Backup Documents 04/23/2024 Item #16A 4 ORIGINAL DOCUMENTS CHECKLIST & ROUTING SLIP 1 6 A 4
TO ACCOMPANY ALL ORIGINAL DOCUMENTS SENT TO
THE BOARD OF COUNTY COMMISSIONERS OFFICE FOR SIGNATURE
Print o;, it. iou.. are
at the time u e:t rr niaced on ,er:da. :'.I1 coin Dieted routin sh, .. .: ,,final dacunzei i-,eu'.o-t he r .r.
Man;0 lond..y it;;- ...._
**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 �/,n1 p r6��' L1
4. BCC Office Board of County / e
Commissioners c / r' (Il ti/Z Y
5. Minutes and Records Clerk of Court's Office
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 Lucia S.Martin Phone Number x-2279
Contact/ Department
Agenda Date Item was 04/23/24 Agenda Item Number 16.A.4Lf
Approved by the BCC
Type of Document Plat Number of Original 1
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? LM
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. LM
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 LM
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 LM
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 04/23/24 and all changes made during N/A is not
the meeting have been incorporated in the attached document. The Countyan 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 e
N/A is not
BCC, all changes directed by the BCC have been made, and the document is ready for the an 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 1 6 A 4
TO ACCOMPANY ALL ORIGINAL DOCUMENTS SENT TO
THE BOARD OF COUNTY COMMISSIONERS OFFICE FOR SIGNATURE
**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 V O �Q 4) 1
4. BCC Office Board of County
Commissioners (J1h /51 t6 f f Z.i
5. Minutes and Records Clerk of Court's Office /O /
/4
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 Lucia S. Martin Phone Number x-2279
Contact/ Department
Agenda Date Item was 04/23/24 Agenda Item Number 16.A.4
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? LM
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. y LM
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 LM
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 LM
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 04/23/24 and all changes made during N/A is not
the meeting have been incorporated in the attached document. The County f�j)( 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 D� an 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
16A4
CONSTRUCTION AND MAINTENANCE AGREEMENT FOR SUBDIVISON IMPROVEMENTS
THIS CONSTRUCTION AND MAINTENANCE AGREEMENT FOR SUBDIVISION IMPROVEMENTS
entered into this Q f s-(•- day of At ,i nc i S , 20 between Pulte Home Company, LLC
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: Del Webb Naples Parcel 114
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: all required site improvements including, earthwork, paving,
drainage, lighting, and code minimum landscaping within 36 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$656,064.86 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.
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
11/23/2021 Page 1 of 2
16A4
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 the Developer have caused this Agreement to be executed by
their duly authorized representatives this 21 4- day of A LA CA 4-�- , 20 24 .
SIGNED IN THE PRESENCE OF: (Name of Entity)
Pulte Home Company LLC
Witness: j/ j7 1
By: /7<ifkialee
Printed Name: e Fe
Michael Hueniken, Vice President- Land Development
Witness: � Printed Name/Title
(President,VP, or CEO)
(Provide Proper Evidence of Authority)
Printed Name: Curlrtvr Ua•" (?fir,r':
ATTEST:
CRYSTAL K. KINZEL, CLERK BOARD OF COUNTY COMMISSIONERS
OF
I eCOON ,Y,FLORIDA
s}a�' m
By: eto Chairan'13y.
C
141/4
Deputy C r signature only Chairm
Approved as to form and legality:
_
)//1/(14- 0 /2
Derek Perry .61/(7-
Assistant County Attorney
11/23/2021 Page 2 of 2
16A4
EXHIBIT "A"
Performance Security
16A4
2ERFORMANCE BOND
BOND NO. 268018424
KNOW ALL PERSONS BY THESE PRESENTS:that zm
Pulte Home Company,LLC. (Name of Owner)
24311 Walden Center Dr. Ste. 300 (Address of Owner)
Bonita Springs,FL. 34134 ((Address of Owner)
,Hereinafter referred to a"Owner") and
Liberty-Mutual Insurance Company
_-._ ------_.__ _ _ _.., (Name of Surety)
175 Berkeley Street
(Address of Surety)
Boston,MA 02116 (Address of Surety)
(517) 357-9500
(Telephone Number)
;hereinafter referred to as '''Surety")are held and firmly bound unto Collier County, Florida, hereinafter
i"eTerred to as "County"; aggregate oIXHUNDREDFIFTYSIXTHOUSANDSIXTY FOUR AND
y') in the total a re ate sum of 6lino Dollars
($656,064.86 ) 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 of a certain subdivision plat named Del Web Naples Parcel 114 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
16A4
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.
IN WITNESS WHEREOF, the parties hereto have caused this PERFORMANCE BOND to be executed this
9th day of May /_20 / 24
WITNESSES: (Owner Name and Title if Corporation) Pulte Home Company,LLC
By: AFF ATTACHF13
Pri a Name Printed Name/Title Gregory S.Rives Assistant
Nick Sams g ry s stant Treasurer
(Provide Proper Evidence of Authority)
Prinad Name
Cris Rodriguez
ACKNOWLEDGEMENT
STATE OF Georgia
COUNTY OF Fulton
THE FOREGOING PERFORMANCE BOND WAS ACKNOWLEDGED BEFORE ME BY MEANS
OF 1:t PHYSICAL PRESENCE OR C ONLINE NOTARIZATION THIS DAY OF 9th / May /
20 24 , by Gregory .0 RivPS _(NAME OF ACKNOWLEDGER) AS Assistant Treasurer
(TITLE) OF Pulte Home Company, I L C (NAME OF COMPANY) WHO IS PERSONALLY KNOW TO
ME, OR HAS PRODUCED AS IDENTIFICATION.
Notary Public—State of Georgia JESSICA MASK"
r�
. Notary Public-State o C orgia
(SEAL) Cobb County
I My Commission Expires Feb 21, 2026
T. Jessica Mask -� "''` """°'tr"zpa-, ; j ;,,
Printed Name
WITNESSES: (Surety Name and Title if Corporation�berty Mutual Insurance Come pany-
, By. ' ` 41,
.Prin arrie Printed Name/Title
pscar F. Rincon Peter S Forker,Attorney-in-Fact
; (Provide Proper Evidence of Authority) POA Attached
Printed anU. Uamato
1 6 A 4
executed this day of M.Ci , 2024.
Pulte Home Company, LLC
PRINCIPAL
7;7
BY: Gregory $'Rives, Assistant Treasurer
Notary Attached
16A4
ACKNOWLEDGEMENT
Illinois
STATE OF
Cook
COUNTY OF
THE FOREGOING PERFORMANCE BOND WAS ACKNOWLEDGED BEFORE ME BY MEANS
OF E PHYSICAL PRESENCE OR ❑ ONLINE NOTARIZATION THIS DAY OF 9th / May /
20 24 , by Peter S Forker (NAME OF ACKNOWLEDGER)AS Attorney-in-Fact
(TITLE) OF Liberty Mutual Insurance Company (NAME OF COMPANY) WHO IS PERSONALLY KNOW TO
ME,OR HAS PRODUCED AS IDENTIFICATION.
Notary Public—State of Illinois
(SEAL)
Nicholas S. Joslyn NICHOLAS
SEAL
NICHOLAS S JOSLYN
Printed Name NOTARY PUBLIC,STATE OF ILLINOIS
MY COMMISSION EXPIRES 63/03/ate
16A4
This Power of Attorney limits the acts of those named herein,and they have no authority to
bind the Company except in the manner and to the extent herein stated.
4 �- �• Libel
Liberty Mutual Insurance Company
ro Mutual. The Ohio Casualty Insurance Company Certificate No:8205863-972267
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 State of Massachusetts,and West American Insurance Company is a corporation duly organized
under the laws of the State of Indiana(herein collectively called the`Companies"),pursuant to and by authority herein set forth,does hereby name,constitute and appoint, Cole P.
Hillestad;Peter S Porker;Rebecca M.Johlie;Stephanie C.Anderson;W.C.Behnke;William C.Behnke
all of the city of Chicago state of IL each individually if there be more than one named,its true and lawful attorney-in-fact to make,
execute,seal,acknowledge and deliver,for and on its behalf as surety and as its act and deed,any and all undertakings,bonds,recognizances and other surety obligations,in pursuance
of these presents and shall be as binding upon the Companies as if they have been duly signed by the president and attested by the secretary of the Companies in their own proper
persons.
IN WITNESS WHEREOF,this Power of Attorney has been subscribed by an authorized officer or official of the Companies and the corporate seals of the Companies have been affixed
thereto this 29th day of June , 2021 .
Liberty Mutual Insurance Company
P�WSUR� P,•tY llvso ,1NSu The Ohio Casualty Insurance Company
j2oo,"1,,iTo+m �,2oow'°R4.-9 V' 00°R4TF2' West American Insurance Company
ui * 1912y 0 o 19190 .I g 21991� 0
2 o E oa) rdj)9SS4 CHU`'�.da ��&Amps D� �NDIANP' a� d9,7 * 0 -y, * raa S'M * 1-N4 By, 40/7"10)%
(71
cQ David M.Carey,Assistant Secretary a
. co State of PENNSYLVANIA
2 rn County of MONTGOMERY ss co E
om On this 29th day of June , 2021 before me personally appeared David M.Carey,who acknowledged himself to be the Assistant Secretary of Liberty Mutual Insurance 0 ci
L co 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 E
> therein contained by signing on behalf of the corporations by himself as a duly authorized officer. r,a
_73IN WITNESS WHEREOF,I have hereunto subscribed my name and affixed my notarial seal at King of Prussia,Pennsylvania,on the day and year first above written. Q
�'w O
O 4l p, P pSl, Ov0
i r$' ,0,04, "( Commonwealth of Pennsylvania-Notary Seal �_
a O 4t `l'i, p Teresa Pastella,Notary Public ,{-� CD —
F' 6- = Montgomery County U itLefiu E E
1 OF My commission expires March 28,2025
C 03
9. �v Commission number 7126044 By:
N N ��`t-Nt Member,Pennsylvania Association of NotariesCr) efeSa Pastella,Notary Public Q Q
CO CD
:? This Power of Attorney is made and executed pursuant to and by authority of the following By-laws and Authorizations of The Ohio Casualty Insurance Company, Liberty Mutual c9
o.S. Insurance Company,and West American Insurance Company which resolutions are now in full force and effect reading as follows: d M
ai ARTICLE IV—OFFICERS:Section 12.Power of Attorney.
Any officer or other official of the Corporation authorized for that purpose in writing by the Chairman or the President,and subject to such limitation as the Chairman or the--0 o
3.2 ' President mayprescribe,shall appoint such attorneys-in-fact,as be to act in behalf of the Corporation to make,execute,seal,acknowledge and deliver as surety m CO
me PPmay necessary P
CDC 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-c 3
o have full power to bind the Corporation by their signature and execution of any such instruments and to attach thereto the seal of the Corporation.When so executed,such o a)Z coi instruments shall 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 then m
provisions of this article may be revoked at any time by the Board,the Chairman,the President or by the officer or officers granting such power or authority. Q
ARTICLE XIII—Execution of Contracts:Section 5.Surety Bonds and Undertakings.
Any officer of the Company authorized for that purpose in writing by the chairman or the president,and subject to such limitations as the chairman or the president may prescribe,
shall appoint such attorneys-in-fact,as may be necessary to act in behalf of the Company to make,execute,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 and deliver as surety any and all undertakings,bonds,recognizances and other surety
obligations.
Authorization—By unanimous consent of the Company's Board of Directors,the Company consents that facsimile or mechanically reproduced signature of any assistant secretary of the
Company,wherever appearing upon a certified copy of any power of attorney issued by the Company in connection with surety bonds,shall be valid and binding upon the Company with
the same force and effect xc though manually affixed.
I,Renee C.Llewe!ly;t,the ur,dena;gned,Assistant Secretary,The Ohio Casualty Insurance Company,Liberty Mutual Insurance Company,and West American Insurance Company do
her aby'erfiiy that tha a iginal 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
hINEnS teen revoked. ", `r
!N TES:MONY WHEREOF I have hereunto set my hand and affixed the seals of said Companies thisCIA day of 11\cv V P{
QY 1NSUR9 P`q'( :NSU ,,INS Up I
,J ooaPOR'r yo 5J coaPo44r�y vP.000R+r y
J3 Foco Q .t "oC� is Fb
; 1912 � 0
g�a %= 1919p,�o a 1991 3 By:
p.vArd.seall4A----
Yd lk9.*u*aa `00 Al) Ys 'NolAePadL Renee C.Llewellyn,Assistant Secretary
* M *
LMS-12873 LMIC OCIC WAIC Multi Co 02/21
16A4
ACKNOWLEDGMENT BY SURETY
STATE OF Illinois
ss.
County of Cook
On this CON day of I l l QV , 2024 ,before me personally
appeared Peter S. Forker I ,known to,me to be the Attorney-in-Fact of
Liberty Mutual Insurance Company
,the corporation
that executed the within instrument,and acknowledged to me that such corporation executed the same.
IN WITNESS WHEREOF,I have hereunto set my hand and affixed my official seal,at my office in the aforesaid County,the day and
year in this certificate first above written.
OFFICIAL SEAL Notary lic in the e o nois
NICHOLAS S JOSLY"N County of Co
NOTARY PUBLIC,STATE OF ILLINOIS
MY CO1' ti11SSION EXPIRES p3/0...6
S-0230/GE 10/99
XDP
16A4
EXHIBIT " B"
Signing Authority
16A4
Prepared by and return to:
Scott Clements
Area General Counsel
Pulte Home Company, LLC
2301 Lucien Way, Suite 155
Maitland, Florida 32751
AFFIDAVIT
STATE OF FLORIDA
COUNTY OF ORANGE
BEFORE ME, the undersigned officer authorized to administer oaths, on this day personally appeared Scott M.
Clements,who upon being duly sworn,deposes and says:
1. He is over the age of eighteen (18)years and has personal knowledge of the facts stated herein.
2. He is Area General Counsel, Vice President, and Assistant Secretary of Pulte Home Company, LLC, a Michigan
limited liability company (the "LLC"), successor by conversion of Pulte Home Corporation, a Michigan
corporation,which has never been dissolved.
3. The individuals identified below have been duly authorized to execute documents on behalf of the LLC in
accordance with the Signing Power Resolutions adopted by the LLC as of January 1, 2017, currently in effect and
attached hereto in pertinent part as Exhibit "A" (the "Signing Powers Resolution"), and such documents, properly
executed by the individuals identified below,on behalf of the LLC are binding upon the LLC:
Richard McCormick Area President(Southeast)
Brian Yonaley Area Vice President—Finance (Southeast)
Joshua Graeve Division President(Southwest Florida)
Naomi Robertson Vice President—Finance(Southwest Florida)
Daniel Bryce Langen Vice President—Finance and Treasurer
Gregory S. Rives Assistant Secretary and Assistant Treasurer
Michael Woolery Vice President—Land Acquisition (Southwest Florida)
Steven Gust Director—Land Acquisition (Southwest Florida)
Glenn Hasenfus Director—Land Acquisition (Southwest Florida)
Mike Hueniken Vice President—Land Development(Southwest Florida)
Scott Brooks Director—Land Development(Southwest Florida)
Keith Stewart Vice President—Construction Operations(Southwest Florida)
Danielle Brooke Calamela Vice President—Sales(Southwest Florida); and Assistant
Secretary (Southwest Florida, Southeast Florida,West Florida,
Central Florida, Northeast Florida)
Wes Copeland Vice President—Purchasing (Southwest Florida)
Nate Friesen Director of Product(Southeast Area)
Scott Clements Vice President and Assistant Secretary
Michael Blake Lapinsky Assistant Secretary (Southwest Florida, Southeast Florida,West
Florida,Central Florida, Northeast Florida)
Craig Russo Assistant Secretary(Southwest Florida, Southeast Florida,West
Florida, Central Florida, Northeast Florida)
Torrey Michael Spilman Assistant Secretary(Southwest Florida, Southeast Florida,West
Florida, Central Florida, Northeast Florida)
Mark Edward Hofferberth Assistant Secretary((Southwest Florida, Southeast Florida,West
Florida, Central Florida, Northeast Florida)
Additionally and specifically, Naomi Robertson, as Vice President — Finance; Shirley Jerezano, Dolly
Majumdar, and Dan Wenstrom, in their respective capacities as General Sales Manager; Ella Huertas (fka Ella
Fleming), as Division Controller; and Laura Ray, Joann Frazier, Angela Glanc, Kim D'Amato, Brandee
Sherwill, Ashley Swiderski, Bernadette Glasgow, and Cindi Diekelmann, in their respective capacities as
ClosinglHomebuyer Coordinators, have been duly authorized to execute (i) contracts for the sale of residential
homes or lots to consumers (not to another business), and (ii) deeds of conveyance and all other documents that
are relevant or incident to the sale and closing of residential homes or lots to consumers (not to another business),
including any mortgage-related documents, such as buydown agreements or other relevant documents, on behalf
of the LLC, and such documents, properly executed by such individuals on behalf of the LLC, are binding upon the
LLC.
F.1Groups1SERLegallCostanlinolForms1AuthoritylSWF PHC 011223(full)doc
16A4
Further, Daniel Bryce Langen, as Vice President-Finance and Treasurer, and Gregory S. Rives, as Assistant
Secretary and Assistant Treasurer, have been and are duly authorized to execute bonds and any other bond-
related documents on behalf of the LLC, and such documents, properly executed on behalf of the LLC are binding
upon the LLC.
4. The Signing Powers Resolution, Paragraph C., RESOLUTIONS, I-V, VII, and VIII, identifies certain titles in the
Division Specific Signing Power sections, which titles are clarified and shall correspond as set forth below:
A. Omission of the words "Southeast," "Florida," "Gulf Coast," "Central Florida," "North Florida,"
"Northeast Florida," "Southeast Florida," "Southwest Florida" or "West Florida" after an officer's
name does not constitute improper, incomplete or incorrect execution and does not affect or limit
the authority of the otherwise duly authorized officer in any way;
B. Division VP/Director of Finance shall mean either a Division-level (i.e., Southwest Florida-level)
Vice President-Finance or a Director of Finance;
C. Division VP/Director of Land Development/Acquisition shall mean either a Division-level (i.e., a
Southwest Florida-level) Vice President- Land Development or Vice President-Land Acquisition;
or either a Director of Land Development or a Director of Land Acquisition;
D. Division VP/Director of Construction Operations shall also mean either a Division-level (i.e.,
Southwest Florida-level) Vice President - Construction Operations or a Director of Construction
Operations;
E. Division VP/Director of Procurement or Purchasing shall also mean either a Division-level (i.e.,
West Florida-level) Vice President - Procurement or Purchasing or Director/Manager -
Procurement or Purchasing or Procurement or Purchasing Manager;
F. Division/Project Controller shall also mean either Division Controller or Project Controller;
G. Division VP of Sales shall also mean Vice President-Sales.
5. The LLC is not now and has never been a debtor in a bankruptcy proceeding during the existence of the LLC.
6. This Affidavit is given for the purposes of evidencing incumbency and authority of the employees named above and
pursuant to the provisions of Section 689.045, Florida Statutes.
. 4` .2"e- s 'S-----
Scott M. Clements
,�-w.
Sworn to and subscribed before me by means of �` physical presence or_online notarization this' `day
of c�C- �023, by Scott M. Clements, Area General Counsel, Vice President, and Assistant Secretary of
Pulte' ome Company}LLC, a Michigan limited liability company,on behalf of the LLC,who is personally known to me.
- V ' C/ /444--4,
...,,. Pr nt Na e: Kelly V.Costantino
,,';YF a KELLYV.C05TANTINO Notary kW' ,State of Florida
-` Commission#GG 929396 Commission No.: GG929396
";;-'%• P' Expires January 23,2024 Commission Expires: 01/23/2024
^•P^°,`.°' Bonded Thru Troy Fain Insurance 800-385.7019
F\Groups1SERLegal\Costantino1Forms1Authority\SWF PHC 011223(full)doc
16A4
EXHIBIT A
SIGNING POWER RESOLUTIONS
F:lGroupslSERLegallCostantino\Forms1Authority\SWF PHC 011223{full).doc
16A4
CERTIFIED RESOLUTIONS
OF THE BOARD OF DIRECTORS OF
PULTE HOME COMPANY,LLC
I, Scott M. Clements,herby certify that I am a duly elected and acting Assistant Secretary
of PULTE HOME COMPANY, LLC, a limited liability company authorized and existing under
the laws of the State of Michigan; that attached is a true copy of the resolutions adopted by the
Board of Directors of the limited liability company to be effective January 1, 2017;and that such
resolutions have not been rescinded or modified, and do not contravene any provisions of the
Articles of Organization or Operating Agreement of said limited liability company_
IN WITNESS WHEREOF, I have here unto set my hand this 3rd day ofJanuary,2017.
e� :.
Scott M. Clements, Assistant Secretary
STATE OF FLORIDA )
)
COUNTY OF ORANGE )
On January 3, 2017, before me, Kelly V. Costantino, a Notary Public in and for said State,
personally appeared Scott M. Clements, personally known to me to be the person whose name is
subscribed to the within instrument and acknowledged to me that he executed the same in his
authorized capacity, and that by his signature on the instrument the entity upon behalf of which
the person acted, executed the instrument.
WITNESS my hand and official seal.
/ 11` 0-4>tok.- 6.--tr--
Kelly ostantino,Notary Public
Orang. •.unty, Florida
My Commission Expires: 01/23/2020
'; KELLY V.COSTM TIa3C
A emission A FF 942099
; = Expires January 23,2020
w8.7' Soria TiiY1M}rli.ram.suaismi
a
16A4
EXHIBIT A
PULTE HOME COMPANY,LLC SIGNING
POWER RESOLUTIONS
A. DEFINITIONS.
As used in these resolutions:
"signing Dower" means the power and authority to execute and deliver an agreement, instrument
or other document.
"General Signing Power" means signing power relating to the ordinary course of business of
PULTE HOME COMPANY, LLC(the"Company")generally,without restriction to a particular Division
or project, both in the Company's own capacity and in any instances where it is the managing partner or
managing member of joint venture (the"Partnership").
"Division Snecifi ianing�Power" means signing power relating only to the ordinary course of
business of a Division over which the officer, manager, or employee in question has management
responsibility, both in the Company's own capacity and as managing partner or managing member of the
Partnership.
B. PURPOSE.
The purpose of these resolutions is to establish the signing power of certain employees of the
Company, both in the Company's own capacity and as managing partner or managing member of the
Partnership. Copies of these resolutions may be delivered to title companies and other parties who require
evidence of the signing power of an employee. No employee of the Company may subdelegate his or her
signing power except as expressly provided in these resolutions by use of the words: "Other title(s)or
person(s) designated in writing by . . .".
C. RESOLUTIONS.
RESOLVED, that the following officers, managers,or employees of the Company shall have the
General Signing Power or the Division Specific Signing Power,as indicated in the charts below:
16A4
EXHIBIT A
Development of Rent Property
I.General Development Applications,tentative and final subdivision plats and maps,development
agreements, land development agreements, amenity contractor agreements and all other
documents that are relevant or incident to the development of real property in which the
Company or the Partnership has any interest, other than documents contemplated in part
VI below:
General Signing Power Division Specific Signing
Power
Chairman of the Board :Area President
Chief Executive Officer ` Area VP Finance
President Area VP Land
Executive Vice President Division President
Senior Vice President Division VP/Director Finance
Vice President Division VP/Director of Land
Development/Acquisition
House Construction Agreements. Contractor agreements, construction agreements,
contracts, purchase orders, pricing schedules,scopes of work and all other documents that
are relevant or incident to the construction of residential homes and amenities thereto in
which the Company or the Partnership has any interest,other than documents contemplated
in the paragraph immediately above this one:
General Signing Power Division Specific Signing
Power
Chairman of the Board Area President
Chief Executive Officer Area VP Finance
President Area VP Construction Operations 1
Executive Vice President Area Purchasing Director
Senior Vice President -- Division President
HVice President : Division VP/Director Finance
e eee- n• Division VP/Director of
- � Construction Operations
p„'ei e, 'tle -.r, ' Division Purchasing
` e Lee t Di
eee ee ^" rector/Manager
Storm Water Management
II. Notices of intent, notices of termination, storm water pollution prevention plans, reports,
certifications or other documentation that is relevant or incident to storm water
Page 2 of 7
1 6 A, 4,.
EXHIBIT A
management and erosion control in the development of real property and/or construction
of homes in which the Company or the Parmershthas any interest.
General Signing Power Division Speck Signing
Power
Chairman of the Board Area President
Chief Executive Officer Area VP Finance —
President Area VP Land Executive Vice President Division President
Senior Vice President Division VP/Director Finance __
1.
Vice President Division VP/Director of Land
Development/Acquisition
i Division Storm Water Compliance
4 Representative
Sale and Closing of Residential Homes or Lots
III. Contracts for the sale of residential homes or lots to consumers(not to another business).
General Signing Power
Division Specific Signing
Power
Chairman of the Board I Area President
Chief Executive Officer j
Area VP Finance
President I Division President
Executive Vice President I Division VP/Director Finance
Senior Vice President Division Controller - -~
Vice President Division VP of Sales
General Sales Manager
4 ' .� Closing/Homebuyer Coordinator
� Any of the following employees of
• either Puke Mortgage LLC: Vice
President, Branch Manager and
Assistant Secretary
opy
Any of the following employees of
either Sun City Title Agency,Inc. or
r' POP Title, Inc.or PGP Title of
Florida, Inc.: Vice President,
Escrow Manager,Escrow
ii.- Supervisor, Director-Closing
Services,and Title Officer
Page 3 of 7
16A4
EXHIBIT A
w -. Other title(s)or person(s)designated
Y ,, r `t ; '44 in writing by either the Area
,' President or Area VP Finance
IV. Deeds of conveyance and all other documents that are relevant or incident to the sale and
closing of residential homes or lots to consur ea(not to another business), including any
mort -related documents, such as buydown agreements or other relevant documents.
General Signing Power Division Specific Signing
Power
Chairman of the Board Area President
Chief Executive Officer Area VP Finance
President Division President
Executive Vice President Division VP/Director Finance
Senior Vice President Division Controller
Vice President Division VP of Sales
_: General Sales Manager
e '-� Ciosing/liomebuyerCoordimtor
Any of the following employees of
either Pulte Mortgage LLC: Vice
�.z y ' `:ti , '''' President and Branch Manager
f ; Any of the following employees of
either Sun City Title Agency, Inc.
or POP Title, Inc,or PGP Title of
Florida, Inc.: Vice President,
n y ,; Escrow Manager,Escrow
`' Supervisor, Director-Closing
;;%a " - > ;fit`' Services,and Title Officer
�'> } ` „- 1 Other title(s) or person(s)
x' - e > 3 designated in writing by either the
_ ( Area President or Area VP Finance
Closinef of the Purchase and Sale of Real Pronerty
V. Contracts, deeds and all other closing documents for the purchase or sale of real property(other
than the sale and closing of residential homes or lots to consumers).
General Signing Power Division Specific Signing
Power
Chairman of the Board Area President
Chief Executive Officer Area VP Finance
President Area VP Land
Page 4 of 7
16A4
EXHIBIT A
Executive Vice President 112 Division President
Senior Vice President Division VP/Director of Finance
and General Counsel
Other title(s)or person(s) Division VP of Land
designated in writing by Development/Acquisition
resolution(s)of the
Board of Directors
Real Property Financing and Land Banking Transactions
VI. Documents related to any of the following real property financings and land banking
transactions:
a. Traditional Financing. Loan agreements,security agreements, promissory notes,deeds of
trust and all other documents that are relevant or incident to the financing of the purchase
and/or development of real property.
b. Special Taxing District Financing. Loan agreements, security agreements, promissory
notes,deeds of trust and all other documents under which the Company or the Partnership
is a party that are relevant or incident to a Special Taxing District Financing (defined
below),other than documents contemplated in Guarantees and Environmental Indemnities.
"Special Taxing District Financing"means a financing through the issuance of bonds by a
community development district, community facilities district, municipal utility district,
county or municipal improvement district, tax incremental district or other similar special
purpose unit of local government.
c. Guarantees and Environmental Indemnities. Guarantees of payment or performance of the
obligations of another entity (whether in the form of a payment guaranty, indemnity or
other document), maintenance or remargining guarantees and environmental indemnities
in connection with development financing.
d. Land Banking Transactions. Assignments of contracts to purchase real property,options
to purchase real property, development agreements and other documents evidencing
arrangements with an intermediary, such as a land banker, to purchase or develop real
property.
General Signing Power Division Specific Signing
Power
Chief Financial Officer of w '
the publicly traded ultimate t., aan aca
d� �
parent ` '. '
3da"y.z _ 4 rtr 3
Treasurer of the publicly E ts:
traded ultimate parent F`go 'yx
Page 5 of 7
16A4
EXHIBIT A
Licenses
VII. Documents necessary to obtain licenses and department of real estate public reports or similar
documents in California and other states(such as,without limitation,Arizona and Nevada).
Genera!Signing PowerDivision Specific Signing
Power
Chairman ofthe Board Area President
Chief Executive Officer E Area VP Finance
President Area VP Land
Executive Vice President` Division President
Senior Vice President Division VP/Director of Finance
Vice President Division VP/Director Sales
. e Division VP of Construction
;1 )2,7e
t Operations
F M b'
Area VP/Division VP/Director Land
Acquisition/Development
CC&Rs
VIII. Restrictive covenants, conditions, restrictions, easements and other similar rights or
restrictions,commonly known as CC&Rs,affecting real property or improvements on real
property,and documents relating to CC&Rs,such as the organizational documents for the
related homeowners' or property owners' association,
General Signing Power
Division Specific Signing
Power
Chairman of the Board Area President
Chief Executive Officer Area VP Finance
President Area VP Land
Executive Vice President Division President
Senior Vice President Division VP/Director Finance
Vice President Division VP/Director Land
Acquisition/Development
RESOLVED FURTHER, that all lawful acts specifically described in the immediately preceding
resolution, undertaken prior to the adoption of these resolutions, in the Company's own capacity or as
managing partner or managing member of the Partnership, are hereby ratified, confirmed and adopted by
the Company.
Page 6 of 7
16A4
EXHIBIT .A
RESOLVED FURTHER, that any Signing Power Resolutions or Powers of Attorney and Grants
of Agency previously issued or adopted by the Company are hereby terminated,revoked and superseded in
their entirety by these resolutions.
Effective as of January I,2U17.
* fie $ a v
Page 7 of 7
16A4
EXHIBIT "C"
Opinion of Probable Cost
16A4
Del Webb - Parcel 114
PPL-09/12/2023
Rev00
Engineers Opinion of Probable Cost
Paving $280,252.29
Drainage $196,250.00
Earthwork $12,520.31
Lighting $26,400.00
Landscape $81,000.00
Sub-Total $596,422.60
10%O&M (for bonding) $59,642.26
Total! $656,064.86
Notes:
1)This Opinion of Probable Cost(OPC)shall be used for permitting&bonding purposes only.
2)This OPC is based on the engineer's understanding of the current rules,regulations,ordinances,and construction costs in effect on the date of
this document.Interpretations of these construction costs may affect this OPC,and may require adjustments to delete,decrease,or increase
portions of this OPC.
3)All costs provided in this OPC are based on recent contract prices,or the engineer's latest known unit costs.These costs are subject to change
due to unpredictable and uncontrollable increases in the cost of concrete,petroleum,or the availability of materials and labor.
4)Does not include permit fees or soft costs.
5)Does not include enhanced landscape or hardscape features
```��lllll'lUg1a'�o
%• s J. r,•o
E�{olaus J. en, Pi.*
FL Registr on#88638 i * ` �`
COA#8636 1'• STATE OF
Y�a ®� O •
Date � '.. NAL* o
��%`
B:\Projects\133-080(Del Webb)Naples at Ave Maria Parcel 114\Project Management\OPC\Collier County\Rev00\Del Webb 114 OPC PPL REV00(2023-09-12).xlsx
16A4
Estimated
Item Description Unit Unit Price Amount
Quantity
VICTORY DRIVE
P-1 3/4"Asphaltic Concrete(Type S-III) First Lift 5,501 SY $5.50 $30,253.73
P-2 3/4"Asphaltic Concrete(Type S-III)Second Lift 5,501 SY $5.50 $30,253.73
P-3 6" Limerock Base 5,501 SY $9.50 $52,256.44
P-4 12"Stabilized Subgrade 7,124 SY $2.50 $17,810.00
P-5 Valley Gutter 4,080 LF $10.00 $40,800.00
P-6 Type"F"Curb 580 LF $13.00 $7,540.00
P-7 Type"A"Curb 205 LF $12.00 $2,456.40
P-8 5'Concrete Sidewalk 2,435 SY $34.00 $82,790.00
P-9 8'Concrete Sidewalk 230 SY $40.00 $9,192.00
P-10 Signing and Marking 1 LS $6,000.00 $6,000.00
P-11 Handicap Ramps(Complete w/Detectable Warnings) 2 EA $450.00 $900.00
TOTAL= $280,252.29
16A4
DRAINAGE
Estimated
Item Description Unit Unit Price Amount
Quantity
VICTORY DRIVE
D-1 12"HDPE 1,515 LF $18.00 $27,270.00
D-2 15"HDPE 135 LF $28.00 $3,780.00
D-3 18"RCP 479 LF $40.00 $19,160.00
D-4 24"RCP 221 LF $55.00 $12,155.00
D-5 30"RCP 918 LF $70.00 $64,260.00
D-6 24"Flared End 1 EA $2,275.00 $2,275.00
D-7 30"Flared End 4 EA $2,750.00 $11,000.00
D-8 Valley Gutter Inlet 6 EA $4,000.00 $24,000.00
D-9 Junction Box 2 EA $3,850.00 $7,700.00
D-10 Yard Drains 13 EA
$1,050.00 $13,650.00
D-11 Grate Inlet 4 EA $2,750.00 $11,000.00
TOTAL= $196,250.00
16A4
EARTHWORK
Item Description Estimated Unit Unit Price Amount
Quantity
VICTORY DRIVE
E-1 2'Silt Fence(Single Row) 4,950 LF $1.50 $7,425.00
E-2 Sod(1'off BOC) 541 SY $2.50 $1,351.31
E-3 Floating Turbidity Barrier 312 LF $12.00 $3,744.00
TOTAL= $12,520.31
16A4
Estimated
Item Description Unit Unit Price Amount
Quantity
L-1 Lighting 8 EA $3,300.00 $26,400.00
TOTAL= $26,400.00
16A4
Landscaping
Item Description Estimated Unit Unit Price Amount
Quantity
LS-1 Code Minimum Landscaping 54 EA $1,500.00 $81,000.00
TOTAL= $81,000.00
;opy version 1 6 A 4
Original copy of the bond has been submitted to the Ave Maria Utility Company (AMUC)
Bond No.268018425
UTILITY PERFORMANCE BOND
KNOW ALL PERSONS BY THESE PRESENTS: that Pulte Home Company, LLC,
whose address is 24311 Walden Center Drive, Suite 300, Bonita Springs FL, 34134,
(hereinafter referred to as "Owner", and [Liberty Mutual Insurance Company], whose
address is 175 Berkeley Street,Boston,MA 02116 (hereinafter referred to as
"Surety"), are held and firmly bound unto Ave Maria Utility Company, LLLP (hereinafter
called "Utility"), in the total aggregate sum of THREE HUNDRED THIRTY FIVE
THOUSAND FIFTY ONE AND 31/100 Dollars ($335,051.31] 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 in the
context of singular or plural, as required.
THE CONDITION OF THIS OBLIGATION is such that, whereas, the Owner entered into
a certain Developer Agreement (hereinafter called "Agreement"), dated the day of
20 , a copy of which is hereto attached and made a part hereof;
and
WHEREAS the Utility has a material interest in the performance of the Agreement; and
WHEREAS the Utility has adopted Technical Standards and Specifications concerning
the Owner's obligations to the Utility regarding the construction, conveyance and
warranty of potable water, non-potable irrigation water and/or wastewater system(s), or
portion(s)thereof, constructed within an unincorporated area of Collier County, a copy of
which is hereto attached and made a part hereof,
NOW, THEREFORE, if the Owner shall well, truly and faithfully perform its obligations
and duties to the Utility under the Ave Maria Utility Company, LLLP Technical Standards,
Specifications, and Details and all the undertakings, covenants, terms, conditions, and
agreements of the Agreement during the original term thereof, and any extensions
thereof that may be granted by the Owner with or without notice to the Surety and during
the guaranty and warranty period established by the Utility and thereafter, and if the
Owner shall satisfy all claims and demands incurred under such Agreement, and shall
fully indemnify and save harmless the Utility from all costs and damages that it may
suffer by reason of failure to do so, and shall reimburse and repay the Utility all outlay
and expense that the Utility 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 Surety, for value received hereby, stipulates and
agrees that no change, extension of time, alteration or addition to the terms of the
Agreement or to work to be performed thereunder, or the specifications accompanying
same shall In any way affect its obligation on this bond, and does hereby waive notice of
any such change, extension of time, alteration or addition to the terms of the Agreement
or to the work or to the specifications.
Page i or 3
16A4
PROVIDED, FURTHER, that it is expressly agreed that the bond shall be deemed
amended automatically and immediately, without formal and separate amendments
hereto, upon amendment to the Agreement not increasing the price more than twenty
percent (20%), so as to bind the Owner and the Surety to the full and faithful
performance of the Agreement as so amended. The Term "Amendment," whenever
used in this bond, and whether referring to this bond, the Agreement or other
documents, shall include any alteration, addition or modification of any character
whatsoever.
IN WITNESS WHEREOF, the parties have caused this document to be executed this
9th day of May , 20 24
OWNER: Puke Home Company,LLC
By: 7iE ATTACHED
Print Name: Gregory S.Rivc
Title: Assistant Treasurer
Signed, sealed and delivered in the presence of us:
WITNESS: WITNES :
�/ram
Print name: Nick Sarris Prii3t'name: Cris Rodriguez
STATE OF GEORGIA
COUNTY OF Cobb
The foregoing instrument was sworn to and acknowledged before me this day of
May , 20_24 , by Gregory S.Rives , on behalf of
Pulte Home Company,LLC , who (STRIKE ONE} is personally known to
me or produced as identification.
(SEAL)
NOTARY PUBLIC
Ir.r.�.
My Commission Expires: 2/21/2026 T - A MASK
Notary Pubbliclic-State of Georgia
Cobb County
My Commission Expires Feb 21, 2026
la+:�<:»-.avee*.:a►ss Y ss:.vr s+wr0%,
Page 2 of 3
16A4
executed this
—__ day of rn
, 2024.
Pulte Home Company, LLC
PRINCIPAL
,1
t
B : Gre o
9 r/ 1Rives Assistant Treasurer
Notary Attached
16A4
JRETY: Liberty Mv#ual Insurance Company
Print Blaine: Peter Fork r
:toe. Attorney-in-Fact
Signed, sealed and delivered in the presence of us:
WITNESS: WITNESS
Print nameAscar F.Rincon -
Print name: Gina D.Damato
STATE OFNICOM0xx Illinois
COUNTY OF Cook
Theforegoing instrument was sworn to and acknowledged before me this 9th day of
20 24 , by Peter S Forker
Li rty Mutu surance Company , who [STRIKE ONE] is personally known tof
o
me or produced as identification.
N TARY PUBLIC. (SEAL) OFFICIAL SEAL
NICHIOSSSLY1N
NOTARY PUBLIC,STATE OF ILLIINIOIS
My Commission Expires: %3/ `,� MY COMMISSION EXPIRES 03/03/27
Page 3o13
16A4
This Power of Attorney limits the acts of those named herein,and they have no authority to
rabind the Company except in the manner and to the extent herein stated.
rty
/►� Mutual.be
Liberty Mutual Insurance Company
} u The Ohio Casualty Insurance Company Certificate No:8205863-972267
�����, West American Insurance Company
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 State of Massachusetts,and West American Insurance Company is a corporation duly organized
under the laws of the State of Indiana(herein collectively called the"Companies"),pursuant to and by authority herein set forth,does hereby name,constitute and appoint Cole P.
Hillestad;Peter S Forker;Rebecca M.Johlie;Stephanie C.Anderson;W.C.Behnke;William C.Behnke ---
ail of the city of Chicaeo state of
IL each there be more
execute,seal,acknowledge and deliver,for and on its behalf as surety and as its act and deed,any and alllunrdertaki gs bonds,recognizances eccogn z ncesn one named,land other suts true and retytobl obligations,in pu
rsuance
suan e
of these presents and shall be as binding upon the Companies as if they have been duly signed by the president and attested by the secretary of the Companies in their own proper
persons.
IN WITNESS WHEREOF,this Power of Attorney has been subscribed by an authorized officer or official of The Companies and the corporate seals of the Companies have been affixed
thereto this 29th day of June , 2021 ,
1NSUpp�- SV rNs Liberty Mutual Insurance Company
��?o%Ns4.,,,yo �JQ-o r oils& I. Pa o URq The Ohio Casualty Insurance Company
1912od T �TA � a t 0 1i 4,0 West American Insurance Company
Ui
_ 1919
ya � o s 1991 0
d y�Sactlus`�a� yo yes �.�y�
_ d0/' * *mod �%y,q�1a�`iaa ''�+,vN°rAUP �a` df-/f1177:,..,:r7;
7 O* * h� BYr _ t�
2 co State of PENNSYLVANIA David M.Carey,Assistant Secretary ""— a750
2 County of MON T GOMERY ss c
Li-- D On this 29th day of June , 2021 before me personally appeared David M.Carey,who acknowledged himself to be the Assistant Secretary of Liberty Mutual Insurance•U 0
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 L
therein contained by signing on behalf of the corporations by himself as a duly authorized officer
IN WITNESS WHEREOF,I have hereunto subscribed my name and affixed my notarial seal at King of Prussia,Pennsylvania,on the day and year first above written. oc
o asp PAsr
to
0 �.,�, oNW'--,t'` Commonwealth of Pennsylvania-Notary Seal
Qd
:��,o� =,}y', Teresa Pestella,Notary Public �_
j OF Montgomery County
/' ./L��� •�
.pA� t My commission expires March 28,2025 /1'1„' �^ta st) C
L_ 1 ` ^� dri Commission number 1126044
gip'�G member,Pennsylvanla.4ssoNalion of Notaries Teresa Pastella,Notary Public
•nL qAY r' -' o
This Power of Attorney is made and executed pursuant to and by authority of the following By-laws and Authorizations of The Ohio Casualty Insurance Company, Liberty Mutual a N
i•E Insurance Company,and West American Insurance Company which resolutions are now in full force and effect reading as follows:
ARTICLE IV-OFFICERS:Section 12.Power of Attorney. M
Any officer or other official of the Corporation authorized for that purpose in writing by the Chairman or the President and subject to such limitation as the Chairman or the co
co
1= President may prescribe,shall appoint such attomeys-in-fact,as may be necessary to act in behalf of the Corporation to make,execute,seal,acknowledge and deliver as surety m_
P.-2 any and all undertakings,bonds,recognizances and other surety obligations.Such attomeys-in-fact,subject to the limitations set forth in their respective powers of attorney,shall-0 8
• have full power to bind the Corporation by their signature and execution of any such instruments and to attach Thereto the seal of the Corporation.When so executed,such o co
U
instruments shall be as binding as if signed by the President and attested to by the Secretary.Any provisions of this article may be revoked at any time by the Board,the Chairman,the President or by The officer or officers granting such power ortauthorative ity.attorney-in-fact under the o
ARTICLE XIII-Execution of Contracts:Section 5.Surety Bonds and Undertakings. a
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,
shall appoint such attorneys-in-fact as may be necessary to act 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 and deliver as surety any and all undertakings,bonds,recognizances and other surety
obligations.
Authorization-By unanimous consent of the Company's Board of Directors,the Company consents that facsimile or mechanically reproduced signature of any assistant secretary of the
Company,wherever appearing upon a certified copy of any power of attorney issued by the Company in connection with surety bonds,shall be valid and binding upon the Company with
the same force and effect as though manually affixed.
I,Renee C.Llewellyn,the undersigned,Assistant Secretary,The Ohio Casualty Insurance Company,Liberty Mutual-Insuraece 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 Powerref Altorney,exectked by said Companies,is in full force and effect and
has not been revoked.
IN TESTIMONY WHEREOF,I have hereunto set my hand and affixed the seals of said Companies this day of . •'
1N3U�_ SY INS,p •: .
�a�oa°c�1).lEt S TA CQco 2GOV°1t�t9i. Pao ory oy r •
1919� i, E •
r 1912c�' , o 1991 1, r cy�
Y-3933QcHlis`d8 yox Nneres����o r �p �$G By:
EPA) * 0 04,4 * yid sue+ °i"��da Renee C.Liewellyn,.Assistant Secretary
LMS-12873 LMIC OCIC WAIC Multi Co 02/21
16A4
ACKNOWLEDGMENT BY SURETY
STATE OF Illinois
County of Cook ss.
On this day of
appeared Peter S. Forker ss 2024_,before me personally
known to,me to be the Attorney-in-Fact of
Liberty Mutual Insurance Company
that executed the within instrument,and acknowledged to me that such corporation executed the same. the corporation
IN WITNESS WHEREOF,I have hereunto set my hand and affixed my official seal,at my office in the aforesaid County,the day and
year in this certificate first above written.
OFFICIAL SEAL
NICHOLAS S..JOSIYN
NOTARY PUBLIC,STATE OF ILLINOIS
MY COMMISSION EXPIRES 03/03/27
Notary Pudic in the a of Is
County of Cools-"
1230/GE 10/99
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