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HomeMy WebLinkAboutLodge Construction Inc.M1 ht. t . n P.Qt!n/0 1- •Y".,- 1 -^i-a. .'Whit:r • 0619 \4/ (\EX NNtA,AQ(kci p RF (FX 134)- • slie /+E( ter:i.. ' c LLF, Li, 50619 Ck4/ c\e(K etsice( IQ, p KT, r r a0a4 Pc/ bow& 1-?‘„IX Ire)4'J 4m FORM OF BI© RL'='ADM:M L FY 2021 21 C-8OPE IMAMIlk PARK NM:MN RE an( bru -U Honorable Mayor and City Council Waterloo, Iowa Gentlemen: --1G L0 09 110WA C } POTG UCTII�D�� 1. The undersigned, being a Corporation existingunder the laws t _ State t _ of o� Lhe�ca�eof a Partnership consisting of the following partners: , having familiarized (himself) (themselves) (itself) with the existingconditions onproject = affecting the area affecting the cost of the work, and with all the contract documents listed in the Table f Contents and Addenda (if any), as prepared by the CityEngineerof ble o� y g the City of Waterloo now on file in the office of the CityClerk, CityHall, Waterloo, . .. Iowa, hereby proposes to furnish all supervision, technical personnel, labor, materials machinery, tools, appurtenances,andservices, �• �' •�, equipment, services, including utility and transportation services required to construct and complete this FY 22021 Pug R T M PARK SFIFILITIHR RECONSIMPCA®G`J9 Coney et G\\I o 1002ffi, all in accordance with - t the above listed documents and for the unit prices for work in place for the following .. l ing items and quantities: :ITEM-. 1 2 3 4 5 6 7 `v201�i ClO?I EthI SUDAS SPECIFICATION. ` } SEE ' _ SUPL[PM N j'AL. • -sp.: ttaSPCL 2010-108-G 2010-3.06 2010-108-D 2010-3.02 7010-108 A 7010 SP#1 SP# 2 9040-108-F 9040-108-0.1 9010-108-B SY SY SY LS LF SY SY EST CITY 366.0 257.0 362.0 540.0 119.0 630.0 S/2 05Y SIC %le r-s ooe �� yap 1 Tfl NJ' PARK ffl1 SLTP R RI'iCO li\ T IBC O C VJ C VTINACT U\O0 20 DESCRIPTION. SUBGRADE PREPARATION STRIPPING, SALVAGING, AND SPREADING TOPSOIL 5" PCC, CLASS C SHELTER STRUCTURE, COMPLETE STRAW WATTLE INSTALLATION, MAINTENANCE, AND REMOVAL CONSTRUCTION ENTRANCE INSTALLATION, MAINTENANCE, AND REMOVAL HYDRAULIC SEEDING, FERTILIZING, AND MULCHING FORM OF RIO CONTRACT NO. 1028 Page 1 of 3 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 the -roof, 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 ton (10) days alter the agreement is presented to him for signature, and stall work within ten (10) days after "Notice to Proceed" is issued. 4. Security in the sum of - Dollars ($ in the form of is submitted herewith in accordance with the INSTRUCTIONS r O BIDDERS. 5. Attached hereto is a Non -Collusion Affidavit of Prime Contractor. 6. Attached hereto is a Bidder Status Form. 7. The bidder is prepared to submit a financial and experience statement upon request. 3. The Prime Contractor and Subcontractor(s), which have performed an aggregate ©f $10,000.00 in work for the City in the current calendar year, aro prepared to submit an AAP or Update and an FOC, 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 10. The bidder shall list the MBE/WE317, 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 ©f 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 RFQUI,S I AND APPROVAL" Form to be provided by City prior to approval of contract. ho 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. FORM OF BID CONTRACT NO. 1028 Page 2 of 3 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 iterns, and/or to reduce quantities prior to the award of a contract due to budgetary limitations. 0IL; �Ctivi)-1-1/(-1 t' vi tv. t /� ✓ off (Namo of Bidder) (Date) BY: CAA vt Sc' i, Title Official Address: (Including Zip Code): ? -% C/(4 rsv, I.R.S. No. 1/7 FORM OF BID CONTRACT NO. 1028 Page 3 of 3 State of NON LOLL SION AFFIDAVIT OF PRIME I3IDDI-R ~re County of f) i� H-C4s, K.__ )ss vt "'t beingfirst duly sworn, deposes and says that: 1 yp y 1 He is (Owner, Partner, Officer, Representative, or Agent) , of t c � ` c_. , 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) ,/-er jJI. ({. 5 h, •J�/ J Title Subsc ibed and sworn to before me this idea) , 2 0a My commission expires ,/td 15"/ (77d 4 7 id/al • LIN©AK SENN COMMISSION NO, 803307 MY COMMISSION EXPIRES /_ et .3" 0 0 day of Title I:Aidd r Stu Fon'tn'i To be compfle°ied by all bidders art A Please answer "Yes" or "No" for each of the following: Yes Yes [Yes Yes El Yes i N o FiNo N o N o 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). My company has an office to transact business in Iowa. My company's office in Iowa is suitable for more than receiving mail, telephone calls, and e-mail. My company has been conducting business in Iowa for at least 3 years prior to the first request for bids on this project. N o 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 My company has maintained offices in Iowa during the past 3 years at the following addresses: Dates: / / to / Address: P ' jjo,N VS1 City, State Zip: AI 6 Dates: / / to / / Address: City, State, Zip: Dates: / / to / / Address' You may attach additional sheet(s) if needed. City, State, Zip• To be completed by non resident bidder Par 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? 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. Yes ■ No You may attach additional sheet(s) if needed. To be completed by all bidders P G, rLr n I 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. Firm Name: Signature: LCkis}-sic \ Date: ,51 • rs You must submit the completed form to the governmental body requesting bids per 87! Iowa Administrative Code Chapter 156. This form has been approved by the Iowa Labor Commissioner. 309-6001 (09-15) »R.FikalMIto Athordllx1aUoi tO Transact. : uollness This worksheet may be used to help complete Part A of the Resident Bidder Status form. If at least one of the following describes your business, you are authorized to transact business in Iowa. i Ye Yes Yes Yes Yes Yes ■ No My business is currently registered as a contractor with the Iowa Division of Labor. No My business is a sole proprietorship and I am an Iowa resident for Iowa income tax purposes. No My business is a general partnership or joint venture. More than 50 percent of the general partners or joint venture parties are residents of Iowa for Iowa income tax purposes. My business is an active corporation with the Iowa Secretary of State and has paid all fees required by the Secretary of State, has filed its most recent biennial report, and has not filed articles of dissolution. No My business is a corporation whose articles of incorporation are filed in a state other than Iowa, the corporation has received a certificate of authority from the Iowa secretary of state, has filed its most recent biennial report with the secretary of state, and has neither received a certificate of withdrawal from the secretary of state nor had its authority revoked. No My business is a limited liability partnership which has filed a statement of qualification in this state and the statement has not been canceled. Yes ❑ No Yes Yes My business is a limited liability partnership which has filed a statement of qualification in a state other than lowa, has filed a statement of foreign qualification in Iowa and a statement of cancellation has not been filed. No My business is a limited partnership or limited liability limited partnership which has filed a certificate of limited partnership in this state, and has not filed a statement of termination. No My business is a limited partnership or a limited liability limited partnership whose certificate of limited partnership is filed in a state other than Iowa, the limited partnership or limited liability limited partnership has received notification from the Iowa secretary of state that the application for certificate of authority has been approved and no notice of cancellation has been filed by the limited partnership or the limited liability limited partnership. Yes ri No Yes My business is a limited liability company whose certificate of organization is filed in Iowa and has not filed a statement of termination. No My business is a limited liability company whose certificate of organization is filed in a state other than Iowa, has received a certificate of authority to transact business in Iowa and the certificate has not been revoked or canceled. 309-6001 (09-15) Prime Contractor Name: MBENVBE BUSINESS EN T E? :S PRE -BID CONTACT :K FORMATION F/0 di (� a Go Project fi r42 t 9'larc9aJes L9th C Date: N.O Ird_EMEBE SUBCONTRACTORS: If you. are NOT using any MBENVBE subcontractors to complete this project, sigr below. Attach a brief explanation as to why subcontracting was not feasible with this project. If any MBENVBE subcontractors wi10 ce used, please use the bottom portion of this form. Contractor Signature: ., Title: t54 Date: SUBCOMI CTOR S " ?'LL lCR1fE: You are reqkired, in order for your bid to be consicered responsive, to provide the inform showing ALL of your MBE/WBE subcontractor contacts made for your bla submission. This information is subject to verification 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 Corm showing yo Enterprise contacts mace prior to your bid submission. This informatuort is subject to verifications and confirmation. if you are unable to identify MBE/VVBE firms to perform portions of the work, please contact Ruay Jones, Contract Corr assistance at (319) 291-4429. Son or this cr . Nay questions Jr M BE/VBE Business pliance Officer, for 71 In the event it is determined that the MBENVBE Business Enterprise goals are not met, the 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. TMISLE OF INFORMATION SHOWING E Er NE R°S 1:1--ZE=33 11a E' dE. JSINESS ENTERPRISE CONTACTS notes received M' .J Suracontractors tes Cone zt-edi Yes/ o flees Yes/No o tfio risec: nc n Diollfidoiry Amon -it Proposed! to be S ibc omtracted Tel et+ /Juts e 7-kaa) -61 9-02,613 (Form CCO-4) Rev. 06-20-02 1 1 1 1 1 1 1 EQUAL OPPORTUNITY CLAUSE (As provided in Executive Order No. 11246) All contractors, -subcontractors,-vendor-s-and -suppliers -of goods and services doing business with the City and value of said business equals or exceeds ten thousand dollars ($10,000.00) annually agree as follows: 1. The contractors, subcontractor, vendor and supplier of goods and services will not discnminate against any employee or applicant for employment because of race, color, creed, sex, national origin, economic status, age, mental or physical handicap, political opinions or affiliations. The contractor, subcontractor, vendor and supplier will develop an Affirmative Action program to ensure that applicants are employed and that employees are treated during employment without regard to their race, creed, color, sex, national origin, religion, economic status, age, mental or physical disability, political opinions or affiliations. Such actions shall include but not be limited to the following: a. Employment b. Upgrading c. Demotion or Transfer d. Recruitment and Advertising e. Layoff or Termination f. Rates of Pay or Other Forms of Compensation g. Selection for Training Including Apprenticeship 2. The contractor, subcontractor, vendor and supplier of goods and services will, in all solicitations or advertisements for employees, state that all qualified applicants will receive consideration for employment without regard to race, creed, color sex, national origin, religion, economic status, age, mental or physical disabilities, political opinion or affiliations. 3. The contractor, subcontractor, vendor and supplier or his/her collective bargaining representative will send to each labor union or representative of workers which he/she has a collective bargaining agreement or other contract or understanding, a notice advising said labor union or workers' representative of the contractor's commitment under this section. 4. The contractor, subcontractor, vendor and supplier of goods and services will comply with all published rules, regulations, directives, and order of the City of Waterloo Affirmative Action Program Contract Compliance Provisions. EQUAL OPPORTUNITY CLAUSE PAGE 1 OF 2 PAGES 5. 1ho contractor, subcontractor, vendor and supplier of goods and services will furnish and file compliance reports within such time and upon n ;such forms as provided by the AffirmMivcq Action O'1cer. Said forms will elicit information Ss@ to the policies, proceduroc, patterns, and practices of each e ubcontractor as welt as the contractor himself/herself and said contractor, subcontractor, vendor and supplier will permit :.cress to his/her employment books, records and accounts to the Cit 'u Affirmative Action Officer, for the purpose of investigation to ascertain compliance with this contract and with rule and regulations of the ity's Affirmative, Action Pro ram`= ontr c t Compliance Provi@iom relative to Resolution No. 243 0-4 . G. In the event of the contractor's noncompliance, with the non-discrimination clauses of this contract or with any of such rule, regulations and orders, this contract may be canceled, terminated or suspended in whole or in part and the contractor may be declared ineligible for further contracts in accordance with procedures authorized by the City Council, 7. The contractor, subcontrtaotor, vendor and supplier of goods and services will include, or incorporate by reference, the provisions of the nono discrimination clause in every contract, subcontract or purchase order unless exempted by the ruins, regulations or orders of the ity's Affirmative Action Program, Find will provide in every subcontract, or purchase order that said provisions will be binding upon each contractor, subcontractor, or supplier. O. We, the undersigns, recognize that we arcmorally and legally committed d to non4iscriminetion in employment. Any person who applies for rrployment with our company will not be discriminated against because of race, creed, color, sex, national origin, economic status, age, mental or physical disabilities. (Signed) ,�, (Approprate official) 5-494ifne • (Title) (Date) EQUAL OPPORTUNI r( CLAUDE PAGE 2 OF 2 PAGES J --1 u- vue)C_-tl I bruary 2003 0 cONTMACTOR'S OR BCO T R C ON'MA`u OV A T QO0 PROGRAWt Check box th=i& t tpp Iios to party comploting program: ) -General Contractor Subcontractor • 1 a Section to be completed by GENERAD 1 QONTRACTUiVk only. Al Name - �' Company _ Locitic f Company Ackiress of Company PO Pile got (Kl' : / / • Zip - /Q► S Te Iephono Number /91 } (i Y3 i'° Ender i ID Number (if no Federal IP Nu ber�, ner/President's Social Securi Number � life in - Name of Equal Employment Moor Mame of Project , Project Contract Number )O,? estimate 1 Construction Work Date} %/1 '''' / 2 e Start Finish Section B to be completed by SUB `u GA CT°Si only: N ame of General or Prime Contractor N ame of Subcontractor Subcontractor's Maims . Zip Subcontractor's ` of phone Number c S ubcontractor's FS er l 1D Number (if no REleral ID Number Owner/President's Social Socurity Number) N ame of Equal Employment Officer a I o Rey launder of program to be completed by party comploting program, either Prime or Subcontractor, The Ouvriert3 and/or Principals of your company: Ethnic Name Address Position Sex Origin , WL /cnlfJt. p /Le ,pc /le---gy Otte C \NJ ullaS c Aye rsaz7ii 5-00, 2. Other Areas of Interest: If your company has branches or subsidiaries, or if your company is a branch or subsidiary of a parent organization, give the following information: Type of Name Address Affiliation Dwr II. FiVIPLOY �EFt'S POLICY (Please road carefully.) A, We, the undersigned, recognize that we are morally and legally committed to nondiscrimination in employment. Any person who applies for employment with our company will not be discriminated against because of race, color, flood, sex, national origin, economic status, age, r oritaI or physical handicap. B. Tho employment policies and practices of the undersigned aro to recruit and hire employees without discrimination, and to treat thorn equally with respect to compensation and opportunities for advancement, including training, upgrading, promotion, and transfer, Homier, rer, we realize the inequities associated with employment training, upgrading, direct our tomb to correcting any deficiencies to the maximum extent possible. The same will be required of our SUBCONTRACTORS and sup Tier. C. We submit this program to assure compliance with Executive Order 11246, as amended, and other subsequent orders that t may pertain to equal employment opportunity and merit employment policies, fully realizing that our qualification and/or merit system should be evaluated and revised, if necessary. D. We agree to p and utilization regard to race and an • 5910 the greatest extent feasib the maximum effort to achieve full employment lities and productivity of all our citizens without olor, sex, national origin, economic status, age, -dicap. - lll. AFFIRMATIVE ACTION (Name of effective applicatioPrP15bliestarner, just a policy statement, and ill give training cal residents of Waterloo, Iowa, to will, therefore, re-- 4_ I equal employmen merit, and to act to seek e our Affirmati pities are a i -.- urage minorities, women an company on this basis. t the more than will undertake the Affirmative Action Program: that ual Ndents 1. Minority Recruitment and Employment; 2. Local Recruitment and Employment; 3. Disabled Veteran and Vietnam Era Veteran Recruitment and Employment; 4. Handicapped Re �'�v t and Employment; 5.. Female Recrui Employment; and 6. Trainin ;z - F _ '•nal Opportunities. will take (Na whatever ste'°9Pt4ateWaryagre that our total work force has adequate minority, female, and local representation. We will utilize the following methods in our recruitment attempts: 1. Local advertising media (newspapers, radio, TV); 2. Community organizations (churches, clubs, schools); 3. Public and private institutions in the area (UNI, Hawkeye Community College); 4, Job Service of Iowa; and 5. Other, _3_ D a (Ftime female,' `r`� M ,, .�. ��:t::..` *' �, r all job categories and will make 1 APIs s rced efforts 0 inure - - iliViNly, female and group representation o� occupations at the higher levels or skill and FcsponsibiIi r. will c a )et F1udified 1 honor' 1 E. Ail sourcoo of employment used shall be aware that we are an Equal Employment Opportunity ErnpIoyK r. Labor organizations representing our employees will be notified of our Equal mployrna it Opportunity Policy and Affirmative Action e v gram. • upgradin monitored to ens minority (Na compana 49It SUM and we (N Affir an this OW FtlflieNdtditt tion and transfer activiti a) at ale levels will be ull consideration has been given to qualified employees. will encourage other r iated and/or do business, to do the t them in eir efforts. 14 potryle has taken the following hat minority, female, localcontractors pportunities to negotiate and/or bid on I. As a rosult of the above efforts, we have involved minority, female, and local contractors and/ar suppliers in the, following areas of subcontracting: (if none, write "GONE") J. di . JO`.N (Name of Company rt Affirmative Action Pr *Ai propose to work WI `PQ6*i catifetifin italeel9whatever steps are necessary to ensure that nonaminority contractors have adequate) represeniation of minority, female and local persons in their total work ire approved i o i K. In further accordan ocutive Order 11 GO artpary, based realize the - - (N specific actions MSI -rid promotion an relative to same, including activities of our SUE3CO rules and guidelines issued pursuant to mended, we establish the goals for our ereentE IS supplied by the City, and n an annual basis. &TnMtfW m TA rib suppliers as necessary or when req uostcd. M. Parity figures for Minority Pari (Nam ox CLARKSVILLF, IA 5%19 venp reccb s employment, training, upgrading Wima-1-o-tcrudittniiiit gation TRACTORS and s located in Waterloo are a follows: Affirmative Action The definition of Affirmative Action Goals is as follows: "Goals may not he rigid and inflexible quotas which must be rnet, but must be Or ets,, motional* attainable by moans of applying everyevery.ingiajaith offori to make all aspects of tho entire Affirmative Action Program work," For the year 20 , please submit percentage targets for employing minorities and women. If you already have reached your target for hiring minorities and women, please submit that percentage, 'cols for Minorities: Goals for Women: -Wow affirmative action goals should be bciweari 1 % and 10% or more for minorities and 1% an 5% or more for women. Please be advised that the goals or targets are purely your estimation of how many women and minorities your company can reasonably expect to hire in 2011,0 . Note, that none of the goals are rigid or inflexible. Thoy are targets that your company calculates as reasonably attainable. This will help the City in its monitoring procedures as required by City of Waterloo Resolution No. 1984 0142(4Y . We hereby certify that we are in compliance with all City and Federal Affirmative Action Regulations and agree to accept all f�i' f'ijlure to c mplyR • . Respectfully s-u By:• v_24fve Company ny Executive (9t9 Date Equal Employment Opportunity officer Date City of Waterloo Affirmative Action Officer Approved Disapproved Reason: By: Date: 7 a BID BOND KNOW ALL MEN BY THESE PRESENTS, that we, Lodge Construction, Inc. as Principal, and North American Specialty Insurance 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 Bid Submitted --- Dollars ($ vao %000 ) 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 10th day of September , 2020 , for FY 2021 Hope Martin Park Shelter Reconstruction, Contract 1026, iVaterlo_a,_1A 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 8th day of September , A.D. 2020 Witness Stacy Venn Lodge Construction, Inc. North American S • e ialty Insurance Compan eal) Attorney -in -fact Anne Crownev A0U (Seal) (Title) SWISS RE CORPORATE SOLUTIONS NORTH AMERICAN SPECIALTY INSURANCE COMPANY WASHINGTON INTERNATIONAL INSURANCE COMPANY WESTPORT INSURANCE CORPORATION GENERAL POWER OF ATTORNEY KNOW ALL MEN BY THESE PRESENTS, THAT North American Specialty Insurance Company, a corporation duly organized and existing under laws of the State of New Hampshire, and having its principal office in the City of Overland Park, Kansas and Washington International Insurance Company a corporation organized and existing under the laws of the State of New Hampshire and having its principal office in the City of Overland Park, Kansas, and Westport Insurance Corporation, organized under the laws of the State of Missouri, and having its principal office in the City of Overland Park, Kansas each does hereby make, constitute and appoint: JAY D. FREIERMUTH, CRAIG E. HANSEN, BRIAN M. DEIMERLY, SHIRLEY S. BARTENHAGEN, CINDY BENNETT, ANNE CROWNER, TIM McCULLOH„ STACY VENN, DIONE R. YOUNG, and WENDY ANN CASEY JOINTLY OR SEVERALLY Its true and lawful Attorneys) -in -Fact, to make, execute, seal and deliver, for and on its behalf and as its act and deed, bonds or other writings obligatory in the nature of a bond on behalf of each of said Companies, as surety, on contracts of suretyship as are or may be required or permitted by law, regulation, contract or otherwise, provided that no bond or undertaking or contract or suretyship executed under this authority shall exceed the amount of: ONE HUNDRED TWENTY FIVE MILLION ($125,000,000.00) DOLLARS This Power of Attorney is granted and is signed by facsimile under and by the authority of the following Resolutions adopted by the Boards of Directors of North American Specialty Insurance Company and Washington International Insurance Company at meetings duly called and held on March 24, 2000 and Westport Insurance Corporation by written consent of its Executive Committee dated July 18, 2011. "RESOLVED, that any two of the President, any Senior Vice President, any Vice President, any Assistant Vice President, the Secretary or any Assistant Secretary be, and each or any of them hereby is authorized to execute a Power of Attorney qualifying the attorney named in the given Power of Attorney to execute on behalf of the Company bonds, undertakings and all contracts of surety, and that each or any of them hereby is authorized to attest to the execution of any such Power of Attorney and to attach therein the seal of the Company; and it is FURTHER RESOLVED, that the signature of such officers and the seal of the Company may be affixed to any such Power of Attorney or to any certificate relating thereto by facsimile, and any such Power of Attorney or certificate bearing such facsimile signatures or facsimile seal shall be binding upon the Company when so affixed and in the future with regard to any bond, undertaking or contract of surety to which it is attached." By P. Anderson, Senior Vice President of Washington International Insurance Company & Senior Vice President of North American Specialty Insurance Company & Senior Vice President of Westport Insurance Corporation By Mike A. Ito, Senior Vice President of Washington International Insurance Company & Senior Vice President of North American Specialty Insurance Company & Senior Vice President of Westport Insurance Corporation IN WITNESS WHEREOF, North American Specialty Insurance Company, Washington International Insurance Company and Westport Insurance Corporation have caused their official seals to be hereunto affixed, and these presents to be signed by their authorized officers this this 3rd day of November , 20 17 State of Illinois County of Cook On this 3rd day of North American Specialty Insurance Company Washington International Insurance Company Westport Insurance Corporation ss: November , 20 17, before me, a Notary Public personally appeared _ Steven P. Anderson , Senior Vice President of Washington International Insurance Company and Senior Vice President of North American Specialty Insurance Company and Senior Vice President of Westport Insurance Corporation and Michael A. Ito Senior Vice President of Washington International Insurance Company and Senior Vice President of North American Specialty Insurance Company and Senior Vice President of Westport Insurance Corporation, personally known to me, who being by me duly sworn, acknowledged that they signed the above Power of Attorney as officers of and acknowledged said instrument to be the voluntary act and deed of their respective companies. r i a i _a a 11 f _Alt- al_ r- - OFFICIAL SEAL M KENNY Notary Public - State of Illinois My Commission Expires 12/04/2021 .--A-\(Th • V i 1\16‘. \\_ k M. Kenny, Notary Public I, Jeffrey Goldberg , the duly elected Vice President and Assistant Secretary of North American Specialty Insurance Company, Washington International Insurance Company and Westport Insurance Corporation do hereby certify that the above and foregoing is a true and correct copy of a Power of Attorney given by said North American Specialty Insurance Company, Washington International Insurance Company and Westport Insurance Corporation which is still in full force and effect. IN WITNESS WHEREOF, I have set my hand and affixed the seals of the Companies this 8th day of September 2020 Jeffrey Goldberg, Vice President & Assistant Secretary of Washington International Insurance Company & North American Specialty Insurance Company & Vice President & Assistant Secretary of Westport Insurance Corporation