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HomeMy WebLinkAboutContract 45342-FP1 Department of TP&W Const. Services DOE#�l�� q Project Manager at " ' &M JQ l u"Llyby`-`� Risk Management J. Page ' RT WORTM., D.O.E. Brotherton Z _ CFA Westerman/Scann CITY SECRETAI The Proceeding people have been iContacled concerning the request for final ^('!.P.!ruCT NO. payment 8 have released this project for such payment. ATI ON AND PUBLIC WORKS Clearance Conducted By Shameka Kennedy F PROJECT COMPLETION D.O.E. Ns: 6910 (;&-'LoI )b4r' CS# x-534 Regarding contract 1for GENERAL WORTH DRIVE-PAVING&STORM DRAIN as required by the TRANSPORTATION&PUBLIC WORKS as approved by City Council on N/A through M&C N/A the director of the TRANSPORTATION& PUBLIC WORKS upon the recommendation of the Assistant Director of the Transportation&Public Works Department has accepted the project as complete. Original Contract Prices: $440,430.50 Amount of Approved Change Orders: ($61,412.00) Ns 1 Revised Contract Amount: $379,018.50 Total Cost Work Completed: $379,018.50 Less Deductions: Liquidated Damages: Days @$210.00/Day Pavement Deficiencies: Total Deduction Amount: Total Cost Work Completed: $379,018.50 Less Previous Payments: $0.00 Final Payment Due $379,018.50 Recommended for Acceptance 1 Date Asst. Direct r, TPW - Infrastructure Design and Construction h� 4_'f Accepted Date Director, TRANSPORTATION & PUBLIC WORKS City Manager Date Comments: C291-541200-202760202483 FORT WORTH CITY OF FORT WORTH FINAL PAYMENT REQUEST Contract Name GENERAL WORTH DRIVE Contract Limits Project Type PAVING&STORM DRAIN City Project Numbers 02024 DOE Number 6910 Estimate Number l Payment Number I For Period Ending 12/9/2014 CD City Secretary Contract Number 116910 Contract Time 90:D Contract Date Days Charged to Date 224 Project Manager Buckley Contract is 100.00 %Complete Contractor CONATSER CONSTRUCTION TxLP 5327 WICHITA ST FORT WORTH, TX 76119 Inspectors LAYER / CORDOVA Tuesday,February 03,2015 Page 1 of 5 City Project Numbers 02024 DOE Number 6910 Contract Name GENERAL WORTH DRIVE Estimate Number 1 Contract Limits Payment Number I Project Type PAVING&STORM DRAIN For Period Ending 12/9/2014 Project Funding ALT PAVING Item Description of Items Estimated Unit Unit Cost Estimated Completed Completed No. Quanity Total Quanity Total 6 5'BARRIER FREE RAMP TYPE H I EA $1,200.00 $1,200.00 1 $1,200.00 9 SEEDING/HYDROMULCH OF ALL PARKWAYS 3123 SY $0.50 $1,561.50 3123 $1,561.50 CO#1 I I 4'CONCERTE SIDEWALK CO#1 3449 SF $5.00 $17,245.00 3449 $17,245.00 12 BARRIER FREE RAMP TYPE M-2CO#1 I EA $1,800.00 $1,800.00 l $1,800.00 13 CONSTRUCTION CONC CURB CO#1 50 LF $15.00 $750.00 50 $750.00 14 TOP SOIL CO#1 346 CY $12.00 $4,152.00 346 $4,152.00 15 CONCRETE BOLLARDS CO#1 8 EA $800.00 $6,400.00 8 $6,400.00 Sub-Total of Previous Unit $33,108.50 $33,108.50 Item Description of Items Estimated Unit Unit Cost Estimated Completed Completed No. Quanity Total Quauity Total --- -------------- ---- - Sub-Total of Previous Unit STORM DRAIN Item Description of Items Estimated Unit Unit Cost Estimated Completed Completed No. Quanity Total Quanity Total ------------------------------ - --------- I ----------------------------- - --------- 1 6-8'X6'MBC 85 LF $2,125.00 $180,625.00 85 $180,625.00 2 STRUCTURAL HEADWALL FOR 6-8'X6'MBC 2 EA $18,500.00 $37,000.00 2 $37,000.00 W/PARALLEL WINGWALLS 3 STONE FACING 135 SY $165.00 $22,275.00 135 $22,275.00 4 LIMESTONE WALL CAP 236 LF $50.00 $11,800.00 236 $11,800.00 5 PEDESTRAIN HANDRAIL PER DETAIL 236 LF $95.00 $22,420.00 236 $22,420.00 6 48"RCP 40 LF $130.00 $5,200.00 40 $5,200.00 7 REMOVE EXISTING HEADWALL AND 1 FA $1,200.00 $1,200.00 l $1,200.00 CONNECT TO EXISTING 48"RCP 8 18"THICK ROCK RIP RAP ON 6"BEDDING 665 SY $60.00 $39,900.00 665 $39,900.00 9 TRENCH SAFETY 40 LF $6.00 $240.00 40 $240.00 10 2"RCP CO#1 8 LF $45.00 $360.00 8 $360.00 11 Y GRATE INLET CO#1 I EA $4,50000 $4,500.00 1 $4,500.00 Tuesday,February 03,2015 Page 2 of 5 City Project Numbers 02024 DOE Number 6910 Contract Name GENERAL WORTH DRIVE Estimate Number ► Contract Limits Payment Number I Project Type PAVING&STORM DRAIN For Period Ending 12/9/2014 Project Funding Sub-Total of Previous Unit $325,520.00 $325,520.00 EARTHWORK Item Description of Items Estimated Unit Unit Cost Estimated Completed Completed No. Quanity Total Quanity Total --------- - -————---- ------------ I CLEAR,STRIP&GRUB 0.7 AC $4,000.00 $2,800.00 0.7 $2,800.00 2 IMPORT EARTHWORK MATERIAL PER PLANS 2100 CY $5.00 $10,500.00 2100 $10,500.00 4 REMOVE EXISTING SIDEWALK CONI 308 LF $5.00 $1,540.00 308 $1,540.00 5 DISPOSAL OF UNSUITABLE MATERIALS 1 LS $2,000.00 $2,000.00 1 $2,000.00 6 CONSTRUCTION ENTRANCE 1 LS $1,500.00 $1,500.00 1 $1,500.00 Sub-Total of Previous Unit $18,340.00 $18,340.00 EROSION CONTROL Item Description of Items Estimated Unit Unit Cost Estimated Completed Completed No. Quanity Total Quanity Total ----- I SILT FENCE 200 LF $1.50 $300.00 200 $300.00 2 SWPPP 1 LS $1,000.00 $1,000.00 1 $1,000.00 3 SEDIMENTTRAP 75 LF $10.00 $750.00 75 $750.00 Sub-Total of Previous Unit $2,050.00 $2,050.00 Tuesday,February 03,2015 Page 3 of 5 City Project Numbers 02024 DOE Number 6910 Contract Name GENERAL WORTH DRIVE Estimate Number I Contract Limits Payment Number 1 Project Type PAVING&STORM DRAIN For Period Ending 12/912014 Project Funding Contract Information Summary Original Contract Amount $440,430.50 Change Orders Change Order Number 1 ($61,412.00) Total Contract Price $379,018.50 ( J 1 !—�S Total Cost of Work Completed 79 0 .5 Date $3 18 0 Q64 ra for Less %Retained $0.00 (/ a -9-�s Net Earned $379,018.50 ``� % Date s esti n up s r Earned This Period $379,018.50 Retainage This Period $0.00 Date Less Liquidated Damages Pr ect M Days @ /Day $0.00 Date Z— Z5rV­�' LessPavement Deficiency $0.00 DirectodfPW/-Infrastructure Design and Construction Less Penalty $0.00 Date t`1 y Less Previous Payment $0.00 Directo Contracting Depart nt Plus Material on Hand Less 15% $0.00 Balance Due This Payment $379,018.50 Tuesday,February 03,2015 Page 4 of 5 City Project Numbers 02024 DOE Number 6910 Contract Name GENERAL WORTH DRIVE Estimate Number ► Contract Limits Payment Number ► Project Type PAVING&STORM DRAIN For Period Ending 12/9/2014 Project Funding Project Manager Buckley City Secretary Contract Number 116910 Inspectors LAYER / CORDOVA Contract Date Contractor CONATSER CONSTRUCTION TxLP Contract Time 90 CD 5327 WICHITA ST Days Charged to Date 224 CD FORT WORTH, TX 76119 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 $379,018.50 Less %Retained $0.00 i Net Earned $379,018.50 Earned This Period $379,018.50 Retainage This Period $0.00 Less Liquidated Damages 0 Days @ $0.00 1 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 $379,018.50 Tuesday,February 03,2015 Page 5 of 5 (§ ! § § § ( 2 § § 7� - -- i ! # # a r ■ a a m 2 | | § - .. : - ■ e , ! .. )\ / 2 § - ® / ^ \ % 0 § 5 ( 0.0 ) § � � / ` f � § a ^ $ 0- 'Dz )c : k ! § 0. `� } ) .. % § {\ § .1 ) A § § § y} / » wk \ ¥:w � ; � / 0- � � � 5 } ( \ ( \ § �� - ` ` � , ., ± ouuo ! im \ § ke £ &§ \ $ a do TT 0 04 �g ovwiwo or z Y Z O ¢ O Q�Q P 2 K [K i s 3 ca i i � w Y9 2 1.15 1 eH y x��Q m � atn ya c.i rAm yr c�� o - Y �z"�iu-�F -RT� g�• _oom'Y � `NYICN a � �az p mYi U�u o w N a N o rc�9t°Q'v �-S4 ca ~u Clem y�a¢ u� C S 13 U c rn pt ty S O -:t a p 3 y 0 Y 0 0 0 0 0$0 0 6 0 O Y OQ o o p ^O II o 0 Q Y O yO G t t G t L Y c9 a 3 K �§ |k `F �t ;a r � k2 ! � l kA & � \) © J f� 6 2|k tf2 2, ( ! § ` ) � # § » ! \ # § � 2 2 § � § § § } FORTWORTH rev 03105107 TRANSPORTATION&PUBLIC WORKS FINAL STATEMENT OF CONTRACT TIME FINAL STATEMENT NO.:I NAME OF PROJECT: General Worth Drive PROJECT NO.: 02024 CONTRACTOR: Conatser Construction DOE NO.: 6910 PERIOD FROM:12/01/14 TO: 12/31/14 FINAL INSPECTION DATE: 6-Nov-14 WORK ORDER EFFECTIVE: 1/6/2014 CONTRACT TIME: 90 CD 0 WD @)CD DAY OF DAYS REASON FOR DAYS DAY OF DAYS REASON FOR DAYS MONTH CHARGED CREDITED MONTH CHARGED CREDITED DURING DURING 1. 0 16. 0 2. 0 17. 0 3. 0 18. 0 4. 0 19. 0 5. 0 20. 0 6. 0 211. 0 7. 0 22. 0 8. 0 23. 0 9. 0 24. 0 10. 0 25. 0 it. 0 26. 0 12. 0 27. 0 13. 0 28. 0 14. 0 29. 0 15. 0 30. 0 31. 0 SAT,SUN, RAIN,TOO WET, UTILITIES DAYS TOTAL &HOLIDAYS &TOO COLD RELOCATIONS OTHERS* CHARGED DAYS THIS 0 PERIOD PREVIOUS PERIOD 224 224 TOTALS 224 224 TO DATE *REMARKS: �.'2 TRACTOR DATE INSPECTOR DATE ENGINEERING DEPART\ff NT la The City of Fort Vlorth-1000 llimckmorton Street-Fort Worth,Tl 76012-6311 (817)392-7941 -Fax:(817)392-7845 I N HILLWO oD PROPERTIES A PEROT COMPANY Craig Schkade November 5,2014 Mr. Ron Cordova Via e-mail: Ron.Cordova@fortworthtexas.gov Inspector City of Fort Worth 8851 Camp Bowie West, 3" Floor Fort Worth, TX 76116 Re: General Worth Drive Paving,Drainage and Street Light Improvements, DOE No. 6910, City Project No. 21321 Dear Mr. Cordova: Please be advised that neither AIL Investment, L.P. nor Hillwood Alliance Services, LLC will be seeking liquidated datnages from Conatser Construction Texas, L.P. on the above referenced projects. If you have any questions, please do not hesitate to call me at 817-224-6067. Sincerely, Craig Schkade /JCS cc: Brock Huggins,Conatser Construction Patrick A. Smith—Peloton Land Solutions FORTWORTHREV:02/20/07 TRANSPORTATION AND PUBLIC WORKS PERFORMANCE EVALUATION OF CONTRACTOR CONTRACTOR&PROJECT DATA Name ojContractor Project Name Conatser Construction General Worth Drive Paving and Storm Drain DOE Inspector DOE Number Ron Cordova 6910 DOE Inspector Project Manager 0 Water 0 Waste Water ❑Q storm Drainage Pavement Patrick Buckle Initial Contract Amount Project Difficulty $540,828.50 0 Simple 0 Routine Complex Final Contract Amount Dale $379,018.50 12/10/2014 M PERFORMANCE EVALUATION 0-Inadequate I -Deficient 2-Standard 3-Good 4-Excellent ELEMENT WEIGHT(x) APPLICABLE(Y/N) RATING(0-4) MAX SCORE SCORE 1 Submission of Documents 2 Y 4 8 8 2 Public Notifications 5 Y 3 20 15 3 Plans on Site 5 Y 4 20 20 4 Field Supervision 15 Y 4 60 60 5 Work Performed 15 Y 4 60 60 6 Finished Product 15 Y 4 60 60 7 Job Site Safety 15 Y 4 60 60 8 Traffic Control Maintenance 15 Y 4 60 60 9 Daily Clean Up 5 Y 4 20 20 10 Citizen's Complaint Resolution 5 Y 3 20 15 11 Property Restoration 5 Y 4 20 20 12 After Hours Response 5 Y 4 20 20 73 Project Completion 5 Y 4 20 20 TOTAL ELEMENT SCORE(A) 438 BONUS POINTS(25 Maximum)(B) TOTAL SCORE(TS) 438 1I1)CONTRACTOR'S RATING Maximum Score(MS)=448 or sum of applicable element score maximums which= 448 Rating(ITS/MS]* 100%) 438 / 448 = 98% Performance Category Excellent <20%=Inadequate 20%to<40%=Deficient 40%to<60%=Standard 60%to<80%=Good >80%=Excellent Inspector's Comments(INCLUDING EXPLANATION OF BONUS POINTS AWARDED) Signature DOE Inspector i*-�— Signature Contractor - Signature DOE Inspector's Supervisor C — CONTRACTOR'S COMMENTS TRANSPORTATION AND PUBLIC WORKS ., s The City of Fort Worth• 1000 Throckmorton Street•Fort Worth,TX 76012-6311 (817)392-7941 •Fax: (817)392-7845 FORTWORTH REV 02'22/07 TRANSPORTATION AND PUBLIC WORKS CONTRACTOR'S EVALUATION OF CITY PROJECT INFORMATION _ Date: 12/10/2014 Name of Contractor Project Name Conatser Construction General Worth Drive Paving and Storm Drain DOE/nspecror Project Manager Ron Cordova — _ Patrick Buckle DOE Number PrgleelD(f'feulty Type of Conlracl 6910 _ 0 Simple 0 Routine 0 complex ❑water ❑waste water Q Storm Drainage Pavement Initial Conlracl Amotml Final Contract Amount $540,828.50 $379,018.50 II)PERFORMANCE EVALUATION 0-Inadequate l -Deficient 2-Standard-3-Good 4-Excellent ELEMENT RATING JELEMENT -- - - RATING (0-4) (0-4) INSPECTION EVALUATION PLANS&SPECIFICATIONS I Availability of Inspector — 1 Accurate of Plans to Existing Conditions 2 Knowlecip of Inspector _ __i 2 Clari _&Sufficiency of Details L_ 3 Accuracy of Measured Quantities _ 3 Applicability of Specifications ^� 4 Display Of Professionalism L_ 4 Accuracy of Plan Quantities L 5 Citizen Complaint Resolution L PROJECT MANAGER EVALUATION 6 Performance-Setting up Valve Crews,Labs Ll I Knowledge And/Or Problem Resolution ADMINISTRATION 2 Availabilit!+of Project Manager 1 Change Order Processing Time _ _ 3 _Communication `i 2 Timl-Ww of Contractor Payments 4 Resolution of Utility Conflicts 3 Bid Openjn&to Pre-Con Meedng Timeframe Ilk Ub COMMENTS&SIGNATURES COMMENTS Signature Contractor Signature DOE Inspector i vLliL Signature DOE Inspector's Supervisor INSPECTOR'S COMMENTS TRANSPORTATION AND PUBLIC WORKS t� The City of Fort Worth•1000 Throckmorton Street•Fort Worth,TX 76012-6311 (817)392-7941•Fax:(817)392-7845 I 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 Brock Huggins, Vice-President of Conatser Management Group, Inc.,general partner of Conatser Construction TX, LP, 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; and That there are no claims pending for personal injury and/or property damages; On Contract described as: GENERAL WORTH DRIVE (From N. Riverside Dr. to Addison Drive) PAVING, DRAINAGE AND STREET LIGHT IMPROVEMENTS DOE#: 6910 City Project#: 02024 CITY OF FORT WORTH STATE OF TEXAS CONATSER CONSTRUCTION TX, LP Brock Huggins Subscribed and sworn to before me this Ph day of August,2014. T F� Bertha Giatkulls Nota Public in Tarrant County, Texas Notary-Public for �' ty, State of Texas - My commission expires:DO/01201 Liberty Interchange Corporate Center dVlu�uaI: 450 Plymouth Road,Suite 400 _ Plymouth Meeting, PA 19462-1644 SURETY Ph.(610)832-8240 CONSENT OF SURETY TO FINAL PAYMENT To: City of Fort Worth and Hillwood Alliance Services 1000 Throckmorton Street Fort Worth, TX 76102 RE: General Worth Drive Principal: Conatser Construction TX, LP Obligee: Hillwood Alliance Services, LLC and City of Fort Worth Contract Number: DOE NO: 6910 Contract Date: 06/13/2013 Contract/Project Description: Paving, Drainage& Street Light Improvements to serve General Worth Drive (From North Riverside Drive to Addison Drive) COFW Proiect No.02024) In accordance with the provisions of the contract between the Obligee and the Principal described above, LIBERTY MUTUAL INSURANCE COMPANY,a Massachusetts stock insurance company,as Surety(the"Surety"), on the Principal's bond number 022045104 (the"Bond")hereby consents to the final payment to the Principal by the Obligee and agrees that final payment to the Principal shall not relieve the Surety of any of Its obligations to Obligee as set forth in the Bond. IN WITNESS WHEREOF,the Surety has hereunto set its hand and seal this 11th day of August 20 14 LIBERTY MUTUAL INSURANCE COMPANY (Surety) By: Attomey-in-Fact Glenna S. Davis LMIC-3100 Rev.03/04 T,,IIS POWER OF ATTORNEY 1S NOT VALID UNLESS IT IS PRINTED ON RED BACKGROUND. 1 This Power of Attorney limits the acts of those named herein,and they have no authority to bind the Company except in the manner and to the extent herein stated, Certificate No.5897124 American Fire and Casualty Company Liberty Mutual Insurance Company The Ohio Casualty Insurance Company WestAmerican Insurance Company POWER OF ATTORNEY KNOWN ALL PERSONS BY THESE PRESENTS:That American Fire&Casually Company and The Ohio Casualty Insurance Company are corporations duly organized under the laws of the State of New Hampshire,that Liberty Mutual Insurance Company is a corporation duty organized under the laws of the Slate of Massachusetts,and WestAmerican Insurance Company is a corporation duly organized under the laws of the State of Indiana(herein collectively called Ihe'Companies'),pursuant to and by authority herein set forth,does hereby name,constitute and appoint, Greg A Wilkerson,Glenna S Davis,Cathy Vinson,Carolyn Maples,John R Wilson all of the city of Fort Worth stele of TX each individually if there be more than one named,its true and lawful atiomey-in-fact to make,execute,seal,acknowledge and deliver,for and on its behalf as surety and as its act and deed,any and all undertakings,bonds,recognizances and other surety obligations,in pursuance of these presents and shall be as binding upon the Companies as if they have been duly signed by the president and attested by the secretary of the Companies in their own proper persons. IN WITNESS WHEREOF,this Power of Attorney has been subscribed by an authorized officer or official of the Companies and the corporate seals of the Companies have been affixed thereto this 19th day of December 2012 American Fire and Casualty Company i N The Ohio Casualty Insurance Company o Liberty Mutual Insurance CompanyCL a WestAmerican Insurance Company .Y s C d By: p C STATE OF WASHINGTON ss Gregory W.Davenport,Assistant Secretary C R 4: COUNTY OF KING l0 On this 19th day aI December 2012 ,before me personally appeared Gregory W. Davenport,who acknowledged himself to be the Assistant Secretary of American m u Fire and Casualty Company,Liberty Mutual Insurance Company,The Ohio Casualty Company,and WestAmerican Insurance Company,and that he,as such,being authorized so to do, Tw p execute the foregoing instrument for the purposes therein contained by signing on behalf of the corporations by himself as a duly authorized officer. C > IN WITNESS WHEREOF,I have hereunto subscribed my name and affixed my notarial seal at Seattle,Washington,on the day and year first above written. O C y�� Q M C'y By: ISL Cit C d M ` KD Riley,Not Public 3 = L. R d C 0 E 0 a m This Power of Attomey is made and executed pursuant to and by authority of the following By-laws and Authorizations of Amedcan Fire and Casualty Company,The Ohio Casualty Insurance N c w Company,Liberty Mutual Insurance Company,and WestAmerican Insurance Company which resolutions are now in full force and effect reading as follows: y C a m` ARTICLE IV-OFFICERS-Section 12.Power of Attorney-Any officer or other official of the Corporation authorized for that purpose In writing by the Chairman or the President,and subject O t ar to such limitation as the Chairman or the President may prescribe,shall appoint such attomeys-in-fact,as may be necessary to act In behalf of the Corporation to make,execute,seal, �,4 p C acknowledge and deliver as surety any and all undertakings,bonds,recognizances and other surety obligations. Such attorneys-in-fact,subject to the limitations set forth in their respective O 1 E ai powers of attorney,shall have full power to bind the Corporation by their signalure and execution of any such instruments and to attach thereto the seal of the Corporation. When so � e M executed,such instruments shall be as binding as d signed by the President and attested to by the Secretary.Any power or authority granted to any representative or aftomey-in-fact under >s the provisions of this article may be revoked al any lime by the Board,the Chairman,the President or by the officer or officers granting such power or authority. C (- ARTICLE XIII-Execution of Contracts-SECTION 5.Surety Bonds and Undertakings.Any officer of the Company authorized for that purpose in writing by the chairman or the president, .r o > 4) and subject to such limitations as the chairman or the president may prescribe,shall appoint such attorneys-in-fact,as may be necessary to act in behalf of the Company to make,execute, C c p seal,acknowledge and deliver as surety any and all undertakings,bonds,recognizances and other surety obligations. Such aftorneys-in-fact subject to the.limltations set forth in theira Z v respective powers of attorney,shall have full power to bind the Company by their signature and execution of any such instruments and to attach thereto the seat of the Company. When so V C executed such instruments shall be as binding as if signed by the president and attested by the secretary. O c Certificate of Designation-The President of the Company,acting pursuant to the Bylaws of the Company,authorizes Gregory W.Davenport,Assistant Secretary to appoint such ~ atlomeys-in-fact as may be necessary to act on behalf of the Company t0 make,execute,seal,acknowledge and deliver as surety any and all undertakings,bonds,recognizances and other surety obligations. Authorization-By unanimous consent of the Company's Board of Directors,the Company consents that facsimile or mechanically reproduced signature of any assistant secretary of the Company,wherever appearing upon a certified copy of any power of attorney issued by the Company in connection with surety bonds,shall be valid and binding upon the Company with the same force and effect as though manually affixed. 1,David M.Carey,the undersigned,Assistant Secreta ry,of American Fire and Casual tyCompany,The Ohio Casualty Insurance Company,Liberty Mutual Insurance Company,and West American Insurance Company do hereby certify that the original power of attorney of which the foregoing is a full,true and correct copy of the Power ofAttomey executed by said Companies, is in full force and effect and has not been revoked. IN TESTIMONY WHEREOF,I have hereunto set my hand and affixed the seals of said Companies this-!1 thday of August .20 14 } y` By: �!^� David M.Carey,Assistant Secretary LMS 12873 092012 18 of 51