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Home My WebLink AboutBond 2DEPARTMENT Of COMMUNiTYAND ECONOMIC DEVELOPMENT ---------'Renton ` Bond Number: 9827740 PERMIT BOND Project Name: MOORMAN SHORT PLAT KNOW All MEN BY THESE PRESENT; that we WRMAL S PANNU, TARSEM S GIU., HARMINDER S S10Hu of RENTON, WASHINGTON LEXON INSURANCE COMPANY 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 $ 117,346.00 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 09/26/2020 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 •:ate or condition as at the time of the commencement of said work, and maintain the same in ,Ood 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 habifity under this bond is for a period of one year from 09/26/2019 to 09/26/2020 and may be extended by the surety issuing a Coritinuation Certificate. Sealed with our seals and dated this 26TH day of SEWSi By: Bryan P. Welch Applicant's Signature - - ng Agent 10120 SE 260TH ST, SUITE 210 Attach Power of Attorney Form to Bond Applicant's Address include contact information. RENTON, WA 98030 City, State, Zip H:"ED\Data\'ores-Templates\Seif44e1p Handouts\Development EnAVreenng\PERMIT BOND.docx Revr02f2018 POWER OF ATTORNEY 9827740 Lexon Insurance Company KNOW ALL MEN BY THESE PRESENTS, that LEXON INSURANCE COMPANY, a Texas Corporation, with its statutory home office in Louisville, Kentucky, does hereby constitute and appoint: BRIAN P. WELCH true and lawful Attorneys) -In -Fact tomake, execute, seal and deliver for, and on its behalf as surety, and its act and deed its PERMIT BOND a NIpMALSPANNU, T4RSEMSGLL, HRRMINDER 551011U under bond or undertaking number 9827740 issued on behalf of as principal in the penal sum of $ 117,346.00 This authority is made under and by the authority of a resolution which was passed by the Board of Directors of LEXON INSURANCE COMPANY on the 1 st day of July, 2003 as follows: Resolved, that the President of the Company is hereby authorized to appoint and empower any representative of the Company ar other person or persons as Attorney to execute on behalf of the Company any bonds, undertakings, policies, contracts of indemnity or other writings obligatory in nature of a bond not to exceed $ 117,346.00 dollars, which the Company might execute through its duly elected officers, and affix the seal of the Company thereto. Any said execution of such documents by an Attomey-in-Fact shall be as binding upon the Company as if they had been duly executed and acknowledged by the regularly elected officers of the Company. Any Attorney -In - Fact, so appointed, may be removed for good cause and the authority so granted may be revoked as specified in the Power of Attorney. Resolved, that the signature of the President and the seal of the Company may be affixed by facsimile on any power of attorney granted, and the signature of the Assistant Secretary, and the seal of the Company may be affixed by facsimile to any certificate of any such power and any such power or certificate bearing such facsimile signature and seal shall be valid and binding on the Company. Any such power so executed and sealed and certificate so executed and sealed shall, with respect to any bond of undertaking to which it is attached, continue to be valid and binding on the Company. IN WITNESS THEREOF, LEXON INSURANCE COMPANY has caused this instrument to be signed by its President, and its Corporate Seal to be affixed this 22nd day of June, 2018. ACKNOWLEDGEMENT LEXON INSURANCE COMPANY BY Brian Beggs President On this 22nd day of June, 2018, before me, personally came Brian Beggs to me known, who be duly sworn, did depose and say that he is the President of LEXON INSURANCE COMPANY, the corporation described in and which executed the above instrument; that he executed said instrument on behalf of the corporation by authority of his office under the By-laws of said corporation. �a�nue�t. AMY TAYLOR +.K Notary Public- State of Tennessee wire = Davidson County VkX ' My Commission Expires 5-9-2023 CERTIFICATE BY Amy yior Nota Public 1, the undersigned, Assistant Secretary of LEXON INSURANCE COMPANY, A Texas Insurance Company, DO HEREBY CERTIFY that the original Power of Attorney of which the forgoing is a true and correct copy, is in full force and effect and has not been revoked and the resolutions as set forth are now in force. Signed and Seal at Mount Juliet, Tennessee this 26TH Day of SEPTEMBER , 20 19 . J SEAL Te of t;+ Andrew Smith Assistant Secretary "WARNING: Any person who knowingly and with intent to defraud any insurance company or other person, files and application for insurance of claim containing any materially false information, or conceals for the purpose of misleading, information concerning any fact material thereto, commits a fraudulent insurance act, which is a crime and subjects such person to criminal and civil penalties." Filed ', �- I SS Secretary of State '" State of Washington Office of the Secretary of state Date Filed: 11 !15 2018 Corporations & Charities Divisior. Effective Date: 12i3 I!2018 UBI #: 602 884 326 EXPRESS ANNUAL REPORT WITH CHANGES BUSINESS INFORMATION Business Name: AAA CONTRACTORS INC UBi Number: 602 884 326 Business Type: WA PROFIT CORPORATION Business Status: ACTR'E Principal Office Street Address: 24820 PACIFIC HWY S, KENT, WA, 98032-5442, UNITED STATES Principal Office Mailing Address: Expiration Date: 12/31/2019 Jurisdiction: UNITED STATES, WASHINGTON Formation'Registration Date: 12/10/2008 Period of Duration: PERPETUAL Inactive Date: Nature of Business: CONSTRUCTION REGISTERED AGENT RCW 23.95.410 Registered Agent Name Street Address 'Mailing Address PAVITARPAL 24816 PACIFIC HWY S, KENT, WA, 98032-54421. PO BOX 3130. KEIT, WA, 98089-0203. PUREWAL UMTED STATES UNITED STATES PRINCIPAL OFFICE Phone: 253-282-1611 Email: G URBAKSH.P U RE W ALCGMAIL.CO N1 This document is a public record. For more information visit wwwsos.wa.gov corns Work Order #: 2018111500536753 - 1 Received Date: 11/15/2018 Amount Received: $60.00 Street Address: 24820 PACIFIC HWY S, KENT, WA, 98032-5442, USA Mailing Address: GOVERNORS Title Type Entitv Name First Name Last Name GOVERNOR TNDTVTDUAL PAVTTARP.AL PUREW:4L GOVERNOR INDIVIDUAL RASHPAL PUREWAL NATURE OF BUSINESS • CONSTRUCTION EFFECTIVE DATE Effective Date: 12/31/2018 CONTROLLING INTEREST 1. Does your company own real property (including leasehold interests) in Washington? NO 2. Has there been a transfer of stock, other financial interest change, or an option agreement exercised during the last 12 months that resulted in a transfer of controlling interest? NO 3. Has an option agreement been executed in the last 12 months allowing for the future purchase or acquisition of the entity, that. if exercised would result in a transfer of controlling interest? NO You must contact the Washington State Department of Revenue to report a Controlling Interest Transfer IF: * This company owns land, buildings or other real estate in Washington State, AND * Answered "YES" to questions 2 or 3 above. Failure to report a Controlling Interest Transfer is subject to penalty provisions of RCW 82.45.220. For more information on Controlling Interest, please call the Department of Revenue at (360) 534-1503, option 1, or visit www.dor.wa.gov/REET RETURN ADDRESS FOR THIS FILING Attention: PAVITARPAL PUREA'AL Email: GU RBAKSH-PURE WAL(a GMAIL.CO:<I Address: 24820 PACIFIC HWY S, KENT, WA, 98032-5442, USA EMAIL OPT -IN ❑ By checking this box, I hereby opt into receiving all notifications from the Secretary of State for this entity via email only, I acknowledge that I w�l] no longer receive paper notifications. AUTHORIZED PERSON This document is a public record. For more information visit �vjvw.sos.wa.jZoy corps Work Order #: 2018111500536753 - 1 Received Date: 11/15/2018 Amount Received: $60.00 Person Type: US'DIVIDUAL First Name: PAVTTARPAL Last Name: Pti REWAL Title: OWNER R This document is hereby executed under penalty of law and is to the best of my knowledge, true and correct. This document is a public record. For more information visit www.sos.wa.apvrcorps Work Order #: 2018111500536753 -1 Received Date: 11/15/2018 Amount Received: $60.00 9/30/2019 AAA Contractors Inc Search L&I rte: Washington State Department of Labor & Industries AAA Contractors Inc Owner or tradesperson Prrrmcipals Purewal, Pavitarpal, PRESIDENT SINGH, RASHPAL, VICE PRESIDENT Doing business as AAA Contractors Inc WA UBI No. 602 884 326 24816 PACIFIC HWY SOUTH KENT, WA 98032 253-839-8853 KING County Business type Corporation Governing persons PAVITARPAL SINGH PUREWAL RASHPAL SINGH; Verify the contractor's active registration / license / certification (depending on trade) and any past violations Construction Contractor Active Western National Assur Co Meets current requirements. License specialties GENERAL License no. Effective date AAACOC1911 CB 06/26/2016 Effective — expiration Expiration date 02/02/2009— 02/03/2021 06/26/2020 Bond _.............. CBIC $12,000.00 Bond account no. S18408 Received by L&I Effective date 02/07/2011 01/17/2011 Expiration date Until Canceled Insurance Western National Assur Co $1,000,000.00 Policy no. CPP 1143535 Received by L&I Effective date 05/21/2019 06/26/2016 Expiration date 06/26/2020 Insurance history https://secure.I ni.wa.g ov/verify/Detai I.aspx?U BI=602884326&LIC=AAACOC 1911 C B&SAW= 1/2 9/30/2019 AAA Contractors Inc Savings No savings accounts during the previous 6 year period. Lawsuits against the bond or savings No lawsuits against the bond or savings accounts during the previous 6 year period. L&I Tax debts No L&I tax debts are recorded for this contractor license during the previous 6 year period, but some debts may be recorded by other agencies. License Violations No license violations during the previous 6 year period. I Certifications & Endorsements OMWBE Certifications ............................................_.................. Disadvantaged Business Enterprise (DBE) Minority Business Enterprise (MBE) Apprentice Training Agent Registered training agent. Cneck their eligible programs and occupations. Workers' comp Do you know if the business has employees? If so, verify the business is up -iodate on workers' comp premiums L&I Account ID Account is current. 167,953-00 . _............ _... Doing business as AAA CONTRACTORS INC Estimated workers reported Quarter 2 of Year 2019 "4 to 6 Workers" L&I account contact T9 / KRISTEN WATERS (360)025-5592 - Email: POKE235@lni.wa.gov Public Works Requirements Verify the contractor is eligible to perform work on public works projects Required Training Effective July, 1, 2019 Exempt from this requirement. Contractor Strikes N.................................... o strikes.have been issued against this contractor. Contractors not allowed to bid No debarments have been issued against this contractor. Workplace safety and health Check for any past safety and health violations found on jobsites this business was responsible for. Inspection results date 08/24/2015 No violations Inspection no. 317937396 Location 10243 SE 208th St Kent, WA 980315442 A'shir:gton suite Dept. of Labor & Ytdustries. use of this site is subject t0 the law s of the stats of 1Was6 rgtor . https://secure.) ni.wa.g ov/verify/Detail.asp)OU BI=602884326&LIC=AAACOCI911 C B&SAW= 90 9/30/2019 Corporations and Charities System BUSINESS INFORMATION Business Name: AAA CONTRACTORS INC UBI Number: 602 884 326 Business Type: WA PROFIT CORPORATION Business Status: ACTIVE Principal Office Street Address: 24820 PACIFIC HWY S, KENT, WA, 98032-5442, UNITED STATES Principal Office Mailing Address: Expiration Date: 12/31/2019 Jurisdiction: UNITED STATES, WASHINGTON Formation/ Registration Date: 12/10/2008 Period ofDuration: PERPETUAL Inactive Date: Nature of Business: CONSTRUCTION REGISTERED AGENT INFORMATION Registered Agent Name: PAVITARPAL PUREWAL Street Address: 24816 PACIFIC HWY S, KENT, WA, 98032-5442, UNITED STATES Mailing Address: PO BOX 3130, KENT, WA, 98089-0203, UNITED STATES GOVERNORS Title GOVERNOR GOVERNOR Governors Type INDIVIDUAL INDIVIDUAL Entity Name First Name PAVITARPAL RASHPAL Last Name PUREWAL PUREWAL https:/iccfs.sos.v4a.g oN#lBusinessSearcNBusinesslnforrnation 1/1