HomeMy WebLinkAboutTerry ContractingGREGORY F. YAKABOSKI
TOWN ATTORNEY
MARY C. WILSON
ASSISTANT TOWN ATTORNEY
JOSHUA Y. HORTON
Supervisor
Town HaLl, 53095 Route 25
P.O. Box 1t79
Southold, New York 11971-0959
Telephone (63D 765-1889
e-marl:
~e g,yakab _osk/~v,,rown.southol~
ma~.w~mw~ southotd.nvx~
OFFICE OF TIlE TOWN ATTORNEY
TOWN OF SOUTHOLD
Memorandum
To:
Elizabeth A. Neville
Town Clerk
From:
Mary C. Wilson, Esq.
Assistant Town Attorney
Date: Jan'uaw 2, 2002
Re:
Terry Contracting and Materials, Inc. w/Town of Southold
Betty:
Attached, please find the following:
· Certified copy of resolution #825 of 2001 adopted December 4, 2001
· Three (3) copies of agreement between the Town of Southold and Terry
Contracting and Materials, Inc. dated November 2001
· Original Performance Bond dated December 11, 2001
Kindly distribute the contracts as suggested by the engineers at H2M Group ~n their letter
dated December 5, 2001 (copy included). Please note that I have retained a copy for the
Town Attorney's file and Mr. Terry kept one for himself.
Thank you.
Mary
/md
encs.
December 5, 2001
Gregory F. Yakaboski, Esq.
Town Attorney
Town of Son[hold
53095 Main Road
Sou[hold, New York 11971
Holzmacher, McLendon & Murrell, PiC. · H2M Associates, Inc.
H2M Labs, Inc. · H2M Construction Management, Inc.
575 Broad Hollow Road. Melville, New York 11747
(631) 756-8000, Fa>c (631) 6944122
e-mail: h2m@h2m.com
web: www. h2m.com
Re:
Soutliold Solid Waste District
Yard Waste Composting Facility
Conformed Contracts
SOHT 01-01
Dear Mr. Yakabowski:
Enclosed are five (5) copies of [he conformed contracts for [he above referenced project. The bids for [he
project were opened on November 29, 2001 and [he Town Board awarded [he project to [he lowest
responsible bidder on December 4, 2001. After execution by Supervisor Cochran and the contractor, we
suggest distribution of [he copies as follows:
2.
3.
4.
5.
Town Attorney's Office
Town Clerk's Office
Solid Waste Coordinator James Bunchuck
Holzlnacher, McLendon & Murrell, P.C.
Terry Contracting & Materials. Inc.
The contract documents include [he total lump sum bid of $321.000.00. The contact person for [he
contractor is Bob Terry, President ar (631j 727-0170. Please call me at 756-8000, Exension 1610 if you
have any questions concerning thig letter.
Very truly yours.
HOLZMACHFR, McLENDON & MURRELL, P.C.
George W. Desmarais, P.E.
GWD:hap
Enclosures
CC;
Supervisor Jean W. Cochran
Town Board
Elizabeth A. Neville
James Btmchuck
P:\GVvI~\g~1205.doc
TOWN A,,,T~OI:tNEY'S OFFICE
TOWN OF sOUTFtOLD
ELIZABETH A. i~EVILLE
TOWN CLERK
REGISTRAR O~ VITAL STATISTICS
MARRIAGE OFFICER
RECOP~DS MANAGEMENT OFFICEI~
FREEDOM OF II'rFO RMATtON OFFICER
Town Hall. 53095 Main Road
P.O. Box 1179
Southold, New York 11971
Fax (631) 765~6145
Telephone (631) 765-1800
sou~holdt own.nor thfork.net
OFFICE OF THE TOWN CLERK
TOWN OF SOUTHOLD
THIS IS TO CERTIFY THAT THE FOLLOWING RESOLUTION NO~ 825 OF 2001
THE ~REGULAR MEETING OF THE SOUTHOLD TOWN BOARD
RESOLVED that the Town Board of the Tovo~ of Southold hereby accepts the bid of Ter~.
Contra~g and Materials, Inc., Riverhead~ NY in the amount bf $321,006.00 for the
deyelopment ora compost~site on land adjacent to the Southold Landfill, as. per specifications for
same develop/ed by the Town, and be it
Further RESOLVED that thc Town Board authorizes and directs Supervisor Jean Cochran
to execute a contract with Terry Contracting for development of the compost site, subject to
review and approval o£the Town Attorney and the Solid Waste Coordinator.
Elizabeth A. Neville
Southold Town Clerk
THE AMERICAN INSTITUTE OF ARCHITECTS
AIA Document A311
Performance Bond
BONDNO:3SE994753
KNOW ALL MEN BY THESE PRESENTS: that
TERRY CONTRACTING & MATERIALS, INC.
840 W. MAiN STREET, RIVERHEAD, NY 11901
as Principal, hereinafter called Contractor, and,
AMERICAN MANUFACTURERS MUTUAL INSURANCE COMPANY
1 KEMPER DRIVE, LONG GROVE, IL 60049-0001
as Surety, hereinafter called Surety, are held and firmly bound unto
TOWN OF SOUTHOLD - TOWN OF SOUTHOLD
53095 MAIN ROAD
SOUTHOLD NEWYORK 11971
as Obligee, here nafter called Owner, in the amount of
**THREE HUNDRED TWENTY ONE THOUSAND AND 00/100 Dollars (S *'321,000.00'* ),
DOLLARS **
for the payment whereof Contractor and Surety bind themselves, their heirs, e~ecutors, administrators,
successors and assigns, jointly and severally, firmly by these presents.
WHEREAS,
Contractor has by written agreement datecDECEMBER ll, 200119XX, entered into a contract with Owner for
SOLID WASTE DISTRICT YARD WASTE COMPOSTING FACILITY
(10 ACRES OF SITE PREP TO CREATE 1' THICK STONE PAD
in accordance with Drawings and Specifications prepared by
N/A
which contract is by reference made a part hereof, and is hereinafter referred to as the Contract.
1
PERFORMANCE BOND
HOW. THEREFORE. THE CONDITION OF THIS OBLIGATION is such that, if Contractor shaft promptly and faithfully perform
smd Contract, then this obliganon shall be null and void: otherwise it shall remain in full force and effect.
The Surety hereby waives notice of any alteration or
extension of time made by the Owner.
Whenever Contractor shall be. and declared by Owner
to be in defaplt u.nder the Contract. the Owner having
performed Owners obligations thereunder, the Surety
may promptly 'remedy the default, or shall promptly
1) Complete the Contract in accordance with its terms
and conditions, or
2) Obtain a bid or bids for completing the Contract in
,ts terms and conditions, and upon de-
( Surety of the lowest resoonsible bidder.
upon determination by the
of the lowest responsible
such bidder and
¢ [ (even
a default succession of
defaults under the contract or contract~, of completion
arranged under this paragraph) sufficient funds tn pay the
cost of completion less the balance of the conlract price;
but not exceeding, including other costs and damages
for which the Surety may be hable hereunder, the amount
set forth in the first para§raph hereof. The term,.'balance
of the contract price," as used in. this paragraph, shall
mean the total amount payable by Owner to Contractor
under the Contract and any amendments thereto, less
the amount property paid by Owner to Contraclor.
Any suit under th~s bond n'ms.~, be Jns!~tu~ed before
the expiration o~ two (2l ye~afs from. the date on which
final payment un~er U~e iContract fali~ ~Jue.
No to or for
the r than the
Owner adminis-
Signed and sealed this 11th
day of DECEMBER 19 2001
TERRY CONTRACT]D~G & MATERIALS, INC.
/
GLENN GLUBIAK, ATTORNEY-IN-FACT
2
ACKNOWLEDGMENT OF CONTRACTOR/PRINCIPAL
IF A CORPORATION
STATE OF NEW YORK
COUNTY OF
)
) SS.:
)
On the day of
came
and say that he resides in
of
in the year 2001 before me personally
to me known, who being by me duly sworn, did depose
; that he is the
· the corporation
described in and which executed the above instmmeng and that he signed his name thereto by authority of
the board of directors of said corporation.
NOTARY PUBLIC
ACKNOWLEDGMENT OF SURETY
STATE OF NEW YORK
COUNTY OF SUFFOLK
)
) SS.:
)
On the 1 lth day of DECEIVlBER
in the year 2001, before me personally came
GLENN GLUBIAK
to me known, who, being duly sworn, did depose and say that he
resides atCOMMACK, NEWYORK
, that he the Attorney-In-Fact of
AMERICAN MANUFACTURERS MLrI~AL INSURANCE COMPANY
the corporation described in and which executed the above instrument; and that he signed his name thereto
by order of the beard of directors of said corporation.
JENNIFER L PRINCIPIO
~lotary Public, State of New York
No. O1PRSO17514
Ouelified in Suffolk County
COmmissiOn Expires Sept 7 0~'
BLIC
I 'emPeR.
Home Office: Leng~reve, '1L,~60049
POWER OF AI'rORNEY ~o~o NO: 3SE994753
Know Alt Men By These Presents:.
That the Lumbermees Mutual Casualty Company, ~heAmerican Motedsts insurance Company, and the Amedcan Menutactumrs Mutual
nsurance Combeny corporations orgenized~nd exsfing underthe~l~s0f the State of [tEn?is, having their principal office in Long, Grove.
illinois, (hereinafter collectively referred ;to as,the Company ) do hereby'appoint . ' ,
· ~" · ' ' ' .... ' EACH ............
Glt~nn G ubiak, Rober[~Mastranton o and Jenmfer Spad~'o o[,Ha~ppauge~ New Yo~( )
their t~e ar~ awf~ agent(s) and attorney(s)- n-tact to make, execute, sea, and deliver during the pedod beginning wi~ the date of issuance
Of this power end ending on the date specified, below, unless sooner revoked for and on its behalf as surety, and as their act and deed:
Any a~d alLl:~nds ' ***********************
end,undertakings
EXC~Pq ~:Ol'.b~NO AU~O~ITY~L~.:,~B~d~ to m~ke~ ex~cu,t~, ~e~t, 'and d~Ever aay bond o?und,er~king w,hich~ gu ,am[~tees ~e PaymePt, or
' ' , *coEecti~n of any I~/ni~s0~ r~ote, c~, eck draft'o~etterof c~.ht
1
7ih s ~,.~d~as oo[p~t th~1~a~e,i~b ga~,'~.,b to b~ ~pEt nto bv~o oi~0~ bonds in o~er to bring each~ l:~d w~i? the do,ar IrmR
This appaintment may be ravoked atany ~tne by the Company.
The execution of such bend,S and unde ~r~,!ng,~jr~ purspance of the,se presents shall be as bio,ding upon the said Cpm, par~y as~ f~lly and amply
to a~t intents and purposes, as if the same had been duly executed end acknowledged by their regularJy elecE,,d officere ?,thek'pd~cipal
Long Grove, ~ilmo~s.
This Power~ ~f Attorney is executed by authority of resolutions adopted by the ExeCUtive Committees of the Boards of Directors of the Company
on February, ~.3,il988 etCh[cage, Illinois, true and accurate cop[es of which are hereinafter set forth and arehemby certified to by the
undemigned~e~retary as being in full force and effect:
"VOTED, Tibet theChairm~n of the Board, the President,_ or any Vice Pmsidem, or their appointees designated in writing and filed with
· the Secreiaq/, or ~e Secretary shaft have the power and authority to appoint agents and aftameys-in-fact and to authorize them to execute on
behalf of the~ Company, and attach the seal of the Company thereto, bonds and undertakings, recognizances, contracts of indemnity and
other wdtir~s, obligatory in the naJure thereof, and any suc~ officers of the Company may appoint agents for acceptance of process.~
This Power of Attorney is signed, sealed and ce~fied by facsimile under and by authority of the following resoluttun adopted by the Executive
Committee df the Boards of Directors of the Company at a meeting duly called ~nd held on the 23rd day of February, 1988:
"VOTED, That the signature of the Chairman of the Board. the President, any Vice President, or their appointees designated in wdting and fi[ed
with the Secl~tary, and the signature of the Secretary, the seal of~e Company, and ce~ficetians by the Secretary, may be affixed by facsimtie
on any power of attorney or bond executed pursuant to resolution adopted by the Executive ~ommittee of the Bcer~J of Dkectors on February 23,
1988 and amy such power so executed, sealed and certified with respect to any bond or undertaking to which it is attached, shall continue to
be valid and binding upon the Company." :
In Testimony Whereof, the Company has caused this instrument to be signed and their corporate seals to be affixed by their authorized officers,
this FebruaBr 14, 2000.
Attested and Certified:
Lumbermens Mutual Casualty Company
American Motufists Insurance Company
Amedcan Manutacturers Mu~uat insurance Cbmpany
Robert P. Hames. Secretary
by
J. S. Kemper, Itt, Exec. Vice President
Alv~RICAlq MAbUJFA~ NfUTUAL INg _UI~qCE COMPJ~NY
FINANCIAL STA~
DECEIVi~ER 31, 1999
Cash ia banks
Bomch'owned
qh:emiums hi cma'se of
a~.ccro,¢d illter~S~n~d other assets
$ 4,250,398
483,159,407
91;059,245
141,586,407
93374,567
Total
Liabilities
$8i3~0;024
$355,346,495
92~942;043
Total
$536,629,991
Surpk~ as regaxds policyhetO, ers
Tomt.
Vici~ Premi~tent ofAccdmx~ng S~ces
Stat~ of Illinois)
) SS
276.~00,033
$813,230,024
:] Coumy of Lake)
.[ B. A_ Co~trtin and L K. Conway, berg d~y swo~ say ~t ~ey ~e Vi~ President ofAcco~ S~ces ~d Se~e~,
md co~ smt~ of~ ~n..~ con. on ofs~d co~y, u ofDece~ ~1, 1999.
S~s~bed ~dsw~ * "O~IClAL SEAL" *
· KATHLEEN J, WUR~ *
~ Noxa~ Public, State of Illinois e
~ MV Commissio~ ~ptres 7/1 ~O2 ~ ,x
· J State of )
Cowry of )
before me personally came to me known, who duly sworn, did depose and say that , he is A~am~y-in-Facr
of the Alv~RICAN lV~AC'~ tv~ EqSU~CE COMPAN~f the Corporaxicn cloSe.bed in and which
executed the attached immame=t; tha, t he knows the corporate seal of the said Corporadem that the seal affixed to the
said instrument is such corporate Seal; and that it was so affixed by order of the Board of Directors of the said Corporation, and
he Signed his/her ~am~. thereto by Kke order.
NomryPub~c
THE AMERICAN INSTITUTE OF. ARCHITECTS
AIA Document
Labor and Material Payment Bond
TN!S BOND IS ISSUED SIMULTANEOUSLY WITH PERFORMANCE BONO IN EAVOR OF THE
O%~NI~R CONDITIONED ON THE FULL AND FAITHFUL PERFORMANCE OF THE CONTRACT
BOND NO: 3SE994753 ·
KNOW ALL MEN BY THESE PRESENTS: that
TERRY' CONTRACTING & MATERIALS, INC.
840 WEST MAIN STREET, RIVERHEAD, NY 11901
as Principal, hereinaiter called Principal, and,
AMERICAN MANUFACTURERS MUTUAL INSURANCE COMPANY
1 KEMPER DRIVE, LONG GROVE, IL 60049-0001
as Surety, hereinafter called Surety, are held and firmly bound unto
TOWN OF SOUTHOLD - TOWN HALL
53095 MAIN ROAD, SOUTHOLD, NEW YORK 11971
as Obligee. hereinafter called Owner, for the use and benefit of claimants as hereinbelow defined, in the
amount of **THREE I-IUNDRED TWENTY ONE THOUSAND AND 00/100 DOLLARS **
¢.e,e ,,,~ert, s~, ~l to at lc,st one-hal~ ** ~e c*~.Kt ~acel Dollars ($ *'321,000.00'** ),
for the payment ~.hereof 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 date~EC, EMBER 1~1, 2001>19 ~:, entered into a contract with Owner for
SOLID WASTE DISTRICT YARD WASTE COMPOSTING FACILITY 10 ACRES OF SITE PREP TO CREATE 1'
THICK STONE PAD
in accordance with Drawings and Specilicalions prepared by
N/A
which contract is by reference made a part hereof, and is hereinafter referred to as the Contract.
AIA DOCUMENT A311 · PERFORMA~qCE BONO AND LABOR AND MA1ERIAL PAYMENT BONO · A!A ~
FEBRUARY 1970 lED. · THE A~I~RICAN INSTITUTE OF ARCHITECTS, 173S N.Y. AVL, N.W.. WASHINGTON, D- C. L~0O0S
3
LABOR AND MATERIAL PAYMENT 'BOND
'~OW. TH£REFCJRE THE CO~DITIO'~ O$ THIS OBLIGATION is such thai, if Principal shall promptly make payment to all
claimants as hereinafter defined, for all labor and material u~ed or reasonably required for use in the performance of'the
Contract, then this obhgat~on shall be void; otherwise it shall remain in full force and effect, subject, howe~er, to the fol-
lowing conditions:
'1. A claimant ,s de;reed as one having a direct con- accuracy the amount claimed and the name of the party
tract w~th the Principal or wsth a Subcontractor of the 1o whom the materials were furnished, or for whom
PrmopaJ for labor, matet~al, or' both, used or reasonably the work or labor was done or performed. Such notice
required for use m the performance of the Contract. shall be sen,ed by mailing the same by regislered mail
"abor and malerial being conctrued to include Ihat part of or certified mail, postage prepaid, in an envelope ad-
water, gas power, hght. heat oil, gasoline, telephone dressed Io the Principal, Owner or Surety. at any place
service or rental of eqmDment d~rectly applicable tc the where an office is regularly maintained for the frans-
Contract. action of business, or served in any manner in which
legal process may be served in the state in which the
2. The above named Principal and Surety hereby aforesaid project is located, save that such service need
~ointtv and severally agree w~th the Owner that every not be made bv a public office~.
claimant as herein del,ned ~..ho has not been paid in b) After lhe expiration of one (17 year following the
full before the expiration of a l~eriod of ninety 190) date on which Prinopa! ceased Work on said Contract,
days after the dare on which the last of such claimant's it be ng understood however, that if any limitation em-
work or abor was done Or perCnrmed, or matena s were bodmd ~ thi? bond is'p~ohibited by any law controlling
~u~mshed b~, such c~a~mant, may sue on Ibis bond for the ~onstr~ction her&o;( such imitation shall b~e deemed
the u~,~ of such claimant, prosecute the suit to final to be amended so aslo be ~quaJ to the minimum period
judgr~ent for such ~um or ~ums as may be justly due of Ifmitalion permitteff by such law.
clairr~ant at*d have execution thereon The Ov,-ner shall
not be ha~)le lot the ~a~ment of ar~ costs or expenses state court of competent jurisdiction
of any such su~t. Y or other political subdwision of
or any part thereof, is
District Court lot the
3 NO star or action .:hall be commenced hereunder or any part thereof is sit-
by any cla'smant: uated, a
a~ Unles~ claimant other than one having a d~recl
contract ~,,.~Ih the Pt~nopal, .~hatl have given whiten 4. The amount of this bond shall be reduced by and
not~ce to an'r tv.o of the following: the Principal, the to Ihe extent of any payment or payments made in good
O~ner. or t~e Surets abo~e name(~ within mnety (901 faith hereunder, inclusive of the payment by Surety of
days after such claimant d~d or performed the last of mechanics' liens which may be filed of record against
the ~ork or la,or, or furnished the last olc the materials said improvemem, whether or not claim for the amount
for wh*ch said claim ~s made. stating with substantial of such lien be presented under and against this bond.
signed and sealed this llth day of DECEMBER 'Icj 2001
TERRY CONTRACTING & MATERIALS, INC.
~-(t~fh')
AMERICAN MANUFACTURERS MUTUAL INSUP~NCE COMP~,~-
GLENN GLUBIAK,:ATTORNEY-IN-FACT ', , ,;, } '
4
ACKNOWLEDGMENT OF CONTRACTOR/PRINCIPAL
IF A CORPORATION
STATE OF NEW YORK
COUNTY OF
)
) SS.:
)
0~ the day of
and say that he resides in
of
in the year 2001 before me personally
to me known, who being byme duly sworn, did depose
; that he isthe
· the corporation
described in and which executed the above instrument; and that he signed his name thereto by authority of
the board of directors of said corporation.
NOTARY PUBLIC
ACKNOWLEDGMENT OF SURETY
STATE OF NEW YORK
COUNTY OF SUFFOLK
SS.:
On the 1 lth day of DECEMBER in the year 2001, before me personally came
GLENN GLUBIAK to me known, who, being duly sworn, did depose and say that he
resides at COMMACK, NEWYORK , that he the Attorney-In-Fact of
AMERIC,~2q MANUFACTURERS MUTUAL INSURANCE COMPANY
the corporation described in and which executed the above instrument; and that he signed his name the~o
by order of the board of directors of said corporation.
JENNIFER L pRINCIPtO
Notary Pubiic, State of New York
No 01PR5017514 ~.
Qua find in Suffolk County..
Commission Exp?S Sept., 0~'
I 'emPeR.
Home O~ce: Long Groove, iL ~0049 .
POWER,OF ATTORNEY ]~0~9 ~0:3s~994753
~ow All Men B~e~ Present:
~at ~ LamPoons Mural Caanei~ Company, ~e~eri~ Mof~s~th~mn~Compau~, and ~e ~ehcan Manu~mumm Mutual
l~u~n~ C~ny, ~om~o~s ~gan[z~ a~ exi~Mng ~ ~e ~ of ~ O~ ~oj~ h~ ~eir principal ~ i~ Long Grove,
~t~n ~labJak, Ro~e~:~Sntonb ~d ~ennife~ Spad~m of ~au~e; ~ew York (~CH) ..........
their true and lawful agent(s) and atterney(s)-in-toct, to make, execute, seal, and deliver during the period beginning with the date of issuance
of th~ power and endint3 on the date specified betow, un[ess sooner revoked for apd on Es,behalf as surety, and as theJr act and deed: -
~d: ~)~;~ NO AtJT~O!~t ~TY ~g .~?ed ~:rpake~, e~ec"Jto; S ~ea[6m}d ~derwe[ .any.b~ or ~.~erta~k[ng w~,;guarantess the paymen! oF
Th s authority doeq not peFn~Lthp., same ob gabon to be sp~{t nto tWo ~ ~'bonds ,m order to bdn~r e~ch such bond ~w~th n the do lar rat
of authority asset fob~h hereto. - - . ' -
This appointment may l~.e revoked at any ~me by the Company.
Theexecu~fsuch~nds~andand~rtakthgs~n:pumqanceo~fthesepresantssh~a~!be~sbthdthg upoqthe ~said Company as:~llyandamply
to ell te~enf~ and~pur~Oee~, ~ ifth~ s~me had b~n duly execetad and aukno~it~q~ ~y their regul~ly elC~l~, officere a{ ~'ieir prin~il:ml o~e ih
Long Grove, l~linois. : ~,~ "~ ~ ~L ~ .. ,
This Power o,f Attorney is executed by authodty Of resolutions adopted by the Executive Committees of the Boards of Directors of the Company
on,F~bmary~3~, 19~8 atChicago, llEnsis, tree andaccerate copies of which are hereinafter set forth and arehereby cer~ed to by the
, und~s gned S~cretary as being in full force and effect:
"vOTED;q'hatfffleJchairm~n Of the Board, the President,. or any Vice President, or their' appointees designated in wdting and filed with
~the SecretOry, or the Secretary shaft have the power and authority to appoint agents and attomeys-in-fa~ a~d to authorize them to execute on
behalf of the Company andattoch theseal of the Company thereto bunds and undertakings recegn[zances contracts of indemnity and
other wnt~gs ob gateo' n the nature thereof, and any such officers of the Company may appo nt agents for acceptOnce of process.
This Power of Attomey is signed, sealed and certified by facsimile under and by authority of the following resolutian adopted by'the Executive
Committee of the Boards of Directors of the Company at a meeting duty called and held on the 23rd day of February, 1988:
"VOTED. That the signature of the Chairman of the Board, the President, any Vice President, or their appothtees designated in writing and ~ed
with the Secretary, and the signature of the Secretary, the seal of the Company, and ce~fice, t~ons by the Secretary. may be affixed by faesimiie
on any power of attorney or bond executed pursuant to resolution adopted by the Executive Committee of the Board of Directors on February 23,
1988 and any such power so executed, sealed and certified, with respect to any bond or undertaking to which it is attached, shall con,hue to
be valid and binding upon the Company." __
In Testimony Whereof, the Company has caused this instrument to be signed and their corporate seals to be affixed 5y their autherf~ed'office~'~,-
this Februa~ 14, 2000,
Attested and Certified:
Lambermens Mutual Casualty Company
Amedoan Motodsth Insurance Company
Amedcen Manufacturers Mutaei Insurance Cbmpany
Robert P. Hames, Seereta,T
by
J. S. Kemper; ill, Exec. Vice President
FB{A-NCIAL STA~
DECEMBF/{ 31, 1999
· gours~ of
o~cr
$ 4,250,398
483,I59.407
91,059,245
141,586,407
, 9.3,17~,567.
Liab~ities
[abi~l~cs
Total
Surplus as ~srds policyhold~
Total
State of mlnois,)
)SS
))Coumy of Lake)
$355,346,495
92 42 3
S 4 ,453
$53~629,991
276;600;033
f~i*..~. A. Co. ld;n sad L K. Conwa.v, being duly sworn, say that they a~e Vice President of Accounting Services and Secretary,
~espeetively, of AMI~,ICA.N lvlAt'I~A~ MUTUAL EqSURAIqCE cOMPA-N¥, Illinois; that the foregoing is a tree
and correct statement of the f~naneial condilion of said company, as of Decembe~ 31, 1999.
Subscribed snd swam '~ *
· "OFFICIAL SEAL" *
· KATHLE~'9 J. WURTH ·
. No~a~ Public, 8tare of Illinois .
~ My Commission ~xpires 7/11/O2 $
State of )
County of )
before me pe~sanally came to me t~cw'n, who duly sworn, did d~ose a~t say tt~t he is A.t~rmey-in-Fac~
of the A/VI~R/CAs'q MA/qL~A~R~ MLFITJAL ]!NSLrI~ANCE~CO1VIPA~x~Y ~¢ Corpora-Uon de~c~-bcd ~ ~d w~
~e~ted ~c ~ched ~enq ~t he ~o~vs ~c co~om~e seal of ~e'Said Co~or:~o~t ~e se~ ~xed ~ ~e
s~d ~ent is ~ co~omte seal; ~d ~t it w~ so ~xed by or~r of ~e Bo~ of Dkecto~s of ~e said Co~om~o= ~d
~t __ he si~cd ~ ~e ~er~$o by ~e ord,.
Notary
I, ~z'e~e ~e~.er a Nota~ ~ublic, do hereby ce~ ~at J~ ~ Kemper~ Itl apd Ro~;o-: F..'-~r,:::os pr::son~:}.,' k~:o;',n th tri~ 5 be t~'.r. ~,~m¢. pemcns
w~rr~Se,na~e~., am respe~valy as Exe,c..VicePrse~dent aqd 8e~re~]'of Oie ........ r ........................... .. ~ ........ ~.: ................
~rA~ce~anY, anti,the Amenca~ Manufactare~'s A,lu~e nsurarme ~2,om,~n,. C .......... n .............. no .x ,....., ............. s cf ,,
$~ie ~lJlido~s, sul~.,scnbed te the foregoing mstr~ment~ appeared~ ,before me ,;hie cay ir, ~er:,on ~nc r..~,.,~r,, :, ,.,.~,,,,'.'..lee=e..,,,...ha: cc,,2q
thefeP~o Quiy .authodze~ signed, sea .ed with ~e corporate/seals, and ce:?erea :'ts sr,'d f';~nn..'.:en; ;.s '~c. fr~>,=, ar,: '.'c,t~n~;:',. a~( cf s3~d
c0rPotatio~a .,andS,their, 0Wn frae and voluntary acts for the us~s and purposes,, th~eid set fourth:
My commission e~pires '1-28-02
CERTIFICATION
3, J.K. Cc~wa,v, Cot:ora{e Secy.'aP.' cf ;he Lumbe"ma-r.s ~,IU,"Ja! C~$3e!t¥ C0rtlp~.r...' ?.c Ama.ffcc:~., ~:Ac~?'.st~,~]nsu~A'e? ~¢Y';~'and the
~'.m~....,, ~.1,=,,J,,..~u...s ...u J,:, I,,su.~.,.~ C,.,,,~.n., .~ ,.~..b~ c... ~y .'~t ..,o ....... d ......... ey a~e~ February 1~., 2000
b?::::~ ef ;he ae.'s.~(s)
in h::l ':.r:= ~:.~ effect cn [r,e cato ,.:'f '.r!s ce.'ti~m: and [ ds'[cr.:h, cr'c:-r~:fy i:i-*-.t the sat: J. S..~a:r,.':}r..': ar.." Rbber~P~ai~ ,e~..,~.' hp.~sect~ted ~e
~ , ~ .,,t,9.. JY ..... ~_.,,,. b~.~ h..cu.,t,~ ...as.,~..,,r~ ,,.,? .n ........~ ,.,.,x.d ........ ~. ..............h ........c.~,. .......... ual~ mpa y,
,ce e
J. K. ~, Corporate Secretary
This Power of At~mey fimite the acts of those.r..-.mad .ham n to th .~n~.s a~'d [.mdcrthkin~ specifically named
therein a@c! the~ have no authority to bind the Com.~any cxccp: in the manner [~nc :o ;he ~xtent herein stated.
FK 0362 6-g6
Power of Attorney - Term
Printed in U[S.A