HomeMy WebLinkAboutGreystoke Permit Bond.pdfBond #PR2722234
DEPARTMENT OF COMMUNITY CITY OF
AND ECONOMIC DEVELOPMENT'enton
PERMIT BOND
Bond Number: PR2722234 Project Name: 28 Hundred Unit Lot Subdivision
KNOW ALL MEN BY THESE PRESENT; that we Greystoke, LLC
of Washington
and Platte River Insurance Company
as Principal,
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 $ 103,906.55
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 01/26/2024
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 August 2, 2021
to August 2, 2022
Certificate.
and may be extended by the surety issuing a Continuation ;;;;:;;
GORPORA, a
Sealed with our seals and dated this 2nd day of August , 20 21 SEAL
Applicant's Signature
720 N 1Oth St. A-282
Applicant's Address
Renton, WA 98057
City, State, Zip
BY. ' " .
. ,i"ll�,. F8RASIG .•.\...
Signir6re f Bonding Agent
Attach Power of Attorney Form to Bond
Include contact information.
Molly Martin, Attorney -In -Fact
H:\CED\Data\Forms-Templates\Self-Help Handouts\Development Engineering\PERMIT BOND.docx Rev: 02/2018
MOM
PLATTE RIVER INSURANCE COMPANY
POWER OF ATTORNEY
PR2722234
Bond Number
KNOW ALL MEN BY THESE PRESENTS, That the PLATTE RIVER INSURANCE COMPANY, a corporation of the State of Nebraska, having
its principal offices in the City of Middleton, Wisconsin, does make, constitute and appoint
-----------------------------------------------------------------------MATTHEW GUNTHER, MOLLY MARTIN ------------------------------------------------------------------------------
its true and lawful Attorney(s)-in-fact, to make, execute, seal and deliver for and on its behalf, as surety, and as its act and deed, any and all bonds, undertakings
and contracts of suretyship, provided that no bond or undertaking or contract of suretyship executed under this authority shall exceed in amount the sum of
-----------------------------------------------ALL WRITTEN INSTRUMENTS IN AN AMOUNT NOT TO EXCEED:$20,000,000.00 ------------------------------------------------
This Power of Attorney is granted and is signed and sealed by facsimile under and by the authority of the following Resolution adopted by the Board of
Directors of PLATTE RIVER INSURANCE COMPANY at a meeting duly called and held on the 8th day of January, 2002.
"RESOLVED, that the President, Executive Vice President, Vice President, Secretary or Treasurer, acting individually or otherwise, be and they hereby are
granted the power and authorization to appoint by a Power of Attorney for the purposes only of executing and attesting bonds and undertakings, and other
writings obligatory in the nature thereof, one or more resident vice-presidents, assistant secretaries and attorney(s)-in-fact, each appointee to have the powers
and duties usual to such offices to the business of this company; the signature of such officers and seal of the Company may be affixed to any such power of
attorney or to any certificate relating thereto by facsimile, and any such power of attorney or certificate bearing such facsimile signatures or facsimile seal
shall be valid and binding upon the Company, and any such power so executed and certified by facsimile signatures and facsimile seal shall be valid and
binding upon the Company in the future with respect to any bond or undertaking or other writing obligatory in the nature thereof to which it is attached. Any
such appointment may be revoked, for cause, or without cause, by any of said officers, at any time."
In connection with obligations in favor of the Florida Department of Transportation only, it is agreed that the power and authority hereby given to the
Attorney -in -Fact includes any and all consents for the release of retained percentages and/or final estimates on engineering and construction contracts
required by the State of Florida Department of Transportation. It is fully understood that consenting to the State of Florida Department of Transportation
making payment of the final estimate to the Contractor and/or its assignee, shall not relieve this surety company of any of its obligations under its bond.
In connection with obligations in favor of the Kentucky Department of Highways only, it is agreed that the power and authority hereby given to the Attorney -in -
Fact cannot be modified or revoked unless prior written personal notice of such intent has been given to the Commissioner — Department of Highways of the
Commonwealth of Kentucky at least thirty (30) days prior to the modification or revocation.
IN WITNESS WHEREOF, the PLATTE RIVER INSURANCE COMPANY has caused these presents to be signed by its officer undersigned and
its corporate seal to be hereto affixed duly attested, this
1 st day of January, 2020.
Attest:
1190"Ww/f. �i
PLATTE RIVER INSURANCE COMPANY
Ryan J. Byrnes
N
Senior Vice President,
=
John L. Sennott, Jr.
Chief Financial Officer and Treasurer
:6 SEA,
Chief Executive Officer and President
��/ 4f 4'fks'•
Suzanne M. Broadbent
� S Y�'�
Assistant Secretary
STATE. OF WISCONSEN
COUNTY OF DANE S.S.:
On the I st day of January, 2020 before me personally came John L. Sennott, Jr., to me known, who being by me duly sworn, did depose and say: that
he resides in the County of Hartford, State of Connecticut; that he is Chief Executive Officer and President of PLATTE RIVER
INSURANCE COMPANY, the corporation described in and which executed the above instrument; that he knows the seal of the said corporation; that the
seal affixed to said instrument is such corporate seal; that it was so affixed by order of the Board of Directors of said corporation and that he signed his
name thereto by like order.wj�;y,��j{t-'•#t��Jr�,;1/��r`
David J. Regele
STATE OF WISCONSIN Notary Public, Dane Co., WI
COUNTY OF DANE S.S.: ����`'tf,�� .�,���'`' My Commission Is Permanent
I, the undersigned, duly elected to the office stated below, now the incumbent in PLATTE RIVER INSURANCE COMPANY, a Nebraska Corporation,
authorized to make this certificate, DO HEREBY CERTIFY that the foregoing attached Power of Attorney remains in full force and has not been
revoked, and furthermore, that the Resolution of the Board of Directors, set forth in the Power of Attorney is now in force.
Signed and sealed at the City of Middleton, State of Wisconsin this 2nd day of August 20 21
AS
A''1_
SE
L:
Andrew B. D az-Matos
Senior Vice President, General Counsel and Secretary
THIS DOCUMENT HAS BEEN GENERATED FOR A SPECIFIC BOND. IF YOU HAVE ANY QUESTIONS CONCERNING THE
^AUTHENTICITY OF THIS DOCUMENT CALL 800-475-4450. PR-ePOA-M (Rev. 01-2020)