HomeMy WebLinkAboutContract 48435-FP1 FORT WORTH.
CITY SECRETARY ��--
CONTRACT NO. 'T-
TRANSPORTATION AND PUBLIC WORKS
NOTICE OF PROJECT COMPLETION
(Developer Projects)
e()q +eoALed /!/ 11City Pro ect Ns: 100327
Regarding contract 100327 for THE VILLAGES OF EAGLE MOUNTAIN PHASE III as required by the
TRANSPORTATION&PUBLIC WORKS as approved by City Council on N/A through M&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: $627,841.92
Amount of Approved Change Orders: Ne
Revised Contract Amount:
Total Cost Work Completed: $627,841.92
_ L p
RecommeprPW
or Acceptance Date
t. Di
A re - 17 �esjgn o
Accept Date
4M Director, TRANSPORTATION & PUBLIC WORKS
Asst. City Manager Departent of TP&W Const. Services Date
CPN# y�Z Dat
Project Manager
Risk Management tanad07AB-
Comments: D.O.E. Brotherton
CFA Morales/Scanned 1 0-11b-I
�► Gutzler/Scanned -10--( -M
The Proceeding people have been Contacted OFFICIAL REM
concerning the request for final payment& have CITY SES wI TARY
DEC " I N117 released this project for such payment.
I"T.ViOI''8"'H,TX
Initialt ---
Rev.9/22115 Clearance Conducted By PAma(az 99w*
FORTWQRTH
CITY OF FORT WORTH
FINAL PAYMENT REQUEST
Contract Name THE VILLAGES OF EAGLE MOUNTAIN PHASE III
Contract Limits
Project Type PAVING
City Project Numbers 100327
DOE Number 0327
Estimate Number I Payment Number I For Period Ending 11/1/2017
CD
City Secretary Contract Number Contract Time 6aD
Contract Date Days Charged to Date 60
Contract is 100.00 Complete
Project Manager NA
Contractor JLB CONTRACTING,L.L.C.
PO BOX 24131
FORT WORTH, TX 76124-1131
Inspectors DICKINSON / BUTLER
Wednesday,November 1,2017 Page 1 of 4
City Project Numbers 100327 DOE Number 0327
Contract Name THE VILLAGES OF EAGLE MOUNTAIN PHASE III Estimate Number I
Contract Limits Payment Number I
Project Type PAVING For Period Ending 11/1/2017
Project Funding
PAVING
Item Description of Items Estimated Unit Unit Cost Estimated Completed Completed
No Quanity Total Quanity Total
1 HYDRATED LIME 256.86 TN $160.00 $41,097.60 256.86 $41,097.60
2 6"LIME TREATMENT 17124 SY $2.00 $34,248.00 17124 $34,248.00
3 6"CONC PVMT 16063 SY $31.94 $513,052.22 16063 $513,052.22
4 4"CONC SIDEWALK 1480 SF $4.50 $6,660.00 1480 $6,660.00
5 BARRIER FREE RAMP 12 EA $1,116.00 $13,392.00 12 $13,392.00
6 BARRIER FREE RAMP 4 EA $807.00 $3,228.00 4 $3,228.00
7 REMOVE BARRICADE&CONNECT TO 8 EA $240.00 $1,920.00 8 $1,920.00
EXISTING PAVEMENT
8 PAVEMENT HEADER 58 LF $9.95 $577.10 58 $577.10
9 INSTALL TYPE III BARRICADE&RIP RAP 2 EA $3,421.00 $6,842.00 2 $6,842.00
10 FURNISHANSTALL ALUM SIGN GROUND 5 EA $470.00 $2,350.00 5 $2,350.00
MOUNT CITY
I 1 FURNISH/INSTALL ALUM SIGN GROUND 2 EA $416.00 $832.00 2 $832.00
MOUNT CITY
12 FURNISH/INSTALL ALUM SIGN EX.POLE 1 EA $113.00 $113.00 1 $113.00
MOUNT
13 FURNISHANSTALL ALUM SIGN STREET LIGHT I EA $202.00 $202.00 1 $202.00
MOUNT BLADE PAIR ONLY
14 RDWY SIGN 2 EA $416.00 $832.00 2 $832.00
15 RDWY SIGN 2 EA $416.00 $832.00 2 $832.00
16 RDWY SIGN 4 EA $416.00 $1,664.00 4 $1,664.00
--------- ----
Sub-Total of Previous Unit $627,841.92 $627,841.92
Wednesday,November 1,2017 Page 2 of 4
City Project Numbers 100327 DOE Number 0327
Contract Name THE VILLAGES OF EAGLE MOUNTAIN PHASE III Estimate Number I
Contract Limits Payment Number I
Project Type
PAVING For Period Ending 11/1/2017
Project Funding
Contract Information Summary
Original Contract Amount $627,841.92
Chance Orders
Total Contract Price $627,841.92
Date 46// Total.7 Total Cost of Work Completed $627,841.92
Contractor Less %Retained $0.00
/ Net Earned $627,841.92
Date��^�&—1,7 Earned This Period $627,841.92
Inspection Supervisor
Retainage This Period $0.00
Date C27 /7 Less Liquidated Damages
*Asst. ect
Days @ /Day $0.00
Date
LessPavement Deficiency $0.00
I an ons uch n r Less Penalty $0.00
/ 7C�e 1 Less Previous Payment $0.00
Date
Director/ ontracting Departm t Plus Material on Hand Less 15% $0.00
Balance Due This Payment $627,841.92
Wednesday,November 1,2017 Page 3 of 4
City Project Numbers 100327 DOE Number 0327
Contract Name THE VILLAGES OF EAGLE MOUNTAIN PHASE III Estimate Number 1
Payment Number I
Contract Limits
For Period Ending 11/1/2017
Project Type PAVING
Project Funding
Project Manager NA City Secretary Contract Number
Inspectors DICKINSON / BUTLER Contract Date
Contractor 7LB CONTRACTING,L.L.C. Contract Time 60 CD
PO BOX 24131 Days Charged to Date 60 CD
FORT WORTH, TX 76124-1131 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 $627,841.92
Less %Retained $0.00
Net Earned $627,841.92
Earned This Period $627,841.92
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 $627,841.92
Wednesday,November 1,2017 Page 4 of 4
rev 03/05/07
FoRTWORTH �
i
TRANSPORTATION &PUBLIC WORKS
FINAL STATEMENT OF CONTRACT TIME
FINAL STATEMENT NO.:I
NAME OF PROJECT: The Villages of Eagle Mountain Phase 43
PROJECT NO.: 327 CONTRACTOR: JLB Contracting
DOE NO.: NA
PERIOD FROM:03/14/17 TO: 05/13/17 FINAL INSPECTION DATE: 23-Oct
WORK ORDER EFFECTIVE:10/30/2017 CONTRACT TIME: 601 0 W9* CD
DAYS
DAY ODAYS F REASON FOR DAYS DAY OF CHARGED REASON FOR DAYS
CHARGED CREDITED MONTH CREDITED
MONTH
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 OTHERS* DAYS TOTAL
&HOLIDAYS &TOO COLD RELOCATIONS CHARGED DAYS
THIS 0 0 0 163 60 223
PERIOD
PREVIOUS 0 0 0 0 0 0
PERIOD
TOTALS 0 0 0 163 60 223
TO DATE
*REMARKS:
CONTRACTOR DATE INSPECTOR DATE
ENGINEERING DEPARTMENT
The City of Fort Worth•1000 Throckmorton Street•Fort Worth,TX 76012-6311 n
' (817)392-7941 •Fax:(817)392-7845
FORTWORTHREV:02/22/07
TRANSPORTATION AND PUBLIC WORKS
CONTRACTOR'S EVALUATION OF CITY
I PROJECT INFORMATION Date: 11/3/2017
Project Name
Name of Contractor
amThe Villages of Eagle Mountain Phase#3
JLB Contracting
DOE Inspector Project Manager
Donald Watson
Aro Long
DOE Number Project D culty 7)pe of Cono-act
100327 O Simple ❑Q Routine ❑ Complex ❑ Water❑ Waste Water❑ Storm Drainage0 Pavement
Initial Contract Amount Final Contract Amount
$627,841.92 $627,841.92
II)PERFORMANCE EVALUATION
0-Inadequate 1 -Deficient 2-Standard 3 -Good 4-Excellent RATING
ELEMENT RATING ELEMENT
(0-4)
(0-4)
PLANS&SPECIFICATIONS
INSPECTION EVALUATION – – -
1 Availabili of Inspector 1 Accuracy of Plans to Existing Conditions
2 Knowledge of Inspector 2 Clarity& Sufficiency of Details
n
3 Accuracy of Measured Quantities 3 Applicability of Specifications
4 Display Of Professionalism—
5
Accuracy of Plan Quantities
--
s
Citizen PROJECT MANAGER EVALUATION
5 Complaint Resolution _ _ -- -�- --
6 Performance- Setting up Valve Crews,Labs 1 Knowledge And/or Problem Resolution r
--
- 2Availability of Project Manager
ADMINISTRATION T-
1 Chane Order Processing Time 3 Communication �-..__
g -
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
Signature DOE Inspector's Supervisor
INSPECTOR'S COMMENTS
—TRANSPORTATION AND PUBLIC WORKS
The City of Fort Word,• 1000 Throckmorton Street•Fort Worth TY 76012-6311
(817)392-7941 •Fax: (817) 392-7845
FORTWORTH REV:02/20/07
TRANSPORTATION ANL PUBLIC WORTzS
PERFORMANCE EVALUATION OF CONTRACTOR
I) CONTRACTOR&PROJECT DATA
Nance of Contractor Project Name
Name Villages of Eagle Mountain Phase 93
JLB Contracting
DOE Inspector DOE Number
100327
Donald Watson Project reect
Manager
DOE Inspector
Water❑ Waste Water❑ Storm Drainage0 Pavement Aron Long
Initial Contract Amount ProjectDiculty
$627,841.92
Q Simple Q Routine Q Complex
Final Contract Amount Date
$627,841.92 11/3/2017
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
4 g 8
1 Submission of Documents 2 Y 20 20
2 Public Notifications 5 Y 4
3 Plans on Site 5 Y 3 20 1560 45
4 Field Supervision 15 Y 3
Y 3 60 45
5 Work Performed 15 60 60
6 Finished Product 15 Y 4
Y 4 60 60
7 Job Site Safety 15 3 60 45
8 Traffic Control Maintenance 15 Y
Y 3 20 15
9 Daily Clean Up 5 4 20 20
10 Citizen's Complaint Resolution 5 Y
5 Y 3 20 15
11 Property Restoration 20 15
12 After Hours Response 5 Y 3
Y 3 20 15
13 Project Completion 5
TOTAL ELEMENT SCORE(A) 378
BONUS POINTS(25 Maximum)(B)
TOTAL SCORE(TS) 378
III)CONTRACTOR'S RATING
Maximum Score(MS)=448 or sum of applicable element score maximums which= 448
Rating(ITS/MS] * 100%) 378 / 448 = 84%
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)
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,TK 76012-6311
D
(817) 392-7941 •Fax: (817)392-7845
AB Contracting, LLC
PO Box 24131
Fort Worth, TX 76124
AFFIDAVIT
STATE OF TEXAS
COUNTY OF TARRANT
Before me, the undersigned authority, a Notary Public in the state aforesaid, on this day
personally appeared SAM DAVIS, PRESIDENT OF JLB CONTRACTING, LLC, known to me
to be a credible person, who being by me duly sworn, upon his oath disposed and said:
That all persons, firms, associations, corporations or other organizations furnishing labor
and/or materials have been paid in full;
That there are no claims pending for personal injury and/or property damages;
On contract described as Villages of Eagle Mountain — Phase III, Fort Worth,
Texas
JLB CONTRACTING, LLC
BY ''-�
President
Subscribed and sworn before me on this ay of I`�D✓�^ �� 12011.
JAMIE GREENWAY
�Pf1V PVei
_Notary Public,State of Texas
. Comm. Expires 09-25-2020NOT RY PU LIC IN AND F
'•;FOF`�.` Notary ID 1211545-4
z
T RgNT COUNTY, TEXAS
My commission expire '
CONSENT OF OWNER ❑
SURETY COMPANY ARCHITECT ❑
CONTRACTOR ❑
TO FINAL PAYMENT SURETY ❑
OTHER
(SIMILAR TO AIA DOCUMENT G707)
Bond No. 4598238
PROJECT: The Villages of Eagle Mountain - Phase III
(name,address)Fort Worth, Texas
TO (Owner) ARCHITECT'S PROJECT NO:
F—City of Fort Worth CONTRACT FOR: Above Project
200 Texas Street
Fort Worth, Texas 76102
CONTRACT DATE:
CONTRACTOR: JLB Contracting, LLC
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
555 Republic Drive, Suite 450
Plano, Texas 75074 ,SURETY COMPANY,
on bond of(here insert name and address of Contractor)
JLB Contracting, LLC
P.O. Box 24131 'CONTRACTOR,
Fort Worth, Texas 76124
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 OWNER,
Fort Worth, Texas 76102
as set forth in the said Surety Company's bond.
IN WITNESS WHEREOF,
The Surety Company has hereunto set its hand this 7th day of November 2017
WESTFIELD INSURANCE COMPANY
Surety Comp
By
Signature o uthorized'kepresentative
Attest: ,
(Seal): Kyle W Sweeney Attorney-in-Fact
Title
Note:This form is intended to b;,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 BEARINU I HIZ5 JAMt
POWER#AND ISSUED PRIOR TO 04120/11, FOR ANY PERSON OR PERSONS NAMED BELOW.
POWER NO. 4220052 06
General Westfield Insurance Co.
Power
of Attorney Westfield National Insurance Co.
Ohio Farmers Insurance Co.
CERTIFIED COPY 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, JOINTLY OR SEVERALLY
of FORT WORTH and State of TX its true and lawful Attorney(s)-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- - - - - - - - -- - - - - - - - - - - - - - - - - - - - - - - -- - - - - - --
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 Senior Executive and their corporate seals to be hereto affixed this 20th day of
APRIL A.D.,2011
Corporate s ay"" tiy, • N " "•. WESTFIELD INSURANCE COMPANY
P �•' Yft �\o AC f,11SUpp��"�
Seals tsQN,.•• .,C�%< <r`a?.• NSG: WESTFIELD NATIONAL INSURANCE COMPANY
Affixed
4' .n. ''•.p o; P: ��:'• :e^ OHIO FARMERS INSURANCE COMPANY
ti SEALRTEa4f� _
„e.
849 A_ 1 .'�_
{ • . .
By:
State of Ohio
•••.*.•1••''`• """"' �•" Richard L. Kinnaird, Jr., National Surety Leader and
County of Medina ss.: Senior Executive
On this 20th day of APRIL A.D.,2011 , before me personally came Richard L. Kinnaird, Jr. to me known, who, being by me duly
sworn, did depose and say,that he resides-in Medina, Ohio;that he is 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 �•..•••••�'N••..,,,,
Seal r`°�\A L S a•
Affixed O\`"tr/�%
William J. Kahelin,A rney at Law, Notary Public
State of Ohio :N d O My Commission Does Not Expire(Sec. 147.03 Ohio Revised Code)
County of Medina ss.: y
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 7th day of
Nove W.-
AD+'" 2017
OasUfll.t�`c P�\ONA(CO P
SEn
-�: •� CHAR fRE'p ��
4 Nf '-�" - SEAL :m_ zo :mac / Secretary
� � •:o, ;,1849.`�= Frank A. Carrino, Secretary
RPOAC2 (combined) (06-02)
CONSENT OF OWNER ❑
SURETY COMPANY ARCHITECT ❑
CONTRACTOR ❑
TO FINAL PAYMENT BUROTHET ❑
(SIMILAR TO AIA DOCUMENT G707)
Bond No. 4598238
PROTECT: The Villages of Eagle Mountain - Phase III
(name,address)Fort Worth, Texas
TO (Owner)
ARCHITECT'S PROJECT NO:
City of Fort Worth CONTRACT FOR: Above Project
200 Texas Street
Fort Worth, Texas 76102
CONTRACT DATE:
CONTRACTOR: TLB Contracting, LLC
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
555 Republic Drive, Suite 450
Plano, Texas 75074 SURETY COMPANY,
on bond of(here insert name and address of Contractor)
JLB Contracting, LLC
P.O. Box 24131 CONTRACTOR,
Fort Worth, Texas 76124
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, Texas 76102 OWNER,
as set forth in the said Surety Company's bond.
IN WITNESS WHEREOF,
The Surety Company has hereunto set its hand this 7th day of November 2017
WESTFIELD INSURANCE COMPANY
Surety Company
By
Signature of ed epresentative
Attest:
i
(Seal): Kyle W. Sweeney Attorney-in-Fact
Title
Note:This form is'mended 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 1 HIS SAMt
POWER#AND ISSUED PRIOR TO 04/20111, FOR ANY PERSON OR PERSONS NAMED BELOW.
POWER NO. 4220052 06
General Westfield Insurance Co.
Power
of Attorney Westfield National Insurance Co.
Ohio Farmers Insurance Co.
CERTIFIED COPY 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, JOINTLY OR SEVERALLY
of FORT WORTH and State of TX its true and lawful Attorney(s)-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- - - - - - - - -- - - - - - - - - - - - - - - - - - - - - - - -- - - - - - - - - - - - - - - - - - - - - - - -- - - - -
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 Senior Executive and their corporate seals to be hereto affixed this 20th day of
APRIL A.D.,2011
Corporate r�•"'s�}I,t "•., 1nNgr'Z ��NSup�:,, WESTFIELD INSURANCE COMPANY
Seals �� .«•••.NC•" ,•`SPT.• -.!bg'' �S -'7 WESTFIELD NATIONAL INSURANCE COMPANY
Affixed �v`• w+ '+t►= ?o: •GA ;'�`` •'��'e�`a OHIO FARMERS INSURANCE COMPANY
4 N• r�J� ♦ro :F-: SEAL :m_
'1 ''•.� �r j "; :. •:O; ��dr': 1846
State of Ohio "" " ""............ Richard L. Kinnaird, Jr., National Surety Leader and
County of Medina ss.: Senior Executive
On this 20th day of APRIL A.D.,2011 , before me personally came Richard L. Kinnaird, Jr. to me known, who, being by me duly
sworn, did depose and say,that he resides An Medina, Ohio;that he is 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 ai A I_
Affixed ........
O.�����/
•' William J. Kahelin,A rney at Law, Notary Public
State of Ohio -0% d 40 My Commission Does Not Expire(Sec. 147.03 Ohio Revised Code)
County of Medina ss.: y
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 7th day of
A of 2017 .,
SIMi t�4 2► u~i', SEALn; : 1 c 1 / Secretary
X48 : = Frank A. Carrino, Secfetary
BPOAC2 (combined) (06-02)