HomeMy WebLinkAboutContract 57873-A1FP2FORTWORTH.
57873-A1FP2
City Secretary 57873-A1
Contract No.
Date Received 08/12/2024
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: Tradition Central Phase 2C
City Project No.: 103188
Improvement Type(s): Water ❑x Sewer x�
Original Contract Price: $1,548,642.00
Amount of Approved Change Order(s): $46,374.32
Revised Contract Amount: $1,595,016.32
Total Cost of Work Complete: $1,595,016.32
PwU COG Il s Aug 8, 2024
Will Collins (Aug 8, 202410:00 CDT)
Contractor Date
Project Manager
Title
Acadia Services LLC
Company Name
9�_11�
Aug 8, 2024
Project Inspector
Date
Aug 8, 2024
Project Manager
Date
Aug 12, 2024
Rehecra Owen fAue 12202408:31 CDT)
CFA Manager
Date
Aug 12, 2024
Lauren Prieur (Aug 12, 202408:32 CDT)
TPW Director
Date
Cvl�
Aug 13, 2024
Asst. City Manager
Date
OFFICIAL RECORD
CITY SECRETARY
FT. WORTH, TX
Page 1 of 2
Notice of Project Completion
Project Name: Tradition Central Phase 2C
City Project No.: 103188
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: 222 WD Days Charged: 232
Work Start Date: 7/10/2023 Work Complete Date: 7/12/2024
Completed number of Soil Lab Test: 1294
Completed number of Water Test: 11
Page 2 of 2
FORT WORTH
CITY OF FORT WORTH
FINAL PAYMENT REQUEST
Contract Name TRADITION, CENTRAL PHASE 2C
Contract Limits
Project Type WATER, SEWER AND DRAINAGE
City Project Numbers 103188
DOE Number 3188
Estimate Number 1 Payment Number 1 For Period Ending
City Secretary Contract Number
Contract Date
Project Manager NA
Contractor ACADIA SERVICES
1510 JELMAK ST
GRAND PRAIRIE, TX 75050
Inspectors T. GARDNER / J. ROGERS
Contract Time
Days Charged to Date
Contract is 100.00
8/1/2001
WD
16WD
232
Complete
Monday, August 5, 2024 Page 1 of 5
City Project Numbers 103188 DOE Number 3188
Contract Name TRADITION, CENTRAL PHASE 2C Estimate Number 1
Contract Limits Payment Number 1
Project Type WATER, SEWER AND DRAINAGE For Period Ending 8/1/2001
Project Funding
UNIT I: WATER FACILITIES
Item
Description of Items
Estimated Unit
Unit Cost
Estimated
Completed
Completed
No.
Quanity
Total
Quanity
Total
1
4"-12" PRESSURE PLUG
2 EA
$481.00
$962.00
2
$962.00
2
TRENCH SAFETY
5323 LF
$1.00
$5,323.00
5323
$5,323.00
3
DUCTILE IRON WATER FILINGS w/ RESTRAINT
1.5 TN
$31,326.00
$46,989.00
1.5
$46,989.00
4
8" PVC WATER PIPE
4963 LF
$53.00
$263,039.00
4963
$263,039.00
5
8" PVC WATER PIPE, CSS BACKFILL
360 LF
$137.00
$49,320.00
360
$49,320.00
6
STD. FIRE HYDRANT ASSEMBLY w/ 6" GATE
4 EA
$8,125.00
$32,500.00
4
$32,500.00
VALVE & VALVE BOX
7
CONNECT TO EXISTING 8" W.L. STUB -OUT
3 EA
$2,817.00
$8,451.00
3
$8,451.00
8
1" DOMESTIC WATER SERVICES
180 EA
$1,617.00
$291,060.00
180
$291,060.00
9
8" GATE VALVE & VALVE BOX (CO#1)
15 EA
$2,747.00
$41,205.00
15
$41,205.00
10
1 1/2 " IRRIGATION SERVICE
1 EA
$1,986.77
$1,986.77
1
$1,986.77
11
INSTALL 8" DIP WATER PIPE (W-2 STA 2+44 TO
1 LS
$37,785.62
$37,785.62
1
$37,785.62
3+24) (CO#2)
12
REMOVE 8" PVC WATER PIPE (W-2 STA 2+44
1 LS
$3,854.93
$3,854.93
1
$3,854.93
TO 3+24) (CO#2)
Sub -Total of Previous
Unit
$782,476.32
$782,476.32
-------------------
UNIT
IL SANITARY SEWER FACILITIES
Item
Description of Items
Estimated Unit
Unit Cost
Estimated
Completed
Completed
No.
Quanity
Total
Quanity
Total
10
4"-12" PRESSURE PLUG
2 EA
$169.00
$338.00
2
$338.00
11
LARGE STONE RIPRAP, DRY
56 SY
$91.00
$5,096.00
56
$5,096.00
12
POST -CCTV INSPECTION
5812 LF
$3.00
$17,436.00
5812
$17,436.00
13
VACUUM TEST MANHOLES
25 EA
$202.00
$5,050.00
25
$5,050.00
14
TRENCH SAFETY
5812 LF
$1.00
$5,812.00
5812
$5,812.00
15
TRENCH WATER STOPS
13 EA
$1,894.00
$24,622.00
13
$24,622.00
16
SDR-26 4" SEWER SERVICES
180 EA
$1,142.00
$205,560.00
180
$205,560.00
17
8" SDR-26 PVC SEWER PIPE
5113 LF
$53.00
$270,989.00
5113
$270,989.00
18
8" PVC SANITARY SEWER PIPE W/ CSS
442 LF
$132.00
$58,344.00
442
$58,344.00
BACKFILL
19
12" PVC SANITARY SEWER PIPE
257 LF
$68.00
$17,476.00
257
$17,476.00
20
4' STD. DIA. MANHOLE
23 EA
$5,710.00
$131,330.00
23
$131,330.00
21
T EXTRA DEPTH MANHOLE
91 VF
$343.00
$31,213.00
91
$31,213.00
Monday, August 5, 2024 Page 2 of 5
City Project Numbers 103188 DOE Number 3188
Contract Name TRADITION, CENTRAL PHASE 2C Estimate Number 1
Contract Limits Payment Number 1
Project Type WATER, SEWER AND DRAINAGE For Period Ending 8/1/2001
Project Funding
22
5' STD. DIA. MANHOLE 2 EA
$8,941.00
$17,882.00
2
$17,882.00
23
5' EXTRA DEPTH MANHOLE 10 VF
$477.00
$4,770.00
10
$4,770.00
24
CONNECT TO EXISTING 12" SEWER 1 EA
$3,118.00
$3,118.00
1
$3,118.00
25
16" STEEL CASING 36 LF
$237.00
$8,532.00
36
$8,532.00
26
--------------------------------------
MANHOLE CORROSION PROTECTION 1 EA
$4,972.00
$4,972.00
1
$4,972.00
Sub-Total of Previous Unit
$812,540.00
$812,540.00
Monday, August 5, 2024 Page 3 of 5
City Project Numbers 103188
Contract Name TRADITION, CENTRAL PHASE 2C
Contract Limits
Project Type WATER, SEWER AND DRAINAGE
Project Funding
Contract Information Summary
Original Contract Amount
Change Orders
Change Order Number 1
Change Order Number 2
DOE Number 3188
Estimate Number 1
Payment Number 1
For Period Ending 8/1/2001
$1,548,642.00
$4,733.77
$41,640.55
Total Contract Price $1,595,016.32
Total Cost of Work Completed $1,595,016.32
Less % Retained $0.00
Net Earned $1,595,016.32
Earned This Period $1,595,016.32
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
$1,595,016.32
Monday, August 5, 2024 Page 4 of 5
City Project Numbers 103188
Contract Name TRADITION, CENTRAL PHASE 2C
Contract Limits
Project Type WATER, SEWER AND DRAINAGE
Project Funding
Project Manager NA
Inspectors T. GARDNER / J. ROGERS
Contractor ACADIA SERVICES
1510 JELMAK ST
GRAND PRAIRIE, TX 75050
DOE Number 3188
Estimate Number 1
Payment Number 1
For Period Ending 8/1/2001
City Secretary Contract Number
Contract Date
Contract Time 160 WD
Days Charged to Date 232 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 $1,595,016.32
Less % Retained
$0.00
Net Earned
$1,595,016.32
Earned This Period $1,595,016.32
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
$1,595,016.32
Monday, August 5, 2024 Page 5 of 5
DEVELOPER -AWARDED -PROJECT CHANGE ORDER
PROJECT NAME:
Tradition - Phase 2C
CONTRACT:
(A) Water/Sewer/Storm Drain, (B) Paving, (C) Street Lights
ICFA#
21-0072 1 CITY PARTICIPATION: U%
CITY PROJECT #
103188
IFID #
30114-0200431-103188-EO7685
FILE #
X-26848
INSPECTOR:
Adam Payan Phone No: 682-225-9106
PROJECT MANAGER:
Arash Emami Saleh Phone No: 817-392-2373
REVIEWED
By Arash Emami Saleh at 11:48 am, Sep 11, 2023
CHANGE
ORDER No:
CONTRACT UNIT
WATER
I SEWER
DRAINAGE
PAVING
STREETLIGHTS
CONTRACT
Developer
Developer
Developer
DAYS
Cost City Cost
Developer Cost
Cost 9-ity Cost
Developer Cost City Cost
Cost
(ORIGINAL CONTRACT
$736,102.00 $0.00
$812,540.00
$2,521,041.00 - $0.00
$2,335,237.75 $0.00
$156,627.40
220
EXTRAS TO DATE
CREDITS TO DATE
■
CONTRACT TO DATE
$736,102.00 $0.00
$812,540.00 $5
$2,521,041.00 $0.00
$2,335,237.75
$156,627.40
220
(AMOUNT OF PROP. CHANGE ORDER
$4,733.77
$0.00 ■
$39,317.00
$0.00
$0.00
0
REVISED CONTRACT AMOUNT
$740,835.77 $0.00
$812,540.00 $■�
$2,660,368.00 $0.00
� $2,336,237.76
$156,627.40
220
TOTAL REVISED CONTRACT AMOUNT
PER UNIT
$740,835.77
$812,540.00
$2,560,358.00
$2,335,237.7
$$156,627.40
REVISED COST SHARE
Dev. Cost:
$6,605,598.92
City Cost:
TOTAL REVISED CONTRACT
You are directed to make the following
hangea in the Contract
documents
CITY BID ITEM
PAY ITEM #
#
QUANTITY
UNIT
3312.3003
9
1
EA
3312.2104
NEW
1
EA
WATER TOTAL
3137.0104
27
73 SY
3305.0109
28
173 LF
3305.0115
29
2 EA
3341.0201
30
384 LF
3341.0205
31
(240) LF
3341.0208
32
29 LF
3349.0001
36
3 EA
I 3349.0103
37
(1) EA
I 3349.5001
43
j EA
I 3349.5002
44
(1) EA
I
DRAINAGE TOTAL
$6,605,598.92
TOTAL
REASONS FOR CHANGE ORDER
1. Added 8" gate valve for testing and added and irrigation service.
2. Reconcilliation of contract quantities to match approved construction plans.
8" Gat Valve & Valve Box
1 1/2" Irrigation Service
Medium Riprap, dry
Trench Safety
Concrete Collar
21" RCP, Class III
24" RCP, Class III
27" RCP, Class III
4' Storm Junction Box
4' Manhole Riser
10, Curb Inlet
15' Curb Inlet
UNIT PRICE TOTAL
$2,747.00 $2,747.00
$1,986.7� $1,986.77
$4``733.77
$91.00 $6,643.00
$1.00 $173.00
$405.00 $810.00
$80.00 $30,720.00
$91.00 ($21,840.00
$101.00 $2,929.00
$8,569.00 $25,707.00
$3,870.00 ($3,870.00�
$6,630.00 $6♦`630.0
$8,585.00 �UN5.00)
39,317.0d0
$44,050.77
Revised: 10-12-2011 Page 1
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.
RECOMMENDED: APPROVE7: APPROVED:
Goodwin and Marshall, Inc. HT HWY 11Ja94Vqpmen1 LP Acadra Sewicees,�LLC�J+�
Name: Mats Baacke. P.E. Name: Name:
Title: Project Engineer Title:
Revised: 10-12-2011 Page 2
I PROJECT NAME:
CONTRACT:
ICFA #
I CITY PROJECT #
IFID #
(FILE #
INSPECTOR:
PROJECT MANAGER:
DEVELOPER -AWARDED -PROJECT CHANGE ORDER,
Tradition - Phase 2C
(Al Water/Sewer/Storm Drain, (B) Paving, (C) Street Lights
21-0072 CITY PARTICIPATION:( 0%
103188
30114-0200431-103188-EC7685
X-26848
Adam Payan Phone No: 682-225-9106
Arash Emami Saleh Phone No: 817-392-2373
I
WATER
Devela per
Cast
Clty Cost
(ORIGINAL CONTR5CT
$736,102.00
$0.00
IEtTRA5 T017FTE
$4,733.7T
IGPEDITS T'C DATE
CCrd7FACTT004.TE
S140,03531
$0.00
AMCUAT OF PPOP. CHANGE ORGEP
$41,640.55
REVISED CCtiTRA.CT AP40UNT
S1132.476.32
$0.00
TOTAL REVISED CONTRACT AMOUNT
PER UNIT
$782,476.32
REVISED COS T SHARE
06V. Cost:
TOTAL REVISED CONTRACT
REVIEWED
By Arash Emami Saleh at 11:47 am, Sep 11, 2023
1
1 CHANGE
ORDER No:
1
1 2
1
=4PACT UNIT
SEWER
DRAINAGE
PAVING
STREETLIGHTS
CONTRACT
Developer
DAYS
Developer Cast City Cast
Developer Cost City Cast
Oevdoper Cost CpV Cost
Cost Cltp Cost
%121540.00 $0.00
$2,521,041A0 $0.00
$2,335,237.15 $C.00
$156,627.40 i00
222 I
$Fn.311.00
I
M12,540.00 $0.M
$2.50,353.00 $0.00
$2,M5,237.75 W-00
5156,621.40 $0.00
r21 I
S0.00
W.00
$0.00
$0.00
I
S1112,540.00 $0.00
$2,50,3511.00 S0.00.
$2,335,237.75 $0.00
$156,621.40 $0.00
222
W 2,540.00
52,560,3530
$2,3352W.75
5156,62T.40
$8.W,,239.47
City Cost:
$0.00
$G,647,239.47
You are directed m make the following changes in the contract documents:
CITY BID ITEM
PA"r ITEM i! 0 QUANTITY I UNIT I T q ySC��ei10r UNIT PRICE TOTAL
NEW 1 LS I Install 8" DIP Water P q� {Yy-2 STa. 2-44 to 3+24� $37,785.82l $37.785.62
NEW 1 l LS Remove 8" PVC Water Aloe ((��„yy-2 Sta- 2t" to 3+2) $3,854.93I $3,854.93
�yATER TOTAL $41,640-55
TOTAL $41,640.551
i
REASONS FOR CHANGE ORDER
1. Removal of PVC water pipe that was installed under the south culvert and instat7alion of DIP water pipe.
NO CITY FUNDS INVOLVED IN THIS CONTRACT. DLVELOPER I$ RESPONSIBLE FOR 100% OF THE CHANGE ORDER COST AND NO
REIMBURSEMENT FROM THE CITY WILL BE SOUGHT BY THE DEVELOPER.
RECOMMENDED: APPROVED:
APPROVED:
Goodwin and Marshall, Inc. HT HW lopment LP
Acadia Services, LLC
—
Name: Matt Baadce, P.E. Name: C�ovk-T2f iJ�'�y
�I �jatm/
Name: J(,_i: i C. 1,�11s 5
Title:
Title: Project Engineer Title:
Page t
Revised: 10-12.2011
FORTWORTH
TRANSPORTATION AND PUBLIC WORKS
PIPE REPORT FOR:
PROJECT NAME: Tradition Central Phase 2C
CITY PROJECT NUMBER: 103188
WATER
PIPE LAID SIZE TYPE OF PIPE
PVC 8" PVC
FIRE HYDRANTS: 4 EA VALVES (16" OR LARGER)
PIPE ABANDONED SIZE TYPE OF PIPE
N/A
DENSITIES: YES ALL PASSED
NEW SERVICES: 1" COPPER
1.5" COPPER
SEWER
PIPE LAID SIZE TYPE OF PIPE
PVC 8" PVC
PVC 12" PVC
PIPE ABANDONED SIZE TYPE OF PIPE
N/A
DENSITIES: YES ALL PASSED
NEW SERVICES: 4" PVC
TRANSPORTATION AND PUBLIC WORKS
The City of Fort Worth • 1000 Throckmorton Street • Fort Worth, TX 76012-6311
(817) 392 - 7941 • Fax: (817) 392 - 7845
LF
4,963 LF
N/A
LF
180 EA
1 EA
LF
5,555 LF
257 LF
LF
180 EA
FORTWORTH.
TRANSPORTATION AND PUBLIC WORKS
August 1, 2024
Acadia Services, LLC
6750 Blvd 26
Richland Hills, TX 76180
RE: Acceptance Letter
Project Name: Tradition Central Phase 2C
Project Type: Water, Sanitary Sewer, Storm Drain, Paving, and Street Lights
City Project No.: 103188
To Whom It May Concern:
On July 17, 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 August 1, 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 August 1, 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-
392-2373.
Sincerely,
Arash Emami Saleh, Project Manager
Cc: John Rogers, Inspector
Troy Gardner, Inspection Supervisor
Cody Horton, Senior Inspector
Andrew Goodman, Program Manager
Goodwin and Marshall, Consultant
Acadia Services LLC, Contractor
Hines Interests, LP, 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 Dustin Whitman,
CEO Of Acadia Services, LLC, 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;
Water, Sanitary Sewer & Storm Drainage
BY
Dustin Whitman, CEO
Subscribed and sworn before me on this date 7th of August, 2024.
dde
Notary Publi
Tarrant, TX
Josie Sanchez
My Commissioo2Expires
5/31/2
* * Notary ID134385976
CONSENT OF
SURETY COMPANY
TO FINAL PAYMENT
AIA DOCUMENT G707
OWNER
ARCHITECT
CONTRACTOR _
SURETY t�
OTHER
Bond No. 4406982
PROJECT: Tradition, Phase 2C, City Project #103188 for Water, Sanitary Sewer and Storm Drain Facilities -
(name, address) Fort Worth, TX
TO (Owner)
HT HWY 114 Development LP (developer) &
City of Fort Worth,TX
2700 Commerce Street, Suite 1600
Dallas, TX 75226
L.__.
CONTRACTOR: Acadia Services, LLC
ARCHITECT'S PROJECT NO:
CONTRACT FOR: Water, Sanitary Sewer and Storm Drain
Facilities
CONTRACT DATE: 05/28/2024
351 W Southlake Blvd Southlake, TX 76092
In accordance with the provisions of the Contract between the Owner and the Contractor as indicated above, the
(here insert name and address of Surely Company)
FCCI Insurance Company
6300 University Parkway , Sarasota, FL 34240 SURETY COMPANY,
On bond Of (here Insert name and address of Contractor)
Acadia Services, LLC
351 W Southlake Blvd Southlake, TX 76092 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)
HT HWY 114 Development LP (developer) & City of Fort Worth,TX
2700 Commerce St, Suite 1600 Dallas, TX 75226 OWNERS,
as set forth in the said Surety Company's bond.
IN WITNESS WHEREOF,
the Surety Company has hereunto set its hand this 5th day of August, 2024
Attest:
(Seal): Bai ee Islas, Surety Witness
FCCI Insurance Company
Surety Compa
ignat r o Auth z epresentativs
ennifer pton, Attorney -in -Fact
Title
`. E1PORq C��q't
Y�.Ga rF•9{s
SEAL
1991
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
AIA DOCUMENT G707 • CONSENT OF SURETY COMPANY TO FINAL PAYMENT • APRIL 1970 EDITION • AIA® ONE PAGE
0 1970 • THE AMERICAN INSTITUTE OF ARCHITECTS. 1735 NEW YORK AVE., NW, WASHINGTON, D.C. 20006
FCCI GROU �� ( +
ROI`P
GENERAL POWER OF ATTORNEY
Know all men by these presents: That the FCCI Insurance Company, a Corporation organized and existing under
the laws of the State of Florida (the "Corporation") does make, constitute and appoint:
Jennifer Upton
Each, its true and lawful Attorney -In -Fact, to make, execute, seal and deliver, for and on its behalf as surety, and
as its act and deed in all bonds and undertakings provided that no bond or undertaking or contract of suretyship executed
under this authority shall exceed the sum of (not to exceed $20,000,000.00): $20,000,000,00
Surety Bond No.: 4406982
Principal: Acadia Services, LLC
Obligee: HT HWY 114 Development LP (developer) & City of Fort Worth,TX
This Power of Attorney is made and executed by authority of a Resolution adopted by the Board of Directors. That
resolution also authorized any further action by the officers of the Company necessary to effect such transaction.
The signatures below and the seal of the Corporation may be affixed by facsimile, and any such facsimile
signatures or facsimile seal shall be binding upon the Corporation when so affixed and in the future with regard to any
bond, undertaking or contract of surety to which it is attached.
In witness whereof, the FCCI Insurance Company has caused these presents to be signed by its duly authorized
officers and its corporate Seal to be hereunto affixed, this 23rd day of July 2020.
Attest: �J" �- (�—� ' ���Jo P°,�;; �y�`•---
Christina D. Welch, President 'LL: ` :'�'� Christopher Shoucair,
FCCI Insurance Company SEAL1994 EVP, CFO, Treasurer, Secretary
F40R%O ;-' FCCI Insurance Company
State of Florida
County of Sarasota
Before me this day personally appeared Christina D. Welch, who is personally known to me and who executed
the foregoing document for the purposes expressed therein.
My commission expires: 2/27I2027 �''::'� K.WYMW �S"`�
= ranwlrubn�Htt32b Notary Public
�a n�A Exp4ee FeM1wy 27.2071
State of Florida
County of Sarasota
Before me this day personally appeared Christopher Shoucair, who is personally known to me and who executed
the foregoing document for the purposes expressed therein.
My commission expires: 2/27/2027
�,'� dP E>�4uP•bn++Y�1, Notary Public
CERTIFICATE
I, the undersigned Secretary of FCCI Insurance Company, a Florida Corporation, DO HEREBY CERTIFY that the
foregoing Power of Attorney remains in full force and has not been revoked; and furthermcre that Lhe February 27, 2020
Resolution of the Board of Directors, referenced in said Power of Attorney, is now in force.
Dated this 5th day of A-Ugusi 2G24
SEAL
Christopher Shoucair, EVP, CFO, Treasurer, Secretary
FCCI Insurance Company
1-IONA3592-NA-04, 712021