HomeMy WebLinkAboutOpening of Bids - Lincoln Way East Corridor Improvements Proj No 117-055A - Walsh and Kelly IncProject Name Lincoln Way East (SR 933) Corridor Improvements — Sample Street To
Twyckenham Drive
Project No. 11117-055A
For Bids Due September 6th, 2018
PART I
(Must be completed for all bids. Please type or print)
Date: 9/6/18 Bidder (Firm): Walsh & Kelly, Inc.
Address: 24358 SR 23
City/State/Zip: South Bend, IN 46614 Telephone Number: ( 574 ) 288-4811
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:
Lincoln Way East SR 933) Corridor Improvements - Sample Street to Twyckenham Drive
the City of South Bend, Indiana, in accordance with plans and specifications prepared by:
Lochmuefler Group
and dated August 22, 2018 for the slum of (enter the Total Bid as shown on the Proposal)
Four hundred fifty nine thousand dollars and zero cents ($ 459,000.00
(Enter sum of Total Base Bid plus Alternates 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 addenclums attached will be specifically referenced at the applicable page.
If additional units of material included in the contract are
shown in, the angina ract if accepted by the City of
ln
basis, the itemi.404p Yyp)ts shallbe shown on a E
....... ..
By
Usti
le cost of units must be the same as that
nd.,,If *e bid is to be awarded on a unit
K (Signature)
Ji ary, VP of South Bend
(Printed Name of Person Signing)
ACCEPTANCE
The above tail is &te day of
1, o
Subject to the fd'lffdvvirq 098itions:
BOARD OF PUBLIC WORKS
Gary A. Gi'lot, President
Elizabeth A. Maraclik, Member
James A. Mueller, Member
Su!zanna M. Fritzberg, Member
Therese J. Dorau, Member
Attest: Linda M. Martin, Clerk
Version 7/20/2018 Contractor's Bid for Public Works - 2
CITY OF SOUTH BEND
WN
Project Name Lincoln Way East (SR 933) Corridor Improvements —Sample Street to
Twyckenliani Drive
Project No. 1117-055A
For BIdsDue September 6", 2018
7-T-IMA",
Item
No.
Description
Quantity
Unit
Unit Price
Total Amount
I
CONSTRUCTION ENGINEERING
1
LS
8,700-00
$8,700.00
2
MOBILIZATION AND DEMOBILIZATION
1
LS
21,905.69
$21,905.69
3
4
CLEARING RIGHT OF WAY
PAVEMENT REMOVAL
I
1723
LS
SYS
14,700.00
12.40
$14,700.00
$21,365.20
5
CURB, CONCRETE, REMOVE
3875
LFT
5.00
$19,375.00
6
SIDEWALK CONCRETE, REMOVE
115
SYS
20.80
$2,392.00
7
INLET, REMOVE
7
EACH
280-010
$1,960.00
8
COMMON EXCAVATION
250
CYS
45.00
$11,250.00
9
DESIGN BUILD EROSION AND SEDIMENT
CONTROL
I
LSUM
900.00
$900.00
10
ITERAPORARY "OIL I'FENCE, UNDISTRI1111 ITED
5001
IJr
3.00
$1,500.00
11
8160,
CYS
33-60
$28,896,00
12
PCCP PATCHING, FULL DEPTH
200
SYS
7136,80
$27,360.00
13
GUARDRAIL, REMOVE
3023
LFT
3.00
$9,069.00
14
GUARDRAIL, W-BEAM, NESTED, MODIFIED
I
EACH
3,700.00
$3,7010.00
15
GUARDRAIL, WV -BEAM, MODIFIED, 6 FT 3 IN
POST SPACING
2450
LFT
29.00
$71,050.00
16
GUARDRAIL, END TREATMENT, OS
7
EACH
3,300.00
$23,1 00.00
17
SIDEWALK, CONCRETE, 4"
280
SYS
43.80
$12,264.00
18
SIDEWALK, CONCRETE, 6"
28
SYS
65.50
$1,834.00
19
CURB RAMP, CONCRETE
33.5
SYS
65.50
$2,194.25
20
CURB, CONCRETE
921
LFT
19.70
$18,143.70
21
CURB, CONCRETE, B
2954
LFT
17,10
$50,513.40
22
PCCP FOR APPROACHES, 8 IN
81.8
SYS
90.00
$7,362.00
23
MULCHING MATERIAL
1.5
TON
3,2016.67
$4,810.01
24
SEED MIXTURE, R
310
LBS
17,34
$5,375,40
25
ISODDING, UNDISTIBUTED
100
SYS
51.13
$5,11100
216
PIPE, CONNECT TO EXISTING
6
EACH
700.00
$4,,200.00
I
27
PIPE, TYPE 2, CIRCULAR, 12 IN
57
LFT
126.00
$7,182.00
28
PIPE, TYPE 2, CIRCULAR, 18 IN
4
LFT
430.00
$1,720.00
29
INLET M-1 01
1
EACH
3,000.00
$3,000.00
30
CATCH BASIN, J-110
4
EACH
4,360.00
$17,440.00
31
INLET, B-1!5
2
EACH
3,520.00
$7,040,00
32
"TEMPORARY PAVEMENT MARKING, 4 IN,
16000
LFT
0.80
$112,800,00
REh1OVABLE
33
TEMPORARY TRANSVERSE PAVEMENT
60
LFT
4.80
$288.00
MARKING, 24 IN, III,RIEIVIOVABLE
34
�1AGGING I,11(') ITECTION
2
1,300-00
$2,600.00
35
CONSTRUCTION SIGN, A
12
EACH
124.00
$1,488.00
36
CONSTRUCTION SIGN, B
2
EACH
42.00
$84.00
37
FLASHING ARROW SIGN
60
DAY
9.00
$540.00
38
MAINTAINING TRAFFIC
J!
LSUM
8,600.00
$8,600.00 II
39
SIGNAL HEAD RELOCATE
8
EACH
400.00
$3,200.00
40
SIGN, SHEET, RELOCATE
17
EACH
210.00
$3,570.00
41
ILINE, PAINT, BROKEN, WHITE, 4 IN.
2325
LIFT
0.21
$488.25
42
LINE, PAINT, SOLID, WHITE, 4 IN.
220
LIFT
0.21
$46.20
43
LINE, PAINT, SOLID, YELLOW, 4 IN.
9290
1
LIFT
0.21
$1,950.90
44
LINE, REMOVE
16000
LIFT
0.3,8
$6,080-00
45
PAVEMENT MESSAGE MARKING, PAINT, LANE:
4
EACH
125,00
$500.00
INDICATION ARROW
46
PAVEMENT MESSAGE MARKING, PAINT
2
EACH
150.00
$3010.00
"ONLY"
47
TRANSVERSE MARKING, PAINT, STOP LINE,
70
LFT
5,00,
$350.00
WHITE, 24 IN.
48
TRANSVERSE MARKING, PAINT, STOP LINE,
280
LFT
2.50
$700,00
WHITE, 12 IN.
BASE BID TOTAL
$459,0001.001
Bidder (Firm): Walsh & Kelly Inc.
Address: 24358 SR 23
City/State/Zip: South Bend, IN 46614 Telephone Number: (574)-288-4811
Dustin IHlilary, VP of South Bend Area
(Phnied Name of Person Signing
When the prospective Contractor is unable to certify to any of the statements below, it shall attach an explanation to this Affidavit.
(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 ofpeijury
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 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 7/20/2018 Contractor's Bid for Public Works - 4
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 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 tern 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.
b. 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 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 trade
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. 5-1 G-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
Version 7/20/2018 Contractor's Bid for Public Works - 5
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 6th day of Sept. , 2018
Subscribed and sworn to before me this 6th
My Commission Expires
6/5/22
County of Residence
Iv, Inc.
7ust
reof Cogffractor/Bidder or Its Agent
n Hilarv. VP of South Bend Area
Printed Name and Title
.day of September 20_a
Notary Public Alisha rueger
St. Joseph
,.rrmrt»+�s�xr-'mares °
ALISHA KRUEGER
Notary Public, state of indiana
St. Joseph County
My Commission Expires
y,.,,.•} .
t,22
Jneo5,a0
Version 7/20/2018 Contractor's Bid for Public Works - 6
N�T
131(COUNTY-Crry Bua,r)]N6(i "N"
Ptiow. 574/ 235-9251
227 W. JEFFE,1030N BOULEVARD ti
F'AX 5741235-9171
SOUTH BUND, iNDIANA 46001-1830
TDD 574/'235-5567
fw
CITY 014 SOUTti BEND PETE l3u,1-n(-,,1EG,
MAYOR
Date:
To:
From
Subject
BOARD OFPUBLIC WORKS
September 04, 2018
All Bidders
Linda M. Martin, Clerk, Board of Public Works
Addendum Number: 1
Lincoln Way East (SR 933) Corridor Improvements — Sample Street to
Project Name: Twyckenham Drive
Project
Number: 117-055A
Date Received: 9/4/18
This addendum is being forwarded to you for the above referenced project.
Please sign below and acknowledge receipt of this Addendum
by faxing this sheet to the Board of Public Works at (574) 235-9171.
A copy MUST, also be included with your bid package upon
submittal.
Note:
The attached documents are hereby added to the Specifications and Contract
Documents and become a part of herein,
Compa
Author
Date:
Version 4/07/2015 Addendum #1
C. I Li RS, Surety O +908.903.3485
202B Halls Mill Road, PO Box 1650 F + 908.903.3656
Whitehouse Station, M 08889.1650
Federal Insurance Company
AIA Document A310T111 - 2010 Bid Bond
Any singular reference to Contractor, Surety, Owner or other party shall be considered plural where applicable.
CONTRACTOR
(Name legal status and address):
Walst t]< Kelly, Inc.
24358 State Road 23
South Bend, IN 46614
OWNER
(Name, legal status and address).
City of South Bend, Indiana
227 W. Jefferson Blvd.
South Bend, IN 46601
BOND AMOUNT
SURETY
(Name, legal status and principal placeof business):
Federal insurance Company
202B Hauls Mill Rd., PO Box 1650
Whitehouse Station, nT 08889-1650
In an amount not less than five percent (5%) of the base bid plus any alternates.
PROJECT
(Name, location or address, and Project number, if any)
Lincoln Way East (SR 933) Corridor Improvements - Sample Street to Twyckenham Drive
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 walves 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 term Owner shall be deemed to be Contractor.
Printed in cooperation with theAmerican institute of Architects (Atr) byChubb. The language in this document conforms to the language used in
AM DocumentA310'*-2010.
Form 15-02-057&FM (Rev. 3/17)
When this Bond has been furnished to comply with a statutory or other legal requirement in the location ofthe Project,
any provision in this Bond conflicting with said statutory or legal requirement shall be deemed deleted here
from 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.
Signed and sealed this 6th
(Witness) Alisha Krueger
(witness) Lisa M. Becker
day of September, 2018.
Walsh &
Hilary
�F.�ry'.43tt$tg®d
of South Bend Area �� `i;:, '. t . i. V,
l
(GTora�eSeal)
Federal Insurance Company
By. V
(Attorney -in -Fact) Terry R. Hurst
t.
(Corporate Seal)
Printed in cooperation with theAmerican Institute of Architects (AIA) by Chubb. The language in this document conforms to the language used in
AM Document A310 "'- 2010.
Form 15•02.0575TED (Rev.3/17)
CHUBS"
Power of Attorney
Federal Insurance Company I Vigilant Insurance Company I Pacific Indemnity Company
Know All by These Presents, That FEDERAL INSURANCE COMPANY, an Indiana corporation, VIGILANT INSURANCE COMPANY, a New York corporation, and PACIFIC
INDEMNITY COMPANY, a Wisconsin corporation, do each hereby constitute and appoint Tia A, Boice, Terry R. Hurst, Brian T, Morton, David M. 011ger,
Robert M. Rutigliano, Christina Marie Schmitter, Tina N, Senefeld and Eric M. wahlstrom of Indianapolis, Indiana -------------------------------`_______
each as their true and lawful Attorneyin-Fact to execute under such designation in their names and to affix their corporate seals to and deliver for and on their behalf as surety
thereon or otherwise, bands and undertakings and other writings obligatory in the nature thereof (other than bail bonds) given or executed in the course of business, and any
instruments amending or altering the same, and consents to the modification or alteration of any Instrument referred to in said bonds or obligations.
In Witness Whereof, said FEDERAL INSURANCE COMPANY, VIGILANT INSURANCE COMPANY, and PACIFIC INDEMNITY COMPANY have each executed and attested these
presents and affixed their corporate seals on thts 191" day oflan nary, 2017.
Dawn M. ChloroS, Assistant Secretary Catherine A. Ddt'ia 11 vlm President
STATE OF NEW JERSEY
CountyOrNumerdon ss.
On this 19,' day of January, 2017 before me, a Notary Public of New Jersey, personally came Dawn M. Chloros, tome known to he Assistant Secretary of FEDERAL INSURANCE
COMPANY, VIGILANT INSURANCF. COMPANY, and PACIFIC INDEMNITY COMPANY, the companies which executed the foregoing Power of Attorney, and the said Dawn M.
Chloros, being by me duly sworn, did depose and say that she is Assistant Secretary of FF,DERAI. INSURANCE COMPANY, VIGILANT INSURANCE COMPANY, and PACIFIC
INDEMNITY COMPANY and knows the corporate seals thereof, that the seals affixed to the foregoing Power of Attorney are such corporate seals and were thereto affixed by
authority ofsaid Companies; and that she signed said Power of Attorney as Assistant Secretary ofsaid Companies by like authority; and that she Is acquainted with Catherine A.
Dohahuc, and knows him to he Vice President of said Companies; and that the signature of Catherine A. Donahue, subscribed to said Power of Attorney Is In the genuine
handwriting ofCatherin and was thereto subscribed by authority ofsaid Companies and In deponent's presenm
Notarial Seal c(�` OF KATHERINE J, ADELAAR
NorARy NOTARY PUBLIC OF NEW JERSEY
No" 2316685 Votary Public
PUB i.IG COMMISSIon Expires Jury q8 20
i` rA CER'I'l I "TI N"
Resolutions adopted by fDtr6ctors of FFDERAL INSURANCE COMPANY, VIGILANT INSURANCE COMPANY, and PACIFIC INDEMNITY COMPANY on August 30, 201G:
-RESOLVED, that the rofhowingamhorizatiorts relate to the execution, for and on behalf of the O mpany,otbohhds, uhdertaldngs, reeognizances, contracts and other written commitments of the Company
entered Into In the ordinary ooutseof business (each a "Written Cominforenl"):
(1) Cath of the Chairman, the President and the Vice Presidents of the Company Is hereby authorized to execute any writtenGOmmlimeni for and onbrhalfoftheCompany, under the
seal of the Companyor oiberwise.
(2) Rarh duly appointed auorney-in-fact of the Company is hereby authorized to execute any Written Commitment for and on behalf of the Company, under the seat of the Company or
olhenvise. to the extent that such action I%authorized by the grant ofpowers provided for In suchpersan's written appointment as such auorney-In-ran.
(3) Each of the Chairman, the President and the Vice Presidents or the Company I% hereby authorized, for and on behaifofthe0ampany,toap(wintinWriting any person the anomey-
In•ract or the Company with full power atdatahatitytoexeune, for and on behatrortheCompany, under the sealortheCompany orotherwise. such Written Commitments ofthe
Company as maybe sitecined in such written appointment. which spedlication maybe by general type or dam or Written Commitments or by sperif eauon of one or mareparticular
Written Commitments.
(4) Each of the Chairman, the President and the Vice Presidents or the Company Li herebyauthortzed, for and an behalf'of the Company, to delegate in writing to any other offlcer or the
Company the authortty to execute, for and on behalf of the Company, under the Company's seal or ethmxwlse, such Wtiuen Commitments of the Company as are specified In such
ssritien delegation, whfch specinailon may be by general typeor dassof Written Commitments or by apednCAdnn of one or more particular Written Commitments.
(51 The signature ofany anises or other person exmtling any Written Commitment or appointment urdelegation pursuant to this Resolution, and the seal of the C,nmpany, maybe afrtxedby
fholmileon such Written Commitment or written appoinimeiti or delegation.
FURTHER RESOLVED. that the foregoing Resolution shad not be deemed to bean exdudve statement of the powers and authority of affimrs, employees and other persons toad ror and on behalf of
the Company, and such Resolution shall not limit or otherwise arrest the exercise ofany such power or authority otherwise validly granted or vested."
1, ➢awn M. Chloros, Assistant Secretary of FEDERAL INSURANCE COMPANY, VIGILANT INSURANCE COMPANY, and PACIFIC INDEMNITY COMPANNY (the "Companies") do hereby
certify that
(i) the foregoing Resolutions adopted by the Board of Directors of the Companies are true, correct and in full force and effect,
(If) the Companies are duly licensed and authorized to transact surety business In all 50 of the United States of Allier" and the District of Columbia and are
authorized by the U.S. Treasury Department; further, Federal and Vigilant are licensed In the U.S. Virgin Islands. and Federal is licensed in Guam, Puerto Rico,
and each of the Provinces of Canada except Prints Edward Island; and
(III) the foregoing Power of Attorney is true, correct and In full force ant] effect.
Given under my hand and seals of Bald Companies at Whitehouse Station. NJ, this 6th day of September, 2018.
Dawn M. Chforas, Assistant Secretary
lI\ THE EVENT YOU WISHTO NOTIFY t)SOr A CLAIM, VERIFY V19 A(MiRNTICtTYOFTHiS nONDOR NOTIFY US OFANY OTHER MATTER, PLEASE COP'TACrUS AT:
Tele hone(90t1)903-3493 Fax(908)903.365G L-maft; surd @Yhuhb.txom
Form 15.10- n22S9-U GEN CONSENT (rev. 12-16)
1316 COUNTY -CITY BUILDING
227 W. JI-TFERSON Boiji,r3vAiu)
SOUTH 131-flND. INDIANA 46601-1830
CITY OF SouTtj BEND ftn� BUTTIGIEG, MAYOR
BOARD OF PUBLIC WORKS
August 17, 2018
Mr. Dustin Hilary
Walsh & Kelly, Inc.
24358 SR 12
South Bend, IN 46614
RE: Pre -Qualification Verification — 2018 Street Paving
Dear Mr. Hilary:
PlIONE" 574/235-9251
FAx 574/ 235-9171
This letter serves as verification of Pre -Qualification status of your company for bidding with the City of South
Bend. This Pre -Qualification status is effective for twelve (12) months from the date of this letter. Thereafter you
are required to re -submit a complete application for continuation of pre -qualification status prior to December 31
for the upcoming calendar year.
A copy of this Verification Letter must be included with every bid exceeding $150,000 submitted to the City of
South Bend Board of Public Works, along with your Pre -Qualified Bidder Checklist and attachments.
If you have any further questions regarding this matter, please call this office at (574) 235-9251.
Sincerely,
Linda M. Mat -tin, Clerk
GARY A. (.3nor DAVID P. Rij,os Ei,i7Ani,,'1'f I A. MARADIK JAMB A. MUFLIJiR Tmilm"SE J. DORAIJ
CITY OF SOUTH BEND, INDIANA
CONTRACTOR'S BID FOR PUBLIC WORK
CHECKLIST FOR BIDDERS
Project Name Lincoln Way East (SR 933) Corridor Improvements — Sample Street To
Twyckenham Drive
Project No. 117-055A
For Bids Due September 6th 2018
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
X 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 MBE/WBE Contacted
X Form [MWBE-2.1].
X Acknowledge Receipt of 1 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.
X 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: Walsh & Kelly, Inc. Date: 9/C/18
By Authorized Representative:
Signature: ���a,°;owman,,,{p✓/jiC
Print Name & Title: Duk(Hilary, VP of South Bend Area
A
Version 7/20/2018 Contractor's Bid for Public Works- 1 ���®g�� ��j' 94 �S®�k
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/her/its 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.
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.
Version 7/20/2018 Contractor's Bid for Public Works - 3
Oc
LLJ
LU
U)
w
0-
Lu
z �—
Lu Z
M LU 0
Or
=0 w
0 —Z Z
03 LU
LL.
C)
0
z
LU LiLJ
2 >
0 uj
�z
0
z
d'�o
0
E
RM o
LU -r-
0
m
0
0
>
cr
iL
(
49 0)
1- 4)
0
E
4)
r
4) r_
m
E
0
0
w "
Cl
4-
0
U
0
m
CL
m
4)
>
0
CL
CD M
0
0
Q
0
0
E B .00
o
ol
20) m
0
E
r,
LO
ko
9
E
Z
z
cn V)
ca Si5 0
'o
0
0
o 0
CL
F
C)
0 0
EO
0
0
CL
CL
:3
0
OL
0
0 0.
4-
0
ago
�C
CL 0
t 'CL
0
m 0
C)
CS
0
N
E
co
.E
i=
4
Lo
w
w W
ca c-
(D
U)
U)
0)
00
<
cc (0
CL "r,
0
c) z
ca
x
0
00
co
co
4-
0
co
z
E
-0
Z3
U)
WE
to
15
0
�o
-R
ca
O
0
co
12
CITY OF SOUTH BEND
MINORITY AND WOMEN BUSINESS ENTERPRISE DIVERSITY
T4
DEVELOPMENT PROGRAM
FORM MWBE-2.0
EVIDENCE OF GOOD FAITH EFFORTS
This completed form should The 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 ("IDOA11).
Project Number
Project Name:
Bidder:
Contact Person:
Address::
city:
Email:
117-055A Date:
Lincoln Way East (SR 933) Corridor Improvements - Sample Street To
Twyckenham Drive
Walsh & Kelly. Inc.
'Edward Pilipow Telephone: 574-288-4811
24358 SR 23
South Bend State: Indiana Zip: 46614
epilipowCa)-walshkelly,corn
To determine whether a bidder has demonstrated good faith efforts to reach the MBEMBE 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
IMBEIWBE LISTS): The bidder reviewed the City of South Bend's Minority and Women Business
Enterprise Diversity Development Program, which uses the IDOA approved list of Minority and Women
Owned Business as found on their website (http://www,ini.giovlidoa),
ACTION (ADVERTISE/CONTACT)- In order for your bid to be deemed responsive, the City of South
Ben equires that all perspective bidders complete no less than 2 of the following:
1. Attend all pre -bid meetings scheduled by the City to inform MBENVIBEs 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 MBENVBEs of subcontracting opportunities and allowed sufficient time for them to
participate effectively.
4. 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 MBEANBE firms.
"Bidder must circle or otherwise notate which of the two (2), required actions were performed.
GOOD FAITH NEGOTIATIONS: The bidder negotiated in good faith with, interested MBENVBEs,
including providing such MBE/WBE's with adequate information about the plans, specifications andl 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
MBENVIBEs !in order to increase the likelihood of meeting the MBEANBE goals (including breaking down
contracts into smalier units to facilitate MBEIWBE participation)
CONTRACT RECORDS: The bidder has maintained the following records for each MBE/WBE that has
I
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 MBEtWBE 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 7/20,/2018 Contractor's Bid for Public Works - 10
CITY OF SOUTH BEND
MINORITY AND WOMEN BUSINESS ENTERPRISE DIVERSITY v?k7i 'NE
DEVEILOPMENT PROGRAM �Iu
FORM MWBE-2.1
MBEIWBE CONTACTED
This completed form should be supplied with Bids that pertain to City of South Bond Public Works Projects
requiring contacted MBEfWBE 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
Number: 117-055A MBE/VVBE Participation Goal — 73%
°ncoln Way East {SR 9�3j Corridor Improvem�r��$f-ba�mple Street To
Project Nam
Bidder:
Lld , 1 1 '�M/18
By: V P of S o u t h 8 ei',�d,g"re
/5Wnature) (Title) Date)
NVBE Firm
Traffic Control Specialists Inc.
Owner or Contact at MBE/\NBE Firm Kerry Kopka
Telephone: 574-772-7001 Fax: Email: kerry@tcspecialists. net
TYPE OF WORK SOLICITED FOR THIS PROJECT:
Maintaining of Traffic and Pavement Markings
RESULTS OF CONTACT WITH THE MBE/WBE FIRM:
Subcontractor will perform quoted work,
. . ..... .. . .....
MBE/WBE Firm �4nwle Enterprises, Inc.
Owner or Contact at MBEfWBE Firm -Ries Plank
Telephone: 219-662-8090 Fax: 219-662-8093
TYPE OF WORK SOLICITED FOR THIS PROJECT:
Signal modifications and reset sheet signs.
RESULTS OF CONTACT WITH THE MBE/WBE FIRM:
Subcontractor will Iperform
work.
Email: ries@hawk-inc.com
Version 7/20/2018 Contractor's Bid for Public Works - I I
CITY OF SOUTH BEND, INDIANA
CONTRACTOR'S BID FOR PUBLIC WORK
RESPONSIBLE BIDDER CHECKLIST
Project Name Lincoln Way East (SR 933) Corridor Improvement — Sample street to
Tw ckenham Drive
Project No. 117-055A
For Bids Due September 6t", 2018
Contractor Name: (Name here) Welsh & Kelly, Inc.
The City seeks to enhance its ability to identify responsive and responsible bidders on all City public works
projects by institution of comprehensive submission requirements in compliance with State law. Quality
workmanship, efficient operation, safety, and timely completion of projects requires that all bidders meet
certain minimum requirements to be responsive and responsible bidders.
THIS FORM MUST BE SUBMITTED WITH YOUR BID.
INSTRUCTIONS:
If you are a pre -qualified bidder, complete Section I only.
If you are not a pre -qualified bidder, complete Section II only.
Section 11 acts as an application for pre -qualification. Submission of Section II will allow the bidder to be
considered for pre -qualification for bids with the City of South Bend Department of Public Works. Pre -
qualified bidders will then be exempt from a portion of the submission requirements outlined in Section 6-
63 of The Responsible Bidding Ordinance No. 10594-18 (hereinafter, "Responsible Bidding Ordinance")
for a period of twelve (12) months.
Thereafter, contractors who are pre -qualified must submit a complete application for continuation of "pre -
qualified" standing, on a form provided by the City ("Responsible Bidder Checklist (1) Pre -Qualified
Bidders") by December 31 st for the upcoming calendar year, or within twelve (12) months of obtaining pre -
qualified standing. If the status of any item changes within the twelve (12) months, it is the responsibility of
the contractor to notify the City. Failure by any pre -qualified contractor to submit its complete application
for continuation of "pre -qualified" standing within the time prescribed above shall result in automatic removal
of the designation, effective January 1 of the following year, or immediately following the twelve (12) months
of pre -qualified standing.
However, the "removed" contractor or subcontractor shall still be permitted to bid on City public works
projects, though the contractor must submit all required documents under 6-63 until "pre -qualified" status
is re-established.
Please Note: The City reserves the right to request supplemental information from the bidder,
additional verification of any information provided by the bidder, and may also conduct random
inquiries of the bidder's current and previous customers regardless of pre -qualified standing.
It is the sole responsibility of the potential bidder to comply with all submission requirements applicable to
the bidder in Section 6-63 of the Responsible Bidding Ordinance no later than the date of the public bid
opening.
Version 7/20/2018 General Conditions - 6
POST BID SUBMISSIONS:
Post -bid submissions must be submitted in accordance with Section 6-64 of the Responsible Bidding
Ordinance. The post -bid submission requirements are as follows:
1. All bidders shall collect, maintain, and provide upon request, a current written list that discloses the
name, address, licensing status, and type of work for any subcontractor from whom the bidder has
accepted a bid and/or intends to hire on any part of the public work project, including individuals
performing work as independent contractors.
2. Each subcontractor, whose portion of the project is estimated to be at least one -hundred fifty
thousand dollars ($150,000.00), shall be required to adhere to the requirements of Section I of the
Responsible Bidder Ordinance as though it were bidding directly to the City, except that the
subcontractor shall submit the required information (including the name, address, and type of work)
to the successful bidder prior to the commencement of work.
3. Failure of a subcontractor to submit the required information shall not disqualify the successful
bidder from performing work on the project and shall not constitute a contractual default and/or
breach by the successful bidder. However, the City may withhold all payment otherwise due for
work performed by a subcontractor, until the subcontractor submits the required information and
the City approves such information.
4. The disclosure of a subcontractor list ("Disclosed Subcontractor(s)") to the City by a bidder shall
not create any rights in the Disclosed Subcontractor(s). Thus, a bidder may substitute another
subcontractor for a Disclosed Subcontractor by giving the City, upon request, written notice of the
name, address, licensing status, and type of work of the substitute subcontractor.
5. The successful bidder and all subcontractors on a public works project are required to submit
certified payroll utilizing the federal form known as WH-347 or a similar form on a bi-weekly basis,
submitted within 10 days after the end of each bi-weekly payroll period. Certified payrolls shall
identify the job title and craft for each employee. Certified payrolls shall be submitted
electronically.
Please Note: Submissions deemed inadequate, incomplete, or untimely by the City may result in
the automatic disqualification of the bid.
The City, after review of complete and timely submissions, shall, in its sole discretion, after taking into
account all information in the submission requirements, determine whether a bidder is responsive and
responsible, and provide a Pre -Qualification Verification Letter. The City specifically reserves the right to
utilize all information provided in the contractor's submission and any information obtained by the City
through its own independent verification of the information provided by the contractor.
Version 7/20/2018 General Conditions - 7
PRE -QUALIFIED BIDDER CHECKLIST
(a) Acknowledgements:
0) X By checking this box, I hereby acknowledge that I am a pre -qualified bidder with
the City of South Bend and that I have met the pre -qualification requirements within
the last twelve (12) months. A copy of my Pre -Qualification verification letter
is attached.
(ii) X By checking this box, I hereby acknowledge that the City reserves the right to
request supplemental information, additional verification of any information
provided by me, and may also conduct random inquiries of my current and prior
customers.
(b) Attachments:
(i) X Indiana Secretary of State's on-line records (ie. Business verification) dated within
sixty (60) days of the submission of said document showing that business is in
existence, current with the Indiana Secretary of State's Business Entity Report,
and eligible for a certificate of good standing. (Not applicable to individuals, sole
proprietors or partnerships).
(ii) X Statement on staffing capabilities, including labor sources. This statement
indicates and ensures I have sufficient employees on staff to complete the work. It
outlines how I intend to meet the staffing needs of the work.
(iii) X Evidence that I am utilizing a surety company which is on the United States
Department of Treasury's Listing of Approved Sureties as required in the bid
specifications or contract.
(iv) X List of projects of similar size and scope of work performed in all areas, including
the State of Indiana, within the last three (3) years.
Version 7/20/2018 General Conditions - 8
PRE -QUALIFICATION CHECKLIST (FOR BIDDERS THAT ARE NOT PRE -QUALIFIED)
(a) Acknowledgements:
(i) By checking this box, I hereby acknowledge that I am not a pre -qualified bidder
with the City of South Bend.
(ii) _ By checking this box, I hereby acknowledge that the City reserves the right to
request supplemental information, additional verification of any information
provided, and may also conduct random inquiries of my current and prior
customers. The City reserved the right to utilize all information provided in this
submission and all information obtained in inquiries or requests to determine if a
bidder is responsive and responsible. Additionally, I acknowledge that all
information provided to the City shall be regarded as public records.
(iii) _ By checking this box, I hereby acknowledge that copies of all Applicable
apprenticeship certificates or standards for training programs applicable to the
work performed on the project may be requested at anytime and shall be furnished
upon request.
(iv) _ By checking this box, I hereby acknowledge and ensure that I and all sub-
contractors, from whom I have accepted a bid and/or intend to hire to perform work
on the public work project, are properly licensed. Furthermore, I acknowledge my
understanding that it is my responsibility to ensure that all sub -contractors have
the necessary licenses to undertake the work called for in this bid. If a sub-
contractor loses their license at any point, it is the responsibility of that sub-
contractor to notify the City.
(b) Attachments:
(i) _
Indiana Secretary of State's on-line records (ie. Business verification) dated within
sixty (60) days of the submission of said document showing that business is in
existence, current with the Indiana Secretary of State's Business Entity Report,
and eligible for a certificate of good standing. (Not applicable to individuals, sole
proprietors or partnerships).
(ii) _
List identifying all former business names.
(N) _
Any determinations by a court or governmental agency any violations of federal
state, or local laws including, but not limited to, violations of contracting or antitrust
laws, tax or licensing laws, environmental laws, Occupational Safety and Health
Act (OSHA), or federal Davis -Bacon and related Acts, within the preceding five (5)
years.
(iv) _
Statement about staffing capabilities, including labor sources. This statement
indicates and ensures I have sufficient employees on staff to complete the work I
am bidding on OR outlines how I intend to meet the staffing needs of the work.
(v)
Statement that individuals who will perform work on the public work project on my
behalf will be properly classified as an employee or as an independent contractor
under all applicable state and federal laws and local ordinances.
(vi) _
Evidence of participation in apprenticeship and training programs, applicable to the
work to be performed on the project, which are approved by and registered with
the United States Department of Labor's Office of Apprenticeship, or its successor
organization.
(vii)
Copy of a written plan for employee drug testing that covers all of my employees
who will perform work on the public work project and meets or exceeds the
requirements set forth in IC 4-13-18-5 or IC 4-13-18-6.
(viii) _
Evidence that I am utilizing a surety company which is on the Bureau of Fiscal
Service "Department of Treasury's Listing of Approved Sureties" as required in the
bid specifications or contract.
Version 7/20/2018 General Conditions - 9
(ix) Written statement of any federal, state or local tax liens or tax delinquencies owed
to any federal, state or local taxing booty in the preceding three years.
(i) _ List of projects of similar size and scope of work perforated in all areas, including
the State of Indiana, within three (3) years prior to the date on which the bid is due.
Date:
(Sign H } _
Du i ilary, VP of South Bend Area
(Print -Name Here)
Walsh & Kelly, Inc.
(Name of Company)
24358 SR 23
y�&0 �&fffBejpi
(Address of Company)
°e 44
South Bend IN 46614�
v,�
(City)
n::
Indiana
em .�
SEA'
(State)
574-288-4811
+°arse
(Telephone Number)
Version 7/20/2018 General Conditions - 10
Responsible Bidder Checklist
Pre -Qualified Bidder Checklist
(b) Attachments
(i) Attached
Staffing Capabilities: Walsh & Kelly, Inc. is signatory with the following unions
which supply our workforce — Laborers International Union, Teamsters, Operating
Engineers and Cement Masons.
(iii) Attached
(iv) See Forms 96 and 96a
Dated: September. 6, 2018 - _ -
State of Indiana
Office of the Secretary of State
CERTIFICATE OF EXISTENCE
To Whom These Presents Come, Greeting:
I, CONNIE LAWSON, Secretary of State of Indiana, do hereby certify that I am, by virtue of the laws of
the State of Indiana, the custodian of the corporate records and the proper official to execute this
certificate.
I further certify that records of this office disclose that
WALSH & KELLY INC
duly filed the requisite documents to commence business activities under the laws ;of the State of
Indiana on March 29, 1966, and was in existence or authorized to transact business in the State of
Indiana on September 05, 2018.
I further certifly this Domestic For -Profit Corporation has filed its most recent report required by
Indiana law with the Secretary of State, or is not yet required to file such report, and that no notice of
withdrawal, dissolution, or expiration has been filed or taken place, All fees, taxes, interest, and
penalties owed to Indiana by the domestic or foreign entity and collected by the Secretary of State
have been paid.
In Witness Whereof, I have caused to be affixed my
signature and the seal of the State of Indiana, at the City
of Indianapolis, September 05, 2018
Cmwi �w�.
CONNIE LAWSON
SECRETARY OF STATE
194484-057 / 2018718629
All certificates should be validated here: https:Hbsd.sos.in.gov/ValidateCertificate
Expires on October 05, 2018.
h'hodo' I A Cdo 's'm I wi�dnq "� H)o1d" H( hhvd Vq'd"Aw' search
. . .. ........ . 1"'
Yl�
Fiscal Service INme Abo"t Us Our Prograins U'poetl' VubtkAoD, Our Services N ews CoNact Us
� a I * '-,i 1, - � a" e HI 1 M, k'"I
M
Department of the Treasurys Listing of Certified
Companies
t, d ",ukvkIMt'a k(rj(kJiy
Certified Comps
own"
• Notes
Stgtes Insurance D pgd_Mentq
k
570
Download the complete fisting of Certified Companies t (146 KB)
AiFA1!a1QI1EI1E IQ I H IMIKILIMM
A
Updated July 1, 201:8
hlk< u�n hildivIdmik
ACCREDITED SURETY AND CASUALTY COMPANY, INC. (NAIL #26379)
BUSINESS ADDRESS: PO Box 140855, Orlando, FL 32814, PHONE: (407) 629-2131, UNDERWRITING
LIMITATION b/: $5,446,000, SURETY LICENSES cj/: AL, AK, AZ, AR, CA, CO, CT, DE, DC, FL, GA, HI, ID, IL,
IN, ]A, KS, KY, LA, ME, MD, MA, MI, MN, MS, MO, MT, NE, NV, NH, NJ, NM, NY, NC, ND, OH, OK, OR, PA, RI,
SC, SD, TN, TX, UT, VT, VA, WA, WV, WI, WY. INCORPORATED IN: Florida,
ACE American Insurance Company (NAIL #22667)
5w rty
BUSINESS ADDRESS: 436 Walnut Street P.O. Box 1000, Philadelphia, PA 19106, PHONE: (215) 640-1000.
UNDERWRITING LIMITATION b/: $478,637,000. SURETY LICENSES c,f/: AL, AK, AZ, AR, CA, CO, CT, DIE,
Background
DC, FL, GA, HI, 11), IL, IN, IA, KS, KY, LA, ME, MD, MA, MI, MN, MS, MO, MT, NE, NV, NH, NJ, NM, NY, INC,
ND, OH, OK, OR:, PA, PR, RII, SC, SD, TN, TX, LIT, VT, VA, WA, WV, WI, WY. INCORPORATED IN.
Getting Started
Pennsylvania.
Certified Companies
ACE Property and Casualty Insurance Company (NAIL #20699)
BUSINESS ADDRESS: 436 WALNUT STREET, RO. Box 1000, Philadelphia, PA 19106. PHONE: (215) 640-
1000. UNDERWRITING LIMITATION bh $296,248,000,, SURETY LICENSES c,f/: AL, AK, AZ, AR, CA, CO, CT,
Admitted Reinsurers
DE, DC, FL, GA, HI„ ID, IL, IN, 1A, KS, KY, LA, ME, MD, MA, MI, MN, MS, MO, MT, NE, NV, NH, NJ, NM, NY,
NC, ND, OH, OK, OR, PA, PR, RI, SC, SD, TN, TX, UT, VT, VA, WA, WV, WL WY, INCORPORATED ft
Sureties Listing
Pennsylvania,
Forms
ACSTAR INSURANCE COMPANY (NAIC:#22950)
BUSINESS ADDRESS: 30 SOUTH ROAD, FARMINGTON, CT 06032, PHONE: (860) 415-8400.
UNDERWRITING LIMITATION b/: $2,360,000. SURETY LICENSES c,f/: AL, AK, AZ, AR, CA, CO, CT, DE, DC,
Regulations & Guidance
FL, GA, HI, ID, IL, IN, IA, KS, KY, LA, ME, MD, MA, MI, MIN, MS, MO, MT, NE, NV, NH, NJ, NM, NY, NC, ND,
OH, OK, OR, PA, PR, RI, SC, SD, TN, TX, UT, VT, VA, WA, WV, K WY. INCORPORATED IN: 11illnols,
Correspondence
Aegis Security Insurance Company (NAIL #33898)
Contacts
BUSINESS ADDRESS: P.O. Box 3153, Harrisburg, PA 17105. PHONE: (717) 657-9671. UNDERWRITING
LIMITATION b/: $5,374,000. SURETY LICENSES c,f/: AL, AK, AZ, AR, CA, CO, CT, DIE, DC, FL, GA, HI, ID, IL,
11N, lA, KS, KY, LA, ME, MD, MA, MI, MN, MS, MO, MT, NE, NV, NH, NJ, NIM, NY, NC, ND, OH, OK, OR, P& RV,
SC, SD, TN, TX, LIT, VT, VA, WA, WV, WI, WY. INCORPORATED IIN: Pennsylvania.
ALL AMERICA INSURANCE COMPANY (NAIL #20222)
y
BUSINESS ADDRESS: P.O, BOX 351, VAN WERT, OH 45891 - 0351, PHONE: (419) 238-1010.
UNDERWRITING LIMITATION bt: $15,662,000. SURETY LICENSES c,fl: AZ, AR, CA, CO, CT, GA, ID, IL, IN,
1'ransiate
IA, KY, ME, MID, MA, MI, MN, MS. MT,
NV, NH, NJ, NM, NY, NC, OH, OK, OR, PA, SC, TN, TX, UT, VT, VA,
WA, WI. INCORPORATED IN: Ohio.
Allegheny Casualty Company (NAIC #13285)
BUSINESS ADDRESS: Ono Newark Center, 20th Floor, Newark, NJ 07102. PHONE: (800) 333-4167 x-269.
UNDERWRITING LIMITATION b/: $2,264,000. SURETY LICENSES c,f/: AL, AK, AZ, AR, CA, CO, CT, DE, DC,
FL, GA, HI, ID, IL, IN, IA, KS, KY, LA, ME, MID, MA, MI, MN, MS, MO, MT, NE, NV, NH, NJ, NM, NY, NC, NO,
OH, OK, OR, PA, PR, RI, SC, SO, TN, TX, UT, VT, VA, WA, WV, WI, WY. INCORPORATED IN: New Jersey,
ALLEGHENY SURETY COMPANY (NAIC #34541)
BUSINESS ADDRESS: 4217 Steubenville Pike, Pittsburgh, PA 15205. PHONE: (412) 921-3077.
UNDERWRITING LIMITATION b/: $254,000. SURETY LICENSES c,f/: PA. INCORPORATED IN: Pennsylvania.
ALLIED Property and Casualty Insurance Company (NAIC #42579)
BUSINESS ADDRESS: ONE WEST NATIONWIDE BLVD., 1-04-701, COLUMBUS, OH 43215 - 2220. PHONE:
(515) 508-4211, UNDERWRITING LIMITATION b/: $6,045,000. SURETY LICENSES c,f/: AL, AZ, AR, CA, CO,
CT, DE, DC, FL, GA, ID, IL, IN, IA, KS, KY, ME, MD, MI, MN, MS, MO, MT, NE, NV, NH, NM, NY, NO, OH, PA,
RI, SC, SO, TN, TX, UT, VT, VA, WA, WV, WI, WY. INCORPORATED IN: Iowa.
Allied World Insurance Company (NAIC #22730)
BUSINESS ADDRESS; 199 Water Street, New York, NY 10038, PHONE: (646) 794-0500. UNDERWRITING
LIMITATION b/: $59,242,000. SURETY LICENSES 01: AL, AK, AZ, AR, CA, CO, CT, DE, DC, FL, GA, HI, ID,
IL, IN, IA, KS, KY, LA, ME, MID, MA, MI, MN, MS, MO, MT, NE, NV, NH, NJ', NM, NY, NC, NO, OH, OK, OR, PA,
FIR, RI, SC, SO, TN, TX, UT, VT, VA, WA, WV, WI,. INCORPORATED IN: New Hampshire.
Allied World Specialty Insurance Company (NAIC #16624)
BUSINESS ADDRESS: 199 WATER STREET, NEW YORK, NY 10038. PHONE: (646) 794-0600.
UNDERWRITING LIMITATION b/: $41,919,000, SURETY LICENSES cjl: AL, AK, AZ, AR, CA, CO, CT, DE,
DC, FL, GA, HI, ID, IL, IN, IA, KS, IKY, LA, ME, MID, MA, MI, MN, MS, MO, MT, NE, NV, NH, NJ, NM, NY, NC,
NO, OH, OK, OR, PA, PR, RI, SC, SO, TN, TX, LIT, VT, VA, WA, WV, WL WY. INCORPORATED IN: Delaware.
AMCO Insurance Company (NAIC #19100)
BUSINESS ADDRESS: ONE WEST NATIONWIDE BLVD., 1-04-701, COLUMBUS, Old 43215 - 2220. PHONE:
(515) 508-4211, UNDERWRITING LIMITATION b/: $20,982,000. SURETY LICENSES c,f/: AL, AZ, AR, CA,
CO, CT, DE, DC, FL, GA, ID, IL, IN, IA, KS, KY, ME, MID, MI, MN, MS, MO, MT, NE, NV, NM, NY, NC, NO, OH,
OR, PA, RI, SC, SO, TN, TX, UT, VT, VA, WA, WV, WI, WY, INCORPORATED IN: Iowa.
AMERICAN ALTERNATIVE INSURANCE CORPORATION (NAIC #19720)
BUSINESS ADDRESS: 555 COLLEGE ROAD EAST - P.O. BOX 5241, PRINCETON, NJ 08543, PHONE:
(609) 243-4200. UNDERWRITING LIMITATION b/: $20,167,000. SURETY LICENSES c,f/: AL, AK, AZ, AR, CA,
CO, CT, DE, DC, FL, GA, 111, ID, IL, IN, IA, KS, KY, LA, MD, MA, MI, MN, MS, MO, MT, NE, NV, NH, NJ, NM,
NY, NC, ND, 011, OK, OR, PA, RI, SC, SO, TN, TX, LIT, VT, VA, WA, WV, WI, WY. INCORPORATED IN:
Delaware.
American Automobile Insurance Company (NAIC 021849)
BUSINESS ADDRESS: 225 W. WASHINGTON STREET, SUITE 1800, CHICAGO, IL 60606 - 3484, PHONE:
(888) 466-7883. UNDERWRITING LIMITATION bl: $7,803,000. SURETY LICENSES c,f/: AL, AK, AZ, AR, CA,
CO, CT, DE, DC, FL, GA, GU, HI, ID, IL, IN, IA, KS, KY, LA, ME, MID, MA, MI, MN, MS, MO, MT NE, NV, NH,
NJ, NM, NY, NC, NO, OH, OK, OR, PA, RI, SC, SD, TN, TX, LIT, VT, VA, WA, WV, WI, WY. INCORPORATED
IN: Missouri,
AMERICAN BANKERS INSURANCE COMPANY OF FLORIDA (NAIC #10111)
BUSINESS ADDRESS: 11222 QUAIL ROOST DRIVE, MIAMI, FL 33157 - 6596. PHONE: (305) 253-2244.
UNDERWRITING LIMITATION bh $56,177,000. SURETY LICENSES c,f/: AL, AK, AZ, AR, CA, CO, CT DE,
DC, FL, GA, HI, ID, IL, IN, IA, KS, KY, LA, ME, MID, MA, MI, MN, MS, MO, MT, NE, NV, NH, NJ, NM, NY, NC,
NO, OH, OK, OR, PA, FIR, RI, SC, SO, TN, TX, UT, VT, VA, VI, WA, WV, WI, WY. INCORPORATED IN: Florida,
American Casualty Company of Reading, Pennsylvania (NAIC #20427)
BUSINESS ADDRESS: 151 N, Franklin St., CHICAGO, IL 60606. PHONE: (312) 822-5000. UNDERWRITING
LIMITATION b/: $14,216,000, SURETY LICENSES c,f/: AL, AK, AZ, AR, CA, CO, CT, DE, DC, FL, GA, HL ID,
1L, IN, IIA, KS, KY, LA, ME, MD, MA, MI, MN, MS, MO, MT, NE, NV, NH, NJ, N'M, NY, NC, NO, 011, OK, OR, PA,
PR, RI, SC, SD, TN, TX, UT, VT, VA, WA, WV, WI, WY. INCORPORATED IN: Pennsylvania.
AMERICAN CONTRACTORS INDEMNITY COMPANY (NAIC #102161)
BUSINESS ADDRESS: 801 South Figueroa Street, Suite 700, Los Angeles, CA 90017, PHONE: (310) 649-
0990. UNDERWRITING LIMITATION b/: $12,855,000. SURETY LICENSES c,f/: AL, AK, AZ, AR, CA, CO, CT,
DE, DC, FL, GA, GU, HI, ID, IL, IN, IA, KS, KY, LA, ME, MD, MI, MN, MS, MO, MT, NE, NV, NJ, NM, NY, NO,
OH, OK, OR, PA, RI, SC, SO, TN, TX, UT, VA, WA, WV, WI, WY. INCORPORATED IN: California.
American Fire and Casualty Company (NAIC #24066)
BUSINESS ADDRESS: 175 Berkeley Street, Boston, MA 02116. PHONE: (617) 357-9500. UNDERWRITING
LIMITATION b/: $4,070,000. SURETY LICENSES c,f/: AL, AK, AZ, AR, CA, CO, CT, DE, DC, FL, GA, ID, IL, IN,
IA, KS, KY, LA, ME, MD, MA, MI, MN, MS, MO, MT, NE, NV, NH, NJ, NM, NY, NC, NO, 011, OK, OR, PA, RI,
SC, SO, TN, TX, UT, VT, VA, WA, WV, WI, WY. INCORPORATED IN: New Hampshire.
American Guarantee and Liability Insurance Company (NAIC #26247)
BUSINESS ADDRESS: 1299 ZURICH WAY, 5TH FLOOR, SCHAUMBURG, IL 60196 - 1056. PHONE: (847)
605-6000, UNDERWRITING LIMITATION b/: $18,450,000. SURETY LICENSES c,f/: AL, AK, AZ, AR, CA, CO,
CT, DE, DC, FL, GA, HI, ID, IL, IN, IA, KS, KY, LA, ME, MID, MA, MI, MN, MS, MO, MT, NE, NV, NH, NJ, NM,
NY, NC, NO, OH, OK, OR, PA, RI, SC, SO, TN, TX, UT, VT, VA, WA, WV, WI, WY. INCORPORATED IN: New
York.
American Home Assurance Company (NAIC #19380)
BUSINESS ADDRESS: 175 WATER STREET, 18TH FLOOR, NEW YORK, NY 10038. PHONE: (212) 770-
7000. UNDERWRITING LIMITATION bl: $623,782,000. SURETY LICENSES c,f/: AL, AK, AZ, AR, CA, CO, CT,
DE, DC, FL, GA, HI, ID, IL, IN, IA, KS, KY, LA, ME, MD, MA, MI, MN, MS, MO, MT, NE, NV, NH, NJ, NM, NY,
NC, NO, OH, OK, OR, PA, RI, SC, SD, TN, TX, UT, VT, VA, WA, WV, Wl, WY. INCORPORATED IN: New York.
American Insurance Company (The) (NAIC #21857)
BUSINESS ADDRESS: 225 W. WASHINGTON STREET, SUITE 1800, CHICAGO, IL 60606 - 3484. PHONE:
(888) 466-7883. UNDERWRITING LIMITATION bl: $6,667,000. SURETY LICENSES c,fl: AL, AK, AZ, AR, CA,
CO, CT, DE, DC, FL, GA, GU, HI, ID, IL, IN, IA, KS, KY, LA, ME, MD, MA, MI, MN, MS, MO, MT, NE, NV, NH,
NJ, NM, NY, NC, NO, OH, OK, OR, PA, PR, RI, SC, SD, TN, TX, UT, VT, VA, WA, WV, WI, WY.
INCORPORATED IN: Ohio.
AMERICAN ROAD INSURANCE COMPANY (THE) (NAIC #19631)
BUSINESS ADDRESS: One American Road, MD 7600, Dearborn, MI 48126 - 2701. PHONE: (313) 337-1102.
UNDERWRITING LIMITATION bl: $27,040,000. SURETY LICENSES ON: AL, AK, AZ, AR, CA, CO, DE, DC,
FL, GA, HI, ID, IL, IN, IA, KS, KY, LA, ME, MD, MA, MI, MN, MS, MO, MT, NE, NV, NH, NJ, NM, NY, NC, ND,
OH, OK, OR, PA, RI, SC, SD, TN, TX, UT, VT, VA, WA, WV, WL WY. INCORPORATED IN: Michigan.
American Southern Insurance Company (NAIC 910235)
BUSINESS ADDRESS: P 0 Box 723030, Atlanta, GA 31139 - 0030. PHONE: (404) 266-9599.
UNDERWRITING LIMITATION bl: $4,335,000, SURETY LICENSES 01: AL, AZ, AR, CO, DE, DC, FL, GA, IL,
IN, KS, KY, MD, MI, MN, MS, MO, NE, NJ, NY, NC, OH, PA, SC, TN, UT, VA, WA, WV, WI, WY.
INCORPORATED IN: Kansas.
American Surety Company (NAIC #31380)
BUSINESS ADDRESS: 250 East 96th Street, Suite 202, Indianapolis, IN 46240. PHONE: (317) 875-8700.
UNDERWRITING LIMITATION bl: $1,045,000. SURETY LICENSES c,fl: AL, AK, AZ, AR, CA, CO, CT, DE, DC,
FL, GA, HI, ID, IL, IN, IA, KS, KY, LA, ME, MD, MA, MI, MN, MS, MO, MT, NE, NV, NH, NJ, NM, NY, NC, ND,
OH, OK, OR, PA, RI, SC, SD, TN, TX, UT, VT, VA, WA, WV, WY. INCORPORATED IN: Indiana.
Amerisure Insurance Company (NAIC #19488)
BUSINESS ADDRESS: P. 0. Box 2060, Farmington Hills, MI 48331 - 3586. PHONE: (248) 615-9000.
UNDERWRITING LIMITATION bl: $24,179,000. SURETY LICENSES c,f/: AL, AK, AZ, AR, CO, DE, DC, FL,
GA, HI, ID, IL, IN, IA, KS, KY, LA, MD, MA, MI, MN, MS, MO, MT, NE, NV, NH, NJ, NM, NY, NC, ND, OH, OK,
OR, PA, PR, RI, SC, SD, TN, TX, UT, VT, VA, WA, WV, WI, WY. INCORPORATED IN: Michigan.
Amerisure Mutual Insurance Company (NAIC #23396)
BUSINESS ADDRESS: P. 0, Box 2060, Farmington Hills, MI 48331 - 3586. PHONE: (248) 615-9000.
UNDERWRITING LIMITATION bl: $71,674,000. SURETY LICENSES c,fl: AL, AK, AZ, AR, CA, CO, CT, DE,
DC, FL, GA, HI, ID, IL, IN, IA, KS, KY, LA, ME, MD, MA, MI, MN, MS, MO, MT, NE, NV, NH, NJ, NM, NY, NC,
ND, OH, OK, OR, PA, PR, RI, SC, SD, TN, TX, UT, VT, VA, WA, WV, WI, WY. INCORPORATED IN: Michigan.
Amerisure Partners Insurance Company (NAIC #11050)
BUSINESS ADDRESS: P. 0. Box 2060, Farmington Hills, MI 48331 - 3586. PHONE: (248) 615-9000.
UNDERWRITING LIMITATION b/: $2,398,000. SURETY LICENSES c,tl: AL, AK, AZ, AR, CO, DE, DC, FL, GA,
HI, ID, IL, IN, IA, KS, KY, LA, MD, MA, MI, MN, MS, MO, MT, NE, NV, NM, NC, ND, OH, OK, OR, PA, RI, SC,
SD, TN, TX, UT, VT, VA, WA, WV, WI, WY. INCORPORATED IN: Michigan,
Antilles Insurance Company (NAIC #10308)
BUSINESS ADDRESS: PO Box 9023507, San Juan , PR 00902 - 3507. PHONE: (787) 474-4900.
UNDERWRITING LIMITATION bl: $3,387,000. SURETY LICENSES c,fl: PR. INCORPORATED IN: Puerto
Rico.
Arch Insurance Company (NAIC #11150)
BUSINESS ADDRESS: Harborside 3, 210 Hudson Street, Suite 300, JERSEY CITY, NJ 07311 - 1107. PHONE:
(201) 743-4000. UNDERWRITING LIMITATION bl: $92,978,000. SURETY LICENSES c,fl: AL, AK, AZ, AR, CA,
CO, CT, DE, DC, FL, GA, GU, HI, ID, IL, IN, IA, KS, KY, LA, ME, MD, MA, MI, MN, MS, MO, MP, MT, NE, NV,
NH, NJ, NM, NY, NC, ND, OH, OK, OR, PA, PR, RI, SC, SD, TN, TX, UT, VT, VA, VI, WA, WV, WI, WY.
INCORPORATED IN: Missouri.
Arch Reinsurance Company (NAIC #10348)
BUSINESS ADDRESS: 445 South Street, Suite 220, P.O. Box 1988, Morristown, NJ 07962 - 1988. PHONE:
(973) 898-9575. UNDERWRITING LIMITATION bl: $35,781,000. SURETY LICENSES c,fl: AL, AK, AZ, AR, CA,
CO, CT, DE, DC, FL, GA, GU, HI, ID, IL, IN, IA, KS, KY, LA, MD, MA, MI, MN, MS, MO, MT, NE, NV, NH, NJ,
NM, NY, NO, OH, OK, OR, PA, RI, SC, SD, TN, TX, UT, VT, VA, WA, WV. INCORPORATED IN: Delaware.
Argonaut Insurance Company (NAIC #19801)
BUSINESS ADDRESS: P.O. BOX 469011, SAN ANTONIO, TX 78246. PHONE: (800) 470-7958.
UNDERWRITING LIMITATION bl: $87,278,000. SURETY LICENSES c,fl: AL, AK, AZ, AR, CA, CO, CT, DE,
DC, FL, GA, GU, HI, ID, IL, IN, IA, KS, KY, LA, ME, MD, MA, MI, MN, MS, MO, MT, NE, NV, NH, NJ, NM, NY,
NC, ND, OH, OK, OR, PA, PR, RI, SC, SO, TN, TX, UT, VT, VA, VI, WA, WV, WI, WY. INCORPORATED IN:
Illinois.
ASPEN AMERICAN INSURANCE COMPANY (NAIC #43460)
BUSINESS ADDRESS: 175 Capital Boulevard, Suite300, Rocky Hill, CT 06067. PHONE: (860) 258-3500.
UNDERWRITING LIMITATION b/:$3o,628,0OUSURETY LICENSES ujl:AL, AK, AZ, AR, CA, CO, CT, DE,
oo. FL, GA, H|' |D. |L, IN, k\ K8. KY, LA, ME, MD. MA, M|. MIN, MS, MO, MT, NE, NV, NH, NJ, NM, NY, NC.
Mo. OH, OK, OR, P8. PR, RI, SC, SID, TN, TX, UT, VT, VA, VI, WA, WV, w0. WY. INCORPORATED IN: Texas
Associated Indemnity Cunxormkm
BUSINESS ADDRESS: 225wkVVABH|NGTONSTREET, SUITE 18o0.CH|CAGv'|L«060« 3484.PNONE:
(888)466-7883. UNDERWRITING LIMITATION h/: $9.002.030. SURETY LICENSES n.V:AL, AK, AZ, AR, CA,
CO. CT DE, DC. FL. GA, GU, H|' |D, ||, IN, |A. KS. KY, LA, ME, MID, Mx. m|. MN. MS` MIO, MT NE, NV, NH,
NJ, NM, NY, NC, ND, OH, OK, OR, PA, RI, SC, SD'TN, TX, UT, VT, VA, WA, WV, WI, WY. INCORPORATED
IN: California.
Atlantic #27154)
BUSINESS ADDRESS: oVsHighway 1anNorth, Suite 800. Plymouth,MN55441.PHONE: (952) 852-2431.
UNDERWRITING LIMITATION b/: $«1.8Vn^ono.SURETY LICENSES o.K:AL, AK, AZ, AR, CA, CO, CT, DE,
DC' FL, Em, H|. ID, |L. IN, IA, KS, n( LA, ME, MID, MA, MU, MN, MS, MO, MT, NE, N\< NH, NJ, NM, NY No,
ND, OH, OK, OR, PA, P'R'RI, SC, 8D.TIN, TX, UT, VT, VA, VI, WA, WV, WI, WY. INCORPORATED IN: Now
York._
Auto-Owners Insurance C #18988)
BUSINESS ADDRESS: P.O. BOX ouoso.LamS|wG,x4|4090S'V1UB.PHONE: (517)323-1200
UNDERWRITING LIMITATION h/: $1,063,474,000. SURETY LICENSES ojl:AL, AZ, AR, CO, FL, GA, ID, IL,
IN, IA, KS, KY, MV, MN, MS, Mo, NE, NV, NIM, INC, ND. OH. OR, PA. 8C. gD,Tw. UT, VA, WA, WI.
INCORPORATED IN: Michigan,
AXIS Insurance C(NAIC
BUSINESS ADDRESS: nhxVGreat omkm Way, Ste. 500Alpharetta, GA30822 PHONE
UNDERWRITING LIMITATION b/:$54.46?,000. SURETY LICENSES cj1:AL, AK, AS, AZ, AR, CA, CO, CT,
DE, DC, FL, GA, HI, ID, IL, IN, IA, KS, KY, LA, ME, MID, MA, MI, MN, MS, MO, MT, NE, NV, NH, NJ, NM, NY,
NC. ND, OH, OK, OR, PA, RI, SC, SO.TN, TX, UT, VT, VA, WA, WV, WI, YVYINCORPORATED IN: Illinois,
AXIS, Reinsurance Company
BUSINESS ADDRESS: 11680 Great Oaks Way, 8uaesO0.Alpharetta, GxuUOc2.PHONE:(078)740-S40Q�
UNDERWRITING LIMITATION b/:*96.081.O00.SURETY LICENSES 01:AL, AK, AS, AZ, AR, CA, CO, CT,
0E^ FL, GA. H|. f0. |L. IN, IA, KS, KY, LA. ME. MD, MA, MU' MN, MS, MO, MT NE, N\( NH, NJ, NM, N\( NC'
t_-Back� T6,Top
Bankers Insurance con 933162)
BUSINESS ADDRESS: rm.BOX 1orn7.sTrETsRGBUNB'FLoxrax. PHONE: (727) 823-4000.
UNDERWRITING LIMITATION b/:$7.781'OOD.SURETY LICENSES u.f/:AL, AK, AZ, AR, CA, CO, CT, DE, DC,
FL, GA. HI' |D, |L. IN, IA, KS, KY, LA, ME, MD, MA, MI, MN, MS, MO, MT, NE, NV, NH, NJ,'NM, NY, Nc, ND,
OH, OK, OR, PA, SC, SD.TN, TX, UT, VT, VA, WA, WV, WI, VVYINCORPORATED IN: Florida,
Bankers Standard Insurance C*mpamy(NAKC #18279)
BUSINESS ADDRESS: 43«WALNUT STREET, pO.Box 1tw0.Philadelphia, PA191O6.PHONE: (215)04Q'
1000.UNDERmR|T|NGL|M|TAT|VNb/:*19'790.800,. SURETY LICENSES o.f/:AL, AK, AZ, AR, CA, CO, CT,
DE, DC, FL, GA, HI, ID, IL, IN, IA, KS, KY, LA, ME, MID, MA, MI, MIN, MS, MO, MT, NE, NV, NH, NJ, NM, NY,
NC, ND, OH, OK, OR, PA, RI, SC, 8ID.TN, TX, UT, VT, VA, WA, WV, m0^WY, INCORPORATED IN:
Beazley insurance Company, Inc. NAIC#3754N
BUSINESS ADDRESS: aoBaueroonPark Road, Farmington, CTUhU32.PHDNE�
UNDERWRITING LIMITATION b/:$12'O10.8UO. SURETY LICENSES o.V:AL, AK, AZ, AR, CA, CO, CT, DE,
DC, FL, GA, HI, ID, kL.IN, IA, KS, KY, LA, ME, MID, MA, MI, MN, MS, MO, MT, NE, NV, NH, NJ, NM, NY, NC,
Berkley Insurance Company (NAIC #32603)
BUSINESS ADDRESS: 47eSTEAMBOAT ROAD, oREENVV|oH.oToO83U.PHONE: 542'3e00.
UNDERWRITING LIMITATION b/:$458.1lT,0o0.SURETY LICENSES c.f/:AL, AK, AZ, AR, CA, CO, CT, DE,
DC, FL, GA, GU, HI, ID, IL, IN, IA, KS, KY, LA, ME, MID, MA, MI, MIN, MS, MO, MT, NE, NV, NH, NJ, NM, NY,
NC, ND, OH, OK, OR, PA, FIR, RI, SC, SD.TN, TX, LIT, VT, VA, VI, WA, WV, WI, WY. INCORPORATED IN:
Delaware.
Berkley Regional Insurance Company
BUSINESS ADDRESS: PO BOX 9180.DES MpUNES.iA5U306'8190.PHONE: (515)473'3080.
UNDERWRITING LIMITATION $72.799.0v0.SURETY LICENSES o.f/:AL, AK, AZ, AR, CA, CO, CT, DE.
DC, FL, GA, HI, ID, UL.IN, IA, KS, KY, LA, ME, MD, MA, MI, MN, MS, MO, MIT,NE, NV, NH, NJ, NM, NY, NC,
IND.OH, OK, OR, PA, RI, SC, GD,TN, TX, UT, VT, VA, WA, WV, WI, WY. INCORPORATED IN: Delaware.
Berkshire Hathaway Hornestate Insurance
BUSINESS ADDRES&1314Douglas Soe°tSU°130o0nmmm NEoo1ou'1S44.PHONE: (402) 393-7255.
UNDERWRITING LIMITATION W: $10G.073.000.SURETY LICENSES o.V:AL, AK, AZ, AR, CA, CO, CT, DE,
DC, FL, GA, HI, ID, IL, IN, |A^KS, KY, LA, ME, MID, MA, MK^MN, MS, MO, MIT,NE, NV, NH, NJ, NM, NY, NC,
Berkshire Hathaway Specialty Insurance Company (NAIC #22276)
BUSINESS ADDRESS: 1314 Douglas Street, Suite 1400, Omaha, NE 68102 - 1944. PHONE: (402) 916-3000.
UNDERWRITING LIMITATION b/: $374,964,000. SURETY LICENSES c,f/: AL. AK, AZ, AR, CA, CO, CT, DE,
DC, FL, GA, HI, ID, IL, IN, IA, KS, KY, LA, ME, MD, MA, MI, MN, MS, MO, MT, NE, NV, NHI, NJ, NM, NY, NC,
ND, OH, OK, OR, PA, RI, SC, SD,, TN, TX, UT, VT, VA, WA, WV, WI, WY. INCORPORATED IN: Nebraska.
BITCO GENERAL INSURANCE CORPORATION (NAIC #20095)
BUSINESS ADDRESS: 3700 MARKET SQUARE CIRCLE, DAVENPORT, IA 52807. PHONE: (800) 475-4477.
UNDERWRITING LIMITATION b/: $29,364,000. SURETY LICENSES c,f/: AL, AK, AZ, AR, CA, CO, CT, DE,
DC, FL, GA, ID, IL, IN, IA, KS, KY, LA, ME, MD, MA, MI, MN, MS, MO, MT, NE, NV, NJ!, NM, NY, NC, ND, OH,
OK, OR, PA, RI,, SC, SD, TN, TX, UT, VT, VA, WA, WV, WI, WY. INCORPORATED IN: Illinois,
BOND SAFEGUARD INSURANCE COMPANY (NAIC #27081)
BUSINESS ADDRESS: 10002 Shelbyville Road, Suite 100, Louisville, KY 40223 - 2979. PHONE: (615) 553-
9600. UNDERWRITING LIMITATION b/: $3,938,000. SURETY LICENSES o,f/: AL, AK, AZ, AR, CA, CO, CT,
DE, DC, FL, CA, GU, HI, ID, IL, IN, KS, KY, LA, ME, MD, MA, MN, MS, MO, MP, MT, NV, NH, NJ, NM, NC, ND,
OH, OK, RI, SC, SD, TN, TX, UT, VT, VA, WA, WV, WI, WY. INCORPORATED IN: South Dakota.
Bondex Insurance Company (NAIC #12965)
BUSINESS ADDRESS: P.O. Box 6, Florham Park, NJ 07932. PHONE: (973) 377-7000, UNDERWRITING
LIMITATION V $351 000, SURETY LICENSES cjk DE, NJ, NY, PA. INCORPORATED IN: INew Jersey.
Boston Indemnity Company, Inc. (NAIC #30279)
BUSINESS ADDRESS: PO Box 6, Florham Park, NJ 07932, PHONE: (973) 377-7000. UNDERWRITING
LIMITATION b/: $451,000, SURETY LICENSES c,f/: AL, AZ, AR, CT, DE, DC, FL, GA, ID, IN, KS, IKY, LA, ME,
MA, MN, MS, MT, NE, NV, NC, ND, OK, PA, SD, TN, WV. INCORPORATED IN: South Dakota.
Brierfield Insurance Company (NAIC #10993)
BUSINESS ADDRESS: 6300 University Parkway, Sarasota, FL 34240 - 8424. PHONIE: (800) 226-3224 x-2422.
UNDERWRITING LIMITATION bl: $913,000. SURETY LICENSES c,f/: AL, AR, FL, GA, MS, TN.
INCORPORATED IN: Mississippi,
BRITISH AMERICAN INSURANCE COMPANY (NAIC #32875)
BUSINESS ADDRESS: P.O. Box 1590, Dallas, TX 75221 - 1590. PHONE: (214) 443-5500. UNDERWRITING
LIMITATION b/: $3,249,000, SURETY LICENSES c,f/: TX. INCORPORATED IN: Texas.
i- Back . to Jbp
A
Capitol Indemnity Corporation (NAIC #10472)
BUSINESS ADDRESS: P.O. Box 5900, Madison, WI 53705 - 0900. PHONE:(608) 829-4200. UNDERWRITING
LIMITATION b/: $21,699,000. SURETY LICENSES c,f/: AL, AK, AZ, AR, CA, CO, CT, IDE, DC, FL, GA, HI, ID,
IL, IN, ]A, KS, KY, LA, ME, MID, MA, MI, MN, MS, MO, MT, NE, NV, NH, NJ, NM, NY, NC, ND, OH, OK, OR, PA,
RI1, SC, SD, TN, TX, UT, VT, VA, WA, WV, WI, WY, INCORPORATED IN: Wisconsin.
Capitol Preferred Insurance Company, Inc. (NAIC #10,908)
BUSINESS ADDRESS: 2750 Chancell'orsville Dr, Tallahassee, FL 32312. PHONE: (850) 521-0742.
UNDERWRITING LIMITATION bl: $2,654,000. SURETY LICENSES cN: FL, GA, SC. INCORPORATED IN:
Florida,
Carolina Casualty Insurance Company (NAIC #10510)
BUSINESS ADDRESS: PO BOX 9190, DES MOINES, IA 50306 - 9190, PHONE: (904) 363-0900�
UNDERWRITING LIMITATION bl: $10,338,000. SURETY LICENSES c,f/: AL, AK, AZ, AR, CA, CO, CT, DE,
DC, FL, GA, HI, ID, IL, IN, IA, KS, KY, LA, ME, MD, MA, MI, MN, MS, MO, MT, NE, NV, NH, NJ, NM, NY, NC,
ND, OH, OK, OR, PA, RI, SC, SD, TN, TX, UT, VT, VA, WA, WV, W11, WY. INCORPORATED IN: Iowa.
Centennial Casualty Company (NAIC #34668)
BUSINESS ADDRESS: 2200 Wooderest Place, Suite 200, Birmingham, AL 35209. PHONE: (205) 414-2600.
UNDERWRITING LIMITATION b/: $8,292,000, SURETY LICENSES c,f/: AL. INCORPORATED IN: Alabama.
CENTRAL MUTUAL INSURANCE COMPANY (NAIC 420230)
BUSINESS ADDRESS: P.O. BOX 351, VAN WERT, OH 45891 - 0351. PHONE: (419) 238-1010.
UNDERWRITING LIMITATION b/: $66,541,000. SURETY LICENSES c,fi: AZ, AR, CA, CO, CT, DE, GA, ID, IIL,
IN, IA, KY, ME, MID, MA, MI, MN, MS, MT, NV, NH, NJ, NM, NY, NC, OH„ OK, OR, PA, SC, TN, TX, UT, VT VA,
WA, WI. INCORPORATED IN: Ohio,
CENTURY SURETY COMPANY (NAIC #36951)
BUSINESS ADDRESS: 550 Polaris Parkway, Westerville, OH 43082, PHONE: (614) 895-2000,
UNDERWRITING LIMITATION b/: $3,931,000. SURETY LICENSES c,fl: AZ, IN, OH, WV, W11.
INCORPORATED IN: Ohio.
Charter Oak Fire Insurance Company (The) (NAIC #25615)
BUSINESS ADDRESS: ONE TOWER SQUARE, HARTFORD, CT 06183. PHONE: (860) 277-0111.
UNDERWRITING LIMITATION bl: $22,735,000. SURETY LICENSES cji: AL, AK, AZ, AR, CO, CT, IDE, DC,
FL, GA, HI, ID, lt-, IN, A, KS, KY, LA, ME, MD, MA, MI, MN, MS, MO, MT, NE, NV, NH, NJ:, NM, NY, NC, ND,
OH, OK, OR, PA, PR, RI, SC, SD, TN, TX, UT, VT VA, WA, WV, WI, WY. INCORPORATED IN: Connecticut.
Cherokee Insurance Company (NAIC #10642)
BUSINESS ADDRESS: 34200 Mound Road, Sterling Heights, MI 48310, PHONE: (800) 201-0450 x-3400.
UNDERWRITING LIMITATION bP $19,781,000. SURETY LICENSES c,f/: AL, AZ, AR, CA, CO, CT, DE, FL,
GA, ID, IL, IN, IA, KS, KY, LA, ME, MD, MA, MI, MN, MS, MO, MT, NE, NV, NJ, NM, NY, NC, ND, OH, OK, OR
PA, RI, SC, SD, TN, TX, U, VT, VA, WA, WV, WI, WY. INCORPORATED IN: Michigan.
CHUBB INDEMNITY INSURANCE COMPANY (NAIC #12777)
BUSINESS ADDRESS: 202B Halls MITI Road, Whitehouse Station, NJ 08889. PHONE: (212) 827-4400.
UNDERWRITING LIMITATION b/: $17,505,000. SURETY LICENSES c,fl: AL, AK, AZ, AR, CA, CO, CT, DE,
DC, FL, GA, HI, ID, IL, IN, IA, KS, KY, LA, ME, MD, MA, MI, MN, MS, MO, MT, NE, NV, NH, NJ, NM, NY, NC,
ND, OH, OK, OR, PA, RI, SC, SD, TN, TX, UT, VT, VA, WA, WV, WI, WY. INCORPORATED IN: New York.
Cincinnati Casualty Company (The) (NAIC #28665)
BUSINESS ADDRESS: P.O. Box 145496, Cincinnati, OH 45250 - 5496. PHONE: (513) 870-2000.
UNDERWRITING LIMITATION b/: $39,229,000. SURETY LICENSES c,fl: AL, AK, AZ, AR, CA, CO, CT, DE,
DC, FL, GA, HI, ID, IL, IN, IA, KS, KY, LA, ME, MD, MA, MI, MN, MS, MO, MT, NE, NV, NH, NJ, NM, NY, NO,
ND, OH, OK, OR, PA, RI, SC, SD, TN, TX, UT, VT, VA, WA, WV, WI, WY, INCORPORATED IN: Ohio,
CINCINNATI INDEMNITY COMPANY, THE (NAIC #23280)
BUSINESS ADDRESS: P.O. BOX 145496, CINCINNATI, OH 45250 - 5496. PHONE: (513) 870-2000 x-4414.
UNDERWRITING LIMITATION bl: $10,000,000. SURETY LICENSES c,fl: AL, AK, AZ, AR, CA, CO, CT, DE,
DC, FL, GA, HI, ID, IL, IN, ]A, KS, KY, LA, ME, MD, MA, MI, MN, MS, MO, MT, NE, NV, NH, NJ, NM, NY, NC,
ND, OH, OK, OR, PA, RI, SC, SD, TN, TX, UT, VT, VA, WA, WV, WI, WY. INCORPORATED IN: Ohio.
Cincinnati Insurance Company (The) (NAIC #10677)
BUSINESS ADDRESS: P.O. BOX 145496, CINCINNATI, OH 45250 - 5496. PHONE: (513) 870-2000.
UNDERWRITING LIMITATION bl: $460,128,000. SURETY LICENSES e,f/: AL, AK, AZ, AR, CA, CO, CT, DE,
DC, FL, GA, HI, ID, IL, IN, IA, KS, KY, LA, ME, MD, MA, MI, MN, MS, MO, MT, NE, NV, NH, NJ, NM, NY, NC,
ND, OH, OK, OR, PA, PR, RI, SC, SD, TN, TX, UT, VT, VA, WA, WV, WI, WY. INCORPORATED IN: Ohio.
CITIZENS INSURANCE COMPANY OF AMERICA (NAIC #31534)
BUSINESS ADDRESS: 440 LINCOLN STREET, WORCESTER, MA 01653 - 0002. PHONE: (508) 853-7200.
UNDERWRITING LIMITATION bl: $69,946,000, SURETY LICENSES c,fl: AL, AK, AZ, AR, CO, CT, DE, DC,
GA, HI, IL, IN, IA, KS, ME, MD, MA, MI, MN, MS, MO, MT, NE, NH, NJ, NM, NY, NC, ND, OH, OK, PA, RI, SC,
SD, TN, TX, UT, VT, VA, WA, WV, WI, INCORPORATED IN: Michigan.
COLONIAL AMERICAN CASUALTY AND SURETY COMPANY (NAIC #34347)
BUSINESS ADDRESS: 1299 ZURICH WAY, 5TH FLOOR, SCHAUMBURG, IL 60196 - 1056. PHONE: (847)
605-6000. UNDERWRITING LIMITATION bl: $2,337,000, SURETY LICENSES c,fl: AL, AK, AZ, AR, CA, CO,
CT, DE, DC, FL, GA, HI, ID, IL, IN, IA, KS, KY, LA, ME, MD, MA, MI, MN, MS, MO, MT, NE, NV, NJ, NM, NY,
NO, ND, OH, OK, OR, PA, RI, SC, SD, TN, TX, UT, VT, VA, WA, WV, WI, WY. INCORPORATED IN: Maryland.
COLONIAL SURETY COMPANY (NAIC #10758)
BUSINESS ADDRESS: 123 Tice Boulevard, Suite 250, Woodcliff Lake, NJ 07677. PHONE: (201) 573-8788.
UNDERWRITING LIMITATION b/: $4,052,000. SURETY LICENSES c,f/: AL, AK, AZ, AR, CA, CO, CT, DE, DC,
FL, GA, GU, HI, ID, IL, IN, IA, KS, KY, LA, ME, MD, MA, MI, MN, MS, MO, MP, MT, NE, NV, NH, NJ, NM, NY,
NC, ND, OH, OK, OR, PA, PR, RI, SC, SD, TN, TX, UT, VT, VA, VI, WA, WV, WI, WY. INCORPORATED IN:
Pennsylvania.
Continental Casualty Company (NAIC #20443)
BUSINESS ADDRESS: 151 N Franklin St., CHICAGO, IL 60606. PHONE: (312) 822-5000, UNDERWRITING
LIMITATION b/: $738,083,000. SURETY LICENSES c,fl: AL, AK, AZ, AR, CA, CO, CT, DE, DC, FL, GA, HI, ID,
IL, IN, IA, KS, KY, LA, ME, MD, MA, MI, MN, MS, MO, MT, NE, NV, NH, NJ, NM, NY, NC, ND, OH, OK, OR, PA
PR, RI, SC, SD, TN, TX, UT, VT, VA, VI, WA, WV, WI, WY. INCORPORATED IN: Illinois.
CONTINENTAL HERITAGE INSURANCE COMPANY (NAIC #39551)
BUSINESS ADDRESS: 6140 PARKLAND BLVD, STE 321, MAYFIELD HEIGHTS, OH 44124. PHONE: (440)
229-3420. UNDERWRITING LIMITATION b/: $2,514,000. SURETY LICENSES c,fl: AZ, CA, CO, DC, FL, GA,
ID, IL, IN, IA, KY, LA, ME, MD, MN, MS, NE, NV, NJ, ND, OH, PA, SC, SD, TN, TX, UT, VA, WA, WV, WY,
INCORPORATED IN: Florida.
Continental Insurance Company (The) (NAIC #35289)
BUSINESS ADDRESS: 151 N Franklin St., CHICAGO, IL 60606. PHONE: (312) 822.5000. UNDERWRITING
LIMITATION bl: $155,806,000. SURETY LICENSES c,f/: AL, AK, AZ, AR, CA, CO, CT, DE, DC, FL, GA, GU,
H1, ID, IL, IN, ]A, KS, KY, LA, ME, MD, MA, MI, MN, MS, MO, MP, MT, NE, NV, NH, NJ, NM, NY, NC, ND, OH,
OK, OR, PA, PR, RI, SC, SD, TN, TX, UT, VT, VA, VI, WA, WV, WI, WY. INCORPORATED IN: Pennsylvania.
CONTRACTORS BONDING AND INSURANCE COMPANY (NAIC #37206)
BUSINESS ADDRESS: 9025 N. Lindbergh Drive, Peoria, IL 61615. PHONE: (309) 692.1000.
UNDERWRITING LIMITATION b/: $11,490,000, SURETY LICENSES c,f/: AL, AK, AZ, AR, CA, CO, CT, DE,
DC, FL, GA, HI, ID, IL, IN, IA, KS, KY, LA, ME, MD, MA, MI, MN, MS, MO, MT, NE, NV, NH, NJ, NM, NY, NO,
ND, OH, OK, OR, PA, RI, SC, SD, TN, TX, UT, VT, VA, WA, WV, WI, WY. INCORPORATED IN: Illinois.
Cooperativa de Seguros Multiples de Puerto Rico (NAIC 018163)
BUSINESS ADDRESS: PO BOX 363846, SAN JUAN, PR 00936 - 3846. PHONE: (787) 622-3575 x-2512.
UNDERWRITING LIMITATION bl: $15,318,000. SURETY LICENSES 01: PR. INCORPORATED IN: Puerto
Rico.
CorePointe Insurance Company (NAIC #10499)
BUSINESS ADDRESS: 401 South Old Woodward Avenue, Suite 300, Birmingham, MI 48009. PHONE: (80,0)
782-9164. UNDERWRITING LIMITATION bl: $1,452,000. SURETY LICENSES cj/: AL, AK, AZ, AR, CA, CO,
CT, IDE, DC, FL, GA, HI, ID, IL, IN:, IA, KS, KY, LA, ME, MD, MiA, MI, MN, MS, MO, MT, NE, NV, NH, NJ, NM,
NY, NC, ND, OH, OK, OR, PA, RI, SC, SD, TN, TX, UT, VT, VA, VI, WA, WV, WL WY. INCORPORATED IN:
Delaware.
CLIMIS INSURANCE, SOCIETY, INC. (NAIC #10847)
BUSINESS ADDRESS: POST OFFICE BOX 1084, MADISON, WI 53701. PHONE: (608) 238-6851,
UNDERWRITING LIMITATION bl: $85,551,000. SURETY LICENSES c,fl: AL, AK, AZ, AR, CA, CO, CT, DE,
DC, FL, GA, GU, Hl, ID, IL, IN, IA, KS, KY, LA, ME, MID, MA, MI, MN, MS, MO, MT, NE, NV, NH, NJ, NM, NY,
NC, ND, OH, OK, OR, PA, PR, RI, SC:, SO, TN, TX, UT VT VA, VI, WA, WV, WI, WY. INCORPORATED IN:
Iowa.
CLIMIS Specialty Insurance Company, Inc. (NAIC 412758)
BUSINESS ADDRESS: Post Office Box 1084, Madison, W11 53701. (PHONE: (608) 238-5851, UNDERWRITING
LIMITATION b/: $5,549,000. SURETY LICENSES c,fl: AL, CA, CT, DC, FL, GA, H1, ID, IL, IN, lA, KS, KY, MID,
MA:, ML MN, MO, INE, NV, NJ, NY, NC, OH, OIK, OR, PA, SC,SID, TX, UT, VA, WA, WI, WY. INCORPORATED
IN: Iowa.
1,- - -Q�1ql-(-!0—TbP
D
Developers Surety and Indemnity Company (NAIC #112718)�,
BUSINESS ADDRESS: P.O. BOX 19726, IRVINE, CA 92623 - 9725. PHONE: (949) 263-3300.
UNDERWRITING LIMITATION b/: $9,634,000, SURETY LICENSES 01: AL, AK, AZ, AR, CA, CO, CT, DE, DC,
FL, GA, Hl, ID, lL, IN, IA, KS, KY, LA, ME, MD, MA, Ml, MN, MS, MO, MT, NE, NV, NH, NJ, NM, NY, NC, ND,
OH, OK, OR, PA, RI, SC, SD, TN, TX, LIT, VT, VA, VI, WA, WV, Wl, WY, INCORPORATED 11W California.
E
Employers Insurance Company of Wausau (NAIC #21458)
BUSINESS ADDRESS: 175 Berkeley Street, Boston, MA 02116. PHONE: (617) 357-9500. UNDERWRITING
LIMITATION b/: $138,602,000, SURETY LICENSES c,f/: AL, AK, AZ, AR, CA, CO, CT, DE, DC, FL, GA, HI, ID,
11L, IN, lA, KS, KY, LA, ME, MID, MA, MI, MN, MS, MO, MT, NE, NV, NH, NJ, NM, NY, NC, ND, OH, OK, OR, PA,
PR, Rl, SC, SO, TN, TX, LIT, VT, VA, VI, WA, WV, W1, WY, INCORPORATED IN: Wisconsin.
Employers Mutual Casualty Company (NAIC #21415)
BUSINESS ADDRESS: P. O. BOX 712, DES MOINES, IA 50306 - 0712, PHONE: (615) 280-2511.
UNDERWRITING LIMITATION bl: $143,661,000. SURETY LICENSES c,fl: AL, AK, AZ, AR, CA, CO, CT, DE,
DC, FL, GA, Hl, ID, IL, IN, IA, KS, KY, LA, ME, MID, MA, MI, MN, MS, MO, MT, NE, NV, NH, NJ', NM, NY, NC,
ND, OIH, OK, OR, PA, RI, SC, SD, TN, TX, UT, VT, VA, WA, WV, WI, WY. INCORPORATED IN: Iowa.
Endurance American Insurance Company (NAIC #10641)
BUSINESS ADDRESS: 4 MANHATTANVlLLE ROAD,, PURCHASE, NY 10577, PHONE: (9114) 468-8000.
UNDERWRITING LIMITATION b/: $42,689,000, SURETY LICENSES c,(/: AL, AK, AZ, CO, DE, DC, GA, HI, ID,
IL, IN, IA, KS, KY, LA, MD, MA, MI, MS, MO, MT, NE, NV, NJ, NM, NY, ND, OH, OK, OR, PA, RI, SC, SO, TN,
TX, UT, VT, WA, WV, Y. INCORPORATED IN: Delaware.
Endurance Assurance Corporation (NAIC #11551)
BUSINESS ADDRESS: 4 MANHATTANVlLLE ROAD, PURCHASE, NY 10577, PHONE: (914) 468-8000.
UNDERWRITING LIMITATION b/: $46,459,000. SURETY LICENSES c,f/: AL, AK, AZ, AR, CA, CO, CT, DE,
DC, FL, GA, GU, HL ID, IL, IN, IA, KS, KY, LA, ME, MD, MA, MI, MN, MS, MO, MT, NE, NV, NJ, NM, NY, NC,
ND, OH, OK, OR, PA, PR, RI„ SC, SD, TN, TX, UT, VT, VA, WA, WV, WY, INCORPORATED IN: Delaware.
Erie Insurance Company (NAIC #26263)
BUSINESS ADDRESS: 100 ERIE INSURANCE PLACE, ERIE, PA 16530, PHONE: (814) 870-2000.
UNDERWRITING LIMITATION b/: $37,432,000, SURETY LICENSES c,f/: DC, IL, IN, KY, MD, MN, NY, NC,
OH, PA, TN, VA, WV, WI, INCORPORATED IN: Pennsylvania.
Euler Hermes North America Insurance Company (NAIC #20516)
BUSINESS ADDRESS: 800 Red Brook Blvd, Owings Mills, MD 21117, PHONE: (410) 753-0753.
UNDERWRITING LIMITATION bf: $15,764,000, SURETY LICENSES cj/: AL, AK, AZ, CA, CO, CT, DE, DC,
GA, HI, 11D, IL, IN, ]A, KS, KY, LA, MD, MA, Mil, MN, MS, MO, MT, NE, NV, NH, NJ, NM, NY, NC, ND, OH, OK,
PA, RI, SC, SD, TN, TX, LIT, VT, VA, WI, WY. INCORPORATED IN: Maryland.
Everest Reinsurance Company (NAIC #26921)
BUSINESS ADDRESS: P.O. Box 830, Liberty Corner, NJ 07938 - 0830. PHONE: (908) 604-3000.
UNDERWRITING LIMITATION b/: $339,185,0100, SURETY LICENSES c,f/: AL, AK, AZ, AR, CA, CO, CT, DE,
DC, FL, GA, HI, ID, IL, IN, 1A, KS, KY, LA, ME, MD, MA, MI, MN, MS, MO, MP, MT, NE, NV, NH, NJ, NM, NY,
NC, ND, OH, OK, OR, PA, RI, SC, SD, TN, TX, UT, VT, VA, WA, WV, WI, WY. INCORPORATED IN: Delaware,
Evergreen National Indemnity Company (NAIC #12750)
BUSINESS ADDRFSS: 6140 PARKILAND BLVD, STE 321, MAYFIELD HEIGHTS, OH 44124, PHONE: (440)
229-3420. UNDERWRITING LIMITATION b/: $3,445,000. SURETY LICENSES 01: AL, AK, AZ, AR, CA, CO,
CT, DE, DC, FL, GA, ID, IL, IN, A KS, KY, LA, ME, MID, MA, MI, MN, MS, MO, MT, NE, NV, NH, NJ, NM, NY,
ND, Old, OK, OR, PA, RI, SC, SD, TN, TX, UT, VT, VA, WA, WI, WY. INCORPORATED IN: Ohio.
Executive Risk Indemnity Inc. (NAIL #35181)
BUSINESS ADDRESS: 202B Hall's Mill Road, Whitehouse Station, NJ 08889. PHONE: (215) 640-5259,
UNDERWRITING LIMITATION b/: $156,166,000. SURETY LICENSES c,f/: AL, AK, AZ, AR, CA, CO, DE, DC,
FL, GA, HI, ID, IL, IN, ]A, KS, KY, LA, ME, MD, MA, MI, MN, MS, MO, MT, NE, NV, NH, NJ, NM, NY, NC, ND,
OH, OK, OR, PA, RI, SC, SD, TN, TX, UT, VT, VA, WA, WV, WI, WY. INCORPORATED IN: Delaware,
Explorer Insurance Company (NAIL #40029)
BUSINESS ADDRESS: P.O. BOX 509039, SAN DIEGO, CA 92150, PHONE: (858) 350-2400 x-2550.
UNDERWRITING LIMITATION bl: $14,355,000, SURETY LICENSES c,f/: AZ, CA, CO, CT, DE, 1111, ID, IL, IN,
IA, MID, MA, MI, MS, MT, NV, NJ, NM, OR, PA, TN, TX, UT, VT, VA, WA, WV. INCORPORATED IN: California.
t,- - c
�gB k-R1-T--
, - (op
I —
Fair American Insurance and Reinsurance Company (NAIL #35157)
BUSINESS ADDRESS: One Liberty Plaza, 165 Broadway, New York, NY 10006. PHONE: (212) 365-220,0.
UNDERWRITING LIMITATION V $19,390,000. SURETY LICENSES c,f/: AL, AK, AZ, AR, CA, CO, CT, DE,
DC, FL, GA, I-11, ID, IL, IN, IA, KS, KY, LA, ME, MID, MA, MI, MN, MS, MO, MT, NE, NV, NH, NJ, NM, NY, NC,
ND, OH, OK, OR, PA, RI, SC, SD, TN, TX, UT, VT, VA, VI, WA, WV, WI, WY. INCORPORATED IN: Now York.
Farmers Alliance Mutual Insurance Company (NAIL #19194)
BUSINESS ADDRESS: P.O. Box 1401, McPherson, KS 67460. PHONE: (620) 241-2200. UNDERWRITING
LIMITATION: bl: $17,571,000. SURETY LICENSES c,f/: CO, ID, IA, KS, MN, MO, MT, NE, NM, ND, OK, SID,
INCORPORATED IN: Kansas.
Farmington Casualty Company (NAIL #41483)
BUSINESS ADDRESS: ONE TOWER SQUARE, HARTFORD, CT 06183. PHONE: (860) 277-0111.
UNDERWRITING LIMITATION bl: $27,447,000. SURETY LICENSES c,fl: AL, AK, AZ, AR, CA, CO, CT, DE,
DC, FL, GA, HI, ID, IL, IN, IA, KS, KY, LA, ME, MID, MA, MI, MN, MS, MO, MT, NE, NV, NH, NJ, NM, NY, NC,
ND, OH, OK, OR, PA, RI, SC, SD, TN, TX, LIT, VT, VA, WA, WV, WI, WY. INCORPORATED IN: Connecticut.
Farmland Mutual Insurance Company (NAIL #13838)
BUSINESS ADDRESS: ONE WEST NATIONWIDE BLVD., 1-04-701, COLUMBUS, OH 43215 - 2220. PHONE:
(515) 508-3300. UNDERWRITING LIMITATION b/: $16,365,000. SURETY LICENSES c,f/: AL, AZ, AR, CA,
CO, DE, DC, FL, GA, ID, IL, IN, IA, KS, KY, MID, MI, MN, MS, MO, MT, NE, NV, NC, ND, OH, OK, OR, PA, SC,
SD, TN, TX, UT, VA, WA, WV, WI, WY. INCORPORATED IN: Iowa,
FOCI Insurance Company (NAIL #10178)
BUSINESS ADDRESS: 6300 University Parkway, Sarasota, FL 34240 - 8424. PHONE: (800) 226-3224 x-2726.
UNDERWRITING LIMITATION b/: $54,754,000, SURETY LICENSES c,f/: AL, AZ, AR, CO, DC, FL, GA, IL, IN,
IA, KS, KY, LA, MID, MI, MS, MO, NE, NC, Old, OK, PA, SC, TN, TX, VA. INCORPORATED IN: Florida.
Federal Insurance Company (NAIL #20281)
BUSINESS ADDRESS: 202B Hall's Mill Road, Whitehouse Station, NJ 08889. PHONE: (908) 903-2000.
UNDERWRITING LIMITATION bl: $393,705,000, SURETY LICENSES c,f/: AL, AK, AZ, AR, CA, CO, CT, DE,
DC, FL, GA, GU, HI, ID, IL, IN, IA, KS, KY, LA, ME, MID, MA, MI, MN, MS, MO, MP, MT, NE, NV, NH, NJ, NM,
NY, NC, N'D, OH, OK, OR, PA, PR, RI, SC, SD, TN, TX, UT, VT, VA, VI, WA, WV, WI, WY. INCORPORATED IN:
Indiana.
FEDERATED MUTUAL INSURANCE COMPANY (NAIL #13935)
BUSINESS ADDRESS: 121 EAST PARK SQUARE, owKrONNA, MN 55060. PHONE: (507) 455-5200.
UNDERWRITING LIMITATION b/: $336,551 000. SURETY LICENSES e,f/- AL, AK, AZ, AR, CA, CO, CT, DE,
DC, FL, GA, ID, IL, IN, IA, KS, KY, LA, ME, MID, MA, MI, MN, MS, MO, MT, NE, NV, NH, NJ, NM, NY, NC, ND,
011, OK, OR, PA, RI, SC, SD, TN, TX, UT, VT, VA, WA, WV, WI, WY. INCORPORATED IN: Minnesota.
Fidelity and Deposit Company of Maryland (NAIL #39306)
BUSINESS ADDRESS: 1299 ZURICH WAY, 5TH FLOOR, SCHAUMBURG, IL 60196 - 1056. PHONE: (847)
605-6000, UNDERWRITING LIMITATION V $14,785,000, SURETY LICENSES c,f/: AL, AK, AZ, AR, CA, CO,
CT, DE, DC, FL, GA, GU, HI, ID, IL, IN, IA, KS, KY, LA, ME, MID, MA, MI, MN, MS, MO, MP, MT, NE, NV, Nid,
NJ, NM, NY, NC, ND, OH, OK, OR, PA, PR, RI, SC, SD, TN, TX, UT, VT, VA, VI, WA, WV, WI, WY.
INCORPORATED IN: Maryland,
FIDELITY AND GUARANTY INSURANCE COMPANY (NAIL #35386)
BUSINESS ADDRESS: One Tower Square, Hartford, CT 06183, PHONE: (860) 277-0111. UNDERWRITING
LIMITATION b/: $1,775,000. SURETY LICENSES c,f/: AL, AK, A7, AR, CA, CO, CT, DE, DC, FL, GA, HI, ID, IL,
IN, IA, KS, KY, LA, ME, MID, MA, MI, MN, MS, MO, MT, NE, NV, NH, NJ!, NM, NY, NC, ND, OH, OK, OR, PA, RI,
SC, SD, TN, TX, UT, VT, VA, WA, WV, WI, WY. INCORPORATED IN: Iowa.
Fidelity and Guaranty Insurance Underwriters, Inc. (NAIC #25879)
BUSINESS ADDRESS: One Tower Square, Hartford, CT 06183. PHONE: (860) 277-0111. UNDERWRITING
LIMITATION b/: $8,899,000, SURETY LICENSES o,f/: AL, AK, AZ, AR, CA, CO, CT, DE, DC, FL, GA, HI, ID, IL,
IN, IA, KS, KY, LA, ME, MID, MA, MI, MN, MS, MO, MT, NE, NV, NIA, NJ, NM, NY, NC, ND, OH, OK, OR, PA, RI,
SC, SD, TN, TX, UT, VT, VA, WA, WV, WI, WY. INCORPORATED IN: Wisconsin.
Financial Casualty & Surety, Inc. (NAIL #35009)
BUSINESS ADDRESS: 3131 Eastside, Suite 600, Houston, TX 77098. PHONE: (800) 392-1604.
UNDERWRITING LIMITATION b/: $1,651,000. SURETY LICENSES cj/: AZ, CA, CT, DE, FL, GA, ID, IN:, IA,
KS, LA, MD, MI, MN, MS, MO, MT, NV, NJ, NY, NC, ND, OH, IPA, SC, SD, TN, TX, UT, VT, VA, WA, WV.
INCORPORATED IN: Texas.
Financial Pacific Insurance Company (NAIL #31453)
BUSINESS ADDRESS: P.O. BOX 73909, CEDAR RAPIDS, IA 52407 - 3909, PHONE: (319) 399-5,700.
UNDERWRITING LIMITATION b/: $9,759:,000. SURETY LICENSES c,fl: AK, AZ, AR, CA, CO:, FL, ID,, IL, IA,
KS, MN, MO, MT, NE, NV, NM, NO, OK, OR, SD, TX, LIT, WA, WL INCORPORATED IN: California.
Fireman's Fund Insurance Company (NAIL #21873)
BUSINESS ADDRESS: 225 W. WASHINGTON STREET, SUITE 1800, CHICAGO, IL 60606 - 3484. PHONE
(888) 466-7883. UNDERWRITING LIMITATION b/: $129,737,000, SURETY LICENSES c,f/: AL, AK, AZ, AR,
CA, CO, CT, IDE, DC, FIL, GA, GUI, Hi, ID, IL, IN, 1A, KS, KY, L& ME, MD, MA, MI, MN, MS, MO, MT, NE, NV,
NH, NJ, NM:, NY, NO, ND, OH, OK, OR, PA, PR, RI, SO, SD, TN, TX, LIT, VT, VA, VI, WA, WV, WI, WY.
INCORPORATED IN: California.
First Founders Assurance Company (NAIL #12150)
BUSINESS ADDRESS: 6 Mill Ridge Lane, Chester, NJ 07930 - 2486. PHONE: (908) 879-0990,
UNDERWRITING LIMITATION b/; $464,000. SURETY LICENSES c,f/: NJ, NY. INCORPORATED IN: New
Jersey.
First Insurance Company of Hawaii, Ltd. (NAIL #41742)
BUSINESS ADDRESS: PO Box 2866, Honolulu, HI 96803. PHONE: (808) 527-7777. UNIDEIRWRiTING
LIMITATION b/: $28,154,000. SURETY LICENSES c,fl: GU, Hi. INCORPORATED IN: Hawaii.
First Liberty Insurance Corporation (The) (NAIL #33588)
BUSINESS ADDRESS: 175 Berkeley Street, Boston, MA 02116, PHONE: (617) 357-9500. UNDERWRITING
LIMITATION b/: $2,229,000. SURETY LICENSES 01: AL, AK, AZ, AR, CA, CO, CT, DE, DC, FL, GA, GU, HI,
ID, IL, IN, IIA, KS, KY, LA, ME, MD, MA, MI, MN, MS, MO, MT, NE, NV, NH, NJ, NM, NY, NC, ND, OH, OK, OR,
PA, RI, SO, SD, TN, TX, UT, VT, VA, VI, WA, WV, WI, WY, INCORPORATED IN: Illinois,
First Net Insurance Company (NAIL #10972)
BUSINESS ADDRESS: 424 WEST 0"BRIEN DRIVE,
STE 202, HAGATINA, GU 96910, PHONE: (671) 477-
8613, UNDERWRITING LIMITATION b/: $1,238,000. SURETY LICENSES c,f/: GU, MP. INCORPORATED IN:
Guam.
Frankenmuth Mutual Insurance Company (NAIL #13986)
BUSINESS ADDRESS: One Mutual Avenue, Frankenmuth, MI 48787 - 0001. PHONE: (989) 652-6121,
UNDERWRITING LIMITATION b/: $60,669,000. SURETY LICENSES c,fl: AL, AZ, AR, CO, CT, DE, FL, GA, 1113,
IL, IN, IA, KS, KY, LA, ME, MD, MA, MI, MN:, MS, MO, MT, NE, NV, NH, NJ, NM, NY, NO, ND, OH, OK, OR, PA,
Ri, SO, SD, TN, TX, LIT, VT, VA, WA, WV, WI, WY. INCORPORATED IN: Michigan,
la ... . ..... .. -PP
R
General Casualty Company Of Wisconsin (NAIL #24414,)
BUSINESS ADDRESS: One General Drive, Sun Prairie, WI 53596. PHONE: (608) 825-5160. UNDERWRITING
LIMITATION b/: $17,029,000. SURETY LICENSES c,f/: AL, AK, AZ, AR, CA, CO, CT, DE, DC, GA, HI, ID, IIL,
IN, IA, KS, KY, LA, MD, MA, MI, MN, MS, MO, MT, NE, NV, NH, NJ, NM, INY, NC, ND, OH, OK, OR, PA, RI, So,
SD, TN, TX, UT, VT, VA, WA, WV, WI, WY. INCORPORATED IN: Wisconsin.
General Reinsurance Corporation (NAIL #22039)
BUSINESS ADDRESS: 120 LONG RIDGE ROAD, STAMFORD, CT 06902 - 1843. PHONE: (203) 328-5000,
UNDERWRITING LIMITATION b/: $1,139,255,000. SURETY LICENSES cN: AL, AK, AZ, AR, CA, CO, CT, DE,
DC, FL, GA, ID, IL, IN, IA, KY, LA, MD, MA, MI, MN, MS, MO, MT, NE, NV, NJ, NM, NY, NO, ND, OH, OK, OR,
PA, RI, SO, SD, TN, TX, UT, VT, VA, WA, WV WI, WY. INCORPORATED IN: Delaware.
GRANGE INSURANCE COMPANY OF MICHIGAN (NAIL #11136)
BUSINESS ADDRESS: 671 South High Street, P,O. Box 1218, Columbus, OH 43216 - 1218. PHONE: (614)
445-2900, UNDERWRITING LIMITATION bl: $4,441,000, SURETY LICENSES c,f/: MI. INCORPORATED IN:
Ohio.
GRANGE MUTUAL CASUALTY COMPANY (NAIL #14060)
BUSINESS ADDRESS: 671 South High Street, Columbus, OH 43206 - 1014. PHONE: (614) 445-2900.
UNDERWRITING LIMITATION b/: $118,013,000. SURETY LICENSES cj/: AL, GA, IL, IN, IA, KS, KY, MN, MO,
OH, PA, SC, TN, VA, WI. INCORPORATED IN: Ohio.
GRANITE RE, INC, (NAIL #26310)
BUSINESS ADDRESS: 14001 Quallbrook Drive, Oklahoma City, OK 73134. PHONE: (405) 752-2600.
UNDERWRITING LIMITATION b/: $4,157,000. SURETY LICENSES c,f/: AL, AZ, AR, CO, CT, DE, FL, GA, ID,
IL, IN, IA, KS, KY, LA, ME, MD, MI, MN, MS, MO, MT, NE, NV, NM, NO, ND, OH, OK, OR, PA, SC, SD, TN, TX,
UT, VT, VA, WA, WV, Wi, WY. INCORPORATED IN: Oklahoma,
Granite State insurance Company (NAIL #23809)
BUSINESS ADDRESS: 175 WATER STREET, 18TH FLOOR, NEW YORK, NY 10038, PHONE: (212) 770-
7000. UNDERWRITING LIMITATION b/: $3,384,000. SURETY LICENSES e,f/: AL, AK, AZ, AR, CA, CO, CT,
DC, DE, FL, GA, HI, ID, IL, IN, IA, KS, KY, LA, ME, MD, MA, MI, MN, MS, MO, MT NE, NV, NH, NJ, NM, NY,
NO, ND, OH, OK, OR, PA, RI, SO, SD, TN, TX, LIT, VT, VA, WA, WV, W1, WY. INCORPORATED IN: 1111`nois.
GRAY CASUALTY & SURETY COMPANY (THE) (NAIL #10671)
BUSINESS ADDRESS: P.O. Box 6202, Metairie, LA 70009 - 6202. PHONE: (504) 888-7790. UNDERWRITING
LIMITATION bl: $1,478,000, SURETY LICENSES c,f/: AL, AZ, AR, CA, DC, GA, IL, KY, LA, MID, MS, MO, NV,
NM, NY, NO, OK, PA, SC, TN, TX. INCORPORATED IN: Louisiana.
GRAY INSURANCE COMPANY (THE) (NAIL #36307)
BUSINESS ADDRESS: P.O. BOX 6202, METAIRIE, LA 70009 - 6202, PHONE: (504) 888-7790.
UNDERWRITING LIMITATION b/: $10,422,000, SURETY LICENSES c,fl: AL, AK, AZ, AR, CA, CO, CT, DE,
DC, FL, GA, HI, ID, IL, IN, IA, KS, KY, LA, ME, MID, MA, MI, MN, MS, MO, MT, NE, NV, NH, NJ, NM, NY, NC,
ND, OH, OK, OR, PA, RI, SC, SD, TN, TX, UT, VT, VA, WA, WV, WI, WY. INCORPORATED IN: Louisiana.
Great American Alliance Insurance Company (NAIL #26832)
BUSINESS ADDRESS: 30,1 E Fourth Street, Cincinnafi, OH 45202. PHONE: (513) 369-5000.
UNDERWRITING LIMITATION b/: $2,791,000. SURETY LICENSES c,f/: AL, AK, AZ, AR, CA, CO, CT, DE, DC,
FL, GA, HI, ID, IL, IN, IA, KS, KY, LA, ME, MID, MA, ML MN, MS, MO, MT, NE, NV, NH, NJ, NM, NY, NO, ND,
OH, 0K, OR, PA, RI, SC, SD, TN, TX, UT, VT, VA, WA, WV, WI, Y. INCORPORATED IN: Ohio.
Great American Insurance Company (NAIL #16691)
BUSINESS ADDRESS: 301 E Fourth Street, Cincinnati, OH 45202. PHONE: (513) 369-5000.
UNDERWRITING LIMITATION bl: $164,046,000. SURETY LICENSES c,fl: AL, AK, AZ, AR, CA, CO, CT, DE,
DO, FL, GA, GU, HI, ID, IL, IN, IA, KS, KY, LA, ME, MD, MA, MI, MN, MS, MO, MT, NE, NV, NH, NJ', NM, NY,
NO, ND, OH, OK, OR, PA, PR, RI, SO, SID, TN, TX, UT, VT, VA, WA, WV, WI, WY. INCORPORATED IN: Ohio.
GREAT AMERICAN INSURANCE COMPANY OF NEW YORK (NAIL #22136)
BUSINESS ADDRESS: 301 E Fourth Street, Cincinnati, OH 45202. PHONE: (513) 369-5000.
UNDERWRITING LIMITATION b/: $4,916,000,. SURETY LICENSES 01: AL, AK, AZ, AR, CA, CO, CT, DE, DO,
FL, GA, HI, ID, IL, IN, IA, KS, KY, LA, ME, MD, MA, MI, MN, MS, MO, MT, NE, NV, NH, NJ, NM, NY, NO, ND,
OH, 01<, OR, PA, RII, SO, SD, TN, TX, UT, VT VA, WA, WV, WI, WY. INCORPORATED IN: New York,
Great Northern Insurance Company (NAIL #20303)
BUSINESS ADDRESS: 202B Hall's Mill Road, Whitehouse Station, NJ 08889, PHONE: (215) 640-5259.
UNDERWRITING LIMITATION b/: $38,173,000, SURETY LICENSES c,fl: AL, AK, AZ, AR, CA, CO, CT, DE,
DC, FL, GA, HI, ID, IL, IN, IA, KS, KY, LA, ME, MD, MA, MI, MN, MS, MO, MT, NE, NV, NH, NJ, NM, NY, NO,
ND, OH, OK, OR, PA, RL SC, SD, TN, TX, UT, VT, VA, WA, WV, W11, WY. INCORPORATED IN: Indiana.
Guarantee Company of North America USA (The) (NAIL 436650)
BUSINESS ADDRESS: One Towne Square, Suite 1470, Southfield, MI 48076 - 3725. PHONE: (248) 281-0281
x-66012. UNDERWRITING LIMITATION b/: $18,995,000. SURETY LICENSES c,f/: AL, AK, AZ, AR, CA, CO,
CT, DE, DC, FL, GA, HI, ID, IL, IN, A KS, KY, LA, ME, MID, MA, MI, MN, MS, MO, MT, NE, NV, NH, NJ, NM,
NY, NC, ND, OH, OK, OR, PA, PR, RI, SO, SD, TN, TX, UT, VT, VA, V1, WA, WV, WI, WY. INCORPORATED IN:
Michigan.
B 9— ck1" T
---Q -PP
Hanover Insurance Company (The) (NAIL #22292)
BUSINESS ADDRESS: 440 LINCOLN STREET, WORCESTER, MA 01653 - 0002. PHONE: (508) 853-7200.
UNDERWRITING LIMITATION bl: $129,817,000. SURETY LICENSES c,f/: AL, AK, AZ, AR, CA, CO, CT, DE,
DC, FL, GA, HI, ID, IL, IN, IA, KS, KY, LA, ME, MD, MA, MI, MN, MS, MO, MT, NE, NV, NH, NJ, NM, NY, NO,
ND, OH, OK, OR, PA, RI, SO, SD, TN, TX, UT VT VA, WA, WV, WI, WY. INCORPORATED IN: New
Hampshire.
HARCO NATIONAL INSURANCE COMPANY (NAIL #26433)
BUSINESS ADDRESS: 702 OBERLIN ROAD, RALEIGH, NO 27605 - 0800. PHONE: (919) 833-1600.
UNDERWRITING LIMITATION b/: $20,406,000. SURETY LICENSES o,f/: AL, AK, AZ, AR, CA, CO, CT, DE,
DO, FL, GA, ID, IIL, IN, IA, KS, KY, LA, ME, MD, MA, MI, MN, MS, MO, MP, MT, NE, NV, NH, NJ, NM, NY, NC,
ND, OH, OK, OR, PA, RI, SC, SD, TN, TX, LIT, VT VA, WA, WV, WI, WY. INCORPORATED IN: Illinois,
Hartford Accident and Indemnity Company (NAIL #22357)
BUSINESS ADDRESS: One Hartford Plaza, Hartford, CT 06155 - 0001. PHONE: (860) 547-5000.
UNDERWRITING LIMITATION b/: $194,687,000. SURETY LICENSES c,f/: AL, AK, AZ, AR, CA, CO, CT, DE,
DO, FL, GA, HI, ID, IL, IN, IA, KS, KY, LA, ME, MD, MA, ML MN, MS, MO, MT, NE, NV, NH, NJ, NM, NY, NC,
ND, OH, OK, OR, PA, PR, RI, SO, SD, TN, TX, UT, VT, VA, WA, WV, WI, WY. INCORPORATED IN:
Conneckut,
Hartford Casualty Insurance Company (NAIL #29424)
BUSINESS ADDRESS: One Hartford Plaza, Hartford, CT 06155 - 0001. PHONE: (860) 547-5000.
UNDERWRITING LIMITATION b/: $88,651,000. SURETY LICENSES c,fl: AL, AK, AZ, AR, CA, CO, CT, DE,
DO, FL, GA, 1-11, ID, IL, IN, IA, KS, KY, LA, ME, MD, MA, MI, MN, MS, MO, MT, NE, NV, NH, NJ, NM, NY, NO,
ND, OH, OK, OR, PA, RI, SO, SD, TN, TX, UT, VT, VA, WA, WV, WI, WY. INCORPORATED IN: Indiana.
Hartford Fire Insurance Company (NAIL #19682)
BUSINESS ADDRESS: One Hartford Plaza, Hartford, CT 06155 - 0001. PHONE: (860) 547-5000,
UNDERWRITING LIMITATION b/: $991,602,000. SURETY LICENSES c,f/: AL, AK, AZ, AR, CA, CO, CT, DE,
DC, FL, GA, GU, HI, ID, IL, IN', A KS, KY, LA, ME, MD, MA, MI, MN, MS, MO, MT, NE, NV, NH, NJ, NM, NY,
NC, ND, OH, OK, OR, PA, PR, RI, SC, SD, TN, TX, LIT VT, VA, WA, WV, WI, WY, INCORPORATED IN:
Connecticut.
Hartford Insurance Company of Illinois (NAIL #38288)
BUSINESS ADDRESS: One Hartford Plaza, Hartford, CT 06155 - 0001. PHONE: (86,0) 547-5000.
UNDERWRITING LIMITATION bl: $125,363,000. SURETY LICENSES c,fl: CT, HI, IL, MI, NY, PA.
INCORPORATED IN: Illinois,
Hartford Insurance Company of the Midwest (NAIL #37478)
BUSINESS ADDRESS: One Hartford Plaza, Hartford, CT 06155 - 0001, PHONE: (860) 647-5000,
UNDERWRITING LIMITATION b/: $50,,777,000. SURETY LICENSES o,f/: AL, AK, AZ, AR, CA, CO, CT, DE,
DC, FL, GA, HI, ID, IL, IN, IA, KS, KY, LA, ME, MID, MA, MI, MN, MS, MO, MT, NE, NV, NH, NJ, NM, INY, NC,
ND, OH, OK, OR, PA, RI, SC, SD, TN, TX, UT, VT, VA, WA, WV, WI, WY. INCORPORATED IN: Indiana.
Hartford Insurance Company of the Southeast (NAIL #38261)
BUSINESS ADDRESS: One Hartford Plaza, Hartford, CT 06155 - 0001. PHONE(860) 547-5000.
UNDERWRITING LIMITATION b/: $6,342,000. SURETY LICENSES c,f/: CT, FL, GA, KS, LA, MI, PA,
INCORPORATED IN: Connecticut.
Hudson Insurance Company (NAIL #25054)
BUSINESS ADDRESS: 100 William Street, 5th Floor, New York, NY 10038, PHONE: (212) 978-2800.
UNDERWRITING LIMITATION bl: $42,838,000. SURETY LICENSES c,f/: AL, AK, AZ, AR, CA, CO, CT, DE,
DC, FL, GA, Hi, ID, IL, IN, IA, KS, KY, LA, ME, MD, MA, MI, MN, MS, MO, MT, NE, NV, NH, NJ:, NM, NY, NC,
ND, OH, OK, OR, PA, PR, RI, SC, SD, TN, TX, UT, VT, VA, WA, WV, WI, WY. INCORPORATED IN: Delaware.
t, I Back re -Ibp
IMT Insurance Company (NAIL #14257)
BUSINESS ADDRESS: P.O. Box 1336, Des Moines, IA 50306 - 1336, PHONE: (515) 327-2777.
UNDERWRITING LIMITATION b/: $17,553,000, SURETY LICENSES 01: AZ, IL, IIA, MN, MO, NE, ND, SD, WI.
INCORPORATED IN: Iowa.
Indemnity Company of California (NAIL #25550)
BUSINESS ADDRESS: P. O. BOX 19725, IRVINE, CA 92623 - 9725, PHONE: (949) 263-3300,
UNDERWRITING LIMITATION bl: $574,000. SURETY LICENSES c,f/: AL, AK, AZ, AR, CA, CO, DE, DC, GA,
HI, ID, IN, KS, KY, LA, MID, MA, MI, MN, MS, MO, MT, NE, NV, NH, NJ, NM, NC, ND, OK, OR, PA, RI, SC, SD,
TX, UT, VT, VA, WA, WV, WY. INCORPORATED IN: California.
Indemnity Insurance Company of North America (NAIL #43575)
BUSINESS ADDRESS!: 436 WALNUT STREET, P.O. Box 1000, Philadelphia, PA 19106. PHONE: (215) 640-
1000. UNDERWRITING LIMITATION b/: $16,341,000. SURETY LICENSES cjl: AL, AK, AZ, AR, CA, CO, CT,
DE, DC, FL, GA, HI, ID, IL, IN, 1A, KS, KY, LA, ME, MID, MA, MI, MN, MS, MO, MT, NE, NV, NH, NJ, NM, NY,
NC, ND, OH, OK, OR, PA, RI, SC, SD, TN, TX, UT, VT, VA, VI, WA, WV, WI, WY, INCORPORATED IN:
Pennsylvania.
Indemnity National Insurance Company (NAIL #18468)
BUSINESS ADDRESS: 725 Cool Springs Blvd., Suite 600, Franklin, TN 37067. PHONE: (865) 934-4360.
UNDERWRITING LIMITATION' b/: $5.005,000. SURETY LICENSES c,f/: AL, AZ, AR, CO, GA, IL, IN, KY, LA,
MD, MS, MT, NV, NM, OH, OK, PA, SC, TN, TX, UT, VA, WV. INCORPORATED IN: Mississippi.
Indiana Lumbermens Mutual Insurance Company (NAIL #14265)
BUSINESS ADDRESS: 2005 Market Street, Suite 1200, Philadelphia, PA 19103. PHONE: (267) 825-9206.
UNDERWRITING LIMITATION bl: $1,658,000, SURETY LICENSES c,f/: AL, AK, AZ, AR, CA, CO, CT, DE, DC,
FL, GA, HII, ID, IL, IN, A, KS, KY, LA, ME, MD, MA, MI, MN, MS, MO, MT, NE, NV, NH, NJ, NM, NY, NC, ND,
OH, 0K, OR, PA, RI, SC, SD, TN, TX, UT, VT, VA, WA, WV, WI, WY INCORPORATED IN: Indiana.
Inland Insurance Company (NAIL #23264)
BUSINESS ADDRESS: P.O. Box 80468, Lincoln, NE 68501. PHONE: (402) 435-4302. UNDERWRITING
LIMITATION b/: $25,293,000. SURETY LICENSES 01: AZ, CO, IA, KS, MN, MO, MT, NE, ND, OK, SD, WY.
INCORPORATED, IN: Nebraska.
Insurance Company Of North Arnerica (NAIL #22713)
BUSINESS ADDRESS: 436 WALNUT STREET, RO, Box 1000, Philadelphia, PA 19106. PHONE: (215) 640-
1000. 'UNDERWRITING LIMITATION b/: $34,819,000, SURETY LICENSES c,f/: AL, AK, AZ, AR, CA, CO, CT,
DE, DC, FL, GA, GU, HI, ID, IL, IN, IA, KS, KY, LA, ME, MD, MA, MI, MN, MS, MO, MP, MT, NE, NV, NH, NJ,
NM, NY, NC, ND, OH, OK, OR, PA, PR, RI, SC, SD, TN, TX, UT, VT, VA, WA, WV, WI, Y. INCORPORATED
IN': Pennsylvania.
Insurance Company of the State of Pennsylvania (The) (NAIL #19429
BUSINESS ADDRESS: 175 WATER STREET, 18TH FLOOR, NEW YORK, NY 10038. PHONE: (212) 770-
7000, UNDERWRITING LIMITATION bl: $14,442,000, SURETY LICENSES c,f/: AL, AK, AZ, AR, CA, CO, CT,
DE, DC, FL, GA, HI, ID, IL, IN, IA, KS, KY, LA, ME, MD, MA, MI, MN, MS, MO, MT, NE, NV, NH, NJ, NM, NY,
NC, ND, OH, OK, OR, PA, RI, SC, SD, TN, TX, UT, VT, VA, WA, WV, WI, WY. INCORPORATED IN: Illinois.
Insurance Company of the West (NAIC #27847)
BUSINESS ADDRESS: P.O. BOX 509039, SAN DIEGO, CA 92150. PHONE: (858) 350-2400 x-2550.
UNDERWRITING LIMITATION b/: $83,454,000. SURETY LICENSES c,f/: AL, AK, AZ, AR, CA, CO, CT, DE,
DC, FL, GA, HI, ID, IL, IN, IA, KS, KY, LA, ME, MD, MA, MI, MN, MS, MO, MT, NE, NV, NH, NJ, NM, NY, N:C,
ND, OH, OK OR, PA, RI, SO, SD, TN, TX, UT, VT, VA, WA, WV, WI„ WY. INCORPORATED IN: California.
Insurors Indemnity Company (NAIC #43273)
BUSINESS ADDRESS: P.O. Box 2683, Waco, TX 76702 - 2683. PHONE: (254) 759-3727, UNDERWRITING
LIMITATION b/: $2,106,000. SURETY LICENSES 01: AR, NM, OK, TX. INCORPORATED IN: Texas.
INTEGRAND ASSURANCE COMPANY (NAIC #26778)
BUSINESS ADDRESS: PO Box 70128, San Juan , PR 00936 - 8128. PHONE: (787) 781-0707 x-200.
UNDERWRITING, LIMITATION bl: $5,072,000. SURETY LICENSES c,f/: FIR, VI. INCORPORATED IN: Puerto
Rico.
Integrity Mutual Insurance Company (NAIC #14303)
BUSINESS ADDRESS: P.O. Box 539, Appleton, WI 54912 - 0539. PHONE: (920) 734-4511. UNDERWRITING
LIMITATION b/: $5,374,000. SURETY LICENSES c,f/: IL, 11A, MN, OH, WI. INCORPORATED IN: Wisconsin,
International Fidelity Insurance Company (NAIC #1:115922)
BUSINESS ADDRESS: One Newark Center, Newark, NJ 07102 - 5207, PHONE: (973) 624-7200,
UNDERWRITING LIMITATION bl: $7,161,000, SURETY LICENSES r,,f/: AL, AK, AZ, AR, CA, CO, CT, DE, DO,
FL, GA, GU, HI, ID, IL, IN, IA, KS, KY, LA, ME, MD, MA, MI, MN, MS, MO, MT, NE, NV, NH, NJ, NM, NY, NO,
ND, OH, OK, OR, PA, PR, RI, SO, SD, TN, TX, UT, VT, VA, VI, WA, WV, WI, WY. INCORPORATED IN: New
Jersey,
IRONSHORE INDEMNITY INC. (NAIC #236471)
BUSINESS ADDRESS: P.O, BOX 3407, NEW YORK, NY 10008, PHONE: (617) 357-9500. UNDERWRITING
LIMITATION b/: $9,923,000, SURETY LICENSES c,f/: AL, AK, AZ, AR, CA, CO, CT DE, DO, FL, GA, GU, HI,
ID, IL, IN, IA, KS, KY, LA, ME, MD, MA, MI, MN, MS, MO, MT, NE, NV, NH, NJ, NM, NY, NO, ND, OH, OK, OR,
PA, PR, RI, SC, SD, TN, TX, UT, VT, VA, WA, WV, WI, WY. INCORPORATED IN: Minnesota.
ISLAND INSURANCE COMPANY, LIMITED (NAIC #22845)
BUSINESS ADDRESS: P.O. Box 1520, Honolulu, HI 96806 - 1520, PHONE: (808) 564-8200. UNDERWRITING
LIMITATION b/: $11,553,000. SURETY LICENSES c,f/: HI. INCORPORATED IN: Hawaii.
,t Ela� , To T �p . — "K-- -1-L 11,
'? Back: Try...: o�'.�
K
+ .. B'Ick'rb Tbp
LEXINGTON NATIONAL INSURANCE CORPORATION (NAIC #37940)
BUSINESS ADDRESS: P.O. BOX 6098, LUTHERVILLE, MID 21094. PHONE: (410) 625-0800.
UNDERWRITING LIMITATION b/: $1,930,000. SURETY LICENSES c,f/: AL, AK, AZ, AR, CA, CO, CT DE, DO,
FL, GA, HI, ID, IL, IN, I& KS, KY, LA, ME, MID, MA, MI, MN, MS, MO, MT, NE, NV, NH, NJ, NM, NY, NO, 011,
OK, OR, PA, RI, SO, SD, TN, TX, LIT, VT, VA, WA, WV, WI, WY. INCORPORATED IN: Florida.
Lexon Insurance Company (NAIC #13307)
BUSINESS ADDRESS: 10002 Shelbyville Rd, Suite 100, Louisville, KY 40223, PHONE: (615) 553-9500.
UNDERWRITING LIMITATION b/: $6,805,000. SURETY LICENSES c,f/: AL, At<, AZ, AR, CA, CO, CT, DE, DO,
FL, GA, GU, HI, ID, IL, IN, IA, KS, KY, LA, ME, MD, MA, MI, MN, MS, MO, MP, MT, NE, NV, NJ, NM, NC, ND,
OH, OK, OR, PA, RI, SO, SD, TN, TX, UT, VT, VA, WA, WV, WI, WY INCORPORATED IN: Texas.
Liberty Insurance Corporation (NAIC #42404)
BUSINESS ADDRESS: 175 Berkeley Street, Boston, MA 02116. PHONE: (617) 357-9500. UNDERWRITING
LIMITATION bl: $24,507,000. SURETY LICENSES c,f/: AL, AK, AZ, AR, CA, CO, CT, DE, DO, FL, GA, GU, HI,
ID,, IL, IN, ]A, KS, KY, LA, ME, MD, MA, MI, MN, MS, MO, MP, MT NE, NV, NH, NJ, NM, NY, NC, ND, OH, 01('
OR, PA, PR, RI, SC, SD, TN, TX, UT, VT, VA, WA, WV, WI, WY INCORPORATED IN: Illinois,
Liberty Mutual Fire Insurance Company (NAIC #23035)
BUSINESS ADDRESS: 175 Berkeley Street, Boston, MA 02116. PHONE: (617) 357-9500. UNDERWRITING
LIMITATION b/: $131,117,000. SURETY LICENSES c,f/: AL, AK, AZ, AR, CA, CO, CT, DE, DO, FL, GA, GU,
HI, ID, IL, IN, IA, KS, KY, LA, ME, MD, MA, MI, MN, MS, MO, MP, MT, NE, NV, NH, NJ, NM, NY, NO, ND, OH,
OK, OR, PA, PR, RI, SO, SD, TN, TX, UT, VT, VA, VI, WA, WV, WI, WY. INCORPORATED IN: Wisconsin.
Liberty Mutual Insurance Company (NAIC #230,43)
BUSINESS ADDRESS: 175 Berkeley Street, Boston, MA 02116. PHONE: (617) 357-9500. UNDERWRITING
LIMITATION b/: $1,122,392,000. SURETY LICENSES cjl: AL, AK, AZ, AR, CA, CO, CT, DE, DO, FL, GA, HI,
ID, IL, IN, ]A, KS, KY, LA, ME, MD, MA, MI, MN, MS, MO, MR MT, NE, NV, NH, NJ, INK NY, NC, NO, OH, OK,
OR, PA, PR, RI, SO, SO, TN, TX, UT, VT, VA, VI, WA, WV, WI, WY, INCORPORATED IN: Massachusetts.
LM Insurance Corporation (NAIC #336,00)
BUSINESS ADDRESS: 175 Berkeley Street, Boston,, MA 02116, PHONE: (617) 357-9500. UNDERWRITING
LIMITATION b/: $11,649,000. SURETY LICENSES c,M AL, AK, AZ, AR, CA, CO, CT, DE, DC, FL, GA, GU, HI,
ID, IL, IN, IA, KS, KY, LA, ME, MD, MA, MI, MN, MS, MO, MP, MT, NE, NV, NH, NJ, NM, NY, NO, ND' OH, OK,
OR, PA, RI, SC, SO, TN, TX, UT, VT, VA, VI, WA, WV, WI, WY. INCORPORATED IN: Illinois.
k TO p
M
Manufacturers Alliance Insurance Company (NAIC #36897)
BUSINESS ADDRESS: P,O, Box 3031, Blue Bell, PA 19422 - 0754. PHONE: (610) 397-5000.
UNDERWRITING LIMITATION b/: $7,584,000. SURETY LICENSES c,fl: AL, AK, AZ, AR, CO, CT, DE, DC, ID,
IIN, KS, KY, LA, ME, MID, MI, MS, MO, MT, NE, NV, NH, NJ, NM, NY, NO, OH, PA, RI, SO, SO, TN, UT, VT VA,
WA. INCORPORATED IN: Pennsylvania.
MARKEL INSURANCE COMPANY (NAIC #38970)
BUSINESS ADDRESS: 4521 Highwoods Parkway, Glen Allen, VA 23060. PHONE: (800) 431-1270 x-3888,
UNDERWRITING LIMITATION b/: $40,924,000. SURETY LICENSES c,f/: AL, AK, AZ, AR, CA, CO, CT, DE,
DO, FL, GA, HI, ID, IIL, IN, IA, KS, KY, LA, ME, MD, MA, MI, MN, MS, MO, MP, MT, NE, NV, NH, NJ, NM, NY,
NC, NID, OH, OK, OR, PA, PR, RI, SO, SO, TN, TX, UT VT, VA, WA, WV, WI, WY. INCORPORATED IN: Illinois,
Massachusetts Bay Insurance Company (NAIC #22306)
BUSINESS ADDRESS: 440 LINCOLN STREET, WORCESTER, MA 01 653 - 0002. PHONE: (508) 853-7200.
UNDERWRITING LIMITATION bl: $6,516,000. SURETY LICENSES cj/: AL, AK, AZ, AR, CA, CO, CT, DE, DC'
FL, GA, Hi, ID, IL, IN, IA, KS, KY, LA, ME, MD, MA, MI, MN, MS, MO, MT, NE, NV, NH, NJ, NM, NY, NC, NO,
OH, OK, OR, PA, RI, SC, SO, TN, TX, VT, VA, WA, WV, WI, WY, INCORPORATED IN: New Hampshire.
Merchants Bonding Company (Mutual) ((NAIC #14494)
BUS11NESS ADDRESS: RO BOX 14498, DES MOINES, IA 50306 - 3498. PHONE: (515) 243-8171.
UNDERWRITING LIMITATION bP $11,213,000. SURETY LICENSES c,f/: AL, AK, AZ, AR, CA, CO, CT, DE,
DO, FL, GA, HI, ID, IL, IN, IA, KS, KY, LA, ME, MD, MA, MI, MIN, MS, MO, MT, NE, NV, NH, NJ, NM, NY, NO,
NO, OIH, OK, OR, PA, RI, SC, SO, TN, TX, LIT, VT, VA, WA, WV, WI, WY. INCORPORATED IN: Iowa.
Merchants National Bonding, Inc. (NAIC #11595)
BUSINESS ADDRESS: RO. Box 14498, DES MOINES, IA 50306 - 3498. PHONE: (515) 243-8171,
UNDERWRITING LIMITATION b/: $1,557,000. SURETY LICENSES cjl: AL, AK, AZ, AR, CO, CT, DE, DC:' FL,
GA, HI, 10, IL, IN, IA, KS, KY, LA, ME, MD, MA, MI, MN, MS, MO, MT, NE, NV, NJ, NM, NY, NO, NO, OH, OK,
OR, PA, PR, RI, SO, SO, TN, TX, UT, VT, VA, WA, WV, WI, WY. INCORPORATED IN: Iowa.
Michigan Millers Mutual Insurance Company (NAIC #14508)
BUSINESS ADDRESS: P. O. Box 30060, Lansing, MI 48909 - 7560, PHONE: (517) 482-6211 x-5115,
UNDERWRITING LIMITATION b/: $5,999,000, SURETY LICENSES 01: AZ, AR, CA, CO, GA, ID, IL, IN, IA,
KS, KY, MI, MN, MO, MT, NE, NY, NC, NO, OH, OK, OR, PA, SO, TN, VA, WA, WI, WY. INCORPORATED IN:
Michigan.
Mid -Century Insurance Company (NAIC #21687)
BUSINESS ADDRESS: RO. BOX 4402, WOODLAND HILLS, CA 91365. PHONE: (323) 932-3200,
UNDERWRITING LIMITATION bl: $107,758,000. SURETY LICENSES c,f/: AL, AZ, AR, CA, CO, FL, GA, HI,
ID, IL, IN, IA, KS, MA, MI, MN, MS, MO, MT, NE, NV, NJ, NM, NY, NO, NO, OH, OK, OR, PA, SO, TN, TX, LIT,
VT, VA, WA, WL WY, INCORPORATED IN: California.
MID-CONTINENT CASUALTY COMPANY (NA11C #23,418)
BUSINESS ADDRESS: P.O. Box 1409, Tulsa, OK 74101. PHONE: (918) 587-7221. UNDERWRITING
LIMITATION b/: $16,224,000. SURETY LICENSES cjl: AL, AZ, AR, CO, CT, IL, IN, IA, KS, KY, LA, ME, MN,
MS, MO, MT, NE, NJ, NM, NO, OH, OK, PA, SO, TN, TX, UT, VA, WA, WY. INCORPORATED IN: Ohio.
Motorists Commercial Mutual Insurance Company (NAIC #13331)
BUSINESS ADDRESS: 471 East Broad Street, Columbus, OH 43215, PHONE: (614) 225-8211.
UNDERWRITING LIMITATION bf: $14,747,000. SURETY LICENSES cjl: AZ, CA, CO, CT, DE, DO, GA, ID, IL,
IN, I& KS, KY, ME, MD, MA, MI, MN, MO, NE, NV, NH, NJ, NM, NY, NO, NO, OH, OK, OR, PA, RI, SO, SD,, TIN,
TX, UT, VT, VA, WA, WV, WI, WY. INCORPORATED IN: Ohio.
Motorists Mutual Insurance Company (NAIC #14621)
BUSINESS ADDRESS: 471 East Broad Street, Columbus, OH 43215. PHONE: (614) 225-8211.
UNDERWRITING LIMITATION b/: $46,067,000. SURETY LICENSES c,f/: IN, KY Ml, OH, PA, WV
INCORPORATED IN: Ohio.
Motors Insurance Corporation (NAIC #22012)
BUSINESS ADDRESS: 500 WOODWARD AVE, 14TH FLOOR, DETROIT, MI 48226. PHONE: (31,3) 656-5437.
UNDERWRITING LIMITATION b/: $86,776,000. SURETY LICENSES c,f]: AL, AK, AZ, AR, CA, CO, CT, DE,
DO, FL, GA, HI, ID, IL, IN, I& KS, KY, LA, ME, MD, MA, MI, MN, MS, MO, MT, NE, NV, NH, NJ, NM, NY, NO,
NO, OH, OK, OR, PA, RI, SO, SO, TN, TX, UT, VT, VA, WA, WV, WI, WY, INCORPORATED IN: Michigan.
Munich Reinsurance America, Inc.0227
BUSINESS ADDRESS: nasCOLLEGE ROAD EAST -P�O. BOX s241.PR|NCET8N.mJuV543.PHONE:
(60e) 245-42OQ.UNDERWRITING LIMITATION b/:*ao2.ns7.ono.SURETY LICENSES "^V: AL, AK, AZ, AR,
CA, CO, CT, DE, DC, FL, GA, HI, ID, IL, IN, IA, KS, KY, LA, ME, MID, MA, MI, MN, MS, MO, MT, NE, NV, NH,
NJ, NM. NY NO, ND, 0M, OK, OR, P\ PR, R|, SC, Sn, TN, TX, UT, VT, VA, WA, WV, WI!, WY.
INCORPORATED IN: Dw|owwn*.
�-��&���
National American Insurance Company
BUSINESS ADDRESS: PV.Box 9'Chandler, 0R748a4.PHONE: .UNDERVVRIr|N8
LIMITATION W:$e.rvu.Vno.SURETY LICENSES c.V�AL, AK, AZ, AR, CA, CO, CT, DC, FL, GA, HI, ID, IL, IN,
K\KS, KY, LA, ME, MD, MI, MN, MS, MO, MT, NE, NV, NJ, NM, NY, NC, NO, OH, OK, OR. PA, RI, SC, SID.
TN, TX, UT, VA, WA, WV, WI, WY. INCORPORATED IN: Oklahoma,
National Casualty #11991
BUSINESS ADDRESS: ONE WEST NATIONWIDE eLVD_1-04-7U1.CQLUMBU8.OM4az1S'22zo,PHONE:
(48O)3054n0o.UNDERWRITING LIMITATION b/: $l4.077.00U.SURETY LICENSES ^.f/: AL, AK, AZ, AR, CA,
CO, CT DE, Do. F|. GA, H|. |n. UL. IN, |A. IKy. NY LA, ME, MD' MA. m|. MN. MS, MO, MT, NE, NV, NH, NJ'
NM, NY, NC, ND, OH, OK, OR, PA, RI, SC, SO, TN, TX, UT, VT, VA, WA, WV, WI, WY. INCORPORATED IN:
VWn.
NATIONAL FARMERS UNION PROPERTY AND CASUALTY COMPANY (NA|C #1 21
BUSINESS ADDRES&One General Drive, Sun Prairie, Vv|5an9o. PHONE: (008) 825'51GO.UNDERWRITING
LIMITATION b/:*4.213.O00.SURETY LICENSES n`f/:AL, AK, AZ, AR, CA, CO, DE. DC, GA, H|. |D. |L. IN, |A.
KG. KY, LA, ME, MID, MA M|, MN` M8, MO, MT, NE, NV, NH, NJ, NY, NC, ND, OH, OK, OR, PA, RI, 50.SO,
TN, TX, LIT, VT, VA, WA, WV, WI, WY. INCORPORATED IN: Wisconsin.
National Fire & Marine Insurance Company @NAIC#zuo7e
BVS|WE8SADDREG& 1314 Douglas Street, Suite 1400^mmahe' NEO81Q2- 1844 PHONE 16'3000,
UNDERWRITING LIMITATION ht$718.72n.noo.SURETY LICENSES c.ttNE, INCORPORATED IN:
Nebrooha,
NaoYomm| Fire Insurance Company ofHartford A|C #20478}
BUSINESS ADDRESS: 1s1N.FRANKL|NST.CH|CAG0.|LoosoV. PNoNE:(312) 822'5OUO.
UNDERWRITING LIMITATION b/: $11.791o.o0O.SURETY LICENSES n.fl:AL, AK, AZ, AR, CA, CO, CT, DE.
DC, FL, GA, HI, ID, IL, IN, IA, KS, KY, LA, ME, MID, MA, MI, MN, MS, MO, MT, NE, NV, NH, NJ, NM, NY, NC,
ND, OH, OK OR, P4, PR R|, GC, SD.TN, TX, UT, VT, VA, WA, WV, WI, WY. INCORPORATED IN: |Nmois�
National Indemnity
BUSINESS ADDRESS: 1314 Douglas Street, Suite 14OD Omaha, NEGo18z'1844 PHONE: ,
UNDERWRITING LIMITATION hl: $12.315.220,080. SURETY LICENSES o.i:AL, AK, AZ, AR, CA, CO, CT,
DE, DC, FL, GA, ID, IL, IN, IA, KS, KY, LA, ME, MD, MI, MNI,MS, MO, MT, NE, NV, NH, NM, NC, ND, DH.OK,
OR, PA, RI, SC, SD, TN, TX, UT, VT, VA, WA, WV, WI, WY. INCORPORATED IN: Nebraska.
National Liability & Fire Insurance Cum
BUSINESS ADDRESS: 7314 Douglas Street, Suite 1400Omaha, NE681n2 1944. PHONE: Mn2>o16-aoo0.
UNDERWRITING LIMITATION h/: $124.427.000. SURETY LICENSES n.K:AL, AK, CA, CT, DE, DC, III, ID, IL,
IA, KS, KY, MID, MA, MI, MS, MO, NE, NH, NJ, NM, NY, ND, OH, OK, RI, SC, SID.TX, UT, VT, VA, WA, WY.
INCORPORATED IN: Connecticut.
National Surety Corporation (Nx!C#o
BUSINESS ADDRESS: 22oVV,VVA8H|NGTONSTREET, SUITE 1eon.CH|CAGm'|L0o8O8-3484.PHONE:
(888)460'7083. UNDERWRITING LIMITATION b/: *7.381^000. SURETY LICENSES cf/:AL, AK, AZ, AR, CA,
CO. CT, DE, DC, FL, GA, GU, HI, ID, IL, IN, IA, KS, KY, LA, ME, MID, MA, MI, MN, MS, MO, MT, NE, NV, NH,
NJ, NM, NY, NC, ND, OH, OK, OR, PA, PR, RI, SC, SO, TN, TX, LIT, VT, VA, WA, WV, VV|.WY,
INCORPORATED IN: |Hruls.
NATIONAL TRUST INSURANCE
BUSINESS ADDRESS: 6300 University Parkway, Sarasota, FLu4z4o-u*z4.PHONE: oon 226-3224.
UNDERWRITING L|M|TxJ|0N b/: *3.781.000. SURETY LnCsNGEGo.V: AZ, DC, FL. GA, |L. IN, |A, KY, LA,
MD, MI, MS, MO, NE, NC, OK, PA, SC, TN, TX. INCORPORATED |WIndiana.
National Union Fire Insurance Company of Pittsburgh,
BUSINESS ADDRESS: 17sWATER STREET, 1xTHFLOOR, NEW YORK.NY1UQ38.PHONE: (21z)77o
7000.UNDERWR|T|WGL|M|lAT|uNN:*643.116.000, SURETY LICENSES oji:AL, AK, AZ, AR, CA, GO, CT,
DE, DC, FL, GA, GU, H|. |D. UL. IN, |A. KS, KY, LA, ME, MD, MA, M|, MN, MS, MO, MP, MT, NE, NV, NH, NJ,
NM, NY, NC, ND, OH, OK. OR, PA, FIR, RI, SC, SD, TN, TX, UT, VT, VA, WA, WV, WI, WY. INCORPORATED
IN: Pennsylvania.
Nationwide Agribusiness Insurance Company
BUSINESS ADDRESS: ONE VVESTNAT|ONVV|DE8U/o_1-n4'7u1.COLuMnU8.Old 4au10-2uzn.PHONE:
(014}249'1545.UNDERWRITING LIMITATION W: $19.163.000. SURETY LICENSES u.f/:AL, AZ, AR, CA,
CO, CT, DE, DC. FL, GA, |D^ |L. IN, IA, KS, KY, LA. ME, MID, MA, MI, MN, MS, MO, MT NE, NV, NH, NJ, N&8'
Nationwide Mutual Insurance Company (N'AIC #23787)
BUSINESS ADDRESS: ONE WEST NATIONWIDE BLVD., 1-04-701, COLUMBUS, OH 43215 - 2220, PHONE:
(614) 249-7111. 'UNDERWRITING LIMITATION b/: $1,142,701,000. SURETY LICENSES c,f/: AL, AK, AZ, AR,
CA, CO, CT, DE, DC, FL, GA, HI, ID, IL, IN, IA, KS, KY, LA, ME, MD, MA, MI, MN, MS, M0, MT, NE, NV, NH,
NJ, NM, NY, NC, ND, OH, OK, OR, PA, RI, SC, SD, TN, TX, UT, VT, VA, VI, WA, WV, WI, WY,
INCORPORATED IN: Ohio.
NAVIGATORS INSURANCE COMPANY (NAIL #42307)
BUSINESS ADDRESS: 400 Atlantic Street, 8th Floor, Stamford, CT 06901, PHONE: (203,) 905-6090,
UNDERWRITING LIMITATION bl: $105,666,000, SURETY LICENSES c,f/: AL, AK, AZ, AR, CA, CO, CT, DE,
DC, FL, GA, GUI, HI, ID, IL, IN, IA, KS, KY, LA, ME, MID, MA, MI, MN, MS, MO, MT, NE, NV, NH, NJ, NM, NY,
NC, ND, OH, OK, OR, PA, PR, RI, SC, SD, TN, TX, UT, VT, VA, WA, WV, WI, WY. INCORPORATED IN: New
York,
New Hampshire Insurance Company (NAIL #23841)
BUSINESS ADDRESS: 175 WATER STREET, 18TH FLOOR, NEW YORK, NY 10038. PHONE: (212) 770-
7000. UNDERWRITING LIMITATION b/: $18,518,000. SURETY LICENSES 01: AL, AK, AZ, AR, CA, CO, CT,
IDE, DC, FL, GA, HI, ID, IL, IN, IA, KS, KY, LA, ME, MD, MA, MI, MN, MS, MO, MT, NE, NV, NH, NJ, N!M, NY
NC, ND, OH, OR, PA, FIR, RII, SC, SD, TN, TX, LIT, VT, VA, W& WV, W11, WY. INCORPORATED IN: llkn6s,
NGM Insurance Company (NIAIC #1478,8)
BUSINESS ADDRESS: 55 WEST STREET, KEENE, NH 03431, PHONE: (904) 380-7282. UNDERWRITING
LIMITATION b/: $98,934,000. SURETY LICENSES c,f/: AL, AZ, AR, CO, CT, DE, DC, FL, GA, ID, IL, IN, IA,
KS, KY, LA, ME, MID, MA, MI, MS, MO, MT, NE, NV, NH, NJ, NM, NY, NC, ND, OH, OK, OR, PA, RI, SC, SD,
TN, TX, UT, VT, VA, WA, WV, WI, WY INCORPORATED IN: Florida.
NORTH AMERICAN SPECIALTY INSURANCE COMPANY (NAIL #29874)
BUSINESS ADDRESS: 5200 METCALF AVENUE, OVERLAND PARK, KS 66202 - 1391. PHONE: (913) 676-
5200, 'UNDERWRITING LIMITATION bP $23,900,000. SURETY LICENSES 0,fl: AL, AK, AZ, AR, CA, CO, CT,
DE, DC, FL, GA, GU, HI, 11D, IL, IN, ]A, KS, KY, LA, ME, MID, MA, MI, MN, MS, MO, MT, NE, NV, NH, NJ, NM,
NY, NC, ND, OH, OK, OR, PA, PR, RI, SC, SD, TN, TX, LIT, VT, VA, VI, WA, WV, WI, WY. INCORPORATED IN:
Now Hampshire.
NOVA Casualty Company (NAIL #42552)
BUSINESS ADDRESS: 440 LINCOLN STREET, WORCESTER, MA 0165,3 - 0002, PHONE: (508) 853-7200.
UNDERWRITING LIMITATION bl: $8,858,000. SURETY LICENSES c,f/: AL, AK, AZ, AR, CA, CO, CT, DE, DC,
FL, GA, HI, ID, IL, IIN, IA, KS, KY, LA, ME, MD, MA, M11, MN, MS, MO, MT, NE, NV, NH, NJ, NM, NY, NC, ND,
OH, OK, OR, PA, RI, SC, SD, TN, TX, UT, VT, VA, WA, WI, WY. INCORPORATED IN: New York.
t, Back"rq'[Qp
07,
Ohio Casualty Insurance Company (The) (NAIL #24074)
BUSINESS ADDRESS: 175 Berkeley Street, Boston, MA 02116. PHONE: (617) 357-9500. UNDERWRITING
LIMITATION b/: $158,673,000, SURETY LICENSES c,f/: AL, AK, AZ, AR, CA, CO, CT, DE, DC, FL, GA, HI, iD,
IL, IN, IIA, KS, KY, LA, ME, MD, MA, Mi, MN, MS, MO, MT, NE, NV, NH, NJ, NM, NY, NC, ND, OH, OK, OR, PA,
RI, SC, SD, TN, TX, UT, VT, VA, WA, WV, ffl, WY, INCORPORATED IN: Now Hampshire.
Ohio Farmers Insurance Company (NAIL #24104)
BUSINESS ADDRESS: P.O. Box 5001, Westfield Center, OH 44251 - 5001. PHONE: (330) 887-0101
UNDERWRITING LIMITATION b/: $233,651,000. SURETY LICENSES c,f/: AL, AZ, AR, CO, DC, DE, FL, GA,
IL, IN, lA, KY, LA, MD, MA, MI, MINI, MS, MO, MT, NE, NV, NJ, NM, NY, NC, ND, OH, OK, PA, RI, SC, SD, TN,
TX, UT, VA, WA, WV, Wl, WY, INCORPORATED IN: Ohio,
Ohio Indemnity Company (NAIL #26566)
BUSINESS ADDRESS: 250 E. Broad St., 7th Floor, Columbus, OH 43215 - 0000. PHONE: (614) 228-2800,
UNDERWRITING LIMITATION bl: $4,546,000. SURETY LICENSES c,f/: AL, AK, AZ, AR, CA, CO, CT, DE, DC,
FL, GA, HI, ID, IL, IN, IA, KS, KY, LA, ME, MD, MI, MN, MS, MO, MT, NE, NV, NH, NJ, NM, NY, NC, ND, OH,
OK, OR, PA, RI, SC, SD, TN, TX, UT, VT, VA, WA, WV, WI, WY. INCORPORATED IN: Ohio.
Ohio Security Insurance Company (NAIL #24082)
BUSINESS ADDRESS: 175 Berkeley Street, Boston, MA 02116. PHONE: (617) 357-9500, UNDERWRITING
LIMITATION b/: $1,498,,00,0. SURETY LICENSES 01: AL, AK, AZ, AR, CA, CO, CT, DE, DC, FL, GA, ID, IIL, IN,
IA, KS, KY, LA, ME, MD, MA, MI, MN, MS, MO, MT, NE, NV, NH, NJ, NM, NY, NC, ND, OH, OK, OR, PA, RI,
SC, SD, TN, TX, UT, VT, VA, WA, WV, WI, WY. INCORPORATED IN: New Hampshire.
Oklahoma Surety Company (NAIL #23426)
BUSINESS ADDRESS: P.O. Box 1409, Tulsa, OK 74101. PHONIE:: (918) 587-7221. UNDERWRITING
LIMITATION b/: $1,654,000. SURETY LICENSES c,f/: AR, KS, OH, OK, TX, INCORPORATED IN: Ohio.
OLD DOMINION INSURANCE COMPANY (NAIL #40231)
BUSINESS ADDRESS: 5,5 WEST STREET, KEENE, NH 03431. PHONE: (904) 380-7282. UNDERWRITING
LIMITATION b/: $3,606,000. SURETY LICENSES c,ft: CT, DE, FL, GA, ME, MD, MA, NH, NY, NC, PA, RI, SC,
TN, VT, VA, INCORPORATED IN: Florida,
Old Republic General Insurance Corporation (NAIC #24139)
BUSINESS ADDRESS: 307 NORTH MICHIGAN AVENUE, CHICAGO, IL 60601, PHONE: (312) 346-8100.
UNDERWRITING LIMITATION b/:$59�30�,O0Q. SURETY LICENSES oj/�AL, AK, AZ, AR, CA, CO, CT, DE,
DC, FL, GA, |D. |L^ IN, IA, KS, KY, LA, ME, MID, MA, M|, MN, MS, MO, MT, NE, NV, NH, NJ, NM, NY, NC, ND'
OH, OK, OR, PA, RI, SC, 8[\TN, TX, UT, VT, VA, WA, WV, WI, WY. INCORPORATED IN: Illinois.
Old Republic
UNDERWRITING LIMITATION */: $114.117.uno,SURETY LICENSES *,f/: AL, AK, AS, AZ, AR, CA, CO, CT,
Ve, DC. FL, GA, GU, HI, |D. |L. IN, IA, KS, KY, LA. ME, MID, MA, Mk, MN, MS, MO, IMP, Mi( N£, NV, NH, NJ.
NM, NY, NC, NO, OH, OK, OR, PA, PR, RI, SC, SD, TN, TX, UT, VT, VA, VI, WA, WV, Wi.WY.
INCORPORATED ftPennsylvania.
Old Republic Surety Company (NAVC#4O444
BUSINESS ADDRESS: pD. BOX 1s35.M|UAAUNEE.YY|s3281-1035.PHONE97-2840.
UNDERWRITING LIMITATION 4/: $7.040^000. SURETY LICENSES o.htAL, AZ, AR, CA, CO, DC, FL, GA, ID,
IL, IN, IA, KS, MID, MN, MS, MO, MT, NE, NV, mM.NC, ND, OH, OK, OR, PA, SC, GD.TN, TX, UT, VA, WA,
WV, WI, WY. INCORPORATED IN: Wisconsin.
t,'Back Z0.16p
p
t Ba�]�19P
Pacific Indemnity
BUSINESS ADDRESS: 202BHoV's Mill Road, Whitehouse Station, NJooaom.PVmNE�(g5)«40-1800,
UNDERWRITING LIMITATION tl: $315^850.000. SURETY LICENSES u^f/: AL, AK, AZ, AR, CA, CO, CT, DE,
DC, FL, GA, HI, ID, IL, IN, IA, KS, KY, LA, ME, MID, MA, MI, MN, MS, MO, MT, NE, NV, NH, NJ, NM, NY, NC,
ND, OH, OK, OR, PA, R|, SC, 3D'TN, TX, UT, VT, VA, WA, WV, WI, WY. INCORPORATED IN: Wisconsin.
PACIFIC INDEMNITY INSURANCE
BUSINESS ADDRESS: 348WEST O'BK|ENDRIVE, HAGATNA.8UBG910,PHONE: (671) 4771863.
UNDERWRITING LIMITATION bk $2.34s.noo,SURETY LICENSES u,f/:GUI, MRINCORPORATED IN: Guomn.
PARTNER REINSURANCE COMPANY OFTHE U.S.(NAAC#38O3O)
BUSINESS ADDRESS: zonFirst Stamford Place, Suite 4UD.Stamford, CT80V0z.PHONE: (2V0)48s-4200.
UNDERWRITING LIMITATION b/:$122.038.UO0,SURETY LICENSES o.f/: AL, AZ, CA, CO, DC, IL, KS, MI,
MS, NE, NY, TX, LIT, WA. INCORPORATED IN: Now Yonk,
PARTNERRE INSURANCE COMPANY 0FNEWYORK(NAIC #10006)
BUSINESS ADDRESS: 2moFirst Stamford Place, Suite 4OOStamford, CTosao2PHONE: 85-4208.
UNDERWRITING LIMITATION b/: $81.932.000. SURETY LICENSES c.V: AL,87. CA, CO, DE, DC. 0. |L, IN,
IA, KS, KY, MID, MI, MN, MS, MT, NE, NJ, NM, NY, ND, OH, OK, OR, PA, RI, SC, So.TX, UT, VT, VA, WA, WV,
WI. INCORPORATED IN: New York.
Pekin Insurance Company
BUSINESS ADDRESS: 2505 COURT STREET, PEK|N.|LG1wow-oon1.PHONE: (3O9)34O'1101.
UNDERWRITING LIMITATION b/: $13.231.000. SURETY LICENSES n'#: AZ. |L. IN, l8. M|. OH, WI
INCORPORATED IN: Illinois.
Po #41424)
umS|meSS ADDRESS: P.O. Box 3n31.Blue Bell, RA19422'V75o�PHONE: (O10)@87-5D0Q.
UNDERWRITING LIMITATION kk$8.662,0o0.SURETY LICENSES c,V:AL, AK, AZ, AR, CO, CT, DE, DC, |D
IN, KS, KY, LA, ME, MID, MI, MS, MO, MT, NE, NV, NH, NJ, NM, NY, NC, OH, PA, RI, SC, SD, TN, UT, VT, VA,
WA. INCORPORATED IN: Pennsylvania.
Pm Association Insurance Company
UNDERWRITING LIMITATION u/: $wo^om*.onn.SURETY LICENSES n.mAL, AK, AR, CO, CT, DE, DC, FL,
G&HI, ID, IL, IA, KS, KY, LA, ME, MID, MA, MI, MS, MO, MT, NE, NV, NH, NJ, NM, NY, NC, OH, OK, PA, RI,
SC, SD, TN, T( UT, VT, WA, WV. INCORPORATED IN: Pennsylvania,
Pennsylvania National Mutual Casualty Insurance Company |t#14e3u)
BUSINESS ADDRESS: pO.Box 2t81.Harrisburg, PA17186'28U1.PHONE: (717)234'4841,
UNDERWRITING LIMITATION b/:$s4'n1y'uun.SURETY LICENSES u.fl:AL, AS, AZ, AR, CO, CT, DE, DC,
FL, GA, ID, UL.IN, IA, KS, KY, LA, ME, MD, MA, MI, MN, MS, MO, MT, NE, NJ, NM, NY, NC, OH, OK, OR, PA,
R|.SC, SD, TN, TX, UT, VT, VA, WA, WV, WI. INCORPORATED IN: Pennsylvania,
p0LADELPHIAINDEMNITY INSURANCE COMPANY (NA|C#18n58)
BUSINESS ADDRESS: One Bala Plaza East, Suite 1no.Bala Cynwyd, p^19o04-14oa.PHONE: («1o)zom'
7880.UNDEmWR|T|NGL|MVTAT|oWb/: $231.637,000, SURETY LICENSES v'f/: AL, AK, AZ, AR, CA, CO, CT,
DE, DC, FL, GA, HI, ID, IL, IN, IA, KS, KY, LA, ME, MID, MA, MI, MN, MS, MO, MT, NE, NV, NH, NJ, NM, NY,
NC. uO. OH. OK, OR, PA, R|, SC, SID.TN. T( UT, VT, NA, WA, WV, WI, WY. INCORPORATED IN:
PLATTERIVER INSURANCE COMPANY <NAIC#186M9>
BVS|NEGGADDRE5S� P.O.Box s9o0.Madison, YW5370s'08Oo,PHONE UNDERWRITING
IN, IA, KS, KY, LA, ME, MID, MA, MI, MIN, MS, MO, MT, NE, NV, NH, NJ, NM, NY, NC, NO, OH, OK, OR, PA, RI,
SC, SO, TN, TX, UT, VT VA, WA, WV, WI, WY, INCORPORATED IN: Nebraska.
Plaza Insurance Company (NAIC #30945)
BUSINESS ADDRESS: 518 East Broad Street, Columbus, OH 4321i5, PHONE: (614) 464-5000.
UNDERWRITING LIMITATION b/: $2,769,000, SURETY LICENSES o,f/: AL, AK, AZ, AR, CA, CO, CT, DE, DC,
FL, GA, HI, ID, IL, IN, IA, KS, KY, LA, ME, MD, MA, MI, MN, MS, MO, MT, NE, NV, NH, NJ, NM, NY, NC, NO,
OH, OK, OR, PA, RI, SC, SO, TN, TX, UT, VT, VA, WA, WV, WI, WY. INCORPORATED IN: Iowa.
ProCentury Insurance Company (NAIC 921903)
BUSINESS ADDRESS: 560 Polaris Parkway, Westerville, OH 43082, PHONE: (614) 895-2000,
UNDERWRITING LIMITATION b/: $5,833,000, SURETY LICENSES c,ft; AK, AZ, AR, CA, DE, DC, GA, ll-, IN,
IA, KS, LA, MID, MA, MI, MN, MS, MO, MT, NE, NV, NJ, NM, NY, ND, OK, OR, PA, SC, SO, TX, UT, WV, W11,
WY, INCORPORATED IN: Michigan.
Progressive Casualty Insurance Company (NAIC #24260)
BUSINESS ADDRESS: P.O. BOX 89490, CLEVELAND, OH 44101 - 6490. PHONE: (440) 461-5000'.
UNDERWRITING LIMITATION b/: $212,481,000. SURETY LICENSES cj/. AL, AK, AZ, AR, CA, CO, CT, DIE,
DC, FL, GA, HI, ID, IL, IN, IA, KS, KY, LA, ME, MD, MA, MI, MN, MS, MO, MT NE, NV, NH, NJ, NM, NY, NC,
NO, OH, OK, OR, PA, RI, SC, SO, TN, TX, LIT, VT, VA, WA, WV, WI, WY. INCORPORATED IN: Ohio,
Progressive Northwestern Insurance Company (NAIC #42919)
BUSINESS ADDRESS: P.O. BOX 89490, CLEVELAND, OH 44101 - 6490. PHONE: (440) 461-5000.
UNDERWRITING LIMITATION b/: $52,118,000. SURETY LICENSES c,f/: AK, AZ, CA, CO, CT, DE, DC, GA,
HI, ID, IN, IIIA, KS, KY, LA, ME, MID, MN, MS, MO, MT, NE, NV, NJ, NM, NY, NC, NO, OH, OK, OR, RI, SC, SD,
TN, TX, UT, VA, WA, WV, WL INCORPORATED IN: Ohio.
Protective Insurance Company (NAIC #12416)
BUSINESS ADDRESS: 111 Congressional Blvd., Suite 500, Carmel, IN 46032. PHONE: (317) 636-9800 x-
7433. UNDERWRITING LIMITATION bl: $28,733,000. SURETY LICENSES c,fl: AL, AK, AZ, AR, CA, CO, CT,
DE, DC, FL:, GA, HI, ID, IL, IN, IA, KS, KY, LA, ME, MID, MA, MI, MN, MS, MO, MT, NIE, NV, NH, NJ, NM, NY,
NC, ND, OH, OK, OR, PA, FIR, RI, SC, SO, TN, TX, UT, VT, VA, WA, WV, WI, WY, INCORPORATED IN:
Indiana.
Protective Property & Casualty Insurance Company (NAIC #35769)
BUSINESS ADDRESS: 14765 North Outer Forty Rd., Suite 400, St. Louis, M,O 63017. PHONE: (636) 536-
5600. UNDERWRITING LIMITATION bk $16,992,000, SURETY LICENSES c,fl: AL, AK, AZ, AR, CA, CO, CT,
DE, DC, FL, GA, HI, ID, IL, IN, IA, KS, KY, LA, ME, MID, MA, Mi, MN, MS, MO, MT, NE, NV, NH, NJ, NM, NC,
NO, OH, OK, OR, PA, PR, RI, SC, SD, TN, TX, UT, VT, VA, WA, WV, WI, WY. INCORPORATED IN: Missouri.
+.,,. Back lb..Tblp
DO
QBE Insurance Corporation (NAIC #392117)
BUSINESS ADDRESS: One General Drive:, Sun Prairie, WI 53596. PHONE: (608) 825-5160, UNDERWRITING
LIMITATION bl: $67,799,000. SURETY LICENSES o,f/: AL, AK, AZ, AR, CA, CO, CT, DE, DC, FL, GA, HI, ID,
1L, IN, IA, KS, KY, LA, ME, MID, MI, MN, MS, MO, MT, NE, NV, NH, NJ, NM, NY, NC, NO, OH, OK, OR, PA, RI,
SC, SO, TN, TX, UT, VT, VA, WA, WV, WI, WY. INCORPORATED IN: Pennsylvania.
Back 'L qp,
-.q
Regent Insurance Company (NAIC #24449)
BUSINESS ADDRESS: One General Drive, Sun Prairie, WI 53596, PHONE: (608) 825-5160. UNDERWRITING
LIMITATION b/: $3,221,000. SURETY LICENSES c,f/: AL, AK, AZ, AR, CA, CO, DE, DC, FL, GA, HI, ID, IL, IN,
IA, KS, KY, LA, MD, MA, MI, MN, MS, MO, MT, NE, NV, NH, NJ, NY, NC, NO, OH, OK, OR, PA, RI, SC, SO,
TN, TX, UT, VT, VA, WA, WV, WI, WY, INCORPORATED IN: Wisconsin.
Republic - Franklin Insurance Company (NAIC #12475)
BUSINESS ADDRESS: P. 0, Box 530, Utica, NY 13503 - 0530. PHONE: (315) 734-2000, UNDERWRITING
LIMITATION b/: $5,450,000. SURETY LICENSES o,f/: CT, DE, DC, GA, IL, IN, KS, MID, MA, MI, NH, NJ, NY,
NC, 011, PA, RI, TN, TX, VA, WI. INCORPORATED IN: Ohio.
RLI Insurance Company (NAIC #13056)
BUSINESS ADDRESS. 9025 N, Lindbergh Drive, Peoria, IL 61615. PHONE: (309) 692-1000.
UNDERWRITING LIMITATION b/: $73,602,000, SURETY LICENSES c,f/: AL, AK, AZ, AR, CA, CO, CT, DE,
DC, FL, GA, GU, Hi, ID, IL, IN, IA, KS, KY, LA, ME, MD, MA, MI, MN, MS, MO, MT, NE, NV, NH, NJ, NM, NY,
NC, NO, OH, OK, OR, PA, PR, RI, SC, SO, TN, TX, UT, VT, VA, VI, WA, WV, WI, WY. INCORPORATED IN:
Illinois.
Roche Surety and Casualty Company, Inc. (NAIC #42706)
BUSINESS ADDRESS: 4107 N H,IMES AVE 2ND FLOOR, TAMPA, FL 33607. PHONE: (813) 623-5042.
UNDERWRITING LIMITATION b/: $979,000, SURETY LICENSES cj/: AL, AK, AZ, AR, CT, DE, FL, GA, HI, ID,
IN, IIA, KS, LA, MD, MI, MN, MS, MO, MT, NE, NV, NH, NJ, NM, NY, NC, NO, OH, OK, OR, PA, SC, SO, TN'
TX, UT, VT, VA, WA. INCORPORATED IN: Florida.
Rockwood Casualty Insurance Company (NA|C#35505)
BUSINESS ADDRESS: 854Main Street, Rockwood, PA1sss7.PHONE: (814)92m'40$1.UNDERWRITING
LIMITATION b/:$12.001.000.SURETY LICENSES u.f/: AL, AK, AZ, AR, CO. DE, DC, FL, GA, H|. iD, !L. IN, I4.
KS, KY, LA, ME, MD, MA, MI, MN, MS, MO, MT, NE, NV, NH, NJ, NM, NY, NC, ND, OH.OK, OR, PA, RI, Sc,
SD, TX, UT, VT, VA, WA, WV, WI, WY. INCORPORATED IN: Pennsylvania.
,t--B�aD-k-l-b-Ic2p
GAFECoInsurance Company oYAmerica (NAK:#2474O
BUSINESS ADDRESS: 175 Berkeley Street, Boston,M402116.PHONE: (617)357-9508.UNDERWRITING
LIMITATION b/: $1no.xzs.nou.SURETY LICENSES o.n:AL, AK, AZ, AR, CA, CO, CT DE, DC, FL, GA, GU,
HI, ID, IL, IN, IA, KS, KY, LA, ME, MD, MA, MI, MN, MS, MO, MT, NE, NV, NH, NJ, Nm.NY, NC, ND, OH, OK,
OR, PA, F%.SC. SD, TN, TX, UT, VT VA, WA, WV, WI, WY. INCORPORATED ftNew Hampshire.
Safety National Caslty Corporation
BUSINESS ADDRESS: 1m3zso»mmzRoad, St. Louis, Mnma148'854O.PHONE: (o14)nms'5n0o.
UNDERWRITING LIMITATION b/: $20@'192.OU0.SURETY LICENSES 01:AL, AK, AZ, AR, CA, CO, CT, DE,
DC, FL, GA, GU, HI, ID, U. IN, |A. KS, KY, LA, ME, MD, MA, M|, MN, MS, MO, MT, NE, NV, NH, NJ, NM, N\|
NC, ND, OH, OK, OR, PA, PR, RI, SC, SD, TN, TX, UT, VT, VA, VI, WA, WV, VVU'WY, INCORPORATED |W
hA|ovouH'
Sagamore Insurance Company (NAIC#4V4u0
BUSINESS ADDRESS: Ill Congressional Blxd,Suite 580.Carmel, |N4OO82.PHONE: (317)836-9800x'
7433.VNnERVVRTINGL|MD7QlONbt$13,304,000,nuRETYL|CENGBS01:AL.AK.AZCO.CT,os.oC.
GA. HI, ID, IL, IN, IA, KS, KY, ME, MID, MA, MI, MN, MS, MO, MT, NE, NJ, NM, NY, NC, 0H.OR, PA, RI, SC,
SEoURA|mSVnAmoE, A Mutual Company
BUSINESS ADDRESS: eo.Box x1m. Appleton,m/|x*y1z-nu1g.PHONE: (920) 73e-3161.
UNDERWRITING LIMITATION bt $4O.174.nOO.SURETY LICENSES c,f]:AZ, AR, CO, |D. |L. IN, N. KS, KY,
MI, MN, MO, MT, NE, NV, NIv,ND.OH, OK, OR, PA, SD, TN, UT, WA, WI, WY. INCORPORATED IN:
Wisconsin.
Selective insurance Company of America IC #12572)
BUSINESS ADDRESS: 40WANTAGEAVENUE, 8RANmHV|LLE.NJO78S0.PHONE: (973)948'3000�
UNDERWRITING LIMITATION b/: $00'367'000.GURETY L|CEN8ESo.V: AL, AK, Az, CT, DE, DC. GA. |L' IN,
IA, KS, KY, MD, MA, MI, MN, MS, MO, MT, NE, NJ, NY, NC, NO, OH, OR, PA, RI, SC, SD, TN, TX, VA, WA,
WV, WI, WY. INCORPORATED IN: New Jersey.
Seneca Insurance Company, Inc.U1A|C#1w93q
BUSINESS ADDRESS: 160YVater Street, New York, NY18038-4no2.PHONE: 212)344-3000.
UNDERWRITING LIMITATION h/:$14.248.VO0. SURETY LICENSES o.f/:AL, AK, AZ, AR, CA, CO, CT, DE,
DC. FL, GA, HI, |o. |L. IN, |A. KS, KY, LA, ME, MD, MA. M|. MN, MG. MO, MT, NE, NV, NH, NJ, NM, NY, NC,
Sentry Insurance A Mutual Company (NAIC#24VVx
BUSINESS ADDRESS: 1800 NORTH POINT DRIVE, STEVENS POINT, WI 54481-8020. PHONE: (715)340
6000,UNosRYVR|T|NGUM|TAT|OmW:&491.451.000.SURETYL|CENesm01:AL.AK.AZ.AR.CA.CO.CT
DE, DC, FL, GA, HI, ID, IL, IN. IA, KS, KY, LA, ME, MD, MA, MI, MN, MS, MO, MT, NE, NV, NH, NJ, NM, NY,
NC. ND, OH, OK, OR, R\, R|, SC, SO, TN, TX, UT, VT, VA, WA, WV, WI, WY. INCORPORATED IN: VV|o*»wv|o.
Sentry Select Insurance Cm N'A|C #21180)
BUSINESS xDDRES&1o00NORTH POINT DRIVE, STEVENS POINT, VV|544H1-8o2n. PHONE: (715)a4a'
6000.VNDERVVR|T|NGL|M|TAT|oNW:$22.674'000.sURETYL|CEN8EScfl:AL.4K.AZ.AR.CA.00.CT,
DE, DC, FL, GA, HI, ID, UL.IN, IA, KS, KY, LA, ME, MD, MA, MI, MN, MS, MO, MT, NE, NV, NH, NJ, NM, NY,
MC. ND, OH, OK, OR, PA, R|. Gc. ao.TN, TX, UT, VT, VA, YK& WV, WI, WY, INCORPORATED IN: Wisconsin,
SERVICE INSURANCE COMPANY (mA|C#3Os6o
BUSINESS ADnREao�702OBERLIN ROAD, RALBGH.NC27Vos-uono.PHONE: (919)833'1000,
UNDERWRITING LIMITATION W: $4.732.000.SURETY LICENSES n.1:AL, AK, AZ, AR, CA, CO, CT, DE, DC,
FL, GA, HI, UD. |L. IN. |A. KS. KY, L8, Ms, MD, MA, MI, MN, MS, MO, MP, MT, NE, NV, NH, NJ, NM, NY, NC'
SERVICE INSURANCE COMPANY INC. 240
BUSINESS ADDRESS: *0MAIN STREET, WEST ORANGE, NJ07O52.PHONE: <m7n>7J1'70%
UNDERWRITING LIMITATION b/�*829,Vn0.SURETY LICENSES c,#:CT, DE, DC, FL, MD, MA, NH, NJ, NY,
NC, PA, RI, VA. INCORPORATED ftNew Jersey.
S|R|USAMEn|o&INSURANCE COMPANY (NA|O#a877n)
BUSINESS ADDRESS: 1408RQADVVAY'32NDFLOOR, NEW YORK.NY1VA05 1108.PHONE: (z12)J12-
2sD0.UNDERWRITING LIMITATION b/�$s2.1n1.ono.SURETY LICENSES o.N:AL, AK.AZ, AR, CA, CO, DE,
DC, GA, Fit, ID, IL, IN, IA, KS, KY, LA, MID, MA, MI, MS, MO, MT, NE, NV, NH, NJ, NM, NY, NC, ND, OH, OK,
OR, PA, RI, SC, SD, TN, TX, LIT, VT, VA, WA, WV, WI, WY. INCORPORATED IN: New York.
SOUTHWEST MARINE AND GENERAL INSURANCE COMPANY (NAIC #12294)
BUSINESS ADDRESS: 412 Mt. Kamb1aAve, Suite 300C.Morristown, NJ0rVen.PHONE: (DOo)77*-2755.
UNDERWRITING LIMITATION bl: $6,330,000. SURETY LICENSES c,fl: AL, AK, AZ, AR, CA, CO, CT, DE, DC,
GA, HI, ID, IL, IN, IA, KS, KY, LA, ME, MD, MA, MI, MN, MS, MO, MT, NE, NV, NH, NJ, NM, NC, ND, OH, OK,
OR, PA, RI, SC, SD, TN, TX, UT, VT, VA, WA, WV, WI, WY. INCORPORATED IN: Arizona.
St. Paul Fire and Marine Insurance Company (NAIL #24767)
BUSINESS ADDRESS: ONE TOWER SQUARE, HARTFORD, CT 06183. PHONE: (860) 277-0111.
UNDERWRITING LIMITATION bl: $416,522,000, SURETY LICENSES c,fl: AL, AK, AZ, AR, CA, CO, CT, DE,
DC, FL, GA, GU, HI, ID, IL, IN, IA, KS, KY, LA, ME, MD, MA, MI, MN, MS, MO, MT, NE, NV, NH, NJ, NM, NY,
NO, ND, OH, OK, OR, PA, PR, RI, SC, SD, TN, TX, UT, VT, VA, VI, WA, WV, WI, WY. INCORPORATED IN:
Connecticut.
ST. PAUL GUARDIAN INSURANCE COMPANY (NAIC #24775)
BUSINESS ADDRESS: One Tower Square, Hartford, CT 06183. PHONE: (860) 277-0111, UNDERWRITING
LIMITATION bl: $2,314,000, SURETY LICENSES c,fl: AL, AK, AZ, AR, CA, CO, CT, DE, DC, FL, GA, HI, ID, IL,
IN, IA, KS, KY, LA, ME, MD, MA, MI, MN, MS, MO, MT, NE, NV, NH, NM, NY, NO, ND, OH, OK, OR, PA, RI,
SC, SD, TN, TX, UT, VT, VA, WA, WV, WI, WY. INCORPORATED IN: Connecticut.
St. Paul Mercury Insurance Company (NAIC #24791)
BUSINESS ADDRESS: One Tower Square, Hartford, CT 06183. PHONE: (860) 277-0111. UNDERWRITING
LIMITATION bl: $11,601,000. SURETY LICENSES c,fl: AL, AK, AZ, AR, CA, CO, CT, DE, DC, FL, GA, HI, ID,
IL, IN, IA, KS, KY, LA, ME, MD, MA, MI, MN, MS, MO, MT, NE, NV, NH, NJ, NM, NY, NO, ND, OH, OK, OR, PA,
RI, SC, SD, TN, TX, UT, VT, VA, WA, WV, WI, WY. INCORPORATED IN: Connecticut.
Standard Fire insurance Company (The) (NAIC #19070)
BUSINESS ADDRESS: ONE TOWER SQUARE, HARTFORD, CT 06183, PHONE: (860) 277-0111.
UNDERWRITING LIMITATION bl: $118,948,000. SURETY LICENSES c,fl: AL, AK, AZ, AR, CA, CO, CT, DE,
DC, FL, GA, HI, 10, IL, IN, IA, KS, KY, LA, ME, MD, MA, MI, MN, MS, MO, MT, NE, NV, NH, NJ, NM, NY, NO,
ND, OH, OK, OR, PA, PR, RI, SC, SD, TN, TX, UT, VT, VA, VI, WA, WV, WI, WY. INCORPORATED IN:
Connecticut.
Star Insurance Company (NAIC #18023)
BUSINESS ADDRESS: 26255 American Drive, Southfield, MI 48034. PHONE: (248) 358-1100,
UNDERWRITING LIMITATION bl: $46,630,000. SURETY LICENSES 01: AL, AK, AZ, AR, CA, CO, CT, DE,
DC, FL, GA, HI, ID, IL, IN, IA, KS, KY, LA, ME, MD, MA, MI, MN, MS, MO, MT, NE, NV, NH, NJ, NM, NY, NC,
ND, OH, OK, OR, PA, R1, SC, SD, TN, TX, UT, VT, VA, WA, WV, WI, WY. INCORPORATED IN: Michigan,
StarNet Insurance Company (NAIC #40045)
BUSINESS ADDRESS: PO BOX 9190, DES MOINES, IA 50306 - 9190. PHONE: (515) 473-3000,
UNDERWRITING LIMITATION bl: $11,706,000. SURETY LICENSES c,fl: AL, AK, AZ, AR, CA, CO, CT, DE,
DC, FL, GA, HI, ID, IL, IN, IA, KS, KY, LA, ME, MD, MA, MI, MN, MS, MO, MT, NE, NV, NH, NJ, NM, NY, NC,
ND, OH, OK, OR, PA, RI, SC, SD, TN, TX, UT, VT, VA, WA, WV, WI, WY. INCORPORATED IN: Delaware.
Starr Indemnity & Liability Company (NAIC #38318)
BUSINESS ADDRESS: 399 Park Avenue, 8th Floor, New York, NY 10022. PHONE: (646) 227-6400.
UNDERWRITING LIMITATION bl: $187,529,000, SURETY LICENSES c,f/: AL, AK, AZ, AR, CA, CO, CT, DE,
DC, FL, GA, GU, HI, ID, IL, IN, IA, KS, KY, LA, ME, MD, MA, MI, MN, MS, MO, MT, NE, NV, NH, NJ, NM, NY,
NC, ND, OH, OK, OR, PA, PR, RI, SC, SD, TN, TX, UT, VT, VA, WA, WV, WI, WY, INCORPORATED IN: Texas.
State Auto Properly and Casualty Insurance Company (NAIC #25127)
BUSINESS ADDRESS: 518 EAST BROAD STREET, COLUMBUS, OH 43215. PHONE: (614) 464-5000.
UNDERWRITING LIMITATION bl: $68,704,000. SURETY LICENSES c,fl: AL, AK, AZ, AR, CO, CT, DE, DC,
FL, GA, HI, ID, IL, IN, IA, KS, KY, LA, ME, MD, MA, MI, MN, MS, MO,.MT, NE, NV, NJ, NY, NC, ND, OH, OK,
OR, PA, RI, SC, SD, TN, TX, UT, VT, VA, WV, WI, WY. INCORPORATED IN: Iowa.
State Automobile Mutual Insurance Company (NAIC 425135)
BUSINESS ADDRESS: 518 EAST BROAD STREET, COLUMBUS, OH 43215. PHONE: (614) 464-5000.
UNDERWRITING LIMITATION bl: $49,057,000. SURETY LICENSES 01: AL, AK, AZ, AR, CO, CT, DE, DC,
FL, GA, HI, ID, IL, IN, IA, KS, KY, LA, ME, MD, MA, MI, MN, MS, MO, MT, NE, NV, NH, NJ, NM, NY, NO, ND,
OH, OK, OR, PA, RI, SC, SID, TN, TX, UT, VT, VA, WA, WV, WI, WY. INCORPORATED IN: Ohio.
State Farm Fire and Casualty Company (NAIC #25143)
BUSINESS ADDRESS: ONE STATE FARM PLAZA, BLOOMINGTON, IL 61710. PHONE: (309) 766-2311,
UNDERWRITING LIMITATION bl: $1,771,019,000. SURETY LICENSES c,fl: AL, AK, AZ, AR, CA, CO, CT, DE,
DC, FL, GA, HI, ID, IL, IN, IA, KS, KY, LA, ME, MD, MA, MI, MN, MS, MO, MT, NE, NV, NH, NJ, NM, NY, NC,
ND, OH, OK, OR, PA, RI, SC, SD, TN, TX, UT, VT, VA, WA, WV, WI, WY. INCORPORATED IN: Illinois.
Stillwater Property and Casualty Insurance Company (NAIC #16578)
BUSINESS ADDRESS: P. O. Box 45126, Jacksonville, FL 32232 - 5126. PHONE: (800) 849-6140.
UNDERWRITING LIMITATION bl: $12,837,000. SURETY LICENSES 01: AL, AK, AZ, AR, CO, CT, DC, FL,
GA, HI, ID, IL, IN, IA, KS, KY, LA, ME, MD, MA, MI, MN, MS, MO, MT, NE, NV, NH, NJ, NM, NY, NO, ND, OH,
OK, OR, PA, RI, SC, SD, TN, TX, UT, VT, VA, VI, WA, WV, WI, WY. INCORPORATED IN: New York.
SureTec Insurance Company (NAIC 910916)
BUSINESS ADDRESS: 1330 POST OAK BLVD, SUITE 1100, HOUSTON, TX 77056, PHONE: (713) 812-0800.
UNDERWRITING LIMITATION bl: $10,206,000. SURETY LICENSES c,fl: AL, AK, AZ, AR, CA, CO, CT, DE,
DC, FL, GA, Hi, ID, IL, IN, IA, KS, KY, LA, ME, MD, MA, MI, MN, MS, MO, MT, NE, NV, NH, NJ, NM, NY, NC,
ND, OH, OK, OR, PA, RI, SC, SD, TN, TX, UT, VT, VA, WA, WV, WI, WY. INCORPORATED IN: Texas.
SURETY BONDING COMPANY 0FAMERICA
BUSINESS ADDRESS: 151N.FRANNL8NGT.CH|C4oQ.|L0Vo0o,PHONE:
UNDERWRITING LIMITATION b/: $784.Uno.SURETY LICENSES c,0tAL, AZ, AR, CA, CO, DE, DC, GA, ID,
IL, IN, KS, MN, MiO.MT, NE, NV, NIM.NY, ND, OK, OR, SC, SD, TN, TX, UT, WV, VVYINCORPORATED IN:
South Dakota.
Swiss Reinsurance America C#25364)
BUSINESS ADDRESS: 1rsKING STREET, ARMWNK,NY1o504'18$0.PHONE: 0n4
UNDERWRITING LIMITATION W: $334.$05.000. SURETY LICENSES c.V:AL, AK, AZ, AR, CA, CO, CT, DE,
DC, FL, GA, HI, ID, IL, IN, IA, KS, KY, LA, ME, MD, MA, MI, MN, MS, MO, MT, NE, NV, NH, NJ, NM, NY, NC,
t-B�a k-rbjbp
III
TRANSATLANTIC REINSURANCE COMPANY
BUSINESS ADDRESS: One Liberty NEW YDRK,NY1ooms.PHONE: (212)365-2200,
UNDERWRITING LIMITATION bl:$478.DS5.8U0.SURETY LICENSES ^^f/: AK, AZ, AR, CA, CO, DE, DC, GA,
ID, IL, IN, UA.KS, KY, LA, MI, MN, MS, NE, NV, NJ, NM, NY, OH, OK, PA, SID.UT, WA, WI. INCORPORATED
IN: Now York.
Travelers Casualty
BUSINESS ADDRESS: ONE TOWER SQUARE, HARTFoRD.CT0G183.PHONE: (860277-0111.
UNDERWRITING LIMITATION bk $423,498.000.SURETY LICENSES n.f/: AL, AK, AZ, AR, CA, CO, CT, DE,
DC, FL, GA, GU, HI, ID, IL, IN, |A.KS, KY, LA, ME, MD, MA, MI, MN, MS, MO, MT, NE, NV, NH, NJ, NM, NY,
NC, ND, OH, OK, OR, PA, PR, RI, SC, 8D.TN, TX, UT, x[VA, VI, WA, WV, WI, WY, INCORPORATED IN:
Connecticut,
Travelers Casualty d Surety Company ofAmerica (NA|C #31194)
BUSINESS ADDRESS: ONE TOWER SQUARE, H8RTFoRD.CTO8183.PHONE: (868277-0111.
UNDERWRITING LIMITATION b/: $2U1.O«4,0UO.SURETY LICENSES u.f/:AL, AK, AZ, AR, CA. CO, CT, DE,
DC. FL, GA, GU, H|. |D. |L. IN, |A. KS, KY, LA, ME, M0, MA, MI, MN, M8, MO, MT Ne, NV, NH, NJ, NM, NY,
NC, ND, OH, OK, OR, PA, PR, RI, SC, SD, TN, TX, UT, VT, VA, VI, WA, WV, WI, WY. INCORPORATED IN:
Connecticut.
Travelers Casualty mmnme Company ufAmerica 19046>
BUSINESS ADDRESS: ONE TOWER SQUARE, HARTFQRD.CTmG103.PHONE: 277'0111.
UNDERWRITING LIMITATION b/:$53.2Og.On8.SURETY LICENSES ^j/:AL, AK, AZ, AR, CA, CO, CT, DE,
DC, FL, GA, HI, ID, IL, IN, IA, KS, KY, LA, ME, MD, MA, M|.MN, MS, MO, MT, NE, NV, NH, NJ, NM, NY, NC,
ND, OH. OK, OR, PA. RU,8C. sm. TN. TX, UT, VT, VA, WA, WV, N0. WY. INCORPORATED IN: Connecticut.
Travelers Indernnity Company
BUSINESS ADDRESS: ONE TOWER SQUARE, HARTFVRD.Cr00188.PHONE: (808277-0111.
UNDERWRITING LIMITATION b/:$082.nz2.000.SURETY LICENSES n.f/:AL, At<,AZ, AR, CO, CT, DE, DC,
FL, GA, GU, HI, ID, IL, IN. IA, KS, KY, LA, ME, MD, MA, MI, MN, MS, MO, MT, NE, NV, NH, NJ, NM, NY, NC,
ND. OH, OK, OR, PA, PR, RI, SC, 8D.TN, TX, UT, VT, VA, WA, WV, WI, WY, INCORPORATED IN:
Connecticut.
TRAVELERS INDEMNITY COMPANY OFAME0CA(T01G)(NA|C #25686)
BUSINESS ADDRESS: ONE TOWER SQUARE, HAHTFVHD.CTUO183.PH0NE18GU)277-0111,
UNDERWRITING LIMITATION b/:$17.8QO.QO0.SURETY LICENSES 01: AL, AK, AZ, AR, CO, CT, DC, FL,
GA, HI, ID, IL, IN, IA, KS, KY, LA, MD, MA, MI, MN,MS, MO, MT, NE, NV, NH, NJ, NM, NY, NC, ND, OH, OK,
Be. P\ R|. SD, TN, TX, UT VT, VA, WA, WV, VVU. WY, INCORPORATED IN: Connecticut.
Travelers Indemnity
UNDERWRITING LIMI_—TAT— — $33—,251,000. SURETY LICENSES_-- AL, AK,AZ, AR, CA, CO, CT, DE,
DC, FL, GA, HI, ID, IL, IN, IA, KS, KY, LA, ME, MD, MA, MI, MN, MS, MO, MT, NE, NV, NH, NJ, NM, NY, NC,
ND, OH, OK, OR, PA, PR, RI, SC, SD, TN, TX, UT, VT, VA, VI, WA, WV, WI, WY. INCORPORATED IN:
Connecticut.
Travelers Property Casualty CompanyoyAmerica (WA|C#25674}
BUSINESS ADDRESS: ONE TOWER SQUARE, MARTFORD.CTVn1o».PHONE: 277'8111.
UNoERvYRUT|NGLIMITATION b/: $43.502'000. SURETY LICENSES p.k:AL, At<^AZ, AR, CA, CO, CT, DE,
DC, FL, GA, H|.ID, IL, IN, IA, KS, KY, LA, ME, MD, MA, MI, MN, �S.MO, MP, MT, NE, NV, NH, NJ',NM, NY,
t 'BackZb..Top
U
U.S.Specialty Insurance C<mAIC
BUSINESS ADDRESS: 1uwu3Northwest Freeway, Houston, Tx77U40,PHONE: (r1a)462'1o0o.
VNQERVYR|HNGLIMITATION bl:$58.7&0.008.SURETY LICENSES u.f/: AL, AK, AS, AZ, AR, CA, CO, cT�
DE, DC, FL, GA, HI, ID, IL, IN, |A'KS, KY, LA, ME, MD, MA, MI, MN, MS, MO, MT, NE, NV, NH, NJ, NM, NY,
NC, ND, OH, OK, OR, PA, RI, SC, SD, TN, TX, UT, VT, VA, WA, WV, WI, WY. INCORPORATED IN: Texas.
UNITED CASUALTY AND SURETY INSURANCE COMPANY (NAIC #36226)
BUSINESS ADDRESS: 292 Newbury Street, Suite 105. Boston, MA 02115 PHONE: (617) 471-1112.
UNDERWRITING LIMITATION bj: $800,000. SURETY LICENSES c,f/: AK, AZ, AR, CO, CT, DE, DC, FL, GA,
HI, ID, IL, IN, 1A, KS, KY, LA, ME, MD, MA, MI, MS, MO, MT, NE, NV, NH, NJ, NM, NY, NC, ND, OH, OK, PA,
RI, SC, SD, TN, TX, UT, VT, VA, WA, WV, WI, VVY, INCORPORATED IN: Massachusetts,
United Fire & Casualty Company (NAIC #13021)
BUSINESS ADDRESS: P. O. BOX 73909, CEDAR RAPIDS, IA 52407 - 3909. PHONE: (319) 399-5700.
UNDERWRITING LIMITATION b/: $64,150,000. SURETY LICENSES c,fl: AL, AK, AZ, AR, CA, CO, DC, FL,
GA, HL ID, IL, IIN, I& KS, KY, LA, ME, MD, MA, Mi, MN, MS, MO, MT, NE, NV, NJ, NIM, NY, NC, ND, OH, OK,
OR, PA, SC, SD, TN, TX, UT, VT, VA, WA, WV, WI, WY. INCORPORATED IM Iowa.
UNITED FIRE & INDEMNITY COMPANY (NAIC #1949ti)
BUSINESS ADDRESS: P.O. BOX 73909, CEDAR RAPIDS, IA 52407 - 3909. PHONE: (319) 399-5700,
UNDERWRITING LIMITATION bl: $1,835,000. SURETY LICENSES o,f/: AL, CO, IN, KY, LA, I MO, NM, TX.
INCORPORATED IN: Texas,
United States Fidelity and Guaranty Company (NAIIC #25887)
BUSINESS ADDRESS: ONE TOWER SQUARE, HARTFORD, CT 06183, PHONE: (860) 277-0111.
UNDERWRITING LIMITATION bl: $98,582,000. SURETY LICENSES o,f/: AL, AK, AZ, AR, CA, CO, CT, DE,
DC, FL, GA, HI, ID, IL, IN, 1A, KS, KY, LA, ME, MID, MA, MI, MN, MS, MO, MT, NE, NV, NH, NJ, NM, NY, NC,
ND, OH, OK, OR, PA, PR, RI, SC, SD, TN, TX, UT, VT, VA, VI, WA, WV, WI, WY. INCORPORATED ft
Connecticut.
United States Fire Insurance Company (NAIC #21113)
BUSINESS ADDRESS: 305 Madison Avenue, Morristown, NJ 07962. PHONE: (973) 490-6600.
UNDERWRITING LIMITATION bl: $130,226,000. SURETY LICENSES c,f/: AL, AK, AZ, AR, CA, CO, CT, DE,
DC, FL, GA, HI, ID, 1L, IN, 1A, KS, KY LA, ME, M, MA, Mi, MN, MS, MO, IMT, NE, NV, NH, NJ, NM, NY, NC,
ND, OH, OK, OR, PA, FIR, RI, SC, S6ID
, TN, TX, UT, VT, VA, VI, WA, WV, WI, WY, INCORPORATED IN:
Delaware.
United States Surety Company (NAIC #10656)
BUSINESS ADDRESS: One Texas Station Court, Suite 230, Timonium, MD 21093, PHONE: (410) 453-9522.
UNDERWRITING LIMITATION b/: $5,126,000. SURETY LICENSES c,f/: CT, DE, DC, FL, GA, ME, MD, MA,
I NJ,, NY, NC, OH, PA, RI, SC, TIN, VT, VA, WV. INCORPORATED IN: Maryland.
UNITED SURETY AND INDEMNITY COMPANY (NAIC #44423)
BUSINESS ADDRESS: P.O. BOX 2111, SAN JUAN, PR 00922 - 2111. PHONE: (787) 625-1105.
UNDERWRITING LIMITATION bl: $6,425,000. SURETY LICENSES c,f/: PR. INCORPORATED IN: Puerto
Rico,
Universal Surety Company (NAIC #25933)
BUSINESS ADDRESS: P.O. Box 80468, Lincoln, NE 68501, PHONE: (402) 435-4302. UNDERWRITING
LIMITATION bl: $19,154,000. SURETY LICENSES c,f/: AZ, AR, CO, ID, IL, IN, 1A, KS, KY, MI, I MO,
NE, INIM, ND, OH, OK, SC, SD, TX, UT, WA, W11, WY. INCORPORATED IN: Nebraska.
UNIVERSAL UNDERWRITERS INSURANCE COMPANY (NAIC #41181)
BUSINESS ADDRESS: 1299 ZURICH WAY, 5TH FLOOR, SCHAUMBURG, IL 60196 - 1056. PHONE: (847)
605-6000. UNDERWRITING LIMITATION b/: $32,037,000, SURETY LICENSES c1f/; AL, AK, AZ, AR, CA, CO,
CT, DE, DC, FL, GA, HI, ID, IL, IN, A, KS, KY, LA, ME, MID, I MI, MN, MS, MO, MT, NE, NV, NH, NJ, NM,
NY, NC, ND, OH, OK, OR, PA, I SC, SD, TN, TX, UT, VT, VA, WA, WV, WL WY INCORPORATED IN: Illinois,
Utica Mutual Insurance Company (NAIC #25976)
BUSINESS ADDRESS: POST OFFICE BOX 530, UTICA, NY 13503 - 0530. PHONE: (315) 734-2000.
UNDERWRITING LIMITATION b/: $87,867,000. SURETY LICENSES c,f/: AL, AK, AZ, AR, CA, CO, CT, DE,
DC, FL, GA, HI, ID, IL, IN, ]A, KS, KY, LA, ME, MD, MA, MI, MN, MS, I MT, NIE, NV, NH, NJ, NI NY, NC,
ND, OH, OK, OR, PA, FIR, R11, SC, SD, TN, TX, LIT, VT, VA, WA, WV, WI, WY. INCORPORATED IN: New York.
Badk...To lbp
V
VerTerra Insurance Company (NAIC #10024)
BUSINESS ADDRESS: P.O. BOX 509039, SAN DIEGO, CA 92150. PHONE: (858) 350-2400.
UNDERWRITING LIMITATION b/: $5,609,000, SURETY LICENSES c,f/: TX. INCORPORATED IN: Texas.
Vigilant Insurance Company (NAIC #20397)
BUSINESS ADDRESS: 202E Hail's Mill Road, Whitehouse Station, NJ 08889. PHONE: (215) 640-1000.
UNDERWRITING LIMITATION b/: $33,198,000, SURETY LICENSES c,f/: AL, AK, AZ, AR, CA, CO, CT, DE,
DC, FL, GA, Hi, ID, IL, IN, IA, KS, KY, LA, ME, MD, MA, Mi, MN, MS, MO, MT, I NV, NH, NJ, NM, NY, NC,
ND, OH, OK, OR, PA, RI, SC, SD, TIN, TX, UT, VT, VA, VI, WA, WV, WI, WY. INCORPORATED IN: Now York,
t— Back
my
Washington International Insurance |
BUSINESS ADDRESS: 5200METCALF, OVERLAND PARK, KS mn20o'1nV1�PHONE: (o13)O7O-52OQ.
UNDERWRITING LIMITATION W:$o.244.umo. SURETY LICENSES c,fV:AL, AK, AZ, AR, CA, CO, ClDE, DC,
FL, GA, GU, H|' |0. |L. IN, IA, KS, KY, LA, ME, MID, MA.Mi MN, MS, MO, MT. NE. N\( mH,NJ. NM, NY, NC,
ND, OH, OK, OR, PA, PR, RI, SC, SD, TN, TX, UT, VT, VA, VI, WA, WV, WI, WY. INCORPORATED IN: New
West American Insurance
BUSINESS ADDRESS: 17sBerkeley Street, Boston, MAo211 PHONE: A} 357f500.UNDERVVRnr|N8
LIMITATION b/: $5.122.80G.SURETY LICENSES c,f/:AL, AK, AZ, AR, CO, CT, DE, DC, FL, GA, ID, IL, IN, IA,
KS, KY, LA, MID, MA, MI, MN, MS, MO, MT, NE, NV, NH, NJ, NM, NY, NC, ND, OH, OK, OR, PA, R|^SC, SID,
TN, TX, UT, VA, WA, WV, WI, WY. INCORPORATED IN: Indiana.
WEST BEND MUTUAL INSURANCE COMPANY 50)
BUSINESS ADDRESS: 1SO0South 1mhAvenue, West Bend, VVU53neS.PHONE: (262)334-s571.
UNDERWRITING LIMITATION b/: $1O4'114.nnn.SURETY LICENSES c.V� |L' IN, |A. K8. KY, Mi, MN, Mn. NE,
oM. PA, TN, WI, INCORPORATED IN: Wisconsin.
Westchester Fire Insurance Company (NA|C#1083O
BUSINESS ADDRESS: 438Walnut Street, PQ.Bux1O0O.Philadelphia, PA191nm.pHVNE�(215)640'1o0u.
UNDERWRITING LIMITATION h/: $22.345.800. SURETY LICENSES c'0:AL, AK, AZ, AR, CA, CO, CT, DE,
DC, FL, GA, GU, HI, ID, IL, IN, IA, KS, KY, LA, ME, MD, MA, MI, MN, MS, MO, MP, MT, NE, NV, NH, NJ, NM'
NY, NC, No.OH, OK, OR, PA, PR, RI, SC, SD, TN, TX, UT, VT, VA, VI, WA, WV, WI, WY, INCORPORATED IN:
Pennsylvania.
Western National Mutual Insurance Company (NA|C#15377)
BUSINESS ADDRESS: PO, BOX 14O3.M|NNEAPoL|B.MN5544O.PHONE: (S52) 9o5-5aSo.
UNDERWRITING LIMITATION b/:$4O.SS8.008. SURETY LICENSES 01:AK, AZ, AR, CA, CO, DE, ID, IL, IN,
N. KG, KY, MD, M|, MN' MD, MT, NE, NV, NJ, NM, ND, OH, 8K, OR, PA, R|, SD, TX, UT, WA, WI, WY.
INCORPORATED IN: Minnesota.
Western Surety Company
BUSINESS ADDRESS: 1n1N.FRANKL|N8T.CH|CAGO.|LOU0U8.PHONE: pt2ya22-5000,
UNDERWRITING LIMITATION bl:$151.��. SURETY LICENSES 01: AL, AK, AZ, AR, CA, CO, CT, DE,
0C FL, GA, H0. |D, |L, IN, IA, KS, KY, LA, ME, MD, MA, M|, MN, MS, MO, MT, NE, NV, NH, NJ, NM, NY, WC,
ND, OH, OK, OR, PA, FIR, RI, SC, G[\TN, TX, LIT, VT, VA, WA, WV, WI, WY. INCORPORATED IN: South
Dakota,
Westfield Insurance Company #24112)
BUSINESS ADDRESS: PO.Box 50n1 . Westfield Center, DN442s1'5001. PHONE: (330)887'u101.
UNDERWRITING LIMITATION b/: $127.843.000. SURETY LICENSES ".f/:AL, AK, AZ, AR, CO. CT, DE, DC,
FL, GA, HI, ID, IL, IN, IA, KS, KY, LA, ME, MD, MA, MI, MN, MS, MO, MT, ND, NE, NV, NH, NJ, NM, NY, NC,
Westfield National Insurance Company
BUSINESS ADDRESS: R0.Box 5ou1 . Westfield Center, OH44251'5QU1.PHONE: (330)887-0101.
UNDERWRITING L|m|l7T|omb/: $31,722.000. SURETY L|CEWSESo.f/: AL, AZ, AR, CA. Co. os. FL. GA, |L.
IN, IA, KY, MD, MI, MN, NM, NC, ND, OH, OK, PA, SC, GD,TN, TX, VA, WV, WI. INCORPORATED IN: Ohio.
Westport Insurance Corporation
BUSINESS ADDRESS: 52A0METCALF AVENUE, OVERLAND PARK, KSoV2O2 1891.PHDNE�(913)676'
5200.UNDERVVR|T|NG0M|TAT|ONb/:$121.403.000.8QRETYL|CEN8E8u.t(AL.A&.AZ.AR.CA.CO,CT
DE, DC, FL, GA, GU, H|. 0. |L. IN, |A. KS, KY, LA, ME, MD, MA, M|, MN, M8, MO, MP, MT NE, N\( NH.WJ^
NM, NY, NC, ND, OH, OK, OR, PA, FIR, R|.SC, SD, TN, TX, UT, VT, VA, VI, m,WV, W1.VVY
INCORPORATED IN: Missouri.
1"-��Fo l'op
X
%LReinsurance America #2058
BUSINESS ADDRESS: 70GE/V|EVVAVENUE, 8TAMFORD.CToxeou.PHONE: (203)o04'sz00.
UNDERWRITING LIMITATION b/: $17o.3n3.0oo.SURETY LICENSES ^.V�AL, AK, AZ, AR, CA.CO, CT, DE.
DC, FL, GA, U|'ID, IL, IN, IA, KS, KY, LA, MD, MA, MI, MN, MS, MO, MT, NE, NV, NH, NJ, NM, NY, NC, ND,
XL Specialty Insurance Company (NAIC #37885)
BUSINESS ADDRESS: 70SEAVIEW AVENUE, STAWORQ.CT00802.PHONE:
UNDERWRITING LIMITATION bl:$31.no2.Oa0.SURETY LICENSES o.f/:AL, AK, AZ, AR, CA, CO, CT, DE,
DC, FL, GA, GU, HI, ID, IL, IN, IA, KS, KY, LA, ME, MID, MA, MI, MN, MS, MO, MP, MT, NE, NV, NH, NJ, NM'
NY, NC, ND, OH, OK, OR, PA, FIR, RI, SC, SID.TN,'TX, UT, VT, VA, VI, WA, WV, WI, WY. INCORPORATED IN:
i -Bac&Z&]R)@
fil
t-.. Q.ack T.o.fbp
Z
Zurich American Insurance Company (NAIC #16535)
BUSINESS ADDRESS: 1299 ZURICH WAY, 5TH FLOOR, SCHAUMBURG, IL 60196 - 1056, PHONE: (847)
606-6000. UNDERWRITING LIMITATION b/: $694,296,000. SURETY LICENSES c,f/: AL, AK, AZ, AR, CA, CO,
CT, DE, DC, FL, GA, GU, HI, ID, IL, IN!, IA, KS, KY, LA, ME, MID, MA, MI, MN, MS, MO, MP, IMT, NE, NV, NH,
NJ, NM, NY, NC, ND, OH, OK, OR, PA, PR, RI, SC, SD, TN, TX, LIT, VT, VIA, VI, WA, WV, WI, WY
INCORPORATED IN: New York,
Fiscal Service
q')
1-11110, 1 �1'117171'7/17
Part of State Form52414 (R2 ! 2-13) Form 96 (Revised 2013)
BID OF
Walsh & Kelly, Inc.
(Contractor)
(Address)
South Bend, IN 46614
FOR
PUBLIC WORKS PROJECTS
OF
City of South Bend, Indiana
Lincoln Way East (SR 933) Corridor Improvements —
Sample Street to Twyckenham Drive
Project No. 117-055A
Filed September 6t", 2018
Action taken
State Form 52414 (R / 9-10)
Prescribed by State Board of Accounts Form No. 96 Revised 2013
CONTRACTOR'S BID FOR PUBLIC WORK — FORM 96
PART I
(To be completed for all bids. Please type or print)
1. Governmental Unit (Owner):
2. County:
3. Bidder (Firm):
Address:
City/State:
4. Telephone Number:
5. Agent of Bidder (If applicable):
Date (month, day, year): ._ September 6ti', 2018
City of South Bend, Indiana
St.. Joseph
Walsh & KellL Inc.
24358 SR 23
South Bend, IN 46614
(574) 288-4811
Pursuant to notices given, the undersigned offers to furnish labor and/or material necessary to complete the
public works project of City of South Bend, Indiana (Governmental Unit) in accordance with plans and
specifications prepared by Lochi- nueller Group and dated August 22, 2018 for the sum of See Attached
$ See Attached
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 Governmental Unit. If the bid is to be awarded on a unit basis, the
itemization of the units shall be shown on a separate attachment.
The Contractor and his subcontractors, if any, shall not discriminate against or intimidate any employee, or
applicant for employment, to be employed in the performance of this contract, with respect to any matter directly or
indirectly related to employment because of race, religion, color, sex, national origin or ancestry. Breach of this covenant
may be regarded as a material breach of the contract.
CERTIFICATION OF USE OF UNITED STATES STEEL PRODUCTS
(If applicable)
1, the undersigned bidder or agent as a contractor on a public works project, understand my statutory obligation
to use steel products made in the United States. I.C. 5-16-8-2. 1 hereby certify I and all subcontractors employed by me
for this project will use U.S, steel products on this project if awarded. I understand that violations hereunder may result in
forfeiture of contractual payments.
Pa
ACCEPTANCE
The above bid is accepted this
Contracting Authority Members:
day of
subject to the following conditions:
PART II
(For projects of $150,000 or more — IC 36-1-12-4)
Governmental Unit: City of South Bend, Indiana
Bidder (Finn): Walsh & Kelly, Inc.
Date(month, day, year): September 6, 2018
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
What public works projects has your organization completed for the period of one (1) year prior to the date of
the current bid?
Contract Amount
Class of Work
When Completed
Name and Address of Owner
$12,926,200
Reconstruction
October 2017
INDOT
$ 5,970,162
Reconstruction
May 2017
Town of Merrillville
$ 5,521,779
Resurface
December 2017
City of Mishawaka
$ 2,646,574
Reconstruction
September 2017
St. Joseph Cty Hwy Dept
2. What public works projects are now in process of construction by your organization?
Contract Amount
Class of work
When to be Completed
Name and Address of Owner
$10,695,118
Reconstruction
November 2018
Walsh Construction
$ 8,146,239
Resurface
May 2018
INDOT
$ 4,073,719
Reconstruction
July 2018
City of East Chicago, IN
$ 2,662,813
Reconstruction
October 2018
INDOT
3. Have you ever failed to complete any work awarded to you? N.....o If so, where and why?
4. List references from private firms for which you have performed work.
Gatlin. Plumbing & Heating, Inc. 1111 E. Main St., Griffith, IN Ms. Clara Murphy
Gou h Inc. 2200 E. 8St" Dr. Merrillville IN 46410 Mr. Ra mond Gou h
Dyer Construction Co., 1716 Sheffield Avenue, Dyer, IN Janet Furman
Grimmer Construction Co. hie. 2619 Main Street Highland, IN Mr. Greg Grimmer
SECTION II 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 consider your bid.)
As required by owner
2. Please list 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.
See Attached List
3. 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 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 governmental unit in the event that you
subsequently determine that you will use a subcontractor on the proposed project.
Will supply upon award of contract
4. 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.
QUANTITY
ITEM
DESCRIPTION,
SIZE, CAPACITY,
ETC.
CONDITION
YEARS
OF
SERVICE
PRESENT LOCATION
5
Asphalt Plants
Various
Good
Griffith, South Bend,
Valparaiso, Lowell, LaPorte
19
AsphaIt Pavers
Various
Good
Griffith, South Bend
4
Sli farm Cone. Paver
Various
Good
Griffith, South Bend
3
Road Widener
Various
Good
Griffith, South Bend
5
Motor Graders
CAT/J.D.
Good
Griffith, South Bend
54
Rollers
Various
Good
Griffith, South Bend
30
Rubber Tire Loaders
Various
Good
Griffith, South Bend
15
Excavators
Various
Good
Griffith, South Bend
9
Bulldozers
Various
Good
Griffith, South Bend
6
LowBoy Tractors
Various
Good
Griffith, South Bend
8
Flatbed Dumps
Various
Good
Griffith, South Bend
48
'/2 and 3/ ton Pickups
Various
Good
Griffith, South Bend
65
1 Ton Crew Trucks
Various
Good
Griffith, South Bend
3
Cold Planers
Wirtgen 1900
DC
Good
Griffith, South Bend
3
Tri-Axle Dump
Mack
Good
South Bend
5. 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, we received quotes from potential subcontractors and suppliers
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 governing body awarding
the contract must be specific enough in detail so that said governing body can make a proper determination of the bidder's
capability for completing the project if awarded.
SECTION IV CONTRACTOR'S NON -COLLUSION AFFIDAVIT
The undersigned bidder or agent, being duly sworn on oath, says that he 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.
He 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
SECTION V OATH AND AFFIRMATION
I HEREBY AFFIRM UNDER THE PENALTIES FOR PERJURY THAT THE FACTS AND INFORMATION
CONTAINED IN THE FOREGOING BID FOR PRBLIC WORKS ARE TRUE AND CORRECT.
Dated at South Bend this 6th day of
`®�p64446F9�F�d� VV albil
®`® KF_ °a
qRP 0 Rr1 TF
. p.
A : Dustin
a
6P®mCKNOWLEDGEMENT
STATE OF Indiana
ss
COUNTY OF St. Joseph
(Name J Organization)
(Title of Person Signing)
Before me, a Notary Public, personally appeared the above -named Dustin Hilary and
swore that the statements contained in the foregoing document are true and correct.
Subscribed and sworn to before me this 6tt' day of September, 2018
Alisha eger, Notary Public
My Commission Expires: June 5 2022 A L t S 1 I A K 4i U E G E R . 1,,,
1�N UBr;= Notary Public. State of Indiana
County of Residence: St. Joseph x.SEAL, " =
*
St, Joseph Counav
Expires
*
My Commission
June 06. 2022
;ti'ulr~4'�
:11 «5"
Form 96 Section 11, #2
Subcontractors Used on Public Works Contracts During the Past 5 Years
SUBCONTRACTORS
COMPANY
ADDRESS
CITY/STATE/ZIP
PHONE
FAX
SEWER
B & D Sewer
531 Winston Ct
Scherervillle, IN 46375
(219) 322-2300
(219) 865-0065
Deboer Egolf
5772 Melton Road
Portage, IN 46368
(219) 763-9700
(219) 763-9703
Delta III
2063 W 1250 S
Hanna, IN 46340
(219) 797-4004
(219) 797-3008
Dyer Construction
1716 Sheffield Avenue
Dyer, IN 46311
(219) 865-2961
(219) 865-2963
Gatlin Plumbing & Heating
1111 E. Main Street
Griffith, IN 46319
(219) 924-6972
(219) 924-1401
Gough, Inc.
2200 E. 88th Drive
Merrillville, IN 46410
(219) 756-2200
(219) 756-2202
Grimmer Construction
2619 Main Street
Highland, IN 46322
(219) 924-1623
(219) 924-0328
Hasse Construction
10 Lincoln Avenue
Calumet City, IL 60409
(219 )932-1611
(219) 932-6829
HRP Construction
5777 Cleveland Rd,
South Bend, IN 46624
(574) 271-7800
(574) 271-0524
Rex Construction
700 Schiller Avenue
Schererville, IN 46375
(219) 322-8090
(219) 322-0031
Wirtz & Yates, Inc.
P.O. Box 41
Kentland, IN 47951
(219) 474-6542
Woodruff & Sons
P.O. Box 450
Michigan City, IN 46361
(19) 872-8605
(219) 8795339
MULLING
C.E. Hughes Milling, Inc.
3113 Holmans Lane
Jeffersonville, IN 47130
(812) 725-8665
(812) 725-8672
Javellina Construction, Inc.
13476 Britton Park Rd.
Fishers, IN 46038
(317) 841-8364
(317) 841-0075
Mid America Milling Co.
6200 W. Hwy 62, Ste 400
Jeffersonville, IN 47130
(812) 282-2751
(812) 283-9846
McCrite Milling
209 Quality Ave. Ste 9
New Albany, IN 47160
(812) 941-0252
(812) 941-0852
Specialties Company
9350 E. 30th St.
Indianapolis, IN 46229
(317) 594-0291
(317) 594-0271
ELECTRICAL INSTALLATION
Hawk Enterprises
1850 E. North St
Crown Point, IN 46307
(219) 662-80'90
(219) 662-8093
Midwestern Electric
1620 E. Chicago Ave
East Chicago, IN 46312
(219) 397-4444
(21,9) 397-8888
SfT Bancroft Electric
25020 State Road 2
South Bend, IN 46619
(574) 287-6490
Sweney Electric Company
9111 Louisiana St.
Merrillville, IN 46410
(219) 769-6007
(219) 769-0565
Trans Tech Electric
4601 Cleveland Road
South Bend, IN 46619
(574) 272-9673
(574) 271-0144
SIGN INSTALLATION
Hawk Enterprises
1850 E. North St
Crown Point, IN 46307
(219) 662-8090
(219) 662-8093
Midwestern Electric
1620 E. Chicago Ave
East Chicago, IN 46312
(219) 397-4444
(219) 397-8888
RoadSafe Traffic Systems
3122 Olympia Dr
Lafayette, IN 47909
(317) 780-1825
State Barricading, Inc.
24963 U.S. Highway 20
South Bend, IN 46628
(574) 287-2078
Traffic Control Specialists, Inc.
1810 W Pacific Avenue
Knox, IN 46534
(574) 772-7001
(574) 772-7002
PAVEMENT MARKINGS
The Airmarking Company
P.O. Box 52.6
Rochester, IN 46975
(574) 223-5817
(574) 223-7959
Blackout Sealcoating
7440 W. 87th Place
Bridgview, IL 60455
(219) 864-2300
(708) 430-6910
RoadSafe Traffic Systems
3122 Olympia Dr
Lafayette, IN 47909
(317) 780-1825
State Barricading, Inc.
24963 U.S. Highway 20
South Bend, IN 46628
(574) 287.2078
Traffic Control Specialists, Inc.
1810 W Pacific Avenue
Knox, IN 46534
(574) 772-7001
(574) 772-7002
Traffic Management Company
3542 Highway Avenue
Highland, IN 46322
(291) 746-2433
TRAFFIC CONTROL
RoadSafe Traffic Systems
3122 Olympia Dr
Lafayette, IN 47909
(317) 780-1825
Traffic Control Specialists, Inc.
1810 W Pacific Avenue
Knox, IN 46534
(574) 772-7001
(574) 772-7002
Traffic Management Company
3542 Highway Avenue
Highland, IN 46322
(219) 746-2433
LANDSCAPE
Great American Landscape
P.O, Box 235
Dyer, IN 46311
(219) 322-7033
(219) 322-4419
Hubinger Landscape
210 E. 113th Avenue
Crown Point, IN 46307
(219) 662-9911
(219) 662-6206
Slusser's Green Thumb, Inc.
125 Montgomery Street
Logansport, IN 46947
(574) 722-3102
(574) 722-1628
T & J! Landscape Service
8253 Wicker Avenue
St. John, IN 46373
(219) 374-9900
(219) 374-9950
GUARDRAIL/FENCIING
Acorn Fence
2041 164th Street
Hammond, IN 46320
(219) 844-8400
(219) 844-8441
C Tech Corporation
5300 W. 100 North
Boggstown, IN 46110
(317) 835-2745
(317) 835-2781
James H. Drew Company
8701 Zionsville Rd.
Indianapolis, IN 46268
(317) 876-3739
(317) 876-3829
Security Industries
1000 Gleorgiana St.
Hobart, IN 46342
(21'9) 942-9447
(219) 942-9448
Speciialties Company
9350 E. 30th St.
Indianapolis, IN 46229
(317) 594-0291
(317) 594-0271
TRUCKING/HAULING
C. Lee Construction Services
1011 S. Lake St
Gary, IN 46403
(219) 888-9554
(219) 888-9564
Condom Trucking, LLC
18245 Amberley Ln
South Bend, IN 46637
(574) 360-4326
(574) 271-8984
Fanio Services
28015 SR 23
North Liberty, IN 46554
(574) 233-3236
Gilmer Trucking
20390 New Road
,South Bend, IN 46614
(574) 229-3233
Material Transfer Inc.
7811 West 101 st Ave.
Crown Point, IN 46307
(2.19) 865-91575
Morris Motor Service, Inc.
10525 W US Hwy 30 Bid
Wanatah, IN 46390
(219) 733-9430
7
P & C Trucking
4410 Ross Road
Gary, IN 46408
(219) 972-0193
Superior Construction Co., Inc.
1455 Louis Sullivan Dr
Portage, IN 46368
(219) 787-0850
V & R Trucking, Inc.
1845 Elmer St.
South Bend, IN 46628
(574) 329-2102
SRPM'S
K & S Markers, Inc.
2189 N 600 W
Thorntown, IN 46071
(765) 482-6184
(765) 482-6284
UNDERSEAL
Rlieth-Ridley Construction Co.,
2454 West. CR 450 North
LaPorte, IN 46350
(219) 362-6178
Inc.
TREE REMOVAL
Dave's Tree Service
1555 Park West Circle
Munster, IN 46321
(219) 922-9829
(219) 922-9843
Homer Tree Service
14000 S. Archer Ave
Lockport, IL 60441
(815) 838-0320
Timber Masters ILLC
P.Q. Box 245
dyer, IN 463111
(219) 864-8733
(219) 322-9391
LIME STABIILVATIO
Mt. Carmel Sand.. & Gravel
1611 College Dr.
Mt. Carmel', IL 6863
(618) 262-5118
(6'18) 263-4084
Rock Solid Stabilization
5104 Mann Drive
Ringwood, IL 60072
(815) 653-2585
(815) 653-2583
Specialties Company
9350 E. 30th St.
Indianapolis„ IN 46229
(317) 594-0291
(317) 594-0271
PIPE LINING
Indiana Reline, Inc.
312 E. Main Street
Sulphur Springs, IN
(765) 766-5040
(765) 533-5831
47388
SAW CUTTING
Diamond Coring Co., Inc.
111800 S Ewing Ave
Chicago, IL 60617
(773) 978-5000
Quality Saw & Seal„ Inc.
7600 W, 79th Street
Bridgeview, IL 60455
(773) 767-9300
SEAL COATING/STRIPING
Site Services, Inc.
10117 Kennedy Ave
Highland, IN 46322
(219) 924-9944
Blackout Sealcoating
7440 W. 87th Place
Bridgview, IL 60455
(219) 864-2300
(708) 430-6910
UNDERDRAIN
3D Company, Inc.
3200 East CR 350 North
Muncie, IN 47303
(765) 288-3326
(765) 288-3344
General Form No. 96-a
Prescribed by the Male Board of
Accounts of Indiana. Revised 1949.
Standard Questionnaires and
Financial Statement for Bidders
Prescribed by
THE STATE BOARD OF ACCOUNTS OF INDIANA
For use in investigating and determining the qualifications of bidders on public
construction when the aggregate cost of any such work or improvement will be Five Thousand
Dollars or more.
These statements to be submitted under oath by each bidder with and as a part of his bid, as provided
by Chapter 306, page 1248, Acts of 1947
Submitted to City of South Bend, Indiana_
By Walsh & Kelly, Inc.
Address 24358 SR 23 South Bend IN 46614
Date submitted September 61h, 2018
Filed
A.E. BOYCE CO., MUNCIE, [ND.
fA Corporation
1
Sec. 2 of an Act entitled `AN ACT concerning the awarding of contracts for the performance of public work and
authorizing the board of accounts to prescribe certain forms to be used in ascertaining the responsibility of contractors who
submit bids for the performance of such work, providing for plans and specifications, providing for bids repealing certain laws
and declaring an emergency." (Approved March 13, 1947.)
Sec. 2. Whenever the aggregate costs of any work or improvement will be five thousand dollars ($5,000.00) or more, for
the purpose of enabling such board, commission, trustee, officer or agent to ascertain and determine which of the bidders
submitting bids for the performance of any such public work is, in the judgment of such board, commission, trustee, officer or
agent, the lowest and/or best bidder and to exercise intelligently the discretion hereby conferred on such board, commission,
trustee, officer or agent each bidder shall be required to submit under oath with and as a part of his bid a statement of his
experience, his proposed plan for performing such work and the equipment which he has available for the performance of such
work and a financial statement. The statements hereby required shall be submitted on forms which shall be prescribed by the state
board of accounts. The forms so prescribed shall be designated, respectively, as the experience questionnaire, the plan and
equipment questionnaire and the contractor's financial statement, and shall be based, so far as applicable, on the standard
questionnaires and financial statement for bidders as approved and recommended by the joint conference on construction
practices, for use in investigating the qualifications of bidders on public construction work, and the forms so prescribed are
hereby prescribed as the forms which shall hereafter be used by all such boards, commissions, trustees, officers and agents in
obtaining the information which is required in the administration of this act. If the information submitted by any bidder on the
forms herein prescribed is found, on examination, to be unsatisfactory, the bid submitted by such bidder shall not be considered.
(Burns Statutes 1933, Sec. 53-109) Sea 2, Chapter 306, Acts of 1947.
VA
TO THE BIDDER —
The following forms of questionnaires and financial statement are prescribed by the State Board of
Accounts in conformity with the statute set out on the preceding page.
These forms, properly filled out and attested, must accompany each bid of five thousand dollars or
more on any public work.
The forms are designed to cover all contracts for all kinds of work and the bidder is required to
answer such questions as are pertinent to the work upon which he is bidding. The purpose of the
questionnaire and financial statement, as set forth in the law, is to enable the awarding body to determine
the qualifications of the bidder to carry out successfully the contract if the same is awarded to him.
The bidder will find it to his advantage to answer fully all questions coming within the range of the
work upon which he is bidding. Particular attention should be given the "Financial Statement" and the
details relative to the assets and liabilities set out. This form is made in extensive detail so that the bidder
may explain his assets and liabilities in proper sequence and in a uniform manner.
T. M. HINDMAN,
State Examiner
Submitted by Walsh & Kelly, Inc. { x A Corporation
Principal Office at 1700 East Main Street Griffith IN 46319
To city of South Bend Indiana
EXPERIENCE QUESTIONNAIRE
The signatory of this questionnaire guarantees the truth and accuracy of all statements and of all answers
to interrogatories hereinafter made.
1. How many years has your organization been in business as a general contractor under your present
business name? 52 Years
2. How many years' experience in asphalt paving_ construction work has your organization had: (a)
As a general contractor 71 years (b) As a sub -contractor 71 Years
3. What projects has your organization completed?
Contract Amount
Class of Work
When Completed
Name and Address of Owner
$ 12,926,200
Reconstruction
October 2017
INDOT
$ 5,970,162
Reconstruction
May 2017
Town of Merrillville, IN
$ 5,521,799
Resurface
December 2017
City of Mishawaka, IN
$ 2,646,574
Reconstruction
September 2017
St, Joseph County Hwy
Department
3-A. What projects has your organization now in process of construction?
CONTRACT AMT. CLASS OF WORK
WHEN TO BE COMPLETED
NAME AND ADDRESS OF OWNER
$ 10,695,118
Reconstruction
November 2018
Walsh Construction
$ 8,146,239
Resurface
May 2018
INDOT
$ 4,073,719
Reconstruction
July 2018
City of East Chicago, IN
$ 2,662,813
Reconstruction
October 2018
INDOT
4. Have you ever failed to complete any work awarded to you? No If so, where and why?
5. Has any officer or partner of your organization ever been an officer or partner of some other
organization that failed to complete a construction contract? No If so, state name of individual,
other organization and reason therefore
6. Has any officer or partner of your organization ever failed to complete a construction contract
handled in his own name? No If so, state name of individual, name of owner and reason therefor
7. In what other lines of business are you financially interested? None
For what corporation or individuals have you performed work, and to whom do you refer?_
BP Amoco Wh&ng, Indiana
Tonn & Blank Construction 1623 Greenwood Ave. Michigan City, IN 46360
Grimmer Construction Co. Inc. 2619 Main Street Highland, IN 46322
University of Notre Dame South Bend Indiana
Gouj4h, Inc. 1151 E. Summit Crown Point IN 46307
9. For what cities have you performed work and to whom do you refer?
Town of Griffith
Director of Public Works
Griffith IN
_Town of Schererville
Town Manager
Schererville, IN
City of Hammond
City Engineer
Hammond, IN
City of South Bend
City Engineer
South Bend IN
Town of St. John
Town Manager
St. John IN
10. For what counties have you performed work and to whom do you refer?
Lake County Highway
Superintendent
Crown Point IN
Porker Count Highway
Superintendent
Valparaiso, IN
St. Joseph County Highway
Superintendent
South Bend,.IN
Elkhart County Highway
Superintendent
Elkhart, IN
LaPorte County HighwayHighwqy
Superintendent
LaPorte IN
11. For what State bureaus or departments have you performed work and to whom do you refer?
Indiana Department of Transportation INDOT LaPorte District LaPorte IN
Department of Natural Resources
Indianapolis, IN
12. Have you ever performed any work for the U.S. Government Yes
If so, when and to whom do you refer?
U.S. Army.Cgrps..of Engineers Chicago, IL
Indiana National Guard Dept. of Administration Indiana olis IN
Federal Highway Administration Sterling, VA
13. What is the construction exverience of the urincipal individual of vour organization?
INDIVIDUAL'S NAME
PRESENT POSITION OR
OFFICE
YEARS OF
CONSTUCTION
EXPEREINCE
MAGNITUDE AND
TYPE OF WORK
IN WHAT CAPACITY
Kevin J. Kelly
President
33
All Types
General Mana er
Jeffre L. Swan
Executive Vice President
34
AIi T es
Supt. Engineering
David J, Misirly
Vice President
33
Bituminous
Paving
Engineer
Greg A. Hoffman
Vice President
31
Bituminous
Paving
Engineer
John C. Wall
Vice President
41
All types
Engineer
John M. Peisker
Vice President
33
All types
General Manager
J. Michael
Schaum
Secretary/Treasurer
46
Administration
General Manager
Jamie L. Tancos
Controller
14
Administration
General Manager
Lynn J. Bauer
South Bend O s Mgr
23
All types
Engineer
Dustin P. Hiluy
South Bend Area Mgr
18
All types
Engineer
Mark E.
Krachenfels
Engineer
28
All types
Engineer
Keith A. Gardina
Engineer
23
All types
En ineer
Nikolas G. Relias
Engineer
16
Bituminous
Engineer
Paving
PLAN AND EQUIPMENT QUESTIONNAIRE
The signatory of this questionnaire guarantees the truth and accuracy of all statements and of all answers
to interrogatories hereinafter made.
1. In what manner have you inspected this proposed work? Explain in detail.
Plans, Specifications, and Site Inspections
2. Explain your plan or layout for performing the proposed work
As directed by owner/engineer
3. The work, if awarded to you, will have the personal supervision of whom?
Kevin J. Kelly, Jeffrey L, Swan David J. Misirly, GregoGregoly A. Hoffinan Dustin P. Hilga, and L nn J.
Bauer
4. *Do you intend to do the hauling on the proposed work with your own forces? Yes
If so, give amount and type of equipment to be used As needed
*If you intend to sublet the hauling or perform it through an agent, state amount of sub -contract or
agent's contract, and if known, the name and address of sub -contractor or agent, amount and type of
his equipment and financial responsibility
Items 4,5,6 and 7 may not be applicable in all building contracts; if not, omit.
6. *Do you intend to do the grading on the proposed work with your own forces?
If so, give type of equipment to be used
7. *If you intend to sublet the grading or perform it through an agent, state amount of sub -contract or
agent's contract, and, if known, the name and address of sub -contractor or agent, amount and type of
his equipment and financial responsibility
8. Do you intend to sublet any other portions of the work? If so, state
amount of sub -contract, and, if known, the name and address of the sub -contractor, amount, and type
of this equipment and financial responsibility
9. From which sub -contractors or agents do you expect to require a bond? None
10. What equipment do you own that is available for the proposed work?
QUANTITY
ITEM
DESCRIPTION,
SIZE, CAPACITY,
ETC.
CONDITION
YEARS
OF
SERVICE
PRESENT LOCATION
5
Asphalt Plants
Various
Good
Griffith, South Bend,
Valparaiso, Lowell, LaPorte
19
Asphalt Pavers
Various
Good
Griffith, South Bend
4
Sli form Cone. Paver
Various
Good
Griffith, South Bend
3
Road Widener
Various
Good
Griffith, South Bend
5
Motor Graders
CAT/J.D.
Good
Griffith, South Bend
54
Rollers
Various
Good
Griffith, South Bend
30
Rubber Tire Loaders
Various
Good
Griffith, South Bend
15
Excavators
Various
Good
Griffith, South Bend
9
Bulldozers
Various
Good
Griffith, South Bend
6
LowBoy Tractors
Various
Good
Griffith, South Bend
8
Flatbed Dumps
Various
Good
Griffith, South Bend
48
%z and Y4 ton Pickups
Various
Good
Griffith, South Bend
65
1 Ton Crew Trucks
Various
Good
Griffith, South Bend
3
Cold Planers
Wirtgen 1900
DC
Good
Griffith, South Bend
3
Tri-Axle Dump
Mack
Good
South Bend
11. What equipment do you intend to purchase for use on the proposed work, should the contract be
awarded to you?
QUANTITY
ITEM
DESCRIPTION, SIZE, CAPACITY, ETC.
APPROXIMATE
COST
None
12. How and when will you pay for the equipment to be purchased?
13. Do you propose to rent any equipment for this work?No If so, state type, quantity and reasons for
14. Have you made contracts or received firm offers for all materials within prices used in preparing your
proposal?
Do not give names of dealers or manufacturers
Dated at South Bend this 6It day of September, 2018
1P
Ac'h `i`y, a rf
�,
. <
A 0
STATE OF Indiana I NO
@aa��
T101
COUNTY OF St. Joseph
(Name of
stin Hilary, VP of S
of Person Signing)
Dustin Hilary being duly sworn deposes and says that he is VP of South Bend Area of
the above Walsh & Kelly Inc.
(Name of Organization)
and that the answers to the questions in the foregoing questionnaires and all statements therein contained
are true and correct.
Subscribed and sworn to before me this 6"' day of
Alisha Y-tveger, Notary Public
My Commission expires June 5 2022
ALISHA KRUcGER
�P!'�•Pta Notary Public, State of India
g a;
St. JOgePb County
z' SEAL MY Expires
+'• Commission
'No�a�`� ]une 05, 2022
��«!1 t111,5\