HomeMy WebLinkAboutContract 62404-FP1.FORT WORTH®
TRANSPORTATION AND PUBLIC WORKS
NOTICE OF PROJECT COMPLETION -FPl
City Sec retary No: 62404
D R . d 10/08/2025 ate ecetve : _____ _
City Project N!!: 1 OS638
Regarding contract 6240 4 , 202 5 Asphalt Resurfacing Contract 2 for as required by the
TRANSPORTATION AND PUBLIC WORKS DEPARTMENT as approved by City Council on 1111912024 through
M&C 24-1027 the director of the TRANSPORTATION AND PUBLIC WORKS DEPARTMENT upon the
recommendation of the Assistant Director of the Transportation & Public Works Department has accepted the project as
complete.
Original Contract Amount:
Amount of Approved Change Orders:
Revised Contract Amount:
Total Cost Work Completed:
Less Deductions:
Liquidated Damages:
Pavement Deficiencies:
Total Deduction Amount:
Total Cost Work Completed:
Less Previous Payments:
Final Payment Due ?atncia L t,vadsack
� Wadsack (Oct.3..202514:07:35 CO_I)
Recommended for Acceptance
Asst. Director, TPW -Capital Delivery
Lauren Prieur (Oct 3, 2025J.5:49:20 CDT)
Accepted
$ 2,875,570.00 Days 210
$86,162 .50 Nv_1 _ Days Added by CO�
$ 2,961,7 32.50 TomlDays 240
$ 2,52 8,857 .01 Days Charged 179
__ Days@$ ____ / Day
----
$ 2,528,857.01
$ 2,402,4 1 4.1 4
$ 126,442 .87
Oct 3, 2025
Date
Oct 3, 2025
Date
Director, TRANSPORTATION AND PUBLIC WORKS DEPARTMENT
� Oct 7, 2025
Asst. City Manager Date
Comments:
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F�RT W�RTH�
Routing and Transmittal Slip
Transportation & Public Works
Department
DOCUMENT TITLE: 2025 ASPHALT RESURFACING CONTRACT 2— CO 1
M&C: 24- 1027 CPN: 105638 CSO: 62404 DOC#: 1
Date:
To: Name Department Initials Date Out
1 LaKeshia Lynch Bus-Sppt �� Mar 14, 2025
2. Sunmount Paving Company Vendor �� Mar 14, 2025
3. Kevin Jackson TPW Inspector K„�;,,�,,,� Mar 14, 2025
4. Iretomiwa Otuyelu TPW �• • M a r 13, 2025
5. Zelalem Arega TPW ��° M a r 14, 2025
6. Mary Hanna TPW '��' Mar 14, 2025
7. Patricia Wadsack TPW AD �L.� Mar 14, 2025
8. Lauren Prieur TPW Director ��: Mar 14 2025
�.,�,,.� P,���, �
9. Doug Black Legal ��,li.� Mar 17, 2025
10. Jesica McEachern CMO ,�'�E,�,,,.�„ Mar 20, 2025
11. Jannette Goodall CSO ,� Mar20, 2025
12. TPW Contracts TPW
CC: Program Manager, Sr. CPO, TPW BSPAP Recon Team, TPW Records Room, TPW Contracts
ALs� I.1Si: - Bus Sppt: LaKeshia Lvnch: Prg Mgr.: Zelalem Areea; Sr CPO — Mary Hanna
DOCUMENTS FOR CITY MANAGER'S SIGNATURE: All documents received from any and all
City Departments requesting City Manager's signature for approval MUST BE ROUTED TO THE
APPROPRIATE ACM for approval first. Once the ACM has signed the routing slip, David will review
and take the next steps.
NEEDS TO BE NOTARIZED: ❑YES �No
RUSH: ❑YES �No SAME DAY: ❑YES ❑No NEXT DAY: ❑YES ❑No
ROUTING TO CSO: �YES ❑No
Action Repuired:
❑ As Requested
❑ For Your Information
� Signature/Routing and or Recording
❑ Comment
❑ File
❑ Attach Signature, Initial and Notary Tabs
Return To: Please notify TPWContracts(�a fortworthtexas.gov for pickup when complete. Call ext. 7233 or ext.
8363 with questions. Thank you!
62404-CO1
FORT WORTH:: City of Fort Worth
`�—' Change Order Request
Project Name 2025 Asphalt Resurfacing Contract 2 City Sec# 62404
Client Project #(s) 105638
Project
Asphalt Resurfacing at various locations
Contractor Sunmount Paving Change Order # 1 Date 3/10/2025
City Project Mgr. Iretomiwa Otuyelu City Inspector Kevin Jackson
Dept.
Original Contract Amount
Extras to Date
Credits to Date
Pending Change Orders (in M&C Process)
Contract Cost to Date
Original Funds Available for Change Orders
Remaining Funds Available for this CO
Additional Funding (if necessary)
TPW
Totals
Contract Time
$287,557.00
$287,557.00
CHANGE ORDERS to DATE (INCLUDING THIS ONE) AS % OF ORIGINAL CONTRACT
MAXALLOWABLE CONTRACT AMOUNT (ORIGINAL CONTRACT COST+ 25%)
$287, 557.00
$287,557.00
3.00%
$3,594,462.50
240
JUSTIFICATION (REASONS) FOR CHANGE ORDER
This change order adds new items for a more comprehensive subgrade treatment at N Tarrant Parkway due to unforeseen subgrade issues encountered at the Westbound
roadway. Upon reassessment of the street during construction, it was found that the subgrade under the pavement is unstable, and the initial procedure of removing and
replacing the top 3-inch asphalt surface will not be sufficient. To ensure a more stable subgrade, staff proposes pulverizing and treating the subgrade to 12 inches below the
existing pavement and resurfacing the street with 4 inches of Asphalt. As a result, this change order will add new bid items for the latest procedure and reduce quantities for
items related to the old procedure. The prices of the new items have been compared to prices on similar contracts and are deemed reasonable.
The staff also supports the contractor's request for an additional 30 days, which accounts for the necessary time to route and approve the change order and the additional time
the contractor requires to complete the new procedure.
It is understood and agreed that the acceptance of this Change Order by the contractor constitutes an accord and satisfaction and represents payment in full
(both time and money) for all costs arising out of, or incidental to, the above Change Order. The Project/Program Manager signing below acknowledges that
he/she is the person responsible for the monitorin� and administration of this contract, includin� ensurin� all performance and reportin� requirements.
Contractor's Company Name Contractor (Name) Contract Signature Date
Eurovia Atlantic Coast John Rauer `A F�� Mar 14, 2025
Inspectodlnspection Supervisor Date Project and Contract Compliance Manager Date
K� �-�� Mar 14, 2025 � Mar 13, 2025
Program Manager Date Senior Capital Project Officer Date
Z e�Gl(BU'% �✓��a Mar 14, 2025 - �w� Mar 14, 2025
Assistant Director (Dept) Date Director, Contracting Department (Dept) Date
ricia �, wqAsqcK Mar 14, 2025 ��7�+ — Mar 14, 2025
Assistant City Attorney Date Assistant City Manager Date
� Mar17,2025 Mar20,2025
Council Action (if required)
ATTEST:
>... . > .atr.::..
M&C Number I � M&C Date Approved ��
Jannette Goodall, City Secretary
FORT WORTH Clt�/ Of FOrt WOI'�Il
1T`— Change Order Additions
Project Name 2025 Asphalt Resurfacing Contract 2 City Sec # 62404
ClientProject# 105638
Contractor Sunmount Paving PM Iretomiwa Otuyelu Inspector Kevin Jackson
Change Order Submittal # O1 Date 3/10/2025
��� •�
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Change Order Additions Page 2 ot4
F�K �� K�� H c�ty or Fon wortn
Change Order Deletions
Project Name 2025 Asphalt Resurfacing Contract 2 City Sec # 62404
Client Project # 105638
Contractor Sunmount Paving PM Iretomiwa Otuyelu Inspecror Kevin Jackson
Change Order Submittal # O1 Date 3/10/2025
�� � .. � � �������
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Change Order Deletions Page 3 of 4
Previous Change Orders
Co# DATE AMOUNT
Total $0.00
105638-CNCO-2025 Asphalt ResurFacing
Contract 2 - CO 1
Final Audit Report
2025-03-21
Created: 2025-03-13
By: Andrea Munoz (Andrea.Munoz@fortworthtexas.gov)
Status: Signed
Transaction ID: CBJCHBCAABAAy18pZviesHfWfOCoSH9FNYn4s_foNmGm
"105638-CNCO-2025 Asphalt Resurfacing Contract 2- CO 1" Hi
story
_'. Document created by Andrea Munoz (Andrea.Munoz@fortworthtexas.gov)
2025-03-13 - 10:13:49 PM GMT- IP address: 204.10.90.100
,• Document emailed to LaKeshia Lynch (LaKeshia.Lynch@fortworthtexas.gov) for filling
2025-03-13 - 10:29:45 PM GMT
, Document emailed to John Rauer (john.rauer@eurovia.us) for signature
2025-03-13 - 10:29:45 PM GMT
Document emailed to Kevin Jackson (kevin.jackson@fortworthtexas.gov) for signature
2025-03-13 - 10:29:45 PM GMT
Document emailed to Iretomiwa Otuyelu (Iretomiwa.Otuyelu@fortworthtexas.gov) for signature
2025-03-13 - 10:29:46 PM GMT
�'�: Email viewed by Iretomiwa Otuyelu (Iretomiwa.Otuyelu@fortworthtexas.gov)
2025-03-13 - 10:30:27 PM GMT- IP address: 174.246.136.32
:���= Document e-signed by Iretomiwa Otuyelu (Iretomiwa.Otuyelu@fortworthtexas.gov)
Signature Date: 2025-03-13 - 10:32:06 PM GMT - Time Source: server- IP address: 204.10.90.100
='� Email viewed by John Rauer (john.rauer@eurovia.us)
2025-03-13 - 10:55:56 PM GMT- IP address: 132.147.144.133
'�_ Document e-signed by John Rauer (john.rauer@eurovia.us)
Signature Date: 2025-03-14 - 12:17:55 PM GMT - Time Source: server- IP address: 98.6.97.250
_�.: Email viewed by Kevin Jackson (kevin.jackson@fortworthtexas.gov)
2025-03-14 - 1:18:00 PM GMT- IP address: 204.10.90.100
���� 1'1'd�i��'iy Pawered by
� Adohe
Acroba# 5ign
�`�:: Document e-signed by Kevin Jackson (kevin.jackson@fortworthtexas.gov)
Signature Date: 2025-03-14 - 1:18:31 PM GMT - Time Source: server- IP address: 204.10.91.100
�� Form filled by LaKeshia Lynch (LaKeshia.Lynch@fortworthtexas.gov)
Form filling Date: 2025-03-14 - 2:27:49 PM GMT - Time Source: server- IP address: 204.10.90.100
Document emailed to Zelalem Arega (Zelalem.Arega@fortworthtexas.gov) for signature
2025-03-14 - 2:27:52 PM GMT
' Email viewed by Zelalem Arega (Zelalem.Arega@fortworthtexas.gov)
2025-03-14 - 2:28:19 PM GMT- IP address: 99.150.144.50
,'�:: Document e-signed by Zelalem Arega (Zelalem.Arega@fortworthtexas.gov)
Signature Date: 2025-03-14 - 2:33:39 PM GMT - Time Source: server- IP address: 99.150.144.50
Document emailed to Mary Hanna (Mary.Hanna@fortworthtexas.gov) for signature
2025-03-14 - 2:33:42 PM GMT
Email viewed by Mary Hanna (Mary.Hanna@fortworthtexas.gov)
2025-03-14 - 2:34:35 PM GMT- IP address: 204.10.90.100
� �:� Document e-signed by Mary Hanna (Mary.Hanna@fortworthtexas.gov)
Signature Date: 2025-03-14 - 2:35:16 PM GMT - Time Source: server- IP address: 204.10.90.100
Document emailed to Patricia Wadsack (patricia.wadsack@fortworthtexas.gov) for signature
2025-03-14 - 2:35:18 PM GMT
��� Signer Patricia Wadsack (patricia.wadsack@fortworthtexas.gov) entered name at signing as Patricia L.
Wadsack
2025-03-14 - 9:54:34 PM GMT- IP address: 35.150.23.58
�-� Document e-signed by Patricia L. Wadsack (patricia.wadsack@fortworthtexas.gov)
Signature Date: 2025-03-14 - 9:54:36 PM GMT - Time Source: server- IP address: 35.150.23.58
Document emailed to Lauren Prieur (Lauren.Prieur@fortworthtexas.gov) for signature
2025-03-14 - 9:54:39 PM GMT
� Email viewed by Lauren Prieur (Lauren.Prieur@fortworthtexas.gov)
2025-03-14 - 9:54:56 PM GMT- IP address: 76.227.105.128
��:: Document e-signed by Lauren Prieur (Lauren.Prieur@fortworthtexas.gov)
Signature Date: 2025-03-14 - 9:55:49 PM GMT - Time Source: server- IP address: 76.227.105.128
Document emailed to Lorita Lyles (Lorita.Lyles@fortworthtexas.gov) for approval
2025-03-14 - 9:55:51 PM GMT
���� 1'1'd�i��'iy Pawered by
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Acroba# 5ign
�'" Email viewed by Lorita Lyles (Lorita.Lyles@fortworthtexas.gov)
2025-03-17 - 12:36:40 PM GMT- IP address: 204.10.90.100
�'�:: Document approved by Lorita Lyles (Lorita.Lyles@fortworthtexas.gov)
Approval Date: 2025-03-17 - 12:41:45 PM GMT - Time Source: server- IP address: 204.10.90.100
Document emailed to Douglas Black (Douglas.Black@fortworthtexas.gov) for signature
2025-03-17 - 12:41:47 PM GMT
:-� Document e-signed by Douglas Black (Douglas.Black@fortworthtexas.gov)
Signature Date: 2025-03-17 - 3:38:42 PM GMT - Time Source: server- IP address: 204.10.90.100
'. Document emailed to Jesica McEachern (jesica.mceachern@fortworthtexas.gov) for signature
2025-03-17 - 3:38:44 PM GMT
�= �:: Document e-signed by Jesica McEachern (jesica.mceachern@fortworthtexas.gov)
Signature Date: 2025-03-20 - 7:07:22 PM GMT - Time Source: server- IP address: 108.145.130.50
; Document approval automatically delegated to Katherine Cenicola (Katherine.Cenicola@fortworthtexas.gov) by
Ronald Gonzales (Ronald.Gonzales@fortworthtexas.gov)
2025-03-20 - 7:07:24 PM GMT
' Document emailed to Katherine Cenicola (Katherine.Cenicola@fortworthtexas.gov) for approval
2025-03-20 - 7:07:24 PM GMT
Document emailed to Ronald Gonzales (Ronald.Gonzales@fortworthtexas.gov) for approval
2025-03-20 - 7:07:25 PM GMT
�'�:: Document approved by Ronald Gonzales (Ronald.Gonzales@fortworthtexas.gov)
Approval Date: 2025-03-20 - 7:08:50 PM GMT - Time Source: server- IP address: 208.184.124.181
` Document emailed to Jannette Goodall (jannette.goodall@fortworthtexas.gov) for signature
2025-03-20 - 7:08:53 PM GMT
.` Email viewed by Jannette Goodall (jannette.goodall@fortworthtexas.gov)
2025-03-20 - 9:40:57 PM GMT- IP address: 204.10.90.100
= �:: Document e-signed by Jannette Goodall (jannette.goodall@fortworthtexas.gov)
Signature Date: 2025-03-20 - 9:41:13 PM GMT - Time Source: server- IP address: 204.10.90.100
; Form filling automatically delegated to Elisa Winterrowd (Elisa.Winterrowd@fortworthtexas.gov) by Allison
Tidwell (allison.tidwell@fortworthtexas.gov)
2025-03-20 - 9:41:15 PM GMT
' Document emailed to Allison Tidwell (allison.tidwell@fortworthtexas.gov) for filling
2025-03-20 - 9:41:15 PM GMT
���� 1'1'd�i��'iy Pawered by
� Adohe
Acroba# 5ign
Document emailed to Elisa Winterrowd (Elisa.Winterrowd@fortworthtexas.gov) for filling
2025-03-20 - 9:41:15 PM GMT
�'�:� Form filled by Allison Tidwell (allison.tidwell@fortworthtexas.gov)
Form filling Date: 2025-03-21 - 6:02:42 PM GMT - Time Source: server- IP address: 208.184.124.181
��� Agreement completed.
2025-03-21 - 6:02:42 PM GMT
���� 1'1'd�i��'iy Pawered by
� Adohe
Acroba# 5ign
Rev. 8/20/19
TRANSPORTATION AND PUBLIC WORKS
August 12, 2025
Eurovia Atlantic Coast DBA Sunmount Paving
11801 Harmonson Rd.
Justin, TX 76247
RE: Acceptance Letter
Project Name: 2025 Asphalt Resurfacing Contract 2
Project Type: Asphalt Resurfacing
City Project No.: 105638
To Whom It May Concern:
On August 7, 2025 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, 2025. 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, 2025, 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
Iretomiwa S. Otuyelu P.E.Professional Engineer City of Fort Worth Transportation and Public Works
Department Tel: 817.392.6747 .
Sincerely,
Iretomiwa Otuyelu, Project Manager
Zelalem Arega, Program Manager
Cc: Kevin Jackson, Inspector
Gary Deyon, Inspection Supervisor
Lorrie Pitts, Senior Inspector
Arega Zelalem, Program Manager
N/A, Consultant
Eurovia Atlantic Coast DBA Sunmount Paving, Contractor
City of Fort Worth, Developer
File
E-Mail: TPW_Acceptance@fortworthtexas.gov
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I
AFFIDAV IT
STATE OF Texas
COUNTY OF Dez�ton
Before n�e, the �7i�dersigned authority, a i�ntary public i;� the state
and coY�nty afoz•esaid, on this day �ersonally appeared �ohn Rauer,
Division Maaiager Of Eurovia Atlantic Coast LLC dba Sui�mount Paving,
knowil to �ae ta be a c�edible pe��san, w�o beiug by me duly swori�, upon
his oath deposed and said;
That ail persa��s, fixzns, associations, corpoiations, ar other
o�•ganizations ft►rnishing labor and/ot• materials have been paid in fi�ll;
That the wage scale established by the City Council in the City of
Fort Wo�th has been paid in ful1;
That thea•e are no claims pendi��� foz pex�sonal izaju�•y andlor
pro�erty dan�ages;
On Co��tract descrxbed as;
2025 Asphalt Resurfacii�g Contract 2
:
�ahn Rauer, Divisioi� Manager
Subscri�ed and svvo�•n b�for� me qr� this dat� 25tt� of August, 2025.
� q�p� A�4 S1i�iiRY KAY S�IDE12
s°�`n Notary 1p �f1320fl5248
�� 1/�S l f My tommission Expires
'rEUfi�+ May S, Z027
Notary Pu '
Denton, Texas
coNsENT oF
SURETY COMPANY
Ta FiNAL PAYMENT
Gonforms with t�e American Institute of
Archit�cts, AIA �trcument G707
aw�ER ❑
ARCHITECT ❑
co�T�ac-ro� ❑
SUR�TY �
�}THEFi
Bond No �18247283
�'ROJEC7:
(n�iTl$, aCli�rB8S�2D25 ASPHALT REBURFACING CONTRACT 2
TO (Owner)
Fort Worth
7X
�
CI'iY OF FORT WORTH
20q Texas Street
Fart Wor#ri TK 751q2
CONIWRACT01�: �UROViA Al"LAlVTfC COAST LLC
� ARCHITECT'S PROJECT NQ:
co�vT�,�cT �aR:
2025 Asphalt Resurfaeing Contract 2(Project #1fl583$)
,.�I CONTRACT DATE:
In accordance with the provisions of the Contract between the Owner and the Coatractar as indicated above, the
Ihere insert nsme end address of Suraty Companyl
LI8�F2TY MUTUAL INSURANCE COMPANY
975 Berkeley Street
aoscon MA fl2116 , SURETY COMF'ANY
on 6ond of Ihere insett name and address of Contractor►
�UROVIA ATLANTiC COAST �LC
PO Box 800
Roanoke TX 76262
, CONTRACTOR,
hereby approves of the final payrrtent to the Contractor, and agrees tltat final payment to tlae Contractor shalt r�ot r�lieve
the Surety Company of a�y of its o�ligations to Il�ere insert nam� end address af Owner�
CI�fY OF FORT WORTH
200 Texas S#reei
Fort worth Tx 75102 , DWNER,
as set fortt� in the said Surety Company's bond.
IN WITNESS, WHEREOF,
the 5utrety Co��any has hereunta set its hand this
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2'fst d8y �f August, 2025
LIBERTY MUTUAI� INSIfRAl�ECE COMPANY
Surety Campany ,
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Si.gr�atur ofAuthorized Representa#iVe
�z be � I� Attorne -in-Fact
Title
NDTE: This fovm is to 5e used. es a campanian document t� AIA �OCUPA�N1' G7p$. CdNT�IACTOR'S AFFIDAVIT OF PAYMENT OF �EBTS AND CLAIMS,
Current Edition
QNE PAGE
._. Libert�
Mutual�
SURETY
POWER OF ATTORNEY
Liberty Muival Insurance Gompany CertificateNo: 82i3383-016072
The Dhio Casualty Insurance Company
W�st American Insurance Company
K�kOWN AL� PERSONS BY THESE RRESENTS: Thai The Ohio Casualry Insurance Company is a corporation duky organized under the laws of the 5tate of New Hampshire, that
Lib�rty Mutua# Insurance Company is a corporafion duly organized under the laws of fhe State of Massachusetts, and West American lnsurance Company is a corporation duly orgar�ized
under the laws of the State of Indiana (herein collectively calletl the "Companies"), purs�ani to and by au#hariiy herein sef forth, daes hereby name, canstitute antl appoint, Me�aF� x.
i7nuaire: Sa€tdy K McFlhaney; k3enjamin A. Stahl; Eli�abeth K. Sterling
ail af the ciiy of Atlan€a state of �A each individually if thera be mare than ane named, its true and lauuful attomey-in-fact to make,
execute, sea1, acknowfedge and deliver, ior and an its behalf as surety and as its act and deed, any and all �ndertakings, bonds, recognizances and other surety abligations, i�r pursuance
of these presents and shall be as binding upon the Companies as if they have been duly signed 6y the presidenf and a4tested by the secretary o# the Companies in their awn proper
persons.
IN WITiVE5S WHEREOF, this f'awer of At�omey has been subscribed by an authariaed o�cer pr official af the Companies and ihe corpprate seals of the Companies have beer� affixetl
thereto this Sth day af N[��_ .__. ., 2D25 .
of P�NNSYLVANIA
v of M0�3TGOMERY S$
Liberty Mutual Insurance Company
4�rosuq �,tv �Nsp � 4N5�R9 The Ohio Casualty Snsurance Company
F,PGpp40l�Tqy� yJP4pRA0/�RT.'�y CfP VOR�QR4? '�'� West American Insurance Company
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Nathan J. Zangerle, Assisiant 5ecretary
y 3 On this Sth day of May , 20z5 before me personally appeared �iaihan J, Zangerle, who acknowledged himself to be the Assist�nt Secretary of Liherty Mutual Insurance
c� Company, The Ohio Casualty Company, and West American Insurance Company, and fhat he, as such, being authorized so to do, execute the foregoing instrument #or the purposes
;� therein containetl by siqning on behalf of the corporations by himself as a duly autharized afficer.
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�„` ����� Gommanweaith of Pennsylvania � Nolary Seal
;' o, �";C� �{ ' Tsresa Pastella, Noiary Puhlic
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�� ��`NS�'1Va��,�G MemLeCPemsylyoytaAssociationoNolaries
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-� �? This Pawer of Attorney is made and executed pursuani to and by authoriry of the fot�owing By-Iaws and Authorizafloas of The Ohio Casualty [nsuranee Company, Liberty Mutual
o•� In5utance Company, and West American Insurance Company which resolutions are now in full force antl effect reading as follows:
�;3 ARTICLE IV — OfFlCERS; 5ect+on 12. Power af Attomey
p� Any officer ar other offc'�a! of the Corporation authorized ior that purpose in writing by the Chairman or the President, and subject io such limitation as the Chairman or the
:� � Prestdant may prescribe, shall appoint such attorneys-in-fact, as may be necessary io act in behalf of the Corporation to make, execute, sea1, acknowledge and deliver as surety
�� any and all undertakings, bonds, recogniza�oes and ather surety obliga6ons. 5uch attomeys in-fact, subject io the limit2tions set forth in their respective powers oi attomey, shali
o� hsve full power ta bind ihe Corporatioa by their signature and execution of any such insVuments and to attach thereto the seal of the Corporatian. When sa exacuted, such
Z� instruments shall be as binding as if signed by the President and attesked to by t�e Secretary. Any �ower or authority granted io any representative or aliorney-in-fact untler th�
provisions oi t�is article may 6e revokad at any time by the Board, the Chairman, ihe President or by the officer or of�cers granting such power or auihority.
ARTIGLf XIII — Execution ofi Contracts: Section 5. Surety Bonds and Undertakir�gs.
Any oKcer a€ #he Company authorized for ihat purpose in writing by the chairman or the president, and subject to such limifafions as the chairman or the president may prescribe,
shall appoint such attomeys-in-iact, as may be necessary to aci in beha�f af the Company to make, execiste, seal, acfcnowledge antl deliv�r as s�re�y any and all undertakings,
bontls, recognizances and ather surety obligations. Such at�orneys-i�-fact subject to the limitations set farth in t�eir respective pawers of attorney, shall have full power to bind the
Company �y their signature and execution of any such instruments and to atta�h thereto the seal of the Compar�y. When so executed such lnstrumersts shall be as hinding as 'rf
signed by the president and attested by the secretary.
CertiScate of �esignation — The President of the Company, acting pursuant to the Bylaws of t�e Campany, auihorizes Nathan J. Zangerle, Ass'istant Secretary to appoint such
attorneys-in-facf as may be necessary to aet on behalf ot lhe Company to make, execute, seal, acknawledge and deliver as surety any and alE undertakings, bonds, recognizances and
ofher surely obEigations.
AuEhorizalion — 8y unanimous consent of the Company's Board of Directo�s, the Company consents that facsimile or mechanieapy reproduced sigr�ature ot any assistant secretary ai the
Company, wherever appearing upon a certifietl copy of any power of attorney issued by Ehe Cpmpany in connection wifh surety bonds, shaii be vaiid and hinding upon the Gompany with
the same force and eHect as though manually af�xed.
I, Renee C. Liewellyn, ihe undersigned, Assistani Secretary, 7he dhio Casualty Insurance Company, Liperty Mutual lnsurance Company, and West American Insurance Company do
hereby certify t�at the original power of attomey of which the foregoing is a full, true and correoi copy of the Power of Atiort�ey executed by said Companies, is in full force and effect and
has nof been revoked. �
EN TE3TIMONY WtiE3�E0F, I have hereunto set my hand and affixed the seals of said Ccmp�ni2s thi� 21 st dzy of August , 2025 .
IN WITNESS WWEREOF, I have hereunta subscribed my name antl a�xed my notar�al seal at Piymouth hl�eefing, Pennsylvania, on the day and year first ak�ove written.
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�,� ssacHus��aa y� �`kaMQsa da� �rs �vo�.,� ,�b� y Renea G. Llewellyn, Assistant 5ecretary
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Assets
LIBERTY MUTUAL INSURANCE C�MPANY
FINANCIAL STATEMENT — DECEMBEFt 3'1, �024
Cash and Bank beposits ............................... $4,648,82fi,756_4�
�8onds — U.S GovernmeRt ............................ $4,281,375,446.74
*Other Sonds ................................................$21,5fi6,489,52726
"Stacks .........................................................$15,589,644,012.OD
Real Estafie ......................................................... $86,497,925.60
Agents' Balances or lincoltected Premiums.. $7,512,975,129A(]
Accrued interest and Rents .............................. $225,249,712.QQ
Other Admitted Assets ..................................$�9,357,663,200.00
Liabilities
Unearned Premiurns ......................................$9,890,896,578.40
Fteserve for Claiins and Claims Ex}�ense.....$29,467,p71,865.00
Funds He�d linder Reinsurance Treaties.......... $341,94$,172.QQ
Res�rue fvr Di�idends to Policyholders .................... $954,425.00
Aciciitional Statutory R�serve .............................$15�,5�47,865.OQ
Reserve far Commissions, Taxes and
Oth�r Li�bilities .............................................. $5,D49,9Q6,410.00
Total ......................................•--•---- $47,104,416,171.00
5pecial Surplus F�nds ...................................... $174,153,086.Oa
Total Admitted Assets ..................$74,539,483,681.00 Capital Stocic.......................................................$10,OOO,Q75.Q0
Paid in Surp[us ............................................. $13,2�9,595,772A0
Unassigned Surplus ..................................... $13,415,980,569.00
Surplus to Policyhalders ............................... $27,435,067,490.00
Total Liabilities and Surpius ....... $74,539,483,fi61.00
" Bo�ds are stated at amortized ar investment �alue; Stocks a# Association Market Values.
7he foregoing financial inforrrEation is taken from Liberty Mutual Insurance Company's financial statement Fled with ihe Massachusetts Department of
Vnsurance.
I, TIM MIKOLA.iEWSKI, Assistant Secretary af Li�erty Mutual Insurance Cnmpany, da hereby certify that the foregoing is a
trus, and correct statemer�t of the Asse�s and Liabilities o#' said Corpnration, as of December 31, 2024, ta the best o# rr�y
knawledge and belief.
iN WITNESS WHER�QF, 1 ha�e hereunto set my hand and affixed the seal of said Corparation at Seattle, Washing#an, this
8th day of March, 2025.
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�fiir�othy A. Mikolajewski, Assistant Secretary
LMS-1262/LMlC