Backup Documents 09/14/2021 Item #16A33 ORIGINAL DOCUMENTS CHECKLIST & ROUTING SLIP 6 A
TO ACCOMPANY ALL ORIGINAL DOCUMENTS SENT TO
33
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 routing lines#1 through#2,complete the checklist,and forward to the County Attomey Office.
Route to Addressee(s) (List in routing order) Office Initials Date
1.
2.
3. County Attorney Office County Attorney Officetlt (66-J\
4. BCC Office Board of County �O f
Commissioners kt
5. Minutes and Records Clerk of Court's Office ib' 1
PRIMARY CONTACT INFORMATION ¶ ?r,C(9211
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/Transportation Contact Information 239-252-5722(0)
Contact/ Department 239-227-8327(C)
Agenda Date Item was September 14,2021 Agenda Item Number 16A33
Approved by the BCC
Type of Document Work Order under Agreement No. Number of Original 1
Attached 16-6663 for Roadway Contractors. Documents Attached
PO number or account N/A
number
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 Yes
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 Yes
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 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 Yes
document or the final negotiated contract date whichever is applicable. JO
6. "Sign here"tabs are placed on the appropriate pages indicating where the Chairman's Yes
signature and initials are required.
7. In most cases(some contracts are an exception),the original document and this routing slip N/A
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 ontigitand all changes made during the N/A
meeting have been incorporated in the attached document. The County Attorney's Office
has reviewed the changes,if applicable.
9. Initials of attorney verifying that the attached document is the version approved by the
BCC,all changes directed by the BCC have been made,and the document is ready for the I`,
Chairman's signature.
16A33.- ..
Ann P. Jennejohn
From: Ann P. Jennejohn
Sent: Wednesday, October 6, 2021 8:13 AM
To: 'Julio.Ordonez@colliercountyfl.gov'
Subject: Work Orders Contract#16-6663 (9-14-21 BCC Meeting)
Attachments: #16-6663 WO (Preferred Materials, Inc. Project 60231.3).pdf; #16-6663 WO (Bonness,
Inc. Project 60188.1).pdf
Good Morning Julio,
Executed copies of Items #16A33 & #16,436,
from the Septew►ber 14, 2021 BCC Meeting
are attached for your records.
Ann Jennejolin
13MR Senior Deputy Clerk II
�,.IT�Yh,kr Clerk to the Value Adjustment Board
4 r, Office: 239-252-8406
Fax: 239-252-8408 (if applicable)
Ann.Jennejohn@CollierClerk.com
Office of the Clerk of the Circuit Court
& Comptroller of Collier County
3299 Tamiami Trail, Suite #4O1
Naples, FL. 34112-5324
www.CollierClerk.com
DocuSign Envelope ID:DEE52444-1E15-446A-A6A0-22A722828459 1 6 A 3 3
WORK ORDER/PURCHASE ORDER
Contract# 16-6663 "Roadway Contractors"
Contract Expiration Date: September 23, 2021
This Work Order is for roadway construction services for work known as:
Project Name: Commercial Blvd. at Exchange Ave. Intersection Improvements
Project No: 60188.1)4
The work is specified in the proposal dated July 2,2021, 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: Bonness, Inc.
•
Scope of Work: As detailed in the attached proposal and the following:
Task I: Commercial Blvd. at Exchange Ave. Intersection Improvements
Schedule of Work: Complete work within 60 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: Shoulder Improvements $250,670.71
TOTAL FEE $ 250,670.71
Digitally signed by Julio Ordonez
Julio Ordonez Date.2021.07.28 11:13:52 7-28-2�21
PREPARED BY: -04'00'
Julio F. Ordonez, PE, Senior Project
lManager Date
Transportation Engineeringi�
alty ivisi l
d by AhmadJay
AhmadJay Date:2021.07.29 09:28:09
APPROVED BY: -04'00'
Jay Ahmad, PE, Division Director Date
Transportation Engineering Division
SCOttTri n I}`, Digitally signed by ScottTrinity
APPROVED BY: l� ` `y Date:2o21.oa.0209:2s:�s-o4'o0'
RN Trinity Scott,Deputy Department Head Date
Growth Management Department
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
Page 1 of 2
DocuSign Envelope ID:DEE52444-1E15-446A-A6A0-22A722828459 1 6 A 3 3
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: Bonness, Inc.
°ocu3l 7/22/2021
?rre.o Vu owto11..
—6u051B59552C4Euviy ..ce-President Date
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 0 COUNTY COMMISSIONERS
• g, l rkof Courts COLLIE C TY, FLORID
, Chairman
Dated..
'Attest tothaGNAL Bonness, Inc.
Signature 91441
r—/�.DocuSigned by: �Q Docu Signed by�
ik leG By:[!"'vL�A V"VVI.-40VL
—38F48829 i3D4416... 61051B59552C4EF...
Hannely Roque
Brad Thornton, Vice-President
TType/print witness name
p—DocuSigned by:
1.1 tana. f
C`-2B1 EFC44E55942C...
Diana Aviles
TType/pri 4 t witness namet
Approved a Fo l/ and
PP iv y•
I_ A
Co 77 1`8. ey
14I
Print) .ml
Page 2 of 2
16A33
ANNIVERSARY 1900 Seward Avenue www.Bonnesslnc.com
Naples.FL 34109 infoaBonnessInc.com
BON N ESS TEL(239)597.6221 FL#CUC1224797
PAVING • SITEWORK • UNDERGROUND FAX(239)597-7416 FL+t CBC059904
Proposal 7/2/2021
Submitted To: Collier County Road And Bridge Maintenance Estimate Number: 178272021
Address: 4800 Davis Blvd. Bid Title: Commercial Blvd At Exchange Avenue
Naples, FL 34104
Project Location: Commercial Blvd At Exchange Avenue
Contact: Julio Ordonez Project City,State: Naples, FL
Phone: (239)774-8924 Fax: (239)774-6406 Engineer/Architect: Collier County Board Of County
Commissioners
Thank You for Considering Bonness Inc.
Line# Item # Item Description Estimated Quantity Unit Unit Price Total Price
101-1 MOBILIZATION 1.00 LS $32,298.58 $32,298.58
102-1 MAINTENANCE OF TRAFFIC 1.00 LS $12,388.75 $12,388.75
104-13-1 STAKED SILT FENCE TYPE III 2,000.00 LF $0.80 $1,600.00
110-1-1 STANDARD CLEARING&GRUBBING 1.00 LS $18,868.08 $18,868.08
110-7-1 MAILBOX, FURNISH AND INSTALL 2.00 EACH $243.41 $486.82
120-1 EXCAVATION 290.00 CY $59.53 $17,263.70
120-6 EMBANKMENT 360.00 CY $47.67 $17,161.20
245-704 OPTIONAL BASE GROUP 4 468.00 SY $74.22 $34,734.96
245-715 OPTIONAL BASE GROUP 15 138.00 SY $164.35 $22,680.30
327-70-1 MILLING OF EXISTING PAVEMENT(1" 722.00 SY $12.85 $9,277.70
THICK)
334-1-11 SUPERPAVE A.C. TYPE SP 9.5 (TRAF. C, 110.00 TON $259.78 $28,575.80
1.5"THICK)[1]
334-1-12 SUPERPAVE A.C. TYPE SP 12.5 (TRAF. C, 16.00 TON $629.57 $10,073.12
2"THICK)[2]
425-2-41 MANHOLE TYPE P-7 2.00 EACH $3,348.78 $6,697.56
425-5-1 ADJUST MANHOLE(UTILITIES) 2.00 EACH $231.82 $463.64
425-6 ADJUST VALVE BOXES 2.00 EACH $171.82 $343.64
430-174- 12'X18" PIPE CULVERT(ELLIP. REINF. 96.00 LF $62.85 $6,033.60
215 CONC. PIPE)
430-984- MITERED END SECTION (ELLIP.) (SD) 4.00 EACH $1,341.81 $5,367.24
623
522-2 CONCRETE SIDEWALK(DRIVEWAY) 25.00 SY $72.91 $1,822.75
570-1-2 PERFORMANCE TURF, SOD 2,000.00 SY $2.29 $4,580.00
700-1-2 SINGLE POST SIGN (RESET) 2.00 EACH $53.02 $106.04
706-3 REFLECTIVE PAVEMENT MARKERS 12.00 EACH $3.18 $38.16
711-11-122 TRAFFIC STRIPE, SOLID,THERMO. (6" 416.00 LF $0.90 $374.40
WHITE)
711-11-125 TRAFFIC STRIPE, SOLID,THERMO. (24" 32.00 LF $4.77 $152.64
WHITE)
7/2/2021 1:02:10 PM Page 1 of 2
16A33
Line# Item # Item Description Estimated Quantity Unit Unit Price Total Price
711-11-221 TRAFFIC STRIPE, SOLID,THERMO. (6" 200.00 LF $0.90 $180.00
YELLOW)
711-17 REMOVE EXIST. PAVEMENT MARKINGS 1.00 LS $1,060.33 $1,060.33
737-70-1 UTILITY LOCATE, UNDERGROUND 15.00 EACH $202.78 $3,041.70
CC-1000 ROADWAY ALLOWANCE 1.00 LS $15,000.00 $15,000.00
RN 07.30.21
Total Bid Price: $250,670.71
Notes: •Subject to prompt acceptance within 30 days and to all conditions stipulated on the reverse side,we agree to furnish
materials and labor at the price(s)set forth above.
•Proposal based on the plans by Collier County Board of Commissioners Sheet 1-9 dated March 2020, most recent revision#1
dated 6-18-21.
•Testing by others.
•Due to critical nature of escalating material costs; material pricing is subject to change. Should this situation arise, Bonness
Inc.will provide documentation of material adjustment(s).
•Any deviation of contracted work will require a signed change order. No work related to any change order item will commence
until executed by all parties.
•Bonness Inc. is not responsible for damages caused by others.
•Removal and/or replacement of unsuitable materials(I.e. rock and/or muck)below grade is not included.
•A one time final grade has been included. Final grade does not include the raking or removal of other trades debris or
regrading after trenching by others has been performed; I.E. Sprint, FPL,CAN or irrigation.
•Bonness Inc. is not responsible for utilities not shown.
•The above proposal is for listed items only.
•Depending on Utility scheduling date,additional charges may be required during Florida's"rainy season"due to increased
water levels and the associated de-watering necessary.
•No rubber or poly included in asphalt material.
•Asphalt and concrete removals(demolition)are based upon Florida Industry standards of 1-1/2"(asphalt)and 4"(concrete)
thicknesses. Any removals thicker than these will require an approved change order.
Payment Terms: Payment due within 30 days of date of invoice,regardless of when payment is made by Owner. Credit Card payments are not
accepted.
ACCEPTED: CONFIRMED:
The above prices, specifications and conditions are satisfactory Bonness Inc.
and hereby accepted.
Buyer
Authorized
Signature: Signature:
Date of Acceptance: Estimator: Ken Lane/Dan Mikelson
7/2/2021 1:02:10 PM Page 2 of 2
1bA33
EXHIBIT B
PUBLIC PAYMENT BOND
Bond No. 964011401
Contract No. 16-6663
KNOW ALL MEN BY THESE PRESENTS: That Bonness,Inc. , as
Principal, and Liberty Mutual Insurance Company , as Surety, located at
175 Berkeley St.,Boston,MA 02116 (Business Address) are held and firmly bound
t0 Board of County Commissioners Collier Co,FL as Oblige in the sum of Two hundred fifty thousand six hundred seventy and 71/100
($ 250,670.71 ) 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 22nd day of July , 2021 ,
with Oblige for Commercial Blvd.at Exchange Ave.Intersection Improvements,Project No:60188.11
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 3rd day of
August , 20 21 , the name of under-signed representative, pursuant to authority of its governing
body.
Page 16 of 29
#16-6663'ROADWAY CONTRACTORS'
Bonness,Inc. CFE"i
1 6 •.
a•c�"' o�Q
•
•
Signed, sealed and delivered �►
in the presence of: PRINCIPAL: t ,O')') o
Bonness,/Inc.iaLee-d-4144-44.e (�//� '�` y '•••....•
By: //
Witnesses as to Pri cipal Name: K.tiAh\.ea.+N lam. t►t..
Its: eh:a.."4-
STATE OF'>Gl L 1\_
COUNTY OF LJJLIA b�
The foregoing instrument was acknowledged before me this of 20.,by
1 tink, ,n 4 '.\:c� , as ` c a..y* of , a S
corporation, on behalf of the corporation. He)she Apersonallv known to mp OR has produced
as identification and did (did not)take an oath.
My Commission Expires: aolimi nguo,,
cic.�k-- 23r a ``\����NNEIY ROQ..i / (Signature o tary)
; o° r° � s: : Name: ' V�+Qr
; ,e *_ (Legibly Printed)
• 11GG 270596
(AFFIX OFFICIAL SEAL]t;;• ), eon0ed��`���s; Notary Public, State of -F-Loe\D(c
�ff).'))Fein Ins�is••'F'
f ni.sTh+� ��\\ Commission No.: Csr�+' a.'ion
kip
olitATTEST: SURETY:
Liberty Mutual Insurance Company
(Printed Name)
(Business Address)
ii\)41(
(A tre (Authorized Signature)
Witness as to Surety
(Printed Name)
OR
Page 17 of 29
#16-66e3'ROADWAY CONTRACTORS'
Bonnets,Inc.
0
I6A33
.............
A.Q-‘1,zi
%
'••�aNGc Cn
.Lt< _�kAti.L (,i‘ ' ,',�` do V
As Attorney iN Fact =a z ° y
Tin K' $e.LILtt!t (Attach Power of Attorney) . ' .(�
Witnesses - '' o O) °'
Cindy L.Mirisola,Attorney-in-Fact&FL'Ad t a l ti
0
1021 Douglas Avenue '4. l ii ngi
"u1.. .....a,'.'••.
Altamonte Springs,FL 32714
(Business Address)
Cindy L.Mirisola
(Printed Name)
(407)389-3588
(Telephone Number)
STATE OF Florida
COUNTY OF Seminole
The foregoing instrument was acknowledged before me this 3rd day of August
20 21 , by Cindy L.Mirisola as Attorney-in-Fact
of Liberty Mutual Insurance Company , Surety, on behalf of Surety. He/She is personally known
fame_OR has produced N/A as identification and who did (did not)take an oath.
My Commission Expires: tV)< 'ere :,14.i._—
(Signature of Notary)
Name: . . .
(Legibly Printed)
(AFFIX OFFICIAL S
������J Notary Public, State of Florida
vi- 1� Commission No.: HH o S` a a 1 -1
ire
i .'?,'°r70:c unba�;:
Vat
,
-4010,1000w-
Page 18 of 29
#16-8663'ROADWAY CONTRACTORS'
Bonneas,Inc. I
I 6 A 3 3
EXHIBIT B-2
PUBLIC PERFORMANCE BOND
Bond No. 964011401
Contract No. 16-6663
KNOW ALL MEN BY THESE PRESENTS: That Bonness,Inc.
, as Principal, and Liberty Mutual Insurance Company
, as Surety, located at 175 Berkeley St.,Boston,MA 02116
(Business Address) are held and firmly bound to Board of County Commissioners
Collier Co,FL , as Oblige in the sum of Two hundred fifty thousand six hundred seventy and 71/100
($ 250,670.71 ) 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 22nd day of Jul
20 21, with Oblige for Commercial Blvd.at Exchange Ave.Intersection lmprovemen�roject No:60188.11
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'
Bonness,Inc. qc
1 6 A 3 3
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 3rd day of August
, 20 21 , the name of each party being affixed and these presents duly signed by its undersiaed..
representative, pursuant to authority of its governing body. t o�.
144:a. Qw
Signed, sealed and delivered ''' o o
in the presence of: PRINCIPAL: F`•
Bonness,Inc.
I� By: 0 ✓' .
Witnesses as to rinclpa Name: -hh‘e•ezn vtn.tea'.\fit.
Its: -ierA_AAn,i-
STATE OF --�re-V
COUNTY OF C.er L.4 t3 _
The foregoing instrument was acknowledged before me this 64 day of
202,1_, by 1F- Oat_Ala �:a..�.tr , as We-b. -4r of
a S corporation, on behalf of the corporation.
He/Sties personally known to me OR has produced as identification and
did (did not)take an oath.
My Commission Expires: Gc L3aO.2a
•
(Signature bf tary)
�ttutuuu////0/ Name: 1\ 4
\ �PNt ROQ4'i/,,� (Legibly Printed)
(AFFIX OFFICIAL SEA,l �oeER 3 op;9�:. '%;
;=o • Notary Public, State of c-1.0Q-Mckc
� Commission No.: '' a�O fl '.
too 270596
.•ate
�?�eOnded J�°°
'[Vi•/C�S?A����\o�`�.
Page 20 of 29
#16-6863'ROADWAY CONTRACTORS'
Barmen,Inc. fe
1 6A33
ATTEST: SURETY:
Liberty Mutual Insurance Company
(Printed Name)
Cad ..
175 Berkley Street •
Boston,MA 02116 .• f� t
(Business Address) 7 � .' ti
t`
1/4,Aci i• 1,--tutcAC
A (Authorized gnature)
Vt Cz tt(L
Witness as to Surety
(Printed Name)
/11.41- Z.,&,"—ft_427/ Ciinndy L.Mirisola,Attorney-in-Fact
As Attorney in Fact
(Attach Power of Attorney)
Witnesses
Sihle Insurance Group,Inc.
1021 Douglas Ave
Altamonte Springs,FL 32714
(Business Address)
Cindy L.Mirisola,Florida Resident Agent
(Printed Name)
(407)389-3588
(Telephone Number)
STATE OF Florida
COUNTY OF Seminole
The foregoing instrument was acknowledged before me this 3rd day of August , 20 21 , by_
Cindy L.Mirisola , as Attorney-in-Fact Of Liberty Mutual
Insurance Company , Surety, on behalf of Surety. He/She is personally known to me OR has produced
N/A as identification and who did (did}} not)take an oath.
My Commission Expires: i fK�� titert
(Signature of Notary)
Name: 1-q G4 •h-C
(Legibly Printed)
(AFFIX OFFICI4Oii6Ak4N��
_�\� ,gam„_y Notary Public, State of Florida
otoa Commission No.: t4H U S-d..)`i 7
•
• *
••y t062291 .0041.1
0mi II MOO' Page 21 of 29
#16-6683•ROADWAY CONTRACTORS'
Bonness,Inc. ID
16A33
This Power of Attorney limits the acts of those named herein,and they have no authority to
re-
r, bind the Company except In the manner and to the extent herein stated.
&V\5t.% Liberty Liberty Mutual Insurance Company
Ij*` Mutual. The Ohio Casualty Insurance Company Certificate Not 8202911-984018
West American Insurance Company
SURETY
POWER OF ATTORNEY
KNOWN ALL PERSONS BY THESE PRESENTS:That The Ohio Casualty Insurance Company is a corporation duly organized under the laws of the State of New Hampshire,that
Liberty Mutual Insurance Company is a corporation duly organized under the laws of the Stale of Massachusetts,and West American Insurance Company is a corporation duly organized
under the laws of the State of Indians(herein collectively caned the'Companies'),pursuant to and by authority herein set forth,does hereby name,constitute and appoint Robert H
Bond;Heather Bradley;Shelley Pane;Cindy L.Mirisole;Louis G.Mitchell;Gerald K.Sihie
all of the city of Altamonte Springs state of FL each individually if there be more then one named,its hue and lawful ettameyin-fad 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 surely obligations,In pursuance
of these presents and shal be as binding upon the Companies es it 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 Cartpanies have been affixed
thereto this 15th day of January , 2020 .
Liberty Mutual Insurance Company
1NSa Zv INa 0131.1.t... The Ohio Casualty Insurance Company
j s`o ugh, " eileek e-44, 0. West Martell Insurance Company t
* �1912 o gs1919Wo a 1991 nc Lo �` o y r,,,) 4cHus`Jar y0�rimer. a� `ra 'rotor• ,4D B : dio,g/67:4 f
eiy # *i% yl * 3,N ** Y David M.Carey,Assistant Secretary
m
:=E. Stated PENNSYLVANIA c
p_ph County of MONTGOMERY ss co
c On this 15th day of January , 2020 before me personalty appeared David Nt Carey,who acknowledged himself to be the Assistant Secretary of Liberty Mutual Insurance_
H
o
To Company,The Ohio Casualty Company,and West American Insurance Company,and that he,as such,being authorized so to do,execute the foregoing instrument for the purposes 13 W
therein contained by signing on behalf of the corporations by himself as a duly authorized officer. p,,
IN WITNESS WHEREOF,I have hereunto subsc bed my name and affixed my notarial seal at IGng of Prussa.Pennsylvania on the day end year fast above written. g n
c-13
o�
'�
PA St
CI
0 I.- P<P.cHM,Sree COMMONWEALTH OF PENNSYLVANIA ittilot)
<-0
a v 1 U� % P NOIarI,Sal Ii I-I O to
O ta or Ttipper°M*WnT�Moraaonrr/Cant/ By: /WI�� 1 E
C yi, 90?, My Cornmkabn Erpe.S Mart 2a,2a21 Notary Pubdc erase Pastels.Notary Public 0 re
0)U) 'IR�V run ' AAnbr.Pw, ..ie ApodMM d N0WU ci.to O
N
.a? This Power of Attorney is made and executed pursuant to and by authority of the folowng By-laws and Autho ations of The Ohio Casualty Insurance Company,Liberty Mutual c
o c Insurance Company,and West American Insurance Company which resolutions are now in full farce and effect reeding as follows: o
d ARTICLE IV-OFFICERS:Section 12.Power of Attorney. V
.2 m Any officer or other official of the Corporation authorized for that purpose in writing by the Chairmen or the President and subject to suds limitation as the Chairman a the ro-n
6.j President may prescribe,shall appoint such attorneys-in-fact,as may be necessary to act in behalf of the Corporation to make,execute,seal,acknowledge and deliver as surety >
al
act
any and all undertakings,bonds,recognizances and other surety obligations.Such attorneys-in-fact,subject to the limitations set forth in their respective powers of attorney,shall.ml
.5 C have full power to bind the Corporation by their signature and execution of any such instruments and to Elect thereto the seal of the Corporation.When so executed,such sN
z v instruments shell be as binding as if signed by the President and attested to by the Secretary.Any power or authority granted to any representative or attorney-in-fact under the rF 0,
provisions of this artide may be revoked at any time by the Board,the Chairmen,the President a by the officer or officers granting such power or authority. §d
ARTICLE XIII-Execution of Contracts:Section 5.Surety Bonds and Undertakings. o t4
Any officer of the Company authorized for that purpose in writing by the chairman or the president and subject to such limitations as the chairman or the president may prescribe,1-
shall appoint such attorneys-in-fad,as may be necessary to ad in behalf of the Company to make,execute,seal,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 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 seal of the Company.When so executed such instruments shall be as binding as if
signed by the president and attested by the secretary.
Certificate of Designation-The President of the Company,acting pursuant to the Bylaws of the Company,authorizes David M.Carey,Assistant Secretary to appoint such attorneys-in-
fact as may be necessary to act on behalf of the Company to make,execute,seal,acknowledge end deliver as surety any and al undertakings,bonds,recognizances and other surety
obligations.
Authorization-By unanimous consent of the Company's Board of Directors,the Company consents that fawn*or medharically 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 surely bands.shall be valid and binding upon the Company with
the same force and effect as though manually affixed.
I,Renee C.Llewellyn,the undersigned.Assistant Secretary,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 of Attorney executed by said Companies,is in full force and effect and
has not been revoked. ...""""•'••
IN TESTIMONY WHEREOF,I have hereunto set my hand anc.taferptintaigf4iticitorithanies this 3rd day of AUGUST , 2021
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d# rICHus Js . 0. NAw . • ' 0' .kr Renee C.Uewelyn,Assistant Secretary
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