HomeMy WebLinkAboutContract 55287-FP2 City Secretary 55287 -FP2
Contract No.
FORTWORTH. Date Received Feb 10,2022
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: Chisholm Trail Ranch Section 1 Phase III
City Project No.: 102815
Improvement Type(s): Water ❑X Sewer ❑X
Original Contract Price: $283,825.50
Amount of Approved Change Order(s): $15,250.00
Revised Contract Ammunt:
Total Cost of Work Complete: $299,075.50
Jacob Gatr---"'eb 3,202218:41 CST) Feb 3,2022
Contractor Date
Project Manager
Title
Conatser Construction TXLP
Company Name
Russell Ro ers Feb 4,2022
Rus--Il Rogers(Fe 4,2022 09:20 CST)
Project Inspector Date
'halt 7�tct� / Feb 8,2022
Khal Jaafari P.E.(Feb 8,202211:42 CST)
Project Manager Date
9 cue Y"4ne -MOMCeS- Feb 8 2022
Janie Scarlett Morales(Feb 8,2022 13:28 CST)
CFA Manager Date
Dcgnc7 doAc Feb 8 2022
Dana Burghdoff eb 8,202214:46 CST)
Asst. City Manager Date
OFFICIAL RECORD
CITY SECRETARY Page 1 of 2
FT. WORTH, TX
Notice of Project Completion
Project Name: Chisholm Trail Ranch Section 1 Phase III
City Project No.: 102815
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 WD Days Charged: 170
Work Start Date: 4/5/2021 Work Complete Date: 1/27/2022
Completed number of Soil Lab Test: 227
Completed number of Water Test: 14
Page 2 of 2
FORT WORTH
CITY OF FORT WORTH
FINAL PAYMENT REQUEST
Contract Name CHISHOLM TRAIL RANCH SECTION I PHASEIII
Contract Limits
Project Type WATER&SEWER
City Project Numbers 102815
DOE Number 2815
Estimate Number I Payment Number I For Period Ending 1/20/2022
WD
City Secretary Contract Number Contract Time I29M
Contract Date 1/11/2021 Days Charged to Date 170
Project Manager NA Contract is 100.00 Complete
Contractor CONATSER CONSTRUCTION TxLP
5327 WICHITA ST
FORT WORTH, TX 76119
Inspectors CORDOVA,R / ROGERS,R
Thursday,February 3,2022 Page 1 of 4
City Project Numbers 102815 DOE Number 2815
Contract Name CHISHOLM TRAIL RANCH SECTION I PHASEIII Estimate Number 1
Contract Limits Payment Number 1
Project Type WATER&SEWER For Period Ending 1/20/2022
Project Funding
UNIT I:WATER IMPROVEMENTS
Item Estimated Estimated Completed Completed
Description of Items Unit Unit Cost
No. Quanity Total Quanity Total
---------------------------------------
1 TRENCH SAFEY 2100 LF $2.00 $4,200.00 2100 $4,200.00
2 DUCTILE IRON WATER FIITINGS 0.37 TN $4,500.00 $1,665.00 0.37 $1,665.00
W/RESTRAINT
3 8"WATER PIPE 2100 LF $35.00 $73,500.00 2100 $73,500.00
4 FIRE HYDRANT 3 EA $4,250.00 $12,750.00 3 $12,750.00
5 1"WATER SERVICE 62 EA $950.00 $58,900.00 62 $58,900.00
6 8"GATE VALVE 3 EA $1,300.00 $3,900.00 3 $3,900.00
7 CONNECTION TO EXISTING 4"-12"WATER 2 EA $1,000.00 $2,000.00 2 $2,000.00
MAIN
8 F IRRIGATION SERVICE(CO IA) 1 EA $4,500.00 $4,500.00 1 $4,500.00
9 1 1/2"IRRIGATION SERVICE(CO IA) 1 EA $4,000.00 $4,000.00 1 $4,000.00
10 4'PVC SCHEDULE 40 CONDUIT SLEEVES(CO 150 LF $45.00 $6,750.00 150 $6,750.00
IA)
Sub-Total of Previous Unit $172,165.00 $172,165.00
UNIT II:SANITARY SEWER IMPROVEMENTS
Item Estimated Estimated Completed Completed
Description of Items Unit Unit Cost
No. Quanity Total Quanity Total
---------------------------------------
1 POST CCTV INSPECTION 997 LF $3.00 $2,991.00 997 $2,991.00
2 MANHOLE VACUUM TESTING 4 EA $175.00 $700.00 4 $700.00
3 TRENCH SAFETY 997 LF $2.00 $1,994.00 997 $1,994.00
4 4"SEWER SERVICE 38 EA $700.00 $26,600.00 38 $26,600.00
5 8"PVC SEWER PIPE 997 LF $46.00 $45,862.00 997 $45,862.00
6 8"SEWER PIPE,CSS BACKFILL 70 LF $58.00 $4,060.00 70 $4,060.00
7 4'MANHOLE 4 EA $4,000.00 $16,000.00 4 $16,000.00
8 T EXTRA DEPTH MANHOLE 21.1 VF $185.00 $3,903.50 21.1 $3,903.50
9 MANHOLE ADJUSTMENT MAJOR 4 EA $3,500.00 $14,000.00 4 $14,000.00
10 ADJUST EXISTING SANITARY SEWER 24 EA $450.00 $10,800.00 24 $10,800.00
--------------------------------------
Sub-Total of Previous Unit $126,910.50 $126,910.50
--------------------------------------
Thursday,February 3,2022 Page 2 of 4
City Project Numbers 102815 DOE Number 2815
Contract Name CHISHOLM TRAIL RANCH SECTION I PHASEIII Estimate Number 1
Contract Limits Payment Number 1
Project Type WATER&SEWER For Period Ending 1/20/2022
Project Funding
Contract Information Summary
Original Contract Amount $283,825.50
Change Orders
Change Order Number Al $15,250.00
Total Contract Price $299,075.50
Total Cost of Work Completed $299,075.50
Less %Retained $0.00
Net Earned $299,075.50
Earned This Period $299,075.50
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 $299,075.50
Thursday,February 3,2022 Page 3 of 4
City Project Numbers 102815 DOE Number 2815
Contract Name CHISHOLM TRAIL RANCH SECTION I PHASEIII Estimate Number 1
Contract Limits Payment Number 1
Project Type WATER&SEWER For Period Ending 1/20/2022
Project Funding
Project Manager NA City Secretary Contract Number
Inspectors CORDOVA,R / ROGERS,R Contract Date 1/11/2021
Contractor CONATSER CONSTRUCTION TxLP Contract Time 120 WD
5327 WICHITA ST Days Charged to Date 170 WD
FORT WORTH, TX 76119 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 $299,075.50
Less %Retained $0.00
Net Earned $299,075.50
Earned This Period $299,075.50
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 $299,075.50
Thursday,February 3,2022 Page 4 of 4
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FORTWORTH
TRANSPORTATION AND PUBLIC WORKS
PIPE REPORT FOR:
PROJECT NAME: Chisholm Trail Ranch Section I Pase III
PROJECT NUMBER: 102815
DOE NUMBER:
WATER
PIPE LAID SIZE TYPE OF PIPE LF
8" pvc C900 8" pvc 2100
FIRE HYDRANTS: 3 VALVES(16"OR LARGER) N,'A
PIPE ABANDONED SIZE TYPE OF PIPE LF
N/A
DENSITIES: yes
NEW SERVICES: 1" 1" water service copper 62
1" 1" irrigation copper 1
1 1/2" 1 1/2" irrigation copper 1
SEWER
PIPE LAID SIZE TYPE OF PIPE LF
SDR 8" PVC 997
PIPE ABANDONED SIZE TYPE OF PIPE LF
N/A
DENSITIES: yes
NEW SERVICES: 4" pvc 38
TRANSPORTATION AND PUBLIC WORKS
�i" <= The City of Fort Worth• 1000 Throckmorton Street•Fort Worth,TX 76012-6311
g
(817)392-7941 •Fax: (817)392-7845
FORTWORTH.
TRANSPORTATION AND PUBLIC WORKS
January 27, 2022
Conatser construction
5327Wichta ST
Fort Worth TX 76119
RE: Acceptance Letter
Project Name: Chisholm Trail Ranch Section I Phase III
Project Type: Water and Sewer Paving Drainage lighting
City Project No.: 102815
To Whom It May Concern:
On January 27, 2022 a final inspection was made on the subject project. There were no punch list items
identified at that time. The final inspection indicates that the work meets the City of Fort Worth
specifications and is therefore accepted by the City. The warranty period will start on January 27, 2022,
which is the date of the final inspection 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,
Khal Jaafari P.E.(Feb 8,2022 11:42 CST)
Khal Jaafari, Project Manager
Cc: Russell Rogers, Inspector
Ron Cordova, Inspection Supervisor
Gary Deyon, Senior Inspector
Victor Tornero, Program Manager
Pape Dawson, Consultant
Conatser, Contractor
Lennar Homes, Developer
File
E-Mail: TPW_Acceptance@fortworthtexas.gov
Rev.08/20/19
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:
CHISHOLM TRAIL RANCH SECTION 1, PHASE III
WATER, SANITARY SEWER, DRAINAGE, PAVING
& STREET LIGHT IMPROVEMENTS
DOE#: N/A
CFA PRJ#: 20-0118
CITY PROJECT #: 102815
CITY OF FORT WORTH
STATE OF TEXAS
CONATSER CONSTRUCTION TX, LP
Brock Hugel s
Subscribed and sworn to before me this 19TH day of Janu�arry/,,2022.
1V�'LJ
,11 Y-PVB KAMRA HOERIG Notary Public in Tarrant Co ty, Texas
Notary Public,State of Texas
Comm.Expires 08/15/2023
'' '�+ Notary ID 13213162-8
CONSENT OF OWNER ❑
SURETY COMPANY ARCHITECT ❑
CONTRACTOR ❑
TO FINAL PAYMENT SURETY ❑
Conforms with the American Institute of OTHER
Architects,AIA Document G707
Bond No 0235122
PROJECT:
(name, address)Chisholm Trail Ranch Section I, Phase III
Fort Worth,TX
TO (Owner)
CITY OF FORT WORTH AND LENNAR HOMES OF 7 ARCHITECT'S PROJECT NO: CFA No.20-0118
TEXAS LAND AND CONSTRUCTION,LTD. CONTRACT FOR:
1707 Market Place Blvd.,Suite 100 Water,Sanitary Sewer, Drainage,Paving,and Street Light
Improvements for Chisholm Trail Ranch-section 1,Phase III
Irving TX 75063 --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 Contractor)
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 (here insert name and address of Owner)
CITY OF FORT WORTH AND LENNAR HOMES OF TEXAS LAND AND CONSTRUCTION, LTD.
1707 Market Place Blvd., Suite 100
Irving TX 75063 , 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 January, 2022
BERKLEY INSURANCE COMPANY
Surety Company
Attest:
(Seal): �� Signature of Authorized Representative
Robb!Morales _ Attorney-in-Fact
Title
NOTE; This form is to be used as a companion document to AIA DOCUMENT G706, CONTRACTOR'S AFFIDAVIT OF PAYMENT OF DEBTS AND CLAIMS,
Current Edition
ONE PAGE
No.BI-7280j-el
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 MEN BY THESE PRESENTS, that BERKLEY INSURANCE COMPANY (the "Company"), a corporation duly
organized and existing under 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. Westbrook, Tina McEwan; Joshua A. Saunders; or Tonie Petranek of Aon Risk Services Southwest,
Inc. of Dallas, TX its true and lawful Attorney-in-Fact, to sign its name as surety only as delineated below and to execute, seal,
acknowledge and deliver any and all bonds and undertakings, with the exception of Financial Guaranty Insurance, providing that
no single obligation shall exceed Fifty Million and 00/100 U.S.Dollars(U.S.$50,000,000.00),to the same extent as if such bonds
had been duly executed and acknowledged by the regularly elected officers of the Company at its principal office in their own
proper persons.
This Power of Attorney shall be construed and enforced in accordance with,and governed by,the laws of the State of Delaware,
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:
RESOLVED, 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 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 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 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
RESOLVED, that such power of attorney revokes all previous powers issued on behalf of the attorney-in-fact named; and
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
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 VMEREOF,the Company has caused these presents to-be signed and attested by its appropriate officers and its
corporate seal hereunto affixed this 2nd day of .rune 2020 .
`�,�uaanrcF \ Attest Berkl Insurance Company
y; N Q
S � By rZ
By v
Ir ederman 3e aftei
1975
Executive Vice President&Secretary N,S�' :c` resdent
STATE OF COtNNECTICUT)
) ss:
COUR'TY OF FATR.FI,ELD )
Swann to before me, a Notary Public in the State of Connecticut,this 2nd day of June 2020 ,by Ira S.Lederman
and Jeffrey m. Hafter who are sworn to me to be the Executive Vice President Secretary, and t Senior Vice President,
respectively,of Berkley Insurance Company. o�CR auO IC
MM-M
1171K 4��.
MYCOMM S I IRS . otary;Public,State ofComaecticut
CERTIFICATE
I,the undersigned,Assistant Secretary of BERICLEY INSURANCE COMPANY,DO HEREBY CERTIFY that the foregoing is a
true,correct and complete copy of the original Power of Attorney;that said Power of Attorney has not been revoked or rescinded
ano-*at-doe authority of the Attorney-in-Fact set forth therein, who executed the bond or undertaking to which this Tower of
unanr. .
cited,is in full force and effect as of this date.
X..�Pv 't�4undermy hand and seal ofthe Company,this 18th day of Janua 2022
w SFAI,
� •. 19r� .� �,
Forte Vincent P.
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:
CHISHOLM TRAIL RANCH SECTION 1, PHASE III
WATER, SANITARY SEWER, DRAINAGE, PAVING
& STREET LIGHT IMPROVEMENTS
DOE#: N/A
CFA PRJ#: 20-0118
CITY PROJECT #: 102815
CITY OF FORT WORTH
STATE OF TEXAS
CONATSER CONSTRUCTION TX, LP
Brock Hugel s
Subscribed and sworn to before me this 19TH day of Janu�arry/,,2022.
1V�'LJ
,11 Y-PVB KAMRA HOERIG Notary Public in Tarrant Co ty, Texas
Notary Public,State of Texas
Comm.Expires 08/15/2023
'' '�+ Notary ID 13213162-8
CONSENT OF OWNER ❑
SURETY COMPANY ARCHITECT ❑
CONTRACTOR ❑
TO FINAL PAYMENT SURETY ❑
Conforms with the American Institute of OTHER
Architects,AIA Document G707
Bond No 0235122
PROJECT:
(name, address)Chisholm Trail Ranch Section I, Phase III
Fort Worth,TX
TO (Owner)
CITY OF FORT WORTH AND LENNAR HOMES OF 7 ARCHITECT'S PROJECT NO: CFA No.20-0118
TEXAS LAND AND CONSTRUCTION,LTD. CONTRACT FOR:
1707 Market Place Blvd.,Suite 100 Water,Sanitary Sewer, Drainage,Paving,and Street Light
Improvements for Chisholm Trail Ranch-section 1,Phase III
Irving TX 75063 --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 Contractor)
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 (here insert name and address of Owner)
CITY OF FORT WORTH AND LENNAR HOMES OF TEXAS LAND AND CONSTRUCTION, LTD.
1707 Market Place Blvd., Suite 100
Irving TX 75063 , 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 January, 2022
BERKLEY INSURANCE COMPANY
Surety Company
Attest:
(Seal): �� Signature of Authorized Representative
Robb!Morales _ Attorney-in-Fact
Title
NOTE; This form is to be used as a companion document to AIA DOCUMENT G706, CONTRACTOR'S AFFIDAVIT OF PAYMENT OF DEBTS AND CLAIMS,
Current Edition
ONE PAGE
No.BI-7280j-el
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 MEN BY THESE PRESENTS, that BERKLEY INSURANCE COMPANY (the "Company"), a corporation duly
organized and existing under 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. Westbrook, Tina McEwan; Joshua A. Saunders; or Tonie Petranek of Aon Risk Services Southwest,
Inc. of Dallas, TX its true and lawful Attorney-in-Fact, to sign its name as surety only as delineated below and to execute, seal,
acknowledge and deliver any and all bonds and undertakings, with the exception of Financial Guaranty Insurance, providing that
no single obligation shall exceed Fifty Million and 00/100 U.S.Dollars(U.S.$50,000,000.00),to the same extent as if such bonds
had been duly executed and acknowledged by the regularly elected officers of the Company at its principal office in their own
proper persons.
This Power of Attorney shall be construed and enforced in accordance with,and governed by,the laws of the State of Delaware,
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:
RESOLVED, 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 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 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 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
RESOLVED, that such power of attorney revokes all previous powers issued on behalf of the attorney-in-fact named; and
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
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 VMEREOF,the Company has caused these presents to-be signed and attested by its appropriate officers and its
corporate seal hereunto affixed this 2nd day of .rune 2020 .
`�,�uaanrcF \ Attest Berkl Insurance Company
y; N Q
S � By rZ
By v
Ir ederman 3e aftei
1975
Executive Vice President&Secretary N,S�' :c` resdent
STATE OF COtNNECTICUT)
) ss:
COUR'TY OF FATR.FI,ELD )
Swann to before me, a Notary Public in the State of Connecticut,this 2nd day of June 2020 ,by Ira S.Lederman
and Jeffrey m. Hafter who are sworn to me to be the Executive Vice President Secretary, and t Senior Vice President,
respectively,of Berkley Insurance Company. o�CR auO IC
MM-M
1171K 4��.
MYCOMM S I IRS . otary;Public,State ofComaecticut
CERTIFICATE
I,the undersigned,Assistant Secretary of BERICLEY INSURANCE COMPANY,DO HEREBY CERTIFY that the foregoing is a
true,correct and complete copy of the original Power of Attorney;that said Power of Attorney has not been revoked or rescinded
ano-*at-doe authority of the Attorney-in-Fact set forth therein, who executed the bond or undertaking to which this Tower of
unanr. .
cited,is in full force and effect as of this date.
X..�Pv 't�4undermy hand and seal ofthe Company,this 18th day of Janua 2022
w SFAI,
� •. 19r� .� �,
Forte Vincent P.