22-1111_CR&R INCORPORATED_Bond Continuation Certificate 8000206950000
Insurance Brokers &
Consultants
November 11, 2022
City of San Juan Capistrano
Attn: City Clerk's Office
32400 Paseo Adelanto
San Juan Capistrano, CA 92675
(949)493-1171
RE: Name of Principal: CR&R Incorporated
Name of Obligee: City of San Juan Capistrano
Bond No. 800020695
In accordance with the renewal terms of the above bond, a bond
continuation certificate is enclosed as evidence that the above referenced
bond has been renewed and remains in full force and effect.
Should you have any questions, please do not hesitate to contact us. Thank
you.
Sincerely,
is4reetaT'.00T horsen
Senior Vice President - Surety
115 North EI Mohno Avenue
Pasadena. CA 91101 EPICBROKERS.COM
EOGEW000 PARTNERS INSURANCE CENTER I CA LICENSE 06'193)0
CONTINUATION CERTIFICATE
The Atlantic Specialty Insurance Company (hereinafter called the Surety)
hereby continues in force its Bond No. 800020695 in the sum of One Hundred
Thousand Dollars and 00/100 ($100,000.00) Dollars, on behalf of CR&R
Incorporated in favor of City of San Juan Capistrano for Franchise Agreement
subject to all the conditions and terms thereof through 15th Day of December,
2023 at location of risk.
This Continuation is executed upon the express condition that the
Surety's liability shall not be cumulative and shall be limited at all times by the
amount of the penalty stated in the bond.
IN WITNESS WHEREOF, the Surety has caused this instrument to be
signed by its duly authorized Attorney -in -Fact and its corporate seal to be
hereto affixed this 11th Day of November, 2022.
Atlantic SpeciaAy,60rance ComparIM
Surety owr-
BY:
Marg9reta T. Thorsen, Attorney -in -Fact
CALIFORNIA ALL-PURPOSE 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 Sacramento
On f,ii, Z before me,
Sandra R. Black Notary Public,
Date
Insert Name of Notary exactly as it appears on the oftial seal
personally appeared Margareta T. Thorsen
Names) of Signer(a)
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
SANDRA R. BLACK
person(s), or the entity upon behalf of which the person(s)
COMM. a 2385775 :
acted, executed the instrument.
i,o_
IgTARY PUB4Cf GALIfONNM�
iii SACRWEWOCOUNrY
I certify under PENALTY OF PERJURY er the laws of
Comm. Exp- DEC.8, 2025
the State of California that the forego g pa :graph is true
and correct.
Witness ha n and offi i
P__
Signature
Place Notary seal Above
_&j
Si ature P lic
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 the form to another document.
Description of Attached Document
Title or Type of Document:
Document Date:
Number of Pages:
Signer(s) Other Than Named Above:
Capacity(les) Claimed by Signer(s)
Signer's Name:
Signer's Name:
❑ Individual
❑ Individual
❑ Corporate Officer —Title(s):
❑ Corporate Officer—Title(s):
❑ Partner ❑ Limited ❑ General
❑ Partner ❑ Limited ❑ General
❑ Attorney in Fact
❑ Attorney in Fact
❑ Trustee •
❑ Trustee •
❑ Guardian or Conservator Top of thumb here ❑ Guardian or Conservator Top of thumb here
❑ Other:
❑ Other
Signer is Representing:
Signer is Representing.
Power of Attorney
KNOW ALL MEN BY THESE PRESENTS, that ATLANTIC SPECIALTY INSURANCE COMPANY, a New York corporation with its principal office in Plymouth,
Minnesota, does hereby constitute and appoint: Margarera T. Tfiarsen, each individually if there be more than one named, its true and lawful Attomey-in-Fact, to make,
execute, seal and deliver, for and on its behalf as surety, any and all bonds, recognizances, contracts of indemnity, and all other writings obligatory in the nature thereof; provided
that no bond or uodettaking executed order this authority shall exceed in amount the sum of: unlina ted and the execution of such bonds, recognfzances, contracts of Indemnity,
and all other writings obligatory in the nature thereof in pursuance of these presents, shall he as binding upon said Company as if they had been fully signed by an authorized
officer of the Company and sealed with the Company seal. This Power of Anomey is made and executed by authority of the following resolutions adopted by the Board of
Directors of ATLANTIC SPECIALTY INSURANCE COMPANY on the twenty-fifth day of September, 2012:
Resolved: That the President, any Senior Vice President or Vice -President (each an "Authorized Officer') may execute for and in behalf of the Company any and
ail bonds, recogntunces, contracts of Indemnity, and all other writings obligatory In the nature thereof, and affix the seal of the Company thereto; and that the
Authorized Of oar may appoint and authorize an Anomey-in-Fact to execute on behalf of the Company any and all such instruments and to affix the Company
seal thereto; and that the Authorized Officer may in any time remove any such Auomey-io-Fact and revoke all power and authority given to any such Anomey-in-
Fact.
Resolved: That the Anomey-in-Fact may be given full power and authority to execute for and in the name and on behalf of the Company any and all bonds,
recognizances, contracts of indemnity, and all other writings obligatory in the nature thereof, and any such instrument executed by any such Attorney -fn -Fact shall
be as binding upon the Company as if signed and sealed by an Authorized Officer and, farther, the Araney-in-Fact is hereby authorized to verify any affidavit
required to be attached to bonds, mcognizances, contracts of indemnity, and all other writings obligatory in the nature thereof.
This power of attorney is signed and sealed by facsimile under the authority of the following Resolution adopted by the Board of fNecmrs of ATLANTIC SPECIALTY
INSURANCE COMPANY on the twenty-fifth day of September, 2012:
Resolved: That the signature of an Authorized Officer, the signature of the Secretary or the Assistant Secretary, and the Company seal may be affixed by
facsimile to any power of attorney or to any certificate relating thereto appointing an Anomey-fn-Fact for purposes only of executing and sealing any bond,
undertaking, recognizance or other written obligation in the nature thereof, and any such signature and seal where so used, being hereby adopted by the Company
as the original signature of such officer and the original seal of the Company, to be valid and binding upon the Company with the same force and effect as though
manually affixed.
IN WITNESS WHEREOF, ATLANTIC SPECIALTY INSURANCE COMPANY has mused these presents to be signed by an Authorized Officer and the seal of the Company
to be affixed this twenty-seventh day of Apa 2020.
INgV�
f '�SY
Q4 �rRPORglf'n}
.y SEAL m;
.r 1986 0>
By
STATE `64K"Yw*o?���Pr
Paul
Paul 1. Brehm, Senior Vice President
COUNTY
On this twenty -seventy day of April, 2020, before me personally came Paul J. Brehm, Senior Vice President of ATLANTIC SPECIALTY INSURANCE COMPANY, to me
personally known to be the individual and officer described in and who executed the preceding instrument, and he acknowledged the execution of the same, and being by me
duly swom, that he is the said officer of the Company aforesaid, and that the seal affixed to the preceding instrument Is die seal of said Company and that the said seal and the
signature as such officer was duly affixed and subscribed to the said instrument by the authority and at the direction of the Company.
,�y��:,' ALISONDWANNASNdROUT
NOTARY PUBLIC • MINNESOTA
My Commission Expires
January 31,2026
Notary Public
1, the undersigned, Secretary of ATLANTIC SPECIALTY INSURANCE COMPANY, a New York Corporation, do hereby certify that the foregoing power of attorney is in full
fare and has not been revoked, and the resolutions set forth above are now in force.
Signed and sealed. Dated 11th day of November _ 2422
Y INg
� A
!iG LpP4trR,tTf �c c
SEAL ^i
t � 4988 0=
This Power of Attorney expires
January 31, 2025
Please direct bond vetfimtiors to ,tar tvr' r t u me um
Kara Barrow, Secreia