The URL can be used to link to this page

Home My WebLink AboutOpening of Bids - 2019 Community Crossings Round 2 Proj No 119-065 - Walsh & KellyCITY OF SOUTH BEND, INDIANA CONTRACTOR'S BID FOR PUBLIC WORK Project Name 2019 Community Crossings Round 2 Project No. .�..._ �.............. 119-065 ...................................................... For Bids Due November 26, 2019, 9:30 a.m., Local Time . .......................................... PART I (Must be completed for all bids. Please type or print) Date: 111 6/.1_ ..... _u Bidder (Firm): Walsh & KeIlyjnc. Address: 24358 SR 23 City/State/Zip: South Send IN 46614 Telephone Number: L574 288-481„1 Agent of Bidder (if Applicable); Pursuant to notices given, the undersigned offers to furnish labor and/or material necessary to complete the public works project of: 2019 Community Crossings Round 2 the City of South Bend, Indiana, in accordance with plans and specifications prepared by: �,_.... ...........................................City of South Bend - Board of Public Works and dated 1 1128/1_............................................ for the sum of (enter the Total Bid as shown on the Proposal) Five hundred six thousand three hundred ninety two dollars and ninety eight cents $ 506,392.98 ,............................................. (Enter sum of all Divisions shown on Proposal) (Numerical) The undersigned further agrees to furnish a bond or certified check with this bid for an amount specified in the notice of the letting. If alternative bids apply, the undersigned submits a proposal for each in accordance with the notice. Any addendums attached will be specifically referenced at the applicable page. If additional units of material included in the contract are shown in the original contract if accepted by the City o, basis, the itemization of the units shall be shown on The above bid is accepted this — Subject to the following conditions: BOARD OF PUBLIC WORKS Gary A. Gilot, President Elizabeth A. Maradik, Member Laura L. O'Sullivan, Member By P� ACCEPTANCE day of roost of its must be the same a+l�ir . If e t. bid is to be awarded � � itL(),o � � ?OR / (Signature) 'Mo of South Bend Ar Name of Person Signing)....— AL ... ..............................�_wwwww 2 '(NDIw Genevieve E. Miller, Member Therese J. Dorau, Member Attest: Linda M. Martin, Clerk Version 4/2/2019 Contractor's Bid for Public Works - 2 Project Name: Project Number: For Bids Due: Contractor Name: BID/PROPOSAL CITY OF SOUTH BEND 0.'• Round r Walsh & Kelly. Inc. DIVISION 1: Ameritech Dr (From Cleveland Rd to 675 FT N of Carbonmill) 1865 Item Line Item Quantity Unit Unit Price Cost No. $ 16,295.00 $ 16,295.00 1 Maintenance of Traffic 1 LS $ 5,000.00 $ 5,000.00 2 Mobilization and Demobilization 1 LS I $ 2.50 $ 15,675.00 3 Milling, Up to 1.5" 6270 SY $ 90.00 $ 46,530.00 4 HMA Surface, 9.5 mm — Type B 517 TONS $ 100.00 $ 2,600.00 5 HMA Wedge and Leveling — Type B 26 TONS $ 100.00 $ 11,400.00 6 HMA for Patching 114 TONS $ 150.00 $ 300.00 7 Tack Coat 2 i TONS $ 0.05 $ 171.75 8 Joint Adhesive, Surface 3435 LF $ 200.00 $ 600.00 9 Adjust Manhole to Grade 3 EA $ 200.00 $ 1,600.00 10 Adjust Inlet to Grade 8 EA 11 Line, Thermoplastic, Solid, White, 4" 210 LF $ 0.56 $ 117.60 $ 0.56 $ 1,218.00 12 Line, Thermoplastic, Solid, Yellow, 4" 2175 LF $ 0.35 $ 866.25 13 Grooving for Pavement Markings, 4" 2475 LF $ 6.50 $ 292.50 14 Transverse Marking, Thermoplastic, Solid, White, 24" 45 LF DIVISION 1 TOTAL $ 102,666.10 BIDDER: Walsh & Kelly, Inc. BID/PROPOSAL CITY OF SOUTH BEND a'i.I T,fit �N�w ca � „ Project Name: 2019 Community Crossings Round 2 Project Number: 119-065 For Bids Due: November 26 2019 9:30 a.m., Local Time Contractor Name: Walsh & Kelly. Inc. DIVISION 2: Ironwood Dr (From Ireland Rd to 250 FT South of US 20) Item Line Item Quantity Unit Unit Price Cost No. 1 Maintenance of Traffic 1 LS $ 16,500.00 $ 16,500.00 2 Mobilization and Demobilization 1 LS $ 8,300.00 $ 8,300.00 3 Milling, Up to 1.5" 11220 SY $ 2.00 $ 22,440.00 4 HMA Surface, 9.5 mm — Type B 926 TONS $ 88.00 $ 81,488.00 5 _ HMA Wedge and Leveling Type B 46 TONS $ 100.00 $ 4 600.00 , 6 HMA for Patching 154 TONS $ 100.00 $ 15,400.00 7 Tack Coat 4 TONS $ 150.00 $ 600.00 8 Joint Adhesive, Surface 6840 LF $ 0.05 $ 342.00 9 �Adjust Inlet to Grade 2 EA $ 200.00 $ 400.00 10 Traffic Detector Loop Replacement 18 EA $ 345.00 $ 6,210.00 11 Traffic [detector Housing Replacement 4 EA $ 650.00 $ 2,600.00 12 Signal Cable, 2C 16 GA. Shielded 290 LF $ 2.00 $ 580.00 13 2" Conduit 290 LF $ 12.00 $ 3,480.00 Pavement Message Markings, Thermoplastic, White, Lane $ 1,300.00 14 Indication Arrow 13 EA $ 100.00 15 Line, Thermoplastic, Solid, White, 4" 1115 LF $ 0.56 $ 624.40 16 Line, Thermoplastic, Solid, Yellow, 4" 2410 LF $ 0.56 $ 1,349.60 17 Line, Thermoplastic, Broken, Yellow, 4" 980 LF $ 0.60 $ 588.00 18 Line, Thermoplastic, Broken, White, 4" 1680 LF $ 0.60 $ 1,008.00 19 Grooving for Pavement Markings, 4" 6185 LF $ 0.35 $ 2,164.75 20 Transverse Marking, Thermoplastic, Solid, White, 24" 110 LF $ 6.50 $ 715.00 DIVISION 2 TOTAL $ 170,689.75 BIDDER: Walsh & Kelly,_Inc.. BID/PROPOSAL CITY OF SOUTH BEND Project Name: 2019 Community Crossings Round 2 Project Number: 119-065 For Bids Due: November 26 2019 930 a.m., Local Time Contractor Name: Walsh & Kelly. Inc. DIVISION 3: Miami St (From Ireland Rd to Widener Ln) Item Line Item Quantity Unit Unit Price Cost No. $ 18,200.00 $ 18,200.00 1 Maintenance of Traffic 1 LS $ 9,400.00 $ 9,400.00 2 Mobilization and Demobilization 1 LS $ 2.00 $ 18,700.00 3 Milling, Up to 1.5" 9350 SY $ 85.00 $ 65,535.00 4 HMA Surface, 9.5 mm — Type B 771 TONS $ 100.00 $ 7,700.00 5 HMA Wedge and Leveling — Type B 77 TONS $ 100.00 $ 13,000.00 6 HMA for Patching 130 TONS $ 150.00 $ 450.00 7 Tack Coat 3 TONS $ 0.05 $ 313.00 8 Joint Adhesive, Surface 6260 LF $ 200.00 $ 1,800.00 9 Adjust Manhole to Grade 9 EA $ 50.00 $ 100.00 10 Adjust Water Valve Structure to Grade 2 EA $ 200.00 $ 800.00 11 Adjust Inlet to Grade 4 EA $ 345.00 $ 690.00 12 Traffic Detector Loop Replacement 2 EA $ 650.00 $ 1,300.00 13 Traffic Detector Housing Replacement 2 EA $ 2.00 $ 48.00 14 Signal Cable, 2C 16 GA. Shielded 24 LF $ 15.00 $ 360.00 15 2" Conduit 24 LF Pavement Message Markings, Thermoplastic, White, Lane $ 100.00 $ 1,200.00 16 Indication Arrow 12 EA $ 0.56 $ 582.40 17 Line, Thermoplastic, Solid, White, 4" 1040 LF 18 Line, Thermoplastic, Solid, White, 6" 475 LF $ 2.75 $ 1,306.25 $ 0.56 $ 1,215.20 19 Line, Thermoplastic, Solid, Yellow, 4" 2170 LF $ 0.60 $ 954.00 20 Line, Thermoplastic, Broken, White, 4" 1590 LF $ 0.35 $ 1,680.00 21 Grooving for Pavement Markings, 4" 4800 LF $ 6.50 $ 747.50 22 Transverse Marking, Thermoplastic, Solid, White, 24" 115 LF $ 400.00 $ 3,200.00 23 Pedestrian Push Button 8 EA $ 235.06 $ 18,800.00 24 Concrete Curb Ramp, Removal 80 SY $ 280.00 $ 22,400.00 25 Concrete Curb Ramp, Installation 80 SY DIVISION 3 TOTAL $ 190,481.35 BIDDER: Walsh 8; Kelly,Inc. Project Name: Project Number: For Bids Due: Contractor Name: BID/PROPOSAL CITY OF SOUTH BEND 2019 Community Crossings, Round 2 119-065 November 26 2019 9:30 a.m., Local Time Walsh & Kelly, Inc. DIVISION 4: Olive St (From Lincoln Way West to Elwood Ave) Item Line Item Quantity Unit Unit Price Cost No. 1 Maintenance of Traffic 1 LS $ 21,200.00 $ 21,200.00 2 Mobilization and Demobilization 1 $ 7,250.00 $ 7,250.00 3 Milling p , U to 1.5" 6178 Sy $ 2.75 $ 16,989.50 4 HMA Surface, 9.5 mm — Type B 510 TONS $ 88.00 $ 44,880.00 5 HMA Wedge and Leveling — Type B 25 TONS $ 100.00 $ 2,500.00 6 HMA for Patching 9 TONS $ 100.00 $ 900.00 7 Tack Coat 2 TONS $ 150.00 $ 300.00 8 Joint Adhesive, Surface J 2779 LF $ 0.05 $ 138.95 9 Adjust Manhole to Grade J 10 EA $ 200.00 $ 2,000.00 10 JAdjust Water Valve Structure to Grade 0 EA $ 50.00 $ - 11 Adjust Inlet to Grade 14 EA $ 200.00 $ 2,800.00 12 Traffic Detector Loop Replacement 6 EA $ 345.00 $ 2,070.00 13 Traffic Detector Housing Replacement 2 EA $ 650.00 $ 1,300.00 14 Signal Cable, 2C 16 GA. Shielded 48 LF $ 2.00 $ 96.00 15 12" Conduit 48 LF $ 15.00 $ 720.00 16 Pavement Message Markings, Thermoplastic, White, Lane 2 EA $ 100.00 $ 200.00 Indication Arrow $ 0.56 $ 52.08 17 Line, Thermoplastic, Solid, White, 4" 93 LF 18 Line, Thermoplastic, Solid, Yellow, 4" 480 LF $ 0.56 $ 268.80 19 Grooving for Pavement Markings, 4" 573 LF $ 0.35 $ 200.55 20 Transverse Marking, Thermoplastic, Solid, White, 24" 24 LF $ 6.50 $ 156.00 21 Concrete Curb Ramp, Removal 80 SY $ 235.00 $ 18,800.00 22 Concrete Curb Ramp, Installation 80 SY $ 280.00 $ 22,400.00 DIVISION 4 TOTAL $ 145,221.88 BIDDER: Walsh & Kelly, Inc. Project Name: Project Number: For Bids Due: Contractor Name: BID/PROPOSAL CITY OF SOUTH BEND 2019 Communily Crossings Round 119-065 November 26 2019 9:: 0 a.m., Local Time Walsh & Kelly, Inc. ALTERNATE 1: Miami St (From Calvert St. to Lincolnway East) Item Line Item Quantity Unit Unit Price Cost No. $ 48,000.00 $ 48,000.00 1 Maintenance of Traffic 1 LS $ 14,500.00 $ 14,500.00 2 Mobilization and Demobilization 1 LS $ 1.50 $ 25,065.00 3 Milling, Up to 1.5" 16710 SY $ 74.00 $ 101,972.00 4 HMA Surface, 9.5 mm — Type B 1378 TONS $ 100.00 $ 13,800.00 5 HMA Wedge and Leveling — Type B 138 TONS $ 100.00 $ 4,000.00 6 HMA for Patching 40 TONS $ 150.00 $ 900.00 7 Tack Coat 6 TONS $ 0.05 $ 497.00 8 Joint Adhesive, Surface 9940 LF $ 200.00 $ 2,800.00 9 Adjust Manhole to Grade 14 EA $ 50.00 $ 550.00 10 Adjust Water Valve Structure to Grade 11 EA $ 200.00 $ 4,400.00 11 Adjust Inlet to Grade 22 EA $ 0.56 $ 53.76 13 Line, Thermoplastic, Solid, White, 4" 96 LF 14 160 LF $ 2.75 $ 440.00 Line, Thermoplastic, Solid, White, 6" $ 0.56 $ 1,965.60 15 Line, Thermoplastic, Solid, Yellow, 4" 3510 LF $ 0.35 $ 1,262.10 17 Grooving for Pavement Markings, 4" 3606 LF $ 6.50 $ 377.00 18 Transverse Marking, Thermoplastic, Solid, White, 24" 58 LF -7 $ 400.00 $ 6,800.00 19 Pedestrian Push Button 17 EA $ 235.00 $ 31,725.00 20 Concrete Curb Ramp, Removal 135 SY I $ 280.00 $ 37,800.00 21 Concrete Curb Ramp, Installation 135 SY $ 690.00 22 Traffic Detector Loop Replacement 2 EA $ 345.00 $ 750.00 $ 750.00 23 Traffic Detector Housing Replacement 1 EA $ 2.00 $ 70.00 24 Signal Cable, 2C 16 GA, Shielded 35 LF $ 15.00 $ 525.00 25 2" Conduit 35 LF ALTERNATE 1 TOTAL $ 298,942.46 Bidder (Firm): Walsh & Kelly,Inc. Address: 24358 SR City/State/Zip: South Bend IN 46614 Telephone Number: By ... ' (Signature) r VP of South Bend Area (Printed Name of Person Signing) C 1 RA 7'r,aw .n `�" �� NDI When the prospective Contractor is unable to certify to any of the statements below, it shall attach an explanation to this Affidavit. CONTRACTOR'S NON -COLLUSION AND NON -DEBARMENT AFFIDAVIT, CERTIFICATION REGARDING INVESTMENT WITH IRAN, EMPLOYMENT ELIGIBILITY VERIFICATION, NON- DISCRIMINATION COMMITMENT AND CERTIFICATION OF USE OF UNITED STATES STEEL PRODUCTS OR FOUNDRY PRODUCTS (Must be completed for all quotes and bids. Please type or print) STATE OF Indiana _ ) SS: St. Joseph COUNTY ) The undersigned Contractor, being duly sworn upon his/her/its oath, affirms under the penalties of perjury that: 1. Contractor has not, nor has any other member, representative, or agent of the firm, company, corporation or partnership represented by him, entered into any combination, collusion or agreement with any person relative to the price to be bid by anyone at such letting nor to prevent any person from bidding nor to induce anyone to refrain from bidding, and that this bid is made without reference to any other bid and without any agreement, understanding or combination with any other person in reference to such bidding. Contractor further says that no person or persons, firms, or corporation has, have or will receive directly or indirectly, any rebate, fee, gift, commission or thing of value on account of such sale; and 2. Contractor certifies by submission of this proposal that neither contractor nor any of its principals are presently debarred, suspended, proposed for debarment, declared ineligible, or voluntarily excluded from participation in this transaction by any Federal department or agency; and 3. Contractor has not, nor has any successor to, nor an affiliate of, Contractor, engaged in investment activities in Iran. a. For purposes of this Certification, "Iran" means the government of Iran and any agency or instrumentality of Iran, or as otherwise defined at Ind. Code § 5-22-16.5-5, as amended from time -to -time. b. As provided by Ind. Code § 5-22-16.5-8, as amended from time -to -time, a Contractor is engaged in investment activities in Iran if either: i. Contractor, its successor or its affiliate, provides goods or services of twenty million dollars ($20,000,000) or more in value in the energy sector of Iran; or ii. Contractor, its successor or its affiliate, is a financial institution that extends twenty million dollars ($20,000,000) or more in credit to another person for forty-five (45) days or more, if that person will (i) use the credit to provides goods and services in the energy sector in Iran; and (ii) at the time the financial institution extends credit, is a person identified on list published by the Indiana Department of Administration. Version 4/2/2019 Contractor's Bid for Public Works - 4 4. Contractor does not knowingly employ or contract with an unauthorized alien, nor retain any employee or contract with a person that the Contractor subsequently learns is an unauthorized alien. Contractor agrees that he/she/it shall enroll in and verify the work eligibility status of all of Contractor's newly hired employees through the E-Verify Program as defined by I.C. 22-5-1.7-3. Contractor's documentation of enrollment and participation in the E-Verify Program is included and attached as part of this bid/quote; and 5. Contractor shall require his/her/its subcontractors performing work under this public contract to certify that the subcontractors do not knowingly employ or contract with an unauthorized alien, nor retain any employee or contract with a person that the subcontractor subsequently learns is an unauthorized alien, and that the subcontractor has enrolled in and is participating in the E-Verify Program. The Contractor agrees to maintain this certification throughout the term of the contract with the City of South Bend, and understands that the City may terminate the contract for default if the Contractor fails to cure a breach of this provision no later than thirty (30) days after being notified by the City. 6. Persons, partnerships, corporations, associations, or joint venturers awarded a contract by the City of South Bend through its agencies, boards, or commissions shall not discriminate against any employee or applicant for employment in the performance of a City contract with respect to hire, tenure, terms, conditions, or privileges of employment, or any matter directly or indirectly related to employment because of race, sex, religion, color, national origin, ancestry, age, gender expression, gender identity, sexual orientation or disability that does not affect that person's ability to perform the work. In awarding contracts for the purchase of work, labor, services, supplies, equipment, materials, or any combination of the foregoing including, but not limited to, public works contracts awarded under public bidding laws or other contracts in which public bids are not required by law, the City, its agencies, boards, or commissions may consider the Contractor's good faith efforts to obtain participation by those Contractors certified by the State of Indiana as a Minority Business ("MBE") or as a Women's Business Enterprise ("WBE") as a factor in determining the lowest, responsible, responsive bidder. In no event shall persons or entities seeking the award of a City contract be required to award a subcontract to an MBE/WBE; however, it may not unlawfully discriminate against said WBE/MBE. A finding of a discriminatory practice by the City's MBE/WBE Utilization Board shall prohibit that person or entity from being awarded a City contract for a period of one (1) year from the date of such determination, and such determination may also be grounds for terminating the contact for which the discriminatory practice or noncompliance pertains. 7. The undersigned contractor agrees that the following nondiscrimination commitment shall be made a part of any contract which it may henceforth enter into with the City of South Bend, Indiana or any of its agencies, boards or commissions. Contractor agrees not to discriminate against or intimidate any employee or applicant for employment in the performance of this contract with privileges of employment, or any matter directly or indirectly related to employment, because of race, religion, color, sex, gender expression, gender identity, sexual orientation, handicap, national origin or ancestry. Breach of this provision may be regarded as material breach of contract. 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). I hereby certify that I and all subcontractors employed by me for this project will use steel products or foundry products made in the United States on this project if awarded. I understand I have an affirmative duty to notify the City in my bid that my proposal does not include the use of steel products or foundry products made in the United States. I understand it is my sole obligation and responsibility to provide a justification to the City, subject to review and approval, why the cost of United States made steel or foundry products is unreasonable. Prior to award and upon submission of bid which does not use steel products or foundry products made in the United States, the City, through its director of public works, shall make a determination if the price of United States made steel or foundry is unreasonable. I understand that violations hereunder Version 4/2/2019 Contractor's Bid for Public Works - 5 may result in forfeiture of contractual payments. I hereby affirm under the penalties of perjury that the facts and information contained in the foregoing bid for public works are true and correct. Dated this 26th day of Nov. , 2019 Ili idder or Its Agent Dustin Hilary, VP of South Bend Area Printed Name and Title Subscribed and sworn to before me this 26th day of. November ...... 20119 My Commission Expires mmITIT6/5/22mmmmmmm .„ ..._ .__. Notary Ic Alish Krueger County of Residence St. Joseph ALISHA KRUEGER 'r,b � public, State of Indiana , Notary LI" St. Joseph County My commission Expires June O 5, 2022 Aftl I81zW4bk M1 Version 4/2/2019 Contractor's Bid for Public Works - 6 Surety O + 908.903.3485 202E Halls Mill Road, PO Box 1650 F + 908.903.3656 Whitehouse Station, M 08889-1650 Federal Insurance Company AU Document A31OTM - 2010 Bid Bond Any singular reference to Contractor, Surety, Owner or other party shall be considered plural where applicable. CONTRACTOR (Name le al status and address): also Kelly, Inc. 24358 State Road 23 South Bend, IN 46614 OWNER (Name, legal status and address): City of South Bend, Indiana County -City Building Room 1316 227 West Jefferson Blvd. South Bend, Indiana, 46601 BOND AMOUNT SURETY (Name, legal status and principal place of business): Federal Insurance Company 202B Halls Mill Rd., PO Box 1650 Whitehouse Station, Iq 08889-1650 In the amount of not less than five percent (5%) of the base bid plus any alternates. PROJECT (Name, location or address, and Project number, if any) 2019 Community Crossings Round 2 Project No. 119-065 The Contractor and Surety are bound to the Owner in the amount set forth above, for the payment of which the Contractor and Surety bind themselves, their heirs, executors, administrators, successors and assigns, jointly and severally, as provided herein. The conditions of this Bond are such that if the Owner accepts the bid of the Contractor within the time specified in the bid documents, or within such time period as may be agreed to by the Owner and Contractor, and the Contractor either (1) enters into a contract with the Owner in accordance with the terms of such bid, and gives such bond or bonds as may be specified in the bidding or Contract Documents, with a surety admitted in the jurisdiction of the Project and otherwise acceptable to the Owner, for the faithful performance of such Contract and for the prompt payment of labor and material furnished in the prosecution thereof, or (2) pays to the Owner the difference, not to exceed the amount of this Bond, between the amount specified in said bid and such larger amount for which the Owner may in good faith contract with another party to perform the work covered by said bid, then this obligation shall be null and void, otherwise to remain in full force and effect. The Surety hereby waives any notice of an agreement between the Owner and Contractor to extend the time in which the Owner may accept the bid. Waiver of notice by the Surety shall not apply to any extension exceeding sixty (60) days in the aggregate beyond the time for acceptance of bids specified in the bid documents, and the Owner and Contractor shall obtain the Surety's consent for an extension beyond sixty (60) days. If this Bond is issued in connection with a subcontractor's bid to a Contractor, the term Contractor in this Bond shall be deemed to be Subcontractor and the term Owner shall be deemed to be Contractor. Printed in cooperation with theAmerican Institute ofArchitects (ALA) by Chubb. The latl; /rage in this document conforms to the language used in ALA Document A310 W - 2010. Form 15-02-06/5-F® (Rev. 3/17) When this Bond has been furnished to comply with a statutory or other legal requirement in the location ofthe Project, any provision in this Bond conflicting with said statutory or legal requirement shall be deemed deleted here from and provisions conforming to such statutory or other legal requirement shall be deemed incorporated herein. When so furnished, the intent is that this Bond shall be construed as a statutory bond and not as a common law bond. Signed and sealed this 26th C AJI-1-11 III It (Witness) ARsha l(' der day of November, 2019. SEAL.* - Federal Insurance Company (Witness) Ida hryn R. Postma (Attorney -in -Fact) Lisa M. Becker "rarA t" (Corporate Seal) Printed in cooperation with theAmerican Institute ofArchitects (ALA) by Chubb. The language in this document conforms to the language used in AM DocumentA310 Tm- 2010. Form 15-02-0575-FED (Rev. 3/17) CHUBB$ Power of Attorney Federal Insurance Company I Vigilant Insurance Company I Pacific Indemnity Company Know All by These Presents, That FEDERAL INSURANCE COMPANY, an Indiana corporation, VIGILANT INSURANCE COMPANY, a New York corporation, and PACIFIC INDEMNITY COMPANY, a Wisconsin corporation, do each hereby constitute and appoint Lisa M. Becker, Tia A. Boice, Terry R. Hurst, Brian T. Morton, David M. Oliger, Kathryn R. Postma, Tina N. Senefeld and Eric M. Wahlstrom of Indianapolis, Indiana ---- ------------- - -----------------_- each as their true and lawful Attomey-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 6* day of March, 2019. Rival 11 Chkn-o . A�Simantsecrctaly STATE OF NEW JERSEY County of Hunterdon -A�,--, A'4_� Stcl)hat %I, I lancy. Vice Ilro ideni On this 61 day of March, 2019, before me, a Notary Public of New Jersey, personally came Dawn M. Chloros, to me known to be Assistant Secretary of FEDERAL INSURANCE COMPANY, VIGILANT INSURANCE COMPANY, and PACIFIC INDEMNITY COMPANY, the companies which executed the foregoing Power of Attorney, and the said Dawn M. Chloros, being by me duly sworn, did depose and say that she is Assistant Secretary of FEDERAL INSURANCE COMPANY, VIGILANT INSURANCE COMPANY, and PACIFIC INDEMNITY COMPANY and knows the corporate seals thereof, that the seals affixed to the foregoing Power of Attorney are such corporate seals and were thereto affixed by authority of said Companies; and that she signed said Power of Attorney as Assistant Secretary of said Companies by like authority; and that she is acquainted with Stephen M. Haney, and knows him to be Vice President of said Companies; and that the signature of Stephen M. Haney, subscribed to said Power of Attorney is in the genuine handwriting of Stephen M. Haney, and was thereto subscribed by authority of said Companies and in deponent's presence. Notarial Seal ROSE CURTIS NOTARY KIBUC OF NEW JflI & gum eve. Cm�m T'2+tOtI ?itort x;n} Public CERTIFICATION Resolutions adopted by the Boards of Directors of FEDERAL INSURANCE COMPANY, VIGILANT INSURANCE COMPANY, and PACIFIC INDEMNITY COMPANY on August 30, 2016: "RESOLVED, that the following authorizations relate to the execution, for and on behalf of the Company, of bonds, undertakings, recognizances, contracts and other written commitments ofthe Company entered Into in the ordinary course of business (each a "Written Commitment"): (1) Each of the Chairman, the President and the Vice Presidents of the Company Is hereby authorized to execute any Written Commitment for and on behalf ofthe Company, under the sea] of the Company or otherwise. (2) Each duly appointed attorney -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 fail 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 behaffof the Company, to delegate in wrtdngto 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 specfled In such written delegation, which specification may be 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, may be affixed by facsimile on such Written Commitment or written appointment or delegation. FURTHER RESOLVED, that the foregoing Resolution shall not be deemed to be an exclusive statement ofthe powers and authority of officers, employees and other persons to act for and on behalf of the Company, and such Resolution shall not limit or otherwise affect the exercise of any such power or authority otherwise validly granted or vested" 1, Dawn M. Chloros, Assistant Secretary of FEDERAL INSURANCE COMPANY, VIGILANT INSURANCE COMPANY, and PACIFIC INDEMNITY COMPANY (the "Companies") do hereby certify that (1) the foregoing Resolutions adopied by the Bayard of Directors ofthe 0)piPanies are true, correct and in full force and effect, (11) : the foregoing Power OfAttotney Is true, co rrl t and in full force and effect. Given tinder 1uy hang and 3Eals of said Companies at Whitehouse Station, Nj, this 26th day of November, 2019. Ikrv:n \iChlrx°>,:\s iu;nu S�rrct:u} IN 111 R EVENr YOU WISH TO VERIFY THE AUTHENTICITY OF THIS BOND OR NOTIFY US OF ANY OTHER MATTER, PLEASE CONTACT US AT: Telephone )903-3493�www........Fax.ylip�rT9('Y3.3£r54S ean,rCq serxe(yr�rpchytN9alt,t9oroYY FED- VIG-PI (rev. 08-18) 1 3 G 6 CmwV'9/..CII n y B&.MVV.MNC 227 W. J :F I Ro,4 BeDUR..RN_ M) C I Y O ' OUTF1 13EN1�g6D .PL4"I' : Bt1 t 1IC.PflEG, .MA.YOP, BOARD F6L WORKS September 25, 2019 Dustin Hilary Walsh & Kelly, Inc. 24358 SR 23 South Bend, IN 46614 RE: Pre -Qualification Verification Dear Mr. Hilary: This letter serves as verification of Pre -Qualification status of your company for bidding with the City of South Bend. This Pre -Qualification status is effective for twelve (12) months from the date of this letter. Thereafter you are required to re -submit a complete application for continuation of pre -qualification status prior to December 31 for the upcoming calendar year. A copy of this Verification Letter must be included with every bid exceeding $150,000 submitted to the City of South Bend Board of Public Works, along with your Pre -Qualified Bidder Checklist and attachments. If you have any further questions regarding this matter, please call this office at (574) 235-9251. Sincerely, IV Linda M. Martin, Clerk GARiY A. C.sll',OT Q_cYrN E VIF' E E. Mtll< LER E.LIZABETH A. MARFa.B:DRRC LAURA fl.. O SR7L L[VAN TH RgF:SEJ. DORaAU 1316 COUNTY -CITY BUILDING 227 W.JEFFERSON BOULEVARD SOUTH BEND, INDIANA 46601-1830 PHONE 574/235-9251 FAX 574/235-9171 TDD 574/ 235-5567 CITY OF SOUTH BEND PETE BUTTIGIEG, MAYOR BOARD OF ULIC WORKS Date: November 22, 2019 _M ....... _ ...... .._...._ To: All Bidders �..........__ _.. ._ ............... u .�....... _ ....... From Linda M. Martin, Clerk, Board of Public Works Subject Addendum Number: 1 Project Name: 2019 Community Crossings Round 2 Project Number: 119-065 ACKNOWLEDGEMENT OF RECEIPT OF ADDENDUM Date Received: 11/22/19 This addendum is being forwarded to you for the above referenced project. Please sign below and acknowledge receipt of this Addendum by faxing this sheet to the Board of Public Works at (574) 235-9171 within 48 hours of receipt. A copy MUST also be included with your bid package upon submittal. THIS ADDENDUM MAY AFFECT YOUR BID. Notes: The attached documents are hereby added to the Specifications and Contract Documents and become a part of herein. _. _ .m__..... �-LrCom any: alahKelly, Inc. .. ' i Authorized Signature: Hilala„ 1/l-dt South Bend Area Date: 11 /22/19 Version 4/2/2015 oRAT , a Mµ i N D 11 CITY OF SOUTH BEND, INDIANA CONTRACTOR'S BID FOR PUBLIC WORK CHECKLIST FOR BIDDERS Project Name 2019 Community Crossings Round 2 Project No. 119-065 ..............................._..... For Bids Due November 26, 2019, 9:30 a.m., Local Time From time to time the South Bend Board of Public Works finds it necessary to reject a bid because it does not comply with statutory requirements. In preparing your bid, please use the following checklist in order to make sure that your bid is done in the proper manner. Proper bid security included. The bidder has the option of providing either a Certified Check X or Bid Bond. Bid prepared on the City of South Bend Contractor's Bid for Public Work Form, completely X executed. Contractor's Non -Collusion and Non -Debarment Affidavit, Certification Regarding Investments with Iran, Employment Eligibility Verification, Non -Discrimination Commitment, and X Certification of use of United States Steel Products or Foundry Products. Proof of MBE/WBE Participation Goal Form [MWBE-1.0]. If minimum participation goal is not met, also provide Evidence of Good Faith Efforts Form [MWBE-2.0] and MBE/WBE Contacted X Form [MWBE-2.1]. X_ Acknowledge Receipt of 1 Addendum(s) included with the bid. X All required additional information is included with the bid. Proposal statements and other affidavits all signed by the proper party with name either X printed or typed underneath signature. X This checklist submitted with the Bid. This checklist is provided for bidder's use in assuring compliance with required documentation; however, it does not include all specifications requirements and does not relieve the bidder of the need to read aomply with the specifications. Bidder: Walsh & Kelly. In By Authorized Signature: Print Name & Version 4/2/2019 ustin Hilarv, VP of South Bend Area Contractor's Bid for Public Works - 1 Date: 11 /26/19 i,til l I ml,', & KELLy .�s w wMw ,p: pv /NDIO il11111110,4 PART II (For projects of $100,000 or more — IC 36-1-12-4) These statements to be submitted under oath by each bidder with and as part of his/her/its bid. Attach additional pages for each section as needed. SECTION I EXPERIENCE QUESTIONNAIRE 1. Attach information regarding projects your organization has completed for the period of one (1) year prior to the date of the current bid. 2. Attach a listing of public works projects currently in process of construction by your organization. 3. Attach information regarding any failure to complete any work awarded to you and the location thereof. 4. Attach references from private firms for which you have performed work. SECTION II PLAN AND EQUIPMENT QUESTIONNAIRE 1. Attach an explanation of your plan or layout for performing proposed work. (Examples could include a narrative of when you could begin work, complete the project, number of workers, etc. and any other information which you believe would enable the City of South Bend to consider your bid.) 2. Attach a listing of the names and addresses of all subcontractors (i.e. persons or firms outside your own firm who have performed part of the work) that you have used on public works projects during the past five (5) years along with a brief description of the work done by each subcontractor. 3. If you intend to sublet any portion of the work, attach the name and address of each subcontractor, equipment to be used by the subcontractor, and whether you will require a bond. However, if you are unable to currently provide a listing, please understand a listing must be provided prior to contract approval. Until the completion of the proposed project, you are under a continuing obligation to immediately notify the City of South Bend in the event that you subsequently determine that you will use a subcontractor on the proposed project. 4. Attach a listing of equipment you have available to use for the proposed project. 5. Have you entered into contracts or received offers for all materials which substantiate the prices used in preparing your proposal? If not, attach an explanation for the rationale used which would corroborate the prices listed. SECTION III CONTRACTOR'S FINANCIAL STATEMENT Attachment of bidder's financial statement is mandatory. Any bid submitted without said financial statement as required by statute shall thereby be rendered invalid. The financial statement provided hereunder to the City of South Bend awarding the contract must be specific enough in detail so that said City of South Bend can make a proper determination of the bidder's capability for completing the project if awarded. Version 4/2/2019 Contractor's Bid for Public Works - 3 } H W 0 W Q' d w Z H 0m W Ix a OZZ UNW O°°O U2> OW Z Q H O Z_ 5 Z O O ~ Q �a m0 �a �W �m O� W W m 2 ul \ rn — U) C o m m o o r d O a� CO L0 wa LO Q. 0 M 0 a° m CO m O O Q ca W m 0 W a) °a N CD W m CL EU O O O `m m Lf) � C w p N +a) O 0 C U R / y a O 41 v = ' N Q U 0 d 41 C Oi m R3L. O U) E 0 p�,. ,w.'•+ N M "..» d •y U)69 A c 0 ° acu +' o a> 3 = 00 � co O E o 0 ,F O E Q ° n 45 U c cc U L U) r •E N Q ca � C&�, O ~ LU (n w °' 0 a E N N 2 Z c +�+ N U w N d fns a) Nc _00 d o O _ mt C �caaa)i L) YO a c a)N O Cl? m �, U� 2ti caN cn 3 L Z E cn O a co 3 `o m > E ? ACV U) U m O r a` m ti 0 c CD 41- ?r Y to �N L U N_ ............._._............... ...................... o = 0 fa m l E 0 CL U N C O T N OZ d m N d O(D CD CD cn c L.E C o O =>Z �(AZ— Cyd U)y — L t N H d c6 O Q �; d L U) UN� L O.=_ rn r m ¢ �U) �Z O o Q•N 7 aS f6 CO C EJ2a Z .. E COM Ww N i m N Y V t N N Z OtoO E c a 3 d m CO N Cn 2 U (n a`) H — 0 _ ..._. ....... > CITY OF SOUTH BEND MINORITY AND WOMEN BUSINESS ENTERPRISE DIVERSITY / rs DEVELOPMENT PROGRAM 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 MBEIWBE 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: 119-065 Date: 11/26/19 Project Name: 2019 Community CrossinRound mm2 Bidder: Walsh & Kelly, Inc. Contact Person: Dustin Hilary . Telephone: 574-288-4811 Address: 24358 SR 23 City: South Bend State: _._Indiana zip: 46614 Email: dustinhr walshkelly.com To determine whether a bidder has demonstrated good faith efforts to reach the MBE/WBE utilization goals set forth in the City of South Bend Public Works Project Specifications, the City and its agencies, boards, or commissions, REQUIRE ALL of the following Good Faith Efforts as listed in the table below": EVIDENCE OF GOOD FAITH EFFORTS _............ ......................................................................� rMBEIWBE LIST(S): The bidder reviewed the City of South Bend's Minority and Women Business Enterprise Diversity Development Program, which uses the IDOA approved list of Minority and Women Owned Business as found on their website (hftp://www.in.gov/idoa). ........ .............._ ................. ACTIdId (ADVERTISE/CONTACT): In order for your bid to be deemed responsive, the City of South Be rs uires that a1I perspective bidders complete no less than 2 of the following: 1, Attend all pre -bid meetings scheduled by the City to inform MBEANBEs of contracting and subcontracting opportunities. 2. Advertise in general circulation and/or trade association publications concerning subcontracting opportunities, and allow MBE/WBEs reasonable time to respond. Perform any and all necessary steps to provide written notice in a manner reasonably calculated to inform MBE/WBEs of subcontracting opportunities and allowed sufficient time for them to participate effectively. 4. Utilize pre-existing services of available community organizations, small and/or disadvantaged business assistance offices and other organizations that provided assistance in the recruitment and placement of MBE/WBE firms. ""Bidder must circle or otherwise notate which of the two (2) required actions were performed. .................................. GOOD FAITH NEGOTIATIONS: The bidder negotiated in good faith with interested MBE/WBEs, including providing such MBE/WBE's with adequate information about the plans, specifications and other requirements of the subcontract and did not reject MBE/WBEs as unqualified without sound business reasons based on a thorough investigation of their capabilities. _....... ........� ........_....._.............._.. ....................................................... SMALL CONTRACT(S): The bidder selected specific portions of the work to be performed by MBE/WBEs in order to increase the likelihood of meeting the MBE/WBE goals (including breaking down contracts into smaller units to facilitate MBE/WBE participation) ......................... _ ............................................... CONTRACT RECORDS: The bidder has maintained the following records for each MBE/WBE that has bid on the subcontracting opportunity: 1. Name, address, and telephone number; 2. A description of information provided by the bidder or subcontractor; and 3. A statement of whether an agreement was reached, and if not, why not, including any reasons for concluding that the MBE/WBE was unqualified to perform the job. Pro erd' ............__. p emonstration of Good Faith Effort requires your initials next to all of the above boxes. Any omissions shall be considered grounds for rejection of the bid by the Board of Public Works. The City of South Bend reserves the right to request additional information. Version 4/2/2019 Contractor's Bid for Public Works - 16 CITY OF SOUTH BEND MINORITY AND WOMEN BUSINESS ENTERPRISE DIVERSITY DEVELOPMENT PROGRAM 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 MBE/WBE to obtain Good Faith Efforts. It is the bidder's sole responsibility to verify whether any listed minority or woman business meets the qualifications of a Minority or Women's owned business. PAGE 1 OFttttttt KE , MBE/WBE Participation Goal . "°"`°.""" Round 2%gRPORA TF " jelly, Inc _ �.— VP of South Bend Area 11/26/19 ry (Title) (Date) E/WBE Firm s�f11111�a�` State Barricading, Inc. w Owner or Contact at MBE/WBE Firm James Michalski Telephone: 574-287-2078 Fax: 574-287-1744 Email: STATEBARRICADEI@aol.com TYPE OF WORK SOLICITED FOR THIS PROJECT: Project Number: 11 Project Name: t1 Bidder: By: nity Cross Traffic Control/Maintaining_ofITTraffic_mmmmmmmmmmmmmmmmmmmmmmmmmm RESULTS OF CONTACT WITH THE MBE/WBE FIRM: If Walsh & Kelly, Inc. is awarded theroect, we'll enter into a subcontract with State Barricadina. Inc. MBE/WBE Firm Hawk Enterprises, Inc. Owner or Contact at MBE/WBE Firm Ries Plank ....... ......................_.... ........ - ..................... _..... _.................... ........ ..... ........................................................................................................ Telephone: 219-662-8090 Fax: 219-662-8093 Email: ries@hawk-inc.com TYPE OF WORK SOLICITED FOR THIS PROJECT: Electrical/Traffi RESULTS OF CONTACT WITH THE MBE/WBE FIRM: If Walsh & Kelly, Inc. is awarded the project, we'll enter intowwawwwsubcontract_with Hawk .Enterprises, Inc. Version 4/2/2019 Contractor's Bid for Public Works - 17 CITY OF SOUTH BEND, INDIANA CONTRACTOR'S BID FOR PUBLIC WORK RESPONSIBLE BIDDER CHECKLIST Project Name 2019 Community Crossings Round 2 Project No. 119-065 For Bids Due November 26, 2019, 9:30 a.m., Local Time Contractor Name: Walsh & Kelly, Inc. The City seeks to enhance its ability to identify responsive and responsible bidders on all City public works projects by institution of comprehensive submission requirements in compliance with State law. Quality workmanship, efficient operation, safety, and timely completion of projects requires that all bidders meet certain minimum requirements to be responsive and responsible bidders. THIS FORM MUST BE SUBMITTED WITH YOUR BID. INSTRUCTIONS: If you are a pre -qualified bidder, complete Section I only. If you are not a pre -qualified bidder, complete Section II only. Section II acts as an application for pre -qualification. Submission of Section II will allow the bidder to be considered for pre -qualification for bids with the City of South Bend Department of Public Works. Pre - qualified bidders will then be exempt from a portion of the submission requirements outlined in Section 6- 63 of The Responsible Bidding Ordinance No. 10594-18 (hereinafter, "Responsible Bidding Ordinance") for a period of twelve (12) months. Thereafter, contractors who are pre -qualified must submit a complete application for continuation of "pre - qualified" standing, on a form provided by the City ("Responsible Bidder Checklist (1) Pre -Qualified Bidders") by December 31s' for the upcoming calendar year, or within twelve (12) months of obtaining pre - qualified standing. If the status of any item changes within the twelve (12) months, it is the responsibility of the contractor to notify the City. Failure by any pre -qualified contractor to submit its complete application for continuation of "pre -qualified" standing within the time prescribed above shall result in automatic removal of the designation, effective January 1 of the following year, or immediately following the twelve (12) months of pre -qualified standing. However, the "removed" contractor or subcontractor shall still be permitted to bid on City public works projects, though the contractor must submit all required documents under 6-63 until "pre -qualified" status is re-established. Please Note: The City reserves the right to request supplemental information from the bidder, additional verification of any information provided by the bidder, and may also conduct random inquiries of the bidder's current and previous customers regardless of pre -qualified standing. It is the sole responsibility of the potential bidder to comply with all submission requirements applicable to the bidder in Section 6-63 of the Responsible Bidding Ordinance no later than the date of the public bid opening. Version 5/16/2019 General Conditions - 6 POST BID SUBMISSIONS: Post -bid submissions must be submitted in accordance with Section 6-64 of the Responsible Bidding Ordinance. The post -bid submission requirements are as follows: 1. All bidders shall collect, maintain, and provide upon request, a current written list that discloses the name, address, licensing status, and type of work for any subcontractor from whom the bidder has accepted a bid and/or intends to hire on any part of the public work project, including individuals performing work as independent contractors. 2. Each subcontractor, whose portion of the project is estimated to be at least one -hundred fifty thousand dollars ($150,000.00), shall be required to adhere to the requirements of Section I of the Responsible Bidder Ordinance as though it were bidding directly to the City, except that the subcontractor shall submit the required information (including the name, address, and type of work) to the successful bidder prior to the commencement of work. 3. Failure of a subcontractor to submit the required information shall not disqualify the successful bidder from performing work on the project and shall not constitute a contractual default and/or breach by the successful bidder. However, the City may withhold all payment otherwise due for work performed by a subcontractor, until the subcontractor submits the required information and the City approves such information. 4. The disclosure of a subcontractor list ("Disclosed Subcontractor(s)") to the City by a bidder shall not create any rights in the Disclosed Subcontractor(s). Thus, a bidder may substitute another subcontractor for a Disclosed Subcontractor by giving the City, upon request, written notice of the name, address, licensing status, and type of work of the substitute subcontractor. 5. The successful bidder and all subcontractors on a public works project are required to submit certified payroll utilizing the federal form known as WH-347 or a similar form on a bi-weekly basis, submitted within 10 days after the end of each bi-weekly payroll period. Certified payrolls shall identify the job title and craft for each employee. Certified payrolls shall be submitted electronically. Please Note: Submissions deemed inadequate, incomplete, or untimely by the City may result in the automatic disqualification of the bid. The City, after review of complete and timely submissions, shall, in its sole discretion, after taking into account all information in the submission requirements, determine whether a bidder is responsive and responsible, and provide a Pre -Qualification Verification Letter. The City specifically reserves the right to utilize all information provided in the contractor's submission and any information obtained by the City through its own independent verification of the information provided by the contractor. Version 5/16/2010 General Conditions 7 PRE -QUALIFIED BIDDER CHECKLIST (a) Acknowledgements: (i) X By checking this box, I hereby acknowledge that I am a pre -qualified bidder with the City of South Bend and that I have met the pre -qualification requirements within the last twelve (12) months. A copy of my Pre -Qualification verification letter is attached. (ii) X By checking this box, I hereby acknowledge that the City reserves the right to request supplemental information, additional verification of any information provided by me, and may also conduct random inquiries of my current and prior customers. (b) Attachments: (i) X Indiana Secretary of State's on-line records (ie. Business verification) dated within sixty (60) days of the submission of said document showing that business is in existence, current with the Indiana Secretary of State's Business Entity Report, and eligible for a certificate of good standing. (Not applicable to individuals, sole proprietors or partnerships). (ii) X Statement on staffing capabilities, including labor sources. This statement indicates and ensures I have sufficient employees on staff to complete the work. It outlines how I intend to meet the staffing needs of the work. (iii) X Evidence that I am utilizing a surety company which is on the United States Department of Treasury's Listing of Approved Sureties as required in the bid specifications or contract. (iv) X List of projects of similar size and scope of work performed in all areas, including the State of Indiana, within the last three (3) years. (v) X For every project, submit evidence of participation in apprenticeship and training programs, applicable to the work to be performed on the project, which are approved by and registered with the United States Department of Labor's Office of Apprenticeship, or its successor organization. Version 5/16/2019 General Conditions - 8 PRE -QUALIFICATION CHECKLIST (FOR BIDDERS THAT ARE NOT PRE -QUALIFIED) (a) Acknowledgements: (i) _ By checking this box, I hereby acknowledge that I am not a pre -qualified bidder with the City of South Bend. (ii) _ By checking this box, I hereby acknowledge that the City reserves the right to request supplemental information, additional verification of any information provided, and may also conduct random inquiries of my current and prior customers. The City reserved the right to utilize all information provided in this submission and all information obtained in inquiries or requests to determine if a bidder is responsive and responsible. Additionally, I acknowledge that all information provided to the City shall be regarded as public records. (iii) _ By checking this box, I hereby acknowledge that copies of all Applicable apprenticeship certificates or standards for training programs applicable to the work performed on the project may be requested at any time and shall be furnished upon request. (iv) _ By checking this box, I hereby acknowledge and ensure that I and all sub- contractors, from whom I have accepted a bid and/or intend to hire to perform work on the public work project, are properly licensed. Furthermore, I acknowledge my understanding that it is my responsibility to ensure that all sub -contractors have the necessary licenses to undertake the work called for in this bid. If a sub- contractor loses their license at any point, it is the responsibility of that sub- contractor to notify the City. (b) Attachments: (i) _ Indiana Secretary of State's on-line records (ie. Business verification) dated within sixty (60) days of the submission of said document showing that business is in existence, current with the Indiana Secretary of State's Business Entity Report, and eligible for a certificate of good standing. (Not applicable to individuals, sole proprietors or partnerships). List identifying all former business names. (iii) Any determinations by a court or governmental agency any violations of federal state, or local laws including, but not limited to, violations of contracting or antitrust laws, tax or licensing laws, environmental laws, Occupational Safety and Health Act (OSHA), or federal Davis -Bacon and related Acts, within the preceding five (5) years. (iv) Statement about staffing capabilities, including labor sources. This statement indicates and ensures I have sufficient employees on staff to complete the work I am bidding on OR outlines how I intend to meet the staffing needs of the work. (v) Statement that individuals who will perform work on the public work project on my behalf will be properly classified as an employee or as an independent contractor under all applicable state and federal laws and local ordinances. (vi) For every project, submit evidence of participation in apprenticeship and training programs, applicable to the work to be performed on the project, which are approved by and registered with the United States Department of Labor's Office of Apprenticeship, or its successor organization. (vii) Copy of a written plan for employee drug testing that covers all of my employees who will perform work on the public work project and meets or exceeds the requirements set forth in IC 4-13-18-5 or IC 4-13-18-6. (viii) Evidence that I am utilizing a surety company which is on the Bureau of Fiscal Service "Department of Treasury's Listing of Approved Sureties" as required in the bid specifications or contract. Version 5/16/2019 General Conditions - 9 (ix) Written statement of any federal, state or local tax liens or tax delinquencies owed to any federal, state or local taxing body in the preceding three years. 0) 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. (Print Name Here) Walsh & Kel!y, Inc. (Name of Company) Address ofCompany)tttttr� South Bend (City) , Indiana (State) w 574-288-4811 t (Telephone Number) Version 5/16/2019 General Conditions - 10 Responsible ridding Practices and Submission Requirements for Pre -Qualified bidder Checklist (l) Attachments is (i) Attached Staffing Capabilities: Walsh & Kelly, Inc. is signatory with the following unions which supply our workforce — Laborers International Union, Teamsters, Operating Engineers and Cement Masons. (iii) See 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: November 6 21119 Hula.•y, VP of South Bend Area EC -SEAL..' Certified Companies ACCREDITED SURETY AND CASUALTY COMPANY, INC. (NAIC #26379) BUSINESS ADDRESS: PO Box 140855, 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 (NAIC *22667) BUSINESS ADDRESS: 436 Walnut Street P.O. 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, ND, OH, OK, OR, PA, PR, RI, SC, SO, TN, TX, UT, VT, VA, WA, WV, WI, WY. INCORPORATED IN: Pennsylvania. ACE Property and Casualty Insurance Company (NAIC *20699) BUSINESS ADDRESS: 436 WALNUT STREET, P.O. Box 1000, Philadelphia, PA 19106. PHONE: (215) 640-1000. UNDERWRITING LIMITATION b/: $290,236,000. SURETY LICENSES c,f/: AL, AK, AZ, AR, CA, CO, CT, DE, DC, FL, GA, HI, ID, IL, IN, IA, KS, KY, LA, ME, MD, MA, MI, MN, MS, MO, MT, NE, NV, NH, NJ, NM, NY, NC, ND, OH, OK, OR, PA, PR, RI, SC, SO, TN, TX, UT, VT, VA, WA, WV, WI, WY. INCORPORATED IN: Pennsylvania. 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, ND, OH, OK, OR, PA, PR, RI, SC, SD, TN, TX, UT, VT, VA, WA, WV, WI, WY. INCORPORATED IN: Illinois. Aegis Security Insurance Company (NAIC *33898) BUSINESS ADDRESS: P.O. Box 3153, Harrisburg, PA 17105. 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, NO, OH, OK, OR, PA, RI, SC, SD, TN, TX, UT, VT, VA, WA, WV, WI, WY. INCORPORATED IN: Pennsylvania. AMCO Insurance Company (NAIC #19100) BUSINESS ADDRESS: ONE WEST NATIONWIDE BLVD., 1-04-701, COLUMBUS, OH 43215 - 2220. PHONE: (515) 508-4211 x-2. UNDERWRITING LIMITATION b/: $20,136,000. 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, NM, NY, NC, ND, OH, OR, PA, RI, SC, SO, TN, TX, UT, VT, VA, WA, WV, WI, WY. INCORPORATED IN: Iowa. AMERICAN ALTERNATIVE INSURANCE CORPORATION (NAIC #19720) BUSINESS ADDRESS: 555 COLLEGE ROAD EAST - P.O. BOX 5241, PRINCETON, NJ 08543. PHONE: (609) 243-4200. UNDERWRITING LIMITATION b/: $21,434,000. SURETY LICENSES c,f/: AL, AK, AZ, AR, CA, CO, CT, DE, DC, FL, GA, GU, HI, ID, IL, IN, IA, KS, KY, LA, ME, MD, MA, MI, MN, MS, MO, MT, NE, NV, NH, NJ, NM, NY, NC, NO, OH, OK, OR, PA, PR, RI, SC, SD, TN, TX, UT, VT, VA, WA, WV, WI, WY. INCORPORATED IN: Delaware. American Automobile Insurance Company (NAIC #21849) 1 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. SURETY LICENSES c,f/: AL, AK, AZ, AR, CA, CO, CT, DE, DC, FL, GA, HI, ID, IL, IN, IA, KS, KY, LA, ME, MD, MA, MI, MN, MS, MO, MT, NE, NV, NH, NJ, NM, NY, NC, ND, OH, OK, OR, PA, PR, RI, SC, SO, TN, TX, UT, VT, VA, VI, WA, WV, WI, WY. INCORPORATED IN: Florida. American Casualty Company of Reading, Pennsylvania (NAIC #20427) BUSINESS ADDRESS: 151 N. Franklin St., CHICAGO, IL 60606. PHONE: (312) 822-5000. UNDERWRITING LIMITATION b/: $13,209,000. 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. AMERICAN CONTRACTORS INDEMNITY COMPANY (NAIC #10216) 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, MS, MO, MT, NE, NV, NJ, NM, NY, ND, OH, OK, OR, PA, RI, SC, SO, TN, TX, UT, VA, WA, WV, WI, WY. INCORPORATED IN: California. ALL AMERICA INSURANCE COMPANY (NAIL #20222) BUSINESS ADDRESS: P.O. BOX 351, VAN WERT, OH 45891 - 0351. PHONE: (419) 238-1010. UNDERWRITING LIMITATION b/: $15,980,000. 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) 333-4167. 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, NC, NO, OH, OK, OR, PA, PR, RI, SC, SO, TN, TX, UT, VT, VA, WA, WV, WI, WY. INCORPORATED IN: New Jersey. ALLEGHENY SURETY COMPANY (NAIC *34541) BUSINESS ADDRESS: 4217 Steubenville Pike, Pittsburgh, PA 15205. PHONE: (412) 921-3077. UNDERWRITING LIMITATION b/: $254,000. SURETY LICENSES c,f/: PA. INCORPORATED IN: Pennsylvania. ALLIED Property and Casually Insurance Company (NAIC #42579) BUSINESS ADDRESS: ONE WEST NATIONWIDE BLVD., 1-04-701, COLUMBUS, OH 43215 - 2220. PHONE: (515) 508-4211. 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, ND, OH, OR, PA, RI, SC, SD, TN, TX, UT, VT, VA, WA, WV, WI, WY. INCORPORATED IN: Iowa. Allied World Insurance Company (NAIC #22730) BUSINESS ADDRESS: 199 Water Street, New York, NY 10038. PHONE: (646) 794-0500. UNDERWRITING LIMITATION b/: $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, ND, OH, OK, OR, PA, PR, RI, SC, SO, TN, TX, UT, VT, VA, WA, WV, WI. INCORPORATED IN: New Hampshire. Allied World Specialty Insurance Company (NAIC #16624) BUSINESS ADDRESS: 199 WATER STREET, NEW YORK, NY 10038. PHONE: (646) 794-0500. UNDERWRITING LIMITATION b/: $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, Ml, 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: Delaware. American Fire and Casualty Company (NAIC #24066) BUSINESS ADDRESS: 175 Berkeley Street, Boston, MA 02116. PHONE: (617) 357-9500. UNDERWRITING LIMITATION b/: $4,130,000. SURETY LICENSES c,f/: AL, AK, AZ, AR, CA, CO, CT, DE, DC, FL, GA, ID, IL, IN, IA, KS, KY, LA, ME, MD, MA, MI, MN, MS, MO, MT, NE, NV, NH, NJ, NM, NY, NC, ND, OH, OK, OR, PA, RI, SC, SO, TN, TX, UT, VT, VA, WA, WV, WI, WY. INCORPORATED IN: New Hampshire. American Guarantee and Liability Insurance Company (NAIC #26247) BUSINESS ADDRESS: 1299 ZURICH WAY, 5TH FLOOR, SCHAUMBURG, IL 60196 - 1056. PHONE: (847) 605-6000. UNDERWRITING LIMITATION b/: $18,556,000. SURETY LICENSES c,f/: AL, AK, AZ, AR, CA, CO, CT, DE, DC, FL, GA, HI, ID, IL, IN, IA, KS, KY, LA, ME, MD, MA, MI, MN, MS, MO, MT, NE, NV, NH, NJ, NM, NY, NC, NO, OH, OK, OR, PA, RI, SC, SD, TN, TX, UT, VT, VA, WA, WV, WI, WY. INCORPORATED IN: 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, MD, MA, MI, MN, MS, MO, MT, NE, NV, NH, NJ, NM, NY, NC, NO, OH, OK, OR, PA, RI, SC, SD, TN, TX, UT, VT, VA, WA, WV, WI, WY. INCORPORATED IN: New York. American Insurance Company (The) (NAIC #21857) 3 AMERICAN ROAD INSURANCE COMPANY (THE) (NAIC #19631) BUSINESS ADDRESS: One American Road, MD 7600, Dearborn, MI 48126 - 2701. PHONE: (313) 337-1102. UNDERWRITING LIMITATION b/: $32,378,000. SURETY LICENSES c,f/: AL, AK, AZ, AR, CA, CO, 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: Michigan. American Southern Insurance Company (NAIC 410235) BUSINESS ADDRESS: P O Box 723030, Atlanta, GA 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, MS, MO, NE, NJ, NY, NC, OH, PA, SC, TN, UT, VA, WA, WV, WI, WY. INCORPORATED IN: Kansas. American Surety Company (NAIC #31380) BUSINESS ADDRESS: 250 East 96th Street, Suite 202, Indianapolis, IN 46240. PHONE: (317) 875-8700. UNDERWRITING LIMITATION b/: $1,005,000. 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, MN, MS, MO, MT, NE, NV, NH, NJ, NM, NY, NC, ND, OH, OK, OR, PA, RI, SC, SD, TN, TX, UT, VT, VA, WA, WV, WY. INCORPORATED IN: Indiana. Amerisure Insurance Company (NAIC #19488) BUSINESS ADDRESS: P. O. Box 2060, Farmington Hills, MI 48331 - 3586. PHONE: (248) 615-9000. UNDERWRITING LIMITATION b/: $24,326,000. SURETY LICENSES c,f/: AL, AK, AZ, AR, CO, DE, DC, FL, GA, HI, ID, IL, IN, IA, KS, KY, LA, MD, MA, MI, MN, MS, MO, MT, NE, NV, NH, NJ, NM, NY, NC, ND, OH, OK, OR, PA, PR, RI, SC, SO, TN, TX, UT, VT, VA, WA, WV, WI, WY. INCORPORATED IN: Michigan. Amerlsure Mutual Insurance Company (NAIC #23396) BUSINESS ADDRESS: P. 0. Box 2060, Farmington Hills, MI 48331 - 3586. PHONE: (248) 615-9000. UNDERWRITING LIMITATION b/: $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, MD, MA, MI, MN, MS, MO, MT, NE, NV, NH, NJ, NM, NY, NC, ND, OH, OK, OR, PA, PR, RI, SC, SO, TN, TX, UT, VT, VA, WA, WV, WI, WY. INCORPORATED IN: Michigan. Amerlsure Partners Insurance Company (NAIC #11050) BUSINESS ADDRESS: P. O. Box 2060, Farmington Hills, MI 48331 - 3586. PHONE: (248) 615-9000. 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, MN, MS, MO, MT, NE, NV, NM, NC, ND, OH, OK, OR, PA, RI, SC, SD, TN, TX, UT, VT, VA, WA, WV, WI, WY. INCORPORATED IN: Michigan. Antilles Insurance Company (NAIC #10308) BUSINESS ADDRESS: PO Box 9023507 , San Juan , PR 00902 - 3507. PHONE: (787) 474-4900. UNDERWRITING LIMITATION b/: $3,350,000. SURETY LICENSES c,f/: PR. INCORPORATED IN: Puerto Rico. Arch Insurance Company (NAIC *11130) BUSINESS ADDRESS: Harborside 3, 210 Hudson Street, Suite 300, JERSEY CITY, NJ 07311 - 1107. PHONE: (201) 743-4000. UNDERWRITING LIMITATION b/: $91,269,000. SURETY LICENSES c,f/: AL, AK, AZ, AR, CA, CO, CT, DE, DC, FL, GA, GU, HI, ID, IL, 1N, IA, KS, KY, LA, ME, MD, MA, MI, MN, MS, MO, MT, NE, NV, NH, NJ, NM, NY, NC, ND, OH, OK, OR, PA, PR, RI, SC, SD, TN, TX, UT, VT, VA, VI, WA, WV, WI, WY. INCORPORATED IN: Missouri. AXIS Insurance Company (NAIC #37273) BUSINESS ADDRESS: 11680 Great Oaks Way, Ste. 500, Alpharetta, GA 30022. PHONE: (678) 746-9400. UNDERWRITING LIMITATION b/: $55,899,000. SURETY LICENSES c,f/: 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, NH, NJ, NM, NY, NC, ND, OH, OK, OR, PA, RI, SC, SO, TN, TX, UT, VT, VA, VI, 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 b/: $96,705,000. SURETY LICENSES c,f/: AL, AK, AS, AZ, AR, CA, CO, CT, DE, FL, GA, HI, ID, IL, IN, IA, KS, KY, LA, ME, MD, MA, MI, MN, MS, MO, MT, NE, NV, NH, NJ, NM, NY, NC, ND, OH, OK, OR, PA, PR, RI, SC, SD, TN, TX, UT, VT, VA, VI, WA, WV, WI, WY. INCORPORATED IN: New York. Bankers Insurance Company (NAIC #33162) BUSINESS ADDRESS: P.O. BOX 15707, ST. PETERSBURG, FL 33733. PHONE: (727) 823-4000. 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, MD, MA, MI, MN, MS, MO, MT, NE, NV, NH, NJ, NM, NY, NC, ND, OH, OK, OR, PA, SC, SO, TN, TX, UT, VT, VA, WA, WV, WI, WY. INCORPORATED 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, 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: 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, 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: Connecticut. Arch Reinsurance Company (NAIC #10348) BUSINESS ADDRESS: 445 South Street, Suite 220, P.O. Box 1988, Morristown, NJ 07962 - 1988. PHONE: (973) 898-9575. UNDERWRITING LIMITATION 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, MN, MS, MO, MT, NE, NV, NH, NJ, NM, NY, ND, OH, OK, OR, PA, RI, SC, SD, TN, TX, UT, VT, VA, WA, WV. INCORPORATED IN: Delaware. Argonaut Insurance Company (NAIC #19801) BUSINESS ADDRESS: P.O. BOX 469011, SAN ANTONIO, TX 78246. PHONE: (800) 470-7958. UNDERWRITING LIMITATION b/: $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, MD, MA, MI, MN, MS, MO, MT, NE, NV, NH, NJ, NM, NY, NC, ND, OH, OK, OR, PA, PR, RI, SC, SD, TN, TX, UT, VT, VA, VI, WA, WV, WI, WY. INCORPORATED IN: Illinois. ASPEN AMERICAN INSURANCE COMPANY (NAIC #43460) BUSINESS ADDRESS: 175 Capital Boulevard, Suite 300, Rocky Hill, CT 06067. PHONE: (860) 258-3500. UNDERWRITING LIMITATION b/: $54,531,000. SURETY LICENSES c,f/: AL, AK, AS, AZ, AR, CA, CO, CT, DE, DC, FL, GA, GU, HI, ID, IL, IN, IA, KS, KY, LA, ME, MD, MA, MI, MN, MS, MO, MT, NE, NV, NH, NJ, NM, NY, NC, NO, OH, OK, OR, PA, PR, RI, SC, SO, TN, TX, UT, VT, VA, VI, WA, WV, WI, WY. INCORPORATED IN: Texas. Associated Indemnity Corporation (NAIC #34347) 4 Atlantic Specialty Insurance Company (NAIC #27154) BUSINESS ADDRESS: 605 Highway 169 North, Suite 800, Plymouth, MN 55441. PHONE: (952) 852-2431. UNDERWRITING LIMITATION b/: $61,920,000. SURETY LICENSES c,f/: AL, AK, AZ, AR, CA, CO, CT, DE, DC, FL, GA, GU, HI, ID, IL, IN, IA, KS, KY, LA, ME, MD, MA, MI, MN, MS, MO, MT, NE, NV, NH, NJ, NM, NY, NC, ND, OH, OK, OR, PA, PR, RI, SC, SD, TN, TX, UT, VT, VA, VI, WA, WV, WI, WY. INCORPORATED IN: New York. Auto -Owners Insurance Company (NAIC #18988) BUSINESS ADDRESS: P.O. BOX 30660, LANSING, MI 48909 - 8160. PHONE: (517) 323-1200. UNDERWRITING LIMITATION b/: $1,101,760,000. SURETY LICENSES c,f/: 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. Berkley Insurance Company (NAIC #32603) BUSINESS ADDRESS: 475 STEAMBOAT ROAD, GREENWICH, CT O6630. PHONE: (203) 542-3800. UNDERWRITING LIMITATION b/: $460,644,ODO. SURETY LICENSES c,f/: AL, AK, AZ, AR, CA, CO, CT, DE, DC, FL, GA, GU, HI, ID, IL, IN, IA, KS, KY, LA, ME, MD, MA, MI, MN, MS, MO, MT, NE, NV, NH, NJ, NM, NY, NC, ND, OH, OK, OR, PA, PR, RI, SC, SO, TN, TX, UT, VT, VA, VI, WA, WV, WI, WY. INCORPORATED IN: Delaware. Berkley Regional Insurance Company (NAIC #29580) BUSINESS ADDRESS: PO 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, 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: Iowa. Berkshire Hathaway Homestate Insurance Company (NAIC #20044) BUSINESS ADDRESS: 1314 Douglas Street, Suite 130D, Omaha, NE 68102 - 1944. PHONE: (402) 393-7255. UNDERWRITING LIMITATION b/: $149,531,000. 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: Nebraska. Berkshire Hathaway Specialty Insurance Company (NAIC #22276) BUSINESS ADDRESS: 1314 Douglas Street, Suite 1400, Omaha, NE 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, MS, MO, MT, NE, NV, NH, NJ, NM, NY, NC, ND, OH, OK, OR, PA, RI, SC, SD, TN, TX, UT, VT, VA, WA, WV, WI, WY. INCORPORATED IN: Nebraska. BITCO GENERAL INSURANCE CORPORATION (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, HI, ID, IL, IN, IA, KS, KY, LA, ME, MD, MA, MI, MN, MS, MO, MT, NE, NV, NH, NJ, NM, NY, NC, NO, OH, OK, OR, PA, RI, SC, SD, TN, TX, UT, VT, VA, WA, WV, WI, WY. INCORPORATED IN: Illinois. BOND SAFEGUARD INSURANCE COMPANY (NAIC #27081) BUSINESS ADDRESS: 10002 Shelbyville Road, Suite 100, Louisville, KY 40223 - 2979. PHONE: (615) 553-9500. UNDERWRITING LIMITATION 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, MP, MT, NV, NH, NJ, NM, NC, NO, OH, OK, RI, SC, SO, TN, TX, UT, VT, VA, WA, WV, WI, WY. INCORPORATED IN: South Dakota. Bondex Insurance Company (NAIC #12965) BUSINESS ADDRESS: P.O. Box 6, Florham Park, NJ 07932. PHONE: (973) 377-7000. UNDERWRITING LIMITATION b/: $366,000. SURETY LICENSES c,f/: DE, NJ, NY, PA. INCORPORATED IN: New Jersey. Boston Indemnity Company, Inc. (NAIC *30279) BUSINESS ADDRESS: 800 Gessner Suite 600, Houston, TX 77024. PHONE: (713) 935-4800. UNDERWRITING LIMITATION b/: $2,565,000. SURETY LICENSES c,f/: AL, AZ, AR, CT, DE, DC, FL, GA, ID, IN, KS, KY, LA, ME, MA, MN, MS, MT, NE, NV, NC, ND, OK, PA, SO, TN, UT, WV. INCORPORATED IN: South Dakota. Brlerfleld Insurance Company (NAIC #10993) BUSINESS ADDRESS: 6300 University Parkway, Sarasota, FL 34240 - 8424. PHONE: (800) 226-3224. UNDERWRITING LIMITATION b/: $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 b/: $3,232,000. SURETY LICENSES c,f/: TX. INCORPORATED IN: Texas. Capitol Indemnity Corporation (NAIC #10472) BUSINESS ADDRESS: P.O. Box 5900, Madison, WI 53705 - 0900. PHONE; (608) 829-4200. 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, MS, MO, MT, NE, NV, NH, NJ, NM, NY, NC, NO, OH, OK, OR, PA, RI, SC, SD, TN, TX, UT, VT, VA, WA, WV, WI, WY. INCORPORATED IN: Wisconsin. Capitol Preferred Insurance Company, Inc. (NAIC #10908) BUSINESS ADDRESS: 2750 Chancellorsvllle Dr, Tallahassee, FL 32312. PHONE: (850) 521-0742. UNDERWRITING LIMITATION b/: $2,448,000. SURETY LICENSES c,f/: FL, GA, SC. INCORPORATED IN: Florida. CHUBB INDEMNITY INSURANCE COMPANY (NAIC #12777) BUSINESS ADDRESS: 202B Hall's MITI 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, 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: New York. Cincinnati Casualty Company (The) (NAIC #28665) BUSINESS ADDRESS: P.O. Box 145496, Cincinnati, OH 45250 - 5496. PHONE: (513) 870-2000. 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, MD, MA, MI, MN, MS, MO, MT, NE, NV, NH, NJ, NM, NY, NC, NO, OH, OK, OR, PA, RI, SC, SO, TN, TX, UT, VT, VA, WA, WV, WI, WY. INCORPORATED IN: Ohio. CINCINNATI INDEMNITY COMPANY, THE (NAIC #23280) BUSINESS ADDRESS: P.O. BOX 145496, CINCINNATI, OH 45250 - 5496. 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, 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: Ohio. Cincinnati Insurance Company (The) (NAIC #10677) BUSINESS ADDRESS: P.O. BOX 145496, CINCINNATI, OH 45250 - 5496. PHONE: (513) 870-2000. UNDERWRITING LIMITATION b/: $441,889,000. SURETY LICENSES c,f/: AL, AK, AZ, AR, CA, CO, CT, DE, DC, FL, GA, HI, ID, IL, IN, IA, KS, KY, LA, ME, MD, MA, MI, MN, MS, MO, MT, NE, NV, NH, NJ, NM, NY, NC, ND, OH, OK, OR, PA, PR, RI, SC, SO, TN, TX, UT, VT, VA, WA, WV, WI, WY. INCORPORATED IN: 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,f/: AL, AK, AZ, AR, CO, CT, DE, DC, GA, HI, IL, IN, IA, KS, ME, MD, MA, MI, MN, MS, MO, MT, NE, NH, NJ, NM, NY, NC, NO, OH, OK, PA, RI, SC, SD, TN, TX, UT, VT, VA, WA, WV, WI. INCORPORATED IN: Michigan. 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,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: Iowa. Centennial Casualty Company (NAIC #34568) BUSINESS ADDRESS: 2200 Woodcrest Place, Suite 200, Birmingham, AL 35209. PHONE: (205) 414-2600. UNDERWRITING LIMITATION b/: $7,735,000. SURETY LICENSES c,f/: AL. INCORPORATED IN: Alabama. CENTRAL MUTUAL INSURANCE COMPANY (NAIC #20230) BUSINESS ADDRESS: P.O. BOX 351, VAN WERT, OH 45891 - 0351. PHONE: (419) 238-1010. UNDERWRITING LIMITATION b/: $64,882,000. SURETY LICENSES c,f/: AZ, AR, CA, CO, CT, DE, 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. CENTURY SURETY COMPANY (NAIC #36951) BUSINESS ADDRESS: 550 Polaris Parkway, Westerville, OH 43082. PHONE (614) 895-2000. UNDERWRITING LIMITATION b/: $3,249,000. SURETY LICENSES c,f/: 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 b/: $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, MD, MA, MI, MN, MS, MO, MT, NE, NV, NH, NJ, NM, NY, NC, ND, OH, OK, OR, PA, PR, RI, SC, SD, TN, TX, UT, VT, VA, WA, WV, WI, WY. INCORPORATED IN: Connecticut. Cherokee Insurance Company (NAIC #10642) 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, NM, NY, NC, NO, OH, OK, OR, PA, RI, SC, SD, TN, TX, UT, VT, VA, WA, WV, WI, WY. INCORPORATED IN: Michigan. COLONIAL AMERICAN CASUALTY AND SURETY COMPANY (NAIC #34347) BUSINESS ADDRESS: 1299 ZURICH WAY, 5TH FLOOR, SCHAUMBURG, IL 60196 - 1056. PHONE: (847) 605-6000. UNDERWRITING LIMITATION b/: $2,286,000. 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, NJ, NM, NY, NC, NO, OH, OK, OR, PA, RI, SC, SD, 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 Lake, NJ 07677. PHONE: (201) 573-8788. UNDERWRITING LIMITATION b/: $4,624,000. SURETY LICENSES c,f/: AL, AK, AZ, AR, CA, CO, CT, DE, DC, FL, GA, GU, Hl, ID, IL, IN, IA, KS, KY, LA, ME, MD, MA, MI, MN, MS, MO, MP, MT, NE, NV, NH, NJ, NM, NY, NC, NO, OH, OK, OR, PA, PR, RI, SC, SO, TN, TX, UT, VT, VA, VI, WA, WV, WI, WY. INCORPORATED IN: Pennsylvania. Continental Casualty Company (NAIC #20443) BUSINESS ADDRESS: 151 N. Franklin St., CHICAGO, IL 60606. PHONE: (312) 822-5000. UNDERWRITING LIMITATION b/: $702,733,000. 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, VI, WA, WV, WI, WY. INCORPORATED IN: Illinois. CONTINENTAL HERITAGE INSURANCE COMPANY (NAIC #39551) BUSINESS ADDRESS: 200 Park Avenue, Suite 400, Orange Village, OH 44122. PHONE: (877) 645-4871. UNDERWRITING LIMITATION b/: $2,569,000. SURETY LICENSES c,f/: AZ, CA, CO, DC, FL, GA, ID, IL, IN, IA, KY, LA, ME, MD, MN, MS, NE, NV, NJ, NO, OH, PA, SC, SO, TN, TX, UT, VA, WA, WV, WY. INCORPORATED IN: Florida. Continental Insurance Company (The) (NAIC #35289) BUSINESS ADDRESS: 151 N. Franklin St., CHICAGO, IL 60606. PHONE: (312) 822-5000. UNDERWRITING LIMITATION b/: $160,006,000. 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: Pennsylvania. CONTRACTORS BONDING AND INSURANCE COMPANY (NAIL #37206) BUSINESS ADDRESS: 9025 N. Lindbergh Drive, Peoria, IL 61615. PHONE: (309) 692-1000. UNDERWRITING LIMITATION b/: $11,413,000. SURETY LICENSES c,f/: AL, AK, AZ, AR, CA, CO, CT, DE, DC, FL, GA, HI, ID, IL, IN, IA, KS, KY, LA, ME, MD, MA, MI, MN, MS, MO, MT, NE, NV, NH, NJ, NM, NY, NC, NO, OH, OK, OR, PA, RI, SC, SD, TN, TX, UT, VT, VA, WA, WV, WI, WY. INCORPORATED IN: Illinois. Cooperative de Seguros Multiples de Puerto Rico (NAIC #16163) BUSINESS ADDRESS: PO BOX 363846, SAN JUAN, PR 00936 - 3846. PHONE: (7B7) 622-3575 x-2512. UNDERWRITING LIMITATION b/: $12,545,000. SURETY LICENSES c,f/: PR. INCORPORATED IN: Puerto Rica. CorePointe Insurance Company (NAIC *10499) BUSINESS ADDRESS: PO Box 812319, Boca Raton, FL 33481. PHONE: (800) 782-9164. UNDERWRITING LIMITATION b/: $1,412,000. SURETY LICENSES c,f/: AL, AK, AZ, AR, CA, CO, CT, DE, DC, FL, GA, HI, ID, IL, IN, IA, KS, KY, LA, ME, MD, MA, MI, MN, MS, MO, MT, NE, NV, NH, NJ, NM, NY, NC, NO, OH, OK, OR, PA, RI, SC, SO, TN, TX, UT, VT, VA, WA, WV, WI, WY. INCORPORATED IN: Delaware. CUMIS INSURANCE SOCIETY, INC. (NAIC *10847) BUSINESS ADDRESS: POST OFFICE BOX 1084, MADISON, WI 53701. PHONE: (608) 238-5851. UNDERWRITING LIMITATION b/: $89,491,000. SURETY LICENSES c,f/: AL, AK, AZ, AR, CA, CO, CT, DE, DC, FL, GA, GU, HI, ID, IL, IN, IA, KS, KY, LA, ME, MD, MA, MI, MN, MS, MO, MT, NE, NV, NH, NJ, NM, NY, NC, ND, OH, OK, OR, PA, PR, RI, SC, SD, TN, TX, UT, VT, VA, VI, 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) 238-5851. UNDERWRITING LIMITATION b/: $4,744,000. SURETY LICENSES c,f/: AL, CA, CT, DC, FL, GA, HI, ID, IL, IN, IA, KS, KY, MD, MA, MI, MN, MO, NE, NV, NJ, NY, NC, OH, OK, OR, PA, SC, SO, TX, UT, VA, WA, WI, WY. INCORPORATED IN: Iowa. Developers Surety and Indemnity Company (NAIC *12718) BUSINESS ADDRESS: P.O. BOX 19725, IRVINE, CA 92623 - 9725. PHONE: (949) 263-3300. UNDERWRITING LIMITATION b/: $10,740,000. SURETY LICENSES c,f/: AL, AK, AZ, AR, CA, CO, CT, DE, DC, FL, GA, HI, ID, IL, IN, IA, KS, KY, LA, ME, MD, MA, MI, MN, MS, MO, MT, NE, NV, NH, NJ, NM, NY, NC, NO, OH, OK, OR, PA, RI, SC, SO, TN, TX, UT, VT, VA, VI, WA, WV, WI, WY. INCORPORATED IN: California. Everest Reinsurance Company (NAIC #26921) BUSINESS ADDRESS: P.O. Box 830, Liberty Corner, NJ 07938 - 0830. PHONE: (908) 604-3000. UNDERWRITING LIMITATION b/: $365,059,000. 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, MP, MT, NE, NV, NH, NJ, NM, NY, NC, NO, OH, OK, OR, PA, RI, SC, SO, TN, TX, UT, VT, VA, WA, WV, WI, WY. INCORPORATED IN: Delaware. Evergreen National Indemnity Company (NAIC #12750) BUSINESS ADDRESS: 6140 PARKLAND BLVD, STE 321, MAYFIELD HEIGHTS, OH 44124. PHONE: (440) 229-3420. UNDERWRITING LIMITATION b/: $3,443,000. 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, OH, OK, OR, PA, RI, SC, SO, TN, TX, UT, VT, VA, WA, WI, WY. INCORPORATED IN: Ohio. Executive Risk Indemnity Inc. (NAIC #35181) BUSINESS ADDRESS: 202B Hall's MITI Road, Whitehouse Station, NJ 08889. PHONE: (215) 640-1000. UNDERWRITING LIMITATION b/: $158,426,000. SURETY LICENSES c,f/: AL, AK, AZ, AR, CA, CO, 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, ON, OK, OR, PA, RI, SC, SO, 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: (856) 350-2400. UNDERWRITING LIMITATION b/: $15,796,000. SURETY LICENSES c,f/: AL, AK, AS, AZ, AR, CA, CO, CT, DE, DC, FL, GA, HI, ID, 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, SO, TN, TX, UT, VT, VA, WA, WV, WI. INCORPORATED IN: California. 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/: $19,944,000. SURETY LICENSES c,f/: AL, AK, AZ, AR, CA, CO, CT, DE, DC, FL, GA, HI, ID, IL, IN, IA, KS, KY, LA, ME, MD, MA, MI, MN, MS, MO, MT, NE, NV, NH, NJ, NM, NY, NC, NO, OH, OK, OR, PA, RI, SC, SO, TN, TX, UT, VT, VA, 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,f/: CO, ID, IA, KS, MN, MO, MT, NE, NM, NO, OK, SO. INCORPORATED IN: Kansas. Employers Insurance Company of Wausau (NAIL #21458) BUSINESS ADDRESS: 175 Berkeley Street, Boston, MA 02116. PHONE: (617) 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, 1N, IA, KS, KY, LA, ME, MD, MA, MI, MN, MS, MO, MT, NE, NV, NH, NJ, NM, NY, NC, ND, OH, OK, OR, PA, PR, RI, SC, SO, TN, TX, UT, VT, VA, VI, WA, WV, WI, WY. INCORPORATED IN: Wisconsin. Employers Mutual Casualty Company (NAIC #21415) BUSINESS ADDRESS: P. 0. BOX 712, DES MOINES, IA 50306 - 0712. PHONE: (515) 280-2511. UNDERWRITING LIMITATION b/: $143,374,000. SURETY LICENSES 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: Iowa. Endurance American Insurance Company (NAIC #10642) BUSINESS ADDRESS: 4 MANHATTAN'VILLE (ROAD, PURCHASE, NY 10577. PHONE: (914) 468.8000„ UNDERWRITING LIMITATION b/: $54,690,000. SURETY LICENSES c,i/: AL AK, AZ, AR, CO, DE, DC, GA, HI, ID, IL, IN, IA, KS, KY, LA, MD, MA, MI.., MS, MO, MT, NE, NV, NH, NJ, NM, NY, NO, OH., OK, OR, PA, RI, SC, SO, TN, TX, iUT, VT,, WA, WV, WI, WY„ INCORPORATED IN: Delaware. Endurance Assurance Corporation (NAIC #11551) BUSINESS ADDRESS: 4 MANHATTANVILLE ROAD, PURCHASE, NY 10577. PHONE: (914) 468-8000. UNDERWRITING LIMITATION b/: $56,184,000. SURETY LICENSES c,f/: AL, AK, AZ, AR, CA, CO, CT, DE, DC, FL, GA, GU, HI, ID, IL, IN, IA, KS, KY, LA, ME, MD, MA, MI, MN, MS, MO, MT, NE, NV, NJ, NM, NY, NC, ND, OH, OK, OR, PA, PR, RI, SC, SO, TN, TX, UT, VT, VA, VI, 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. SURETY LICENSES c,f/: DC, IL, IN, KY, MD, MN, NY, NC, OH, 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) 753-0753. UNDERWRITING LIMITATION b/: $17,842,000. SURETY LICENSES c,f/: AL, AK, AZ, CA, CO, CT, DE, DC, GA, HI, ID, IL, IN, IA, KS, KY, LA, MD, MA, MI, MN, MS, MO, MT, NE, NV, NH, NJ, NM, NY, NC, NO, OH, OK, PA, RI, SC, SO, TN, TX, UT, VT, VA, WA, WV, WI, WY. INCORPORATED IN: Maryland. Farmington Casualty Company (NAIC #41483) BUSINESS ADDRESS: ONE TOWER SQUARE, HARTFORD, CT 06183. PHONE: (860) 277-0111. UNDERWRITING LIMITATION b/: $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, MT, NE, NV, NH, NJ, NM, NY, NC, ND, OH, OK, OR, PA, RI, SC, SO, TN, TX, UT, VT, VA, WA, WV, WI, WY. INCORPORATED IN: Connecticut, Farmland Mutual Insurance Company (NAIC *13838) 6 FCCI Insurance Company ('NAIC #10178) BUSINESS ADDRESS: 6300 University Parkway, Sarasota,„ FL 34240 - B424. PHONE:. (800) 226-3224., UNDERWRITING LIMITATION b/;' $55,070,000. SURETY LICENSES c,Q. AL, AZ, AR, CO, DC, FL, GA, IL, IN, IA, KS, IKY, LA, MD MS, MO ,,NEI,.,((M NC, O11, OK, PA, SC, TN, Tit, UT, VA, WV IIhNCO60iO ,,TED IN Florida. F al Insurance Company (NAIC #20281) USINESS ADDRESS: 2028 Hall's MITI Road Whlt'ehouse°S(ation, NJ 08889. PHONE: (215) 640 1000. UNDERWRITING LIMITATION b/: 461,364,000. SURETY LICENSES o f/: AL, AK, AZ, AR, CA, CO, CT DE DC, L, GA, GU, Hj,. ID,, IL, IN, IA KS KY, LA, ME, MD, MA, I MN MS MD, P, MT, NE, NV„. NH, NJ, NM, NY, NC, NO, OH, OK, OR, PA, PR, RI, SC, , TN, TX,UT,. VT, VA VI WA, WV WI WY, INCORPORATED_IV�1m _Wdisfl" . FEDERATED I'/ UTUAL INS RANCECOMPAINY (NAIC #1393S) BUSINESS ADDRESS: 121 EAST PARK SQUARE., OWATON'NA, MN 55000. PHONE (507) 4�55-5200. UNDERWRITING LIMITATIONb/: $346,382,0�00. SURETY LICENSES c,T/: AL, AK, AZ, AR, CA, CO, CT, DE, DC, FL, GA„ ID, IL, IN, IA, KS, KY, LA, ME, MD, MA, MI, MN, MS, MO, MT, NE, NV, NH, NJ, NM, NY, NC, NO, OH, OK, OR, PA, RI, SC, SD, TN, TX, UT, VT, VA, WA, WV, WI, WY. INCORPORATED IN: Minnesota. Fidelity and Deposit Company of Maryland (NAIC #39306) BUSINESS ADDRESS: 1299 ZURICH WAY, STH FLOOR, SCHAUMBURG, IL 60196 - 1056. PHONE: (847) 605-6000. UNDERWRITING LIMITATION b/: $27,371,000. SURETY LICENSES c,f/: AL, AK, AZ, AR, CA, CO, CT, DE, DC, FL, GA, GU, HI, ID, IL, IN, IA, KS, KY, LA, ME, MD, MA, MI, MN, MS, MO, MP, MT, NE, NV, NH, NJ, NM, NY, NC, NO, OH, OK, OR, PA, PR, RI, SC, SO, TN, TX, UT, VT, VA, VI, WA, WV, WI, WY. INCORPORATED IN: Illinois. FIDELITY AND GUARANTY INSURANCE COMPANY (NAIC #35386) BUSINESS ADDRESS: One Tower Square, Hartford, CT 06183. PHONE: (860) 277-0111. UNDERWRITING LIMITATION b/: $1,814,000. SURETY LICENSES c,f/: AL, AK, AZ, AR, CA, CO, CT, DE, DC, FL, GA, HI, ID, IL, IN, IA, KS, KY, LA, ME, MD, MA, MI, MN, MS, MO, MT, NE, NV, NH, NJ, NM, NY, NC, NO, OH, OK, OR, PA, RI, SC, SO, TN, TX, UT, VT, VA, WA, WV, WI, WY. INCORPORATED IN: Iowa. Fidelity and Guaranty Insurance Underwriters, Inc. (NAIC #25879) BUSINESS ADDRESS: One Tower Square, Hartford, CT 06183. PHONE: (860) 277-0111. UNDERWRITING LIMITATION b/: $8,892,000. SURETY LICENSES c,f/: AL, AK, AZ, AR, CA, CO, 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: 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, MT, NV, NJ, NY, NC, ND, OH, PA, SC, SD, TN, TX, UT, VT, VA, WA, WV. INCORPORATED IN: Texas. Financial Pacific 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, MN, MO, MT, NE, NV, NM, NO, OK, OR, SD, TX, UT, WA, WI. INCORPORATED IN: California. Fireman's Fund Insurance Company (NAIC #21873) BUSINESS ADDRESS: 225 W. WASHINGTON STREET, SUITE 1800, CHICAGO, IL 60606 - 3484. PHONE: (888) 466-7883. UNDERWRITING LIMITATION b/: $131,328,000. SURETY LICENSES c,f/: AL, AK, AZ, AR, CA, CO, CT, DE, DC, FL, GA, GU, HI, ID, IL, IN, IA, KS, KY, LA, ME, MD, MA, MI, MN, MS, MO, MT, NE, NV, NH, NJ, NM, NY, NC, ND, OH, OK, OR, PA, PR, RI, SC, SD, TN, TX, UT, VT, VA, VI, WA, WV, WI, WY. INCORPORATED IN: California. First Founders Assurance Company (NAIC #12150) BUSINESS ADDRESS: 6 Mill Ridge Lane, Chester, NJ 07930 - 2486. PHONE: (908) 879-0990. UNDERWRITING LIMITATION b/: $487,000. SURETY LICENSES c,f/: NJ, NY. INCORPORATED IN: New Jersey. GRANGE INSURANCE COMPANY (NAIC #14060) BUSINESS ADDRESS: 671 South High Street, Columbus, OH 43206 - 1014. PHONE: (614) 445-2900. UNDERWRITING LIMITATION b/: $128,189,000. SURETY LICENSES c,f/: AL, GA, IL, IN, IA, KS, KY, MN, MO, OH, PA, SC, TN, VA, WI. INCORPORATED IN: Ohio. GRANGE INSURANCE COMPANY OF MICHIGAN (NAIC #11136) BUSINESS ADDRESS: 671 South High Street, P.O. Box 1218, Columbus, OH 43216 - 1218. PHONE: (614) 445-2900. UNDERWRITING LIMITATION b/: $4,528,000. SURETY LICENSES c,f/: MI. INCORPORATED IN: Ohio. GRANITE RE, INC. (NAIC #26310) BUSINESS ADDRESS: 14001 Quailbrook Drive, Oklahoma City, OK 73134. PHONE: (405) 752-2600. UNDERWRITING LIMITATION b/: $4,197,000. SURETY LICENSES c,f/: AL, AZ, AR, CO, CT, DE, DC, FL, GA, ID, IL, IN, IA, KS, KY, LA, ME, MD, MA, MI, MN, MS, MO, MT, NE, NV, NH, NM, NC, NO, OH, OK, OR, PA, RI, SC, SD, TN, TX, UT, VT, VA, WA, WV, WI, WY. INCORPORATED IN: Oklahoma. Granite State Insurance Company (NAIC #23809) BUSINESS ADDRESS: 175 WATER STREET, 18TH FLOOR, NEW YORK, NY 10038. PHONE: (212) 770-7000. UNDERWRITING LIMITATION b/: $3,487,000, SURETY LICENSES c,f/: AL, AK, AZ, AR, CA, CO, DC, FL, GA, HI, ID, IL, IN, IA, KS, KY, LA, ME, MD, MA, MI, MN, MS, MO, MT, NE, NV, NH, NJ, NM, NY, NC, ND, OH, OK, OR, PA, RI, SC, SD, TN, TX, UT, VT, VA, WA, WV, WI, WY. INCORPORATED IN: Illinois. GRAY CASUALTY & SURETY COMPANY (THE) (NAIC #10671) 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, IL, KY, LA, MD, MS, MO, NV, NM, NY, NC, OK, PA, SC, TN, TX. INCORPORATED IN: Louisiana. GRAY INSURANCE COMPANY (THE) (NAIC #36307) BUSINESS ADDRESS: P.O. BOX 6202, METAIRIE, LA 70009 - 6202. PHONE: (504) 888-7790. UNDERWRITING LIMITATION b/: $11,264,000. SURETY LICENSES c,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: Louisiana. First Insurance Company of Hawaii, Ltd. (NAIC #41742) BUSINESS ADDRESS: PO Box 2866, Honolulu, HI 96803. PHONE: (806) 527-7777. UNDERWRITING LIMITATION b/: $28,013,000. SURETY LICENSES c,f/: GU, HI. INCORPORATED IN: Hawaii. First Liberty Insurance Corporation (The) (NAIC #33588) BUSINESS ADDRESS: 175 Berkeley Street, Boston, MA 02116. PHONE: (617) 357-9500 X-41177. UNDERWRITING LIMITATION b/: $2,267,000. SURETY LICENSES c,f/: AL, AK, AZ, AR, CA, CO, CT, DE, DC, FL, GA, GU, HI, ID, IL, IN, IA, KS, KY, LA, ME, MD, MA, MI, MN, MS, MO, MT, NE, NV, NH, NJ, NM, NY, NC, ND, OH, OK, OR, PA, 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 b/: $1,332,000. SURETY LICENSES c,f/: GU, MP. INCORPORATED IN: Guam. Frankenmuth Mutual Insurance Company (NAIC #13986) BUSINESS ADDRESS: One Mutual Avenue, Frankenmuth, MI 48787 - 0001. PHONE: (989) 652-6121. UNDERWRITING LIMITATION b/: $64,090,000. SURETY LICENSES c,f/: AL, AZ, AR, CO, CT, DE, DC, FL, GA, ID, IL, IN, IA, KS, KY, LA, ME, MD, MA, MI, MN, MS, MO, MT, NE, NV, NH, NJ, NM, NY, NC, NO, OH, OK, OR, PA, RI, SC, SD, TN, TX, UT, VT, VA, WA, WV, WI, WY. INCORPORATED IN: Michigan. General Casualty Company Of Wisconsin (NAIC #24414) BUSINESS ADDRESS: One QBE Way, Sun Prairie, WI 53596. PHONE: (608) 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, MD, MA, MI, MN, MS, MO, MT, NE, NV, NH, NJ, NM, NY, NC, NO, OH, OK, OR, PA, RI, SC, SD, TN, TX, UT, VT, VA, WA, WV, WI, WY. INCORPORATED IN: Wisconsin. General Reinsurance Corporation (NAIC #22039) BUSINESS ADDRESS: 120 LONG RIDGE ROAD, STAMFORD, CT 06902 - 1643. PHONE: (203) 328-5000. UNDERWRITING LIMITATION b/: $1,055,014,000. SURETY LICENSES c,f/: AL, AK, AZ, AR, CA, CO, CT, DE, DC, FL, GA, ID, IL, IN, IA, KY, LA, ME, MD, MA, MI, MN, MS, MO, MT, NE, NV, NH, NJ, NM, NY, NC, NO, OH, OK, OR, PA, RI, SC, SD, TN, TX, UT, VT, VA, WA, WV, WI, WY. INCORPORATED IN: Delaware. Great American Alliance Insurance Company (NAIC *26832) BUSINESS ADDRESS: 301 E Fourth Street, Cincinnati, OH 45202. PHONE: (513) 369-5000. UNDERWRITING LIMITATION b/: $2,848,000. 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: Ohio. Great American Insurance Company (NAIC #16691) BUSINESS ADDRESS: 301 E Fourth Street, Cincinnati, OH 45202. PHONE: (513) 369-5000. UNDERWRITING LIMITATION b/: $187,743,000. SURETY LICENSES c,f/: AL, AK, AZ, AR, CA, CO, CT, DE, DC, FL, GA, GU, HI, ID, IL, IN, IA, KS, KY, LA, ME, MD, MA, MI, MN, MS, MO, MT, NE, NV, NH, NJ, NM, NY, NC, NO, OH, OK, OR, PA, PR, RI, SC, SD, TN, TX, UT, VT, VA, WA, WV, WI, WY. INCORPORATED IN: Ohio. GREAT AMERICAN INSURANCE COMPANY OF NEW YORK (NAIC #22136) BUSINESS ADDRESS: 301 E Fourth Street, Cincinnati, OH 45202. PHONE: (513) 369-5000. UNDERWRITING LIMITATION b/: $10,025,000. SURETY LICENSES c,f/: AL, AK, AZ, AR, CA, CO, CT, DE, DC, FL, GA, HI, ID, IL, IN, IA, KS, KY, LA, ME, MD, MA, MI, MN, MS, MO, MT, NE, NV, NH, NJ, NM, NY, NC, ND, OH, OK, OR, PA, RI, SC, SD, TN, TX, UT, VT, VA, WA, WV, WI, WY. INCORPORATED IN: New York. Great Midwest Insurance Company (NAIC #18694) BUSINESS ADDRESS: 800 Gessner, Suite 600, Houston, TX 77024. PHONE: (713) 935-0226. UNDERWRITING LIMITATION b/: $10,291,000. 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, 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, VI, WA, WV, WI, WY. INCORPORATED IN: Texas. Great Northern Insurance Company (NAIC #20303) BUSINESS ADDRESS: 202E Hall's Mill Road, Whitehouse Station, NJ 08889. PHONE: (215) 640-1000. UNDERWRITING LIMITATION b/: $38,499,000. 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: Indiana. Guarantee Company of North America USA (The) (NAIC *36650) BUSINESS ADDRESS: One Towne Square, Suite 1470, Southfield, MI 48076 - 3725. PHONE: (248) 281-0281 x-66012. UNDERWRITING LIMITATION b/: $19,992,000. SURETY LICENSES c,f/: AL, AK, AZ, AR, CA, CO, CT, DE, DC, FL, GA, HI, ID, IL, IN, IA, KS, KY, LA, ME, MD, MA, MI, MN, MS, MO, MT, NE, NV, NH, NJ, NM, NY, NC, ND, OH, OK, OR, PA, PR, RI, SC, SD, TN, TX, UT, VT, VA, VI, WA, WV, WI, WY. INCORPORATED IN: Michigan. Hanover Insurance Company (The) (NAIC #22292) BUSINESS ADDRESS: 440 LINCOLN STREET, WORCESTER, MA 01653 - 0002. PHONE: (506) 853-7200. UNDERWRITING LIMITATION b/: $138,546,000. SURETY LICENSES c,f/: AL, AK, AZ, AR, CA, CO, CT, DE, DC, FL, GA, HI, ID, IL, IN, IA, KS, KY, LA, ME, MD, MA, MI, MN, MS, MO, MT, NE, NV, NH, NJ, NM, NY, NC, ND, OH, OK, OR, PA, RI, SC, SD, TN, TX, UT, VT, VA, WA, WV, WI, WY. INCORPORATED IN: New Hampshire. HARCO NATIONAL INSURANCE COMPANY (NAIC #26433) BUSINESS ADDRESS: 702 OBERLIN ROAD, RALEIGH, NC 27605 - 0800. PHONE: (919) 833-1600. UNDERWRITING LIMITATION b/: $15,455,000. 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, MP, MT, NE, NV, NH, NJ, NM, NY, NC, ND, OH, OK, OR, PA, RI, SC, SD, TN, TX, UT, VT, VA, WA, WV, WI, WY. INCORPORATED IN: Illinois. Hartford Accident and Indemnity Company (NAIC #22357) BUSINESS ADDRESS: One Hartford Plaza, Hartford, CT 06155 - 0001. PHONE: (860) 547-5000. UNDERWRITING LIMITATION b/: $195,865,000. SURETY LICENSES c,f/: AL, AK, AZ, AR, CA, CO, CT, DE, DC, FL, GA, HI, ID, IL, IN, IA, KS, KY, LA, ME, MD, MA, MI, MN, MS, MO, MT, NE, NV, NH, NJ, NM, NY, NC, ND, OH, OK, OR, PA, PR, RI, SC, SD, TN, TX, UT, VT, VA, WA, WV, WI, WY. INCORPORATED IN: Connecticut. Hartford Casualty Insurance Company (NAIC *29424) BUSINESS ADDRESS: One Hartford Plaza, Hartford, CT 06155 - 0001. PHONE: (860) 547-5000. UNDERWRITING LIMITATION b/: $89,385,000. SURETY LICENSES c,f/: AL, AK, AZ, AR, CA, CO, CT, DE, DC, FL, GA, HI, 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: Indiana. Indemnity Company of California (NAIC *25550) BUSINESS ADDRESS: P. O. BOX 19725, IRVINE, CA 92623 - 9725. PHONE: (949) 263-3300. UNDERWRITING LIMITATION b/: $799,000. SURETY LICENSES c,f/: AL, AK, AZ, AR, CA, CO, DE, DC, GA, HI, ID, IN, KS, KY, LA, MD, MA, MI, MN, MS, MO, MT, NE, NV, NH, NJ, NM, NC, ND, OK, OR, PA, RI, SC, SD, TN, TX, UT, VT, VA, WA, WV, WY. INCORPORATED IN: California. Indemnity Insurance Company of North America (NAIC #43575) BUSINESS ADDRESS: 436 WALNUT STREET, P.O. Box 1000, Philadelphia, PA 19106. PHONE: (215) 640-1000. UNDERWRITING LIMITATION b/: $15,289,000. SURETY LICENSES c,f/: AL, AK, AZ, AR, CA, CO, CT, DE, DC, FL, GA, HI, ID, IL, IN, IA, KS, KY, LA, ME, MD, MA, MI, MN, MS, MO, MT, NE, NV, NH, NJ, NM, NY, NC, NO, OH, OK, OR, PA, RI, SC, SD, TN, TX, UT, VT, VA, VI, WA, WV, WI, WY. INCORPORATED IN: Pennsylvania. Indemnity National Insurance Company (NAIC *18468) BUSINESS ADDRESS: 238 Bedford Way, Franklin, TN 37064. PHONE: (615) 592-5346. UNDERWRITING LIMITATION b/: $7,254,000. SURETY LICENSES c,f/: AL, AK, AZ, AR, CO, DE, DC, FL, GA, HI, IL, IN, IA, KS, KY, LA, MD, MA, MS, MO, MT, NE, NV, NH, NM, NC, ND, OH, OK, OR, PA, RI, SC, TN, TX, UT, VT, VA, WA, WV, WY. 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. 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: Indiana. Inland Insurance Company (NAIC *23264) BUSINESS ADDRESS: P.O. Box 80468 , Lincoln , NE 68501. PHONE: (402) 435-4302. UNDERWRITING LIMITATION b/: $23,259,000. SURETY LICENSES c,f/: AZ, CO, IA, KS, MN, MO, MT, NE, ND, OK, SD, WY. INCORPORATED IN: Nebraska. Insurance Company Of North America (NAIC #22713) BUSINESS ADDRESS: 436 WALNUT STREET, P.O. Box 1000, Philadelphia, PA 19106. PHONE: (215) 640-1000. UNDERWRITING LIMITATION b/: $34,314,000. 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, SD, TN, TX, UT, VT, VA, WA, WV, WI, WY. INCORPORATED IN: Pennsylvania. Hartford Fire Insurance Company (NAIC #19682) BUSINESS ADDRESS: One Hartford Plaza, Hartford, CT 06155 - 0001. PHONE: (860) 547-5000. UNDERWRITING LIMITATION b/: $865,521,000. SURETY LICENSES c,f/: AL, AK, AZ, AR, CA, CO, CT, DE, DC, FL, GA, GU, HI, ID, IL, IN, IA, KS, KY, LA, ME, MD, MA, MI, MN, MS, MO, MT, NE, NV, NH, NJ, NM, NY, NC, ND, OH, OK, OR, PA, PR, RI, SC, SD, TN, TX, UT, VT, VA, WA, WV, WI, WY. INCORPORATED 1N: 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, IL, KY, MD, 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 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: Indiana. Hartford Insurance Company of the Southeast (NAIC #38261) BUSINESS ADDRESS: One Hartford Plaza, Hartford, CT 06155 - 0001. PHONE: (860) 547-5000. UNDERWRITING LIMITATION b/: $6,398,000. SURETY LICENSES c,f/: AZ, CT, FL, GA, KS, KY, LA, MD, MI, MO, PA, SC, TN, TX, UT, VA, WV. INCORPORATED IN: Connecticut. Hudson Insurance Company (NAIC #25054) BUSINESS ADDRESS: 100 William Street, Sth Floor, New York, NY 10038. PHONE: (212) 978-2800. UNDERWRITING LIMITATION b/: $44,149,000. SURETY LICENSES c,f/: AL, AK, AZ, AR, CA, CO, CT, DE, DC, FL, GA, HI, ID, IL, IN, IA, KS, KY, LA, ME, MD, MA, MI, MN, MS, MO, MT, NE, NV, NH, NJ, NM, NY, NC, ND, OH, OK, OR, PA, PR, RI, SC, SD, TN, TX, UT, VT, VA, WA, WV, WI, WY. INCORPORATED IN: Delaware. IMT Insurance Company (NAIC #14257) BUSINESS ADDRESS: P.O. Box 1336, Des Moines, IA 50306 - 1336. PHONE: (515) 453-0777. UNDERWRITING LIMITATION b/: $14,936,000. SURETY LICENSES c,f/: AZ, IL, IA, MN, MO, NE, ND, SO, WI. INCORPORATED IN: Iowa. 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,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: Illinois. Insurance Company of the West (NAIC #27847) BUSINESS ADDRESS: P.O. BOX 509039, SAN DIEGO, CA 92150. PHONE: (858) 350-2400. UNDERWRITING LIMITATION b/: $89,492,000. SURETY LICENSES c,f/: 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, NH, NJ, NM, NY, NC, NO, OH, OK, OR, PA, RI, SC, SD, TN, TX, UT, VT, VA, WA, WV, WI, WY. INCORPORATED IN: California. Insurors Indemnity Company (NAIC #43273) BUSINESS ADDRESS: P.O. Box 32577, Waco, TX 76703. PHONE: (254) 759-3727. UNDERWRITING LIMITATION b/: $2,505,000. SURETY LICENSES c,f/: AZ, AR, NM, OK, TX. INCORPORATED IN: Texas. INTEGRAND ASSURANCE COMPANY (NAIC # 26778) 9 Integrity Insurance Company (NAIC #14303) BUSINESS ADDRESS: P.O. Box 539, Appleton, WI 54912 - 0539. PHONE: (920) 734-4511. UNDERWRITING LIMITATION b/: $5,776,000. SURETY LICENSES c,f/: IL, IA, MN, OH, WI. INCORPORATED IN: Ohio. International Fidelity Insurance Company (NAIC #11592) BUSINESS ADDRESS: One Newark Center , Newark, NJ 07102 - 5207. PHONE: (973) 624-7200. UNDERWRITING LIMITATION b/: $7,222,000. SURETY LICENSES c,f/: AL, AK, AZ, AR, CA, CO, CT, DE, DC, FL, GA, GU, HI, ID, IL, IN, IA, KS, KY, LA, ME, MD, MA, MI, MN, MS, MO, MT, NE, NV, NH, NJ, NM, NY, NC, NO, OH, OK, OR, PA, PR, RI, SC, SD, TN, TX, UT, VT, VA, 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 X-41177. UNDERWRITING LIMITATION b/: $8,842,000. SURETY LICENSES c,f/: AL, AK, AZ, AR, CA, CO, CT, DE, DC, FL, GA, GU, HI, ID, IL, IN, IA, KS, KY, LA, ME, MD, MA, MI, MN, MS, MO, MT, NE, NV, NH, NJ, NM, NY, NC, ND, OH, OK, OR, PA, PR, RI, SC, SD, TN, TX, UT, VT, VA, WA, WV, WI, WY. INCORPORATED IN: Minnesota. ISLAND INSURANCE COMPANY, LIMITED (NAIC #22845) BUSINESS ADDRESS: P.O. Box 1520, Honolulu, HI 96806 - 1520. PHONE: (808) 564-8200. UNDERWRITING LIMITATION b/: $12,446,000. SURETY LICENSES c,f/: HI. INCORPORATED IN: Hawaii. 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,f/: AL, AK, AZ, AR, CA, CO, CT, DE, DC, FL, GA, HI, ID, IL, IN, IA, KS, KY, LA, ME, MD, MA, MI, MN, MS, MO, MT, NE, NV, NH, NJ, NM, NY, NC, NO, OH, OK, OR, PA, RI, SC, SO, TN, TX, UT, VT, VA, WA, WV, WI, WY. INCORPORATED IN: Florida. Lexon Insurance Company (NAIC #13307) BUSINESS ADDRESS: 10002 Shelbyville Rd, Suite 100, Louisville, KY 40223. PHONE: (615) 553-9500. UNDERWRITING LIMITATION b/: $6,882,000. 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, NJ, NM, NC, NO, OH, OK, OR, PA, RI, SC, SO, TN, TX, UT, VT, VA, WA, WV, WI, WY. INCORPORATED IN: Texas. Liberty Insurance Corporation (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, IA, KS, KY, LA, ME, MD, MA, MI, MN, MS, MO, MP, MT, NE, NV, NH, NJ, NM, NY, NC, NO, OH, OK, OR, PA, PR, RI, SC, SO, TN, TX, UT, VT, VA, 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 b/: $157,521,000. 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: 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,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, MP, MT, NE, NV, NH, NJ, NM, NY, NC, NO, OH, OK, OR, PA, PR, RI, SC, SO, TN, TX, UT, VT, VA, VI, WA, WV, WI, WY. INCORPORATED IN: Massachusetts. Michigan Millers Mutual Insurance Company (NAIC #14508) BUSINESS ADDRESS: P. 0. Box 30060, Lansing, MI 48909 - 7560. PHONE: (517) 482-6211 x-5115. UNDERWRITING LIMITATION b/: $6,828,000, SURETY LICENSES c,f/: AZ, AR, CA, CO, GA, ID, IL, IN, IA, KS, KY, MI, MN, MO, MT, NE, NY, NC, NO, OH, OK, OR, PA, SO, TN, VA, WA, WI, WY. INCORPORATED IN: Michigan. Mid -Century Insurance Company (NAIC #21687) BUSINESS ADDRESS: P.O. BOX 4402, WOODLAND HILLS, CA 91365. PHONE: (323) 932-3200. UNDERWRITING LIMITATION b/: $378,510,000. SURETY LICENSES c,f/: AL, AZ, AR, CA, CO, FL, GA, HI, ID, IL, IN, IA, KS, MA, MI, MN, MS, MO, MT, NE, NV, NJ, NM, NY, NC, ND, OH, OK, OR, PA, SO, TN, TX, UT, VT, VA, WA, WI, WY. INCORPORATED IN: California. MID-CONTINENT CASUALTY COMPANY (NAIC #23418) BUSINESS ADDRESS: P.O. Box 1409, Tulsa, OK 74101. PHONE: (918) 587-7221. UNDERWRITING LIMITATION b/: $15,997,000. SURETY LICENSES c,f/: AL, AZ, AR, CO, CT, IL, IN, IA, KS, KY, LA, ME, MN, MS, MO, MT, NE, NV, NH, NJ, NM, 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) 225-8211. UNDERWRITING LIMITATION b/: $15,062,000. SURETY LICENSES c,f/: AZ, CA, CO, CT, DE, DC, GA, ID, IL, IN, IA, KS, KY, ME, MD, MA, MI, MN, MO, NE, NV, NH, NJ, NM, NY, NC, NO, OH, OK, OR, PA, RI, SC, SO, TN, TX, UT, VT, VA, WA, WV, WI, WY. INCORPORATED IN: Ohio. Motorists Mutual Insurance Company (NAIC *14621) BUSINESS ADDRESS: 471 East Broad Street, Columbus, OH 43215. PHONE: (614) 225-8211. UNDERWRITING LIMITATION b/: $44,985,000. SURETY LICENSES c,f/: IN, KY, MI, OH, PA, WV. INCORPORATED IN: Ohio. Motors Insurance Corporation (NAIC #22012) BUSINESS ADDRESS: 500 WOODWARD AVE, 14TH FLOOR, DETROIT, MI 48226. PHONE: (313) 656-5437. UNDERWRITING LIMITATION b/: $76,268,000. SURETY LICENSES c,f/: 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, NH, NJ, NM, NY, NC, NO, OH, OK, OR, PA, RI, SC, SO, TN, TX, UT, VT, VA, WA, WV, WI, WY. INCORPORATED IN: Michigan. LM Insurance Corporation (NAIC #33600) BUSINESS ADDRESS: 175 Berkeley Street, Boston, MA 02116. PHONE: (617) 357-9500. UNDERWRITING LIMITATION b/: $11,906,000. SURETY LICENSES c,f/: AL, AK, AZ, AR, CA, CO, CT, DE, DC, FL, GA, GU, HI, ID, IL, IN, IA, KS, KY, LA, ME, MD, MA, MI, MN, MS, MO, MP, MT, NE, NV, NH, NJ, NM, NY, NC, NO, OH, OK, OR, PA, RI, SC, SO, TN, TX, UT, VT, VA, VI, WA, WV, WI, WY. INCORPORATED IN: Illinois. Manufacturers Alliance Insurance Company (NAIC #36897) BUSINESS ADDRESS: P.O. Box 3031, Blue Bell, PA 19422 - 0754. PHONE: (610) 397-5000. UNDERWRITING LIMITATION b/: $7,220,000. SURETY LICENSES c,f/: AL, AK, AZ, AR, CO, CT, DE, DC, ID, IN, KS, KY, LA, ME, MD, MI, MS, MO, MT, NE, NV, NH, NJ, NM, NY, NC, OH, PA, RI, SC, SO, TN, 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 LIMITATION b/: $119,240,000. SURETY LICENSES c,f/: AL, AK, AZ, AR, CA, CO, CT, DE, DC, FL, GA, ID, IL, IN, IA, KS, KY, LA, ME, MD, MA, MI, MN, MS, MO, MT, NE, NV, NH, NJ, NM, NY, NC, NO, OH, OK, OR, PA, RI, SC, SO, TN, TX, UT, VT, VA, WA, WV, WI, WY. INCORPORATED IN: Illinois. Massachusetts Bay Insurance Company (NAIC #22306) BUSINESS ADDRESS: 440 LINCOLN STREET, WORCESTER, MA 01653 - 0002. PHONE: (508) 853-7200. UNDERWRITING LIMITATION b/: $6,577,000. SURETY LICENSES c,f/: AL, AK, AZ, AR, CA, CO, CT, DE, DC, FL, GA, HI, ID, IL, IN, IA, K5, KY, LA, ME, MD, MA, MI, MN, MS, MO, MT, NE, NV, NH, NJ, NM, NY, NC, NO, OH, OK, OR, PA, RI, SC, SO, TN, TX, VT, VA, WA, WV, WI, WY. INCORPORATED IN: New Hampshire. Merchants Bonding Company (Mutual) (NAIC #14494) BUSINESS ADDRESS: P.O BOX 14498, DES MOINES, IA 50306 - 3498. PHONE: (515) 243-8171. UNDERWRITING LIMITATION b/: $12,476,000. SURETY LICENSES c,f/: AL, AK, AZ, AR, CA, CO, CT, DE, DC, FL, GA, HI, ID, IL, IN, IA, KS, KY, LA, ME, MD, MA, MI, MN, MS, MO, MT, NE, NV, NH, NJ, NM, NY, NC, NO, OH, OK, OR, PA, RI, SC, SO, TN, TX, UT, VT, VA, WA, WV, WI, WY. INCORPORATED IN: Iowa. Merchants National Bonding, Inc. (NAIC #11595) BUSINESS ADDRESS: P.O. Box 14498, DES MOINES, IA 50306 - 3498. PHONE: (515) 243-8171. UNDERWRITING LIMITATION b/: $1,722,000. SURETY LICENSES c,f/: AL, AK, AZ, AR, CO, CT, DE, DC, FL, GA, HI, ID, IL, IN, IA, KS, KY, LA, ME, MD, MA, MI, MN, MS, MO, MT, NE, NV, NJ, NM, NY, NC, NO, OH, OK, OR, PA, RI, SC, SO, TN, TX, UT, VT, VA, WA, WV, WI, WY. INCORPORATED IN: Iowa. Munich Reinsurance America, Inc. (NAIC #10227) BUSINESS ADDRESS: 555 COLLEGE ROAD EAST - P.O. BOX 5241, PRINCETON, NJ 08543. PHONE: (609) 243-4200. UNDERWRITING LIMITATION b/: $362,623,000. SURETY LICENSES c,f/: AL, AK, AZ, AR, CA, CO, CT, DE, DC, FL, GA, GU, HI, ID, IL, IN, IA, K5, KY, LA, ME, MD, MA, MI, MN, MS, MO, MT, NE, NV, NH, NJ, NM, NY, NC, ND, OH, OK, OR, PA, PR, RI, SC, SO, TN, TX, UT, VT, VA, WA, WV, WI, WY. INCORPORATED IN: Delaware. National American Insurance Company (NAIC #23663) BUSINESS ADDRESS: P.O. Box 9 , Chandler, OK 74834. PHONE: (405) 258-0804. UNDERWRITING LIMITATION b/: $7,437,000. SURETY LICENSES c,f/: AL, AK, AZ, AR, CA, CO, CT, DE, DC, FL, GA, HI, ID, IL, IN, IA, KS, KY, LA, ME, MD, MA, MI, MN, MS, MO, MT, NE, NV, NH, NJ, NM, NY, NC, NO, OH, OK, OR, PA, RI, SC, SO, TN, TX, UT, VT, VA, WA, WV, WI, WY. INCORPORATED IN: Oklahoma. National Casualty Company (NAIC #11991) BUSINESS ADDRESS: ONE WEST NATIONWIDE BLVD., 1-04-701, COLUMBUS, OH 43215 - 2220. PHONE: (480) 365-4000. UNDERWRITING LIMITATION b/: $14,297,000. SURETY LICENSES c,f/: AL, AK, AZ, AR, CA, CO, CT, DE, DC, FL, GA, HI, ID, IL, IN, IA, KS, KY, LA, ME, MD, MA, MI, MN, MS, MO, MT, NE, NV, NH, NJ, NM, NY, NC, ND, OH, OK, OR, PA, RI, SC, SD, TN, TX, UT, VT, VA, WA, WV, WI, WY. INCORPORATED IN: Ohio. NATIONAL FARMERS UNION PROPERTY AND CASUALTY COMPANY (NAIC *16217) BUSINESS ADDRESS: One QBE Way, Sun Prairie, WI 53596. PHONE: (608) 825-5160. UNDERWRITING LIMITATION b/: $4,147,000. SURETY LICENSES c,f/: AL, AK, AZ, AR, CA, CO, DE, DC, GA, HI, ID, IL, IN, IA, KS, KY, LA, ME, MD, MA, MI, MN, MS, MO, MT, NE, NV, NH, NJ, NY, NC, NO, OH, OK, OR, PA, RI, SC, SO, TN, TX, UT, VT, VA, WA, WV, WI, WY. INCORPORATED IN: Wisconsin. National Fire & Marine Insurance Company (NAIC #20079) BUSINESS ADDRESS: 1314 Douglas Street, Suite 1400, Omaha, NE 68102 - 1944. PHONE: (402) 916-3000. UNDERWRITING LIMITATION b/: $634,817,000. SURETY LICENSES c,f/: NE. INCORPORATED IN: Nebraska. National Fire Insurance Company of Hartford (NAIC #20478) BUSINESS ADDRESS: 151 N. Franklin St., CHICAGO, IL 60606, PHONE: (312) 822-5000. UNDERWRITING LIMITATION b/: $11,030,000, SURETY LICENSES c,f/: AL, AK, AZ, AR, CA, CO, CT, DE, DC, FL, GA, 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. National Indemnity Company (NAIL #20087) BUSINESS ADDRESS: 1314 Douglas Street, Suite 1400, Omaha, NE 68102 - 1944. PHONE: (402) 916-3000. UNDERWRITING LIMITATION b/: $11,629,382,000. SURETY LICENSES c,f/: AL, AK, AZ, AR, CA, CO, CT, DE, DC, FL, GA, ID, IL, IN, IA, KS, KY, LA, ME, MD, MI, MN, MS, MO, MT, NE, NV, NH, NM, NC, ND, OH, OK, OR, PA, RI, SC, SO, 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. SURETY LICENSES c,f/: AL, AK, CA, CT, DE, DC, HI, ID, IL, IA, KS, KY, MD, MA, MI, MS, MO, NE, NH, NJ, NM, NY, ND, OH, OK, RI, SC, SD, TX, UT, VT, 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 b/: $3,844,000. SURETY LICENSES c,f/: AL, AZ, AR, CO, DC, FL, GA, IL, IN, IA, KS, KY, LA, MD, MI, MS, MO, NE, NM, NC, OH, OK, 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, 18TH 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, ID, IL, IN, IA, KS, KY, LA, ME, MD, MA, MI, MN, M5, MO, MP, 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. Nationwide Agribusiness Insurance Company (NAIC #28223) BUSINESS ADDRESS: ONE WEST NATIONWIDE BLVD., 1-04-701, COLUMBUS, OH 43215 - 2220. PHONE: (515) 508-3300. UNDERWRITING LIMITATION b/: $19,535,000. SURETY LICENSES c,f/: AL, AZ, AR, CA, CO, CT, DE, DC, FL, GA, ID, IL, IN, IA, K5, KY, LA, ME, MD, MA, MI, MN, M5, MO, MT, NE, NV, NH, NJ, NM, NY, NC, NO, OH, OK, OR, PA, RI, SC, SO, TN, TX, UT, VT, VA, WA, WV, WI, WY. INCORPORATED IN: Iowa. Nationwide Mutual Insurance Company (NAIL *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. SURETY LICENSES c,f/: AL, AK, AZ, AR, CA, CO, CT, DE, DC, FL, GA, GU, HI, ID, IL, IN, IA, KS, KY, LA, ME, MD, MA, MI, MN, MS, MO, MT, NE, NV, NH, NJ, NM, NY, NC, NO, OH, OK, OR, PA, RI, SC, SO, TN, TX, UT, VT, VA, VI, WA, WV, WI, WY. INCORPORATED IN: Ohio. NAVIGATORS INSURANCE COMPANY (NAIC #42307) BUSINESS ADDRESS: 400 Atlantic Street, 8th Floor, Stamford, CT 06901. PHONE: (203) 905-6090. UNDERWRITING LIMITATION b/: $100,508,000. SURETY LICENSES c,f/: AL, AK, AZ, AR, CA, CO, CT, DE, DC, FL, GA, GU, HI, ID, IL, IN, IA, KS, KY, LA, ME, MD, MA, MI, MN, MS, MO, MT, NE, NV, NH, NJ, NM, NY, NC, NO, OH, OK, OR, PA, PR, RI, SC, SO, TN, TX, UT, VT, VA, VI, WA, WV, WI, WY. INCORPORATED IN: New York. New Hampshire Insurance Company (NAIC #23841) BUSINESS ADDRESS: 175 WATER STREET, 18TH FLOOR, NEW YORK, NY 10038. PHONE: (212) 770-7000. UNDERWRITING LIMITATION b/: $6,238,000. 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, OR, PA, PR, RI, SC, SO, TN, TX, UT, 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 b/: $51,366,000, SURETY LICENSES c,f/: AL, AZ, AR, CO, CT, DE, DC, FL, GA, ID, IL, IN, IA, KS, KY, LA, ME, MD, MA, MI, MS, MO, MT, NE, NV, NH, NJ, NM, NY, NC, NO, OH, OK, OR, PA, RI, SC, SD, TN, TX, UT, 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 b/: $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, MD, MA, MI, MN, MS, MO, MT, NE, NV, NH, NJ, NM, NY, NC, ND, OH, OK, OR, PA, PR, RI, SC, SD, TN, TX, UT, VT, VA, VI, WA, WV, WI, WY. INCORPORATED IN: New Hampshire. NOVA Casualty Company (NAIC #42552) OLD DOMINION INSURANCE COMPANY (NAIC #40231) BUSINESS ADDRESS: 440 LINCOLN STREET, WORCESTER, MA 01653 - BUSINESS ADDRESS: 55 WEST STREET, KEENE, NH 03431. PHONE: (904) 0002. PHONE: (508) 853-7200. UNDERWRITING LIMITATION b/: 380-7282. UNDERWRITING LIMITATION b/: $3,634,000. SURETY $9,112,000. SURETY LICENSES c,f/: AL, AK, AZ, AR, CA, CO, CT, DE, DC, LICENSES c,f/: CT, DE, FL, GA, ME, MD, MA, NH, NY, NC, PA, RI, SC, TN, FL, GA, HI, ID, IL, IN, IA, KS, KY, LA, ME, MD, MA, MI, MN, MS, MO, MT, VT, VA. INCORPORATED IN: Florida. NE, NV, NH, NJ, NM, NY, NC, NO, OH, OK, OR, PA, RI, SC, SD, TN, TX, UT, Old Republic General Insurance Corporation (NAIC #24139) VT, VA, WA, WI, WY. INCORPORATED IN: New York. BUSINESS ADDRESS: 307 NORTH MICHIGAN AVENUE, CHICAGO, IL Ohio Casualty Insurance Company (The) (NAIC #24074) 60601. PHONE: (312) 346-8100. UNDERWRITING LIMITATION b/: BUSINESS ADDRESS: 175 Berkeley Street, Boston, MA 02116. PHONE: $66,847,000. SURETY LICENSES c,f/: AL, AK, AZ, AR, CA, CO, CT, DE, DC, (617) 357-9500 X-41177. UNDERWRITING LIMITATION b/: $172,415,000. FL, GA, ID, IL, IN, IA, KS, KY, LA, ME, MD, MA, MI, MN, MS, MO, MT, NE, SURETY LICENSES c,f/: AL, AK, AZ, AR, CA, CO, CT, DE, DC, FL, GA, HI, NV, NH, NJ, NM, NY, NC, NO, OH, OK, OR, PA, RI, SC, SO, TN, TX, UT, VT, ID, IL, IN, IA, KS, KY, LA, ME, MD, MA, MI, MN, MS, MO, MT, NE, NV, NH, VA, WA, WV, WI, WY. INCORPORATED IN: Illinois. NJ, NM, NY, NC, NO, OH, OK, OR, PA, RI, SC, SO, TN, TX, UT, VT, VA, WA, Old Republic Insurance Company (NAIC #24147) WV, WI, WY. INCORPORATED IN: New Hampshire. BUSINESS ADDRESS: P.O. Box 789, Greensburg, PA 15601 - 0789. Ohio Farmers Insurance Company (NAIC #24104) PHONE: (724) 834-5000. UNDERWRITING LIMITATION b/: $110,790,000. BUSINESS ADDRESS: P. O. Box 5001, Westfield Center, OH 44251 - 5001. SURETY LICENSES c,f/: AL, AK, A5, AZ, AR, CA, CO, CT, DE, DC, FL, GA, PHONE: (330) 887-0101. UNDERWRITING LIMITATION b/: $227,840,000. GU, HI, ID, IL, IN, IA, KS, KY, LA, ME, MD, MA, MI, MN, MS, MO, MP, MT, SURETY LICENSES c,f/: AL, AZ, AR, CO, DE, DC, FL, GA, IL, IN, IA, KY, LA, NE, NV, NH, NJ, NM, NY, NC, NO, OH, OK, OR, PA, PR, RI, SC, SO, TN, TX, MD, MA, MI, MN, MS, MO, MT, NE, NV, NJ, NM, NY, NC, NO, OH, OK, PA, UT, VT, VA, VI, WA, WV, WI, WY. INCORPORATED IN: Pennsylvania. RI, SC, SO, TN, TX, UT, VA, WA, WV, WI, WY. INCORPORATED IN: Ohio. Old Republic Surety Company (NAIC #40444) Ohio Indemnity Company (NAIC #26565) BUSINESS ADDRESS: P.O. BOX 1635, MILWAUKEE, WI 53201 - 1635. BUSINESS ADDRESS: 250 E. Broad St., 7th Floor, Columbus, OH 43215 - PHONE: (262) 797-2640. UNDERWRITING LIMITATION b/: $7,061,000. 0000. PHONE: (614) 228-2800. UNDERWRITING LIMITATION b/: SURETY LICENSES c,f/: AL, AZ, AR, CA, CO, DC, FL, GA, ID, IL, IN, IA, KS, $4,670,000. SURETY LICENSES c,f/: AL, AK, AZ, AR, CA, CO, CT, DE, DC, MD, MN, MS, MO, MT, NE, NV, NM, NC, ND, OH, OK, OR, PA, SC, SO, TN, FL, GA, HI, ID, IL, IN, IA, KS, KY, LA, ME, MD, MI, MN, MS, MO, MT, NE, TX, UT, VA, WA, WV, WI, WY. INCORPORATED IN: Wisconsin. NV, NH, NJ, NM, NY, NC, NO, OH, OK, OR, PA, RI, SC, SO, TN, TX, UT, VT, Pacific Indemnity Company (NAIC #20346) VA, WA, WV, WI, WY. INCORPORATED IN: Ohio. BUSINESS ADDRESS: 202B Hall's MITI Road, Whitehouse Station, NJ 08889. Ohio Security Insurance Company (NAIC #24082) PHONE: (215) 640-1000. UNDERWRITING LIMITATION b/: $317,802,000. BUSINESS ADDRESS: 175 Berkeley Street, Boston, MA 02116. PHONE: SURETY LICENSES c,f/: AL, AK, AZ, AR, CA, CO, CT, DE, DC, FL, GA, HI, (617) 357-9500 X-41177. UNDERWRITING LIMITATION b/: $1,365,000. ID, IL, IN, IA, KS, KY, LA, ME, MD, MA, MI, MN, MS, MO, MT, NE, NV, NH, SURETY LICENSES c,f/: AL, AK, AZ, AR, CA, CO, CT, DE, DC, FL, GA, ID, NJ, NM, NY, NC, NO, OH, OK, OR, PA, RI, SC, SO, TN, TX, UT, VT, VA, WA, IL, IN, IA, KS, KY, LA, ME, MD, MA, MI, MN, MS, MO, MT, NE, NV, NH, NJ, WV, WI, WY. INCORPORATED IN: Wisconsin. NM, NY, NC, NO, OH, OK, OR, PA, RI, SC, SD, TN, TX, UT, VT, VA, WA, WV, PACIFIC INDEMNITY INSURANCE COMPANY (NAIC #18380) WI, WY. INCORPORATED IN: New Hampshire. BUSINESS ADDRESS: 348 WEST O'BRIEN DRIVE, HAGATNA, GU 96910. Oklahoma Surety Company (NAIC #23426) PHONE: (671) 477-8801. UNDERWRITING LIMITATION b/: $2,438,000. BUSINESS ADDRESS: P.O. Box 1409, Tulsa, OK 74101. PHONE: (918) SURETY LICENSES c,f/: GU, MP. INCORPORATED IN: Guam. 587-7221. UNDERWRITING LIMITATION b/: $1,691,000. SURETY LICENSES c,f/: AR, KS, OH, OK, TX. INCORPORATED IN: Ohio. PARTNER REINSURANCE COMPANY OF THE U.S. (NAIL #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,f/: AL, AZ, CA, CO, CT, DE, DC, GA, IL, IA, KS, LA, MD, MI, MS, NE, NV, NJ, NM, NY, OH, OK, PA, TX, UT, VA, WA, WV. INCORPORATED IN: New York. PARTNERRE INSURANCE COMPANY OF NEW YORK (NAIC #10006) BUSINESS ADDRESS: 200 First Stamford Place, Suite 400, Stamford, CT 06902. PHONE: (203) 485-4200. UNDERWRITING LIMITATION b/: $11,076,000. SURETY LICENSES c,f/: AL, AZ, CA, CO, DE, DC, ID, IL, IN, IA, KS, KY, MD, MI, MN, MS, MT, NE, NJ, NM, NY, ND, OH, OK, OR, PA, RI, SC, SO, TX, UT, VT, VA, WA, WV, WI. INCORPORATED IN: New York. Pekin Insurance Company (NAIC *24228) BUSINESS ADDRESS: 2505 COURT STREET, PEKIN, IL 61558 - 0001. PHONE: (309) 346-1161. UNDERWRITING LIMITATION b/: $13,848,000. SURETY LICENSES c,f/: AZ, IL, IN, IA, MI, OH, WI. INCORPORATED IN: Illinois. Pennsylvania Manufacturers Indemnity Company (NAIC #41424) BUSINESS ADDRESS: P.O. Box 3031, Blue Bell, PA 19422 - 0754. PHONE: (610) 397-5000. UNDERWRITING LIMITATION b/: $8,215,000. SURETY LICENSES c,f/: AL, AK, AZ, AR, CO, CT, DE, DC, ID, IN, KS, KY, LA, ME, MD, MI, MS, MO, MT, NE, NV, NH, NJ, NM, NY, NC, OH, PA, RI, SC, SO, TN, UT, VT, VA, WA. INCORPORATED IN: Pennsylvania. Pennsylvania Manufacturers' Association Insurance Company (NAIC #12262) BUSINESS ADDRESS: P.O. Box 3031, Blue Bell, PA 19422 - 0754. PHONE: (610) 397-5000. UNDERWRITING LIMITATION b/: $32,524,000. SURETY LICENSES c,f/: AL, AK, AR, CO, CT, DE, DC, FL, GA, HI, ID, IL, IA, KS, KY, LA, ME, MD, MA, MI, MS, MO, MT, NE, NV, NH, NJ, NM, NY, NC, OH, OK, PA, RI, SC, 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) 234-4941. UNDERWRITING LIMITATION b/: $58,016,000. SURETY LICENSES c,f/: AL, AK, AZ, AR, CO, CT, DE, DC, FL, GA, ID, IL, IN, IA, KS, KY, LA, ME, MD, MA, MI, MN, MS, MO, MT, NE, NJ, NM, NY, NC, OH, OK, OR, PA, RI, SC, SD, TN, TX, UT, VT, VA, WA, WV, WI. INCORPORATED IN: Pennsylvania. 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. SURETY LICENSES c,f/: AL, AK, AZ, AR, CA, CO, CT, DE, DC, FL, GA, HI, ID, IL, IN, IA, KS, KY, LA, ME, MD, MA, MI, MN, MS, MO, MT, NE, NV, NH, NJ, NM, NY, NC, NO, OH, OK, OR, PA, PR, RI, SC, SD, TN, TX, UT, VT, VA, WA, WV, WI, WY. INCORPORATED IN: Indiana. Protective Property & Casualty Insurance Company (NAIC #35769) BUSINESS ADDRESS: 14755 North Outer Forty Rd., Suite 400, St. Louis, MO 63017. PHONE: (636) 536-5600. UNDERWRITING LIMITATION b/: $17,383,000. 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, NC, ND, OH, OK, OR, PA, PR, RI, SC, SD, TN, TX, UT, VT, VA, WA, WV, WI, WY. INCORPORATED IN: Missouri. QBE Insurance Corporation (NAIC #39217) BUSINESS ADDRESS: One QBE Way, Sun Prairie, WI 53596. PHONE: (608) 825-5160. UNDERWRITING LIMITATION b/: $74,065,000. SURETY LICENSES c,f/: AL, AK, AZ, AR, CA, CO, CT, DE, DC, FL, GA, HI, ID, IL, IN, IA, KS, KY, LA, ME, MD, MA, MI, MN, MS, MO, MT, NE, NV, NH, NJ, NM, NY, NC, NO, OH, OK, OR, PA, RI, SC, SD, TN, TX, UT, VT, VA, WA, WV, WI, WY. INCORPORATED IN: Pennsylvania. Regent Insurance Company (NAIC #24449) BUSINESS ADDRESS: One QBE Way, Sun Prairie, WI 53596. PHONE: (608) 825-5160. UNDERWRITING LIMITATION b/: $3,263,000. SURETY LICENSES c,f/: AL, AK, AZ, AR, CA, CO, DE, DC, FL, GA, HI, ID, IL, IN, IA, KS, KY, LA, MD, MA, MI, MN, MS, MO, MT, NE, NV, NH, NJ, NY, NC, NO, OH, OK, OR, PA, RI, SC, SD, TN, TX, UT, VT, VA, WA, WV, WI, WY. INCORPORATED IN: Wisconsin. Republic - Franklin Insurance Company (NAIC *12475) BUSINESS ADDRESS: P. 0. Box 530, Utica, NY 13503 - 0530, PHONE: (315) 734-2000. UNDERWRITING LIMITATION b/: $5,680,000. SURETY LICENSES c,f/: CT, DE, DC, GA, IL, IN, KS, MD, MA, MI, NH, NJ, NY, NC, OH, PA, RI, TN, TX, VA, WI. INCORPORATED IN: Ohio. RLI Insurance Company (NAIC #13056) BUSINESS ADDRESS: 9025 N. Lindbergh Drive, Peoria, IL 61615. PHONE: (309) 692-1000. UNDERWRITING LIMITATION b/: $71,564,000. SURETY LICENSES c,f/: AL, AK, AZ, AR, CA, CO, CT, DE, DC, FL, GA, GU, HI, ID, IL, IN, IA, KS, KY, LA, ME, MD, MA, MI, MN, MS, MO, MT, NE, NV, NH, NJ, NM, NY, NC, ND, OH, OK, OR, PA, PR, RI, SC, SD, TN, TX, UT, VT, VA, VI, WA, WV, WI, WY. INCORPORATED IN: Illinois. PHILADELPHIA INDEMNITY INSURANCE COMPANY (NAIL #18058) BUSINESS ADDRESS: Three Bala Plaza East, Suite 400, Bala Cynwyd, PA 19004 - 1403. PHONE: (610) 206-7836. UNDERWRITING LIMITATION b/: $236,948,000. SURETY LICENSES c,f/: AL, AK, AZ, AR, CA, CO, CT, DE, DC, FL, GA, HI, ID, IL, IN, IA, KS, KY, LA, ME, MD, MA, MI, MN, MS, MO, MT, NE, NV, NH, NJ, NM, NY, NC, NO, OH, OK, OR, PA, RI, SC, SD, TN, TX, UT, VT, VA, WA, WV, WI, WY. INCORPORATED IN: Pennsylvania. PLATTE RIVER INSURANCE COMPANY (NAIC #18619) BUSINESS ADDRESS: P.O. Box 5900, Madison, WI 53705 - 0900. PHONE: (608) 829-4200. UNDERWRITING LIMITATION b/: $4,967,000. SURETY LICENSES c,f/: AL, AK, AZ, AR, CA, CO, CT, DE, DC, FL, GA, HI, ID, IL, IN, IA, KS, KY, LA, ME, MD, MA, MI, MN, MS, MO, MT, NE, NV, NH, NJ, NM, NY, NC, NO, OH, OK, OR, PA, RI, SC, SD, TN, TX, UT, VT, VA, WA, WV, WI, WY. INCORPORATED IN: Nebraska. Plaza Insurance Company (NAIC #30945) BUSINESS ADDRESS: 518 East Broad Street, Columbus, OH 43215. PHONE: (614) 464-5000. UNDERWRITING LIMITATION b/: $2,402,000, SURETY LICENSES c,f/: AL, AK, AZ, AR, CA, CO, CT, DE, DC, FL, GA, HI, ID, IL, IN, IA, KS, KY, LA, ME, MD, MA, MI, MN, MS, MO, MT, NE, NV, NH, NJ, NM, NY, NC, NO, OH, OK, OR, PA, RI, SC, SO, TN, TX, UT, VT, VA, WA, WV, WI, WY. INCORPORATED IN: 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, AZ, AR, CA, DE, DC, GA, IL, IN, IA, KS, LA, MD, MA, MI, MN, MS, MO, MT, NE, NV, NJ, NM, NY, ND, OK, OR, PA, SC, SO, TX, UT, WV, WI, WY. INCORPORATED IN: Michigan. Progressive Casualty Insurance Company (NAIC #24260) BUSINESS ADDRESS: P.O. BOX 89490, CLEVELAND, OH 44101 - 6490. PHONE: (440) 461-5000. UNDERWRITING LIMITATION b/: $257,058,000. SURETY LICENSES c,f/: AL, AK, AZ, AR, CA, CO, CT, DE, DC, FL, GA, HI, ID, IL, IN, IA, KS, KY, LA, ME, MD, MA, MI, MN, MS, MO, MT, NE, NV, NH, NJ, NM, NY, NC, ND, OH, OK, OR, PA, RI, SC, SD, TN, TX, UT, VT, VA, WA, WV, WI, WY. INCORPORATED IN: Ohio. 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, AR, CA, CO, CT, DE, DC, GA, HI, ID, IN, IA, KS, KY, LA, ME, MD, MN, MS, MO, MT, NE, NV, NJ, NM, NY, NC, ND, OH, OK, OR, RI, SC, SO, TN, TX, UT, VA, WA, WV, WI. INCORPORATED IN: Ohio. Roche Surety and Casualty Company, Inc. (NAIC #42706) BUSINESS ADDRESS: 4107 N HIMES AVE 2ND FLOOR, TAMPA, FL 33607. PHONE: (813) 623-5042. UNDERWRITING LIMITATION b/: $1,006,000. SURETY LICENSES c,f/: AL, AK, AZ, AR, CO, CT, DE, FL, GA, HI, ID, IN, IA, KS, LA, MD, MI, MN, MS, MO, MT, NE, NV, NH, NJ, NM, NY, NC, ND, OH, OK, OR, PA, SC, SO, TN, TX, UT, VT, VA, WA. INCORPORATED IN: Florida. Rockwood Casualty Insurance Company (NAIC #35505) BUSINESS ADDRESS: 654 Main Street, Rockwood, PA 15557. PHONE: (814) 926-4661. UNDERWRITING LIMITATION b/: $10,889,000. SURETY LICENSES c,f/: AL, AK, AZ, AR, CO, CT, DE, DC, FL, GA, HI, ID, IL, IN, IA, KS, KY, LA, ME, MD, MA, MI, MN, MS, MO, MT, NE, NV, NH, NJ, NM, NY, NC, NO, OH, OK, OR, PA, RI, SC, SO, TX, UT, VT, VA, WA, WV, WI, WY. INCORPORATED IN: Pennsylvania. SAFECO Insurance Company of America (NAIC #24740) BUSINESS ADDRESS: 175 Berkeley Street, Boston, MA 02116. PHONE: (617) 357-9500. UNDERWRITING LIMITATION b/: $156,647,000. SURETY LICENSES c,f/: AL, AK, AZ, AR, CA, CO, CT, DE, DC, FL, GA, GU, HI, ID, IL, IN, IA, KS, KY, LA, ME, MD, MA, MI, MN, MS, MO, MT, NE, NV, NH, NJ, NM, NY, NC, NO, OH, 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, St. Louis, MO 63146 - 3540. PHONE: (314) 995-5300. UNDERWRITING LIMITATION b/: $236,691,000. SURETY LICENSES c,f/: AL, AK, AZ, AR, CA, CO, CT, DE, DC, FL, GA, GU, HI, ID, IL, IN, IA, KS, KY, LA, ME, MD, MA, MI, MN, MS, MO, MT, NE, NV, NH, NJ, NM, NY, NC, ND, OH, OK, OR, PA, PR, RI, SC, SD, TN, TX, UT, VT, VA, VI, WA, WV, WI, WY. INCORPORATED IN: Missouri. Sagamore Insurance Company (NAIC *40460) BUSINESS ADDRESS: 111 Congressional Blvd., Suite 500, Carmel, IN 46032. PHONE: (317) 636-9800 x-7433. UNDERWRITING LIMITATION b/: $13,573,000. SURETY LICENSES c,f/: AL, AK, AZ, CO, CT, DE, DC, GA, HI, ID, IL, IN, IA, KS, KY, ME, MD, MA, MI, MN, MS, MO, MT, NE, NJ, NM, NY, NC, OH, OR, PA, RI, SC, SO, TN, TX, UT, VT, WA, WV, WI, WY. INCORPORATED IN: Indiana. SECURA INSURANCE, A Mutual Company (NAIC #22543) BUSINESS ADDRESS: P.O. Box 619 , Appleton , WI 54912 - 0819. PHONE: (920) 739-3161. UNDERWRITING LIMITATION b/: $46,149,000. SURETY LICENSES c,f/: AZ, AR, CO, ID, IL, IN, IA, KS, KY, MI, MN, MO, MT, 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, AZ, AR, CO, CT, DE, DC, GA, IL, IN, IA, KS, KY, MD, MA, MI, MN, MS, MO, MT, NE, NV, NH, NJ, NM, NY, NC, OH, OR, PA, RI, SC, SD, TN, TX, UT, VT, VA, WA, WV, WI, WY. INCORPORATED IN: New Jersey. Seneca Insurance Company, Inc. (NAIC #10936) BUSINESS ADDRESS: 160 Water Street, New York, NY 10038 - 4922. PHONE: (212) 344-3000. UNDERWRITING LIMITATION b/: $14,551,000. SURETY LICENSES c,f/: AL, AK, AZ, AR, CA, CO, CT, DE, DC, FL, GA, HI, ID, IL, IN, IA, KS, KY, LA, ME, MD, MA, MI, MN, MS, MO, MT, NE, NV, NH, NJ, NM, NY, NC, ND, OH, OK, OR, PA, PR, RI, SC, SO, TN, TX, UT, VT, VA, WA, WV, WI, WY. INCORPORATED IN: New York. Sentry Insurance A Mutual Company (NAIC #24988) BUSINESS ADDRESS: 1800 NORTH POINT DRIVE, STEVENS POINT, WI 54481. PHONE: (715) 346-6000. UNDERWRITING LIMITATION b/: $519,098,000. 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: Wisconsin. Sentry Select Insurance Company (NAIC #21180) BUSINESS ADDRESS: 1800 NORTH POINT DRIVE, STEVENS POINT, WI 54481. PHONE: (715) 346-6000. UNDERWRITING LIMITATION b/: $22,581,000. SURETY LICENSES c,f/: AL, AK, AZ, AR, CA, CO, CT, DE, DC, FL, GA, HI, ID, IL, IN, IA, KS, KY, LA, ME, MD, MA, MI, MN, MS, MO, MT, NE, NV, NH, NJ, NM, NY, NC, NO, OH, OK, OR, PA, RI, SC, SD, TN, TX, UT, VT, VA, WA, WV, WI, WY. INCORPORATED IN: 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, ID, IL, IN, IA, KS, KY, LA, ME, MD, MA, MI, MN, MS, MO, MP, MT, NE, NV, NH, NJ, NM, NY, NC, ND, OH, OK, OR, PA, RI, SC, SO, 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/: AL, CT, DE, DC, FL, GA, KY, MD, MA, MS, MT, NH, NJ, NY, NC, PA, RI, SC, TN, VA, WV. INCORPORATED IN: New Jersey. Standard Fire Insurance Company (The) (NAIC #19070) BUSINESS ADDRESS: ONE TOWER SQUARE, HARTFORD, 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, HI, ID, IL, IN, IA, KS, KY, LA, ME, MD, MA, MI, MN, MS, MO, MT, NE, NV, NH, NJ, NM, NY, NC, ND, OH, OK, OR, PA, PR, RI, SC, SO, TN, TX, UT, VT, VA, VI, WA, WV, WI, WY. INCORPORATED IN: Connecticut. Star Insurance Company (NAIC #18023) BUSINESS ADDRESS: 26255 American Drive, Southfield, MI 48034. PHONE: (248) 358-1100. UNDERWRITING LIMITATION b/: $48,882,000. 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: Michigan. StarNet Insurance Company (NAIC #40045)14 BUSINESS ADDRESS: PO BOX 9190, DES MOINES, IA 50306 - 9190. PHONE: (800) 343-0592. UNDERWRITING LIMITATION b/: $11,602,000. SURETY LICENSES c,f/: AL, AK, AZ, AR, CA, CO, CT, DE, DC, FL, GA, HI, ID, IL, IN, IA, KS, KY, LA, ME, MD, MA, MI, MN, MS, MO, MT, NE, NV, NH, NJ, NM, NY, NC, NO, OH, OK, OR, PA, RI, SC, SO, TN, TX, UT, VT, VA, WA, WV, WI, WY. INCORPORATED IN: Iowa. Starr Indemnity & Liability Company (NAIC #38318) BUSINESS ADDRESS: 399 Park Avenue, 3rd floor, New York, NY 10022. PHONE: (646) 227-6400. UNDERWRITING LIMITATION b/: $202,390,000. SURETY LICENSES c,f/: AL, AK, AZ, AR, CA, CO, CT, DE, DC, FL, GA, GU, HI, ID, IL, IN, IA, KS, KY, LA, ME, MD, MA, MI, MN, MS, MO, MT, NE, NV, NH, NJ, NM, NY, NC, ND, OH, OK, OR, PA, PR, RI, SC, SD, TN, 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, OH 43215. PHONE: (614) 464-5000. UNDERWRITING LIMITATION b/: $69,615,000. SURETY LICENSES c,f/: AL, AK, AZ, AR, CO, CT, DE, DC, FL, GA, HI, ID, IL, IN, IA, KS, KY, LA, ME, MD, MA, MI, MN, MS, MO, MT, NE, NV, NJ, NY, NC, ND, OH, OK, OR, PA, RI, SC, SD, TN, TX, UT, VT, VA, WV, WI, WY. INCORPORATED IN: Iowa. 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, GA, HI, ID, IL, IN, IA, KS, KY, LA, MD, MA, MI, 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. SOUTHWEST MARINE AND GENERAL INSURANCE COMPANY (NAIC #12294) BUSINESS ADDRESS: 412 Mt. Kemble Ave, Suite 300C, Morristown, NJ 07960. PHONE: (800) 774-2755. UNDERWRITING LIMITATION b/: $6,673,000. SURETY LICENSES c,f/: AL, AK, AZ, AR, CA, CO, CT, DE, DC, GA, HI, ID, IL, IN, IA, KS, KY, LA, ME, MD, MA, MI, MN, MS, MO, MT, NE, NV, NH, NJ, NM, NC, NO, OH, OK, OR, PA, RI, SC, SD, TN, TX, UT, VT, VA, WA, WV, WI, WY. INCORPORATED IN: Arizona. St. Paul Fire and Marine Insurance Company (NAIC #24767) BUSINESS ADDRESS: ONE TOWER SQUARE, HARTFORD, CT 06183. PHONE: (860) 277-0111. UNDERWRITING LIMITATION b/: $443,919,000. SURETY LICENSES c,f/: AL, AK, AZ, AR, CA, CO, CT, DE, DC, FL, GA, GU, HI, ID, IL, IN, IA, KS, KY, LA, ME, MD, MA, MI, MN, MS, MO, MT, NE, NV, NH, NJ, NM, NY, NC, ND, OH, OK, OR, PA, PR, RI, SC, SD, TN, TX, UT, VT, VA, VI, WA, WV, WI, WY. INCORPORATED IN: Connecticut. ST. PAUL GUARDIAN INSURANCE COMPANY (NAIC #24775) BUSINESS ADDRESS: One Tower Square, Hartford, CT 061B3. 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, MS, MO, MT, NE, NV, NH, NM, NY, NC, ND, OH, OK, OR, PA, RI, SC, SD, TN, TX, UT, VT, VA, WA, WV, WI, WY. INCORPORATED IN: Connecticut. St. Paul Mercury Insurance Company (NAIC #24791) BUSINESS ADDRESS: One Tower Square, Hartford, CT 06183. PHONE: (860) 277-0111. UNDERWRITING LIMITATION b/: $11,509,000. SURETY LICENSES c,f/: AL, AK, AZ, AR, CA, CO, CT, DE, DC, FL, GA, HI, ID, IL, IN, IA, KS, KY, LA, ME, MD, MA, MI, MN, MS, MO, MT, NE, NV, NH, NJ, NM, NY, NC, NO, OH, OK, OR, PA, RI, SC, SD, TN, TX, UT, VT, VA, WA, WV, WI, WY. INCORPORATED IN: Connecticut. State Automobile Mutual Insurance Company (NAIC #25135) BUSINESS ADDRESS: 518 EAST BROAD STREET, COLUMBUS, OH 43215. PHONE: (614) 464-5000, UNDERWRITING LIMITATION b/: $52,003,000. SURETY LICENSES c,f/: AL, AK, AZ, AR, CO, CT, DE, DC, FL, GA, HI, ID, IL, IN, IA, KS, KY, LA, ME, MD, MA, MI, MN, MS, MO, MT, NE, NV, NH, NJ, NM, NY, NC, ND, OH, OK, OR, PA, RI, SC, SO, 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. UND€RWRITING 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, MT, NE, NV, NH, NJ, NM, NY, NC, NO, OH, OK, OR, PA, RI, SC, SD, TN, TX, UT, VT, VA, WA, WV, WI, WY. INCORPORATED IN: Illinois. Stillwater Property and Casualty Insurance Company (NAIC #16578) BUSINESS ADDRESS: P. O. Box 45126, Jacksonville, FL 32232 - 5126. PHONE: (800) 849-6140. UNDERWRITING LIMITATION b/: $11,921,000. SURETY LICENSES c,f/: AL, AK, AZ, AR, CO, CT, DC, FL, GA, HI, ID, IL, IN, IA, KS, KY, LA, ME, MD, MA, MI, MN, MS, MO, MT, NE, NV, NH, NJ, NM, NY, NC, NO, OH, OK, OR, PA, RI, SC, SD, TN, TX, UT, VT, VA, VI, WA, WV, WI, WY. INCORPORATED IN: New York. SureTec Insurance Company (NAIC #10916) BUSINESS ADDRESS: 1330 POST OAK BLVD, SUITE 1100, HOUSTON, TX 77056. PHONE: (713) 812-0800. UNDERWRITING LIMITATION b/: $10,728,000. SURETY LICENSES c,f/: AL, AK, AZ, AR, CA, CO, CT, DE, DC, FL, GA, HI, ID, IL, IN, IA, KS, KY, LA, ME, MD, MA, MI, MN, MS, MO, MT, NE, NV, NH, NJ, NM, NY, NC, ND, OH, OK, OR, PA, RI, SC, SD, TN, TX, UT, VT, VA, WA, WV, WI, WY. INCORPORATED IN: Texas. SURETY BONDING COMPANY OF AMERICA (NAIC #24047) BUSINESS ADDRESS: 151 N. Franklin St., CHICAGO, IL 60606. PHONE: (312) 822-5000. UNDERWRITING LIMITATION b/: $776,000. SURETY LICENSES c,f/: AL, AZ, AR, CA, CO, DE, DC, GA, ID, IL, IN, KS, MN, MO, MT, NE, NV, NM, NY, ND, OK, OR, SC, SO, TN, TX, UT, WV, WY. INCORPORATED IN: South Dakota. Swiss Reinsurance America Corporation (NAIC #25364) BUSINESS ADDRESS: 175 KING STREET, ARMONK, NY 10504 - 1606. PHONE: (914) 828-8000. UNDERWRITING LIMITATION b/: $331,237,000. SURETY LICENSES c,f/: AL, AK, AZ, AR, CA, CO, CT, DE, DC, FL, GA, GU, HI, ID, IL, IN, IA, KS, KY, LA, ME, MD, MA, MI, MN, MS, MO, MT, NE, NV, NH, NJ, NM, NY, NC, ND, OH, OK, OR, PA, PR, RI, SC, SO, TN, TX, UT, VT, VA, WA, WV, WI, WY. INCORPORATED IN: New York. TRANSATLANTIC REINSURANCE COMPANY (NAIC #19453) BUSINESS ADDRESS: One Liberty Plaza, 165 Broadway, NEW YORK, NY 10006. PHONE: (212) 365-2200. UNDERWRITING LIMITATION b/: $441,467,000. 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, OH, OK, PA, SD, TX, UT, WA, WI. INCORPORATED IN: New York, Travelers Casualty and Surety Company (NAIC #19038) BUSINESS ADDRESS: ONE TOWER SQUARE, HARTFORD, CT 06183. PHONE: (860) 277-0111. UNDERWRITING LIMITATION b/: $425,039,000. SURETY LICENSES c,f/: AL, AK, AZ, AR, CA, CO, CT, DE, DC, FL, GA, GU, HI, ID, IL, IN, IA, KS, KY, LA, ME, MD, MA, MI, MN, MS, MO, MT, NE, NV, NH, NJ, NM, NY, NC, ND, OH, OK, OR, PA, PR, RI, SC, SD, TN, TX, UT, VT, VA, VI, 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 b/: $211,123,000. SURETY LICENSES c,f/: AL, AK, AZ, AR, CA, CO, CT, DE, DC, FL, GA, GU, HI, ID, IL, IN, IA, KS, KY, LA, ME, MD, MA, MI, MN, MS, MO, MT, NE, NV, NH, NJ, NM, NY, NC, ND, OH, OK, OR, PA, PR, RI, SC, SO, TN, TX, UT, VT, VA, VI, WA, WV, WI, WY. INCORPORATED IN: Connecticut. Travelers Casualty Insurance Company of America (NAIC #19046) BUSINESS ADDRESS: ONE TOWER SQUARE, HARTFORD, CT 06183. PHONE: (860) 277-0111. UNDERWRITING LIMITATION b/: $55,265,000. SURETY LICENSES c,f/: AL, AK, AZ, AR, CA, CO, CT, DE, DC, FL, GA, HI, ID, IL, IN, IA, KS, KY, LA, ME, MD, MA, MI, MN, MS, MO, MT, NE, NV, NH, NJ, NM, NY, NC, NO, OH, OK, OR, PA, RI, SC, SD, TN, TX, UT, VT, VA, WA, WV, WI, WY. INCORPORATED IN: Connecticut. Travelers Indemnity Company (The) (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, MD, MA, MI, MN, MS, MO, MT, NE, NV, NH, NJ, NM, NY, NC, ND, OH, OK, OR, PA, PR, RI, SC, SD, TN, TX, UT, VT, VA, WA, WV, WI, WY. INCORPORATED IN: Connecticut. United Fire & Casualty Company (NAIC #13021) BUSINESS ADDRESS: P. 0. BOX 73909, CEDAR RAPIDS, IA 52407 - 3909. PHONE: (319) 399-5700. UNDERWRITING LIMITATION b/: $65,336,000. SURETY LICENSES c,f/: AL, AK, AZ, AR, CA, CO, DC, FL, GA, HI, ID, IL, IN, IA, KS, KY, LA, ME, MD, MA, MI, MN, MS, MO, MT, NE, NV, NJ, NM, NY, NC, ND, OH, OK, OR, PA, SC, SO, TN, TX, UT, VT, VA, WA, WV, WI, WY. INCORPORATED IN: Iowa. UNITED FIRE & INDEMNITY COMPANY (NAIC #19496) BUSINESS ADDRESS: P.O. 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,f/: AL, AK, AZ, AR, CA, CO, CT, DE, DC, FL, GA, HI, ID, IL, IN, IA, KS, KY, LA, ME, MD, MA, MI, MN, MS, MO, MT, NE, NV, NH, NJ, NM, NY, NC, NO, OH, OK, OR, PA, PR, RI, SC, SD, TN, TX, UT, VT, VA, VI, WA, WV, WI, WY. INCORPORATED IN: Connecticut. United States Fire Insurance Company (NAIC #21113) BUSINESS ADDRESS: 305 MADISON AVENUE, MORRISTOWN, NJ 07960. PHONE: (973) 490-6600. UNDERWRITING LIMITATION b/: $131,764,000. SURETY LICENSES c,f/: AL, AK, AZ, AR, CA, CO, CT, DE, DC, FL, GA, HI, ID, IL, IN, IA, KS, KY, LA, ME, MD, MA, MI, MN, MS, MO, MT, NE, NV, NH, NJ, NM, NY, NC, ND, OH, OK, OR, PA, PR, RI, SC, SO, TN, TX, UT, VT, VA, VI, WA, WV, WI, WY. INCORPORATED IN: Delaware. United States Surety Company (NAIC #10656) BUSINESS ADDRESS: One Texas Station Court, Suite 230, Timonium, MD 21093. PHONE: (410) 453-9522. UNDERWRITING LIMITATION b/: $5,466,000. SURETY LICENSES c,f/: CT, DE, DC, FL, GA, 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: PO Box 2111, San Juan, PR 00922 - 2111. PHONE: (787) 625-1105. UNDERWRITING LIMITATION b/: $6,297,000. SURETY LICENSES c,f/: PR. INCORPORATED IN: Puerto Rico. UNITED FIRE & CASUALTY INSURANCE COMPANY (NAIC #32867) BUSINESS ADDRESS: 3214 Chicago Drive, Hudsonville, MI 49426. PHONE: (616) 662-3900. UNDERWRITING LIMITATION b/: $873,000. SURETY LICENSES c,f/: AL, AZ, CA, CO, CT, FL, GA, HI, ID, IL, IN, IA, KS, LA, MD, MI, MN, MS, MO, MT, NE, NV, NJ, NM, NY, NC, NO, OH, PA, SC, SO, TN, TX, UT, VT, VA, WA, WV. INCORPORATED IN: Indiana. TRAVELERS INDEMNITY COMPANY OF AMERICA (THE) (NAIC #25666) BUSINESS ADDRESS: ONE TOWER SQUARE, HARTFORD, CT 06183. PHONE: (860) 277-0111. UNDERWRITING LIMITATION b/: $18,251,000. SURETY LICENSES c,f/: AL, AK, AZ, AR, CO, CT, 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, NO, OH, OK, OR, PA, RI, SD, TN, TX, UT, VT, VA, WA, WV, WI, WY. INCORPORATED IN: Connecticut. Travelers Indemnity Company of Connecticut (The) (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, 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, VI, WA, WV, WI, WY. INCORPORATED IN: Connecticut. Travelers Property Casualty Company of America (NAIC #25674) BUSINESS ADDRESS: ONE TOWER SQUARE, HARTFORD, CT 06183. PHONE: (860) 277-0111. UNDERWRITING LIMITATION b/: $43,745,000. SURETY LICENSES c,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, MP, MT, NE, NV, NH, NJ, NM, NY, NC, ND, OH, OK, OR, PA, RI, SD, TN, TX, UT, VT, VA, WA, WV, WI, WY. INCORPORATED IN: Connecticut. U.S. Specialty Insurance Company (NAIC #29599) BUSINESS ADDRESS: 13403 Northwest Freeway, Houston, TX 77040. PHONE: (713) 462-1000. UNDERWRITING LIMITATION b/: $59,367,000. SURETY LICENSES c,f/: 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, 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. UNITED CASUALTY AND SURETY INSURANCE COMPANY (NAIC #36226)15 16 BUSINESS ADDRESS: 292 Newbury Street, Suite 105, Boston, MA 02115. PHONE: (617) 471-1112. UNDERWRITING LIMITATION b/: $1,497,000. SURETY LICENSES c,f/: AL, AK, AZ, AR, CA, CO, CT, DE, DC, FL, GA, HI, ID, IL, IN, IA, KS, KY, LA, ME, MD, MA, MI, MN, MS, MO, MT, NE, NV, NH, NJ, NM, NY, NC, NO, OH, OK, OR, PA, RI, SC, SO, TN, TX, UT, VT, VA, VI, WA, WV, WI, WY. INCORPORATED IN: Nebraska. Universal Surety Company (NAIC #25933) BUSINESS ADDRESS: P.O. Box 80468, Lincoln, NE 68501. PHONE: (402) 435-4302. 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. SURETY LICENSES c,f/: AL, AK, AZ, AR, CA, CO, CT, DE, DC, FL, GA, HI, ID, IL, IN, IA, KS, KY, LA, ME, MD, MA, MI, MN, MS, MO, MT, NE, NV, NH, NJ, NM, NY, NC, NO, OH, OK, OR, PA, RI, SC, SD, TN, TX, UT, VT, VA, WA, WV, WI, WY. INCORPORATED IN: Illinois. Utica Mutual Insurance Company (NAIC #25976) BUSINESS ADDRESS: POST OFFICE BOX 530, UTICA, NY 13503 - 0530. PHONE: (315) 734-2000. UNDERWRITING LIMITATION b/: $90,389,000, SURETY LICENSES c,f/: AL, AK, AZ, AR, CA, CO, CT, DE, DC, FL, GA, HI, ID, IL, IN, IA, KS, KY, LA, ME, MD, MA, MI, MN, MS, MO, MT, NE, NV, NH, NJ, NM, NY, NC, NO, OH, OK, OR, PA, PR, RI, SC, SO, TN, TX, UT, VT, VA, WA, WV, WI, WY. INCORPORATED IN: New York. VerTerra Insurance Company (NAIC #10024) BUSINESS ADDRESS: P.O. BOX 509039, SAN DIEGO, CA 92150. PHONE: (85B) 350-2400. UNDERWRITING LIMITATION b/: $5,647,000. SURETY LICENSES c,f/: TX. INCORPORATED IN: Texas. Vigilant Insurance Company (NAIC *20397) BUSINESS ADDRESS: 202B Hall's Mill Road, Whitehouse Station, NJ 08889. PHONE: (215) 640-1000. UNDERWRITING LIMITATION b/: $33,374,000. SURETY LICENSES c,f/: AL, AK, AZ, AR, CA, CO, CT, DE, DC, FL, GA, HI, ID, IL, IN, IA, KS, KY, LA, ME, MD, MA, MI, MN, MS, MO, MT, NE, NV, NH, NJ, NM, NY, NC, NO, OH, OK, OR, PA, RI, SC, SO, TN, TX, UT, VT, VA, VI, WA, WV, WI, WY. INCORPORATED IN: New York. 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/: AL, AK, AZ, AR, CA, CO, CT, DE, DC, FL, GA, HI, ID, IL, IN, IA, KS, KY, LA, ME, MD, MA, MI, MN, MS, MO, MT, NE, NV, NH, NJ, NM, NY, NC, ND, OH, OK, OR, PA, PR, RI, SC, SO, TN, TX, UT, VT, VA, VI, WA, WV, WI, WY. INCORPORATED IN: New Hampshire. West American Insurance Company (NAIL #44393) BUSINESS ADDRESS: 175 Berkeley Street, Boston, MA 02116. PHONE: (617) 357-9500. UNDERWRITING LIMITATION b/: $5,131,000. SURETY LICENSES c,f/: AL, AK, AZ, AR, CO, CT, DE, DC, FL, GA, ID, IL, IN, IA, KS, KY, LA, MD, MA, MI, MN, MS, MO, MT, NE, NV, NH, NJ, NM, NY, NC, NO, OH, OK, OR, PA, RI, SC, SO, TN, TX, UT, VA, WA, WV, WI, WY. INCORPORATED IN: Indiana. WEST BEND MUTUAL INSURANCE COMPANY (NAIC *15350) BUSINESS ADDRESS: 1900 South 18th Avenue, West Bend, WI 53095. PHONE: (262) 334-5571. UNDERWRITING LIMITATION b/: $113,806,000. SURETY LICENSES c,f/: AK, AZ, AR, CO, CT, IL, IN, IA, KS, KY, LA, MI, MN, MS, MO, MT, NE, NM, NC, NO, OH, OK, PA, RI, SC, SO, TN, TX, UT, VT, VA, WA, WV, WI. INCORPORATED IN: Wisconsin. Westchester Fire Insurance Company (NAIC #10030) BUSINESS ADDRESS: 436 Walnut Street, P.O.Box 1000, Philadelphia, PA 19106. PHONE: (215) 640-1000. UNDERWRITING LIMITATION b/: $21,740,000. SURETY LICENSES c,f/: AL, AK, AZ, AR, CA, CO, CT, DE, DC, FL, GA, GU, HI, ID, IL, IN, IA, KS, KY, LA, ME, MD, MA, MI, MN, MS, MO, MP, MT, NE, NV, NH, NJ, NM, NY, NC, NO, OH, OK, OR, PA, PR, RI, SC, SD, TN, TX, UT, VT, VA, VI, WA, WV, WI, WY. INCORPORATED IN: Pennsylvania. Western National Mutual Insurance Company (NAIC #15377) BUSINESS ADDRESS: PO BOX 1463, MINNEAPOLIS, MN 55440. PHONE: (952) 835-5350. UNDERWRITING LIMITATION b/: $50,202,000. SURETY LICENSES c,f/: AK, AZ, AR, CA, CO, DE, ID, IL, IN, IA, KS, KY, MD, MI, MN, MO, MT, NE, NV, NJ, NM, NO, OH, OK, OR, PA, RI, SO, TX, UT, WA, WI, WY. INCORPORATED IN: Minnesota. Western Surety Company (NAIC #13188) BUSINESS ADDRESS: 151 N. Franklin St., CHICAGO, IL 60606. PHONE: (312) 822-5000. UNDERWRITING LIMITATION b/: $153,381,000. SURETY LICENSES c,f/: AL, AK, AZ, AR, CA, CO, CT, DE, DC, FL, GA, HI, ID, IL, IN, IA, K5, 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: South Dakota. Westfield Insurance Company (NAIC #24112) BUSINESS ADDRESS: P. O. Box 5001 , Westfield Center , OH 44251 - 5001. PHONE: (330) 887-0101. UNDERWRITING LIMITATION b/: $115,557,000. SURETY LICENSES c,f/: AL, AK, AZ, AR, CO, CT, DE, DC, FL, GA, HI, ID, IL, IN, IA, KS, KY, LA, ME, MD, MA, MI, MN, MS, MO, MT, NE, NV, NH, NJ, NM, NY, NC, NO, OH, OK, OR, PA, RI, SC, SO, TN, TX, UT, VT, VA, WA, WV, WI, WY. INCORPORATED IN: Ohio. Westfield National Insurance Company (NAIC #24120) BUSINESS ADDRESS: P. O. Box 5001 , Westfield Center , OH 44251 - 5001. PHONE: (330) 887-0101. UNDERWRITING LIMITATION b/: $30,579,000. SURETY LICENSES c,f/: AL, AZ, AR, CA, CO, DE, FL, GA, IL, IN, IA, KY, MD, MI, MN, NM, NC, NO, OH, OK, PA, SC, SO, TN, TX, VA, WV, WI. INCORPORATED IN: Ohio. Westport Insurance Corporation (NAIC #39845) BUSINESS ADDRESS: 1200 Main Street, Suite 800, Kansas City, MO 64105 - 2478. PHONE: (816) 235-3700. UNDERWRITING LIMITATION b/: $129,984,000. 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: Missouri. 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, NO, OH, OK, OR, PA, PR, RI, SC, SO, TN, TX, UT, VT, VA, WA, WV, WI, WY. INCORPORATED IN: New York. XL p".1alty Insurance Company ('NAIC #3,7885) BUSINESS ADDRESS 70 SEAVIEW AVENUE, STAMFORD, CT06902,, PHONE! (203) 964-5200, UNDERWRITING LIMITATION b,/t. $'30,035,000. SURETY LdC'ENSES csf/r AL, AK, A2, Aft, CA, CO, CT, DE„ DC, FL, GA, GU, Hl, LO, ILA Mind, lA, KS„ KY, LA, f4E, MD, MA, MI, Mdw, I4S, MO, MP, MT', NE, NV,NIT„ NJ, NM, NY, NC, NO, OH, OK, OR,, PA, PR, P1, SC, SD, TN, TX, UT, V'r, VA, VI, WA, WV, WI, WY, INCORPORATED IN. DtLawuajea Zurich American Insurance Company (NAIC #16535) BUSINESS ADDRESS: 1299 ZURICH WAY, 5TH FLOOR, SCHAUMBURG, IL 60196 - 1056. PHONE: (847) 605-6000. UNDERWRITING LIMITATION b/: $638,519,000. SURETY LICENSES c,f/: AL, AK, AZ, AR, CA, CO, CT, DE, DC, FL, GA, GU, HI, ID, IL, IN, IA, KS, KY, LA, ME, MD, MA, MI, MN, MS, MO, MP, MT, NE, NV, NH, NJ, NM, NY, NC, NO, OH, OK, OR, PA, PR, RI, SC, SO, TN, TX, UT, VT, VA, VI, WA, WV, WI, WY. INCORPORATED IN: New York. Part of State Form52414 (R2 / 2-13) Form 96 (Revised 2013) BID OF Walsh & Kelly. Inc. South Bend IN 46614 FOR PUBLIC WORKS PROJECTS OF City of South (Bend Indiana 2019 Communi Crossin s Round 2 Project No. 119-066 Action take (Contractor) (Address) State Form 52414 (R / 9-10) PrS§crJbqA §y $ta!s BoaEl 9f Accounts Form No. 9 R vi 2 1 CONTRACTOR'S BID FOR PUBLIC WORK — FORM 96 PART 1 (To be completed for all bids. Please type or print) Date (month, day, year): November 26 2019 1. Governmental Unit (Owner): City of South Bend Indiana 2. County: St. Joseph 3. Bidder (Firm): Address: City/State: 4. Telephone Number: 5. Agent of Bidder (If applicable): Walsh & Kelly, Inc. 24358 SR 23 South Bend IN 46614 (574 288-4811 ........... ._._.-.-.-._. Pursuant to notices given, the undersigned offers to furnish labor and/or material necessary to complete the public works project of City of South Bend, fridiana (Governmental Unit) in accordance with plans and specifications prepared by CitV of South l epd hidiaria, -- Dept. of Pubkic Works and dated November 9 for the sung 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 m„ ..... day of . subject to the following conditions: Contracting Authority Members: PART II (For projects of $150,000 or more —IC 36-1-12-4) Governmental Unit: City of South Bend, Indiana Bidder (Firm): Walsh & Kelly, Inc. Date(month, day, year)• 9 These statements to be submitted under oath by each bidder with and as part of his bid. Attach additional pages for each section as needed. SECTION I EXPERIENCE QUESTIONNAIRE 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 Completed 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 Cityof Mishawaka $mmm2,646,574._...............'-Reconstructionmmmmmmmmmmmmmmmmmmmmmmmm [-S...e.-p-i-ember 2017 St. Joseph Ct H Dept. 3. What public works projects are now in process of construction by your organization? Contract Amount Class of Work When to be Com p....._....__.... leted Name and Address of Owner $10,695,118 Reconstruction ITITITITITITITITITITmmmmmmmmITITITITITIT November 2018 Walsh Construction $ 8,146,239 — Resurface _........................... May 2018 INDOT $ 4,073,719 Reconstruction July 2018 City of East Chicago, IN $ 2,662,813 Reconstruction October 2018 INDOT 4. Have you ever failed to complete any work awarded to you?.NoLL............... __........... _ If so, where and why? 5. List references from private firms for which you have performed work. Gatlin Plumhint 1 Ie Itt�n}�, 111� 1 � 1 1 E. I aiii t: �rifl"ltl 1 Ms. ClarIr Mtlrplly _...... _.............. Goo glI Inc. 220E E. 88"' Dr., Merrillville IN 464 10 Mr. Raymond C,ou glI Dyer Construction Co., 1716 Sheffield Avenue, Dyer, IN Janet Furman Grimmer Construction _C a wInc.M_2619 Maan,wStreet,mw, i; bland IN....Mr Gre nGrtmmer SECTION II PLAN AND EQUIPMENT QUESTIONNAIRE 1. Explain your plan or layout for performing proposed work. (Examples could include a narrative of when you could begin work, completed the project, number of workers, etc. and any other information which you believe would enable the governmental unit consider your bid.) As required by owner 2. Please list the names and addresses of all subcontractors (i.e. persons or firms outside your own firm who have performed part of the work) that you have used on public works projects during the past five (5) years along with a brief description of the work done by each subcontractor. See Attached List 3. If you intend to sublet any portion of the work, state the name and address of each subcontractor, equipment to be used by the subcontractor, and whether you will require a bond. However, if you are unable to currently provide a listing, please understand a listing must be provided prior to contract approval. Until the completion of the proposed project, you are under a continuing obligation to immediately notify the governmental unit in the event that you subsequently determine that you will use a subcontractor on the proposed project. Will supply upon award of contract 4. What equipment do you have available to use for the proposed project? Any equipment to be used by subcontractors may also be required to be listed by the governmental unit. ........._...... QUANTITY ITEM DESCRIPTION, CONDITION YEARS PRESENT LOCATION SIZE, CAPACITY, OF .......................................... E,TC. SERVICE ..._._.....�.......... �..._............................................................ 5 Ashalt p Plants Various Good Griffith, South Bend, Val araiso, Lowell, LaPorte 19 Asphalt Pavers Various Good 4 Sli form Conc. Paver Various Good ...... .........�..................m....... Griffith, South Bend 3 Road Widener Various Good Griffith, South Bend 5 ....._........_...................................�,. Motor Graders CAT/J.D. ...........�..._ Good ........................................................................................ ......................... .__............ . Griffith, South Bend 54 Rollers Various Good Griffith, South Bend 30 Rubber Tire Loaders Various Good Griffith, South Bend 15 ............. Excavators Various Good _............................ ........... ................. __........ �. __. Griffith, South Bend 9 Bulldozers Various Good Griffith, South Bend 6 LowBo Tractors ._ ....... ..._._._. Various Good _. ............................................. Griffith, South Bend _._._ 8 Flatbed Dum s Vartous Good Griffith,Grlffth, South B end 48 '/z and 3/4 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 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 4 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 26th day of November, 2019 %8 01KE 1101 Val. .....,.....�� LORPORgTF b S By SEAL ` �� ttsttin Hi: ` ACKNOWLEDGEMENT STATE OF ........................ In,than.a�........................................ � ) ss COUNTY OF Stu_JosePh _......_uu__. of Organization) ��VP of South Bend (Title of Person Signing) Before me, a Notary Public, personally appeared the above -named Dustin Hilary and swore that the statements contained in the foregoing document are true and correct. Subscribed and sworn to before me this 26th day of Novembert 2019 My Commission Expires: 5.2022 County of Residence: St. Jose h E Krueger, Notary�PuK udoat ALISHA KRUEGER Notary Public, State of Indian a SEAIw = St. Joseph County My Commission Expires June 05, 2022 Form 96 Section II, #2 Subcontractors Used on Public Works Contracts DurinjZ the Past 5 Years SUBCONTRACTORS COMPANY ADDRESS CITY/STATIP PHONE FAX SEWER B & D Sewer 531 Winston Ct Schererville, IN 46375 (219) 322-2300 (219) 865-0065 Deboer Egolf 5772 Melton Road Portage, IN 46368 (219) 763-9700 (219) 763-9703 Delta III 2063 W 1250 S Hanna, IN 46340 (219) 797-4004 (219) 797-3008 Dyer Construction 1716 Sheffield Avenue Dyer, IN 46311 (219) 865-2961 (219) 865-2963 Gatlin Plumbing & Heating 1111 E. Main Street Griffith, IN 46319 (219) 924-6972 (219) 924-1401 Gough, Inc. 2200 E. 88th Drive Merrillville, IN 46410 (219) 756-2200 (219) 756-2202 Grimmer Construction 2619 Main Street Highland, IN 46322 (219) 924-1623 (219) 924-0328 Hasse Construction 10 Lincoln Avenue Calumet City, IL 60409 (219 )932-1611 (219) 932-6829 HRP Construction 5777 Cleveland Rd. South Bend, IN 46624 (574) 271-7800 (574) 271-0524 Rex Construction 700 Schiller Avenue Schererville, IN 46375 (219) 322-8090 (219) 322-0031 Wirtz & Yates, Inc. P.O. Box 41 Kentland, IN 47951 (219) 474-6542 Woodruff & Sons P.O. Box 450 Michigan City, IN 46361 (219) 872-8605 (219) 8795339 MILLING C.E. Hughes Milling, Inc. 3113 Holmans Lane Jeffersonville, IN 47130 (812) 725-8665 (812) 725-8672 Javelina Construction, Inc. 13476 Britton Park Rd. Fishers, IN 46038 (317) 841-8364 (317) 841-0075 Mid America Milling Co. 6200 W. Hwy 62, Ste 400 Jeffersonville, IN 47130 (812) 282-2751 (812) 283-9846 McCrite Milling 209 Quality Ave. Ste 9 New Albany, IN 47150 (812) 941-0252 (812) 941-0852 Specialties Company 9350 E. 30th St. Indianapolis, IN 46229 (317) 594-0291 (317) 594-0271 ELECTRICAL INSTALLATION Hawk Enterprises 1850 E. North St Crown Point, IN 46307 (219) 662-8090 (219) 662-8093 Midwestern Electric 1620 E. Chicago Ave East Chicago, IN 46312 (219) 397-4444 (219) 397-8888 S/T Bancroft Electric 25020 State Road 2 South Bend, IN 46619 (574) 287-6490 Sweney Electric Company 9111 Louisiana St. Merrillville, IN 46410 (219) 769-6007 (219) 769-0565 Trans Tech Electric 4601 Cleveland Road South Bend, IN 46619 (574) 272-9673 (574) 271-0144 SIGN INSTALLATION Hawk Enterprises 1850 E. North St Crown Point, IN 46307 (219) 662-8090 (219) 662-8093 Midwestern Electric 1620 E. Chicago Ave East Chicago, IN 46312 (219) 397-4444 (219) 397-8888 RoadSafe Traffic Systems 3122 Olympia Dr Lafayette, IN 47909 (317) 780-1825 State Barricading, Inc. 24963 U.S. Highway 20 South Bend, IN 46628 (574) 287-2078 Traffic Control Specialists, Inc. 1810 W Pacific Avenue Knox, IN 46534 (574) 772-7001 (574) 772-7002 PAVEMENT MARKINGS The Airmarking Company P.O. Box 526 Rochester, IN 46975 (574) 223-5817 (574) 223-7959 Blackout Sealcoating 7440 W. 87th Place Bridgview, IL 60455 (219) 864-2300 (708) 430-6910 RoadSafe Traffic Systems 3122 Olympia Dr Lafayette, IN 47909 (317) 780-1825 State Barricading, Inc. 24963 U.S. Highway 20 South Bend, IN 46628 (574) 287-2078 Traffic Control Specialists, Inc. 1810 W Pacific Avenue Knox, IN 46534 (574) 772-7001 (574) 772-7002 Traffic Management Company 3542 Highway Avenue Highland„ IN 46322 (291) 746-2433 TRAFFIC CONTROL RoadSafe Traffic Systems 3122 Olympia Dr Lafayette, IN 47909 (317) 780-1825 Traffic Control Specialists, Inc. 1810 W Pacific Avenue Knox, IN 46534 (574) 772-7001 (574) 772-7002 Traffic Management Company 3542 Highway Avenue Highland, IN 46322 (219) 746-2433 LANDSCAPE Great American Landscape P.O. Box 235 Dyer, IN 46311 (219) 322-7033 (219) 322-4419 Hubinger Landscape 210 E. 113th Avenue Crown Point, IN 46307 (219) 662-9911 (219) 662-6206 Slusser's Green Thumb, Inc. 125 Montgomery Street Logansport, IN 46947 (574) 722-3102 (574) 722-1628 T & J Landscape Service 8253 Wicker Avenue St. John, IN 46373 (219) 374-9900 (219) 374-9950 GUARDRAIL/FENCING Acorn Fence 2041 164th Street Hammond, IN 46320 (219) 844-8400 (219) 844-8441 C Tech Corporation 5300 W. 100 North Boggstown, IN 46110 (317) 835-2745 (317) 835-2781 James H. Drew Company 8701 Zionsville Rd. Indianapolis, IN 46268 (317) 876-3739 (317) 876-3829 Security Industries 1000 Georgiana St. Hobart, IN 46342 (219) 942-9447 (219) 942-9448 Specialties Company 9350 E. 30th St. Indianapolis, IN 46229 (317) 594-0291 (317) 594-0271 TRUCKING/HAULING C. Lee Construction Services 1011 S. Lake St Gary, IN 46403 (219) 888-9554 (219) 888-9564 Condon Trucking, LLC 18245 Amberley Ln South Bend, IN 46637 (574) 360-4326 (574) 271-8984 Fanio Services 28015 SR 23 North Liberty, IN 46554 (574) 233-3236 Gilmer Trucking 20390 New Road South Bend, IN 46614 (574) 229-3233 Material Transfer Inc. 7811 West 101stAve. Crown Point, IN 46307 (219) 865-9575 Morris Motor Service, Inc. 10525 W US Hwy 30 Bld Wanatah, IN 46390 (219) 733-9430 7 P & C Trucking 4410 Ross Road Gary, IN 46408 (219) 972-0193 Superior Construction Co., Inc. 1455 Louis Sullivan Dr Portage, IN 46368 (219) 787-0850 V & R Trucking, Inc. 1845 Elmer St. South Bend, IN 46628 (574) 329-2102 SRPM'S K & S Markers, Inc. 2189 N 600 W Thorntown, IN 46071 (765) 482-6184 (765) 482-6284 UNDERSEAL Rieth-Riley Construction Co., 2454 West CR 450 North LaPorte, IN 46350 (219) 362-6178 Inc. TREE REMOVAL Dave's Tree Service 1555 Park West Circle Munster, IN 46321 (219) 922-9829 (219) 922-9843 Homer Tree Service 14000 S. Archer Ave Lockport, IL 60441 (815) 838-0320 Timber Masters LLC P.O. Box 245 Dyer, IN 46311 (219) 864-8733 (219) 322-9391 LIME STABILIZATION Mt. Carmel Sand & Gravel 1611 College Dr. Mt. Carmel, IL 62863 (618) 262-5118 (618) 263-4084 Rock Solid Stabilization 5104 Mann Drive Ringwood, IL 60072 (815) 653-2585 (815) 653-2583 Specialties Company 9350 E. 30th St. Indianapolis, IN 46229 (317) 594-0291 (317) 594-0271 PIPE LINING Indiana Reline, Inc. 312 E. Main Street Sulphur Springs, IN (765) 766-5040 (765) 533-5831 47388 SAW CUTTING Diamond Coring Co., Inc. 11800 S Ewing Ave Chicago, IL 60617 (773) 978-5000 Quality Saw & Seal, Inc. 7600 W. 79th Street Bridgeview, IL 60455 (773) 767-9300 SEAL COATING/STRIPING Site Services, Inc. 10117 Kennedy Ave Highland, IN 46322 (219) 924-9944 Blackout Sealcoating 7440 W. 87th Place Bridgview, IL 60455 (219) 864-2300 (708) 430-6910 UNDERDRAIN 3D Company, Inc. 3200 East CR 350 North Muncie, IN 47303 (765) 288-3326 (765) 288-3344 General Form No. 96-a Prescribed by the State Board of Accounts of Indiana. Revised 1949. Standard "uestionnaires and Y a Statement Bidders Prescribed by THE STATE BOARD OF ACCOUNTS OF INDIANA For use in investigating and determining the qualifications of bidders on public construction when the aggregate cost of any such work or improvement will be Five Thousand Dollars or more. These statements to be submitted under oath by each bidder with and as a part of his bid, as provided by Chapter 306, page 1248, Acts of 1947 Submitted to City of South Bend .Indiana By,__.... Walsh & Kell.,_Inc....................m.................................................... �. Address 24358 SR 23 South Bend IN 46614 Date submitted November 26, 2019 Filed A.F.. AC7YCF. CO., MttIVCPE, [PdPJ, tA 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 3 Submitted by m ITmmmmmmmmmmmmmmmmmmm alsh & Kelly, 1pc. { x A Corporation Principal Office at 1700 East Main Street Griffith IN 46319 TommmmmIT_mmITITCitymmofmmSouth Bend Indiana EXPERIENCE QUESTIONNAIRE The signatory of this questionnaire guarantees the truth and accuracy of all statements and of all answers to interrogatories hereinafter made. 1. How many years has your organization been in business as a general contractor under your present business name? 52 Years 2. How many years experience in... asphalt pavng p construction work has your organization had: (a) As a general contractor 71 years (b) As a sub -contractor 71 Years 3. What projects has your organization completed? Contract Amount Classµ of Work m ITmm u-WmmITITITITITITITITITITITm wWhen Completed _ Name and Address of Owner $ 12,926,200 Reconstruction October 2017 INDOT $ ITIT mmmmIT mITITITITITITITITITIT 5,970,162 Reconstruction ITMa 2017mmmmmmmmmITITITITITITmmmITIT Town of Merrillville, IN $ 5,521,799 Resurface December 2017 Cit of Mishawaka, IN $ 2,646,574 Reconstruction September 2017 St. Joseph County Hwy Department 3-A. What projects has your organization now in process of construction? CONTRACT AMT. CLASS OF WORK WHEN TO BE COMPLETED NAME AND ADDRESS OF OWNER $ .............. ....... 10,695,118 Reconstruction __._._._..._..............._......................... .............. November 2018 .. . ........ ..... Walsh Construction $ 8,146,239 Resurface May 2018 INDOT $ 4,073,719 _ Reconstruction July 2018 City of East Chicago, IN $ 2,662,813 Reconstruction Octob. ....... .... ..._ _. ................................ 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? For what corporation or individuals have you performed work, and to whom do you refer?_ BP Amoco Whiting, Indiana Tonn & Blank Construction 1623 Grecrlwoocl Ave Michi an City,IN 46360 6,rim ner Construction C . Inc. 2619 Main Street Highland, IN 46322 University of Notre Dame South Bend Indiana G u h,,_Incm,_1151 EIT Summit Q.mR.n 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,_,,,,, _..._._.._.._. TownofSchererva.11,e._ Town Ma.,.anaLver Schererville IN City of Hammond City Engineer Hammond IN uuuu CIity 0f Solatl�_l�ct�dITITIT_.IT CityEn ginner South Beni :ptii Town of St. John Town Manager St. John IN 10. For what counties have you performed work and to whom do you refer? Lake ff�nttttty..._%av1rintrderlt Crown Pointll Porter County Highway Superintendent Valparaiso, LN St. Joseph County Highway Superintendent _ mm South Bend IN __............... Elkhart County Highway Superintendent Elkhart, IN LaPorte County Highway Superintendent LaPorte IN 11. For what State bureaus or departments have you performed work and to whom do you refer? Indiana Epp, r! meat cf Tran, p rtat�ica12 NDOT , ��a "orte District LaPorte IN Department of Natural Resources _......�.._...... Indian Solis I.........N ..__ 12. Have you ever performed any work for the U.S. Government Yes _�.......m If so, when and to whom do you refer? U.S. Army Cois of Engineers Chicago, II, Indiana National Guard Dept. of Administration Indianapolls�IN„ .......... Federal Highway Administration Sterling, VA 13. What is the construction experience of the priricival individual of Your organisation? INDIVIDUAUS NAME PRESENT POSITION OR __... ....... YEARS OF MAGNITUDE AND IN WHAT CAPACITY OFFICE CONSTUCTION TYPE OF WORK EXPEREINCE Kevin J. Kelp 33 All Tykes ...................................................... General Mana er _ Jeffre L. Swan _President Executive Vice President 34 _ All Tykes Sint En_gmeerin David J. Misirly Vice President 33 Bituminous Engineer Pavin Greg A. Hoffinan Vice President 31 Bituminous Engineer Paving John C. Wall Vice President 41 All types Engineer John M. Peisker Vice President 33 All t es General M. .._.anager ........... J. Michael Secretary/Treasurer 46 Administration General Manager Schaum Jamie L. Tancos Controller 14 Administration General Manager L J. Bauer South Bend O s ME. 23 All t es En ,ineer g _._._.. Dustin P. Hilarymm South Bend Area Mir, 18 All t es En ineer Mark E. Engineer 28 _ All types Engineer Krachenfels Keith A. Gardina Engineer 23 All types En ineer Nikolas G. Relias Engineer 16 Bituminous Engineer ..........._._._....... ._..�� ._ ......................_ ._ _ Paving PLAN AND EQUIPMENT QUESTIONNAIRE The signatory of this questionnaire guarantees the truth and accuracy of all statements and of all answers to interrogatories hereinafter made. 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 3. The work, if awarded to you, will have the personal supervision of whom? Kevin J, Kelly, Jeffrey L. Swan David J. Misirl Gre o A. Hoffrnan Dustin P. Hil and L J. 4. *Do you intend to do the hauling on the proposed work with your own forces?,..Yes................................................................................._mm,,,,,,,,mm 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 6. ' *Do you intend to do the grading on the proposed work with your own forces? If so, give type of equipment to be used 7. *If you intend to sublet the grading or perform it through an agent, state amount of sub -contract or agent's contract, and, if known, the name and address of sub -contractor or agent, amount and type of his equipment and financial responsibility 8. Do you intend to sublet any other portions of the work? If so, state amount of sub -contract, and, if known, the name and address of the sub -contractor, amount, and type of this equipment and financial responsibility 9. From which sub -contractors or agents do you expect to require a bond? None 10. What equipment do you own that is available for the proposed,work? QUANTITY ITEM DESCRIPTION, CONDITION YEARS PRESENT LOCATION SIZE, CAPACITY, , OF ETC. .............. SERVICE 5 Asphalt Plants Various Good Griffith, South Bend, Valparaiso, Lowell, LaPorte 19 Asphalt Pavers Various Good Griffith, South Bend 4 Sli form Conc. Paver Various Good Griffith, South Bend 3 Road Widener Various Good Griffith, South Bend 5 Motor Graders C 54 Rollers . ......... . Various . Good ...... ..... �.. Griffith, South Bend 30 Rubber Tire Loaders Various Good Griffith, South Bend 15 Excavators ._._...-.._.�....w�............�........ Various Good Griffith ,South Bend 9Bulldozers Various Good Griffith, South Bend 6 LowBoy Tractors Various Good Griffith, South Bend ......._ ...... 8 Flatbed Du Dumas. Various Good ....._ South Bend Griffith,48 1/z and 3/4 ton Picku s __._......�.____..WW_ Various _._.....uu_. Good _ Griffith, South Bend 65 1 Ton Crew Trucks Various Good Griffith, South Bend 3 Cold Planers .... ...... _.�.._ Wirtgen 1900 ..................................... Good _ Griffith, South Bend DC 3 Tri-Axle Dump Mack Good South Bend 11. What equipment do you intend to purchase for use on the proposed work, should the contract be awarded to you? _. _u_ ....._. QUANTITY ITEM DESCRIPTION, SIZE, CAPACITY, ETC. APPROXIMATE ................ ......... ..._..__ .............. .... COST None _. ...................... ...... .. ................................................. ......... ........._......_. ......... ... ...... .............. 12. How and when will you pay for the equipment to be purchased? N/A 13. Do you propose to rent any equipment for this work?No If so, state type, quantity and reasons for 14. Have you made contracts or received firm offers for all materials within prices used in preparing your proposal? Do not give names of dealers or manufacturers VCE�� Dated at Soaltiday of Coven11 ,_; ll Be13cnci � �. i .......*.. ,* 'ek Walsh &Ilv. h CO�pORATF " (Name aniz ' B Dustin ililary. l' 0 0 ' �A (Title of Person Signing) Indiana STATE OF _.................... f SS. COUNTY OF...St. Joseph Dustin Hilary being duly sworn deposes and says that he is ,,,,,,,,,,,VP„_of South BendAreaIT of the above Walsh a Kelp, IncITITITITIT__ (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 26 h day of _u November, 2019 Alisha qis ger, Notary Public My Commission expires ____ITITITITITITJune 5,. 2022� Ll� ALISHA KRUEGER tary Public.State of Indiana St, Joseph County My Commission-11 Expires June 05, 2022 WRITTEN CONSENT TO RESOLUTIONS of the BOARD OF DIRECTORS of WALSH & KELLY, INC. The undersigned, being all of the Directors of WALSH & KELLY, INC., an Indiana Corporation, hereby consent to the following actions to be taken by the Corporation without a meeting of the Board of Directors under the applicable provisions of the Indiana Business Corporation Law, as amended: RESOLVED that the following be, and hereby are, elected officers of the Corporation, to hold the office until the next regular meeting of the Board of Directors and until their successors are duly elected and have qualified: Kevin J. Kelly, President and Chief Executive Officer Jeffrey L. Swan, Executive Vice President John P. Vercruysse, Executive Vice President Jamie L. Tancos, Controller John M. Peisker, Vice President of Asphalt Operations David J. Misirly, Vice President Albert E.VanDenBergh, Vice President Gregory A. Hoffman, 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 28t' day of March, 2019.. Fred Fehsenfeld, Jr. James C. Fehsenfeld Albert E. VanDenBergh John P. Vercruysse Y E LLa Kevin , Kelly °' �a�,?ORA re 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 November 15, 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, November 15, 2019 CONNIE LAWSON SECRETARY OF STATE 194484-057 / 20191186176 All certificates should be validated here: https://bsd.sos.in.gov/ValidateCertificate Expires on December 15, 2019. CERTIFICATE OF QUALIFICATION to provide CONSTRUCTION SERVICES for PUBLIC WORKS PROJECTS to the STATE OF INDIANA This Certification Board, having duly considered application for qualification in terms of apparent experience and financial resources; and under the applicable Indiana Code 4-13.6-4 and adopted rules of this Board, hereby issues a Certificate of Qualification to provide construction services to the State of Indiana for Public Works Projects to: WALSH & KELLY INC 1700 E MAIN ST GRIFFITH IN 46319 Phone 219-924-5900 Fax 219-924-8768 Company Official KEVIN KELLY for the twenty-seven month period stated herein, unless revoked by this Board for cause, and in the classifications of services stated below. This certificate supersedes any previous certificate. 1611.01 Concretes Construction of Roads & Curbing 1611.02 Asphalt Construction of Roads and Parking Lots CERTIFICATION DATE 3/14/2018 EXPIRATION DATE BH4/2020 THIS CERTIFICATE ISSUED BY THE STATE OF INDIANA, PUBLIC WORKS DIVISION CERTIFICATION BOARD, 402 WEST WASHINGTON STREET, ROOM W467, INDIANAPOUS, INDIANA 46204, ALSO ACTS AS THE OFFICIAL NOTICE OF EXPIRATION. Tracy L. Cross, Executive fsq'`relay Certification Board DAPW P02 Stele Form 39MR Rev. 07/06 GRIFFITH SOUTH BEND Walsh & 1700 East Main Street 24358 SR 23 Griffith, Indiana 46319 www.walshkelly.com South Bend, Indiana 46614 Phone 574 288-4811 Phone 219 ) ( ) 924-5900 04 Inc, Fax (219) 924-8768 Fax (574) 289-7174 EQUAL EMPLOYMENT OPPORTUNITY POLICY I. It is the policy of this Company to assure that the applicants and those that are subsequently employed are treated without discrimination without regard to: their race, religion, sex, gender identity, sexual orientation, color, national origin, age, association with the Vietnam era or any other war, disability, genetic information, citizenship status, military status, veteran status, ancestry, or any other status protected under applicable laws. Such action shall include: employment, upgrading, demotion, or transfer; recruitment or recruitment advertising; layoff or termination; rates of pay or other forms of compensation; and selection for training, including apprenticeship, pre -apprenticeship, and/or on the job training. A. The Contractor will work with the State Highway Agency (SHA) and the Federal Government in carrying out EEO obligations and in their review of his/her activities under the contract. II. Director of Human Resources; Randall L. Walls, shall be designated as Walsh & Kelly, Inc.'s Equal Employment Officer. He will be responsible for all activities associated with the implementation of all policies affecting equal employment opportunity. III. Walsh & Kelly, Inc. assures nondiscriminatory recruitment by taking appropriate steps such as: A. Placing employment advertisements in newspapers which serve the largest number of minority and female groups in the recruiting area. B. Recruiting through schools and vocational colleges having substantial proportions of minority and female students. C. Maintaining systematic contacts with minority, female and human relations organizations leader's referral of qualified minority applicants. D. Encourage present employees to refer minority and female applicants. E. Make it known to all recruitment sources that qualified minority and female members are being sought whenever there is hiring. IV.. This policy is intended to comply with the Civil Rights Act of 1964, as amended, the Federal Highway Act of 1968, the Executive Order 11246 and 11375, the Rehabilitation Act of 1973, as amended, the Disabled Veterans and Vietnam Era Veterans Readjustment Act of 1974, as amended, the Indiana Civil Right Act, and other Federal and State Laws and Regulations pertaining to Equality of Opportunity and Affirmative Action Policies. V. Forms for filing any complaints are available in the Griffith office located at 1700 E. Main Street, Griffith, IN 46319 or the South Bend office located at 24358 S.R. 23, South Bend, IN 46614. In addition, employees can call (574) 288-4811, Ext. 211 to report any workplace concerns under this policy. WALSH & KELLY, INC e arc John C. Wall Vice President/EEO Officer Revised: August 1, 2019 INDIANAPOLIS, IN April 25, 2019 fff' WALSH & KELLY INC =Av GRIFFITH, IN :,w ...w w w ww� « 1' :w • ;w • w w �.w. � � ,.,ww uw ri w w � w w w w w w •I c.w w: w w wx rru i ww r :w w w w �: - :w �:� w•w w w'::r, "ww =w: • w ;arw V^rr: w �w: wy r w w �w w: G w- :w rM. "ww�� • y ;w w w w w w • iw r w w w� w, w 1X w w i M k i w i w • w iw rvw Valid May 1, 2019 Thm April 30, 2020 AGGREGATE....................................................................................................................................... $U1�1I IIvIITED A(B) CONCRETE PAVEMENT. LIMITED......................................................................................................... $25,000,000 B(A) ASPHALT PAVEMENT%: W/NDOT CERTIFIED HMA...........................................................................SUNI VIITED C(B) LIGHT GRADING.......................................................................................................................................SUNLIM17M E(E) SMALL STRUCTURES AND DRAINAGE TEEMS ................................... ..... $25,000,000 E(F) SURFACE MASONRY AND MISC CONCRETE...................................................................................... $50.000,000 E(G) TRAFFIC CONTROL: PAVEMENT MARKINGS...................................................................................... $25.000,000 E(M DEEP SEWER AND/OR EXCAVATION .............................. ......... ....,... ......... ..... $25,000,000 E(Q) CONCRETE PAVEMENT REPAIRS.......................................................................................................... $25,000,000 E(R) ASPHALT PAVEMENT MILLING.............................................................................................................. $50,000,000 P EQUALIFICATION ENGINEER State FJ20WB (R3 / SZ) NMI