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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 CALIFORNIA County of Sacramento On Z?,l before me, E. Johnson Notary Public, Date Insert Name of Notary exactly as it appears on the offlcial Seal personally appeared Sandra R. Black ame(s) of Signer s � O St7N e, COMR 12370061 .M �NOtARY pUVUC aCAWORNU SACRAMENTO COUNTY'°' Camm. Ex . OC7.22 2C23 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 capecity(les), 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 eaI Signature _ Place Notary Seal Above signature of Notary ublic OPTIONAL --�-. Though the information below is not required by law it may prove valuable to persons relying on the document and could prevent fraudulent removal and reattachment of the form to another document. Description of Attached Document Title or Type of Document: Document Date: Signer(s) Other Than Named Above: Capacity(ies) Claimed by Signer(s) Signer's Name: Sandra R. Black ❑ Individual ❑ Corporate Officer—Title(s): ❑ Partner ❑Limited El General I� Attorney in Fact [] Trustee L7 Guardian or Conservator ❑ Other: Signer is Representing: Libgr(y Mutual insurance CgirripaLyfrhe Ohio Casualty Insurance Company Number of Pages: Signer's Name: ❑ Individual ❑ Corporate Officer—Title(s): _ ❑ Partner ❑ Limited ❑ General ❑ Attorney in Fact ❑ Trustee ❑ Guardian or Conservator [] Other: Signer is Representing: