HomeMy WebLinkAboutContract 56522-FP2City Secretary
Contract No. 56522
-FP2
FORT WORTH.
Date Received 2/21/2023
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: Creek Side Estate Phase 3
City Project No 100825
Improvement Type(s): Water ❑x Sewer
Original Contract Price:
Amount of Approved Change Order(s):
Revised Contract Amount:
Total Cost of Work Complete:
�T
Jacob Gatewood (Feb 15, 2023 07:52 CST)
Contractor
Project Manager
Title
Conatser Construction TX, L.P.
Company Name
22,Z!5/
Sereio Garcia Pedroza (Feb 15, 2023 08:40 CST)
Project Inspector
e4A1, 944 — P. c-.
Khal Jaafari P.E. (eb 21. 202311:16 CST)
Project Manager
M,,&\
Rebecca Diane Owen (Feb 21, 202311:21 CST)
CFA Manager
Lauren Prieur (Feb 21.2023 11:25 CST)
Interim TPW Director
Q
William Johnson lFe 21. 202311:47 CSTI
Asst. City Manager
Feb 15, 2023
Date
Feb 15, 2023
Date
Feb 21, 2023
Date
Feb 21, 2023
Date
Feb 21, 2023
Date
Feb 21, 2023
Date
$424,595.00
$4,900.00
$429,495.00
Page 1 of 2
Notice of Project Completion
Project Name: Creek Side Estate Phase 3
City Project No.:
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 3/28/22 Work Complete Date: 12/8/2022
Soil Lab Number of Tests 274
Water Number of Tests 6
Page 2 of 2
FORT WORTH
CITY OF FORT WORTH
FINAL PAYMENT REQUEST
Contract Name CREEKSIDE ESTATES PHASE 3
Contract Limits
Project Type WATER & SEWER IMPROVEMENTS
City Project Numbers 100825
DOE Number 0825
Estimate Number 1 Payment Number 1
City Secretary Contract Number
Contract Date 1/18/2022
For Period Ending 1/18/2023
WD
Project Manager NA
Contractor CONATSER CONSTRUCTION TxLP
5327 WICHITA ST
FORT WORTH, TX 76119
Inspectors D.WATSON / S.GARCIA
Contract Time 12UD
Days Charged to Date 170
Contract is 100.00 Complete
Thursday, February 9, 2023 Page 1 of 4
City Project Numbers 100825
Contract Name CREEKSIDE ESTATES PHASE 3
Contract Limits
Project Type WATER & SEWER IMPROVEMENTS
Project Funding
UNIT I: WATER IMPROVEMENTS
Item Description of Items
No.
1 DUCTILE IRON WATER FITTING W/RESTRAINT
2 8" WATER PIPE
3 8" GATE VALVE
4 FIRE HYDRANT
5 1" WATER SERVICE
6 TRENCH SAFETY
7 CONNECTION TO EXISITING 4"-12" WATER
MAIN
UNIT 11: SEWER IMPROVEMENTS
DOE Number 0825
Estimate Number 1
Payment Number 1
For Period Ending 1/18/2023
Estimated Unit
Unit Cost
Estimated
Completed
Completed
Quanity
Total
Quanity
Total
2.12 TN
$5,500.00
$11,660.00
2.12
$11,660.00
2385 LF
$38.00
$90,630.00
2385
$90,630.00
4 EA
$1,250.00
$5,000.00
4
$5,000.00
3 EA
$4,200.00
$12,600.00
3
$12,600.00
82 EA
$950.00
$77,900.00
82
$77,900.00
2385 LF
$1.00
$2,385.00
2385
$2,385.00
4 EA
$1,000.00
$4,000.00
4
$4,000.00
Sub -Total of Previous Unit $204,175.00 $204,175.00
Item
Description of Items
Estimated Unit
Unit Cost
Estimated
Completed
Completed
No.
Quanity
Total
Quanity
Total
---------------------------------------
8
4" SEWER SERVICE
82 EA
$750.00
$61,500.00
82
$61,500.00
9
4' MANHOLE
10 EA
$4,500.00
$45,000.00
10
$45,000.00
10
8" SEWER PIPE
689 LF
$42.00
$28,938.00
689
$28,938.00
11
8" SEWER PIPE, CSS BACKFILL
20 LF
$52.00
$1,040.00
20
$1,040.00
12
10" SEWER PIPE
1388 LF
$50.00
$69,400.00
1388
$69,400.00
13
10" SEWER PIPE, CSS BACKFILL
40 LF
$60.00
$2,400.00
40
$2,400.00
14
4' EXTRA DEPTH MANHOLE
14 VF
$185.00
$2,590.00
14
$2,590.00
15
TRENCH SAFETY
2082 LF
$2.00
$4,164.00
2082
$4,164.00
16
POST -CCTV INPSECTION
2082 LF
$4.00
$8,328.00
2082
$8,328.00
17
MANHOLE VACUUM TESTING
9 EA
$150.00
$1,350.00
9
$1,350.00
18
8" DISEWER PIPE
5 LF
$122.00
$610.00
5
$610.00
Sub -Total
of Previous Unit
$225,320.00
$225,320.00
Thursday, February 9, 2023 Page 2 of 4
City Project Numbers 100825
Contract Name CREEKSIDE ESTATES PHASE 3
Contract Limits
Project Type WATER& SEWER IMPROVEMENTS
Project Funding
Contract Information Summary
Original Contract Amount
Change Orders
Change Order Number Al
Total Contract Price
DOE Number 0825
Estimate Number 1
Payment Number 1
For Period Ending 1/18/2023
$424,595.00
$4,900.00
$429,495.00
Total Cost of Work Completed $429,495.00
Less % Retained $0.00
Net Earned $429,495.00
Earned This Period $429,495.00
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
$429,495.00
Thursday, February 9, 2023 Page 3 of 4
City Project Numbers 100825
Contract Name CREEKSIDE ESTATES PHASE 3
Contract Limits
Project Type WATER& SEWER IMPROVEMENTS
Project Funding
Project Manager NA
Inspectors D.WATSON / S.GARCIA
Contractor CONATSER CONSTRUCTION TxLP
5327 WICHITA ST
FORT WORTH, TX 76119
DOE Number 0825
Estimate Number 1
Payment Number 1
For Period Ending 1/18/2023
City Secretary Contract Number
Contract Date
1/18/2022
Contract Time
120 WD
Days Charged to Date
170 WD
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 $429,495.00
Less % Retained
$0.00
Net Earned
$429,495.00
Earned This Period $429,495.00
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
$429,495.00
Thursday, February 9, 2023 Page 4 of 4
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FORTWORTH
TRANSPORTATION AND PUBLIC WORKS
PIPE REPORT FOR:
PROJECT NAME: CREEKSIDE ESTATES PHASE 3
CITY PROJECT NUMBER: 100825
WATER
PIPE LAID
SIZE
TYPE OF PIPE
LF
Open Trench
8"
PVC C-900 DR-14
2,385
FIRE HYDRANTS: 3
VALVES (16" OR LARGER)
PIPE ABANDONED
SIZE
TYPE OF PIPE
LF
None
DENSITIES:
Taken PASSED
NEW SERVICES:
1"
DOM Copper
1,394
SEWER
PIPE LAID
SIZE
TYPE OF PIPE
LF
Open Trench
8"
PVC SDR-26
709
Open Trench
loft
PVC SDR-26
1,428
Open Trench
8"
DI
5
PIPE ABANDONED
SIZE
TYPE OF PIPE
LF
DENSITIES:
NEW SERVICES:
4"
Taken PASSED
SDR-26
TRANSPORTATION AND PUBLIC WORKS
The City of Fort Worth • 1000 Throckmorton Street • Fort Worth, TX 76012-6311
1,968
(817) 392 - 7941 • Fax: (817) 392 - 7845
FORTWORTH.
TRANSPORTATION AND PUBLIC WORKS
January 19, 2023
Conatser Construction TX, LP
5327 Wichita St
Fort Worth, TX, 79119
RE: Acceptance Letter
Project Name: Creekside Estates Phase 3
Project Type: Developer
City Project No.: 100825
To Whom It May Concern:
On January 19, 2023 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 January 19, 2023. 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 January 19, 2023, 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,
Khal Jaafarl P.E.(Feb 21, 202311:16 CST)
Khal Jaafari P.E., Project Manager
Cc: Sergio Garcia Pedroza, Inspector
Donald Watson, Inspection Supervisor
Joseph Rogers, Senior Inspector
Kiran Konduru P.E., Program Manager
Dunaway Associates L.P., Consultant
Conatser Construction TX, L.P., Contractor
McCart-Risinger,L.P., Developer
File
E-Mail: TPW_Acceptance@fortworthtexas.gov
Rev.8/20/19
ma-so : om
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:
CREEKSIDE ESTATES PH. 3
WATER, SANITARY SEWER, PAVING
DRAINAGE, & STREET LIGHT IMPROVEMENTS
DOE#: N/A
CFA PRJ #: 20-0021
CITY PROJECT #: 100825
CITY OF FORT WORTH
STATE OF TEXAS
CONATSER CONSTRUCTION TX, LP
11
Brock Huggins
Subscribed and sworn to before me this 2nd day of November, 2022.
aYd�• KATHERINE ROSE
—
<P.• ...,
NOTARY PUBLIC Notary Public in Tarrant County, Texas
ID# 133467933
�:•, e: State olTexas
"'oF+ Comm. Exp.11-30-2025
`CONSENT OF
SURETY COMPANY
TO FINAL PAYMENT
Conforms with the American Institute of
Architects, AIA Document G707
PROJECT:
(name, addreSS)Creekside Estates Phase 3
Fort Worth, TX
TO (Owner)
OWNER
❑
ARCHITECT
❑
CONTRACTOR
❑
SURETY
❑
OTHER
Bond No 0242724
F— 7 ARCHITECT'S PROJECT NO: CFA20-0021
CITY OF FORT WORTH & MCCART-RISINGER, L.P CONTRACT FOR:
2111 N. Collins #323 Water, Sanitary Sewer, Paving, Drainage, & Street Light Imprvts. for
Creekside Estates Phase 3
Arlington TX 76011 —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)
BERKLEYINSURANCECOMPANY
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 & MCCART-RISINGER, L.P.
2111 N. Collins #323
Arlington TX 76011
as set forth in the said Surety Company's bond.
IN WITNESS, WHEREOF,
the Surety Company has hereunto set its hand this
Attest:
(Seal): '�
, OWNER,
1st day Of November, 2022
BERKLEY INSURANCE COMPANY
Surety Company
Signature of Authorized Representative
Robbi MXAgB 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-7280k
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
,b .- and appointed, and does by these presents make, constitute and appoint. Ricardo J. Reyna; Don F. Cornell; Sophinie .Hunter;
Robbi Morales; Kelly A. Westbrook, Tina McEtvan, Joshua Saunders, Tonie. Petranek; or Mikaela Peppers of Aon Risk
C Services Southivesr, 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.S50,000,000.00), to the.
same extent as if such bonds had been duly executed and acknowledged by the regularly elected officers of the Company at its
i principal office in their own proper persons..
a�
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:
v
o RESOLVED, that, with respect to the Surety businesswritten 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
o y 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
0 o corporate seal of the Company to powers of attomey executed pursuant hereto; and said officers may remove any such
attorney -in -fact and revoke any power of attorney previously granted; and further
F� w 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
a to further
' RESOLVED, that the signature of any authorized officer and the seal of the Company may be affixed by facsimile to any
3 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
U �
person or persons who shall have been such officer or officers of the Company, notwithstanding the fact that they may have
12
ceased to be such at the time when such instruments shall be issued.
o 0 1N WfINESS WB EREOF, the Compatty has caused these presents to be sued aud' attested by its appropriate officers and its
o corporate. seal hereunto affixed this aay of dba1 .
cz
y a�
Attest Berk] Insurance Company
o (Seal) By By Lt
edertnau < Je $er
o Executive Vice President & Secretary S i ice dent
o WARNING: TIUSPOWER.•L1VVALJD IFNOT PRR TED ON BLUE "BERKLEY" SECURITY PAPER
STATE OF CON NECTICUT )
o ? ss:
o COUNTY. OF FATRFIELD )
o
Sworn to beforeme, a Notary Public in the State of Connecticut; this � day of. M� QOa , by Ira S. Lederman
and Jeffrey M. Hafter who are :sworn to ie to`be the Executive Vice President Secretary, and Senior Vice President,
� rospectively,-ofBerkleylnsuraneeCompany. F��'NOT v�l�ai:iq c
m CONMECT[66T
MYcoa MSfOM EXNAES otar;Public State of Connecticut
2 Al"L 30, 2024 i
Z C;ERT.TF. JCATE
z I, the undersigned, Assistant Secretary of BERKLEY INSIRANCE COMPANY, DO HEREBY CERTIFY that the foregoing is a
C4 true, correct and complete copy of the original Power of Attorney; that said Power of Attorney has not been revolved or rescinded
3 Y and that the authority of the Atforney-in-F.nt:set forth therein, who.exeruted the bond or undertaking to which this :Power of.
Attorney is attached; -is_ in fall force -and effect as of this date.
C, wen under my hand.and seal of fltc Company, thisl S t day of Novemb 2022
(Scat)
Vincent P. Forte
ma-so : om
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:
CREEKSIDE ESTATES PH. 3
WATER, SANITARY SEWER, PAVING
DRAINAGE, & STREET LIGHT IMPROVEMENTS
DOE#: N/A
CFA PRJ #: 20-0021
CITY PROJECT #: 100825
CITY OF FORT WORTH
STATE OF TEXAS
CONATSER CONSTRUCTION TX, LP
11
Brock Huggins
Subscribed and sworn to before me this 2nd day of November, 2022.
aYd�• KATHERINE ROSE
—
<P.• ...,
NOTARY PUBLIC Notary Public in Tarrant County, Texas
ID# 133467933
�:•, e: State olTexas
"'oF+ Comm. Exp.11-30-2025
`CONSENT OF
SURETY COMPANY
TO FINAL PAYMENT
Conforms with the American Institute of
Architects, AIA Document G707
PROJECT:
(name, addreSS)Creekside Estates Phase 3
Fort Worth, TX
TO (Owner)
OWNER
❑
ARCHITECT
❑
CONTRACTOR
❑
SURETY
❑
OTHER
Bond No 0242724
F— 7 ARCHITECT'S PROJECT NO: CFA20-0021
CITY OF FORT WORTH & MCCART-RISINGER, L.P CONTRACT FOR:
2111 N. Collins #323 Water, Sanitary Sewer, Paving, Drainage, & Street Light Imprvts. for
Creekside Estates Phase 3
Arlington TX 76011 —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)
BERKLEYINSURANCECOMPANY
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 & MCCART-RISINGER, L.P.
2111 N. Collins #323
Arlington TX 76011
as set forth in the said Surety Company's bond.
IN WITNESS, WHEREOF,
the Surety Company has hereunto set its hand this
Attest:
(Seal): '�
, OWNER,
1st day Of November, 2022
BERKLEY INSURANCE COMPANY
Surety Company
Signature of Authorized Representative
Robbi MXAgB 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-7280k
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
,b .- and appointed, and does by these presents make, constitute and appoint. Ricardo J. Reyna; Don F. Cornell; Sophinie .Hunter;
Robbi Morales; Kelly A. Westbrook, Tina McEtvan, Joshua Saunders, Tonie. Petranek; or Mikaela Peppers of Aon Risk
C Services Southivesr, 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.S50,000,000.00), to the.
same extent as if such bonds had been duly executed and acknowledged by the regularly elected officers of the Company at its
i principal office in their own proper persons..
a�
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:
v
o RESOLVED, that, with respect to the Surety businesswritten 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
o y 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
0 o corporate seal of the Company to powers of attomey executed pursuant hereto; and said officers may remove any such
attorney -in -fact and revoke any power of attorney previously granted; and further
F� w 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
a to further
' RESOLVED, that the signature of any authorized officer and the seal of the Company may be affixed by facsimile to any
3 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
U �
person or persons who shall have been such officer or officers of the Company, notwithstanding the fact that they may have
12
ceased to be such at the time when such instruments shall be issued.
o 0 1N WfINESS WB EREOF, the Compatty has caused these presents to be sued aud' attested by its appropriate officers and its
o corporate. seal hereunto affixed this aay of dba1 .
cz
y a�
Attest Berk] Insurance Company
o (Seal) By By Lt
edertnau < Je $er
o Executive Vice President & Secretary S i ice dent
o WARNING: TIUSPOWER.•L1VVALJD IFNOT PRR TED ON BLUE "BERKLEY" SECURITY PAPER
STATE OF CON NECTICUT )
o ? ss:
o COUNTY. OF FATRFIELD )
o
Sworn to beforeme, a Notary Public in the State of Connecticut; this � day of. M� QOa , by Ira S. Lederman
and Jeffrey M. Hafter who are :sworn to ie to`be the Executive Vice President Secretary, and Senior Vice President,
� rospectively,-ofBerkleylnsuraneeCompany. F��'NOT v�l�ai:iq c
m CONMECT[66T
MYcoa MSfOM EXNAES otar;Public State of Connecticut
2 Al"L 30, 2024 i
Z C;ERT.TF. JCATE
z I, the undersigned, Assistant Secretary of BERKLEY INSIRANCE COMPANY, DO HEREBY CERTIFY that the foregoing is a
C4 true, correct and complete copy of the original Power of Attorney; that said Power of Attorney has not been revolved or rescinded
3 Y and that the authority of the Atforney-in-F.nt:set forth therein, who.exeruted the bond or undertaking to which this :Power of.
Attorney is attached; -is_ in fall force -and effect as of this date.
C, wen under my hand.and seal of fltc Company, thisl S t day of Novemb 2022
(Scat)
Vincent P. Forte