Surety Bond No. CIC1917616
LABOR AND MATERIAL BOND
(CONSTRUCTION)
WHEREAS, the City of Riverside, a municipal corporation of the State of California, hereinafter
referred to as "Principal", have entered into an agreement whereby Principal agrees to install and complete certain designated public improvements, which said agreement, dated June 25th / 2021, and identified as Agreement for Construction of Improvements for project designated as Parcel Map 33375, is hereby referred to and made a part hereof; and
WHEREAS, under the terms of said agreement, Principal is required before entering upon the performance of the work, to file a good and sufficient payment bond with the City of Riverside to secure the claims to which reference is made in Title 15 (commencing with section 3082) of Part 4 of Division 3 of the Civil Code of the State of California; NOW THEREFORE, said principal and Capitol Indemnity Corporation -' a corporation organized and doing business under and by virtue of the laws of duly licensed by the State of California
for the purpose of making, guaranteeing or becoming sole surety upon bonds or undertakings required or authorized by the laws of the State of California, unto the City of Riverside and all
contractors, subcontractors, laborers, material suppliers and other persons employed in the performance of the aforesaid agreement and referred to in the aforesaid Code of Civil Procedure in the of
sum
One Hundred Nine Thousand Fifty Dollars ($109,050.00) for materials furnished or labor thereon of any kind, or for amounts due under the Unemployment Insurance Act with respect to such work or labor, that said Surety will pay the same in an amount not exceeding the amount hereinabove set forth, and also in case suit is brought upon this bond, will pay, in addition to the face amount thereof, costs and reasonable expenses and fees, including reasonable attorney's fees incurred by the City of Riverside in successfully enforcing such obligations, to be awarded and fixed by the court, and to be taxed as costs and to be included in the judgment therein rendered.
It is thereby expressly stipulated and agreed that this bond shall inure to the benefit of any and all persons, companies and corporations entitled to file claims under Title 15 (commencing with Section 3082) of Part 4 of Division 3 of the Civil Code, so as to give a right of action to them or their assigns in any suit brought upon this bond.
Should the condition of this bond be fully performed, then this obligation shall become null and void, otherwise it shall be and remain in full force and effect.
The Surety hereby stipulates and agrees that no change, extension of time, alteration or addition to the terms of said agreement or the specifications accompanying the same shall in any manner affect its 1 311-59/CL 427B (Rev. 6/88)
obligations on this bond, and it does hereby waive notice of any such change, extension, alteration or addition.
IN WITNESS WHEREOF, this instrument has been duly executed by the Principal and Surety above named on October 29th • 2021 Capitol Indemnity Corporation
Principal Surety
By Devdat Maheshwavi By Phillip Simons Lack
Attorney-in-fact
1600 Aspen Commons Middleton, WI 53562
Address of Corporate Surety
Dada
Middleton, WI 53562
City Zip Code
(800) 462-8135
Phillip Simons
Producer (Bond Issuing Ageht)
• see Notarized Attachment
8201 N. Hayden Rd
Address
Scottsdale, AZ 85258
City Zip Code
480 947 3556
Phone
NOTE: Signature of Attorney-in-fact to be acknowledged before a Notary Public.
Attach Power of Attorney.
Approved as to Form:
29h
By:
Brandon S. Mercer
Deputy City Attorney
311-59/CL 427B (Rev. 6/88) 2
STATE OF Arizona
ss.
COUNTY OF Maricopa
On. October 29, 2021 Kyle Niemtschk, Notary Public
- before me,
PERSONALLY APPEARED Phillip Simons
personally known to me (or proved to me on the basis of satisfactory evidence) to be the person(s) 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(ies), and that by his/her/their signature(s)
KYLE NIEMTSCHK
on the instrument the person(s), or the entity upon behalf Notary Public - Arizona of which the person(s) acted, executed the instrument. Maricopa County Commission # 552493
My Comm. Expires Sep 23, 2022
WITNESS my hand and official seal.
Signature -
This area for Official Notarial Seal
- OPTIONAL •
Though the data below is not required by law, it may prove valuable to persons relying on the document and could prevent fraudulent reattachment of this form.
CAPACITY CLAIMED BY SIGNER DESCRIPTION OF ATTACHED DOCUMENT
INDIVIDUAL
CORPORATE OFFICER
TITLE OF TYPE OF DOCUMENT
TITLE(S)
PARTNERS) • LIMITED
• GENERAL
E] ATTORNEY-IN-FACT NUMBER OF PAGES
• TRUSTEE(S)
• GUARDIAN/CONSERVATOR
• OTHER:
DATE OF DOCUMENT
SIGNER IS REPRESENTING:
inteRer tran Company SIGNERS) OTHER THAN NAMED ABOVE
ID-1 232 (REV. 3/01)
ALL-PURPOSE ACKNOWLEDGEMENT
CAPITOL INDEMNITY CORPORATION CIC1917616
POWER OF ATTORNEY Bond Number
KNOW ALL MEN BY THESE PRESENTS, That the CAPITOL INDEMNITY CORPORATION, a corporation of the State of Wisconsin, having its principal offices in the City of Middleton, Wisconsin, does make, constitute and appoint -- MICHAEL D LAPRE; DEBORAH M MCGUCKIN; RYAN ROGERS; KEVIN P SHINE; JAREN MARX - YVONNE WEATHERFORD; PHILLIP SIMONS; ERIN BROWN; COLLEEN E. WATSON; ARTYCE JOHNSON -... its true and lawful Attorneys)-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: $2,000,000.00 -—- 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 CAPITOL INDEMNITY CORPORATION at a meeting duly called and held on the 15th day of May, 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 attorneys)-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." 1 connection with obligations in favor of the Florida Department of Transportation only, it is agreed that the power and authority hereby given to th ttorney-in-Fact includes any and all consents for the release of retained percentages and/or final estimates on engineering and construction contrac equired by the State of Florida Department of Transportation. It is fully understood that consenting to the State of Florida Department of Transportatio naking payment of the final estimate to the Contractor and/or its assignec, 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 CAPITOL INDEMNITY CORPORATION has caused these presents to be signed by its officer undersigned and its corporate seal to be hereto affixed duly attested, this 1st day of January, 2020.
Attest: CAPITOL INDEMNITY CORPORATION
STOL IND
CORPORATI
Ryan J. Byrnes 2.
Senior Vice President,
Chief Financial Officer and Treasurer SEAL John L. Sennott, Jr.
Chief Executive Officer and President
Suzanne n Broadbent
NAST *
Suzanne M. Broadbent
Assistant Secretary
STATE OF WISCONSIN
COUNTY OF DANE S.S.:
On the Ist 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 AND 1. REGEN Daial 4. Ropele
NOTARL
David J. Regele
Notary Public, Dane Co., WI
COUNTY OFISCONSIN SS: My Commission Is Permanent
COUNTY OF DANE
Signed and sealed at the City of Middleton, State of Wisconsin this_ 29th October 21 day of, , 20
SEAL
Andrew B. Diaz-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. CIC-ePOA-M (Rev. 01-2020) 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 Urange
on November 15D, 2oalbefore me, _ melvin Ivcas II + Notary Public.
Here Insert Name and Title of the Officer
personally appeared Der dat Maheshwari
Name(s) of Signers)
who proved to me on the basis of satisfactory evidence to be the person(s) whose name(s) is/are subscribed to the within instrument and acknowledged to me that he/she/they executed the same in his/her/their authorized capacity(ies), 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.
MELVIN LUCAS II WITNESS my hand and official seal.
Notary Public - California
Orange County
Commission # 2319120
My Comm. Expires Jan 16, 2024 Signature
Signature-of Notary Public
Place Notary Seal Above
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Description of Attached Document
Title or Type of Document: Labor&Material Bond Document Date: 11/15/2021 Number of Pages: 1-of1 Signer(s) Other Than Named Above:
Capacity(ies) Claimed by Signer(s)
Signer's Name: DeV Lat U. IYaheshwari Signer's Name:
• Corporate Officer - Title(s): • Corporate Officer - Title(s):
J Partner - L Limited • Genera • Partner - • Limited • General • Individual • Attorney in Fact • Individual • Attorney in Fact • Trustee • Guardian or Conservator • Trustee • Guardian or Conservator • Other: _ • Otner
Signer Is Representing: _ Signer Is Representing
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