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S_Permit_Bond_SAIFSU0736358_U16006829_180103.pdf
PrintFormResetFormSaveFormeCITYOFJ:zct::T—“Renton0PERMITBONDBondNumber:SAlFSU0736358ProjectName:RentonSonic;LUA16-000229,Permit#U16006829KNOWALLMENBYTHESEPRESENT;thatweOlympicCascadeDriveInsLLCofEdmondsWAasPrincipal,andInternationalFidelityInsuranceCompanyaCorporation,asSurety,areheldandfirmlybounduntotheCityofRenton,amunicipalcorporationoftheStateofWashington,inthesumof$164,935.17lawfulmoneyoftheUnitedStatesofAmerica,forthepaymentofwhich,willandtrulytobemade,wefirmlybindourselves,andeachofourheirs,executors,administratorsandassigns,jointlyandseverallybythesepresent.THECONDITIONOFTHEFOREGOINGOBLIGATIONSISSUCH,thatWHEREAS,theabovenamedPrincipalhasappliedforapermit,pursuanttotheprovisionsofOrdinanceNo.3205,todocertainworkonaCityofRentonroadway,street,alley,avenue,orotherpublicplace,duringaperiodending1/3/2019NOWTHEREFORE,iftheabovenamedPrincipalshallindemnifyandsaveharmlesstheCityofRenton,fromallclaims,actionsordamagesofeverykindanddescription,whichmayaccrueasaresultofopeningand/orworkinguponaroadway,street,alley,avenue,publiceasement,orotherpublicplace,byhimorthoseinhisemploy,ininstallingormakingconnectionswithanypublicorprivatesewerorwatersystem,oranyotherpurposeorobjectwhatever,andthathewillreplaceandrestoresuchroadway,street,avenue,alleyorotherpublicplacetoasgoodastateorconditionasatthetimeofthecommencementofsaidwork,andmaintainthesameingoodordertothedecidedsatisfactionoftheCityofRenton,andthathewillcomplywithallprovisionsofhisortheirfranchiseofourpermitandallresolutionsorinstrumentsrelatingthereto,thisobligationtobevoid;otherwisetoremaininfullforceandeffect.Theliabilityunderthisbondisforaperiodofoneyearfrom1/3/2018to1/312019andmaybeextendedbythesuretyissuingaContinuationCertificate.Sealedwithoursealsdatedtis3rddayofJi1y,,2Q/BY%BY7/—Applicant’sSignatureignatureof6ondingAgentAttachPowerofAttorneyFormtoBond120WDayton,SteD5Includecontactinformation.Applicant’sAddressCameronHuntsucker,Attorney-in-FactdointegritySuretyLLCEdmondsWA98020[7544MidvaleAveN#300CitStateZiSeattleWA98133(206)546-1397H:\CED\Data\Forms.Templates\SeIf-HeipHandouts\PubIicWorks\PERMITBOND.docxRev:04/2015 theirtrueandlawfulattorney(s)-In-facttoexecute,sealanddeliverforandonItsbehalfassurety,anyandallbondsandundertakings,contractsofindemnityandotherwritingsobligatoryinthenaturethereof,whichareormaybeallowed,requiredorpermittedbylaw,statuterule,regulationcontractorotherwIseandtheexecutionofsuchinstwment(siinpursuanceofthesepresents,shallbeasbindinguponthesaidINtERNA11ONAL1RDELITYINSURANCECOMPANYandALLEGHENYCASUALTYCOMPANY,asfullyandamply,toallIntentsandpurposes,asifthesamehadbeendulyexecutedandacknowledgedbytheirregularlyelectedofficersattheirprincipaloffices.ThisPowerofAttorneyisexecutedandmayberevoked,pursuanttoandbyauthorityoftheBy-LawsofINTERNATIONALFIDELITYINSURANCECOMPANYandALLEGHENYCASUALTYCOMPANYandisgrantedunderandbyauthorityofthefollowingresolutionadoptedbytheBoardofDirectorsofINTERNATIONALFIDELITYINSURANCECOMPANYatameetingdulyheldonthe20thdayofJuly,2010andbytheBoardofDirectorsofALLEGHENYCASUALTYCOMPANYatameetingdulyheldonthe15thdayofAugust,2000:“RESOLVED,that(1)thePresident,VicePresidentChiefExecutiveOfficerorSecretaryoftheCorporationshallhavethepowertoappoint,andtorevoketheappointmentsof.Attorneys-b-Factoragentswithpowerandauthorityasdefinedorlimitedintheirrespectivepowersofattorney,andtoexecuteonleha1foftheCorporationandaffixtheCorporation’ssealthereto,bonds,undertakings,recognizances,contractsofindemnItyandotherwrittenobligationsinthenatureThereoforrelatedthereto;and(2)anysuchOfficersoftheCorporationmayappointandrevoketheappointmentsofjoint-controlcustodians,agentsforacceptanceofprocess,andAttorneys-in-factwithauthoritytoexecutewaiversandconsentsonbehalfoftheCorporation;and(3)thesIgnatureofanysuchOfficeroftheCorporationandtheCorporation’ssealmaybeaffixedbyfacsimiletoanypowerofattomeyorcertificatIongivenfortheexecutionofanybond,undertakingrecognizance,contractofindemnItyorotherwrittenobliqabonInthenaturethereoforrelatedthereto,suchslonatureandsealswhensousedwhetherheretoforeorhereafter,beingherebyadootedbytheCorporationastheoriginalsinnatureofsuchofficeranJtheoriginalsealoftheCorporation,tobevalidandbindingupontheCorporationwiththesameforceandeffectasthoughmanuallyaffixed.”INWITNESSWHEREOF,INTERNATIONALFIDELITYINSURANCECOMPANYandALLEGHENYCASUALTYCOMPANYhaveeachexecutedandattestedthesepresentsonthis31stdayofDecember,2015.‘!.WEfto\3:oNOTARY—o’.eaIttPUBLICC,’5/4rt“$‘°FNENt,o,,,I,,STATEOFNEWJERSEYCountyofEssexROBERTW.MINSTERChiefExecutiveOfficer(InternationatFidelityInsuranceCompany)andPresident(AlleghenyCasualtyCompany)JWERTORNE•ATIONALFIDELITY:INSuRANcEALLEGHENYCASUALTYCOMPPONENEWARKCENTER,20THFLOORNEWARK,NEWJERSEY07102-5207KNOWALLMENBYTHESEPRESENTS:ThatINTERNATIONALFIDELITYINSURANCECOMPANY,acorporationorganizedandexistingunderthelawsoftheSlateofNewJersey,andALLEGHENYCASUALTYCOMPANYacorporationorganizedandexistingunderthelawsoftheStateofNewJersey,havingtheirpnnapalofficeIntheCityofNewark,NewJersey,doherebyconstituteandappointMERCEDESTROKEY-MOUDY,JESSICAYUHAS,KARASKINNER.CAMERONHUNTSUCKERSeattle,WA.Onthis31stdayofDecember2015,beforemecametheindividualwhoexecutedtheprecedinginstrument,tomepersonallyknown,and,beingbymedutysworn,saidheisthethereindescribedandauthoredofficerofINTERNATIONALFIDELITYINSURANCECOMPANYandALLEGHENYCASUALTYCOMPANY;thatthesealsaffixedtosaidinstrumentareTheCorporateSealsofsaidCompanies;thatthesaidCorporateSealsandhissignatureweredulyaffixedbyorderoftheBoardsofDirectorsofsaidCompanies.INTESTIMONYWHEREOF,IhavehereuntosetmyhandaffixedmyOfficialSeal,attheCityofNewark,NewJerseythedayandyearfirstabovewritten.ANOTARYPUBLICOF’NEWJERSEYMyCommissionExpiresApril16,2019CERTIFICATIONINTESTIMONYWHEREOF,IhavehereuntosetmyhandthisI,theundersignedofficerofINTERNATIONALFIDELITYINSURANCECOMPANYandALLEGHENYCASUALTYCOMPANYdoherebycertifythatIhavecomparedtheforegoingcopyofthePowerofAttorneyandaffidavit,ancfthecopyoftheSectionsoftheBy-LawsofsaidCompaniesassetforthinsaidPowerofAttorney,withtheoriginalsonfileInthehomeoffices&iidcompanies,andthatthesamearecorrecttranscriptsthereof,andofthewholeofthesaidoriginals,andthatthesaidPowerofAttorneyhasnotbermrc”oiec‘mdisnowinfullforceandeffect.-CRC9dayofMARIABRANCO