HomeMy WebLinkAboutOpening of Bids - Spec D - One or More 2018 or Newer 3-4 Ton Four Wheel Drive Pickup Trucks - Jordan FordBID NAME
FOR BIDS DUE
UT11
BID/PROPOSAL
CITY OF SOUTH BEND
A65
Spec D — One (1) Or More 2018 or Newer % Ton Four Wheel Drive Pick Up
Trucks
April 10, 2018 at 9:30 a.m.
Description
Year/Make/Model
Unit Price
REGULAR CAB 8'BED
2019 FORD F250 4X4 XL
$28,475.00 EACI
Alternate#
Description
Cost
Total
I
Front mounted western 8' pro -plus
$ 5762.00
$5762.00 EACH
power angling left and right. Plow to
come equipped with safety approved
I lights and markers, and snow deflector,
2
Front mounted Western MVP Plus.
$ 6187-00
$6187.00 EACH
Plow to come equipped with safety
approved lights, markers, and snow
deflector and shoes.
3
Roof mounted lightbar with controller,
$ 2431.00
$2431.00 EACH
Federal Signal 53" Legend LPX or
equal.
4
CNG — Bi-fuel conversion with tanks
$ 9864.00
$9864.00 EACH
mounted under bed.
Estimated number of days for delivery from award 125
date.
Bidder (Firm): JORDAN FORD
Address: 609 E. JEFFERSON BLVD.
City/State/Zip: MISHAWAKA, TN 46545
Telephone Number: 574/259-1981 EX 317 Fax Number-, 574/254-2777
By
(Signature)
DEBRA STARKWEATHER
(Printed Name)
COMMERCTAL FLEET SALES MANAGER
14
BOARD OF PUBLIC WORKS
Gary A. Gilot, President
Suzanna M. Fritzberg, Member
James A. Mueller, Member
15
(Title)
Elizabeth A. Maradik, Member
Therese J. Dorau, Member
Attest: Linda M. Martin, Clerk
81;
CITY OF SOUTH BEND, INDIANA ACT
SELLER'S BID FOR SALE OR LEASE OF MATERIALS
AND NON -COLLUSION AND NON DEBARMENT AFFIDAVIT AND 116e .
NON-DISCRIMINATION COMMITMENT FOR SELLERS
BID NAME Spec D - One (1) or More 2018 or Newer % Ton Four Wheel Drive Pick Up Truck
FOR BIDS DUE ADHI 10. 2018 at 9:30 a.m.
Bidder
Date: 2018 (Firm): JORDAN FORD
Address: 609 E JEFFERSON BLVD.
City/State/Zip: MISHAWAKA, IN 46545 Telephone Number: ( 574 ) 259-1918 EXT 317
Agent of Bidder (if Applicable): N/A
When the prospective Contractor is unable to certify to any ofthe statenj ents belojv, it shall attach an explanation to this Affidavit.
CONTRACTOR'S NON -COLLUSION AND NON -DEBARMENT AFFIDAVIT,
CERTIFICATION REGARDING INVE STMENT WITH IRAN, E MPLOYMENT
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 duty sworn upon his/her/its. oath, affirms Linder the penalties of perjury
that:
I . Contractor has not, nor has any other member, representative, or agent of the firm,
company, corporation of 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 reftain 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 fi-orri 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,
4
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 arnended fi-om tirne-to-time.
b, As provided by Ind. Code § 5-22-16.5-8, as amended from tirne-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 tirne the
financial institution extends credit, is a person identified on list published by
the Indiana Department of Administration,
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/shcht 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 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 hif e, 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 perforn-i 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 VVBEIMBE. 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 fi-om 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 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. I 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 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 IOTH day of APRIL 20 18
1 -
JORDAN FORD
Contractor/Bidder (Firm)
R
Signature of Contractor/Bidder or Its Agent
DEBRA STARKWEATHER
COMERCTAL FLEET SALES MANAGER
Printed Name and Title
Subscribed and sworn to before me this 10TH dayof APRIL —, 20 18
My Commission Expires lj�Wll
County of Residence
7
Uu4i ;&Ah
Notary Public
�'f' jb�dpi
WHITNEY R, PYLE, Notary Public
CoUnty of St. Joseph, State of Indiana
My Commission Exbires 01/09/2021
(To be completedonlyby ContraetorslBidders clahning to be a "local Iii(liaitabitsiiiess"pilrstialit to LC 36-1-12-22)
INDIANA LOCAL BUSINESS PREFERENCE CLAIM
A "local Indiana business " refers to any of thefollowing:
(])A business whoseprincipalplace of business is located in an affected count)'.
(2) A business that pays a majority of its payroll (in dollar voluin e) to residents of (iffected counties.
(3) A business that eniploys residents of affected counties as a inajority of its einployees.
(4) A business that in akes significant capital invesinients in the affected counties as defined hi rules adopted by the political
subdivisioit
(5) A business that has a substantial positive econontic hnpact on the affected counties as defined hy criteria in rules adopted �y
the political subdivision.
An "offected county " refers to St. Joseph County, Indiana, or thefollowing counties located adjacent toSt, Joseph Couno�:
Elkhart Coun4� Marshall County, Starke Couno� and LaPorte County
There are thefolloivingpi-icepi-eferencesfoi-szippliespity-cl?asedfi-oin a local Indiana business:
0 5%for apurchase expected by the purchasing agency to be less than $50, 000
. 3%for a purchase expected by the purchasing agenop to beat least $50, 000 but less than $ 100, 000.
- 1%,for a purchase expected bj� the purchasing qgenq� to beat least $100, 000,
Date: APRIL 10, 2018
Pursuant to I.C. 36-1-12-22, JORDAN FORD — claims a local Indiana business
preference for Project 3/4 TON 4X4 PICK UP TRUCK_ (Project# SPEC D located within the City of
South Bend, St. Joseph County, Indiana.
Fx� The location of the principal place of business is 609 E JEFFERSON BLVD,MISHAWAKA, IN 46545
(Addrtss9
St. Joseph County, Indiana
The following county located adjacent to St. Joseph County, Indiana:
F-X1 The majority of the business's payroll for the 12 months prior to the date of this Bid is to residents of St.
Joseph County, Indiana or the adjacent county noted above.
F-xl The majority of the business's employees for the 12 months prior to the date of this Bid are residents of
St. Joseph County, Indiana, or the adjacent county noted above.
If the business is deemed to be the apparent lowest, responsible, responsive bidder, then it shall provide
supporting documentation for the 12 month period prior to the date of the Bid of (i) the total payroll
amount paid to all employees of the business, and (ii) the total payroll arnount paid to employees who are
residents of St. Joseph County and the adjacent county noted above.
WHEN SUPPL YING SUPPORTING PA YROLL RECORDS, BIDDER SHALL REDA CT ALL
SOCIAL SECURITYNUHWERS
Dated this - 10 TH day of APRIL —,20 18
JORDAN FORD
Co t t /Bidder(Firin).
=, Nt6�-,
Siviature of Contractor/Bidder or Its Agent
D BRA STARKWEATHER
Printed Name and Title
8
CITY OF SOUTH BEND
BID FOR SPEC D - ONE OR MORE
2018 OR NEWER % TON
FOUR WHEEL DRIVE PICK UP TRUCK
BID DUE DATE: APRIL 10, 2018
NOTES & EXCEPTION PAGE
IN LIEU OF SERVICE MANUALS., FREE ACCESS TO FORD'S TECHNICAL
RESOURCE CENTER
DUAL BATTERIES NOT AVAILABLE WITH GAS ENGINE
PAYMENT IS DUE WITHIN 30 DAYS OF DELIVERY TO YOU.
QUOTATION FIC
Jordan Automotive Group
Debra Starkweather
609 E Jefferson
P.O. Box 370
Mishawaka, IN 46545
E-Mail: dstarkweather@jordanauto.com
Description
Alternate Items For City Of South Bend Bid Spec D 3/2018
Phone: 574-254-2991 Quote # MACQ4320
Fax:
Delivery:
western 8'Pro Plus Plow With Following Specifications
Ultra- Mount Hitch Design
Blade Width: 8 Foot
Balde Height: 31"
Blade Gauge: 12
Trip Springs: 4
Shock Absorbers: 2
Verticle Ribs: 8
Angling Rams: 1 1/2" X 12"
Plowing Width Full Angle; 7'4"
Approx Weight Complete: 821#
Disc Shoes: Cast Iron
Cutting Edge: 1/2" X 6"
Low Profile Dual Beam Halogen Headlamps With Combination Park/turn
Blade Guides
Rubber Snow Deflector & Plow Shoes
Hand Held Controller
Deliver Back To Dealer InIGuded
574-254-2777
Alternate Item 2) Western Model Mvp 8.6' Pro Plow Folding V With Following Specifications
Multi Directional V Blade
Ultra- Mount Hitch Design
Blade Width: 8 Foot 6 Inches
Balde Height: 29"
Blade Gauge: 14
Trip Springs: 4
Verticle Ribs: 8
Angling Rams: 1 1/2" X 11
Plowing Width Full Angle: 7-5"
Approx Weight Complete- 880#
Cutting Edge: 318" X 6"
Low Profile Dual Beam Halogen Headlamps With Combination Park/turn
Blade Guides
Rubber Snow Deflector & Plow Shoes
Hand Held Controller
Deliver Back To Dealer InIcuded
Alternate Item 3) Roof Mounted Strobe Federal Signal Legend Model Lpx53z-ambr2h6
Hook Mount: 6 Button Controller InIcuded
Ultra Line Cargo Area Of Pick Up Bed
Columbia City OffiCe
1171 S W�Iinmn. C5treot
Colwh�a Cily. IN 40725
Phona� 888-660-766f
Fax: ?60-244-71562
Indianapolis Ofte
0a Y Streol
IN 46205
Phone� 317-377�04W
Fax 317,377,0427
I
1
Date: 3/16/2018
Salesman:
Denny McIntyre
Oty Unit Price Ext. Price
1 $5,762.00 $5,762.00
$6,187.00
$6,187.00
1 $2,431.00 $2,431-00
1 $496.00 � $496.00
Now Havon Office Page
P 0. 6(>X 5M
Nv,y Haypri� IN 46774
Fhom: 260,748,4100
Fax: 260-748,4121
1 of 2
Pr / _k rl�CJC__ #7 �
Aftemative �A@ff,-
d
Euel'Systems
Fresno, CA * Elkhart, IN
BI-FUEL CNG/Gasollne
Will Gutilla 559-289-8522 Al, NED
will@alalffuels.com 8100111VA
DATE QUOTE
3/19/2018
180319WG2
NAME ADDRESS
Deb Starkweather
Jordan Automotive Group
Mishawaka, IN
P.O. NO,
FORD DROP SHIP
TERMS
REP
END USER
FOB
88MNZ4
Due on Completion
WG
South Bend
Elkhart, IN
ITEM
DESCRIPTION
QTY
PRICE EA.
EPA Certifled Bi-Fuel CNG/Gasoline System
F250-WIO-FM-BF
10 GGE 2019 Ford F-250 6,21L RegGab 4x4
$9,400.00
CNG Tanks Mounted Behind Rear Axle; OEM Gasoline Tank
Per Unit
Remains (Must Be Midship)
All items in "Alternate 4" section of South Bend bid sent by D
Starkweather on 3-16-18 are included, EXCEPT:
- Tanks to be installed are Type 1, not Type 4.
Tanks will amount to 10 GGE, not the required 20 GGE.
No methane detector is provided. It is not recommended on
this vehicle tyee.
Note: Quote is contingent on 2019 EPA certification.
Note: Quote is good 60 days and is FOB Elkhart, IN.
Note: CNG tanks will have approximately 1000psi upon completion.
Note: After receipt of purchase order, vehicle will be put into production schedule.
Note: After parts and vehicle arrive please allow 25 working days for delivery of first vehicle, and approximately 5
days for each additional vehicle.
Note: Vehicle must be ordered with Ford's Gaseous Fuel Prep Engine option.
BUYER AUTHORIZATION . Buyer's signature below is acceptance to purchase the product identified above.
Signature---------------- ------------------------------------- ........... Date; ----------------------------------
Lt.
floor P10, C�
6:ak�
Aftemative
(FuefSystems
Fresno, CA * Elkhart, IN
Dedicated CNG
Will Gutilla 559-289-8622
wifl@alaltfuels.com [MI
DATE =QUOTE
3/1912018 1 180319WG3
NAME I ADDRESS
Deb Starkweather
Jordan Automotive Group
IMishawalka, IN
P.O. NO.
FORD �S�HIP
TERMS
REP
END USER
FOB
88MNZ4
Due on Cornpl tion
WG
South Bend
Elkhart, IN
ITEM
DESCRIPTION
QTY
PRICE EA.
EPA Cerfified Dedicated GNG System
F250-W16-UB
16 GGE 2019 Ford F-250 6.2L RegCab4x4
1
$10'goo.00
CNG Tanks Mounted Underbody
Per Unit
All items in "Alternate 1" section of South Bend bid sent by D
Starkweather on 10-16-17 are included, EXCEPT:
* Tanks to be installed are Type 1, not Type 4.
- Tanks will amount to 16 GGE, not the required 20 GGE.
- Tank system Is dedicated CNG, not bl-fuel.
No methane detector is provided. It Is not recommended on
this vehicle type.
Note: Quote is contingent on 2019 EPA certification.
Note: Quote is good 60 days and is FOB Elkhart, IN.
Note: CNG tanks will have approximately 1000psi upon completion.
Note: After receipt of purchase order, vehicle vAll be put into production schedule.
Note: After parts and vehicle arrive please allow 25 working days for delivery of first vehicle, and approximately 5
days for each additional vehicle.
Note: Vehicle must be ordered with Ford's Gaseous Fuel Prep Engine option.
BUYER AUTHORIZATION : Buyer's signature below Is acceptance to purchase the product identified above.
Signature........................................ ............... Date: ----------------------------------
et 14-
Document, A31 0 TM - 2010
Conforms with The American Institute of Architects AIA Document 310
CONTRACTOR:
(Mmie, legalimarix and address)
Jordan Automotive Group dba Jordan Ford
609 E. Jefferson Boulevard
Mishawaka, IN 46545
OWNER:
(Xame, legalstalusandadch-ess)
SURETY:
(Xinne, legalstairts andpy1nc1j;ir1j;1ervG of baviness)
The Hanover Insurance Company
440 Lincoln, Street
Worcester, MA 01653
City of South Bend
13th Flo�or, County -City Building, Room 1316, 227 West Jefferson
South Bend, IN 46601
BOND AMOUNT: $ 10% Ten Percent of Amount Bid
PROJECT:
(Maine, location or address; and'Prqjectnumbor, ifaitO
Spec D - One (1) or More 21018 or Newer 3/4 Ton Four Wheel Drive Pick Up Truck
This docume,nt has Important
legal consequences, Consultation
with an attorney Is encouraged
with respect to Its complotIon or
modification.
Any singular reference to
Contractor, Surety, Owner or
other party shall be considered
plural where applicable.
Tile Contractor and Surety are bound to the Owner in file iniount set forth above, for the payinent of which the Contractor and Sarety bind
theinselves. their heirs, executors, administrators, stmcossors and assigns, jointly and severally, as provided herein. The conditions ofthis
Bond are such that if the Owner accepts the bid of the Contractor xvithin the tinic specified in the bid docuincrits, or within such finic period
as niny be agereed to by tho Owner and Contractor, and Ifio Conlractor cither (1) enters into a contract with 1ho Owner in accordance with
the tornis of such bid, ind gives sach bond or bonds as inay be specified in tho bidding or Contract Documents, wIlli a surety admitted in
the jurisdiction of the llro�jcct wid otherwise acceptable to ilic, Owner, for the faithful perforniance of such Contract and for the prollipt
payment of labor and material fumished in the prosecution thereof, or (�2) pays to the Owner the difference, tiot to exceed the aniount of
this Bond, between the aniount specified in said bid and $11011 larger aniount for which the Owner may in good failh contract with another
party to porl'briii [lie work covered by said bid., then this obligation shall be null und void, otherivise to reninin in Vull lbrce and ell�ccl. Tile
Surely fiercky waives any notice ol'an agreenwol between the Owner and Contractor to extend Ille fline ill which (he Owner may accept the
bid. 'kaiver ol'notice ky tiot apply to any extension exceed ing sixty (00) days in the aggregate beyond the (ime lor
acceptame ol'bids specified in the bid documents, and the Owner and Contractor sbull obtaiii the Surety's consent for an extension beyond
sixty (60) days.
If this Bond is issued in conneetion with a subcontractor's bid toa Contractor, the temi Contractor in this Bond shall be decined to be
Subcontractor and the terin Owner shall be deemed to be Contractor.
Whon tbis Dond has been l'urnislied to coinply with a statutory or other legal requirement in the loo-ation ol'tho Project, all,%, provision in
this Bond conilicting %vith said stululory or legal requirement.shall be deenied deleted hercilrom and pro%isions cmilbriiiing to such
stolutory or other legal reqtdrenientsliall be decined Incorporated herein. When so I'llmished, the iatent is that this Bond shall be construed
as a slututory bolid and rot as a common law bond.
Signed and scalled this 1 Oth day of April, 2018
o V P -'X-t C 0 a A,
(jj),1j)je.%v) Gharl Lecuyeir
Jordan Automotive Group db�a Jordan Ford
(Principal)
The Hanover Insurance Company
(seal)
(Sllrer)) ('Veal)
By� OAA-w , h, V2
7T/ Christ�y. Braile Attorney-ini-Fact
Surety Phone No. 508-853-72,00
S-0054/AS 8110
THE HANOVER INSURANCE COMPANY
MASSACHUSETTS BAY INSURANCE COMPANY
CITIZENS INSURANCE COMPANY OF AMERICA
jjuvvtK ut- A i t uKiv= y
THIS Power of Attorney limits the acts of those named herein, and they have no authority to bind the Company except in
the manner and to the extent herein stated.
KNOW ALL PERSONS BY THESE PRESENTS:
That THE HANOVER INSURANCE COMPANY and MASSACHUSETTS BAY INSURANCE COMPANY, both being corporations
organized and existing under the laws of the State of New Hampshire, and CITIZENS INSURANCE COMPANY OF AMERICA, a
corporation organized and existing underthe laws of the State of Michigan, (hereinafter individually and collectively the "Company") does
hereby constitute and appoint,
Jeffrey C. Carey, Mary T. Flanigan, Christy M. Braile, Patrick T. Pribyl, Debra J. Scarborough, Laura M. Buhrmester, Charles R. Teter, 111,
Charissa D. Lecuyer, Evan D. Sizemore, Larissa Smith, Rebecca S. Leal, C. Stephens Griggs, Tahitia M. Fry andfor Megan L. Burns -Hasty
Of Lockton Companies of Kansas City, MO each individually, if there be more than one named, as its true and lawful attorney($) -in -
fact to sign, execute, seal, acknowledge and deliver for, and on its behalf, and as its act and deed any place within the United States,
any and all surety bonds, recognizances, undertakings, or other surety obligations. The execution of such surety bonds, recognizances,
undertakings or surety obligations, in pursuance of these presents, shall be as binding upon the Company as if they had been duly
signed by the president and attested by the secretary of the Company, in their own proper persons, Provided however, that this power of
attorney limits the acts of those named herein; and they have no authority to bind the Company except in the manner stated and to the
extent of any limitation stated below:
Any such obligations in the United States, not to exceed Fifty Million and Noll 00 ($50,000,000) in any single Instance
That this power is made and executed pursuant to the authority of the following Resolutions passed by the Board of Directors of said
Company, and said Resolutions remain in full force and effect:
RESOLVED: That the President or any Vice President. in conjunction with any Vice President, be and they hereby are authorized and
empowered to appoint Attomeys-in-fact of the Company, in its name and as it acts, to execute and acknowledge for and on its behalf as surety,
any and all bonds, recognizances, contracts of Indemnity, waivers of citation and all other writings obligatory in the nature thereof, with power to
attach thereto the seal of the Company. Any such writings so executed by such Attorneys -in -fact shall be binding upon the Company as if they
had been duly executed and acknowledged by the regularly elected officers of the Company in their own proper persons.
RESOLVED: That any and all Powers of Attorney and Certified Copies of such Powers of Attorney and certification in respect thereto, granted
and executed by the President or Vice President in conjunction with any Vice President of the Company, shall be binding on the Company to the
same extent as If all signatures therein were manually affixed, even though one or more of any such signatures thereon may be facsimile.
(Adopted October 7, 1981 — The Hanover Insurance Company; Adopted April 14, 1982 — Massachusetts Bay Insurance Company; Adopted
September 7, 2001 — Citizens Insurance Company of America)
IN WITNESS WHEREOF, THE HANOVER INSURANCE COMPANY, MASSACHUSETTS BAY INSURANCE COMPANY and CITIZENS
INSURANCE COMPANY OF AMERICA have caused these presents to be sealed with their respective corporate seals, duly attested by
two Vice Presidents, this 15th day of November, 2016.
(41 1 9�1
THE HANOVER INSURANCE COMPANY
MASSACHUSfM DAY JNSURANCE COMPANY
CITIZENS)'PSURANCEROMPANY OF AMERICA
&490��44
Roberl'rhomas, Vice Presideng
THE RANOVER INSURANCE COMPANY
M SA HU8ETT AY1 RA C. -1-A-Y
GIT EN h SUR C.,
EnICA
THE COMMONWEALTH OF MASSACHUSETTS
COUNTY OF WORCESTER J. I a.,
The Hanover Insurance C
On this 1 51h day of November 2016 before me came the above named Vice Presidents 777 ompany,
Massachusetts Bay Insurance Company and Citizens Insurance Company of America, to me personally known to be the individuals and
officers described herein, and acknowledged that the seals affixed to the preceding instrument are the corporate seals of The Hanover
Insurance Company, Massachusetts Bay Insurance Company and Citizens Insurance Company of America, respectively, and that the
said corporate seals and their signatures as officers were duly affixed and subscribed to said instrument by the authority and direction of
said Corporations.
A�k_ OIANE J. M"ANINO
:1.11. UbNe
my cawwdosaelmm E VQ*W" 1, a o, Nolary PoWic
MWO C 114M My Co�jssion F�pj� Mamh 4,20-12
1 =_1 _""]
1, the undersigned Vice President of The Hanover Insurance Company, Massachusetts Bay Insurance Company and Citizens Insurance
Company of America, hereby certify thatthe above and foregoing is a full, true and correct copy of the Original Powerof Attorneyissued
by said Companies, and do hereby further certify that the said Powers of Attorney are still in force and effect.
GIVEN under my hand and the seals of said Companies, at Worcester, Massachusetts, this day of
CERTIRED C Py
Tlicodom G. Mani=4 Vim Piesident