HomeMy WebLinkAboutContract 51610-FP1 City Secretary 51610 -FP1
Contract No.
FORT WORTH, Date Received Feb 14,2020
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: CHAPEL CREEK PHASE 3
City Project No.: 101317
Improvement Type(s): Water x❑ Sewer
Original Contract Price: $1,691,204.00
Amount of Approved Change Order(s): $17,400.00
Revised Contract Amount; $1,708,604.00
Total Cost of Work Complete: $1,708,604.00
Feb 10,2020
Jacob Gatew (Feb 10,2020)
Contractor Date
Project Manager
Title
Conatser Construction TX, L.P.
Company Name
Ramon Chavez(Feb 10,dQ4 Feb 10,2020
Project Inspector Date
75eddcs-� Wd&U-6*v
DebbieJ.Willhelm(Feb 13,2020) Feb 13,2020
Project Manager Date
Janie scarlel-f Morales Feb 13 2020
Janie scarlett Morales(Feb 13,2020)
CFA Man er Date
z5� �
Dana Burghdoff(Feb 13,20ZV 6161 Feb 13,2020
Asst. City Manager Date
OFFICIAL RECORD
CITY SECRETARY Page 1 of 2
FT.WORTH, TX
Notice of Project Completion
Project Name: CHAPEL CREEK PHASE 3
City Project No.: 101317
City's Attachments
Final Pay Estimate
Change Order(s): ® Yes ❑ NIA
Pipe Report: ® Yes ❑ NIA
Contractor's Attachments
Affidavit of Bills Paid
Consent of surety
Statement of Contract Time
Contract Time: 250 CD Days Charged: 350
Work Start Date: 217I2019 Work Complete Date: 1/23/2020
Page 2 of 2
FORT WORTH
CITY OF FORT WORTH
FINAL PAYMENT"QUEST
Contract Name CHAPEL CREEK PHASE 3
Contract Limits
Project Type WATER&SEWER
City Project Numbers 101317
DOE Number 1317
Estimate Number 1 Payment Number i For Period Ending 2/6/2020
CD
City Secretary Contract Number Contract Time 25(ID
Contract Date Days Charged to Date 350
Project Manager NA Contract is 100.00 Complete
Contractor CONATSER CONSTRUCTION TxLP
5327 WICHITA ST
FORT WORTH, TX 76119
Inspectors OWEN / CHAVEZ
Thursday,February 6,2020 Page f of 5
City Project Numbers 101317 DOE Number 1317
Contract Name CRAPEL CREEK PHASE 3 Estimate Number I
Contract Limits Payment Number I
Project Type WATER&SEWER For Period Ending 2/612020
Project Funding
WATER
Item Description of Items Estimated Unit Unit Cost Estimated Completed Completed
No. Quanity Total Quanity Total
----------------------------------- --- - --
1 8"PVC WATER PIPE 8136 LF $34.00 $276,624.00 8136 $276,624,00
2 FIRE HYDRANT WIGATE VALVE 7 EA $4,500.00 $31,500.00 7 $31,500.00
3 I"WATER SERVICE 199 EA $950.00 $I89,050.00 199 $189,050.00
4 8"CsATE VALVE&BOX 18 EA $1,250.00 $22,500.00 18 $22,500,00
5 CONNECTION TO EXISTING 4"-t2"WATER 3 EA $1,000.00 $3,000.00 3 $3,000.00
MAIN
6 DUCTILE IRON WATER FITTINGS 1.8 TN $4,000.00 $7,200.00 1.8 $7,200,00
WIRESTRAINT
7 TRENCH SAFETY 8I36 LF $0.25 $2,034,00 8136 $2,034.00
8 TRAFFIC CONTROL, I MO $3,500,00 $3,500,00 1 $3,500.00
9 1 112"WATER SERVICE CON 7 EA $1,800.00 $12,600,00 7 $12,600.00
10 4"PVC CONDUIT CO#1 6 EA $800.00 $4,800.00 6 $4,800,00
Sub-Total of Previous Unit $552,809,00 $552,808.00
OFFSTTE WATER
Item Description of Items Estimated Unit Unit Cost Estimated Completed Completed
No. Quanity Total Quanity Total
--------- J 1 12"PVC WATER PIPE 1289 LF $46.00 $59,294.00 1289 $59,294.00
2 CONNECTION TO EXISTING 4"-12"WATER I EA $1,200.00 $1,200.00 1 $1,200.00
MAIN
3 DUCTILE IRON WATER FITTINGS 0.2 TN $4,500.00 $900.00 0.2 $900.00
WIRESTRAINT
4 TRENCH SAFETY 1289 LF $1.00 $1,289.00 1289 $1,289.00
5 TRAFFIC CONTROL 1 MO $3,500.00 $3,500.00 1 $3,500.00
6 12"GATE VALVE&BOX 2 EA $2,600.00 $5,200.00 2 $5,200.00
7 2"COMBINATION AIR VALVE ASSEMBLY FOR 1 EA $4,500.00 $4,500.00 1 $4,500.00
WATER
8 FIRE HYDRANT W/GATE VALVE I EA $4,500.00 $4,500.00 1 $4,500.00
--------------- ---------------- -------- -
Sub-Total of Previous Unit $80,383.00 $80,383.00
SEWER
Item Description of Items Estimated Unit Unit Cost Estimated Completed Completed
No. Quanity Total Quanity Total
Thursday,February 6,2020 Page 2 of 5
City Project Numbers 101317 DOE Number 1317
Contract Name CHAPEL CREEK PHASE 3 Estimate Number 1
Contract Limits Payment Number 1
Project Type WATER&SEWER For Period Ending 2/6/2020
Project Funding
1 8"SEWER MAIN 7318 LF $39.00 $278,084.00 7318 $278,084.00
2 4'MANHOLE 26 EA $4,000,00 $104,000.00 26 $104,000.00
3 4'DROP MANHOLE I EA $4,800,00 $4,800.00 1 $4,800,00
4 EXTRA DEPTH MANHOLE 109 VF $175.00 $19,075.00 109 $19,075.00
5 4"SEWER SERVICE 199 EA $650.00 $129,350.00 199 $129,3S0,00
6 POST CCTV WSPECTION 7318 LF $2.00 $14,63E00 7319 $14,636.00
7 MANHOLE VACUUM TESTING 27 EA $150,00 $4,050.00 27 $4,050.00
8 TRENCH SAFETY 7318 LF $1.00 $7,318,00 7318 $7,318.00
9 CEMENT STABILIZED BACKFILL 200 LF $30.00 $6,000,00 200 $6,000.00
10 WARREN MANHOLE LINER 83 VF $205.00 $17,015,00 83 $17,015.00
Sub-Total of Previous Unit $584,328.00 $584,328.00
OFFSITE SEWER
Item Description of Items Estimated Unit Unit Cost Estimated Completed Completed
No. Quanity Total Quanity Total
1 8"SEWER MAIN 2672 LF $46.00 $122,912.00 2672 $I22,912.00
2 20"STEEL CASING BY OTHER THAN OPEN CUT 389 LF $580.00 $225,620.00 389 $225,620.00
3 8"SEWER CARRIER PIPE 389 LF $60.00 $23,340.00 389 $23,340.00
4 8"DIP SEWER PIPE 20 LF $62.00 $1,240.00 20 $1,240.00
5 12"SEWER PIPE 170 LF $72.00 $12,240.00 170 $12,240.00
6 4'MANHOLE 10 EA $6,000.00 $60,000.00 10 $60,000.00
7 EXTRA DEPTH DEPTH MAN14OLE 63 VF $175.00 $I 1,025.00 63 $11,025.00
8 4'SHALLOW MANHOLE 1 EA $5,000.00 $5,000.00 1 $5,000.00
9 MANHOLE VACUUM TESTING I E EA $150.00 $1,650.00 11 $1,650.00
10 POST CCTV INSPECTION 3251 LF $2.00 $6,502.00 3251 $6,502,00
11 TRENCH SAFETY 2862 LF $3.00 $8,586,00 2862 $8,586.00
12 MEDIUM STONE RIPRAP 54 SY $75.00 $4,050.00 54 $4,050.00
13 WARREN MANHOLE LINER 24 VF $205.00 $4,920.00 24 $4,920.00
14 CONCRETE COLLAR 6 EA $500,00 $3,000,00 6 $3,000,00
15 CONCRETE ENCASEMENT FOR UTILITY PIPES 5 CY $200.00 $1,000.00 5 $1,000.00
Sub-Total of Previous Unit $491,095,00 $491,085.00
Thursday,February 6,2020 Page 3 of 5
City Project Numbers 101317 DOE Number 1317
Contract Name CHAPEL CREEK PHASE 3 Estimate Number I
Contract Limits Payment Number 1
Project Type WATER&SEWER For Period Ending 2/6/2020
Project Funding
Contract Information Summary
Orlg9nal Contract Amount $1,691,204.00
Chance Orders
Change Order Number 1 $17,400.00
Total Contract Price $1,708,604.00
Total Cast of Work Completed $1,708,604.00
Less %Retained $0.00
Net Earned $1,708,604,00
Earned This Period $1,708,604.00
Retainage This Period $0.00
Less Liquidated Damages
Days @ 1 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 $1,708,604.00
f
Thursday,Febmary 6,2020 Page 4 of 5
City Project Numbers 101317 DOE Number 1317
Contract Name CHAPEL CREEK PHASE 3 Estimate Number I
Contract Limits Payment Number I
Project Type WATER&SEWER For Period Ending 2/6/2020
Project Funding
Project Manager NA City Secretary Contract Number
Inspectors OWEN / CHAVEZ Contract Date
Contractor CONATSER CONSTRUCTION TxLP Contract Time 250 CD
5327 WICHITA ST Days Charged to Date 350 CD
FORT WORTH, TX 76119 Contract is .000000 Complete
CITY OF FORT WORTH
SUMMARY OF CHARGES
Line Fund Account Center Amount Grass Retainage Net
Funded
------------------------- - - - ------- ---
Total Cost of Work Completed $1,708,604.00
Less %Retained $0.00
Net Earned $1,708,604.00
Earned This Period $1,708,604.00
Retainage This Period $0.00
Less Liquidated Damages
0 Days @ $0.00 1 Day $0_oo
LessPavement Deficiency $0.00
Less Penalty $0.00
Less Previous Payment $0.00
Plus Material on Hand Less 15% $D.00
Balance Due This Payment $1,708,604.00
Thursday,February 6,2020 Page 5 of 5
DEVELOPER-AWARDED-PROJECT CHANGE ORDER
PROJECT NAME: ChoO Creek Phaee 3 CHANGE
CONTRACT; Walar B Sewer C Pavino,M OISIOa a.(El Stroot L ht3 ORDER No:
CFA# 2017-191 CITY PARTICIPATION: NO
CITY PROJECT# 101317
❑OE# X-24907 1A
WATER PROJECT 58RA9-0GOQ43Q•7Q1317-00758Q
SEWER PROJECT# 55008,0700590-101317-001380
FILE# W2537
INSPECTOR: Ron Cordova Phalle No: 817.223.2278
PROJECT MANAGER: Gopal Sahu Phone No: 617.302.7040
CONTRACT UNIT
WATER SEWER PAVING 0RAfNgGE STREETLIOHTO CONTRACT
re spar136 opf rr oplr DAYS
Co.1 toy Coll 'Corals vc- oly Ceaf O.rNe.rce.l Ch colt 00.1 ONT Call corn G Cc.l
ORIOWALCINTRACT ]616781.00 f1,e moo 1216 3.7d E66TS6AOD i210,eSl.06 180
EXTRA3 TC OATE
CREDITSTOCATE
CONTRACM OATE s!1 7os,4D EOAO K01 1EAe JOAD lA 1El e7S.TE $0.00 aael.Snoo SDAO 1140AIVIlL ADM 1110
AMOUNT OF PROP.CHANGE ORDER Sf7,400.00 NIAAA10 i1 17A00
REVISEDCONTRACTAMOONT 1SAOIA10 11DAO 31 NS.60 $0,00 ! 267,Eei.6!I SO-00 1007,106.00 $0.00 ST40,66SA6 50.00 100
TOTAL REVISED CONTRACT AMOUNT
PER DNIT i6]]SlfA6 1 07 415.00 3i i610#Ae sum i]5Aa EiLP 650.D6
REVISE0 COST 31 tARE 0ay.CaBl: SS,109,T2D.T1 ORq Cant: SO-00
TOTAL REW5RO CONTRACT E5,10P,720,71
YOU Are mr6cted to make tna I dlen ea In Iho conYeci d=mant6: UNIT I:WATER IMPROVEMENTS
CRY EO ITEM
PAY 9TEM9 A QUANTITY UNIT ITEMOESCRIPTION UNITFMCE 7pYAl
9 a312.2103 7 EA 3312 2103 1 vt!W6tar Sem" $1 60uo 312,600.00 ✓
1
0 9i8i.IN S EA 00SS.00184"PVCCONDLIT 300V.OD
TOTAL a17 OD.Op
Yov are dtreded to make the changes In the oonlrlcl daalmenif: UNIT V1 DRAINAGE IMPROVEMENTS
CITY uto.
PAY NEMA A 1 OUANTnY I UNIT ITEMOESCRIPTIOR ONorpFucE TOTAL
3 1 3341,0205 t54 i LF 3111.030614'RCP Cf65a 01 555.00 57,07Q.00
H 334&80D3 T 33fB.91gE 20'Re0e67ed Inkl 55 BOO.D B
TOTAL L1a 170.0p
rrr r 4��•f
R.A.d:f 0-12-201 t i— PBOe 1
ZAM
1J lc�Lat 1 u .�s
You arc dlmusd W make the foroaving chong,5 In ihd aonlract daoumanl.: UNIT VII:JDFFSIT15 PAVING IMPROVEMENTS•AMBER AIDOE DRIVE
cETY ale try
PAY ITEM2 f QUANTITY C UNIT PRICr: TOTALt9 3213.0301 -630 ula-WO1 a"Con*0Sidewalk S300 a2,0.0020 32110301 f37fi 3213.0301 4Cann d-1k Modwn 34,00SS No.PP21 32324f00 927 5232.9f00 Cmnc Rat Wary N101 SIdaNalk,Fate d12.90 $11124.00
TOTAL
74.116.P
You am directed is make the faftmng Ohnngus In The canned documenta: UNIT VIII:OFFBITE PAVING IMPROVEME,HTS•ACADE MY BOULEVARD
C17Y 01D ITEM
PAY ITEM ! QUANTITY UNIT EMIT PRICE TOTAL
[in
3471,OOp1 Trmft CoMrd $3 .00 9441.a003 I EA 344 fAGO3 Fami,MnKm1 Hum S nOmund MOU01 Cll SId. STaO.00 5f5PAP3471,0001 1 MO 347 e.0001 Trafro Con omas a rdm Pllaee 1 or OH Waalherlard Road 3117%ol) 511,1 3213.0301 4674 OF 3213.0301 47 Canudla Sidmvafl Madsen 14,00 31a 296,00
11 3212.0302 in" SY 3212.0302 2'A Pvml T e 0 ufn Awund 52a.30 .124.534.90
12 3211.0112 1053 SY 23A 1.0112 B'FlaxMa Baia T CR-1 5- %054.
13 8212.0600 109a SY 021215500 rAPWt0anTvPo8 81606 518,94&0O -
TOTAL, 41SSA3!!o- !1 FS7,Ca3L.4a
REASONS FOR CHANCE ORDER The SldevvaOe along the North aide of Amber RHym Drive was originally pf litaod wllh no relalnkn—1 and her ainea he upda led to hew a Concrete felmfnlrlg mill
For a sarril Pardon of the aldowolk.M media s Iers Than 10r w11 Io be fi fed win 4.0=01e pat Cily OF Fod YVOdh aommenl2.These madlens wD ba Nlu Lad on
Amber RWge DrNa and Academy BoulevaId.At the tar Emit pmum Of Old WooUtedard Reid wa have pmpoicd on Asphalt Tumelound,which wit a"TO
aces I,Nrly W the a fjaeanl Cam Pad,The addf1lan of a 24m RCP(SO-112)along Mlnl Hill CfW wilt be used to seMca Ch0M Creep Phase 4,Nam 1Aa epealvel mn
of a 20'Recessed puts Mat she}be regwfad al the Hodh E961 Inleneel."of Amber Ridge Drive and HIcKbry Grave Tma,wimm A Vo into an exisung 21"RCP.
Tompamry Turn vn-Arod added Io If a Waal pOr lon of Qld WealMrfmtl Road.Alma Tra1Rc canlfol pan was updaled to ranect slonege and mad closer mguffinenli-
Steele 42,40.and 49 were Irlduded for mVlar plan roviiloms For dilAy.Thom oheoli rodirdo no gvaatly changam.
NO CITY FUNDS INVOLVED IN THIS CONTRACT,OEVELCPER IS RESPONSIBLE FOR 100%OF THE CHANGE ORDER COST AND NO
A El MBORSEMENT FROM THE CITY WILL BE SOUGHT BY THE DEVELOPER,
RECOMAEENDEO: APPROVED! APPROVED: JJ
By: Shlek EnOlneadno Droum.PLLC BY. Y BY- �TRh- �r•�`'ti
Names Rwn Hh,P.E..CFM Name: Noma: Ada Sums
Tiff,PJecr EngIneer Tide; VI t^,itlri]p+�!i.r:srlc� Trm: ...Der
1
'I�f l
53
4
o
r -I-Orl a5
Revlsed:10-12.2011 F y Paget
FORTWORTH
offim
TRANSPORTATION AND PUBLIC WORKS
PIPE REPORT FOR:
PROTECT NAME: Chapel Creek Phase 3
PROJECT NUMBER: 101317
DOE NUMBER: NIA
WATER
PIPE LAID SIZE TYPE OF PIPE LF
Bell and Spigot 8" PVC 8,136
Bell and Spigot 12" PVC 1,289
FIRE HYDRANTS: 7 VALVES(16" OR LARGER)
PIPE ABANDONED SIZE TYPE OF PIPE LF
None
DENSITIES: Passed
NEW SERVICES: 1" Copper 6,468
1 112" Copper 165
SEWER
PIPE LAID SIZE TYPE OF PIPE LF
Bell and Spigot 8" PVC 9,990
Steel Casing 20" Steel 389
Sewer Carrier Pipe 8" 399
Bel[and Spigot 12" PVC 170
Bel[and Spigot 8" DIP 20
PIPE ABANDONED SIZE TYPE OF PIPE LF
None
DENSITIES: Passed
NEW SERVICES: 4" PVC 5,473
I
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
I
J
AFFIDAVIT
STATE OF TEXAS
COUNTY OF TARRANT
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:
CHAPEL CREED, PH 3
WATER, ❑/S WATER, SS,O/S SS, SD,PAVING
O/S PAVING IMPROVEMENTS
DOE#: N/A
CFA PRJ#: 2017-191
CITY PROJCT #. N/A
CITY OF FORT WORTH
STATE OF TEXAS
CONATSER CONSTRUCTION TX, LP
Brock Huggins
Subscribed and sworn to before me this 71h day of January, 2020 J
Notary Public in Tarrant County, Texas
'— BM MA GIANULtS
IJ:,t�s i Puu1 c.Sta e v}Tehas
{ "y=c+IS1Tf l iSsC•r1 cAE7:res
{ j�' S opigrnber 1
CONSENT OF OWNER ❑
SURETY COMPANY ARCHITECT ❑
CONTRACTOR ❑
TO FINAL PAYMENT SURETY ❑
Conforms with tha American Inautme of OTHER
Architects, AIA Domrnent G707
Bond No 0222434
PROJECT:
(name, address)Chapel Creek, Phase 3
Fort Worth,TX
TO (Owner)
10.R.HORTON-TEXAS.LTD,AND THE CITY OF FORT I ARCHITECT'S PROJECT NO: GFA No.2017 191
WORTH CONTRACT FOR:
6751 North Freeway Water,OfFsite Water.Sanitary Sewer,Offsife Sanitary Sewer,
Drainage,Paving,Off Paving for Chapel Creek Phase 3
Fort Worth TX 76131 _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 (here insert name and address of Contractol
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 Ihere Insert name and addresa of owner)
D. R. HORTON-TEXAS, LTD.AND THE CITY OF FORT WORTH
6751 North Freeway
Fort Worth TX 76131 , 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 December, 2019
BERKLEY INSURANCE COMPANY
Surety Company
Attest: n fry
(Seal): Signature of Authorized Representative
Sg�bi Morale-s Attorney-in-Fact
Title
NOTE: This form is to he used as a companion document to AIA DOCUMENT G706, CONTRACTOR'S AFFIDAVIT OF PAYMENT OF DEBTS AND CLAIMS,
Currarn Edition
ONE PAGE
No.RI-7280j
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 MIEN BY THESE PRESENTS, that BERKLEY INSURANCE COMPANY (the "Company"), a corporation duly
organized and existing tinder 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;
•=Robbi Morales;Kelly A. Westhrook; Tina McErvan;Joshua A. Saunders;or Tonie Petranek of Aon Risk Services Southwest,
W Inc of Dallas, TX its true and lawful Attomey-in-Fact,to sign its name as surety only as delineated below and to execute seal
2 acknowledge and deliver any and all bonds and undertakings,with the exception of Financial Guaranty Insurance,providing that no
n single obligation shall exceed Fifty Million and 001100 U.S. Dollars (U.S.S50,000,000.00), to the same extent as if such bonds
J.
had been duly executed and acknowledged by the regularly elected officers of the Company at its principal office in their own
proper persons.
7] W
This Power of Attorney shall be construed and enforced in accordance with, and governed by, the laws of the State of Delaware,
a without giving effect to the principles of conflicts of laws thereof. This Power of Attorney is granted pursuant to the following
resolutions which were duly and validly adopted at a meeting of the Board of Directors of the Company held on January 25,2010:
vRESOLVED,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
w hereby authorized to execute powers of attorney authorizing and qualifying the attorney-in-fact named therein to execute
bonds,undertakings,recognizances,or other suretyship obligations on behalf of the Company,and to affix the corporate seal
v 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,or
F" 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
I RESOLVED, that such power of attorney revokes all previous powers issued on behalf of the attorney-in-fact named; and
o C further
RESOLVED, that the signature of any authorized officer and the seal of the Company may be affixed 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
- though manually affixed. The Company may continue to use for the purposes herein stated the facsimile signature of any
r person or persons who shall have been such officer or officers of the Company,notwithstanding the fact that they may have
- ceased to be such at the time when such instruments shall be issued.
IN WITNESS WHEREOF, the Corn as y has caused these presents to be signed and attested by its appropriate off"scers and its
o L', corporate seal hereunto affixed this day of 1k v t q
Attest: Berkle Insurance Corn
Y � �
o F (Seal) By f By
o Ira .Lede an Je tter
Executive Vice President&Secretary e o i esident
Q F WARNING:THIS POWER INVALID IF NOT PRINTED ON BLUE"BERKLEY"SECURITY PAPER.
STATE OF CONNECTICUT}
COUNTY OF FAIRFIELD }
Sworn to before me,a Notary Public in the State of Connecticut,this day of �Lj�(�l.t t q ,by trn S. Lederman
F r and lcffrey M. tiafl4r who are sworn to me to be the Executive Vic7P 'de and Secretary, n the Senior Vice President,
respectively,of Berkley Insurance CompartllARIA C.RUNDBAKEN
NOTARY PUBUC C- 1'`r-� `MY COMMISSION EXPIRESotary Public,State Qf Cvnttectictrt I g
U APR11.30.2019
7 .2 CERTIFICATE
' I the undersigned,Assistant Secretary of BERKLEY INSURANCE CONTANY, DO HEREBY CERTIFY that the foregoing is a true,correct
Y e 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
00
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 18 tI" day of De o Cmb 19
(Seal) drt,��,