Okaloosa County BOCC — June 2, 2015 — final invoice & other documentation — reading text

Walton Beach, FL 32547 PROJECT: CONTRACT DATED: March 18, 2013 (Nume and address) Del Cerro Il (MC-7) Public Supply Well CONTRACT FOR: Construction In accordance with the provisions of the Contract between the Owner and the Contractor as indlicated above, the (Insert name and address of Surty) Travelers Casualty and Surety Company of America One Tower Square Hartford, CT 06183 , SURETY, on bond of (Insert name emd address of Contracior) Layne Christensen Company 3720 North Palafox Street Pensacola, FL 32505 , CONTRACTOR, hereby approves of the final payment to the Contractor, and agrees that final payment to the Contractor shall not relieve the Surety of any of its obligations to (Insart name and address of Oiener) Board of Commissioners, Okaloosa County, FL 1804 Lewis Turner Blvd., Suite 300 Ft. Walton Beach, FL 32547 , OWNER, as set forth in said Surety's bond., IN WITNESS WHEREOF, the Surety has hereunto set its hand on this date: May 12, 2015 (tnsepd D aiting the month foliowed by the numerfc date and year,) Travelers Casualty and Surety Company of America (Srety) _ Q)\/“Q/&W\ . (Signature of avthovized :vpavm:}i«lia <) Attest: . (Seal): Rebecca S. Gross Attorney-in-Fact (Printed nane and tide) Surety Phone No. 860-277-0111 G707--1994 WARNING: THIS POWER OF ATTORNEY IS INVALID WITHOUT THE RED BORDER A POWER OF ATTORNEY TRAVE LER S J 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. 929()29 Certificate No. 0 0 6 3 O 6 9 7 7 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 Patrick T Pribyl, Debra ). Scarborough, Christy M. Braile, Mary T. Flanigan, Jeftrey C. Carey, Charles R. Teter I, Laura M. Buhrmester, Charissa D. Lecuyer, Evan D. Sizemore, Rebecca S. Gross, Larissa Smith, Wendy A. Casey. C. Stephens Griggs. Rebecea A, Lilley. and Tahitia M. Fry o {dnsas iy iss ‘1 « . of the City of Kansas City , State of. Missouri , their true and lawful Attorney(s)-in-Fact, cach 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 “’]'I‘Nlfi's;r\cmHEREOF' the Compaznitisslmve caused this instrument to be signed and their corporate seals to be hereto affixed, this 19 day of ¢ a ) FFarmington 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 e, W3 B (T 2 méo&t £, "{ p “\‘5 e State of Connecticut By: rM City of Hartford ss. Robert L. Raney, &nior Vice President , 19th March ] On this the day of ! . i , 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. XN\anwk ¢. 3 Saouldt Marie C. Tetreault, Notary Public In Witness Whereof, I hereunto set my hand and official seal. My Commission expires the 30th day of June, 2016. 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. 1, 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 day of MAY l 2 2015 ,20 b & fogter l Kevin E. Hughes, Assistant Secxgtary 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 WATER «+ MINERAL « ENERGY May 13, 2015 Okaloosa County Board of County Commissioners 1804 Lewis Turner Boulevard Ft. Walton Beach, FL. 32547 RE: Del Cerro MC-7 Well Insurance To whom it may concern: Pursuant to Article 1.5 E. of Section 1700 of the Project Manual, Layne Christensen Company will continue to provide Commercial General Liability including Completed Operations and Product Liability coverage for two years following the acceptance of the project. Attached is the current Certificate of Insurance that will be updated throughout the two year term. Sincerely, Bob Baker Account Manager WATER RESOURCES 3720 North Palafox Street, Pensacola, FL 32505 | Office: 850.432.5101 | Fax: 850.432.2999 | layne.com 1 ) (4 ACORD u CERTIFICATE OF LIABILITY INSURANCE DATE (MM/DD/YYYY) 8/1/2015 2/17/2015 THIS CERTIFICATE IS ISSUED AS A MATTER OF INFORMATION ONLY AND CONFERS NO RIGHTS UPON THE CERTIFICATE HOLDER, THIS CERTIFICATE DOES NOT AFFIRMATIVELY OR NEGATIVELY AMEND, EXTEND OR ALTER THE COVERAGE AFFORDED BY THE POLICIES BELOW. THIS CERTIFICATE OF INSURANCE DOES NOT CONSTITUTE A CONTRACT BETWEEN THE ISSUING INSURER(S), AUTHORIZED REPRESENTATIVE OR PRODUCER, AND THE CERTIFICATE HOLDER. IMPORTANT: if the certificate holder is an ADDITIONAL INSURED, the policy(ies) must be endorsed. If SUBROGATION IS WAIVED, subject to the terms and conditions of the policy, certain policies may require an endorsement, A statement on this certificate does not confer rights to the certificate holder in lieu of such endorsement(s). PRODUCER Lockton Companies HANE: 444 W. 47th Street, Suite 900 PHONE IFAAJ)é No: Kansas City MO 64112-1906 £-MAIL T ADDRESS: (816) 960-9000 NSURER(S) AFFORDING COVERAGE NAIC & INSURER A : Zurich American Insurance Company 16535 INSURED | 4 vNIE CHRISTENSEN COMPANY INSURER B : American Zurich Insurance Company 40142 1376181 3750 N. PALAFOX STREET msurer ¢ : Lexington Insurance Company 19437 PENSACOLA, FL 32505 insurer b : American Guarantee and Liab. Ins. Co. 26247 INSURERE : INSURERF : COVERAGES LAYINOI CERTIFICATE NUMBER: 12256292 REVISION NUMBER: XXXXXXX THIS IS TO CERTIFY THAT THE POLIGIES OF INSURANCE LISTED BELOW HAVE BEEN ISSUED TO THE INSURED NAMED ABOVE FOR THE POLICY PERIOD INDICATED.