Contract/Bond_Temperley Excavating for Bowling & Beyond Site Foundation Removal Copyrighted
November 18, 2019
City of Dubuque Consent Items # 21.
ITEM TITLE: ImprovementContracts / Performance, Paymentand
Maintenance Bonds
SUMMARY: Robinson Brothers Environmental, Inc. for the Multicultural
Family Center Hazardous Building Materials Removal
Project; Temperley Excavating, Inc. for the Bowling and
Beyond Site Foundation Removal Project.
SUGGESTED DISPOSITION: Suggested Disposition: Receiveand File;Approve
ATTACHMENTS:
Description Type
ContracVBond - Robinson Brothers Environmental, Inc. Supporting Documentation
ContracVBond - Temperly E�avating, I nc. Supporting Documentation
SECTION 00500
Page 1 of 6
PUBLIC IMPROVEMENT CONTRACT
SECTION 00500
BOWLING AND BEYOND SITE - FOUNDATION REMOVAL PROJECT
THIS IMPROVEMENT CONTRACT (the Contract), made in triplicate, dated for references
purposes the 25th day of October , 2019 between the City of Dubuque, lowa, by its City
Manager, through authority conferred upon the City Manager by its City Council (City),
and Tem erle Excavatin Inc. (Gontractor).
For and in consideration of the mutual covenants herein contained, the parties hereto agree
as follows:
CONTRACTOR AGREES:
1. To furnish all material and equipment and to perform all labor necessary for the Bowlinq and
F3eyond Site - Foundation Removal (Project).
2. CONTRACT DOCUMENTS
A. The Contract Documents consist of the following:
1. Project Title Page (Section 00100).
2. Project Directory Page (Section 00101).
3. This Public Improvement Contract (Section 00500).
4. Performance, Payment, and Maintenance Bond (Section 00600).
5. Out-of-State Contractor Bond (Section 00610).
6. The lowa Statewide Urban Design And Specifications (SUDAS) 2017 Edition.
7. ClTY OF D�lB!l�UE Su�plemsr+a! Specif;catior�s 2Q'!7 Edition.
8. Other Standard and Supplementary Specifications as listed on the Title Page of the
Contract Document Manual.
9. Special Provisions included in the project Contract Document Manual.
10.Drawings -Sheet No. C100 through No. C107 (08 pages) or drawings consisting of
shePts bearing the followinc� general title:
11.Addenda (numbers _to _ , inclusive).
12.Insurance Provisions and Requirements (Section 00700).
13.Sales Tax Exemption Certificate (Section 00750).
14.Site Condition Information (Section 00775).
15.Construction Schedule and Agreed Cost of Delay (Section 00800).
16.Erosion Control Certificate (Section 00900).
17.Other Project Information and Permits (Sections 10000-10010).
18.Exhibits to this Contract (enumerated as follows):
a. Contractor's Bid (pages to inclusive).
SECTION 00500
Page 2 of 6
b. Bidder Status Form (Section 00460).
c. The following documentation that must be submitted by Contractor prior to Notice
of Award.
i. Contractor Background Information Form (Section 00471)
ii.
iii.
19.The following which may be delivered or issued on or after the Effective Date of the
Agreement:
a. Notice to Proceed (Section 00850).
b. Change Orders (Not attached to this agreement).
There are no other Contract Documents. The Contract Documents may only be amended,
modified, or supplemented as provided in General Conditions.
3. All materials used by the Contractor in the Project must be of the quality required by the
Contract Documents and must be installed in accordance with the Contract Documents.
4. The Contractor must remove any materials rejected by the City as defective or improper, or
any of said work condemned as unsuitable or defective, and the same must be replaced or
redone to the satisfaction of the City at the sole cost and expense of the Contractor.
5. Five percent (5%) of the Contract price will be retained by the City for a period of thirty (30)
days after final completion and acceptance of the Project by the City Council to pay any claim
by any party that may be filed for labor and materials done and furnished in connection with
the perFormance of this Contract and for a longer period if such claims are not adjusted within
that thirty (30) day period, as provided in lowa Code Chapter 573 or lowa Code Chapter 26.
The City will also retain additional sums to protect itself against any claim that has been filed
against it for damages to persons or property arising through the prosecution of the work and
such sums will be held by the City until such claims have been settled, adjudicated or
otherwise disposed of.
6. The Contractor has read and understands the Contract Documents herein referred to and
agrees not to plead misunderstanding or deception related to estimates of quantity,
character, location or other conditions for the Project.
7. In addition to any warranty provided for in the specifications, the Contractor must also fix any
other defect in any part of the Project, even if the Project has been accepted and fully paid
for by the City. The Contractor's maintenance bond will be security f�r a period of two years
after the issuance of the Certificate of Substantial Completion.
8. The Contractor must fully complete the Project under this Contract on or before the date
indicated in the Construction Schedule and Agreed Cost of Delay Section of the Contract
Documents.
9. INDEMNIFICATION FROM THIRD PARTY CLAIMS. To the fullest extent permitted by law,
Contractor shall defend, indemnify and hold harmless City, its officers and employees, from
and against all claims, damages, losses and expenses claimed by third parties, but not
including any claims, damages, losses or expenses of the parties to this Contract, including
but not limited to attorneys' fees, arising out of or resulting from performance of this Contract,
provided that such claim, damages, loss or expense is attributable to bodily injury, sickness,
SECTION 00500
Page 3 of 6
disease or death, or injury to or destruction of property, including loss of use resulting there
from, but only to the extent caused in whole or in part by negligent acts or omissions of
Contractor, or anyone directly or indirectly employed by Contractor or anyone for whose acts
Contractor may be liable, regardless of whether or not such claim, damage, loss or expense
is caused in part by a party indemnified hereunder.
10. The Contractor hereby represents and guarantees that it has not, nor has any other person
for or in its behalf, directly or indirectly, entered into any arrangement or Contract with any
other Bidder, or with any public officer, whereby it has paid or is to pay any other Bidder or
public officer any sum of money or anything of value whatever in order to obtain this Contract;
and it has not, nor has another person for or in its behalf directly or indirectly, entered into
any Contractor arrangement with any other person, firm, corporation or association which
tends to or does lessen or destroy free competition in the award of this Contract and agrees
that in case it hereafter be established that such representations or guarantees, or any of
them are false, it will forfeit and pay not less than ten percent (10%) of the Contract price but
in no event less than $2,000.00 (Two Thousand Dollars) to the City.
11. The surety on the Bond furnished for this Contract must, in addition to all other provisions,
be obligated to the extent provided for by lowa Code 573.6 relating to this Contract, which
provisions apply to said Bond.
12. The Contractor agrees, and its Bond is surety therefore, that after the Certificate of
Substantial Completion has been issued by the City, it will keep and maintain the Project in
good repair for a period of two (2) years.
13. The Project must be constructed in strict accordance with the requirements of the laws of the
State of lowa, and the United States, and ordinances of the City of Dubuque, and in
accordancP with the C;ontract Documents.
A. All applic;able standards; ordsrs, or rPgulations issued pursuan# to the Clean Air Act of
1970 (42 U. S. C. 1958 (H) et. seq.) and the Fsderal Water Pollution Act (33 U. S. C.
1368 et. seq.) as amended, Executive Order 11738, and Environmental Protection
Agency regulations (40 CFR, Part 15). Contractor must comply with Section 103 and
107 of the Contract Work Hours and Safety Standards Act (40 USC 327-330) and
Department of Labor Regulations (29 CFR, Part 5).
l3. Equipment �r proc�ucts authorizPd to bP purchasec� with federal funding awarded for this
Contract must be American-made to the maximum extent feasible, in accordance with
Public Law 103-121, Sections 606(a) and (b).
C. The City of Dubuque in accordance with Title VI of the Civil Rights Act of 1964, 78 Stat.
252, 42 U.S.C. 2000d-2000d-4 and Title 49, Code of Federal Regulations, Department
of Transportation, Subtitle A, Office of the Secretary, Part 21, Nondiscrimination in
Federally assisted programs of the Department of Transportation issued pursuant to
such Act, hereby notifies all bidders that it will affirmatively insure that in any contract
entered into pursuant to this advertisement, minority business enterprises will be
afforded full opportunity to submit bids in response to this invitation and will not be
discriminated against on the grounds of race, color, national origin, sex, age, or disability
in consideration for an award.
SECTION 00500
Page 4 of 6
CONSENT DECREE
RELATING TO THE PROJECT
14. � THIS CONTRACTOR IS PERFORMING WORK FOR THE CITY OF DUBUQUE RELATED l"O
THE WATER & RESOURCE RECOVERY CENTER OR THE SANITARY SEWER
COLLECTION SYSTEM. THEREFORE, THE CONSENT DECREE AND THIS SECTION ARE
APPLICABLE.
CITY CONTRACTOFt
� THIS CONTRACTOR IS NOT PERFORMING WORK FOR THE CITY OF DUBUQUE
RELATED TO THE WATER & RESOURCE RECOVERY CENTER OR THE SANITARY
SEWER COLLECTION SYSTEM. THEREFORE THE CONSENT DECREE AND THIS
SECTION ARE NOT APPLICABLE.
The City has entered into a Consent Decree in the case of The United States of America, and the State
of lowa v. The City of Dubuque, lowa, Civil Action Number Case 2:11-cv-01011-EMJ, Civil Action
Number 2008V00041, DOJ Case Number 90-5-1-1-09339, United States District Court for the Northern
District of lowa. The provisions of the Consent Decree apply to and are binding upon the City and its
officers, directors, employees, agents, servants, successors, assigns, and all persons, firms and
corporations under contract with the City to perform the obligations of the Consent Decree.
The City is required to provide a copy of the Consent Decree to any contractor or consultant retained to
perForm work required by the Consent Decree.
A copy of the Consent Decree is included ' in the Contract Documents and can be viewed at
17ttq:1lwww,citvafdubu�u�.arplDacum�rtt�enterlHomelView131 T3. A hard copy is available upon
requ�st at the City's Engineering Department Office.
The City must condition any contract to perform work required under the Consent Decree upon
performance of the work in conformity with the provisions of the Consent Decree.
The Consent Decree also provides that until five (5) years after the termination of the Consent Decree,
the City must retain, and must instruct its contractors and agents to preserve, all non-identical copies of
all documents, reports, data, records, or other information (including documents, records, or other
information in electronic form) in its or its contr�ctors' or agents' possEssion or control, or that come into
its or its contractors' or agents' possession or control, and that relate in any manner to the City's
perFormance of its obligations under this Consent Decree, including any underlying research and
analytical data. This information-retention period, upon request by the United States or the State, the
City must provide copies of any documents, reports, analytical data, or other information required to be
maintained under the Consent Decree. At the conclusion of the information-retention period, the City
must notify the United States and the State at least ninety (90) Days prior to the destruction of any
documents, records, or other information subject to such requirements and, upon request by the United
States or the State, the City must deliver any such documents, records, or other information to the EPA
or IDNR.
CERTIFICATION BY CONTRACTOR
The undersigned, on behalf of the Contractor, with full authority to act on behalf of the Contractor,
certifies to the City of Dubuque as follows:
SECTION 00500
Page 5 of 6
1. I have received a copy of the Consent Decree in the case of The United States of
America, and the State of lowa v. The City of Dubuque, lowa, Civil Action Number
Case 2:11-cv-01011-EMJ, Civil Action Number 2008V00041, DOJ Case Number 90-
5-1-1-09339, United States District Court for the Northern District of lowa.
2. All work performed will be in conformity with the provisions of the Consent Decree.
3. All documents reports, data, records, or other information (including documents,
records, or other information in electronic form) that relate in any manner to the
perFormance of obligations under the Consent Decree, including any underlying
research and analytical data, will be retained as required by the Consent Decree.
4. The Contractor agrees to defend, indemnify, and hold harmless the City, its officers,
agents, or �mployees from and against any claims, including penalties, costs and
fees as provided in the Consent Decree, relating to or arising out of the Contractor's
failure to comply with the Consent Decree.
CONTRACTOR:
N/A
Contractor
By:
Signature
Printed Name
Title
Date
SECTION 00500
Page 6 of 6
THE CITY AGREES:
15. Upon the completion of the Contract, and the acceptance of the Project by the City Council,
and subject to the requirements of law, the City agrees to pay the Contractor as full
compensation for the complete perFormance of this Contract, the amount determined for
the total work completed at the price(s) stated in the Contractor's Bid Proposal and less
any Agreed Cost of Delay provided for in the Contract Documents.
CONTRACT AMOUNT $ 70,000.00
CITY OF DUBUQUE, IOWA:
City Manager's Office
Department
By:
Signature
Michael C. Van Milligen
Printed Name
City Manager
Title �
�� r
Date
CONTRACTOR:
Temperley Excavatin�, Inc.
Contractor
By: .�-----�
Signature
��
Printed Name
.�'
Title
GG���19
Date
___= END OF SECTION 00500 =___
SECTION 00600
Page 1 of 4
PERFORMANCE AND PAYMENT BOND
SECTION 00600 Bond No.2295636
KNOW ALL BY THESE PRESENTS:
That we, Tem erle Excavatin ,Inc. as
Principal (hereinafter the "Contractor" or "Principal") and North American Specialty Insurance
Company _ , as Surety are held and firmly bound unto the
City of Dubuque, lowa, as Obligee (hereinafter referred to as "Owner"), and to all persons who
may be injured by any breach of any of the conditions of this Bond in the penal sum of
_ _ Sevent�Thousanddollars
( $ 70,OQ0.o4 ), lawful money of the United States, for the payment of which sum,
well and truly to be made, we bind ourselves, our heirs, legal representatives and assigns, jointly
or severally, firmly by these presents.
The conditions of the above obligations are such that whereas said Contractor entered into a
contract with the Owner, bearing date the 25t" day of_ October , 2019,
(hereinafter the "Contract")wherein said Contractor undertakes and agrees to construct the
following project in accordance with the Contract Documents, and to faithfully perform all the terms
and requirements of said Contract within the time therein specified, in a good and workmanlike
manner, and in accordance with the Contract Documents. The Contract Documents for
Bowling and Beyond Foundation Removal Project
detail the following described improvements:
This project involves the removal of the foundation wall, concrete floor slab, light poles and
their uases, t�ve{ve i��hes of sand fram sa�� pi.s, and back fil�it�� w�th lirnes���e scr�eri�gs.
It is expressly understood and agreed by the Contractor and Surety in this Bond that the following
provisions are a part of this Bond and are binding upon said Contractor and Surety, to-wit:
1. PERFORMANCE: The Contractor shall well and faithfully observe, perform, fulfill, and
abide by each and every covenant, condition, and part of said Contract and Contract
Documents, by reference made a part hereof, for the project, and shall indemnify and save
harmless the Owner from all outlay and expense incurred by the Owner by reason of the
Contractor's default of failure to perform as required. The Contractor shall also be
responsible for the default or failure to pPrform �s required i.ander the C�ntract ancl Contract
Documents by all its subcontractors, suppliers, agents, or employees furnishing materials
or providing labor in the performance of the Contract.
2. PAYMENT: The Contractor and the Surety on this Bond hereby agreed to pay all just
claims submitted by persons, firms, subcontractors, and corporations furnishing materials
for or performing labor in the performance of the Contract on account of which this Bond is
given, including but not limited to claims for all amounts due for labor, materials, lubricants,
oil, gasoline, repairs on machinery, equipment, and tools, consumed or used bythe
SECTION 00600
Page 2 of 4
Contractor or any subcontractor, wherein the same are not satisfied out of the portion of the
contract price the Owner is required to retain until completion of the improvement, but the
Contractor and Surety shall not be liable to said persons, firms, or corporations unless the
claims of said claimants against said portion of the contract price shall have been
established as provided by law. The Contractor and Surety hereby bind themselves to the
obligations and conditions set forth in Chapter 573 of the lowa Code, which by this
reference is made a part hereof as though fully set out herein.
3• GENERAL: Every Surety on this Bond shall be deemed and held bound, any contract to the
contrary notwithstanding, to the following provisions:
A. To consent without notice to any extension of time authorized in approved change
orders to the Contractor in which t� perf�rm the Contract;
B. To consent without notice to any change in the Contract or Contract Documents,
authorized in approved change orders which thereby increases the total contract price
and the penal sum of this Bond, provided that all such changes do not, in the
aggregate, involve an increase of more than twenty percent (20°/o) of the total contract
� price, and that this Bond shall then be released as to such excess increase;
C. To consent without notice that this Bond shall remain in full force and effect until the
Contract is completed, whether completed within the specified contract period, within
an extension thereof, or within a period of time after the contract period has elapsed
and the liquidated damage penalty is being charged against the Contractor.
The Contractor and every Surety on the Bond shall be deemed and held bound, any contract to the
conirary noiwithstanaing, to fhe foilowing provisions:
D. That no provision of this Bond or of any other contract shall be valid that limits to less
than five (5)years after the acceptance of the work under the Contract the right to sue
on this Bond.
E. That as used herein, the phrase "all outlay and expense" is not to be limited in any
way but shall include the actual and reasonable costs and expenses incurred by the
Owner including interest, benefits, and overhead where applicable. Accordingly, "all
outlay and expense"would inc;lude but r�ot be lirnited to all coniract or employee
expense, all equipment usage or rental, materials, testing, outside experts, attorney's
fees (including overhead expenses of the Owner's staff attorneys), and all costs and
expenses of litigation as they are incurred by the Owner. It is intended the Contractor
and Surety will defend and indemnify the Owner on all claims made against the
Owner on account of Contractor's failure to perfiorm as required in the Contract and
Contract Documents, that all agreements and promises set forth in the Contract and
Contract Documents, in approved change orders, and in this Bond will be fulfilled, and
that the Owner will be fully indemnified so that it will be put into the position it would
have been in had the Contract been performed in the first instance as required.
SECTION 00600
Page 3 of 4
In the event the Owner incurs any "outlay and expense" in defending itself against any claim as to
which the Contractor or Surety should have provided the defense, or in the enforcement of the
promises given by the Contractor in the Contract, Contract Documents, or approved change
orders, or in the enforcement of the promises given by the Contractor and Surety in this Bond, the
Contractor and Surety agree that they wiil make the Owner whole for all such outlay and expense,
provided that the Surety's obligation under this Bond shall not exceed one hundred twenty-five
percent (125%) of the penal sum of this Bond.
In the event that any actions or proceedings are initiated regarding this Bond, the parties agree that
the venue thereof shall be Dubuque County, State of lowa. If legal action is required by the Owner
to enforce the provisions of this Bond or to collect the monetary obligation incurring to the benefit of
the Owner, the Contractor and the Surety agree, jointly, and severally, to pay the Owner all outlay
and expense incurred therefor by the Owner. All rights, powers, and remedies of the Owner
hereunder shall be cumulative and not alternative and shall be in addition to all rights, powers, and
remedies given to the Owner, by law. The Owner may proceed against surety for any amount
guaranteed hereunder whether action is brought against the Contractor or whether Contractor is
joined in any such action(s) or not.
NOW THEREFORE, the condition of this obligation is such that if said Principal shall faithfully
perform all the promises of the Principal, as set forth and provided in the Contract, in the Contract
Documents, and in this Bond, then this obligation shall be null and void, otherwise it shall remain in
full force and effect.
When a work, term, or phrase is used in this Bond, it shall be interpreted or construed first as
defined in this Bond, the Contract, or the Contract Documents; second, if not defined in the Bond,
Contract, or Contract Documents, it shall be interpreted or construed as defined in applicable
provisions of the lowa Code; third, if not defined in the lowa Code, it shall be interpreted or
construed according to its generally accepted meaning in the construction industry; and fourth, if it
has no generally accepted meaning in the construction industry, it shall be interpreted or
construed according to its common or customary usage.
Failure to specify or particularize shall not exclude terms or provisions not mentioned and shall
not limit liability hereunder. The Contract and Contract Documents are hereby made a part of this
Bond.
SECTION 00600
Page 4 of 4
Project No. 350/360-1053
Witness our hands, intriplicate, this �Rrh day of october , 2019.
SURETY COUNTERSIGNED BY:
Title
FORM APPROV Y:
Not Required ,-- _
Signature of Agent
Representative f Owner
Printed Name of Agent
SURETY:
Company Address
North m ican S ecial '� rance Com an
Suret any
City, State,Zip Code
By.
Signature Attorney-in-Fac Offi r
Company Telephone Number
Dion R.Young,Attornev-in-fact&IA Resident Agent
Printed Name of Attorney-in-Fact Officer
PRINClPAL:
Holmes,Murphy and Associates,LLC
Tem erle Excavatin Inc. Company Name
Contra�#pr._.-.- _
. --�-�_� 2727 Grand Prairie Parkway
By: "�� � Company Address
S'gnature ��
• Waukee,IA 50263
G � � .+Eac-a-- City, State,Zip Code
rinted Name
(515)223-6800
Company Telephone Number
NOTE:
1. All signatures on this performance, payment, and maintenance Bond must be original
signatures in ink; copies, facsimile, or electronic signatures will not be accepted.
2. This Bond must be sealed with the Surety's raised, embossingseal.
3. The name and signature of the Surety's Attorney-in-Fact/Officer entered on this Bond
must be exactly as listed on the Certificate or Power of Attorney accompanying this
Bond.
___= END OF SECTION 00600 =___
�
SWISS R�CORPORATF,SOLU'I'IONS
NORTH AMERTCAN SPECIALTY INSURANCE COMPANY
WASHINGTON INT�RNATIONAL 1NSURANCE COMPANY
WESTPOR'I'INSURANCE CORPORATION
GEN�RAL POW�R Or ATTORNEY
KNO��ALL MGN BY THGS�PRI:SI:NTS,TIIAT North American Speci�lty Insurance Company,a corporation duly organized a�id existiug under
laws of the St��te of New Hampshire,and having its principal office in the City of Overland I'ark,Kansas aud Wasliingtou International Insurance
Couipany a corporation orglnized and existing under the laws of the State of New Hauipsl�ire and having its principal office in the City of Overlaud
Park,Kansas,and Westport Insurance Corporation,organized under the laws of the State of Missouri,and h�ving its principal office in the City of
Overland Park,Kansas each does hereby make,coustihite aud appoint:
JAY D.FRI'sIERMUTH,CRAIG E.HANSEN,BRIAN M.DEIMERLY,SHIRLEY S.BAR'l'ENHAGEN,CINDY BENN1sTT,ANNE CROWNER,
TI�I McCUId.OH„STACY VGNN,DIONE R.YOUNG,and WENDY ANN CASEY JOINTI.Y OR SEVERALI,Y
Its true aud lawful Attorney(s)-in-Fact,to make,execute,seal and deliver,for and on its beh�lf and as its act and deed,bonds or other writings
oUligatoiy in the nature of a Uond on Uehalf of each of said Companies,�s surety,on contracts of suretyship as are or may be required or permitted by
la�v,regulation,contract or otherwise,provided that no Uond or undertaking or contract or suretyship executed under this authority shall exceed the
amouut of: ONE HUNDRED TWF.NTY FIVF,MILLION($]25,000,000.00)DOLLARS
Tl�is Power of Attorney is granted and is signed Uy facsimile under and by the autl�ority of tl�e following Resolutions adopted by the Boards of
Directors of North American Specialty Insuiance Company and Washington International Insurance Coinpany at meetings duly called and held
on March 24,2000 and Westport Insurance Corporltion by written consent of its F,xecutive Committee dated July 18,2011.
"RESOLVED,that a�ry two of the President,any Senior Vice President,any Vice President,any Assistant Vice President,
the Secretlry or 1ny Assistant Secretary be,and each or auy of them hereby is authorized to execute a Yower of Attorney qualifying the attorney named
in the given Power of Attoruey to execirte on behalf of the Company bonds,undertlkings and all contracts of surety,and that each or any of them
hereby is authorized to attest to the execution of any such Power of Attorney and to attach therein the seal of the Company; and it is
FURTHER RESOLVED,that the signature of such officers and the seal of the Company ruay be aftixed to any such Power of Attorney or to any
certificate re(ating thereto by facsimile,and any such Power of Attomey or certiGcate bearing such facsimile siguatures or facsimile seal shall be
binding upon tl�e Company when so affixed and iii the future with regard to auy bond,undertaking or contract of surety to which it is attached."
\Illitllll!/! yaau�x'�Ni°�OUrypiiii��
�������G1AU7V j����O��i �,m`Q,aPS10Nq��Np�,� ��F
��gQ.:�PFOqR�G� ��::40RPORq�,S�G-p�'c By ,` .,,"".,.�
'1�,,G T�.�y� �'`', S.�L t�`.q� S[ereu . n erson,acmor �cc res� ent o xs�ngton nrernanuna nsnrance Comp�np f'�Q�����
. �`�L '.�� �0:� ?ry 6 &Senior Vice Yresident of North American Specialty Insurance Company F� �7G/ti,���;
�w�Z 7973 Ui:n� �C~'�'• ?n� &Senior Vice President of Westport Insarance Corporation z �£�
,r` `� � � � �:
��, Z�. O ��"/�/
i�,' !;!pM45.r i"� �'�yiS��kiM���� B / !� ��y�_ ,�f�1
o,,;s-1• ,�da��� ,�b'•••...........� � y »Wa��.
`'����������11\���\`l, r�/�l0qy��jl�NStt���� �Iike A.Ilo,Seninr Yice Presidenl of R'ashington International Insurance Company *
&Senior Vice President ofnortli American Speciaity Insurance Company
&Senior Vice Prcsident of R'estport Insurance Corporation
IN WITN�SS WH�REOP,NorQi American Specialty Insurance Company,Washington International Insurance Compairy and Westport
InsLirance Corporation have caused their official seals to be hereuuto affixed,and these presents to be signed by their authorized officers this
this 3rd _day of_ November �,Zp 17
North American Specialty Insurance Company
Washington International lnsurance Company
State of lllinois Westport lnsurance Corporatimi
County of Cook ss:
On this 3rd day of November ,20 l�,before me,n Notary Public personally appeared Steven P.Auderson ,Senior Vice President of
Wasl�ington Liternational Iusurance Company and Senior Vice Presidenl of North American Specialty Iusurance Company and Senior Vice President of
Westport Insurance Corporation and Michael A.Ito Senior Vice President of Wasliington International Insurance Company and Senior Vice President
of North American Specialty Insurauce Company and Senior Vice President of�'Vestport Insttrance Corporation,personally luiowu to me,�vho
being by me duly sworn,acknowledged that they signed the above Power of Attorney as officers of and acknowledged said instrwnent to be the
voluntary act and deed of their respective companies.
OFFICIAL SFAI ( �.
M.KENNY . � � •
Nolary Pu6fic•Statc ef Illinois
My��uaMioii%�'"`5 Nf.Kenny,Notary Public �
[, Jeffi�ey Goldberg , the diily elected Vice President and Assistant Secretary of North American Specialty Insurance Company,Wasliington
International lnsurance Compairy and Westport Insurance Corporation do hereUy certify that the above and foregoing is a true and correct copy of a
Power of Attorney given by said Nortl�Americau Specialty Insuraince Company,Washington International Insurance Compauy 1nd Westport lusurauce
Corporation whicli is still in fiill force and effect.
1N WITNESS WHEREOF,I have set my hand and aftixed the seals of the Compauies tl�is?8th_day of October , 2019.
�.,�//' ���r: _
Jeffrcy(iuldber�,\�icc Pmsiden[R Assislan[Secre[ary of N'ashington In[ernational Insurance('ompan}&
tionh American Specialiy lnsurance('ompany Nc Vice Presideni&Assistnnt Secreuiry of R'esipa�Inavance('orporaiion