17-1205_PACIFIC POINT DEVELOPMENT PARTNERS_Bond Release Ironshore Indemnity32400 PASEO ADELANTO
SAN JUAN CAPISTRANO, CA 92675
(949) 493-1171
(949) 493.1053 FAx
www.sanjuancapistrano.org
December 5, 2017
Ironshore Indemnity, Inc.
725 S. Figueroa, Suite 3375
Los Angeles, CA 90017
MEMBERS OF THE CITY COUNCIL
SERGIO FARIAS
KERRY K. FERGUSON
BRIAN L. MARYOTT
PAM PATTERSON, ESQ.
DEREK REEVE
Re: Release of Bonds — Pacific Point Develooment Partners. LLC — Tract 16749
Dear Sir or Madam:
This letter is to inform you that the following bonds issued to Pacific Point Development
Partners, LLC —Tract 16749 are officially released as of December 5, 2017:
SU21000025
SU21000021
Pt IRPORF
Landscape and Irrigation
Monumentation
BOND AMOUNT
$ 85,673.00
$ 14,500.00
The City of San Juan Capistrano hereby fully and forever releases and discharges the
Ironshore Indemnity, Inc. from any and all liability under the abovementioned bond numbers.
Enclosed please find the released bonds. If you have any questions, please do not hesitate to
call me at (949) 443-6310.
Sincerely,
--' I
Christy Jakl, CMC
Assistant City Clerk
Enclosures as noted
cc: Steve May, Public Works and Utilities Director
Joe Parco, City Engineer
George Alvarez, City Engineer
Joe Mankawich, Associate Engineer
San Juan Capistrano: Preserving the Past to Enhance the Future
C) Printed on 100% recycled paper
RELEASEf�-�
Date: `�-�'-
Signature r(o),A"
Premium: $225.00
City ClerkCity of San nn Capistr
SUBDIVISION FAITHFUL PERFORMANCE BOND
(GOVERNMENT CODE 66499.2)
Bond No. SUR21000021
Replaces Bond No SUR20000333
KNOW ALL MEN BY THESE PRESENTS, that Pacific Point Deveiopment Partners, LLC
(hereafter designated as "Principal"), and Ironshore Indemnity Inc. ,
as Surety (hereinafter called "Surety") agree to install and complete certain designated
public improvements as conditioned by City Council Resolution No's. 92-6-16-4 and
03-09-16-06.
WHEREAS, said Principal is required to furnish a bond pursuant to Municipal
Code Section 9-5.101 and 9-5.109 et seq., for the faithful performance to guarantee
certain work, more particularly described as follows:
Monument subdivision improvements within Tract 16749 as defined within Amendment #1 and
Reinstatement of the Subdivision Imerovement Agreement for Tract 16749
NOW, THEREFORE, we, the Principal and Surety are held firmly bound unto the
City of San Juan Capistrano, (hereafter called "Obligee") in the penal sum of
Fourteen Thousand Five Hundred Dollars and 00/100
Dollars, ($14,500.00 ) lawful money
of the United States, for the payment of which sum well and truly to be made, we bind
ourselves, our heirs, successors, executors and administrators, jointly and severally,
firmly by these presents.
NOW, THEREFORE, the condition of this obligation is such that, if Principal shall
promptly and faithfully perform said improvement obligations within the fully executed
and recorded subdivision improvement agreement, then the obligation shall be null and
void; otherwise it shall remain in full force and effect.
Page 1 of 3
BE IT FURTHER RESOLVED:
1. As a part of the obligation secured hereby, and in addition to the face
amount specified, there shall be included costs and reasonable expenses and fees,
including reasonable attorney's fees, incurred by City in successfully enforcing such
obligation, all to be taxed as costs and included in any judgment rendered.
2. Said Principal, for value received, hereby stipulates and agrees that no
change, extension of time, alteration, or modification of the contract documents or of the
work to be performed thereunder, shall in any way affect its obligations or this bond, and
it does hereby waive notice of any such change, extension of time, alteration, or
modification of the contract documents or of work to be performed thereunder.
IN WITNESS WHEREOF, this instrument has been duly executed by the
Principal herein named on the 19th day of May , 2015 , the name and
corporate seal of each corporate party being hereto affixed and these presents duly
signed by its undersigned representatives pursuant to authority of its governing body.
PRINCIPAL:
Pacific Point Development Partners, LLC
B {�°
Y
Its: 141114X1%C:,-2.11 4S. -.W4,
1
SURETY:
Ironshore Indemnity Inc.
By: &404�e�a_
Margar A. Ginem , Attorney -in -Fact
Surety Phone No.
C/O WILLIS OF FLORIDA
4211 W. BOY SCOUT BLVD, #1000
TAMPA, FL 33607 page 2 of 3
INQUIRIES: (813)261-2095
(NOTARIZATION AND SEAL)
(NOTARIZATION AND SEAL)
APPROVED AS TO FORM:
By:
NOTE: Please attach Acknowledgement and Power of Attorney
Page 3 of 3
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
On ��n, >,v, before me,
Dat J�, -I
personally appeared
and Title
Name(s) of Signer(s)
�14
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.
W. CORDI
Commission # 2088325
Notary Public - California a
Orange County
MY Comm. Ex Tres Oct 31, 2018
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.
Signature NuqL.
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: _
Number of Pages:
Document Date:
Signer(s) Other Than Named Above:
Capacity(les) Claimed by Signer(s)
Signer's Name:
❑ Corporate Officer — Title(s):
❑ Partner — ❑ Limited ❑ General
❑ Individual ❑ Attorney in Fact
❑ Trustee ❑ Guardian or Conservator
❑ Other:
Signer Is Representing:
Signer's Name:
❑ Corporate Officer — Title(s):`
❑ Partner — ❑ Limited ❑ General
❑ Individual ❑ Attorney in Fact
❑ Trustee ❑ Guardian or Conservator
❑ Other:
Signer Is Representing:
02014 National Notary Association • www.NationalNotary.org - 1 -800 -US NOTARY (1-800-876-6827) Item #5907
ACKNOWLEDGEMENT BY SURETY
STATE OF FLORIDA
COUNTY OF HILLSBOROUGH I SS.
On this 19th day of May, 2015 before me, personally came
Margaret A. Ginem, who is personally known to me (or proved
to me on the basis of satisfactory evidence) to be the person
who executed the within Instrument as Attorney -In -Fact on
behalf of Ironshore Indemnity Inc., and acknowledged to me
that he/she executed the within instrument on behalf of said
surety company and was duly authorized to do.
In witness whereof, I have signed and affixed my official seal on
the date in this certificate first above written.
i
Signature
Anett Cardinale
;:pry ANEiTCARDINALE
_ • Cammiss{on # FF 138482
i Expires July 28, 2018
��en�saoa.�rur�
This area for Official Notarial Seal
89 820.6f 'the ..
$6�aat.Bill. 1'0$0. :1 119 ,
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Go,y,prpwc*, Code, felafingvpotAfiag. publf e
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notice is,4n exa�nplc, for pur
yibtm-b 'W.s*-
..0 lie of other 6ffide. pl�tln&t
certificate verifies only the identity'of the
individual qhor. -signed, the doAqtnent.to w4kfil&
certificate, is attached, and not, the trUthfulnessi
ApbUr4py, ot vjlkj� pf tb#46cumew.
'gt4to of California
'C.6'unty. of
oil -befor6 Tac, (here
ibsert name and' title 6fofficer), pe�rsmaljy appeared NALo
ppyyp4 tOmg ori - the .basis of sat ey(denoo to bflhe.
person($) Whose nank) ls/kre SASPOeato
%6 withiri 4astrument. and acknowledged -to me• that: he/she/they Px4wuted the same: -hi -hiAerftheir
autlioYi capacity( es), 4d that by. )iW40rO:cxr �g�ftA44.6(s) Qji tfie Itistrutno7fit e Verson(s), or the
efifity ftp0. behalf of which'th6 06rsbfi(s), acted; ckecuted tbe instrura6t.
I; ezk ,Y IfTderPENALT OF' PERJOpy'Od6r. the as of tS'
AteQfC ibrh' hitt
paragraph is true and correct
WITNESS fwylAn4 and officid SeaL-
81'g-n-aur'.c. . 1. . (Sea]).-
PUWER OF Al i URN EY
III- 21000021
Ironshore Indemnity Inc.
KNOW ALL MEN BY THESE PRESENTS, that IRONSHORE INDEMNITY INC., a Minnesota Corporation, with its principal office in New York, NY does
hereby constitute and appoint: David H. Carr, Anett Cardinale, Margaret A. Ginem its true and lawful Attorney(s)-In-Fact to make, execute, seal and
deliver for, and on its behalf as surety, any and all bonds, undertakings or other writings obligatory in nature of a bond.
This authority is made under and by the authority of a resolution which was passed by the Board of Directors of IRONSHORE INDEMNITY INC. on the
22"d day of April, 2013 as follows:
Resolved, that the Director of the Company is hereby authorized to appoint and empower any representative of the company or other person or
persons as Attorney -In -Fact to execute on behalf of the Company any bonds, undertakings, policies, contracts of indemnity or other writings obligatory
in nature of a bond not to exceed $7,500,000 dollars, which the Company might execute through its duly elected officers, and affix the seal of the
Company thereto. Any said execution of such documents by an Attorney -In -Fact shall be as binding upon the Company as if they had been duly
executed and acknowledged by the regularly elected officers of the Company. Any Attorney -In -Fact, so appointed, may be removed for good cause and
the authority so granted may be revoked as specified in the Power of Attorney.
Resolved, that the signature of the Director and the seal of the Company may be affixed by facsimile on any power of attorney granted, and the
signature of the Secretary, and the seal of the Company may be affixed by facsimile to any certificate of any such power and any such power or
certificate bearing such facsimile signature and seal shall be valid and binding on the Company. Any such power so executed and sealed and certificate
so executed and sealed shall, with respect to any bond of undertaking to which it is attached, continue to be valid and binding on the Company.
IN WITNESS THEREOF, IRONSHORE INDEMNITY INC. has caused this instrument to be signed by its Director, and its Corporate Seal to be affixed this
7th day of August, 2013
IRONSHORE INDEMNITY INC.
"�a"1Tevt, 's
e„
acw.
BY:
Dane L.Sws n -'
Director
ACKNOWLEDGEMENT
On this 7th Day of August, 2013, before me, personally came Daniel L. Sussman to me known, who being duly sworn, did depose and say that he is the
Director of Ironshore Indemnity, Inc. , the corporation described in and which executed the above instrument; that he executed said instrument on
behalf of the corporation by authority of his office under the By-laws of said corporation.
r,
JAM
Amy Tayio
Notary Public
CERTIFICATE
I, the undersigned, Secretary of IRONSHORE INDEMNITY INC., a Minnesota Company, DO HEREBY CERTIFY that the original Power of Attorney of
which the foregoing is a true and correct copy, is in full force and effect and has not been revoked and the resolutions as set forth are now in force.
Signed and Sealed at this 191h Day of May ZD 15
- oSFnl*`
Paul S. Gi dano w
Secretary
'WARNING: Any person who knowingly and with intent to defraud any insurance company or other person, files and application for insurance or statement of claim
containing any materially false information, or conceals for the purpose of misleading information concerning any fact material thereto, commits a fraudulent
insurance act, which is a crime and subjects such person to criminal and civil penalties."
w
V
AI'll L TAYLCA
-
Nolary Public- Stale of Tennessee
+:1
Davidson Camhr
(y� ,�
tav Can+mxwn E>tpYea4fA10.f4
r,
JAM
Amy Tayio
Notary Public
CERTIFICATE
I, the undersigned, Secretary of IRONSHORE INDEMNITY INC., a Minnesota Company, DO HEREBY CERTIFY that the original Power of Attorney of
which the foregoing is a true and correct copy, is in full force and effect and has not been revoked and the resolutions as set forth are now in force.
Signed and Sealed at this 191h Day of May ZD 15
- oSFnl*`
Paul S. Gi dano w
Secretary
'WARNING: Any person who knowingly and with intent to defraud any insurance company or other person, files and application for insurance or statement of claim
containing any materially false information, or conceals for the purpose of misleading information concerning any fact material thereto, commits a fraudulent
insurance act, which is a crime and subjects such person to criminal and civil penalties."
IRONSHORE BNOEMNITY INC
FINANCIAL STATEMENT SUMMARY
As of December 31, 2014
ASSETS
Bonds
Preferred stocks
Common stocks
Mortgage loans on real estate: first lens
Mortgage loans on real estate,, Other than Ont gens
Properties occupied by the company
Properties held for the production of income
Properties held for We
Cash. cash equivalents and short-term Investments
Contract loans
Derivatives
Other invested assets
Receivables for securities
Securities Ic ndi ng. reinvested col is lera' asset
Aggregate write -Ins forinvested assets
Subtotals. cash and Invested assets
Title plants less $.., Charged off
Investment Income due and accrued
Uncollected premiums and agents' balances In the course of collection
Deferred premiums, agents' balances and Installments booked but deferred and not
yetdue
Accrued retrospective premiums
Amounts remverabs a fmm reinsurers
Funds held by or deposited with reimurad companies
Other amounts receivable under reinsurance contracts
Amounts receivable relating to uninsured plans
Current federal and foreign Income tax recoverable and interest thereon
Net deferred tax asset
Guaranty funds receivable or on deposit
Furniture and equipment Including health are delivery assets
Net adjustment In assets and liabilities due to forego exchange rates
Receivables from parent, subsidiaries and affiliates
Health are and other amounts receivable
Aggregate wrtte-kns for otherthan Invested assets
Total assets excluding Separate Accounts, Segregated Accounts and Protected Cel
Accounts
From Separate Accounts. Segregated Accounts and Protected Cell Accounts
LIABILITIES
$179,140,947
tosses
$63,582,066
0
Reinsurance payable on paid losses and loss adjustment expenses
0
31,840,141
loss adjustment expenses
$10,384,957
0
Commissions payable, contingent commissions and other similar charges
$1,020,805
0
Other expenses (excluding taxes. ncemesand fees)
$5,435,126
0
Taxes, licenses and fees (excluding federal and foreign income taxes)
$2,383,909
0
Currant federal and foreign income taxes
$2,434,392
0
Hot deferred tax IiabIItIv
0
$15,63,951
Unearned premlums
$29,158,576
0
Advance premium
0
Ceded reinsurance premiums payable (net of ceding commissionsl
$58,222,187
0
Funds held by company under reinsurance treaties
0
0
Amounts withheld or retained by company for account of others
0
Remittances and items not allocated
0
Provlsionfor reinsurance
$1,545,075
$226,614,039
Net adjustments in assets and fatbilitlesdue toforeign exchange rates
0
Drafts outstanding
$990,960
Payable to parent subsidiaries and affiliates
$12,458,110
$73,567,547
Derivatives
0
0
Payable for securities
0
0 Payable for securities lending 0
$33,586,257 Liability for amounts held under uninsured plans 0
0 Aggregate write -Ins for liabilities $4,185,929
0 Total liabilities excluding protected can liabilities $190A11,131
0 PreleCted Cell iiabi hies
0
$5,530,837 TotatNabilitles
$190,811,131
0
0 POUCYHOtDERSSSURPLUS
0 Aggregate wnte-lnsfor special surplus funds 0
0
0 Common aotal stock 5,000,000
$7,124,971 preferred capital stock
$347,414,611
Aggregate writ. ns for other than special surplus 0
0 Surplus Notes
TOTALS §347,414 611 Gross paid In and contributed surplus
CERTIFICATE !
I certify that the above financial statements to the bestof my
knowledge are a true and accurate reflection of the finarclal
condition of the Company as of December 31, 2014,
Additionally, I certify that the above financial statements are
In agreement with the Statutory Financial Statements filed with the Texas
Department of Insurance as of the same date.
W81tam 1 Gleason
M YP fk 7reasen eL
$156,938,671
Unassigned funds surplus; ($5,335,190)
SuWus as regards policyholders $156,603,481
TOTALS $347,414,611
SUBSCRIBED and sworn tome thisY-day ofH'v,
Mycommissen expires: -7-/o—/T
Notary Public
Printed Name ALYSSA TURt<OVITZ
Notary Public. State of Now York
alLtiTtiRlctn+rlt . _.-- — No. 01TU6O44514
Ciuefified In Westchester County
r Co mmis� Frons July 10, 2018
Notate ,"lc. State of New;ork ~
No. 017116044514
Qualified In Westchester County
Commission Expires July 10, 2014
RELEASE[ __�,�
Date: ot
Signature:
City Clerk
SUBDIVISION LABOR AND MATERIAL" O+i' c'�ES�"�"°' CA
(GOVERNMENT CODE 66499.2)
Bond No. SUR21000021
Replaces Bond No. SUR20000333
KNOW ALL MEN BY THESE PRESENTS, that Pacific Point Development Partners LLC
(hereafter designated as "Principal"), and Ironshore Indemnity Inc. }
as Surety (hereinafter called "Surety") agree to install and complete certain designated
public improvements as conditioned by City Council Resolution No's. 92-6-16-4 and
03-09-16-06.
WHEREAS, said Principal is required to furnish a bond pursuant to Municipal
Code Section 9-5.101 and 9-5.109 et seq., for the faithful performance to guarantee
certain work, more particularly described as follows:
Monument subdivision improvements within Tract 16749 as defined within Amendment #1 and
Reinstatement of the Subdivision Improvement Agreement for Tract 16749
NOW, THEREFORE, we the Principal and Surety are held firmly bound unto the
City of San Juan Capistrano, (hereafter called "Obligee") in the penal sum of
Fourteen Thousand Five Hundred Dollars and 00/100
Dollars ($14,500.00 ) lawful
money of the United States, for the payment of which sum well and truly to be made, we
bind ourselves, our heirs, successors, executors and administrators, jointly and
severally, firmly by these presents.
NOW, THEREFORE, the condition of this obligation is such that if the above
bound Principal, his or its heirs, executors, administrators, successors or assigns, shal
in all things stand to and abide by and well and truly keep and perform the covenants,
conditions and provisions per City Council Resolution No's. 92-6-16-04 and 03-09-16-
06, on his or their part, to be kept and performed at the time and in the manner therein
specified, and in all respects according to their true intent and meaning, and shall
indemnify and save harmless the City, its offers, agents and employees as therein
stipulated, and, as necessary enter into a Subdivision Agreement, then this obligation
shall become null and void; otherwise it shall be and remain in full force and effect.
Page 1 of 3
BE IT FURTHER RESOLVED:
1. As a part of the obligation secured hereby, and in addition to the face
amount specified therefore, there shall be included costs and reasonable expenses and
fees, including reasonable attorney's fees, incurred by City in successfully enforcing
such obligation, all to be taxed as costs and included in any judgment rendered.
2. Said Principal hereby stipulates and agrees that no change, extension of
time, alteration, or modification of the terms of the agreement or of the work to be
performed thereunder, shall in any way affect its obligations or this bond, and it does
hereby waive notice of any such change, extension of time, alteration or modification of
the terms of the agreement or of the work or to the specifications.
IN WITNESS WHEREOF, this instrument has been duly executed by the
Principal herein named on the 1 9th day of May , 2015 , the name and
corporate seal of each corporate party being hereto affixed and these presents duly
signed by its undersigned representatives pursuant to authority of its governing body.
PRINCIPAL:
Pacific Point Development Partners, LLC
(NOTARIZATION AND SEAL)
By: Y
Its: t VN)W\Vc % 7a
SURETY:
Ironshore Indemnity Inc.
(NOTARIZATION AND SEAL)
By: GC-
Margare . Ginem , Attorney -In -Fact
Surety Phone No.
C/O WILLIS OF FLORIDA
4211 W BOY SCOUT BLVD, #1000 Page 2 of 3
TAMPA, FL 33607
INNIRIES: (813)281-2095
APPROVED AS TO FORM:
By:
NOTE: Please attach Acknowledgement and Power of Attorney
Page 3 of 3
CALIFORNIA ALL-PURPOSE ACKNOWLEDGMENT CIVIL CODE § 1189
icy'%s'FiY�£�"�`.£�`iFa�i`�E�"•.fx'S��4�`."'rfi��F�vS-.�-Y"'.i'�'flv'r�`'L°L£�'�.£'.''�Qa`{.4�i��'Yo-h�"vFal�i �vll h. '."¢'�j
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
On
1 Date
personally appeared
before me, ]j A_V' Ly I V (U
Flee Ins N
grqe and
Name(s) of Signer(s)
'I
Officer
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.
W. CORDI
Commission #2088325 x
z =s Notary Public - California
Z Orange County
�r m Comm. Expires Oct 31, 2018
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.
Signature V�W,A'
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: Document Date:
Number of Pages: Signer(s) Other Than Named Above:
Capacity(les) Claimed by Signer(s)
Signer's Name:
❑ Corporate Officer — Title(s):
❑ Partner — ❑ Limited ❑ General
❑ Individual ❑ Attorney in Fact
❑ Trustee ❑ Guardian or Conservator
F-1 Other:
Signer Is Representing:
Signer's Name:
❑ Corporate Officer — Title(s):
❑ Partner — ❑ Limited ❑ General
❑ Individual ❑ Attorney in Fact
❑ Trustee ❑ Guardian or Conservator
❑ Other:
Signer Is Representing:
02014 National Notary Association - www.NationalNotary.org - 1 -800 -US NOTARY (1-800-876-6827) Item #5907
ACKNOWLEDGEMENT BY SURETY
STATE OF FLORIDA
COUNTY OF HILLSBOROUGH I SS.
On this 19th day of May, 2015 before me, personally came
Margaret A. Ginem, who is personally known to me (or proved
to me on the basis of satisfactory evidence) to be the person
who executed the within Instrument as Attorney -In -Fact on
behalf of Ironshore Indemnity Inc., and acknowledged to me
that he/she executed the within instrument on behalf of said
surety company and was duly authorized to do.
In witness whereof, I have signed and affixed m official seal on
the date in this certificate first above written.
Signature
Anett Cardinale
This area for Official Notarial Seal
;+nY"""
ANETT CARDINALE
# FF 138482
"AarCommission
2Bn
Bonddedfes Th T FtinJuly
2018800.305.7019„
This area for Official Notarial Seal
Cavil b 0 �. f. . the
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A iiothfy, public of0thdr offidt-,f 6aiti&OndW.S.-.
cerfifi�,jte,verjfje.s.oaly the identity of the
indi-y'Idluai signed the doNmedtlp whiefi.11W
certificate ert icate is attached, and not the trdfUtd-nessi,
,Ac�.ftty, oil VkWit( of that doeument
;State of Oahfornia
Cbtinty Of
Ori ..before ane, (1•iers
,insert name and'title d-officerj, personally appe=4
proved tOyog oij -thebagi's. ofsatisfactoiy. evidejicd to . 4q.'the._persqji(9 I ) -Wo§Ciiame /4ri5UIoxi, to;
the-- wiNK kkmment and acknowledged -to me- that helshe/they executed the :same _In Es/heritheir
b �i rAh-Or ApAt va( In� . m- t tae1`V_erson(s),�'Of the
#RthtOzzd r.- ac,4y(ies),. Oqd that y W46'. 1� tru 010
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CA Ifo rrilvi haat the fvtcgoinig
paragraph is true andcorred
WUNES,S.- myhAnd a'n'.d Oficid se r.
S . ignatum (Sea]).
POWER
III- 21000021
Ironshore Indemnity Inc.
KNOW ALL MEN BY THESE PRESENTS, that IRONSHORE INDEMNITY INC., a Minnesota Corporation, with its principal office in New York, NY does
hereby constitute and appoint: David H. Carr, Anett Cardinale, Margaret A. Ginem its true and lawful Attorneys) -In -Fact to make, execute, seal and
deliverfor, and on its behalf as surety, any and all bonds, undertakings or other writings obligatory in nature of a bond.
This authority is made under and by the authority of a resolution which was passed by the Board of Directors of IRONSHORE INDEMNITY INC. on the
22nd day of April, 2013 as follows:
Resolved, that the Director of the Company is hereby authorized to appoint and empower any representative of the company or other person or
persons as Attorney -In -Fact to execute on behalf of the Company any bonds, undertakings, policies, contracts of indemnity or other writings obligatory
in nature of a bond not to exceed $7,500,000 dollars, which the Company might execute through its duly elected officers, and affix the seal of the
Company thereto. Any said execution of such documents by an Attorney -In -Fact shall be as binding upon the Company as if they had been duly
executed and acknowledged by the regularly elected officers of the Company. Any Attorney -In -Fact, so appointed, may be removed for good cause and
the authority so granted may be revoked as specified in the Power of Attorney.
Resolved, that the signature of the Director and the seal of the Company may be affixed by facsimile on any power of attorney granted, and the
signature of the Secretary, and the seal of the Company may be affixed by facsimile to any certificate of any such power and any such power or
certificate bearing such facsimile signature and seal shall be valid and binding on the Company. Any such power so executed and sealed and certificate
so executed and sealed shall, with respect to any bond of undertaking to which it is attached, continue to be valid and binding on the Company.
IN WITNESS THEREOF, IRONSHORE INDEMNITY INC. has caused this instrument to be signed by its Director, and its Corporate Seal to be affixed this
7th day of August, 2013
IRONSHORE INDEMNITY INC.
o�i;4fr"
h--r
SEAL
p 1919
By:
Ran a L. Suss n `+
Director
ACKNOWLEDGEMENT
On this 7th Day of August, 2013, before me, personally came Daniel L. Sussman to me known, who being duly sworn, did depose and say that he is the
Director of Ironshore Indemnity, Inc. , the corporation described in and which executed the above instrument; that he executed said instrument on
behalf of the corporation by authority of his office under the By-laws of said corporation.
AMY'TAYLOR
- = Notary'Ub".. Slate of Tennessee
- - Oavioson County
My Commission Expires 01-09-16
'04'" J,�� -
Amy L Teyt
Notary P011r.
CERTIFICATE
I, the undersigned, Secretary of IRONSHORE INDEMNITY INC., a Minnesota Company, DO HEREBY CERTIFY that the original Power of Attorney of
which the foregoing is a true and correct copy, is in full force and effect and has not been revoked and the resolutions as set forth are now in force.
Signed and Sealed at this 191h Day of .May 20 15
d.
Y f+=
o SEAL
1919
2aul.Q dano
Secretary
"WARNING: Any person who knowingly and with intent to defraud any insurance company or other person, files and application for insurance or statement of claim
containing any materially false information, or conceals for the purpose of misleading information concerning any fact material thereto, commits a fraudulent
insurance act, which is a crime and subjects such person to criminal and civil penalties."
IRONSHORE INDEMNITY INC
FINANCIAL STATEMENT SUMMARY
As of December 31, 2014
ASSETS
Bonds
Preferred stocks
Common stocks
Mortgage loans on real estate. Rest tens
Mortgage loans on real estate; Other then first liens
Properties occupied by the company
Properties held for the production of income
Properties held for We
Cash. cash equivalents and short-term Investments
Contract loans
Derivatlyes
Other invested assets
Receivables for securities
Securities lending reinvested collateral assets
Aggregate wrlteans forinvested assets
Subtotals. cash and Invested assets
Tide plants less $._ Charged off
Investment Income due and accrued
Uncollected premums and agents' balances in the course of collection
Deferred premiums, agents' balances and Installments booked but deferred and not
yes due
Accrued retrospective premiums
Amounts recoverable from reinsurers
Funds held by or deposited with reinsured companies
Other amounts receivable under reinsurance contracts
Amounts receivable relating to unlnswed plans
Current federal and foreign income tax recoverable and interest thereon
Net deferred t3a assel
Guaranty funds receivable or on deposit
Furniture and equipment, Including health are delivery assets
Net adjustment In assets and liabilities due to foreign exchange rates
Receivables from parent, subsidiaries and affiliates
Health are and other amounts receivable
Aggregate wrRe4ns for other than Invested assets
Total assets excluding Separate Accounts, Segregated Accounts and Protected Cat
Accounts
From Separate Accounts. Segregated Accounts and Protected Cell Accounts
LIABILITIES
$179,140,947 losses
0
Reinsurance payable on paid losses and loss adjustment expenses
31AM,141
loss adjustment expenses
0
Commissions payable. contingent commissions and other similar charges
0
Other expenses (ex tucling taxes. licenses and fees)
0
Taxes, licenses and fees (excluding fedml and foreign income taxes)
0
Current federal and foreign Income taxes
0
Net deferred tax liability
$15,632x951
Unearned premiums
0
Advance premium
0
Ceded reinsurance premiums payable (net of ceding commissions)
0
Funds held by company under reinsurance treaties
0
Amounts withheld or retained by company for account of others
0
Remittances and items not allocated
0
Provision for reinsurance
$226,614,039
Net adjustments In assets and tabilltles due to foreign exchange rates
0
Drafts outstanding
$990,960
Payable to parent, subsidiaries and affiliates
$73,567,547
Derivatives
0
Payable for securities
0
Payable for securities lending
$33,5861257
Liability for amounts held under uninsured plans
0
Aggregate wrlte-Ins for liabilities
0
Total Babllltes exciuding protected cell liabilities
0
plotctleo ten lir4 hots
0
$5,530,837
Total liabilities
0
0
POUCYHOLDEFWS SURPLUS
0
Aggregate write -Ins for special surplus funds
0
0
Common capital stock
$7,124,971
preferred capital stack
$347,414,511
Aggregate wrlte- ns for other than special surplus
0 Surplus Notes
TOTALS $347,414,611 Gross paid In and contributed surplus
CERTIFICATE
I certify that the above financial statements to the bestof my
knowledge are a true and accurate reflection of the financial
condition of the Company is of December 31, 2014,
Addlilonally, Icertify that thr aboxe nnandal stalernents are
In agreement with the Statutory Financial Statements filed with tha Texas
Department of Insurance as of the same date.
William J Gleason
90—VPE&AIP3ME.
$63,582,066
0
$10,364,957
$1,020,805
$5,435,126
$2,383,909
$1,434,392
0
$29,158,576
$56,222,387
0
$1,545,075
$12,458,110
0
0
0
0
$4,1851928
$190,811,131
$190,811,131
0
S,000,000
0
$156,938,671
Unaasllined funds (surplus) ($5,335,190)
Serious as regards polleyholders $156,603,481
TOTALS $347,414,611
SUBSCRIBED and sworn tome this--r�yofM/q4 GI%5
My commtsftn expires: 7-10—/v
NotaryPublic
printed Name Al_YSSA TURKOVIIZ
Notary Public, State of New York
No.01TU6044514
AlxssAruBtcwln Qualilled in Westchester County
° { CofWlisakIn ExpiM July 10, 2018
Nm !{ WIG Stance lrf fyavr Ycrk
No.01TU6044514
Qualified In Westchester County
Commission Expires July 10, 2014
RELE�ASE,,D�
Date: '��2La`,l,�oocj 5, poll- Premium: $643.00
Signature:� r _
City Clerk
City of San Juan Capistr�o, A
SUBDIVISION FAITHFUL PERFORMANCE BOND
(GOVERNMENT CODE 66499.2)
Bond No. SUR21000025
Replaces Bond No. SUR20000334
KNOW ALL MEN BY THESE PRESENTS, that Pacific Point Development Partners. LLC
(hereafter designated as "Principal"), and Ironshore Indemnity Inc.
as Surety (hereinafter called "Surety") agree to install and complete certain designated
public improvements as conditioned by City Council Resolution No's. 92-6-16-4 and
03-09-16-06.
WHEREAS, said Principal is required to furnish a bond pursuant to Municipal
Code Section 9-5.101 and 9-5.109 et seq., for the faithful performance to guarantee
certain work, more particularly described as follows:
Landscape subdivision improvements within Tract 16749 as defined within Amendment #1 and
Reinstatement of the Subdivision Improvement Agreement for Tract 16749
NOW, THEREFORE, we, the Principal and Surety are held firmly bound unto the
City of San Juan Capistrano, (hereafter called "Obligee") in the penal sum of
Eighty Five Thousand Six Hundred Seventy Three Dollars and 001100 Dollars, ($85,673.00 ) lawful money
of the United States, for the payment of which sum well and truly to be made, we bind
ourselves, our heirs, successors, executors and administrators, jointly and severally,
firmly by these presents.
NOW, THEREFORE, the condition of this obligation is such that, if Principal shall
promptly and faithfully perform said improvement obligations within the fully executed
and recorded subdivision improvement agreement, then the obligation shall be null and
void; otherwise it shall remain in full force and effect.
Page 1 of 3
BE IT FURTHER RESOLVED:
1. As a part of the obligation secured hereby, and in addition to the face
amount specified, there shall be included costs and reasonable expenses and fees,
including reasonable attorney's fees, incurred by City in successfully enforcing such
obligation, all to be taxed as costs and included in any judgment rendered.
2. Said Principal, for value received, hereby stipulates and agrees that no
change, extension of time, alteration, or modification of the contract documents or of the
work to be performed thereunder, shall in any way affect its obligations or this bond, and
it does hereby waive notice of any such change, extension of time, alteration, or
modification of the contract documents or of work to be performed thereunder.
IN WITNESS WHEREOF, this instrument has been duly executed by the
Principal herein named on the 19th day of May , 2015 , the name and
corporate seal of each corporate party being hereto affixed and these presents duly
signed by its undersigned representatives pursuant to authority of its governing body.
PRINCIPAL:
Pacific Point Development Partners, LLC
By:
Its: la �.oc- ► S w+br
SURETY:
Ironshore Indemnity Inc.
By:
Marga r A. Ginem , Attorney -in -Fact
Surety Phone No.
C/O WILLIS OF FLORIDA
4211 W. BOY SCOUT BLVD, #1000
TAMPA, FL 33607 Page 2 of 3
INQUIRIES- (613)261-2095
(NOTARIZATION AND SEAL)
(NOTARIZATION AND SEAL)
APPROVED AS TO FORM:
NOTE: Please attach Acknowledgement and Power of Attorney
Page 3 of 3
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 Californiap )
Count of
On before me,
Date () , r- c\ n Here Insert Name and Tr'tl the Officer
personally appeared
Name(s) of Signer(s)
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
W. CORDI is true and correct.
Commission #E 2088325 z WITNESS my hand and official seal.
;M Notary Public - California a ,
z Orange County
M Comm. Expires Oct 31, 2018 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:
Number of Pages: Signer(s)
Document Date:
Other Than Named Above:
Capacity(ies) Claimed by Signer(s)
Signer's Name:
❑ Corporate Officer — Title(s):
❑ Partner — ❑ Limited ❑ General
❑ Individual ❑ Attorney in Fact
❑ Trustee ❑ Guardian or Conservator
Fl Other:
Signer Is Representing:
Signer's Name:
❑ Corporate Officer — Title(s):
❑ Partner — ❑ Limited ❑ General
❑ Individual ❑ Attorney in Fact
❑ Trustee ❑ Guardian or Conservator
❑ Other:
Signer Is Representing:
02014 National Notary Association • www.NationalNotary.org • 1 -800 -US NOTARY (1-800-876-6827) Item #5907
ACKNOWLEDGEMENT BY SURETY
STATE OF FLORIDA
COUNTY OF HILLSBOROUGH I SS.
On this 19th day of May, 2015 before me, personally came
Margaret A. Ginem, who is personally known to me (or proved
to me on the basis of satisfactory evidence) to be the person
who executed the within Instrument as Attorney -In -Fact on
behalf of Ironshore Indemnity Inc., and acknowledged to me
that he/she executed the within instrument on behalf of said
surety company and was duly authorized to do.
In witness whereof, I have signed and affixed my official seal on
the date in this certificate first above written
Signature
Anett Cardinale
+Yfs ANETTCARDINALE
.r Commission # FF 138482
'Expires Juiy 28, 2018
s
�R�;,,, 9u,ana trw tray �,�;,� rMunmaror�
This area for Official Notarial Seal
till 1050, aMchds'gectio'lig 11$9 am 119 Ojyj-QYde. U4 Seo.t1ga '8.10� ofthe'
g ja no es, pqbjic;.'bV.lq�*.Phygici . I . format of dip. new disclosure
- Tb -e
-wucqiSI-#npxaMpIei for p W_9,5e�.of iltustrafiup.
hot-ary, public of other 6066 604- Jttjnbf thjS-
cerfibicate verifies -only the id6nfitybf the
incliYOual wha -Signed the dpooerkto wh.iAtls
.certificate. is attachccl, and not -the tnithUnessi
of VANdify of that, 404*wl.
8t* of piliforiii ' a '
.0 linty of
01i _.befordune, hew
-ibLsert name and title.of offlcerj,'pes onally A'ppmed
proved tis .w,gOri the .b of��sfdqotye ��bed ta
4�ls - _vjdot6 to b4theperson(k) Whose narne(s) Is/arb $�
Ih6 withirf. -Wrawnent, and acknowledged -to -me,'that: helsheIthey executed the same -An- Ms/her/their
au,tbp.rj* zapaeky(ics).- 4d.fit. by �iis/horjdieir elpopri.-(a) on tfie' lnsftufnOM t r on(s). tfde
ft pe s dr
--Atity, uN. b'chlalf of whiph't6e: OeatbA(§),,Wed, ekiectited thEinstvMent
f. oeit f 'Od6r C
PENUT� -OF' RY �ficlpr the J�i*§ O.k tbi� Stale a, aloriilla that KRJU
pamgrapli i's true and"correcf
WITNESS i� yhW and,6ffieW seat,
-S . i (Sea]).
R OF ATTORNEY
III- 21000025
Ironshore Indemnity Inc.
KNOW ALL MEN BY THESE PRESENTS, that IRONSHORE INDEMNITY INC., a Minnesota Corporation, with its principal office in New York, NY does
hereby constitute and appoint: David H. Carr, Anett Cardinale, Margaret A. Ginem its true and lawful Attorney(s)-In-Fact to make, execute, seal and
deliver for, and on its behalf as surety, any and all bonds, undertakings or other writings obligatory in nature of a bond.
This authority is made under and by the authority of a resolution which was passed by the Board of Directors of IRONSHORE INDEMNITY INC. on the
22nd day of April, 2013 as follows:
Resolved, that the Director of the Company is hereby authorized to appoint and empower any representative of the company or other person or
persons as Attorney -In -Fact to execute on behalf of the Company any bonds, undertakings, policies, contracts of indemnity or other writings obligatory
in nature of a bond not to exceed $7,500,000 dollars, which the Company might execute through its duly elected officers, and affix the seal of the
Company thereto. Any said execution of such documents by an Attorney -In -Fact shall be as binding upon the Company as if they had been duly
executed and acknowledged by the regularly elected officers of the Company. Any Attorney -In -Fact, so appointed, may be removed for good cause and
the authority so granted may be revoked as specified in the Power of Attorney.
Resolved, that the signature of the Director and the seal of the Company may be affixed by facsimile on any power of attorney granted, and the
signature of the Secretary, and the seal of the Company may be affixed by facsimile to any certificate of any such power and any such power or
certificate bearing such facsimile signature and seal shall be valid and binding on the Company. Any such power so executed and sealed and certificate
so executed and sealed shall, with respect to any bond of undertaking to which it is attached, continue to be valid and binding on the Company.
IN WITNESS THEREOF, IRONSHORE INDEMNITY INC. has caused this instrument to be signed by its Director, and its Corporate Seal to be affixed this
7th day of August, 2013
IRONSHORE INDEMNITY INC.
aFu }
wain I .
drys'•' r
By:
OanrerL. Suss n
Director
ACKNOWLEDGEMENT
On this 7th Day of August, 2013, before me, personally came Daniel L. Sussman tome known, who being duly sworn, did depose and say that he is the
Director of Ironshore Indemnity, Inc. , the corporation described in and which executed the above instrument; that he executed said instrument on
behalf of the corporation by authority of his office under the By-laws of said corporation.
,�r�itrro l
.x
AMY �. TAYLOR
jw' A
Notary Public- State of Tennessee
K..w Davidson County My Commission Expires 01-09-16 Amy L Tayf
•�''ypt�,`'�• Notary Public
CERTIFICATE
I, the undersigned, Secretary of IRONSHORE INDEMNITY INC., a Minnesota Company, DO HEREBY CERTIFY that the original Power of Attorney of
which the foregoing is a true and correct copy, is in full force and effect and has not been revoked and the resolutions as set forth are now in force.
Signed and Sealed at this 191h Day of May20 15
�ro�nag;^
- Lcr-nim.
19rW
Paul S.GI dano
Secretary
"WARNING: Any person who knowingly and with intent to defraud any insurance company or other person, files and application for insurance or statement of claim
containing any materially false information, or conceals for the purpose of misleading information concerning any fact material thereto, commits a fraudulent
insurance act, which is a crime and subjects such person to criminal and civil penalties."
IRONSHORE INDEMNITY INC
FINANCIAL STATEMENT SUMMARY
As of December 31, 2014
ASSETS
Bonds
Preferred stacks
Common stocks
Mortgage loans on real estate. Orst kens
Mortgage loans on real estaW Other than first liens
Properties occupied by the company
Properties held for the production of Income
Properties held for We
Cask cash equivalents and short-term investments
Contract loans
Derivatives
Other invested assets
Receivables for securities
Securities leading reinvested collateral assets
Aggregate write-ins fordnvested assets
Subtotals. cash and Invested assets
Title plants less $..,. Charged off
Investment Income due and accrued
Uncollected preFKUM3 and agents' batances in the course of collection
Deferred premiums, agents' balances and Installments booked but deferred and not
yet due
Accrued retrospective prerniums
Amounts recoverable from reinsurers
Funds held by or deposited with reinsured companies
Other amounts receivable under reinsurance contracts
Amounts receivab:e relating to uninsured plans
Current federal and foreign income tax recoverable and interest thereon
Net deferred tax asset
Guaranty funds receivable or on deposit
Furniture and equipment, including health rare delivery assets
Netadjustment In assets and liabilities due to foreign exchange rates
Receivables from parent, subsidiaries and affiliates
Health are and other amounts receivable
Aggregate write-ins for other than Invested assets
Total assets excluding Separate Accounts, Segregated Accounts and Protected Cat
Accounts
From Separate Accounts, Segregated Accounts and Protected Cell Accounts
0 Surplus Notes
TOTALS $347,414,1111 Gross paid In and contributed surplus
� �Ixl
CERTIFICATE
I certify that the above financial statements to the bestof my
knowledge are a true and accurate reflection of the financial
condition of the Company as of December 31, 21114,
Additionally, I certify that the above financial statements are
In agreement with the Statutory Financial Statements filed with the Texas
Department of Insurance as of the same date.
william J Gleason
f:Ef3I-MalmRsorcr
Unassigned funds {surplus,
Suplus as regards policyholders
TOTALS
$63,SB2,066
a
$10,384,957
$1,020,SOS
$5,435,125
$2,383,909
$2,434,392
0
$29,158,576
$58,222,187
0
$1,545,075
$12,458,110
D
0
0
0
$4,185,929
$190,811,131
$190,811,131
0
$,000,000
0
$156,938,671
($5,33S,190)
$156,603,481
$347,414,611
SUBSCRIBED4ndsworn tomethis of 1%14 "'o
Mycommnssanexptres: 7-'(0-/V
Notary Public
Palated Name ALYSSA TURKOVITZ
Notary Public, state of New York
ALYSSATURKOVFIZ _ m — No.01TU6044514
Qualified in Westchester County
Corrimission Expires July 10, 2018
•'�k�l� bile Sate of New York �
No.O1TU6044514
Ctualifled In Westchester County
Commission Expires July 10, 2014
LIABILITIES
$179,140,947
Lossa"
0
Reinsurance payable on paid losses and loss adjustment expenses
31,M,141
lass adjustment expenses
0
Commissions payable, contingent commissions and other similar charges
0
Other expenses(exctudingtaxes. licenses and fees)
0
Taxes, licenses and fees (exdudmg federal and foreign Income taxes)
0
Current federal and foreign income taxes
0
Net deferred tax liability
$15,632,951
Unearned premiums
D
Advance premium
0
Ceded reinsurance premiums payable (net of ceding commissions(
0
Funds held by company under reinsurance trestles
0
Amounts withheld or retained by company for account of others
0
Remittances and items not allocated
0
Provision for reinsurance
$226,614,039
Noadjustments inassets and kabilltlesdue toforeign exchange rates
0
Drafts outstanding
$99060
Payable to parent subsidiaries and affiliates
$73,567,547
Derivatives
0
Payable for securities
0
Payable for securities lending
$33,586,257
Uabilltyfor amounts held under uninsured plans
0
Aggregate write -Ire; for liabilities
0
Total liabilities excluding protected cell flabi0ties
0
Protected cell liabilities
0
$5,530,837
Total liabilities
0
0
POUCYMDEWSSURPWS
0
Aggregate write -Ins for speclalsurplusfunds
0
0
Common capital stock
$7,124x971
Preferred capital stock
$347,414,611
Aggregate wrlwns for other than special surplus
0 Surplus Notes
TOTALS $347,414,1111 Gross paid In and contributed surplus
� �Ixl
CERTIFICATE
I certify that the above financial statements to the bestof my
knowledge are a true and accurate reflection of the financial
condition of the Company as of December 31, 21114,
Additionally, I certify that the above financial statements are
In agreement with the Statutory Financial Statements filed with the Texas
Department of Insurance as of the same date.
william J Gleason
f:Ef3I-MalmRsorcr
Unassigned funds {surplus,
Suplus as regards policyholders
TOTALS
$63,SB2,066
a
$10,384,957
$1,020,SOS
$5,435,125
$2,383,909
$2,434,392
0
$29,158,576
$58,222,187
0
$1,545,075
$12,458,110
D
0
0
0
$4,185,929
$190,811,131
$190,811,131
0
$,000,000
0
$156,938,671
($5,33S,190)
$156,603,481
$347,414,611
SUBSCRIBED4ndsworn tomethis of 1%14 "'o
Mycommnssanexptres: 7-'(0-/V
Notary Public
Palated Name ALYSSA TURKOVITZ
Notary Public, state of New York
ALYSSATURKOVFIZ _ m — No.01TU6044514
Qualified in Westchester County
Corrimission Expires July 10, 2018
•'�k�l� bile Sate of New York �
No.O1TU6044514
Ctualifled In Westchester County
Commission Expires July 10, 2014
RELEASED �
Date:
Signature:
SUBDIVISION LABOR AND MATERtAIrk
L. [O)Zp
a istrano, CA
(GOVERNMENT CODE 66499.2)
Bond No. SUR21000025
Replaces Bond No. SUR20000334
KNOW ALL MEN BY THESE PRESENTS, that Pacific Point Development Partners. LLC
(hereafter designated as "Principal"), and Ironshore Indemnity Inc.
as Surety (hereinafter called "Surety") agree to install and complete certain designated
public improvements as conditioned by City Council Resolution No's. 92-6-16-4 and
03-09-16-06.
WHEREAS, said Principal is required to furnish a bond pursuant to Municipal
Code Section 9-5.101 and 9-5.109 et seq., for the faithful performance to guarantee
certain work, more particularly described as follows:
Landscape subdivision improvements within Tract 16749 as defined within Amendment #1 and
Reinstatement of the Subdivision Improvement Aareement for Tract 16749
NOW, THEREFORE, we the Principal and Surety are held firmly bound unto the
City of San Juan Capistrano, (hereafter called "Obligee") in the penal sum of
Eighty Five Thousand Six Hundred Seventy Three Dollars and 00/100 Dollars ($85,673.00 ) lawful
money of the United States, for the payment of which sum well and truly to be made, we
bind ourselves, our heirs, successors, executors and administrators, jointly and
severally, firmly by these presents.
NOW, THEREFORE, the condition of this obligation is such that if the above
bound Principal, his or its heirs, executors, administrators, successors or assigns, shal
in all things stand to and abide by and well and truly keep and perform the covenants,
conditions and provisions per City Council Resolution No's. 92-6-16-04 and 03-09-16-
06, on his or their part, to be kept and performed at the time and in the manner therein
specified, and in all respects according to their true intent and meaning, and shall
indemnify and save harmless the City, its offers, agents and employees as therein
stipulated, and, as necessary enter into a Subdivision Agreement, then this obligation
shall become null and void; otherwise it shall be and remain in full force and effect.
Page 1 of 3
BE IT FURTHER RESOLVED:
1. As a part of the obligation secured hereby, and in addition to the face
amount specified therefore, there shall be included costs and reasonable expenses and
fees, including reasonable attorney's fees, incurred by City in successfully enforcing
such obligation, all to be taxed as costs and included in any judgment rendered.
2. Said Principal hereby stipulates and agrees that no change, extension of
time, alteration, or modification of the terms of the agreement or of the work to be
performed thereunder, shall in any way affect its obligations or this bond, and it does
hereby waive notice of any such change, extension of time, alteration or modification of
the terms of the agreement or of the work or to the specifications.
IN WITNESS WHEREOF, this instrument has been duly executed by the
Principal herein named on the 19th day of Mav , 2015 , the name and
corporate seal of each corporate party being hereto affixed and these presents duly
signed by its undersigned representatives pursuant to authority of its governing body.
PRINCIPAL:
Pacific Point Development Partners, LLC
Its:3'',,*,Czc S1 i',� o'h
SURETY:
Ironshore Indemnity Inc.
By:
Margaret . Ginem , Attorney -in -Fact
Surety Phone No.
C/O WILLIS OF FLORIDA
4211 VV. BOY SCOUi'BLVD, #1000 Page 2 of 3
TAMPA, Iri. 33607
INQUIRIES: (813)281-2095
(NOTARIZATION AND SEAL)
(NOTARIZATION AND SEAL)
APPROVED AS TO FORM:
By:
NOTE: Please attach Acknowledgement and Power of Attorney
Page 3 of 3
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 )
On before me, P&b)l v ,
Data 'G- ' f ' n Here Insert Name an a of the Officer
personally appeared
- Name(s) of Signer(s)
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.
W. CORDI
Commission # 2088325
a
Notary Public - California a
Orange County
MY Comm. Expires Oct 31, 2018
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.
Signature 0-&&
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:
Number of Pages:
Document Date:
Signer(s) Other Than Named Above:
Capacity(ies) Claimed by Signer(s)
Signer's Name:
❑ Corporate Officer — Title(s):
❑ Partner — ❑ Limited ❑ General
❑ Individual ❑ Attorney in Fact
❑ Trustee ❑ Guardian or Conservator
rl Other:
Signer Is Representing:
Signer's Name:
❑ Corporate Officer — Title(s):
❑ Partner — ❑ Limited ❑ General
❑ Individual ❑ Attorney in Fact
❑ Trustee ❑ Guardian or Conservator
❑ Other:
Signer Is Representing:
02014 National Notary Association • www.NationalNotary.org • 1 -800 -US NOTARY (1-800-876-6827) Item #5907
ACKNOWLEDGEMENT BY SURETY
STATE OF FLORIDA
COUNTY OF HILLSBOROUGH I SS
On this 19th day of May, 2015 before me, personally came
Margaret A. Ginem, who is personally known to me (or proved
to me on the basis of satisfactory evidence) to be the person
who executed the within Instrument as Attorney -In -Fact on
behalf of Ironshore Indemnity Inc., and acknowledged to me
that he/she executed the within instrument on behalf of said
surety company and was duly authorized to do.
In witness whereof, I have signed and affixed my official seal on
the date in this certificate first above written.
Signature
Anett Cardinale
,. s: -16g, ANETT CARDINALS
;•; :: Commission # FF 138482
- Expires July 28, 2018
Bonded Thru Troy Fein Insurance 80 w&T01B
This area for Official Notarial Seal
55 0
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GOY4 Cb rel noi fon-nat,of -hew . disclosure
del . ailpg. to An .die
-apt;ice zs,an example, for pur
A hbtarpublic of other of'fldef 6oihojOtingthfs,
cer6ficate verifies oDlythe id.entity6f the
!
uasided. igiled the doomeft.t
to which. , qU.
.certificate. is attached, and not -the lrdthfWness�
*cion y' of VAelty Of thg-0601kToem-
Age of California_
of
Qu _ ..before me, h6w
-ihsert name, and title doffl=5, personally appeared who'
ptoye4 tO.Mq oti -the "b" '
is, ofsatisfidtory evidence to lie p4-thorsoji(g) Whosb fi*i(i) is/4ri!. Siigri6d to
the, 'wiri ffi�
thi�ent and acknowledged to me- that heAhelthey executed ihe, same- in bisffier/theit,
44 oTized'pacfty(i� 00 Jtqt by, .Nf-e'P i aNre(�) lnstrumpDt- f)i
t4rson(s),. 0 the
.itoty ijp.04 behalf of Aihich'tfiie Oefscji('s) acted, ekequied tb6'iastrurnent
ifornix
ee]rtik. . . t tk �MO Of Cal1th.0 thp
PENkILT"t-6 -'#M U -Y '�ndier,Tbe AW9 p
paragraph is true and',correct•
WITNESS'4,y.hAndawi'd official seat:
'SigpAtupe (Sea]),
U1- AI I UKIVtY
III- 21000025
Ironshore Indemnity Inc.
KNOW ALL MEN BY THESE PRESENTS, that IRONSHORE INDEMNITY INC., a Minnesota Corporation, with its principal office in New York, NY does
hereby constitute and appoint: David H. Carr, Anett Cardinale, Margaret A. Ginem its true and lawful Attorney(s)-In-Fact to make, execute, seal and
deliver for, and on its behalf as surety, any and all bonds, undertakings or other writings obligatory in nature of a bond.
This authority is made under and by the authority of a resolution which was passed by the Board of Directors of IRONSHORE INDEMNITY INC. on the
22"d day of April, 2013 as follows:
Resolved, that the Director of the Company is hereby authorized to appoint and empower any representative of the company or other person or
persons as Attorney -In -Fact to execute on behalf of the Company any bonds, undertakings, policies, contracts of indemnity or other writings obligatory
in nature of a bond not to exceed $7,500,000 dollars, which the Company might execute through its duly elected officers, and affix the seal of the
Company thereto. Any said execution of such documents by an Attorney -In -Fact shall be as binding upon the Company as if they had been duly
executed and acknowledged by the regularly elected officers of the Company. Any Attorney -In -Fact, so appointed, may be removed for good cause and
the authority so granted may be revoked as specified in the Power of Attorney.
Resolved, that the signature of the Director and the seal of the Company may be affixed by facsimile on any power of attorney granted, and the
signature of the Secretary, and the seal of the Company may be affixed by facsimile to any certificate of any such power and any such power or
certificate bearing such facsimile signature and seal shall be valid and binding on the Company. Any such power so executed and sealed and certificate
so executed and sealed shall, with respect to any bond of undertaking to which it is attached, continue to be valid and binding on the Company.
IN WITNESS THEREOF, IRONSHORE INDEMNITY INC. has caused this instrument to be signed by its Director, and its Corporate Seal to be affixed this
7th day of August, 2013
IRONSHORE INDEMNITY INC.
ri. a�ReN
3F ir�i;
[ SEAL r .
1919
By:
Dd[Jtel L. SUSS n
Director
ACKNOWLEDGEMENT
On this 7th Day of August, 2013, before me, personally came Daniel L. Sussman to me known, who being duly sworn, did depose and say that he is the
Director of Ironshore Indemnity, Inc. , the corporation described in and which executed the above instrument; that he executed said instrument on
behalf of the corporation by authority of his office under the By-laws of said corporation.
Amy L Tayi
Notary Public
CERTIFICATE
I, the undersigned, Secretary of IRONSHORE INDEMNITY INC., a Minnesota Company, DO HEREBY CERTIFY that the original Power of Attorney of
which the foregoing is a true and correct copy, is in full force and effect and has not been revoked and the resolutions as set forth are now in force.
Signed and Sealed at this 19th Day of .May 20 15
SEAL
1919
Paul S. GI danp
Secretary
"WARNING: Any person who knowingly and with intent to defraud any insurance company or other person, files and application for insurance or statement of claim
containing any materially false information, or conceals for the purpose of misleading information concerning any fact material thereto, commits a fraudulent
insurance act, which is a crime and subjects such person to criminal and civil penalties."
Ahly t- TAYLOR
_
'W",PU!Abc. ftwd Taanax %
OaVlds County
My C&FWnk%5M EXORS 014D JB
Amy L Tayi
Notary Public
CERTIFICATE
I, the undersigned, Secretary of IRONSHORE INDEMNITY INC., a Minnesota Company, DO HEREBY CERTIFY that the original Power of Attorney of
which the foregoing is a true and correct copy, is in full force and effect and has not been revoked and the resolutions as set forth are now in force.
Signed and Sealed at this 19th Day of .May 20 15
SEAL
1919
Paul S. GI danp
Secretary
"WARNING: Any person who knowingly and with intent to defraud any insurance company or other person, files and application for insurance or statement of claim
containing any materially false information, or conceals for the purpose of misleading information concerning any fact material thereto, commits a fraudulent
insurance act, which is a crime and subjects such person to criminal and civil penalties."
IRONSHORE ONDEMNrTY LNC
FINANCIAL STATEMENT SUMMARY
As of December 31, 2014
ASSETS
Payable for securities lending
LIABILITIES
Bonds
$179,140,947
—
lasses
Preferred stocks
0
Reinsurance payable on paid tosses and loss adjustment expenses
Common stocks
31,840 141
loss adjustment expenses
Mortgage loans on real estate. First Fens
0
CommisAons payable, contingent commissions and other similar charges
Mortgage loans on real estate: Other then first llem
0
Other expemas (excluding taxes. gcansasand fees)
Properties occupied by the company
0
Taxes, licenses and fees (excluding federal and foreign Income taxes)
properties held for the production of Income
0
Current federal and foreign Income taxes
Properties held for We
0
Net deferred tax liability
Cash, cash equivalents and short-term investments
$15,632,951
Unearned premiums
Contract bans
0
Advance premium
Derivatives
0
Ceded reinsurance premiums payable (net of ceding commissions)
Other invested assets
0
Funds held by company under reinsurance treaties
Receivables for securities
0
Amounts withheld or retained by Company for account of others
Securities lending reinvested collateral assets
0
Remittances and items not allocated
Aggregate write -Ins forinvested assets
0
ProNsion for reinsurance
Subtotal& cash and invested assets
$226,614,039
Net adjustments In assets and liabilities due to foreign exchange rates
Title plants less $., Charged off
0
DraftsoutstandIng
Investment Income due and accrued
$990,960
Payable to parent, subsidiaries and affiliates
Uncollected prenvums and agents' balances len the course of collection
$73,567,547
Derivatives
Deferred premiums, ager& balances and Installments booked but deferred and not
0
Payable for securities
yetdue
Accrued retrospective premiums
Amounts recoverable from reinsurers
Funds held by or deposited with reinsured companies
Other amounts receivable under reinsurance contracts
Amounts receivab:e relating to uninsured plans
Current federal and foreign Income tax recoverable and Interest thereon
Net deferred tax asset
Guaranty funds receivable or on deposit
Furniture and equipment, including health are delivery assets
Net adjustment In assets and liabilities due to foreign exchange rates
Receivables from parent, subsidiaries and affiliates
Health care and other amounts receivable
Aggregate wrtte-Ins for other than Invested assets
Total assets excluding Separate Accounts, Segregated Aaountsand Protected Cat
Accounts
From Separate Accounts, Segregated Accounts and Protected Cell Accounts
0
Payable for securities lending
$33,586,257
Liability for amounts held under uninsured plans
0
Aggregate write -Ins for liabilities
0
Total liabilities excluding protected cell liabilities
0
Protected cell liabilities
0
$5,530,837
Total liabilities
0
0
POUCYHOLDEI S SURPLUS
0
Aggregate write-ins for special surplus funds
0
0
Commonaotalstock
$7,124,971
Preferred capital stock
$347,414,611
Aggregate write as for other than special surplus
0 Surplus Notes
TOTALS $147,414,611 Gross paid In and contributed surplus
CERTIFICATE !
I certify that the above financial statements to the bestof my
knowledge are a true and accurate reflection of the flnarKM
condition of the Company as of December 33, 2014,
Additionally, I certify that the above financial statements are
In agreement with the Statutory Financial Statements filed with the Texas
Department of Insurance as of the some date,
$63,582,066
0
$10,384,957
$1,020,805
$5,435,126
$2,383,909
$2,434,392
0
$29,158,576
$58,222,187
0
$1,545,075
$1z,ass,llo
0
0
0
0
$4,185,928
$190,811,131
$190,811,131
0
5,000,000
0
$156,938,671
Untlulgned funds fsurplusj ($5,335,190)
SuWus as regards policyholders $156,603,481
TOTALS $347,414,611
SUBSCRIBED and sworn to methts4" dAyof
Myrwmmisstnexpires�
Notary Public
Wonted Name ALYSSA TURKOVITZ
Notary Public, State of New York
ALy55A7URKCVJT2 _ ._._ _ No. 01TU6044514
/ Clue3Efled In Westchester County
CorirI n fVint July
10, 2018
Notatj lift bllC, $tate of New York
No.01TU6044514
wllllam J Gleason Quallfled In Westchester County
09. VP & TIV twri. Commission Expires July 10, 2014