UNCONDITIONAL WAIVER AND RELEASE ON PROGRESS PAYMENT
NOTICE TO CLAIMANT: THIS DOCUMENT WAIVES AND RELEASES LIEN, STOP
PAYMENT NOTICE, AND PAYMENT BOND RIGHTS UNCONDITIONALLY AND STATES THAT YOU HAVE BEEN PAID FOR GIVING UP THOSE RIGHTS. THIS
DOCUMENT IS ENFORCEABLE AGAINST YOU IF YOU SIGN IT, EVEN IF YOU HAVE NOT BEEN PAID. IF YOU HAVE NOT BEEN PAID, USE A CONDITIONAL WAIVER AND RELEASE FORM.
Identifying Information
Name of Claimant: Golden Striping Solutions Corp.
Name of Customer: Leonida Builders, Inc.
Job Location: City of Menifee CIP 22-25 La Piedra Road at Bell Mountain MS Pedestrian Improvement pro Owner: City of Menifee
Through Date: 02/21/2025
Unconditional Waiver and Release
This document waives and releases lien, stop payment notice, and payment bond rights the claimant has or labor and service provided, and equipment and material delivered, to the customer on this job throug le Through Date of this document. Rights based upon labor or service provided. or equipment o material delivered, pursuant to a written change order that has been fully executed by the parties prior to the date that this document is signed by the claimant, are waived and released by this document, unless listed as an Exception below. The claimant has received the following progress payment:
$ 27,250.00
Exceptions
This document does not affect any of the following:
(1) Retentions.
(2) Extras for which the claimant has not received payment. (3) Contract rights, including (A) a right based on rescission, abandonment, or breach of contract, and (B) the right to recover compensation for work not compensated by the payment.
Signature
Claimant's Signature: ARone
Claimant's Title: Office Manager
Date of Signature: 02/21/2025
7/1/12
Bell Mountain Middle School Pedestrian Project
CIP No. 22-25
CONTRACTOR'S CERTIFICATION OF COMPLETION
DATE: 2/21/2025
TO: City of Menifee
29844 Haun Rd
Menifee, California 92586
FROM: Leonida Builders, Inc.
(Firm or Corporation)
PROJECT: Bell Mountain Middle School Pedestrian Project - CIP No. 22-25 This is to certify that I, acting as an authorized official of the above stated firm or corporation, have been properly authorized by said firm or corporation to sign the following statements pertaining to the subject contract:
1. I know, of my own personal knowledge, and do hereby certify, that the work of the contract described above has been performed, and materials used and installed in every particular, in accordance with, and in conformity to, the contract drawings and specifications.
2. The contract work is now complete in all parts and requirements, and ready for your final inspection.
3. I understand and agree that neither the determination by the Owner that the work is complete, nor the acceptance thereof by the Owner, shall operate as a bar to claim against the Contractor under the terms of the guarantee provisions of the contract documents.
Signature of Prime Contractor Signature of Prime Contractor Panagiotis Leonida, President, Secretary, and Treasurer Print name and title Print name and title
(If the Prime Contractor is a corporation two signatures of corporate officers are required.) 4-2
Bell Mountain Middle School Pedestrian Project
CIP No. 22-25
CONTRACTOR'S AFFIDAVIT OF DISPOSAL
WHEREAS, on the 5th _ day of June _, 20_24, the undersigned entered into and executed a contract with City of Menifee for Bell Mountain Middle School Pedestrian Project as particularly described in said contract and identified as CIP No. 22-25, and WHEREAS, the specifications of said contract requires the Contractor to affirm that "all brush, trash, debris, and surplus materials resulting from this project have been disposed of in a legal manner" and that all designated recyclable materials are properly recycled in compliance with the City of Menifee Ordinances.
WHEREAS, said contract has been completed, all surplus materials disposed of, and proof of compliance with the City of Menifee Municipal Code has been furnished.
NOW, THEREFORE, in consideration of the final payment by the City of Menifee to said Contractor under the terms of said contract, the undersigned Contractor, hereby certifies and affirms under penalty of perjury that all surplus materials as described in said contract have been disposed of at the following location(s):
Concrete
Type of material disposed of Type of material disposed of Ewles Materials
Name of disposal site Name of disposal site
26160 Adams Ave, Murrieta, CA 92562
Address of disposal site Address of disposal site
Type of material disposed of Type of material disposed of Name of disposal site Name of disposal site
Address of disposal site Address of disposal site
By signing and submitting this form to the City of Menifee on this 2Istday of February, 20.25 2, 1 (we) hereby certified and swear under penalty of perjury under the laws of the State of California that the aforementioned information is true and correct without omission, error or misrepresentation.
Signature of Prime Contractor Date Signature of Prime Contractor Date Panagiotis Leonida, President, Secretary, and Treasurer Print name and title Print name and title
(If the Prime Contractor is a corporation two signatures of corporate officers are required.) 4-4
Bell Mountain Middle School Pedestrian Project
CIP No. 22-25
CONTRACTOR'S AFFIDAVIT OF PAYMENT
To All Whom It May Concern:
WHEREAS, the undersigned has been contracted by the City of Menifee to furnish labor and materials for Bell Mountain Middle School Pedestrian Project, CIP No. 22-25, under a 5th June . 2024 _ in the City of Menifee, County of
contract dated the _ _day of
Riverside, State of California, of which City of Menifee is the Owner. 21st day of February • 2025 the
NOW, THEREFORE, this
undersigned, as the Contractor for the above-named Contract pursuant to the Conditions of the Contract hereby certifies that, except as listed below, he has paid in full or has otherwise satisfied all obligations for all materials and equipment furnished, for all work, labor, and services performed, and for all known indebtedness and claims against the Contractor for damages arising in any manner in connection with the performance of the Contract referenced above for which the Owner or his property might in anyway be held responsible.
EXCEPTIONS: (If none, write "None". If required by the Owner, the Contractor shall furnish bond satisfactory to the Owner for each exception.) Exception: Retention due to subcontractors. signature of Prime Contractor Date Signature of Prime Contractor Date Panagiotis Leonida, President, Secretary, and Treasurer Print name and title Print name and title
(If the Prime Contractor is a corporation two signatures of corporate officers are required.) 4-6
Bell Mountain Middle School Pedestrian Project
CIP No. 22-25
GUARANTEE AGREEMENT
We hereby guarantee that Bell Mountain Middle School Pedestrian Project, CIP No. 22-25, has been installed in accordance with the drawings and specifications and that the work as installed will fulfill the requirements included in the specifications. The undersigned agrees to promptly repair or replace, in a manner satisfactory to the Engineer, any or all of such work, together with any other adjacent work which may be displaced in connection with such repair or replacement, that may prove to be defective in workmanship or material within a period of one (1) year from the date of acceptance of the above referenced project by City of Menifee, ordinary wear and tear and unusual abuse or neglect excepted.
The Contractor also agrees to indemnify and hold City of Menifee harmless from claims of any kind arising from damage due to said defects in the work constructed under the Contract.
In the event that the undersigned fails to comply with the abovementioned conditions within a reasonable period of time, as determined by City of Menifee, the undersigned hereby authorizes the City of Menifee to proceed with the repair of said defects and the Contractor and his/her surety shall be liable to the City of Menifee for the cost thereof.
Leonida Builders, inc. 32023 Crown Valley Road, Acton, CA 93510 Firm name Address
signatuflor Prime Contractor or Sub-Contractor Signature of Prime Contractor or Sub-Contractor Panagiotis Leonida, President, Secretary, and Treasurer Print name and title Print name and title
Countersigned (required by Prime Contractor if this Guarantee Agreement is for a Sub-Contractor):
Firm name Address
Signature of Prime Contractor Signature of Prime Contractor Print name and title Print name and title
Contact for Service:
Panagiotis Leonida, President
Name
32023 Crown Valley Road, Acton, CA 93510
Address
(951)532-7717, [email protected]
Telephone number and email address
4-7
Bell Mountain Middle School Pedestrian Project
CIP No. 22-25
CONSENT OF SURETY FOR FINAL PAYMENT
In accordance with the provisions of the contract between the Owner and the Contractor, and the following named Surety:_ Developers Surety and Indemnity Company on the Payment Bond in the amount of $574,992.36 Dollars, of the following named Contractor: Leonida Builders, Inc. hereby approves of final payment to the Contractor, and further agrees that said final payment to the Contractor shall not relieve the Surety named herein of any of its obligations to the Owner, as set forth in said Surety company's bond.
IN WITNESS WHEREOF, the Surety Company has hereunto set its hand and seal this _day of , 20
Signature of Authorized Surety Representative
Title
(CORPORATE SEAL)
4-5
Bell Mountain Middle School Pedestrian Project
CIP No. 22-25
LAND SURVEYORS' "MONUMENT PRESERVATION" CERTIFICATION OF COMPLETION DATE:
TO: City of Menifee
29844 Haun Rd
Menifee, California 92586
FROM:
(Firm or Corporation)
PROJECT: Bell Mountain Middle School Pedestrian Project - CIP No. 22-25 Work of contract: Perform field survey and locate all Survey Monuments including centerline and property corners or references to them including centerline ties within area of disturbance from construction activities for this project. Prepare and File a corner record referencing survey monument and/or ties subject to disturbance in the office of the Riverside County Surveyor prior to NTP.
Reset monuments and/or references to them and file post construction corner records.
The corner records shall be delivered to the Engineer prior to the commencement of work and at prior to completion of work.
This is to certify that I, the land surveyor of record acting as an authorized official of the above stated firm or corporation, have been properly authorized by said firm or corporation to sign the following statements pertaining to the subject contract:
1. (initials)I know, of my own personal knowledge, and do hereby certify, that the work of the contract described above has been performed and survey monuments within area of disturbance have been located and Corner records filed prior to construction and reset with Corner records filed post construction in every particular, in accordance with, and in conformity to business and profession code (initials)I know, of my own personal knowledge, and do hereby certify, that the work of the contract described above has been performed and NO survey monuments and/or references were found within area of disturbance in every particular, in accordance with, and in conformity to business and profession code 8771
2. The contract work is now complete in all parts and requirements.
PLS SEAL & SIGNATURE
PLS# Date Signature of Prime Contractor
Panagiotis Leonida, President of Leonida Builders, Inc.
Print name and title Print name and title
4-3
Bond No. 0102981
Executed in: 3 Counterparts
Bell Mountain Middle School Pedestrian Project
CIP No. 22-25
CONSENT OF SURETY FOR FINAL PAYMENT
In accordance with the provisions of the contract between the Owner and the Contractor, and the following named Surety: Developers Surety and Indemnity Company on the Payment Bond in the amount of _ $574,992.36 _Dollars, of the following named Contractor:_ Leonida Builders, Inc. hereby approves of final payment to the Contractor, and further agrees that said final payment to the Contractor shall not relieve the Surety named herein of any of its obligations to the Owner, as set forth in said Surety company's bond.
IN WITNESS WHEREOF, the Surety Company has hereunto set its hand and seal this 24th day of_February , 20 25
Signature of Authorized Surety Representative
Rebecca Haas-Bates, Attorney-in-Fact
Title
(CORPORATE SEAL)
4-5
CALIFORNIA ALL-PURPOSE ACKNOWLEDGMENT CIVIL CODE § 1189 A notary public or other officer completing this certificate verifies only the identity of the individual who signed the document to which this certificate is attached, and not the truthfulness, accuracy, or validity of that document.
State of California )
County of Orange )
On 02/24/2025 before me, L. Gomez, Notary Public
Date Here Insert Name and Title of the Officer
personally appeared Rebecca Haas-Bates
Name(s) of Signer(s)
who proved to me on the basis of satisfactory evidence to be the persontst whose name(s). is/are I certify under PENALTY OF PERJURY under the laws
of the State of California that the foregoing paragraph is true and correct.
L. GOMEZ
Notary Public • California WITNESS my hand and official seal.
Orange County
Commission 2413682
My Comm. Expires Aug 23, 2026 X. Domes
Signature
Signature of Notary Public
Place Notary Seal Above
- OPTIONAL
Though this section is optional, completing this information can deter alteration of the document or fraudulent reattachment of this form to an unintended document.
Description of Attached Document
Title or Type of Document: Consent of Surety Bond No. 0102981 Document Date: 02/24/2025 Number of Pages: One (1). Signer(s) Other Than Named Above:
Capacity(ies) Claimed by Signer(s)
Signer's Name: Rebecca Haas-Bates Signer's Name:
• Corporate Officer - Title(s): • Corporate Officer - Title(s):
• Partner - • Limited • General • Partner - • Limited • General • Individual M Attorney in Fact • Individual • Attorney in Fact • Trustee • Guardian or Conservator • Trustee • Guardian or Conservator • Other: • Other:
Signer Is Representing: Signer Is Representing:
Developers Suretv and Indemnity Company
©2014 National Notary Association • www.NationalNotary.org • 1-800-US NOTARY (1-800-876-6827) Item #5907
POWER OF ATTORNEY FOR
COREPOINTE INSURANCE COMPANY
DEVELOPERS SURETY AND INDEMNITY COMPANY
59 Maiden Lane, 43rd Floor, New York, NY 10038
212) 220-7120
KNOW ALL BY THESE PRESENTS that, except as expressly limited herein, COREPOINTE INSURANCE COMPANY and DEVELOPERS SURETY AND INDEMNITY COMPANY, do hereby make, constitute and appoint:
William Syrkin, Richard Adiar, and Rebecca Haas-Bates , of _Irvine, CA as its true and awul Attorney-In-lact, to make, execute, deliver and acknowledge, for and on behalf of said companies, as sureties, bonds, undertakines and contracts of suretyship giving and granting unto said Attorney-in-Fact full power and authority to do and to perform every act necessary, requisite or proper to be done in connection therewith as cach of said company could do, but reserving to each of said company full power of substitution and revocation, and all of the acts of said Attorey-in-Fact, pursuant to these presents, are hereby ratified and confirmed. This Power of Attorney is effective February 24, 2025 and shall expire on December 31, 2025
This Power of Attorney is granted and is signed under and by authority of the following resolutions adopted by the Board of Directors of COREPOINTE INSURANCE COMPANY and DEVELOPERS SURETY AND INDEMNITY COMPANY (collectively, "Company") on February 10, 2023 RESOLVED. that Sam Zaza, President, Surety Underwriting, James Bell, Vice President, Surety Underwriting, and Craig Dawson. Executive Underwriter, Surety, each an employee of Am Trust North America, Inc., an affiliate of the Company (the "Authorized Signors"), are hereby authorized to execute a Power of lions or ultime inside named in the roar or ay Any no seda, on teampany fe and a or them he is atried toa ed the execution of any such Power of Attorncy.
RESOLVED, that the signature of any one of the Authorized Signors and the Secretary or any Assistant Secretary of the Company, and the seal of the Company must he affixed to any such Power of Attorney, and any such signature or seal may be affixed by facsimile, and such Power of Attorcy shall be valid and binding upon the Company when so affixed and in the future with respect lo any bond, undertaking or contract of suretyship to which it is altached.
IN WITNESS WHEREOF, COREPOINTE INSURANCE COMPANY and DEVELOPERS SURETY AND INDEMNITY COMPANY have caused these presents to be signed by the Authorized Signor and attested by their Secretary or Assistant Secretary this March 27.2023 By: Smto TE INSURA URETY AND
CORPO ORPORA
Printed Na
Title: President, Surety Underwriting SEAL 3 1936
CELAWARE CALIFORN
ACKNOWLEDGEMENT:
A notary public or other officer completing this certificate verifies only the identity of the individual who signed the document to which this certificate is attached, and not the truthfulness, accuracy, or validity of that document.
STATE OF California COUNTY OF Orange
On this 27 day of March, 2023, before ine, Hoang-Quyen Phu Pham who proved to me on the basis of satisfactory evidence to be the person whose name is subscribed to within the instrument and acknowledged to me that they executed personally appeared the same in their authorized capacity, and that by the signature on the instrument the entities upon behalf which the person acted, executed this instrument.
I certify, under penalty of perjury, under the laws of the State of California _that the foregoing paragraph is true and correct.
WITNESS my hand and official seal.
HOANG-QUYEN P. PHAM
Notary Public - California
Orange County
Commission # 2432970
My Comm. Expires Dec 31, 2026
CORPORATE CERTIFICATION
The undersigned, the Secretary or Assistant Secretary of COREPOINTE INSURANCE COMPANY and DEVELOPERS SURETY AND INDEMNITY COMPANY, does hereby certify that the provisions of the resolutions of the respective Boards of Directors of said corporations set forth in this Power of Attorney are in force as of the date of this Certification
This Certification is executed in the City of Cleveland, Ohio, this March 19, 2023. -DocuSigned by:
By: Darry W. Moses Barry W. Moses, Assistant Secretary POA No. N/A -686415EZADES48C...
DocuSignEnvelopeID:3352BFD6-5E9D-4796-837E-C1E455E6530F Ed. 0323 Bond No. 0102981
Executed in: 3 Counterparts
Bell Mountain Middle School Pedestrian Project
CIP No. 22-25
CONSENT OF SURETY FOR FINAL PAYMENT
In accordance with the provisions of the contract between the Owner and the Contractor, and Developers Surety and Indemnity Company
the following named Surety:
on the Payment Bond in the amount of _ $574,992.36 _Dollars, Leonida Builders, Inc.
of the following named Contractor:_
hereby approves of final payment to the Contractor, and further agrees that said final payment to the Contractor shall not relieve the Surety named herein of any of its obligations to the Owner, as set forth in said Surety company's bond.
IN WITNESS WHEREOF, the Surety Company has hereunto set its hand and seal this _24th _day of February , 20 25
RebeccardanRales
Signature of Authorized Surety Representative
Rebecca Haas-Bates, Attorney-in-Fact
Title
(CORPORATE SEAL)
4-5
CALIFORNIA ALL-PURPOSE ACKNOWLEDGMENT CIVIL CODE § 1189 I notary public or other officer completing this certificate verifies only the identity of the individual who signed th locument to which this certificate is attached, and not the truthfulness, accuracy, or validity of that documen State of California
County of Orange
On 02/24/2025 before me, L. Gomez, Notary Public
Date Here Insert Name and Title of the Officer
personally appeared Rebecca Haas-Bates
Name(s) of Signer(s)
who proved to me on the basis of satisfactory evidence to be the persons whose names) is/are subscribed to the within instrument and acknowledged to me that he/she/they executed the same in his/her/their authorized capacity(les), and that by his/her/their signature(s) on the instrument the person(s) or the entity upon behalf of which the person(s) acted, executed the instrument.
I certify under PENALTY OF PERJURY under the laws
of the State of California that the foregoing paragraph is true and correct.
WITNESS my hand and official seal.
L. GOMEZ
Notary Public • California
Orange County R. Domes
Commission # 2413682 Signature
My Comm. Expires Aug 23, 2026 B Signature of Notary Public Place Notary Seal Above
- OPTIONAL
Though this section is optional, completing this information can deter alteration of the document or fraudulent reattachment of this form to an unintended document.
Description of Attached Document
Title or Type of Document: Consent of Surety Bond No. 0102981 _ Document Date: 02/24/2025 Number of Pages: One (I) Signers) Other Than Named Above:
Capacity(ies) Claimed by Signer(s)
Signer's Name: Rebecca Haas-Bates Signer's Name:
• Corporate Officer - Title(s): • Corporate Officer - Title(s):
• Partner - • Limited • General • Partner - • Limited • General • Individual • Attorney in Fact • Individual • Attorney in Fact • Trustee • Guardian or Conservator • Trustee • Guardian or Conservator • Other: • Other:
Signer Is Representing Signer Is Representing:
Develoners Surety and Indemnity Compan
©2014 National Notary Association • www.NationalNotary.org • 1-800-US NOTARY (1-800-876-6827) Item #5907
POWER OF ATTORNEY FOR
COREPOINTE INSURANCE COMPANY
DEVELOPERS SURETY AND INDEMNITY COMPANY
59 Maiden Lane, 43rd Floor, New York, NY 10038
(212) 220-7120
KNOW ALL BY THESE PRESENTS that, except as expressly limited herein, COREPOINTE INSURANCE COMPANY and DEVELOPERS SURETY AND INDEMNITY COMPANY, do hereby make, constitute and appoint:
William Syrkin, Richard Adiar, and Rebecca Haas-Bates
, of_Irvine, CA
as its true and lawful Attorey-in-Fact, to make, execute, deliver and acknowledge, for and on behalf of said companies, as sureties, bonds, undertakings and contracts of suretyship giving and granting unto said Attorey-in-Fact full power and authority to do and to perform every act necessary, requisite or proper to be done in connection therewith as each of said company could do, but reserving to each of said company full power of substitution and revocation, and all of the acts of said Altomey-in-Fact, pursuant to these presents, are hereby ratified and confirmed. This Power of Attorney is effective February 24, 2025 and shall expire on December 31, 2025.
This Power of Attorney is granted and is signed under and by authority of the following resolutions adopted by the Board of Directors of COREPOINTE INSURANCE COMPANY and DEVELOPFRS SURETY AND INDEMNITY COMPANY (collectively, "Company") on February 10, 2023.
RESOLVED, that Sam Zaza, President, Surety Underwriting, James Bell, Vice President, Surety Underwriting, and Craig Dawson, Executive Underwriter.
Surety, each an employee of AmTrust North America, Inc., an affiliate of the Company (the "Authorized Signors"), are hereby authorized to excute a Power of Attorney, qualifying attorney(s)-in-fact named in the Power of Attorney to execute, on behalf of the Company, bonds, undertakings and contracts of suretyship, or other suretyship obligations, and that the Secretary or any Assistant Secretary of the Company be, and each of them hereby is, authorized to attest RESOLVED, that the signature of any one of the Authorized Signors and the Secretary or any Assistant Secretary of the Company, and the seal of the Company must be affixed to any such Power of Attorney, and any such signature or seal may be affixed by facsimile, and such Power of Attorney shall be valid and binding upon the Company when so affixed and in the future with respect to any bond, undertaking or contract of suretyship to which it is attached.
IN WITNESS WHEREOF, COREPOINTE INSURANCE COMPANY and DEVELOPERS SURETY AND INDEMNITY COMPANY have caused these presents to be signed by the Authorized Signor and attested by their Secretary or Assistant Secretary this March 27. 2023 Santo INSURA
By:
ORPORA CORPORAT
Printed Nan
Title: President, Surety Underwriting A. 3
SEAL ш: 1936
CELAWARE. CALIFORN
ACKNOWLEDGEMENT:
A notary public or other officer completing this certificate verifies only the identity of the individual who signed the document to which this certificate is attached, and not the truthfulness, accuracy, or validity of that document.
STATE OF California COUNTY OF Orange
On this 27 day of March 2023 before me. Hoang-Quyen Phu Pham personally appeared
who proved to me on the basis of satisfactory evidence to be the person whose name is subscribed to within the instrument and acknowledged to me that they executed the same in their authorized capacity, and that by the signature on the instrument the entities upon behalf which the person acted, executed this instrument.
I certify, under penalty of perjury, under the laws of the State of California that the foregoing paragraph is true and correct.
WITNESS my hand and ofticial seal.
HOANG-QUYEN P. PHAM
Notary Public - California
Orange County
Commission # 2432970
My Comm. Expires Dec 31, 2026
CORPORATE CERTIFICATION
The undersigned, the Secretary or Assistant Secretary of COREPOINTE INSURANCE COMPANY and DEVELOPERS SURETY AND INDEMNITY COMPANY, does hereby certify that the provisions of the resolutions of the respective Boards of Directors of said corporations set forth in this Power of Attoney are in force as of the date of this Certification.
This Certification is executed in the City of Cleveland, Ohio, this March 19, 2023. -DocuSigned by:
By: barry W. Moses Barry W. Moses, Assistant Secretary POA No. N/A - 686415E7ADE548C...
DocuSignEnvelopelD:3352BFD6-5E9D-4796-837E-C1E455E6530F Ed. 0323 Bond No. 0102981
Executed in: 3 Counterparts
Bell Mountain Middle School Pedestrian Project
CIP No. 22-25
CONSENT OF SURETY FOR FINAL PAYMENT
In accordance with the provisions of the contract between the Owner and the Contractor, and the following named Surety: Developers Surety and Indemnity Company on the Payment Bond in the amount of _ $574,992.36 _Dollars, of the following named Contractor:_ Leonida Builders, Inc. hereby approves of final payment to the Contractor, and further agrees that said final payment to the Contractor shall not relieve the Surety named herein of any of its obligations to the Owner, as set forth in said Surety company's bond.
IN WITNESS WHEREOF, the Surety Company has hereunto set its hand and seal this 24th of February , 20 25
Signature of Authorized Surety Representative
Rebecca Haas-Bates, Attorney-in-Fact
Title
(CORPORATE SEAL)
4-5
CALIFORNIA ALL-PURPOSE ACKNOWLEDGMENT CIVIL CODE § 1189 A notary public or other officer completing this certificate verifies only the identity of the individual who signed the document to which this certificate is attached, and not the truthfulness, accuracy, or validity of that document.
State of California )
County of Orange )
On 02/24/2025 before me, L. Gomez, Notary Public
Date Here Insert Name and Title of the Officer
personally appeared Rebecca Haas-Bates
Name(s) of Signer(s)
who proved to me on the basis of satisfactory evidence to be the personts) whose name(s) is/are subscribed to the within instrument and acknowledged to me that he/she/they executed the same in Pris/her/their authorized capacityles), and that by his/her/their signature(s) on the instrument the person(s), or the entity upon behalf of which the person(s) acted, executed the instrument.
I certify under PENALTY OF PERJURY under the laws
of the State of California that the foregoing paragraph is true and correct.
L. GOMEZ WITNESS my hand and official seal.
Notary Public • California
Orange County
Commission# 2413682 r. Somen
My Comm. Expires Aug 23, 2026 Signature
Signature of Notary Public
Place Notary Seal Above
- OPTIONAL
Though this section is optional, completing this information can deter alteration of the document or fraudulent reattachment of this form to an unintended document.
Description of Attached Document
Title or Type of Document: Consent of Surety Bond No. 0102981 _ Document Date: 02/24/2025 Number of Pages: One (1) Signers) Other Than Named Above:
Capacity(ies) Claimed by Signers)
Signer's Name: Rebecca Haas-Bates Signer's Name:
• Corporate Officer - Title(s): • Corporate Officer - Title(s):
• Partner - • Limited • General • Partner - O Limited • General • Individual Attorney in Fact • Individual • Attorney in Fact • Trustee • Guardian or Conservator • Trustee • Guardian or Conservator • Other: • Other:
Signer Is Representing: Signer Is Representing:
Developers Surety and Indemnity Company
©2014 National Notary Association • www.NationalNotary.org • 1-800-US NOTARY (1-800-876-6827) Item #5907
POWER OF ATTORNEY FOR
COREPOINTE INSURANCE COMPANY
DEVELOPERS SURETY AND INDEMNITY COMPANY
59 Maiden Lane, 43rd Floor, New York, NY 10038
(212) 220-7120
KNOW ALL BY THESE PRESENTS that, except as expressly limited herein, COREPOINTE INSURANCE COMPANY and DEVELOPERS SURETY AND INDEMNITY COMPANY, do hereby make, constitute and appoint:
William Syrkin, Richard Adiar, and Rebecca Haas-Bates , of Irvine, CA as its true and lawful Attomey-in-Fact, to make, execute, deliver and acknowledge, for and on behalf of said companies, as sureties, bonds, undertakings and contracts of suretyship giving and granting unto said Attomey-in-Fact full power and authority to do and to perform every act necessary, requisite or proper to be done in connection therewith as each of said company could do, but reserving to each of said company full power of substitution and revocation, and all of the acts of said Attorey-in-Fact, pursuant to these presents, are hereby ratified and confirmed. This Power of Attorney is effective February 24, 2025 and shall expire on December 31, 2025.
This Power of Attorney is granted and is signed under and by authority of the following resolutions adopted by the Board of Directors of COREPOINTE INSURANCE COMPANY and DEVELOPERS SURETY AND INDEMNITY COMPANY (collectively, "Company") on February 10, 2023.
RESOLVED, that Sam Zaza, President, Surety Underwriting, James Bell, Vice President, Surety Underwriting, and Craig Dawson, Executive Underwriter.
Surety, each an employee of AmTrust North America, Inc., an affiliate of the Company (the "Authorized Signors"), are hereby authorized to execute a Power of Altorney, qualifying attorneys)-in-fact named in the Power of Attorney to execute, on behalf of the Company, bonds, undertakings and contracts of suretyship, or other suretyship obligations; and that the Secretary or any Assistant Secretary of the Company be, and each of them hereby is, authorized to attest the execution of any such Power of Attorney.
RESOLVED, that the signature of any one of the Authorized Signors and the Secrelary or any Assistant Secretary of the Company, and the seal of the Company must be affixed to any such Power of Attorney, and any such signature or seal may be affixed by facsimile, and such Power of Attomey shall be valid and binding upon the Company when so affixed and in the future with respect to any bond, undertaking or contract of suretyship to which it is attached IN WITNESS WHEREOF, COREPOINTE INSURANCE COMPANY and DEVELOPERS SURETY AND INDEMNITY COMPANY have caused these presents to be signed by the Authorized Signor and attested by their Secretary or Assistant Secretary this March 27, 2023
INSURAN
By: ICE
CORPORA ORPORA
Printed Nam Sam Zaza
Title: President, Surety Underwriting SEAL ш: 1936
CELAWARE. CALIFORN
ACKNOWLEDGEMENT:
A notary public or other officer completing this certificate verifies only the identity of the individual who signed the document to which this certificate is attached, and not the truthfulness, accuracy, or validity of that document.
STATE OF California COUNTY OF Orange
March, 2023, before me, Hoang-Quyen Phu Pham → personally appeared Sam Zaza who proved to me on the basis of satisfactory evidence to be the person whose name is subscribed to within the instrument and acknowledged to me that they executed the same in their authorized capacity, and that by the signature on the instrument the entities upon behalf which the person acted, executed this instrument.
I certity, under penalty of perjury, under the laws of the State of California that the foregoing paragraph is true and correct.
WITNESS my hand and official seal.
HOANG-QUYEN P. PHAM
Notary Public - Calffornia
Orange County
Commission # 2432970
My Comm. Expires Dec 31, 2026
CORPORATE CERTIFICATION
The undersigned, the Secretary or Assistant Secretary of COREPOINTE INSURANCE COMPANY and DEVELOPERS SURETY AND INDEMNITY COMPANY, does hereby certify that the provisions of the resolutions of the respective Boards of Directors of said corporations set forth in this Power of Attorney are in force as of the date of this Certification.
This Certification is executed in the City of Cleveland, Ohio, this March 19, 2023. •DocuSigned by:
By: Barm W. Moses Barry W. Moses, Assistant Secretary POA No. N/A 686415E7ADE548C
DocuSignEnvelopeID:3352BFD6-5E9D-4796-837E-C1E455E6530F Ed. 0323 Bell Mountain Middle School Pedestrian Project
CIP No. 22-25
LAND SURVEYORS' "MONUMENT PRESERVATION" CERTIFICATION OF COMPLETION DATE: April 01, 2025
TO: City of Menifee
29844 Haun Rd
Menifee, California 92586
FROM On Point Land Surveying, Inc
Firm or Corporation
PROJECT: Bell Mountain Middle School Pedestrian Project - CIP No. 22-25 Nork of contract: Perform field survey and locate all Survey Monuments including centerline and property orners or references to them including centerline ties within area of disturbance from construction activitles fo this project. Prepare and File a corner record referencing survey monument and/or ties subject to disturbance in the office of the Riverside County Surveyor prior to NTP.
Reset monuments and/or references to them and file post construction corner records.
The corner records shall be delivered to the Engineer prior to the commencement of work and at prior to completion of work.
This is to certify that I, the land surveyor of record acting as an authorized official of the above stated firm or corporation, have been properly authorized by said firm or corporation to sign the following statements pertaining to the subject contract:
1. • (initials)| know, of my own personal knowledge, and do hereby certify, that the work of the contract described above has been performed and survey monuments within area of disturbance have been located and Corner records filed prior to construction and reset with Corner records filed post construction in every particular, in accordance with, and in conformity to business and profession code (initials)| know, of my own personal knowledge, and do hereby certify, that the work of the contract described above has been performed and NO survey monuments and/or references were found within area of disturbance in every particular, in accordance with, and in conformity to business and profession code 8771
2. The contract work is now complete in all parts and requirements.
SIONAL
No. 8133
Exp. 12/512026
SHATTE OF CALIED
PLY SEAL & SIGNATURE
PLS# 8133 Date April 01, 2025 Signature of Prime Contractor Panagiotis Leonida, President of Leonida Builders, Inc.
Anthony D. Smith, Principal
Print name and title Print name and title
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