HomeMy WebLinkAboutPermit Bond.pdfDEPARTMENT OF COMMUNITY —0000- 77OF
AND ECONOMIC DEVELOPMENT ,`Renton O
PERMIT BOND
Bond Number: 2313735 Project Name: Ace Aviation 287
KNOW ALL MEN BY THESE PRESENT; that we Powell Construction Company
of
Bellevue, WA
as Principal,
and North American Specialty Insurance Company 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 $ 24,861.31 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 1st, 2022
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 April 1 st, 2021
to April tst, 2022 and may be extended by the surety issuing a Continuation
Certificate.
Sealed with our seals and dated this 1st day of April 2021
Po M1 Constr tion ompany North American Specialty Insurance Company
BY: BY:
Appli nt's Signature Signature of Bonding Agent A,Cre P. Lamm
2625 Northup Way
Applicant's Address
Bellevue, WA 98004
City, State, Zip
Attach Power of Attorney Form to 5ond
Include contact information.
H:\CED\Data\Forms-Templates\Self-Help Handouts\Development Engineering\PERMIT BOND.docx Rev: 02/2018
SWISS RE CORPORATE SOLUTIONS
NORTH AMERICAN SPECIALTY INSURANCE COMPANY
WASHINGTON INTERNATIONAL INSURANCE COMPANY
WESTPORT INSURANCE CORPORATION GENERAL POWER OF ATTORNEY
KNOW ALL MEN BY THESE PRESENTS, THAT North American Specialty Insurance Company, a corporation duly organized and existing under
laws of the State of New Hampshire, and having its principal office in the City of Kansas City, Missouri and Washington International Insurance
Company a corporation organized and existing under the laws of the State of New Hampshire and having its principal office in the City of Kansas
City, Missouri, and Westport Insurance Corporation, organized under the laws of the State of Missouri, and having its principal office in the City of
Kansas City, Missouri does hereby make, constitute and appoint:
SUSAN B. LARSON, SCOTT FISHER, MINDEE L. RANKIN, DEANNA M. FRENCH, RONALD J. LANGE, ELIZABETI I R. HAHN, JANA M. ROY, ROGER R. KALTENBACH, SCOTT GARCIA
GUY P. ARMFIELD, SCOTT MCGILVRAY, ANDREW P. LARSEN, NICHOLAS FREDRICKSON, JOHN R. CLAEYS, CHARLA M. BOADLE, And DEREK SABO JOINTLY OR SEVERALLY
Its true and lawful Attomey(s)-in-Pact, to make, execute, seal and deliver, for and on its behalf and as its act and deed, bonds or other writings
obligatory 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 permitted 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: ONE HUNDRED TWENTY FIVE MILLION (S125,000,000.00) DOLLARS
This Power of Attorney is granted and is signed by facsimile under and by the authority of the following Resolutions adopted by the Boards of
Directors of North American Specialty Insurance Company and Washington International Insurance Company at meetings duly called and held
on March 24, 2000 and Westport Insurance Corporation by written consent of its Executive Committee dated July 18, 2011.
"RESOLVED, that any two of the President, any Senior Vice President, any Vice President, any Assistant 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 Company 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 Company; and it is
FURTHER RESOLVED, that the signature of such officers and the seal of the Company 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
bindinP opsu the Company when so affixed and in the future with regard to any bond, undertaking or contract of surety to which it is attached."
By (� 1 `-
Stesen tnto mgtun nternatmaa to Company
n &rSenior vice President or North American Specialty InsuranceCompany
& Senior Vice President of Westport Insurance
IInnssurance Corporation
By
Mike A. lo, Senior Vice President of Washington International Insu ranee Company
& Senior Viet President of North American Specialty Insurance Company
& Senior Vice President of Westport Insurance Corporation
IN WITNESS WHEREOF, North American Specialty Insurance Company, Washington International Insurance Company and Westport
Insurance Corporation have caused their official seals to be hereunto affixed, and these presents to be signed by their authorized officers this
this 30TH day of MAY , 20 19
North American Specialty Insurance Company
Washington International Insurance Company
State of Illinois Westport Insurance Corporation
County of Cook SS:
On this 30THday of MAY , 20 19. before me, a Notary Public personally appeared Steven P. Anderson , Senior Vice President of
Washington International Insurance Company and Senior Vice President of North American Specialty Insurance Company and Senior Vice President of
Westport Insurance Corporation and Michael A. Ito Senior Vice President of Washington International Insurance Company and Senior Vice President
of North American Specialty Insurance Company and Senior Vice President of Westport Insurance Corporation, 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 -
M. KENNY
Notary Public - State of Illiiuois
My citimsimn E"'ne. M. Kenny, Notary Public
1, Jeffrey Goldberg , the duly elected Vice President and Assistant Secretary of North American Specialty Insurance Company, Washington
International Insurance Company and Westport Insurance Corporation do hereby certify that the above and foregoing is a true and correct copy of a
Power of Attorney given by said North American Specialty Insurance Company, Washington International Insurance Company and Westport Insurance
Corporation which is still in full force and effect.
IN WITNESS WHEREOF, I have set my hand and affixed the seals of the Companies this I st day of April 20 21
Jeffrey Goldberg, Vice President & Assistant Secretary of W'ashlnumn International Insurance Company &
North American Specialty Insurance Company & \'ice President & Assistant Secretary of Westport Insurance Curpomti or