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Home My WebLink AboutS_Cash_Surety_Deposit_C18000069_181228.pdfDEPARTMENTOFCOMMUNITY—Renton0ANDECONOMICDEVELOPMENTCASHSURETYDEPOSIT—APPLICANTNameandMailingAddress(pleaseprintclearly)JoeHicker-KingCountyFacilitiesManagementPERFORMANCEASSURANCEName:Address1:500FourthAveunue,Ste820,SeattleWA98104Address2:PhoneNumber:(206)477-9370ProjectNo./PermitNo.ProjectNamePRI7-000486/18-000069KingCountyRegionalAFISLabReplacementCashSuretyDepositSiteLocation$39,142.30900OakesdaleAveSW,RentonWATheCityofRenton(the“CITY”),herebyacknowledgesreceiptfromtheabove-namedAPPLICANT,whohaspaidthecashsuretydepositamountnotedabove.TheAPPLICANTherebyauthorizesthatthesumreferencedabovebekeptondepositwiththeCityofRentonFinanceDepartmentforthepurposeofguaranteeingthattheabove-referencedprojectwillbecompletedinaccordancewithapprovedplansandconditionsandapplicableCitystandardsnolaterthan8/30/19.Theseimprovementsaredescribedontheabovereferencedpermit(s).THECONDITIONOFOBLIGATIONisthat:1.UntilwrittenreleaseofthisobligationbytheCITY,thiscashfinancialguaranteemaynotbeterminatedorcancelledbytheAPPLICANTforanyreason.2.TheobligationsoftheAPPLICANTshallnotbedischargedoraffectedbyanyamendmentoftheengineeringplansusedforconstructionoftheproject.3.UponfailureoftheAPPLICANTtoperformanyofthetermsoftheAGREEMENT,theCITYmayusethefundstocompletetheworkandpayoutstandingfeesandotheramounts.TheAPPLICANTshallhavenodutyorrighttoevaluatethecorrectnessorappropriatenessoftheCITY’Sdeterminationthatrequirementshavenotbeensatisfactorilycompleted.Anyunexpendedfundsshallbereturnedtotheabove-namedAPPLICANTuponcompletion,totheCITY’Ssolesatisfaction,ofthetermsoftheAgreement.4.TheAPPLICANT’Sobligationtoperformtheworkorpayfeesandotheramountsisnotlimitedtotheamountofthiscashsuretydeposit.ItistheAPPLICANT’SresponsibilitytonotifytheCITYofanychangeinaddress,telephonenumberorchangeofownershipoftheproperty.ItistheAPPLICANT’Sresponsibilitytoarrangeforreplacementofany/allfinancialguaranteespriortoanychangeofownership.APPLICANT:4/Z/Z8(PrintName)(Sigr’ature)/(Date/Page1of2Published:2/1/2018 CASHSURETYDEPOSIT-PERFORMANCEASSURANCE(C0NT’D)ProjectNo./PermitNo.ProjectNamePRI7-000486/18-000069KingCountyRegionalAFISLabReplacement(CyoseOne)INDIVIDUALACKNOWLEDGEMENT:SteofWashington,CountyofKing:(//IcertifythatIknoworhaveseensatisfactoryevidencethatcJc’t__/7j..(APPLICANT)signedthisinstrumentandacknowledgesittobehis/herfreeandvoluntaryactfortheusesandpurposesmentionedinthisinstrument.CORPORATE/LLCACKNOWLEDGEMENT:StateofWashington,CountyofKing:IcertifythatIknoworhavesatisfactoryevidencethat__ __ __ __ __ __ __ __ __ __ __ __isthe_ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _of_____________________________aWashingtonlimitedliabilitycompany/corporation(APPLICANT),andacknowledgedthisinstrumenttobethefreeandvoluntaryactanddeedofsaidlimitedliabilitycompany/corporation,fortheusesandpurposesthereinmentioned,andonoathstatedthathe/shewasauthorizedtoexecutethisinstrumentonbehalfofsaidlimitedliabilitycompany/corporation.Et;;C)‘U8L\C‘2,,ReceivedfortheCityofRentonBy:(PrintName)(Signature)(Date)(NotarySealorStamp)Dated:Signature:PrintedName:ececc-7.-CD\%Myappointmentexpires:1v’&_JDcidvo&LPage2of2Published:2/1/2018 RECEIPT EG00095638 1055 S Grady Way, Renton, WA 98057 Transaction Date: December 27, 2018 BILLING CONTACT Joe Hicker King County Facilities Management Division 500 4th Ave, Room 830 Seattle, WA 98104 REFERENCE NUMBER PAYMENT METHODFEE NAME TRANSACTION TYPE AMOUNT PAID C18000069 Check Number: 15270308 ENG - Special Deposit Fee Payment $39,142.30 650.000000.000.237.00.00.000 $39,142.30 SUB TOTAL $39,142.30 $39,142.30 TOTAL Page 1 of 1Printed On: December 28, 2018 Prepared By: Anna Hopkins