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HomeMy WebLinkAboutS_Release_Letter_Permit_Bond_9822410_C16006297_181116DenisLawMayorNovember16,2018SocheatKhnor26721106thAvenueSERenton,WA98057Community&EconomicDevelopmentC.E.“Chip”Vincent,AdministratorSUBJECT:DearKhnor:RELEASEOFPOWEROFATtORNEYANDPERMITBOND#9822410BOUNSHORTPLAT&UTILITYPERMIT#U16006297ThisletterwillserveasauthorizationtoreleasethePowerofAttorneyfromLexonInsuranceCompanyandPermitBond#9822410issuedtoSocheatKhnoronJuly2,2018intheamountof$297,890.12.TheseitemswerepostedtotheCityofRentononbehalfoftheBounShortPlatproject.Enclosedaretheoriginaldocumentsforyourreference.Ifyouhaveanyquestions,pleasecontacttheprojectmanager,JustinJohnsonat(425)430-7291.SincerelyJenniferHenningPlanningDirectorEnclosure(s):LexonInsurancecompanyPowerofAttorneyPermitBond#9822410cc:JustinJohnson,DevelopmentEngineeringProjectManagerBrianneBannwarth,DevelopmentEngineeringManager1055SouthGradyWay,Renton,WA98057•rentonwa.gov DEPANTMENTOFCOMMUNITY“SrCITYOFANDECONOMICDEVELOPMENT—=‘RentonePERMITBONDBondNumber:9822410ProjectName:BOUNSHORTPLATKNOWALLMENBYTHESEPRESENT;thatweSOCHEATKHNORof26721106THAVESE,KENT,WA98030asPrincipal,andLEXONINSURANCECOMPANYaCorporation,asSurety,areheldandfirmlybounduntotheCityofRenton,amunicipalcorporationoftheStateofWashington,inthesumof$_TWOIIUNDIIEDNINEIY-SIIVIiNflIOUSMHJLIGIrIIUNDIIEDNINLTTOOLLMtSAMOTiVELVIICflfl(SZfl$I1.I2)lawfulmoneyoftheUnitedStatesofAmerica,forthepaymentofwhich,willandtrulytobemade,wefirmlybindourselves,andeachofourheirs,executors,administratorsandassigns,jointlyandseverallybythesepresent.THECONDITIONOFTHEFOREGOINGOBLIGATIONSISSUCH,thatWHEREAS,theabovenamedPrincipalhasappliedforapermitpursuanttotheprovisionsofOrdinanceNo.3205,todocertainworkonaCityofRentonroadway,Streetalley,avenue,orotherpublicplace,duringaperiodendingJUNE29TH,019NOWTHEREFORE,iftheabovenamedPrincipalshallindemnityandsaveharmlesstheCityofRenton,fromallclaims,actionsordamagesofeverykindanddescription,whichmayaccrueasaresultofopeningand/orworkinguponaroadway,street,alley,avenue,publiceasement,orotherpublicplace,byhimorthoseinhisemploy,ininstallingormakingconnectionswithanypublicorprivatesewerorwatersystem,oranyotherpurposeorobjectwhatever,andthathewillreplaceandrestoresuchroadway.street,avenue,alleyorotherpublicplacetoasgoodastateorconditionasatthetimeofthecommencementofsaidwork,andmaintainthesameingoodordertothedecidedsatisfactionoftheCityofRenton,andthathewillcomplywithallprovisionsofhisortheirfranchiseofourpermitandallresolutionsorinstrumentsrelatingthereto,thisobligationtobevoid;otherwisetoremaininfullforceandeffect.TheliabilityunderthisbondisforaperiodofoneyearfromJUNE29TH,2018toJUNE29TH.2019andmaybeextendedbythesuretyis5uingaContinuationCertificate.Sealedwithoursealsanddatedthis2NDdayofJULY018LEZWPApplicant’sSignatureignatureofBondingAgentAttachPowerofAttorneyFormtoBond26721106THAVESEIncludecontactinformation.Applicant’sAddressRENTON,WA98057City,State,ZipH:\cED\Data\Fonns.Templates\Self1lelpHandouts\DevelopmentEnglneering\PERMITB0ND.docxORIGINALRev:02/2018 POWEROFATTORNEYLX-9822410LexonInsuranceCompanyKNOWALLMENBYTHESEPRESENTS,thatLEXONINSURANCECOMPANY,aTexasCorporation,withitsprincipalofficeinLouisville,Kentucky,doesherebyconstituteandappointMARKHERMILLERitstrueandlawfulAttorney(s)-In-Facttomake,execute,sealanddeliverfor,andonitsbehalfassurety,andasitsactanddeedasuErr,tjNounderbondorundertakingnumber9622410issuedonbehalfofSOcHEATKWN0R—-_____________asprincipalinthepenalsumof$29789012ThisauthorityismadeunderandbytheauthorityofaresolutionwhichwaspassedbytheBoardofDirectorsofLEXONINSURANCECOMPANYontheVdayofJuly,2003asfollows:Resolved,thatthePresidentoftheCompanyisherebyauthorizedtoappointandempoweranyrepresentativeoftheCompanyorotherpersonorpersonsasAttorney-In-FacttoexecuteonbehalfoftheCompanyanybonds,undertakings,policies,contractsofindemnityorotherwritingsobligatoryinnatureofabondnottoexceed$297,890,12dollars,whichtheCompanymightexecutethroughitsdulyelectedofficers,andaffixthesealoftheCompanytheretoAnysaidexecutionofsuchdocumentsbyanAttorney-In-FactshallbeasbindingupontheCompanyasIftheyhadbeendulyexecutedandacknowledgedbytheregularlyelectedofficersoftheCompany.AnyAttorney-In-Fact,soappointed,mayberemovedforgoodmuseandtheauthoritysograntedmayberevokedasspecifiedinthePowerofAttorney.Resolved,thatthesignatureofthePresidentandtheseaoftheCompanymaybeaffixedbycsimiieonanypowerofattorneygranted,andthesignatureoftheAssistantSecretary,andthesealoftheCompanymaybeaffixedbyfacsimiletoanycertificateofanysuchpowerandanysuchpowerorcertificatebearingsuchfacsimilesignatureandsealshallbevalidardbindingontheCompanyAnysuchpowersoexecutedandsealedardcertificatesoexecutedandsealedshall,withrespecttoanybondofundertakingtowhichftisattached,continuetobevalidandbindingontheCompany.INWITNESSTHEREOF,LEXONINSURANCECOMPANYhascausedthisinstrumenttobesignedbyitsPresident.anditsCorporateSealtobeaffixedthis5thdayofAugust2015.LEXONINSURANCECOMPANY•C0ACKNOWLEDGEMENTOnthisSmdayofAugust,2015,beforeme,personallycameDavidE.Campbelltomeknown,whobedulysworn,diddeposeandsaythatheisthePre&dentofLEXONINSURANCECOMPANY,thecorporationdesaibedinandwhichexecutedtheaboveinstrument;thatheexecutedsaidinstrumentonbehalfofthecorporationbyauthorityofhisofficeundertheBy-lawsofsaidcorporation.NcPbfl&::nnesseeBY________________________SMvccmminionE,’esO7-OB-iotaCERTIFICATEI,theundersigned,AssistantSecretaryofLEXONINSURANCECOMPANY,ATexasInsuranceCompany,DOHEREBYCERTIFYthattheoriginalPowerofAttorneyofwhichtheforgoingisatrueandcorrectcopy,isinfullforceandeffectandhasnotbeenrevokedandtheresolutionsassetfortharenowinforce.SignedandSealatMountJuliet,Tennesseethis2NDDayofJULY20ThBY______AndrewSmithAssistantSecretary“WARNING:Anypersonwhoknowinglyandwithintenttodefraudanyinsurancecompanyorotherperson,FilesandapplicationforInsuranceofclaimcontaininganymateriallyfalseinformation,orconcealsforthepurposeofmisleading,InformationconcerninganyfactmaterialtheretocommitsafraudulentInsuranceact,whichisacrimeandsubjectssuchpersontocriminalandcivilpenaltIes.”OR!GINAL