Backup Documents 11/10/2020 Item #16A 1 ORIGINAL DOCUMENTS CHECKLIST & ROUTING SLIP , 6 A
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 Inter
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 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
1
4. BCC Office Board of County b
Commissioners jazdp
5. Minutes and Records Clerk of Court's Office
YV� t 9I I
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 Melissa Nute Phone Number x-2361
Contact/ Department
Agenda Date Item was 11/10/2020 Agenda Item Number 16A1
Approved by the BCC
Type of Document Plat Number of Original l
Attached Documents Attached
PO number or account
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)
Does the document require the chairman's original signature? MN
2. Does the document need to be sent to another agency for additional signatures? If yes, N/A
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
signed by the Chairman,with the exception of most letters,must be reviewed and signed
by the Office of the County Attorney. MN
4. All handwritten strike-through and revisions have been initialed by the County Attorney's N/A
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 MN
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 MN
signature and initials are required.
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.
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 11/10/2020 and all changes made t
during the meeting have been incorporated in the attached document. The County ,nption.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 is not
BCC,all changes directed by the BCC have been made,and the document is ready for 10� option for
Chairman's signature. this line.
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
ORIGINAL DOCUMENTS CHECKLIST & ROUTING SLIP 16 A
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 liner
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 Chainnan'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 n� ii.«\(Lav,
4. BCC Office Board of County 3s` �
Commissioners
f
5. Minutes and Records Clerk of Court's Office
aL( , 1Z)<)/c9e9oI1: IRS\
PRIMARY CONTACT INFORMATION i
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 Melissa Nute Phone Number x-2361
Contact/ Department
Agenda Date Item was 11/10/2020 Agenda Item Number 16A 1
Approved by the BCC
Type of Document Bond,Maintenance Agreement Number of Original 2
Attached Documents Attached
PO number or account
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)
1. Does the document require the chairman's original signature? MN
2. Does the document need to be sent to another agency for additional signatures? If yes, N/A
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
signed by the Chairman,with the exception of most letters,must be reviewed and signed
by the Office of the County Attorney. MN
4. All handwritten strike-through and revisions have been initialed by the County Attorney's N/A
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 MN
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 MN
signature and initials are required.
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.
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 11/10/2020 and all changes made during A, o
the meeting have been incorporated in the attached document. The County ,;option for
Attorney's Office has reviewed the changes,if applicable. is line.
9. Initials of attorney verifying that the attached document is the version approved by the n z r i'.not
BCC, all changes directed by the BCC have been made,and the document is ready for the ,r r 'option' for
Chairman's signature. D
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
I6A1
MEMORANDUM
Date: December 28, 2020
To: Melissa Nute, Site Plans Reviewer
Development Review
From: Ann Jennejohn, Deputy Clerk
Minutes & Records Department
Re: Performance Bond K40429980 and the Construction &
Maintenance Agreement related to Oyster Harbor at
Fiddler's Creek Phase 2C
Attached for your records are copies of the documents referenced above, approved
by the Board of County Commissioners (Item #16A1) on November 10, 2020.
The original documents will be held in the Minutes and Records Department for the
Board's Official Record.
If you have any questions, please contact me at 252-8406.
Thank you.
Attachment
16Ai
CONSTRUCTION AND MAINTENANCE AGREEMENT FOR SUBDIVISION IMPROVEMENTS
THIS CONSTRUCTION AND MAINTENANCE AGREEMENT FOR SUBDIVISION IMPROVEMENTS entered
into this rt v day of �a4r 20 20 between hereinafter
referred to as "Developer", and Board of County Commissioners of Collier County, Florida, hereinafter
referred to as the "Board".
RECITALS:
A. Developer has, simultaneously with the delivery of this Agreement, applied for the approval by the Board
of certain plat of a subdivision to be known as: Oyster Harbor at Fiddler's Creek Phase 2C
B. Chapter 4 and 10 of the Collier County Land Development Code required the Developer to post
appropriate guarantees for the construction of the improvements required by said subdivision regulations,
said guarantees to be incorporated in a bonded agreement for the construction of the required
improvements.
NOW, THEREFORE, in consideration of the foregoing premises and mutual covenants hereinafter set
forth, Developer and the Board do hereby covenant and agree as follows:
1. Developer will cause to be constructed: Water, sewer and drainage infrastructure
within 24 months from the date of approval said subdivision plat, said improvements hereinafter
referred to as the required improvements.
2. Developer herewith tenders its subdivision performance security (attached hereto as Exhibit "A" and by
reference made a part hereof) in the amount of$ 494,747.00 which amount represents 10% of the total
contract cost to complete the construction plus 100% of the estimated cost of to complete the required
improvements at the date of this Agreement.
3. In the event of default by the Developer or failure of the Developer to complete such improvements within
the time required by the Land Development Code, Collier County, may call upon the subdivision
performance security to insure satisfactory completion of the required improvements.
4. The required improvements shall not be considered complete until a statement of substantial completion
by Developer's engineer along with the final project records have been furnished to be reviewed and
approved by the County Manager or his designee for compliance with the Collier County Land
Development Code.
5. The County Manager or designee shall, within sixty (60) days of receipt of the statement of substantial
completion, either: a) notify the Developer in writing of his preliminary approval of the improvements; or
b) notify the Developer in writing of his refusal to approve improvements, therewith specifying those
conditions which the Developer must fulfill in order to obtain the County Manager's approval of the
improvements. However, in no event shall the County Manager or designee refuse preliminary approval
of the improvements if they are in fact constructed and submitted for approval in accordance with the
requirements of this Agreement.
6. The Developer shall maintain all required improvements for a minimum period of one year after preliminary
approval by the County Manager or his designee.After the one-year maintenance period by the Developer
has terminated, the Developer shall petition the County Manager or designee to inspect the required
improvements. The County Manager or designee shall inspect the improvements and, if found to be still
in compliance with the Land Development Code as reflected by final approval by the Board, the Board
shall release the remaining 10% of the subdivision performance security. The Developer's responsibility
for maintenance of the required improvements shall continue unless or until the Board accepts
maintenance responsibility for and by the County.
16A1
7. Six (6) months after the execution of this Agreement and once within every six (6) months thereafter the
Developer may request the County Manager or designee to reduce the dollar amount of the subdivision
performance security on the basis of work complete, Each request for a reduction in the dollar amount of the
subdivision performance security shall be accompanied by a statement of substantial completion by the
Developer's engineer together with the project records necessary for review by the County Manager or
designee. The County Manager or designee may grant the request for a reduction in the amount of the
subdivision performance security for the improvements completed as of the date of the request.
8. In the event the Developer shall fail or neglect to fulfill its obligations under this Agreement, upon certification
of such failure, the County Manager or designee may call upon the subdivision performance security to
secure satisfactory completion, repair and maintenance of the required improvements. The Board shall have
the right to construct and maintain, or cause to be constructed or maintained, pursuant to public
advertisement and receipt and acceptance of bids, the improvements required herein. The Developer, as
principal under the subdivision performance security, shall be liable to pay and to indemnify the Board, upon
completion of such construction, the final total cost to the Board thereof, including, but not limited to,
engineering, legal and contingent costs, together with any damages, either direct or consequential, which
the Board may sustain on account of the failure of the Developer to fulfill all of the provisions of this
Agreement.
9. All of the terms, covenants and conditions herein contained are and shall be binding upon the Developer and
the respective successors and assigns of the Developer.
IN WITNESS WHEREOF, the Board and thy Developer have caused this Agreement to be executed by their
duly authorized representatives this 21 u day of 6/a)( e4.- , 20 14)
SIGNED IN THE PRESENCE OF: (Name of Entity)
"AS TO ALL OWNERS" FC Oyster Harbor, LLC
Witness: /
/2_, By: ;I.."'
/
Printed : Aubrey J. Ferrao
/ . , President and CEO of FC Oyster Harbor,LLC and not in his individual
to [�. (/I v V.le: $/ capacity
Witness: / (Name of Entity)
A/ n GBH Oyster Harbor DEV., LLC 1/ Cti.-47-C4
Printed Name: Aubrey J.Ferrao
M ;GLet.el V ' President and CECYof GBH Oyster Harbor DEV.,LLC and
� not in his individ f capacity
r
ATTEST:_ By: V
fil.---
CRYSTAL K. KINZEL, CLERK BOARD 0 COUNTY OMMISSIONERS
0
'COLLIER COUNT,(, FLORIDA
By: aIAAA .J. By:
Deputy/Mi- Ch an's Chairman Burt L Saunders
Approved ‘VsRprtgal legality:
',,,,1 li i1+
i-e--t-(LT(' - 1()-A,t- ' 1 .,
i Derok D. Perry Date -1-- =
Assistant County Attorney
Crate .1ljt2-
Reed
..
Dcputy Clerk r .
16A1
EXHIBIT"A"
COLLIER COUNTY LAND DEVELOPMENT CODE
PERFORMANCE BOND NO. K40429980
KNOW ALL PERSONS BY THESE PRESENTS: that
(FC OYSTER HARBOR, LLC
GBH OYSTER HARBOR DEV,LLC)
(8156 FIDDLER'S CREEK PKWY
NAPLES,FL 34114)
(hereinafter referred to as "Owner")and
WESTCHESTER FIRE INSURANCE COMPANY
436 WALNUT STREET, P.O. BOX 1000
PHILADELPHIA,PA 19106
(215)640-1000
(hereinafter referred to as "Surety") are held and firmly bound unto Collier County, Florida, (hereinafter referred to as
"County") in the total aggregate sum of Four hundred ninety four thousand, seven hundred forty seven dollars
($494,747.00) in lawful money of the United States, for the payment of which sum well and truly to be made, we bind
ourselves, our heirs, executors, administrators, successors and assigns,jointly and severally, firmly by these presents.
Owner and Surety are used for singular or plural,as the context requires.
THE CONDITION OF THIS OBLIGATION is such that whereas,the Owner has submitted for approval by the Board a
certain subdivision plat named Oyster Harbor at Fiddler's Creek Phase 2C and that certain subdivision shall include
specific improvements which are required by Collier County Ordinances and Resolutions (hereinafter "Land
Development Regulations"). This obligation of the Surety shall commence on the date this Bond is executed and shall
continue until the date of final acceptance by the Board of County Commissioners of the specific improvements
described in the Land Development Regulations(hereinafter the"Guaranty Period").
NOW, THEREFORE, if the Owner shall well, truly and faithfully perform its obligations and duties in accordance with
the Land Development Regulations during the guaranty period established by the County, and the Owner shall satisfy all
claims and demands incurred and shall fully indemnify and save harmless the County from and against all costs and
damages which it may suffer by reason of Owner's failure to do so, and shall reimburse and repay the County all outlay
and expense which the County may incur in making good any default, then this obligation shall be void, otherwise to
remain in full force and effect.
PROVIDED, FURTHER,that the said Surety, for value received hereby, stipulates and agrees that no change, extension
of time, alteration, addition or deletion to the proposed specific improvements shall in any way affect its obligation on
this Bond, and it does hereby waive notice of any such change, extension of time, alteration, addition or deletion to the
proposed specific improvements.
PROVIDED FURTHER, that it is expressly agreed that the Bond shall be deemed amended automatically and
immediately, without formal and separate amendments hereto, so as to bind the Owner and the Surety to the full and
faithful performance in accordance with the Land Development Regulations. The term"Amendment,"wherever used in
this Bond, and whether referring to this Bond, or other documents shall include any alteration, addition or modification
of any character whatsoever.
1 6 A 1
IN WITNESS HEREOF, the parties Ilereto have caused this PERFORMANCE BOND to be executed this
day of Dc. Gt , .e / ZO'LO
WITNESSES: Aubrey J. Ferrao
President and CEO of FC Oyster Harbor, LLC and not
in his individual capacity J
1f
- -- - B . " l4�I4 �J ,117
v
Pr ted Name Jp/{ig,/, fli Aubrey J. Ferrao, President and CEO 01
(Provide Proper Evidence of Authority)4,
PC ettlfir 4t yLSb, GGG
Printed Nirme �A
�� ACKNOWLEDGEMENT
STATE OF yam/►
COUNTY OF ,d11;tr
THE FOREGOING PERFORMANCE BOND WAS ACKNOWLEDGED BEFORE ME BY MEANS
OF EX PHYSICAL PRESENCE OR ❑ ONLINE NOTARATIZTION THIS DAY OF I2 / d / 20, 20
BY Au5,eEy ,r / ARA o AS (TITLE) OF /rey 41-1 e'C FG dr kv AArlro ; ize
V .io IS PERSONALLY KNOWN TO ME, OR HAS PRODUCED AS
IDENTIFICATION.
Notary Public-State of P/0✓1
s*" Notary PubIIC State of Fbride
(SEAL) :' Joseph Livio Parisi
i My Commission GG 251771
?adF Expires0812212022
Print d• ameJO 11 L bphS/ �•
IN WIT E.SS WHEREOF, the parties hereto have caused this PERFORMANCE BOND to be executed this
day of / LOZD .
WITNESSES: Aubrey J. Ferrao
President and CEO of GBH Oyster Harbor DEV, LLC
and not to his individual capacity
By: /' / yLtti
N Pri d Name: joke rti3 Aubrey J. Ferrao, President and CEO
(Provide Proper Evidence.�oqf Authority)
Printed Na e:
ACKNOWLEDGEMENT
STATE OF P`
COUNTY OF (.4/ j.er'
THE FOREGOING PERFORMANCE BOND WAS ACKNOWLEDGED BEFORE ME BY MEANS 0
OF L� PHYSICAL PRESENCE OR ❑ ONLINE NOTARATIZTION THIS DAY OF / 'L/ 0 / Zp, 20
BY r AS .:Gs,re" N a.1 ke-Pqv b/r«L(/ ti
WJjQ j5 PERSONALLY KNOWN'TO ME, OR HAS PRODUCED AS '/
IDENTIFICATION.
Notary Pub -State of Pderd.c
(SEAL) �.VK Notary Public State of Florida Joseph ri
My CommissionLivioPa GGsi 1 25771
Printed N e d47 ?no's/ 'Val Expirss08122/2022
16A1
SURETY ACKNOWLEDGEMENT
WITNESSES: (Surety Name and Title if Corporation)
B
v.•
Kelly O'Mall y fitness Annette Audin , Attorney-In-Fact
FL Non Resident License# W311780
ica lannotta, Witness
ACKNOWLEDGEMENT
STATE OF New Jersey
COUNTY OF Morris
THE FOREGOING PERFORMANCE BOND WAS ACKNOWLEDGED BEFORE ME BY MEANS
OF Q PHYSICAL PRESENCE OR ❑ ONLINE NOTARATIZTION THIS DAY OF October, 20, 2020 Annette
Audinot, BY (NAME OF ACKNOWLEDGER)AS Attorney-In-Fact OF Westchester Fire Insurance Company
WHO IS PERSONALLY KNOWN TO ME, OR HAS PRODUCED Driver's License AS
IDENTIFICATION.
Notary Public -State of New Jersey
(SEAL)
ril erez
APRIL PEREZ
NOTARY PUBLIC
STATE OF NEW JERSEY
MY COMMISSION EXPIRES APR. 16,2024
CHUBB
Power of Attorney 1 6 A 1
Federal Insurance Company I Vigilant Insurance Company I Pacific Indemnity Company
Westchester Fire Insurance Company!ACE American Insurance Company
Know All by These Presents, that FEDERAL INSURANCE COMPANY, an Indiana corporation, VIGILANT INSURANCE COMPANY, a New York corporation, PACIFIC
INDEMNITY COMPANY, a Wisconsin corporation, WESTCHESTER FIRE INSURANCE COMPANY and ACE AMERICAN INSURANCE COMPANY corporations of the
Commonwealth of Pennsylvania,do each hereby constitute and appoint
Annette Audinot
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 bail 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,PACIFIC INDEMNITY COMPANY,WESTCHESTER FIRE INSURANCE
COMPANY and ACE AMERICAN INSURANCE COMPANY have each executed and attested these presents and affixed their corporate seals on this 10d'day of March,2020.
Ikrrn \I.Chkxrt,.A::i:ctnt stephcn\I.I Liney.\icc dent
.r•"'�. as•. •`"�'c ,+""""� y�i r•4 i•, ate.,
J.
•'KA •,ems • • ` �
•
STATE OF NEW JERSEY
County of Hunterdon ss.
On this 10m day of March,2020 before me,a Notary Public of New Jersey,personally came Dawn M.Chloros and Stephen M.Haney,to me known to be Assistant Secretary and
Vice President, respectively, of FEDERAL INSURANCE COMPANY, VIGILANT INSURANCE COMPANY, PACIFIC INDEMNITY COMPANY, WESTCHESTER FIRE INSURANCE
COMPANY and ACE AMERICAN INSURANCE COMPANY,the companies which executed the foregoing Power of Attorney,and the said Dawn M.Chloros and Stephen M.Haney,
being by me duly sworn,severally and each for herself and himself did depose and say that they are Assistant Secretary and Vice President,respectively,of FEDERAL INSURANCE
COMPANY,VIGILANT INSURANCE COMPANY,PACIFIC INDEMNITY COMPANY,WESTCHESTER FIRE INSURANCE COMPANY and ACE AMERICAN INSURANCE COMPANY and
know 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 their signatures as such officers were duly affixed and subscribed by like authority.
Notarial Seal •4•
p" Y�r KATHERINE J.ADELAAR
NOTARY PUBLIC OF NEW JERSEY
riIIlC No.2316685 �(�/fGGiv✓✓� (((���!!!(L�
\y Commission Expires July 76,2024 NOIRry Public
�►'JER9t
CERTIFICATION
Resolutions adopted by the Boards of Directors of FEDERAL INSURANCE COMPANY,VIGILANT INSURANCE COMPANY,and PACIFIC INDEMNITY COMPANY on August 30,2016;
WESTCHESTER FIRE INSURANCE COMPANY on December 11,2006;and ACE AMERICAN INSURANCE COMPANY on March 20,2009:
"RESOLVED,that the following authorizations relate to the execution,for and on behalf of the Company,of bonds.undertakings.recognizances,contracts and other written commitments of the Company
entered into in the ordinary course of business(each a"Written Commitment"):
(1) Each of the Chairman,the President and the Vice Presidents 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.
(2) Each duly appointed attorney-in-fact 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 attorney-in-fact.
(3) Each of the Chairman.the President and the Vice Presidents of the Company is hereby authorized,for and on behalf of the Company,to appoint in writing any person the attorney-
in-fact of the Company with full power and authority to execute,for and on behalf of the Company, under the seal of the Company or otherwise,such Written Commitments of the
Company as may be specified in such written appointment,which specification may be by general type or class of Written Commitments or by specification 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 on behalf of the Company,to delegate in writing to 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 specified in such
written delegation,which specification may be by general type or class of Written Commitments or by specification of one or more particular Written Commitments.
(5) The signature of any officer or other person executing any Written Commitment or appointment or delegation pursuant to this Resolution,and the seal of the Company,may be affixed by
facsimile on such Written Commitment or written appointment or delegation.
FURTHER RESOLVED, that the foregoing Resolution shall not be deemed to bean 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 validly granted or vested."
I, Dawn M. Chloros, Assistant Secretary of FEDERAL INSURANCE COMPANY, VIGILANT INSURANCE COMPANY, PACIFIC INDEMNITY COMPANY, WESTCHESTER FIRE
INSURANCE COMPANY and ACE AMERICAN INSURANCE 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 seals of said Companies at Whitehouse Station,NJ,this October 30,2020
(4) f'D 5\1s0A21(
Iklv.11\L ChhHtt,,.\\ti1sL1111.CY'1'l4aly
IN THE EVENT YOU WISH TO VERIFY THE AUTHENTICITY OF THIS BOND OR NOTIFY US OF ANY OTHER MATTER,PLEASE CONTACT US AT:
Telephone(908)903-3493 Fax(908)903-3656 e-mail:surety@chubb.com
Combined:FED-VIG-PI-WFIC-AAIC(rev.11-19)
1 A 1
DocuSign Envelope ID:CCF7D358-9B25-47C6-8B4C-6EAB7BF6431E
WESTCHESTER FIRE INSURANCE COMPANY
STATEMENT OF ASSETS,LIABILITIES AND SURPLUS TO POLICYHOLDERS
Statutory Basis
December 31,2019
(in thousands)
LIABILITIES AND
ASSETS SURPLUS TO POLICYHOLDERS
Cash and Short Term Investments $ (17,346) Outstanding Losses and Loss Expenses $
United States Government,State Reinsurance Payable on Losses and Expenses
and Municipal Bonds 106,879 Unearned Premiums _
Other Bonds 56,172 Ceded Reinsurance Premiums Payable
Stocks
Other Invested Assets 28 Other Liabilities 100,006
6,008
TOTAL INVESTMENTS 151,741 TOTAL LIABILITIES 100,006
Investments in Affiliates - Capital Stock 5,000
Premiums Receivable Paid-In Surplus
Other Assets 92,830 Unassigned Funds 79,709
SURPLUS TO POLICYHOLDERS 144,565
TOTAL LIABILITIES AND
TOTAL ADMITTED ASSETS
$ 244,571 SURPLUS $ 244,571
Investments are valued in accordance with requirements of the National Association of Insurance Commissioners,At December 31,2019,
investments with a carrying value of$12,787,328 were deposited with government authorities as required by law.
STATE OF PENNSYLVANIA
COUNTY OF PHILADELPHIA
John Taylor,being duly sworn,says that he is Senior Vice President of Westchester Fire Insurance Company and that to the best of his knowledge
and belief the foregoing
is a true and correct statement of the said Company's financial condition as of the 31 st day of December,2019.
i DoSilitarveliefore me this _ ;,, L. 1`E- Z<. Z...L
z c Ta71�r
D2eow1QUg;oria�
enior ice President
Notary Public My commission expires
Commonwealth of Pennsylvania-Notary Seal
Diane Wright,Notary Public
Philadelphia County
My commission expires August 8,2023
Commission number 1235745
Member,Pennsylvania Association of Notaries
Oyster Harbor at Fiddler's Creek Phase 2C 1 6 A 1
Engineer's Opinion of Cost
General Conditions Unit Quantity Price Total
Mobilization LS 1 $ 3,000.00 $ 3,000.00
Demolition/Clearing LS 1 $ 5,000.00 $ 5,000.00
Construction Entrance/Tracking Control LS 1 $ 2,000.00 $ 2,000.00
Silt Fence LF 2,050 $ 1.00 $ 2,050.00
Sub-Total $ 12,050.00
Storm Drainage Unit Quantity Price Total _
Remove Existing RCP LS 1 $ 8,125.00 $ 8,125.00
Modify existing outfall culvet, C.S. and add junction box at lake LS 1
expansion $ 13,749.00 $ 13,749.00
Type'C'Junction Box EA 7 $ 3,000.00 $ 21,000.00
18" RCP LF 445 $ 50.00 $ 22,250.00
Grade Swale/Berm LS 1 $ 5,000.00_ $ 5,000.00
Hydro-VAC System LS 1 $ 15,000.00 $ 30,396.00
Curb Inlet Protection (rock sock or approved equal) EA 8 $ 150.00 $ 1,200.00
Sub-Total $ 101,720.00
Roadway Unit Quantity Price Total
5' Conc. Sidewalk(Open Space Tract) SF 2,400 $ 4.50 $ 10,800.00
H/C Ramp LS 1 $ 2,000.00 $ 2,000.00
Sub-Total $ 12,800.00
Sanitary Sewer System Unit Quantity Price Total
Unpaved Trench Restoration & Roadway Trench Restoration EA 22
(per Collier Tech Spec.) $ 4,500.00 $ 99,000.00
Replace Valley Gutter(includes Bahia sod) LF 160 $ 50.00 $ 8,000.00
Abandon Single and Double Sewer Service EA 23 $ 850.00 $ 19,550.00
Construct New 6" Single and Double Service EA 22 $ 2,200.00 $ 48,400.00
Cap Existing Service EA 6 $ 500.00 $ 3,000.00
Sub-Total $ 177,950.00
Potable Water Distribution System Unit Quantity Price Total
Horizontal Directional Drill EA 11 $ 1,500.00 $ 16,500.00
Single Water Service EA 5 $ 1,850.00 $ 9,250.00
Double Water Service EA 18 $ 1,950.00 $ 35,100.00
Remove Existing Water Service and Abandon Crossing EA 24 $ 400.00 $ 9,600.00
Relocate Hydrant, Gate Valve, and Valve Box EA 2 $ 3,700.00 $ 7,400.00
Relocate Bacterial Sample Point LS 1 $ 3,000.00 $ 3,000.00
Testing LS 1 $ 5,000.00 $ 5,000.00
Sub-Total $ 85,850.00
Electric/Street Lights Unit Quantity Price Total
Relocate Electric Transformer EA 3 $ 7,000.00 $ 21,000.00
Relocate Street Light EA 8 $ 800.00 $ 6,400.00
FPL pre-work and relocate service ends LS 1 $ 20,000.00 $ 20,000.00
1,o IImtlllllttif,, Sub-Total $ 47,400.00
Irrigation .� E , VI Unit Quantity Price Total
Relocate a isting - • is•p-New Ta &'Sary main LS 1 $12,000.00 $ 12,000.00
E.'_ • No. 45324 . O _ Sub-Total $ 12,000.00
* 70
r.
1/4 iVeA�o• * - Total 449,770.00
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