Backup Documents 05/09/2017 Item #16C2 ORIGINAL DOCUMENTS CHECKLIST & ROUTING SLIP
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TO ACCOMPANY ALL ORIGINAL DOCUMENTS SENT TO
THE BOARD OF COUNTY COMMISSIONERS OFFICE FOR SIGNATURE
Print on pink paper. Attach to original document. The completed routing slip and original documents are to be forwarded to the County Attorney Office
at the time the item is placed on the agenda. All completed routing slips and original documents must be received in the County Attorney Office no later
than Monday preceding the Board meeting.
**NEW** ROUTING SLIP t' (31->661 a W6 (Av9b$q W VV"
Complete routing lines#1 through#2 as appropriate for additional signatures,dates,and/or information needed. If the document is already complete wikh the
exception of the Chairman's signature,draw a line through routing lines#1 through#2,complete the checklist,and forward to the County Attorney Office.
Route to Addressee(s) (List in routing order) Office Initials Date
1.
2.
3. County Attorney Office County Attorney Office
4. BCC Office Board of County `
? (07
Commissioners V-14-4/ E✓-\`o v—k
5. Minutes and Records Clerk of Court's Office sl'0liq 3 !3
PRIMARY CONTACT INFORMATION
Normally the primary contact is the person who created/prepared the Executive Summary. Primary contact information is needed in the event one of the
addressees above,may need to contact staff for additional or missing information.
Name of Primary Staff Phone Number faS� �.Yeat.11 jl a
Contact/ Department -G rA.�'e l� r0 -�34, a'z. (O2 q-9 !_.o o�4-G�, w14-14 et,11
Agenda Date Item was t ,� Agenda Item Number 64' re_ •
Approved by the BCC 51 -I12° _i- ((Q ,
Type of Document w°vv."AN���r f Number of Original WO-`t • • 7L i
W' 6144,S ,_i_ 4ewt,.
Attached V
QovamllYl�-egg Documents Attached
PO number or account ! gtlid,'
number if document is
to be recorded
INSTRUCTIONS & CHECKLIST
Initial the Yes column or mark"N/A"in the Not Applicable column,whichever is Yes N/A(Not
appropriate. (Initial) Applyable)
1. Does the document require the chairman's original signature?
2. Does the document need to be sent to another agency for additional signatures? If yes,
provide the Contact Information(Name;Agency;Address; Phone)on an attached sheet. X
3. Original document has been signed/initialed for legal sufficiency. (All documents to be
signed by the Chairman, with the exception of most letters, must be reviewed and signed
by the Office of the County Attorney.
4. All handwritten strike-through and revisions have been initialed by the County Attorney's '1)4
Office and all other parties except the BCC Chairman and the Clerk to the Board ' N
5. The Chairman's signature line date has been entered as the date of BCC approval of the vitt
document or the final negotiated contract date whichever is applicable. is�
6. "Sign here"tabs are placed on the appropriate pages indicating where the Chairman's
signature and initials are required. it/
7. In most cases(some contracts are an exception),the original document and this routing slip
should be provided to the County Attorney Office at the time the item is input into SIRE. 0)4—
Some documents are time sensitive and require forwarding to Tallahassee within a certain
time frame or the BCC's actions are nullified. Be aware of your deadlines!
8. The document was approved by the BCC ons - 7 and all changes made during N/A is is t
the meeting have been incorporated in the attached document. The County an;optioti for
Attorney's Office has reviewed the changes, if applicable. tl tl.line
9. Initials of attorney verifying that the attached document is the version approved by the ti
BCC,all changes directed by the BCC have been made,and the document is ready for the �- r , •)
Chairman's signature. , ,:
I.Forms/County Forms/BCC Forms/Original Documents Routing Slip WWS Original 9.03.04,Revised 1.26.05,Revised 2.24.05;Revised 11/30/12
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MEMORANDUM
Date: May 10, 2017
To: Zamira Del Toro, Project Manager
Public Utilities Engineering Department
From: Teresa Cannon, Deputy Clerk
Minutes & Records Department
Re: Work Order/Purchase Order for Contract #14-6213-95
"Underground Utility Contracting for a New Pump Station at
Willoughby Drive"
Contractor: Southwest Utility Systems, Inc.
Attached for your records is a copy of the document(s) referenced above, (Item #16C2)
approved by the Board of County Commissioners on Tuesday, May 9, 2017.
The original will be kept in the Board's Minutes & Records Department for
the Board's Official Record.
If you have any questions, please call me at 252-8411.
Thank you.
Attachment
1 6 02
WORK ORDER/PURCHASE ORDER
Contract 14-6213 Underground Utility Contracting"
Contract Expiration Date: July 7, 2018./
RFQ 14-6213-95'New Pump Station 133.09 at Willoughby Drive
This Work Order is for underground construction services for work known as:
Project Name: New Pump Station 133.09/at Willoughby Drive
Project No. 70177
The work is specified in the RFQ signed and dated March 3, 2017 which is attached hereto and made
a part of this Work Order. In accordance with Terms and Conditions of the Agreement referenced
above, this Work Order/Purchase Order is assigned to: Southwest Utility Systems, Inc.
Scope of Work: As detailed in the attached quote and the following:
* Task I Construction of Pump Station
* Task II Owner-Directed Work for Unforeseen Conditions
Schedule of Work: Complete work within 180 days from the date of the Notice to Proceed which is
accompanying this Work Order. The Consultant agrees that any Work Order that extends beyond the
expiration date of Agreement# 14-6213 will survive and remain subject to the terms and conditions of
that Agreement until the completion or termination of this Work Order.
Compensation: In accordance with the Agreement referenced above, the County will compensate the
Firm in accordance with following method(s): ®Negotiated Lump Sum (NLS) ❑Lump Sum Plus
Reimbursable Costs (LS+RC) Time & Material (T&M) (established hourly rate — Schedule A) ❑
Cost Plus Fixed Fee (CPFF), as provided in the attached proposal.
Task I $476,000.00 (NLS)/
Task II $ 71,400.00 (T&M),.'
TOTAL FEE $547,400.00
PREPARED BY: (.t,tL'�Cr'‘. ------C7_1-1):9-L'Cl)
__:&,_ 1 21 -
1 7-'
Zamira DelToro, EPMD Project Manager Date
APPROVED BY: - . . O /31 A7
Craig Paje ''s A D Principal Project Manager Date
-,_ti,i
APPROVED BY: II pa6.4wr_ I i 1
Tom lie elik, P.E., EPMD Director Da e 2
.1\‘‘),.t
,
Page 1 of 4
al
1 6 C ,
M--/7
APPROVE 1 BY:
--Bet s hnsse , PU Wastewater Director Date
APPROVED BY: '� / f • C 66�
Josep► Bel +ne(PU Operation Director Date
APPROVED BY:
George Yilmaz, Ph. D., PU Dept. Administrator Da
Page 2 of 4
, 41 6
Ile 2
By the signature below, the Firm (including employees, officers and/or agents) certifies, and hereby
discloses, that, to the best of their knowledge and belief, all relevant facts concerning past, present, or
currently planned interest or activity(financial,contractual, organizational, or otherwise)which relates
to the proposed work; and bear on whether the Firm has a potential conflict have been fully disclosed.
Additionally,the Firm agrees to notify the Procurement Director, in writing within 48 hours of learning
of any actual or potential conflict of interest that arises during the Work Order and/or project duration.
ACCEPTED BY: Southw t Utility System Inc.
d. 4, ...3/zi%7
Richard T. Cowart, Pre ident Date
(Remainder of page intentionally left blank)
Page 3 of 4
.
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IN WITNESS WHEREOF, the parties hereto, have each, respectively, by an authorized person or
agent, have executed this Work Order on the date and year first written below.
ATTEST: BOARD OF COUNTY COMMISSIONERS
Dwight E. Brock, Clerk of Courts COLLIE' C`.y TY, FLORIDA
iii( B //
Penny Tayli hairman O
Dated: Cl I 0 i 1
(SEAL)
Attest as to Clrairrnan's
signature only.
Southwest Utility Systems, Inc.
,�J� By: i / I
First Witness Signature I
Breft A. :c en - Rcl,,0,1- -L Cowart esjez
TType/print witness nameT TType/print signature and titleT
Second Witness
TType/print witness nameT
prove s t and Legality:
7
hs "County Attorney
Dcpvzky
Sc4- IGA(An
Print Name
Page 4 of 4
ID
EXHIBIT A
PUBLIC PAYMENT BOND
Annual Contract for Utility Contracting Services
Bond No. 1066761111
Contract No. 14-6213
KNOW ALL MEN BY THESE PRESENTS: That Southwest Utility Systems, Inc.
16341 Old US 41 South, Fort Myers, Florida 33916 , as Principal, and
Travelers Casualty and Surety Company of America , as Surety, located at
One Tower Square,Hartford,Connecticut 06183-6014 (Business Address) are
held and firmly bound to Collier County as Oblige in the sum of
Five Hundred Forty Seven Thousand Four Hundred and No/100 ($547,400.00 ) for the
payment whereof we bind ourselves, our heirs, executors, personal representatives, successors
and assigns,jointly and severally.
WHEREAS, Principal has entered into a contract dated as of the day of
20 , with Oblige for RFQ14-6213-95 New Pump Station 133.09 at Willoughby Drive in
Naples,Florida accordance with drawings and specifications, which contract is
incorporated by reference and made a part hereof, and is referred to as the Contract.
THE CONDITION OF THIS BOND is that if Principal:
Promptly makes payment to all claimants as defined in Section 255.05(1), Florida Statutes,
supplying Principal with labor, materials or supplies, used directly or indirectly by Principal in the
prosecution of the work provided for in the Contract, then this bond is void; otherwise it remains in
full force.
Any changes in or under the Contract and compliance or noncompliance with any formalities
connected with the Contract or the changes do not affect Sureties obligation under this Bond.
The provisions of this bond are subject to the time limitations of Section 255.05(2). In no event
will the Surety be liable in the aggregate to claimants for more than the penal sum of this Payment
Bond, regardless of the number of suits that may be filed by claimants.
IN WITNESS WHEREOF, the above parties have executed this instrument this 27th day of
March 207 , the name of each party being affixed and these presents duly signed by its
under-signed representative, pursuant to authority of its governing body.
Signed, sealed and delivered
in the presence of:
. fli;V,Z ,/ PRINCIPAL
SOUTHWEST UTILITY SYSTEMS, INC.
14-6213
37
16C2
BY:
Witnesse as to Principal NAME: RIc It Co wort
ITS: Pres;)e.i+-
STATEOF i-iCridc�
COUNTY OF Le e
The foregoing instrument was acknowledged before me this a.1 day of flarc.t
2017, by t- heard i- Cowcac-fi , as rc;ic'°s-,;r of
, a s is n c' corporation, on behalf of the
corporation. He/she is personales known to me OR has produced as identification
and did (did not) take an oath.
My Commission Expires: i b.,u: �; � , (a U .,
ROSEMARIE BEST QUIMBY (S1 ~s2 i nr
ignatute of Notary)
MY COMMISSION#GG037542
Ift,t4F EXPIRES October 11,2020 NAME: - e,se mrt r-►e c'5 f Q U i m b ki
(Legibly Printed)
(AFFIX OFFICIAL SEAL) Notary Public, State of t=toridc.
Commission No.: '_-G0375 4
ATTEST: SURETY:
TRAVELERS CASUALTY AND SURETY
COMPANY OF AMERICA
(Printed Name)
One Tower Square
Hartford,Connecticut 06183-6014
(Business Address
(Authorized Signature)
Witnesses to Surety (Printed Name)
OR
r., ,G/ -V/
- r
i�rlf
As Attorn- in Fact
• (Attac ower of Attorney)
'7 /
Wendy L.Hingson,Attorney-In-Fact and Florida Resident Agent
Wes (Printed Name) (239)275-8226
14-6213
38
16C
VTC Insurance Group-Fort Myers
4110 Center Point Drive, Suite 215
Fort Myers, Florida 33916
(Business Address)
(239)275-8226
(Telephone Number)
STATE OF Florida
COUNTY OF Lee
The foregoing instrument was acknowledged before me this 27th day of
March 20 17 by Wendy L. Hingson as
Attorney-in-Fact of Travelers Casualty and Surety Company of America Surety, on
behalf of Surety. /She is personally known to me OR has produced
N/A as identification and who d (did not) take an
oath.
My Commission Expires: Y1 . 6.Altk,)
1�
(Signature)
rota"`C% Notary Public State of Florida
Dawn M Onzo Name: Dawn M. Onzo
la'.w Epees 8/01/2019243so9 (Legibly Printed)
(AFFIX OFFICIAL SEAL) Notary Public, State of: Florida
Commission No.: FF243509
14-6213
39
16C2
EXHIBIT A
PUBLIC PERFORMANCE BOND
Annual Contract for Utility Contracting Services
Bond No. 106676880
Contract No. 14-6213
KNOW ALL MEN BY THESE PRESENTS: That
Southwest Utility Systems,Inc. , as Principal, and
Travelers Casualty and Surety Company of America , as Surety, located at
One Tower Square, Hartford,Connecticut 06183-6014 (Business Address) are
held and firmly bound to Collier County , as Oblige in the sum of
Five Hundred Forty Seven Thousand Four Hundred and No/100
($ 547,400.00 ) for the payment whereof we bond ourselves, our heirs, executors, personal
representatives, successors and assigns, jointly and severally.
WHEREAS, Principal has entered into a contract dated as of the day of
, 20_, with Oblige for
RFQ14-6213-95 New Pump Station 133.09 at Willoughby Drive in accordance with
drawings and specifications, which contract is incorporated by reference and made a part hereof,
and is referred to as the Contract.
THE CONDITION OF THIS BOND is that if Principal:
1. Performs the Contract at the times and in the manner prescribed in the Contract; and
2. Pays Oblige any and all losses, damages, costs and attorneys' fees that Oblige sustains
because of any default by Principal under the Contract, including, but not limited to, all delay
damages, whether liquidated or actual, incurred by Oblige; and
3. Performs the guarantee of all work and materials furnished under the Contract for the time
specified in the Contract, then this bond is void; otherwise it remains in full force. Any changes in
or under the Contract and compliance or noncompliance with any formalities connected with the
Contract or the changes do not affect Sureties obligation under this Bond.
The Surety, for value received, hereby stipulates and agrees that no changes, extensions of
time, alterations or additions to the terms of the Contract or other work to be performed hereunder,
or the specifications referred to therein shall in anywise affect its obligations under this bond, and it
does hereby waive notice of any such changes, extensions of time, alterations or additions to the
terms of the Contract or to work or to the specifications.
14-6213
40
This instrument shall be construed in all respects as a common law bond. It is expressly
understood that the time provisions and statute of limitations under Section 255.05, Florida
Statutes, shall not apply to this bond.
In no event will the Surety be liable in the aggregate to Oblige for more than the penal sum of
this Performance Bond regardless of the number of suits that may be filed by Oblige.
IN WITNESS WHEREOF, the above parties have executed this instrument this 27th day of
March , 20 17, the name of each party being affixed and these presents duly signed by
its undersigned representative, pursuant to authority of its governing body.
Signed, sealed and delivered
in the presence of: PRINCIPAL
SOUTHWEST UTILITY SYSTEMS, INC.
�►
War-
.4011M _are BY.
• 1U_ &
WitnessPrincipal a to Princi al &/11,'V
NAME: R: T. Cowati-
ITS: Pres;rlt of
STATE OF t=1 Ac\ck..
COUNTY OF Lee.
The foregoing instrument was acknowledged before me this day of ' ' ""
20_, by ?,ctf as
tetn+ of „G.t-1 `,,f siErns a
FtooLJ, corporation, on behalf of the corporation. He/she is personally known
to me OR has produced as
identification and did (did not) take an oath.
My Commission Fxpir.- • ►;t; • • • • - , ...
`‘4PC- ROSEMARIE BEST QUIMBY (Signature)
MY COMMISSION#GG037542
EXPIRES October 11,2020 Name: ''+nn ri P 'St ({)V t rn I4)l
(Legibly Printed)
(AFFIX OFFICIAL SEAL) Notary Public, State of: El r' do
Commission No.: c:3fl 54
14-6213
41
c2
ATTEST: SURETY:
TRAVELERS CASUALTY AND SURETY
COMPANY OF AMERICA
(Printed Name)
One Tower Square
Hartford,Connecticut 06183-6014
(Business Address)
(Authorized Signature)
Witnesses as to Surety (Printed Name)
OR
�" J/ �,. .. `r
As Attorne ' Fact
(Attach P•wer of Attorney)
Wendy L.Hinqson,Attorney-In-Fact and Florida
Witne9st ' (Printed Name) Resident Agent(239)275-8226
VTC Insurance Group-Fort Myers
4110 Center Point Drive,Suite 215
Fort Myers,Florida 33916
(Business Address)
(239)275-8226
(Telephone Number)
STATE OF Florida
COUNTY OF Lee
The foregoing instrument was acknowledged before me this27th day of March , 2017
by Wendy L.Hingson as Attorney-In-Fact of
Travelers Casualty and Surety Company of America Surety, on behalf of Surety. /She is personally known to
me OR has produced N/A as identification and who did (did
not)take an oath.
My Commission Expires: 9L�1 1
(Signature)
nor kik Notary Public State of Florida
Dawn M Onto Dawn M.Onzo
c o• My COmmllson FF 243509 Name:
o,ad` Expires 06/01/2019 (Legibly Printed)
(AFFIX OFFICIAL SEAL) Notary Public, State of: Florida
Commission No.: FF 243509
14-6213
42
i 6 r 4,-.
WARNING:THIS POWER OF ATTORNEY IS INVALID WITHOUT THE RED BORDER
411116, POWER OF ATTORNEY
TRAVELERS - Farmington Casualty Company St.Paul Mercury Insurance Company
Fidelity and Guaranty Insurance Company Travelers Casualty and Surety Company
Fidelity and Guaranty Insurance Underwriters,Inc. Travelers Casualty and Surety Company of America
St.Paul Fire and Marine Insurance Company United States Fidelity and Guaranty Company
St.Paul Guardian Insurance Company
Attorney-In Fact No. 225767 Certificate No. 0 0 6 3 9 7 3 6 8
KNOW ALL MEN BY THESE PRESENTS: That Farmington Casualty Company, St. Paul Fire and Marine Insurance Company,St.Paul Guardian Insurance
Company,St.Paul Mercury Insurance Company,Travelers Casualty and Surety Company,Travelers Casualty and Surety Company of America,and United States
Fidelity and Guaranty Company are corporations duly organized under the laws of the State of Connecticut,that Fidelity and Guaranty Insurance Company is a
corporation duly organized under the laws of the State of Iowa,and that Fidelity and Guaranty Insurance Underwriters,Inc.,is a corporation duly organized under the
laws of the State of Wisconsin(herein collectively called the"Companies"),and that the Companies do hereby make,constitute and appoint
Wendy L.Hingson,and Dawn Onzo
of the City of Fort Myers ,State of Florida ,their true and lawful Attomey(s)-in-Fact,
each in their separate capacity if more than one is named above,to sign,execute,seal and acknowledge any and all bonds,recognizances,conditional undertakings and
• other writings obligatory 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,the Companies have caused this instrument to be signed and their corporate seals to be hereto affixed,this 1st
day of July 2015
Farmington Casualty Company St.Paul Mercury Insurance Company
Fidelity and Guaranty Insurance Company Travelers Casualty and Surety Company
Fidelity and Guaranty Insurance Underwriters,Inc. Travelers Casualty and Surety Company of America
St.Paul Fire and Marine Insurance Company United States Fidelity and Guaranty Company
St.Paul Guardian Insurance Company
lk8U en: `. 1't 1 ini• 6 1.1t SNS Mlyq J,.:ii i 0 11A Wf7p Y'H'O
0't', ��L �. ?`N . '
(T )cE SIS.A1tA 1p•.„.•• i 0, `ANi/
State of Connecticut By: / /
City of Hartford ss. Robert L.Raney, enior Vice President
On this the 1st day of July 2015 ,before me personally appeared Robert L.Raney,who acknowledged himself to
be the Senior Vice President of Farmington Casualty Company, Fidelity and Guaranty Insurance Company,Fidelity and Guaranty Insurance Underwriters,Inc.,St.Paul
Fire and Marine Insurance Company,St.Paul Guardian Insurance Company,St.Paul Mercury Insurance Company,Travelers Casualty and Surety Company,Travelers
Casualty and Surety Company of America,and United States Fidelity and Guaranty Company,and that he,as such,being authorized so to do,executed the foregoing
instrument for the purposes therein contained by signing on behalf of the corporations by himself as a duly authorized officer.
G•T� ��� /�
In Witness Whereof,I hereunto set my hand and official seal. 'TAR `I W w” C .
My Commission expires the 30th day of June,2016. * PUMA
Mane C.Tetreault,Notary Public
s
58440-8-12 Printed in U.S.A. -
WARNING:THIS POWER OF ATTORNEY IS INVALID WITHOUT THE RED BORDER
16Cc
WARNING:THIS POWER OF ATTORNEY IS INVALID WITHOUT THE RED BORDER
This Power of Attorney is granted under and by the authority of the following resolutions adopted by the Boards of Directors of Farmington Casualty Company,Fidelity
and Guaranty Insurance Company,Fidelity and Guaranty Insurance Underwriters,Inc.,St.Paul Fire and Marine Insurance Company,St.Paul Guardian Insurance
Company,St.Paul Mercury Insurance Company,Travelers Casualty and Surety Company,Travelers Casualty and Surety Company of America,and United States
Fidelity and Guaranty Company,which resolutions are now in full force and effect,reading as follows:
RESOLVED,that the Chairman,the President,any Vice Chairman,any Executive Vice President,any Senior Vice President,any Vice President,any Second Vice
President,the Treasurer,any Assistant Treasurer,the Corporate Secretary or any Assistant Secretary may appoint Attorneys-in-Fact and Agents to act for and on behalf
of the Company and may give such appointee such authority as his or her certificate of authority may prescribe to sign with the Company's name and seal with the
Company's seal bonds,recognizances,contracts of indemnity,and other writings obligatory in the nature of a bond,recognizance,or conditional undertaking,and any
of said officers or the Board of Directors at any time may remove any such appointee and revoke the power given him or her;and it is
FURTHER RESOLVED,that the Chairman,the President,any Vice Chairman,any Executive Vice President,any Senior Vice President or any Vice President may
delegate all or any part of the foregoing authority to one or more officers or employees of this Company,provided that each such delegation is in writing and a copy
thereof is filed in the office of the Secretary;and it is
FURTHER RESOLVED,that any bond,recognizance,contract of indemnity,or writing obligatory in the nature of a bond,recognizance,or conditional undertaking
shall be valid and binding upon the Company when(a)signed by the President,any Vice Chairman,any Executive Vice President,any Senior Vice President or any Vice
President,any Second Vice President,the Treasurer,any Assistant Treasurer,the Corporate Secretary or any Assistant Secretary and duly attested and sealed with the
Company's seal by a Secretary or Assistant Secretary;or(b)duly executed(under seal,if required)by one or more Attorneys-in-Fact and Agents pursuant to the power
prescribed in his or her certificate or their certificates of authority or by one or more Company officers pursuant to a written delegation of authority; and it is
FURTHER RESOLVED,that the signature of each of the following officers:President,any Executive Vice President,any Senior Vice President,any Vice President,
any Assistant Vice President,any Secretary,any Assistant Secretary,and the seal of the Company may be affixed by facsimile to any Power of Attorney or to any
certificate relating thereto appointing Resident Vice Presidents,Resident Assistant Secretaries or Attorneys-in-Fact for purposes only of executing and attesting bonds
and undertakings and other writings obligatory in the nature thereof,and any such Power of Attorney or certificate bearing such facsimile signature or facsimile seal
shall be valid and binding upon the Company and any such power so executed and certified by such facsimile signature and facsimile seal shall be valid and binding on
the Company in the future with respect to any bond or understanding to which it is attached.
I,Kevin E.Hughes,the undersigned,Assistant Secretary,of Farmington Casualty Company,Fidelity and Guaranty Insurance Company,Fidelity and Guaranty Insurance
Underwriters,Inc.,St.Paul Fire and Marine Insurance Company,St.Paul Guardian Insurance Company,St.Paul Mercury Insurance Company,Travelers Casualty and
Surety Company,Travelers Casualty and Surety Company of America,and United States Fidelity and Guaranty Company 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 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 27th day of March ,201...
lKevin E.Hughes,Assistant Sec tary
`ORE 6
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rDRAED i oRo*4 e4.1"°"4" < `!m lm HARTFOPOD
t vcc TT1951 C1; O ` •o4. SELLa p8
° -.I. •
Alfle
To verify the authenticity of this Power of Attorney,call 1-800-421-3880 or contact us at www.travelersbond.com.Please refer to the Attorney-In-Fact number,the
above-named individuals and the details of the bond to which the power is attached.
1
WARNING:THIS POWER OF ATTORNEY IS INVALID WITHOUT THE RED BORDER