HomeMy WebLinkAboutContract 52620-FP3 city secretary 52620 -FP3
Contract No.
FORTWORTH., Date Received Sep 9,2020
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: TRAILS OF ELIZABETH CREEK PHASE 2
City Project No.: 101880
Improvement Type(s): Water ® Sewer
Original Contract Price: $873,383.25
Amount of Approved Change Order(s): $22,730.00
Revised Contract Amount: $896,113.25
Total Cost of Work Complete: $896,113.25
,4L6e�-t �arr�zies�
AlbertGrantges(Sep 4,2 2009:44CDT) Sep 4,2020
Contractor Date
Contract Manager
Title
Burnsco Construction,Inc.
Company Name
Alberf Saman6= Sep 4,2020
Albert Sannaniego(Sep 4,202009:46CDT)
ProjeGct Inspector Date
KhalJaafa P.E( ep8,202010:24CDT)ri Sep 8,2020
Project Manager Date
Laurie Lewis ep 8,20200110:27 CDT) Sep 8,2020
CFA Manager Date
Dana Burandoff Serfp 8f 2020
Dana Burghdoff ep 8,202012:54 CDT)
Asst. City Manager Date
OFFICIAL RECORD
CITY SECRETARY Page 1 of 2
FT.WORTH, TX
Notice of Project Completion
Project Name:TRAILS OF ELIZABETH CREEK PHASE 2
City Project No.: 101880
City's Attachments
Final Pay Estimate
Change Order(s): ® Yes ❑ N/A
Pipe Report: ® Yes ❑ N/A
Contractor's Attachments
Affidavit of Bills Paid
Consent of Surety
Statement of Contract Time
Contract Time: 240 CD Days Charged: 332
Work Start Date: 9/23/2019 Work Complete Date: 8/19/2020
Page 2of2
FORT WORTH
CITY OF FORT WORTH
FINAL PAYMENT REQUEST
Contract Name TRAILS OF ELIZABETH CREEK PHASE 2
Contract Limits
Project Type WATER&SEWER
City Project Numbers 101880
DOE Number 1880
Estimate Number 1 Payment Number 1 For Period Ending 9/4/2020
CD
City Secretary Contract Number Contract Time 240D
Contract Date Days Charged to Date 332
Project Manager NA Contract is 100.00 Complete
Contractor BURNSCO CONSTRUCTION,INC.
6331 SOUTHWEST BLVD
FORT WORTH, TX 76132
Inspectors OWEN/ SAMANIEGO
Friday,September 4,2020 Page 1 of 5
City Project Numbers 101880 DOE Number 1880
Contract Name TRAILS OF ELIZABETH CREEK PHASE 2 Estimate Number 1
Contract Limits Payment Number 1
Project Type WATER&SEWER For Period Ending 9/4/2020
Project Funding
WATER
Item Description of Items Estimated Unit Unit Cost Estimated Completed Completed
No. Quanity Total Quanity Total
---------------------------------------
1 TRENCH SAFETY 6609 LF $0.10 $660.90 6609 $660.90
2 DUCTILE IRON WATER FITINGS W/RESTRAINT 4 TN $6,150.00 $24,600.00 4 $24,600.00
3 8"WATER PIPE 6609 LF $23.00 $152,007.00 6609 $152,007.00
4 FIRE HYDRANT 10 EA $3,520.00 $35,200.00 10 $35,200.00
5 CONNECTION TO EXISTING 4"-12"WATER 7 EA $500.00 $3,500.00 7 $3,500.00
MAIN
6 1"WATER SERVICE CO#1,CO#2,COO 192 EA $770.00 $147,840.00 192 $147,840.00
7 1 1/2"WATER SERVICE 1 EA $2,630.65 $2,630.65 1 $2,630.65
8 8"GATE VALVE&BOX 18 EA $1,280.00 $23,040.00 18 $23,040.00
9 2"WATER SERVICE CO#1 1 EA $1,500.00 $1,500.00 1 $1,500.00
10 1 1/2"WATER SERVICE CO#1 1 EA $1,210.00 $1,210.00 1 $1,210.00
Sub-Total of Previous Unit $392,188.55 $392,188.55
SEWER
Item Description of Items Estimated Unit Unit Cost Estimated Completed Completed
No. Quanity Total Quanity Total
---------------------------------------
1 MANHOLE VACUUM TESTING 31 EA $110.00 $3,410.00 31 $3,410.00
2 POST CCTV INSPECTION 6992 LF $1.50 $10,488.00 6992 $10,488.00
3 TRENCH SAFETY 6992 LF $1.00 $6,992.00 6992 $6,992.00
4 TRENCH WATER STOPS 19 EA $300.00 $5,700.00 19 $5,700.00
5 4"SEWER SERVICE 163 EA $650.00 $105,950.00 163 $105,950.00
6 8"SEWER SERVICE 6427 LF $35.10 $225,587.70 6427 $225,587.70
7 MANHOLE ADJUSTMENT MINOR 1 EA $470.00 $470.00 1 $470.00
8 EPDXY MANHOLE LINER 44 VF $220.00 $9,680.00 44 $9,680.00
9 4'MANHOLE 31 EA $2,590.00 $80,290.00 31 $80,290.00
10 4'DROP MANHOLE 1 EA $4,740.00 $4,740.00 1 $4,740.00
11 4'EXTRA DEPTH MANHOLE 147 VF $150.00 $22,050.00 147 $22,050.00
12 8"SEWER PIPE CSS BACKFILL 474 LF $43.00 $20,382.00 474 $20,382.00
13 8"SEWER PIPE CONCRETE ENCASEMENT 91 LF $60.00 $5,460.00 91 $5,460.00
14 CONNECT TO EXISTING MANHOLE 2 EA $700.00 $1,400.00 2 $1,400.00
15 EXTERNAL DROP CONNECTION 1 EA $1,225.00 $1,225.00 1 $1,225.00
Friday,September 4,2020 Page 2 of 5
City Project Numbers 101880 DOE Number 1880
Contract Name TRAILS OF ELIZABETH CREEK PHASE 2 Estimate Number 1
Contract Limits Payment Number 1
Project Type WATER&SEWER For Period Ending 9/4/2020
Project Funding
16 END&PLUG 5 EA $20.00 $100.00 5 $100.00
Sub-Total of Previous Unit $503,924.70 $503,924.70
--------------------------------------
Friday,September 4,2020 Page 3 of 5
City Project Numbers 101880 DOE Number 1880
Contract Name TRAILS OF ELIZABETH CREEK PHASE 2 Estimate Number 1
Contract Limits Payment Number 1
Project Type WATER&SEWER For Period Ending 9/4/2020
Project Funding
Contract Information Summary
Original Contract Amount $873,383.25
Change Orders
Change Order Number 1 $10,010.00
Change Order Number 2 $10,780.00
Change Order Number 3 $1,940.00
Total Contract Price $896,113.25
Total Cost of Work Completed $896,113.25
Less %Retained $0.00
Net Earned $896,113.25
Earned This Period $896,113.25
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 $896,113.25
Friday,September 4,2020 Page 4 of 5
City Project Numbers 101880 DOE Number 1880
Contract Name TRAILS OF ELIZABETH CREEK PHASE 2 Estimate Number 1
Contract Limits Payment Number 1
Project Type WATER&SEWER For Period Ending 9/4/2020
Project Funding
Project Manager NA City Secretary Contract Number
Inspectors OWEN/ SAMANIEGO Contract Date
Contractor BURNSCO CONSTRUCTION,INC. Contract Time 240 CD
6331 SOUTHWEST BLVD Days Charged to Date 332 CD
FORT WORTH, TX 76132 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 $896,113.25
Less %Retained $0.00
Net Earned $896,113.25
Earned This Period $896,113.25
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 $896,113.25
Friday,September 4,2020 Page 5 of 5
0
0
0
c
9
m
m m > n0 0 x 0 z -n c 0 0 0 0 m m
< o < D z m i U cn r m D O m 0 � °o
D cn c p O D m `c m D z 0 m
O_ r m Z -_� z L m m m � --t L-
_ 4 X p �' -i r- m 0 � M m � m o
n < < o ° 0 0 0 m -D 0 n co
N m m m Z -U 0 0 y z 71 0 0 m _ Z o
n> < o m 0 D p -4 m � D 0 0 n D �
v, n A n n `" D Z m m -� W
m 0 c 0 --1 c� m D C7 (7 m
0 CAz r = G) -1 -i C
i D , M o
nM 3 0 0
V 0 O -n
C m N
z
-i D
0 ID O O D 03 0O CD N d
0 N iD O O O �1 03 co co Ct (n W
N a o p o N m o 6 0 o D ° W
v, m o m m C << rn _ m w
•• fll O Cn p N C G CD CD
O O
M D COcn N w
m m � N O v
w CT
� 0 -s = m W
0 0 0 D c7 < 6;
0 0 0 o v M co �' m m D
m r
o o
_ O
F O O m
� CD O O � S
o m cQ v m
m w cn
c�v can can < ° w w c
w w w p o o N D
W
D
Z. w a o o N m O
cn m 0
a to to n 0 0 v
c m m 0
0 o C) �7
0 o O z Z -0 W
N O
0 0
m
o -I �° n
N N !q N <
A m
A A 0
0 o IJ V a n
O) A A O A O �_ r-
Ut .O -1 O z
1 w w o w N D
u o <_ D U)
rl) 2 (7 W W
W ° n tiv n O
Cm
No n
v
N o 0 0 N O m
w V W
03 m
O N co O
fA
!D (O v O N
� � O
N N V NO p
N s O A n 0
O
0 o 0 0 °m D
m z
(7 0 ;u n
m 0 =
0 0 0 D m D
0 0 o to 0
N z m
0
0
0
o 0 o
N N N y <
N N N
VNi N (Nil � -1
N m
O N N N m
N •�
N r
n �
p
p O o 0
N
0
0
W W W A TT1
O O O y
v n
(D
[
\
m
f m ® -
CD
\ \
CD
A - |
_
\ \ \
n _ o =
> ° � / { d
± ® \
z \
-z'
_ $
a ) _
° [ m m0 \ \ ° ® 3
( ° kk
} § \ / § [ j / \ \ ® e } _
\ m m cn /\ _ _ §
\ § gz * * c
m mo /± a
o z9 g {
az §
< = = z \ >
\ < } (
) S )
0 � e
) 7 > > > z
¥ §
co ¢ m
° \ } /� e
m \ \ °
m >
o / � 2 §
o _ / m
} ) m
§ \ mm
} § \
� ( ewZZ
\ { \ n
( \ \ [ \
\ \ % \
§ °afff
} gz
2
g z m m > m
{ 5 ) � >
/ m m
- §
� 2
y � n
� \
£
\ »± /
CD o CD
R § §\
_ \\}
/ \ § §
ro ---- -- .m > o `0 m 0 -— - -D z -n Cl) � O n n n
O < p m -.� 7� in r m D ® �l Q 3J
O A In c 0 W G1 0 -0 m Cc -I m D Z Q
III Z z C- m 4tmm � -Ac-
6 < O 0 O O n C) - Do M
--+ -a p D n
N mm inm .0 to z -p 0 o y z �7 T] L Z
vei (� S f� > n m 'n XI 0 c- D
O = D 0 z
mz m
� � m
c �
N N (A O X m 0) Z
V m ^, N CD O D '� W N
m `° a m Go c W cp m
0 0 o a a rn o Cn 0
•• UWi C N cnn D O p N
W W wU
{ m s ro cn c
u JN
m I 0 9 ` o o - s 0
0 o N n E
0 0 0 A? 3 w m ? m
o o to r
C4 x O
n -- m�, o o p
— ---- — -u
� °< m o to v� �
o oo o
ID W o N
t0 ID to O �
CD
A N
0 0 0_
N o _ m I�m v _O °' m
co c' o n m o o C.) w C3
® o "' m m m U
0
o I$ o n D
�J o O
rn- -- ------ o C
C7
� w $ g o > C =
Ql to ,OAi m ,OA1 A z D
N V EJ W W I- { 3) O Z
n
- - z V V m
CD n w c (7 z w co
0 0 o O -i N Q Q
a
co 0)
m co
N N N
ID l0 fD f0
3
N A A o e7
N
0
o o I m ka m D
$ o m
0
� ra
�N�]]
N fNll nl � -I
o m
N N N N m
N -1
n T
O O O
Q
w CD LID
Rg
- O O O
@ 0
= q - w
\ z \
in :
k \
/ }) \
§ \
0
z @
rn
\ 2 \ m mo ® — - - - n �
CD \ ° k) \ ,\a
- m @2 / ( M ±
`CD
m 2� � \ 7
§k 3G }
jo \ - � \
mq
§§ } /\
�§ {
2
/ ( f \ t m - -
m
, $ fA9 (
| j \) / \
° �0 {
/ m I
¥ 0 oe \
N ]■ ,
93 Sb
e _ %
m )/
\)
\ )
�
a z 7 m » m
R 7 •• 2 7 g
§ a �
J m m
2
m
a n
/ 1
k c
0 \)
w�
^» I
\\\\\\\\\\
( � �
x ,� �u D O n m O "� z -n Cn � 0 C7 C) 0 T
O < o z m (n r m y O n O X
cn D ° c o y O m m * .� m D z 0
m z > z m -I m
n i m m p C) D �D7
r < < O m � O o O OC—
X FAyz O (� zvo< Do O O n m m � D D
D j o o � ° C) m E
m mC: z -i C) m D C) C) m
o z -I
-4 D = O
n i � p Z m *k *#
z > m
z 7
m o A
0
c m
z X
1
p 00 X cn cn Z
o oN D8 8 N* —
< w w w ` < N O O 00(0 V m n O C) N
N N
0 0 0 o J
o OJ co 00
n�
N 'q coCO w O e b b o o D o
C< J
.. wo N Oo N oo N D D < 0 0 Cn N
S N W W (D N
A f 6
N n L (.0O i0
am'
(n -. m 3 m
0 0 0 0 3 co w m
o o (D r
77
o � D o o v ; m
u�i u�i u�i < I-fl ° co ccoo = N
0 0 0 (D o o m
w w w O N G
w O (D Cp
� N N N -
N V V V ° (DT�T
to
W O O O N C ° N
(O N G
(7 Q
(D O O O (D CD 7 m
0 o n
0 0 �°n o o D W O
0 �
o /m�
A A A `Y
4 � D
IGq CD
-I =
O' N rn OAi m n O �-
w w w m D
CD w
z n °�° m m
,, , 1-4 ° 0c v n O
O 0
" W Z w co
N o o 0 J N O m
u
00 �
v C Z
0 N OD O
O V o O (D r
Al N N (aD T
V v
t0 O O
N
m Z
' 0 m �1 n
O
0 0 0 < DD M D c
0 o 0
0 Clm Z m (�
0
c 00
0
0 0 0 m •y,
N IJ N .* 00 N W
Efl j N j N �
N m ''Ow
N N N N m W
N �
N r
N
O O �
O O 0
O O O
V1
o �V
w O C) CD � O
N A'
(D -� •�+
O
= m «
\
z
cn
X > \
0
~ � \
z
/
ƒƒ ) �
a / Co ( ( § /
R R ® a » Z
` 0 m m0 & \ g §
{ * / § 2g (D » / *
C \ / i X - 0 (D
;g e 9 _
} \ \ kk ) ` ° 2y
t� zU \\ 00
® F a » 22 > \
20 � &
2\ } ^ ) }
m2 &
nw }
)§ \ \ 2 \ :
F0 }
a z = \ » k} -2
~ \ / 0 \
< oc 4
§ )§ >
~ < ® j/
} } ` §�
\ ) mm
00
� � oyq
n \ / §
0 ƒ $ CO
\ )
0
a z = co §
(
f q ® ) I k
\ / m
m
' 0
>
o
z `
o
C,
/ f \\ m N
22j O
% m > O
FORTWORTH
TRANSPORTATION AND PUBLIC WORKS
PIPE REPORT FOR:
PROJECT NAME: Trails of Elizabeth Creek Phase 2
PROJECT NUMBER: 101880
DOE NUMBER: N/A
WATER
PIPE LAID SIZE TYPE OF PIPE LF
8" PVC 6609
FIRE HYDRANTS: 10 VALVES(16" OR LARGER)
PIPE ABANDONED SIZE TYPE OF PIPE LF
DENSITIES: All Passed
NEW SERVICES: 1" copper 4800
1 1/2" copper 40
2" copper 15
SEWER
PIPE LAID SIZE TYPE OF PIPE LF
8" PVC 6427
PIPE ABANDONED SIZE TYPE OF PIPE LF
DENSITIES: All Passed
NEW SERVICES: 4" PVC 2445
TRANSPORTATION AND PUBLIC WORKS
i5/ The City of Fort Worth• 1000 Throckmorton Street•Fort Worth,TX 76012-6311
FO RT WO RT H
TRANSPORTATION AND PUBLIC WORKS
August 26, 2020
Burnsco Construction
6331 Southwest Blvd
BenbrookTX 76132
RE: Acceptance Letter
Project Name:Trails of Elizabeth Creel Phase 2
Project Type: Water, Sewer, Storm
City Project No.:. 101880
To Whom It May Concern:
On July 29, 2020 a final inspection was made on the subject project. There were punch list items
identified at that time. The punch list items were completed on August 19, 2020. The final inspection
and the corrected punch list items indicate that the work meets the City of Fort Worth specifications and
is therefore accepted by the City. The warranty period will start on August 19, 2020,which is the date of
the punch list completion and will extend of two (2)years in accordance with the Contract Documents.
If you have any questions concerning this letter of acceptance, please feel free to contact me at 817-
392-7872.
Sincerely,
Kha[Jaafari P.E(�'ep8,202010:24CDT)
Khal Jaafari, Project Manager
Cc: Albert Samaniego, Inspector
Mark Owen, Inspection Supervisor
Joe Rogers, Senior Inspector
Victor Tornero, Program Manager
UA Engineering, Consultant
Burnsco Construction , Contractor
Forestar Real Estte Group, Developer
File
E-Mail:
Douglas W. Wiersig, P.E., PhD., Director,TPW Wendy Chi-Babulal, P.E., Water
Richard Martinez,Assistant Director,TPW Tony Sholola, P.E., Water
Marisa Conlin,Traffic Engineering Richard Zavala, Director, PARD
Allen Hall, Superintendent,TPW David Creek,Assistant Director, PARD
John Robert Carman, P.E., Director, Water
Chris Harder, P.E.,Assistant Director, Water
Rev.9/15/16
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 Ab Grantges,
Contract Mgr, Of Burnsco Construction, 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;
That there are no claims pending for personal injury and/or
property damages;
On Contract described as;
Trails of Elizabeth Creek Ph. 2 - Water, Sanitary Sewer and Storm Drain
BY
Ab Grantges, Co act Manager
Subscribed and sworn before me on this date 4th of September, 2020.
CESWA CANALES
Notary ID#131652996
Notary Public a My Commission Expires
Tarrant County, Texas 9'f°£s�+ July z4, 2022
CONSENT OF OWNER ❑
SURETY COMPANY ARCHITECT ❑
CONTRACTOR ❑
TO FINAL PAYMENT SURETY ❑
Conforms with the American Institute of OTHER
Architects,AIA Document G707
Band No 022223030
PROJECT:
(name, address)Trails of Elizabeth Creek Phase 2-Water, Sanitary Sewer and Drainage Improvements
Fort Worth TX
TO (Owner)
FORFSTAR{U5A)REAL ESTATE GROUP, INC.ANQ� ARCHITECT'S PROJECT NO:
CITY OF FOF2T WORTH CONTRACT FOR:
14755 Preston Road,Suite 130 Trails of Elizabeth Creek Phase 2-Water,Sanitary Sewer and
Drainage Improvements
Dallas TX 75254 CONTRACT DATE:
CONTRACTOR: BURNSCO CONSTRUCTION, INC.
In accordance with the provisions of the Contract between the Owner and the Contractor as indicated above,the
{hare insert name and address of Surety Company)
LIBERTY MUTUAL INSURANCE COMPANY
175 Berkeley Street
Boston MA 02116 , SURETY COMPANY
on bond of (here insert name and address of Contractor)
BURNSCO CONSTRUCTION, INC.
6331 Southwest Boulevard
Benbrook TX 76132 , 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 Ownert
FORFSTAR(USA)REAL ESTATE GROUP, INC.AND CITY OF FORT WORTH
14755 Preston Road, Suite 130
Dallas TX 75254 , OWNER,
as set forth in the said Surety Company's bond.
IN WITNESS,WHEREOF,
the Surety Company has hereunto set its hand this 24th day of August, 2020
LIBERTY MUTUAL INSURANCE COMPANY
Surety Company
Attest:
(Seal): Signature of Authorized Representative
Sophinie Hunter 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,
Current Edition
ONE PAGE
This Power of Attorney limits the acts of those named herein,and they have no authority to
bind the Company except in the manner and to the extent herein stated.
Jllbertv Liberty Mutual Insurance Company
T_
7 The Ohio Casualty Insurance Company Certificate No: 8200743
-- West American Insurance Company
SURETY
POWER OF ATTORNEY
KNOWN ALL PERSONS BY THESE PRESENTS:That The Ohio Casualty Insurance Company is a corporation duly organized under the laws of the State of Now Hampshire,that
Liberty Mutual Insurance Company is a corporation duly organized under the laws of the State of Massachusetts,and West American insurance Company is a corporation duly organized
under the laws of the State of Indiana(herein collectively called the"Companies"),pursuant to and by authority herein set forth,does hereby name,constitute and appoint,
Robbi Morales,Don E_Cornell,Sophinie Hunter,Tina McEwan,Tonie Petranek,Ricardo J.Reyna, Joshua Saunders, Kelly A.Westbrook
all of the city of Dallas state of TX each individually if there be more than one named,its true and lawful attorney-in-fact to make,
execute,seal,acknowledge and deliver,for and on its behalf as surety and as its act and deed,any and all undertakings,bonds,recognizances and other surety obligations,in pursuance
of these presents and shall be as binding upon the Companies as if they have been duly signed by the president and attested by the secretary of the Companies in their own proper
persons.
IN WITNESS WHEREOF,this Power of Attorney has been subscribed by an authorized officer or official of the Companies and the corporate seals of the Companies have been affixed
thereto this 19th day of March 2019
Liberty Mutual Insurance Company
P�11SSURQ P��Y rrus�R xa 50suR4 The Ohio Casualty Insurance Company
j 24oR4oRqroyC, �J=Goavo�r�gy �'PcuR4o�,yr��C+ West American Insurance Company
o C� C a fi j M
Y � 1912 on oy1919� 0 4 1991 0" / '?
¢� rd�9s'�gcttusE as � 70
°�h"harhvs`'`aa �'S haeANP as fG- � e�$d rn
as
CAP
David M.Carey,Assistant Secretary
2a State of PENNSYLVANIA
:3 County of MONTGOMERY ss
0
m On this 19th day of March 2019 before me personally appeared David M.Carey,who acknowledged himself to be the Assistant Secretary of Liberty Mutual Insurance o
0 3 Company,The Ohio Casualty Company,and—West American Insurance Company,and that he,as such,being authorized so to do,execute the foregoing instrument for the purposes—
Y � therein contained by signing on behalf of the corporations by himself as a duly authorized officer. Lu
aIN WITNESS WHEREOF,I have hereunto subscribed my name and affixed my notarial seal at King of Prussia,Pennsylvania,on the day and year first above written.
@ (n
p '� x COMMONWEALTH OF PENNSYLVANIA
Y
N ,,��' 0 Nolanal
¢ }. " Teresa Paste€ra,Nctary P hlc............ Y G
O 1 I Upper!N_r',on Twp,ry€an,gon3ery County BY:
C (4 s' f tdy Cci��mission Expires March 28,2a21
6�,���_ � r ---.— Teresa Pastella,Notary Pubtic
Q)+-- a"r3j,�"^a ,'.;srnhar,Pannsyhanla Assoc'�ttcn pt Nou; CU
riasra
O O
to �p a
q) This Power of Attorney is made and executed pursuant to and by authority of the following By-laws and Authorizations of The Ohio Casualty Insurance Company, Liberty Mutual:F�°'
C
o.S Insurance Company,and West American Insurance Company which resolutions are now in full force and effect reading as follows: p �
ai ARTICLE IV-OFFICERS:Section 12.Power of Attorney
Any officer or other official of the Corporation authorized for that purpose in writing by the Chairman or the President, and subject to such limitation as the Chairman or the m-0
> President may prescribe,shall appoint such attorneys-in-fact,as may be necessary to act in behalf of the Corporation to make,execute,seal,acknowledge and deliver as surety >o
any and aft undertakings,bonds,recognizances and other surety obligations.Such attorneys in foci,subject to the limitations set forth in their respective powers of attorney,shall s N
L have full power to hind the Corporation by their signature and execution of any such instruments and to attach thereto the seal of the Corporation. When so executed,such `C°
0 instruments shall be as binding as if signed by the President and attested to by the Secretary.Any power or authority granted to any representative or attorney-fin-fact under the E M
provisions of this article may be revoked at any time by the Board,the Chairman,the President or by the officer or officers granting such power or authority. aO
ARTICLE All-Execulinn of Contracts:Section 5.Surety Bonds and Undertakings. v o
Any officer of the Company authorized for that purpose in writing by the chairman or the president,and subject to such limitations as the chairman or the president may prescribe, 1
shall appoint such attorneys-in-fact,as may be necessary to act in behalf of the Company to make,execute,seal,acknowledge and deliver as surety any and all undertakings,
bonds,recognizances and other surety obligations.Such attomeys-in-fact subject to the limitations set forth in their respective powers of attorney,shall have full power to bind the
Company by their signature and execution of any such instruments and to attach thereto the seal of the Company.When so executed such instruments shall be as binding as if
signed by the president and attested by the secretary,
Certificate of Designation-The President of the Company,acting pursuant to the Bylaws of the Company,authorizes David M.Carey,Assistant Secretary to appoint such attorneys-in-
fact as may be necessary to act on behalf of the Company to make,execute,seal,acknowledge and deliver as surety any and all undertakings,bonds,recognizances and other surety
obligations.
Authorization-By unanimous consent of the Company's Board of Directors,the Company consents that facsimile or mechanically reproduced signature of any assistant secretary of the
Company,wherever appearing upon a certified copy of any power of attorney issued by the Company in connection with surety bands,shall be valid and binding upon the Company with
the same force and effect as though manually affixed.
I,Renee C.Llewellyn,the undersigned,Assistant Secretary,The Ohio Casualty Insurance Company,Liberty Mutual Insurance Company,and West American Insurance Company do
hereby certify that the original power of attorney of which the foregoing is a full,true and correct copy of the Power o!Aftomey executed by said Companies,is in full force and effect and
has not been revoked.
IN TESTIMONY WHEREOF,I have hereunto set my hand and affixed the seals of said Companies this 24th day of August 2020
JP�avaR Rq2 JP4�R4this&. PN iNSW?
J `a0 4Tm6 fi _�� ATr� 7i V co cR410,✓C}
fi
r ; 1912 � 0 0 � 1919� o Q 1991 0
By.
d3 Sac* £da ° 1N A*MO� a MI *AO�' aa
ej7
Renee G.Llewellyn,Assistant Secretary
LMS-12873 LMIC OCIC WAIC Multi Go 052018