ADVERTISEMENT FOR BID
Sealed bids for Two Schools Partial Re-roof, Centerville Intermediate School, and East
Hickman Intermediate School, located in Hickman County, Tennessee will be received
until 1:00 P. M. local time, on Thursday, May 25, 2023 at the Hickman County Schools
Office, 115 Murphree Ave., Centerville, TN 37033 at which time and place they will be
publicly opened and read aloud.
Beginning Wednesday, April 26, 2023, Contract Documents may be viewed and will be
available for the cost of reproduction at:
Lester Digital Reprographics, LLC
1633 West Main Street, Suite 900 Lebanon, TN 37087-3375
Telephone: 615-443-3033
www.ldrplanroom.com
Plans and specifications can be viewed on-line at:
www.ldrplanroom.com
5% Bidders Bond is required.
Performance Bond and Payment Bond in the full amount of the bid will be required.
All bidders must be licensed Contractors as required by the Contractors Licensing Act of
1976, as currently amended.
All bidders shall comply with conditions and requirements set forth in T.C.A. 49-5-406
A pre-bid meeting will be held 11:00 A. M. local time, on Thursday, May 4, 2023, at the
Centerville Intermediate School Gym, 110 Mary Fields Ave. Centerville, TN 37033
Contact Mike Plunkett, Director of Maintenance and Facilities, for access to the
buildings.
Phone: 931-729-3391 ext. 3
Cell: 931-306-7401
Present Penny Maybers
Foam- Crete, Inc
Debbie Brecce
- -combined bid - # 230,000
TLC Pro Roofing, LLC
- Combined bid - $ 273,900
Porter Roofing Contractor's, Inc
- combined bid - # 243,556
THE AMERICAN INSTITUTE OF ARCHITECTS
AIA Document A310
Bid Bond
KNOW ALL MEN BY THESE PRESENTS, that we
Foam-Crete, Inc. of Chattanooga
2833 Calhoun Avenue, Chattanooga, TN 37407
as Principal, hereinafter called the Principal, and
Western Surety Company
151 N. Franklin Street, Chicago, IL 60606
a corporation duly organized under the laws of the State of
SD
as Surety, hereinafter called the Surety, are held and firmly bound unto
Hickman County Schools
115 Murphree Avenue, Centerville, TN 37033
as Obligee, hereinafter called the Obligee, in the sum of
Five Percent of Amount Bid
Dollars ($
5%
),
for the payment of which sum well and truly to be made, the said Principal and the said Surety bind ourselves, our
heirs, executors, administrators, successors and assigns, jointly and severally, firmly by these presents.
WHEREAS, the Principal has submitted a bid for Two Schools Partial Re-Roof; Centerville Intermediate School &
East Hickman Intermediate School
NOW, THEREFORE, if the Obligee shall accept the bid of the Principal and the Principal shall enter into a Contract
with the Obligee in accordance with the terms of such bid, and give such bond or bonds as may be specified in the
bidding or Contract Documents with good and sufficient surety for the faithful performance of such Contract and for
the prompt payment of labor and material furnished in the prosecution thereof, or in the event of the failure of the
Principal to enter such Contract and give such bond or bonds, if the Principal shall pay to the Obligee the difference
not to exceed the penalty hereof between the amount specified in said bid and such larger amount for which the
Obligee may in good faith contract with another party to perform the Work covered by said bid, then this obligation
shall be null and void, otherwise to remain In full force and effect.
Signed and sealed this
25th
day of
May
2023
KHK
Foam-Crete, Inc. of Chattanooga
(Principal)
(Seal)
(Witness)
By: Tom mm
(Title)
SOUTH CORPORATE SURET) SEAL DAKOTA COMPANYS
Western Surety Company
nicole (Witness) Weight
By: Patien A (Surety) (Seal)
(Title)
Patricia S. Kleehammer, Attorney-in-Fact
CONFORMS WITH AIA DOCUMENT A310
BID BOND
AIA
FEBRUARY 1970 ED
THE AMERICAN
INSTITUTE OF ARCHITECTS, 1735 N.Y. AVE., N.W., WASHINGTON, D.C. 20006
1
Western Surety Company
POWER OF ATTORNEY APPOINTING INDIVIDUAL ATTORNEY-IN-FACT
Know All Men By These Presents, That WESTERN SURETY COMPANY, a South Dakota corporation, is a duly organized and existing corporation
having its principal office in the City of Sioux Falls, and State of South Dakota, and that it does by virtue of the signature and seal herein affixed hereby make,
constitute and appoint
Patricia S. Kleehammer , Individually
of
Woodstock, GA
its true and lawful Attorney(s)-in-Fact with full power and authority hereby conferred to sign, seal and execute for and on
its behalf bonds, undertaking: and other obligatory instrument: of similar nature
- In Unlimited Amounts -
Surety Bond No.:
Bid Bond
Principal: Foam-Crete, Inc. of Chattanooga
Obligee: Hickman County Schools
and to bind it thereby as fully and to the same extent as if such instruments were signed by a duly authorized officer of the corporation and all the acts of said
Attorney, pursuant to the authority hereby given, are hereby ratified and confirmed.
This Power of Attorney is made and executed pursuant to and by authority of the By-Law and Resolutions printed on the reverse hereof, duly adopted,
as indicated, by the sharebolders of the corporation
In Witness Whereof, WESTERN SURETY COMPANY has caused these presents to be signed by its Vice President and its corporate seal to be hereto
affixed on this 9th day of May, 2023.
WESTERN SURETY COMPANY
SURETY COMPANY
any Kasten
Larry Kasten. Vice President
State of South Dakota
$5
County of Mimebaha
On this 9th day of May, 2023, before me personally came Larry Kasten, to me known, who, being by me duly sworn, did depose and say: that be resides
in the City of Sioux Falls, State of South Dakota; that be is a Vice President of WESTERN SURETY COMPANY described in and which executed the above
instrument; that be knows the seal of said corporation; that the seal affixed to the said instrument is such corporate seal; that it was so affixed pursuant to
authority given by the Board of Directors of said corporation and that be signed his name thereto pursuant to like authority, and acknowledges same to be the
act and deed of said corporation.
My commission expires
M. BENT
NOTARY PUBLIC
Me
SOUTH DANOTA
ME
March 2, 2026
M. Bent
M. Bent, Notary Public
CERTIFICATE
I,L. Nalson, Assistant Secretary of WESTERN SURETY COMPANY do hereby certify that the Power of Attomey hereinabove set forth is still in force,
and further certify that the By-Law and Resolutions of the corporation printed on the reverse hereof is still in force. In testimony whereof I have hereunto
subscribed my name and affixed the seal of the said corporation this 25th day of
May
. 2023
WESTERN SURETY COMPANY
SOUTH SURETY SCAL ORNOTA COMPANY:
J. nelson
L Nelson, Assistant Secretary
Form F4280-4-2023
Go to www.cnasurety.com > Owner / Obligee Services > Validate Bond Coverage, If you want to verify bond authenticity.
Authorizing By-Laws and Resolutions
ADOPTED BY THE SHAREHOLDERS OF WESTERN SURETY COMPANY
This Power of Attorney is made and executed pursuant to and by authority of the following By-Law duly adopted by the shareholders
of the Company.
Section 7. All bonds, policies, undertakings, Powers of Attorney, or other obligations of the corporation shall be executed in the
corporate name of the Company by the President, Secretary, and Assistant Secretary, Treasurer, or any Vice President, or by such other
officers as the Board of Directors may authorize. The President, any Vice President, Secretary, any Assistant Secretary, or the Treasurer may
appoint Attorneys in Fact or agents who shall have authority to issue bonds, policies, or undertakings in the name of the Company. The
corporate seal is not necessary for the validity of any bonds, policies, undertakings, Powers of Attorney or other obligations of the corporation.
The signature of any such officer and the corporate seal may be printed by facsimile.
This Power of Attorney is signed by Larry Kasten, Vice President, who has been authorized pursuant to the above Bylaw to execute power
of attorneys on behalf of Western Surety Company.
This Power of Attorney may be signed by digital signature and sealed by a digital or otherwise electronic-formatted corporate seal under and
by the authority of the following Resolution adopted by the Board of Directors of the Company by unanimous written consent dated the 27th
day of April, 2022:
"RESOLVED: That it is in the best interest of the Company to periodically ratify and confirm any corporate documents signed by digital
signatures and to ratify and confirm the use of a digital or otherwise electronic-formatted corporate seal, each to be considered the act
and deed of the Company."
BID FORM
Address Bids To:
Time for Receiving Bids
Michelle Gilbert, Director
Until 1:00 P.M. Local Time,
Hickman County Schools
on Thursday, May 25, 2023
115 Murphree Ave.
Centerville, TN 37033
Dear Sir:
The undersigned, having carefully familiarized himself (or themselves) with the existing conditions at the
building and with the drawings and specifications prepared by Kaatz, Binkley Jones and Morris Architects,
Inc., 1008 Charlie Daniels Parkway, Mt. Juliet, Tennessee hereby proposes to construct Two Schools
Partial Re-roof Projects located in Hickman County, Tennessee (Centerville Intermediate School and East
Hickman Intermediate School) in accordance with Drawings and Specifications for the sum of:
PACKAGE "A" (Partial Re-roofing at Centerville Intermediate School)
One hundred fifteen thousand and 00/100
Dollars ($ 115,000.00 ).
hereinafter referred to as the Base Bid "A"
PACKAGE "B" (Partial Re-roofing at East Hickman Intermediate School)
One hundred fifteen thousand and 00/100
Dollars ($ 115,000.00 ).
hereinafter referred to as the Base Bid "B"
COMBINED PRICE: PACKAGES "A" & "B"
Two hundred thirty thousand and 00/100
Dollars ($ 230,000.00 ).
hereinafter referred to as the Base Bid Combined
UNIT PRICES FOR ALLOWANCES:
Removal and replacement of existing Three
Dollars ($ 3.00 ) per bd. ft.
wood nailers
Removal and replacement of existing Twelve and 50/100
Dollars ($ 12.50 ) per sq. ft.
metal deck
Removal and replacement of existing Three hundred fifty Dollars ($ 350.00 ) per each.
overflow scupper
Removal and replacement of existing Three and 50/100
Dollars ($ 3.50 ) per bd. ft.
wood top plate at parapet walls
STIPULATIONS
In submitting the bids, the undersigned agrees:
1.
Bids will not be withdrawn within the period of 30 calendar days following the opening thereof.
2.
If notified of the acceptance of this bid, to execute a contract for the work and deliver to the Owner
the performance and payment bond specified, within 10 calendar days after such notification.
3.
That the Work included under the contract shall be substantially completed as follows:
Centerville Intermediate School within 120 calendar days from issuance of Notice to Proceed.
East Hickman Intermediate School within 120 calendar days from issuance of Notice to Proceed.
Liquidated damages in the amount of $500.00 per calendar day shall be imposed on the contractor
for every day past the deadline noted above until the project is substantially complete and accepted
by the Owner.
4.
That the right is reserved by the Owner to reject any or all bids and to waive any informalities in
bids received.
5.
That the Owner shall have the right to accept Bid Packages in any order or combination and to
determine the low Bidder on the basis of the sum of the Bid Packages accepted.
6.
No contract is given or implied regarding the project until funding is appropriated, and the Owner
has offered a written contract to the contractor and both parties have fully executed the contract. No
offer has been made to the contractor until the aforementioned items have transpired.
7.
All reference to Arbitration within the documents is hereby deleted with regard to this project.
8.
The Bidder agrees to furnish for the above sum all necessary materials, equipment, machinery,
tools, apparatus, means of transportation and labor necessary to complete the construction of the
Work in complete accordance with the shown, noted, described and reasonable intended
requirements of the Contract Documents with the definite understanding that no money will be
allowed for extra work, except as set forth in the Contract Documents. Additionally, the Bidder
agrees, for the above sum, to furnish, without additional compensation, complete, fully functional,
and workable systems, as described in the Contract Documents, properly coordinated, as required
with other portions of the work. Contractor generated change orders will not be accepted.
The Bidder agrees that the Bid Documents have been thoroughly reviewed prior to submitting a bid
and that discrepancies, conflicts, errors, and/or omissions within the documents have been brought
to the attention of the Owner, Owner's Agents, Designer and/or Designer's Consultants and have
been resolved prior to submission of bids. In the event that discrepancies, conflicts, errors, and/or
omissions within the documents have not been resolved, the bidder acknowledges that cost
allowances have been included in the bid for these items. Contractor generated change orders or
requests for additional compensation will not be accepted by the Owner, Owner's Agents, Owner's
Client, Designer, and/or Designer's Consultants with regard to these items.
9.
Attachments to be included with the Bid Form are the Bid Bond covering the project and the Iran
Divestment Act Certification Form
10.
Not used
11. By submission of this bid and signature thereof, the Bidder acknowledges compliance with the
provisions of Tennessee Code Annotated § 50-9-113 (Drug-Free Workplace) enacted by the
General Assembly in the year 2000. The Bidder further agrees to submit a formal certification
thereof prior to commencing work.
12. By submission of this bid and signature thereof, the Bidder acknowledges compliance with the
provisions of Public Chapter No.587 / Senate Bill No. 2048 (Employee Background Check) and
TCA 49-5-406. The Bidder further agrees to submit a formal certification thereof prior to
commencing work.
13. By submission of this bid and signature thereof, the Bidder acknowledges, should they be awarded
a contract, the project will be constructed in compliance with applicable provisions of Federal, State,
and Local law.
14. The Bidder agrees to provide the following information within 48 hours after the bid:
a. Schedule of Values (Refer to Project Manual, Section 01 25 00 - Submittals, Paragraph 1.02 -
Submittals for information required). Note, Division 1 sections of the project manual shall be
included with the line item for "General Conditions"
15. By submission of this bid and signature thereof, the Bidder acknowledges compliance with the
provisions of Tennessee Code Annotated §§ 12-12-101 -12-12-113 (Iran Divestment Act) enacted
by the General Assembly in the year 2016. The Bidder shall include the certification within the bid
envelope.
16. By submission of this bid and signature thereof, the Bidder acknowledges that complete sets of
Bidding Documents including issued Addenda have been utilized in compiling the Bid.
17. By submission of this bid and signature thereof, the Bidder acknowledges compliance with the
provisions of Tennessee Code Annotated §§ 12-4-119 (Boycott of Israel Act) enacted by the
General Assembly in the year 2022. The Bidder shall include the certification within the bid
envelope
RECEIPT OF DRAWINGS:
Receipt is acknowledged of the Drawings and Project Manual identified by Commission No. 2906-23
dated April 26, 2023; and addenda and supplementary drawings listed under "Addenda Receipt"
attached.
FIRM NAME Foam-Crete, Inc. of Chattanooga
STATE OF INCORPORATION Tennessee
BY Song min
TITLE Vice President
Date 05/25/2023
A
OFFICIAL ADDRESS AND TELEPHONE:
2833 Calhoun Avenue
Chattanooga, TN 37407
Telephone: 423-629-7337
Note: If by a corporation, this bid must have the signature required by its bylaws.
ADDENDA RECEIPT: (List addenda and supplementary drawings and the date received).
Title
Date Received
N/A
N/A
BID SECURITY:
Security in the sum of Eleven thousand five hundred and 00/100
Dollars
($ 11,500.00 ), is submitted herewith.
DRUG-FREE WORKPLACE AFFIDAVIT
STATE OF Tennessee
COUNTY OF Hamilton
The undersigned, principal officer of Foam-Crete, Inc. of Chattanooga
an
employer of five (5) or more employees contracting with Hickman
County government
to provide construction services, hereby states under oath as follows:
1.
The under signed is a principal officer of Foam-Crete, Inc. of Chattanooga
(hereinafter referred to as the "Company"), and is duly authorized to execute this Affidavit on
behalf of the Company.
2.
The Company submits this Affidavit pursuant to T.C.A. § 50-9-113, which requires each employer
with no less than five (5) employees receiving pay who contracts with the state or any local
government to provide construction services to submit an affidavit stating that such employer has
a drug-free workplace program that complies with Title 50, Chapter 9, of the Tennessee Code
Annotated.
3.
The Company is in compliance with T.C.A. § 50-9-113.
Further affiant saith not.
Tom omih
Principal Officer
STATE OF Tennessee
COUNTY OF Hamilton
Before me personally appeared Tommy Miller
, with whom I am personally
acquainted (or proved to me on the basis of satisfactory evidence), and who acknowledged that such
person executed the forgoing affidavit for the purposes therein contained.
Witness my hand and seal at office this 25 day of MAY
* 2023.
apr Notary Public
My commission expires: 07/30/2025
ANNA
P.
SCIRE
STATE
OF
*
TENNESSEE
*
NOTARY
COUNTY
PUBLIC
OF
HAMILTON
COMM. NO. 2906-23
00 22 13.6
Supplementary Instructions to Bidders
IRAN DIVESTMENT ACT CERTIFICATION
I understand that under the Iran Divestment Act, T.C. A. 12-12-101-12-12-113, political subdivisions in
Tennessee are prohibited from entering into any procurement or contract over $1,000 with a person who
engages in investment activities in Iran. The state's chief procurement officer, as required by T. C. A. 12-
12-106, has created a list of persons who engage in investment activities in Iran. Any person who is on
the list is ineligible to contract with any political subdivision of the State of Tennessee, and any such
contract will be considered void ab initio under T. C. A. 12-12-110. The list is published on the Tennessee
Department of General Services' website at:
h/www.t.gov/content/dam/t/generalevices/documents/cpo/cpo-ibrary/public-informaton-
library/List of persons pursuant to Tenn. Code Ann. 12-12-106 Iran Divestment Act updated 7.7.17. pdf
CERTIFICATION
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 its knowledge and belief that each bidder is not on the list created pursuant to T. C. A. 12-
12-106
Bidder Name: Foam-Crete, Inc. of Chattanooga
Bidder Signature: Tom mill
Date of Certification: MAY 25,2023
COMM. NO. 2906-23
00 22 13.7
Supplementary Instructions to Bidders
BOYCOTT OF ISRAEL ACT CERTIFICATION
I understand that under the Boycott of Israel Act, T.C. A. 12-4-119, political subdivisions in Tennessee
are prohibited from entering into any procurement or contract, over $250,000 or to contractors with ten
(10) or more employees, with a Company who engages in a "Boycott of Israel". Any contract entered into
on or after July 1, 2022, that fails to comply with this section is void.
CERTIFICATION
By submission of this bid, each bidder and each person signing on behalf of any bidder certifies, and in
the case of a joint bid each party thereto certifies as to its own organization, under penalty of perjury, that
to the best of its knowledge and belief that each bidder is not engaged in, and will not for the duration of
the contract engage in, a boycott of Israel pursuant to T. C. A. 12-4-119
Foam-Crete, Inc. of Chattanooga
Bidder Name:
Bidder Signature: Tommy milk
Date of Certification: MAN 25,2023
COMM. NO. 2906-23
00 22 13.8
Supplementary Instructions to Bidders
BID FORM
Address Bids To:
Time for Receiving Bids
Michelle Gilbert, Director
Until 1:00 P.M. Local Time,
Hickman County Schools
on Thursday, May 25, 2023
115 Murphree Ave.
Centerville, TN 37033
Dear Sir:
The undersigned, having carefully familiarized himself (or themselves) with the existing conditions at the
building and with the drawings and specifications prepared by Kaatz, Binkley Jones and Morris Architects,
Inc., 1008 Charlie Daniels Parkway, Mt. Juliet, Tennessee hereby proposes to construct Two Schools
Partial Re-roof Projects located in Hickman County, Tennessee (Centerville Intermediate School and East
Hickman Intermediate School) in accordance with Drawings and Specifications for the sum of:
PACKAGE "A" (Partial Re-roofing at Centerville Intermediate School)
Our HUNDRD THIRTY SEKEN THOUSA Dollars ($ $ 137,400.
hereinafter referred to as the Base Bid "A"
PACKAGE "B" (Partial Re-roofing at East Hickman Intermediate School)
ONE HaNDMD THRTYSRVE THOUSAND Four Dollars ($ 137,400,
hereinafter referred to as the Base Bid "B"
COMBINED PRICE: PACKAGES "A" & "B"
TWO HUMAND SEVIENTY THODE THOUSAM Dollars ($ 273,900
hereinafter referred to as the Base Bid Combined
UNIT PRICES FOR ALLOWANCES:
Removal and replacement of existing THRRE + 50/100 Dollars ($ ($ 3 50 ) per bd. ft.
wood nailers
Removal and replacement of existing Six + 50/100 Dollars ($ 650, ) per sq. ft.
metal deck
Removal and replacement of existing THANK Dollars ($ 350 ) per each.
overflow scupper
Removal and replacement of existing THREE + 50/100 Dollars ($ ($ 350 ) per bd. ft.
wood top plate at parapet walls
11. By submission of this bid and signature thereof, the Bidder acknowledges compliance with the
provisions of Tennessee Code Annotated § 50-9-113 (Drug-Free Workplace) enacted by the
General Assembly in the year 2000. The Bidder further agrees to submit a formal certification
thereof prior to commencing work.
12. By submission of this bid and signature thereof, the Bidder acknowledges compliance with the
provisions of Public Chapter No.587 / Senate Bill No. 2048 (Employee Background Check) and
TCA 49-5-406. The Bidder further agrees to submit a formal certification thereof prior to
commencing work.
13. By submission of this bid and signature thereof, the Bidder acknowledges, should they be awarded
a contract, the project will be constructed in compliance with applicable provisions of Federal, State,
and Local law.
14. The Bidder agrees to provide the following information within 48 hours after the bid:
a. Schedule of Values (Refer to Project Manual, Section 01 25 00 - Submittals, Paragraph 1.02 -
Submittals for information required). Note, Division 1 sections of the project manual shall be
included with the line item for "General Conditions"
15. By submission of this bid and signature thereof, the Bidder acknowledges compliance with the
provisions of Tennessee Code Annotated §§ 12-12-101 -12-12-113 (Iran Divestment Act) enacted
by the General Assembly in the year 2016. The Bidder shall include the certification within the bid
envelope.
16. By submission of this bid and signature thereof, the Bidder acknowledges that complete sets of
Bidding Documents including issued Addenda have been utilized in compiling the Bid.
17. By submission of this bid and signature thereof, the Bidder acknowledges compliance with the
provisions of Tennessee Code Annotated §§ 12-4-119 (Boycott of Israel Act) enacted by the
General Assembly in the year 2022. The Bidder shall include the certification within the bid
envelope
RECEIPT OF DRAWINGS:
Receipt is acknowledged of the Drawings and Project Manual identified by Commission No. 2906-23
dated April 26, 2023; and addenda and supplementary drawings listed under "Addenda Receipt"
attached.
FIRM NAME TLC PRO Rods NG LL,
STATE OF INCORPORATION TN
BY Rune LESUE] WILLIAMS
5/25/23
TITLE MEMBER MANAGER
Date
OFFICIAL ADDRESS AND TELEPHONE:
1030 ISAAC FRANKLIN Dr.
GALLATIN, TN 37066
Telephone:
615 426-3924
Note: If by a corporation, this bid must have the signature required by its bylaws.
ADDENDA RECEIPT: (List addenda and supplementary drawings and the date received).
Title
Date Received
BID SECURITY:
SBE BID BOWD
Security in the sum of
Dollars
($
), is submitted herewith.
NEXT PAGE
Document A310 TM - 2010
Conforms with The American Institute of Architects AIA Document 310
Bid Bond
CONTRACTOR:
SURETY:
(Name, legal status and address)
(Name, lugal stutus and principal place of business)
TLC Pro Roofing, LLC
Old Republic Surety Company
1030 Isaac Franklin Drive
P.O. Box 1635
This document has Important
Gallatin, TN 37066
Milwaukee, WI 53201-1635
legal consequences. Consultation
Mailing Address for Notices
with an attorney Is encouraged
with respect to its completion or
modification.
OWNER:
(Name, legal status and address)
Any singular reference to
Contractor, Surety, Owner or
Hickman County
other party shall be considered
plural where applicable.
TN
BOND AMOUNT:
5%
Five Percent of Amount Bld
PROJECT:
(Name, location or address. and Project mumber, If any)
Partial Reroof at 2 Schools Centerville Intermediate School and East Hickman Intermediate School
The Contractor and Surety are bound to the Owner in the amount set forth above. for the payment of which the Contractor and Surety bind
themselves. their heirs, executors, administrators, successors and assigns, jointly and severally, as provided herein. The conditions of this
Bond are such that if the Owner accepts the bid of the Contractor within the time specified in the bid documents, or within such time period
as may be agreed to by the Owner and Contractor, and the Contractor either (1) enters into a contract with the Owner in accordance with
the terms of such bid, and gives such bond or bonds as may be specified in the bidding or Contract Documents, with a surety admitted in
the jurisdiction of the Project and otherwise acceptable to the Owner, for the faithful performance of such Contract and for the prompt
payment of labor and material furnished in the prosecution thereof; or (2) pays to the Owner the difference, not to exceed the amount of
this Bond, between the amount specified in said bid and such larger amount for which the Owner may in good faith contract with another
purly to perform the work covered by said bid, then this obligation shall be null and void, otherwise to remain in full force and effect. 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. Waiver of notice by the Surety shall not apply to any extension exceeding sixty (60) days in the aggregate beyond the lime for
acceptance of bids specified in the bid documents, and the Owner and Contractor shall obtain the Surety's consent for an extension beyond
sixty (60) days.
If this Bond is issued in connection with n subcontractor's bid to 4 Contractor, the form Contractor in this Bond shall be deemed to be
Subcontractor and the term Owner shall be deemed to be Contractor.
When this Bond has been furnished to comply with u statutory or other legal requirement in the location of the Project, any provision in
this Bond conflicting with said statutory or legal requirement shall be deemed deleted herefrom and provisions conforming to such
statutory or other legal requirement shall be deemed incorporated herein. When so furnished, the intent is that this Bond shall be construed
as 11 statutory bond and not as a common law bond.
Signed and scaled this
25th
day of May, 2023.
TLC Pro Roofing, LLC
Rude
1 eresa w cliams
(Seal)
(Wimess)
By: (Principal) (Title) MANOGER
RR
Old Republic Surety Company
(Surety)
(Seal)
(Witness)
By: Andrea Leach
210 SEAL CORPORATE reas SURETY * COMPANY
(Title) Andrea Leach
Attorney-in-Fact
S-0054/AS 8/10
OLD REPUBLIC SURETY COMPANY
POWER OF ATTORNEY
KNOW ALL MEN BY THESE PRESENTS: That OLD REPUBLIC SURETY COMPANY, a Wisconsin stock insurance corporation, does make, constitute and
appoint:
Andrea Leach
its true and lawful Attorney(s)-in-Fact, with full power and authority for and on behalf of the company as surety, to execute and
deliver and affix the seal of the company thereto (if a seal is required), bonds, undertakings, recognizances or other written obligations in the nature thereof,
(other than bail bonds, bank depository bonds, mortgage deficiency bonds, mortgage guaranty bonds, guarantees of installment paper and note
guaranty bonds, self-insurance workers compensation bonds guaranteeing payment of benefits, or black lung bonds), as follows:
ALL WRITTEN INSTRUMENTS
Principal: TLC Pro Roofing, LLC
Obligee: Hickman County
and to bind OLD REPUBLIC SURETY COMPANY thereby, and all of the acts of said Attorneys-in-Fact, pursuant to these presents, are ratified and confirmed.
This appointment is made under and by authority of the board of directors at a special meeting held on February 18, 1982.
This Power of Attorney is signed and sealed by facsimile under and by the authority of the following resolutions adopted by the board of directors of the OLD
REPUBLIC SURETY COMPANY on February 18,1982.
RESOLVED that, the president, any vice-president or assistant vice president, in conjunction with the secretary or any assistant secretary, may appoint
attorneys-in-fact or agents with authority as defined or limited in the instrument evidencing the appointment in each case, for and on behalf of the company to
execute and deliver and affix the seal of the company to bonds, undertakings, recognizances, and suretyship obligations of all kinds; and said officers may
remove any such attorney-in-fact or agent and revoke any Power of Attorney previously granted to such person.
RESOLVED FURTHER, that any bond, undertaking, recognizance, or suretyship obligation shall be valid and binding upon the Company
(i) when signed by the president. any vice president or assistant vice president. and attested and sealed (if a seal be required) by any secretary or assistant
secretary; or
(ii) when signed by the president, any vice president or assistant vice president, secretary or assistant secretary. and countersigned and sealed (if a seal be
required) by a duly authorized attorney-in-fact or agent; or
(iii) when duly executed and sealed (if a seal be required) by one or more attorneys-in-fact or agents pursuant to and within the limits of the authority
evidenced by the Power of Attorney issued by the company to such person or persons.
RESOLVED FURTHER that the signature of any authorized officer and the seal of the company may be affixed by facsimile to any Power of Attorney or
certification thereof authorizing the execution and delivery of any bond, undertaking, recognizance. or other suretyship obligations of the company, and such
signature and seal when so used shall have the same force and effect as though manually affixed.
IN WITNESS WHEREOF, OLD REPUBLIC SURETY COMPANY has caused these presents to be signed by its proper officer, and its corporate seal to be
affixed this
20th
day of
September
2022
OLD REPUBLIC SURETY COMPANY
Kaung Haffner
MEPUBLIC CORPORATE SURETY COMPANY
OLD
SEAL
Our Pulic
1081
Assistant Secretary
President
STATE OF WISCONSIN, COUNTY OF WAUKESHA - SS
On this
20th
day of
September
2022 personally came before me,
Alan Paylic
and
Karen J Haffner
to me known to be the individuals and officers of the OLD REPUBLIC SURETY COMPANY
who executed the above instrument, and they each acknowledged the execution of the same, and being by me duly sworn, did severally depose and say that
they are the said officers of the corporation aforesaid, and that the seal affixed to the above instrument is the seal of the corporation, and that said corporate seal
and their signatures as such officers were duly affixed and subscribed to the said instrument by the authority of the board of directors of said corporation.
PERFORM
Kathryn R. Peason
STATE PUBLIC of
Notary Public
My Commission Expires:
September 28. 2026
CERTIFICATE
(Expiration of netary's commission does not invalidate this instrument)
I, the undersigned, assistant secretary of the OLD REPUBLIC SURETY COMPANY, a Wisconsin corporation, CERTIFY that the foregoing and attached
Power of Attorney remains in full force and has not been revoked; and furthermore, that the Resolutions of the board of directors set forth in the Power of
Attorney, are now in force.
SEPUBLIC ? SEAL CORPORATE SURETY COMPANY
25th
Signed and sealed at the City of Brookfield, WI this
day of
May
2023
1881
Kaung Haffner
ORSC 22262 (3-06)
Assistant Secretary
DRUG-FREE WORKPLACE AFFIDAVIT
STATE OF
TN
COUNTY OF
Sumuzn
The undersigned, principal officer of The Pno ROOFING WC
. an
employer of five (5) or more employees contracting with SUMARAKA County government
to provide construction services, hereby states under oath as follows: HICKMAND
1.
The under signed is a principal officer of TLC PIZO RooFinh LLC
(hereinafter referred to as the "Company"), and is duly authorized to execute this Affidavit on
behalf of the Company.
2.
The Company submits this Affidavit pursuant to T.C.A. § 50-9-113, which requires each employer
with no less than five (5) employees receiving pay who contracts with the state or any local
government to provide construction services to submit an affidavit stating that such employer has
a drug-free workplace program that complies with Title 50, Chapter 9, of the Tennessee Code
Annotated.
3.
The Company is in compliance with T.C.A. § 50-9-113.
Further June affiant saith not.
Principal Officer
STATE OF Tannessee
COUNTY OF Summer
Before me personally appeared Leslie Williams
, with whom I am personally
acquainted (or proved to me on the basis of satisfactory evidence), and who acknowledged that such
person executed the forgoing affidavit for the purposes therein contained.
Witness my hand and seal at office this 23RD day of May
, 2023.
DV Notary Public
My commission expires: 06/24/25
JEREMY
HUENS
STATE
OF
TENNESSEE
NOTARY
PUBLIC
SUMNER
COUNTY
COMM. NO. 2906-23
00 22 13.6
Supplementary Instructions to Bidders
IRAN DIVESTMENT ACT CERTIFICATION
I understand that under the Iran Divestment Act, T. C. A. 12-12-101-12-12-113, political subdivisions in
Tennessee are prohibited from entering into any procurement or contract over $1,000 with a person who
engages in investment activities in Iran. The state's chief procurement officer, as required by T.C. A. 12-
12-106, has created a list of persons who engage in investment activities in Iran. Any person who is on
the list is ineligible to contract with any political subdivision of the State of Tennessee, and any such
contract will be considered void ab initio under T. C. A. 12-12-110. The list is published on the Tennessee
Department of General Services' website at:
https://www.t.gov/content/dam/n/generaisenvices/documents/cpo/cpo-library/public-information)
library/List of persons pursuant to Tenn. Code Ann. 12-12-106 Iran Divestment Act updated 7.7.17.pdf
CERTIFICATION
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 its knowledge and belief that each bidder is not on the list created pursuant to T. C. A. 12-
12-106
Bidder Name:
TLC PRO ROOFING LLC
Bidder Signature:
Marr Williams
Date of Certification:
5/24/23
COMM. NO. 2906-23
00 22 13.7
Supplementary Instructions to Bidders
BOYCOTT OF ISRAEL ACT CERTIFICATION
I understand that under the Boycott of Israel Act, T. C. A. 12-4-119, political subdivisions in Tennessee
are prohibited from entering into any procurement or contract, over $250,000 or to contractors with ten
(10) or more employees, with a Company who engages in a "Boycott of Israel". Any contract entered into
on or after July 1, 2022, that fails to comply with this section is void.
CERTIFICATION
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 its knowledge and belief that each bidder is not engaged in, and will not for the duration of
the contract engage in, a boycott of Israel pursuant to T. C. A. 12-4-119
Bidder Name:
TLC PRO ROOFING LLC
Bidder Signature:
Rich LBSUE J. WILVIAMS
Date of Certification:
5/24/23
COMM. NO. 2906-23
00 22 13.8
Supplementary Instructions to Bidders
394873
OID
State of Tennessee
13162716
BOARD FOR LICENSING CONTRACTORS
CONTRACTOR
TLC PRO ROOFING LLC
This is to certify that all requirements of the State of Tennessee have been met.
ID NUMBER: 66350
LIC STATUS: ACTIVE
EXPIRATION DATE: November 30, 2024
SEALT SEALOR AGRICULTURE STRTHENCY THE A J
$3,000,000; BC
7796
IN-1313
DEPARTMENT OF
COMMERCE AND INSURANCE
DRUG-FREE WORKPLACE AFFIDAVIT
STATE OF
Tennessee
COUNTY OF
City of Morrison
The undersigned, principal officer of
Porter Roofing Contractor's Inc.
, an
employer of five (5) or more employees contracting with
Warren
County government
to provide construction services, hereby states under oath as follows:
1.
The under signed is a principal officer of Porter Roofing Contractor's, Inc.
(hereinafter referred to as the "Company"), and is duly authorized to execute this Affidavit on
behalf of the Company.
2.
The Company submits this Affidavit pursuant to T.C.A. § 50-9-113, which requires each employer
with no less than five (5) employees receiving pay who contracts with the state or any local
government to provide construction services to submit an affidavit stating that such employer has
a drug-free workplace program that complies with Title 50, Chapter 9, of the Tennessee Code
Annotated.
3.
The Company is in compliance with T.C.A. § 50-9-113.
Further ah affiant saith not.
Principal Officer
STATE OF Tennessee
COUNTY OF Warren
Before me personally appeared Eric Cason
, with whom I am personally
acquainted (or proved to me on the basis of satisfactory evidence), and who acknowledged that such
person executed the forgoing affidavit for the purposes therein contained.
Witness my hand and seal at office this 23rd day of May
. 2023
Inc Notary Public
My commission expires: 12/14/24
WARREN THE THE ERS
MARY
On
COUNTY
COMM. NO. 2906-23
00 22 13.6
Supplementary Instructions to Bidders
IRAN DIVESTMENT ACT CERTIFICATION
I understand that under the Iran Divestment Act, T. C. A. 12-12-101-12-12-113, political subdivisions in
Tennessee are prohibited from entering into any procurement or contract over $1,000 with a person who
engages in investment activities in Iran. The state's chief procurement officer, as required by T. C. A. 12-
12-106, has created a list of persons who engage in investment activities in Iran. Any person who is on
the list is ineligible to contract with any political subdivision of the State of Tennessee, and any such
contract will be considered void ab initio under T. C. A. 12-12-110. The list is published on the Tennessee
Department of General Services' website at:
htps://www.tn.gov/content/dam/tn/generalsevices/documents/cpo/cpo-library/public-information-
library/List of persons pursuant to Tenn. Code Ann. 12-12-106 Iran Divestment Act updated 7.7.17.pdf
CERTIFICATION
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 its knowledge and belief that each bidder is not on the list created pursuant to T. C. A. 12-
12-106
Eric Cason
Bidder Name:
Bidder Signature: EL
05/23/2023
Date of Certification:
COMM. NO. 2906-23
00 22 13.7
Supplementary Instructions to Bidders
BOYCOTT OF ISRAEL ACT CERTIFICATION
I understand that under the Boycott of Israel Act, T. C. A. 12-4-119, political subdivisions in Tennessee
are prohibited from entering into any procurement or contract, over $250,000 or to contractors with ten
(10) or more employees, with a Company who engages in a "Boycott of Israel". Any contract entered into
on or after July 1, 2022, that fails to comply with this section is void.
CERTIFICATION
By submission of this bid, each bidder and each person signing on behalf of any bidder certifies, and in
the case of a joint bid each party thereto certifies as to its own organization, under penalty of perjury, that
to the best of its knowledge and belief that each bidder is not engaged in, and will not for the duration of
the contract engage in, a boycott of Israel pursuant to T. C. A. 12-4-119
Eric Cason
Bidder Name:
Bidder Signature: Eh
Date of Certification:
05/23/2023
COMM. NO. 2906-23
00 22 13.8
Supplementary Instructions to Bidders
BID FORM
Address Bids To:
Time for Receiving Bids
Michelle Gilbert, Director
Until 1:00 P.M. Local Time,
Hickman County Schools
on Thursday, May 25, 2023
115 Murphree Ave.
Centerville, TN 37033
Dear Sir:
The undersigned, having carefully familiarized himself (or themselves) with the existing conditions at the
building and with the drawings and specifications prepared by Kaatz, Binkley Jones and Morris Architects,
Inc., 1008 Charlie Daniels Parkway, Mt. Juliet, Tennessee hereby proposes to construct Two Schools
Partial Re-roof Projects located in Hickman County, Tennessee (Centerville Intermediate School and East
Hickman Intermediate School) in accordance with Drawings and Specifications for the sum of:
PACKAGE "A" (Partial Re-roofing at Centerville Intermediate School)
One hundred and twenty-one thousand, seven hundred and seventy-eight
Dollars ($ 121,778.00 ).
hereinafter referred to as the Base Bid "A"
PACKAGE "B" (Partial Re-roofing at East Hickman Intermediate School)
One hundred and twenty-one thousand, seven hundred and seventy-eight
Dollars ($ 121,778.00 ).
hereinafter referred to as the Base Bid "B"
COMBINED PRICE: PACKAGES "A" & "B"
Two hundred and forty-three thousand, five hundred and fifty-six
Dollars ($ 243,556.00 ).
hereinafter referred to as the Base Bid Combined
UNIT PRICES FOR ALLOWANCES:
Removal and replacement of existing
seven dollars
Dollars ($ 7.00 ) per bd. ft.
wood nailers
Removal and replacement of existing eight dollars and fifty cents Dollars ($ 8.50 ) per sq. ft.
metal deck
Removal and replacement of existing
five hundred
Dollars ($ 500.00 ) per each.
overflow scupper
Removal and replacement of existing
seven dollars
Dollars ($ 7.00 ) per bd. ft.
wood top plate at parapet walls
STIPULATIONS
In submitting the bids, the undersigned agrees:
1.
Bids will not be withdrawn within the period of 30 calendar days following the opening thereof.
2.
If notified of the acceptance of this bid, to execute a contract for the work and deliver to the Owner
the performance and payment bond specified, within 10 calendar days after such notification.
3.
That the Work included under the contract shall be substantially completed as follows:
Centerville Intermediate School within 120 calendar days from issuance of Notice to Proceed.
East Hickman Intermediate School within 120 calendar days from issuance of Notice to Proceed.
Liquidated damages in the amount of $500.00 per calendar day shall be imposed on the contractor
for every day past the deadline noted above until the project is substantially complete and accepted
by the Owner.
4.
That the right is reserved by the Owner to reject any or all bids and to waive any informalities in
bids received.
5.
That the Owner shall have the right to accept Bid Packages in any order or combination and to
determine the low Bidder on the basis of the sum of the Bid Packages accepted.
6.
No contract is given or implied regarding the project until funding is appropriated, and the Owner
has offered a written contract to the contractor and both parties have fully executed the contract. No
offer has been made to the contractor until the aforementioned items have transpired.
7.
All reference to Arbitration within the documents is hereby deleted with regard to this project.
8.
The Bidder agrees to furnish for the above sum all necessary materials, equipment, machinery,
tools, apparatus, means of transportation and labor necessary to complete the construction of the
Work in complete accordance with the shown, noted, described and reasonable intended
requirements of the Contract Documents with the definite understanding that no money will be
allowed for extra work, except as set forth in the Contract Documents. Additionally, the Bidder
agrees, for the above sum, to furnish, without additional compensation, complete, fully functional,
and workable systems, as described in the Contract Documents, properly coordinated, as required
with other portions of the work. Contractor generated change orders will not be accepted.
The Bidder agrees that the Bid Documents have been thoroughly reviewed prior to submitting a bid
and that discrepancies, conflicts, errors, and/or omissions within the documents have been brought
to the attention of the Owner, Owner's Agents, Designer and/or Designer's Consultants and have
been resolved prior to submission of bids. In the event that discrepancies, conflicts, errors, and/or
omissions within the documents have not been resolved, the bidder acknowledges that cost
allowances have been included in the bid for these items. Contractor generated change orders or
requests for additional compensation will not be accepted by the Owner, Owner's Agents, Owner's
Client, Designer, and/or Designer's Consultants with regard to these items.
9.
Attachments to be included with the Bid Form are the Bid Bond covering the project and the Iran
Divestment Act Certification Form
10.
Not used
11. By submission of this bid and signature thereof, the Bidder acknowledges compliance with the
provisions of Tennessee Code Annotated § 50-9-113 (Drug-Free Workplace) enacted by the
General Assembly in the year 2000. The Bidder further agrees to submit a formal certification
thereof prior to commencing work.
12. By submission of this bid and signature thereof, the Bidder acknowledges compliance with the
provisions of Public Chapter No.587 / Senate Bill No. 2048 (Employee Background Check) and
TCA 49-5-406. The Bidder further agrees to submit a formal certification thereof prior to
commencing work.
13. By submission of this bid and signature thereof, the Bidder acknowledges, should they be awarded
a contract, the project will be constructed in compliance with applicable provisions of Federal, State,
and Local law.
14. The Bidder agrees to provide the following information within 48 hours after the bid:
a. Schedule of Values (Refer to Project Manual, Section 01 25 00 - Submittals, Paragraph 1.02 -
Submittals for information required). Note, Division 1 sections of the project manual shall be
included with the line item for "General Conditions"
15. By submission of this bid and signature thereof, the Bidder acknowledges compliance with the
provisions of Tennessee Code Annotated §§ 12-12-101 -12-12-113 (Iran Divestment Act) enacted
by the General Assembly in the year 2016. The Bidder shall include the certification within the bid
envelope.
16. By submission of this bid and signature thereof, the Bidder acknowledges that complete sets of
Bidding Documents including issued Addenda have been utilized in compiling the Bid.
17. By submission of this bid and signature thereof, the Bidder acknowledges compliance with the
provisions of Tennessee Code Annotated §§ 12-4-119 (Boycott of Israel Act) enacted by the
General Assembly in the year 2022. The Bidder shall include the certification within the bid
envelope
RECEIPT OF DRAWINGS:
Receipt is acknowledged of the Drawings and Project Manual identified by Commission No. 2906-23
dated April 26, 2023; and addenda and supplementary drawings listed under "Addenda Receipt"
attached.
FIRM NAME Porter Roofing Contractor's Inc.
STATE OF INCORPORATION TN
BY
Eric Cason
TITLE
President
05/23/2023
Date
OFFICIAL ADDRESS AND TELEPHONE:
9057 Manchester Hwy
Morrison TN 37357
Telephone: 931-668-2298
Note: If by a corporation, this bid must have the signature required by its bylaws.
ADDENDA RECEIPT: (List addenda and supplementary drawings and the date received).
Title
Date Received
BID SECURITY:
Security in the sum of
5% of base bid amount
Dollars
($
), is submitted herewith.
AIA®
Document A310 - 2010
Bid Bond
CONTRACTOR:
SURETY:
(Name, legal status and address)
(Name, legal status and principal place of
business)
Porter Roofing Contractors Inc.
ADDITIONS AND DELETIONS:
Great American Insurance Company
9057 Manchester Highway
The author of this document has
301 East 4th Street
Morrison, TN 37357
added information needed for its
Cincinnati, OH 45202
completion, The author may also
OWNER:
have revised the text of the original
(Name, legal status and address)
AIA standard form. An Additions and
Hickman County Schools
Deletions Report that notes added
information as well as revisions to
115 Murphree Avenue
the standard form text is available
Centerville, TN 37033
from the author and should be
BOND AMOUNT: $ 5% (FIVE PERCENT OF BID)
reviewed. A vertical line in the left
margin of this document indicates
PROJECT: No. 82210-A
where the author has added
(Name, location or address, and Project number, if any)
necessary information and where
the author has added to or deleted
Two Schools Partial Re-Roof - Centerville Intermediate School and East Hickman Intermediate
from the original AIA text.
School
This document has important legal
consequences. Consultation with an
The Contractor and Surety are bound to the Owner in the amount set forth above, for the
attorney is encouraged with respect
payment of which the Contractor and Surety bind themselves, their heirs, executors,
to its completion or modification.
administrators, successors and assigns, jointly and severally, as provided herein. The
conditions of this Bond are such that if the Owner accepts the bid of the Contractor within
Any singular reference to
the time specified in the bid documents, or within such time period as may be agreed to by
Contractor, Surety, Owner or other
the Owner and Contractor, and the Contractor either (1) enters into a contract with the
party shall be considered plural
Owner in accordance with the terms of such bid, and gives such bond or bonds as may be
where applicable.
specified in the bidding or Contract Documents, with a surety admitted in the jurisdiction
of the Project and otherwise acceptable to the Owner, for the faithful performance of such
Contract and for the prompt payment of labor and material furnished in the prosecution
thereof; or (2) pays to the Owner the difference, not to exceed the amount of this Bond,
between the amount specified in said bid and such larger amount for which the Owner
may in good faith contract with another party to perform the work covered by said bid,
then this obligation shall be null and void, otherwise to remain in full force and effect.
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. Waiver of notice by the Surety
shall not apply to any extension exceeding sixty (60) days in the aggregate beyond the
time for acceptance of bids specified in the bid documents, and the Owner and Contractor
shall obtain the Surety's consent for an extension beyond sixty (60) days.
If this Bond is issued in connection with a subcontractor's bid to a Contractor, the term
Contractor in this Bond shall be deemed to be Subcontractor and the term Owner shall be
deemed to be Contractor.
When this Bond has been furnished to comply with a statutory or other legal requirement
in the location of the Project, any provision in this Bond conflicting with said statutory or
legal requirement shall be deemed deleted herefrom and provisions conforming to such
statutory or other legal requirement shall be deemed incorporated herein. When so
AIA Document A310- - 2010 Copyright © 1963, 1970 and 2010 by The American Institute of Architects. All rights reserved The "American Institute of
Init.
Architects," 'AIA," the AIA Logo, and "AIA Contract Documents" are registered trademarks and may not be used without permission This document was
1
produced by AIA software at 10:11:34 ET on 02/24/2022 under Order No.6065130034 which expires on 09/07/2022, is not for resale, is licensed for one-time use
1
only, and may only be used in accordance with the AIA Contract Documents Terms of Service To report copyright violations, e-mail copyright@aia.org.
User Notes:
(3B9ADA24)
furnished, the intent is that this Bond shall be construed as a statutory bond and not as a common law
Signed and sealed this 25th day of May, 2023
Knistie Elkis
Eh Porter Rooling Contractors Inc.
(Contractor as Principal)
bond. (Seat) PORTER TENNESSEE 1978 ONE
(Witness)
(Title)
Great American Insurance Company
(Surety)
(Seal)
Auga Slow
(Witness)
Kimberly Allewant
(Title) Kimberly Stewart, Attorney-in-Fact
AIA Document A310- - 2010 Copyright C 1963, 1970 and 2010 by The American Institute of Architects. All rights reserved. The "American Institute of
Init.
Architects," "AIA," the AIA Logo, and "AIA Contract Documents" are registered trademarks and may not be used without permission. This document was
2
produced by AIA software at 10:11:34 ET on 02/24/2022 under Order No. 6065130034 which expires on 09/07/2022. is not for resale, is licensed for one-time use
/
only, and may only be used in accordance with the AIA Contract Documents Terms of Service To report copyright violations, e-mail copyright@aia.org
User Notes:
(3B9ADA24)
GREAT AMERICAN INSURANCE COMPANY®
Administrative Office: 301 E 4TH STREET
CINCINNATI, OHIO 45202
513-369-5000
FAX 513-723-2740
The number of persons authorized by
this power of attorney is not more than
NINE
No. 0 20738
POWER OF ATTORNEY
KNOW ALL MEN BY THESE PRESENTS: That the GREAT AMERICAN INSURANCE COMPANY, a corporation organized and existing under
and by virtue of the laws of the State of Ohio, does hereby nominate, constitute and appoint the person or persons named below, each individually if more than
one is named, its true and lawful attorney-in-fact, for it and in its name, place and stead to execute on behalf of the said Company, as surety, any and all bonds,
undertakings and contracts of suretyship, or other written obligations in the nature thereof; provided that the liability of the said Company on any such bond,
undertaking or contract of suretyship executed under this authority shall not exceed the limit stated below
Name
Address
Limit of Power
ALLEN F. CARTER
WILLIAM CULLEN TREW
ALL OF
ALL
MARION WALKER BOYD
JAMES R. GOGDILL
ATHENS, TENNESSEE
$100,000,000
MARIE D. McDONALD
ELIZABETH MAYS
KIMBERLY STEWART
SARAH WHATLEY
MELISSA BRYSON
This Power of Attorney revokes all previous powers issued on behalf of the attorney(s)-in-fact named above
IN WITNESS WHEREOF the GREAT AMERICAN INSURANCE COMPANY has caused these presents to be signed and attested by its appropriate
officers and its corporate seal hereunto affixed this
12TH
day of
AUGUST
2019
Attest
GREAT AMERICAN INSURANCE COMPANY
Mink Vicio
Assistant Secretary
Divisional Senior Vice President
STATE OF OHIO, COUNTY OF HAMILTON - SS:
MARK VICARIO (877-377-2405)
On this
12TH
day of
AUGUST
2019 before me personally appeared MARK VICARIO, to me known,
being duly sworn, deposcs and says that he resides in Cincinnati, Ohio, that he is a Divisional Senior Vice President of the Bond Division of Great American
Insurance Company. the Company described in and which executed the above instrument: that he knows the seal of the said Company; that the seal affixed to the
said instrument is such corporate seal; that it was so affixed by authority of his office under the By-Laws of said Company, and that he signed his name thereto
by like authority
Susan A. Kohorst
Notary Public, State of Ohio
Susan a Kohoust
My Commission Expires 05-18-2020
This Power of Attorney is granted by authority of the following resolutions adopted by the Board of Directors of Great American Insurance Company
by unanimous written consent dated June 9, 2008
RESOLVED: That the Divisional President, the several Divisional Senior Vice Presidents, Divisional Vice Presidents and Divisonal Assistant Vice
Presidents, or any one of them, be and hereby IS authorized, from time to time, to appoint one or more Attorneys-in-Fact to execute on behalf of the Company,
as surety, any and all bonds, undertakings and contracts of suretyship, or other written obligations in the nature thereof; to prescribe their respective duties and
the respective lunits of their authority: and to revoke any such appointment at any time
RESOLVED FURTHER That the Company seal and the signature of any of the aforesand officers and any Secretary or Assistant Secretary of the
Company may be affixed by facsinule to any power of attorney or certificate of either given for the execution of any bond, undertaking, contract of suretyship.
or other written obligation in the nature thereof. such signature and seal when so used being hereby adopted by the Company as the original signature of such
officer and the original seal of the Company, to be valid and binding upon the Company with the same force and effect as though manually affixed.
CERTIFICATION
I, STEPHEN C BERAHA, Assistant Secretary of Great American Insurance Company, do hereby certify that the foregoing Power of Attorney and
the Resolutions of the Board of Directors of June 9, 2008 have not been revoked and are now in full force and effect
Signed and sealed this
25th
day of
May
2023
Assistant Secretary
S1029AG (07/18)
PORTROO-01
CABAN1
ACORD
DATE (MM/DD/YYYY)
CERTIFICATE OF LIABILITY INSURANCE
5/12/2023
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 have ADDITIONAL INSURED provisions or 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).
CONTACT
PRODUCER
NAME:
Athens Insurance
(A/C, PHONE No, Ext): (423) 745-3062
FAX (A/C, No): (423) 745-8888
110 W. Washington Avenue
E-MAIL
Athens, TN 37303
ADDRESS:
INSURER(S) AFFORDING COVERAGE
NAIC #
INSURER A : State Auto Insurance Co.
25127
INSURED
INSURER B : Builders Mutual Insurance Co.
10844
Porter Roofing Contractors Inc.
INSURER C : CNA
9057 Manchester Highway
INSURER D :
Morrison, TN 37357
INSURER E :
INSURER F :
COVERAGES
CERTIFICATE NUMBER:
REVISION NUMBER:
THIS IS TO CERTIFY THAT THE POLICIES OF INSURANCE LISTED BELOW HAVE BEEN ISSUED TO THE INSURED NAMED ABOVE FOR THE POLICY PERIOD
INDICATED. NOTWITHSTANDING ANY REQUIREMENT, TERM OR CONDITION OF ANY CONTRACT OR OTHER DOCUMENT WITH RESPECT TO WHICH THIS
CERTIFICATE MAY BE ISSUED OR MAY PERTAIN, THE INSURANCE AFFORDED BY THE POLICIES DESCRIBED HEREIN IS SUBJECT TO ALL THE TERMS,
EXCLUSIONS AND CONDITIONS OF SUCH POLICIES LIMITS SHOWN MAY HAVE BEEN REDUCED BY PAID CLAIMS
INSR
ADDL
SUBR
POLICY EFF
POLICY EXP
LTR
TYPE OF INSURANCE
POLICY NUMBER
LIMITS
INSD
WVD
(MM/DD/YYYY)
(MM/DD/YYYY)
A
COMMERCIAL GENERAL LIABILITY
1,000,000
EACH OCCURRENCE
$
CLAIMS-MADE
OCCUR
PBP289460403
5/1/2024
DAMAGE TO RENTED
5/1/2023
300,000
PREMISES a occurrence)
$
5,000
MED EXP (Any one person)
$
$
1,000,000
PERSONAL & ADV INJURY
$
2,000,000
GEN'L AGGREGATE LIMIT APPLIES PER:
GENERAL AGGREGATE
POLICY
PRO-
LOC
PRODUCTS COMP/OP AGG
$
2,000,000
JECT
OTHER
$
COMBINED SINGLE LIMIT
A
1,000,000
AUTOMOBILE LIABILITY
(Ea accident)
$
ANY AUTO
BAP248152303
5/1/2023
5/1/2024
BODILY INJURY (Per person)
$
OWNED
SCHEDULED
AUTOS ONLY
AUTOS
BODILY INJURY (Per accident)
$
PROPERTY DAMAGE
HIRED
NON-OWNED
AUTOS ONLY
AUTOS ONLY
(Per accident)
$
$
A
UMBRELLA LIAB
OCCUR
$
10,000,000
EACH OCCURRENCE
CLAIMS-MADE
PBP289460403
5/1/2023
5/1/2024
10,000,000
EXCESS LIAB
AGGREGATE
$
DED
RETENTION $
0
$
B
PER
OTH-
WORKERS COMPENSATION
STATUTE
ER
AND EMPLOYERS' LIABILITY
Y/N
WCP1089970
5/1/2023
5/1/2024
1,000,000
ANY PROPRIETOR/PARTNER/EXECUTIVE
EL EACH ACCIDENT
$
OFFICER/MEMBER EXCLUDED?
N
N/A
1,000,000
(Mandatory in NH)
EL DISEASE - EA EMPLOYEE
$
If yes, describe under
1,000,000
DESCRIPTION OF OPERATIONS below
EL DISEASE - POLICY LIMIT
$
B
Workers Comp
WCP1089970
5/1/2023
5/1/2024
FL,LA,MS,TX,OK,CA
1,000,000
C
Errors & Omissions
CEO591913072
8/31/2022
8/31/2023
Occurrence and Agg
2,000,000
DESCRIPTION OF OPERATIONS / LOCATIONS / VEHICLES (ACORD 101, Additional Remarks Schedule, may be attached if more space is required)
Project: Two Schools Partial Re-Roof - Centerville Intermediate School and East Hickman Intermediate School.
CERTIFICATE HOLDER
CANCELLATION
SHOULD ANY OF THE ABOVE DESCRIBED POLICIES BE CANCELLED BEFORE
THE EXPIRATION DATE THEREOF, NOTICE WILL BE DELIVERED IN
Hickman County Schools
ACCORDANCE WITH THE POLICY PROVISIONS.
115 Murphree Avenue
Centerville, TN 37033
AUTHORIZED REPRESENTATIVE
allen Carter
ACORD 25 (2016/03)
© 1988-2015 ACORD CORPORATION. All rights reserved.
The ACORD name and logo are registered marks of ACORD

## Table 1

| KHK | (Principal) (Seal) |
| --- | --- |
| (Witness) SURET) | By: Tom mm (Title) |
| CORPORATE COMPANYS | Western Surety Company |
| nicole Weight SOUTH SEAL DAKOTA | By: Patien A (Surety) (Seal) |
| (Witness) | (Title) Patricia S. Kleehammer, Attorney-in-Fact |

## Table 2

|  | WESTERN SURETY COMPANY SURETY COMPANY any Kasten Larry Kasten. Vice President |
| --- | --- |
| State of South Dakota County of Mimebaha | $5 |

## Table 3

| My commission expires | M. BENT |  |
| --- | --- | --- |
| March 2, 2026 | NOTARY PUBLIC Me SOUTH DANOTA ME | M. Bent |
|  | CERTIFICATE | M. Bent, Notary Public |

## Table 4

| Removal and replacement of existing | Three | Dollars | ($ 3.00 | ) per bd. ft. |
| --- | --- | --- | --- | --- |
| wood nailers |  |  |  |  |
| Removal and replacement of existing | Twelve and 50/100 | Dollars | ($ 12.50 | ) per sq. ft. |
| metal deck Removal and replacement of existing | Three hundred fifty | Dollars | ($ 350.00 | ) per each. |
| overflow scupper |  |  |  |  |
| Removal and replacement of existing wood top plate at parapet walls | Three and 50/100 | Dollars | ($ 3.50 | ) per bd. ft. |

## Table 5

| 1. | Bids will not be withdrawn within the period of 30 calendar days following the opening thereof. |
| --- | --- |
| 2. | If notified of the acceptance of this bid, to execute a contract for the work and deliver to the Owner the performance and payment bond specified, within 10 calendar days after such notification. |
| 3. | That the Work included under the contract shall be substantially completed as follows: |
|  | Centerville Intermediate School within 120 calendar days from issuance of Notice to Proceed. |
|  | East Hickman Intermediate School within 120 calendar days from issuance of Notice to Proceed. |
|  | Liquidated damages in the amount of $500.00 per calendar day shall be imposed on the contractor for every day past the deadline noted above until the project is substantially complete and accepted by the Owner. |
| 4. | That the right is reserved by the Owner to reject any or all bids and to waive any informalities in bids received. |
| 5. | That the Owner shall have the right to accept Bid Packages in any order or combination and to determine the low Bidder on the basis of the sum of the Bid Packages accepted. |
| 6. | No contract is given or implied regarding the project until funding is appropriated, and the Owner has offered a written contract to the contractor and both parties have fully executed the contract. No offer has been made to the contractor until the aforementioned items have transpired. |
| 7. | All reference to Arbitration within the documents is hereby deleted with regard to this project. |
| 8. | The Bidder agrees to furnish for the above sum all necessary materials, equipment, machinery, tools, apparatus, means of transportation and labor necessary to complete the construction of the Work in complete accordance with the shown, noted, described and reasonable intended requirements of the Contract Documents with the definite understanding that no money will be allowed for extra work, except as set forth in the Contract Documents. Additionally, the Bidder agrees, for the above sum, to furnish, without additional compensation, complete, fully functional, and workable systems, as described in the Contract Documents, properly coordinated, as required with other portions of the work. Contractor generated change orders will not be accepted. |
|  | The Bidder agrees that the Bid Documents have been thoroughly reviewed prior to submitting a bid and that discrepancies, conflicts, errors, and/or omissions within the documents have been brought to the attention of the Owner, Owner's Agents, Designer and/or Designer's Consultants and have been resolved prior to submission of bids. In the event that discrepancies, conflicts, errors, and/or omissions within the documents have not been resolved, the bidder acknowledges that cost allowances have been included in the bid for these items. Contractor generated change orders or requests for additional compensation will not be accepted by the Owner, Owner's Agents, Owner's Client, Designer, and/or Designer's Consultants with regard to these items. |
| 9. | Attachments to be included with the Bid Form are the Bid Bond covering the project and the Iran Divestment Act Certification Form |

## Table 6

| Bidder Name: | Foam-Crete, Inc. of Chattanooga |
| --- | --- |
| Bidder Signature: | Tom mill |
| Date of Certification: | MAY 25,2023 |

## Table 7

| Bidder Name: | Foam-Crete, Inc. of Chattanooga |
| --- | --- |
| Bidder Signature: | Tommy milk |
| Date of Certification: | MAN 25,2023 |

## Table 8

| Removal and replacement of existing wood nailers | THRRE + 50/100 | Dollars ($ ($ 3 50 ) per bd. ft. |
| --- | --- | --- |
| Removal and replacement of existing metal deck | Six + 50/100 | Dollars ($ 650, ) per sq. ft. |
| Removal and replacement of existing overflow scupper | THANK | Dollars ($ 350 ) per each. |
| Removal and replacement of existing wood top plate at parapet walls | THREE + 50/100 | Dollars ($ ($ 350 ) per bd. ft. |

## Table 9

|  | TLC Pro Roofing, LLC |
| --- | --- |
| 1 eresa w cliams | (Seal) (Principal) |
| (Wimess) | By: (Title) MANOGER |
|  | Old Republic Surety Company CORPORATE |
| RR | (Surety) (Seal) SEAL |
| (Witness) | By: Andrea Leach 210 reas |
|  | * (Title) Andrea Leach Attorney-in-Fact |

## Table 10

| Kaung Haffner | MEPUBLIC CORPORATE SURETY COMPANY OLD SEAL 1081 | OLD REPUBLIC SURETY COMPANY Our Pulic |
| --- | --- | --- |
| Assistant Secretary |  | President |
| STATE OF WISCONSIN, COUNTY OF WAUKESHA - SS |  |  |

## Table 11

| Bidder Name: | TLC PRO ROOFING LLC |
| --- | --- |
| Bidder Signature: | Marr Williams |
| Date of Certification: | 5/24/23 |

## Table 12

| Bidder Name: | TLC PRO ROOFING LLC |
| --- | --- |
| Bidder Signature: | Rich LBSUE J. WILVIAMS |
| Date of Certification: | 5/24/23 |

## Table 13

| Bidder Name: | Eric Cason |
| --- | --- |
| Bidder Signature: | EL |
| Date of Certification: | 05/23/2023 |

## Table 14

| Bidder Name: | Eric Cason |
| --- | --- |
| Bidder Signature: | Eh |
| Date of Certification: | 05/23/2023 |

## Table 15

| Removal and replacement of existing wood nailers | seven dollars | Dollars ($ 7.00 | ) per bd. ft. |
| --- | --- | --- | --- |
| Removal and replacement of existing | eight dollars and fifty cents | Dollars ($ 8.50 | ) per sq. ft. |
| metal deck Removal and replacement of existing | five hundred | Dollars ($ 500.00 | ) per each. |
| overflow scupper |  |  |  |
| Removal and replacement of existing wood top plate at parapet walls | seven dollars | Dollars ($ 7.00 | ) per bd. ft. |

## Table 16

| 1. | Bids will not be withdrawn within the period of 30 calendar days following the opening thereof. |
| --- | --- |
| 2. | If notified of the acceptance of this bid, to execute a contract for the work and deliver to the Owner the performance and payment bond specified, within 10 calendar days after such notification. |
| 3. | That the Work included under the contract shall be substantially completed as follows: |
|  | Centerville Intermediate School within 120 calendar days from issuance of Notice to Proceed. |
|  | East Hickman Intermediate School within 120 calendar days from issuance of Notice to Proceed. |
|  | Liquidated damages in the amount of $500.00 per calendar day shall be imposed on the contractor for every day past the deadline noted above until the project is substantially complete and accepted by the Owner. |
| 4. | That the right is reserved by the Owner to reject any or all bids and to waive any informalities in bids received. |
| 5. | That the Owner shall have the right to accept Bid Packages in any order or combination and to determine the low Bidder on the basis of the sum of the Bid Packages accepted. |
| 6. | No contract is given or implied regarding the project until funding is appropriated, and the Owner has offered a written contract to the contractor and both parties have fully executed the contract. No offer has been made to the contractor until the aforementioned items have transpired. |
| 7. | All reference to Arbitration within the documents is hereby deleted with regard to this project. |
| 8. | The Bidder agrees to furnish for the above sum all necessary materials, equipment, machinery, tools, apparatus, means of transportation and labor necessary to complete the construction of the Work in complete accordance with the shown, noted, described and reasonable intended requirements of the Contract Documents with the definite understanding that no money will be allowed for extra work, except as set forth in the Contract Documents. Additionally, the Bidder agrees, for the above sum, to furnish, without additional compensation, complete, fully functional, and workable systems, as described in the Contract Documents, properly coordinated, as required with other portions of the work. Contractor generated change orders will not be accepted. |
|  | The Bidder agrees that the Bid Documents have been thoroughly reviewed prior to submitting a bid and that discrepancies, conflicts, errors, and/or omissions within the documents have been brought to the attention of the Owner, Owner's Agents, Designer and/or Designer's Consultants and have been resolved prior to submission of bids. In the event that discrepancies, conflicts, errors, and/or omissions within the documents have not been resolved, the bidder acknowledges that cost allowances have been included in the bid for these items. Contractor generated change orders or requests for additional compensation will not be accepted by the Owner, Owner's Agents, Owner's Client, Designer, and/or Designer's Consultants with regard to these items. |
| 9. | Attachments to be included with the Bid Form are the Bid Bond covering the project and the Iran Divestment Act Certification Form |

## Table 17

|  | Porter Rooling Contractors Inc. |  |
| --- | --- | --- |
| Elkis | Eh (Contractor as Principal) | (Seat) PORTER |

## Table 18

| Knistie |  |  |  |
| --- | --- | --- | --- |
| (Witness) | (Title) |  |  |
|  | Great American Insurance Company |  |  |
| Auga Slow | (Surety) Kimberly Allewant | (Seal) |  |
| (Witness) | (Title) Kimberly Stewart, Attorney-in-Fact |  |  |

## Table 19

| Address | Limit of Power |
| --- | --- |
| ALL OF | ALL |
| ATHENS, TENNESSEE | $100,000,000 |

## Table 20

|  | Name |
| --- | --- |
| ALLEN F. CARTER | WILLIAM CULLEN TREW |
| MARION WALKER BOYD | JAMES R. GOGDILL |
| MARIE D. McDONALD | ELIZABETH MAYS |
| KIMBERLY STEWART MELISSA BRYSON | SARAH WHATLEY |

## Table 21

|  |  |  |
| --- | --- | --- |
|  | INSURER(S) AFFORDING COVERAGE | NAIC # |
| INSURER A : | State Auto Insurance Co. | 25127 |
| INSURER B : | Builders Mutual Insurance Co. | 10844 |
| INSURER C : | CNA |  |
| INSURER D : |  |  |
| INSURER E : |  |  |
| INSURER F : |  |  |

## Table 22

|  | THIS IS TO CERTIFY THAT THE POLICIES INDICATED. NOTWITHSTANDING ANY CERTIFICATE MAY BE ISSUED OR MAY EXCLUSIONS AND CONDITIONS OF SUCH | OF PERTAIN, POLICIES | REQUIREMENT, | INSURANCE LISTED BELOW HAVE TERM OR CONDITION OF THE INSURANCE AFFORDED BY LIMITS SHOWN MAY HAVE BEEN | BEEN ISSUED ANY CONTRACT THE POLICIES REDUCED BY | TO THE INSURED OR OTHER DESCRIBED PAID CLAIMS | NAMED ABOVE FOR DOCUMENT WITH RESPECT HEREIN IS SUBJECT | THE POLICY PERIOD TO WHICH THIS TO ALL THE TERMS, |
| --- | --- | --- | --- | --- | --- | --- | --- | --- |
| INSR LTR | TYPE OF INSURANCE | ADDL INSD | SUBR WVD | POLICY NUMBER | POLICY EFF (MM/DD/YYYY) | POLICY EXP (MM/DD/YYYY) | LIMITS |  |
| A | [X] COMMERCIAL GENERAL LIABILITY |  |  |  |  |  | EACH OCCURRENCE | 1,000,000 $ |
|  | [X] CLAIMS-MADE OCCUR |  |  | PBP289460403 | 5/1/2023 | 5/1/2024 | DAMAGE TO RENTED PREMISES a occurrence) | 300,000 $ |
|  |  |  |  |  |  |  | MED EXP (Any one person) | 5,000 $ |
|  |  |  |  |  |  |  | PERSONAL & ADV INJURY | $ 1,000,000 |
|  | GEN'L AGGREGATE LIMIT APPLIES PER: |  |  |  |  |  | GENERAL AGGREGATE | $ 2,000,000 |
|  | [X] PRO- POLICY JECT LOC |  |  |  |  |  | PRODUCTS COMP/OP AGG | $ 2,000,000 |
|  | OTHER |  |  |  |  |  |  | $ |
| A | AUTOMOBILE LIABILITY |  |  |  |  |  | COMBINED SINGLE LIMIT (Ea accident) | 1,000,000 $ |
|  | [X] ANY AUTO |  |  | BAP248152303 | 5/1/2023 | 5/1/2024 | BODILY INJURY (Per person) | $ |
|  | [X] OWNED SCHEDULED AUTOS ONLY AUTOS |  |  |  |  |  | BODILY INJURY (Per accident) | $ |
|  | [X] [X] HIRED NON-OWNED AUTOS ONLY AUTOS ONLY |  |  |  |  |  | PROPERTY DAMAGE (Per accident) | $ |
|  |  |  |  |  |  |  |  | $ |
| A | [X] UMBRELLA LIAB OCCUR |  |  |  |  |  | EACH OCCURRENCE | $ 10,000,000 |
|  | [X] EXCESS LIAB CLAIMS-MADE |  |  | PBP289460403 | 5/1/2023 | 5/1/2024 | AGGREGATE | 10,000,000 $ |
|  | [X] DED RETENTION $ 0 |  |  |  |  |  |  | $ |
| B | WORKERS COMPENSATION |  |  |  |  |  | [X] PER OTH- STATUTE ER |  |
|  | AND EMPLOYERS' LIABILITY Y/N ANY PROPRIETOR/PARTNER/EXECUTIVE |  |  | WCP1089970 | 5/1/2023 | 5/1/2024 | EL EACH ACCIDENT | $ 1,000,000 |
|  | OFFICER/MEMBER EXCLUDED? N (Mandatory in NH) | N/A |  |  |  |  | EL DISEASE - EA EMPLOYEE | 1,000,000 $ |
|  | If yes, describe under DESCRIPTION OF OPERATIONS below |  |  |  |  |  | EL DISEASE - POLICY LIMIT | 1,000,000 $ |
| B | Workers Comp |  |  | WCP1089970 | 5/1/2023 | 5/1/2024 | FL,LA,MS,TX,OK,CA | 1,000,000 |
| C | Errors & Omissions |  |  | CEO591913072 | 8/31/2022 | 8/31/2023 | Occurrence and Agg | 2,000,000 |