HomeMy WebLinkAboutContract 56257-FP1FORT WORTH.
-FP1
City Secretary 56257
Contract No.
Date Received 08/20/2024
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: Cultural District Hotel and Multi family
City Project No.: 103074
Improvement Type(s): x❑ Paving ❑x Drainage x❑ Street Lights ❑ Traffic Signals
Original Contract Price:
$740,322.08
Amount of Approved Change Order(-$59.96
Revised Contract Amount: $740,262.12
Total Cost of Work Complete: $740,262.12
David OQalnn Aug 14, 2024
David OQuinn (Aug 14, 2024 09:45 CDT)
Contractor Date
Project Manager
Title
Andres Construction
Company Name
U 14 2024
Russell Rogers (Aur 14. 202410:03 CDT)
g ,
Project Inspector
Date
Aug 20, 2024
Project Manager
Date
,�
A 20, 2024
g
407:49 CDT)
Rebecca Owen (Aue 20, 2024
'u
CFA Manager
Date
Aug 20, 2024
TPW Director
Date
c��----,
Aug 25, 2024
Asst. City Manager
Date
OFFICIAL RECORD
CITY SECRETARY Page 1 of 2
FT. WORTH, TX
Notice of Project Completion
Project Name: Cultural District Hotel and Multi family
City Project No.: 103074
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 100 WD
Work Start Date: 4/1/2024
Completed number of Soil Lab Test: 63
Completed number of Water Test: 26
Days Charged: 380 WD
Work Complete Date: 2/21/2024
Page 2of2
FoRTWORTH
CITY OF FORT WORTH
FINAL PAYMENT REQUEST
Contract Name CULTURAL DISTRICT HOTEL & CULTURAL DISTRICT MULTI -FAMILY
Contract Limits
Project Type DRAINAGE, PAVING & LIGHTS
City Project Numbers 103074
DOE Number 3074
Estimate Number 1 Payment Number 1 For Period Ending 2/21/2024
WD
City Secretary Contract Number Contract Time 10WD
Contract Date 11/22/2021 Days Charged to Date 380
Project Manager NA Contract is 100.00 Complete
Contractor ANDRES CONSTRUCTION SERVICES, LLC
3710 RAWLINS STREET, SUITE 1510
DALLAS , TX 75219
Inspectors G. DEYON / R. ROGERS
Tuesday, August 13, 2024 Page 1 of 5
City Project Numbers 103074 DOE Number 3074
Contract Name CULTURAL DISTRICT HOTEL & CULTURAL DISTRICT MULTI-FAMIL Estimate Number I
Contract Limits Payment Number I
Project Type DRAINAGE, PAVING & LIGHTS For Period Ending 2/21/2024
Project Funding
UNIT III: DRAINAGE IMPROVEMENTS
Item Estimated
Description of Items Unit
No. Quanity
1 REMOVE 18" STORM LINE 125 LF
2 ABANDON MANHOLE 1 EA
3 6" WATER PIPE, CSS BACKFILL 5 LF
4 10" DIP SEWER, CSS BACKFILL 1 LF
5 36" RCP, CLASS III 135 LF
6 T STORM JUNCTION BOX 1 EA
----------------------
Sub-Total of Previous Unit
UNIT IV: PAVING IMPROVEMENTS
Item
Description of Items
Estimated Unit
No.
Quanity
----------------------
1
REMOVE SIDEWALK
2920 SF
2
REMOVE FENCE
37 LF
3
REMOVE CONC PVMT
693 SY
4
REMOVE ASPHALT PVMT
510 SY
5
REMOVE BRICK PVMT
85 SY
6
REMOVE CONC CURB & GUTTER
665 LF
7
2" SURFACE MILLING
159 SY
8
10' WIDE ASPHALT PVMT REPAIR, ARTERIAL
500 LF
9
7" CONCRETE DRIVEWAY
4506 SF
(APPROCHES/DECORATIVE)
10
7" CONCRETE DRIVEWAY (ALLEYWAY/FIRE
14990 SF
LANE)
11
4" CONC SIDEWALK (DECORATIVE WITH
5612 SF
SANDBLAST FINISH)
12
BARRIER FREE RAMP, TYPE R-1
1 EA
13
BRICK PVMT REPAIR
34 SY
14
6" CONC CURB AND GUTTER
601 LF
15
TRAFFIC CONTROL
1 LS
16
DIAMOND PLKATE CROSSING
1 EA
Sub -Total of Previous Unit
Unit Cost
Estimated
Completed
Completed
Total
Quanity
Total
$100.00
$12,500.00
125
$12,500.00
$3,000.00
$3,000.00
1
$3,000.00
$150.00
$750.00
5
$750.00
$200.00
$200.00
1
$200.00
$300.00
$40,500.00
135
$40,500.00
$6,000.00
---------------
$6,000.00
1
$6,000.00
$62,950.00
$62,950.00
Unit Cost
Estimated
Completed
Completed
Total
Quanity
Total
----------------
$1.00
$2,920.00
2920
$2,920.00
$45.00
$1,665.00
37
$1,665.00
$22.00
$15,246.00
693
$15,246.00
$20.00
$10,200.00
510
$10,200.00
$300.00
$25,500.00
85
$25,500.00
$15.00
$9,975.00
665
$9,975.00
$50.00
$7,950.00
159
$7,950.00
$150.00
$75,000.00
500
$75,000.00
$8.80
$39,652.80
4506
$39,652.80
$6.80 $101,932.00 14990 $101,932.00
$13.86 $77,782.32 5612 $77,782.32
$7,800.00
$7,800.00
1
$7,800.00
$180.00
$6,120.00
34
$6,120.00
$30.00
$18,030.00
601
$18,030.00
$20,000.00
$20,000.00
1
$20,000.00
$3,850.00
$3,850.00
1
$3,850.00
$423,623.12
$423,623.12
Tuesday, August 13, 2024 Page 2 of 5
City Project Numbers 103074 DOE Number 3074
Contract Name CULTURAL DISTRICT HOTEL & CULTURAL DISTRICT MULTI-FAMIL Estimate Number I
Contract Limits Payment Number I
Project Type DRAINAGE, PAVING & LIGHTS For Period Ending 2/21/2024
Project Funding
UNIT V: STREET LIGHTING IMPROVEMENTS
Item Description of Items
No.
1 2" CONDT PVC SCH 80 (T)
2 2" CONDT PVC SCH 80 (B)
3 NO 6 INSULATED ELEC CONDR
4 NO 6 UN -INSULATED GROUND
5 NO 8 INSULATED ELEC ONDR
6 GROUND BOX TYPE B, W/APRON
7 FURNISH/INSTALL 12-240 VOLT SINGL
E
Unit Cost
Estimated
Total
$8.25
$7,837.50
$8.25
$618.75
$10.50
$21,525.00
$11.35
$11,633.75
$500.00 $4,500.00
$7,885.00 $7,885.00
$3,754.00 $3,754.00
$11,200.00 $123,200.00
7 EA $7,500.00 $52,500.00
Completed Completed
Quanity Total
950 $7,837.50
75 $618.75
2050 $21,525.00
1025 $11,633.75
0
9 $4,500.00
1 $7,885.00
1 $3,754.00
11 $123,200.00
7 $52,500.00
11 LIGHT POLE BASES 19 EA $1,065.00 $20,235.00 19 $20,235.00
Sub -Total of Previous Unit $253,689.00 $253,689.00
Tuesday, August 13, 2024 Page 3 of 5
City Project Numbers 103074 DOE Number 3074
Contract Name CULTURAL DISTRICT HOTEL & CULTURAL DISTRICT MULTI-FAMIL Estimate Number I
Contract Limits Payment Number I
Project Type DRAINAGE, PAVING & LIGHTS For Period Ending 2/21/2024
Project Funding
Contract Information Summary
Original Contract Amount $740,322.08
Chan Orders
Change Order Number 1 ($59.96)
Total Contract Price $740,262.12
Total Cost of Work Completed $740,262.12
Less % Retained $0.00
Net Earned $740,262.12
Earned This Period $740,262.12
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
$740,262.12
Tuesday, August 13, 2024 Page 4 of 5
City Project Numbers 103074 DOE Number 3074
Contract Name CULTURAL DISTRICT HOTEL & CULTURAL DISTRICT MULTI-FAMIL Estimate Number I
Contract Limits Payment Number I
Project Type DRAINAGE, PAVING & LIGHTS For Period Ending 2/21/2024
Project Funding
Project Manager NA
Inspectors G. DEYON / R. ROGERS
Contractor ANDRES CONSTRUCTION SERVICES, LLC
3710 RAWLINS STREET, SUITE 1510
DALLAS , TX 75219
City Secretary Contract Number
Contract Date
11/22/2021
Contract Time
100 WD
Days Charged to Date
380 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 $740,262.12
Less % Retained $0.00
Net Earned $740,262.12
Earned This Period $740,262.12
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
$740,262.12
Tuesday, August 13, 2024 Page 5 of 5
i
REVIEWED
DEVELOPER -AWARDED -PROJECT CHANGE ORDER By Arash Emami Saleh at 5:34 pm, Aug 09, 2024
PROJECT NAME: Cultural District Hotel & Cultural District Multi -Family CHANGE
CONTRACT: Andres Construction Services ORDER No:
ICFA# CFA21-0009 I CITY PARTICIPATION: No
CITY PROJECT # 103074
DOE #
WATER PROJECT # X-19958 1
(SEWER PROJECT # X-19958
FILE # K-2818
INSPECTOR: Robert Riley Phone No:
PROJECT MANAGER: Arash Emami Saleh, Ph.D, P.E. Phone No: 682-269-6041
CONTRACT UNIT
WATER SEWER PAVING DRAINAGE STREET LIGHTS CONTRACT
_ DAYS
Developer Cost City Cost Developer Cost _City Cost Developer Cost City Cast Developer Cost City Cost developer Cost City Cost
ORIGINAL CONTRACT $259,895.00 $64,540.00 $423,683.08 $62,950.00 $0.00 $253,689.00
EXTRAS TO DATE $0.00
CREDITS TO DATE Mow_ bit =4 $0.00
CONTRACT TO DATE $259,895.00 $0.00 $64,540.00 8 ffb $423,683.08 $0.00 $62,950.00 $0.00 $253,689.00 $0; 100
AMOUNT OF PROP. CHANGE ORDER ($59.96) $0.00
RFVISEDCONTRACT AMOUNT $259,895.00 $0.00 $64,540.00 $0.00 $423,623.12 $0.00 $62,950.00 $0.00 $253,689.00 $4 100
TOTAL REVISED CONTRACT AMOUNT
PER UNIT $259,895.00 $64,540.00 $423,623.12 I $62,950.00 $253,689.00
REVISED COST SHARE Dev. Cost: $1,064,697.12 City CQ $0.00
TOTAL REVISED CONTRACT $1,064,697.12
Revised: 10-12-2011 Page 1
You are directed to make the followinq changes in the contract documents
I PAY ITEM # CITY BID ITEM # QUANTITY UNIT ITEM DESCRIPTION
I 9999,0002 CFA Cast Correction 00 00 00 EA -1 Difference between bid total and correct total
I
I
TOTAL
REASONS FOR CHANGE ORDER Correction of contract book amount versus bid proposal. Changes to paving section of developer costs.
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:
Dy: Dunaway Associates, L.P.
Name: Nathan Ferguson, P.E.
Title: Project Engineer II
REVIEWED
By Arash Emami Saleh at 5:34 pm, Aug 09, 2024
APPROVED:
By: 16�Lz' v
, Name: A
Title: FI �/�'� l
APPROVED:
UNIT PRICE TOTAL
($59.96) $ (59.96)
By:
Name: P 1 f I' I r LAM _ r
Tltle: S V - I J 0� l P 1n PM P., 7
$ (59.96)
Revised: 10-12-2011
Page 2
FORTWORTH.
M,
TRANSPORTATION AND PUBLIC WORKS
February 21, 2024
Andres Construction
3710 Rawlins St#1510
Dallas TX 75219
RE: Acceptance Letter
Project Name: Cultural District Hotel and Multi Family
Project Type: Water, Sewer, Paving, Drainage, Street lighting
City Project No.: 103074
To Whom It May Concern:
On February 29, 2024 a final inspection was made on the subject project. There were no punch list
items identified at that time. The final inspection indicates that the work meets the City of Fort Worth
specifications and is therefore accepted by the City. The warranty period will start on April 18, 2024,
which is the date of the final inspection 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 Saleh, Project Manager
Cc: Russell Rogers, Inspector
Gary Deyon, Inspection Supervisor
Troy Gardner, Senior Inspector
Victor Tornero, Program Manager
Good Fulton,and Ferrel, Consultant
Andres Construction, Contractor
Cresent, Developer
File
E-Mail: TPW_Acceptance@fortworthtexas.gov
Rev. 08/20/19
Document G706A -1994
Contractor's Affidavit of Release of Liens
PROJECT: )Vame and address)
CFA21-0032 - Intersection
Improvements: Hotel -Office ADA
Corners and PED Buttons
TO OWNER: (Name and address)
City of Fort Worth
200 Texas St.
Fort Worth, TX 76102
STATE OF: Texas
COUNTY OF: Dallas
ARCHITECT'S PROJECT NUMBER: OWNER:
ARCHITECT; ❑
CONTRACTOR: ❑
CONTRACT FOR: CFA21-0032 - SURETY: ❑
Intersection Improvements: Hotel -
Office ADA Corners and PED OTHER: ❑
Buttons
CONTRACT DATED: November 22,
2021
The undersigned hereby certifies that to the best of the undersigned's knowledge, information and belief, except as listed
below, the Releases or Waivers of Lien attached hereto include the Contractor, all Subcontractors, all suppliers of materials
and equipment, and all performers of Work, labor or services who have or may have liens or encumbrances or the right to
assert liens or encumbrances against any property of the Owner arising in any manner out of the performance of the Contract
referenced above.
EXCEPTIONS:
SUPPORTING DOCUMENTS ATTACHED HERETO:
1. Contractor's Release or Waiver of Liens,
conditional upon receipt of fmal payment.
CONTRACTOR: (Name and address)
ANDRES CONSTRUCTION SERVICES LLC
3710 Rawlins Street Suite 1510
Dallas, Texas 75219
2. Separate Releases or Waivers of Liens from BY:
Subcontractors and material and equipment (Signature o"at
suppliers, to the extent required by the Owner, representative)
accompanied by a list thereof. Warren L Andres, President
(Printed name and title)
Subscribed and sworn to before me on this date:
Notary Public:
My Commission Expires:
AIA Document G706A —1994. Copyright @ 1982 and 1994. All rights reserved. "The American Institute of Architects," "American Institute of Architects," "AIA," the
AIA Logo, and "AIA Contract Documents" are trademarks of The American Institute of Architects. This document was produced at 10:06:09 ET on 08/14/2024
under Order No.4104245414 which expires on 09119/2024, is not for resale, is licensed for one-time use only, and may only be used in accordance with the AIA
Contract Documents® Terms of Service. To report copyright violations, e-mail doclnfo@aiacontracts.eom.
User Notes: (3139ADA55)
n:AIA Document G706 1994
Contractor's Affidavit of Payment of Debts and Claims
PROJECT: (Name and address)
CFA21-0032 - Intersection
Improvements: Hotel -Office ADA
Corners and PED Buttons
TO OWNER: (Name and address)
City of Fort Worth
200 Texas St.
Fort Worth, TX 76102
STATE OF: Texas
COUNTY OF: Dallas
ARCHITECT'S PROJECT NUMBER:
CONTRACT FOR: CFA21-0032 -
Intersection Improvements: Hotel -Office
ADA Corners and PED Buttons
CONTRACT DATED: November 22, 2021
OWNER: ❑
ARCHITECT: ❑
CONTRACTOR: ❑
SURETY: ❑
OTHER: ❑
The undersigned hereby certifies that, except as listed below, payment has been made in full and all obligations have otherwise
been satisfied for all materials and equipment furnished, for all work, labor, and services performed, and for all known
indebtedness and claims against the Contractor for damages arising in any manner in connection with the performance of the
Contract referenced above for which the Owner or Owner's property might in any way be held responsible or encumbered.
EXCEPTIONS:
SUPPORTING DOCUMENTS ATTACHED HERETO:
1. Consent of Surety to Final Payment. Whenever
Surety is involved, Consent of Surety is
required. AIA Document G707, Consent of
Surety, may be used for this purpose
Indicate Attachment ® Yes ❑ No
The following supporting documents should be attached
hereto if required by the Owner:
1. Contractor's Release or Waiver of Liens,
conditional upon receipt of final payment.
2. Separate Releases or Waivers of Liens from
Subcontractors and material and equipment
suppliers, to the extent required by the Owner,
accompanied by a list thereof.
3. Contractor's Affidavit of Release of Liens (AIA
Document G706A).
CONTRACTOR: (Name and address)
ANDRES CONSTRUCTION SERVICES LLC
3710 Rawlins Street Suite 1510
Dallas, Texas 75219
BY: X
gnature of authorized re esentative)
Warren L Andres, President
(Printed name and title)
Subscribed and sworn to before me on this date:
Notary Public:
My Commission Expires:
AIA Document G706 — i994. Copyright 01970 and 1994. All rights reserved. `The American Institute of Architects," "American Institute of Architects," "AIA," the
AIA Logo, and "AIA Contract Documents" are trademarks of The American Institute of Architects. This document was produced at 10:05:50 ET on 08/14/2024
under Order No.4104245414 which expires on 0911912024, is not for resale, is licensed for one-time use only, and may only be used in accordance with the AIA
Contract Documentse Terms of Service. To report copyright violations, e-mail docinfo@aiacontraots.com.
User Notes: (3139ADA50)
CONSENT OF SURETY
TO FINAL PAYMENT
AIA Dcc=ennt G707
Bond No. 46BCSJA5409
TO OWNEL
rNarne surd uddnna-)
City of Fort Worth
200 Texas St.
Fort Worth, TX 76102
PROJEC1%.
(lvt q arrd adrdr 0
0VJNFR
AM-11TECT C1
CONTRACTOR
SURKrY )1
OTHER
ARCHITECT'S PROJECT NO.:
CONTRACC FOR: CFA21-0032 - Intersection Improvements: Hotel -
Office ADA Corners and PIED Buttons
CONTRACT nATED: November 22, 2021
CFA21-0032 - Intersection Improvements: Hotel -Office ADA Corners and PED Buttons
In accordance with the provisions of the Comma bemn_-en the Owner and the Contractor as indicated above, the
flnsr�! na�nr aird aelditsx of.S��+�h J
Hartford Accident and Indemnity Company
One Hartford Plaza
Hartford, CT 06155-0001
on bcod of
fhuert name ant! addrva [(Cmzlractur)
Andres Construction Services LLC
3710 Rawlins Street, Suite 1510
Dallas, TX 75219
SURETY,
, CONTRACTOR,
hereby approves of the final payment to the Contractor, and agrees that final payment to the Contractor shall not relieve the Sure of
any of irs obligations to
Crnwn name andaddmrafOuner)
City of Fort Worth
200 Texas St.
Fort Worth, TX 76102
as set forth in said Surety's bona.
IN WITNESS WRl3RROR, the Surety Iw hereunto set its hand on this elate: June 19, 2024
(fnsNrl hz kvVi g (be nwntbfallauwd ht� lbe rnunerk datrand rear,)
Attest.
+''' ` g
Hartford Accident and Indemnity Company
By: )kt Oww
f5fgrraturr ofatr/ba9zrAirprtxrrtdirtn�r)
Holly Clevenger
(Afured name awl Mk)
Attorney -in -Fact
G707---1994
Direct Inquiries/Claims to:
THE HARTFORD
POWER
OF
ATTORNEY
Hartrd Plaza
HartfOne
ord, Conne tcut06155
Bond.ClaimsCabthehartford.com
call: 888-266-3488 or fax: 860-757-5835
KNOW ALL PERSONS BY THESE PRESENTS THAT: Agency Name: WILLIS TOWERS WATSON INS SVCS WEST
Agency Code: 4 6-4 60120
Hartford Fire Insurance Company, a corporation duly organized under the laws of the State of Connecticut
0 Hartford Casualty Insurance Company, a corporation duly organized under the laws of the State of Indiana
Hartford Accident and Indemnity Company, a corporation duly organized under the laws of the State of Connecticut
Hartford Underwriters Insurance Company, a corporation duly organized under the laws of the State of Connecticut
Twin City Fire Insurance Company, a corporation duly organized under the laws of the State of Indiana
Hartford Insurance Company of Illinois, a corporation duly organized under the laws of the State of Illinois
Hartford Insurance Company of the Midwest, a corporation duly organized under the laws of the State of Indiana
Hartford Insurance Company of the Southeast, a corporation duly organized under the laws of the State of Florida
having their home office in Hartford, Connecticut, (hereinafter collectively referred to as the "Companies") do hereby make, constitute and appoint,
up to the amount of Unlimited :
Luke J. Nolan of Addison TX, Bryan M. Caneschi, Saykham Chanthasone, Michelle Anne McMahon, Mercedes
Phothirath, Joshua Sanford, Jynell Marie Whitehead of Hartford CT, Jennifer Godere, Kathryn Pryor,
Gentry Stewart of Mount Laurel NJ, Richard Hackner, Sarah Murtha of New York NY, Vincent Ansiaux, Holly
Clevenger, Christine Clinger, Jack M. Crowley, Deborah English, Sean Heidrick, Daphne Massey, Laurie
Pflug, Rebecca Sanford, Rebecca S. Thacker of DALLAS, Texas
their true and lawful Attorney(s)-in-Fact, each in their separate capacity if more than one is named above, to sign its name as surety(ies) only as
delineated above by ®, and to execute, seal and acknowledge any and all bonds, undertakings, contracts and other written instruments in the
nature thereof, on behalf of the Companies in their business of guaranteeing the fidelity of persons, guaranteeing the performance of contracts and
executing or guaranteeing bonds and undertakings required or permitted in any actions or proceedings allowed by law.
In Witness Whereof, and as authorized by a Resolution of the Board of Directors of the Companies on May 23, 2016 the Companies
have caused these presents to be signed by its Assistant Vice President and its corporate seals to be hereto affixed, duly attested by its Assistant
Secretary. Further, pursuant to Resolution of the Board of Directors of the Companies, the Companies hereby unambiguously affirm that they are
and will be bound by any mechanically applied signatures applied to this Power of Attorney.
�►� r� sea 4 e +;'ni�te +w �•" * '� aTa -?L
F� i V�bR��69 � +ra :ii • *'euenn• ++n..•.
' �'awscs
Shelby Wiggins, Assistant Secretary Joelle L. LaPierre, Assistant Vice President
STATE OF FLORIDA
Ss. Lake Mary
COUNTY OF SEMINOLE
On this 20th day of May, 2021, before me personally came Joelle LaPierre, to me known, who being by me duly sworn, did depose and say: that
(s)he resides in Seminole County, State of Florida; that (s)he is the Assistant Vice President of the Companies, the corporations described in and which
executed the above instrument; that (s)he knows the seals of the said corporations; that the seals affixed to the said instrument are such corporate seals;
that they were so affixed by authority of the Boards of Directors of said corporations and that (s)he signed his/her name thereto by like authority.
JL • c+- ��p
Jessica Ciccone
'4F fti`;ti' My Commission HH 122280
Expires June 20, 2025
I, the undersigned, Assistant Vice President of the Companies, DO HEREBY CERTIFY that the above and foregoing is a true and correct
copy of the Power of Attorney executed by said Companies, which is still in full force effective as of June 19, 2 02 4
Signed and sealed in Lake Mary, Florida.
TMf at?irso ca
qy • $ `a srs+ryl� i ,9aT
�N� '.ti�..,ecxr}� • �•uuW* I979 e` t�74 I9E4
k F yy = �\i 'pA�s9 ,� +l '� ►�; • *Iii/•OtS fIr1Y�•
"44, A5��
Keith D. Dozois, Assistant Vice President