HomeMy WebLinkAbout2020-06-02 Bond Signed KG.pdfDEPARTMENT OF COMMUNITY -�
AND ECONOMIC DEVELOPMENT Renton O
PERMIT BOND
Bond Number: E387910 Project Name: Swanson Gardner Meyer Office Remodel#C19005266
Talbot
ftT-7UATT-bUUf UT -
KNOW ALL MEN BY THESE PRESENT; that we Todd & Polly Properties LLC
of 4512 Talbot Road S, Renton, WA 99052 as Principal,
and Great American Insurance company 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 $ 25 896.92 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 6/2/2020
to 6/2/2022 and may be extended by the surety issuing a Continuation
Certificate.
Sealed with ourseals and dated this end day of June 2020 \`"' _
BY: ca
Applicant's Signature Signature of Bonding Agent
Attach Power of Attorney Form, to,)3Jirr6.......
Include contact information.
Applicant's Address Kanisha Gresham, Attorney -in -Fact """"'
c/o Integrity Surety LLC
17544 Midvale Ave N #300 Seattle WA 98133
City, State, Zip (206)546-1397 kanisha@integritysurety.com
H:\CED\Data\forms-Templates\Self-Help Hardouts\Development Engineering\PERMIT BON D.docx Rev:02/2018
GREAT REECINSURANCE 2OMPAdminlstrativoofFlco: 201 4THT -ICNNA, OX04520513-369-
yp•FAX 518-729-2700
Th, nwnber of persons authoal dby
tbls power of xmmory ba not nww than one
Thatthe
ofthe State
Bond No, E387910
loth; provided than the liabilitY ache said Cwn --n;apecmeobna, undertaNn6 or con'. ofsurety9sip"'oeced
;he lonit stoned below. TM bond number on dils Poop, fA[t=my mustd adefte bondnum=t by
andropwhlchwt[ Lsussmched w th-i11 la vaahltdll nm exceed
Name Address Llmhof Pow¢ Kenishe Gresham 1754 Midvale Avenue N, Suite 300
Seattle, WA 981 SS
N WITNESS WHEREOFthe GREATAMERICAN INSURANCE COMPANY baz caused Nese presemstn be ngned and aneaedby Ins apptnprlate
otHcers and its carpormc anal hereunto affixed this 2nd
A[rest GREAT AMERICAN INSURANCE COMPANY
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N¢u,lol5Drvu,anN Sm err lSw Pn¢dem
STATE OF OHIO. CODNTYOF PHA HAMILTON - ss u+mr vxwaoenms-zm
On this 2nd day of June 2020 cooA _
being duly sworn, deFoses and says Nat he res,des W C„cWbbd, Coca thw he
mou e DivLsbrat Senor Vice Pscstdecoocamaof the BonMd D Lsfou oG a[Amerlcen
Ineece Company, We Company deecrihdin andwhich executedtheabove instwnmt;Nuhe imoae[he seal ofNe said by likkee aulority, as so Compmy, that Ne sell atAxedto Ne
saidrit is mdn corporate seal; Nat itwaffixed by aahwity of his office under the By -Laws ofaeid Company, and that he sied an gnhisne Nereta
uN
SUTAN A KOHOW
Notary Public /
State a mi.
My comm. EKglws
A Y 18, mli
TILLS Power ofAtmmey B,name, by authwiry o f [he follow,,, resb,udone adopted by [ten Bond of Dtrectara of Great American Immoce Company
by unardmnus written come. dated June 9, NO&
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y.wr appomou., arsaydme.
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Coaymry mny be bptzed byfrcaimlfe to mrypower ofattomry a ceariJicme of uFer nee wbn bea M..gheea'(or th_e ..bro. ofony_&W,, ouckHahJmgcmr
?Aue'-M'bngf aacbftna ConlPcbrs Wwmd nIxrMyadoplMoyre Coopnyate orlginal.agnoafrsurereof_'
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CERTIFICATION
1, STEPHENC. BERAHA, Asalsmm Sect ofGrea American Insurance Compaq, doherebyrerttfythatthe forego,,,powerofAt ncyand
Ne RCwIutlans ofthe Board dDhect. ofibee 9, 200g have notbem revoked and are now N Poi, force and effect,
8i,nedam amled Nis 2nd dayaf June 2020
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