19-0423_TNHC SAN JUAN, LLC_Bond Release Letter32400 PASEO ADELANTO
SAN JUAN CAPISTRANO, CA 92675
(949) 493-1171
(949) 493-1053 FAx
www.sanjuancapistrano.org
•
April 23, 2019
MEMBERS OF THE CITY COUNCIL
it ILQ�'
IAf9AP9AAFf0 TROY BOURNE
UNWIND � 1961 SERGIO FARIAS
1776 BRIAN L. MARYOTT
• DEREK REEVE
_ 1 JOHN TAYLOR
Philadelphia Indemnity Insurance Company
One Bala Plaza, Suite 100
Bala Cynwyd, PA 19004
Re: Release of Bond — TNHC San Juan LLC — Grading Permit No. B15-0195 - Oliva
Development TR 16146 Lots 1-9
Dear Sir or Madam -
This letter is to inform you that the following bond issued to TNHC San Juan LLC for Grading
Permit No. B15-0195 - Oliva Development TR 16146 Lots 1-9, is officially released as of
January 22, 2019.
BOND NO. PURPOSE
PB02497500297 Grading Surety Agreement Performance Bond
ORIGINAL AMOUNT
$ 183,437.17
The City of San Juan Capistrano hereby fully and forever releases and discharges
Philadelphia Indemnity Insurance Company from any and all liability under the
abovementioned bond number. The original — released — documents are enclosed. If you
have any questions, please do not hesitate to call me at (949) 443-6310.
Sincerely,
Christy Jakl, CMC
Assistant City Clerk
Enclosures as noted
cc: Steve May, Public Works and Utilities Director
Rob Stauffacher, Permit Technician
San Juan Capistrano: Preserving the Past to Enhance the Future
0 Printed on 100% recycled paper
2?11
BOND NO. PB02497500297
p2: - INITIAL PREMIUM: $2,752.00/2 Yrs.
signat+3re SUBJECT TO RENEWAL
city Cie.* ittra r
city of :,left� n � �
GRADING SURETY AGREEMENT
PERFORMANCE BOND
KNOW ALL MEN BY THESE PRESENTS:
WHEREAS the City of San Juan Capistrano ("City") and TNHC San Juan, LLC
("Principal"), have executed an agreement for work consisting of, but not limited to, the furnishing
of all labor, materials, tools, equipment, services, and incidentals for all grading and installation of
related improvements for Tract Map No. 16146, Lots 1-9 ("the Work");
WHEREAS, the Work to be performed by Principal is more particularly set forth in
that certain Grading Surety Agreement dated _October . 2015 ("Agreement"), which
Agreement is incorporated herein by this reference; and
WHEREAS, Principal is required by the Agreement to provide a good and sufficient
bond for performance of the Agreement, and to guarantee and warranty the Work performed
thereunder.
NOW, THEREFORE, Principal and Philadelphia Indemnity Insurance Company as
surety ("Surety"), a corporation organized and existing under the laws of the State of Pennsylvania,
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 One Hundred Eighty Three Thousand Four Hundred Thirty Seven
dollars and, Seventeen cents ($183,437.17), for which amount well and truly to be made, we bind
ourselves, our heirs, executors, administrators, successors or 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, warranties and
provisions in the Agreement and any alteration thereof made as therein provided, 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 intent and meaning, and shall indemnify and save harmless City, its officers,
employees, and agents, as therein stipulated in the 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 Agreement, or to any plans, profiles, and
Grading Surety Agreement, Permit #B15-0195 Page 8 of 10
specifications related thereto, or to the Work to be performed 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 to the terms of the Agreement, or to the Work or to the specifications.
IN WITNESS WHEREOF, the seal, if any, and signature of the Principal is hereto
affixed, and the corporate seal and the name of the Surety is hereto affixed and attested by its duly
authorized Attorney -in -Fact at JOrange, CA, this _27th day of October, 2015.
San J
Philadelphia Indemnity Insurance Company_
Surety
By: By:
�L—
Pr ' enAt rney-in-Fact
ApfDoX 6 )
1rr vt3 Shane Wolf
(print name) V (print name)
NOTE: APPROPRIATE NOTARIAL ACKNOWLEDGMENTS OF EXECUTION BY
PRINCIPAL AND SURETY, AND A COPY OF THE POWER OF
ATTORNEY TO LOCAL REPRESENTATIVES OF THE SURETY MUST BE
ATTACHED TO THIS BOND.
Grading Surety Agreement, Permit #B15-0195 Page 9 of 10
Notary Acknowledgment
A notary public or other officer completing this certificate DULCE DANIELLE BARKER
verifies only the Identity of the individual who signed the `' ; '� 'COMM # 2099918
document to which this certificate is attached, and not the "l.
, •�;
truthfulness, accuracy, or validity of that document. Z ORANGE COUNTY
NOTARY PUBLIC-CALIFORNIAZ
Q `r MY COMMISSION EXPIRES
STATE OF CALIFORNIA FEB. ts, 2019
COUNTY OF dA 11 10
On ��cf� 20'before me, �,LP�/�l' Notary Public, personally
appeared. �I�',Gy T. TamyS 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.
Signature of Notary Public
WITNESS my hand and official seal.
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)
❑ Partner(s) ❑ Limited
❑ General
❑ Attorney -In -Fact
❑ Trustee(s)
❑ Guardian/Conservator
❑ Other:
Signer is representing:
Name Of Person(s) Or Entity(ies)
Title or Type of Document
Number of Pages
Date of Document
Signer(s) Other Than Named Above
Grading Surety Agreement, Permit #1315-0195 Page 10 of 10
ALL- PURPOSE
CERTIFICATE OF 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 Oran
On October 27, 2015
before me, Susan E, Morales, Notary Public
(Rere iRScr: n� m1c r1ie oomfAr�
personally appeared Shane Wolf
who proved to me on the basis of satisfactory evidence to be the person() whose
nameEs) is/afe subscribed to the within instrument and acknowledged to me that
he/sheffl-ey executed the same in his/err authorized capacity4s), and that by
his/4ef-f 9e4 signature() on the instrument the person(&), or the entity upon behalf of
which the person(e) 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.
E
�fSUSAN E. �ALE. i
WITNESS my hand and official seal. '''�` COMM. # 2101708
NOTARY PUBLIC - CALIFORNIA j
., ORANGE COUNTY
comm. Expires March 28, 2019
Notary Public Signature (Notary Public Seal)
ADDITIONAL OPTIONAL INFORMATION
DESCRIPTION OF THE ATTACHED DOCUMENT
Bond #PB02497500297
(Title or description of attached document)
Philadelphia Indemnity Insurance Co.
(Title or description of attached document continued)
Number of Pages 2 Document Date 10/27/15
CAPACITY CLAIMED BY THE SIGNER
❑ Individual (s)
❑ Corporate Officer
(Title)
❑ Partner(s)
C Attorney -in -Fact
❑ Trustee(s)
E] Other
2015 Version www NotaryClasses.com 800-873-9865
INSTRUCTIONS FOR COMPLETING THIS FORM
This form complies with current California statutes regarding notary wording and,
if needed, should be completed and attached to the document. Acknohvedgents from
other slates may be completed for documents being sent to that state so long as the
wording does not require the California notary to violate California notary law.
• State and County information must be the State and County where the document
signer(s) personally appeared before the notary public for acknowledgment.
• Date of notarization must be the date that the signer(s) personally appeared which
must also be the same date the acknowledgment is completed.
• The notary public must print his or her name as it appears within his or her
commission followed by a comma and then your title (notary public)_
• Print the name(s) of document signer(s) who personally appear at the time of
notarization
• Indicate the correct singular or plural forms by crossing off incorrect forms (i.e
4e/she4lH , is /are ) or circling the correct forms, Failure to correctly indicate this
information may lead to rejection of document recording,
• The notary seal impression must be clear and photographically reproducible.
Impression must not cover text or lines. If seal impression smudges, re -seal if a
sufficient area permits, otherwise complete a different acknowledgment form.
• Signature of the notary public must match the signature on file with the office of
the county clerk.
Additional information is not required but could help to ensure this
acknowledgment is not misused or attached to a different document.
• Indicate title or type of attached document, number of pages and date
• Indicate the capacity claimed by the signer. If the claimed capacity is a
corporate officer, indicate the title (i.e. CEO, CFO, Secretary).
• Securely attach this document to the signed document with a staple
167
PHILADELPHIA INDEMNITY INSURANCE COMPANY ,
231 St. Asaph's Rd., Suite 100 4144
Bala Cynwyd, PA 19004-0950 '�j
Power of Attorney
KNOW ALL PERSONS BY THESE PRESENTS: that PHILADELPHIA INDEMNITY INSURANCE COMPANY (the Company), a corporation organized and
existing under the laws of the Commonwealth of Pennsylvania, does hereby constitute and appoint:
TODD M. ROHM, SHANE WOLF, CHERYL L. THOMAS AND BEATA A. SENSI OF ROHM INSURANCE AGENCY
Its true and lawful Attorney(s) in fact with full authority to execute on its behalf bonds, undertakings, recognizances and other contracts of indemnity and writings
obligatory in the nature thereof, issued in the course of its business and to bind the Company thereby, in an amount not to exceed $25,00,000.00
This Power of Attorney is granted and is signed and sealed by facsimile under and by the authority of the following Resolution adopted by the Board of Directors of
PHILADELPHIA INDEMNITY INSURANCE COMPANY at a meeting duly called the 1" day of July, 2011.
RESOLVED: That the Board of Directors hereby authorizes the President or any Vice President of the
Company to: (1) Appoint Attomey(s) in Fact and authorize the Attorricy(s) in Fact to
execute on behalf of the Company bonds and undertakings, contracts of indemnity and
other writings obligatory in the nature thereof and to attach the seal of the Company
thereto; and (2) to remove, at any time, any such Attorney -in -Fact and revoke the
authority given. And, be it
FURTHER
RESOLVED: That the signatures of such officers and the seal of the Company may be affixed to any
such Power of Attorney or certificate relating thereto by facsimile, and any such Power of
Attorney so executed and certified by facsimile signatures and facsimile seal shall be
valid and biding upon the Company in the future with the respect to any bond or
undertaking to which it is attached.
IN TESTIMONY WHEREOF, PHILADELPHIA INDEMNITY INSURANCE COMPANY HAS CAUSED THIS INSTRUMENT TO BE SIGNED AND
ITS CORPORATE SEALTO BE AFFIXED BY ITS AUTHORIZED OFFICE THIS 7T" DAY OF FEBRUARY 2013.
€` 1927
sw -
ta
r
(Seal)
Robert D. O'Leary Jr., President & CEO
Philadelphia Indemnity Insurance Company
On this 7" day of February 2013, before me came the individual who executed the preceding instrument, to me personally known, and being by me duly sworn said that
he is the therein described and authorized officer of the PHILADELPHIA INDEMNITY INSURANCE COMPANY; that the seal affixed to said instrument is the
Corporate seal of said Company; that the said Corporate Seal and his signature were duly affixed.
N lt�it:SY
HtliARWMBEAL
LaDANIELLEW WrIon FORATH, NORIT PuUc
cwmy
Cvmrt�elao M 2016
Notary Public:
residing at:
(Notary Seal)
My commission expires:
Bala C,ywyd. PA
March 22, 2016
1, Craig P, Keller, Executive Vice President, Chief Financial Officer and Secretary of PHILADELPHIA INDEMNITY INSURANCE COMPANY, do herby certify that
the foregoing resolution of the Board of Directors and this Power of Attorney issued pursuant thereto are true and correct and are still in full force and effect. I do
further certify that Robert D. O'Leary Jr-, who executed the Power of Attorney as President, was on the date of execution of the attached Power of Attorney the duly
elected President of PHILADELPHIA INDEMNITY INSURANCE COMPANY,
In Testimony Whereof I have subscribed my name and affixed the facsimile seal of each Company this day of OCT 2 7 2015-20
Vp% r4
?� t Craig P. Keller, Executive Vire President, Chief Financial Officer &Secretary
PHILADELPHIA INDEMNITY INSURANCE COMPANY
...� ..••*N,L�,�