HomeMy WebLinkAboutContract 51321-FP1 i
City Secretary 51321 -FP1
Contract No.
� FORT WORTH.) Apr 11 2019
APR 112019
Date Received p
f1N OFSORTWORTK
A1>5 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: Alliance Gateway North
City Project No.: 101523
Improvement Type(s): Water ® Sewer
Original Contract Price: $761,359.00
Amount of Approved Change Order(s): -$122,018.00
Revised Contract Amount:
Total Cost of Work Complete: $639,281.00
% � 1,2019) Apr 1,2019
Contractor Date
Project Management
Title
Conatser Construction TX,L.P.
Company Name
Eke ,-fed L&)a 1?4 S&&;` ek
Hershel Stanley Suttefiield(Ap 1,2019) Apr 1,2019
Project Inspector Date
aaronLong(.Apr9, 01 Apr 9,2019
Project Manager Date
e Scarlett Morales(Api 10,2019) � Apr 10,2019
CFA Manager Date
I,-,-
Susan Alanis(Apr 10,2019) Apr 10,2019
Asst. City Manager Date
OFFICIAL RECORD
CITY SECRETARY Page 1 of 2
FT. WORTH,TX
Notice of Project Completion
Project Name:Alliance Gateway North
City Project No.: 101523
City's Attachments
Final Pay Estimate ❑x
Change Order(s): x❑ Yes ❑ N/A
Pipe Report: ❑x Yes ❑ N/A
Contractor's Attachments
Affidavit of Bills Paid I
Consent of Surety
Statement of Contract Time
Contract Time: 90 CD Days Charged: 111
Work Start Date: 12/3/2018 Work Complete Date: 3/18/2019
Page 2 of 2
FORT WORTH
CITY OF FORT WORTH
FINAL PAYMENT REQUEST
Contract Name ALLIANCE GATEWAY NORTH
Contract Limits
Project Type WATER IMPROVEMENTS
City Project Numbers 101523
DOE Number 1523
Estimate Number I Payment Number I For Period Ending 3/15/2019
CD
City Secretary Contract Number Contract Time 9ED
Contract Date 9/3/2018 Days Charged to Date III
Project Manager NA Contract is 100.00 Complete
Contractor CONATSER CONSTRUCTION TxLP
5327 WICHITA ST
FORT WORTH, TX 76119
Inspectors MILLER,W / SUTTERFIELD
Tuesday,March 26,2019 Page I of 4
L. �-
City Project Numbers 101523 DOE Number 1523
Contract Name ALLIANCE GATEWAY NORTH Estimate Number I
Contract Limits Payment Number I
Project Type WATER IMPROVEMENTS For Period Ending 3/15/2019
Project Funding
UNIT I:WATER IMPROVEMENTS
Item Description of Items Estimated Unit Unit Cost Estimated Completed Completed
No. Quanity Total Quanity Total
-------------------------
I RELOCATE BARBEDWIRE FENCE 1509 LF $10.00 $15,090.00 1509 $15,090.00
2 SITE CLEARING 1 LS $5,000.00 $5,000.00 1 $5,000.00
3 SWPPP 1 ACRE 1 LS $4,500.00 $4,500.00 1 $4,500.00
4 SEEDING HYDROMULCH(CO#1) 5852 SY $2.00 $11,704.00 5852 $11,704.00
5 TRENCH SAFETY(CO#1) 3428 LF $4.00 $13,712.00 3428 $13,712.00
6 30"CASING BY OTHER THAN OPEN CUT(CO 100 LF $528.00 $52,800.00 100 $52,800.00
#1)
7 12"WATER PIPE 65 LF $70.00 $4,550.00 65 $4,550.00
8 16"WATER PIPE(CO#1) 2897 LF $90.00 $260,730.00 2897 $260,730.00
9 16"DIP WATER(CO#1) 466 LF $115.00 $53,590.00 466 $53,590.00
10 DUCTILE IRON WATER FITTINGS 5.83 TN $4,500.00 $26,235.00 5.83 $26,235.00
W/RESTRAINT
11 CONNECTION TO EXISTING 4"-12"WATER I EA $1,500.00 $1,500.00 1 $1,500.00
MAIN
12 CONNECTION TO EXISTING 16"WATER MAIN I EA $3,500.00 $3,500.00 1 $3,500.00
13 2"COMBINATION AIR VALVE ASSEMBLY 2 EA $5,500.00 $11,000.00 2 $11,000.00
14 12"GATE VALVE 3 EA $2,400.00 $7,200.00 3 $7,200.00
15 16"GATE VALVE W/VAULT(CO#1) 4 EA $14,500.00 $58,000.00 4 $58,000.00
16 6"BLOW OFF VALVE 2 EA $9,500.00 $19,000.00 2 $19,000.00
17 2"WATER SERVICE(CO#1)(CO#2) 1 EA $3,000.00 $3,000.00 1 $3,000.00
6A CASING BY OPEN CUT(CO#1) 366 LF $230.00 $84,180.00 366 $84,180.00
18 BARB WIRE FENCE(CO#1) 570 LF $7.00 $3,990.00 570 $3,990.00
Sub-Total of Previous Unit $639,281.00 $639,281.00
--------------------------------------
Tuesday,March 26,2019 Page 2 of 4
City Project Numbers 101523 DOE Number 1523
Contract Name ALLIANCE GATEWAY NORTH Estimate Number I
Contract Limits Payment Number I
Project Type WATER IMPROVEMENTS For Period Ending 3/15/2019
Project Funding
Contract Information Summary
i
Original Contract Amount $761,359.00
I
Chance Orders
Change Order Number 1 ($125,078.00)
Change Order Number 2 $3,000.00
Total Contract Price $639,281.00
Total Cost of Work Completed $639,281.00
Less %Retained $0.00
Net Earned $639,281.00
Earned This Period $639,281.00
Retainage This Period $0.00
Less Liquidated Damages
Days @ /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 $639,281.00
I
Tuesday,March 26,2019 Page 3 of 4
City Project Numbers 101523 DOE Number 1523
Contract Name ALLIANCE GATEWAY NORTH Estimate Number I
Contract Limits Payment Number I
Project Type WATER IMPROVEMENTS For Period Ending 3/15/2019
Project Funding
Project Manager NA City Secretary Contract Number
Inspectors MILLER,W / SUTTERFIELD Contract Date 9/3/2018
Contractor CONATSER CONSTRUCTION TxLP Contract Time 90 CD
5327 WICHITA ST Days Charged to Date III 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 $639,281.00
Less %Retained $0.00
Net Earned $639,281.00
Earned This Period $639,281.00
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 $639,281.00
Tuesday,March 26,2019 Page 4 of 4
DEVELOPER-AWARDED-P@OJEGTT oHANGE ORDER
PROJECT NAME: Alliance Getewej North
- -- - - -- CHANGE
CONTRACT: _.. Pu6Gc Walar ovemeMa - �--- ORDER No:
CFA#_- 201E-07b __.._ _ _ _CITYPARTICIPATION:,_ - NO
CITY PROJECT 101623 _
WATER PROJECT# 550 8-060oaa0.101523.001480 -- ,-- -- '-V--�-� 2
SEWER PROJECT#
FILE# X-25292
INSPECTOR: Stanley Sutlerfield Phone No: 617-2404037
PROJECT MANAGER: Aaron Lang Phone No: 817-382-8424
CONTRACTUNR - - _.- --- - - --r -
WATER— SEWER PAMq 1 DRMNA6E STREET LIORfa CONTRACT
[hwbper - Iq`T wkp� �om�epa DAYS
D�wlepar C.s1 c=.car_ 1Cw Mb.wfopffcqsl _` .. Cost
ONALCONTRACT �Te1.>!l9A0 0.00 _ `_ i- DD _ 150
R101
EXTRAS TO DATE _ _i - Y -
CREOTTS70PATE
CONIAACTTODATE.. --_ __ E{i8.9e1._00 Ai_' 10.00 - � 30.e0 _ $am Sono _— *Q.ou Per ISO
NT ANOUOP PROP.CNANOE
- "�li{
ORDER I -- . ---
! _
[ACONTRACTAMDUNT 5631..61.00 �. _91p $0.00 _ iOAo f fit! 50.00 vxr 150
TOTAL REMEO CONTRACT .
ANOUNTPERURR
REIASEDCODTSNARP- D"Cash 5899,281.00 ,U-j l-.�.a
TOTAL REWS®CONTRAOT >)AaiY.261.00
I
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REASONS FOR CHANGE ORDER: Added 1,2'Wafer Semite
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$0.00 1 $5,000.00 $5,000.00
$0.00 1 $4,500.00 $4,500.00
$0.00 5852 $2.00 $11,704.00
$0.00 3428 $4.00 $13,712.00
$0.00 100 $528.00 $52,800.00
$0.00 65 $70.00 $4,550.00
$0.00 2897 $90.00 $260,730.00
$0.00 466 $115.00 $53,590.00
$0.00 5.83 $4,500.00 $26,235.00
$0.00 1 $1,500.00 $1,500.00
$0.00 1 $3,500.00 $3,500.00
$0.00 2 $5,500.00 $11,000.00
$0.00 3 $2,400.00 $7,200.00
$0.00 4 $14,500.00 $58,000.00
$0.00 2 $9,500.00 $19,000.00
$0.00 1 $3,000.00 $3,000.00
$0.00 366 $230.00 $84,180.00
$0.00 570 $7.00 $3,990.00
$0.00 $0.00
$0.00 $0.00
$0.00 $0.00
$0.00 $0.00
$0.00 $0.00
Total $0.00 Total $639,281.00
FORTWORTH
TRANSPORTATION AND PUBLIC WORKS
PIPE REPORT FOR:
PROJECT NAME: Alliance Gateway North
PROJECT NUMBER: 101523
DOE NUMBER: N/A
WATER
PIPE LAID SIZE TYPE OF PIPE LF
Jim Eagle C900 12" PCV Slip Joint 65
Jim Eagle C900 16" PVC Slip Joint 2897
Tyton Ductile 16" Ductile Iron Slip Joint 466
FIRE HYDRANTS: N/A VALVES(16"OR LARGER) 4 ea.
PIPE ABANDONED SIZE TYPE OF PIPE LF
DENSITIES: yes
NEW SERVICES: 2"Service Copper 1 ea.
SEWER
PIPE LAID SIZE TYPE OF PIPE LF
PIPE ABANDONED SIZE TYPE OF PIPE LF
DENSITIES:
NEW SERVICES:
TRANSPORTATION AND PUBLIC WORI{S
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 TARR.ANT
Before me, the undersigned authority, a Notary Public in the state and county aforesaid,
on this day personally appeared Brock Huggins, President of Conatser Management Group, Inc.,
general partner of Conatser Construction TX, 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;
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:
ALLIANCE GATEWAY NORTH
PAVING,DRAINAGE AND
STREET LIGHT IMPROVEMENTS
DOE#: N/A
CFA PRJ #: 2018-075
CITY PROJCT #:N/A
CITY OF FORT WORTH
STATE OF TEXAS
CONATSER CONSTRUCTION TX, LP
c
Brock Huggins
Subscribed and sworn to before me this 19'h day of Marc
7 BERTHA GIANULIS
Nui,:rry ftbHo,State of Texas
4 .°r•:;:r MY Coalmission Expires Notary Public in Tarrant County Texas
Septerrber 18, 2019 '
CONSENT OF OWNER ❑
SURETY COMPANY ARCHITECT ❑
CONTRACTOR ❑
TO FINAL PAYMENT SURETY ❑
Conforms With the American Institute of OTHER
Architects,AIA Document 0707
Bond No 0219483
PROJECT:
(name, addresS)Alliance Gateway North
Fort Worth,TX
TO (Owner)
HILLWOOD ALLIANCE SERVICES,LLC AND THE ARCHITECT'S PROJECT N0: CFA No.2018-075
CITY OF FORT WORTH CONTRACT FOR:
Water Improvements to Serve Alliance Gateway North
1 Fort worth,TX .,J 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
(here insert name and address of Surety Company)
BERKLEY INSURANCE COMPANY
475 Steamboat Road
Greenwich CT 06830 , SURETY COMPANY
on bond of there 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)
HILLWOOD ALLIANCE SERVICES, LLC AND THE CITY OF FORT WORTH
Fort Worth,TX
OWNER,
as set forth in the said Surety Company's bond.
IN WITNESS,WHEREOF,
the Surety Company has hereunto set its hand this 18th day of March, 2019
BERKLEY INSURANCE COMPANY
Surety Company
Attest: -
(Seal): Signature of Authorized"Representative
Robb!Morales Attome,-in-Fact
Title
NOTE: This form is to be used as a companion document to ALA DOCUMENT G706, CONTRACTOR'S AFFIDAVIT OF PAYMENT OF DEBTS AND CLAIMS,
Current Edition
ONE PAGE
No.BI-7280i
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.
KNOW ALL MEN BY THESE PRESENTS, that BERKLEY INSURANCE COMPANY (the "Company"), a corporation duly
organized and existing under the laws of the State of Delaware,having its principal office in Greenwich,CT,has made, constituted
„ and appointed, and does by these presents make, constitute and appoint: Ricardo J Reyna; Don E. Cornell;Sophinie Hunter,
c Robbi Morales,Kelly A. Westbrook; Tina McEwan;or Joshua A.Saunders ofAon 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
Z deliver any and all bonds and undertakings,with the exception of Financial Guaranty Insurance,providing that no single obligation
.E 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
a executed and acknowledged by the regularly elected officers of the Company at its principal office in their own proper persons.
a� y
E 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
o resolutions which were duly and validly adopted at a meeting of the Board of Directors of the Company held on January 25,2010:
RESOLVED,that,with respect to the Surety business written by Berkley Surety,the Chairman of the Board,Chief Executive
Officer, President or any Vice President of the Company, in conjunction with the Secretary or any Assistant Secretary are
o ° hereby authorized to execute powers of attorney authorizing and qualifying the attorney-in-fact named therein to execute
wi bonds,undertakings,recognizances,or other suretyship obligations on behalf of the Company, and to affix the corporate seal
y of the Company to powers of attorney executed pursuant hereto; and said officers may remove any such attorney-in-fact and
3 revoke any power of attorney previously granted;and further
on, RESOLVED,that such power of attorney limits the acts of those named therein to the bonds,undertakings,recognizances,or
4 a other suretyship obligations specifically named therein,and they have no authority to bind the Company except in the manner
F 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
o C affixed o RESOLVED, that the signature of any authorized officer and the seal of the Company may be axed by facsimile to any
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
i 3 though manually affixed. The Company may continue to use for the purposes herein stated the facsimile signature of any
c person or persons who shall have been such officer or officers of the Company,notwithstanding the fact that they may have
-d M. ceased to be such at the time when such instruments shall be issued.
c -0 IN WITNESS WHEREOF, the Company has caused these presents to be signed and attested by its appropriate officers and its
corporate seal hereunto affixed this]Q day of
C.
YAttest: / 13erkle Insurance Compan
v �
(Seal) B4. y / By
F Ira . Lede an Jef •e fter
[ Executive Vice President&Secretary en o i esident
o v
WARNING:THIS POWER INVALID IF NOT PRINTED ON BLUE"BERKLEY"SECURITY PAPER.
o STATE OF CONNECTICUT)
•� ) ss:
o COUNTY OF FAIRFIELD )
N O
o ,o Sworn to before me, a Notary Public in the State of Connecticut,this LC7*day of A►Uu I , by[ra S. Lederman
and Jeffrey M. Hafler who are sworn to me to be the Executive Vice Pre 'de t and Secretary, n the Senior Vice President,
respectively,of Berkley Insurance CompadOARIA C.RUNDBAKEN
NOTARY PUBLIC ..t!
WMY COMMISSION EXPIRESNotary Public,State of Connecticut
o APRIL 30,2019
CERTIFICATE
z 8 I,the undersigned,Assistant Secretary of BERKLEY INSURANCE COMPANY,DO HEREBY CERTIFY that the foregoing is a true,correct
Z and complete copy of the original Power of Attorney;that said Power of Attorney has not been revoked or rescinded and that the authority of the
a Attorney-in-Fact set forth therein,who executed the bond or undertaking to which this Power of A ttac ed,is in full force and effect as
3 a� of this date.
Given under my hand and seal of the Company,this 18 th day of March 19
(Seal)
Vineen .Forte
AFFIDAVIT
STATE OF TEXAS
COUNTY OF TARR.ANT
Before me, the undersigned authority, a Notary Public in the state and county aforesaid,
on this day personally appeared Brock Huggins, President of Conatser Management Group, Inc.,
general partner of Conatser Construction TX, 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;
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:
ALLIANCE GATEWAY NORTH
PAVING,DRAINAGE AND
STREET LIGHT IMPROVEMENTS
DOE#: N/A
CFA PRJ #: 2018-075
CITY PROJCT #:N/A
CITY OF FORT WORTH
STATE OF TEXAS
CONATSER CONSTRUCTION TX, LP
c
Brock Huggins
Subscribed and sworn to before me this 19'h day of Marc
7 BERTHA GIANULIS
Nui,:rry ftbHo,State of Texas
4 .°r•:;:r MY Coalmission Expires Notary Public in Tarrant County Texas
Septerrber 18, 2019 '
CONSENT OF OWNER ❑
SURETY COMPANY ARCHITECT ❑
CONTRACTOR ❑
TO FINAL PAYMENT SURETY ❑
Conforms With the American Institute of OTHER
Architects,AIA Document 0707
Bond No 0219483
PROJECT:
(name, addresS)Alliance Gateway North
Fort Worth,TX
TO (Owner)
HILLWOOD ALLIANCE SERVICES,LLC AND THE ARCHITECT'S PROJECT N0: CFA No.2018-075
CITY OF FORT WORTH CONTRACT FOR:
Water Improvements to Serve Alliance Gateway North
1 Fort worth,TX .,J 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
(here insert name and address of Surety Company)
BERKLEY INSURANCE COMPANY
475 Steamboat Road
Greenwich CT 06830 , SURETY COMPANY
on bond of there 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)
HILLWOOD ALLIANCE SERVICES, LLC AND THE CITY OF FORT WORTH
Fort Worth,TX
OWNER,
as set forth in the said Surety Company's bond.
IN WITNESS,WHEREOF,
the Surety Company has hereunto set its hand this 18th day of March, 2019
BERKLEY INSURANCE COMPANY
Surety Company
Attest: -
(Seal): Signature of Authorized"Representative
Robb!Morales Attome,-in-Fact
Title
NOTE: This form is to be used as a companion document to ALA DOCUMENT G706, CONTRACTOR'S AFFIDAVIT OF PAYMENT OF DEBTS AND CLAIMS,
Current Edition
ONE PAGE
No.BI-7280i
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.
KNOW ALL MEN BY THESE PRESENTS, that BERKLEY INSURANCE COMPANY (the "Company"), a corporation duly
organized and existing under the laws of the State of Delaware,having its principal office in Greenwich,CT,has made, constituted
„ and appointed, and does by these presents make, constitute and appoint: Ricardo J Reyna; Don E. Cornell;Sophinie Hunter,
c Robbi Morales,Kelly A. Westbrook; Tina McEwan;or Joshua A.Saunders ofAon 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
Z deliver any and all bonds and undertakings,with the exception of Financial Guaranty Insurance,providing that no single obligation
.E 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
a executed and acknowledged by the regularly elected officers of the Company at its principal office in their own proper persons.
a� y
E 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
o resolutions which were duly and validly adopted at a meeting of the Board of Directors of the Company held on January 25,2010:
RESOLVED,that,with respect to the Surety business written by Berkley Surety,the Chairman of the Board,Chief Executive
Officer, President or any Vice President of the Company, in conjunction with the Secretary or any Assistant Secretary are
o ° hereby authorized to execute powers of attorney authorizing and qualifying the attorney-in-fact named therein to execute
wi bonds,undertakings,recognizances,or other suretyship obligations on behalf of the Company, and to affix the corporate seal
y of the Company to powers of attorney executed pursuant hereto; and said officers may remove any such attorney-in-fact and
3 revoke any power of attorney previously granted;and further
on, RESOLVED,that such power of attorney limits the acts of those named therein to the bonds,undertakings,recognizances,or
4 a other suretyship obligations specifically named therein,and they have no authority to bind the Company except in the manner
F 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
o C affixed o RESOLVED, that the signature of any authorized officer and the seal of the Company may be axed by facsimile to any
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
i 3 though manually affixed. The Company may continue to use for the purposes herein stated the facsimile signature of any
c person or persons who shall have been such officer or officers of the Company,notwithstanding the fact that they may have
-d M. ceased to be such at the time when such instruments shall be issued.
c -0 IN WITNESS WHEREOF, the Company has caused these presents to be signed and attested by its appropriate officers and its
corporate seal hereunto affixed this]Q day of
C.
YAttest: / 13erkle Insurance Compan
v �
(Seal) B4. y / By
F Ira . Lede an Jef •e fter
[ Executive Vice President&Secretary en o i esident
o v
WARNING:THIS POWER INVALID IF NOT PRINTED ON BLUE"BERKLEY"SECURITY PAPER.
o STATE OF CONNECTICUT)
•� ) ss:
o COUNTY OF FAIRFIELD )
N O
o ,o Sworn to before me, a Notary Public in the State of Connecticut,this LC7*day of A►Uu I , by[ra S. Lederman
and Jeffrey M. Hafler who are sworn to me to be the Executive Vice Pre 'de t and Secretary, n the Senior Vice President,
respectively,of Berkley Insurance CompadOARIA C.RUNDBAKEN
NOTARY PUBLIC ..t!
WMY COMMISSION EXPIRESNotary Public,State of Connecticut
o APRIL 30,2019
CERTIFICATE
z 8 I,the undersigned,Assistant Secretary of BERKLEY INSURANCE COMPANY,DO HEREBY CERTIFY that the foregoing is a true,correct
Z and complete copy of the original Power of Attorney;that said Power of Attorney has not been revoked or rescinded and that the authority of the
a Attorney-in-Fact set forth therein,who executed the bond or undertaking to which this Power of A ttac ed,is in full force and effect as
3 a� of this date.
Given under my hand and seal of the Company,this 18 th day of March 19
(Seal)
Vineen .Forte