18-0220_TOLL WEST COAST LLC_Payment Bond No. 019062904_TR 16752 SUBDIVISION IMPROVEMENT AGREEMENT Bond No. 019062904
PAYMENT (LABOR AND MATERIALS) BOND
KNOW ALL PERSONS BY THESE PRESENTS:
THAT WHEREAS, the City of San Juan Capistrano, California ("City") and Toll West
Coast LLC ("Principal"), have executed an agreement for work consisting of, but not limited to,
the furnishing all labor, materials, tools, equipment, services, and incidentals for all grading,
roads, paving, curbs and gutters, pathways, storm drains, sanitary sewers, utilities, drainage
facilities, traffic controls, landscaping, street lights, and all other required facilities for
Parcel/Tract Map No. 16752 ("Public Improvements");
WHEREAS, the Public Improvements to be performed by Principal are more particularly
set forth in that certain Subdivision Improvement Agreement dated
20_, ("Improvement Agreement");
WHEREAS, the Improvement Agreement is hereby referred to and incorporated herein
by reference; and
WHEREAS, Principal is required by the Improvement Agreement before entering upon
the performance of the work to provide a good and sufficient payment bond to secure the claims
to which reference is made in Title 3 (commencing with Section 9000) of Part 6 of Division 4 of
the California Civil Code.
NOW, THEREFORE, Principal and Liberty Mutual Insurance Company ("Surety"), a
corporation organized and existing under the laws of the State of Massachusetts, and duly
authorized to transact business under the laws of the State of California, are held and firmly
bound unto City and all contractors, subcontractors, laborers, material suppliers, and other
persons employed in the performance of the Improvement Agreement and referred to in Title 3
(commencing with Section 9000) of Part 6 of Division 4 of the California Civil Code in the sum of
SEVEN-THOUSAND ONE HUNDRED ELEVEN AND 80/100 DOLLARS ($7,111.80), said sum
being not less than one hundred percent (100%) of the total cost of the Public Improvements as
set forth in the Improvement Agreement, for materials furnished or labor thereon of any kind, or
for amounts due under the Unemployment Insurance Act with respect to this work or labor, that
the Surety will pay the same in an amount not exceeding the amount hereinabove set forth.
As part of the obligation secured hereby, and in addition to the face amount specified
therefor, 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.
It is hereby 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 3
(commencing with Section 9000) of Part 6 of Division 4 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.
61147.02100\24632175.1
Y i
Surety, for value received, hereby stipulates and agrees that no change, extension of
time, alteration, or addition to the terms of the Improvement Agreement, or to any plans,
profiles, and specifications related thereto, or to the Public Improvements to be constructed
thereunder, shall in any way affect its obligations on this bond, and it does hereby waive notice
of any such change, extension of time, alteration, or addition.
This bond is executed and filed to comply with Section 66499, et seq., of the California
Government Code as security for labor performed and-materials provided in connection with the
performance of the Improvement Agreement and construction of the Public Improvements.
IN WITNESS WHEREOF, we have hereunto set our hands and seals this 20 TH day of
FEBRUARY, 2018.
(Corporate Seal) TOLL WEST COAST LLC
Principal
By
Title Assd
(Corporate Seal) LIBERTY MUTUAL INSURANCE
COMPANY
Surety
By
'rDaniel P. nigan, At o -n-Fact
(Attach Attorney-in-Fact Certificate) Title Attorney-in-Fact
The rate of premium on this bond is N/A per thousand. The total amount of premium charges is
$ Included in Performance Bond
(The above must be filled in by corporate attorney.)
THIS IS A REQUIRED FORM
Any claims under this bond may be addressed to:
(Name and Address of Surety) Liberty Mutual Insurance Company
2200 Renaissance Blvd Suite 400
King of Prussia, PA 19406
(Name and Address of Agent or Corporation Service Company d/b/a CSC-Lawyers
Representative for service of Incorporating Service
process in California, if different 2710 Gateway Oaks Drive, Sacramento CA 95833
from above)
(Telephone number of Surety 800-683-4769
and Agent or Representative for
service of process in California)
61147.02100\24632175.1
ACKNOWLEDGMENT
A notary public or other officer completing this
certificate verifies only the identity of the individual
who signed the document to which this certificate is
attached, and not the truthfulness, accuracy, or
validity of that document.
State of California
County of Orange
On March 1, 2018 before me, Cynthia J. Heredia, Notary Public
(insert name and title of the officer)
personally appeared Nick Norvilas--------------------------------------------------------------
who proved to me on the basis of satisfactory evidence to be the person(}whose name(a) is/eFe
subscribed to the within instrument and acknowledged to me that he/she/thefexecuted the same in
his/he#Rteifauthorized capacity(ies), and that by his/he#theirsignatureW on the instrument the
person(&), 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.
CYNTHIA J.HEREDIA
WITNESS my hand and official seal. Commission#2104959
Notary Public-California z
z ' Orange County D
My Comm.Expires Mar 28,2019
Signature (Seal)
Name of Notary: Cynthia J.Heredia
Notary's principle county of business:Orange
Notary's commission number:2104959
Commission expiration date:March 28,2019
Notary Acknowledgment
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 20_, before me, Notary Public, personally
appeared , who proved to me on the basisof 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.
WITNESS my hand and official seal.
Signature of Notary Public
OPTIONAL
Though the information below is not required by law, it may prove valuable to persons relying on the document
— -and could prevent fraudulent removal and reattachment of this form to another document.
CAPACITY CLAIMED BY SIGNER DESCRIPTION OF ATTACHED DOCUMENT
❑ Individual -
E] Corporate Officer
Title(s) Title or Type of Document
❑ Partner(s) ❑ Limited
❑ General Number of Pages
❑ Attorney-In-Fact
❑ Trustee(s)
❑ Guardian/Conservator Date of Document
❑ Other:
Signer is representing:
Name Of Person(s)Or Entity(ies)
Signer(s)Other Than Named Above
NOTE: This acknowledgment is to be completed for Principal.
61147.02100\24632175.1
Notary Acknowledgment
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 PENNSYLVANIA
COUNTY OF CHESTER
On FEBRUARY 20, 2018,_ before me, Arlene Ostroff, Notary Public, personally appeared Daniel P. Dunigan, who
proved to me on the basis of satisfactory
evidence to be the person whose name is subscribed to the within instrument and acknowledged to me that
he executed the same in his authorized capacity, and that by his signature on the instrument.the person, or
the entity upon behalf of which the person 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.
COMMONWEALTH OF PENNSYLVANIA WITNESS my hand and official seal.
NOTARIAL SEAL
ARLENE OSTROFF, Notary Pubtic �Z
Willistown Township Chester County
My ZiNFAW(f fti& limber 3,2020
OPTIONAL
Though the information below is not required by law, it may prove valuable to persons relying on the document
and could prevent fraudulent removal and reattachment of this form to another document.
CAPACITY CLAIMED BY SIGNER DESCRIPTION OF ATTACHED DOCUMENT
❑ Individual
❑ Corporate Officer
Title(s) Title or Type of Document
❑ .Partner(s)' ❑ Limited
❑ General Number of Pages
❑ Attorney-In-Fact
❑ Trustee(s)
❑ Guardian/Conservator Date of Document
0 Other:
Signer is representing:
Name Of Person(s)Or Entity(ies)
Signer(s)Other Than Named Above
NOTE: This acknowledgment is to be completed for the Attorney-in-Fact for Surety. The Power-of
Attorney to local representatives of the bonding company must also be attached.
61147.02100\24632175.1
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LIBERTY l`f=AL INISLUUNCE COMPANY
r tib FN4NCL41 STATEKENT—DECENMER 31,2016
•50R=-Ty
Assets Liabilities
Cash and Bank Deposits....__........................_...._._. 51,092,914,837 Urim-ned Premium ..................................... $6,929,723,299
"Bonds—U-S Goveramerif---------------_-----------_ 1406,763,970 Reserve for Claims and Claims 17,233:877.300
Funds Held Under Reinsurance Treaties_.._.........__ 208362-823
*
................................................Other 11-379.916-523 Reserve for Dividends to Policyholders.................. 944°09
*Stocks........... 10,349,761,988 Additional Statutory Reserve_.............---...------------ 39.649,905
Real Estate___-•--•-_---.-..--------_•--------------___-„-_-...._._-. 290,265,760 Reserve for Commissions,Taxes and
AgentsBalances or Uncollected 4,709,977,463 Other Liabilities.....................____............ 3.061.I17-958
Total S-2 7.,473,676.194
Ac=-aad Interest and Rents.................................. 112,757,395 1 1 1 .
Other Admku-.(-d Assets--_-_--_--_......................... 14.659-521751 Special Surplus Funds.,..--........... $95,257,334
Capital Stock_-..__._............__ 10,000,000
Paid in Surplus-_-_---_--.......... 9,229,250,104
Unassigned Surplus..................... 7,193,698,055
Total Admitted544.001_R81,681 Surplus toPolicybo)ders._____.____.__ 16528205.493
Total Liabilities and Surplus
Bonds are stated at amortized or investment value;Stocks at Association Market Values.
1&-12 12. The foregoing financial information is taken from Liberty Mutual Insurance Company's financial
statement filed with the s=e of Massachusetts Department ofInsurance-
I, TDA MIKOLAJEWSY_�Assistant Secretary of Liberty Mutual Insurance Company,do hereby certify that the foregoing is a true,and
.correct statement of the Assets and Liabilities of said Corporation,as ofDecembe:r 31,2016,to the best of my knowledge and belief.
IN WITNTESS W-BEREOF,I have bereurito set my hand and affixed the seal of said Corporation at Seattle,'Washington,this 231 day of
March,2017.
Assistant Secretary
s-a262LMICJs BW