HomeMy WebLinkAboutContract 54629-FP1-FP1
FORT WORTH.
City Secretary 54629
Contract No.
Date Received 06/30/2023
AT
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: Meadowbrook Single Family Subdivision
City Project No.: 102559
Improvement Type(s): x❑ Paving
Original Contract Price:
Amount of Approved Change Order(s):
Revised Contract Amount:
Total Cost of Work Complete:
Brian wood
Brian Wnnti IJun 29. 202316:26 CDT)
Contractor
Vice President
Title
SYB Construction, Inc.
Company Name
J mes Ru (Jun 30, 2023 07:36 CDT)
Project Inspector
Victov V. Torn9vo,7r. T E
Project Manager
RebK�ecca Dia a Owen (Jun 30. 202308:39 CDT)
CFA Manager
_11r.—
Lauren Prieur IJun 30. 2023 08:42 CDT)
TPW Director
ydwiam inhncnnlw 30 7073094A fDTl
Asst. City Manager
❑ Drainage x❑ Street Lights ❑ Traffic Signals
$165,421.10
$504.00
$165,925.10
$165,925.10
Jun 29, 2023
Date
Jun 30, 2023
Date
Jun 30, 2023
Date
Jun 30, 2023
Date
Jun 30, 2023
Date
Jun 30, 2023
Date
OFFICIAL RECORD
CITY SECRETARY
FT. WORTH, TX
Page 1 of 2
Notice of Project Completion
Project Name: Meadowbrook Single Family Subdivision
City Project No.: 102559
City's Attachments
Final Pay Estimate x❑
Change Order(s): ❑x Yes ❑ N/A
Contractor's Attachments
Affidavit of Bills Paid
►
Consent of Surety
Statement of Contract Time
Contract Time 45 WD
Days Charged: 261
Work Start Date: 10/26/2020 Work Complete Date 2/2/2022
Completed number of Soil Lab Test: 150
Completed number of Water Test: 6
Page 2of2
FORT WORT 11
CITY OF FORT WORTH
FINAL PAYMENT REQUEST
Contract Name MEADOWBROOK SINGLE FAMILY SUBDIVISION
Contract Limits
Project Type PAVING & STREET LIGHTS
City Project Numbers 102559
DOE Number 2559
Estimate Number 1 Payment Number 1
City Secretary Contract Number
Contract Date 9/9/2020
Project Manager NA
Contractor SYB CONSTRUCTION COMPANY, INC.
421 COMPTON
Inspectors
For Period Ending 6/27/2023
WD
Contract Time 4WD
Days Charged to Date 261
Contract is 100.00 Complete
IRVING, TX 75061
CORDOVA, R / RUIZ, J
Thursday, June 29, 2023 Pagel of 5
City Project Numbers 102559
Contract Name MEADOWBROOK SINGLE FAMILY SUBDIVISION
Contract Limits
Project Type PAVING & STREET LIGHTS
Project Funding
UNIT IV: PAVING IMPROVEMENTS
Item
Description of Items
Estimated unit
No.
Quanity
1
MOBILIZATION
1 LS
2
REMOVE SIDEWALK
40 SF
3
REMOVE CONCRETE DRIVE
460 SF
4
REMOVE ASPHALT DRIVE
729 SF
5
REMOVE FENCE
105 LF
6
REOVE GUARDRAIL
40 LF
7
REEMOVE CONC. PVMT
12 SY
8
REMOVE ASPHALT PVMT
366 SY
9
REMOVE CONC. CURB & GUTTER (CO #1)
78 LF
10
SITE CLEARING
1 LS
11
6"-12" TREE REMOVAL
2 EA
12
12"-18" TREE REMOVAL
l EA
13
18"-24" TREE REMOVAL
2 EA
14
SWPPP > 1 ACRE
1 LS
15
LARGE STONE RIPRAP, DRY
17 SY
16
7" CONC PVMT
24 SY
17
9" CONC PVMT (CO #1)
21 SY
18
4" CONC SIDEWALK
5291 SF
19
7" CONCRETE DRIVEWAY
2825 SF
20
BARRIER FREE RAMP TYPE P-1
5 EA
21
6" CONC CURB AND GUTTER
582 LF
22
MISCELLANEOUS STRUCTURE ADJUSTMENT
3 EA
23
REMOVE SIGN
1 EA
24
4' WIDE CONCRETE FLUME
17 LF
25
CONSTRUCTION STAKING
1 LS
26
BARRICADES AND FENCING
1 LS
Sub -Total of Previous Unit
UNIT V: STREET LIGHTING IMPROVEMENTS
DOE Number 2559
Estimate Number I
Payment Number 1
For Period Ending 6/27/2023
Unit Cost
Estimated
Completed
Completed
Total
Quanity
Total
$10,000.00
$10,000.00
1
$10,000.00
$1.50
$60.00
40
$60.00
$1.50
$690.00
460
$690.00
$1.50
$1,093.50
729
$1,093.50
$1.00
$105.00
105
$105.00
$1.00
$40.00
40
$40.00
$1.50
$18.00
12
$18.00
$1.50
$549.00
366
$549.00
$9.00
$702.00
78
$702.00
$1,000.00
$1,000.00
1
$1,000.00
$100.00
$200.00
2
$200.00
$100.00
$100.00
1
$100.00
$100.00
$200.00
2
$200.00
$100.00
$100.00
1
$100.00
$180.00
$3,060.00
17
$3,060.00
$67.00
$1,608.00
24
$1,608.00
$69.00
$1,449.00
21
$1,449.00
$5.10
$26,984.10
5291
$26,984.10
$7.44
$21,018.00
2825
$21,018.00
$1,800.00
$9,000.00
5
$9,000.00
$40.00
$23,280.00
582
$23,280.00
$500.00
$1,500.00
3
$1,500.00
$1.00
$1.00
1
$1.00
$80.00
$1,360.00
17
$1,360.00
$22,000.00
$22,000.00
1
$22,000.00
$5,000.00
----------------
$5,000.00
1
$5,000.00
$131,117.60
$131,117.60
Item Description of Items Estimated Unit Unit Cost Estimated Completed Completed
No. Quanity Total Quanity Total
---------------------------------------
Thursday, June 29, 2023 Page 2 of 5
City Project Numbers 102559
Contract Name MEADOWBROOK SINGLE FAMILY SUBDIVISION
Contract Limits
Project Type PAVING & STREET LIGHTS
Project Funding
DOE Number 2559
Estimate Number I
Payment Number 1
For Period Ending 6/27/2023
1 FURNISH/INSTALL ELEC SERV PEDESTAL
1 EA
$6,000.00
$6,000.00
1
$6,000.00
2 2" CONDT RM (RISER)
80 LF
$15.00
$1,200.00
80
$1,200.00
3 2" CONDT PVC SCH 80 (T)
795 LF
$12.00
$9,540.00
795
$9,540.00
4 NO 8 INSULATED ELEC CONDR
2445 LF
$1.50
$3,667.50
2445
$3,667.50
5 FURNISH/INSTALL TYPE 33B ARM
4 EA
$250.00
$1,000.00
4
$1,000.00
6 RDWY ILLUM ASSMBLY TY 8, 11, D-25 AND D-
4 EA
$1,650.00
$6,600.00
4
$6,600.00
7 FURNISH/INSTALL LED LIGHTING FIXTURE (70
4 EA
$350.00
$1,400.00
4
$1,400.00
WATT
8 RDWY ILLUM FOUNDATION TY 1,2, AND 4
4 EA
$1,250.00
$5,000.00
4
$5,000.00
9 R2 HEAD
3 EA
$100.00
$300.00
3
$300.00
10 R4 HEAD
1 EA
$100.00
$100.00
1
$100.00
Sub -Total of Previous Unit
$34,807.50
$34,807.50
Thursday, June 29, 2023 Page 3 of 5
City Project Numbers 102559
Contract Name MEADOWBROOK SINGLE FAMILY SUBDIVISION
Contract Limits
Project Type PAVING & STREET LIGHTS
Project Funding
Contract Information Summary
Original Contract Amount
Change Orders
Change Order Number 1
Total Contract Price
DOE Number 2559
Estimate Number I
Payment Number 1
For Period Ending 6/27/2023
$165,421.10
$504.00
$165,925.10
Total Cost of Work Completed $165,925.10
Less % Retained $0.00
Net Earned $165,925.10
Earned This Period $165,925.10
Retainage This Period $0.00
Less Liquidated Damages
Days @ / Day
LessPavement Deficiency
Less Penalty
Less Previous Payment
Plus Material on Hand Less 15%
Balance Due This Payment
$0.00
$0.00
$0.00
$0.00
$0.00
$165,925.10
Thursday, June 29, 2023 Page 4 of 5
City Project Numbers 102559 DOE Number 2559
Contract Name MEADOWBROOK SINGLE FAMILY SUBDIVISION Estimate Number I
Contract Limits Payment Number 1
Project Type PAVING & STREET LIGHTS For Period Ending 6/27/2023
Project Funding
Project Manager NA City Secretary Contract Number
Inspectors CORDOVA, R / RUIZ, J Contract Date 9/9/2020
Contractor SYB CONSTRUCTION COMPANY, INC. Contract Time 45 WD
421 COMPTON Days Charged to Date 261 WD
IRVING, TX 75061 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 $165,925.10
Less % Retained $0.00
Net Earned $165,925.10
Earned This Period $165,925.10
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
$165,925.10
Thursday, June 29, 2023 Page 5 of 5
DEVELOPER -AWARDED -PROJECT CHANGE ORDER
PROJECT NAME:
Meadowbrook Single Family Subdivision
CONTRACT:
Paving & Water
CFA #
CFA20-0052
CITY PROJECT #
102559
DOE #
N/A
WATER PROJECT #
N/A
SEWER PROJECT #
N/A
FILE #
K-2738
INSPECTOR: James Ruiz
PROJECT MANAGER: Patrick Buckley
CITY PARTICIPATION: I NO
Phone No: 817-675-1574
Phone No: 817-392-2443
WATER SEWER
Developer
Developer Cost City Cost Cost City Cost
ORIGINAL CONTRACT $271,872.00 I $230,992.60
EXTRAS TO DATE I 1 CREDITS TO DATE
CONTRACT TO DATE $271,872.00 $0.00
AMOUNT OF PROP. CHANGE ORDER $188.00
REVISED CONTRACT AMOUNT $272,060.00 1 $0.00
TOTAL REVISED C6NTRACT AMOUNT
PER UNIT $272,060.00
REVISED COST SHARE Day. Cost:
TOTAL REVISED CONTRACT
$230,992.60
$0.00
$230,992.60 t $0.00
$230,992.60
$668,977.60
CHANGE
ORDER No:
1
CONTRACT UNIT
PAVING DRAINAGE STREET LIGHTS
Developer
Developer Cost Cites Cost Cost Cjty Cost Developer Cost City Cost
$130,613.60 $34,807.50
$130,613.60 $0.00 $0.00 $0.00 $34,807.60 $0.00
$604.00
$131,117.60 $0.00 $0.00 $0.00 $34,607.50 $0.00
$131,117.60 $0.00 $34,807.60
City Cost:'
$668,977.60
CONTRACT DAYS
45
45
0
45
Revised: 10-12-2011 Page 1
You are directed to make the following changes in the contract documents
PAY ITEM # CITY BID ITEM # QUANTITY UNIT
0241,1300 9 10 LF
3213.0104 17 6 SY
PAY ITEM #
3305.1103
3311.0241
3311n?51
REASONS FOR CHANGE ORDER
CITY BID ITEM # QUANTITY UNIT
3 -4 LF
6 52 LF
7 -4 LF
PAVINGITE
MM QQ Q
REMOVE CO� . URB & GUTTER
UNIT PRICE 00
$90.00
9" CONIC PVMT
$69.06
$414.00
SECTION TOTAL
$504.00
WATER
ITE
En
UNIT PRICE
TOTAL
ER THAN OPEN CUT
20" CASING BY NO
50.00
-$1 400.00
8" WATER PIPE
$34.OD
$1,768.00
8" DIP WATER
$45.00
-$180.00
SECTION TOTAL
$188.00
CHANGE ORDER TOTAL
$692.00
1) Shifted water bore to the west to avoid anew AT&T 5G
NO CITY FUNDS INVOLVED IN THIS CONTRACT. DEVELOPER IS RESPONSIBLE FOR 100% OF THE CHANGE ORDER COST AND NO
REIMBURSEMENT FROM THE CITY WILL BE SOUGHT BY THE DEVELOPER.
kREM1
I FN� APPROVED:
koc nsulting Engineers, Inc. ECM Meadowbrook, LLC
By: By:Name:high. P.E. Name: Logan Hostin
Title: Project Manager Title: Treasurer
APPROVED: /
SYB Construction Company, Inc. v
By:
Name: Brian Wood /
Title: Vice President
'tevised: 10-12-2011 Page 2
DEVELOPER -AWARDED -PROJECT CHANGE ORDER
PROJECT NAME:
Meadowbrook Single Family Subdivision _ CHANGE
CONTRACT:
Water ORDER No:
CFA#
CI=A20-0052 CITY PARTICIPATION:f NO
CITY PROJECT #
102559
DOE #
NIA I
2
WATER PROJECT #
NIA
SEWER PROJECT #
N/A
FILE #
K-2738
INSPECTOR:
PROJECT MANAGER:
James Ruiz Phone No:
Patrick Buckley Phone No:
WATER
Developer Cost
City Cost
ORIGINAL CONTRACT
$271,972.00
EXTRAS TO DATE
$188.00
CREDITS TO DATE
CO NTRACT TO DATE
$272,060.00
$0.00
AMOUNT OF PROP. CHANGE ORDFR
$1,300.00
REVISED CONTRACT AMOUNT
$273,360.00
$0.00
TOTAL REVISED CONTRACT AMOUNT
PER UNIT
$273,360.D0
REVISED COST SHARE
Dev. Cost:
TOTAL REVISED CONTRACT
SEWER
Developer
Cost Clty Cost
$230,992.50
$230,992.50 $0.00
$230,992.b0 $0.00
$230,992.50
$670,277.60
817-675-1574
817-392-2443
CONTRACT UNIT
PAVING
DRAINAGE
Developer
Developer Cast City Cost
Cost City Cost
$130,613.60
$604.D0
$131,117.60 $0.00
$0.06 I $0.110
$131,117.60 $0.00
$0.00 I $0.00
$131,117.60
$0.00
City Cost:
$670,277.60
1
STREET LIGHTS CONTRACT DAYS
Developer Cost City Cost
$34,807.60 45
$34.807.60 $0.00
$34.8D7.60 1 $0.00
$34,807.60
$0.00
45
0
45
Revised: 10-12-2011 Page 1
You are directed to make the fDllowing changes in the contract documents
WATER
PAY ITEM # EM DESCRIPTION
3312 2003 (CITY B;O1EA1
DITEM # QUANTITY � UNIT 17WATER SERVICE
SECTION TOTAL
CHANGE ORDER TOTAL
REASONS FOR CHANGE ORDER
1) Added a 1 "irrigation service at the Northeast comer of the site.
UNIT PRICE TOTAL
$1,300,00 $1,300.00
$1.300.00
$1,300.00
NO CITY FUNDS INVOLVED IN THIS CONTRACT. DEVELOPER IS RESPONSIBLE FOR 100% OF THE CHANGE ORDER COST AND NO
REIMBURSEMENT FROM THE CITY WILL BE SOUGHT BY THE DEVELOPER.
R OMMEND
P eco Koc nsulting Engineers, Inc.
By:
Name Jason Lehigh. P.E.
Title: Project Manager
APPROVED:
ECM Meadawb ok, LLC
By: 'N
Name: Lo n ostin
Title: Treasurer
U
APPROVED:
SYB 6onstructton Company, Inc.
By:
Name: Brian Woad
Title: Vice President
APPROVED
By Patrick Buckley at 1:28 pm, Dec 21, 2020
U
Revised: 10-12-2011 Page 2
FORTWORTH.
TRANSPORTATION AND PUBLIC WORKS
June 27, 2023
SYB CONSTRUCTION, INC
421 COMPTON AVE
IRVING, TEXAS 75061
RE: Acceptance Letter
Project Name: Meadowbrook Single Family Subdivision
Project Type: Water, Sewer, Paving, and Street Lights
City Project No.: 102559
To Whom It May Concern:
On February 2, 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 June 27, 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 June 27, 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-
392-2373.
Sincerely,
Victor V Tovhevo 7v T. E.
Victor Tornero, Project Manager
Cc: James Ruiz, Inspector
Gary Deyon, Inspection Supervisor
Edward Davila, Senior Inspector
Victor Tornero, Program Manager
Pacheco -Koch, Consultant
SYB Construction, Contractor
E.C.M Development, Developer
File
E-Mail: TPW_Acceptance@fortworthtexas.gov
Rev. 8/20/19
AFFIDAVIT
STATE OF TEXAS
COUNTY OF DALLAS
Before me, the undersigned authority, a notary public in the state
and county aforesaid, on this day personally appeared Brian Wood, Vice
President Of SYB Construction Co., Inc., 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;
That there are no claims pending for personal injury and/or
property damages;
On Contract described as;
Meadowbrook Subdivision CPN# 102559, Fort Worth, Tarrant County,
Texas
BY
IT — �J
Brian Wood, Vice President
Subscribed and sworn before me on this date 29th of June, 2023.
MEGGIN MOSMER
i•s Notary Public, State of Texas
CY
( 7 Comm. Expires08-23-2026
�-4
";"C;'��`'� Notary ID 13169408-6
Notary Pu
Dallas, Texas
CONSENT OF SURETY
TO FINAL PAYMENT
AIA Document G707
Bond No. 1068081
TO OlV-NER:
(Arame and ad lrzs l
City of Fort Worth
200 Texas Street
Fort Worth, TX 76102
PROJECT:
(ruoue and athb-a )
Meadowbrook Subdivision, CFA#20-0052
OWNER
ARCI-IMCT
CONTRACTOR
SURETY
OTHER
ARCHITEC S PROTECT NO.:
CONTRACT FOR: Water 8, Sewer Construction
Paving & Streetlight Construction
CONTRACT DAITM: September 9, 2020
In accordance rvi-th the provisions of the Contract between the Dinner and the Contractor as indicated above, the
(Insert nanreand gfSrrrq})
The Hanover Insurance Company
440 Lincoln Street
Worcester. MA 01653
on bond of
(inters name and addre.cv of Conrracio) )
0
D
G
, SURFTY,
SYB Construction Co., Inc.
421 Compton Ave.
Irving, TX 75061
CONTRACTOR,
hereby ap?roves of the final payment to the Contractor, and agrees that final payment to the Contractor shall not relieve the Surety of
any of its obligations to
(Iuset7 name ev2d address of Q)rr)er)
City of Fort Worth
200 Texas Street
Fort Worth, TX 76102
01XI 7Fit,
as set Porch in said Surety's bond.
LTA WITNESS NVH REOF, the Surety has hereunto set its hand on this date_ June 29, 2023
!hrsttl i)n 1'r itlrtq iGe trror:tk jafiautc/ hip tlx nr<rrr.�: rc rfrzte arnl tiar.)
The Hanover Insurance Company
�„••• �SIlri't}
By:
T (SignatumojautGo>)zr rpnsertar;��1
{rAA..:L— Holly Clevenger Attorney -in -Fact
Seal
(P7irflecl7Ta117� auci 1r;I�)
G707—f 994
THE HANOVER INSURANCE COMPANY
MASSACHUSETTS BAY INSURANCE COMPANY
CITIZENS INSURANCE COMPANY OF AMERICA
POWER OF ATTORIJEY
THIS Power of Attorney limits the acts of those named herein, and they have no authority to bind the Company except in the manner and to the
extent herein stated.
KNOW ALL PERSONS BY THESE PRESENTS:
That THE HANOVER INSURANCE COMPANY and MASSACHUSETTS BAY INSURANCE COMPANY. both being corporations organized and existing under the
Laws of the State of New Hampshire. and CITIZENS INSURANCE COMPANY OF AMERICA. a corporation organized and existing under the taws of the State of
Michigan. (hereinafter individually and collectively the'Company') does hereby constilulo and appoint.
Holly Clevenger
Of Dallas, TX individually. if there be more than one named. as its true and lawful attomey(s}in-fad to sign, execute. seal. acknowledge and
deliver for. and on its behalf, and as its act and deed any place within the United States. any and all surety bonds. recognizances, undertakings. or otter surety
obligations. The execution of such surety bonds, recognizances. undertakings or surety obligations. in pursuance of these presents. shall be as binding upon the
Company as if they had been duly signed by the president and attested by the secretary of the Company, in their own proper persons. Provided however, that th is
power of attorney limits the acts of those named herein. and they have no authority to bind the Company except in the manner stated and to the extent of any
iimilaborl stated below:
Any such obligations in the United States, not to exceed Forty Mittiion and No/100 ($40,000.000) in any single instance
That this power is made and executed pursuant to the authority of the following Resolutions passed by the Board of Directors of said Company. and saidResolutions,
remain in full force and etfehx
Surety Bond Number: 1068081
Principal: SYB Construction Co., Inc.
Obiigoe: City of Fort Worth, TX
RESOLVED: That the President or any Vice President in conjunction with any Vice President be and they hereby are authorized and empowered to
appoint Attomeysin-tact of the Company. in its name and as it acts. to execute and acknowledge for and on its behalf as surety. any and all bonds.
recognixanoes, contracts of indemnity. waivers of citation and all other writings obligatory in the nature 2weof. with power to attach thereto the seat of the
Company. Any such writings so executed by such Attorneys -in -fact shall be binding upon the Company as if they had been duty executed and
acknowledged by the regularly elected officers of the Company in their own proper persons.
RESOLVED: That any and au Powers of Attorney and CcrtiSod Copies of such Powers of A horny and certification in respect thereto. granted and
executed by the President or Vex President in eor4unction with any Vice President of the Company. shy! be binding on the Company to the same extent
as d an signatures therein were manually affixed, even though one or more of any such signatures thereon may be facsimile. (Adopted October 7,1981 —
The Hanover Insurance Company; Adopted April 14.1082— Massachusetts Bay Insurance Company; Adapted September 7.2001—Citmans tnsuranoe
Company of America and affirmed by each Company on March 24. 2014)
IN WITNESS WHEREOF. THE HANOVER INSURANCE COMPANY. MASSACHUSETTS BAY INSURANCE COMPANY and CITIZENS INSURANCE COMPANY
OF AMERICA have caused these presents to be sealed with their respective corporate seals. duty attested by two V,ce Presidents. this 614 day of April, 2023
7bc liamortr Niwranct Company
Nr w.c►.«tn say Ilmornnee Company
Cklam kvin►am Cewpmmy tAmtcrtn
OW101 941606-4�
J H.Kawleekl,
STATE OF CONNECTICUT )
COUNTY OF HARTFORD ) ss
The llasoser lasurawec Company
►melts Bar lamniace Ce-pany
Ito CempenrorAemrrfra
T
Ilea AL ilbridoza. Vice President
On this 6th day of April 2023 before me came the above named Executive Vice President and Vice Presidentof The Hanover Insurance Company. Massachusetts
Bay Insurance Company and Citizens Insurance Company of America, to me personally known to be tie individuals and officers described herein, and
acknowledged that the seals affixed to the preceding instrument are the corporate seals of The Hanover Insurance Company. Massachusetts Bay Insurance
Company and Citizens Insurance Company of America, respectively, and that the said corporate seals and their signatures as officers were duty affixed and
subscribgd_to Said iristrvment by thq authwity and direction it said Corporabons.
Wendy Lstoumes
Nptely Public, State aii Conrtacticw �—
WLn y Lstou esr rY rv(b�ia
Ct)In 6S3W f>a*3 J* 31. 2M My 00MlS6 n ex r*s Jdy 31 r 2026
1. the undersigned Vtoe President of The Hanover insurance Company. Massachusetts Bay Insurance Company and Citizens Insurance Company of Amenea.
hereby certify that the above and foregoing is* ". true and correct copy of tine Original Power of At'dmey issued by said Compsnier. and do hereby further certify
that the said Powers of Attorney are still in force and effect
GIVEN under my hard and the seas of said Companies, at Worcester. Massachusetts. this 29th day of June 2023
T16C (aaaramte
N b 16' 1 my
CERTIFIED COPY A
*he Rewr.11cr. Fick Prr4dcat