18-0220_TOLL WEST COAST LLC_Survey Monuments Bond No. 019062906_TR 16752 SUBDIVISION IMPROVEMENT AGREEMENT Bond No. 019062906
SURVEY MONUMENTS 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 the setting of
survey monumentation as shown in Parcel/Tract Map No.16752, which is not to be completed
prior to the recording of the final map or parcel map;
WHEREAS,.the survey monumentation to be performed by Principal is more particularly
set forth. in that certain Subdivision Improvement Agreement dated
20ff., ("Improvement Agreement");
WHEREAS, the Improvement Agreement is hereby referred to and incorporated herein
by reference; and
WHEREAS, Principal is required by the Improvement Agreement to provide a good and
sufficient bond to insure the setting of the monuments as required therein and payment to the
Engineer or Surveyor who sets such monuments thereunder.
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 in the sum of Thirty Eight Thousand Five Hundred and 00/100 Dollars
($38,500.00), said sum being not less than one hundred percent (100%) of the total cost of the
setting of monuments as set forth in the Improvement Agreement and payment due to the
Engineer or Surveyor for setting such monuments, we bind ourselves, our heirs, executors and
administrators, successors and assigns,jointly and severally, firmly by these presents.
THE CONDITION OF THIS OBLIGATION is such that if Principal, his or its heirs,
executors, administrators, successors or assigns, shall in all things stand to and abide by, and
well and truly keep and perform the covenants,' conditions, agreements, guarantees, and
warranties for the setting of survey monumentation in the Improvement Agreement and any
alteration thereof made as therein provided, to be kept and performed at the"time and in the
manner therein specified and in all respects according to their intent and meaning, and to
indemnify and save harmless City, its officers, employees, and agents, as stipulated in the
Improvement Agreement, then this obligation shall become null and void; otherwise it shall be
and remain in full force and effect.
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.
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 _
61147.02100\24632175.1
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 66496 of the California
Government Code as security for installation and payment of survey monumentation as set forth
in the Improvement Agreement.
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
aie4FINni7n, ney-in-Fact
(Attach Attorney-in-Fact Certificate) Title Attorney-in-Fact
The rate of premium on this bond is $3.75 per thousand. The total amount of premium charges
is $ 144.00
(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 98533
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(s) is/er-e
subscribed to the within instrument and acknowledged to me that he/sheAhWexecuted the same in
his/he#Rteii�authorized capacity(les), and that by his/"e „e .sigriatureW 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.
CYNTHIA J.HEREDIA
WITNESS m hand and official seal. Commission#2104959
y z:-� Notary Public-California a
Z Orange County
My Comm.Expires Mar 28,2019 .
Signatur (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 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
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
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
ther: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. 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 issubscribed 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 official seal.
NOTARIAL SEAL
ARLENE OSTROFF,Notary Public
WIRIStown Township,Chester County
My Commission ires December 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
❑ 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 MUTUAL INSLaANCE COMPANY
FD,2ANC1,4-L'STATEMENT—DECEMBER 31,2016
'1MKTy
Assets Liabilities
Cash and Bank Deposits...._--------------_........._......... S1,092,914,837 UneamedPremiu- ....---------------------------------------S6,929,723:299
*Bonds—U-S Government.....__........................... 1.406,763,970 Reserve for Claims and Claims 17,233,877300
Funds Held Under Reinsurance Treaties_.--...-_._.._. 208361823
*Other Bonds............................................................ 11,379,916,523
' Reserve for Dividends to Policyholders.................. 944-909
*Stocks..............................-.........................--.. 10,349,761,988 Additional Statutory Reserve_............._.........__...... 39,649,905
Real Estate.......................................................... 290,265,760 Reserve for Commissions,Taxes and
Agents'Balances or Uncollected Premiums_......... 4,709,977,463 Other Liabilities........................................... 3-061.117-958
Accrued Interest and Rents-..._............................... 112,757,395 Total--- --.---.---------P-7.473,676,j94
Special Swplus Funds.............. S95,257,334
Other Adrai-d.F-d Assets._......_...._.............................. 14,659.523.751
Capital Stock..................... 301000,000
Paid in Surplus...._...................... 9,229,250,104
Unassigned Surplus..................... 7,193,698,055
Total Admitted SALOM-gaLM Surplus to 16328.205.493
Total Liabilities and Surplus
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
statement filed with the state of Massachusetts Department of Insurance.
1, 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 WIT NTESS WHEREOF,I have hereunto set my hand and affixed the seal of said Corporation at Seattle,"Washington,this 231d day of
March,2017.
Assistant Secretary
c12S2LMICJa 3r,7