HomeMy WebLinkAboutRoof Top Replacement/Senior Center - B&P Mechanical IncDocusign Envelope ID: 14FB9A87-91BF-4763-A39C-78FB85484FDC
CONTRACTOR AGREEMENT:
ROOF TOP UNIT REPLACEMENT- OSHKOSH SENIORS CENTER NORTH
THIS AGREEMENT, made on the 15TH day of AUGUST, 2024, by and between the CITY OF OSHKOSH,
party of the first part, hereinafter referred to as CITY, and B & P MECHANICAL, INC., 3200 W.
HIGHVIEW DRIVE, APPLETON, WI 54914, hereinafter referred to as the CONTRACTOR,
WITNESSETH:
That the City and the Contractor, for the consideration hereinafter named, enter into the following
agreement. The Contractor's proposal is attached hereto and reflects the agreement of the parties except
where it conflicts with this agreement, in which case this agreement shall prevail.
ARTICLE I. COMPONENT PARTS OF THE CONTRACT
This contract consists of the following component parts, all of which are as fully a part of this contract
as if herein set out verbatim, or if not attached, as if hereto attached:
A. This Instrument
B. Proposal Solicitation
C. Contractor's Proposal
In the event that any provision in any of the above component parts of this contract conflicts with any
provision in any other of the component parts, the provision in the component part first enumerated
above shall govern over any other component part which follows it numerically except as may be
otherwise specifically stated.
ARTICLE II. PROTECT MANAGER
A. Assignment of Project Manager. The Contractor shall assign the following individual to manage
the project described in this contract:
(Dave Head, Assistant Operations Manager)
B. Changes in Project Manager. The City shall have the right to approve or disapprove of any
proposed change from the individual named above as Project Manager. The City shall be
City Hall, 215 Church Avenue P.O. Box 1130 Oshkosh, WI 54903-1 130 http://www.ci.oshkosh.wi.us
Docusign Envelope ID: 14FB9A87-91 BF-4763-A39C-78FB85484FDC
provided with a resume or other information for any proposed substitute an I shall be given the
opportunity to interview that person prior to any proposed change.
COPY
ARTICLE III. CITY REPRESENTATIVE
The City shall assign the following individual to manage the project described in this contract:
(Mike Blank, Facilities Project Coordinator)
ARTICLE IV. SCOPE OF WORK
The Contractor shall provide the services described in the City's INVITATION FOR BID for the Project
titled "ROOF TOP UNIT REPLACEMENT- OSHKOSH SENIORS CENTER NORTH" dated June 28,
2024, and the contractor's bid form and materials attached as Exhibit A. If anything in the Bid Form
conflicts with the Bid Specifications, the provisions in the Bid Specifications shall govern.
The Contractor may provide additional products and/or services if such products/services are requested
in writing by the Authorized Representative of the City.
ARTICLE V. CITY RESPONSIBLTTIES
The City shall furnish, at the Contractor's request, such information as is needed by the Contractor to aid
in the progress of the project, providing it is reasonably obtainable from City records.
To prevent any unreasonable delay in the Contractor's work the City will examine all reports and other
documents and will make any authorizations necessary to proceed with work within a reasonable time
period.
ARTICLE VI. TIME OF COMPLETION
The Contractor shall complete the project by October 31, 2024. Any changes to the completion date must
be agreed upon by both parties in writing.
ARTICLE VIL PAYMENT
A. The Contract Sum. The City shall pay to the Contractor $49,850.00, adjusted by any changes
hereafter mutually agreed upon in writing by the parties hereto.
B. Fee schedules shall be firm for the duration of this Agreement.
i. Method of Payment. The Contractor shall submit itemized monthly statements for services.
The City shall pay the Contractor within 30 calendar days after receipt of such statement. If
any statement amount is disputed, the City may withhold payment of such amount and shall
provide to Contractor a statement as to the reason(s) for withholding payment.
ii. Additional Costs. Costs for additional services shall be negotiated and set forth in a written
amendment to this agreement executed by both parties prior to proceeding with the work
covered under the subject amendment.
Docusign Envelope ID: 14FB9A87-91 BF-4763-A39C-78FB85484FDC
ARTICLE VIII. STANDARD PROVISIONS
copy
The CONTRACTOR agrees in all hiring or employment made possible by or esulting from tI is
agreement, there will not be any discrimination against any employee or applicant for employment
because of race, color, religion, sex, sexual orientation, gender identity, or national origin.
ARTICLE IX. CONTRACTOR TO HOLD CITY HARMLESS
The Contractor covenants and agrees to protect and hold the City of Oshkosh harmless against all actions,
claims and demands of any kind or character whatsoever which may in any way be caused by or result
from the intentional or negligent acts of the Contractor, his agents or assigns, his employees or his
subcontractors related however remotely to the performance of this Contract or be caused or result from
any violation of any law or administrative regulation, and shall indemnify or refund to the City all sums
including court costs, attorney fees and punitive damages which the City may be obliged or adjudged to
pay on any such claims or demands within thirty (30) days of the date of the City's written demand for
indemnification or refund.
ARTICLE X. INSURANCE
The Contractor shall provide insurance for this project that includes the City of Oshkosh as an additional
insured. The contractor's certificate of insurance for this project is attached as Exhibit B.
ARTICLE XI. TERMINATION
C. For Cause. If the Contractor shall fail to fulfill in timely and proper manner any of the
obligations under this Agreement, the City shall have the right to terminate this Agreement
by written notice to the Contractor. In this event, the Contractor shall be entitled to
compensation for any satisfactory, usable work completed.
D. For Convenience. The City may terminate this contract at any time by giving written notice
to the Contractor no later than 10 calendar days before the termination date. If the City
terminates under this paragraph, then the Contractor shall be entitled to compensation for
any satisfactory work performed to the date of termination.
This document and any specified attachments contain all terms and conditions of the Agreement and
any alteration thereto shall be invalid unless made in writing, signed by both parties and incorporated
as an amendment to this Agreement.
Signatures. By placing their signatures below, each individual affirms that the entity they represent is
authorized to enter into this Agreement, and further affirm that they are authorized by the entity they
are representing to bind their respective parties to the terms and conditions of this Agreement.
Docusign Envelope ID: 14FB9A87-91 BF-4763-A39C-78FB85484FDC
APPROVED:
Signed by:
City Attorney
B & P MECHANICAL, INC.
DocuSigned by:
B : L4r'.A1Rn3DC11qnr40ANib, & COPY
Y
Mike Meehan, Operations Director
CITY OF OSHKOSH
DocuSigned by:
1222ES907DBEZL89am'
By: ...
Mark A. Rohloff, City Manager
Signed by;
And:
Diane Bartlett, City Clerk
I hereby certify that the necessary provisions
have been made to pay the liability which
will accrue under this contract.
Signed by:
930AC4FBDABD4DC
City Comptroller
Docusign Envelope ID: 14FB9A87-91BF-4763-A39C-78FB85484FDC
CITY OF OSHKOSH INVITATION FOR BID
BID PROPOSAL FORM
Roof Top Unit Replacement- Oshkosh Seniors Center North
Page 1 of 2
From: B & P Mechanical Inc. (Bidder's Company Name)
BID PROPOSAL DEADLINE: THURDAY, AUGUST 1, 2024 @ 10:00 A.M.
Bid bond must accompany bid submittal, unless indicated otherwise.
Date: 08/01 /2024
Addenda: Receipt of Addenda numbered 0 of 0 are hereby understood,
acknowledged and included in bidder's bid proposal form. If no addenda were issued
for this bid please write "N/A" above.
In compliance with the advertising for Bids and having carefully examined the drawings
and specification for the Work and the Site of the proposed work and having
determined all of the conditions of the work, the rules, regulations, laws, codes,
ordinances, and other governing circumstances relating to this project, the undersigned
proposes to furnish all Labor, Materials and Equipment necessary to complete the
construction indicated on the drawings and described in the project manual to include
all described work completed to the Owners' satisfaction. By Submission of this Bid,
each Bidder certifies, and in the case of a joint Bid, each party thereto certifies as to its
own organization, that this Bid has been arrived at independently without consultation,
communication, or agreement as to a matter relating to this Bid and with any other
Bidder or with any competitor. We, the undersigned, propose to furnish all labor and
materials per the project specifications or noted deviations for the following amount(s):
TOTAL BASE BID: $ 49 850.00
Forty -Nine Thousand Eight Hundred Fifty and 00/100
(Base Bid Price - in Words)
WARRANTY DETAILS: One (1) Year Labor & Equipment
19
Docusign Envelope ID: 14FB9A87-91 BF-4763-A39C-78FB85484FDC
CITY OF OSHKOSH INVITATION FOR BID
BID PROPOSAL FORM
Roof Top Unit Replacement- Oshkosh Seniors Center North
Page 2 of 2
That I have examined and carefully prepared this Proposal from the Bid Specifications
and have checked the same in detail before submitting this Proposal; that I have full
authority to make such statements and submit this Proposal in (its) (their) behalf, and
that said statements are true and correct.
SIGNATURES
Date: 08/01/2024 Name of Company: B & P Mechanical, Inc
Submitted by: (name/title) Mike Meehan/Operations Director Email: mike(a)b-omechanical corn
Address of Company: 3200 W. Highview Dr. Appleton, WI 54914 Phone: 920-733-3303
Company Representative that will be named Project Manager for this project, if awarded
the bid:
Dave Head Assistant Operations Manager
Name Title
Company Representative authorized to sign contracts electronically via DocuSign:
Name: Mike Meehan Email: mikeeb-pmechanical.com
20
Contract Number
Date Bond Executed (Date of Contract or Later) 7/29/2024
PRINCIPAL/CONTRACTOR (Legal Name and Business Address)
B & P MECHANICAL, INC.
3200 W Highview Dr
APPLETON, WI 54912
SURETY(IES) (Legal Name(s) and Business Address(es))
Selective Insurance Company Of America
40 Wantage Avenue
Branchville, NJ 07890
OWNER (Legal Name and Business Address)
CITY OF OSHKOSH
215 Church Avenue
PO Box 1130
Oshkosh, Wisconsin 54903-1130
OBLIGATION
CITY OF OSHKOSH
Type of Organization
RV
Corporation
State oflncorporalion
WI
Penal Sum of Bond
Five Percent Of Amount Bid
The Contractor and Surety, jointly and severally, bind themselves, their heirs, executors, administrators, successors
and assigns to the Owner for the amount of the penal sum identified above if the Owner accepts the bid of this
Contractor within the time specified in the bid documents or within such time period as may be agreed upon
between the Owner and the Conti -actor, and the Contractor shall fail to execute the Contract within five (5) business
days of written notice to the Contractor and Surety of Owner's intent to make a claim upon this Bond.
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.
If the Contractor either enters into a contract with Owner in accordance with the terms of the bid and gives such
bond(s) that may be specified in the bidding documents for the faithful performance of the Contract and for the
prompt payment of labor, materials and supplies furnished for the purpose thereof; or pays to the Owner the
difference between the amount specified in the bid and such larger amount for which the Owner may in good faith
contract Arith another party to perform the work covered in such bid, then the Surety and the Contractor shall have
no obligation under this Bond.
Notice to the Contractor or Surety shall be deemed to have been given: (i) upon delivery to an officer or person
entitled to such notice, if hand delivered; or (ii) two (2) business days following deposit in the United States mail,
postage prepaid; (iii) upon delivery by a commercial carrier that will certify the date and time of delivery; or (iv)
upon transmission if by facsimile, email or other form of electronic transmission. Notices shall be provided to the
Owner, Surety and/or Contractor at their address as specified on this Bond or to a facsimile, email or other
electronic address that has been provided in writing to the other party to be used for this purpose.
The laws of the State of Wisconsin shall govern the interpretation and construction of this Bond. Winnebago
County shall be the venue for all disputes arising under this Bond. Any provision in this Bond that may conflict
with statutory or other legal requirement shall be deemed deleted herefrom and provisions conforming to the
statutory or other legal requirement shall be deemed incorporated herein.
B & P MECHANICAL, INC.
Name of Principal/Contractor
T;tl r"►ghi�Hku � I��-P
�ride►�-IOW1�P�
Selective Insurance Company Of America
Name of Surety
Title Connie Smith, Attorney -in -fact
a
Q
t�
W
U
Selective Insurance Company of America
40 Wantage Avenue
BE UNIQUELY INSURED Branchville, New Jersey 07890 BondNo.B 1318677
973-948-3000
POWER OF ATTORNEY
SELECTIVE INSURANCE COMPANY OF AMERICA, a New Jersey corporation having its principal office at 40
Wantage Avenue, in Branchville, State of New Jersey ("SICA"), pursuant to Article Vil, Section I of its By -Laws, which
state in pertinent part:
The Chairman of the Board, President, Chief Executive Officer, any Executive Vice President,
any Senior Vice President or any Corporate Secretary may, from time to time, appoint attorneys
in fact, and agents to act for and on behalf of the Corporation and they may give such appointee
such authority, as his/her certificate of authority may prescribe, to sign with the Corporation's
name and seal with the Corporation's seal, bonds, recognizances, contracts of indemnity and
other writings obligatory in the nature of a bond, recognizance or conditional undertaking, and
any of said Officers may, at any time, remove any such appointee and revoke the power and
authority given him/her.
does hereby appoint Connie Smith
, its true and lawful attorneys) -in -fact, full authority to execute on SiCA's behalf fidelity and surety bonds or undertakings
and other documents of a similar character issued by SiCA in the course of its business, and to bind SICA thereby as fully
as if such instruments had been duly executed by SiCA's regularly elected officers at its principal office, in amounts or
penalties not exceeding the sum of. $10,000,000.00
Signed this 29th day of July 1 2024
SELECTIVE INSURANCE COMPANY OF AMI;�f�,� �V
\�` jyop,P01�,
SEAL
By:_ 26
Brian C. Sarisky
Its SVP, Strategic Business Units, Commerci, L elEP
STATE OF NEW JERSEY :
:ss. Branchville
COUNTY OF SUSSEX
On this 29th day of July , 2024 before me, the undersigned officer, personally appeared B,�iprr G,,$,,}risky, who
acknowledged himself to be the Sr. Vice President of SICA, and that he, as such Sr. Vice President, being 010FZ V
do, executed the foregoing instrument for the purposes therein contained, by signing the name of tile
ction by hitr�el{
01
as Sr. Vice President and that the same was his free act and deed aqA the free act and deed of SICA. $(4318,(pTAA`
Charlene Kimble
NOTARY PUBLIC AImoc,
STATE OD U N/A JERSEY Notary Public `
MY COMMISSION EXPIRES 6IV26 , NFW J PS
The power of attorney is signed and sealed by facsimile under and by the authority of the following Rcsolutr6H �aduplt a by
the Board of Directors of SICA at a meeting duly called and held on the 6th of February 1987, to wit:
"RESOLVED, the Board of Directors of Selective Insurance Company of America authorizes and approves the use of a
facsimile corporate seal, facsimile signatures of corporate officers and notarial acknowledgements thereof on powers of
attorney for the execution of bonds, recognizances, contracts of indemnity and other writing obligatory in the nature of a
bond, recognizance or conditional undertaking."
CERTIFICATION '' t�C.E COM
1 do hereby certify as SiCA's Corporate Secretary that the foregoing extract of S1CA's By -Laws and Reso��@
force and effect and this Power of Attorney issued pursuant to and in accordance with the By -Laws is val' I(/ SEAL
I �.
Signed this 29th2024 1926
Si day July
g Y of
H. Lanza, SICA
Important Notice: ifthe bond number embedded within the Notary Seal does not match the number in the upper ( B91 (4-14)
right-hand comer or this Power of Attorney, contact us at 973-948-3000.
Bond No. B 1318679
PERFORMANCE BOND CITY OF OSHKOSH
Contract Number 241020
Date Bond Executed (Date of Contract or Later) 8/23/2024
PRINCIPAL/CONTRACTOR (Legal Name and Business Address) Type of Organization
B & P MECHANICAL, INC.
nlnctividuat LIPartnersltip
3200 W Highview Dr ED Corporation
APPLETON, WI 54912
State of Incorporation
WI
SURETY(IES) (Legal Name(s) and Business Address(es)) Penal Sum of Bond
Selective Insurance Company Of America $49,850.00
40 Wantage Avenue
Branchville, NJ 07890
OWNER (Legal Name and Business Address)
CITY OF OSHKOSH
215 Church Avenue
PO Box 1130
Oshkosh, Wisconsin 54903-1130
OBLIGATION
The Contractor and Surety, jointly and severally, bind themselves, their heirs, executors, administrators, successors
and assigns to the Owner for payment of the sum shown above or the performance of the Contract identified
above, which is incorporated herein by reference.
This Bond shall cover any work performed during initial construction and any warranty period required by the
Contract.
If there is no Owner Default to pay the Contractor as required under the Contract for work performed or to
perform or complete any material term of the Contract, then the Surety(ies) obligation under this Bond shall arise
after:
1. The Owner provides notice to the Contractor and Surety that the Owner is considering declaring the
Contractor in default of the Contract. Within five (5) business days of the Owner's notice, either the
Contractor or the Surety may request a conference with the Owner to discuss such default and the
remedy therefor. If a conference is requested, the conference shall be scheduled to take place at
Owner's principal place of business or another agreed upon location within five (5) business days of
the request for conference. If the Owner, Contractor and Surety agree, the Contractor may be allowed
a reasonable time to perform the Contract, but such agreement shall not waive the Owner's right, if
any, to subsequently declare the Contractor in default;
2. The Owner declares the Contractor in default and notifies the Surety of the declaration of default; and
3. The Owner agrees to pay the balance of the Contract price in accordance with the terms of the Contract
to the Surety or to a qualified Contractor selected to perform the Contract.
Failure of the Owner to comply with the notice requirement specified above shall not release the Surety from its
obligations.
Upon notice from the Owner as provided above, the Surety shall promptly and at Surety's expense take one of the
following actions:
1. Arrange for the Contractor, with consent of the Owner, to perform and complete the Contract;
2. Undertake to perform and complete the Contract itself, through qualified agents or independent
contractors;
3. Obtain bids or negotiated proposals from qualified contractors acceptable to the Owner to enter into a
contract with the Owner for performance and completion of the Contract, to be secured with
performance and payment bonds, and to pay to the Owner as damages any amount in excess of the
original contract amount for the completion of the Contract; any additional legal, design professional,
architect, or consultant fees resulting from any delay in the completion of the Contract; and any
applicable liquidated damages specified within the Contract resulting from any delay in the
completion of the Contract.
4. Make payment to the Owner, as soon as practicable after an amount is determined for completion of
the Contract; or
5. Deny liability in whole or in part and notify the Owner, citing with specificity the reasons for such
denial.
If the Surety does not proceed with reasonable promptness, Owner may give notice to the Surety and the Surety
shall be deemed in default on this Bond five (5) business days after notice by the Owner demanding the Surety
perform its obligations under this Bond. Owner shall be entitled to enforce any remedy available to Owner upon
default.
Except for default of the Surety and Surety's election to perform or complete the Contract itself under Paragraph 2
above, Surety's liability shall be limited to the amount of this Bond.
Notice to the Contractor or Surety shall be deemed to have been given: (i) upon delivery to an officer or person
entitled to such notice, if hand delivered; or (u) two (2) business days following deposit in the United States mail,
postage prepaid; (iii) upon delivery by a commercial carrier that will certify the date and time of delivery; or (iv)
upon transmission if by facsimile, email or other form of electronic transmission. Notices shall be provided to the
Owner, Surety and/or Contractor at their address as specified on this Bond or to a facsimile, email or other
electronic address that has been provided in writing to the other party to be used for this purpose.
The laws of the State of Wisconsin shall govern the interpretation and construction of this Bond. Winnebago
County shall be the venue for all disputes arising under this Bond. Any provision in this Bond that may conflict
with statutory or other legal requirement shall be deemed deleted herefrorn and provisions conforming to the
statutory or other legal requirement shall be deemed incorporated herein.
The above obligation is void if the Contractor performs and fulfills all the terms, conditions and agreements of the
Contract and any authorized modifications during the term of the original Contract and any extensions thereof.
Notice to the Surety is waived for any modifications agreed upon by Owner and Contractor.
B & P MECHANICAL, INC. Selective Insurance Company Of America
Name of Principal/Contractor
Title jkl GY1 I f i+cy hr�q Y Qc.f.Q
f}4-4id2vltIdW►1�S}
Name of Surety
Title Connie Smit , Attorney -in -fact
PAYMENT BOND
Contract Number 241020
Date Bond Executed (Date of Contract or Later) 8/23/2024
PRINCIPAL/CONTRACTOR (Legal Name and Business Address)
B & P MECHANICAL, INC.
3200 W Highview Dr
APPLETON, WI 54912
SURETY(IES) (Legal Name(s) and Business Address(es))
Selective Insurance Company Of America
40 Wantage Avenue
Branchville, NJ 07890
OWNER (Legal Name and Business Address)
CITY OF OSHKOSH
215 Church Avenue
PO Box 1130
Oshkosh, Wisconsin 54903-1130
OBLIGATION
Bond No. B 1318679
CITY OF OSHKOSH
Type of Organization
® Individual F]Partnersliip
ECoeporation
State of Incorporation
Wl
Penal Sum of Bond
The Contractor and Surety, jointly and severally, bind themselves, their heirs, executors, administrators, successors
and assigns to the Owner to pay for labor, materials and equipment furnished for use in the performance of the
Contract identified above, which is incorporated herein by reference, subject to the following terms.
If the Contractor promptly makes payment of all sums due to claimants, and defends, indemnifies and holds
harmless the Owner from all claims, demands, liens or suits by any person or entity seeking payment for labor,
materials or equipment furnished for use in the performance of the Contract, then the Surety and the Contractor
shall have no obligation under this Bond.
If there is no Owner Default to pay the Contractor as required under the Contract for work performed or to
perform or complete any material term of the Contract, then the Surety(ies) obligation under this Bond shall arise
after the Owner has promptly notified the Contractor and the Surety of claims, demands, liens or suits against the
Owner or the Owner's property by any person or entity seeking payment for labor, materials or equipment
furnished for use in the performance of the Contract and tendered defense of such claims, demands, liens or suits
to the Contractor and the Surety.
Amounts owed by the Owner to Contractor under the Contract shall be used for performance of the Contract and
to satisfy claims, if any, under any Performance Bond. By the Contractor furnishing and the Owner accepting this
Bond, they agree that all funds earned by the Contractor in the performance of the Contract are dedicated to satisfy
obligations of the Contractor and Surety under this Bond, subject to the Owner's priority to use the funds for the
completion of the work.
Upon notice and tendering of claims as specified above, the Surety shall promptly and at Surety's expense defend,
indemnify and hold harmless the Owner against such claim, demand, lien or suit.
Surety shall answer claimants, with a copy to Owner, within sixty (60) days of the date of the claim, stating the
amount that are disputed and the specific basis for challenging any amount that is disputed or pay or arrange for
payment of any undisputed amount claimed.
Surety shall not be obligated to the Owner, claimants or others for obligations of the Contractor under this Bond
that are unrelated to the Contract. The Owner shall not be liable for the payment of any costs or expenses of any
claimant under this Bond and shall have no obligation to make payments to, or give notice on behalf of claimants,
or otherwise have any obligation to claimants under this Bond.
Notice to the Contractor or Surety shall be deemed to have been given: (i) upon delivery to an officer or person
entitled to such notice, if hand delivered; or (ii) two (2) business days following deposit in the United States mail,
postage prepaid; (iii) upon delivery by a commercial carrier that will certify the date and time of delivery; or (iv)
upon transmission if by facsimile, email or other form of electronic transmission. Notices shall be provided to the
Owner, Surety and/or Contractor at their address as specified on this Bond or to a facsimile, email or other
electronic address that has been provided in writing to the other party to be used for this purpose.
The laws of the State of Wisconsin, shall govern the interpretation and construction of thus Bond. Winnebago
County shall be the venue for all disputes arising under this Bond. Any provision in this Bond that may conflict
with statutory or other legal requirement shall be deemed deleted herefrom and provisions conforming to the
statutory or other legal requirement shall be deemed incorporated herein.
B & P MECHANICAL, INC. Selective Insurance Company Of America
Name of Principal/Contractor
- Y� ��-
Title f" C1 h I�kW Yn q Yfad-0
I re�'�e 44 d w �e�t
Name of Surety
( '.'�,I,—e —4-1 - ---
Title Connie Smith, Attorney -in -fact
a
O
U
Q
F-+
W
U
Selective Insurance Company of America
S E L E C T I V E 40 Wantage Avenue
BE UNIQUELY INSUREDS" Branchville, New Jersey 07890 BondNo.B 1318679
973-948-3000
POWER OF ATTORNEY
SELECTIVE INSURANCE COMPANY OF AMERICA, a New Jersey corporation having its principal office at 40
Wantage Avenue, in Branchville, State of New Jersey ("SICA"), pursuant to Article VII, Section 1 of its By -Laws, which
state in pertinent part:
The Chairman of the Board, President, Chief Executive Officer, any Executive Vice President,
any Senior Vice President or any Corporate Secretary may, from time to time, appoint attorneys
in fact, and agents to act for and on behalf of the Corporation and they may give such appointee
such authority, as his/her certificate of authority may prescribe, to sign with the Corporation's
name and seal with the Corporation's seal, bonds, recognizances, contracts of indemnity and
other writings obligatory in the nature of a bond, recognizance or conditional undertaking, and
any of said Officers may, at any time, remove any such appointee and revoke _the power and
authority given him/her.
does hereby appoint Connie Smith
, its true and lawful attorny(s)-in-fact, full authority to execute on SICA's behalf fidelity and surety bonds or undertakings
and other documents of a similar character issued by SICA in the course of its business, and to bind SICA thereby as fully
as if such instruments had been duly executed by SICA's regularly elected officers at its principal office, in amounts or
penalties not exceeding the sum of: $10,000,000.00
Signed this 23rd day of August , 2024
SELECTIVE INSURANCE COMPANY OF
By:
STATE OF NEW JERSEY :
:ss. Branchville
COUNTY OF SUSSEX
Brian C. Sarisky
Its SVP, Strategic Business Units,
SEAL
On this 23rd day of August 2024 before me, the undersigned officer, personally appeared Beam C<<S,4risky, who
acknowledged himself to be the Sr. Vice President of SICA, and that he, as such Sr. Vice President, beirw1}OFgl,',49
do, executed the foregoing instrument for the purposes therein contained, by signing the name of the cQl dtion by hi*e
as Sr. Vice President and that the same was his free act and deed a1A the free act and deed of SICA. jy318
Charlene Kimble
NOTARY PUBLIC{�Q
STATE ID NEW IA EY Notary Public Zvi,
MY COMMISSION EXPIRES6t2/26 ,�Fw ,```
The power of attorney is signed and sealed by facsimile under and by the authority of the following Resolut1Siiadtlp1t a by
the Board of Directors of SICA at a meeting duly called and held on the 6th of February 1987, to wit:
"RESOLVED, the Board of Directors of Selective Insurance Company of America authorizes and approves the use of a
facsimile corporate seal, facsimile signatures of corporate officers and notarial acknowledgements thereof on powers of
attorney for the execution of bonds, recognizances, contracts of indemnity and other writing obligatory in the nature of a
bond, recognizance or conditional undertaking."
CERTIFICATION
I do hereby certify as SICA's Corporate Secretary that the foregoing extract of SICA's By -Laws and Reso137
�gStflY:force and effect and this Power of Attorney issued pursuant to and in accordance with the By -Laws is val�ISCA,L
Signed this 23rd day of August , 2024. 9 A 4
H. Lanza, SICA Corporate/Secretary'
Important Notice: If the bond number embedded within the Notary Seal does not match the number in the upper ( B91(4-'%4)
right-hand corner of this Power of Attorney, contact us at 973-948-3000.