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CARLSBAD MUNICIPAL WATER DISTRICT
MINOR PUBLIC WORKS CONTRACT
THREE ROOF REHABILITATIONS AT MAERKLE RESERVOIR
CONT. NO. 50091
This agreement is made on the gAIL day of (Oet niPA-6ei , 2020, by the
Carlsbad Municipal Water District, a Public Agency organized under the Municipal Water Act of 1911, and
a Subsidiary District of the City of Carlsbad, hereinafter referred to as "CMWD", and Weatherproofing
Technologies, Inc., a Delaware corporation, whose principal place of business is 3735 Green Road,
Beachwood, OH 44122 (hereinafter called "Contractor").
CMWD and Contractor agree as follows:
DESCRIPTION OF WORK. Contractor shall perform all work specified in the Contract documents for the
project described by these Contract Documents (hereinafter called "Project").
PROVISIONS OF LABOR AND MATERIALS. Contractor shall provide all labor, materials, tools,
equipment, and personnel to perform the work specified by the Contract Documents unless excepted
elsewhere in this Contract.
CONTRACT DOCUMENTS. The Contract Documents consist of this Contract, exhibits to this Contract,
Contractor's Proposal, the Plans and Specifications, the General Provisions, addendum(s) to said Plans
and Specifications, and all proper amendments and changes made thereto in accordance with this Contract
or the Plans and Specifications, all of which are incorporated herein by this reference. When in conflict,
this Contract will supersede terms and conditions in the Contractor's proposal.
LABOR. Contractor will employ only skilled workers and abide by all State laws and City of Carlsbad
Ordinances governing labor.
GUARANTEE. Contractor guarantees all labor and materials furnished and agrees to complete the Project
in accordance with directions and subject to inspection approval and acceptance by:
Timothy Smith
(CMWD Project Manager)
PAYMENT. CMWD shall withhold retention as required by Public Contract Code Section 9203.
WAGE RATES. The general prevailing rate of wages for each craft or type of worker needed to execute
the Contract shall be those as determined by the Director of Industrial Relations pursuant to Sections 1770,
1773 and 1773.1 of the Labor Code. Pursuant to Section 1773.2 of the Labor Code, a current copy of the
applicable wage rates is on file in the Office of the City Engineer. Contractor shall not pay less than the said
specified prevailing rates of wages to all workers employed by him or her in execution of the Contract.
Contractor shall be responsible for insuring compliance with provisions of section 1777.5 of the Labor Code
and section 4100 et seq. of the Public Contracts Code, "Subletting and Subcontracting Fair Practices Act."
The City Engineer is CMWD's "duly authorized officer" for the purposes of section 4107 and 4107.5.
The provisions of Part 7, Chapter 1, of the Labor Code commencing with section 1720 shall apply to the
Contract for work.
A contractor or subcontractor shall not be qualified to bid on, be listed in a bid proposal, subject to the
requirements of Section 4104 of the Public Contract Code, or engage in the performance of any contract
for public work, unless currently registered and qualified to perform public work pursuant to Section 1725.5.
This project is subject to compliance monitoring and enforcement by the Department of Industrial Relations.
THREE ROOF REHABILITATIONS AT
MAERKLE RESERVOIR; CONT. NO. 50091 Page 1 of 8 General Counsel Approved 1/20/2020
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Contractor and any subcontractors shall comply with Section 1776 of the California Labor Code, which
generally requires keeping accurate payroll records, verifying and certifying payroll records, and making
them available for inspection. Contractor shall require any subcontractors to comply with Section 1776.
FALSE CLAIMS. Contractor hereby agrees that any contract claim submitted to CMWD must be asserted
as part of the contract process as set forth in this agreement and not in anticipation of litigation or in
conjunction with litigation.
Contractor acknowledges that California Government Code sections 12650 et seq., the False Claims Act,
provides for civil penalties where a person knowingly submits a false claim to a public entity. These
provisions include false claims made with deliberate ignorance of the false information or in reckless
disregard of the truth or falsity of the information.
The provisions of Carlsbad Municipal Code sections 3.32.025, 3.32.026, 3.32.027 and 3.32.028 pertaining
to false claims are incorporated herein by reference.
Contractor hereby acknowledges that the filing of a false claim may subject the Contractor to an
administrative debarment proceeding wherein the contractor may be prevented from further bidding on
public contracts for a period of up to five years and that debarment by another jurisdiction is grounds for
CMWD to disqualify the Contractor or subcontractor from participating in contract bidding.
•
Signature:
Print Name:
Jamie Brink
REQUIRED INSURANCE. The successful contractor shall provide to CMWD, a Certification of Commercial
General Liability and Property Damage Insurance and a Certificate of Workers' Compensation Insurance
indicating coverage in a form approved by the California Insurance Commission. The certificates shall
indicate coverage during the period of the contract and must be furnished to CMWD prior to the start of
work. The minimum limits of liability insurance are to be placed with California admitted insurers that have
a current Best's Key Rating of not less than "A-:VII"; OR with a surplus line insurer on the State of
California's List of Approved Surplus Line Insurers (LASLI) with a rating in the latest Best's Key Rating
Guide of at least "A:X"; OR an alien non-admitted insurer listed by the National Association of Insurance
Commissioners (NAIC) latest quarterly listings report.
Commercial General Liability Insurance of Injuries including accidental death, to any one person in an
amount not less than $1,000,000
Subject to the same limit for each person on account of one accident in an amount not less than
$1,000,000
Property damage insurance in an amount of not less than $1,000,000
Automobile Liability Insurance in the amount of $1,000,000 combined single limit per accident for bodily
injury and property damage. In addition, the auto policy must cover any vehicle used in the performance of
the contract, used onsite or offsite, whether owned, non-owned or hired, and whether scheduled or non-
scheduled. The automobile insurance certificate must state the coverage is for "any auto" and cannot be
limited in any manner.
The above policies shall have non-cancellation clauses providing that thirty (30) days written notice shall
be given to CMWD prior to such cancellation.
The policies shall name CMWD as additional insured. The full limits available to the named insured shall
also be available and applicable to CMWD as an additional insured.
THREE ROOF REHABILITATIONS AT
MAERKLE RESERVOIR; CONT. NO. 50091 Page 2 of 8 General Counsel Approved 1/20/2020
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WORKERS COMPENSATION AND EMPLOYER'S LIABILITY. Worker's Compensation limits as required
by the California Labor Code. Workers' Compensation will not be required if Contractor has no employees
and provides, to City's satisfaction, a declaration stating this.
BUSINESS LICENSE. The Contractor and all subcontractors are required to have and maintain a valid City
of Carlsbad Business License for the duration of the contract.
INDEMNITY. The Contractor shall assume the defense of, pay all expenses of defense, and indemnify and
hold harmless CMWD and the City of Carlsbad, and its officers, officials, employees and volunteers, from
all claims, loss, damage, injury and liability of every kind, nature and description, directly or indirectly arising
from or in connection with the performance of the Contract or work; or from any failure or alleged failure of
Contractor to comply with any applicable law, rules or regulations including those related to safety and
health; and from any and all claims, loss, damages, injury and liability, howsoever the same may be caused,
resulting directly or indirectly from the nature of the work covered by the Contract, except for loss or damage
caused by the sole or active negligence or willful misconduct of CMWD or City of Carlsbad. The expenses
of defense include all costs and expenses including attorneys' fees for litigation, arbitration, or other dispute
resolution method.
JURISDICTION. The Contractor agrees and hereby stipulates that the proper venue and jurisdiction for
resolution of any disputes between the parties arising out of this agreement is San Diego County,
California.
Start Work: Contractor agrees to start within thirty (30) working days after receipt of Notice to Proceed.
Completion: Contractor agrees to complete work within sixty (60) working days after receipt of Notice
to Proceed.
CONTRACTOR'S INFORMATION.
Weatherproofing Technologies, Inc. 3735 Green Road
(name of Contractor) (street address)
274072 Beachwood, OH 44122
(Contractor's license number)
C39 & B 10/31/21
(city/state/zip)
858-531-5197
(license class, and exp. date) (telephone no.)
1000000766
(DIR registration number) (fax no.)
6/30/22 sajohnson@trermoinc.com
(DIR registration exp. date) (e-mail address)
THREE ROOF REHABILITATIONS AT
MAERKLE RESERVOIR; CONT. NO. 50091 Page 3 of 8 General Counsel Approved 1/20/2020
APPROVED AS TO FORM:
CELIA A. BREWER, General Counsel
BY:
ssistant General Counsel
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AUTHORITY. The individuals executing this Agreement and the instruments referenced in it on behalf of
Contractor each represent and warrant that they have the legal power, right and actual authority to bind
Contractor to the terms and conditions of this Agreement.
CONTRACTOR
WEATHERPROOFING TECHNOLOGIES,
INC., a Delaware corporation
(sign here)
JaMie Katheryn Brink, Vice-President & CFO
(print name/title)
CARLSBAD MUNICIPAL WATER DISTRICT,
a Public Agency organized under the Municipal
Water Act of 1911, and a Subsidiary District of
the City of Carlsbad
By: ,
42/ / -- -
Vicki V. Quiram, General Manager, as
authorized by the Executive Manager
"7/44/C
(sign here)
Thomas A. Cummings, President
(print name/title)
If required by CMWD, proper notarial acknowledgment of execution by Contractor must be attached. If a
corporation, Agreement must be signed by one corporate officer from each of the following two groups:
Group A Group B
Chairman, Secretary,
President, or Assistant Secretary,
Vice-President CFO or Assistant Treasurer
Otherwise, the corporation must attach a resolution certified by the secretary or assistant secretary under
corporate seal empowering the officer(s) signing to bind the corporation.
THREE ROOF REHABILITATIONS AT
MAERKLE RESERVOIR; CONT. NO. 50091 Page 4 of 8 General Counsel Approved 1/20/2020
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EXHIBIT A
LISTING OF SUBCONTRACTORS BY GENERAL CONTRACTOR
Set forth below is the full name and location of the place of business of each sub-contractor whom the
Contractor proposes to subcontract portions of the Project in excess of one-half of one percent of the total
bid, and the portion of the Project which will be done by each sub-contractor for each subcontract.
NOTE: The Contractor understands that if it fails to specify a sub-contractor for any portion of the Project
to be performed under the contract in excess of one-half of one percent of the bid, the contractor
shall be deemed to have agreed to perform such portion, and that the Contractor shall not be
permitted to sublet or subcontract that portion of the work, except in cases of public emergency or
necessity, and then only after a finding, reduced in writing as a public record of the Awarding
Authority, setting forth the facts constituting the emergency or necessity in accordance with the
provisions of the Subletting and Subcontracting Fair Practices Act (Section 4100 et seq. of the
California Public Contract Code).
If no subcontractors are to be employed on the project, enter the word "NONE."
SUBCONTRACTORS
Portion of Project to
be Subcontracted
Business Name and Address DIR Registration
No.
License No.,
Classification &
Expiration Date
% of
Total
Contract
NONE
Total % Subcontracted: 0%
The Contractor must perform no less than fifty percent (50%) of the work with its own forces.
THREE ROOF REHABILITATIONS AT
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EXHIBIT B
THREE ROOF REHABILITATIONS AT MAERKLE RESERVOIR
Contractor to provide and perform the following:
• Always set up safety daily, with appropriate fall protection use at all times.
• Clean roofs of all dirt, dust and debris.
• Cut/repair any buckles/blisters in roofs or flashing membranes.
• Prime surfaces with Alphaguard WB Primer (equal or equivalent).
• Install Alphaguard Bio Fully Reinforced Fluid Applied Polyurethane Roofing (equal or
equivalent) systems consisting of base coats at 3.5- 4 gallons per square.
• Install polyester reinforcing membranes and topcoats at 2 gallons per square.
• Seal scuppers on outside of buildings to walls with Tremseal Pro (equal or equivalent.)
• Reinforce all flash ings.
• Seal cracks on tops of parapets with Solarguard Acrylic Sealer and Polyester Membrane (equal
or equivalent.)
• Coat inside of parapet walls above counterflashing to outside edges or top of concrete parapets
with Solarguard Hy-Build wall coating (equal or equivalent.)
• Remove failed sealants around windows with Tremseal Pro (equal or equivalent) and wet seal
glazings with Tremseal S (equal or equivalent.)
• Includes 20-year materials warranty.
• Total includes Labor and Materials bond.
All work shall conform with the latest edition of the Carlsbad Engineering Standards, and the latest edition
of the Standard Specifications for Public Works Construction "Greenbook."
JOB QUOTATION
ITEM
NO.
UNIT QTY DESCRIPTION PRICE
1 LS 1
Maerkle Reservoir roof rehabilitations for three stations:
Upper, Lower and Lowest Pump Stations $49,480
TOTAL NOT TO EXCEED* $49,480
*Includes taxes, fees, expenses and all other costs.
THREE ROOF REHABILITATIONS AT
MAERKLE RESERVOIR; CONT, NO. 50091 Page 6 of 8 General Counsel Approved 1/20/2020
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EXHIBIT C Bond #014220251 LABOR AND MATERIALS BOND
WHEREAS, the Board of Directors of the Carlsbad Municipal Water District has awarded to
Weatherproofing Technologies, Inc. (hereinafter designated as the "Principal"), a Contract for:
THREE ROOF REHABILITATIONS AT MAERKLE RESERVOIR
CONTRACT NO. 50091
in the City of Carlsbad, in strict conformity with the drawings and specifications, and other Contract
Documents now on file in the Office of the City Clerk of the City of Carlsbad and all of which are incorporated
herein by this reference.
WHEREAS, Principal has executed or is about to execute said Contract and the terms thereof require the
furnishing of a bond, providing that if Principal or any of its subcontractors shall fail to pay for any materials,
provisions, provender or other supplies or teams used in, upon or about the performance of the work agreed
to be done, or for any work or labor done thereon of any kind, the Surety on this bond will pay the same to
the extent hereinafter set forth.
NOW, THEREFORE, WE, Weatherproofing Technologies, Inc., as Principal, (hereinafter designated as the
"Contractor"), and Liberty Mutual Insurance Company as
Surety, are held firmly bound unto CMWD in the sum of forty-nine thousand four hundred eighty dollars
($49,480), said sum being an amount equal to: One hundred percent (100%) of the total amount payable
under the terms of the Contract by the City of Carlsbad, and for which payment well and truly to be made
we bind ourselves, our heirs, executors and administrators, successors, or assigns, jointly and severally,
firmly by these presents.
THE CONDITION OF THIS OBLIGATION IS SUCH that if the Contractor or his/her subcontractors fail to
pay for any materials, provisions, provender, supplies, or teams used in, upon, for, or about the performance
of the work contracted to be done, or for any other work or labor thereon of any kind, consistent with
California Civil Code section 9100, or for amounts due under the Unemployment Insurance Code with
respect to the work or labor performed under this Contract, or for any amounts required to be deducted,
withheld, and paid over to the Employment Development Department from the wages of employees of the
contractor and subcontractors pursuant to section 13020 of the Unemployment Insurance Code with
respect to the work and labor, that the Surety will pay for the same, and, also, in case suit is brought upon
the bond, reasonable attorney's fees, to be fixed by the court consistent with California Civil Code section
9554.
This bond shall inure to the benefit of any of the persons named in California Civil Code section 9100, so
as to give a right of action to those persons or their assigns in any suit brought upon the bond.
Surety stipulates and agrees that no change, extension of time, alteration or addition to the terms of the
Contract, or to the work to be performed hereunder or the specifications accompanying the same shall
affect its obligations on this bond, and it does hereby waive notice of any change, extension of time,
alterations or addition to the terms of the contract or to the work or to the specifications.
THREE ROOF REHABILITATIONS AT
MAERKLE RESERVOIR; CONT. NO. 50091 Page 7 of 8 General Counsel Approved 1/20/2020
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In the event that Contractor is an individual, it is agreed that the death of any such Contractor shall not
exonerate the Surety from its obligations under this bond.
SIGNED AND SEALED, this day of ber , 20 32)
Weatherproofing Technologies, Inc. (SEAL) (SEAL)
(Principal)
By: OCUNItit_ rad
(Signature)
, /' „z _. Carolyn E. Wheeler, Attorney-In-Fact
(Name/Title) (Name/Title)
(SEAL AND NOTARIAL ACKNOWLEDGEMENT OF SURETY — ATTACH ATTORNEY-IN-FACT
CERTIFICATE)
APPROVED AS TO FORM:
CELIA A. BREWER
General Counsel
By:
AssistantGeneFal Co nsel
THREE ROOF REHABILITATIONS AT
MAERKLE RESERVOIR; CONT, NO. 50091 Page 8 of 8 General Counsel Approved 1/20/2020
Liberty Mutual Insurance Company
(Surety)
By: &(-6-a,,, /ddia-Z'
(Signature)
DESCRIPTION OF THE ATTACHED DOCUMENT
(Title or description of attached document)
(Title or description of attached document continued)
Number of Pages Document Date
CAPACITY CLAIMED BY THE SIGNER
El Individual (s)
O Corporate Officer
(Title)
O Partner(s)
O Attorney-in-Fact
▪ Trustee(s)
• Other
2015 Version JotaniCiasses corn 300-873-9565
CALIFORNIA ALL- PURPOSE
CERTIFICATE OF ACKNOWLEDGMENT
A notary public or other officer completing this certificate verifies only the identity
of the individual who signed the document to which this certificate is attached,
and not the truthfulness, accuracy, or validity of that document.
State of
County of
On
Tennessee
Knox
before me,
Linda M. Howard , Notary Public
(Here Insert name and She of the officer)
personally appeared
who proved to me on the basis of satisfactory evidence to be the person(s) whose
name(s) is/are subscribed to the within instrument and acknowledged to me that
he/she/they executed the same in his/her/their authorized capacity(ies), and that by
his/her/their signature(s) on the instrument the person(s), or the entity upon behalf of
which the person(s) acted, executed the instrument.
I certify under PENALTY OF PERJURY under the laws of the State of California that
the foregoing paragraph is true and correct.
WITNESS my hand and official seal.
( kir\ 6,.--;\(\'' -&-ciTetA
tary Public Signature (Notary Public Seal)
• My Commission Expires: 12/20/2023
ADDITIONAL OPTIONAL INFORMATIO N This form complies with current California statutes regarding notary wording and,
INSTRUCTIONS FOR COMPLETING THIS FOftM
if needed, should be completed and attached to the document. Acknowledgments
from other states may be completed for documents being sent to that state so long
as the wording does not require the California notary to violate California notary
law.
• State and County information must be the State and County where the document
signer(s) personally appeared before the notary public for acknowledgment.
• Date of notarization must be the date that the signer(s) personally appeared which
must also be the same date the acknowledgment is completed.
• The notary public must print his or her name as it appears within his or her
commission followed by a comma and then your title (notary public).
• Print the name(s) of document signer(s) who personally appear at the time of
notarization.
• Indicate the correct singular or plural forms by crossing off incorrect forms (i.e.
he/she/they- is /aft ) or circling the correct forms. Failure to correctly indicate this
information may lead to rejection of document recording.
• The notary seal impression must be clear and photographically reproducible.
Impression must not cover text or lines. If seal impression smudges, re-seal ifs
sufficient area permits, otherwise complete a different acknowledgment form.
• Signature of the notary public must match the signature on file with the office of
the county clerk.
• Additional information is not required but could help to ensure this
acknowledgment is not misused or attached to a different document.
• Indicate title or type of attached document, number of pages and date.
• Indicate the capacity claimed by the signer. lithe claimed capacity is a
corporate officer, indicate the title (i.e. CEO, CFO, Secretary).
• Securely attach this document to the signed document with a staple.
Carolyn E. Wheeler
‘
STKR: r •-•
FININFSSE_E
NOTARY
!N..1C
.,14\
•
COMMONWEALTH OF PENNSYLVANIA
Notarial Seal
Teresa Pastella, Notary Public
Upper Merion Twp., Montgomery County
My Commission Expires March 28.2021 By:
Liberty
Mutual.
SURETY
This Power of Attorney limits the acts of those named herein, and they have no authority to
bind the Company except in the manner and to the extent herein stated.
Liberty Mutual Insurance Company
The Ohio Casualty Insurance Company
West American Insurance Company
Certificate No: 8201331
POWER OF ATTORNEY
KNOWN ALL PERSONS BY THESE PRESENTS: That The Ohio Casualty Insurance Company is a corporation duly organized under the laws of the State of New Hampshire, that
Liberty Mutual Insurance Company is a corporation duly organized under the laws of the State of Massachusetts, and West American Insurance Company is a corporation duly
organized under the laws of the State of Indiana (herein collectively called the "Companies"), pursuant to and by authority herein set forth, does hereby name, constitute and appoint,
Carolyn E. Wheeler all of the city of Knoxville state of TN each individually if there be more
than one named, its true and lawful attorney-in-fact, with full power and authority hereby conferred to sign, execute and acknowledge the above-referenced surety bond.
IN WITNESS WHEREOF, this Power of Attorney has been subscribed by an authorized officer or official of the Companies and the corporate seals of the Companies have been affixed
thereto this 30th day of May, 2019.
By:
Liberty Mutual Insurance Company
The Ohio Casualty Insurance Company
West American Insurance Company
„yr/Y-4
David M. Carey, Assistant Secretary
STATE OF PENNSYLVANIA ss
COUNTY OF MONTGOMERY
On this 30th day of May, 2019 before me personally appeared David M. Carey, who acknowledged himself to be the Assistant Secretary of Liberty Mutual Insurance Company, The
Ohio Casualty Company, and West American Insurance Company, and that he, as such, being authorized so to do, execute the foregoing instrument for the purposes therein contained
by signing on behalf of the corporations by himself as a duly authorized officer.
IN WITNESS WHEREOF, I have hereunto subscribed my name and affixed my notarial seal at King of Prussia, Pennsylvania, on the day and year first above written.
pv4..6 igipilL
Teresa Pastella, Notary Public Member, Pennsylvania Association of Notaries
This Power of Attomey is made and executed pursuant to and by authority of the following By-laws and Authorizations of The Ohio Casualty Insurance Company, Liberty Mutual
Insurance Company, and West American Insurance Company which resolutions are now in full force and effect reading as follows:
ARTICLE IV - OFFICERS: Section 12. Power of Attorney.
Any officer or other official of the Corporation authorized for that purpose in writing by the Chairman or the President, and subject to such limitation as the Chairman or the
President may prescribe, shall appoint such attorneys-in-fact, as may be necessary to act in behalf of the Corporation to make, execute, seal, acknowledge and deliver as surety
any and all undertakings, bonds, recognizances and other surety obligations. Such attorneys-in-fact, subject to the limitations set forth in their respective powers of attorney,
shall have full power to bind the Corporation by their signature and execution of any such instruments and to attach thereto the seal of the Corporation. When so executed, such
instruments shall be as binding as if signed by the President and attested to by the Secretary. Any power or authority granted to any representative or attorney-in-fact under the
provisions of this article may be revoked at any time by the Board, the Chairman, the President or by the officer or officers granting such power or authority.
ARTICLE XIII - Execution of Contracts: Section 5. Surety Bonds and Undertakings.
Any officer of the Company authorized for that purpose in writing by the chairman or the president, and subject to such limitations as the chairman or the president may prescribe,
shall appoint such attorneys-in-fact, as may be necessary to act in behalf of the Company to make, execute, seal, acknowledge and deliver as surety any and all undertakings,
bonds, recognizances and other surety obligations. Such attorneys-in-fact, subject to the limitations set forth in their respective powers of attorney, shall have full power to bind
the Company by their signature and execution of any such instruments and to attach thereto the seal of the Company. When so executed such instruments shall be as binding
as if signed by the president and attested by the secretary.
Certificate of Designation - The President of the Company, acting pursuant to the Bylaws of the Company, authorizes David M. Carey, Assistant Secretary to appoint such attorneys-
infect as may be necessary to act on behalf of the Company to make, execute, seal, acknowledge and deliver as surety any and all undertakings, bonds, recognizances and other
surety obligations.
Authorization - By unanimous consent of the Company's Board of Directors, the Company consents that facsimile or mechanically reproduced signature of any assistant secretary
of the Company, wherever appearing upon a certified copy of any power of attorney issued by the Company in connection with surety bonds, shall be valid and binding upon the
Company with the same force and effect as though manually affixed.
I, Renee C. Llewellyn, the undersigned, Assistant Secretary, of Liberty Mutual Insurance Company, The Ohio Casualty Insurance Company, and West American Insurance Company
do hereby certify that this power of attorney executed by said Companies is in full force and effect and has not been revoked.
IN TESTIMONY WHEREOF, I have hereunto set my hand and affixed the seals of said Companies this day of
By:
Renee C. Llewellyn, Assistant Secretary
Marsh MSurety POA LMIC OCIC WAIC Multi Co_042019
Liberty
Mutual,
LIBERTY MUTUAL INSURANCE COMPANY
FINANCIAL STATEMENT —DECEMBER 31, 2019
SURETY
Assets Liabilities
Cash and Bank Deposits $778,754,989 Unearned Premiums $8,007,146,482
*Bonds — U.S Government 2,780,808,610 Reserve for Claims and Claims Expense 21,532,853,787
*Other Bonds 12,645,608,792 Funds Held Under Reinsurance Treaties 507,868,920
Reserve for Dividends to Policyholders 1,143,826
*Stocks 16,385,435,431 Additional Statutory Reserve 125,722,000
Real Estate 235,608,378 Reserve for Commissions, Taxes and
Agents' Balances or Uncollected Premiums 6,217,983,641 Other Liabilities 4,117,460,075
Accrued Interest and Rents 102,273,390 Total $34,292,195,090
Special Surplus Funds $32,768,443
Other Admitted Assets 11,957,106,292 Capital Stock 10,000,075
Paid in Surplus 10,044,978,933
Unassigned Surplus 6,723,636,983
Total Admitted Assets $51,103,579,523 Surplus to Policyholders 16,811,384,434
Total Liabilities and Surplus $51,103,579,524
* Bonds are stated at amortized or investment value; Stocks at Association Market Values.
The foregoing financial information is taken from Liberty Mutual Insurance Company's financial
statement filed with the state of Massachusetts Department of Insurance.
I, TIM MIKOLAJEWSKI, Assistant Secretary of Liberty Mutual Insurance Company, do hereby certify that the foregoing is a true, and
correct statement of the Assets and Liabilities of said Corporation, as of December 31, 2019, to the best of my knowledge and belief.
IN WITNESS WHEREOF, I have hereunto set my hand and affixed the seal of said Corporation at Seattle, Washington, this 27th day of
March, 2020.
Assistant Secretary
S-1262LMIC/a 3/20