E.C. ConstructionBIDDER: C�
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SECTION 1 - BID SCHEDULE
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BIDDER: E. C - 9 '1yt C
BID SCHEDULE
SCHEDULE OF PRICES FOR
RESIDENTIAL STREETS RESURFACING PROJECT
PROJECT No. 21003
BASE BID SCHEDULE
CBF -2
UNIT OF
EST.
UNIT
ITEM
NO.
ITEM DESCRIPTION
MEASURE
QTY.
PRICE
COST
1
Clearing & Grubbing per plans
and specifications. See technical
LS
1
provisions TP -2, TP -3 & TP-4.
2
Disposal of Waste Materials.
LS
1
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3
Cold mill 2.0- inches thick existing
SF
533,020,��
,
pavement.
8
4
Construct 1.5 inches thick
pavement overlay ARHM -GG -C
TONS
5,000
p
� gfb
a 1�
1
w#
�°�'
(PG 64 -16) as indicated on the
�p
plans.
5
Construct 1.0 inches thick
TONS
1,788
Asphaltic Leveling course D1
64 indicated the
(PG -10) as on
plans.
6
Remove 6- inches of existing
SF
7.200
pavement and replace it with 3.5-
Z 9
2 �I C �,�2 , ()
inches of AC B -PG 64 -10 Base
Course over compacted native.
7
Remove, Dispose and Construct
SF
12,942
4- inches thick PCC Sidewalk per
t �
SPPWC Std. Plan 113 -1.
8
Remove, Dispose and Construct
SF
2,500
0
PCC Driveway Approaches per
�j •
I <� O o 0 O 0
SPPWC Std. Plan 110 -2.
I
9
Remove, Dispose and Construct
LF
533
8- inches Curb and 24- inches
SC l�
2 • 0 C
Gutter per SPPWC Std. Plan
I
120 -2.
10
Remove, Dispose and Construct
PCC Cross Gutter per SPPWC
LF
100
Std. Plan 123 -2.
CBF -2
BIDDER: C•C - u c:&V)
TOTAL BASE BID 1 PRICE (SCHEDULE BID PRIC
Dollar amount in written form
CBF -3
C? 13'1 1
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UNIT OF
EST.
UNIT
ITEM
NO.
ITEM DESCRIPTION
MEASURE
QTY.
PRICE
COST
11
Remove, Dispose and Construct
EA
22
--0n
2 r�V
�C ' ��
PCC Curb Ramps per SPPWC
�
Std. Plan 1114.
12
Adjust Sewer Manhole to Grade
EA
94
�� 0-7
Z V �� 4
per APWA Std. Plan 205 -1 and
I
206 -1.
13
Adjust Water Valve /Gas Valve to
EA
84
1
Grade.
14
Install Survey Well Monument
EA
27
per City of Rosemead Std. Plan
S08 -001. See Section 2 -9
l%
�
�� ��
Surveying of the General
•
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Provision -7 per details (Cover,
Sleeve & Dome will be provided
by the City at no cost).
15
Install Traffic Striping, Traffic
LS
1
Signal Loops and Pavement
Markers per the Striping Plans
and Specifications Complete.
16
Prepare a Storm Water Pollution
LS
1
I goo, C
Prevention Plan (SWPPP)
I
17
Paint Home Addresses (Curb
Numbering).
EA
600
18
Install Truncated Domes Only
EA
8
yellow color by Amorcast or
Approved Equal.
TOTAL BASE BID 1 PRICE (SCHEDULE BID PRIC
Dollar amount in written form
CBF -3
C? 13'1 1
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I
' ALTERNATE BID ITEM No. 1
MUSCATELAVENUE
FROM RAMONA AVENUE TO GARVEY AVENUE.
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BIDDER: e c ' 7l �O✓�
CBF -4
UNIT OF
EST.
UNIT
ITEM
NO.
ITEM DESCRIPTION
MEASURE
QTY.
PRICE
COST
19
Clearing & Grubbing per plans
and specifications. See technical
LS
1
1 000 • 0
2- 1 0 00 -00
'2 o Oo . 00
provisions TP -2, TP -3 & TP-4.
20
Cold mill 2.0- inches thick existing
SF
74,160
inJ
pavement.
JO
1
21
Construct 1.5 inches thick
pavement overlay ARHM -GG -C
TONS
700
yc��
16) as indicated on the
plans.
22
Construct 1.0 inches thick
Asphaltic Leveling course D1
TONS
232
(PG 64 -10) as indicated on the
�-
3 J "?q
plans.
23
Remove, Dispose and Construct
SF
3,318
�I
2
4- inches thick PCC Sidewalk per
O3
iOt 0 j J "5
SPPWC Std. Plan 113 -1.
24
Remove, Dispose and Construct
PCC Driveway Approaches per
SF
595
�, Q (�
3 � j 70 , 0D
SPPWC Std. Plan 110 -2.
25
Remove, Dispose and Construct
PCC Curb Ramps per SPPWC
EA
9
21,�t , O1
22 1 c -DO , Do
Std. Plan 111-4.
26
Adjust Sewer Manhole to Grade
EA
6
per APWA Std. Plan 205 -1 and
206 -1.
27
Adjust Water Valve /Gas Valve to
Grade.
EA
6
r �
28
Install Survey Well Monument
EA
5
per City of Rosemead Std. Plan
S08 -001. See Section 2 -9
Surveying of the General
O
VO �O
Provision -7 per details (Cover,
1
Sleeve & Dome will be provided
by the City at no cost).
29
Install Traffic Striping, Traffic
LS
1
Signal Loops and Pavement
76t� , o o
Markers per the Striping Plans
and Specifications Complete.
CBF -4
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BIDDER: tNY y`l �� 0
TOTAL ALTERNATE BID PRICE No.
Dollar amount in written form
ALTERNATE BID ITEM No. 2
TREE PLANTING
UNIT OF
EST.
UNIT
ITEM
NO.
ITEM DESCRIPTION
MEASURE
QTY.
PRICE
COST
30
Install Truncated Domes Only
EA
Z
O�
V V V
yellow color by Amorcast or
(j f 1
I
� 1'7 r
Approved Equal.
TOTAL ALTERNATE BID PRICE No.
Dollar amount in written form
ALTERNATE BID ITEM No. 2
TREE PLANTING
TOTAL ALTERNATE BID PRICE No. 2 (SCHEDULE BID PRICE):$
� <1 ��b� °A(R l�����
Dollar
TOTAL BASE & ALTERNATE BID PRICE
Vtil l
)Z>p - T' 7 2 q
1 (SCHEDULE BID PRICE):$ t My �R
TA
tib Z�n•!7�
Dollar amount in written form C_ 0 WI K y+, vO� J+ /� d '> [Lav5
Note: The City of Rosemead reserves the right to reduce or increase the quantities of any items in
the schedule of bid items above, within the limits define in Section 3 -2.2.1 of the Standard
Specifications, to stay within the budgeted amount of this project.
If the Bid Documents specify alternate bid items, the following Alternate Bid amounts shall
be added to or deducted from the Total Bid Price entered above. The owner can choose to
include one or more of the alternates in the Total Bid Price of the Project. If any of the
Alternate Bids are utilized by the Owner, the resulting amount shall be considered the Total
Bid Price for the Project.
T'
CBF -5
UNIT OF
EST.
UNIT
ITEM
NO.
ITEM DESCRIPTION
MEASURE
QTY.
PRICE
COST
31
Install 24 -Inch Box Parkway Tree
EA
200
7)
"Chinese Pistache" including 90-
(j f 1
I
� 1'7 r
days maintenance period and
tree wells.
TOTAL ALTERNATE BID PRICE No. 2 (SCHEDULE BID PRICE):$
� <1 ��b� °A(R l�����
Dollar
TOTAL BASE & ALTERNATE BID PRICE
Vtil l
)Z>p - T' 7 2 q
1 (SCHEDULE BID PRICE):$ t My �R
TA
tib Z�n•!7�
Dollar amount in written form C_ 0 WI K y+, vO� J+ /� d '> [Lav5
Note: The City of Rosemead reserves the right to reduce or increase the quantities of any items in
the schedule of bid items above, within the limits define in Section 3 -2.2.1 of the Standard
Specifications, to stay within the budgeted amount of this project.
If the Bid Documents specify alternate bid items, the following Alternate Bid amounts shall
be added to or deducted from the Total Bid Price entered above. The owner can choose to
include one or more of the alternates in the Total Bid Price of the Project. If any of the
Alternate Bids are utilized by the Owner, the resulting amount shall be considered the Total
Bid Price for the Project.
T'
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BIDDER: F—' 0- - L tl Il i
The undersigned agrees that these Contract Bid Forms constitute a firm offer to the Owner which
cannot be withdrawn for the number of Working Days indicated in the Notice Inviting Bids from and
after the bid opening date, or until a Contract for the Work is fully executed by the Owner and a third
parry, whichever is earlier. The undersigned also agrees that if there is a discrepancy between the
written amount of the Bid Price and the numerical amount of the Bid Price, the written amount shall
govern.
[ tt ed hereto is a certified check, a cashier's check or bid bon in the amount of
D Dollars ($ said amount being not less than rcent (10 %) of the Total
Bid Price. The undersigned agrees that said amount shall be retained by the Owner if, upon award,
we fail or refuse to execute the Contract and furnish the required bonds, certificates and
endorsements of insurance and other certifications within the time provided.
If awarded a Contract, the undersigned agrees to execute the formal Contract, which will be
prepared by the Owner for execution, within five (5) Calendar Days following the Letter of Award for
the Contract, and will deliver to the Owner within that same period the necessary original Certificates
of Insurance, Endorsements of Insurance, Performance Bond, Payment Bond and all other
documentation and certification required by the Contract.
The undersigned offers and agrees that if this bid is accepted, it will assign to the purchasing body
all rights, title, and interest in and to all causes of action it may have under Section 4 of the Clayton
Act (15 U.S.C. Section 15) or under the Cartwright Act (Chapter 2 of Part 2 of Division 7 of the
Business and Professional Code), arising from purchases of goods, materials or services by the
Bidder for sale to the purchasing body pursuant to the bid. Such assignment shall be made and
become effective at the time the purchasing body tenders final payment to he Contractor.
Bidder understands and agrees that, when requested by Owner, he shall provide: (1) evidence
satisfactory to the Owner of Bidder's California contractors license(s) in good standing; (2) evidence
that the person signing this Bid is authorized to bind Bidder to this Bid and to a contract resulting
therefrom; and (3) any other information and documentation, financial or otherwise, needed by
Owner to award a Contract to the lowest responsible and responsive bidder.
Bidder understands and agrees that liquidated damages shall apply to this Contract in the amounts
of five hundred dollars ($500.00) if oroiect is not completed in forty -five (45) calendar days. The
Contract Time will begin to run ten (10) Working Days from the date of the Notice of Proceed and
subiect to the terms and conditions described in the Contract Form and the Contract Documents.
Bidder acknowledges that data submitted with its Contract Bid Forms which it requires to be
incorporated into a Contract arising out of this Submittal has been so identified by Bidder. Bidder
further acknowledges that the Owner may, at its discretion, incorporate any of the remaining data
submitted herewith into a contract arising out of this Bid.
The undersigned acknowledges receipt, understanding and full consideration of the following
addenda to the Contract Documents.
Addenda Nos.
The Bidder understands and agrees that the Total Bid Price is inclusive of all labor, materials, and
equipment or supplies necessary to complete the Work as described in the Bid Documents. If this
bid is accepted, the undersigned Bidder agrees to enter into and execute the Contract with the
necessary bonds and accept the Total Bid Price as compensation in full for all Work under the
contract.
CBF -6
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' By.
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Signature
Type or Pn t Name
vc y- j vv,
Title
Business Street A dress
S - ELMqp I
City, State and Zip Code
6-1 e �q4 QS7q,b
Telephone Number
Bidder's /Contractor's State of Incorporation: (. Q I t'l or lit-!
Partners or Joint Venturers:
Bidder's License Number(s): �*�2 1 1
NOTES:
1)
2)
3)
By its signature on this Bid, the Bidder certifies under penalty of perjury the accuracy of the
representations made on the Contract Bid Forms.
If Bidder is a corporation, enter State of Incorporation in addition to Business Address
If Bidder is a partnership or joint venture, give full names of all partners or joint
venturers.
As further discussed in the Instructions to Bidders, Bidder will be required
to provide evidence that the person signing on behalf of the corporation,
partnership or joint venture has the authority to do so.
BIDDER: E M 11
CBF -7
BIDDER: E • C �l 1Vru
SECTION 2
BID DATA FORMS
r�Taw.
BIDDER: C% C ' Ir�t� lA1_1
2.6 LIST OF PROPOSED SUBCONTRACTORS
In compliance with the "Subletting and Subcontracting Fair Practices Act," Sections 4100
through 4114 of the California Public Contract Code, and any amendments thereto, each
Bidder shall provide the information requested below for each subcontractor who will
perform work, labor or render service to Bidder in or about the construction of the Work in an
amount in excess of one -half of one percent (greater than 0.5 %) of the Bidders Total Bid
Price, or, in the case of bids or offers for the construction of streets or highways, including
bridges, in excess of one -half of 1 percent of the Contractor's total bid or ten thousand
dollars ($10,000), whichever is greater, and shall further set forth the portion of the Work
which will be done by each subcontractor. Bidder shall list only one subcontractor for any
one portion of the Work.
Pursuant to Public Contract Code Section 4104, the Owner has determined that it will allow
Bidders twenty -four (24) additional hours after the deadline for submission of bids to submit
the information requested by the Owner about each subcontractor, other than the name and
location of each subcontractor.
If the Bidder fails to specify a subcontractor for any portion of the Work to be performed
under the Contract, it shall be deemed to have agreed to perform such portion itself, and
shall not be permitted to subcontract that portion of the Work except under the conditions
hereinafter set forth below.
Subletting or subcontracting of any portion of the Work in excess of one half of one percent
(greater than 0.5 %) of the Total Bid Price or, in the case of bids or offers for the construction
of streets or highways, including bridges, in excess of one -half of 1 percent of the
Contractor's total bid or ten thousand dollars ($10,000), whichever is greater, for which no
subcontractor was designated in the original bid shall only be permitted in cases of public
emergency or necessity, and then only after Owner approval.
�: 11
BIDDER: E C - a±bIlA Ck�oV`
2.B LIST OF PROPOSED SUBCONTRACTORS (continued)
I"Dupliwte Next 2 Pages if needed for listing additional subcontractors." J
Name and Location Description of Work
of Subcontractor to be Subcontracted
Name:
Address
Name and Location Description of Work
of Subcontractor � 1 � � � � (� to be Subcontracted
Name:
Address:
wtv*
Name and Location Description of Work
of Subcontractor to be Subcontracted
Name: p� `7e�g IY�A C A )
L/
Address: OA
Name and Location Description of Work
of Subcontractor to be Subcontracted
Name:
Address �
Name and Location Description of Work
of Subcontractor to be Subcontracted
Name: �LE� "� La Sct; I�la'r' vw
1 iK—
Address f (' Q l 1
CBF - 11
BIDDER: C 0 • QJ✓ Lvk l �Vvn
2.0 REFERENCES
The following are the names, addresses and telephone numbers for three public agencies for which BIDDER
has performed similar work within the past two (2) years:
1. 0vV�0- Eqk6 IZCL�'Va�
Name and Address of Owner
67-c- - 1'�q -
Name and telephone number of person familiar with project
H ® � � � / Z (7 G' AKQ'r
Contract amount / �,�� ,{ Type of Work
2. C vto 0 - Lax Q'V"10'
2 00c'k — U <
Date Completed
qRb -7"
Name and telephoneAumber of person familiar with project
'� o V`o C y ZO 0 � -- Z� 6
Contract amount Type of Work Date Completed
3.
Name and Address of Owner T p.
' 0G" ,
( VLS w fv L \�
Name and telephone number of person familiar with project
Con�a Type of Work Date Completed
4.
Name and Address of Owner
Name and telephone number of person familiar with project
Contract amount Type of Work Date Completed
CBF - 12
BIDDER: E7`0) , vi L v - ( A - p V 1
SECTION 3
NON - COLLUSION AFFIDAVIT
CBF - 13
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BIDDER: C �n �Oc&yq
NON - COLLUSION AFFIDAVIT
In accordance with Public Contract Code Section 7106, the undersigned, being first duly
sworn, deposes and says that he or she holds the position listed below with the bidder, the
party making the foregoing bid, that the bid is not made in the interest of, or on behalf of, any
undisclosed person, partnership, company, association, organization, or corporation; that the
bid is genuine and not collusive or sham; that the bidder has not directly or indirectly induced
or solicited any other bidder to put in a false or sham bid, and has not directly or indirectly
colluded, conspired, connived, or agreed with any bidder or anyone else to put in a sham
bid, or that anyone shall refrain from bidding; that the bidder has not in any manner, directly
or indirectly, sought by agreement, communication, or conference with anyone to fix the bid
price of the bidder or any other bidder, or to fix any overhead, profit, or cost element of the
bid price, or of that of any other bidder, or to secure any advantage against the public body
awarding the contract of anyone interested in the proposed contract; that all statements
contained in the bid are true; and, further, that the bidder has not, directly or indirectly,
submitted his or her bid price or any breakdown thereof, or the contents thereof, or divulged
information or data relative thereto, or paid, and will not pay, any fee to any corporation,
partnership, company association, organization, bid depository, or to any member or agent
thereof to effectuate a collusive or sham bid.
Signature
I /Q0a l� a��e►�s
Typed or Printed Name
ycjos&d b
Title
E C'�"qt�'uC to V I
Bidder
Subscribed and sworn before me
This Zo day of mo.rcL. 1 20 la- gr+L7 Pa.00ea o me
D rj swS (t)ASt5 07 sn FReroZy (Seal)
Notary Public in and for
the State of California CATHERINE M. BAIRD
COMM #1820500 m
My Commission Expires: Fe"b i aolS w Ncbry PubOOc, bro a LO
— I LOS ANOELES COUNTY
Comm . FEB 1, 2015
CBF - 14
BIDDER 6 (2, COnSirti.calt Cc .
Bidder shall submit its Bid data in accordance with the format shown on each of the following Bid
Data Forms. Bidders shall prepare and use as many sheets as are necessary to adequately provide
the information required. Bidder shall ensure that every page of its Bid Data Forms are properly
identified with the Bidder's name and page number.
1A BID BOND
KNOW ALL MEN BY THESE PRESENTS:
THAT E. C. Construction Co.
Principal, and Travelers Casualt
as
, as Surety, are held firmly bound unto the
CITY OF ROSEMEAD (hereinafter called the OWNER) in the sum of
Ten Percent of Bid Amount
($ 10% ) , being not less than ten percent (10 %) of the Total
Bid Price; for the payment of which sum will and truly to be made, we bind ourselves,
our heirs, executors, administrators, successors, and assigns, jointly and severally,
firmly by these presents.
WHEREAS, said Principal has submitted a bid to the OWNER to perform all Work
required for the Residential Streets Resurfacing Project as set forth in the Notice
Inviting Bids and accompanying Bid Documents, dated March 21, 2012
NOW, THEREFORE, if said Principal is awarded a Contract for the Work by the
OWNER and, within the time and in the manner required by the above- referenced
Bid Documents, enters into the written form of Contract bound with said Bid
Documents, furnishes the required bonds (one to guarantee faithful performance
and the other to guarantee payment for labor and materials) furnishes the required
insurance certificates and endorsements, and furnishes any other certifications as
may be required by the Contract, then this obligation shall be null and void; otherwise
it shall remain in full force and effect. In the event suit is brought upon this bond by
the OWNER and judgment is recovered, said Surety shall pay all costs incurred by
the OWNER in such suit, including reasonable attorneys' fees to be fixed by the
court.
SIGNED AND SEALED, this i (ILIA day of
E. C. Construction Co. (SEAL)
Principal
lly: y:
Signatu KEUrVETH D.LvftL VA*
Pacts ow-r
March 2q
Travelers Casualty & Surety
Corn an A America
Su 4 W
Klgrf r La PV H. Merrill
Attorney —In —Fact
CBF -9
CALIFORNIA ALL - PURPOSE ACKNOWLEDGMENT
State of California 1
County of Los Angeles J
On March 16, 2012 before me, Priya Neilly, Notary Public
Dab Here Insert Name am i m of me dieter
personally appeared Gary B. Merrill
Namelal of signer(s)
who proved to me on the basis of satisfactory
evidence to be the person(s) whose name(s) is/are
subscribed to the within instrument and acknowledged
to me that he /sheAhey executed the same in
his/her/their authorized capacity(ies), and that by
his/her/their signature(s) on the instrument the
person(s), or the entity upon behalf of which the
person(s) acted, executed the instrument.
PRIYA REILLY 1 certify under PENALTY OF PERJURY under the
Commission s 1916491 laws of the State of California that the foregoing
Notary Public - California paragraph ' rue n sect.
Los Angeles County
+
M Comm. Expires sa 13.2015 WITNESS my Vand p4 official peal .
Signature:
Place NOU" Seal Above Ik
OPTIONAL
Though the information below is not required by law, it may prove valuable to sons relying on the document
and could prevent fraudulent removal and reattachment or this k to another document.
Description of Attached Document
Title or Type of Document:
Document Date:
Signer(s) Other Than Named Above:
Capacity(les) Claimed by Signer(s)
Signer's Name: _ Signer's Name:
❑ Corporate Officer — Title(s):
• Individual
• Partner — ❑ Limited ❑ General Top or thumb here
EX Attorney in Fact
❑ Trustee
❑ Guardian or Conservator
❑ Other:
Signer Is Representing:
Number of Pages:
❑'Corporate Officer — Tttle(s):
• Individual
e
• Partner — ❑ Limited ❑ General Top of thumb here
• Attorney in Fact
❑ Trustee
❑ Guardian or Conservator
❑ Other:
Signer Is Representing:
0 2009 National Notary Ass=asOrr • NabonalNotary.org • 1 -800-US NOTARY (1- 800 - 876.6827) Rem 05907
WARNING: THIS POWER OF ATTORNEY IS INVALID
ndF& POWER OF ATTORNEY
TRAVELERS J Farmington Casualty Company St. Paul Mercury Insurance Company
Fidelity and Guaranty Insurance Company Travelers Casualty and Surety Company
Fidelity and Guaranty Insurance Underwriters, Inc. Travelers Casualty and Surety Company of America
St. Paul Fire and Marine Insurance Company United States Fidelity and Guaranty Company
St. Paul Guardian Insurance Company
Attorney -In Fact No. 223256 Certificate No. O O 4 6 O 3 8 7 0
KNOW ALL MEN BY THESE PRESENTS: That St. Paul Fire and Marine Insurance Company, St. Paul Guardian Insurance Company and St. Paul Mercury Insurance
Company are corporations duly organized under the laws of the State of Minnesota, that Farmington Casualty Company, Travelers Casualty and Surety Company, and
Travelers Casualty and Surely Company of America are corporations duly organized under the laws of the State of Connecticut, that United States Fidelity and Guaranty
Company is a corporation duly organized under the laws of the State of Maryland, that Fidelity and Guaranty Insurance Company is a corporation duly organized under
the laws of the State of Iowa, and that Fidelity and Guaranty Insurance Underwriters. Inc., is a corporation duly organized under the laws of the State of Wisconsin
(hemin collectively called the "Companies "), and that the Companies do hereby make, constitute and appoint
Gary B. Merrill
of the City of Pasadena , State of Califomia , their true and lawful Anomey(s) -in -Fact,
each in their separate capacity if more than one is named above, to sign, execute, seal and acknowledge any and all bonds, recognizances, conditional undertakings and
other writings obligatory in the nature thereof on behalf of the Companies in their business of guaranteeing the fidelity of persons, guaranteeing the performance of
contracts and executing or guaranteeing bonds and undertakings required or permitted in any actions or proceedings allowed by law.
IN WITNESS WHEREOF, the Companies have caused this instrument to be signed and thew corporate seals to he hereto affixed this
day of October 2011
Farmington Casualty Company
Fidelity and Guaranty Insurance Company
Fidelity and Guaranty Insurance Underwriters, Inc.
St. Paul Fire and Marine Insurance Company
St. Paul Guardian Insurance Company
20th
Sl, Paul Mercury insurance Company
Travelers Casualty and Surety Company
Travelers Casually sad Surety Company of America
United States Fidelity and Guaranty Company
c wau J. �4 „xr ., •y s'Y3 a e, .... -..! � g
( 9 9 E!eA�ra?'^ 9 g` yEA) &` SBEL� / s::M+',�,._... eOf . �An .11NaF'
State of Connecticut
City of Hartford ss.
ey: J
Ceorg Thompson, tor ice President
On this the 20Th day of Oe tObef 2011 , before me personally appeared George W. Thompson, who acknowledged
himself to be the Senior Vice President of Farmington Casualty Company, Fidelity and Guaranty Insurance Company, Fidelity and Guaranty Insurance Underwriters,
Inc., St. Paul Fire and Marine Insurance Company, St. Paul Guardian Insurance Company, St. Paul Mercury Insurance Company, Travelers Casualty and Surely
Company, Travelers Casualty and Surety Company of America, and United States Fidelity and Guaranty Company, and that he, as such, being authorized so to do,
executed the foregoing instrument for the purposes therein contained by signing on behalf of the corporations by himself as a duly authorized officer.
a to Witness Whereof, I hereunto set my hand and official sea]My Commission expires the 30th day of June, 2016.
Made C. Teacault. Notary Public
58440.6-11 Printed in U.S.A.