HomeMy WebLinkAboutContract 54498-FP1 City Secretary 54498 -FP1
Contract No.
FORTWORTH. Date Received Dec 2,2021
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: Palmilla Springs Phase 5
City Project No.: 102450
Improvement Type(s): Water ❑x Sewer Ox
Original Contract Price: $1,579,377.44
Amount of Approved Change Order(s): $1,058.67
Revised Contract Amount:
Total Cost of Work Complete: $1,580,436,11
c"rtt�HAWk Nov 30 2021
Curtis Hawk(Nov 30,202115:01 CST)
Contractor Date
Sr Project Manager
Title
Lacy Construction
Company Name
Matt Cain Dec 1,2021
Matt Cain(Dec 1,202107:35 CST)
Project Inspector Date
in EU
Patrick adey(De ,202108:36CST) Dec 1, 2021
Project Manager Date
.7G�1�1%�G� ZG��IGZGl�0�1 bG�lGI��O�,7X1 Dec 1 2021
Jennife�rnackonbehalfofJM(Dec1 202108'50CSTl
CFA Manager Date
Dana Burghdoff( c 1,202 Dec 1 1:47 CST) ,2021
Asst. City Manager Date
OFFICIAL RECORD
CITY SECRETARY
FT.WORTH, TX
Notice of Project Completion
Project Name: Palmilla Springs Phase 5
City Project No.: 102450
City's Attachments
Final Pay Estimate ❑x
Change Order(s): ❑x Yes ❑ N/A
Pipe Report: Ox Yes ❑ N/A
Contractor's Attachments
Affidavit of Bills Paid
Consent of Surety
Statement of Contract Time
Contract Time: 180 WD Days Charged: 215
Work Start Date: 10/8/2020 Work Complete Date: 11/2/2021
Completed number of Soil Lab Test: 830
Completed number of Water Test: 23
Page 2of2
FORT WORTH
CITY OF FORT WORTH
FINAL PAYMENT REQUEST
Contract Name PALMILLA SPRINGS PHASE 5 WATER,SEWER,PAVING,DRAINAG&S
Contract Limits
Project Type WATER&SEWER
City Project Numbers 102450
DOE Number 2450
Estimate Number 1 Payment Number 1 For Period Ending 11/2/2021
WD
City Secretary Contract Number Contract Time 18WD
Contract Date 7/29/2020 Days Charged to Date 215
Project Manager NA Contract is 100.00 Complete
Contractor L.H.LACY COMPANY
P.O.BOX 541297
DALLAS, TX 75354
Inspectors CORDOVA,R / CAIN,M
Tuesday,November 30,2021 Page 1 of 4
City Project Numbers 102450 DOE Number 2450
Contract Name PALMILLA SPRINGS PHASE 5 WATER,SEWER,PAVING,DRAINAG Estimate Number I
Contract Limits Payment Number I
Project Type WATER&SEWER For Period Ending 11/2/2021
Project Funding
UNIT I:WATER IMPROVEMENTS
Item Description of Items Estimated Unit Unit Cost Estimated Completed Completed
No. Quanity Total Quanity Total
---------------------------------------
1 SALVAGE FIRE HYDRANT 1 EA $1,485.13 $1,485.13 1 $1,485.13
2 TRENCH SAFETY 9857 LF $0.19 $1,872.83 9857 $1,872.83
3 DUCTILE IRON WATER FITTINGS 5 TN $6,389.60 $31,948.00 5 $31,948.00
W/RESTRAINT
4 8"PVC WATER PIPE 9358 LF $23.73 $222,065.34 9358 $222,065.34
5 16"WATER PIPE 499 LF $57.79 $28,837.21 499 $28,837.21
6 FIRE HYDRANT ASSEMBLY 11 EA $3,945.30 $43,398.30 11 $43,398.30
7 1"WATER SERVICE(CO#1) 236 EA $957.50 $225,970.00 , 236 $225,970.00
8 8"GATE VALVE 33 EA $1,235.99 $40,787.67 33 $40,787.67
9 CONNECTION TO EXISTING 16"WATER MAIN 5 EA $2,526.37 $12,631.85 5 $12,631.85
10 16"GATE VALVE W/VAULT 1 EA $14,344.62 $14,344.62 1 $14,344.62
11 IRRIGATION PVC PIPE 105 LF $30.00 $3,150.00 105 $3,150.00
12 2"IRRIGATION SERVICE(CO 42) 3 EA $3,180.00 $9,540.00 3 $9,540.00
Sub-Total of Previous Unit $636,030.95 $636,030.95
UNIT 11:SANITARY SEWER IMPROVEMENTS
Item Description of Items Estimated Unit Unit Cost Estimated Completed Completed
No. Quanity Total Quanity Total
---------------------------------------
1 BLOCK RIPRAP DRY 230 SY $75.60 $17,388.00 230 $17,388.00
2 POST-CCTV INSPECTION 12155 LF $1.35 $16,409.25 12155 $16,409.25
3 MANHOLE VACUUM TESTING 54 EA $93.08 $5,026.32 54 $5,026.32
4 TRENCH SAFETY 12155 LF $0.53 $6,442.15 12155 $6,442.15
5 CONCRETE ENCASEMENT FOR UTILITY PIPES 6 CY $215.71 $1,294.26 6 $1,294.26
6 4"SEWER SERVICE(CO#1) 233 EA $730.09 $170,110.97 233 $170,110.97
7 8"SEWER PIPE(CO#2) 12155 LF $37.38 $454,353.90 12155 $454,353.90
8 8"SEWER PIPE,CSS BACKFILL 316 LF $39.47 $12,472.52 316 $12,472.52
10 4'MANHOLE 50 EA $3,912.38 $195,619.00 50 $195,619.00
11 4'DROP MANHOLE 4 EA $10,462.61 $41,850.44 4 $41,850.44
12 4'EXTRA DEPTH MANHOLE 153 VF $127.00 $19,431.00 153 $19,431.00
13 CONNECT TO EXISTING SEWER 5 EA $801.47 $4,007.35 5 $4,007.35
-------------------- - -----------------
Sub-Total of Previous Unit $944,405.16 $944,405.16
-------------- ------------------------
Tuesday,November 30,2021 Page 2 of 4
City Project Numbers 102450 DOE Number 2450
Contract Name PALMILLA SPRINGS PHASE 5 WATER,SEWER,PAVING,DRAINAG Estimate Number 1
Contract Limits Payment Number 1
Project Type WATER&SEWER For Period Ending 11/2/2021
Project Funding
Contract Information Suminary
Original Contract Amount $1,579,377.44
Change Orders
Change Order Number 1 $1,687.59
Change Order Number 2 $9,540.00
Change Order Number 3 ($10,168.92)
Total Contract Price $1,580,436.11
Total Cost of Work Completed $1,580,436.11
Less %Retained $0.00
Net Earned $1,580,436.11
Earned This Period $1,580,436.11
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 $1,580,436.11
Tuesday,November 30,2021 Page 3 of 4
City Project Numbers 102450 DOE Number 2450
Contract Name PALMILLA SPRINGS PHASE 5 WATER,SEWER,PAVING,DRAINAG Estimate Number I
Contract Limits Payment Number I
Project Type WATER&SEWER For Period Ending 11/2/2021
Project Funding
Project Manager NA City Secretary Contract Number
Inspectors CORDOVA,R / CAIN,M Contract Date 7/29/2020
Contractor L.H.LACY COMPANY Contract Time 180 WD
P.O.BOX 541297 Days Charged to Date 215 WD
DALLAS, TX 75354 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 $1,580,436.11
Less %Retained $0.00
Net Earned $1,580,436.11
Earned This Period $1,580,436.11
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 $1,580,436.11
Tuesday,November 30,2021 Page 4 of 4
DEVELOPER-AWARDED-PROJECT CHANGE ORDER
Water,Sewer,Paving,Drainage,and Street Light Improvements to Serve Palmilla Springs
PROJECT NAME: Phase 5 CHANGE
CONTRACT: (A)Water,Sewer,and Draina e, B)Paving,and (C)Street Li his ORDER No:
CFA# CFA20-0057 CITY PARTICIPATION: Yes
CITY PROJECT# 102450
DOE# C01
WATER PROJECT# 30114-0200431-102450-EO7685
SEWER PROJECT# 30114-0200431-102450-E07695
FILE# X-26322
INSPECTOR: Matt Cain Phone No:
PROJECT MANAGER: Pat Buckley Phone No: 817-392-2443
CONTRACT UNIT
WATER SEWER PAVING DRAINAGE STREETLIGHTS CONTRACT
Developer - Developer Developer DAYS
Developer Cost.-.City Cost'.- Cost .City Cost 'Developer Cost City Cost Cost .City Cost Cost City Cost
ORIGINAL CONTRACT $591,671.49 s83,861.96�. $953,843.99 $0.00. $1,860,677.11 40.00 $561.472.28 $0.00 $163,317.92 $0.00 45
EXTRAS TO DATE $0.00 $0.00 $0.00 $0.00 $0.00
CREDITS TO DATE $0.00 $0.00 - $0.00 $0.00 $0.00
CONTRACT TO DATE $591,671.49 $33,861A6. $953,843.99 $0.00 $1,860,677.11 - $0.00. $561,472.28 .$0,00 $163,317.92 $0.00. " 45
AMOUNT OF PROP.CHANGE ORDER $957.50 $730.09 $0.00 $0.00
REVISED CONTRACT AMOUNT $592,628.99 $33;861:96- $954,574.08 :$0�00' $1,860,677.11 $0,00_ $561,472.28 .$0.00 $163,317.92 .$0.00--- 45
TOTAL REVISED CONTRACT AMOUNT
PER UNIT $626,490.95 $954,574.08 $1.860.677.11 $561,472,28 $163,317.92
REVISED COST SHARE Dev.Cost: $4,132,670.38 City Cost: - $33,861.96
TOTAL REVISED CONTRACT $4,166,532.34
Revised:10-12-2011
Page 1
You are directed to make the foliowin than es in the contract documents:
CITY BID ITEM
PAY ITEM# # QUANTITY UNIT ITEM DESCRIPTION UNITPRICE TOTAL
A.9 3312.2003 1 LF 1"Water Service $ 957.50 $ 957.50
A1.6 3331.3101 1 LF 4"Sewer Service $ 730.09 $ 730.09
WATER&SANITARYSEWER TOTAL $ 1.687.59
REASONS FOR CHANGE ORDER Services to be put in for lot 3 block 5,so that street will not need to be replaced during next phase.
RECOMMENDED: APPROVED: APPROVED:
Teague Nall&Perkins,inc. NMH P Springs Developme L.H LacY Compan L
BY: M„01�Y a.� By: h
Name: Samuel Knight,P.E. Name: C 111I 0_Q Name�"�7�r1J �^
Title:Project Manager Title: ( (`� Title: �b101o�1—
Revised:10-12-2011
I pa9 e 2
DEVELOPER-AWARDED-PROJECT CHANGE ORDER
Water,Sewer,Paving,Drainage,and Street Light Improvements to Serve Palmilla Springs
PROJECT NAME: Phase 5 CHANGE
CONTRACT: A Water,Sewer,and Draina e, B)Paving,and C Streel Lights ORDER No:
CFA# CFA20-0067 CITY PARTICIPATION: Yes
CITY PROJECT# 102450
DOE# CO2
WATER PROJECT# 30130114-0__4 31-1 0 24 50-E07685
SEWER PROJECT# 14-0200431-102450-EO7665
FILE# X-26322
INSPECTOR: Matt Cain Phone No:
PROJECT MANAGER: Pat Buckley Phone No: 817-392-2443
CONTRACT UNIT
WATER SEWER PgVING DRAINAGE STREETLIGHTS CONTRACT
Developer 2..tDeveloper - Developer DAYS
Developer Cost "6ity-0ost-;Cost ,City Gost Developer Cost-:•City CosP.Cast CIty.Cost-Cost City Coed':
ORIGINAL CONTRACT $591,671,l9 ,:S33,88196 $953,84399 ::.'5000 51,860,67711 t�-�S000 $561,472.28 $0.00. $163,317A2 SO 00 t:i: 180
EXTRAS TO DATE $957.50 77$730 09 $0.00 - - $0.00 $0.00
CREDITS TO DATE $0.00 _ $0.00 $0.00
CONTRACT TO DATE $592,628.99 $33;BfiT98.�. $954.57/08 ;0.00 S1,66007.11 .,7,5000',;: $561,47228 I $0,00..,: $163,317.92 $000:l�1:`' 180
AMOUNT OF PROP,CHANGEORDER S 9,540.00 , S (18,16046) '; s0.00
REVISED CONTRACT AMOUNT $602A68.99 '$33;861;96-: $954,574.08 ::rS000.5%` $1,842,516.65 �5000, �;; $561,472.25 5000 $163,317.92 $O OO.;L,! 180
TOTAL REVISED CONTRACT AMOUNT
PER UNIT $636,030.95 $954.574.08 $1,842,516.65 1561,472,2 $163,317.92
REVISED COST SHARE Dev.Cost: $4,124,049.92 ,City Cast - f33,86'f 96
TOTAL REVISED CONTRACT $4,157,911.88
Revised:10-12-2011 Page 1
You are directed to make the following changes in the contract documents:
CITY BID ITEM
PAY ITEMS S QUANTITY UNIT ITEM DESCRIPTION UNITPRICE TOTAL
B.2 3211.0111 -5071 SY 4"Flexible Base,T e A.GR-1 S 9.75 S 49.442.25)
8.3 3211.0400 125 TON I Hydrated Lime S 161.51 S 20,188.75
BA 3211.0502 5112 SY I 6"Lime Treatment(30lbISY) S 2.17 S 11 093.04
A.12 9999.0002 3 1 EA I 2"Irrigation Service S 3,1 00.00 S 9.540.00
Water&PAVING TOTAL I S (8,620.46)
REASONS FOR CHANGE ORDER
Revising the subgrade of the alleys from 4"flexible base to 6"lime.Add lion of 2'IRigation services.
RECOMMENDED: APPROVED: I APPROVED:
Teague Nall&Perkins.Inc. H s Oedelo brit,Inc. L La Compa ,Ltd
BY: f��D Br ' (( B-
Name: Samuel Knight,P.E. Nam. m t d, r Name ILI
Title:Project Manager Title: `',r (�� Title: 1FGf AAIJD-fir
Revised:10.12.2011 Page 2
DEVELOPER-AWARDED-PROJECT CHANGE ORDER
Water,Sewer,Paving,Drainage,and Street Light Improvements to Serve Palmilla Springs
PROJECT NAME: Phase 5 CHANGE
CONTRACT: (A)Water,Sewer,and Drainage, B Paving,and (C)Street Lights ORDER No:
CFA# CFA20-0057 CITY PARTICIPATION: Yes
CITY PROJECT# 102450
DOE# CO3
WATER PROJECT# 30114-0200431-102450-EO7685
SEWER PROJECT# 30114-0200431-102450-EO7685
FILE# X-26322
INSPECTOR: Matt Cain Phone No:
PROJECT MANAGER: Pat Buckley Phone No: 817-392-2443
CONTRACT UNIT
WATER SEWER PAVING DRAINAGE STREETLIGHTS CONTRACT
Developer Developer 'F$56i,472.28
Developer DAYS
Cost City Cost Cost City Cost Developer Cost City Cost City Cost Cost City Cost
ORIGINAL CONTRACT $591,671,49 $33,861.96 $953,843.99 $0.00 $1,860,677.11 $0.00 $0.00 $163,317.92 $0.00 180
EXTRAS TO DATE $10,497.50 $730.09 ($18,160.46) $0.00
CREDITS TO DATE $0.00 $0.00 $0.00 $0.00
CONTRACT TO DATE $602,168.99 $33,861.96 5954,574.08 $0.00 $1,842,516.65 $0.00 $0.00 $163,317.92 $0.00 180
AMOUNT OF PROP.CHANGE ORDER ($10,168.92) $0.00 $0.00
REVISED CONTRACT AMOUNT $602,168.99 $33,861.96 $944,405.16 $0.00 $1,842,516.65 $0.00 $561,472.28 $0.00 $163,M7.92 $0.00 180
TOTAL REVISED CONTRACT AMOUNT
PER UNIT $636,030.95 $944,405.16 $1,842,516.65 $561,472.28 $163,317.92
REVISED COST SHARE Day.Cost: $4,113,881.00 City Cost: $33,861.96
TOTAL REVISED CONTRACT $4,147,742.96
Revised:10-12-2011 Page 1
You are directed to make the followin than es in the contract documents:
CITY BID ITEM
PAY ITEM# QU# ANTITY UNIT ITEM DESCRIPTION UNIT PRICE TOTAL
A1.7 3331.4115 141 1 LF I 8"Sewer Pie 1$ 37.38 $ 5,270.58
A1.9 3331.4119 1 141 1 LF 1 8"DIP Sewer Pie $ 109.50 $ 15,439.50
Sewer Total 5 11 Q 168.92
REASONS FOR CHANGE ORDER Revised 8"sanitary sewer line A from Ductile Iron to PVC from station 1+00.00 to 2+41.14.
RECOMMENDED: APPROVED: APPROVED:
Teague
/Nall
/&Perkins,Inc. HMHPalmilla Springs Development,Inc. L.H.Lacy Company,Ltd
By: By:By: By:
Name: Samuel Knight,P.E. Name: Name:
Title:Project Manager Title: Title:
Revised:10-12-2011
Page 2
FORTWORTH
TRANSPORTATION AND PUBLIC WORKS
PIPE REPORT FOR:
PROJECT NAME: Pahnilla Springs Ph.5
PROJECT NUMBER: 102450
DOE NUMBER:
WATER
PIPE LAID SIZE TYPE OF PIPE LF
C900 8" PVC 9358
C900 16" PVC 499
FIRE HYDRANTS: 11 EA. VALVES (16" OR LARGER) 1 EA.
PIPE ABANDONED SIZE TYPE OF PIPE LF
N/A
DENSITIES: yes
NEW SERVICES: 1" Copper 236 EA.
2" Copper 3 EA.
SEWER
PIPE LAID SIZE TYPE OF PIPE LF
SDR 26 8" PVC 12155
PIPE ABANDONED SIZE TYPE OF PIPE LF
N/A
DENSITIES: Yes
NEW SERVICES: 4" PVC 233 EA.
TRt1NSPORTATION AND PUBLIC WORKS
y° The City of Fort Worth• 1000 Throckmorton Street•Fort Worth,TX 76012-6311
(817)392-7941 •Fax: (817)392-7845
FORT WORTH.
TRANSPORTATION AND PUBLIC WORKS
November 23, 2021
L.H. Lacy Company, LTD.
1880 Crown Rd.
Dallas,TX. 75234
RE: Acceptance Letter
Project Name: Palmilla Springs Ph.5
Project Type: Development
City Project No.: 102450
To Whom It May Concern:
On November 2, 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 November 23, 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 November 23,
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)
392-2443.
Sincerely,
Patrick w dey(De ,2021 08:36 CST)
Pat Buckley, Project Manager
Cc: Matt Cain, Inspector
Ron Cordova, Inspection Supervisor
Edward D'Avila, Senior Inspector
Victor Tornero, Program Manager
Teague Nall & Perkins, Consultant
L.H. Lacy, Contractor
Historymaker, Developer
File
E-Mail: TPW_Acceptance@fortworthtexas.gov
Rev.8/20/19
AFFIDAVIT
STATE OF Texas
COUNTY OF Dallas
Before me, the undersigned authority, a notary public in the state
and county aforesaid, on this day personally appeared Bobby W. Gordon,
President Of L.H. Lacy Company, Ltd, 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;
City Project No. 102450- Palmilla Springs Phase 5
BY
Bobby W. Gordon, President
Subscribed and sworn before me on this date 27 of October, 2021.
tary Public
Dallas County, Texas
DARLENE CONEY
My Notary ID#t 10317301
Expires March 9,2024
CONSENT OF SURETY OWNER D
TO FINAL PAYMENT AWMrrsCr
A�4 Dement G707 comuc it ❑
SUR )}
Bond No. 3326208 WHIM E1
TO OWNER: ARCHITECIuS PROJECT NO.:
fRameafralad )
City of Fort Worth&HMH Palmilla Prings Development,Inc.
1038 Texan Trail
Construction
Grapevine, TX 76051
PROJECT CONTR&CT DATED,
(AW-and&A
Water, Sewer, Paving, Drainage&Street Light Improvements to Serve Palmilla Springs Phase 5
In acco;dance witb the provWons ofthe Comma between the owner anti the Conma(w as Indicnedalwe,the
flawtnmeand awrostofsomiyj
Great American Insurance Company of New York
301 East Fourth Street
Cincinnati, OH 45202
, SUiiR1'St,
on bond of
fJnwnnameandad&vzqrCa vraaw)
L.H. Lacy Company, Ltd.
1880 Crown Dr., Suite 1200
Dallas, TX 75234
CONTRACTOR,
hereby approves of the final payment to the Cona mr,and agrees that final payment to the Contractor shalt not relieve the Surety of
any of Its obligations to
fijwrt=weandaddrwgfGwu 1
City of Fort Worth&HMH Palmilla Prings Development, Inc.
1038 Texan Trail
Grapevine,TX 76051
OWNER,
as set fcxr€b In said Surety's bvtcd.
IN VMNFSS WH$REOF,the Surety has hereunto set its hand on thjs date October 27, 2021
toadhnm#bWl wvwn&jWkmwtfhv&auranerkdhreaudywn;
Great American Insurance Company.of NeW'Ybtk
(Aff
By: -
fSatargjar�crlmriarpr�nratr�rJ -
Attest: OV3- �^ Rita G. Gulizo Attorney-vire-Fa_ct
(sew): AI Johnson,Witness -
1Pri�rte�drtameafr4rtdde?
0707-1994
GREAT AMERICAN INSURANCE COMPANY OF NEW YORK
New York
Administrative Office:301 E 4TH STREET • CiNCINNATI,OHIO 45202 • 513-369-5000 • FAX 513-723-2740
The number of persons authorized by
this power of attorney is not more than THREE No.0 19964
POWER OF ATTORNEY
KNOW ALL MEN BY THESE PRESENTS:That the GREAT AMERICAN INSURANCE COMPANY OF NEW YORK,a corporation
organized and existing under and by virtue of the laws of the State of New York,does hereby nominate,constitute and appoint the
person or persons named below its true and lawful attorney-in-fact,for it and in its name,place and stead to execute on behalf of
the said Company,as surety,any and all bonds,undertakings and contracts of suretyship,or other written obligations in the nature
thereof;provided that the liability of the said Company on any such bond,undertaking or contract of suretyship executed under this
authority shall not exceed the limit stated below.
Name Address Limit of Power
RITA G.GULIZO ALL OF ALL
SUSAN D.ZAPALOWSKI NEW ORLEANS,LOUISIANA $100,000,000
DAVID T.MICLETTE
This Power of Attorney revokes all previous powers issued on behalf of the attomey(s)-in-fact named above.
iN WITNESS WHEREOF,the GREAT AMERICAN INSURANCE COMPANY OF NEW YORK has caused these presents to be signed
and attested by its appropriate officers and its corporate seal hereunto affixed this 13TH day of APRIL , 2020
Attest GREAT AMERICAN INSURANCE COMPANY OF NEW YORK
Dnvsionai Senior I ice President
Assistant Secretary
MARK MAMO(877-377-24M
STATE OF OHIO,COUNTY OF HAMILTON-ss:
On this 13TH day of APRIL 2020 ,before me personally appeared MARK VICARIO,to me known,
being duly sworn,deposes and says that he resides in Cincinnati,Ohio,that he is a Divisional Senior Vice President of the Bond
Division of Great American Insurance Company of New York,the Company described in and which executed the above instrument;
that he knows the seal;that it was so affixed by authority of his office under the By-Laws of said Company,and that he signed
his name thereto by like authority.
SUSAN A K0110RST
_ R Notary Public
State of Ohio My Comm.Comm.Expires
May 18,2025
This Power of Attorney is granted by authority of the following resolutions adopted by the Board of Directors of Great
American Insurance Company of New York by unanimous written consent dated May 14,2009.
RESOLVED: That the Divisional President,the several Divisional Senior Vice Presidents,Divisional Vice Presidents and Divisional
Assistant Vice Presidents,or any one of them,be and hereby is authorized,from time to time,to appoint one or more Attorneys-in-Fact
to execute on behalf of the Company,as surety,any and all bonds,undertakings and contracts of suretyship,or other written obligations
in the nature thereof;to prescribe their respective duties and the respective limits of their authority;and to revoke any such appointment
at any time.
RESOLVED FURTHER:That the Company seal and the signature of any of the aforesaid officers and any Secretary or Assistant
Secretary of the Company may be affixed by facsimile to any power of attorney or certificate of either given for the execution of any bond,
undertaking,contract of suretyship,or other written obligation in the nature thereof,such signature and seal when so used being hereby
adopted by the Company as the original signature of such officer and the original seal of the Company,to be valid and binding upon the
Company with the same force and effect as though manually affixed.
CERTIFICATION
1,STEPHEN C.BERAHA,Assistant Secretary of Great American Insurance Company of New York,da hereby certify that
the foregoing Power of Attorney and the Resolutions of the Board of Directors of May 14,2009 have nofbeeirrii vi kiid and are
now in full force and effect.
Signed and sealed this L' day of
SEAL `_i _
~Mom` Assistant Secretary
61185N(03r20)