HomeMy WebLinkAboutSAYBR Bond for Permit #C23000456DEPARTMENT OF COMMUNITY
AND ECONOMIC DEVELOPMENT ----------ItentOil ®
PERMIT BOND
Bond Number: 2343607 Project Name: XPO Logistics Filtration System
KNOW ALL MEN BY THESE PRESENT· that we Saybr Contractors, Inc.
I -------------------
0 f 3852 South 66th St., Suite A, Tacoma, WA 98409 as Principal,
and Swiss Re Corporate Solutions America Insurance Corporation a Corporation, as Surety, are held and
firmly bound unto the City of Renton, a municipal corporation of the State of Washington, in
the sum of$ 18,445.47 lawful money
of the United States of America, for the payment of which, will and truly to be made, we firmly
bind ourselves, and each of our heirs, executors, administrators and assigns, jointly and
severally by these present.
THE CONDITION OF THE FOREGOING OBLIGATIONS IS SUCH, that WHEREAS, the above named
Principal has applied for a permit, pursuant to the provisions of Ordinance No. 3205, to do
certain work on a City of Renton roadway, street, alley, avenue, or other public place, during a
period ending April 18, 2024
NOW THEREFORE, if the above named Principal shall indemnify and save harmless the City of
Renton, from all claims, actions or damages of every kind and description, which may accrue as
a result of opening and/or working upon a roadway, street, alley, avenue, public easement, or
other public place, by him or those in his employ, in installing or making connections with any
public or private sewer or water system, or any other purpose or object whatever, and that he
will replace and restore such roadway, street, avenue, alley or other public place to as good a
state or condition as at the time of the commencement of said work, and maintain the same in
good order to the decided satisfaction of the City of Renton, and that he will comply with all
provisions of his or their franchise of our permit and all resolutions or instruments relating
thereto, this obligation to be void; otherwise to remain in full force and effect.
The liability under this bond is for a period of one year from _A_p_ri_l _18_,_2_0_2_3 _______ _
to April 18, 2024 and may be extended by the surety issuing a Continuation
Certificate.
Sealed with our seals and dated this 18th day of April , 20 23 Saybr Co ractors, Inc. Am /_ ~ Swiss Re Corporate $o[J.Jtions America Insurance
. PrNPA e:,,ll,//\)0L£ ;;,,,,, ; /f,,1..tf,Vfll ll_~ Corporation
BY: , vice Pre.t:s1D£J>J1 BY: ~ ~ ~
Applicant's 1Signature SMBlc Q,~f.'J>~ /tJC. Signature of Bonding Agent Holly E. Ulfers ,,,,,u ,,,,,,
,,,,,, -.\1RAc~'',,,, Attach Power of Attorney Form to Bond ,, Q\" IQ 11
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Applicant's Address i ~: cF-~ •• · 1 EOJ: ._ __ ;
~~: SEAL:~§
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City, State, Zip \. ••• 1 91 .: j
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H:\CED\Data\Forms-Templates\Self-Help Hand~1~'f~1Mili~""'"-'t.~gi neering\PERMIT BOND.docx
Tacoma, WA 98409
Rev:02/2018
SWISS RE CORPORA TE SOLUTIONS
SWISS RE CORPORA TE SOLUTIONS AMERICA INSURANCE CORPORATION ("SRCSAIC")
SWISS RE CORPORA TE SOLUTIONS PREMIER INSURANCE CORPORATION ("SRCSPIC")
WESTPORT INSURANCE CORPORATION ("WIC")
GENERALPOWEROF ATTORNEY
KNOW ALL MEN BY THESE PRESENTS, THAT SRCSAIC, a corporation duly organized and existing under laws of the State of Missouri, and
having its principal office in the City of Kansas City, Missouri, and SRCSPIC, a corporation organized and existing under the laws of the State of
Missouri and having its principal office in the City of Kansas City, Missouri, and WIC, organized under the laws of the State of Missouri, and having its
principal office in the City of Kansas City, Missouri, each does hereby make, constitute and appoint:
KATHLEEN M. MITCHELL, SCOTT C. ALDERMAN, DEBBIE LINDSTROM, JAMIE ARMFIELD,
ROXANA PALACIOS, SANDRA STEWART, HOLLY E. ULFERS, AND AMBER ENGEL
JOINTLY OR SEVERALLY
Its true and lawful Attorney(s)-in-Fact, to make, execute, seal and deliver, for and on its behalf and as its act and deed, bonds or other writings
obligato1y in the nature of a bond on behalf of each of said Companies, as surety, on contracts of suretyship as are or may be required or pennitted by
law, regulation, contract or otherwise, provided that no bond or undertaking or contract or suretyship executed under this authority shall exceed the
amount of:
TWO HUNDRED MILLION ($200,000,000.00) DOLLARS
This Power of Attorney is granted and is signed by facsimile under and by the authority of the fo llowing Resolutions adopted by the Boards of
Directors of both SRCSAIC and SRCSPIC at meetings duly called and held on the 18th of November 2021 and WIC by written consent of its
Executive Committee dated July 18, 2011.
"RESOLVED, that any two of the President, any Managing Director, any Senior Vice President, any Vice President, the Secretary or any Assistant
Secretary be, and each or any of them hereby is, authorized to execute a Power of Attorney qualifying the attorney named in the given Power of
Attorney to execute on behalf of the Corporation bonds, undertakings and all contracts of surety, and that each or any of them hereby is authorized to
attest to the execution of any such Power of Attorney and to attach therein the seal of the Corporation; and it is
FURTHER RESOLVED, that the signature of such officers and the seal of the Corporation may be affixed to any such Power of Attorney or to
any certificate relating thereto by facsimile, and any such Power of Attorney or certificate bearing such facsimile signatures or facsimile seal shall be
binding uoon the Corporation when so affixed and in the future with regard to anv bond, undertaking or contract of surety to which it is attached." ,,,,,,1,111t1,1,,,,,,,,, ,,,,,,,,,,ttu,,,,,,,,,
...... :(.\O~s AMEJ:iic. ,,, ,,,, :\,ot4S PREM1c ,,, ~---::0:\.;i·P ·o·i?~/~-----,,.--::0:\;~·p a·,.;~/:?;:--...
ft:f::'C, «'\~~ ft:f:.-·C, «'\~~
ttt SE AL\~~ i~=-SE AL 11 ~t:. 18E i~: :~E
\':/·.. 1973 , /~# \'0}.. /if •,,}'o>s-l!ssouJ.•:,y; ~~ ._,, 'o,, ;·.'!f,ss ou'?-.'.-~0 -~· ,,,,,,,~s ··•·· ~~~............ ,,,,,"!;41$•• ...... •~o'~, .. , .......
'11,u1,uu111' .,,,,,,_,,~1111111~''
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By __________________ _
Erik .Janssens, Senior Vice President of SRCSAIC & Senior Vice President
ofSRCSPIC & Senior Vice President ofWIC
~fr.L By ___________________ _
Gerald Jagrowski, Vice President of SRCSAIC & Vice President of SRCSPIC
& Vice President of WIC
IN WITNESS WHEREOF, SRCSAIC, SRCSPIC, and WIC have caused their official seals to be hereunto affixed, and these presents to be signed by their
authorized officers
this~ day of NOVEMBER 2o 22 -----
State of Illinois
County of Cook
Swiss Re Corporate Solutions America Insurance Corporation
Swiss Re Corporate Solutions Premier Insurance Corporation
Westport Insurance Corporation
On this~ day of NOVEMBER , 20 22 , before me, a Notary Public personally appeared Erik Janssens , Senior Vice President of SRCSAIC
and Senior Vice President of SRCSPIC and Senior Vice President of WIC and Gerald Jagrowski , Vice President of SRCSAIC and Vice President of
SPCSPIC and Vice President of WIC, personally known to me, who being by me duly sworn, acknowledged that they signed the above Power of Attorney
as officers of and acknowledged said instrument to be the voluntary act and deed of their respective companies.
OFFICIAL SEAL. Ql:IRISTINA t.4ANl$CO
-~~~-.\\\.~ .•. i)\~ .... --~~~
I, Jeffrey Goldberg, the duly elected Senior Vice President and Assistant Secretary of SRCSAIC and SRCSPIC and WIC, do hereby certify that the above and
foregoing is a true and correct copy ofa Power of Attorney given by said SRCSAIC and SRCSPIC and WIC, which is still in full force and effect.
IN WITNESS WHEREOF, I have set my hand and affixed the seals of the Companies this~day of Ap,il 20 23 .
Jeffrey Goldberg, Senior Vice President &
Assistant Secretary of SRCSAIC and
SRCSPIC and WIC