HomeMy WebLinkAboutOpening of Bids - 315 & 319 W Jefferson Exterior Renovations Project No 119-064 - Walsh & Kelly IncBID/PROPOSAL
CITY OF SOUTH BEND
Project Name: 315 & 319 W. Jefferson Exterior Renovations
Project Number: 119-064
For Bids Due: Tuesday, August 13'h, 9:30 a.m. (E.D.T.)
Contractor Name: Walsh & Kelly. Inc.
BASE BID: Division A: Barrel Roof on 316 W. Jefferson (not the roof on 319 W. Jefferson).
Item Description Quantity Unit Unit Price Total Amount
No.
1 Barrel Roof Repairs 1 LSUM No Bid No Bid
BASE BID TOTAL No Bid
BASE BID: Division B: Exterior Masonry Repair and Coating.
Item
No..
Description
Quantity
Unit
Unit Price
Total Amount
1
Masonry Repair and Coating
1
LSUM
No Bid
2
Grinding
1
SFT
No Bid
N/A
3
Tuckpointing
1
SFT
No Bid
N/A
4
Brick Replacement
1
SFT
No Bid
N/A
BASE BID TOTAL No Bid
BASE BID: Division C: Parking lot repair and re lacement.
Item
No.
Description
Quantity
Unit
Unit Price
Total Amount
1
Parking Lot Repairs
1
LSUM
$41 219.00
219 00
2
1.5" Mill -and -Fill Unit Price
1
SFT
19.85
N/A
BASE BID TOTAL
$41,219.00
BASE
BID: Division D: Electrical work.
Item
No.
Description
Quantity
Unit
Unit Price
Total Amount
1
Electrical Work
1
LSUM
No Bid
No Bid
BASE BID TOTAL
No Bid
ALTERNATE ITEM: Curb and Sidewalk Replacement
Item
DescriNo.ptionQuantity
Unit
Unit Price
Total Amount
1
Curb and Sidewalk Replacement
1 1
LSUM
$4,770.00
$4,770.00
ALTERNATE TOTAL $4 ` "" 9 .00
Version 4/2/2019 Contractor's Bid for Public Works - 8
BID/PROPOSAL s,oviii 4
CITY OF SOUTH BEND �.
Project Name: 316 & 319 W. Jefferson Exterior Renovations ' L
Project Number: 119-064�
w
For Bids Due: Tuesday, August 13th, 9:30 a.m. (E.D.T.)
Contractor Name: Walsh & Kelly, Inc.
Bidder (Firm):
Address:
City/State/Zip:
Walsh & Kelly, Inc.
South Bend ID 46614 Telephone Dumber:
By
psi "t�l� r
I, (Signature)
Dustin Hilary„ VP of South Bend Area
(Printed Name of Person Signing)
Version 4/2/2019 Contractor's Bid for Public Works - 9
CITY OF SOUTH BEND, INDIANA
CONTRACTOR'S BID FOR PUBLIC WORK
Project Name 315 & 319 W. Jefferson Exterior Renovations
Project No. 119-064
For Bids Due Tuesday, August 13th, 9:30 a.m. (E.D.T.)
PART I
(Must be completed for all bids. Please type or print)
Date: 8/13/19 Bidder (Firm): Walsh & Kelly, Inc.
Address: 24358 SR 23
City/State/Zip: South Bend, IN 46614 Telephone Number: 574 288-4811
Agent of Bidder (if Applicable):
Pursuant to notices given, the undersigned offers to furnish labor and/or material necessary to complete the
public works project of:
City of South Bend Indiana - 315 & 319 W. Jefferson Exterior Renovations
the City of South Bend, Indiana, in accordance with plans and specifications prepared by:
City of South Bend. Indiana - Board of Public Works
and dated 6/26/18 for the sum of (enter the Total Bid as shown on the Proposal)
one thousand two hundred nineteen dollars and zero cents $41,219.00
Division A: Barrel roof on 315 W. Jefferson (not the roof on 319 W. Jefferson).
No Bid
(Enter sum of Total Base Bid plus Alternates shown on Proposa
Division B: Exterior masonry repair and coating.
No Bid
(Enter sum of Total Base Bid plus Alternates shown on Proposal)
Division C: Parking lot repair and replacement.
Forty one thousand two hundred nineteen dollars and zero cents
(Enter sum of Total Base Bid plus Alternates shown on Proposal)
Division D: Electrical work.
No Bid
(Enter sum of Total Base Bid plus Alternates shown on Proposal)
Alternate 1: Curb and Sidewalk Replacement
Four thousand seven hundred seventy dollars and zero cents
(Enter sum of Alternate 1 shown on Proposal)
Version 4/2/2019 Contractor's Bid for Public Works - 2
$ o ,
(Numerical)
($ Igo
(Numerical
41,219.00
(Numerical)
s$
(Numerical)
($ $4,770.00
(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, the cost
shown in the original contract if accepted by the City of South Bend. Ift
basis, the itemization of the units shall be shown on a separate attach e
By
ACCEPTANCE
The above bid is accepted this day of
Subject to the following conditions;
BOARD OF PUBLIC WORKS
Gary A. Gilot, President
Elizabeth A. Maradik, Member
Laura L. O'Sullivan, Member
must the same as,that
is to a arded on . brut
Beni Area
ro Signing)
0
20
Genevieve E. Miller, Mem
Therese J. Dorau, Member
Attest: Linda M. Martin, Clerk
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.)
Version 4/2/2019 Contractor's Bid for Public Works - 3
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 - 4
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 - 4
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 - 5
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.
1, the undersigned bidder or agent as contractor on a public works project, understand my statutory
obligations to the use of steel products or foundry products made in the United States (I.C. 5-16-8-1). 1 hereby
certify that I and all subcontractors employed by me for this project will use steel products or foundry
products made in the United States on this project if awarded. I understand I have an affirmative duty to
notify the City in my bid that my proposal does not include the use of steel products or foundry products
made in the United States. I understand it is my sole obligation and responsibility to provide ajustification
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 - 6
may result in forfeiture of contractual payments.
3M
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 13th� ww day of August, 2019
A
PAM
idder or Its Agent
Miutln Hilary, VP of South Bend Area
Printed Name and Title
Subscribed and sworn to before me this 13th day of ...... 6 ust 2019
_s e
My Commission Expires 6/5/22 � �
Notary )HC Alisha Kruecger
County of Residence Stµµ Jwoseph
P,LiSHA KRUEGER
r ,Notary
Public, State of fndiafM
�LAL `"
st.Josephcounty
mm
My Commission Expules
June05, 2022
Version 4/2/2019 Contractor's Bid for Public Works - 7
1316 COUNTY-Crry BuiLDING /` 1;�� PHONE 574/ 235-9251
227 W. JEFFERSON BOULEVARD ��� �M ��O'. � FAx 574/ 235-9171
SOUTH BEND, INDIANA 46601-1830 TDD 574/ 235-5567
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1865
bpy
CITY OF SOUTH BI':u'I;3 FETE BUTTIGIEG, MAYOR
BOARD OF PUBLIC WORKS
Date: 8/2/2019
To: All Planholders
From Linda M. Martin, Clerk, Board of Public Works
Subject Addendum Number: 1
Project Name: 315 & 319 W. Jefferson Exterior Renovations
Project No.: 119-064
ACKNOWLEDGEMENT OF RECEIPT OF ADDENDUM
Date Received: 8/2/19
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 included pages replace the bid documents in their entirety. This is a re -issuance of
updated specifications and diagrams.
The attached documents are hereby added to the Specifications and Contract
Documents and become a part of herein.
Company:
Authorized Signature:
Date:
1316 COUNTY-CiTy BUILDINGS ���� P' � „� � � PHONE 574/ 235-9251
227 W. JEFFERsoN BOULEVARD � i � �y �� FAx 574/ 235-9171
SOUTH BEND, INDIANA 46601-1830 � J � TDD 574/ 235-5567
0865 * r
CITY OF SOUTH BEND PETE BUTTIGIEG, MAYOR
1 i c
Date: 8/8/2019
To: All Planholders
_....WW ...........
From Linda M. Martin, Clef k, Board of Public Works
Subject Addendum Number: 2
.............. ........
Project Name: 315 & 319 W. Jefferson Exterior Renovations
Project No.: 119-064
ACKNOWLEDGEMENT OF RECEIPT OF ADDENDUM
Date Received: 8/8/1 g
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 included pages replace the same pages from Addendum 1,
The attached documents are hereby added to the Specifications and Contract
Documents and become a part of herein.
W "
f
w
Company: Walsh & Kelly, Inc.
�4y
Authorized Signature: m ��
C1 stln VP of uth Bend Areas
Date: WWI
) B S Surety O + 908.903.3485
202B Halls Mill Road, PO Box 1650 F + 908.903.3656
Whitehouse Station, l4f 08689-1650
Federal Insurance Company
AIA Document A3101- 2010 Sid Bond
Any singular reference to Contractor, Surety, Owner or other party shall be considered plural where applicable.
CONTRACTOR
(Nianze le a] status and addrmv).
Walsh 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
PI,., ,.�
Federal+, py
0, ,fHalls MM Rd., R Box 1650
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)
315 & 319 W. Jefferson Exterior Renovations
Project No. 119-064
The Contractor and Surety are bound to the Owner in the amount set forth above, for the payment of which the
Contractor and Surety bind themselves, their heirs, executors, administrators, successors and assigns, jointly and
severally, as provided herein. The conditions of this Bond are such that if the Owner accepts the bid of the Contractor
within the time specified in the bid documents, or within such time period as may be agreed to by the Owner and
Contractor, and the Contractor either (1) enters into a contract with the Owner in accordance with the terms of such
bid, and gives such bond or bonds as may be specified in the bidding or Contract Documents, with a surety admitted
in the jurisdiction of the Project and otherwise acceptable to the Owner, for the faithful performance of such Contract
and for the prompt payment of labor and material furnished in the prosecution thereof; or (2) pays to the Owner the
difference, not to exceed the amount of this Bond, between the amount specified in said bid and such larger amount
for which the Owner may in good faith contract with another party to perform the work covered by said bid, then this
obligation shall be null and void, otherwise to remain in full force and effect. The Surety hereby waives any notice of
an agreement between the Owner and Contractor to extend the time in which the Owner may accept the bid. Waiver
of notice by the Surety shall not apply to any extension exceeding sixty (60) days in the aggregate beyond the time for
acceptance of bids specified in the bid documents, and the Owner and Contractor shall obtain the Surety's consent for
an extension beyond sixty (60) days.
If this Bond is issued in connection with a subcontractor's bid to a Contractor, the term Contractor in this Bond shall
be deemed to be Subcontractor and the term Owner shall be deemed to be Contractor.
....................
Printed in cooperation with the American Institute ofArchitects (AW by Chubb. The language in this document conforms to the language used in
AL4DocumentA310 "'- 2010.
Form 1502-0575-FEn (Rev. 3/17)
When this Bond has been furnished to complywith a statutory or other legal requirement in the location ofthe Project,
any provision in this Bond conflicting with said statutory or legal requirement shall be deemed deleted here
from and provisions conforming to such statutory or other legal requirement shall be deemed incorporated herein.
When so furnished, the intent is that this Bond shall be construed as a statutory bond and not as a common law
bond.
Signed and sealed this 13th
(Witness) Alisha Krueger
lwitness) l lrryn R. Postma
day of August, 2019.
(Title)
( 'orporateSeal)
Federal Insurance Company"
By;
(Attorney -in -Fact) Lisa M. Becker
(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 DocumentA310 M-2010.
Form 15-02-0575-FED (Rev.3/17)
W
CHUBB'
Power of Attorney
Federal Insurance Company I Vigilant Insurance Company I Pacific Indemnity Company
Know All by These Presents, That FEDERAL INSURANCE COMPANY, an Indiana corporation, VIGILANT INSURANCE COMPANY, a New York corporation, and PACIFIC
INDEMNITY COMPANY, a Wisconsin corporation, do each hereby constitute and appoint 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 ------ ---------W ---- .------------- _____------.-
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 Vh day of March, 2019.
Down \1 Chl(x'ce;.;lstiu:nnkrrcK:uy
STATE OF NEW JERSEY
County of Hunterdon ss.
SIcpl -11 11 I luncy. Vice I'Pl51dtt11
On this 6'h 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 deponent's presence.
Notarial Seal ROSE C
NOTARY PUBLIC OFF NEW NEW JERSEY
mvswa Na, SOU12400
0"I to" mm�*?2„7(IPR AV—,
'Vrat} I'ul>lic
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, recognlzances, 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 ofthe 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 ofthe
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 ofthe
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 maybe by general type or class of Written Commitments or by specification of one 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 ofthe 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"
].,Dawn M. `1lk)ros, A5slstar4 Secretary of FEDERAL INSURANCE COMPANY, VIGILANT INSURANCE COMPANY, and PACIFIC INDEMNITY COMPANY (the "Companies") do hereby
ceflfy that
()) the if ire (iing Resolutions adopted by the Board of Directors ofthe Companies are true, correct and in full force and effect,
}) the foregoing Power orAttomey is true, correct and in full force and effect.
Given tinder lli CistlztE,irtt weans Ilfpl Companies at Whitehouse Station, NJ, this 13th day Of August, 2019.
Ikrwil I1i;hka'ct.:l;uutnnScrrc141lT
IIN "111R EVENT YOU WISH TO VERIFY THE AUTHENTICITY OF THIS BOND OR NOTIFY US OF ANY OTHER MATTER PLEASE CONTACT US AT:
'1elenbane(909)903-3493 Pax (90'Y11;IIY' ,365", e-mreall, xsneavfr'tichxtlgtilx.irovm
FED- VIG-PI (rev 08-18)
CITY OF SOUTH BEND, INDIANA
CONTRACTOR'S BID FOR PUBLIC WORK
CHECKLIST FOR BIDDERS
Project Name 316 & 319 W. Jefferson Exterior Renovations
Project No. 119-064
For Bids Due Tuesday, August 13'h, 9:30 a.m. (E.D.T.)
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
XCertification of use of United States Steel Products or Foundry Products.
Proof of MBE/WBE Participation Goal Form [MWBE-1.0]. If minimum participation goal is not
met, also provide Evidence of Good Faith Efforts Form [MWBE-2.0] and MBE/WBE Contacted
X Form [MWBE-2.1].
X Acknowledge Receipt of 1 & 2 Addendum(s) included with the bid..
X All required additional information is included with the bid.
Proposal statements and other affidavits all signed by the proper party with name either
X printed or typed underneath signature.
X This checklist submitted with the Bid.
This checklist is provided for bidder's use in assuring compliance with required
documentation; however, it does not include all specifications requirements and does not
relieve the bidder of the need to read and comply with the specifications.
Bidder: Walsh, & Kelly, Inc.
I �
By Authorized Representatiar . ` ` '�� ` 4
Signature:
Print Name & Title: in FNilah Bend Are� 2
Version 4/2/2019 Contractor's Bid for Public Works - 1
CITY OF SOUTH BEND
MINORITY AND WOMEN BUSINESS ENTERPRISE DIVERSITY
DEVELOPMENT PROGRAM'
FORM MWBE-1.0'
MBEIWBE PARTICIPATION''*
This completed form should be supplied with Bids that pertain to City of South Bend Public Works Projects involving MBE/MBE participation.
It is the bidder's sole responsibility to verity whether any listed minority or woman business meets the qualifications of a Minority or Women's
owned business.
Project Number: 119-064 Project Name: 315 & 319 W. Jefferson Exterior Renovations
Bidder: Walsh & Kelly, Inc. Total Bid Amount: $41,219.00 MBE/WBE Goal: 2.40%
Page 1 of 1
Name &Address of MBEMIBE
Primary Contact Person
(Name/Telephone)
Scope of Work to be Performed
(Attach scope/schedule if you need additional space)
Dollar Amount of
MBE/WBE Component
Percentage
of Total
Bid/Proposal
C. Lee Construction Services, Inc.
Chip Lee
Hauling
$990.00
2.40%
1011 S. Lake Street
219-922-7733
Gary, IN 46403
Submitted by: Walsh & Kelly, Inc.
Print Name
Version 4/2/2019 Contractor's Bid for
8/13/19
Date
CITY OF SOUTH BENDa,
MINORITY AND WOMEN BUSINESS ENTERPRISE DIVERSITY
DEVELOPMENT PROGRAM
0
FORM MWBE-2.0
EVIDENCE OF GOOD FAITH EFFORTS
This completed form should be included as part of the Bids documents related to City of South Bend Public
Works Projects requiring Good Faith Efforts to obtain MBENVBE participation. It is the bidder's sole
responsibility to verify whether any listed minority or woman business meets the qualifications of a Minority
or Women's owned business as defined by the Indiana Department of Administration ("IDOA" ).
Project Number: 119-064
Project Name:
Bidder:
Contact Person:
315 & 319 W. Jefferson Exterior Renovations
Date: 8/13/19
Walsh & Kelly,In.
KeslerTelephone: 574-288-4811
Address: 24
City: South Bend State: Indian Zip: ^ 46614
Email: dou k walshkell .com
To determine whether a bidder has demonstrated good faith efforts to reach the MBENVBE utilization goals set
forth in the City of South Bend Public Works Project Specifications, the City and its agencies, boards, or
commissipns„ REQUIRE ALL of the following Good Faith Efforts as listed in the table below":
EVIDENCE OF GOOD FAITH EFFORTS
MBE/WBE LIST(S): The bidder reviewed the City of South Bend's Minority and Women Business
S Enterprise Diversity Development Program, which uses the IDOA approved list of Minority and Women
✓✓ Owned Business as found on their website (http://www.in.gov/idoa).
ACTION (ADVERTISE/CONTACT): In order for your bid to be deemed responsive, the City of South
en requires that all perspective bidders complete no less than 2 of the following:
1;„ Attend all pre -bid meetings scheduled by the City to inform MBENVBEs of contracting and
subcontracting opportunities.
2. Advertise in general circulation and/or trade association publications concerning subcontracting
opportunities, and allow MBE/WBEs reasonable time to respond.
3. Perform any and all necessary steps to provide written notice in a manner reasonably calculated
d inform MBENVBEs of subcontracting opportunities and allowed sufficient time for them to
/ articipate effectively.
4. Utilize pre-existing services of available community organizations, small and/or disadvantaged
business assistance offices and other organizations that provided assistance in the recruitment
and placement of MBENVBE firms.
"Bidder must circle or otherwise notate which of the two (2) required actions were performed.
GOOD FAITH NEGOTIATIONS: The bidder negotiated in good faith with interested MBE/WBEs,
including providing such MBENVBE's with adequate information about the plans, specifications and other
requirements of the subcontract and did not reject MBENVBEs as unqualified without sound business
reasons based on a thorough investigation of their capabilities.
SMALL CONTRACT(S): The bidder selected specific portions of the work to be performed by
MBENVBEs in order to increase the likelihood of meeting the MBE/WBE goals (including breaking down
contracts into smaller units to facilitate MBENVBE participation)
CONTRACT RECORDS: The bidder has maintained the following records for each MBENVBE that has
bid on the subcontracting opportunity:
1. Name, address, and telephone number;
2. A description of information provided by the bidder or subcontractor; and
3. A statement of whether an agreement was reached, and if not, why not, including any reasons for
concluding that the MBENVBE was unqualified to perform the job.
"Proper demonstration -of Good Faith Effort requires your Initials next to all of the above boxes, Any
omissions shall be considered grounds for rejection of the bid by the Board of Public Works. The City of
South Bend reserves the right to request additional information.
Version 4/2/2019 Contractor's Bid for Public Works - 11
CITY OF SOUTH BEND"
MINORITY AND WOMEN BUSINESS ENTERPRISE DIVERSITY
DEVELOPMENT PROGRAM�w�
FORM MWBE-2.1>`
MBE/WBE CONTACTED
This completed form should be supplied with Bids that pertain to City of South Bend Public Works Projects
requiring contacted MBEIWBE to obtain Good Faith Efforts. It is the bidder's sole responsibility to verify
whether any listed minority or woman business meets the qualifications of a Minority or Women's owned
business.
PAGE 1 OF 1
Project Number: 119-064 MBE/WBE Participation Goal 2.40%
Project Name: 8 319 W. Jefferson Exterior Renovations
r ,
Bidder: alsh Ali' Inc.
m a
By 8/13/1.,-VPof South Bend Area
ig ure) Dus to Hilary (Title) (Date)
e
M BE Firm C. Lee Constructlon� Services Inc.
wne r or Contact at MBE/WBE Firm Chip Lee '
Telephone: 219-922-7733 Fax: 219-888-9564 Email: chip@cleecsi.com
TYPE OF WORK SOLICITED FOR THIS PROJECT:
RESULTS OF CONTACT WITH THE MBEANBE FIRM:
They will provide the necessary hauling if Walsh & Kell Inc. is awarded the pr9ject.
MBE/WBE Firm
Owner or Contact at MBE/WBE Firm
Telephone Fax: Email:
TYPE OF WORK SOLICITED FOR THIS PROJECT:
RESULTS OF CONTACT WITH THE MBE/WBE FIRM:
Version 4/2/2019 Contractor's Bid for Public Works - 12
CITY OF SOUTH BEND, INDIANA
CONTRACTOR'S BID FOR PUBLIC WORK
RESPONSIBLE BIDDER CHECKLIST
Project Name 315 & 319 W. Jefferson Exterior Renovations
Project No. 119-064
For Bids Due Tuesday, August 13th, 9:30 a.m. (E.D.T.)
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 315t for the upcoming calendar year, or within twelve (12) months of obtaining pre -
qualified standing. If the status of any item changes within the twelve (12) months, it is the responsibility of
the contractor to notify the City. Failure by any pre -qualified contractor to submit its complete application
for continuation of "pre -qualified" standing within the time prescribed above shall result in automatic removal
of the designation, effective January 1 of the following year, or immediately following the twelve (12) months
of pre -qualified standing.
However, the "removed" contractor or subcontractor shall still be permitted to bid on City public works
projects, though the contractor must submit all required documents under 6-63 until "pre -qualified" status
is re-established.
Please Note: The City reserves the right to request supplemental information from the bidder,
additional verification of any information provided by the bidder, and may also conduct random
inquiries of the bidder's current and previous customers regardless of pre -qualified standing.
It is the sole responsibility of the potential bidder to comply with all submission requirements applicable to
the bidder in Section 6-63 of the Responsible Bidding Ordinance no later than the date of the public bid
opening.
Version 3/19/2019 General Conditions - 6
POST BID SUBMISSIONS:
Post -bid submissions must be submitted in accordance with Section 6-64 of the Responsible Bidding
Ordinance. The post -bid submission requirements are as follows:
1. All bidders shall collect, maintain, and provide upon request, a current written list that discloses the
name, address, licensing status, and type of work for any subcontractor from whom the bidder has
accepted a bid and/or intends to hire on any part of the public work project, including individuals
performing work as independent contractors.
2. Each subcontractor, whose portion of the project is estimated to be at least one -hundred fifty
thousand dollars ($150,000.00), shall be required to adhere to the requirements of Section I of the
Responsible Bidder Ordinance as though it were bidding directly to the City, except that the
subcontractor shall submit the required information (including the name, address, and type of work)
to the successful bidder prior to the commencement of work.
3. Failure of a subcontractor to submit the required information shall not disqualify the successful
bidder from performing work on the project and shall not constitute a contractual default and/or
breach by the successful bidder. However, the City may withhold all payment otherwise due for
work performed by a subcontractor, until the subcontractor submits the required information and
the City approves such information.
4. The disclosure of a subcontractor list ("Disclosed Subcontractor(s)") to the City by a bidder shall
not create any rights in the Disclosed Subcontractor(s). Thus, a bidder may substitute another
subcontractor for a Disclosed Subcontractor by giving the City, upon request, written notice of the
name, address, licensing status, and type of work of the substitute subcontractor.
5. The successful bidder and all subcontractors on a public works project are required to submit
certified payroll utilizing the federal form known as WH-347 or a similar form on a bi-weekly basis,
submitted within 10 days after the end of each bi-weekly payroll period. Certified payrolls shall
identify the job title and craft for each employee. Certified payrolls shall be submitted
electronically.
Please Note: Submissions deemed inadequate, incomplete, or untimely by the City may result in
the automatic disqualification of the bid.
The City, after review of complete and timely submissions, shall, in its sole discretion, after taking into
account all information in the submission requirements, determine whether a bidder is responsive and
responsible, and provide a Pre -Qualification Verification Letter. The City specifically reserves the right to
utilize all information provided in the contractor's submission and any information obtained by the City
through its own independent verification of the information provided by the contractor.
Version 3/19/2019 General Conditions - 7
I. PRE -QUALIFIED BIDDER CHECKLIST
(a) Acknowledgements:
(i) X By checking this box, I hereby acknowledge that I am a pre -qualified bidder with
the City of South Bend and that I have met the pre -qualification requirements within
the last twelve (12) months. A copy of my Pre -Qualification verification letter
is attached.
(ii) X By checking this box, I hereby acknowledge that the City reserves the right to
request supplemental information, additional verification of any information
provided by me, and may also conduct random inquiries of my current and prior
customers.
(b) Attachments:
(i) X Indiana Secretary of State's on-line records (ie. Business verification) dated within
sixty (60) days of the submission of said document showing that business is in
existence, current with the Indiana Secretary of State's Business Entity Report,
and eligible for a certificate of good standing. (Not applicable to individuals, sole
proprietors or partnerships).
(ii) X Statement on staffing capabilities, including labor sources. This statement
indicates and ensures I have sufficient employees on staff to complete the work. It
outlines how I intend to meet the staffing needs of the work.
(iii) X Evidence that I am utilizing a surety company which is on the United States
Department of Treasury's Listing of Approved Sureties as required in the bid
specifications or contract.
(iv) X List of projects of similar size and scope of work performed in all areas, including
the State of Indiana, within the last three (3) years.
(v) X For every project, submit evidence of participation in apprenticeship and training
programs, applicable to the work to be performed on the project, which are
approved by and registered with the United States Department of Labor's Office of
Apprenticeship, or its successor organization.
Version 3/19/2019 General Conditions - 8
II. PRE -QUALIFICATION CHECKLIST (FOR BIDDERS THAT ARE NOT PRE -QUALIFIED)
(a) Acknowledgements:
(i) _ By checking this box, I hereby acknowledge that I am not a pre -qualified bidder
with the City of South Bend.
(ii) _ By checking this box, I hereby acknowledge that the City reserves the right to
request supplemental information, additional verification of any information
provided, and may also conduct random inquiries of my current and prior
customers. The City reserved the right to utilize all information provided in this
submission and all information obtained in inquiries or requests to determine if a
bidder is responsive and responsible. Additionally, I acknowledge that all
information provided to the City shall be regarded as public records.
(iii) _ By checking this box, I hereby acknowledge that copies of all Applicable
apprenticeship certificates or standards for training programs applicable to the
work performed on the project may be requested at any time and shall be furnished
upon request.
(iv) _ By checking this box, I hereby acknowledge and ensure that I and all sub-
contractors, from whom I have accepted a bid and/or intend to hire to perform work
on the public work project, are properly licensed. Furthermore, I acknowledge my
understanding that it is my responsibility to ensure that all sub -contractors have
the necessary licenses to undertake the work called for in this bid. If a sub-
contractor loses their license at any point, it is the responsibility of that sub-
contractor to notify the City.
(b) Attachments:
(i) _
Indiana Secretary of State's on-line records (ie. Business verification) dated within
sixty (60) days of the submission of said document showing that business is in
existence, current with the Indiana Secretary of State's Business Entity Report,
and eligible for a certificate of good standing. (Not applicable to individuals, sole
proprietors or partnerships).
List identifying all former business names.
(iii)
Any determinations by a court or governmental agency any violations of federal
state, or local laws including, but not limited to, violations of contracting or antitrust
laws, tax or licensing laws, environmental laws, Occupational Safety and Health
Act (OSHA), or federal Davis -Bacon and related Acts, within the preceding five (5)
years.
(iv)
Statement about staffing capabilities, including labor sources. This statement
indicates and ensures I have sufficient employees on staff to complete the work I
am bidding on OR outlines how I intend to meet the staffing needs of the work.
(v)
Statement that individuals who will perform work on the public work project on my
behalf will be properly classified as an employee or as an independent contractor
under all applicable state and federal laws and local ordinances.
(vi)
For every project, submit evidence of participation in apprenticeship and training
programs, applicable to the work to be performed on the project, which are
approved by and registered with the United States Department of Labor's Office of
Apprenticeship, or its successor organization.
(vii)
Copy of a written plan for employee drug testing that covers all of my employees
who will perform work on the public work project and meets or exceeds the
requirements set forth in IC 4-13-18-5 or IC 4-13-18-6.
(viii)
Evidence that I am utilizing a surety company which is on the Bureau of Fiscal
Service "Department of Treasury's Listing of Approved Sureties" as required in the
bid specifications or contract.
Version 3/19/2019 General Conditions - 9
(ix) Written statement of any federal, state or local tax liens or tax delinquencies owed
to any federal, state or local taxing body in the preceding three years.
(i) List of projects of similar size and scope of work performed in all areas, including
the State of Indiana, within three (3) years prior to the date on which the bid is due.
Walsh & Kelly,,Inc.
(Name of Company)
24358 SR 23
(Address of Company)
South Bend
(City)
Indiana
(State)
574-288-4811
(Telephone Number)
Version 3/19/2019 General Conditions - 10
Responsible Bidding practices and Submission
Requirements uirements `or Pre -Approval
(w) Attachments
(i) See 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 Attached
(iv) See Forms 96 and 96a
(v) All individuals who will perform worn on the public works project on behalf of
Walsh & Kelly, Inc. will be properly classified under applicable state and federal
laws and local ordinances.
Dated: Auggst 13 2019
Part of State Form52414 (112 / 2-13) Form 96 (Revised 2013)
BID OF
Walsh & Kelly,Inc.
(Contractor)
(Address)
South Bend, IN 46614
FOR
PUBLIC WORKS PROJECTS
OF
315 & 319 W. Jefferson Exterior Renovations
Project No. 119-064
Filed August 13th 2019
Action taken
State Form 52414 (R 19-10)
Pr crIed b atq Board of Accounts Form No. 95 Devised 2013 ,
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): Aug1ist 13 2019
City of South. Bead Indiana
St. Joseph
Walsh & Kellv. Inc.
24358 SR 23
South Bend IN 46614
574 288-4811
Pursuant to notices given, the undersigned offers to furnish labor and/or material necessary to complete the
public works project of City of South Bend,.Indiana (Governmental Unit) in accordance with plans and
specifications prepared by Cast of South Bend -_. Dept. of Public Works and dated June 2 5 2019 for
the sum of See Attached $ See Attached.
The undersigned further agrees to furnish a bond or certified check with this bid for an amount specified in the notice of
the letting. If alternative bids apply, the undersigned submits a proposal for each in accordance with the notice. Any
addendums attached will be specifically referenced at the applicable page.
If additional units of material included in the contract are needed, the cost of units must be the same as that
shown in the original contract if accepted by the Governmental Unit. If the bid is to be awarded on a unit basis, the
itemization of the units shall be shown on a separate attachment.
The Contractor and his subcontractors, if any, shall not discriminate against or intimidate any employee, or
applicant for employment, to be employed in the performance of this contract, with respect to any matter directly or
indirectly related to employment because of race, religion, color, sex, national origin or ancestry. Breach of this covenant
may be regarded as a material breach of the contract.
CERTIFICATION OF USE OF UNITED STATES STEEL PRODUCTS
(If applicable)
I, the undersigned bidder or agent as a contractor on a public works project, understand my statutory obligation
to use steel products made in the United States. I.C. 5-16-8-2. I hereby certify I and all subcontractors employed by me
for this project will use U.S. steel products on this project if awarded. I understand that violations hereunder may result in
forfeiture of contractual payments.
ACCEPTANCE
The above bid is accepted this
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) -
These statements to be submitted under oath by each bidder with and as part of his bid. Attach additional pages
for each section as needed.
SECTION I EXPERIENCE QUESTIONNAIRE
What public works projects has your organization completed for the period of one (1) year prior to the date of
the current bid?
Contract Amount
Class of Work
When Com feted
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 eted
Name and Address of Owner
$10,695,118
Reconstruction
..........
November 2018
__....__
Walsh Construction
$
8,146,239
Resurface
May 2018
INDOT
$
4,073,719
Reconstruction
Jul 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��� w If so, where and why?
5. List references from private firms for which you have performed work.
Gatlin. Plumbin), & Heating, Inc, 1111 E. Main t G�`i fall IN Ms. Clara Mui h
Gou h Inc, 2200 E. 88d' Dr., Memillville IN 46410 Mr. Raymond Gough
Deer Constriction Co , 171.E Sheffield Avenue Der IN Janet Furman
Grimmer Construction Co. Inc. 2619 Main Street Highland ][N Mr. Greg Grimmer
SECTION 11 PLAN AND EQUIPMENT QUESTIONNAIRE
1. Explain your plan or layout for performing proposed work. (Examples could include a narrative of when you could
begin work, completed the project, number of workers, etc. and any other information which you believe would
enable the governmental unit consider your bid.)
As required by owner
2. Please list the names and addresses of all subcontractors (i.e. persons or firms outside your own firm who have
performed part of the work) that you have used on public works projects during the past five (5) years along with a
brief description of the work done by each subcontractor.
See Attached List
3. If you intend to sublet any portion of the work, state the name and address of each subcontractor, equipment to be
used by the subcontractor, and whether you will require a bond. However, if you are unable to currently provide a
listing, please understand a listing must be provided prior to contract approval. Until the completion of the proposed
project, you are under a continuing obligation to immediately notify the governmental unit in the event that you
subsequently determine that you will use a subcontractor on the proposed project.
Will supply upon award of contract
4. What equipment do you have available to use for the proposed project? Any equipment to be used by subcontractors
may also be required to be listed by the governmental unit.
QUANTITY
ITEM
DESCRIPTION,
CONDITION
YEARS
PRESENT LOCATION
SIZE, CAPACITY,
OF
ETC.
SERVICE
5
Asphalt Plants
Various
Good
Griffith, South Bend,
Valparaiso, Lowell, LaPorte
19
Asphalt Pavers
Various
Good
I
Griffith, South Bend
4
Sli form Cone. Paver
Various
Good
Griffith, South Bend
3
Road Widener
Various
Good
Griffith, South Bend
5
Motor Graders
CAT/J.D.
Good
Griffith, South Bend
54
Rollers
Various
Good
Griffith, South Bend
30
Rubber Tire Loaders
Various
Good
Griffith, South Bend
15
Excavators
Various
Good
j Griffith, South Bend
9
Bulldozers
Various
Good
Griffith, South Bend
6
LowBoy Tractors
Various
Good
Griffith, South Bend
8
_Flatbed Dumps _
Various
Good
Griffith, South Bend
48
'/z and 3/ ton Picku s
Various
Good
Griffith, South Bend
65
1 Ton Crew Trucks
Various
Good
Griffith, South Bend
3
Cold Planers
Wirt en 1900
Good
Griffith, South Bend
DC
3
Tri-Axle Dump
Mack
Good
South Bend
5. Have you entered into contracts or received offers for all materials which substantiate the prices used in preparing
your proposal? Otherwise, please explain the rationale used which would corroborate the prices listed.
Yes, we received quotes from potential subcontractors and suppliers
SECTION III CONTRACTOR'S FINANCIAL STATEMENT
Attachment of bidder's financial statement is mandatory. Any bid submitted without said financial statement as required
by statute shall thereby be rendered invalid. The financial statement provided hereunder to the governing body awarding
the contract must be specific enough in detail so that said governing body can make a proper determination of the bidder's
capability for completing the project if awarded.
SECTION IV CONTRACTOR'S NON -COLLUSION AFFIDAVIT
The undersigned bidder or agent, being duly sworn on oath, says that he has not, nor has any other member,
representative, or agent of the firm, company, corporation or partnership represented by him, entered into any
combination, collusion or agreement with any person relative to the price to be bid by anyone at such letting nor to
prevent any person from bidding nor to induce anyone to refrain from bidding, and that this bid is made without reference
to any other bid and without any agreement, understanding or combination with any other person in reference to such
bidding.
He further says that no person or persons, firms, or corporation has, have or will receive directly or indirectly, any rebate,
fee, gift, commission or thing of value on account of such sale
SECTION V OATH AND AFFIRMATION
I HEREBY AFFIRM UNDER THE PENALTIES FOR PERJURY THAT THE FACTS AND INFORMATION
CONTAINED IN THE FOREGOING BID FOR PRBLIC WORKS ARE TRUE AND CORRECT.
Dated at South Bend this 13'h day of August, 2019
i
,rx
r
ACKNOWLEDGEMENT
STATE OF Indiana
) ss
COUNTY OF St. Joseph
Before me, a Notary Public, personally appeared the above -named Du t'il'l Hilary and
swore that the statements contained in the foregoing document are true and correct.
Subscribed and sworn to before me this 13thday of August, 2019 .
Alislia Krueger, Notary 1 blic
My Commission Expires: June 5 2022 �} 4m Ga t m P,
AL�SNP K[�
r adi�Ydar,, p State r5'f Indd3�ro6a
P d '^ Notary Public,
County of Residence: St. J ae l "" �m St. josow,t,Cr,untw+
my Comr ss iad xPtcrcea
2022.
a jun""
Form 96 Section II, #2
Subcontractors Used on Public Works Contracts
SUBCONTRACTORS
COMPANY
SEWER
B&DSewer
Deboer Egolf
Delta III
Dyer Construction
Gatlin Plumbing & Heating
Gough, Inc.
Grimmer Construction
Hasse Construction
HRP Construction
Rex Construction
Wirtz & Yates, Inc.
Woodruff & Sons
ADDRESS
531 Winston Ct
5772 Melton Road
2063 W 1250 S
1716 Sheffield Avenue
1111 E. Main Street
2200 E. 88th Drive
2619 Main Street
10 Lincoln Avenue
5777 Cleveland Rd.
700 Schiller Avenue
P.O. Box 41
P.O. Box 450
CITY/STATE/ZIP
the Past 5 Years
Schererville, IN 46375
Portage, IN 46368
Hanna, IN 46340
Dyer, IN 46311
Griffith, IN 46319
Merrillville, IN 46410
Highland, IN 46322
Calumet City, IL 60409
South Bend, IN 46624
Schererville, IN 46375
Kentland, IN 47951
Michigan City, IN 46361
PHONE
(219) 322-2300
(219) 763-9700
(219) 797-4004
(219) 865-2961
(219) 924-6972
(219)756-2200
(219) 924-1623
(219 )932-1611
(574)271-7800
(219) 322-8090
(219) 474-6542
(219) 872-8605
(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
MILLING
C.E. Hughes Milling, Inc.
3113 Holmans Lane
Jeffersonville, IN 47130
(812) 725-8665
(812) 725-8672
Javelina Construction, Inc.
13476 Britton Park Rd.
Fishers, IN 46038
(317) 841-8364
(317) 841-0075
Mid America Milling Co.
6200 W. Hwy 62, Ste 400 Jeffersonville, IN 47130
(812) 282-2751
(812) 283-9846
McCrite Milling
209 Quality Ave. Ste 9
New Albany, IN 47150
(812) 941-0252
(812) 941-0852
Specialties Company
9350 E. 30th St,
Indianapolis, IN 46229
(317) 594-0291
(317) 594-0271
ELECTRICAL INSTALLATION
Hawk Enterprises
1850 E. North St
Crown Point, IN 46307
(219) 662-8090
(219) 662-8093
Midwestern Electric
1620 E. Chicago Ave
East Chicago, IN 46312
(219) 397-4444
(219) 397-8888
S/T Bancroft Electric
25020 State Road 2
South Bend, IN 46619
(574) 287-6490
Sweney Electric Company
9111 Louisiana St.
Merrillville, IN 46410
(219) 769-6007
(219) 769-0565
Trans Tech Electric
4601 Cleveland Road
South Bend, IN 46619
(574) 272-9673
(574) 271-0144
SIGN INSTALLATION
Hawk Enterprises
1850 E. North St
Crown Point, IN 46307
(219) 662-8090
(219) 662-8093
Midwestern Electric
1620 E. Chicago Ave
East Chicago, IN 46312
(219) 397-4444
(219) 397-8888
RoadSafe Traffic Systems
3122 Olympia Dr
Lafayette, IN 47909
(317) 780-1825
State Barricading, Inc.
24963 U.S. Highway 20
South Bend, IN 46628
(574) 287-2078
Traffic Control Specialists, Inc.
1810 W Pacific Avenue
Knox, IN 46534
(574) 772-7001
(574) 772-7002
PAVEMENT MARKINGS
The Airmarking Company
P.O. Box 526
Rochester, IN 46975
(574) 223-5817
(574) 223-7959
Blackout Sealcoating
7440 W. 87th Place
Bridgview, IL 60455
(219) 864-2300
(708) 430-6910
RoadSafe Traffic Systems
3122 Olympia Dr
Lafayette, IN 47909
(317) 780-1825
State Barricading, Inc.
24963 U.S. Highway 20
South Bend, IN 46628
(574) 287-2078
Traffic Control Specialists, Inc.
1810 W Pacific Avenue
Knox, IN 46534
(574) 772-7001
(574) 772-7002
Traffic Management Company
3542 Highway Avenue
Highland, IN 46322
(291) 746-2433
TRAFFIC CONTROL
RoadSafe Traffic Systems
3122 Olympia Dr
Lafayette, IN 47909
(317) 780-1825
Traffic Control Specialists, Inc.
1810 W Pacific Avenue
Knox, IN 46534
(574) 772-7001
(574) 772-7002
Traffic Management Company
3542 Highway Avenue
Highland, IN 46322
(219) 746-2433
LANDSCAPE
Great American Landscape
P.O. Box 235
Dyer, IN 46311
(219) 322-7033
(219) 322-4419
Hubinger Landscape
210 E. 113th Avenue
Crown Point, IN 46307
(219) 662-9911
(219) 662-6206
Slusser's Green Thumb, Inc.
125 Montgomery Street
Logansport, IN 46947
(574) 722-3102
(574) 722-1628
T & J Landscape Service
8253 Wicker Avenue
St. John, IN 46373
(219) 374-9900
(219) 374-9950
GUARDRAIL/FENCING
Acorn Fence
C Tech Corporation
James H. Drew Company
Security Industries
Specialties Company
TRUCKING/HAULING
C. Lee Construction Services
Condon Trucking, LLC
Fanio Services
Gilmer Trucking
Material Transfer Inc.
Morris Motor Service, Inc.
P & C Trucking
Superior Construction Co., Inc
V & R Trucking„ Inc.
SRPM'S
K & S Markers, Inc.
UNDERSEAL
Rieth-Riley Construction Co.,
Inc.
TREE REMOVAL
Dave's Tree Service
Homer Tree Service
Timber Masters LLC
LIME STABILIZATION
Mt. Carmel Sand & Gravel
Rock Solid Stabilization
Specialties Company
PIPE LINING
Indiana Reline, Inc.
SAW CUTTING
Diamond Coring Co., Inc.
Quality Saw & Seal, Inc,.
SEAL COATING/STRIPING
Site Services, Inc.
Blackout Sealcoating
UNDERDRAIN
3D Company, Inc.
2041 164th Street
5300 W. 100 North
8701 Zionsville Rd.
1000 Georgiana St.
9350 E. 30th St.
1011 S. Lake St
18245 Amberley Ln
28015 SR 23
20390 New Road
7811 West 101st Ave.
10525 W US Hwy 30 Bld
7
4410 Ross Road
1455 Louis Sullivan Dr
1845 Elmer St.
2189 N 600 W
Hammond, IN 46320
(219) 844-8400
(219) 844-8441
Boggstown, IN 46110
(317) 835-2745
(317) 835-2781
Indianapolis, IN 46268
(317) 876-3739
(317) 876-3829
Hobart, IN 46342
(219) 942-9447
(219) 942-9448
Indianapolis, IN 46229
(317) 594-0291
(317) 594-0271
Gary, IN 46403
(219) 888-9554 (219) 888-9564
South Bend, IN 46637
(574) 360-4326 (574) 271-8984
North Liberty, IN 46554
(574) 233-3236
South Bend, IN 46614
(574) 229-3233
Crown Point, IN 46307
(219) 865-9575
Wanatah, IN 46390
(219) 733-9430
Gary, IN 46408 (219) 972-0193
Portage, IN 46368 (219) 787-0850
South Bend, IN 46628 (574) 329-2102
Thorntown, IN 46071 (765) 482-6184 (765) 482-6284
2454 West CR 450 North LaPorte, IN 46350 (219) 362-6178
1555 Park West Circle
14000 S. Archer Ave
P.O. Box 245
1611 College Dr.
5104 Mann Drive
9350 E. 30th St.
312 E. Main Street
11800 S Ewing Ave
7600 W. 79th Street
10117 Kennedy Ave
7440 W. 87th Place
3200 East CR 350 North
Munster, IN 46321
Lockport, IL 60441
Dver. IN 46311
Mt. Carmel, IL 62863
Ringwood, IL 60072
Indianapolis, IN 46229
Sulphur Springs, IN
47388
Chicago, IL 60617
Bridgeview, IL 60455
,IN 46322
w„ IL 60455
Muncie, IN 47303
(219) 922-9829
(815) 838-0320
(219) 864-8733
(618) 262-5118
(815) 653-2585
(317) 594-0291
(219) 922-9843
19) 322-9391
(618) 263-4084
(815) 653-2583
(317) 594-0271
(765) 766-5040 (765) 533-5831
773) 978-5000
773) 767-9300
(219) 924-9944
(219) 864-2300 (708) 430-6910
(765) 288-3326 (765) 288-3344
7
General Form No. 96-a
l'lmscHhed by the Siate l'ytpard of
Accounts of Indiana, Revised 1949.
II I °� � #u I • �I it •
Prescribed by
THE STATE BOARD OF ACCOUNTS OF INDIANA
For use in investigating and determining the qualifications of bidders on public
construction when the aggregate cost of any such work or improvement will be Five Thousand
Dollars or more.
These statements to be submitted under oath by each bidder with and as a part of his bid, as provided
by Chapter 306, page 1248, Acts of 1947
Submitted to City of South Bend Indiana
By _ Walsh & KellL lnc,
Address 24358 SR 23 South BendIN 46614
Date submitted Auggst 13 2019
Filed
A,E. BOYCE 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
Submitted by Walsh & Kelly, Inc. { x A Corporation
Principal Office at 1700 East Main Street, Griffith, IN 46319
To City f South Bend n� �n,a ________W_W-
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 Yearsw�
3. What projects has your organization completed?
Contract Amount
w �............ �---
Class of Work
-.--.---�
When Completed
www_wwwwww_-__..
and Address of Owner
..
$ 12,926,200
--------
Reconstruction
October 2017
mName
...._......._..� .._....�.-.._........
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
Joseh County Hwy
Staep;Qen
t
3-A. What projects has your organization now in process of construction?
CONTRACT AMT, CLASS OF WORK
WHEN TO BE COMPLETED
F NAME AND ADDRESS OF OWNER
$ 10,695,118 Reconstruction
November 2018
Walsh Construction
$ 8,146,239
Resurface
Ma 2018
INDOT
$ 4,073,719
Reconstruction
July 2018
City of East 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?
4
8. For what corporation or individuals have you performed work, and to whom do you refer?_
BP Amoco Whiting, Indiana
Tonn & Blank Construction 1623 Greenwood Ave., Michigan City, IN 46360
Gritr nier Construction Co. Inc. 2619 Main Street Highland, IN 46322
University of Notre Dame South Bend Indiana
gou,gL 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 Manner
Scherervil.le IN
City of Hammond
City Engineer
Hammond IN
'it of South Bend
City Engineer
South Bend IN
Town of St. John
Town Manager
St. John IN
10. For what counties have you performed work and to whom do you refer? w _ .......
Fake Count - Highway Superintendent Crown Point IN
Porter County HighwayHighwqy Superintendent Val araiso IN
St. Joseph Count_ Highwav Superintendent South Bend IN
Elkhart County HighwayHighwqy Su erintendent ElkhartIN
LaPorte Count Highway 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. Arm CoMs of Engineers Chicago, IL
Indiana National Guard. Dept.. of Administration Indianapolis, IN
Federal Highway Administration Sterling, VA
13. What is the construction encrience of the DrinciVai individual of your orgal ivttion?
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
Jeffre L. Swan
Executive Vice President
34
All Tomes
Supt. Engineering
David J. Misirly
Vice President
33
Bituminous
Engineer
___
Paving
�..
Greg A. Hoffman
Vice President
31
Bituminous
Engineer
Pavin
John C. Wall
_._..�.
Vice President
......... _WWWWWWW ......WW
41
All t es
Enineer
John M. Peisker
Vice President
33
All types
General Manager
J. Michael
Secretary/Treasurer
46
Administration
General Manager
Schaum
Jamie L. Tancos
Controller
14
Administration
General Mana er
L J. Bauer
South Bend O s M
23
All t es
Engineer
Dustin P. Hilary
South Bend Area Mgr,
18
All t es
Engineer
Mark E.
Engineer
28
All types
Engineer
Krachenfels
Keith A. Gardina
En ineer
23
All t es
Engineer
Nikolas G. Relias
r
ngneer
PLAN AND EQUIPMENT QUESTIONNAIRE
The signatory of this questionnaire guarantees the truth and accuracy of all statements and of all answers
to interrogatories hereinafter made.
1. In what manner have you inspected this proposed work? Explain in detail.
Plans Specifications, and Site Inspections
2. Explain your plan or layout for performing the proposed work
As directed by owner/engineer
The work, if awarded to you, will have the personal supervision of whom?,,
Kevin J. Kelly, Jeflire, L. Swan David J. Mis�irly, Gregory A. Hoffman Dustin P.1 filgryaiLd Lunn J,
Bauer
4. *Do you intend to do the hauling on the proposed work with your own forces? Yes
If so, give amount and type of equipment to be used As needed
5. *If you intend to sublet the hauling or perform it through an agent, state amount of sub -contract or
agent's contract, and if known, the name and address of sub -contractor or agent, amount and type of
his equipment and financial responsibility. .__,,,,
Items 4,5,6 and 7 may not be applicable in all building contracts; if not, omit.
6. *Do you intend to do the grading on the proposed work with your own forces?
If so, give type of equipment to be used .
7. *If you intend to sublet the grading or perform it through an agent, state amount of sub -contract or
agent's contract, and, if known, the name and address of sub -contractor or agent, amount and type of
his equipment and financial responsibility
8. Do you intend to sublet any other portions of the work? If so, state
amount of sub -contract, and, if known, the name and address of the sub -contractor, amount, and type
of this equipment and financial responsibility
9. From which sub -contractors or agents do you expect to require a bond? None
10. What equipment do you own that is available for the proposed work?
QUANTITY
ITEM
DESCRIPTION,
CONDITION
YEARS
__....._..------- — ---- ___
PRESENT LOCATION
SIZE, CAPACITY,
OF
ETC.
SERVICE
--
5
-�
Asphalt Plants
Various
Good
Griffith, South Bend,
Val araiso, Lowell, LaPorte
19
As halt Pavers
Various
Good
Griffith, South Bend
4
Sli form Conc. Paver
Various
Good
Griffith, South Bend
..... .......- ........... _...........
3
Road Widener
Various
Good
Griffith, South Bend
5
Motor Graders
CAT/J.D.
Good
Griffith, South Bend
........................... -.................... ...............
54
Rollers
Various
Good
Griffith, South Bend
30
Rubber Tire Loaders
Various
Good
Griffith, South Bend
........
15
...._____._W....-.�..�...... _...
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
_ _
%a and 3/ ton Picku s
Various
Good
Griffith, South Bend
65
1 Ton Crew Trucks
Various
Good
Griffith, South Bend
3
Cold Planers
Wirtgen 1900
Good
Griffith, South Bend
DC
3
Tri-Axle Dum
Mack
Good
South Bend
11. What equipment do you intend to purchase for use on the proposed work, should the contract be
awarded to you?
QUANTITY ITEM DESCRIPTION, SIZE, CAPACITY, ETC. APPROXIMATE
COST
None
12. How and when will you pay for the equipment to be purchased? N/A
13. Do you propose to rent any equipment for this work?No If so, state type, quantity and reasons for
renting,___
14. Have you made contracts or received firm offers for all materials within prices used in preparing your
proposal?
Do not give names of dealers or manufacturers
Dated at South Begin' ,this 13"' clay of '" 2019
ty✓ "I
4 f
Walsh &44 Inc.
(Name 7dr nizati
By
Dustin llilaiw, VP of South B
` "�t1e ofPerson Signing)
STATE OF Indiana
f ss.
COUNTY OF St. Joseph,
Dustin Hilary being duly sworn deposes and says that he is VP of South Bend Area of the
above Walsh & Kelly, Inc.
(Name of Organization)
and that the answers to the questions in the foregoing questionnaires and all statements therein contained
are true and correct.
Subscribed and sworn to before me this 13'' day of August, 201
a4 jo=�" ��
Alisha Krtie otary Public
My Commission expires June 5 2022
ALISHA KRUEGER
Notary Public, SW8 of Indiama
St. Joseph County
Ply Commission Expires
Z®22
June 05,
�lii1 Suraly 0oiidti
..w ...... .... .... ... ....� ....
Jf,(i,f'1'dop >,SrgirL^Py EtnnAe > List of Certified Companies
List of Certified Companies
Download the complete listing of.C.evguMiLj..Cogr. ri ar0ee ..IPDF, or browse the list below,
Also, see x:.V.Vdp;IJ.4:.Cll16;,.r:A4at...',4.:tt)mgp,i....l...Y'.)r:+.V,cJ
Last updated July 1, 2019
y W X y z
A
Updated July 1, 2019
ACCREDITED SURETY AND CASUALTY COMPANY, INC.
(NAIC #26379)
BUSINESS ADDRESS: PO Box 1406S5, Orlando, FL 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, IA, KS, KY, LA,
ME, MD, MA, MI, MN, MS, MO, MT, NE, NV, NH, NJ, NM, NY, NC, ND, OH, OK, OR, PA, RI, SC,
SD, TN, TX, UT, VT, VA, WA, WV, WI, WY,.
INCORPORATED IN: Florida.
ACE American Insurance Company kk
INAIF 1726671 7.Cak9' tiblhi N
PHONE: (717) 657-9671,.
UNDERWRITING LIMITATION b/: $6,267,000,
SURETY LICENSES c,f/: AL, AK, AZ, AR, CA, CO, CT, DE, DC, FL, GA, HI, ID, IL, IN, IA, KS, KY, LA,
ME, MD, MA, MI, MN, MS, MO, MT, NE, NV, NH, NJ, NM, NY, NC, ND, OH, OK, OR, PA, RI, SC,
SO, 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 45891 - 0351.
PHONE: (419) 238-1010,
UNDERWRITING LIMITATION b/: $15,980,000,
SURETY LICENSES c,f/: AZ, AR, CA, CO, CT, GA, ID, IL, IN, IA, KY, ME, MD, MA, MI, MN, MS, MT,
NV, NH, NJ, NM, NY, NC, OH, OK, OR, PA, SC, TN, TX, UT, VT, VA, WA, WI,
INCORPORATED IN: Ohio
Allegheny Casualty Company
(NAIC #13285)
BUSINESS ADDRESS: One Newark Center, 20th Floor, Newark, NJ 07102,
PHONE: (800) 333A167.
UNDERWRITING LIMITATION b/: $2,365,000.
SURETY LICENSES c,f/: AL, AK, AZ, AR, CA, CO, CT, DE, DC, FL, GA, HI, ID, IL, IN, IA, KS, KY, LA,
ME, MD, MA, MI, MN, MS, MO, MT, NE, NV, NH, NJ, NM, NY, INC, NO, OH, OK, OR, PA, PR, RI,
SC, SO, TN, TX, UT, VT, VA, WA, WV, WI, WY..
INCORPORATED IN: New Jersey.
ALLEGHENY SURETY COMPANY
(NAIC #34541)
BUSINESS ADDRESS: 4217 Steubenville Pike, Pittsburgh, PA 15205.
PHONE: (412) 921-3077.
BUSINESS ADDRESS: 436 Walnut Street P 0.. Box 1000, Philadelphia, PA 19106,
PHONE: (215) 640-1000,..
UNDERWRITING LIMITATION b/: $507,673,000,
SURETY LICENSES c,f/: AL, AK, AZ, AR, CA, CO, CT, DE, DC, FL, GA, HI, ID, IL, IN, IA, KS, KY, LA,
ME, MD, MA, MI, MN, MS, MO, MT, NE, NV, NH, NJ, NM, NY, NC, NO, OH, OK, OR, PA, PR, RI,
SC, SO, TN, TX, UT, VT, VA, WA, WV, WI, WY.
INCORPORATED IN: Pennsylvania.
ACE Property and Casualty Insurance Company
(NAIC #20699)
BUSINESS ADDRESS: 436 WALNUT STREET, PA,Box 1000, Philadelphia, PA 19106.
PHONE: (215) 640-1000,
UNDERWRITING LIMITATION b/: $290,236,000.
SURETY LICENSES c,f/: P AL, AK, AZ, AR, CA, CO, CT, DE, DC, FL, GA, HI, ID, IL, IN, IA, KS, KY,
LA, ME, MD, MA, MI, MN, MS, MO, MT, NE, NV, NH, NJ, NM, NY, NC, NO, OH, OK, OR, PA, PR,
RI, SC, SD, TN, TX, UT, VT, VA, WA, WV, WI, WY..
INCORPORATED IN: Pennsylvania..
ACSTAR INSURANCE COMPANY
(NAIC #22950)
BUSINESS ADDRESS: 30 SOUTH ROAD, FARMINGTON, CT 06032..
PHONE: (860) 415-8400..
UNDERWRITING LIMITATION b/: $2,278,000.
SURETY LICENSES c,f/: AL, AK, AZ, AR, CA, CO, CT, DE, DC, FL, GA, HI, ID, IL, IN, IA, KS, KY, LA,
ME, MD, MA, MI, MN, MS, MO, MT, NE, NV, NH, NJ, NM, NY, NC, NO, OH, OK, OR, PA, PR, RI,
SC, SO, TN, TX, UT, VT, VA, WA, WV, WI, WY,.
INCORPORATED IN: Illinois.
Aegis Security Insurance Company
(NAIC #33898)
BUSINESS ADDRESS: P.O. Box 3153, Harrisburg, PA 17105.
viv�cnvvni � uv� umi ini ivn �i. >c�a,vw.
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) 508A211,.
UNDERWRITING LIMITATION b/: $5,957,000,
SURETY LICENSES c,f/: AL, AZ, AR, CA, CO, CT, DE, DC, FL, GA, ID, IL, IN, IA, KS, KY, ME, MD,
MI, MN, MS, MO, MT, NE, NV, NH, NM, NY, NC, NO, OH, OR, PA, RI, SC, SO, TN, TX, UT, VT, VA,
WA, WV, WI, WY.
INCORPORATED IN: Iowa.
Allied World Insurance Company
(NAIC #22730)
BUSINESS ADDRESS: 199 Water Street, New York, NY 10038..
PHONE: (646) 794-0500.
UNDERWRITING LIMITATION b/: $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, MN, MS, MO, MT, NE, NV, NH, NJ, NM, NY, NC, NO, OH, OK, OR, PA, PR, RI,
SC, SO, TN, TX, UT, VT, VA, WA, WV, WI,.
INCORPORATED IN: New Hampshire.:
Allied World Specialty Insurance Company
(NAIC #16624)
BUSINESS ADDRESS: 199 WATER STREET, NEW YORK, NY 10038„
PHONE: (646) 794-0500.
UNDERWRITING LIMITATION b/: $34,151,000,
SURETY LICENSES c,f/: AL, AK, AZ, AR, CA, CO, CT, DE, DC, FL, GA, HI, ID, IL, IN, IA, KS, KY, LA,
ME. MD. MA. MI. MN. MS. MO. MT. NE. NV, NH. NI, NM. NY. NC. ND. OH. OK OR, PA. PR, RI„
SC, SD, TN, TX, UT, VT, VA, WA, WV, WI, WY..
-
INCORPORATED IN: Delaware.
AMCO Insurance Company
(NAIC #19100)
BUSINESS ADDRESS: ONE WEST NATIONWIDE BLVD., 1-04-701, COLUMBUS, ON 43215 -
2220
PHONE: (515) 506-4211 x-2-
UNDERWRITING LIMITATION b/: $20,136,000,
SURETY LICENSES c,f/: AL, AZ, AR, CA, CO, CT, DE, SIC, FL, GA, ID, IL, IN, A, KS, KY, ME, MID,
MI, MN, MS, MO, MT, NE, NY, HIM, NY, NC, HID, ON, OR, PA, RI, SC, SD, TN, Tx, UT, VT, VA,
WAS WV, WI, WY.
INCORPORATED IN: Iowa.
AMERICAN ALTERNATIVE INSURANCE CORPORATION
(NAIC #19720)
BUSINESS ADDRESS: 555 COLLEGE ROAD EAST-P.O. BOX 5241, PRINCETON, NJ 08543,
PHONE: (609) 243-4200,
UNDERWRITING LIMITATION bl: $21,434,000
SURETY LICENSES c,fl: Al, AK, AZ, AR, CA, CO, CT, DE, DC, FL, GA, GU, HI, ID, L, IN, A, KS, KY,
LA, ME, MD, MA, Mi, MN, ME, MO, MT, NE, NV, NH, NJ, NM, NY, NC, KID, OH, OK, OR, PA, FIR,
RI, SC, SO, TN, TX, UT, VT, VA, WA, WV, WI, VVY,
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 b/: $63,715,000,
MR, MA, MI, MN, MS, MO, MT, NE, NV, NH, NJ, HIM, NY, NC, ND, ON, 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 ZURICH WAY, STH FLOOR, SCHAUMBURG, IL 60196 - 1056.
PHONE: (847) 605-6000,
UNDERWRITING LIMITATION IV: $18,556,000,
SURETY LICENSES c,f/: AL, AK, AZ, AR, CA, CO, CT, DE, DC, FL, GA, HI, ID, IL, IN, IA, Its, KY, LA,
ME, MD, MA, MI, MN, MS, MID, MT, NE, NV, NH, NJ, NM, NY, NC, ND, CH, OK, OR, PA, RI, SC,
SD, TN, TX, UT, VT, VA, WA, WV, WI, WY.
INCORPORATED IN: New York,
American Home Assurance Company
(NAIC #19380)
BUSINESS ADDRESS: 175 WATER STREET, 18TH FLOOR, NEW YORK, NY 10038
PHONE: (212) 770-7000
UNDERWRITING LIMITATION 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, MIS, MA, MI, MN, ME, MO, MT, NE, NV, NH, NJ, HIM, NY, NC, NO, ON, OR, OR, PA, RI, SC,
SO, TN, TX, UT, VT, VA, WA, WV, WI, WY.
INCORPORATED IN: New York,
American Insurance Company (The)
(NAIC #21857)3
AMERICAN ROAD INSURANCE COMPANY (THE)
(NAIC #19631)
BUSINESS ADDRESS: One American Road, MID 7600, Dearborn, MI 48126 - 2701,
PHONE: (313) 337-1102,
UNDLRWRII ING LIMI IAI ION b/: $32,3/8,000.
SURETY LICENSES c,f/: AL, AK AZ, AR, CA, CO, CT, DE, DC, Ell, GA, HI, ID, IL, IN, I& KS, KY, LA,
ME, MD, MA, MI, MN, ME, MO, MT, NE, NV, NH, NJ, NM, NY, NC, NEC CH, OR, OR, PA, PR, RI,
SC, SD, TN, TV, UT, VT, VA, VI, WA, WV, WI, WY.
INCORPORATED IN: Florida.
American Casualty Company of Reading, Pennsylvania
(NAIC #20427)
BUSINESS ADDRESS: 151 N. Franklin St, CHICAGO, L 60606.
PHONE: (312) 822-5000,
UNDERWRITING LIMITATION bf: $13,209,000,
SURETY LICENSES c,f/: AT, AK, AZ, AR, CA, CO, CT, DE, DC, Ell, GA, HI, ID, L, IN, A, KS, KY, LA,
ME, MD, MA, MI, MN, MS, MO, MT, NE, NV, NH, NJ, NM, NY, NC, ND, OH, OK OR, PA, PR, RI,
SC, ED, 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, GU, HI, ID, IL, IN, IA, KS, KY,
LA, ME, MD, MI, MN, ME, MO, MT, NE, NV, NJ, HIM, NY, NO, OH, OK, OR, PA, RI, SC, ED, TN,
TX UT, VA, WA, WV, WI, WY
INCORPORATED IN: California,
American Fire and Casualty Company
(NAIC #24066)
BUSINESS ADDRESS: 175 Berkeley Street, Boston, MA 02116.
PHONE: (617) 357-9500.
UNDERWRITING LIMITATION b/i $4,130,000,
SURETY LICENSES c,ft: AL, AK, AS, AR, CA, CO, CT, DE, DC, FL, GA, ID, 111, IN, IA, KS, KY, LA, ME,
SURETY LICENSES c,f/: AL, AK, AZ, AR, CA, CO, DE, DC, FL, GA, HI, ID, IL, IN, IA, KS, KY, IA, ME,
MD, MA, MI, MIN, MS, MO, MT, NE, NV, NH, NJ, NM, NY, NC, ND, ON, OK, OR, PA, RI, SC, ED,
TN, T), UT, VT, VA, WA, WV, WI, WY.
INCORPORATED IN: Michigan,
American Southern Insurance Company
(NAIC #10235)
BUSINESS ADDRESS: P 0 Box 723030, Atlanta, CA 31139 - 0030.
PHONE: (404) 266-9599.
UNDERWRITING LIMITATION b/: $4,347,000,
SURETY LICENSES c,f/: AL, AZ, AR, CO, DE, DC, FL, GA, IL, IN, KS, KY, MD, MI, MN, ME, 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) 87S-8700.
UNDERWRITING LIMITATION bl: $1,005,000.
SURETY LICENSES c,f/: AL, AK, AZ, AR, CA, CO, CT, DE, DC, FL, GA, HI, ID, IL, IN, IA, KS, KY, LA,
ME, MD, MA, MI, MIN, MS, MO, MT, NE, NV, NH, NJ, NM, NY, NC, ND, CH, OK, DR, PA, RI, SC,
SD, TN, TX, UT, VT, VA, WA, WV, WY,
INCORPORATED IN: Indiana
Amerisure Insurance Company
(NAIC #19488)
BUS INESS ADDRESS: P.O. Box 2060, Farmington Hills, MI 48331 - 3S86,
PHONE: (248) 615-9000.
UNDERWRITING LIMITATION b/: $24,326,000,
SURETY LICENSES c,ft: AL, AK, AZ, AR, CO, DE, DC, FL, GA, HI, ID, IL, IN, A, KS, KY, CA, MD,
MA, MI, MIN, MIS, MO, MT, N1, NV, NI 1, NJ, NM, NY, NC, ND, 011, OK, OR, PA, PR, RI, SC, SD,
TN T)( I IT VT VA WA WV WI WV
INCORPORATED IN: Michigan,
Amerisure Mutual Insurance Company
(NAIC #23396)
BUSINESS ADDRESS: P. O. Box 2060, Farmington Hills, MI 48331 - 3586,
PHONE: (246) 615-9000,
UNDERWRITING LIMITATION bl: $71,716,000
SURETY LICENSES c,f/: AL, AK, AZ, AR, CA, CO, CT, DE, DC, FL, GA, HI, ID, IL IN, IA, KS, KY, LA,
ME, MID, MA, ML MN, MS, MO, MT, NE, NV, NH, NJ, NM, NY, NC, ND, OH, OK, OR, PA, PR, RL
SC, SO, TN, TX, Ul, VF, VA, WA, WV, WI, WY.
INCORPORATED IN: Michigan,
Amerisure Partners Insurance Company
(NAIC #11050)
BUSINESS ADDRESS: P, 0 Box 2060, Farmington Hills, MI 48331 - 3586,
PHONE: (248) 615-900PL
UNDERWRITING LIMITATION b/: $2,372,000
SURETY LICENSES c,f/: AL, AK, AZ, AR, CO, DE, DC, FL, GA, HI, ID, IL, IN, IA, KS, KY, LA, MD,
MA, MI, MIN, MS, MO, M1, NE, NV, NM, NC, ND, 011, OR, OR, PA, RI, SC, SD, TN, TX, UT, VT,
VA, WA, WV, WI, WY
INCORPORATED IN: Michigan,
Antilles Insurance Company
(NAIC #10308)
BUSINESS ADDRESS: PO Box 9023507, San Juan, FIR 00902 - 3507,
PHONE: (787) 474-4900L
UNDERWRITING LIMITATION b/: $3,350,000.
SURETY LICENSES c,f/: PR.
INCORPORATED IN: Puerto Rica.
Arch Insurance Company
BUSINESS ADDRESS: 175 Capital Boulevard, Suite 300, Rocky Hill, CT 06067,
PHONE: (860) 258-3500L
UNDERWRITING LIMITATION bl: $54,531,000
SURETY LICENSES c,f/: AL, AK, AS, A7, AR, CA, CO, CT, DE, DC, FL, GA, GU, HI, 11), IL, IN, IA, KS,
KY, LA, ME, MD, MA, MI, MIN, MS, MO, MT, NE, NV, NH, NJ, HIM, NY, NC, ND, OH, OK, OR, PA,
PR, RI, SC, SD, TN, TX, UT, VT, VA, VI, WA, WV, Wk WY.
INCORPORATED IN: Texas.
Associated Indemnity corporation
(NAIC #21865)4
Atlantic Specialty Insurance Company
(NAIC #27154)
BUSINESS ADDRESS: 605 Highway 169 North, Suite 800, Plymouth, MN 55441
PHONE: (952) 8522431 .
UNDERWRITING LIMITATION b/: $61,920,000
SURETY LICENSES cjv AL, 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, No, NH, NJ, PRO, NY, NC, ND, OH, OR, OR, PA, PR, RL
SC, SD, IN, TX, LIT, VT, VA, A, WA, WV, WI, WY
INCORPORATED IN: New York
Auto -Owners Insurance Company
(NAIC #18988)
BUSINESS ADDRESS: P.D. BOX 30660, LANSING, MIT 46909 - 91%
PHONE: (517) 323-1200,
UNDERWRITING LIMITATION BY! $1,101,760,000-
SURETY LICENSES c,fl: AL, AZ, AR, CO, FL, GA, ID, IL, IN, IA, KS, KY, MI, MN, MS, MO, NE, NV,
NM, NC, ND, OH, OR, PA, SC, SO, TN, UT, VA, WA, WI.
INCORPORATED IN: Michigan,
IS Insurance Company
(NAIC #11150)
BUSINESS ADDRESS: Harborside 3, 210 Hudson Street, Suite 300,JERSEY CITY, NJ 07311 -
1107,
PHONE: (201) 743A(i
UNDERWRITING LIMITATION bl: $91,269,000,
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, VIL MN, MS, MC, MR, MT, NE, NV, NH, NJ, NM, NY, NC, ND, ON, OK, OR, PA,
Ply 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, PO Box 1988, Morristown, NJ 07962 -
1988,
PHONE: (973) 898-9575
UNDERWRITING LIMITATION b/: $31,978,000,
SURETY LICENSES c,f/: AL AK, AZ, AR, CA, CO, CT, DE, DC, FL, GA, GU, HI, ID, IL, IN, IA, KS, KY,
LA, MD, MA, MI, MIN, MIS, MO, MT, NE, NV, NH, NJ, NM, NY, ND, ON, OK, OR, PA, RI, SC, SD,
IN, TX, UT, V1, VA, WA, WV
INCORPORATED IN: Delaware,
Argonaut Insurance Company
(NAIC #19801)
BUSINESS ADDRESS: 13100 Wortharn Center Drive. Suite 290 Houston, Texas 77065
PHONE: (800) 470-7958.
UNDERWRITING LIMITATION V $89,568,000,
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, MIS, MA, MI, MIN, MS, MO, MT NE, NV, NH, NJ, NM, NY, NC, ND, OH, OK, OR, PA, PR,
RI, SC, SO, TN, TX, UT, VT, VA, A, WA, WV, WL VVY,
INCORPORATED IN: Illinois.
ASPEN AMERICAN INSURANCE COMPANY
(NAIC #43460)
(NAIC #37213)
BUSINESS ADDRESS: 11680 Great Oaks Way, Ste. 500, Alpharetta, GA 30022.
PHONE: (678) 746-9400L
UNDERWRITING LIMITATION b/: $55,899,000,
SURETY LICENSES c,f/: AL, AK, AS, A7, AR, CA CO, CT, DE, DC, FL, GA, HI, ID, IL, IN, IA, KS, KY,
LA, ME, MD, MA, MI, MIN, MS, MO, MT, NE, NV, NH, NJ, NM, NY, NC, ND, ON, OK OR, PA, RI,
SC, SD, TN, TX, UT, VT, VA, WA, WV, WI, WY
INCORPORATED IN: Illinois.
AXIS Reinsurance Company
(NAIC #20370)
BUSINESS ADDRESS: 11680 Great Oaks Way, Suite 500, Alpharetta, GA 30022,
PHONE: (678) 746-9400,
UNDERWRITING LIMITATION bl: $96,705,000L
SURETY LICENSES cjlL AL, AK, AS, AS, AR, CA, CO, CT, DE, FL, GA, HI, ID, IL, IN, IA, KS, KY, LA,
ME, MD, MA, MI, MN, MS, MC, MT, NE, NV, NH, NJ, NM, NY, NC, ND, ON, OK, OR, PA, PR, RL
SC, SD, TN, TX, UT, VT, VA, VI, WA, WV, WI, WY
INCORPORATED IN: New York,
B
Bankers Insurance Company
(NAIC #331 G2)
BUSINESS ADDRESS: P.O, BOX 15707, ST PETERSBURG, FL 33733
PHONE: (727) 823A000
UNDERWRITING LIMITATION b/: $7,303,000,
SURETY LICENSES c,f/: AL, AK, AZ, AR, CA, CO, CT, DE, DC, FL, GA, HI, ID, IL, IN, IA' KS, KY, LA,
ME, MID, MA, ML MN, MS, MO, MIT, NE, NV, NH, NJ, NM, NY, NC, ND, ON, OK, OR, PA, SC, SD,
TN, TX, UT Vr, 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) 640-1000,
UNDERWRITING LIMITATION b/: $19,982,000
SURETY LICENSES c,f/: AL, AK, AZ, AR, CA, CO, C11 DE, DC, FL, CA, HI, ID, IL, IN, IA, KS, KY, LA,
ME, MD, MA, MI, MN, ME, MO, MT, NE, NV, Nil, NJ, HIM, NY, NC, HIS, OH, OK, OR, PA, RI, SC,
ED, TN, TX, UT, VT, VA, WA, WV, WI, WY
INCORPORATED IN: Pennsylvania,
Beazley Insurance Company, Inc.
(NAIC #37540)
BUSINESS ADDRESS: 30 Batterson Park Road, Farmington, CT 06032,
PHONE: (860) 677-3700
UNDERWRITING LIMITATION b/: $17,291,000,
SURETY LICENSES c,f/: AL, AK, AZ, AR, CA, CO, CT, DE, DC, Fl, GA, HI, ID, IL, IN, IA, KS, KY, LA,
ME, MD, MA, ML MN, MS, MO, MT, NE, NV, NH, NJ, HIM, NY, NC, ND, ON, OR, OR, PA, RI, SC,
SD, TN, TX, UT, VF, VA, WA, WV, WI, WY.
INCORPORATED IN: Connecticut,
Berkley Insurance Company
(NAIC #32603)
BUSINESS ADDRESS: 475 STEAMBOAT ROAD, GREENWICH, CT 06930.
PHONE: (203) 542-3800,
UNDERWRITING LIMITATION b/: $460,644,000.
SURETY LICENSES c,f/: AL, AK, AZ, AR, CA, CO, CT, DE, DC, FL, CA, GU, HI, ID, IL, IN, IA, KS, KY,
LA, ME, MD, MA, MI, MN, MIS, MO, MT, NE, NV, NH, NJ, NM, NY, NC, ND, ON, OK, OR, PA, PR,
RI, SC, ED, TN, TX, UT, VT, VA, VI, WA, WV, WI, WY,
INCORPORATED IN: Delaware,
(NAIC #20095)
BUSINESS ADDRESS: 3700 MARKET SQUARE CIRCLE, DAVENPORT, IA 52807,
PHONE: (800) 475-4477.
UNDERWRITING LIMITATION b/: $26,669,000,
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, ME, MN, ME, MO, MIT, NE, NV, NJ, NM, NY, NC, NO, ON, OK, OR, PA, RI, SC, SD, TN,
TX, UT, VT, VA, WA, WV, WI, WY
INCORPORATED IN: Illinois,
BOND SAFEGUARD INSURANCE COMPANY
(NAIC #27081)
BUSINESS ADDRESS: 10002 Shelbyville Road, Suite 100, Louisville, KY 40223 - 2979.
PI ]ONE: (615) 553-9500
UNDERWRITING LIMITAI ION b/: $4,155,000.
SURETY LICENSES c,f/: AL, AK, AZ, AR, CA, CO, CT, DE, DC, FL, GA, GU, HI, ID, IL, IN, KS, KY, LA,
ME, MD, MA, MN, MS, MO, MR, MIT, NV, NH, NJ, HIM, NC, ND, 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.O. Box 6, Horhai n Park, NJ 07932,
PHONE: (973) 377-7000
UNDERWRITING LIMITATION bl: $366,000.
SURETY LICENSES c,fi: DE, NJ, NY, PA,
INCORPORATED IN: New Jersey,
Boston Indemnity Company, Inc.
(NAIC #30279)
BUSINESS ADDRESS: 800 Gessner Suite 600, Houston, TX 77024.
Berkley Regional Insurance Company
(NAIC #29580)
BUSINESS ADDRESS: RD BOX 9190, DES MOINES, IA 50306 - 9190
PHONE: (515) 473-3000,
UNDERWRITING LIMITATION b/: $75,794,000,
SURETY LICENSES c,f/: AL, AK, AZ, AR, CA, CO, CT, DE, DC, R, GA, HI, ID, IL, IN, IA, RE, KY,
ME, MD, MA, ML MIA, MS, MO, MT, NE, NV, NH, NJ, HIM, NY, NC, NO, ON, OK OR, PA, RI, SC,
SO, TN, TX, LIT, 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 bl: $149531,000,
SURETY LICENSES c,f/: AL, AK, AZ, AR, CA, CO, CT, DE, DC, FIE, GA, HI, ID, IL, IN, IA, KS, KY, LA,
ME, MID, MA, MI, MIN, MS, MO, MT, NE, NV, NH, NJ, HIM, NY, NC, ND, ON, OK, OR, PA, RI, SC,
SD, TN, TX, UT, VT, VA, WA, WV, WI, WY,
INCORPORATED IN: Nebraska
Berkshire Hathaway Specialty Insurance Company
(NAIC #22276)
BUSINESS ADDRESS: 1314 Douglas Street, Suite 1400, Ornaria, 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, FL, GA, HI, ID, IL, IN, IA, KS, KY, LA,
ME, MD, MA, MI, MN, ME, MID, MT, NE, NV, NH, NJ, NM, NY, NC, ND, OH, OK, OR, PA, RI, SC,
SD, TN, TX, UT, VT, VA, WA, WV, WI, WY
INCORPORATED IN: Nebraska
DITCO GENERAL INSURANCE CORPORATION
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, VILL MS, MT,
NE, No, NC, ND, OK, PA, ED, TN, WV,
INCORPORATED IN: South Dakota,
Brierfield Insurance Company
(NAIC #10993)
BUSINESS ADDRESS: 6300 University Parkway, Sarasota, FL 34240 - 8424
PHONE: (800) 226-3224,
UNDERWRITING LIMITATION bl: $937,000,
SURETY LICENSES c,f/: AL, AR, Fl, GA, MS, TN,
INCORPORATED IN: Mississippi,
BRITISH AMERICAN INSURANCE COMPANY
(NAIC #32875)
BUSINESS ADDRESS: P,O Box 1590, Dallas, TX 75221 - 1590,
PHONE: (214) 443-5500.
UNDERWRITING LIMITATION bl: $3,232,000
SURETY LICENSES c,f/: TX.
INCORPORATED IN: Texas
Back LIQ12P
C
Capitol Indemnity Corporation
(NAIC #10472)
BUSINESS ADDRESS: P.0- Box 5900, Madison, WI 53705 - 0900.
PHONE: (608) 829-4200L
•UNDERWRITING LIMITATION b/: $21,873,000,
SURETY LICENSES c,f/: AL, AK, AZ, AR, CA, CO, CT, DE, DC, FL, GA, HI, ID, IL, IN, IA, KS, KY, LA,
ME, MD, MA, MI, MN, ME, MO, MIT, NE, NV, NH, NJ, NM, NY, NC, ND, ON, OR, OR, PA, RI, SC,
ED, TN, TX, UT, VT, VA, WA, WV, WI, WY,
INCORPORATED IN: Wisconsin,
Capitol Preferred Insurance Company, Inc.
(NAIC #10908)
BUSINESS ADDRESS: 2750 Chancellorsville Dr, Tallahassee, FL 32312
PHONE: (850) 521-0742,
UNDERWRITING LIMITATION b/: $2,448,000
SURETY LICENSES c,f/: FL, GA, SC,
INCORPORATED IN: Florida.
Carolina Casualty Insurance Company
(NAIC#10510)
BUSINESS ADDRESS: PO BOX 9190, DES MOINES, IA 50306 - 9190,
PHONE: (904) 363-0900.
UNDERWRITING LIMITATION b/: $10,753,000
SURETY LICENSES c,fl: AL, AK, AZ, AR, CA, CO, CT, DE, DC, FL, GA, HI, ID, IL, IN, A, KS, KY, LA,
ME, MD, MA, MI, MN, MS, MO, MT, NE, NV, NI 1, NJ, NM, NY, NC, ND, ON, 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
UNDERWRTFING LIMITATION bl: $7,735X0.
SURETY LICENSES c,f/: AL
BUSINESS ADDRESS: 34200 Mound Road, Sterling Heights, MI 48310.
PHONE: (800) 201-0450 x-3400.
UNDERWRITING LIMITATION b/: $18,635,000,
SURETY LICENSES c,f/: AL, AZ, AR, CA, CO, CT, DE, FL, GA, ID, IL, IN, IA, KS, KY, LA, ME, MD,
MA, MI, MN, MS, MO, MT, NE, NV, NJ, RIM, NY, NC, ND, ON, OK, OR, PA, RI, SC, ED, TN, TX,
UT, VT, VA, WA, WV, WI, WY.
INCORPORATED IN: Michigan.
CHUBB INDEMNITY INSURANCE COMPANY
(NAIC #12777)
BUSINESS ADDRESS: 202B Hall's Mill Road, Whitehouse Station, NJ 08889,
PHONE: (215) 640-1000.
UNDERWRITING LIMITATION b/: $17,620,000,
SURETY LICENSES c,f/: AL, AK, AZ, AR, CA, CO, CT, DE, DC, FL, GA, HI, ID, L, IN, IA, KS, KY, LA,
ME, MD, MA, ML MN, MIS, MO, MT, NE, NV, NIP, NJ, NM, NY, NC, ND, ON, OK, OR, PA, RI, SC,
SD, TN, TX, LIT, VT, VA, WA, WV, WI, WY
INCORPORATED IN: New York
Cincinnati Casualty Company (The)
(NAIC 428665)
BUSINESS ADDRESS: P,CL Box 145496, Cincinnati, CH 45250 - 5496,
PHONE: (513) 870-2000L
UNDERWRITING LIMITATION b/: $39,810,000,
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, MIT, NE, NV, NH, NJ, RIM, NY, NC, ND, ON, OK, OR, PA, RI, SC,
ED, TN, TX, UT, VT, VA, WA, WV, WI, WY,
INCORPORATED IN: Ohio,
CINCINNATI INDEMNITY COMPANY, THE
(NAIC #23280)
BUSINESS ADDRESS: P.O, BOX 145496, CINCINNATI, ON 45250 - 5496,
INCORPORATED IN: Alabama.
CENTRAL MUTUAL INSURANCE COMPANY
(NAIC #20230)
BUSINESS ADDRESS: RO BOX 351, VAN WERT, OH 45891 - 0351,
PHONE: (419) 238-1 010,
UNDERWRITING LIMITATION b/: $64,882,000,
SURETY LICENSES c,f/: AZ, AR, CA, CO, CT, DE, GA, ID, IL, IN, IA, KY, ME, MD, MA, MI, MN, ME,
MIT, NV, NH, NJ, NM, NY, NC, ON, OK, OR, PA, 5C, 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) 895-2000k
UNDERWRITING LIMITATION bl: $3,249,000.
SURETY LICENSES c,fl: AZ, OH, 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 bi: $22,873,000,
SURETY LICENSES c,f/: AL, AK, AZ, AR, CO, CT, DE, DC, Fl, GA, HI, ID, IL, IN, IA, KS, KY, LA, ME,
AID, MA, MI, MIN, ME, MO, MT, NE, NV, NH, NJ, NM, NY, NC, BID, OH, OR, OR, PA, PR, RI, SC,
ED, TN, TX, LIT, VT, VA, WA, WV, WI, WY.
INCORPORATED IN: Connecticut.
Cherokee Insurance Company
(NAIC #10642)
PHONE: (513) 870-2000
UNDERWRITING LIMITATION b/: $10,212,000,
SURETY LICENSES c,f/: AL, AK, AZ, AR, CA, CO. CT, DE, DC, FL, GA, HI, ID, IL, IN, IA, KS, KY, LA,
ME, MD, MA, MI, MN, ME, MO, MIT, NE, NV, NH, NJ, NM, NY, NC, ND, OH, OK OR, PA, RI, SC,
SD, TN, TX, UT, Vr, VA, WA, WV, WI, WY,
INCORPORATED IN: Ohio,
Cincinnati Insurance Company (The)
(NAIC #10677)
BUSINESS ADDRESS: P.O. BOX 145496, CINCINNATI, OH 45250 - 5496,
PHONE: (513) 970-2000.
UNDERWRITING LIMITATION b/: $44109,000.
SURETY LICENSES c,f/: AL, AK, AZ, AR, CA, CO, CT, DE, DC, FL, GA, HI, ID, IL, IN, IA, KS, KY, LA,
ME, DID, MA, ML DIN, MS, MO, MT, NE, NV, NIP, NJ, NM, NY, NC, ND, ON, OK, OR, PA, PR, RI,
SC, ED, TN, TX, UT, vr, 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 b/: $70,326,000,
SURETY LICENSES c,fl: AL, AK, AZ, AR, CO, CT, DE, DC, GA, HI, L, IN, IA, KS, ME, MD, MA, MI,
MN, MS, MID, MT, NE, NH, NJ, NM, NY, NC, ND, ON, OR, PA, RI, SC, ED, TN, TX, UT, VT, VA, WA,
WV, WI,
INCORPORATED IN: Michigan,
COLONIAL AMERICAN CASUALTY AND SURETY COMPANY
(NAIC #34347)5
BUSINESS ADDRESS: 1299 ZURICH WAY, STH FLOOR, SCHAUMBURG, IL 60196 -1056,
PHONE: (847) 605-6000.
UNDERWRITING LIMITATION b/: $2,286,000,
SURETY LICENSES CN: AL, AK, AS, AIR, CA, CO, CT, DE, DC, FIE, GA, HI, ID, IL, IN, IA, KS, KY, LA,
ME, DID, MA, MI, MR, MS, MID, MT, NE, NY, NJ, HIM, NY, NC, HID, OH, OR, OR, PA, RI, SC, So,
TN, TX, UT, VT, VA, WA, WV, WI, WY,
INCORPORATED IN: Illinois.
COLONIAL SURETY COMPANY
(NAIC #10758)
BUSINESS ADDRESS: 123 Tice Boulevard, Suite 250, Woodcliff take, NJ 07677,
PHONE: (201) 573-8788,
UNDERWRII ING LIMITATION b/: $024,000,
SURETY LICENSES c,f/: A[, AK, AZ, AR, CA, CO, CT, DE, SIC, FIE, GA, GU, Al, ID, IL, IN, IA, KS, KY,
LA, ME, MD, MA, MI, MIN, MS, MO, MR, MT, NE, NV, NI 1, NJ, NM, NY, NC, ND, OH, OK, OR, PA,
PR, RI, SC, ED, TN, TX, UT, VT, VA, VI, WA, WV, WI, WY.
INCORPORATED IN: Pennsylvania,
Continental Casualty Company
(NAIC #20443)
BUSINESS ADDRESS: 151 N Franklin St, CHICAGO, IL 50606,
PHONE: (312) 822-5000.
UNDERWRITING LIMITATION b/: $702,733,000,
SURETY LICENSES c,f/: AL, AK, AZ, AR, CA, CO, C1, 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, NO, ON, OK, OR, PA, SIR, RI,
SC, SO, TIN, TX, U f, VT, VA, VI, WA, WV, WI, WY
INCORPORATED IN: Illinois,
CONTINENTAL HERITAGE INSURANCE COMPANY
(NAIC #39551)
BUSINESS ADDRESS: 200 PARKAVENUE, SUITE 400, ORANGE VILLAGE, ON 44122.
PHONE: (877) 645AB71.
UNDERWRITING LIMITATION b/: $2,569,000.
Corepointe Insurance Company
(NAIC #10499)
BUSINESS ADDRESS: RD Box 812319, Boca Raton, FIE 33481
PHONE: (800) 782-9164,
UNDERWRITING LIMITATION bt: $1,412,000.
SURETY LICENSES c,f/: AL, AK, AS, AR, CA, CO, CT, DE, DC, FL, GA, HI, ID, IL, IN, IA, KS, KY, LA,
ME, MID, MA, MI, PIN, MS, MID, MT, NE, NV, NH, NJ, NM, NY, NC, ND, OH, OK OR, PA, RI, SC,
SO, TIN, TX, UT, VT, VA, WA, WV, WI, WY,
INCORPORATED IN: Delaware.
CLIMIS INSURANCE SOCIETY, INC.
(NAIC #10847)
BUSINESS ADDRESS: POST OFFICE BOX 1084, MADISON, WI 53701,
PHONE: (606) 238-5BS1
UNDERWRITING LIMITATION bC $89,491,000
SURETY LICENSES c,f/: AL, AK, AZ, AR, CA, CO, CT, DE, DC, Fl, GA, GU, HI, ID, IL, IN, A, KS, KY,
LA, ME, MD, MA, MI, MN, ME, MO, MT, NE, NV, NH, NJ, HIM, NY, NC, NO, ON, OK, OR, PA, PR,
RI, SC, SD, TN, TX, UT, VT, VA, WA, WV, WI, WY
INCORPORATED IN: Iowa.
CUMIS Specialty Insurance Company, Inc.
(NAIC #12758)
BUSINESS ADDRESS: Post Office Box 1084, Madison, WI 53701,
PHONE: (608) 23B-5851,
UNDERWRITING LIMITATION bl: $4,744,000,
SURETY LICENSES c,f/: AL CA, CT, DC, FL, GA, HI, ID, E, IN, IA, KS, KY, MD, MA, MI, MN, MID,
NE, NV, NJ, NY, NC, CH, OR, OR, PA, SC, SD, TX, UT, VA, WA, WI, WY
INCORPORATED IN: Iowa,
PwA'U P, fslp
.— 1. 11, -, -, .1, IL, -, IV, IL, IN, -, 11, -, IVI., WI., INV,
NJ, ND, CH, PA, SC, ED, TN, TX, UT, VA, WA, WV, WY.
INCORPORATED IN: Florida,
Continental Insurance Company (The)
(NAIL #35289)
BUSINESS ADDRESS: 151 N Franklin St, CHICAGO, 11160606.
PHONE: (312) 822-5000.
UNDERWRITING LIMITATION b/: $160,006,000.
SURETY LICENSES c,f/: AL, AK, AZ, AR, CA, CO, CT, DE, DC, FIE, GA, GU, HI, ID, IL IN, IA, KS, BY,
ILA, ME, MIS, MA, MI, MN, ME, MO, MR, MT, NE, NV, NH, NJ, NM, NY, NC, ND, OH, OK, OR, PA,
FIR, RI, SC, ED, TN, TX, UT, VT, VA, VI, WA, WV, All, WY.
INCORPORATED IN: Pennsylvania,
CONTRACTORS BONDING AND INSURANCE COMPANY
(NAIC #37206)
BUSINESS ADDRESS: 9025 N, Lindbergh Drive, Peoria, 11161615,
PHONE: (309) 692-1000
UNDERWRITING LIMITATION b/: $11,413,000,
SURETY LICENSES c,f/: AL, AK, AZ, AR, CA, CO, CT, DE, DC, FIE, GA, HI, ID, IL, IN, IA, KS, KY, LA,
ME, MID, MA, MI, MN, MIS, MO, MIT, NE, NV, NH, NJ, NM, NY, NC, ND, ON, OK, OR, PA, RI, -SC,
SD, TIN, TX, UT, VT, VA, WA, WV, WI, WY
INCORPORATED IN: Illinois
Cooperativa de Seguros Multiples de Puerto Rico
(NAIC #18163)
BUSINESS ADDRESS: RD BOX 363846, SAN JUAN, PR 00936 - 3846.
PHONE: (787) 622-3575 x-2512.
UNDERWRITING LIMITATION b/: $12,545,000,
SURETY LICENSES c,f/: PR.
INCORPORATED IN: Puerto Rico.
Developers Surety and Indemnity Company
(NAIC #12718)
BUSINESS ADDRESS: P.O. BOX 19725, IRVINE, CA 92623 - 9725,
PHONE: (949) 263-3300
UNDERWRITING LIMITATION bl; $1 V40,000,
SURETY LICENSES c,f/: AL, AK, AZ, AR, CA, CO, CT, DE, DC, I'll, GA, HI, ID, IL, IN, K, KS, KY,
ME, DID, MA, MI, MN, ME, MO, M1, NE, NV, NH, NJ, NM, NY, NC, ND, OH, OK, OR, PA, RI, SC,
ED, TN, TX, UT, VT, VA, VI, WA, WV, WI, WY.
INCORPORATED IN: California,
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E
Employers Insurance Company of Wausau
(NAIC #21458)
BUSINESS ADDRESS: 175 Berkeley Street, Boston, MA 02116,
PHONE: (517) 357-9500.
UNDERWRITING LIMITATION b/: $150,955,000.
SURETY LICENSES c,f/: AL, AK, AZ, AR, CA, CO, CT, DE, DC, FL, GA, HI, ID, IL, IN, IA, KS, KY, LA,
ME, MD, MA, MI, MN, MS, MO, MT, NE, NV, NH, NJ, NM, NY, NC, ND, OH, OK, OR, PA, PR, RI,
SC, ED, TN, TX, UT, VT, VA, VI, WA, WV, WI, WY.
INCORPORATED IN: Wisconsin,
Employers Mutual Casualty Company
(NAIC #21415)
BUSINESS ADDRESS: P, 0, BOX 712, DES MOINES, A 50306 - 0712
PHONE: (515) 280-2511,
UNDERWRITING LIMITATION b/: $143,374,000,
SURETY LICENSES c,fl: AL, AK, AZ, AR, CA, CO, CT,
DE, DC, FL, GA, HI, ID, IL, IN, IA, KS, KY, LA,
ME, MID, MA, MI,MN, MS, MO, MT, NE, No, NH, NJ, NM, NY, NC, ND, OFF OR, OR, PA, RI, SC,
SD, I N, TX, UT, VT, VA, WA, WV, WI, Vft
INCORPORATED IN: Iowa.
Endurance American Insurance Company
(NAIC #10641)
BUSINESS ADDRESS: 4 MANHATTANVILLE ROAD, PURCHASE, NY 1057T
PHONE: (914) 468-8000.
UNDERWRITING LIMITATION b/: $54,690,000,
SURETY LICENSES c,f/: AL, AK, AZ, AR, CO, DE, DC, GA, HI, ID, IL., IN, IA, KS, KY, LA, MD, MA,
MI, MS, MC, MT, NE, NV, NH, NJ, NM, NY, NO, ON, OK, OR, RI, SC, SD, TN, TX UT, VT, WA, WV,
WI, WY.
INCORPORATED IN: Delaware,
Endurance Assurance Corporation
(NAIC 40 1551)
BUSINESS ADDRESS: 4 MANHATTANVILLE ROAD, PURCHASE, NY 10577,
PHONE: (914) 468-8000,
UNDERWRITING LIMITATION bl: $56,184,000,
SURETY LICENSES c,f/: AL, AK, AZ, AR, CA, CO, CT, DE, DC, FL, GA, GU, HI, ID, 11, IN, IA, KS, KY,
I A, ME, MD, MA, VIL MIN, MIS, MO, MIT, NE, NV, NJ, NM, NY, NC, ND, OFF OK, OR, PA, PR, RI,
SC, SD, TN, TX, UT, V1, 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: 202B Hall's Mill Road, Whitehouse Station, NJ 08889
PHONE: (215) 640-1 000.
UNDERWRITING LIMITATION b/: V58A26,00(L
SURETY LICENSES c,M AL, AK, AZ, AR, CA, CO, DE, DC, FL, GA, HI, ID, IL, IN, IA, KS, KY, CA, ME,
MID, MA, ML MIN, 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: Delaware,
Explorer Insurance Company
(NAIC #40029)
BUSINESS ADDRESS: P.O., BOX 509039, SAN DIEGO, CA 92150,
PHONE: (858) 350-2400.
UNDERWRITING LIMITATION ol: $15,796,000.
SURETY LICENSES cfl: AL, AK, AS, AZ, AR, CA, CO, CT, DE, DC, FL, GA, HI, ID, IL, IN, IA, KS, KY,
LA, ME, MD, MA, MI, MN, MS, MO, MT, NE, NV, NJ, NM, NY, NC, OK, OR, PA, RI, SC, SD, TN, TX,
UT, VT, VA, WA, WV, WI.
INCORPORATED IN: California.
-B-P-C1j-0TQP
F
Fair American Insurance and Reinsurance Company
(NAIC #35157)
BUSINESS ADDRESS: One Liberty Plaza, 165 Broadway, New York, NY 10006,
PHONE: (212) 365-2200.
UNDERWRITING LIMITATION b/: $1%944,000,
SURETY LICENSES c,f/: DC, IL, IN, KY, MD, MIN, NY, NC, ON, PA, TN, VA, WV, WI.
INCORPORATED IN: Pennsylvania.
Euler Hermes North America Insurance Company
(NAIC #20516)
BUSINESS ADDRESS: 800 Red Brook Blvd, Owings Mills, MD 21117,
PHONE: (410) 753-0751
UNDERWRITING LIMITATION bl: $17,842,000.
SURETY LICENSES c,f/: AL, AK, AZ, CA, CO CT, DE, DC, GA, NJ, ID, IL, IN, IA, KS, KY, LA, MD,
MA, MI, MN, MIS, MO, MIT, NE, NV, NH NJ: HIM, NY, NC, NO, OH, 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.O. Box 830, Liberty Corner, NI 07938 - 0830
PHONE: (909) 604-3000.
UNDERWRITING LIMITATION bl: $365,059,000,
SURETY LICENSES c,f/: AL, AK, AZ, AR, CA, CO, CT, DE, DC, FL, CA, III, ID, IL, IN, IA, KS, KY, LA,
MF, MD, MA, MI, MN, MS, MID, MR, MT, NE, NY, NH, NJ, NM, NY, NC, ND, OF], 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 PARKLAND BLVD, STE 321, MAYFIELD HEIGHTS, OH 44124
PHONE: N40) 229-3420,
UNDERWRITING LIMITATION b/: $3443,000.
SURETY LICENSES c,f/: AL, AK, AZ, AR, CA, CO, CT, DE, DC, FL, GA, ID, IL, IN, IA, KS, KY, LA, ME,
MD, MA, MI, MN, MS, MO, MT, NE, NV, NH, NJ, NM, NY, ND, CH, OK, OR, PA, RI, SC, SD, TN,
TX, UT, VT, VA, WA, WL WY.
SURETY LICENSES c,f/: AL, AK, AZ, AR, CA, CO, CT, DE, DC, FL, GA, HI, ID, IL, IN, IA, KS, KY, LA,
ME, MR, MA, MI, MIN, MS, MO, MT, NE, NV, NH, NJ, NM, NY, NC, NO, OH, OK, OR, PA, RI, SC,
SD, TN, TX, UT, VT, VA, VI, 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 b/: $18,393,000
SURETY LICENSES c,fl: CO, ID, IA, KS, MN, MO, MT, NE, NM, ND, OK, SD.
INCORPORATED IN: Kansas.
Farmington Casualty Company
(NAIC#41483)
BUSINESS ADDRESS: ONE TOWER SQUARE, HARTFORD, CT 06183
PHONE: (860) 277-0111,
UNDERWRITING LIMITATION bl: $28,623,000,
SURETY LICENSES c,f/: AL, AK, AZ, AR, CA, CO, CT, DE, DC, FL, GA, HI, ID, IL, IN, IA, KS, KY, LA,
ME, MD, MA, MI, MN, MS, MO, 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: Connecticut.
Farmland Mutual Insurance Company
(NAIC #13838)6
FOCI Insurance Company
(NAIC #10178)
BUSINESS ADDRESS: 6300 University Parkway, Sarasota, FL 34240 - 8424.
PHONE: (900) 226-3224,
UNDERWRITING LIMITATION bl: $55,070,000,
SURETY LICENSES c,11: AL. AZ, AR, CO, DC, FL, GA, IL, IN, IA, RE, 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 b/: $461,364,000.
SURETY LICENSES cf/: AL, AK, AZ, AR, CA, CO, CT, DE, DC, FL, GA, GU, HI, ID, It, IN, A, KS, KY,
LA, ME, MID, MA, MI, MR, ME, MO, MR, MT, NE, NV, NH, NJ, NM, NY, NC, ND, OH, OK, OR, PA,
PR, RI, SC, SO, TN, TX, UT, VT, VA, VI, WA, WV, WI, WY.
INCORPORATED IN: Indiana,
FEDERATED MUTUAL INSURANCE COMPANY
(NAIC #13935)
BUSINESS ADDRESS: 121 EAST PARK SQUARE, OWATONNA, MN 55060.
PHONE: (507) 455-5200
UNDERWRITING LIMITATION b/: $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,
MIS, MA, MI, MN, MS, MO, MT, NE, NV, NH, NJ, HIM, NY, NC, ND, OH, OK, OR, PA, RI, SC, ED,
TN, TX, UT, VT, VA, WA, WV, WI, WY.
INCORPORATED IN: Minnesota,
Fidelity and Deposit Company of Maryland
(NAIC 439306)7
BUSINESS ADDRESS: 1299 ZURICH WAY, 5TH FLOOR, SCHAUMBURG, IL 60196 -10%
PHONE: (847) 60S-6000,
UNDERWRITING LIMITATION b/; $27,371,000,
SURETY LICENSES c,f/: AL, AK, AZ, AR, CA, CO, C1, DE, DC, FL, GA, GU, HI, ID, IL, IN, IA, KS, KY,
LA, ME, MD, MA, MI, MN, MS, MO, MR, MT, NE, NV, NH, NJ, NM, NY, NC, NO, OH, OR, OR, PA,
PR, RI, SC, SD, TN, TX, UT, VT, VA, VI, WA, WV, Vol, WY.
itmanciap racnic insurance company
(NAIC #31453)
BUSINESS ADDRESS: P.O. BOX 73909, CEDAR RAPIDS, IA 52407 - 3909,
PHONE: (319) 399-5700,
UNDERWRITING LIMITATION b/: $10,176,000
SURETY LICENSES c,f/: AK, AZ, AR, CA, CO, FL, ID, IL, IA, KS, MR, MO, MT, NE, NV, HIM, ND,
OK, OR, SO, TX, UT, WA, WI.
INCORPORATED IN: California,
Fireman's Fund Insurance Company
(NAIC #21873)
BUSINESS ADDRESS: 225 W. WASHINGTON STREET, SUITE 1900, CHICAGO, IL 60606 - 3484.
PHONE: (888) 466-7883,
UNDERWRITING LIMITATION IV: $131,328,000,
SURETY LICENSES cjf: AL, AK, AZ, AR, CA, CO, CT, DE, DC, FL, GA, GU, HI, ID, IL, IN, IA, KS, KY,
LA, ME, MD, MA, MI, MN, MS, MO, MIT, NE, NV, N1 I, NJ, NM, NY, NC, ND, OH, OK, OR, PA, PR,
RI, SC, SD, TN, TX, UT, VT, VA, V1, WA, WV, WI, WY,
INCORPORATED IN: California.
First Founders Assurance Company
(NAIC #12150)
BUSINESS ADDRESS: 6 Mill Ridge Lane, Chester, NJ 07930 - 2486,
PHONE: (908) 879-0990.
UNDERWRITING LIMITATION Irl: $487,000.
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 96801
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/: $1,81000.
SURETY LICENSES c,f/: AL, AK AZ, AR, CA, CO, CT, DE, DC, FL, GA, HI, ID, IL, IN, IA, KS, KY, LA,
ME, DID, MA, MI, MN, MIS, MO, MT, NE, NV, KIN, NJ, NM, NY, NC, NO, CH, OR, OR, PA, RI, SC,
SO, 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/: $9,992,000
SURETY LICENSES c,f/: AL, AK, AZ, AR, CA, CO, CT, DE, DC, FL, GA, HI, ID, IL, IN, IA, KS, KY, LA,
ME, KID, MA, MI, MN, MS, MO, MT, NE, NV, NH, NJ, NM, NY, NC, ND, 011, OR, OR, PA, RI, SC,
SD, IN, TX, UT, VT, VA, WA, WV, WI, VVY
INCORPORATED IN: Wisconsin
Financial Casualty & Surety, Inc.
(NAIC #35009)
BUSINESS ADDRESS: 3131 Eastside, Suite 600, Houston, TX 77098.
PHONE: (800) 392-1604.
UNDERWRITING LIMITATION b/: $1,323,000
SURETY LICENSES c,f/: AZ, CA, CT, DE, FL, GA, ID, IN, IA, KS, LA, MD, MI, MN, MS, MO, MIT, NV,
NJ, NY, NC, ND, CH, PA, SC, SD, TN, TX, UT, V7, VA, WA, WV.
INCORPORATED IN: Texas
PHONE: (808) 527-7777,
UNDERWRITING LIMITATION IV: $28,013,000,
SURETY LICENSES c,fl: 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 bf: $2,267,000,
SURETY LICENSES c,f/: AL, AK AZ, AR, CA, CO, CT, DE, DC, FL, GA, GU, III, ID, IL, IN, IA, KS, KY,
LA, ME, MR, MA, MI, MR, MS, MO, MT, NE, NV, NH, NJ, NM, NY, NC, HIS, ON, OK, OR, PA, RI,
SC, SD, TN, TX, UT, 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, GU 96910,
PHONE: (671) 477-8613,
UNDERWRITING LIMITATION bl: $1,332,000,
SURETY LICENSES c,f/: GU, MP.
INCORPORATED IN: Guam.
Frankenmuth Mutual Insurance Company
(NAIC #13986)
BUSINESS ADDRESS: One Mutual Avenue, Frankenrnuth, MI 49787 - 0001
PHONE: (989) 652-6121,
UNDERWRITING LIMITATION b/: $64,090,000,
SURETY LICENSES c,f/: AL, AZ, AR, CO, CT, DE, FL, GA, ID, IL, IN, A, KS, KY, LA, ME, MD, MA,
MI, MN, ME, NO, Ul HE, NV, NH, NJ, NM, NY, IIJC, HIS, 011, CK, OR, PA, III, 55C, SO, TN, TX, UT,
VT VA WA WV W1 WY
INCORPORATED IN: Michigan,
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General Casualty Company Of Wisconsin
(NAIC #24414)
BUSINESS ADDRESS: One QBF Way, Sun Prairie, WI 53596.
PHONE: (60B) 825-5160,
UNDERWRITING LIMITATION b/: $18,041,000
SURETY LICENSES c,f/: AL, AK, AZ, AR, CA, CO, CT, DE, DC, GA, HI, ID, IL, IN, IA, KS, KY, LA, MIS,
MA, MI, YIN, MS, MO, MT, NE, NV, NH, NJ, NM, NY, NC, ND, ON, OK, OR, PA, RI, SC, SO, TN,
TX, UT, Vr, VA, WA, WV, WI, WY.
INCORPORATED IN: Wisconsin.
General Reinsurance Corporation
(NAIC #22039)
BUSINESS ADDRESS: 120 LONG RIDGE ROAD, STAMFORD, C1 06902 -1843,
PHONE: (203) 328-S000
UNDERWRITING LIMITATION b/: $1,055,014,000
SURETY LICENSES c,f/: AL, AK, AZ, AR, CA, CO, CT, DE, DC, R, GA, ID, III, IN, A, KY, LA, ME,
MD, MA, MI, MN, MS, MO, MT, 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: Delaware.
GRANGE INSURANCE COMPANY
(NAIC #14060)'
BUSINESS ADDRESS: 671 South High Street, Columbus, ON 43206 - 1014,
PHONE: (614) 445-2900.
GRAY CASUALTY & SURETY COMPANY (THE)
(NAIC # 1067 1)
BUSINESS ADDRESS: P,O. Box 6202, Metairie, LA 70009 - 6202,
PHONE: (504) 888-7790,
UNDERWRITING LIMITATION b/: $1,558,000.
SURETY LICENSES c,f/: AL, AZ, AR, CA, DC, GA, L, KY, LA, MD, MS, MO, NV, NM, NY, NC, OK,
PA, SC, TN, TX.
INCORPORATED IN: Louisiana,
GRAY INSURANCE COMPANY (THE)
(NAIC #36301)
BUSINESS ADDRESS: P.O, BOX 6202, METAIRIE, LA 70009 - 6202.
PHONE: (504) 888-7790,
UNDERWRITING LIMITATION b/: $11,264,000
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, MC, MT, NE, NV, NH, NJ, NM, NY, NC, ND, OH, OK, OR, PA, RI, SC,
SD, TN, TX, UT, VT, VA, WA, WV, WI, WY.
INCORPORATED IN: Louisiana
Great American Alliance Insurance Company
(NAIC #26832)
BUSINESS ADDRESS: 301 E Fourth Street, Cincinnati, ON 45202,
PHONE: (513) 369-5000,
UNDERWRITING LIMITATION bl: $2,848,000,
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, MN, ME, MO, MIT, NE, NV, NH, NJ, HIM, NY, NC, ND, ON, OK, OR, PA, RI, SC,
SET, TN, IX, UT, VT, VA, WA, WV, WI, WY
INCORPORATED IN: Ohio
Great American Insurance Company
UNDERWRITING LIMITATION b/: $128,189,000.
SURETY LICENSES c,f/: AL, GA, IL, IN, A, KS, KY, MIN, MO, OH, PA, SC, TN, VA, WL
INCORPORATED IN: Ohio.
GRANGE INSURANCE COMPANY OF MICHIGAN
(NAIC #11136)
BUSINESS ADDRESS: 671 South High Street, P.O. Box 1218, Columbus, ON 43216 - 1218,
PHONE: (614) 445-2900
UNDERWRITING LIMIIArION L/: $4,528,000.
SURETY LICENSES c,f/: VIL
INCORPORATED IN: Ohio,
GRANITE RE, INC.
(NAIC#26310)
BUSINESS ADDRESS: 14001 Quailbrook Drive, Oklahoma City, OR 73134,
PHONE: (405) 752-2600.
UNDERWRII ING LIMITATION b/: $4,197,000.
SURETY LICENSES c,f/: AL, AZ, AR, CO, CT, DE, DC, FL, GA, ID, 11, IN, A, KS, KY, LA, ME, MIS,
MA, MI, MIN, MS, MO, MI, NE, NV, NH, NM, NC, ND, ON, OK, OR, PA, RI, SC, SD, TN, TX, Of,
VT, VA, WA, WV, WI, WY.
INCORPORATED IN: Oklahoma,
Granite State Insurance Company
(NAIC #23809)
BUSINESS ADDRESS: 175 WATER STREET, 1 BTH FLOOR, NEW YORK, NY 10038.
PHONE: (212) 770-7000
UNDERWRITING LIMITATION Irl: $3A87,000.
SURETY LICENSES c,f/: AL, AK, AZ, AR, CA, CO, CT, DC, FL, GA, HI, ID, IL, IN, A, KS, KY, LA, ME,
MD, MA, ML MN, ME, MO, MIT, NE, NV, NH, NJ, NM, NY, NC, ND, CH, OK, OR, PA, RI, SC, ED,
TN, TX, UT, VT, VA, WA, WV, WI, WY,.
Nir-- —,-nn—ic
(NAIC #16691)
BUSINESS ADDRESS: 301 E Fourth Street, Cincinnati, ON 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, HI, ID, IL, IN, IA, KS, KY,
LA, ME, MID, MA, MI, KIN, MS, MO, MT, NE, NV, NH, NJ, NM, NY, NC, ND, 011, OR, OR, PA, PR,
RI, SC, SD, TN, TX, UT, 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, ON 45202,
PHONE: (513) 369-5000
UNDERWRITING LIMITATION bl: $10,025,000,
SURETY LICENSES c,f/: At, AK, AZ, AR, CA, CO, CT, DE, DC, FL, GA, 111, E, L, IN, IA, KS, KY, LA,
ME, MID, MA, MI, MINI MS, MO, MT, NE, NV, NH, NJ, NM, NY, NC, ND, OH, OK, OR, PA, RI, SC,
SD, TN, TX, UT, VT, VA, WA, WV, WI, WY
INCORPORATED IN: New York
Great Midwest Insurance Company
(NAIC #18694)
BUSINESS ADDRESS: 800 Gpssner, Suite 600, Houston, Texas 77024,
PHONE: (713) 935-0226.
UNDERWRITING LIMITATION bG $10,291,000,
SURETY LICENSES c,fl: AL, AK, AZ, AR, CA, co, CT, DC, DE, FL, GA, HI, ID, IL, IN, A, KS, KY, LA,
ME, MD, MA, MI, KIN, ME, MO, MT, NE, NV, NH, NJ, NM, NY, NC, ND, ON, OK, OR, PA, RI, SC,
SO, TN, TX, UT, VA, VI, VT, WA, WV, WI, WY.
INCORPORATED IN: Texas
Great Northern Insurance Company
(NAIC #20303)
BUSINESS ADDRESS: 202B Hall's Mill Road, Whitehouse Station, NJ 08889
PHONE: (215) 640-1000.
UNDERWRII ING LIMITATION b/: $38,499,000
SURELY Y LICENSES c,f/: AL, AK, AZ, AR, CA, CO, CT, DE, DC, FL, GA, HI, ID, IL, IN, K, KS, KY, LA,
ME, MD, MA, MIT, MN, VS, MO, MT, NE, NY, NH, NJ, NM, NY, NC, ND, OH, OK, OR, PA, RI, SC,
ED, TN, TX, UT, VT, VA, WA, WV, WI, 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 I IMITATION bf: $19,992,000,
SURETY LICENSES c,fl: AL, AK, AZ, AR, CA, CO, CT, DE, DC, FL, GA, HI, ID, IL, IN, IA, KS, KY, LA,
ME, MID, MA, MI, MIN, MS, MO, MT, NE, NV, NH, NJ, NM, NY, NC, ND, ON, OK, OR, PA, PR, RI,
SC, ED, TN, TX, UT, V1, VA, VI, WA, WV, WI, WY
INCORPORATED IN: Michigan,
H
Hanover Insurance Company (The)
(NAIC #22292)
BUSINESS ADDRESS: 440 LINCOLN STREET, WORCESTER, VIA 01653 - 0002,
PHONE: (508) 853-7200.
UNDERWRITING LIMITATION bl: $138,546,000.
SURETY LICENSES c,f/: AL, AK, AZ, AR, CA, CO, CT, DE, DC, FL, CA, HI, ID, IL, IN, IA, KS, KY, LA,
ME, MD, MA, MI, RID, MS, MO, MT, NE, NV, NH, NJ, HIM, NY, NC, NO, ON, OK, OR, PA, RI, SC,
SD, TN, TX, UT, V7, VA, WA, WV, WI, WY.
INCORPORATED IN: New Hampshire.
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BUSINESS ADDRESS: One Hartford Plaza, Hartford, CT 06155 - 0001,
PHONE: (860) 547-5000
UNDERWRITING LIMITATION IV: $865,521,000,
SURETY LICENSES cfl: AL, AK A7, AR, CA, CO, CT, DE, DC, FL, GA, GU, HIT, ID, IL, IN, A, KS, KY,
LA, ME, MD, MA, MI, MIN, MIS, MO, MT, NE, NV, NH, NJ, NM, NY, NC, ND, ON, OK, OR, PA, PR,
RI, SC, SD, TN, TX, UT, VT, VA, WA, WV, WI, WY,
INCORPORAI ED IN: Connecticut
Hartford Insurance Company of Illinois
(NAIC #38288)
BUSINESS ADDRESS: One Hartford Plaza, Hartford, CT 06155 - 0001
PHONE: (860) 547-5000,
UNDERWRITING LIMITATION b/: $128,034,000
SURETY LICENSES c,f/: AZ, 11, KY, MI, MO, NY, NC, OK, PA, SC, TN, TX, UT, VA, WV,
INCORPORATED IN: Illinois,
Hartford Insurance Company of the Midwest
(NAIC #37478)
BUSINESS ADDRESS: One Hartford Plaza, Hartford, CT 06155 - 0001,
PHONE: (860) 547-5000,
UNDERWRITING LIMITATION b/: $52,735,000
SURETY I ICFNSES c,fl: AL, AK, AZ, AR, CA, CO, CT, DE, DC, FL, GA, HI, ID, IL, IN, IA, KS, KY, LA,
ME, MD, MA, MI, MIN, ME, MO, MT, NE, NV, NH, NJ, AM, NY, NC, ND, ON, OK, OR, PA, RI, SC,
SO, 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, C7 06155 - 0001,
PHONE: (860) 547-5000.
HARCO NATIONAL INSURANCE COMPANY
(NAIC #26433)
BUSINESS ADDRESS: 702 OBERLIN ROAD, RALEIGH, INC 27605 - 0800,
PHONE: (919) 833-1600,
UNDERWRITING LIMITATION Fil: $1SA55,000,
SURETY LICENSES c,f/: AL, AK, AS, AR, CA, CO, CT, DE, DC, FL, GA, ID, 11, IN, IA, KS, KY, LA, ME,
MID, MA, MI, MN, MS, MO, MR, MT, NE, NV, NH, NJ, NM, NY, NC, ND, OH, OR, OR, PA, RI, SC,
SD, TN, TX, U1, V1, VA, WA, WV, WI, WY.
INCORPORA1 ED IN: Illinois,
Hartford Accident and Indemnity Company
(NAIC #22357)
BUSINESS ADDRESS: One Hartford Plaza, Hartford, CT 061 SS - 0001,
PHONE: (860) 547-5000,
UNDERWRITING LIMITATION b/: $195,865,000.
SURETY LICENSES c,M AL, AK, AZ, AR, CA, CO, CT, DE, DC, FL, GA, HI, ID, IL, IN, IA, KS, KY, LA,
ME, MD, MA, MI, MIN, MIS, MO, MIT, NE, NV, NH, NJ, NM, NY, NC, ND, ON, OK, OR, PA, PR, RI,
SC, SD, TIN, TX, UT, VT, VA, WA, WV, WI, WY,.
INCORPORATED IN: Conneairul.-
Hartford Casualty Insurance Company
(NAIC #29424)
BUSINESS ADDRESS: One Hai Lford Plaza, I larfford, CT 061 S5 - 0001
PI IONE: (960) 547-5000,
UNDERWRITING LIMITATION b/: $99,385,000,
SURETY LICENSES c,f/: AL, AK, AZ, AR, CA, CO, CT, DE, DC, FL, CA, HI, ITS, IL, IN, A, RE, KY, LA,
ME, MD, MA, MI, MN, MIS, MO, MT, NE, NV, NH, NJ, NM, NY, NC, ND, ON, OR, OR, PA, RI, SC,
SO, TN, TX, UT, VT, VA, WA, WV, WI, WY,
INCORPORATED IN: Indiana
Hartford Fire Insurance Company
UNDERWRITING LIMITATION bl: $6,398,000,
SURETY LICENSES c,f/: AZ, CT, FL, GA, KS, KY, LA, DID, ML MO, PA, SC, TN, TX, UT, VA, WV
INCORPORATED IN: Connecticut
Hudson Insurance Company
(NAIC #25054)
BUSINESS ADDRESS: 100 William Street, Skin Floor, New York, NY 10038
PHONE: (212) 978-2900
UNDERWRITING LIMITATION b/: $44,149,000
SURETY LICENSES c,fl: AT, AK, AZ, AR, CA, CO, CT, DE, DC, FL, GA, FIL IS, 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, RE, RI,
SC, SD, TN, TX, UT, VT, VA, WA, WV, WI, WY,
INCORPORATED IN: Delaware,
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IMT Insurance Company
(NAIC W14257)
BUSINESS ADDRESS: RO. Box 1336, Des Moines, A 50306 - 1336,
PHONE: (515) 327-2777,
UNDERWRITING LIMITATION bl: $14,936,000
SURETY LICENSES c,f/: AZ, IL, IA, MN, MO, NE, DO, SD, WI.
INCORPORATED IN: Iowa,
Indemnity Company of California
(NAIC #25550)
BUSINESS ADDRESS: P 0, BOX 19725, IRVINE, CA 92623 - 9725,
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UNDERWRITING LIMITATION b/: $799,000,
SURETY LICENSES c,fl: AL, AK, AZ, AR, CA, CO, DE, DC, GA, NIL ID, IN, Re, KY, LA, MID, MA, MI,
MIN, ME, MO, MT, NE, NV, NH, NJ, NM, NC, NO, OR, OR, PA, RI, SC, ED, TX, UT, VF, VA, WA,
WV, WY.
INCORPORATED IN: California,
Indemnity Insurance Company of North America
(NAIC 443575)
BUSINESS ADDRESS: 436 WALNUT STREET, P.O, Box 1000, Philadelphia, PA 19106.
PHONE: (215) 640-1000
UNDERWRITING LIMITATION b/: $15,289,000
UNDERWRITING LICENSES c,f/: AL, AK, AS, AR, CA, CO, CT, DE, DC, FIE, GA, HI, ID, IL, IN, A, KS,
KY, ILA, ME, MD, MA, SIT, MN, MS, MO, MT, NE, NV, NI -I, NJ, NM, NY, NC, ND, OH, OR, OR, PA,
RI, SC, SD, TN, TX, UT, VT, VA, VI, WA, WV, WI, WY,
INCORPORATED IN: Pennsylvania,
Indemnity National Insurance Company
(NAIC #18468)
BUSINESS ADDRESS: 725 Cool Springs Blvd., Suite 600, Franklin, TN 37067
PHONE: (6 15) 720-8209
UNDERWRI FING I IMI FAI ION b/: $7,254,000,
SURETY LICENSES c,fl: A[, AZ, AR, CO, GA, IL, IN, KY, LA, MD, MS, MT, NV, HIM, 011, OR, PA,
SC, TN, TX, LIT, 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 b/: $1,597,000,
I11JLUKrUKA1 LU w ininois,
Insurance Company of the West
(NAIC #27847)
BUSINESS ADDRESS: P.O. BOX 509039, SAN DIEGO, CA 92150
PHONE: (858) 350-2400.
UNDERWRITING LIMITATION bl: $89,492,000,
SURE TY LICENSES c,f/: AL, AK, AZ, ARE CA, CO, CT, DE, DC, FL, GA, HI, ID, 111, IN, A, KS, KY, LA,
ME, MD, MA, MI, MN, MIS, MO, MT, NE, NY NIEL NJ, NM, NY, NC, ND, ON, OK, OR, PA, RI, SC,
ED, TN, TX, UT, VT, VA, WA, WV, WI, WY,
INCORPORAI ED IN: California
Insurors Indemnity Company
(NAIC #43273)
BUSINESS ADDRESS: PC) Box 32577, Waco, TX 76702
PHONE: (254) 759-3727,
UNDERWRITING LIMITATION b/: $2,505,000,
SURETY LICENSES c,f/: AZ, AR, NM, OK, TX,
INCORPORATED IN: Texas,
INTER ND ASSURANCE COMPANY
(NAIC #26778)'
Integrity Insurance Company
(NAIC #14303)"
BUSINESS ADDRESS: P.O. Box 539, Appleton, WI 54912 - 0539,
PHONE: (920) 734-4511
UNDERWRITING LIMITATION bl: $5,776,000
SURETY LICENSES Cf/: IL, IN MN, ON, W[
INCORPORATED IN: Ohio,
International Fidelity Insurance Company
UNDERWRITING LICENSES cft: AL, AK, AZ, AR, CA, CO, CT, DE, DC, FL, GA, HL ID, IL, IN, A, KS'
KY LA, ME, MD, MA, Mi, MR MIS, MO, MIT, NE, NV, NH, NJ, NM, NY, NC, NO, OH, OR, OR, PA,
RI, SC, ED, TN, TX, UT, V], VA, WA, WV, WI, WY,
INCORPORATED IN: Indiana.
Inland Insurance Company
(NAIC #23264)
BUSINESS ADDRESS: RO, Box 80468, 1 incoln, UP 68501,
PHONE: (402) 435,1302.
UNDERWRITING LIMITATION b/: $23,259,000
SURETY LICENSES c,f/; AZ, CO, IA, RE, MIN, MO, MIT, NE, ND, OK, SD, WY,
INCORPORATED IN: Nebraska.
InsuranceCompany Of North America
(NAIC #22713)
BUSINESS ADDRESS: 436 WALNUT STREET, P.O Box 1000, Philadelphia, PA 19106.
PHONE: (215) 640-1000,
UNDERWRITING LIMITATION b/: $34,314,00XE
UNDERWRITING LICENSES r,f/: AL, AK, AZ, AIR, CA, CO, CT, DE, DC, FL, GA, GU, HI, ID, L, IN,
A, KS, KY, LA, ME, MD, MA, MI, MN, MIS, MO, MR, MIT, NE, NY, Nil, NJ, NM, NY, NC, ND, 011,
OK, OR, PA, PR, RI, SC, SO, IN, TX, U 1, V1, VA, WA, WV, WI, WY,
INCORPORATED IN: Pennsylvania,
Insurance Company of the State of Pennsylvania (The)
(NAIC #19429
BUSINESS ADDRESS: 175 WATER STREET, 18TH FLOOR, NEW YORK, NY 10038,
PHONE: (212) 770-7000
UNDERWRITING LIMITATION b/: $5,907,000.
SURETY LICENSES c,fl: AL, AK, AZ, AR, CA, CO, CT, DE, DC, FL, GA, HI, ID, IL, IN, IA, RE, KY, CA,
ME, MD, MA, MI, MN, MIS, MO, MIT, NE, NV, NH, NJ, NM, NY, NC, NO, OH, OK, OR, PA, RI, SC,
SO, TIE, TX, UT, VT, VA, WA, WV, WI, WY,
(NAIC #11592)"
BUSINESS ADDRESS: One Newark Center, Newark, NJ 07102 - 5207,
PHONE: (973) 624-7200
UNDERWRITING LIMITATION Ira: $7,222,000.
SURETY LICENSES c,fl: AL, AK, AZ, AR, CA, CO, CT, DE, DC, FIE, GA, GU, HI, ID, IL, IN, IA, KS, KY,
LA, ME, MD, MA, MI, MN, ME, MO, MT, NE, NV, NH, NJ, NM, NY, NC, KID, ON, OR, OR, PA, RE,
RL SC, ED, TN, TX, UT, VT, VA, VI, WA, WV, WI, WY.
INCORPORATED IN: New Jersey.
IRONSHORE INDEMNITY INC.
(NAIC #23647)
BUSINESS ADDRESS: 175 Berkeley Street, Boston, MA 02116,
PHONE: (617) 357-9500 X41177,
UNDERWRITING LIMITATION bl: $8,842,000,
SURETY I ICENSFS c,f/: At, AK, AZ, AR, CA, CO, CT, DE, DC, FIE, GA, GU, HI, L, IL, IN, IA, KS, KY,
IA, ME, MD, MA, MI, MIN, MS, MO, MIT, NE, NV, NH, NJ, NM, NY, NC, ND, OH, OK, OR, PA, RE,
RI, SC, ED, 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 cjl: HI, INCORPORATED IN: Hawaii,
INCORPORATED IN: Hawaii,
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LEXINGTON NATIONAL INSURANCE CORPORATION
(NAIC #37940)
BUSINESS ADDRESS: P,O, BOX 6098, LUTHERVILLE, MD 21094
PHONE: (410) 625-0800,
UNDERWRITING LIMITATION b/: $1,975,000,
SURETY LICENSES c,ff: AL, AK, AZ, AR, CA, CO, Cr, DE, DC, FL, GA, HI, ID, IL, IN, IA, KS, BY, LA,
ME, MD, MA, MI, MIN, ME, MO, MIT, NE, NV, NH, NJ, RIM, NY, NC, ND, OH, OK, OR, PA, RI, SC,
SO, TN, TX, UT, VT, VA, WA, WV, WI, WY.
INCORPORATED IN: Florida,
Lexon Insurance Company
(NAIC #13307)
BUSINESS ADDRESS: 10002 Shelbyville Rd, Suite 100, Louisville, KY 40221
PHONE: (615) 553-9500.
UNDERWRITING LIMITATION b/: $6,882,000,
SURETY LICENSES c,fo AL, AK AZ, AR, CA, CO, CT, DE, DC, FL, CA, GU, HI, ID, IL, IN, A, KS, KY,
LA, ME, MID, MA, MI, MN, MS, MO, MR, MT, NE, NV, NJ, NM, NC, ND, OH, OR, OR, PA, RL SC,
SO, TN, TX, UT, VT, VA, WA, WV, W1, WY.
INCORPORATED IN: Texas.
Liberty Insurance Corporation
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PHONE: (617) 357-9500
UNDERWRITING LIMITATION b/: $11,906,000
UNDERWRITING LICENSES c,f/: AL, AK, AZ, AR, CA, CO, CT, DE, DC, FL, GA, GU, HI, ID, IL, IN,
IA, KS, KY, LA, ME, ME, MA, MI, YIN, ME, MO, IMP, MT, NE, NV, NH, NJ, NM, NY, NC, ND, OH,
OK, OR, PA, RI, SC, SD, TN, TX, UT, VT, VA, V1, WA, WV, WL WY
INCORPORATED IN: Illinois,
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 c,f/: AL, AD, AZ, AR, CO, CT, DE, DC, ID, IN, KS, KY, LA, ME, MD, ML ME, MO,
MIT, NE, NV, NH, NJ, NM, NY, NC, ON, PA, RI, SC, SD, TIN, UT, VT, VA, WA.
INCORPORATED IN: Pennsylvania,
MARKEL INSURANCE COMPANY
(NAIC #38970)12
BUSINESS ADDRESS: 4521 Highwoods Parkway, Glen Allen, VA 23060,
PHONE: (800) 431-1270,
UNDERWRITING LIMITAI ION bl: $119,240,00(L
SURETY LICENSES c,f/: AL, AK, AS, AR, CA, CO, CT, DE, DC, FL, GA, ID, IL, IN, A, KS, KY, LA, ME,
MD, MA, MI, MN, MS, MO, MT, NE, NY, BIN, NJ, NM, NY, NC, ND, CH, OK, OR, PA, RI, SC, ED,
TN, TX, UT, Vr, VA, WA, WV, 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 AZ, AR, CA, CO, CT, DE, DC, FL, GA, GU, HI, ID, IL, IN, A, KS, KY,
LA, ME, MD, MA, MI, MN, ME, MO, MR, MT, NE, NV, NH, NJ, AM, NY, NC, ND, ON, OK OR, PA,
PR, RI, SC, SD, TN, TX, UT, VT, VA, WA, WV, WI, WY,
INCORPORATED IN: Illinois,
Liberty Mutual Fire Insurance Company
(NAIC #23035)
BUSINESS ADDRESS: 175 Berkeley Street, Boston, MA 02116.
PHONE: (617) 357-9500.
UNDERWRITING LIMITATION bl: $157,521,000,
SURETY LICENSES c,f/: AL, AK, AZ, AR, CA, CO, Cr, DE, DC, FL, GA, GU, HI, ID, It, IN, IA, KS, by,
LA, ME, MID, MA, MI, MN, ME, NO, MR, NIT, NE, INS, NH, NJ, NM, NY, NC, ND, OH, OK, OR, PA,
PR, RI, SC, SD, TN, TX, UT, VT, VA, V1, 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 c,M At, AK AZ, AR, CA, CO, CT, DE, DC, FL, GA, HI, ID, IL, IN, IA, RE, KY, LA,
ME, MD, MA, ML MIN, MS, MO, MP, MT, NE, NV, NH, NJ, NM, NY, NC, NO, OH, OK, OR, PA, PR,
RI, SC, SO, TN, rX, UT, VT, VA, VI, WA, WV, WI, WY.
INCORPORATED IN: Massachusetts,
LM Insurance Corporation
(NAIC #33600)
(NAIC#22306)
BUSINESS ADDRESS: 440 LINCOLN STREET, WORCESTER, MA 01653 - 0002
PHONE: (509) B53-7200,
UNDERWRITING LIMITATION b/: $6577,000.
SURETY LICENSES c,17: AL, AK, AS, AR, CA, CO, CT, DE, DC, FL, CA, 111, ID, IL, IN, IA, KS, KY, LA,
ME, MID, MA, MI, MN, MS, MO, MT, NE, NY, Nil, NJ, NM, NY, NC, ND, OH, OK, OR, PA, RI, SC,
SD, TIN, TX, VF, VA, WA, WV, WI, WY.
INCORPORATED IN: New Hampshire.
Merchants Bonding Company (Mutual)
(NAIC #14494)
BUSINESS ADDRESS: P 0 BOX 14498, DES MOINES, IA 50306 - 3498,
PHONE: (515) 243-8171,
UNDERWRITING LIMITATION b/: $12,476,000,
SURETY LICENSES c,f/: At, AK, AS, AR, CA, CO, CT, DE, DC, FL, GA, 111, ID, R., IN, A, KS, KY, LA,
ME, MD, MA, MI, MIN, MS, MO, MIT, NE, NY, NH, NJ, NM, NY, NC, ND, ON, OK, OR, PA, RI, SC,
SD, TN, TX, UT, VT, VA, WA, WV, WI, WY,
INCORPORATED IN: Iowa.
Merchants National Bonding, Inc.
(NAIC#11595)
BUSINESS ADDRESS: P.O.. Box 14498, DES MOINES, IA 50306 - 3498
PHONE: (515) 243-8171 .
UNDERWRITING LIMITATION V $1,722,000,
SURETY LICENSES c,f/: AL, AK, AZ, AR, CO, CT, DE, DC, FL, GA, HI, ID, IL, IN, A, RE, KY, LA, ME,
MD, MA, ML MN, ME, MO, MIT, NE, NY, NJ, NM, NY, NC, ND, OH, OR, OR, PA, RI, SC, SO, TN,
TX, UT, VT, VA, WA, WV, WI, WY.
INCORPORATED IN: Iowa,
Michigan Millers Mutual Insurance Company
(NAIC #14508)
BUSINESS ADDRESS: P, 0, Box 30060, Lansing, MI 48909 -7S60
PHONE: (517) 482-6211 x-51 15,
UNDERWRITING LIMITATION ION b/: $6,828,000,
SURETY LICENSES c,f/: AZ, AR, CA, CO, GA, ID, IL, IN, IA, KS, KY, MI, MIN, MO, MT, NE, NY, NC,
ND, OH, OK, OR, PA, SD, 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/: $378,510,000.
SURETY LICENSES c,f/: AL, AZ, AR, CA, CO, FL, CA, HI, ID, L, IN, IA, KS, MA, ML MN, ME, MO,
MT, NE, NV, NJ, NM, NY, NC, NO, OH, OK, OR, PA, SD, TN, TX, UT, VT, VA, WA, WI, WY.
INCORPORATED IN: California.
MID-CONTINENT CASUALTY COMPANY
(NAIC 923418)
BUSINESS ADDRESS: P.O. Box 1409, Tulsa, OR 74101,
PHONE: (918) 587-7221 .
UNDERWRITING LIMITATION b/: $15,997,000
SURETY LICENSES c,M AL, AZ, AR, CO, CT, IL, IN, IA, KS, KY, LA, ME, MN, MS, MO, MI, NE, NV,
NH, N), NY, NC, OH, OK, PA, SC, TN, TX, UT, VA, WA, WY,
INCORPORATED IN: Ohio,
Motorists Commercial Mutual Insurance Company
(NAIC #13331)
BUSINESS ADDRESS: 471 East Broad Street, Columbus, OH 43215.
PHONE: (614) 225-9211.
1 1Nff1FPWP1T1K1r, I IAAITATIMI h/, ti,, nr,,) nnn
INCORPORATED IN: Delaware,
PACE-IP—Im
N
National American Insurance Company
(NAIC #23663)
BUSINESS ADDRESS: P.O. Box 9, Chandler, OK 74834.
PHONE: (405) 258-0804,
UNDERWRITING LIMITATION bP $7,437,000.
SURETY LICENSES c,f/: AL, AK, AZ, AR, CA, CO, CT, DE, DC, FL, GA, HI, D, IL, IN, IA, KS, KY, LA,
ME, MD, MA, MI, MN, MIS, MID, MT, NE, NY, NH, NJ, NM, NY, NC, NO, OH, OK, OR, PA, RL SC,
SD, TIN, 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, OH 43215 -
2220.
PHONE: (480) 3654000.
UNDERWRITING LIMITATION lbl: $14,297,000,
UNDERWRITING LICENSES c,Q: AL, AK, AZ, AR, CA, CO, CT, DE, DC, FL, GA, HI, ID, IL, IN, IA, KS,
KY, LA, ME, MD, MA, NIL MN, MS, MO, MT, NE, NV, NH, NJ, NO, NY, NC, ND, OH, OK, OR, PA,
RL SC, SO, TN, TX, UT, VT, 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: (606) 825-5160
SURETY LICENSES c,f/: AS, CA, CO, CT, DE, DC, CA, IS, IL, IN, A, KS, KY, ME, MD, MA, MI, MN,
MO, NE, NV, NFL NJ, NM, NY, NC, KID, OH, OR, OR, PA, RI, SC, SO, TN, TX, UT, VT, VA, WA, WV,
WI, w
INCORPORATED IN: Ohio,
Motorists Mutual Insurance Company
(NAIC#14621)
BUSINESS ADDRESS: 471 East Broad Street, Columbus, OH 43215,
PHONE: (614) 225-8211 .
UNDERWRITING LIMITATION bl: $44,985,000.
SURETY LICENSES c,f/: IN, KY, ML OH, PA, WV.
INCORPORATED IN: Ohio.
Motors Insurance Corporation
(NAIC #22012)
BUSINESS ADDRESS: 500 WOODWARD AVE, 14TH FLOOR, DETROIT, MI 48226,
PHONE: (313) 656-5437
UNDERWRITING LIMITATION b/: $76,268,000.
SURETY LICENSES c,fl: AL, AK, AS, AZ, AR, CA, CO, CT, DE, DC, FL, GA, III, ID, IL, IN, IA, KS, KY,
LA, ME, MD, MA, MI, MN, ME, MO, MT, NE, NV, NI I, NJ, HIM, NY, NC, NO, ON, OK, OR, PA, RI,
SC, SO, TN, TX, UT, VT, VA, WA, WV, W[, 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) 2434200,
UNDERWRITING LIMITATION b/: $362,623,000.
UNDERWRITING LICENSES rjf: AL, AK, AZ, AR, CA, CO, CT, DE, DC, FL, CA, GU, FIL ID, IL, IN,
A, KS, KY, LA, ME, MD, MA, MI, MN, MIS, MO, MIT, NE, NV NH, NJ, NM, NY, NC, NO, OH, OR,
OR, PA, PR, RL SC, SD, TN, TX, UT, VT, VA, WA, WV, WL tkn(.
UNDERWRITING LIMITATION bl: $4,147,000,
SURETY LICENSES c,fl: AL, AK, AZ, AR, CA, CO, DE, DC, GA, HI, ID, IL, IN, A, KS, KY, LA, ME,
MID, MA, ML ON, MIS, MO, MIT, NE, NV, NH, NJ, NY, NC, ND, 011, OK, OR, PA, RL SC, SD, 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, NE 68102 - 1944.
PHONE: (402) 916-3000.
UNDERWRITING LIMITATION bi: $634,817,000,
UNDERWRITING LICENSES c,fl: NE.
INCORPORATED IN: Nebraska,
National Fire Insurance Company of Hartford
(NAIC #20479)
BUSINESS ADDRESS: 151 N FRANKLIN ST., CHICAGO, [L 60606
PHONE: (312) 822-5000
UNDERWRITING LIMITATION b/: $11,030,000
SURETY LICENSES cfl: AL, AK, AS, AR, CA, CO, CT, DE, DC, FL, GA, HI, ID, L, IN, IA, KS, KY, LA,
ME, MID, MA, MI, MN, MS, MO, MT, NE, NV, NFL NJ, NM, NY, NC, NO, OH, OK, OR, PA, FIR, RI,
SC, SD, TN, TX, UT, V7, VA, WA, WV, WI, WY.
INCORPORATED IN: Illinois.
National Indemnity Company
(NAIC#20087)
BUSINESS ADDRESS: 1314 Douglas Street, Suite 1400, Omaha, HE 68102 - 1944.
PHONE: (402) 916-3000
UNDERWRITING LIMITATION b/: $11,629,382,000.
UNDERWRITING LICENSES cfl: AL, AK, AZ, AR, CA, CO, CT, DE, DC, FL, GA, ID, IL, IN, A, KS,
{Iv I . — 1 — 0 ... .111 1-A,Yt .1, a'IA .1.1 1 ". 'Ma'W�n' "6 0. .' " —
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 b/: $114,703,000
UNDERWRITING LICENSES c,f/: AL, AK, CA, CT, DE, DC, HI, ID, IL, IA, KS, KY, MD, MA, MI, MS,
MO, NE, KIN, NJ, NM, NY, ND, OH, OK, RI, SC, SD, TX, UT, V7, VA, WA, WY..
INCORPORATED IN: Connecticut.
National Surety Corporation
(NAIC #21881)13
NATIONAL TRUST INSURANCE COMPANY
(NAIC #20141)
BUSINESS ADDRESS: 6300 University Parkway, Sarasota, FL 34240 - 8424.
PHONE: (800) 226-3224
UNDERWRITING LIMITATION LI: $3,944,000
SURETY LICENSES cjP AL, AZ, AR, CO, DC, FL, GA, 11, IN, IA, RE, KY, LA, MD, MI, MS, MO, NE,
HIM, NC, OR, PA, SC, TN, TX, UT, VA, WV
INCORPORATED IN: Indiana.
National Union Fire Insurance Company of Pittsburgh, PA
(NAIC #19445)
BUSINESS ADDRESS: 175 WATER STREET, I 8TH FLOOR, NEW YORK, NY 10038.
PHONE: (212) 770-7000,
UNDERWRITING LIMITATION b/: $551,969,000
SURETY LICENSES c,f/: AL, AK, AZ, AR, CA, CO, CT, DE, DC, FL, GA, GU, HI, IS, IL, IN, A, KS, KY,
LA, ME, MD, MA, MI, MIN, MIS, MO, MR, MT, NE, NV, NH, NJ, NM, NY, NC, ND, OH, OK, OR, PA,
RI, SC, SD, TN, IX, UT, VT, VA, WA, WV, WI, WY
INCORPORATED IN: New York,
New Hampshire Insurance Company
(NAIC #23941)
BUSINESS ADDRESS: 175 WATER STREET, 18TH FLOOR, NEW YORK, NY 10038,
PHONE: (212) 770-7000,
UNDERWRITING LIMITATION bl: $6,238,000,
SURETY LICENSES c,fl: AL, AK, AZ, AR, CA, CO, CT, DE, DC, FL, GA, HI, ID, U., IN, IA, KS, KY, LA,
ME, MD, MA, MI, MN, MIS, MO, ML NE, NV, NH, NJ, HIM, NY, NC, INC, OH, OK, OR, PA, FIR, RI,
SC, SO, TN, TX, ITT, VT, VA, WA, WV, WI, WY,
INCORPORATED IN: Illinois,
NGM Insurance Company
(NAIC #14788)
BUSINESS ADDRESS: 55 WEST STREET, KEENE, NH 03431,
PHONE: (904) 380-7282,
UNDERWRITING LIMITATION bt: $51,366,000,
SURETY LICENSES c,f/: AL, AZ, AR, CO, CT, DE, DC, FL, GA, ID, IL, IN, A, KS, KY, LA, ME, MD,
MA, MI, ME, MO, NIT, NE, NV, NH, NJ, NM, NY, NC, NO, ON, OK, OR, PA, RI, SC, SO, TN, TX, LIT,
VT, VA, WA, WV, WI, WY.
INCORPORATED IN: Florida.
NORTH AMERICAN SPECIALTY INSURANCE COMPANY
(NAIC #29874)
BUSINESS ADDRESS: 1200 MAIN STREET, SUITE 800, KANSAS CITY, MO 64105.
PHONE: (913) 676-5200,
UNDERWRITING LIMITATION bl: $24,886,000,
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, YIN, MS, MO, MIT, NE, NV, NH, NJ, NM, NY, NC, ND, ON, OK, OR, PA, PR, RI,
SC, SD, TN, TX, UT, VT, VA, V1, WA, WV, WI, WY,
FIR, RI, SC, SD, 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 bl: $19,S35,000
UNDERWRITING LICENSES c,f/: AL, AZ, AR, CA, CO, CT, DE, DC, FL, GA, ID, IL, IN, A, KS, KY,
LA, ME, MD, MA, ML MN, MS, MO, MT, NE, NV, NH, NJ, NM, NY, NC, ND, ON, OK, OR, PA, RI,
SC, SD, TN, TX, UT, VT, VA, WA, WV, WI, WY
INCORPORATED IN: Iowa.
Nationwide Mutual Insurance Company
(NAIC #23787)
BUSINESS ADDRESS: ONE WEST NATIONWIDE BLVD., 1-04-701, COLUMBUS, OH 43215 -
2220.
PHONE: (614) 249-7111
UNDERWRITING LIMITATION b/: $1,145,963,000
UNDERWRITING LICENSES c,fl: AL, AK, AZ, AR, CA, CO, CT, DE, DC, FL, GA, GU, HI, ID, 11 IN,
A, KS, KY, LA, ME, MID, MA, MI, MN, MS, MO, MIT, NE, NV, NH, NJ, NM, NY, NC, ND, ON, OK,
OR, PA, RI, SC, SD, TN, TX, UT, VT, VA, VI, WA, WV, WI, WY
INCORPORATED IN: Ohio.
NAVIGATORS INSURANCE COMPANY
(NAIC #42307)
BUSINESS ADDRESS: 400 Atlantic Street, 8th Floor, Stamford, CT 06901.
PHONE: (203) 905-6090.
UNDERWRITING LIMITATION bl: $100,508,000,
SURETY LICENSES c,f/: AL, AK, AZ, AR, CA, CO, CT, DE, DC, FL, GA, GU, HI, ID, III, IN, IA, KS, KY,
LA, ME, MID, MA, MI, MN, MS, MO, MT, NE, NV, NH, NJ, NM, NY, NC, NO, OH, OK, OR, PA, FIR,
INCORPORATED IN: New Hampshire,
NOVA Casualty Company
(NAIC #42552)
BUSINESS ADDRESS: 440 LINCOLN STREET, WORCESTER, MA 01653 - 0002
PHONE: (508) 853-7200,
UNDERWRITING LIMITATION b/: $9,112,000,
SURETY LICENSES c,f/: AL, AK, AZ, AR, CA, CO, CT, DE, DC, FL, GA, HI, ID, IL, IN, IA, KS, W, LA,
ME, MID, MA, MI, MIN, MS, MO, MT, NE, NV, NH, NJ, NM, NY, NC, INS, OH, OK, OR, PA, RI, SC,
SD, TIN, TX, UT, VT, VA, WA, WI, WY,
INCORPORATED IN: New York
10 p
0
Ohio Casualty insurance Company (The)
(NAIC 924074)
BUSINESS ADDRESS: 175 Berkeley Street, Boston, MA 02116
PHONE: (617) 357-9500 XA1 177,
UNDERWRITING LIMITATION b/: $172,415,000,
SURETY LICENSES c,M AL, AK AS, AR, CA, CO, CT, DE, DC, FL, GA, NIL ID, IL, IN, IA, AS, KY, LA,
ME, MID, MA, MI, MIN, MS, MO, MT, NE, NV, KIN, NJ, NM, NY, NC, ND, OH, OK OR, PA, RI, SC,
SO, TN, TX, UT, VT, VA, WA, WV, WI, WY.
INCORPORATED IN: New Hampshire.
Ohio Farmers Insurance Company
(NAIC #24104)
BUSINESS ADDRESS: RO, Box 5001, Westfield Center, OH 44251 - 5001.
PHONE: (330) 887-0101
UNDERWRITING LIMITATION h/: $227,840,000.
SURETY LICENSES c,fi: AL, AZ, AR, CO, DC, DE, FL, GA, It, IN, IA, KY, LA, MID, MA, MI, MR, MS,
MO, MT, NE, NV, NJ, RIM, NY, NC, HIS, 011, OK, PA, RI, SC, SD, TN, TX, UT, VA, WA, WV, WI, WY
INCORPORATED IN: 01sio,
Ohio Indemnity Company
(NAIC #26565)
BUSINESS ADDRESS: 250 E. Broad St,, 7th Floor, Columbus, ON 43215 - 0000,
PHONE: (614) 228-2800,
UNDERWRITING LIMITATION b/: $4,670,000
UNDERWRITING LICENSES c,f/: A[, AK, AZ, AR, CA, CO, CT, DE, DC, FL, GA, HI, ID, IL, IN, IA, KS,
KY, LA, ME, MD, MI, MN, MS, MO, MIT, NE, NV, SIN, NJ, NM, NY, NC, ND, OH, OK, OR, PA, RI,
SC, SD, TN, TX, UT, VT, VA, WA, WV, WI, WY,
INCORPORATED IN: Ohio,
Ohio Security Insurance Company
(NAIC #24082)
BUSINESS ADDRESS: 175 Berkeley Street, Boston, MA 02116
PHONE: (617) 357-9500 X-41177
UNDERWRITING LIMITATION b/: $1,365,000
SURETY LICENSES c,f/: At, AK, AZ, AR, CA, CO, C F, DE, DC, FL, GA, ID, 11, IN, IA, KS, KY, IA, ME,
MD, MA, MI, KIN, ME, MO, MT, NE, NV, NH, NJ, RIM, NY, NC, ND, ON, OK, OR, PA, RI, SC, SD,
TIN, TX, UT, VT, VA, WA, WV, WI, WY
INCORPORATED IN: New Hampshire
Oklahoma Surety Company
(NAIC #23426)
BUSINESS ADDRESS: P.O.Box 1409, Tulsa, OK 74101,
PIIONE:(919)587-7221
UNDERWRITING LIMITATION b/: $1,691,000,
SURETY LICENSES c,f/: AR, KS, ON, OK, TX
INCORPORATED IN: Ohio.
BUSINESS ADDRESS: V.O. BOX 1635, Mil WAUKEE, WI 53201 -1635,
PHONE: (262) 797-2640
UNDERWRITING LIMITATION b/: $7,061,000
SURETY LICENSES c,f/: AL, AZ, AR, CA, CO, DC, FL, GA, ID, If, IN, IA, KS, MD, MN, ME, MO, MT,
NE, NV, NM, NC, NO, OH, OK, OR, PA, SC, SD, TN, TX, UT, VA, WA, WV, WI, WY,
INCORPORATED IN: Wisconsin
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P
Pacific Indemnity Company
(NAIC 920346)
BUSINESS ADDRESS: 202E Hall's Mill Road, Whitehouse Station, NJ 08889,
PHONE: (215) 640-1000
UNDERWRITING LIMITATION b/: $317,802,000
SURETY LICENSES c,f/: AL, AK, AZ, AR, CA, CO, CT, DE, DC, FL, GA, HI, ID, IL, IN, IA, KS, KY, IA,
ME, DID, MIA, Mi, MN, MS, MO, MT, NE, NV, NH, NJ, NM, NY, NC, ND, OH, OK, OR, PA, RI, SC,
SD, TN, TX, LIT, VT, VA, WA, WV, WI, WY,
INCORPORATED IN: Wisconsin.
PACIFIC INDEMNITY INSURANCE COMPANY
(NAIC #18380)
BUSINESS ADDRESS: 348 WEST O'BRIFN DRIVE, HAGATNA, GU 96910,
PHONE: (671) 477-8801,
UNDERWRITING LIMITATION IV: $2,438,000,
SURETY LICENSES c,f/: GU, MR,
INCORPORATED IN: Guam
PARTNER REINSURANCE COMPANY OF THE U.S.
OLD DOMINION INSURANCE COMPANY
(NAIC #40231)
BUSINESS ADDRESS: 55 WEST STREET, KEENE, NH 03431,
PHONE: (904) 380-7282.
UNDERWRITING LIMITATION b/: $3,634,000.
SURETY LICENSES c,f/: CT, DE, FL, GA, ME, MR, MA, NH, NY, NC, PA, RI, SC, TN, VT, VA
INCORPORATED IN: Florida,
Old Republic General Insurance corporation
(NAIC 424139)
BUSINESS ADDRESS: 307 NORTH MICHIGAN AVENUE, CHICAGO, IL 60601
PHONE: (312) 346-8100,
UNDERWRITING LIMITATION b/: $66,847,000,
SURETY LICENSES c,f/: AL, AK, AZ, AR, CA, CO, CT, DE, DC, FL, GA, ID, It, IN, IA, KS, KY, LA, ME,
MD, MIA, MI, MN, MS, MO, MIT, NE, NY, KIN, NJ, NM, NY, NC, NO, OH, OK, OR, PA, RI, SC, SD,
TN, TX, UT, VT, VA, WA, WV, WI, WY
INCORPORAI ED IN: Illinois
Old Republic Insurance Company
(NAIC #24147)
BUSINESS ADDRESS: P,O Box 789, Greensburg, PA 15601 - 0789,
PHONE: E: (724) 834-5000,
UNDERWRITING LIMITATION bl: $110,790,000,
SURETY LICENSES c,17; AL, AK, AS, AZ, AR, CA, CO, CT, DE, DC, FL, CA, GO, HI, ID, It, IN, IA, KS,
KY, LA, ME, MD, MA, MI, KIN, ME, MO, MR, MT, NE, NV, NH, NJ, NM, NY, NC, ND, ON, OK, OR,
PA, PR, RI, SC, ED, 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, Stamford, CT 06902
PHONE: (203) 485-4200.
UNDERWRITING LIMITATION b/: $98,354,000,
SURETY LICENSES c,f7; AL, AZ, CA, CO, DC, IL, KS, MI, MS, NE, NY, TX, UT, WA
INCORPORATED IN: New York,
PARTNEIRRE INSURANCE COMPANY OF NEW YORK
(NAIC #10006)
BUSINESS ADDRESS: 200 First Stamford Place, Suite 400, Stamford, CT 06902,
PHONE: (203) 485-4200,
UNDERWRITING LIMITATION bl: $11,076,000,
SURETY LICENSES c,f/: At, AZ, CA, CO, DE, DC, ID, It, IN, IA, KS, KY, MD, MI, MIN, ME, MT, NE,
NJ, NM, NY, ND, ON, OK, OR, PA, RL SC, SD, TX, U1. VF, 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 by: $13,848,000
SURETY LICENSES rjt: AZ, IL, IN, IA, MI, CH, WI,
INCORPORATED IN: Illinois,
Pennsylvania Manufacturers Indemnity Company
(NAIC #41424)
BUSINESS ADDRESS: P.O,.Box 3031, Blue Bell, PA 19422 - 0754,
PHONE: (610) 397-5000
UNDERWRITING LIMITATION by: $8,215,000,
SURETY LICENSES c,f/: AL, AK, AZ, AR, CO, CT, DE, DC, ID, IN, KS, KY, LA, ME, MD, ML ME, MO,
MT, NE, NV, NH, NJ, NM, NY, NC, OH, PA, RI, SO SD, TIN, UT VT, VA, WA.
INCORPORATED IN: Pennsylvania.
Pennsylvania Manufacturers` Association Insurance Company
(NAIC 412262)
BUSINESS ADDRESS: KO..Box 3031, Blue Bell, PA 19422-0754,
PHONE: (610) 397-5000,
UNDERWRITING LIMITATION b/: $32,524,000
SURETY LICENSES c,f/: AL, AK, AR, CO, CT, OF, DC, FL, GA, HI, ID, IL, A, KS, KY, LA, ME, MD,
MA, MI, ME, MO, MT, NE, NV, NH, NJ, HIM, NY, INC, ON, OR, PA, RI, SO SD, TN, TX, UT, VT, 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) 234A941 .
UNDERWRITING LIMITATION ILI: $58,016,000,
SURETY LICENSES c,f/: AL, AS, AZ, AR, CO, CT, DE, DC, FL, GA, ID, It, IN, A, RE, KY, I A, ME,
MD, MA, MI, MN, ME, MC, MIT, NE, NJ, NM, NY, NC, OH, OR, OR, PA, RI, SC, ED, TIN, TX, UT, VT,
VA, WA, WV, WL
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 b/: $236,948,000.
UNDERWRITING LICENSES c,f/: AL, AK, AS, AR, CA, CO, CT, DE, ()C, FL, GA, HI, ID, IL, IN, IA' KS,
KY, CA, ME, MD, MA, FAIL KIN, MS, MO, MT, NE, NV, NH, NJ, NM, NY, NC, ND, ON, OK, OR, PA,
RI, SC, SO, TN, TX, UT, VT, VA, WA, WV, WL WY.
(NAIC #24260)
BUSINESS ADDRESS: P.O. BOX 99490, CLEVELAND, OH 44101 - 6490
PHONE: (440) 461-5000
UNDERWRITING LIMITATION b/: $257,058,000.
SURETY LICENSES c,[/: AL, AK AZ, AR, CA, CO, CT, DE, DC, FL, GA, HI, ID, L, IN, A, KS, KY, LA,
ME, ME, MA, MI, MN, ME, MO, MT, NE, NV, NH, NJ, RIM, NY, NC, ND, 011, OK, OR, PA, RI, SC,
SO, 1 N, TX, UT, VI-, VA, WA, WV, WI, WY,
INCORPORATED IN: Ohio,
Progressive Northwestern Insurance Company
(NAIC #42919)
BUSINESS ADDRESS: P.O. BOX 89490, CLEVELAND, OH 44101 - 6490.
PHONE: (440) 461-5000,
UNDERWRITING LIMITATION b/: $62,590,000
SURETY LICENSES c,f/: AK, AZ, CA, CO, CT, DE, DC, GA, HI, ID, IN, A, KS, KY, LA, ME, MR, MR,
MS, VOL MT, NE, NV, NJ, NM, NY, NC, ND, OH, OK, OR, RI, SC, ED, TN, TX, UT, VA, WA, WV, WI
INCORPORATED IN: Ohio
Protective Insurance Company
(NAIC#12416)
BUSINESS ADDRESS: 111 Congressional Blvd., Suite 500, Carmel, IN 46032.
PHONE: (317) 636-9800 x-7433,
UNDERWRITING LIMITATION b/: $25,889,000,
UNDERWRITING LICENSES c,f/: AL, AK, AZ, AR, CA, CO, CT, DIE, DC, FL, GA, HI, ID, L, IN, IA' KS,
KY, LA, ME, MD, MA, MI, MN, MS, MO, MIT, NE, NV, NH, NJ, NM, NY, NC, US, OH, OK, OR, PA,
PR, RI, SC, SD, TN, TX, UT, VT, VA, WA, WV, WI, WY,
INCORPORATED IN: Indiana.
Protective Property & Casualty Insurance Company
(NAIC #35769)
INCORPORATED IN: Pennsylvania
PLA77E ROVER INSURANCE COMPANY
(NAIC #18619)
BUSINESS ADDRESS: P.O. Box 5900, Madison, WI 53705 - 0900.
PHONE: (608) 829-4200.
UNDERWRITING LIMITATION Is/: $4,967,000.
SURETY LICENSES c,f/: AL, AK, AZ, AR, CA, CO, CT, DE, DC, FL, GA, HI, LL III, IN, IA, KS, KY, LA,
ME, MD, MA, MI, MN, MS, MO, MT, NE, NV, NH, NJ, NM, NY, NC, ND, OH, OK, OR, PA, RL SC,
SD, TIN, 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 b/: $2,402,000L
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, M11 NE, NV, NH, NJ, NM, NY, NC, ND, OH, OR, OR, PA, RI, SC,
ED, TN, TX, UT, VT, VA, WA, WV, WI, WY.
INCORPORATED IN: Iowa.
ProCentury Insurance Company
(NAIC #21903)
BUSINESS ADDRESS: 550 Polaris Parkway, Westerville, OH 43082
PHONE: (614) 895-2000,
UNDERWRITING LIMITATION b/: $5,828,000,
SURETY LICENSES c,f/: AK AS, AR, CA, DE, DC, GA, IL, IN, A, RE, LA, MD, MA, MI, MIN, MS, MO,
MT, NE, NV, NJ, NM, NY, NO, OK, OR, PA, SC, ED, TX, LIT, WV, WI, WY,
INCORPORATED IN: Michigan
BUSINESS ADDRESS: 14755 North Cater Forty Rd,, Suite 400, St, Louis, MO 63017
PHONE: (636) 536-5600.
UNDERWRITING LIMITATION L/: $17,383,000
UNDERWRITING LICENSES c,U: AL, AK, AZ, AR, CA, CO, CT, DE, DC, FL, GA, HI, ID, L, IN, IA, KS,
KY, LA, ME, MIS, MA, MI, MN, ME, MO, MIT, NE, NV, NH, NJ, HIM, NC, ND, ON, OK, OR, PA, RE,
RI, SC, SD, TIN, TX, UT, VT, VA, WA, WV, WL WY,
INCORPORATED IN: Missouri.
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QBE Insurance Corporation
(NAIC #39217)
BUSINESS ADDRESS: One General Drive, Sun Prairie, WI 53596,
PHONE: (608) 825-5160
UNDERWRITING LIMITATION Ist: $74,065,000
SURETY LICENSES c,f/: AL, AK, AS, AR, CA, CO, CT, DE, DC, FL, GA, lIL ID, IL, IN, IA, KS, KY, LA,
ME, MIS, MA, MI, MN, MS, MO, MT, NE, NV, NH, NJ, NM, NY, NC, INS, ON, OK, OR, PA, RI, SC,
SD, TN, TX, UT, VT, VA, WA, WV, WI, WY
INCORPORAI ED IN: Pennsylvania.
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Regent Insurance Company
(NAIC #24449)
BUSINESS ADDRESS: One QBE Way, Sun Prairie, WI 53596.
PHONE: (608) 825-5160,
UNDERWRITING LIMITATION b/: $3,263,000.
1
SURETY LICENSES c,f/: AL, AK, AZ, AR, CA, CO, DE, DC, FL, GA, HI, ID, IL, IN, I& KS, KY, LA, MD,
M& MI, MN, MS, MO, MT, NE, NV, NH, NJ, NY, NC, ND, CH, OK, OR, PA, RI, SC, SD' TN, TX, UT,
VT, VA, WA, WV, WI, WY.
INCORPORATED IN: Wisconsin
Repubilc - Franklin Insurance Company
(NAIC #12475)
BUSINESS ADDRESS: R O. Box 530, Utica, NY 13503 - 0530.
PHONE: (315) 734-2000.
UNDERWRITING LIMITATION bl: $5,680,000.
SURETY LICENSES c,f/: CT, DE, DC, GA, It, IN, KS, DID, MA, MI, NH, NJ, NY, NC, ON, PA, RI, TN,
TX, VA, WL
INCORPORATED IN: Ohio.
RLI insurance Company
(NAIC W-1 3056)
BUSINESS ADDRESS: 9025 N Lindbergh Drive, Peoria, IL 11615
PHONE: (309) 692-1000,
UNDERWRITING LIMITATION bl: $71564,000,
SURETY LICENSES c,f/: AL, AK, AZ, AR, CA, CO, CT, DE, DC, FL, GA, GU, HL 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, PR,
RI, SC, SD, TN, TX, UT VT, VA, VI, WA, WV, WI, WY
INCORPORATED IN: Illinois,
Roche Surety and Casualty Company, Inc.
(NAIC #42706)
BUSINESS ADDRESS: 4107 IN HIVES AVE 2ND FLOOR, TAMPA, FL 33607.
PHONE: (813) 623-5042.
UNDERWRITING LIMITATION h/: $1,006,000.
SURETY LICENSES qQ: AL, AK, AZ, AR, CT, DE, FL, GA, HI, ID, IN, A, KS, LA, MD, MI, MIN, MS,
UNDERWRITING LIMITATION b/: $236,691,000,
SURETY LICENSES c,U: AL, AK, AZ, AR, CA, CO, CT, DE, DC, FL, GA, GU, HL ID, L' IN, A, KS, KY,
LA, ME, MD, MA, MI, MIA, MS, MO, MT, NE, NY, NH, NJ, NM, NY, INC, NO, OH, OK, OR, PA, PR,
RI, SC, SD, TN, TX, UT, VT, VA, VI, WA, WV, WL 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 b/: $13,573,000.
UNDERWRITING LICENSES cfl: AL, AK, AZ, CO, CT, DE, DC, GA, HI, ID, IL, IN, A, KS, KY, ME,
MD, MIA, MI, MIN, MS, MO, MT, NE, NJ, NM, NY, NC, ON, OR, PA, RI, SC, SD, TN, TX, U r, VT,
WA, WV, WI, WY.
INCORPORATED IN: Indiana,
SECURA INSUPANCE, A Mutual Company
(NAIC #22543)
BUSINESS ADDRESS: P.O..Box 819, Appleton, WI 54912 - 0819.
PHONE: (920) 739-3161 .
UNDERWRITING LIMITATION IV: $46,149,000.
SURETY LICENSES c,f/: AZ, AR, CO, ID, IL, IN, IA, KS, KY, ML YIN, MO, MIT, NE, NV, NM, ND,
OH, OK, OR, PA, SO, TN, UT, WA, WI, WY,
INCORPORATED IN: Wisconsin,
Selective Insurance Company of America
(NAIC #12572)
BUSINESS ADDRESS: 40 WANTAGE AVENUE, BRANCHVILLE, NJ 07890
PHONE: (973) 948-3000.
UNDERWRITING LIMITATION b/; $63,280,000.
SURETY LICENSES c,f/: AL, AK, AR, AZ, CO, CT, DE, DC, GA, IL, IN, IA, KS, KY, MO, MA, MI, MIN,
MU, M 1, NL, NV, KIM, NJ, NM, PAY, NL, ND, UH, UK, UK, FA, SL, W, I N, IA, U 1, V 1, VA, WA
INCORPORATED IN: Florida,
Rockwood Casualty Insurance Company
(NAIC#35505)
BUSINESS ADDRESS: 13100 Wortham Center Drive Suite 290 Houston, Texas 77065,
PHONE: (814) 926-466I,
UNDERWRITING LIMITATION bj: $10,889,000,
SURETY LICENSES c,f/: At, AK, AS, AR, CO, DE, DC, FL, GA, HI, ID, L, IN, IA, KS, KY, LA, ME, MID,
MA, ML Ni MS, MO, MT, NE, NV, NH, NJ, NM, NY, NC, NO, OH, OK, OR, PA, Rt SC, SO, TX'
UT, VT, VA, WA, WV, WI, WY,
INCORPORATED IN: Pennsylvania,
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SAFECO Insurance Company of America
(NAIC #24740)
BUSINESS ADDRESS: 175 Berkeley Street, Boston, MA 02116.
PHONE: (617) 357-9500.
UNDERWRITING LIMITATION bl: $156,647,000,
SURETY LICENSES c,fl: At, AK, AZ, AR, CA, CO, CT, DE, DC, FL, GA, GU, 111, ID, IL, IN, IA, KS, KY,
LA, ME, MD, MA, MI, KIN, MS, MO, MT, NE, NV, NH, NJ, NM, NY, NC, ND, ON, OK, OR, PA, RI,
SC, SD, TN, TX, UT, VT, VA, WA, WV, WI, WY,
INCORPORATED IN: New Hampshire,
Safety National Casualty Corporation
(NAIC #15105)
BUSINESS ADDRESS: 1832 Schuetz Road, SU Louis, MO 63146 - 3540,
PHONE: (314) 995-5300.
MIS, MO, MT, NE, NV, NH, NJ, NM, NY, NC, ON, OR, PA, RI, SC, SD, TIN, TX, UT, VT, VA, WA, WV,
WI, Wy,
INCORPORATED IN: New Jersey,
Seneca Insurance Company, Inc.
(NAIC #10936)
BUSINESS ADDRESS: 1 GO Water Street, New York, NY 10038 - 4921
PHONE: (212) 344-3000.
UNDERWRITING LIMITATION lb/: $14,551,000.
SURETY LICENSES c,f/: At, 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, INN, NJ, HIM, NY, NC, ND, OH, OK, OR, PA, PR, RI,
SC, SD, TN, TX, UT, VT, VA, WA, WV, WI, 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 lah. $519,098,000,
SURETY LICENSES c,f/: AL, AK, AZ, AR, CA, CO, CT, DE, DC, HL, GA, HI, EL IL, IN, A, KS, KY, LA,
ME, MD, MA, MI, MN, MS, MO, MIT, NE, NV, NH, NJ, NM, NY, NC, ND, OH, OK, OR, PA, RL SC,
SD, TN, TX, LIT, VT, VA, WA, WV, WI, WY,
INCORPORATED IN: Wisconsin
Sentry Select insurance Company
(NAIC #21180)
BUSINESS ADDRESS: 1800 NORTH POINT DRIVE, STEVENS POINT, WI 54481-8020,
PHONE: (715) 346.6000L
UNDERWRITING LIMITATION b/: $22,581,000
SURETY LICENSES c,f/: AL, AK, AZ, AR, CA, CO, CT, DE, DC, FL, GA, HL ID, IL, IN, A, KS, KY, LA,
ME, MD, MA, MI, MN, MS, MO, MT, NE, NV, NH, NJ, NM, NY, NC, ND, OH, OR, OR, PA, RI, SC,
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) 833-1600,
UNDERWRITING LIMITATION b/: $4,195,000.
SURETY LICENSES c,f/: AL, AK, AZ, AR, CA, CO, CT, DE, DC, FL, GA, HI, [D, L, IN, A, KS, KY, LA,
ME, MD, MA, MI, YIN, MIS, MID, MR, MIT, 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: Florida,
SERVICE INSURANCE COMPANY INC. (THE)
(NAIC #28240)
BUSINESS ADDRESS: 80 MAIN STREET, WEST ORANGE, NJ 07052.
PHONE: (973) 731-7650.
UNDERWRITING LIMITATION b/: $909,000,
SURETY LICENSES c,f/: CT, DE, DC, FL, MD, MA, NH, NJ, NY, NC, PA, RI, VA,
INCORPORATED IN: Newjersey.
SIRIUS AMERICA INSURANCE COMPANY
(NAIC #38776)
BUSINESS ADDRESS: 140 BROADWAY - 32ND FLOOR, NEW YORK, NY 10005 - 1108
PHONE: (212) 312-2500
UNDERWRITING LIMITATION b/: $52,220,000.
SURETY LICENSES c,f/: AL, AK, AZ, AR, CA, CO, DE, DC, CA, HI, ID, IL, IN, A, KS, KY, CA, MD,
MA, MI, MS, 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: New York,
SOUTHWEST MARINE AND GENERAL INSURANCE COMPANY
BUSINESS ADDRESS: One Tower Square, Hartford, CT 06183.
PHONE: (860) 277-0111,
UNDERWRITING LIMITATION b/: $11,509,000,
SURETY LICENSES c,f/: AL, AK, AZ, AR, CA, CO, CT, DE, DC, FL, GA, HT ID, T, IN, A, KS, KY, LA,
ME, MD, MA, MIT, MN, ME, MO, MT, NE, NV, NH, NJ, NM, NY, NC, ND, OH, OK, OR, PA, RI, SC,
ED, TN, TX, UT, VT, VA, WA, WV, WI, WY.
INCORPORATED IN: Connecticut
Standard Fire Insurance Company (The)
(NAIC #19070)
BUSINESS ADDRESS: ONE TOWER SQUARE, HART FORD, CT 06183,
PHONE: (860) 277-0111 .
UNDERWRITING LIMITATION b/: $122,148,000.
SURETY LICENSES c,f/: AL, AK, AZ, AR, CA, CO, CT, DE, DC, FL, GA, NJ, ID, IL, IN, IA, KS, KY, LA,
ME, MD, M& MI, MN, MIS, MO, MIT, NE, NV, NH, NJ, NM, NY, NC, ND, OH, OK, OR, PA, PR, RI,
SC, SD, TIN, TX, UT, vr, VA, VI, WA, WV, WI, WY.
INCORPORATED IN: Connecticut,
Star Insurance Company
(NAIC #18023)
BUSINESS ADDRESS: 26255 American Drive, Southfield, MIT 48034,
PHONE: (248) 358-1100.
UNDERWRITING LIMITATION b/: $49,882,000,
SURETY LICENSES c,f/: AL, AK, AZ, AR, CA, CO, CT, DE, DC, FL, GA, HI, ID, IL, IN, A, KS, KY, LA,
ME, KID, MA, MI, MR, MS, MO, MIT, NE, NV, NH, NJ, NM, NY, NC, ND, ON, OK, OR, PA, RI, SC,
SD, TN, TX, UT, VT, VA, WA, WV, WI, WY
INCORPORATED IN: Michigan.
StarNet Insurance Company
(NAIC #40045)14
BUSINESS ADDRESS: RD BOX 9190, DES MOINES, IA 50306 - 9190.
(NAIC#12294)
BUSINESS ADDRESS: 412 ML Kernble Ave, Suite 300C, Morristown, NJ 07960
PHONE: (800) 774-2755
UNDERWRITING LIMITATION lot: $6,673,000
SURETY LICENSES c,f/: AL, AK, AZ, AR, CA, CO, CT, DE, DC, GA, HI, ID, L, IN, A, KS, KY, LA, ME,
MD, MA, MI, MN, ME, MO, MIT, NE, NV, NH, NJ, NM, NC, NO, OH, OK, OR, PA, RI, SC, SO, TN,
TX, UT, VT, VA, WA, WV, WI, WY,
INCORPORATED IN: Arizona,
St. Paul Fire and Marine Insurance Company
(NAIC #24767)
BUSINESS ADDRESS: ONE TOWER SQUARE, HARTFORD, CT 06183,
PHONE: (860) 277-0111.
UNDERWRITING LIMITATION LP $443,919,000,
SURETY LICENSES c,f/: AL, AK, AZ, AR, CA, CO, C1, DE, DC, FL, CA, GU, HI, ID, L, IN, A, KS, KY,
LA, ME, MID, MA, MIT MR, MS, MO, NIT, NE, NV, NH, NJ, NM, NY, NC, ND, ON, OK, OR, PA, PR,
RI, SC, ED, TN, TX, UT, VT, VA, VI, WA, WV, WI, WY
INCORPORATED IN: Connecticut,
ST, PAUL GUARDIAN INSURANCE COMPANY
(NAIC #24775)
BUSINESS ADDRESS: One Tower Square, Hartford, CT 06183,
PHONE: (860) 277-0111
UNDERWRITING LIMITATION b/: $2,283,000.
SURETY LICENSES c,f/: AL, AK, AZ, AR, CA, CO, CT, DE, DC, FL, GA, HI, ID, IL, IN, IA, KS, KY, LA,
ME, MD, MA, MI, MN, MIS, MO, NIT, NE, NV, NH, NM, NY, NC, ND, OH, OK, OR, PA, RI, SC, ED,
TN, TX, UT, VT, VA, WA, WV, WI, WY.
INCORPORATED IN: Connecticut.
St. Paul Mercury Insurance Company
(NAIC#24791)
PHONE: (800) 343-0592,
UNDERWRITING LIMITATION bl: $11,602,000,
SURETY LICENSES c,ff: AL, AK, AZ, AR, CA, CO, CT, DE, DC, FL, GA, HI, ID, IT, IN, A, KS, KY, LA,
ME, MID, MA, MI, MIN, MS, MO, MIT, 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
Starr Indemnity & Liability Company
(NAIC #38318)
BUSINESS ADDRESS: 399 Park Avenue, 8th Floor, New York, NY 10022,
PHONE: (646) 227-6400.
UNDERWRITING LIMITATION ot: $202,390,000.
SURETY LICENSES c,f/: AL, AK, AZ, AR, CA, CO, CT, DE, DC, FL, GA, GU, HI, ID, L, IN, A, KS, KY,
LA, ME, MD, MA, MI, MN, MIS, MO, MIT, NE, NV, NH, NJ, NM, NY, NC, NO, CH, OR, OR, PA, PR,
RI, SC, SD, TIN, TX, UT, VT, VA, WA, WV, WI, WY..
INCORPORATED IN: Texas,
State Auto Property and Casualty Insurance Company
(NAIC #25127)
BUSINESS ADDRESS: 518 EAST BROAD STREET, COLUMBUS, ON 43215.
PHONE: (614) 464-5000.
UNDERWRITING LIMITATION bl: $69,615,000.
SURETY LICENSES c,f/: AL, AK, AZ, AR, CO, CT, DE, DC, FL, GA, HI, ID, IL, IN, A, KS, KY, LA, ME,
MID, MA, MI, MIN, MS, MID, MIT, NE, NV, NJ, NY, NC, NO, ON, OK, OR, PA, RI, SC, SD, TIN, TX, UT,
VT, VA, WV, WI, WY.
INCORPORATED IN: Iowa
State Automobile Mutual Insurance Company
(NAIC#25135)
BUSINESS ADDRESS: 518 EAST BROAD STREET, COLUMBUS, ON 43215.
PHONE: (614) 464-5000.
SURETY LICENSES cjl: AL, AK AZ, AR, CO, CT, DE, DO FL, CA, HI, ID, IL, IN, IA, KS, KY, LA, ME,
MD, MA, MI, MN, MS, MO, MT, NE, NV, NH, NJ, HIM, NY, NC, ND, ON, OK OR, PA, RI, SC, ED,
TN, TX, UT, VT, VA, WA, WV, WI, WY,
INCORPORATED IN: Ohio,
State Farm Fire and Casualty Company
(NAIC #25143)
BUSINESS ADDRESS: ONE STATE FARM PLAZA, BLOOMINGTON, IL 61710,
PHONE: (309) 766-2311 ,
UNDERWRITING LIMITATION b/: $1,888,252,000.
SURETY LICENSES c,f/: AL, AK, AZ, AR, CA, CO, CT, DE, DC, FL, GA, HI, ID, IL, IN, IA, KS, KY, LA,
ME, MD, MA, MI, MN, MS, MO, MIT, NE, NV, NH, NJ, NM, NY, INC, ND, ON, OK, OR, PA, RI, SC,
ED, TN, TX, UT, VT, VA, WA, WV, WI, WY.
INCORPORATED IN: Illinois.
Stillwater Property and Casualty Insurance Company
(NAIC #16578)
BUSINESS ADDRESS: P, O, Box 45126, Jacksonville, FL 32232 - 5126,
PHONE: (800) 849-61140,
UNDERWRITING LIMITATION b/: $11,921,000
SURETY LICENSES c,f/: At-, AK, AS, AR, CO, CT, DO FL, GA, HI, ID, IL, IN, IA, KS, KY, LA, ME, ME,
MA, ML Mal, MS, MO, MIT, NE, NV, NH, NJ, NM, NY, NC, ND, OH, OK, OR, PA, RI, SC, SD, TN,
TX, UT, VT, VA, VI, WA, WV, WI, VVY
INCORPORATED IN: New York
SureTec Insurance Company
(NAIC #10916)
BUSINESS ADDRESS: 2103 CKyWest 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,
UNDERWRITING LIMITATION bl: $441A67,000,
SURETY LICENSES c,f/: AK AZ, AR, CA, CO, DE, DC, GA, ID, IL, IN, IA, KS, KY, LA, MI, MN, MS,
NE, NV, NJ, NM, NY, ON, OK, PA, ED, UT, WA, WL
INCORPORATED IN: New York
Travelers Casualty and Surety Company
(NAIC #19039)
BUSINESS ADDRESS: ONE TOWER SQUARE, HARTFORD, CT 06183.
PHONE: (860) 277-0111.
UNDERWRITING LIMITATION bl: $425,039,000L
SURETY LICENSES cjl: At, AK, AZ, AR, CA, CO, CT, DE, DC, FL, GA, GU, HI, ID, IL, IN, IA, KS, KY,
LA, ME, MD, MA, MI, MN, MS, MO, MIT, NE, NV, KIN, NJ, NM, NY, NC, ND, OH, OR, OR, PA, ED,
RI, SC, SD, TN, TX, UT, VT, VA, A, WA, WV, WI, WY..
INCORPORATED IN: Connecticut,
Travelers Casualty and Surety Company of America
(NAIC #31194)
BUSINESS ADDRESS: ONE TOWER SQUARE, HARTFORD, CT 06183
PHONE: (860) 277-0111.
UNDERWRITING LIMITATION bl: $211,123,000,
SURETY LICENSES cj/: 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, ME, MO, MT, NE, NV, NH, NJ, NM, NY, NC, NO, ON, OK, OR, PA, FIR,
RI, SC, SD, TN, TX, UT, VI, VA, VI, WA, WV, WI, WY
INCORPORATED IN: Connecticut,
Travelers Casualty Insurance Company of America
(NAIC # 19046)
BUSINESS ADDRESS: ONE TOWER SQUARE, HARTFORD, C1 06183,
PHONE: (860) 277-0111,
UNDERWRITING LIMITATION b/: $55,265,000
ME, MD, MA, MI, MN, ME, 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: Texas
SURETY BONDING COMPANY OF AMERICA
(NAIC #24047)
BUSINESS ADDRESS: 151 N, FRANKLIN ST, CHICAGO, IL 60606,
PHONE: (312) 822-5000,
UNDERWRITING LIMITATION LIP $776,000,
SURETY LICENSES c,f/: AL, AZ, AR, CA, CO, DE, DC, GA, ID, IL, IN, KS, MN, MO, MT, NE, NV,
NM, NY, ND, OK, OR, SC, SD, TN, TX, LIT, 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,f/: AL, AK, AZ, AR, CA, CO, CT, DE, DC, FL, GA, HL ID, L, IN, IA, KS, KY, LA,
ME, MD, MA, MI, MN, INS, MO, MT, NE, NV, NH, NJ, HIM, NY, NC, ND, OH, OK, OR, PA, RI, SC,
SD, TN, TX, LIT, VT, VA, WA, WI.
INCORPORATED IN: New York.
Bark L1QjQR
T
TRANSATLANTIC REINSURANCE COMPANY
(NAIC#19453)
BUSINESS ADDRESS: One Liberty Plaza, 165 Broadway, NEW YORK, NY 10006,
PHONE: (212) 365-2200,
--I T LIY-ICINJ— C,H: AL, Are, AL, AK, LA, LW, L I, Uc, —, VL, UA, NI, I J, IL, IN, IA, K3, NY, LA,
ME, MD, MA, MI, MN, MS, MO, MT, NE, NV, NH, NJ, NM, NY, NC, ND, ON, OK, OR, PA, RI, SC,
ED, TN, TX, LIT, VI, VA, WA, WV, WI, WY.
INCORPORATED IN: Connecticut
Travelers Indemnity Company (Tice)
(NAIC #25658)
BUSINESS ADDRESS: ONE TOWER SQUARE, HARTFORD, CT 06183,
PHONE: (860) 277-0111.
UNDERWRITING LIMITATION b/: $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, DID, MA, MI, MIN, ME, MO, MT, NE, NV, NIP, NJ, NM, NY, NC, NO, OH, OR, OR, PA, FIR, Rl,
SC, SO, TN, TX, UT, V1 I VA, WA, WV, WI, WY.
INCORPORAI ED IN: Connecticut,
TRAVELERS INDEMNITY COMPANY OF AMERICA (THE)
(NAIC #25666)
BUSINESS ADDRESS: ONE TOWER SQUARE, HARTFORD, CT 06181
PHONE: (860) 277-0111.
UNDERWRITING LIMITATION b/: $18,251,000
SURETY LICENSES c,f/: AL, AK, AZ, AR, CO, CT, DC, FL, CA, HI, ID, IL, IN, IA, KS, KY, LA, MD, MA,
MI, MN, ME, MO, MI, NE, NV, NH, NJ, NM, NY, NC, NO, CH, OK, OR, PA, RI, ED, I N, TX, UT, VT,
VA, WA, WV, WI, WY,
INCORPORATED IN: Connecticut,
Travelers Indemnity Company of Connecticut (Tice)
(NAIC #25682)
BUSINESS ADDRESS: ONE TOWER SQUARE, HARTFORD, CT 06183
PHONE: (860) 277-0111
UNDERWRITING LIMITATION b/: $33,279,000,
SURETY LICENSES c,f/: AL, AK AZ, AR, CA, CO, CT, DE, DC, FL, GA, HI, ID, IL, IN, IA, KS, KY, LA,
ME, MD, MA, MI, MIN, MIS, MO, MIT, NE, NV, NH, NJ, NM, NY, NC, NO, OH, OK, OR, PA, PR, RI,
�L, �U, I IN, IA, U 1, V 1, VA, VI, WA, VVV, VV I, VM
INCORPORATED IN: Connecticut.
Travelers Property Casualty Company of America
(NAIC #25674)
BUSINESS ADDRESS: ONE TOWER SQUARE, HARTFORD, C1 06181
PHONE: (860) 277-0111,
UNDERWRITING LIMITATION b/: $43,745,000
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, ML MN, ME, MO, MP, M1, NE, NV, NFI, NJ, NINL NY, NC, NO, CH, SIC OR, PA, RI,
SO, TIN, TX, UT, vr, VA, WA, WV, WI, wy,
INCORPORATED IN: Connecticut.
PacLTD-12R
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U.S. Specialty Insurance Company
(NAIC 029S99)
BUSINESS ADDRESS: 13403 Northwest Freeway, Houston, TX 77040,
PHONE: (713) 462-1000,
UNDERWRITING LIMITATION bl: $59,367,000.
SURETY LICENSES rj/: A[, AK, AS, AZ, AR, CA, CO, CT, DE, DC, R, GA, HI, ID, 111, IN, A, KS, KY,
LA, ME, MD, MA, MI, MINI, ME, MO, MT, NE, NV, NH, NJ, HIM, NY, INC, ND, OH, OR, OR, PA, RI,
SC, ED, TIN, TX, LIT, VT, VA, WA, WV, WI, WY.
INCORPORATED IN: Texas,
UNITED CASUALTY AND SURETY INSURANCE COMPANY
(NAIC#36226)" 'G
BUSINESS ADDRESS: 292 Newbury Street, Suite 105. Boston, MA 02115
PHONE: (617) 471-1112.
SC, SO, TIN, TX, UT, VT, VA, VI, WA, WV, WI, WY.
INCORPORATED IN: Connecticut,
United States Fire Insurance Company
(NAIC 921113)
BUSINESS ADDRESS: 305 Madison Avenue, Morristown, NJ 07962.
PHONE: (973) 490-6600,
UNDERWRITING LIMITATION b/: $131,764,000.
SURETY LICENSES cjl: AL, AK, AZ, AR, CA, CO, CT, DE, DC, FL, GA, HT, ID, IL, IN, A, KS, KY, LA,
ME, DID, MAN MI, MIN, ME, MO, MT, NE, NY, NH, NJ, NM, NY, NC, ND, OH, OK, OR, PA, PR, RI,
SC, SD, TN, TX, UT, VT, VA, VI, WA, WV, WI, WY.
INCORPORATED IN: Delaware.
United States Surety Company
(NAIC #10656)
BUSINESS ADDRESS: One Texas Station Court, Suite 230, Timonium, RID 21093,
PHONE: (410) 453-9522,
UNDERWRITING LIMITATION bl: $5,466,000,
SURETY LICENSES c,f/: CT, DE, DC, FL, CA, ME, MD, MA, NH, NJ, NY, NC, OH, PA, RI, SC, TN,
VT, VA, WV.
INCORPORATED IN: Maryland.
UNITED SURETY AND INDEMNITY COMPANY
(NAIC #44423)
BUSINESS ADDRESS: P.O. BOX 2111, SAN JUAN, PR 00922 - 2111,
PHONE: (787) 625-1105,
UNDERWRITING LIMRAI ION bl: $6,297,000,
SURETY LICENSES c,fl: PR,
INCORPORATED IN: Puerto Rico,
Universal Surety Company
UNDERWRITING LIMITATION b/: $1,497,000.
SURETY LICENSES c,f/: AL, AK, AZ, AR, CA, CO. CT, DE, DC, FL, GA, Fit, ID, IL, IN, IA, KS, KY, LA,
ME, MD, MA, ML MIN, MS, MO, M7, NE, NO, NH, NJ, NM, NY, NC, NO OH, OR, OR, PA, RI, SC,
SO, TIN, 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
PI IONS: (319) 399-5700.
UNDERWRITING LIMITATION b/: $65,336,000,
SURETY LICENSES c,Y: At, AK, AZ, AR, CA, CO, SIC, FL, GA, H1, ID, L, IN, A, KS, KY, LA, ME, MD,
MA, MI, MN, MS, INTO, MT, NE, NV, NJ, NM, NY, INC, NO, OH, OK, OR, PAN SC, SD, TIN, TX, UT,
VT, VA, WA, WV, WI, WY.
INCORPORATED IN: Iowa.
UNITED FIRE & INDEMNITY COMPANY
(NAIC #19496)
BUSINESS ADDRESS: P,C, BOX 73909, CEDAR RAPIDS, IA 52407 - 3909,
PHONE: (319) 399-5700,
UNDERWRITING LIMITATION b/: $1,914,000,
SURETY LICENSES c,f/: AL, CO, IN, KY, LA, MS, MO, NM, TX
INCORPORATED IN: Texas
United States Fidelity and Guaranty Company
(NAIC #25887)
BUSINESS ADDRESS: ONE TOWER SQUARE, HARTFORD, CT 06183,
PHONE: (860) 277-0111,
UNDERWRITING LIMITATION b/: $98,421,000,
SURETY LICENSES c,fl: AL, AK, AZ, AR, CA, CO, CT, DE, DC, FL, GA, HI, ID, IL, IN, IA, KS, KY, LA,
ME, MD, MA, MI, MIN, MS, MO, MT, NE, NY, NH, NJ, NM, NY, NC, ND, OH, OK, OR, PA, FIR, RI,
(NAIC #25933)
BUSINESS ADDRESS: P.O. BOX 80468, Lincoln, HE 68501,
PHONE: (402) 435A302,
UNDERWRITING LIMITATION b/: $17,774,000
SURETY LICENSES c,f/: AZ, AR, CO, ID, IL, IN, IA, KS, KY, MI, MN, MO, MT, NE, NM, ND, OH,
OK, SC, SD, TX, UT, WA, WI, WY.
INCORPORATED IN: Nebraska,
UNIVERSAL UNDERWRITERS INSURANCE COMPANY
(NAIC #41181)
BUSINESS ADDRESS: 1299 ZURICH WAY, STH FLOOR, SCHAUMBURG, IL 60196 -1056
PHONE: (847) 605-6000,
UNDERWRITING LIMITATION b/: $33,104,000
UNDERWRITING LICENSES cj1; AL, AK, AS, AR, CA, CO, C1 I DE, DC, FL, GA, NJ, ID, It, 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, -D, TN, TX, (IT, VT, VA, WA, WV, WL WY,
INCORPORATED IN: Illinois
Utica Mutual Insurance Company
(NAIC #25976)
BUSINESS ADDRESS: POST OFFICE BOX 530, UTICA, NY 13503 - 0530.
PHONE: (315) 734-2000.
UNDERWRITING LIMITATION ls/: $90,389,000,
SURETY LICENSES cf/: AL, AK, AZ, AR, CA, CO, C-11 DE, DC, FL, GA, HI, ID, IL, IN, IA, KS, KY, LA,
ME, MD, MA, MI, MIN, ME, MO, MT, NE, NV, NH, NJ, NM, NY, NC, ND, OH, OR, OR, PA, PR, RI,
SC, SD, TIN, TX, UT, VT, VA, WA, WV, WI, WY,
INCORPORATED IN: New York,
V
VerTerra Insurance Company
(NAIC #10024)
BUSINESS ADDRESS: P.O. BOX 509039, SAN DIEGO, CA 92150.
PHONE: (859) 350-2400.
UNDERWRITING LIMITATION bl: $5,647,000,
SURETY LICENSES cfl: TX.
INCORPORATED IN: Texas.
Vigilant Insurance Company
(NAIC #20397)
BUSINESS ADDRESS: 202B Flail's Mill Road, Whitehouse Station, NJ 08889
PHONE: (215) 640-1 000.
UNDERWRITING LIMITATION b/: $33,374,000.
SURETY LICENSES c,f/: At, AK, AZ, AR, CA, CO, CT, DE, DC, FL, GA, HI, ID, IL, IN, IA, KS, KY, LA,
ME, KID, MA, VIL MN, MS, MO, MT, NE, NV, NH, NJ, NM, NY, NC, ND, ON, OR, OR, PA, RI, SC,
SD, TN, TX, UT, VT, VA, V1, WA, WV, WI, WY.
INCORPORATED IN: New York,
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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 c,f/: At, AK, AZ, AR, CA, CO, Cr, DE, DC, FL, GA, GLJ, HI, ID, IL, IN, LA, KS, KY,
Western National Mutual Insurance Company
(NAIC #15377)
BUSINESS ADDRESS: PO BOX 1463, MINNEAPOLIS, MN 55440
PHONE: (952) 835-5350.
UNDERWRITING LIMITATION V $50,202,000
SURETY LICENSES c,17: AK, AZ, AR, CA, CO, DE, ID, IL, IN, IA, KS, KY, MD, MI, KIN, MO, NIT, NE,
NV, NJ, NM, ND, ON, OK, OR, PA, RI, SO, TX, UP WA, WI, WY.
INCORPORATED IN: Minnesota,
Western Surety Company
(NAIC #13188)
BUSINESS ADDRESS: 151 N, FRANKLIN S1 ., CHICAGO, IL 60606.
PHONE: (312) 822-5000.
UNDERWRITING LIMITATION b/: $153,381,000.
SURETY LICENSES c,f/: AL, AK, AZ, AR, CA, CO, CT, DE, DC, FL, GA, HI, ID, L, IN, IA, KS, KY, LA,
ME, MID, MA, MI, MIN, MS, MO, MT, NE, NV, NH, NJ, NM, NY, NC, ND, OH, OK, OR, PA, 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. O. Box 5001, Westfield Center, OH 44251 - 5001.
PHONE: (330) 887-0101,
UNDERWRITING LIMITATION by: $115,557,000,
SURETY LICENSES c,f/: AL, AD, AZ, AR, CO, CT, DE, DC, FL, GA, HI, ID, IL, IN, IA, KS, KY, LA, ME,
MID, MA, MI, MN, MIS, MO, MIT, NO, NE, NV, NH, NJ, NM, NY, NC, CH, OK, OR, PA, RI, SC, SD,
TN, TX, UT, VT, VA, WA, WV, WI, WY
INCORPORATED IN: Ohio,
Westfield National Insurance Company
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LA, ME, MD, MA, MI, MN, MS, MO, MT, NE, NV, NH, NJ, NM, NY, NC, NO, OH, OK, OR, PA, PR,
RI, SC, SO, TN, TX, UT, VT, VA, V1, WA, Wry, WI, WY,
INCORPORATED IN: New Harnitshlre
West American Insurance Company
(NAIC #44393)
BUSINESS ADDRESS: 175 Berkeley Street, Boston, MA 02116.
PHONE: (617) 357-9500.
UNDERWRITING LIMITATION b/: $5,131,000.
SURETY LICENSES c.,M AL, AK, AZ, AR, CO, CT, DE, DC, FL, CA, ID, IL, IN, IA, KS, KY, LA, MD,
MA, MI, KIN, MS, MO, MT, NE, NV, NH, NJ, NM, NY, NC, NO, ON, OR, OR, PA, RI, SC, SD, TN,
I X, UT, VA, WA, WV, WI, WY,
INCORPORATED IN: Indiana,
WEST BEND MUTUAL INSURANCE COMPANY
(NAIC #15350)
BUSINESS ADDRESS: 1900 South 1 Bth Avenue, West Bend, WI 53095,
PHONE: (262) 334-5571.
UNDERWRITING LIMITATION b/: $113,806,000
SURETY LICENSES cjl: IL, IN, A, KS, KY, MI, MIN, MO, NE, OH, PA, ITL WI,
INCORPORATED IN: Wisconsin,
Westchester Fire Insurance Company
(NAIC #1 OG30)
BUSINESS ADDRESS: 436 Walnut Street, P,O,Box 1000, Philadelphia, PA 19106,
PHONE: (215) 640-1000,
UNDERWRITING LIMITATION b/: $21,740,000,
UNDERWRITING LICENSES cjl: AL, AK, AZ, AR, CA, CO, CT, DE, DC, FL, CA, GU, HI, ID, IL, IN,
IA, KS, KY, LA, ME, MID, MA, ML KIN, MS, MO, MP, MIT, NE, NV, NH, NJ, NM, NY, NC, NO, OH,
OK OR, PA, PR, RL SC, SO, TN, TX, UT, V1, VA, VI, WA, WV, WI, WY.
INCORPORATED IN: Pennsylvania.
BUSINESS ADDRESS: P. 0- Box 5001, Westfield Center, CH 44251 - 5001
PHONE: (330) 887-0101
UNDERWRITING LIMITATION ldh $30,579,000.
SURETY LICENSES c,f/: AL, AZ, AR, CA, CO, DE, FL, GA, IL, IN, IA, KY, MD, MI, KIN, NM, NC, NO,
OH, 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 bl: $129,984,000,
SURETY LICENSES cN: AL, AK, AZ, AR, CA, CO, CT, DE, DC, FL, GA, GO, HI, ID, IL, IN, IA, KS, KY,
LA, ME, MD, MA, Mr, MN, MS, MO, MP, MIT, NE, NV, NH, NJ, NM, NY, NC, ND, ON, OK, OR, PA,
PR, RI, SC, SID, TN, TX, UT, VT, VA, VI, WA, WV, WI, WY
INCORPORATED IN: Missouri.
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, NM, NY, NC, ND, OH, OK, OR, PA, PR, RI, SC,
5D, 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, ND, OH, OK, OR, PA,
PR, RI, SC, SO, TN, TX, UT, VT, VA, VI, WA, WV, WI, WY.
INCORPORATED IN: Delaware.
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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,S19,000,
UNDERWRITING LICENSES c,f/: AL, AK, AZ, AR, CA, CO, CT, DE, DC, FL, GA, GU, HI, ID, IL, IN,
IA, KS, KY, LA, ME, MD, MA, MI, MN, MS, MO, MP, MT, NE, NV, NH, NJ, NM, NY, NC, ND, OH,
OK, OR, PA, PR, RI, SC, SD, TN, TX, UT, VT, VA, Vl, WA, WV, WI, WY.
INCORPORATED IN: New York.
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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 August 06, 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, August 06, 2019
CONNIE LAWSON
SECRETARY OF STATE
194484-057 / 20191052916
All certificates should be validated here: https:Hbsd.sos.in.gov/ValidateCertificate
Expires on September 05, 2019.
WRITTEN CONSENT TO RESOLUTIONS
of the
BOARD OF DIRECTORS
of
WALSH & KELLY, INC.
The undersigned, being all of the Directors of WALSH & KELLY, INC., an Indiana Corporation,
hereby consent to the following actions to be taken by the Corporation without a meeting of the Board of
Directors under the applicable provisions of the Indiana Business Corporation Law, as amended:
RESOLVED that the following be, and hereby are, elected officers of the Corporation, to
hold the office until the next regular meeting of the Board of Directors and until their
successors are duly elected and have qualified:
Kevin J. Kelly, President and Chief Executive Officer
Jeffrey L. Swan, Executive Vice President
John P. Vercruysse, Executive Vice President
Janie 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. Hoffman, 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" day of March, 2019..
l DenBergh
Kevin J. Kelly
James Fehsenfeld
,lo z P. Verc(mysse
EXECUTED this 28f' day of March, 2019.
Fred Fehsenfeld, Jr.
James C. Fehsenfeld
Albert E. VanDenBergh John P. Vercruysse
CERTIFICATE OF QUALIFICATION
to provide
CONSTRUCTION SERVICES
for
PUBLIC WORKS PROJECTS
to th2
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 3/1412018
EXPIRATION DATE 6H412020
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.
�v
Tracy L. Cross, Executive`56retary
Certification Board
DAPW PQ2 State Form 3983R Rev. 07l06
GRIFFITH SOUTH BEND
1700 East Main Street 24358 SR 23
Griffith, Indiana46319 WWW.Walshkelly.com South Bend, Indiana46614
Phone (219) 924-5900 Phone (574) 288-4811
Kellyroc. Fax (219) 924-8768 Fax (574) 289-7174
EQUAL EMPLOYMENT OPPORT111yITY 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.
M. Walsh & Kelly, Inc. assures nondiscriminatory recruitment by taking appropriate steps such as:
A. Placing employment advertisements in newspapers which serve the largest number of minority and
female groups in the recruiting area.
B. Recruiting through schools and vocational colleges having substantial proportions of minority and
female students.
C. Maintaining systematic contacts with minority (MBE), female (WBE), disabled (DBE), Veteran
(VBE) and human relations organizations leader's referral of qualified minority applicants.
D. Encourage present employees to refer minority and female applicants.
E. Make it known to all recruitment sources that qualified minority and female members are being
sought whenever there is hiring.
IV. This policy is intended to comply with the Civil Rights Act of 1964, as amended, the Federal Highway Act
of 1968, the Executive Order 11246 and 11375, the Rehabilitation Act of 1973, as amended, the Disabled
Veterans and Vietnam Era Veterans Readjustment Act of 1974, as amended, the Indiana Civil Right Act,
and other Federal and State Laws and Regulations pertaining to Equality of Opportunity and Affirmative
Action Policies.
V. Forms for filing any complaints are available in the Griffith office located at 1700 E. Main Street,
Griffith, IN 46319 or the South Bend office located at 24358 S.R. 23, South Bend, IN 46614. In addition,
employees can call (574) 288-4811, Ext. 211 to report any workplace concerns under this policy.
y;
WALSH & KELLY, INC. .
P.
Randall L. Walls, CHRS
Director of Human Resources/EEO fi taer r
Revised: February 27, 2019
INDIANAPOUS, IN AprI125, 2019
ffo'
WALSH & KEL LY INC
GRIPPTTI, IN
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Valid May 1, 2019 Tluu April 30, 2020
AGGREGATE.....,.».,*.».»....».w»................................................................................................................ SUNL1tvII1ED
A(B) CONCRETE PAv—vmwr. Lamm ......................................................................................................... $25.000,000
B(A) ASPHALT PAVEMENT: W/AIDOT CERTIFIED HMA...........................................................................SUNID0137ED
C(B) LIGHT ORADING........................................................................................................................................SUNLIlVgrM
E(B) 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
E(M DEEP SEWER AND/OR EXCAVATION ............. _...................... ............................................................... $25,000,000
E(Q) CONCRETE PAVEMENT REPAIRS.......................................................................................................... $25,000,000
ER ASPHALT PAVEMENT MLLUNG.......................................................... a ........ ---- ....... .,......,...„..--......... 550,000,000
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PREQUALIFICATION ENGINEER
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