Backup Documents 11/12/2019 Item #16A16 ORIGINAL DOCUMENTS CHECKLIST & ROUTING SLIP
TO ACCOMPANY ALL ORIGINAL DOCUMENTS SENT TO 1 6 A 16
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
Complete routing lines#1 through#2 as appropriate for additional signatures,dates,and/or information needed. If the document is already complete with the
exception of the Chairman's signature,draw a line through routin 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 SRT
4. BCC Office Board of County �j1-.lam
Commissioners '6/ k2Vck\q
5. Minutes and Records Clerk of Court's Office t tq \ ��•''
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 Julio Ordonez/GMD-Traffi Operations Contact Information 239-252-5722
Contact/Department
Agenda Date Item was November 12,2019 Agenda Item Number 16A16
Approved by the BCC
12G3Type of Work Order to Preferred Materials, Inc., for Number of Original 1
Document Attached construction of the"Oil Well Road Documents Attached
Shoulder Improvements-Segment I"
project, in the amount of$596,370.44
(Project 60231)
PO number or account N/A
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) Applicable)
I. Does the document require the chairman's original signature TAMP 0 JO
2. Does the document need to be sent to another agency for addi ' 1 si es? If yes, JO
provide the Contact Information (Name; Agency;Address; Phone)on an attached sheet.
3. Original document has been signed/initialed for legal sufficiency. (All documents to be JO
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 JO
Office and all other parties except the BCC Chairman and the Clerk to the Board
5. The Chairman's signature line date has been entered as the date of BCC approval of the JO
document or the final negotiated contract date whichever is applicable.
6. "Sign here"tabs are placed on the appropriate pages indicating where the Chairman's JO
signature and initials are required.
7. In most cases(some contracts are an exception),the original document and this routing slip JO
should be provided to the County Attorney Office at the time the item is input into SIRE.
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 on 11/12/2019 and all changes made during JO N/A is not
the meeting have been incorporated in the attached document. The County an option for
Attorney's Office has reviewed the changes, if applicable. _ this line.
9. Initials of attorney verifying that the attached document is the version approved by the N/A is not
BCC, all changes directed by the BCC have been made, and the document is ready for the
Chairman's signature. �•�
16A16
MEMORANDUM
Date: December 19, 2019
To: Julio Ordonez, Project Manager
Traffic Operations
From: Teresa Cannon, Sr. Deputy Clerk
Minutes & Records Department
Re: Work Order for Contract #16-6663 "Oil Well Road
Shoulder Improvements — Segment I"
Contractor: Preferred Materials, Inc.
Attached for your records is a scanned copy of the original as referenced
document above, (Item #16A16) adopted by the Board of County Commissioners
on Tuesday, November 12, 2019.
The Board's Minutes & Records Department has kept an original as part of
the Board's Official Records.
If you have any questions, please feel free to contact me at 252-8411.
Thank you.
Attachment
16A16
WORK ORDER/PURCHASE ORDER
Contract# 16-6663 "Roadway Contractors"
Contract Expiration Date: March$,2021
ce'
This Work Order is for roadway construction services for work known as:
Project Name: Oil Well Road Shoulder Improvements—Segment I
Project No:60231.2
The work is specified in the proposal dated August 30,2019,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: Preferred Materials,Inc.
Scope of Work: As detailed in the attached proposal and the following:
Task I: Oil Well Road Shoulder Improvements—Segment I
Schedule of Work: Complete work within 120 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# 16-6663 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: ® Negotiated Lump Sum (NLS) as provided in the
attached Bid Schedule.
Task I: Shoulders Improvement $ 596,370.44
TOTAL FEE $ 596, 70.44
PREPARED BY: Ir 5m 'r '719
Julio '. •rte e Pte„ . a age D e
spo io• - - : eermg Division q 4
APPROVED BY:
Jay ad,PE,D. ision Direct9V Date
Trans ortation E gineering Division
APPROVED Y:
Thaddeus Cohen,Department Head Date
Growth Management Department
C,5
Page 1 of 3
100-4102-1
0
1 6 A 1 6
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 Finn 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: Prefe ed Ma � , Inc
iiii
-qr. 9rA)3/Er
Robert D. Spillman, ice-President Date
Page 2 of 3
Ci)
16A16
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.
ATTESTBOARD OF COUNTY COMMISSIONERS
.....414k Courts COLLIER COW •RIDA
010°40'tih
By: �
�., / William . McDaniel, • ,C air
etl%
•
Datt`� .:.
'
(S;,4t th as to Chairman
Preferred Materials,Inc.
signature only.
. l . _ B
First Witness Signature
Bethany Casi m;r Robert D. Spillman,Vice-President
TType/print witness nameT
Second Witness
Susan Hibbard
TType/print witness nameT
'pro-ed a to Fo• a d Legality:
• ounty Attorney
iJep S' TSL
rent Name Oak-UP
Agenda 11.2/1.01
(Date
Date • 2�
1110
Rec' f
Deputy erk
Page 3 of 3
I
16x16
EXHIBIT" B
PUBLIC PAYMENT BOND C S
. ,,s;
Bond No. 8258-55-97
Contract No. 16-6663
KNOW ALL MEN BY THESE PRESENTS: That Preferred Materials, Inc. as
Principal, and Federal Insurance Company_ , as Surety, located at
2026 Halls Mill Road,Whitehouse Station,NJ 08889 ,(Business Address) are held and firmly bound
to Collier County Purchasing.Department as Oblige in the sum of e d 941100 DollarstySlx Thousand Three Hundred Seventy Eight
($ 596,378.94 ) 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 23rd day of September , 2019,
With Oblige for Contract#16-6663, Protect 60231.1.1 Oil Well Rd(CR 858)Shoulder Improvements Segment 1,
Collier County, FL 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:
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 255.0592. 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 25th day of
September , 2019 , the name of under-signed representative, pursuant to authority of its governing
body.
Page 16 of 29
416-6663"ROADWAY CONTRACTORS"
Preferred Material,Inc.
1,44.
1 6A16
Signed, sealed and delivered
in the presence of: PRINCIPAL:
Preferred Materials,Inc.
Mz d e e
Witnesses as to Principal Beth any -Casimir Name: Robert Sp. man
Its: Vice President
STATE OF Florida
COUNTY OF Hillsborough
The foregoing instrument was acknowledged before me this 30th of September 2020 , by
Robert Spillman , as Vice President ofPreferred Mater:Lals,
corporation, on behalf of the corporation. .Ete/she is parsnnAlly known fro ma OR has produced N/A
as identification and did (did not) take an oath.
My Commission Expires: 12/21/19
(Signature of Notary) C/
eek SUSAN J.HIBBARD
5*: ''= MYCOMMISSION#FF933972
EXPIRES:December 21,2019 Name: Susan J. Hibbard
;
' ;q'f;w Bonded ThruNotary Public Undenttiters (Legibly Printed) •
(AFFIX OFFICIAL SEAL) Notary Public, State of FL
Commission No.: FF933972
ATTEST: SURETY:
Federal Insurance Company
(Printed Name)
202B Halls Mill Road
Whitehouse Station, NJ 08889
(Business Address)
(Authorized Signature)
Witness as to Surety
(Printed Name) •
OR
Page 17 of 29
#16-6663"ROADWAY CONTRACTORS"
Preferred Material,Inc.
16 A 1 6
' -sliPP __-._.__ ter. ,_ _ __
Tina ee sipper A , +
S fol"h^
*Q�♦ /_. (Attach Porn - .:♦ orney)
-"-saesa Lisa Hall
r
15 W. South Temple, Suite 700
Salt Lake City, UT 84101
(Business Address)
Tina Davis
._
(Printed Name)
801-533-3624
(Telephone Number) �_����~•��-_
STATE OF UTAH
_ _
COUNTY OF SALT LAKE
The foregoing instrument was acknowledged before me this 25th day of September
20 19Tina Davis
� by _, as Attorney-in-Fact
of Federal Insurance Company , Surety, on behalf of Surety. He/She is personally known
to me OR has produced Driver's License identification and who did did nototake an oath.
My Coon Fx Irp C'S March 13 2023 .......4,4.—.. .,
mmissi / 1
r/„' `_ LISA HALL
•� (SI`� ure of Not��y)
`�• ,N Notary Public
'"`"”`` a State of Utah
3Y, ,';.. Name: Lisa Hall
... Commission
��,'�My Commission Expires March 13,2023
Commission Number 704231 (Legibly bl 9 y Printed)
(AFF. ii-,,.rdr a _ ♦
Notary Public, State of Utah
Commission No.; 704231
Page 18 of 29
t115-6663"ROADWAY CONTRACTORS"
Preferred Material,Inc.
.,,. HUBS '.
1 6 A16
Power of Attorney
Federal Insurance Company Vigilant Insurance Company I Pacific Indemnity Company
Know All by These Presents,That FEDERAL INSURANCE COMPANY,an Indiana corporation,VIGILANT INSURANCE COMPANY,a New York corporation,and PACIFIC
INDEMNITY COMPANY, a Wisconsin corporation, do each hereby constitute and appoint Tina Davis, Lisa Hall, Linda Lee Nipper and Lindsey Plattner
of Salt Lake City,Utah
each as their true and lawful Attorney-in-Fact to execute under such designation in their names and to affix their corporate seals to and deliver for and on their behalf as surety
thereon or otherwise,bonds and undertakinkps and other writings obligatory in the nature thereof(other than hail bonds)given or executed In the course of business,and any
instruments amending or altering the same,and consents to the modification or alteration of any Instrument referred to In said bonds or obligations.
In Witness Whereof,said FEDERAL INSURANCE COMPANY,VIGILANT INSURANCE COMPANY.and PACIFIC INDEMNITY COMPANY have each executed and attested these
presents and affixed theircorporate seals on this 22nd day ofJuly,2019.
1V�9.4.a-5x.-.l"�l. �QLt.si,�l.E� �,�..l/►�
Uawn\l.Cantors,Aseulstant Sex i tau') Stephen 1l.I tauten',Vice President
ase""Y
CU►< �w^�"y� .N'ti>r*rot+� Qk a tt) r,.s «
STATE OF NEW JERSEY
County of Hunterdon SS.
Ott this 22n°day of July,2019,before me,a Notary Public of New Jersey,personally came Dawn M.Chloros,to me known to he Assistant Secretary of FEDERAL INSURANCE
COMPANY,VIGILANT INSURANCE COMPANY,and PACIFIC INDEMNI'T'Y COMPANY.the companies Which executed the foregoing Power of Attorney,and the said Dawn M.
Chloros,being by me duly sworn,did depose and say that she is Assistant Secretary of FEDERAL INSURANCE COMPANY,VIGILANT INSURANCE COMPANY,and PACIFIC
INDEMNITY COMPANY and knows the corporate seals thereof,that the seals affixed to the foregoing Power of Attorney am such corporate seals and were thereto affixed by
authority of said Companies;and that she signed said Power of Attorney as Assistant Secretary of said Companies by like authority;and that she is acquainted with Stephen M.
Haney.and knows hint to be Vice President of said Companies;and that the signature of Stephen M.Haney,subscribed to said Power of Attorney is in the genuine handwriting of
Stephen M.Haney,and was thereto subscribed by authority of said Companies anti In deponent's presence.
Notarial Seal ao \
So4" ROSE CURTIS � ,/,.�
, 2�p NOTARY FUBUC OF NEW JERSEY et�,iv""V
( • �,c NO.50072400
4Commt on exWm gowoter22,2012
Notary Public
CERTIFICATION
Resolutions adopted by the Boards of Directors of FEDERAL INSURANCE COMPANY,VIGILANT INSURANCE COMPANY,and PACIFIC INDEMNITY COMPANY on August 30,2016:
"RILSOLVEU,dust the following authorizations relate to the execution.for and on behalf of the Company,oI'bonds,undertakings,mognLances,contacts and other written commitments(tithe Company
entered Into in the ordinary course of business(each a"Written Commitment"):
(i) Each of the Chairman,the President and the Vice Presidents of the Company is hereby authorized to executeanv Written Commitment for and on behalf of the Company.under the
seal of the Company or otherwise.
(2) Each duty appointed atmrneyIn•I'act of the Company is hereby authorized to execute any Written Commitment for and on behalf of the Company,under the seal of the Company or
otherwise,to the extent that such action is authorized by the grant of powers provided for in such person's written appointment as such atterneyin•faet.
(3) Each of the Chairman,the President and the Vice Presidents of the Company Is hereby authorized,for and on hehaifttfthe Company,to appoint in writing any person the attorney-
intact of the Company with full power and authority to execute,fur and on behalf of the Company,under the seal of the Company or otherwise,such Written Commitments of the
Company us may he specified in such written appointment,which spedllcation may be by general type or class of Written Commitments or by apecilcation of one or more particular
Written Commitments.
(4) Each of the Chairman.the President and the Vice Presidents of the Company is hereby authorized.for and onhehalf of the Company,to delegate in writing W any other officer of the
Company the authority to execute,for and on behalf of the Company,under the Company's seal or otherwise,such Written Commitments of the Company as are speciiled in such
written delegation.whichspecifcafon may be by general type or class of Written Commitments or byspeciticatbndune ormore particular Written Commitments.
(5) The signature of any slicer or other person executing any Written Commitment or appointment or delegation pursuant to this Resolution,and the weal of the Company,may be alllseti by
facsimile on such Written Commitment or written appnamment or delegation.
FURTHER RESOLVED,that the foregoing Resolution shall not he deemed to be an exclusive statement of the powers and authority of officers,employees and other persons to act for and on behalf of
the Company,and such Resolution shall not limit or otherwise affect the exercise of any such power or authority otherwise validlygranttd or seated:
1,Dawn M.Chloros,Assistant Secretary of FEDERAL INSURANCE COMPANY,VIGILANT INSURANCE COMPANY,and PACIFIC INDEMNITY COMPANY(the"Companies")do hereby
certify that
(0 the foregoing Resolutions adopted by the Board of Director's of the Connpanies are true,correct and In full force and effect,
' (II) the foregoing Power of Attorney Is true,correct and In full force and effect.
Given under my hand and seals of said Companies at Whitehouse Station,N.J.this September 25, 2019
/./^ r_utr J
) ( ,(C3NM.
Q lkrwn M.Ch ions,Assistant Secret:n'q
IN THE EVENT YOU WISH TO Mtn THE r\L'I'HGY'i'ICr11'OF"I'H IS BOND OR Nunn US OF ANY O'l'HuR 3L\Tl'ER,PLEASE CONT'AC'T'US A9':
Telephone(908)903-3493 Fax(908)912.3656 a-mall:suretyypcbubb.com
FRO-VIG-PI(rev.08-18)
1 6A16
EXHIBIT B-2
PUBLIC PERFORMANCE BOND
Bond No. 8258-55-97
Contract No. 16-6663
KNOW ALL MEN BY THESE PRESENTS: That Preferred Materials, Inc.
, as Principal, and Federal Insurance Company
, as Surety, located at 202B Halls Mill Road,Whitehouse Station,NJ 08889
(Business Address) are held and firmly bound to
Collier County Purchasing Department , as Oblige in the sum of Five Hundred Ninety Six Thousand Three Hundred Seventy Eight and 941100 Dollars
($ 596,378.94 ) 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 23rd day of September
20 19 , with Oblige for Contract#16-6663, Project 60231.1.1 Oil Well Rd(CR 858)Shoulder Improvements Segment 1,
Collier County,FL
in accordance with drawings and specifications, which contractor is incorporated by reference and made a pat
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, alternations or additions to the terms of the Contract or
to work or to the specifications.
Page 19 of 29
#16.6663"ROADWAY CONTRACTORS"
Preferred Material,Inc.
f ;,yi
1 6 A 1 6
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 25th day of September
, 2019 , 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 pres nce f: PRINCIPAL:
Preferred Materials,Inc.
Mar,Q._ e z
� � 4 -�
c� C� Q �\ti By:
Witnesses as to Principal Beth ny Casimir Name: Robert Spi lman
Its:Vice President
STATE OF Florida
COUNTY OF Hillsborough
The foregoing instrument was acknowledged before me this 30th day of October
20-1 20, byRobert Spillman , asVice President oPreferred
Materials. Inc.. a GA corporation, on behalf of the corporation.
He/She is personally known to me OR has produced N/A as identification and
did (did not) take an oath.
My Commission Expires: 12/21/19 �___ % (71 /
(Signature of Notary)
Si+ei ,; SUSAN INWARD
s,: °'� :._ MY COMMISSION#FF933972 Name: Susan J. Hibbard
'a EXPIRES:December21,2019
t,a0• Bonded ThruNotary Public UndeWT ers (Legibly Printed)
(AFF I - "-,- -. ......... . . . .. . .
Notary Public, State of Florida
Commission No.: FF933972
•
Page 20 of 29
#16-6663"ROADWAY CONTRACTORS"
Preferred Material,Inc.
t,:x,.B!
16A16
ATTEST: SURETY:
Federal Insurance Company
(Printed Name)
202B Halls Mill Road
Whitehouse Station, NJ 08889
(Business Address)
(Authorized Signature)
Witness as to Surety
(Printed Name)
OR
.4111=114111Wm,a —. .. r .m-,: act
(Attach Power of-a orney
WI 'SSSS / Lisa Hall
15 W.South Temple, Suite 700
Salt Lake City, UT 84101
(Business Address)
Tina Davis
(Printed Name)
801-533-3624
(Telephone Number)
STATE OF UTAH
COUNTY OF SALT LAKE
The foregoing instrument was acknowledged before me this 25th day of September , 2019 , by_
Tina Davis , as Attorney-in-Fact Of Federal Insurance Company
, Surety, on behalf of Surety. He/She ispersonally known to me OR has produced
Driver's License as identification and who did di. of take an oath.
r
My Commission Ex.ires: March 13,2023 ',�
(Sig ure of Notary
LISA HALL
03 Notary Public
MI„ .;• Slate of Utah Name: Lisa Hall
My Commission Expires March 13,2023 (Legibly Printed)
(A' - '" Al qtr sislpn Number 704231
, 01111 11
Notary Public, State of Utah
Commission No.: 704231
Page 21 of 29
1116-6663"ROADWAY CONTRACTORS"
Preferred Material,Inc,
1 6A16
C HUBf f"
Power of Attorney
Federal Insurance Company I Vigilant Insurance Company I Pacific Indemnity Company
Know All by These Presents,That FEDERAL INSURANCE COMPANY,an Indiana corporation,VIGILANT INSURANCE COMPANY,a New York corporation,and PACIFIC
INDEMNITY COMPANY, a Wisconsin corporation, do each hereby constitute and appoint Tina Davis, Lisa Hall, Linda Lee Nipper and Lindsey Plattner
of Salt Lake City,Utah
each as their true and lawful Attorney-in-Fact to execute under such designation in their names and to affix their corporate seals to and deliver for and on their behalf as surety
thereon or otherwise,bonds and undertakings and other writings obligatory in the nature thereof(other than hail bonds)given or executed in the course of business,and any
instruments amending or altering the same,and consents to the modification or alteration of any instrument referred to In said bonds or obligations.
In Witness Whereof.said FEDERAL INSURANCE COMPANY,VIGILANT INSURANCE COMPANY,and PACIFIC INDEMNITY COMPANY have each executed and attested these
presents and affixed their corporate seals on this 22nd day ofJuly,2019. /S ,_ gt--„,
[twin 1I.Chhs'ta.Assistant Sc'crecu'y sltriihcn 1I.Haney,Vice Pits(den t
1� n 9 icy
STATE OF NEW'JERSEY
County ofHumerdon ss.
On this 22n°day of July,2019,before me,a Notary Public of New Jersey,personally came Dawn M.Chloros,to me known to be Assistant Secretary of FEDERAL INSURANCE
COMPANY,VIGILANT INSURANCE COMPANY,and PACIFIC INDEMNITY COMPANY,the companies which executed the foregoing Power of Attorney,and the said Dawn M.
Chloros,being by me duly sworn,did depose and say that she Ls Assistant Secretary of FEDERAL INSURANCE COMPANY,VIGILANT INSURANCE COMPANY,and PACIFIC
INDEMNITY COMPANY and knows the corporate seals thereof,that the seals affixed to the foregoing Power of Attorney are such corporate seals and were thereto affixed by
authority of said Companies;and that she signed said Power of Attorney as Assistant Secretary of said Companies by like authority;and that she is acquainted with Stephen M.
Haney.and knows hint to be Vice President of said Companies;and that the signature of Stephen N.Haney,subscribed to said Power of Attorney is in the genuine handwriting of
Stephen M,Haney,and was thereto subscribed by authority of said Companies and in deponent's presence.
ROSE CURTIS
Notarial Seal .er�,ent Q7Ar10TARYPU8UCO2WJEflSEY ��`^'✓""l
( .o;. I � No.6007240400 J
,(61. talllrWyPl ti6*ma*22,2g22
Notary Public
CERTIFICATION
Resolutions•atlopted by the boards of Directors of FEDERAL INSURANCE COMPANY.VIGILANT INSURANCE COMPANY,and PACIFIC INDEMNITY COMPANY on August 30,2016:
"RESOLVED,that the following authorizations relate to the execution.for anti on behalf of the Company,of bonds.undertakings,reugnisances,contracts and other written conunfiments tithe Company
entered Into In the ordinary course of business(each a"Written Commitment"):
(I) Each of the Chairman,the President and the Vice Presidents of the Company is hereby authorized to execsieany Written Commitment for and on behalf of the Company,antler the
seal of the Company or otherwise. •
(2) Each duly appointed attorneyin•lact of the Company Is hereby authorized to execute any Written Commitment for and on behalf of the Company,under the seal of the Conlptesy or
otherwise,to the extent that such action Is authorized by the grant of powers provided for In such person's written appointment as such auorney'in•Ibet.
(i) Each of the Chairman.the President and the Vice Presidents of the Company is hereby authorized,for and en k'haifttf the Citnittany,lit appoint In writing any person the attorney-
In-fact
ttorneyIn-fact of the Company with full power and authority to execute,for and'Olt behalf of the Company,under the seal of the Company or otherwise,such Written Commitments of the
Company as may he specified In such written appointment,which specification may lie by general type or class of Written Co nmitments or by specification'of one or more particular
Written Commitments.
141 Each of the Chairman,die President and the Vice Presidents of the Company is hereby authorizer,for and onhehalfof the Company,to delegate hi writing to any other officer of the
Company the authority to execute,for and on behalf of the Cunlpamy,under the Cumpany's seal or otherwise such Written Commitments of the Company as are specified in such
written delegation,which specification may be by general type or class of Written Commitments or Ity speclUcatn of nne or mitre particular Written ConintitmenLe.
(5) The signature of any officer or other person executing any Written Commitment or appointment or delegation pursuit to this Resolution,and the seal of the Company,may lie aitland by
facsimile on such Written Commitment or written apputntment or delegation.
FURTHER IIISOLVED, that the romping Resolution shall not be deemed to be an exclusive statement of the powers and authority ufofticers,employees and other persons to act for and on behalf of
the Company,and such Resolution shall not limit or otherwise affect the exercise of any such power or authority otherwise validlygnmedor vested."
I,Dawn M.Chloros.Assistant Secretary of FEDERAL INSURANCE COMPANY,VIGILANT INSURANCE COMPANY,and PACIFIC INDEMNITY COMPANY(the"Companies)do hereby
certify that -
(i) the foregoing Resolutions adopted by the Board of Directors of the Companies are true,correct and in full force and effect,
(II) the foregoing Power of Attorney is true,correct and in full force and effect.
Given under my hand and sealsofsaidCompanies atWhitehouse Station,NJ.this September 25, 2019
to% (I)
awA•e �.sn �� Ikhvrn M.Chlort's.Assistant So:retafyt
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IN THE EVEm'YOU WISH'10 VERIFY'NE AUTHENTICITY OF THIS BOND Olt NOTIFY US OF ANY OTHER icvI'f ER.PLEASE CONTACT US AT:
Telephone(908)91)3-3493 Fax(9081903-3606 e•m;dl:suretyspchubbcom
FED-VIG-PI(res.08.181