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HomeMy WebLinkAboutPermit BondDEPARTMENT OF COMMUNITY AND ECONOMIC DEVELOPMENT H:\CED\Data\Forms-Templates\Self-Help Handouts\Development Engineering\PERMIT BOND.docx Rev: 02/2018 PERMIT BOND Bond Number: Project Name: KNOW ALL MEN BY THESE PRESENT; that we of as Principal, and 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 $ 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 . 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 to and may be extended by the surety issuing a Continuation Certificate. Sealed with our seals and dated this day of , 20 BY: BY: Applicant’s Signature Signature of Bonding Agent Attach Power of Attorney Form to Bond Include contact information. Applicant’s Address City, State, Zip 3471732 AAA Septic & Plumbing LLC Auburn, WA SureTec Insurance Company 84,863.00 02/01/2023 02/01/2022 02/01/2023 1st February 22 11315 148th Ave SE, Renton, WA 98059 David Gonsalves 11440 Carmel Commons Blvd Ste 207 Charlotte, NC 28247