FIRST AMENDMENT TO AGREEMENT FOR CONSTRUCTION
J. B. BOSTICK COMPANY INC.
PARKING LOTS REPAIRS AND SLURRY SEAL]
This FIRST AMENDMENT TO AGREEMENT FOR CONSTRUCTION (" First Amendment") is made and entered into this 2 6th day ofNNovember , 2024, by and between the CITY OF RIVERSIDE, a California charter city and municipal corporation (" City"), and J.B. BOSTICK COMPANY INC., a California corporation, 2870 East La Cresta, Anaheim, CA 92806, State Contractor' s License No. 341573 (" Contractor"), with respectto the following:
RECITALS
WHEREAS, on August 26, 2024, City and Contractor entered into that certain Agreement for Construction (" Agreement") for the Parking Lots Repairs and Slurry Seal, which is covered in the Contractor' s Proposal ( the " Work"); and WHEREAS, it is anticipated that the City will be transferring previously allocated ARPA fundsfrom the City-wide Park Improvements — Playground Projects; and WHEREAS, the City desiresto allocate a portion of theseARPA funds for parking lot repairs; and
WHEREAS, Contractor agrees to perform the additional parking lot repair additives beyond the original scope of the Work; and
WHEREAS, Section 2. 1 of the Agreement, Contract Price, states that City shall pay Contractor the Contract Price of Eight Hundred Ninety -Three Thousand Dollars ($ 893, 000. 00); and
WHEREAS, Section 2. 2. of the Agreement, Changes to the Contract Price, states that Contractor shall not be compensated for any extra materials used or time expended over and above the Contract Price, unless prior written approval for the same has been granted by City; and
WHEREAS, City and Contractor desireby this First Amendment to increasethe Contract Price by Four Hundred Sixteen Thousand Six Hundred Eighteen Dollars ($ 416, 618. 00), for a total not to exceed amount of One Million Three Hundred Nine Thousand Six Hundred Eighteen Dollars ($ 1,309, 618. 00), for payment of the additional work, and any other work that may be required that is not foreseeable at this time, to fully perform the Work. The Work shall be performed according to the additional quotes submittedby Contractor, which shall be attached to this First Amendment and made a part of the Contractor' s Proposal.
NOW, THEREFORE, in consideration of the foregoing recitals which are incorporated herein by this reference, City and Contractor agreeas follows:
1 1. The first paragraph of Section 2. 1 of the Agreement, Contract Price, is hereby revised to state:
2. 1 Contract Price. City shall pay Contractor the Contract Price an amount not - to - exceed One Million Three Hundred Nine Thousand Six Hundred Eighteen Dollars ($ 1,309, 618. 00), which includes all California sales or use tax and County and City taxes, in consideration for the Contractor' s full, complete and timely performance of all of the Work required by the Contract Documents. The Contract Price includes any Alternative/ Additive Bid Items which were awarded with the Contract."
2. Contractor' s additional quote submitted for the additional work referenced above is attached hereto as Exhibit B- 1, and City and Contractor agree that the quote shall hereby be made and considered a part of Contractor' s Proposal and constitute Work under the Agreement.
3. All other terms and conditions of the Agreement not inconsistent with this First Amendment shall remain in full force and effect asif fully set forth herein.
SIGNATURES ON FOLLOWING PAGE]
2 IN WITNESS WHEREOF, the parties hereto have caused this First Amendment to Agreement for Constructionto beduly executedthedayandyearfirst abovewritten.
J.B. BOSTICK COMPANY INC.,
CITY OF RIVERSIDE, achartercity a California corporation and municipal corporation, / A
Certified asto funds availability:
By:
Chief Financial Officer
APPROVED AS TO FORM:
By:
Deputy City Attorney
Rc- citylaw\ cycom\ WPDOCS\ D003\ P044\ 00868263. DOC
CA # 24- 0585. 1 TAT 09/ 04/ 24
3 By:
Printed Name:
Title: aN, cF ar • st i--(=, cgt,
By:
Printed Name:
Title:
GA`s ogr • c C
Exhibit " B- 1"
Additional Work
4 City of Riverside
Parking Lot Repairs and Slurry Seal (8052), bidding on 02/20/2024 5:00 PM (PST) Bidder Details
Vendor Name JB Bostick Co
Address 2870 E La Cresta
Anaheim• California 92806
United States
Respondee GregoryBeckner
RespondeeTitle Project Manager
Phon. e 171- 448- 8089
Ei-nail greg@jbboStiCkcOm
Vendor Type
License #
CAD IR
Bid Detail
Bid Format Electronic
Submitted 02/ 20/ 2024 2: 54 PM ( PST)
DeliveryMethod
Bid Responsive
Bid Status Submitted
Confirmation # 363333
Respondee Cornmerit
Buyer Comment
Attachrnents
EXHIBIT " B- 1"
File Title File Name File -Type
RiversideBid Docs, pdf Riverside Bid Docs. pdf General Attachment Bond, pdf Bond. pdf Bid Bond
PlanatBids
Printed 02/ 23/ 2024
City of Riverside
Parking Lot Repairs and Slurry Seal (8052), bidding on 02/20/2024 5:00 PM (PST) SUbrontractors
Showing.2 Subcontractors
Name & Address Desc License. Num CADIR Amount Type.
Falcon Striping Re,Striping and Truncated 991209 1000711671 $ 298, 000, 00 CADIR 260 Glider Circle Dome installation
Corona, California 92880
Road Works, Inc.
30.3 Short Street
Pomona
Pomona, California 91768
Hot Rubberized Crack Fill 561431 1000002011 $ 75, 000, 00 CADIR PlanetBids
Printed 02/ 23/ 2024
City of Riverside
ParkingLot Repairsand Slurry Seal (8052), bidding on 02/20/2024 5:00 PM (PST) Line items
DiscountTerms No Discount
PlanetBids
Printed 02/ 23/ 2024
City of Riverside
Parking Lot Repairs and Slurry Seal (8052), bidding on 02/20/2024 5:00 PM (PST)
Printed 02/ 23/ 2024
Item# : ItemCode : Type ! ltemDescrlptlon VW , QTY : UnitPrlpe LineTotal Response !, Comment Base Bid Item 1-A:10rangeTerrace ParldngLots : $ 100, 500, 00 i 1 i 1.131 : MobIlliation : LS : 1 : $ 1,000. 00 : $ 1, 000: 00 : YeS 2 11. 02
3 1. 03
4 1. 04
Clear/ Grub/ Demolition/ Salvage
Temporary Fencing
Site Prep (Cleaning patching, weedkill, etc.)
5 i 1. 05 . : Hot Rubbert* ed Crack Seal : LS ; 1 $ 10,000,00 i $ 10, 000. 0Q : Yes 6 : 1. 06 • Mllland Overlay 1,5"AC : LS : 1 , $ 10, 000, 00 : 810, 000, 00 ,. Yes
1.5 1 81, 000. 00 81,000.00 ; Yes
LS 1 : 8500. 00 8500. 00 Yes
LS 1 $ 35, 000. 00 : $ 35, 00000 : Yes
07 ; 1, 07 , Milland Overlay2" AC: LS : 1 .: $ 12, 000„ 012;000. 00 : Yes 8 1. 08 • Removeand Replace 4" AC : is : 1 : 84000. 00. ! Yes 9 ! 1. 09 •
I , $
0540000,
000,
000
Furnish and Install 4' LongWbeel Stop , LS. , 1 $ 50.030 : Yes 10 : 1. 15 • : ParkintLO( Stribino ! LS j 1 : 824,000. 00 ; $ 24,000.0.0 ; Yes • 1 ! 11 111 ICurbpainting La : 1 '; $ 2,500. 00. i 02,50.0.00 , . Yes Base Bidltein 1.13: Ryan BonarnlhlOParldng Lot :.$ 231, 509. 00 81,50.0.00 i Yesi 12 : 2. 01
1$. 2. 02
114 , . 203
115 2. 04
Mob IIItalian 1$ 1 181, 500, 00
Clear/ Grub/ Demolltion/ Salvage LS 1 $ 1,500, 00es 1,500. 00 Y LS 1 $ 50000 8500. 50Temporary Fencing, Yes
ate.Prep (CleaningpatchlnaiweedIdll, 00.4 j LS. , 1 5$2-;0.00, 00 $ 32;0.01L00, !: yes 1,11,000. 00 Yes16 2. 05 Hot Rubberlzed 0 rook Seal , 1.5 1 $ 10, 00.0. 00 117 , 2. 06 . i MIllandOVerlay1.5" AC i LS ; 1 , $ 87, 000, 00 : • 887; 00000 '-: Yes 18 : 2. 07 • ; Milland Overlay 2" AC LS ! 1 , $ 46, 090, 00 , Yes46; 400: 00 19 2. 08 • Remove and Replace 4" AC 1.5 : 1 $ 30, 000. 00 I 830,000.00 Yes 20 : 2, 09 Furnish artd InSta11.41. Long Wheel Stop j LS 1 18500, 09. ; Yes 21 12..10 PEIrldngLOtStriping
i•••••• ••••• • •• • ••••••'--- -• • •• •
1 ; $ 21, 0.00. 00 $ 21; 000. 00 Yes
22 : 2. 11 : CurbPaInting , LS 1 $ 1, 500. 00 I 01,500:50 ; Yes Base Blditern I -C La Sierra Parking Lot : $ 2384,500. 00 23 : 3, 01 . : Mobilisation i 1.8 : 1 ; $ 1,50.0. 00 :•$ 1,5.50.00 ; Yes 24 3.; 02 Clear/ Grub/ Demolition/ Salvage LS 1 81,508. 00.. 8150000 Yes j, 25 3: 03 1TernpOraryFenCIng LS ! 1 j $ 500. 00 $ 5050. 0 , Yes 26 : 3. 04 SItoPrep (Cleaning patching; weed kilt eto LS ! 1 j $2.8,00,0.00 82.8r,000. 00. Yes 27 i 3.05,: Hot Rubberl. zed. CraCkSeal LS. : 1 I $10,,000.00 18I0,00000 i Yes 28 : 306 . MIlland Overlay1, 5" AC , IS ! 1 , $ 10, 0,00. 00 : 810,000. 00. i Yes 29 : 3, 07 : Milland0verlay2" A0 : LS i 1 , 04, 000.00 $ 44, 00.040 : yes 30 I 3.08 . i RemoveandReplace. CAC LS .: 1 : $ 110; 000: 00. : $ 110, 000. 00 Yes 31 j3, 09 : Furnishand Inste114` LongWheelStop LS i 1 ! $ 5.00:09 $ 509, 00 , Yes 32 : 3. 10 I ParkingLotStriping LS i 1 : $ 2.0,009.00 : $ 23,000. 00 : Yes 133. : 3, 11 CurbPainting : LS : 1 $ 1, 50 1$1 600, 00 , Yes0. 00 Base Bid.ltem I' D: Reid Parking Lots ', ,$ 148, 5010. 00 34 i 4.01 : Mobilization .; LS : 1 .! $ 1,500. 00 $ 1,50. 0. 00 i Yes 35 ! 4. 02 . : Clear/ Grub/ Den16111160/ SalVage il LS 11 , 1 $1,500,00Yes 1, 500.: 00 35- 14.03 ; Temporary Fencing : LS , 1 $ 500. 00 : $ 500. 00 : Yes 37 : 4. 04 • : Site Prep (cleaning patching, weed kil( eto,) ": LS i 1 , $ 35, 000. 00 : $ 35; 0•01, 00 : yes 38 : - 4. 05 • i Hot Rubberized Crack Seal : LS : 1 : $ 10, 000, 00 : $ 10, 000. 00. : Yes i • i , '
39 , 4. 06 • milland Overlay 1 ,5" Ac :, LS ; 1 : $ 72, 060, 00 1.$7Z,000.00 )( Os 4Q. 4, 07- Millartd:Overlay•ZAO. 1LS : 1 $ 0: 00 80. 00 yes 41 : 4: 08 • RentOVe and Replace 4" AC : LS , 1 : $ 0.:00 i .$0, 00 : Yes
42. : 4. 09 • i FurnIshand Install 4' Long Wheel Stop , LS ; 1 ! $ 500, 00 : $ 54.0.00 : Yes 43 : 4. 10 . I ParkingLotStriping : LS , 1 : $ 26, 000. 00 : $ 26, 000, 00 , Yes LS : 1 , $ 1,500. 00 : $ 1, 500. 00 : Yes44 14. 11 i CurbPainting Base Bl.d !tern 1-.Elonetgoeske Center Parldng Lot
1Mobilization
PlanetBids
LS : 1 81, 500. 00
86, 500. 00
81, 500. 00 ; Yes
City of Riverside
Parking Lot Repairs and Skany Seal (8052), bidding on 02/20/2024 5:00 PM (POT) Item # Item Code Type
46 5. 02
47 i 5. 03
48 5. 0.4
49 5. 05
Item Description
Clear/ Grub/ Demolition/ Salvage
Temporary Fencing
Site Prep (Cleaning patching, weed WHOM.)
Hot Rubberized Crack Seal
50 5. 06 • Milland Overlay 1.5" AC
51 15.07 Milland Overlay 2" AC
52 5. 08
53 5. 09
54 5. 10
Remove and Replace 4" AC
UOM
LS
QTY Unit Price
1, 500. 00
Lin. eTotal
Printed 02/ 23/ 2024
Response Comment
1, 500. 0.0 Yes
LS $ 500. 00 6500. 00 Yes
LS 1. $ 23,000. 00 023, 00.0.00 Yes
S10, 000. 00 510, 000. 00 Yes
LS $ 28, 000. 00 028, 000. 00 ; Yes
LS : 5. 60.00 60. 00 Yes
LS ; i'. $ 0. 00 00. 00 Yes
Furnishand Install 4' LongWheelStop
Parking Lot Striping
55 5. 11 CurbPainting
Base Bid Item I -F: Bryant Park Parking Lots
56 6. 01 : Mobilization
57 `: 6. 02
58 1 6. 03
59 6. 04
60 6, 05
61 . 6. 06
6. 07
6. 08
62 63
64 65
66 6. 09
6. 10
6, 11
Addltiveltern.:
67 68 8. 02
69 ; 8. 03
70 8. 04
71 i 8. 05
8. 06
73 8. 07
74 • 8. 08
8. 09
76 • 8. 10
77 8. 11
78 8. 12
72 75
Clear/ Grub/ Demolition/ Salvage
Temporary Fencing
SitePrep (Cleaningpatching, weedkill; etc.)
Hot Rubberized Crack Seal
Milland Overlay 1.5" AC
Milland Overlay 2" AC
Remove and Replace 4" AC
Furnish and Install 4'Long WheelStop
Parking Lot Striping
Curb Painting
alrroun . ParkParldngLgts:l epairand $IurryS:eai
Mobiiization
Clear/ Grub/ Demolition/ Salvage
Temporary Fencing
1ePrep..(Ci, nng p).tchin,g,:wee0.ldl.14e03)
Hot Rubb erized Crack Seal
Overlay 1.5" AC
Milland Overlay 2" AC
Remove and Replace 4" AC
Furnish and Install 4' Lang Wheel Stop
Parking Lot Striping
Curb:Painting
Install ADA Truncate Dome Tile
Additiveltem. 11: ADATruncated pameTileln. diallatlotl
79 9. 01 Mobilization
8Q 9. 02 Clear/ Grub/ Demolition/ Salvage
81 9. 03 lr tall AL1;ATrgrloated: po.rhe.T.11as
Finn€otllidn
LS
LS
8500. 00 $ 50.0.0.0 Yes
520,000.00 620, 000. 00 Yes
1,500. 00 $ 1, 500. 00 Yes
87, 500. 00
LS ` 7; $ 1,500. 00 $ 1,500. 00
LS 1 $ 1,500. 00 $ 1,500. 00 Yes
LS 1 $ 500. 00 6500, 00 Yes
LS 1 520,000. 00 620, 000. 00 Yes
LS 1 < $ 10, 000. 00 $ 10, 000. 00 Yes
42, 000. 00 642,000.00Yes
80. 00 : 50. 00
LS
LS
LS 0. 00 '. 60. 00
LS 1 6500, 00 $ 500. 0.0
LS 1 $ 10, 000. 00 610, 000. 00 Yes
LS 1. $1,500. 00 '' $ 1, 500. 00 > Yes
503, 80:0. 0:0: $.2:08, 76.8. 00
LS
LS
LS
65 LS 1
2, 500. 00 $ 2, 500. 00 Yes
2,500. 00 $ 2, 500. 00 Yes
1, 000. 0.0 $ 1,000. 00 Yes
815, 000. 00
561,00000 $46,260.OUVes
15,000. 00 Yes
LS ' i $ 137, 000. 00 6137, 000. 00 Yes
LS 00. 00 $ 0. 00 Yes
LS
LS
0, 00 60. 00 Yes
1,000. 00 01, 000. 00 Yes
LS 1 $ 35, 000. 00 63.5,0.00, 00
LS
LS
1 53,500. 00 $ 3,500. 00 Yes
545,0:0.0. 00 $ 45, 000. 00 Yes
00000 5127,850:.00
LS 1 $ 2, 50.0. 00 $ 2, 50:0. 00 Yes
LS 1 $ 2, 500. 0.0 $ 2, 500. 00 Yes
LS 1 $: t::400. 6a $ 12:2,850 $ 41400. 4011. 0; 450; Yes City of Riverside
Parking Lot Repairs and Slurry SoW (8052), bidding on 02/20/2024 5:00 PM (PST) Line item Subtotals
Base Bid Item I -A: Orange Terrace Parking Lots
Base Bid Item I -B: Ryan Bonaminio Parking Lot
Base Bid Item I -C La Sierra Parking Lot
Base Bid Item I -D; Reid Parking Lots
Base Bid Item I -E; Janet Goeske Center Parking Lot
Base Bid Item I -F; Bryant Park Parking Lots
Additive Item• ADATruncati
ingLotsRepairan1
Section Title
PlanotBids
Printed 02/ 23/ 2024
Line - Total
S100, 500. 00
231, 500, 00
238, 500. 00
S148, 500, 00
86, 500, 00
87, 500, 00 - 1
303, 5 0. 00 $ 288, 76a. ss
144,000030 5127, 85°-°°
Grand Total Si -(341, 50000
309, 618. 00
BY:
INCREASE PENALTY RIDER
To be attached and form a part of Bond No. TIC107010dated the 23rd Dayof May, 2024, executed by Trisura Insurance Company as surety, on behalf of JB Bostick Company, Inc. as current principal of record, and in favor of City of Riverside, as Obligee for Parking Lots Repairs and Slurry Seal - Orange Terrace Park, Ryan Bonamino Park, La Sierra Park, Reid Park, Janet Goeske Center, Bryant Park, and Fairmount Park - bond increase per First Amendment to the contract, and in the amount of Eight Hundred Ninety Three Thousand Dollars and 00/ 100 ($ 893, 000. 00).
In consideration of the agreed premium charged for this bond, it is understood and agreed that Trisura Insurance Company hereby consents that effective from the 26th Day of August, 2024, said bond shall be amended as follows:
THE BOND PENALTY SHALL BE INCREASED:
FROM: Eight Hundred Ninety Three Thousand Dollars and 00/ 100 ($ 893, 000. 00) TO: One Million Three Hundred Nine Thousand Six Hundred Eighteen Dollars and 00/ 100 ($ 1, 309, 618. 00)
The INCREASEof said bond penalty shall be effective as of the 26th Day of August, 2024, and does hereby agree that the continuity of protection under said bond subject to changes in penalty shall not be impaired hereby, provided that the aggregate liability of the above mentioned bond shall not exceed the amount of liability assumed by it at the time the act and/ or acts of default were committed and in no event shall such liability be cumulative.
Signed, sealed and dated this 16th Day of September, 2024 BY
JB Bostick Company, Inc.
PRINCIPAL
BY
Trisura surance Company
SURETY
Margareta T. Thorsen, ATTORNEY- IN- FACT
THE ABOVE BOND IS HEREBY AGREED TO AND ACCEPTED BY:
City of Riverside
APPROVED AS TO FORM OBLIGEE
Deputy City Attorney
BY tQ- E
TITLE
CALIFORNIA ALL- PURPOSE ACKNOWLEDGMENT
A notary public or other officer completing this certificate verifies only the identity of the individual who signed the document to which this certificate is attached, and not the truthfulness, accuracy, or validity of that document.
STATE OF CALIFORNIA
County of Sacramento
On " A VcA,2kkDate
before me, Sandra R. Black
personally appeared Margareta T. Thorsen
Insert Name of Notary exactly as it appears on the official seal Notary Public,
Name( s) of Signer( s)
SANDRA R. BLACK
COMM. # 2385775
NOTARYPUBLIC • CALIFORNIAjSACRAMENTO COUNTY
n Comm. Exp. DEC. 8, 2025
Place Notary Seal Above
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 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 the entity upon behalf of which the person( s) acted, executed the instrument.
I certify under PENALTY OF PERJ
the State of California ththe for
and correct.
Witness
Signature
OPTIONAL
nder the laws of
aragraph is true
Though the information below is not required by law, it may prove valuable to persons relying on the documentand could prevent fraudulent removal and reattachment of the form to another document.
Description of Attached Document
Title or Type of Document:
Document Date:
Signer( s) Other Than Named Above:
Capacity( ies) Claimed by Signer( s)
Signer' s Name:
Individual
Corporate Officer — Title( s):
Number of Pages:
Partner Limited General
Attorney in Fact
Trustee
Guardian or Conservator
Other:
Signer is Representing:
RIGHT THUMBPRINT
OF SIGNER
Topof thumbhere
Signer' s Name:
Individual
Corporate Officer — Title( s):
Partner Limited General
Attorney in Fact
Trustee
Guardian or Conservator
Other:
Signer is Representing:
RIGHT THUMBPRINT
OF SIGNER
Topofthumbhere
nra
RSUR
POWER OF ATTORNEY
Bond Number: TIC107010
Bond issuance date: September 1A 2024
2 Stamford Plaza
Suite 1504, 281 Tresser Boulevard
Stamford, Connecticut 06901
us. suretyfttrisura. com
KNOW ALL MEN BYTHESEPRESENTS: That TRISURAINSURANCECOMPANY, a corporation organized and existing under the laws of the State of Oklahoma, authorized to conduct a surety business, and having its principal place of business at 2 Stamford Plaza, Suite 1504, Tresser Boulevard, Stamford, Connecticut 06901, does hereby constitute and appoint:
Margareta T. Thorsen
their true and lawfulattorney(s)-in-fact to execute, sealanddeliverfor andon its behalfassurety, anyandall bondsandundertakings, contractsof indemnityandotherwritingsobligatoryinthenaturethereof, whichareor maybeallowed, requiredor permittedbylaw, statute, rule, regulation, contract or otherwise, and the execution of such instrument( s) in pursuance of these presents, shall be as bindinguponthe saidTRISURAINSURANCECOMPANY, asfullyandamply, to allintentsandpurposes, asif thesamehadbeenduly executed and acknowledged by their regularly elected officers at their principal offices.
ThisPowerof Attorneyisexecuted, andmayberevoked, pursuantto andbyauthorityofthe By -LawsofTRISURAINSURANCE COMPANYandisgrantedunderand byauthorityof the followingresolutionadoptedbythe Boardof DirectorsofTRISURAINSURANCE COMPANYat a meeting duly held on the 11th dayof December, 2020.
RESOLVED, that (1) theChiefExecutiveOfficer, President, ExecutiveVicePresident, SeniorVicePresident, VicePresident, orSecretaryof theCorporationshallhavethepowertoappoint, andto revoketheappointmentsof, Attorneys -in -Factoragentswithpowerandauthority asdefinedor limited in their respectivepowersof attorney, and to executeon behalfof the Corporationand affix the Corporation'sseal thereto, bonds, undertakings, recognizances, contractsof indemnityandotherwrittenobligationsin the naturethereofor relatedthereto; and (2) anysuchOfficersof the Corporationmayappoint andrevokethe appointmentsof joint -control custodians, agentsfor acceptanceof process, andAttorneys -in -factwithauthorityto executewaiversandconsentsonbehalfoftheCorporation; and (3) thesignatureofany suchOfficeroftheCorporationandtheCorporation'ssealmaybeaffixedbyfacsimiletoanypowerofattorneyorcertificationgivenforthe executionof any bond, undertaking, recognizance, contract of indemnity or other written obligation in the nature thereof or related thereto, suchsignature and sealswhen soused whether heretofore or hereafter, being herebyadopted by the Corporation asthe original signature of such officer and the original seal of the Corporation, to be valid and binding upon the Corporation with the same force and effect as though manually affixed."
IN WITNESSWHEREOF, TRISURAINSURANCECOMPANY have each executed and attested these presents on this 25"' day of February, 2022. STATE OF Connecticut County of Fairfield
GpRVO t41
SEAL ;
Onthis2St'' dayof February, 2022, beforemecametheindividualwhoexecutedtheprecedinginstrument, to mepelsotlaityntivwii, and, beingby medulysworn, saidheisthe thereindescribedandauthorizedofficerofTRISURAINSURANCECOMPANY; that the sealsaffixedto saidinstrumentarethe CorporateSealsof saidCompanies; thatthe saidCorporateSealsandhissignaturewereduly affixed by order of the Boards of Directors of said Companies.
INTESTIMONYWHEREOF, I havehereuntosetmy handaffixedmy OfficialSeal, at Fairfield, Connecticut the day and year first above written.
SERENA {. SZEKELY S rena I Szekelv seal
NotaryPublic, Stateof Conneeticut"w
MyCommissionExpires10/31/2 a Notary Public of Connecticut v o emission Expires: 10/ 31/ 2026
CERTIFICATION
I, the undersignedofficerofTRISURAINSURANCECOMPANYdo herebycertifythatI havecomparedtheforegoingcopyofthe Powerof Attorneyandaffidavit, andthe copyof the Sectionsofthe By -Lawsof saidCompaniesassetforth in saidPowerof Attorney, with the originals on file in the home office of said companies, and that the same are correct transcripts thereof, and of the whole of the said originals, and that the said Power of Attorney has not been revoked and is now in full force and effect.
INTESTIMONYWHEREOF, I have hereunto set my handon this day, lt'c i rdGnat vicePresf 4U.S. Seerriy
TO CONFIRMAUTHENTICITYOFTHIS BOND OR DOCUMENT EMAIL: us.suretyC«?trisura. com