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HomeMy WebLinkAboutContract 47676-FP2 Departen &TMW Const.Services CPN# D ` Projec tanager � ✓ TWORTH. -- Risk Management Canady CITY SECRETARY ��y D.O.E. Brotherton t q�� I l' CFA Morales/Scanned CONTRACT N0. Gutzler/Scanned The Proceeding people have been Contacted concerning the request for final payment&have TION AND PUBLIC WORKS released this project for such payment. PROJECT COMPLETION eveloper Projects) Clearance Conducted By � �96City Project Ns: 02649 _ _ �7/p 74t Regarding contract 117505 for TALON HILL PHASE ONE-WATER& SEWER as required by the 73)6 E 'j S WATER DEPARTMENT as approved by City Council on N/A through M&C N/A the director of the WATER DEPARTMENT upon the recommendation of the Assistant Director of the Transportation&Public Works Department has accepted the project as F� �AY 12 r �' 9 ,jOriginal Contract Price: g 2017 $995,276.95 Amount of Approved Change Orders: BY $11,031.10 Ns 1 Revised Contract Amount: $1,006,308.05 Total Cost Work Completed: $100,638.05 117 Recommended for Acceptance- Asst. cceptance Asst. Director,TPW - Infrastructure Design and Construction accepted Date Asst. Director, WATER DEPARTMENT Asst. City Manager Date OFFICIAL RECORD Comments: CITY SECRETARY FT.WORTH,TX EmAIZeZn (pq9 MAY 2 2 2017 Rev.9/22/16 Adw, LTA j MAY 18 2017 1i 5q(oo I r C�(oq q � City Project Numbers 02649 L�- V„r __ DOE Number 7505 Contract Name TALON HILL PHASE ONE Estimate Number 1 Contract Limits Payment Number 1 Project Type WATER&SEWER For Period Ending 4/24/2017 Project Funding Project Manager Ehia City Secretary Contract Number 117505 Inspectors DICKINSON / WATSON Contract Date Contractor RKM UTILITY SERVICES,INC. Contract Time 108 W 1604 BLUEBANK ROAD Days Charged to Date 245 W 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 $1,006,308.05 Less %Retained $0.00 Net Earned $1,006,308.05 Earned This Period $1,006,308.05 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 $1,006,308.05 Wednesday,May 10,2017 Page 5 of 5 -P �2c0s-0 : c(D FORT WORTH CITY OF FORT WORTH FINAL PAYMENT REQUEST Contract Name TALON HILL PHASE ONE Contract Limits Project Type WATER&SEWER City Project Numbers 02649 DOE Number 7505 Estimate Number 1 Payment Number 1 For Period Ending 4/24/2017 W City Secretary Contract Number 117505 Contract Time 109v Contract Date Days Charged to Date 245 Project Manager Ehia Contract is 100.00 Complete Contractor RKM UTILITY SERVICES,INC. 1604 BLUEBANK ROAD DALLAS, TX 75229-3102 Inspectors DICKINSON / WATSON Wednesday,May 10,2017 Page 1 of 5 City Project Numbers 02649 DOE Number 7505 Contract Name TALON HILL PHASE ONE Estimate Number I Contract Limits Payment Number 1 Project Type WATER&SEWER For Period Ending 4/24/2017 Project Funding WATER Item Description of Items Estimated Unit Unit Cost Estimated Completed Completed No. Quanity Total Quanity Total 1 TRENCH SAFETY(CO#1) 9213 LF $0.10 $921.30 9213 $921.30 2 DUCTILE IRON WATER FITTINGS 2 TN $2,830.00 $5,660.00 2 $5,660.00 3 8"PVC WATER PIPE(CO#1) 7754 LF $20.00 5155,080.00 7754 $155,080.00 4 12"PVC WATER PIPE(CO#1) 1459 LF $40.00 $58,360.00 1459 $58,360.00 5 FIRE HYDRANT 11 EA $3,700.00 $40,700.00 11 $40,700.00 6 CONNECTION TO EXISTING 4"-12"WATER 4 EA $1,000.00 $4,000.00 4 $4,000.00 MAIN(CO#1) 7 1"WATER SERVICE 116 EA $700.00 $81200.00 116 $81,200.00 8 8"GATE VALVE(CO#1) 27 EA $1,250.00 $33,750.00 27 $33,750.00 9 12"GATE VALVE 4 EA $2,150.00 $8,600.00 4 $8,600.00 10 WATER LINE GROUTING/ABANDONMENT(CO 0.53 LS $3,700.00 $1,961.00 0.53 $1,961.00 #1) 11 12"X8"TS&V 2 EA $3,700.00 $7,400.00 2 $7,400.00 12 12"X 12"TS&V 1 EA $4,800.00 $4,800.00 1 $4,800.00 13 TRAFFIC CONTROL(CO#1) 1 LS $7,100.00 $7,100.00 1 $7,100.00 14 CONC PVMT REPAIR(CO#1) 1 LS $7,725.00 $7,725.00 1 $7,725.00 Sub-Total of Previous Unit $417,257.30 $417,257.30 SEWER Item Description of Items Estimated Unit Unit Cost Estimated Completed Completed No. Quanity Total Quanity Total I POST CCTV INSPECTION 9896 LF $1.00 $9,896.00 9896 $9,896.00 2 MANHOLE VACUUM TESTING 45 EA $130.00 $5,850.00 45 $5,850.00 3 TRENCH SAFETY 9896 LF $1.00 $9,896.00 9896 $9,896.00 4 EPDXY MANHOLE LINER(CO#1) 157.78 VF $200.00 $31,556.00 157.78 $31,556.00 5 IMPORTED EMBED/CSS 162 LF $43.00 $6,966.00 162 $6,966.00 6 8"PVC SEWER PIPE 6146 LF $27.50 5169,015.00 6146 $169,015.00 7 8"PVC SEWER PIPE 2021 LF $30.25 $61,135.25 2021 $61,135.25 8 8"PVC SEWER PIPE 729 LF $33.50 $24,421.50 729 $24,421.50 9 8"PVC SEWER PIPE 530 LF $37.50 $19,875.00 530 $19,875.00 10 8"PVC SEWER PIPE 470 LF $43.00 $20,210.00 470 $20,210.00 11 CONNECT TO EXIST MH/PIPE 2 EA $3,100.00 $6,200.00 2 $6,200.00 Wednesday,May 10,2017 Page 2 of 5 City Project Numbers 02649 DOE Number 7505 Contract Name TALON HILL PHASE ONE Estimate Number I Contract Limits Payment Number 1 Project Type WATER&SEWER For Period Ending 4/24/2017 Project Funding 12 4"SEWER SERVICE 116 EA $650.00 $75,400.00 116 $75,400.00 13 4'MANHOLE 41 EA $3,000.00 5123,000.00 41 $123,000.00 14 4'DROP MANHOLE 3 EA $7,000.00 $21,000.00 3 $21,000.00 15 4'SHALLOW MANHOLE 1 EA $1,970.00 $1,970.00 1 $1,970.00 16 CONC ENCASEMENT(CO#1) 76 LF $35.00 $2,660.00 76 $2,660.00 Sub-Total of Previous Unit $589,050.75 $589,050.75 Wednesday,May 10,2017 Page 3 of 5 City Project Numbers 02649 DOE Number 7505 Contract Name TALON HILL PHASE ONE Estimate Number 1 Contract Limits Payment Number 1 Project Type WATER&SEWER For Period Ending 4/24/2017 Project Funding Contract Information Summary Original Contract Amount $995,276.95 Chane Orders Chane Order Number 1 $11,031.10 Total Contract Price $1,006,308.05 a a / Date �� 7 Total Cost of Work Completed $1,006,308.05 Contractor Less %Retained $0.00 Net Earned $1,006,308.05 ate 7ection Supe 'iso Earned This Period $1,006,308.05 ;T Retainage This Period $0.00 5 -17.( ate Less Liquidated Damages Pro ct Manager Days @ /Day $0.00 L Date LessPavement Deficiency $0.00 As it tor/TPW-Ipfrastructure Design and Construction Less Penalty $0.00 Date f�/ 1��- Less Previous Payment $0.00 Director/Contracting Department Plus Material on Hand Less 15% $0.00 Balance Due This Payment $1,006,308.05 Wednesday,May 10,2017 Page 4 of 5 CHANGE ORDER No. l PROJECT: TALON HILL—PHASE ONE DATE OF ISSUANCE: September 6,2016 CONTRACT NO.: City Project No. 02649 OWNER: BYD TALON HILL DEVELOPMENT, LLC (Name, Address) 1105 Glade Road, Suite 100 Colleyville, Texas 76034 CONTRACTOR: RKM Utility Services, Inc. Owner's Project No. ENGINEER:A.N.A. Consultants, L.L.C. CONTRACT FOR:Paving and Underground Utilities ENGINEER'S Project No. 150740 You are directed to make the following changes in the Contract Documents. Description: Add to the existing Scope of Work, the following scope shown in the Contract Documents dated December 14, 2105 as Lake Country Drive and scope included in CFA Amendment No. 1, 4767, approved by the City of Fort Worth and dated July 1, 2016; Purpose of Change Order: See attached sheet for cost breakdown. CHANGE IN CONTRACT PRICE CHANGE IN CONTRACT TIME: Original Contract Price Original Contract Time $ 2,059,101.64 calendar days or date Previous Change Order No._to No._ Net change from previous Change Orders $ N.A. N.A. days Contract Price prior to this Change Order Contract Time Prior to this Change Order $ 2,059,101.64 Calendar days or date Net Increase(decrease)of this Change order Net Increase (decrease)of this Change Order $ 506,316.21 15 days Contract Price with all approved Change Orderc Contract Time with all approved Change Orders $ 2,565,417.85 calendar days or date RECOMMENDED: APPROVED: APPROVED: by 6""""" 't/a w by aA/ by — Engineer Owner /1 8`+ Contractor I\AnafsllcompanyVOBU507401CFA�CHANGEORDERI.doc Change Order No. 1 9/6/2016 t CHANCE ORDER DETAILS UNIT IV-PAVING FOR LAKE COUNTRY Project Item larormation Blddces PropnWel W-AU"NT Specificati Unit of Bid Item Description on Section Measur Quad Unit Price Bid Value No, a Quantity PAVING IMPROWMEM 1 3211.0400 Hydrated Lime 1321129 TON 1 1893 S 173.00 1 332 765.51 3211.0502 8"Lime Treatment 221129 SY 10522 S 3.00 $31.swzo 10 3213.0103 8"Cone Pvmt 321313 Sy 10144 $ 31.60 $381,414.4 4 3213.0301 4"Cone Sidemik 321320 SF 11289 S 3.80 $42 898.20 1/ 3213.0508 Barrier Frea Ramp,Type P-1 3213 20 EA 4 S 1,150.00 $4.600,00 6 9999.0001 Install Type til Barricade Da 00 QO EA 1 $ 2.473.00 $2 475.00 IML UNIT N:PAVING iMPR NTS $495,719.11 UNIT 1:WATER IMPROVEMENTS 1 3305.0109 Trench Safety 33 0510 LF 191 $ 0.1 $ 19.1 3 3311.0261 8"PVC Water Pipe 1331112 LF 450 $ 20.0 $ 91000.0- 4 3311.044112"PVC Water Pipe 33 11 10 LF -259 $40.0 $(10,360.0) 6 3312.0117 Connection to Existing 4"-12" Water Main 3312 25 EA 2 $1,000.0 . $2,000.0 S 3312.3003 8"Gate Valve 1331220 EA -1 $1,250.0 ${1,250.0} 10 0241.2001 Water Line Grouting/Abandonment OZ 4i 14 LS '-ON7 g 1,739.0 $(1.739.0) 13 3471.0001 Traffic Control 34 71 13 LS 1 $7,100.0 $ 7,100.0 14 3201.0616 Conc Pvmt Repalr, 32 0129 LS 1 $7,725.0 $ 7,725.0 ArteriaUlndustrial TOTAL UNIT 1:WATER IMPROVEMENTS $12 495.10 UNIT If:SANITARY SEWER IMPROVEMENTS 4 3339.0001 Epoxy Manhole Liner 33 39 60 VF 1 -12.22 200.00 -$2,444.00 16 0330.0001 Con.Encasement 1033000 LF 28 $ 35.00 $980.00 TOTAL UNIT If:SANITARY SEWER IMPROVEMENTS -$1,464.00 UNIT III: DRAINAGE IMPROVEMENTS 1 3305.0109 Trench Safety 330510 LF -7 $ 1.00 -$7.00 2 3341.0205 24"RCP,Class III 3341 10 LF -7 $ 61.00 -$427.00 TOTAL NIT III: DRAINAGE IMPROVEMENTS -$434.00 TOTAL CHANGE ORDER#1 506 316.21 �%AnafsikompanyUOB%15074o1CFAtCHANGE ORDERt.doc Change Order No. 1 9/6/2016 FORT WORTH rev 03/05/07 TRANSPORTATION & PUBLIC WORKS FINAL STATEMENT OF CONTRACT TIME FINAL STATEMENT NO.:1 NAME OF PROJECT: Talon Hill Phase One PROJECT NO.: 2649 CONTRACTOR: RKM Utilty Services, Inc DOE NO.: 7505 PERIOD FROM:03/28/16 TO: 04/19/17 FINAL INSPECTION DATE: 19-Apr-17 WORK ORDER EFFECTIVE:4/24/2017 CONTRACT TIME: 245 0 WC CD DAY OF DAYS REASON FOR DAYS DAY OF DAYS REASON FOR DAYS MONTH CHARGED CREDITED MONTH CHARGED CREDITED DURING DURING 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 PERIOD 0 0 0 0 245 264 PREVIOUS 0 0 0 0 0 0 PERIOD TOTALS 0 0 0 0 t245 264 TO DATE *REMARKS: CONTRACTOR \j DATE NSPECTOR ,DATE ENGINEERING DEPARTNIENT The City of Fort Worth• 1000 Throckmorton Street•FortWorth,TZ 76012-6311 (817)392-7941 •Fat: (817) 392-7845 FORTWORTHREV:02/22/07 TRANSPORTATION AND PUBLIC WORKS CONTRACTOR'S EVALUATION OF CITY I) PROJECT INFORMATION Date: 5/10/2017 Name of Contractor Project Name RKM Utillity Services,Inc Talon Hills Phase One DOE Inspector Project Manager Don Watson Fred Ehia DOE Number Project Dzculhy Type of Contract 2649 r Simple 0 Routine r Complex Q WaterO Wastewater[] Storm Drainagr Pavement Initial Contract Amount Final Contract Amount $995,276.95 $100,638.05 II)PERFORMANCE EVALUATION 0-Inadequate 1 -Deficient 2-Standard 3 -Good 4-Excellent ELEMENT RATING JELEMENT RATING (0-4) (0-4) INSPECTION EVALUATION PLANS&SPECIFICATIONS 1 Availability of Inspector 1 Accuracy of Plans to Existing Conditions �{ 2 Knowledge of Inspector 2 Clarity&Sufficiency of Details 3 Accuracy of Measured Quantities ZI 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 L ADMINISTRATION 2 Availability of Project Manager 1 Change Order Processing Time 3 Communication 2 Timliness of Contractor Payments 4 Resolution of Utility Conflicts 3 Bid Opening to Pre-Con Meeting Timeframe III)COMMENTS&SIGNATURES COMMENTS Signature Contractor Signature DOE Inspector G✓ ` Signature DOE Inspector's Supervisor11�4K%� _ INSPECTOR'S COMMENTS TRANSPORTATION AND PUBLIC WORKS (a The City of Fort Worth• 1000 Throckmorton Street•Fort Worth,TX 76012-6311 (817)392-7941 •Fax: (817)392-7845 FORTWORTHREV:02/20/07 TRANSPORTATION AND PUBLIC WORKS PERFORMANCE EVALUATION OF CONTRACTOR I) CONTRACTOR&PROJECT DATA Name of Contractor Project Name RKM Utillity Services,Inc Talon Phase One DOE Inspector DOE Number Don Watson 2649 DOE Inspector Project Manager E] waterE] Waste Water❑ Storm Drainage[] Pavement Fred Ehia Initial Contract Amount Project Diff2culty $995,276.95 0 Simple 0 Routine 0 Complex Final Contract Amount Date $100,638.05 15/10/2017 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 4 8 8 2 Public Notifications 5 Y 4 20 20 3 Plans on Site 5 Y 4 20 20 4 Field Supervision 15 Y 3 60 45 5 Work Performed 15 Y 4 60 60 6 Finished Product 15 Y 4 60 60 7 Job Site Safety 15 Y 4 60 60 8 Traffic Control Maintenance 15 Y 4 60 60 9 Daily Clean Up 5 Y 4 20 20 10 Citizen's Complaint Resolution 5 Y 3 20 15 11 Property Restoration 5 Y 4 20 20 12 After Hours Response 5 Y 4 20 20 13 Project Completion 5 Y 2 20 10 TOTAL ELEMENT SCORE(A) 418 BONUS POINTS(25 Maximum)(B) TOTAL SCORE(TS) 418 III)CONTRACTOR'S RATING Maximum Score(MS)=448 or sum of applicable element score maximums which= 448 Rating( [TS/MS] x 100%) 418 448 = 93% Performance Category Excellent <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) - � 8 Signature DOE Inspector - 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 (817) 392-7941 • Fax: (817) 392-7845 FORTWORTH TRANSPORTATION AND PUBLIC WORKS PIPE REPORT FOR: PROJECT NAME: Talon Hill Phase One PROJECT NUMBER: 2649 DOE NUMBER: WATER PIPE LAID SIZE TYPE OF PIPE LF Water 8" PVC 7754 Water 12" PVC 1459 FIRE HYDRANTS: 11 VALVES(16" OR LARGER) PIPE ABANDONED SIZE TYPE OF PIPE LF DENSITIES: NEW SERVICES: SEWER PIPE LAID SIZE TYPE OF PIPE LF Sewer 8" PVC Sewer 6146 Sewer 8" PVC Sewer 2021 Sewer 8" PVC Sewer 729 Sewer 8" PVC Sewer 530 Sewer 8" PVC Sewer 470 PIPE ABANDONED SIZE TYPE OF PIPE LF DENSITIES: NEW SERVICES: TRANSPORTATION AND PUBLIC WORKS The City of Fort Worth• 1000 Throckmorton Street•Fort Worth,TX 76012-6311 (817)392-7941 •Fax: (817)392-7845 CONSENT OF SURETY O\V/NFR © , TO FINAL PAYMENT ARCI-11TECT n AIA Document G707 CONTRACTOR Q SuRmly )3 Bond No. PB00317400230 O'THM 0 TO OWNER: ARCHITECT'S PROJECT NO.: (Nometuxctadilie.�) BYD Talon Hill Development,LLC and the City of Fort Worth 1105 Glade Road, Suite 100 COINTRACrFOR- Construction Colleyville, TX 75229 VROJECT: CONTRACT DATED: 0%V-and adth-1} Water, Sewer, Paving, Drainage&Street Light Improvements to serve Talon Hill - Phase One In accordance with rhe provisions of the Contract betwseen the Exner and the Contractor as indicated above,the (inwz nvneand add)=m of,%w"q Philadelphia Indemnity Insurance Company One Bala Plaza, Suite 100 Bala Cynwyd, PA 19004-1403 SURETY. on bond of fin.�--n nanraand addrrsr�fZoxtrraclw) RKM Utility Services, Inc. 2105 Waterview Parkway Richardson,TX 75080 CONTPACTOR, 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 (1)mrrn=aantia&,1m-v ofOwner) BYD Talon Hill Development, LLC and the City of Fort Worth 1105 Glade Road, Suite 100 Colleyville,TX 75229 OWNER, as set forth in said Surmy's bond IN WITNESS W4`I1~REOF,the Surety has hereunto set its hand on this date: April 25, 2017 (inwn O vOling the wantb fUkutcd hts til nronerk dareanrlivar.1 Philadelphia Indemnit nsuranc Company (surxtkl By: (SYgxxatutr oJu rtGor�+zrd trwu�xtt , Attest: CSS Tabitha Starkey Attorney-in-Fact J7 Goonie, Witne S (P�9�rtrtluu:r:eurJdtitlep G707-1994 All Bills Paid Affidavit STATE OF TEXAS COUNTY OF DALLAS Before me,the undersigned authority, on this day personally appeared 61--�� known to me to be a credible person and officer of RKM Utility Services a TexA corporatio (hereinafter called "Contractor"), and who, being duly sworn,upon his oath declares and acknowledges as follows: 1. I am the duly authorized agent for the said Contractor,which has authorized me to make this affidavit, and all of the recitations herein are true and correct. 2. Pursuant to an agreement dated -cl-0..( 5 between RKM Utility Services,Inc. and BYD Talon Hill Development,LLC (the "Owner"), Contractor has supplied materials and performed labor in connection with the construction of improvements upon certain real property owned by the Owner in Tarrant County, Texas. Said improvements are more particularly described as site utilites and paving;for Talon Hills, located in Fort Worth ,Texas. 3. Contractor has actual knowledge that all bills owed by Contractor to others for materials supplied or labor performed in connection with the Improvements have been fully paid and satisfied except for contractual retainage as set out below. Contractor does further warrant that should any claim or lien be filed for material supplied or labor performed per virtue of Contractor's participation in the construction of said Improvement, Contractor will immediately furnish a bond pursuant to Texas Property Code, sections 53.236 through 53.238, for release of each such lien, and obtain settlement of any such liens and furnish Owner written full release of such liens. Should Contractor be unable to obtain such release, Contractor agrees to fully indemnify and hold harmless the Owner for any and all costs they may incur by reason of such liens. EXECUTED this_ Y da of 2017. , RKM'Utility Services, Inc. By: Name: Title: SUBSCRIBED AND SWORN TO BEFORE ME by the said This the -dayof t 2,_.) 1 '�- ,to Certify which witness my hand and seal of office. `p"NPg'y CANDICE BREWER Notary Public,State of Texas Notary Public in and for the Comm.Expires 04-07-2021 State of Texas Notary ID 125667358 2083 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 Attorney-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 Attorney 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 le of November,2016. RESOLVED: That the Board of Directors hereby authorizes the President or any Vice President of the Company: (1) Appoint Attomey(s) in Fact and authorize the Attorney(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 Attorney-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 AFFDCED BY ITS AUTHORIZED OFFICE THIS 14Tx DAY OF NOVEMBER,2016. (Seal) Robert D.O'Leary Jr.,President&CEO Philadelphia Indemnity Insurance Company On this le 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. COMMONWE TH OF PEPINSMAW Hotarlai Sul Mara Howard,Notary Pyb0c Lower Meflan Us).,Montgomery Courtly Ny cmwisslon UpI es Jin,b,2018 Notary Public: o-t�7°`�— residing at: Bala Cynwyd,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 14''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, In Testimony Whereof I have subscribed my name and affixed the facsimile seal of each Company this day of 20 t927 '; " Edward Sayago,Corporate Secretary PHILADELPHIA INDEMNITY INSURANCE COMPANY PHILADELPHIA INDEMNITY INSURANCE COMPANY