HomeMy WebLinkAboutBoomerang Corp Anamosa IASecurity For: F.Y. 2026 Broadway Street
Reconstruction Project Contract No. 1144
To: City Clerk/Auditor, City of Waterloo
715 Mulberry Street
Waterloo, Iowa 50703
Letting: March 5, 2026 1:00 PM
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Boomerang Corp
13225 Circle Dr. Suite A
P.O. Box 227
Anamosa, Iowa 52205
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Proposal For: F.Y. 2026 Broadway Street �S1
Reconstruction Project Contract No. 1144
To: City Clerk/Auditor, City of Waterloo
715 Mulberry Street
Waterloo, Iowa 50703
Letting: March 5, 2026 1:00 PM
FORM OF BID OR PROPOSAL
F.Y. 2026 BROADWAY STREET RECONSTRUCTION PROJECT
CONTRACT NO. 1144
CITY OF WATERLOO, IOWA
Honorable Mayor and City Council
Waterloo, Iowa
Gentlemen:
The undersigned, being a Corporation existing undhe laws of the State of
a Partnership consisting of the following partners: K%
, 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. 2026 BROADWAY STREET RECONSTRUCTION PROJECT, Contract No. 1144, all in accordance
with the above•listed documents and for the unit prices for work in place for the following items and
quantities:
FY 2026 BROADWAY STREET RECONSTRUCTION PROJECT CONTRACT N0.1144
ROADWAY CONSTRUCTION
SU DAS
BID
SPECIFICATION
DESCRIPTION
UNIT
BROADWAY
UNIT BID
TOTAL BID PRICE
ITEM
* SEE
ST CITY
PRICE
SUPPLEMENTAL
DIVISION 1 - GENERAL
PROVISIONS AND COVENANTS
1
1070-302
RAILROAD INSURANCE, CN
LS
1.0
RAILROAD
2
SEE EST, REF,
RAILROAD FLAGGING, CN
EACH
2O.0
I, 000 00
���
RAILROAD
/ DAY
$
$ Q00 •U6
SUBTOTAL GENERAL PROVISIONS AND COVENANTS =
$ as Z5 O , 0
DIVISION 2 - EARTHWORK
3
2010-108-D-1 *
TOPSOIL, 4 INCHES, ON SITE
SY
13,768.0
$ 0O
$ % & U
,
4
2010-108-D-3 *
TOPSOIL, 6 INCHES, OFF SITE
SY
3,749.0
$ OQ
$ 33 J41, 0
,
5
2010-108-E *
EXCAVATION, CLASS 10,
CY
25.0
ROADWAY AND BORROW
$ 3V
6
SEE EST, REF.
EXCAVATION, CLASS 10, WASTE
CY
6,325.0
$ /0,
$ 1A
O
a fS6 On
7
2010-1084 *
EXCAVATION, CLASS 10, BELOW
CY
GRADE
952.0
$ $,Q
$ 31po IIto . D
8
2010408-G *
SUBGRADE PREPARATION
SY
44,874.0
$
$atQ Jay.
FORM OF BID CONRACT N0, 1144 Page 1 of 6
9
2010-108-J *
SUBBASE, MODIFIED, 10-INCH
SY
44,874.0
GRANULAR SHOULDER, TYPE B, 4
10
IADOT 2121
INCH DEPTH
SY
13,382.0
$5,00
SLolO 91
,OU
SUBTOTAL EARTHWORK =
$ 66LI,
tpa D
DIVISION 4 - SEWERS AND
DRAINS
PIPE CULVERTS
11
4030-108-B
PIPE APRON, RCP, 18-INCH
EACH
2.0
$.q,opo.0o
$
12
4030-108-C
FOOTINGS FOR CONCRETEPIPE
EACH
2.0
APRON, 18-INCH
$1,15O. O
$ 3 00. U
13
4030-108-D
EACH
2.0
PIPE APRON GUARD, RCP, 18-INCH
$ 00. On
$ I D O
.0
SUBDRAINS
14
4040-108-A *
SUBDRAIN, TYPE SP, 6 INCH
LF
12,013.0
$
$ 16io,
) lA 0
15
4040-108-C
SUBDRAIN CLEANOUT, TYPE A-1,
EACH
2.0
6-INCH
$i O. O
$ `I00 • O
16
4040-108-D *
SUBDRAIN OUTLET TO
EACH
31.0
STRUCTURE, 6 INCH
$ �o�j0 . co
$�O+ I So • 0(>
SUBTOTAL SEWERS AND DRAINS =
$ $(0 `l `�. d
DIVISION 6 - STRUCTURES
FOR SANITARY AND STORM
SEWERS
17
6010-108-B *
INTAKE, SW-511
EACH
1.0
$ 9 000. Ob
$ 1)t) bo 40
18
6010-108-B *
INTAKE, SW-512, 24INCH,
EACH
16.0
WATERLOO 1040 A COVER ONLY
S2 500.00
$40ooc)•o
MANHOLE ADJUSTMENT, MINOR,
19
6010-108-E-1
SW-301148++
EACH
11.0
$`a? DOD 00
$cCa boo . Ob
20
6010-108-F-1
MANHOLE ADJUSTMENT, MAJOR,
EACH
SW-402160++
1.0
$3 D00.0U
$ 3000 . 6o
21
6010-108-G
CONNECTION TO EXISTING
EACH
MANHOLE OR INTAKE, SUBDRAIN
4.0
$a D00• DU
$g, 000 aU
22
6010-108-H *
REMOVE INTAKE, STORM
EACH
1.0
$ I o 000.00
$
1, 006 . 60
SUBTOTAL STRUCTURES FOR SANITARY AND STORM SEWERS =
$ ?) 060
.
DIVISION 7 - STREETS AND
RELATED WORK
PCC PAVEMENT
7010-108-A;
PAVEMENT, PCC, 9 INCH, C-SUD
23
302 *
OR C-4WR, CL 3 AGG
SY
37,663.0
$ o,o
$1 B83 15b.0
24
7010-108-E
CURB & GUTTER, 24-INCH WIDE,
LF
60.0
9-INCH DEPTH, PCC, C-4
$'75.00
$14566•00
FORM OF BID CONRACT NO. 1144 Page 2 of 6
25
7010-108-I; 302
PCC PAVEMENT SAMPLES AND
LS
1.0
*
TESTING
$5,D00.00
$5b00.OU
ASPHALT PAVEMENT
HMA, STANDARD TRAFFIC (ST)
26
7020-108-A
SURFACE, 1/2", PG-58-28H, NO
TON
58.0
FRICTION
$ 196 0
$ I I D ) O
SIDEWALKS, SHARED USE
PATHS, AND DRIVEWAYS
SHARED USE PATH, PCC, 9-INCH,
27
7030-108-C
C 4
SY
46.2
$ g0. O
$3
SHARED USE PATH, PCC, 6-INCH,
28
7030-108-C
4
SY
110.2
S Lv0.00
S I
29
7030-108-E *
SIDEWALK, PCC, 6-INCH, C-4
SY
46.0
$ sap
$ alcin, a
30
7030-108-E *
SIDEWALK, PCC, 4-INCH, C-4
SY
186.2
$
$ 9 '61 p
,
31
7030-108-G *
DETECTABLE WARNINGS
SF
150.0
$ 0, 010
$
32
7030-108-H-1
DRIVEWAY, PCC, 6-INCH, C-4
SY
27.8
q6toto5
bed b
,
33
7030-108-H-1
DRIVEWAY, PCC, 5-INCH, C-4
SY
24.3
$ gbzN 00
$ a I b1g, Li
PAVEMENT REHABILITATION
$
$
34
7040-108-G
MILLING
SY
320.0
(rj
LA D
,
35
7040-108-H *
PAVEMENT REMOVAL
SY
35,730.0
$ 3•50
$ aS S-O
36
7040-108-1
CURB & GUTTER REMOVAL
LF
60.0
$ 1 `j. DD
$ W)6 . 66
SUBTOTAL STREETS AND RELATED WORK =
$ a`
DIVISION 8 - TRAFFIC
CONTROL
TRAFFIC SIGNALS
37
8010-108-A*
TRAFFIC SIGNAL, FOUNDATION
LS
1.0
ONLY
$1 UO-00
$100.00
38
8010-108-B *
TEMPORARY TRAFFIC SIGNALS
EACH
2.0
$30 DOD•
$
39
8010-108-C *
TRAFFIC SIGNAL REMOVAL, POLE
LS
1.0
AND FOUNDATION ONLY
$ `
$ 1
PRECAST TRAFFIC HANDHOLE,
40
8010-201-A-2
EACH
9.0
TYPE I, 4-FT DEPTH
S Slb • p
S i 2 Sbo
41
8010-201-B
2-INCH CONDUIT,PVC,SCH 80
LF
2,330.0
$ p0
$
42
8010-201-C
TRAFFIC SIGNAL WIRE
LF
I1200.0
$ Let 54p
$ % f DM 6
43
SEE EST, REF,
TRAFFIC LOOP WIRE
LF
8,200.0
$ ) , l'5
$ 50. 00
44
SEE EST. REF.
REMOVE TRAFFIC HANDHOLE
EACH
4.0
$ 3604 DO
$ b
REMOVE EXISTING TRAFFIC
45
SEE EST, REF,
LF
2,210.0
CONDUIT
$ 34 00
$blLp2)bq00
TRAFFIC HANDHOLE
46
SEE EST. REF,
ADJUSTMENT, MINOR, 24"
EACH
10.0
$ D D
$ D 0o
,
PAVEMENT MARKINGS
FORM OF BID CONRACT N0. 1144 Page 3 of 6
PAINTED PAVEMENT MARKINGS,
47
8020-108-B
WATERBORNE
STA
168,90
$ 5n. no$
a 9 - s
WET, RETROFLECTIVE REMOVABLE
48
8020-108-F
STA
TAPE MARKINGS
1.32
$ A0.O
$ cQL?q -
PAINTED PAVEMENT MARKINGS,
49
8020-108-G
EACH
WATERBORNE, TEMPORARY
2,14
CROSSWALK BAR, 2' X 101
50
8020-108-H *
,
LF
THERMOPLASTIC
215.0
$a0 •
$ L4,3 D • U
PRECUT SYMBOLS AND LEGENDS,
51
8020-108-H*
EACH
THERMOPLASTIC
80
$ bb
s 8pD D
TEMPORARY TRAFFIC CONTROL
52
8030-108-A *
TEMPORARY TRAFFIC CONTROL
LS
1.0
$ DOD 6
$DW 0
PORTABLE
BLE DYNAMIC MESSAGE
EACH
53
8030-108-A *
S
56.0
$3oo.D
$Jto,42b6,00
54
8030-2.02
DIRECTIONAL SIGNS, PER DETAILS
EACH
100.0
s 26
$
,pU
I
IADOT 2528-
55
2518010
SAFTEY CLOSURE
EACH
12.0
$ JOb •OO
1 $ G, 000 . QQ
SUBTOTAL TRAFFIC CONTROL=
$
q6
DIVISION 9 - SITE WORK AND
LANDSCAPING
SEEDING
HYDRAULIC SEEDING, FERTILIZING
56
9010-108-B *
AND MULCHING -TYPE 1 SEED,
SY
17,517.0
MECHANICALLY BONDED FIBER
MATRIX
$ j
$ 17
.
EROSION AND SEDIMENT
CONTROL
SILT FENCE OR SILT FENCE DITCH
57
9040-108-N-1
CHECK, INSTALLATION
LF
3,972.0
$ I, bD
$'aqC3,55, ao
SILT FENCE OR SILT FENCE DITCH
58
9040-108-N-2 *
LF
CHECK, REMOVAL OF SEDIMENT
3,972.0
9 72
SILT FENCE OR SILT FENCE DITCH
59
9040-108-N-3
LF
CHECK, REMOVAL OF DEVICE
31972 0
$ v ,
$
*
EROSION CONTROL MULCHING,
60
9040-108-Q-2
SY
12,959.0
HYDROMULCHING
sO.
sy lqlo.gg
INLET PROTECTION DEVICE,
61
9040-108-T-1 *
INSTALLATION, DROP -IN
EACH
2.0
$ b• bo
$ 300 • 01)
FORM OF BID CONRACT N0, 1144 Page 4 of 6
62
9040-108-T-1 *
INLET PROTECTION DEVICE,
EACH
8.0
INSTALLATION, SURFACE -APPLIED
$ .dU
$ Le 20,0
63
9040-108-T-2 *
INLET PROTECTION DEVICE,
EACH
10.0
MAINTENANCE
$ ,�25 00
$ ajJO • Uo
SUBTOTAL SITE WORK AND LANDSCAPING =
$ cW`t H c�Wl Oo
DIVISION 11 -
MISCELLANEOUS
64
11010-108-A
CONSTRUCTION SURVEY
LS
1.0
$ jg b00.O0
$ $ b00
65
11020-108-A
MOBILIZATION
LS
1.0
$ Z Q, oil
$
66
11,050-108-A
CONCRETE WASHOUT
LS
1.0
$ 1,000450
$ ),000466
TEMPORARY PAVING, 6 INCH PCC
67
SEE EST. REF.
OR 6INCH HMA
SY
57.0
$ 5$• UO
$ 31 6 U(o . 00
SUBTOTAL MISCELLANEOUS=
$ 2
ADDENDUM NO. 1
68
SEE EST. REF.
I PREFORMED DETECTOR LOOP
I EACH
37.0
$ 500 •b0
$ 55, 500.00;
SUBTOTAL ADDENDUM NO. 1=
$ S
TOTALBID = $ SI O S ,�?,O. VDU
2. It is
understood that
the quantities set forth
are approximate only
and subject to variation and that the
unit
bid price for Lite
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 Dollars ($
in the form of i cl �O�a 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.
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. 1144 Page 5 of 6
9. The bidder has received the following Addendum or Addenda:
Addendum No. I Date or NCO
10. The
apparent low Bidder shall
submit a list of all other SUbCV" traCtor(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.
Official Address: (Including Zip Code):
I.R.S. No. `Io� C50 )' ) 9
FORM OF BID CONRACT N0. 1144 Page 6 of 6
NON -COLLUSION AFFIDAVIT OF PRIME BIDDER
State of I Da )
)ss
County of2�i CM42
1 ,f0 rl Y 1 �ich� 2� being first duly sworn, deposes and says that:
1. He is (Owner, Partner.(fficer Representative. or Agent) of
, the Bidder a 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) i4�
Title
Subscribed and sworn to re me this r � day of rCh , 20
Titl
My commission expires (P 'c Ll DAWNMKING
~ Commission Number 855030
My Co Sion Expires -
lOW�
Bidder Status Form
To be completed by all bidders Part A
Pie se answer "Yes" or "No" for each of the following:
Yes 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).
Yes ONo My company has an office to transact business in Iowa.
FQYes ONo My company's office in Iowa is suitable for more than receiving mail, telephone calls, and e-mail.
rYes ONo My company has been conducting business in Iowa for at least 3 years prior to the first request for
bids on this project.
Ves ONo 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 addres s: I
Dates: /mac to �.�1 Lam! Address: �lo`2 LI f r); )r7l u
City, State, Zip: ago'so
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 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 O Yes O No
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
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:
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.
eYes ONo My business is currently registered as a contractor with the Iowa Division of Labor.
OYes ONo My business is a sole proprietorship and I am an Iowa resident for Iowa income tax purposes.
OYes ONo 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.
Yes ONo 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.
OYes O 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.
OYes O 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.
OYes O No 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.
O Yes O 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.
Yes O No My business is a limited partnership or a limited liability limited partnership whose certificate of
O
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.
YesO No My business is a limited liability company whose certificate of organization is filed in Iowa and has
O
not filed a statement of termination.
OYes O 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)
Bontl No. LC000045
KNOW ALL MEN BY THESE PRESENTS, that we,
BID BOND
Boomerang Corp.
as Principal, and Ascot Surety &Casualty Company , as Surety, are held and firmly
bound unto the CITY OF WATERLOO Iowa, hereinafter called "OWNER." In the penal sum
Five Percent of Bid Amount (5% of Bid Amount)
Dollars ($ XXXX
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 5th day of
March 20 26 , for Contract #1144 F.Y. 2026 Broadway Street Reconstruction Project
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 19th day of February , A.D. 2026 .
71�7 ZiPU7
Boomerang Corp. (Seal)
Principal/� _
By /•� ���r•P Pf�1r'�L/f1 �"
(Title)
Ascot Surety &Casualty Company . (Seal)
Zoo'l
By !�
Attorney -in -fact Troy Staples"'
, /,
aye t of f
ACKNOWLEDGMENT OF PRINCIPAL (Individual)
State of
County of
On this day o,
F in the year
& before me
personally comes)
. to me known and known
to me to be the person(s) who
(is) (are) described in
and executed the foregoing insWment and acknowledges) to me that he/she executed the same.
Notary Public
ACKNOWLEDGMENT OF PRINCIPAL (Partnership)
State of
County of
On this day of in the year before me personally comes)
a member of the co -partnership of
to me known and known to me to be the person who is described in and
executed the foregoing instrument and acknowledges to me that he/she executed the same as for the act and deed of the said co -partnership.
Notary Public
ACKNOWLEDGMENT OF PRINCIPAL (Corporation)
State of��� )
County of �t3 /W31QE ))
�O^n� this �ay of 1 [ As f nk in the year c2 before me personally come(s)
� (Z i CkVj s qS to me known, W, being duly sworn, deposes and says that he/she is
the
of the
the wrporation described in and which Lfcecuted the foregoing instrument; that he/she knows the seal
of the said corporation; the seal affixed to the said instrument is such corporate seal; that it was so affixed by the order of the Board of Directors of said
corporation, and that he/she signed his/her name thereto by like order.
A[ DAWN M KING
~��j'^ Commission Number 855430 Notary Public
'�,�j . My C m lesion Expires
f0N" ACKNOWLEDGMENT OF SURETY
State of Minnesota )
County of Dakota )
On this 19th day of February, in the year 2026, before me personally comes) Troy Staples, Attorneys) -in -Fact of Ascot Surety &Casualty
Companv with whom I am personally acquainted, and who, being by me duly sworn, says that he/she is (are) the Attorneys) -in -Fact of Ascot Surety &
Casualty Company company described in and which executed the within instrument; that he/she know(s) the corporate seal of such company; and that
seal affixed to the within Instrument is such corporate seal and that It was affixed by order of the Board of Directo of said company, and that he/she
signed said Instrument as Attomey(s)-in-Fact of the said company by like order.
LINDSAYANN HILDERBRAND
! + Notary Public ary Public
Minnesota a MYCarmissbrislan.31,7D30
ascot
Power of Attorney
Ascot Surety & Casualty Company
Ascot Insurance Company
1020 Highland Colony Parkway, Suite 700
Ridgeland, MS 39157
KNOW ALL MEN BY THE PRESENTS:
That Ascot Surety & Casually Company and Ascot Insurance Company, each a corporation organized and existing under the laws of the State
of Colorado (the "Companies"), do hereby constitute and appoint:
Troy Staples, Zachary Pate, Maxwell Bohlig, Nicholas Hochban and Jennifer Boyles
of West St. Paul. MN (city, state) and each its true and lawful Atlorney(s)-in-Fact, with full authority to sign, execute, seal, acknowledge and
deliver for, and on its behalf, and as its act and deed any place within the United States, or, if the following line is filled in, only within the area and
up to the amount therein designated, any and all bonds, undertakings, recognizances, and other contracts of indemnity or writings obligatory in the
nature thereof, issued in the course of its surety business, and to bond the Companies as follows:
Any such obligations in the United Slates not to exceed $100,000,000.00.
The Companies hereby ratify and confirm all and whatsoever said Attorneys) -in -fact may lawfully do in the premises by virtue of these presents. These
appointments are made under and by authority Resolutions adopted by the Board of Directors of the Companies, which resolutions are still in effect:
RESOLVED, that any of the Chief Executive Office, the Chief Operating Officer or the Chief Underwriting Officer, acting in conjunction with the head of the
surety business line for the Corporation (each an Authorized Individual' and, collectively, the Authorized Individuals'), are authorized tojointly appoint one or
more attorneys -in -fact to represent and act for and on behalf of the Corporation in the transaction of the Corporation's surely business to execute (under the
common seal of the Corporation if appropriate) bonds, undertakings, recognizances and other contracts of indemnity and writings obligatory in the nature
thereof:
RESOLVED, that in conjunction with the Corporation's transaction of surety business the signatures and attestations of the Authorized Individuals and the
seal of the Corporation be affixed to any such Power of Attorney or to any certificate relating thereto (electronic or otherwise) by facsimile and any such Power
of Attorney or certificate bearing such facsimile signatures or facsimile seals (electronic or otherwise) shall be valid and bonding upon the Corporation when
so affixed with respect to any bond, undertaking, recognizance or tother contract of indemnity or writing obligatory in the nature thereof;
RESOLVED, that in connection with the Corporation's transaction of surety business, the facsimile electronic or mechanically reproduced signature of any
Authorized Individual, whether made heretofore or hereafter, whenever appearing upon a copy of any Power of Attorney of the Corporation, with signatures
affixed as next above noted, shall be valid and binding upon the Corporation with the same force and effect as though manually affixed.
IN WITNESS WHEREOF, the Companies have caused these presents with the respective corporate seals and to be executed by the individuals
named below who are duly authorized and empowered to execute the Power of Attorney on the Companies' behalf, this 130 day of March 2025.
+`� y cnsO • "�)ve+wce ASCOT SURETY & CASUALTY COMPANY
fe ..,y ASCOT INSURANCE COMPANY
SEAL D NiSEALM :s'rS Qgva;ST"•F •• •.. ifi' V vim• V
Matthew Conrad Kramer (Chief Executive Officer) Ura North (Exedutive Vice President, Surely)
STATE OF CONNECTICUT )
COUNTY OF FAIRFIELD ) ss.
On this 13e day of March 2025, before me came the above named Chief Executive Officer oT each Ascot Surety &Casually Company antl Ascot Insurance
Company and the head of the surety business line for each of Ascot Surety &Casualty Company and Ascot Insurance Company, to me personally known to
be the individuals described herein, and acknowledged that the seals affixed to the preceding instrument and the corporate seals of each Ascot Surety &
Casualty Company and Ascot Insurance Company, and that the said corporate seals and signatures were duly affixed and subscribed to said instrument by
the authority and direction of said Companies.
KSENIA E. GUSEVA
NOTARY PUBLIC
STATE OF CONNECTICUT
My Commission Expires June 30, 2029
Notary Public Ksenia E Guseva
My commission expires on June 30, 2029
I, the undersigned Secretary of the Company, do hereby certify that the foregoing excerpts of the Resolution adopted by the Board of Directors of the
Companies, and the Power of Attorney issued pursuant thereto, are true and correct, and further certify that both the Resolution and the Power of Attorney
are still in full force and effect.
This Certificate may be signed by facsimile under and by the authority of the following resolution of the Board of Directors of the Companies.
RESOLVED, that in connection with the Corporation's transaction of surety business the signatures and attestations of the Authorized Individuals and the
seal of the Corporation be affixed to any such Power of Attorney or to any certificate relating thereto (electronic or otherwise) by facsimile and any such
Power of Attorney of certificate bearing such facsimile signatures or facsimile seal (electronic or otherwise) shall be valid and binding upon the Corporation
when so affixed with respect to any bond, undertaking, recognizances or other contract of indemnity or writing obligatory in the nature thereof;
IN WITNESS WHEREOF; I have hereunto set my hand and affixed the seal of the Companies, this 19th day of February 2020
ASCOT SURETY &CASUALTY COMPANY
ASCOT INSURANCE COMPANY
John/Gill,
41
All Claims Notices should be Sent to Ascot Group, 1020 Highland Colony Parkway, Suite 700, Ridgeland, MS 39157: Attention Surely Claims sureNclaims(1a ascoUlroun com