HomeMy WebLinkAbout20010604.tiff CERTIFICATE OF LIABILITY INSURANCE
American Family Insurance Company 0
American Family Mutual Insurance Company if selection box is not checked.
6000 American Pky Madison,Wisconsin 53783-0001
Agents Name,Address and Phone Number(Agt./DIst.) insured's Name and Address:
Gary L Johnson (101-309) Rus Oen Construction
941 Main Street PO Box Z
Longmont, CO 80501 Berthoud, CO 80513-0740
(303)776-9870
This certificate is issued as a matter of Information only and confers no rights upon the Certificate Holder.
This certificate does not amend,extend or alter the coverage afforded by the policies listed below.
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This Is to certify that 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.
POLICY TYPE
TYPE OF INSURANCE POLICY NUMBER Effective Expiration LIMITS OF LIABILITY
(Mo,Day,Yr) JMo,Day,Yr)
Homeowners/ Bodily Injury and Property Damage
Mbbilehomeownors Liability Each Occurrence
Boatowners Liability Bodily Injury and Property Damage --
_ Each Occurrence
Dersonai Umbrella Liability Bodily Injury and Property Damage
Each Occurrence
Farm/Ranch Liability Farm&Personal Liability Each Occurrence
Farm Employer's Liability Each Occurrence
Statutory • . . .
Workers Compensation and 05-X73852 5/7/00 5/7/01 Each Accident 5 100,000
Employers Liability Disease-Each Employee $100,000
Disease•Policy Limit $500,000
General Liability General Aggregate $2,000,000
O Commordal General 05-X73852 5/6/00 5/6/01 Products-Completed Operations Aggregate $2,000,000
Liability(occurrence) Personal and Advertising Injury $1,000,000
O Each Occurrence $ 1,000,000
0 Fire Damage(Any One Fire) $100,000
_ Medical Expense(Any One Person) $5,000
BUSlnessowners Liability Each Occurrence++
Aggregate++
Automobile Liability Bodily Injury-Each Person $100,000
tgi Owned Autos(Basic form) 05-X73852 05/06/00 05/06/01 Bodily injury-Each Accident $300,000
Owned Antos(Comp form) Property Damage $ 100,000
O Hired Autos Bodily Injury&Property Damage Combined $200,000
U Non-owned Autos
p Garage liability
0
Excess Liability
CI Commercial Blanket Excess Each Occurrence/Aggregate
C) _ I
DESCRIPTION OF OPERATIONS/LOCATIONSNEHICLES/RESTRICTIONS/SPECIAL ITEMS •The individual or partners shown es insured have not elected to be
The Southwest Weld County Service Building shall be named as additional insured. covered as employees under ails porky.
•.Products Completed Operations aggregate is equal to each i
occurrence limit and Is included in policy aggregate.
'q..k7)FICATS.:N9.ci4g'8:N6M.g;AN.4°Xd4J3g,S.iii ?r''"ifa� aW, a M� .;i` .l f .i- .. ' .:tl In u�'6AP1:): r�'l4'i:' �''��, .�,+��ii'�u11.1;:f4'ir::1:;).;.,_•.C;,AN-Ot:�t:AT10.11�"..�.�,:� .. ''.I
0 Should any of the above described policies be canceled before the
Southwest Weld County sap,Bldg expiration date thereof,the company will endeavor to mail 9 10 days)written
Pa Box 756 notice to the Certificate Holder named,but failure to mall such notice shall
Greeley,CO ¢0832 impose no obligation or liability of any kind upon the company,Its agents or
Attn.Pat Pereichino
representatives. '10 days unless different number of days shown.
0 This certifies coverage on the date of Issue only. The above described
/� policies are subject to cancellallon in conformity with their terms and by the
1 GNjj, J gAiL , laws of the state of issue.
-"'cam DATE ISSUED AU ORI D EP SENTATIVE
r a?/Qc / 02/16/2001 - , -
U-201 Ed.1186 ORIGINAL-Certificate Holder,COPIES to Services,Insured,A ht
2001-0604
THE AMERICAN INSTITUTE OF ARCHITECTS
Si
Bond#880580P
AIA Document A311
Performance Bond
KNOW ALL MEN BY THESE PRESENTS: that RUS-DEN CONSTRUCTION, INC.
(Here insert full name and address or legal title of Contractor)
307 WELCH AVENUE
BERTHOUD, CO 80513
as Principal, hereinafter called Contractor, and, DEVELOPERS SURETY AND INDEMNITY COMPANY
(Here insert full name and address or legal title of Surety)
7211 S. PEORIA ST, SUITE 290
ENGLEWOOD, CO 80112
as Surety, hereinafter called Surety, are held and firmly bound unto
WELD COUNTY GENERAL SERVICES
915 10TH STREET (Here insert full name and address or legal title of Owner)
GREELEY,CO 80632
as Obligee, hereinafter called Owner, in the amount of Three Million Eight Hundred Forty
Three Thousand Six Hundred Eighty Eight and 00/100 ($3,843,688.00)
for the payment whereof Contractor and Surety bind themselves, their heirs, executors, administrators,
successors and assigns,jointly and severally, firmly by these presents.
WHEREAS,
Contractor has by written agreement dated 2/15/2001, entered into a contract with Owner for
(Here insert full name address and description of project)
South West County Service Building
I.25 Frontage Road and Road 24 1/2
in accordance with Drawings and Specifications prepared by Bley Associates,Architects-Planners, Inc.
2020 Clubhouse Drive, Greeley,CO 80634
(Here insert full name and address or legal tale of Architect)
which contract is by reference made a part hereof, and is hereinafter referred to as the Contract.
AIA DOCUMENT A011 PERFORMANCE BOND AND LABOR AND MATERIAL PAYMENT BOND AIA O 1
FEBRUARY 1970 ED THE AMERICAN INSTITUTE OF ARCHITECTS,1735 N.Y.AVE.,NW.,WASHINGTON,D.C.20006
•
CI
,1,
PERFORMANCE BOND
NOW, THEREFORE, THE CONDITION OF THIS OBLIGATION is such that, if Contractor shall promptly and
faithfully perform said Contract, then this obligation shall be null and void; otherwise it shall remain in full force
and effect.
The Surety hereby waives notice of any alteration or defaults under the contract or contracts of completion
extension of time made by the Owner. arranged under this paragraph)sufficient funds to pay
Whenever Contractor shall be, and declared by the cost of completion less the balance of the contract
Owner to be in default under the Contract the Owner price but not exceeding, including other costs and
having performed Owner's obligations thereunder,the damage for which the Surety may be liable hereunder,
surety may promptly remedy the default,or shall the amount of the contract price", as used in this
promptly paragraph shall mean the toral amount payable by
Owner to Contractor under the contract and any
1) Complete the Contract in accordance with its terms amendments thereto, less the amount properly paid
and conditions,or by owner to Contractor.
Any suit under this bond must be instituted before
2) Obtain a bid or bids for completing the Contract in the expiration of two (2)years from the date on which
accordance with its terms and conditions,and upon de- final payment under the Contract falls due.
termination by Surety of the lowest responsible bidder,
or, if the Owner elects, upon determination by the
Owner and the Surety jointly of the lowest responsible No right of action shall accrue on this bond to or for
bidder, arrange for a contract between such bidder and the use of any person or corporation other than the
Owner, and make available as Work progresses (even Owner named herein or the heirs, executors, adminis-
though there should be a default or a succession of trators, or successors of the Owner.
Signed and sealed this 26th day of February, 2001.
I RUS-D N CONSTRUCTION INC(P [(a
(Title) } _
DEVELOPERS SURETY AND INDEMNITY COMPANY
(Surety) (Seal)
(Witness
1 lA 1p
R.J. Marquardt ��/�/\ l i.'v41�
/es,4
A
Kathryn Y. Bro es,Attor y-in-Fact
AM DOCUMENT A311 PERFORMANCE BOND AND LABOR AND MATERIAL PAYMENT BOND AIAO 2
FEBRUARY 1970 ED THE AMERICAN INSTITUTE OF ARCHITECTS,1735 N.V.AVE.,N.W.,WASHINGTON,D.C. 20006
THE AMERICAN INSTITUTE OF ARCHITECTS
, v J
Bond#880580P
AIA Document A311
Labor and Material Payment Bond
THIS BOND IS ISSUED SIMULTANEOUSLY WITH PERFORMANCE BOND IN FAVOR OF THE
OWNER CONDITIONED ON THE FULL AND FAITHFUL PERFORMANCE OF THE CONTRACT
KNOW ALL MEN BY THESE PRESENTS: that RUS-DEN CONSTRUCTION, INC.
(Here insert full name and address or legal title of Contractor)
307 WELCH AVENUE
BERTHOUD, CO 80513
as Principal, hereinafter called Contractor, and, DEVELOPERS SURETY AND INDEMNITY COMPANY
(Here insert full name and address or legal title of Surety)
7211 S. PEORIA ST,SUITE 290
ENGLEWOOD, CO 80112
as Surety, hereinafter called Surety, are held and firmly bound unto
WELD COUNTY GENERAL SERVICES
915 10TH STREET (Here insert full name and address or legal title of Owner)
GREELEY,CO 80632
as Obligee, hereinafter called Owner,for the use and benefit of claimants as hereinbelow defined, in the
amount of Three Million Eight Hundred Forty Three Thousand Six Hundred
Eighty Eight and 00/1O0 ($3,843,688.00)
(Here insert a sum equal to at least one-half of the contract price)
for the payment whereof Principal and Surety bind themselves, their heirs, executors, administrators,
successors and assigns,jointly and severally,firmly by these presents.
WHEREAS,
Principal has by written agreement dated 2/15/2001 entered into a contract with Owner for
(Here insert full name address and description of project)
South West County Service Building
1-25 Frontage Road and Road 241/2
in accordance with Drawings and Specifications prepared by Bley Associates,Architects -Planners, Inc.
2020 Clubhouse Drive,Greeley, CO 80634
(Here insert full name and address or legal title of Architect)
which contract is by reference made a part hereof, and is hereinafter referred to as the Contract.
AIA DOCUMENT A311 PERFORMANCE BOND AND LABOR AND MATERIAL PAYMENT BOND AIA O 3
FEBRUARY 1970 ED THE AMERICAN INSTITUTE OF ARCHITECTS,1735 N.V.AVE.,N.W.,WASHINGTON,D.C. 20006
LABOR AND MATERIAL PAYMENT BOND
NOW, THEREFORE, THE CONDITION OF THIS OBLIGATION is such that, if Principal shall promptly make
payment to all claimants as hereinafter defined, for all labor and material used or reasonably required for use in
the performance of the Contract, then this obligation shall be void; otherwise it shall remain in full force and
effect, subject, however, to the following conditions:
1. A claimant is defined as one having a direct con- party to whom materials were furnished,or for whom
tract with the Principal or with a Subcontractor of the the work or labor was done or performed. Such notice
Principal for labor, material,or both, used or reasonably shall be served by mailing the same by registered mail
required for use in the performance of the Contract, or certified mail; postage prepaid, in an envelope
labor and material being construed to include that part addressed to the Principal, Owner or Surety, at any
of water,gas, power, light, heat,oil, gasoline,telephone place where an office is regularly maintained for the
service or rental of equipment directly applicable to the transaction of business,or served in any state in
Contract. any manner in which legal process may be served
in the state in which the aforesaid project is located,
2. The above named Principal and Surety hereby save that such service need not be made by a
jointly and severally agree with the Owner that every public officer.
claimant as herein defined,who has not been paid in
full before the expiration of a period of ninety(90) b) After the expiration of one (1)year following
days after the date on which the last of such claimant's the date on which Principal ceased Work on
work or labor was done or performed, or materials were said Contract, it being understood, however,that
furnished by such claimant, may sue on this bond for the if any limitation embodied in this bond is prohibited
use of such claimant, prosecute the suit to final judgment by any law controlling the construction hereof such
for such sum or sums as may be justly due claimant limitation shall be deemed to be amended so as to be
and have execution thereon.The Owner shall not be equal to the minimum period of limitation permitted
liable for payment of any costs or expenses of any such by such law.
suit.
c) Other than in a state court of competent for the
3. No suit or action shall be commenced hereunder by jurisdiction in and for the county or other political
any claimant: subdivision of the state in which the Project,or
any part thereof, is situated, or in the United States
a) Unless claimant, other that one having a direct District Court for the district in which the project or
contract with the Principal, shall have given written any part thereof is situated, and not elsewhere.
notice to any two of the following:the Principal,the
Owner,or the Surety above named,within (90)day 4. The amount of this bond shall be reduced by
after such claimant did or performed the last of the and to the extent of any payment or payments
work or labor, or furnished the las of the materials made in good faith hereunder, inclusive of the
for which said claim is made,stating with substantial payment by Surety of mechanic's liens which
accuracy the amount claimed and the name of the may be filed of record against said improvements
whether or not claim for the amount of such lien
be presented under and against this bond.
Signed and sealed this 26th day of February,
2001.
I
RUSH CONSTRUCTION, INC.
(Pr nci I / Sepl)
1Sc�..�, t1 x;
(V ess)
(Title) ST5L-h-•�
DEVELOPERS SURETY AND INDEMNITY COMPANY
(Surety) (Seal)
lam ' �\C ', `� '�,:����
(Witness) -71* 6�I `rtZyXJ ri
R.J. Marquardt
(Title)
Kathryn Y. B yles,Aft ey-in-Fact
AIADOCUMENT A311 PERFORMANCE BOND AND LABOR AND MATERIAL PAYMENT BOND AIM 4
FEBRUARY 1970 ED THE AMERICAN INSTITUTE OF ARCHITECTS,1735 N.Y.AVE.,N.W.,WASHINGTON,D.C. 20006
POWER OF ATTORNEY FOR
DEVELOPERS SURETY AND INDEMNITY COMPANY
INDEMNITY COMPANY OF CALIFORNIA
PO BOX 19725,IRVINE,CA 92623•(949)263-3300
KNOW ALL MEN BY THESE PRESENTS, that except as expressly limited, DEVELOPERS SURETY AND INDEMNITY COMPANY and INDEMNITY COMPANY
OF CALIFORNIA,do each severally,but not jointly,hereby make,constitute and appoint:
***JEFFREY L. BROYLES, KATHRYN Y. BROYLES, RENEE STEIN, RAE L. CAMPBELL,
MICHAEL D. PIERCE, LAWRENCE E. LUTGEN, MARY M. POWELL, JOAN DELAUDER,
JOINTLY OR SEVERALLY***
as the true and lawful Attorney(s)-in-Fact,to make,execute,deliver and acknowledge, for and on behalf of said corporations as sureties,bonds,undertakings and contracts
of suretyship giving and granting unto said Attomey(s)-in-Fact full power and authority to do and to perl'onn every act necessary, requisite or proper to be done in
connection therewith as each of said corporations could do.but reserving to each of said corporations full power of substitution and revocation,and all of the acts of said
Attorney(s)-in-Fact,pursuant to these presents.arc hereby ratified and confirmed.
This Power of Attorney is granted and is signed by facsimile under and by authority of the following resolutions adopted by the respective Board of Directors of
DEVELOPERS SURETY AND INDEMNITY COMPANY and INDEMNITY COMPANY OF CALIFORNIA,effective as of November I,2000:
RESOLVED,that the Chairman of the Board,the President and any Vice President of the corporation be,and that each of them hereby is,authorized to execute Powers of
Attorney,qualifying the attorney(s)named in the Powers of Attomcy to execute,on behalf of the corporations,bonds,undertakings and contracts of suretyship;and that the
Secretary or any Assistant Secretary of the corporations be,and each of them hereby is,authorized to attest the execution of any such Power of Attorney;
RESOLVED, FURTHER,that the signatures of such officers may be affixed to any such Power of Attorney or to any certificate relating thereto by facsimile,and any such
Power of Attorney or certificate bearing such facsimile signatures shall be valid and binding upon the corporation when so affixed and in the future with respect to any bond,
undertaking or contract of suretyship to which it is attached.
IN WITNESS WHEREOF, DEVELOPERS SURETY AND INDEMNITY COMPANY and INDEMNITY COMPANY OF CALIFORNIA have severally caused these
presents to be signed by their respective Executive Vice President and attested by their respective Secretary this 8"day of November.2000.
AN
By:David H.Rhodes,Executive Vice President `°QESx,�.,P D�NOF AGOM�POR O'°c
_wso) SEAL :<I w OCT.5
vVl Sot 1936 O? Z
B Walter A.Crowell, Secretary 1°N in‘ lab/
, ektFoi#
p"• ...*..•• *
STATE OF CALIFORNIA )
)SS.
COUNTY OF ORANGE
On November 8,2000,before me,Diane.I.Kawata,personally appeared David H.Rhodes and Walter A.Crowell,personally known to me(or proved to me on the basis of
satisfactory evidence) to be the persons whose names are subscribed to the within instrument and acknowledged to me that they executed the same in their authorized
capacities,and that by their signatures on the instrument the entity upon behalf of which the persons acted,executed the instrument.
WITNESS my hand and official seal.
OWNS J.KAWATA
-�{/�/(�, . •I t1iIN COMM.#1167928 a
4(O)-k, Y •'� � of i�j1 ORAUGEIXIAN0TARY PUBLIC- IF0RNIA ESignature ___.._.`. l �+.a. � My Cantu EVE.Jan.8,20021
\J CERTIFICATE
The undersigned, as Chief Operating Officer of DEVELOPERS SURETY AND INDEMNITY COMPANY and INDEMNITY COMPANY OF CALIFORNIA, does
hereby certify that the foregoing Power of Attorney remains in full force anti has not been revoked,and furthermore,that the provisions of the resolutions of the respective
Boards of Directors of said corporations set forth in the Power of AttorneyA are in force as of the date of this Certificate.
This Certificate is executed in the City of Irvine,California,the 26th day of February , 2001 ,
By
mod. J �
David G.Lane.Chief Operating Officer
11)-I 380(I VOID
ISSUED IN QUADRUPLET
•
CERTIFICATE OF REINSURANCE NO. 249
SCHEDULE OF REINSURANCE
REINSURANCE TREATY REINSURANCE
PERCENTAGE OF PARTICIPATION
American Re-Insurance Company
555 College Road East, P.O. Box 5241 87%
Princeton, NJ 08543
Whereby a percentage participation(shown above)of the liability assumed by Developers Surety and
Indemnity Canpany under the below-described bond(s)is reinsured by of the reinsurance company shown
in the Schedule of Reinsurance:
PRINCIPAL: Rus-Den Construction, Inc.
ADDRESS: 307 Welch Avenue, P.O. Box Z, Berthoud, CO 80513
OBLIGEE: Weld County General Services
BOND NO: 880580P
BOND AMOUNT: S 3,843,688.00 EFFECTIVE DATE: February 26, 2001
COVERING: South West County Service Building at I-25 Frontage Road and Road 24 1/2
Subject to the terms of said agreement.
IN WITNESS WHEREOF,we have issued this Certificate this 26thday of February ,2031 .
AMERICAN RE-IN RA CE COM$iY
BY: >t1 •
Al r o Paez Attorney-in-Fact
Issuance of the foregoing certificate creates no direct obligation on the part of American Re-Insurance Company to any third party,including but
not limited to the obligee or obligees under the above-described bond or bonds, nor does issuance of such certificate create any direct right of
action by any third party,including but not limited to the obligee or obligees under the above-described bond or bonds,against American Re-
Insurance Company.
I0.10R5 WOO MSOFFICEUULLERICet s MRe Orly
CERTIFIED COPY POWER OF ATTORNEY
KNOW ALL MEN BY THESE PRESENTS:That AMERICAN RE-INSURANCE COMPANY,a corporation of the State of Delaware,with offices at 555 College Road
East,Princeton,N.J.08543,has made,constituted and appointed,and by these presents,does make,constitute and appoint
William J. Koshewa Jr. , Alberto Paez
its true and lawful Attorney .8... -in-Fact,at ...Aurora in the State of Colorado
each of them alone to have full power to act without the other or others,
to make,execute and deliver on its behalf,as Surety or Co-surety,bonds and undertakings given for any and all purposes,also to execute and deliver on its behalf as
aforesaid renewals,extensions, agreements,waivers, consents or stipulations relating to such bonds or undertakings provided, however,that no single bond or
undertaking so made,executed and delivered shall obligate said Company for any portion of the penal sum thereof in excess of the sum of
Unlimited Dollars($ Unlimited )
Such bonds and undertakings for said purposes,when duly executed by said Attorney(s)-in-Fact,shall be binding upon said Company as fully and to the
same extent as if signed by the President of said Company under its corporate seal attested by its Secretary.
This appointment is made under and by authority of a certain Resolution adopted at a meeting of the Board of Directors of said Company duly held on the
27th day of August, 1975,a copy of which appears below.
This Power of Attorney shall expire and all authority hereunder shall terminate without notice at midnight(Standard Time where said Attorney(s)-in-Fact is
autnor)zed to act)oft 1i. June 30 ,lac..2001.
In Witness Whereof,AMERICAN RE-INSURANCE COMPANY has caused these presents to be signed by its President or one of its Vice-Presidents thereunto
duty'authorized,and its corporate seal to be hereunto affixed and attested by its Secretary or one of its Assistant Secretaries,this . .18th
, Gay of -'June , 19 98 ,at Princeton,N.J.
(Corporate Seal) • -
AMERICAN RE-INSURANCE COMPANY
X06 1$17, By ......0....i.,_ C.
S�.�...v
Attest
Robert K. Burgess, Secretary George C.Barone,Vice-President
STATE OF NEW JERSEY
COUNTY OF MIDDLESEX ss.:
On the 18th day of June , 19 9$ ,before me personally came
George C. Barone to me known,who being by me duly sworn,
Princeton Junction,New Jersey
did depose and say that he resides in
that he is a Vice-President of AMERICAN RE-INSURANCE COMPANY,the Corporation described in and which executed the above instrument:that he knows the seal of
said Corporation,that the seal affixed to said instrument is such corporate seal;that it was so affixed by order of the Board irectors of said Corporation,and that
he signed his name thereto by like order. /{y�
(Notarial Seal) �/
Linda Newman,Notary Public
CERTIFICATE
STATE OF NEW JERSEY
COUNTY OF MIDDLESEX ss.:
The undersigned Robert K. Burgess hereby certifies:
1. That the undersigned is Secretary or Assistant Secretary of AMERICAN RE-INSURANCE COMPANY,a corporation of the State of Delaware;
2. That the original power of attorney of which the foregoing is a copy was duly executed on behalf of said Corporation on the day of its date,and has not
since been revoked,amended or modified;that the undersigned has compared the foregoing copy thereof with said original power of attorney,and that the same is a
true and correct copy of said original power of attorney and of the whole thereof;
3. That the original resolution of which the following is a copy was duly adopted at, and recorded in the minutes of,a regular meeting of the Board of
Directors of said Corporation duly held on August 27,1975,and has not since been revoked,amended or modified.
"RESOLVED that each of the following officers of this Company,namely,the President,the Executive Vice President,the Senior Vice Presidents,and the
Vice Presidents,be,and he hereby is,authorized,from time to time in his discretion,to appoint such agent or agents or attorney or attorneys-in-fact as deemed by
him necessary or desirable for the purpose of carrying on this Company's business,and to empower such agent or agents or attorney or attorneys-in-fact to execute
and deliver,in this Company's name and on its behalf,and under its seal or otherwise, bonds,obligations and recognizances,whether made by this Company as
surety thereon or otherwise,indemnity contracts,reinsurance treaties,contracts and certificates,and any and all other contracts and undertakings made in the
course of this Company's insurance and reinsurance business, and renewals, extensions, agreements, waivers, consents or stipulations renewing, extending,
amending,supplementing,reinstating or cancelling contracts or undertakings so made,or approving or consenting to the modification,alteration or assignment of
agreements or specifications referred to in contracts or undertakings so made."
4. That the original resolution of which the following is a copy was duly adopted at,and recorded in the minutes of,a regular meeting of the Executive
Commiteee of the Board of Directors of said Corporation duly held the first day of October,1970,and has not since been revoked,amended or modified:
"Resolved,that the signature of any authorized officer of the Company and the Company seal may be affixed by facsimile to any power of attorney and
revocation of any power of attorney or certificate of either given for the execution of any surety bond,surety undertaking,or surety contract,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 Company,to be valid and binding upon the
Companywith,the same force and effect as though manually affixed."
^ `S.'The undersigned has compared the foregoing copies of said original resolutions as so recorded.and they are the same true and correct copies of said
prigmal resolutions as Sp, recorded and of the whole thereof.
` Witness the hand of the undersigned and the seal of said Corporation this 26th day of
c
Y February �v6¢ �9t.+�
x ..2001
`,4''",,.. - . Corporate Seal) Robert K. Burgess, Secretary
2779 ID
GP 0026 Rev.4/95 A.W.V.•4/95
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