HomeMy WebLinkAboutDenver Underground t v
FORM OF BID OR PROPOSAL
F.Y. 2014 ORANGE SCHOOL SANITARY SEWER EXTENSIONS
CONTRACT NO. 816
CITY OF WATERLOO, IOWA
Honorable Mayor and City Council
Waterloo, Iowa
Gentlemen:
1. Thelndersigned, being a Corporation existing under the laws of the State of
, 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. 2014 ORANGE SCHOOL SANITARY SEWER EXTENSIONS,
Contract No. 816, all in accordance with the above-listed documents and for the
unit prices for work in place for the following items and quantities:
F.Y. 2014 ORANGE SCHOOL SANITARY SEWER EXTENSIONS
CONTRACT NO. 816
BID DESCRIPTION UNIT EST.QTY. UNIT BID TOTAL BID PRICE
ITEM BASE BID PRICE
101 ADJUST MANHOLE TOP EACH 1 $ I-S $ IJC,="`aI
SANITARY SEWER MANHOLE, STANDARD WATER- p���
102 TIGHT 48-INCH DIA. EACH 16 $YODA° $ ` eo
103 TAP AND COLLAR EXISTING SANITARY SEWER EACH 1 $ )9004,C° $ 11100,E
104 SANITARY SEWER, 8" DIA., PVC TRUSS PIPE L.F. 1,155 $
105 SANITARY SEWER, 10" DIA., PVC TRUSS PIPE L.F. 331 $�9`CC (7 q17 1.1 °()
106 SANITARY SEWER, 15" DIA., PVC TRUSS PIPE L.F. 2,379 $ '33,L>t) $7� V1 Co
Lid CO $ qs(97-aft
107 SANITARY SEWER, 18" DIA., PVC A-2000 PIPE L.S. 1,038
WELDED STEEL CASED CROSSING, HWY 21, 1 V$ 41 r4! Cl e $ °
108 COMPLETE L.S. J `/C��fl�"f"`�
p�
109 HAMMOND AVE. CROSSING, COMPLETE L.S. 1 $ S � O $ S a
FORM OF BID CONTRACT NO. 816 Page 1 of 4
201 ,TRAFFIC CONTROL L.S. _ 1 $ lqa),U) $
202 MAINTENANCE BOND,TWO(2)YEAR L.S. 1 $r,j(0/D $ SOCi00
203 EROSION CONTROL SILT FENCE L.F. 4,500 $ (per $ 1, C° p°
204 SEED, FERTILIZE AND MULCH (IDOT RURAL MIX) ACRES 6.5 $ 1ikt $ I a3sc
CONSTRUCTION ACCESS, HAMMOND AVENUE,
205 ONE EACH L.S. 1 $ Ictoo,to $ I coo!'
CONSTRUCTION ACCESS, HIGHWAY 21,TWO ` C
206 EACH L.S. 1 $ 4CU $ 'akeY) t°
TOTAL BASE BID $ PA,61°C5
BID DESCRIPTION UNIT EST.QTY. UNIT BID PRICE TOTAL BID PRICE
ITEM ALTERNATE A
Al FOUNDATION MATERIAL TONS UNKNOWN $ $�,� $
REPLACE EXISTING FIELD DRAIN TILE CROSSING, $ CI)IX) $
A2 3" DIA. THRU 8" DIA. EACH UNKNOWN
REPLACE EXISTING FIELD DRAIN TILE CROSSING, r COA3 10" DIA.THRU 15" DIA. EASH UNKNOWN $ �1 �v $
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 Q PiLe. Aa-ci4 phciAt
Dollars ($ ) in the form of ikW tb,-
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 Resident Bidder Certification ( y ), or Non-Resident
Bidder Certification ( ). (Mark one.)
FORM OF BID CONTRACT NO. 816 Page 2 of 4
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. 1 Date II hb/��
10. The bidder shall list the MBE/VVBE 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. 816 Page 3 of 4
' f2.A vet U 4 c 11 ./ ( 3
(Name of Bidder) (Date)
BY: Title
r
Official Address: (Including Zip Code):
c+, IA soo3
I.R.S. No. ` Ol ) O
FORM OF BID CONTRACT NO. 816 Page 4 of 4
NON-COLLUSION AFFIDAVIT OF PRIME BIDDER
State of
County of 6.b-trk ga u4°1 ) )ss
Q , being first duly sworn, deposes and says that:
1. He is (Owner, Partner, Officer, Representative, or Agent) , of
, 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.
A)79 ---"
(Signed)
rtrep e "
Title
64"Subscribed and sworn to before me this .1� day of
1wY ` , 201%.
Artlre
yn
My commission expires r ltiC. aS, aoi(p
tiP s KRISTINE K.STEEGE 1
,� �S. Commission Number 764357 I
i ra.
•
My Commission Expires
I "ow August 25,2016 I
RESIDENT/NON-RESIDENT BIDDER
RESIDENT BIDDER:
In accordance with Section 73A.21 of the Iowa Code, all non-federal-aid public
improvement projects, which include road construction, shall be performed by a
qualified resident bidder. The resident bidder has been further defined as follows:
Resident Bidder:
A person or entity authorized to transact business in this state and
having a business for at least three years prior to the date of the
first advertisement for the public improvement. If another state or
foreign country has a more stringent definition of a resident bidder,
the more stringent definition is applicable as to bidders from that
state or foreign country.
The contractor shall provide the City with a certification that he is a qualified
resident bidder according to the above definition. The Certification shall be
submitted with the contractor's bid. A copy of the form of "Resident Bidder
Certification" is included in the Contract Documents. If it is determined that the
contractor does not meet this qualification after he begins work, a shutdown
notice shall be issued and the voiding of the contract shall begin unless the
contractor becomes qualified.
NON-RESIDENT BIDDER:
The contractor shall provide the City with a certification that he is a non-resident
bidder according to the above definition. The Certification shall be submitted with
the contractor's bid. A copy of the form of "Non-Resident Bidder Certification" is
included in the Contract Documents.
DJG
01/02/12
RESIDENT BIDDER CERTIFICATION
CONTRACT NO: Si (0
PROJECT NAME: F , DI ( c ca 5(J400( SCt�tc`�G:+Y ' &' ( cfe,4 S�`OtS
DATE OF LETTING: Z /(1
To be a qualified resident bidder, the bidder shall be a person or
entity authorized to transact business in this state and having a
business for at least three years prior to the date of the first
advertisement for the public improvement. If another state or
foreign country has a more stringent definition of a resident bidder,
the more stringent definition is applicable as to bidders from that
state or foreign country.
This qualification as resident bidder shall be maintained by the contractor and his
subcontractors at the work site until this project is completed.
I hereby certify that I am a resident bidder as defined above.
COMPANY NAME .6QI/i ift/' LJDU2 r-& jrt4C,
CORPOR TE OFFICER th., 44,4.9
TITLE e\ekoe��"
DATE
NON-RESIDENT BIDDER CERTIFICATION
CONTRACT NO.:
PROJECT NAME:
DATE OF LETTING:
I hereby certify that I am an Iowa non-resident bidder.
COMPANY NAME:
CORPORATE OFFICER:
TITLE:
DATE:
STATE/COUNTRY OF RESIDENCY:
Stated below are the preference(s) to resident bidders in the state/country of •
(Preference to bidders, labor force, or other preferential treatment to bidders or laborers, etc.
LETTER OF INTENT TO BID
(MBE/WBE LETTER)
According to the Current MBE/WBE Contract Compliance Program - 2002, all
MBE/WBE Contractors interested in submitting subcontractor quotes on
construction projects with goals, MUST submit a LETTER OF INTENT TO BID to
the City of Waterloo Contract Compliance Officer at least seven (7) days prior to
bid opening.
The LETTER OF INTENT TO BID must list the specific items which the
MBE/WBE Contractor is interested in bidding.
Letter should include the following:
Name of Project:
Your Company Name:
Address:
Phone: Date:
List of Specific items to be bid:
Item No. Description:
Item No. Description:
Item No. Description:
Item No. Description:
Item No. Description:
(Subcontractor's Company Name and authorized signature)
Return this LETTER OF INTENT TO BID to:
Contract Compliance Officer
Community Development Board
620 Mulberry St.
Carnegie Annex, Suite 202
Waterloo, IA 50703
Phone: (319) 291-4429
Form CCO-5 (06-20-2002)
ui
o Y
w y ( 0 5
o -o o is 4
'o 0 0
O 00 -0 Y a 2O 0 W 0. 0 .5,
O OA b0A > 4, 0 , W to
4-4
• - o v icy Pa a 'bo
.p "0o ro U > .0 0 0
N 0 +a)., cn C Z o C
a tw•.. 0 0 a) W o ^ o
0 0 44Ui cd 00 .Y1C. - W CV
U O
+-' '+3 �' 0 0 0 F Z D 0 "6 C
0 Cn ^ 0 on
• 2 2 O o g 0 4' CO .� o o ¢
0 0 3 L_•,Z Oa 0 ,
U
0. ¢ b o 0 .� a) 0 0 CU Q U 0 a.'
0 „ o o
o W o o ¢ W o W 0 .0
Z .� o v W b >, co 0 �°
H -0• -0 p 0 a) � 0 0 0 pa W " >
V > U b 0 K Oa) �. a1 a0
P. 0 M fl 0 U 0 (9 asa 0 o O
„, o a)• m +r E.., o v 0 ,,._, o 0
W CA 0 o o U 0 . 0 ss 0 0 o >,
Z a o a) '0W Y Z i: . o a ti
U a) :� v) Y
p� � ' °�' � 3 I-.• Q � co
0 i o
a s "0 N 4-. cYC 4-, V �p •
""� y . L
W r~ o W W o a
W 0� cUd ctd 4. 0 y ^ t >,Cq
0:10 .o
O o O U 3 E 0 o - °q
Cn 3 0 c4 co o W 3 0 m a) .� o
3 W o .c
z � � 0 O g� 0 3 P� � -oH 0 3 ~ 3Y
Q s~ E. � U Y > cn � 0 0 ao) > 3
0.1p , oo � ¢ � 'pro Y � aa � cd 300
W Z Y ,F, CA o v '� 0 4-. W as c� a > cA 0 cn -o ,�. W
po F--1 't7 C4 rn 0 Z ^0r, .O it ,. T0. 0 U
U `' �_ •!�" O y c OU 1-4
O O 00 C 4° ai •U 0
U W +� cd 0 -, o �'
O O k" 4 CO O 0 Y 'd .? 0 0 p
W Q, o .fl 2 Y • .-, 3 a1 > aoi W ' c, C.
° 0.Wi
t LW • W g o oY o '::. o
M [.i 0 pq E" 0 0 W • Pa 0 0 ,, P� a' 0. O 0 o a. 0
Z 0ct , Ct1 ; 0 c° 3 °L) 2 ° � �
Y
O o o W E- • 0 0 W O 0 .5 W .O 0 '° o 0 ^O .5 'cs
V cq Z t,_ `d o a1 W >, o .o �, oA
✓ U +CA 0 �' (4 19.0 o C)CL) cd O� b 't)A 0 0 ti- ��
r� 0a) b = 3 ,n cna) -. «sg 0 Uxo �
1 cdo0 0 0 o c 0 p3 ,. cn
• p 4-' G� 'C3 Y U a) W O a) O Y 0 L U 0 0 0 0
g 0 cn cn 00 W 0 o •ram pq �' o >,•., L -cs 0 0 3 > 0_
aWi � 00 0 cn a) a) 0 o 23 �an;0 . ) -, 0a.
jp Y CA 3 0 L C� a) 0 >, C. S'i 0 x i•., 0 p `/ i
a oa o WP4 , 5. W 0 t E y4, o cn i 3 0 a) E 6' aa)i o 'a)
o v c) W 0 'v) 0.1 .0 CA o F 0 0 :Es - a. a) v, 3 > 0 .
cd U 3 C/) o .0 , 0 cn 0 O >, cc3 GA 0 -6- U rn >,0 E cn U) .9
cd �' o o >, 0 c`L" o zy 0 P4 0 = •'� .9 'a .o s, 0 0
4r b "0 ., p•, 0 W O 4., 'C3 O 0 ' , O 0 0 y� 0 ': cn U 'U �2
CV ooW ° RJR a1 � �. o > c� .a) J a) 03 oc o
0 0 Y di z 4� ri 0 0. 0 a) •
_ U 0 cad " Z p^y W U o o 0 0 a0i 3 O o t. ' •a^ 2 tto0 ° t 3 2Y)
.G 0 •"" W R cr.) 3 0 W O > vLi cn E .9 o y0., CCn) tr -, U O 0
cnO Cd O y O cn co .Ct .0 U CC N Q' PL 0 0 ,. 0 4•. - 0 N 0 -O .0
C a), 0 W N 'C • ,,, .�C W a) 0 no U l7 ,O U cd U C A O (�, a
a " b ) a cn o > a5i a�0i E co E 0 3 p. W Ow Ti 41 Y o y ~ 0. •o �, o
c p > 0 �. c7 .o 'c >,•o 0 W z 3 3 0 ,t~ 4 W p t. y..
sU 0 4.° Q W 2' 'o a0i g t 0 c 3 U 0 al o T U U ¢ o
0
c • CD o o ¢ � � � ¢ Z ,4 Q az. Q Cd u W 0 o x
U oo M o o W OU °�) o • p o ad o ti z cd ri ti ti ai *ct PO L. Y U b
I E E000 E - cTi o f -00 � � u ab o
G it' 4-, Q 0 .0 0 .O
L , 0 o o ¢ 0 oA E' ' o a W Y U «t fl o a, P. a). a) a) - w 0 N .0 ct '. 4 a �; w H (I) w
•
C� (''� d o pi `E 4 n pit, 0 c_ 11 ,w,�
O ,, co .i -
0cD, '': 5k< 8. � wY 4 A b70
Cn
o 5G p .......—til C ,, 0 p n ,. o r w (7 0
o c � 0 0 rc -g ,0m Y 0 .
V 8 — 4 ra
0 - H _a' w Y co '-�
• t" O
I td o �. o '
tC�7 O 0 C Ui
y N G -, O (D C3. .may
3 n (D O
i o 0
�. rn () w o w o
�C� t-+ td o O a << co P
tt cn ,. Np., ,tom z ro
d t70 = � C � � � 0. wH � Fi .
n o ci �3
�` �. o CD c`o'`s _� c td
¢ td Z � � 0 0 0 � , 4 5• ` td ti7
ty Oa � g O al op -
a • 2 < � �' Q. rm p R t7
b � � � CD o• `�° L td
p Zy CDp o ° o 0tn H
� O � � a.. of
o p w c+ �n
CA o.. o c, 0 0• o 'fa,' = to •
-ytrJ
M CID
C z 4 N r00- o p'• C 0 0 Fri 5/1
4 .
et
y ® N 0 co -t O Z
0
r A' Z o �� • o V� q 0 0 cD o
R. tll V k< �: o• 0 n. o es
O —
o d CDa . 0 . , t,
• h °Q 0; < 0 0
y � � � w... 0 cil 0
a0 O
. 90 c
C� 'ti CD • -co o -,
aOvc = < 10o
.o O o<
t17 `, a
0
CO
c� CI ~' °,
C CO
0 �
R cr p ci, - v, co O co 9
o ¢ o C a m crg
O 0 C7
!, �. 0 a w
AD K Q_ C, _
CD
C. y N O
o o 0
O �crp C -�
O , r cn t.J.I
0 0
-4') '-h
I j I
u ---
•
111117\i:
Y
1 • I por
" •II I I I I I I I I I I I I I I I I I I I I gl 1 II I 1.1 I I
To whom it may concern:
I found one MBE/WBE contractor on the City of Waterloo list that I could use on this project for
trucking. I attempted to contact D.C. Corporation several times and was unsuccessful. I am
using Tiedt Nursery for seeding and silt fence. They are a WBE from Waverly.
Thank You,
Brent Steege
Denver Underground
2046 260th Street Denver, IA 50622
Phone: (319) 415-2226 Fax: (319) 984-S383
BID BOND
KNOW ALL MEN BY THESE PRESENTS,that.we,_Denver Underground &Grading, Inc.
as•Principal,and United Fire&Casualty Company T�
as Surety are held and firmly bound unto the bi<1�'. OF;WATEftJ:,_00_, Iowa,hereinafter called
'OWNER.' In the penal sum ---Five Percent,of Amount of Bid---
Dollars( ---5%--- lawful money of the United States,for the payment
of which sum will and truly be made, we bind ourseives, out 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. 2nd day of December
,.2013 ,for F.Y.2014 Orange School Sanitary Sewer Extensions,Waterloo, IA
Contract No. 81q
NOW,THEREFORE,
RE,
(a)if said Bid shall be•reJected,or in the alternate,
(b) If said Bid shali 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 thetewtth,.and shall.in all other respects perform the
agreement created by•the.a oeptanoe of said Bid,
Then this obi gation shall be void,otherwise the same:shalt remain.in force and effect, It being expressly
understood and agreed that the liability of the Surety for any and all Balms hereunder shall, in no event,
exceed the penal amount of this obligation as herein stated.
By virtue of statutory autharity,.the.full amount of this bid bond shall be tvrfeited 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 specifloations nrby law.
The Surety,for value received, hereby stipulates and agrees that.the obligations of said Surety.and its bond
shall be ill no way unpaired 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 seats.to be hereto affixed and these presents to be
signed by their proper officers this.2nd day of December . , .. ,:A,b.2413
Denver Underground & Grading, Inc. ($nail
By..
Vitt (Title)
United Fire& Casualty mpa y (Seal)
, a rety
OWN, a
Jtnt u�/
begs Anne rowner lone R. Young Atto eyrie-lac
UNITED FIRE &CASUALTY COMPANY
HOME OFFICE -CEDAR RAPIDS,IOWA
CERTIFIED COPY OF POWER OF ATTORNEY
(Original on file at Home Office of Company-See Certification)
KNOW ALL MEN BY THESE PRESENTS, That the UNITED FIRE & CASUALTY COMPANY, a corporation duly organized and
existing under the laws of the State of Iowa, and having its principal office in Cedar Rapids, State of Iowa, does make, constitute and
appoint KEVIN J. KNUTSON, OR JACQUELINE M. DEVINE, OR JODY A. DECKER, ALL INDIVIDUALLY OF THE CEDAR
RAPIDS, IA OFFICE, OR CRAIG E. HANSEN, OR JAY D. FREIERMUTH, OR BRIAN M. DEIMERLY, OR CINDY BENNETT,
OR ANNE CROWNER, OR TIM MCCULLOH, OR STACY VENN, OR LACEY CRAMBLIT, OR SHIRLEY S. BARTENHAGEN, OR
KYLEE HEUSI, OR DIONE R. YOUNG, ALL INDIVIDUALLY of DES MOINES IA
its true and lawful attorney-in-Fact with power and authority hereby conferred to sign, seal and execute in its behalf all lawful bonds,
undertakings and other obligatory instruments of similar nature as follows: Any and Al 1 Bonds
and to bind UNITED FIRE&CASUALTY COMPANY thereby as fully and to the same extent as if such instruments were signed by the
duly authorized officers of UNITED FIRE & CASUALTY COMPANY and all the acts of said Attorney, pursuant to the authority hereby
given are hereby ratified and confirmed.
The Authority hereby granted is continuous and shall remain in full force and effect until revoked by United Fire & Casualty
Company.
This power of Attorney is made and executed pursuant to and by authority of the following By-Law duly adopted by Board of
Directors of the Company on May 16,2012.
"Article VI-Surety Bonds and Undertakings"
Section 2, Appointment of Attorney-in-Fact. "The President or any Vice President, or any other officer of the Company may,
from time to time, appoint by written certificates attorneys-in-fact to act in behalf of the Company in the execution of policies of
insurance, bonds, undertakings and other obligatory instruments of like nature. The signature of any officer authorized hereby,
and the Corporate seal, may be affixed by facsimile to any power of attorney or special power of attorney or certification of
either authorized hereby; such signature and seal, when so used, being adopted by the Company as the original signature of
such officer and the original seal of the Company,to be valid and binding upon the Company with the same force and effect as
though manually affixed. Such attorneys-in fact, subject to the limitations set forth in their respective certificates of authority
shall have full power to bind the Company by their signature and execution of any such instruments and to attach the seal of
the Company thereto. The President or any Vice President,the Board of Directors or any other officer of the Company may at
any time revoke all power and authority previously given to any attorney-in-fact.
IN WITNESS WHEREOF, the UNITED FIRE &CASUALTY COMPANY has caused these presents to be signed by
1,,, .,,,, its vice president and its corporate seal to be hereto affixed this 3rd day of January, 2013
c CORPORATE Is 9..UNITED FIRE&CASUALTY COMPANY
n SEAL 4—
By
Vice President
State of Iowa, County of Linn, ss:
On 3rd day of January, 2013, before me personally came Dennis J. Richmann
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 Vice
President of the UNITED FIRE & CASUALTY COMPANY, the corporation described in and which executed the above instrument; that
he knows the seal of said corporation; that the seal affixed to the said instrument is such corporate seal; that it was so affixed pursuant
to authority given by the Board of Directors of said corporation and that he signed his name thereto pursuant to like authority, and
acknowledges same to be the act and deed of said corporation.
4 e., Judith A.Davis `,.a.� A
Iowa Notarial Seal Nota Public
' Commission number 173041 ry
owti My Commission Expires 04/23/2015 My commission expires: 04-23-2015
I, the undersigned officer of the UNITED FIRE &CASUALTY COMPANY, do hereby certify that I have compared the foregoing copy of
the Power of Attorney and affidavit, and the copy of the Section of the by-laws of said Company as set forth in said Power of Attorney,
with the ORIGINALS ON FILE IN THE HOME OFFICE OF SAID COMPANY, and that the same are correct transcripts thereof, and of
the whole of the said originals, and that the said Power of Attorney has not been revoked and is now in full force and effect.
In testimony whereof I have hereunto subscribed my name and affixed the corporate seal of the said Company
this 2nd day of December 20 13
t 4 CORPORATE "Yp
/40a---44,15 ,-1.
SEAL
'44=rsss Secretary
BPOA0019 0113