HomeMy WebLinkAboutVieth Construction, CorpVieth Construction
Corporation
6419 Nordic Dr.
Cedar Falls, IA 50613
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Vieth Construction
Corporation
6419 Nordic Dr. Cedar Falls, IA 50613
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FORM OF BID OR PROPOSAL
F.Y. 2024 KINGSLEY AVENUE RECONSTRUCTION PROJECT
CONTRACT NO. 1100
CITY OF WATERLOO, IOWA
Honorable Mayor and City Council
Waterloo, Iowa
Gentlemen:
1.
Vieth Construction
Corporation
6419 Nordic Dr.
Cedar Falls, IA 50613
The undersigned, being a Corporation existing under the laws of the State of
a Partnership consisting of the following partners:
Zee
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 KINGSLEY AVENUE
RECONSTRUCTION PROJECT, Contract No. 1100, all in accordance with the above -listed documents and for
the unit prices for work in place for the following items and quantities:
FY 2024
KINGSLEY
AVENUE
RECONSTRUCTION
PROJECT
CONTRACT
NO.1100
ITEM
BID
SPECIFICATION
SUPPLEMENTAL
SUDAS
*
SEE
DESCRIPTION
UNIT
KINGSLEY
AVE
QTY
UNIT
BID
PRICE
TOTAL
BID
PRICE
DIVISION
2
-
EARTHWORK
1
2010-108-D-1*
TOPSOIL,
4
INCHES,
ON
SITE
SY
1,798.0
$ 3,
5o
$
4, P q3
2
2010-108-D-3*
TOPSOIL,
4
INCHES,
OFF
SITE
SY
2,197.0
$ 5,5
o
$
13,
623
. 5b
3
2010-108-E
*
EXCAVATION,
CLASS
10
CY
2,115.0
$ 4
$
8
rµ6..6
4
SEE
EST.
REF.
EXCAVATION,
CLASS
10,
WASTE
CY
2,115.0
$
114
$ '1
9,
(rib
5
2010-108-F
*
EXCAVATION,
GRADE
CLASS
10,
BELOW
CY
698.0
$
11
$
111
3
6
2010-108-1
*
SUBGRADE
GEOTEXTILE
TREATMENT,
OR
GEOGRID
WOVEN
SY
4,175.0
$ a.
$
$,
3S o
7
2010-108-J
SUBBASE,
MODIFIED,
12
INCH
SY
4,175.0
$ i
3. S o
$
-1'1`
IV.
So
SUBTOTAL
EARTHWORK
=
$ 1531 4oa
DIVISION
DRAINS
-
4
STORM
-
SEWERS
AND
8
4020-108-A
STORM
2000D,
SEWER,
12
INCH
TRENCHED,
RCP
LF
89.5
$ 1 II
$ I
al
(3a.ti
9
4020-108-D
REMOVAL
LESS
THAN
OF
OR
STORM
EQUAL
SEWER,
TO
36
INCH
RCP,
LF
31.6
$ 55
$
I)
1 SS
10
4020-108-D
REMOVAL
SUBDRAIN
OF
,
4
STORM
INCH
SEWER,
LF
2,154.0
$ 3 . aS
$
1,060
. 50
11
4040-108-A
SUBDRAIN,
TYPE
SP,
6
INCH
LF
2,459.0
$
i g
$
44
54;
12
4040-108-D
SUBDRAIN
6
INCH
OUTLET
TO
STRUCTURE,
EACH
45.0
$ 1-56
$
10-56
,
FORM OF BID
CONRACT NO. 1100
Page 1 of 4
13
4040-108-E
*
STORM
SP,4INCH
SEWER
SERVICE
STUB,
TYPE
LF
120.0
$
1 00
$
I aiooD
SUBTOTAL
SEWERS
AND
DRAINS
- STORM
=
$
us
3.71).
SG
DIVISION
AND
APPURTANCES
5
-
WATER
MAINS
�4
SEE
EST.
REF.
CONVERT
WATER
MANHOLE
TO
EACH
48
$
b
$
6
15
SEE
EST.
REF.
WATER
SERVICE
KILL
EACH
2.0
$
1160
o
$ 4, 0 o 0
SUBTOTAL
WATER
MAINS
AND
APPURTANCES
=
$
1.1,
o
a 0
DIVISION
FOR
SEWERS
SANITARY
6
-
STRUCTURES
AND
STORM
16
6010-108-A
MANHOLE,
SW-401,
48"
EACH
1.0
$
11-,Qo
a
$
(4, d dG
17
6010-108-B
INTAKE,
SW-501,
SINGLE
GRATE
EACH
2.0
$ 3(
6o6
$
7,
hsci
18
6010-108-B
INTAKE,
SW-505,
DOUBLE
GRATE
EACH
2.0
$ 11-)64-5
$
9` aso
19
6010-108-E
SANITARY
MINOR,
SW-301
MANHOLE
ADJUSTMENT,
EACH
4.0
$ I 1
l
o
o
$
171{
106-
20
6010-108-E
STORM
MINOR,
MANHOLE
SW-402
ADJUSTMENT,
EACH
3.0
$ Goo
$
I ,goo
21
6010-108-E
INTAKEADJUSTMENT,
MINOR,
SW-
EACH
10.0
$ 96O
$
?Joao
22
6010-108-E
INTAKE
505
ADJUSTMENT,
MINOR,
SW-
EACH
4.0
$
I, GO
a
$
61400
23
6010-108-E
INTAKE
507
ADJUSTMENT,
MINOR,
SW-
EACH
2.0
$ ').Sao
$
;loots
24
6010-108-F
MANHOLE
SW-402
ADJUSTMENT,
MAJOR,
EACH
1.0
$ 3, -
5 0
$
3,156
25
6010-108-G
*
CONNECTION
MANHOLE
OR
TO
INTAKE,
EXISTING
SUBDRAIN
EACH
37.0
$ 36 0
$
1
I;
1
a o
26
6010-108-G
*
CONNECTION
54"
STORM
TO
EXISTING
PIPE,
EACH
2.0
$
3,
400
$
I
j 7o d
SUBTOTAL
STRUCTURES
FOR
SANITARY
AND
STORM
SEWERS
=
$ 45 3o 0
DIVISION
RELATED
WORK
7
-
STEETS
AND
f
PAVEMENT,
C-4,
CL
3
AGG
PCC,
7
INCH,
C-SUD
OR
SY
$ SS.)..9
$
a
6a
Gal. 75
27
7010-108-A
*
3,667.0
28
IA
9999008
-DOT
2599-
*
('POUNDS'
MACRO
FIBERS
ITEM)
FOR
SYNTHETIC
PCC,
5
LBS
/
CY
LB
3,620.0
$ 7 s
$ a-L/,
i 3S
29
7010-108-I
*
PCC
TESTING
PAVEMENT
SAMPLES
AND
LS
1.0
$ fi, S CO
$ fit 356
30
11,050-108-A
CONCRETE
WASHOUT
LS
1.0
$ ►, / o6
$ if 1a0
SIDEWALKS,
SHARED
USE
PATHS
AND
DRIVEWAYS
31
7030-108-A-1
REMOVAL
OF
SIDEWALK
SY
268.5
$ 1
6
$ 4,
196
32
7030-108-A-3
REMOVAL
OF
DRIVEWAY
SY
290.3
$ IS
$
4
3S4_$o
33
7030-108-E
SIDEWALK,
PCC,
4 INCH,
C-4
SY
120.1
$ 103
$ )
)., 376.
3o
34
7030-108-E
SIDEWALK,
PCC,
6 INCH,
C-4
SY
161.1
$ as
$ 13, G93. 5-6
35
7030-108-G
DETECTABLE
WARNINGS
SF
240.0
$
Ci-)
$ Qf 8 lQ
36
7030-108-H-1
DRIVEWAY,
4
PAVED,
PCC,
5
INCH,
C-
SY
290.3
$
6‘
$ 19, js' 2 .30
37
7030-108-H-3
DRIVEWAY,
GRANULAR
TON
2.9
$ 1 6 a.
$ '
. 9 S . $ 0
FORM OF BID
CONRACT NO. 1100
Page 2of4
PAVEMENT
REHABILITATION
38
7040-108-H
*
PAVEMENT
REMOVAL,
CONCRETE
SY
3,667.0
$
1 0
$ 3 6, 670
SUBTOTAL
STREETS
AND
RELATED
WORK
=
$ 33 3G G 4 , GS
r
DIVISION
MARKINGS
CONTROL
8
AND
-
PAVEMENT
TRAFFIC
39
8030-108-A
TEMPORARY
TRAFFIC
CONTROL
LS
1.0
$
11
2 5O
$
I, g$0
SUBTOTAL
PAVEMENT
MARKINGS
AND
TRAFFIC
CONTROL
=
$
1 i R So
DIVISION
LANDSCAPING
9
-
SITE
WORK
AND
SEEDING
40
9010-108-B
*
HYDRAULIC
FERTILIZING
1
SEEDING,
AND
MULCHING
SEEDING,
-
TYPE
SY
2,197.0
$ asgs
$ 5,383-
65
41
9010-108-E
*
WARRANTY
SY
550.0
$ a
,
qs
$ i, 3 u?
. S o
EROSION
CONTROL
AND
SEDIMENT
42
9040-108-Q-2
EROSION
HYDROMULCHING
CONTROL
MULCHING,
SY
2'197'0
$ , 93
$ a,
63i
. 15
43
9040-108-T-1
*
INLET
INSTALLATION
PROTECTION
DEVICE,
EACH
2O.0
$ 1
g S
$ 3, lab
44
9040-108-T-2
*
INLET
MAINTENANCE
PROTECTION
DEVICE,
EACH
2O.0
$ 33
$ .7Go
SUBTOTAL
SITE
WORK
AND
LANDSCAPING
=
$ 1
3, 3.72.36.
DIVISION
MISCELLANEOUS
11
-
45
11010-108-A
CONSTRUCTION
SURVEY
LS
1.0
$ 5, 2 So
$ 5, 856.
46
11020-108-A
MOBILIZATION
LS
1.0
$ 3 3, vcki
9
$ 3 3, coc
SUBTOTAL
MISCELLANEOUS
=
$.' -5'2, / — 3 8. 8 co
TOTAL BID $ 6 97/ Il 6. ¢S
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 Dollars ($
in the form of i3i`& Bone). , is submitted herewith in accordance with the
INSTRUCTIONS TO BIDDERS.
5. Attached hereto is a Non -Collusion Affidavit of Prime Contractor.
FORM OF BID CONRACT NO. 1100
Page 3 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 EOC, 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. J Date 3/27/a
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.
Vieth Construction
Corporation
6419 Nordic Dr.
Cedar Falls. IA 50613
(Name of Bidder)
BY:
Official Address: (Including Zip Code):
(Date)
Title s M a �o, //). n1,
Vieth Construction
Corporation
6419 Nordic Dr.
Cedar Falls, IA 50613
I.R.S. No.
FORM OF BID CONRACT NO. 1100
Page 4 of 4
Bidder Status Form
To be completed by all bidders Part A
Please answer "Yes" or "No" for each of the following:
Yes Q 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 O No My company has an office to transact business in Iowa.
Yes QNo My company's office in Iowa is suitable for more than receiving mail, telephone calls, and e-mail.
eYes QNo My company has been conducting business in Iowa for at least 3 years prior to the first request for
bids on this project.
Yes QNo 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: 3 / / d 5 to Pr-c/S-t es. -4--/ Address.
Dates:
Dates:
Vieth Con strUCtio
City, State, Zip.
�orporatio
/ / to / / Address: 6419 Nordic Dr.
City, State, Zip Cedar Falls, IA 50h1
/ / to / / Address:
You may attach additional sheet(s) if needed, City, State, Zip.
To be completed by nonresident 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? O Yes O 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.
Firm Name:
Cons • Corp
Signature: Date: 3/7 / 2
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 ONo
QYes ®No
QYes ®No
® Yes ON°
O Yes ®No
OYes ®No
0 YesQ No
O Yes ®No
O Yes
0
Q Yes &No
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 has 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)
NON -COLLUSION AFFIDAVIT OF PRIME BIDDER
State of Z A )
County of 1.316Ll._ )
)ss
, being first duly sworn, deposes and says that:
1 He is (Owner, Partner, Officer, Representati , or Agent) , of V %e 4,ln C on s 4-.
, the Bidder that has submitted the attached Bid; Corp.I
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) 141 Cif 4-.r 4� .
Title /
Subscribed and sworn to before me this 1 day of l(A { e_k , 2014.
CO A
Title
My commission expires )-1 `J -Z
.
soot win mop.
,s,"\N ikkg"
q0� O. ,r.,rrr^nrr, rrr A II
MBE/WBE BUSINESS ENTERPRISE
PRE -BID CONTACT INFORMATION FORM
Prime Contractor Name: V con cf.t ; or.
Project: kcAls lty Avti to.“-- �f 106
Letting Date: 3 l 7 /,9
NO MBE/WBE 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: Es,�,,Y,r, f,, /��
Date: 3/7/a9'
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 may 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 Rudy Jones, 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.
TABLE OF INFORMATION SHOWING BIDDER'S PRE -BID
MBE/WBE BUSINESS ENTERPRISE CONTACTS
Quotes
Received
Quotation
used
in
bid
Subcontractors
MBE/WBE
Contacted
Dates
Yes/No
Contacted
Dates
Yes/No
Dollar
Amount
be
Subcontracted
Proposed
to
7 'F 3T /hi.s✓
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03/44—
/00
is
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V / `r / V .
(Form CCO-4) Rev. 06-20-02
BID BOND
KNOW ALL MEN BY THESE PRESENTS, that we, Vieth Construction Corporation
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 7th day of March
2024 , for FY 2024 Kingsley Avenue Reconstruction Project in the City of
Waterloo, Iowa; Contract No. 1100
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 fumishing matenais 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 arnount 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 Pnncipal 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 28th day of February , A D. 2024
Vieth Construction Corporation
Principal
By
(Seal) /v 00
SC
dQ , f: (Title)
Swiss Re Corporate Solutions America Insuran & &oration
Wit c Sure y
8
Wit ess Jamie Gifford ` -in-fact
Y
SWISS RE CORPORATE SOLUTIONS
SWISS RE CORPORATE SOLUTIONS AMERiCA INSURANCE CORPORATION ("SRCSAIC")
SWISS RE CORPORATE SOLUTIONS PREMIER INSURANCE CORPORATION ("SRCSPIC")
WESTPOR'I' 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 NI. DEIMERLY, CINDY BENNETT, ANNE CROWNER, TIM McCULLOH, DIONE R. YOUNG,
SETH ROOKER, JENNIFER MARINO, JOSEPH TIERNAN, KATE ZANDERS, SARA HUSTON, JOHN CORD
LUKAS SCHRODER and JAMIE GIFFORD 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 ($125,000,000.00) DOLLARS
Phis 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, 201 I.
"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
binding limn the Corporation when so affixed and in the future with regard to any bond, undertaking or contract of surety to which it is attached."
. ‘.n SAAfER;c
.•`( cop • oR R4T ems' '.
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tgiSEALt
By
Erik Janssens, Senior Vice President of SRCSAIC & Senior Vice President
of SRCSPIC & Senior Vice President of WIC
• \,
1‘..{ihs-net-
By
Gerald Jagrowski, Vice President of SRCSAIC & Vice President of SRCSPIC
& Vice President of WIC
IN WITNESS 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 2nd day of FEBRUARY , 20 24
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 2nd day of FEBRUARY , 20 24 , 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 WIC 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.
omwlAs. ss.it,
CHRISTINA MANISCO
NOTARY nisu*, STATE 91e ousto B . . ,
teommtr>orI Expire, March Nen •T1m�xav1Wrt aGO
I, Jeffrey Goldberg, the duly elected Senior Vice President and Assistant Secretary of SRCSAIC and SRCSPIC and WIC, 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 WIC, which is still in full force and effect.
IN WITNESS WHEREOF, I have set my hand and affixed the seals of the Companies this 28thday of February 20 24 .
Jeffrey Goldberg, Senior Vice President &
Assistant Secretary of SRCSAIC and
SRCSPIC and WIC