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S_Permit_Bond_9822500_C17003961_180924.pdf
C1VOFANDECONOMICDEVELOPMENT--“R.entonEPERMITBONDBondNumber:9822500ProjectName:LallySPKNOWALLMENBYTHESEPRESENT;thatweKAMALJITS.LALLYofRENTON,WASHINGTONasPrincipal,andLEXONINSURANCECOMPANYaCorporation,asSurety,areheldandfirmlybounduntotheCityofRenton,amunicipalcorporationoftheStateofWashington,inthesumof$2996029lawfulmoneyoftheUnitedStatesofAmerica,forthepaymentofwhich,willandtrulytobemade,wefirmlybindourselves,andeachofourheirs,executors,administratorsandassigns,jointlyandseverallybythesepresent.THECONDITIONOFTHEFOREGOINGOBLIGATIONSISSUCH,thatWHEREAS,theabovenamedPrincipalhasappliedforapermit,pursuanttotheprovisionsofOrdinanceNo.3205,todocertainworkonaCityofRentonroadway,street,alley,avenue,orotherpublicplace,duringaperiodending07/27/2019NOWTHEREFORE,iftheabovenamedPrincipalshallindemnifyandsaveharmlesstheCityofRenton,fromallclaims,actionsordamagesofeverykindanddescription,whichmayaccrueasaresultofopeningand/orworkinguponaroadway,street,alley,avenue,publiceasement,orotherpublicplace,byhimorthoseinhisemploy,ininstallingormakingconnectionswithanypublicorprivatesewerorwatersystem,oranyotherpurposeorobjectwhatever,andthathewillreplaceandrestoresuchroadway,street,avenue,alleyorotherpublicplacetoasgoodastateorconditionasatthetimeofthecommencementofsaidwork,andmaintainthesameingoodordertothedecidedsatisfactionoftheCityofRenton,andthathewillcomplywithallprovisionsofhisortheirfranchiseofourpermitandallresolutionsorinstrumentsrelatingthereto,thisobligationtobevoid;otherwisetoremaininfullforceandeffect.Theliabilityunderthisbondisforaperiodofoneyearfrom07/27/2018to07/27,2019andmaybeextendedbythesuretyissuingaContinuationCertificate.Sealedwithoursealsanddatedthis27thdayofBY:________________________________Applicant’sSignatureSignat3g’of’BondingAgentAttachPowerofAttorneyFormtoBond16422108THAVESEIncludecontactinformation.Applicant’sAddressDivanP.WelchAttorney-in-FactWInsuranceGroupRENTON,WA9805517PacificAveTacoma,WA9842City,State,Zip(800)362-5220JULYBYH:\cED\Oata\Forms-Ternplates\SeIf-HeIpHandouts\DeeIoprnentEngineering\PERMITSOND.docxRev:02/2018 ‘SPOWEROFATTORNEYLX-9822500LexonInsuranceCompanyKNOWALLMENBYTHESEPRESENTS,thatLEXONINSURANCECOMPANY,aTexasCorporation.withitsprincipalofficeinLouisville,Kentucky,doesherebyconstituteandappointBryanP.welchitstrueandlawfulAttorney(s)-In-Facttomake,execute,sealanddeliverfor,andonitsbehalfassurety.andasitsactanddeedaPERMITBONDunderbondorundertakingnumber9822500issuedonbehalfofKAMALJITS.LALLYasprincipalinthepenalsumof$29,960.60ThisauthorityismadeunderandbytheauthorityofaresolutionwhichwaspassedbytheBoardofDirectorsofLEXONINSURANCECOMPANYonthe11dayofJuly,2003asfollows:Resolved,thatthePresidentoftheCompanyisherebyauthorizedtoappointandempoweranyrepresentativeoftheCompanyorotherpersonorpersonsasAttorney-In-FacttoexecuteonbehalfoftheCompanyanybonds,undertakings,policies,contractsofindemnityorotherwritingsobligatoryinnatureofabondnottoexceed$29,960.60dollars,whichtheCompanymightexecutethroughitsdulyelectedofficers,andaffixthesealoftheCompanythereto.AnysaidexecutionofsuchdocumentsbyanAttorney-In-FactshallbeasbindingupontheCompanyasiftheyhadbeendulyexecutedandacknowledgedbytheregularlyelectedofficersoftheCompany.AnyAttorney-In-Fact,soappointed,mayberemovedforgoodcauseandtheauthoritysograntedmayberevokedasspecifiedinthePowerofAttorney.Resolved,thatthesignatureofthePresidentandthesealoftheCompanymaybeaffixedbyfacsimileonanypowerofattorneygranted,andthesignatureoftheAssistantSecretary,andthesealoftheCompanymaybeaffixedbyfacsimiletoanycertificateofanysuchpowerandanysuchpowerorcertificatebearingsuchfacsimilesignatureandsealshallbevalidandbindingontheCompany.Anysuchpowersoexecutedandseatedandcertificatesoexecutedandsealedshall,withrespecttoanybondofundertakingtowhichitisattached,continuetobevalidandbindingontheCompany.INWITNESSTHEREOF,LEXONINSURANCECOMPANYhascausedthisinstrumenttobesignedbyitsPresident,anditsCorporateSealtobeaffixedthis5thdayofAugust,2015.LEXONINSURANCECOMPANYBY.“‘cDavidE:CampbellPresidentACKNOWLEDGEMENTOnthis5thdayofAugust,2015,beforeme,personallycameDavidE.Campbelltomeknown,whobedulysworn,diddeposeandsaythatheisthePresidentofLEXONINSURANCECOMPANY,thecorporationdescribedinandwhichexecutedtheaboveinstrumentthatheexecutedsaidinstrumentonbehalfofthecorporationbyauthorityofhisofficeundertheBy-lawsofsadcorporation.NotaryPu.SeTennesseeBY_________________________DavidsoncountyAmyJJ.aylorBMvcommissionExoires07-08-19NotalPublicCERTIFICATEI.theundersigned,AssistantSecretaryofLEXONINSURANCECOMPANY.ATexasInsuranceCompany,DOHEREBYCERTIFYthattheoriginalPowerofAttorneyofwhichtheforgoingisatrueandcorrectcopy,isinfullforceandeffectandhasnotbeenrevokedandtheresolutionsassetfortharenowinforce.SignedandSealatMountJuliet,Tennesseethis27THDayofJULY2018BY_________AndrewSmithAssistantSecretary“WARNING:Anyparsonwhoknowinglyandwithintenttodefraudanyinsurancecompanyorotherparson,filesandapplicationforinsumncoofclaimcontaininganymateriallyfalseinformation,orconcealsforthepurposeofmisleading,Informationconcerninganyfactmaterialthereto,commitsafraudulentinsuranceact,whichIsacrimeandsubjectssuchparsontocriminalandcivilpenalties.”