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HomeMy WebLinkAboutContract 53797-FP1 City Secretary 53797 -FP1 Contract No. Date Received Aug 18,2021 FORT WORM., 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: SOUTHLAND BUSINESS PARK ADDITION LOT 3 BLK 1 City Project No.: 102451 Improvement Type(s): Water ❑x Sewer ❑x Original Contract Price: $193,287.00 Amount of Approved Change Order(s): -$5,344.00 Revised Contract Amount: $187,943.00 Total Cost of Work Complete: $187,943.00 Pan Bell Aug6 2021 Dan Bell(Aug 16,2021 15:28 CDT) g Contractor Date Vice President Title Commerce Construction Company Name G5�� Aug 16,2021 Project Inspector Date Y,wgrh �9't94, �15. Aug 17,2021 Yogesh Patel,P.E.(Aug 17,202109:49 CDT) Project Manager Date Evelyn,Rg'&rt-&K,L&L4� Aug 2021 Evelyn oberts on behalf of Janie M.(Aug 17,2 211 u:04 CDT) g CFA Manager Date 1967na Buncihd%ff Aug7 2021 Dana Burghdoff(Aug 17,202116:32 CDT) g Asst. City Manager Date OFFICIAL RECORD CITY SECRETARY Page 1 of 2 FT. WORTH, TX Notice of Project Completion Project Name: SOUTHLAND BUSINESS PARK ADDITION LOT 3 BLK 1 City Project No.: 102451 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 Consent of Surety Statement of Contract Time Contract Time: 120 CD Days Charged: 191 Work Start Date: 5/11/2020 Work Complete Date: 3/31/2021 Completed number of Soil Lab Test: 63 Completed number of Water Test: 14 Page 2 of 2 FORT WORTH CITY OF FORT WORTH FINAL PAYMENT REQUEST Contract Name FORT WORTH SOUTH,BUILDING 4 Contract Limits SOUTHLAND BUSINESS PARK ADDITION,LOT 3,BLOCK 1 Project Type WATER&SEWER City Project Numbers 102451 DOE Number 2451 Estimate Number 1 Payment Number 1 For Period Ending 7/20/2021 W City Secretary Contract Number Contract Time 12W Contract Date Days Charged to Date 191 Project Manager NA Contract is 100.00 Complete Contractor COMMERCE CONSTRUCTION 13191 CROSSROADS PKWY N,6TH FLR CITY OF INDUSTRY, CA 91746 Inspectors OWEN / MILLER Tuesday,July 20,2021 Page 1 of 4 City Project Numbers 102451 DOE Number 2451 Contract Name FORT WORTH SOUTH,BUILDING 4 Estimate Number I Contract Limits SOUTHLAND BUSINESS PARK ADDITION,LOT 3,BLOCK 1 Payment Number I Project Type WATER&SEWER For Period Ending 7/20/2021 Project Funding WATER Item Estimated Estimated Completed Completed Description of Items Unit Unit Cost No. Quanity Total Quanity Total --------------------------------------- 1 DUCTILE IRON WATER FITTINGS 0.5 TN $8,070.00 $4,035.00 0.5 $4,035.00 W/RESTRAINT 2 6"WATER PIPE 16 LF $58.00 $928.00 16 $928.00 3 8"WATER PIPE 49 LF $60.00 $2,940.00 49 $2,940.00 4 10"WATERPIPE 20 LF $63.00 $1,260.00 20 $1,260.00 5 2"WATER SERVICE 3 EA $3,240.00 $9,720.00 3 $9,720.00 6 6"GATE VALVE 2 EA $1,185.00 $2,370.00 2 $2,370.00 7 8"GATE VALVE 2 EA $1,514.00 $3,028.00 2 $3,028.00 8 10"GATE VALVE 1 EA $1,200.00 $1,200.00 1 $1,200.00 9 12"CUT-IN GATE VALVE 2 EA $6,950.00 $13,900.00 2 $13,900.00 10 TEMPORARY WATER SERVICE CO#4 1 LS $1,200.00 $1,200.00 1 $1,200.00 -------------------------------------- Sub-Total of Previous Unit $40,581.00 $40,581.00 SEWER Item Estimated Estimated Completed Completed Description of Items Unit Unit Cost No. Quanity Total Quanity Total --------------------------------------- 1 TRENCH SAFETY CO#2 1015 LF $1.00 $1,015.00 1015 $1,015.00 2 TRENCH WATER STOPS 3 EA $1,670.00 $5,010.00 3 $5,010.00 3 8"DIP WATER 955 LF $95.00 $90,725.00 955 $90,725.00 4 8"DIP WATER,CSS BACKFILL 60 LF $193.00 $11,580.00 60 $11,580.00 6 EPDXY MANHOLE LINER CO#2 16 VF $397.00 $6,352.00 16 $6,352.00 7 T MANHOLE CO#2 4 EA $5,595.00 $22,380.00 4 $22,380.00 9 T EXTRA DEPTH MANHOLE 40 VF $250.00 $10,000.00 40 $10,000.00 10 HYDRAULIC SLIDE 1 EA $300.00 $300.00 1 $300.00 -------------------------------------- Sub-Total of Previous Unit $147,362.00 $147,362.00 -------------------------------------- Tuesday,July 20,2021 Page 2 of 4 City Project Numbers 102451 DOE Number 2451 Contract Name FORT WORTH SOUTH,BUILDING 4 Estimate Number I Contract Limits SOUTHLAND BUSINESS PARK ADDITION,LOT 3,BLOCK 1 Payment Number I Project Type WATER&SEWER For Period Ending 7/20/2021 Project Funding Contract Information Summary Original Contract Amount $193,287.00 Change Orders Change Order Number 2 ($6,544.00) Change Order Number 4 $1,200.00 Total Contract Price $187,943.00 Total Cost of Work Completed $187,943.00 Less %Retained $0.00 Net Earned $187,943.00 Earned This Period $187,943.00 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 $187,943.00 Tuesday,July 20,2021 Page 3 of 4 City Project Numbers 102451 DOE Number 2451 Contract Name FORT WORTH SOUTH,BUILDING 4 Estimate Number I Contract Limits SOUTHLAND BUSINESS PARK ADDITION,LOT 3,BLOCK 1 Payment Number I Project Type WATER&SEWER For Period Ending 7/20/2021 Project Funding Project Manager NA City Secretary Contract Number Inspectors OWEN / MILLER Contract Date Contractor COMMERCE CONSTRUCTION Contract Time 120 W 13191 CROSSROADS PKWY N,6TH FIR Days Charged to Date 191 W CITY OF INDUSTRY, CA 91746 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 $187,943.00 Less %Retained $0.00 Net Earned $187,943.00 Earned This Period $187,943.00 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 $187,943.00 Tuesday,July 20,2021 Page 4 of 4 FORTWORTH. TRANSPORTATION AND PUBLIC WORKS March 31, 2021 Commerce Construction Co., LP 13191 Crossroads Pkwy N, 6th Floor City of Industry, CA 91746 RE: Acceptance Letter Project Name: Southland Business Park Addn, Lot 3, Block 1 Project Type: Paving, Storm Drainage and Street Lights City Project No.: 102451 To Whom It May Concern: On March 1, 2021 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 March 31, 2021. 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 March 31, 2021,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- 392-8424. Sincerely, Ywerh �ateG, Yogesh Patel,P.E.(Aug 17,202109:49 CDT) Mitch Holmes, P.E., Project Manager Cc: Neal Kime, Inspector Edwin Rodriguez, Inspection Supervisor Mark Owen, Senior Inspector Victor V. Tornero,Jr., P.E., Program Manager Kimley Horn, Consultant Commerce Construction Co., LP, Contractor Fort Worth Everman/Risinger Development, LLC, Developer File E-Mail: TPW_Acceptance@fortworthtexas.gov Rev.8/20/19 N O N U O m U L a Fa m 0 o � U M�/n� N O O O O O O O W) U) U o O O o 0 o M _ w M � 4pA W O O U v O J p � F O N w F- V V V y H O O p O p Q) O w m O O a O m a w T w C 0 U w U� V) C> \ LLJ 0 5 =0 0 o � Z U o 0 0 0 0 0 U _ W \ 1' w O 0 O G W U o z v /y m O O O O N �i o o r o r �a o o o g o v N 64 � N w N Y W O w w H O 0 U z W d U)C) N 0 U F o 0 0 0 0 o 0 C O O O O O O O O 7 z � M VT b9 A A fA p U O ui CO O U u? y rn (� a co U Z M U co Z O ((O P a wQ N C6 N z N (3) a o 0 o to U U) Q Cl) OU aov w n o 0- r > U Z U oom o0 q Q W U) o 0 F0- Q Z z oDr c c c o 0 0 M N U ~ L 0 U o 0 U W a- w :6 � O o o N `O E m W O O O O O O N _ a rn m m Q L N N n C 5 > 0 > O v U o N w W N U) D a a O °6 o J N � �j o a o 0 0 0 W (1) � W w w w w w ow L U W U o Z U w o0 .E � 0 00 E O o 0 0 a 0 0 0 m o Y S ocoo o o m 0 M O M O O M O M U w 1¢i N w w w U z Z Z Y z p ci F z w M O 0 U O F Q w W U Q F k W Z O F N O I-- F- O x ¢ ~ z U W U U Q U w U F 0 O w LLJ Z F- W 0 0 z a Qo o w a w w N U O OF- o o F z � v_, U-> OO 0 F CD O o 0 w LLJ < U J U o w W u W k W O *k a N d U U U OO W O a'Z W X w O � w>Q U) !L i O w U U Q 0 � § q \M 2 ; \0 4, m / ) ° uo Cl) ro m eega@ 2~ - g 2 \mm_m \ \ CO t � a k �' • § p n ( .� § 4i IL J m z F J e (D ' 0 EEe / t �/ 2 ® (L / e LUd) / Bj®) ƒ E e_ o f Q /. 2 & ] . 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[ § $ < G m £ § r, \ / ` ) CO / / R [ \\ A) 7 cl M £C \ ° r\ 2j} 0 o I� LU }) .� \ ( % § § � � \ { ®� ) § + ( G � ) .. .. _ E ( ( & z J 2 ) ( \ \ x» »» mmom ( ( - \ \ © In\)( Z 7 § \ w \> [ ƒ ) § \ (/ R o 6 \ § { ) \ \ 6 ) a ) 2 \ § w =%\ \ & \ ~ \ ( ƒ FORTWORTH TRANSPORTATION AND PUBLIC WORKS PIPE REPORT FOR: PROJECT NAME: Southland Business Park Addn,Lot 3,Block 1,Building#4 PROJECT NUMBER: 102451 DOE NUMBER: N/A WATER PIPE LAID SIZE TYPE OF PIPE LF Open Cut 6" PVC 16 Open Cut 8" PVC 49 Open Cut 10" PVC 20 FIRE HYDRANTS: None. VALVES(16"OR LARGER) N/A PIPE ABANDONED SIZE TYPE OF PIPE LF N/A DENSITIES: Yes-Passed NEW SERVICES: 2" inch Copper 48 SEWER PIPE LAID SIZE TYPE OF PIPE LF Open Cut 8" DIP Water 955 Open Cut 8" DIP Water,CSS Backfill 60 PIPE ABANDONED SIZE TYPE OF PIPE LF N/A DENSITIES: Yes-Passed NEW SERVICES: 8" PVC 7.5 TRANSPORTATION AND PUBLIC WORKS The City of Fort Worth• 1000 Throckmorton Street•Fort Worth,TX 76012-6311 (817)392-7941 •Fax: (817)392-7845 COMMERCE CONSTRUCTION CO., L.P. R.E.license#00255328(CA) Conhactor's Licenses:723302 CA,A16836 CO,42911 NV,GCC0000977 GA,212122 OR 13191 Crossroads Parkway North • City of Industry, CA 91746-3497 Office (562) 699-0453 FAX (562) 699-4796 AFFIDAVIT STATE OF Texas CPN 102451-024244630 COUNTY OF Tarrant Before me,the undersigned authority, a notary public in the state and county aforesaid, on this day personally appeared John S. Perkins,Executive Vice President Of Commerce Construction Co.,L.P.,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; Notice of Project Completion(Developer Projects) BY John S. ans, xec ive Vice Presdient Subscribed and sworn before me on this date 5"of April,2021. Notary Lo CA CALIFORNIA ACKNOWLEDGMENT CIVIL CODE § 1189 A notary public or other officer completing this certificate verifies only the identity of the individual who signed the document to which this certificate is attached,and not the truthfulness,accuracy,or validity of that document. State of California County of I &OAI �,W-sI qq ` 1 On ,V 1 /� t5,�2-1 before me, &V���, 1. 7 Mu N W LL, Date \\ Here Insert Name and Title of the Officer personally appeared y�, ?e-�l wS Name(s)of Signer(s) who proved to me on the basis of satisfactory evidence to be the person(s)whose name(s) is/axe subscribed to the within instrument and acknowledged to me that he/sloe/they executed the same in his/her/th& authorized capacity(ies), and that by his/ber/theirsignature(s) on the instrument the person(s), or the entity upon behalf of which the person()acted, executed the instrument. QMy RENEE M,ARANDA I certify under PENALTY OF PERJURY under theNotary Public-California laws of the State of California that the foregoing Los Angeles County Commission#2277370 paragraph is true and correct. Comm.Expires Feb 14,2023 WITNESS my hand and official seal. Signature 40v,,�-A Place Notary Seal and/or Stamp Above Signature of Notary Public OPTIONAL Completing this information can deter alteration of the document or fraudulent reattachment of this form to an unintended document. Description of Attached Document Title or Type of Document: Document Date: Number of Pages: Signer(s) Other Than Named Above: Capacity(ies) Claimed by Signer(s) Signer's Name: Signer's Name: ❑ Corporate Officer-Title(s): ❑ Corporate Officer-Title(s): ❑ Partner- ❑ Limited ❑ General ❑ Partner- ❑ Limited ❑ General ❑ Individual ❑ Attorney in Fact ❑ Individual ❑ Attorney in Fact ❑ Trustee ❑ Guardian or Conservator ❑ Trustee ❑ Guardian or Conservator ❑ Other: ❑ Other: Signer is Representing: Signer is Representing: i ©2019 National Notary Association ICI CONSENT OF OWNER ❑ SURETY COMPANY ARCHITECT ❑ CONTRACTOR ❑ TO FINAL PAYMENT SURETY Conforms with the American Institute of OTHER Architects,AIA Document G707 Bond No 024244630 PROJECT: (name, addresS)Fort Worth South Building 4, Lot 3, Block 1 Water, Sewer, Street TX TO (Owner) FORT WORTH EVERMAN/RISINGER DEVELOPMENT, I ARCHITECT'S PROJECT NO: LLC AND THE CITY OF FORT WORTH CONTRACT FOR: 131 E.Exchange Ave.,Suite 212 Water,Sewer,Pavin Ligghting Drainage,Fort Worth South,Bldg 4, Lot 3,Block 1,CFA y0-0014,City Project 102451,Job 13204 Fort Worth TX 76164 -J CONTRACT DATE: CONTRACTOR:COMMERCE CONSTRUCTION CO., 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) LIBERTY MUTUAL INSURANCE COMPANY 175 Berkeley Street Boston MA 02117 , SURETY COMPANY on bond of there insert name and address of Contractor) COMMERCE CONSTRUCTION CO., L.P. 13191 Crossroads Parkway North,6th Floor City of Industry CA 91746 , 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) FORT WORTH EVERMAN/RISINGER DEVELOPMENT, LLC AND THE CITY OF FORT WORTH 131 E. Exchange Ave., Suite 212 Fort Worth TX 76164 , OWNER, as set forth in the said Surety Company's bond. IN WITNESS,WHEREOF, the Surety Company has hereunto set its hand this 5th day of April,2021 LIBERTY MUTUAL INSURANCE COMPANY Surety pa FyJ I r Attest:. &Qk#4. (Seal):4Megh#&VWneSQ, gness Signh4e of Authorized Representative Donna Garcia 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 CALIFORNIA ALL-PURPOSE ACKNOWLEDGMENT A Notary Public or other officer completing this certificate verifies only the identity of the individual who signed the document to which this certificate is attached, and not the truthfulness, accuracy, or validity of that document. State of California County of Los Angeles On APR 4 5 Zb-1'it before me, Marina Tapia, Notary Public , personally appeared Donna Garcia who proved to me on the basis of satisfactory evidence to be the person(g) whose name(s) is/am subscribed to the within instrument and acknowledged to me that he/she/they executed the same in hio/herA404 authorized capacity(), and that by hio/her/the4 signature(s) on the instrument the person($), or the entity upon behalf of which the person(*) acted, executed the instrument. I certify under PENALTY OF PERJURY under the laws of the State of California that the foregoing paragraph is true and correct. WITNESS my hand and official seal. Signature dw4i Signature of Notary Public MARINATAPIA COMM.#2333302 < NOTAhY PUBLIC-CALIFORNIA X > ♦.; LOS ANGELES COUNTY CA My Comm.E)ires Oct 7,2024 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. Liberty Liberty Mutual Insurance Company Mutual. The Ohio Casualty Insurance Company Certificate No:8198054-024029 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 New 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, B.Aleman, Tracy Aston,Thomas Branigan,Lisa K.Crail,Ashraf Elmasry,Samantha Fazzini,Donna Garcia,Simone Gerhard,April Martinez,Rosa E.Rivas,Paul Rodriguez, Edward C.Spector,Marina Tapia,Nathan Vamold,KID Wapato all of the city of Los Angeles state of California 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 28th day of November , 2018 . Liberty Mutual Insurance Company P�1NSU,q PvSV INS& a INSUR-1 The Ohio Casualty Insurance Company �J o°aPORar�n y`� °ORPORvr�y �GP°oaP0 ti0 West American Insurance Company a J3 Foc° UQ3 Fo mCo 1912 0 0 1919 Z Ui Yd�sSACHH`'��da y0��//AMP`'a\.aa `(S �N010i' daBy: r ` ei� * *� �'H� * 10 �,yl * y 0 BY / W David M.Carey,Assistant Secretary -� State of PENNSYLVANIA � a � County of MONTGOMERY ss ca a) On this 28th day of November 2018 before me personally appeared David M.Carey,who acknowledged himself to be the Assistant Secretary of Liberty Mutual Insurance o o 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 purposesco — > therein contained by signing on behalf of the corporations by himself as a duly authorized officer. 0 LU ++ IN 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. c n �o �.U) P PAS 2CS p � QQ,SNW,c Tc�� COMMONWEALTH OF PENNSYLVANIA ,44_, Q Notarial Seal Notary nQ/�r O OF Teresa Paslella,Notary Public CD p N Upper MerionTwp.,Montgomery County By: 0) My Commission Expires March 28,2021 � E L,,, \� Teresa Pastella,Notary Public 0 Co OTq�P�� Member,Pennsylvania Association of Notaries a O f6 N N This Power of Attorney is made and executed pursuant to and by authority of the following By and Authorizations of The Ohio Casualty Insurance Company, Liberty Mutual 4 o.E Insurance Company,and West American Insurance Company which resolutions are now in full force and effect reading as follows: o " a) ARTICLE IV—OFFICERS:Section 12.Power of Attorney. a o MAny 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 -o >, 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 c any and all undertakings,bonds,recognizances and other surety obligations.Such attorneys-in-fact,subject to the limitations set forth in their respective powers of attorney,shall N > have full power to bind the Corporation by their signature and execution of any such instruments and to attach thereto the seal of the Corporation. When so executed,such "0O z 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-in-fact under the 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. o 0 ARTICLE XIII—Execution of Contracts:Section 5.Surety Bonds and Undertakings. 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, F-- 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 attorneys-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 bonds,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 of Attorney 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 day of 4'per, / P�INSURq 1NSU PvSV INS&p /pq j4°pPo/�To F c°�P°lyyT'qy� `VP 4°itP°R,gTo = F F 2 F 191 0 0 1919 u 1991 � o s d��,`rACHus�.aa y0 . NAMPS�\,da Ys vN010i" �a3 By.Renee C.Llewellyn,Assistant Secretary * 1 /r1 * ?� �'M * �� LMS-12873 LMIC OCIC WAIC Multi Co 062018