HomeMy WebLinkAboutOpening of Quotations - Morris Bistro-Palais Lobby Improvements - Wilburn Construction Company LLCDate:
CITY OF SOUTH BEND, INDIANA
CONTRACTOR'S BID FOR PUBLIC WORK
Project Name Morris Performing Arts Centel'
Morris Bistro/Palais Lobby Improvements
Project No.
For Bids Due
1031-2017
December 21, 2017 9:30 AM
(Must be completed for all bids. Please type or print)
12/21/17 Bidder (Firm): Wilburn Construction Company, LLC
Address: 115 N. William Street
City/State/Zip:
South Bend, IN 46601
Telephone Number: ( 574 ) 315-8288
Agent of Bidder (if Applicable):
Pursuant to notices given, the undersigned offers to furnish labor and/or material necessary to complete the
public works project of:
Morris Bistro/ Palais Lobby Improvements
the City of South Bend, Indiana, in accordance with plans and specifications prepared by:
Alliance Architects
and dated
0HC- J�4"
(Enter sum
11 /27/17
Total Base Bid plus `After
for the sum of (enter the Total Bid as shown on the Proposal)
aces shown on Proposal) (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 on a s crate atia�hment.
8y
Mic elle Wilburn (signature)
The above bid is accepted this
Subject to the following conditions:
BOARD OF PUBLIC WORKS
Gary A. Gilot, President
Elizabeth A. Maradik, Member
(Printed Name of Person Signing)
ACCEPTANCE
day of
Suzanna M. Fritzberg, Member
Therese J. Dorau, Member
017
Version 10117/2016 Contractor's Bid for Public Works - 2
��h
QUOTEIPROPOSAL
CITY OF SOUTH BEND
PROJECT NAME Morris Performing Arts Center
Morris Bistro/Palais Lobby Improvements
PROJECT NO. 1031-2017
QUOTES DUE December 21, 2017 9:30 AM
Item n
No
Description
Quantity
Unit
Total
Amount
Furnish all labor, services, materials, insurance and equipment for the Morris
1
Bistro Improvements as described in Special Provisions -Project Description
1
Sump
2,05"6Q0
and Plans 1Specifications Sheets D1; Al-A4.
Furnish all labor, services, materials, insurance and equipment for the Palais
Lump
2
Lobby Improvements as described in Special Provisions -Project Description
1
Sum
2-00
and Plans 1 Specifications Sheets B1-B5.
TOTAL OF ITEM '1 AND ITEM 2
A Yt" Jlt
Item
No.
. Description
Quantity
Unit
Total
Amount
Delete all Demolition from Scope of Work as detailed in Drawing Sheet D1 with
1
the exception of the mechanical and electrical Work as described in Keynotes
1
Sump
�1 200
No. 2 12 and 13.
\IArr �ln
Item
Description
Quantity
Unit
Total
Amount
Na
Drawing Sheet D1-Keynote No. 4: Delete patch and repair from Scope of
1
Lump
rr ,I
1
Work; Pre surface for new carpet CPT-1 installation.
Sum
f t
uwW 11
A 1 TI"1'l\I ATr ill
Item"
No
Description
Quantity
Unit
Total
Amount
1
Substitute Partial Floor Plan 1AIAl for Partial Floor Plan 11Al on Drawing Sheet
1
Lump
Al.
Sum
w 1 Trn\1 wrr_ .IIA
Item
Description
Quantity
Unit
Total
Amount
No.
mou
1
Delete new wood platform, drapery/track and electrical from Scope of Work,
1
Lump
!�
described on Drawing Sheets Al A2 A3 A4.
Sum
. Yrnv Arr Jlr
Item"
Description
Quantity
Unit
Total
Amount
No.
Delete new picture and panel mold from Scope of Work, Detail 31A1, on
1
Lump
1
Drawings Sheets Al A2.
Sum
Version 10/17/2016 Contractor's Bid for Public Works - 6
Al TCah1ATC 4#9
Item
No.
Description
Quantity
Unit
Total
Amount
Amount
Delete decorative mirrors from Scope of Work as described on Drawing Sheets
1
Lump
1
A2 A3.
Sum
UC7M
Item
No.
Description
Quantity
Unit
Total
Amount
Substitute paint PS-2 and PS-3 for the specified wall covering and ceiling
1
Lump
1,900
1
covering as described on Drawin Sheets Al A2 A3.
Sum
AI w-caklA1r= "D
Item
No.
Description
Quantity
Unit
Total
Amount
Substitute VCT-1 for PT-1 in Bar 005 and Storage 006 as described on Drawing
1
Lump
1
Sheets Al A3.
Sum
���
t►Ts%%W�—
AI TGOki ATE.90
Item
No.
Description
Quantity
I
Unit
Total
I Amount
Delete decorative wall sconces (DF-1) from Scope of Work as described on
1
Lump
I
30 4co
1
Drawing Sheets A2 A4.
Sum
Firm; Wilburn Construction Company, LLC
Address: 115 N. William Street
City/State/Zip: South Bend, IN 46601 Telephone Number: ( 574 ) 315-8288
Fax Number: ( 866 ) 929-2137
Byr/�------
(Signature)
Michelle Wilburn
(Printed Name of Person Signing)
Version 10/17/2016 Contractor's Bid for Public Works - 7
James A. Mueller, Member
Attest: Linda M. Martin, Clerk
When the prospective Contractor is unable 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:
St. Joseph COUNTY )
The undersigned Contractor, being duly sworn upon his/her/its oath, affirms under the penalties of perjury
that:
I. 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
not 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 of 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:
i. 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
forty-five (45) days or more, 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.
Version 10/1712016 Contractor's Bid for Public Works - 3
4. Contractor does not knowingly employ or contract with an unauthorized alien, nor retain any
employee or contract 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 bis/her/its subcontractors performing work under this public contract to
certify that the subcontractors do not knowingly employ or contract 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 contract 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 contract 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 MBEIWBE 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 madc in the United States (I.C. 5-16-8-1). I hereby
certify that I 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. 1 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. I 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 make a determination
if the price of United States made steel or foundry is unreasonable. I understand that violations hereunder
Version 10/17/2016 Contractor's Bid for Public Works - 4
inay 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 21 st day of December2017
Subscribed and sworn to before me this 21 st
My Commission Expires
06/22/2022
County of Residence
Wilburn Construction Company, LLC
Contractor/ 'dder (Firm)
Sign ure of Contractor/Bidder or Its Agent
Michelle Wilburn, President
Printed Name and Title
day of December , 2017
Lc�
N tat), PublO Sherry L. White
St. Joseph
Version 10/17/2016 Contractor's Bid for Pubkic Works - 5
CITY OF SOUTH BEND
b �eurrie\L?>
MINORITY AND WOMEN BUSINESS ENTERPRISE DIVERSITY1,
DEVELOPMENT PROGRAM
FORM MWBE-1.0
MBENVBE PARTICIPATION
This completed form should be supplied with Bids that pertain to City of South Bend Public Worsts Projects involving MBE participation.
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.
Project Number: 1031-2017 Project Name: Morris Performing Arts Center Morris BistrolPalais Lobby Improvements
Bidder: Wilburn Construction Company, LLC Total Bid Amount 22Zlb
o"' MBEIWBE Goal: 7
Page of
Name & Address of MBEMBE
Primary Contact Person
(Name/Telephone)
Scope of Work to be Performed
(Attach scope/schedule if you need additional space)
Dollar Amount of
MBEIWBE Component
Percentage
of Total
Bid/Proposal
C. ct_c_r-
��� tom. 1�su;i•w Or.
222, Boo
Submitted by:
Michelle Wilburn
Print Name
Version 1011712016 Contractor's Bid for Public Works - 8
12/21/17
Date
CITY OF SOUTH BEND Via;
MINORITY AND WOMEN BUSINESS ENTERPRISE DIVERSITY fib
t:
DEVELOPMENT PROGRAM
FORM MWBE-2.0`"
EVIDENCE OF GOOD FAITH EFFORTS
This completed form should be included as part of the Bids documents related to City of South Bend Public
Works Projects requiring Good Faith Efforts to obtain MBEIWBE participation. 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 as defined by the Indiana Department of Administration ("IDOA").
Project Number:
Project Name:
Bidder:
Contact Person:
Address:
City:
Email:
1031-2017 Date: 12/21 /17
Morris Performing Arts Center, Morris Bistro/Palais Lobby improvements
Wilburn Construction Company, LLC
Michelle Wilburn
115 N. William Street
Telephone: 574-315-8288
South Bend State: Indiana zip: 46601
irn iJii,aue-i/ & n z
To determine whether a bidder has demonstrated good faith efforts to reach the MBEIWBE utilization goals set
forth in the City of South Bend Public Works Project Specifications, the City and its agencies, boards, or
commissions, REQUIRE ALL of the following Good Faith Efforts as listed in the table below'':
EVIDENCE OF GOOD FAITH EFFORTS
MBEIWBE LIST(S): The bidder reviewed the City of South Bend's Minority and Women Business
t�
Enterprise Diversity Development Program, which uses the IDOA approved list of Minority and Women
Owned Business as found on their website (http://www.in.gov/idoa).
ACTION (ADVERTISEICONTACT): In order for your bid to be deemed responsive, the City of South
Bend requires that all perspective bidders complete no less than 2 of the following:
1. Attend all pre -bid meetings scheduled by the City to inform MBE/WBEs of contracting and
subcontracting opportunities.
2. Advertise in general circulation and/or trade association publications concerning subcontracting
opportunities, and allow MBE/WBEs reasonable time to respond.
Perform any and all necessary steps to provide written notice in a manner reasonably calculated
to inform MBE/WBEs of subcontracting opportunities and allowed sufficient time for them to
participate effectively.
Utilize pre-existing services of available community organizations, small and/or disadvantaged
business assistance offices and other organizations that provided assistance in the recruitment
and placement of MBEIWBE firms.
*"Bidder must circle or otherwise notate which of the two f2) required actions were performed.
GOOD FAITH NEGOTIATIONS: The bidder negotiated in good faith with interested MBE/WBEs,
including providing such MBEIWBE's with adequate information about the plans, specifications and other
requirements of the subcontract and did not reject MBE/WBEs as unqualified without sound business
reasons based on a thorough investigation of their capabilities.
SMALL CONTRACT(S): The bidder selected specific portions of the work to be performed by
MBE/WBEs in order to increase the likelihood of meeting the MBEIWBE goals (including breaking down
contracts into smaller units to facilitate MBEIWBE participation)
CONTRACT RECORDS. The bidder has maintained the foiiowing records for each MBEIWBF- that has
bid on the subcontracting opportunity:
1. Name, address, and telephone number;
2. A description of information provided by the bidder or subcontractor; and
3. A statement of whether an agreement was reached, and if not, why not, including any reasons for
concluding that the MBEIWBE was unqualified to perform the job.
*Proper demonstration of Good Faith Effort requires your initials next to all of the above boxes. Any
omissions shall be considered grounds for rejection of the bid by the Board of Public Works. The City of
South Bend reserves the right to request additional information.
Version 1011712016 Contractor's Bid for Public Works - 9
CITY OF SOUTH BEND ti`ouTh"En
MINORITY AND WOMEN BUSINESS ENTERPRISE DIVERSITY
DEVELOPMENT PROGRAM i, •wltJ :x=1
FORM MWBE-2.1
MBE/WBE CONTACTED
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 1 OF 1
Project Number:
Project Name
Bidder:
By:
1031-2017
MBENVBE Participation Goal
Morris Performing Arts Center Morris Bistro/Palais Lobby Im rovements
Wilburn Construction Company, LLC
President
12/21 /17
(Signature) (Title) (Date)
MBE/WBE Firm See Attached
Owner or Contact at MBE/WBE Firm
Telephone: Fax: Email:
TYPE OF WORK SOLICITED FOR THIS PROJECT:
RESULTS OF CONTACT WITH THE, MBEIWBE FIRM:
MBEIWBE Firm
Owner or Contact at MBEIWBE Firm
Telephone: Fax: Email:
TYPE OF WORK SOLICITED FOR THIS PROJECT:
RESULTS OF CONTACT WITH THE MBE/WBE FIRM:
Version 10/17/2016 Contractor's Bid for Public Works -10
CITY OF SOUTH BEND, INDIANA
CONTRACTOR'S BID FOR PUBLIC WORK
CHECKLIST FOR BIDDERS
Project Name Morris Performing Arts Center
Morris Bistro/Palais Lobby Improvements
Project No. 1031-2017
For Bids Due December 21, 2017 9:30 AM
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
or Bid Bond.
Bid prepared on the City of South Bend Contractor's Bid for Public Work Form, completely
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 MBEMBE 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 MBE/MBE Contacted
Form [MWBE-2.1 ].
' Acknowledge Receipt of N'r Addendum(s) included with the bid.
All required additional information is included with the bid.
Proposal statements and other affidavits all signed by the proper party with name either
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: Wilburn Construction Company, LLC
By Authorized Representative;
Signature: i r�
Print Name & Title: Michelle Wilburn, President
Date: 12/21 /17
Version 10/17/2016 Contractor's Bid for Public Works -1
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Document A31 OTM -2011
CONTRACTOR:
(Naine, legal staftis and address)
Wilburn Construction Company, LLC
115 William Street, Suite 210
South Bend, IN 46601
OWNER:
SURETY:
(jVame, legal status and principalplace
of business)
Old Republic Surety Company
445 S. Moorland Road, Suite 200
Brookfield, WI 53201
(iVaine, legal status and address)
Board of Public Works, City of South Bend, IN
1316 County - City Building
South Bend, IN 46601
BOND AMOUNT: ***FIVE PERCENT OF AMOUNT BID***
PROJECT:
�Nciiiie, location or address, and Project number, if any)
orris Bistro/Paialls Lobby Improvements
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 shalt be considered
plural where applicable.
The Conti -actor 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 life 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 term 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 he�refrom 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 law bond.
=a sealed sill" day of December 2017
Wilburn Construction Company, LLC
(Principal) I (Seal)
l(Witness)
(Title)
Old R!jLmbi urety Conpany
C�ap (Se a/)
(Title) 'Z4--
Todd/ A. Schaao, Attornev-in-Fact
AIA Document A31OT" —2010. Copyright Q 1963, 1970 and 2010 by The American Institute of Architects. All rights reserved. WARNING. Th Is AIA'
(nit. Document Is protected by U.S. Copyrig [it Law and International Treaties. Unauthorized reproduction or distribution of this AIA" Document, or
any portion of It, niay result in severe civil and criminal penalties, and will be prosecuted to the maximum extent possible under tho, law.
Purchasers are permitted to reproduce too (10) copies of this document when completed. To report copyright violations of AIA Contract Documents, e-mail
The American Institute of Architects' legal counsel, copyright@aio.org, D51110
REVUB1,1C SURETY COMPANY
POWER OF ATTORNEY
MEN 13Y THESE PRESENTS That OLD REPUBLIC SURETY COMPANY, a Wisconsin stock insurance corporation, does inake, constitute and
THOMAS CHAMBERS, TODD A. SCHAAP, ERIC A, OLSON, OF FRANKSVILLE, WI
its true and lawful Attorneys) -in -Fact, with full power and authority,, not exceeding $50,000,000, for and on behalf of the company as surety, to execute in
f, �
and affix the seal of the comport~ (hereto (if a seal is required), bonds, undertakings, recognazancos or other written obligations in the nature there,,,o.~ , (Oflleu
as
FIVE MILLION
WkIr.rk1
OBLIGATION,
and to bind OLD REPUBLIC SURETY COMPANY thereby, and all of the acts of said Attomeys-in-Fact, pursuant to these presents, are ratified and confirmed,
Plus a9r r uuuui ,unt rs rrct vatfid unless priffutt' iorr rarrl r aftll l atrti i rxrrai and r r MUM-Colomd, This appointment is`made under and by authorittyy of the board of directors
at a special meeting held on February 18, 1982, This Power of Attorney is signed and sealed by facsimile under and by the authority ofthe following resolutions
adopted by the board of directors of the OLD REPUBLIC SURETY COMPANY on February 18„ 1982,
RESOLVED that, the president, any vice-president, or assistant vioe president, in conjunction with the secretary or any Assistant secretary, may appoint
attorneys -in -fact or agents with authority as, defined or limited in the instrument evidencing the appointment in each case, for and on behalf of the company to
execute and deliver and affix the seal of the company bonds, undertakings, recognizances, and suretyship obligations of all kinds; and said officers may remove
any such attorney -in -fact or agent and revoke any Power of Attorney previously granted to such person.
RESOLVED FURTHER, that any bond, undertaking, recognizance, or suretyship obligation shall be valid and binding upon the Company
(f) when signed by the president, any vice president or assistant vice president, and attested and sealed (if a scathe required) by any secretary or assistant
secretary,or
(ii) when signed by the president, any vice president or assistant vice president, secretary or assistant secretary, and countersigned and sealed (if n seal be
required) by a duly authorized attorney -in -fact or agent; or
(iii) when duly executed and sealed (if a seal be required) by one or more attomeys4ri-fact, or agents pursuant to and within the limits of the authority
evidenced by the Power of Attorney issued by the company to such person or persons.
"SOLVED FURTHER, that the signature of any authorized officer and the seal of the company may be affixed by facsimile to any Power of Attorney or
certification thereof authorizing the execution and delivery of any bond, undertaking, recognizance, or other suretyship;obligations of the Company; and such
signature and seal when so used shall have the same force and effect as though manually affixed.
IN WI
affixed this
caused these presents to be signed by its proper officer, and its corporate seal to be
OLD REPUBLIC SUR917Y COMPANY
ova
STATE OF WISCONSIN, COUNTY OF WA ESHA-SS �' �,���"��� ��"� President
On this `1TH day of MAY, 2017 personally came before roe, ,Alan Pavlic and
Jane erney to me known to be the in and officers of the OLD REPUBLIC SURETY COMPANY who executed the above
instrument„ and they each acknowledged the execution of the sarne, and being by me duly sworn, did severally depose and say; that they are the said officers of the
corporation aforesaid, and that the seal affixed to the above instrument is the seal of the corporation, and that said corporate seal and their signatures as such officers
were duly affixed and .subscribed to the said instrument by the authority of the board of directors of :said corporation,
tl ar
r
Ntitarlr Publio
My commission expires. 9J28/20 t £i
CERTIFICATE (lExpirationof notary commission does not invalidate this Instrument)
1, the undersigned, assistant secretary of the OLD REPUBLIC SURETY COMPANY, a Wisconsin corporation, CERTIFY that the foregoing and attached Power
of Attorney romains in fail force and has not been revoked; and furthermore, that the Resolutions of the board of directors set; forth in the Power ref Attorney, are now in
force,
STATE OF WISCONSIN )
COUNTY OF Kenosha
ON THIS 21s,t day of December , 2017
before me, a notary public, within and for said County and State, personally appeared
Todd A. Schaap to me personally known, who being duly sworn,
upon oath did say that he is the Attorney -in -Fact of and for the
Old Republic Surety Company , a corporation
of -Wisconsin created, organized and existing under and
by virtue of the laws of the State of Wisconsin _; that the corporate seal
affixed to the foregoing within instrument is the seal of the said Company; that the seal
was affixed and the said instrument was executed by authority of its Board of Directors;
and the said Todd A. Schaap did acknowledge that he/she
executed the said instrument as the free act and deed of said Company.