18-0111_PACIFIC POINT DEVELOPMENT PARNTERS, LLC_Reduced Bond SUR21000014_TR 16752Decrease PENALTY RIDER
BOND AMOUNT $85,485.00 BOND NO. SUR21000014 PREMIUM $641.00
To be attached and form a part of Bond No. SUR21000014 dated the 19th day of May, 2015,
executed by Ironshore Indemnity Inc. as surety, on behalf of Pacific Point Development Partners
LLC as current principal of record, and in favor of City of San Juan Capistrano, as Obligee, and
in the amount of Eighty Five Thousand Four Hundred Eighty Five Dollars and 00/100
($85,485.00).
In consideration of the agreed premium charged for this bond, it is understood and agreed that
Ironshore Indemnity Inc. hereby consents that effective from the 20th day of December, 2017, said
bond shall be amended as follows:
THE BOND PENALTY SHALL BE Decreased:
FROM: EiEhty Five Thousand_rour Hundred Eighty Five Dollars and 041100 ($85,485.00)
TO: Thirtv Four Thousand One Hundred Ninety Four Dollars and 001100 ($34,194.00)
The Decrease of said bond penalty shall be effective as of the 20th day of December, 2017, and
does hereby agree that the continuity of protection under said bond subject to changes in penalty
shall not be impaired hereby, provided that the aggregate liability of the above mentioned bond
shall not exceed the amount of liability assumed by it at the time the act and/or acts of default were
committed and in no event shall such liability be cumulative.
Signed, sealed and dated this 11th day of Januarv, 2018.
BY:
PRINCIPAL
Ironshore Indemnity Inc.
SURETY
Donna M. Planeta, ATTORNEY-IN-FACT
c/o Willis of Florida, Inc.
4211 W. Boy Scout Blvd., Ste. 1000
Tampa, FL 33607
Inquiries: (813) 281-2095
Senate Bill 1050, amends Sections 1189 and 1195 of the Civil Code and Section 8202 of the
Government Code, relating to notaries public. The below physical format of the new disclosure
notice is an example, for purposes of illustration.
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 � y
On before me, 1ro` L (Dere
insert name an isle of officer), personally appearedwho
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/tbeir
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
WITNESS my hand and official seal.
Signature _ (Seal)
W. LEWIS
o Commission # 2088325
z Notary Public - California z
Orange County n
My Comm. Expires Oct 31, 2018
ACKNOWLEDGEMENT OF SURETY
STATE OF Connecticut
COUNTY OF Hartford
On this 11th day of January, 2018, before me personally came Donna M. Planeta, to
me known, who, by me duly sworn, did depose and say that he/she is the attorney-in-fact
of the Ironshore Indemnity Inc. that he knows the seal of the corporation; that the seal
affixed to the said instrument is such company seal; that it was so affixed by order of the
Board of Directors of said company and that he/she signed his/her name thereto by like
order.
AIMEE PEPONDa. „_
e NOTARYPVBLIC - CT 17414
j MY COMMISSION EXPIRES MAY 31, 2022
Notary Public, Aimee Perondine
POWER OF ATTORNEY
III- SUR21000014
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: Stacy Rivera, Jennifer M. Garten, Donna M. Planeta, Joshua Sanford, Nicole Ann Clark, Aimee R. Perondine, Aiza Lopez,
Keri Ann Smith, Brian Peters, Danielle D. Johnson, Stephani A. Trudeau, Adam Martin, Ashley Sinclair, Michelle Anne McMahon 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 $10,000,000 dollars, which the Company might execute through its duly elected officers, and affix the seal of thi
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.
u-�..
By:
Dan a L. Sus 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.
AJd Y TAYLO R
Notary Publio- State o fTen n asses
Davidson County
My Commission Expires 07-03-19
BY A��q�
Amy ayior
Notarg PLJbllc
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 It Day of 24il—
0
e1JM
f
Paul S'Gill 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."