HomeMy WebLinkAbout061623-FP1 - Construction-Related - Contract - Independent Utility ConstructionFORTWURTH�
-FP1
City Secretary
Contract No. 61623
Date Received 2�26/2�26
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: Orchard Village Phase 1 B
City Project No.: 102061
Improvement Type(s): ❑ Paving ❑ Drainage � Street Lights ❑ Turn Lane
IOriginal Contract Price: $198,334.22
Amount of Approved Change Order(s)
Revised Contract Amount:
Total Cost of Work Complete:
��t;,��/
Contractor
President
Title
Independent Utility Construction
'�: •. .:
$189,371.54
$189,371.54
02/18/2026
Date
Company Name
���� •
Project Inspector
���FPn .�� ��� ,� P �
���a� F�ST, �
Project Manager
e���
CFA Manager
�a.,a.�.�r,:..,,.
Lauren Prieur (Mar 1, 2026 18�.3208 CST)
TPW Director
OFFICIAL RECORD
CITY SECRETARY
FT. WORTH, TX
02/18/2026
Date
02/26/2026
Date
02/26/2026
Date
03/01 /2026
Date
Page 1 of 2
Notice of Project Completion
Project Name: Orchard Village Phase 1 B
City Project No.: 102061
City's Attachments
Final Pay Estimate x❑
Change Order(s): 0 Yes ❑ N/A
Contractor's Attachments
Affidavit of Bills Paid ��
Consent of Surety ��
Statement of Contract Time
Contract Time: 150 WD Days Charged: 141 WD
Work Start Date: 3/17/2025 Work Complete Date: 2/16/2026
Completed number of Soil Lab Test: 683
Completed number of Water Test: 22
Page 2 of 2
F���r ���Tx
CITY OF FORT WORTH
FINAL PAYMENT REQUEST
Contract Name ORCHARD VILLAGE PHASE 1B
Contract Limits
Project Type STREETLIGHTS
City Project Numbers 102061
DOE Number 2061
Estimate Number 1 Payment Number 1
City Secretary Contract Number
Contract Date
For Period Ending 2/16/2026
WD
Project Manager NA
Contractor INDEPENDENT UTILITY CONSTRUCTION
5109 SUN VALLEY DRIVE
FORT WORTH � TX 76119
Inspectors M.GLOVER / E.CASTLLLO
Contract Time 158JD
Days Charged to Date 141
Contract is 100.00 Complete
Wednesday, February 18, 2026 Page 1 of 4
City Project Numbers 102061
Contract Name ORCHARD VILLAGE PHASE 1B
Contract Limits
Project Type STREETLIGHTS
Project Funding
UNTI' I: STREETLIGHTS
DOE Number 2061
Estimate Number 1
Payment Number 1
For Period Ending 2/16/2026
Item Estimated Estimated Completed Completed
Description of Items Unit Unit Cost
No. Quanity Total Quanity Total
1 LED LIGHTING FIXTURE(CO#7) 23 EA $387.00 $8,901.00 23 $8,901.00
2 2" CONDUIT PVC SCH 40 (T)(CO#7) 2554 LF $19.55 $49,930.70 2554 $49,930.70
3 NO. 2 INSULATED ELEC CONDR(CO#7) 2832 LF $3.88 $10,988.16 2832 $10,988.16
4 N0.6 INSULATED ELEC CONDR 5538 LF $2.36 $13,069.68 5538 $13,069.68
5 RDWY ILLUMINATION FOUNDATION TYPE 1 18 EA $1,824.00 $32,832.00 18 $32,832.00
6 RDWY ILLUMINATINO FOLTNDATION TYPE 3 EA $2,162.00 $6,486.00 3 $6,486.00
3(CO#7)
7 RDWY IL,LUMINATION POLE TYPE 11 18 EA $2,326.00 $41,868.00 18 $41,868.00
8 RDWY ILLUMINATION POLE TYPE 18(CO#7) 3 EA $4,157.00 $12,471.00 3 $12,471.00
9 240/480V METERED PEDESTAL 1 EA $8,000.00 $8,000.00 1 $8,000.00
10 2" CODT PVC (RISER)(CO#7) 25 LF $25.00 $625.00 25 $625.00
11 NO. 6 TRIPLEX OH INSULATED ELEC 150 LF $12.00 $1,800.00 150 $1,800.00
CONDR(CO#7)
12 WOOD POLE ARM MOUNT(CO#7) 2 EA $1,200.00 $2,400.00 2 $2,400.00
Sub-Total of Previous Unit $189,371.54 $189,371.54
Wednesday, February 18, 2026 Page 2 of 4
City Project Numbers 102061
Contract Name ORCHARD VILLAGE PHASE 1B
Contract Limits
Project Type STREETLIGHTS
Project Funding
Contract Information Summary
Original Contract Amount
Chan�e Orders
Change Order Number 7
Total Contract Price
DOE Number 2061
Estimate Number 1
Payment Number 1
For Period Ending 2/16/2026
$198,334.22
($s,96z.6s�
$189,371.54
Total Cost of Work Completed $189,371.54
Less % Retained $0.00
Net Earned $189,371.54
Earned This Period �189,371.54
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
$189,371.54
Wednesday, February 18, 2026 Page 3 of 4
City Project Numbers 102061
Contract Name ORCHARD VILLAGE PHASE 1B
Contract Limits
Project Type STREETLIGHTS
DOE Number 2061
Estimate Number 1
Payment Number 1
For Period Ending 2/16/2026
Project Funding
Project Manager NA
Inspectors M.GLOVER / E.CASTILLO
Contractor INDEPENDENT UTILITY CONSTRUCTION
5109 SUN VALLEY DRIVE
FORT WORTH � TX 76119
City Secretary Contract Number
Contract Date
Contract Time 150 WD
Days Charged to Date 141 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
Less % Retained
Net Earned
Earned This Period �189,371.54
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
$189,371.54
$0.00
$189,371.54
$0.00
$0.00
$0.00
$0.00
$0.00
$189,371.54
Wednesday, February 18, 2026 Page 4 of 4
DEVELOPER-AWARDED-PROJECT CHANGE ORDER
PROJECT NAME:
CONTRACT:
CFA #
CI'iY PROJECT #
CITY SECRETARY CONTRACT #
WATER PROJECT#
SEWER PROJECT#
X#
FILE #
INSPECTOR:
PROJECT MANAGER:
ORIGINAL CONTRACT
EXTRAS TO DATE
CREDITS TO DATE
CONTRACTTO DATE
AMOUNT OF PROP. CHANGE ORDER
REVISED CONTRACT AMOUNT
TOTAL REVISED CONTRACT AMOUNT PER
UNIT
REVISED COST SHARE
TOTAL REVISED CONTRACT
Orchard Village Ph.1 B
(A) Water/Sewer/Storm Drain, (B) Paving, (C) Street Lights
19-0149 I CITY PARTICIPATION
102061
61623
56008-0600430-102061-001580
56008-0700430-102061-001380
X-26285
W-2674
Estevan Castillo Phone No: 682-263-4793
Khal Jaafari, PE Phone No: 817-392-7872
RECEI VED
By Khal Jaafari at 6:08 pm, Jan 15, 2026
CHANGE
ORDER No:
7
CONTRACT UNIT
WATER SEWER DRAINAGE PAVING STREETLIGHTS
Developer
Developer Cost Ciry Cost Developer Cost City Cost Developer Cost City Cost Developer Cost Ciry Cost Cost Ciry Cost
$443,822.95 $D.DO $514,245.31 $D.00 $649,d48.93 $0.00 $1,613,358.75 $D.00 $198,334.22 $0.00
$18,010.'16 $D.00 $35,90D.00 $O.OD $8,7d0.00 $0.00 $44,234.10 $0.00 $0.00 $O.DO
$0.00 $0.00 $0.00 $0.00 $O.OD $0.00 (540,263.87) $0.00 $0.00 $0.00
$461,833.11 $D.DO $550,145.31 $D.00 $658,188.93 $0.00 51,6�7,328.98 $0.00 $�98,334.22 $O.OD
$0.00 $0.00 $0.00 $0.00 50.00 $0.00 $0.00 $0.00 ($6,962.68) $0.00
$461,833.11 $0.00 $550,145.31 $D,00 $658,188.93 $0.00 $1,6'17,328.98 $0.00 $189,371.54 $0.00
$461,833.11 $550,145.31 $658,188.93 $1,617,328.98 $189,371.54
Dev. Cost: $3,476,867.87 City Cost: 30.00
$3,476,867.87
You are directed to make the following changes in the contract documents:
CITY BID ITEM
PAY ITEM # # QUANTITY
1 3441.3201 1
2 2605.3011 (224)
3 3441.1405 (696)
6 3441.3302 (1)
6 3441.3342 (1)
10` 2605.3014 25
11' 3441.1403 150
12` 9999.0001 2
Asterisk (*) indicates New Pay Item
REASONS FOR CHANGE ORDER
Revised: 12-17-2018
UNIT V: STREET LIGHT IMPROVEMENTS
UNIT ITEM DESCRIPTION CFW Unit Price UNIT PRICE Deveioper Cost City Cost
EA LED Lighting Fi�Rure $387.00 5387.00 $0.00
LF 2" Conduit PVC SCH 40 (� 519.55 ($4,379.20) $0.00
LF No. 2 Insulated Elec Condr $3.88 (53.476.48) $0.00
EA Rdwy Illumination Foundtion Type 3 $2,162.00 ($2,162.D0) $0.00
EA Rdwy Illumination Pole Type 18 $4,157.00 ($4,157.�0) $0.00
LF 2" CODT PVC (Riser) $25.00 $625.00 $0.00
LF No. 6 Triplex OH Insulated Elec Condr $12.00 $1,800.00 $0.00
EA Wood Pole Arm Mount $1,200.00 $2,400.00 $0.00
UNIT V: STREET LI_GHT IMPROVEMENTS
TOTAL CHANGE ORDER
l. Sfieef light re/ocations to remedy existing overhead utility and drrve approach conflicts. One light added.
CONTRACT
DAYS
150
150
0
150
TOTAL
$387.00
(S4,379.20)
(S3,476.48)
(52,162.00)
($4,157.00)
$625.00
$1,800.00
$2,400.00
($8,962.68)
� ($8,962.68)�
Page 1
m
�
RECOMMENDED:
GMcivil
�
� f
gy: l� ..�—
Name: Matt Baacke
Title: Project Engineer
By:
Name:
Title:
By:
Name:
Title:
M&C Number:
M&C Date Approved:
APPROVAL RECOMMENDED:
CFW - Wate� Department
N/A
RECOMMENDED:
CFW - 'Contract Compliance Manage�
N/A
APPROVED:
Orchard Farms V� �es, LLC
%
BY: �� ^
�/ �
Name: Jim Boyce
ritie: Authorized Signatory
APPROVED:
CFW - Assistant City Manager
By:
N/A
Name:
Title:
APPROVED:
lndepen nie Utiiity Construc �
By: �`"" l l�.�VF%� �-'C Q
Name: Richard Wolfe
Titie: P�esident
APPROVED AS TO FORM AND LEGALITY:
CFW - Assistant City Attorney
By:
N/A
Name:
Title:
ATTEST " Contract Compliance Manager (Project Manager):
By signing I acknowledge that I am the person responsible
N/ A for the monitoring and administration of this contract, include
ensuring all performance and reporting requirements.
Jannette S. Goodall
Ciry Secretary OThere are NO City Funds associated with this Contract
❑There are City Funds associated with this Contract
i .
RECEIVED
By Khal Jaafari at 6:09 pm, Jan �5, 2026
Revised: 12-17-2018 Page 2
F��RT'V�VOI�.TH��
TRANSPORTATION AND PUBLIC WORKS
February 17, 2026
Independent Utility Construction, INC
5109 Sun Valley Drive
Ft. Worth, 7X 76119
RE: Acceptance Letter
Project Name: Orchard Village Phase 1B
ProjectType: Developer
City Project No.: 102061
To Whom It May Concern:
On February 4, 2026 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 February 16, 2026. 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 February 16, 2026, 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 682-
263-4793.
Sincerely,
����� ���, � p f
KhaJaafarPC ff�h" L02b1 �.2 46LSn
Khal Jafaari, Project Manager
Cc: Estevan Castillo, Inspector
Mike Glover, Inspection Supervisor
Cristobal Fuentes, Senior Inspector
Andrew Good , Program Manager
GM Civil, Consultant
Independent Utility Construction, Inc, Contractor
Orchard Farms Ventures, LLC , Developer
File
E-Mail: TPW_Acceptance@fortworthtexas.gov
Rev. 8f 2�f 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 RICHARD
WOLFE, PRESIDENT Of INDEPENDENT UTILITY
CONSTRUCTION, INC., 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;
Orchard Village Phase 1B - City Proj�x%No. 1020�-�
, l
��BY t- � i(' , ;,,�'
" � `I�ichard Wolfe, President
Subscribed and sworn before me on this date 15th of December, 2025.
: `
V' �
� � ^1
� �,�I,; . : �..
. ..� ,; , ,�., � � -
Notary Public
Tarrant County, State of
Texas
.._._�.�,
„� �,;, �.
��� .,p��., "" (,HHIJiiI`Ir� V�if:�,i;a
�. c�;.., e �
::°� � �i+= Notary Public, State of Texas
:�:��'}�; Comm. Expires 12-20-2028
��i ��OF �'���
n,,,�„��� NOtafy ID 130940785
coNs�NT oF
SITIZETY COiVIPANY
TO FINAL PAYMENT
(SI�IILAR TO AIA DOCtiVIENT G707)
OWNF,R ❑
ARCHI'TECT ❑
CONTRACTOR ❑
SURETY ❑
o��x�x
Bond No. 4115�OR
PRO.TECT: Street Lighting Improvements to serve Orchard Village Phase 1B
(name, address) Fort Worth, TX
TO {Owner)
I
�
coNTxacrox:
City of Fort Worth
100 Fort Worth Trail
Fort Worth, TX 76102
Independent Utility Construction, Inc.
�ARCHITECT'S PROJEC"I' Nfl:
CONTRACT FOR:
_____� CnNTRACT DATE:
In accordance with khe provisions of khe Contract between the Owner and the Contractor as indicated above, the (here insert name and
adeiress of Surery Company)
Westfield Insurance Company
955 Garden Parlc Drive, Suite 230 , SURETY COMPANY,
Allen, TX 75013
on �otla of (hcre insert name and address of Cuniractor}
Independent Utility Construction, Inc.
5109 Sun Valley Drive
Fort Worth, TX 76119
,CONTRACTOR,
hereby approves of the final payment to the Contractor, and agrees that the final payrnent to the Contractor shall not relieve the
Surety Company of any of its obligations to (here insert ��ame and address of Owner)
City of Fort Worth
100 Fort Worth Trail
Fort Worth, TX 76102
, OWNER,
as set forth in the said Surety Company's bond.
IN WITNESS WHEREOF,
The Surety Company has hareunto set its l�and this
Attest:
(Seal):
16th day of December , 2025
WESTFIELD INSURANCE CONIPANY
Surety Company
BY _ ,��'L--�^� /
Signature of Authorized Repres�itative � �
Kyle W. Sweeney Attorney—in—Fact
Title
Note: This fonn is intendc;:i to i�e used as a con�pc, io;� document to the Contractor's Affidavit af Payment of Debts and Claims, Cunent Edition
TNIS POWEFt OF ATTORNEY SUPERCEDES ANY PREVIOUS PO4VER BEARING THIS SAME
POWER /� AND ISSUED PRIOR TO 09l28123, FC7R ANY PERSON t7R PERSONS NAMED BELOW.
POWER NO. 4220052 06
G�neral Westfield Insurance Co.
Pawer
of Attarney Westfield National Insurance Co.
Ohio Farmers Insurance Co.
CERTIFIED COPY U'destfield Centei�, Ohio
Kr>o�n� A�l A?en by Ti�ese Presenis, �hat b'dESTF!ELD INSURANCE COFvt�APJ'f, �ldiSTFi�Lu NATIG�JA� INSURaNC� C�MPANY �3nd GHIO
FARMERS INSURANCE ��OMPAN". F:c,Yp��rati0i- hereirdf�er �'eferred t7 �ndiv(d�,aiiy aS c""ComE�a ?" and coliecti�iely a^, "�Gmpanies," :1uh(
CYc�dt�IZC.'d dr� CXISiIt`Cj Ut'd8Y ?hP IabVS bf !r�-8 �itdt2 Jf �hii;, aCG �l2VI!'C i o CiYICtCI(3dl Cff CE) I11 �N2StT�PId C-Bt�.�ef', iUC.'Ciifia CGUI',t�(. l7. i10, S10 h�f Ih8S8
jJt"85-ClltS Yl�il�<P, CtJf1S�ItUtG' aild d�J�?(:ill"lt
CHARLES D. SWEENEY, MICNAEL R. SWEENEY, KYLE W. SWEENEY, ELIZABETH GRAY, DAVID W. SNlEENEY, JOINTIY UR
SEVERALLY
of FORT WORTH ar�d State of TX its true an:l iawfu; attr�rney(s`l-in-Fa�.t, wltl;� ��.iii po�.�rer ard authorlty r:er2h� ��onferred i�? its name.
place and stead, to �xec�;te, ackr!otivfedge and c;eliver any and all bonds, recognizances, undertakings, ar other instruments or contracts of
suretyship in any penal limit. - - - . - - _ . - - - • - - - • - - - - - - - - - - - - - - - - ' - - - - - - -
LIf+A1TATION: THIS POWER OF ATTORNEY CANNOT BE USED TO EXECUTE Nt7TE GUARANTEE, MORTGAGE DEFICIENCY, MOFtTU'AGE
GUARANTEE, OR BANK DEPOSITORY BONDS.
ar�d to bir,d arn,� cf tl�,e Con'�punies ttiereb�: a.^> fullv ar�d �e'he sai�ne ex;ent as ii such i;cr�ds :��dere sic�ned by the F� esider��,r. sealed ;rritP? ti�e corporate
seal of the ap�pllcable ComE�anY ar�1 r_iul�� atte;[ed b;� its Seceetar��1, r��reby ratifyir�g ar�d confirming all tha" tr�e said Attorney',i-(n-Fact rr�ay do in
the preniises. Sa(d appointmen" is made ur,der and r�/ authority of tt,�e follc�nrir.�g reso!ution adr,pte%1 by the Bcar:i of Gir�c,ors of each oi tt��e
bVESTFIELD INSURANCE COWiPANY, �rNES'FIE�O NATIONAL INSUR�NCE C�MPAt�lY ar,d vHlO FARt�IERS INSURAPaCE COMFAN'f:
"'BP. 1C RBSPIVBd, ihat thP PY2SId2(?i, aC}� SerlC;f" EX2Ga[IVe, allV S2CYPtdY`,� Ot- aYl�{ �Id@I'!iy �`��UYef�f O�>CI"ai1011S EXBCUTIV2 Ot' Oth�Y EXBCUtIV2 Shall
be ar�d is hereb� veste� �,vfth fi_ill pcwar anci authority to ap�oint arr� one �r more si_.itabie persons as Attore�Ay(si-Ir-Fact to represent and art for
and on bat�,salf of the Cornpany suhjFct t� the following provisiors�
T.hE i1fI0iY7�f-IYr-��Ci. rlld}� h8 �IV2n fUll �JCW�Y �1"�Ci 2UChUCI:y fOY �Y?� Ifi :h2 P1atY12 Of 2Y?U Ofl fJ2f">ali Of thA �:;I?'I��aCi J, YO -�XBCUte, aCkriOl�V1Ed�7�8 aYid
7eliver, any and all hcnUs, rec-�ynizances, �ontr�cts, agreemert� nf ir�d�mnitY and oti7er con.a;tloral or �t�llgatary undertakings anci ariy and all
YIOYIC2S aY1d dOCU1T?I1YS CatlC8lli"H� 6Y CeYRliYlk3tlll� +I'18 COtII�J&iIIV�S Ila%Illt!! thBYE�'UIIUC,-'Y, aYld 23f1�f SUCr! illStC!II1leY1TS SO t,'Xt'.CUtBd iJV aIIV SUCh1
Attorney-in-Fact sl��ail be as binding upor�. the Company as if signed Pr/ `he President ar�d sealed ar�d attested I�y the C�r�orate �ecretary.""
"Be it �airther� Resolved, that the si�raYure of arry sur.P� desigr,ated �er�son ar�d Yhe seal �f the Com�am; f�eretofore �r hereafter affixeu tc ai7y
po+�e�� of attome;� ot� any certiflcate ��elatinc; thereto by facsimlle, and anY �oUver of attorne�,� or ceruPicate bear,na far.simile sgnatures or facsirnile
seal shall be valici ar�d bindir�g upor7 the Cerrpar�y v�rlth re�pect ta any Gend or unciertab;ir�g Yo �nrhich it (s attacheci.'" (Each adopted aY a��iee[ii��,r.,
held on Fet�ruary c�, 2000?.
tr, I�/itness Whereof, bVESTFIELD WSURaNCE C�MPA"!Y, VdEST�IEL� PIATICNAL INSURANCE COMRANY anci OHIG F�RMERS INSURANCE
COMPANY havr caused rh2 �e preserrts to be �igre�i by th?ir National Surety Leader ar�c9 Senior Executive anU their corpor�te seals to he hereto
affixed this 28th d2v of SEPTEMBER A.G., 2023 .
�..�.,,,., , . .. ,
Corporate A.�•a��",a •.,, �:t�.^�i '.,,` ,, '' N U '' UVESTFIELD INSURAIJCE COMPANY
��,is ��a u�• �c�,"��,s ��s� -. ;��q`,?1. S R���'r3 U�lESTFIELD NATIONaL INSURANCE COMPANY
•Q t �•�^ � OHIO FARMERS INSURANCE COMPANY
a;f„o�,l.�.d:''��.n.� '••.,n � tf ; _ ='�'�,�ARIFq��•.��
x �,_. �"�a�.� _�� SFAI, �-: :��•• :�-
�7'• .se, :°t�,�i I :i ;o`., ��4� :'��
'r � ,r 9 � �$ .' .
'���+nunxuN�~� ��*�u ni,n....•"'� B�/: ��- . .
`�tate of Ohio '
Ccur�t�f of MeUina ��,. Gary W. Stumper, Nahonaf Surery Leader- and
Senior Executrve
�n tf�is 28th day of SEPTEMBER A.D., 2023 , hefore me nersonally carne Gary W. Stumper to me knc�rdn, avho. being hy me duly sNrcrn,
did depose and say. that he resides in Medina, ON; that he is Natianal Surety Leader and Senior Executive cf bvEs?FIELD INSURANCE
COMPAN`!, �hJESTFIELD NATIOtJA� INSURANCE COMPRNY and CHIO F�IRMERS INSURANCE CCMFr�NY, the cornpanies described in and which
exeruted the abave instrurner.t: tl-�at he kno��?s the seals of said Corr�panfes; that the seals cffixed to said instrument are such corporate seals; that
they we��e sc affixed br order of the C3�ards c�f Cirectors af said C�mF7anies: and that r�e signed his name �hereto by like oer�er.
Notarial
Seal
Affixeci
State of Ohio
Court�� af Medina
.���•��� a �. ••-.
'�P�'��1tlt�iiSF���
p :':\\\ f�•. T�
2'—�`"—'� ��
��.. t qT�/O��i'�
y% / � r
�
David A. Kotnik, Attorney at �alv, Natary Pubtic
My Commissior poes Net Expire �Sec. 147.03 Chio Revised Codei
I, Frank A. Carrino, Secreta��y of b�IESTFIG�C INSURANCE COMFANY, bVESTFIEI.D NATIONAL INS�IRANCE COMPANY and OHIO FARM6RS
IN`�URANCE COtv1PAN�L do hereby certify that the above ar�d foregoing is a true ar�,d corrert copy cf c Po��ver of Attorney, exer,uted by said
COtYipanies, which i� StIII Ill flall fCYC�' dlld E`.fft?Ct; alld fUYrhBYtYIUt"P, th� Y�SOIUt10IlS �f iflE QoardS Of DIYPCYUPS, S2t OU2 Iri tilP. Pawer af �ttorney af"8
in full force and affect.
ln Witt?ess W/nereof, I have f-�ereurto se! my hand and affi;<ed the seals of said Companies at bVestfield Cer�ter, Ghio. this 16th �ay of
December A.D.,2025
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BPOAC2 {cambined) (03•22)