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HomeMy WebLinkAboutOpening of Bids - 2019 Community Crossings Project No 119-015 - Walsh & Kelly IncCITY OF SOUTH BEND, INDIANA CONTRACTOR'S BID FOR PUBLIC WORK Project Name 2019 Community Crossings Project No. 119-015 For Bids Due May 28, 2019, 9:30 a.m., Local Time PART I (Must be completed for all bids. Please type or print) Date: 5/28/19 Bidder (Firm): Walsh & Kelly,, Inc. Address: 24358 SR 23 City/State/Zip: South Bend, IN 46614 Telephone Number: ( 574 ) 288-4811 Agent of Bidder (if Applicable): Pursuant to notices given, the undersigned offers to furnish labor and/or material necessary to complete the public works project of: City of South Bend - 2019 Community Crossings the City of South Bend, Indiana, in accordance with plans and specifications prepared by: Citv of South Bend - Dept. of Public Works and dated for the sum of (enter the Total Bid as shown on the Proposal) One million one hundred six thousand four hundred eight five dollars and ninet five cents $ 1,106,485.95 (Enter sum of all Divisions shown on Proposal) (Numerical) The undersigned further agrees to furnish a bond or certified check with this bid for an amount specified in the notice of the letting. If alternative bids apply, the undersigned submits a proposal for each in accordance with the notice. Any addendums attached will be specifically referenced at the applicable page. If additional units of material included in the contract are needed, t ost of units must be the same as that shown in the original contract if accepted by the City of Sou E If t bid is to be awarded on a unit basis, the itemization of the units shall be shown on a se=ate teach � ant The above bid is accepted this Subject to the following conditions BOARD OF PUBLIC WORKS Gary A. Gilot, President Elizabeth A. Maradik, Member Laura L. O'Sullivan, Member By (sir Austin i[la y VP (Printed Name ACCEPTANCE day of Genevieve E. Miller, Member Therese J. Dorau, Member Attest: Linda M. Martin, Clerk Version 4/2/2019 Contractor's Bid for Public Works - 2 c When the prospective Contractor is unable to certify to any of the statements below, it shall attach an explanation to this Affidavit. CONTRACTOR'S NON -COLLUSION AND NON -DEBARMENT AFFIDAVIT, CERTIFICATION REGARDING INVESTMENT WITH IRAN, EMPLOYMENT ELIGIBILITY VERIFICATION, NON- DISCRIMINATION COMMITMENT AND CERTIFICATION OF USE OF UNITED STATES STEEL PRODUCTS OR FOUNDRY PRODUCTS (Must be completed for all quotes and bids. Please type or print) STATE OF Indian,. ) 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 4/2/2019 Contractor's Bid for Public Works - 4 4. Contractor does not knowingly employ or contract with an unauthorized alien, nor retain any employee or contract with a person that the Contractor subsequently learns is an unauthorized alien. Contractor agrees that he/she/it shall enroll in and verify the work eligibility status of all of Contractor's newly hired employees through the E-Verify Program as defined by I.C. 22-5-1.7-3. Contractor's documentation of enrollment and participation in the E-Verify Program is included and attached as part of this bid/quote; and 5. Contractor shall require his/her/its subcontractors performing work under this public contract to certify that the subcontractors do not knowingly employ or contract with an unauthorized alien, nor retain any employee or contract with a person that the subcontractor subsequently learns is an unauthorized alien, and that the subcontractor has enrolled in and is participating in the E-Verify Program. The Contractor agrees to maintain this certification throughout the term of the contract with the City of South Bend, and understands that the City may terminate the contract for default if the Contractor fails to cure a breach of this provision no later than thirty (30) days after being notified by the City. 6. Persons, partnerships, corporations, associations, or joint venturers awarded a contract by the City of South Bend through its agencies, boards, or commissions shall not discriminate against any employee or applicant for employment in the performance of a City contract with respect to hire, tenure, terms, conditions, or privileges of employment, or any matter directly or indirectly related to employment because of race, sex, religion, color, national origin, ancestry, age, gender expression, gender identity, sexual orientation or disability that does not affect that person's ability to perform the work. In awarding contracts for the purchase of work, labor, services, supplies, equipment, materials, or any combination of the foregoing including, but not limited to, public works contracts awarded under public bidding laws or other contracts in which public bids are not required by law, the City, its agencies, boards, or commissions may consider the Contractor's good faith efforts to obtain participation by those Contractors certified by the State of Indiana as a Minority Business ("MBE") or as a Women's Business Enterprise ("WBE") as a factor in determining the lowest, responsible, responsive bidder. In no event shall persons or entities seeking the award of a City contract be required to award a subcontract to an MBE/WBE; however, it may not unlawfully discriminate against said WBE/MBE. A finding of a discriminatory practice by the City's MBE/WBE Utilization Board shall prohibit that person or entity from being awarded a City contract for a period of one (1) year from the date of such determination, and such determination may also be grounds for terminating the contact for which the discriminatory practice or noncompliance pertains. 7. The undersigned contractor agrees that the following nondiscrimination commitment shall be made a part of any contract which it may henceforth enter into with the City of South Bend, Indiana or any of its agencies, boards or commissions. Contractor agrees not to discriminate against or intimidate any employee or applicant for employment in the performance of this contract with privileges of employment, or any matter directly or indirectly related to employment, because of race, religion, color, sex, gender expression, gender identity, sexual orientation, handicap, national origin or ancestry. Breach of this provision may be regarded as material breach of contract. I, the undersigned bidder or agent as contractor on a public works project, understand my statutory obligations to the use of steel products or foundry products made in the United States (I.C. 5-16-8-1). I hereby certify that I and all subcontractors employed by me for this project will use steel products or foundry products made in the United States on this project if awarded. I understand I have an affirmative duty to notify the City in my bid that my proposal does not include the use of steel products or foundry products made in the United States. I understand it is my sole obligation and responsibility to provide a justification to the City, subject to review and approval, why the cost of United States made steel or foundry products is unreasonable. Prior to award and upon submission of bid which does not use steel products or foundry products made in the United States, the City, through its director of public works, shall make a determination if the price of United States made steel or foundry is unreasonable. I understand that violations hereunder Version 4/2/2019 Contractor's Bid for Public Works - 5 may result in forfeiture of contractual payments. I hereby affirm under the penalties of perjury that the facts and information contained in the foregoing bid for public works are true and correct. Dated this 28th day of May 2019 Wa 'ontrsctorlBid Printed Name and Title idder or Its Agent Subscribed and sworn to before me this 28th day of Ma , 20 19 My Commission Expires 6/5/22 XJ�L A,i o Notary PuNfe Alisha 6rueger County of Residence St. Joseph ALISHA KRUEGER Notary Public, State of Yn'.ld�ruu�a+ z' nfl'At , st, Joseph county '*p My Commission Expires . A�'2�22 ^<✓r r u �w,* i U n e 0 5, Version 4/2/2019 Contractor's Bid for Public Works - 6 PROJECT NAME: PROJECT NUMBER: FOR BIDS DUE: CONTRACTOR NAME: BID/PROPOSAL CITY OF SOUTH BEND 2019 Community Crossings 119-015 May 28, 2019, 9:30 a.m.,(Local Time) Walsh & Kelly, Inc. DIVISION 1: CORBY BLVD. (IRONWOOD TO MANCHESTER) aria° v_u gip% �r Addendum 1 & 2 Item No. Line Item Quantity Unit Unit Price Cost 1 Maintenance of Traffic 1 LS 35,000.00 $35,000.00 2 Mobilization and Demobilization 1 LS 10,000.00 $10,000.00 3 Coring 3 EA 185.08 $555.24 4 Milling, Up to 1.5" 14,400 SY 1.25 $18,000.00 5 Milling, Additional 2" 4,400 SY 1.25 $5,500.00 6 HMA Surface, 9.5 mm — Type B 1,550 TONS 68.00 $105,400.00 7 'HMA Wedge and Leveling — Type B 50 TONS 68.00 $3,400.00 8 HMA for Patching 98 TONS 100.00 $9,800.00 9 Tack Coat 7 TONS 10.00 $70.00 10 Joint Adhesive, Surface 9,100 LF 0.60 $5,460.00 11 Adjust Manhole to Grade 16 EA 50.00 $800.00 12 Adjust Inlet to Grade 7 EA 50.00 $350.00 13 Line, Thermoplastic, Solid, White, 6" 170 LF 1.25 $212.50 14 Line, Thermoplastic, Solid, Yellow, 4" 5,250 LF 0.54 $2,835.00 15 Line, Thermoplastic, Broken, Yellow, 4" 640 LF 0.99 $633.60 16 Grooving for Pavement Markings, 4" 5,890 LF 0.36 $2,120.40 17 Grooving for Pavement Markings, More than 4" 170 LF 0.84 $142.80 18 Concrete Sidewalk, Remove 85 SY 74.00 $6,290.00 BIDDER: Walsh & Kell , Inc. BID/PROPOSAL CITY OF SOUTH BEND PROJECT NAME: 2019 Community Crossings r'a;,, PROJECT NUMBER: 119-015 FOR BIDS DUE: May 28, 2019, 9:30 a.m.,(Local Time) CONTRACTOR NAME: Walsh & Kelly, Inc. Addendum 1 & 2 Item Line Item Quantity Unit Unit Price Cost No. 19 Concrete Sidewalk, 4" 70 SY 80.00 $5,600.00 20 Concrete Curb Ramp, Remove 90 SY 70.00 $6,300.00 21 Concrete Curb Ramp 70 SY 200.00 $14,000.00 12L Detectable Warning Surface 35 SY 110.00 $3,850.00 DIVISION 1 TOTAL $236,319.54 DIVISION 2: JEFFERSON BLVD. (IRONWOOD TO LOGAN) Item Line Item Quantity Unit Unit Price Cost No. 1 Maintenance of Traffic 1 LS 41,000.00 $41,000.00 2 Mobilization and Demobilization 1 LS 21,000.00 $21,000.00 3 Coring 6 EA 185.09 $1,110.54 4 Milling, Up to 1.5" 28,055 SY 1.25 $35,068.75 5 Milling, Additional 2" 3,530 SY 1.25 $4,412.50 6 HMA Surface, 9.5 mm — Type B 2,600 TONS 68.00 $176,800.00 7 HMA Wedge and Leveling — Type B 300 TONS 68.00 $20,400.00 8 HMA for Patching 77 TONS 100.00 $7,700.00 9 Tack Coat 12 TONS 10.00 $120.00 10 Joint Adhesive, Surface 19,174 LF 0.50 $9,587.00 11 Adjust Manhole to Grade 4 EA 50.00 $200.00 BIDDER: Walsh & Kelly, Inc. BID/PROPOSAL CITY OF SOUTH BEND PROJECT NAME: 2019 Community Crossings PROJECT NUMBER: 119-015 FOR BIDS DUE: May 28, 2019, 9:30 a.m.,(Local Time) CONTRACTOR NAME: Walsh & Kelly, Inc. Addendum I & 2 Item Line Item Quantity Unit Unit Price Cost No. 12 Adjust Water Line Structure to Grade 2 EA 45.00 $90-00 13 Adjust Inlet to Grade 12 EA 50.00 $600.00 14 Traffic Detector Loop Replacement 6 EA 411.00 $2,466.00 15 Signal Cable, 2C 16 GA. Shielded 150 LF 1.88 $282.00 16 2" Conduit 60 LF 17.90 $1,074.00 17 Traffic Detector Housing 2 EA 688.00 $1,376.00 18 Pavement Message Markings, Thermoplastic, 30 EA 80.00 $2,400.00 White Lane Indication Arrow 19 Pavement Message Marking, Thermoplastic, 35 EA 310.00 $10,850.00 White, Bic cle and Arrow 20 Line, Thermoplastic, Solid, White, 4" 18,070 LF 0.46 $8,312.20 21 'Line, Thermoplastic, Solid, White, 6" 760 LF 1.25 $950.00 22 Line, Thermoplastic, Solid, Yellow, 4" 8,390 LF 0.52 $4,362.80 23 Line, Thermoplastic, Solid, Yellow, 8" 50 LF 1.95 $97.50 24 Line, Thermoplastic, Solid, Yellow, 12" 424 LF 2.95 $1,250.80 25 Line, Thermoplastic, Broken, Yellow, 4" 1,770 LF 0.65 $1,150.50 26 Line, Thermoplastic, Broken, White, 6" 182 LF 1.25 $227.50 27 Grooving for Pavement Markings, 4" 28,230 LF 0.36 $10,162.80 BIDDER: Walsh & Kelly, Inc. BID/PROPOSAL CITY OF SOUTH BEND PROJECT NAME: 2019 Community Crossingstl �� PROJECT NUMBER: 119-015 FOR BIDS DUE: May 28, 2019, 9:30 a.m.,(Local Time) ONO CONTRACTOR NAME: Walsh & Kelly, Inc. Addendum 1 & 2 Item No. Line Item Quantity Unit Unit Price Cost 28 Grooving for Pavement Markings, More than 4" 1,416 LF 0.85 $1,203.60 29 Transverse Marking, Thermoplastic, Solid Green 132 SY 52.00 $6,864.00 30 Transverse Marking, Thermoplastic, Solid, 250 LF 5.25 $1,312.50 White, 24" 31 Line, Multi -Component, Solid, White, 24" 40 LF 10.25 $410.00 32 Paint, Solid Fill, Green 75 SY 12.25 $918.75 33 Pedestrian Push Button 8 EA 520.00 $4,160.00 34 Concrete Sidewalk, Remove 100 SY 74.00 $7,400.00 35 Concrete Sidewalk, 4" 80 SY 70.00 $5,600.00 36 Concrete Curb Ramp, Remove 80 SY 70.00 $5,600.00 37 Concrete Curb Ramp 80 SY 200.00 $16,000.00 38 Detectable Warning Surface 60 SY 110.00 $6,600.00 DIVISION 2 TOTAL $419,119.74 BIDDER: Walsh & KeIIL, Inc. BID/PROPOSAL CITY OF SOUTH BEND PROJECT NAME: 2019 Community Crossings PROJECT NUMBER: 119-015 FOR BIDS DUE: May 28, 2019, 9:30 a.m.,(Local Time) a�4 CONTRACTOR NAME: Walsh & Kelly, Inc. Addendum 1 & 2 DIVISION 3: LINDEN AVE. (MAYFLOWER TO LOMBARDY) Item Line Item Quantity Unit Unit Price Cost No. 1 Maintenance of Traffic 1 LS 25,000.00 $25,000.00 2 Mobilization and Demobilization 1 LS 6,000.00 $6,000.00 3 Coring 2 EA 185.09 $370.18 4 Milling, Up to 1.5" 8,550 SY 1.35 $11,542.50 5 Milling, Additional 2" 2,570 SY 1.35 $3,469.50 6 Compacted Aggregate Base 75 TONS 25.00 $1,875.00 7 HMA Surface, 9.5 mm — Type B 950 TONS 68.00 $64,600.00 8 HMA Wedge and Leveling —Type B 30 TONS 68.00 $2,040.00 9 HMA for Patching 30 TONS 100.00 $3,000.00 10 Tack Coat 5 TONS 10.00 $50.00 11 Joint Adhesive, Surface 4,620 LF 0.60 $2,772.00 12 Adjust Manhole to Grade 5 EA 50.00 $250.00 13 Adjust Inlet to Grade 7 EA 50.00 $350.00 14 Line, Thermoplastic, Solid, White, 4" 3700 LF 0.54 $1,998.00 15 Line, Thermoplastic, Solid, White, 24" 15 LF 5.95 $89.25 16 Line, Thermoplastic, Solid, Yellow, 4" 210 LF 0.99 $207.90 BIDDER: Walsh & Kelly,Inc. BID/PROPOSAL CITY OF SOUTH BEND 411, �o C�e PROJECT NAME: 2019 Community Crossings lll r�� PROJECT NUMBER: 119-015 V ",'k FOR BIDS DUE: May 28, 2019, 9:30 a.m.,(Local Time) CONTRACTOR NAME: Walsh & Kelly, Inc. Addendum 1 & 2 Item Line Item Quantity Unit Unit Price Cost No. 17 Line, Thermoplastic, Broken, Yellow, 4" 2155 LF 0.54 $1,163.70 18 Grooving for Pavement Markings, 4" 6065 LF 0.55 $3,335.75 19 Grooving for Pavement Markings, More than 4" 15 LF 0.85 $12.75 20 Concrete Sidewalk, Remove 10 SY 74.00 $740.00 21 Concrete Sidewalk, 4" 10 SY 70.00 $700.00 22 Concrete Curb Ramp, Remove 20 SY 70.00 $1,400.00 23 Concrete Curb Ramp 10 SY 200.00 $2,000.00 24 Detectable Warning Surface 7 SY 110.00 $770.00 17-1— DIVISION 3 TOTAL $133,736.53 DIVISION 4: RIVERSIDE DR. (ANGELA TO ACADEMY) Item No, Line Item Quantity Unit Unit Price Cost 1 Maintenance of Traffic 1 LS 50,000.00 $50,000.00 2 Mobilization and Demobilization 1 LS 15,000.00 $15,000.00 3 Coring 6 EA 185.09 $1,110.54 4 Milling, Up to 1.5" 21,360 SY 1.35 $28,836.00 5 Milling, Additional 2" 5,400 SY 1.35 $7,290.00 BIDDER:. Walsh & Kelly,Inc. BID/PROPOSAL CITY OF SOUTH BEND PROJECT NAME: 2019 Community Crossings PROJECT NUMBER: 119-015 FOR BIDS DUE: May 28, 2019, 9:30 a.m.,(Local Time)as " CONTRACTOR NAME: Walsh & Kelly, Inc. Item Line Item Quantity Unit Unit Price Cost No. 6 Compacted Aggregate Base 400 TONS 25.00 $10,000.00 7 HMA Surface, 9.5 mm — Type B 2,208 TONS 70.00 $154,560.00 8 HMA Wedge and Leveling — Type B 60 TONS 70.00 $4,200.00 9 HMA for Patching 55 TONS 100.00 $5,500.00 10 Tack Coat 13 TONS 10.00 $130.00 11 Joint Adhesive, Surface 12,000 LF 0.60 $7,200.00 12 Adjust Manhole to Grade 6 EA 50.00 $300.00 13 Adjust Inlet to Grade 6 EA 50.00 $300.00 14 Line, Thermoplastic, Solid, White, 4" 11,840 LF 0.49 $5,801.60 15 Line, Thermoplastic, Solid, White, 6" 160 LF 1.25 $200.00 16 Line, Thermoplastic, Solid, White, 8" 110 LF 1.95 $214.50 17 Line, Thermoplastic, Solid, Yellow, 4" 12,350 LF 0.49 $6,051.50 18 Line, Thermoplastic, Broken, White, 12" 150 LF 2.95 $442.50 Grooving for Pavement Markings, 4" 24,190 LF 0.35 $8,466.50 E20 Grooving for Pavement Markings, More than 4" 420 LF 0.85 $357.00 21 Concrete Sidewalk, Remove 30 SY 74.00 $2,220.00 22 Concrete Sidewalk, 4" 30 SY 70.00 $2,100.00 23 Concrete Curb Ramp, Remove 20 SY 70.00 $1,400.00 24 Concrete Curb Ramp 20 SY 200.00 $4,000.00 25 Detectable Warning Surface 15 SY 110.00 $1,650.00 DIVISION 4 TOTAL $317,330.14 TOTAL ALL DIVISIONS 1 thru 4 $1,106,505.95 Bidder(Firm):"" I I aialr�� LLB- Address: 9 City/State/Zip Telephone Number: " A ��Q0RATF Addendum 1 & 2 Walsh & Kelly, Inc. 9d'ARR RR 9R 00, VP of South Bend Area (rriniea Name oT rerson zziIgnmg) Sou 11 it . 1316 COUNTY.-C iFy BUILDING PHONE 574/ 235-9251 227 W. JEF F ERSON BouF,EVARD �a� � �� FAX 574/ 235-9171 Soum BEND, fNDIA:NA.46601483G? TDD 574/ 235-5567 1665 CITY OF SOUTH BEND PETE BUTTIGIEG, MAYOR BOARD OF PUBLIC WORKS Date: May 21, 2019 To: All Planholders From Linda M. Martin, Clerk, Board of Public Works Subject Addendum Number: 1 Project Name: 2019 Communi Crossin s Project No.: 119-015 ACKNOWLEDGEMENT OF RECEIPT OF ADDENDUM Date Received: 5/21 /19 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. THIS ADDENDUM MAY AFFECT YOUR BID. Notes: The attached documents are hereby added to the Specifications and Contract Documents and become a part of herein. Company: Walsh & Kelly, In Authorized Signature: stun Hilary, VP of South Bend Area Date: 5/28/19 ()I alp w. 01 1316COUNTY-CITY BUILDING PHONE 574/235-9251 227 W. JEFFERSON BOULEVARD I' I FAX 574/ 235-9171 SOUTH BEND, INDIANA 46601-1830 ""°' TDD 574/ 235-5567 � ar I"kd,411 CITY OF SOUTH BEND PETE BUTTIGIEG, MAYOR BOARD OF PUBLIC WORKS Date: Ma+„22 2019 To: All Planholders ACKNOWLEDGEMENT OF RECEIPT OF ADDENDUM Date Received: 5/22/19 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 bid package upon submittal. Notes: MUST also be included with your THIS ADDENDUM :MAY AFFECT YOUR. BI:D. The attached documents are hereby added to the Specifications and Contract Documents and become a part of herein. Company: .1 !Keller a , f " Authorized Signature: , h Hilary, VP of South Bend Area s �w Date: 5/22/19,a ..._...w �. .......... _, .� . �BS11lib��' 11,1_1111 �,-'j V1"11"1"11"1"11� E11111 Surety 0 + 908.903.3485 202B Halls Mill Road, PO Box 1650 F + 908.903.3656 Whitehouse Station, PU 08889-1650 Federal Insurance Company AIA Document A31OTM ® 2010 Bid Bond i�. Ar reference to Con r. Sur - 4rm�, Pr nr , R I -', . . WMIUMTO alsI , Kelly, Inc. 24358 State Road 23 South Bend, IN 46614 I'VINER (Marne, legal status an d address) City of South Bend, Indiana ' County -City Building Room 1316 227 West Jefferson Blvd. South Bend, Indiana, 46601 BOND AMOUNT Federal Insurance Company 202B Halls Mill Rd., PO Box 1650 WMtehouse Station, Nj 08889-1650 my I I gF.; WROWIM61M ac or 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 eit)rer (1) eTtP-K jTt& 7 r1TTT*!;1jt'E1*r Ora 4'"w. an� ..40. +V.. 0IM"9411 =e,-k-#W71F M;TM pe Finance o suc MAY and for the roM t Ar -F T "11 1 fill, 11^9 an extension beyond sixty (60) days. If this Bond is issued in connection with a subcontractor's bid to a C -A' J44,111- -WRIMM, V-i-MI17P77;7 �jv - o s- e Printed in cooperation with the American Institute of Architects (ALA) by Chubb. The laaguVe in this document conforms to the language used in AUDocumentA310IN-2010. Form 1"2-0575-FED (Rev. 3/17) When this Bond has been furnished to complywith 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 28th C�Aja� LIP (Witness)' .:tsla. Krueger (witness) Lisa M. Becker day of May, 2019. Walsh & Ike , Its B Dustin HilZ. (Pr Ci �R 1T ) u m of South; Bend Area Mile) (CorporateSeai) Federal Insurance Company ` By: (Anorney-in-Fact) ferry R. Hurst nt (Corporate Sea!) Printed in cooperation with the American Institute of Architects (ALA) by Chubb. The language in this document conforms to the language used in AU Document A310 r"- 2010. Form 15-02-0575-FED (Rev. 3/17) CHUBB' Power of Attorney Federal Insurance Company I Vigilant Insurance Company I Pacific Indemnity Company Know All by These Presents, That FEDERAL, INSURANCE COMPANY, an Indiana corporation, VIGILANT INSURANCE COMPANY, a New York corporation, and PACIFIC INDEMNITY COMPANY, a Wisconsin corporation, do each hereby constitute and appoint Tia A. Boice, Terry R. Hurst, Brian T. Morton, David M. 011ger, Robert M. Rutigliano, Christina Marie Schmitter, Tina N. Senefeld and Eric M. Wahlstrom of Indianapolis, Indiana ---- -------------------- - --------- each as their true and lawful Attorney-InTact to execute under such deslgnaiton In their names and to affix their tawrporate wals to and deliver for and on lheir 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 the (:(curse of hosinw, and any snstrunlenis aniendingo'➢• a[teiiiig ihe-ome, and consents to the modification oralterallonorany tnstrument referred to In said Ix)nds or obit tions in Wltness Whercof, said FEDERAL INSURANi E CCIMPANY, VIGILANT INSURANrCE COMPANY, and PACIPIC INIfI;:MNITY COMPANY have each executed, and attested these I)resems and affixed their corporate seals on this 1911 day of January, 201.7, �""M,— I awn M. Ch IOWS, Assistant Secretary Catherine A. 6M4h`ktt,,0We Pre—sident .., STATE OF NEW JERSEY County ofHunterdon &S On this 191" day of January, 2017 before me, a Nolary Public of New Jersey, personally came Dawn M. Chloros, to me known to be Assistant Secretary of FEDERAL INSURANCE COMPANY, VIGILANT INSURANCE COMPANY, and PACIFIC INDEMNITY COMPANY, the companies which executed the foregoing Power of Attorney, and the said Dawn M. Chloros, being by me duly sworn, did depose and say that she is Assistant Secretary of FEDERAL. INSURANCE COMPANY, VIGILANT INSURANCE COMPANY, and PACIFIC INDEMNITY COMPANY and knows the omporate seals thereof, that the seals affixed to the furs%oing Power of Attorney are such corporate seals and were thereto afted by authority of said Companies; and that she signed said Power of Attorney as Assistant Secretary of said Companies by like authority; and that she Is acquainted with Catherine A. Donahue, and knows him to be Vice President of said Companies; and that the signature of Catherine A. Donahue. subscribed to said Power of Attorney Is in the genuine ha ndwrtt ing or CalIterin w,andwastheretosubscribedbyauthorityofsatdCampanlesand1ndeponeni'spresence. 4 Notarial Seal KATHERINE J, ADELAAR4&, ,(LITARy NOTARY PUBLIC OF NEW JERSEY F r� No, 2316885 notary Public PUB In�� Commisslon ExptMS juf�y 18 20 * CENT III A' I Op Resolutions adopted by E Dirktors of FEDERAL INSURANCE COMPANY, VIGILANT INSURANCE COMPANY, and PACIFIC INDEMNITY COMPANY on August 30, 201G: 'RESOLVED, that the following authorlratlons relate to the execution, for and on behalf of die Company. of bonds, undertakings, recognizances, contracts and other wriuen commitments of the Company entered into In the ordinary course of business (each a -Wrtten Commitment"): (1) Each of the Chaitman, the Resident and the Vice Presidents of the Company is hereby authorized to execute any Written Commitment far and on behalf of the Company. under the seal of the Company or otherwise (2) Each duly appointed attorney -In -fact of the Company is hereby authorized to execule any Written Commltment for and on behalf of the Company, under the seal of the Company or otherwise. to the extent that such acdon is authorized by the grant of powers provided for In such person's written appointment as such attorney -in -fact. (3) Each of the Chairman, the Resident and the Vice Residents of the Company is hereby authorized, for and on behalf orihe Company. to appoint in writing any person the anomey- m-thet of the Company wlth full power and authoeitytoexecute, for and on behaifoftheCompany. under the seal of the Company orotherwise, such Written Commirm ents of the Company as may be specifted in such written appointment which spectficailon may be by general type or class of Written Commitments or by sped 11cation of one or more particular Written Commitments. (4) Each of the Chaim an, the Resident and the Vice Residents of the Company is hereby authorized, for and on behalf of the Company, to delegate In writing to any other of = of the Company the authority to execute, for and on behalf of the Company, under the Company's seal or otherwise, such Written Commitments of the Company as are sped0ed in such written delegation,which specification may be by general type or dassof Written Commitments or byspedlication ofone ormore particularWritten Commitments. (5) The signature of any officer or other person executing any Written Commitment or appointment or delegation pursuant to this Resolution, and the seal of the Company, may be affixed by famlm0e on such Wrltlen Commitment or written appointment or delegation, FURTHER RESOLVED, that the foregoing Resolution shall not be deemed to bean exclusive statement of the powers and authority of officers, employees and other persons to act for and on behalf of the Company, and such Resolution shall not limit or otherwise alrect the exercise of any such power or authority otherwise validly granted or vested" I, Dawn M. Chloros, Assistant Secretary of FEDERAL. INSURANCE COMPANY, VIGILANT INSURANCE COMPANY, and PACIPIC 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 in full force and effect, (it) the Companies are drily licensed and authorized to transact surety business In all 50 of the United States of Amerlca. and the District of Columbia and are authorized by the U.S. Treasury Department; further, Federal and Vigilant are licensed In the U.S. Virgin Islands, and Federal is licensed In Guam, Puerto Rico, and each of the Provinces of Canada except Prince Edward Island; and (111) the foregoing Power of Attorney is true, correct and In full force and effect. Given under my hand and seals of said Companies at Whitehouse Station, ICJ, this 28th day of May, 2019. Lu��M , , Dawn M. Chtoros, Assistant Secretary 1N T➢ IF EVENT YOU WISH TO NOTIFY US OF A CLAIM, VERIFY THE AUTHENTICITY OF THIS BOND OR NOTIFY US OF ANY 071 W t, M ATT'PK PUp AS'E CONr ACT US AT: TolerlronS(YC trC tq i)— Fax(908)803.365G cma0: st➢cct u1rls;rohn Form 15-10. 0225B- U GEN CONSENT (rev. 12-16) 13116 s.'iGtlpV P T O � W s d VP11.,211fkwrt,n 227 W ki is u.iksoq IBs )(,Ju vwxIm SOUt'HBUND. I NNANA 466W­B30 Cr oi, u,n.i ffi°Ni) l eta' Bun.'JG1E',G, MAY011 1.30 I .11ll.) OF PUBLIC W. ..1II August 17, 2018 Mr. Dustin Hilary Walsh & Kelly, Inc. 24358 SR 12 South Bend, IN 46614 RE: Pre -Qualification Verification — 2018 Street Paving Dear Mr. Hilary: Po-wOMy ', v" 4/ 235 ° 251 1FAY 741 235 9171 This letter serves as verification of Pre -Qualification status of your company for bidding with the City of South Bend. This Pre -Qualification status is effective for twelve (12) months from the date of this letter. Thereafter you are required to re -submit a complete application for continuation of pre -qualification status prior to December 31 for the upcoming calendar year. A copy of this Verification Letter must be included with every bid exceeding $150,000 submitted to the City of South Bend Board of Public Works, along with your Pre -Qualified Bidder Checklist and attachments. If you have any further questions regarding this matter, please call this office at (574) 235-9251. Sincerely, ]kinds M. 'Martin, Clerk. GAsd.YA Qt,o'r ]DAPVA)R @.CIE°:dos FLIZA13PsTH A. MAassAANK olfAN11 s A, I'll:HgaEass. 3, DGbRAU � 2 w > In w LU � a� ■& wwo ■ IL 0-Zz U) U) ■w 0ma. B F.ww �0w �in � z « � ■ 0 z 9 z O gk _a �a sLU ■� 0 U. ■ s 0 m0 E . & � Co m �/ m� sf r- 2 �£ o kk _\ o ■ a $� k E v § k 2 a2 rf Im § '■ o % �' � c aE 22 r-2 a;% � � -t �$ k� 2 > gz, ■� ■2 _' o0. cn gCD s- o 2©� 2�§ E�k U) MA �/% E z (D (L k E z \ | 0 k 0 d L CL w _ 2 « k k \ \ k 2 k CITY OF SOUTH BEND MINORITY AND WOMEN BUSINESS ENTERPRISE DIVERSITY' DEVELOPMENT PROGRAM w FORM MWBE-2.0 EVIDENCE OF GOOD FAITH EFFORTS This completed form should be included as part of the Bids documents related to City of South Bend Public Works Projects requiring Good Faith Efforts to obtain MBE/WBE 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: 119-015 Date: 5/28/19 Project Name: Community,Crossings Bidder: Walsh & Kelly Inc. Contact Person: Dustin Hila Telephone: 74-28811 Address: 24358 SR 23 City: South Bend State: Indiana Zip: 46614 Email: dustinh walshkell .com To determine whether a bidder has demonstrated good faith efforts to reach the MBENVBE 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 MBENVBE 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 Bend° quires that all perspective bidders complete no less than 2 of the following: Attend all pre -bid meetings scheduled by the City to inform MBENVBEs of contracting and subcontracting opportunities. 2. Advertise in general circulation andlor trade association publications concerning subcontracting 0 opportunities„ and allow MBE/WBEs reasonable time to respond. Perform any and all necessary steps to provide written notice in a manner reasonably calculated to inform MBENVBEs of subcontracting opportunities and allowed sufficient time for them to participate effectively. 4. Utilize pre-existing services of available community organizations, small and/or disadvantaged business assistance offices and other organizations that provided assistance in the recruitment and placement of MBENVBE firms. **Bidder must circle or otherwise notate which of the two (2) required actions were performed. GOOD FAITH NEGOTIATIONS: The bidder negotiated in good faith with interested MBENVBEs, including providing such MBENVBE's with adequate information about the plans, specifications and other requirements of the subcontract and did not reject MBENVBEs as unqualified without sound business reasons based on a thorough investigation of their capabilities. SMALL CONTRACT(S): The bidder selected specific portions of the work to be performed by MBENVBEs in order to increase the likelihood of meeting the MBENVBE goals (including breaking down contracts into smaller units to facilitate MBENVBE participation) CONTRACT RECORDS: The bidder has maintained the following records for each MBENVBE 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 MBENVBE 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 4/2/2019 Contractor's Bid for Public Works - 16 CITY OF SOUTH BEND�r���� MINORITY AND WOMEN BUSINESS ENTERPRISE DIVERSITY DEVELOPMENT PROGRAM'"' ` FORM MWBE-2.1 MBENVBE CONTACTED° ^ This completed form should be supplied with Bids that pertain to City of South Bend Public Works Projects requiring contacted MBE/WBE to obtain Good Faith Efforts. It is the bidder's sole responsibility to verify whether any listed minority or woman business meets the qualifications of a Minority or Women's owned business. PAGE 1 OF 1 Project Number: Project Name: Bidder:, By: 119-015 Cogpunity Crossings alS4Kelly, Inc. ....�-.. VP of Soukl (Title) MBENUBE Firm Traffic Control S eciallsts, Inc. Owner or Contact at MBENVBE Firm Trnrov .I Tricks Telephone: 574-772-7001 Fax: 574-772-7002 TYPE OF WORK SOLICITED FOR THIS PROJECT: MOT & Traffic Devices/Signs RESULTS OF CONTACT WITH THE MBENVBE FIRM: MBE/WBE Participation Goal i;wx b I I K I % �n`ti Pate) m4ea2M � m�u,ROi!+ an. m n+ tlm 0 I wa. u I i es ecillsits.net Subcontractor will perform the work if Walsh & Kelly, Inc. is awarded the project. MBE/WBE Firm Owner or Contact at MBENVBE Firm Telephone: Fax: Email: TYPE OF WORK SOLICITED FOR THIS PROJECT: RESULTS OF CONTACT WITH THE MBENVBE FIRM: Version 4/2/2019 Contractor's Bid for Public Works - 17 CITY OF SOUTH BEND, INDIANA CONTRACTOR'S BID FOR PUBLIC WORK RESPONSIBLE BIDDER CHECKLIST Project Name 2019 Community Crossings Project No. 119-015 For Bids Due May 28, 2019, 9:30 a.m., Local Time Contractor Name: Walsh & Kelly. Inc. The City seeks to enhance its ability to identify responsive and responsible bidders on all City public works projects by institution of comprehensive submission requirements in compliance with State law. Quality workmanship, efficient operation, safety, and timely completion of projects requires that all bidders meet certain minimum requirements to be responsive and responsible bidders. THIS FORM MUST BE SUBMITTED WITH YOUR BID. INSTRUCTIONS: If you are a pre -qualified bidder, complete Section I only. If you are not a pre -qualified bidder, complete Section II only. Section II acts as an application for pre -qualification. Submission of Section II will allow the bidder to be considered for pre -qualification for bids with the City of South Bend Department of Public Works. Pre - qualified bidders will then be exempt from a portion of the submission requirements outlined in Section 6- 63 of The Responsible Bidding Ordinance No. 10694-18 (hereinafter, "Responsible Bidding Ordinance") for a period of twelve (12) months. Thereafter, contractors who are pre -qualified must submit a complete application for continuation of "pre - qualified" standing, on a form provided by the City ("Responsible Bidder Checklist (1) Pre -Qualified Bidders") by December 31 sc 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 3/19/2019 General Conditions - 6 POST BID SUBMISSIONS: Post -bid submissions must be submitted in accordance with Section 6-64 of the Responsible Bidding Ordinance. The post -bid submission requirements are as follows: 1. All bidders shall collect, maintain, and provide upon request, a current written list that discloses the name, address, licensing status, and type of work for any subcontractor from whom the bidder has accepted a bid and/or intends to hire on any part of the public work project, including individuals performing work as independent contractors. 2. Each subcontractor, whose portion of the project is estimated to be at least one -hundred fifty thousand dollars ($150,000.00), shall be required to adhere to the requirements of Section I of the Responsible Bidder Ordinance as though it were bidding directly to the City, except that the subcontractor shall submit the required information (including the name, address, and type of work) to the successful bidder prior to the commencement of work. 3. Failure of a subcontractor to submit the required information shall not disqualify the successful bidder from performing work on the project and shall not constitute a contractual default and/or breach by the successful bidder. However, the City may withhold all payment otherwise due for work performed by a subcontractor, until the subcontractor submits the required information and the City approves such information. 4. The disclosure of a subcontractor list ("Disclosed Subcontractor(s)") to the City by a bidder shall not create any rights in the Disclosed Subcontractor(s). Thus, a bidder may substitute another subcontractor for a Disclosed Subcontractor by giving the City, upon request, written notice of the name, address, licensing status, and type of work of the substitute subcontractor. 5. The successful bidder and all subcontractors on a public works project are required to submit certified payroll utilizing the federal form known as WH-347 or a similar form on a bi-weekly basis, submitted within 10 days after the end of each bi-weekly payroll period. Certified payrolls shall identify the job title and craft for each employee. Certified payrolls shall be submitted electronically. Please Note: Submissions deemed inadequate, incomplete, or untimely by the City may result in the automatic disqualification of the bid. The City, after review of complete and timely submissions, shall, in its sole discretion, after taking into account all information in the submission requirements, determine whether a bidder is responsive and responsible, and provide a Pre -Qualification Verification Letter. The City specifically reserves the right to utilize all information provided in the contractor's submission and any information obtained by the City through its own independent verification of the information provided by the contractor. Version 3/19/2019 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. (iii) X Evidence that I am utilizing a surety company which is on the United States Department of Treasury's Listing of Approved Sureties as required in the bid specifications or contract. (iv) X List of projects of similar size and scope of work performed in all areas, including the State of Indiana, within the last three (3) years. (v) X For every project, submit 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. Version 3/19/2019 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). (ii) _ List identifying all former business names. (iii) _ 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) For every project, submit 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 3/19/2019 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. wg,tl p4t6,"s Walsh & Kelly, Inc, If Name of Company) � 24358 SR 23 k � u a (Address of Company) South Sand (City) Mill Indiana (State) 574-288-4811 (Telephone Number) Version 3/19/2019 General Conditions -10 Responsible Bidding Practices and Submission Requirements for Pre -Approval (b) Attachments (i) Attached (ii) 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 (v) All individuals who will perform worn on the public works project on behalf of Walsh & Kelly, Inc. will be properly classified under applicable state and federal laws and local ordinances. 1��019BY Hilary, VP of South Bend A0 Dated: Mg!y 28 2019 ilap1 rt'3k4Ttlo1 IIaL $Pn^, 6�l6ryw,> uour°Oym IluirurH,1,>List of Certified Companies List of Certified Companies Download the complete listing of fei rlwdffieli Comp i mu „„II 111P', or browse the list below. Also, seeSSdb"VY�r'k:IT, eAirp�0 7ng 10,+Ckcvll.o/0 pI.Q Last updated July 1, 2018 V A Updated July 1, 2018 ACCREDITED SURETY AND CASUALTY COMPANY, INC. (NAIC #26379) BUSINESS ADDRESS: PO Box 140855, Orlando, FL 32814.. PHONE: (407) 629-2131. UNDERWRITING LIMITATION b/: $5,446,000. SURETY LICENSES c,f/: AL, AK, AZ, AR, CA, CO, CT, DE, DC, FL, GA, HI, ID, IL, IN, IA, KS, KY, LA, ME, MD, MA, MI, MN, MS, MO, MT, NE, NV, NH, NJ, NM, NY, NC, NO, OH, OK, OR, PA, RI, SC, SD, TN, TX, UT, VT, VA, WA, WV, WI, WY. INCORPORATED IN: Florida, ACE American Insurance Company j INAIr #776F71 7a11,1};RIr,1Y l PHONE: (717) 657-9671, UNDERWRITING LIMITATION b/: $5,374,000. SURETY LICENSES c,f/: AL, AK AZ, AR, CA, CO, CT, DE, DC, FL, GA, HI, ID, IL, IN, IA, KS, KY, LA, ME, MD, MA, MI, MN, MS, MO, MT, NE, NV, NH, NJ, NM, NY, NC, NO, OH, OK, OR, PA, RI, SC, SO, TN, TX, UT, VT, VA, WA, WV, WI, WY. INCORPORATED IN: Pennsylvania. ALL AMERICA INSURANCE COMPANY (NAIC #20222) BUSINESS ADDRESS: P.O. BOX 351, VAN WERT, OH 45891 - 0351. PHONE: (419) 238-1010, UNDERWRITING LIMITATION b/: $15,662,000, SURETY LICENSES c,f/: AZ, AR, CA, CO, CT, GA, ID, IL, IN, 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) 333-0167 x-269. UNDERWRITING LIMITATION b/: $2,264,000, SURETY LICENSES c,f/: AL, AK, AZ, AR, CA, CO, CT, DE, DC, FL, GA, HI, ID, IL, IN, IA, KS, KY, LA, ME, MD, MA, MI, MN, MS, MO, MT, NE, NV, NH, NJ, NM, NY, NC, NO, OH, OK, OR, PA, PR, RI, SC, SO, TN, TX, UT, VT, VA, WA, WV, WI, WY. INCORPORATED IN: New Jersey, ALLEGHENY SURETY COMPANY (NAIC 434541) BUSINESS ADDRESS: 4217 Steubenville Pike, Pittsburgh, PA 15205. PHONE: (412) 921-3077. BUSINESS ADDRESS: 436 Walnut Street P-O, Box 1000, Philadelphia, PA 19106. PHONE: (215) 640-1000. UNDERWRITING LIMITATION b/: $478,637,000, SURETY LICENSES c,f/: AL, AK, AZ, AR, CA, CO, CT, 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, SO, TN, TX, UT, VT, VA, WA, WV, WI, WY.. INCORPORATED IN: Pennsylvania, ACE Property and Casualty Insurance Company (NAIC #20699) BUSINESS ADDRESS: 436 WALNUT STREET, P..O., Box 1000, Philadelphia, PA 19106. PHONE: (215) 640-1000, UNDERWRITING LIMITATION b/: $296,248,000. 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: Pennsylvania ACSTAR INSURANCE COMPANY (NAIC #22950) BUSINESS ADDRESS: 30 SOUTH ROAD, FARMINGTON, CT 06032. PHONE: (860) 415-8400. UNDERWRITING LIMITATION b/: $2,360,000, SURETY LICENSES c,f/: AL, AK, AZ, AR, CA, CO, CT, DE, DC, 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, SD, TN, TX, UT, VT, VA, WA, WV, WI, WY. INCORPORATED IN: Illinois, Aegis Security Insurance Company (NAIC #33898) BUSINESS ADDRESS: P.O. Box 3153, Harrisburg, PA 17105. -ry v--11— urvu i n 11-4 w,. 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) 5084211,. UNDERWRITING LIMITATION b/: $6,045,000.. SURETY LICENSES c,f/: AL, AZ, AR, CA, CO, CT, DE, DC, FL, GA, ID, IL, IN, IA, KS, KY, ME, MD, MI, MN, M5, MO, MT, NE, NV, NH, NM, NY, ND, OH, PA, RI, SC, SD, TN, TX, UT, VT, VA, WA, WV, WI, WY. INCORPORATED IN: Iowa., Allied World Insurance Company (NAIC #22730) BUSINESS ADDRESS: 199 Water Street, New York, NY 10038, PHONE: (646) 794-0500, UNDERWRITING LIMITATION b/: $59,242,000, SURETY LICENSES 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, SO, TN, TX, UT, VT, VA, WA, WV, WI„ INCORPORATED IN: New Hampshire. Allied World Specialty Insurance Company (NAIC #16624) BUSINESS ADDRESS: 199 WATER STREET, NEW YORK, NY 10038, PHONE: (646) 794-0500. UNDERWRITING LIMITATION b/: $41,919,000. 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, NI. NM. NY. NC. NO. OH. OK. OR. PA. PR. RL 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) 5084211, UNDERWRITING LIMITATION V.)/: $20,982,000 SURETY LICENSES c,f/; AL., AZ, AR, CA, CO, C1, DE, DC, FL, GA, ID, IL, IN, IA, KS, KY,(VIE, MID, MI, MN, ME, MO, MI, NE, No, NM, NY, NC, ND, OH, OR, PA, RE SC, SID, TN, Tx, UT, VT, VA, WA, WV, WI, WY INCORPORATED IN: Iowa, AMERICAN Ail.'FIERNATIVIE INSURANCE CORPORATION (NAIC #19720) BUSINESS ADDRESS: 555 COLLEGE ROAD EAST - P.O. BOX 5241, PRINCEI ON, NJ 08543, PHONE: (609) 243 4200 UNDERWRITING LIMITATION bl: $20,167,000, SURFTY LICENSES c,f/: AT, AK, AZ, AR, CA, co, Cr, DF, DC, F1, GA, HI, ID, 11, IN, IA, KS, KY, LA, MD, MA, MI, MR, MIS, MO, MIT, NE, NV, NH, NJ, RIM, NY, NC, HID, CH, OK, OR, PA, RI, SC, SIT, TN, TX, UT, V1, VA, WA, WV, WI, WY INCORPORATED IN: Delaware, American Automobile insurance Company (NAIC #21849) BUSINESS ADDRESS: 225 W WASHINGTON S TREET, SUITE 1800, CHICAGO, IL 60606 - 3484. PHONE: (8813) 466 7881 UNDERWRITING LIM I TAT ION bl: $7,803,000. SURETY LICENSES c,f/: AL, AK, AS, AR, CA, CO, CT, DE, DC, FL, GA, GU, HI, ID, L, IN, A, KS, KY, LA, ME, IIAD, MA, MI, MIN, ME, MO, MT, NE, NV, NH, NJ, NM, NY, NC, KID, OH, OK, OR, PA, RI, SC SD. TN.. TX U-1, VT, VA, WA WV WI WY American Fire and Casualty Company (NAIC #24066) BUSINESS ADDRESS: 175 Berkeley Street, Boston, MA 02116. PHONE: (617) 35 7 9500, UNDERWRITING LIMITATION b/: $4,070,000, SURETY LICENSES c,f/: AL., AK, AZ, AR, CA, CO, CT, DE, DC, FL, GA, ID, IL., IN, IA, KS, KY, LA, IIAE, MD, MA, MI, MR, MS, MO, MIT, NE, NV, NH, NJ, NM, NY, NC, ND, OH, ON, OR, PA, RI, SC, SD, TN, TX, ITT, VT, VA, WA, WV, All, WY, INCORPORATED IN: New Hampshire. American Guarantee and li.labhfity insurance Company (NAIC #26247) BUSINESS ADDRESS: 1299 ZURICH WAY, 5TH FLOOR, SCHAUMBURG, IL 60196 - 1056. PHONE: (847) 605 6000, UNDERWRITING LIMITATION b/: $18,450,000 SURETY LICENSES c,fl: AL., AV AZ, AR, CA, CO, CT, DE, DC, FL, GA, HI, ID, 11., IN, IA, KS, KY, LA, ME, MD, IAA, MI, MIN, IAS, MO, MT, HE, NV, NH, NJ, NM, NY, NO ND, ON, 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 bt: $623,782,000, SURETY LICENSES cjt: AL,AK, AZ, AR, CA, CO, CT, DE, DC, FL, GA, HI, ID, 11, IN, A, KS, KY, LA, ME, RID, MA, ME MN, ME, MO, MT, NE, NV, NH, NJ, NM, NY, NC, NO, OH, OK, OR, PA, RL SC, SD, TN, TX, UT, VTR VA, WA, WV WL WY INCORPORATED IN: New York American Insurance Company (The) INCORPORATED IN: Missouri, AMERICAN BANKERS INSURANCE COMPANY OF FLORIDA (NAIC #10111) BUSINESS ADDRESS: 11222 QUAIL ROOST DRIVE, M IAMI, FL 33157 - 6596, PHONE: (305) 253 2244. UNDERWRITING LIMITATION Irl: $56,177,000. SURETY I, ICENSES c,f/: AL, AK, AZ, AR, CA, CO, CF, DE, DC, H, GA, HI, 11), IL, IN, IA, KS, KY, LA, ME, MD, MA, ML MN, MS, MO, MT, NE, NV, NH, NJ, NM, NY, NO ND, OH, OR, OR, PA, PR, RI, SC, SD, TN, TX, UT, V1, VA, VI, WA, WV, WL WY INCORPORATED IN: Florida, American Casualty Company of Reading, Pennsylvania (NAIC #20427) BUSINESS ADDRESS: 151 N. Franklin St, CHICAGO, If 60606, PHONE: (312) 822-5000, UNDERWRITING LIMITATION b/: $14,216,000, SURETY LICENSES c,f/: AL., AK, AZ, AR, CA, CO, CT, DE, DC, FL, GA, HI, ID, IL, IN, IA, KS, KY, LA, ME, MD, MR, MI, MN, ME, MO, MIT, NE, NV, NH, NJ, NM, NY, NC, NO, OH, OR, OR, PA, PR, RI, SC, SD, TIN, TX, UT, VI, VA, WA, WV, WI, WY, INCORPORATED IN: Pennsylvania.. AMERICAN CONTPAcroRs [INDEMNITY COMPANY (NAIC #102161) BUSINESS ADDRESS: 801 South Figueroa Street, Suite 700, I. os Angeles, CA 9001T PHONE: (310) 649 0990. UNDERWRITING LIMITATION bl: $12,855,000. SURETY LICENSES c,f/: AL., AK, AZ, AR, CA, CO, C11 DE, DC, FL, GA, GU, HI, ID, L, IN, A, KS, KY, LA, ME, MD, MI, MN, MS, MO, MT, NE, NV, NJ, NM, NY, NO, OH, OK, OR, PA, RI, SC, SD, TN, TX, U1, VA, WA, WV, WI, WY. INCORPORATED IN: California, (NAIC #21857) BUSINESS ADDRESS: 225 W,WASHING TON STREET, SUITE 1800, CHICAGO, 11-60606 -3484' PHONE: (888) 466-7883, UNDERWRITING EimirATION b/: $6,667,000, SURETY LICENSES c,fl: AL, AK, AZ, AR, CA, CO, CT, DE, DC, FL, GA, GU, HI, 11), 11., IN, IA, KS, KY, LA, ME, MD, MA, IVIL MN, MS, MO, MT, NE, NV, Nil, NJ, NM, NY, SIC, ND, OI-L OR, 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,ft: AL, AK, AZ, AR, CA, CO, DE, DC, FL, GA, HI, ID, IL., IN, IA, RE, KY, LA, ME, MD, MA, MIT, MN, MS, MO, MIT, NE, NV, NII, NJ, N11A, NY, NC, ND, OH, OR, OR, PA, RI, SC, SO, TN, TX, UT, VF, VA, WA, WV, WI, WY, INCORPORATED IN: Michigan American Southern insurance Company (NAIC #10235) BUSINESS ADDRESS: P 0 Box 723030, Atlanta, GA 31139 0030. PHONE: (404) 266-9599. UNDERWRITING (..IMITATION bl: $4,335,000 SURETY LICENSES cjl. AL., AZ, AR, CO, DF, DC, FL, CIA, IL, IN, RE, KY, MID, MI, MIN, MS, IIAO, NE, NJ, NY, NC, ON, PA, SC, IN, 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-B700 UNDERWR I FING - I PIT A I ION EV: $1,045,000. SURE FYIL I CENSES c,fl: AL, AK, AZ, AR, CA, CO, (7, DE, DC, FL., GA, IT, 11), R., IN, IA, K;, KY, IIA, VF, ME), AAA, ME, AN, MA AID, MF, NF, NV, PH, NJ, NEA, NY, NC, ND, 01I I, OR, OR, PA, RI, PC, SI), TN, IX, UT, V1, VA, VVA, WV, WY, INCORPORATED IN: Indi.. na, Airnerisure IlinsuulrarEce Collinlip,allny (NAG 91948B� BUSINFS AOE)RFSS: P 0 Box Farmington HiVls, IVB 48:GH 3586 PHONEF: (248) 615 9000 fJNDFRVVF6 FING UIMITA, FION IV$24,179,000 SURE I Y LICE NSES cj/. AL, AT, AZ, AR, CO, DE, DC, FIL, GA, [ fl, 111), L, IN, IIA, KS, KY, LA, MD, MA, MI, MR, MS, MO, MT, NE, TV, MI 1, NJ, NM, NY, INC, YEA 011, OR, OR, PA, PR, RI, SC, SIC, I N, TA f J F, V-F, VA, WA, WV, WI, VVY INCORPORATED ED IN: Michigan, AimeNsure IMot,uuall Ilrusuraince Coirrilpainy (NAIC tV'3396) Ffl,ll,jNrl°; ADFJRFI;I, P () Box, 7fY60 I armmpton Hill', 1,M 4A Vil 1586 M ONE.: (2.48) 61 S 9000, UNDERWRI ZING LIMIT/0 ION EV: $71,6/4,000 SURE. TY LICL NSLS cj/AL., AK, A7, AR, CA, CO, C I T, DF, FK, P1, GA, [ R, I[), I[., IN, PA K1, KY, 11 A, ME, MD, MA, MI, EVIN, AS, MO, All, NE, NV, NH, NJ, NfA, NY, NC, ND, CH 1, OK, ON, PA, PEJ, RI, SC, ',D), FIN, TX, UT, VT, VA, WA, ENV, WI, VVY, INCORPORA I ED IN: Vid)igan, Amerisure IPartl neirs Illmsuulraina e Company (NAIC fll 1060) BUSINFADDRESS: P, 0 Box 2060, Farmingfoin (Hills, MI 48331 3SRG PHONE: (248) 6 1 1, WOE!, LA, AN, MA, MI, AN, ALL, AN, MT, RE, NV, NE 1, NJ, NM, NY, AD, 011, OK, OR, PA, RI, SC, 'CD TN,'I X, U 1, VT, VA, VVA, ENV. INCORPORAFFT) IN: Delaware, Argonaut linsuraince Company (NAIC IN 9801) BUCINIESS ADDRESS: 13100 Worl harin Center Drhie Suite 290 Houslon, kc.x3s 77065 PHONE: (900) 00 795R, UNDEMNRf I ING LIMI IA I ION IV: $97,278,000, SUIRE I Y .ICI, NSI,.S cjl: AU, AK, AZ, AR, CA, CO, C F, DF, DC, FL., GA, GJJ, [-II, D), R, IN, A, KS, KY, L.A, AL, AID, MA, ML AN, All, MO, M 1, NE, NV, NIT NJ, (NNE, NY, NC, END, OH, ON OR, PA, PR, IRI, SC, SI), TN, TD, UT, AT, CA, VI, VVA, Wv, WI, VVY INCORPORAFFID IN: fllhnois. ASIPIEN AIVIE11111CAIN INSUIRAIMCIE COMPANY (NAIC #43460) BUSINFSS ADDRIF1,S, 179 Capilal Boukvard, Suite300, Rocky I M, CT 060G7 PE IONF: (P60) 758 3500 UNDERWRITING LIMITA I JOIN bl: $50,628,000 CORE I Y LICENSES cj/: Al-, AK, A/., AR, CA, CC, CT, DE, EX, FL, GA, HI, IN, IL., IN, LA, KS, NY, LA, ME, ME), EGA, MI, NIN, AS, DID, MT, NE, NA, NH, NJ, RIM, NY, NC, NI), Off, 01A OR, PA, MR' RI, SQ SD, TN,'TX , UT, Alf, VA, \11, VVA, WV, VVI, ACY, INCORPOGAI ED IN: I-exas Assodated Ilindeimnlmllry Corporation (NAIL kk21865y BU�flNLSS ADDIRLSS: 225 W. WASHING PON STRFIF F,SUITF 1800, Cl ICAGO, 0 60606 3494 ElE OPP.: 466 /883 UN REORWRII ING 1. IMI I AT ION Oil: $9,002,000, SURETY LICENSIEcjl: AL, AK, A7.., AR, CA, CO, Cl, DF, 0C, I:I,, GA, GIG, III, I[), II, IN, IA, KS, AT I A, ME, CID, NAA, MI, MR, MS, MC), MIT, NE::, lJV, NH, NJ, NO, NY, NC, NIE), 0H, OK, DR, PA, M, W, SID, FIN, FX, HT, V-F, VA, WA, Vf(V, WI, VVY UNDERWRI I ING LIMI I A I ION l(„ $23,99,000 SURF IY EICENSES 01: AV_ , AT, AZ, AR, CC), DE., DC, CIE., GA, I lI, ID, IL, IN, A, KS, KY, L.A, ME), MA, MI, MN, KAS, MO, MT, 111, NV, NO, NC, NI), OH, OR, OR, PA, W, S(, SM I N, TX, U F, All, VA, VVA, WV, WI, VVY, INCORPORATED IN: MichOgan AntillIles Illrusauralmce Company (NAIC (4103,08) FnJSINFS'�ADF.DGtFSS:POF3,,x9O2-:t507,San jQj,lr),PROO'.)02 3507 PI KINE: (787) 474 4900 UNIN RVVRII ING I Wil I -Al ION IV$3,,`E87,000, 'AJRETY I UNSI'S cjl: PR, INU)MIC)RAH.Ef IIM rluert.o Rko Airch Insurance Conilpainy (NAIC # 1 1150) BUSINESS ADDRLSSHarboirside 3,210 OJudson We&, Suit,2310DJERSEY CITY, NJ 01311 1107 PE IONE: (201) 74-? 400D UNDERWRITING I IMI I A I ON EV: $92,978,000, SUM IY LICE.NSE-S cj/: Al-, AK, A/ AR, CA, CO, C F, DF, DC, Fl, GA, GO, HI, ICY, I[-, IN, IA, KS, KY, ECA NAL, MID, MA, Ml, MR, MS, A10, EAP, A 1, NE, MV, NI -I, NJ, NO, NY, NG, NO, ON, DK, OR, PA, PR, M, SC, SD, I N, I X, UT, AT, VA, VI, WA, VW, All, VVY INCORPORATLE) IN; elisswid, Airch Reinsurance Counpainy (NAIC ffl 0348) BUSINESS ADDRESS: 445 Swiffi Street, Sm(rp. 220, P.O, Box 1988, Morrisfown, NJ 071962 1988 (HONE: (973) 89P, 9STS, UNDERWRI I ING LIMITATION EW: $35,781,000 SURETY EACENSES c,f/: AL, AD, AZ., AR, CA, ( 0, CF, DIF, DC, 0, GA, GU, 1111, ED, Ill, IN, 1/1, KS, KY, INCORPORAI ED IM Uiforinia Atha intk Slip,ecIality Ilinsoraince Company (NAIC 10,7154) BUSINES.S ADDRESS: 605 1 lighway 169 Noah, Suite 800, Plyrnouflh, MIN 95411, PHDNE: (91152) 952 24,fl, UNDERWRII ING EIMI Al ION LV: $61,05,000 SURE I -IU:NSI:S c,f/� AL, AK, AZ, AR, CA, Co, CT, DE, DC, r L, GA, 1141, D, I., IN, IA, KS, KY, LA, ME, MID, MA, IAI, AN, UIS, EAC, EVI 1, NE, NV, NH, NJ, NIA, NY, NIC, NI), (Ai, OK OR, PA, PR, Rf SC, 'A), IN,'I X, UT, AT, VA, VI, WA, WA WI, VVY. INCORPORAfE D IN:. New York Auto-Owineirs Insurance Company (NAIC #18988) U)S IN L' �S ADDERCSS: P,O. BOX306(e), IIANSING, INN48909 8160. P1110NIF: (1,17) -323 12.00 UNDFRWRI FING I ROITA MON IV: $1,06'Vf74,000, SURETY I.ICENIIF5c,FCA1,AZ, AR, CO,F[,GP',,,ID, [[,IN,IA, KS, KY, MI, MN, NLF,,ONO, NE, NV, NM, NC, NED, ON, OR, PA, SC, SID, -1 N, UT, VA, WA, VVI INCORPORA I ED K Mkhigan AXIIS Ilansuuraunce Corripany (NAIC ft37273) BUSINESS Al.CDWFl,';: 11680 Great Oaks Way, Ste. 1.1100, AlphaireRa, GA 30022 PHONE.: (67FE) 746-9400, UNDI.RWRIIING EINWANON b/: $54,467,000 SIEWL I( EICIENSIFS c.,t/: AL, AK, AS, AZ, AP, CA, CO, C F, DEF, DC, r 1, GA, HI, 11), 11, IN, IIA, KS, KY, UL, ME., NO, MA, ME, IVN, MS, MO, All-, NE, NV, NH, NJ, NO, IV, WC, RIC, CK OK, OR, PA, rZI, SC, SD, IN, IX, ITT, All, VA, WA, WV, WI, WY INCORPORAFED IN: I011nols. AXIS Relinsuirance Company (NAIC #20370) BUSINESS ADDRESS: 11680 Greal. Oaks Way, Suite 500,Alphareua, GA30022. PHONE: (678) 746 94ft UNDERWRITING LIMITATION b/: $96,681,000 SURETY LICENSES c,f/: AL, AK, AS, AS, AR, CA, CO, CT, DE, FL, GA, HI, ID, IL, IN, IA, KS, KY, I.A, ME, MID, MA, MI, MIN, IVE, MO, MIT, IVE, NV, NH, NJ, NM, NY, NC, ND, OH, OK, OR, PA, FIR, RI, SC, SD, IN, TX, OF, AT, VA, WA, WV, WL WY. INCORPORATED IN: New York, 134YA, I v I �m IB Bankers Insurance Company (NAIC #33162) BUSINESS ADDRESS: P.O. BOX 15707, ST. RE -1 ERSW JRG, FIL 33733. PHONE: (727) 8234000 UNDERWRITING UMFTATION bl: $7,791,000 SURETY LICENSES c,f/: AL, AKAZ, AR, CA, CO, Cl, DE, DC, [L., GA, 111, W, IL., IN, IA, KS, KY, LA, ME, MD, MA, ML MIN, MS, MO, MIT, NE, NV, NH, NJ, NM, NY, NC, KID, ON, OR, OR, PA, SC, SD, IN, TX, UT, VF, CA, WA, WV, WI, WY, INCORPORATED IN; Florida Bankers Standard Insurance Company (NAIC #18279) BUSINESS ADDRESS: 4.36 WALNUT STREE T, P,O, Box 1000, Philadelphia, PA 19106 PHONE: (215) 640-1000, UNDERWRITING LIMITATION bl: $19,790,000, SURETY LICENSES c,f/: Al-, AK, AZ, AR, CA, CO, CT, DE, DC, I'll., GA, HL ID, I., IN, IA, KS, KY, LA, ME, MD, MA, IVI, MIN, ME, MO, MT, NE, NV, Nl-k NJ, NM, NY, NC, ND, OH, OK, OR, PA, RI, SC, DerlkslMre Hathaway Homestate Insurance Cornpany (NAIC #20044) BUSINESS ADDRESS: 1314 Douglas Street, Suite, 1300, Omaha, NE 69102 1944. PHONE: (402) 393 7255. UNDERWRITING (..IMITATION ot; $166,073,000. SURETY LICENSES c,f/: AL, AN, AZ, AR, CA, CO, CF, DE, DC, FL, GA, HI, 113, IL, IN, A, KS, KY, LA, ME, IVID, MA, NIL MIA, MS, MO, MIT, NE, NV, NFI, NJ, NM, NY, NC, ND, OH, OK, OR, PA, RI, SC, SD, T N, TX, LIT, Vf, VA, WA, WV, WI, WY. INCORPORATED IN: Nebraska Berkshlire Hathampay Speclalty Insurance Company (NAIC #22276) BUSINESS ADDRESS: 1314 Douglas Street, Suite 1400, Mnaha, NE 68102 -1944, PHONE: (402) 916 3000. UNDERWRITING LIMITATION bf: $3 74,964,000, SURETY LICENSES c,f/: Al-, AK, AS, AR, CA, CO, CT, DE, DC, F1, CA, HI, ID, IL, IN, A, AS, KY, IA, ME, MD, MA, ML MIN, MS, MO, MT, NE, NV, did, NJ, NM, NY, NC, KID, OH, OK, OR, PA, RI, SC, ED, TN, TX, UT VT, VA, WA, WV, WI, WY, INCORPORATED IN: Nebraska IBITCO GENIEPAIL INSURANCE CORPORATION (NAIC #20095) BUSINESS ADDRESS: 3700 MARKET SQUARE CIRCLE, DAVENPORT, IA 52807 PHONE: (900) 475 4477, UNDERWRITING LIMITATION b/: $29,364,000. SURETY LICENSES c,f/: All, AK, A7, AR, CA, CO, CT, DE, DC, I'll., GA, ID, IL, IN, I& KS, KY, LA, ME, MID, MA, MI, MIN, MIS, MO, IIAT, NE, NV, NJ, NO, NY, NC, NO, OH, OK, OR, PA, Rk SC, SO, TN, Or, UT, VT, VA, WA, WV, Wl, WY. INCORPORATED IN: Illinois. BOND SAFEGUARD INSURANCE COMPAINY 310, IN, I& U I, V I, VA, VVA, VVV, VV I, VM INCORPORATED IN: Pennsylvania. BeazIley insurance Company, IInc. (NAIC #37540) BUSINESS ADDRESS: 30 Batterson Park Road, Farmington, CT 06032. PHONE: (860) 677-3700, UNDERWRITING LIMITATION b/: $12,010,000 SURETY LICENSES c,f/: AL, AK, AS, AR, CA, CO, CT, DE, DC, FL, GA, 111, ID, 111., IN, IA, KS, KY, LA, ME, MIS, MA, I'Al, MN, MS, MO, MIT, NE, NV, NH, Nj, NM, NY, NC, NO, OFI, OK, OR, PA, RI, SC, SO, IN, TX, UT, VT, VA, WA, WV, WI, WY, INCORPORATED IN: Connecticut. Berklley insurance Company (NAIC #32603) BUSINESS ADDRESS; 475 STEAMBOAT EAMBOAJ ROAD, GREENWICH, CT 06830, PHONE: (203) 542-3800, UNDERWRI I ING (..IMITATION ATION bl; $453,11 7,000. SURE TY LICENSES c,f/: AL, AK, AS, AR, CA, CO, CI, DE, DC, FL, GA, GU, NJ, 11), IL, IN, IA, KS, KY, LA, ME., MD, MA, MI, YIN, MIS, MO, MT, NE, NV, NII, NJ, NNY NY, NC, ND, OH, OR, OR, PA, PR, RI, SC, SD, T N, TX, UT, VT, VA, VI, WA, WV, WI, WY, INCORPORATED IN: Delaware, Derklley ReglioriM IInsuarance Company (NAIC #29580) BUSINESS ADDRESS: P0 BOX 9190, DES MOINES, IA 50306 - 9190, PHONE: (515) 473 3000, UNDERWRITING LIMITATION b/: $72,799,000, SU RETY LICENSE, c,f/: AL, AK, AS, AIR, CA, CO, CT, DE, DC, FL, GA, Hl, ID, IL, IN, VA KS, KY, LA, ME, MID, MA, MI, YIN, MS, MO, MIT, NE, NV, NIP, NJ, NIM, NY, NC, NO, OH, OK, OR, PA, RL SC, ED, TN, rX, UF, VT, VA, WA, WV, WI, WY. INCORPORATED IN: Delaware, (NAIC #27081) BUSINESS ADDRESS: 10002 Shelbyville Read, .Suite 100, Louisville, JAY 40223 2979. PHONE: (615) 553 9500. UNDERWRITING (..IMITATION b/: $3,938,000. SURETY LICENSES c,f/: AL, AK, AZ, AR, CA, CO, Cf, DE, DC, FL, GA, GU, HI, ID, IL, K KS, KY, I.A, ME, 1141), MA, PIN, 11AS, MO, MR, PIT, NV, NH, NJ, NM, NC, ND, OH, CIA, RL SC, SID, TIN, Tx, ur, VT, VA, WA, WV, W1, WY, INCORPORATED IN: South Dakota IDondex insurance Company (NAIC #12965) BUSINESS ADDRESS: P.O, Box 6, Florham Park, NJ 07932 PHONE: (973) 37 7 7000, UNDERWRITING LIMITATION b/: $351,000, SURETY LICENSES c,ft: DF, NJ, NY, PA, INCORPORATED IN: New Jersey, Boston IIndemirpiity Company, Ilona. (NAIC #302 79) BUSINESS ADDRESS: PO Box 6, Florham Park, NJ 07932. PHONE: (973) 377 7000, UNDERWRITING ING LIMITATION b/: $451,000, SURETY LICENSES c,f/: AL, AS, AIR, CT, DE, DC, I'll., GA, 11), IN, KS, KY, LA, ME, MA, MN, MS, MIT, NE, NV, NC, ND, OK, PA, ED, TN, WV. INCORPORATED IN: South Dakota BrIerfIeJd Insurance Company (NAIC #10993) BUSINESS ADDRESS: 6300 University Parkway, Sarasota, FL. 34240 8424 PHONE: (800) 226 3224 x-2422, UNDERWRI'TING (..IMITATION 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, TX75221 1590, PHONE: (214) 443 5500. UNDERWRITING LIMITATION b/; $3,249,000. SURETY LICENSES C,fl: YK INCORPORATED IN: Texas. 006 lo D'ip C Capitol Indemnity Corporation (NAIC #10472) BUSINESS ADDRESS: P.O. Box 5900, Madison, WI 53705 0900, PHONE: (608) 829-4200 UNDERWRITING (_IMITATION Is/: $21,699,000, SURETY LICENSES cfl: AL., AK, AZ, AR, CA, CO, CT, DE, DC, FL, GA, HI, 11), IL, IN, IA, KS, KY, LA, ME, DID, MA, MI, MN, MS, KAO, MT, NE, NV, NH, NJ, HIM, NY, NC, ND, OH, OK, OR, PA, RI, SC, SD, T N, TX, UT, VT, VA, WA, WV, WI, WY, INCORPORATED IN: Wisconsin, CalpItoll Preferred Insurance company, inc. (NAIC #10908) BUSINESS ADDRESS: 2 750 ChancellorsvRie Or, Tallahassee, FT. 32312. PHONE: (850) 521 0742, CENTURY SURETY COMPANY (NAIC H36951) BUSINESS ADDRESS: 550 Polaris Parkway, Westerville, OH 43082, PHONE: (614) 895-2000, UNDERWRITING LIMITATION bl: $3,931,000- SURETY LICENSES c,f/: AS, IN, CH, WV, WI. INCORPORATED IN: Ohio, Charter Clair Hire Insurance company grhe) (NAIC #25615) BUSINESS ADDRESS: ONE TOWER SQUARE, HARTFORD, CT 06183, PHONE: (860) 277-0111, UNDERWRITING LIMITATION bl: $22,735,000, SURETY LICENSES cjl: AL, AK, AZ, AR, CO, Cr, DE, DC, FL, GA, HL ID, IL, IN, IA, KS, KY, LA, ME, MD, MA, MI, MIN, MS, MO, MY, NE, NV, NH, NJ, HIM, NY, NC, ND, OH, OK, OR, PA, PR, RL SC, SD, TN, TX, UT, VT, VA, WA, WV, WL WY. INCORPORATED IN: Connecticut Cherokee Insurance Company (NAIC #10642) BUSINESSADDRESS: 34200 Mound Road, Sterling Helglnts, MI 48310 PHONE.: (800) 201-0450 x-3400, UNDERWRITING LIMITATION bl: $19,791,000. SURETY LICENSES c,f/: AL., AZ, AR, CA, CO, CT, DE, FL, GA, ID, IL, IN, IA, KS, KY, LA, ME, MD, MA, MI, MN, MS, MO, MY, NE, NV, NJ, NM, NY, NC, ND, CH, OR, OR, PA, RI, SC, 51), TIN, TX, UT, V11 VA, WA, WV, WI, WY, INCORPORATED IN: Michigan, CHUBB INDEMNITY INSURANCE COMPANY (NAIC #12777) UNDERWRITING LIMITATION b/: $2,654,000, SURETY LICENSES c,f/: FL, GA, SC INCORPORATED IN: Florida, Carolina Casuallty Insurance Company (NAIC #10510) BUSINESS ADDRESS: RD BOX 9190, DES MOINES, IA 50306 9190 PHONE: (904) 363-0900 UNDERWRITING LIMITATION bi: $10,338,000, SURETY LICENSES c,f/: AL, AK AZ, AR, CA, CO, Cl, DE, DC, H GA, 1-41, ID, It, IN, IA, KS, KY, LA, IIAE, IIAD, MA, ME MN, MS, MO, MT, NE, NV, NH, NJ, NM, NY, NC, ND, OH, OK, OR, PA, RL SC, SD, TN, TX, Ur, VT, VA, WA, WV, WI, WY, INCORPORATED IN: Iowa. Centerinhall Casualty Company (NAIC #34568) BUSINESS ADDRESS: 2200 Woodcre.st Place, Suite 200, Birriningharn, Al.. 35209, PHONE: (205) 414-2600. UNDERWRITING (.IMITATION b/: $8,292,000 SURETY Y LICENSES I.,f/: AT INCORPORATED IN: Alabama. CENTRAL MUTUAL INSURANCE COMPANY (NAIC #20230) BUSINESS ADDRESS: P.O. BOX 351, VAN WERT, OH 45691 -0351 PHONE: (419) 238-1010, UNDERWRITING LIMITATION b/: $66,541,000 SURETY LICENSES c,U: AZ, AR, CA, CO, CT, DE, GA, ID, IL, IN, IA, KY, ME, MID, MA, MI, MN, MS, MT, NV, NH, NJ, NM, NY, NC, OH, OK, OR, PA, SC, TN, IX, U1, V1, VA, WA, WI. INCORPORATED IN: Ohio., BUSINESS ADDRESS: 202B Hall's Mill Read, Whitehouse Station, NJ 013889. PHONE: (212) 8274400. UNDERWRITING LIMITATION b(; $17,505,000, SURETY Y LICENSES c,f/: AL., AK, A7., AR, CA, CO, CT, DE, DC, FL, GA, HI, 11), [1., IN, LA, KS, KY, LA, ME, MIS, MA, MI, MN, MS, MO, M7, NE, NV, NH, NJ, NM, NY, NC, HID, OH, DIC OR, PA, M, SC, SD, TN, TX, UT, VT, VA, WA, WV, WI, WY. INCORPORATED IN: New York CinchrinatJ Casualty Company (The) (NAIC #28665) BUSINESS ADDRESS: P.O. Box 145496, Cincinnati, OH 45250 5496. PHONE: (513) 870 20K UNDERWRITING LIMITATION bf: $39,229,000. SURETY LICENSES c,f/: AL., AK AZ, AR, CA, CO, CT, DE, DC, FL, GA, FIT, ID, IL, IN, [A, KS, KY, LA, ME, ME), MA, ME MN, MS, MO, MT, NE, NV, NH, NJ, NM, NY, NC, NO, UP, OK OR, PA, RL SC, SID, I-N, IX, UT, \n, VA, WA, WV, WE 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 (..IMITATION b/: $10,000,000 SURETY LICENSEE c,f/: AL., AK AZ, AR, CA, CO, CT, DE, DC, R, GA, HI, ID, IL., IN, IA, KS, KY, LA, ME, MD, MA, MI, MN, ME, MID, MY, NE, NV, NH, NJ, NM, NY, NC, RID, OH, OK, OR, PA, RI, SC, SD, T N, TX, UT, \rr, VA, WA, WV, WI, WY. INCORPORATE[) IN: Ohio. Chridinnath insurance Company (The) (NAIC #10677) BUSINESS ADDRESS: P,O, BOX 141496, CINCINNATI, OH 45250 5496. UNDERWRITING LIMITATION b/: $460,128,000, SURETY LICENSES c,f/: AL., AK, AZ, AR, CA, CO, CT, DE, DC, FL, GA, NJ, ID, IL, IN, IA, KS, KY, LA, ME, IAD, MA, MI, MN, MIS, MO, MIT, NE, NV, NH, NJ, NM, NY, NC, ND, OH, OK, OR, PA, PR, RI, SC, SD, TIN, TX, UT, V1, VA, WA, WV, WI, VVY, INCORPORATED IN: Ohio CIEFIZIENS INSURANCE COMPANY OF AMEIROCA (NAIC #31534) BUSINESS ADDRESS: 440 LINCOLN STREET, WORCESTER, MA 01653 -0002. PHONE: (SOB) 853 7200, UNDERWRITING (..IMITATION b/: $69,946,000 SURETY LICENSES c,fl: AL, AK, AZ, AR, CO, CT, DE, DC, GA, HI, III, IN, A, KS, ME, MID, MA, MI, MN, MS, MO, MT, NE, NH, III, NM, NY, NC, ND, ON, OK, PA, RI, SC, SD, TN, TX, UT, VT, VA, WA, WV, W1. INCORPORATED IN: Michigan COLONIAL AMERICAN CASUALTY AND SURETY COMPANY (NAIC #34347) BUSINESS ADDRESS: 1299 ZURICH WAY, 5 IN FLOOR, SCHAUMBURG, L 60196 -1056. PHONE: (847) 605-6000, UNDERWRITING LIMITATION 13/:$2,33?,000, SURETY LICENSES c,f/: AL., AK, AZ, AR, CA, CO, Cr, DE, DO Ft., GA, 111, ID, It, IN, IA, RE, KY, LA, ME, MID, MA, MI, MIN, MS, MO, MT, NE, NV, NJ, AM, NY, INC, NO, CH, OK, OR, PA, RI, SC, SID, 'TN, TX, U T, VF, VA, WA, WV, WI, WY, INCORPORATED IN: Illinols, COLOINIIAL SURETY COMPANY (NAIC #10758) BUSINESS ADDRESS: 123 Tice Boulevard, Suite 250, Woodcliff Lake, NJ 07677. PHONE: (201) 573 8788. UNDERWRITING LIMITATION b/: $4,052,000. FIR, RI, SC, ED, TN, TX, UT, VT, VA, A, WA, WV, WI, WY. INCORPORATED IN: Pennsylvania, CONTRACTORS RONIDIING AND INSURANCIE COMPANY (NAIC #37206) BUSINESS ADDRESS: 9025 N. Lindbergh Drive, Peoria, IL 61615� PHONE: (309) 692-1000 UNDERWRITING L.IMIIATION b/: $11,490,000 SURETY LICENSES c,f/:AL., AK, AZ, AR, CA, CO, CT, DE, DC, Ft., GA, HI, ID, IL, IN, LA, KS, KY, LA, ME, MID, MA, VIL MN, I\AS, MO, MT, NE, NV, NH, NJ, NM, NY, NC, ND, OH, OK, OR, PA, RI, SC, ED, TIN, TX, OF, VT, VA, WA, WV, WI, WY, INCORPORATED IN: Illinois. Cooperadva de Seguros Mulltiples de Puerto Rico (NAIC R18163) BUSINESS ADDRESS: PO BOX 363846, SANJUAN, FIR 00936 - 3846. PHONE: (787) 622 3575 x 2512 UNDERWRITING LIMITATION bl: $15,318,000 SURETY LICENSES c,f/: PR, INCORPORATED III: Puerto Rico CorePolnte Insurance Company (NAIC #10499) BUSINESS ADDRESS: 401 South Old Woodward Avenue., Sake 300, Birmingham, MI 49009. PHONE: (800) 782-9164, UNDERWRITING LIMITATION b/: 11,452,000. SURETY LICENSES cjt: AL, AK, AZ, AR, CA, CO, Cr, DE, DC, FL, GA, HI, ID, IL, IN, IA, KS, KY, LA, ME, MD, MA, MI, MN, MF, IIAO, MT, NE, NV, NH, NJ, NM, NY, NC, ND, OH, OR, OR, PA, RI, SC, SD, TN, TX, UT, VT, VA, VI, WA, WV, WI, VVY. INCORPORATED IN: Delaware CUMIIS INSURANCIE SOCIETY, IINC, SURETY LICENSES c,fl: AL., AK, AZ, AR, CA, CO, CT, DE, DC, H.., GA, GU, III, ID, IL, IN, IA, KS, KY, LA, ME, MD, MA, MI, MIN, IMS, MC, MR, MT, NE, NV, NH, NJ, NM, NY, NC, NO, ON, ON, OR, PA, PR, RI, SC, ED, TN, TX, Ur, VT, VA, A, WA, WV, WI, WY. INCORPORATED IN: Pennsylvania. Continentall Casualty Company (NAIC #20443) BUSINESS ADDRESS: 151 N Franklin Sr,, C1 IICAGO, It. 60606. PHONE: (312) 822 5000. UN13ERWRII ING (..IMITATION bl: $738,083,000. SURETY LICENSES c,V: At, AK, AS, AR, CA, CO, CT, DE, DC, FL, GA, HI, ID, It, IN, IA, KS, NY, I.A, ME, MIT, MA, I'Al, MIN, MS, MO, MT, BE, NV, NH, NJ, NM, NY, NC, BID, OH, OK, OR, PA, PR, RI, SC, SD, TN, TX, UT, VT, VA, VI, WA, WV, WI, WY INCORPORATED IN: Illinois, CONTINENTAL HERITAGE IIN.SRUIRAINCIE COMPANY (NAIC #39551) BUSINESS ADDRESS: 200 PARK AVENUE, SUITE 400, ORANGE VILLAGE, OH 44122, PHONE: (440) 229-3420. UNDERWRITING LIMITATION 1.,/: $2,514,000 SURETY LICENSES c,f/: AZ, CA, CO, DC, FL, GA, ID, It, IN, IA, KY, LA, ME, MID, MN, MS, NE, NV, NJ, NO, OFT, PA, SC, ED, T N, TX, LIT, VA, WA, WV, WY,. INCORPORATED IN: Florida, CorrfinentM Insuraince Company (The) (NAIC #35289) BUSINESS ADDRESS: 151 N Franklin SL, CHICAGO, It. 60606. PHONE: (312) 822 5000. UNDERWRITING LIMITATION b(: $155,806,000. SURETY LICENSES r.,V: AL, AN, AZ, AR, CA, CO, C-F, DE, DC, 'I GA, GU, NJ, 11), IL, IN, IA, KS, KY, LA, ME, MD, MA, MI, MN, IAS, MO, MP, MT, NE, NV, NH, NJ, NM, NY, NC, NO, ON, OK, OR, PA, (NAIC #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, Cr, DE, DC, F1 GA, GU, HI, ID, IL, IN, IA, KS, KY, LA, ME, MID, MA, MI, MIN, MS, MO, MIT, NE, NV, NIA, NJ, NM, NY, NC, ND, OH, OR, OR, PA, FIR, RI, SC, SD, TN, TX, UT, VT, VA, A, WA, WV, WI, WY, INCORPORATED IN: Iowa, CUMJS Speclalty insurance Company, Inc. (NAIC #12758) BUSINESS ADDRESS: Post Offirp Box 1084, Madison, W1 53701 PHONE: (608) 238 S851 UNDERWRITING LIMITATION b/: $5,549,000, SURETY LICENSES c,f/: AL, CA, C.T, DC, FL, GA, HI, ID, J., IN, IA, KS, KY, MD, MA, MI, MN, MO, NE, NV, NJ, NY, NC, OH, OK, OR, PA, SC, ED, TX, UT, VA, WA, WI, WY, INCORPORATED IN: Iowa R�10, to Igp D Developers Surety and Indemnity Company (NAIC #12718)1 BUSINESS ADDRESS: P.O..BOX 19725, IRVINE, CA 92623 - 9725� PHONE: (949) 263-3300 UNDERWRITING !..IMITATION b/: $9,G34,000 SURETY LICENSES c,f/: AL, AK, AZ, AR, CA, CO, CT, DE, DC, FL, GA, Fit, ID, I., IN, A, KS, KY, LA, ME, ME), MA, MI, MIN, MS, MO, MT, NE, NV, NH, NJ, NM, NY, NC, ND, OH, OK, OR, PA, RL SC, SD, TIN, TX, UT, VT; VA, VI, WA, WV, WI, WY, INCORPORATED IN: California. Back To Top. E Employers Insurance Company of Wausau (NAIC #21458) BUSINESS ADDRESS: 175 Berkeley Street, Boston, MA 02116 Pl- IONE: (617) 357 9500, UNDERWRITING LIMITATION bl: $138,602,000 SURETY I. ICENSES c,f/: All, AK, AS, AR, CA, CO, C1, DE, DC, H., GA, 111, ID, 111., IN, A, KS, KY, LA, ME, MD, MA, ML MN, MIS, MO, MT, NE, NV, NH, NJ, NM, NY, NC, ND, OH, OR, OR, PA, PR, RL SC, Sr.), TN, TX, UT, VT, VA, VI, WA, WV, WI, WY. INCORPORATED IN: Wisconsin Employers IMutuall Casualty Company (NAIC #21415) BUSINESS ADDRESS: P. O. BOX 712, DES MOINES, A. 50306 0711 PHONE: (515)2802511. UNDERWRITING LIMITATION bl: $143,661,000. Euller Hermes North America lirbsurance Company (NAIC #20516) BUSINESS ADDRESS: 800 Red Brook Blvd, Owings Mills, ME) 211117. PHONE: (410) 753 0753, UNDERWRITING LIMITATION b/: $15,764,000 SURE1Y LICENSES c,f/: AL, AK, AZ, CA, CO, CF, DE, DC, GA, HL ID, II., IN, IA, KS, KY, LA, MD, MA, MI, MIN, ME, MO, MIT, NE, NV, NH, NJ, NIM, NY, NC, ND, OH, OK, PA, RI, SC, SO, TIN, TX, LIT, v-r, VA, WI, WY. INCORPORATED IN: Maryland, Everest Reinsurance Company (NAIC #26921) BUSINESS ADDRESS: P.O. Box 830, Liberty Corner, NJ 07938 0830, PHONE: (908) 604 3000 UNDERWRITING LIMITATION bl: $339,1 B5,000, SURETY LICENSES c,f/: AL, AK, AZ, AR, CA, CO, CT, DE, DC, FL, GA, HI, ID, IL, IN, A, KS, KY, LA ME, MD, MA, MI, MN, MS, MO, MP, MT, NE, NV, NH, NJ, NM, NY, NC, ND, 011, OK, OR, PA, RI, SC, SD,'TN, TX, U r, VT, VA, WA, WV, WI, WY. INCORPORATED IN; Delaware. Evergreen NafloinM Indemnity Company (NAIC #12750) BUSINESS ADDRESS: 6140 PARKLAND BLVD, STE 321, MAYFIELD HEIGHTS, OH 44124 PRONE: (440) 229 3420. UNDERWRITING LIMITATION bl: $3,445,000. SURETY LICENSES c,f/: AL, AK, AZ, AR, CA, CO, CT, DE, DC, FL, GA, ID, IL, IN, IA, K5, KY, ..A, ME, MD, MA, ML MN, MIS, MO, MT, NE, NV, NH, NJ, RIM, NY, ND, ON, OK, OR, PA, RL SC, SD, I N, TX, UT, VT, VA, WA, WI, WY. INCORPORATED IN: Ohlo, !Executive IRlsIk IIndeamnity Inc. SURETY LICENSES c,f/: AL., AK AS, AR, CA, CO, CT, DE, DC, FL, GA, I11, ID, It., IN, IA, KS, KY, LA ME, MD, IVA, MI, MN, MS, MO, MT, NE, NY, NH, NJ, NM, NY, NC, ND, ON, OK, OR, PA, RL SC, SD, TIN, TX, UT, VT, VA, WA, WV, WI, WY. INCORPORATE[) IN. Iowa, Endurance AmerIcan Insurance Company (NAIC #10641) BUSINESS ADDRESS: 4 MANHATTANVIIA.E ROAD, PURCHASE, NY 10577- PHONE: (914) 468 8000. UNDERWRITING LIMITATION bl: $42,689,000 SURETY LICENSES c,f/: AL, AV AZ, CO, DE, DC, GA, [41, 11), R., IN, A, KS, KY, LA, MD, MA, MI, MS, MO, MIT, NE, NV, NJ, Not, NY, ND, OH, OK, OR, PA, RL SC, SD, TIN, T-X, UT, vr, WA, WV' WY, INCORPORATED IN: Delaware. Endurance Assurance Corp oratton (NAIC #11551) BUSINESS ADDRESS: 4 MANHA:TTANVIL.LE ROAD, PURCHASE, NY 10577. PHONE: (914) /168-8000 UNDERWRITING LIMITATION b/: $46,459,000, SURETY LICENSES c,f/: At., AK, AZ, AR, CA, CO, CT, DE, DC, FL, GA, GU, 111, ID, II., IN, IA, KS, KY, LA, ME, MID, MA, MI, MN, INS, IIAO, IIAT, NE, NV, NJ, RIM, NY, NC, ND, ON, OR, OR, PA, PR, RL SC, SD, TN, TX, UT, VT, VA, WA, WV, WY INCORPORATED IN: Delaware Erle Insurance Company (NAIC #26263) BUSINESS ADDRESS: 100 ERIE INSURANCE PLACE, ERIE, PA I G530. PHONE: (814) 870-2000, UNDERWRITING LIMITATION b/: $37,432,000L SURETY LICENSES cjl: DC, IL, IN, KY, MID, MN, NY, NC, CH, PA, TIM, VA, WV, WI, INCORPORATED IN: Pennsylvania (NAIC#35181) BUSINESS ADDRESS: 202E Hall's Mill Road, Whitehouse Staklon, NJ 08889 PHONE: (215) 640-5259. UNDERWRITING LIMITATION b/: $156,166,000, SURETY LICENSES c,f/: AL, AK, AZ, AR, CA, CO, DE, DC, FL, GA, Fit, 11), 11 IN, A, KS, KY, LA, ME, MD, MA, MI, MN, ME, MO, MT, NE, NV, NIL NJ, NM, NY, NC, ND, ON, OK, OR, PA, RI, SC, SD' TN, TX, UT, VT, VA, WA, WV, WL WY. INCORPORATED IN: Delaware. Expilorer Insurance Company (NAIC#40029) BUSINESS ADDRESS: P,O, BOX 509039, SAN DIEGO, CA 92150. PHONE: (859) 350-2400 x-2550, UNDERWRITING LIMITATION b/: $14,355,000, SURETY LICENSES c,f/: AZ, CA, CO, CT, DE, HI, ID, It., IN, IA, IMF.), IMA, IML MS, MI, NV, NJ, NM, OR, PA, rN, TX, UT, VI, VA, WA, WV, INCORPORATED IN: California. V44 PTup IF Fair Arrierican Insurance and Reinsurance Coirnpany (NAIC #35157) BUSINESS ADDRESS: One Liberty Plaza, 165 Broadway, New York, NY 10006, PHONE: (212) 365-2200, UNDERWRITING LIMITATION b/: $19,390,000. SURETY LICENSES c,f/: AL, AN, AZ, AR, CA, CO, CT, DE, DC, FL, GA, HI, 11), IL, IN, IA, KS, KY, LA, ME, MID, MA, MI, MN, MIS, MO, MIT, NE, NV, NH, NJ, NM, NY, NC, ND, ON, OK, OR, PA, RL SC, SD, TN, TX, UT, AT, VA, V1, WA, WV, WI, WY,. INCORPORATED IN: New Yw,l( IFalrlmnelrs A illiaarace II0uauanll Illm.sulralmce Csulrrnpaaalrny (NAIC: P19194) HUSINIFSS ADDRESS: IP.O. Box 1401, McPhreiscm, IKS 67460" PHONE.:: (620) 24'I -2200, UNDLRVVRI I IING L..IMIYAI ION Ibk $17,571,000. "SUIRKIY LICE. cj/h CO, ID, IA, INS, AN, MO, MT, NIL, MIN, NID, OR, SD INCORPORAYI.L) IN: Kansas Farmington Causuaallcy Company (NAIL 0414U) BUYINI. S AI: DRESS: ONG: TOWER SQUARE., HARTFORD, CT 061h1, PHONE: (860) 277-0111, UN ERWRI"LING L..INMIIAHON M•rl:_$27,40,000. SURE FY ILlCE NSII:.S c,U: /U., AK, A7, AR, CA, CC), Cl, DE, CPC, I L.., GA, HI, IVD, IL., IN, IA, KS, KY, LA, MF, MD, Y<h'A, MI, MIN, NIS, MCD, MT, ['IF, NV, NH, NJ, NYJI, NY, NC, KID, 011, OK, OR, PA, RI, SC, SD, ON, TX, U F, VT, VA, VVA, VVV, WI, VVY,. INC ORPORA IFL) IN: Connerncut. IFarlrinl aind IVluuruM insurance Company (NAIC dr1383R) MY,INI:SAI)I:DRLSS:ONE. Wr S1 INAFIONVEADLULVID,'1-04-701,CO. PMMJ1,CN45215- 2220 PHONE ( 15J I;(7f3-3300. UNDEiRWRVFING LIMPIA11ON lal: $1r636"i,000, CSUIRU IY LIC EN SE c. f7. AJ.., AZ, AR, CA, CO, CD6:, DC, rl..., GA, IO, IL., IN, VA, KS, KV, MC), P,AO, MIN, EMS, hAO, MT, NE, NV, NC:, N7, OH, OK, OR, PA, SC, 5D, TN, TX, r1T, VA, WA, WV, WI, VVY, INCORPORAiI E:I:D IN: Iowa, FCUII IlrnsulralrnaeCompany PHONE.: (847) 605 6006 UNDF.RWE IINGu IIMITAFK:DN b/: $14,785,OQP0, SURE IY V ICEN SF 5 cj/. AG., AK, AZ, AR, CA, CO, C_T, IDEF, DC, l E., CAA, GIJ, HI, IS, N, IN, 4A, KS, KY, LA, YMF, MID, MA, NAL MN, NI , MO, MR, MT, NJ NV, NI -1, NJ, NM, NY, NC, ND, (,)I I, OR, OR, PA, PR, RI, SC, SD, 'TN, 'TX, UT, VT, VA, VI, WA, WV, WY, WY.. INCORPORAIE::D IN: @finok FIIE»IFU..II'TV AINll:a (aUAIRA INTY INSURANCE O4DIMPa'11CNY (NAIC #35386) BUSINESS ADDRLS.S: One. 'Tmnrer Square, I iar(ford, Cl 06183, III IONEF: (860) )77-0111, UN..)E:RWRUIING I.IMITA FION Ib7: $1 775,000, SURL TY L101. NSEFS , ji: Al, AC A7, AR, CA, CO, CT, DF, DC, FI_, GA, Ill, ID, II_, IN, IA, K5, KY, IA, ME, MD, MA, MIT, MN, MS, MCP, M F, NE, NV, NJ I, NJ, NM, NY, INC, NJ), OH, C)K, OR, PA, RI, Sr_, 51:3, IN, IH, UI, VT, VA, WA, WV, AN, WY. IrNCORPORAIII D IN: Iowa. -1delliity and Guaalraarn6y Jinsuirannce VUndeirmirii¢elrs„ inc, (NAIC (r25879) BUSINESS ADDRESS: One Icmer Square, 1larcford, C.T 00183.. PHONE.: (860) 277-0111. UNDE::RWRIIING r.IMUATI(DN b(': $8,€399,000.. SURETY LICENSES c,fl: AL, AK, AZ, AR, CA, CO, CT, DE, DC., FL.., GA, 111, ID, IL.., IN, IA, KS, KY, LA, MF, MD, YVIA, MI, MN, AS, MO, MT, NE, NV, Nli, NJ, NM, NY, NC, NE), 01i, ON OR, PA, RI, 56::, SI:), TN, U, UI, VI, VA, WA, WV, SO, WY. JNCORPORATL1D IM Wisconsin. Flilma inciaull Cansuaalty & Surety, IInc. (NAIC'935009) BWI INFIaS AIDDII2r 1.:31 Ea U ide, Suite 600, ilousion, TX 77098, PHC)INE: (800) :392-1604 (NAIC U10178) BU.>INEi:SS ADDRELS9S 6300 Urniversily Pair-kurary,Saiasola, FL, 34240-8424, PHON:.: (800) 226-32.24 x-2726, U IVUD IERWRITINC; LIMITAI ION b7: $`>4,71i4,000.. SURETY I.IC 1 N.. FS c,f(: Al, A7, AR, C 0, DC, FL, GA, II.., IN, IA, IK`i, KY, LA, MII7, MVC, VJi`i, MO, NE:, NC, 01l 1, OK, PA, SC_., TIN IX, VA. IN:OIRPORAIFE) IN: Ilorida.. Federaall Ulrrsuuraarnce Caimil:naalruyT (NAK:. V0281) Q USINI `.SS ADDRESS: 202E311-Iall's Mill Road, WhirC Ilrnu. e `Aatlnrl, NJ O8889. PHONE: (40CS) 9032000. UN)FRWR6"TING L..I IVII.I.A..IIC>N bl: $393,705,000 S UIRIETY LICENSES N ES c,fC AL„ AK, A7, AR, CA, ( O, CT DE DC, FL., 6: A, G]U, HI, III), IL.., IN, EA, K5, KY, r.A, ME, IUD, MA, Al, IVIIN, EMS, IMo , NAP, NA 1, NE, NV, NH, NJ, NM, IVY, NC, ND, Oli, OR, OR, PA, PR, RI, 5(, SD, "IN "IX, UT, VT, VA, VI, WA, WV, ffl, WY, INCORPORATED IIN: Indiana, IFIFII:aIFIFGUO,"pll:'D IIM U"I'EUAIL IIIINSURA INIC 11H COJAIPAbNY (NAIC ft 3935) BUSIINFSS AUV)RLn°S: 121 LAST PARK SQUAW, CDVVAl-01ANA, NAN 55060. PI IONF: (507) 455-`s200 UNDFRWRI FINE IIMn'TA IION bl: $336,551,000 SURETY Ilr 1 N SFS c,f7. AL, AK, AZ, AR, CA, CO, CT DE.-:, DC, FL, GA, I[), U., IN, IA, K5, IVr, LA, MIL, AN, MA, All, MN, MS, NIO, MP, NEE, NV, NIJ, NJ, NM, IVY, NC, CA, 0I-9, OK, OF, PA, RI, SC, SE), "IN, TX, P1I, VS, VA, WA, WV, VA, VVY, INCORPORATED ON. Minnes0(a.. Fiidaellity and 1Deposit Caarlmlpa my of IlWaalryrpaalmd (NAIC (R::39306) fSal. ENE:.";.':" AI111)R5"a5: 11SJ(D ZURICV-I WAY, 5II-I P'LC)r}R, 56"IBAUMIf; LPpttii, IL.. ra196 1056, UNDE:RWRITIN.0 L.IMHAHON V $1,Fr,1,000, SLIRP Y L I f N I.5 c,fl: AZ CA,Cl, 1DL IL, GA, II:), IN, IA, KS, IA, MD, MI, 11AN, IVIS, MO, MI, NV, N,J, Nl(, NC, NI:D, 0[i, E'A,.SC.:, 317, IN, T)(, 1.)T, VT, llA, WA, VVV, I I'dCORPC}RANEID IN: Texas.. FliirnaanciaJ Ilracdfic insurance Coylnrop:raalny (NAIC # 3145 3) WU.,INIF';S ADI)RV:SS:, P CD,. 130) (7:3901) C:E:)AR RAI IDS, IA'i2407 :'909,. PE 101v1 @ : (319) :399-,, /YC, UNDERWRI"LING LIMITA"IION 167: $9,759,000, SURETY IICI N ,FS c,U: AK, A ., AN, CA, C 0, FL.., II:) IIL, I& KS, MN, NAO, MT, NI:, NV, NYJI, ND, OR, OR, SID, .rX, UT, WA, WI.. IINCORPORA I LD IN: C.:alifornie. IFIiIrelma n's IFuurid insurance COnilpaain,y (NAK':: 821873) RU,IIN:S°.>AIaIDEk1S`.;:225VV,WA51-IINGPON.SIREFT',SUI TE. 1800, C1 IKAG0, R. 60606 8494. PI-JONF.: (8UF 4.66 789 UNDE MA/Fi'TIING L..IMITA'TION bl: $129,737,000 SI DRF IT II C 1 NS:IS c,U: AL., AK, AZ, AIR, CA, CO, CT IN DC, I"L.. CA, GU, II41, OE), IL.., IN, IA, KS, KY, ILA, ME., IVID, MA, Al, AN, MIS, RIK), Mn I, NE::, N(, Nit, NJ, NM, NY, NC, ND, 011, OK, OR, PA, PR, RI, >C:, AD, NA, I)(, U1, All, VA, VI, WA, VVV, VNI, WY. INCORPORAI LED IN: Callrornia- (Hirst rounders Assurance Com'opaaalrny (NAIC:: AT 21 "SO) I U51NESS AOD Ss: G Mill Ridge L anu C.IuTsker NJ OP30 - 2486- PHONE:: (908) 879-0990. UNDERINRI"LING IIIN/lITAPON bl: $464,000 SUM EFY IICFN5FS c,'Y: NJ, NY, INLURFURAH,L) IN: NeWiersey First onsturance Company of li-lawall, Ltd. (NAIC #41742) BUSINESS ADDRESS: PC) Box 2866, Honolulu, HI 96803, PHONE: (808) 527 7777, UNDERWRITING (..IMITATION bl: $28,154,000, SURETY LICENSES c,fP GU, HI. INCORPORATED IN: Hawat, First Liberty IInsaurance Corp oratilon (nlej (NAIC #33588) BUSINESS ADDRESS: 175 Berkeley Street, Boston, MA 02116 PHONE: (617) 357-9500 UNDERWRITING LIMITATION bt; $2,229,000 SURETY LICENSES cjG AL, AK AZ, AR, CA, CO, C1, DIE, DC, FL, GA, GU, HI, ID, IL, IN, IA, K5, KY, LA, ME, MD, MA, MI, MN, ME, 100, MY, NE, NV, NH, NJ, NM, NY, NC, ND, OH, OR, OR, PA, RI, SC, SD, YIN, TY, U1, VT, VA, VE WA, WV, WE, WY. INCORPORATED IN: Illinois. First Net Insurance Company (NAIC #10972) BUSINESS ADDRESS: 424 WEST O'BRIEN DRIVE, STE: 202, HAGAFNA, GU 96910. PHONE: (671) 477-8613 UNDERWRITING LIMITATION b/: $1,238,000, SURETY LICENSES c,f/: GU, MP, INCORPORATED IN: Guarn, Frankenrinuth IMutuall Insurance Corri (NAIC #13986) BUSINESS ADDRESS: One Mutual Avenue, Frankennnuth, MI 48797 - 0001 GRANGE: INSURANCE COMPANY OF MICHOGAN (NAIC #11136) BUSINESS ADDRESS: 671 South High Street, P,O, Box 1218, Columbus, ON 43216 - 1218. PHONE: (614) 445 2900 UNDERWRITING LIMITATION b/: $4,441,000L SURETY LICENSES c.,f/; MIL INCORPORATED IN: Ohio, GRANGE: MUTUAL. CASUALTY COMPANY (NAIC 911060) BUSINESS ADDRESS: 671 South High Street, Columbus, OH 43206 - 1014 PHONE: (614) 441-2900. UNDERWRITING (..IMITATION b/: $118,013,000, SURETY LICENSES c,f/: AL., GA, It., IN, A, KS, KY, MN, MO, OH, PA, SC, TN, VA, WI INCORPORATED IN: Ohio, GRANI-TE RIE, INC. (NAIC #26310) BUSINESS ADDRESS: 14001 Quailbrook Drive, Oklahoma City, OK 731134. PHONE: (405) 752 2600, UNDERWRII ING LIMITATION b/: $4,157,000. SURETY LICENSES c,f/: AL, AZ, AR, CO, CT, DE, FL, GA, ID, IL, IN, IA, KS, KY, LA, ME, ME), MI, IIAN, ME, MO, MT, NE, NV, NM, NC, INS, OH, OK, OR, PA, SC, SD, TN, TX, UT, VT, VA, WA, WV, Wk WY, INCORPORATED IN: Oklahoma. Granite State Insurance Company (NAIC #23809) BUSINESS ADDRESS: 175 WATER STREET, I 8TH FLOOR, NEW YORK NY 110036. PHONE: (212) 770-7000, PHONE: (989) 652-6121. UNDERWRITING LIMITATION bo $60,66%000 SURETY LICENSES cjl: AL, AS, AR, CO, CI' DE, Fi GA, ID, R., IN, A, KS, KY, LA, ME, MD, MA, MI, MR, MS, MO, MIT, NE, NV, NH, NJ, NM, NY, NC, ND, OH, OK OR, PA, RI, SC, SO, TIN, TX, UT, VT, VA, WA, WV, WE, WY INCORPORATED IN: Michigan X GeneraE Casualty Company Of Whsconsiin (NAIC #24414) BUSINESS ADDRESS: One General Drive, Sun Prairie, W1 53596. PHONE: (608) 825-5160. UNDERWRITING LIMITATION bh. $17,029,000. SURETY LICENSES c,f/: AL, AK AZ, AR, CA, CO, CT, DE, DO, GA, HI, ID, It., IN, IA, KS, KY, LA, ME), 1AA, MI, MN, MIS, MO, MT, NE, NV, NH, NJ, NM, NY, NC, HIS, OH, OK OR, PA, RI, SC, ED, TIN, TX, UT, VT', VA, WA, WV, WI, VVY, INCORPORATED IN: Wisconsin. Generall Reinsurance Corp oratilon (NAIC 422039) BUSINESS ADDRESS: 120 LONG RIDGE ROAD, STAMFORD, CT 06902 - 1843. Pl- IONE: (203) 328 5000. UNDERWRITING LIMITATION b/: $1,139,255,000 SURETY LICENSES c,f/; AL., AK AZ, AR, CA, CO, CT, DE, DC, EL, GA, ID, It.., IN, A, KY, LA, MD, MA, MI, MIN, MS, MO, MY, NE, No, NJ, NM, NY, NC, ND, OH, OK, OR, PA, RI, SC, SD, TN, TX, UT, VT, VA, WA, WV, WE, WY. INCORPORATED IN: Delaware, UNDERWRITING LIMITATION ILI: $3,384,000. SURETY LICENSES c,f/: AL, AK, AZ, AR, CA, CO, CIF, DC, DE, FL, GA, HI, ID, It, IN, IA, KS, KY, LA, ME, ME), MA, MI, MN, MS, MO, MT, NE, NV, NH, NJ, NM, NY, NC, ND, OH, OR, OR, PA, RE, SC, ED, TIN, TX, LIT, VT, VA, WA, WV, WI, WY, INCORPORATED IN: Illinois. GRAY CASUALTY & SURETY COMPANY (THE) (NAIC #1 Of, 71) BUSINESS ADDRESS: P.O. Box 6202, Metairie, LA 70009 - 6202, PHONE: (504) 888-7790, UNDERWRITING LIMITATION b/: $1,478,000. SURETY LICENSES c,f/: AL., AS, AR, CA, DC, GA, IIE, KY, LA, MD, MS, MO, NV, NM, NY, NC, OK PA, SC, TN, TX. INCORPORATED IN: Louisiana GRAY JINISURANCE COMPANY (THE) (NAIC #36307) BUSINESS ADDRESS: P O. BOX 6202, METAIRIE, LA 70009 - 6202, PHONE: (504) 888 7 790• UNDERWRITING LIMITATION b/: $10,422,000, SURETY LICENSES c,f/:AL., AK, AZ, AR, CA, CO, CT, DE, DC, FL, GA, HI, ID, R., IN, LA, KS, KY, LA, ME, MD, MA, MI, MN, MS, MO, MY, NE, NV, NH, NJ, NM, NY, NC, ND, OH, OK, OR, PA, RI, SC, SD, TN, TX, Or, VT, VA, WA, WV, WE VVY INCORPORATED IN: Louisiana. Great AmerIcan Alliance Insurance Company (NAIC #26832) BUSINESS ADDRESS: 301 E Fourth Street, Cincinnati, OH 45202 PHONE: (513) 369 5000. UNDERWRITING LIMITATION b/: $2,791,000. euno ruiironmre .an Ai AV A7 AD 1A — 1— I'll 1:1 lA win a INI IA — VV IA ME, MID, MA, MI, MIN, MIS, MO, MT, NE, NV, Nf I, NJ, RIM, NY, NC, KID, OH, OK, OR, PA, RI, SC, SD, TN, TX, UT, VT, VA, WA, VVV, WI, WY, INCORPORATED IN: Ohio, Great American Insurance Company (NAIC #16691) BUSINESS ADDRESS: 301 E Fourth Street, Cincinnati, OH 45202. PHONE: (513) 369 5000 UNDERWRITING LIMITATION bl: $164,046,000 SURETY LICENSES cfl: Al., AK, AZ, AR, CA, CO, Cr, DE, DC, FL, GA, GO, HI, 11), IL, IN, IS, KS, KY, LA, ME, MD, MA, MI, MN, MS, MO, MT, NE, NV, NH, NJ, NM, NY, NC, ND, OP, OR, OR, PA, PR, M, SC, SD,'TN, TX, UT, VT, VA, WA, WV, WI, WY, INCORPORATED IN: Ohio, GREAT AMIER11CAN INSURANCE COMPANY OF NIEW YORK (NAIC #22136) BUSINESS ADDRESS: 301 E Fourth Street, Cincinnati, ON 45202. PHONE: (513)369-5000. UNDERWRITING LIMITATION bl: $4,916,000, SURETY , ICEIIJSFS efl: Al, AK, AZ, AR, CA, CO, CT, DE, DC, FL, GA, 111, ID, R., IN, A, KS, KY, LA, ME, MD, MA, MI, ION, 105, MO, MIT, NE, NV, NH, NJ, NM, NY, NC, ND, OH, OK, OR, PA, RI, SC, SD, IN, IX, UT, VI, VA, WA, VVV, WI, WY INCORPORATED IN: New York Great itilildwest lirsurance Company (NAIC #18694) BUSINESS ADDRESS: 800 GLssner, Suite 600, Houston, Tcxas 77024. P1 ION E: (713) 935 0226. UNDERWRITING LIMITATION b/: $10,697,000, SURETY LICENSES c,f/: AL, AK, AZ, AR, CA, CO, CT, DC, DE, FL, GA, Hi, ID, K., IN, A, KS, KY, EA, ME, MD, MA, JAL MIN, MS, MO, ITT, NE, NV, NH, NJ, NM, NY, NO ND, OH, OK, OR, PA, RI, SC, SD, TN, TX, UT, VA, VI, VT, WA, WV, WI, WY. SURETY LICENSES C, rl: AL, AK, AZ, AR, CA, CO, Cr, DE, DC, FL, GA, 411, ID, IL, IN, IA, KS, KY, LA, ME, MID, MA, MI, MN, ME, MO, MT, NE, NV, NH, NJ, NM, NY, NO ND, 011, OK OR, PA, RI, SC, SD, TN, TX, UT, VT, VA, WA, WV, W 1, Vtw, INCORPORATED IN: New Hampshire. HAIRCO NAHONAIL IINSURANCE COMPANY (NAIC 426433) BUSINESS ADDRESS: 702 OBERLIN ROAD, RALEIGH, NC 27605 0800. PHONE; (919) 833 1600, UNDERWRITING LIMPATION b/: $20,406,000, SURETY LICENSES c,f/: AL, AK, AZ, AR, CA, CO, CF, DE, DC, FL, GA, ID, IL, IN, A, KS, KY, LA, IV1E, MID, MA, MI, MN, MS, 100, IMP, MT, NE, NV, NH, NJ, NM, NY, NC, ND, ON, OK, OR, PA, RI, SC, SI), TN, TX, UT, VT, VA, WA, WV, VVI, WY, INCORPORATED IN: Illinois. Hartford Accident and Indemnity Company (NAIC 922357) MJSINESS ADDRESS: One Hartford Plaza, Hartford, CT 06155-0001,, PHONE: (860) 547 5000. UNDERVVRII ING LIMITATION bl: $194,687,000L SURETY LICENSES c,f/: At, AK, AZ, AR, CA, CO, C1' DE, DC, FL., GA, PH, ID, IL, IN, A, KS, KY, LA, ME, MD, MA, IY11, MIN, ME, MO, MT, NE, NV, NFL NJ, NM, NY, NC, ND, 011, OR, OR, PA, PR, RI, SC, SD, TN, TX, UT, VT, VA, VVA, WV, WI, WY, INCORPORATED IN: Connecticut, Hartford Casualty Insurance Corripany (NAIC #29424) BUSINESS ADDRESS: One Fl artford Plaza, Hartford, CT 06155 -0001., PHONE: (860) 547 5000 UNDERWRITING LIMITATION bl: $88,651,000, SURETY LICENSES of/: AL, AK, AZ, AR, CA, CO, CT, DE, DC, FL, CA, HI, ID, K., IN, I& KS, KY, I -A, INCORPORATED IN: Texas, Great Northern Insurance Company (NAIC #20303) BUSINESS ADDRESS: 202B Hall's Mill Road, Whitehouse .Station, NJ 08889, PHONE: (215) 640 5259. UNDERWRITING LIMITATION b/: $39,173,000, SURETY LICENSE'.; cfl: AL., AK, AZ, AR, CA, CO, CF, DE, DC, Ft., GA, HI, ID, K., IN, IA, KS, KY, LA, ME, MD, MA, MI, MN, MS, MO, MT, NF, NV, NH, NJ, RIM, NY, INC, ND, OH, OK, OR, PA, RL SC, SD, TN, TX, UT, V I, VA, W& WV, WI, W INCORPORATED IN: Indiana. Guarantee Company of North America USA (The) (NAIC #36650) BUSINESS ADDRESS: One Towne. Square, Suite 1470, Southfield, MI 48076 3725 PHONE: (248) 281 0281 x-66012. UNDERWRITING (..IMITATION lel: $18,995,000, SURETY LICENSES c,fl: AL, AK, AZ, AR, CA, CO, CT, DF, DO FL, GA, HI, ID, It, IN, LA, KS, KY, LA, IIAE, MD, MA, ML MN, MS, MO, MT, NE, NV, NH, NJ, NIM, NY, INC, DID, OH, OR, OR, PA, PR, RI, SC, SD, TN, TX, UT, VT, VA, VI, WA, WV, WI, WY, INCORPORATED IN: Michigan, B.a.ck. FS21ap H Hanover Insurance Company (The) (NAIC #22292) BUSINESS ADDRESS: 440 LINCOLN STREET, WORCES TER, MA 01653 - 0002. PHONE: (509) 853-7200, 1 IKIFPPVMITIKWr I IIVAH'ATMI hP tl')Q R17 nnn ME, MD, MA, ML MN, MS, MO, MT, RE, NV, NH, NJ, NM, NY, NC, ND, ON, OK OR, PA, RI, SC, SO, TN, TX, LIT, VT, VA, WA, WV, WI, VVY, INCORPORATED IN: Indiana, Hartford F:Jre Insurance Company (NAIC#19682) BUSINESSADDRESS: One Hartford Plaza, Hartford, CIF 06155 0001, PHONE: (860) 547 SOW UNDERWRITING LIMITATION b/: $991,602,000. SURETY LICENSES c,f/: AL., AK, AZ, AR, CA, CO, C1, DE, DC, FL, GA, GU, Ell, 117, IL' IN, IA, KS, KY, LA, ME, ME), MA, ML MR, MS, MO, MT, NE, NV, NH, NJ, NM, NY, NC, NO, OH, Or, OR, PA, PR, RI, SC, SD, TN, DY UT, VT, VA, WA, WV, WI, WY. INCORPORATFD IN: Connecticut. Hartford Insurance Company of 111111inoJis (NAIC#38288) BUSINESS ADDRESS: One Ifiriford Plaza, Hartford, CT 06155 - 0001, PHONE: (660) 547 5000. UNDERWRITING LIMITATION bl: $125,353,000. SURELY LICENSES cfl: CT, III, IL, MI, NY, PA. INCORPORATED IN: Illinois. Hartford Insurance Company of the Mliftrest (NAIC#37478) DUSINESSADDRESS:One Hartford Plaza, Hartford, CI-06155 0001, PHONE: (860) 547 5000, UNDERWRII ING (..IMITATION b/: $50,777,000 SURETY LICENSES c,f/: AL., AK, AZ, AR, CA, CO, C11 DE, DC, R., GA, HI, ID, It, IN, A, KS, KY, LA, ME, MID, MA, MI, MR, MS, MO, mr, NE, NV, NH, NJ, NM, NY, NC, ND, 011, OK OR, PA, RI, SC, SD,'TN,'TX, UT, VT, VA, WA, VVV, WL WY, INCORPORATED IN: Indiana, Hartford Insurance Company of the Southeast (NAIC #38261h BUSINESS ADDRESS: One Hartford Plaza, Hartford, Cl- 06155 0001 PHONE: (860) 547 5000. UNDERWRITING LIMITATION bl; $6,342,000. SURETY LICENSES cfl: CT, FL, GA, KS, LA, MI, PA, INCORPORA7 ED IN: Connecticut, Hiadson Insurance Company (NAIC #25054) BUSINESS ADDRESS: 100 William Street, Sai Floor, New York, NY 10038, PHONE: (212) 979-2900 UNDERWRITING (..IMITATION bl; $42,638,000 SURETY LICENSES c,f/: AL., AK, AZ, AR, CA, CO, CT, DE, DC, FIL, GA, HI, ID, I., IN, IA, KS, KY, L.A, ME, MD, MA, MI, MN, MIS, MO, MY, 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, JMT Insurance Company (NAIC#14257) BUSINESS ADDRESS: P.O..Box 1336, Des Moines, IA 50306 .1336. PHONE: (515) 327-277T UNDERWRITING LIMITATION bl: $17,553,000. SURETY LICENSES c,f/; AZ, It, IA, MN, MO, NE, ND, SD, WI. INCORPORATED IN: Iowa, UNDERWRITING LIMUNTION bl: $1,658,000 UNDERWRITING LICENSES cf/:Al..,AK, AZ, AR, CA, CO, CT, DE, DC, FL, GA, HI, IF), ll-, IN, IA, KS, KY, LA ME, MD, MA, MI, MIA, MS, MO, MY, NE, NV, NH, NJ, NM, NY, NC, ND, OH, OK, OR, PA, RI, SC, SD,TN, TX, ur, VT, VA, WA, WV, WI, WY, INCORPORATED IN: Indiana. Irrilland Insurance Company (NAIC#23264) BUSINESS ADDRESS: P.D. Box 80468, Lincoln, HE 68501, PHONE: (402) 4354302, UNDERWRITING (..IMITATION bl: $2S,293,000. SURETY LICENSES c,f/: AZ, CO, IA, KS, MIN, MO, MY, NF, ND, OK, 51), WY. INCORPORATED IN: Nebraska Insurance Company Of North ArneirIca (NAIC#22713) BUSINESS ADDRESS: 436 WALNUT STREET, P.O. Box 1000, Philadelphia, PA 19106, PHONE: (215) 640-1000 UNDERWRITING LIMITATION bl: $34,819,000. UNDERWRITING LICENSES c,f/: AL., AK, AZ, AR, CA, CO, CT, DE, DC, FL, GA, GU, HI, ID, IL, IN, IA, KS, KY, IA, ME, MD, MA, MI, MN, MS, MO, MP, MT, NE, NV, NH, NJ, NM, NY, NC, ND, ON, OK, OR, PA, PER, RI, SC, SD, TN, TX, UT, VT, VA, WA, WV, WI, WY. INCORPORATED IN: Pennsylvania. Insurance Company of the State of PennsylvaMa (The) (NAIC #19429 BUSINESS ADDRESS: 175 WATER STREET, I STH FLOOR, NEW YORK, NY 10038. PHONE: (212) 770-7000- UNDERWRITING LIMITATION kn: $5,466,000. SURETY LICENSES cfl: AL., AK, AZ, AR, CA, CO, CT, DE, DC, FL, GA, f1[, ID, It, IN, IA, KS, KY, LA, ME, MD, MA, MI, MN, MS, MO, MY, NE, NV, NH, NJ, NM, NY, NC, ND, OH, OK, OR, PA, RL SC, SD, YN,TX, UF, VT, VA, WA, WV, WI, WY. INCORPORNTFr) IN: Illinniq Indeffrinlity Company of Cafifornla (NAIC #25550) BUSINESS ADDRESS: P. 0, BOX 19725, IRVINE, CA 92623 9725, PHONE: (949) 26.3 3300, UNDERWRITING (..IMITATION bl; $574,000. SURETY LICENSES C,fx AL., AK, AZ, AR, CA, CO, DE, DC, CA, III, ID, IN, KS, KY, LA, ME), MA, MI, MIN, MS, MO, MT, NE, NV, NH, NJ, NM, NC, NO, OK, OR, PA, RI, SC, SD, IX, UT, VT, VA, WA, wN, WY, INCORPORATED IN: California. Indemnity Insurance Cornpany of North ArnerIca (NAIC#43575) BUSINESS ADDRESS: 436 WALNUT STREET, P.O, Box 1000, Philadelphia, PA 19106, PHONE: (215) 640-1000, UNDERWRrriNG LIMPFATION b/: $15,341,000 UNDERWRIFING LICENSES c,f/: Al-, AK, AZ, AR, CA, CO, CT, DE, DC, FL, GA, HI, ID, IL, IN, IA, KS, KY, L.A, ME, MD, MA, MI, MIN, MS, MO, I'Ar, NE, NY, NH, NJ, NM, NY, NC, ND, OH, OR, OR, PA, RI, SC, SD, TN, TX, UT, VT, VA, VI, WA, WV, WI, WY. INCORPORATED IN: Pennsylvan[a, JndemnIty Natlonall Insurance Company (NAIC W18469) BUSINESS ADDRESS: 725 Cool Springs Blvd, Suite 600, Franklin, TN 37067 PHONE: (865) 934-4360 UNDERWRITING LIMITATION bx $5,005,000 SURETY LICENSES c,f/: AL., AZ, AR, CO, GA, It, IN, KY, LA, IIAD, MS, MT, NV, NIA, OH, OR, PA, SC, T N, TX, UT, VA, WV, INCORPORATED IN: MississippL, Indlana ILummnllaermmelms Mutuall Insurance Company (NAIC #14265) BUSINESS ADDRESS: 2005 Market Street, Suite 1200, Philadelphia, PA 19103 PHONE: (267) 8259206 Insurance Company of the West (NAIC #2 7947) BUSINESS ADDRESS: P.O. BOX 509039, SAN DIEGO, CA 92150. PHONE: (858) 350-2400 x 2550, UNDERWRITING LIMITATION b/: $83,454,000. SURETY LICENSES cfl: AL, AK, AZ, AR, CA, CO, Cr, DE, DC, FL, GA, HI, ID, It, 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, TX, UT, VT, VA, WA, WV, WI, WY, INCORPORATED IN: California Insurors Indemnity Company (NAIC #432 73) BUSINESS ADDRESS: P.O. Box 2683, Waco , TX 76 702 .2683, PHONE: (254) 759-3727, UNDERWRITING LIMITATION bl: $2,106,000. SURETY LICENSES c,f/: AR, NM, OK, TX, INCORPORATED IN: Trxas, INTEGRAND ASSURANCE COMPANY (NAIC#26778) BUSINESS ADDRESS: RD Box 70128, San Juan , PR 00936 - 8128. PHONE: (787) 781-0707 x-200. UNDERWRITING LIMITATION lal: $5,072,000. SURETY LICENSES c,f/: PR, VI, INCORPORATED IN: Puerto Rico Integrity MutiuM IInsurance Company (NAIC #14303) BUSINESS ADDRESS: P.O. Box 539, Appleton, WI 54912 - 0539. PHONE: (920) 734 4511 . UNDERWRITING LIMITATION bf: $5,374,000, SURETY LICENSES c,f/: IL, IA, IIAN, ON, WI, INCORPORATED IN: Wisconsin internarthonall Fidelity IInssurance Company (NAIC #11542') BUSINESS ADDRESS: One Newark Center, Newark, NJ 07102 - 5207. PHONE: (973) 624 7200, UNDERWRITING LIMITATION b/: $7,161,000 SURETY LICENSES c,f/: AL, AK, A7, AR, CA, CO, CT, DE, DC, FL, GA, GU, HI, ID, II_, IN, IA, RE, KY, LA, ME, MD, MA, MI, MIA, MS, MO, MT, NE, REV, NH, NJ, NM, NY, NC, NO, OH, OK, OR, PA, FIR, RI, SC, ED, TIM, TX, UT, vr, VA, V1, WA, WV, WI, WY INCORPORKTED IN: New Jersey. JRONSHOIRIE JNIDEMNJTY IINC. (NAIC #236471) BUSINESS ADDRESS: P,O BOX 3407, NEW YORK, NY 10008 PHONE: (617) 35 7-9500, UNDERWRITING LIM ITATION bl: $9,923,000 SURETY LICENSES C,I/: Al, AK, AZ, AR, CA, CO, CT, DE, DC, FL, CA, (R), HI, ID, II., IN, IA, KS, BY, I -A, ME, MD, MA, Ml, MN, ME, MO, MI, NE, NV, NIL NJ, NM, NY, NC, ND, ON, OR, OR, PA, PR, RI, SC, SD, TN, TX, LIT, VT, VA, WA, WV, WI, WY. INCORPORATED IN: Minnesota ISLAND INSUPAINCIE COMPANY, LIMITED (NAIL #22845) BUSINESS ADDRESS: P.O. Box 1520, Honolulu, HI 96806 -1520. PHONE: (808) 564-8200, UNDERWRITING LIMITATION IV: $11,553,000 SURETY LICENSES r.,fl: HI, INCORPORATED IN: Hawaii, INCORPORATED IN: Hawaii, Tnwf*I'elop Liberty IInsaurance Corporadon (NAIC #42404) BUSINESS ADDRESS: 175 Berkeley Street, Boston, MA 02116 PHONE: JET 7) 35 7 9500, UNDERWRITING LIMITATION bl: $24,507,000 SURETY LICENSES c,f/: AL, AK, AZ, AR, CA, CO, CT, DE, DC, FL, GA GU, HI, ID, R., IN, IA, KS, KY, LA, ME, MD, MA, ML MN, MS, MO, ME, MIT, NE, NV, NIL NJ, NM, NY, NC, ND, OH, OK, OR, PA, FIR, RI, SC, SD, TIM, TX, ITT, VT, VA, WA, WV, WI, WY. Liberty Mutuall Fire Insurance Company (NAIC V23035) BUSINESS ADDRESS: 175 Berkeley Street, Boston, MA 02116, PHONE: (61 7) 35 7 9500, UNDERWRITING LIMITATION bl: $131,117,000. SURETY LICENSES c,f/: AL, AK, A7, AR, CA, CO, Cl, DE, DC, FL, GA, GU, HI, ID, [1, 11% IA, KS, KY, LA, ME, MD, MA, MI,(VAN, MS, MO, ME, MI, NF, NV, NIL NJ, NM, NY, NC, ND, ON, OK, OR, PA, PR, RI, SC, 5D, Till, TX, UT, VT, VA, VI, WA, WV, VVI, WY INCORPORATED IN: Wisconsin LlIberity IMiutuaJ Insurance Company (NAIC V23043) BUSINESS ADDRESS: 175 Berkeley Street, Boston, MA 02116. PHONE: (617) 35 7-9500, UNDERWRITING ING LIMITATION bl: $1,122,392,000, SURETY LICENSES c,f/: AL, AR, AZ, AR, CA, CO, C1, DE, DC, FL, GA, HI, ID, IL, IN, I& KS, KY, IA, ME, MD, MA, MI, DIN, MS, MO, MR, M11 NE, NV, NH, NJ, NM, NY, NC, ND, ON, OK, OR, PA, RE, RI, SC, SD, TN, TX, UT, VT, VA, VL WA, WV, WI, WY. INCORPORATED IN: Massachusetts LIM insurance Corporation (NAIC #33600) BUSINESS ADDRESS: 175 Berkeley Street, Boston, MA 02116 PHONE: (617)3579500 UNDERWRITING LIMITATION b/: $11,649,000, UNDFRWRITINGII(FNSFSrf/*A1 AK A7 AR CA CO (-F DF DC PI CA GU Hi ID 11 IN i b"4 r R, h" t op N L LEXINGTON NATOONAIL IINSURANCE CORPOIkATION (NAIC #37940) BUSINESS ADDRESS: P.O. BOX 6098, LUTHERVILLE, DID 21094. PHONE: (410) 625-0800. UNDERWRITING 1-110 ITAI ION lsh. $1,930,000. SURETY LICENSES c,f/: At, AK, AZ, AR, CA, CO, C-I, DE, DC, FIL, GA, PIT, ID, IL, IN, IA, KS, KY, LA, ME, MR, MA, MI, MIN, ME, MO, IV], NE, NV, NH, NJ, NM, NY, NC, OH, OK, OR, PA, RI, SC, ED, TN, TX, UT, VTR VA, WA, We, Wt WY, INCORPORATED IN: Florida, Lexon Insurance Company (NAIC #13307) BUSINESS ADDRESS: 10002 Shelbyville Rd, Suite 100, Louisville, KY40223 PHONE: (615) 553-9500, UNDERWRITING LIMITATION b/: $6,805,000 SURETY LICENSES cjl: At-, AK, AZ, AR, CA, CO, CT, DE, DC, FIL, CA, GU, HI, IT), It-, IN, Vk KS, KY, LA, ME, MR, MA, MI, MIN, IIAS, MO, ME, MT, NE, NV, NJ, NM, NC, HIS, ON, OR, OR, PA, RI, SC, ED, TN, TX, UT, VT, VA, WA, We, WI, WY. INCORPORATED IN: Texas IA, RE, KY, LA, ME, MR, MA, MI, DIN, MS, MO, MR, MT, NE, NV, NH, NJ, RIM, NY, NC, KID, OH, OK, OR, PA, RI, SC, SD, TN, TX, U1, VT, VA, VI, WA, WV, WL WY INCORPORATED IN: Illinois, rht"',J{' FQ "I"up im [Manufacturers A1111lance Insurance Company (NAIC #36897) BUSINESS ADDRESS: P.O Box 3031, Blue Bell, PA 19422 0754, PHONE: (610) 397-5000 UNDERWRITING LIMITATION b/: $7,584,000 SURETY LICENSES c,f/: AL, Alt, AZ, AR, CO, CT, DE, DC, ID, IN, KS, KY, LA, ME, IIAD, MI, MS, MO, MI, Nf, NV, NH, NJ, NM, NY, NC, OH, PA, RI, SC, ED, T N, U I, VI, VA, WA INCORPORATED IN: Pennsylvania IMARIKEL IINSURAINCE COMPAIRTY (NAIC#38970) BUSINESS ADDRESS: 4521 Highwoods Parkway, Glen Allen, VA 23060. PHONE: (800) 431 1270 x 3888 UNDERWRITING LIMITATION bl: $40,924,000, SURETY LICENSES c,Q! AL, AK, AZ, AR, CA, CO, Cf, DE, DC, FIL, GA, HI, IS, IL, IN, IA, KS, KY, LA, ME, MID, MA, MI, MR, ME, MO, MP, MIT, NE, NV, NH, NJ, NM, NY, NC, ND, OH, OK, OR, PA, FIR, RI, SC, SD, TN, TX, UT, Vr, VA, WA, WV, WI, WY. INCORPORATED IN: Illinois Massachusetts Day insurance Company (NAIC #22s06) BUSINESS ADDRESS: 440 LINCOLN STREET, WORCESTER, MA 01653 0002, PHONE: (508) 853 7200. UNDERWRITING LIMITATION b/: $6,516,000. SURETY LICENSES cfl: AL, AK, AZ, AR, CA, CO, CIF, DE, DC, I'll., CA, HI, 11), It., IN, A, KS, KY, LA, ME, MD, MA, MI, MIN, MS, MO, MT, NE, NV, NH, NJ, NM, NY, NC, NO, OH, OK, OR, PA, RI, SC, SD, IN, IX, VT, VA, WA, WV, WI, WY. INCORPORATED IN: New Hampshire, Merchants IDonrdiing Company (Mul (NAIC 414494) BUSINESS ADDRESS: P.O BOX 14498, DES MOINES, IA 50306 -3498, PHONE: (515) 243 8171, UNDERWRITING(..IMITATION bl: $11,213,000 SURETY LICENSES c,fl: AL., AK, AS, AR, CA, CO, CT DE, DC, R, GA, 141, 11), IL, IN, IA' KS, KY, LA' ME, DID, MA, MI, MN, ME, MO, MIT, NE, NY, NH, Nj, NM, NY, INC, ND, ON, OR, OR, PA, RE SC, SD, TIN, TX, UT, VT, VA, WA, WV, WI, WY. INCORPORATED IN: Iowa. Merclhants Niationall IiWirlding, Inc (NAIC #11595) BUSINESS ADDRESS: P.O, Box 14498, DES MOINES, IA 50306 —3498. PHONE: (515) 243 8171, UNDERWRITING LIMITAXION bl: $1,557,000, SURETY LICENSES r,f/: AL, AN, AZ, AR, CO, CT, DE, DC, H., GA, HI, ID, IL, IN, IA, KS, KY, ..A, ME, IVID, MA, MI, MN, ME, MO, I'Ar, NE, NV, Nj, NM, NY, NC, ND, CH, OR, OR, PA, PR, RI, SC, SD, TIN, TX, UT, VT, VA, WA, WV, WE WY. INCORPORNTED IN: Iowa Michigan M1111lers; Mutuai 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, BUSINESS ADDRESS: 471 East Broad Street, Columbus, OH 43215. PHONE: (614) 225 8211, UNDERWRITING LIMITATION lbh $46,067,000 SURETY LICENSES c,ff: IN, KY, MI, ON, 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 :A: $86,776,000. SURETY LICENSEE cfl: AL, AK, AZ, AR, CA, CO, CT, DE, DC, FL, GA, HL ID, 111, IN, A, KS, KY, LA, ME, MD, I1AA, MI, MIN, MIS, MO, IIAT, NE, NV, NH, NJ, NM, NY, NC, ND, CH, OR, OR, PA, RI, SC, SD, IN, TX, UT, V1, VA, WA, WV, WI, WY. INCORPORATED IN: Michigan Munich Reinsurance America, Inc. (NAIC #1022 7) BUSINESS ADDRESS: 555 COLLEGE ROAD EAST P.O,BOX S241,PRINCE1ON,K1j0S543. PHONE: (609)2434200. UNDERWRITING LIMITATION bl: $392,667,000. UNDERWRITING LICENSES c,f/: AL., AC AZ, AR, CA, CO, CT, DE, DC, Fl GA, HE ID, It.., IN, IA, KS, KY, LA, ME, IAD, MA, MI, MIN, ME, MO, MT, NE, NV, NH, NJ, NM, NY, NC, ND, ON, OK, OR, PA, PR, RI, SC, SD, TN, TX, U 1, VT, VA, WA, WV, WI, WY, INCORPORATED IN: Delaware. 00'-b�''N7p SURETY LICENSES CN: AZ, AR, CA, CO, CA, ID, II., IN, IA, KS, KY, Vill, MN, MO, MIT, NE, NY, NC, ND, OH, OK, OR, PA, SD, TIN, VA, WA, WE 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 UMITAI ION b/: $107,758,000 SURETY LICENSEE c,f/: AL, AZ, AR, CA, CO, FIL, GA, HI, ID, It., IN, IA' KS, MA, MI, MN, MIS, MO, MY, NE, NV, NJ, NM, NY, NC, NO, OH, OK OR, PA, SD, TN, TX, UT, V1, VA, WA, WE WY. INCORPORATED IN: California MILID-CONITIINIENT CASUAulry COMPANY (NAIC #23418) BUSINESS ADDRESS: P.O. Box 1409, Tulsa, OR 74101, PHONE: (918) 587-7221, UNDERWRITING LIMITATION b/: $16,224,000 SURETY LICENSES C,fo AL., AZ, AR, CO, CT, It., IN, A, KS, KY, LA, ME, MN, ME, MO, MY, NE, NJ, NM, NC, OH, OK, PA, SC, IN, TX, UT; VA, WA, WY, INCORPORATED IN: Ohlo, Motorists Contirl MutuW Insurance Compairy (NAIC #13331) BUSINESS ADDRESS: 471 East Broad Street, Columbus, ON 43215, PHONE: (614) 225 9211 . UNDERWRITING LIMITATION b/: $14,747,000, SURETY LICENSES c,f/: AZ, CA, CO, CT, DE, DC, GA, ID, IL, IN, IA, KS, KY, ME, MD, MA, JAIL MIN, MO, NE, NV, NH, Nj, NM, NY, NC, ND, ON, OK, OR, PA, RI, SC, ED, TN, TX, Ur, VT, VA, WA, WV, WI, VVY, INCORPORATED IN: Ohio. Motorists Mutuall insurance Company BUSINESS ADDRESS: P.O,.box 9, Chandler, OK 74634, PHONE: (405) 258-0804. UNDERWRITING LIMITATION bl: $6,792,000 SURETY LICENSES c,f/: AL., PIS, AS, AR, CA, CO, CT, DC, FL, GA, HI, ID, IL, IN, IA, KS, KY, LA, ME, MID, ME MN, ME, MO, MY, NE, NV, NJ, NM, NY, NC, ND, ON, OK, OR, PA, RI, SC, SD, TN, TX' u I, VA, WA, WV, WI, WY. (INCORPORATED IN: Oklahoma. Nationall Casualty Company (NAIC #11991) BUSINESS ADDRESS: ONE WEST NATIONWIDE BLVD., 1-04 701, COLUMBUS, OH 43215 - 2220, PHONE: (480) 3654000. UNDERWRITING LIMITATION b/: $14A77,000. UNDERWRITING LICENSES c,fl: At-, AK, AZ, AR, CA, CO, CT, DE, DC, FL, GA, HI, ID, IL, IN, LA, KS, KY, LA, ME, DID, MA, MI, MIA, MS, MO, MT, NE, NY, NH, Nj, NO, NY, NC, ND, ON, OK OR, PA, RI, SC, SD, TN, TX, UT, VT, VA, WA, WV, WI, WY. INCORPORATE[) IN: Ohio, NATIONAL FAFI UNION PROPERTY AND CASUALTY COMPANY (NAIC #16217) BUSINESS ADDRESS: One General Drive, Sun Prairie, WI 53596. PHONE: (608) 825 5160, UNDERWRITING LIMITATION bl: $4,213,000. SURETY LICENSES c,f/: AL, AK, AZ, AR, CA, CD, DE, DC, GA, HI, ID, IL, IN, IA' KS, KY, IA ME, ME), MA, MI, MEN, MS, MO, MT, NE, NY, NH, NJ, NY, NC, ND, Oki, OR, OR, PA, RI, SC, SD, IN, TX, UT, VT, VA, WA, WV, WI, WY, INCORPORATED IN: Wisconsin, NatJonall We & Marine Insurance Company National American Insurance Company INAIr b"Ar.11 NAIC #20079) BUSINESS ADDRESS: 1314 Douglas Street, Suite 1400, Omaha, NE 60102 - 1944. PHONE: W71 nlA..Innn UN D ERWRITIING EAMNTA"IION Ilk/: $718,720,000, UN D IRWR IT ING UCEMSES c,fC NO, I NCO RPOIEAI ED IN. Nelarasks, INa4lolrnal IPllre insurance Coilvilinalrny of Hartfoird (NAIC Et2047Si) BUSINESS ADDRESS: 151 NFRANKIIIN ST.. CI li .:AGC), II.60606, P FTONE: (312) 822-5000, U IN DL R W RE LING ILI M IIA I ION bl $11,795,OG.1(.L SURETY IWFNSPs5 Cf/: AT, AEC, A7, AR, CA, CO, C T, DE, DC:, PI., GA, HI, If), IT,, IN, IA, ICS, KY, E.A, ME, MD, MA, MII, MN, M5, IVIC), MT, NE, Ntl, NH, NI, fN M, NY, NC:, NID, CH, ON, CPR, PA, PR, RI, SC:, SIT), TN TX„ UT, AT, VA, VVA, WV, VVI, WY. INCORPORATED IN: Hilr,hois, Natlovall Ii ndennlrilty Colnnlpalny (NAK1420087f BIJ INI55 ADF.7RE.-S: 1314 Douglas Street, Suile 1400, f)In,aha, ENE 68102- 1944, PF ONH (402) 916 :3000, UNDFRWRII INK, L. IIME I AIIOIN bC $12,315,220,000, I'l"I'0I IrVvI' I Ni13 I I( -I rl I S C, , AI T\K,,14a , r "+:,, r I Dr,", I CA, 10, II_ IN d P1i, i 1 r r,i I'll, Inr 11.11- 1 I` II t;iiq I" niU 1l- rr , Ln, I1V, I ✓ 1, II, VT, VA, VV n,, 'Av, All, w,Y. I INCORPORA"FED IN: Nebraska National Liability & Fire Insurance Company (NAIC:. 7720I)52) BUSINLSS ADDRI S� 1314 DouKl a,,.;P.reet S,ln Ce 1400, Omaha, NF 68102 - 194. PHONE: (402) 91 Fr-3000 UNETERWRII ING [..IMITATION bC $124,627,000.. UNDERWRITING ITICENSE:.`n cj/. M.., Alf, CA, CT, E.1F:, DC, HI, ED, R., OA, K5, KY, MID, MA, MI, MS, MO, NE, NH, NJ, AN, NY, ND, 011, OR, Rl, SC, SIY, IX, UT, VI, VA, WA, WY, INCORPOVTAIlED IN:. Connlecticut. UNIDE. RWRIIING 1UMI I A I ION Ib/.$19,16 ,000 lJNlDE.RWRI I ING UCINNSI.Sc,f/: All., A., AR, CA, CO, C T, FOE, E)1:;, R, CA, IC), H, IN,IIA, KS, KY, IA, ME:, IAA ID, MA, MI, MN, PATS, MC:), M F, ENE::, NV, NIT 1, NJ, NM, NY, NC, [FAD, 011, Oil OR, IPA, ITI, SC, SI.7 "IN "IX, ITT, VT, VA, VVA, WV, WI, WY, INCORPORAVE:-D IN: larnra, Nafflionwide 110u1tauall Illrnsulraince coinipnalmy (NAIC #2:378/) BUSINESS ADDRESS: ONE:. VVE SI HAI IONWIDE RILVD., 1-04701, C:C)I IJMB(.)!,, OH 4.:121 r - 2220, P HO N G: (614) 249-1111, UNIDLITWRI IING UMITAnON Eat $1,142,701,000. UNIDLRWRI I ING ICf INSI.S r,fl: M., AK, A7, AR CA, CO, CT, DF, DC:, 1-I, FA, I'il, IIE), III., IN, IA, KS, KY, [.A, M.I., MO, [VIA, MI, MN, MY, MO, CA 1, NE, NV, NO 1, NJ, NM, NY, INC, ND, 0111, C:)K, (:PIER, PA, RI, SC, SEA, IN, TX, WE, IN, VA, VI, WA, WV, WE, WY, INC:ORPORAII:: D IN Olhio, NAVIGATORS IINSu.UIT.A)NCIF CCUINHIAaNY ([NAIC 80307) BUSINESS ADDRI SiS: 400 Alliannl(: SU'em.t, 81 hh Floor, Suarnrord, C: I K901 IN IONE:,(263) 9(PS-6090 UINDE: RWIEIIING L. MITAT ION h/ $105,61,r6,06Q.. CUNT IY I..00ENSE_ (:,'U: AL.., AI< A7.,AR, CA, CO, CT, DE, I)C, R I, CSA, GU 111, ID, IL., IN, IA, KS, KY, IA, NF:, MD, MA, MI, MIN, MS, PAIO, EMIT, INI::, NV, NEi, NI, NM, NY, NC:, Nr), ()I -I, OI(, OV2, PA, PR, RI, SC:, D, "IN, TX, UT, VT, VA, WA, VVV, VVI, WY., INCOET IORA FEE) IN: Neva Yank New IHallrnpshlilre lnsualralmce Colrml (NAIC 923841) B IJCIINE_::ir ADD:VE ;S:175N(AR1R.IREEI, 18 FIT O.00FE, NEW YORK, NY 10038, PHONFr, (212)'770-7000 (NAIIC 421881) p)l) ,INF°S`n ADDRk'. `s: 21, Vrl. VVASIIINC, IG.PN SIRE F I, `xUITF '0800, CE'11CACdC1, IL.. Ea(1G06 - 3494. PHONE: (MM) 466-7883. IJINDERVVRITINC; l lI,,AITATICIN b/: $7,381,00a). Ull FETNRITING I.ICE N IFS ,.j/: Al., AN, A7, AVE, CA, (CP, CT', IN., DC, 11-1..., GA GU, 0-III, II:), II.., IN, IA, KS, KY, IA, ME:, ME), MA, MI, MN, ME, MO, MI, IN 1::., NV, NI -I, NJ, ING, TINY, NO-, ND, 01-I, ('.)K, G)Ft, PA, PEE RI, >C:,'.SI:),'TN,'T7C, tlJ.K A(T,VA, hNA, ANnl, WI, tYVY_ INCORPOIRATFD IN: illErwis, NATIONAL L TI211U"a"1 INSURANCE COMPANY (NAIC :t2ft141) BUSINESS ADDRFS°;: 6300 University Parkway, Sarasota, FI 34240 - 8424, PHONE: (FW)) 226-3274.. UNDERWRITING IAMI'IAnON b/: $3,781,000. SURE FY I..IC E.N. ES c,ft AT DC, I I., GA, R., IN, IA, TAY I_A, AID, MI, IVIS, MO, N.F., NC, OK, PA, SC, TN I7(. INC(JR.POR/AVELO IN: Indiana, NaffiioRoall Union IPulra: Ilnsulralmce C'oulnlpainy of IPilUsbun"U Ifn, PA (NAIC U9445) BUSINESS AI71}RFSS: 175 WAI ER 51 RFF J, 18"IH FICODE, NEVVY6)RK, NY 10038, PE"IONFI: O12) 770-7000. UNDLRVNRVIING UMITATIC)N b/: $643,116,000- SURETY I..IC I N I.fS c,f/: AT, AK, A7, AR CA, CO, C.:I DE., DC, IIL. GA, GU, HI, II.), 11.., IN, 141, ICS, IKY, I.A., ME:, VID, MA, IA 1, MN, MS, MO, MP, NA F, NI:V., NV, INH, N), ENNA, NY, NC, IVI:), OH, OI(, OR, PA, PR, RE, SC., SO,.FN TX, UT, AT, VA, 'NA, WV, VVI, VVY, INCOIRPORATE:':I..) IN; f>r.nlrsylvani�a, NaPnelrnwEde dAglrlill:uuusillrness Illms elralrucr Colm pal ny (NAIT: #2E3223} E3IJ.. INF.S.S ADDRESS: ONE WEST iNATIONWIDIE BEND, 1-04-70I, f:.OUJMP3US, NIT 4 321 `.i - 2220. PO-IONE::: R04) 249-1S4.1b UNDER AIRI FIND [LIMITATION bl: $6,296,000, FYI .I( FNSF., c,f/: AI., AK, A7, AR, CA CO, C T DF, DC, IPI. HA, III, OE>, II., IN, IA, KS, KY, LA, ME, MD, MA, MII, MN, INS, MCA, MT, FOR, NV, NH, NJ, FA NA, NY, NC, ND, OIH, OR, Il PEE, RI, SC, SD, TN TX, NIT, VT, VA, WA, VVV, VVN, ONY INCORPORATES IN: Illinois, NGM insurance Corripalm,y (NAIC #14 /88) BUSINESS AI:)DTEE35: `15 WESI STRP!.ET, KEENE, NI-1 034-11, PHONE: (909J380-/282,UNDF.RWEETIING L..IIVII[AT ION Ia: 139A,9 /1,000, SURE: IY L..I( E1N. T_'> C,U: AT, A7, Aft, CO, (T, IDL, DC, K., GA, ID, II.., IN, IA, KS, KY, LA, MIL, MD, MA, Mi, MS, IVIO, M I, NF, NV, NH, NJ, NM, NY, NC, ND, OEi, OK, OR, PEA, RI, S(_, SIO),'IN, T)C, UT, VT, VA, WA, WV, WI, WY, INCORPOR/A'TVD IN: V=lunda. N0.OIIU"PH AAIIAIf::1811CdAIN SIPIECIAaII. PY IIINSUUI&dAINCIE CCPIURA INY (NAIC U9£174) E,USINF;S NI)IlRF5.5: 1200 MAIN STRI E:T SUITE 300, KANSA5 CITY, MO 64105, PHONE: (913) 6765200 UYNDERVVRI FANG [_IMITATION IN: $23,900,000. SURI TY UC E Id FS c,r/: M., AI(, AZ, AR, CA, CO, CT DE, IJC, IF[., GA, ON, III, ID, II., IN, IA, IKS, ICY, UE, [VIE, ME), MAI, MI, MIN, MS, NO, MIT, NE:', NV, NI -I, NJ, NM, NY, NC, ND, OH, 011 (7R, PA, PR, RI n4ID TIN, TX, UT, VT, VA, VI, VVA, VVV, VVI, WY. INCORPOITAIFID IN: New I'larnpx F lre. NEOVAACasuuallty Canlrripany (NAIC: 4425 52) E3lJ.-INES'S AI)I)V1F;S:4 0 L.INCOL.N I[R[ LT, WC)IIZC. >TER, MA 0165J -0002, PHONE: (50a) 853-7200. UNDFRWRI IT N(.S I.IMI'I AUIION EEV: $£9,8138,000. SURE I A 1UCENSEi.S e,tl: FU_, AK, A7, AR, CA, CiD, CT, DE, ETC, FI.., GA, HE, ED, IL., IN, IA, KS, ICY, [.A, ME, ME), MA, l ll, MIN, MS, MO, MT, NE, NV, NIH, NJ, NKA, NY, NC', ND, OH, (Al OR, PA, RI, 'SC, SD, TN, I XPUT,VTVAWAWi,WY. INCORPORATED IN: New York "IP bv 0 Ohlo Casualty insurance Company (The) (NAIC #24074) BUSINESS ADDRESS: 175 Berkeley Street, Boston, MA 02116 PHONE: (617) 3579500 UNDERWRITING LIMITATION b/: $15B,673,000. SURETY LICENSES c,fl: AL., AK, AZ, AR, CA, CO, CT, DE, DC, FIL, GA, HI, D, If, IN, A, RE, KY, LA, ME, MD, MA, ML MN, ms, MO, mr, NE, NV, NFL NJ, NM, NY, NC, ND, ON, OR, OR, PA, RI, SC, SD, rN, rX, U r, 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 I.)/: $233,551,000. SURETY LICENSES cfl: AL, AZ, AR, CO, DC, DE, FL, GA, T., IN, IA, KY, I A, IIAD, MA, MI, MIN, MS, MO, MY, NE, NV, NJ, NIVL NY, NC, ND, OH, OK, PA, RI, SC, SD, TN, TX, UT, VA, WA, WV, WI, WY INCORPORATED IN: Ohio Ohio Indemnity Company (NAIC #26565) BUSINESS ADDRESS: 250 E. Broad St, 7th Floor, Columbus, OH 43215 - 0000. PHONE: (614) 228-28ft UNDERWRITING LIMITATION ID/; $4,546,000. UNDERWRITING LICENSES c,fit: AL, AK, AS, AR, CA, CO, CT, DE, DC, FL, GA, F-11, 11), L, IN, IA, KS, UNDERWRITING LIMIFATION bl: $59,630,000 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, OR, OR, PA, RI, SC, Sr.), IN, TX, UT, VT, VA, WA, WV, WI, WY, INCORPORATED IN: Illinois, 011d Republic insurance Company ((NAIC 424147) BUSINESS ADDRESS: P.O. Box 789, Greensburg, PA 15601 - 0789. PHONE: (724) 834-5000, UNDERWRITING LIMITATION VM $114,117,000. SURETY LICENSES c,f/: AL., AK, AS, AZ, AR, CA, CO, CT, DE, DC, FL, GA, GU, HI, ID, IL, IN, A, KS, KY, LA ME, MD, MA, MI, KIN, MIS, MO, MR, MY, NE, NV, NH, NJ, NM, NY, NC, ND, OH, (.-)K, OR, PA, BE, RI, SC, 5D, TIN, IX, Ur, VT, VA, VI, WA, WV, WI, WY INCORPORATED IN: Permsylvania, Old Repubtli: Surety Company (NAIC #40444) BUSINESS ADDRESS: P.D. BOX 1635, MIL WAUKEE, WI 53201 1635, PHONE: (262) 797-2640, UNDERWRITING LIMITATION EV: $7,048,000. SURETY LICENSES c,ft: AL., AZ, AR, CA, CO, DC, FL, GA, ID, IL, IN, IA, KS, MD, MN, ME, MO, MT, NE, NY, NM, NC, KID, OH, OR, OR, PA, SC, ED, TN, TX, UT, VA, WA, WV, WI, WY. INCORPORATED IN: Wisconsin, litt(k-j'o OR P Pacific Indemnity Company (NAIC #203464) KY, LA, ME, MD, MI, MN, MS, MO, MY, NE, NV, NH, NJ, NM, NY, NC, ND, OH, OR, OR, PA, RI, SC, SD, TN, TX, UT, VT, VA, WA, WV, WI, WY. INCORPORATED IN: Ohio, Ohio Securilty insurance Company (NAIC #24082) BUSINESS ADDRESS: 175 Berkeley Street, Boston, MA 02116 PHONE: (617)357-9500 UNDERWRITING LIMITATION bl: $1,498,000 SURETY 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, WA, WV, WI, WY, INCORPORATED IN: New Hampshire.. Olkiahoma Surety Company (NAIC #23426) BUSINESS ADDRESS: P.O. Box 1409, Tulsa, OR 74101, PHONE: (918) 587-7221 UNDERWRITING LIMITATION b/:$1,654,000 SURETY LICENSES C,t/: AR, KS, OH, OK, TX INCORPORATED IN: Ohio OILID DOMINION INSURANCE COMPANY (NAIC 440231) BUSINESS ADDRESS: 55 WEST STREET, KEENE, NH 03431 PHONE: (904) 380-7282, UNDERWRITING LIMITATION b/: $3,606,000, SURETY LICENSES c,f/: CT, DE, FL, CA, ME, MD, MA, NH, NY, NC, PA, RI, SC, TN, VT, VA INCORPORATED IN: Florida. Old Republic General insurance Corporation (NAIC #24139) BUSINESS ADDRESS: 307 NORTH MICHIGAN AVENUE, CHICAGO, It.. 60601 PHONE: (312).346 8100 BUSINESS ADDRESS: 202E Hall's Mill Road, Whitehouse Station, NJ 08889, PHONE: (215) 640 1000 UNDERWRITING LIMITATION 61: $315,850,000. SURETY LICENSES rjl: AL., AN, AZ, AR, CA, CO, CT, DE, DC, FL, CA, HI, ID, IL, IN, A, KS, KY, LA, ME, MD, MA, MI, MIN, MS, MO, Mr, NE, NV, NH, NJ, NM, NY, NC, ND, OH, OR, OR, PA, RE SC, SD, TN, IX, LJT, VT, VA, WA, WV, WE WY.. INCORPORATED IN: Wisconsin. PACIFIC INDEMNITY IINSUPANCE COMPANY (NAIC #18380) BUSINESS ADDRESS: 349 WEST O'BRIEN DRIVE, HAGNTNA, GU 96910. PHONE: (671) 477-1661 UNDERWRITING LIMITATION Ist: $2,345,000. SURETY LICENSES c,f/: GO, IIAP. INCORPORATED IN: Guarn, PARTNER REIINSURANCIE COMPANY OP THE U.S. (NAIC #38636) BUSINESS ADDRESS: 200 First Stamford Place, Suite 400, Stamford, CT 06902, PHONE: (203) 485 4200. UNDERWRITING LIMITATION b/: $122,636,000, SURETY LICENSES c,f/: AL, AS, CA, CO, DC, IL, KS, MI, MS, NE, NY, TX, UT, WA, INCORPORATED IN: New York PAIRTNERRE INSURANCE COMPANY OF NIEW YORK (NAIC #10006) BUSINESS ADDRESS: 200 First Stamford Place, Suite 400, Stamford, CT 06902. PHONE: (203) 485-4200 UNDERWRITING LIMITATION bf: $01,932,000 SURETY LICENSES c,ff: AL, A7., CA, CO, DE, DC, ID, K, IN, A, RE, KY, MD, MI, MIN, ME, My, NE, NJ, NM, NY, ND, DEL OK, OR, PA, RI, SC, sE% Tx, ur, VT, VA, WA, WV, wi INCORPORATED IN: New York. Peldin Insurance Company (NAIC #24228) BUSINESS ADDRESS: 2S05 COURT STREET, PEKIN, IL 61558 0001, PHONE: (309) 346-1161, UNDERWRITING LIMITATION bl: $13,231,000, SURE rY LICENSES c,f/: AZ, 11, IN, LA, ML ON, WL INCORPORATED IN: Illinois Perinsylvanla Manufacturers IIndemmonity Company (NAIC#41424) BUSINESS ADDRESS: P.O. Box 3031, Blue Bell, PA 19422 0754, PHONE: (610) 397-5000 UNDERWRITING LIMITATION b/: $8,662,000, SURETY LICENSES c,f/: Al AK, AZ, AR, CO, CT, DE, DC, ID, IN, KS, NY, LA, ME, MD, MI, IIAS, MO, MT, NE, NV, NH, NJ, NM, NY, NC, ON, PA, RL SC, SD, TN, UT, VI, VA, WA INCORPORATED IN: Pennsylvania Pennsylvania Manufacturers'Assoclation Insurance Company (NAIC #12262) BUSINESS ADDRESS: P,O Box 3031, Blue Bell, PA 19422 - 0754 PHONE: (610) 397-5000, UNDERWRITING LIMITATION bf: $34,384,000, SURETY LICENSES c,f/: AL, AK, AR, CO, CT, DE, DC, FL, GA, HI, ID, IL, IA, KS, KY, LA, ME, MD, MA, MI, ME, MO, MT, NE, NV, NIL NJ, NM, NY, NC, ON, OR, PA, Rk SC, ED, TN, TX' UT, Vr, WA, WV, INCORPORATED IN: Pennsylvania. Pennisylvanla Natilonal Mutual Casualty Insurance Company (NAIC #14990) PHONE: (614) 464-5000, UNDERWRITING (..IMITATION bl: $2,769,000- SURETY LICENSES c,f/: AL, AK, AZ, AR, CA, CO, CT ' DE, DC,FL, GA, NJ, ID, IL, IN, IA, KS, KY, LA, ME, MD, MA, MI, MN, ME, MO, MT, NE, NV, NH, NJ, NM, NY, NC, ND, 011, OR OR, PA, RI, SC, SD, YN, T-X, UT, VT, VA, WA, WV, WI, WY, INCORPORATED IN: Iowa, ProCentury insurance Company (NAIC 92190.3) BUSINESS ADDRESS: 550 Polaris Parkway, Westerville, CH 43082, PHONE: (614) 895-2000, UNDERWRITING (..IMITATION b/: $5,833,000, SURETY I. ICENSES c,fl: AK, AZ, Art, CA, DE, DC, GA, It, IN, IA, KS, LA, MD, MA, MI, MN, MS, MO, IN T, NE, NV, NJ, NIIA, NY, NE), OR, OR, PA, SC, SO, IX, UT; WV, WI, WY, INCORPORATED IN: Michigan. ProgresMve Casualty insurance Company (NAIC #24260) BUSINESS ADDRESS: P.O. BOX 89490, CLEVELAND, OH 44101 - 6490, PHONE: (440) 461 5000 UNDERWRITING LIMIFATION bl: $212,491,000 SURETY LICENSES of/: AL., AK, AZ, AR, CA, CO, CT, DE, DC, FL, GA, F-11, ID, IL, IN, LA, KS, KY, LA, ME, MD, MA, Pal, ON, ME, MO, MT, NE, NV, NH, NJ, NM, NY, NC, ND, OH, OK, OR, PA, RI, SC, SD, IN, TX, UT, VT, VA, WA, WV, WI, WY, INCORPORATED IN: Ohio., Progressive Northwestern insurance Company (NAIC #42919) BUSINESS ADDRESS: P.O, BOX 69490, CE EVELAND, ON 44101 - 6490, PHONE: (440) 461 5000, UNDERWRITING UMITAYION IsP $52,118,000, BUSINESS ADDRESS: P. 0 Box 2361, Harrisburg, PA 17105 -2361, PHONE: (717) 2344941. UNDERWRITING LIMITATION bl: $64,019,000 SURETY LICENSES c,f(: At, AS, AZ, AR, CO, CT, DE, DC, FIL, GA, ID, IL, IN, IA, RE, KY, LA, IME, MD, MA, MI, MN, ME, MO, Mr, NE, NJ, NM, NY, NC, OH, OR OR, PA, RI, SC, SD, T N, TX, JJT, VT, VA, WA, WV, WI, INCORPORATED IN: Pennsylvania. PHI)LAIDIELPHIJA INDEMNITY ONSUPANCIE COMPANY (NAIC #18058) BUSINESS ADDRESS: One Bala Plaza East, Suite 100, Bala Cynwyd, PA 19004 1403, PHONE: (610) 206 7836 UNDERWRITING LIMIFATION bl: $231,637,000, UNDERWRITING LICENSES rfl: AL, AK, A7., AR, CA, CO, CT, DE, DC, FL, GA, NJ, ID, IL, IN, IA, KS, KY, LA, ME, ME, MA, ML MIN, ME, MO, MIT, NE, NV, NH, NJ, NM, NY, NC, ND, ON, OK, OR, PA, RI, SC, SD, TIN, TX, UT, VIF, VA, WA, WV, WI, WY, INCORPORATED IN: Pennsylvania, PLATTE R11VER INSURANCE COMPANY (NAIC #1 SET 9) BUSINESS ADDRESS: P.O. Box 5900, Madison, W1 53709 0900. PHONE: (608) 829-4200, UNDERWRITING LIMITATION b(: $4,827,000 SURETY LICENSES c,U: AL, AK, AZ, AR, CA, CO, CT, DE, DC, FL, GA, III, It), L, IN, IA, KS, KY, LA, ME, MD, MA, I'Al, MN, ME, MO, MT, NE, NV, NH, NJ, NM, NY, NC, NO, ON, OK OR, PA, RI, SC, SD, TIN, TX, Ur, Vr, VA, WA, WV, Vd, WY, INCORPORATED IN: Nebraska Plaza insurance Company (NAIC #30945) BUSINESS ADDRESS: 518 East Broad Street, Columbus, OH 4321 S. SURETY LICENSES C,I/: AK, AZ, CA, CO, C1, DE, DC, GA, HI, ID, IN, IA, KS, KY, LA, ME, MD, MN, MS, MO, MT; NE, NV, NJ, NM, NY, NC, ND, ON, OK, OR, RI, SC, SO, TIN, TX, UT, VA, WA, WV, WI. INCORPORATED IN: Ohio. ProtectWe Insurance Company (NAIC #12416) BUSINESS ADDRESS: 111 Congressional Blvd, Suite 500, Carmel, IN 46032 PHONE: (317) 636-9800 x-7433. UNDERWRITING LIMITATION bl: $28,733,000, UNDERWRITING LICENSES c,f/: AL, AK, AZ, AR, CA, CO, CT, DE, DC, FL, GA, HI, ID, It, IN, A, KS, KY, LA, ME, MD, MA, MI, MN, MS, MO, M71 NE, NV, NFL NJ, NIA, NY, NC, ND, OH, OR, OR, PA, PR, RI, SC, SD, TN, TX, UT, VI, VA, WA, VVY, WI, WY INCORPORATED IN: Indiana PirotectIve Property & Casualty Insurance Company (NAIC #35769) BUSINESS ADDRESS: 14755 North Outer Party Rd, Suite 400, St Louls, MO 63017 PHONE: (636) 536-5600, UNDERWRITING LIMITATION IV: $16,992,000 UNDERWRITING LICENSES c,f/: AL, AK AZ AR, CA, CO, CT, DE, DC, FL, GA, HI, ID, II., IN, IA, KS, KY, LA, ME, MD, MA, ML MN, ME, MO, MT; NE, NV, NH, NJ, NM, NC, ND, OH, OR, OR, PA, PR, RI, SC, SD, T N, TX, UT, VT, VA, WA, WV, WI, WY, INCORPORATED IN: Missouri. y QIRIE Insurance Corporation (NAIC#39217) BUSINESS ADDRESS: One General Drive, Sun Prairie, WI 53596 PHONE: (608) 925 5160, UNDERWRITING LIMITATION bl: $67,799,000, SURETY LICENSES c,t/: AL, AK, AZ, AR, CA, CO, CT, DE, DC, Ft., CA, HI, ID, IL, IN, A, KS, KY, I.A, ME, MID, MA, MI, MN, MS, MO, IVI7, NE, NV, NH, NJ, NIA, NY, NC, NO, OH, OR, OR, PA, RI, SC, SD, TIN, TX, UT, VT, VA, WA, WV, WI, WY. INCORPORATED IN: Pennsylvania. Bar,k. r.Q Tgp- R Regent Insurance Company (NAIC #24449) BUSINESS ADDRESS: One General Drive, Sun Prairie, WI 53596. PHONE: (608) 825 5160, UNDERWRITING LIMITATION bl: $3,221,000, SURETY LICENSES c,f/: Al., AK, AZ, AR, CA, CO, DE, DC, Fl, CA, HI, ID, IL, IN, A, KS, KY, LA, MID, MA, MI, MR, MS, 100, MT, NE, NV, NH, NJ, NY, NC, ND, OFI, OR, OR, PA, RI, SC, 51), TN' IX, LIT, V1 I VA, WA, WV, WI, VVY, INCORPORATED IN: Wisconsin, Repultific .- Franklin Insurance Company (NAIC#12475) BUSINESS ADDRESS: P. 0 Box 530, Utica, NY 13503 .0530 PHONE: (315) 734-2000, UNDERWRITING LIMITATION ILI: $5,450,000. SURETY LICENSES c,f/: CT, DE, DC, GA, IL, IN, KS, MD, MA, MI, NH, NJ, NY, NC, OH, PA, RI, TN, TX, VA, WI. 0 SAIFIECO Insurance Company ofAmerhca (NAIC #24740) BUSINESS ADDRESS: 175 Berkeley Street, Boston, MA 02116 PHONE: (617) 357 9500, UNDERWRITING LIMITATION Is/: $1150,329,000. SURETY LICENSES cN; AL., AK, AZ, AR, CA, CO, CT, DE, DC, FL, GA, GU, HI, IS, IL, IN, A, K5, KY. LA, ME, MID, MA, VI, MIN, MIS, MO, MI, NE, NV, NH, N1, NkA, NY, NC, ND, OH, OK, OR, PA, RI, SC, ED, TN, TX, UT, VT, VA, WA, WV, WI, WY, INCORPORATED IN: New Hampshire Safety Matlonall Casuafty Corp oiradoid (NAIC #15105) BUSINESS ADDRESS: 1832 Scinuetz Road, St Louis, MO 63146 .3540. PHONE: (314) 995-5300, UNDERWRITING LIMITATION bl; $208,192,000. SURETY LICENSES c,ft: AL., AK, AZ, AR, CA, CO, CT, DE, DC, FL, GA, GU, HI, ID, IL, IN, A, KS, KY, LA, ME, MID, MA, III, MR, ME, MC, MP NE, NY, NH, NJ, NM, NY, NC, ND, OH, OK, OR, PA, PR, RI, SC, SO, TN, TX, Ur, VT, VA, V1, WA, WV, WI, WY. INCORPORATED IN: Missouri, Sagaithloire Insurance Company (NAIC #40460) BUSINESS ADDRESS: 111 Congressional Blvd,, Suite 500, Carmel, IN 46032, PHONE: (317) 636 9800x 7433, UNDERWRITING (..IMITATION b/: $13,304,000 UNDERWRITING LICENSES cj/: AL, AK, AZ, CO, CT, DE, DC, GA, Hl, ID, IL, IN, A, KS, KY, ME, MD, MA, MI, MN, MS, MO, MT, NE, NJ, NIq, NY, NC, OFI, OR, PA, RI, SC, SD, TN, TX, UT, VT' WA, WV, WI, WY, INCORPORATED IN: Indiana, 1;Fr40RA INSURANrF A hAuAnmil Cnmn.n. INCORPORATED IN: Ohio, RLI1 Insurance Company (NAIC #13056) BUSINESS ADDRESS: 9025 1 Lindbergh Drive, Peoria, 11-61615 PHONE: (309) 692 1 000. UNDERWRITING LIMITATION b/: $73,602,000. SURETY LICENSES c,f/: AL, AK, AZ, AR, CA, CO, CIF, DE, DC, FL, GA, GU, HI, ID, 11, IN, IA, KS' KY, LA, ME, MD, MA, MI, MN, MIS, MCI, MIT, NE, NV, NH, NJ, NM, NY, NC, ND, CH, OR, OR, PA, Pik, RL SC, SD, IN, TX, UT, V1, VA, VI, WA, WV, WI, WY, INCORPORATED IN: Illinois Roche Suirety and Casuallty Company, Inc. (NAIC #42706) BUSINESS ADDRESS: 4107 1 HIMES AVE 2ND FLOOR, PAIPIPA, FL 33607, PHONE: (813) 623 5042 UNDERWRITING LIMPFATION ol: $979,000, SURETY LICENSES (.,f/: AL, AK, AZ, AR, CT, DE, F1, CA, HI, ID, IN, A, KS, 1A MD, MI, VIN' MS, MO, MT, NE, NV, NH, NJ, NM, NY, NC, NO, ON, OK, OR, PA, SC, SD, TN, TX, UT, VT, VA, WA. INCORPORATED IN: Florida, Roclkwood Casuallty IllnsuUlrance Company (NAIC #35505) BUSINESS ADDRESS: 13100 Wortharn Center Drive Suite 290 Houston, Texas 77065 PHONE: (814) 926 4661, UNDERWRITING (..IMITATION Ist: $12,001,000. SURETY LICENSES c,f/: AL, AK, AS, AR, CO, DE, DC, FL, GA, HI, ID, IL, IN, IA, KS, KY, LA, ME, MID, MA, MI, DIN, MS, IqO, MIT, NE, NV, NH, NJ, NIA, NY, NC, ND, OH, OR, OR, PA, RI, SC, SO, 'TX, UT, VT, VA, WA, WV, WI, WY, INCORPORATED IN: Pennsylvania. Mf�ka ('P (NAIC #22543) BUSINESS ADDRESS: P 0 Box 819, Appleton, WI 54912 0819, PHONE: (920) 739 3161 UNDERWRITING LIMITATION b/: $43,174,000, SURETY LICENSES cfl: AZ, AR, CO, ID, IL, IN, IA, KS, KY, MI, MN, MO, MT, NE, NV, NIA, ND, OFI, OK, OR, PA, .SD, TN, UR W& WI, WY, INCORPORATED IN: Wisconsin SellectIve Insurance Company of Arneflca (NAIC #12572) BUSINESS ADDRESS: 40 WANTAGE AVENUE, BRANCHVILLE, NJ 07890, PHONE: (973) 949-3000, UNDERWRITING LIMITATION b/: $60,967,000, SURETY LICENSES CN: Al-, AS, AZ, CT, DE, DC, GA, IL, IN, IA, KS, KY, TAD, MA, MI, MIA, 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 Company, Inc. (NAIC#10936) BUSINESS ADDRESS: 160 Walser Streak, New York, NY 10038 - 4922, PHONE: (212) 344-3000, UNDERWRITING (..IMITATION bl: $14,249,000, SURETY LICENSES c,f/: AL, AK, AZ, AR, CA, CO, CT, DE, DC, FIL, CA, IT, ID, K., IN, IA, KS, KY, LA, ME, MD, MA, MI, MIN, VS, MO, Mr, NE, NV, NH, NJ, IIM, NY, NC, NET, OH, OK, OR, PA, PR, RI, SC, ED, TN, TX, U1, VT, VA, WA, WV, WI, WY, INCORPORATED IN: New York Sentry Insurance A MutuW Company (NAIC #24988) BUSINESS ADDRESS: 1800 NORTI I POINT DRIVE, S TEVENS POINT, WI 54481-8020 PHONE: (715) 346-6000 UNDERWRIT W.; LI MUI[AI ION bl: $491,4'0,000 SUIRE I Y LICEWAS c,f/: AL, AK, AZ, AR, CA, CC), CT, DE, DC, FL, CA, HI, 11.), L, IN, IA, KC, KY, I A, ME, AD, MA, MI, PIN, JAS, MVO, MC NE, NV, NH, NJ, NNA, NY, HE, NID, 0H, OR, OR, E'A, RI, S(, SEX I N, TX, Ulf, VT, VA, WA, VIS!, WI, CVY, INCORPORATED IN: Wisconsin. %entry Sellect Insurance Corn(sany (NAIC 421180) BUSINFISS ADDRESS: 1 NW) NOR I I E POINT DIRIVE_5 I -EVENS POINT, WI 54491 9020. M f0NE: (715) 346 6000 UNDERWrd-ONG LINAITAM)N IN: $22,674,000, CUIREFY ClUNSES of/: AL, AK, AZ, AR, CA, 6.0, CT, DE'., DC, `J, GA, HI, ID, IL, IN, IA, KS, 'KY, LA, ME, M D, MIA MI, ON, NIS, AD, M I, NE, NV, NJ I, NJ, NM, NY, NC, ND, 011, OK, OR, PA, rfl, SC, SD, TEN, IX, UT, VE', VA, WA, WV, WI, WY, IN COR11ORA IF DIN: Wrimnsin, SERVICE INSURANCE COMPANY (NAIC if BUSINLSS ADDRES',: /02 ORFM IN ROAD, RAI FIGH, NCI 2/60S 0800, I'll ONL (919) U,3 1600 UNDTRWRA FUN(, I INA ITA I ION 1,/: $4,/32,000 ',JJR1IYLKFNSFl;c,fCAI, ADAZ, AR, CA, CO, Cl, DL, DC, H., GA, [11, ND, 1111, IN, IA, KS, KY, [A, ME, AD, MA, All, NAN, MS, K/10, MP, AT, NE, NV, NI I, IVJ, NM, NY, NC, ND, (,)H2OK, OR, PA, RE, SC, SD, TN, IX, U 1, VI, VA, VAP, VVV, VVI, WY, INCORPORAIEDIN: FlowLi, SIERVICIE, UNSURAINCIE COUPAINY JINC, (TIHIE) (NAIC 4282/40) M.JSINESS ADDRESS: 80 MAIN A I REE T, WEST ORANGE, NJ 07092 PHONF: (973) 731 761.110, ST. PAUIL GUAIRII)IIAIM INSURANCE COMPANY (NAPIC RICA / /',) BUSINESS ADDRC.:,S: One I omr Iquar c,, Hartford, CT 06183 PHONE: (860) 277-0111 I)NE)ERWRITEN(.,Ih\/u0FALION I,/:1112,.'il4,000. SURF FY[.I(.ENSEl,c,f/:A[.,AK, AT. ,AR, CA, (.0,CT, I)E,[)C,F[.,GA, H[,ID, I[,IN, IA, KS, KY, O.A, N/lE,MD,MA, PA1,MN, I',15;,Mc),h4F,NII,NV, NH, NM, NY, N(.:,NU),Orl,OK, OR, GIA,EEL, SC, SO, "IN, "IX, C) 1, VT, VA, WA, WV, VN, VVY, INCORPORAIE:U)IN�C,)tur)c,,Iir(,I, St PaW IlMelrn ury IInsuirance Coirri,painy (NAIC #24191) BUSINILSSADDIRUSS: One lowpi Scriare,HaNford, Cl 06183, 1HC)NU(Nf,0)2//0lN IJNDFrtWRITONGIIMIT/,FIONW/:$11,601,000. SURE IY I ICE NSF:. c,f/:AL,AK, AZ, AR, CA, CO, CT, DF, DC, FI,GA, HI, 111), 1[., IIN, NA, KS, WY LA, NIF, MR, MA, MI, MIN, MIS, AD, MT, NF, NV, NJ 1, NJ, NM, NY, PIC, CID, Of I, O.K, OR, PA, III, Sc, Yr), TN, TX, UT, VI, VA, WA, WV, WI, WY, INCOR(IORAIFF)IN: (-,,nii,,,ri(.t,[ Standard Ifilre Insurance Counlipany (Tlhe) (NAIC #19070) SURF I LICIFNISFS c,D: AL, AD, A/-, AR, CA, (0, C 1, DE, DC, N., CA, HI ID, I., IN, IA, RE, KY, LA, VF, MD, MA, MI, NAN, MS, NO, MT, NIL, NV, NH, NJ, RIM, NY, NC, ND, OH, OK, OR, PAY PR, III, CC, SO, -N,"IX, UT, VT, VA, VI, VVA, WV, VVI, WY INCORPORAI I. D IN: C.nimiApjjt, Stair Illlnsuulralmce Compainy (NAIC U1803) B6J5INFSS ADDRFI;C: ?62.135 Arnmcan Di ive, Sou(Iffidd, IIAl 48034. PHONE: (248) E58 1100 UNDE RWRITUNC, LIMI AFION W. V329,000 SURETY LK I W7ILS (,f/: (IT, DE, DC, FL., ME), MA, NI I, NJ, NY, NC, PA, RI, VA, INCORPORANED IN: Mmjersey, SURIUS AIMEIRKA INSURANCE COMPANY (NAIC #38//b) BUSINESS AD0RLSS: 140 BROADWAY 321ND r I COR, NFW YORK, NY 1000115 1108 PHONE: (212) 312 21.1100 UNER.RWRI I flAG LIVII [Al ION EV: $52,UI,000 SURETY I ICE WE S cj/: Al, AK, A7, AR, CA, (.I(.), DE, DC, GA, I ", ID, 11, IIN, IA, KS, KY, EA, HAD, MA, All, N,V�, MO, IVI I, NE, NY, NH, NJ, NBA, NY, NC, AD, 011, OR, OR, CA, RI, SC, AD, TN, FX, UT, \IT, VA, WA, VVV, WI, VVY INCORPORA FFID IN: NevaYork SOUITHWES UMAIRIIINIE AIND GEINIERAIL INSURANCE, COMPANY (NAK 4 2294) BUSINESS ADDIRESSr, 412 IVit Kernbll(. Av., Suuu,ra 300C, Mroris0owri, NJ 07960, PHONE: (800) 714 UNDERWRITING I IMITAUCN bl; $6,330,000 SURETY Eli c,U: A[, AK, A7 AR, (A, CO, CT, DL, DC, GA, HI, ID, 11, IN, IA, KS, KY, IA, NAP, ME) MA MI, MIV M1, RAO A 1, EST NV, NH, NI DNA M ND, OH, OD OR PA Rr "( I;r) TN, TX, UT, AC VA, WA, WV, VVI, VVY IN( ORPOERAELD IN: Arizona St. PaEA Hire and IMasu line Ilrasuuralmce Com(aainy (NAIC #24767) BUSINESS ADDRESS ONE fl-)VVER SQUARE, HAR71FORD, ( -06lu PHONE: (860) 277 0111, UNDERWRITING LIMITATION b/: $416,522,000 SURETY Y I. CLINSI-S c,fl: AL, AD, AZ, AR, (A, CC, CT, DIE, IDC, K., C'A" GU, E 11, 1[), IL., IN, IA, KS, KY, LA, ME, MD, MA, MI, MIN, EMS, MCI, M I, NE, NV, NH, NJ, NCA, NY, NC, NO, OH, OR, CIR, PA, PER, RI, SC, ED, IN, TX, UT, VC VA, VI, WA, WV, VVI, VVY INCORPORATED IN: Connecticut, JNDFRWRITING I IMITAIION JV: $46,61;0,000 YURFFY UICFN,IrS cjo Al, AK, A7, AIR, CA, CO3 CT, DF, DC, Fl, GA, Ell, ID, 11, IN, IA, RE, KY, IA, MF, MD, MA, All, AN, MS, E\10, NIT, NC, NV, INN, NJ, NIA, NY, NC, ND, OEI, OR, OR, m' RI, Sc, ';r.), TN, A, UT, W, VA, IN& INV, WI, VVY. INCORPORATED IN: Mi, hIgan, StarNet Ilrrsuuralmce Company (NAIC 44004S) Bd.ISINESSAE)E)RE:SS:r'OBC)X9'190,DFSM(:)INE:S,IAI,030C, 9190 PEIONI..:(511,y4/33000 (JN[)FRVVROIIN(..11.16/IIIAIIONb/ $11,/06,000 SURETY LICE NSFS c,f/ Al, AK, AZ, AR, CA, CO, Cr, DF, EX, III, CA, HI, ID, Ill, IN, IA, NKS, MY IA, ME:,MD, MA, MI, MN, I,AS,MO, iMT,N[.,NV, NH, NJ, NM, NY, MVC,ND, OH, C)K,OR,PA, RI, SC, 1,D, TEN, -X, 1.) 1, VC VA, WA, VVV, VVI, WY, INCORII(XIAUD IN: DeLiware, Starr llindeiririinty & II..IialaiilliiCy Company (NAIC tl?8308) EIUSJNECSADDRESS:'§99 E`ark Av(,,.nur2,8qi Floor, Nenmftic, NY1002?. PHONT: (646) 227-6ID0. UNDLRIAVRITING LIMITATION EV: $1 B/,529,000 SURE FY LUNSES (jl: AL, AK, AZ, AR, CA, CO, CT, ME, DC, N., CA, GU, I fl, ID, IL., IN, A, KS, KY, LA, ME, MD, fVIA, AM, PAN, EAS, MC, h(H, NE, NV, NH, NJ, NM, NY, NC, ND, OH, OR, OR, CA, PR, RI, SC, AD, I N, TX, 1) 1, VT, VA, WA, VVVr W', WY IN(: ORPOIRAI ED IN: lexis State Auto Property aind Casuallty Insurance Coiinlpainy (NAIC U11121) BUISIOLSS AIDDRLI5S: EIS [AST RlIOAD Al RFF 1, C 01 UMPUS, ON 43215 PT IONE: (614) 04 5000, UNDERWRII W, LIMITAT0N lb/:$6R,704,000 I I.' Kr. I W OIINILI L,11: AL, AN, —, A., I'd, r- I, uL, Ul., I L, um, rv, lu, ii-, iN, ri1, N�, r,r, LA, ivir.:, AD, MA, MI, ION, ms, MO, mr, NE, No, NJ, NY, INC, ND, ON, OK, OR, PA, RI, SC, SD, 'TN,'TX, Ur, VT1 VA, WV, WI, WY. INCORPORATED IN: Iowa. State AutornobIle Mutuall Insurance Company (NAIC #2513ri) BUSINESS ADDRESS: 518 EAST BROAD STREET, COLUMBUS, OH 43215, PHONE: (614) 464-5000. UNDERWRITING (..IMITATION bl: $49,057,000. SURETY LICENSES c,f/; AL., AK, AZ, AR, CO, CT, DE, DC, FL, GA, HI, ID, It., IN, IA, KS, KY, LA ME., MD, MA, MI, IAN, MS, MO, MT, NE, NV, NH, NJ, NM, NY, NC, ND, OH, OK, OR, PA, RI, SC, SO, TN, TX, u r, v-r, vA, WA, wv, WI, wy INCORPORATED IN: Chio, State Fargin F:Ire and Casualty Company (NAIC #25143) BUSINESS ADDRESS: ONE STATE FARM PLAZA, BLOOMINGTON, IL 61710, PHONE: (309) 766 2311. UNDERWRITING LIMITATION bl: $1,771,019,000. SURETY LICENSES cfl; AL, AK, AZ, AR, CA, CO, CF, UP, DC, FL, GA, III, ID, IL, IN, A, KS, KY, LA, ME, MD, MA, MI, IAN, MS, MC, MI, NE, NV, NH, NJ, NM, NY, NC, ND, 011, OK, OR, PA, ME SC, SD, TN, IX, UT, VI, VA, WA, WV, WI, VVY, INCORPORATED IN: Illinois, Stiftater property and Casualty Insurance Company (NAIC #16578) BUSINESS ADDRESS: P 0 Box 45126,jacksonvi lie, FL 32232 - 5126. PHONE: (800) P49 6140. UNDERWRITING LIMITATION bl: $12,937,000 SURETY LICENSES c,V; AL, AC AZ, AR, CO, CT, DC, A GA, HE ID, It., IN, IA, KS, KY, LA, ME, Mr.), MA, MI, IAN, AS, MO, MY, NE, NV, NH, NJ, NM, NY, NC, KID, OH, OK, OR, PA, RI, SC, SD, TN, T TlIZANSA TILANTIC REINSURANCE COMPANY (NAIC #19453) BUSINESS ADDRESS: One Liberty Plaza, 165 Broadway, NEW YORK, NY 10006 PHONE: (212) 365-2200 UNDERWRITING LIMITATION b/: $479,895,000. SURETY LICENSES c,f/: AK, AZ, AR, CA, CO, DE, DC, GA, ID, It., IN, LA, KS, KY, LA, MI, MN, MIS, NE, NV, NJ, NO, NY, OH, OK, PA, SD, U1, WA, WI. INCORPORATED IN: New York. 'Travelers Casualty and Surety Company (NAIC #19038) BUSINFSS ADDRESS: ONE TOWER SQUARE, HARTFORD, CT 06183, PHONE: (860) 277 0111. UNDERWRITING LIMITATION b/: $423,498,000 SURETY LICENSES c,f/: AL, AK, AZ, AR, CA, CO, CT, DE, DC, FL, CA, GO, [11, ID, IL, IN, IA, KS, KY, LA, ME, MD, MA, MI, ION, ME, MC, MT, NE, No, 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: Connecticut, Travelers Casualty and Surety Company of Amerlca (NAIC #31194) BUSINESS ADDRESS: ONE TOWER SQUARE, HARTFORD, Cr 06181 PHONE: (860)277-0111 UNDERWRITING LIMITATION kd: $201,664,000, SURETY LICENSES c,f/:AI..,AK, AZ, AR, CA, CO, CT, DE, DC, FL, GA, GU, 111, ID, IL, IN, IA, KS, KY LA, ME, MD, MA, MI, ION, MS, MO, Mr, NE, NV, NH, NJ, NM, NY, NC, NO, OH, OK, OR, PA, PR, RI, SC, SD, TN, TX, UT, VI, VA, VI, WA, WV, WI, WY. INCORPORATE[) IN: Connecticut 'Travellers Casualty Insurance Company ofAirnerhca I A, U 1, V 1, V I k, VI, VVM, VVV, VV I, VVY INCORPORATED IN: New York Surelrec Insurance Company (NAIC #10916) BUSINESS ADDRESS: 2103 City.Wpst Boulevard, Suite 1300, Houston, TX 77042. PHONE: (713) 812-0800 UNDFRWRITING LIMITATION bl: $10,206,000 SURETY LICENSES c,f/: AL., AK, AZ, AR, CA, CO, C1, OF, DC, FL, GA, HI, ID, It, IN, IA, KS, KY, LA, ME, MD, MA, MI, ION, MS, MO, MT, NE, NV, NH, NI, NM, NY, NC, ND, ON, OR, OR, PA, RI, SC, SD, TN, TX, UF, VT, VA, WA, WV, WI, WY. INCORPORAI ED IN: Texas, SURETY IBONDIING COMPANY OF: AMEROCA (NAIC #24047) BRJSINESS ADDRESS: 151 N, FRANKLIN ST., CHICAGO, IL 60606 PHONE: (312) 822-5000, UNDERWRITING LIMITATION V $764,000. SURETY LICENSES c,f/: AL, AL, AR, CA, CO, DE, DC, GA, ID, II_,IN, KS, ON, MCI, MI, NE, NV, NM, NY, NO, OK, OR, SC, SO, TIN, TX, UT, WV, WY INCORPORATED IN: South Dakota, Swiss ReInsurance ArnerIca Corporatlon (NAIC #25364) BUSINESS ADDRESS: 175 KING STREET, ARMONK, NY 10504 1606. PHONE: (914) 829 8000, UNDERWRITING LIMITATION b/: $334,995,000, SURETY LICENSES c,IV: AL., AK, AZ, AR, CA, CO, CT DE, DC, FIE, GA, I fl, ID, [IL, IN, LA, KS, KY, LA, ME, MD, MA, MI, KIN, AS, MO, AT, NE, NV, NNE NJ, NO, NY, NC, ND, OH, OR, OR, PA, RI, SC, SD, TN, TX, UT, VT I VA, WA, WI. INCORPORATED IN: New York, Wq k, I o I In (INAIC #19046) BUSINESS ADDRESS: ONE TOWER SQUARE, HARTFORD, C1 06163, PHONE: (860) 277 0111. UNDERWRITING LIMITATION b/; $53,209,000, SURETY LICENSES c,f/: AU AK, AZ, AR, CA, CO, CT, DE, D(, FIL, GA, HI, ID, II., IN, LA, KS, KY, LA, IIAE, AD, MA, MI, ON, MS, MO, MT, NE, NV, NH, NJ, NM, NY, NC, NO, ON, OK, OR, PA, RI, SC, ED, TN, TX, UT, VT, VA, WA, WV, WI, WY. INCORPORATED IN: Connecticut, Travelers Ilndeimnnpty Company ('11'he) (NAIC #25658) BUSINESS ADDRESS: ONE TOWER SQUARE, HARTFORD, CT 06183, PHONE: (860) 277-01 11, UNDERWRITING LIMITATION b/: $682,022,000. SURETY LICENSES c,f/: AL., AK, AZ, AR, CO, C I, DE, DC, FL, GA, GU, HI, ID, IL, IN, IA, RE, KY, LA, ME, MD, MA, MI, AN, MS, MO, MI, NE, NV, NH, NJ, NO, NY, NC, ND, 011, OK, OR, PA, PR, ME SC, ED, TN, TX, UT, VT, VA, WA, WV, WI, WY. INCORPORATED IN: Connecticut. TRAVELERS IINDEMNITTY COMPANY OF AMERJCA (THE) (NAIC #25666) BUSINESS ADDRESS: ONE TOWER SQUARE, HARTFORD, CT 06181 PHONE: (860) 277.0111. UNDERWRITING (..IMITATION bl: $17,906,000. SURETY LICENSES c,f/: AL., AK, AZ, AR, CO, CT, DC, FL, GA, HE ID, IL, IN, IA, KS, KY, LA, MD, MA, MI, ION, MS, MO, MIT, NE, NV, KIN, NJ, NO, NY, NC, KID, CH, OR, OR, PA, RL SO, 7N, TX, UT, VF, VA, WA, WV, WE WY. INCORPORATED IN: Connecticut. Travellers Indemnity Company of Connecticut (Theo) (NAIC #25682) BUSINESS ADDRESS: ONE TOWER SQUARE, HARTFORD, CT 06183, PHONE: (860) 2 7 7-0111. UNDERWRITING LIMITATION bl: $33,251,000. SURETY LICENSES cjl: AL., AK, AZ, AR, CA, CO, Cr, DE, DC, FIL, GA, HI, ID, IL, IN, IA, KS, KY, LA, ME, MD, MA, ME ION, AS, MO, MY, NE, NV, NH, NJ, NM, NY, NC, ND, OH, OR, OR, PA, PR, RE SC,SD, TN, TX, LIT, VT, VA, VI, WA, WV, WI, WY, INCORPORATED IN: Connecflrut Travellers Property Casualty Company of Amedca (NAIC 4t25674) BUSINESS ADDRESS: ONE TOWER SQUARE, HART FORD, Cr 06193 PHONE: (860) 277 0111 UNDERWRITING UMITAT ION b/: $43,502,000, SURETY LICENSEE c,f/: A[, AK AZ, AR, CA, CO, CTI DE, DC, FL, GA, III, ID, IL, IN, IA, KS, KY, LA, MF, MD, MA, MI, MIN, MS, 100, MR, MIT, NE, NV, NH, NJ, AM, NY, NC, ND, C+L OR, OR, PA, RI, SD, TN, TX, UT, VT, VA, WA, WV, WI, WY, INCORPORATED IN: ConnLcticut, 2aFk.TQ_Tp_p. U U.S. Spedallty Insurance Company (NAIC #29599) BUSINESS ADDRESS: 13403 Northwest Freeway, Houston, TX 77040, PHONE: (713) 462 1000, UNDERWRITING (..IMITATION hl: $58,704,000 SURETY I ICENSES c,f/: AL, AK, AS, AZ, AR, CA, CO, CT, DE, DC, H., GA, NJ, ID., IL, IN, IA, KS, KY, LA, ME, IAD, MA, MI, MN, MS, MO, MIT, NE, NV, NH, NJ, NM, NY, NC, HID, CH, OK, OR, PA, RI, SO SD, TN, TX, UT, VT, VA, WA, WV, WE, WY, INCORPORATED IN: Texas UNITED CASUALTY AND SURETY INSURANCE COMPANY (NAIC #3622.C5) BUSINESS ADDRESS: 292 Newbury Street, Suite 105. Boston, MA 02115 PHONE: (617) 471 1112, UNDERWRITING LIMITATION b/: $800,000L SURETY LICE NSES c,f/: AIL, AK, AZ, AR, CA, CO, CT, DE, DC, FL, GA, HE, ID, It, IN, IA, KS, KY, LA, ME, MD, MA, IMI, MN, MIS, MO, MT, NE, NV, INN, NJ, NM, NY, NC, ND, OH, OK, PA, RE, SC, SO, (INAIC #21113) BUSINESS ADDRESS: 305 Madison Avenue, Morristown, NJ 07962 PHONE: (973) 490-6600. UNDERWRITING LIMITATION V.)/: $130,226,000 SURETY LICENSES c,f/: AT, AK, AZ, AR, CA, CO, CT, DIE., DC, FL, GA, HE, ID, ]L, IN, LA, KS, KY, LA, ME, DID, MA, MI, MN, MIS, MET, ME, NE, NV, N11, NJ, NM, NY, ETC, ND, ON, OR, OR, PA, PR, RI, SC, SD, TN, TX, UT, VT, VA, VI, WA, WV, WI, VVY INCORPORATED IN: Delaware UnIted States Surety Company (NAIC #10656) BUSINESS ADDRESS: One Texas Station Court, Suite 230, Timonium, MD 21093, PHONE: (410) 453 952Z UNDERWRITING [.IMITATION b/: $5,126,000 SURETY LICENSES cfl: CT, DE, DC, FL, GA, ME, MID, MA, NH, NJ, NY, NC, OH, PA, RI, SC, TN, VT, VA, WV, INCORPORATED IN: Maryland UNITED SURETY AND 11INIDEMNITTY COMPANY (NAIC #44423) BUSINESS ADDRESS: P.O. BOX 2111, SAN JUAN, PR 00922 2111, PHONE: (787) 625 1105 UNDERWRITING (..IMITATION bl: $6,425,000, SURETY LICENSES c,f/: FIR, INCORPORATED IN: Puerto Rica Universal Surety Company (NAIC #25933) BUSINESS ADDRESS: P.O, Box 80468, Lincoln, HE 69501 PHONE: (402)4354302 UN DFRWRI flNG LIMITATION bl: $19,154,00EF SURETY I-ICE[qSESc,f/:AZ, AR, CO, ID, 11..,IN, IA, KS, KY, M1,MN, MO, MT,NE, NM, ND,OH, OR, SC, SD, TX, Ur, WA, WI, WY, INCORPORATED IN: Nebraska TN, TX, UT, VT, VA, WA, WV, WE, VVY, INCORPORATED IN: Nebraska United Fire & Casualty Company (NAIC 4 13021) BUSINESS ADDRESS: P. 0 BOX 73909, CEDAR RAPIDS, IA 52407 - 3909, PHONE: (319) 399 S700c UNDERWRITING LIMITATION b/: $64,150,000, SURETY LICENSES c,f/: AT, AK, AZ, AR, CA, CO, DC, F1, GA, HI, In, IL, IN, IA, RE, KY, IA, ME, Ml..I, IVA, IAl, MN, INS, MO, IVE, NE, NV, NJ, NM, NY, NC, NO, OH, OK OR, PA, SC, SD, TIN' TX, ur, VT, VA, WA, WV, WE, WY INCORPORATED IN: Iowa, UNITED FIRE & INDEMNITY COMPANY (NAIC #19496) BUSINESS ADDRESS: P.O. BOX 73909, CEDAR RAPIDS, IA 52.407 .3909, PHONE: (319) 399 S700 UNDERWRITING LIMITATION bl: $1,835,000, SURETY LICE NSES c,f/: AL, CO, IN, KY, LA, MS, MO, NM, TX INCORPORATED IN: Texas, UnIlted States Fidelity and Guaranty Company (NAIC #25887) BUSINESS ADDRESS: ONE TOWER SQUARE, HARTFORD, cr 06183, PHONE: (860) 277 0111, UNDERWRITING LIMITATION b/: $98,582,000 SURETY LICENSES c,f/: AL, AK, AZ, AR, CA, CO, CT, DE, DC, FIE, GA, HE, ID, II., IN, A, KS, KY, LA, ME, MD, MA, ME, MET, ME, MO, MT, NE, NV, NH, NJ, NIA, NY, NC, NET, OH, OR, OR, PA, PR, RE, SC, SD,'TN, TX, UT, VF, VA, V1, WA, WV, WF WY INCORPORATED IN: Connecticut, United States Hire Insurance Company UNIVERSAL UNDERWRITERS INSURANCE COMPANY (NAIC #41181) BUSINESS ADDRESS: 1299 ZURICH WAY, STH FLOOR, SCHAUMBURG, IL 60196 1056, PHONE: (84 7) 605-6000, UNDERWRITING LIMITATION bl: $32,037,000, UNDERWRITING LICENSES cJ/:Al.., AK, AZ, AR, CA, CO, CT, DE, DC, FLG& Fil, ID, L, IN, IA, RE, KY, LA, ME, MD, MA, NIF TAN, MS, MO, MT, NE, NY, NH, NJ, NM, NY, NO, ND, ON, OR, OR, PA, RI, SC, SD, T N, TX, U1, Vr, VA, WA, WV WL WY, INCORPORATED IN: Illinois Utica Mutual Jinsurance Company (NAIC #25976) BUSINESS ADDRESS: POST OFFICE BOX S30, UTICA, NY 13503 - 0530. PHONE: (315) 734 2000, UNDERWRITING LIMITATION b/; $87,857,000, SURETY LICENSES c,f/: AL, AK AZ, AR, CA, CO, CT DE, DC., FL, GA, HI, ID, IF, IN, I& KS, KY, LA, ME, MD, MA, ML MN, MS, MO, MT, NE, NV, NH, NJ, NM, NY, NC, ND, OH, OK, OR, PA, PR, RI, SC, SD, TN, TX, Iff, V'r, VA, WA, WV, WI, WY, INCORPORATED IN: New York O'c"P lo NIP v VerTerra Insurance Company (NAIC #10024) BUSINESS ADDRESS: P,O, BOX 509039, SAN DIEGO, CA 92150, PHONE: (858) 350 2400. UNDERWRITING LIMITATION ION bl: $5,609,000, SURETY LICENSES c,fl: I X, INCORPORATED IN: Texas, Vigillant insurance Company (NAIC #20397) BUSINESS ADDRESS: 202B Hall's Mill Road, Whitehouse Station, NJ 08999, PHONE: (215) 640-1000, UNDERWRITING UMTATION V $33,198,000 SURETY LICENSES c,f/; At-, AK AZ, AR, CA, CO, CT, DE, DC, FL, GA, [it, IS, Ill., IN, IA, KS, KY, LA, ME, MD, MA, MI, MN, MS, MO, MIT, NE, NV, NH, Iqj, NM, NY, NC, KID, OH, OK, OR, PA, RI, SC, SD, IN, TX, UT, VT, VA, VI, W& WV, WI, WY. INCORPORATED IN: New York aiYtk,u, IL'R w Washington Internadonall Insurance Company (NAIC #32778) BUSINESS ADDRESS: 1200 MAIN STREET, SUITE 800, KANSAS CITY, MO 641105, PHONE: (913) 676 5200, UNDERWRITING LIMITATION 131:$8,244,000 SURETY LICENSES c,f/: AL, AK, AZ, AR, CA, CO, CT, DE, DC, FL, GA, GU, HI, ID, It, IN, A, KS, KY, L.Py ME, MID, MA, MI, MN, MS, MO, [AT, NE, NV, NH, NJ, NM, NY, NC, KID, OH, OK, OR, PA, PR, RI, SC, ED, ITV, TX, UT, VT, VA, VI, WA, WV, WI, WY, SURETY LICENSES c,f/:AK, AZ, AR, CA, CO, DE, ID, II.., IN, IA, KS, KY, MD, MI, MN, MO, MT, NE, NV, NJ, NM, ND, OH, OR, OR, PA, RI, SD, TX, UT, WA, WI, WY. INCORPORATED IN: Minnesota. Western Surety Company (NAIC#13188) BUSINESS ADDRESS: 151 N. FRANKLIN ST., CHICAGO, It.. 60606� PHONE: (312) 822 5000. UNDERWRITING LIMITATION bl: $151,958,000. SURETY LICENSES oft: AL, AK, AS, AR, CA, CO, CT, DE, DC, Ft., 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, CH, OK, OR, PA, PR, RI, SC, ED, TN, rX, Or, V11 VA, WA, WV, WI, WY. INCORPORATED IN: South Dakota, Westfielld IInsuurance Company (NAIC #24112) BUSINESS ADDRESS: P. 0, Box 5001 , Westfield Center, 01-144251 5001, PHONE: (330) 887-0101, UNDERWRITING LIMITATION b/: $127,843,000 SURETY LICENSES c,fl: AL., AK, AZ, AR, CO, CT, DE, DC, FL, GA, HI, ID, J., IN, IA, KS, KY, LA, ME, MD, MA, I'Al, MN, MS, MO, MIT, ND, NE, NV, NH, NJ, NM, NY, NC, OH, OK, OR, PA, RI, SC, SD, IN, TX, LIT, VT, VA, WA, WV, WI, WY, INCORPORATED IN: Ohio, Westfielld INatllorW Insurance Corn pany (NAIC #24120) BUSINESS ADDRESS: P, 0, Box 5001 , Westfield Center, OH 44251 - 5001. PHONE: (330) 897-0101 UNDERWRITING LIMITATION 1.)(: $31,722,000, SURETY LICENSES c,f/: AL, AZ, AR, CA, CO, DE, FIL, GA, Ill., IN, A, KY, MD, MI, MIN, Not, NC, ND, OH, OK, PA, SC, SD, TN, T)( VA, WV, WI INCORPORATED IN: Ohio. .1 11 �, - I'll, I 1.- 11 .1 1, . 1 -11111 I'll, - West American IInsuurance Company (NAIC #44393) BUSINESS ADDRESS: 175 Berkeley Street, Boston, MA 02116, PHONE: (617) 35 7-9500, UNDERWRITING (..IMITATION Irl; $5,122,000, SURETY LICENSES c,f/: AL, AK, AZ, AR, CO, CT, DE, DC, FL, GA, IS, IL, IN, A, KS, KY, LA, MD, MA, MI, MN, MS, MC, IIATI NF, NV, NH, NJ, NM, NY, NC, KID, OH, OR, OR, PA, RI, SC, SD, TN, TX, UT, VA, WA, WV, WI, WY, INCORPORATED IN: Indiana WIEST DIENID MUTUAL INSURANCE COMPANY (NAIC #15350) BUSINESS ADDRESS: 1900 Saudi 18th Avenue, West Bend, WI 53095, PHONE: (262) 334-5571 . UNDERWRITING LIMITATION bh, $104,114,000 SURETY LICENSES c,f/: IL, IN, IA, KS, KY, I'Al, ION, MO, NE, OH, PA, TN, WI. INCORPORATED IN: Wisronsin, Westchester FJwe Rnsurance Company (NAIC #10030) BUSINESS ADDRESS: 436 Walnut Street, P.O.Box 1000, Philadelphia, PA 19106, PHONE: (215) 640-1000, UNDERWRITING LIMITATION b/: $22,345,000 UNDERWRITING LICENSES cTI: At., AK, AZ, AR, CA, CO, CT, BE, DC, F11., GA, GU, HI, 11), 11., IN, IA, KS, KY, LA, ME, IIAD, MA, MI, MN, MS, MO, MP, MIT, NF, NV, NH, NJ, NM, NY, NC, ND, OH, OR, OR, PA, FIR, RI, SC, SD, IN, TX, UT, VT, VA, VI, WA, WV, WI, WY. INCORPORATED IN: Pennsylvania. Western NadonM IMutuall linsurance Company (NAIC #15377) BUSINESS ADDRESS: PO. BOX 1463, MINNEAPOLIS, MIN 55440. PHONE: (952) 835-5350, UNDERWRITING (..IMITATION Ist; $46,998,000. Westport Insurance Corporadoin (NAIC#39845) BUSINESS ADDRESS: 1200 MAIN STREET, SUITE 800, KANSAS CITY, 100 64105 PHONE: (913) 676 5200. UNDERWRITING LIMITATION b/: $121,403,000, SURETY LICENSES C,ft: AL., AK, AZ, AR, CA, CO, CT, DE, DC, FIL, GA, GU, Fit, ID, IL, IN, IA, KS, KY, L.A, ME, MID, MA, MI, MN, MS, MCI, MR, MIT, 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 B,XA..TQjQP X XL Reinsurance America Inc. (NAIC #20583) BUSINESS ADDRESS: 70 SEAVIEW AVENUE, STAMFORD, CT 06902. PHONE: (203) 964-5200. UNDERWRITING LIMITATION b/: $173,303,000. SURETY LICENSES c,f/: 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, NC, ND, OH, OK, OR, PA, PR, RI, SC, SD, TN, TX, UT, VT, VA, WA, WV, WI, WY. INCORPORATED IN: New York, XL Specialty Insurance Company (NAIC #37885) BUSINESS ADDRESS: 70 SEAVIEW AVENUE, STAMFORD, CT 06902. PHONE: (203) 964-5200. UNDERWRITING LIMITATION b/: $31,352,000. SURETY LICENSES cf/: AL, AK, AZ, AR, CA, CO, CT, DE, DC, FL, GA, GU, HI, ID, IL, IN, IA, KS, KY, LA, ME, MD, MA, MI, MN, MS, MO, MP, MT, NE, NV, NH, NJ, NM, NY, NC, NO, OH, OK, OR, PA, PR, RI, SC, SD, TN, TX, UT, VT, VA, VI, WA, WV, WI, WY. INCORPORATED IN: Delaware. 4ds::,' 1 0 :1p Y I1LUai1 Surety Bonds A program of the Bureau of the Fiscal Service SURETY BONDS MENU Home About Resources Getting Started Certified Companies AQ:IMItted'itionr amers Contact Us RELATED LINKS 1. Pay Online Z Zurich American Insurance Company (NAIC #16535) BUSINESS ADDRESS: 1299 ZURICH WAY, 5TH FLOOR, SCHAUMBURG, IL 60196 -1056. PHONE: (847) 6056000. UNDERWRITING LIMITATION b/: $694,296,000. UNDERWRITING LICENSES c,f/: AL, AK, AZ, AR, CA, CO, CT, DE, DC, FL, GA, GU, HI, ID, IL, IN, IN KS, KY, LA, ME, MD, MA, MI, MN, MS, MO, MP, MT, NE, NV, NH, NJ, NM, NY, NC, NO, OH, OK, OR, PA, PR, RI, SC, SO, TN, TX, UT, VT, VA, VI, WA, WV, WI, WY. INCORPORATED IN: New York. Last modii led 04110119 Search Fiscal Service , II , , , , j I I 11 , , , I ; , I , Part of State Form52414 (R212-13) Form 96 (Revised 2013) BID OF Walsh & Kelly, Inc. (Contractor) (Address) South Bend IN 46614 FOR PUBLIC WORKS PROJECTS OF w . :- 1 0 6 - 2019 Community Crossings Project No. 119-015 Filed May 2Wh i 2019 Action taken State Form 52414 (R 19-10) Prescribed by State Board of Accounts Form No. 96 Reylse 2_Q 13 CONTRACTOR'S BID FOR PUBLIC WORK — FORM 96 PART 1 (To be completed for all bids. Please type or print) 1. Governmental Unit (Owner): 2. County: 3. Bidder (Firm): Address: City/State: 4. Telephone Number: 5. Agent of Bidder (If applicable): Date (month, day, year): May 28. 2019 City of South Bend. Indiana St. Joseph Walsh & Kelly, 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 _.. Dot. of Public Works and dated April 26th, 2019 for the sum of See Attached $ See Attached. The undersigned further agrees to furnish a bond or certified check with this bid for an amount specified in the notice of the letting. If alternative bids apply, the undersigned submits a proposal for each in accordance with the notice. Any addendums attached will be specifically referenced at the applicable page. If additional units of material included in the contract are needed, the cost of units must be the same as that shown in the original contract if accepted by the Governmental Unit. If the bid is to be awarded on a unit basis, the itemization of the units shall be shown on a separate attachment. The Contractor and his subcontractors, if any, shall not discriminate against or intimidate any employee, or applicant for employment, to be employed in the performance of this contract, with respect to any matter directly or indirectly related to employment because of race, religion, color, sex, national origin or ancestry. Breach of this covenant may be regarded as a material breach of the contract. CERTIFICATION OF USE OF UNITED STATES STEEL PRODUCTS (If applicable) 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. I 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;)• 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 leted 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 1 St. Joseph Cty Hwy Dept. 3. What public works projects are now in process of construction by your organization? Contract Amount $10,695,118 Class of Work Reconstruction When to be Com leted November 2018 Name and Address of Owner Walsh Construction $ 8,146,239 Resurface Ma 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? w No If so where and why? 5. List references from private firms for which you have performed work. Dyer Construction Co 1716, Sheffield Avenue Dyer, IN Janet Furman Grim ier Construction Co. Itic. 2 J� Main Street Highland 1�ir icg 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, CONDITION YEARS PRESENT LOCATION SIZE, CAPACITY, OF ETC. SERVICE 5 Asphalt Plants Various Good Griffith, South Bend, Valparaiso, Lowell, LaPorte 19 Asphalt Pavers Various Good Griffith, South Bend 4 Sli form Conc. 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 i Griffith, South Bend 6 Tractors Various Good Griffith, South Bend 8 -LowBoy Flatbed Dum s Various Good I Griffith, South Bend 48 _www % and 3/ ton PicLu s Various Good Griffith, South Bend 65 1 Ton Crew Trucks Various Good Griffith, South Bend 3 Cold Planers Wirtgen 1900 Good Griffith, South Bend DC 3 _ Tri-Axle DumD Mack Good South Bend 5. Have you entered into contracts or received offers for all materials which substantiate the prices used in preparing your proposal? Otherwise, please explain the rationale used which would corroborate the prices listed. Yes, we received quotes from potential subcontractors and suppliers SECTION III CONTRACTOR'S FINANCIAL STATEMENT Attachment of bidder's financial statement is mandatory. Any bid submitted without said financial statement as required by statute shall thereby be rendered invalid. The financial statement provided hereunder to the governing body awarding the contract must be specific enough in detail so that said governing body can make a proper determination of the bidder's capability for completing the project if awarded. SECTION IV CONTRACTOR'S NON -COLLUSION AFFIDAVIT The undersigned bidder or agent, being duly sworn on oath, says that he has not, nor has any other member, representative, or agent of the firm, company, corporation or partnership represented by him, entered into any combination, collusion or agreement with any person relative to the price to be bid by anyone at such letting nor to prevent any person from bidding nor to induce anyone to refrain from bidding, and that this bid is made without reference to any other bid and without any agreement, understanding or combination with any other person in reference to such bidding. He further says that no person or persons, firms, or corporation has, have or will receive directly or indirectly, any rebate, fee, gift, commission or thing of value on account of such sale SECTION V OATH AND AFFIRMATION I HEREBY AFFIRM UNDER THE PENALTIES FOR PERJURY THAT THE FACTS AND INFORMATION CONTAINED IN THE FOREGOING BID FOR PRBLIC WORKS ARE TRUE AND CORRECT. Dated at South Bend this 2 May. 2019 ame of ustio Hilar , VP of South Bend Area (Title of Person Signing) o ,f ,1'r-o ' ACKNOWLEDGEMENT STATE OF Indiana ss COUNTY OF St. Joseph Before me, a Notary Public, personally appeared the above -named Dustin Hilary and swore that the statements contained in the foregoing document are true and correct. Subscribed and sworn to before me this 28' My Commission Expires: June 5 2022 day of May, 2019 AKrueger, Notary Publ' ALISHA KRUEGER PU '. � .. 4 'Notary Public, State of Indiana 'EAL° St. Joseph County County of Residence: St. Joseph y 4 My Commission Expires �.,e June 05, 2022 Form 96 Section II, #2 Subcontractors Used on Public Works Contracts SUBCONTRACTORS COMPANY SEWER 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 ADDRESS 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.O. Box 41 P.O. Box 450 CITY/STATE/ZIP the Past 5 Years 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 PHONE (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 (219) 872-8605 FAX (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 219) 8795339 MILLING C.E. Hughes Milling, Inc. 3113 Holmans Lane Jeffersonville, IN 47130 (812) 725-8665 (812) 725-8672 Javelina Construction, Inc. 13476 Britton Park Rd. Fishers, IN 46038 (317) 841-8364 (317) 841-0075 Mid America Milling Co. 6200 W. Hwy 62, Ste 400 Jeffersonville, IN 47130 (812) 282-2751 (812) 283-9846 McCrite Milling 209 Quality Ave. Ste 9 New Albany, IN 47150 (812) 941-0252 (812) 941-0852 Specialties Company 9350 E. 30th St. Indianapolis, IN 46229 (317) 594-0291 (317) 594-0271 ELECTRICAL INSTALLATION Hawk Enterprises 1850 E. North St Crown Point, IN 46307 (219) 662-8090 (219) 662-8093 Midwestern Electric 1620 E. Chicago Ave East Chicago, IN 46312 (219) 397-4444 (219) 397-8888 S/T Bancroft Electric 25020 State Road 2 South Bend, IN 46619 (574) 287-6490 Sweney Electric Company 9111 Louisiana St. Merrillville, IN 46410 (219) 769-6007 (219) 769-0565 Trans Tech Electric 4601 Cleveland Road South Bend, IN 46619 (574) 272-9673 (574) 271-0144 SIGN INSTALLATION Hawk Enterprises 1850 E. North St Crown Point, IN 46307 (219) 662-8090 (219) 662-8093 Midwestern Electric 1620 E. Chicago Ave East Chicago, IN 46312 (219) 397-4444 (219) 397-8888 RoadSafe Traffic Systems 3122 Olympia Dr Lafayette, IN 47909 (317) 780-1825 State Barricading, Inc. 24963 U.S. Highway 20 South Bend, IN 46628 (574) 287-2078 Traffic Control Specialists, Inc. 1810 W Pacific Avenue Knox, IN 46534 (574) 772-7001 (574) 772-7002 PAVEMENT MARKINGS The Airmarking Company P.O. Box 526 Rochester, IN 46975 (574) 223-5817 (574) 223-7959 Blackout Sealcoating 7440 W. 87th Place Bridgview, IL 60455 (219) 864-2300 (708) 430-6910 RoadSafe Traffic Systems 3122 Olympia Dr Lafayette, IN 47909 (317) 780-1825 State Barricading, Inc. 24963 U.S. Highway 20 South Bend, IN 46628 (574) 287-2078 Traffic Control Specialists, Inc. 1810 W Pacific Avenue Knox, IN 46534 (574) 772-7001 (574) 772-7002 Traffic Management Company 3542 Highway Avenue Highland, IN 46322 (291) 746-2433 TRAFFIC CONTROL RoadSafe Traffic Systems 3122 Olympia Dr Lafayette, IN 47909 (317) 780-1825 Traffic Control Specialists, Inc. 1810 W Pacific Avenue Knox, IN 46534 (574) 772-7001 (574) 772-7002 Traffic Management Company 3542 Highway Avenue Highland, IN 46322 (219) 746-2433 LANDSCAPE Great American Landscape P.O. Box 235 Dyer, IN 46311 (219) 322-7033 (219) 322-4419 Hubinger Landscape 210 E. 113th Avenue Crown Point, IN 46307 (219) 662-9911 (219) 662-6206 Slusser's Green Thumb, Inc. 125 Montgomery Street Logansport, IN 46947 (574) 722-3102 (574) 722-1628 T & J Landscape Service 8253 Wicker Avenue St. John, IN 46373 (219) 374-9900 (219) 374-9950 GUARDRAIL/FENCING Acorn Fence C Tech Corporation James H. Drew Company Security Industries Specialties Company TRUCKING/HAULING- C. Lee Construction Services Condon Trucking, LLC Fanio Services Gilmer Trucking Material Transfer Inc. Morris Motor Service, Inc. P & C Trucking Superior Construction Co., Inc. V & R Trucking, Inc. SRPM'S K & S Markers, Inc. UNDERSEAL Rieth-Riley Construction Co., Inc. TREE REMOVAL Dave's Tree Service Homer Tree Service Timber Masters LLC LIME STABILIZATION Mt. Carmel Sand & Gravel Rock Solid Stabilization Specialties Company PIPE LINING Indiana Reline, Inc. SAW CUTTING Diamond Coring Co., Inc. Quality Saw & Seal, Inc. SEAL COATING/STRIPING Site Services, Inc. Blackout Sealcoating UNDERDRAIN 3D Company, Inc. 2041 164th Street 5300 W. 100 North 8701 Zionsville Rd.. 1000 Georgiana St, 9350 E. 30th St. 1011 S. Lake St 18245 Amberley Ln 28015 SR 23 20390 New Road 7811 West 101 st Ave. 10525 W US Hwy 30 Bld 7 4410 Ross Road 1455 Louis Sullivan Dr 1845 Elmer St. 2189 N 600 W Hammond, IN 46320 (219) 844-8400 (219) 844-8441 Boggstown, IN 46110 (317) 835-2745 (317) 835-2781 Indianapolis, IN 46268 (317) 876-3739 (317) 876-3829 Hobart, IN 46342 (219) 942-9447 (219) 942-9448 Indianapolis, IN 46229 (317) 594-0291 (317) 594-0271 Gary, IN 46403 (219) 888-9554 (219) 888-9564 South Bend, IN 46637 (574) 360-4326 (574) 271-8984 North Liberty, IN 46554 (574) 233-3236 South Bend, IN 46614 (574) 229-3233 Crown Point, IN 46307 (219) 865-9575 Wanatah, IN 46390 (219) 733-9430 Gary, IN 46408 (219) 972-0193 Portage, IN 46368 (219) 787-0850 South Bend, IN 46628 ('574) 329-2102 Thorntown, IN 46071 (765) 482-6184 (765) 482-6284 2454 West CR 450 North LaPorte, IN 46350 (219) 362-6178 1555 Park West Circle 14000 S. Archer Ave P.O. Box 245 1611 College Dr. 5104 Mann Drive 9350 E. 30th St. 312 E. Main Street 11800 S Ewing Ave 7600 W. 79th Street 10117 Kennedy Ave 7440 W. 87th Place 3200 East CR 350 North Munster, IN 46321 Lockport, IL 60441 Dyer, IN 46311 Mt. Carmel, IL 62863 Ringwood, IL 60072 Indianapolis, IN 46229 Sulphur Springs, IN 47388 Chicago, IL 60617 Bridgeview, IL 60455 Highland, IN 46322 Bridgview, IL 60455 Muncie, IN 47303 (219) 922-9829 (815) 838-0320 (219) 864-8733 (618) 262-5118 (815) 653-2585 (317) 594-0291 (219) 922-9843 (219) 322-9391 (618) 263-4084 (815) 653-2583 (317) 594-0271 (765) 766-5040 (765) 533-5831 978-5000 767-9300 (2.19) 924-9944 (219) 864-2300 (708) 430-6910 (765) 288-3326 (765) 288-3344 7 General Form No. 96-a Prescribed by the State Board of Accounts of Indiana. Revised 1949. 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 lend IN 46614 Date submitted MAy 28 2019 Filed A.E. I OYCE CO., MUNCIE, INN, {A Corporation 1 Sec. 2 of an Act entitled `AN ACT concerning the awarding of contracts for the performance of public work and authorizing the board of accounts to prescribe certain forms to be used in ascertaining the responsibility of contractors who submit bids for the performance of such work, providing for plans and specifications, providing for bids repealing certain laws and declaring an emergency." (Approved March 13, 1947.) Sec. 2. Whenever the aggregate costs of any work or improvement will be five thousand dollars ($5,000.00) or more, for the purpose of enabling such board, commission, trustee, officer or agent to ascertain and determine which of the bidders submitting bids for the performance of any such public work is, in the judgment of such board, commission, trustee, officer or agent, the lowest and/or best bidder and to exercise intelligently the discretion hereby conferred on such board, commission, trustee, officer or agent each bidder shall be required to submit under oath with and as a part of his bid a statement of his experience, his proposed plan for performing such work and the equipment which he has available for the performance of such work and a financial statement. The statements hereby required shall be submitted on forms which shall be prescribed by the state board of accounts. The forms so prescribed shall be designated, respectively, as the experience questionnaire, the plan and equipment questionnaire and the contractor's financial statement, and shall be based, so far as applicable, on the standard questionnaires and financial statement for bidders as approved and recommended by the joint conference on construction practices, for use in investigating the qualifications of bidders on public construction work, and the forms so prescribed are hereby prescribed as the forms which shall hereafter be used by all such boards, commissions, trustees, officers and agents in obtaining the information which is required in the administration of this act. If the information submitted by any bidder on the forms herein prescribed is found, on examination, to be unsatisfactory, the bid submitted by such bidder shall not be considered. (Bums Statutes 1933, Sec. 53-109) Sec. 2, Chapter 306, Acts of 1947. TO THE BII)DER— The following forms of questionnaires and financial statement are prescribed by the State Board of Accounts in conformity with the statute set out on the preceding page. These forms, properly filled out and attested, must accompany each bid of five thousand dollars or more on any public work. The forms are designed to cover all contracts for all kinds of work and the bidder is required to answer such questions as are pertinent to the work upon which he is bidding. The purpose of the questionnaire and financial statement, as set forth in the law, is to enable the awarding body to determine the qualifications of the bidder to carry out successfully the contract if the same is awarded to him. The bidder will find it to his advantage to answer fully all questions coming within the range of the work upon which he is bidding. Particular attention should be given the "Financial Statement" and the details relative to the assets and liabilities set out. This form is made in extensive detail so that the bidder may explain his assets and liabilities in proper sequence and in a uniform manner. T. M. HINDMAN, State Examiner Submitted by Walsh & Kellam.. _ { x A Corporation Principal Office at 1700 East Main Street Griffith IN 46319 To Cityof 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 man ears y y experience xperience in asphalt paving construction work has your organization had: (a) As a general contractor 71 years (b) As a sub -contractor 71 Years 3. What projects has your organization completed? �.............. ntract Amount Class of Work When Com leted 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 Cit of Mishawaka, IN $ 2,646,574 Reconstruction September 2017 St. Joseph County Hwy Department 3-A. What projects has your organization now in process of construction? CONTRACT AMT, CLASS OF WORK WHEN TO BE COMPLETED NAME AND ADDRESS OF OWNER -._........... $ 10,695,118 Reconstruction November 2018 Walsh Construction $ 8,146,239 Resurface _ May 2018 INDOT $ 4,073,719 Reconstruction July 2018 City of East Chicago, IN $ 2,662,813 Reconstruction October 2018 INDOT 4. Have you ever failed to complete any work awarded to you? No If so, where and why? 5. Has any officer or partner of your organization ever been an officer or partner of some other organization that failed to complete a construction contract? No If so, state name of individual, other organization and reason therefore 6. Has any officer or partner of your organization ever failed to complete a construction contract handled in his own name? No If so, state name of individual, name of owner and reason therefor 7. In what other lines of business are you financially interested? None For what corporation or individuals have you performed work, and to whom do you refer?_ BP Amoco Whiting, Indiana Tonn & Blank Construction 1623 Greenwood Ave. Michigan City, IN 46360 Grimmer Construction Co. Inc. 2619 Main. Street Highland, IN 46322 University of Notre Dame. South Bend,„Indiana Gough, Inc. 1151 E. Summit Crown Point IN 46307 9. For what cities have you performed work and to whom do you refer? Town of Griffith Director of Public Works Griffith IN Town of Schererville Town Malta er Schererville IN City of Hammond City Engineer Hammond IN ....ww.....wwwwwwwwwwwwwwwwww......._ Citv 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? Hake County Highway Superintendent Crown Point IN Porter County Hi hwqy Superintendent Val araiso IN_ . St. Jose h Countv Elkhart County Hi HighwayHighwqy hway Su erintendent Superintendent South Bend IN ElkhartIN LaPorte Countv Hi hway Su erintendent LaPorte IN 11. For what State bureaus or departments have you performed work and to whom do you refer? Indiana Department of Transportation .1NDOT 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. Anny Corps of Engineers Chicago, IL Indiana National Quard. Dept. of Administration 1ndiatia olis 1N Federal HighwayHighwqy Administration Sterling,VA 13. What is the construction experienceof the principal individual of your organization? INDIVIDUAIJS NAME PRESENT POSITION OR YEARS OF MAGNITUDE AND IN WHAT CAPACITY OFFICE CONSTUCTION TYPE OF WORK EXPEREINCE Kevin J. Kelly President 33 All T es General Manager Jeffrey L. Swan Executive Vice President 34 All Types Su t. En ineerin David J. Misirly Vice President _ 33 Bituminous Engineer ...._v_ _ ... _. Paving ____ Greg A. Hoffman Vice President 31 Bituminous Engineer Pavin John C. Wall _ ...................... .. Vice President �. 41 All t es En ineer John M. Peisker Vice President 33 All types General Manager J. Michael Secretary/Treasurer 46 Administration General Manager Schaum .....�.............. ... ................... _ Jamie L. Tancos ............. ........... .............................. _ _ Controller _ . 14 __.................... Administration General Mana er L J. Bauer South Bend Ops M K. 23 All types Engineer Dustin P. Hilary South Bend Area Mgr. 18 All types Engineer Mark E. Engineer 28 All types Engineer Krachenfels Keith A. Gardina Engineer 23 All types En ineer Nikolas G. Relias En ineer 16 Bituminous Engineer PLAN AND EQUIPMENT QUESTIONNAIRE The signatory of this questionnaire guarantees the truth and accuracy of all statements and of all answers to interrogatories hereinafter made. 1. In what manner have you inspected this proposed work? Explain in detail. Plans Specifications, and Site Ins ections 2. Explain your plan or layout for performing the proposed work As directed bv owner/engineer 3. The work, if awarded to you, will have the personal supervision of whom?, Kevin in T. Kelly, lef%"m°e I . ry ti ,,..David .1. Misirly, GregoEy� . I to f nary Dustin ' . Hilam and 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 5 19 ITEM Asphalt Plants Asphalt Pavers DESCRIPTION, SIZE, CAPACITY, ETC. Various Various CONDITION Good Good YEARS OF SERVICE PRESENT LOCATION Griffith, South Bend, Val arLowell, LaPorte Griffith, South Bend 4 Sli form Conc. 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 LowBo 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 WWW �WWWW._w.__..__.ww_wwww.wwww.._WWW_WWW_W_. 3 «wawa Cold Planers Wirtgen 1900 Good Griffith, South Bend DC 3 Tri-Axle Dum Mack Good South Bend 7 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. None APPROXIMATE COST 12. How and when will you pay for the equipment to be purchased? N/A 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 28h day of May, 2019 Walsh & � W ,.sh KlIC "war r e ' (Name of "an W tion By A m ► . ° ,.. N ustin lhlary, VP �r ���� ��h� �� �atie of Person Signing) STATE OF Indiana �� ���iP, ss. COUNTY OF St. Joseph Dustin Hilary being duly sworn deposes and says that he is „VP of South Bend Area of the above Walsh & Kelly, Inc. (Name of Organization) and that the answers to the questions in the foregoing questionnaires and all statements therein contained are true and correct. Subscribed and sworn to before me this 28th day of _ M av,_01, Alisha Krueger, Notary Put)] e .rnaJ tpq Bgfl ddA My Commission expires June 5 2022 A L.I S H A K R U E G E d "•�•, `'e Notary Public, state of Indiana µ $ .A St.josaph County ,I* My Cpmmisslon Expires �aX"wyry` June 052022 „61Vd%Mq'u'4 .. CERTIFICATE OF QUALIFICATION to provide CONSTRUCTION SERVICES for PUBLIC WORKS PROJECTS to thti STATE OF INDIANA This Certification Board, having duly considered application for qualification in terms of apparent experience and financial resources; and under the applicable Indiana Code 4-13.6-4 and adopted rules of this Board, hereby issues a Certificate of Qualification to provide construction services to the State of Indiana for Public Works Projects to: WALSH $ KELLY INC 1700 E MAIN ST GRIFFITH IN 46319 Phone 219-924-5900 Fax 219-924-8768 Company Official KEVIN KELLY for the twenty-seven month period stated herein, unless revoked by this Board for cause, and in the classifications of services stated below. This certificate supercedes any previous certificate. 1611.01 Concrete Construction of Roads & Curbing 1611.02 Asphalt Construction of Roads and Parking Lots CERTIFICATION DATE 3/14/2018 EXPIRATION DATE 6/14/2020 THIS CERTIFICATE ISSUED BY THE STATE OF INDIANA, PUBLIC WORKS DIVISION CERTIFICATION BOARD, 402 WEST WASHINGTON STREET, ROOM W467, INDIANAPOLIS, INDIANA 46204, ALSO ACTS AS THE OFFICIAL NOTICE OF EXPIRATION. r , a ryw Tracy L. Cross, Executive "SMretary Certification Board DAPW PQ2 State Form 3983R Rev. 07106 GRIFFITH SOUTH BEND Walsh & 1700 East Main Street 24358 SR 23 Griffith, Indiana 46319 WWW.waishkelly.com South Bend, Indiana46614 Phone (219) 924-5900 Phone (574) 288-4811 Kellyinc. Fax (219) 924-8768 Fax (574) 289-7174 Emm '1 SAL 1 MM L Y . �"NT OPPORTUNITY POLICY It is the policy of this Company to assure that the applicants and those that are subsequently employed are treated without discrimination without regard to: their race, religion, sex, gender identity, sexual orientation, color, national origin, age, association with the Vietnam era or any other war, disability, genetic information, citizenship status, military status, veteran status, ancestry, or any other status protected under applicable laws. Such action shall include: employment, upgrading, demotion, or transfer; recruitment or recruitment advertising; layoff or termination; rates of pay or other forms of compensation; and selection for training, including apprenticeship, pre -apprenticeship, and/or on the job training. A. The Contractor will work with the State Highway Agency (SHA) and the Federal Government in carrying out EEO obligations and in their review of his/her activities under the contract. II.. Director of Human Resources; Randall L. Walls, shall be designated as Walsh & Kelly, Inc.'s Equal Employment Officer. He will be responsible for all activities associated with the implementation of all policies affecting equal employment opportunity. M. Walsh & Kelly, Inc. assures nondiscriminatory recruitment by taking appropriate steps such as: A. Placing employment advertisements in newspapers which serve the largest number of minority and female groups in the recruiting area. B. Recruiting through schools and vocational colleges having substantial proportions of minority and female students. C. Maintaining systematic contacts with minority (MBE), female (WBE), disabled (DBE), Veteran (VBE) and human relations organizations leader's referral of qualified minority applicants. D. Encourage present employees to refer minority and female applicants. E. Make it known to all recruitment sources that qualified minority and female members are being sought whenever there is hiring. IV. This policy is intended to comply with the Civil Rights Act of 1964, as amended, the Federal Highway Act of 1968, the Executive Order 11246 and 11375, the Rehabilitation Act of 1973, as amended, the Disabled Veterans and Vietnam Era Veterans Readjustment Act of 1974, as amended, the Indiana Civil Right Act, and other Federal and State Laws and Regulations pertaining to Equality of Opportunity and Affirmative Action Policies. V. Forms for filing any complaints are available in the Griffith office located at 1700 E. Main Street, Griffith, IN 46319 or the South Bend office located at 24358 S.R. 23, South Bend, 1N 46614. In addition, employees can call (574) 288-4811, Ext. 211 to report any workplace concerns under this policy. WALSH & KELLY, INC. Randall L. Walls, CHRS Director of Human Resources/EEO Officer Revised: February 27, 2019 INDIANAPOLIS, IN Apd] 25, 2019 ice] WALSH & KELLY INC GRIPFTPI-I, IN ew :w r�: r' ire: t ,w w ;w ► w'w M:w: a w �Nr :�:w, a w _ w, w w d w w• w w"• w re w • w�'a-w l � w 7w ww w w w .• re,:;, wwr: r,: rc.w °ww :ws w• w w w w ♦ w M' w„ ah w rc w W Valid May 1, 2019 Thou April 30, 2020 AGGREGATE....................................................................................................................................... $UNI.IIwIITED A(B) CONCRETE PAVEMENT: I.IIVII W......................................................................................................... $25.000,000 B(A) ASPHALT PAVEMENT: W/INDOT CERTIFIED HMA...........................................................................SUNLD IITED C(B) LIGHT GRADING........................................................................................................................................$UNLIMITED E(E) SMALL STRUCTURES AND DRAINAGE ITEMS............................................................... I.................... $25,000,000 EM SURFACE MASONRY AND MISC CONCRETE...................................................................................... $50,000,000 E(G) TRAFFIC CONTROL: PAVEMENT MARKINGS ....................... ................................... I .... I...................... $25.000,000 E(M DEEP SEWER AND/OR EXCAVATION.................................................................................................... $25,000,000 E(Q) CONCRETE PAVEMENT REPAIRS.......................................................................................................... $25.000,000 E(R) ASPHALT PAVEMENT MILLING.............................................................................................................. $50,000,000 P Et UALIFICATION ENGINEER State Foro20608 (R3 / 5-05)