance- Setting up Valve Crews,Labs /-- 1 Knowledge And/Or Problem Resolution
ADMINISTRATION 2 Availability of Project Manager
1 Change Order Processing Time t 3 Coinniunication
2 Timliness of Contractor Payments 4 Resolution of Utility Conflicts
3 Bid Opening to Pre-Con Meeting Timeframe
III)COMMENTS&SIGNATURES
COMMENTS
Signature Contractor A,L�ve_4�z
Signature DOE Inspector
Signature DOE Inspector's Supervisor
INSPECTOR'S COMMENTS
TRANSPORTATION AND PUBLIC WORKS
(D The City of Fort Worth•1000 Throckmorton Street•Fort Worth,TX 76012-6311
(817) 392-7941 •Fax: (817)392-7845
AFFIDAVIT
STATE OF TEXAS
COUNTY OF DALLAS
Before me, the undersigned authority, a notary public in the state and county aforesaid,
on this day personally appeared JOHN D. HUTCHINSON, President of COPPER CREEK
PARTNERS, LP,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 except for lawful retainage which will be paid after
acceptance by the City of Fort Worth;
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;
COPPER CREEK, PHASE 1
COPPER CREEK PARTNERS, LP,
a Texas limited partnership
By: TA GP, LLC
a Delaware limited liability company,
its General Pa er
By:
John D. Hutchinson, President
Subscribed and sworn before me on this 1 st day of March, 2017.
JN�"Ivlpll i" ANGELA WILLIAMS
Oil aD F
��°: ,.Notary Public,State of Texas
SV-. Comm.Expires 02-07-2021
Notary Public %',;Fo11 :�`� Notary IQ 125190354
DALLAS, TEXAS
AMALGAMATED
..►PROPERTIES,LLC
March 1,2017
City of Fort Worth
1000 Throckmorton
Fort Worth,Texas 76102
RE: Notice of No Intention to Seek Liquidated Damages,City Project No.02572, DOE#7452,X File#2382,
K File 423118
To Whom It May Concern,
Please allow this letter to serve as your official notification,that we,Copper Creek Partners. L.P.,the
Developer of Copper Creek Phase 1,City Project Number 02572,do not intend to assess nor pursue
liquidated damages from RKM Utility Services, Inc.as part of the Developer Awarded Project Agreement
for Copper Creek Phase 1.
Should you need any further assistance in this matter, please do not hesitate to contact our office.
COPPER CREEK PARTNERS, LP,
a Texas limited partnership
By:TA GP, LLC
a Delaware limited liability company,
its Genera Partner
By: mpawq
John D. Hutchinson, President
STATE OF TEXAS
COUNTY OF DALLAS
This instrument was acknowledged before me on the I day of March,2017, by John D. Hutchinson,
the President of Copper Creek Partners, LP,a Texas limited partnership on behalf of said company.
ANGELA WILLIAMS Notary Pub ' of Texas
z r Notary Public,State of Texas i c.
�'•,''�oF' �� Comm.Expires 02.07.2021
++'` Notary ID f 25190354
Notary N me Printed
CONSENT OF SURETY OWNFR o
TO FINAL PAYMENT ARCHITECT
CONTRACTOR
.AIA Document G707 SURETY �7
Bond No. PB00317400178 ATHrR >�
TO ONVNER, ARCHITECT'S PROJECT NO..
(Na:neeurcladdrr.�j
The City of Fort Worth
c/o Goodwin and Marshall, Inc. 2405 Mustang Drive CONTRACT FOR- Construction
Grapevine, TX 76051
PROJECT. CONTRACT DATIVE):
(Winne mrd a&h%K''0
Copper Creek Phase 1 - Paving, Drainage, Water& Sanitary Sewer
In accordance with the provisions oftIre Contract between die Owner and the Contractor as indimted above,the
(Arwl name and add,tmofStirM1
Philadelphia Indemnity Insurance Company
One Bala Plaza, Suite 100
Bala Cynwyd, PA 19004-1403
, SURETY,
on bond of
(117'Wrr,tanwaned addmvgfConifflaw)
RKM Utility Services, Inc.
1805 Royal Lane Suite 107
Dallas, TX 75229
CONTRACTOR,
hereby approves of the final payment to the Contractor,and agrees that final payment to the Contractor shall not relieve the Surety of
any of its obligations to
(lnw+rt nanneand a&1mvz of tkrnc+)
The City of Fort Worth
c/o Goodwin and Marshall, Inc. 2405 Mustang Drive
Grapevine, TX 76051
OWNER,
as set forth In said Surety's bond.
IN vATNEss wHEREOF,the Surety has hereunto set its hand on this date., April 18, 2017
(lgwnl,ruvliti,t((tl nrontbfoltonvdhtrlxnroncvicdateunrlJear,J
Philadelphia Indemnit suran a Company
By:
(5�nrrrttt arrtbor9zxd�r�tr�c ri1
Attest: Tabitha Starkey Attorney-in- act
(Seal): Je ie Goonie,Witne
(P�r'�irarl uu,rre and ritlzJ
G707-1994
t .
2050
One Bala Plaza,Suite 100
Bala Cynwyd,PA 19004-0950
Power of Attorney
KNOW ALL PERSONS BY THESE PRESENTS:That PHILADELPHIA INDEMNITY INSURANCE COMPANY(the Company),a corporation organized and
existing under the laws of the Commonwealth of Pennsylvania,does hereby constitute and appoint Edward G.Britt,Jr.,David G.Miclette,David T.Miclette,
Barry K.McCord,Robert C.Davis,Kristi Lovett,Ashley Britt,Joni Bowen,Tabitha Starkey,Jennie Goonie and Rita G.Gulizo of Bowen,Miclette&Britt
Insurance Agency,LLC,its true and lawful Attomey-in-fact with full authority to execute on its behalf bonds,undertakings,recognizances and other contracts of
indemnity and writings obligatory in the nature thereof,issued in the course of its business and to bind the Company thereby,in an amount not to exceed$25,000,000.
This Power of Attomey is granted and is signed and sealed by facsimile under and by the authority of the following Resolution adopted by the Board of Directors of
PHILADELPHIA INDEMNITY INSURANCE COMPANY on the 14c'of November,2016.
RESOLVED: That the Board of Directors hereby authorizes the President or any Vice President of the
Company: (1) Appoint Attorney(s) in Fact and authorize the Attomey(s) in Fact to
execute on behalf of the Company bonds and undertakings,contracts of indemnity and
other writings obligatory in the nature thereof and to attach the seal of the Company
thereto; and (2) to remove, at any time, any such Attomey-in-Fact and revoke the
authority given. And,be it
FURTHER
RESOLVED: That the signatures of such officers and the seal of the Company may be affixed to any
such Power of Attorney or certificate relating thereto by facsimile,and any such Power of
Attorney so executed and certified by facsimile signatures and facsimile seal shall be
valid and binding upon the Company in the future with respect to any bond or
undertaking to which it is attached.
IN TESTIMONY WHEREOF,PHILADELPHIA INDEMNITY INSURANCE COMPANY HAS CAUSED THIS INSTRUMENT TO BE SIGNED AND
ITS CORPORATE SEALTO BE AFFIXED BY ITS AUTHORIZED OFFICE THIS 14TH DAY OF NOVEMBER,2016.
(Seal) -
Robert D.O'Leary Jr.,President&CEO
Philadelphia Indemnity Insurance Company
On this 14'h day of November,2016,before me came the individual who executed the preceding instrument,to me personally known,and being by me duly sworn said
that he is the therein described and authorized officer of the PHILADELPHIA INDEMNITY INSURANCE COMPANY;that the seal affixed to said instrument is
the Corporate seal of said Company;that the said Corporate Seal and his signature were duly affixed.
=TKOFOF N MYl SealNotary PublicMontgdnery Countyplm lin.b,2018 ��
eee•etr�nep••;a u•ecavonaaave:n Notary Public:
residing at: Bala Cvnwyd PA
(Notary Seal)
My commission expires: January 8 2018
I,Edward Sayago,Corporate Secretary of PHILADELPHIA INDEMNITY INSURANCE COMPANY,do hereby certify that the foregoing resolution of the Board of
Directors and this Power of Attorney issued pursuant thereto on this 14d'day of November,2016 are true and correct and are still in full force and effect.I do further
certify that Robert D.O'Leary Jr.,who executed the Power of Attorney as President,was on the date of execution of the attached Power of Attorney the duly elected
President of PHILADELPHIA INDEMNITY INSURANCE COMPANY, x
In Testimony Whereof I have subscribed my name and affixed the facsimile seal of each Company this ' " day of L 20�.
j i ` , ' Edward Sayago,Corporate Secretary
PHILADELPHIA INDEMNITY INSURANCE COMPANY
PHILADELPHIA INDEMNITY INSURANCE COMPANY