HomeMy WebLinkAboutPirc Tobin Construction, inc.1
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CONSTRUCTION INC
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PO Box 160 Alburnett, IA 52202
BID DOCUMENTS: Sealed Bid for Complete Construction
FY 2020 Lot 2, Brock 3rd Addition Sanitary Sewer
Waterloo, Iowa
BID OPENING: 1:00 PM - 01/13/2020
BID ENCLOSED
IF*J1IFIti=
CONSTRUCTION INC
TO JN
PO Box 160 Alburnett, IA 52202
BID DOCUMENTS: Sealed Bid for Complete Construction
FY 2020 Lot 2, Brock 3rd Addition Sanitary Sewer
Waterloo, Iowa
BID OPENING: 1:00 PM - 01/13/2020
BID SECURITY ENCLOSED
FOUL Otii
OR PP POSIV
6 Nu u 2020 LOT 2, : ROCK 3RD ADDITI N SANITARY SEWER Fin
CONTRACT NO. 986
CITY • F WATERLOO, IOWA
Honorable Mayor and City Council
Waterloo, Iowa
Gentlemen:
;NSION
1.The undersigned, being a Corporation existing under the laws of the State of
=ow^.
a Partnership consisting of the following partners:
having
familiarized (himself) (themselves) (itself) with the existing conditions on the project area
affecting the cost of the work, and with all the contract documents listed in the Table of
Contents and Addenda (if any), as prepared by Wayne Claassen Engineering &
Surveying, Inc. now on file in the office of the City Clerk, City Hall, Waterloo, Iowa, hereby
proposes to furnish all supervision, technical personnel, labor, materials, machinery,
tools, appurtenances, equipment, and services, including utility and transportation
services required to construct and complete this F.Y. 2020 LOT 2, BROCK 3RD
ADDITION SANITARY SEWER EXTENSION, Contract No. 986, City of Waterloo,
Iowa, all in accordance with the above listed documents and for the unit prices for work
in place for the following items and quantities:
2020 LET
2, BROCK
3R0
AODTON
SANITARY
SEW;
:
.Y.
HXT[NSON
CONTRACT
Nt
986
BID
DESCRIPTION
UNIT
EST.
QTY.
UNIT
BID
TOTAL
BID
PRICE
ITEM
BASE
BID
PRICE
001
MOBILIZATION
L.S.
1
$aa/ LSD•
D4
964
oo
$ dai
�
LT$
002
CLEARING
AND
GRUBBING
31B00
3, SCO.
L.S.
1
$
,
co
�
003
SEED
AND
FERTILIZE
(IDOT
RURAL
MIX)
ACRES
ii
0.83
$ 603.
I/ 30
$
w
c-
.�
,
004
MULCH
(IDOT
RURAL
MIX)
ACRES
21000.
1/%`l3
0.83
$
$
•
a
s
op
�
30u
005
SILT
FENCE
—
(FOR
EROSION
CONTROL)
L.F.
580
•
$
I
$ /
7
s
U�
'
3S
006
REMOVAL
OF
SILT
FENCE
y
L.F.
580
$
(3
$
00
GU
-
007
TRAFFIC
/,350
CONTROL
L.S.
1
$
.
$ ),350
uo
W
008
MAINTENANCE
BO�lD,
I
tbg)
2-YEAR
�.5.
1
� ,C�U
$
FORM OF BID
CONTRACT NO. 986
Page 1 of 4
ca
-760
009
SWPPP
COMPLIANCE
$ 700
$
L.S.
1
W
00
101
SANITARY
$
$
SEWER
MANHOLE,
STANDARD
48"
DIA.
S,SW
EACH
2
II,ACO
DEWATERING
OF
ALL
TRENCHES
AND
GO
U,
03
102
EXCAVATIONS
3
000
L.S.
1
30,ccc)
TAP
EXISTING
SANITARY
SEWER
MANHOLE
WITH
GO_
103
WATERTIGHT
$
$
CONNECTION
EACH
1
/)7C1C3
)/700.rs
SANITARY
SEWER.
8-INCH
DIA.
PVC
COMPOSITE
a)
OS
396.°)
104
TRUSS
PIPE
L.F.
458
�a
_
SANITARY
SEWER..
8-INCH
DIA.,
DR18
C900
PVC
OD
$
105
WATER
MAIN
PIPE
L.F.,.
79
��
5C88.�
106
SANITARY
$
$
SEWER
CROSSING
OF
MARTIN
ROAD
L.S.
I2,9SO,OO
Ioi,
co
1
Kos
$
CM
� /��
107
16"
DIA.
WATER
MAIN
LOWERINGL.S.
b/wV.�
1
I
TOTAL BID
$ /9 il 341S. o0
2. It is understood that the quantities set forth are approximate only and subject to
variation and that the unit bid price for the work done shall govern in the actual
payment to Contractor.
3. In submitting this bid, the bidder understands that the right is reserved by the City
of Waterloo, Iowa, to reject any or all bids. If written notice of the acceptance of
this bid is mailed, telegraphed, or delivered to the undersigned within thirty (30)
days after the opening thereof, or at any time thereafter before this bid is
withdrawn, the undersigned agrees to execute and deliver an agreement in the
prescribed form and furnish the required bond and certificate of the insurance
within ten (10) days after the agreement is presented to him for signature, and
start work within ten (10) days after "Notice to Proceed" is issued.
4. Security in the sum of S'/o Err 7i-( Dollars ($
in the form of ?3eis submitted herewith in
accordance with the INSTRUCTIONS TO BIDDERS.
5. Attached hereto is a NonCollusion Affidavit of Prime Contractor.
FORM OF BID
CONTRACT NO. 986 Page 2 of 4
6. Attached hereto is a Bidder Status Form.
7. The bidder is prepared to submit a financial and experience statement upon
request.
8. The Prime Contractor and Subcontractor(s), which have performed an aggregate
of $10,000.00 in work for the City in the current calendar year, are prepared to
submit an AAP or Update and an I OC, within ten (10) days of notification that the
bid submitted is lowest and acceptable.
9. The bidder has received the following Addendum or Addenda:
Addendum No.
Date Z-91 'to
10. The bidder shall list the MBE/WBE subcontractor(s), amount of subcontracts and
bid items on the City of Waterloo Minority and/or Women Business Pre -bid
Contact Information Form submitted with this Form of Bid or Proposal. The
apparent low Bidder shall submit a list of all other Subcontractor(s) to be used on
this Project to the City of Waterloo by 5:00 p.m. the business day following the day
Bids on this Project are due along with the Non -Collusion Affidavits of All
Subcontractor(s).
The Contractor shall submit information on subcontractors on
"SUBCONTRACTOR REQUEST AND APPROVAL" Form to be provided by City
prior to approval of contract.
The subcontractors listed on this proposal and/or submitted to the Contract
Compliance Officer cannot be changed except for the following reasons:
1) The City of Waterloo does not approve the subcontractors.
2) The subcontractors submit in writing that they cannot fulfill their
subcontracts.
11. The bidder has filled in all blanks on this proposal. Those blanks not applicable
are marked "none" or "NA".
12. The bidder has attached all applicable forms.
13. The Owner reserves the right to select alternates, delete line items, and/or to
reduce quantities prior to the award of a contract due to budgetary limitations.
FORM OF BID
CONTRACT NO. 986 Page 3 of 4
%rer UL ‘1,11 ardan c
(Name of Bidder) (Date)
BY: Title AS(OPeil
Official Address: (Including 7ip Code):
hOes g,J Qum,
Read
/1/4voinbti, �� S2ZO2e
I.R.S. No. au - rT 0-9 06
FORM OF BID
CONTRACT NO. 986 Page 4 of 4
NONmCOLLUS ION AFFIDAVIT OF PRIM, BIDDER
State of ad w•+ }
County of Linn
)ss
Cra ?F. ftt-Tali , being first duly sworn, deposes and says that:
1. H9 is (Owner, Partner, Officer, Representative, or Agent) , of r rc • vL's
inikk fdr , the Bidder that has submitted the attached Bid;
2. He is fully informed respecting the preparation and contents of the attached Bid and of all
pertinent circumstances respecting such Bid;
3. Such Bid is genuine and is not a collusive or sham Bid;
4. Neither the said Bidder nor any of its officers, partners, owners, agents, representatives,
employees, or parties in interest, including this affiant, has in any way colluded,
conspired, connived or agreed, directly or indirectly, with any other Bidder, firm or person
to submit a collusive or sham Bid in connection with the Contract for which the attached
Bid has been submitted or to refrain from bidding in connection with such Contract, or
has in any manner, directly or indirectly, sought by agreement or collusion or
communication or conference with any other Bidder, firm or person to fix the price or
prices in the attached Bid or of any other Bidder, or, to fix any overhead, profit or cost
element of the bid price or the bid price of any other Bidder, or to secure through any
collusion, conspiracy, connivance, or unlawful agreement any advantage against the City
of Waterloo, Iowa, or any person interested in the Proposed Contract; and
5. The price or prices quoted in the attached Bid are fair and proper and are not tainted by
any collusion, conspiracy, connivance or unlawful agreement on the part of the Bidder or
any of its agents, representatives, owners, employees, or parties in interest, including this
affiant.
(Signed)
2' /o"4r
Title
Subscribed and sworn to before me this IPS day of
Fe41,41 ,2020.
My commission expires (.7-/3 `ZZ
CHARLES J ARNOW
NOTARI.r SEAL e IOWA
COMMISSION NO 747860
MY COMMISSION D PIKES _ "e"l
arece,s,
Title
�= rider Status Frain
To be completed by all bidders a in A
Please answer "Yes" or "No" for each of the following:
Yes No My company is authorized to transact business in Iowa.
(To help you determine if your company is authorized, please review the worksheet on the next page).
Yes fl No My company has an office to transact business in Iowa.
Yes LI No My company's office in Iowa is suitable for more than receiving mail, telephone calls, and e-mail.
[j Yes E No My company has been conducting business in Iowa for at least 3 years prior to the first request for
bids on this project.
Yes No My company is not a subsidiary of another business entity or my company is a subsidiary of another
business entity that would qualify as a resident bidder in Iowa.
If you answered "Yes" for each question above, your company qualifies as a resident bidder. Please
complete Parts B and D of this form.
If you answered "No" to one or more questions above, your company is a nonresident bidder. Please
complete Parts C and D of this form.
To be completed by resident bidders
Part B
My company has maintained offices in Iowa during the past 3 years at the following addresses:
Dates: clTaw. fr05 to /7✓0ar Address: ine al tale) letar-/
City, State, Zip: S___________ntifesar S'1ZOL
Dates: / / to / / Address
Dates: / /
to /
You may attach additional sheet(s) if needed.
City, State, Zips
/ Address*
City, State, Zips
To be completed by non-resident bidders
Part C
1. Name of home state or foreign country reported to the Iowa Secretary of State:
2 Does your company's home state or foreign country offer preferences to resident bidders, resident labor
force preferences or any other type of preference to bidders or laborers?
Yes fl No
3. If you answered "Yes" to question 2, identify each preference offered by your company's home state or foreign country
and the appropriate legal citation.
You may attach additional sheet(s) if needed.
To be completed by all bidders
Part D
certify that the statements made on this document are true and complete to the best of my knowledge and I know that my
failure to provide accurate and truthful information may be a reason to reject my bid.
FirmName: Oki 1 7 edit 5-77ti/ On
Signature: ---� �Th)
•
Date: Fr-7 13 02o aU
You must submit the completed form to the governmental body requesting bids per 875 Iowa Administrative Code
Chapter 156. This form has been approved by the Iowa Labor Commissioner.
309-6001 (09-15)
Prime Contractor Name:
MBE/WBE BUSINESS f NTERPR!SE
PRE -BID CONTACT INFORMATION FORM
cmcy. roc Project: t. �u kac L j PraacA Jo.TC3- Date: 3 " /2 "a60
JLetting
S"DrY Stysr iJ4
NO MBEIWBE SUBCONTRACTORS: If you are NOT using any MBE/WBE subcontractors to complete this project, sign below. Attach a brief
explanation as to why subcontracting was not feasible with this project. If any MBE/WBE subcontractors will be used, please use the bottom
portion of this form.
Contractor Signature:
Title:
Ano-7-30octilr Date: 13 00-20
SUBCONTRACTORS APPLICABLE: You are required, in order for your bid to be considered responsive, to provide the information on this form
showing ALL of your MBE/WBE subcontractor contacts made for your bid submission. This information is subject to verification. Any questions
should be directed to Contract Compliance Office 319-291-4429.
You are required, in order for your bid to be considered responsive, to provide the information on this Form showing your MBE/WBE Business
Enterprise contacts made prior to your bid submission. This information is subject to verifications and confirmation.
If you are unable to identify MBE/WBE firms to perform portions of the work, please contact Louis Starks, Contract Compliance Officer, for
assistance at (319) 291-4429.
In the event it is determined that the MBE/WBE Business Enterprise goals are not met, then before awarding the contract the City of Waterloo will
make a determination as to whether or not the apparent successful low bidder made good faith efforts to meet the goals.
TACfLE •. L R-OR USA T ON SHOWING tfrER°S FRE-31
I
WBE/WBF BUSINESS ENTERPRISE CONTACTS
Qotes
Received
( )untlloIlIl
used
fn
TDllM
Yes
\
o
Contacted
Dates
Yes/No
MBE/WBE
Dates
Dollar Amount Proposed
to
be Subcontracted
Subcontractors
Contacted
7700
T MA
Fe-6
0
aoau
1)c'3.
MG
la
010ao
ill'i'5e65,3LIC
i 5rcy
dt IOW
co
Aketvic-0
Ticf-Thc
CoAtritth
fris 7 ,20).0
Yes
r.4 1.
20°).0
,
(Form CCO-4) Rev. 06-20-02
BID BOND
KNOW ALL MEN BY THESE PRESENTS, that we, Pirc Tobin Construction, Inc.
as Principal, and United Fire & Casualty Company
as Surety are held and firmly bound unto the CITY OF WATERLOO , Iowa, hereinafter called
"OWNER." In the penal sum Five Percent of the. Amount Bid
Dollars ($ 5% ) lawful money of the United States, for the payment
of which sum will and truly be made, we bind ourselves, our heirs, executors, administrators, and
successors, jointly and severally, firmly by these presents. The condition of this obligation is such
that whereas the Principal has submitted the accompanying bid dated the 13th day of
February , 2020 , for F.Y. 2020 Lot 2, Brock 3RD Addition Sanitary Sewer
Extension, Contract No. 986, City of Waterloo, Iowa
NOW, THEREFORE,
(a) If said Bid shall be rejected, or in the alternate,
(b) If said Bid shall be accepted and the Principal shall execute and deliver a contract in the form
specified and shall furnish a bond for his faithful performance of said contract, and for the payment
of all persons performing labor or furnishing materials in connection therewith, and shall in all other
respects perform the agreement created by the acceptance of said Bid,
Then this obligation shall be void otherwise the same shall remain in force and effect; it being
expressly understood and agreed that the liability of the Surety for any and all claims hereunder
shall, in no event, exceed the penal amount of this obligation as herein stated.
By virtue of statutory authority, the full amount of this bid bond shall be forfeited to the Owner in
liquidation of damages sustained in the event that the Principal fails to execute the contract and
provide the bond as provided in the specifications or by law.
The Surety, for value received, hereby stipulates and agrees that the obligations of said Surety and
its bond shall be in no way Impaired or affected by any extension of the time within which the Owner
may accept such Bid or execute such contract; and said Surety does hereby waive notice of any such
extension.
IN WITNESS WHEREOF, the Principal and the Surety, have hereunto set their hands and seals, and
such of them as are corporations, have caused their corporate seals to be hereto affixed and these
presents to be signed by their proper officers this 7th day of February , A.D.
20 20
(Seal)
Witness
tikArint\ 1(./k
Witness Samantha Spi man, Account Manager
Surety
By
ci pa I Pirc Tobin Construction, Inc.
United Fire & Casualty Company
Attorney -in -fact
(Seal)
Lukas Schroder
ADDENDUM NO. 1
TO THE PLANS, SPECIFICATIONS,
CONTRACT AND BIDDING DOCUMENTS
FOR
F.Y. 2020 LOT 2, BROCK 3RD ADDITION
SANITARY SEWER EXTENSION
CITY OF WATERLOO CONTRACT NO. 986
DATE: February 3, 2020
BID DATE: February 13, 2020, 1:00 P.M.
TO ALL BIDDERS ON THE ABOVE PROJECT:
The Construction Plans and Specifications for the above project are hereby changed as follows:
1. Remove the Bid Bond form in the Construction Specifications and replace it with the
attached Bid Bond form. This corrects the date in the Project Title from the year 2022 to the
year 2020
The Bidder shall acknowledge receipt of this Addendum on the Bid Form,
WAYNE CLAASSEN ENGINEERING AND SURVEYING, INC.
William J. Claassen, P. E.
WJC/dad
Enclosure
e��oaaoisi�v��v
„RN°,
4„.
sa,1/4,„
Z
ADDENDUM NO. 1
F.Y. 2020 LOT 2, BROCK 3RD ADDITION
SANITARY SEWER EXTENSION
CITY OF WATERLOO CONTRACT NO. 986
February 3, 2020
`U'
Are, I
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Licensed
9408
Iowa
:IyED FIRE :&:.CASUAL:fiY:>:COIv1.Ajy`CEDAR RAP
SUITED FIRE &:mINDENINIT'Y:COIvtPA 1Y• WEBSTE
:ANCIAL�:PAGJ IC INSI :RAN E C MPAN Y, O
CERTIFIED` COPY::QF. PQ'ER'�
(original on file at Home Office of Company See Certification)
LEIS PERSONS:BY:THESE 'RESEI�'TS `'That .T.nited:-Ffe &`Casualt Conip_ any;::a co .........................anized-ail ::exist.i g�� rider the
�v - • e>:&:`Indenulrt ar a�co oration. dul- or al ized�:Eand�:exLstin .-:uud r': tl�e:'la� s of -the::State .of .Texas and
fate::: of Io a Uzirted>.Frr Qm�p �� � .. ,
� � .. Y g g.
y, r o -a . � er iu o 11e tivel-. called : .
�Enlaiicial Pac:ific::hlsurai�ce Com� •-ari. a .cor ':oratroti�:cll :::�x `anized aiid e�.st-� undel':�tlia�vs:�of:tlie:':State of Calf rYu h e.. c c.z.. .. y
ie Con ��an es .•: and havingthen :co .orate head i arters it; Cedar:-Ra� �::ids� ::=state of Iowa;. does.:make constitute. and a - .:rnt >.:
KOLLSMITH, J.ACQUELINE.:.:.K:.::PETERS, DEBOR4H 0. HAHN, :IV :LYNN lamp_ E:., SAMANTHA::SP-:ILI A1\
JENNIFER LUSE, LUKAS SCHRODER, JASON D. SMITH, JAMES M. SMITH, -TIMOTHY J. FOLEY, DAVID M..:OWEN, BRAD
BENGT.SON .:. A.AR..N Cp4.1 NS , .:.LA:URI MENEOUGIr EACH:...I_ ND I V a .p.ALLY
•
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elf:::trite .;azld„lawful Attor7�iey(s) u1-Fact 'wrtli: po�Yer aid a tllottity hereby confers d' to: sign, :weal. a11d: e ecirte: ; its behalf : ali ` la
-iindertakin s ai d. other .obligator :::insti`ttri erlts of stm lar� iattu�e i�ovided�::thatclo single obligatiotl shalt exceed
s full aild to the:=sa ie `Yter t as::if such::instrumeitts ere:. r ed :b ::tlie dt l.. a�iitl�or
.and�ao Mild alle Companies thereby a Y :.: �:.. e ...-...-' :-::: .. � �:.:. .._::.-.Y:.: Y :.::. ... .
. e d..,oli�- -Hied
d :all :of.$0.. acts of said-Vt 'ie urstian-t0o:.the:a�ithora e.reb : ry..p0. 1d:.hereb i�afrfi d an..:c f
he -A tthori -'=`hereb 'anted:' is:-:eontinuoirs::_:aid::$Ball re naji =`in fill: foirce :and effect brit l revoked b 1tlited. Fire &::: asiia
Indemnity Company, and Financial Pacific Insurance Company.
::Tl1is. Power �afAttorney is made and executed pursuant to and by authority of the following bylaw duly adopted on May 15, 2013,:by :the::Boards.. of
erectors.6 uu0:a ye & Casualty Company, United Fire & Indemnity Company, and Financial Pacific Insurance Company.
1.bonds
officers of the Compai ie.s
..-'-.par` : United Ffre...:
"Article VI — Surety Bonds and Undertakings"
2; �:A `:ointrne it :of Attomey-in-Fact. "The President or any Vice President, or any other officer of the Companies may, from time to tube; appoiiit
• -:certt cates/attoni.ey in -fact to act in behalf of the Companies in the execution of policies of insurance, bonds, undertakings and other obligatory ins umO its:a lrlce:nature: •
•Tile<signature`of:aiiy:ofcer authorized hereby, and the Corporate seal, may be affixed by facsimile to any power of attorney or special power of attori ey or c�rtifcat
either authorized hereby; such signature and seal, when so used, being adopted by the Companies as the original signature of such officer and the original seal of -the
.Companies,.,to be valid and binding upon the Companies with the same force and effect as though manually affixed. Such attorneys -in -fact, subject to the limitations set of
fortlk ii �•tlieir•:respective certificates of authority shall have full power to bind the Companies by their signature and execution of any such instrti »tS a1.4 to attach.. th:e::.seal
:the.Compari es-tl ereto. The President or any Vice President, the Board of Directors or any other officer of the Companies may at any time revoke all pewer and -authority
•
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```���tUi INS////1,/40�
f:mel . 1/r//i \FCC'......0/4 %�i
previously gi en t any attorney -in -fact.
IN WITNESS WHEREOF, the COMPANIES have each caused these presents to :beigned by�:.its.
vice president and its corporate seal to be hereto affixed this 16t h dayof - November, 20-17
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`N‘ • gCASL1.tt /1
14/ CORPORATE
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111111 '
CORPORATE
•
SEAL
UNITED FIRE & CASUALTY COMPANY
'` = • z ' 1986 b UNITED FIRE & INDEMNITY COMPANY
SEAL
FINANCIAL PACIFIC INSURANCE :C�: �A
By:
•
ounty: .of Linn, ss: <. '
Vice President
to me known, who being by me duly sworn, did depose and say; that he resides in Cedar Rapids, State of Iowa; that he is -a t Vice Presidenof United Fire
•
Casuaity:.Company,:,a..:Vice President of :_United Fire-::&... Jndernpity _.Company, and .a Vice..:President.. pf yipanci4m.racific Insurance Company., the
:•:cot orations describe m and \which:...exeuted.:.:tlhe :..above insttliiment' .that. he knows.".:the se41:'of.:_ sald1•:cd4 6ratiori,that:, tl e::::sea1.1:affixed to :tile said
iven $51. 3o. d I u•ectOtS•.-ofmsatd co of anon.nhathe si died-:Iris`!nsti`ttmerit js.. sii�ch corporat��eal;:tl�.at�it�wa_�-:-so affixed:pursuant:to authorig Vie.. :ax �f ..:.. .: - :.. .- :... rp.,: :.: . g :.. .
- ' ' d. ackn ti led s same ttr. be.tt*ce t:and deed:of said.co oratioi.
..Oanle thereto.. pursuant to, .like autllo.OtY,...a11 ::: o. v ::: ge... _
Judith A; Joties. . :> < ...
::...:Io ja Notarial Seal::.:
.
Commission number 173041 •
My Commission Expires 4/23/2021
16t h day of . November 2017, before me personal i y:::cameDennis J. .:>Ri chmann
Notary Public
e _
/2021
C ua C:::1 an ai d:Assistant Secretar :of United Fire: i hidemr tt on an. and:Assistant:
sol:.Asststait Secr�.tary:::�f :United Fu e1�. �s lty vt1 PY.:: ......: . .:: -:.Y ....::-.�:.: ..... Y P .:_.Y� :.:-.-.
ancr 1 Pacific Iiisut`an Co• 1 do hereb.. certif illi r I liave cord ae the fotygq n ••••*co` of the`Po er o-tAttorne :;:and aff
... Fiz1 �.: ... - ...... ... . c �a�. Y, :::. � ::. �' <- p ..: g . g PY Y..
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lon��of the b la«sand resol ��tions of�:said�:�o �-orations a�-:set:fortl�>in: said-Powerof Ai�tor�e with�the �QRT�.II`�TA:LS
1eco�y o� ��::Sect ..:.:. .- � .: tt.. .:..-...::� .: :.. Y� :::
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ME OFP:ICE�::OF SAII):.CORPO:RATIONS: and that :the • same:: are cor�-eet. trailse1pt�:-�ther0o��: Viand of ��tlie:� e o1: vh
:Power of Attorney -has not •been- revoked -.:and: is now in full fore e::aud effect•
In testimon whereof - have heret to subscribed my name and affixed the corporate seal of the said Corporations
, 20
this ' day.:Of . <..:;
{illy Ii// ii;.;.:.
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This paper has a colored background and void pantograph.