Legacy Suppy LLC RECENED
SECTION 00480-CERTIFICATION OF NON-COLLUSION / SEP 17
CERTIFICATION OF NON-COLLUSION BY BIDDER 2014
TOWN OF WAPPINGER
TowAi Ci Fp►('
The undersigned represents that pursuant to Sections 103-a and 103-b of the General
Municipal Law of the State of New York, no person referred to in the attached proposal
who is the bidder or who is or was a member, partner, director or officer of the bidding
firm or entity under this proposal has refused to sign a waiver of immunity or to answer
any relevant questions relating to any transaction or contract with the State of New
York, any political subdivision thereof, or any public authority, during the period of five
years prior to the date hereof. The undersigned agrees that any contract awarded as a
result of this bid may be canceled without penalty upon the grounds set forth in Sections
103-a and 103-b of the said General Municipal Law of the State of New York. The
names and addresses of all persons and parties interested in the foregoing bid are as
follows:
L1 I~ \iv\S-- C&.Ss
-1
1'N c \i 1V
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 knowledge and belief:
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 been knowingly disclosed by the bidder and will not knowingly be
disclosed by the bidder prior to opening, directly or indirectly, to any other bidder
or to any competitor; and
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
CERTIFICATION OF NON-COLLUSION 00480-1
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STATE of
COUNTY of ) ss.
On this day of 20
before me personally came to me
known and known to me to be the person described in and who executed the
foregoing instrument, and he/she duly acknowledged that he/she executed the
same.
Notary Public, County
No. Term Expires
- END OF SECTION-
BID BOND 00410-3
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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 I, 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 political
subdivision, public department, agency or official thereof to which the bid is made, or his
designee, determines that such disclosure was not made for the purpose of restricting
competition.
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 one.
Any bid hereafter made to any political subdivision of the State or any public
department, agency or official thereof by a corporate bidder for work or 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 subdivision one 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 -nd deed of the corporation.
&VA' �
kr
- END OF SECTION -
CERTIFICATION OF NON-COLLUSION 00480-2
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SECTION 00510 -AGREEMENT
TOWN BOARD
TOWN OF WAPPINGER, NEW YORK
CONTRACT AGREEMENT
Contract No. 13-009GC - General Construction
THIS AGREEMENT, made and executed this day of , in
the year Two Thousand and Fourteen, by and between the Town Board, Town of
Wappinger and , Contractor,
This Contract Agreement includes the plans and specifications for the Project identified
thereon as such prepared by Morris Associates plus the following Contract Documents:
1. Performance Bond and Labor and Material Payment Bond
2. General Conditions of Contract
3. Special Conditions for Contract
4. Technical Specifications
5. Drawings
6. All Addenda
7. All provisions required by law to be inserted in this contract whether
actually inserted or not
•
8. Change Orders
all which are hereby incorporated herein by reference and made a part hereof. Change
Orders issued hereafter, and any other amendments executed by the Owner and the
Contractor, shall become and be a part of this Contract. Documents not included or
expressly contemplated in this Paragraph do not, and shall not, form any part of this
Contract. All the above documents constitute the entire and exclusive agreements
between the parties with reference to the Project, and said Contract supersedes any
and all prior discussions, communications, representations, understandings,
negotiations, or agreements.
AGREEMENT 00510-1
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r.r.rrr
SECTION 00310— BID FORM
CONTRACT NO. 13-009GC
GENERAL CONSTRUCTION
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
(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, Contract No. 13-009GC, UNITED
WAPPINGER WATER DISTRICT ATLAS AND HILLTOP FILTRATION - General -
Construction, as required by and in strict accordance with the plans, specifications and
all other documents relating to Contract No. 13-009G, for the prices stipulated and as
shown on this bid form.
Name of Bidder: 1-eT,_ t J
T nidual, Partnership, Corporation r LLC)*
* Circle applicable word
The undersigned declares that the bidding and contract documents have been carefully
examined and that all things necessary for the completion of the work shall be provided.
Receipt of the following addenda is hereby acknowledged:
DATE SIGNATURE
4 t
ADDENDUM NO. 1 2 a21t`� ® _I�_j�,!itia 0, M09-7
.;_ _ �, Oar
ADDENDUM NO. 2 q I 1014 �i_ //_ �L_:iiidAr
ADDENDUM NO. 3
ADDENDUM NO. 4
BID FORM 00310-1
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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 not 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
BID FORM 00310-2
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deemed stricken from the bid documents without affecting the binding
force of the remainder.
(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.
(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 FORM 00310-3
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BID FOR CONTRACT WORK:
BASE BID (GENERAL CONSTRUCTION)
OC\e m i I\ r -Ichk n clr -{i pr 4gaivirrtin lSa.nt R:1 01-1- $ I, - art 4-10.ac)
(in writing)wed s X cel I ears a o (and figures)
ceJt5
Dated: S !la ► = , 20
SIGN BID HERE (-/ / � ,
( ' min m
Auth. zed Signature Title
0.011& --Ca&S'ict
9
Print Name
Legal Company Name14109
Address kL{ `CDccA Avenue
City, State, Zip Vo{ 1 1 0., ivy 10595
Telephone No. 6I -1 .1a3-
Federal
3_Federal I.D. # i.1--5_555315962
BID FORM 00310-4
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(If bidder is a corporation, fill in the following blanks.)
Organized under the laws of the State of:
Name and Address of President:
Name and Address of Secretary:
Name and Address of Treasurer:
(If bidder is a Limited Liability Company, fill in the following blanks.)
Organized under the laws of the State of: \O(k,
Name of Manager or Managing Member: U _Cosl dL1
Agent for Service of Process: 11‘.e., LLC
Address for Service of Process: 14 R4Ar a a c\ ke, b1-31S
BID FORM 00310-5
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STATE OF NEW YORK )
COUNTY OF \C BMX r ss: 01 ����Q���,
On the tb` day ofce.-1-R\eZys- , 20 VA before me,
the undersigned, a Notary Public i and for said
/'� _ State, personally appeared
�'�Sa.�--y 5-x--055-I&vpersonally 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.
1,81k
NOTARY P LIC
SCOTT L FILIaOLA •
Notary Publ
i State FI8083of New
York
No8
Qualified In Westchester County
Commission Expires November 18,2011
BID FORM 00310-6
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BASE BID SHEET
GENERAL CONSTRUCTION
CONSTRUCTION BID AND CONTRACT
Contract No. 13-009GC, UNITED WAPPINGER WATER DISTRICT ATLAS AND HILLTOP FILTRATION
ITEM NO./DESCRIPTION EST. PAYMENT UNIT PRICE BID TOTAL
QTY. UNIT PRICE BID
WRITTEN AMOUNT IN FIGURES
1. Furnish and install all materials,
supplies, equipment and other 1 L.S. One 01'11\'Iv)Three
facilities as required for construction c�7 I i Ssrj,q Lila,oo
of UNITED WAPPINGER WATER 1 `3� ` 1 � Tl�114��''
DISTRICT ATLAS AND HILLTOP . Dl) nine hk-1drh
FILTRATION -General Construction,
including all incidentals, as shown cf4 s x Cho\tars
and as specified in the Contract
Documents. and zero CG✓n-AS
2. Rock Excavation 30 C.Y. -fug,V' red e- -v dDf l�.a
' a 50,Gb _ aryl CO-) '1,5oD. DD
3. Authorized Additional Excavation 30 C.Y. g D 'DO .Q961-1/ d1cu5C15 r-2,417D0
4. Lift Station Abandonment 1 EA _ 5,,Gad?. Ob eve i' cbliararid s,ODOi Old
ALLOWANCE#1 "r° c€nls $5,000.00
Testing Services -----------------------
ALLOWANCE#2 $50,000.00
Contingency Allowance -----—
-
TOTAL BASE BID ii Lix-7[840,v0
- END OF SECTION-
SECTION 00410-BID BOND
BID BOND FORM
KNOW ALL MEN BY THESE PRESENTS: that
* Legacy Supply, LLC
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 Amount Bid Dollars $ (5%)
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 17th day of September 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 United Wappinger Water District Atlas
and Hilltop Filtration for the Town of Wappinger, New York, as shown and specified in
the contract plans and specifications.
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.
BID BOND 00410-1
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(SEAL)
PRINCIPAL
*Insert Bidder's Name Legacy Supply, LLC
**Insert Surety's Name By AO " # ,lir
cir
Signed, sealed and delivered%rt.*/
in the presence of
(Corporate seal of Contractor
if a corporation)
Ltoe,1 SuWLI LL-C
Contractor
By
Travelers Casual d Surety Company of America
By *� ►
—mumo (Title of Officer)
Christo,her J. C•mo,Attorney-in-Fact
(Corporate seal of
Surety) Attest
(1114t--of Officer)
BID BOND 00410-2
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STATE of N Qw "i ps\.
COUNTY of L 'e.1,c }ss: �11 Vat),ti
On this fr day of �'m S' , 20 IA-
before me personally came1Jns- Cassis, to me
known and known to me to be the person described in and who executed the
foregoing instrument, and he/she duly acknowledged that he/she executed the
same.
()IitAtc141\d,,,
• S >
Notary Public, County
No.01-F\Wb SUC? Term Expires 11 lg (4
-END OF SECTION-
SCOTT L FILQZOLA
Notary1 State Fl60836 New York
Qualified in Westchester County
Commission Expires November 18,201g-
BID BOND 00410-3
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WARNING:THIS POWER OF ATTORNEY IS INVALID WITHOUT THE RED BORDER
411111► POWER OF ATTORNEY
TRAVELERSJ Farmington Casualty Company St.Paul Mercury Insurance Company'
Fidelity and Guaranty Insurance Company Travelers Casualty and Surety Company
Fidelity and Guaranty Insurance Underwriters,Inc. Travelers Casualty and Surety Company of America
St.Paul Fire and Marine Insurance Company United States Fidelity and Guaranty Company
St.Paul Guardian Insurance Company
Attorney-In Fact No. 215496 Certificate No. 0 0 5 5 8 812 8
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
Christopher J.Como,Patricia M.Como,and Jane Quinn
of the City of Monroe , State of Connecticut
,their true and lawful Attomey(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 permitted in any actions or proceedings allowed by law.
IN WITNESS WHEREOF,the Companies have caused this instrument to be signed and their corporate seals to be hereto affixed,this 6th
day of August 2013
Farmington Casualty Company St.Paul Mercury Insurance Company
Fidelity and Guaranty Insurance Company Travelers Casualty and Surety Company
Fidelity and Guaranty Insurance Underwriters,Inc. Travelers Casualty and Surety Company of America
St.Paul Fire and Marine Insurance Company United States Fidelity and Guaranty Company
St.Paul Guardian Insurance Company
FyR"."Yl�I' Y'_ q� YA ' F1RE ' PO..RN...NSG- „r,,,'Pq INSUgq k cj
AleS vr n ,-tia 4 9 gip RPUAA)'•!,s e;• ,_ACi.RPORAT'+moi1982 0 1977 - 47 m; -• m iW:co ft -t ` . 1 a t --- .2 sz 1951 i gg �:. of a�4. �� ti ; o. o•,. AL,?o, o+.SEAL e'4AS .._..:> '''',-71." l AN't
State of Connecticut By: .4117.
State
City of Hartford ss. Robert L.Raney. eniS or Vice President
On this the 6th August 2013
day of . ,before me personally appeared Robert L.Raney.who acknowledged himself to
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.
G•TO
In Witness Whereof.I hereunto set my hand and official seal. S 4TA' �(J,(A e
My Commission expires the 30th da}'of June.2016.
Armor,Lor Marie C.Teueault.Notary Public
0.
NI-
58440-8-12 Printed in U.S.A.
WARNING:THIS POWER OF ATTORNEY IS INVALID WITHOUT THE RED BORDER
WARNING:THIS POWER OF ATTORNEY IS INVALID WITHOUT THE RED BORDER
This Power of Attorney is granted under and by the authority of the following resolutions adopted by the Boards of Directors 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,which resolutions are now in full force and effect,reading as follows:
RESOLVED,that the Chairman,the President,any Vice Chairman,any Executive Vice President,any Senior Vice President,any Vice President,any Second Vice
President,the Treasurer,any Assistant Treasurer,the Corporate Secretary or any Assistant Secretary may appoint Attorneys-in-Fact and Agents to act for and on behalf
of the Company and may give such appointee such authority as his or her certificate of authority may prescribe to sign with the Company's name and seal with the
Company'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 or the Board of Directors at any time may remove any such appointee and revoke the power given him or her;and it is
FURTHER RESOLVED,that the Chairman,the President,any Vice Chairman,any Executive Vice President,any Senior Vice President or any Vice President may
delegate all or any part of the foregoing authority to one or more officers or employees of this Company,provided that each such delegation is in writing and a copy
thereof is filed in the office of the Secretary;and it is
FURTHER RESOLVED,that any bond,recognizance,contract of indemnity,or writing obligatory in the nature of a bond,recognizance,or conditional undertaking
shall be valid and binding upon the Company when(a)signed by the President,any Vice Chairman,any Executive Vice President,any Senior Vice President or any Vice
President,any Second Vice President,the Treasurer,any Assistant Treasurer,the Corporate Secretary or any Assistant Secretary and duly attested and sealed with the
Company's seal by a Secretary or Assistant Secretary;or(b)duly executed(under seal,if required)by one or more Attorneys-in-Fact and Agents pursuant to the power
prescribed in his or her certificate or their certificates of authority or by one or more Company officers pursuant to a written delegation of authority; and it is
FURTHER RESOLVED,that the signature of each of the following officers:President,any Executive Vice President,any Senior Vice President,any Vice President,
any Assistant Vice President,any Secretary, any Assistant Secretary,and the seal of the Company may be affixed by facsimile to any Power of Attorney or to any
certificate relating thereto appointing Resident Vice Presidents,Resident Assistant Secretaries or Attorneys-in-Fact for purposes only of executing and attesting bonds
and undertakings and other writings obligatory in the nature thereof,and any such Power of Attorney or certificate bearing such facsimile signature or facsimile seal
shall be valid and binding upon the Company and any such power so executed and certified by such facsimile signature and facsimile seal shall be valid and binding on
the Company in the future with respect to any bond or understanding to which it is attached.
I,Kevin E.Hughes,the undersigned,Assistant Secretary,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 do hereby certify that the above and foregoing
is a true and correct copy of the Power of Attorney executed by said Companies,which is in full force and effect and has not been revoked.
IN TESTIMONY WHEREOF,I have hereunto set my hand and affixed the seals of said Companies this 17th day of September
,2014 .
Kevin E.Hughes,Assistant Sec tary
S
_t% 4' '' ,r'cp. ` •., AL to �:.$$�Lf.t CONN. n OONN. �: N 1896
N
�"� �x^w,Ncc a1s.....:a� :'•... .•:ds ' !o ,�p�
M...:AMV s....�..�a a`i P'`s P o. 'illin ANNE+`"
To verify the authenticity of this Power of Attorney,call 1-800-421-3880 or contact us at www.travelersbond.com.Please refer to the Attorney-In-Fact number,the
above-named individuals and the details of the bond to which the power is attached.
WARNING:THIS POWER OF ATTORNEY IS INVALID WITHOUT THE RED BORDER
I