Project 129 - Proposal - Paulus Engineering - 2009-07-13 ' COSTA MESA SANITARY DISTRICT
ORANGE COUNTY CALIFORNIA
' BID PROPOSAL FORM
BRISTOL STREET SEWER REPLACEMENT
' FROM AUTOPLEX TO BIRCH STREET
Project No. 129
Name of Bidder /4KCUi eit16//lte.Q • /!V L
Address. � 7i C (UleatJeel p v %jg kroW, (4" F Z a a 6
Phone No. 7/ 9/ G,32- -397,r _
' TO THE BOARD OF DIRECTORS
' COSTA MESA SANITARY DISTRICT
Pursuant to and in compliance with the Notice Inviting Sealed Proposals (Bids) and the other
documents relating thereto the undersigned bidder has carefully examined and is completely
' familiar with the plans, specifications, and contract documents including the local conditions
affecting the performance of the contract, the character quality quantities, and scope of the
work, and the materials to be furnished as to the requirements of the specifications and the
contract.
If awarded the contract, the undersigned bidder hereby proposes and agrees to perform within
' the time stipulated in the contract, including all of its component parts and everything required to
be performed, and to furnish any and all of the labor material, tools, equipment, transportation,
services, permits, utilities, and all other items necessary to perform the contract and complete in
' a workmanlike manner all of the work required in connection with the construction of said work
all in strict conformity with the plans and specifications and other contract documents, including
addenda Nos. , , , and , on file in the District office for the prices hereinafter set
' forth.
The undersigned as bidder declares that the only persons or parties interested in this proposal
as principals are those named herein; that this proposal is made without collusion with any
' person, firm, or corporation, and he proposes and agrees, if the proposal is accepted, that he
will execute a contract with the Owner in the form set forth in the contract documents and that
he will accept in full payment thereof the following prices, to wit:
I
CMSD Project No 129 Bid Proposal Form — I of I I
BRISTOL STREET SEWER REPLACEMENT
FROM AUTOPLEX TO BIRCH STREET
Project No. 129
SCHEDULE OF WORK
BID APPROX. DESCRIPTION UNIT TOTAL
ITEM QUANTITY PRICE AMOUNT
' 1 Lump Sum Mobilization, Demobilization and Cleanup: Work
under this item shall include preparatory and
cleanup operations including, but not limited to
those necessary for the movement of personnel,
'
equipment, materials, and incidentals to and from
the project site, securing a temporary
construction yard, and maintaining the project
site in a safe and orderly manner during p
construction. Lump Sum $ I o0°0
2 Lump Sum Bonds and Insurance Work under this item
'
includes any costs incurred for securing bonds
insurance, and financing for construction work.
' NOTE. Encroachment permit and inspection
fees for construction shall be the responsibility of
the District Contractor shall coordinate with the
District and governing agencies for the
1 acquisition of permits. Lump Sum $ I%tOO
3 Lump Sum Traffic Control: Furnish all labor materials, and
equipment for the installation and removal of the
required traffic control including, but not limited
to changeable message boards, signs,
delineators, traffic cones, barricades flashing
1 arrow signs, steel plates, and all other traffic
control devises necessary to comply with the
traffic control drawings. Lump Sum $oni ZW-3'
' 4 Lump Sum Geotechnical Evaluation During Construction.
Work under this item shall include laboratory
testing of trench backfill, aggregate base
'
asphalt, and concrete during construction. Work
under this item shall also include the monitoring
of batch time, temperature, mix designs, and
placement time for all pavement replacement.
NOTES Refer to geotechnical evaluation notes
per Detail 1 on Sheet 10 (C 7) of Plans for �� �n_�
material testing requirements. Lump Sum $
1
1
CMSD Project No. 129 Bid Proposal Form-2 of 11
I
IBRISTOL STREET SEWER REPLACEMENT
FROM AUTOPLEX TO BIRCH STREET
1 Project No. 129
SCHEDULE OF WORK
I BID APPROX. DESCRIPTION UNIT TOTAL
ITEM QUANTITY PRICE AMOUNT
5 Lump Sum Provide Diversion Plan for Existing Sewage Flow
I During Construction: Work under this item shall
include, but is not limited to pumps, temporary
hoses or piping, pumper trucks, plugs, and all
other equipment necessary to provide diversion
I of existing sewage flow during construction
complete in place.
I NOTE. Refer to Sewer Note 2 on Sheet 3 (CS-3)
of Plans for sewer flow diversion equipment -V
requirements. Lump Sum $
I 6 2,100 LF Furnish and Install New 15-inch VCP Sewer
Main With Type 'G' Compression Joints Per
Plans and Specifications. Work under this item
I shall include, but is not limited to temporary
paving and patching or trench plates, trench
excavation, control of ground water and surface
water trench restoration including bedding,
I
backfill, compaction, and base pavement per
Detail 1 on Sheet 10 (C 7) of Plans, installation
of pipe and fittings, removal of existing sewer
I main, protection of existing utilities or
improvements, temporary and permanent
support of utilities, disposal of excess excavation
1 materials and all other work necessary to install
the sewer main complete in place
$ l.7°L—
NOTE Final pavement grind and overlay not
1 included and per separate bid item LF $ 257,700 =°
7 4 Each Reconnect Existing 6-inch VCP Sewer Laterals
I Per Plans and Specifications. Work under this
item shall include, but is not limited to temporary
paving and patching or trench plates, trench
excavation, control of ground water and surface
I water trench restoration including bedding,
backfill, compaction, and base pavement per
Detail 1 on Sheet 10 (C-7) of Plans, protection of
1 existing utilities or improvements, temporary and
permanent support of utilities, disposal of excess
excavation materials and all other work
I necessary to reconnect the sewer lateral
complete in place.
/
$ r 3/0�
NOTE. Final pavement grind and overlay not mt?
Iincluded and per separate bid item. Each $ Syv-
ICMSD Project No. 129 Bid Proposal Form –3 of I I
I
' BRISTOL STREET SEWER REPLACEMENT
FROM AUTOPLEX TO BIRCH STREET
1 Project No. 129
SCHEDULE OF WORK
BID APPROX. DESCRIPTION UNIT TOTAL
ITEM QUANTITY PRICE AMOUNT
8 6 Each Remove Existing Brick Manhole and Construct
New 48-inch Diameter Concrete Manhole With
Ameron T-Lock PVC Sheet Liner Per Plans and
Specifications. Work under this item shall
include, but is not limited to temporary paving
and patching or trench plates, trench excavation,
control of ground water and surface water trench
restoration including bedding, backfill,
compaction, and base pavement per Detail 1 on
Sheet 10 (C 7) of Plans, removal of existing brick
manhole, installation of new concrete manhole
with Ameron T-Lock PVC sheet liner adjustment
of sewer manhole frame and cover to existing
street grade, protection of existing utilities or
improvements, temporary and permanent
' support of utilities, disposal of excess excavation
materials and all other work necessary to remove
the existing brick manhole and construct the new
concrete manhole complete in place.
$1yo0Q'
NOTE. Final pavement grind and overlay not
included and per separate bid item. Each $ St/(100--
9 2 Each Modify Existing Manhole Per Plans and
Specifications. Work under this item shall
' include, but is not limited to, core drilling and
patching of existing manhole pouring new
manhole base and channel to match proposed
' sewer grades, installation of interior manhole
lining including walls, channels, and bases,
adjustment of sewer manhole frame and cover to
existing street grade, and all other work $ -
I necessary to modify existing manhole complete 2
in place Each $
10 Lump Sum Excavation and Shoring: Work under this item
shall include but not be limited to the planning
design, engineering, installation, and removal of
temporary sheeting, shoring bracing or
equivalent methods necessary for all excavations
and the protection of the life and limb during
construction All excavation and shoring shall
' conform to applicable safety orders, regulatory
permits, OSHA and the Construction Safety
Orders of the State of California, pursuant to the
provisions of Section 6707 of the California Labor
Code. Lump Sum $ 1 91oc o =
CMSD Project No. 129 Bid Proposal Form-4 of 11
I
BRISTOL STREET SEWER REPLACEMENT
FROM AUTOPLEX TO BIRCH STREET
' Project No 129
SCHEDULE OF WORK
BID APPROX. UNIT TOTAL
DESCRIPTION
ITEM QUANTITY PRICE AMOUNT
11 41,800 SF Pavement 2' Grind & Overlay in Bristol Street
Work under this item shall include all material
and labor to remove and replace existing
pavement complete in place per Detail 1 on
Sheet 10 (C 7) of Plans with the following
quantity and material:
Quantity Trench Length = 1 900'
Pavement Width = 22'
(Use 2 travel lanes at 11 wide each) $ �' SG,
' Material: Type III-C3-PG 64-10
(1/2' Fine Mix) SF $t;�.ZO$ `—A
12 Lump Sum Replace Pavement Striping in Bristol Street
Using Reflectorized Thermoplastic Striping Per
Plans and Specifications. Work under this item
shall include furnishing and installing all labor
material, and work necessary to replace existing
1
pavement striping and raised pavement markers
damaged during construction to original condition
complete in place.
NOTE. The contractor required to measure and ZO��
restore existing pavement striping and markings. Lump Sum $ 41
13 14 Each Replace Traffic Signal Loops in Bristol Street:
Work under this item shall include furnishing and
installing all labor material, and work necessary i�OD
' to replace existing traffic signal loops damaged $pi1)
during construction to original condition complete
in place Each $_�
14 4 000 SF Pavement 2' Grind & Overlay in AutoPlex
Parking Lot: Work under this item shall include
all material and labor to remove and replace
existing pavement complete in place per Detail 1
on Sheet 10 (C 7) of Plans with the following
quantity and material
Quantity Trench Length = 200'
Pavement Mdth = 20'
' (Use entire length of parking stalls) $ b Material: Type III-C3-PG 64-10 p7
(1/2' Fine Mix) SF $ t D
CMSD Project No. 129 Bid Proposal Form – 5 of I I
I
IBRISTOL STREET SEWER REPLACEMENT
FROM AUTOPLEX TO BIRCH STREET
I Project No. 129
SCHEDULE OF WORK
BID APPROX. UNIT TOTAL
DESCRIPTION
ITEM QUANTITY PRICE AMOUNT
15 150 LF Replace Existing Concrete Curb & Gutter in
I Autoplex Parking Lot: Work under this item shall
include furnishing and installing all labor $ e'j4.111)
material, and work necessary to replace existing
concrete curb & gutter complete in place LF $ 3 9005'
I
16 200 SF Replace Existing Concrete Sidewalk in Bristol
Street (adjacent to Autoplex Parking Lot): Work
I under this item shall include furnishing and W
installing all labor material, and work necessary $ 1(0
to replace existing concrete sidewalk complete in 3/?
' � a>
place. SF $
17 Lump Sum Repair existing landscape, irrigation, and surface
improvements adjacent to Autoplex Parking Lot:
I Work under this item shall include furnishing and
installing all labor material, and work necessary
to repair existing landscape, irrigation, and
I surface improvements to original condition
complete in place. Lump Sum $ 7,o00 0�
18 Lump Sum Replace Pavement Striping in Autoplex Parking
I Lot Using Conventional Striping Without
Refiectorization Per Plans and Specifications:
Work under this item shall include furnishing and
I installing all labor material, and work necessary
to replace existing pavement striping damaged
during construction to original condition complete /.142/0
in place. Lump Sum $ Ti t7
IITOTAL AMOUNT OF
ITEMS 1 THROUGH 18 $ -775 o.-1 S
I
' SEr E.I N..,,.nom. 5 r _, 'Ta_ _ r -m = . L62 a-
' (TOTAL IN WORDS)
INote In case of a discrepancy between the words and figures, the words shall prevail.
The Contractor agrees that the District will not be held responsible if any of the approximate
quantities shown in the foregoing proposal shall be found incorrect, and he shall not make any
I
claim for damages or for loss of profits because of a difference between the quantities of
the various classes of work as estimated and the work actually done. If any error omission
ICMSD Project No 129 Bid Proposal Form —6 of 11
I
I or mis-statements shall be discovered in the estimated quantities, it shall not invalidate this
contract or release the Contractor from the execution and completion of the whole or part of
the work herein specified, in accordance with the specifications and the plans herein mentioned
I and the prices herein agreed upon and fixed therefor or excuse him from any of the
obligations or liabilities hereunder or entitle him to any damages or compensation otherwise
than as provided for in this contract.
1 The Contractor agrees that the District shall have the right to increase or decrease the
quantity of any bid item or portion of the work or to omit portions of the work as may be
deemed necessary or expedient, and that the payment for incidental items of work, not
'
separately provided in the proposal shall be considered included in the price bid for other
various items of work.
IAccompanying this proposal is u \`DO'K-S ob.1 r)
($ 73q&-1_moo ).
INOTICE. Insert the words 'Cash 'Certified Check' or 'Bidder s Bond' as the case may be in
an amount equal to at least ten per cent of the total bid price, payable to the Costa Mesa
1 Sanitary District.
The undersigned deposits the above named security as a proposal guaranty and
agrees that it shall be forfeited to the Costa Mesa Sanitary District as liquidated damages in
'
case this proposal is accepted by the District and the undersigned shall fail to execute a
contract for doing said work and to furnish good and sufficient bonds in the form set forth in
the specifications and contract documents of the District with surety satisfactory to the District
I
within 10 Days after the bidder has received written notice of the award of the contract;
otherwise said security shall be returned to the undersigned.
IResp, ectfully submitted,
sou /S 1--NO/A' hUG /ANt.o$CP6/�5aevc Vtct- ?6,5,h',ur
' Contractor's Business Name Contractor
/ Title
Ai/ 6 (01f041121 3 e M V/CEPaaeSarPair
IBusiness Address: Street By r Title
4J4#E/M 64 1140 o 6 a .2o/0 A-
City State Zip Contractor's License, Expiration
'
7/1/- 631- 391r- Date & Classification
Business Phone Number
I JASON Paccus VICE PASS/0thNr
Name Title
1 �(4) / 3 -aq 61,6)R�ence Phone Number
I 5tS1 arm' °MS
Bidder's Residence: Street
I (fib/U l_ -/ War/
C State /Zip
1 CMSD Project No 129 Bid Proposal Form-7 of 1 l
I declare under penalty of pe jury under the laws of the State of California that the forgoing
is true and correct.
Dated at A✓04% .. this /S-P} day of 30 (_'-/ 200 7
I
i (Signed) '�/
1 The full names and residences of all persons and parties interested in the foregoing proposal,
as principals, are as follows:
' NOTICE. Give first and last names in full; in case of corporation, give names of President,
Secretary Treasurer and Manager and affix corporate seal; in all cases of partnerships and
joint ventures give names of all the individ al members
t70....) Gm— ^ Pet-3)0FUf"/ Trh-^vJ-,SGI/tern
)Mo+-> 444-vs -VICE Qr 5//Jtnlr/S6-or fv-}ic
CONSTRUCTION PROJECT REFERENCES
In order to more fully evaluate your background and experience for the project herein
proposed, it is requested that you submit a list of Public Works and/or similar construction
projects completed, or in progress, within the last 24 months. Your cooperation in this matter
is greatly appreciated.
DATE PROJECT AGENCY'S CONTRACT
AWARDED AWARDING AGENCY ADMINISTRATOR
' St; 6- RITA-cwef_)
1
I
CMSD Project No 129 Bid Proposal Form -8 of 11
Paulus Engineering, Inc.
General Engineering Contractor and Construction Management
License Number 724114
REFERENCES
OWNER/CUSTOMER CONTRACT AMOUNT COMP. DATE
Yorba Linda Water District $228,571.00 09-07
1717 E Miraloma Ave
Placentia, CA 92870
(714) 777-9593
Reservoir Outlet Modifications
Lakeview Reservoir
Irvine Ranch Water District $1,850,000.00 11-07
15600 Sand Canyon Ave.
Irvine, CA 92618
(949)453-5300 Billy Stewart
Large Diameter Steel Water Lines
S.O.C. Interconnections
City of Fullerton $1,023,835.00 11-08
303 W Commonwealth Ave
Fullerton, CA 92832
(714)738-6853 Eric Villagracia
Sewer Line up to 22'deep
Bastanchury Road Sewer
Reference List for Bid Submittal Site Utility Installation/Improvement
1
PROJECT ADDENDA
Bidder shall signify receipt of all Addenda here, if any
1 ADDENDUM NO DATE RECEIVED BIDDER'S SIGNATURE
- fr — o
i
1
i
DESIGNATION OF SUBCONTRACTORS
In compliance with the 'Subletting and Subcontracting Fair Practices Act' being Sections
4100-4113 of the Government Code of the State of California, and any amendments thereto
1 each bidder shall set forth below the name and location of the place of business of each
Subcontractor who will perform work or labor or render service to the prime Contractor in or
about the construction of the work or improvement in an amount in excess of 1/2 of 1% of the
i prime Contractor's total bid and shall further set forth the portion of the work which will be
done by each such Subcontractor Only one Subcontractor for each such portion shall be
listed.
1 If the Contractor fails to specify a Subcontractor for any portion of the work to be performed
under the contract, he shall be deemed to have agreed to perform such work himself and he
shall not be permitted to subcontract that portion of the work except under the
conditions hereinafter set forth.
Subletting or subcontracting of any portion of the work to which no Subcontractor was
1 designated in the original bid, shall only be permitted in cases of public emergency or
necessity and then only after a finding reduced to writing as a public record of the Legislative
Body of the owner
1 Portion State License
Of Work Subcontractor's Name and Address Number Class
p8 —�aa+ o✓ T_
1 97505
�'E° =C'Er.:-F LAW Wt e.-i c�;.a.�.- emti �A Even%rle� n//.'i-
�,r•,-�' 4.� Ir5o7 CC, C-1 : — LA 921.5Z0 4782908 A
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jVlw..��o�G 30� w1. -.awce�4VP. P,./�,,CA 9z377 6779gc'
' ?lr re f53 4 7tx-y sr- Orv-. ,C4 97 rCo8 3y(y(7i7 C -j2-
1
1 CMSD Project No. 129 Bid Proposal Form-9 of 11
1
' NON-COLLUSION AFFIDAVIT
The bidders, by its officers and agents or representatives present at the time of filing this
' bid, being duly sworn on their oaths say that neither they nor any of them have in any way
directly or indirectly entered into any arrangement or agreement with any other bidder or
with any public officer of Costa Mesa Sanitary District whereby such affiant or affiants or either
' of them has paid or is to pay to such bidder or public officer any sum of money or has given or
is to give to such other bidder or public officer anything of value whatever or such affiant or
affiants or either of them has not directly or indirectly entered into any arrangement or
t agreement with any other bidder or bidder which tends to or does lessen or destroy free
competition in the letting of the contract sought for on the attached bids; that no bid has been
accepted from any Subcontractor or supplier through any bid depository the By-Laws, Rules,
or Regulation of which prohibit or prevent the Contractor from considering any bid from any
Subcontractor or supplier which is not processed through said bid depository or which prevent
any Subcontractor or supplier from bidding to any Contractor who does not use the facilities of
or accept bids from or through such bid depository that no inducement of any form or
character other than that which appears upon the face of the bid will be suggested, offered,
paid or delivered to any person of the contract, nor has this bidder any agreement or
understanding of any kind whatsoever with any person whomsoever to pay deliver to, or
share with any other person in any way or manner any of the proceeds of the contracts
sought by this bid.
' Pata.0 rNG/NAE7e4N
,767/ L-' Qakom400 ,14c4# 14744, ( — 5?a0 G
viCE / 2 ir�a.�
' Subscribed and sworn to before me by
This day of 200_
tMy Commission expires.
Notary Public
I
I
CMSD Project No. 129 Bid Proposal Form — I I of 11
.
JURAT
State of California
County of Orange
Subscribed and sworn to (or affirmed) before me on this 15th day of July, ,2008,
by Jason Paulus
proved to me on the basis of satisfactory evidence to be the person(s) who appeared before me.
Signature / (Notary Seal)
.,, CYNTHIA J. VALENCIA
5 �@ Commission • 1773027
1"l"1! Notary Public California
�, �� Orange County
Comm. �1mocn zoi1
ii
OPTIONAL INFORMATION
DESCRIPTION OF THE ATTACHED DOCUMENT
(Title or description rf attached document)
Number of pages:
Document Date:
(Additi al Informati n)
--
PROJECT BRISTOL ST SEWER REPLACEMENT gONDII 7-B
PREMIUM NIL
BIDDER'S BOND TO ACCOMPANY PROPOSAL
(Required if the bidder desires to submit bond instead of a certified or cashier's check).
KNOW ALL PEOPLE BY THESE PRESENTS:
That we, PAULUS ENGINEERING, INC.
as principals, and
NORTH AMERICAN SPECIALTY INSURANCE COMAPNY as surety are held and firmly bound
unto the Costa Mesa Sanitary District, a special district, organized under the lawsso the Staof
of California and situated in Orange County 10" ) to be
TEN PERCENT OF AMOUNT BID ($
paid to the District, its successors and assigns, for which payment well and truly to bemade,,
we bind ourselves, our heirs, executors, and administrators, successors or assigns,ns, j o r
severally firmly by these presents.
THE CONDITION OF THIS OBLIGATION IS SUCH,
That if the certain proposal of the is bovecepted by den
PAULUS ENGINEERING INC. PAULUS ENGINEERING INC.
Costa Mesa Sanitary District, and if the above bounden,
his heirs, executors, administrators, successors and assigns, shall
duly enter into and execute a contract for such construction, and shall execute and deliver
the LABOR AND MATERIAL and the FAITHFUL PERFORMANCE BONDS described within 10
days (not including Sunday) from the date of the mailing of a notice of
for execution,above
bounden, PAULUS INE ING T�' by and from District, that said contract is ready
then this obligation shall become null and void; otherwise it shall be and remain in full force and
virtue.
IN WITNESS WHEREOF.
We here unto set our hands 00annd seals this
T3'Ttt day
of JULY —
PAULUS ENGI EjING INC.
BY. •
_ ' le' stir Nf
NORTH • IIERICAN SPECIALTY
INSU`N COMPANY
BY (FM _/I
CHARLES L FL• 'E/ATTORNEY-IN-FACT
i.
CALIFORNIA ALL-PURPOSE ACKNOWLEDGMENT
STATE OF CALIFORNIA
County of Orange
On 07/13/09 before me, Lexie Sherwood, Notary Public
Date He e In rt Name nd Title of the OHic
personally appeared Charles L. Flake
Na a(s)of Sign r(s)
who proved to me on the basis of satisfactory evidence to
be the person(s) whose name(s) is/are subscribed to the
within instrument and acknowledged to me that he/she/they
LEXIE SHERWOOD executed the same in his/her/their authorized capacity(les),
and that by his/her/their signature(s) on the instrument the
COMM.#1593951 g person(s), or the entity upon behalf of which the person(s)
�4 NOTARY PUBLIC CALIFORNIA
cYi q '' " acted, executed the instrument.
2 `( ,' P ORANGE COUNTY
`Comm.Exp.JULY 27,2009
I certify under PENALTY OF PERJURY under the laws of
the State of California that the foregoing paragraph is true
and correct.
Witness my hand and d s
Signature
Place Notary Seal Abo Signatu of Publi
OPTIONAL
Though the information below is not required by law, it may prove valuable to persons relying on the document
and could prevent fraudulent removal and reattachment of this form to another document.
Description of Attached Document
Title or Type of Document:
Document Date: Number of Pages:
Signer(s) Other Than Named Above:
Capacity(ies) Claimed by Signer(s)
Signer's Name: Signer's Name:
❑ Individual ❑ Individual
❑ Corporate Officer—Title(s): ❑ Corporate Officer—Title(s).
❑ Partner—❑Limited General ❑ Partner—❑ Limited❑ General
❑ Attorney in Fact RIGHTTHUMBPRINT ❑ Attorney in Fact RIGHTTHUMBPRINT
El Trustee , OF SIGNER ❑ Trustee OF SIGNER
❑ Guardian or Conservator Top of thumb here ❑ Guardian or Conservator Top of thumb here
❑ Other ❑ Other
Signer Is Representing. Signer Is Representing:
^G,..-<W- -Ccv'ev r.;Zcer.:tC7CC7t:SCG'rL`Ci7 0`00X,:_`C.7ovever,(:i1 ^Z iv''c<.)C<>ccler,`CUece-:`C<)EV'eccoC
2007 Natro at Notary As atio •9350 De oto As PO.Bo 2402 Chatsworth,CA 91313 24 02 www Natio alNotaryorg Item 45907 Re rde-Get Tot-Fr 1-800-876.6827
-------- —
.n:�
NAS SURETY GROUP
NORTH AMERICAN SPECIALTY INSURANCE COMPANY
W 4SHINGT0N INTERNATIONAL INSURANCE COMPANY
GENERAL POWER OF ATTORNEY
KNOW ALL MEN BY THESE PRESENTS,THAT North American Specialty Insurance Company a corporation duly organized and existing under
laws of the State of New Hampshire,and haul rg its principal office in the City of Manchester,New Ha ipshire,and Washington International
Insurance Company a corporation organized and existing under the laws of the State of New Hampshire and having its pr cipal office the CitN of
Itasca,Illinois,each does hereby make,constitute and appoint:
DAVID L.CULBERTSON,CHARLES L.FLAKE,RICHARD A.COON,
and LEXIE SHERWOOD
JOINTLY OR SEVERALLY
Its true and lawful Attomey(s)-in-Fact,to make,execute,seal and deliver for and on its behalf and as its act and deed,bonds or other writings
obligatory in the nature of a bond on behalf of each of said Companies,as surety on contracts of etyshrp as are or may be required or permitted by
lat regulation,contr ct or otherwise,provided that no bond or undertaking or contract or suretyship executed nder this authority shall exceed the
amount of. TWENTY-FIVE MILLION(S25,000,000.00)DOLLARS
This Power of Attorney is granted and is signed by facsimile under and by the authority of the following Resolutions adopted by the Boards of
Directors of both North American Specialty Insurance Company and Washington International Insurance Company at meetings duly called and held
on the 241"of March,2000:
RESOLVED,that any two of the Pr (dents,any Managing Director,any Senior Vice President,any Vice President,any Assistant Vice P esident,
the Secretary or any Assistant Secretary be,and ach or any of them hereby is authorized to execute a Power of Attorney qualifying the attorney named
in the given Power of Attorney to execute on behalf of the Company bonds,undertakings and all contracts sf rety and that each or any of them
hereby is authorized to attest to the exe union of any such Power of Attor soy and to attach th the seal of the Company and it is
FURTHER RESOLVED,that the signature of such officers and the seal of the Comp: ,y may be affixed to any such Pot cr of Attorney or to any
certificate relating thereto by facsimile,and any such Power of Attorney or certificate bearing such foes,rile signatu facsimile seal shall be
binding upon the Company vhe so 'Mixed and in the futur oh regard to any bond,undertaking or contract of surety to which It is attached.
t
\°01‘‘‘2141/,17� ,nan.,yw
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P:qi a E 1W. oRq.spp
�' SEAL :m= P. y .Pr II t&Chid Es •corn rw Eng'n all eCo sS/ SEAL 41-'.
5, 1173 W: ° &Se th American Spec fly a COmpvq IS/ .m„
_p.
4a . OC
y.N1.Y,• L�p yyo
°0n nnau` B1. M .. 1,0 ,tsk`
n id M.Lavma ,Sent V Prenae t of Wasiinet I ten. In a Comp Nil
^,gnN,onms�
&Vi ePreside of North Ame nSp alty In rant omp
IN WITNESS WHEREOF North American Specialty Insurance Compam and Washington International Insurance Company have caused the
official seals to be hereunto affixed,and these presents to be signed by their author zed off i this 30th day of September 2008
North American Specialty Insurance Company
W sh gton Internati al Insurance Company
State of Illinois
County of Du P'sge ss:
On this 30th day of September 20 OS,before me. Notary Public personally appeared Steven P.Anderson ,President and CEO of
Washington International Insurance Company and Senior Vice President of North American Specialty Insurance Company and David M.Layman,
Senior Vice President of Washington International Insurance Company and Vice President If North American Specialty Insuranc Company
personalty knot to me,who being by me duly sworn,acknowledged that they signed th above Power of Attorney as officers of and
acknowledged said instrument to be the voluntary act and deed of their resnecti comnam
"OFFICIAL SEC nr,
DONNA D.MEN'S 9' r+F.t ✓U. `. ..Q
Notuy,Public,State of Limo's Do ra D.Skier's Notary Public
My Commission Haw 10/152(111 y
I, James A.Carpenter the duly elected Assistant Secretary of North American Specialty Insurance Compan and Washington
International Insurance Company do hereby certify that the above and foregoing is tr id cur ct copy of a Power of Attorney gi by fd•North
An can Spec alty Insurance Company and Washington International Insurance Company which is still in Lull force and effec
IN WITNESS WHEREOF I ha set my hand and affixed th seals of the Companies this s th day of July 20 3`I
lames A Carpmf side t&Amster(Scc'e ary of Washmpo Inf 'id Lam ante ciaspeny&
North Amc can Specialty In eCompany
•
CALIFORNIA ALL-PURPOSE
CERTIFICATE OF ACKNOWLEDGEMENT
State of California
County of Orange
On July 7, 2009 before me, Cynthia J. Valencia, Notary Public
personally appeared Jason Paulus
who proved to me on the basis of satisfactory evidence to be the person(s) whose name(s) is/are subscribed to
the within instrument and acknowledged t me that he/she/they executed the same in his/her/their authorized
capacity(ies), and that by his/her/their signature(s) on the instrument the person(s), or entity upon behalf of
which the person(s) acted, executed the instrument.
I certify under PENALTY OF PERJURY under the laws of the State of California that the foregoing paragraph
is true and correct.
Ilh
a.> CYNTHIA J. VALENCIA
WITH ' my hand and official seal. � commission it 1773427
I y�`.'Q- 612I Notary Public California f
— Orange a�
toy Counly
Oct15,2011
Signal o o .j Publi (Notary Seal)
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I
ADDITIONAL OPTIONAL INFORMATION
DESCRIPTION OF THE ATTACHED DOCUMENT CAPACITY CLAIMED BY THE SIGNER
Bid Bond Individual
Title or desc iption of attached document
Corporate Officer /Title
Number of pages Document Date
Partner
Attorney-In-Fact
Trustee
Other
Additional Information
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