HomeMy WebLinkAboutContract 58075-FP1-FP1
City Secretary58075
Contract No.
FORT WORTH.
Date Received 06/17/2024
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: Majestic Silver Creek Addition
City Project No.: 103852
Improvement Type(s): Water ❑x Sewer ❑x
Original Contract Price: $1,460,119.79
Amount of Approved Change Order(s):-$94,750.00
Revised Contract Amount: $1,365,369.79
Total Cost of Work Complete: $1,365,369.79
Pri i a�neer� n 1Z�3 CDT) J u n 17, 2024
Contractor Date
ProlecOlaanger(Jun 17, 2410:03CDT)
Title
Commerce Construction Co, LP Rachel Ganceres
Company Name
ffey(& �S�a�G�� �ctt Grp
Hershel Stanley Satterfield (Jun 17, 202410:36 CDT
Jun 17 2024
,
Pr ject Inspector
"�
Date
Jun 17, 2024
Project Manager
Date
Rebecca 0 en (Jun 17, 202412:05 CDT)
Jun 17, 2024
CFA Manager
Date
°-
Lauren Prieur (Jun 17, 202412:08 CDT)
J u n 17, 2024
TPW Director
Date
CVWT�'
Jun 18, 2024
Asst. City Manager
Date
OFFICIAL RECORD
CITY SECRETARY Page 1 of 2
FT. WORTH, TX
Notice of Project Completion
Project Name: Majestic Silver Creek Addition
City Project No.: 103852
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 0
Statement of Contract Time
Contract Time: 240 WD Days Charged: 372
Work Start Date: 10/17/2022 Work Complete Date: 6/7/2024
Completed number of Soil Lab Test: 940
Completed number of Water Test: 31
Page 2 of 2
FORT WORTH
CITY OF FORT WORTH
FINAL PAYMENT REQUEST
Contract Name MAJESTIC SILVER CREEK ADDITION
Contract Limits
Project Type WATER & SEWER IMPROVEMENTS
City Project Numbers 103852
DOE Number 3852
Estimate Number 1 Payment Number 1
City Secretary Contract Number
Contract Date 10/17/2022
For Period Ending
Project Manager NA
Contractor COMMERCE CONSTRUCTION
13191 CROSSROADS PKWY N, 6TH FLR
CITY OF INDUSTRY, CA 91746
Inspectors D. WATSON / S. SUTTERFIE
Contract Time
Days Charged to Date
Contract is 100.00
6/7/2024
WD
24PdD
372
Complete
Wednesday, June 12, 2024 Page 1 of 5
City Project Numbers 103852
Contract Name MAJESTIC SILVER CREEK ADDITION
Contract Limits
Project Type WATER & SEWER IMPROVEMENTS
Project Funding
UNIT E WATER IMPROVEMENTS
Item Description of Items
No.
1 SALVAGE FIRE HYDRANT
2 SALVAGE V WATER METER
3 TRENCH SAFETY (CO #2)
4 24" CASING BY OTHER THAN OPEN CUT (CO
#2)
5 DUCTILE IRON WATER FITTINGS W/
RESTRAINT
6 8" DIP WATER
7 8" PVC WATER PIPE
8 10" DIP WATER
9 10" PVC WATER PIPE
10 12" DIP WATER (CO #2)
11 12" PVC WATER PIPE (CO #2)
12 12" WATER CARRIER PIPE (CO #2)
13 FIRE HYDRANT (CO #2)
14 WATER SAMPLING STATION (CO #2)
15 CONNECTION TO EXISTING 4"-12" WATER
16 2" COMBINATION AIR VALVE ASSEMBLY FOP
WATER
Estimated Unit
Quanity
2 EA
1 EA
4359 LF
0 LF
DOE Number 3852
Estimate Number 1
Payment Number 1
For Period Ending 6/7/2024
Unit Cost
Estimated
Completed
Completed
Total
Quanity
Total
$10,796.00
$21,592.00
2
$21,592.00
$4,848.00
$4,848.00
1
$4,848.00
$1.00
$4,359.00
4359
$4,359.00
$815.00
$0.00
0
$0.00
0.5 TN $192,220.00 $96,110.00 0.5 $96,110.00
77
LF
$75.00
$5,775.00
77
$5,775.00
108
LF
$65.00
$7,020.00
108
$7,020.00
132
LF
$113.00
$14,916.00
132
$14,916.00
81
LF
$90.00
$7,290.00
81
$7,290.00
310
LF
$127.00
$39,370.00
310
$39,370.00
3651
LF
$112.00
$408,912.00
3651
$408,912.00
0
LF
$127.00
$0.00
0
$0.00
11
EA
$4,845.00
$53,295.00
11
$53,295.00
32
EA
$900.00
$28,800.00
32
$28,800.00
4
EA
$7,500.00
$30,000.00
4
$30,000.00
2
EA
$13,261.00
$26,522.00
2
$26,522.00
17
2" WATER SERVICE
11 EA
$3,500.00
$38,500.00
11
$38,500.00
18
8" GATE VALVE
4 EA
$2,430.00
$9,720.00
4
$9,720.00
19
10" GATE VALVE
6 EA
$3,500.00
$21,000.00
6
$21,000.00
20
12" GATE VALVE (CO #2)
17 EA
$4,350.00
$73,950.00
17
$73,950.00
21
12" CUT -IN GATE VALVE
2 EA
$11,750.00
$23,500.00
2
$23,500.00
Sub -Total of Previous Unit
$915,479.00
$915,479.00
UNIT
H. SANITARY SEWER IMPROVEMENTS
Item
Description of Items
Estimated Unit
Unit Cost
Estimated
Completed
Completed
No.
Quanity
Total
Quanity
Total
---------------------------------------
1
TRENCH SAFETY
2827 LF
$1.00
$2,827.00
2827
$2,827.00
2
20" CASING BY OPEN CUT
39 LF
$250.00
$9,750.00
39
$9,750.00
3
8" SEWER PIPE
2512 LF
$90.35
$226,959.20
2512
$226,959.20
Wednesday, June 12, 2024 Page 2 of 5
City Project Numbers 103852
Contract Name MAJESTIC SILVER CREEK ADDITION
Contract Limits
Project Type WATER & SEWER IMPROVEMENTS
Project Funding
4 8" SEWER PIPE, CSS BACKFILL
170 LF
5 8" SEWER PIPE (ASTM D2241, PR 160)
145 LF
6 EPDXY MANHOLE LINER
127 VF
7 T MANHOLE
17 EA
8 T EXTRA DEPTH MANHOLE
84.1 VF
9 MANHOLE VACUUM TESTING
17 EA
10 POST CCTV INSPECTION
2827 LF
Sub -Total of Previous Unit
----------------------
DOE Number 3852
Estimate Number 1
Payment Number 1
For Period Ending 6/7/2024
$507.64 $86,298.80
$90.35 $13,100.75
$384.00 $48,768.00
$1,472.87 $25,038.79
$357.94 $30,102.75
$165.00 $2,805.00
$1.50 $4,240.50
$449,890.79
170 $86,298.80
145 $13,100.75
127 $48,768.00
17 $25,038.79
84.1 $30,102.75
17 $2,805.00
2827 $4,240.50
$449,890.79
Wednesday, June 12, 2024 Page 3 of 5
City Project Numbers 103852
Contract Name MAJESTIC SILVER CREEK ADDITION
Contract Limits
Project Type WATER & SEWER IMPROVEMENTS
Project Funding
Contract Information Summary
Original Contract Amount
Change Orders
Change Order Number 2
DOE Number 3852
Estimate Number 1
Payment Number 1
For Period Ending 6/7/2024
$1,460,119.79
($94,750.00)
Total Contract Price $1,365,369.79
Total Cost of Work Completed $1,365,369.79
Less % Retained $0.00
Net Earned $1,365,369.79
Earned This Period $1,365,369.79
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
$1,365,369.79
Wednesday, June 12, 2024 Page 4 of 5
City Project Numbers 103852
Contract Name MAJESTIC SILVER CREEK ADDITION
Contract Limits
Project Type WATER & SEWER IMPROVEMENTS
Project Funding
Project Manager NA
Inspectors D. WATSON / S. SUTTERFIE
Contractor COMMERCE CONSTRUCTION
13191 CROSSROADS PKWY N, 6TH FLR
CITY OF INDUSTRY, CA 91746
DOE Number 3852
Estimate Number 1
Payment Number 1
For Period Ending 6/7/2024
City Secretary Contract Number
Contract Date
10/17/2022
Contract Time
240 WD
Days Charged to Date
372 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 $1,365,369.79
Less % Retained
$0.00
Net Earned
$1,365,369.79
Earned This Period $1,365,369.79
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
$1,365,369.79
Wednesday, June 12, 2024 Page 5 of 5
REVIEWED
By George Marqeuez, P.E. at 5:00 pm, Jan 03, 2024
DEVELOPER -AWARDED -PROJECT CHANGE ORDER
PROJECT NAME:
WATER, SEWER, PAVING, DRIANAGE, & STREET LIGHT IMPROVEMENTS TO SERVE MAJESTIC
SILVER CREEK ADDITION
CHANGE
ORDER
CONTRACT:
No:
ICFA#
CFA22-0061 I
CITY PARTICIPATION:( NO
CITY PROJECT#
103852
FID #
30114-0200431-103852-EO7685
2
FILE #
W-2809, X-27182
INSPECTOR:
STANLEY SUTTERFIELD
Phone No: 817.240.4037
PROJECT MANAGER:
GEORGE MARQUEZ
Phone No: 817.392.6826
CONTRACT UNIT
I
WATER
SEWER PAVING DRAINAGE
ILLUMINATION
I CONTRACT
DAYS
DevelopOr Cost CityCost Developer Cost City Cost Developer Cost Clry Cost Developer Cost
CINos Ct
DeveloperCost ClotCost
IORIGINALCONTRACT
$1,010,229.00 $D.00
$449,690.79 $0.00 $2,079,97123 $0.00 $114181449.00
$0.00
$1143Z055.16 $0.00
240
(EXTRAS TO DATE
$0.00 $0.00
$0.00 $0.00 $D.DO $0.00 $0.00
$0.00
$0.00 $0.00
0
(CREDITS TO DATE
$0.00 $0.00
$0.00 $0.00 $0.00 $0.00 $0.00
$0.00
$225,699.82 $0.00
0
ICONTRACTTO DATE
$1,010,229.00 $0.00
$449,890.79 $0.00
$2,079,971.23 $0.00 $1,418,449.OD
$0.00
$1,206,355.34 $0.00
240
IAMOUNT OF PROP. CHANGE ORDER
($94,750.00) $0.00
$0.00 $0.00
$ 12,032.38 $0.00 $ 9,42D.38
$0.00
$ (48,176.07) $0.00
60
IREVISED CONTRACT AMOUNT
$915,479.00 $0.00
$449,890.79 $0.00 I $2.092,003.61 $0.00 $1,427,869.38
$0.00
$1,158,17927 j- $0.00
300
TOTAL REVISED CONTRACT
AMOUNT PER UNIT
$915,479.00
1
$449,890.79 $2,D92,003.61 $1,427,869.38
$1,156,17927
REVISED COST SHARE
Oev. Cost:
$6,043,422.05 City Cost:
'
TOTAL REVISED CONTRACT
$6,043,422.05
I
Revised: 10-12-2011 1Page 1
You are directed to make the followinl(p chances in the m text documerts:
PAY REM #
I CITY BID ITEM 9
GUANTITV I
UNIT
REM DESCRIPTION
I UNIT PRICE I
TOTAL
I 3
no .0109
13201
UNR I"WATER
LF N�1
Trench Saff }}vv
$ 7.00 $
fJ320.0011
I 4
3305.1104
(51)
LF
21 Ce.In Bj( Other T(1an Open Cut
$ 815.00 $
(41.565.00 1
1 10
3316
(6t))
LF
1 '12"DIP Water
$ 127.00 $
J7,747.0�%1
I it
I 12
3311.0461
3305.2004
(2581
(51)
LF
LF
12"PVC Water Pipe
12" Water Carrier Pioe
$ 112.00 $
$ 127.00 $
(23.298.00)1
(6.477.00% 1
1 13
33120001
(((11
EA
Fire HYdrent
S 4,945.00 $
(4.945.00� 1
14
3312.0002
j2'
EA
Water Sampling Statlon
$ 900.00 $
(1,800.00)I
20
3372.3005
2
EA
12"Gale slue
$ 4,350.00 $
1f8,700.00
I
SUBTOTAL UNIT I- WATER IMPROVEMENTS
$
1►4.750 11
1
UNIT III -PAVING
1
1 fi
0241 .11 00
36
SY
Remove Asphalt Pvmt
$ 6.50 $
234,00
7
0241.130D
407
LF
Remove Conc Curb&Gutter
$ 13.00 $
5.291.00
1 it
3213.010'
7
SY
9" Conc Pvmt
$ 49.74 $
348.18
1 13
3216.0301
188
SF
4"Conc Sidewalk
5.70 $
1071.60I
1 33'
3216.Otot
407
LF
6' Conc Curb and Gutter
.$
$ 8.80 I $
3,1.60 I
I 34'
0241.1000
204 I
SY
Remove Conc Pvmt
1 $ 425 I S
867.00 I
1 35'
0241.0100
142 I
SF
Remove Sidewalk
1 $ 4.50 I $
639.00 I
I
SUBTOTAL UNIT III -PAVING IMPROVEMENT
I $
12,032.381
I
UNIT IV -DRAINAGE!
I
I
I 9
3341.0311
I
l7)
I I
LF
I
36" RCP Class III
$ 761.00 I $
(7,727.00
I 25'
I
3349.8002
7
FA
16 e21n18t
�UBTOTAL UNIT IV- DRAINAGE IMPROVEMENTS
$ 10,547.38I $
I$
ig\\547 I
9p20.361
1
UNIT V-ILLUMINATION
1 1
I
1
I 2
2805.0103
((44)
LF
CO DT CS.H_SO ITj
$ 28.95I$
/14.680.9011
I 4
1 5
3441.1403
3441.1405
``0`%
(2805)
FA
LFnsul3teU
Ezolore pav7q/f� rr1x1 6cistinO{{�1 L61i1i85
Condr
$ 836.50 $
$ 7.79 I S
2 546.00)
�0.292.95 1
9
344t.3302
(3)
EA
Rdwy lllum Founds on TY 3,5.6, and B
$ 1.250.00 I $
3,750,0011
! 10
.1.3342
(3)
PA
Rdwy IIIum TY 18 Pole
$ 2,880.00 I $
8,840.00 I
! 27
3441.1501
((2j I
EA
Ground Box Tyge B
$ 1,800.00 I S
3,600.DO I
! 28•
34411403
Sh I
LF
NO a Triplex OH Insulated Elec Condr
$ 10.46 I $
5,313. I
SUBTOTAL UNIT V- ILLUMINATION IMPROVEMENTS
1$
46,171'1711
!
!
TOTAL
I $
121.473.3111
Change Order is needed to remove
320 feet of proposed 12" w�tat
rli ain extension along future Academy Boulevard from scope of this project
The water main
along
future Academey Boulevard to be included as part of a future C
with the City of Fort Worth Water Dept participating in an upsize from a
12 to 16" water main.
Change Omer is needed W improve
existing grades between a and south halves of Silver Creek Road west of Brewer HS Drive. These improvements
also
inlclude
the replacement of a stoml inlet at the BE corner of the inteme f
REASONS FOR CHANGE ORDER
n¢
Change Order is needed for the addition of street lighting on
Oncor utility poles along the southern edge of Silver Creek Road. These street
lights serve to replace
street light poles in
the area helping to avoid utility conflicts.
NO CITY FUNDS INVOLVED IN THIS CONTRACT
WILL BE SOUGHT BY THE DEVELOPER.
FOR 100%OF THE CHANGE ORDER COST AND NO REIMBURSEMENT FROM THE CITY
Revised: 10-12-2011 1I I Page 2
RECOMMENDED: APPROVISK
i
APPROVED:
Kimley-Horn and Associates, Inc. FIN 810, LLC
By: MajeeB
R 1
Commerce ConsWofion Co., L.P.
By:
a
Co.
Name: Brandon Middelton Name:
Name.
tuWARD P.
Title: ProiectEnaineer Mile, —..
I I
ROSKI, JR.
o.a,t:��..u.. ✓, ,e Board pTPclriPnt
Revised:10-12-2011
Page 3
FORTWORTH
TRANSPORTATION AND PUBLIC WORKS
PIPE
REPORT FOR:
PROJECT NAME:
Majestic Silver Creek
CITY PROJECT NUMBER:
103852
WATER
PIPE LAID
SIZE
TYPE OF PIPE
Ductile Iron
8"
DIP
PVC
8"
PVC
Ductile Iron
10"
DIP
PVC
10"
PVC
Ductile Iron
12"
DIP
PVC
12"
PVC
FIRE HYDRANTS: 11 ea
VALVES (16" OR LARGER)
PIPE ABANDONED
SIZE
TYPE OF PIPE
N/A
DENSITIES: yes
NEW SERVICES: 2" copper
I SEWER
PIPE LAID SIZE TYPE OF PIPE
PVC 8" PVC
PVC D2241,PR160 8" PVC
PIPE ABANDONED SIZE TYPE OF PIPE
N/A
DENSITIES: yes
NEW SERVICES: N/A
TRANSPORTATION AND PUBLIC WORKS
The City of Fort Worth • 1000 Throckmorton Street • Fort Worth, TX 76012-6311
LF
77
108
132
81
310
3651
N/A
LF
11 ea
LF
2512
145
LF
(817) 392 - 7941 • Fax: (817) 392 - 7845
FORTWORTH.
M"
TRANSPORTATION AND PUBLIC WORKS
June 11, 2024
Commerce Construction Co, LP
131 E. Exchange Avenue, Suite 220
Forth Worth, Texas 17164
RE: Acceptance Letter
Project Name: Majestic Silver creek
Project Type: Developer
City Project No.: 103852
To Whom It May Concern:
On May 28, 2024 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 7, 2024. 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 7, 2024, 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-
392-6826.
Sincerely,
George Marquez, Project Manager
Cc: Hershel Stanley Sutterfield, Inspector
Troy Gardner, Inspection Supervisor
Cody Horton, Senior Inspector
Andrew Goodman, Program Manager
Kimley Horn, Consultant
Commerce Construction, Contractor
Ft Worth 820 LLC, Developer
File
E-Mail: TPW_Acceptance@fortworthtexas.gov
Rev. 8/20/19
rCOTRUCTIONMMERCE
CONS
AFFIDAVIT
STATE OF TEXAS
COUNTY OF TARRANT
131 E. Exchange Avenue, Suite 220
Fort Worth, TX 76164
(972)726-0700
Before me, the undersigned authority, a notary public in the state
and county aforesaid, on this day personally appeared Dan Bell, VP,
District Manager Of Commerce Construction Co. L.P., known to me to be
a credible person, who being by me duly sworn, upon his oath deposed
and said;
That all persons, films, associations, corporations, or other
organizations fiunishing 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 iniury and/or
property damages;
On Contract described as;
13476 Silver Creels IPRC
City Proiect# 103852, CFA22-0061
BY 0-
Dan Bell, VP District Manager
Commercel-Rcom
Subscribed and sworn before me on this 12`I' day of June, 2024
tPaY °�e� PATRICIA JOYCE SHEFFIELD
Notary Public Notary ID #6491003
My Commission Expires
Tarrant County, TX '� cr �}P February 27, 2027
CONSENT OF
SURETY COMPANY
TO FINAL PAYMENT
Conforms with the American Institute of
Architects, AIA Document G707
PROJECT:
(name, address) Majestic Silver Creek Addition
Water, Sewer, Paving, Drainage, Lighting
TO (Owner)
F
FW 820, LLC AND THE CITY OF FORT WORTH
13191 Crossroads Parkway North, 6th Floor
City of Industry CA 91746
CONTRACTOR: COMMERCE CONSTRUCTION CO., L.P.
OWNER
❑
ARCHITECT
❑
CONTRACTOR
❑
SURETY
X❑
OTHER
Bond No 024257940
TX
ARCHITECT'S PROJECT NO:
CONTRACT FOR:
Water, Sewer, Paving, Drainage, Lighting, Ma1estic Silver Creek
Addition, Phase 1, Lots 1-31 Block 1 & Silver Creek Road, City Project
103852 CFA22-0061
CONTRACT DATE: 3/4/2022
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)
LIBERTY MUTUAL INSURANCE COMPANY
175 Berkeley Street
Boston MA 02117 , SURETY COMPANY
on bond of (here insert name and address of Contractor)
COMMERCE CONSTRUCTION CO., L.P.
13191 Crossroads Parkway North, 6th Floor
City of Industry CA 91746
,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)
FW 820, LLC AND THE CITY OF FORT WORTH
13191 Crossroads Parkway North, 6th Floor
City of Industry CA 91746
as set forth in the said Surety Company's bond.
IN WITNESS, WHEREOF,
the Surety Company has hereunto set its hand this
Attest:
(Seal):
P4pNF�RyTOyF
J F'
1912
o
d� SSI-uU dD
Seal No.5973
14th day of June, 2024
LIBERTY MUTUAL INSURANCE COMPANY
Surety Compap
Signature ,of Authorized Representative
Tracv Aston
Title
, OWNER,
Attorney -in -Fact
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
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.
Liberty Liberty Mutual Insurance Company
Mutual. The Ohio Casualty Insurance Company Certificate No: 8210628-024029
SURETY West American Insurance Company
POWER OF ATTORNEY
KNOWN ALL PERSONS BY THESE PRESENTS: That The Ohio Casualty Insurance Company is a corporation duly organized under the laws of the State of New Hampshire, that
Liberty Mutual Insurance Company is a corporation duly organized under the laws of the State of Massachusetts, and West American Insurance Company is a corporation duly organized
under the laws of the State of Indiana (herein collectively called the "Companies"), pursuant to and by authority herein set forth, does hereby name, constitute and appoint,
Mary Y. Volmar; Meghan Hanes; Rosa E. Rivas; Samantha Russell; Tracy Aston; Vanessa Fong
all of the city of Los Aggeles state of CA each individually if there be more than one named, its true and lawful attorney -in -fact to make,
execute, seal, acknowledge and deliver, for and on its behalf as surety and as its act and deed, any and all undertakings, bonds, recognizances and other surety obligations, in pursuance
of these presents and shall be as binding upon the Companies as if they have been duly signed by the president and attested by the secretary of the Companies in their own proper
persons.
IN WITNESS WHEREOF, this Power of Attorney has been subscribed by an authorized officer or official of the Companies and the corporate seals of the Companies have been affixed
thereto this 18th day of August 2023 .
Liberty Mutual Insurance Company
P� \NSU,pq P�tY INS& \NsU,pq The Ohio Casualty Insurance Company
�J o°aP°2yT�2� yJ G°RPORgT�9y \GPooRPORaT��0 West American Insurance Company
J3 ot� Q3 o n �3 oc°
1912 " 1919 m Lu 1991 0
O
�Jl sS4p.us� .da �HAMP`�a`,a3 �s1 �N01ANP .aa� r
BY
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David M. Carey, Assistant Secretary
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State of PENNSYLVANIA
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On this 18th day of August , 2023 before me personally appeared David M. Carey, who acknowledged himself to be the Assistant Secretary of Liberty Mutual Insurance
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Company, The Ohio Casualty Company, and West American Insurance Company, and that he, as such, being authorized so to do, execute the foregoing instrument for the purposes
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therein contained by signing on behalf of the corporations by himself as a duly authorized officer.
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IN WITNESS WHEREOF, I have hereunto subscribed my name and affixed my notarial seal at Plymouth Meeting, Pennsylvania, on the day and year first above written.
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Commonwealth of Pennsylvania - Notary Seal
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Teresa Pastella, Notary Public60
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My commission expires March 28, 2025
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Member, Pennsylvania Pe nsyl an a Association of Notaries
Pastella, Notary Public
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This Power of Attorney is made and executed pursuant to and by authority of the following By-laws and Authorizations of The Ohio Casualty Insurance Company, Liberty Mutual
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Insurance Company, and West American Insurance Company which resolutions are now in full force and effect reading as follows:
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ARTICLE IV- OFFICERS: Section 12. Power of Attorney.
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Any officer or other official of the Corporation authorized for that purpose in writing by the Chairman or the President, and subject to such limitation as the Chairman or the
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President may prescribe, shall appoint such attorneys -in -fact, as may be necessary to act in behalf of the Corporation to make, execute, seal, acknowledge and deliver as surety
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any and all undertakings, bonds, recognizances and other surety obligations. Such attomeys-in-fact, subject to the limitations set forth in their respective powers of attorney, shall
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have full power to bind the Corporation by their signature and execution of any such instruments and to attach thereto the seal of the Corporation. When so executed, such
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instruments shall be as binding as if signed by the President and attested to by the Secretary. Any power or authority granted to any representative or attomey-in-fact under the
provisions of this article may be revoked at any time by the Board, the Chairman, the President or by the officer or officers granting such power or authority.
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ARTICLE XIII - Execution of Contracts: Section 5. Surety Bonds and Undertakings.
Any officer of the Company authorized for that purpose in writing by the chairman or the president, and subject to such limitations as the chairman or the president may prescribe,
shall appoint such attorneys -in -fact, as may be necessary to act in behalf of the Company to make, execute, seal, acknowledge and deliver as surety any and all undertakings,
bonds, recognizances and other surety obligations. Such attorneys -in -fact subject to the limitations set forth in their respective powers of attorney, shall have full power to bind the
Company by their signature and execution of any such instruments and to attach thereto the seal of the Company. When so executed such instruments shall be as binding as if
signed by the president and attested by the secretary.
Certificate of Designation - The President of the Company, acting pursuant to the Bylaws of the Company, authorizes David M. Carey, Assistant Secretary to appoint such attorneys -in -
fact as may be necessary to act on behalf of the Company to make, execute, seal, acknowledge and deliver as surety any and all undertakings, bonds, recognizances and other surety
obligations.
Authorization - By unanimous consent of the Company's Board of Directors, the Company consents that facsimile or mechanically reproduced signature of any assistant secretary of the
Company, wherever appearing upon a certified copy of any power of attorney issued by the Company in connection with surety bonds, shall be valid and binding upon the Company with
the same force and effect as though manually affixed.
I, Renee C. Llewellyn, the undersigned, Assistant Secretary, The Ohio Casualty Insurance Company, Liberty Mutual Insurance Company, and West American Insurance Company do
hereby certify that the original power of attorney of which the foregoing is a full, true and correct copy of the Power of Attorney executed by said Companies, is in full force and effect and
has not been revoked.
IN TESTIMONY WHEREOF, I have hereunto set my hand and affixed the seals of said Companies this 14th day of June , 2024 .
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*�a Renee C. Llewellyn, Assistant Secretary
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