18-0220_TOLL WEST COAST LLC_Payment Bond No. 019062899_TR 16752 SUBDIVISION IMPROVEMENT AGREEMENT Bond No. 019062899
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
THIRTY FOUR THOUSAND ONE HUNDRED NINETY FOUR AND 00/100 DOLLARS
($34,194.00), 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.
61147.021 00\24632175.1
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
(Corporate-Seal) LIBERTY MUTUAL INSURANCE
COMPANY
Surety
By
aniel P. u 'gan, rney-in-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)-
61147.021 00\24632175.1
alifornia)-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 February 23, 2018 before me, Patty Kiloh, Notary Public
(insert name and title of the officer)
personally appeared Peter Kim-----------------------------------------------------------------
who proved to me on the basis of satisfactory evidence to be the person(o'mhose name(.Rrs/we
subscribed to the within instrument and acknowledged to me that he/4beYtJ;ey executed the same in
his/ber/tgeir authorized capacity(!@<and that by his/beV;ieir signature(s) on the instrument the
person*, or the entity upon behalf of which the personoa 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.
OH
WITNESS my hand and official seal. Notary Public lLCali
PATTY Kfornia
Orange County
Commission#2192864
My Comm.Expires Apr 21,2021
Signature (Seal)
J
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, 2098, 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 Public
willistown Township,Chester County
MyComr lLtpit"&2gerlNlt3,2020
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
❑ 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.
61147.02100124632175.1
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LIBERTY MUTUAL INSURANCE COMPANY
W�Mutll;!L FLI IANCIAL STATEMENT—DECEMBER 31,20I6
Assets Liabilities
Cash and Bank-Deposits...................._.....__.......I..... 51,092,914,837 Unearned Premium s._..----_-----..--.---_----.--__._........... $6,929,723,299
*Bonds—U.S Govemmeni..................................... 1,406,763970 Reserve for Claims Claims Expense..__.._.__-... 17,233,877,300
*-Other Bonds............................................................ 11.379.916.523 Funds Held Under Reinsurance Treaties..............__ 208,362,823
Reserve for Dividends to Policyholders.................. 944,909
¢Stocks----------------------------------------------------•............... 10,349,761,988 ... 39,649,905
Additional Statutory Reserve..................................
Real Estate.............................................................. 290,265,760 Reserve for Commissions,Taxes and
Agents'Balances or Uncollected Premium ........... 4,709,977,463 Other Liabilities.._"......................................... 3.061.117.958
Accrued Interest and Rents__.................................._..-...._._._. 112,757,395 Total—._.._____-._--.---.-_..- ---.527,473,676,194
Special Surplus Funds................ $95,257,334
Other Admitted Assets_-....................:...................... 14.659.523.751
Capital Stock............................... 10,000,000
Paid in Surplus............................ 9,229,250,104
Unassigned Siuplus..................... 7,193,698,055
Total Admitted Assets_—_.___-_.—___......_.544.601_RR1.6R7 Surplus to Policybolders._-_.—.--_—._--__- 16.528-205,493
Total Liabilities and Surplus—__.__—�_—___$44.061 RR1 6R7
Bonds are stated at amortized or investment value;Stocks at Association Market Values_
The for6going financial information is taken from Liberty Mutual Insurance Company's financial
e>s-s+nlc > statement filed with the state of Massachusetts Department of Insurance.
I, TIM MIKOLAJEWSKL 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 of December 31,2016,to the best of my knowledge and belief.
IN WITNESS WdT-MREOF,I have hereunto set my hand and axed the seal of said Corporation at Seattle,Washington,this 231d day of
March,2017.
F � '
Assistant Secretary
�1262LMIC1a 3Y7 '