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WebLinkAboutS_Permit_Bond_4413995_Avaya_Ridge_U15008868_170824.pdfOriginals(1)DEPARTMENTOFCOMMUNITYANDECONOMICDEVELOPMENTPrintFormResetForrnjSaveFormiC—Renton0PERMITBOND-ProjectName:AvayaRidgeKNOWALLMENBYTHESEPRESENT;thatweAvaya74ApartmentHomes,LILof23622CalabasasRoad,Suite200,Calabasas,CA91302SureTecInsuranceCompanyaCorporation,asSurety,areheldandfirmlybounduntotheCityofRenton,amunicipalcorporationoftheStateofWashington,inthesumof$OneMillionFive1-lundredTwentyNineThousandOneHundredEightylhreeDuflars&761100lawfulmoneyoftheUnitedStatesofAmerica,forthepaymentofwhich,willandtrulytobemade,wefirmlybindourselves,andeachofourheirs,executors,administratorsandassigns,jointlyandseverallybythesepresent.THECONDITIONOFTHEFOREGOINGOBLIGATIONSISSUCH,thatWHEREAS,theabovenamedPrincipalhasappliedforapermit,pursuanttotheprovisionsofOrdinanceNo.3205,todocertainworkonaCityofRentonroadway,street,alley,avenue,orotherpublicplace,duringaperiodendingrS—21-k4’iNOWTHEREFORE,iftheabovenamedPrincipalshallindemnifyandsaveharmlesstheCityofRenton,fromallclaims,actionsordamagesofeverykindanddescription,whichmayaccrueasaresultofopeningand/orworkinguponaroadway,street,alley,avenue,publiceasementorotherpublicplace,byhimorthoseinhisemploy,ininstallingormakingconnectionswithanypublicorprivatesewerorwatersystem,oranyotherpurposeorobjectwhatever,andthathewillreplaceandrestoresuchroadway,street,avenue,alleyorotherpublicplacetoasgoodastateorconditionasatthetimeofthecommencementofsaidwork,andmaintainthesameingoodordertothedecidedsatisfactionoftheCityofRenton,andthathewillcomplywithallprovisionsofhisortheirfranchiseofourpermitandallresolutionsorinstrumentsrelatingthereto,thisobligationtobevoid;otherwisetoremaininfullforceandeffect.Theliabilityunderthisbondisforaperiodofoneyearfrom08/22/2017to08/21/2019andmaybeextendedbythesuretyissuingaContinuationCertificate.Sealedwithoursealsanddatedthis22nddayofBY:3ec{Let€(&‘sj1tureI*tk’ApplicantsSignatureApplicant’sAddressCity,State,ZipSignatureofBondingAgentAttachPowerofAttorneyFormtoBondIncludecontactinformation.SureTecInsuranceCompany3131CaminodelRio,Suite1450SanDiego,CA92108619-400-4100BondNumber:—Premium:$25,936.004413995andasPrincipal,BY:DaveB.RoalkvamH:\cED\Data\Forms-Templates\seIf-HeipHandouts\PublicWorks\PERMITBONO.docxRev:04/2015 Avaya7423622Calabasas.BY:ELLCBy:ItsManager POA#:510672SureTecInsuranceCompanyLIMITEDPOWEROFATTORNEYKnowAllMenbyThesePresents,ThatSURETECINSURANCECOMPANY(the“Company”),acorporationdulyorganizedandexistingunderthelawsoftheStateofTexas,andhavingitsprincipalofficeinHouston,HarrisCounty,Texas,doesbythesepresentsmake,constituteandappointRonH.Ballard!GloriaS.Becerra,DaveB.Roalkvam,DavidM&man,AlbertEspino,ArianneAdairitstrueandlawfulAttorney-in-fact,withff11powerandauthorityherebyconferredinitsname,placeandstend,toexecute,acknowledgeanddeliveranyandallbonds,recognizances,undertakingsorotherinstrumentsorcontractsofsuretyshiptoincludewaiverstotheconditionsofcontractsandconsentsofsuretyfor,providingthebondpenaltydoesnotexceedFifteenMillionand00/100Dollars($15,000,000.00)andtobindtheCompanytherebyasfullyandtothesameextentasifsuchbondweresignedbythePresident,sealedwiththecorporatesealoftheCompanyanddulyattestedbyitsSecretary,herebyratifyingandconfirmingallthatthesaidAttorney-in-Factmaydointhepremises.Saidappointmentshallcontinueinforceuntil511812021andismadeunderandbyauthorityofthefollowingresolutionsoftheBoardofDirectorsoftheSureTecInsuranceCompany:BeitResolved,thatthePresident,anyVice-President,anyAssistantVice-President,anySecretaryoranyAssistantSecretaryshallbeandisherebyvestedwithfullpowerandauthoritytoappointanyoneormoresuitablepersonsasAttorney(s)-in-FacttorepresentandactforandonbehalfoftheCompanysubjecttothefollowingprovisions:Attorney-in-FactmaybegivenfullpowerandauthorityforandinthenameofandofbehalfoftheCompany,toexecute,acknowledgeanddeliver,anyandallbonds,recognizanccs,contracts,agreementsorindemnityandotherconditionalorobligatoryundertakingsandanyandallnoticesanddocumentscancelingorterminatingtheCompany’sliabilitythereunder,andanysuchinstrumentssoexecutedbyanysuchAttorney-in-FactshallbebindingupontheCompanyasifsignedbythePresidentandsealedandeffectedbytheCorporateSecretary.BeitResolved,thatthesignatureofanyauthorizedofficerandsealoftheCompanyheretoforeorhereafteraffixedtoanypowerofattorneyoranycertificaterelatingtheretobyfacsimile,andanypowerofattorneyorcertificatebearingfacsimilesignatureorfacsimilesealshallbevalidandbindingupontheCompanywithrespecttoanybondorundertakingtowhichftisattached,(Adoptedatameetingheldon20”ofApril,1999.)hiTV/messWhereo,SURETECINSURANCECDMPANYhascausedthesepresentstobesignedbyitsPresident,acorporatesealtobeheretoaffixadthis‘°dayofMay,AD.2017SURETECSURANCBy:_____JohnKnox.,residçthStateofTexassd:/.“CountyofHarrisOnthis10thdayofMay,AD,2017beforemepersonallycameJohnKnoxJr.,tomeknown,who,beingbymecitysworn,diddeposeandsay,thatheresidesinHouston,Texas,thatheisPresidentofSURETECINSURANCECOMPANY,thecompanydescribedinandwhichexecutedtheaboveinstrument;thatheknowsthesealofsaidCompany;thatthesealaffixedtosaidinstrumentissuchcorporateseal;thatitwassoaffixedbyorderoftheBoardofDirectorsofsaidCompany;andthathesignedhisnametheretobylikeorder._____________-1JVVThCKNotaryID126903029JncqelynGreenleaf,NotaryPublicMycommissionexpiresMay18,2021I,M.BrentBeaty,AssistantSecretaryofSUREThCINSURANCECOMPANY,doherebycerti’thattheaboveandforegoingisatrueandcorrectcopyofaPowerofAttorney,executedbysaidCompany,whichisstillinfullforceandeffect;andfurthermore,theresolutionsoftheBoardofDirectors,setoutinthePowerofAttorneyareinfullfarceandeffect.GivenundermyhandandthesealofsaidCompanyatHouston,Texasthis22ndd,0fAuust9l7.AD.M.BrentBeaty,AssistantSecretaryAnyinstrumentissuedInexcessofthepenaltystatedaboveistotallyvoidandwithoutanyvalidity.Forverificationoftheauthorityofthispoweryoumaycall(713)812-0800anybusinessdaybetween8:00amand5:00pmCST. H‘CALIFORNIAALL-PURPOSEACKNOWLEDGMENTAnotarypublicorotherofficercompletingthiscertificateverifiesonlytheidentityoftheindividualwhosignedthedocument,towhichthiscertificateisattached,andnotthetruthfulness,accuracy,orvalidityofthatdocument.StateofCaliforniaCountyofSanDiegoOnAucust22.2017beforeme,ChiaT.Moua,NotaryPublicpersonallyappearedDaveB.Roalkvnmwhoprovedtomeonthebasisofsatisfacton’evidencetobetheperson(s)whosename(s)is/aresubscribedtothewithininstrumentandacknowledgedtomethathe/she/theyexecutedthesameinhis/hethheirauthorizedcapacitfies),andthatbyhis/heitheifsignature(s)ontheinstrumenttheperson(s),ortheentityuponbehalfofwhichtheperson(s)acted,executedtheinstrument.IcertifytinderPENALTYOFPERJURYunderthelawsoftheStateofCaliforniathattheforegoingparagraphistrueandcorrect.WITNESSmyhandandofficialseal.3COMMISSION#2188030IMyCoflMarch302021JPC•z1i.ç1yL4\Jt/U-_SignureoflN9iryOPTIONALThoughthedatabelowisnotrequiredbylaw,itmayprovevaluabletopersonsrelyingonthedocumentandcouldpreventfraudulentreattachmentofthisform.CAPACITYCLAIMEDBYSIGNERDESCRIPTIONOFATTACHEDDOCUMENTHINDIVIDUAL_____________________HCORPORATEOFFICERTitleorTypeofDocumentHPARTNER(S)NumberofPagesHMEMBERofLLCATTORNEY-IN-FACTHTRUSTEE(S)______________________HGUARDIAN/CONSERVATORDateofDocumentOTHER:______________________SIGNERISREPRESENTING:Signer(s)otherthannamedaboveNAMEOFPERSON(S)ORENTITYOES)SureTecInsuranceCompany