HomeMy WebLinkAboutContract 55813-FP2 City Secretary
Contract No. 55813 -FP2
FORT WO RT H Date Received Dec 20,2022
c
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: Deer Creek
City Project No.: 102958
Improvement Type(s): Water M Sewer
Original Contract Price: $972,346.00
Amount of Approved Change Order(s): $1,250.00
Revised Contract Amount:
Total Cost of Work Complete: $973,596.00
2j� Dec 19, 2022
Jacob Gatewood(Dec 19.2022 06:28 CST)
Contractor Date
Project Management
Title
Conatser Construction TX, L.P.
Company Name
A - Dec 19, 2022
Robert Ri(ev(De 19.2022 0T:03 CST)
Project Inspector Date
day P P Dec 19, 2022
Project Manager Date
'Febeaa Mum OWelr Dec 19 2022
Rebecca Diane Owen(Dec 19,202209:45 CST)
CFA Manager Date
A.'5a- Dec 19, 2022
Lauren Prieur(Dec 19,202210:11 CST)
Interim TPW Director Date
W'll' hnwn(De 9.202214:45 CST) Dec 19, 2022
Asst. City Manager Date
OFFICIAL RECORD
CITY SECRETARY
FT.WORTH,TX
Page 1 of 2
Notice of Project Completion
Project Name: Deer Creek
City Project No.: 102958
City's Attachments
Final Pay Estimate
Change Order(s): ® Yes ❑ N/A
Pipe Report: ® Yes ❑ N/A
Contractor's Attachments
Affidavit of Bills Paid
Consent of Surety
Statement of Contract Time
Contract Time: 140 WD Days Charged: 211
Work Start Date 07/06/2021 Work Complete Date: 5/25/2022
Soil Lab Number of Tests 386
Water Number of Tests: 15
Page 2 of 2
FORT WORTH
CITY OF FORT WORTH
FINAL PAYMENT REQUEST
Contract Name DEER CREEK
Contract Limits
Project Type WATER&SEWER
City Project Numbers 102958
DOE Number 2958
Estimate Number 1 Payment Number 1 For Period Ending 6/1/2022
WD
City Secretary Contract Number Contract Time 12UM
Contract Date 6/4/2021 Days Charged to Date 211
Project Manager NA Contract is 100.00 Complete
Contractor CONATSER CONSTRUCTION TxLP
5327 WICHITA ST
FORT WORTH, TX 76119
Inspectors CORDOVA,R / RILEY,R
Friday,December 16,2022 Pagel of 5
City Project Numbers 102958 DOE Number 2958
Contract Name DEER CREEK Estimate Number 1
Contract Limits Payment Number 1
Project Type WATER&SEWER For Period Ending 6/1/2022
Project Funding
UNIT L•WATER IMPROVEMENTS
Item Description of Items Estimated Unit Unit Cost Estimated Completed Completed
No. Quanity Total Quanity Total
---------------------------------------
1 8"WATER PIPE 5955 LF $35.00 $208,425.00 5955 $208,425.00
2 8"GATE VALVE 12 EA $1,250.00 $15,000.00 12 $15,000.00
3 FIRE HYDRANT 8 EA $4,800.00 $38,400.00 8 $38,400.00
4 DUCTILE IRON WATER FITTINGS 5.366 TN $5,000.00 $26,830.00 5.366 $26,830.00
W/RESTRAINT
5 1"WATER SERVICE(CO#1) 135 EA $1,000.00 $135,000.00 135 $135,000.00
6 TRENCH SAFETY 5955 LF $1.00 $5,955.00 5955 $5,955.00
7 CONNECTION TO EXISTING 4"-12"WATER 2 EA $1,500.00 $3,000.00 2 $3,000.00
MAIN
8 WATER TESTING(EXCLUDING GEOTECH) 5955 LF $1.00 $5,955.00 5955 $5,955.00
9 1"1RR SERVICE(CO#1) 3 EA $1,000.00 $3,000.00 3 $3,000.00
---------------------------------------
Sub-Total of Previous Unit $441,565.00 $441,565.00
---------------------------------------
UNIT III-SANITARY SEWER IMPROVEMENTS
Item Description of Items Estimated Unit Unit Cost Estimated Completed Completed
No. Quanity Total Quanity Total
---------------------------------------
1 8"SEWER PIPE(SDR-26 ASTM D3034 4160 LF $46.00 $191,360.00 4160 $191,360.00
2 8"DIP SEWER PIPE 441 LF $75.00 $33,075.00 441 $33,075.00
3 4"SEWER PIPE(CO#1) 129 EA $750.00 $96,750.00 129 $96,750.00
4 4'MANHOLE 22 EA $4,000.00 $88,000.00 22 $88,000.00
5 EXTRA DEPTH4'MANHOLE 59.4 VF $185.00 $10,989.00 59.4 $10,989.00
6 5'EXTRA DEPTH MANHOLE 12.6 VF $205.00 $2,583.00 12.6 $2,583.00
7 DUCTILE IRON SEWER FITTINGS 0.03 TN $5,000.00 $150.00 0.03 $150.00
8 8"SEWER PIPE CSS BACKFILL 338 LF $58.00 $19,604.00 338 $19,604.00
9 POST-CCTV INSPECTION 4954 LF $4.00 $19,816.00 4954 $19,816.00
10 MANHOLE VACUUM TESTING 23 EA $150.00 $3,450.00 23 $3,450.00
11 TRENCH SAFETY 4954 LF $1.00 $4,954.00 4954 $4,954.00
12 TRENCH WATER STOPS 14 EA $300.00 $4,200.00 14 $4,200.00
13 20"CASING BY OPEN CUT 80 LF $220.00 $17,600.00 80 $17,600.00
14 20"CASING BY OTHER THAN OPEN CUT 50 LF $580.00 $29,000.00 50 $29,000.00
15 Y MANHOLE OVER EXISTING 36"SEWER MAIN 1 EA $7,500.00 $7,500.00 1 $7,500.00
16 SLEEVED 4"SEWR SERVICE 6 EA $500.00 $3,000.00 6 $3,000.00
Friday,December 16,2022 Page 2 of 5
City Project Numbers 102958 DOE Number 2958
Contract Name DEER CREEK Estimate Number 1
Contract Limits Payment Number 1
Project Type WATER&SEWER For Period Ending 6/1/2022
Project Funding
---------------------------------------
Sub-Total of Previous Unit $532,031.00 $532,031.00
---------------------------------------
Friday,December 16,2022 Page 3 of 5
City Project Numbers 102958 DOE Number 2958
Contract Name DEER CREEK Estimate Number 1
Contract Limits Payment Number 1
Project Type WATER&SEWER For Period Ending 6/1/2022
Project Funding
Contract Information Summary
Original Contract Amount $972,346.00
Change Orders
Change Order Number 1 $1,250.00
Total Contract Price $973,596.00
Total Cost of Work Completed $973,596.00
Less %Retained $0.00
Net Earned $973,596.00
Earned This Period $973,596.00
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 $973,596.00
Friday,December 16,2022 Page 4 of 5
City Project Numbers 102958 DOE Number 2958
Contract Name DEER CREEK Estimate Number 1
Contract Limits Payment Number 1
Project Type WATER&SEWER For Period Ending 6/1/2022
Project Funding
Project Manager NA City Secretary Contract Number
Inspectors CORDOVA,R / RILEY,R Contract Date 6/4/2021
Contractor CONATSER CONSTRUCTION TxLP Contract Time 120 WD
5327 WICHITA ST Days Charged to Date 211 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 $973,596.00
Less %Retained $0.00
Net Earned $973,596.00
Earned This Period $973,596.00
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 $973,596.00
Friday,December 16,2022 Page 5 of 5
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FORTWORTH
TRANSPORTATION AND PUBLIC WORKS
PIPE REPORT FOR:
PROJECT NAME: Deer Creek
CITY PROJECT NUMBER: 102958
WATER
PIPE LAID SIZE TYPE OF PIPE LF
5955 8" PVC 5955
FIRE HYDRANTS: 8 VALVES(16" OR LARGER)
PIPE ABANDONED SIZE TYPE OF PIPE LF
DENSITIES: PASS
NEW SERVICES: 1"-135
SEWER
PIPE LAID SIZE TYPE OF PIPE LF
130 4" PVC 130 EA
PIPE ABANDONED SIZE TYPE OF PIPE LF
DENSITIES: PASS
NEW SERVICES:
TRANSPORTATION AND PUBLIC WORKS
The City of Fort Worth• 1000 Throckmorton Street•Fort Worth,TX 76012-6311
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FORT WORTH.
TRANSPORTATION AND PUBLIC WORKS
December 15, 2022
Conatser Construction
5327 Wichita St
Forest Hill,Tx 76119
RE: Acceptance Letter
Project Name: Deer Creek
Project Type: WTR,SS,SD,SL,PVG
City Project No.: 102958
To Whom It May Concern:
On May 25, 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 December 5, 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 December 5, 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-
392-2373.
Sincerely,
Y' P-ta,Pc—
Yogesh Patel, Project Manager
Cc: Robert Riley, Inspector
Gary Deyon, Inspection Supervisor
Gary Deyon,Senior Inspector
Victor Tornero, Program Manager
Blake Bradley, Consultant
Jacob Gatewood, Contractor
Kyle Kirkwood, Developer
File
E-Mail: TPW_Acceptance@fortworthtexas.gov
Rev.8/20/19
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:
DEER CREEK PH. 1
WATER, SANITARY SEWER, DRAINAGE, PAVING,
& STREET LIGHT IMPROVEMENTS
DOE#: N/A
CFA PRJ#: 21-0036
CITY PROJECT #: 102958
CITY OF FORT WORTH
STATE OF TEXAS
CONATSER CONSTRUCTION TX, LP
Brock Huggin
Subscribed and sworn to before me this 17'day of February, 2022.
N T ARY P ROE
PUBLIC Not Public in Tarrant County, Texas
NOTARY PUBLIC '
ID#133467933
�"�•, �:
Comm Vof118305.2025
'CONSENT OF OWNER ❑
SURETY COMPANY ARCHITECT ❑
TO FINAL PAYMENT SUR TY CONTRACTOR ❑
Conforms with the American Institute of OTHER
Architects,AIA Document G707
Bond No 0236872
PROJECT:
(name, addreSS)Deer Creek
Fort Worth, TX
TO (Owner)
DEER CREEK INTERESTS,LLC AND THE CITY OF ARCHITECT'S PROJECT NO: CFA#21-0036
FORT WORTH CONTRACT FOR:
10410 Windermere Lakes Blvd. Water,Sanitary Sewer, Drainage,Paving,&Street Lighting
Improvements for Deer Creek
Houston TX 77065 -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)
DEER CREEK INTERESTS, LLC AND THE CITY OF FORT WORTH
10410 Windermere Lakes Blvd.
Houston TX 77065 , OWNER,
as set forth in the said Surety Company's bond,
IN WITNESS, WHEREOF,
the Surety Company has hereunto set its hand this 16th day of February, 2022
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: Berkl Insurance Company
r
t m r S1 1I�oz By r By
Ir Lederman S after
1915•F Executive Vice President&Secretary S ce resident
�`t�LtiVlAQ `.
STATE OF CON ECTICUT)
) ss:
COUNTY OF FAIRFIELD )
Sworn to before me, a Notary Public in the State of Connecticut,this end 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 e Senior Vice President,
respectively,ofBerkley Insurance Company. ur Nora 'B c�
MY CO CO
CUT EXPIRES
APHIL30,2024 - otary Public,State of Connecticut
CERTIFICATE
I7 the undersigned,Assistant Secretary of BERKLEY INSURAINCE COMPANY,DO HEREBY CERTIFY that the foregoing is a
true,correct and complete copy of the original Power of Attomey;that said Power of Attorney has not been revoked or rescinded
anc)-rbattbe atrthwi.ty of the Attorney-in-Fact set forth therein, who executed the bond or undertaking to which this Power of
ep ched,is in full force and effect as ofthis date.
r. ! der my hand and seal of the Company,this 16th day of Februar 2022
197'.
VincentP.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:
DEER CREEK PH. 1
WATER, SANITARY SEWER, DRAINAGE, PAVING,
& STREET LIGHT IMPROVEMENTS
DOE#: N/A
CFA PRJ#: 21-0036
CITY PROJECT #: 102958
CITY OF FORT WORTH
STATE OF TEXAS
CONATSER CONSTRUCTION TX, LP
Brock Huggin
Subscribed and sworn to before me this 17'day of February, 2022.
N T ARY P ROE
PUBLIC Not Public in Tarrant County, Texas
NOTARY PUBLIC '
ID#133467933
�"�•, �:
Comm Vof118305.2025
'CONSENT OF OWNER ❑
SURETY COMPANY ARCHITECT ❑
TO FINAL PAYMENT SUR TY CONTRACTOR ❑
Conforms with the American Institute of OTHER
Architects,AIA Document G707
Bond No 0236872
PROJECT:
(name, addreSS)Deer Creek
Fort Worth, TX
TO (Owner)
DEER CREEK INTERESTS,LLC AND THE CITY OF ARCHITECT'S PROJECT NO: CFA#21-0036
FORT WORTH CONTRACT FOR:
10410 Windermere Lakes Blvd. Water,Sanitary Sewer, Drainage,Paving,&Street Lighting
Improvements for Deer Creek
Houston TX 77065 -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)
DEER CREEK INTERESTS, LLC AND THE CITY OF FORT WORTH
10410 Windermere Lakes Blvd.
Houston TX 77065 , OWNER,
as set forth in the said Surety Company's bond,
IN WITNESS, WHEREOF,
the Surety Company has hereunto set its hand this 16th day of February, 2022
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: Berkl Insurance Company
r
t m r S1 1I�oz By r By
Ir Lederman S after
1915•F Executive Vice President&Secretary S ce resident
�`t�LtiVlAQ `.
STATE OF CON ECTICUT)
) ss:
COUNTY OF FAIRFIELD )
Sworn to before me, a Notary Public in the State of Connecticut,this end 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 e Senior Vice President,
respectively,ofBerkley Insurance Company. ur Nora 'B c�
MY CO CO
CUT EXPIRES
APHIL30,2024 - otary Public,State of Connecticut
CERTIFICATE
I7 the undersigned,Assistant Secretary of BERKLEY INSURAINCE COMPANY,DO HEREBY CERTIFY that the foregoing is a
true,correct and complete copy of the original Power of Attomey;that said Power of Attorney has not been revoked or rescinded
anc)-rbattbe atrthwi.ty of the Attorney-in-Fact set forth therein, who executed the bond or undertaking to which this Power of
ep ched,is in full force and effect as ofthis date.
r. ! der my hand and seal of the Company,this 16th day of Februar 2022
197'.
VincentP.Forte