Loading...
HomeMy WebLinkAboutOpening of Bids - JC Lauber Site Improvements Proj No 118-083B - Walsh & Kelly IncProject Name Project No. For Bids Due •to] W11:11 size] -14 JC Lauber Site Improvements 118-083B September 20, 2018 PART I (Must be completed for all bids. Please type or print) Date: 9/20/18 Bidder (Firm): Walsh & Kelly, Inc. Address: 24358 SR 23 City/State/Zip: Souith. 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: JC Lauber Site Improvements - Project No. 11 8-083B the City of South Bend, Indiana, in accordance with plans and specifications prepared by: City of South Bend, Indiana_- Engineering Division and dated August 31, 2018 for the sum of (enter the Total Bid as shown on the Proposal) Eight hundred one thousand five hundred thirty dollars and zero cents ($ 801,530.00 (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 addendurns attached will be specifically referenced at the applicable page. If additional units of material included in the contract are need shown in the oriqlpAll Wd tr�q t epted by the City of S�qd �f acc basis, the iterpqtl0A`6fth0 Is shall be shown on a rpara By Dustin ACCEPTANCE The above 0) s a pq � h'f S' day of Subject to the folio conditions: BOARD OF PUBLIC WORKS Gary A. Gilot, President Elizabeth A. Maradik, Member fe cost of yots must be the same as that nd. If thoXid is to be awarded on a unit of Person Signing) Suzanna M. Fritzberg, Member Therese J. Dorau, Member James A. Mueller, Member Attest: Linda M. Martin, Clerk Version 10/17/2017 Contractor's Bid for Public Works - 2 91J BIDIPROPOSAL CITY OFSOUTH BEND fm PEACE Project Name JC Lauber Site Improvements Project No. 118-08313 For Bids Due September 20, 2018 Item No,. Description Quantity Unit Unit Price Total Amount I MOB ILIZATION/DEMOBiLEATION' 1 LS $ 27,176.00 $ 27,1716,00 2 CONSTRUCTION ENGINEERING I LS $ 19,700.00 $ 19,700.00 MAINTENANCE OF TRAFFIC: SIGNAGE, 3 BARRICADES, DETOUR, ETC. 1 LS $ 8,980.00 $ 8,9,810.00 1 INCLUDING PERMIT FEES 4 NILES AVE. PAVEMENT REMOVAL 169 SY $ 34,20 $ 5,779.80 4A NILES AVE. PAVEMENT REPLACEMENT 169 SY $ 122.00 $ 20,618.00 5 COMMERCIAL DRIVEWAY REMOVAL 37 SY $ 37.60 $ 1,391.20 5A COMMERCIAL DRIVEWAY 37 SY $ 214.00 $ 7,918,00 REPLACEMENT 6 STD. SIDEWALK REMOVAL 20 SY $ 29.30 $ 586.00 6A STD. SIDEWALK REPLACEMENT 20 SY $ 132.00 $ 2,640.00 7 PERVIOUS CONCRETE SIDEWALK 1010 SY $ 132.00 $ 13,200.00 REPLACEMENT (IF REQ'D) 8 ON -SITE PAVEMENT REMOVAL 160 SY $ I7.60 $ 2,816.00 8A ON -SITE PAVEMENT REPLACEMENT 160 SY $ 160.00 $ 25,600.00 CUT EXISTING SANITARY LATERAL & 9 HOOK UP, NEW LATERAL INCLUDING 1 LS $ 4,140,00 $ 4,140.010 TAP FEES. 10 4" SANITARY LATERAL 20 LF $ 197.00 $ 3,940.00 11 6" SANITARY LATERAL 90 LF $ 125.00 $ 11,250.00 12 1,000 GAL. GREASE TRAP 1 LS $ 7,800.00 $ 7,800.00 13 SEWER CLEAN -OUT 3 EA $ 1,200.00 $ 3,60,0.00 14 3" WATER TAP IN EXISTING IEA $ 8,860.00 $ 8,860,00 MAIN, INCLUDING TAP FEES 15 IMAIN, 6" WATER TAP IN EXISTING 1 9,100.00 $ 9,100.00 INCLUDING TAP FEES 16 3" D.I.P. 110 LF $ 133.00 $ 14,630.00 17 3" WATER SHUT-OFF VALVE 1 EA $ 1,600.00 $ 1,600.00 18 6" D.I.P. 65 LF $ 150.00 $ 9,750.00 19 6" WATER SHUT-OFF VALVE 1 EA $ 1,940.00 $ 1,940.00 20 6" TAP INTO EXISTING STORM SEWER FOR NEW LATERAL, INCLUDING TAP FEES 1 LS $ 4,135.00 $ 4,135.00 21 6" STORM SEWER 68 LF $ 125.00 $ 8,500.00 22 ON -SITE WORK 1 LS $ 353,600.00 $ 353,600.00 23 EXCAVATION OF UNSUITABLE SOILS 25 CYS $ 26.00 $ 650.00 BASE BID TOTAL $ 579,900.00 ALTERNATE #1 Item No. I Description I Quantity Unit Unit Price Total Amount 1 ORNAMENTAL FENCE AND GATES I 1 LS $16,630.00 $ 16,630.00 ALTERNATE 'I TOTAL $ 16,630.00 ALTERNATE #2 Item No. Description I Quantity Unit I Unit Price Total Amount 1 CONCRETE PARKING LOT I 1 I LS 1 $119,000.00 $ 119,000.00 ALTERNATE 2 TOTAL $ 119,000.00 ALTERNATE #3 Item No. IDescription I Quantity Unit I Unit Price Total Amount 1 ASPHALT PARKING LOT 1 I LS 1 $86,000.00 $ 86,000.00 ALTERNATE 3 TOTAL $ 86,000.00 Bidder (Firm): Walsh & Kelly, Inc. Address: 24358 SR 23 City/State/Zip: South Bend, IN 4 Telephone Number: (574) 288-4811 By: xy (Signature ` ('i y opo �(j1tP0RA"C //�ustln Hilarv, VP of South Bend Area (Printed Name of Person Signing) a 9aA �5�•. ®�� When the prospective Contractor is unable to certify to any of the statements below, it shall attach an explanation to this Affidavit. CONTRACTOR'S NON -COLLUSION AND NON -DEBARMENT AFFIDAVIT, CERTIFICATION REGARDING INVESTMENT WITH IRAN, EMPLOYMENT ELIGIBILITY VIERIFICATION, NON- DISCRIMINATION COMMITMENT AND CERTIFICATION OF USE OF UNITED STATES STEEL PRODUCTS OR FOUNDRY PRODUCTS (Must be completed for all quotes and bids. Please type or print) STATE OF Indiana } ) SS: St. Joseph COUNTY } The undersigned Contractor, being duly sworn upon his/her/its oath, affirms under the penalties of perjury that: 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 10/17/2017 Contractor's Bid for Public Works - 4 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 20th day of Sept. , 2018 Walsh & of Contractor/Bidder or Its Agent Printed Name and Title Subscribed and sworn to before me this 20th day of September , 20 18 My Commission Expires 6/5/22 Vc(_U_O� Notary Pu� Alisha #ueger County of Residence St. Joseph ALISHA KRUEGER Notary Public, State of Indiana S AL "= St. Joseph County �- ivly Commission Expires si;�n5ti , .tune 05, 2022 F Version 10/17/2017 Contractor's Bid for Public Works - 6 1316 (,'(A INTY-( uy BULDINO 227 W, JITH.RsON BoULEVARD Soirrit BEND, INDIANA 46001-1830 PHONE 574/ 235-9251 FAX 574/ 235-9171 TDD 574/ 235-5567 CITY OF SOUTii BEND Pf-!,'T'E BU'rf'fCjIE(.,,, MAYOR BOARD OFPUBIAC WORKS Date: September 18, 2018 To: All Planholders From Linda M. Martin, Clerk, Board of Public Works Subject Addendum Number: 1 Project Name: J.C. Lauber Site Improvements Project No.: 118-083B ACKNOWLEDGEMENT OF RECEIPT OF ADDENDUM Date Deceived: 9/18/18 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 within 48 hours of receipt. A copy MUST also be included with your bid package upon submittal. Notes: The attached documents are hereby added to the Specifications and Contract Documents and become a part of herein. Company: Walsh & Kelly, Inc Authorized Signature: Hilary, VPofSouth Bend Area " m�° �a Date: 9/18/18 �"3 Surety O + 908.903.3485 202B Halls Milt Road, PO Box 1650 F + 908,903.3696 Whitehouse Station, DU 08899-1650 Federal insurance Company AZA Document A310"m - 2010 Bid Bond Any singular reference to Contractor, Surety, Owner or other party shall be considered plural where applicable. CONTRACTOR game legal statusandaddress). Walsh t Kelly, Inc. 24358 State Road 23 South Bend, 1N 46614 OWNER (Name, legalstatus and address): City of South Bend, Indiana 227 W. Jefferson Blvd. South Bend, IN 46601 BOND AMOUNT SURETY (Name, legal status and principal place of business). Federal Insurance Company 202B Halls Mill Rd., PO Box 1650 Whitehouse Station, rq 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) JC Lauber Site Improvements Project No. 118-083B 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 band or bonds as may be specified in the bidding or Contract Documents, with a surety admitted in the jurisdiction of the Project and otherwise acceptable to the Owner, for the faithful performance of such Contract and for the prompt payment of labor and material furnished in the prosecution thereof, or (2) pays to the Owner the difference, not to exceed the amount of this Bond, between the amount specified in said bid and such larger amount for which the Owner may in good faith contract with another party to perform the work covered by said bid, then this obligation shall be null and void, otherwise to remain in full force and effect. The Surety hereby waives any notice of an agreement between the Owner and Contractor to extend the time in which the Owner may accept the bid. Waiver of notice by the Surety shall not apply to any extension exceeding sixty (60) days in the aggregate beyond the time for acceptance of bids specified in the bid documents, and the Owner and Contractor shall obtain the Surety's consent for an extension beyond sixty (60) days. If this Bond is issued in connection with a subcontractor's bid to a Contractor, the term Contractor in this Bond shall be deemed to be Subcontractor and the term Owner shall be deemed to be Contractor. Printed In cooperation with the American Institute of Architects (ALA) by Chubb. The language in this document conforms to the language used in AM Document A310 m- 2010. Form 15-02-0575F80 (Rev. 3117) 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 20th (Witness) Alisha Krueger IRA (Witness) Lisa M. Becker day of Walsh & September, 2018. (P inc' al) Dytin Hilary �rat'a & @ s a�®p of South Bend Area (Time)— t a s �iP/�PC9��MtCEI�'9HnP L`mm��JHtI wi�Y�^�a44 .-_ Printed in cooperation with the American Institute of Architects (ALA) by Chubb. The language in this document conforms to the language used in AIA Document A310 M-2010. Farm 15 62.0575•FED (Rev.31M C F+U BS* Power of Attorney Federal Insurance Company j Vigilant Insurance Company 1 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. ©tiger, Robert M. Rutigliano, Christina Marie Schmitter, Tina N, Senefeld and Eric M, Wahistrom of Indianapolis, Indiana ---- -------------------------- -------- each as their true and lawful Attorney -in -Fact to execute under such designation In their names and to affix their corporate seals to and deliver foY and aft fhelr behalf as surety.;. thereon or otherwise, bonds and undertakings and other writings obligatory in the nature thereof (other than ball bonds) given or executed in lh6 &u6 oI" husine,sc, and any .' instruments amending or altering the same, and consents to the modification or alteration ofany Instrument referred to In said bonds orobligatfon, In Witness Whereof, said FEDERAL INSURANCES COMPANY, VIGILANT INSURANCE COMPANY, and PACIFIC INDEMNITY COMPANY hav, 4*e' xecuted and attested these presents and affixed their corporate seals on this 191h day of)anuary, 2017. Dawn M. Chloros, Assistant Secretary G Catherine A. Do vice President On This 191" day of January, 2017 before me, a Nolary Public of dew Jersey, personally came Dawn M. Chloros, tome known to he Assistant secretary of FEDERAI. INSURANCE COMPANY, VIGILANT INSURANCE COMPANY, and PACIFIC LYDEMNITY 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 site is Assistant Secretary of FEDERAL 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 contorate seals and were thereto affixed by authority of said Companies; and that she signed said Power of Attorney as Assistant Secretary orsald Companies by like authority; and that she Is aequalnied with Catherine A. Donahue, 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 handwritingofcatherin a and was theretosubscrihedhyauthorityorsaidCompanies and Indeponent'spresence. Notarial seal CNN �F i1YAf� KATHERINE J. ADELAAR la Y NOTARY PUBLIC OF NEW JERSEY "R I -no No. 2318685 Notary Public PUB 1 lC► CommisSlon Explrea July 36 2 qg E4ta CEWPIFICA"PlBIV- Resolutions adopted by fDir6ctors of FEDERAL INSURANCE COMPANY, VIGILANT INSURANCE COMPANY, and PACIFIC INDEMNITY COMPANY on August 30, 2016: 'RESOLVED. that the following amhoriratiomrelawto the execution, for and onbehalf of the Company,orbonds, undertaidngs, recognfzaacm contracts and other written commitments of the Company entered into its the ordinary course of business (each a ,Written Commitment"); (I) bash of the Chairman, the President and the Vlre President%of the Company is hereby authorized to execute anyWrimnCom nAment forandonbehairoftheCompany. under the seal of the Company or oiheYwlSe. (2) Each duly appointed auorneydn-fact of the Company Is hereby authorized to execute any Written Commitment for and on behalf of the Company, under the seal of the Company or otherwise. to iheextent that such action b auttarizedby thegranl of powersproAded forin such person's written appointment assuch attorney-Imfact, (3) Each of the Chairman, the Presldent and the Vice Presidents of the Company I% hereby authorized, for and on behalfonheCompany,toappoint in writing any person the attorney- bh-fact of the Company with 11,111 power and autbarity to execute, for and on behatf of the Company, under the seal of the Company or otherwise. such Written Commfrmen(s orthe Company as may be specified in such written appointment. whicb specifiraton maybe by general type or dash of Wrinen Commitments or by specification of one or mare particular Written Commitments. (4) Each of the Chairman, the President and the Vice Presidents of the Company is hereby authorlmd, forand on behalf of the Company, to delegate In wilfngto anyosber officer of the Company the authority to execute, for and on behalf of the Company, under the Companys seal or mherwIse, such Wrhtcn Cammittnettu of the Campanyas are specified in such wrinendelegation, which specification may be by general type or dam of Wrtilen Commitments or hyspedfr[atttanofOne Ormore partlatlarWritten Comm€tmenu. (5) Thesignature of any ofileer or other person executlhgany Written Commitment or appointment or delegation pursuant to this Resolutiom and the seal of the tk mtsany, maybe aftixedby facsimlkon such Written Commitment or written appointment or delegation, F(IRTHER RESOLVED, that the foregoing Resotntinn shalt not he deemed lobe an exclusive statementof the powers and authority of o1Rtxrs, employees And otherWZt1s toad for and on beltalf of the Company, andsuch Resolution shall not limit or otberwfse affect the exeretse of any such power or authority otherwise validly granted or vested" 1, Dawn M. Chloros, Assistant Secretary of FEDERAL INSURANCE-' COMPANY, VIGILANT INSURANCE COMPANY, and PACIFIC INDEMNITY COMPANY (the "Companies") do hereby certify, that (1) the foregoing Resolutions adopted by the Board of Directors of the Companies are true, correct and to full force and effect, (It) the Companies are duly licensed and authorized to transact surety business in all 50 of the United States of America and the Disuict of Columbia and are authorized by the US. Treasury Department; further, Federal and Vigilant are licensed in the US, Virgin Islands, and Federal is licensed in Guam. Puerto Rtco, and each of the Provinces orCanada except Prince Edward Island, and (III) the foregoing Powerof Attorney Is true, correct and In full force and effect. Given under my hand and seals of said companies at Whitehouse Station, Ni, this 20th day of September, 2018. C�'T� M_ Dawn M. Chloros, Assistant Secretary IN THE EVENT YOU WISIi TO NOTIFY US OF A CLAM, VRRiVY THR A(MlIENTIC ITY OFTHIS BOND OR NOTIFY VS OF ANY OTHER MATTER, PIXASE CONTACT US AT- Tale hone(908)903-3493 Fax(908)9n3.3GSG Gmall: surer achubbeam Form 16-ta n2268- U GEN GONSPNT (rev. 12-16) 13 QO ( ' '(wl"n Y .0 1 Y 11, 1) 1 227 W, k ' i,ri;i�mBFV si ON ARD 8'00111 [3ENO. IN9.7IANA46601-WO August 17,2018 Mr. Dustin Hilary Walsh & Kelly, Inc. 24358 SR 12 South Bend, IN 46614 RE: Pro -Qualification Verification — 2018 Street Paving Dear Mr. Hilary: llww 57,U 235-9251 Fir x 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 Pfe-Qualified Bidder Checklist and attachments. If you have any further questions regarding this matter, please call this office at (574) 23 5-925 1. Sincerely, Linda M. Martin, Clerk G A R Y A. G i I)AVID I". RLLOS F,)AZAMT1 i A, MARANK Mwl,'s A. TI lr,.'[trsl� J. tat I'mtj 0 A A lots] 12 19 ZT—Al"--i I oil Is] :41 U1111i :1 CHECKLIST F1.OR BIDDERS Project Name JC Lauber Site Improvements Project No. 118-083B For Bids Due September 20,2018 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 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 MBE/WBE 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 MBEMBE 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, By Authorized Representative: Signature: Print Name & Title: VP Version 10/17/2017 Contractor's Bid for Public Works - 1 Date: 9/20/18 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. 3. If you intend to sublet any portion of the work, attach the name and address of each subcontractor, equipment to be used by the subcontractor, and whether you will require a bond. However, if you are unable to currently provide a listing, please understand a listing must be provided prior to contract approval. Until the completion of the proposed project, you are under a continuing obligation to immediately notify the City of South Bend in the event that you subsequently determine that you will use a subcontractor on the proposed project. 4. Attach a listing of equipment you have available to use for the proposed project. 5. Have you entered into contracts or received offers for all materials which substantiate the prices used in preparing your proposal? If not, attach an explanation for the rationale used which would corroborate the prices listed. SECTION III CONTRACTOR'S FINANCIAL STATEMENT Attachment of bidder's financial statement is mandatory. Any bid submitted without said financial statement as required by statute shall thereby be rendered invalid. The financial statement provided hereunder to the City of South Bend awarding the contract must be specific enough in detail so that said City of South Bend can make a proper determination of the bidder's capability for completing the project if awarded. Version 10/17/2017 Contractor's Bid for Public Works - 3 w CL z co Lu !z w 0 mow 0 :) Z z —(f) co Lu LL =) 2 0 CO 0 IL z i LU w U2> ow Z 0 z 5 z 0 LU 0 CL w 0 U. LU co 2 C� �o 0 a o m 0 CL LLI co 0 m r_ iB � 03 M 4- 0 U) a Z.0 i to 2, cr 0 . CL M 0 (1) 0 0 ,V) 0 46 Z, 0 0 r= t.o) A) > -a 0 CL m W sa 0 CL = (n U) E 0 U) des 0 W'o = Q Z 0 4; E 0 z c CIL 0 0�1 C) (Y) 0 E 0 0 0 E 0 0 0 W (6 =0 cc� 0 N 64 C) (N 60- CL) 0 CL(o 0 CD a) ca C; 06 ,2 Ro, a)U) :3 -a Qy Q —ro 73 cQo CLd) 0 CL C) X 0 Ce) -r- 16 CL CO Bs as c 0 .2 C) E CO a) (D C\l C7) M Z— E 4 CL � 0) IL LO N w co W� co co (N M 15 (D 0 6(o 0 (D N CV) C) c: 0 caCp z Cl) (0 0 a) (!) 04 U) (MD ID 4) E cc z W CL en .!h 0 0 2 0 C4 0 CITY OF SOUTH BEND s MINORITY AND WOMEN BUSINESS ENTERPRISE DIVERSITY DEVELOPMENT PROGRAM FORM MWBE-2.0 EVIDENCE OF GOOD FAITH EFFORTS 106 This completed form should be included! as part of the Bids documents related to City of South Bend Public Works Projects requiring Good Faith Efforts to obtain MBEtWBE participation. It is the bidder's sole responsibility to verify whether any listed minority or woman, business meets the qualifications of a Minority or Women's owned business as defined by the Indiana Department of Administration, ("IDOA"'). Project Number: Project Name; Bidder: 118-083B - JC Lauber Site Improvements Date: 9/20/18 Contact Person: -Ed'Pilipow Telephone: 574-288-4811 Address: 24358 SR 23 City: South Bend State: Indiana Zip: 46614 Email: eplfipow(@vvalshkellv.corn To determine whether a bidder has demonstrated good faith efforts to reach the MBEIWBE utilization goals set forth in the City of South Bend Public Works Project Specifications, the City and its agencies, boards, or commissions, REQUIRE ALL of the following Good Faith Efforts as listed in the table below*: EVIDENCE OF GOOD FAITH EFFORTS MBEIWBE LIST(S): The bidder reviewed the City of South Bend's Minority and Women Business Enterprise Diversity Development Program, which uses the IDOA approved list of Minority and Women Owned Business as found on their website (http://www.in.gov/idoa), ACTION (ADVERTISE/CONTACT): In order for your bid to be deemed responsive, the City of South Be quires that all perspective bidders complete no less than 2 of the following: 1 . Attend ail pre -bid meetings scheduled by the City to inform MBE/WBEs of contracting and (� subcontracting opportunities. 2. Advertise in general circulation and/or trade association publications concerning subcontracting opportunities, and allow MBE/WBEs reasonable time to respond. Perform any and all necessary steps to provide written notice in a manner reasonably calculated 03. to inform MBE/WBEs 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 MBE/WBE 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 MBEIWBES, including providing such MBE/WBE's with adequate information about the plans, specifications and other requirements of the subcontract and did not reject MBE/WBEs as unqualified without sound business reasons based on a thorough, investigation of their capabilities. SMALL COINTRACT(S): The bidder selected specific portions of the work to be performed by M$EMBEs in order to increase the likelihood of meeting the MBEIWBE goals (including breaking down contracts into smaller units to facilitate MBE/WBE participation) CONTRACT RECORDS: The bidder has maintained the following records for each MBEIWBE that has bid on the subcontracting opportunity: 1. Name, address, and telephone number; 2. A description of information provided by the bidder or subcontractor; and 3. A statement of whether an agreement was reached, and if not, why not, including any reasons for concluding that the MBE/WBE 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 10117/2017 Contractor's Bid for Public Works - 11 CITY OF SOUTH BEND MINORITY AND WOMEN BUSINESS ENTERPRISE DIVERSITY DEVELOPMENT PROGRAM FORM IMWBE-2.1 MBE/WBE CONTACTEDat euz This completed form should be supplied with Bids that pertain to City of South Bond Public Works Projects requiring contacted MBEIWBE to obtain Good Faith Efforts. It is the bidder's sole responsibility to, verify whether any listed minority or woman business meets the qualifications of a Minority or Women's owned business. PAGE J OF 1 Project Number: 1118-083B IMBE/WBE Participation Goal Project Name: JC Lauber Site Improvements Bidder: Walsh & Kelly, Inc. By: VP of South Bend Area 9120/18 (Signature) (Title) (Date) MBEfWBE Firm State Barricading, inc, Owner or Contact at MBEIWIBE Firm James Michalski Telephone: 574-287-2078 Fax: 574-287-1744 Email: statebarricadel@aol.com TYPE OF WORK SOLICITED FOR THIS PROJECT: KOT - Sheet Sians RESULTS OF CONTACT WITH THE MBE/WBE FIRM: If awarded the job, Walsh & Kell y,Inca will enter into a subcontract with State Barricading, Inc. MBE/WBE Firm C. Lee Construction Services, inc. Owner or Contact at MBEIWBE Firm Chip Lee Telephone: 219-922-7733 Fax: 219-888-9564 Email: chip@cle,ecsi.com TYPE OF WORK SOLICITED FOR THIS PROJECT: Haulinq - Partial RESULTS OF CONTACT WITH THE MBEfWBE FIRM: If awarded the job, Walsh: & Kelly, Inc. will enter into a subcontract with C. Lee Construction Services, Inc, Version 10/17/2017 Contractor's Bid for Public Works - 12 CITY OF SOUTH BEND, INDIANA CONTRACTOR'S BID FOR PUBLIC WORK RESPONSIBLE BIDDER CHECKLIST Project Name JC Lauber Site Improvements Project No. For Bids Due 118-083B September 20, 2018 Contractor Name: Walsh & Kell 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 11 only. Section 11 acts as an application for pre -qualification. Submission of Section 11 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 31s' 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 4/17/2015 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 perforating 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 to 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 4/17/2015 General Conditions - 7 PRE -QUALIFIED BIDDER CHECKLIST (a) Acknowledgements: (i) 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. (lii) 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 4/17/2015 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 any time 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). List identifying all former business names. 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 4/17/2015 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 body in the preceding three years. (i) _ List of projects of similar size and scope of work performed in all areas, including the State of Indiana, within three (3) years prior to the date on which the bid is due. Date: 9/20118---� r (S7t/'Hilary, D VP of South Bend Area s (04 Name Here) ?^ NZ Walsh & Kelly, Inc. � e � ""�� 11' DI NO (Name of Company) 24358 SIR 23 (Address of Company) South Bend (City) Indiana (State) 574-288-4811 (Telephone Number) Version 4/17/2015 General Conditions -10 an 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 VP of South Bend Area Dated: September 20 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 OS, 2018. I further certifiy 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 ewx" 0%--fj""M CONNIE LAWSON SECRETARY OF STATE 194484-057 / 2018718629 All certificates should be validated here: https://bsd.sos.in.gov/ValidateCertificate Expires on October 05, 2018. to I I"( ;d C"i, "J" ......... .. Fiscall Service 11k,:Imik tI, Illihlk ldHow, P :Aak,l[wlO , 01 lIt I � U, , /l, / kid, ( I , I,, 11dluw3 ,+r. I "mil, 01 fl,d IAI'0,A, ; Seaidl� Home About Us Our Progroins 10,1iiii I, ',, hihlh Our Services News Confact us 19 Department of the Treasury's Listing of Certified Companies Qe p an i e s o Footnotes . MOAILS - States -Insurance Depajj� ntq -nEL - N4pp! �,,,n!@LgbAogp,Y.-LQ.CircLilar 570 Download the complete listing of Certifje.d Companies (146 KB) 11111 KILIM INI IA ly IZ A Updated July 1, 2018 II11" foimikii0m[h 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 c,ft: AL, AK, AZ, AR, CA, CO, CT, DE, DC, FL, GA, Fill, 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, SID, TN, TX, UT, VT, VA, WA, WV, WI, WY, INCORPORATED IN: Florida, ACE American Insurance Company (NAIL #22667) BUSINESS ADDRESS: 436 Walnut Street P.O. Box 1000, Philadelphia, PA 19106. (PHONE': (215) 640-1000, UNDERWRITING LIMITATION bk $478,637,000. SURETY LICENSES c,f/: AL, AK, AZ, AR, CA, CO, CT, DE, Background DC, FL, GA, HI, ID, IL, IN, IA, KS, KY, LA, ME, MID, MA, MI, MN, MS, MO, MT, NE, NV, NH, NJ, III NY, NC, ND, OH, OK, OR, PA, IPR, RI SC, SD, TN, TX, UT, VT, VIA, 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 V $296,248,000. SURETY LICENSES c,M AL, AK, AZ, AR, CA, CO, CT, Admitted Reinsurers DE, DC, FL, GA, HI, ID, IL, IIN, IA, KS, KY, LA, ME, MD, MA, MI, MN, MIS, MO, MT, NE, NV, NH, NJ, INM, NY, NC, ND, OF, OK, OR, PA, PR, RI, SC, SD, TN, TX, UT, VT, VIA, WA, WV, WI, WY. ((INCORPORATED IN: Sureties Listing Pennsylvania. Forms ACSTAR INSURANCE COMPANY (NAIL #22950) BUSINESS ADDRESS: 30 SOUTH ROAD, FARMINGTON, CT 06032. PHONE: (860) 415-8400, UNDERWRITING LIMITATION bill: $2,360,000. SURETY LICENSES c,,f/: AL, AK, AZ, AR, CA, CO, CT, DIE, DC, Regulations & Guidance II GA, HI, ID, IIL, IN, IA, KS, KY, II ME, MID, MA, MI, MN, MS, MO, MT, NE, NiV, 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: Illinois. Correspondence Aegis Security Insurance Company (NAIL #33898) Contacts BUSINESS ADDRESS: P.O, Box 3153, Harrisburg, PA 17105. PHONE: (717) 657-9671 . UNDERWRITING LIMITATION bi: $6,374,000, SURETY LICENSES cl,ff: AL, AK, AZ, AIR, C& CO, CT, DIE, DC, FL, GA, HI, ID, IL, IN, IA, KS, KY, LA, ME, MD, MA, Ill MN, IMS, MO, MT, NE, NV, NH, NJ, NM, NY, NC, ND, OH, OK, OR, PA, RI, SC, SD, TN, TX, UT, VT, VIA,, WA, WV, WI, WY. INCORPORATED IN: Pennsylvania. rk ALL AMERICA INSURANCE COMPANY (NAIL #20222) BUSINESS ADDRESS: P,O, BOX 351, VAN WERT, OH 45891 - 0351. PHONE: (419) 238-1010, UNDERWRITING LIMITATION b/: $15,662,000. SURETY LICENSES o,f/: AZ, AR, CA, CO, CT, GA, IID, IL, IN, Roll t IA, KY, ME, MD, 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: One Newark Center, 20th Floor, Newark, NJ 07102. PHONE: (800) 333-4167 x-269. UNDERWRITING LIMITATION b!: $2,264,000. 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, PR, RI, SC, SD, 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/: $264,000. 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 bl: $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, ND, OH, PA, RI, SC, SD, TN, TX, UT, VT, VA, WA, WV, W1, 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 bl: $59,242,000. 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,. INCORPORATED IN: New Hampshire, Allied World Specialty Insurance Company (NAIC #16624) BUSINESS ADDRESS: 199 WATER STREET, NEW YORK, NY 10038. PHONE: (646) 794-0500. UNDERWRITING LIMITATION b/: $41,919,000. SURETY LICENSES c,fl: AL, AK, AZ, AR, CA, CO, CT, DE, DC, FL, GA, Hl, ID, IL, IN, IA, KS, KY, LA, ME, 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, AMCO Insurance Company (NAIC #19100) BUSINESS ADDRESS: ONE WEST NATIONWIDE BLVD., 1-04-701, COLUMBUS, OH 43215 - 2220, PHONE: (515) 508-4211. UNDERWRITING LIMITATION bl: $20,982,000. SURETY LICENSES c,fl: 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, NM, NY, NO. ND, OH, OR, PA, Rl, SC, SD, 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 bl: $20,167,000. SURETY LICENSES c,fl: AL, AK, AZ, AR, CA, CO, CT, 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, NO, ND, OH, OK, OR, PA, RI, SC, SD, TN, TX, UT, VT, VA, WA, WV, WI, WY. INCORPORATED IN: Delaware. American Automobile Insurance Company (NAIC #21849) 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, 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: 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 b/: $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, 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: Florida. American Casualty Company of Reading, Pennsylvania (NAIC #20427) BUSINESS ADDRESS: 151 N, Franklin St., CHICAGO, IL 60606. PHONE: (312) 822-5000. UNDERWRITING LIMITATION bl: $14,216,000. 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, 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 bl: $12,855,000, 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, MI, MN, MS, MO, MT, NE, NV, NJ, NM, NY, ND, OH, OK, OR, PA, RI, SC, SD, TN, TX, UT, VA, WA, WV, W1, WY INCORPORATED 1N: California. American Fire and Casualty Company (NAIC #24066) BUSINESS ADDRESS: 175 Berkeley Street, Boston, MA 02116. PHONE: (617) 357-9500. UNDERWRITING LIMITATION bl: $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, ND, OH, OK, OR, PA, RI, SC, SD, 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 bl: $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, 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. American Home Assurance Company (NAIC #19380) BUSINESS ADDRESS: 175 WATER STREET, 18TH FLOOR, NEW YORK, NY 10038. PHONE: (212) 770- 7000. UNDERWRITING LIMITATION bf: $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, NO, ND, OH, OK, OR, PA, RI, SC, SO, TN, TX, UT, VT, VA, WA, WV, WI, 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 b/: $27,040,000. SURETY LICENSES c,f/: AL, AK, AZ, AR, CA, CO, 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, NC, ND, OH, OK, OR, PA, RI, SC, SD, TN, TX, UT, VT, VA, WA, WV, W1, WY. INCORPORATED IN: Michigan. American Southern Insurance Company (NAIC #10235) BUSINESS ADDRESS: P O Box 723030, Atlanta, GA 31139 - 0030, PHONE: (404) 266-9599. UNDERWRITING LIMITATION bl: $4,335,000. SURETY LICENSES cN: 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 b/: $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. O. Box 2060, Farmington Hills, MI 48331 - 3586. PHONE: (248) 615-9000, UNDERWRITING LIMITATION b/: $24,179,000. SURETY LICENSES c,fl: 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, SO, TN, TX, UT, VT, VA, WA, WV, WI, WY. INCORPORATED IN: Michigan. Amerisure Mutual Insurance Company (NAIC #23396) BUSINESS ADDRESS: P. O. 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, Ml, MN, MS, MO, MT, NE, NV, NH, NJ, NM, NY, NO, ND, OH, OK, OR, PA, PR, RI, SC, SO, TN, TX, UT, VT, VA, WA, WV, WI, WY. INCORPORATED IN: Michigan. Amerisure Partners Insurance Company (NAIC #11050) BUSINESS ADDRESS: P. O. Box 2060, Farmington Hills, MI 48331 - 3586, PHONE: (248) 615-9000. UNDERWRITING LIMITATION bl: $2,398,000. SURETY LICENSES 01: 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 b/: $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,f/: AL, AK, AZ, AR, CA, CO, CT, DE, DC, FL, GA, GU, H1, ID, IL, IN, ]A, KS, KY, LA, MD, MA, Ml, 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 919801) 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/: $5n,628,000.SURETY LICENSES n.ft:AL, AK, AZ, AR, CA, CO, CT, DE, DC, FL, GA HI, ID, |L. IN, IA, KS, KY, LA, ME, MID, MA, MI, MN, MS, MO, MT, NE, NV, NH, NJ, NM, NY, NC, NO, OH, OK, OR, PA, PR, RI, SC, SO, TN, TX, UT, VT, VA, VI, WA, WV, WI, WY. INCORPORATED IN: Texas. Associated Indemnity Corporation 865) BUSINESS ADDRESS: 225mkV$ASH|MGTONSTREET, SUITE 1000.CHICAGO'|LUOso8-3484.PHONE: (8o8)4vV'7eaa.UNDERWRITING LIMITATION W: $9,002.D0O.SURETY LICENSES cj1:AL, AK, AZ, AR, CA, co. CT, os. DC, FL, GA, GU. H|. |D. |L. IN, ;A. KS, KY, LA, ME, MD, MA, MI, MN, MU, MO, MT, 0E, N\( NM' NJ, NM, NY, NC, NO, OH, OK, OR, PA, RI, SC, SO, TN, TX, UT, VT, VA, WA, WV, WI, YVYINCORPORATED IN: California. Atlantic Specialty BUSINESS ADDRESS: mo5Highway North, Suite 000.Plymouth, MN55441.PMQNE: (952) 832-2431, UNDERWRITING LIMITATION b/: $S1.80s.000.SURETY LICENSES u.V: AL, AK, AZ, AR, CA, CO, CT, DE, DC, FL, GA, HI, ID, IL, IN, IA, KS, KY, LA, ME, MID, MA, MI, MN, MS, MO, MT, NE, NV, NH, NJ, NM, NY, NC, NO, OH, OK, OR, PA, FIR, RI, SC, SD^TN, TX, UT, VT, VA, VI, WA, WV, WI, WY. INCORPORATED IN: New Auto -Owners Insurance O moam BUSINESS ADDRESS: P/z,BOX 3oson.LAMO|w8.M|48uV$-n1w0.PHONE: (517)323-12g0. UNDERWRITING LIMITATION bt$1.O63,474.00O. SURETY LICENSES :,f/:AL, AZ, AR, CO, FL, GA, ID, IL, IN. IA, KS, KY, MI, MN, MS, MO, NE, NV, NM, NC, MD.OH, OR, PA, SC, SO, TN, UT, VA, WA, WI, INCORPORATED IN: Michigan. AXIS Insurance Company BUSINESS ADDRESS: 116OOGreat Oaks Way, Ste. sO0. Alpharetta, GA3OO22.PHONE: UNDERWRITING LIMITATION b/:$54'467.0OD.SURETY LICENSES u.f/: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, NO, OH, OK, OR, PA, RI, SC, SO, TN, TX, UT, VT, VA, WA, WV, WI, WY. INCORPORATED IN: Illinois. AXIS Reinsurance Company (NAIC BUSINESS 8oDREGG�11OR0Great Oaks Way, Suite 5O0. Alpharetta,GA3U822.PHONE: (678)746-9400. UNDERWRITING LIMITATION b/:*96.O81.00O,SURETY LICENSES u.fl: AL, AK, AS, Az, AR, CA, CO, CT, DE, 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, �-Back Zb"Ibp Bankers Insurance C#33162) BUSINESS ADDRESS: Ro.BOX 1s7V7.STPETERSBURG.FL»3?o@.PHONE: (727)823-4000. UNDERWRITING LIMITATION W:&7.7g1.O0v. SURETY LICENSES ojY: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, SC, SO, TN, TX, UT VT VA, WA, WV, WI, WY. INCORPORATED ft Florida, Bankers Standard Insurance #18279) BUSINESS ADDRESS: 430WALNUT STREET, P1).Box lO0O Philadelphia, 106.PNoNE: (o o)m4n 1000.UNDERVVR|TUN8LKM|TAr|ONbl: $1g.79o.Oo0,SURETY LICENSES o^f/: AL, AK, AZ, AR, CA, CO, CT, DE, DC, FL, GA, HI, ID, IL, IN, IA, KS, KY, LA, ME, MID, MA, MI, MN, MS, MO, MT, NE, NV, NH, NJ, NM, NY, NC, NO, OH, OK.OR, PA, RI, SC, SO, TN, TX, UT, VT, VA, WA, WV, WI, WY. INCORPORATED IN: Pennsylvania. B #a754o) BUSINESS ADDRESS: anaamomonPark Road, Farmington, CT0$ox2.PHONE: UNDERWRITING LIMITATION bP $12.010,000. SURETY LICENSES o'x:AL, AK, AZ, AR, CA, MCT, DE. DC, FL, GA, HI, ID, IL, IN, IA, KS, KY, LA, ME, MID, MA, MI, MN, MS, MO, MT, NE, NV, NH, N4NM, NY, NC, ND, OH, OK, OR, PA, R|. SC, SC\TN, TX, UT, VT, VA, WA, WV, WI, WY. INCORPORATED IN: Connecticut. Berkley Insurance Company 03) BUSINESS ADDRESS: 476STEAMBOAT ROAD, GREENVY|CM.oTmsaao.PHONE: (20$) 542'3800, UNDERWRITING LIMITATION b/: $453'117.000, SURETY LICENSES ".MAL, AK, AZ, AR, CA, CO, CT, DE, DC, FL, GA. 8V. H|. |D. [L. IN, K\ KS, KY LA, ME, MID, MA, M|, MN, MS, MO, MT, NE, NV, NH, NJ, NM, NY, NC, NO, OH, OK, OR, PA, PR, RI, SC, SO, TN, TX, UT, VT, VA, VI, WA, WV, WI, WY. INCORPORATED IN: Delaware. Berkley Regional Insurance Company (NAIC #29580) BUSINESS ADDRESS: POBOX S1S0.DES MV|NES,|A5030$-819O.PHONE: {515}47a'3V0U. UNDERWRITING LIMITATION b/:$72.789.0oo.SURETY LICENSES o.fl:AL, AK, AZ, AR, CA, CO, CT, DE, DC, FL, GA, HI, ID, IL, IN, UA.KS, KY, LA, ME, MID, MA, MI, MN, MS, MO, MT, NE, NV, NH, NJ, NM, NY, NC, NO, OH, OK.QR h\ R|. 8C, SO, TN, TX. UT, VT, VA, WA, WV, WI, WY. INCORPORATED IN: Delaware. Berkshire Hathaway HomemtawxInsurance Company (NA|C#2UO44) BUSINESS ADDRESS: 1314Douglas Street, Suite 130Q.Omaha, NEsa1oz-1m44.PHONE: NO2>oe3'7255� UNDERWRITING LIMITATION h/: $1OG.073.UOU.SURETY LICENSES ^.f/: AL, AK, AZ, AR, CA, CO, CT, DE. DC, FL, GA, HI, ID, IL, IN, u\.KS, KY, LA, ME, MID, MA, MI, MN, MS, MO, MT, 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 bl: $374,964,000, 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, Ml, MN, MS, MO, MT, NE, NV, NH, NIJ, NM, INY, NO, ND, OH, OK, OR, PA, RI, SO, SD, TN, TX, UT, VT, VA, WA, WV, WI, WY, INCORPORATED IN: Nebraska. BITCO GENERAL INSURANCE CORPORATION (NAIC #20095) BUSINESS ADIDRESS: 3700 MARKET SQUARE CIRCLE, DAVENPORT, IA 52807. PHONE: (800) 475-4477. UNDERWRITING LIMITATION bl: $29,364,000. SURETY LICENSES c,f/: AL, AK, AZ, AR, CA, CO, CT, DE, DO, 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, SO, SD, TN, TX, LIT, 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- 9500. UNDERWRITING LIMITATION bl: $3,938,000. SURETY LICENSES c,f/: AL, AK, AZ, AR, CA, CO, CT, DE, DO, FL, GA, 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 IIN: South Dakota, Bondex Insurance Company (NAIC #12965) BUSINESS ADDRESS: P.O. Box 6, Florham Park, NJ 07932, PHONE: (973) 377-7000, UNDERWRITING LIMITATION b/; $351,000, SURETY LICENSES c,fl: DE, NJ, NY, PA, INCORPORATED IN: New 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, DO, FL, GA, ID, IN, KS, KY, 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. PHONE: (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 bP $3,249,000. SURETY LICENSES 01: TX. INCORPORATED IN: Texas. t I Back"ro-Top C Capitol Indemnity Corporation (NAIC #10472) BUSINESS ADDRESS: P.O. Box 5900, Madison, WI 53705 - 0900, PHONE: (608) 829-4200. UNDERWRITING LIMITATI'ON b/: $21,699,000, SURETY LICENSES c,f/: AL, AK, AZ, AR, CA, CO, CT, DE, DO, FL, GA, HII, ID, IL, IN, IA, KS, KY, LA, ME, MD, MA, MI, MN, MS, MO, IMT, 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: Wisconsin. Capitol Preferred Insurance Company, Inc. (NAIC #10908) BUSINESS ADDRESS: 2750 Chancellorsville Dr, Tallahassee, FL 32312. PHONE: (850) 521-0742. UNDERWRITING LIMITATION bl: $2,654,000, SURETY LICENSES c,fl: FL, GA, SC. INCORPORATED IIN: Florida. Carolina Casualty Insurance Company (NAIC #10510) BUSINESS ADDRESS: PO BOX 9190, DES MOINES, IA 50306 - 9190. PHONE: (904) 363-0900. UNDERWRITING LIMITATION b/: $10,338,000. SURETY LICENSES OP 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, II NY, NO, ND, OH, OK, OR, PA, RI, SC, SD, TN, TX, UT, VT, VA, WA, WV, WI, WY. INCORPORATED IN: Iowa. Centennial Casualty Company (NAIC #34568) BUSINESS ADDRESS: 2200 Woodcrest (Place, Suite 200, Birmingham, AL 35209, PHONE: (205) 414-2600. UNDERWRITING LIMITATION b/: $8,292,000. SURETY LICENSES cj/: AL. INCORPORATED IN: Alabama, CENTRAL MUTUAL INSURANCE, COMPANY (NAIC #20230) BUSINESS ADDRESS: P.O. BOX 351, VAN WERT, OH 45891 - 0351, PHONE: (419) 238-1010. UNDERWRITING LIMITATION b/: $66,5,41,000. SURETY LICENSES c,M AZ, AR, CA, CO, CT, DE, GA, 11D, IIL, IN, 1A, KY, ME, MD, MA, MI, MN, MS, MT, NV, NH, NJ, NM, NY, NO, 011, OK, OR, PA, SO, TN, TX, UT, VT, VA, WA, WI. INCORPORATED IN: Ohio, CENTURY SURETY COMPANY (N'AIC #36961) BUSINESS ADDRESS: 550 Polaris Parkway, Westerville, OH 43082. PHONE:: (614) 895-2000. UNDERWRITING LIMITATION b/: $3,931,000. SURETY LICENSES cj/: AZ, IN, OH, WV, Wi. INCORPORATED IIN: Ohio. Charter Oak Fire Insurance Company (The) (NAIC #25615) BUSINESS ADDRESS!: ONE TOWER SQUARE, HARTFORD, CT 06183, PHONE: (860) 277-0111. UNDERWRITING LIMITATION b/: $22,735,000, SURETY LICENSES c,f/: AL, AK, AZ, AR, CO, CT, DIE, IDC, FL, GA, HI, ID, IL, IN, IA, KS, KY, LA, ME, MD, MA, MI, MN, MS, MO, MT, NIE, INV, NH, NJ, NM, NY, NC, ND, OH, OK, OR, PA, PR, RI, SC, SD, TN, TX, UT, VT, VA, WA, WV, Wll, 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 bl: $19,781,000, SURETY LICENSES 01: 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, NO, OH, OK, OR, PA, RI, SC, SD, TN, TX, UT, VT, VA, WA, WV, WI, WY. INCORPORATED IN: Michigan. CHUBB INDEMNITY INSURANCE COMPANY (NAIC 912777) BUSINESS ADDRESS: 202B Hall's Mill Road, Whitehouse Station, NJ 08889. PHONE: (212) 827-4400. UNDERWRITING LIMITATION bl: $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, NO, 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 bl: $39,229,000. 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: 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,f/: AL, AK, AZ, AR, CA, CO, CT, DE, DC, FL, GA, HI, 1D, 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: Ohio. Cincinnati Insurance Company (The) (NAIC #10677) BUSINESS ADDRESS: P.O. BOX 145496, CINCINNATI, OH 45250 - 5496. PHONE: (513) 870-2000. UNDERWRITING LIMITATION V $460,128,000. 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: Ohio, CITIZENS INSURANCE COMPANY OF AMERICA (NAIC #31534) BUSINESS ADDRESS: 440 LINCOLN STREET, WORCESTER, MA 01653 - 0002. PHONE: (508) 853-7200. UNDERWRITING LIMITATION bh $69,946,000. SURETY LICENSES c,fl: AL, AK, AZ, AR, CO, CT, DE, DC, GA, HI, IL, IN, [A, 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, NC, 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 bl: $4,052,000. 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: Pennsylvania. Continental Casualty Company (NAIC #20443) BUSINESS ADDRESS: 151 N Franklin St., CHICAGO, IL 60606. PHONE: (312) 822-6000, 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 bl: $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,€1: 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. CONTRACTORS BONDING AND INSURANCE COMPANY (NAIC #37206) BUSINESS ADDRESS: 9025 N. Lindbergh Drive, Peoria, IL 61615, PHONE: (309) 692-1000. UNDERWRITING LIMITATION bl: $11,490,000. 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. Cooperativa de Seguros Multiples de Puerto Rico (NAIC #18163) BUSINESS ADDRESS: PO BOX 363846, SAN JUAN, PR 00936 - 3846. PHONE: (787) 622-3575 x-2512. UNDERWRITING LIMITATION bl: $15,318,000. SURETY LICENSES c,f/: PR. INCORPORATED IN: Puerto Rico. CorePointe Insurance Company (NAIL #1i0499) BUSINESS ADDRESS: 401 South Old Woodward Avenue, Suite 300, Birmingham, MI 48009. PHONE: (800) 782-9164. UNDERWRITING LIMITATION bl: $1,452,000, SURETY LICENSES cN: 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, LIT, VT, VA, VI, WA, WV, WI, WY, INCORPORATED IN: Deiaware, CUMIS INSURANCE SOCIETY, INC. (NAIL #10847) BUSINESS ADDRESS: POST OFFICE BOX 1084, MADISON, W1 53701. PHONE: (608) 238-5851. UNDERWRITING LIMITATION b/: $85,551,000. SURETY LICENSES c,f/: AL, AK, AZ, AR, CA, CO, CT, DE, DC, FL, GA, GU, HI, 111), IL, IN, IA, KS, KY, LA, ME, MD, MA, Mi, MN, MS, MO, MT, NE, NV, INH, NJ, NM, NY, NC, ND, OF, OK, OR, PA, PR, RI, SC, SD, TN, TX, LIT, VT, VA, VI, WA, WV, WI, WY, INCORPORATED IN: Iowa. CLIMIS Specialty Insurance Company, Inc. (NAIL #12758) BUSINESS ADDRESS: Post Office Box 1084, Madison, WI 53701. PHONE: (608) 238-5851. UNDERWRITING LIMITATION b/: $5,549,000. SURETY LICENSES c;,f/: AL, CA, CT, DC, FL, GA, HI, ID, IL, IN, IA, KS, KY, MD, MA, MI, MN, MO, NE, NV, NJ, NY, NC, OH, OK, OR, PA, SC, SD, TX, UT, VA, WA, WI, WY INCORPORATED IN: Iowa. 11=11=1 Developers Surety and Indemnity Company (NAIL #12718)1 BUSINESS ADDRESS: P.O. BOX 19725, IRVINE, CA 92623 - 9725. PHONE: (949) 263-3300. UNDERWRITING LIM11TATION bl; $9,634,000. 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, Ml, MN, MS, MO, MT, NE, NV, NH, NJ, NM, NY, NC, ND, OH, OK, OR, PA, RI, SC, SD, TN, TX, UT, VT, VA, V1, WA, WV, WI, WY. INCORPORATED IN: California. t-1 Back - ro Top E Employers Insurance Company of Wausau (NAIL #21:458) 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, 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, PR, RI, SC, SD, TN, TX, LIT, VT, VA, VI, WA, WV, Wl, WY, INCORPORATED IN: Wisconsin. Employers Mutual Casualty Company (NAIL #21415) BUSINESS ADDRESS: P, O. BOX 712, DES MOINES, IA 50306 - 0712. PHONE: (515) 280-2511 UNDERWRITING LIMITATION b/: $143,661,000. SURETY LICENSES o,f/: AL, AK, AZ, AR, CA, CO, CT, DE, DC, FL, GA, HI, ID, iL, IN, IIA, KS, KY, LA, ME, MI), MA, MI, MN, MS, MO, MT, INE, NV, NH, NJ, NM, NY, NC, ND, OH, OK, OR, PA, Ri, SC, SD, TN, TX, UT, VT, VA, WA, WV, W1, WY. INCORPORATED IN: Iowa, Endurance American Insurance Company (NAIL #10641) BUSINESS ADDRESS: 4 MANHATTANVILLE ROAD, PURCHASE, NY 10577. PHONE: (914) 468-8000. UNDERWRITING LIMITATION b/: $42,689,000, SURETY LICENSES c,f/: AL, AK, AZ, CO, DE, DC, GA, HI, ID, IL, IIN, 11A, KS, KY, LA, MD, MA, MI, MS, MO, MT, NE, NV, NJ, INM, NY, ND, OF, OK, OR, PA, RI, SC, SD, TN, TX, UT, VT, WA, WV, WY. INCORPORATED IN: Delaware. Endurance Assurance Corporation (NAIL #11551) BUSINESS ADDRESS: 4 MANHATTANVILLE ROAD, PURCHASE, NY 10577. PHONE: (914) 468-8000, UNDERWRITING LIMITATION bl: $46,459,000, 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, MIT, NE, NV, NJ, NM, NY, NC, ND, OH, OK, OR, PA, PR, RI, SC, SD, TN, TX, LIT, VT, VA, WA, WV, WY, INCORPORATED IN: Delaware, Erie Insurance Company (NAIL #26263) BUSINESS ADDRESS: 100 ERIE INSURANCE PLACE, ERIE, PA 16530. PHONE: (814) 870-2000, UNDERWRITING LIMITATION b/: $37,432,000. SURETY LICENSES cjl: DC, IL, IN, KY, MID, MN, NY, NC, OF, PA, TN, VA, WV, WL INCORPORATED IIN: Pennsylvania. Euler Hermes North America Insurance Company (NAIL #20516) BUSINESS ADDRESS: 800 Red Brook Blvd, Owings Mills, MD 21117. PHONE: (410) 753-0751 UNDERWRITING LIMITATION b/: $15,764,000. SURETY LICENSES c,f/: AL, AK, AZ, CA, CO, CT, DE, DC, GA, Hl, 10, IL, IN, IA, KS, KY, LA, MD, MA, MI, MN, MIS, MO, MT, NE, NV, NHI, NJ, NM, NY, NC, ND, OH, OK, PA, RI, SC, SD, TN, TX, UT, VT, VA, WI, WY. INCORPORATED IN: Maryland. Everest Reinsurance Company (NAIL #26921) BUSINESS ADDRESS: P.O. Box 830, Liberty Corner, NJ 07938 - 0830. PHONE: (908) 604-3000. UNDERWRITING LIMITATION bl: $339,185,000. SURETY LICENSES cjl: 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, MP, MT, NE, NV, NH, NJ, NM, NY, NC, ND, OH, OK, OR, PA, RI, S,C, SD, TN, TX, LIT, VT, VA, WA, WV, WI, WY, ]INCORPORATED IN: Delaware. Evergreen National Indemnity Company (NAIC #12750) BUSINESS ADDRESS: 6140 PARKLAND BLVD, STE 321, MAYFIELD HEIGHTS, OH 44124, (PHONE: (440) 229-342o.UNDERWRITING LIMITATION bl:$8,44s.o00.SURETY LICENSES o.1: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, NO, OH, OK, OR PA, RLSC, 0].TN, TX, UTVT, VA, WA, WI, WY, INCORPORATED IN: Ohio. Executive Risk Indehybm BUSINESS ADDRESS: rn2Bnmn'oMill Road, Whitehouse Station, NJU88ao.PHONE: (21s)648'sz5e. UNDERWRITING LIMITATION @:$150.108.00O,SURETY LICENSES x.f/:AL, AK, AZ, AR, CA, CO, 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, SQ.TN, TX, UT, VT, VA, WA, WV, WI, WY. INCORPORATED IN: Delaware. Explorer InsuranceCommm yNxIC#4m02o BUSINESS ADDRESS: PO.BOX 5O3033.GAND|EG8.CA9215U.PHONE: (8x8)350-24Vox-2sso. UNDERWRITING LIMITATION b/: $14.355,OUo.SURETY LICENSES *.f/:AZ, CA, CO, CT, DE' H|. |D. |L. IN, 'I"-����Zgp Fair American Insurance andRe| C#35157) BUSINESS ADDRESS: One Liberty 165 Broadway, New York, mY10Oos.PHONE: C212>aos'22o0. UNDERWRITING LIMITATION b/::$t9.390.O8O.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, NO, OH, OK, OR, PA, RI, SC, BID, TN, TX, UT, VT, VA, V.WA, WV, WI, WY, INCORPORATED IN: New York. Farmers Alliance Mutual Insurance Company #19184) BUSINESS ADDRESS: P.O.Box 1401,McPherson, KSsr4so.PHONE: (6UNDERWRITING LIMITATION b/:$17'571.8Uo.SURETY LICENSES *^f/: GO. |D. |A. KS. MN, MO, MIT, NE, NM. ND, OK, Su, INCORPORATED IN: Kansas, Farmington Casualty Company (vA|C#414B3) BUSINESS ADDRESS: ONE TOWER SQUARE, HARTFURo.CT0s183,PHONE: (80V)277'O111, UNDERWRITING LIMITATION b/: $27.447.000.SURETY LICENSES o.K: AL, AK, AZ, AR, CA, CO, CT, DE, DC, FL, GA, HV.ID, IL, IN, IA, KS, KY, LA, ME, MID, MA, MI, MN, MS, MO, MT, NE, NV, NH, NJ, NM, NY, NC, ND, OH, OK, OR, PA, RI, SC, SO, TN, TX, UT, VT, VA, WA, WV, WI, WY. INCORPORATED IN: Connecticut. Farmland Mutual Insurance Company BUSINESS ADDRESS: ONE WEST NATIONWIDE BLYD,1-04-7V1.CO0JMBUS.pH43215 2220.PHVNE: (515)508'3300. UNDERWRITING LIMITATION W: M6,365.000. SURETY LICENSES o.f/: AL, AZ, AR, CA, CO, DE, DC, FL, GA, ID, IL, IN, IA, KS, KY, MD, MI, MN, MS, MO, MT, NE, NV, NC, ND, OH, OK, OR, PA, SC, FCCI Insurance Company BUSINESS ADDRESS: 6300 University Parkway, Sarasota, FL34240 8424. PHONE: (800) 226-3224x-2726. UNDERWRITING LIMITATION b/:$s4'7s4.O00. SURETY LICENSES c.f/:AL, AZ, AR, CO, DC. FL, GA, ||' IN, Federal InsCompany BUSINESS ADDRESS: 2O2BHmN's Mill Road, Whitehouse Station, uJO8889.PHONE: UNDERWRITING LIMITATION b/: $nen.ruo.uon.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, MU, MIN.MS. MO, MP, 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: Indiana. FEDERATED MUTUAL INSURANCE 41 3q BUSINESS ADDRESS: 121EAST PARK SQUARE, OVxAJONNAMNssos0,PHONE�{s07) 455-5200, UNDERWRITING LIMITATION b/: $338.551.000. SURETY LICENSES c.R�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, NO, OH, OK. OR, P\ RI, SC, SD, TN, TX, UT, VT, VA, WA, WV, WI, WY. INCORPORATED IN: Minnesota, Fidelityof Mary BUSINESS ADDRESS: )za9 ZumcnWAY, nr*FLOOR, SCmxumeuRg.|Lo01os'1050.PHONE: (w7) ou5'60o8.UNDERWRITING LIMITATION b/: $14.7au.8mo.SURETY LICENSES n.f/: AL, AK, AZ, AR, CA, CO, CTDE, DC, FL, GA, GU, HI, ID, IL, IN, A.KS, KY, LA, ME, MID, MA, MI, MN, MS, MO, MP, MT, NE, NV, NH, NU, MM, NY, No. NO, OH, OK, OR, RA. PR, RK, SC, SD^TN. T%, UT, VT, VA, VU'WA, WV, VN.YVy INCORPORATED IN: Maryland. FIDELITY AND GUARANTY INSURANCE COMPANY 8V4| #353 BUSINESS ADDRESS: One Tower Square, Hartford, oTno1oa.PHONE: 2/7'0111.UNDERVVR|T|NG LIMITATION b/: $1,r7s.000.SURETY LICENSES o.f/:AL, AK, AZ, AR, CA, CO, CT, DE, DC, FL, GA, HI, ID, T. IN, k\KS, KY, LA, ME, MID, MA, IVI|.MN, MS, MO, MiT,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. Fidelity and Guaranty Insurance Underwriters, Inc. N4IC BUSINESS ADDRESS: One Tower Square, Hartford, CT00183.PHONE: (86&)o77-u111,UNDERWRITING LIMITATION W:$8^889.0OU. SURETY LICENSES 01:AL, AK, AZ, AR, CA, CO, CT, DE, DC, FL, GA, H|.ID, IL, IN, IA, KS, KY, LA, ME, IVID'MA, MI, MN, MS, MO, MT, NE, NV, NH, NJ, NIM.NY, NC, NO, OH, OK, OR, PA, RI, SC, SO, TN, TX, UT, VT, VA, WA, WV, WI, WY, INCORPORATED IN: Wisconsin. Financial Casualty & Surety, Inc. (NAIC #35009) BUSINESS ADDRESS: 3131 Eastside, Suite 600, Houston, TX 77098. PHONE: (800) 392-1604. UNDERWRITING LIMITATION b/: $1,651,000. SURETY LICENSES c,ft: AZ, CA, CT, DE, FL, GA, ID, IN, IA, KS, LA, MID, MI, MN, MS, MO, MT, NV, NJ, NY, NC, ND, OH, PA, SC, SD, TN, TX, LIT, VT, VA, WA, WV INCORPORATED IN: Texas. Financial Pacific Insurance Company (NAIC #31,453) BUSINESS ADDRESS: P.O. BOX 73909, CEDAR RAP11DS, IA 52407 - 3909, PHONE: (319) 399-5700, UNDERWRITING LIMITATION bl: $9,759,000. SURETY LICENSES c,f/: AK, AZ, AR, CA, CO,, FL, ID, IL, IA, KS, MN, MO, MT, NIE, NV, NM, ND, OK, OR, SD, TX, UT, WA, WI. INCORPORATED IN: California. Fireman's Fund insurance Company (NAIC #21873) BUSINESS ADDRESS: 225, W. WASHINGTON STREET, SUITE 1800, CHICAGO, IL 60606. 3484. PHONE: (888) 466-7883, UNDERWRITING LIMITATION bl: $129,737,000, 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, MIN, MS, MO, MIT, 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: California, First Founders Assurance Company (NAIC #12150) BUSINESS ADDRESS: 6 Milt Ridge Lane, Chester, NJ 07930 - 2486. PH�ONE: (908) 879-0990. UNDERWRITING LIMITATION bl: $464,000. SURETY LICENSES cj/: NJ, NY. INCORPORATED IN: New Jersey. First Insurance Company of Hawaii, Ltd. (NAIC #41742) BUSINESS ADDRESS: PO Box 2866, Honolulu, Hi 96803. PHONE: (808) 527-7777, 'UNDERWRITING LIMITATION bl: $28,154,000. SURETY LICENSES cj/: GU, Hi. INCORPORATED IN: Hawaii, First Liberty Insurance Corporation (The) (NAIC #33588) BUSINESS ADDRESS: 175 Berkeley Street, Boston, MA 02116. PHONE: (617) 357-9500. UNDERWRITING LIMITATION b/: $2,229,000. SURETY LICENSES c,V: 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, MIS, MO, MT, NE, NV, NH, NJ, NM, NY, NC, ND, OH, OK, OR, PA, RI, SC, SD, TN, �X, UT, VT, VA, VI, WA, WV, WI, WY. INCORPORATED IN: Illinois. First Not Insurance Company (N'AIC #10972) BUSINESS ADDRESS: 424 WEST O'BRIEN DRIVE, STE 202, HAGATNA, GU 96910. PHONE: (671) 477- 8613. UNDERWRITING LIMITATION b/: $1,238,000. SURETY LICENSES cj/: GU, MR INCORPORATED IN: Guam, Frankenniuth Mutual Insurance Company (NAIC #13986) BUSINESS ADDRESS: One Mutual Avenue, Frankenmuth, MI 48787 - 0001. PHONE: (989) 662-6121, UNDERWRITING LIMITATION b/: $60,669,000. SURETY LICENSES c,ft: AL, AZ, AR, CO, CT, DE, FL, GA, 113, T, IN, IIA, KS, KY, LA, ME, MD, MA, MI, MN, MIS, MO, MT, NE, NV, NH, INJ, NM, NY, NC, ND, OH, OK, OR, PA, RI, SC, SD, TN, TX, UT, VT, VA, WA, WV, WI, WY, INCORPORATED IN: Michigan. General Casualty Company Of Wisconsin (NAIC #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, IL, IN, IA, KS, KY, LA, MID, MA, MI, IMN, 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: Wisconsin. General Reinsurance Corporation (NAIC #22039) BUSINESS ADDRESS: 120 LONG RIDGE ROAD, STAMFORD, CT 06902 - 1843, PHONE: (203) 328-5000. UNDERWRITING LIMITATION b/: $1,139,255,000. SURETY LICENSES cjl: AL, AK, AZ, AR, CA, CO, CT, DE, DC, FL, GA, ID, IL, IN, IA, KY, LA, MID, MA, MI, MIN, MS, MO, MIT, NE, NV, NJ, NM, NY, NC, ND, OH, 01<, OR, PA, RI, SC, SD, TN, TX, UT, VT, VA, WA, WV, WI, WY, INCORPORATED IN: Delaware, GRANGE INSURANCE COMPANY OF MICHIGAN (NAIC #1111136) BUSINESS ADDRESS: 671 South High Street, P.O. Box 1218, Columbus, OH 43216 - 1218. PHONE: (614) 445-2900. UNDERWRITING LIMITATION b/: $4,441,000. SURETY LICENSES c,ft: MI. INCORPORATED IN: Ohio, GRANGE MUTUAL CASUALTY COMPANY (NAIC #14060) BUSINESS ADDRESS: 671 South High Street, Columbus, OH 43206 - 1014. PHONE: (614) 445-2900, UNDERWRITING LIMITATION b/; $1118,013,000. SURETY LICENSES e,f/: AL, GA, IL, IN, IA, KS, KY, MN, MO, OH, PA, SC, TN, VA, WI. INCORPORATED IN: Ohio. GRANITE RE, INC, (NAIC #26310) BUSINESS ADDRESS: 14001 Quail'ibrook Drive, Oklahoma City, OK 73134. PHONE: (405) 752-2600. UNDERWRITING LIMITATION b/: $4,157,000. SURETY LICENSES c,fl: AL, AZ, AR, CO, CT, DE, FL, GA, ID, IL, IN, IA, KS, KY, LA, ME, MD, MI, MIN, MS, MO, MT, NE, NV, NM, NC, ND, OH, OK, OR, PA, SC, SD, TN, TX, UT, VT, VA, WA, WV, WI, WY, INCORPORATED IN: Oklahoma. Granite State Insurance Company (NAIC #23809) BUSINESS ADDRESS: 175 WATER STREET, 18TH FLOOR, NEW YORK, NY 10038. PHONE: (212) 770- 7000. UNDERWRITING LIMITATION b/: $3,384/000. SURETY LICENSES �AL, AK, AZ, AR, CA, CO, CT, DC, DE, FL, GA, Fit, ID, |L.IN, IA, KS, KY, LA, ME, MID, MA, MI, MN, MS, MO, MT, NE, NV, NH, N |. NM, NY, NC, ND, OH, OK, OR, PA, RI, SC, SO, TN, TX, UT, VT, VA, WA, WV, VN'WY. INCORPORATED IN: Illinois, GRAY CASUALTY & SURETY COMPANY (THE) (NAIC #10,671) BUSINESS ADDRESS: P0.Box O202.Metairie, LA70009'82V2.PHONE: (5o4)o0e-77SQ.UNDERWRITING LIMITATION N: $1.478.000. SURETY LICENSES o.V:AL, AZ, AR, CA. DC, G8. |L. KY, LA, MD, MS' MO. N\< NM, NY, NC, OK, PA, SC, TN, TX. INCORPORATED IN: Louisiana. GRAY INSURANCE COMPANY #36307) BUSINESS ADDRESS: pQ.BOX 6202.ME7A|R|E.LA7o009-o202.PHONE: sn4 888-7780. UNDERWRITING LIMITATION W: $10.422.0n0.SURETY LICENSES u`W: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, NG. Great American Alliance Insurance Company BUSINESS ADDRESS: 30iEFourth Street, Cincinnati, OH452O2.PHONE: UNDERWRITING LIMITATION L/: $2.ro1.oOu.SURETY LICENSES o.f/:AL, AK, AZ, AR, CA, CO, CT, DE, DC FL, GA, III, ID, IL, IN, u\.KS, IKY,LA,ME, MD, MA, MI, MN, MS, MO, MT, NIE.NV, NH, NJ, NM, NY, NC, NO, OH, OK, OR, PA, RI, SC, SO, TN, TX, UT, VT, VA, WA, WV, WI, VVYINCORPORATED IN: Ohio. Great American Insurance Company (NAiC #16691) BUSINESS ADDRESS: 3U1 EFourth Street, Cincinnati, oe45202.PHONE: <5tDou9-onoo� UNDERWRITING LIMITATION b/: $164.046.000. 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, MD, MA, MI, MN, MS, MO, MT, NE, NV, NH, NJ, NM, NY, GREAT AME0CANINSURANCE COMPANY nFNEW YORK BUSINESS ADDRESS: 8o1EFourth S(r*et^Cincinnati, 0H452w2.PHONE: UNDERWRITING LIMITATION W:$4.91$.0U0.SURETY LICENSES n'f/:AL, AK, AZ, AR, CA, CO, CT, DE, DC FL, GA. 111. |o, |L' IN, L4, KS, KY, LA. ME, MD, ma. MI, MN, MG, MO, MT, NE, N\( NH, WJ, NM, NY, NC, NO, Great Northern Insurance Company (N4IC#203 BUSINESS ADDRESS: 202B H^ll's Mill Road, Whitehouse Station, MUV0OnS. PHONE: <21 . UNDERWRITING LIMITATION N: $38.173.O0A.SURETY LICENSES o.8:AL, AK, AZ, AR, CA, GO, CT, DE. DC. FL' GA. H|' |D. K. IN, |A. KS. KY, LA, ME, MD, MA, M|, MIN, MS, MO, MT, NE, NV, NIT, NJ, NM, NY NC. NO, OH, OK, OR, PA, RI, SC, SO, TN, TX, UT, vTVA, WA, WV, WI, WY, INCORPORATED IN: Indiana. Guarantee Company nfNorth Amd USA BUSINESS ADDRESS: One Towne Square, Suite 14ro.Southfield, m|4xn7o-372o.PMONE�(24u)2«1'o2G1 x-o6V12.UNDERWRITING LIMITATION b/:$18.oS5'OQO.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, mK. OR, PA, PR, R|, GQ, SO, TN, TX, UT VTVA, VI, WA, WV, WI, WY. INCORPORATED IN t -Qack.1b..TDg Hanover |* NA|C#z2%92) BUSINESS ADDRESS: 440L|NCOLNSTREET, VVORCEGTER.MA01G53-U802.PHONE: (508)853-7200. UNDERWRITING LIMITATION b/: $12V.817.O0D.SURETY LICENSES oj/: AL, AK,AZ, AR, CA, CO, CT, DE, DC, FL. GA. H|. |D. |L. IN, |a. K8, KY, LA, ME, MD, MA, M|, MN, Me, MO, MT, NE, NV, NH, NJ' NM, NY, NC' ND. OH, OK, OR, PA, RI, SC, SO, TN, TX, LIT, VT, VA, WA, WV, WI, WY. INCORPORATED IN: New Marnpshire. *AgCONATIONAL INSURANCE COMPANY hmAIC#2043 BUSINESS ADDRESS: 7ocOBERLIN ROAD, RALE|GN.NCz7ooS-oom0,PHONE: ($1$)$33'10n0. UNDERWRITING LIMITATION b/:$2Q.408.0O0.SURETY LICENSES *.f/: AL, AK, AZ, AR, CA, GO, CT, DIE, DC, FL, GA, ID, |L' IN, |A. KS, KY, LA, ME' MD, MA, M|, MN, MS, MO, MP, MT, NE, N\( NH, NJ, NM, NY, NC' NO, OH, OK, OR, PA, R|. SC' SO, TN, TX, LIT, VT, VA, WA, WV, WI, WY. INCORPORATED IN: Illinois. Hartford Accident and Indemnity Company (NAI�C #22357) BUSINESS ADDRESS: One Hartford Plaza, Hartford, CTos1sa'oDo1,PHONE: (8m8547'nnnn. UNDERWRITING LIMITATION b/:$1g4.s87.000.SURETY LICENSES ".f/:AL, AK, AZ, AR, CA, CO, oTDE, DC, FL, GA, HI, ID, IL, IN, IA, KS, KY, LA, ME, MD, MA, MI, MN, MS, MO, MT, NE, NV, NH, NJ, NM, NY, NC, NO, OH, OK, OR, PA, PR, RI, SC, SO, TN, TX, LIT, VT, VA, WA, WV, WI, WY, INCORPORATED, VN: Connecticut. Hartford Casualty Insurance Company (NA|C#ze42) BUSINESS ADDRESS: One Hartford Plaza, Hartford, CTOUl55'O001.PHONE: (88V)547-500O. UNDERWRITING LIMITATION b/:$wm.ao1.u0Q.SURETY LICENSES u.f/:AL, AK, AZ, AR, CA, CO, CT, DE, DC, FL, GA. H|' |D. |L^ IN, |A. KS, KY, LA, ME, MD, MA, M|, MN, M8, MO, MT, NE' N\( NH, NJ, NM, NY, WC. WD, OH, OK, OR, PA, H|, SC, SO, TN, TX, UT, VT, VA, WA, WV, WI, WY. INCORPORATED IN: |mfflanm. Hartford Fire Insurance Comp UNDERWRITING LIMITATION b/: $991,602,000, SURETY LICENSES 01: 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, INV, NH, INJ, NM, NY, NC, ND, OH, OK, OR, PA, PR, RI, SC, SD, TN, TX, UT, VT, VA, WA, WV, WI, WY. INCORPORATED IN: Connecticut. Hartford Insurance Company of Illinois (NAIC #38288) BUSINESS ADDRESS: One Hartford Plaza, Hartford, CT 06155 - 0001, PHONE: (860) 547-5000. UNDERWRITING LIMITATION b/: $125,353,0100, SURETY LICENSES c,f/: CT, HI, IL, MI, NY, PA. INCORPORATED IN: Illinois, Hartford Insurance Company of the Midwest (NAIC #37478) BUSINESS ADDRESS: One Hartford Plaza, Hartford, CT 06155 - 0001. PHONE: (860) 547-5000, UNDERWRITING LIMITATION b/: $50,777,000. 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, INM, NY, 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 (NAIC #3,82�61) BUSINESS ADDRESS: One Hartford Plaza, Hartford, CT 06155 - 0001, PHONE: (860) 547-5000. UNDERWRITING LIMITATION b/: $6,342,000. SURETY LICENSES cjP CT, FL, GA, KS, LA, MI, PA. INCORPORATED IN: Connecticut. Hudson Insurance Company (NAIC #25054) BUSINESS ADDRESS: 100 William Street, 5th Floor, Now York, NY 10038. PHONE: (212) 978-2800. UNDERWRITING LIMITATION bP $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, ILA, ME, MID, MA, M1, I 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: Delaware IMT Insurance Company (NAIC #14257) BUSINESS ADDRESS: P.O, Box 1336, Des (Moines, IA 50306 - 1336. PHONE: (515) 327-2777. UNDERWRITING, LIMITATION b/: $17,553,000, SURETY LICENSES c,f/: AZ, IL, IA, MN, MO, NE, ND, SD, WI. INCORPORATED IN: Iowa. Indemnity Company of California (NAIC #25550) BUSINESS ADDRESS: P. O. BOX 19725, IRVINIE, CA 92623 - 9725, PHONE; (949) 263-3300. UNDERWRITING LIMITATION b/: $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 (NAIC #43575) BUSINESS ADDRESS: 436 WALNUT STREET, RO, Box 1000, Philadelphia, PA 19106. PHONE: (215) 640- 1000, UNDERWRITING LIMITATION bl: $15,341,000. SURETY LICENSES c,f/: AL, AK, AZ, AR, CA, CO, CT, DE, DC, FL, GA, HI, ID, IT, IN, 1A, KS, KY, LA, ME, MD, MA, MI, MN, MS, MO, MT, NE, NV, NH, NJ, NM, NY, NC, NO, OH, OK, OR, PA, R1, SC, SD, TN:, TX, LIT, VT, VA, VI, WA, WV, WI, WY. INCORPORATED IN: Pennsylvania. Indemnity National Insurance Company (NAIC #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, MID, MS, MT, NV, NM, OH, OK, PA, SC, TN, TX, UT, VA, WV. INCORPORATED IN: Mississippi, Indiana ILumbermens Mutual Insurance Company (NAIC #14265) BUSINESS ADDRESS: 2005 Market Street, Suite 1200, Philadelphia, PA 19103. PHONE: (267) 825-9206. UNDERWRITING LIMITATION b/: $1,658,000. 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, IPA, RI, SC, SD, TN, TX, UT, VT, VA, WA, WV, WI, WY INCORPORATED IN: Indiana. Inland insurance Company (NAIC #23264) BUSINESS ADDRESS: P.O. Box 80468, Lincoln, NE 68501. PHONE: (402) 435-4302. UNDERWRITING LIMITATION b/: $25,293,000. SURETY LICENSES c,f/: AZ, CO, IA, KS, MN, MO, MT, NE, ND, OK, SD, WY. INCORPORATED IN: Nebraska, Insurance Company Of North America (NAIC #22713) BUSINESS ADDRESS: 436 WALNUT STREET, RO. Box 1000, Philadelphia, PA 19106, PHONE: (215) 640- 1000. UNDERWRITING 1-11MITATION 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, MID, MA, MI, MN, MS, MO, IMP, MT, NE, NV, NH, NJ, NM, NY, INC, ND, OH, OK, OR, PA, PR, RI, SC, SD, TN, TX, UT, VT, VA, WA, WV, WI, WY INCORPORATED IN: Pennsylvania. Insurance Company of the State of Pennsylvania (The) (NAIC #19,429 BUSINESS ADDRESS: 175 WATER STREET, 18TH FLOOR, NEW YORK, NY 10038, PHONE: (212) 770- 7000. UNDERWRITING LIMITATION bl: $14,442,000. SURETY LICENSES c,fl: AL, AK, AZ, AR, CA, CO, CT, DE, DC, FL, GA, HI, ID, IL, IN, IA, KS, KY, LA, ME, MD, MA, MI, MN, MS, MO, MT, NE, NV, NH, NJ, NM, NY, NC, ND, OH, OK, OR, PA, RI, SC, SD, TN, TX, LIT, VT, VA, WA, WV, WI, WY. INCORPORATED IN: Illinois, Insurance Company of the West BUSINESS AnDRES&P/O.BOX 50o,039.GANQ|EGO,CA82150.PHONE: (858)350-2400xe550. UNDERWRITING LIMITATION b/:$e3,454.ou0.SURETY LICENSES c,f/:AL, AK, AZ, AR, CA, CO, CT, DE, UC.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, P\ R], GC,GD. TN, TX, LIT, VT, VA, WA, WV, WI, WY. INCORPORATED IN: California. Indemnity Company (NAIC #43273) BUSINESS ADDRESS: PO.Box 2683.Waco, TX 76702'2683. UNDERWRITING LIMITATION bl: $2,1on.nuo.SURETY LICENSES o/lAR, NM, OK, TX. INCORPORATED IN: Texas, |wrEGRAND ASSURANCE COMPANY #26778 BUSINESS ADDRESS: PO Box 70128.San Juan .PR0V830-8128. PHONE: (787) 781-0707n-200. UNDERWRITING LIM11TATION b/: $5,072,000. SURETY LICENSES c,f/: PR, VI. INCORPORATED IN: Puerto Rion. Integrity Mutual Insurance Company (NA|C#1430H BUSINESS ADDRESS: P.0.Box 538,Appleton, WI! 54e12'oo39.PHONE: (920)T34-45n.UNDERWRITING LIMITATION 1$5'374.000. SURETY LICENSES o,0: IL, |& MN, OH, WI. INCORPORATED IN: Wisconsin. International Fidelity Insurance Company {N*UC#115V1q BUSINESS ADDRESS: One Newark Center, Nawmxk, NJo71o2's207. PHONE: 973) 024'7200. UNDERWRITING LIMITAT|ONbk $7.161.000. SURETY LICENSES c.8:AL, AK, AZ, AR, CA, CO, CT, DE, DC, FL, GA, GU, H|' 0, IL, IN, IA, KS, KY LA, ME, MD, MA, MI, MN, MS, MU, MT, NE, NV, NH, NJ, NM, NY No, ND, OH, OK, OR, PA, FIR, RI, SC, 80.TN, TX, UT VT, VA, VI, WA, WV, VV|'YYY INCORPORATED IN: New Jersey, |RoN0HORE INDEMNITY INC. BUSUNEGGADDREGG: P.O. 8OX34U7. NEW YORK. NY1UO88. PHONE: (617)357'9500. UNDERWRITING LIMITATION b/: $9.923.UOO.SURETY LICENSES u.f/: AL, AK, AZ, AR, CA' CO, CT, I DC. FL. GA, GU, HU, 0. |L, IN, IA, KS, KY LA, ME, MID, MA, M|, MN, M8, MO, MT, NE, NV, NH, NJ, MM. NY, NC, ND, OH, OK, pR, PA, PR. R|. SC, SD.TN, TX, UT, VT, VA, WA, WV, VN. WY. INCORPORATED IN: Minnesota. ISLAND INSURANCE COMPANY, LIMITED #22845) BUSINESS ADDRESS: PD.Box 152O,Honolulu, H|9s8Us-152o.PHONE: (000)ss4-aoUV, UNDERWRITING LIMITATION bi: $11,553,000. SURETY LICENSES c,f/: HL INCORPORATED IN: Hawaii. t '��&�L�p t,-Bick'ro,Top m t -Ba k]b Top LEXNGT8NNATIONAL INSURANCE CORPORATION ooAIC#M BUSINESS ADDIRO. BOX $A98.LuTHERV|LLE.MID 210V4.PHONE: (410)625'0800. UNDERWRITING LIMITATION b/:*1.930'000. SURETY LICENSES o'f/:AL, AK, AZ, AR, CA, CO,CT, DE, DC, FL, GA, HI, |IIL, IN, IA, KS, KY, LA, ME, MD, MA, MI, MN, MS, MO, MT, NE, NV, NH, NJ, NM, NY, NC, 0li, 0K OR, PA, n]. SC, oQ.TN, Tx, LIT, VT, VA, WA, WV, WI, WY. INCORPORATED IN: Florida. BUSINESS ADDRESS: 100O2Shelbyville Suite 10n.Louisville, Kv4o2z3.PHONE: (615)553-9500. UNDERWRITING LIMITATION b/:$w.8omq80.SURETY LICENSES c,f/:AL, AK, AZ, AR, CA, CO, CT, DE, DC, FL, CA, GU, HI, ID. IL, IN, IA, KS, KY, LA, ME, MD, MA, MI, IVIN.MS, IMP, MT, NE, NV, NJ, NM, NC, ND, OH, OK, OR, PA, RI, SC, SD.TN, TX, UT, VT, VA, WA, WV, WI, WY. INCORPORATED IN: Texas. Liberty Insurance Corporation (NAIC BUSINESS ADDRESS: 175,Berkeley Street, Boston, MAo2l1e.PHONE: (ol7) 3e7-3500.uNOERVVR|T|NG LIMITATION V$z4.5n7.Ug0.SURETY LICENSES o.h:AL, AK, AZ, AR, CA, CO, CT, DE, DC, FL, GA, GU, HI, |Q. |L. IN, |A, MS. KY, U\ ME, MID, MA, M|, MN' MS, MO, MP, MT, ME, INH, NJ, NM, NY, WC. ND, OH, OK' OR:,PA, PR, RI, SC, SD, TN, TX, UT, VT, VA, WA, WV, WI, WY. INCORPORATED |NIIllinois, Liberty Mutual Fire Insurance Company BUSINESS ADDRESS: 1nsBerkeley Street, Boston, MA#/116.PHONE: (017)357-9500.UNDERWRITING LIMITATION b/: $131,117.000, SURETY LICENSES cjh AL, AK, AZ, AR, CA, CO, CT, DE, DC, FL, GA, GU, HI, ID, ||. IN, IA, KS, KY, IME, MD, MA, MI, MN, MIS.MO, MP, MT, NE, NV, NH, NJ, NM, NY, NC, ND.OH, OK, OR, PA, PR, RI, SC, 0D.TN, TX, UT, VT, VA, VI, WA, WV, WI, WY. INCORPORATED IN: Wisconsin. Liberty Mutual Insurance Company (NAIC #a3043) muS|wsSS ADDRESS: 175Bwmm Street, Boston, MAu2116.PHONE: <017>357-9500.UNDERWRITING LIMITATION W: $1.122.392.008. SURETY LICENSES njtAL, AK, AZ, AR, CA, CO, CT, DE, DC, PL`GA, HI, IID, 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, SO, TIN, TX, LIT, VT VA, VI, WA, WV WI, WY, INCORPORATED IN: Massachusetts. LM Insurance Corporation (NAIC #33600) BUSINESS ADDRESS: 475 Berkeley Street, Boston, MA 02116, PHONE: (617) 357-9500. UNDERWRITING LIMITATION bl: $11,649,000. SURETY LICENSES c,f/: AL, AK, AZ, AR, CA, CO, CT, DE, DC, FL, GA, GU, HI, IID, 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, RI, SC, SO, TN, TX, UT VT VA, VI, WA, WV, WI, WY. INCORPORATED IN: Illinois, t, _ ag�ck'lb Top T, Manufacturers Alliance Insurance Company (NAIC #36897) BUSINESS ADDRESS: P.O. Box 3031, Blue Bell, PA 19422 - 0754. PHONE: (610) 397-5000. UNDERWRITING LIMITATION bl: $7,684,000. SURETY LICENSES c,fl: AL, AK, AZ, AR, CO, CT, DE, DC, ID, IN, KS, KY, LA, ME, MD, MI, MS, MO, MT, NE, NV, NH, NJ, NM, NY, NC, OH, PA, RI, SC, SO, TN, LIT, VT, VA, WA, INCORPORATED IN: Pennsylvania. MARKEL INSURANCE COMPANY (NAIC #38970) BUSINESS ADDRESS: 4521 Highwoods Parkway, Glen: Allen, VA 23060. PHONE: (80,0) 431-1270 x-3888, UNDERWRITING LIMITATION bl: $40.924,000. SURETY LICENSES c,f/: AL, AK, AZ:, AR, CA, CO, CT, DE, DC, FL, GA, H1, ID, IL, IN, IA, KS, KY, LA, ME, MID, MA, MI, MN, MS, MO, MP, MT, NE, NV, N,H, NJ, NM, NY, NC, NO, OH, OK:, OR, PA, PR, RI, SC, SO, TN, TX, UT, VT, VA, WA, WV, WI, WY. INCORPORATED IN: Illinois. Massachusetts Say Insurance Company (NAIC #22306) BUSINESS ADDRESS: 440 LINCOLN STREET, WORCESTER, MA 01653 - 0002, PHONE: (508) 853-7200. UNDERWRITING LIMITATION bk $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, IRI, SC, SO, TN, TX, VT, VA, WA, WV, WI, WY. INCORPORATED IIN: New Hampshire. Merchants Bonding Company (Mutual) (NAIC #14494) BUSINESS ADDRESS: RO BOX 14498, DES MOINES, IA 50306 - 3498. PHONE: (515) 243-8171. UNDERWRITING LIMITATION b/: $11,213,000. 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, IVIL 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. Merchants National Bonding, Inc. (NAIC #11595) BUSINESS ADDRESS: P.O. Box 14498, DES MOINES, IA 50306 - 3498. PHONE: (516) 243-8171. UNIDERWRIITING LIMITATION bl: $1,557,000, SURETY LICENSES,c,f/: AL, AIII AZ, AR, CO, CT, DE, DC, FL, GA, HI, ID, IL, IN, I:A, KS, KY, LA, ME, MD, MA, MI, MN, MS, MO, MT, NE, NV, NJ, NM, NY, NC, NO, OH, 01<, OR, PA, PR, RI, SC, SO, TN, TX, UT, VT, VA, WA, WV, W1, WY, INCORPORATED IN: Iowa. Michigan Millers Mutual Insurance Company (NAIC #14508) BUSINESS ADDRESS: P. 0, Box 30060, Lansing, MI 48909 - 7560, PHONE: (517) 482-6211 x-:5115. UNDERWRITING LIMITATION bl: $5,999,000. SURETY LICENSES c,M AZ, AR, CA, CO, GA, ID, IL, IN, IA, KS, KY, MI, MN, MO, MT, NE, NY, NC, ND, OH, OK, OR, PA, SO, TN, VA, WA, WI, WY. INCORPORATED IN: Michigan. Mid -Century Insurance Company (NAIC #21687) BUSINESS ADDRESS: P.O. BOX 4402, WOODLAND HILLS, CA 91365, PHONE: (323) 932-3200, UNDERWRITING LIMITATION b/: $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, NC, ND, OH, 0K, OR, PA, SO, TN, TX, LIT, VT, VA, WA, WI, WY. INCORPORATED IN: California. MID-CONTINENT CASUALTY COMPANY (NAIC #23418) BUSINESS ADDRESS: P.O. Box 1409, Tulsa, OK 74101, PHONE: (918) 587-7221, UNDERWRITING LIMITATION b/: $16,224,000. SURETY LICENSES c,fl: AL, AZ, AR, CO, CT, IL, IN, I& KS, KY, LA, ME, MN, MS, MO, MT, NE, NJ, NM, NC, OH, OK, PA, SC, TN, TX, UT, VA, WA, WY, INCORPORATED IIN: Ohio. Motorists Commercial Mutual Insurance Company (NAIC #13331) BUSINESS ADDRESS: 471 East Broad Street Columbus, OH 43215. PHONE: (614) 225-8211 UNDERWRITING LIMITATION b/: $14,747,000, SURETY LICENSES c,fl: AZ, CA, CO, CT, DE„ DC' GA, ID, IL, IN, 11A, KS, KY, ME, MD, MA, MI, MN, MO, 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 ft Ohio. Motorists Mutual Insurance Company (NIAIC #14621) BUSINESS ADDRESS: 471 East Broad Street, Columbus, OH 43215, PHONE: (614) 225-8211. UNDERWRITING LIMITATION bh $46,067,000. SURETY LICENSES c,fl: IN, KY, MI, OH, PA, WV. INCORPORATED IN: Ohio. Motors Insurance Corporation (NAIC #22012) BUSINESS ADDRESS: 500 WOODWARD AVE, 14TH FLOOR, DETROIT, MI 48226, PHONE: (313) 656-5437. UNDERWRITING LIMITATION b/: $86,776,000. SURETY LICENSES c,f/: AL, AK, AZ, AR, CA, CO, CT, DE, DC, FL, GA, IHI, ID, IIL, 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: Michigan. Munich Reinsurance America, Inc. (NAIC#10227) BUSINESS ADDRESS: 555 COLLEGE ROAD EAST - P.O. BOX 5241, PRINCETON, NJ 08543, PHONE: (oo9)24s4zO0.UNDERWRITING LIMITATION b/: $3e2.667.000, SURETY LICENSES *,fY: AL, AK, AZ, AR, CA, CO, CT, DE, DC, FL, GA, H|. |D. |L. IN, IA, KS, KY, |A. ME. MD, M4, M|, MN, MS, MO, MT, NE, NV, NH, NJ, NM, NY, NC, ND, OH, OK, OR, PA, PR, RI, SC, yID.TN, TX, UT, VT, VA, WA, WV, WI, VVY INCORPORATED IN: Delaware. t--Back To,, � bg ",T National American Insurance Company BUSINESS ADDRESS: PO. Box o.Chandler, OK74O34 PHONE: 58-0804. UNDERWRITING LIMITATION W:$6^7eo.VVn.SURETY LICENSES o.f/:AL, AK, AZ, AR, CA, CO, CT, DC, FL, GA, HI, ID, L.IN, IA, KS, KY, LA, ME, MD, MI, MN, MS, MO, MT, NE, NV, NJ, NM, NY, NC, ND, OH, OK, OR, PA, RI, SC, SD, National Casualty #11991} BUSINESS ADDRESS: ONE WEST NATIONWIDE BLVD,1-04-701.OQLUMBU8QH4o215-2ozn,PHONE: LIMITATION b/: $14.077,0DD,SURETY LICENSES u,f/:AL, AK, AZ, AR, CA, CO, CT, me. oo, p|. GA. H|. |D. |L. IN, IA, KS. KY LA, ME, MD, MA, MI, MN, MS, MO, MT NE, NV, NH, NJ. NM, NY, NC, IND,OH, OK, OR, PA, RI, SC, SD, TN, TX, LIT, VT, VA, WA, WV, WI, VVYINCORPORATED IN: Ohio. NATIONAL FARMERS UNION PROPERTY AND CASUALTY COMPANY <NA|C#1 1 BUSINESS ADDRESS: One General Drive, Sun Prairie, vv|naono.PHONE: (608) 825-51e0.uN0ERWR|T|NG LIMITATION b/: *4.213^000. SURETY LICENSES o,V:AL, AK, AZ, AR, CA, CO, DE' UC, GA' H|. |0. |L. IN, V\. KS, KY, LA, ME, MD, MA, MI, MN, MS, MO, MT, NE, NV, NH, NJ, NY, NC.ND, OH, OK, OR, PA, RI, SC, SO, TN, TX, UT VT, VA, WA, WV, WI!, WY. INCORPORATED IN: Wisconsin. National Fire & Marine Insurance Cu BUSINESS ADDRESS: 1314 Douglas Street, Suite 1400. Omeho, NEUG102- 1944 PHONE: 16'3O00. UNDERWRITING LIMITATION b/: $71*^72o.0OU.SURETY LICENSES o'f/:NE, INCORPORATED IN: Nebraska, National Fire Insurance Company nfHartford <NA|C#20478> BUSINESS ADDRESS: 1NN,FRANKLINST.CH|C&GD.|Lao6no.PHONE: 312p822'500O, UNDERWRITING LIMITATION, b/:$11.79B'O0O.SURETY LICENSES c.f/:AL, &K.AZ, AR, CA, CO, CT, DE, DC, FL, GA, H|'ID, IL, IN, IA, KS, KY, LA, ME, MID, MA, MI, MN, MS, MO, MT, NE, NV, NH, NJ, NM, NY, NC, National I#20087 BUSINESS ADDRESS: 1314 Douglas Street, Suite 14D0.Omaha, NE881Uz 1944. PHONE: , UNDERWRITING LIMITATION o/: $1o.a15.22Q,00U.SURETY LICENSES Of: AL, AK, AZ, AR, CA, CO, CT, DE, ou. FL, GA, |D, ||' IN, IA, KS, KY, LA. ME, MID, MI, MINI, MS, MO, MT NE, NV, NH, NIM.NC. ND, OH, OK, OR, PA, RI, SC, SD, TN, TX, UT, VT, VA, WA, WV, WI, WY. INCORPORATED IN: Nebraska. National Liability Fire Insurance Company (NA #20 BUSINESS ADDRESS: 1314DuuNao Street, Sn|k* 1400. pmmhm. NEo81o2 -1o44. PHONE: (402)e16-3000. UNDERWRITING LIMITATION W: $124.$27.000. SURETY LICENSES o.f/:AL, AK, CA, CT, DE, DC, HU,ID, IL, m^KS, KY, MD, MA, MI, MS, MO, NE, NH, NJ, NM, NY, ND, OH, OK, RI, SC, GD.TX, UT, VT, VA, WA, WY. INCORPORATED IN: ConnenUou. National Surety Corporation <NAIC#21881 BUSINESS AoDRESS� 225V%YYA8H|mGY0NSTREET, SUITE 1ono.cH|CAmO.|L0O88g-3484.PHONE: (o8*)4a6'7u8».UNDERWRITING LIMITATION b/:*7.a01.Ou0.SURETY LICENSES o.0:AL, AK.AZ, AR, CA, Co. CT, 0E. DC, FL, GA, GU, H|. |D. |L. IN, |A. un. KY, L&, ME, MD, MA, MI, MN, MS, MO, MT, Ne, NV, NM, NJ, MM.NY, NC, ND, OH, OK, OR, PA, PR, RI, GC,SD, TN, TX, UT, VT, VA, WA, WV, WI, WY. INCORPORATED IN: Illinois. NATIONAL TRUST INSURANCE COMPANY (NA|C#2o141) BUSINESS ADDRESS: 03O0University Parkway, Sarasota, FLO4o4O-0424.PHONE: 8Oo>228'azo4, UNDERWRITING LIMITATION b/: $3.781.000. SURETY LICENSES c.V:AZ, DC, FL' GA. |L' IN, IA, KY, |A. MD. MI, MS, MO, NE, NC, OK, PA, SC, TN, TX. INCORPORATED IN: Indiana. National Union Fire Insurance Company ofPittsburgh, #19445) BUSINESS ADDRESS: 1/uWATER STREET, loTnFLOOR, NEW YVnn.mY1ooae.PHONE: p12>770 7000.UNDERVVRUT|NGL|M|TAT0Nh/:*643.11e.008. SURETY LICENSES o.f/:AL, AK.AZ, AR, CA, CO, CT DE, DC, FL, GA, GU, M|. |n. ||. IN, IA, KS, KY, LA, ME, MD, MA, M|, 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, WY. INCORPORATED |N:p*nnaylvoNa. Nationwide Insurance Company BUSINESS ADDRESS: ONE WEST NATIONWIDE Bn/D,1'04'?01.COLUmBUS,OH4az1s-222U.PHONE: (614)249'1545, UNDERWRITING LIMITATION W:$1$.Y03.0V0.SURETY LICENSES c,8: AL, AZ, AR, CA, CO, CT, DE, DC, FL, GA, Y0. 8L. IN, IA, KS, KY, LA, ME, MD, MA, M], MN, MS, MO, MT, NE, NV, NH, NJ. NM. Nationwide Mutual Insurance Company (NAIC #23787) BUSINESS ADDRESS: ONE WEST NATIONWIDE BLVD., 1-04-701, COLUMBUS, OH 43215 - 2220. PHONE: (614) 249-7111 . UNDERWRITING LIMITATION b/: $1,142�,701i,000. SURETY LICENSES c,f/: AL, AK, AZ, AR, CA, CO, CT, DE, DO, FL, GA, HI, ID, IL, IIN, IA, KS, KY, LA, ME, MID, MA, MI, MN, MS, MO, MT, NE, NV, NH, NJ, NM, NY, NO, ND, OH, OK, OR, PA, RI, SO, SO, TN, TX, UT, VT, VA, VI, WA, WV, WI, WY. INCORPORATED IN: Ohio. NAVIGATORS INSURANCE COMPANY (NAIC #42307) BUSINESS ADDRESS: 400 Atlantic Street, 8th Floor, Stamford, CT 06901. PHONE: (203) 905-6090, UNDERWRITING LIMITATION b/: $105,656,000. SURETY LICENSES e,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, SO, SO, TN, TX, UT, VT, VA, WA, WV, WI, WY, INCORPORATED IN: New York. New Hampshire Insurance Company (NAIC #23841) BUSINESS ADDRESS: 175 WATER STREET, 18TH FLOOR, NEW YORK, NY 10038, PHONE: (212) 770- 7000. UNDERWRITING LIMITATION bl: $18,518,000, SURETY LICENSES c,f/: AL, AK, AZ, AR, CA, CO, CT, DE, DO, 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, OR, PA, FIR, RI, SC, SD, TN, TX, UT, VT, VA, WA, WV, W1, WY, INCORPORATED ft Illinois. NGM Insurance Company (NAIC #14788) BUSINESS ADDRESS: 56 WEST STREET, KEENE, NH 03431. PHONE: (904) 380-7282. UNDERWRITING LIMITATION bl: $98,934,000. SURETY LICENSES e,f/: AL, AZ, AR, CO, CT, DE, DC, FL, GA, ID, IL, IN, IA, KS, KY, LA, ME, MD, MA, MI, 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: Florida, NORTH AMERICAN SPECIALTY INSURANCE COMPANY (NAIC #29874) BUSINESS ADDRESS: 5200 METCALF AVENUE, OVERLAND PARK, KS 66202 - 1391, PHONE: (913) 676- 5200. UNDERWRITING LIMITATION bl: $23,900,000. SURETY LICENSES c,V: 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, RII, SO, SO, TN, TX, UT, VT, VA, VI, WA, WV, WI, WY. INCORPORATED IN New Hampshire. NOVA Casualty Company (NAIC #42552) BUSINESS ADDRESS: 440 LINCOLN STREET, WORCESTER, MA 01653 - 0002. PHONE: (508) 853-7200. UNDERWRITING LIMITATION b/: $8,858:,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, NO, ND, OH, OK, OR, PA, RI, SO, SD, TN, TX, LIT, VT, VA, WA, WI, WY INCORPORATED IN: New York. Z Ohio Casualty Insurance Company (The) (NAIC #24074) BUSINESS ADDRESS: 175 Berkeley Street, Boston, MA 02116. PHONE'. (617) 357-9500, UNDERWRITING LIMITATION b/: $158,673,000. SURETY LICENSES c,V: AL, AK, AZ, AR, CA, CO, CT, DE, DO, FL, GA, HI, 113, IL, IN, A, KS, KY, ILA, ME, MD, MA, M11, 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: New Hampshire. Ohio Farmers Insurance Company (NAIC #24104) BUSINESS ADDRESS: P.O. Box 5001, Westfield Center, OH 44251 - 5001. PHONE: (330) 887-0101. UNDERWRITING LIMITATION b/: $233,,551,0100. SURETY LICENSES c,f/: AL, AZ, AR, CO, DO, DE, FL, GA, IL, IN, IA, KY, LA, MID, MA, MI, MN, MS, MO, MT, NE, NV, NJ, NM, NY, NO, ND, OH, OK, PA, RI, SC, SD, TN, TX, UT, VA, WA, WV, W1, WY. INCORPORATED IN: Ohio. Ohio Indemnity Company (NAIC #26565) BUSINESS ADDRESS: 250 E. Broad St., 7th Floor, Columbus, OH 43215 - 0000. PHONE: (614) 228-2800. UNDERWRITING LIMITATION bt: $4,546,000. SURETY LICENSES cj/: AL, AK, AZ, AR, CA, CO, CT, DE, DC, FL, GA, HI, ID, 111L, IN, 11A, KS, KY, LA, ME, MID, 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. Ohio Security Insurance Company (NAIC #24082) BUSINESS ADDRESS: 175 Berkeley Street, Boston, MA 02116. PHONE: (617) 357-9500, UNDERWRITING LIMITATION b/: $1,498,000, SURETY LICENSES 01: AL, AK, AZ, AR, CA, CO, CT, DE, DO, FL, GA, ID, IL, IN, 11A, KS, KY, LA, ME, MD, MA, Ml:, 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: New Hampshire. Oklahoma Surety Company (NAIC #23426) BUSINESS ADDRESS: P.O. Box 1409, Tulsa, OK 74101,, PHONE: (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 (NAIC #40231) BUSINESS ADDRESS: 55 WEST STREET, KEENE, NH 03431. PHONE: (904) 380-7282. UNDERWRITING LIMITATION b/: $3,606,000. SURETY LICENSES cjh CT, DE, FL, GA, ME, MD, MA, NH, NY, NO, 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 hl:*agm30,0o0.SURETY LiCEWSESo,fl: AL, AK, AZ, AR, CA, CO, CT, DE, DO, FL, GA, ID, IL, IN, AKS, KY, LA, ME, MID, MA, MU^MIN, MS, MO, MT, NE, NV, NH, NJ, NM, NY, NO, ND, ON Republic|nsurance Company (NAIC#24147) euS|mesSAoDRe3S� Ro, Box 70o'Greensburg, PA15801 0789.PHONE: (724 UNDERWRITING L|M|TAT|DMh/: $114,117.uuo.SURETY LICENSES c.f/:AL, AK, AS, AZ, AR, CA, CO, CT, DE. DO, FL, GA, GV.H|. |D. |L. IN, 1a. KS, KY, LA, Me, MD, M8 M|, MM'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: Pennsylvania. Old Republic Surety Company (NAIC #40444) 8uSVWBSS ADDRESS: PI).BOX 1G35.M|LyY8UKEE.VV|5D2O1-1635.PHONE: (262)797-2640. uNQERVVRITANGLIMITATION bl:$7,04G�U0.SURETY LICENSES x,fl: AL, AZ, AR, CA, CO, DO, FL, GA, ID, |L, IN, |A. K8. MD, IVIN, MG, M8, MT NE' NV, NM, NO, ND, OH, OK, OR, P\ SO, SID.TN, TX, UT, VA, Vva. WV, WI, WY. INCORPORATED IN: Wisconsin. BackZoIop p t �wk]o]bf) Pacific Indemnity Company (NAIC #203464) BUSINESS ADDRESS: 202B Hall's M:illl Road, Whitehouse Station, NJAV*@g.PHONE: (2]5) 60'1000. umoEmvVnDlNG LIMITATION h/: $315,85n0O0SURETY LICENSES o,ft:AL, AK, AZ, AR, CA, CO, CT, DE 0O. FL, GA, H|^ |D. |L, 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, ISO, SD, TN, TX, UT, VT, VA, WA, WV, WI, WY. INCORPORATED IN: Wisconsin, PACIFIC INDEMNITY INSURANCE COMPANY BUSINESS ADDRESS: 34mWEST (7BR|EWDRIVE, HAG/TNA.GU9Go1o.PHONE: (071)477-18G3. UNDERWRITING LIMITATION b/:*2.345.o00.SURETY LICENSES n.ft:GU, MP. INCORPORATED IN: Goam PARTNER RE|NGQRANCECQMP4NY0FTHE U.8.yNA|C #38636) BUSINESS ADDRESS: 20OFirst Stamford Place, Suite 4oV.StmmK,rd.CT0G902.PHONE: (203)4854200� UNDERWRITING LIMITATION bl: $122.636.000. SURETY LICENSES r.K:�AL, AZ, CA, CO, DO, IL, KS, MI, PARTNERREINSURANCE COMPANY opNEW YORKUNAIC#1VVV BUSINESS ADDRESS: 200 First Stamford Place, Suite 400, Stamford, CT 06902, PHONE: (203) 485-4200. UNDERWRITING LIMITATION W: $01.932'00$. SURETY LICENSES o,0:AL, AZ, CA, CO, DE, DO, ID, IL, IN, iA'KS, KY, MD, MI, MN, MS, MT, NE, NJ, NM, NY, ND, OH, OK, OR, PA, RiSO, SD, TX, UT, VT, VA, WA, WV, WI. INCORPORATED IN: New York. Pekin Insurance CNAC BUSINESS ADDRESS: zmomCOURT STREET, rEKUN.IL8155m-8no1.PHONE: (3o8)340'11«1. UNDERWRITING LIMITATION b/:$1@.231.0OU.SURETY LICENSES c.ft: AZ. IL, IN, IA, MI, 0H.VVi INCORPORATED IN: Illinois. Pennsylvania Manufacturers Indemnity #41424) BUSINESS ADDRESS: Rw.Box 0001,Blue Bell, pu1942z'n7s4.PHONE: (610)3*7'5000, UNDERWRITING LIMITATION b/�$8.0S2.QO0.SURETY LICENSES u.V: AL, AK, AZ, AR, CO, CT, DE, DO, ID, IN, KS, KY, LA, ME, MD, MI, MS, MO, MT, NE, NV, NH, NJ, NM, NY, NO, OH, PA, RI, SO, SD, TN, UT, VT, VA, WA. INCORPORATED IN: Pennsylvania. Pennsylvania Mnnufa=tvmm'Asmou|odomInsurance Company (NA|C#1z2Ozg BUSINESS ADDRESS: PO.Box a031.Blue Bell, PA18422 nrn4.PHONE: (a1V)oo7'so0$. UNDERWRITING LIMITATION b/:*34.384.O0o.SURETY LICENSES o.l�AL, AK, AR, CO, CT, DE, DC, FL, GA, H|.ID, IL, IA, KS, KY, LA, ME, MID, MA, M|.MS, MO, MT, NE, NV, NH, NJ, NM, NY, NO, OH, OK, PA, RI, SO, SD, TN, TX, UT, VT, WA, WV, INCORPORATED IN: Pennsylvania. Pennsylvania National Mutual Casualty Insurance Company (NA|O#14nmn) BUSINESS ADDRESS: PO.Box 2tO1,Harrisburg, pA171Q5-2301.PHONE: (717)234'4941, UNDERWRITING LIMITATION b/:$G4,n1o.ono.SURETY LICENSES ^.K�AL, AS, AZ, AR, CO, CT, DE, DO, FL, GA, ID, IL, IN, IA, KS, KY, LA, ME, MD, MA, MI, MN, MS, MO, MT, NE, NJ, NIvI'NY, INC, OH, OK, OR, PA, PHILADELPMIA INDEMNITY INSURANCE COMPANY BUSINESS ADDRESS: One Bala Plaza East, Suite ln0 8a| -14o3.PHONE: 7xa0,UNDERWRITING LIMITATION 1$ca1.6a7.ono. SURETY LICENSES u.f/:AL, AK, AZ, AR, CA, CO, CT DE, DC, FL, GA, HY.ID, |L.IN, U».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, s0.TN, TX, UT, VT, VA, WA, WV, WI, WY. INCORPORATED |N� PLA[TE RIVER INSURANCE COMPANY (mA|c#1VG1N BUSINESS ADDRESS: P/O. Box S900Madison, VN587O5-09UU.PHONE: (608)8284200. UNDERWRITING 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, RI, SC, SD, 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 43215. PHONE: (614) 464-5000, UNDERWRITING LIMITATION bl: $2,769,000. SURETY LICENSES c,(/: AL, AK, AZ, AR, CA, CO, CT, DE, DC, FL, GA, HI, ID, III-, 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. ProCentuiry Insurance Company (NAIC #21903) BUSINESS ADDRESS: 550 Polaris Parkway, Westerville, OH 43082. PHONE: (614) 895-2000. UNDERWRITING LIMITATION b/: $5,833,000. SURETY LICENSES Mh AK, AZ, AR, CA, DE, DC, GA, 1L, IN, 11A, KS, LA, MD, MA, M11, MN, MS, MO, MT, NE, NV, NJ, NM, NY, ND, OK, OR, PA, SC, SD, TX, UT WV, WI, 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 bl: $212,481,000. SURETY LICENSES c,V: AL, AK, AZ, AR, CA, CO, CT, DE, DC, FL, GA, HI, ID, IL, IN, IA, KS, KY, LA, ME, MID, MA, MI, MN, MS, MO, MT, NE, NV, NH, NJ, NM, NY, NC, NID, OH, OK, OR, PA, RI, SC, SD, TN, TX, UT, 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,fl: AK, AZ, CA, CO, CT, DE, DC:, GA, HI, ID, IN, ]A, KS, KY, LA, ME, MD, MIN, MS, MO, MT, N,E, NV, NJ, NM, NY, NC, ND, OH, OK, OR, RI, SC, SD, TN, TX, LIT, VA, WA, WV, WI. INCORPORATED IN: Ohio. Protective Insurance Company (N!AIC #12416) BUSINESS ADDRESS: 111 Congressional Blvd., Suite 500, Carmel, IN 46032. PHONE: (317) 636-9800 x- 7433. UNDERWRITING LIMITATION bP $28,733,000, SURETY LICENSES c,f/: AL, AK, AZ, AR, CA, CO, CT, DE, DC, FL, GA, HII, ID, IL, IN, IIA, 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: Indiana, Protective Property & Casualty Insurance Company (NAIC #35769) BUSINESS ADDRESS: 14755 North Outer Forty Rd., Suite 400, St. Louis, MO 63017, PHONE: (636) 536- 5600, UNDERWRITING LIMITATION bl: $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, MD, 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. t Back To Top QBE Insurance Corporation (NAIC #39217) BUSINESS ADDRESS: One General Drive, Sun Prairie, WI 53596, PHONE: (608) 825-5160. UNDERWRITING LIMITATION b/: $67,799,000, SURETY LICENSES c:,f/: AL, AK, AZ, AR, CA, CO, CT, DE, DC, FL, GA, HI, ID, IL, IN, 11A, 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: Pennsylvania. '0 Regent Insurance Company (NAIC #24449) BUSINESS ADDRESS: One General Drive, Sun Prairie, W1 5,3596. PHONE: (608) 825-5160. UNDERWRITING LIMITATION b/: $3,221,000, SURETY LICENSES c,fl: AL, AK, AZ, AR, CA, CO, DE, DC, FL, GA, HI, ID, IL, IN, A, KS, KY, LA, MID, MA, ML MN, MS, MO, MT, NE, NV, NH, NJ, NY, NC, ND, OH, OK, OR, PA:, RI, SC, SD' TN, TX, UT, VT, VA, WA, WV, WI, WY. INCORPORATED IN: Wisconsin. Republic - Franklin Insurance Company (NAIC #12475) BUSINESS ADDRESS: P. O. Box 530, Utica, NY 13503 - 0530, PHONE: (315) 734-2000. UNDERWRITING LIMITATION b/: $5,460,000. SURETY LICENSES c,(/: CT, DE, DC, GA, IL, IN, KS, MD, IMA, MI, NH, NJ, NY, NC, OH, PA, RII, 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 1-11MITAT11ON b/: $73,602,000. SURETY LICENSES o,f/: AL, AK, AZ, AR, CA, CO, CT, DE, DC, FL, GA, GU, HI, ID, IL, IN, IIA, KS, KY, LA, ME, MID, 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, VI, WA, WV, Wi, WY. INCORPORATED IN: Illinois. Roche Surety and Casualty Company, Inc. (NAIC #42706) BUSINESS ADDRESS: 4107 N HIMES AVE 2ND FLOOR, TAMPA, FL 33607. PHONE: (813) 623-5042. UNDERWRITING LIMITATION bl: $979,000, SURETY LICENSES c,f/: AL, AK, AZ, AR, CT, DE, FL, GA, HI, ID, IN, IA, KS, LA, MID, 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. INCORPORATED IN: Florida, Rockwood Casualty O (NAIC #3,550 BUSINESS ADDRESS: ss4Main Street, Rockwood, PAi55sr.PHoNE1$4)9264e61.UNDERWRITING LIMITATION W:*12.0o1.0oo, SURETY LICENSES c.K:AL, AK, AZ, AR, CO, DE, DC, FL, GA, HiID, IL, IN, IA, KS, KY, LA, ME, MD, MA, MI, MN, MS, MO, MTNE, NV, NH, NJ, NM, NY, NC, ND, OH, OK, OR, PA, RI, SC, SID, TX, LIT, VT, VA, WA, WV, WI, WY. INCORPORATED IN: Pennsylvania. t -lBa � ���P SAFECO Insurance Company of America BUSINESS ADDRESS: 175 Berkeley Street, Boston, wmozlln.PHONE: (617)357-9500. UNDERWRITING LIMITATION b/:$1sU.328.O0Q.SURETY LICENSES 0/�AL, AK, AZ, AR, CA, CO, CT, DE, DC, FL, GA, GU, HI, ID, IL, IN, I&KS, KY, LA, ME, MID, MA, MI, MIW^MS, MO, MT, NE, NV, NH, NJ, NM, NY, NC, ND, OH, OK, OR PA, R|, SC, SD.TN, TX UT, VTVA, WA, WV, WI, WY. INCORPORATED IN: New Hampshire, Safety National Casualty Corporation (NA| #15105) BUSINESS ADDRESS: 18328ohuotzRoad, Gt. Luuiu, MOoa14s-3s40. PHONE: (314)995-5308� UNDERWRITING LIMITATION t/: $z08.1V2.omU,SURETY LICENSES c.ftAL, AK, AZ, AIR, 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, Pm, PR R|, SC, GD^TN, TX, UT, VT, xA, VI, WA, WV, WI, WY. INCORPORATED IN: Sagamore Insurance Company BUSINESS ADDRESS: 111 Congressional Blvd., Suite 500, Carmel, IN 46032, PHONE: (317) 636-9800 x- 7433. UNDERWRITING LIMITATION b/: $13,304,000. SURETY LICENSES 01: AL, AK, AZ, CO, CT DE, DC, SECURA|WSVRAWCE, A Mutual Company (NAIC #2254 BUSINESS ADDRESS: pn. Box a1n.Appleton, vv|o4e1z'on1S.PHONE: (ezn)73»'310i, UNDERWRITING LIMITATION bl: $43'174.000,SURETY LICENSES cj/: AZ. AR, CO, ID, IL, IN, IA' KS, KY, mLMN, MO, MT, NE, NV, NM, ND, OH, OK, OR, PA, oo'TN, LIT, WA, WI, WY. INCORPORATED IN: Wisconsin. Selective Insurance Company of America BUSINESS ADDRESS: *nvwAmnxsEAVENUE, BRANCMVLLE.NUn78eo.PHONE: (973)948-3000. UNDERWRITING LIMITATION bj:*s0,967,U0o.SURETY LICENSES o.�AL, AK, AZ, CT, DE, DC, GA, IL, IN, IA, KS, KY, MID, MA, MI, MN, MS, MO, MT, NE, NJ, NY, NC, ND, OH, OR, PA, RI, SC, SD, TN, TX, VA, WA, WV, WI, WY, INCORPORATED IN: New Jersey. Seneca Insurance BUSINESS ADDRESS: 160vvater Street, New York, NY1on3n'4922.PHONE: (212)344-3000, UNDERWRITING LIMITATION uc$1*.o*m,0no.SURETY LICENSES u.f/:AL, AK, AZ, AR, CA, CO, CT, DE. DC, FL, GA, H|,ID, IL, IN, IA, KS, KY, LA, ME, IVID^MA, MU.MN, MS, MO, MT, NE, NV, MH.NJ, NM, NY, NC, No, OH, OK, OR, P\ PR, R|, 8C, SD, TN, T( UT VT VA, VVA, WV, N0. WY. INCORPORATED IN: New York. Sentry Insurance AMutual: Company (NAUC#z4yVw) BUSINESS ADDRESS: 180oNORTH POINT DRIVE, STEVENS POINT, VVn54481'oO2o.PHONE: (71s)x4s' 6000.UNDEnWR|T|mGLKM|T7AUDNb/�:$491.451,000.SURETYL|CEmGEGojf:AL.xK.Az.8R.CA,CO.CT DE, DC, FL, GA, HI, ID, IL, IN, IA, KS, KY, LA, ME, MID, MA, MI, MN, MS, MO, MT, NE, NV, NH, NJ, NM, NY, NC, NO, OH, OK, OR, PA, RI, SC, 8ID.TN, TX, LIT, VT, VA, WA, WV, WI, VYYINCORPORATED IN: Wisconsin. Sentry Select Insurance Company (NAIC #21180 BUSINESS ADDRESS: 1ooONORTH POINT DRIVE, STEVENS POINT, VV|541a1-oV20,PHONE: 715) 34$- 0000.UNDERWRITING LIMITATION b/: $22.674.moO.SURETY LICENSES ^.f/:AL, AK, AZ, AR, CA, CO, CT, DE, DC, FL, GA, HU.ID, IL, IN, IA, KS, KY, LA, ME, MID, MA, MI, MN, MS, MO, MT, NE, NV, NH, NJ, NM, NY, SERVICE INSURANCE COMPANY (NAIC#385O0 BUSINESS ADDRESS: 7o2OBERLIN ROAD, RALE|GH.NC27ona-0000,PHONE: (91o)u3y180u, UNDERWRITING LIMITATION b/:$4^732.&UO.SURETY LICENSES OPAL, AK, A7.AR, CA, CO, CT, DE, DC' FL, GA, HI, ID, IL, IN, IA, KS, KY, LA, ME, MD, MA, MI, MN, MS, MO, MP, MT, NE, NV, NH, NJ, NM, NY, NC, wD.OH, OK, OR, PA, RI, SC, SD, TN, TX, UT, VT, VA, WA, WV, W.WY. INCORPORATED IN: Florida. SERVICE INSURANCE COMPANY INC. BUSINESS ADDRESS: 8UMAIN STREET, WEST ORANGE, Ngo70s2.PHONE: »73 731-7$50. UNDERWRITING LIMITATION b/: $829�.000. SURETY LICENSES x.V:CT, DE, DC, FL, MD, MA, NH, NJ, NY, NC. PA, RI, VA. INCORPORATED IN: New Jersey, S|R|Ua&MEmUoAINSURANCE COMPANY (NAUC#%u77m) BUSINESS ADDRESS: 140BRO4DVVAY'32NDFLOOR, NEW YDRK.NY1O8U5-1108. PHONE: (212)31z- 250uUNDERWRITING, LIMITATION t/:$s2.1m1.000.SURETY LICENSES c,f/:AL, AK, AZ, AR, CA, CO, DE, DC, GA, HI, ID, IL, IN, IA, KS, KY, LA, MD, MA, MI, MS, MO, MT, NE, NV, NH, NJ, NM, NY, NC, ND, CH, OK, OR, PA, RI, SC, SU,TN, TX, UT, VT, VA, WA, WV, WI, WY, INCORPORATED IN: Now York. SOUTHWEST MARINE AND GENERAL INSURANCE COMPANY (NAIC#1 BUSINESS ADDRESS: 41zMt. Kemb|oAve, Suite 3OOC.Morristown, NJo79so.PHONE: (a8o)774'27s5, UNDERWRITING LIMITATION b/: $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, NO, 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 (NAIC #24767) BUSINESS ADDRESS: ONE TOWER SQUARE, HARTFORD, CT 06183. PHONE: (860) 277-0111. UNDERWRITING LIMITATION bl: $416,622,000. 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, 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,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, 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 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, INC, 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 01: AL, AK, AZ, AR, CA, CO, CT, DE, DC, FL, GA, Hl, 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. 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 c,fl: AL, AK, AZ, AR, CA, CO, CT, DE, DC, FL, GA, Hl, 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: 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,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: 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,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, Rl, SC, SD, TN, TX, UT, VT, VA, WA, WV, WI, WY. INCORPORATED IN: Texas. State Auto Property and Casualty Insurance Company (NAIC 925127) BUSINESS ADDRESS: 518 EAST BROAD STREET, COLUMBUS, OH 43215. PHONE: (614) 464-5000. UNDERWRITING LIMITATION bl: $68,704,000. SURETY LICENSES c,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, NE, NV, NJ, NY, NO, 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 925135) BUSINESS ADDRESS: 518 EAST BROAD STREET, COLUMBUS, OH 43215. PHONE: (614) 464-5000, UNDERWRITING LIMITATION bl: $49,057,000. 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, 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. State Farm Fire and Casualty Company (NAIC #25143) BUSINESS ADDRESS: ONE STATE FARM PLAZA, BLOOMINGTON, IL 61710. PHONE: (309) 766-2311. UNDERWRITING LIMITATION b/: $1,771,019,000. 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, 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. 0. Box 46126, Jacksonville, FL 32232 - 5126. PHONE: (800) 849-6140. UNDERWRITING LIMITATION b/: $12,837,000. SURETY LICENSES c,fl: 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 #10916) BUSINESS ADDRESS: 1330 POST OAK BLVD, SUITE 1100, HOUSTON, TX 77056, PHONE: (713) 812-0800, UNDERWRITING LIMITATION b/: $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 OFAMERICA BUSINESS ADDRESS: 1»1N.FRANKL|NST..CHIC8go,|L0o0OO.PHONE: (312 UNDERWRITING LIMITATION bl:Q704,00O.SURETY LICENSES u0tAL, AZ, AR, CA, CO, DE, DC, GA, |m. IL, IN, KS, MN, MO, MT, NE, NV, NM, NY, ND, OK, OR, SC, GD.TN, TX, UTWV, WY. INCORPORATED IN: SvuthD«kutm. Swiss Reinsurance America Corporation BUSINESS ADDRESS: 175KING STREET, ARMQNK.NY1O584'1888.PHONE: UNDERWRITING LIMITATION b/: $a34.nm5.008,SURETY LICENSES c.f/: AL, AK, AZ, AR, CA, CO, CT, DE. DC, FL, GA, HI, ID, IL, IN, VA.KS, KY, LA, ME, MD, MA, MI, MN, MS, MO, MT, NE, NV, NH, NJ, NM, NY, NC, T TRANSATLANTIC REINSURANCE COMPANY (NAIC #19453) BUSINESS ADDRESS: One Liberty Plaza, 165 Broadway, NEW YqRK, NY1n00m. PHONE (212)365-2zU. UNDERWRITING LIMITATION bt$479.8ys,0nO.SURETY LICENSES c,V:AK, AZ, AR, CA, CO, DE, DC, GA, ID, IL, IN, IA, KS, KY, LA, MI, MN, MS, NE, NV, NJ, NM, NY, OH, OK, PA, GD.UT, WA, WI. INCORPORATED, IN: New York. TravelersCasualty BUSINESS ADDRESS: ONE TOWER SQUARE, HARTFoRo.CTm6183.PHONE: (860277-0111. UNDERWRITING LIMITATION h/: $423.498^000. SURETY LICENSES ^.8: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, SU.TN, TX, UT, VT, VA, VI, WA, WV, WI, WY, INCORPORATED IN: ConnemiCLAL Travelers #31194 BUSINESS ADDRESS: ONE TOWER SQUARE, HARTFORn.CTo01x3.PHONE: N6O 277-0111, UNDERWRITING LIMITATION W:*201.o84.O00.SURETY LICENSES c.f/:AL, AK, AZ, AR, CA, CO, CT, DE, DC, FL, GA, GU, III, ID, IL, IN, IA, KS, KY. LA, ME, MID,MI*.MI, MN, MS, MO, MT, NE, NV, NH, NJ, NM, NY, NC, ND, OH, OK, OR, P\ PR. R|. SC, SO, TN, TX. UT, VT, VA, VI, WA, WV, WI, WY. INCORPORATED IN: Connoo0nu«. Travelers Casualty Company of America BUSINESS ADDRESS: ONE TOWER SQUARE, M8RTFOR0.CT0s1O0.PHONE: 77-0111. UNDERWRITING LIMITATION b/:$58.2O9.O0O. SURETY LICENSES n.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, ND, OH. 0K, OR, P\ RI, SC, GQ. TN, TX, UT, VT, VA, WA, VVY WI, WY. INCORPORATED IN: Connecticut, Travelers Indemnity BUSINESS ADDRESS: ONE TOWER SQUARE, uxnTponm.CT0a183.PHONE: 11. UNDERWRITING LIMITATION h/:*0x2.022.o00. SURETY LICENSES ".V: AL, AK.AZ, AR, 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, OR. OR, PA, PR, RI, SC, SD'TN. TX, UT, VT, VA, WA, WV, WI, WY. INCORPORATED IN: Connecticut. TRAVELERS INDEMNITY COMPANY BUSINESS ADDRESS: ONE TOWER SQUARE, HARTF0R0.CT86181PHONE: (800)277-0111, UNDERWRITING LIMITATION N:*17.8Ve.0On.SURETY LICENSES c'0:AL, AK, AZ, AR, CO, CT, DC, FL, GA, HI, ID, IL, IN, |A.KS, KY, LA, MD, MA, MI, MN, MS, MO, MT, NE, NV, NH, NJ, NM, NY, NC, ND, OH, OK, OR, P\ R|. eO. TN, TX, UT, VT, VA, WA, WV, WI, WY. INCORPORATED IN: Connecticut. Travelers Indemnity Comof Connecticut #25682 BUSINESS ADDRESS: ONE TOWER SQUARE, HARTFoR0.CTo61xa.PHONE: (860) 277-0111. UNDERWRITING LIMITATION b/:$3a^us1.oun.SURETY LICENSES c.A:AL, AK, AZ, AR, CA, CO, CTDE, DC, FL. G*, H|. 8u. |L. IN, |A. KS, KY, LA, ME, M0, MA, MI, MN, MG, MO, MT NE, N\( NH, NJ, NM, NY, NO, ND, OH, OK, OR, PA, PR, RU.SC, SD, TN, TX, UT, VT, VA, VI, WA, WV, WI, WY. INCORPORATED ft Travelers Property Casualty Companyof Arnerica BUSINESS ADDRESS: ONE TOWER SQUARE, HARTFORD.CT0O7O3.PHONE: . UNDERWRITING LIMITATION b/: $4a'5O2.8OO.SURETY LICENSES u,R:AL, AK, AZ, AR, CA, CO, CT, DE, DC, FL, GA, HI, ID, IL, IN, IA, KS, KY, LA, ME, MID, MA, MI, MN, MS, MO, MR MT, NE, NV, NH, NJ, NM, NY, t -Bar.;k FbJb�:2 vk U.SInsurance Company BUSINESS ADDRESS: 1o4waNorthwest Freeway, Houston, 3K77o40.PHONE: (7 UNDERWRITING LIMITATION bt$s0.784.nUO.SURETY LICENSES nJtAL, AK, AS, AZ, AR, CA, CO, CT, DE, DC, FL, GA, HI, ID, IL, IN, IA, KS, KY, LA, ME, MD, MA, M|, MIN, MS, MO, MT NE' NV, NH, NJ, NM. NY, UNITED CASUALTY AND SURETY INSURANCE COMPANY (NAIC #36226) BUSINESS ADDRESS: 292 Newbury Street, Suite 105. Boston, MA 02115 PHONE: (617) 471-1112. UNDERWRITING LIMITATION b/: $800,000. SURETY LICENSES 01: AK, AZ, AR, CO, CT, DE, DC, FL, GA, HI, ID, IL, IN, IA, 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, WY. 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,f/: AL, AK, AZ, AR, CA, CO, DC, FL, GA, HI, 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, SC, SD, TN, TX, LIT, VT, VA, WA, WV, WI, WY. INCORPORATED IN: Iowa. UNITED FIRE & INDEMNITY COMPANY (NAIC #19496) B,US,INIESS ADDRESS: P.O. (BOX 73909, CEDAR RAPIDS, IA 5,2407 - 3909. PHONE: (319) 3,99-5700. UNDERWRITING LIMITATION b/: $1,835,000. SURETY LICENSES c,fl: AL, CO, IN, KY, LA, MS, MO, NM, TX INCORPORATED IN: Texas. United States Fidelity and Guaranty Company (NAIC #25887) BUSINESS ADDRESS: ONE TOWER SQUARE, HARTFORD, CT 06183. PHONE: (860) 277-0111, UNDERWRITING LIMITATION b/: $98,682,000, 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, PIR, RI, SC, SD, TN, TX, LIT, VT, VA, VI, WA, WV, WI, WY. INCORPORATED IN: Connecticut. United States Fire Insurance Company (NAIC #21113) BUSINESS ADDRESS: 305 Madison Avenue, Morristown, NJ 07962. PHONE: (973) 490-6600. UNDERWRITING LIMITATION b/: $130,226,000. 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, 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, NH, NJ, NY, NC, OH, PA, Rl, SC, TN, 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 b/: $6,,425,000. SURETY LICENSES o:,f/: PR. INCORPORATED 11N: Puerto Rico. 'Universal Surety Company (NAIC #25933) BUSINESS ADDRESS: RO. Box 80468, Lincoln, NE 68501. PHONE: (402) 435-4302. UNDERWRITING LIMITATION bl: $19,154,0,00. SURETY LICENSES 01: AZ, AR, CO, ID, IL, IN, IA, KS, KY, MI, MN, MO, MT, NE, NM, ND, OH, OK, SC, SD, TX,, UT, WA, WI, WY, INCORPORATED IN: Nebraska. UNIVERSAL UNDERWRITERS INSURANCE COMPANY (NAIC #41181) BUSINESS ADDRESS: 1299 ZURICH WAY, 5TH FLOOR, SCHAUMBURG, IL 60196 -1056. PHONE: (847) 606-6000, UNDERWRITING LIMITATION b/: $32,037,000, SURETY LICENSES c,fl: AL, AK, AZ, AR, CA, CO, CT, DE, DC, FL, GA, HI, ID, IIL, IN, IA, KS, KY, LA, ME, MD, MA, MI, MN, MS, MO, MT, NE, NV, NH:, NJ, NM, NY, NC, NID, OH, OK, OR, PA, RII, SC, SID, TN, TX, UT, VT, VA, WA, WV, WI, 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 bl: $87,857,000. 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: New York. t_ Back To Top MA 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 01: TX. INCORPORATED IN: Texas. Vigilant Insurance Company (NAIC #20397) BUSINESS ADDRESS. 202B Hail's Mill Road, Whitehouse Station, NJ 08889. PHOINE: (215) 640-1000. UNDERWRITING LIMITATION b/: $33,198,000, SURETY LICENSES c,f/: AL, AK, AZ, AR, CA, CO, CT, DE, DC, FL, GA, HI, ID, IL, IN, IA, KS, KY, LA, ME, MD, MA, MI, MN, MS, MO, MT, NE, NV, NH, INJ, NIM, NY, NC, ND, OH, OK, OR, PA, IRI, SC, SD, TN, TX, UT, VT, VA, VI, WA, WV, WI, WY. INCORPORATED IN: Now York. ,t BakTo]op W Washington International' Company BUSINESS ADDRESS: 5200 METCALF, OVERLAND PARK, KS e6202-1391PHONE(91 676-5200, UNDERWRITING LIMITATION u«$a.zw4.00u.SURETY LICENSES c,v:AL, AK, AZ, AR, CA, CO, CT, DE, DC, FL, GA, GU, IH|.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, P\ PR, R|. GC, SO, TN, TX, UT, VT, VA, VI, WA, WV, WI, WY. INCORPORATED ftW*w Hampshire. West American Insurance BUSINESS ADDRESS: 17wBerkeley Street, Boston, NNo2110.PHONE: 3574580,UmDERVVRUT|NG LIMITATION b/:$n.1zo.000.SURETY LICENSES ".0/: AL, AK, AZ, AR, CO, CT, DE, DC, FL, GA, ID, IL, IN, IA, KS, KY, LA, 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, VA, WA, WV, WI, WY, INCORPORATED |Ni Indiana. WEST BEND MUTUAL INSURANCE COMPANY 54 BUSINESS ADDRESS: 1SOQSouth 18thAvenue, West Bend, VNSaon5.PHONE: 2s2) 334-5571, UNDERWRITING LIMITATION b/: $184.114'000. SURETY LICENSES uJ/: |L. IN, |A. KG. KY, MI, MN, MO, NE, OH, PA, TN, WI, INCORPORATED IN: VVsuonm|n. Westchester Fire Insurance Company (NAIC# BUSINESS ADDRESS: 43OWalnut Street, PO.GoxtU8O.Philadelphia, PA1g1OG. PHONE: C215>04o-100V. UNDERWRITING LIMITATION b/: $22.345^080. SURETY LICENSES o.K: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, NO, OH, OK, OR, PA, PR, RI, SC, SO, 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 14V5,M|mNEAPOL|S.MN5544U.PHONE: (85a) 835'5»bo. UNDERWRITING LIMITATION b/: $40.99B'0O0.SURETY LICENSES c,f/:AK, AZ, AR, CA, CO, DE, ID, IL, IN, IA, KS, KY, MID, Mk.MN, MO, MT, NE, NV, NJ, NM, NO, OM'OK, OR, PA, R8.SO, TX, LIT, WA, WI, WY. INCORPORATED IN: Minnesota. Western Surety Company BUSINESS ADDRESS: 151m.pn*msumsT,CHKCAGO.|LMU8UG.PHONE: (312) 82-5000. UNDERWRITING LIMITATION h/: $151'958.QU8.SURETY LICENSES u.f/:AL, AK, AZ, AR, CA, CO, CT, DE, RC, FL, GA, H|. 0^ |L. IN, 8A. KS, KY, LA, ME, MD, MA, MI, MN, MS, MO, MT NE. NV, NH, NJ, NM, NY NC, PA,mD,0H. 0K. OR. �PR. R|. SC. SO, TN, TX, UT VT, VA, WA, WV, WI, WY. INCORPORATED IN: South Dakota. Westfield Insurance Company <NA|O#2411 BUSINESS ADDRESS: po.Box nUn1 .VVeatfield Center, Oil 442s1-50&1.PHONE: (330)887-0101, UNDERWRITING LIMITATION b/: $127.843.080. SURETY LICENSES o.f/:AL, AK, AZ, AR, CO, CT, DE. DC' FL, GA. H|. |o' |L, IN, |A. KS. KY, LA, ME, MID, MA, MI, MN, MS, MO, MT, NO, NE, NV, NH, MJ, NM, NY NC. Westfield National Insurance Company #24120> BUSINESS ADDRESS: RO.Box snn/.Westfield Center, OH44251 5001.PHQNE , UNDERWRITING LIMITATION U/:$51.722.0OO.SURETY LICENSES o.f/:AL, AZ, AR, CA, CO, DE, FL, GA, IL, IN. IA, KY, MID, MI, MN, NM, NC, NO, OH'OK, PA, SC, SO, TN, TX, VA, WV, WI, INCORPORATED ft Ohio, Westport Insurance Corporation BUSINESS ADDRESS: »uuoMETCALF AVENUE, OVERLAND PARK, msenzVz 1391.PHONE: (9Uo)*76- 5200,QN0ERWRU|NGL|M|TyT0Nb/:$121,483,080.GURETYL|CEN8ESnjfAL,4N.AZ, AR, CA, CO, CT, DE, DC, FL, GA, GU, H|. KD. [L. IN, IA, KS, KY, LA, ME, MD, MA, M|, MN, Ma, MO, MP, MT, NE, NV, Nil, NJ. NM, NY, NC, NO, OH, OK, OR, PA, PR, RI, SC, SO, TN, TX, UT, VT, VA, VU,WA, WV, WI, WY. INCORPORATED IN: Missouri. R51q�Zp 1-op V XLReinsurance America Inc. #20583) BUSINESS ADDRESS: n}8EAY|EVxAVENUE, sTAMPORD.CTo6o0g.PHONE: UNDERWRITING LIMITATION h/: $173.303.000. SURETY LICENSES o.V:AL, AK, Az, AR, CA, CO, C\DE, DC, FL, GA, H|.ID, IL, IN, IA, KS, KtLA, MID, MA, Mh,MN, MS, MO, MT, NE, NV, NH, NJ, NM, NY, NC, NO, OH, OK, OR, PA, PR, Ry.SC, SO, TN, TX, LIT, VT, VA, WA, WV, WI, WY. INCORPORATED IN: Now York. XL Specialty Insurance Company (NAIC #37885) BUSINESS ADDRESS: 7OSEfV|EVYAVENUE, 8TAWFQR0.CTA8882.PHONE: UNDERWRITING LIMITATION b($31,352.UOQ.SURETY LICENSES u,f/:AL, AK, AZ, AR, CA, CO, CT, DE. DC, FL, GA, GU, HK.ID, IL, IN, IA, KS, KY, LA, ME, MID, MA, MI, MN, MS, MO, MID, MT, NE.NV, NH, NJ, NM, NY, NC, MD.OH. OK, OR, PA, PR, RI, SC, SO, TN, TX, UT, VT, VA, VI, WA, WV, WI, WY. INCORPORATED IN: t,'Back]b'ToQ Y i. Ba.c.k..To —op Z Zurich American Insurance Company (NIAIC #16535) BUSINESS ADDRESS: 1299 ZURICH WAY, 5TH FLOOR, SCHAUMBURG, IL 60196 - 1056. PHONE: (847) 605-6000, UNDERWRITING LIMITATION b/: $694,296,000. SURETY LICENSES cjk AL, AK, AZ, AR, CA, CQ CT, DE, DC, FL, GA, GU, HI, ID, IL, IN, IA, KS, KY, LA, ME, MD, MA, MI, MIN, 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, W1, WY, INCORPORATED IN: New York. t... Ba(* --T� Top ------------ - --- 1r '� :' i A(W w, Fiscal Swim z I'd Ah w: I I V J'< <"'("p'J W, ,OW (Wfpqr mt( i MIWH Part of state Form52414 (R212-13) Form 96 (Revised 2013) Walsh & Kelly, Inc. (Contractor) 24358 SR 23 ___-- (Address) South Bend, IN 46614 FOR PUBLIC WORKS PROJECTS OF City of South Bend Indiana JC Lauber Site Improvements Project No. 118-083B Filed September 20th2 2018 Action taken State Form 52414 (R 19-10) Prescribed by State Board of Accounts Form No. 96 (Revised 2013) CONTRACTOR'S BID FOR PUBLIC WORK — FORM 96 PART 1 (To be completed for all bids. Please type or print) Date (month, day, year): September 20"', 2018 1. Governmental Unit (Owner): City of South Bend, Indiana, 2. County: St.. Joseph 3. Bidder (Firm): Address: City/State: 4. Telephone Number: 5. Agent of Bidder (If applicable): Walsh & Kell 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 City of South Bend, Indiana — Engineering Division and dated August 31, 2018 for the sum of See Attached $ See Attached The undersigned fijrther 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) I, 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. ACCEPTANCE The above bid is accepted this day of subject to the following conditions: Contracting Authority Members: PART II (For projects of $150,000 or more -- IC 36-1-12-4) Governmental Unit: City of South Bend, Indiana Bidder (Firm): Walsh & Kelly, Inc. Date(month, day, year): S=tember206, 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 Com Ieted 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 Have you ever failed to complete any work awarded to you? No If so, where and why? 4. List references from private firms for which you have performed work. Gatlin Plumbing & Heating, Inc. I I I I E. Main St., Griffith IN Ms. Clara Murphy Gough, Inc. 2200 E. 88`' Dr., Merrillville, IN 46410 Mr. Raymond Gough Dyer Construction Co. 1716 Sheffield Avenue Dyer, IN Janet Furman Grimmer Construction Co., Inc. 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 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 Dum s Various Good Griffith, South Bend 48 % 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 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 Ili 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, gill, 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 20th day of W Ysh nI,PORA[F B ° rr tl. e - � S 4/NDI ' KNOWLEDGEMENT STATE OF Indiana ss COUNTY OF St. Joseph Organization) South Bend Area (Title of Person Signing) Before me, a Notary Public, personally appeared the above -named Dustin HAM and swore that the statements contained in the foregoing document are true and correct. Subscribed and sworn to before me this 20th day of September, 2018 Alisha Krueger, Notary Public My Commission Expires: June S, 2022 ALISHA KRUEGFR Notary public, State of Indiana County of Residence: St. Joseph ='i s 4L; - St.Jos.phcounty *: My Commission Expires June o6, 2022 Farm 96 Section 11, #2 Subcontractors Used on Public Works Contracts Du SUBCONTRACTOR the Past 5 Years COMPANY I ADDRESS CITY/STATE/ZIP PHONE j FAX SEWER I B&DSewer Deboer Egolf Delta III Dyer Construction Gatlin Plumbing & Heating Gough, Inc. Grimmer Construction Hasse Construction HRP Construction Rex Construction Wirtz & Yates, Inc. Woodruff & Sons It 11441►10 C.E. Hughes Milling, Inc. Javelina Construction, Inc. Mid America Milling Co. McCrite Milling Snecialties ComDanv 531 Winston Ct 5772 Melton Road 2063 W 1250 S 1716 Sheffield Avenue 1111 E. Main Street 2200 E. 88th Drive 2619 Main Street 10 Lincoln Avenue 5777 Cleveland Rd. 700 Schiller Avenue P.C. Box 41 P.O. Box 450 Schererville, IN 46375 Portage, IN 46368 Hanna, IN 46340 Dyer, IN 46311 Griffith, IN 46319 Merrillville„ IN 46410 Highland, IN 46322 Calumet City, IL 60409 South Bend, IN 46624 Schererville, IN 46375 Kentland, IN 47951 Michigan City, IN 46361 (219) 322-2300 (219) 763-9700 (219) 797-4004 (219) 865-2961 (219) 924-6972 (219) 756-2200 (219) 924-1623 (219 )932-1611 (574)271-7800 (219) 322-8090 (219) 474-6542 f 219) 872-8605 (219) 865-0065 (219) 763-9703 (219) 797-3008 (219) 865-2963 (219) 924-1401 (219) 756-2202 (219) 924-0328 (219) 932-6829 (574)271-0524 (219) 322-0031 8795339 3113 Holmans Lane Jeffersonville, IN 47130 (812) 725-8665 (812) 725-8672 13476 Britton Park Rd. Fishers, IN 46038 (317) 841-8364 (317) 841-0075 6200 W. Hwy 62, Ste 400 Jeffersonville, IN 47130 (812) 282-2751 (812) 283-9846 209 Quality Ave. Ste 9 New Albany, IN 47150 (812) 941-0252 (812) 941-0852 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 Midwestern Electric 1620 E. Chicago Ave East Chicago, IN 46312 SIT Bancroft Electric 25020 State Road 2 South Bend, IN 46619 Sweney Electric Company Trans Tech Electric SIGN INSTALLATION Hawk Enterprises Midwestern Electric RoadSafe Traffic Systems State Barricading, Inc. Traffic ControlSpecialists, Inc. PAVEMENT MARKINGS The Airmarking Company Blackout Sealcoating RoadSafe Traffic Systems State Barricading, Inc. Traffic Control Specialists, Inc. Traffic Management Company TRAFFIC CONTROL RoadSafe Traffic Systems Traffic Control Specialists, Inc. Traffic Management ComDanv IWAjor .Y�7A1U Great American Landscape Hubinger Landscape Slusser"s Green Thumib, Inc. T & J Landscape Service 9111 Louisiana St. 4601 Cleveland Roast 1850 E. North St 1620 E. Chicago Ave 3122 Olympia Dr 24963 U.S. Highway 20 1810 W Pacific Avenue P.O. Box 526 7440 W. 87th Place 3122 Olympia Dr 24963 U.S. (Highway 20 1810 W Pacific Avenue 3542 Hiohwav Avenue 3122 Olympia Dr 1810 W Pacific Avenue 3542 Hiahwav Avenue P.O. Box 235 210 E. 113th Avenue 125 Montgomery Street 8253 Wicker Avenue Merrillville, IN 46410 South Bend, IN 46619 Crown Point, IN 46307 East Chicago, IN 46312 Lafayette, IN 47909 South, Bend, IN 46628 Knox, IN 46534 Rochester, IN 46975 Bridgview„ IL 60455 Lafayette, IN 47909 South Bend, IN 46628 Knox, IN 46534 Hiahland. IN 46322 Lafayette, IN 47909 Knox, IN 46534 Hiqhland, IN 46322 Dyer, IN 46311 Crown Point, IN 46307 Logansport, IN 46947 St. John, IN 46373 (2.19) 662-8090 (219) 397-4444 (574) 287-6490 (219) 769-6007 (574)272-9673 (2.19) 662-8090 (219) 397-4444 (317) 780-1825 (574) 287-2078 (574)772-7001 (574) 223-5817 (219)864-2300 (317) 780-1825 (574) 287-2078 (574)772-7001 (291) 746-2433 (219) 662-8093 (219) 397-8888 (219) 769-0565 (574) 271-0144 (219) 662-8093 (219) 397-8888 574) 772-7002 (574) 223-7959 (708) 430-6910 (574) 772-7002 (317) 780-1825 (574)772-7001 (574)772-7002 (219) 746-2433 (2.19) 32.2-7033 (219) 322-4419 (219) 662-9911 (219) 662-6206 (574)722-3102 (574)722-1628 (219)374-9900 (219)374-9950 GUARDRAIL/FENCING Acorn Fence 2041 164th Street Hammond, IN 46320 (219) 844-8400 (219) 844-8441 C Tech Corporation 5300 W. 100 North Boggstowwn, 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 Georgiiana St. Hobart, IN 46342 (219) 942-9447 (219) 942-9448 Specialties 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 Condon 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 101st Ave. Crown Point, IN 46307 (219) 865-9575 Morris Motor Service, Inc. 10525 W US Hwy 30 Bid Wanatahi, 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. 21189 N 600 W Thorntown, IN 46071 (765) 482-6184 (765) 482-6284 UNDERSEAL Rieth-Riley 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 LLC P.O. Box 245 Dyer, IN 46311 (219) 864-8733 (219) 322-9391 LIME STABILIZATION Mt. Carmel Sand & Gravel 1611 College Dr. Mt. Carmel, IL 62863 (618) 262-5118 (618) 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. 11800 S Ewing Ave Chicago, IL 60617 (773) 978-5000 Quality Saw & Seal, Inc. 7600 W. 79th Street Bridgeview, IL 60455 (773) 767-9300 SEAL COATI NG/STRIPIING Site Services, Inc. 10117 Kennedy Ave Highland, IN 46322 (219) 924-9944 Blackout Sealcoatinig 7440 W. 87th Place Brid,gviewv, IL 60465 (219) 864-2300 (708) 430-6910 UNDERDRAIN 3D Company, Inc. 3200 East CR 350 North Muncie, IN 473013 (765) 288-3326 (765) 288-3344 General Form No. 96-a Prescribed by the State 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 201h 2018 Filed A.E. EOYCE CO., MUNCIE, IND. IA 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 foams 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) Sec, 2, Chapter 306, Acts of 1947. 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 called 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 fund 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 & Kell Inc. 1 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) Asa general contractor 71 years (b) Asa 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? S. 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 4 For what corporation or individuals have you performed work, and to whom do you refer?_ BP Amoco Whitiniz, Indiana Tone & 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 Gough, Inc. 1151 E. Summit Crown Point IN 46307 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 Count Highway Su erintendent Crown Point, IN Porter County Highway Superintendent Valparaiso, IN St. Joseph Count Highway Superintendent South Bend IN Elkhart County Highway Superintendent Elkhart IN LaPorte County Hi hwa Su erintendent LaPorte IN 11. For what State bureaus or departments have you performed work and to whom do you refer? Indiana Department of Trans ortation (INDOD LaPorte District LaPorte IN De artment 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. Arm Corps of Engineers Chicago, IL Indiana National Guard De t. of Administration Indianapolis, IN Federal Highway Administration Sterlin VA 13_ What iS the constriction exnerience of the nrincinal individual of vour organization? INDIVIDUAIJS 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 Manager Jeffrey L. Swan Executive Vice President 34 All Types Supt. Engineering David J. Misirly Vice President 33 Bituminous Paving Engineer Greg A. Hoffinan 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 Ops Mgr 23 All types Engineer Dustin P. Hilary South Bend Area Mgr 18 All types Engineer Mark E. Krachenfels Engineer 28 All types Engineer Keith A. Gardina Engineer 23 All types Engineer Nikolas G. Relias I Engineer I 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. I . 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, GregoGregoKy A. Hoffman Dustin P. Hilary, and Lyan 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 5. *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'/ 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? NIA 13 • Do you propose to rent any equipment for this work?No If so, state type, quantity and reasons for renting 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 20" day of September, 2018 �g.x1i^b , Walsh a4ily, Inc. (Name o r nizati �° •fir' (�I�PQ,4,�7 , a � `� C, ate; By Kun Hila VP of South B Person Signing) STATE OF Indiana������. { Ss. COUNTY OF St. Joseph Dustin HilaU 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 201h day of __&Rtenter 2018 Alisha �uegez•, Notary Public My Commission expires June 5, 2022 ; ALISHA KRUEGER $ A p• " .b Notary Public, state of Indiana €SEAL;"M St, Joseph county ` My Commissionxpiros June 05, 2022