HomeMy WebLinkAboutContract 54473-FP3 City Secretary 54473 -FP3
Contract No.
FORT WORTH, Date Received Feb 15,2022
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: WILLOW SPRINGS PHASE 1 B
City Project No.: 102181
Improvement Type(s): Water 0 Sewer 0
Original Contract Price: $1,097,209.00
Amount of Approved Change Order(s): $19,500.00
Revised Contract Amount: $1,116,709.00
Total Cost of Work Complete: $1,116,709.00
Jacob Ga (Feb 11,202211:37 CST) Feb 11,2022
Contractor Date
Project Manager
Title
Conatser Construction TXLP
Company Name
Feb 11,2022
Jesse avis(Feb 11,202212:46 CST)
Project Inspector Date
C a P'�— Feb 11,2022
Project Manager Date
��6I�1/G�G��G��Ai0Mlgf Janie Scarlett Morales(Feb 12,2022 12:13 CST) Feb 12 2022
CFA Manager Date
ba��� Feb 14 2022
Dana Burghdoff( 14,20 09:45 CST) �
Asst. City Manager Date
OFFICIAL RECORD Page 1 of 2
CITY SECRETARY
FT.WORTH, TX
Notice of Project Completion
Project Name:WILLOW SPRINGS PHASE 1 B
City Project No.: 102181
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: 150 WD Days Charged: 288
Work Start Date: 10/19/2020 Work Complete Date: 1/28/2022
Page 2 of 2
FORT WORTH
CITY OF FORT WORTH
FINAL PAYMENT REQUEST
Contract Name WILLOW SPRINGS PHASE 1B
Contract Limits
Project Type WATER&SEWER
City Project Numbers 102181
DOE Number 2181
Estimate Number 1 Payment Number I For Period Ending 2/10/2022
WD
City Secretary Contract Number Contract Time 15UM
Contract Date Days Charged to Date 288
Project Manager NA Contract is 100.00 Complete
Contractor CONATSER CONSTRUCTION TxLP
5327 WICHITA ST
FORT WORTH, TX 76119
Inspectors GLOVER / DAVIS
Thursday,February 10,2022 Page 1 of 5
City Project Numbers 102181 DOE Number 2181
Contract Name WILLOW SPRINGS PHASE 1B Estimate Number 1
Contract Limits Payment Number 1
Project Type WATER&SEWER For Period Ending 2/10/2022
Project Funding
WATER
Item Estimated Estimated Completed Completed
Description of Items Unit Unit Cost
No. Quanity Total Quanity Total
---------------------------------------
1 8"WATER PIPE 8607 LF $34.00 $292,638.00 8607 $292,638.00
2 1"WATER SERVICE 114 EA $950.00 $108,300.00 114 $108,300.00
3 1.5"IRRIGATION SERVICE 1 EA $2,000.00 $2,000.00 1 $2,000.00
4 1"IRRIGATION SERVICE 1 EA $1,200.00 $1,200.00 1 $1,200.00
5 8"GATE VALVE 28 EA $1,250.00 $35,000.00 28 $35,000.00
6 FIRE HYDRANT 20 EA $4,200.00 $84,000.00 20 $84,000.00
7 DUCTILE IRON WATER FHTINGS 9 TN $4,500.00 $40,500.00 9 $40,500.00
W/RESTRAINT
8 8"WATERLINE LOWERING 9 EA $1,500.00 $13,500.00 9 $13,500.00
9 TRENCH SAFETY 8607 LF $1.00 $8,607.00 8607 $8,607.00
10 4"-12"PRESSURE PLUG 12 EA $1,000.00 $12,000.00 12 $12,000.00
11 TRAFFIC CONTROL 1 MO $1,500.00 $1,500.00 1 $1,500.00
12 12"X 8"TAPPING SLEEVE&VALVE 1 EA $4,500.00 $4,500.00 1 $4,500.00
13 CONNECTION TO EXISTING 4"-12"WATER 2 EA $1,000.00 $2,000.00 2 $2,000.00
MAIN
14 8"PRESSURE PLANE VALVE 1 EA $1,250.00 $1,250.00 1 $1,250.00
15 STREEL ENCASEMENT FOR UTILITY PIPES 145 LF $220.00 $31,900.00 145 $31,900.00
16 CONC PVMT REPAIR RESIDENTIAL 77 SY $72.00 $5,544.00 77 $5,544.00
17 1"WATER SERVICE CO#1 5 EA $1,600.00 $8,000.00 5 $8,000.00
Sub-Total of Previous Unit $652,439.00 $652,439.00
SEWER
Item Estimated Estimated Completed Completed
Description of Items Unit Unit Cost
No. Quanity Total Quanity Total
1 8'Sewer Pipe 5542 LF $40.00 $221,680.00 5542 $221,680.00
2 4'MANHOLE 21 EA $4,200.00 $88,200.00 21 $88,200.00
3 8"CS900 DR-14 120 LF $60.00 $7,200.00 120 $7,200.00
4 EPDXY MANHOLE LINER 9 VF $385.00 $3,465.00 9 $3,465.00
5 CSS ENCASEMENT FOR UTILITY PIPES 440 LF $20.00 $8,800.00 440 $8,800.00
6 DI ENCASEMENT FOR UTILITY PIPES 120 LF $92.00 $11,040.00 120 $11,040.00
7 4'EXTRA DEPTH MANHOLE 57 VF $175.00 $9,975.00 57 $9,975.00
8 4"SEWER SERVICE 103 EA $650.00 $66,950.00 103 $66,950.00
Thursday,February 10,2022 Page 2 of 5
City Project Numbers 102181 DOE Number 2181
Contract Name WILLOW SPRINGS PHASE 1B Estimate Number 1
Contract Limits Payment Number 1
Project Type WATER&SEWER For Period Ending 2/10/2022
Project Funding
9 4"-12"PRESSURE PLUG 1 EA $1,000.00 $1,000.00 1 $1,000.00
10 CONNECT TO EX SEWER 3 EA $1,000.00 $3,000.00 3 $3,000.00
11 MANHOLE VACUUM TESTING 21 EA $150.00 $3,150.00 21 $3,150.00
12 TRENCH SAFETY 5662 LF $1.00 $5,662.00 5662 $5,662.00
13 POST CCTV INSPECTION 5662 LF $4.00 $22,648.00 5662 $22,648.00
14 4"SEWER SERVICE CO#1 5 EA $2,300.00 $11,500.00 5 $11,500.00
Sub-Total of Previous Unit $464,270.00 $464,270.00
Thursday,February 10,2022 Page 3 of 5
City Project Numbers 102181 DOE Number 2181
Contract Name WILLOW SPRINGS PHASE 113 Estimate Number 1
Contract Limits Payment Number 1
Project Type WATER&SEWER For Period Ending 2/10/2022
Project Funding
Contract Information Summary
Original Contract Amount $1,097,209.00
Change Orders
Change Order Number 1 $19,500.00
Total Contract Price $1,116,709.00
Total Cost of Work Completed $1,116,709.00
Less %Retained $0.00
Net Earned $1,116,709.00
Earned This Period $1,116,709.00
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 $1,116,709.00
Thursday,February 10,2022 Page 4 of 5
City Project Numbers 102181 DOE Number 2181
Contract Name WILLOW SPRINGS PHASE 113 Estimate Number 1
Contract Limits Payment Number 1
Project Type WATER&SEWER For Period Ending 2/10/2022
Project Funding
Project Manager NA City Secretary Contract Number
Inspectors GLOVER / DAVIS Contract Date
Contractor CONATSER CONSTRUCTION TxLP Contract Time 150 WD
5327 WICHITA ST Days Charged to Date 288 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 $1,116,709.00
Less %Retained $0.00
Net Earned $1,116,709.00
Earned This Period $1,116,709.00
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 $1,116,709.00
Thursday,February 10,2022 Page 5 of 5
FORTWORTH.
TRANSPORTATION AND PUBLIC WORKS
February 2, 2022
Conatser Construction TX, L.P.
5327 Wichita Street
Fort Worth,TX 76119
RE: Acceptance Letter
Project Name: Willow Springs Phase 1B
Project Type: Water&Sanitary Sewer
City Project No.: 102181
To Whom It May Concern:
On January 28, 2022 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 February 2, 2022. 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 February 2, 2022, 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,
Patrick Buckley, Project Manager
Cc:Jesse Davis, Inspector
Mike Glover, Inspection Supervisor
Randy Horton, Senior Inspector
Victor Tornero, Program Manager
Peloton Land Solutions, Consultant
Conatser ConstructionTX, L.P., Contractor
Ashton Dallas Residential L.L.C., Developer
File
E-Mail: TPW_Acceptance@fortworthtexas.gov
Rev.8/20/19
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FORTWORTH
TRANSPORTATION AND PUBLIC WORKS
PIPE REPORT FOR:
PROJECT NAME: Willow Springs Phase 1B
PROJECT NUMBER: 102181
DOE NUMBER: N/A
WATER
PIPE LAID SIZE TYPE OF PIPE LF
Water 8" PVC C 900 8607
Water Service 1" Copper Pipe 119 EA
Water Irr Service 1.5" Copper Pipe 1 EA
Water Irr Service I" Copper Pipe 1 EA
FIRE HYDRANTS: 20 VALVES(16" OR LARGER) N/A
PIPE ABANDONED SIZE TYPE OF PIPE LF
DENSITIES: yes
NEW SERVICES:
SEWER
PIPE LAID SIZE TYPE OF PIPE LF
Sewer 8" PVC C900 5542
Sewer Service 4" PVC C900 108 EA
PIPE ABANDONED SIZE TYPE OF PIPE LF
DENSITIES: yes
NEW SERVICES:
TRANSPORTATION AND PUBLIC WORKS
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:
WILLOW SPRINGS PH. 1B
WATER, SANITARY SEWER, DRAINAGE,
& PAVING IMPROVEMENTS
DOE#: N/A
CFA PRJ#: 20-0009
CITY PROJECT #: 102181
CITY OF FORT WORTH
STATE OF TEXAS
CONATSER CONSTRUCTION TX, LP
Brock Huggin
Subscribed and sworn to before me this I 1 Tx day of February, 2022.
Emp.
w�1��RiNe RosENot Public in Tarrant Coun Texas
' NOTARY PUBLIC ' tY�0#.433467933;�, C S of Texas.Exp.11-3MOS
'CONSENT OF OWNER ❑
SURETY COMPANY ARCHITECT ❑
CONTRACTOR ❑
TO FINAL PAYMENT SURETY ❑
Conforms with the American Institute of OTHER
Architects,AIA Document G707
Bond No 0232101
PROJECT:
(name, address)Willow Springs Phase 1 B
Fort Worth, TX
TO (Owner)
ASHTON DALLAS RESIDENTIAL,LLC AND CITY OF ARCHITECT'S PROJECT NO: CFA No.20-0009
FORT WORTH CONTRACT FOR:
1800 Valley View Lane,Suite 100 Wil Water,low Springs Phase 1B
Sanitary Sewer,Storm Drain,and Paving Improvements for
Farmers Branch TX 75324 __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)
ASHTON DALLAS RESIDENTIAL, LLC AND CITY OF FORT WORTH
1800 Valley View Lane, Suite 100
Farmers Branch TX 75324 , OWNER,
as set forth in the said Surety Company's bond.
IN WITNESS, WHEREOF,
the Surety Company has hereunto set its hand this loth day of February,2022
BERKLEY INSURANCE COMPANY
Surety Company
Attest:
(Seal): , 4�`9-1 Signature of Authorized Representative
Rol::b 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
r • 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 V►'EIEREOF,the Company has caused these presents to_be signed and attested by its appropriate officers and its
ffi corporate seal hereunto axed this end day of June 2020
Attest Berki insurance Company
By
S'191 i l' Ir ederman y Je r after
Executive Vice President&Secretary Se ' resident
STATE OF CONIItECTICUT)
) ss:
COUNTY OF F IRFi'IELD )
Sworn 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—Presidentj.44fSecretaxy, and t o Senior Vice President,
respectively,of Berkley Insurance Company. M RIA 0 AUNDB c�CONNECTIER
MY COMMISSION EXPIRES -
APHIL30,2024 _'otary Public,State of Connecticut
CERTIFICATE
1,the undersigned,Assistant Secretary of BERKLEY 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
an4_thR Nhe authority of the Artomey-in Fact set forth therein, who executed the bond or nndertaking to which this Power of
k1;ne shed,is in full force and effect as ofthis date.
dor my Band and seal of the Company,this 10th day of Februa 2022
senoxi z�
`co
eAwAR` Vincent P.Forte
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:
WILLOW SPRINGS PH. 1B
WATER, SANITARY SEWER, DRAINAGE,
& PAVING IMPROVEMENTS
DOE#: N/A
CFA PRJ#: 20-0009
CITY PROJECT #: 102181
CITY OF FORT WORTH
STATE OF TEXAS
CONATSER CONSTRUCTION TX, LP
Brock Huggin
Subscribed and sworn to before me this I 1 Tx day of February, 2022.
Emp.
w�1��RiNe RosENot Public in Tarrant Coun Texas
' NOTARY PUBLIC ' tY�0#.433467933;�, C S of Texas.Exp.11-3MOS
'CONSENT OF OWNER ❑
SURETY COMPANY ARCHITECT ❑
CONTRACTOR ❑
TO FINAL PAYMENT SURETY ❑
Conforms with the American Institute of OTHER
Architects,AIA Document G707
Bond No 0232101
PROJECT:
(name, address)Willow Springs Phase 1 B
Fort Worth, TX
TO (Owner)
ASHTON DALLAS RESIDENTIAL,LLC AND CITY OF ARCHITECT'S PROJECT NO: CFA No.20-0009
FORT WORTH CONTRACT FOR:
1800 Valley View Lane,Suite 100 Wil Water,low Springs Phase 1B
Sanitary Sewer,Storm Drain,and Paving Improvements for
Farmers Branch TX 75324 __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)
ASHTON DALLAS RESIDENTIAL, LLC AND CITY OF FORT WORTH
1800 Valley View Lane, Suite 100
Farmers Branch TX 75324 , OWNER,
as set forth in the said Surety Company's bond.
IN WITNESS, WHEREOF,
the Surety Company has hereunto set its hand this loth day of February,2022
BERKLEY INSURANCE COMPANY
Surety Company
Attest:
(Seal): , 4�`9-1 Signature of Authorized Representative
Rol::b 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
r • 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 V►'EIEREOF,the Company has caused these presents to_be signed and attested by its appropriate officers and its
ffi corporate seal hereunto axed this end day of June 2020
Attest Berki insurance Company
By
S'191 i l' Ir ederman y Je r after
Executive Vice President&Secretary Se ' resident
STATE OF CONIItECTICUT)
) ss:
COUNTY OF F IRFi'IELD )
Sworn 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—Presidentj.44fSecretaxy, and t o Senior Vice President,
respectively,of Berkley Insurance Company. M RIA 0 AUNDB c�CONNECTIER
MY COMMISSION EXPIRES -
APHIL30,2024 _'otary Public,State of Connecticut
CERTIFICATE
1,the undersigned,Assistant Secretary of BERKLEY 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
an4_thR Nhe authority of the Artomey-in Fact set forth therein, who executed the bond or nndertaking to which this Power of
k1;ne shed,is in full force and effect as ofthis date.
dor my Band and seal of the Company,this 10th day of Februa 2022
senoxi z�
`co
eAwAR` Vincent P.Forte