HomeMy WebLinkAboutPermit BondDEPARTMENT OF COMMUNITY yy�� cirr or
AND ECONOMIC DEVELOPMENT Ren}on
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PERMIT BOND
May 12, 2021
Bond Number: 72365476 Project Name: LUA 19-000087, SHPL-A
KNOW ALL MEN BY THESE PRESENT; that we JOSEPH GENERAL CONTRACTOR
of 14046 6TH AVE S, SEATTLE, Washington, 98168 as Principal,
and Western Surety Company a Corporation, as 5urety, are held and
firmly bound unto the City of Renton, a municipal corporation of the State of Washington, in
the sum of $ thirty-six thousand seven hundred twenty-eight dollars and eighty-nine cents 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 May 11, 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 May 12, 2021
to May 11, 2022 and may be extended by the surety issuing a Continuation
Certificate.
Sealed with our seals and dated this 251h day of May 2021
BY: BY: _ 4 _
Appli is Sign ture Signature of Bonding Agent John D. Weisbrot
Attach Power of Attorney Form to B "•���F�"�"
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H:\CED\Data\Forms-Templates\self-Help Handouts\Develapment EngineeringVERMIT BOND.docx Rev 02/2019 '~M"�
Western Surety Company
POWER OF ATTORNEY APPOINTING INDIVIDUAL, A7TORNF,Y-IN-FACT
Know All Men By T hose Presents, That Wf STURN St IRETY COMPANY, a South Dakota corporation, is a duly organized and existing corporation
having its principal office in the City of Sioux Falls, and State of South Dakota, and that it does by virtue of the signature and seal herein affixed hereby snake,
constitute And appoint
John D Weisbrot, Patricia A Tinsman, Steven Michael Varga, Melissa Lynn Me Dade,
Individually
of Pipersville, PA, its true and lawful Attomey'(sl-in-fact with full power and authority hereby conferred to sign, seal and execute for and on its behalf bonds,
undertakings and otkaobltgaioryinstruments of similar nature
- in Unlimited Amounts -
and to bind it thereby as fully and to the same extent as if such instruments were signed by a duly authorized officer of the corporation and all the acts of said
Attorney, pursuant to the authority hereby given. are hereby rau feed and contirrned
This Power of Attorney is made and executed Pursuant to and by authority of the By-law printed on the reverse hereof, duly adopted, as indicated, by
the shareholders of the corporation
In Witrim Whereof, WESTERN SURETY COMPANY has caused these presents to be signed by its Vtce President and its corporate seal to be hereto
affixed on this 22nd day of October, 2018
,� WESTERN SURETY COMPANY
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Paid T Bruflat, Vice President
State of South Dakota
ss
County of Minnehaha
On this 22nd day of 0clober, 2018, before me personally came Paul T Brutlal, to me known, who, being by me duly sworn, did depose and sav that he
resides in the City of Stoux Falls, State of South Dakota that he is the Vice Resident of WESTERN SURETY COMPANY descnbcd in and which executed
the above instrument. that he knows the seal of said corporation, that the seal affixed to the stud instrument is such corporate seal, that it was so affixed pursuant
to authrinty given by the Board of Directors of said corporation and that he signed his name thereto pursuant to like authority, and acknouiedges same to be
the act and deed of said corporation
My commission expires teoHR
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June 23, 2021 �L10A"� IJ
CERTIFICATE Pu
] Mohr, Notarybhc
I, L Nelson, Assistant Secretary of WESTI RN SUREl Y COMPANY do hereby certify that the Power of Attorney heretmabove sel forth is still in force,
and further ce iify that the By -Law of the corporation printed on the reverse hereof is still in force In testimony whereof I have hereunto subscribed my name
and affixed the seal of the said corporation this 25th day of May 2021
WESTERN SURETY COMPANY
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