HomeMy WebLinkAboutContract 52536-FP3 City Secretary 52536 -FP3
Contract No.
FORTWORTH. Date Received Feb 10,2021
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: Sun Valley Detention Pond
City Project No.: 100093
Improvement Type(s): 0 Paving 0 Drainage ❑ Street Lights ❑ Traffic Signals
Original Contract Price: $1,655,498.96
Amount of Approved Change Order(s): $20,455.31
Revised Contract Amount: $1,675,954.27
Total Cost of Work Complete: $1,675,954.27
Charles K&Hz
Charles Klutz(Feb 8,202111:31 CST) Feb 8,2021
Contractor Date
Managing Partner
Title
Klutz Construction,LLC
Company Name
Q lllaze Feb 8,2021
Tamara J Vaughn(Feb 8 112:17 CS
Project Ins ector Date
Patrick Urley M(FetMV,202112:48C T) Feb 8,2021
Project Manager Date
14rue-se4r4 -May-4/sk
Janie Scarlett Morales(Feb 8,202115:31 CST) Feb 8,2021
CFA Manager Date
Dana M andaff Feb 9 2021
Dana Burghdoff eb 9,202111:45 CST) f
Asst. City Manager Date
OFFICIAL RECORD
CITY SECRETARY
FT.WORTH,TX Page 1 of 2
Notice of Project Completion
Project Name: Sun Valley Detention Pond
City Project No.: 100093
City's Attachments
Final Pay Estimate ❑x
Change Order(s): ❑x Yes ❑ N/A
Contractor's Attachments
Affidavit of Bills Paid
Consent of Surety
Statement of Contract Time
Contract Time: 240 CD Days Charged: 262
Work Start Date: 5/9/2020 Work Complete Date: 7/31/2020
Page 2of2
FORT WORTH
CITY OF FORT WORTH
FINAL PAYMENT REQUEST
Contract Name PAVING&DRAINAGE IMPROVEMENTS TO SERVE SUN VALLEY DET
Contract Limits
Project Type PAVING&DRAINAGE
City Project Numbers 100093
DOE Number 0930
Estimate Number 10 Payment Number 10 For Period Ending 2/15/2021
CD
City Secretary Contract Number Contract Time 240;D
Contract Date 5/9/2019 Days Charged to Date 260
Project Manager NA Contract is 100.00 Complete
Contractor KLUTZ CONSTUCTION,LLC
P.O.BOX 100263
FORT WORTH, TX 76185
Inspectors MILLER,W / VAUGHN,T
Wednesday,February 3,2021 Page 1 of 5
City Project Numbers 100093 DOE Number 0930
Contract Name PAVING&DRAINAGE IMPROVEMENTS TO SERVE SUN VALLEY DE Estimate Number 10
Contract Limits Payment Number 10
Project Type PAVING&DRAINAGE For Period Ending 2/15/2021
Project Funding
UNIT III:DRAINAGE IMPROVEMENTS
Item Description of Items Estimated Unit Unit Cost Estimated Completed Completed
No, Quanity Total Quanity Total
---------------------------------------
I REMOVE 30"STORM LINE 36 LF $30.00 $1,080.00 36 $1,080.00
2 TRENCH SAFETY(CO#5) 956 LF $1.00 $956.00 956 $956.00
3 CONCRETE ENCASEMENT FOR UTILITY PIPES 8 CY $300.00 $2,400.00 8 $2,400.00
4 24"RCP CLASS 111 681 LF $135.00 $91,935.00 681 $91,935.00
5 30"RCP CLASS III 9 LF $159.00 $1,431.00 9 $1,431.00
6 36"RCP CLASS III 134 LF $290.00 $38,860.00 134 $38,860.00
7 42"RCP CLASS III 96 LF $248.00 $23,808.00 96 $23,808.00
8 48"RCP CLASS III(CO#5) 36 LF $360.00 $12,960.00 36 $12,960.00
9 4'STORM JUNCTION BOX 1 EA $6,100.00 $6,100.00 1 $6,100.00
10 5'STORM JUNCTION BOX 2 EA $5,200.00 $10,400.00 2 $10,400.00
11 24"PARALLED HEADWALL 1 PIPE 2 EA $4,950.00 $9,900.00 2 $9,900.00
12 48"PARALLEL HEADWALL 1 PIPE I EA $15,100.00 $15,100.00 1 $15,100.00
13 4'DROP INLET(CO 45) 2 EA $5,300.00 $10,600.00 2 $10,600.00
14 6'DROP INLET 3 EA $8,450.00 $25,350.00 3 $25,350.00
15 4'GRATE INLET 1 EA $6,650.00 $6,650.00 1 $6,650.00
16 CONC.RETAINING WALL(CO#5) 9805.54 SF $53.00 $519,693.62 9805.54 $519,693.62
17 FLEXAMALT SLOPE ARMORING MAT 2963 SF $8.10 $24,000.30 2963 $24,000.30
--------------------------------------
Sub-Total of Previous Unit $801,223.92 $801,223.92
UNIT IV:PAVING IMPROVEMENTS
Item Description of Items Estimated Unit Unit Cost Estimated Completed Completed
No. Quanity Total Quanity Total
1 MOBILIZATION I LS $68,000.00 $68,000.00 1 $68,000.00
2 REMOVE MISC CONC STRUCTURE 1 LS $1,250.00 $1,250.00 1 $1,250.00
3 REMOVE CONC PVMT(CO#3) 3190.31 SY $6.00 $19,141.86 3190.31 $19,14L86
4 REMOVE ASPHALT PVMT 102 SY $18.00 $1,836.00 102 $1,836.00
5 REMOVE CONC CURB&GUTTER(CO#3)(CO 1427 LF $2.00 $2,854.00 1427 $2,854.00
5)
6 SITE CLEARING 1 LS $2,500.00 $2,500.00 1 $2,500.00
7 UNCLASSIFEID EXCAVATION BY PLAN 45239 CY $9.12 $412,579.68 45239 $412,579.68
8 SWPPP 1 ACRE 1 LS $4,700.00 $4,700.00 1 $4,700.00
Wednesday,February 3,2021 Page 2 of 5
City Project Numbers 100093 DOE Number 0930
Contract Name PAVING&DRAINAGE IMPROVEMENTS TO SERVE SUN VALLEY DE Estimate Number 10
Contract Limits Payment Number 10
Project Type PAVING&DRAINAGE For Period Ending 7/31/2020
Project Funding
9 CONCRETE RIPRAP(CO#5) 1488.4 SY $77.00 $114,606.80 1488.4 $114,606.80
10 LARGE STONE RIPRAP GROUTED(CO 45) 328.55 SY $59.00 $19,384.45 328.55 $19,384.45
11 ASPHALT PVMT REPAIR BEYOND DEFINED 102 SY $100.00 $10,200.00 102 $10,200.00
WIDTH
12 8"CONC PVMT(CO 5) 231 SY $113,00 $26,103.00 231 $26,103.00
13 HYDRATED LIME 5 TN $175.00 $875.00 5 $875.00
14 8"LIME TREATMENT 237 SY $35.00 $8,295.00 237 $8,295.00
15 6"CONC CURB AND GUTTER(CO 5) 571.18 LF $12.00 $6,854.16 57L 18 $6,854.16
16 6'CHAIN LINK ALUMINIUM(CO 42) 554 LF $25.00 $13,850.00 554 $13,850.00
17 BLOCK SOD PLACEMENT(CO 5) 11660 SY $7.34 $85,584.40 11660 $85,584.40
18 TRAFFIC CONTROL 2 MO $1,000.00 $2,000.00 2 $2,000.00
19 12"CONC CURB AND GUTTER(CO#3)(CO 5) 390 LF $23.00 $8,970.00 390 $8,970.00
20 ASPHALT PAVEMENT REPAIR(CO I)(CO 45.75 SY $100.00 $4,575.00 45.75 $4,575.00
#4)(CP 5)
21 4500 PSI CONCRETE FOR PAVEMENT(CO 1) 1 LS $3,500.00 $3,500.00 1 $3,500.00
22 REMOVE 12"WATER(CO#1) 30 LF $16.00 $480.00 30 $480.00
23 12"WATERLINE LOWERING(CO#1) 1 EA $13,000.00 $13,000.00 1 $13,000.00
24 TRENCH SAFETY(CO#1) 120 LF $2.00 $240.00 120 $240.00
25 DUCTILE IRON FITTINGS(CO 41) 0.3 TN $8,500.00 $2,5%00 0.3 $2,550.00
26 CONNECT TO EXIST 12"WATER(CO#1) 2 EA $2,500.00 $5,000.00 2 $5,000.00
27 REMOVE 8"SEWER(CO#1) 88 LF $16.00 $1,408.00 88 $1,408.00
28 TRENCH WATERSTOP(CO#1) 1 EA $1,000.00 $1,000.00 1 $1,000.00
29 CONNECT TO PROPOSED 8"SEWER(CO#1) 2 EA $1,000.00 $2,000.00 2 $2,000.00
30 8"PVC SANITARY SEWER(CO#1) 88 LF $110.00 $9,680.00 88 $9,680.00
31 4'DIA MANHOLE(CO#1) 1 EA $6,000.00 $6,000.00 1 $6,000.00
32 REM EXIST CONCRETE DROP INLET(CO#1) 1 EA $1,200.00 $1,200.00 1 $1,200.00
33 MANHOLE COLLAR(CO#1) 1 EA $650.00 $650.00 1 $650.00
34 VACUME TEST MANHOLE(CO#1) 1 EA $500.00 $500.00 1 $500.00
35 POST IV SANITARY SEWER(CO 41) 88 LF $13.50 $1,188.00 88 $1,188.00
36 MANHOLE COATINGS(CO#1) 8 VF $450.00 $3,600.00 8 $3,600.00
38 INSTALL CONCRETE DROP INLET(CO#1) 1 EA $5,500.00 $5,500.00 1 $5,500.00
39 6"CONCRETE PVMT(CO 3) 41 SY $75.00 $3,075.00 41 $3,075.00
--------------------------------------
Sub-Total of Previous Unit $874,730.35 $874,730.35
--------------------------------------
Wednesday,February 3,2021 Page 3 of 5
City Project Numbers 100093 DOE Number 0930
Contract Name PAVING&DRAINAGE IMPROVEMENTS TO SERVE SUN VALLEY DE Estimate Number 10
Contract Limits Payment Number 10
Project Type PAVING&DRAINAGE For Period Ending 7/31/2020
Project Funding
Contract Information Summary
Original Contract Amount $1,655,498.96
Change Orders
Change Order Number 1 $60,296.00
Change Order Number 2 $3,175.00
Change Order Number 3 $6,696.86
Change Order Number 4 $2,075.00
Change Order Number 5 ($51,787.55)
Total Contract Price $1,675,954.27
Total Cost of Work Completed $1,675,954.27
Less %Retained $0.00
Net Earned $1,675,954.27
Earned This Period $85,768.97
Retainage This Period $0.00
Less Liquidated Damages
Days @ /Day $0.00
LessPavement Deficiency $0.00
Less Penalty $0.00
Less Previous Payment $1,590,185.30
Plus Material on Hand Less 15% $0.00
Balance Due This Payment $85,768.97
Wednesday,February 3,2021 Page 4 of 5
City Project Numbers 100093 DOE Number 0930
Contract Name PAVING&DRAINAGE IMPROVEMENTS TO SERVE SUN VALLEY DE Estimate Number 10
Contract Limits Payment Number 10
Project Type PAVING&DRAINAGE For Period Ending 7/31/2020
Project Funding
Project Manager NA City Secretary Contract Number
Inspectors MILLER,W / VAUGHN,T Contract Date 5/9/2019
Contractor KLUTZ CONSTUCTION,LLC Contract Time 240 CD
P.O.BOX 100263 Days Charged to Date 260 CD
FORT WORTH, TX 76185 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 $1,675,954.27
Less %Retained $0.00
Net Earned $1,675,954.27
Earned This Period $85,768.97
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 $1,590,185.30
Plus Material on Hand Less 15% $0.00
Balance Due This Payment $85,768.97
Wednesday,February 3,2021 Page 5 of 5
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CFI -Sun Valley DetentionPond-GO®I
CFW Signatures
Final Audit Report 2020-07-21
Created: 2020-07-14
By: Patrick Buckley(Patrick.Buckley@fortworthtexas.gov)
Status: Signed
Transaction ID: CBJCHBCAABAAkzitbyu58v-gBgf7-m8E4OQ7au3lpYSG
TFA100093-Sun Valley Detention Pond-CO_1 CFW Signatures
" History
`I Document created by Patrick Buckley(Patrick.Buckley@fortworthtexas.gov)
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6c Document e-signed by Patrick Buckley(Patrick.Buckley@fortworthtexas.gov)
Signature Date:2020-07-14-4:17:54 PM GMT-Time Source:server-IP address:209.194.29.100
Document emailed to Jonathan Russell orussell@dunawayassociates.com)for signature
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- Document emailed to Charles M. Klutz(klutzconstruction@sbcglobal.net)for signature
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iJ Email viewed by Charles M. Klutz(klutzconstruction@sbcglobal.net)
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0,? Document e-signed by Charles M. Klutz(klutzconstruction@sbcglobal.net)
Signature Date:2020-07-15-3:59:45 PM GMT-Time Source:server-IP address:47.51.211.209
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FORT WORTH,
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Final Audit Report 2020-07-21
Created: 2020-07-14
By: Patrick Buckley(Patrick.Buckley@fortworthtexas.gov)
Status: Signed
Transaction ID: CBJCHBCAABAAe24UF6njrm5eyScXyvDVXgZHljc8zUs3
"CFA100093-Sun Valley Detention Pond-CO-2 CFW Signtures"
History
"'`_l Document created by Patrick Buckley(Patrick.Buckley@fortworthtexas.gov)
2020-07-14-4:37:40 PM GMT-IP address:209.194.29.100
tSG Document e-signed by Patrick Buckley(Patrick.Buckley@fortworthtexas.gov)
Signature Date:2020-07-14-4:41:12 PM GMT-Time Source:server-IP address:209.194.29.100
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;'I Email viewed by Jonathan Russell arussell@dunawayassociates.com)
2020-07-14-4:41:34 PM GMT-IP address:66.190.102.35
A, Document e-signed by Jonathan Russell Orussell@dunawayassociates.com)
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do. Document e-signed by Bowie Holland (bowie@empireroofing.com)
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2020-07-15-9:24:56 PM GMT-IP address:98.139.133.173
FORT WORTH.
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CFW Signature
Final Audit Report 2020-07-21
Created: 2020-07-14
By: Patrick Buckley(Patrick.Buckley@fortworthtexas.gov)
Status: Signed
Transaction ID: CBJCHBCAABAAN4yEi8trOnHUKwfu5EkDe_fQGMeS98gz
"CFA100093-Sun Valley Detention Pond-CO_3 CFW Signature"
History
Fl Document created by Patrick Buckley(Patrick.Buckley@fortworthtexas.gov)
2020-07-14-4:44:33 PM GMT-IP address:209A 94.29.100
f3 . Document e-signed by Patrick Buckley(Patrick.Buckley@fortworthtexas.gov)
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I ' Document emailed to Jonathan Russell orussell@dunawayassociates.com)for signature
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2020-07-14-4:48:35 PM GMT-IP address:66.190.102.35
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C'; Document emailed to Bowie Holland(bowie@empireroofing.com)for signature
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63�, Document e-signed by Bowie Holland(bowie@empireroofing.com)
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. Document emailed to Charles M. Klutz(klutzconstruction@sbcglobal.net)for signature
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FORT WORTH,
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Signature Date:2020-07-21-2:52:37 AM GMT-Time Source:server-IP address:99A 10.253.108
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Signature Date:2020-07-21-5:07:44 PM GMT-Time Source:server-IP address:209.194.29.100
'ORTWORTHS __ :,
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(Patrick.Buckley@fortworthtexas.gov), Greg Simmons(Gregory.Simmons@fortworthtexas.gov), Bowie Holland
(bowie@empireroofing.com), and 5 more
2020-07-21-5:07:44 PM GMT
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CW Signtures
Final Audit Report 2020-07-23
Created: 2020-07-22
By: Patrick Buckley(Patrick.Buckley@fortworthtexas.gov)
Status: Signed
Transaction ID: CBJCHBCAABAAanDixewugeGgShfY62jW9y6ybl_icjy9
"CFA100093-Sun Valley Detention Pond-CO_4 CFW Signtures"
History
6 Document created by Patrick Buckley(Patrick.Buckley@fortworthtexas.gov)
2020-07-22-8:14:27 PM GMT-IP address:209.194.29.100
(,�c Document e-signed by Patrick Buckley(Patrick.Buckley@fortworthtexas.gov)
Signature Date:2020-07-22-8:18:25 PM GMT-Time Source:server-IP address:209.194.29.100
',. Document emailed to Jonathan Russell orussell@dunawayassociates.com)for signature
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2020-07-22-9:09:37 PM GMT-IP address:66.190.102.35
lac. Document e-signed by Jonathan Russell arussell@dunawayassociates.com)
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FORT WORTHY
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Signed document emailed to Bowie Holland(bowie@empireroofing.com), kiran konduru
(ki ran.kond uru@fortworthtexas.gov), Dana Burghdoff(Dana.Burghdoff@fortworthtexas.gov),Jonathan Russell
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FORTWORTH.
TRANSPORTATION AND PUBLIC WORKS
August 3, 2020
Klutz Construction
P.O. Box 185
Kennedele,Texas 76060
RE: Acceptance Letter
Project Name:Sun Valley Detention Pond
Project Type:03, 04
City Project No.: 100093
To Whom It May Concern:
On July 7, 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 3, 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 3, 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-
716-2997.
Sincerely,
Patrick r dey(FeboS,202112:48 CST)
Patrick Buckley, Project Manager
Cc:Tamara Vaughn, Inspector
Wade Miller, Inspection Supervisor
Ariel Duarte,Senior Inspector
Victor Tornero, Program Manager
Dunaway Associates, Consultant
Klutz Construction, Contractor
Sun Valley Developers, Developer
File
E-Mail: TPW_Acceptance@fortworthtexas.gov
Rev.8/20/19
AFFIDAVIT OF BILLS PAID
UNCONDITIONAL
STATE OF TEXAS
COUNTY OF TARRANT
Before me, the undersigned authority, a Notary Public in and for the State of Texas, on this day
personally appeared, (l'eS �1 . V-1 u of Klutz Construction, LLC , known to me to
be a credible person, who being by one duly swdm, on his oath deposed and said;
That all invoices for K308, Sun Valley Detention Pond, City Project No.100093 in Fort Worth,
Texas have been paid in full.
By: S Z
Subscribed and sworn before me on this cA I day of , 2020.
,tiPPr p1", LUZ A RAVELO of Pu le
r o.r
!Votary Public,State of Texas
My commission Expires
N
9;..........4�r' April 29 2023
NOTARY ID 1288041 0
i
CONSENT OF OWNER ❑
SURETY COMPANY ARCHITECONTRACTOR F
TO FINAL PAYMENT SURETY ❑
OTHER
(SIMILAR TO MA DOCUMENT G707)
Bond No. 8245-50-39
PROJECT: Sun Valley Detention Pond,Fort Worth,TX
(name,address)
TO (Owner)
ARCHITECT'S PROJECT NO:
City of Fort Worth CONTRACT FOR:
200 Texas Street
Fort Worth,TX 76102
CONTRACT DATE:
CONTRACTOR: Klutz Construction,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)
Vigilant Insurance Company
2001 Bryan Street,Suite 3600 SURETY COMPANY,
Dallas,TX 75201
on bond of(here insert name and address of Contractor)
Klutz Construction,LLC
P.O. Box 185 CONTRACTOR,
Kennedale,TX 76060
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,TX 76102 OWNER,
as set forth in the said Surety Company's bond.
IN WITNESS WHEREOF,
The Surety Company has hereunto set its hand this 21st day of August 2020
VIGILANT IN RANCE COMPANY
Surety Comp
lay
Signature A zed resentative
Attest:
(Seal): Kyle W. Sweeney Attorney--in-Fact
Title
Note:This form is intended to be used as a companion document to the Contractor's Affidavit of Payment of Debts and Claims,Current Edition
HUE3E3:,
Power of Attorney
Federal Insurance Company I Vigilant Insurance Company I Pacific Indemnity Company
Know All by These Presents,That FEDERAL INSURANCE COMPANY,an Indiana corporation,VIGILANT INSURANCE COMPANY,a New York corporation,and PACIFIC
IND13MNI'I'Y COMPANY, a Wisconsin corporation, do each hereby constitute and appoint Elizabeth Gray, Charles D. Sweeney, Kyle W. Sweeney and
MichaelA.Sweeney of Fort Worth,Texas--------------------------------------------------------------------------------------------------------------------------------
each as their true and lawful Attorney-in-Fact to execute under such designation in their names and to affix their corporate seals to and deliver for and on their behalf as surety
thereon or otherwise,bonds and undertakings and other writings obligatory in the nature thereof(other than bail bonds)given or executed In the course of business,and any
instruments amending or altering the same,and consents to the modification or alteration of any instrument referred to In said bonds or obligations.
In Witness Whereof,said FEDERAL INSURANCE COMPANY,VIGILANT INSURANCE COMPANY,and PACIFIC INDEMNITY COMPANY have each executed and attested these
presents and affixed their corporate seals on this 161"day of September,2019.
fkrwn N1.Chlor,x; ,ksAst:mt Stcrctal'y Stephen M.[lancy.Vice['resident
STATE OF NEW JERSEY
County ofHunterdon
On this 16' day of September,2019,before me,a Notary Public of New Jersey.personally came Dawn M.Chloros,to me known to be Assistant Secretary of FEDERAL INSURANCE
COMPANY,VIGILANT INSURANCE COMPANY,and PACIFIC INDEMNITY COMPANY,the companies which executed the foregoing Power of Attorney,and the said Dawn M.
Chloros,being by me duly sworn,did depose and say that she is Assistant Secretary of FEDERAL INSURANCE COMPANY,VIGILANT INSURANCE COMPANY,and PACIFIC
INDEMNITY COMPANY and knows the corporate seals thereof,that the seals affixed to the foregoing Power of Attorney are such corporate seals and were thereto affixed by
authority of said Companies;and that she signed said Power of Attorney as Assistant Secretary of said Companies by like authority;and that she is acquainted with Stephen M.
Haney,and knows him to be Vice President of said Companies;and that the signature of Stephen M.Haney,subscribed to said Power of Attorney is in the genuine handwriting of
Stephen M.Haney,and was thereto subscribed by authority ofsaid Companies and in deponent's presence.
Notarial Seal 4d KATHERINE J.ADELAAR
H6rlt1;Y c5 NOTARY PUBLIC OF NEW JERSEY (`��
No.23166B5
4,>bflBLt� Commisskn Expires July 16,2024 Noiary,f'vhac
cWfERg�
CERTIFICATION
Resolutions adopted by the Boards of Directors of FEDERAL INSURANCE COMPANY,VIGILANT INSURANCE COMPANY,and PACIFIC INDEMNITY COMPANY on August 30,201G:
"RESOLVED,that the fallowing authorizations relate to the execution,for and on behalf of theCompany.of bonds,undertakings,recognizances,contracts and other written commitments of the Company
entered into in the ordinary course ofbusiness(each a"Wr-itten CommitmenC9:
(1) Each of the Chairman,the President and the Vice Presidents of the Company is hereby authorized to execute any written Commitment forandon behalf of the Company,under the
sea]of the Company or otherwise.
(2) Each duly appointed attorney-in-fact of the Company Is hereby authorized to execute any Written Commitment for and on behalf of the Company,under the seal of the Company or
otherwise.to the extent that such action is authorized by the grant of powers provided for in such person's written appointment as such attorney-in-Fact.
(3) Each of the Chairman,the President and the Vice Presidents of the Company is hereby authorized,for and on behalrofthe Company,to appoint in writing any person the attorney-
in-fact of the Company with full power and authority to execute,for and on behalfoftheCompany,under the sea]ofthe Company or otherwise,such Written Commitmemsofthe
Company as may be specified in such written appointment.which specification may be by general type or class of Written Commitments or by specification of one or more particular
Written Commitments.
(4) Each of the Chairman,the President and the Vice Presidents of the Company is hereby authorized,for and on behalf of the Company,to delegate In writing to any other officer of the
Company the authority to execute,for and on behalf of the Company,under the Company's sea]or otherwise.such Written Commitments of the Company as are specified in such
written delegation,which specification may be by general type or class of Written Commitments or by specification ofoneor more particular Written Commitments.
(5) The signature of any officer or other person executing any Written Commitment or appointment or delegation pursuant to this Resolution,and the seal of the Company,may be affixed by
Facsimile on such Written Commitment or written appointment or delegation.
FURTHER RESOLVED, that the foregoing Resolution shall not be deemed to be an exclusive statement of the powers and authority of officers.employees and other persons to act for and on behalf or
the Company,and such Resolution shall not limitor otherwise affect the exercise ofanysuch power or authority otherwise validly granted or vested."
I,Dawn M.Chloros,Assistant Secretary of FEDERAL INSURANCE COMPANY,VIGILANT INSURANCE COMPANY,and PACIFIC INDEMNITY COMPANY(the"Companies")do hereby
certify that
(i) the foregoing Resolutions adopted by the Board of Directors of the Companies are true,correct and in full force and effect,
(ii) the foregoing Power of Attomey is true,correct and in full force and effect.
Given under my hand and seals of said Companies at Whitehouse Station,NJ,this 21 st day of August 2020.
+m,,,w �..�' lkn•;n �l.t:hltxtx;.Ati�istant tinreCllyt'
IN THE EVENT YOU WISH TO VERIFY THE AUTHENTICITY OF THIS BOND OR NOTIFY USOF ANY OTHER mA!rrFR,PLEASE CONTACT US AT:
Telephone(908)903-3493 Fax(9015)903-3656 e-mail!sLirety@chubb.com li
FED-VIG-PI rev.0B-18
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