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Home My WebLink AboutOpening of Bids - Gemini Site Improvements Project No 119-043 - Walsh and Kelly IncCITY OF SOUTH BEND, INDIANA CONTRACTOR'S BID FOR PUBLIC WORK Project Name Gemini Site Improvements ----------- Project No. _..... 119-043 For Bids Due June 11, 2019 PART (Must be completed for all bids. Please type or print) Date: 0111/19mmmmmmmm Bidder (Firm):. Walsh & Kelly, Inc. Address: 24358 SR 23 City/State/Zip: South Bendm,,,,I,N 4m6614 Telephone Number: 574 ..288-4811 Agent of Bidder (if Applicable): Pursuant to notices given, the undersigned offers to furnish labor and/or material necessa to c � � m�ITIT t 9� 9 ry omplete the public works project of: Gemini Site Improvements the City of South Bend, Indiana, in accordance with plans and specifications prepared by: an & Lehman and dated April 24, 2019 for the sum of (enter the Total Bid as shown on the Proposal) Nine hundred fifty thousand five hundred twenty dollars and zero cents $ 950,520.00 ......... .. (Enter sum of Total Base Bid plus Alternates shown on Proposal) (Numerical) The undersigned further agrees to furnish a bond or certified check with this bid for an amount specified in the notice of the letting. If alternative bids apply, the undersigned submits a proposal for each in accordance with the notice. Any addendums attached will be specifically referenced at the applicable page. If additional units of material included in the contract are need tYf cost of its must be the sa shown in the original contract if accepted by the City of S��S. If id is to be awar�nrrt)' basis, the itemization of the units shall be shown on aspa,afe attac wry a° By (Signature) �✓ . (Printedarne of Person Signing) ACCEPTANCE A/ND11 a The above bid is accepted this day of 20 Subject to the following conditions: BOARD OF PUBLIC WORKS .... .......... .. ......... .... .._ Gary ...... _ A. Gilot, President Genevieve E. Miller, Member ................................ Elizabeth A. Maradik, Member Therese J. Dorau, Member Laura L. O'Sullivan, Member Attest: Linda M. Martin, Clerk Version 4/2/2019 Contractor's Bid for Public Works - 2 Project Name: Project Number: For Bids Due: Contractor Name: BASE BID BID/PROPOSAL CITY OF SOUTH BEND Gemini Site Improvements 119-043 June 11, 2019 Walsh & Kelly, Inc. IltVeom Description Quantity Unit Unit Price Total Amount 1 'Construction Engineering 1 LS 6'300.00 $6,300.00 2 Mobilization/Demobilization 1 LS 37,622.25 $37,622.25 3 Project Security Fence 270 LF 6.00 $1,620.00 4 Construction Entrance 1 LS 630.00 $630.00 5 Concrete Approach Removal 32 SY 32.00 $1,024.00 6 Concrete Pavement Removal 330 SY 56.00 $18,480.00 7 Concrete Curb Removal 37 LF 28.00 $1,036.00 8 Asphalt Pavement Removal 2,250 SY 9.00 $20,250.00 9 Existing Utility Pole Removal 2 EA 1,500.00 $3,000.00 10 Tree & Stump Removal, >4"-8" 3 EA 1,250.00 $3,750.00 11 Tree & Stump Removal, >24"-36" 2 EA 4,500.00 $9,000.00 12 Stump Removal 3 EA 350.00 $1,050.00 13 Wood Fence Removal 82 LF 10.00 $820.00 14 Chain Link Fence Removal 198 LF 8.00 $1,584.00 15 Drywell Removal 1 EA 2,200.00 $2,200.00 16 Multi -tenant Mailbox Removal 2 EA 780.00 $1,560.00 17 Landscape Planting Bed Removal 2,860 SF 8.00 $22,880.00 18 Inlet Protection 6 EA 155.00 $930.00 19 Common Excavation 2,220 CY 80.00 $177,600.00 20 Compacted Aggregate, No. 53 835 TON 45.00 $37,575.00 21 HMA Surface, Type "B", 165#/SY 175 TON 140.00 $24,500.00 22 HMA Base, Type "B", 385#/SY 405 TON 83.00 $33,615.00 23 Concrete Commercial Driveway Approach 60 SY 119.00 $7,140.00 24 Concrete Sidewalk, within Right-of-way, 4" 196 SF 10.20 $1,999.20 25 Concrete Pavement, 4" 3,625 SF 12.00 $43,500.00 26 Concrete Pavement, 6" 130 SF 15.00 $1,950.00 27 Concrete Curb, 6" 276 LF 68.00 $18,768.00 28 Concrete ADA Ramp, Parking Lot, 6" 18 SY F 193.00 $3,474.00 29 ADA Parking Sign and Post 2 EA 350.00 $700.00 30 Concrete Dumpster Pavement, 6", Reinforced 32 SY 141.00 $4,512.00 31 Protective Pipe Bollard 5 EA 2,100.00 $10,500.00 32 lConcrete Stairs 1 LS 8,600.00 $8,600.00 BID/PROPOSAL CITY OF SOUTH BEND Project Name: Gemini Site Improvements�� Project Number: 119-043Qf I'll ;' For Bids Due: June 11, 2019 " e. Contractor Name; Walsh & Kelly, Inc. 186E 33 Galvanized Handrailing, 1-3/8", O.D. 14 LF 150.00 $2,100.00 34 Galvanized Safety Railing, 1-3/8" O.D., 12 LF 160.00 $1,920.00 35 Wood Screen Fence, Wood Frame, 5' Ht. 347 LF 35.00 $12,145.00 36 Wood Screen Fence, Galvanized Frame, 5' Ht. 48 LF 85.00 $4,080.00 37 Wood Screen Gate, Galvanized Frame, 21' Wide x 1 LS 3,800.00 $3,800.00 5' Ht. 38 Ornamental Steel Fence, 5' Ht. 8 LF 85.00 $680.00 39 Ornamental Swing Gate, Self -closing, 3' Wide, 5' Ht. 2 EA 1,850.00 $3,700.00 40 Bike Loops, 36"x22", Surface Mount 3 EA 1,900.00 $5,700.00 41 Mailbox, Multi -tenant, Surface Mount 4 EA 3,300.00 $13,200.00 42 Drywell, 8'Wx6'D with Frame and Grate 4 EA 8,100.00 $32,400.00 43 Casting, Adjust to Grade 2 EA 1,700.00 $3,400.00 44 PVC In -Line Drain, 18" 2 EA 4,900.00 $9,800.00 45 Catch Basin, 48" 1 EA 4,700.00 $4,700.00 46 Floor Drain, 8" 1 EA 4,400.00 $4,400.00 47 Storm Sewer, 12" Perforated in Wrapped Gravel 320 LF 90.00 $28,800.00 Trench 48 Storm Sewer, 12" Solid 60 LF 110.00 $6,600.00 49 Storm Sewer, 6" Perforated in Wrapped Gravel Trench 55 LF 80.00 $4,400.00 50 IStorm Sewer, 6" Solid 145 LF 140.00 $20,300.00 51 Downspout Connection Boot 7 EA 2,700.00 $18,900.00 52 Geotextile Separation, Stormwater Reservoir 1,045 SY 11.00 $11,495.00 53 Stormwater Reservoir, #8 Gravel, Washed 1,970 TON 45.00 $88,650.00 54 Disconnect Existing Fuse Panel, Remove 1 EA 950.00 $950.00 55 100A Panel, 120/240V, Utility Feeder and Terminations 1 EA 3,200.00 $3,200.00 56 2" PVC Conduit and Fittings 335 LF 9.00 $3,015.00 57 4" PVC Conduit Sleeve 48 LF 18.00 $864.00 58 2#12, 1#12G Conductor 315 LF 4.00 $1,260.00 59 Handhole 3 EA 1,500.00 $4,500.00 60 IConcrete Light Pole Base 2 EA 950.00 $1,900.00 61 Light Pole, 4" Square, 18' 2 EA 1,700.00 $3,400.00 62 Light Fixture 4 EA 1,750.00 $7,000.00 63 Deciduous Tree, Sun Valley Red Maple, 2.5"cal. 5 EA 603.75 $3,018.75 BID/PROPOSAL CITY OF SOUTH BEND Project Name: Gemini Site Improvements Project Number: 119-04,° For Bids Due: June 11, 2019 ` Contractor Name: Walsh & Kelly, Inc. 64 Deciduous Tree, Allegheny Serviceberry, 6' ht. 2 EA 535.50 $1,071.00 65 Deciduous Tree, Crimson Point Plum, 2" cal. 8 EA 530.25 $4,242.00 66 Deciduous Tree, Regal Prince Oak, 2" cal. 2 EA 519.75 $1,039.50 67 Deciduous Shrub, Pee Wee Oakleaf Hydrangea 29 EA 38.27 $1,109.83 68 Deciduous Shrub, Double Knockout Rose, 18-24" 17 EA 37.10 $630.70 69 Evergreen Shrub, Sea Green Juniper, 24- 30" 24 EA 45.51 $1,092.24 70 Evergreen Shrub, Blue Star Juniper, 18-24" 6 EA 52.50 $315.00 71 Evergreen Shrub, Everlow Yew, 18-24" 26 EA 39.75 $1,033.50 72 Perennial, Mainz Astilbe, #1 Cont. 40 EA 15.75 $630.00 73 Perennial, Sister Teresa Astilbe, #1 Cont. 40 EA 15.75 $630.00 74 Perennial, Walker's Low Catmint, #1 Cont. 71 EA 12.75 $905.25 75 Topsoil 115 CY 56.95 $6,549.25 76 Turfgrass Seeding 95475 SF 0.13 $1,231.75 77 Erosion Control Blanket, EroNet DS75 915 SY 2.75 $25516.25 78 Shredded Hardwood Mulch 28 CY 63.75 $1,785.00 79 Landscape Edging, 5" Heavy Duty Plastic 180 LF 6.75 $1,215.00 80 Geotextile Landscape Filter Fabric 35 SY 2.43 $85.05 81 Landscape Stone Mulch, 2" River Rock 6 TON 78.58 $471.48 82 90-Day Landscape Maintenance Period 1 LS 3,000.00 $3,000.00 BASE BID TOTAL $848,000.00 BID/PROPOSAL CITY OF SOUTH BEND Project Name: Gemini Site Improvements Project Number: 119-043 — For Bids Due: June 11, 2019 '`* Contractor Name: Walsh & Kelly, Inc. A*0 ALTERNATE #1 - SOUTH COURTYARD Item No. Description Quantity Unit Unit Price Total Amount ALT1-1 Concrete Pavement Removal 87 SY 67.00 $5,829.00 ALT1-2 Common Excavation 12 CY 1,180.00 $14,160.00 ALT1-3 Compacted Aggregate, No. 53 25 TON 157.04 $3,926.00 ALT1-4 Concrete Pavement, 4" 990 SF 15.00 $14,850.00 ALT1-5 Lighting Termination to Existing Panel 1 LS 825.00 $825.00 ALT1-6 1" PVC Conduit and Fittings 225 LF 8.00 $1,800.00 ALT1-7 2#12, 1#12G Conductor 295 LF 4.00 $1,180.00 ALT1-8 Handhole 3 EA 1,500.00 $4,500.00 ALT1-9 Concrete Bollard Light Base 6 EA 575.00 $3,450.00 ALT1-10 Bollard Light, LED 6 EA 1,750.00 $10,500.00 ALTERNATE #1 TOTAL $61,020.00 BID/PROPOSAL CITY OF SOUTH BEND Project Name: Gemini Site Improvements&�" 9 Project Number: 119-043 For Bids Due: June 11, 2019 � Contractor Name: Walsh & Kelly, Inc. ALTERNATE #2 - NORTH COURTYARD Item No. Description Quantity Unit Unit Price Total Amount ALT2-1 Concrete Pavement Removal 7 SY 90.00 $630.00 ALT2-2 Common Excavation 2 CY 6,075.00 $12,150.00 ALT2-3 Compacted Aggregate, No. 53 4 TON 289.07 $1,156.28 ALT2-4 Concrete Pavement, 4" 140 SF 26.00 $3,640.00 ALT2-5 Lighting Termination to Panel A 1 LS 825.00 $825.00 ALT2-6 1" PVC Conduit and Fittings 170 LF 8.00 $1,360.00 ALT2-7 2#12, 1#12G Conductor 220 LF 4.00 $880.00 ALT2-8 Handhole 1 EA 1,500.00 $1,500.00 ALT2-9 Concrete Bollard Light Base 4 EA 575.00 $2,300.00 ALT2-10 Bollard Light, LED 4 EA 1,750.00 $7,000.00 ALT2-11 Deciduous Tree, Allegheny Serviceberry, 6' ht. 2 EA 535.50 $1,071.00 ALT2-12 Deciduous Shrub, Pee Wee Oakleaf Hydrangea 26 EA 38.27 $995.02 ALT2-13 Evergreen Shrub, Blue Star Juniper, 18-24" 6 EA 52.50 $315.00 ALT2-14 Evergreen Shrub, Everlow Yew, 18- 24" 26 EA 39.75 $1,033.50 ALT2-15 'Perennial, Mainz Astilbe, #1 Cont. 40 EA 15.75 $630.00 ALT2-16 Perennial, Sister Teresa Astilbe, #1 Cont. 40 EA 15.75 $630.00 ALT2-17 Perennial, Walker's Low Catmint, #1 Cont. 34 EA 12.75 $433.50 ALT2-18 Shredded Hardwood Mulch 18 CY 63.75 $1,147.50 ALT2-19 Topsoil 28 CY 56.95 $1,594.60 ALT2-20 Turfgrass Seeding 2,240 SF 0.39 $873.60 ALT2-21 Landscape Edging, 5" Heavy Duty Plastic 20 LF 6.75 $135.00 ALT2-22 90-Day Landscape Maintenance Period 1 LS 1,200.00 $1,200.00 ALTERNATE #2 TOTAL $41,500.00 BASE BID TOTAL with ALTERNATES 'I & 2 �,520X0 BID/PROPOSAL CITY OF SOUTH BEND Project Name: Gemini Site Improvements. Project Number: 119-043 " For Bids Due: June 11, 2019 Contractor Name: Walsh & Kelly, Inc. M 186E Bidder(Firm): Address: City/State/Zip Telephone Number: Walsh & Kelly, Inc. 24358 SR 23 South Bend,IN 46614 574-288-4811 1JUM111 r. rinary, v .r. or 3ouin nena area Printed Name of Person Signing Addendum no. 2 When the prospective Contractor is unable to certify to any of the statements below, it shall attach an explanation to this Affidavit. CONTRACTOR'S NON -COLLUSION AND NON -DEBARMENT AFFIDAVIT, CERTIFICATION REGARDING INVESTMENT WITH IRAN, EMPLOYMENT ELIGIBILITY VERIFICATION, NON- DISCRIMINATION COMMITMENT AND CERTIFICATION OF USE OF UNITED STATES STEEL PRODUCTS OR FOUNDRY PRODUCTS (Must be completed for all quotes and bids. Please type or print) STATE OF Indiana ) SS:. —St....Joseph COUNTY ) The undersigned Contractor, being duly sworn upon his/her/its oath, affirms under the penalties of perjury that: 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: 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. ME 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 ___ ..1.1 th day of June , 2019 Subscribed and sworn to before me this My Commission Expires 6/5/,22 _ w Walsh 80<ek Inc. `c��Its•, toe„ wdde�` l�""%l�"" re of Contractor/Bidder or Its Agent Dustin Hilary, VP of South Bend Area Printed Name and Title 11 th day of „ 'roan..__....._........ 2019u Notary iic Alish r6 er- County of Residence St. Jose h ....... d"&�^ ALI P biA. 0, stateECER Notary of Indiana Si:I 3t. Jos®ph County '•,„ �' �010 �w My Commission Expires ., FSItl,4awr �,., 2022 Juno 0.�, Version 4/2/2019 Contractor's Bid for Public Works - 6 Surety 0 +908.903.3485 202B Halls Mill Road, PO Box 1650 F + 908.903.3656 Whitehouse Station, DU 08889-1650 Federal Insurance Company AIA Document A3101- 2010 Bid Bond Any singular reference to Contractor, Surety, Owner or other party shall be considered plural where applicable. CONTRACTOR Xm le at status and address); ls Kelly, Inc. 24358 State Road 23 South Bend, IN 46614 OWNER (Horne, legal status and address): City of Soulh Bend, Indiana County -City Building Room 1316 227 West Jefferson Blvd. South Bend, Indiana, 46601 BOND AMOUNT SURETY (Name, legal status and principal place of business): Federal Insurance Company 202B Halls Mill Rd., PO Box 1650 Whitehouse Station, M 08889-1650 In the amount of not less than five percent (5%) of the base bid plus any alternates. PROJECT (Name, location or address, and Project number, if any) Gemini Site Improvements Project No. 119-043 The Contractor and Surety are bound to the Owner in the amount set forth above, for the payment of which the Contractor and Surety bind themselves, their heirs, executors, administrators, successors and assigns, jointly and severally, as provided herein. The conditions of this Bond are such that if the Owner accepts the bid of the Contractor within the time specified in the bid documents, or within such time period as may be agreed to by the Owner and Contractor, and the Contractor either (1) enters into a contract with the Owner in accordance with the terms of such bid, and gives such bond or bonds as may be specified in the bidding or Contract Documents, with a surety admitted in the jurisdiction of the Project and otherwise acceptable to the Owner, for the faithful performance of such Contract and for the prompt payment of labor and material furnished in the prosecution thereof, or (2) pays to the Owner the difference, not to exceed the amount of this Bond, between the amount specified in said bid and such larger amount for which the Owner may in good faith contract with another party to perform the work covered by said bid, then this obligation shall be null and void, otherwise to remain in full force and effect. The Surety hereby waives any notice of an agreement between the Owner and Contractor to extend the time in which the Owner may accept the bid. Waiver of notice by the Surety shall not apply to any extension exceeding sixty (60) days in the aggregate beyond the time for acceptance of bids specified in the bid documents, and the Owner and Contractor shall obtain the Surety's consent for an extension beyond sixty (60) days. If this Bond is issued in connection with a subcontractor's bid to a Contractor, the term Contractor in this Bond shall be deemed to be Subcontractor and the term Owner shall be deemed to be Contractor. Printed in cooperation with theAmerican Institute ofArchitects WA) by Chubb. The language in this document conforms to the language used in AM Document A310 "'-2010. Form 1502-0575•FED (Rev. 3/17) When this Bond has been, furnished i0complywithastatutwyorodierlegalrequireinent in the location ofthe Pro, any provision in this Band conflicting with said statutory or legal requirement shall be deemed deleted here from aw, 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 11th (witness) A]isha Krueger (Witness) Lisa M. Becker day of June, 2019. VP of South Bend Area {e , Clitle) r uJU� bsdlh r f h •. _ • • - _ el"".CIA (Corporateseal) Printed in cooperation with theAmerlcan Institute ofArchttects (A!A) by Chubb. The language in this document conforms to the language used in ALA DocumentA310 Im-2010. Form l5 Wt 0575-F (Bev. 3/In 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 Terry R. Hurst each as their true and lawful Attorney-In•Fac't to execute under such designation In, their names and to affix dteir Corporate seats to and deliver for and on their behalf as surety thereon or otherwise, bonds and undertakings and other writings obligatory In the nature thereof(other than hall bonds) given or executed. In the course of business, and any Instruments amending or altering the same, and consents to the modification or alteration of any Instrument referred to In sold bonds or obligations. Surety Bond Number. Bid Bond Obligee: In Witness Whereof, said FEDERAL INSURANCE COMPANY, VIGILANT INSURANCE COMPANY, and PACIFIC INDEMNITY COMPANY have each executed and attested these presents and affixed their corporate seals on this 15u day of September, 2018, Dawn M. Chloros, Assistant Secretary �l � III if 7 STATE OF NEW JERSEY County of Hunterdon ss. Stephen M. Haney, Vice President On this 15th day of September, 2018, before me, a Notary Public of New Jersey, personally came Dawn M. Chloros, tome 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 corporate seals thereof„ that the seals affixed to the foregoing Power of Attorney are such corporate seals and were thereto affixed by authority of said Companies„ and that she signed said Power of Attorney as Assistant Secretary ofsaid Companies by like authority: and that sho Is acquainted with Stephen M. Haney, and knows him to be Vice President of said Companies, and that the signature of Stephen M. Haney, subscribed to said Power of Attorney Is In the genuine handwriting of Stephen M. Haney, and was thereto subscribed by authority of said Companies and In deponenes presence. Notarial Seal KATHERINEJ.ADOAAR tlTotAp NOTARY PUBLIC OF NEW JERSEY No.2316am PtlBLtO Commission Expires July 16, 201B Nedarl Put➢p CERTIFICATION Resolutions adopted by the Boards of Directors of FEDERAL INSURANCE COMPANY, VIGILANT INSURANCE COMPANY, and PACIFIC INDEMNITY COMPANY on August 30, 2016: 'RESOLVED, that the following authorizations relate to the execution, for and on behalf of the Company, of bonds, undertakings, recognizances, contracts and other written commitments of the Company entered into In the ordinary course of business (each a `Written Commitment): (1) Each of the Chairman, the President and the Vice Presidents of the Company Is hereby authorized to execute any Written Commitment for and on behalf of the Company, under the seal of the Company or otherwise. (2) Each duly appointed attorney-In-factof the Company Is hereby authorized to execute any Written contentment for and on behalf of the Company, under the seal ofthe Company or otherwise, to the extent that such action is authorized by the grant of powers provided for In such persons written appointment as an ch attorney -In -fact (3) Each of the Chairman, the President and the Vice PrealAents of the Company Is hereby authortaed„for and on behalf of the Company, to appoint inwrlttng any person the mlorney,lrt• fact of the Company with full power and nothority to execute, for and on behalf of the Company, under the seal of the Company or otherwise, such Written Commitments of the Company as may be specified In such written appointment, which specification may be by general type or class of Written Commitments or by specification of one or more particular Written Commitments. (4) Each of the Chsirman, the President and the Vice Presidents of the Company Is hereby a;utborhed for and on behalf of the Company, to delegate In writing to any ether officer ofthe Company the Authority to oxacuta, for and on behalf of the Company, under the Company's aeat or othorwlse, such 'Written Commitments of the Company as are specified In such written delegatlon, which specification may be by general type or class of Written Commitments or byspecincatlonofonoormoreparnotiarWri'ttenCommitmentL (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 facsimile on such Written Commitment or written appointment or delegation. FURTHER RESOLVED, that the foregoing Resolution shall not be deemed to be an 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 limiter otherwise affect the exercise of any such power or authority otherwise validly granted or vested! 1, Dawn M. Chloros, Assistant Secretary of FEDERAL INSURANCE COMPANY, VIGILANT INSURANCE COMPANY, and PACIFIC INDEMNITY COMPANY (the "Companies') do hereby certify that (1) the foregoing Resolutions adopted by the Board of Directors of the Companies are true, correct and in full force and effect, (if) the foregoing Power ofAttorney Is true, correct and in full force and effect Given under my hand and seals of said Companies at Whitehouse Stallion, NJ, this l lth day of June, 2019. Dawn M.;CI[loros, Assistant Secretary 1fn� THE EVE.t1"N" YOt9 WISN' �'O VEfkoFV THE AtIrF1EWTlCiTY OP THIS Ei3ND 0T& NOTIFY' 1VS OF hNYdTIIS#i hfA"tTF.tk PLEASB iAOltTdlC7ld5 A'W°s Toles Ipono 900 903.3463 Fax 90tt 903r3F5fi o-tali: sure& C�rrlluhla.Com FED- VIG-PI (rev. 06-18) 1316 COUNTY -CITY BUILDING 227 W.JEFFERSON BOULEVARD SOUTH BEND, INDIANA 46601-1830 PHONE 574/235-9251 FAX 574/235-9171 TDD 574/ 235-5567 CITY OF SOUTH BEND PETE BUTTIGIEG, MAYOR BOARDOF PUBLIC WORKS Date: M4y 17, 2019 To: All Bidders From Linda M. Martin, Clerk, Board of Public Works Subject Addendum Number: 1 Project Name: Gemini Site Im rovements ................... Project Number: 119-043 ACKNOWLEDGEMENT OF RECEIPT OF ADDENDUM Date Received: 5/17/19 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. A copy MUST also be included with your bid package upon submittal. THIS ADDENDUM MAY AFFECT YOUR BID. Note: The attached documents are hereby added to the Specifications and Contract Documents and become a part of herein. Company: Walsh & Kelly, Inc. Authorized Signature: ry, VP of South Bend Area Date: KE4 le y; O m �a 1316 COUNTY -CITY BUILDING 227 W.JEFFERSON BOULEVARD SOUTH BEND, INDIANA 46601-1830 PHONE 574/235-9251 FAX 574/235-9171 TDD 574/ 235-5567 CITY OF SOUTH BEND PETE BUTTIGIEG, MAYOR BOARD OF PUBLIC WORKS Date: June 3, 2019 To: All Bidders ....._ .__....._.. ................................. From Linda M. Martin, Clerk, Board of Public Works Subject ................_.....................-- SubAddendum Number: � ber: 2 Project Name: Gemini Site Im rovements Project Number: 119-043 ACKNOWLEDGEMENT OF RECEIPT OF ADDENDUM Date Received: 6/3/19 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. A copy MUST also be included with your bid package upon submittal. T,IS ADDENDUM MAY AFFECT YOUR BID. Note: The attached documents are hereby added to the Specifications and Contract Documents and become a part of herein. Company: Authorized Signature:, Dyr *010ry, VP 6f South Bend Area Date: My YE L L y RATS m PHONE. 5741235-9251 ""'� F� S7�Bl 235...9171 � u i�•ir'u a �� ,u��u a ��.�� r � Sou,T? � Rii o V . Q dd9il qua^V 4660 11830 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: 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. $incercly, Linda M. Martin, Clerk GA,RY A. COLOT DA,'VID P. RELOS ET,17ALIETFi A. MARAINK JAmi.-,,s A. 141G1)k.:LL,ER T1TE RE SE J. 1..)0RAtI CITY OF SOUTH BEND, INDIANA CONTRACTOR'S BID FOR PUBLIC WORK CHECKLIST FOR BIDDERS Project Name Gemini Site Improvements Project No. 119-043 For Bids Due June 11, 2019 From time to time the South Bend Board of Public Works finds it necessary to reject a bid because it does not comply with statutory requirements. In preparing your bid, please use the following checklist in order to make sure that your bid is done in the proper manner. Proper bid security included. The bidder has the option of providing either a Certified Check X or Bid Bond. Bid prepared on the City of South Bend Contractor's Bid for Public Work Form, completely X executed. Contractor's Non -Collusion and Non -Debarment Affidavit, Certification Regarding Investments with Iran, Employment Eligibility Verification, Non -Discrimination Commitment, and X Certification of use of United States Steel Products or Foundry Products. Proof of MBE/WBE Participation Goal Form [MWBE-1.0]. If minimum participation goal is not met, also provide Evidence of Good Faith Efforts Form [MWBE-2.0] and MBE/WBE Contacted X Form [MWBE-2.1]. X Acknowledge Receipt of 1 & 2 Addendum(s) included with the bid. X All required additional information is included with the bid. Proposal statements and other affidavits all signed by the proper party with name either X_ printed or typed underneath signature. X This checklist submitted with the Bid. This checklist is provided for bidder's use in assuring compliance with required documentation; however, it does not include all specifications requirements and does not relieve the bidder of the need to read and comply with the specifications. Bidder: Walsh By Authorized Signature: Print Name & Title: stirs Hilary(,VP VP of South Bend Area Version 4/2/2019 Contractor's Bid for Public Works - 1 Date : �taWAI9f'!4 N h ��pOf;rll� „m r PART II (For projects of $100,000 or more — IC 36-1-12-4) These statements to be submitted under oath by each bidder with and as part of his/her/its bid. Attach additional pages for each section as needed. SECTION I EXPERIENCE QUESTIONNAIRE 1. Attach information regarding projects your organization has completed for the period of one (1) year prior to the date of the current bid. 2. Attach a listing of public works projects currently in process of construction by your organization. 3. Attach information regarding any failure to complete any work awarded to you and the location thereof. 4. Attach references from private firms for which you have performed work. SECTION II PLAN AND EQUIPMENT QUESTIONNAIRE 1. Attach an explanation of your plan or layout for performing proposed work. (Examples could include a narrative of when you could begin work, complete the project, number of workers, etc. and any other information which you believe would enable the City of South Bend to consider your bid.) 2. Attach a listing of the names and addresses of all subcontractors (i.e. persons or firms outside your own firm who have performed part of the work) that you have used on public works projects during the past five (5) years along with a brief description of the work done by each subcontractor. 3. If you intend to sublet any portion of the work, attach the name and address of each subcontractor, equipment to be used by the subcontractor, and whether you will require a bond. However, if you are unable to currently provide a listing, please understand a listing must be provided prior to contract approval. Until the completion of the proposed project, you are under a continuing obligation to immediately notify the City of South Bend in the event that you subsequently determine that you will use a subcontractor on the proposed project. 4. Attach a listing of equipment you have available to use for the proposed project. 5. Have you entered into contracts or received offers for all materials which substantiate the prices used in preparing your proposal? If not, attach an explanation for the rationale used which would corroborate the prices listed. SECTION III CONTRACTOR'S FINANCIAL STATEMENT Attachment of bidder's financial statement is mandatory. Any bid submitted without said financial statement as required by statute shall thereby be rendered invalid. The financial statement provided hereunder to the City of South Bend awarding the contract must be specific enough in detail so that said City of South Bend can make a proper determination of the bidder's capability for completing the project if awarded. Version 4/2/2019 Contractor's Bid for Public Works - 3 H m W 0 W d) w a� WQ z H '�^ V m W 0 tr a pzz 0 y LL CW G 0mIL II--ww U 0 W �:0 0 z Q H 0 z_ 5 z 0 O Q Ta m� C�a C W m O� a W ¢m G C M o C (Q E a0 R 0 a z, W L Y1 O W m cm o c = > o o= > R c � tr O 3 O y Ia.w E N � a1 3 � a 'rn C m C m � o 0 3 CO) o O Uc �E ca d y Q rL W t m t 3 3L d > a..0+ a 7 ram+ U! O '0 O 0 Q. 0 y t to � wCh N L d m C E O Ac4 C � = 0 CD T N O m O 0 m m a w m 0 0 0 N N LO d LO 0 6191� > E 3 O •i m E a> N E cc z U O W a O -0 C 7 z N N O a m O M N <9 O O C O OI O U w d a o: N CO C w O O C O O 00 EU O Za co co ow T m co cm 00 ......... . �................. 4 cccca ¢r� G� L 00 Y >O N 7 OCD 0 L O� U O U) COL U L f0 cu 2 U} _..... ... O c o ar M O w a_a) M QD c O U N N N f0 J04 O) O Ez Q� d V 04 .. ......... m O m z o +0- a) d w CD T O c�iaJ0 -0 off O V CD Z a) U Z J T �+ E 0 C/) U) 00 0 N N C O E2 CITY OF SOUTH BENDur��r 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: 119-043 Date: 6/11/19 Project Name: Gemini Site Im rovements Bidder: Walsh & Kell Inc. Contact Person: Edward Pilipw Telephone: 574-288-4811 Address: 24358 SR 23 City: South Bend State: .......Indiana zip: 4 �14 Email: a ili ow walshkell1r.com _ To determine whether a bidder has demonstrated good faith efforts to reach the MBE/WBE 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*: ................,.......__u EVIDENCE OF GOOD FAITH EFFORTS.. C MBE/WBE 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 (hftp://www.in.gov/idoa). _.... _.... ACTION (ADVERTISE/CONTACT): In order for your bid to be deemed responsive, the City of South Bern quires that all perspective bidders complete no less than 2 of the following: 1. Attend all pre -bid meetings scheduled by the City to inform MBE/WBEs of contracting and subcontracting opportunities. 2. Advertise in general circulation and/or trade association publications concerning subcontracting opportunities, and allow MBE/WBEs reasonable time to respond. Perform any and all necessary steps to provide written notice in a manner reasonably calculated to inform MBE/WBEs of subcontracting opportunities and allowed sufficient time for them to participate effectively. 4. Utilize pre-existing services of available community organizations, small and/or disadvantaged business assistance offices and other organizations that provided assistance in the recruitment and placement of MBE/WBE firms. **Bidder must circle or otherwise notate which of the two (2) required actions were performed. GOOD FAITH NEGOTIATIONS: The bidder mmne negotiated in good faith with interested mMBE/WB 9 9 Es including providing such MBE/WBE's with adequate information about the plans, specifications and other requirements of the subcontract and did not reject MBE/WBEs as unqualified without sound business reasons based on a thorough investigation of their capabilities. SMALL WCONTRACT(S): The bidder selected specific portions of the work to be performed by- "M&BE/WBEs in order to increase the likelihood of meeting the MBE/WBE goals (including breaking down contracts into smaller units to facilitate MBE/WBE participation) CONTRACT RECORDS: The bidder has maintained the following records for each MBE/WBE that has kid on the subcontracting opportunity: 1. Name, address, and telephone number; 2. A description of information provided by the bidder or subcontractor; and 3. A statement of whether an agreement was reached, and if not, why not, including any reasons for concluding that the MBE/WBE was unqualified to perform the job. *Proper demonstration of Good Faith Effort requires your initials next to all of the above boxes. Any omissions shall be considered grounds for rejection of the bid by the Board of Public Works. The City of South Bend reserves the right to request additional information. Version 4/2/2019 Contractor's Bid for Public Works - 9 CITY OF SOUTH BEND�a MINORITY AND WOMEN BUSINESS ENTERPRISE DIVERSITY;,, DEVELOPMENT PROGRAM FORM MWBE-2.1 MBE/WBE CONTACTED'" ra � 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. Project Number: 119-043mmmm Project Name: emini Site Improvements Byder: W Kell In ._ ature) Dustin Hilary Firm Slusser's Green Thumb, Inc. PAGE 1 OF 1 6 l MBE/WBE Participation Goal ®I4& i �.1, )1a,tG L d area 6/11 r1 � µ u J m� (Title) (Date)" pgg{ q a oo Owner or Contact at MBENVBE Firm Jane Strasser �.-..... _........ . Telephone: 574-722-3102 Fax: 2-3102 Email: •es slussers.com -5.7.4.7.722-3102 Email: ................. TYPE OF WORK SOLICITED FOR THIS PROJECT: .Landscaping &Planting ................. . RESULTS OF CONTACT WITH THE MBENVBE FIRM: Subcontractor's quote was not low. Walsh & Kelly, Inc. will not be using this subcontractor on this project. MBENVBE Firm �q§,, Inc.awk Ent......errisp�. � � . _.........................�� .....�.�_.......�-�.............._..................... Owner or Contact at MBENVBE Firm Ries Plank Telephone: Fax: Email: ries@hawk-inc.com .............. 219-662-8090 219-662-8093 _ �, TYPE OF WORK SOLICITED FOR THIS PROJECT: Electrical RESULTS OF CONTACT WITH THE MBENVBE FIRM: Subcontractor did not provide a quote. It did not fit with their schedule. Version 4/2/2019 Contractor's Bid for Public Works - 10 CITY OF SOUTH BEND, INDIANA CONTRACTOR'S BID FOR PUBLIC WORK RESPONSIBLE BIDDER CHECKLIST Project Name Gemini Site Improvements Project No. 119-043 For Bids Due June 11, 2019 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 11 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. 10594-18 (hereinafter, "Responsible Bidding Ordinance") for a period of twelve (12) months. Thereafter, contractors who are pre -qualified must submit a complete application for continuation of "pre - qualified" standing, on a form provided by the City ("Responsible Bidder Checklist (1) Pre -Qualified Bidders") by December 318t 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 II. 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. 'A I « y Y fmF 5 0� V l$ + r Wal5b A Kelly. Inc. (Name of Company) (Address of Company) South Bend (City) 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. Dated: Rine 11 2019 Hilary, VP of South Bend Area Part of State Form52414 (112 / 2-13) Form 96 (Revised 2013) BID OF Walsh & Kelly, Inc. (Contractor) (Address) South Bend IN 46614 FOR PUBLIC WORKS PROJECTS OF r �r Oem,ini Site Improvements Project No. 119-043 Filed June 11th 2019 Action State Form 52414 (R 19-10) Pr2jqrWed by State Board of Account_ Form_ t! Revisew 2 1 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): June 11 2019 City of South. Bend Indiana St. Joseph Walsh Inc. 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 Lehman & Lehman and dated April 24'('h 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 Co m 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 St. Joseph Cty Hwy Dept, 3. What public works projects are now in process of construction by your organization? Contract Amount Class of Work When to be Completed Name and Address of Owner $10,695,118 Reconstruction November 2018 Walsh Construction $ 8,146,239 Resurface Ma 2018 INDOT $ 4,073,719 Reconstruction July 2018 City of East Chica o, IN $ 2,662,813 Reconstruction October 2018 INDOT 4. Have you ever failed to complete any work awarded to you? mmm No�� If so, where and why? 5. List references from private firms for which you have performed work. Gatlin Plumbing & Heating Inc. I I l E. Main St. Griffith IN Ms. Clara Mu )ll Gough, lnc. 2200 E. 8� l r. MerrallvilHe Ili 464H0 Mom. l mnond Gough Dyer Construction Co. 1716 Sheffield Avenue D er IN Janet Furman Grimmer Construction Co, Inc. 2619 Main Street Highland, IN Mr, Greg Grimmer SECTION II PLAN AND EQUIPMENT QUESTIONNAIRE 1. Explain your plan or layout for performing proposed work. (Examples could include a narrative of when you could begin work, completed the project, number of workers, etc. and any other information which you believe would enable the governmental unit consider your bid.) As required by owner 2. Please list the names and addresses of all subcontractors (i.e. persons or firms outside your own firm who have performed part of the work) that you have used on public works projects during the past five (5) years along with a brief description of the work done by each subcontractor. See Attached List 3. If you intend to sublet any portion of the work, state the name and address of each subcontractor, equipment to be used by the subcontractor, and whether you will require a bond. However, if you are unable to currently provide a listing, please understand a listing must be provided prior to contract approval. Until the completion of the proposed project, you are under a continuing obligation to immediately notify the governmental unit in the event that you subsequently determine that you will use a subcontractor on the proposed project. Will supply upon award of contract 4. What equipment do you have available to use for the proposed project? Any equipment to be used by subcontractors may also be required to be listed by the governmental unit. QUANTITY ._... ITEM .wawa DESCRIPTION, CONDITION YEARS PRESENT LOCATION SIZE, CAPACITY, OF ETC. SERVICE 5 Asphalt Plants Various Good Griffith, South Bend, www__ww Val araiso, Lowell, LaPorte 19 Asphalt Pavers Various Good Griffith, South Bend 4 Sli form Conc. Paver Various Good Griffith, South Bend 3 J Road Widener Various Good Griffith, South Bend 5 Motor Graders CAT/J.D. Good Griffith, South Bend 54 Rollers Various Good Griffith, South Bend 30 Rubber Tire Loaders Various Good Griffith, South Bend 15 Excavators Various Good Griffith, South Bend 9 Bulldozers Various Good Griffith, South Bend 6 LowBoy Tractors Various Good Griffith, South Bend 8 Flatbed Dum s -- Various Good Griffith, South Bend 48 '/z and 3/ ton Pick!Ts Various Good Griffith, South Bend 65 1 Ton Crew Trucks Various Good Griffith, South Bend 3 Cold Planers Wirtgen 1900 «wawa. Good Griffith, South Bend DC 3 Tri-Axle Dump Mack Good South Bend 5. Have you entered into contracts or received offers for all materials which substantiate the prices used in preparing your proposal? Otherwise, please explain the rationale used which would corroborate the prices listed. Yes, we received quotes from potential subcontractors and suppliers SECTION III CONTRACTOR'S FINANCIAL STATEMENT Attachment of bidder's financial statement is mandatory. Any bid submitted without said financial statement as required by statute shall thereby be rendered invalid. The financial statement provided hereunder to the governing body awarding the contract must be specific enough in detail so that said governing body can make a proper determination of the bidder's capability for completing the project if awarded. SECTION IV CONTRACTOR'S NON -COLLUSION AFFIDAVIT The undersigned bidder or agent, being duly sworn on oath, says that he has not, nor has any other member, representative, or agent of the firm, company, corporation or partnership represented by him, entered into any combination, collusion or agreement with any person relative to the price to be bid by anyone at such letting nor to prevent any person from bidding nor to induce anyone to refrain from bidding, and that this bid is made without reference to any other bid and without any agreement, understanding or combination with any other person in reference to such bidding. He further says that no person or persons, firms, or corporation has, have or will receive directly or indirectly, any rebate, fee, gift, commission or thing of value on account of such sale SECTION V OATH AND AFFIRMATION I HEREBY AFFIRM UNDER THE PENALTIES FOR PERJURY THAT THE FACTS AND INFORMATION CONTAINED IN THE FOREGOING BID FOR PRBLIC WORKS ARE TRUE AND CORRECT. Dated at South Bend this 1 Ith day of �w w U `y y" Wals_`)�_' a of Organization) R ustin H it ry,, VP of South Bend Arco (Title of Person Signing) 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 11th day of June, 2019 J0__&Ue aw�_ tsh Krueger, Notary Pul My Commission Expires: June 5 2022 County of Residence: St. Jose h A1uno� zcoz'So .�, s�y,idx uoi>siwwo� AV udesoC'IS �Ty. n,. eueipu{ }o eras 'e1lgnd AMOK �a nHA dHS11d aaAaflµ,r, Form 96 Section II, #2 Subcontractors Used on Public Works Contracts D 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 MILLING C.E. Hughes Milling, Inc. Javelina Construction, Inc. Mid America Milling Co. McCrite Milling Specialties Company ELECTRICAL INSTALLATION Hawk Enterprises Midwestern Electric S/T Bancroft Electric Sweney Electric Company Trans Tech Electric SIGN INSTALLATION Hawk Enterprises Midwestern Electric RoadSafe Traffic Systems State Barricading, Inc. Traffic Control Specialists, Inc. PAVEMENT MARKINGS The Airmarking Company Blackout Sealcoating RoadSafe Traffic Systems State Barricading, Inc. Traffic Control Specialists, Inc. Traffic Management Company TRAFFIC CONTROL RoadSafe Traffic Systems Traffic Control Specialists, Inc. Traffic Management Company LANDSCAPE Great American Landscape Hubinger Landscape Slusser's Green Thumb, Inc T & J Landscape Service 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 Michiaan Citv. IN 46361 PHONE I FAX (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 (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 19) 8795339 3113 Holmans Lane Jeffersonville, IN 47130 (812) 725-8665 (812) 725-8672 13476 Britton Park Rd. Fishers, IN 46038 (317) 841-8364 (317) 841-0075 6200 W. Hwy 62, Ste 400 Jeffersonville, IN 47130 (812) 282-2751 (812) 283-9846 209 Quality Ave. Ste 9 New Albany, IN 47150 (812) 941-0252 (812) 941-0852 9350 E. 30th St. Indianapolis, IN 46229 (317) 594-0291 (317) 594-0271 1850 E. North St 1620 E. Chicago Ave 25020 State Road 2 9111 Louisiana St. 4601 Cleveland Road 1850 E. North St 1620 E. Chicago Ave 3122 Olympia Dr 24963 U.S. Highway 20 1810 W Pacific Avenue P.O. Box 526 7440 W. 87th Place 3122 Olympia Dr 24963 U.S. Highway 20 1810 W Pacific Avenue 3542 Hiahwav Avenue 3122 Olympia Dr 1810 W Pacific Avenue 3542 Hiahwav Avenue P.O. Box 235 210 E. 113th Avenue 125 Montgomery Street 8253 Wicker Avenue Crown Point, IN 46307 East Chicago, IN 46312 South Bend, IN 46619 Merrillville, IN 46410 South Bend, IN 46619 Crown Point, IN 46307 East Chicago, IN 46312 Lafayette, IN 47909 South Bend, IN 46628 Knox, IN 46534 Rochester, IN 46975 Bridgview, IL 60455 Lafayette, IN 47909 South Bend, IN 46628 Knox, IN 46534 Highland, IN 46322 Lafayette, IN 47909 Knox, IN 46534 Highland, IN 46322 Dyer, IN 46311 Crown Point, IN 46307 Logansport, IN 46947 St. John, IN 46373 (219) 662-8090 (219) 397-4444 (574) 287-6490 (219) 769-6007 (574) 272-9673 (219) 662-8090 (219) 397-4444 (317) 780-1825 (574) 287-2078 (574)772-7001 (574) 223-5817 (219) 864-2300 (317) 780-1825 (574) 287-2078 (574)772-7001 (291) 746-2433 (219) 662-8093 (219) 397-8888 (219) 769-0565 (574)271-0144 (219) 662-8093 (219) 397-8888 (574)772-7002 (574) 223-7959 (708) 430-6910 (574)772-7002 (317) 780-1825 (574)772-7001 (574)772-7002 (219) 746-2433 (219) 322-7033 (219) 322-4419 (219) 662-9911 (219) 662-6206 (574) 722-3102 (574) 722-1628 (219) 374-9900 (219) 374-9950 GUARDRAIL/FENCING Acorn Fence 2041 164th Street Hammond, IN 46320 (219) 844-8400 (219) 844-8441 C Tech Corporation 5300 W. 100 North Boggstown, IN 46110 (317) 835-2745 (317) 835-2781 James H. Drew Company 8701 Zionsville Rd. Indianapolis, IN 46268 (317) 876-3739 (317) 876-3829 Security Industries 1000 Georgiana St. Hobart, IN 46342 (219) 942-9447 (219) 942-9448 Specialties Company 9350 E. 30th St. Indianapolis, IN 46229 (317) 594-0291 (317) 594-0271 TRUCKING/HAULING C. Lee Construction Services 1011 S. Lake St Gary, IN 46403 (219) 888-9554 (219) 888-9564 Condon Trucking, LLC 18245 Amberley Ln South Bend, IN 46637 (574) 360-4326 (574) 271-8984 Fanio Services 28015 SR 23 North Liberty, IN 46554 (574) 233-3236 Gilmer Trucking 20390 New Road South Bend, IN 46614 (574) 229-3233 Material Transfer Inc. 7811 West 101st Ave. Crown Point, IN 46307 (219) 865-9575 Morris Motor Service, Inc. 10525 W US Hwy 30 Bld Wanatah, IN 46390 (219) 733-9430 7 P & C Trucking 4410 Ross Road Gary, IN 46408 (219) 972-0193 Superior Construction Co., Inc. 1455 Louis Sullivan Dr Portage, IN 46368 (219) 787-0850 V & R'Trucking, Inc. 1845 Elmer St. South Bend, IN 46628 (574) 329-2102 SRPM'S K & S Markers, Inc. 2189 N 600 W Thorntown, IN 46071 (765) 482-6184 (765) 482-6284 UNDERSEAL Rieth-Riley Construction Co., 2454 West CR 450 North LaPorte, IN 46350 (219) 362-6178 Inc. TREE REMOVAL Dave's Tree Service 1555 Park West Circle Munster, IN 46321 (219) 922-9829 (219) 922-9843 Homer Tree Service 14000 S. Archer Ave Lockport, IL 60441 (815) 838-0320 Timber Masters LLC P.O. Box 245 Dyer, IN 46311 (219) 864-8733 (219) 322-9391 LIME STABILIZATION Mt. Carmel Sand & Gravel 1611 College Dr. Mt. Carmel, IL 62863 (618) 262-5118 (618) 263-4084 Rock Solid Stabilization 5104 Mann Drive Ringwood, IL 60072 (815) 653-2585 (815) 653-2583 Specialties Company 9350 E. 30th St, Indianapolis, IN 46229 (317) 594-0291 (317) 594-0271 PIPE LINING Indiana Reline, Inc. 312 E. Main Street Sulphur Springs, IN (765) 766-5040 (765) 533-5831 SAW CUTTING Diamond Coring Co., Inc. Quality Saw & Seal, Inc. SEAL COATING/STRIPING Site Services, Inc. Blackout Sealcoating UNDERDRAIN 3D Company, Inc. 11800 S Ewing Ave 7600 W. 79th Street 10117 Kennedy Ave 7440 W. 87th Place 3200 East CR 350 North 47388 Chicago, IL 60617 Bridgeview, IL 60455 Highland, IN 46322 Bridgview, IL 60455 Muncie, IN 47303 978-5000 767-9300 (219) 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 Bend IN 46614 Date submitted June 11 2019 Filed A.E. BOYCE CO., MUNCIE, IND. {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. (Burns Statutes 1933, Sec. 53-109) Sec. 2, Chapter 306, Acts of 1947. TO THE BIDDER — The following forms of questionnaires and financial statement are prescribed by the State Board of Accounts in conformity with the statute set out on the preceding page. These forms, properly 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 fmd 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 3 Submitted by _ _ _ _Walsh & KellY. hic. { x A Corporation Principal Office at 1700 East fain Street Griffith IN 46319 To City of South Bend Indiana EXPERIENCE QUESTIONNAIRE The signatory of this questionnaire guarantees the truth and accuracy of all statements and of all answers to interrogatories hereinafter made. 1. How many years has your organization been in business as a general contractor under your present business name? 52 Years 2. How many years' experience in asphalt paving construction work has your organization had: (a) As a general contractor 71 years _ (b) As a sub -contractor __ 71 Years 3. What projects has your organization completed? Contract Amount Class of Work When Completed ......................_. Name and Address of Owner ... ................. $ 12,926,200 Reconstruction October 2017 INDOT $ 5,970,162 Reconstruction May 2017 Town of Merrillville, IN $ 5,521,799 J Resurface December 2017 City of Mishawaka, IN $ 2,646,574 Reconstruction September 2017 St. Joseph County Hwy Department 3-A. What projects has your organization now in process of construction? CONTRACT AMT. CLASS OF WORK WHEN TO BE COMPLETED NAME AND ADDRESS OF OWNER $ 10,695,118 Reconstruction November 2018 Walsh Construction $ 8,146,239 Resurface May 2018 INDOT $ 4,073,719 Reconstruction July 2018 City of East Chicago, IN $ 2,662,813 Reconstruction October 2018 INDOT 4. Have you ever failed to complete any work awarded to you? No If so, where and why? 5. Has any officer or partner of your organization ever been an officer or partner of some other organization that failed to complete a construction contract? No If so, state name of individual, other organization and reason therefore. 6. Has any officer or partner of your organization ever failed to complete a construction contract handled in his own name? No If so, state name of individual, name of owner and reason therefor 7. In what other lines of business are you financially interested? None 4 8.. 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 Cit IN 46360 Grimmer Construction Co. Inc. 2619 Main Street Highland IN 46322 University of Notre Dame South Bend Indiana Gough Inc.., l 1151 E. Sununu 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 �WW WWWWWWW Town of Schererville Town Manager Schererville IN City of Hammond wineer Hammond, IN City of South Bend City Engineer South Bend IN Town of St. John Town Man, ger St. John IN 10. For what counties have you performed work and to whom do you refer? Lake Counjy Highway Superintendent Crown Point IN Porter County Highway Superintendent Valparaiso, IN St. Jospeh CQunty� _ Hi hwa Superintendent South Bend, IN Elkhart County IIi&ay rintendent Elkhart IN LaPorte Cclgnjy- Highway Superintendent LaPorte IN 11. For what State bureaus or departments have you performed work and to whom do you refer? Indiana Department of Trans ortation INDOT LaPorte District LaPorte IN Devilment of Natural Resources Indianapolis IN 12. Have you ever performed any work for the U.S. Government Yes If so, when and to whom do you refer? U.S. Army Corps of Engineers Chicago, IL Indiana National Guard De t. of Administration Indiana ols, IN Federal 1-lighway Administration Sterlinz "VA. 13. What is the construction experience of the rinci aa'l individual of our oration? INDIVIDUAL'S NAME PRESENT POSITION OR YEARS OF MAGNITUDE AND IN WHAT CAPACITY OFFICE CONSTUCTION TYPE OF WORK EXPEREINCE Kevin J. Kelly President 33 All Types General Mana er Jeffrey L. Swan Executive Vice President 34 All Types Su t. En ineerin David J. Misirly Vice President 33 Bituminous Engineer Paving Greg A. Hoffman Vice President 31 Bituminous Engineer Pavin WWWWWWWWWWWWW-----_WWWWW_ John C. Wall Vice President 41 All types Engineer John M. Peisker Vice President 33 All types Manager J. Michael Secretary/Treasurer 46 Administration _General General Manager Schaum Jamie L. Tancos Controller 14 _..�............... Administration General Manager L J. Bauer South Bend O s Mgr. 23 All t pes Engineer Dustin P. Hilary South Bend Area Mir. 18 Alltypes . En ineer Mark E. Engineer _ www 28 All types Engineer Krachenfels Keith A. Gardina in EnSeer . 23 All t es Engineer . Nikolas G. Relias Engineer 16 Bituminous Engineer Pavin 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 S ecifications and Site Inspections 2. Explain your plan or layout for performing the proposed work As directed- owner/en ineer 3. The work, if awarded to you, will have the personal supervision of whom? Kevin ,l. Kelly, Jeffrey L Swan, David_j. Missirly, Grcm A. floffi aia, Dustin P. Hilary,wgnd�J. 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, Valparaiso, Lowell, 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 LowBoy Tractors Various Good Griffith, South Bend 8 Flatbed Dum s Various Good Griffith, South Bend 48 %2 and 3/ ton Pickups Various Good Griffith South Bend 65 1 Ton Crew Trucks Various Good Griffith, South Bend 3 Cold Planers Wirtgen 1900 Good Griffith, South Bend DC 3 Tri-Axle Dumb 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. APPROXIMATE COST None 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 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 11 h day of June 2, 0l' z 1 4' r STATE OF IndianaPr`tid`1;;� iT�% SS. COUNTY OF St. Joseph (Name a of Person Signing) Dustin HilM being duly sworn deposes and says that he is VP of South Bend Area of the above Walsh & Kell 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 1 Vh day of _June, 201 Alisha 1.rueg�l�Ary Public Y P June 5 2022 M Commission expires 1OWW t L✓0Z 0 e i �ydMrr Id,'.7 ucric o u 0,) A a "" 8 At n004c'I;y;+a( �.5 1, 1S r "�r°°ee p�ul kw5, yy� i ln" nH�i VHSlid 144 ' Sur, t ,, I ro'"" I, AmS"im"A , > Ust of Certified Companies 11 M of Certified Companiies Download the complete listing or browse the list below. Also, see 'rr Last updaredjuly 1, 2018 y W. X y z A Updated July 1, 2018 ACCREDITED SUIRIEFY AND CASUALTY COMPANY, JINC. (NAIC #26379) BUSINESS ADDRESS: PO Box 140855, Orlando, FL 32814. PHONE: (407) 629-2131, UNDERWRITING LIMITATION bl: $5,446,000 SURETY LICENSES c,fl: AL, AK, AZ, AR, CA, CO, CIF, DE, DC, FL, GA, HI, IS, It., IN, IA, KS, KY, I.A, ME, MID, MA, ML MN, PAS, MO, MIT, NE, NV, NH, NJ, NM, NY, NC, ND, OH, OK, OR, PA, RI, SC, SID, TN, TX, UT, VT, VA, WA, WV, WI, WY. INCORPORATED IN: Florida, ACE American IInsaurance Company tMAIr *f276P71 PHONE: (717) 6 5 7 9671 . UNDERWRITING L.IMIFKTION bl: $5,374,000 SURETY LICENSES c,f/: AL, AK, AZ, AR, CA, CO, CT, DE, DC, F1, GA, HI, ID, 11., IN, A, KS, KY, LA, ME, MID, MA, MI, MIN, ME, MO, MT, NE, NV, NH, NJ, NM, NY, NC, NO, OH, OR, OR, PA, RI, SC, SO, TIN, TX, UT, VT, VA, WA, WV, WI, WY. INCORPORATED IN: Pennsylvania. ALL AMERICA IINSU FLANCE 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, VD, IVIA, ML MN, MS, MT, NV, PIN, N1, NM, NY, NC, OH, OK, OR, PA, SC, TN, TX, UT, VT, VA, WA, WI INCORPORATED IN: Ohio, AIllegliteny Casualty Company (NAIC #13285) BUSINESS ADDRESS: One Newark Center, 200n Floor, Newark, NJ 07102. PHONE: (800)3334167 x-269. UNDERWRITING LIMITATION bl: $2,264,000 SURETY LICENSES cfl: AL, AK AZ, AR, CA, CO, CT, DE, DC, FL., GA, HI, ID, IL, IN, IA, KS, KY, LA, ME, MID, MA, MI, MN, MS, MO, MT, NE, NV, NH, NJ, NM, NY, NC, DID, OH, OK, OR, PA, PR, RI, SC, SO, TN, TX, UT, VT, VA, WA, WV, WI, WY INCORPORATED IN: New Jersey, AIL LEGIFIENY SURETY COMPANY (NAIC 434541) BUSINESS ADDRESS: 4217 Steubenville Pike, Pittsburgh, PA 15205, PHONE: (412) 9213077. BUSINESS ADDRESS: 436 Walnut Street PC, Box 1000, Philadelphia, PA 19106. PHONE: (215) 640-1 000. UNDERWRITING LIMITATION h/: $479,637,000. SURETY LICENSES c,ft: AL, AK AZ, AR, CA, CO, CT, DE, DC, FL., GA, HI, ID, IL, IN, IA, KS, KY, LA' ME, MIS, MA, ML MIN, PAS, MO, MT, NE, NV, NH, NJ, HIM, NY, NC, ND, OH, OK, OR, PA, FIR, RI, SC, SD, TN, TX, UT, VT, VA, WA, WV, WI, WY. INCORPORATED IN: Pennsylvania ACE Property and Casuaky Iinsurance Company (NAIC #20699) BUSINESS ADDRESS: 436 WALNUT STREET, P 0, Box 1000, Philadelphia, PA 19106. PHONE: (215) 640 1 000, UNDERWRITING LIMITATION b/: $296,248,000. SURETY LICENSES cj/: AL, AK, AZ, AR, CA, CO, CT, DE, DC, FL, GA, HI, ID, IL, IN, IA, KS, KY, LA, ME, ME), MA, MI, MN, IIAS, MO, MT, NE, NV, NH, NJ, NM, NY, NC, ND, OH, OK, OR, PA, FIR, RI, SC, SD, TN, TX, UT, VT, VA, WA, WV, WI, WY. INCORPORATED IN: Ppnnsylvania, ACSITAR IINSURANCE COMPANY (NAIC #22950) BUSINESS ADDRESS: 30 sou if I ROAD, FARMINGTON, CT 06032, PHONE: (860) 415-8400, UNDERWRITING LIMITATION bl: $2,360,000, SURETY LICENSES c,fi: AL., AK, AZ, AR, CA, CO, CT, DE, DC, FL, GA, HI, ID, K., IN, IA, KS, KY, LA, ME, MD, MA, MI, MN, MIS, MID, MT, NE, NV, NH, NJ, NM, NY, NC, ND, MI, OK, OR, PA, Pit, RI, SC, SD,'TN, TX, UT, VI-, VA, WA, WV, WI, WY:. INCORPORATED IN: Illinois, Aegis Securlty Illmsu irance Company (NAIC #33898) BUSINESS ADDRESS: P.O. Box 3153, Harrisburg, PA 17105. uQ- 1-1 1A 11r IN SURETY LICENSES c,f/: PA INCORPORATED IN: Pennsylvania. ALLIED Piropeirty and Casuallty insurance Company (NAIC #42579) BUSINESS ADDRESS: ONE WEST NATIONWIDE BLVD., 1-04-701, COLUMBUS, OH 43215 - 2220. PHONE: (515) 5084211, UNDERWRITING LIMITATION bf: $6,045,000, SURETY LICENSES c,fl: AL, AZ, AR, CA, CO, CT, DE, DC, FL, GA, ID, IL, IN, IA, KS, KY, ME, MD' MI, ION, MIS, MID, MT, NE, NY, NH, NM, NY, ND, OH, PA, RI, SC, SID, TIN, TX, Ulf, VT, VA, WA, WV, WI, WY, INCORPORATED IN: Iowa AlIlled World Illmsuurance Company (NAIC #22730) BUSINESS ADDRESS: 199 Water Street, New York, NY 10038 PHONE: (646) 794-0500 UNDERWRITING LIMITNTION bl: $59,242,000 SURETY LICENSES c,fl: AL, AK, AZ, AR, CA, CO, CIF, DE, DC, FIL., GA, HI, ID, IL, IN, IA, KS, F<Y' LA, ME, MD, MA, MI, MN, ME, MO, I1AT, NE, NV, NH, NJ, HIS, NY, NC, ND, OH, OR, OR, PA, FIR, RI, SC, SO, I N, TX, UT, V1, VA, WA, WV, Wl,. INCORPORATED IN: New Hampshire, Allied Wor1ld Speciality Insurance Company (NAIC #16624) BUSINESS ADDRESS: 199 WAI ER SFREET, 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, A, KS, KY, LA, ME, MD. MA, Mi. MN. MS. MO. MT. NE. NV. NH, NI, NM. NY, PIC, NO. ON. OK, OR. PA. PR. RI. SC, SD, T N, TX, UT, VT, VA, WA, WV, WI, WY, INCORPORATED IN: Delaware AIMCO Ilmsuurance Company (NAIC #19100) BUSINESS ADDRESS: ONE WEST NATIONWIDE BLVD,, 1 04 701, COLUMBUS, OH 43215 2220- PHONE: (515) 508 4211. UNDERWRITING LIMITATION bl: $20,982,000 SURETY LICENSES cfl: AL., AS, AR, CA, CO, CT, DE, DC, F[, CA, 11), [1., IN, IA, KS, KY, ME, MR, ML MR!, MIS, MO, MT, NE, NV, NM, NY, NC, ND, ON, OR, PA, RI, SC, SD, TN, TX, UT, VT, VA, WA, WV, WI, WY, INCORPORATED IN: Iowa, AMIERKAN ALTIERNATI]VIE INSURANCE CORPORNTIFON (NAIC #19720) BUSINESS ADDRESS: 555 COLLEGE ROAD EAST - P.O,.BOX 5241, PRINCETON, NJ 08541 PHONE: (609) 2434200 UNDERWRITING LIMITATION bl: $20,167,000, SURETY LICENSES c,f/: Al., AK, AZ, AR, CA, CO, CT, DE, DC, FI., GA, HI, ID, 11, IN, LY KS, KY, 1A, MID, VIA, ML MIN, ME, MID, MY, NE, NV, NH, NJ, NIIA, NY, NC, KID, ON, OK, OR, PA, RI, SC, ED, TN, TX, UT, VT, VA, WA, WV WI, WY, INCORPORATED IN: Delaware, American Automobille insurance Company (NAIC #21 B49) BUSINESS ADDRESS: 225 W WASHINGTON STREET, SUITE 1800, CHICAGO, IL 60606 3484, PHONE: (888) 466-71383, UNDERWRITING LIMITATION bo $7,803,000, SURETY LICENSES c,f/: AL, AK, AZ, AR, CA, CO, CT, DE, DC, FIL, GA, GU, HI, ID, R., IN, A, KS, KY, LA, ME, MD, MA, MI, MN, MIS, MO, MI, NE, NV, NH, NJ, (VIM, NY, NC, KID, OH, ON, OR, PA, RI, SC, SDAN, T)( UT, VT, VA, WA, WV, WL WY, American Fire and Casuallty Corrilli,any (NAIC #24066) BUSINESS ADDRESS: 175 Berkeley Street, Boston, MA 02116, PI LONE: (617) 357 9500, UNDERWRITING LIMITATION h/:$4,070,000, SURETY LICENSES c,f/: AL, AK, AS, AR, CA, CO, CT, BE, DC, FIL, GA, ID, IL, IN, A, 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, SID, TN, TX, UT, VT, VA, WA, WV, WI, WY. INCORPORATED IN: New Hampshire, ArneirIcan Guarantee and Llability Insurance Company (NAIC 426247) BUSINESS ADDRESS: 1299 ZURICH WAY, 5TH FLOOR, SCHAUMBURG, IL 60196 1056 PHONE: (847) 605-6000 UNDERWRITING LIMITATION bl: $18,450,000 SURETY LICENSES c,U: AU AK, AZ, AR, CA, CO, CT, DE, SIC, FL, GA, HI, ID, 11 IN, A, KS, KY, LA, ME, MD, MA, MI, ION, MS, MO, MIT, NE, NV, NH, NJ, NM, NY, NC, ND, ON, OK, OR, PA, RL SC, SD, TN, TX, UT, VT, VA, WA, WV, WI, WY, INCORPORATED IN: New York American Home Assurance Company (NAC #19380) BUSINESS ADDRESS: 175 WATER STREET, 181 H FLOOR, NEW YORK, NY 10038, PHONE: (212) 770-7000. UNDERWRITING LIMITATION bl: $623,782,000, SURETY LICENSES of/: AU AK, AS, AR, CA, CO, C1, BE, DC, FL, GA, Fil, ID, IL, IN, IA, KS, KY, LA, MF, MD, MA, MI, MN, MS, KAO, MT, NE, NV, NH, NJ, NM, NY, INC, ND, OH, OK, OR, PA, RI, SC, ED, I N, TX, U1, VT, VA, VGA, WV, WI, WY, INCORPORATED IN: New York.. American Ilmsuylralmce Company (ii-he) INCORPORATED IN: Missouri AIMIER11CAN BANIKERS INSURANCE COMPANY OF: FLORIDA (NAIC #10111) BUSINESS ADDRESS: 11222QUAI L ROOST DRIVE, MIAMI, F1 33157-6596, PHONE: (305) 253 2244, UNDERWRITING LIMITATION V.)/: $56,177,000 SURETY LICENSES c,f/: AL, AK, AZ, AR, CA, CO, CT, IDE, DO FL, GA, HI, ID, IL, IN, IA, KS, KY, LA, VIE, MD, MA, MI, ON, MS, MO, MY, NE, NV, NH, NJ, NM, NY, NC, ND, OH, OR, OR, PA, PR, RI, SC, SD, TN, TX, LIT, VT, VA, V1, WA, WV, WI, WY, INCORPORATED IN: Florida American Casualty Corrilliany of Reading, Pennsylvania (NAIC #20427) BUSINESS ADDRESS: 151 N. Franklin St,, CHICAGO, IL 60606, PHONE: (312) 822 5000. UNDERWRITING LIMITATION b/: $14,216,000 SURETY LICENSES c,f/: AL, AK, AZ, AR, CA, CO, CT, DE, SIC, FL, GA, HI, ID, IL, IN, IA, KS, KY, LA, IIAE, MIS, MA, ML MN, MS, MO, MT, NP, NV, NH, NJ, NM, NY, NC, NO, CH, OR, OR, PA, FIR, RI, SC, SD, YN, TX, LIT, VT, VA, WA, WV, WI, WY, INCORPORATED IN: Pennsylvania, AMERICAN CONTRAcirolks IINDEMNiilry COMPANY (NAIC #102167) BUSINESS ADDRESS: 801 South Figueroa Street, Suite 700, Los Angeles, CA 90017 PHONE: (310) 649-0990, UNDERWRITING LIMITATION b/: $12,855,000, SURETY LICE19SES cjlC AL, AA Az, AR, CA, CO, CF, DE, DC, FL, GA, GO, HI, ID, L, IN, IA, KS, KY, LA, ME, IIAD, ML MIN, ME, MO, MT, NE, NV, NJ, NM, NY, KID, OH, OK, OR, PA, RI, SC, SD, TN' TX, UT, VA, WA, WV, WI, WY, INCORPORATED IN: California. (NAIC #21957) BUSINESS ADDRESS: 225 W. WASHINGTON STREET, SUITS 1800, CHICAGO, IL 60606 3484, PFI0NE:(886)466-7883 UNDERWRITING LIMITATION b/; $6,667,000, SURETY LICENSES c,f/: AL, AK, AS, AR, CA, CO, CT, DE, DC, FL, GA, GU, HI, ID, IL, IN, IA, KS, KY, L.A, ME, MID, MA, MI, MN, MS, 100, MT, NE, NV, NH, NJ, NM, NY, NC, ND, OH, OR, OR, PA, FIR, RI, SC, SID, TN, TX, UT, VT, VA, WA, WV, WI, WY. INCORPORATED IN: Ohio, AMERICAN ROAD INSURANCE COMPANY (THIE) (NAIC #19631) BUSINESS ADDRESS: One American Road, MD 7600, Dearborn, MI 48126 - 2701. PHONE: (313) 337 1102. UNDERWRITING LIMITATION b/: $27,040,000, SURETY LICENSES c,f/: AL, AK, AZ, AR, CA, CO, DE, DC, Fl, GA, HI, IF.), IL, IN, IA, KS, KY, LA, ME, MD, MA, MI, MIN, MS, MO, MIT, NE, NV, NH, NJ, NM, NY, NC, ND, ON, ON, OR, PA, RI, SC, SD, 'TN, SX, UT, V7, VA, WA, WV, WI, WY, INCORPORATED IN: Michigan. American Southern Insurance Company (NAIC #10235) BUSINESS ADDRESS: P 0 Box 723030, Atlanta, GA.31 139 0030, PHONE: (404) 266 959% UNDERWRITING LIMITATION b/: $4,335,000 SURETY LICENSES c,f/: AL., AS, AR, CO, DF., SIC, FL, GA, IL, IN, KC KY, MR, MI, MR, MIS, MO, NE, NJ, NY, NC, OH, PA, SC, TN, UT, VA, WA, WV, WI, WY.. INCORPORATED IN: Kansas Arnerican.Surety Company (NAIC #31380) BUSINESS ADDRESS: 250 East 96th Street Suite 202, Indlananolls, IN 46240, IPHONII::: (31'7)871.i-8"700, UNDERWRIIIINGi UTAIIATION IV: $1,045,000. SURHTY LICENSES (:,rl: AL., AK, AZ, AIR, CA, CO, Cl, DIE, DC:, IIL., GA, 1-II, III:), Ill., IN, IA, KS, KY, ILA, ME, MD, MIA, MI, AN, M5, MID, M 1, NE., NV, NH, NJ, NIPS, NY, INC, ND, Off, 0. K' OR, PA, RII, SC, 5D, TN, TX, PIT, VT VA, WA, PAW, WY.. INCORI'ORATFI::D 1N: Indiana Arnerl.suare Irisuarance Company (NAIL it 19488y BUSINf > ADDRI::S_;: P.. 0 Box 2060, Tarnninglon ifills, MII 41331 - 3586, IPJIONF: (t48) 615-9000. UNDERWRITING L.IMIITAT ION Ibl: $2.4,1179,000, .SURE':TY LICENCES (,Vl: AL, AK, AS, Alt, CO, DE::, DC, FIE, CA, I-il, ID, IL.., IN, IA, ILS, KY, LA, MC), MA, MIL, IM IN, M.S, MO, MT', NE, NV, NI 1, NJ, NM, NY, NC, ND, OH, CJK, OR, PA, PR, RI, .SC_, SI), TN, TX, UI VI, VA, WA, WV, WI, WY, 111A ORPORAI I:D IN: Michigan.. Amerl.sure Mleutual Insurance. Company (INAIC IQ 3.396) BIJSII'rll "^.S ADDRFSS P O Rnx 20SO, Farrn'inpfnn II HIK M1 48-1 1 - 19K PHOINE: (24£3y 615-9000, UNDI. RWRIIIING UIVIIAI ION IW: $71,674,000. SURETY LICLASILS (,17: AIL, Alf, AZ, AR, CA, CO, C T, DI:, DC, FL, GA, HI, II:), It., IIN, IA, KS, KY, LA, ME, MD, MA, EMI, AN, MS, MO, INT, NE, NV, Nit, NJ, IN11A, NY, INC, IND, 01-I, OK, DR, IPA, PR, RI, >C, SE), TN, TX, Ulf, VT', VA, WA, WV, Wi, WY. INCORPORATED IN: Michigan.. Amerlsure (Partners Insurance Company (NAIL U110.50) BPJt IINF. S AIJIDRI:S S.1'.O. Box 2060, 1"arrnington Hills, IVI1148§Jl-:3580, (PHONE. (248)6'11.1-9000, LA, MILD, MA, IMI, ON, IIAS, KAO, MT NE, NV, NH, NJ, NM, NY, NI.), CDFJ, OK, OR, PA, IRO, SC, SD, RN, "IX, UT, V11, VA, VVA, VVV, IINCORP()RATFI:) IN: D(Aavvare, Argoruaut, Insurance: Company (NAIC#1980'1) BUSINFSSADDRFSS:13100Warl:ha"rC:enLr1"II)IrIV(,!, ult(290111)usCou Iaxas 7700`,, PHONE.: (800) 470-1958. UNI:)ERWRI H N G 1..1MIIT"ATI0IN IV: $87,27 Pi, 000 ',URF I II 1CI:N ES c, El: AL.., AK, AS., AR, CA, (:0 C"T, I1)E, D( I'1. GA, GU, f1I, I1), IL, IIN, IA, K5, KY, ILA, MILE, MI:), 'AA, Nil, ON, MIS, MO, IM.1. NE:, NV, Nit, NJ, NI\4, NY, NC, ND, 01-1, OR, OR, PA, PR, RI, SC, SC), "TN, TX, UT, VI, VA, VI, VVA, VVV, WI, WY. INCORI'ORAI"ED IN: IIIIraals, ASPEN AME:I18ICAIN INSURANCE C011VIPAINVY (NAIL:: P43460) BUSINFIS AIDDRI'S 17`5 Capital BoulevardSuk(,300, Rocky Ifill, ( T D6067 RI-IONI:I: (860) UNDI."RIMP IFING IIIM1"IANON b(: .$50,62.8,000. :URE.Il LICENSES c,ff: AL.., At(, AS, AIR, CA, CO, CT, DE, DC, FL.., GA, HI, ID, IIL., IN, IA, KS, KY, I..A, ME, MD, MA, MI, MN, AS, (AO, MT, NI., NV, NI -1, N;, INM, NY, NC:, ND, 011, OK, OR, I'A, PR, RII, SC, 'SEE, "IN, I-X, U"I" VI, VA, VI, WA, VVV, WI, WY, INCORPORATH1) IN: Texas, Associated IIndeminity Corpovation (NAIC:. #21865) BUSINII i AI:DL'DIRILi . 225 W, WASHING( ON i IRE . _',U I F. 11800, CHIIQ AGO, IF 60606 -3484, PHONE (888) 466 7883, UN DE WAMI FING I.IMIITATII:DN lof: $9,002,000,. SURE FY II 1(E NG:S c,fC Al, AK, AS, AR, CA, CO CT, DP:., DC 4I , GA, (-,U, I -II, IC), II., IN, IA, IKS, KY, LA, ME, MD, MA, MI, MN, AS, MO, MT NF, NV, Nfi, NJ, NK)I, NV, INC, ND, 011, CJK, OR, PA, RI, SC, SE.), .IN, TX, UT, VT, VA, WA, WV, VVI, VVY. UNDERWRITINC:; ILIIhAI"TA'TION h7: $439£3,000,. LURI::'IY L..IC_E Noes c,fr: All, A14, AS, AIR CO DIE, DC II., GA, IIHI, IC), 11.., 1N, IA, KS, KY, UP, MD' IAA, IMI, MIN, IMF, MO, IMII, NI::., NV, INIVi, NC, ND, Oft, OK, OR, I'A, RI, SC, .SD, "TN, "IX, UT, VT, VA, VVA, VW, Wi, WY. N(:ORPO RA"IF D IN: Michigan Antilles Insurance Cornpuany (INAIC dt103m) F L1 INFSS AI)I)RIIS; 1:10 Box 90C1,507, 3arn Jtaaui, f1t 009(1).. - 3. 07, I'IiCPNE', (78.7) 474-4900 UNIDERWRi`I ING L.IMIIIIATIOIN I)!: $,387,000. SUG2G:...IY I. ICF:.N1,FS c,f/: PIZ,. INCORPORATED 1N: Pueut:o Ildico,. Arch insurance Company (NAIL If 111 SO) BVJ.INF. SS ADDRESS: Hai lew side3,2110 I1id.ih:nalre.IreO,SPA te300JERSEY CIIY,NJ0/311- I'l01 I'IIHONE: (20'1) 743-4000 UNTDFIRWRIIING t_1MI IAIION h!,', $92,972,000.. SURF: Y L.ICFN. LS (:,fl: Ad_ Alf, AS, AR, CA, CC), C 1, DI., DC, I"IL, GA, GIJ, f-II, IC), IL.., IN, IA, KS, KY, LA, ME, MD, KAA, MI, MN, MIS, 1A40, MP, MT, NE, NV, IJH, NJ, NIA, NY, NC, ND, 01H, (AK, ()R, PA, IT, RI SC, SI7, 'TN, TX, UT, VI, VA, VI, WA, WV, WI, WY, INC:ORPORAH-D IN:: IAssn(ui.. Arch YRelinsuurance Company (NAIL #10348) BUSINESS SS P I11111RESS: 445 South SCreo( Sune 22.0, P,C7:: Box 1998, Moi i'iswwn, NJ 07%2 - 1988 PIHONI::: (973) 898..957`i, IUNDERWRITIING SIMII"AIION hC $.35,781,060, SURETY II.1C:1 N ES c,f(: AL, Fl1K, AZ, AR CA, CO, C:I, DE., DC, 1I., GA, GI), E-II, ID, IL.., IN, IA, Ks, KY, INC ORPORAL E:D IIN: CoWornia,. Atlantic Specialty Insurance Company (INAIC 027154y Ri),INF§S ADDIRESSr.605 Highway 169 Worth, Suite 800, Pl,yrneulh, MIN 55441, PHONCt (9.52) 852 2.431, UNDI::IRWRI'TING I[AhAI IATIOIN Lal: $G1,£305,000, SURE IY LICENSES c,fP: AL., AS, AS, FAR, CA, CO, CT, DI6:, CPC, FL., GA, Ill, 1C), HE., IN, IA, KS, KY, I -A, ME, IM ID, AAA, MI, AN, MIS, MO, ME, NE, NV, Nit, NJ, IPIK NY, NC, ND, C.7I-I, OK, DIP, PA, PLR, RI, SC., SE), "I"N "IX l Jl.. VT, VA, VI, WA, WV, VVI, VVY, IIN(:ORPORAT H.) IW New Yoiik Auto Oviflners Insurance &:orripan.y (INAIC fit 18988) 1BOSINF'.iS ACI (DRESS: P,O, 1.3OX 31)66i0, L.ANSING, NA14890£1-8160, PHONE.: (517) 32.-1207.. OINDERWRI FING IIMITAIION Inlr. $1,063,474,000. SURFTY II UNSF5 (:,fl: All, AZ, FAR, CO, FL, GA, ID, HE., IN, IA, IKS, KY, Al, MN, MS, 1A0, NE, NV, INI44, INC:, NI), OH, OR, PA,, SC:, .SD, "TN, U F, VA, VVA, \All. INCORPORATED IIN: NIIicfhig;. r. AXIS IInsurance Company (NA.IC t`372:73) B IJ_ INHS5 Al)E)RL:3S: 1'1C80 65reat: (Jvk. 1N ay, Sve, 500, AIEahavetta, GA 30022.. P HOIN E:, (678) ..746-9400, UNI:)F:IRVV1tIIIINC, 1..1MIIFTICDN nr $^>n,467,�1)0 SURELY LICE IN. F.S c,fl, Al, AK, AS, AS, AIR, CA, CO, CT, DF, DC:, II. 6: A, HII, IC), 11_, IN, IA, KS, KY, LA, ME::, MI:), MA, MI, MIN, MS, (MCI, M F, NE, NV, NI 1, NI, NIM, NY, NC, NID, OI-Il, (:)K, OR, I'A, RI, `iC, ` D, IN, l X, UT, f/T, VA, VVA, WV, VVI, VVY INCORPORA"FED IN: ill nois. AXIS Reinsurance Company (NAIC #20370) BUSINESS ADDRESS: 11680 Great Oaks Way, Suite 500, Alpharetta, CA 30022 PHONE: (679) 746-9400, UNDERWRITING LIMITATION b/: $96,681,000, SURETY LICENSES ofl: AL, AK, AS, AZ, AR, CA, CO, C1, DE, FIE, GA, HI, ID, L, IN, A, KS, KY, LA, ME, MD, MA, ME MIN, MS, MO, M1, NE, NV, PIN, NJ, NM, NY, NC, NO, OH, OR, OR, PA, PR, RE SC, ED, TN, IX, UT, VT, VA, WA, WV, WI, WY. INCORPORATED IN: New York tWO I.a.krp B Bankers insurance Company (NAIC 033162) BUSINESS ADDRESS: P.O. BOX 15707, S1 PEIERSBURG,FL33731 PHONE: (727) 823-4000, UNDERWRITING LIMIIAVION b/: $7,791,000, SURETY Y LICENSES c,f/: AL, AK, AZ, AR, CA, CO, CT, DE, DC, R, GA, I il, ID, 11, IN, IA, KS, KY, LA, ME, RID, MA, ME MIN, MIS, MO, MT, NF, NV, NH, NJ, HIM, NY, NC, ND, CH, OK, OR, PA, SC, ED, TN, IX, U-1, VT, VA, WA, WV, WI, VVY. INCORPORATED IN: Florida Bankers Standard Insurance Company (NAIC #18279) BUSINESS ADDRESS: 436 WALNUT STREE F, P.O. Box 1000, Philadelphia, PA 19106, PHONE: (215) 640-1000, UNDERWRITING LIMITATION E/: $19,790,000, SURETY LICENSES c,f/: AL, AK, AZ, AR CA, CO, CT, DE, DC, FL, GA, HI, ID, IL, IN, IA, KS, KY, LA, ME, DID, MA, ME MN, ME, MO, MT, NE, NV, NH, NJ, NM, NY, NC, ND, OH, OK, OR, PA, RI, SC, Berkshire Hathaway Homestate Insurance Company (NAIC #20044) BUSINESS ADDRESS: 1314 Douglas Street, Suite 1300, Omaha, NF 68102 -1944, PHONE: (402) 393-7255. UNDERWRITING LIMITATION b/: $166,073,000 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, MIN, ME, MO, YET, 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: Nebraska Berkshire Hathaway Specialty Insurance Company (NAIC 1122276) BUSINESS ADDRESS: 1314 Douglas Street, Suite 1400, Ornaha, NF 68102 - 1944, PHONE: (402) 916-3000. UNDERWRITING LIMITATION bs $374,964,000, SURETY LICENSES c,f/: A[, AK, AZ, AR, CA, CO, C1, DF, DC, FL, GA, 111, ID, 11, IN, A, KS, KY, LA, ME, DID, MA, MI, MIN, MS, MO, M-1, NE, NV, NH, NJ, NM, NY, NC, ND, ON, OK, OR, PA, RI, SC, SD, TN, TX, U1, VT, VA, WA, WV, WI, WY. INCORPORATED IN: Nebraska Br1FC0 GENERAL INSURANCE CORPORATION (NAIC #20095) BUSINESS ADDRESS: 3700 MARKET SQUARE CIRCLE, DAVENPORT, IA 52807. PHONE: (800) 475-4477. UNDERWRIT ING LIMITATION E/: $29,364,000 SURETY LICENSES c,fl: At, AK, AZ, AR, CA, CO, CT, DE, DC, FIE, GA, ID, E, IN, IA, RE, KY, [A, ME, MID, MA, MI, MN, MS, MO, MIT, NE, NV, NJ, RIM, NY, NC, ND, 011, OR, OR, PA, RI, SC, ED, TN, 'TX, UT, VT, VA, WA, WV, WI, WY, INCORPORATED IN: Illinois - BOND SAFEGUARD INSURANCE COMPANY JW, I N, IA, U I, V I, VA, YVA, VVV, VV I, VM INCORPORATED IN: Pennsylvania. Beazley Insurance Company, Inc. (NAIC #37540) BUSINESS ADDRESS: 30 Batterson Park Road, Farmington, C1 06032, PHONE: (860) 677-3700 UNDERWRITING LIMITATION b/: $12,010,000 SURETY LICENSES c,f/: AL, AK, AZ, AIR, CA, CO, CT, DIE, DC, FL, GA, Hk ID, IL, IN, IA, KS, KY, LA, ME, MID, MA, ME MIN, ME, MO, MIT, NE, NV, NH, NJ, NM, NY, NC, DID, OH, OK, OR, PA, RE SC, ED, TN, IX, UT, VT, VA, WA, WV, WI, WY. INCORPORATED IN: Connecticut. Berkley Insurance Company (NAIC #32603) BUSINESS ADDRESS: 475 STEAMBOAT ROAD, GREENWICH, CT 06830. PHONE: (203) 542-3800, UNDERWRITING LIMITATION bl: $453,117,000, SURETY LICENSES c,f/: AL, AK, AZ, AR, CA, CO, CT, UP, DC, FL, GA, GU, Hi, ID, IL, IN, IA, KS, KY, LA, ME, MD, MA, MI, AN, MS, MO, MIT, NE, NV, NH, NJ, NM, NY, NC, ND, ON, OK, OR, PA, PR, RI, SC, SD, TN, TX, U-1, VT, VA, VI, WA, WV, WI, VVY, INCORPORATED IN: Delaware, Berkley Regional Insurance Company (NAIC #29580) BUSINESS ADDRESS: PO BOX 9190, DES MOINES, A 50306 - 9190, PHONE: (515) 473-3000. UNDERWRITING LIMITATION bl: $72,799,000 SURETY LICENSES c,f/: AL, AK, AZ, AR, CA, CO, CT, DE, DC, FL, GA, HI, ID, L, IN, IA, KS, KY, ME, MID, MA, ME MIA, MS, MO, MI, NE, NV, NIP, NJ, HIM, NY, NC, ND, OH, OK, OR, PA, RE SC, SD, TN, TX, U r, VT, VA, WA, WV, WE WY. INCORPORAI ED IN: Delaware (NAIC #27081) BUSINESS ADDRESS: 10002 Shelbyville Road, Suite 100, Louisville, KY 40223 - 2979, PHONE: (615) 553-9500, UNDERWRITING LIMITATION b/: $3,938,000, SURETY LICENSES c,f/: AL, AK, AZ, AR, CA, CO, CT, DE, DC, FL, GA, GU, HIT, ID, L, IN, KS, KY, ILA, ME, MID, MA, MIN, ME, MO, MP, MT, NV, NH, NJ, NM, NC, ND, OH, OR, RI, SC, ED, TN, Ty, UT, VT, VA, WA, WV, WI, WY INCORPORATED IN: South Dakota Bondex Insurance Company (NAIC #12965) BUSINESS ADDRESS: RO, Box 6, Horham Park, NJ 07932 PHONE: (973) 377-7000, UNDERWRITING LIMITATION bl: $351,000, SURETY LICENSES c,fl: DF, NJ, NY, PA, INCORPORATED IN: New Jersey.. Boston indemnity Company, Inc. (NAIC #30279) BUSINESS ADDRESS: PO Box 6, Florham Park, NJ 07932 PHONE: (973) 377-7000, UNDERWRITING LIMITATION bl: $451,000 SURETY LICENSES c,fl: At, A7, AR, CT, DE, DC, HL, GA, ID, IN, KS, KY, [A, ME, MA, MN, ME, MT, PIE, NV, NC, NO, OK, PA, SD, TN, WV INCORPORATED IN: South Dakota Brierfleld Insurance Company (NAIC #109931 BUSINESS ADDRESS: 6300 University Parkway, Sarasota, Ft. 34240 - 8424, PHONE: (800) 226-3224 x-2422, UNDERWRITING LIMITATION bl: $913,000 SURETY LICENSES c,f/: AU AR, FL, GA, ME, IN, INCORPORATED IN: Mississippi, BRITISH AMERICAN INSURANCE COMPANY (NAIC #32975) BUSINESS ADDRESS: P 0 Box 1590, Dallas, TX 75221 1590 PHONE: (214) 443-5500, UNDERWRITING LIMITA LION b/: $3,249,000 SURETY LICENSES c,f/: IX, INCORPORATED IN: Texas NOR, lo1op C Capitol Indemnity Corporation (NAIC #10472) BUSINESS ADDRESS: P.O, Box 5900, Madison, WI 53705 - 0900, PHONE: (608) 829-4200 UNDERWRITING LIMITATION bl: $21,699,000 SURETY I ICENSFS c,Q: A[, AK, AZ, AR, CA, CO, CT, DE, DC, FL, GA, HE ID, R, IN, IA, KS, KY, LA, ME, MID, MR, ME MR, MS, MO, MT, NF, NV, NH, NJ, NM, NY, NC, RID, ON, OK, OR, PA, RE SC, ED, TN, EX, UT, VT, VA, WA, WV, WI, WY INCORPORATED IN: Wisconsin. Capital Preferred Insurance Company, Inc. (NAIC #10908) BUSINESS ADDRESS: 2750 C hancellorsville Do Tallahassee, FL 32312 PHONE: (850) 521-0742 CENTURY SURETY COMPANY (NAIC #36951) BUSINESS ADDRESS: 550 Polaris Parkway, Westerville, CH 43082, PHONE: (614) 895-2000, UNDERWRII ING LIMITATION b/: $3,931,000 SURETY LICENSES c,f/: AS IN, ON, WV, WE INCORPORATED IN: Ohio, Charter Oak Fire Insurance Company (The) (NAIC H2561 F) BUSINESS ADDRESS: ONE TOWER SQUARE, I IARIFORD, C1 06183, PHONE: (860) 277-0111 , UNDERWRITING LIMITATION b/: $22,735,000 SURETY LICENSES c,f/: AL, AK, AZ, AR, CO, CT, DE, DC, FL, GA, 111, ID, L, IN, IA, KS, NY, LA, ME, IIAD, MA, MI, MINE ME, NO, MT, NE, NV, NH, NJ, NM, NY, NC, ND, ON, ON, OR, PA, PR, RE SC, SD, TN, TX, UT, VT, VA, WA, WV, WE WY, INCORPORATED IN: Connecticut, Cherokee Insurance Company (NAIC #10642) BUSINESS ADDRESS: 34200 Mound Road, Sterling Heights, MI 48310 PHONE: (80O) 201-0450 x-3400 UNDERWRITING LIMITATION b/: $19,781,000- SURETY LICENSES c,f/: AL, AZ, AIR, CA, CO, CT, DE, FL, GA, ID, IL, IN, IA, KS, KY, LA, ME, MID, MA, MI, MN, MS, MO, MT, NE, NV, NJ, NY, NY, NC, ND, 011, OK, OR, PA, RE SC, SD, TN, TX, UT, , VT, VA, WA, WV, WI, WY INCORPORATED IN: Michigan, CHUBB INDEMNITY INSURANCE COMPANY (NAIC #12777) UNDERWRITING LIMITATION bl: $2,654,000, SURETY LICENSES cjl: FL, CA, SC INCORPORATED IN: Florida Carolina Casualty Insurance Company (NAIL #10510) BUSINESS ADDRESS: PO BOX 9190, DES MOINES, [A 50306 - 9190, PHONE (904) 363-0900, UNDERWRITING LIMITATION bi: $10,338,000 SURETY I ICENSES qV: At, AN, AZ, AR, CA, CO, CT, DE, DC, FL, GA, HI, ID, IL, IN, IA, RE, NY, LA, ME, MD, MA, MI, MN, ME, MO, M1, NE, NV, NIT, NJ, NM, NY, NC, ND, OH, OK, OR, PA, RI, SC, SD, TN, TX, UT, VT, VA, WA, WV, WI, WY, INCORPORATED IN: Iowa, Centennial Casualty Company (NAIC #34568) BUSINESS ADDRESS: 2200 Woodc rest Place, Suite 200, BIrrininghim, AL 35209, PHONE: (205) 414-2600, UNDERWRITING LIMITATION b/: $8,292,000, SURETY Y LICENSES c,f/: A[ INCORPORATED IN: Alabama CENTRAL MUTUAL INSURANCE COMPANY (NAIC #20230) BUSINESS ADDRESS: P.O, BOX 351, VAN WERT, OH 45B91 - 0351, PHONE: (419) 238-1010 UNDERWRITING LIMITATION bl: $66,541,000, SURETY LICENSES c,ff: AZ, AR, CA, CO, C1, DE, GA, ID, IL, IN, IA, KY, ME, MR, MA, MI, MN, MIS, MIT, NV, NH, NJ, NM, NY, NC, OH, OK, OR, PA, SC, TN, TX, Ur, VT', VA, WA, VVIL INCORPORATED IN: Ohio, BUSINESSADDRESS: 202B Hall's Mill Road, WhitehOUSe Station, NJ 0888% PHONE: (212) 827-4400 UNDERWRITING LIMPAI ION ol: $17,505,000 SURETY LICENSES c,f/: Ai, AK, AS, AR, CA, CO, CT, DE, DC, FL, CA, HI, ID, IL, IN, IA, KS, KY, LA, ME, MD, MA, ME MR, ME, MO, MT, NE, NV, NH, NJ, RIM, NY, SIC, ND, 011, OK, OR, PA, RE SC, SET, TN, TX, UT, VT, VA, WA, WV, WI, WY, INCORPORATED IN: New York, Cincinnati Casualty Company (The) (NAIC #28665) BUSINESS ADDRESS: P,O Box 145496, Cincinnati, ON 45250 - 5496 PHONE: (51 3) 870-2000, UNDERWRITING LIMITATION b/: $39,229,000. SURETY I ICFNSFS C,fl: At, AK, AZ, AR, CA, CO, CT, DE, DC, FL, GA, H1, ID, IL, IN, IA, KS, KY, I A, ME, MD, MA, MI, MN, MS, MO, Ml-, NE, NV, PH, NJ, NM, NY, NC, ND, 011, OR, OR, PA, RI, SC, SD, TN, TX, UT, VT, VA, WA, WV, WI, WY.. INCORPORATED IN: Ohio.. CINCINNATI INDEMNITY COMPANY, THE (NAIC #23280) BUSINESS ADDRESS: P.O,.BOX 145496c CINCINNATI, OH 45250 - S496, PHONE: (513) 870-2000 x-4414, UNDERWRITING LIMITATION b/: $10,000,000 SURETY LICENSES c,f/: All, AK, AZ, AR, CA, CO, CT, DE, DC, FL, GA, H1, ID, IL, IN, IA, KS, KY, LA, ME, MD, MA, MI, MR, ME, MID, MIT, NE, NV, HIT, NJ, HIM, NY, NC, ND, OH, OK, OR, PA, RI, SC, ED, TN, TX, UT, VT, VA, WA, WV, WI, WY, INCORPORATED IN: Ohio CfirichrmaU Insurance Company (The) (NAIC #10677) BUSINESS ADDRESS: P-0, BOX 145496, CINCINNATI, ON 45250 - 5496 UNDERWRITING LIMITATION bl: $460,1213,000. SURETY LICENSES cjl: AL., AK, AS, AR, CA, CO, CT, DE, DC, FL., GA, HI, ID, IL, IN, LA, KS, KY, i.A, ME, IVD, MA, IMI, ION, IMS, MO, MT, NE, NV, NH, NJ, RIM, NY, NC, ND, OH, ON, OR, PA, PR, RI, SC, SD, FRI, TX, UT, VT, VA, WA, WV, WI, WY, INCORPORATED IN: Ohio, CITIZENS IIINSIUIRAANCE COMPANY Oil: AMIEROCA (NAIC #31534) BUSINESS ADDRESS: 440 LINCOLN STRFE T, WORCESTER, MA 01653 .0002 PHONE: (508) 853-7200. UNDERWRITING LIMITATION Is/: $69,946,000, SURETY LICENSES c,f/: AL, AK, AZ, AR, CO, CT, DE, DC, GA, HI, IL, IN, IA, KS, ME, MID, IAA, ML MIN, IMS, MID, MT, NE, KIN, NJ, KIM, NY, NC, ND, OH, OR, PA, RL SC, SDF TN, TX, UT, V1, VA, WA, WV, WI, INCORPORATED IN: Michigan COLONIAL AMERICAN CASUALTY AND suiRiE'lry COMPANY (NAIC #34347) BUSINESS ADDRESS: 1299 ZURICH WAY, STH FLOOR, SCHAUMBURG, IL 60196 - 1056, PHONE: (847) 605-6000 UNDERWRITING LIMITATION ol: $2,337,000 SURETY LICENSES c,fl: A[, AK, AZ, AR, CA, CO, CT, DF, DC, FL, GA, HI, ID, IL., IN, IA, KS, KY, LA, ME, KID, MA, ME, MN, MS, MO, MT, NE, NV, NJ, NM, NY, NC, ND, OH, OK, OR, PA, RI, SC, ED, TN, TX, t IF, VT, VA, WA, WV, WI, WY, INCORPORATED IN: Illinois, COLON11AII. SURETY COMPANY (NAIC #10758) BUSINESS ADDRESS: 123 Tice Boulevard, Suite 250, Woodcliff Eake, NJ 07677. PHONE: (201) 573 8788, UNDERWRITING LIMITATION bl: $4,052,000, PR, RI, SC, SD, TN, TX, UT, VT, VA, VI, WA, WV, WI, WY, INCORPORATED IN: Pennsylvania CONTRACTORS BONDING AND INSURANCE COMPANY (NAIC #37206) BUSINESS ADDRESS: 9025 N. Lindbergh Drive, Peoria, IL 6161 S. PHONE: (309) 692 1000, UNDERWRITING LIMITATION b/: $11,490,000, SURETY LICENSES c,fl: AL, AK, AZ, AR, CA, CO, CT; DE, DC, FL, GA, HL ID, IL, IN, A, KS, KY, I -A, IMF, MD, MIA, ML YIN, MS, MO, NIT NE, NV, NH, NJ, NM, NY, NC, NO, ON, OR, OR, PA, RI, SC, SD, TN, TX, UT, VT, VA, WA, WV, WI, WY INCORPORATED IN: Illinois. Coo perativa de Seguros Mulltiples de Puerto IRIca (NAIC #16163) BUSINESS ADDRESS: PO BOX 363846, SAN JUAN, PR 00936 3846, PHONE: (787) 622-3575 x-2512 UNDERWRITING LIMITATION b/: $15,318,000 SURETY LICENSES cfl: PR - INCORPORATED IN: Puerto Rica Corelilolinte Insurance Company (NAIC #10499) BUSINESS ADDRESS: 401 South Old Woodward Avenue, Suite 300, Birmingharn, MI 48009, PHONE: (800) 782 9164L UNDERWRITING LIMITATION ol: $1,452,000. SURETY LICENSES qfl: AL, AN, AZ, AR, CA, CO, CT, DE, DC, FL, GA, III, ID, IL, IN, IA, KS, KY, [A, IME, MID, MA, I'Al, MIN, ME, MO, IMF, NE, NY, NH, NJ, NM, NY, NC, KID, OH, OK, OR, PA, RI, SC, 51), TN, IX, UT, VT, VA, VI, WA, We, WI, WY. INCORPORATED IN: Delaware, CUMIS INSURANCE SOCIETY, IINC. SURETY LICENSES c,f/: AL, AK, AS, AR, CA, CO, CT, DE, DC, FIL, GA, GU, HL 11), L, IN, IA, KS, KY LA, IVIE, VD, MA, MI, MIN, ME, MO, MR, MT, NE, NV, NH, NJ, NM, NY, NC, ND, CH, OR, OR, PA, PR, RL SC, SE), TN, TX, UT, Vr, VA, VI, WA, WV, WI, WY. INCORPORATED IN: Pennsylvania. CorttilnentM Casuallty Company (NAIC #20443) BUSINESS ADDRESS: 151 N Franklin St, CHICAGO, IL. 60606, PHONE: (312) 822-5000, UNDERWRITING LIMITATION kd: $7.38,083,000 SURETY LICENSES c,f/: AL, AK, AZ, AR, CA, CO, CT, DE, DC, FL, GA, NJ, ID, IL, IN, A, KS, KY, LA, ME, MD, MA, ML MN, MS, MO, MT, UP, NV, NH, NJ, HIM, NY, NC, ND, OH, ON, OR, PA, PR, RL SC, ED, TN, TX, UT, VT, VA, VI, WA, WV, WI, WY, INCORPORATED IN: Illinois, CONTINENTAL I-11EIR11TAGIE 11INSUIRANCIE COMPANY (NAIC #39.551) BUSINESS ADDRESS: 200 PARK AVENUE, SUITE 400, ORANGE VILLAGE, OH 44121 PHONE: (UIO) 229-3420. UNDERWRITING LIMITATION b/: $2,514,000 SURETY LICENSES c,r/: AZ, CA, CO, DC, I'll, CA, ID, 11, IN, IA, KY, IA, ME, MID, MN, MS, NE, NV, NJ, ND, OH, PA, SC, ED, TN, TX, UT, VA, WA, WV, VVY, INCORPORATED IN: Florida, Con1drientall insurance Company (Tlhe) (NAIC #35289) BUSINESS ADDRESS: 151 N Franklin SU, CHICAGO, K. 60606, PHONE: (312) 822 .5000, UNDERWRITING LIMITA1 ION b/: $155,806,000. SURETY LICENSES c,f/: AL., AK, AS, AR, CA, CO, CT, DE, DC, FL, GA, GU, HL 11), IL, IN, IA, KS, KY, LA, ME, MD, MA, MI, MIN, MS, MO, MP, MIT, NE, NV, NH, NJ, NIA, NY, NC, ND, CH, OR, OR, PA, (NAIC 410847) BUSINESS ADDRESS: POST OFFICE BOX 1084, MADISON, WI 53701, PHONE: (608) 238 5851 . UNDERWRITING LIMITATION ol: $85,551,000 SURETY LICENSES c,f/: AL, AK, AZ, AR, CA, CO, CT, DE, DC, FL, GA, GU, HI, ID, IL, IN, IA, KS, KY, LA, ME, MID, MA, MI, MIN, MS, MO, MT, NE, NV, KIN, NJ, NM, NY, NC, NO, OH, OK, OR, PA, PR' RL SC, SD, TN, TX, UT, VT, VA, VI, WA, WV, WE, VVY INCORPORATED IN: Iowa. CUMIS SpecIalty Insurance Company, Inc. (NAIC#12756) BUSINESS ADDRESS: Post Office Box 1084, Madison, WI 53701, PHONE: (608) 238-5851, UNDERWRITING LIMITATION b/: $5,54%000 SURETY LICENSES C,fl: AL, CA, CT, DC, FL, GA, HL ID, II., IN, A, KS, KY, MD, MA, MI, MR, MO, NF, NV, NJ, NY, NC, OH, OK, OR, PA, SC, ED, TX, UT, VA, WA, WI, WY, INCORPORATED IN: Iowa. P D Developers Surety and indernirlty Company (NAIC #12718)3 BUSINESS ADDRESS: P.O, BOX 19725, IRVINE, CA92623 9725, PHONE: (949) 263-3300 UNDERWRITING LIMITATION b/: $9,634,000. SURETY LICENSES ofl: AL, AK, AZ, AR, CA, CO, CT, DE, DC, FL, GA, Fit, ID, IL, IN, IA, KS, KY, LA, ME, MD, MA, MI, MN, IAS, MO, MIT, NE, NV, NH, NJ, NM, NY, NC, ND, OH, OK, OR, PA, BY, SC, SD, TN, TX, UT, VT, VA, V1, WA, WV, W[, VVY INCORPORATED IN: California, IF Eirrip1loyeirs Ilnsuairance Company of Wausau (NAIC 421459) BUSINESS ADDRESS: 17S Berkeley Street, Boston, MA 02116, PHONE: (617) 357 9500. UNDERWRITING LIMITATION bl: $138,602,000. SUREIY LICENSES c,f/:Al.., AK, AZ, AR, CA, CO, CF, 31.1 DC, FL, GA, Fit, ID, IL, IN, IA, KS, KY, LA, ME, MID, MA, MI, MN, MIS, MO, MY, NE, NV, NH, NJ, HIM, NY, NC, ND, 011, OK, OR, PA, PR, RI, SC, SO, TN, IX, UT, VT, VA, V1, WA, WV, WI, WY. INCORPORATED IN: V4sconsln Emp1loyers IMutuall Casualty Company (NAIC #21415) BUSINESS ADDRESS: P. O, BOX 712, DES MOINES, IA 50306 3712. PHONE: (515)280-2511, UNDERWRITING LIMITATION b/: $143,661,000. Eulleir IHerlmnes North Arnerlca Insurance Company (NAIC #20516) BUSINESS ADDRESS: 800 Red Brook Blvd, Owings Mills, PAD 21117, PHONE: (410) 753 0751 UNDERWRITING LIMITATION b/: $15,764,000. SURETY LICENSES c,rl: AL, AK, AS, CA, CO, CT, DE, DC, GA, HI, ID, IL, IN, A, KS, KY, LA, MID, MA, MI, MN, IIAS, MO, MT, NE, NV, NH, NJ, NM, NY, NC, ND, OH, OK, PA, RI, SC, ED, TN, TX, UT, VT, VA, WI, WY INCORPORATED IN: Maryland lEverest Relnsurance Company (NAIC #26921) BUSINESS ADDRESS: P.O, Box 830, Liberty Corner, NJ 07938 0830 PHONE: (908) 604 3000. UNDFRWRIT ING LIMITATION b/: $339,185,000 SURETY LICENSES cfl: At AK, AZ, AR, CA, CO, CT, DE, DC, Ft., GA, Fit, ID, I., IN, IA, KS, KY, LA, ME, MD, MA, MI, MN, MS, MO, MP, MIT, NE, NV, NH, NJ, NM, NY, NC, ND, ON, OK, OR, PA, RL SC, SD, TN, TX, LIT, VT, VA, WA, WV, WI, WY. INCORPORATED IN: Delaware. Evergreen National JndernnJty Coro pany (NAIC #12750) BUSINESS ADDRESS: 6140 PARKI.AND BILVD, STE 321, MAYFIELD HEIGHTS, OH 44124. PHONE: (440) 229-3420. UNDERWRITING LIMITATION b/: $3,445,000, SURETY LICENSES oft: AL, AK, AZ, AR, CA, CO, CIF, DE, DC, FL, CA, ID, L, IN, IA, KS, KY, LA, ME, MID, MA, MI, MIN, 105, MO, MIT, NE, NV, NH, NJ, HIM, NY, ND, OH, OK, OR, PA, RI, SC, SD, TIN, TX, UT, VT, VA, WA, WI, WY INCORPORATED IN: Ohio Executive Riisk IInderninity Inc. SURETY LICENSES c,f/: AL, AK, AS, AR, CA, CO, CIF, DE, DC, FL, CA, Fit, ID, IL, IN, IA, KS, KY, I.A ME, MD, MA, MI, MIN, ME, MO, MY, NE, NV, NH, NJ, NM, NY, NC, ND, OH, Or, OR, PA, RI, SC, ED, I-N, TX, UT, VT, VA, WA, WV, WI, WY. INCORPORATED IN: Iowa. Endurance American Insurance Corriliminy (NAIC 41064 1) BUSINESS ADDRESS: 4 MANIANITAINIVILLE ROAD, PURCHASE, NY 10577. PHONE: (914) 469-13000. UNDERWRITING LIMITATION bl: $42,689,000. SURETY LICENSES cjl: AL, AK, AZ, CO, DE, DC, GA, HI, ID, 11., IN, A, KS, KY, I.A, MD, MA, MI, MS, MC, MT, NE, NV, NJ, NM, NY, ND, OH, OK, OR, PA, RI, SC, SD, TN, Tx, UT, Vr, WA, WV, WY INCORPORATED IN: Delaware, Endurance Assurance Corporatloin (NAIC #11551) BUSINESS ADDRESS: 4 MANHAJ-1ANVILLE ROAD, PURCHASE, NY 10577. PHONE: (914) 468 8000, UNDERWRITING LIMITATION b/: $46,459,000. SURETY I.ICFNSES cfl: At, AK, AS, AR, CA, CO, CT, DF, DC, FIL, GA, GU, 141, ID, 11, IN, ]A, RE, KY, LA, ME, MD, IVA, MI, MIN, ME, MO, MT, NE, NV NJ, NM, NY, INS, ND, OH, OK, OR, PA, PR, RI, SC, SD, TN,'TX, UT, VT, VA, WA, WV, WY INCORPORATED IN: Delaware, Eirile linsurance Cornpany (NAIC #26263) BUSINESS ADDRESS: 100 ERIE INSURANCE PLACE, ERIE, PA 16530. PHONE: (814) 870 2000. UNDERWRITING LIMITATION bl: $37,432,000, SURETY LICENSES c,f/: DC, IL, IN, KY, MID, MIN, NY, NC, Oki, PA, TN, VA, WV, WI. INCORPORATED IN: Pennsylvania. (NAIC #35181) BUSINESS ADDRESS: 202B Hall's Mill Road, Whitehouse Station, NJ 08889, PHONE: (215) 640 5259. UNDERWRITING LIMITATION b/: $156,166,000 SURETY LICENSES c,f/: AL, AK, AS, AR, CA, CO, DE, DC, FL, GA, HI, ID, IL, IN, A, KS, KY, I -A, IA, MID, MA, MI, MN, MS, MO, MY, NE, NV, NFL NJ, NM, NY, NC, ND, OH, OK, OR, PA, RI, SC, SD, TN, TX, UT, V1, VA, WA, WV, WI, WY. INCORPORATED IN: Delaware, Exploiter IInsurance Company (NAIC 440029) BUSINESS ADDRESS: P,O, BOX 509039, SAN DIEGO, CA 92150. PHONE: (858) 350 2400 x 2550, UNDERWRITING LIMITATION b/: $14,355,000 SURETY LICENSES c,f/: AZ, CA, CO, C11 DE, Fit, ID, It., IN, IA, MD, MA, MI, MS, MI, NV, NJ, NM, OR, PA, TN, TX, U r, VT, VA, WA, WV INCORPORATED IN: California rortl�)'TQP ll:: Fair AirnerIcan Insurance and Reinsurance Company (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 cfl: AL, AK, AZ, AR, CA, CO, CT, DE, DC, FL, GA, HL ID, IL, IN, A, KS, KY, LA, IW., MID, MA, MI, MN, MIS, MO, MT, NE, NY, NH, NJ, NIIA, NY, NC, NO, ON, OK, OR, PA, RI, SC, ED, rN, TX, UT, VT, VA, V1, WA, WV, WI, WY, INCORPORATED IN: New York Farmers Alfflance MuttAM IrmurarKe Company (NAIC #19194) EISINE S1, ADIDRLAS: 11,0 Box 1401, AcIllixi son, KS 67460, III K)NF: (620) 241-2200, UINDFRWRIT ING I IIVIITAI ION ILI; $17,57 1,000 SURETY LICENSES S c,f/: CO, ID, IA, KS, ON, MO, MT, M., NO, IYD, ON, SD. INCORPORAI EST IN: Kaw-is, IF: arimJrI Casuaky Cornpany (IIJAIC BUSINI'SS ADDRESS: ONE TOWER SQUARE, HARIFORD, Cl 06183. N IOINF: (960) 277-0111 UNDIii RWIRFFING E.111AIR7ATION bl: $27,441,000 SUHIL[Y LI( ARSE. (,(A AL, Alf, AZ, AR, CA, CO, CI, DE, SIC, I L, GA, HI ID, R, IN, IA, KS, KY, LA, ME, IMP), MA, MI, ION, MS, 1\40, MT, N1, NV, NH, NJ, NM, NY, INC, ND, OH, C)K, OR, PA, RI, SC, SID, I N, IX, UT, VI, VA, VV/A, VVV, SO, MI, 114COV F'ORAI ED IN: ( mino(tic ut Farmland Mutual Insurance Company (NAIC: #1 iH38) BUSINESS ADDRESS: ONF WEST NATIONWIDE BLVD, 1-04 701, COLUMBUS, 011 43215 - 2220 PHONE: (515) UNDERWRITING LIMITATION bA $16,365,000, SIJREIY LICENSES c,IA Al., AZ, AR, CA, CO, DE, DC, rL, CA, In, IL, IN, IA, KS, KY, IVID, MI, MN, ICA, MO, MI, NE, NV, NC, ND, CIH, ON, OR, 11A, S(_, SID, IN, TX, UT, VA, WA, WV, WI, WY, INCORPORATED IN: Iowa, F'C0 Insurance Company III K)INL: (94/) 60S 6000, UN D ERVVR IT ING LIIMI I A[ ION b/: $14,785,000 SORIFTY I ICE NSES (jC AL, AK, AS, AR, CA,U), CT, D F, DC, F1, GA, GIJ, I I L W, I L, IN, IA, 16, KY, IA, OF, MID„ IAA, MI, MIN, MIS, MO, MP, MT, NE, NV, NI L NJ, NM, MY, NC, N I.), CH, OK, DR, PA, PR, RI, SC, SE), IN, TX, UT, V I, VA, VI, WA, WV, WI, WY, INCORPOFtATED IN: Illinois. HDIELITY AND GUARANTY INSURANCE COMPANY (NAIC #3E386) BUSINESS ADDRESS: One Towor Square, Hartford, CT 06183- PION E: (860) 2 /-/-Ol 11 UNDERWRITING LIMITATION :V: $1,775,000. SURE IY LICENSES c,U: AL, At<, A7, AR, CA, CO, CT„ DF, DC, I--, GA, [it, ID, IlL, IN, IA, KS, KY, LA, ME, YI MA, MI, IIAN, IVIS, V0, MI, NF, NV, Nli, NJ, NO, NY, NC, NIA (:)[I, 01<, 01i, PA, RI, SC, SC, TIC, TX, III, AT, VA, VVA, WV, WI, VVY, IN(ORPOlUJIFE) IN: Iowa Fidelity and Guaranty Imsurance Underwriters, Irm (NAIC U258/9) BUSINESS ADDRESS: Onclower Square, I artford, CT 06183, PHONE: (860) 2//-0l H- UNDERWRITING LIMHAIION W: $8,1399,000, SURETY -ICFNSFS cj/GAl_ AK, AZ, AR, CA, CO, (11, DE, DC, It-, GA, HI, ID, II.., IN, IA, K;, KY, LA, ME, DID, MA, 1\41, ION, AS, MO, MI, NE, NV, NI NJ, NM, NY, NC, DID, OIL OK, OR, PA, RI, SC, SD,TNjX, UT,VT, VA, WA, VVV, WI, WY, JINCOUORATF D IN: Wisconsin Flinairmlial Casualty & Surety, Inc, (NAIC #35009) BUSINESS AETDRFSS: 3131 las(slde, .Suite 600, Hous(.oli, IX 77098, PHONE: (800)392-1604, (NAIC #10178) BUSINESS ADDRESS: C300 Univorsily Parkway, Saras(.Aa, FL 34240 - 8424, [11 ICINIE: (800) 226-3224 x-2726, UNDERWRITING LIN41TATION b/: $54,754,000 SURETY LICENSES c,U: AL, AZ, AR, CO, DC, FIL, CA, 11, IN, A, KS, KY, LA, MD, MI, ME, MO, NI,, NC„ 0 11, OK TIA, 'S(j IjjX, VA [1) IN: I lorida .dw,.� InIsurance Company "'C TCR)" /C�"N , 1 ) BUSINF';S ADDRESS: 202B FI@H's Mill Road, Whitehouse Station, NJ 09889 III i0NF: (908) 903-2000 UNDERWRI-l'ING LIMITAIIDN W: $393,705,000 SURETY LICENSES CY: AL, AK, AZ, AR, CA, CO, CT, DE, SIC, IT, GA, GU, HI, ID, L, IN, IA, KS, KY, LA, Mi., k/ID, IVIA, MI, ON, MY, x10, LAII, NIT, NE, NV', NH, NJ, NIA, NY, SIC, ND, ON, OK, OR, 1A, PR, R1,S(, SD, TN, D( UT, VT, VA, VI, WA, 'AN, )0' WY, IFIEDC M=A""S-Cl"RANCE COMPANY (NAIC 91393S) BUMNI'SS ADEARFSS121 FAST PAIdK SQUARIL, OWAICONA, MN 55060 PHONIL: UNDERWRITINGS LIMITATION LA $336,551,000, AUREIY LICENSES c,N: A.., AK, AS, AR, CA, CO, CT, DE, DC, Fl, GA, 11), E, IN, IA, KS, KY, Lfv, ME, MID, MA, MI, MN, MS, IVIC, MI, NE, NV, NH, NJ, NIA, NY, INC, NET, CH, OIA OF, PA, RI, SC,SD, IN, TX, UT, VT, VA, VVA, WV, WI, VVY INCORPORAI ED IN: IVIlnnesota, 111deRy and Deposit Company of MaryJand (NAIC #39306) BUSINESS ADDRESS: 1299 ZURIn I WAY, S N I I I OOR, SCHAUMBURG, IL 60196 - 10S6 UNDIFIRWRITING I IMITATION bA $1,6'11,000, WIRFTY I K:FNSFSc,U: A7, C/A CF, DE, IL, GA, ID, IN, IA, KS, LA, MD, IVII, AN, MS, IIAO, AT, N\/, NJ, NY, N(_ ND, 011, PA, SC, SD, I N, TX, UT, VI, VA, WA, WV. INCORPORAI ED IN: Texas HnandM Pacific Insurance Cornpany (INAIC #3145E) BUSINESS AIDEIRE SS: P.O. BDX 73909, CEDAR RAPIDS, IA 52407 - 3909 PI iOIRE: (319) 399-5700, IJNDERWkl [ ING LIMITATION El: $9,759,000 SURE IY LICENSES c,U: AK, AZ, AIR, CA, CO, I E, ID, L, IA, KS, MN, BIG, MT, NFL, NV, NNY NET, OR, OR, SD, IX, UT, WA, WI, INCORPORAT ED IN: California Firernart's Fund In!l;urance Coffmjpany (NAIC 01873) BUSINESS ADDRESS: 225 W WASHINGTONS I RFFT, SUITE 1800, CHICAGO, IL 60606 - -3484. PHONE: (B88) 4667881, UNDERWRITING ElIVIIIATION EY: $129,737,000, SURETY LICENSES cjl: AL, AIK, AZ, AR, CA, CO, Cl, DE, DC, FL„ GA, GU, I It, IID, IL, IN, IA, KS, NY, LA, ME, MID, MA, IVII, MN, MS, lVIO, MT, NE, NV, NJ, NJ, NM, IVY, I\K, NET, 011, OK, OF, PA, PR, RI, SC, ED, IN, TX, UF, VT, VA, VI, WA, VVV, WI, VVY INCMWORAIFI) IN: California FIrst Founders Assurance Company (NAIC 1112150) BOSINESS ADDRESS: 6 Mill Ridge Lane, Cb,zsCer, NJ 07930 - 2486 PHONE.: (908) 879 OT90 UNDERWRITING L11"IFTATION BA $464,000, SURETY LICENSES (,IA NJ, NY, IN(A-)RHURAILL) IN: New Jersey.. First Insurance Company of Hawaii, Ii.td. (NAIC #41742) BUSINESS ADDRESS: PO BOX 2866, Honolulu, NJ 96803, PHONE: (808) 527.477T UNDERWRITING LIMITATION Ed: $28,154,000. SURETY LICENSES c,f/: GU, HI. INCORPORATED IN: Hawaii. First Liberty Insurance Corporathon (Tlhe) (NAIC #33588) BUSINESS ADDRESS: 175 Berkeley Street, Boston, MA 02116, PHONE: (617) 357 9500, UNDERWRITING LIMITATION b/: $2,229,000. SURETY LICENSES c,fl: AL, AK, AZ, AR, CA, CO, CT, DE, DC, H., GA, GU, HI, IS, IL, IN, A, KS, KY, LA, ME, MID, MA, 101, MN, MS, MO, MI, NE, NV, NH, NJ, HIM, NY, NC, ND, ON, OK, OR, PA, RI, SC, SO, IN, IX, UT, VT, VA, VI, WA, WV, WI, WY. INCORPORATE[) IN: Illinois. IFirst Net Insurance Company (NAIC #10972) BUSINESS ADDRESS: 424 WEST O'BRIEN DRIVE, STE 202, HAGATNA, GO 96910. PHONE: (671)477 8611 UNDERWRITING LIMITATION b/: $1,236,000. SURETY LICENSES of/: GU, MR. INCORPORATED IN: Guam.. Frairilkeirbimuth MutuM Insurance Company (NAIC #13986) BUSINESS ADDRESS: One Mutual Avenue, Frankenmuth, MI 46787 - 0001. GRANGE IIIMSURANCIE COMPANY Oil: MITCHOGAN (NAIC#11136) BUSINESS ADDRESS: 671 South High Street, P.O.Box 1218, Columbus, OH 43216 1218, PHONE: (614) 445 2900 UNDERWRITING LIMITATION b/: $4,441,000, SURETY LICENSES oil: ML INCORPORATED IN: Ohio. GRANGE MUTUAL CASUALTY COMPANY (NAIC #14060) BUSINESS ADDRESS: 671 South High Street, Columbus, OH 4.3206 1014, PHONE: (614) 445 2900, UNDERWRITING LIMITATION b/: $118,013,000, SURETY LICENSES c,f/: At, GA, 11 IN, A, KS, KY, MIN, MO, OH, PA, SC, TN, V/, WI, INCORPORATED IN: Ohio. GRANITE FEE, IINC, (NAIC #26310) BUSINESS ADDRESS: 14001 Quailbrook Drive, Oklahoma City, OK 73134. PHONE: (405) 752 2600, UNDERWRITING LIMITATION bl; $4,157,000. SURETY LICENSES cj/: AL, AZ, AR, CO, Cl, DE, H GA, ID, IL, IN, ]A, KS, KY, LA, ME, MD, MI, MN, MS, MO, MT, NE, NV, NM, NC, ND, ON, OK, OR, PA, SC, SE), IN, TX, U1, VI, VA, WA, V", WI, WY, INCORPORATED IN: Oklahoma, Grarifte State Insurance Coiryiparry (NAIC #23809) BUSINESS ADDRESS: 175 WATER STREET, 18TH FLOOR, NEW YORK, NY 10038 PHONE: (212) 770 7000 PHONE: (989) 652-6121 UNDERWRITING LIMITATION b/: $60,669,000 SURETY LICENSES c,fO AL, AZ, AR, CO, CT, DE, F1 GA, IS, IL, IN, A, KS, KY, LA, ME, DID, MA, 101, IIAN, ME, MO, MT, NE, NIX, NH, NJ, NM, NY, NC, ND, OH, OK, OR, PA, RI, SO ED, TN, TX, Jr, VT, VA, WA, WV WI, WY. INCORPORATED IN: Michigan NO', jo, lv P GeinerW Casualty Company Of Wisconsin (NAIC #24414) BUSINESS ADDRESS: One General Drive, Sun Prairie, W1 53596 PHONE: (COB) 825-5160. UNDERWRITING LIMITATION bl: $17,029,000. SURETY LICENSES cjf: AL, AK, AS, AR, CA, CO, CT, DE, DC, GA, HI, ID, IL, IN, A, RE, KY, LA, MIS, MA, MI, DIN, MS, IIAO, MT, NE, NV, NH, NJ, NM, NY, NC, KID, OH, OR, OR, PA, RI, SC, ED, TN' TX, UT, V7, VA, WA, WV, WI, WY, INCORPORATED IN: Wisconsin, Genewall Reinsurance Corporation (NAIC #22039) BUSINESS ADDRESS: 120LONG RIDGE ROAD, STAMFORD, CT 06902 .1843, PHONE: (203) 328-5000, UNDERWRITING LIMITATION b/: $1,139,255,000. SURELY LICENSES c,f/: AL, AK, AZ, AIR, CA, CO, CT, DE, DC, FIL, GA, ID, I., IN, A, KY, LA, MID, MA, MI, MIN, MS, MCI, MT, NE, NV, NJ, NM, NY, NC, KID, ON, OK, OR, PA, RI, SC, SD, TN, TX, U T, VT, VA, WA, WV, WI, WY. INCORPORATED IN: Delaware. UNDERWRITINGLIMITATION b/: $3,384,000. SURETY LICENSES c,f/: AL., AK, AZ, AR, CA, CO, CT, DC, DE, FL, GA, 111, ID, IL, IN, IA, RE, KY, LA, ME, ME), MA, MI, MIN, MS, MO, MIT, NE, NY, NH, NJ, NM, NY, NC, KID, CH, OK, OR, PA, RI, SC, SD, IN, TX, UT, VT, VA, WA, WV, WI, VVY, INCORPORATED IN: Illinois GRAY CASUALTY & SURETY COMPANY (THE) (NAIC #106 71) BUSINESS ADDRESS: P.O. Box 6202, MeLairie, LA 70009 6201 PHONE: (504) 888-7790, UNDERWRITING LIMITATION bl: $1,478,000. SURETY LICENSES c,f/; AL, AZ, AR, CA, DC, GA, IL, KY, LA, MD, MIS, MO, NV, NM, NY, NC, Or, PA, SC, TN, TX INCORPORATED IN: Louisiana GIRAY INSURANCE COMPANY ciril-lio (NAIC #36307) BUSINESS ADDRESS: P,O, BOX 6202, METAIRIE, LA 70009 .6202 PHONE: (504) 888 7790, UNDERWRITING LIMITATION b/; $10,422,000. SURETY LICENSES cjf: AL, AK, AZ, AR, CA, CO, CT, DE, DC, H GA, HI, ID, IL, IN, IA, KS, KY, LA' ME, MD, MA, MI, MIN, INS, MO, MIT, NE, NV, NH, NJ, NM, NY, NC, ND, OH, OK, OR, PA, RI, SC, SO, IN, TX, UT, VT, VA, WA, WV, WI, WY INCORPORATED IN: Louisiana, Great American Alfiance linsuraffice Company (NAIC #26832) BUSINESS ADDRESS: 301 E Fourth Street, Cincinnati, ON 45202. PHONE.: (513) 369-5000 UNDERWRITING LIMITATION bl: $2,791,000. MI --r" 1 1, 11 , 11 k, �v ,I Mb "1'. , , , 1, 1 — 0 1. M - - 11 - 1A ME, DID, MA, All, AN, ME, MO, MY, NE, NV, NH, NJ, NIA, NY, RIC, ND, OH, ON, OR, P& RI, SC, ED, TN, Tx, Ij r, VT, VA, WA, WV, AN, VVY, INCORPORATED IN: Ohio, Great American IInsuulrance Company (NAIC #16691) BUSINESS ADDRESS: 301 E Fourth Street, Cincinnati, OH 45202 PHONE: (513) 369-5000 UNDERWRITING UMITATION bl: $164,046,000. SURETY LICENSES c,f/: AL, AK, A7, AR, CA, CO, C1, DE, DC, FL, GA, GU, NJ, ID, IF, IN, IA, KS, BY, I.A, ME, AD, MA, MI, AN, ME, MO, Mr, NE, NV, PIN, NJ, NM, NY, NC, INS, ON, OK, OR, PA, PR, RI, SC, SD, TN, TX, UT, VT, VA, WA, WV, WI, WY INCORPORATED IN: Ohio, GREAT AMERICAN INSURANCE COMPANY OF IMIEW YORK (NAIC #221.36) BUSINESS ADDRESS: -301 E Fourth Street, Cincinnati, ON 45202, PHONE: (513) 369 5000, UNDERWRITING LIMITATION bl: $4,916,000. SURETY LICENSEI; c,f/: Al, AK, AZ, AR, CA, CO, CT, DE, DC, F1, GA, HI, ID, IL, IN, A, KS, KY, LA, ME, MIS, MA, MI, AN, ME, MO, MY, NE, NV, NH, NJ, HIM, NY, NC, ND, OH, OR, OR, PA, RI, SC, SD, T N, TX, UT, VT, VA, WA, WV, WI, VVY, INCORPORATED ft New York Great Midwest insurance Company (NAIC #18694) BUSINESS ADDRESS: 900 Gessriff, Suite 600, Houston, Texas 77024, PHONE: (713) 935-0226, UNDERWRITING LIMITATION b(: $10,697,000 SURETY LICENSES cjt: AL, AK, AZ, AR, CA, CO, C1, DC, DE, FL, GA, HI, ID, R., IN, IA, KS, KY, LA, IME, ME), MA, MI, MN, MS, IIAO, MT, NE, NV, NH, NJ, NM, NY, NC, ND, ON, ON, OR, PA, RI, SC, SD, TN, TX, UT, VA, VI, Vr, WA, WV, WI, WY. SURETY LICENSES C,fl: AL, AK, AZ, AR, CA, CO, CT, DE, DC, FIL, GA, HL ID, IL, IN, IA, KS, KY, LA, ME, MD, MA, All, AN, ME, MO, AT, NY NV, NY I, NJ, RIM, NY, NC, NO, ON, OK, OR, PA, RI, SC, ED, TN, TX, U1, VT, VA, WA, WV, WI, WY. INCORPORATED IN: New Hampshire. HARCO NAT1101MAL 11INSURANCE CCIMPANY (NAIC #26433) BUSINESS ADDRESS: 702 OBERLIN ROAD, RALEIGH, NC 27605 -08= PHONE: (919) 833-1600. UNDERWRITING LIMITATION b/: $20,406,000 SURE-1Y LICENSES c,f/: AL, AK, AZ, AR, CA, CO, CT, DE, DC, FL, CA, 11), IL, IN, IA, KS, KY, LA, ME, MID, (VIA, MI, IAN, MS, MO, MR, MY, NE, NV, BIN, NJ, NM, NY, PIC, ND, ON, OK, OR, PA, RI, SC, SE), TN, FIX, Ulf, VT, VA, WA, WV, WI, WY INCORPORATED IN: Illinois, Hartford Accident and IIndeomnity Company (NAIC #22357) BUSINESS ADDRESS: One Hartford Plaza, Hartford, CT 06155 0001, PHONE: (860) 547 5000. UNDERWRITING LIMITATION ILI: $194,687,000, SURETY LICENSES qf/: AL, AK, AZ, AR, CA, CO, CI, DE, DC, FIL, GA, HI, ID, IL, IN, A, KS, KY, LA, ME, MR, MA, 101, AN, ME, MO, MT, NE, NV, PIN, NJ, NM, NY, NC, ND, ON, OK, OR, PA, PR, RI, SC, SO, TN,'TX, UT, VT, VA, WA, WV, WI, WY, INCORPORATED IN: Connecticut Hartford Casualty insurance Company (NAIC #29424) BUSINESS ADDRESS: One 1, lartford Plaza, Hartford, CT 0615S - 0001, PHONE: (860) 547 .5000, UNDERWRITING LIMITATION b/: $88,651,000 SURETY LICENSES c,fl: Al, AK, AZ, AR, CA, CO, CT, DE, DC, FL, GA, HI, ID, 11 IN, IA, KS, KY, LA, INCORPORATED IN: Texas. Great Mortherin insurance Company (NAIC #20303) BUSINESS ADDRESS: 202B Hall's Mill Road, Whitehouse Station, NJ 08889, PHONE: (215) 640 -5259, UNDERWRITING LIMITATION ILI: $3B,I 73,000, SURETY LICENSES c,f/: AL., AK, AS, AR, CA, CO, CT, DE, DC, Ell, GA, NJ, ID, IL, IN, IA, KS, KY, IA, ME, MD, MA, MY, AN, MIS, MO, MI, NE, NV, NH, NJ, NM, NY, NC, ND, 011, OK, OR, PA, RI, SC, SD, TN, TA UT, VT, VA, WA, WV, WL KY. INCORPORATED IN: Indiana. Guarantee Company of INortUh America USA (lrhe) (NAIC #36650) BUSINESS ADDRESS: One Towne Square, Suite 1470, Southfield, MY 48076 3725. PHONE: (248) 281-0281 x 66012, UNDERWRITING LIMITATION bl: $18,995,000, SURETY LICENSES c,f/: AU AN, AZ, AIR, CA, CO, Cl, DE, DC, F1, GA, HI, ID, II., IN, IA, KS, KY, LA, ME, MR, MA, MI, ON, ME, MO, IIAT, NF, NV, NH, NJ, RIM, NY, NC, ND, OH, DC OR, PA, PR, RI, SC, SD, FRI, TX, Ur, \n' VA, VI, WA, WV, WI WY. INCORPORAI ED IN: Michigan IH Hanover Illnsuurance Company (The) (NAIC #22292) BUSINESS ADDRESS: 440 LINCOLN STREET, r, WORCESTER, MA 01653 - 0001 PHONE: (509) 853-7200 1 1NnFP1AfPrT1111r', 1 K01 TATIr)NI hP ME, MR, MA, All, MN, AS, MO, IIAT, NE, NV, NH, NJ, NM, NY, NC, ND, OH, OR, OR, PA, RL SC, SD, TN, TX, Ulf, VT, VA, WA, WV, WI, WY, INCORPORATED IN: Indiana. Hartford Fire Insurance Company (NAIC #19682) BUSINESS ADDRESS: One Hartford Plaza, Hartford, C1 06155 - 0001 PHONE: (860) 5475000L UNDERWRITING LIMITATION b/: $991,602,000. SURETY LICENSES c,f/: AL, AK, AZ, AR, CA, CO, CT, DE, DC, FL, GA, GU, HI, 11), 1., IN, IA, KS, KY, LA, ME, MD, MA, MI, AN, MS, MO, MT, NF, NV, NH, NJ, NM, NY, NC, HIS, OH, OK, OR, PA, PR, RI, SC, SD, TN, TX, UY, VT, VA, WA, WV, WI, WY. INCORPORATED IN: Connecticut Hartford Insurance Company of 1111ilinois (NAIC #38288) BUSINESS ADDRESS: One Hartford Plaza, Hartford, Cr 06155 0001 PHONE: (860) 547 5000. UNDERWRITING LIMITATION b/: $125,353,000. SURETY LICENSES cji: CT, Hi, ii.., MI, NY, PA, INCORPORAT ED IN: Illinois. ll-lartford Insurance Company of the Midwest (NAIC #37478) BUSINESS ADDRESS: One I larLford Plaza, F lanford, CT 06155 - 0001, PHONE: (860) 547-5000. UNDERWRITING LIMITATION b/: $50,777,000, SURETY LICENSES c,V: AL, AK, AZ, AIR, CA, CO, CT, DE, DC, H GA, HI, ID, II.., IN, IA, KS, KY, UA, ME, MD, MA, MI, AN, MS, MO, MT, NE, NV, NH, NJ, NM, NY, NC, ND, ON, OK, OR, PA, RI, SC, SID, T N, TX, UT, VT, VA, WA, WV, WI, WY. INCORPORATED IN: Indiana, Hartford Illnsuaralnce Company of the Southeast (NAIC #38261) BUSINESS ADDRESS: One Hartford Plaza, Hartford, CT 06155 0001, PHONE: (860) 547-5000, UNDERWRITING LIMITATION b/: $6,342,000 SURETY LICENSES c,fl: CT, FL, GA, KS, 1A, MI, PA INCORPORATED IN: Connecticut, Hudsoid Illnsuralnce Company THAW #25054) BUSINESS ADDRESS: 100 William Street, 50n Floor, New York, NY 10038 PHONE: (212) 978-2800, UNDERWRITING LIMITATION b/: $42,838,000. SURETY LICENSES c,fo AL, AK, AZ, AR, CA, CO, CT, DE, DC, FL, GA, HI, 11), IT, IN, A, KS, KY, LA, ME, MD, MA, MI, MN, MIS, MO, 101, NE, NV, NH, NJ, NM, NY, INC, NE), OH, OK, OR, PA, PR, RI, SC, ED, TN, TX, UT, VT-, VA, WA, WV, WI, WY INCORPORATE IN: Delaware, b:iKI t„APP llMT insurance Company (NAIC #1425 7) BUSINESS ADDRESS: P.O. Box 1336, Des IVolnes, A 50306 = 1336, PHONE: (515) 327 2 7 77. UNDERWRITING UM 11 ATION Is/: $17,553,000, SURETY LICENSES c,f/: AZ, IL, A, MIN, MO, NE, ND, SO, WIL INCORPORATED IN: Iowa. UNDERWRITING LIMFTAL ION b/: $1,658,000. UNDERWRITING LICENSES c,f/: A[, AK, AZ, AR, CA, CO, CT, DE, DC, FL, GA, HI, ID, IL, IN, A, KS, KY, LA, ME, MD, MA, MI, MN, MIS, MO, Mr, NE, No, NH, NJ, HIM, NY, NC, ND, Off, OK, OR, PA, RI, SC, SD, TN, TX, UT, VT, VA, WA, WV, WI, WY. INCORPORATED IN: Indiana, Inhand insurance Company (NAIC W23264) BUSINESS ADDRESS: P.O, Box 80468, Lincoln, HE 68501 PHONE: (402) 4354302 UNDERWRITING (..IMITATION bo $25,293,000. SURETY LICENSES c,-V: AZ, CO, A, KS, MN, MO, MIT, NF, ND, OK, SD, WY INCORPORATED IN: Nebraska, Insurance Company Of North America ((NAIC #22713) BUSINESS ADDRESS: 436 WALNUT STREET, P 0 Box 1000, Philadelphia, PA 19106 PHONE: (215) 640-1000, UNDERWRITING LIMITATION b/: $34,819,000 UNDERWRITING LICENSES qf/:AL, AK, AZ, AR, CA, CO, CT, DE, SIC, FL, CA, GU, HI, ID, It, IN, A, KS, KY, LA, ME, MD, MA, ML MN, ME, MO, MR, MT, NE, NV, NH, NJ, NM, NY, NC, ND, OFT, OK OR, PA, PR, RI, SC, SO, TN, TX, UT, VT, VA, WA, WV, WI, WY. INCORPORATED IN: Pennsylvania. Insurance Company of the State of Pennsylvanha (The) (NAIC #19429 BUSINESS ADDRESS: 175 WATER STREET, 18TH FLOOR, NEW YORK, NY 10038. PHONE: (212) 770-7000 UNDERWRITING LIMPAf ION bi: $5,486,000. SURETY LICENSES c,fl: AL, AK, AS, AR, CA, CO, CT, DE, DC, FIL, GA, HL ID, IL, IN, A, KS, KY, [A, ME, MD, MA, MI, MIN, ME, M0, MT, NE, NV, NH, NJ, NM, NY, NC, ND, CH, OK, OR, PA, RI, SC, SD, TN, TX, UT, VT-, VA, WA, WV, WI, WY. INCORPORATFD IN: Illinois Indemnity Company of Callifornila (NAIC #25550) BUSINESS ADDRESS: P. 0, BOX 19725, IRVINE, CA 92623 - 9725, PHONE: (949) 263 3300 UNDERWRITING LIMITATION bl: $574,000, SURETY LICENSES c,fl: AL, AK, AZ, AR, CA, CO, DE, DC, GA, HI, ID, IN, KS, KY IA KID, MA, MI, MN, MIS, MO, MT, NE, NV, NH, NJ, NM, NC, ND, OK, OR, PA, RI, SC, SD, TX, UT, VF, VA, WA, WV, WY, INCORPORATE[) IN: California, lindentrilty Insurance Company of North America (NAIC #43575) BUSINESS ADDRESS: 436 WALNUT STREET, P,O Box 1000, Philadelphia, PA19106, PHONE: (215) 640 1 OW UNDERWRITING LIMITATION b/: $15,341,000, UNDERWRII ING LICENSES c,f/: AL., AK, AZ, AR, CA, CO, CT, DE, DC, FL, GA, HI, ID, IL, IN, A, KS, KY, LA, ME, ME), MA, MIT, MN, INS, 100, MIT, NE, No, NH, NJ, NM, NY, NC, ND, OH, OK, OR, PA, RI, SC, SD, TN, TX, UT, VT, VA, V1, WA, WV, WI, WY. INCORPORATED IN: Pennsylvania lindeirniniii Nadonall Insurance Coirripany (NAIC fil 8468) BUSINESS ADDRESS: 725 Cool Springs Blvd., Suite 600, Franklin, TN 37067 PHONE: (865) 934-4360. UNDERWRITING LIMITATION bs: $5,005,000 SURETY LICENSES c,f/: At, AZ, AR, CO, CA, IL, IN, KY, LA, MD, MS, MT, NV, NM, OH, OK, PA, SC, TIN, TX, UT, VA, WV, INCORPORATED IN: Mississippi. indiiana ILuulmnlbermerns MutuM Illnsuuralnce Company (NAIC #14265) BUSINESS ADDRESS: 2005 Market Street, Suite 1200, Philadelphia, PA 19103, PHONE: (267) 925-9206 Insurance Company of the West (NAIC #27847) BUSINESS ADDRESS: P.O. BOX 509039, SAN DIEGO, CA 92150, PHONE: (858) 350-2400 x-2550. UNDERWRITING LIMITATION 67: $83,454,000. SURETY LICENSES c,f/: AL, AK, AZ, AR, CA, CO, CT, DE, DC, FL, CA, HI, ID, It, IN, A, KS, KY, LA, ME, MD, MA, MI, MIN, ME, NO, IVI7, NE, NV, NH, NJ, NM, NY, NC, ND, M-1, OK, OR, PA, RI, SC, SE), TN, TX, UT, VT, VA, WA, WV, WI, WY. INCORPORATE[) IN: California. linsurairs IIndeumniity Company (NAIC #43273) BUSINESS ADDRESS: P.O. Box 2683, Waco, TX 76702 - 2683, PHONE: (254) 759-3727. UNDERWRITING LIMITATION bl: $2,106,000, SURETY LICENSES c,f/: AR, NM, OK,'TX. INCORPORATED IN: Texas INTEGRAND ASSURANCE COMPANY (NAIC #26778) BUSINESS ADDRESS: RD Box 70128, San Juan, PR 00936 - 8128. PHONE: (787) 781-0707 x-200. UNDERWRITING (..IMITATION Ist: $5,072,000 SURETY LICENSES c,f/: PR, VI INCORPORATED IN: Puerto Rico Integrity MutuM Illnsuurance Company (NAIC #14303) BUSINESS ADDRESS: P.O. Box 539, Appleton, WI 54912 - 0539, PHONE: (920) 734-4511, UNDERWRITING LIMITATION h/: $5,374,000. SURETY LICENSES c,f/: IL, A, MN, ON, WL INCORPORATED IN: Wisconsin, International Fidelity Insurance Company (NAIC #115922) BUSINESS ADDRESS: One Newark Center, Newark, NJ 07102 - 5207, PHONE: (973) 624-7200, UNDERWRITING LIMITATION ION b/: $7,161,000, SURETY LICENSES C,fl: AL, AK, AS, AR, CA, CO, Cr, DE, DC, Fl, GA, GU, HI, ID, IL, IN, IA, KS, KY, LA, ME, KID, MA, MI, MN, ME, MO, BIT, NE, NV, NH, NJ, NO, NY, NC, NO, OH, OK, OR, PA, PR, RI, SC, SD, IN, TX, UT, VI, VA, VI, WA, WV, WI, WY, INCORPORATED IN: Newjersey, IRONSI- ORE INDEMNITY INC. (NAIC #23647') BUSINESS ADDRESS: P.O. BOX 3407, NEW YORK, NY 10008, PHONE: (617) 357-9500 UNDERWRITING LIMITATION V $9,923,000 SURETY LICENSES ctl: A[, AK, AZ, AR, CA, CO, CT, OF, DC, Fl, GA, GU, HI, ID, 11, IN, IA, KS, KY, IA, ME, MID, MA, MI, MN, MS, MO, MI, NE, NV, NH, NJ, HIM, NY, NC, NO, OH, OK, OR, PA, PR, RI, SC, ED, TN, TX, U-1, VT, VA, WA, WV, WI, WY. INCORPORATED IN: Minnesota ISLAND INSURANCE COMPANY, LIMITED (NAIC #22845) BUSINESS ADDRESS: P.O. Box 1 S20, Honolulu, H1 96806 - 1520, PHONE: (808) S64-8200 UNDERWRITING LIMITAHON Jet: $11,553,000, SURETY LICENSES c,f/: FIT INCORPORATED IN: Hawaii, INCORPORATED IN: Hawaii, It lop Liberty Insurance Corporation (NAIC #42404) BUSINESS ADDRESS: 175 Berkeley Street, Boston, MA 02116 PHONE: (617)357 9500 UNDERWRITING LIMIIATIOINb/:$24,507,000 SURETY LICENSES c,f/: AL, AK, AS, AR, CA, CO, CI, DE, DC, FL, GA, GU, HI, ID, L, IN, A, KS, KY, LA, ME, MD, MA, MI, MN, MS, MO, MP, MT, NE, NV, Hit 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, Liberty Mutual Fire Insurance Company (NAIC 423035) BUSINESS ADDRESS: 175 Berkeley Street, Boston, MA 02116. PHONE: (617)357-9500 UNDFRWRII ING LIMITATION LK: $131,117,000. SURETY LICENSES c,f/:AL, AK, AZ,AR, CA, CO, Cr, DE, DC, Fl, GA, GU, NJ, ID, IL, IN, IA, KS, KY, LA, ME, MD, MA, MI, MN, MS, MO, MP, MI, NE, NV, NH, NJ, NM, NY, NC, NO, OH, OK, OR, PA, PR, RI, SC, SD, IN, IX, UT, VI, VA, A, WA, WV, WI, WY INCORPORATED IN: Wisconsin, Liberty Mutual Insurance Company (NAIC #23043) BUSINESS ADDRESS: 175 Berkeley Street, Boston, MA 02116 PHONE: (617) 357-9500 UNDERWRITING LIMITATION b/: $1,122,392,000 SURETY LICENSES C,V: AL, AK, AZ, AR, CA, CO, CT, DE, DC, FL, CA, HI, ID, III, IN, A, KS, KY, LA, ME, MD, MA, MI, MIN, MS, MC, MR, MI, NE, NV, NH, NJ, NM, NY, NC, ND, ON, OK, OR, PA, PR, RI, SC, SD, TIN, TX, UT, VTR VA, VI, WA, WV, WI, WY, INCORPORATED IN: Massachusetts LIM Insurance Corporation (NAIC #33600) BUSINESS ADDRESS: 175 Berkeley Street, Boston, MA 02116 PHONE: (617) 357-9500, UNDERWRITING LIMITATION V $11,64%000, UNDFRWRITINC� I I(FNKFS c fi, AT AK A7 AIR CA CO CT. DF DC FI GA GO HI ID 11 IN 2 L LEXINGTON NATIONAL INSURANCE CORPORATION (NAIC #37940) BUSINESS ADDRESS: P.O., BOX 6098, LUTHERVILLE, MD 21094 PHONE: (410) 625-0800 UNDERWRITING LIMITATION or: $1,930,000. SURETY L ICFNSES C,Q: AL, AK, AZ, AR, CA, CO, CT, DE, DC, FL, GA, HI, ID, L, IN, A, KS, KY, LA, ME, MD, MR, MI, ON, ME, MO, MT, NE, No, NH, N1, NO, NY, NC, ON, OR, OR, PA, RI, SC, SD, TN, TX, UT, VT, VA, WA, WV, WI, WY INCORPORATED IN: Florida, Lexon Insurance Company (NAIC #13307) BUSINESS ADDRESS: 10002 Shelbyville Rd, Suite 100, Louisville, KY 40223, PHONE: (615) S53-9500 UNDERWRITING LIMITATION bl: $6,805,000, SURETY LICENSES c,f/: AL, AK, AZ, AR, CA, CO, Cl, DE, DC, FL, GA, GU, HI, ID, L, IN, IA, KS, KY, LA, ME, MD, MA, MI, MN, MS, MO, ME, MI, NE, NV, NJ, HIM, NC, KID, OH, OK, OR, PA, RI, SC, 5 D, TN, TX, UT, VT, VA, WA, WV, WI, WY INCORPORATED IN: Texas A, KS, KY, [A, ME, MD, MA, MI, MN, ME, MO, MP, MT, NE, NV, NH, NJ, NM, NY, NC, ND, OH, OK, OR, PA, RI, SC, SD, TN, TX, U-1, VI, VA, VI, WA, WV, WI, WY, INCORPORATED IN: Illinois. VaO, To Top. M Manufacturers Alliance: Insurance Company (NAIC #36897) BUSINESS ADDRESS: ITO, Box 3031, Blue Bell, PA 19422 - 0754, PHONE: (610) 397-5000, UNDERWRITING LIMITATION V $1,594,000, SURETY LICENSES C,V: A[, AK, AZ, All, CO, CT, DE, DC, ID, IN, KS, KY, LA, ME, MD, MI, ME, MO, MI; NE, NV, NH, NJ, NM, NY, NC, OH, PA, RI, SC, SD, TN, UT, VT, VA, WA, INCORPORATED IN: Pennsylvania MARKEL INSURANCE COMPANY (NAIC #38970) BUSINESS ADDRESS: 4521 Highwoods Parkway, Glen Allen, VA 230G0 PHONE: (800) 431-1270 x-3888, UNDERWRITING LIIIAIIATION b/: $40,924,000 SURETY LICENSES 01: AU AK, AZ, AR, CA, CO, CT, DE, SIC, FL, GA, HI, ID, IL, IN, A, KS, KY, LA, ME, MD, MA, MI, MIN, ME, MO, RIP, MT, PIS, NV, NH, NJ, NM, NY, NC, NO, ON, OK, OR, PA, PR, RI, SC, SD, TN, TX, UT, VT, VA, WA, WV, WI, WY 119CO11PORAI ED IN: Illinois - Massachusetts Bay Insurance Company (NAIC #22306) BUSINESS ADDRESS: 440 LINCOLN STREET, WORCESTER, MA 01653 - 0002, PHONE: (508) 853-7200 UNDERWRITING LIMITATION bl: $6,516,000, SURETY LICENSES r,f/: AL, AK, AZ, AR, CA, CO, C1, DE, DC, FL, GA, HI, ID, IL, IN, IA, KS, KY, LA, ME, MID, MA, ML MN, MS, MO, MT, NE, NV, NH, NJ, NM, NY, NC, ND, ON, OK, OR, PA, RI, SC, SD, TN, TX, VT, VA, WA, WV, WL VVY, INCORPORATED IN: New Hampshire, Merchants Bonding Company (Mutual) (NAIC V14494) BUSINESS ADDRESS: P.O BOX 14498, DES MOINES, IA 50306 -BASS, PHONE: (515) 243-8171, UNDERWRITING LIMITATION bf: $11,213,000 SURETY LICENSES cj/G AL, AK, AZ, AR, CA, CO, CT, DE, DC, FL, GA, HL ID, IL, IN, IA, KS, KY, LA, ME, MD, MA, MI, ION, MIS, MO, MIT, NE, NV, NH, NJ, HIM, NY, NC, ND, 011, OK, OR, PA, RI, SO SD, TN, TX, UT, VT, WY WA, WV, WI, WY. INCORPORATED IN: Iowa. Merchants National IDondluog, Inc. (NAIC #11595) BUSINESS ADDRESS: P,O, Box 14498, DES MOINES, A 50306 3499, PHONE: (515) 243 8171 UNDERWRITING LIMITATION bl: $1,557,000, SURETY LICENSES c,i/:AL, AK, AZ, AR, CO, CT, DF,DC, Fl..,GA, HI, 11),IL,IN, IA, KS, KY, IA, ME, MR, MA, ML MN, MS, MO, MT, NE, NV, Nj, NM, NY, NC, ND, 011, OK, OR, PA, PR, RI, SC, SD, TN, TX, UT, VT, VA, WA, WV, WI, WY. INCORPORATED IN: Iowa Michigan Millers Mutuall insurance Company (NAIC !f14508) BUSINESS ADDRESS: P.O. Box 30060, Lansing, Ml 48909 -7560, PHONE: (517)482 6211 x-5115 UNDERWRITING LIMITATION b/: $5,999,000, BUSINESS ADDRESS: 471 East Broad Street, Columbus, ON 43215, PHONE: (614) 225-8211 UNDERWRITING LIMITATION V $46,067,000. SURETY LICENSES c,f/: IN, KY, MI, OH, PA, WV, INCORPORATED IN: Ohio. Motors Insurance Corporation (NAIC #22012) BUSINESS ADDRESS: 500 WOODWARD AVE, 14TH FLOOR, DETROI F, 101 4132.26, PHONE: (313) GSG-5437 UNDERWRITING LIMITATION b/: $86,776,000, .SURETY Y LICENSES r,f/: AL, AK, AZ, AR, CA, CO, CI, DE, DC, FL., GA, HI, D, IL, IN, IA, KS, KY, LA, ME, MD, MA, MI, MN, MIS, MO, MT, NE, NV, NH, NJ, NM, NY, NC, ND, OH, OK, OR, PA, RI, SC, ED, TN, TX, UT, VT, VA, WA, WV, WI, WY, INCORPORATED IN: Michigan, Munich(Reinsurance America, Inc. (NAIL #10227) BUSINESS ADDRESS: 555 COLLEGE ROAD .EAST- P.O BOX 5241, PRINCETON, NJ 08541 PHONE: (609) 2434200. UNDERWRITING LIMITATION bl: $392,667,000. UNDERWRITING LICENSES c,f/: AL, AK, AS, AR, CA, CO, CT, DF, DC, H., GA, HI, ID, IL, IN, IA' KS, KY, LA, ME, MID, MA, ML MIN, MS, MO, MIT, NE, NV, NFI, NJ, HIM, NY, NC, ND, OH, OR, OR, PA, PR, RI, SC, SD, TN, TX, U F, VT, VA, WA, WV, WI, WY, INCORPORATED IN: Delaware. N National American Insurance Company MAIr 9?uA'A) .SURETY LICENSES c,f/: AZ, AR, CA, CO, GA, ID, IL, IN, IA, KS, KY, MI, MN, MO, MT, NE, NY, NC, NO, ON, OK, OR, PA, ED, TN, VA, WA, WI, WY. INCORPORATED IN: Michipan, Mild. -Century Insurance Company (NAIC #21687) BUSINESS ADDRESS: P.D. BOX 4402, WOODLAND HILLS, CA 91365, PHONE: (323) 932 3200, UNDERWRITING (..IMITATION Ial: $107,758,000 SURETY LICENSES c,f/: AL, AZ, AR, CA, CO, FL, GA, HL ID, IL, IN, IA, KS, MA, MI, MINI, MIS, MO, MIT, NE, NV, NJ, NM, NY, NC, ND, OH, OK, OR, PA, ED, TN, TX, UT, VF, VA, WA, WI, WY. INCORPORATED IN: California M111D.-CONTINIENT CASUALTY COMPANY (NAIC #23418) BUSINESS ADDRESS: P.O. Box 1409, Tulsa, OR 74101 PHONE: (918) 58 7-7221. UNDERWRITING LIMITATION Is/: $16,224,000. SURETY LICENSES c,f/: AU AZ, AR, CO, CT, IL, IN, IA, KS, KY, LA, ME, MN, MS, MO, MT, NE, NJ, RIM, NC, ON, OK, PA, SC, TN,'TX, UT, VA, WAY WY, INCORPORATED IN: Ohio, Motoflsts Counirpercial Mutuall insurance Company (NAIC #13331) BUSINESS ADDRESS: 471 East Broad Street Columbus, ON 43215, PHONE: (614) 225-82111, UNDERWRITING LIMITATION b/: $14,747,000, SURETY LICENSES c,f/: AZ, CA, CO, CT, DE, DC, GA, ID, II.,, IN, I& KS, KY, ME, MD, MA, MI, MIN, IIAO, NE, NV, NH, NJ, NO, NY, NC, ND, OH, OK, OR, PA, RL SC, ED, TN, TX, UT, VT, VA, WA, Wv, WL WY. INCORPORATED IN: Ohio. MotoristsMutual insurance Company lo I le den— " II BUSINESS ADDRESS: P.O, Box 9, Chandler, OK 74834, PHONF..:(405)2580804 UNDERWRITING LIMIIAT ION b/: $6,792,000, SIJREIYLICENSES c,f/:AL, AK, AZ, AR, CA, CO, CT,E)C,Fl..,GA, HI, ID, IL, IN, IA, KS, KY, LA, IAE, MD, MI, Mill, MS, MO, MT, NE, NIP, NJ, NM, NY, NC, ND, OH, OK, OR, PA, RI, SC, SD, TN, YX UT, VA, WA, WV, WL WY. INCORPORATED IN: Oklahorna. National Casualty Company (NAIC #11991) BUSINESS ADDRESS: ONE WEST NATIONWIDE BLVD., 1 .04-701, COLUMBUS, ON 43215 - 2220 PHONE: (480) 3654000. UNDERWRITING LIMITATION bl: $14,077,000, UNDERWRITING LICENSES c,f/: AL, AK, AS, AR, CA, CO, CT, DE, DC, FL, GA, NJ, ID, II., IN, IA, KS' KY, IA, ME, MD, MA, VIL ION, ME, MO, IAT, NE, NV, NH, NJ, NM, NY, NC, ND, 011, OK, OR, PA, RI, SC, SD, TN, TX, UT, VT, VA, WA, WV, WI, WY, INCORPORATED IN: Ohio, NATIONAL FARMERS UNION PROINEIRTY AND CASUALTY COMPANY (NAIC#16217) BUSINESS ADDRESS: One General Drive, Sun Prairie, WI 53596. PHONE: (608) 825-5160 UNDERWRITING LIMITATION bl; $4,21.3,000, SURETY I ICENSES c,f/: AL, As, AZ, AR, CA, CO, DE, DC, GA, HI, IS, IL, IN, IA, RE, KY, ILA, ME, MD, MA, MI, MN, MIS, MO, MT, NE, NV, NH, NJ, NY, NC, ND, ON, OK, OR, PA, RI, SC, SO, TN, TX, UT, VT, VA, WA, WV, WL WY. INCORPORATED IN: Wisconsin National Fire & Marine Insurance Company (NAIC #20079) BUSINESS ADDRESS: 1314 Douglas Street, Suite 1400, Omaha, NE 68102 .19/H PHONE: [An?n Q1 k-�Mn U N D ERWR IT ING, LIMIT A710N ILS $712,720,000 UNDERVIR IT I NO LICENSES (,U: NE INCORPOIW ED IN: Nebraska Nationall Fire Insurance Company of Harfforrd (INAIC ft20479) BUSINESS ADDRESS: 1S1 N I RANKILIN TAT„ CHICAGCIL 11 60606 PHONL:(312}8225000 UNDILRWRI [ING 1-11VITAI ION t,/: $1 j,/qS,()C)0 StJRI..TYIICFN'>ESC,f/:AL, /',K,A/",AR, CA, CO,(.1,DE, E)C,V[,G/l,,Iil,ID, IL, Ilq,IA, K';,KY, LA, Kl[,MID, IAA, I\AI,MIN, I\AS,M(,),IMI,N[,NV, NIi,NJ, 14NI,NY, NC, ND, OH, ()I(,OR, PA, PR, RI, SC, At), TN, TX, NIT, AT, VA, WA, WV, WI, WY, INCORPORATED llq: Illinois, Ilgationall indemnity Company (NAIC It20087) PHONE: (402) 916 3000, UNDERWRITING INC, LIMITATION b/; $12,315,220,000, UNDFIRWRI I ING -ICFN1,E1, cjl: AT, AK, A7, AR, CA, CO, (. 1, DL, DC, r 1, GA, ID, 11, IN, A, KS, KY, I A MnDID, '41, DIN, M-1, M(1' MT, PIT, NV, NH, (NIC11 NC, NIT), 014, Or, OR, PA, RI, ',C, -,r), I N, TV, UT, V1, VA, VAY WV, WI, VVY, INCORPORAI FD W Nebraska.. Nattonall Liablky & ilre insurance Company (NAIC 420052) BUSINE�S ADDRESS: 1314 Douglas Street, Suite 1400, Omaha, NE 68102 - 1941, 1:11 IONE: (402) 916-3000 UNDERWRITING LIMITATION b/: $124,627,000, UINDIERWIRITINCS LICENSES ..,f/: AL, AK, CA, (IT, DE, DC, HI, ID, IL, IA, KS, KY, MD, MA, MI, AS, MO, NE., NH, NJ, NIS, NY, ND, Ot I, OK, id, S(, SD, IX, UT, VT, VA, WA, WY [NCORPORA1 L) IN: ConnecTicul: Kj.*jR <,-- r--.ti- UNDFRWR I I ING LIIVI IT AT ION b/: $19,163,000 JNDFRVVRIP ING LICLINSU., c,f/: At, A7, AR, CA, CO, CT, D L, DC, I L, GA, ID, It, IN, IA, KS, KY, LA, MIF, DID, MA, C/11, MIN, MIS, TOO, MI, NI, NV, NI 1, 1% NIVI, NY, NC, ND, Olt, OK OR, PA, RI, SC, SD, TN, TX, D F, VT, VA, WA, WV, WI, VVY, INCORPORATED IN: Iowa, Nationwide Mutual insurance Company (NAIC 1123780 BUSINESS ADDRESS: ONE WEST NATIONWIDE BLVD, 1-04-/Ol, COLUMBUS, ()It 213215 - 2220, PHONE: (614) 249 7111 UNDFIRWRIHINC, LIMITATION R/: $1,142,701,000, UNDERWRITING LICI-N.SI-S c,f/: Al, AK, A7, AIR, CA, CC), (:I[, DE, DC, Fl-, GA, III, ID, 11, IN, M, KS, KY, LA, IME, MIT, MY, 1141, MN, Ms, ISO, Mr, NF, NV, NH, NJ, NM, NY, NC, DID, 011, OK, OR, PA, Ffl, SC, SD, TN, IX, Ul� VI, VA, VI, WA, WV, WI, VVY INCORPORATED IN: Ohm NAVIGATORS INSURANCE COMPANY (NAIC 4#42307) BJJSIINESS ADDRESS: 400 Atlantic Street, 8TI1 Floor, Starnford, (-1 06901' PHONE: (203) 901,6090, UNDERWRITING LIMITATION b/:'I,105,656,000 SURETY I IC:FNSFS cj/: AL, AK, AS, AR, (A, CO, CT, OF, DC, FL, GA, GO, HI, ID, L, IN, IA, KS, KY, LA, ME, MD, IVIA, M1, ON, AS, MO, MT, MI.., NY, NI -I, NJ, NO, NY, NC, NIB, Oli, OK, OR, PA, PIR, M, SC, SD, IN, IX, UT', VT, VA, WA, VVV, WI, WY INCORPORATED IN: NewYork New Harnipshire insurance Company (NAIC H23841) BUSINESS ADDRESS: 175 WATER STREET, 181 H FLOOR, N1 VV YORK, NY 1008, PHONF: (212) 770-7000 -11.11--l-Ily (NAiC 421881) BUSINESS ADDRESS: 225 W. WASI IING ION STREET, suit-E. 1800, CHICAGO, It.. 60606 .3484, PHONE: (888)466-/883, UNDERWRITING I IMHATION bl; $/,381,000, UNDERWRITING I ICF14SFS,..,f/: AL, AK, Al., AR, CA, CO, CT, DF, DC, [1, GA, GO, III, ID, IL, IN, IA, KS, KY, LA, ME, 101), MA, Al, ION, MY, MO, MT, NI, NV, Nil, NJ, NIM, NY, NC, NO, 011, OK, OR, PA, PR, RI, SC, SE), TN, IX, UT, At, VA, WA, WV, WI, VVY, INCORPORATED IN: Illinois, NATIONAL TRUST INSURANCE: COMPANY (NAIC: 920141) BUSINESS ADDRESS: 6i,00 Universky Paritway,Sarasota, FL34240 - 81124 PHONE:: (800) 226 3224, UNDERWRITING LIMITATION b/: $3,781,000 'SURETY LICENSIS (,fS AS, DC, ` L, GA, IL, IN, IA, KY, I -A, DID, MI, OR, MO, NE, NC, OK, PA, SC, TIN, IX INCORPORATED IN: Indiana, Nadonall Union Fire insurance Company of Pittsburgh, PA (NAIC#194413) 1?,O'SINL'.,SADDRLSS: 1-/5WATFRSTRLI], ISIH ILOOR, NILWYORK, NYI003,2 P1 IONIC: (212) //0 /000 IJNE)Fl:?WR[TIN6111\/IITAIIC)N E/:$643,116,000, Bt.)R[:IYIICFNITES (,f(:AL, AK, A/"`,FkR,CA,CO, (:[,DE, DC, FL, CiA, GLI, III, ID, IL, IN, IA, KS, KY, [A, MF,MD, MA, MI, ION, ME, MC),IAP,MI,NE, NV, NH, NJ,INM, NY, NC, ND, (:tIH,OK, OR, PA, PR, RI, SC, SD, TN, TX, UT, VT,VA, WA, VVV,WI, WY, IN(ORPORAI ED IN: Pennsylvania. Nationv0de Agrilbu.Mness Insurance Company (NAIC- #28223) BLISINESS ADDRESS: ONE WEST NAI ONVViDE BLVD,, 1-04 701, COLUMBIL)S, 0114321 2220 PI iONF: (6I4) 249 1 S45. UNDERWRITING LIMITATION Ij/: $6,296,000 SURLIY LICENSES c,[CAl_ AK, A7, Alt, (A, CO, CT, DE, DC, It., GA, [it, 1IS, L, IN, A, KS, ICY, I -A, ME, MD, MA, MIT, ION, MS, 1\40, IAT, NF, NV, Nit, NJ, DIV, NY, NC, NIT, (:)It, OR, VIA, PR, RI, SC, SD, TN, IX, Of, V1, VA, VVA, WV, WI, WY MCCIRP01W ED IN: Illinois NGM IInsuraiace Company (NAIC #14788) BUSINESS ADDRE'SS: "SWFT SIREET, KLLNL, Nit 0.3431 PHONE: (904) 380 7282, JNDLRWRI [ING LIMITATION 1'�)/: $99,934,000, SURETY I CENSIFS cjl: Al, AS, AR, CO, CI, DIE, DC, FL, GA, ID, IL, IN, IA, KS, KY, I A, ME, IOD, MA, IVI, MS, NO, MN, (NE, NV, NH, NJ, NM, NY, NC, ND, OH, OK, OR, PA, RI, SC, SE), TN, IX, OT, VT, VA, WA, WV, WI, WY INC ORPORAI Lt.) IN: I lorlda NORTH AMERICAN SPECIALTY INSURANCE. CIEDIMPAINY (NAIC #29874) BUSINF',S ADDRESS: 1200 MAIN ST REEF_AJITF 800, KANSAS CITY, MO 64105 PHONE: (913) 676 5100 TJNDLRWRII ING LIMPA'TION RA $23,900,000 SURETY LICENSE, c,r/: Al, At<, AS, AR, CA, CO, CT, DE, DC, FL, CA, GU, 111, ID, I6..,IN, IA, KS, KY, LA, ME, MD, MA, MI, DIN, MIS, IIAO, SIT, NE, NV, NH, NJ, NIIA, NY, ND, 011, 0K, OR, 1A, PR, RI, SC, SD, TN, TX, U I, VJ, VA, VI, WA, WV, WE VVY, INGORPORATIED IN: New I ianipshire NOVA Casualty Company (NAIC 405S?) BUSINFSS ADDRFSI;: 440 1 INCOLN S I RE.1, 1, WORCLST STIR, IAA 01653 - 0002 PI ION[: (508) 853 7200 UNDFIRWRI I INC, I IMITATION IT/: $8,858,000, SURETY LICENSES c,f/: AL, AK, AS, AR, CIA, CC), C 1, IS[, DC, FL, GA, HI, ID, L, IN, IA, KS, KY, I -A, ME, AD, MA, IAl, MIN, MS, (00, NIT, NE, NV, NI 1, NJ, NNI, NY, NC, NEI, 011, ()K, OR, PA, RI, SC, SD,TIN, TX, UT, V7, VA, WA, WI, WY. 'INCORPORATED IN: New York I,op 0 Wild Casualty insurance Company (Tide) (NAIC #24074)1 BUSINESS ADDRESS: 175 Berkeley Street, Boston, MA 02116. PHONE: (617) 357-9500, UNDERWRITING LIMITATION 1.)/: $158,673,000, SURETY LICENSES c,f/: All, AK, AZ, AR, CA, CO, CT, DE, DC, FL, GA, HI, ID, II., IN, IA, KS, KY, L.A, ME, MID, MA, MIT MIN, IO.s, MO, v r, NE, NV, KIN, NJ, NM, NY, NC, DID, ON, OK, (DR, PA, RI, SC, ED, TN, TX, UT, V7, VA, WA, WV, WI, WY. INCORPORATED IN: New Hampshire, Oldic Farmers Insurance Company (NAIC #24104) BUSINESS ADDRESS: P,O, Box 5001, Westfield Center, OH 44251 5001. PHONE: (330) 887-0101. UNDERWRITING LIMITATION b/: $233,551,000. SURETY 1 ICFNSFS c,f/: AL, AZ, AR, CO, DC, DE, FL, GA, II., IN, A, KY, LA, MD, MA, MI, MN, MS, IVIO, MT, NE, NV, NJ, NIA, NY, NC, ND, ON, OK, PA, RI, SC, SD, TIN, TX, UT, VA, WA, WV, WI, WY INCORPORATED IN: Ohio. Olhio Ilndemnity Company (NAIC #26565) BUSINESS ADDRESS: 250 E. Broad St,, 7th Floor, Columbus, OH 43215 0000, PHONE: (614) 228-2800. UNDERWRITING (..IMITATION bl: $4,546,000. UNDERWRITING UCFNSES c,f/: AL, AK, AZ, AR, CA, CO, CT, DE, DC, F[, GA, NJ, ID, IL, IN, A, KS, UNDERWRITING (..IMITATION bl: $59,630,000 SURETY I.JCCNSES C,ff: AL, AK, AZ, AR, CA, CO, CT, DE, DC, FL, GA, ID, L, IN, IA, KS, KY, LA, ME, MD, MA, MI, ION, ME, MCI, NIT, NE, NV, NH, NJ, NM, NY, NC, ND, OH, OK, OR, PA, RI, 5C, SD, TN, TX, UT, VT, VA, WA, WV, WI, WY. INCORPORATED IN: Illinois 011d Republic Insurance Company (NAIC #24147) BUSINESS ADDRESS: P.D. Box 789, Greensburg, PA 15601 0789. PHONE: (724) 934 5000. UNDERWRITING LIMITATION bl: $114,117,000. SURETY LICENSES c,f/: AL, AK, AS, AZ, AR, CA, CO, CT, DE, DC, HI., GA, GU, HI, ID, I., IN, IA, KS, KY, I.A, ME, MD, MA, MI, MIN, MIS, MO, MR, MT, NE, NV, All, NJ, NM, NY, NC, ND, OH, OK, OR, PA, PR, RI, SC, SD, TN, TX, UT, VT, VA, VI, WA, WV, WI, WY. INCORPORATED IN: Pennsylvania 011d Republic Surety Company (NAIC #40444) BUSINESS ADDRESS: P.O BOX 1635, MILWAUKEE, WI 53201 11635. PHONE: (262) 797-2640. UNDERWRITING (..IMITATION bl: $7,048,000. SURETY LICENSES c,f/: AL., AS, AR, CA, CO, DC, H., GA, ID, 1, IN, IA, KS, [OD, ON, ME, MO, IVIT, NE, NV, NM, NC, ND, OH, OK, OR, PA, SC, SD, IN,'TX, UT, VA, WA, WV, WI, WY. INCORPORATED IN: Wisconsin tbx'�, N,bp P Pacific Indemnity Company (NAIC #203464) KY, LA, ME, MD, MI, DIN, MS, MO, ME, NE, NV, INN, NJ, RIM, NY, NC, ND, OF], OK, OR, PA, RI, SC, SD, TN, TX, ur, VT, VA, WA, WV, WI, WY. INCORPORATED IN: Ohio, Ohlo Security Insurance Company (NAIC #24082) BUSINESS ADDRESS: 175 Berkeley Street, Boston, MA 02116. PHONE: (617) 357 9500, UNDERWRITING (..IMITATION bt: $1,498,000, SURETY LICENSED c,fC AL, AK, AZ, AR, CA, CO, CT, DE, DC, FL, GA, ID, IL., IN, IA, KS, KY, LA, ME, MD, MA, OF, ON, INS, DID, PIT, NE, NV, NH, NJ, NM, NY, NC, ND, ON, OK OR, PA, RI, SC, SD, TN, TX, UT, VT, VA, WA, WV, WI, WY. INCORPORATED IN: New Hampshire Olklahoinna Surety Company ((NAIC #23426) BUSINESS ADDRESS: P,O. Box 1409, Tulsa, OK 74101, PHONE: (918) 587-7221 UNDERWRITING I..IIVIITAYION bY: $1,654,000, SURETY LICENSES c,f/: AR, KS, OH, OK, TX INCORPORATED IN: Ohio. OILD DOMINION INSURANCIE COMPANY (NAIC 440231) BUSINESS ADDRESS: 55 WEST STREET, KEENE, NH 03431 PHONE: (904) 380 7282, UNDERWRITING LIMITATION b/: $3,606,000. SURETY LICENSES c,fl: CT, DE, FL, GA, ME, MD, MA, NH, NY, NC, PA, R[, SC, TIN, VT, VA INCORPORATED IN: Florida, 011d Republl6c Generall insurance Corporation (NAIC #24139) BUSINESS ADDRESS: 307 NORTH MICHIGAN AVENUE, Cl- IICAGO, IL 60601, PF IONE: (312) 346-81 00. BUSINESS ADDRESS: 202E Hall's Mill Road, Whitehouse Station, NJ 08889 PHONE: (215) 640-1000 UNDERWRITING LIMITATION b/: $315,850,000. SURETY LICENSES c,f/: AL, AK, RE, AR, CA, CO, CT, DE, DC, FL, GA, HI, ID, IL, IN, A, KS, KY, LA, IME, DID, MA, MI, MIN, IOS, MO, MY, NE, NV, DIN, NJ, NIV, NY, NC, ND, ON, OK, OR, PA, RI, SC, ED, TIN, TX, UT, VT, VA, WA, WV, WI, VVY INCORPORATED IN: Wisconsin, PACIJIFIC INDEMNITY INSURANCE COMPANY (NAIC #18380) BUSINESS ADDRESS: 348 WEST O'BRIEN DRIVE, HAGAT NA, GU 96910. PHONE: (671) 477 1663, UNDERWRITING LIMITATION Ia/: $2,345,000, SURETY LICENSES c,fl: GU, MR. INCORPORATED IN: Guarn, PAIRTNEIR REINSURANCE COMPANY OF Tli-IIIE U.S. (NAIC #38636) BUSINESS ADDRESS: 200 First Stamford Place, Suite 400, Stamford, CT 06902. PHONE: (203) 485-4200. UNDERWRITING (..IMITATION bl: $122,636,000. SURETY UCENSES c,ft: Al., AZ, CA, CO, DC, F., KS, MI, MS, NE, NY, TX, UT, WA. INCORPORATED IN: New York PAIRTNEIPIRIE INSURANCE COMPANY OF NEW YCIPIK (NAIC #10006) BUSINESS ADDRESS: 200 First Stamford Plare, Suite 400, Stamford, CT 06902, PHONE: (203) 485-4200, UNDERWRITING LFIVIIIATION la/: $01,932,000 SURETY LICENSES clf/: AL, AZ, CA, CO, DE, DC, ID, IL, IN, IA, RE, KY, ME), MI, ION, MS, MIT, NE, NJ, NM, NY, ND, ON, OK, OR, PA, RI, SC, .ED,'TX, UT, VT, VA, WA, WV, WI INCORPORATED IN: New York, Pekin Insurance Company (NAIC #24228) BUSINESS ADDRESS: 2505 COURT STREET, PEKIN, L 61558 - 0001 PHONE: (309) 346-1161 UNDERWRITING LIMITATION bt: $13,231,000, SURETY LICENSES 01: AZ, IL, IN, IA, MI, OH, WI. INCORPORATED IN: Illinois. Pennsylvania Manufacturers Indemnity 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, KY, LA, ME, RID, ML ME, MO, MIT NE, NV, PH, NJ, NM, NY, NC, ON, PA, RI, SC, SO, IN, UT, VT, VA, WA, INCORPORATED IN: Pennsylvania. Pennsylvania Manufacturers' Association Insurance Company (NAIC #12262) BUSINESS ADDRESS: P.O. Box 3031, Blue Bell, PA 19422 - 0754. PHONE: (610) 397-5000, UNDERWRITING LIMITATION bA $34,384,000L SURETY LICENSES c,f/: AL, AK, AR, CO, CT, DE, DC, FL, GA, HI, ID, It-, I& KS, KY, LA, ME, MD, MA, MI, MIS, MC, MT, NE, NV, NH, NJ, NM, NY, NC, Oil, OR, PA, RI, SC, SO, TN, TX, UT, VT, WA, WV. INCORPORATED IN: Pennsylvania, Pennsylvania National Mutual Casualty Insurance Company (NAIC #14990) PHONE: (614) 464-5000 UNDERWRITING LIMITATION b/: $2,769,000, SURETY LICENSES cjl: AL, AK, AZ, AR, CA, CO, CT, DE, DC, FL, GA, 1-11, ID, IL, IN, A, KS, KY, LA, ME, MD, MA, MI, MIN, MS, MO, MT, NE, NV, NH, NJ, NM, NY, NC, ND, ON, OK OR, PA, RL SC, SD, TN, TX, UT, VT, VA, WA, WV, WI, WY, INCORPORATED IN: Iowa. ProCentury insurance Company (NAIC #21903) BUSINESS ADDRESS: 550 Polaris Parkway, Westerville, OH 43082, PHONE: (614) 895-2000 UNDERWRITING LIMITATION b/: $5,833,000, SURETY I ICENSES c,fl: AK, AZ, AR, CA, DE, DC, GA, IL, IN, IA, KS, LA, MD, MA, ML MIN, MS, MO, MT, NE, NV, NJ, NM, NY, NO, OK, OR, PA, SC, SO, TX, UT, WV, WI, WY, INCORPORATED IN: Michigan Progressive Casualty Insurance Company (NAC it24260) BUSINESS ADDRESS: P.O, BOX 89490, CLEVELAND, CH 44101 - 5490. PHONE: (440) 461 -5000, UNDERWRITING LIMITATION b/: $212,481,000 SURETY LICENSES c,f/: AL, AK, AZ, AR, CA, CO, CT, DE, DC, FL, GA, Fil, ID, L, IN, IA, KS, KY, LA, ME, MD, MA, MI, MN, MS, MO, MI, NE, NV, NH, NJ, NM, NY, NC, ND, OH, OR, OR, PA, RL SC, SD, T N, TX, UT, VT, VA, WA, WV, WI, WY. INCORPORATED IN: Ohio, Progressive Northwestern insurance Company (NAIC TA2919) BUSINESS ADDRESS: P 0, BOX 89490, CLEVELAND, ON 44101 - 6490- BUSINESS ADDRESS: P. O. Box 2361, Harrisburg, PA 17105 - 2361, PHONE: (717) 234-4941, UNDERWRITING LIMITATION bt: $64,019,000, SURETY LICENSES c,f/: AL, AS, AZ, AR, CO, CT, DE, DC, FL, GA, ID, IL, IN, IA, KS, KY, LA, ME, MID, MA, MI, MIN, MS, MO, MT, NE, NJ, NM, NY, NC, OH, OR, OR, PA, RI, SC, ED, IN, TX, UT, VT, VA, WA, WV, WI. INCORPORATED IN: Pennsylvania, PHILADELPHIA INDEMNITY INSURANCE COMPANY (NAIC#18058) BUSINESS ADDRESS: One Bala Plaza East, Suite 100, Bala Cynwyd, PA 19004 -1401 PHONE: (610) 206-7836 UNDERWRITING LIMITATION b/: $231,637,000, UNDERWRITING LICENSES c,f/: AL, AK, AS, AR, CA, CO, CT, DE, DC, FL, GA, HI, ID, IL, IN, IA, RE, KY, LA, ME, MID, MA, MI, MIN, MS, MO, MT, NE, NV, NH, NJ, NM, NY, NC, KID, CH, OK, OR, PA, RL SC, SD, TIN, TX, UT, VT, VA, WA, WV, WL WY. INCORPORATED IN: Pennsylvania, PLAT RIVER INSURANCE COMPANY (NAIC #18619) BUSINESS ADDRESS: P 0.. Box 5900, Madison, WI 53705 - 0900, PHONE: (608) 829-4200. UNDERWRITING LIMITATION bl: $4,827,000 SURETY LICENSES cjv AL, AK, AZ, AR, CA, CO, CT, DE, DC, FL, CA, HI, ID, IL, IN, IA, KS, KY, LA, ME, MD, MA, MI, MN, MS, DID, MIT, NE, NV, NIL NJ, NM, NY, NC, ND, ON, OK, OR, PA, RI, SC, SD, TN, TX, UT, VT, VA, WA, WV, WI, WY, INCORPORATED IN: Nebraska Plaza Insurance Company (NAIC #30945) BUSINESS ADDRESS: 518 East Broad Street, Columbus, CH 43215. SURETY LICENSES c,f/: AK, A7, CA, CO, CT, DE, DC, CA, HI, ID, IN, IA, KS, KY, LA, ME, MD, MN, MS, MO, MI I NE, NV, NJ, NM, NY, NC, ND, OFI, OK OR, RI, SC, ED, TN, TX, UT, VA, WA, WV, WI INCORPORATED IN: Ohio - Protective insurance Company (NAIC #12416) BUSINESS ADDRESS: 111 Congressional Blvd, Suite 500, Carmel, IN 46032. PHONE: (317) 636-9800 x-7433. UNDERWRITING LIMITATION b/: $28,733,000, UNDERWRITING LICENSES c,f/: AL, AA AZ, AR, CA, CO, CT, DE, DC, FL, GA, HI, ID, It, IN, A, KS, KY, LA, ME, MD, MA, MI, MN, MS, MO, MIT, NE, NV, NH, NJ, NM, NY, NC, ND, OH, OK, OR, PA, FIR, RI, SC, SD, TN, TX, UT, VT, VA, WA, WV, WI, WY, INCORPORATED IN: Indiana Protective Property & Casualty Insurance Company (NAIC #35769) BUSINESS ADDRESS: 14755 North Outer Forty Rd., Suite 400, St Louis, MO 63017, PHONE: (636) 536-5600, UNDERWRITING LIMITATION b/: $16,992,000, UNDERWRITING LICENSES c,f/: AL, AK, AZ, AR, CA, CO, CT, DE, DC, FL, GA, Hk LID, L, IN, IA, KS, KY, LA, ME, MD, MA, MI, MIN, MS, MO, MT, NE, NV, NH, NJ, NM, NC, ND, OH, OK, OR, PA, FIR, RL SC, SD, IN, TX, UT, VT, VA, WA, WV, WI, WY, INCORPORATED IN: Missouri. ,5ar,k-LQ1aR PHONE: (440) 461 -5000, UNDERWRITING LIMITATION b/: $52,118,00M X QIRE IInsaurance Coirporadon (NAIC #39217) BUSINESS ADDRESS: One General Drive, Sun Prairie, WI 53596, PHONE: (609) B25 SIK UNDERWRITING LIMITATION ol: $67,799,000. SURETY LICENSES c,f/: AL., AK, AZ, AR, CA, CO, CT, DE, DC, Ft, GA, HI, ID, IL, IN, IA, KS, KY, LA, IIAE, MD, Ni MI, IVN, AS, MO, MT, NE, NY, NH, NJ, NM, NY, NC, ND, OH, OR, OR, PA, RI, SC, ED, TN, TX, OF, VI, VA, WA, WV, WI, VVY, INCORPORATED IN: Pennsylvania, Rid T.Q Ea p. is Regent Insurance Company (NAIC #24449) BUSINESS ADDRESS: One General Drive, Sun Prairie, WI 53596. PHONE: (608) 825 5160. UNDERWRITING LIMITATION b/: $3,221,000, SURETY LICENSES c,f/: Al., AK, AZ, AR, CA, CO, DF, DC, FL, GA, HI, ID, I., IN, IA, RE, KY, LA, MID, MA, I'Al, IAN, MS, MO, MT, NE, NV, NH, Nj, NY, INC, ND, OH, OR, OR, PA, RI, SC, SD, TN, TX, UT, VT, VA, WA, WV, WI, WY. INCORPORATED IN: Wisconsin Republic - Franklin IInsurance Company (NAIC #12475) BUSINESS ADDRESS: P, 0 Box 530, Utica, NY 13503 - 0530, PHONE:(31S)734-2000 UNDERWRITING LIMITATION Ist: $5,450,000. SURETY i..ICENSESc,f/:Cl-,[)E,DC, GA, 11..,IN, KS,MD, IIAA,MI, NH, NI,NY, NC, OH, PA, RI, TN, TX, VA, WIL 0 SAIFECO Insurance Company of America (NAIC #2 4 740) BUSINESS ADDRESS: 175 Berkeley Street, Boston, MA 02116. P H ON E: (617) 3 5 7-9500, UNDERWRITING L I 1A ITATI 0 N F.j/: $150,3 29,00 0. SURETY LICENSES c,f/: AL, AK, AZ, AIR, CA, CO, CT, DE, DC, FL., GA, GU, HI, ID, IL., IN, IA, RE, KY, IA, IIAE, MD, MA, MI, MN, ME, MO, MT, NE, NV, NH, NJ, NM, NY, NC, NO, OH, OK, OR, PA, RI, SC, SD, TIN, TY, UT, VT, VA, WA, WV, WI, WY. INCORPORATED IN: New Hampshire, Safety IMathonall Casualty Corporation (NAIC#151105) BUSINESS ADDRESS: 1832 Schuetz Road, St, LOUIS, MO 63146 - 3540, PHONE: (314) 995 5300 UNDERWRITING L.11011FATION b/: $208,192,000. SURETY LICENSES c,f/: AL., AK, AS, AR, CA, CO, CT, DF, DC, F[, GA, GU, NJ, ID, It, IN, A, KS, KY, LA, ME, MD, MA, 101, IAN, MS, 1140, MI, NE, NV, NH, lqj, NO, NY, NC, NO, 011, OK, OR, PA, PR, RI, SC, SD, TN, TX, UT, \/T, VA, VI, WA, WV, WI, WY, INCORPORATED IN: Missouri Sagamore Ilrmuulrance Company (NAIC #40460) BUSINESS ADDRESS: 111 Congressional Blvd, Suite 500, Carmel, IN 46032, PHOINE: (317) 636 9800 x 7433, UNDERWRITING LIMITATION bl: $13,304,000, UNDERWRITING LICENSES c,f/: AL., AK, AZ, CO, CT, DE, DC, GA, [11, ID, IL, IN, IA, KS, KY, ME, MD, MA, MI, AN, MS, MO, MT, NE, NJ, NIA, NY, NC, 011, OR, PA, RI, SC, SD, TN, TX, UT, VT, WA, WV, WI, WY INCORPORATED IN: Indiana. elFrEIRA INrQkIRAimrip A kAu,t,,.J r.nrnnan. INCORPORATED IN: Ohio, RL11 Insurance Company (NAIC#13056) BUSINESS ADDRESS: 9025 [A Undbergh Drive, Peoria, IL 61615, PHONE: (309) 692-1 OK UNDERWRITING LIMITATION b/: $73,602,000, SURETY LICENSES c,f/: AL, AK, AZ, AR, CA, CO, CT, DE, DC, FIE, GA, GU, HI, ID, IL, IN, IA, KS, KY, LA, ME, MD, MIA, MI, AN, MS, MO, MI, NE, NY, NH, NJ, NM, NY, NC, ND, OH, OR, OR, PA, PIR, RI, SC, ED, 7N, TX, UT, VI, VA, VI, WA, WV, WI, WY. INCORPORATED IN: Illinois, Roche Suirety aind Casualty Company, lint, (NAIC #42706) BUSINESS ADDRESS: 4107 N HIIIAES AVE END FLOOR, TAMPA, FL. 33607. PHONE: (813) 623-5042, UNDERWRITING LIMITATION Jut: $979,000. SURETY LICENSES c,f/: AU AK, AS, AR, CT, DE, FL, GA, HI, ID, IN, A, RE, LA, MID, MI, MN, AS, AO, MIT, NE, NY, NH, NJ, NM, NY, NC, ND, OH, OR, OR, PA, SC, SO, TN, TX, UT, VF, VA, WA INCORPORATED IN. Florida, Rockmod Casualty Insurance Company (NAIC #35505) BUSINESS ADDRESS: 13100 Wortharn Center Drive Suite 290 Houston, Texas 77065. PHONE: (814) 926 4661. UNDERWRITING I -IMITATION b/: $12,001,000. SURETY UCENSES c,f/: AL, AK, AZ, AR, CO, DE, DC, FIL, GA, 111, ID, It, IN, IA, KS, KY, LA, ME, MD, IMA, MI, RAN, ME, MO, AT, NE, NY, NH, NJ, MIA, NY, NC, ND, OH, OK, OR, PA, RI, SC, ED,'TX, U T, \rr, VA, WA, WV, WI, WY. INCORPORATED IN: Pennsylvania. (NAIC#22543) BUSINESS ADDRESS: P 0, Brix 819, Appleton , WI 54912 0819. PHONE:(920)7393161 UNDERWRITING LIMITATION b/: $43,174,000. SURETY LICENSES c,f/: AZ, AR, CO, ID, IL., IN, IA, KS, NY, MI, MN, JAG, MT, NE, NV, NM, ND, CH, OR, OR, PA, SD, TN, UT, WA, WI, WY INCORPORATED IN: Wisconsin, Selective Ilmsauramce Company of America (NAIC #12572) BUSINESS ADDRESS: 40 WANFAGE AVENUE, BRANCHVILLE, NJ 07990, PHONE: (973) 948-3000 UNDERWRITING LIMITATION bl: $60,967,000, SURETY UCENSES c,f/: AL, AK, AZ, CT, DE, DC, GA, It, IN, IA, KS, KY, MD, MA, MI, IAA, MS, MID, MT, NE, Nj, NY, NC, KID, OH, OR, PA, RI, SC, SD, TN, FX, VA, WA, WV, WI, vm INCORPORATED IN: New Jersey. Seneca Insurance Company, Inc. (NAIC #10936) BUSINESS ADDRESS: 160 WaterStreet, New York, NY 10038 4922 PHONE: (212) 344-3000. UNDERWRITING LIMITATION bl: $14,249,000. SURETY LICENSES c,f/: AL, AK AZ, AR, CA, CO, CT, DE, DC, FL, GA, HI, ID, IL, IN, IA, KS, KY, IA, IIAE, MIS, MA, MI, IAN, MS, MO, MT, NE, NV, NH, NJ, NM, NY, NC, ND, 011, OK, OR, PA, PR, RI, SC, ED, TIN, TX, U1, VT, VA, WA, WV, WI, WY. INCORPORAI ED IN: New York, Sentiry insurance A MutuaJ Company (NAIC #24988) BUSINESS ADDRESS: 1800 NORTH POINT DRIVE, STEVENS POINT, WI 54481-8020, PHONE: (715) 346-6000, UNDERWRI HNG AMI FATION b/: $491,451,000, SURE FY LICENSES c,17: AL, At<, AZ, AR, CA, CO, C I, DE, DC, I L, CA, lil, ID, L, IN, IA, KS, ICY, LA, ME, DID, MA, IVII, AN, MS, MO, MT, NE, NY, NI -I, NJ, NMI, NY, NC, ND, MI, 0K, OR, PA, RI, SC, ED, I 1J, IX, UT, VI, VA, WA, WV, WI, VVY, INCORPORAI LD IN: Wis(onsin, Sentry SeIect insurance Company (INAIC 921180) BUSINESS ADDRESS: 1800 NORTH POINT DRIVE, STLVLNS POINT, WI 544f91 8020. P1 ION[: (715) 346-6000 UNDERWRITING I IMITATION t)/: $22,674,000 SURETY LICENSES c,f/: AL, At<, A7., AR, CA, CO, Cl, DE, DC, 11, GA, HI, ID, L, IN, IA, KS, KY, LA, W, TAD, VIA, MI, MN, MS, MO, MI, INE, NY, Nil, NJ, NM, NY, NC, NID, Oil, 0K, OR, PA, RI, SC' SD, TIN, TX„ U T, \1 T, VA, VVA, VVV, A/l, VIA, INCORPORAI LD IN: Wisconsin. SERVICE INSEAANCEE COMPANY (NAIC 1136560) BUSIINIL',S ADDRESS: /02 OBIJUAIN ROAD, RAI..LIGI I, NC 27605- 0800 PHONE: (919) 833 1600, UNDERWRITING (..IMITATION B/: $4,/32,000 SURETY I CENSLIS cjC Al, At, AS, AIR, CA, CO, C1, DE, LIC, I L, CA, III, ID, 11, IN, IA, KS, KY, LA, K/iF, DID, (VIA, N41, MN, AS, 100, IVP, MT, NE, NV, NH, NJ, NI", INY, INC, ND, 011, 0K, OR, PA, RI, SC, SE), I N, TX, UT, VT, VA, WA, WV, VVI, WY, 114CORPORAI ED IN: Florida q::RVICE INSURANCE COMPANY INC, (I(HIE) ((NAIK #28240) BUSINESS ADDRESS: FiD NIAIN S[RI-H, WEST ORANGE, NJ 070132, PI -IONS: : (973) 731-7650. S F, PAUL. GUARDIAN INSURAINCIECIDINAPAINY (NAIC 1124 775) BUSINLSS ADDRESS: One Towa r Square, Hai (ford, CT 06183, PHONE: (8G()277-011I UNDERWRITING LIMITATION l)/:$2,314,000, SUREFYLICENSES c,f/:AL, AIK,AZ, AR, CA, CO, Cl, DE, DC, FL, CA, III, ID, IL, IN, IA, KS, KY' L"', ME,MID, MA, IIAI,IVIN, MS, IAO,MI,NE, NV, Iqli,(NIVI,NY, NC, IqD,O' i,01<,OR, PA, RI, SC, 'SE), llq,l)(,LIT ,VT, VA, VVA, \(VV,t(VI,VVY. INCORPORATED IN: Connerl.icut, Sir. PalLd Mercury Unsurance Company (NAIC 924791) BUSINESS ADDRLSS: One Tower Square, Hartford, CT 061931, PHONE: (860) 271-0111, UNDFRWRITING LIMI [AT ION b/: $11,601,000 SURETY LICEN',Fl, cj/: AL, At<, AS, AR, CA, CO, C[, DF, E)C, FL, GA, 111, ID, IL, IN, IA, KS, KY, [A, MI, DID, MA, MI, IVIN, MS, MO, IA I, NF:, NY, Nil, Nj, NNA, IVY, NC, ND, OH, OK, OR, PA, RI, SC, SD, TN, TX, U I, AT, VA, WA, ON, WI, VVY INCORPORATED IN: 0,1,11ecthcmt. Standard Fire Insurance Company (The) (NAIC #19070) BUSINLSS ADDRESS: ONE: TOWER SQUARE, HART I ORD, C1 06183" SURETY LICElNSF',(i,l/:Al..,AK, /",7,AR, (A,CO, CT, DE, DC, VL,GA, Ifl,ID„ 11..,IN, IA, lC',,KY, LA, N4E,I1ADMIA, MI, AN, MS, N40, MI, NE, NV, Nit, 1Vj,IqM,NY, NC,ND,OIi,OK, ClR,PA„ PR, RI, SC, SD, IN, [X, OT, VI, VA, VI, WA, WV, \NJ, WY. IN(ORPOWU LD IN: Cmmacticut Stair insurance Company (NAIC #18023) M,SINFSS ADDRIL'& 26255 /1,111crium Drive, Smrnhfield, MI .18034, PHON: (248) 358-1100 UNDERWRITINC, 1-110RAIRON b/: $829,000, SMU IY LICENSES (:,f/: Cl, DE, DC, I L, MID, MA, Nit, NJ, NY, NC, 11A, III, VA, INCORPORATED IN: Nevvjersey, SIIRIUS AMERICA INSURANCE COMPANY (NAIC #38//6) BUSINLSSADDIRHS: 140 BROADWAY -32ND FLOOR, NFWYORK, NY 10005 -1108 PIIOI\Jl..: (212)312-2E,00 LJNDLRVVRr IND I IK/IIPA1ION bl: $52,181,000 SURETY [ CEINSES c,[/: Al, AK, AS, AR, CA, CO, DE, DC, CA, 111, 11), It, IN, IA, KC KY' [A, MD, MA, IVII, MS, 100, I'Al, NF, NV, NI -I, NJ, NM, NY, NC, ND, 011, OK, OR, CA, RI, SC, SD, TN, TX, UT, VT, VA, WA, WV, WI, \A1Y IINCORPORATk D IN: Neva York SOUIMEST MARINE AND GENERAL INSURANCE COMPANY (NAIC #12294) BUSINI-SSADDIRFSS: 412 MI, KernbleAve,, Suite 100(_ Morristown, NJ 07960, PHONL:(800) //4 2755 UNDERWRITING LIMITATION b/: $6,330,000, SURI IYIICI..NSI.S(,I/:/kI,AK,A7,AR,C/k,CO,('[, DE, DC, GA, III, ID, II.IN, IA, KI, KY, [A, ME, MID MA 101 MIN Oil; K40 MT NU NV,NH NI NK/1,N( ND, riii,nl< OR PA PI SC, SD TIN, TX, UT, V1, VA, WA, WV, WI, WY INCORPORATED IN: Ai /oro, St. Paull Fire and Martne insurance Cornpany (NAIC H24767) BUSINESS ADDRESS: ONE TOWER SOUARE, HART FORD, CT 06183, SURETY LICENSES c,f/:AL, AK, AZ, AR, CA, I-0, C1, DE, DC, I L, CA, GU, III, ID, It, IN, IA, KS, KY, LA, ME, MD, (VIA, MI, IVIN, IAS, AC), MT, NE, NV, Nit, NJ, NIVI, NY, INC, ND, OH, ON, DR, IIA, PR, RI, SC, SD, TIN, TX, IJ I, V[, VA, VI, WA, WV, WI, WY IN(: ORPORATFD IN: Connecticut UNIN RWIRU ING 1-11AITA110N bl: $46,630,000 SURF IY LICENSES (.,fl: At, At<, AS, AR, CA, CO, C1, DE, DC, FL, CA, I 11, ID, IL, IN, A, KS, KY, [A, MF, MID,(VIA, MI, MN, AS, MO, M I, NE, NV, I'JI 1, NJ, NM, NY, NC, ND, 011, 0K, OR, PA, RE SC, SD, TIN, TX, I.J 1, VI, VA, WA, WV, WI, WY. INCORPORAI ED IrL MichitIall StairNet insurance Cornparry (INAK 440045) BUSINESS ADDRESS: PO BOX 9190, DES MOINES, IA 50306 - 9190 III IONE: (515) 473 3000, UND1,RWIRP INC, LIMITATION ION bl: $11,/06,000 SURL IY LKARSFS (jl: At, AK, AZ, AR, CA, CO, Cl, OF, DC, f I, CA, HI, 11), 11, IN, A, KS, KY, I -A, ME, MID, MA, MI, IVIN, ME, MO, MT, NIL, No, NH, NJ, NM, NY, NC, ND, 011, 0K OR, PA, RI, SC, SE), IN, IX, UT, VI, VA, W& WV, WI, WY INCORIPORAI LL) IN: Ddawaie Starr indeirnirtity & LialbRity Company (NAIC M38,318) BUSINESSADINIHS: 399 Fail< AverLIC, Rh Floor, New York, NY 10022 PHONE: (646) 227-6400 UNDERWRITING LIMITATION b/: $18/,`,29,000, SUREIY LICENSES C,F/; AL, AK„ AZ, AN, CA, CO, (-[, DE, W, I L, CA, CU, III, ID, L, IN, IA, KS, KY, LA, ME, IVID, MA, MI, MN, ME, MC, V1, NE, NY, Nit, NJ, NK NY, NC, Nil), Olt OK, OR, CA, PR, RI, SC, SD, IN, [X, UT, \n, VA, VVA, WV, WI, WY, IN(' ORPORAI FID IN: TEYXas, State Auto Property and Casuallty insurance Company (NAIC 1475127) J3l,)'3INFSSADDRESS: S18EAST BI:ZOAI.)ISIRFFT,COLt.JI\AIM.)S,0[143215 PHONE: (614) 464,5000 UNDERWRITING I IIVHTAI[ON h/: $68,704,000, .YVKL I Y Uk-r.14—a C,W MIL, AN, MI., AK, —, l 1, ut, Ul, N-, um, N I, I U, [I.., I IN, IA, ", NY, L.A, VI" MID, MA, MI, MN, MS, MO, PIT, NE, NV, NJ, NY, NC, ND, ON, OK, OR, PA, RI, SC, sD, 'TN, TX, uT, VT, VA, WV, 01, WY, INCORPORATE[) IN: Iowa, State Aultomobille Mutual Insurance Company (NAIC #25135) BUSINESS ADDRESS: 518 EAST BROAD STREET, COL.UMBUS, Oil 43215 PHONE: (614) 464-5000 UNDERWRITING LIMITATION b/: $49,057,000, SURETY LICENSES c,f/: AL, AK, AZ, AR, CO, CT, DIE, DC, FIL, GA, HI, ID, IL, IN, IA, KS, KY, I -A, ME, MD, MA, MI, MN, MS, MO, Mr, NE, KIM, NH, NJ, RIM, NY, NC, ND, OH, OR, OR, PA, RI, SC, SD, T 114, TX, UT, VT, VA, WA, WV, WI, WY INCORPORATED IN: Ohio, State Farm Fire and Casualty Company (NAIC #25143) BUSINESS ADDRESS: ONE STATE FARM PLAZA, B11.00MINGTON, II.. 61710, PHONE: (309) 766 2311 „ UNDERWRITING LIMITAI ION b/: $1,771,019,000 SURETY LICENSES c,f/: AL, AK, AZ, AR, CA, CO, CT, DE, DC, H., GA, HI, 11), IL, IN, IA, KS, KY, LA, ME, ME), MA, MI, MIN, MS, MO, MT, NE, NV, NH, NJ, MINI, NY, NC, ND, ON, OK, OR, PA, RI, SC, SD, T IN, IN, UT, VI, VA, WA, WV, WI, VVY, INCORPORATED IN: Illinois, SU1111wateir Property and Casualty JiTsurance Company (NAIC #16578) BUSINESS ADDRESS: P O. Box 45126jacksonville, Fl.. 32232 5126, PHONE: (800) 849 5140. UNDERWRITING (..IMITATION DA $12,837,000 SURETY UCENSES c,f/: AL, AK, AZ, AR, CO, Cl, DC, FL, CA, HI, ID, IL, IN, A, KS, KY, LA, ME, MIS, MA, MI, MR, MS, MO, MT, NE, INN, NH, NJ, NM, NY, NC, ND, OH, OR, OR, PA, RI, SC, SO, TIN, --r TIRANSATLANTIC IREIIVNSIBRA4INCIE COMPANY (NAIC AT 9453) BUSINESS ADDRESS: One Liberty Plaza, 165 Broadway, NEW YORK, NY 10006, PHONE: (212) 365-2200 UNDERWRITING LIMITATION Wh $479,895,000. SURETY IJCENSES c,f/: AK, AS, AR, CA, CO, DE, DC, GA, 11), IL, IN, IA, KS, KY, LA, MI, MR, MS, NE, No, NJ, NM, NY, OH, OR, PA, SD, UT, VVA, WI, INCORPORATED IN: New York Travellers Casualty and Surety Company (NAIC #19038) BUSINESS ADDRESS: ONE TOWER SQUARE, HARTFORD, C F 06183, PHONE: (860)2770111 UNDERWRITING LIMITATION b/:$423,49B4O00 SURETY UCENSES c,f/: AL, AK AZ, AR, CA, CO, CT, DE, DC, H., CA, GU, HI, ID, II.., IN, A, KS, KY, IA, ME, IIAD, MA, MI, MN, MS, MO, MT, NE, NV, NH, NJ, RIM, NY, NC, KID, ON, OK, OR, PA, PR, RI, SC, SD, TN, TX, UT, VI, VA, VI, WA, WV, WI, WY, INCORPORATED IN: Connecticut. 'Travelers Casualty and Surety Company ofirnerica (NAIC #31194) BUSINESS ADDRESS: ONE TOWER SQUARE, HARTFORD, CT 06191 PHONE: (860) 277 0111 . UNDERWRITING LIMITATION b/; $201,664,000, SURETY LICENSES c,f/: AL., AK, AZ, AR, CA, CO, CT, DE, DC, A., GA, GU, HI, ID, It, IN, LA, KS, KY, LA, ME, MID, MA, MI, MR, MS, MO, MIT, NE, NV, NH, NJ, NM, NY, INC, ND, OH, OR, OR, PA, FIR, RI, SC, SO, TIN, TX, UT, VT, VA, VI, WA, WV, WI, WY, INCORPORATED IN: Connecticut Travelers Casualty IInsaurance Company of Arnerilca IA, U 1, V 1, VIA, VI, VVA, VVV, VV I, VVY. INCORPORATED IN: New York, Sure'rec Insurance Company (NAIC #10916) BUSINESS ADDRESS: 2103 CityWest Boulevard, Suite 1300, Houston, TX 77042, PHONE: (713) 812-0800, UNDERWRITING LIMITATION bf: $10,206,000 SURETY LICENSES cj/; At, AK, AZ, AR, CA, CO, CI, DE, DC, FL, GA, HI, IF.), L. IN, IA, KS, KY, LA, ME, MD, MA, MI, 11AN, MS, MO, MT, NE, NV, NH, NJ, NM, NY, NC, ND, OH, OR, OR, PA, RI, SC, SD, TN, TX, U1, \rT, VA, MAP, WV, WI, WY, INCORPORATED IN: Texas, SUREIFY IDON DIING COIM IYANY OF AMERICA (NAIC #24047) BUSINESS ADDRESS: 151 N, FRAINMAN ST., CHICAGO, It 60606, PHONE: (312) 822 5000, UNDERWRITING IJIVIFFATION bl; $764,000. SURETY LICENSES cjl: AL, Al, AR, CA, CO, DE, US, GA, ID, IL, IN, KS, MN, IMO, MI, NE, NV, NM, NY, KID, OK, OR, SC, SD, TN, TX, UT, WV, VVY, INCORPORATED IN: South Dakota Swiss Reinsurance America Corporation (NAIC #25364) BUSINESS ADDRESS: 175 KING STREET, ARMONK, NY 10504 1606, PHONE: (914) 828-8000 UNDERWRITING UMITATION bl: $334,995,000 SURETY IJCENSES c,U: AL, AK, AZ, AR, CA, CO, CT, DE, DC, FL, GA, HI, ID, IL, IN, A, KS, KY, LA, ME, IAD, MA, Toll, TAN, MS, MO, MT, INE, NV, NH, NJ, NM, NY, INC, ND, OH, OK, OR, PA, RI, SC, SO, TN, TX, UT, V1, VA, WA, WI. INCORPORATED IN: New York (NAIC #19046) BUSINESS ADDRESS: ONE TOWER SQUARE, HARTFORD, CT 06183, PHONE: (860) 277 0111, UNDERWRITING LIMITATION Vat: $53,209,000, SURETY LICENSES c,fl: AL, AK, AZ, AR, CA, CO, CT, DE, DC, FL, GA, HI, ID, [1, IN, IA, KS, KY, LA, ME, ME), MA, MI, MY, MS, MCI, MT, NE, NV, NH, IN), NM, NY, NO ND, OH, ON, OR, PA, RI, SC, SD, TIN, TX, UT, VT, VA, WA, WV, WI, WY. INCORPORATED IN: ConripcHrut, 'Travellers haderninIty Company ('Tine) (NAIC #25658) BUSINESS ADDRESS: ONE TOWER SQUARE, HAP I FORD, CT 06181 PHONE: (860) 2 77-0111. UNDERWRITING (..IMITATION IN: $682,022,000, SURETY LICENSES c,fl: AL, AK, AZ, AR, CO, CT, DE, DC, H., GA, GU, III, ID, K., IN, IA, KS, KY, LA, ME, MID, MA, MI, MN, MS, MO, MT, NE, NV, NH, NJ, NM, NY, NC, ND, OH, OR, OR, PA, PR, RI, SC, SO, TN, TX, UT, VT, VA, WA, WV, WI, VVY. INCORPORATE[) IN: Connecticut TIRAVEILERS INDEMNITY COMPANY OF: AMERICA (FI-IIE) (NAIC #25666) BUSINESS ADDRESS: ONE TOWER SQUARE, HARTFORD, CT 06183. PHONE: (860) 277 0111 . UNDERWRITING LIMITATION b/: $17,806,000, SURETY LICENSES c,f/: AL, AK, AZ, AR, CO, CT, DC, FL., GA, HI, 10, IL, IN, A, KS, KY, I.A, MD, MA, MI, MN, MS, MO, MT, NE, NV, KIN, NJ, NM, NY, NC, ND, OH, OK, OR, PA, RI, SD, TN, TX, UT, VT, VA, WA, WV, WI, WY, INCORPORATED IN: Connecticut, 'Travellers Ilndennnity Company of Connecticut (The) (NAIC #25682) BUSINESS ADDRESS: ONE TOWER SQUARE, HARTFORD, CIF 06181 PHONE: (860) 277 0111. UNDERWRITING LIMITATION b/: $33,251,000 SURETY LICENSES c,fl: AL., AK, AZ, AR, CA, CO, CT, DE, DC, FL, GA, HI, ID, IL, IN, IA, KS, KY, I.A, IMF, MD, MA, MI, MIN, INS, MID, MT, NE, NV, NH, NJ, NM, NY, NC, KID, OH, OK, OR, PA, PR, RI, SC, SD, IN, TX, UT, VT, VA, VI, WA, WV, Or, WY, TN, TX, UT, VT, VA, WA, WV, WI, WY. INCORPORATED IN: Connecticut Travelers Property Casualty Company of America (NAIC #25674) BUSINESS ADDRESS: ONE TOWER SQUARE, HART FORD, CT 06183, PHONE: (860) 277-0111. UNDERWRITING LIMITATION b/: $43,SO2,000, SURETY LICENSES c,f/: AL, AK, AZ, AR, CA, CO, CT, DF, DC, R, GA, HI, ID, III, IN, IA, RE, KY, LA, ME, MD, MA, MI, MIN, MS, MO, MR, MT, NE, NV, NH, NJ, HIM, NY, NC, ND, OH, OR, OR, PA, RI, SD, TN, IX, UT, VT, VA, WA, WV, AT, WY, INCORPORATED IN: Connecticut. Back To U U.S. Specialty insurance Company (NAIC #29599) BUSINESS ADDRESS: 13403 Northwest Freeway, Houston, TX 77040, PHONE: (713) 462-1000, UNDERWRITING LIMITATION bl: $58,704,000 SURETY LICENSES c,f/: A[, AK, AS, AZ,AR, CA, CO, CT, DE, DC, H, GA, HI, ID, It, IN, A, KS, KY, LA, ME, MD, MA, ML BIN, ME, MO, MT, NE, NV, NH, NJ, NM, NY, NO ND, OH, OK, OR, PA, RI, SC, SD, TN, IX, UT, VT, VA, WA, WV, WI, WY. INCORPORATED IN: Texas UNITED CASUALTY AND SURETY INSURANCE COMPANY (NAIC #36226'1 BUSINESS ADDRESS: 292 Newbury Street, Suite 105, Boston, MA 02115 PHONE: (617)471- 1112, UNDERWRITING LIMITATION ATION ol: $800,0013. SURETY LICENSES c,f/: AL, AK, AZ, AR, CA, CO, CT, DE, DC, FL, GA, HI, ID, IL, IN, IA, KS, KY, LA, ME, MD, MA, ML MN, ME, MO, MT, NE, NY, NH, NJ, NM, NY, NC, ND, Ol"I OK, PA, RI, SC, SD, (NAIC #21113) BUSINESS ADDRESS: 305 Madison Avenue, Morristown, NJ 07962 PHONE: (973) 490-6600 UNDERWRITING LIMITATION bP $130,226,000, SURETY LICENSES c,f/: AL, AK, AS, AR, CA, CO, CT, DE, DC, FL, GA, 111, ID, IL, IN, A, KS, KY, LA, ME, DID, MA, MI, MIN, MIS, MO, Mr, NE, Ply, NH, NJ, NIA, NY, NC, DID, Oil, OR, OR, PA, FIR, ELL SC, SD, TN, TX, UT, VT, VA, VI, WA, WV, WI, WY, INCORPORATED IN: Delaware. United States Surety Company (NAIC #106561 BUSINESS ADDRESS: One Texas Station Court, Suite 230, Timonium, MD 21093, PHONE: (410) 453-9522 UNDERWRITING LIMITATION b/: $5,126,000, SURETY LICENSES c,f/: C f, DE, DC, FL, GA, ME, MD, MA, NH, NJ, NY, INC, OH, PA, RI, SC, TN, VI, VA, WV INCORPORATED IN: Maryland UNITED SURETY AND INDEMNITY COMPANY (NAIC #44423) BUSINESS ADDRESS: P.D. BOX 2111, SANJUAN, FIR 00922 - 2111 PHONE: (787) 625-1105, UNDERWRITING LIMITATION bo $6,425,000 SURETY LICENSES c,f/: PR INCORPORATED IN: Puerto Rico Universal Surety Company (NAIC #25933) BUSINESS ADDRESS: P,O. Box 80468, Lincoln, HE 68501. PHONE: (402) 435-4302, UNDERWRITING LIMITATION bl: $19,154,000, SURETY LICENSES cjl: AS, AR, CO, ID, IL, IN, IA, KS, KY, MI, MN, MO, MIT, NE, NM, ND, ON, OK, SC, ED, TX, UT, WA, WI, WY INCORPORATED IN: Nebraska INCORPORATED IN: Nebraska, United Fire & Casualty Company (NAIC #13021) BUSINESS ADDRESS: 11, O. BOX 73909, CEDAR RAPIDS, A 52407 - 390% PHONE: (319) 399-5700, UNDERWRITING LIMITATION b/: $64,150,000L SURETY LICENSES c,f/! AL, AK, AZ, AR, CA, CO, DC, FL, GA, III, ID, III, IN, IA, US, KY, LA, ME, DID, MA, MI, MN, MS, MO, MT, NE, No, NJ, NM, NY, NC, ND, OH, OK, OR, PA, SC, ED, IN, TX, UT, V F, VA, WA, WV, WI, WY, INCORPORATED IN: Iowa, UNITED FORE & INDEMNITY COMPANY (NAIC #19496) BUSINESS ADDRESS: P D, BOX 73909, CEDAR RAPIDS, A 52407 - 3909, PHONE: (319) 399-5700, UNDERWRITING LIMITATION b/: $1,1335,000. SURETY LICENSES c,f/: AL, CO, IN, KY, LA, ME, MO, NM, TX, INCORPORATED IN: Texas, United States Fidelity and Guaranty Company (NAIC Q5887) 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, C1, DE, DC, FL, GA, HL ID, L, IN, A, KS, KY, LA, ME, MD, MA, MI, MN, ME, MO, MT, NE, NV, NH, NJ, NM, NY, NC, ND, OH, OR, OR, PA, PR, RI, SC, SD, TN, TX, III, VT, VA, VL WA, WV, WI, WY. INCORPORATED IN: Connecticut, United States We Insurance Company UNIVERSAL UNDERWROTERS INSURANCE COMPANY (NAIC #41181) BUSINESS ADDRESS: 1299 ZURICH WAY, STH FLOOR, SCHAUMBURG, K. 60196 -1056, PHONE: (847) 605-6000. UNDERWRITING LIMITATION bl: $32,037,000, UNDERWRITING LICENSES c.,f/: AL, AK AZ, AR, CA, CO, CT, DE, DC, FL, GA, HL ID, ll-, K IA, K5, KY, LA, ME, MD, MA, MI, MIN, MS, MO, MIT, NE, NV, NH, NJ, NM, NY, NC, ND, OH, OK OR, PA, RI, SC, ED, TIN, TX, UT, VT, VA, WA, WV, WI, WY. INCORPORATED IN: Illinois, Utica Mutual Insurance Company (NAIC #25976) BUSINESS ADDRESS: POST OFFICE BOX 530, UTICA, NY 13503 - 0530, PHONE: (315) 734-2000, UNDERWRITING LIMITATION zo: $87,857,000, SURETY LICENSES c,fC AL, AK, AZ, AR, CA, CO, CI, DE, DC, FL, GA, HI, ID, IL, IN, IA, KS, KY, LA, ME, MD, MA, MI, MN, ME, MO, M IF, NE, NV, Nit, NJ, NM, NY, INC, ND, OH, OK, OR, PA, RE, RI, SC, ED, TN, TX, UT, VT, VA, WA, WV, Wi WY, INCORPORATED IN: New York. O n' top. v Wfefferra 11vimurance Company (NAIC #10024) BUSINESS ADDRESS: P,G. BOX 509039, SAN DIEGO, CA 92150 PHONE: (859) 350-2400, UNDERWRITING LIMITATION bl: $S,609,000. SURETY LICENSES c,f/: TX, INCORPORATED IN: Texas. Vlgilant Insurance Company (NAIC #20397) BUSINESS ADDRESS: 202B Hall's Mill Road, Whitehouse Station, NJ 08999. PHONE: (215) 640 1 000. UNDERWRITING UMITAJION b/: $33,198,000 SURETY LICENSES c,f/: AL, AK, AS, AR, CA, CO, CT, DE, DC, FL., GA, HI, ID, IL, IN, IA, KS, KY, LA, ME, MD, MA, MI, MR, MS, MO, MY, NE, NV, NH, NJ, NM, NY, NC, KID, ON, OK, OR, PA, RI, SC, SD, TIN, TX, UT, VT, VA, VI, WA, WV, WI, WY. INCORPORATED IN: New York WaOiington IlntermatJonall insurance Company (NAIC #32 778) BUSINESS ADDRESS: 1200 MAIN STREET, SUITE 800, KANSAS CITY, MO 64105 PHONE: (913) 676-5200. UNDERWRITING LIMITATION bl: $8,244,000, SURETY UCENSES rfl: AL, AK, AZ, AIR, CA, CO, CT, DE, DC, F I_ GA, GU, HI, ID, IL, IN, IA, KS, KY, LA, ME, MD, IMA, MI, ON, MIS, MC, MY, NE, NO, NH, N), HIM, NY, NC, ND, OH, OK, OR, PA, PR, RI, SC, SD, TN, TX, U1, VT, VA, VI, WA, WV, WI, WY imrnPPnP(1TFn iNi� Ni— H--hw. SURETY UCENSES c,f/: AK, AZ, AR, CA, CO, DE, 11), IL, IN, A, KS, KY, MD, MI, ION, MO, MY, NE, NV, NJ, NM, ND, OH, OK, OR, PA, RI, ED, IX, U1, WA, WI, WY. INCORPORATED IN: Minnesota, Western Surety Company (NAIC #13188) BUSINESS ADDRESS: 151 N FRANKLIN ST., CHICAGO, IL 60606. PHONE: (312) 822-5000, UNDERWRITING (..IMITATION bl: $151,958,000. SURETY LICENSES rjf: AL, AK, AS, AR, CA, CO, Cl, DE, DC, Fl., GA, HI, ID, IL, IN, A, KS, KY, L.A, ME, MID, MA, MI, MN, MIS, MC), MIT, NE, NV, NH, NJ, NO, NY, NC, KID, ON, OK, OR, PA, PR, RI, SC, SD, YIN, TX, UT, VT, VA, WA, WV, WI, WY INCORPORATED IN: South Dakota, Westfield Insurance Company (NAIC #24112) BUSINESS ADDRESS: P. 0, Box 5001 , Westfield Center, OH 44251 - 5001, PHONE: (330) 88 7 0101, UNDERWRITING (..IMITATION b/: $127,843,000, SURETY LICENSES c,f/: AL, AK AZ, AR, CO, CT, DE, DC, FL, CA, NJ, ID, It., IN, IA, KS, KY, LA, ME, IVID, MA, MI, ION, MS, MO, MY, ND, NE, NY, NH, NJ, NM, NY, NC, ON, OR, OR, PA, RI, SC, SD, TN, TX, UT, V1 I VA, WA, WV, WI, WY. INCORPORATED IN: Ohio. Westfield Mationell Insurance Comparty (NAIC#24120) BUSINESS ADDRESS: P. 0, Box 5001 , Westfield Center, OH 44251 5001, PHONE: (330) 887-0101 . UNDERWRITING LIMITATION bl: $31,722,000. SURETY I..ICENSES c,f/: AL, AZ, AR, CA, CO, DE, Ft., GA, IT, IN, IA, KY, MD, MI, ION, NM, NC, ND, ON, OK, PA, SC, SD, TN, TX, VA, WV, Wl INCORPORATED IN: Ohio West American(Insurance Company (NAIC#44-393) BUSINESS ADDRESS: 175 Berkeley Street, Boston, MA 02116. PHONE: (617)357-9500 UNDERWRITING I..IMITATIONbl:$5,122,000, SURETY LICENSES c,f/: Al..,AK, AZ, AR, CO, CT, DE, DC, Ft., GA, 11), IL, IN, A, KS, KY, LA, MD, IOA, MI, ION, MS, MO, MT, NE, NV, NH, NJ, NO, NY, NC, KID, 011, OK, OR, PA, RI, SC, SD, TN, TX, UT, VA, WA, WV, WI, WY. INCORPORATED IN: Indiana WEST BENID MUTUAL. IINSUIRAINCE COMPANY (NAIC #15350) BUSINESS ADDRESS: 1900 Soukh 18th Avenue, West Bend, WI 53095. PHONE: (262) 334 55 71, UNDERWRITING LIMITATION b/: $104,114,000 SURETY LICENSES c,fl; IL, K A KS, KY, M[, ION, MO, NE, ON, PA, TN, WI. INCORPORATED IN: Wisconsin, Westchester Fire Insurance Company (NAIC #10030) BUSINESS ADDRESS: 436 Walnut Street, P.O..Box 1000, Philadelphia, PA 19106, PHONE: (215) 640-1000 UNDERWRITING UMITAT ION bl: $22,345,000. UNDERWRITING LICENSES c,fl: AL., AK, AZ, AR, CA, CO, Cr, DE, DC, FL, GA, GU, HI, ID, 11 IN, A, KS, KY, LA, ME, MD, MA, MI, MN, ME, MO, MR, MY, NE, NV, NH, NJ, NM, NY, NC, ND, OH, OR, OR, PA, PR, RI, SC, SD, TH, TY, Ur, VT, VA, VI, WA, WV, WI, WY, INCORPORATED IN: Pennsylvania. Western IMationaV IMutuaV insurance Company (NAIC W15377) BUSINESS ADDRESS: PO BOX 1463, MINNEAPOUS, JOIN 55440, PHONE: (952) 835-5350, UNDERWRITING LIMITATION b/; $46,999,000, Westport Insurance Corporation (NAIC #39845) BUSINESS ADDRESS: 1200 MAIN STREET, SUITE 800, KANSAS CITY, MO 64105 PHONE: (913) 676-5200. UNDERWRITING LIMITATION ol: $121,403,000. SURETY LICENSES cfl: AL, AK, AS, AR, CA, CO, CT, DE, DC, FL, GA, GU, HI, ID, IL, IN, IA, KS, KY, LA, ME, MD, MA, MI, MN, MS, MC, MR, MT, NE, NV, INN, NJ, NM, NY, NC, ND, ON, OK, OR, PA, PR, RI, SC, ED, TN, IX, UF, VT, VA, VI, WA, WV, WI, WY. INCORPORATED IN: Missouri a&dLTPTap 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, SO, 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 c,f/: AL, AK, AZ, AR, CA, CO, CT, DE, DC, FL, GA, GU, HI, ID, IL, IN, IA, KS, KY, LA, ME, MD, MA, MI, MN, MS, MO, MP, MT, NE, NV, NH, NJ, NM, NY, NC, ND, OH, OK, OR, PA, PR, RI, SC, SO, TN, TX, UT, VT, VA, VI, WA, WV, WI, WY. INCORPORATED IN: Delaware. II �cl 7 1Qj:;;I Surety Bonds A program of the Bureau of the Fiscal Service SURETY BONDS MENU Home About Resources Getting Started Certified Companies Admitted Reinsurers Contact Us RELATED LINKS 1. Pay Online Z Zurich American Insurance Company (NAIC #16535) BUSINESS ADDRESS: 1299 ZURICH WAY, STH FLOOR, SCHAUMBURG, IL 60196 -1056. PHONE: (847) 605-6000. 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, 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, SO, TN, TX, UT, Vf, VA, VI, WA, WV, WI, WY. INCORPORATED IN: New York. Last modified 04110119 Search Fiscal Service State of Indiana Office of the Secretary of State CERTIFICATE OF EXISTENCE To Whom These Presents Come, Greeting: I, CONNIE LAWSON, Secretary of State of Indiana, do hereby certify that I am, by virtue of the laws of the State of Indiana, the custodian of the corporate records and the proper official to execute this certificate. I further certify that records of this office disclose that WALSH & KELLY INC duly filed the requisite documents to commence business activities under the laws of the State of Indiana on March 29, 1966, and was in existence or authorized to transact business in the State of Indiana on June 04, 2019. I further certify this Domestic For -Profit Corporation has filed its most recent report required by Indiana law with the Secretary of State, or is not yet required to file such report, and that no notice of withdrawal, dissolution, or expiration has been filed or taken place. All fees, taxes, interest, and penalties owed to Indiana by the domestic or foreign entity and collected by the Secretary of State have been paid. In Witness Whereof, I have caused to be affixed my signature and the seal of the State of Indiana, at the City of Indianapolis, June 04, 2019 CONNIE LAWSON SECRETARY OF STATE 194484-057 / 2019992101 All certificates should be validated here: https://bsd.sos.in.gov/ValidateCertificate Expires on July 04, 2019. WRITTEN CONSENT TO RESOLUTIONS of the BOARD OF DIRECTORS of WALSH & KELLY, INC. The undersigned, being all of the Directors of WALSH & KELLY, INC., an Indiana Corporation, hereby consent to the following actions to be taken by the Corporation without a meeting of the Board of Directors under the applicable provisions of the Indiana Business Corporation Law, as amended: RESOLVED that the following be, and hereby are, elected officers of the Corporation, to hold the office until the next regular meeting of the Board of Directors and until their successors are duly elected and have qualified: Kevin J. Kelly, President and Chief Executive Officer Jeffrey L. Swan, Executive Vice President Jamie L. Tancos, Controller John M. Peisker, Vice President of Asphalt Operations David J. Misirly, Vice President Gregory A. Hoffman, Vice President John C. Wall, Vice President and EEO Officer J. Michael Schaum, Secretary and Treasurer, CFO RESOLVED FURTHER that the actions of the Officers of the Corporation taken since the last meeting of the Board of Directors be, and the same hereby are, fully ratified and approved. RESOLVED FURTHER that the following be, and they hereby are, authorized to execute all contracts or similar documents on behalf of the Corporation: Kevin J. Kelly, President and Chief Executive Officer Jeffrey L. Swan, Executive Vice President Jamie L. Tancos, Controller John M. Peisker, Vice President of Asphalt Operations David J. Misirly, Vice President Gregory A. Hoffman, Vice President Dustin P. Hilary, South Bend Area Manager Lynn J. Bauer, South Bend Operations Manager John C. Wall, Vice President and EEO Officer J. Michael Schaum, Secretary and Treasurer, CFO RESOLVED FURTHER that this consent shall be in lieu of an annual meeting of the Board of Directors of the Corporation and shall be filed in the minute book of the Corporation in place of any such annual minutes. <<SIGNATURES ON THE NEXT PAGE>> EXECUTEDtWs7 Ih day of March, 2017. Fred Felisenfeld, Jr. Thomas P. Bertsch James C. Fehsenfeld John R Vercruysse Kevin J Kelly Z"" 1�4' EXECUTED this Ph day of March, 2017. Fred Fehsenfeld, Jr. Thomas P. Bertsch Kevin J. Kelly G-�;4—kAJ Jame„ C. Fehsenfeld ei Vercruysse CERTIFICATE OF QUALIFICATION to provide CONSTRUCTION SERVICES for PUBLIC WORKS PROJECTS to the 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 SM412020 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. Tracy L. Cross, Executivei�4retary Certification Board DAPW PQ2 State Form 3983R Rev. 07106 GRIFFITH SOUTH BEND Walsh & 1700 East Main Street 24358 SR 23 Grlfith, Indiana 46319 www.walshkelly.com South Bend, Indiana 46614 Phone 219 924Phone ( ) 288-0811 04 Fax Inc. Fax 219 924-6768 F x 5 74 289 7174 EQUAL EMPLOYMENT OPPORTUNITY POLICY I. 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. H. 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. III. 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, female 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 riling 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, IN 46614. In addition, employees can call (574) 288-4811, Ext. 211 to report any workplace concerns under this policy. WALSll & KE1. l Y, INC. " 17 Randall L. Walls, CHR Director- of Human Resources/I EO, 0f1, er 9'H,s.�llki,a Revised: February 27, 2019 INDIANAPOUS, IN April 25, 2019 fis] WALSH & KELLY INC GRIFFITH, IN :w 'yaw wd; � ww: . M :+w w .,w • w'w tr:w: w' �ww w, a w w�» w w rr►, w rN r: �w w�wM • r :w w w w, w• w M wiM w w w a w: Valid May 1, 2019 Thm AprU 30, 2020 AGGREGATE....................................................................................................................................... $ul'aa TED A(B) CONCRETE PAVTMENT: LI[MITED....................................................................................................„. $25„000,000 B(A) ASPHALT PAVEMENT: WINDOT CERTIFIED HMA........................................................................... SUNID517ED C(B) LIGHT GRADING.......................................................................................................................................SUNLIM31M E(E) SMALL STRUCTURES AND DRAINAGE ITEMS.................................................................................... $25,000,000 W SURFACE MASONRY AND MISC CONCRETE...................................................................................... $50.000,000 E(G) TRAFFIC CONTROL: PAVE 4ENf MARKINGS...................................................................................... $25,000,000 E(W DEEP SEWER AND/OR EXCAVATION.................................................................................................... $25,000,000 E(Q) CONCRETE PAVEMENT REPAIRS.......................................................................................................... $25,000,000 E(R) ASPHALT PAVEMENT MILLING..........................................................:......................................I............ $50,000,000 Ar P EQUALI I ATI+I N' ENGINEER State I= 205M (R3 / 5-05) , a 'I" :r• .., a . ^�,