HomeMy WebLinkAboutContract 55316-FP2 City Secretary 55316 -FP2
Contract No.
FORTWORTH. Date Received Mar 14, 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: NORTHPOINTE PHASE 4
City Project No.: 102595
Improvement Type(s): Water XX Sewer XX
Original Contract Price: $773,974.50
Amount of Approved Change Order(s):
Revised Contract Amount:
Total Cost of Work Complete: $773,974.50
Mar 11,2022
JACOB OAT EWOOD(Mar 11 202216:56 CST)
Contractor Date
PROJECT MANAGER
Title
Conatser Construction TX, L.P.
Company Name
*'' Mar 11,2022
Kevin Jackson(Mar 11,202218:28 CST)
Project Inspector Date
Kiran Konduru,PC. M a r 14,2022
kl—k-d—,P.E.(Mar14,2022 09:00 CDT)
Project Manager Date
_yltle Sca nett Morales(Mar 14,20221238 CDT) Mar 14_ 7 2022
CFA Manager Date
� l���'o
Dana BurBhdoff(Mar1�16:41 CDT) Mar 14,2022
Asst. City Manager Date
OFFICIAL RECORD
CITY SECRETARY
FT.WORTH, TX Page 1 of 2
Notice of Project Completion
Project Name: NORTHPOINTE PHASE 4
City Project No.: 102595
City's Attachments
Final Pay Estimate ❑x
Change Order(s): ❑ Yes ❑x N/A
Pipe Report: ❑x Yes ❑ N/A
Contractor's Attachments
Affidavit of Bills Paid
Consent of Surety
Statement of Contract Time
Contract Time: 140 WD Days Charged: 189
Work Start Date: 4/1/2021 Work Complete Date: 3/8/2022
Page 2 of 2
FORT CVO RT H
CITY OF FORT WORTH
FINAL PAYMENT REQUEST
Contract Name WATER,SEWER,PAVING,DRAIANGE&STREET LIGHT IMPROVEMEN
Contract Limits
Project Type WATER&SEWER
City Project Numbers 102595
DOE Number 2595
Estimate Number 1 Payment Number 1 For Period Ending 3/1/2022
WD
City Secretary Contract Number Contract Time 14WD
Contract Date 2/1/2021 Days Charged to Date 189
Project Manager NA Contract is 100.00 Complete
Contractor CONATSER CONSTRUCTION TxLP
5327 WICHITA ST
FORT WORTH, TX 76119
Inspectors CORDOVA,R/ JACKSON,K
Wednesday,March 9,2022 Page I of 4
City Project Numbers 102595 DOE Number 2595
Contract Name WATER,SEWER,PAVING,DRAIANGE&STREET LIGHT IMPROVEM Estimate Number 1
Contract Limits Payment Number 1
Project Type WATER&SEWER For Period Ending 3/l/2022
Project Funding
UNIT I:WATER IMPROVEMENTS
Item Description of Items Estimated Unit Unit Cost Estimated Completed Completed
No. Quanity Total Quanity Total
---------------------------------------
1 8"WATER PIPE 4174 LF $34.00 $141,916.00 4174 $141,916.00
2 FIRE HYDRANT ASSEMBLY W/6"GATE 9 EA $4,200.00 $37,800.00 9 $37,800.00
VALVE&BOX
3 4"-12"WATER ABANDONMENT PLUG 4 EA $1,000.00 $4,000.00 4 $4,000.00
4 8"GATE VALVE 15 EA $1,250.00 $18,750.00 15 $18,750.00
5 DUCTILE IRON WATER FITTINGS 3.68 TN $4,500.00 $16,560.00 368 .1,656,000.00
W/RESTRAINT
6 1"WATER SERVICE 116 EA $950.00 $110,200.00 116 $110,200.00
7 CONNECTION TO EXISTING WATER MAIN 2 EA $1,000.00 $2,000.00 2 $2,000.00
8 TRENCH SAFETY 4174 LF $1.00 $4,174.00 4174 $4,174.00
--------------------------------------
Sub-Total of Previous Unit $335,400.00 $1,974,840.00
UNIT 11:SANITAR SEWER IMPROVEMENTS
Item Description of Items Estimated Unit Unit Cost Estimated Completed Completed
No. Quanity Total Quanity Total
--------- ------------------------------
1 8"WATER PIPE 4447 LF $42.00 $186,774.00 4447 $186,774.00
2 8"SEWER PIPE CSS BACKFILL 100 LF $60.00 $6,000.00 100 $6,000.00
3 8"SEWER PIPE CLSM BACKFILL 140 LF $70.00 $9,800.00 140 $9,800.00
4 EPDXY MANHOLE LINER 144.7 VF $385.00 $55,709.50 144.7 $55,709.50
5 4'MANHOLE 12 EA $3,800.00 $45,600.00 12 $45,600.00
6 4'DROP MANHOLE 1 EA $5,200.00 $5,200.00 1 $5,200.00
7 4'MANHOLE W/HYDRAULIC SLIDE 4 EA $4,800.00 $19,200.00 4 $19,200.00
8 4'SEWER SERVICE 116 EA $650.00 $75,400.00 116 $75,400.00
9 TRENCH SAFETY 4447 LF $1.00 $4,447.00 4447 $4,447.00
10 MANHOLE VACUUM TESTING 17 EA $150.00 $2,550.00 17 $2,550.00
11 POST-CCTV INSPECTION 4447 LF $2.00 $8,894.00 4447 $8,894.00
12 CONNECT TO EXISTING MH W/HYDRAULIC 1 EA $8,500.00 $8,500.00 1 $8,500.00
SLIDE
13 CONNECT TO PROPOSED 4'MH W/OUTSIDE I EA $9,500.00 $9,500.00 1 $9,500.00
DROP CONNECTION
14 CONNECT TO EXISTING STUB-OUT I EA $1,000.00 $1,000.00 1 $1,000.00
--------------------------------------
Sub-Total of Previous Unit $438,574.50 $438,574.50
--------------------------------------
Wednesday,March 9,2022 Page 2 of 4
City Project Numbers 102595 DOE Number 2595
Contract Name WATER,SEWER,PAVING,DRAIANGE&STREET LIGHT IMPROVEM Estimate Number I
Contract Limits Payment Number 1
Project Type WATER&SEWER For Period Ending 3/1/2022
Project Funding
Contract Information Summary
Original Contract Amount $773,974.50
Chanlle Orders
Total Contract Price $773,974.50
Total Cost of Work Completed $2,413,414.50
Less %Retained $0.00
Net Earned $773,974.50
Earned This Period $773,974.50
Retainsg a 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 $773,974.50
Wednesday,March 9,2022 Page 3 of 4
City Project Numbers 102595 DOE Number 2595
Contract Name WATER,SEWER,PAVING,DRAIANGE&STREET LIGHT IMPROVEM Estimate Number I
Contract Limits Payment Number I
Project Type WATER&SEWER For Period Ending 3/1/2022
Project Funding
Project Manager NA City Secretary Contract Number
Inspectors CORDOVA,R / JACKSON,K Contract Date 2/1/2021
Contractor CONATSER CONSTRUCTION TxLP Contract Time 140 WD
5327 WICHITA ST Days Charged to Date 189 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 $2,413,414.50
Less %Retained $0.00
Net Earned $773,974.50
Earned This Period $773,974.50
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 $773,974.50
Wednesday,March 9,2022 Page 4 of 4
FORTWORTH
TRANSPORTATION AND PUBLIC WORKS
PIPE REPORT FOR:
PROJECT NAME: Northpointe phase 4
PROJECT NUMBER: 102595
DOE NUMBER: 2595
WATER
PIPE LAID SIZE 8�� TYPE OF PIPEPVC LF 4174
8" C-900
FIRE HYDRANTS: 9 VALVES(16" OR LARGER) N/A
PIPE ABANDONED SIZE TYPE OF PIPE LF
None
DENSITIES: Yes
NEW SERVICES: Copper 116 EA
SEWER
PIPE LAID SIZE TYPE OF PIPE LF 4447
8" SDR-26 8" PVC
PIPE ABANDONED SIZE TYPE OF PIPE LF
None
DENSITIES: Yes
NEW SERVICES: 4" SDR-26 PVC 116 EA
TRANSPORTATION AND PUBLIC WORKS
The City of Fort Worth• 1000 Throcicmorton Street•Fort Worth,TX 76012-631]
0
(817)392-7941 •Fax:(817)392-78,15
FORTWORTH.
TRANSPORTATION AND PUBLIC WORKS
February 16, 2022
Conatser Construction
5327 Wichita Street
Forest Hill,tx 76119
RE: Acceptance Letter
Project Name: Northpointe PhA
Project Type: Water,Sewer,Paving, Drainage, Lighting
City Project No.: 102595
To Whom It May Concern:
On 2/22/22 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 3/8/22. 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 3/8/22, 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
Kiran Konduru, P.E., CFM
Acting Engineering Manager
Development Services Infrastructure Plan Review Center(IPRQ 200 Texas Street,Fort Worth,Texas
76102 Office Phone: 817-392-2237 Cell Phone: 682-201-6278 Email: kiran.konduru(c�,fortworthtexas.gov
Sincerely,
Kirgn Kon!luru, P.E.
kiran konduru,P.E.(Mar 14,2022 09:00 CDT)
Kiran Konduru, Project Manager
Cc: Kevin Jackson, Inspector
Ron Cordova, Inspection Supervisor
Gary Deyon, Senior Inspector
Victor Tornero, Program Manager
Kimley Horn, Consultant
Conatser Construction, Contractor
Lennar Homes of Texas Land &Construction Ltd., Developer
File
E-Mail: TPW_Acceptance@fortworthtexas.gov
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:
NORTHPOINTE PH. 4
WATER, SEWER, PAVING, DRAINAGE,AND
STREET LIGHT IMPROVEMENTS
DOE#: N/A
CFA PRJ#: 20-0145
CITY PROJECT #: 102595
CITY OF FORT WORTH
STATE OF TEXAS
CONATSER CONSTRUCTION TX, LP
-dgv�---�
400
Brock Huggins
Subscribed and sworn to before me this 7 h day of December 2021
t.AN! A 140ERIG Notary Public in Tarrant n , Texas
Pp_�flf
Po6itC,State ofTE�us
� �� �• ".)f z023
,.men.Expires
In 1 32 1314
3 162-g
-CONSENT OF OWNER ❑
SURETY COMPANY ARCHITECT ❑
CONTRACTOR ❑
TO FINAL PAYMENT SURETY ❑
Conforms with the American Institute of OTHER
Architects,AfA Document G707
Bond No 0236855
PROJECT:
(name, addresS)Northpointe, Phase 4
Fort Worth, TX
TO (Owner)
CITY OF FORT WORTH AND LENNAR HOMES OF ARCHITECT'S PROJECT NO: CFA No.20-0145
TEXAS LAND AND CONSTRUCTION, LTD. CONTRACT FOR:
1707 Market Place Blvd.,Suite 100 Water,Sewer,Paving,Drainage,&Street Light Improvements for
Northpointe,Phase 4
Irving TX 75063 _f 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 6th day of December, 2021
BERKLEY INSURANCE COMPANY
Surety Company
Attest;
(Seal); Signature of Authorized Representative
Robbi 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 WHEREOF,the Company has caused these presents to,be signed and attested by its appropriate officers and its
corporate seal hereunto affixed this end day of June 2020 .
Attest: Berid Insurance Company
��S�RAH�F'`•.
l �c•,
O3
By l By r•
t m �" IrLederman Je after
4 „fLwA ! Executive Vice President&Secretary Se ' ' c` resident
STATE OF CONNECTICUT)
) ss:
CAmw OF F~A.wrELD )
Sworn to before me, a rotary Public in the State of Connecticut,this 2nd day of June 2020 __ by Ira S.Lederman
and Jeffrey M. Rafter who are sworn to me to be the Executive Vice President Secretary, and t_ Senior Vice President,
respectively,ofBerkley Insurance Company. rN NOTARY PUM icy
CONNECTICUT
MY COMMISSION
2 EXPIRES y otity;Public,State of Connecticut
CERTIFICATE
I,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
and-drat th authority of the Attorney-in Fact set forth therein, who executed the bond or undertaking to which this Power of
,uueA�v ,
ses hed,is in full force and effect as of this date.
t`4pPi nider my hand and seal of the Company,this 6th day of Dece r 2021
;975
•� (AWn 'f 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:
NORTHPOINTE PH. 4
WATER, SEWER, PAVING, DRAINAGE,AND
STREET LIGHT IMPROVEMENTS
DOE#: N/A
CFA PRJ#: 20-0145
CITY PROJECT #: 102595
CITY OF FORT WORTH
STATE OF TEXAS
CONATSER CONSTRUCTION TX, LP
-dgv�---�
400
Brock Huggins
Subscribed and sworn to before me this 7 h day of December 2021
t.AN! A 140ERIG Notary Public in Tarrant n , Texas
Pp_�flf
Po6itC,State ofTE�us
� �� �• ".)f z023
,.men.Expires
In 1 32 1314
3 162-g
-CONSENT OF OWNER ❑
SURETY COMPANY ARCHITECT ❑
CONTRACTOR ❑
TO FINAL PAYMENT SURETY ❑
Conforms with the American Institute of OTHER
Architects,AfA Document G707
Bond No 0236855
PROJECT:
(name, addresS)Northpointe, Phase 4
Fort Worth, TX
TO (Owner)
CITY OF FORT WORTH AND LENNAR HOMES OF ARCHITECT'S PROJECT NO: CFA No.20-0145
TEXAS LAND AND CONSTRUCTION, LTD. CONTRACT FOR:
1707 Market Place Blvd.,Suite 100 Water,Sewer,Paving,Drainage,&Street Light Improvements for
Northpointe,Phase 4
Irving TX 75063 _f 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 6th day of December, 2021
BERKLEY INSURANCE COMPANY
Surety Company
Attest;
(Seal); Signature of Authorized Representative
Robbi 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 WHEREOF,the Company has caused these presents to,be signed and attested by its appropriate officers and its
corporate seal hereunto affixed this end day of June 2020 .
Attest: Berid Insurance Company
��S�RAH�F'`•.
l �c•,
O3
By l By r•
t m �" IrLederman Je after
4 „fLwA ! Executive Vice President&Secretary Se ' ' c` resident
STATE OF CONNECTICUT)
) ss:
CAmw OF F~A.wrELD )
Sworn to before me, a rotary Public in the State of Connecticut,this 2nd day of June 2020 __ by Ira S.Lederman
and Jeffrey M. Rafter who are sworn to me to be the Executive Vice President Secretary, and t_ Senior Vice President,
respectively,ofBerkley Insurance Company. rN NOTARY PUM icy
CONNECTICUT
MY COMMISSION
2 EXPIRES y otity;Public,State of Connecticut
CERTIFICATE
I,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
and-drat th authority of the Attorney-in Fact set forth therein, who executed the bond or undertaking to which this Power of
,uueA�v ,
ses hed,is in full force and effect as of this date.
t`4pPi nider my hand and seal of the Company,this 6th day of Dece r 2021
;975
•� (AWn 'f Vincent P.Forte