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Home My WebLink AboutOpening of Bids - 2019 Contractor Paving Project No 119-062 - Walsh & KellyCITY OF SOUTH BEND, INDIANA CONTRACTOR'S BID FOR PUBLIC WORK Project Name 2019 Contractor Paving Project No. 119-062 For Bids Due July 23, 2019, 9:30 a.m., Local Time PART (Must be completed for all bids. Please type or print) Date:.. 7/23/19 Bidder (Firm): Walsh & Kelly Inc. Address: 24358 SR 23 __ ... City/State/Zip: o�trth Bend!,IN_46614 Telephone Number: ( 574 )288-4811 Agent of Bidder (if Applicable): ._ . Pursuant to notices given, the undersigned offers to furnish labor and/or material necessary to complete the public works project of: �_..................... 2019 Contractor Pavina the City of South Bend, Indiana, in accordance with plans and specifications prepared by: and dated June 28 2019 for the sum of (enter the Total Bid as shown on the Proposal) Seven hundred fortnine thousand six hundred' ei ht five dollars and seventy four cents ($ 749,685.74 ) y g .......y (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 needed, t e t of a i `ts must be the same as that shown in the on ina 166htr,gct if accepted by the City of Sou e If id is to be awarded on a unit basis, the itgm'I tlon ioffhe hu s shall be shown on a se rate ac B r y ro (Signature) (Printed Name of Person Signing) ACCEPTANCE The above bid ,i dct q)terittiis .__ 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: 2019 Contractor Paving Project Number: 119-062 For Bids Due: July 23, 2019, 9.30 a.m. Local Time Contractor Name: Walsh & Kelly, Inc. Base Bid 4-" ., Item No. Description Quantity Unit Unit Price Item Total 1 Maintenance of Traffic 1 LS $ 43,000.00 $ 43,000.00 2 Mobilization and Demobilization 1 LS $ 25,000.00 $ 25,000.00 3 Milling, Up to 1.5" 33,800 SY $ 3.00 $ 101,400.00 4 HMA Surface, 9.5 mm — Type B 2,800 TONS $ 95.00 $ 266,000.00 5 HMA Wedge and Leveling - Type B 69 TONS $ 95.00 $ 6,555.00 6 HMA for Patching 500 SY $ 115.00 $ 57,500.00 7 Tack Coat 20 TONS $ 0.01 $ 0.20 8 Joint Adhesive, Surface 17,200 LF $ 0.05 $ 860.00 9 Adjust Manhole to Grade 39 EA $ 50.00 $ 1,950.00 10 11 Adjust Inlet to Grade Pavement Message Marking, Thermoplastic, White, Lane Indication Arrow 17 2 EA EA $ 50.00 $ 150.00 $ 850.00 $ 300.00 12 Pavement Message Marking, Thermoplastic, White, "ONLY" 2 EA $ 175.00 $ 350.00 13 Line, Thermoplastic, Solid, White, 4" 90 LF $ 0.99 $ 89.10 14 15 Transverse Marking, Thermoplastic, Solid, White, 6" Transverse Marking, Thermoplastic, Solid, White, 24" 600 70 LF LF $ 0.89 $ 12.90 $ 534.00 $ 903.00 16 Line, Thermoplastic, Solid, Yellow, 4" 1,150 LF $ 0.74 $ 851.00 17 Line, Thermoplastic, Broken, Yellow, 4" 930 LF $ 0.74 $ 688.20 18 Grooving for Pavement Markings, 4" 2,160 LF $ 0.48 $ 1,036.80 Base Bid Total $ 507,867.30 BIDDER: Walsh & Kelly, Inc. Project Name: Project Number: For Bids Due: Contractor Name: 2019 Contractor Paving 119-062 July 23, 2019, 9:30 a.m., Local Time Walsh & Kelly, Inc. Alternate No. 1 (Voorde St. from Bendix Dr. to Sheridan St.) 41V T raw , a965 Item Description Quantity Unit Unit Price Item Total No. 1 Maintenance of Traffic 1 LS $ 12,500.00 $ 12,500.00 2 Mobilization and Demobilization 1 LS $ 6,000.00 $ 6,000.00 3 Milling, Up to 1.5" 11,435 SY $ 2.00 $ 22,870.00 4 HMA Surface, 9.5 mm — Type B 1,000 TONS $ 77.00 $ 77,000.00 5 Tack Coat 5 TONS $ 0.01 $ 0.05 6 Joint Adhesive, Surface 6,120 LF $ 0.05 $ 306.00 7 Adjust Manhole to Grade 6 EA $ 50.00 $ 300.00 8 Adjust Inlet to Grade 2 EA $ 50.00 $ 100.00 9 Traffic Detector Loop Replacement 8 EA $ 500.00 $ 4,000.00 10 Signal Cable, 2C 16 GA. Shielded 240 LF $ 2.00 $ 480.00 11 2" Conduit 240 LF $ 20.00 $ 4,800.00 12 Traffic Detector Housing 2 EA $ 800.00 $ 1,600.00 13 Pavement Message Markings, Thermoplastic, White, 6 EA $ 150.00 $ 900.00 14 iLine, Thermoplastic, Solid, White, 4" 175 LF $ 1.19 $ 208.25 15 Transverse Marking, Thermoplastic, Solid, White, 24" 40 LF $ 14.90 $ 596.00 16 Line, Thermoplastic, Solid, Yellow, 4" 790 LF $ 0.74 $ 584.60 17 Line, Thermoplastic, Broken, Yellow, 4" 2,090 LF $ 0.74 $ 1,546.60 18 Grooving for Pavement Markings, 4" 3„055 LF $ 0.42 $ 1,283.10 Alternate No. $ 135,074.60 1 Total BIDDER: Walsh & Kelly, Inc. Project Name: Project Number: For Bids Due: Contractor Name: 2019 Contractor Paving 119-062 July 23, 2019, 9:30 a.m., Local Time Walsh & Kelly, Inc. Alternate No. 2 (Rockne Drive from Ironwood Dr. to Bader Ave,.) Item No. Description Quantity Unit Unit Price 1 Maintenance of Traffic 1 LS $ 9,500.00 $ 9,500.00 2 Mobilization and Demobilization 1 LS $ 5,000.00 $ 5,000.00 3 Milling, Up to 1.5" 9,680 SY $ 2.00 $ 19,360.00 4 HMA Surface, 9.5 mm — Type B 800 TONS $ 81.00 $ 64,800.00 5 Tack Coat 4 TONS $ 0.01 $ 0.04 6 Joint Adhesive, Surface 5,336 LF $ 0.05 $ 266.80 7 Adjust Manhole to Grade 10 EA $ 50.00 $ 500.00 8 Line, Thermoplastic, Solid, White, 4" 4,130 LF $ 0.64 $ 2,643.20 9 Line, Thermoplastic, Solid, Yellow, 4" 4,000 LF $ 0.64 $ 2,560.00 10 Grooving for Pavement Markings, 4" 8,130 LF $ 0.26 $ 2,113.80 Alternate No. $ 106,743.84 2 Total Base Bid + Alternate No. 1 Total $ 642,941.90 Base Bid + Alternate No. 2 Total $ 614,611.14 Base Bid + All Alternates $ 749,685.74 f'lllhe Cointract(n, ui nust llbid on bo1li1 f,lllhe Base tltid wind all Aifeirinates BIDDER: Walsh & Kelly, Inc. Project Name: Project Number: For Bids Due: Contractor Name Bidder (Firm): Walsh & Kelly, Inc. Address: 24358 SR 23 2019 Contractor Paving 119-062 July 23, 2019, 9:30 a.m., Local Time Walsh & Kelly, Inc. City/State/Zip: South Bend IN 46614 Telephone Number: By: OA �Ilk (Signature) Dtfstin Hilarv,VP of South Bend Area Name of Person Signing) When the prospective Contractor is unable to certify to any of the statements below, it shall attach an explanation to this Affidavit. 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: i. Contractor, its successor or its affiliate, provides goods or services of twenty million dollars ($20,000,000) or more in value in the energy sector of Iran; or ii. Contractor, its successor or its affiliate, is a financial institution that extends twenty million dollars ($20,000,000) or more in credit to another person for forty-five (45) days or more, if that person will (i) use the credit to provides goods and services in the energy sector in Iran; and (ii) at the time the financial institution extends credit, is a person identified on list published by the Indiana Department of Administration. Version 4/2/2019 Contractor's Bid for Public Works - 4 4. Contractor does not knowingly employ or contract with an unauthorized alien, nor retain any employee or contract with a person that the Contractor subsequently learns is an unauthorized alien. Contractor agrees that he/she/it shall enroll in and verify the work eligibility status of all of Contractor's newly hired employees through the E-Verify Program as defined by I.C. 22-5-1.7-3. Contractor's documentation of enrollment and participation in the E-Verify Program is included and attached as part of this bid/quote; and 5. Contractor shall require his/her/its subcontractors performing work under this public contract to certify that the subcontractors do not knowingly employ or contract with an unauthorized alien, nor retain any employee or contract with a person that the subcontractor subsequently learns is an unauthorized alien, and that the subcontractor has enrolled in and is participating in the E-Verify Program. The Contractor agrees to maintain this certification throughout the term of the contract with the City of South Bend, and understands that the City may terminate the contract for default if the Contractor fails to cure a breach of this provision no later than thirty (30) days after being notified by the City. 6. Persons, partnerships, corporations, associations, or joint venturers awarded a contract by the City of South Bend through its agencies, boards, or commissions shall not discriminate against any employee or applicant for employment in the performance of a City contract with respect to hire, tenure, terms, conditions, or privileges of employment, or any matter directly or indirectly related to employment because of race, sex, religion, color, national origin, ancestry, age, gender expression, gender identity, sexual orientation or disability that does not affect that person's ability to perform the work. In awarding contracts for the purchase of work, labor, services, supplies, equipment, materials, or any combination of the foregoing including, but not limited to, public works contracts awarded under public bidding laws or other contracts in which public bids are not required by law, the City, its agencies, boards, or commissions may consider the Contractor's good faith efforts to obtain participation by those Contractors certified by the State of Indiana as a Minority Business ("MBE") or as a Women's Business Enterprise ("WBE") as a factor in determining the lowest, responsible, responsive bidder. In no event shall persons or entities seeking the award of a City contract be required to award a subcontract to an MBE/WBE; however, it may not unlawfully discriminate against said WBE/MBE. A finding of a discriminatory practice by the City's MBE/WBE Utilization Board shall prohibit that person or entity from being awarded a City contract for a period of one (1) year from the date of such determination, and such determination may also be grounds for terminating the contact for which the discriminatory practice or noncompliance pertains. 7. The undersigned contractor agrees that the following nondiscrimination commitment shall be made a part of any contract which it may henceforth enter into with the City of South Bend, Indiana or any of its agencies, boards or commissions. Contractor agrees not to discriminate against or intimidate any employee or applicant for employment in the performance of this contract with privileges of employment, or any matter directly or indirectly related to employment, because of race, religion, color, sex, gender expression, gender identity, sexual orientation, handicap, national origin or ancestry. Breach of this provision may be regarded as material breach of contract. I, the undersigned bidder or agent as contractor on a public works project, understand my statutory obligations to the use of steel products or foundry products made in the United States (I.C. 5-16-8-1). I hereby certify that I and all subcontractors employed by me for this project will use steel products or foundry products made in the United States on this project if awarded. I understand I have an affirmative duty to notify the City in my bid that my proposal does not include the use of steel products or foundry products made in the United States. I understand it is my sole obligation and responsibility to provide a justification to the City, subject to review and approval, why the cost of United States made steel or foundry products is unreasonable. Prior to award and upon submission of bid which does not use steel products or foundry products made in the United States, the City, through its director of public works, shall make a determination if the price of United States made steel or foundry is unreasonable. I understand that violations hereunder Version 4/2/2019 Contractor's Bid for Public Works - 5 may result in forfeiture of contractual payments. I hereby affirm under the penalties of perjury that the facts and information contained in the foregoing bid for public works are true and correct. Dated this 23rd day of July , 2019 Subscribed and sworn to before me this 23rd My Commission Expires 6/5/22 County of Residence Walsh ContractorsB U or Its Agent /Dustin Hilary, VP of South Bend Area rated Name and Title . day of Jul .......... , 20 19 Notary is _.._. Alish rueger St. Joseph 4 �� K� ` «� % AL ISHA KRUF..GER M1Iotrtry Public. State of Inddud�� St, Joseph County my commission Fapires + June 05w 2022 Version 4/2/2019 Contractor's Bid for Public Works - 6 .I L J B S Surety O +908.903.3485 202B Halls Mill Road, PO Box 1650 F + 908.903.3656 Whitehouse Station, Ig 08889-1650 Federal Insurance Company AIA Document A31OTM - 2010 Bid Bond Any singular reference to Contractor, Surety, Owner or other party shall be considered plural where applicable. CONTRACTOR NameWe al status and address). alst belly, Inc. 24358 State Road 23 South Bend, IN 46614 OWNER (Name, legal status and address): City of South 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, Iq 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) 2019 Contractor Paving Project No. 119-062 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 speed in the bid documents, and the Owner and Contractor shall obtain the Surety's consent for an extension beyond sixty (60) days. If this Bond is issued in connection with a subcontractor's bid to a Contractor, the term Contractor in this Bond shall be deemed to be Subcontractor and the term Owner shall be deemed to be Contractor. Printed in cooperation with the American Institute of Architects OW by Chubb. The language in this document conforms to the language used in ALt DocumentA310 ""- 2010. Form 15-02-0575-FED (Rev. 3/M When this Bond hasbeen furnished to comply with a statutory or other legal requirement in the location of the Project, any provision in this Bond conflicting with said statutory or legal requirement shall be deemed deleted here from and provisions conforming to such statutory or other legal requirement shall be deemed incorporated herein. When so furnished, the intent is that this Bond shall be construed as a statutory bond and not as a common law bond. Signed and sealed this 23rd I) IL (witness) Alisha Kruegerj (witness) athryn R. Postma day of Walsh & July, 2019. (C�ri ip Dustin Hilary VP of South Bend Area (Title) d Y �(r"rvrteseal) Federal Insurance Company (Attorney -in -Fact) Lisa M. Becker ' rlyyctq� (Corporate Seal) Printed in cooperation with the American Institute of Architects (ALA) by Chubb. The language in this document conforms to the language used in AM DocumentA3107M- 2010. Forth 15-02-0575-FED (Rev. 3/M C"HUBB' 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 Lisa M. Becker, Tia A. Boice, Terry R. Hurst, Brian T. Morton, David M. Oliger, Kathryn R. Postma, Tina N. Senefeld and Eric M. Wahlstrom of Indianapolis, Indiana -------------------------------------------------------------- each as their true and lawful Attorney -in -Fact to execute under such designation in their names and to affix their corporate seals to and deliver for and on their behalf as surety thereon or otherwise, bonds and undertakings and other writings obligatory in the nature thereof (other than bail bonds) given or executed in the course of business, and any instruments amending or altering the same, and consents to the modification or alteration of any instrument referred to in said bonds or obligations. In Witness Whereof, said FEDERAL INSURANCE COMPANY, VIGILANT INSURANCE COMPANY, and PACIFIC INDEMNITY COMPANY have each executed and attested these presents and affixed their corporate seals on this 61h day of March, 2019. 1klV:n \IChhs-cK:\�.iu;in(Sccrct:u " °i STATE OF NEW JERSEY County of Hunterdon SIt_phwl 11 I klncy. Vice PI'YSIdCIII On this 61, day of March, 2019, before me, a Notary Public of New Jersey, personally came Dawn M. Chloros, to me known to be Assistant Secretary of FEDERAL INSURANCE COMPANY, VIGILANT INSURANCE COMPANY, and PACIFIC INDEMNITY COMPANY, the companies which executed the foregoing Power of Attorney, and the said Dawn M. Chloros, being by me duly sworn, did depose and say that she is Assistant Secretary of FEDERAL. INSURANCE COMPANY, VIGILANT INSURANCE COMPANY, and PACIFIC INDEMNITY COMPANY and knows the 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 of said Companies by like authority; and that she 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 deponents presence, Notarial Seal ROSE Cl NEW ,y,w�m+tw NOTARY PUBLIC OF NEW JfItBEY znnmw � � . 500700 J Nary I'uhlic 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 ofthe 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 ofthe Company, under the sea] of the Company or otherwise. (2) Each duly appointed attomey-in-fact of the Company is hereby authorized to execute any Written Commitment for and on behalf of the Company, under the seal of the Company or otherwise, to the extent that such action Is authorized by the grant of powers provided for in such person's written appointment as such attorney -in -fact. (3) Each of the Chairman, the President and the Vice Presidents of the Company is hereby authorized, for and on behalf of the Company, to appoint in writing any person the attorney - In -fact of the Company with full power and authority 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 Chairman, the President and the Vice Presidents of the Company Is hereby authorized, for and on behalf of the Company, to delegate In writing to any other officer of the Company the authority to execute, for and on behalf of the Company, under the Company's seal or otherwise, such Written Commitments of the Company as are specified In such written delegation, which specification may be by general type or class of Written Commitments or by specification ofone or more particular Written Commitments. (5) The signature of any officer or other person executing any Written Commitment or appointment or delegation pursuant to this Resolution, and the seal of the Company, maybe 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 limit or 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 a �ify thal (1) jiforegoing Re's6lutions adopted by the Board of Directors of the Companies are true, correct and in full force and effect, "thorn foregoing{Power of Attorney is true, correct and in full force and effect f�l,onfinder my ha d'and seals of said Companies at Whitehouse Station, Pp, this 23rd day of July, 2019. f N'TILE'EVENTYOU WISH TO VERIFY THE AUTHENTICITY OF THIS BOND OR NOTTFY US OF ANY OTHER MATTER PLEASE CONTACT US AT "Teleplione(KW)9013493 Fax(906)903-3656 e-mail: surrty cbubb ^out FED- VIG-PI (rev 08-18) 1316 COUNTY -CITY BUILDING / j r � � PHONE 574/ 235-9251 227 w.JEFFER9DN BOULEVARD FAX 574/235-9171 SOUTH BEND, INDIANA 46601-1830 "°iA CVTDD 574/ 235-5567 CITY OF SOUTH BEND PETE BUTTIGIEG, MAYOR BOARD OF PUBLIC WORKS Date: July 19.._.... To: All Planholders� From Linda M. Martin, Clerk, Board of Public Works Subject Addendum Number: 1 Project Name: 2019 Contractor Paving _� ....ur Project No.: 119-062 ACKNOWLEDGEMENT OF RECEIPT OF ADDENDUM Date Received: 7/16/19 This addendum is being forwarded to you for the above referenced project. Please sign below and acknowledge receipt of this Addendum by faxing this sheet to the Board of Public Works at (574) 235-9171 within 48 hours of receipt. A copy MUST also be included with your bid package upon submittal. THIS ADDENDUM MAY AFFECT YOUR BID. Notes: The attached documents are hereby added to the Specifications and Contract Documents and become a part of herein. h Company: � p y: Walsh & Kelly, Inc. ` Authorized Signature: Dus,trh Mffafy, VP of South Bend Area Date: 7/23/19 CITY OF SOUTH BEND, INDIANA CONTRACTOR'S BID FOR PUBLIC WORK CHECKLIST FOR BIDDERS Project Name 2019 Contractor Paving Project No. 119-062 For Bids Due July 23, 2019, 9:30 a.m., Local Time 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 Addendum(s) included with the bid. X All required additional information is included with the bid. Proposal statements and other affidavits all signed by the proper party with name either X printed or typed underneath signature. X This checklist submitted with the Bid. This checklist is provided for bidder's use in assuring compliance with required documentation; however, it does not include all specifications requirements and does not relieve the bidder of the need to read and comply with the specifications. Bidder: Walsh & Kelly, Inc. By Authorized Representative:, Signature: Date: Print Name & Title: _N in Hilary, VP of South Bend Area Version 4/2/2019 Contractor's Bid for Public Works - 1 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 CITY OF SOUTH BEND, INDIANA CONTRACTOR'S BID FOR PUBLIC WORK RESPONSIBLE BIDDER CHECKLIST Project Name 2019 Contractor Paving Project No. 119-062 For Bids Due July 23, 2019, 9:30 a.m., Local Time Contractor Name: Walsh & Kelly, Inc. The City seeks to enhance its ability to identify responsive and responsible bidders on all City public works projects by institution of comprehensive submission requirements in compliance with State law. Quality workmanship, efficient operation, safety, and timely completion of projects requires that all bidders meet certain minimum requirements to be responsive and responsible bidders. THIS FORM MUST BE SUBMITTED WITH YOUR BID. INSTRUCTIONS: If you are a pre -qualified bidder, complete Section I only. If you are not a pre -qualified bidder, complete Section II only. Section II acts as an application for pre -qualification. Submission of Section II will allow the bidder to be considered for pre -qualification for bids with the City of South Bend Department of Public Works. Pre - qualified bidders will then be exempt from a portion of the submission requirements outlined in Section 6- 63 of The Responsible Bidding Ordinance No. 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 313t 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 5/16/2019 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 5/16/2019 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 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. (iv) 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 5/16/2019 General Conditions - 8 PRE -QUALIFICATION CHECKLIST (FOR BIDDERS THAT ARE NOT PRE -QUALIFIED) (a) Acknowledgements: (i) _ By checking this box, I hereby acknowledge that I am not a pre -qualified bidder with the City of South Bend. (ii) _ By checking this box, I hereby acknowledge that the City reserves the right to request supplemental information, additional verification of any information provided, and may also conduct random inquiries of my current and prior customers. The City reserved the right to utilize all information provided in this submission and all information obtained in inquiries or requests to determine if a bidder is responsive and responsible. Additionally, I acknowledge that all information provided to the City shall be regarded as public records. (iii) _ By checking this box, I hereby acknowledge that copies of all Applicable apprenticeship certificates or standards for training programs applicable to the work performed on the project may be requested at any time and shall be furnished upon request. (iv) _ By checking this box, I hereby acknowledge and ensure that I and all sub- contractors, from whom I have accepted a bid and/or intend to hire to perform work on the public work project, are properly licensed. Furthermore, I acknowledge my understanding that it is my responsibility to ensure that all sub -contractors have the necessary licenses to undertake the work called for in this bid. If a sub- contractor loses their license at any point, it is the responsibility of that sub- contractor to notify the City. (b) Attachments: (i) _ Indiana Secretary of State's on-line records (ie. Business verification) dated within sixty (60) days of the submission of said document showing that business is in existence, current with the Indiana Secretary of State's Business Entity Report, and eligible for a certificate of good standing. (Not applicable to individuals, sole proprietors or partnerships). (ii) List identifying all former business names. (iii) Any determinations by a court or governmental agency any violations of federal state, or local laws including, but not limited to, violations of contracting or antitrust laws, tax or licensing laws, environmental laws, Occupational Safety and Health Act (OSHA), or federal Davis -Bacon and related Acts, within the preceding five (5) years. (iv) Statement about staffing capabilities, including labor sources. This statement indicates and ensures I have sufficient employees on staff to complete the work I am bidding on OR outlines how I intend to meet the staffing needs of the work. (v) Statement that individuals who will perform work on the public work project on my behalf will be properly classified as an employee or as an independent contractor under all applicable state and federal laws and local ordinances. (vi) For every project, submit evidence of participation in apprenticeship and training programs, applicable to the work to be performed on the project, which are approved by and registered with the United States Department of Labor's Office of Apprenticeship, or its successor organization. (vii) _ Copy of a written plan for employee drug testing that covers all of my employees who will perform work on the public work project and meets or exceeds the requirements set forth in IC 4-13-18-5 or IC 4-13-18-6. (viii) Evidence that I am utilizing a surety company which is on the Bureau of Fiscal Service "Department of Treasury's Listing of Approved Sureties" as required in the bid specifications or contract. Version 5/16/2019 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. Walsh & Kelly, Inc. (Name of Company) 24358 SR 23 (Address of Company) South Bend d" �e (City) vl "'/" Indiana (State) n . m 574-288-4811 (Telephone Number) Version 5/16/2019 General Conditions - 10 91 I Responsible Bidding Practices and Submission Requirements for Pre -Approval (b) Attachments (i) Attached Staffing Capabilities: Walsh & Kelly, Inc. is signatory with the following unions which supply our workforce — Laborers International Union, Teamsters, Operating Engineers and Cement Masons. (iii) See Forms 96 and 96a (iv) 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. VP of South Bend Area Dated:_ July 23, 2019 V 1,1AkPgP dts.,> I List of Certified Companies List of Certified Companies Download the complete listing of(. or browse the list below. Also. see Last updated July 1, 2019 AR.CREE-GE I J K L M NO E Q R 5 1 Q. y w K y z A Updated July 1, 2018 ACCREDITED SURETY AND CASUALTY COMPANY, INC. (NAIC #26379) BUSINESS ADDRESS PC) Box 140855, Orlando, F1 32814, PHONE: (407) 629-2131, UNDERWRITING LIMITATION b/: $6,684,000, 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, NJ, NMI, NY, NC, ND, ON OK OR, PA, Rk SC, SD, IN, TX, UT, VT, VA, WA, WV, WI, WY, INCORPORATED IN: Florida ACE American Insurance Company (NAIC 112MA71 PHONE: (717) 657-9671 . UNDERWRITING LIMITATION lsh $6,267,000 SURETY LICENSES CfC AL, AK, AZ, AR, CA, CO, CT, DE, DC, FL, GA, HI, ID, IL, IN, IA, KS, KY, I A, ME, DID, MA, MI, MIN, MS, MO, MT, NE, NV, NH, NJ, NM, NY, NC, ND, OH, OR, OR, PA, RI, SC, SD, TN, TX, UT, VT, VA, WA, WV, WI, WY, INCORPORATED IN: Pennsylvania, ALL AMERICA INSURANCE COMPANY (NAIC #20222) BUSINESS ADDRESS: P 0, BOX 351, VAN WERT, OH 451391 - 0351 PHONE: (419) 238-1010, UNDERWRITING LIMITATION bi: $15,980,000, SURETY LICENSES c,f/: AS, AR, CA, CO, CIF, GA, ID, IL, IN, A, KY, ME, MD, MA, MI, MN, MIS, MIT, NV, NH, NJ, NM, NY, NC, CH, OK, OR, PA, SC, TN, TX, UT, VT, VA, WA, WI. INCORPORATED IN: Ohio„ AlleghenyCasualty Company (NAIC #13285) BUSINESS ADDRESS: One. Newark Center, 20th Floor, Newark, NJ 07102, PHONE: (800) 333-4167. UNDERWRITING LIMITATION b/: $2,365,000, SURETY LICENSES c,f/: AL, AK, AZ, AR, CA, CO, CT, DE, TIC, FL, GA, HI, ID, IL, IN, IA, KS, KY, LA, ME, DID, MA, MI, MN, MS, MO, MT, NE, NV, NH, NJ, NM, NY, NC, ND, CH, OR, OR, PA, FIR, RL SC, SD, IN, TX, UT, V-R VA, WA, WV, WI, WY, INCORPORATED IN: New Jersey. ALLEGHENY SURETY COMPANY (NAIC #34541) BUSINESS ADDRESS: 4217 Steubenville Pike, Pittsburgh, PA 15205. PHONE: (412) 921-3077, BUSINESS ADDRESS: 436Walnut Street P.O., Box 1000, Philadelphia, PA 19106. PHONE: (215) 640-1000. UNDERWRITING LIMITATION ILI: $507,673,000 SURETY LICENSES c,f/: At, AK, AZ, AR, CA, CO, CF, DE, DC, FL, GA, HI, ID, L, IN, IA, KS, BY, LA, ME, DID, MA, MI, MN, MS, MO, MT, NE, NV, NH, NJ, NM, NY, NC, ND, OH, OK, OR, PA, FIR, RI, SC, SD, IN, IX, UT, VT, VA, WA, WV, WI, WY. INCORPORATED IN: Pennsylvania, ACE Property and Casualty Insurance Company (NAIC #20699) BUSINESS ADDRESS: 436 WALNUT STREET, P.O.Box 1000, Philadelphia, PA 19106, PHONE: (215) 640-1000 UNDERWRITING LIMITATION bl: $290,236,000, SURETY LICENSES cjl: 1: AL, AK AZ, AR, CA, CO, CIF, DE, DC, FL, GA, HI, ID, L, IN, IA' KS, KY, LA, ME, MD, MA, MI, MR, MS, MO, MT, NE, NV, NH, NJ, NM, NY, NC, ND, ON, OK, OR, PA, FIR, RI, SC, SD, TN, TX, UT, VT, VA, WA, WV, Wk WY INCORPORATED IN: Pennsylvania, ACSTAR INSURANCE COMPANY (NAIC #2295O) BUSINESS ADDRESS: 30 SOO H I ROAD, FARMINGTON, C1 06032, PHONE: (860) 415-8400, UNDERWRITING LIMITATION b/; $2,278,000, SURETY LICENSES c,f/: AL, AK, AZ, AR, CA, CO, CT, BE, DC, FL, GA, HI, ID, 11, IN, IA, KS, KY, LA, ME, MD, MA, MI, MN, MS, MO, MIT, NE, NV, NH, NJ, NM, NY, NC, ND, ON, OK, OR, PA, PR, RI, SC, SD, TIN, TX, UT, V7, VA, WA, WV, WI, WY, INCORPORATED IN: Illinois, Aegis Security Insurance Company (NAIC #33898) BUSINESS ADDRESS: P.O. Box 3153, Harrisburg, PA 17105 SURETY LICENSES c,f/: PA, INCORPORATED IN: Pennsylvania, ALLIED Property and Casualty Insurance Company (NAIC #42579) BUSINESS ADDRESS: ONE WEST NATIONWIDE BLVD,, 1-04-701, COLUMBUS, OH 43215 - 2220, PHONE: (515) SOBA21 1, UNDERWRITING LIMITATION lk/: $5,957,000, SURETY I ICENSES c,f/: Al, AS, AR, CA, CO, C-1, DE, BE, FL, GA, ID, L, IN, IA, KS, KY, ME, MD, MI, MN, MIS, MO, MT, NE, NV, NH, NY, NY, NC, ND, OH, OR, PA, RI, SC, SIT, TN, TX, UT, VT, VA, WA, WV, WI, WY INCORPORATED IN: Iowa, Allied World Insurance Company (NAIC #22730) BUSINESS ADDRESS: 199 Water Street, New York, NY 10038 PHONE: (646) 794-()500. UNDERWRITING LIMITATION IV: $50,985,000 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, YIN, MS, MO, MT, NE, NV, NH, NJ, NM, NY, NC, NO, OH, OR, OR, PA, PR, Rk SC, SD, IN, IX, UT, VI, VA, WA, WV, WI, INCORPORATED IN: New Hampshire, Allied World Specialty Insurance Company (NAIC Ill 6624) BUSINESS ADDRESS: 199 WATER STREET, NEW YORK, NY 10038, PHONE: (646) 794-0500, UNDERWRITING LIMITATION EV: $34,151,000. SURETY LICENSES c,fl: AL, AK, A7, AR, CA, CO, CT, DE, DC, FL, GA, HI, ID, IL, IN, IA, KS, KY, LA, ME, MD, MA, MI, MN, MS. MO. MT, HE NV, NH, NI. HIM. NY, NC, ND, OH, OR OR, PA, PR, RI, SC, SD, TN, TX, UT, VT, VA, WA, WV, WI, WY. INCORPORATED IN: Delaware. AMCO Insurance Company (NAIC #19100) BUSINESS ADDRESS: ONE WEST NATIONWIDE BLVD,, 1-04-701, COLUMBUS, OH 43215 - 2220, PHONE: (515) 508-4211 x-2, UNDERWRITING LIMITATION bl: $20,136,000, SURETY LICENSES c,f/: AL, AZ, AR, CA, CO, CT, DE, DC, Fl, GA, ID, IL, IN, A, KS, KY, ME, MID, SIT, MN, MS, MID, MT, NE, NV, NM, NY, NC, ND, CH, OR, PA, RI, SC, SO, TIN, Tx, UT, VT, VA, WA, WV, WI, WY INCORPORATED IN: Iowa AMERICAN ALTERNATIVE INSURANCE CORPORATiON (NAIC #19720) BUSINESS ADDRESS: 555 COLLEGE ROAD EAST - P.O. BOX 5241, PRINCE TON, NJ 08543, PHONE: (609) 243-4200, UNDERWRITING LIMITATION b/: $21,434,000. SURETY LICENSES c,f/: AL, AK, AZ, AR, CA, CO, C1, DE, DC, FL, GA, GU, HI, ID, 11, IN, IA, KS, KY, [A ME, MD, MA, MI, MN, MIS, MO, MT, NE, NV, NIEL NJ, HIM, NY, NC, ND, OH, OR, OR, PA, PR, RI, SC, SD, I N, TX, U1, VT, VA, WA, WV, WI, WY, INCORPORATED IN: Delaware American Automobile insurance Company (NAIC #21849)' AMERICAN BANKERS INSURANCE COMPANY OF FLORIDA (NAIC #10111) BUSINESS ADDRESS: 11222 QUAIL ROOST DRIVE, MIAMI, FL 33157 - 6596. PHONE: (305) 253-2244, UNDERWRITING LIMITATION bl: $63,715,000, MD, MA, MIT, MN, MS, MO, MT, NE, NV, NH, NJ, NM, NY, NC, NO, OH, OK, OR, PA, RI, SC, ED, TN, TX, UT, VT, VA, WA, WV, WI, WY, INCORPORATED IN: New Hampshire American Guarantee and Liability Insurance Company (NAIC #26247) BUSINESS ADDRESS: 1299 ZURICI I WAY, 5TH FLOOR, SCHAUMBURG, IL 60196 - 1056, PHONE: (847) 605-6000 UNDERWRITING LIMITATION b/: $18,556,000, SURETY LICENSES c,f/: AL, AK, AZ, AR, CA, CO, CT, DE, DC, FL, GA, HI, IS, IL, IN, A, KS, KY, LA, ME, MD, MA, MI, MN, MS, MO, MIT, NE, NV, NFI, Nj, NM, NY, NC, ND, OH, OK, OR, PA, RI, SC, SD, TN, TX, U1, V7, VA, WA, WV, WI, WY. INCORPORATED IN: New York. American Home Assurance Company (NAIC 419380) BUSINESS ADDRESS: 175 WATER STREET, 18 TH FLOOR, NEW YORK, NY 10038 PHONE: (212) 770-7000, UNDERWRITING LIMITATION b/: $592,154,000 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, MIS, MS, MO, MIT, NE, NV, NH, NJ, HIM, NY, NC, NO, OH, DIV OR, PA, RI, SC, SD, TIN, TX, UT, VT, VA, WA, WV, WI, WY. INCURVURAI LD IN: New York, American Insurance Company (The) (NAIC #21857)' AMERICAN ROAD INSURANCE COMPANY (THE) (NAIC #19631) BUSINESS ADDRESS: One Arnerican Road, MD 7600, Dearborn, MI 49126 - 2701, PHONE: (313) 337-1102 UNDERWRITING LIMITATION b/: $32,378,000 SURETY LICENSES c,f/: AL, AK, AZ, AR, CA, CO, CT, DE, DC, FL, GA, HI, ID, IL, IN, IA, KS, KY, LA, ME, MID, MA, MI, MN, MIS, MID, MIT, NE, NV, NH, NJ, HIM, NY, NC, ND, OR OK, OR, PA, FIR, RI, SC, SO, TN, TX, UT, VT, VA, V1, WA, WV, WI, WY, INCORPORATED IN: Florida. American Casualty Company of Reading, Pennsylvania (NAIC #20427) BUSINESS ADDRESS: 151 N. Franklin St., CHICAGO, IL 60606, PHONE: (312) 822-5000. UNDERWRITING LIMITATION b/: $13,209,000, SURETY LICENSES c,fl: AL, AK, AZ, AR, CA, CO, CT, DE, DC, FL, GA, 1-11, ID, IL, IN, IA, KS, KY, LA, ME, MD, MA, MIT, MN, MS, MID, MT, NE, NY, NH, NJ, NM, NY, NC, ND, OH, OR, OR, PA, FIR, RI, SC, SD, TN, TX, UT, VT, VA, WA, WV, WI, WY. INCORPORATED IN: Pennsylvania, AMERICAN CONTRACTORS INDEMNITY COMPANY (NAIC #10216)2 BUSINESS ADDRESS: 801 South Figueroa Street, Suite 700, Los Angeles, CA 90017, PHONE: (310) 649-0990, UNDERWRITING LIMITATION b/: $12,646,000, SURETY LICENSES c,f/: AL, AK, AZ, AR, CA, CO, CT, DE, DC, FL, GA, GILL HI, ID, IL, IN, A, KS, KY, LA, ME, MD, ML MN, MS, MO, Mr, NE, US, NJ, NM, NY, ND, OH, OR, OR, PA, RI, SC, SO, fix, TX, UT, VA, WA, WV WI, WY, INCORPORATED IN: California. American Fire and Casualty Company (NAIC 424066) BUSINESS ADDRESS: 175 Berkeley Street, Boston, MA 02116, PHONE: (617) 357-9500 UNDERWRITING LIMITATION IV: $4,130,000, SURETY LICENSES c,f/: AL, AK, AZ, AR, CA, CO, CT, DE, DC, A, GA, ID, It, IN, IA, KS, KY, LA, ME, SURETY LICENSES c,(P AL, AK, AZ, AR, CA, CO, DF, DC, FL, GA, FIT, ID, IL, IN, A, KS, KY, LA, ME, MD, MA, NIT, MN, MS, MO, MT, NE, NV, NH, NJ, NM, NY, NC, HID, CH, OK, OR, PA, RI, SC, SD, TN, TX, UT, VT, VA, WA, WV, WI, WY INCORPORATED IN: Michigan, American Southern Insurance Company (NAIC ffl 0235) BUSINESS ADDRESS: P 0 Box 723030, Atlanta, CA 31139 - 0030, PHONE: (404) 266-9599, UNDERWRITING LIMITATION bl: $4,347,000 SURETY LICENSES c,fl: A[, AZ, AR, CO, DE, DC, FL, GA, IL, IN, KS, KY, MD, MI, MN, MIS, MO, NE, NJ, NY, NC, OH, PA, SC, TN, UT, VA, WA, WV, WI, WY, INCORPORATED IN: Kansas American Surety Company (NAIC #31380) BUSINESS ADDRESS: 250 East 96th Street, Suite 202, Indianapolis, IN 46240, PHONE: (317) 875-8700, UNDERWRITING LIMITATION Ist: $1,005,000, SURETY LICENSES cjl: AL, AK, AZ, AR, CA, CO, CT, DE, DC, FL, GA, HI, ID, IL, IN, A, KS, KY, LA, ME, MD, MA, MI, MIN, MS, MO, MIT, NE, NV, NH, NJ, NM, NY, NC, ND, OH, OR, OR, PA, RI, SC, SD, TN, TX, UT, VI, VA, WA, WV, WY. INCORPORATED IN: Indiana, Amerlsure Insurance Company (NAIC #19488) BUSINESS ADDRESS: P, O. Box 2060, Farmington Hills, MI 48331 - 3586, PHONE: (248) 615-9000. UNDERWRITING LIMITATION b/: $2.4,326,000 SURETY LICENSES c,f/: AL, AK, AZ, AR, CO, DE, DC, FL, GA, HI, ID, L, IN, IA, KS, KY, LA, MD, MA, MI, MN, MS, MO, MT, NE, NY, NH, NJ, NM, NY, NC, ND, CH, OK, OR, PA, PR, RI, SC, SD, TN TX I IT VT VA WA WV W1 WV INCORPORATED IN: Michigan. Amerisure IMutuall Insurance Company (NAIC #23396) BUSINESS ADDRESS: P. 0, Box 2060, Farmington Hills, MI 48331 3586. PHONE: (249) 615-9000. UNDERWRITING (..IMITATION bl: $71,716,000, SURETY LICENSES c,f/: AL., AK AZ, AR, CA, CO, CT, DE, DC, FL, Go, HI, ID, IL, IN, A KS, KY, LA, ME, MD, MA, IVAI, MIN, MIS, MO, MT, NE, NV, NH, NJ, Nly, NY, NC, ND, OH, OR, OR, PA, PR, RI, SC, SD, I N, T), UT, VT, VA, WA, WV, WI, VVY INCORPORATED IN: Michigan. Arnerisure Partners insurance Company (NAIC #11050) BUSINESS ADDRESS: P, 0, Box 2060, Farmington Hills, MI 48331 -3586. PHONE: (248) 615 9000, UNDERWRITING LIMITATION b/: $2,372,000, SURETY LICENSES c,f/: AL, AK, AS, AR, CO, DE, DC, H., GA, HI, ID, IL, IN, A, KS, KY, LA, MD, (VIA, MI, MN, ME, MO, MT, NE, NV, NM, NC, ND, ON, OR, OR, PA, RI, SC, SD, IN, TX, U 1, VI, VA, VVA, WV, WI, WY INCORPORATED IN: Michigan, Am Ales Insurance Company (NAIC #10308) BUSINESS ADDRESS: RD Box 9023507, San Juan, PR 00902 - 3507. PHONE: (787) 474-4900, UNDERWRITING LIMITATION bl: $3,3S0,000. SURETY LICENSES c,f/: PR. INCORPORATED IN: Puerto Rico, Arch Ilnsurance Corimparly BUSINESS ADDRESS: 175 Capital Boulevard, Suite 300, Rocky Hill, CT 06067 PHONE: (860) 258-3500 UNDERWRITING LIMITATION bl: $54,531,000, SURETY LICFINSES c,fl: Al., AK, AS, AZ, AR, CA, CO, CT, DE, DC, FL, GA, GO, HI, ID, It, IN, A, KS' KY, LA, ME, MD, MA, MI, MN, MS, MO, MT, NE, NV, NH, NJ, NIA, NY, NC, ND, ON, OK, OR, PA, PR, RI, SC, ED, TN,'TX, IJT, VT, VA, VI, WA, WV, WI, WY INCORPORATED IN: Texas. Associated Indemnity Corporation (NAIC #21865)4 Adanthc Speclaity Insurance Company (NAIC #27154) BUSINESS ADDRESS: 605 Highway 169 North, Suite 800, Plymouth, MIN 55441, PHONE: (952) 852 2431, UNDERWRITING LIMITATION bl: $61,920,000 SURETY LICENSES c,fl: AL, AK, AS, AR, CA, CO, CT, DE, DC, FL, GA, HI, 113, R, IN, A, KS, KY, LA, ME, MD, MA, MI, MN, MS, MO, MT, NF, NV, NH, NJ, NM, NY, NC, ND, OH, OK, OR, PA, PR, RI, SC, ED, TN, TX, u r, VT', VA, vi, WA, WV, WI, wy, INCORPORATED IN: New York Auto. -Owners insurance Company (NAIC Y18988) BUSINESS ADDRESS: P.O.BOX 30660, LANSING, MI 48909 '8160r PHONE: (517) 323 1200, UNDERWRITING LIMITATION ol: $1,101,760,000. SURETY LICENSES c,f/: AL, AZ, AR, CO, FL, GA, 11), IL, IN, [A, K5, KY, MI, MN, MS, MO, NE, NV, NM, NC, ND, OH, OR, PA, SC, ED, IN, UT, VA, WA, WI. INCORPORATED IN: Michigan, AXIS IInsaulrance Company (NAIC #11150) BUSINESS ADDRESS: Harborside 3, 210 Hudson Street, Suite 300, JERSEY CITY, NJ 07311 1107 PHONE: (201) 7434000. UNDERWRITING (..IMITATION b/: $91,269,000. SURELY LICENSES c,fl: AL, AK, AZ, AC CA, CO, CT, DE, DC, FL, GA, GO, HI, ID, IL, IN, IA, KS, KY, LA, ME, MD, MA, MI, MN, MS, MO, MR, MIT, NE, No, NH, NJ, NM, NY, NC, ND, OH, OK OR, PA, PR, RI, SC, SD, TN, TX, UT, VT, VA, VI, WA, WV, WI, WY. INCORPORATED IN: Missouri Arch Reinsurance Company (NAIC #10348) BUSINESS ADDRESS: 445 South Street, Suite 220, P.O, Bo)(1988, Morristown, NJ 07962 1988 PHONE: (973) 898-9S75. UNDERWRITING LIMITATION bl; $31,978,000, SURETY LICENSES c,f/: AL, AK AZ, AR, CA, CO, CT, DE, DC, FL, GA, GU, HI, ID, IL, IN, IA, RE, KY, LA, MD, MA, MI, MN, ME, MO, MT, NE, NV, NH, NJ, HIM, NY, ND, OH, OR, OR, PA, RI, SC, SD, TN, TX, UT, VI, VA, WA, WV. INCORPORATED IN: Delaware. Argonaut Insurance Company (NAIC #1 9R01) BUSINESS ADDRESS: 13100 Wortharn Center Drive SuRe 290 Houston, Texas 77065 PHONE:: (800) 470-7958, UNDERWRITING (..IMITATION bl: $89,568,000 SURETY LICENSES c,f/: AL., AK, AS, AR, CA, CO, CT, DE, DC, FL, GA, GO, HI, ID, It., IN, A, KS, KY, LA, ME, MD, MA, MI, MIN, MS, MO, MT, NE, NV, NH, NJ, NM, NY, NC, ND, OH, OK, OR, PA, PR, RI, SC, SID, TN, TX, UT, VT, VA, VI, WA, WV, WI, WY, INCORPORATED IN: Illinois ASPIEN AMERICAN INSURANCE COMPANY (NAIC #43460) (NAIC #3/213) BUS IN ESS ADDRESS: 11680 Great Oaks Way, Ste, 500,Alpharetta, GA30021 PHONE: (678) 746-9400. UNDERWRITING LIMITATION Ito: $55,999,000 SURETY 110E PIPES c,f/: AL, AK, AS, AS, AR, CA CO, C7, DE, DC, FIL, GA, III, ID, J., IN, LA, KS, KY, L.A, ME, MD, MA, MI, MIN, ME, MO, Mr, NE, NV, NH, NJ, NM, NY, NC, ND, OH, SIC OR, PA, RI, SC, SD, IN, TX, Ur, VT, VA, WA, WV, WI, WY. INCORPORATED IN: Illinois. AXIS peirpsurance Company (NAIC #20370) BUSINESS ADDRESS: 11680 Great Oaks Way, Suite 500, Alpharetta, CA 30022. PHONE: (678) 746-9400, UNDERWRITING LIMITATION b/: $96,705,000, SURETY LICENSES c,f/: AL., AK, AS, AZ, AR, CA, CO, CT, BE, FL, GA, HI, ID, IL, IN, IA, KS, KY, LA, ME, ME), MA, MI, 11AN, ME, MO, MT, NE, NV, NH, NJ, NM, NY, NC, ND, OH, OK, OR, PA, PR, RI, SC, SD,'TN, TX, UT, VT, VA, VI, WA, WV, WI, WY, INCORPORATED IN: New York B Bankers insurance Company (NAIC 433162) BUSINESS ADDRESS:P.O, BOX 15707, ST. PEI ERSBURG, FL 33133 PHONE: (727) 823-4000. UNDERWRITING LIMITATION ol: $7,303,000. SURETY LICENSES c,f/: AL, AK AS, AR, CA, CO, CF, BE, DC, FL, GA, HI, ID, IL., IN, IA, KS, KY, LA, ME, MD, MA, MI, MIN, MIS, MO, IIAT, NE, AV, NH, NJ, NM, NY, NC, ND, OH, OK, OR, PA, SC, SD' TN, TX, UT, VT, VA, WA, WV, WI, WY. INCORPORATED IN: Florida, Bankers Standard Insurance Company (NAIC #18279) BUSINESS ADDRESS: 436 WALNUT STREET, P.O., Box 1000, Philadelphia, PA 19106, PHONE: (215) 640-1 000L UNDERWRITING LIMITATION b/: $19,982,000, SURETY LICENSES C,fl: AL, AK, AZ, AR, CA, CO, CT, DE, DC, FL, GA, 111, ID, IL, IN, A, KS, KY, LA, ME, MID, MA, MIT, MIN, MS, MO, MT, NE, NV, NH, Nj, HIM, NY, NC, NO, ON, OK, OR, PA, RI, SC, SD, TIN, TX, UT, VT, VA, WA, WV, WI, WY INCORPORATED IN: Pennsylvania Beazley Insurance Company, Inc, (NAIC #37540) BUSINESS ADDRESS: 30 Batlerson Park Road, Farmington, CT 06032 PHONE: (860) 577-3700L UNDERWRITING LIMITATION b/: $17,291,000 SURETY LICENSES c,fh AL, AK, AZ, AR, CA, CO, CT, DE, DC, FL, GA, HI, ID, L, IN, IA, KS, KY, LA, ME, MID, MA, ML MIN, MS, MO, MT, NE, NV, NH, Nj, NM, NY, NC, ND, ON, OK, OR, PA, RI, SC, SD, TN, TX, UT, AT, VA, WA, WV, WI, WY, INCORPORATED IN: Connecticut Berkley Insurance Company (NAIC #32603) BUSINESS ADDRESS: 475 STEAMBOAT ROAD, GREENWICH, CT 06830L PHONE: (203) 542-3800 UNDERWRITING LIMITATION bt: $460,644,000L SURETY LICENSES c,(/: AL, AK, AZ, AR, CA, CO, CT, DE, DC, FL, GA, GU, FIT, ID, IL, IN, IA, KS, KY, LA, ME, KID, MA, MI, MN, MIS, MO, MT, NE, NV, NH, NJ, NM, NY, NC, ND, ON, OK, OR, PA, FIR, RI, SC, SD, TN, TX, UT, VT, VA, V1, WA, WV, WI, WY. INCORPORATED IN: Delaware, (NAIC #20095) BUSINESS ADDRESS: 3700 MARKET SQUARE CIRCLE, DAVENPORT, IA 52807. PHONE: (800) 47541477, UNDERWRITING LIMITATION b/: $26,669,000, SURETY LICENSES C,fG AL, AR AZ, AR, CA, CO, CT, DE, DC, FL, GA, ID, It, IN, IA, KS, KY, LA, ME, MD, MA, MI, MN, MS, MO, MT, NE, NV, NJ, NM, NY, NC, HIS, OH, OR, OR, PA, RI, SC, SD, TN, TX, UT, VT, VA, WA, WV, WI, WY. INCORPORATED IN: Illinois. BOND SAFEGUARD INSURANCE COMPANY (NAIC #27081) BUSINESS ADDRESS: 10002 Shelbyville Road, Suite 100, Louisville, KY 40223 - 2979, PHONE: (615) 553-9500- UNDERWRITING LIMITATION bl: $4,155,000, SURETY LICENSES c,f/: At, AK, AZ, AR, CA, CO, CT, DE, DC, FL, GA, GU, HI, ID, It, IN, KS, KY, LA, ME, MD, MA, MN, ME, MO, MP, MT, NY, NH, NJ, NY, NC, NET, ON, OK, RI, SC, SD, TN, TX, UT, VT, VA, WA, WV, WI, WY, INCORPORATED IN: South Dakota Bondex insurance Company (NAIC #12965) BUSINESS ADDRESS: P 0 Box 6, Florham Park, NJ 07932, PHONE: (973) 377-7000 UNDERWRITING LIMITATION b/: $366,000 SURETY LICENSES c,f/: DE, NJ, NY, PA, INCORPORATED IN: Newjersey Boston Indemnity Company, Inc. (NAIC #30279) BUSINESS ADDRESS: 800 Gessner Suite 600, Houston, TX 77024. 1111— Berkley Regional insurance Company NAIC #29580) BUSINESS ADDRESS: PO BOX 9190, DES MOINES, A 50306 - 9190, PHONE: (515) 473-3000 UNDERWRITING LIMITATION b/: $75,794,000, SURETY LICENSES c,f/: AL, AC AZ, AR, CA, CO, Cr, DE, DC, FL, GA, HI, ID, IL, IN, IA, KS, KY, LA, ME, MD, MA, MI, MN, MIS, MO, MT, NE, NV, NH, NJ, NM, NY, NC, NO, CH, OR, OR, PA, RI, SC, SD, TN, TX, UT, VT, VA, WA, WV, WI, WY, INCORPORATED IN: Iowa Berkshire Hathaway Homestate Insurance Company NAIC #20044) BUSINESS ADDRESS: 1314 Douglas Street, Suite 1300, Omaha, NE 68102 - 1944. PHONE: (402) 393-7255. UNDERWRITING LIMITATION h/: $149,531,000, SURETY LICENSES c,fl: AL, AK, AS, AR, CA, CO, CT, DE, DC, FL, GA, HI, ID, IL, IN, A, KS, KY, LA, ME, MID, MA, MI, MN, MS, MO, MIT, NE, NY, NH, NJ, HIM, NY, NC, HID, OH, OK, OR, PA, RI, SC, SD, TN, TX, UT, VI, VA, WA, WV, WI, WY„ INCORPORATED IN: Nebraska, Berkshire Hathaway Specialty Insurance Company (NAIC 922276) BUSINESS ADDRESS: 1314 Douglas Street, Suite 1400, Omaha, HE 68102 - 1944, PHONE: (402) 916-3000, UNDERWRITING LIMITATION b/: $348,040,000, SURETY LICENSES c,f/: AL, AK, AZ, AR, CA, CO, CT, DE, DC, Ft., GA, HI, ID, IL, IN, IA, KS, KY, LA, ME, MD, MA, MI, MN, MS, MO, M1, NE, NV, NH, Nj, NM, NY, NC, ND, OH, OK, OR, PA, RI, SC, SD, TN, TX, UT, VT, VA, WA, WV, WI, WY, INCORPORATED IN: Nebraska, BITCO GENERAL INSURANCE CORPORATION --, t,-j --.— UNDERWRITING LIMITATION b/: $2,565,000, SURETY LICENSES c,f/: AL, AZ, AR, CT, DE, DC, FL, GA, ID, IN, KS, KY, LA, ME, MA, MN, MS, MT, NE, NV, NC, KID, OK, PA, SD, TN, WV, INCORPORATED IN: South Dakota, Brierfleld Insurance company (NAIC#10993) BUSINESS ADDRESS: 6300 University Parkway, Sarasota, Fit. 34240 - 8424 PHONE: (800) 226-3224. UNDERWRITING LIMITATION b/; $937,000, SURETY LICENSES c,f/: AL, AR, FL, GA, MS, TIN, INCORPORATED IN: Mississippi BFUTILSH AMERICAN INSURANCE COMPANY (NAIC #32875) BUSINESS ADDRESS: P,O Box 1590, Dallas, TX 75221 -1590 PHONE: (214) 443-5500 UNDERWRITING LIMITATION b/: $3,232,000. SURETY LICENSES c,f/: IX, INCORPORATED IN: Texas Back LLQ-IQp C Capital indemnity Corporation (NAIC #10472) BUSINESS ADDRESS: P,O, Box 5900, Madison, WI 53705 - 0900, PHONE: (608) 829A200, UNDERWRITING LIMITATION b/: $21,873,000, SURETY LICENSES cJo AL, AC AZ, AR, CA, CO, CT, DE, DC, FL, GA, HI, ID, IL, IN, A, KS, KY, LA, ME, MD, MA, MI, MN, MIS, MO, MI, NE, NV, NH, NJ, NM, NY, NC, ND, CH, OK, OR, PA, RI, SC, SD, TN, TX, LIT, VT, VA, WA, WV, WI, WY, INCORPORATED IN: Wisconsin, Capitol Preferred Insurance Company, Inc. (NAIC #10908) BUSINESS ADDRESS: 2750 Chancellorsville Dr, Tallahassee, FL 32311 PHONE: (850) 521-0742. UNDERWRITING LIMITATION bl: $2,448,000. SURETY I ICENSES c,17: FL, GA, SC. INCORPORATED IN: Florida Carolina Casualty Insurance Company (NAIC #10510) BUSINESS ADDRESS: RD BOX 9190, DES MOINES, IA 50306 - 9190, PHONE: (904) 363-0900. UNDERWRITING LIMITATION bl: $10,753,000. SURETY LICENSES c,f/: AL, AK, AS, AR, CA, CO, CT, DE, DC, FL, GA, 111, ID, IL, IN, A, KS, KY, LA, ME, MID, MA, MI, MIN, ME, MO, MI, NE, NV, NH, NJ, NM, NY, NC, ND, OH, OR, OR, PA, RI, SC, SD, TN, Tx, UT, VT, VA, WA, WV, WI, WY INCORPORATED IN: Iowa, Centennial Casualty Company (NAIC #34568) BUSINESS ADDRESS: 2200 Woodcrest Place, Suite 200, Birmingham, AL 35209 PHONE: (205) 414-2600, UNDERWRITING LIMITATION bl: $7,735,000. SURETY LICENSES c,f/: AL - BUSINESS ADDRESS: 34200 Mound Road, Sterling Heights, MI 48310. PHONE: (800) 201-0450 x-3400. UNDERWRITING LIMITATION bl: $18,635,000. SURETY LICENSES c,U: AL, AZ, AR, CA, CO, CT, DE, FL, GA, ID, IL, IN, IA, KS, KY, LA, ME, MD, MA, ML MN, MS, MO, MT, NE, Ply, NJ, HIM, NY, NC, ND, ON, OK, OR, PA, RI, SC, SD, TN, TX, U T, VT, VA, WA, WV, WI, WY INCORPORATED IN: Michigan. CHUBB INDEMNITY INSURANCE COMPANY (NAIC #12777) BUSINESS ADDRESS: 202E Hall's Mill Road, Whitehouse Station, NJ 08889, PHONE: (215) 640-1000, UNDERWRITING LIMITATION to: $17,620,000. SURETY LICENSES c,f/: AL, AK, AZ, AR, CA, CO, CT, DE, DC, FL, GA, HI, ID, IL, IN, IA, RE, KY, LA, ME, MID, MA, MI, MN, MIS, MO, MT NE, NY, NH, NJ, NY, NY, NC, ND, OH, OR, OR, PA, RI, SC, SD, TIN, TX, UT, VT, VA, WA, WV, WI, VVY INCORPORATED IN: New York Cincinnati Casualty Company (The) (NAIC #28665) BUSINESS ADDRESS: P.O..Box 145496, Cincinnati, OFT 45250 - 5496, PHONE: (513) 870-2000. UNDERWRITING LIMITATION bl: $39,910,000, SURETY LICENSES c,f/: AL, AK, AZ, AR, CA, CO, CT, DE, DC, FL, G& HL ID, IL, IN, IA, KS, KY, LA, ME, MD, MA, MI, MN, MS, MO, MI, NE, NV, NH, NJ, HIM, NY, NC, ND, OH, OK, OR, PA, RI, SC, SD, TN, TX, U1, VT, VA, WA, WV, WI, WY. INCORPORATED IN: Ohio, CINCINNATI INDEMNITY COMPANY, THE (NAIC #23280) BUSINESS ADDRESS: P.O, BOX 145496, CINCINNATI, CH 45250 - 5496 INCORPORATED IN: Alabama, CENTRAL MUTUAL INSURANCE COMPANY (NAIC #20230) BUSINESS ADDRESS: P.O..BOX 3S1, VAN WERT, OH 45891 - 0351, PHONE: (419) 238-101 O. UNDERWRITING LIMITATION b/: $64,882,000, SURETY LICENSES c,fl: AZ, AR, CA, CO, CT, DE, GA, ID, IL, IN, IA, KY, ME, MID, MA, MI, MN, ME, MT, NV, NH, NJ, NM, NY, NC, ON, OR, OR, PA, SC, TN, TX, UT, VT, VA, WA, WI, INCORPORATED IN: Ohio. CENTURY SURETY COMPANY (NAIC #36951) BUSINESS ADDRESS: 550 Polaris Parkway, Westerville, ON 43082, PHONE: (614) 895-2000. UNDERWRITING LIMITATION b/: $3,249,000. SURETY LICENSES c,f/: AZ, ON, WV, WI. INCORPORATED IN: Ohio. Charter Oak Fire Insurance Company (The) (NAIC #25615) BUSINESS ADDRESS: ONE TOWER SQUARE, HARTFORD, CT 06183, PHONE: (860) 277-0111 . UNDERWRITING LIMITATION b/: $22,873,000 SURETY LICENSES c,f/: AL, AK, AZ, AR, CO, CT, DF, DC, FL, GA, HI, ID, IL, IN, K, RE, KY, LA, ME, MD, MA, MI, MIN, MIS, MO, MT, NE, NV, NH, NJ, NM, NY, INC, ND, OH, OK, OR, PA, FIR, RI, SC, SD, TN, TX, UT, VT, VA, WA, WV, WI, WY. INCORPORATED IN: Connecticut. Cherokee Insurance Company (NAIC #10642) PHONE: (513) 870-2000. UNDERWRITING LIMITATION bl: $10212,000 SURETY LICENSES c,(C AL, AK, AZ, AR, CA, CO, CT, DE, DC, FL, GA, 111, ID, IL, IN, IA, KS, KY, LA, ME, MD, MA, MI, MIN, MIS, 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: Ohio, Cincinnati Insurance Company (The) (NAIC #10677) BUSINESS ADDRESS: P.O. BOX 145496, CINCINNATI, ON 45250 - 5496. PHONE: (513) 870-2000, UNDERWRITING LIMITATION b/: $441,689,000 SURETY LICENSES c,ft: AL, AK, AS, AR, CA, CO, CT, DE, DC, FL, CA, HI, ID, It, IN, A, KS, KY, LA, ME, MD, MA, MI, MY, ME, MO, MT, NE, NV, NH, NJ, NM, NY, NC, ND, ON, OK, OR, PA, FIR, RI, SC, SO, TN, TX, UT, VT, VA, WA, WV, WI, WY, INCORPORATED IN: Ohio, CITIZENS INSURANCE COMPANY OF AMERICA (NAIC #31534) BUSINESS ADDRESS: 440 LINCOLN STREET, WORCESTER, MA 01653 - 0002. PHONE: (508) 853-7200, UNDERWRITING LIMITATION bl: $70,326,000 SURETY LICENSES c,f/: AL, AK, AZ, AR, CO, CT, DE, DC, GA, HI, IL, IN, A, KS, ME, MD, MA, MI, MN, ME, MO, MT, NE, NH, NJ, NM, NY, NC, NO, ON, OK, PA, RI, SC, ED, TN, TX, UT, V1, VA, WA, WV, WI, INCORPORATED IN: Michigan, COLONIAL AMERICAN CASUALTY AND SURETY COMPANY (NAIC #34347)5 BUSINESS ADDRESS: 1299 ZURICH WAY, 5TH FLOOR, SCHAUMBURG, IL 60196 - 1056. PHONE: (847) 605-6000, UNDERWRITING uvir-ATION bl: $2,286,000. SURETY LICENSES c,fl: AL, AK, AZ, AR, CA, CO, CT, DE, DC, FL, GA, [11, ID, IL, IN, IA, KS' KY, 1A ME, MD, MA, MI, MN, IIAS, MO, MT, NE, NV, NJ, NM, NY, NC, ND, OH, OK, OR, PA, RI, SC, ED, TN, TX, UT, VT, VA, WA, WV, WI, VVY. INCORPORATED IN: Illinois. COILONIIAll. SURIFFY COMPANY (NAIC #10758) BUSINESS ADDRESS: 123 Tice Boulevard, Suite 250, Woodcliff Lake, NJ 07677. PHONE: (201) 57.3-8788. UNDERWRITING LIMITATION b/: $4,624,000, SURETY LICENSES c,f/: AL, AK, AZ, AR, CA, CO, CT, DE, DC, FL, GA, GU, HI, ID, T., IN, A, KS, KY, LA, ME, MD, MA, MI, MIX, MS, MO, MP, MIT, NE, NV, NH, NJ, NM, NY, NC, ND., OH, ON, OR, PA, PR, RI, SC, ED, TN, TX, UT, VT, VA, VI, WA, WV, WI, WY, INCORPORATED IN: Pennsylvania Corithinentall Casualty Company (NAIC #20443) BUSINESS ADDRESS: 151 IN Franklin St., CHICAGO, IL. 60606, PHONE: (312) 822 5000 UNDERWRITING LIMITATION b/: $/02,733,000 SURETY IICFNSES c,f/: AT-, AK, AZ, AR, CA, CO, C11 DE, DC, H., GA, III, ID, IL, IN, IA, KS, KY, LA, ME, MD, MA, MI, MN, MS, MO, MT, NE, NV Nil, NJ, NM, NY, NC, NO, Oil, OK, OR, PA, PR, RI, SC, SO, IN, TX, UT, VT, VA, VI, WA, WV, WI, WY, INCORPORATED IN: Illinals, CONirlimENTAII. I-JERITAGE INSURAINCIE COMPANY (NAIC #.39551) BUSINESS ADDRESS: 200 PARK AVENUE, SUITE 400, ORANGE VILLAGE, 01144121 PHONE: (877) 645,1871, UNDERWRITING LIMITATION ll/: $2,569,000. CorelPointe Insurance Company (NAIC #10499) BUSINESS ADDRESS: RD BOX 812319, Boca Raton, FIL 33481. PHONE: (800) 782-9164. UNDERWRITING LIMITATION bl: $1,412,000, SURETY LICENSES c,f/: Al..,AK, AZ, AR, CA, CO, Cr, DE, DC, FL, GA, HI, IS, It., IN, A, KS, KY, LA, ME, MID, MA, I'Al, JOIN, ME, MO, MT, NE, NV, NH, NJ, NM, NY, NC, ND, OH, OK, OR, PA, RI, SC, SD, TIN, TX, UT, V1, VA, WA, WV, WI, WY. INCORPORATED IN: Delaware. CUMIS INSUPANCE SOCIETY, INC. (NAIC r(10847) BUSINESS ADDRESS: POST OFFICE BOX 1084, MADISON, WI 53701. PHONE: (608)238-5851. UNDERWRITING LIMITATION b/: $89,491,000 SURETY LICENSES Ofl: AL, AK, A7, AR, CA, CO, CT DE, DC, FL, GA, GU, Iii, ID, T., IN, A, KS, KY, ..A, ME, MD, MA, MI, MIN, IAS, MO, MT, NE, NV, NH, 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. CUJIMIS Speclalty Insurance Company, IInc. (NAIC #12758) BUSINESS ADDRESS: Post Office Box 1084, Madison, WI 53701, PHONE: (608) 238 5851, UNDERWRITING LIMITATION IrP $4,744,000. SURETY LICENSES c,ff: AL, CA, CT, DC, FL, GA, HI, 0, IL, IN, IA, KS, KY, MD, 1/IA, MI, MIN, MO, NE, NV, NJ, NY, NC, OH, OK, OR, PA, SC, SD, TX, UT, VA, WA, WI, WY. INCORPORATED IN: Iowa. NJ, ND, CH, PA, SC, ED, TN, TX, UT, VA, WA, WV, WY. uv INCORPORATED IN: Florida. ContInentall Insurance Company ('11he) (NAIC #35289) BUSINESS ADDRESS: 151 N Franklin St., CHICAGO, II.. 60606, PHONE: (.312) 822-5000, UNDERWRITING (..IMITATION b/: $160,006,000. SURETY LICENSES c,f/: AL, AK, AZ, AR, CA, CO, CT, DE, DC, FL., GA, GU, HI, ID, II., IN, IA, KS, KY, LA, IIAE, ME), MA, 101, MR, JOS, MO, ME, MT, NE, NV, NH, NJ, NM, NY, NC, ND, 011, OK, OR, PA, FIR, R[, SC, SO,'TN, TX, UT, VT, VA, VI, WA, WV, WI, WY INCORPORATED IN: Pennsylvania, coulnuciroilts IDONDIING AND IINSUIRANCE COMPANY (NAIC#37206) BUSINESS ADDRESS: 9025 N. Lindbergh Drive, Peoria, It. 61615, PHONE: (309) 692 1000. UNDERWRITING LIMITATION bl: $11,413,000, SURETY LICENSES c,f/: AL, AK, AS, AR, CA, CO, CT, DE, DC, H., GA, Fil, ID, If, IN, IA, KS, KY, LA' ME, MD, MA, ML MY, MIS, MO, MT, NE, NY, N11, NJ, NMI, NY, NC, ND, 011, OK, OR, PA, RI, SC, ED, TN, Is, UT, VT, VA, WA, WV, WI, WY, INCORPORATED IN: Illinois CooperatIva de Seguras Mulldplles de Puerto R11co (NAIC #18163) BUSINESS ADDRESS: PO BOX363846, SANJUAN, PR 00936 .3846, PHONE: (797) 622 35 75 x-2512 UNDERWRITING LIMITATION bl: $12,545,000, SURETY URETY LICENSES c,f(: PR, INCORPORATED IN: Puerto Rico 11) Developers Surety and IInderninIty Company (NAIC #12718) BUSINESS ADDRESS: P.O. BOX 19725, IRVINE, CA 92623 -9725. PHONE: (949) 263 3300 UNDERWRITING (..IMITATION b/: $10,740,000 SURETY LICENSES c,f/; AL, AK, AS, AR, CA, CO, C-L DE, DC, FL, GA, Ell, ID, It., IN, A KS, KY, LA, ME, DID, MA, MI, ON, MIS, MO, IAT, NE, NV, NH, NJ, NO, NY, NC, ND, OH, OK, OR, PA, M, SC, SO, TN, TX, UT, \FF, VA, VI, WA, WV, WI, WY. INCORPORATED IN: California Bidl�' p E Employers Insurance Company of Wausau (NAIC#21458) BUSINESS ADDRESS: 175 Berkeley Street, Boston, IVA02116 PHONE: (617).357 9500, UNDERWRITING I..IMITATIONb/:$I50,955,000 SURETY LICENSES c,f/: At, AK, AZ, AR, CA, CO, CT, DE, DC, FL, GA, HI, IS, IL, IN, A, RE, KY, UA, IVE, MD, MA, MI, MIN, MIS, MO, MT, NE, NV, NH, NJ, NM, NY, NC, ND, OH, CTIC OR, PA, PR, RI, SC, SD, TN, TX, UT, VT, VA, VI, WA, WV, WI, WY. INCORPORATED IN: Wisconsin. ErnjpJoyers IMutuall Casualty Company (NAIC #21415) BUSINESS ADDRESS: P. 0 BOX 712, DES MOINES, IA 50306 0712 PHONE: (515) 280-2511 . UNDERWRITING LIMITATION b/: $143,374,000. SURETY LICENSES l,f/: AL, AK, KZ, AR, CA, CO, C1, DE, DC, FL, GA, HI, IS, III, IN, A, KS, KY, LA, ME, MD, MA, MI, MN, MIS, MO, MIT, NE, NV, NH, NJ, NM, NY, NC, ND, ON, OK, OR, PA, RI, SC, SO, TN, TX, UT, VT, VA, WA, WV, WI, WY, INCORPORATED IN: Iowa, Endurance American Insurance Company (NAIC #10641) BUSINESS ADDRESS: 4 MANHAI IANVIULE ROAD, PURCHASE, NY 10577, PHONE: (914) 468-8000, UNDERWRITING LIMITATION bt: $54,690,000L SURETY LICENSES rj/: AU AK, AZ, AR, CO, DE, DC, GA, HI, ID, IL, IN, IA, KS, KY, LA, MR, MA, MI, MS, MO, Mr, NF, NV, NH, NJ, RIO, NY, ND, OH, OM OR, RI, SC, SD, TIN, TX, UT, VT, WA, WV, WI, WY, INCORPORATED IN: Delaware, Endurance Assurance Corporation (NAIC #11551) BUSINESS ADDRESS: 4 MANHATTANVILLE ROAD, PURCHASE, NY 10577, PHONE: (914) 468-8000 UNDERWRITING LIMITATION b/: $56,184,000 SURETY LICENSES c,f/: AL, AM AZ, AR, CA, CO, CF, DE, DC, FL, GA, GU, HI, ID, 11r, IN, IA, KS, KY, LA, ME, MID, MA, MI, MIN, MS, MO, MT, NE, NV, NJ, NM, NY, NC, ND, OH, OK, OR, PA, PR, RI, SC, SD, T N, IX, UT, VT, VA, WA, WV, WY, INCORPORATED IN: Delaware, Erie Insurance Company (NAIC #26263) BUSINESS ADDRESS: 100 ERIE INSURANCE PLACE, ERIE, PA 16530, PHONE: (814) 870-2000, UNDERWRITING LIMITATION b/: $37,647,000, INCORPORATED IN: Ohio, Executive Risk indemnity Inc. (NAIC #35181) BUSINESS ADDRESS: 2026 [tali's Mill Road, Whitehouse Station, NJ 08889, PHONE: (215) 640-1000, UNDERWRITING LIMITATION bl: $158,426,000 SURETY LICENSES c,fo AL, AK, AS, AR, CA, CO, DE, DC, FL, GA, HI, ID, IL, IN, IA, KS, KY, LA, ME, MD, MA, MI, MIA, MS, MO, MT, NE, NV, NH, NJ, NM, NY, NC, NO, OH, OK, OR, PA, RI, SC, SO, TN, I X, U1, VT, VA, WA, WV, WI, WY INCORPORATED IN: Delaware. Explorer insurance Company (NAIC #40029) BUSINESS ADDRESS: P,O. BOX 509039, SAN DIEGO, CA 92150 PHONE: (856) 350-2400 UNDERWRITING LIMITATION b/: $15,796,000 SURETY LICENSES c,f/: AL AK, AS, AZ, AR, CA, CO, CT, DE, DC, FL, GA, Hi ID, L, IN, IA, KS, KY, LA, ME, MD, MA, MI, MN, MS, MO, MT, NE, NV, NJ, NM, NY, NC, DK, OR, PA, RI, SC, SD, TN, TX, UT, VT, VA, WA, WV, W1 INCORPORATED IN: California. F Farr American Insurance and Reinsurance Company (NAIC #35157) BUSINESS ADDRESS: One Liberty Plaza, 165 Broadway, New York, NY 10006, PHONE: (212) 365-2200, UNDERWRITING LIMITATION laf: $1%944,000, SURETY LICENSES c,f/: DC, IL, IN, KY, MD, MN, NY, NC, OH, PA, TN, VA, WV, W1 INCORPORATED IN: Pennsylvania, Euler 5-fermes North America Insurance Company (NAIC #20516) BUSINESS ADDRESS: 800 Red Brook Blvd, Owings Mills, MD 21117 P1 IONE: (410) 753-0751 UNDERWRITING LIMITATION hP $17,842,000, SURETY LICENSES cjl: AL, AK, AZ, CA, CO, CT, DE, DC, GA, HI, ID, L, IN, IA, KS, KY, LA, MD, MA, MI, MR, MS, MO, MIT, NF, NV, NH, NJ, HIM, NY, NC, NO, CH, OK, PA, RI, SC, SD, TN, TX, UT, VT, VA, WA, WV, WI, WY, INCORPORATED IN: Maryland, Everest Reinsurance Company (NAIC#26921) BUSINESS ADDRESS: P.Q. Box 830, Liberty Corner, NJ 07938 0830 PHONE: (908) 604-3000, UNDERWRITING LIMITATION b/: $365,059,000 SURETY LICENSES (:,f/: AL, AK, AZ, AR, CA, CO, CT, DE, DC, FL, GA, HI, ID, L, IN, IA, K.S., KY, LA, ME, MD, MA, MI, MN, MS, MO, MR, MT, NF, No, NH, NJ, NM, NY, NC, ND, CH, OK, OR, PA, RI, SC, SD, TN, TX, UT, VT, VA, WA, WV, WI, WY. INCORPORATED IN: Delaware - Evergreen National Indemnity Company (NAIC #12750) BUSINESS ADDRESS: 6140 FARMLAND BLVD, STE 321, MAYFIELD HEIGHTS, OH 44124 PHONE: (440) 229-3420 UNDERWRITING LIMITATION bX $3,443,00CL SURETY LICENSES c,fl: AL, AK, AZ, AR, CA, CO, CT, DE, DC, FL, CA, ID, IL, IN, IA, KS, KY, LA, ME, MID, MA, MI, MN, MIS, MO, Mr, NE, NV, NH, NJ, NM, NY, ND, CH, OR OR, PA, RI, SC, SO, TN, TX, UT, VT, VA, WA, WI, WY, SURETY LICENSES cjl: AL, AK, AZ, AR, CA, CO, CT, DE, DC, FL, GA, HI, ID, L, 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, SO, TN, TX, LIT, VT, VA, V1, WA, WV, WI, WY. INCORPORATED IN: New York Farmers Alliance Mutual Insurance Company (NAIC #19194) BUSINESS ADDRESS: P,O, Box 1401, McPherson, KS 67460, PHONE: (620) 241-2200, UNDERWRITING LIMITATION bl: $18,393,000. SURETY LICENSES c,f/: CO, ID, A, KS, ION, MO, MIT, NE, NM, NO, OR, SD, INCORPORATED IN: Kansas Farmington Casualty Company (NAIC #41483) BUSINESS ADDRESS: ONE TOWER SQUARE, HAR T FORD, CT 06183 PHONE: (860) 277-0111 UNDERWRITING LIMITATION b/: $28,623,000, 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, MN, MIS, MO, MIT, NE, NV, NH, NJ, NM, NY, NC, ND, OH, OK, OR, PA, RI, SC, ED, TN, TX, UT, VT, VA, WA, WV, WI, WY INCORPORA1 ED IN: Connecticut. Farmland Mutual Insurance Company (NAIC #13838)' FOCI insurance Company (NAIC #10178) BUSINESS ADDRESS: 6300 University Parkway, Sarasota, FL 34240 - 8424, PHONE: (800) 226-3224, UNDERWRITING LIMITATION b/: $55,070,000, SURETY LICENSES c,f/: AL, AZ, AR, CO. DC, FIE, GA, IL, IN, IA, KS, KY, LA, MD, MI, MIS, MO, NE, NC, ON, OR, PA, SC, TN, TX, VA INCORPORATED IN: Florida, Federal Insurance Company (NAIC #20281) BUSINESS ADDRESS: 202B Hall's Mill Road, Whitehouse Station, NJ 08889, PHONE: (215) 640-1000. UNDERWRITING LIMITATION ti $461,364,000 SURETY LICENSES c,f/: AL, AK, AZ, AR, CA, CO, CT, DE, DC, FIE, GA, GO, HI, ID, IL, IN, IA, KS, KY, LA, ME, MD, MA, MI, MN, MS, MO, IMP, MIT, NE, NV, NH, NJ, NM, NY, NC, ND, CH, OK, OR, PA, PR, RI, SC, ED, TN, TX, UT, VT, VA, A, WA, WV, WI, WY, INCORPORATED IN: Indiana, FEDERATED MUTUAL INSURANCE COMPANY (NAIC#1393S) BUSINESS ADDRESS: 121 EAST PARK SQUARE, OWATONNA, MIN 55060 PHONE: (507) 4155200 UNDERWRITING LIMITATION bl: $346,382,000. SURETY LICENSES c,f/: AL, AK, AZ, AR, CA, CO, CT, DE, DC, FL, GA, ID, IL, IN, IA, KS, KY, LA, ME, MID, MA, MI, MIN, MS, MO, MT, NE, NY, NH, NJ, NM, NY, NC, ND, ON, OK, OR, PA, RI, SC, ED, TN, TX, UT, V 1, VA, WA, AV, WI, WY, INCORPORATED IN: Minnesota, Fidelity and Deposit Company of Maryland (NAIC #39306)7 BUSINESS ADDRESS: 1299 ZURICH WAY, 5TH FLOOR, SCHAUMBURG, IL 60196 - 1056, PHONE: (847) 605-6000, UNDERWRITING LIMITATION b/: $27,371,000. SURETY LICENSES c,f/: AL, AK AZ, AR, CA, CO, CT, DE, DC, FL, GA, GO, 1-11, ID, RE, IN, IA, KS, KY, LA, ME, MD, MA, MI, MIN, MS, MO, MP, MIT, NE, NV, NH, NJ, NM, NY, NC, ND, OH, OK, OR, PA, PR, RI, SC, SD, TN, TX, UT, VT, VA, VI, WA, WV, WI, WY, Financial Pacific unsuVanCe company (NAIC #31453) BUSINESS ADDRESS: P.O. BOX 73909, CEDAR RAPIDS, IA 52407 - 3909. PHONE: (319) 399-5700, UNDERWRITING LIMITATION V $10,176,000 SURETY LICENSES c,f/: AK, AZ, AR, CA, CO, FL, ID, IL, LA, RE, MN, MO, MT, NE, NV, NM, NO, OK, OR, SD, TX, UT, WA, WI. INCORPORATED IN: California, Fireman's Fund Insurance Company (NAIC #21873) BUSINESS ADDRESS: 225 W. WASHINGTON STREET, SUN E 1800, CHICAGO, IL 60606 - 3484, PHONE: (SEE) 466-7883, UNDERWRITING LIMITATION V $131,328,000, SURETY LICENSES c,17: AL, AK, AZ, AR, CA, CO, CT, DE, DC, FL, GA, GILL HI, ID, L, IN, IA, KS, KY, LA, ME, DID, MA, MI, MIN, ME, MO, MIT, NE, No, NFL NJ, NM, NY, NC, ND, OH, OR, OR, PA, PR, RI, SC, SD, TN, TX, LIT, VT, VA, VI, WA, WV, WI, WY, INCORPORATED IN: California. First Founders Assurance Company (NAIC #12150) BUSINESS ADDRESS: 6 Mill Ridge Lane, Chester, NJ 07930 •2486. PHONE: (909) 879-0990, UNDERWRITING LIMITATION b/: $4B7,000, SURETY LICENSES c,f/: NJ, NY. INCORPORATED IN: New Jersey. First Insurance Company of Hawaii, Ltd. (NAIC #41742) BUSINESS ADDRESS: RD Box 2866, Honolulu, HI 96803, INCORPORATED IN: Illinois, FIDELITY AND GUARANTY INSURANCE COMPANY (NAIC #35386) BUSINESS ADDRESS: One Tower Square, Hartford, CT 06183, PHONE: (860) 277-0111, UNDERWRITING LIMITATION b/: $1,814,000, SURETY LICENSES c,f/: AL, AK, AZ, AR, CA, CO, CT, DE, DC, FL, GA, HI, ID, IL, IN, IA, KS, KY, LA, ME, MIS, MA, MI, MIN, MS, MO, MT, NE, No, NH, NJ, NM, NY, NC, ND, OH, OR, OR, PA, RI, SC, SD, TN, TX, UT, VT, VA, WA, WV, WI, WY. INCORPORATED IN: Iowa, Fidelity and Guaranty Insurance Underwriters, Inc. (NAIC #25879) BUSINESS ADDRESS: One Tower Square, Hartford, CT 06183. PHONE: (860) 277-0111 . UNDERWRITING LIMITATION b/: $8,892,000 SURETY LICENSES c,f/: AL, AK, AZ, AR, CA, CO, CV, DE, DC, FIE, CA, HI, ID, It., IN, [A, KS, KY, LA, ME, MD, MA, MI, MN, MS, MO, MIT, NE, NV, NH, NJ, NM, NY, NC, ND, ON, OR, OR, PA, RI, SC, ED, IN, TX, UT, VI, VA, WA, WV, WI, WY, INCORPORATED IN: Wisconsin Financial Casualty & Surety, Inc, (NAIC 435009) BUSINESS ADDRESS: 3131 Eastside, Suite 600, Houston, TX 77098. PHONE: (800) 392-1604 UNDERWRITING LIMITATION b/: $1,323,000. SURETY LICENSES cjl: AZ, CA, CT, DE, FIE, GA, ID, IN, IA, KS, EA, MID, MI, MIA, ME, MO, Mr, NV, NJ, NY, NC, ND, OH, PA, SC, ED, TN, TX, UT VT, VA, WA, WV INCORPORATED IN: Texas PHONE: (808) 527-7777, UNDERWRITING LIMITAIIOIN Ist: $28,013,000, SURETY LICENSES c,f/: GU, HI INCORPORATED IN: Hawaii First Liberty Insurance Corporation (The) (NAIC#33588) BUSINESS ADDRESS: 175 Berkeley Street, Boston, MA 02116, PHONE: (617) 357-9500 X-41177. UNDERWRITING LIMITATION b/: $2,267,000 SURETY LICENSES c,fl: AL, AK, AS, AR, CA, CO, CT, DE, DC, FL, GA, GO, HI, ID, IL, IN, A, KS, KY, LA, ME, MD, MA, MI, MN, MS, MO, MT, NE, NV, NH, NJ, NM, NY, NC, ND, OH, OK, OR, PA, RI, SC, SD, TN, TX, Of, VT, VA, VI, WA, WV, WI, WY, INCORPORATED IN: Illinois, First Net Insurance Company (NAIC #10972) BUSINESS ADDRESS: 424 WEST O'BRIEN DRIVE, STE 202, HAGATNA, GO 96910, PHONE: (671) 477-8613 UNDERWRITING LIMITATION b/: $1,332,000, SURETY LICENSES c,U: GU, MR, INCORPORATED IN: Guam Frankenmuth Mutual Insurance Company (NAIC #13986) BUSINESS ADDRESS: One Mutual Avenue, Frankenmuth, MI 48787 - 0001. PHONE: (989) 652-6121, UNDERWRITING LIMITATION bl: $64,090,000, SURETY LICENSES cjtAL, AZ, AR, CO, CT, DE, FIE, GA, ID, IL, IN, IA, KS, KY, LA, ME, MD, MA, MI, MN, ME, MO, MIT, NE, NV, NH, NJ, NM, NY, NC, ND, ON, OK, OR, PA, RI, SC, SD, TIN, TX, UT VT VA WA WV WI WY INCORPORATED IN: Michigan. G General Casualty Company OE Wisconsin (NAIC #24414) BUSINESS ADDRESS: One QBE Way, Sun Prairie, WI 53596, PHONE: (608) 825-5160 UNDFRWRITING LIMITATION b/: $18,041,000, SURETY LICENSES c,f/: AL, AK AZ, AR, CA, CO, CT, DE, DC, GA, HI, ID, IL, IN, A, KS, KY, LA, MID, MA, ML TAN, MS, MO, MT, NE, NV, NH, NJ, NM, NY, NC, NO, OH, OR, OR, PA, RL SC, SO, FRI, TX, UT, VT, VA, WA, WV, WE WY. INCORPORATED IN: Wisconsin, General Reinsurance Corporation (NAIC #22039) BUSINESS ADDRESS: 120 LONG RIDGE ROAD, STAMFORD, CT 06902 - 1843, PHONE: (203) 328-5000 UNDERWRITING LIMITATION bl: $1,05S,014,000 SURETY LICENSES c,f/: A[, AK, AS, AR, CA, CO, Cr, DE, DC, FL, GA, ID, L, IN, A, KY, LA, ME, DID, MA, MI, DIN, ME, MO, MIT, NE, NV, PH, NJ, RIM, NY, NC, ND, OH, OR, OR, PA, RE SC, SD, TN,'TX, UT, VT, VA, WA, WV, W1, WY INCORPORATED IN: Delaware, GRANGE INSURANCE COMPANY (NAIC W14060)' BUSINESS ADDRESS: 671 South High Street, Colurnbus, OH 43206 - 1014, PHONE: (614)445-2900. GRAY CASUALTY & SURETY COMPANY (THE) (NAIC #10671) BUSINESS ADDRESS: P 0. Box 6202, Metairie, LA 70009 - 6202, PHONE: (504) 988-7790, UNDERWRITING LIMITATION b/: $1,558,000 SURE IY LICENSES c,f/: AL, AZ, AR, CA, DC, GA, E, KY, LA, MD, MS, MO, NA NIA, NY, NC, OR, PA, SC, TN, TX, INCORPORATED IN: Louisiana GRAY INSURANCE COMPANY (THE) (NAIC #36307) BUSINESS ADDRESS: P,O, BOX 6202, METAIRIE, LA 70009 - 6202 PHONE: (504) 888-7790 UNDERWRITING LIMITATION b/: $11,264,000 SURETY LICENSES c,fl: M, AK, AZ, AR, CA, co, CT, DE, DC, FL, GA, HL ID, IL, IN, IA, KS, KY, LA, ME, MD, MA, MI, MIN, MIS, MO, MT, NE, NV, NH, NJ, NM, NY, NC, ND, ON, OR, OR, PA, RI, SC, SD, TN, TX, UT, VT, VA, WA, WV, WI, WY. INCORPORATED IN: Louisiana. Great American Alliance Insurance Company (NAIC #26832) BUSINESS ADDRESS: 301 E Fourth Street, Cincinnati, CH 45202, PHONE: (513) 369-5000L UNDERWRITING [IMITATION b/: $2,848,000, SURETY I ICENSES c,f/: At, AK, AS, AR, CA, CO, CT, DE, DC, FL, GA, HI, ID, It, IN, IA, KS, KY, IA, ME, MD, MA, MI, MR, MS, MO, MT, NE, NV, NH, NJ, NM, NY, NC, ND, OH, OR, OR, PA, RI, SC, SD, TIN, TX, UT, VT, VA, WA, WV, WI, WY, INCORPORATED IN: Chlo, Great American Insurance Company UNDERWRITING LIMITATION b/: $128,189,000 SURETY LICENSES c,fl: AL, GA, IL, IN, A, KS, KY, MN, MID, ON, PA, SC, TN, VA, WL INCORPORATED IN: Ohio.. GRANGE INSURANCE COMPANY OF MICHIGAN (NAIC #11 13G) BUSINESS ADDRESS: 671 South High Street, P.O. Box 1218, Columbus, 01143216 - 1218, PI IONS: (614) 445-2900, UNDERWRITING LIMITATION b/: $4,528,000 SURETY LICENSES c,fl: MI. INCORPORATED IN: Ohio, GRANITE RE, INC. (NAIC #26310) BUSINESS ADDRESS: 14001 Quailbrook Drive, Oklahoma City, OR 73134 PHONE: (405) 752-2600. UNDERWRITING LIMI TA LION bl: $4,197,000, SURETY LICENSES c,f/: At, A7, AR, CO, Cl, DE, DC, FL, GA, ID, IL, IN, A, KS, KY, [A, ME, MD, MA, MI, MN, MS, MO, MT, NE, NV, NH, NM, NC, ND, OH, OR, OR, PA, RI, SC, SD, TN, TX, UT, VT, VA, WA, WV, WE WY, INCORPORATED IN: Oklahoma Granite State Insurance Company (NAIC #23809) BUSINESS ADDRESS: 175 WATER STREET, 1 8TH FLOOR, NEW YORK, NY 10038, PHONE: (212) 770-7000, UNDERWRITING LIMITATION bl: $3,487,000, SURETY LICENSES cjl: AL, AK, AZ, AR, CA, CO, CT, DC, FL, GA, HI, ID, IL, IN, IA, KS, KY, LA, ME, RID, MA, NIL MR, MIS, MO, MT, NE, NV, NH, NJ, NM, NY, INC, NO, OH, OR, OR, PA, Rl, SC, SO, TN, TX, UT, VT, VA, WA, WV, WI, WY wr--P�Tln iW 1111—,k (NAIC #16691) BUSINESS ADDRESS: 301 E Fourth Street, Cincinnati, OH 45202, PHONE: (513) 369-5000, UNDERWRITING LIMITATION b/: $187,743,000, SURETY LICENSES c,f/: AL, AK, AZ, AR, CA, CO, CT, DE, DC, FL, GA, GU, III, ID, L, IN, IA, KS, KY, L& ME, MID, MA, MI, MIN, MS, MO, MT, NE, NV, NH, NJ, NM, NY, NC, ND, OH, OR, OR, PA, PR' RI, SC, SD, TN, TX, LIT, VT, VA, WA, WV, WI, WY, INCORPORATED IN: Ohio, GREAT AMERICAN INSURANCE COMPANY OF NEW YORK (NAIC #22136) BUSINESS ADDRESS: 301 E Fourth Street, Cincinnati, OH 4.5202„ PHONE: (513) 369-5000 UNDERWRITING LIMITATION bl: $10,025,000, SURETY LICENSES c,f/: M, AK, AZ, AR, CA, CO, CT, DE, DC, Fl, GA, HI, ID, IL, IN, IA, KS, KY, LA, ME, MD, MA, MI, ION, MS, MO, MIT, NE, NV, NH, NJ, NIA, NY, NC, ND, 011, OK, OR, PA, RI, SC, SD, TN, TX, UT, VT, VA, WA, WV, WE WY INCORPORATED IN: New York Great Midwest Insurance Company (NAIC #18694) BUSINESS ADDRESS: 800 Gessner, Suite 600, Houston, Texas 77024, PHONE: (713) 935-0226, UNDERWRITING LIMITATION bl: $10,291,000, SURETY LICENSES c,f/: AL, AK, AS, AR, CA, CO, CT, DC, OF, Fl, GA, HI, ID, E, IN, IA, RE, KY, LA, ME, DID, MA, ML MIN, MS, MO, MT, NF, NV, NH, NJ, NM, NY, NC, ND, OH, OR, OR, PA, Rk SC, SD, TN, TX, LIT, VA, VI, VT, WA, WV, WI, WY INCORPORATED IN: Taxes, Great Northern Insurance Company (NAIC #20303) BUSINESS ADDRESS: 202E Hall's Mill Road, Whitehouse Station, NJ 08889 PHONE: (215) 640-1000 UNDERWRITING LIMITATION bl: $38,499,000, SURETY LICENSES c,f/: AL, AV AZ, AR, CA, CO, CT, DE, DC, FL, GA, HI, ID, It, IN, IA, KS, KY, LA, ME, MID, MA, MI, MIN, MIS, MO, MT, NE, NY, NH, NJ, NM, NY, NC, ND, ON, OK, OR, PA, RI, SC, SD, TN, TX, UT, VT, VA, WA, WV, WL WY. INCORPORATED IN: Indiana, Guarantee Company of North America USA (The) (NAIC #36650) BUSINESS ADDRESS: One. Towne Square, Suite 1470, Southfield, MI 48076 - 3725, PHONE: (248) 281-0281 x-66012 UNDERWRITING LIMITATION bl: $19,992,000 SURETY LICENSES c,f/: AL, AC AS, AR, CA, CO, CT, DE, DC, FL, GA, HI, ID, IL, IN, A, KS, KY, LA, ME, DID, MA, MI, MN, MS, NICE MT, NE, NV, NH, NJ, RIM, NY, NC, ND, OH, OK, OR, PA, FIR, RI, SC, ED, T N, TX, UT, VT, VA, VI, WA, WV, WI, VVY, INCORPORATED IN: Michigan, 0"GUP, I'm H Hanover Insurance Company (The) (NAIC #22292) BUSINESS ADDRESS: 440 LINCOI N STREET, WORCESTER, MA 01653 - 0002 PHONE: (508) 853-7200, UNDERWRITING LIMITATION IV: $138,546,000, SURETY LICENSES c,f/: AL, AC AS, AR, CA, CO, CT, DE, DC, FIE, GA, HI, ID, L, IN, A, KS, KY, LA, ME, DID, MA, MI, MIN, MS, MO, MIT, NE, NV, NH, NJ, NM, NY, INC, ND, OH, OK, OR, PA, RI, SC, SD, TIN, TX, UT, VT, VA, WA, WV, WI, WY. INCORPORATED IN: New Hampshire, tINAIU If I YJWZI BUSINESS ADDRESS: One Hartford Plaza, Hartford, Cl- 06155 - 0001. PHONE: (860) 547-5000, UNDERWRITING LIMITATION b/: $865,521,000. SURETY LICENSES c,f/: AT-, AK, AZ, AR, CA, CO, CT, DE, DC, FL, GA, GU, HI, ID, IL, IN, K, KS, KY, LA, ME, MD, MA, MI, MINI, MIS, MO, MT, NE, NV, NI 1, NJ, NM, NY, NC, ND, 011, OK, OR, PA, PR, RI, SC, SD, TN, TX, UT, VT, VA, WA, WV, WI, WY, INCORPORATED IN: Connecticut. Hartford Insurance Company of Illinois (NAIC tt38288) BUSINESS ADDRESS: One Hartford Plaza, Hartford, CT 06155 - 0001 PHONE: (860) 547-5000, UNDERWRITING LIMITATION b/: $128,034,000 SURETY LICENSES cjl: AS, L, KY, MI, MO, NY, NC, OK, PA, SC, TN, TX, ITT, VA, WV, INCORPORATED IN: Illinois. Hartford Insurance Company of the Midwest (NAIC #37478) BUSINESS ADDRESS: One Hartford Plaza, Hartford, Cr 06155 - 0001, PHONE: (860) 547-5000, UNDERWRITING LIMITATION bl: $52,735,000 SURETY LICENSES c,f/: AL, AK, AS, AR, CA, CO, CT, DE, DC, FL, GA, HI, 10, It, IN, IA, KS, KY, LA, ME, MID, MA, MI, MN, MIS, MO, MITI NE, NV, NH, NJ, AM, NY, NC, ND, OH, OK, OR, PA, RI, SC, SD, TN, TX, UT, VT, VA, WA, WV, WI, WY, INCORPORATED IN: Indiana. Hartford Insurance Company of the Southeast (NAIC#38261) BUSINESS ADDRESS: One Hartford Plaza, Hartford, (T 06155 - 0001. PHONE: (860) 547-5000, HARCO NATIONAL INSURANCE COMPANY (NAIC #26433) BUSINESS ADDRESS: 702 OBERLIN ROAD, RALEIGH, NC 27605 - 0800, PHONE: (919) 833-1600, UNDERWRITING LIMITATION bl: $15,455,000, SURETY LICENSES c,f/: AL, AK, AZ, AR, CA, CO, CT, DE, DC, FL, GA, ID, L, IN, IA, KS, KY, LA, ME, MD, MA, MI, MN, MS, MO, MR, MT, NE, NV, INN, NJ, NM, NY, NC, ND, OH, OK, OR, PA, RI, SC, SD, TIN, TX, UT, VT, VA, WA, WV, WI, WY INCORPORATED IN: Illinois Hartford Accident and Indemnity Company (NAIC #22357) BUSINESS ADDRESS: One Hartford Plaza, Hartford, CT 06155 - 0001, PHONE: (860) 547-5000. UNDERWRITING LIMITATION bl: $195,865,000. SURETY LICENSES c,f/: AL, AK, AZ, AR, CA, CO, CT, DE, DC, FL, GA, HI, ID, IL, IN, IA, KS, BY, LA, ME, DID, MA, MI, MN, MS, MO, M11 NE, NV, NH, NJ, NM, NY, NC, DID, OH, OK, OR, PA, FIR, RE SC, SD, TN, TX, UT, VT, VA, WA, WV, Vd, WY. INCORPORATED IN: Connecticut. Hartford Casualty Insurance Company (NAIC #29424) BUSINESS ADDRESS: One I lard'ord Plaza, Hai Lford, C IF 06155 - 0001. PHONE: (860) 547-5000, UNDERWRITING LIMITATION b/: $89,385,000 SURETY LICENSES c,f/: AL, AK, AZ, AR, CA, CO, CT, DE, DC, FL, GA, HI, ff), IL, IN, IA, KS, BY, EA, ME, MD, MA, MI, MIN, MS, MO, MT, NE, NV, NH, NJ, NM, NY, NC, ND, ON, OK, OR, PA, RI, SC, ED, TIN, TX, UT, VT, VA, WA, WV, WI, VVY, INCORPORATED IN: Indiana. Hartford Fire Insurance Company UNDERWRITING LIMITATION bl: $6,398,000, SURETY I ICENSES c,f/: AS, CT FL, GA, KS, KY, LA, MD, MI, MO, PA, SC, TN, TX, UT, VA, WV, INCORPORATED IN: ConnecticuL Hudson Insurance Company (NAIL #25054) BUSINESS ADDRESS: 100 Williarn Street, 5th Floor, New York, NY 10038, PHONE: (212) 978-2800, UNDERWRITING LlMiFATION bl: $44,149,000 SURETY LICENSES c,f/: AL, AK, AS, AR, CA, CO, CT, DE, DC, FL, GA, HI, ID, IL, IN, A, KS, KY, LA, ME, MD, MA, MI, MN, MIS, MO, MT, NE, NV, NH, NJ, NM, NY, INC, ND, CH, OK, OR, PA, PR, RI, SC, ED, TN, TX, UT, V7, VA, WA, WV, WI, WY.. INCORPORATED IN: Delaware, NA"b'➢Avp I IMT Insurance Company (NAIC#14257) BUSINESS ADDRESS: P.O,.Box 1336, Des Moines, A 50306 -1336. PHONE: (515) 327-2777, UNDERWRITING LIMITATION b/: $14,936,000. SURETY LICENSES c,f/: AZ, 11, IA, MN, MO, NE, ND, SD, WI. INCORPORATED IN: Iowa, Indemnity Company of California (NAIC #25550) BUSINESS ADDRESS: P. 0, BOX 19725, IRVINE, CA 92623 - 9725. UNDERWRITING LIMITATION b/: $799,000. SURETY LICENSES c,f/: AL, AK AZ, AR, CA, CO, DE, DC, GA, HI, ID, IN, KS, KY, LA, MD, MA, ML MN, MS, MO, MT, NE, No, NH, NJ, NM, NC, ND, OK, OR, PA, RI, SC, SD, IX, UT, VT, VA, WA, WV, WY, INCORPORATED IN: California Indemnity Insurance Company of North America (NAIC #43575) BUSINESS ADDRESS: 436 WALNUT STREET, REE 1, P.O, Box 1000, Philadelphia, PA 19106 PHONE: (215) 640-1000L UNDERWRITING LIMITATION b/: $15,289,000 UNDERWRITING LICENSES c,f/: AL, AK, AZ, AR, CA, CO, CT, DE, DC, FL, GA, HI, ID, 11, IN, IA, KS, KY, LA, ME, MD, MA, MI, MN, MS, MO, MIT, NE, NV, NH, NJ, RIM, NY, NC, ND, ON, OR, OR, PA, RI, SC, SO, TN, TX, Ur, AT, VA, VI, WA, WV, WI, WY, INCORPORATED IN: Pennsylvania, Indemnity National Insurance Company (NAIC #18468) BUSINESS ADDRESS: 725 Cool Springs Blvd,, Suite 600, Franklin, TN 37067 PHONE: (615) 720-8209, UNDERWRITING LIMITATION bt: $7,254,000, SURETY I [CFNSES cjl: A[, AS, AR, CO, CA, 11, IN, KY, LA, MD, MS, MIT, NV, NM, Of OR, PA, SC, TN, TX, UT, VA, WV INCORPORATED IN: Mississippi Indiana Lumbermens Mutual Insurance Company (NAIC #14265) BUSINESS ADDRESS: 2005 Market Street, Suite 1200, Philadelphia, PA 19103 PHONE: (267) 825-9204. UNDERWRITING LIMITATION bl: $1,597,000 iNLww,uKAi tu m: Ilnnols. Insurance Company of the West (NAIC #27847) BUSINESS ADDRESS: P,O, BOX 509039, SAN DIEGO, CA 921 SO, PHONE: (858) 350-2400, UNDERWRITING LIMITATION b/: $89A92,000 SURETY LICENSES c,f/: AL, AK, AS, AR, CA, CO, CT, DE, DC, FL, GA, HL ID, IL, IN, IA, KS, KY, LA, ME, RID, MA, MI, MN, MIS, MO, MIT, NE, NV, NH, NJ, NM, NY, NC, ND, OH, OR, OR, PA, RI, SC, SD, TN, IX, UT, VT, VA, WA, WV, WI, WY INCORPORATED IN: California, Insurers Indemnity Company (NAIC #43273) BUSINESS ADDRESS: P 0 Box 32577, Waco, IX 76702 PHONE: (254) 759-3727, UNDERWRITING LIMITATION bl: $2,505,000, SURETY LICENSES cj1: AS, AR, NM, OK, TX INCORPORATED IN: Texas, INTEGRAND ASSURANCE COMPANY (NAIC #26778)' Integrity Insurance Company (NAIC #14303)" BUSINESS ADDRESS: P.0, Box 539, Appleton, WI 54912 - 0539, PHONE: (920) 734-4511 UNDERWRITING LIMITATION b/: $5,776,000, SURETY LICENSES c,f/: IL, I& MN, ON, WI, INCORPORATED IN: Ohio, International Fidelity Insurance Company UNDERWRITING 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, MIT, NE, NV, NH, NJ, NM, NY, NC, NO, OH, OR, OR, PA, RI, SC, SO, TN, TX, U T, VT, VA, WA, WV, WI, WY, INCORPORATED IN: Indiana, Inland Insurance Company (NAIC #23264) BUSINESS ADDRESS: P 0 Box 80468, Lincoln, NE 68501 PHONE: (402) 4354302 UNDERWRITING LIMITATION b/: $23,259,000, SURETY LICENSES c,f/: AS, CO, IA, KS, MN, MO, MIT, NE, ND, OR, SD, WY, INCORPORATED IN: Nebraska Insurance Company Of North America (NAIC #22713) BUSINESS ADDRESS: 436 WALNUT STREET, P.O. Box 1000, Philadelphia, PA 19106. PHONE: (215) 640-1 000, UNDERWRITING LIMITATION b/: $34,314,000, UNDERWRITING LICENSES c,f/: At, AK, AZ, AR, CA, CO, CT, OF, DC, FI, GA, GU, HI, ID, 11, IN, A, KS, KY, LA, ME, MD, MA, MI, MN, MIS, MO, ME, MIT, NF, NV, NH, NJ, RIM, NY, NC, NO, ON, OR, OR, PA, PR, RI, SC, SO, TN, TX, UT, VT, VA, WA, WV, WI, WY, INCORPORAI ED IN: Pennsylvania, Insurance Company of the State of Permsytvania (The) (NAIC #19429 BUSINESS ADDRESS: 175 WATER STREET, 1 RTH FLOOR, NEW YORK, NY 10038, PHONE: (212) 770-7000. UNDERWRITING LIMITATION b/: $5,907,000 SURETY LICENSES c,f/: AL, AK, AZ, AR, CA, CO, CT, DE, DC, FL, GA, HI, IS, IL, IN, IA, KS, KY, LA, ME, MD, MA, MI, MN, MS, MO, MT, NE, NV, NH, NJ, NM, NY, NC, NO, ON, OR, OR, PA, RI, SO SD, TIN, TX, UT, VT, VA, WA, WV, WI, VVY, (NAIC #11592)" BUSINESS ADDRESS: One Newark Center, Newark, NJ 07102 - 5207 PHONE: (973) 624-7200, UNDERWRITING LIMITATION b/: $7,222,000 SURETY LICENSES c,f/: AL, AK, AS, AR, CA, CO, CT, DE, DC, FL, CA, GU, HI, ID, IL, IN, A, KS, KY, LA, ME, MD, MA, ML MIN, MS, MO, MT, NE, NV, NH, NJ, NM, NY, NC, NO, ON, OR, OR, PA, PR, RI, SC, SD, TN, TX, UT, VT, VA, VL WA, WV, WI, WY INCORPORATED IN: New Jersey.. IRONSHORE INDEMNITY INC. (NAIC #23647) BUSINESS ADDRESS: 17S Berkeley Street, Boston, MA 0211 6, PHONE: (617) 357-9500 X41177, UNDERWRITING LIMITATION bC $8,842,000, SURETY LICENSES c,f/: A[, AK, A7, AR, CA, CO, CT, DE, DC, FL, GA, GU, 1-11, ID, IL, IN, IA, KS, KY, LA, ME, KID, MA, MI, MN, MS, MO, MT, NE, NV, NH, NJ, NM, NY, NO ND, 011, Or, OR, PA, PR, RI, SC, SD, TN, TX, UT, VT, VA, WA, WV, WI, WY, INCORPORATED IN: Minnesota, ISLAND INSURANCE COMPANY, LIMITED (NAIC #22845) BUSINESS ADDRESS: P,O, Box 1520, Honolulu, HI 96806 - 1520 PHONE: (808) 564-8200, UNDERWRITING LIMITATION b/: $12,446,000, SURETY LICENSES c,fl: HI INCORPORATED IN: Hawaii, INCORPORATED IN: Hawaii ft�uAjq—iop L LEXINGTON NATIONAL INSURANCE CORPORATION (NAIC #37940) BUSINESS ADDRESS: P O. BOX 6098, LUTHERVILLE, MD 21094, PHONE: (410) 625-0800. UNDERWRITING LIMITAI ION bl: $1,975,000, SURETY LICENSES c,fl: AL, AK, AS, AR, CA, CO, CT, DE, DC, FL, GA, HI, ID, IL, IN, IA, KS, KY, LA, ME, MID, MA, MI, MN, ME, MO, MY, NE, NV, NH, NJ, NM, NY, NC, NO, CH, OK, OR, PA, RL SC, SD, TN, TX, UT, AT, VA, WA, WV, WI, WY INCORPORATED IN: Florida, Lexon Insurance Company (NAIC #13307) BUSINESS ADDRESS: 10002 Shelbyville Rd, Suite 100, Louisville, KY 40223, PHONE: (61 S) 553-9500, UNDERWRITING LIMITATION bS $6,882,000, SURETY LICENSES c,f/: AL, AK, AS, Aft, CA, CO, CT, DE, DC, FL, GA, GU, HI, ID, L, IN, A, KS, KY, LA, ME, MD, MA, ML MN, ME, MO, ME, MT, NE, NV, NJ, NM, INC, ND, OH, OK, OR, PA, RL SC, ED, TN, TX, UT, VT, VA, WA, WV, WI, WY INCORPORATED IN: Texas, lUberty Insurance Corporation —11--AOUKL'r�: I /� bsrKeleyau—, vi—, PHONE: (617) 357-9500. UNDERWRITING LIMITATION bl: $11,906,000 UNDERWRITING LICENSES c,fl: AL, AK, AZ, AR, CA, CO, CT, DE, DC, FL, GA, GU, HI, ID, L, IN, IA, KS, KY, LA, ME, DID, MA, MI, MN, ME, MO, MO MY, NE, NY, NH, NJ, NM, NY, NC, ND, OH, OK, OR, PA, RL SC, ED, TN, TX, UT, VT, VA, VI, WA, WV, WI, WY, INCORPORATED IN: Illinois. tNtA I PtaB M Manufacturers Alliance Insurance Company (NAIC#36897) BUSINESS ADDRESS: P 0 Box 3031, Blue Bell, PA 19422 - 0754 PHONE: (610) 397-5000, UNDERWRITING LIMITATION b/: $7,220,000, SURETY LICENSES cjl: AL, AK, AS, AR, CO, CT, DE, DC, ID, IN, KS, KY, LA, ME, MID, VIL ME, M0, MT, NE, NV, NH, NJ, NM, NY, NC, OH, PA, RI, SC, ED, TIN, UT, VT, VA, WA. INCORPORATED IN: Pennsylvania, MARKEL INSURANCE COMPANY (NAIC #38970)" BUSINESS ADDRESS: 4521 Highwoods Parkway, Glen Allen, VA 23060 PHONE: (800) 431-1270, UNDERWRITING LIMITATION b/: $119,240,000, SURETY LICENSES c,f/: AL, AK AZ, AR, CA, CO, CT, DE, DC, FL, GA, ID, IL, IN, A, KS, KY, LA, ME, DID, MA, MI, MN, ME, MO, M1, NE, No, NH, NJ, NM, NY, NC, ND, OH, OK, OR, PA, RI, SC, SD, TN, TX, UT, VT, VA, WA, WA, WI, WY INCORPORATED IN: Illinois, (NAIC #42404) BUSINESS ADDRESS: 175 Berkeley Street, Boston, MA 02116 PHONE: (617) 357-9500, UNDERWRITING LIMITATION b/: $24,960,000, SURETY LICENSES c,f/: AL, AK, AS, AR, CA, CO, CT, DE, DC, FL, GA, GU, HI, ID, IL, IN, IA, KS, KY, LA, ME, MID, MA, MI, DILL ME, MC, ME, M1, NE, NV, NH, NJ, NY, NY, NO, ND, OR OK, OR, PA, PR, RL SC, SD, TN, TX, UT, VT, VA, WA, WV, WI, WY, INCORPORATED IN: Illinois, Liberty Mutual Fire Insurance Company (NAIC #23035) BUSINESS ADDRESS: 175 Berkeley Street, Boston, MIA 02116. PHONE: (617) 357-9500. UNDERWRITING LIMITATION bl: $157,521,000. SURETY LICENSES cjl: AL, AK AZ, AR, CA, CO, CT, DE, DC, FL, GA, GU, HI, ID, L, IN, A, KS, KY, LA, ME, MD, MA, MI, MIN, ME, MO, MR, MIT, NE, NV, NH, NJ, NM, NY, NC, ND, OH, OK, OR, PA, PR, RL SC, ED, TN, TX, UT, on, VA, VI, 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/: $1,289,139,000. SURETY LICENSES cjl: AL, AK AS, AR, CA, CO, CT, DE, DC, FL, GA, HI, ID, IL, IN, A, KS, KY, LA, ME, MD, MA, MI, MN, MIS, MO, ME, M1, NE, NV, NH, NJ, NM, NY, NO, ND, ON, OK, OR, PA, PR, RI, SC, SO, IN, TX, UT, VT, VA, VI, WA, WV, WI, WY. INCORPORATED IN: Massachusetts. LM Insurance Corporation (NAIC #33600) ". -.1 ,, -- — — --l—I (NAIC #22306) BUSINESS ADDRESS: 440 LINCOLN STREET, WORCESTER, MA 01653 - 0002. PHONE: (508) 853-7200 UNDERWRITING LIMITATION b/: $6,577,000 SURETY LICENSES cjlh AL, AK, AS, AR, CA, CO, CT, DE, DC, FL, GA, HI, ID, L, IN, IA, KS, KY, LA, ME, MD, MA, MI, MIN, ME, MO, MT, NE, NV, NH, NJ, NM, NY, NC, ND, OH, OK, OR, PA, RL SC, SD, TN, TX, VT, VA, WA, WV, WI, WY, INCORPORATED IN: New Hampshire. Merchants Bonding Company (Mutual) (NAIC #14494) BUSINESS ADDRESS: RO BOX 14498, DES MOINES, IA 50306- 3498. PHONE: (515) 243-8171, UNDERWRITING LIMITATION bl: $12,476,000. SURETY LICENSES c,17: AL, AK, AS, AR, CA, CO, C1, DE, DC, FL, CA, 111, ID, IL, IN, IA, KS, KY, LA, ME, MD, MA, MI, MN, ME, MO, MIT, NE, NV, NH, NJ, NM, NY, NC, ND, 011, OK, OR, PA, RL SC, ED, TN, IX, U1, VT 1 VA, WA, WV, WI, WY, INCORPORATED IN: Iowa. Merchants National Bonding, Inc. (NAIC #11595) BUSINESS ADDRESS: P.0, Box 14498, DES MOINES, A 50306 - 3498. PHONE: (515) 243-8171, UNDERWRITING LIMITAI ION bl: $1,722,000, SURETY LICENSES c,f/: AL, AK, AS, AR, CO, CT, DE, DC, FL, GA, HI, ID, 11, IN, I& BE, KY, LA, ME, MD, MA, MI, MN, ME, MO, MI, NE, No, NJ, NM, NY, NC, ND, OH, OK, OR, PA, RL SC, SD, TN, TX, U1, VT, VA, WA, WV, WI, WY. INCORPORATED IN: Iowa, Michigan Milillers Mutual Insurance Company (NAIC #14508) BUSINESS ADDRESS: P. 0, Box 30060, Lansing, KIT 48909 - 7560. 4 PHONE: (517) 482-6211 x-5115, UNDERWRITING LIMITATION bl: $6,828,000. SURETY LICENSES c,fl: AZ, AR, CA, CO, GA, ID, It, IN, A, KS, KY, MI, MN, MO, MIT, NE, NY, NC, ND, OH, OK, OR, PA, ED, TN, VA, WA, WI, WY. INCORPORATED IN: Michigan, Mid -Century Insurance Company (NAIC #21687) BUSINESS ADDRESS: P.O. BOX 4402, WOODLAND HILLS, CA 91365. PHONE: (323) 932-3200 UNDERWRITING LIMITATION b/: $373,510,000. SURETY LICENSES c,f/: AL, AZ, AR CA, CO, FL, GA, HI, D, L, IN, A, KS, MA, MI, MN, MS, MO, MT, NE, NV, NJ, NM, NY, NC, ND, OH, OK, OR, PA, ED, TIN, TX, UT, VT, VA, WA, WI, WY, INCORPORATED IN: California, MID-CONTINENT CASUALTY COMPANY (NAIC #23418) BUSINESS ADDRESS: P.O. Box 1409, Tulsa, OK 74101, PHONE: (918) 587-7221 . UNDERWRITING LIMITATION b/: $15,997,000, SURETY LICENSES c,f/: AL, AZ, AR, CO, CT, IL, IN, IA, KS, KY, I A, ME, MN, MS, MO, MT, NE, NV, NH, NJ, NM, NC, OH, OK, PA, SC, TN, TX, UT, VA, WA, WY INCORPORATED IN: Ohlo, Motorists Commercial Mutual Insurance Company (NAIC #13331) BUSINESS ADDRESS: 471 East Broad Street, Columbus, CH 43215. PHONE: (614) 225-8211 1 NinFPWPn1N1r. I INAITATIM h/,,tl,, nr') nnn INCORPORATED IN: Delaware, )� ii,k ih301 N National American insurance Company (NAIC #23663) BUSINESS ADDRESS: P.O. Box 9, Chandler, OR 74834. PHONE: (405) 258-0804, UNDERWRITING LIMITATION b/: $7,437,000. SURETY LICENSES c,f/: AT, AK, AZ, AR, CA, CO, CF, OF, DC, FL, GA, HI, ID, IL, IN, IA, KS, KY, LA, ME, MD, MA, MI, MN, MS, MO, MT, NE, NV, NH, NJ, NM, NY, NC, NO, CH, OK, OR, PA, RI, SC, SD, TN, TX, UT, VT, VA WA, WV, WI, WY, INCORPORATED IN: Oklahoma, National Casualty Company (NAIC #11991) BUSINESS ADDRESS: ONE WEST NATIONWIDE BLVD., 1-04-701, COLUMBUS, 01143215 - 2220. PHONE: (480) 365,1000, UNDERWRITING LIMITATION b/: $14,297,000 UNDERWRIFING LICENSES c,f/: AL, AK, AZ, AR, CA, CO, CT, DE, DC, FL, GA, HI, ID, IL, IN, IA, KS' KY, LA, ME, MID, MA, MI, MN, MIS, MO, MT, NE, NV, NH, NJ, NM, NY, NC, NET, CIA, OR, OR, PA, RI, SC, SD, TN, TX, U1, V1, VA, WA, WV, WI, WY. INCORPORATED IN: Ohio. NATIONAL FARMERS UNION PROPERTY AND CASUALTY COMPANY (NAIC #16217) BUSINESS ADDRESS: One QBE Way, Sun Prairie, WI 53596, PHONE: (608) 825-5160, SURETY LICENSES c,f/: AZ, CA, CO, CT DE, DC, GA, ID, IL, IN, IA, KS, KY, ME, MD, MA, MI, MIN, MO, NE, NV, NH, NJ, NM, NY, NC, ND, ON, OK, OR, PA, RI, SC, SO, TN, TX, UT, VT, VA, WA, WV, WI, WY. INCORPORATED IN: Ohio, Motorists Mutual insurance Company (NAIC #14621) BUSINESS ADDRESS: 471 East Broad Street, Columbus, CH 43215. PHONE: (614) 225-8211 . UNDERWRITING LIMITATION b/: $44,985,000 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, DETROIT, NIT 48226. PHONE: (313) 656-5437 UNDERWRITING LIMITATION b/: $76,268,000. SURETY LICENSES cfl: AL, AK AS, AZ, AR, CA, CO, CT, DE, DC, FL, CA, HI, ID, It, IN, A, KS, KY, LA, ME, MD, MA, MI, MN, MS, MID, MT, NE, NV, NH, NJ, NM, NY, NC, RID, ON, OK, OR, PA, RI, SC, SO,TN, N, TX, UT, VT, VA, WA, WV, WI, WY, INCORPORATED IN: Michigan Munich Reinsurance America, Inc. (NAIC #10227) BUSINESS ADDRESS: 555 COLLEGE ROAD EAST - P.O.BOX 5241, PRINCETON, NJ 08541 PHONE: (609) 243,1200, UNDERWRITING LIMITATION b/: $362,623,000, UNDERWRITING LICENSES c,f/: AL, AK, AZ, AR, CA, CO, CT, DE, DC, FIE, GA, GU, HI, ID, IL, IN, VY KS, KY, LA, ME, MD, MA, MI, MN, MS, MO, Ml; NE, NV, NH, NJ, No, NY, NC, ND, ON, OR, OR, PA, PR, RI, SC, SD, TN, TX, UT, VT, VA, WA, WV, WI, WY. UNDERWRITING LIMITATION b/: $4.147,000. SURETY LICENSES c,f/: At, AK, AZ, AR, CA, CO, DE, DC, GA, HI, ID, III, IN, A, KS, KY, LA, ME, MD, MA, MI, MN, MS, MO, KIT, NE, NV, NH, NJ, NY, NC, NO, CH, OK, OR, PA, RI, SC, SO, TN' TX, UT, VT, VA, WA, WV, WI, WY. INCORPORATED IN: Wisconsin, National Fire & Marine Insurance Company (NAIC #20079) BUSINESS ADDRESS: 1314 Douglas Street, Suite 1400, Omaha, HE 68102 -1944, PHONE: (402) 916-3000. UNDERWRITING LIMITATION bl: $634,917,000. UNDERWRITING LICENSES of/: NE, INCORPORATED IN: Nebraska, National Fire insurance Company of Hartford (NAIC #20478) BUSINESS ADDRESS: 151 N. FRANKLIN ST., CHICAGO, IL 60606 PHONE: (312) 822-5000. UNDERWRITING LIMITATION b/: $11,030,000. SURETY LICENSES c,f/; AL, AK, AZ, AR, CA, CO, CT, DE, DC, FL, GA, FIT, ID, L, IN, IA, KS, KY, LA, ME, MR, MA, MI, AN, MS, MO, MT, NE, NV, NH, NJ, NM, NY, NC, ND, OH, OR, OR, PA, FIR, RI, SC, SD, TN, TX, U1, VI, VA, WA, WV, WI, WY, INCORPORATED IN: Illinois. National Indemnity Company (NAIC #20087) BUSINESS ADDRESS: 1314 Douglas Street, Suite 1400, Omaha, NE 68102 - 1944, PHONE: (402) 916-3000, UNDERWRITING LIMITATION ILY: $11,629,382,000. UNDERWRITING LICENSES c,f/: AL, AK, AZ, AR, CA, CO, CT, DE, DC, FL, GA, ID, It, IN, IA, KS, 'TN, TX, UT, VT, VA, WA, WV, WI, WY' INCORPORATED IN: Nebraska, National Liability & Fire insurance Company (NAIC #20052) BUSINESS ADDRESS: 1314 Douglas Street, Suite 1400, Omaha, NE 68102 - 1944 PHONE: (402) 916-3000 UNDERWRITING LIMITATION bl: $114,703,000, UNDERWRITING LICENSES c,fl: AL, AK, CA, CT, DE, DC, HL ID, IL, A, KS, KY, MD, MA, MI, MS, MO, NE, NIL NJ, NM, NY, ND, OH, OK, RL SC, SD, TX, UT, VT, VA, WA, WY, INCORPORATED IN: Connecticut. National Surety Corporation (NAIC#21881)" NATIONAL TRUST INSURANCE COMPANY (NAIC 4120141) BUSINESS ADDRESS: 6300 University Parkway, Sarasota, FL 34240 - 8424 PHONE: (800) 226-3224, UNDERWRITING LIMITATION b/: $3,844,000 SURETY LICENSES c,f/: AL, AZ, AR, CO, DC, IT, GA, IL, IN, A, KS, KY, LA, MD, MI, ME, MO, NE, NM, NC, OK, PA, SC, 1N, IX, U 1, VA, WV. INCORPORATED IN: Indiana, National Union Fire Insurance Company of Pittsburgh, PA (NAIC #19445) BUSINESS ADDRESS: 175 WATER STREET, 1 8TH FLOOR, NEW YORK, NY 10038, PHONE: (212) 7 70-7000, UNDERWRITING LIMITATION bv: $S51,969,000. SURETY LICENSES c,f/: AL, AR AZ, AR, CA, CO, Cr, DE, DC, FL, GA, GO, HI, ID, E, IN, A, KS, KY, LA, ME, MD, IVA, MI, MIN, MS, MO, ME, MIT, NE, NV, NH, NJ, HIM, NY, NO ND, OH, OK OR, PA, RI, SC, ED, TN, TX, UT, VT, VA, WA, WV, WI, WY, INCORPORATED IN: New York New Hampshire Insurance Company (NAIC #23841) BUSINESS ADDRESS: 175 WATER STREET, 18FH FLOOR, NEW YORK, NY 10038, PHONE: (212) 770-7000, UNDERWRITING LIMITATION b/: $6,238,000. SURETY LICENSES c,f/: AL, AK, AS, AR, CA, CO, C1, DE, DC, FL, GA, HL ID, IL, IN, A, KS, NY, LA, ME, DID, MA, MI, MY, ME, MO, M 1, NE, NY, NH, NJ, NM, NY, NC, ND, OH, OK, OR, PA, PR' RL SC, ED, TN, TX, UT, VT, VA, WA, WV, WI, WY INCORPORATED IN: Illinois. NGM Insurance Company (NAIC #14788) BUSINESS ADDRESS: 55 WEST STREEF, KEENE, NH 03431 PHONE: (904) 380-7282, UNDERWRITING I IMITAI ION b/: $51,366,000, SURETY LICENSES c,f/: AL, AS, AR, CO, CT, DE, DC, FL, GA, ID, IL, IN, IA, RE, KY, LA, ME, MD, MA, MI, ME, MO, MT, NE, No, NH, NJ, NM, NY, NC, ND, OH, OR, OR, PA, RL SC, SD,'TN, TX, LIT, VT, VA, WA, WV, WI, WY. INCORPORATED IN: Florida, NORTH AMERICAN SPECIALTY INSURANCE COMPANY (NAIC ff29874) BUSINESS ADDRESS: 1200 MAIN STREET, SUITE 800, KANSAS CITY, MO 641 OF PHONE: (913) 676-5200 UNDERWRITING LIMITATION bl: $24,886,000 SURETY LICENSES cfl: AL, AK, AZ, AR, CA, CO, CT, DE, DC, FL, GA, HL ID, 111, IN, A, KS, KY, LA, ME, DID, MA, MI, MN, MS, MO, MT, NE, NY, NH, NJ, AM, NY, NC, ND, OH, ON, OR, PA, PR, RI, SC, SD, TN, TX, U F, VT, VA, A, WA, WV, WI, WY. RE, RI, SC, ED, TN, TX, UT, VT, VA, WA, WV, WI, WY. INCORPORATED IN: Pennsylvania. Nationwide Agribusiness Insurance Company (NAIC #28223) BUSINESS ADDRESS: ONE WEST NATIONWIDE BLVD., 1-04-701, COLUMBUS, ON 43215 - 2220. PHONE: (515) 508-3300, UNDERWRITING LIMITATION El: $19,535,000 UNDERWRITING LICENSES c,ft: AL, AS, AR, CA, CO, CT, DE, DC, FL, GA, ID, IL, IN, IA, KS, NY, LA, ME, MD, MA, ML MIN, MS, MO, MIT, NE, NV, NH, NJ, NM, NY, NC, ND, 011, OK, OR, PA, RL SC, ED, TN, TX, LIT, EFT, VA, WA, WV, WI, WY, INCORPORATED IN: Iowa. Nationwide Mutual Insurance Company (NAIC #23787) BUSINESS ADDRESS: ONE WEST NATIONWIDE BLVD., 1-04-701, COLUMBUS, OH 43215 - 2220, PHONE: (614) 2497111, UNDERWRITING LIMITATION ILI; $1,145,963,000, UNDERWRITING LICENSES c,f/: A[, AK, AS, AR, CA, CO, CT, DE, DO FL, GA, GU, HL ID, 11, IN, IA, KS, KY, LA, ME, MD, MA, MI, MIN, MS, MO, M7, NE, NV, Nli, NJ, NM, NY, NC, DID, OH, OK, OR, PA, RI, SC, SD, TN, IX, UT, VI, VA, VI, WA, WV, WI, WY. INCORPORATED IN: Ohio, NAVIJGATORS INSURANCE COMPANY (NAIC #42307) BUSINESS ADDRESS: 400 Atlantic Surest, BLIq Floor, Starnford, C1 06901, PHONE: (203) 905-6090. UNDERWRITING LIMITATION RI: $100,508,000 SURETY LICENSES c,f/: AL, AK, AZ, AR, CA, CO, CIF, DE, DC, FIE, GA, GU, HL ID, E, IN, A, KS, KY, LA, ME, IVD, MA, MI, MN, MIS, MO, MT, NE, NV, NIH, NJ, NM, NY, NC, ND, OH, OK, OR, PA, PR, INCORPORATED IN: New Hampshire. NOVA Casualty Company (NAIC #42552) BUSINESS ADDRESS: 440 LINCOLN STREET, WORCESTER, MA 01653 - 0002 PHONE: (508) 853-7200 JNDERWRI1 ING LIMITATION ol: $9,112,000. SURETY LICENSES c,fl: AL, AK, AS, AR, CA, CO, C1, DE, DC, FL, GA, HL ft), IL, IN, A, KS, KY, EA, ME, MD, MA, MI, MIN, ME, MO, MT, NE, No, NH, NJ, NM, NY, NC, ND, OH, OR, OR, PA, RI, SC, SD, TN, TX, U1, VT, VA, WA, WI, WY. INCORPORATED IN: New York, v, "ill op 0 Ohio Casualty Insurance Company (The) (NAIC #24074) BUSINESS ADDRESS: 175 Berkeley Street, Boston, MA 02116, PHONE: (617) 357-9500 X-41177, UNDERWRITING LIMITATION Ed: $172,415,000 SURETY LICENSES c,fl, AL, AK AZ, AR, CA, CO, CT, DE, BE, FL, GA, HL ID, IL, IN, A, KS, KY, LA, ME, MD, MA, MI, VIA, ME, MO, MT, 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: New Hampshire, Ohio Farmers Insurance Company (NAIC #24104) BUSINESS ADDRESS: P.O.Box 5001, Westfield Center, OH 44251 - 5001, PHONE: (330) 887-0101 , UNDERWRITING LIMITATION b/: $227,840,000. SURETY LICENSES c,f/: AL, AZ, AR, CO, DC, DE, FL, GA, IL, IN, A, KY, LA, MD, MA, MI, MN, MS, MO, MIT, NE, NV, NJ, NM, NY, NC, NO, OH, OR, PA, RI, SC, SD, TN, TX, UT, VA, WA, WV, WI, WY, INCORPORATED IN: Ohio Ohio Indemnity Company (NAIC 926565) BUSINESS ADDRESS: 250 E, Broad St,, Ah Floor, Columbus, OH 43215 - 0000L PHONE: (614) 228-2800. UNDERWRITING LIMITATION b/: $4,670,000, UNDERWRITING LICENSES c,f/: AL, AK, AS, AR, CA, CO, CT, DE, DC, FL, GA, HI, ID, IL, IN, A, KS, KY, LA, ME, MID, MI, MN, MS, MO, MIT, NE, NV, NIL NJ, NM, NY, NC, KID, 011, OR, OR, PA, RI, SC, SO, TN, TX, UT, VT, VA, WA, WV, WI, WY, INCORPORATED IN: Ohio Ohio Security Insurance Company (NAIC 4(24082) BUSINESS ADDRESS: 175 Berkeley Street, Boston, MA 02116, PHONE: (617) 35 7-9SOO X-41177, UNDERWRITING LIMITATION ION b/; $1,365,000, SURETY [ ICENSES c,f/: Al., AK, AS, AR, CA, CO, CT, DF, DC, FL, GA, ID, 11, IN, IA, KS, KY, LA, ME, MD, MA, MI, MN, MIS, MO, MT, NE, NV, NH, NJ, NM, NY, NC, ND, ON, OK, OR, PA, RI, SC, SET, I N, TX, UT, VT, VA, WA, WV, WI, VVY INCORPORATED IN: New Hampshire Oklahoma Surety Company (NAIC #23426) BUSINESS ADDRESS: P.O. Box 1409, Tulsa, OK 74101 PHONE: (918) 587-7221 UNDERWRITING LIMITATION b/: $1,691,000, SURETY LICENSES c,fl: AR, KS, OH, OK, TX. INCORPORATED IN: Ohlo, BUSINESS ADDRESS: RO, BOX 1635, M I LWAU KEE, WI 53201 -1635, PHONE: (262) 797-2640. UNDERWRITING LIMITATION bl: $7,061,000, SURETY LICENSES c,f/: AL, AZ, AR, CA, CO, DC, FL, CA, ID, IL, IN, A, KS, DID, MN, MS, MO, MT, NE, NV, NM, NC, ND, ON, OK, OR, PA, SC, SD, TN, TX, UT, VA, WA, WV, WI, WY INCORPORATED IN: Wisconsin. 4K4^ r, k B r, F51 P P Pacific Indemnity Company (NAIC #20346) BUSINESS ADDRESS! 202E Hall's Mill Road, Whitehouse Station, NJ 08889 PHONE: (215) 640-1000, UNDERWRITING LIMITATION bV $317,802,000 SURETY LICENSES c,f/: AL, AK, AZ, AR, CA, CO, CT, DE, DC, FL, CIA, 111, ID, IL, IN, A, KS, KY, LA, ME, MD, MA, MI, MIN, MS, MO, MIT, HE, NV, NH, NJ, NM, NY, NC, ND, ON, Or, OR, PA, RI, SC, SET, TN, TX, UT, VT, VA, WA, WV, WI, WY. INCORPORATED IN: Wisconsin. PACIFIC INDEMNITY INSURANCE COMPANY (NAIC #18380) BUSINESS ADDRESS: 348 WEST O'BRIEN DRIVE, HAGATNA, GO 96910, PHONE: (671) 477-8801, UNDERWRITING LIMITATION lot: $2,438,000 SURETY LICENSES c,f/: GILL MR, INCORPORATED IN: Guam PARTNER REINSURANCE COMPANY OF THE U.S. OLD DOMINION INSURANCE COMPANY (NAIC #40231) BUSINESS ADDRESS: 55 WEST STREET, KEENE, Told 03431 PHONE: (904) 390-7282. UNDERWRITING LIMITATION b/: $3,634,000, SURETY LICENSES c,fl: CT, DF, FL, GA, ME, MD, MA, NH, NY, NC, PA, RI, SC, To, VT, VA INCORPORATED IN: Florida Old Republic General Insurance Corporation (NAIC #24139) BUSINESS ADDRESS: 307 NORTH MICHIGAN AVENUE, CHICAGO, IL 60601 PHONE: (312) 346-81 00. UNDERWRITING LIMITATION bl: $66,847,000 SURETY LICENSES c,fl: AL, AK, AZ, AR, CA, CO, CT, DE, DC, FL, GA, ID, IL, IN, IA, KS, KY, LA, ME, MD, MA, MI, MIN, MIS, MO, MT, NE, NV, NH, NJ, NM, NY, NC, KID, CH, OK, OR, PA, RL SC, SD, TN, TX, UT, VT, VA, WA, WV, WI, WY INCORPORATED IN: Illinois, Old Republic Insurance Company (NAIC #24147) BUSINESS ADDRESS: P 0 Box 789, Greensburg, PA 15601 - 0789, PHONE! (724) 334-SO00, UNDERWRITING LIMITATION bl: $110,790,000, SURETY LICENSES c,f/: AL, AK, AS, AZ, AR, CA, CO, CT, DE, DC, R-, GA, GILL HI, ID, L, IN, A, KS, KY, LA, ME, MD, MA, MI, MN, MS, MO, MP, MT, NE, NV, NH, NJ, NIA, NY, NC, ND, CH, OK, OR, PA, RE, RI, SC, SD, TN, TX, UT, VT, VA, VI, WA, WV, WI, WY, INCORPORATED IN: Pennsylvania, Old Republic Surety Company (NAIC #40444) (NAIC #38636) BUSINESS ADDRESS: 200 First Stamford Place, Suite 400, Stamfot d, CT 06902, PHONE: (203) 485-4200, UNDERWRITING LIMITATION b/: $98,354,000 SURETY LICENSES c,f/: AL, AZ, CA, CO, DC, IL, KS, MI, MS, NE, NY, TX, UT, WA INCORPORATED IN: New York, PARTNERRE INSURANCE COMPANY OF NEW YORK (NAIC #10006) BUSINESS ADDRESS: 200 First Stamford Place, Suite 400, Stamford, CT 06902, PI TONE: (203) 485-4200, UNDERWRITING LIMITATION W: $11,076,000 SURETY LICENSES c,f/: At, AZ, CA, CO, DE, DC, ID, L, IN, IA, KS, KY, MD, MI, MN, MS, MT, NE, NJ, NM, NY, ND, ON, OR, OR, PA, RI, SC, SD, TX, UT, VT, VA, WA, WV, WI INCORPORATED IN: New York, Pekin Insurance Company (NAIC #24228) BUSINESS ADDRESS: 2505 COURT STREET, PEKIN, IL 61558 - 0001 PHONE: (309) 346-1161, UNDERWRITING LIMITATION L/: $13,848,000, SURETY LICENSES c,f/: AZ, IL, IN, A, MI, OH, WI INCORPORATED IN: Illinois, Pennsylvania Manufacturers Indemnity Company (RAIC441424) BUSINESS ADDRESS: P,O, Box 3031, Blue Bell, PA 19422 - 0754, PHONE: (610) 397-5000. UNDERWRITING LIMITATION b/: $8,215,000, SURETY LICENSES c,fl: AL, AK, AZ, AR, CO, CT, DE, DC, ID, IN, KS, KY, LA, ME, MD, MI, MIS, MO, MT, NE, NV, INN, NJ, NM, NY, NC, CH, PA, RI, SC, SD, TN, 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, UNDERWRITING LIMITATION bl: $32,524,000 SURETY LICENSES c,f/: At, AK, AR, CO, CT, DE, DC, FL, GA, HI, ID, It, A, KS, KY, LA, ME, MD, MA, MI, MS, MO, MT, NE, NV, NH, NJ, HIM, NY, NC, OH, OK, PA, RI, SC, SD, TN, TX, UT, VI, WA, WV, INCORPORATED IN: Pennsylvania Pennsylvania National Mutual Casualty Insurance Company (NAIC #14990) BUSINESS ADDRESS: P. 0. Box 2361, Harrisburg, PA 17105 - 2361 PHONE: (717) 234-4941 UNDERWRITING LIMITATION b/: $58,016,000, SURETY LICENSES c,f/: AL, AS, AZ, AR, CO, CT, DE, DC, FL, GA, ID, IL, IN, A, KS, KY, [A, ME, MD, MA, MI, MN, ME, MO, MT, NE, NJ, NM, NY, NC, OH, DR, OR, PA, R1, SC, SD, TN, 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 - 1403. PHONE: (610) 206-7836, UNDERWRITING LIMITATION bl: $236,948,000, UNDERWRITING 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, MC, MT, NE, NY NH, NJ, RIM, NY, NC, ND, ON, OK, OR, PA, RL SC, SO, TN, TX, UT, AT, VA, WA, WV, WI, WY (NAIC #24260) BUSINESS ADDRESS: P,O, BOX 89490, CLEVELAND, ON 44101 - 6490 PHONE: (440) 461 -5000 UNDERWRITING LIMITATION b/: $257,058,000 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, MIN, MS, MID, MT, NE, NV, NH, NJ, NM, NY, NC, NO, Oil, OK, OR, PA, RI, SC, SD, TN, IX, UT, V'T, VA, WA, WV, WL WY, INCORPORATED IN: Ohio, Progressive Northwestern Insurance Company (NAIC #42919) BUSINESS ADDRESS: P,O, BOX 89490, CL EVELAND, Ol, 144101 - 6490, PHONE: (440) 461-5000, UNDERWRITING LIMITATION b/: $62,590,000, SURETY LICENSES c,f/: AK, AZ, CA, CO, CT, DE, DC, GA, HI, ID, IN, A, KS, KY, LA, ME, MR, MN, ME, MC, MIT, NE, NV, NJ, NM, NY, NC, ND, 011, OK, OR, RI, SC, SD, 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/: $25,889,000, UNDERWRITING LICENSES cfl: At, 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, MIT, NE, NV, NH, NJ, NM, NY, NC, ND, OH, OK, OR, PA, PR, RI, SC, SD, TN, TX, LIT, VT, VA, WA, WV, WL WY INCORPORATED IN: Indiana, Protective Property & Casualty Insurance Company IMMEM INCORPORAI ED IN: Pennsylvania, PLArTE RIVER INSURANCE COMPANY (NAIC #18619) BUSINESS ADDRESS: P.O, Box 5900, Madison, WI 53705 - 0900, PHONE: (608) 829-4200, UNDERWRITING LIMITATION b/: $4,967,000 SURETY LICENSES c,fl: AL, AN, AZ, AR, CA, CO, CT, DE, DC, FL, GA, HI, ID, IL, IN, IA, KS, KY, LA, ME, MD, MA, MI, MN, MS, MO, MT, NE, NV, NH, NJ, NM, NY, NC, ND, ON, OR, OR, PA, RL SC, SD, TN, TX, UT, VT, VA, WA, WV, WI, WY INCORPORATED IN: Nebraska Plaza Insurance Company (NAIC #30945) BUSINESS ADDRESS: 518 East Broad Street, Columbus, OH 43215, PHONE: (614) 464-5000, UNDERWRITING LIMITATION bl: $2,402,000, SURETY LICENSES c,fl: AL, AK, AZ, AR, CA, CO, CT, DE, DC, FL, CA, HI, ID, IL, IN, IA, KS, KY, LA, ME, MD, MA, MI, MN, ME, MO, MT, NE, NV, NH, NJ, NM, NY, NC, ND, OH, OR, OR, PA, RI, SC, SD, TN, TX, UT, VT, VA, WA, WV, WI, WY, INCORPORATED IN: Iowa- ProCentury Insurance Company (NAIC #21903) BUSINESS ADDRESS: 550 Polaris Parkway, Westerville, OH 43082, PHONE: (614) 89S-2000 UNDERWRITING LIMITATION b/: $S,828,000, SURETY LICENSES c,f/: AK, AZ, AR, CA, DE, DC, GA, IL, IN, A, KS, LA, AID, MA, MI, MIN, ME, MO, MT, NE, NV, NJ, NM, NY, ND, OR, OR, PA, SC, SD, TX, UT, WV, WL WY, INCORPORATED IN: Michigan BUSINESS ADDRESS: 14755 North Outer Forty Rd., Suite 400, St. Louis, MO 63017 PHONE: (636) 536-5600, UNDERWRITING LIMITATION IA: $17,383,000 UNDERWRITING LICENSES c,fl: AT, AK, AZ, AR, CA, CO, CT, DE, DC, FL, GA, 111, ID, L, IN, A, KS, KY, LA, ME, MID, MA, ML MN, MS, MO, MIT, NE, NV, NH, NJ, NM, NC, ND, ON, OK, OR, PA, PR, RI, SC, SD, TN, TX, UT, VT, VA, WA, WV, WL WY. INCORPORATED IN: Missouri, Q QEE Insurance Corporation (NAIC #39217) BUSINESS ADDRESS: One General Drive, Sun Prairie, WI 53596 PHONE: (608) 825-5160 UNDERWRITING LIMITATION bt: $74,065,000 SURETY LICENSES C,U: AL, AK, AZ, AR, CA, CO, C7, DE, DC, FL, GA, HI, ID, IL, IN, IA, KS, KY, LA, ME, MD, MA, MI, MIN, MIS, MO, MIT, NE, NV, NIL NJ, NM, NY, NC, NO, OH, OK OR, PA, RL SC, SD, TN, TX, UT, VT, VA, WA, WV, WI, WY, INCORPORATED IN: Pennsylvania b�0,- ro r-,kp R Regent Insurance Company (NAIC #24449) BUSINESS ADDRESS: One QBE Way, Sun Prairie, W1 53596, PHONE: (608) 825-5160, UNDERWRITING LIMITATION LV: $3,263,000, SURELY LICENSES c,f/: AL, AK, AS, AR, CA, CO, DE, DC, FIE, GA, HI, ID, IL, K A, KS, KY, LA, MD, MA, MI, MINE MIS, MO, MT, NE, NV, NH, NJ, NY, NC, RED, ON, OK, OR, PA, RI, SC, SO, TN, TX, UT, V I, VA, WA, WV, WI, VVY, INCORPORATED IN: Wisconsin Republic - Franklin Insurance Company (NAIC #12475) BUSINESS ADDRESS: R 0 Box 530, Utica, NY 13503 - 0530 PHONE: (315) 734-2000, UNDERWRITING LIMITATION bl: $5,680,000, SURETY LICENSES c,f/: CT, DE, DC, GA, IL, IN, KS, MD, MA, MI, NH, NJ, NY, NC, 011, PA, RI, TN' TX, VA, WL INCORPORATED IN: Ohio. RLI Insurance Company (NAIC #13056) BUSINESS ADDRESS: 9025 N Lindbergh Drive, Peoria, IL. 61615 PHONE: (309) 692-1000, UNDERWRITING LIMITATION bl: $71,5C4,000, SURETY LICENSES c,f/: A[, AK, AZ, AR, CA, CO, CT, DE, DC, IT, GA, GU, HI, ID, It, IN, IA, KS, KY, LA, ME, MD, MA, MI, MN, MIS, MO, MT, NE, NV, NH, NJ, NM, NY, NC, NET, ON, OR, OR, PA, Piz, RI, SC, SD, TN, TX, UT, VT, VA, VI, WA, WV, WI, WY. INCORPORATED IN: Illinois, Roche Surety and Casualty Company, Inc. (NAIC #42706) BUSINESS ADDRESS: 4107 N HIMES AVE 2NED FLOOR, TAMPA, FIE 33G07. PHONE: (813) 623-5042, UNDERWRITING LIMITATION b/: $1,006,000, SURETY LICENSES c,f/: AL, AK, AZ, AR, CT, DE, FL, GA, HL ID, IN, A, KS, LA, MR, MI, MN, ME, UNDERWRITING LIMITATION E/: $236,691,000 SURETY LICENSES c,fG AL, AK, AS, AR, CA, CO, CT, DE, DC, FL, GA, GU, HI, ID, IL, IN, A, KS, KY, LA, ME, MD, MA, MI, MR, MIS, MO, MT, NE, NV, NH, NJ, NM, NY, NC, NO, OH, OR, OR, PA, FIR, RE SC, SDE TN, TX, UT, AT, VA, V1, WA, WV, WI, WY INCORPORATED IN: Missouri, Sagamore Insurance Company (NAIC #40460) BUSINESS ADDRESS: 111 Congressional Blvd,, Suite 500, Carmel, IN 46032, PHONE: (317) 636-9800 x-7433, UNDERWRITING LIMITATION ty; $13,573,000 UNDERWRITING LICENSES t-JI: A[, AK, AZ, CO, CT, DE, DC, GA, HI, ID, E-, IN, IA, KS, KY, ME, MIS, MA, MI, MIN, MS, MO, ME, NE, NJ, NM, NY, NC, OH, OR, PA, RI, SC, SD, TN, TX, UT, VT' WA, WV, WE, WY INCORPORATED IN: Indiana. SECURA INSURANCE, A Mutual Company (NAIC #22543) BUSINESS ADDRESS: PS), Box 819, Appleton, WI 54912 - 0819, PHONE: (920) 739-3161 UNDERWRITING LIMITATION b/: $4049,000, SURETY LICENSES c,f/: AZ, AR, CO, ECE IL, IN, A, KS, KY, MI, MIN, MO, MT, NEE, NV, NM, NO, CH, OK, OR, PA, SD, I N, UT, WA, WI, WY, INCORPORATED IN: Wisconsin, Selective Insurance Company of America (NAIC #12572) BUSINESS ADDRESS: 40 WANTAGE AVENUE, BRANCHVILl F, NJ 07890 PHONE: (973) 948-3000 UNDERWRITING LIMITATION b/: $63,280,000 SURETY LICENSES c,f/: AL, AK, AR, AS, CO, Cr, DE, DC, GA, E, IN, IA, KS, KY, MD, MA, ME MIN, MU, M 1, NL, NV, NEI, NJ, NM, NY, NC, NU, UH, UK, UK, FA, SL, SL), I N, IX, U1, VI, VA, WA INCORPORATED IN: Florida Rockwood Casualty insurance Company (NAIC #35505) BUSINESS ADDRESS: 13100 Wortharn Center Drive Suite 290 Houston, Texas 77065. PHONE: (814) 9264661, UNDERWRITING LIMITATION b/: $10,889,000, SURETY LICENSES CU: AL, AK, AS, AR, CO, DE, DC, FL, GA, 111, ID, L, IN, A, RE, KY, LA, ME, MD, MA, ME MIN, ME, MO, MIT, NE, NY, NI 1, NJ, NM, NY, NC, ND, 01-1, OK, OR, PA, RE SC, SD, TX, UT, VT, VA, WA, WV, WI, WY, INCORPORATED IN: Pennsylvania, RarLig-ISEP S SAFECO Insurance Company of America (NAIC #24740) BUSINESS ADDRESS: 175 Berkeley Street, Boston, MA 02116, PHONE: (617) 357-9500, UNDERWRITING LIMITATION Ld: $156,647,000. SURETY LICENSES CY: AL, AK, AZ, AR, CA, CO, CT, DE, DC, H., GA, GU, HI, ID, IL, IN, IA, KS, KY, LA, ME, YET, MA, MI, MR, MIS, MO, MIT, NE, NV, NH, NJ, NM, NY, NC, ND, OH, OK, OR, PA, RI, SC, SD, TN, TX, UT, V7, VA, WA, WV, WI, WY INCORPORATED IN: New Hampshire, Safety National Casualty Corporation (NAIC #15105) BUSINESS ADDRESS: 1832 Schuetz Road, St Louis, MO 63146 - 3540. PHONE: (314) 995-5300, MS, MO, M1, NE, NV, NH, NJ, NM, NY, NC, CH, OR, PA, R1, SC, SD, IN, TX, U 1, AT, VA, WA, WV, WI, WY, INCORPORATED IN: New Jersey. Seneca Insurance Company, Inc. (NAIC#10936) BUSINESS ADDRESS: 160 Water Street, New York, NY 10038 - 4922, PHONE: (212) 344-3000 UNDERWRITING LIMITATION b/: $14,551,000 SURETY LICENSES Cf/: AL, AK, AZ, AR, CA, CO, CI, DE, DC, FL, GA, HI, ID, E, IN, IA, RE, KY, LA, ME, MID, MA, MI, MN, MIS, MO, Mr, NEE, NV, NH, NJ, NM, NY, NC, ND, ON, OK, OR, PA, PR, Rl' SC, SO, TN, TX, UT, VT, VA, WA, WV, WE WY. INCORPORATED IN: New York Sentry Insurance A Mutual Company (NAIC #24988) BUSINESS ADDRESS: 1800 NORTH POINT DRIVE, STEVENS POINT, WI 54481-8020 PHONE: (715) 346-6000, UNDERWRITING LIMITATION Ev; $519,098,000, SURETY LICENSES c,f/: AL, AK, AS, AR, CA, CO, CT, DE, D(, FL, GA, 111, ID, IL, IN, IA, KS, KY, LA, ME, MD, MA, MI, MN, MS, MO, MF, NE, NV, NI-E NJ, NM, NY, NC, KID, CH, OK, OR, PA, RI, SC, SD, TN, TX, UT, VT, VA, WA, WV, All, WY. INCORPORATED IN: Wisconsin, Sentry Select Insurance Company (NAIC #21180) BUSINESS ADDRESS: 1800 NORTH POINT DRIVE, STEVENS POINT, WI 54481-8020, PHONE: (715) 346-6000. UNDERWRITING LIMITATION b/: $22,581,000, SURETY LICENSES Cf/: AT, AK, AZ, AR, CA, CO, CT, DE, DC, FL, GA, HE ID, E, IN, IA, KS, KY, LA, ME, MID, MA, MI, SIN, MIS, MID, MT, NE, NV, NH, NJ, NM, NY, NC, KID, OH, OK, OR, PA, RI, SC, SD, TN, TX, UT, VT, VA, WA, WV, WI, WY INCORPORATED IN: Wisconsin SERVICE INSURANCE COMPANY (NAIC #36560) BUSINESS ADDRESS: 702 OBERLIN ROAD, RALEIGH, NC 27605 - 0800, PHONE: (919) 833-1600L UNDERWRITING LIMITATION bl: $4,195,000, SURETY LICENSES c,f/: AL, AK, AZ, AR, CA, CO, CT, DE, DC, FL, GA, HE ID, IL, IN, IA, KS, KY, LA, ME, MD, MA, MI, MN, MIS, MO, MR, MIT, NE, NV, NH, NJ, NM, NY, NC, ND, ON, OK, OR, PA, RE SC, SD, TIN, TX, UT, VT, VA, WA, WV, WI, WY INCORPORATED IN: Florida, SERVICE INSURANCE COMPANY INC. (THE) (NAIC #28240) BUSINESS ADDRESS: 80 MAIN STREET, WEST ORANGE, NJ 07051 PHONE: (973) 731-7650L UNDERWRITING LIMITATION bl: $909,000, SURETY LICENSES cjv CT, DE, DC, FL, MD, MA, NH, NJ, NY, NC, PA, RL VA, INCORPORATED IN: New Jersey, SIRIUS AMERICA INSUPANCE COMPANY (NAIC #38776) BUSINESS ADDRESS: 140 BROADWAY - 32ND FLOOR, NEW YORK, NY 10005 - 1108 PHONE: (212) 312-2500 UNDERWRITING LIMITATION bl: $52,220,000 SURETY LICENSES c,f/: AL, AK, AS, AR, CA, CO, DE, DC, GA, HI, ID, L, IN, A, KS, KY, LA, MD, MA, ML MS, MO, MIT, NE, NV, NH, Nj, NM, NY, NC, ND, OH, OK, OR, PA, RI, SC, SD, TN, TX, UT, VT, VA, WA, WV, WI, WY, INCORPORATED IN: New York, SOUTHWEST MARINE AND GENERAL INSURANCE COMPANY BUSINESS ADDRESS: One Tower Square, Hartford, CT 06183, PHONE: (860) 277-0111, UNDERWRITING LIMITATION ON b/: $11,509,000, SURETY LICENSES c,f/: AL, AK, AZ, AR, CA, CO, C7, DE, DC, FL, CA, HL ID, IL, IN, A, KS, KY, LA, ME, MID, MA, MI, MN, MIS, MO, MIT, NE, NV, NH, NJ, NM, NY, NC, ND, ON, OR, OR, PA, RE SC, 5D, TN, TX UT, VT, VA, WA, WV, WI, WY. INCORPORATED IN: Connecticut Standard Fire Insurance Company (The) (NAIC #19070) BUSINESS ADDRESS: ONE TOWER SQUARE, HART FORD, CT 06181 PHONE: (860) 277-0111 UNDERWRITING ING LIMITATION LI: $122,148,000 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, MIN, ME, MO, MTV NE, NV, NH, NJ, NM, NY, NC, ND, OH, OR, OR, PA, PR, RL SC, SO, TN, TX, UT, VT, VA, V1, WA, WV, WL WY, INCORPORATED IN: Connecticut. Star Insurance Company (NAIC #18023) BUSINESS ADDRESS: 26255 American Drive, Southfield, MI 48034, PHONE: (248) 358-1 1100. UNDERWRITING LIMITATION bl: $48,882,000 SURETY LICENSES c,ff: AL, AK, AZ, AR, CA, CO, CI; DE, DC, F1, GA, Hl, ID, IT-, IN, IA, KS, KY, LA, ME, MD, MA, MI, MN, MS, MO, MIT, NE, NY, NH, NJ, NM, NY, NC, ND, OH, OK, OR, PA, RI, SC, SD, I N, DY UT, VT, VA, WA, WV, WL WY, INCORPORATED IN: Michigan, StarNet Insurance Company (NAIC H40045)" BUSINESS ADDRESS! PO BOX 9190, DES MOINES, IA 50306 - 9190, (NAIC #12294) BUSINESS ADDRESS: 412 Mt, Kernble Ave, Suite 300C, Morristown, NJ 07960, PHONE: (800) 774-2755, UNDERWRITING LIMITATION bl: $6,673,000, SURETY LICENSES c,fl: AL, AK, AZ, AR, CA, CO, CT, DE, DC, GA, HI, ID, IL, IN, A, KS, KY, LA, ME, MD, MA, MI, MIN, MIS, MO, MT, NE, NV, NH, NJ, NM, NC, ND, ON, OR, OR, PA, RL SC, SD, TN, TX, UT, VT, VA, WA, WV, WL WY INCORPORATED IN: Arizona St. Paul Fire and Marine insurance Company (NAIC #24767) BUSINESS ADDRESS: ONE TOWER SQUARE, HARTFORD, CT 06183, PHONE: (860) 277-0111 . UNDERWRITING LIMITATION b/: $443,919,000. 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, YIN, MS, MID, MIT, NE, NV, NH, NJ, NM, NY, NC, ND, OH, OK, OR, PA, PR, RI, SC, ED, TN, TX, LIT, VT, VA, VI, WA, WV, WL WY. INCORPORATED IN: Connecticut ST, PAUL GUARDIAN INSURANCE COMPANY (NAIC #24775) BUSINESS ADDRESS: One Tower Square, Hartford, CT 06181 PHONE: (860) 277-0111 UNDERWRITING LIMITATION b/: $2,283,000, SURETY LICENSES c,f/: AL, AK, AZ, AR, CA, CO, CT, DE, DC, FL, GA, HL ID, IL, IN, IA, KS, KY, LA, ME, MD, MA, ML TAN, MS, MO, MT, NE, NV, NH, NM, NY, NC, ND, CH, OK, OR, PA, RE SC, ED, TN, TX, UT, VT, VA, WA, WV, WI, WY. INCORPORATED IN: ConnecticuL, St. Paul Mercury Insurance Company (NAIC #24791) PHONE: (800) 343-0592, UNDERWRITING LIMITATION b/: $11,602,000 SURETY LICENSES c,f/: AL, AK, AZ, AR, CA, CO, CT, DE, DC, FL, GA, 111, ID, IL, IN, A, IKE, KY, I -A, ME, DID, MA, MI, MN, ME, MO, MT, NE, NV, NH, Nj, NM, NY, NC, ND, ON, OR OR, PA, RL SC, SD, TN, TX, UT, VT, VA, WA, WV, WL WY, INCORPORATED IN: Iowa. Starr Indemnity & Liability Company (NAIC #38318) BUSINESS ADDRESS: 399 Park Avenue, &I Floor, New York, NY 10022, PHONE: (646) 227-6400 UNDERWRITING LIMITATION b/: $202,390,000. SURETY LICENSES c,f/: At, AK, AS, AR, CA, CO, C 1, DE, DC, FL, GA, GU, HI, ID, IL, IN, A, KS, KY, LA, ME, MD, MA, MI, MN, ME, MO, MT, NE, NV, N11, NJ, NIvL NY, NC, ND, OH, OK, OR, PA, FIR, RL SC, SD, TN, TX, UT, VT, VA, WA, WV, WL WY. INCORPORATED IN: Texas, State Auto Property and Casualty Insurance Cornpany (NAIC H25127) BUSINESS ADDRESS: 518 EAST BROAD STREET, COLUMBUS, OH 43215 PHONE: (614) 464-5000, UNDERWRITING LIMITATION bl: $69,61 5,000. SURETY LICENSES c,f/: AL, AK, AZ, AR, CO, CT, DE, DC, FL, GA, HI, ID, IL, IN, IA, KS, KY, LA, ME, MD, MA, ML MN, MS, MO, MT NE, NV, NL NY, NC, KID, ON, OR, OR, PA, RL SC, SD, TN, TX, UT, VTR VA, WV, WI, WY.. INCORPORATEDIN: Iowa, State Automobile Mutual Insurance Company (NAIC #25135) BUSINESS ADDRESS: 518 EAST BROAD STREET, COLUMBUS, OH 43215, PHONE: (614) 464-5000. I 1-111h- I 411 —111 1� I k- i I, I —P SURETY LICENSES c,f/: AL, AK, AZ, AR, CO, CT, DE, DC, FL, GA, HI, ID, IL, IN, IA, KS, KY, LA, ME, MD, M & MI, MN, MS, MO, MIF, NE, NV, NH, NJ, KIM, NY, NC, ND, ON, OK, OR, PA, RI, SC, SO, TN, TX, UTI VT, VA, WA, WV, WI, WY. INCORPORATED IN: Ohio, State Farm Fire and Casualty Company (NAIC #25143) BUSINESS ADDRESS: ONE STATE FARM PLAZA, BLOOMING CON, IL 61710, PHONE: (309) 766-2311 , UNDERWRITING LIMITATION b/: $1,888,2S2,000, SURETY LICENSES c,f/: AL, AK, AZ, AR, CA, CO, Cr, DE, DC, FL, GA, NI, ID, IL, IN, IA, KS, KY, LA, ME, MD, MA, MI, MN, MS, MO, MT, NE, Ply, NH, NJ, NM, NY, NC, ND, OH, OK, OR, PA, RI, SC, SD, TN, TX, UT, VT, VA, WA, WV, WI, VVY, INCORPORATED IN: Illinois, ,Stillwater Property and Casualty Insurance Company (NAIC #16578) BUSINESS ADDRESS: P. 0, Box 45126, Jacksonville, FL 32232 - 5126, PHONE: (800) 849-6140, UNDERWRITING LIMITATION b/: $11,921,000, SURETY LICENSES c,f/: AL, AK, AZ, AR, CO, CT, DC, FL, GA, HI, ID, It, IN, A, KS, KY, LA, ME, MD, MA, ML MN, MS, MO, MT, NE, NV, NH, NJ, NM, NY, NC, KID, OH, OK, OR, PA, RI, SC, SD, TN, TX, LIT, VT, VA, VI, WA, WV, WI, WY, INCORPORATED IN: New York SureTec Insurance Company (NAIC #10916) BUSINESS ADDRESS: 2103 CityWest Boulevard, Suite 1300, Houston, TX 77042, PHONE: (713) 812-0800, UNDERWRITING LIMITATION b/: $10,728,000, SURETY LICENSES c,f/: AL, AK, AZ, AR, CA, CO, CT, DE, DC, FL, GA, HI, ID, IL, IN, IA, KS, KY, LA, UNDERWRII ING LIMITATION b/: $441,467,000. SURETY LICENSES c,fl: AK, AZ, AR, CA, CO, DE, DC, CA, ID, It, IN, IA, KS, KY, LA, MI, MN, MS, NE, NV, NJ, NM, NY, ON, OR, PA, SD, UT, WA, WI. INCORPORATED IN: New York Travellers Casualty and Surety Company (NAIC #19038) BUSINESS ADDRESS: ONE TOWER SQUARE, HARTFORD, CT 06181 PHONE: (860) 277-0111 . UNDERWRII ING LIMITAI [ON ILI: $425,039,000, SURETY LICENSES c,f/: AT-, AK, AZ, AR, CA, CO, CT, DE, DC, FL, GA, GU, HI, ID, IL, IN, IA, KS, KY, LA, ME, RID, MA, ML MN, MS, MO, MT, NE, NV, NH, NJ, HIM, NY, NC, HID, ON, OR, OR, PA, PR, RI, SC, SD, TN, TX, UT, VT, VA, V1, WA, WV, WI, WY, INCORPORATED IN: Connecticut, Travelers Casualty and Surety Company of America (NAIC #31194) BUSINESS ADDRESS: ONE TOWER SQUARE, IIARTFORD, C r 06183 PHONE: (860) 277-0111. UNDERWRITING LIMITATION b/: $211,123,000, SURETY LICENSES c,fl: AL, AK, AZ, AR, CA, CO, CI, DE, DC, FL, GA, GU, HI, ID, IL, IN, IA, KS, KY, LA, ME, MD, MA, MI, MN, MS, MO, M I, NE, NV, KIN, NJ, NM, NY, NC, ND, OH, OR, OR, PA, PR, RI, SC, SD, TN, TX, UT, VT-, VA, VI, WA, WV, WI, WY, INCORPORATED IN: Connectirut, Travelers Casualty Insurance Company of America (PAID #19046) BUSINESS ADDRESS: ONE TOWER SQUARE, HARTFORD, CT 06163 PHONE: (860) 277-0111, UNDERWRITING LIMITATION L/; $55,265,000 ME, MID, MA, MI, MN, MS, MID, RUT, NE, NV, NH, NJ, NM, NY, NC, KID, ON, OR, OR, PA, RL SC, SD, TKL TX UT, VT, VA, WA, WV, WI, WY. INCORPORATED IN: Texas, ,SURETY BONDING COMPANY OF AMERICA (NAIC #24047) BUSINESS ADDRESS: 151 N. FRANKLIN ST, CHICAGO, IL 60606, PHONE: (312) 822-5000. UNDERWRITING LIMITATION b/: $776,000 SURETY LICENSES c,f/: AL, AS, AR, CA, CO, DE, DC, GA, ID, IL, IN, KS, MN, MO, MT, NE, NV, NM, NY, NO, OK, OR, SC, SO, TN, TX, UT, WV, WY - INCORPORATED IN: South Dakota, Swiss Reinsurance America Corporation (NAIC #25364) BUSINESS ADDRESS: 175 KING STREET, ARMONK, NY 10504 - 1606, PHONE: (914) 828-8000, UNDERWRITING LIMITATION b/: $331,237,000, SURETY LICENSES c,U: AL, AK AZ, AR, CA, CO, Cl, DE, DC, FL, GA, HI, ID, IL, IN, IA, KS, KY, [A, ME, MD, MA, ML M114, MIS, MO, MT, NE, NV, NH, NJ, NM, NY, NC, ND, ON, OK OR, PA, RI, SC, SD, TN, TX, UT, VT, VA, WA, WI. INCORPORAI ED IN: New York, 3arLT.QJ-QR T TRANSATLANTIC REINSURANCE COMPANY (NAIC #19453) BUSINESS ADDRESS: One Liberty Plaza, 165 Broadway, NEW YORK, NY 10006, PHONE: (212) 365-2200. —11t IT LILLNLJ C,W AL, AN, AL, AK, LA, LU, c, I, UL, —, rL, UM, M I, I J, IL, I IN, PA, N, NY, —, ME, MD, MA, ML MN, MS, MO, MT, NE, NV, NH, NJ, NM, NY, NC, KID, 011, OR, OR, PA, RI, SC, SD, TN, TX, UT, VT, VA, WA, WV, WI, Vft INCORPORATED IN: Connecticut, Travellers indemnity Company (The) (NAIC #25658) BUSINESS ADDRESS: ONE TOWER SQUARE, HARTFORD, CT 06183, PHONE: (860) 277-0111 . UNDERWRITING LIMITATION ILI: $663,330,000, SURETY LICENSES c,f/: AL, AK, AZ, AR, CO, CT, DE, DC, FL, GA, GU, HI, ID, IL, IN, IA, KS, KY, LA, ME, MD, MA, Tell, MN, MIS, MO, MT, NE, NV, NH, NJ, NM, NY, NC, ND, OH, OR, OR, PA, PR, RI, SC, SD, TN, IX, U F, VT, VA, WA, WV, WI, WY, INCORPORATED IN: Connecticut, TRAVELERS INDEMNITY COMPANY OF AMERICA (THE) (NAIC #2S666) BUSINESS ADDRESS: ONE TOWER SQUARE, HARTFORD, CT 06183 PHONE: (860) 277-0111 UNDERWRITING LIMITATION bx: $18,251,000 SURETY LICENSES c,f/: AL, AK, AZ, AR, COL CT, DC, FL, GA, HI, ID, IL, IN, IA, KS, KY, LA, MD, MA, MI, MN, MS, MO, NIT, NE, NV, NH, NJ, NM, NY, NC, ND, CH, OK, OR, PA, RI, SD, TN, TX, LIT, VT, VA, WA, WV, WI, WY. INCORPORATED IN: Connecticut, Travelers Indemnity Company of Connecticut (The) (NAIC #25682) BUSINESS ADDRESS: ONE TOWER SQUARE, I fAR FFORD, Cr 06183, PHONE: (860) 277-0111 . UNDERWRITING LIMITAI ION bi: $33,279,000, SURETY LICENSES c,fl: AL, AK, AZ, AR, CA, CO, CT DE, DO FL, GA, HI, ID, L, IN, [A, KS, KY, LA, ME, MD, MA, ML MN, MS, MO, MT, NE, NV, NFL NJ, KIM, NY, NC, ND, ON, OK OR, PA, PR, RI, .^ , �0, I IN, I A, U I, V I, VA, VI, VVA, VVV, VVI, VVL INCORPORATED IN: Connecticut. Travelers Property Casualty Company of America (NAIC #25674) BUSINESS ADDRESS: ONE TOWER SQUARE, HARTFORD, CT 06183, PHONE: (860) 277-0111 . UNDERWRITING LIMITATION b/: $43,745,000 SURETY LICENSES c,fl: At, AS, AZ, AR, CA, CO, CT, DE, DC, Fl, GA, HL ID, IL, IN, IA, KS, KY, LA, ME, MD, MA, MIT, MN, MS, MO, MR, MI, NE, NV, NH, NJ, NM, NY, INC, ND, Oil, OK, OR, PA, RI, SD, TN, TX, UT, VT, VA, WA, WV, WI, WY. INCORPORATED IN: Connecticut. 03ck lk!Qp U U.S. Specialty Insurance Company (NAIC #29599) BUSINESS ADDRESS: 13403 Northwest Freeway, Houston, TX 77040. PHONE: (/13) 462-1000 UNDERWRITING LIMITATION LI: $59,367,000 SURETY LICENSES c,f/: At, AK, AS, AZ, AR, CA, CO, CT, DE, DC, FL, GA, HI, ID, 11, IN, A, KS, KY, LA, ME, MD, MA, ML MIN, MIS, MO, MT, NE, NY, NFL NJ, NM, NY, NC, ND, OH, OK, OR, PA, RI, SC, SD, TIN, TX, UT, VT, VA, WA, WV, WI, WY. INCORPORATED IN: Texas, UNITED CASUALTY AND SURETY INSU RANCE COMPANY (NAIC#36226)" 16 BUSINESS ADDRESS: 292 Newbury Street, Suite 105, Boston, MA 02115 PHONE: (617) 471-1112, SC, SD, TIN, TX, UT, VT, VA, V1, WA, WV, WI, WY.. INCORPORATED IN: Connecticut, United States Fire Insurance Company (NAIC #21113) BUSINESS ADDRESS: 305 Madison Avenue, Morristown, NJ 07962 PHONE: (973) 490-6600. UNDERWRITING LIMITATION b/: $131,764,000, SURETY LICENSES c,f/: AL, AK, AZ, AR, CA, CO, CT, DE, DC, FL, GA, HI, ITS, IL, IN, A, KS, KY, LA, ME, MD, MA, MI, MIN, MS, MO, MIT, NE, No, NH, NJ, NM, NY, NC, ND, ON, OR, OR, PA, PR, RI, SC, SD, TN, TX, UT, VT, VA, V1, WA, WA WI, WY, INCORPORATED IN: Delaware. United States Surety Company (NAIC AT 0656) BUSINESS ADDRESS: One Texas Station Court, Sulte 230, Timonium, MD 21093, PHONE: (410) 453-9522, UNDERWRITING LIMITATION b/: $5,466,0OLL SURETY LICENSES c,fl: CT, DE, DC, FL, GA, ME, MID, MA, NH, NJ, NY, NC, OH, PA, RI, SC, TIN, VT, VA, WV INCORPORATED IN: Maryland, UNITED SURETY AND INDEMNITY COMPANY (NAIC 944423) BUSINESS ADDRESS: P.O. BOX 2111, SANJUAN, PR 00922 - 2 111, PHONE: (787) 625-11 OS. UNDERWRITING LIMITATION b/: $6,297,000, SURETY LICENSES c,f/: PR. INCORPORATED IN: Puerto Rico, Universal Surety Company UNDERWRITING LIMITATION b/: $1,497,000. SURETY LICENSES c,f/: AL, AK, AS, AR, CA, CO, CT, DE, DC, FL, GA, HL ID, L, IN, IA, KS, KY, LA, ME, MID, MA, MIT, MN, MS, MO, MT, NE, NV, NH, NJ, NM, NY, NC, ND, ON, OR, PA, RI, SC, SD, TN, TX, UT, VT, VA, WA, WV, WI, WY. INCORPORATED IN: Nebraska United Fire & Casualty Company (NAIC #13021) BUSINESS ADDRESS: P 0, BOX 73909, CEDAR RAPIDS, IA 52407 - 3909, PHONE: (319) 399-570tL UNDERWRITING LIMITATION b/: $65,336,000 SURETY LICENSES c,fl: AL, AS, AZ, AR, CA, CO, D(:, FL, GA, HL ID, R., IN, IA, KS, KY, LA, ME, MET, MA, M1, MN, MS, MO, MT, AL, NV, NJ, NM, NY, NC, ND, OH, OR, OR, PA, SC, SET, TN, TX, UT, VT, VA, WA, WV, WI, WY. INCORPORATED IN: Iowa. UNITED FIRE & INDEMNITY COMPANY (NAIC #19496) BUSINESS ADDRESS: P 0 BOX 73909, CEDAR RAPIDS, A 52407 - 3909 PHONE: (319) 399-5700, UNDERWRITING LIMITATION b/: $1,914,000 SURETY LICENSES c,f/: AL, CO, IN, KY, LA, MS, MO, NM, -IX, INCORPORATED IN: Texas United States Fidelity and Guaranty Company (NAIC #25887) BUSINESS ADDRESS: ONE TOWER SQUARE, HARTFORD, CF 06181 PHONE: (860) 277-0111 UNDERWRITING LIMITATION b/: $98,421,000 SURETY LICENSES c,Y: AL, AK, AZ, AR, CA, CO, CT, DE, DC, FL, GA, HI, ID, IL, IN, IA, KS, KY, LA, ME, MD, MA, MI, MN, MS, MO, MIT, NE, NV, NH, NJ, NM, NY, NC, ND, ON, OR, OR, PA, PR, RI, (NAIC#25933) BUSINESS ADDRESS: P.O. Box 80468, Lincoln, NE 68501, PHONE: (402) 435-4302 UNDERWRITING LIMITATION IV: $17,774,000, SURETY LICENSES cj1: AS, AR, CO, ID, L, IN, IA, KS, KY, MI, MIN, MO, MIT, NE, NM, NO, OIL OK, SC, SD, TX, UT, WA, WI, WY. INCORPORATED IN: Nebraska, UNIVERSAL UNDERWRITERS INSURANCE COMPANY (NAIC#41181) BUSINESS ADDRESS: 1299 ZURICH WAY, 5TH FLOOR, SCHAUMBURG, IL 60196 -1056, PHONE: (847) 605-6000, UNDERWRITING LIMITATION b/: $33,104,000, UNDERWRITING LICENSES c,f/: AL, AK, AZ, AR, CA, CO, CIF, DE, DC, FL, GA, HL ID, IL, IN, A, KS, KY, LA, ME, MD, MA, MI, MIN, MIS, MO, MT, NE, NV, NH, NJ, NM, NY, NC, ND, CH, OR, OR, PA, RL SC, SET, TIN, TX, UT, VT, VA, WA, WV, WI, WY, INCORPORATED IN: Illinois, Utica Mutual Insurance Company (NAC #25976) BUSINESS ADDRESS: POST OFFICE BOX 530, UTICA, NY 13503 - 0530 PHONE: (315) 734-2000, UNDERWRITING LIMITATION bl: $90,389,000, 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, NJ, NIVI NY, NC, ND, CH, CIS, OR, PA, PR, RI, SC, SET, TIN, TX, UT, VT, VA, WA, WV, WI, WY INCORPORATED IN: New York INTO'N !vp v VerTerra Insurance Company (NAIC #10024) BUSINESS ADDRESS: P.A., BOX 509039, SAN DIEGO, CA 92150. PHONE: (856) 350-2400. UNDERWRITING LIMITATION bl: $5,647,000, SCREW LICENSES c,f/: TX INCORPORATED IN: Texas, Vigilant Insurance Company (NAIC #20397) BUSINESS ADDRESS: 202B Hall's MIT Road, Whitehouse Station, NJ 08889 PHONE: (215) 640-1 000 UNDERWRITING LIMITATION bl: $33,374,000, SURETY LICENSES c,f/: AL, AK, AZ, AR, CA, CO, CT, DE, DC, FL, GA, HI, ID, L, IN, A, KS, KY, LA, ME, MD, MA, MI, MIN, ME, MO, MT, NE, NV, NH, NJ, NM, NY, NC, ND, OH, OR, OR, PA, RI, SC, SD, TN, TX, UT, VT, VA, VI, WA, WV, WI, WY, INCORPORAI ED IN: New York, W Washington International Insurance Company (NAIC #32778) BUSINESS ADDRESS: 1200 MAIN STREET, SUITE 800, KANSAS CITY, MO 64105, PHONE: (816) 235-3700, UNDERWRITING LIMITATION b/: $8,539,000. SURETY LICENSES r,fl: At, AK, AZ, AR, CA, CO, CT, DE, DC, FL, GA, GU, HI, ID, IL, IN, A, KS, KY, Western National Mutual Insurance Company (NAIC #15377) BUSINESS ADDRESS: PO. BOX 1463, MINNEAPOLIS, MN 55440, PHONE: (952) 835-5350 UNDERWRITING LIMITATION b/: $50,202,000, SURETY LICENSES c,f/: AK, AZ, AR, CA, CO, DE, ID, L, IN, IA, KS, KY, MD, MI, YIN, MO, MT, NE, NV, NJ, NM, NO, ON, OK, OR, PA, RI, SD, TX, UT, WA, WI, WY, INCORPORATED IN: Minnesota. Western Surety Company (NAIC #13188) BUSINESS ADDRESS: 151 N FRANKLIN SC, CHICAGO, IL 60606. PHONE: (312) 822-5000, UNDERWRITING LIMITATION b/: $153,381,000, SURETY LICENSES c,f/: AL, AK, AS, AR, CA, CO, CF, DE, DC, FL, GA, HI, IS, IL, IN, IA, KS, KY, LA, ME, MD, MA, MI, MN, ME, MO, MIT, NE, NY, NH, NJ, NM, NY, NC, ND, OH, OK, OR, PA, PR, RI, SC, SD, TN, TX, UT, VT, VA, WA, WV, WI, WY INCORPORATED IN: South Dakota, Westfield Insurance Company (NAIC #24112) BUSINESS ADDRESS: P, 0 Box 5001, Westfield Center, OH 44251 - 5001 PHONE: (330) 887-0101 , UNDERWRITING LIMITATION bl: $11 5,557,000. SURETY LICENSES c,fl: AL, AK, AS, AR, CO, CT, DE, DC, FL, GA, HI, ID, L., II,L A, KS, KY, LA, ME, MD, MA, MI, MIN, ME, MO, BIT, ND, NE, NV, NH, NJ, NM, NY, NC, ON, OK, OR, PA, RI, SC, SO, 'TN, TX, UT, VT, VA, WA, WV, WI, WY, INCORPORATED IN: Ohio, Westfield National Insurance Company (Wir xmimi LA, ME, MD, MA, MI, MIA, MS, MO, MT, NE, NV, NH, NJ, NM, NY, NC, NO, ON, OK, OR, PA, FIR, RI, SC, SD, TN, TX, UT, VT, VA, VI, WA, WV, WI, WY, INCORPORATED IN: New Hampshire. West American Insurance Company (NAIC #44393) BUSINESS ADDRESS: 175 Berkeley Street, Boston, MA 02116, PHONE: (617) 357-9500L UNDERWRITING LIMITATION bl: $5,131,000. SURETY LICENSES c,fl: AL, AK, AZ, AIR, CO, CT, DE, DC, FL, GA, ID, IL, IN, A, KS, NY, LA, MD, MA, MI, MIN, MS, MO, MY, NE, NV, NH, NJ, NM, NY, NC, ND, ON, OK, OR, PA, RI, SC, SO, TIN, TX, UT, VA, WA, WV, WI, WY, INCORPORATED IN: Indiana WEST BEND MUTUAL INSURANCE COMPANY (NAIC #15350) BUSINESS ADDRESS: 1900 South 18th Avenue, West Bend, W1 53095, PHONE: (262) 334-5571, UNDERWRITING LIMITATION b/: $113,806,000, SURETY LICENSES c,t/: L, IN, IA, KS, KY, MI, YIN, MO, NE, CH, PA, IN, 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 LIMITATION bl: $21,740,000, UNDERWRITING LICENSES cj/: AL, AK, AZ, AR, CA, CO, (1, DE, DC, FL, GA, GU, HI, ID, L, IN, A, KS, KY, LA, ME, MD, MA, MI, MIN, MIS, MO, ME, MT, NE, NV, PIN, NJ, NM, NY, NC, ND, ON, OK, OR, PA, BE, RI, SC, SD, IN, TX, UT, VI, VA, VI, WA, WV, WI, WY INCORPORATED IN: Pennsylvania. BUSINESS ADDRESS: P, 0, Box 5001, Westfield Center, OH 44251 - 5001 PHONE: (330) 887-0101, UNDERWRITING LIMITATION b/: $30,579,000, SURETY LICENSES c,f/: AL, AS, AR, CA, CO, DE, FL, GA, L, IN, A, KY, MD, MI, MN, NM, NC, ND, ON, OK, PA, SC, SD, TN, TX, VA, WV, WI INCORPORATED IN: Ohio, Westport Insurance Corporation (NAIC #39845) BUSINESS ADDRESS: 1200 MAIN STREET, SUITE 800, KANSAS CITY, MO 64105. PHONE: (816) 235-3700, UNDERWRITING LIMITATION b/: $129,984,000, SURETY LICENSES c,fl: AL, AK, AS, AR, CA, CO, CT, DE, DC, Ell, GA, GU, HI, ID, It, IN, ]A, KS, KY, LA, ME, MD, MA, MI, MN, MIS, MO, ME, MT, NE, NV, SIN, NJ, NM, NY, NC, ND, ON, OK, OR, PA, PR, RI, SC, SD, TN, TX, UT, VT, VA, VI, WA, WV, WI, WY INCORPORATED IN: Missouri P"O f"rJo x XL Reinsurance America Inc. (NAIC #20583) BUSINESS ADDRESS: 70 SEAVIEW AVENUE, STAMFORD, CT 06902. PHONE: (203) 964-5200. UNDERWRITING LIMITATION b/: $178,791,000, SURETY LICENSES c,f/: AL, AK, AZ, AR, CA, CO, CT, DE, DC, FL, GA, HI, ID, IL, IN, IA, KS, KY, LA, MD, MA, MI, MN, MS, MO, MT, NE, NV, NH, NJ, Ni NY, NC, ND, OH, OK, OR, PA, PR, RI, SC, SD, TN, TX, UT, VT, VA, WA, WV, WI, WY. INCORPORATED IN: New York. XL Specialty Insurance Company (NAIC #37885) BUSINESS ADDRESS: 70 SEAVIEW AVENUE, STAMFORD, CT 06902. PHONE: (203) 964-5200, UNDERWRITING LIMITATION b/: $30,035,000. 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, NO, OH, OK, OR, PA, PR, RI, SC, SO, TN, TX, UT, VT, VA, VI, WA, WV, WI, WY. INCORPORATED IN: Delaware. L^.rk', k I CY Up Y UVv1!!'.tl i,i IDI Surety Bonds A program of the Bureau ofthe 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, 5TH FLOOR, SCHAUMBURG, IL 60196 - 1056,. PHONE: (847) 605-6000. UNDERWRITING LIMITATION b/: $638,519,000. UNDERWRITING LICENSES c,f/: AL, AK, AZ, AR, CA, CO, CT, DE, DC, FL, GA, GU, HI, ID, IL, IN, IA, I KY, LA, ME, MD, MA, MI, MN, MS, MO, MP, MT, NE, NV, NH, NJ, NM, NY, NC, ND, OH, OK, OR, PA, PR, RI, SC, SD, TN, TX, UT, VT, VA, VI, WA, WV, WI, WY. INCORPORATED IN: New York. Last modified 07/22/19 Search Fiscal Service VIORI: GOVILRINIIIIIIIIIIN 11 S11 IIIS W,,nv -f " o I r'n; I, ,(H8 li rJOIWL ) w cvwhy I,mn,o Ip vw), yl n1r, Mnpw I: !II Iv oqfl i.l rar !,,,v rein l'.A m 11 glov IH, �wl Part of State Form52414 (R2 / 2-13) Form 96 (Revised 2013) BID OF Walsh & Kelly,Inc. (Contractor) (Address) South Bend IN 46614 FOR PUBLIC WORKS PROJECTS OF 2019 Contractor Paving Project No. 119-062 Filed July 23rd 2019 Action taken State Form 52414 (R / 9-10) Prqs_r,r1_bqd by StateBoard of Accounts Fcrr +a 6 (Revised 201 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): July 23 2019 Qfty of South Bend Indiana St. Jose h Walsh & Kelly, Inc. 24358 SR 23 South Bend IN 46614 74) 288-4811 Pursuant to notices given, the undersigned offers to furnish labor and/or material necessary to complete the public works project of Cit of South Bend Indiana (Governmental Unit) in accordance with plans and specifications prepared by City of South Bend — Dept. of Public Works .and dated Jute 28`i', 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. 2 ACCEPTANCE The above bid is accepted this Contracting Authority Members: day of subject to the following conditions: PART II (For projects of $150,000 or more — IC 36-1-12-4) Governmental Unit: City of South Bend, Indiana Bidder (Firm): Walsh & Kelly, Inc. Date(month, day, year)- 9 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 I . 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 _WW... hefeted wawaWn Com 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 an11 d Address of Owner $10,695,118 Reconstruction November 2018 Walsh Construction $ 8,146,239 Resurface Many 2018 INDOT $ 4,073,719 Reconstruction July 2018 City of East Chicago, IN $ 2,662,813 1 Reconstruction October 2018 INDOT y p y y If so, where and why? 4. Have you ever failed to complete an work aware to out No 5. List references from private firms for which you have performed work. + atlin uPlrltr bipg eatii Inc11 i i E,. Main St, Griffstlr, IN Ms, Claca„ LI h iou gla. Inc. 2200 E. 88"' Dr, Merrillville, ll� 46410 Mr. Raymond Gough Dyer Construction Co. 1716 Sheffield Avenue er, IN Janet Furman Grimmer Construction Co. Inc. 2619 Main Street Highland, IN Mr...QM G, 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 5 19 ITEM Asphalt Plants Asphalt Pavers DESCRIPTION, SIZE, CAPACITY, ETC. Various „ Various CONDITION Good Good YEARS OF SERVICE PRESENT WCATION Griffith, South Bend, Valparaiso, Lowell, LaPorte Griffith, South Bend 4 Sli form Cone. 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 Dumps Various Good _ _ Griffith, South Bend 48 '/h and % ton Picku s Good Griffith, South Bend 65 1 Ton Crew Trucks _Various Various Good Griffith, South Bend 3 Cold Planers Wirtgen 1900 Good Griffith, South Bend DC 3 1 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 23rd day of Ju,2019 �Fao M� tl ,y / �r B Dustin Hi] ACKNOWLEDGEMENT STATE OF Indiana _l ss COUNTY OF St. Joseph__ of Organization) VP of South Bend Area (Title of Person Signing) Before me, a Notary Public, personally appeared the above -named, Dustin Hilary and swore that the statements contained in the foregoing document are true and correct. Subscribed and sworn to before me this 23' My Commission Expires: June 5 2022 County of Residence: day of June 2019 41CL V"'we A, tshi Krueger, Notary Public A L I S H A K R U E G E R YJotary Public, State of Indiana ; FM St. Joseph CountV My Commission Expires Form 96 Section II, #2 Subcontractors Used on Public Works Contracts D ri:n� SUBCONTRACTORS COMPANY ADDRESS CITY/STATE/ZIP 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 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 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 the Past 5 Years Schererville, IN 46375 Portage, IN 46368 Hanna, IN 46340 Dyer, IN 46311 Griffith, IN 46319 Merrillville, IN 46410 Highland, IN 46322 Calumet City, IL 60409 South Bend, IN 46624 Schererville, IN 46375 Kentland, IN 47951 Michigan City, IN 46361 PHONE 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 Hiohwav Avenue 3122 Olympia Dr 1810 W Pacific Avenue 3542 Hiohwav 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 (219) 662-8093 (219)397-8888 (219) 769-0565 (574) 271-0144 (219) 662-8093 (219) 397-8888 574) 772-7002 (574)223-5817 (574)223-7959 (219)864-2300 (708)430-6910 (317) 780-1825 (574) 287-2078 (574) 772-7001 (574) 772-7002 (291)746-2433 (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 6 GUARDRAIL/FENCING Acorn Fence C Tech Corporation James H. Drew Company Security Industries Specialties Company TRUCKING/HAULING C. Lee Construction Services Condon Trucking, LLC Fanio Services Gilmer Trucking Material Transfer Inc. Morris Motor Service, Inc. P & C Trucking Superior Construction Co., Inc V & R Trucking, Inc. SRPM'S K & S Markers, Inc. UNDERSEAL Rieth-Riley Construction Co., Inc. TREE REMOVAL Dave's Tree Service Homer Tree Service Timber Masters LLC LIME STABILIZATION Mt. Carmel Sand & Gravel Rock Solid Stabilization Specialties Company PIPE LINING Indiana Reline, Inc. 2041 164th Street 5300 W. 100 North 8701 Zionsville Rd. 1000 Georgiana St. 9350 E. 30th St. 1011 S. Lake St 18245 Amberley Ln 28015 SR 23 20390 New Road 7811 West 101stAve. 10525 W US Hwy 30 Bld 7 4410 Ross Road 1455 Louis Sullivan Dr 1845 Elmer St. 2189 N 600 W Hammond, IN 46320 Boggstown, IN 46110 Indianapolis, IN 46268 Hobart, IN 46342 Indianapolis, IN 46229 Gary, IN 46403 South Bend, IN 46637 North Liberty, IN 46554 South Bend, IN 46614 Crown Point, IN 46307 Wanatah, IN 46390 Gary, IN 46408 Portage, IN 46368 South Bend, IN 46628 Thorntown, IN 46071 2454 West CR 450 North LaPorte, IN 46350 1555 Park West Circle 14000 S. Archer Ave P.O. Box 245 1611 College Dr. 5104 Mann Drive 9350 E. 30th St. 312 E. Main Street Munster, IN 46321 Lockport, IL 60441 Dyer, IN 46311 Mt. Carmel, IL 62863 Ringwood, IL 60072 Indianapolis, IN 46229 Sulphur Springs, IN 47388 (219) 844-8400 (317) 835-2745 (317) 876-3739 (219) 942-9447 (317) 594-0291 (219) 888-9554 (574) 360-4326 (574) 233-3236 (574) 229-3233 (219) 865-9575 (219) 733-9430 (219) 972-0193 (219)787-0850 (574) 329-2102 482-6184 9) 362-6178 (219) 922-9829 (815) 838-0320 (219) 864-8733 (219)844-8441 (317) 835-2781 (317) 876-3829 (219) 942-9448 (317) 594-0271 (219) 888-9564 (574) 271-8984 (765) 482-6284 (219) 922-9843 (219) 322-9391 (618) 262-5118 (618) 263-4084 (815) 653-2585 (815) 653-2583 (317) 594-0291 (317) 594-0271 (765)766-5040 (765)533-5831 SAW CUTTING Diamond Coring Co., Inc. 11800 S Ewing Ave Chicago, IL 60617 (773) 978-5000 Quality Saw & Seal, Inc. 7600 W. 79th Street Bridgeview, IL 60455 (773) 767-9300 SEAL COATING/STRIPING ,Site Services, Inc. 10117 Kennedy Ave Highland, IN 46322 (219) 924-9944 Blackout Sealcoating 7440 W. 87th Place Bridgview, IL 60455 (219) 864-2300 (708), 430-6910 UNDERDRAIN 3D Company, Inc. 3200 East CR 350 North Muncie, IN 47303 (765) 288-3326 (765) 288-3344 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 y....... ..... Walsh & Kelly, Inc. Address 24358 SR 23 South Bend IN 46614 Date submitted July 23, 2019 mm ..�IT...m.. Fh..1i. ➢ OYCF CO., MUNCIE, IIND, IA Corporation 1 Sec. 2 of an Act entitled AN ACT concerning the awarding of contracts for the performance of public work and authorizing the board of accounts to prescribe certain forms to be used in ascertaining the responsibility of contractors who submit bids for the performance of such work, providing for plans and specifications, providing for bids repealing certain laws and declaring an emergency." (Approved March 13, 1947.) Sec. 2. Whenever the aggregate costs of any work or improvement will be five thousand dollars ($5,000.00) or more, for the purpose of enabling such board, commission, trustee, officer or agent to ascertain and determine which of the bidders submitting bids for the performance of any such public work is, in the judgment of such board, commission, trustee, officer or agent, the lowest and/or best bidder and to exercise intelligently the discretion hereby conferred on such board, commission, trustee, officer or agent each bidder shall be required to submit under oath with and as a part of his bid a statement of his experience, his proposed plan for performing such work and the equipment which he has available for the performance of such work and a financial statement. The statements hereby required shall be submitted on forms which shall be prescribed by the state board of accounts. The forms so prescribed shall be designated, respectively, as the experience questionnaire, the plan and equipment questionnaire and the contractor's financial statement, and shall be based, so far as applicable, on the standard questionnaires and financial statement for bidders as approved and recommended by the joint conference on construction practices, for use in investigating the qualifications of bidders on public construction work, and the forms so prescribed are hereby prescribed as the forms which shall hereafter be used by all such boards, commissions, trustees, officers and agents in obtaining the information which is required in the administration of this act. If the information submitted by any bidder on the 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 find it to his advantage to answer fully all questions coming within the range of the work upon which he is bidding. Particular attention should be given the "Financial Statement" and the details relative to the assets and liabilities set out. This form is made in extensive detail so that the bidder may explain his assets and liabilities in proper sequence and in a uniform manner. T. M. HINDMAN, State Examiner c Submitted by . _ Walsh & Kelly, Inc. { x A Corporation Principal Office at 1700 East Main Street Griffith IN 46319 To City of South l c1ij( _.hidi na 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? ContractwAin unt o Class of Work When Com leted ..__ ... Name and Address of Owner ............ $ 12,926,200 Reconstruction October 2017 INDOT $ 5,970,162 .......... Reconstruction May 2017 Town of Merrillville, IN $ 5,521,799 Resurface ................ December 2017 City of Mishawaka, IN $ 2,646,574 Reconstruction September 2017 St. Joseph County Hwy De artment 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 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._wMichian Cit IN 46360 Grimmer Construction Co. Inc. 2619 Main Street Highland, IN 46322 University of Notre Dame South Bend Indiana Gough, Inc., 1151 E. Summit, Crown Point, IN 46307 9. For what cities have you performed work and to whom do you refer? Town of Griffith Director of Public Works Griffith IN Town of Schererville Town Manager Schererville IN City of Hammond City Engineer Hammond IN City of South Bend City Engineer South Bend. IN Town of St. John Town Manaaer St. John. IN 10, For what counties have you performed work and to whom do you refer? Lake County Highway Superintendent Crown Point IN Porter Count Highway Superintendent Valparaiso, IN St. Joseph County Hi2hway Superintendent _ South Bend IN Elkhart County HighwayHighwqy Superintendent ElkhartIN LaPorte County Hi hwa Superintendent ...............LaPorte IN 11. For what State bureaus or departments have you performed work and to whom do you refer? Indiana Department of Transportation INDOT LaPorte District LaPorte IN De artment of Natural Resources Indianapolis, IN 12. Have you ever performed any work for the U.S. Government Yes If so, when and to whom do you refer? U.S. Army Corps of Engineers Chicago, IL Indiana National Guard Dept. of Administration Indianapolis, IN Federal HighwayHighw4y Administration Sterling,VA 13. What is the construction experience of the principal individual of vour or anization'? INDIVIDUAUS 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 Manager Jeffrey L. Swan Executive Vice President 34 All Types Supt. Engineering David J. Misirly Vice President 33� Bituminous Engineer Pavin Greg A. Hoffman Vice President 31 Bituminous Engineer Paving John C. Wall Vice President 41 All types En ineer ............................................................................................................................................................................................ John M. Peisker Vice President ................................. 33 All t es General Mana er J. Michael Secretary/Treasurer 46 Administration General Manager Schaum Jamie L. Tancos Controller 14 Administration General Mana er Lynn J. Bauer South Bend O s Mgr. 23 All types Engineer Dustin P. Hilary South Bend Area ME, 18 All types En ineer Mark E. Engineer 28 All types Engineer Krachenfels Keith A. Gardina .... En ineer __.. 23 All t es En ineer Nikolas G. Relias Engineer 16 Bituminous Engin Paving PLAN AND EQUIPMENT QUESTIONNAIRE The signatory of this questionnaire guarantees the truth and accuracy of all statements and of all answers to interrogatories hereinafter made. 1. hi what manner have you inspected this proposed work? Explain in detail. Plans, Specifications, and Site Inspections 2. Explain your plan or layout for performing the proposed work As directed by owner/engineer 3. The work, if awarded to you, will have the personal supervision of whom?, Kevin I. Kel ly, Jeffi-ey L. Swan David .). Misirly, Gregory A. floffinan Dustin :P . Hilar . and Lunn I 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 i•esponsibil:ity Items 4,5,6 and 7 may not be applicable in all building contracts; if not, omit. 6 6. *Do you intend to do the grading on the proposed work with your own forces?, If so, give type of equipment to be used 7. *If you intend to sublet the grading or perform it through an agent, state amount of sub -contract or agent's contract, and, if known, the name and address of sub -contractor or agent, amount and type of his equipment and financial responsibility 8. Do you intend to sublet any other portions of the work? if so, state amount of sub -contract, and, if known, the name and address of the sub -contractor, amount, and type of this equipment and financial responsibility 9. From which sub -contractors or agents do you expect to require a bond? None 10. What equipment do you own that is available for the proposed work? QUANTITY ITEM DESCRIPTION, CONDITION YEARS PRESENT LOCATION SIZE, CAPACITY, OF ETC. SERVICE 5 Asphalt Plants Various Good Griffith, South Bend, Valparaiso, Lowell, LaPorte 19 A� altwPavers Various Good Griffith, South Bend 4 Sli form Conc. Paver Various Good Griffith, South Bend 3 Road Widener Various Good Griffith, South Bend 5 Motor Graders CAT/J.D. Good Griffith, South Bend 54 Rollers Various Good Griffith, South Bend 30 . Rubber Tire Loaders ..............................:................ Various Good Griffith, South Bend 15 Excavators Various Good Griffith, South Bend 9 Bulldozers Various Good Griffith, South Bend 6 LowBoy Tractors Various Good Griffith, South Bend 8 Flatbed Dum s Various Good Griffith, South Bend 48 % 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 Dump Mack Good South Bend 11. What equipment do you intend to purchase for use on the proposed work, should the contract be awarded to you? WWWWWW_W_ .. QUANTITY ITEM DESCRIPTION, SIZE, CAPACITY, ETC. APPROXIMATE COST None -____________., 12. How and when will you pay for the equipment to be purchased?, 13. Do you propose to rent any equipment for this work?No If so, state type, quantity and reasons for 14. Have you made contracts or received firm offers for all materials within prices used in preparing your proposal? Do not give names of dealers or manufacturers Dated at South Bend ,,,(his 23`d day of Jtjly, 201 Walsh & Ko 11C-17 (Name of C an` atio r By ' ustin 1-li.la VP of Soutll itlo of Person Signing) STATE OF Indiana { ss. COUNTY OF St. Joseph _ List.iLi llilary being duly sworn deposes and says that he is _ VP of South Bend Area of the above _ Walsh & Kelly,Inc. (Name of Organization) and that the answers to the questions in the foregoing questionnaires and all statements therein contained are true and correct. Subscribed and sworn to before me this 23`d day of al 201 Alisha Knileg�.vPublic My Commission expires June 5 2022 ,, �tbrr ALISHA KRUEGER Notary public, state of Indiana ^ F t St. Jos®ph County a My Commission Expires is verp�0iltw'"+w' .Iune®a,2Q22 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 July 03, 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, July 03, 2019 CONNIE LAWSON SECRETARY OF STATE 194484-057 / 20191022237 All certificates should be validated here: https:Hbsd.sos.in.gov/ValidateCertificate Expires on August 02, 2019. 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 8, Curbing 1611.02 Asphalt Construction of Roads and Parking Lots CERTIFICATION DATE 3/14/2018 EXPIRATION DATE 6/1412020 THIS CERTIFICATE ISSUED BY THE STATE OF INDIANA, PUBLIC WORKS DIVISION CERTIFICATION BOARD, 402 WEST WASHINGTON STREET, ROOM W467, INDIANAPOLIS. INDIANA 46204, ALSO ACTS AS THE OFFICIAL NOTICE OF EXPIRATION. r f a'rJ, 1 Tracy L. Cross, Executive `Sretery Certification Board DAPW PQ2 State Form 3983R Rev. 07/06 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 John P. Vercruysse, Executive Vice President Jamie L. Tancos, Controller John M. Peisker, Vice President of Asphalt Operations David J. Misirly, Vice President Albert E.VanDenBergh, Vice President Gregory A. Hoffinan, Vice President John C. Wall, Vice President J. Michael Schaum, Secretary and Treasurer, CFO David L. Franz, Vice President of Finance Dustin P. Hilary, Vice President Lynn J. Bauer, Vice President Mark E. Krachenfels, Vice President 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. Hoffinan, Vice President Dustin P. Hilary, Vice President Lynn J. Bauer, Vice President John C. Wall, Vice President J. Michael Schaum, Secretary and Treasurer, CFO Mark E. Krachenfels, Vice President 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>> EXECUTED this 28`h day of March, 2019. Fre ehsenfel i rt 1 „ VanD_enBergh ., .. _: �.... Kevin J. Kelly Jamesmm� Fehse..� nfeld w�.°1 , �11 P. Vercraysse EXECUTED this 28`" day of March, 2019. Fred Fehsenfeld, Jr. James C. Fehsenfeld Albert E, VanDenBergh John P. Vercruysse A Kevin . Xell01 r. GRIFFITH SOUTH BEND W'alsh & 1700 East Main Street 24358 SR 23 Griffith, Indiana 46319 www•walshkelly.com South Bend, Indiana 46614 Phone (219) 924-5900 Phone (574) 288-4811 Inc. Fax (219) 924-8768 Fax (574) 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. HI. Walsh & Kelly, Inc. assures nondiscriminatory recruitment by taking appropriate steps such as: A. Placing employment advertisements in newspapers which serve the largest number of minority and female groups in the recruiting area. B. Recruiting through schools and vocational colleges having substantial proportions of minority and female students. C. Maintaining systematic contacts with minority (MBE), female (WBE), disabled (DBE), Veteran (VBE) and human relations organizations leader's referral of qualified minority applicants. D. Encourage present employees to refer minority and female applicants. E. Make it known to all recruitment sources that qualified minority and female members are being sought whenever there is hiring. IV.. This policy is intended to comply with the Civil Rights Act of 1964, as amended, the Federal Highway Act of 1968, the Executive Order 11246 and 11375, the Rehabilitation Act of 1973, as amended, the Disabled Veterans and Vietnam Era Veterans Readjustment Act of 1974, as amended, the Indiana Civil Right Act, and other Federal and State Laws and Regulations pertaining to Equality of Opportunity and Affirmative Action Policies. V. Forms for filing any complaints are available in the Griffith office located at 1700 E. Main Street, Griffith, IN 46319 or the South Bend office located at 24358 S.R. 23, South Bend, IN 46614. In addition, employees can call (574) 288-4811, Ext. 211 to report any workplace concerns under this policy. WALSH & KELLY INC. rro Randall L. Walls, CHRS Director of Human Resources/EEO Of r 11,41 4 Revised: February 27, 2019 INDUINAPOUS, IN Apd] 25, 2019 WALSH & KELLY INC GRIFFITH, IN :w :+� r:. r wwe «� � �r�r ,r • w'r tl�:r. r ;;'rr +�,� r r •rµ r r r r r r • � wr r r^ • •, rs,rrr .^ I w, wr r :r r s � r _ w•M r.a: +rye: • ,:pry - ww :w: • r r r wr r r» r iw-- r. r � rw !'. ;s .1r : ,:. qr» s F r rq r we r ' .: ».: r,..M ..► .�... �,..` � ► • r r r ♦ r r • r, • r r♦ w rM r, r • w w r r •t M r r ArW Valid May 1, 2019 Thor April 30, 2020 AGGREGATE....................................................................................................................................... $UNutwu D A(B) CONCRETE PAVEMENT: LII►ffTED......................................................................................................... 525,000,000 B(A) ASPHALT PAVEMENT: W/iNDOT CERTIRED HMA............................................................................$UNL NmD C(B) LIGHT GRADING........................................................................................................................................$UNL AWED E(E) SMALL STRUCTURES AND DRAINAGE ITEMS.................................................................................... $25,000,000 E(F) SURFACE MASONRY AND MISC CONCRETE...................................................................................... $50,000,000 E(G) TRAFFIC CONTROL: PAVEMENT MARKINGS...................................................................................... 525,000,000 EN DEEP SEWER AND/OR EXCAVATION.................................................................................................... $25,000,000 E(Q) CONCRETE PAVEMENT REPAIRS.......................................................................................................... $25.000,000 E(R) ASPHALT PAVEMENT MILLING.............................................................................................................. 550,000,000 • P EQUALIFICATION ENGINEER State Fir 20508 (R31 "5) IEKE =� �� I�INMNlilwwa,� I