HomeMy WebLinkAboutContract 58890-FP2-FP2
City Secretary
Contract No._5_88_90 ____ _
fORTWORTH® Date Received 09/25/2 024
NOTICE OF PROJECT COMPLETION
(Developer Projects)
EW
The Transportation and Public Works Department upon the recommendation of the Project
Manager has accepted the following project as complete:
Project Name: 2525 NE 28th Street
City Project No.: 103973
Improvement Type(s): Water� Sewer�
Original Contract Price: $63,820.80
Amount of Approved Change Order(s): $3,335.55
Revised Contract Amount:
Total Cost of Work Complete:
,Joshua K 'JJf; vtitt Joshua K Devlin (Sep 25, 2024 08:47 CDT)
Contractor
Project Manager
Title
HCI Commercial LLC
Company Name
Jesse Cervantes (Sep 251 2024 08:48 CDT)
Project Inspector
Mosa,{age Moha1W1Wdee11, '?. 15.
Project Manager
@,b\ Behecc;i_ owe□ tsep 2s 2024 09•21 CDT)
CFA Manager
X-,Z.. Lauren Prieur (Sep 251 2024 09:27 CDT)
TPW Director
Asst. City Manager
$67,156.35
$67,156.35
Sep 25, 2024
Date
Sep 25, 2024
Date
Sep 25, 2024
Date
Sep 25, 2024
Date
Sep 25, 2024
Date
Sep 26, 2024
Date
Page 1 of 2
Notice of Project Completion
Project Name: 2525 NE 28th Street
City Project No.: 103973
City's Attachments
Final Pay Estimate 0
Change Order(s): 0 Yes ❑ N/A
Pipe Report: 0 Yes ❑ N/A
Contractor's Attachments
Affidavit of Bills Paid
Consent of Surety
�
�
Statement of Contract Time
Contract Time: 90 WD
Work Start Date: 1/16/2024
Days Charged: 72
Work Complete Date: 8/12/2024
Completed number of Soil Lab Test: 14
Completed number of Water Test: 2
Page 2 of 2
FORTWORTH
CITY OF FORT WORTH
F1NAL PAYMENT REQUEST
Contract Name SERVE 2525 NE 28th STREET (LTNITED SERVICE CENTER)
Contract Limits
Project Type WATER & SEWER
City Project Numbers 103973
DOE Number 3973
Estimate Number 1 Payment Number 1 For Period Ending 8/12/2024
WD
City Secretary Contract Number
Contract Date
Project Manager NA
Contractor HCI COMMERCIAL
2727 LBJ FREEWAY STE., 815
DALLAS , TX 75234
Inspectors E. NIETO / C. HORTON
Contract Time 9�JD
Days Charged to Date '1�
Contract is 100.00 Complete
Tuesday, August 13, 2024 Page 1 of 4
City Project Numbers 103973
Contract Name SERVE 2525 NE 28th STREET (LTNITED SERVICE CENTER)
Contract Limits
Project Type WATER & SEWER
Project F+unding
L?NTI' I: WATER IMPROVEMENTS
Item Description of Items
No.
1 6" WATER PIPE
2 5" WIDE ASPHALT PVMT REPAIR, INDUSTRIAL
3 IMPORTED EMBEDMENT/BACKFILL,
ACCEPTABLE BACKFILL
4 TRENCHSAFETY
5 12"X6" TAPPING SLEEVE & VALVE
6 TRAFFIC SAFETY
7 TRAFFIC CONTROL
8 2" WATER SRVICE
9 1" WATER SERVICE
10 6" GATE VALVE
11 CONC PVMT REPAIR, ARTERIAL/INDUSTRIAL
(CO#2)
$1.50
$5,386.00
$7,258.00
$7,145.00
$8,580.00
$4,420.00
$3,350.00
$311.70
Estimated Unit Unit Cost Estimated Completed Completed
Quanity Total Quanity Total
23 LF $78.35 $1,802.05 23 $1,802.05
35 LF $347.94 $12,177.90 35 $12,177.90
26 CY $4.94 $128.44 26 $128.44
35 LF
1 EA
1 EA
0.1 MO
1 EA
1 EA
1 EA
19.33 SY
DOE Number 3973
Estimate Number 1
Payment Number 1
For Period Ending 8/12/2024
$52.50
$5,386.00
$7,258.00
$714.50
$8,580.00
$4,420.00
$3,350.00
$6,025.16
35
1
1
0.1
1
1
1
1933
$52.50
$5,386.00
$7,258.00
$714.50
$8,580.00
$4,420.00
$3,350.00
$6,02516
Sub-Total of Previous Unit $49,894.55 $49,894.55
L?NTI' II: SANTTARY IMPROVEMENTS
Item Description of Items
No.
1 TRENCHSAFETY
2 IMPORTED EMBEDMENT/BACKFILL,
ACCEPTABLE
Estimated Unit Unit Cost
Quanity
10 LF $3.00
I S CY $48.00
3 MANHOLE VACUUM TESTING (CO#2) 2 EA
4 8" SEWER PIPE 10 LF
� POST-CCTV DEPTH MANHOLE 14 LF
6 4' MANHOLE 1 EA
7 4' EXTRA DEPTH MANHOLE 2.6 VF
8 CONCRETE COLLAR 1 EA
9 MANHOLE ADJUSTMENT, MAJOR (CO#2) 1 EA
10 CONCRETE COLLAR (CO#2) 1 EA
Sub-Total of Previous Unit
Estimated Completed Completed
Total Quaniry Total
$30.00 10 $30.00
$720.00 IS $720.00
$450.00 $900.00 2 $900.00
$150.00 $1,500.00 10 $1,500.00
$1.50 $21.00 14 $21.00
$7,879.00 $7,879.00 1 $7,879.00
$758.00 $1,970.80 2.6 $1,970.80
$950.00 $950.00 1 $950.00
$1,861.00 $1,861.00 1 $1,861.00
$1,430.00 $1,430.00 1 $1,430.00
$17,261.80 $17,261.80
Tuesday, August 13, 2024 Page 2 of 4
City Project Numbers 103973
Contract Name SERVE 2525 NE 28th STREET (LTNITED SERVICE CENTER)
Contract Limits
Project Type WATER & SEWER
Project F+unding
Contract Information Summary
Original Contract Amount
Change Orders
Change Order Number 1
Change Order Number 2
Change Order Number 2
Total Contract Price
DOE Number 3973
Estimate Number 1
Payment Number 1
For Period Ending 8/12/2024
$63,820.80
($6,430.61)
$6,025.16
$3,741.00
$67,15635
Total Cost of Work Completed $67,15635
Less % Retained $0.00
Net Earned $67,15635
Earned This Period $67,15635
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
$67,15635
Tuesday, August 13, 2024 Page 3 of 4
City Project Numbers 103973
Contract Name SERVE 2525 NE 28th STREET (LTNITED SERVICE CENTER)
Contract Limits
Project Type WATER & SEWER
Project F+unding
DOE Number 3973
Estimate Number 1
Payment Number 1
For Period Ending 8/12/2024
Project Manager NA City Secretary Contract Number
Inspectors E. NIETO / C. HORTON Contract Date
Contractor HCI COMMERCIAL Contract Time 90 WD
2727 LBJ FREEWAY STE., 815 Days Charged to Date 7� W�
DALLAS , TX 75234 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
Less % Retained
Net Earned
Earned This Period $67,15635
Retainage This Period $0.00
Less Liquidated Damages
� Days @ $0.00 / Day
LessPavement Deficiency
Less Penalty
Less Previous Payment
Plus Material on Hand Less 15%
Balance Due This Payment
$67,15635
$0.00
$67,156.35
$0.00
$0.00
$0.00
$0.00
$0.00
$67,15635
Tuesday, August 13, 2024 Page 4 of 4
REVIEWED
By Mosadage Mohammdeen at 1:14 pm, Mar 27, 2024
DEVELOPER-AWARDED-PROJECT CHANGE ORDER
PROJECT NAME: 2525 NE 2STH STREET CHANGE
CONTRACT: WATER, SEWER, PAVWG, & STREET LIGHT IMPROVEMENTS ORDER No:
CFA # CFA-22-0013 CITY PARTICIPATION: No
CITY PROJECT # 103973
FID # 301140200431-103973-E07685 �
FILE # K-3028 X-27269
X # 27269
IPRC # IPRC21-0033
INSPECTOR: Peyton Elrod Phone No: 496-455-6143
PROJECT MANAGER: Mosadage Mohammdeen, P.E. Phone No: 682-402-7050
CONTRACT UNIT
WATER SEWER PAVING DRAINAGE STREETLIGHTS CONTRACT
Developer Developer Developer Developer Developer DAYS
Cost City Cost Cost City Cost Cost City Cost Cost City Cost Cost City Cost
ORIGINAL CONTRACT $50,300.00 $13,520.80 $10,742.00 $44,887.92 90
EXTRAS TO DATE
CREDITS TO DATE
CONTRACT TO DATE $50,300.00 $0.00 $13,520.80 $0.00 $10,742.00 $0.00 $0.00 $0.00 $44,887.92 $0.00 90
AMOUNT OF PROP. CHANGE ORDER ($6,430.61) $0.00 $6,632.20 ($13,969.76)
REVISED CONTRACT AMOUNT $43,869.39 $0.00 $13,520.80 $0.00 $17,374.20 $0.00 $0.00 $0.00 $30,918.16 $0.00 90
TOTAL REVISED CONTRACT AMOUNT
PERUNIT $43,869.39 $13,520.80 $17,374.20 $0.00 $30,918.16
REVISED COST SHARE DeV. COSt: $105,682.55 Clty COSt: $0.00
TOTAL REVISED CONTRACT $105,682.55
Revised: 10-12-2011 Page 1
REVIEWED
By Mosadage Mohammdeen at 1:14 pm, Mar 27, 2024
Nate: asterisk('� indicatas New Pay Item
REASONS FOR CHANGE ORDER
1. All changes except water items 1,2, & 3 correspond to Revision No 6 as shown on sheets 11, 15, 22, & 29 of the construction plans
2 Changes to waferitems 1,2 & 3 correct a p�ice calculafion error.
3 Item 1 has a round-up calculation errorand will add $0 05 to the 6id value
4 Item 2 has a round-up calculafion errorand will subfrect $0.1 /rom the bid value.
5 I[em 3 has a round-up calculafion erm� and wilf subtrac[ $0.06 from [he bid value.
6 Item 7 has a multiplication error and fbe total bid value should 6e $714 5 instead of $7,145
7. Documenfing al! the ilems above, fhe total bid value for the wafer improvements wil! be $43, 869.39 instead of $50,300.
NO CITY FUNDS INVOLVED IN THIS CONTRACT. DEVELOPER IS RESPONSIBLE FOR 100 % OF THE CHANGE OROER COST ANO NO
REIMBURSEMENT FROM THE CITY WILL BE SOUGHT 8Y THE DEVELOPER.
RECOMMENDEO: APPROVED: APPROVED:
Triangle Engineering LLC Ho7(and Vaquero Ca�W 5h Partners. LP HCI Commerda! '
8Y� � r� 6y. � i � By: ''T� .
Name: JackZanger Name: WA ndreth Name. JoshDevlin
Title: Project Manaper Title: Owner Title: Proiect Manoer
Revised: 1 D-12-2011 Page 2
REVIEWED
By Mosadage Mohammdeen at 10:38 am, Feb 27, 2024
DEVELdPER-AWARDED-PROJECT CHANGE ORDER
PROJECT NAME: 2525 NE 28TH STREET CHnNGE
CONTRACT: WATER, SEWER, PAVIiJG, & STREET LIGHT IMPROVEMENTS ORDER No:
CFA # CFA-22-0013 CITY PARTICIPATION: No
CITY PROJECT # 103973
FID # 30114-0200431-103973-E07685 Z
FILE # K-3028 X-27269
X # 27269
IPRC # IPRC21-0033
INSPECTOR: Peyton Elrod Phone No: 496-455-6143
PROJECT MANAGER: Mosadage Mohammdeen, P.E. Phone No: 682-402-7050
CONTRACT UNIT
WATER SEWER PAVING DRAINAGE STREET LIGHTS CONTRACT
Develapar Oeveloper Oeveloper Developer Developer DAYS
COS! CII C091 COSi CI C041 COS[ CI COSL COSI �CI C09t COSI CI COHt
ORIGINALCONTRACT $50.300.00 $13,520.80 $10,742.00 $44,BB7.92 90
EXTRAS TO DATE $6,632.20
CREDITS TO DATE Sfi,430.61 573,969.76
CONTRACTTODATE 543,869.39 50.00 $13,520.80 f0.00 51T.374.20 f0.00 $0.00 50.00 830,918.16 50.00 90
AMOUNT OF PROP. CHANGE ORDER 56,025.16 $3,741.00
REVISEDCONTR4CTAMOUNT 549,894.55 SD.00 $'17,261.80 50.00 $17,374.20 50.00 $0.00 50.00 $30,918.16 f0.00 90
TOTAL REVISED CONTRACT AMOUNT
PER UNIT 549,894.55 $17,26t.60 f77.374.20 50.00 530,918.76
REVISED CO5T SHARE Dev. Cost: $115,448.71 Clty Coat: 50.00
TOTAL REVISED CONTRACT $115,448.71
Revised: 10-12-2011 Page 7
REVI EWED
By Mosadage Mohammdeen at 10:39 am, Feb 27, 2024
NOM: asterlsk(') Indlcates New Pay Item
REASONS FOR CHANGE ORDER
1. Wateritem 11 replaces the waterline trencb 8" flexbase subgrade witYr 6"concrete with rebarto match existing perTXDOT request.
2. Sanifary sewer i[ems 3, 9, & 10 adjusts the exisrtng sanitary sewer nm to grade.
3. The new sanilary sewer item 10 for concrete colla� was created due to a cost increase.
NO CITY FUNDS INVOLVED IN THIS CONTRACT. DEVELOPER IS RESPONSIBLE FOR 700 % OF THE CHANGE ORDER COST AND NO
REIMBURSEMENT FROM THE CITY WILL BE SOUGHT BY THE DEVELOPER.
RECOMMENDED: APPROVED: APPROVED:
Triangle Engineering LLC Nolland Vaquero CarWash Partners, LP
I'%
By: i� By:
Name: Jack Zanger Name: W Landreth
Title: Project Manager Title: Owner
HC! Commercial
i
By:
Name: Josh Devlin
Title: Proied Manaer
Revised: 10-12-2011 Page 2
FO RT WO RT H
TRANSPORTATION AND PUBLIC WORKS
PIPE REPORT FOR:
PROJECT NAME: 2525 NE 28th Street
CITY PROJECT NUMBER: 103973
WATER
PIPE LAID SIZE TYPE OF PIPE LF
6" PVC 23
FIRE HYDRANTS: 1
PIPE ABANDONED
DENSITIES:
NEW SERVICES:
VALVES (16" OR LARGER)
SIZE TYPE OF PIPE LF
2"(1) Copper
1 "(1) Copper
SEWER
PIPE LAID SIZE TYPE OF PiPE LF
8" PVC SDR-26 10
PIPE ABANDONED
SIZE TYPE OF PIPE
LF
DENSITIES:
NEW SERVICES:
TR�NSPORT:�TION 1�ND PUBLIC `��ORI�S
The Citt� of Fort Worth • 1000 Throckmorton Stieet • Fort Wordi, TX 76012-6311
(817) 392 - 7941 • Fax: (817) 392 - 7845
�o��r ����rx�
TRANSPORTATION AND PUBLIC WORKS
August 12, 2024
HCI Commercial, LLC
2727 LBJ Freeway Suite 815
Dallas, Texas 75234
RE: Acceptance Letter
Project Name: 2525 NE 28th St.
Project Type: Water, Sewer, Paving & Street Ligths
City Project No.: 103973
To Whom It May Concern:
On May 9, 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 12, 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 12, 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-
392-2443.
Sincerely,
Motadage Mohar�r�deeh,�E.
Mosadage Mohammdeen, Project Manager
Cc: Jesse Cervantes, Inspector
Troy Gardner, Inspection Supervisor
Ariel Duarte, Senior Inspector
Andrew Goodman, Program Manager
Triangle Engineering, LLC, Consultant
HCI Commercial, Contractor
Holland Vaquero Car Wash Partners, LP, Developer
File
E-Mail: TPW_Acceptance@fortworthtexas.gov
Rev. 8/20/19
AFFIDAVIT
STILTE OF Texas
C4UNTY 4F Tar��anl
Before ine, the undersigned autharity, a nataiy public in the state
and caunty afoz-esaid, on this day personally ap�eared loshua Devlin,
Project Manager Of HCI Cominercial, LLC., l�now�� to �ne to be a c��edible
persoz-i, who being by me duiy sworn, upon his oat� deposed and said;
Tk�at aIl pez�so�s, f���s, associations, corporations, or other
or�ganizations fur-nishing labor andlor inatcrials liave been paid in ful1;
Tl�at the wage scale establishcd by the City Council in the Ci�y of
Fo�-t Woith has been paid in fiill;
Th.at ihere are no claiins pending for personal injuiy and/o�•
prope�-ty dair�ages;
On Contz�act described as;
2525 NE 28th STREET - WATER, SEWER, PAVING, & STREET
LIGHT IMPRQVEMENTS {C�A22-0013
�
BY
Jashua K. Devlin
Subscribed and swaz-n befo��e ane ozi this date 4th of Septe�nber, 2024.
�
i�
� �
Notaiy Pu1�Iie
Dallas, Texas
���`�YP'��i� DUSTY HALEY
�oi�... LA�i
_Y, .�aNatary Public, State of Texas
%�°:�'�= Cnmm. Expiras 01-23-2025
'�i�`'..•�,r, ��:
'r�i� �y+�~ Notary ID 1 t934692
CONSENT OF
SURETY COMPANY
TO FINAL PAYMENT
AIA DOCUMENT G707
PROJECT:
TO (Contractor)
I
Holland Vaquero Car Wash Partners, LP
2627 Tillar Street, Suite 111
Fort Worth, TX 76107
�
OBLIGEE: City of Fort Worth
�
J
❑
❑
X
❑
❑
Bond No. 800144026
PROJECT NO: IPRC22-0033
CONTRACT DATE: 01/26/2023
AMOUNT: $119,450.72
In accordance with the provisions of the Contract between the Contractor and the obligee as indicated above �nere
insert name and address of Surety Company)
Atlantic Specialty Insurance Company
605 Highway 169 North, Suite 800
Plymouth, MN 55441
on bond of (here insert name and address of Obligee)
City of Fort Worth
200 Texas Street
Fort Worth, TX 76102
SURETY COMPANY,
OBLIGEE,
hereby approves of the final payment to the Obligee, and agrees that final payment to the Obligee shall not relieve
the SuPety COmpally Of 2ny Of ItS Obllg8tl011s t0 (here insert name and address of Contractor)
Holland Vaquero Car Wash Partners, LP
2627 Tillar Street, Suite 111
Fort Worth, TX 76107
CONTRACTOR,
as set forth in the said Surety Company's bond.
IN WITNESS WHEREOF, the Surety Company has hereunto set its hand this 23�d day of September, 2024
Atlantic Specialtv Insurance Companv
Attest: ,//// /�--
(Seal): /` ( � °
S ty Company
Signa f Auth ized Representative
Pavton Blanchard,Attornev-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
OWNER
ARCHITECT
CONTRACTOR
SURETY
OTHER
Holland Vaquero Car Wash Partners, LP
AIA DOCUMENT G707 • CONSENT OF SURETY COMPANY TO FINAL PAYMENT • APRIL 1970 EDITION • AIA� ONE PAGE
O 1970 • THE AMERICAN INSTITUTE OF ARCHITECTS. 1735 NEW YORKAVE., NW, WASHINGTON, D.C. 20006
intact
INSURANCE
,� ; ry,�;�� t,� ��;� ������,�
�
KNOW ALL MEN BY THESE PRESENTS, that ATLANTIC SPECIALTY INSURANCE COMPANY, a New York corpora[ion with its principal office in Plymouth,
Minnesota, does hereby constitute and appoint: Caitlin Kelley, Jacob Kirkpatrick, Jessica Turner, Lindsay Senior, Payton Blanchard, R. Chase Laguarta,
William Blanchard, William Mitchell Jennings, each individually if there be more than one named, its true and lawful Attorney-in-Fact, to make, execute, seal and deliver,
for and on its behalf as surety, any and all bonds, recognizances, contracts of indemnity, and all other writings obligatory in the namre thereof; provided that no bond or
undertaking executed under this authoriry shall exceed in amount the sum of: unlimited and the execution of such bonds, recognizances, contracts of indemnity, and all other
writings obligatory in the nature thereof in pursuance of these presents, shall be as binding upon said Company as if they had been fully signed by an authorized officer of the
Company and sealed with the Company seal. This Power of Attorney is made and executed by authority of the following resoluuons adopted by the Board of Directors of
ATLANTIC SPECIALTY INSURANCE COMPANY on the twenty-fifth day of September, 201Z:
Resolved: That the President, any Senior Vice President or Vice-President (each an "Authorized Officer") may execute for and in behalf of the Company any and
all bonds, recognizances, contracts of indemnity, and all other writings obligatory in the nawre thereof, and affix the seal of the Company thereto; and that the
Authorized Officer may appoint and authorize an Attorney-in-Fact to execute on behalf of the Company any and all such instruments and to affix the Company
seal thereto; and that the Authorized Officer may at any time remove any such Attorney-in-Fact and revoke all power and authoriry given to any such Attorney-in-
Fact.
Resolved: That the Attorney-in-Fact may be given full power and authoriry to execute for and in the name and on behalf of the Company any and all bonds,
recognizances, contracts of indemnity, and all other writings obligatory in the nature thereof, and any such instrument executed by any such Attorney-in-Fact shall
be as binding upon the Company as if signed and sealed by an Authorized Officer and, further, the Attorney-in-Fact is hereby authorized to verify any affidavit
required to be attached to bonds, recognizances, con[racts of indemnity, and all other writings obligatory in the nature thereof.
This power of attorney is signed and sealed by facsimile under the authority of the following Resolution adopted by the Board of Directors of ATLANTIC SPECIALTY
INSURANCE COMPANY on the twenty-fifth day of September, 2012:
Resolved: That the signature of an Authorized Officer, the signature of the Secretary or the Assistant Secretary, and the Company seal may be affixed by
facsimile to any power of attorney or to any certificate relafing thereto appointing an Attomey-in-Fact for purposes only of executing and sealing any bond,
undertaking, recognizance or other written obligation in the nature thereof, and any such signature and seal where so used, being hereby adopted by the Company
as the original signature of such officer and the original seal of the Company, to be valid and binding upon the Company with the same force and effect as though
manually affixed.
IN WITNESS WHEREOF, ATLANTIC SPECIALTY INSURANCE COMPANY has caused these presents to be signed by an Authorized Officer and the seal of the Company
to be affixed this first day of January, 2023.
STATE OF MINNESOTA
HENNEPIN COUNTY
; �•`�P�j`l , I N SG9 ,''•
; QG GQFPORqTF9n :
_� SEAL m:
:° 1586 0: By
;26. tiFw voa�'da�:
,, �,�� -. � ha �..
1Ir���N "J
��
Sarah A. Kolar, Vice President and General Counsel
On this first day of January, 2023, before me personally came Sarah A. Kolar, Vice President and General Counsel of ATLANTIC SPECIALTY INSURANCE COMPANY, to
me personally known to be the individual and officer described in and who executed the preceding instrument, and she acknowledged the execution of the same, and being by me
duly sworn, that she is the said officer of the Company aforesaid, and that the seal affixed to the preceding instrument is the seal of said Company and that the said seal and the
signature as such officer was duly affixed and subscribed to the said instrument by the authority and at the direction of the Company.
;�.:.+
.���b,�, ALISON DWAN NASH•TROUT
y NOTARY PUBLIC • MINNESOTA
My Commission Expires
: January 31, 2025
,�.����
Notary Public
I, the undersigned, Secretary of ATLANTIC SPECIALTY INSURANCE COMPANY, a New York Corporation, do hereby certify that the foregoing power of attorney is in full
force and has not been revo d, nd t e resolutions set forth abov are now i force.
�' �/�b�:,
Signed and sealed. Dated day of i
,,,`G\P�jY INSG99,.
,Q GpFPOqqrF ,y�=;
=�: SEAL m=
eO 1986 0; �it�—•-�
This Power of Attorney expires "r2a tiFw voP�da�=�
January 31, ?OZS ��'l1 b�;� ��••'� Kara L.B. Barrow, Secretary
Please direct bond verifications to sur [ � a intactinsurance.com