Sun-upSup-~~ ~~~~«
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PROPOSAL FOR
TOWN OF WAPPINGER
UNITED WAPPINGER WATER DISTRICT
ROUTE 9 WATER MAIN LOOP
CONTRACT NO. 13-010
DIVISION 200
BID FORM
PREPARED BY:
MORRIS ASSOCIATES
ENGINEERING CONSULTANTS, PLLC
9 ELKS LANE
POUGHKEEPSIE, NEW YORK 12601
DECEMBER 2013
REVISED FEBRUARY 2014
MA#: W21215.122
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TOWN OF WAPPINGER
UNITED WAPPINGER WATER DISTRICT
ROUTE 9 WATER MAIN LOOP
CONTRACT NO. 13-010
BID FORM
THE TOWN RESERVES THE RIGHT TO REJECT ANY OR ALL BIDS. EACH BID FORM
SHALL BE ACCOMPANIED BY BID SECURITY (AS DESCRIBED IN THE INSTRUCTION
TO BIDDERS).
TO THE TOWN BOARD, TOWN OF WAPPINGER, NEW YORK
Pursuant to and in compliance with your invitation to bid contained in the Notice to
Contractors dated ~~' '~- 3 ,~1,~_,
(month) (day) (year)
the undersigned hereby proposes to furnish all labor, machinery, equipment, facilities,
tools, transportation, supplies, materials, insurances, permits, certificates, tests,
~ guarantees, protection of equipment and property and life during construction; as well as
competent and qualified supervision for all phases of the work, and other facilities and
things necessary or proper for or incidental to, Town of Wappinger Route 9 Water Main
Loop, Town of Wappinger, as required by and in strict accordance with the plans,
specifications and all other documents relating to Contract No. 13-010, for the prices
~„ stipulated and as shown on this bid form.
Name of Bidder: SUN UP ENTERPRISES, INC
(Individual, Partnership, orporatio or LLC)*
* Circle applicab a wor
The undersigned declares that the bidding and contract documents have been carefu!!y
examined and that all things necessary for the completion of the work shall be provided.
Receipt of the following addenda is hereby acknowledged:
DATE SIGNATU
ADDENDUM NO. 1 3 ~ 2I 1'`{
ADDENDUM NO. 2 ~~'
ADDENDUM NO. 3
ADDENDUM NO.4
}
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~. In consideration of, and to induce the award of this contract to him/her, the bidder
represents and warrants that:
(a) If this bid is accepted by the Town Board, Town of Wappinger, as evidenced
by issuance of a Notice of Award by the Owner, and mailed by registered
mail with return receipt requested to the address of the bidder as indicated
on his/her bid, the bidder will execute a contract on the form of agreement
herein provided and will comply with all provisions of said Notice of Award.
(b) This bid is made without any understanding, agreement or connection with
any other person, firm or corporation making a bid for the same work, and
that it is in all respect fair and without collusion or fraud.
(c) The bidder has carefully examined and fully understands all of the parts of
the contract documents, and that the bidder will execute the contract and will
completely perform it in strict accordance with the provisions thereof for the
sum set forth on the bid. Unit Prices have been computed in accordance with
the Contract Documents. Bidder acknowledges that estimated quantities are
not guaranteed, and are solely for the purpose of comparison of Bids, and
final payment for all Unit Price Bid items will be based on actual quantities,
determined as provided in the Contract Documents.
(d) No officer or employee of the Town Board, Town of Wappinger, or any
person whose salary is payable in whole or in part by the Town Board is,
shall be, or shall become interested directly or indirectly as a contracting
party, partner, stockholder, surety or otherwise in this bid or in the
performance of the contract or in the supplies, materials or equipment, or to
work or labor to which it relates, or in any portion of the profits thereof.
(e) The bidder is not in arrears to the Town Board upon debt or contract and is
npt a defaulter as surety, contractor, or otherwise upon any obligation to the
Town Board, Town of Wappinger.
(f) All work shall be completed within the time allotted, from the date specified in
the Notice to Proceed or set by the contract documents, mailed to the
undersigned by registered mail with return receipt requested to the legal
address of the bidder as indicated on his/her bid.
(g) If the bid documents contain any unlawful provision not an essential part of
the bid and which shall not appear to have been a controlling or material
inducement to the making thereof, the same shall be deemed of no effect
and will upon notice by either the Owner or the bidder be deemed stricken
from the bid documents without affecting the binding force of the remainder.
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(h) Each and every provision of any law and clause required by law to be
inserted in the bid documents shall be deemed to be inserted herein and the
bid documents shall be read and enforced as though it were included herein;
and if through mistake or otherwise any such provision is not inserted or is
not correctly inserted, then upon the application of either party, the bid
documents shall forthwith be physically amended to make such insertion.
(i) The bidder is financially solvent and sufficiently experienced and competent
to perform the work.
(j) The work can be performed as called for by the proposal and that the plans
and specifications are in all respects suitable and adequate for the work.
(k) The facts stated in his/her bid and the information given by him/her are true
and correct in all respects.
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(I) The bidder is fully informed regarding all the conditions affecting the work to
be done and labor and materials to be furnished for the completion of this
contract, and that his/her information was secured by personal investigation
_ and research.
(m) In the event of a lawsuit, the bidder agrees that said suit shall be filed in the
same county as the location of the project.
BID FOR CONTRACT WORK:
Base Bid
Install water distribution improvements and related items in accordance with the Contract
Documents. The signatory to this bid, for all work proposed, items furnished and strict
compliance with all provisions of each and every Contract Document relating to Contract
13-010, agrees to accept (unless modified pursuant to the terms of the General Conditions)
.. a total, final and fixed contract price not to exceed:
(Wor s) Cutr,~ °~/cab
po
(Figures) (_~2~2~n~ D
-~n-11 L~ L~ V C D
MAR 31 20
14
'TOWN OF WAPPINGER
TOwN CLERK
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Also made a part of this bid is the ched docu a ~ er Division 100, Article C.3.
Sign Bid Here
H ED SIG
Print Name faro l d 1.x.7 ~t.~chne~
Title PreS ~ ~ ~-~-
Official Company Name SUN lJP ENTERPRISES, INC.
~lndividual, Partnership Corporation, LLC)*
'` Circle applicable wo
Company SUN UP ENTERPRISES INC.
Mailing Address ,
~~Y376
Wappingers Falls, NY 12590
CITY STATE ZIP CODE
Federal Employer
Identification No. I ~{ - I L~ a [o ~ ~I -l
Telephone No. ~ ~-S - 4 (>, a - 18 6 y
..
aL~C~I~~M1~D
MAR 31 2014
TOWN OF WgppINGER
TOWN CLERK
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(If bidder is a corporation, fill in the following blanks.)
Organized under the laws of the State of: Ike c.u ~o r
Name and Address of President: N a r-v ~~ l.e~ .~~ ~ h r~ e r
g ~ a.Uas ~ r , ~~u see. Ivy 1 a (o 0 3
Name and Address of Secretary: ~ro~ e S ~u ch new
~ l~a~a.~ ~ , ~ah~~ ~ `( I ~ (~ 03
Name and Address of Treasurer: Caro ~ e 5 PJuc hn P r
`o, rs~ I~1~0
(If bidder is a Limited Liability Company, fill in the following blanks.)
Organized under the laws of the State of:
Name of Manager or Managing Member:
Agent for Service of Process:
Address for Service of Process:
~.
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STATE OF NEW YORK }
COUNTY OF J2~~eSs
ss:
On the ~ j ~ day of i~l~ c~.C,F-, , ~ I'~ before me, the
undersigned, a Notary Public in and for said State, personally appeared J-}c,rr,ld t~J guc~ne r-
personally known to me or proved to me on the basis of satisfactory evidence to be the
individual whose name is subscribed to the within instrument and acknowledged to me that
he executed the same in his capacity, and that by his signature on the instrument, the
individual, or the person upon behalf of which the individual acted, executed the
instrument.
~yr-~~
NOTARY PUBLIC
Notary P ~ '•'~w York
C~~ I;~ ~~ r;yl~/
Comm ~~;,II c..iai ~ i~~~iy 1 %, 2U
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~. BID BOND
~. If a bond is used, the form bound in this manual should be used. No other form
may be used except with prior approval by the Owner after review by the Town
Attorney which approval may be granted or withheld, in the Owner's discretion.
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BID BOND
KNOW ALL MEN BY THESE PRESENTS: that
* sun Up Enterprises Inc aS Principal; and
** Travelers Casualty and Surety Company of America as Surety, are hereby
held and firmly bound unto the Town Board, Town of Wappinger, New York in the amount
Of: FIVE PERCENT OF ATTACHED BID Dollars ~ 5~a OF ATTACHED BID
for the payment whereof Principal and Surety bind ourselves, our heirs, executors,
administrators, successors and assigns, jointly and severally, firmly by these presents.
Signed this 25th day of March 20 14
WHEREAS, the condition of the above obligation is such that, whereas the Principal has
submitted to the Town Board a certain bid, attached hereto and hereby made a part hereof,
to enter into a contract in writing for the Water Main Extension to Route 9 Water Main Loop
for the Town of Wappinger, New York, as shown and specified in Contract No. 13-010.
NOW THEREFORE,
(a) If said Bid shall be rejected, or in the alternate
(b) If said Bid shall be accepted and the Principal shall execute and deliver a
contract in the Form of an Agreement attached hereto (properly completed in
accordance with said Bid) and shall in all respects perform the agreement
created by the acceptance of said Bid, then this obligation shall be void.
Otherwise, the same shall remain in force and effect, it being expressly
understood and agreed that the liability of the Surety for any and all claims
hereunder shall, in no event, exceed the amount of this obligation as herein
stated.
The Surety, for value received, hereby stipulates and agrees that the obligations of said
Surety and its bond shall in no way be impaired or affected by any extension of the time
within which the Principal may accept such bid; and said Surety does hereby waive notice
of any such extension.
IN WITNESS WHEREOF, the Principal and the Surety have hereunto set their hands and
seals, and such of them as are Corporations have caused their Corporate seals to be
hereto affixed and these presents to be signed by their proper officers, the day and year
first set forth above.
(SEAL) Sun Up Enterpri s Inc
PRI CIPAL
*Insert Bidder's Name
**Insert Surety's Name By
r, f'resi den
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Signed, sealed and delivered
in the presence of
(Corporate seal of Contractor
if a corporation)
Sun Up Enterprises Inc
.t
By
Presi
Travelers Casualty and Surety Company of America
gy Carmella M. Grassi .(T e Of Officer) Attorney-in-Fact
(Corporate seal of
Surety) Attest ~'~-~
Kat een A Brown (Title of Officer) Attorney-i n-Fact
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STATE OF NEW YORK ) g
ss:
COUNTY OF Dutchess
On the ~~ ~' day of YY) u rcD, , ~ before me, the
undersigned, a Notary Public in and for said State, personally appeared Harold Buchner
personally known to me or proved to me on the basis of satisfactory evidence to be the
individual whose name is subscribed to the within instrument and acknowledged to me that
he executed the same in his capacity, and that by his signature on the instrument, the
individual, or the person upon behalf of which the individual acted, executed the
instrument.
~..
NOTARY PUBLIC
DI~.NA C. FD/1M1
Notary Pu~~l+c ;;~_': of P~?ow York
~~}u87
Cc u, ~~ ~n ido. u i E ~~L;
Y
G2u~ t ~ i ~Ui!~ ~~ s~ Gvunt
Corrrrnssia.~ L-x};ire's play 1 !, 20 ~
~.
.o~
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KNOW ALL MEN BY THESE PRESENTS: that
as Principal; and
**
BID BOND
as Surety, are hereby
held and firmly bound unto the Town Board, Town of Wappinger, New York in the amount
of: Dollars $
for the payment whereof Principal and Surety bind ourselves, our heirs, executors,
administrators, successors and assigns, jointly and severally, firmly by these presents.
Signed this
day of
20
WHEREAS, the condition of the above obligation is such that, whereas the Principal has
submitted to the Town Board a certain bid, attached hereto and hereby made a part hereof,
to enter into a contract in writing for the Water Main Extension to Route 9 Water Main Loop
for the Town of Wappinger, New York, as shown and specified in Contract No. 13-010.
NOW THEREFORE,
(a) If said Bid shall be rejected, or in the alternate
(b) If said Bid shall be accepted and the Principal shall execute and deliver a
contract in the Form of an Agreement attached hereto (properly completed in
accordance with said Bid) and shall in all respects perform the agreement
created by the acceptance of said Bid, then this obligation shall be void.
Otherwise, the same shall remain in force and effect, it being expressly
understood and agreed that the liability of the Surety for any and all claims
hereunder shall, in no event, exceed the amount of this obligation as herein
stated.
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The Surety, for value received, hereby stipulates and agrees that the obligations of said
Surety and its bond shall in no way be impaired or affected by any extension of the time
within which the Principal may accept such bid; and said Surety does hereby waive notice
of any such extension.
IN WITNESS WHEREOF, the Principal and the Surety have hereunto set their hands and
seals, and such of them as are Corporations have caused their Corporate seals to be
hereto affixed and these presents to be signed by their proper officers, the day and year
first set forth above.
(SEAL)
PRINCIPAL
*Insert Bidder's Name
**Insert Surety's Name By
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Signed, sealed and delivered
in the presence of
(Corporate seal of Contractor
if a corporation)
Contractor
By
By
(Title of Officer)
(Corporate seal of
Surety) Attest
(Title of Officer)
200 09
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STATE OF NEW YORK )
ss:
COUNTY OF
On the day of before me, the
undersigned, a Notary Public in and for said State, personally appeared
personally known to me or proved to me on the basis of satisfactory evidence to be the
individual whose name is subscribed to the within instrument and acknowledged to me that
he executed the same in his capacity, and that by his signature on the instrument, the
individual, or the person upon behalf of which the individual acted, executed the
instrument.
NOTARY PUBLIC
•Y8
20010
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CERTIFICATION OF NON-COLLUSION BY BIDDER
No bid will be considered unless this Certification remains attached to and is submitted with the Bid
By submission of this bid, each bidder and each person signing on behalf of any bidder certifies, and
,~„ in the case of a joint bid each party thereto certifies as to its own organization, under penalty of
perjury, that to the best of his knowledge and belief:
ir„ (1) The prices in this bid have been arrived at independently, without collusion, consultation,
communication, or agreement for the purpose of restricting competition as to any matter
relating to such prices, with any other bidder or with any competitor.
(2) Unless otherwise required by law the prices which have been quoted in this bid have not
knowingly been disclosed by the bidder and will not knowingly be disclosed by the
~ bidder, directly or indirectly, to any other bidder or to any competitor, before the time of
the bid opening.
(3) No attempt has been made or will be made by the bidder to induce any other person,
partnership or corporation to submit or not to submit a bid for the purpose of restricting
competition.
A bid shall not be considered for award nor shall any award be made where (1) (2) and
(3) above have not been complied with; provided however, that if in any case the bidder
cannot make the foregoing certification, the bidder shall so state and shall furnish with
the bid a signed statement which sets forth in detail the reasons therefore. Where (1) (2)
and (3) above have not been complied with, the bid shall not be considered for award
nor shall any award be made unless the head of the purchasing unit of the State, public
department or agency to which the bid is made, or his designee, determines that such
disclosure was not made for the purpose of restricting competition.
(4) The fact that a bidder (a) has published price lists, rates, or tariffs, covering items being
procured, (b) has informed prospective customers of proposed or pending publication of
new or revised price lists for such items, or (c) has sold the same items to other
customers at the same prices being bid, does not constitute, without more, a disclosure
within the meaning of subparagraph (1).
(5) Any bid hereafter made to any public authority or to any official of any public authority
created by the State or any political subdivision, by a corporate bidder for work of
services performed or to be performed or goods sold or to be sold where competitive
bidding is required by statute, rule, regulation, or local law, and where such bid contains
the certification referred to in the lead paragraph of this section, shall be deemed to have
been authorized by the board of directors of the bidder and such authorization shall be
deemed to include the signing and submission of the bid and the inclusion therein of the
certificate as to non-collusion as the act and deed of the corporation.
t affirm these stateme under alty of perju
BIDDER'S SIGNATU E: ~ DATE: ? ~ 3 i - I
20011
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NOTARIAL JURAT
INDIVIDUAL ACKNOWLEDGMENT
State of t
County of }
On this day of ~ ,before me personally came
to me known and known to me to be the individual(s) who executed the foregoing instrument and
acknowledge to me that he/she/they executed the same.
Notary Public
PARTNERSHIP ACKNOWLEDGMENT
State of }
County of }
On this day of ,before me personally came
to me known and known to me to be a member of the partnership of
acknowledged that he/she executed the foregoing instrument as the
act of the said partnership.
Notary Public
CORPORATION ACKNOWLEDGMENT
State of ~
County of }
On this day of ,before me personally came
to me known, who, being by me duly sworn, did depose and say that he/she resides in
;that he/she is the of the
' the corporation which executed the foregoing instrument; that he/she
knows the seal of said corporation; that the seal affixed to the said instrument is such corporate seal; that is
was so affixed by order of the Board of Directors of the said corporation, and that he/she signed his/her name
to the instrument by like order.
Notary Public
SURETY ACKNOWLEDGMENT
State of New York
COUnty Of Dutchess }
On this 25th day of Mar n _, 2014 ,before me personally came Carmel la M Grassi
to me known, who being by me duly sworn, did depose and say: that he/she resides in the City of Kingston
that he/she is Attorney-in-Fact of the above signed surety, the corporation described in and which executed
the foregoing instrument; that he/she knows the corporate seal of said corporation; that the seal affixed to
said instrument is such corporate seal; that it was so affixed by order of the Board of Directors of said
corporation; and that he/she signed his/her name thereto by like order.
SUSAN L. PROVOST
Notary Public, State of New York
Qualified in Ulster County Notary Public
Reg, No. 01 PP4984712
Commission Expires July 29, 20
POWER OF ATTORNEY
TRAVFELERS J~ Farmington Casualty Company
Fidelity and Guaranty Insurance Company
Fidelity and Guaranty Insurance Underwriters, Inc.
St. Paul Fire and Marine Insurance Company
St. Paul Guardian Insurance Company
Attorney-In Fact No. 224598
St. Paul Mercury Insurance Company
Travelers Casualty and Surety Company
Travelers Casualty and Surety Company of America
United States Fidelity and Guaranty Company
Certificate No. o O J V~ J V~ V
KNOW ALL MEN BY THESE PRESENTS: That Farmington Casualty Company, St. Paul Fire and Marine Insurance Company, St. Paul Guardian Insurance
Company, St. Paul Mercury Insurance Company, Travelers Casualty and Surety Company, Travelers Casualty and Surety Company of America, and United States
Fidelity and Guaranty Company are corporations duly organized under the laws of the State of Connecticut, that Fidelity and Guaranty Insurance Company is a
corporation duly organized under the laws of the State of Iowa, and that Fidelity and Guaranty Insurance Underwriters, Inc., is a corporation duly organized under the
laws of the State of Wisconsin (herein collectively called the "Companies"), and that the Companies do hereby make, constitute and appoint
Frank S. Maranto Jr., Kevin A. Viana, Mary Ann Szczypca, Timothy Rychcik, Susan Provost, Kathleen A. Brown, Carmella M. Grassi, and
Eleanor Menges
of the City of POUghkeepSle ,State of NaW YOrk ,their true and lawful Attorney(s)-in-Fact,
each in their separate capacity if more than one is named above, to sign, execute, seal and acknowledge any and all bonds, recognizances, conditional undertakings and
other writings obligatory in the nature thereof on behalf of the Companies in their business of guaranteeing the fidelity of persons, guaranteeing the performance of
contracts and executing or guaranteeing bonds and undertakings required or pertstitted in any actions ox proceedings allowed by law.
IN WITNESS WHEREOF, the Companies have caused this instnunentto be signed and their corporate seals to be hereto affixed, this
day of March 2014
Farmington Casualty Company
Fidelity and Guaranty Insurancx Company ;
Fidelity and Guaranty Insurance Underwriters, Inc.
St. Paul Fire and Marine Insurance Company
St. Paul Guardian Insurance Company
5th
St. Paul Mercury Insurance Company
Travelers Casualty and Surety Company
Travelers Casualty and Surety Company of America
United States Fidelity and Guaranty Company
~~-~~yjjjyyy {10.E6 AN ~Mf .~+,`""NS~F '4 Jp~tY 4Np ~~hy ~Y~
G,.SU,~~ J~ 4 0~. ~...... ,U,y JP;........... qy s p 9G [, ~ Q~
r ~ ~ N~ • ~ ~; '. O• u c,
~ pp.POly,t L +,~. y - _ A ft~0. FORAY. ?. RiDRAT ~ ,^t 9~ ~~ RD. ~ < t896 -v
~ NCdiFdWTED ~, ~! _. F,~ ~u : p0 y_ f ~_ 1 ~
a'4 b" ~ a~ ~ ca; IE ~ m HARTFORD,
Z ct9ax ; 1977 g 1951 ~'•SEAL n ~: •o coHH. ~+ N~
~ ~ bF o•. lo} ob+;S8AL;~D W r
~y``~~~a ~j ~ 2s~snr+cE~~ a1S.AN~D~~ o'1r........:'~d db1 ~a+° f ~ AIN
.....
State of Connecticut
City of Hartford ss.
By:
Robert L. Raney, enior Vice President
March 2014 before me personally appeared Robert L. Raney, who acknowledged himself to
On this the 5th day of
be the Senior Vice President of Farmington Casualty Company, Fidelity and Guaranty Insurance Company, Fidelity and Guaranty Insurance Underwriters, Inc., St. Paul
Fire and Marine Insurance Company, St. Paul Guardian Insurance Company, St. Paul Mercury Insurance Company, Travelers Casualty and Surety Company, Travelers
Casualty and Surety Company of America, and United States Fidelity and Guaranty Company, and that he, as such, being authorized so to do, executed the foregoing
instrument for the purposes therein contained by signing on behalf of the corporations by himself as a duly authorized officer.
In Witness Whereof, I hereunto set my hand and official seal. ~G,~~
My Commission expires the 30th day of June, 2016. * '~USU~ ~#
58440-8-12 Printed in U.S.A.
THIS POWER OF ATTORNEY
ie C. Tetreault, Notary Public
RED BORDER
TRAVELERS CASUALTY AND SURETYCOMPANY OF AMERICA
HARTFORD, CONNECTICUT 06183
FINANCIAL STATEMENT AS OF JUNE 30, 2013
AS FILED IN THE STATE OF NEW YORK
CAPITAL STOCKS 8,480,000
;ASH AND INVESTED CASH ~ S 73,801,790 UNEARNED PREMIUMS S 783,168,755
840,116,078
30NDS 3,656,149,712
212
212
49 LOSSES
LOSS ADJUSTMENT EXPENSES 533=100'921
NVESTlAEN7 INCOME DUE AND ACCRUED ,
,
328
012
270 COMMISSIONS 20,392,790
ETHER INVESTED ASSETS
ES
' ,
,
222,863,868
TAXES, LICENSES AND FEES 13,766,466
23
903
635
REMIUM BALANC
VET DEFERRED TAX ASSET 62,625,330 OTHER EXPENSES
FUNDS HEtD UNDER REINSURANCETREATIES ,
,
94,426,218
TEINSURANCE RECOVERABLE 8,556,480
442
859
2
CURRENT FEDERALANDFOREIGN INCOME TAXES 28,520,048
SECURITIES LENDING REINVESTED COLLATERAL ASSETS
I
TES ,
,
995
467
48
REMITTANCES AND ITEMS NDT ALLOCATED 16,953,354
A
3ECEIVABLES FROM PARENT, SUBSIDIARIES AND AFFIL ,
,
629
474 AMOUNTS WITHHELD /RETAINED BY COMPANY FOR OTHERS 32,952,885
7ERIVATIVES ,
004
529 AETAOACTIVE REINSURANCE RESERVE ASSUMED 3,215,131
~7HER ASSETS , POLICYHOLDER DMDENDS 7,071,676
PROVISION FOR REINSURANCE 5,314,325
ADVANCE PREMIUM 636'242
PAYABLE FOR SECURITIES LENDING 2,859,442
PAYABLE FOR SECURITIES 5'~'~~
CEDED REINSURANCE NET PREMIUMS PAYABLE _
8)
~~
ESCHEAT LIABILITY 523,37
OTHER ACCRUED EXPENSES AND LIABILITIES 373.980
TOTAL LIABILITIES S 2.377.082,356
CAPITAL STOCK $ 6,480,000
PAID IN SURPLUS 433,803,760
OTHER SURPLUS 1.578,,869,089
TOTAL SURPLUS TO POLICYHOLDERS S 2 019.152,849
205
4,395~235
~ 5 TOTAL LIABILITIES & SURPLUS ~ 4396.235,205
TOTAL ASSETS ~
~
iTATE OF CONNECTICUT )
~OUNTY OF HARTFORD ) SS.
CITY OF HARTFORD )
MICHAEL J. DOODY, BEING DULY SWORN, SAYS THAT HE IS SECOND VICE PRESIDENT, OF TRAVELERS CASUALTY AND SURETY COMPANY OF AMERICA,
aN4 THAT TO THE BEST OF HIS KNOWLEDGE AND BELIEF, THE FOREGOING 1S ATRUE AND CORRECT STATEMENT OF THE F[NANCIAL CONDITION OF SAID
AMPANY AS OF THE 30TH DAYOF JUNE, 2013.
>UBSCRIBED AND SWORN TO BEFORE ME THIS
?0TH DAY OF AUGUST, 2013
~~`~:~~ ~PV ~ r~~''~,
~:
°C!1 ~ <~.
~~rlit7 sl1~t~,~
/ C L I~ !
e'
SECOND VICE PRESIDENT'
~ `t
T~ ~~ - f
NOTARY PUBLIC
SUSAN I,4. `VEiSSLEDLR
Notary PceGtic
Afy Ca~Irnisston Hvpires No-cinber 30, 2017