HomeMy WebLinkAboutConstruction BondDEPARTMENTCOMMUNITY iRenton O
AND ECONOMICIC DEVELOPMENT
PERMIT BOND
Bond Number: 9832687 Project Name: KP Development Plat
KNOW ALL MEN BY THESE PRESENT; that we Gill Homes LLC
of 27410 Marine View Drive S, Des Moines, WA 98198
as Principal,
and Lexon 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 $ 280,894.94
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 1/19/2022
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 1/19/2021
to 1/19/2022 and may be extended by the surety issuing a Continuation
Certificate.
Sealed with our seals and dated this 19th day of Janua 0 2t
BY: BY:
Applicant's Signature Signature of Bonding Agent Roblrrt Davenport
Attach Power of Attorney Form to Bond
27410 Marine View Drive S Include contact information.
Applicant's Address
Des Moines, WA 98198 Oles-MM)IICity, State, Zip
H:\CED\Data\Forms-Templates\self-Help Handouts\Development Engineering\PERMIT BOND.docx Rev:02/2018
SOMPO INTERNATIONAL
POWER OF ATTORNEY
KNOW ALL BY THESE PRESENTS, that Endurance Assurance Corporation, a Delaware Corporation, Endurance American Insurance Company, a Delaware
corporation, Lexon Insurance Company, a Texas corporation, ancifor Bond Safeguard Insurance Company, a South Dakota corporation, each, a "Company and
collectively, "Sompo International," do hereby constitute and appoint: aabenoa.enpon as true and lawful Ahomey(s)-In-Fact to
make, execute, seal, and deliver for, antl on its behalf as surely or co -surety; bonds and undertakings given forany and all purposes, also to execute and deliver on its behalf
as aforesaid renewals, extensions, agreements, waivers, consents or stipulations relating to such bonds orundertakings provided, however, that no single bond ordedertaking
so made, executed and delivered shall obligate the Company for any portion of the penal sum thereof In excess of the sum of $2aa.99a.9a
Such bonds and undertakings for said purposes, when duly executed by said attomey(s)-in-fact, shall be binding upon the Company as fully and to the same extent as if
signed by the President of the Company under IS corporate seal arrested by its Corporate Secretary.
This appointment is made under and by authority of certain resolutions adapted by the sole shareholder of each Company by unanimous written consent effective the 15'h
day of June, 2019, a copy of which appears below under the heading entitled "Certificate:
This Power of Attorney is signed and sealed by facsimile under and by authority of the following resolution adopted by the sole shareholder of each Company by
unanimous written consent effective the 15th day of June, 2019 and said resolution has not since been revoked, amended or repealed
RESOLVED, that the signature of an individual named above and the Seal of the Company may be affixed to any such power of allomey or any certificate relating thereto
by facsimile, and any such power of attorney or certificate bearing such facsimile signature or seal shall be valid and binding upon the Company in Me future wild respect
to any bond or undertaking to which it is attached.
June, 2019IN . WITNESS WHEREOF, each Company has caused this Instrument to be signed by the fallowing officers, and its corporate seal to be affixed this 15t4 day of
American ���yyyLIIIexon Insurance Company
.�. , oA a
E A L auoaA
'pp rNSUNWCE
.% O zZ'. (sal Y
ACKNOWLEDGEMENT
On this 15n day of June, 2019, before me, personally came the above signatories known to me, who being duly sword, did depose and say that heltttayy.,{�$Y?Volbcer of each
of the Companies; and that he executed said instrument on behalf of each Company by authority of his off under in by cos of each Company, „'e.._?v t,-
By: i c
An aylor, No ublic My CommissibJr EI{p!me 519123
CERTIFICATE
I, the undersigned Officer of each Company, DO HEREBY CERTIFY that:
1. That the original power of attorney of which the foregoing Is a copy was duly executed on behalf of each Company and has not since been revoked amended or modified;
that the undersigned has Compared the foregoing copy thereof with the original power of attorney, and that the same is a true and oddest copy of the stiginal power of
attorney and of the whole thereof,
2. The following are resolutions which were adopted by the sole shareholder of each Company by unanimous written consent effective June 15, 2019 and said resolutions
have not since been revoked, amended or modified
"RESOLVED, that each of the individuals named below is authorized to make, execute, seal and deliver for and on behalf of the Company any and all bands,
undertakings or obligations in surety or co -surety with others: RICHARD M. APPEL, BRIAN J. BEGGS, CHRISTOPHER DONELAN, SHARON L. SIMS,
CHRISTOPHER L. SPARRO, MARIANNE L. WILBERT
; and be it further
RESOLVED, that each of the individuals named above Is authorized to appoint attomeys-In-fact for the purpose of making, exacting, Sealing and delivering bonds,
undertakings or obligations in surety or cosurety for and on behalf of the Company."
3. The undersigned further certthes that the above resolutions are true and correct copies of the resolutions as so recorded and of the whole thereof.
IN WITNESS WHEREOF, I have hereunto set my hand and affixed the corporate seal this me daydf I—xv 2021
By:
Daniels. Lurie, Secretary
NOi U.S. TREASURY DEPARTMENT O FICE OF FORE NASSETS CON LIOFACI
No coverage is provitled by this Notice nor can it be concuded to replace any provisions of any surety bond or othersudety coverage provided, This Notice provides information concerning
trouble impact on yoursurety coverage due to directives Issued by OFAC. Please read Mls NoUcecarefully.
The Office of Foreign Assets Control (OFAC) administers and enforces sanctions policy, based on Presidential dedaratirns of 'national emergency. OFAC has identified and listed
umerousforeign agents, frentorganizations, hudersts, tedonstorganizafions, and rercefia ttaPockers aa'Specially Designated Nationals and Blocked Persona'. This listcan be located
on the United States Treasury's welesite - In '1/ t S
In accordance with OFAC regulators, If d is determined that you or any other person or entity claiming the benefits of any coverage has violated U.S. sanctions law or is a Specially
Designated National and Blocked Person, as identifed by OFAC, any coverage will be considered a blocked or frozen correct and all provisions of any coverage provided are Immediately
Subject to OFAC. When a surety bond or other form of surety coverage Is considered to be such a blocked or frozen contract, no payments nor premium refunds may be made without
authorization from OFAC. Other limitations on the premiums and payments may also apply.
Any reproductions are vrld.
Surety Claims Submission: LexonCiamAdmi I r f ® = ll
Telephone: at5-553-9500 Mailing Address: Sompo International; 12890 Lebanon Road; Mount Jullet, TN 37122.2870