HomeMy WebLinkAboutOpening of Bids - Century Center Cooling Tower Replacement Project No. 117-035 - Herrman & Goetz, Inc.i
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CITY OF SOUTH BEND, INDIANA
CONTRACTOR'S BID FOR PUBLIC WORK l865
CHECKLIST FOR BIDDERS
Project Name Century Center Cooling Tower Replacement
Project No. 117-035
For Bids Due June 27, 2017
From time to time the South Bend Board of Public Works finds it necessary to reject a bid
because it does not comply with statutory requirements. In preparing your bid, please use the
following checklist in order to make sure that your bid is done in the proper manner.
Proper bid security included. The bidder has the option of providing either a Certified Check
x or Bid Bond.
Bid prepared on the City of South Bend Contractor's Bid for Public Work Form, completely
x executed.
Contractor's Non -Collusion and Non -Debarment Affidavit, Certification Regarding Investments
with Iran, Employment Eligibility Verification, Non -Discrimination Commitment, and
Certification of use of United States Steel Products or Foundry Products.
Proof of MBEIWBE Participation Goal Form [MWBE-1.0]. If minimum participation goal is not
met, also provide Evidence of Good Faith Efforts Form [MWBE-2.0] and MBEIWBE Contacted
x Form [MWBE-2.1].
Acknowledge Receipt of Addendum(s) included with the bid,
x All required additional information is included with the bid.
Proposal statements and other affidavits all signed by the proper party with name either
x printed or typed underneath signature.
_ This checklist submitted with the Bid.
This checklist is provided for bidder's use in assuring compliance with required
documentation; however, it does not include all specifications requirements and does not
relieve the bidder of the need to read and comply with the specifications.
Bidder: Herrman & Goetz, Inc. Date: Jun-e 27, 2017
By Authorized Representativg�
Signature:
Print Name & Title:
Project No. 117-035
Ceine. P. 0. A.
Contractor's Bid for Public Works - 1
7
IL
CITY OF SOUTH BEND, INDIANA
CONTRACTOR'S BID FOR PUBLIC WORK
Project Name
Project No.
For Bids Due
Century Center Cooling Tower Replacement
117-035
June 27, 2017
PART
(Must be completed for all bids. Please type or print)
Date: June 27, 2017._.._ Bidder(Firm): Herrman & Goetz, Inc.
Address: 2
45UUmrr h�,
x
1865'_ "
City/State/Zip: So. Bend, IN 46601 Telephone Number: { 574 ) 282-2596
Agent of Bidder (if Applicable): NIA
Pursuant to notices given, the undersigned offers to furnish labor and/or material necessary to complete the
public works project of:
Centur Center Cooling Tower Replacement
the City of South Bend, Indiana, in accordance with plans and specifications prepared by:
M/EADesign Services
and dated
for the sum of (enter the Total Bid as shown on the Proposal)
Two hundred seventy five thousand Dollars
(Enter sum of Total Base Bid)
275,000.00
(Numerical)
The undersigned further agrees to furnish a bond or certified check with this bid for an amount specified
in the notice of the letting. If alternative bids apply, the undersigned submits a proposal for each in
accordance with the notice. Any addendums attached will be specifically referenced at the applicable
page.
If additional units of material included in the contract are needed, the cost of units must be the same as
that shown in the original contract if accepted by the City of South Bend. If the bid is to be awarded on a
unit basis, the itemization of the units shall be shown separat ent.
B
(Signature)
LaZCripe, Power--of—Attorney
(Printed Name of Person Signing)
ACCEPTANCE
The above bid is accepted this day of
Subject to the following conditions:
BOARD OF PUBLIC WORKS
Gary A. Gilot, President
Elizabeth A. Maradik, Member
Suzanna M. Fritzberg, Member
Therese J. Dorau, Member
James A. Mueller, Member Attest: Linda M. Martin, Clerk
Project No. 117-035 Contractor's Bid for Public Works - 2
20
PARTIT
(ComI) Iete sections 1. 11-and Ill fnr tell SW(C 111d IOcal pcthIie WOI-kS I)rojecis)
These statements to he SUbIllittCd lmder oath by each bidder with and as a part of' Iris hid, (Attach
additional pages fnr each se:ctimi as needed,)
SECTION [EXPERIENCE QUESTIONNAIRE
I . What pulpit vvorks projects has your org-anization completed?
Colltl•act
Amount
Class of
Work
When
Completed
Name and Address of
Owne1.
$2,781,321.
Mechanical.
2/2016
Buchanan Schools --Middle School_
$ 689,037.
Electrical
4/2016
Elkhart CSO 6 & 7
84 000.
1 Mechanical
1 2/2015
lRochester Community Schools
2. What puhlic works projects has your organization now in process of construction:
Contract
Amount:
Class of
Work
"Illell
Completcd
Name and Address of
Ownct-
45
Electrical
4 2017
E. Pulaski School Corp-H.S.
$ 834,301.60
Electrical.
9/2017
Niles Community Schools --Ring Lard
627 066, 1
Mechanical 1
12/2017
Rochester Community Schools-H.S.
Hm/c yoll ever failed to Complete any wol—k "IN"larded to von?
why?
no 1 f so, where and
4- List refel-ences from private f€1-ms fot- which you have pel,formcd work.
__Hem-x.ia7.__Ilosgi_ta1 QL_ South fiend _ T Honeywell_
St. Joseph Regional Med Ctr. Nosh & Plymouth Bethel College
Utilimaster
13nifrax
er
TSC..' 2 15 161 Dial Form Scelion 00 31 (10-7
3, Have you ever failed to complete any work awarded to you? _ no — If so, where and why?
4. List references from private firms for which you have performed work.
— Cuer Academies Memorial Hospital of South Bend
Carpenter Co. Honeywell
St. Joseph Regional Med Ctr. South Bend Medical Foundation
SECTION it PLAN AND EQUIPMENT QUESTIONNAIRE
1, Explain your plan or layout for performing proposed work. (Examples could include a narrative of when you
could begin work, completed the project, number of workers, etc. and any other information which you believe
would enable the governmental unit to consider your bid.)
In conjunction with construction manager & other trades
2. If you intend to sublet any portion of the work, state the name and address of each subcontractor, equipment
to be used by the subcontractor, and whether you expect to require a bond. However, if you are unable
to currently provide a listing, please understand, a listing must be provided prior to contract approval.
Unknown at this time
3. What equipment do you have available to use for the proposed project? Any equipment to be used by
subcontractors may also be required to be listed by the governmental unit.
As required
4. Have you entered into contracts or received offers for all materials which substantiate the prices used in
preparing your proposal? Otherwise, please explain the rationale used which would corroborate the prices
listed.
Yes
7
PART II
(For projects of $100.000 or more — IC 36-1-12-4)
These statements to be submitted under oath by each bidder with and as part of his bid.
Attach additional pages for each section as needed.
SECTION I EXPERIENCE QUESTIONNAIRE
1. Attach information regarding projects your organization has completed for the period of one
(1) year prior to the date of the current bid.
2. Attach a listing of public works projects currently in process of construction by your
organization.
3. Attach information regarding any failure to complete any work awarded to you and the
location thereof.
4. Attach references from private firms for which you have performed work.
SECTION II PLAN AND EQUIPMENT QUESTIONNAIRE
1. Attach an explanation of your plan or layout for performing proposed work. (Examples could
include a narrative of when you could begin work, complete the project, number of workers,
etc, and any other information which you believe would enable the City of South Bend to
consider your bid.)
2. Attach a listing of the names and addresses of all subcontractors (i.e. persons or firms
outside your own firm who have performed part of the work) that you have used on public
works projects during the past five (5) years along with a brief description of the work done
by each subcontractor.
3. If you intend to sublet any portion of the work, attach the name and address of each
subcontractor, equipment to be used by the subcontractor, and whether you will require a
bond. However, if you are unable to currently provide a listing, please understand a listing
must be provided prior to contract approval. Until the completion of the proposed project,
you are under a continuing obligation to immediately notify the City of South Bend in the
event that you subsequently determine that you will use a subcontractor on the proposed
project.
4. Attach a listing of equipment you have available to use for the proposed project,
5. Have you entered into contracts or received offers for all materials which substantiate the
prices used in preparing your proposal? If not, attach an explanation for the rationale used
which would corroborate the prices listed.
® SECTION III CONTRACTOR'S FINANCIAL STATEMENT
■ Attachment of bidder's financial statement is mandatory. Any bid submitted without said
financial statement as required by statute shall thereby be rendered invalid. The financial
statement provided hereunder to the City of South Bend awarding the contract must be specific
enough in detail so that said City of South Bend can make a proper determination of the
bidder's capability for completing the project if awarded.
IProject No. 117-035 Contractor's Bid for Public Works - 3
When the prospective Contractor is tunable to certify to any of the statements below, it shall attach an explanation
to this Affidavit.
CONTRACTOR'S NON -COLLUSION AND NON -DEBARMENT AFFIDAVIT, CERTIFICATION
REGARDING INVESTMENT WITH IRAN, EMPLOYMENT ELIGIBILITY VERIFICATION, NON-
DISCRIMINATION COMMITMENT AND CERTIFICATION OF USE OF UNITED STATES STEEL
PRODUCTS OR FOUNDRY PRODUCTS
(Must be completed for all quotes and bids. Please type or print)
STATE .OF Indiana „ )
SS:
COUNTY )
The undersigned Contractor, being duly sworn upon his/her/its oath, affirms sander the penalties of penury
that:
1. Contractor has not, nor has any other member, representative, or agent of the Firm, company,
corporation or partnership represented by him, entered into any combination, collusion or agreement with
any person relative to the price to be bid by anyone at such letting nor to prevent any person from bidding
nor to induce anyone to refrain from bidding, and that this bid is made without reference to any other bid
and without any agreement, understanding or combination with any other person in reference to such
bidding. Contractor Further says that no person or persons, firms, or corporation has, have or will receive
directly or indirectly, any rebate, fee, gift, commission or thing of value on account of such sale; and
2. Contractor certifies by submission of this proposal that neither contractor nor any of its principals
are presently debarred, suspended, proposed for debarment, declared ineligible, or voluntarily excluded
from participation in this transaction by any Federal department or agency; and
3. Contractor has not, nor has any successor to, nor an affiliate of, Contractor, engaged in
investment activities in Iran.
a. For purposes of this Certification, "Iran" means the government cf Iran and any
agency or instrumentality of Iran, or as otherwise defined at Ind. Code § 5-22-16.5-5,
as amended from time -to -time.
b. As provided by Ind. Code § 5-22-16.5-8, as amended from time -to -time, a Contractor
is engaged in investment activities in Iran if either:
Contractor, its successor or its affiliate, provides goods or services of twenty
million dollars ($20,000,000) or more in value in the energy sector of Iran;
or
ii. Contractor, its successor or its affiliate, is a financial institution that extends
twenty million dollars ($20,000,000) or more in credit to another person for
Harty -five (45) days or snore, if that person will (i) use the credit to provides
goods and services in the energy sector in Iran; and (ii) at the time the
financial institution extends credit, is a person identified on list published by
the Indiana Department of Administration.
Project No. 117-035 Contractor's Bid for Public Works - 4
J
4. Contractor does not knowingly employ or contract with an unauthorized alien, nor retain any
employee or contact with a person that the Contractor subsequently learns is an unauthorized alien.
Contractor agrees that he/she/it shall enroll in and verify the work eligibility status of all of Contractor's
newly hired employees through the E-Verify Program as defined by I.C. 22-5-1.7-3. Contractor's
documentation of enrollment and participation in the E-Verify Program is included and attached as part of
this bid/quote; and
5. Contractor shall require his/her/its subcontractors performing work under this public contract to
certify that the subcontractors do not knowingly employ or contact with an unauthorized alien, nor retain
any employee or contract with a person that the subcontractor subsequently learns is an unauthorized alien,
and that the subcontractor has enrolled in and is participating in the E-Verify Program. The Contractor
.agrees to maintain this certification throughout the term of the contract with the City of South Bend, and
understands that the City may terminate the contract for default if the Contractor fails to cure a breach of
this provision no later than thirty (30) days after being notified by the City.
6. Persons, partnerships, corporations, associations, or joint venturers awarded a contact by the City
of South Bend through its agencies, boards, or commissions shall not discriminate against any employee or
applicant for employment in the performance of a City contact with respect to hire, tenure, terms,
conditions, or privileges of employment, or any matter directly or indirectly related to employment because
of race, sex, religion, color, national origin, ancestry, age, gender expression, gender identity, sexual
orientation or disability that does not affect that person's ability to perform the work.
In awarding contracts for the purchase of work, labor, services, supplies, equipment, materials, or any
combination of the foregoing including, but not limited to, public works contracts awarded under public
bidding laws or other contracts in which public bids are not required by law, the City, its agencies, boards,
or commissions may consider the Contractor's good faith efforts to obtain participation by those
Contractors certified by the State of Indiana as a Minority Business ("MBE") or as a Women's Business
Enterprise ("WBE") as a factor in determining the lowest, responsible, responsive bidder.
In no event shall persons or entities seeking the award of a City contract be required to award a subcontract
to an MBE/WBE; however, it may not unlawfully discriminate against said WBE/MBE. A Finding of a
discriminatory practice by the City's MBE/WBE Utilization Board shall prohibit that person or entity from
being awarded a City contract for a period of one (1) year from the date of such determination, and such
determination may also be grounds for terminating the contact for which the discriminatory practice or
noncompliance pertains.
7. The undersigned contractor agrees that the following nondiscrimination commitment shall be
made a part of any contract which it may henceforth enter into with the City of South Bend, Indiana or any
of its agencies, boards or commissions.
Contractor agrees not to discriminate against or intimidate any employee or applicant for employment in
the performance of this contract with privileges of employment, or any matter directly or indirectly related
to employment, because of race, religion, color, sex, gender expression, gender identity, sexual orientation,
handicap, national origin or ancestry. Breach of this provision may be regarded as material breach of
contract.
1, the undersigned bidder or agent as contractor on a public works project, understand my statutory
obligations to the use of steel products or foundry products made in the United States (I.C. 5-16-8-1). 1
hereby certify that 1 and all subcontractors employed by me for this project will use steel products or
foundry products made in the United States on this project if awarded. l understand I have an affirmative
duty to notify the City in my bid that my proposal does not include the use of steel products or foundry
products made in the United States. 1 understand it is my sole obligation and responsibility to provide a
justification to the City, subject to review and approval, why the cost of United States made steel or
foundry products is unreasonable. Prior to award and upon submission of bid which does not use steel
products or foundry products made in the United States, the City, through its director of public works, shall
Project No. 117-035 Contractor's Bid for Public Works - 5
make a determination it the price of United States made steel or foundry is unreasonable. I understand that
violations hereunder may result in forfeiture of contractual payments,
I hereby affirm under the penalties of perjury that the facts and information contained in the foregoing bid
for public works are true and correct.
Dated this 2 7 th day of June , 20 1.7
Herrman & Goetz Inc.
Contrac rider {Firth
Si atur f Contr or/Bidder or Its Agent
Printed Name and Title
Subscribed and sworn to before me this 27 rh day of , 20 17
My Commission Expires 7/1-312022
Notary Public Catherine J • Gruber
County of Residence
Project No. 1 17-035 Contractor's Bid for Public Works - 6
,
BIB/PROPOSAL } l
CITY OF SOUTH BEND
Project Name Century Center Cooling Tower Replacement
Project No. 117-035
For Bids Due .tune 27, 2017
MA Z:=
Diu
Description
Quantity
Unit
Unit Price
Total Amount
item
No.
Tower Replacement and associated
LS
----
$275,000.0
1
work using the base specification tower.
ALTERNATE #1
Item Description
No.
Add 'Baltibo
1
specification
ALTEF
Item
No.
1
BASE BID TOTAL $275,000.00
Quantity Unit Unit Price 1 Total Amount
id" coating to the Lase 1 LS ____
9 000.00
tower.
ALTERNATE #1 TOTAL $9,000.00 (ADD)
,NA] L IF1
Description
Quantity
Unit
Unit Price
Total Amount
In lieu of the Alternate #1 "Baltibond",
provide the standard galvanized finish
$7 000.00
on the Base Bid Tower, but replace the
1
LS
____
,
distribution trays and cold water basin
with all 316 stainless steel materials and
fasteners.
ALTERNATE #2 TOTAL $7,000.00 (ADD)
By
( gnature)
La ry Ctipe, Power-of-Attorne
(Printed Name of Person Signing)
Project No. 117-035 Contractor's Bid for Public Works - 7
ALTERNATE 93
i
Stem
No.
Description
Quantity
Unit
Unit Price
Total Amount
In lieu of the base specification tower,
provide a Marley AV Series, 3-cell
Tower as described as an Alternate in
the specifications. This Alternate should
not only include the alternate tower, but
1
LS
----
i
should also include design and
associated installation work necessary
for structural, electrical and mechanical
modifications to accommodate the
—$20 000 00
alternate bid tower.
ALTERNATE f#3 TOTAL
• 1
$20,000.00 (DEDUCT)
/-►L 1 Gf�iY
Item
No.
/Y 1 L. tt'T
Description
Quantity
Unit
Unit Price
Total Amount
In lieu of the galvanized materials
covered in the Alternate #3 above, the
drain trays and cold water basin shall be
1
LS
----
1
fabricated of 316 stainless steel with
$5,000.00
stainless steel fasteners.
ALTERNATE ##4 TOTAL $5,000.00 (ADD)
Bidder (Firm): Herrman & Goetz, Inc.
Address:. Lafa efts Blvd.
GitylState/Zip: So Bend, IN 66 iephone Number: 574 282-2596
(Signature)
Larry Crij2e, Power —of --Attorney
(Printed Name of Person Signing)
Project No. 117-035 Contractor's Bid for Public Works - 8
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CITY OF SOUTH BEND uF.o
I
MINORITY AND WOMEN BUSINESS ENTERPRISE DIVERSITY
DEVELOPMENT PROGRAMY 'J
FORM MWBE-2.1
'
MBEIWBE CONTACTED ibas
This completed form should be supplied with Bids that pertain to City of South Bend Public Works Projects
requiring contacted MBEIWBE to obtain Good Faith Efforts. It is the bidder's sole responsibility to verify
whether any listed minority or woman business meets the qualifications of a Minority or Women's owned
business.
PAGE OF
Project Number: 117-035 MBEIWBE Participation Goal
j
Project Name: Century Center Cooling Tower Replacement
i
Bidder: Herr Goetz, Inc.
i
By: Power-of-Attor-ney June 27, 2017
(Title) (Date)
MBENVJKEFirm Not able to attain quotes from anyone
Owner or Contact at MBEMBE Firm
Telephone: Fax: Email:
TYPE OF WORK SOLICITED FOR THIS PROJECT:
RESULTS OF CONTACT WITH THE MBE/WBE FIRM
MBEIWBE Firm
Owner or Contact at MBEANBE Firm
Telephone: Fax: Email:
TYPE OF WORK SOLICITED FOR THIS PROJECT:
RESULTS OF CONTACT WITH THE MBEIWBE FIRM:
Project No. 117-035 Contractor's Bid for Public Works -11
CNASURETY
CONTRACTOR:
(Name, legal status and address)
Herrman & Goetz, Inc.
225 S. Lafayette Blvd.
South Bend, IN 46601
OWNER:
(Name, legal status and address)
City of South Bend, Indiana - Board of Public Wrks
County -City Bldg Rm 1316 - 227 W Jefferson Blvd
South Bend, IN 46601
Bond No. Bid Bond
SURETY: Continental Casualty Company ; IL Corporation
(Name, legal status and principal place
of business)
333 S. Wabash Avenue
41st Floor
Chicago, IL 60604
BOND AMOUNT: 5% Five Percent of Amount Bid
PROJECT:
(Name, location or address, and Project number, if any)
Century Center Cooling Tower Replacement
This document has Important legal
consequences. Consultation with
an attorney is encouraged with
respect to its completion or
modification.
Any singular reference to
Contractor, Surety, Owner or
other party shall be considered
plural where applicable.
The Contractor and Surety are bound to the Owner in the amount set forth above, for the payment of which the
Contractor and Surety bind themselves, their heirs, executors, administrators, successors and assigns, jointly and
severally, as provided herein. The conditions of this Bond are such that if the Owner accepts the bid of the Contractor
within the time specified in the bid documents, or within such time period as may be agreed to by the Owner and
Contractor, and the Contractor either (1) enters into a contract with the Owner in accordance with the terms of such
bid, and gives such bond or bonds as may be specified in the bidding or Contract Documents, with a surety admitted
in the jurisdiction of the Project and otherwise acceptable to the Owner, for the faithful performance of such Contract
and for the prompt payment of labor and material furnished in the prosecution thereof; or (2) pays to the Owner the
difference, not to exceed the amount of this Bond, between the amount specified in said bid and such larger amount
for which the Owner may in good faith contract with another party to perform the work covered by said bid, then this
obligation shall be null and void, otherwise to remain in full force and effect. The Surety hereby waives any notice of
an agreement between the Owner and Contractor to extend the time in which the Owner may accept the bid. Waiver of
notice by the Surety shall not apply to any extension exceeding sixty (60) days in the aggregate beyond the time for
acceptance of bids specified in the bid documents, and the Owner and Contractor shall obtain the Surety's consent for
an extension beyond sixty (60) days.
If this Bond is issued in connection with a subcontractor's bid to a Contractor, the term Contractor in this Bond shall
be deemed to be Subcontractor and the terra Owner shall be deemed to be Contractor.
When this Bond has been furnished to comply with a statutory or other legal requirement in the location of the Project,
any provision in this Bond conflicting with said statutory or legal requirement shall be deemed deleted herefrom and
provisions conforming to such statutory or other legal requirement shall be deemed incorporated herein. When so
furnished, the intent is that this Bond shall be construed as a statutory bond and not as a common Iaw bond.
Signed and sealed this 27th day of June 2017
Printed in cooperation with the American Institute of Architects (AIA).
The language in this document conforms to the language used in AIA Document A310 - Bld Bond - 2010 Edition.
POWER OF ATTORNEY APPOINTING INDIVIDUAL ATTORNEY -IN -FACT
Know All Men By These Presents, That Continental Casualty Company, an Illinois insurance company, National Fire Insurance Company of
Hartford, an Illinois insurance company, and American Casualty Company of Reading, Pennsylvania, a Pennsylvania insurance company (herein called
"tire CNA Companies"), are duly organized and existing insurance companies having their principal offices in the City of Chicago, and Slate of Illinois,
and that they do by virtue of the signatures and seals herein affixed hereby make, constitute and appoint
Trade House , Individually
of South Bend, IN their true and lawful Attorney -in -Fact with full power and authority hereby conferred to sign, seat and execute for and
on their behalf bonds, undertakings and other obligatory instruments of similar nature
- In Unlimited Amounts -
Surety Bond No.: Bid Bond
Principal: Herrman & Goetz, Inc.
Obligee: City of South Bend, Indiana - Board of Public W orks
and to bind them thereby as fully and to the same extent as if such instruments were signed by a duly authorized officer of their insurance companies and
all the acts of said Attorney, pursuant to the authority hereby given is hereby ratified and confirmed.
This Power of Attorney is made and executed pursuant to and by authority of the By -Law and Resolutions, printed on the reverse hereof, duly
adopted, as indicated, by the Boards of Directors of the insurance companies.
In Witness Whereof, the CNA Companies have caused these presents to be signed by their Vice President and their corporate seals to be hereto
affixed on this 5th day of April, 2017.
wry a�'uAir} 1HSt1R� ANY OF
GGRr`RArf`� �ORYgFtgrF
z
20 SEAL
7897 "ARYt`r •
Continental Casualty Company
National Fire Insurance Company of Hartford
American Ca ally Company of Re ding, Pennsylvania
Paul T. Bruflat Wee President
State of South Dakota, County ofMinnehaha, ss:
On this 5th day of April, 2017, before me personally came Paul T. Bruflat to me known, who, being by me duly sworn, did depose and say: that he
resides in the City of Sioux Falls, State of South Dakota; that he is a Vice President of Continental Casualty Company, an Illinois insurance company,
National Fire Insurance Company of Hartford, an Illinois insurance company, and American Casualty Company of Reading, Pennsylvania, a
Pennsylvania insurance company described in and which executed the above instrument; that he knows the seals of said insurance companies; that the
seals affixed to the said instrument are such corporate seals; that they were so affixed pursuant to authority given by the Boards of Directors of said
insurance companies and that he signed his name thereto pursuant to like authority, and acknowledges same to be the act and deed of said insurance
companies.
J. MOHR
�my"P 00
sov 0AXG'TA
My Commission Expires June 23, 2021 J. Mohr V Notary Public
CERTIFICATE
1, D. Johnson, Assistant Secretary of Continental Casualty Company, an Illinois insurance company, National Fire Insurance Company of Hartford,
an Illinois insurance company, and American Casualty Company of Reading, Pennsylvania, a Pennsylvania insurance company do hereby certify that the
Power of Attorney herein above set forth is still in force, and further certify that the By -Law and Resolution of the Board of Directors of the insurance
companies printed on the reverse hereof is still in force. In testimony whereof have hereunto subscribed my name and affixed the seal of the said
insurance companies this 27th day of June , 2017.
tKSUR�NcF �`�p➢ANrOt,.
h
GpRpaAATE' S.x �„ccarrrar�
y a fUIY 31, �
_gyp a�
1891 HAIll •
Form F6853-4/2012
Continental Casualty Company
National Fire Insurance Company of Hartford
American Casualty Company of Reading, Pennsylvania
r
D. Johnson Assistant Secretary
Authorizing By -Laws and Resolutions
ADOPTED BY THE BOARD OF DIRECTORS OF CONTINENTAL CASUALTY COMPANY:
This Power of Attorney is made and executed pursuant to and by authority of the following resolution duly adopted by the Board of Directors of the Company at a
meeting held on May 12, 1995:
"RESOLVED: That any Senior or Group Vice President may authorize an officer to sign specific documents, agreements and instruments on behalf of the
Company provided that the name of such authorized officer and a description of the documents, agreements or instruments that such officer may sign will be
provided in writing by the Senior or Group Vice President to the Secretary of the Company prior to such execution becoming effective."
This Power of Attorney is signed by Paul T. Bruflat, Vice President, who has been authorized pursuant to the above resolution to execute power of attorneys on
behalf of Continental Casualty Company.
This Power of Attorney is signed and sealed by facsimile under and by the authority of the following Resolution adopted by the Board of Directors of the Company by
unanimous written consent dated the 251' day of April, 2012:
"Whereas, the bylaws of the Company or specific resolution of the Board of Directors has authorized various officers (the "Authorized Officers")to execute
various policies, bonds, undertakings and other obligatory instruments of like nature; and
Whereas, from time to time, the signature of the Authorized Officers, in addition to being provided in original, hard copy format, may be provided via facsimile or
otherwise in an electronic format (collectively, "Electronic Signatures"); Now therefore be it resolved: that the Electronic Signature ofany Authorized Officer
shall be valid and binding on the Company, "
ADOPTED BY THE BOARD OF DIRECTORS OF NATIONAL FIRE INSURANCE COMPANY OF HARTFORD:
This Power of Attorney is made and executed pursuant to and by authority of the following resolution duly adopted by the Board of Directors of the Company by
unanimous written consent dated May 10, 1995:
"RESOLVED: That any Senior or Group Vice President may authorize an officer to sign specific documents, agreements and instruments on behalf of the
Company provided that the name of such authorized officer and a description of the documents, agreements or instruments that such officer may sign will be
provided in writing by the Senior or Group Vice President to the Secretary of the Company prior to such execution becoming effective."
This Power of Attorney is signed by Paul T. Bruflat, Vice President, who has been authorized pursuant to the above resolution to execute power of attorneys on
behalf of National Fire Insurance Company of Hartford.
This Power of Attorney is signed and sealed by facsimile under and by the authority of the following Resolution adopted by the Board of Directors of the Company by
unanimous written consent dated the 25' day of April, 2012:
"Whereas, the bylaws of the Company or specific resolution of the Board of Directors has authorized various officers (the "Authorized Officers")to execute
various policies, bonds, undertakings and other obligatory instruments of like nature; and
Whereas, from time to time, the signature of the Authorized Officers, in addition to being provided in original, hard copy format, may be provided via facsimile or
otherwise in an electronic format (collectively, "Electronic Signatures"); Now therefore be it resolved: that the Electronic Signature of any Authorized Officer
shall be valid and binding on the Company."
ADOPTED BY THE BOARD OF DIRECTORS OF AMERICAN CASUALTY COMPANY OF READING, PENNSYLVANIA:
This Power of Attorney is made and executed pursuant to and by authority of the following resolution duly adopted by the Board of Directors of the Company by
unanimous written consent dated May 10, 1995:
"RESOLVED: That any Senior or Group Vice President may authorize an officer to sign specific documents, agreements and instruments on behalf of the
Company provided that the name of such authorized officer and a description of the documents, agreements or instruments that such officer may sign will be
provided in writing by the Senior or Group Vice President to the Secretary of the Company prior to such execution becoming effective."
This Power of Attorney is signed by Paul T. Bruflat, Vice President, who has been authorized pursuant to the above resolution to execute power of attorneys on
behalf of American Casualty Company of Reading, Pennsylvania,
This Power of Attorney is signed and sealed by facsimile under and by the authority of the following Resolution adopted by the Board of Directors of the Company by
unanimous written consent dated the 251' day of April, 2012:
"Whereas, the bylaws of the Company or specific resolution of the Board of Directors has authorized various officers (the "Authorized Officers")to execute
various policies, bonds, undertakings and other obligatory instruments of like nature; and
Whereas, from time to time, the signature of the Authorized Officers, in addition to being provided in original, hard copy format, may be provided via facsimile or
otherwise in an electronic format (collectively, "Electronic Signatures"); Now therefore be it resolved: that the Electronic Signature of any Authorized Officer
shall be valid and binding on the Company. "
POWER OF ATTORNEY
I, Thomas J. Herrman, President and Resident Agent of an Indiana Corporation in
good standing known as Herrman & Goetz, Inc., do hereby nominate and appoint Larry
Cripe, an employee of said Corporation, who resides at 67950 Yankee Lane, Edwardsburg,
Michigan to act as attorney -in -fact to do the following acts for me in my name, as President
and Resident Agent.
1. To possess the full powers to execute and enter into. all business related
contracts on behalf of the Corporation, as any other authorized agent of said Corporation
would have the ability to sign/execute, including myself.
2, The powers granted by this document shall begin on July 1, 2016 and
conclude/expire on June 30, 2017 or to such other extended time as shall be made by
written faxed extension executed by me to this authorization.
3. The powers extended by this document may be filed for record in any public
office as just circumstances might dictate and the original and all executed duplicates shall
have equal force, validity and effect.
I declare, as President and Resident Agent of Herrman & Goetz, Inc. that any lawful
act or thing done under the powers granted by this Power of Attorney, shall be binding on
the Corporation.
IN WITNESS WHEREOF, 1, .Thomas J, Herrman, President and Resident Agent of
Herrman & Goetz, Inc. have signed this instrument on this the 23rd day of June, 2016.
Thomas J. Herrman
President and Resident Agent
Herrman & Goetz, Inc.
Subscribed and sworn to before me, a Notary Public, residing in St. Joseph County,
State of Indiana, this the 23rd day of June, 2016
Catherine J. Gr ber
Notary Public
Residing in St. Joseph County, State of IN
My Commission Expires 7/13/2022
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