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FORM OF BID OR PROPOSAL
FY 2024 FIBER-OPTIC OUTSIDE PLANT (OSP) CONSTRUCTION,
ECONOMIC DEVELOPMENT ADMINISTRATION (EDA) AWARD NUMBER
05-79-06185
CONTRACT NO. 1086
CITY OF WATERLOO, IOWA
Honorable Mayor and City Council
Waterloo, Iowa
Gentlemen:
1. The undersigned, being a Corporation existing under the laws of the State of � j a
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 the City Engineer
of the City of Waterloo 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. 2024 FIBER-
OPTIC OUTSODE PLANT (OSP) CONSTRUCTION, ECONOMIC ADMINISTRATION (EDA) AWARD
NUMNER 05-79-06185, Contract No. 1086 , all in accordance with the above -listed documents and for the unit
prices for work in place for the following items and quantities contained in Attachment A. The contractor shall
submit a copy of Attachment A as part of their bid.
FOR
ECONOMIC
FY
2024
DEVELOPMENT
FIBER-OPTIC
ADMINSTRATION
CONTRACT
OUTSIDE
PLANT
NO.
(EDA)
(OSP)
AWARD
CONSTRUCTION,
NUMBER
0506185
Item
#
Description
Estimated
Quantity
Unit
Unit
Price
Total
UNDERGROUND
-
BURIED
1
Directional
Bore
(0)
1" and
(0)
2" and
(2)
1.25"
174
LF
pU,
00
i.-1
a0
,
00
2
Directional
Bore
(0)
1" and
(0)
2" and
(3)
1.25"
53,103
LF
13
.
lc
tb1
g, 3o;,1,y
4
Directional
Bore
(0)
1" and
(1)
2" and
(2)
1.25"
143
LF
a0,
0
0
as
Coo
.
06
5
Directional
Bore
(0)
1" and
(1)
2" and
(3)
1.25"
3,334
LF
y U
26,0061
(0
1 4,
y
,
11
Directional
Bore
(1)
1" and
(0)
2" and
(0)
1.25"
3,118
LF
1
(,
l C
3c-1
,7
63S•
14
Directional
Bore
(1)
1" and
(0)
2" and
(3)
1.25"
14,395
LF
IL-1 .
1S
ao3,
(oa
9.;
r
S
0
70
0
0
52
Installation,
Large Vault
30" x 48"
2
EA
000.
1r sus
p 0
oo
Qi00
3,
000
0 •6�
,Cx
53
Installation,
Extra
Large
Vault
48"
x 60"
2
EA
57
Sawcut,
Remove and
Replace
Asphalt
6"
Thick
1,146
SqrFt
17,00
1 %4487.
(,7
58
Sawcut,
Remove and
Replace
Concrete
6"
Thick
1,146
SqrFt
(q, y 87,
67
17. 0o
60
Sawcut,
Remove and
Replace
Asphalt
8" Thick
1,146
SqrFt
Cj q , Q0
a7, 5'►a.
Oc
61
Sawcut,
Remove and
Replace
Concrete
8"
Thick
1,146
SqrFt
2c.I.
Oo
a.-71 57 01 .0
62
Sawcut,
Remove and
Replace
Asphalt
10"
Thick
1,146
SqrFt
1� . 00
34 r 3q O. Q
63
Sawcut,
Remove and
Replace
Concrete
10"
Thick
1,146
SqrFt
'3 0. 00
SiAI
3q p,
0
UNDERGROUND
- BURIED
LABOR
TOTAL
t
I, S'1.15
SPLICING
127
Install
New
Splice
Case &
Prep
Cable
10
EA
300,
00
34 o00 , OC
130
Splicing,
Fusion, Single
Fiber
2,880
EA
36, 00
cl,C01390.
1 (0r $606
t
131
Splicing
Fusion, Single
fiber
Pigtail
at
panel
562
EA
20.00
134
Testing,
OTDR,
Bi-Directional,
Power
Meter
Testing
562
EA
6,00
A
3(37Q,
1 Oq
or
4
SPLICING
LABOR
TOTAL
6
0
0
PATCH
PANELS
AND
CABINETS
148
Install
rack
mounted
patch
panel
(Any Size)
and
tails
2
EA
1,O0
(S .
0
5y0,
00
149
Install
Wall
Mount
Fiber
Enclosure
2
EA
S0,5.00
lib 0 a
0C
150
Install
7ft
Rack
for
patch
panels
1
EA
S-60,
bd
coo,
O
0
PATCH
PANELS
AND
CABINETS
LABOR
TOTAL
:j
),
S-7j/, .
GENERAL
161
Pull
fiber
through
building
300
FT
;, 5rj
1,65'a
goo,
(,,
jO,OC
0
GC
162
Install
2"
Electric
Metal
Tubing
(EMT)
15
LF
(00.00
163
4" Core
Bore
3
EA
S`jp,oc,
164
2"
Building
Riser
with
LB
-
Up
to 10'
3
EA
)
000, co
31O60,
C
GENERAL
LABOR
TOTAL
S(A
13/4—j).
C
00
***
LABOR TOTAL
_ S
l 1h6±L
qi
Item
Description
Estimated
Quantity
Unit
FIBER
178
24 CT Fiber
Cable
527
,
441
at47_
-
y q3
(06(
, ,
FT
180
96 CT Fiber
Cable
3,235
I, OS
FT
183
288 CT
Fiber
Cable
73,627
FT
local
1 C5
2. So
FIBER MATERIAL TOTAL
,; foot
,5q7
0
b4
0
0
0
,Go
.09
UNDERGROUND
196
1"
HDPE
Roll
Conduit,
Orange - SDR
11
17,513
FT
, 4
y
7, 7
O5- 7
197
1.25"
HDPE
Roll
Conduit,
Orange
- SDR
11
213,130
FT
, 3s"
7
y)5-415-1
i y(e 9
4
6
198
2"
HDPE
Roll
Conduit,
Orange
- SDR
11
3,477
FT
, 7 I
202
Mule
Tape
234,192
FT
,
03
7, 0as- , 7
203
#12
AWG
Solid
Thhn
Insulated
Tracer
Wire
68,763
FT
18', no& ,
, ri
204
5/8"x8'
Copper
Clad
Ground
Rod
35
EA
42
(, c.15"
gas
. 75
207
Vault,
24"
x 36"
77
EA
65 1,4 ,
a1 s 84, •
208
Large Vault,
30"
x 48"
2
EA
(1
o. 00
1+$c40
1
. (o
18S- S,
209
Extra
Large
Vault
48"
x 60"
(Split
Lid)
2
EA
),g 2.75'
215
length
3.5"
Dia
PVC
Round
Marker
Posts
with
Orange
Dome
Top,
8
ft. in
87
EA
aripi.skil
�1�1(�S.�to
as.S
216
3.5"
length
Dia PVC
with
shorting
Round
Locate
straps
Posts
with
Orange "Top
Hat",
8
ft. in
29
EA
��
S�
219
6" SDR
11
36
Q.
00
tR'Z,
00
s
FORM OF BID
CONRACT NO. 1086
220
8" SDR 11
1,083
16,00
i et i30-C
221
6" Steel
Casing
36
7S �O6
Di 7 00. (
222
8" Steel
Casing
36
140, 00
C po. (
UNDERGROUND MATERIAL TOTAL
44
l$SS.
;064
CLOSURES
235
FOSC 450
D Closure
10
EA
STOSZU.
I) bo,
0
0. oc
roc,
04
236
D Size splice
Tray
20
EA
c7)_ On
237
Slack
Basket
for
D-Gel
Closure
10
EA
Qo
3 Z ov
CLOSURES
MATERIAL
TOTAL
\S(oAco.
1
PATCH
PANELS
AND
CABINETS
284
288
port rack
mount
panel
2
EA
gj700.O0
9-57D.
l 9,4
,S`bD .60
285
Wall
Mount
Fiber
Enclosure
2
EA
o 0
286
7ft
Rack
for
patch
panels
1
EA
a.'?,a
a-3 a
. a a
287
NEMA
Enclosure
3
EA
ai pon,QO
(/UDnn,
42In ,
l W
PATCH
PANELS
AND CABINETS MATERIAL TOTAL
***
MATERIAL
TOTAL
c
4301.63
***
TOTAL
BID
a,dgs-,
0
76,
00
O
3�
2. It is understood that the quantities set forth are approximate only and subject to variation and that the unit bid
price for the work done shall govern in the actual payment to Contractor.
3. In submitting this bid, the bidder understands that the right is reserved by the City of Waterloo, Iowa, to reject
any or all bids. If written notice of the acceptance of this bid is mailed, telegraphed, or delivered to the
undersigned within thirty (30) days after the opening thereof, or at any time thereafter before this bid is
withdrawn, the undersigned agrees to execute and deliver an agreement in the prescribed form and furnish the
required bond and certificate of the insurance within ten (10) days after the agreement is presented to him for
signature, and start work within ten (10) days after "Notice to Proceed" is issued.
4. Security in the sum of rLen 4- of 6:4 454-0 1 Dollars ($
) in tie form of b0 d , is submitted herewith in accordance with the
INSTRUCTIONS TO 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.
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 EOC, within ten (10) days
of notification that the bid submitted is lowest and acceptable.
FORM OF BID CONRACT NO. 1086
9. The bidder has received the following Addendum or Addenda:
Addendum No. Date
10. The bidder has filled in all blanks on this proposal. Those blanks not applicable are marked "none" or "NA".
11. The bidder has attached all applicable forms.
12. This project will be partially funded with Federal funds from the United States Department of Commerce,
Economic Development Administration and therefore is subject to the Federal laws and regulations
associated with that program. Respondents are urged to review Sections 21-25 to ensure compliance with
this program.
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.
14. Adhere to the specification and required documentation for the Economic Development Administration
(EDA) Grant Requirements.
1) EDA Contracting Provisions Construction
2) EDA Site Sign Written Specifications
3) Form CD-512 Certification Regarding Lobbying
4) Requirements for Affirmative Action
5) David -Bacon Rates
9C� rye TO(usa � 1 t/ec A-1€c T
ame of Bidder) (Date)
BY: GLcir Title -Cr /-9Fjear,'"/ inanitar
Official Address: (Including Zip Code):
io- N Tr() Y 2ok
Po\zns TA 5D.3 a-K
Q.R.S. No. LIa— �� Cis) �8
FORM OF BID CONRACT NO. 1086
NON -COLLUSION AFFIDAVIT OF PRIME BIDDER
State of ULAD 4— )
) ss:
County of L- /4 Yl
)arier
, being first duly sworn, deposes and says that:
1. He is (Owner, Partner, Officer, Representative, or Agent) , of Prr ce Sv1UQs f rrz I
Locr(eG 'c r&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, of 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 fiom 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 propel 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, e iployees, or ties in interest, including this affiant.
(Signed)
Sse Pr ei1 e C
title
Subscribed and sworn to before me this L U day of /(JDL2t l &A , 20 4°9_5
\11II111!/,
deco°� cZ. o_h1 g
0. NA LY ti
Title : ' &' ' .1 ...
• ••• .
�� ' COMMISSION ' _ i_
My commission expires g U' `� --d�7 ; "= September-20-2024: =_
COMMISSION
2O. NUMBER
812765 •' .th
�'9,,'1,Q' ....... •..••\OS.
'" L Eibt:0•
iiiiiiiiino
Bidder Status Form
To be completed by all bidders
Part A
Please answer "Yes" or "No" for each of the following:
p Yes
0 Yes
es Yes
0 Yes
Yes
ONo
0 No
No
0N0
ONo
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.
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:
/ (S/ 14-1 to O Sen/4 Address: 4 US M v ie(v � y aJ1
City, State, Zip: 266 n S .A Sa3a •9
Dates: I / / /_ to pnes.&nk Address:
1 5-o s r .4u ro c a Atte
City, State, Zip: eS Vno+ncs "IA 56313
Dates: / / to / / Address:
You may attach additional sheet(s) if needed. City, State, Zip:
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?
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.
Firm Name. 1 G'e Z in CI OSrk a ( E l e C"kcj( 'LAX -
Signature: Date:
u/at43
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)
Worksheet: Authorization to Transact Business
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.
Yes JNo
0 Yes
0 Yes
® Yes ONo
0 Yes ()No
0Yes QNo
Yes 0 No
YesQ No
0Yes QNo
0Yes® No
('3Yes0No
My business is currently registered as a contractor with the Iowa Division of Labor.
My business is a sole proprietorship, and I am an Iowa resident for Iowa income tax purposes.
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.
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.
My business is a limited liability partnership which has filed a statement of qualification in this
state and the statement have not been canceled.
My business is a limited liability partnership which has filed a statement of qualification in a
state other than Iowa, has filed a statement of foreign qualification in Iowa and a statement of
cancellation has not been filed.
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.
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.
My business is a limited liability company whose certificate of organization is filed in Iowa and has
not filed a statement of termination.
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)
BID BOND
KNOW ALL MEN BY THESE PRESENTS, that we, Price Industrial Electric, Inc.
as Principal, and Swiss Re Corporate Solutions America Insurance Corporation , as Surety, are held and firmly
bound unto the
CITY OF WATERLOO , Iowa, hereinafter called "OWNER." In the penal sum
Five Percent of the Total 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 30th day of
November , 20 23 , for FY 2024 Fiber -Optic Outside Plant (OSP) Construction, Economic Development Administration
(EDA) Award Number 05-79-06185, Contract No. 1086, Waterloo, IA
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 22nd day of November , A.D. 20 23 .
Witness
BID BOND
Price Industrial Electric, Inc.
Principal
ss Re Corporate Solutions America Insurance Corporation (S
Sure
wner, Attorney -in -fact
al)
(Seal)
tc� r*Starrl' 036
(Title)
Page 1 of 1
SWISS RE CORPORATE SOLUTIONS
S\VISS RE CORPORATE SOLUTIONS AMERICA INSURANCE CORPORATION ("SRCSAIC")
SWISS RE CORPORATE SOLUTIONS PREMIER INSURANCE CORPORATION ("SRCSPIC")
\VESTPORI' INSURANCE CORPORATION ("WIC")
GENERAL POWER OF ATTORNEY
KNOW ALL MEN BY THESE PRESENTS, THAT SRCSAIC, a corporation duly organized and existing under laws of the State of Missouri, and
having its principal office in the City of Kansas City, Missouri, and SRCSPIC, a corporation organized and existing under the laws of the State of
Missouri and having its principal office in the City of Kansas City, Missouri, and WIC, organized under the laws of the State of Missouri, and having its
principal office in the City of Kansas City, Missouri, each does hereby make, constitute and appoint:
JAY D. FREIERMUTH, CRAIG E. HANSEN, BRiAN M. DEIMERLY, CINDY BENNETT, ANNE CROWNER, TIM McCULLOH, DIONE R. YOUNG,
SETH ROOKER, JENNIFER MARINO, JOSEPH TIERNAN, KATE ZANDERS, SARA HUSTON, JOHN CORD, and AMY HUYNH
JOINTLY OR SEVERALLY
Its true and lawful Attorney(s)-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 (S125,000,000.00) 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 both SRCSAIC and SRCSPIC at meetings duly called and held on the 18th of November 2021 and WIC by written consent of its
Executive Committee dated July 18, 2011.
"RESOLVED, that any two of the President, any Managing Director, any Senior Vice President, any 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 Corporation 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 Corporation; and it is
FURTHER RESOLVED, that the signature of such officers and the seal of the Corporation 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
bindine upon .the Corporation when so affixed and in the tirture with retard to any bond, undertaking or contract of surety to which it is attached."
�
Z\ ., .. /C,q '',
�,•ci�, « . f?Y ° A 7, iys,
�•. Game
a,.SEAL rn-
alea,
"'' 1973 �.a�'
ri . tis ice▪ . • 0
t.,,,,r,,, u.a„• ,,
• 1
rinds . 4J�S, S O `r�\'• 0,`��
By
Erik Janssens, Senior Vice President of SRCSAIC & Senior Vice President
of SRCSPIC & Senior Vice President of WiC
By
Gerald Jagrowski, Vice President of SRCSAIC & Vice President of SRCSPIC
& Vice President of WIC
IN \VITNESS WHEREOF, SRCSAIC, SRCSPIC, and WIC have caused their official seals to be hereunto affixed, and these presents to be signed by their
authorized officers
this 18TH d,ry of OCTOBER , 20 23
State of Illinois
County of Cook
ss
Swiss Re Corporate Solutions America Insurance Corporation
Swiss Re Corporate Solutions Premier Insurance Corporation
Westport Insurance Corporation
On this 18TH day of OCTOBER , 20 23 , before me, a Notary Public personally appeared Erik Janssens , Senior Vice President of SRCSAIC
and Senior Vice President of SRCSPIC and Senior Vice President of \VIC and Gerald Jagrowski , Vice President of SRCSAIC and Vice President of
SPCSPIC and Vice President of WIC, 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.
OFFICIAL SEAL
CHRIST1NA MANISCO
NOTARY PUBLIC, STATE QF UI JIOSB .1
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I, Jeffrey Goldberg, the duly elected Senior Vice President and Assistant Secretary of SRCSAIC and SRCSPIC and \VIC, do hereby certify that the above and
foregoing is a true and correct copy of a Power of Attorney given by said SRCSAIC and SRCSPIC and \VIC, which is still in full force and effect.
IN \VITNESS \VI IEREOF, I have set my hand and affixed the seals of the Companies this 22ndday of November , 20 23
Jeffrey Goldberg, Senior Vice President &
Assistant Secretary of SRCSAIC and
SRCSPIC and \VIC