17-1017_RICH CONSTRUCTION, INC._Performance Bond No. 811199PBond issued in five (5) counterparts
Bond No. 81 1 199P
0û E{ 13 - EOI'IÐ FtRi,fS
1.1 PeÉarrnanec Hgd-
Ht\¡$f'/ AL¡- FERSTHS BY TþfESÊ FRESEHTS:
THAT WHER€A$. the Ghy st Snr¡ Jusn ûåp,isrrãnô"{hereinafrer refensd to ee "tity"} has
awardcd tp Rich Construction lnc.ffieinaftw referred t¡o as {he "Contracior'} an
agreement for Gsntred hlo. ÊlP rî1ul . $mtinafierrëferred to Ð$ thÊ "Frojecf'),
W|-|ERËA5, the rmork to be performed by üre Cç¡thactçr is more particularty s*t frrth ìn fhe
(hereinater retened t0 esÊontract Eocr¡meniç fsr tl¡e F${E{r dated October 1 2017
'Gontract üocurnenls)- the te¡rns and sMlisns sf $¡lãiÉh ârÊ Ê*Fre$sly incorporated herein þy
reference; and
Wl{€ft€ÂS, the Gonbactor is r*quirc'd by seid Contrflct Occumerte to perlorm thÊ tÊrns thsreof
and lo furnish a bond for lhe faiürfuß perfcnnancc ûf Êâjd Ccntmst Dacuments-
N01ry, THEREFTRE" y¡e,Rich Construction, lnc,lhÊ undfisigrled Çonfsctor and
THÊ c0t'lÐlTlÐFl CIF THIS ÛELIGåTION lS $UGH. thst, ff thç Çontrçlctûr, hls or its heir*"
oxÊgutors, Êdrn¡nñtrslons- sr¡çcçs!ð,r! or ã$$l¡ns, sltnll in nll thing* stûnd lo and ublda by, ond
wull and ruly kocp ând Fertórin füe c*renants, csnditlon$ and âûfûûm€nt* ln the ttintrs*t
Ûocurnant$ Fnd a*y flltcratiqn trerosf rlrâ6û a* therein FrovldÊd- dn lts part, t0 ho hept and
ForÍ$rrnÊd tt ths timr and in ¡ha manmr trerçin çsøieu, ând tn nll raxpeàtr accordlng to tnalr
lnlenl ilnd mtf,n¡ngr ånd thall frlth{uFy tuffdl r1t obligrtlonc Includtng thû ûn0 (1} your gü*rnten
of sll rn¡turia3r and tr¡tnltnrsnstrlpr ortd sh$tl iûdrfirnify *nd s¡rç h¡rmlrçe lho O¡y, lts officla[E,
olfic*rn, erÌtplfirysås. and a$thort¡Ëd w{untrêr6, ar stþulrtcd in seld tnnfrset Dadurn¡ntç, than
lhla obitgallrn sh¡lf b*como nuTl srrd voxl: s.{hç,ftrirç it sftsll þc snd rÊmü;n in full force and
efl*cl.
'As s. pert trl the obligntiun sac¿rred h*reby nnd in âddit¡on ts the fsce emnun! rpmlfied
theßfo{$, thêrû shsl¡ bo ir¡chlded ÊBst* ãnd rcaspnEbÞ êrpr'r}srs and fsao indudins msionrblc
eitorney? le¿ç, åncuncd by City h enforcirrg *udr oblig*tion.
As e oondition preo*dênt Ìâ tln sãftfãdnry conrpletion of lhc Contrect Þocumenb, unle*r
6thünviÊû PrÉvided fsr in lhe eonþac1 Decvm?nts, the,sþoue oüliga:ion *hall hald güod for å
pefud of one (1.}ytar after the aæ+ptuncc cf thc wurlr hy City, during whkh tinrê Íf GOnlractor
shell fsllìp make fu¡|, çÞrTtplÉÌe, âM sâtiÊfâüory repr¡r ond rcplacenrcnts and tnlal3y Frntqct the
tity frnrn ls*sordamege re*ultñngfrmr orrauçe{þydef*ctive müteriäÍs orfnulg w'oikrnonslriB.
The aþtigalinn+ of Surety hær.flder st¡an cÊfitinue so Þng ar eny obligatlon nf Oonyactor
remeins, È3othårg herein shalt Ernft Ëre ffft's ngT¡ls ûr thÈ tsntracior or $uraty's oblþations
urld*rthe Sonbect,la'¡roreq$Êy, iilcfudin$" butnotfnritedþ, California Çode of tivg Frncedure
Ëec{ion ffif.15-
Ê1 147-021 ûÍ'.æSSm,11.!
.(1) Four Hundred Twenty Eight & 00/100
-43-ç{ 61 1¡ -ÞÇNp',F'erul$'
vÏhðflevff Canlractsr chäll Þe. and åË dedared by tlrc City ro l¡+, ln eJefault under tfie Göntract
Elççuments, thÊ $urety shall rernuly the defaull Bursuant tÞ tfie tontrset Documcnts, or ehell
prûnìplh at the Cityh apäon:
i. Teke orær and cornplete the Frcþct in accsrdanc+ v¡ith atlterms and condit*rns
in tl¡e Conhact Docr¡rner¡h; or
ii. Offiein e hid or bitþ far €ômgffilg ttre Froþd Ín accordance wílh all lems and
csndni{åffi in ü¡o Õontmct Doa¡rcãenls and upon detennin¡tian by Surety of the
fq'rr,est responsive ond rcsponsible bidder. äfiänge ior a Contmct betw,ûen such
blddcr. lhe Sur*y and lfie Çfry- and rnake auaìhhle es wnrh prtgresger rufficient
funds to pay thG cssl ol æmSetb* qf the trn$eet, lesE thc halance of the
çsnhçt price, indudlng olher cuets and darnages for vrhîcl¡ Surety may tre liaHc-
ThÊ lÊrñ1 'bãtêÈËe st ûre conbaÉ priæ'es used in this FêragËph shalt mean the
to!ã¡ Íxrnount papble to Ëonkact'or by the Gity under tho Contract and any
nlod¡ficãtñon tf¡ercto. leec an5r AmOuË previogsty paid by the Êity lo thÊ
Gontr*dçr and any clher set ûffs pursrrerrt to thê ç+ntrsct Documents,
i¡i. Pcrmit the Srty lo aornplete the Frajert in any mânnÊr consisterrt wÍth Celtfornia
law and rneke erfåilablê Ês'iro* progresses suff¡cieni funds to pily thê eoût crf
cttllFlÊtien af the Fhoieçt less lhc balenæ of tþe conträct price. includíng.oher
cosls ard darnages for v¡fiich Surefy msy bo liehle, The tenn "balance sf lhe
cünttäcl prioê" at r*+¡l it lhis paragraph shall rnean thÊ totÊl âffiounl payflblê tf¡
Contrador öy lhe Gity urder lhc Coarlæ# end åny rnçdiFcalion thereto, less any
e$rÊr¡flt FreTiÕrrry pf,ûd by $e CTty rÐ thÊ tbnürËtor and en¡r olher sët otts
purouan! tr lfrc cmlracl Dçec¡rnents,
Surety erprestly ãgrÊes thst SrG Çsty rnay rqied eny ronlt'âÉtûr or subcontrastor Tvfiich mry Þu
propocËd by Surdy in lulüllrnent of its cbligffon* in lhç cús*t of defoult by the Contr&etsr,
luraty ahqll nut utiliæ toalradçr n comploting ürr ProJ+et nor Ëhall Suraty âccüpt a bld frÉrn
tqnauct_or fcr comphlion of ürc FrCþt if tho tiry, wtrbn deet¡ring tho çåntroctqr ln dofault,
nttlilas Surçly e{ lhe Ê¡ly's sÞt{slir¡n lo ÇcnlractoFs furü}Br psnicipeiion in lho cofitptÊtion ûf thå
Pruþct,
Thr $ute!y, for vrfuc rüsÊi\ttd, fieroby *l*pulelo* rnd agrrt* thct np chonga, üJ(TnilËlsn ol tlms,
HftËratiffi ûr âddilbn io ths t*mrs o{ thr ç+rtrûçt Dscuìnsnls ür tû tl¡Þ Projec¡ to bÊ pÊrforrnÊd
lhçrat¡ndu ahEll in finy $nty cflctt lt¡ oüligstisnt on lhlr hçrd. snd l{ doro hereþy wðit'r neticû
of eny cuch eh*ogã. ;¡fiiffiion cf t¡Fns, ¡ller*tion or åddåtlon lo the torms qi th* Csntract
DouurnonÊ Õr to hs Fmlnd.
lftEhtAþtnEft ÕF FÀGE IEFT |NTENT|ONT\LIY BLANKI
El14¡-031Cû,trSsms¿3 -4"f-80 EI I.1 - BÐNÞ FORù¡â
W fflrFl'¡ESS ï${EREOF. r,,ê lurnrç .hseur¡tE ¡ct our h¡nd¡ and ¡aols llr,il 1 1th day of
October ?û9,
(Coçarata Saal!Rich Construction, lnc.
{Ccrpø# $eal}of California
By
Shannon Lopez
(Altar.h Âffiorncy.f¡Fact CGrt¡ñÉ¡Ê¡
The raleol pranitrnsn{{l bffid k $20.00 perlhq$afid. Thc Utal smffint of preinigm
chargc* ir 't1 769.00
ffhÈ aboïo mü*l m byeorpontuaßffney-)m contrâct term
and is subJect to adjustment bæed
on final contract price.
IUIS-IS A AEQUIEED FOF}$
Any claim* undor lhii bond rnuy ba rûlrer.Ecd to:
{}lamc ünd ,ldd$r* ol $urnly} $9gTnity cgmpany of caliLornia
PO Box 19725
lrvine. CA 92623
{HrrnG sûd ÅddrËi¡ 6f flgclr! or
fup*mmnr f€frtrr,l4 ûl
pffcorr rr Cr&fornt¡, t dlt*rlü
Fomsùorrül
{Tr|cptror?Ç rrfiTù.r Él fuitty
*!rd Aoã|{€r RrpnrA*atàË lor
¡{frico 0l procr¡r t,t C*iq{ntt}
Same
800.223.2451
Ë! üt-0it! Eç:{N¡ü*{i¿}'{.}¡ûût rt - lloÀf¡ Fê&$s
CALIFORNIA AII.PURPOSE ACKNOWTEDGMENT CIVIL CODE g f189
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 R.
On
(1 w\7 before me,A\Ø I ô1.'c
Dote Here Insert Nome qnd Title of the
personally appeared Rìe\*,cr\ Le.<- 1: everd inq
Nome/s)¡of Signer($)
Si olte_\ver
who proved to me on the basis of satisfactory evidence-to be the person(s) whose name(sfGâre subscribed
to the within instrument and acknowle_Qged to me that 6è/sHthey executed the same inrf ib/he#ttreir
authorized capacity(iee), and that Oy(¡pnerttiretr signature(s) on the instrument the person(s), or the entity
upon behalf of which the person(s| acted, executed the instrument.
I certiñ7 under PENALTY OF PERJURY under the
laws of the State of California thât the foregoing
paragraph is true and correct.
WITNESS my hand and official seal.
Ploce Notory Seol ond/or Stomp Above
OPTIONAL
Completing this informotion con deter olterotion of the document or
froudulent reottochment of th¡s form to on unintended document.
Description of Attached Document
Title or Type of Document:
..>Y)o Êa,,rn ¿4n (e'*
Document Date Òa*obe. \\, . Lû t+
Signe(s) Other Than Named Above:
Capacity(ies) Claimed by Signer(s)
sisnature -T->^Q <.lt'ø'
Signoture of NotorY Public
+
Number of Pages: -?
4l¡aonmar-t L<'¡ez
Signer's Name:
n Corporate Offìcer - Title(s):
L Partner- il Lim¡ted n General
n lndividual E Attorney in Fact
¡ Trustee ¡ Guardian of Conservator
n Other:
UE Signer is Representing
"rr\
Signer'sName: @
DlúCorporate Officer - Title(s): Tr¿4lcÀ¿nl
E Partner- n Limited tr General
n lndividual tr Attorney in Fact
i Trustee ¡ Guardian of Conservator
. Other:
Si0nerrþ Representing:(\ L,
Notary Publ¡c - California
San Diego Countv
Commtssion # Zt6dt69
DANIEL SCHEPE
27 2020
A2Ofl National Notary Association
M1304-oe (o9l17)
Ca lifornia Al l-Pu rpose Acknowledg ment
The so-called "all-purpose" acknowledgment wording, as prescribed in
California Civil Code Sectìon 1189(a), is mandatory for all acknowledgments
taken in lhe state, whether the acknowledger ìs signing as an individual or
â representative (partner, c0rporôte officer, attorney in fact, trustee, etc.).
Law permits Californla Notaries t0 use ôn out-of-state acknowledgment
form on a document that will be filed in that other state or U.S. jurisdiction,
buI only if "the form does n0t requlre the Notary t0 determine or certify
that the slgner holds a particular representôtive capôcity or to make other
determinations and certifications not allowed by California law" (Civil Code
Section 1189[c]).
lnstructions:
O NAME oF coUNTY where
Notary performs notarizat¡on.
O DATE oF NOTARIZATION.
Actual month, day and year in which
signe(s) appea(s) before Notary.
O NAME AND TITLE OF
NOTARIZING OFFICER. ln the case
of ô Notary,"Notary Public" would be
the tltìe.
o NAME(SI OF STGNER(S)
appeôr¡ng before Notary. Initials ðnd
spelling of name(s) should agree with
name(s) signed on document and lD card.
Line through any remaining space.
O SIGNATURE OF NOTARY
exactly as nôme ôppears on commissioning
pôpers, ¡n space 3 and in seal.
@ NoTARY SEAL |MPRINT,
clearly and legibly affixed.
SPACES 7-14 ARE OPTIONAL.
0mission of ¡nformot¡on here will
not offect the docunent's v0l¡d¡ty.
However, complet¡ng these spoces con
deter alterot¡on of the document or
froudulent reottochment of this form
to on unintended document.
O TITLE OR TYPE OF
DOCUMENT nolarized, such as
"Grant Deed."
@ oare oF DocUMENT notôf:zed.
Most but not all documents will have a
date, usually at the top or following the
signature. lf none, ¡nsert "No Date."
O NUMBER oF PAGES ìn rbe
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fraudulent addition or removal of pages.
Do not count the ceftlficate ôs a pôge.
However, the certificôte will be regarded as
a page by recording officials in ôssessing
recording fees.
Stìll, however, any acknowledged document notarized and filed or
recorded in Calìfornia must bear only an all-purpose certificate,
State law requires the "all-purpose" certificate wording to be used exactly
as it ôppears in statute.
The optional section at lhe bottom can deter alteration of the document
or fraudulent reattachment of this form to an unintended document. The
insertÌons in this section are not required by law. Failure to fill outthis
section will not affect the valìdìty of the certìficate.
@ SIGNER(s) OTHER THAN
NAMED lN SPACE 4. Since all
signers might not be named on the
same notarial certificate, insert name(s)
of signe(s) here that appea(s) or will
appear on other certificates - ôs many ôs
space allows. lf there are a large number
of signers, a nolôtion such as "lVary Smith
and 28 other signers" will suffice. lf none,
insert "no olher signers."
O NAME(S) oF STGNER(s) from
space 4 whose capacity and represented
entity follaw
BY
box to
is signing as
own behalf), or
corporate
tille), partner (indicale whelher "limited"
or "general" pôrtner), ôttorney ¡n fôct,
trustee, guardiôn/conservðtor, or in
ônother côpôcity.
(D DESCRIPTION OF OTHER
CAPACITY(lES). A single capacity,
such as "executor," may be indicôted
here; or a multiple capacity, such as
"corporôte officer signing for partnership
in which corporat¡on ¡s partner."
@ NAME oF PERSoN OR LEGAL
ENT¡TY thôt signer :s repÍesenting.
It could, for example, be the name
of ôn absent person represented by
ôttorney in fact. lt could be the name
of a condominium association, such
as "Blue Laqoon Condo Assn." 0r it
could be multiple entities, such ôs "XYZ
Corp., partner in Mutual Enterprises, ô
partnership."
NerroxerNorxnY
Assocre,rrox
9350 De Soto Ave., Chatsworth, CA91311-4926 I '1-800-876-6827 I NationalNotary.org
Âúrryp!iko olhrrofirê¡ùider¡qrhscoil¡i.rlov¡rilksorvf¡ driÍryol6.irdr¿!drhdrgftdsa&ùmenr
rqwrihür.slrlkdrckótb(iód ãndtuiùùûuùtulnÊ$.ô<urıq,o vôldryotÙôldo.unoir
li*'J""'"""
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o**,,.''"",0.,,." MicÌìAel I Srtìilh #;;;-
16o Þrıv.d rÕ nìa on rh€ bısls ofelßtadory evi&nceto be he ærson{sl wbse narê(ll Ildre sûb*dbed
b nìevôl¡ hsrdú.il and d.kilôúìcdqod to rcùâl ho/sho&oy cxocùÌad rho sarc ¡n hts¡rcr^hcû
arúoñ¿d.¿pô.ivlet. ¡nd úô1 by h¡eho/drrú slqnôturc{sl on úro hsüuùanlû. pdsoDß), orlhc cñ¡y
ùpon behôlfofwhlchúc Frson{31 ¡cled, cxeúd lh insùume¡1.
!,ïüil'lii'!i*'"ïrifijêiIl'b^ir' O sqno,s Nam.:
-
.rcorporðlc oftcer- ¡ilqs): ¡coporare ofrcer-tuqt:-
o Patuaf- tr Limiled ü Ge¡eßl ! Pámef- Þ lintd ã Genef¿l
ü hdMduar Ð anorncyin Fôd ! rnd¡üdùàl : ftó¡eyh F¿d
.r Gûild án o¡conrûvilof ¡ lrusrec r Giô dtun olconsèßôlot
clvtL coÞË 5fag
t 7ô17ñd'dm,Ndãtu ÀsúÈriön
@
(D
sþüotuÊ oî N;þv P,hh¿
S€¡er ¡s Represenünq:-
Ѐ5cdpllon of Ar.ci.d Þæumèn¡
f.ûta.r!ñ¡hèndddocq.ñ' ..'a - '
I cerfy undë. PENATû OÊ P&IUÞYúnderd
làws olfra S1âr¿ oîCâÌfornjã ùrâlûc forcqolñg'
rvlTNESSmyh¡ndândoffrci6lscal. ìt.:
02017 Nôtionâl Notôry Assoc¡ation
M1304-09 (09117)
¡tem #o5907
Ì,lotary Ac knowledg m ent
rlet üE
ST$TE gFC.ALIFOR¡¡I¡I
ctrrlrTY oF San Bernardino
On OctobelI 1 ltJL ËÊtorÊrrlË,Gillian P. Johnston füdary R¡Þlie.. pcrsÐndtt
eFpetred Shannon urlrô tror¡ed tÐ fi!ç on fie bæis ol satisladory
cyidlrlce.io b,Ë thê pûr¡ort(Xl whü* nar¡e{l} *€Ê s¡üocrËcd þ thÊ wiü¡rn iffibumml ürd aclrrrüñlcdgÉd to
rns tftat bc¡alp¡üer sxÊü¡têd ltre sa¡e in f¡ßhsfihnir eurhrired c+adtr{iæ}. o*d lfrat by eJ¡ûmn*
çhneturçtfl m thc hrft¡rnçrd tln pcrsar{*}, or dE Êr¡bÏy upor üetnf of trfihh $6 peræn{rl eited, e¡eo¡ted
tùe in*ürsncnt
I titttty wdcr PEÍ'{Å!.TY üF FERJURÏ unory ttic }rsrr o{ lhe S}6le ûf Callfomia thËt tt}q foregorrç psragrâFtr
ls lruç ärÉ GsrrÈet.
GILLIAÎI P JOHIISTO}I
Comt¡¡þn t 2125525
lþfy Publ¡c - Californi¡
San 0crn.rdlno County
ùtjgr¡ñ¡lçn ô!ì{d.n ,t r!û{ fû.rl{r#rd ùf
rçþ¡¡d pruFl#l fr*edrjrül fçlrãÍrl
8V AONER
- fffiiå
Il¡!þt{t
Gmrrrl
rny hsn¡ûfid naslvì¡ÍTHE&ç
,[t/.,1,( /1,¿
OPTlûI'IAL
hl. irrrrl¡ plurrc
IFd rrËtlåÈËrrîrnl
çûFå$ïY
lnt},¡l&sl
l*iio*
Frnfnor{¡l
rlålorney'for'Fod
Tnrrleqr¡
&¡an¡hnßm{+ry¡for
üt*r;
5{¡llçr b rrpmrtrda¡:
f'lftñn ôt Furarl*l o. trüatl{r}
v¡lr¡¡ôf¿ fû pd¡¡nrtn ul¡fnp or,lllr dcccrflcñl
frf f¡r¡r l6nfl l$ rrt ûlfrü 'dðrtÉñ#af.
EEåCR¡PNOH OF ATTACHEO OOÊUI¡|EHT
*--.'f ffi. ÎFñıIrÉË¡rur+io ù'
r*lràtð
Ê,tiüiiihtiit fnin-iuinú¿ Ábs'Ë
*- --
HOTE: thli tc¡ffï¡Êrdäd0rnçñt F* lo br æ¡rçt*lcO h lhÊ Àtlorney.in.Få,tt, Thr Fou¡rt"rf Ållmnrylo
locd lçretonÊrtiuçr ûl the bfl¡frrr$ fûrn$Êrìy rnutt t*¡r lis silÐdrÊ.d"
EtlÞ OF FERFÛRIIA$i¡CE B0t'¡D
Bud¡.0e1co,¡o+üüû¡¡i -{1-0ôtl I'l-BOI{0F0ntl$
POWER OF ATTORNEY FOR
DEVELOPERS SURETY AND INDEMNIry COMPANY
INDEMNITY COMPANY OF CALIFORNIA
PO Box 19725, lRVlNE, CA92623 (949) 263-3300
KNOWALL BY THESE PRESENTS that except as expressly limited, DEVELOPERS SURETYAND INDEMNITY COMPANY and INDEMNITY COMPANY OF CALIFORNIA, do each
hereby make, constitute and appoint:
***George A. DeCristo, Shannon Lopez, Peter M. Davis, Samantha Orf, Epi Carter, Martin M. Davis, Elizabeth D. Kolpien, jointly or
severally***
presents, are hereby ratifled and conlirmed.
AND INDEMNITY COMPANY and INDEMNITY COMPANY 0F CALIFORNIA, effective as of January 1st, 2008.
RES0LVED, that a combination of any two of the Chairman of the Board, the President, Executive Vice-President, Senior Vice-President or any Vice President of the
to attest the execution of any such Power ofAttomey;
RESOLVED, FURTHER, that the signatures of such officers may be affixed to any such Power of Attorney or to any certiftcate relating thereto by faæimile, and any such
or contract of suretyship to which it is atlached.
lN WITNESS WHEREOF, DEVELOPERS SURETYAND ¡NDEMNITY COMPANY and INDEMNITY COMPANY 0F CALIFORNIA have severally caused these presents to be signed by
their respective officers and attested by their respective Secretary orAssistant Secretary this lBth day ofApril, 2016,Dr"*y4*,By:
By:
Daniel Young, Senior Vice-President /d
Mark Lansdon, Vice-President
0cr
10
'1 930
AND
*
ocT,5
1967
State of California
County of Orange
A notary public or other officer completing this certificate verifies only the identiÇ of the individual who signed the
document to which this certificate is attached, and not the truthfulness, accuracy, or validity of that document.
Aoril 18, 2016 before me, Lucille Raymond, Notarv Public
Here lnsert Name and Ïtle ofthe OfiìcerDate
Daniel Young and Mark Lansdon
On
personally appeared
Name(s) ofSigne(s)
who proved to me on the basis of satisfactory evidence to be the penon(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
æpacity(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 conect.
WITNESS my hand and official seal.
Place Notary Seal Above Signature
Notary Public
CERTIFICATE
The undensigned, as Secretary orAssistant Secretary of DEVELOPERS SURETYAND INDEMNfi COMPANY or INDEMNITY COMPANY 0F CALIFORNIA, does hereby
said corporations set forth in the Power ofAttorney are in force as of the date of this Certificate.
This Certificate is executed in the City of lrvine, California, this
By:0,r** þ.,rùþ,rL
Cassie J
lD-1380 (Rev.04/16)
@
LUCII€ RAYmilD
Commislion t 20tl9l5
ilot ry Public - Crllfornl¡
Orrngr Counly
ocT,
l0
't936
/0wÈ
AND
*
ocT.5
1967
f nisford, Assistant Se{étary
tlt" d.y.r Òü[û¿r 'bn