E.C. ConstructionBIDDER: e7'C - an&v:.4N~l
BID SCHEDULE
SCHEDULE OF PRICES FOR
DEL MAR AVENUE RESURFACING PROJECT
PROJECT No. P45625
BASE BID SCHEDULE
UNIT OF
EST.
UNIT
ITEM
NO.
ITEM DESCRIPTION
MEASURE
QTY.
PRICE
COST
1
Clearing & Grubbing per plans and
specifications. See technical
LS
1
~'X,
provisions TP-2.
/
2
Disposal of Waste Materials.
LS
1
~ 2~•
Q
3
Construct Compacted Selected
CY
50
~ b
/ 1~
Fill.
•
4
Earthwork, Roadway, Excavation
& Fill
LS
1
Sc 5• OV
2
,
5f
7-
.
B
1
5
Cold mill variable thickness 1.25
inches and 2.5 inches at edge of
SF
108,600
0 • `y~~~
29 ~~J r
gutter, see construction plans per
detail.
6
Construct 2.5 inch thick pavement
TONS
1,680
W57, O+
~ b7•
overlay ARHM-GG-C (PG 64-16).
7
Construct 1/2 inch thick Asphaltic
TONS
325
? 0 O
34
Leveling course D1 PG 64-10.
,
8
Remove inches of existing
pavement t and replace it with 4-
SF
3,970
J ~b
inches of AC (B-PG 64-10) Base
I
Course.
9
Construct PCC Curb Ramp per
APWA Std
Pl
111-3
EA
13
an
.
.
10
Construct PCC Spandrel per
SF
300
U"o
r Q~
`
"O
APWA Std. Plan 122-1.
l
11
Install 4-inch thick PCC Sidewalk.
SF
202
12
Install Survey Well Monument per
EA
5
City of Rosemead Std. Plan S08-
001. See Section 2-9 Surveying of
the General Provision-7 per
details (Cover, Sleeve & Dome will
be provided by the City at no cost).
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BIDDER: ~ ,
~1 ~ u- C
13
Adjust Sewer Manhole to Grade
per APWA Std. Plan 205-1 and
206-1.
EA
18
14
Adjust Water Valve/Gas Valve to
EA
16
u V
f rl/~ v
Grade.
15
Install Traffic Striping, Traffic
Signal Loops, and Pavement
LS
1
~g5
5
Markers per Plans and
-D
,
Specifications Complete.
27C)-1 NO
L w o "A",tr . cam w rr~+ w; ;Au
Dollar amount in written form 1 C a
ALTERNATE BID ITEM 1
NO.
ITEM DESCRIPTION
UNIT OF
MEASURE
EST.
CITY.
UNIT
PRICE
ITEM
COST
16
Construct Traffic Signal
Modification at Del Mar Avenue
LS
1
Q
Qr(t+
QQ
and Garvey Avenue per plans and
l-
f
specification on sheet 6 complete.
17
Construct Traffic Signal
LS
1
Modification at Del Mar Avenue
V
and Highcliff Avenue per plans and
VV
specification on sheet 7 complete.
TOTAL ALTERNATE BID PRICE (SCHEDULE BID PRICE): $ U( /t J , L)U
LAC~L
Dollar amount in written form
GRAND TOTAL (BASE BID AND ALTERNATE) $ `T r I - ~O
-417
Dollar amount in written form
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.
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
CBF-2
s
BIDDER: &.Uc Vk
party, 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.
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.
Atted hereto is a certified check, a cashier's check or bid bond i the amount of
Dollars said amount being not less tha (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 contractor's 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
and subject 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 - 3
1
t
L'
BIDDER: ~ - n0 c c1 n
V I
By:
Signature
]dip T-), Wa
Type or Print Name
-Frz~ i h ~ir
Title
Business Street Address
'5, 'FL-- i'Y►-o , Oa - q n--~,55
City, State (a~n~d~ fZip Code 1
Telephone Number
~A For
Bidder's/Contractor's State of Incorporation: L , h
Partners or Joint Venturers:
Bidder's License Number(s): 3W914
NOTES:
1) By its signature on this Bid, the Bidder certifies under penalty of perjury the accuracy of the
representations made on the Contract Bid Forms.
2) If Bidder is a corporation, enter State of Incorporation in addition to Business Address
3) 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 ioint venture has the authority to do so.
CBF-4
1
1
BIDDER: E. C, -
SECTION 2
BID DATA FORMS
CBF-5
BIDDER:
2.1B 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 Bidder's 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
I emergency or necessity, and then only after Owner approval.
fl
CBF - 7
' BIDDER:
' 23 LIST OF PROPOSED SUBCONTRACTORS (continued)
["Duplicate Next 2 Pages if needed for listing additional subcontractors."]
Name and Location Description of Work
of Subcontractor to be Subcontracted I .
q aw-pi
Name: ►1'Zlf~ _ tf-v _ b J
' Address:
Name and Location Description of Work
of Subcontractor to be Subcontracted
' Name: lM { r~7
Address:
'
Name and Location
Description of Work
of Subcontractor
to be Subcontracted
5vn, K b C
Name:
L(7d(~5
Address:
Name and Location Description of Work
of Subcontractor to be Subcontracted
Name: Vvv a
Address:
Name and Location
of Subcontractor
Description of Work
to be Subcontracted
Name:
Address:
CBF - 8
BIDDER: C l~V' Lr c
1
Type of Work
Date Completed
t'-
2. V r tAJvr V/ Y U17
Name and IAddress of Owner
vLairoe,
Name and telephone number of person familiar with project
~Molvx) Contrac amount Type of Work Date Completed
3. 1 4
Name
Name and telephone
0 Ac~n
Contract amount
4. I Jt,~ V
Name and
c
Air 6r
of Owner
Type of
-`wy--V
Date Completed
Name and telephone number of person familiar with project
Contract amount Type of Work Date Completed
of person familiar with proiect
A
of person familiar with project
W S75
CBF - 9
2.C 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
BIDDER: 00
SECTION 3
NON-COLLUSION AFFIDAVIT
CBF - 10
1
Signature
1.,ch r-,- ~ D' V~K1~ ye,
Typed c r Printed Name
V(--&, ~ i & k VVt/
Title
F e C,o ~(4 c ►,1
Bidder
1
Subscribed and sworn !for e
' This day of , 20
f
Notary lic in and
or
the ate of California
My Commission Expires:
See abc, ►P, ~
1
CBF - 11
rrc
BIDDER: E' C"
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
parry 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.
(Seal)
CALIFORNIA JURAT WITH AFFIANT STATEMENT
o See Attached Document (Notary to cross out lines 1-6 below)
❑ See Statement Below (Lines 1-5 to be completed only by document signer[s], not Notary)
Signature of Document Signer No. 1
State of California
County of a le
JOHN K. WALTERS
COMM. #1820641
Notary Publk• CAkmla
cower
Comm. Ekes Oct 30, 2012
Place Notary Seal Above
Signalure of Document Signer No. 2 (i1 any)
Subscribed and sworn to (or affirmed) before me on this
day of Am 1 20D9J by
Date Month Year
(1) ~enne~l, i~• 1n~a I~-ers ,
Name of Signer
proved to me on the basis of satisfactory evidence
to be the person who appeared before me
(and
(2) ,
Name of Signer
proved to me on the basis of satisfactory evidence
to be the person who appeared before me.)
Signature .
Signature of Notary Public
OPTIONAL
Though the information below is not required by law, it may prove
valuable to persons relying on the document and could prevent
fraudulent removal and reattachment of this form to another document.
Further Description of Any Attached Document
Title or Type of Document:AOil collo,oit 400 ~QrAegj
Document Date:
Signer(s) Other Than Named Above:
Number of Pages:
•
•
it,
Top(;[ . ' T :h h
®2007 NabDnal Notary Associabon • 9350 De Soto Ave., RO. Box 2402 -Chatsworth, CA 91313-2402- www,Nabona[Notary.org Item 85910 Reorder Call 7611-Free 1-800.8768827
d4i14/IZIJUJ Wily
b2b444:ib / /
PAGE 04/06
1-~
BIDDER:
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 marry sheets as are necessaryto adequately provide
the information required. Bidder shall ensure that every page of its Bid Data Forms are property
identified with the Bidder's name and page number.
2.A BID BOND
KNOW ALL MEN BY THESE PRESENTS:
THAT E. C. Construction Co. as
Principal, and Travelers Casualty and Surety Company of America
, as Surety, are held firmly bound unto the
CITY OF ROSEMEAD (hereinafter called the OWNER) in the sum of
10% being not less than ten percent (10%) of the Total
Bid Price; forthe 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 Del Mar Avenue Resurfacing Project as set forth in the Notice
inviting Bids and accompanying Bid Documents, dated April 29, 2009
NOW, THEREFORE, H 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 bythe 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 27th dayof Aril 20 09
E. C. Construction Co. (SEAL)
Principal
Signature
Travel~s cAasu
me
Compa Arne
Attorney=
Surety
ill
CBF-6
CALIFORNIA ALL-PURPOSE ACKNOWLEDGMENT
State of California
County of Los Angeles
On April 27, 2009 before me, Priya Neilly, Notary Public ,
Date Here Insert Name and Title of the officer
personally appeared Gary B. Merrill
Name(s) 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/she/they 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.
r'<^ f.-;'e'' ClrNit,.. : i 767484 Z
D.'oPublic - -alifornla
Yi e F` tary o
z i l.~s An~e«s County
~M, Comm. Fx irt_> p. i 3, 2011
Place Notary Seal Above
I certify under PENALTY OF PERJURY under the laws
of the State of California that the foregoing paragraph is
true and correct. 1__~
WITNESS my hanc)arld official seal.
Signatu
Though the information below is not required by law, it may prove valuable to persdlfs relying on the document
and could prevent fraudulent removal and reattachment of this form to another document.
Description of Attached Document
Title or Type of Document:
Document Date:
Signer(s) Other Than Named Above:
Capacity(ies) Claimed by Signer(s)
Signer's Name:
L! Individual
❑ Corporate Officer -Title(s):
❑ Partner-' Limited I General
U Attorney in Fact
❑ Trustee
❑ Guardian or Conservator
❑ Other:
Signer Is Representing:
Number of Pages:
Signer's Name:
❑ Individual
CI Corporate Officer - Title(s):
❑ Partner Limited General
❑ Attorney in Fact
❑ Trustee
❑ Guardian or Conservator
❑ Other:
Signer Is Representing:
Top of In'wnt, tif~!e.
02007 National Notary Association- 9350 De Soto Ave.. P.O. Box 2402-Chatsworth. CA 91313-2402• www.NationatNotary.org Item #5907 Reorder: Call Toll-Free 1-80o-876.6a27
i WARNING: THIS POWER OF ATTORNEY IS INVALID WITHOUT THE RED BORDER
.A. POWER OF ATTORNEY
TRAVELERS 1 Farmington Casualty Company St. Paul Guardian Insurance Company
Fidelity and Guaranty Insurance Company St. Paul Mercury Insurance Company
Fidelitv and Guaranty Insurance Underwriters, Inc. Travelers Casualty and Surety Company
Seaboard Surely Company Travelers Casualty and Surety Company of America
St. Paul Fire and Marine Insurance Company United States Fidelity and Guaranty Compare
Altornev-In Fact No. 2 i 701 Certificate No. 002671858
KNOW ALL N1EN BY THESE PRESENTS: That Seaboard Surety Company is a corporation duly organized under the laws of the State of New York. 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 Surety 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 (herein collectively called the "Companies"), and that
the Companies do hereby make, cnnstitute and appoint
Gary B. Merrill, and James F. Huff
of the City of )?,acrolenn . State of Qrlif Mi'l . their true and lawful ,Attorney(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 instturnent to he signed and their corporate seals to he hereto affixed, this
day of October 2008
22nd
Farmington Casualty Company
Fidelity and Guaranty Insurance Company
St. Paul Guardian Insurance Company
St. Paul Mercury Insurance Company
Fidelity and Guaranty Insurance Underwriters, Inc.
Travelers Casualty and Surety Company
Seaboard Surety Company
Travelers Casualty and Surety Company of America
St. Paul Fire and Marine Insurance Company
United States Fidelity and Guaranty Company
GI,SU~ atArl~ 6 ~M ~Dg ~ ~r~zu4 •+4p y, _cll~Y
? aswQYr. i. fr 4 ~0.......... q ,P.... •y , D,•`, e~ $~1c~ h~ST"- qqb
D A Oi yw~,.~ f ftaPP011~)~y P~.'tOFA 4P r J
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1 9 8 2 o K i f' n ~ NtATFOim•
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COrMt Y `N 1tt96
i~~s ~ ~ 1951 s~ ~t.SEAL'o3 ~'tS87CL:'i s C0'~ S B Q ~
J 1 # ~s C .•.t. L6.. D t 4 y
d~a - ~ c, f~-.A~/ +r....• . 'tea r~ 'M~s 1~ ~wr) AIMbt'-
State of Connecticut
City of Hanford ss.
By:
C'eorE ' Thump.on. C)" icc 1're.idew
On this the 22nd day of October 2008 before me personally appeared George W. Thompson, who acknowledged himself
to he the Senior Vice President of Farmington Casualty Company, Fidelity and Guaranty Insurance Company. Fidelity and Guaranty Insurance Underwriters. Inc..
Seaboard Surety Company. St. Paul Fire and Marine Insurance Company. St. Paul Guardian Insurance Company. St. Paul Mercury Insurance Company, Travelers
Casualty and Surety Company. Travelers Casualty and Surety Company of America, and United States Fidelity and Guaranty Company, and that he. as such, being
authori zed 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.
In Witness Whereof. 1 hereunto set my hand and ntlirial seal.
Nty Commission expires doe 30th daN of June. _'01 1. `n &A4A C
R
ONO
\larie C. Tetreault. Notan Public
58440.5-07 Printed in U.S.A.
This Power of Attorney is granted under and by the authority of the following resolutions adopted by the Boards of Directors of Farmington Casualty Company, Fidelity
and Guaranty Insurance Company. Fidelity and Guaranty Insurance Underwriters. Inc., Seaboard Surety Company. St. Paul Fire and Marine Insurance Company,
St. Paul Guardian Insurance Company. St. Paul Mercury Insurance Company. Travelers Casualty and Surety Company. Tranelers C'asualt and Surety Company of
America, and United States Fidelity and Guaranty C ontpany, which resolutions are now in full force arid eflecl. reading as follows:
RESOLVED. that the Chairman. the President. any Vice Chairman, any Executive Vice President, any Senior Vice President. any Vice President, any Second Vice
President, the Treasurer, any Assistant Treasurer. the Corporate Secretary or any Assistant Secretary may appoint Attorneys-in-Fact and Agents to act for and on behalf
of the Company and may give such appointee such authority as his or her certificate of authority may prescribe to sign with the Company's name and seat with the
Company's seal bonds. recognizances, contracts of indenmity, and other writings obligatory in the nature of a bond, recognizance, or conditional undertaking. and any
of said officers or the Board of Directors at any time may remove any such appointee and revoke the power given him or her: and it is
FURTHER RESOLVED, that the Chairman, the President, any Vice Chairman, any Executive Vice President, any Senior Vice President or any Vice President may
delegate all or any part of the foregoing authority to one or more officers or employees of this Company. provided that each such delegation is in writing and a copy
thereof is filed in the office of the Secretary: and it is
FURTHER RESOLVED, that any bond, recognizance. contract of indemnity. or writing obligatory in the nature of it bond, recognizance, or conditional undertaking
shall be valid and binding upon the Company when (a) signed by the President, any Vice Chairman, any Executive Vice President, any Senior Vice President or any Vice
President, any Second Vice President, the Treasurer, any Assistant Treasurer. the Corporate Secretary or any Assistant Secretary and duly attested and seated with the
Company's seal by a Secretary or Assistant Secretary: or (h) duly executed (under seal, if required) by one or more Attornevs-in-Fact and Agents pursuant to the Power
prescribed in his or her certificate or their certificates of authority or by one or more Company officers pursuant to a written delegation of authority: and it is
FURTHER RESOLVED, that the signature of each of the following officers: President, any Executive Vice President. any Senior Vice President, any Vice President,
any Assistant Vice President, any Secretary, any Assistant Secretary, and the seal of the Company may be affixed by facsimile to any power of attorney or to any certificate
relating thereto appointing Resident Vice Presidents, Resident Assistant Secretaries or Attorneys-in-Fact for purposes only of executing and attesting bond;; and
undertakings and other writings obligatory in the nature thereof, and any such power of attorney or certificate hearing such facsimile signature or facsimile seal shall he
valid and binding upon the Company and any such power so executed and certified by such facsimile signature and facsimile seal shall be valid and binding on the
Company in the future with respect to any bond or understanding to which it is attached.
I, Kori M. Johanson, the undersigned, Assistant Secretary, of Fannington Casualty Company, Fidelity and Guaranty Insurance Company, Fidelity and Guaranty Insurance
Underwriters, inc., Seaboard Surety Company, St. Paul Fire and Marine Insurance Company. St. Paul Guardian Insurance Company. St. Paul Mercury Insurance
Company, Travelers Casualty and Surety Company, Travelers Casualty and Surety Company of America, and United States Fidelity and Guaranty Company do hereby
certify that the above and foregoing is a true and correct copy of the Power of Anorney executed by said Companies, which is in full force and effect and has not been
revoked.
IN TESTIMONY WHEREOF. I have hereunto set my hand and affixed the seals of said Companies this 27th day of Apr i 1 , ,009
n
Kori M. lohansdo/Assistant Secretary '
GPSUq $UFaff~. 0~--c4,:SEALio~ SHaIL;e° ep~r o" \ _"/tt "q t
t ~ 11~ OP rBN ~s . i.M jr..._..-^,. s1 P„+ ~ ~ /t17 AIM6
To verify the authenticity of this Power of Attorney. call 1-800-421-3880 or contact us at www.travelersbond.com. Please refer to the Attorney-ln-Fact number, the
above-named individuals and the details of the bond to which the power is attached.
ATTORNEY IS