23-0519_LS-SAN JUAN LLC_Staff MemoMEMORANDUM May 19, 2023
TO: Christy Jakl, Assistant City Clerk
FROM: Thomas Toman, Public Works Director
SUBJECT: Off-site Street Improvement Bond Release, Tirador Residential Development –
SIP21-001 Petra Avelina
This memorandum is authorization to release 75% of the Subdivision Improvement
Agreement Bond for Tirador Residential Development’s off-site street improvements on
Calle Arroyo. The total bond deposit was in the amount of $207,276.00, the 75% to be
released is in the amount of $155,457.
Attachments - Copy of agreement and bond, Applicant’s release request letter dated
03/20/23.
Bond Number: P803010408479
SUBDIVISION IMPROVEMENT AGREEMENT
PAYMENT (LABOR AND MATERTALSI BOND (FOR OFF SITE IMPROVEMENTS SlP21-0011
KNOWALL PERSONS BY THESE PRESENTS:
THAT WHEREAS, the City of San Juan Capistrano, California ("City') and LS-SAN
JUAN LLC ("Pdncipal'), have executed an agreement for work consisting ol 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, sireet lights, and all other required facilities for Tract Map
No. 18148 {"Off Site lmprovements'),
WHEREAS, the Off Site lmprovements to be performed by Principal are more
particurarry set forth in ji1 ri:fo1'l"j:liff:h*l#:.i'ou***nt
Agreement dated
WHEREAS, the lmprovement Agreement is hereby refened to and incorporated herein
by reference; and
WHEREAS. Principal is required by the lmprovement 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 Philadelphia lndemnity lnsurance Company
("Surety'), a
Pennsvlvania
corporation organized and existing under the laws of the State of
and duly authorized to transact business under the laws of the
State of California, are held and firmly bound unto Cily and all contractors, subcontractors,
laborers, material suppliers. and other perssns employed in the performance of the
lmprovement Agreement and refened ta in Title 3 (commencing with Section 9000) of Part 6 of
Division 4 of the California Civil Code in the sum of Two Hundred Nine Thousand Two Hundred
Seventy Six and nol100 DOLLARS {$207,276.00}, said sum being not less than one hundred
percent (100%) of the total cost of the Off Site lmprovements as set forth in the lmprovement
Agreement, for materials fumished or labor thereon of any kind, or for amounts due under the
Unemployment lnsurance 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 specitied
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 fullforce and effect.
61 147.0?100\?4632175.1
Surety, for value received, hereby stipulates and agrees that no change, extension of
time, alteration, or addition to the terms of the lmprovement Agreement, or to any plans,
profiles, and specifications related thereto, or to the Off Site lmprovements to be constructed
thereunder, shall in any way affect its obligations on this hond, and ft does hereby waive notice
of any such change, extension of time, alteration, or addition.
This bond is executed and filed to cemply with Section 66499, ef seq., of the California
Government Code as security for labor performed and materials provided in connection with the
performance of the lmprovement Agreement and construction of the Off Site lmprovements.
lN WITNESS WHEREOF, we have hereunto set our hands and seals {his sth 6st
of MaY 2A22
(Corporate Seal)LS-San Juan LLC
Principal
Y1'wv*n I AlffiE/^I
Title
Philadelphia lndemnity Insurance Company(Corporate Seal)
(Attach Attorney-in-Fact Certificatei
The rate of premiu
charges is included in
(Name and Address of Agent or
Representative for service of
process in California, if different
from abovre)
(Telephone number of Sureiy
and Agent or Representative for
service of process in California)
?r : .
Title Merthe Barreras
m on this [en{ i5 0.00 per thousand. The total amount of premium
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)Philadelphia lndemnity lnsurance Company
800 E Colorado Blvd, 6th Flocr
lrvine Ca 92612
Lockton lnsurance Brokers LLC
19800 MacArthur Blvd. Ste. 1250
lrvine Ca 92612
{e49} 252-4400
61 147.{i2100\246321?5.1
ALL. PURPOSE
CERTIFICATE OF AGKNOWLEDGMENT
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 Oranqe
on MAY 0 5202?-before me,Gina L. Garner, Notary Public
personally appeared Martha Barreras
who proved to me on the basis of satisfactory evidence to be the person{gl whose
nameg) is/nn subscribed to the within instrument and acknowledged to me that
he/shelffi executed the same in his/her/their authorized capacity(iier)g and that by
hisdherlflnix signature$f on the instrument the person{d, 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 officialseal
Notary (Notary Public Seal)
)
)
ADDITIONAL OPTIONAL INFORMATION
PTION OF THE ATTACHED DOCUMENT
(Tite or dascdption of attached document)
(li{e or descdption ol aftached documont ontinued)
Number of Pages
-
Document llala
20 1 5 Version v,nrwv. NotaryClasses.corrl 800-873-9865
INSTRUCTIONS FOR COMPLETING THIS FORM
Tltis forn complies vilh cutent Calito,nia slalutes regdrding nolon'vording and,
fneeded, shauld be conpleted and atlached to the document. Acknolu'edgent front
other states nay be conpletedfor docunnnts being senl to that state so long as the
vording does not requirc the Caldorrtia nolary to violate Ca$ornio nolaty lav'.
r Statc and County information mustbe the Slate and County where the document
signe(s) personally appcared bcfore the notary public fot acknowledgrnott.
. Date ofnotsrization rnust be the date that the signer(s) pcrsonally appeared which
must also be the same date dre acknowledgment is completed.
r The notary public musl print his or her natne as it appears within his or her
comrnission followed by a cornma and then your title (notary public).
r Print the name(s) of document signer(s) who personally appeor at the time of
notarization,
r lndicate the correct singular or plural forms by crossing off incorrect fonns (i.e'
he/she/r$e51 is /o*e ) or circling the correct forms. Failure to conectly indicate this
infonnation may lead to rejection ofdocument recording,
. The notary seal irnpression must bc clear and photographically repmduciblc.
lmpression must not cover text or lines. Iiseal impression smudges, re'seal ifa
sufficiert area pennits, othenvise complete a different acknowledgrnert fonn'
. Signature of the notary public must match the signature on file with thc office of
the county clert.
I Additional information is not required but could help to ensurc this
acknowledgment is not misused or atached to a different document'
a Indicate dtte or type ofattached document, number ofpages and date.
* lndicate the capacity claimed by the signer. lfdre claimed capacity is a
corporate officer, indicatc the titlc (i.c. CEO, CFO, secret!ry).
r Securely attach this document to lhe signed docurnent with a st pl€.
CAPACITY CLAIMED BY THE SIGNER
tr lndividual(s)tr Corporate Officer
tr
m
tr
tr
(rme)
Partner(s)
Attomey-in-Fact
Trustee(s)
Other
Notary Acknowledgment
A notarv public or other officer completing this certificate
verifies bnlv the identity of the individual \niho signed the
document tb which this certificate is attached, and not the
truthfulness, accuracy, or of that document,
STATE OF CALIFORNIA
CoUNTY oF OYan?
on V.qjtt .Aa&-,beforeme'
WITNESS my hand and official seal
evidence to be the person(g) whose namet$1@are subscribed to the within instrument and acknowledged to
me that he@nney exec'uieo the same \n histt@tlheir authorized capacily(;99, anO that by hiq@iltheir
signaturefrJin the instrument the person{p}, or th-e entity upon behalf of which the persor$rr) acted, executed
the instrufnent.
I certiff under PENALTY OF PERJURY under the laws of the State of California that the foregoing paragraph
,a:=x TERRI L. FlLlGlAtl,ffi, **" ?,tll5;,tii'j"-' "
\Gi9/ Ay Comm. Ext!.rs Dec 24, 20?2
Notary Public, personally
Number
Signe(s) OtherThan Named Above
appeared (rnrr-n trt\nJ\Ln ko Y who proved to me on the basis of satisfactory
is true and conect.
Signature of Notary Public
OPTIONAL
Thaugh the information belaw is not reguired by law, it may prove valuable fo persons rclying an the dacument
and eould prevent fraudulent remova! and reattachment af this form to anather documen{
CAPACITYCLAIMED BYSIGNER OESCR'PTION OFATTACHED DOCUMENT
I lndividual
f Corporate Officer
nfleF)Title or Type of Document
I
I Partner{si f
l
I Attorney-ln-Fact
r Trustee(s)
r Guardian/Conservator
I Other.
Signer is representing:
Name Ol Person(s) Or Entity(ies)
Limited
General
Date
NOTE: This acknowledgment is to be completed for the Aftorney-in-Fact for Surety. The Power-af
Attorney to local representatives of the bonding company must also be attached.
6l l4?.02100\:46321?5.1
PHILADELPIIIA IND EI\'!r\ITY IN SL]R{NCE C O1\{PAI\}
One Bala Piaza, Suite 100
Brla Cyt*a{ PA 1900+0950
Poxer ofAftarnq;'
KNo\\i ALL PERSONS BY THESE PRESE}ITS: That PHILADELPHIA INDL\{NITY INST'RdNCE COil PAi\!- {thc CONTPAN.T..}, A COTPOTATiOTT OTgANiZEd ATTd
existilg under tho lan s of lhe Commonu'ealth of Pennsylvaria. dres hereb-v c*lstitute and appoint JANINA I'IONROE, THOIvIAS G. l'tCC.lrLL. TI\{OTIIY J.
NOONAN, IWCIiELLE HA{SE AND hrt4RTIlA. BARRERAS OF LOCKTON CO\.{PAh-IES. LLC, its irue atld lar*'fu! Attonrey-itfact with fbl1 authority to execute
to bhd the Company thereby, ia an amount not tc exceed $!!!Q!,S[
This porver of Altomey is grantetl and is signed and sealed by f'acsimile cnder and b1' the authoritl' of the follou-ing Resolutiot adopted by the Bon-d of Diectors cf
PFIILADELPI{IA INDE\'IMTY INSLIR{NCE COI'{P.\NY on the l*h of November-. 2016-
RESOLYtrD:Thai the Board ol'Directors hereby authorizes the PrEsident or anv \''ice President of the
Ccmpary': !l) Appoint Attornelis) in Fact ald authorize tho Aitomey{s} in Fact to execute
on behall of the Compan-v bonds and undertakings. conlracts of ildemlily and other
n'ritings obligatory in the nature thersof andtc attach the seal of ihe Compan-v thereto-' and
(2) to remove. at any time, any such Attomey-in-Fact and revoke the authori$' given' Atd.
be it
FCRTITER
RESOLYED:That the signat$res cf such offrcers and the seal of lhe Company may tre alExed to any
such Porver of Attomey or cerlificate relaling ihereto by facsimile, atd an-v such Porver of
Atlorney so exeuied and certified by lhcsimile sigrratures and facsimile serl shall be valkl
ald binding upol the Compaly in the firture q'ith r€spect to any trond or undertaking to
rrhich il is attached.
IN 'IESTIIV{ONY E-:IEREO}-, PHILADELPHIA INDEI\.INIT}- IN-SLrR..!NCE COI.IP.ENI' H.cS C;\I.'SED THIS INSTRUN'IENT TO BE SIGNED AND iTS
L]ORPORATE SE.{LTO BE AFFITTD BY ITS AIIT}IORZED OFFICE THIS 5TH DAY OF I,1{RCH. 202T.
rrr$lJ*{Seal)
kei*tctrt & CECI
Philadelphia Indernnitl' Imrrance Compan.v
{h this 5rh tla1. of A,tarch. 2021 before me came the individual rvha executerl the preceding ilstrument, to me persolall5 Llorvn, and being by rne dul-v
is the therein rlescritre{ and authorized offrcer of the PHILADELPHIA INDEI{NITY INSLiR-{NCII COI{PAI\T; that the seal aftixed to said
Corporate seal *f said Compml.'; that the said Corporate Seal and his signatue rve'e du\.. affi'xed.
Notarl. Puhlic:
sw*rnsaid ihathe
instrument is the
residing at:
l{-v commission expires :
V:1,*;ga3/*". Fr€--t''r--*--*rr-.
B*la C5nx1d, PA
November 3. 2024
Edrrard Sa-tngo, Carporaie Seaetatl
PHII,ADELPFIL{ INDEUNITY INSIJRANCE COil{PAN}-
I, Edward Sa_tago. Corporate Secrelrry of PHILADELPHIT{ INDEL{NITY INSLTRANCE COI\'IPAi\Y. do hereb-v certifo ihat the foregaing resolutiou of the Roard o1'
Johrr Glomb. who executeil the Pog,er of Attame.v as President, *-as ol the date of esecution oi the aitached Porver of Atbrney the duly elested President of
PHILADELPHL{ I\IDElvl}i-ITY IIISLIR r$iCE CO\'{P'{\Y.
tn'Iestimon-v!trhereoflhavesubscribe<l mJ"nameantlaftjxedthefacsimilesealofeachCompanl,this Sth rtayof MaY ,, M-.
i i;ii :
Ci{rdrf$ba'r#Is8xl}i
tai.tdafGotltf
PuTU,.DELPHIA
Ir-rsuR.aucB CourANIEs
A Mcrnbcr of lb Tolrlo Madnc Grcup
Subdivision Bmd
Faitrful Performance
SUBDIVISION BOND
Bond No. P80301040&+79
Premium $1,0,m.00
KNOW ALL MEN BY THESE PRESENTS: That-!$-SanJUAn LLG. as Principal, and Philadelphia lndemnity lnsuranoe
Companv. a mrporalim organized and exisling under flre laws of fre State of Pennsvlvania and auhuized to fansact
surety business in he State of Califomia, as Surety are held and firmly bound unto Citv of San Juan Capisfano in he sum of
Two Hundred Nine Thursand Two Hundred Seventv Six and nd100 $207.276.00). for tre payment whereof, well and tuly
to be made, said Principal and Surety bind ilremselves, ilreir heirs, adminisfators, suocessorc and assigns, jcinty and
severally, firmly by trese presenb.
THE CONDITION OFTHE OBLIGATION IS SUCH THAT:
WHEREAS he above Named Principal has entered into an agreement, dated
San Juan Capisfano to do and pedorm tre follcwing work, towit.
wih the ClV_sf
Off-Site lmprcnremenb Tr 18148 (SlP21-001)
NOW THEREFORE, if tre above-brunden Principal shall well and tuly perftrm flre work referred to in such agreement,
tren flris obligation shall be vcid; otherwise to remain in full force and effect.
lN WITNES$ WHEREOF, he seal and signaUre of said Principal is hereto affixed and tre corporate seal and he name of
he said Surety is hereto aflxed and attested by ib duly auhsized Attomey in Fact at lrvine, Califomia his 4tr day of
March,2022.
LS-$an Juan LLC
T$um.r ve) hvfwlzr?vo 6,N,,''t+Y
Philadelphia lndemnity lnsurance Companv
(Surety)
2o7Z
l
1927
By:
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
validitv of that document.
State of California
County of Orange )
on rvv roh -1, 70 )).before me,Shannon Whittaker, Notary Public
(insert name and title of the officer)
personally appeared '[h r n \/o
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 acknowled ged 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 officialseal.
SHANNON WIIIThKER
Notary Public. Callfornia
0fange County
Commisston #ZJiZ945
Aly Comm. Expirer ltar 25, ZO25
Signature (Seal)
CALIFORNIAALL-PURPOSE ACKNOWLEDGMENT civir code s 118e
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 [lAR 0 4 2022 before me, Lisa Marie saumur, Notary Pubtic , Notary Public,
Date lnsert Name of Notary exactly as it appears on the official seal
Martha Barreraspersonally appeared
Name(s)of Signe(s)
who proved to me on the basis of satisfactory evidence.to
be ttie person(s) whose name(s) is/are subscribed to the
within iristrumeni and acknowledged to me that he/she/they
executed the same in rhis/her/their authorized capacity(ies),
and that by his/her/thbir signature(s) on the instrument the
person(s),-or the entity upon behalf of which the person(s)
acted, executed the instrument.
COMM 312 z7o
I certify under PENALTY OF P
the State of California that the
ERJU er the laws of
Public . Calilornia is true
and correct.
2024
Witness h
Signatu
Place Notary Seal Above re of Public UMUT
OPTIONAL
Thouoh the information below is not required bv taw, it mav prove valuable to persons relying on the document" and could prevent fraudulent'removal and reattiihment of the form to another document.
Description of Attached Document
Title or Type of Document
Document Date:Number of Pages:
Signe(s) Other Than Named Above:
Capacity(ies) Glaimed by Signer(s)
Signer's Name
E lndividual
Signer's Name:
n lndividual
E Corporate Officer -Title(s)I Corporate Officer
-Title(s)n Partner ! Limited I General
n Attorney in Fact
! Trustee
I Guardian or Conservator
n Partner ! timiteo n General
! Attorney in Fact
! Trustee
I Guardian or Conservator
! Other:! Other:
gpa
Top of thumb here
RIGHT THUMBPRINT
OF SIGNER
Top of thumb here
RIGHT THUMBPRINT
OF SIGNER
Signer is Representing:Signer is Representing:
PHILADELPHIA INDEMNITY INSURANCE COM PANY
onc Bala Plaza, Suitc 100
Bala Cynwyd, PA I 9004-0950
Por,ver ofAttorney
KNOW ALL PERSONS BY IHESE PRESENTS: That PH ILADELPHIA INDEMNITY INSURANCE COMPANY (thc Company), a corporation organ ized and
existing undct thc laws of thc Comm onwsalth of Pcnnsylvan ia, docs hcrcby constitutc and appoint JANINA MONROE, THOMAS C, MCO{LL, IIMOTHY J.
NOONAN, MICHELLE HAASE AND MARTFI,A BARRERAS OF LOCKTON COMPANIES, LLC, its truc and lawful Anorncy-in-fact with full authority to oxccutc
on its bchaifbonds, undcrtakings, rccogn izanccs and othcr contracts of indcm n ity and writings obl igatory in tlrc nature thercof, issucd in thc coursc of its business and
to bind thc Company thcroby, in an amount not to cxrccdlllqJqgqlq!!:
Th is Powcr of Attorn cy is granted an d is sign cd an d scalcd by facsim ilc un der an d by th c auth ority of th e following Rcsolution adopted by th c Board of Directors of
PHILADELPHIA INDEMNIIY INSURANCE COMPANY on thc l4h of Novcmbcr,20l 6,
RESOLYED:
FURTHER
RESOLVED:
Ihat the Board of Directors hcreby authorizes thc Presidcnt or any Vice Ptcsidcnt ofthe
Company: (l ) Appoint Attorncy(s) in Fact and authorizc thc Attorncy(s) in Fact to exccute
on behalf ofthc Company bonds and undertakings, contracts of indemnity and othcr
writings obl igatmy in the naturc thcrcofand to attach thc scal ofthc Company thcr*o; an d
(2)torcmovc,atanytimc,anysuchAttotncy-in-Factandrcvokcthcauthc,ritygiven. And,
bc it
Ihat thc signaturcs of such olficcrs and thc scal ofthc Company may be affixcd to any
such Powcr ofAttorncy or ccrtificatc rclating thcrcto by facsim ile, and any such Powcr of
Attorncy so executcd and certificdby facsim ile signaturcs and facsim ilc scal shall bc val id
and binding upon thc Company in the futurc with rcspcct to any bond or undcrtaking to
which it is attachcd.
IN TESTIMONY WHEREOF, PHILADELPIIIA INDEMNITY INSURANCE COMPANY HAS CAUSED THIS INSIRUMENT IO BE SIGNED AND IIS
CORPORAIE SEALTO BE AFFIXED BY ITS AUIHORIZED OFFICE THIS sIH DAY OFMARCH,2O2I.
(scal)(dtllM
Ph iladelph ia Indcmn ity Insurance company
OnthisSrhdayofMarch,202l bcforcmccamethcindividual whocxecutcdthcprcccdinginstrumcnt,tomcpetsonallyknown,andbcingbymedulyswornsaidthathe
is the thcrein dcscribcd and authorizcd olficcr of thc PHILADELPHIA INDEMNITY INSURANCE COMPANYI that the scal affixcd to said instrumcnt is thc
Corporatc seal ofsaid Company; that thc said Corporatc Scal and h is signaturc wcre duly affixcd.
Notary Public:
residing at:
My cornm ission cxpircs:
Bala Cynwyd, PA
Novvmbcr 3,2024
Edward Sayago, Corporatc Scffctary
PH ILADELPHIA INDEMNITY INSURANCE COM PANY
I, Edward Sapgo, Corpmatc Seffetary of PHILADELPHIA INDEMNIIY INSURANCE COMPANY, do hctcby ccrtily that thc iucgoing tcsolution of the Board oi
iirectc,rsandth-citowirofAttorneyissucdpursuantthcrctoonthc5ftdayMarch,202l arctrucandcorrcctandarcstill inlull forccandcffcct, Idolurthcrcertifythat
John Glomb, who cxccuted the Pbwcr ol Attorncy as Prcsidcnt, was on thc datc of cxecution of thc attached Powcr of Attorney thc duly clectcd hcsident of
PHILADELPHIA INDEMNITY INSURANCE COMPANY.
In TcstimonyWhetcoFlhaycsubscribcdmynamcandaffixcdthclacsimileseal olcach Cornpanyill;s 4th 66y69 March
.*irliiri'?:'
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i$i.rgzr'iri
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2U)2
Landsea Homes
7525 Irvine Center Dr., Ste. 200
Irvine, CA 92618
o.949 345-8097
March 20, 2023
To: City of San Juan Capistrano
Jeremy Hohnbaum
Senior Civil Engineer
RE: Calle Arroyo Street Plan Bond Release Request
Bond Number: PB03010408479
Bond Amount: $207,276.00
Permit Number: E21-0136
Dear Mr. Hohnbaum,
I would like to formally request to exonerate our Calle Arroyo Street bond reduction for
TR18148. Please find the following items:
•As built drawings
•Notice of Completion
•Permit card
•Copy of bond
We have been 100% complete since Jan 31, 2023.
Sincerely,
Shannon Whittaker
Assistant Vice President
LS-San Juan LLC
7525 Irvine Center Dr.
Ste. 200
Irvine, CA 92618
24.3 Attornev's F and Costs:
ln the event of any litigation arising out of Subdivider's performance of
its obligations under this Agreement or under any of the Security
lnstruments referenced herein, the prevailing party in such action, in
addition to any other relief which may be granted, shall be entitled to
recover its reasonable attorney's fees and costs. Such attorney's fees
and costs shall include fees and costs on any appeal, and in addition
a party entitled to attorney's fees and costs shall be entitled to allother
reasohable costs incurred in investigating such action, taking
depositions and discovery, retaining expert witnesses, and all other
necessary and related costs with respect to the litigation. All such fees
and costs shall be deemed to have accrued on commencement of the
action and shall be enforceable whether or not the action is
prosecuted to judgment.
25. Notice of Completion:
Upon approval of the Works of lmprovement by the City Engineer and
acceptance by the City Council, the Subdivider shall file with the Orange
County Recorder a Notice of Completion of the improvements herein
specified.
26 Filino of lmorovement Plans:
Upon completion of the job and prior to final acceptance of the Works of
lmprovement by the City, the Subdivider shall submit to the City Engineer for
review and approval, one Mylar (4 mils) set of "record" drawings as well as
digital copies'of all improvement plans in accordance with the latest edition of
tfre City of San Juan Capistrano Digital Submission Standards. These
drawings shall be certified and shall reflect the job as actually constructed,
with all changes incorporated therein.
27. Assignment:
This Agreement shall not be assignable by Subdivider without written
-.onseni
of City, provided that this Agreement may be assigned by Subdivider
to any successor in interest to the Property upon written notice to the City
within ten (10) days of such assignment, provided that Subdivider shall not by
virtue of such assignment be relieved of its obligations hereunder.
28. Good Faith lmprover: Waiver:
-Developer
hereby agrees that if the Agreement is terminated for any reason
other than Developer's termination pursuant to a default of City, Developer
waives, to the maximum legal extent, any rights it may have under Code of
17
6 I I 47.003 I 0\40296480. I
Civil Procedure Sections 871.1 through 871.5, inclusive, and Code of Civil
Procedure Section 741 and all other state or federal statutes or judicial
decisions of similar effect.
With regard only to the matters being released herein, Developerwaives the
provisions of Section 1542 of the California Civil Code, and any other similar
statute, rule or case law. Developer has read and understands Section 1542,
and has consulted with counsel regarding its terms. Section 1542provides as
follows:
A general release does not extend to claims that the creditor or releasing
party does not know or suspect to exist in his or her favor at the time of
executing the release and that, if known by him or her, would have materially
affected his or her settlement with the debtor or released party.
_(lnitials)
29. Phase I and ll Residential Build no Permits
Notwithstanding anything to the contrary herein, the City hereby authorizes
the City Building Department to issue to Subdivider building permits for
fifteen (15) residential units in Phase I and ll of the subdivision to be
developed within the Property, priorto recordation of the FinalMap, provided
that (a) all other conditions to the issuance of such building permits has been
met, including but not limited to the approval of the Production Precise
Grading Plans and grading pad certification for all pads within Phase I and ll
of the subdivision; (b) Subdivider shall not enter into any binding purchase
agreements for the sale of such Phase I and ll residential units with the
h6mebuying public until such Final Map is recorded; and (c) no certificates of
occupancy shall be issued for such residential units until the Final Map is
recorded. Subdivider hereby agrees to indemnify, defend, and hold harmless
the City against any claims to the extent arising from the issuance of such
building permits prior to recordation of the Final Map'
on
6l 147.003 I 0\40296480.1
18
IN WITNESS WHEREOF, two (2) identical counterparts of this Agreement, each of
which shall for all purposes be deemed an original thereof, have been duly executed by the
Subdivider herein named on the __ day of ____ , 2022, the name and corporate
seal of each corporate party being hereto affixed and these presents duly signed by its
undersigned representative(s) pursuant to authority of its governing body.
DEVELOPER
By:_�,___ ___
Name:\(SM )¼\Vle_
Its: Q\\J\S\QY) fv<-eS1den+-
(Attach Notary Acknowledgement)
ATTEST:
Attachment: Exhibit "A"61147.00310140296480.I 19
CITY OF SAN JUAN CAPISTRANO
ATTEST:
Maria Morris, City Clerk
APPROVED AS TO FORM:
Jeffrey C. Ballinger, City Attorney
BEST BEST & KRIEGER LLP
By: ______
Benjamin Siegel, City Manager
Corrected Duplicate Original
Bond Number: P80301040861 1
SUBDIVISION IMPROVEMENT AGREEMENT
PAYMENT (LABOR AND MATERIAL AND PERFOMANCE) LANDSCAPE AND IRRIGATION
BOND
KNOW ALL PERSONS BY THESE PRESENTS:
THAT WHEREAS, the City of San Juan Capistrano, California ("City") and LS-SAN
JUAN LLC ("Principal"), have executed an agreement for work consisting of, but not limited to,
the fu'T'ishing all labor, materials, performance/services, tools, equipment, and incidentals for
the landscape and irrigation improvements as shown for Tract Map No. 18148, which is not to
be completed prior to the recording of the final map or parcel map;
WHEREAS, the landscape and irrigation improvements to be performed by Principal is
more particurarrv set forth
#_,:Fld"|"li?"iiltr"iH:ni,flo'ou"'"nt
Asreement dated
WHEREAS, the lmprovement Agreement is hereby referred to and incorporated herein
by reference; and
WHEREAS, Principal is required by the lmprovement Agreement to provide a good and
sufficient bond to insure the landscape and irrigation improvements as shown for as required
therein and payment to the landscape contractor who installs landscape and irrigation
improvements thereunder.
NOW, THEREFORE, PrinciPal and Philadel hia lndemn lnsurance ("Surety"), a
corporation organized and existing under the laws of the State of Pennsylvania ,
and duly authorized to transact busi ness under the laws of the State of California, are held and
firmly bound unto City in the sum of
One Million Five Hundred Eiqhtv Thousand Five Hundred Eig htv-one and 10/100 I ,580,581 .10 said sum
being not less than one hundred percent
improvement installation as set forth in
landscape contractor for landscape and
our heirs, executors and administrators,
(100%) of the total cost of the landscape and irrigation
the lmprovement Agreement and payment due to the
irrigation improvement installation, we bind ourselves,
successors and assigns, jointly and severally, firmly by
these presents.
THE CONDTTION 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 landscape and irrigation improvement installation as set forth in the
lmprovement 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 lmprovement 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.
61 1 47 .02100u463211 s.1
Surety, for value received, hereby stipulates and agrees that no change, extension of
time, alteratibn, or addition to the terms of the lmprovement Agreement, or to any plans,
profiies, and specifications related thereto, or to the lmprovements to be constructed
ihereunder, shali 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 landscape and irrigation
installation as set forth in the lmprovement Agreement.
lN WITNESS WHEREOF, we have hereunto set our hands and seals ffiis 1Sth fl3y
of June 2022 .
(Corporate Seal)LS-San Juan LLC
(Corporate Seal)Philadel ia lndemn lnsurance
Su
By
(Attach Attorney-in-Fact Certificate)Title Martha Barreras, Attorney-in-Fact
The rate of prem ium on this bond is $5'00 per thousand. The total amount of premium
charges is $903.00
(The above must be filled in by corporate attorney.)
THIS IS A REQUIRED FORM
Any claims under this bond may be addressed to:
Tifl
7
(Name and Address of SuretY)Ph lndemn lnsurance
oor
n
Pasadena L;A. 91 1ul
(Name and Address of Agent or
Representative for service of
process in California, if different
from above)
(Telephone number of SuretY
and Agent or Representative for
service of process in California)
Lockton lnsurance Brokers LLC
'19800 MacArthur Blvd. Ste. 1250
lnrino flA 4t
6 1 | 41 .021 00U463217 s.1
949-252-4425
ALL- PURPOSE
CERTIFICATE OF ACKNOWLEDGMENT
A notary public or other officer completing this certificate verifies only the
identity of the individual who signed the document to which this certificate
is attached, and not the truthfulness, accuracy, or validity of that document'
State of California )
County of Oranqe )
on JUN 1 6 T}ZL before me,Gina L. Garner, Notary Public
{Hm in$rt namG aill ttc
personally appeared Martha B arreras
who proved to me on the basis of satisfactory evidence to be the person{gl whose
name6) is4tn subscribed to the within instrument and acknowledged to me that
he/she/hgy executed the same in his/her/their authorized capacity(lesx and that by
hbdherlflrsix signature$ on the instrument the person{d, or the entity upon behalf of
which the person{s} acted, executed the instrument.
I certifu under PENALTY OF PERJURY under the laws of the State of California that
the foregoing paragraph is true and correct,
W]TNESS my hand and officialseal
Public Signature (Notary Public Seal)
ADDITIONAL OPTIONAL INFORMATION INSTRUCTIONS FOR COMPLETING THIS FORM
This fomr complies vilh cwrent Califot'nia slalutes regarding nolan' vording ond'
fneeded, should be completed and anached to the document. Acknolvedgents front
other states may be contpletedlor docunents being sent to that state so long as the
vording does not rcqtire tlu Califurnia notary to violate Californla nolaty lav.
r State and County information must be the State and County where the document
signer(s) personally appeared bcfore the nolary public for acknowledgmant.
r Dale of notarizition mrnt be the date thot the siper(s) personally appeared which
must also be the same date the acknowledgment is cornpleted.
. The notary public must print his or her name as it appears within his or her
commissioa followed by a cotnma and thor your title (notary public)'
r Print the narne(s) of document signer(s) who personally appexrr at the time of
notarization.
r lndicate the corect singular or plural fonns by crossing off incorrect forms (i.e.
he/she,/rhey;- is /arc ) or circling the conEct forms. Failure to correctly ildicate dtis
infonnation may lead to rejecrion ofdocurnent recording.
. llte notary seal impression must be cleat and photographically reproducible.
lmpression must not cover lext or lines' lfseal impression srnudges, re'seal ifa
sufficient area pennits, otherwise oomplete a different acknowledgnent fonn.
. Signature of the notnry pubtic must motch the sigoature on file with thc office of
thc county clerk.
* Additionat information is not required but could help to ensurc this
acknowledgment is not misused or attached to a different documenl.
I lndicate title ortype ofattachcd documert, numberofJxges anddate.
1.. lndicate the capaoity claimed by thc signer. lfthe claimed capacity is a
corporate officer, indicatc thc titlc (i.e. CEO, CFO' Secreraryl.
e Securcly atlach lhis document to ihe sigoed docurnent with a staple.
DESCRIPTION OF THE ATTACHED DOCUMENT
(TiUe or descdption of attac-tred document)
gi0e or description of attached document mnlinued)
Number of Pages
-
Document llata
@.
GINA L. GARNER
Notary Publlc - California
Orange County
Commission # 2361777
Comm. Expires Jun 18, 2025
CAPACITY CLAIMED BY THE SIGNER
tr lndividual(s)D Corporate Officer
tr
F
n
tr
( r rue)
Partner(s)
Attorney-in-Fact
Trustee(s)
Other
20'l 5 Version vr"ww. NotaryClasses.cctrl 800-873-9865
KNOW ALL PERSONS BY THESE PRESENIS: ThAt PHILADELPHIA INDEMNIIY INSURANCE COMPANY (thC COTNPANY), A COTPOTAT|ON OTgANiZCd ANd
.iiJing undo thc laws of thc Commonwcalth of Pcnnsylvania, does hetcby,constitute_T_d 3CP_glIj4IIlNA MONROE' THOMAS G. MCCALL, TIMOTHY J'
NooniAN, MIcHELLE HAASE AND MARTHA eAnne RAs oF LocKToN coMPANIEs, LLc its truc and lawful Attorncy-in-fact with full authority to
cxccutcon itsbchalfbonds,undmtakings,rccognizanccsandothercontractsof indcmnityandwritingsobligatoryinthcnaturcthotmf,issucdinthccourscolits
busincss and to bind thc Company thcrcby, in an am uln t not to excccd $5O000O00.00.
PHILADELPH IA INDEMNITY INSURANCE COM PANY
Onc Bala Plaza, Suitc I 00
Bala Cyn wyd, PA I 9004-0950
Po}l.er ofAttorn€y
FURTHER
RESOLVED:
IN IESIIMONY \ryHEREOF, PHILADELPIIIA INDEMNITY INSURANCE COMPANY HAS CAUSED THIS INSTRUMENT TO BE SICNED AND ITS
coRPoRATE SEALTo BE AFFIXED BY ITS AUTHORIZED OFFICE THIS 27TH DAY OF OCTOBE& 2OI?.
(scal)
Robcrt D. O'Leary Jr., Prcsidcnt & CEO
Br iladclph ia Indcrnn ity Insurancc Company
Onthis2?ftdayofOctober,20l?,bcloramccamcthcindividual whocxccutcdthcprcccdinginstqacnt 1o1_cpcrsonallyknown,andbcingby
that hc is thc thcrcin dcscribcd and auth orizcd officcr ofl the PH ILADELPH IA INDEM NITY INSURANCE COM PANY; that thc scal affixcd
th s Corporatc scal of said Com pan y; that ih c said Ccrporatc Scal an d h is sign aturc wcrc duly affixcd.
Ihis poncr ofAttorncy is granted and is signcd and scalcd by facsimilc undct and by thc authority olthc following Rcsolution adoPtcd by thc Board ofDircctors of
PHILADELPHIA INDEMNITY INSURANCE COMPANY on thc l4'h olNovambcr,20l6.
RESOLVED: That thc Board of Directors h crcby auth crizes thc Prcsidcnt ff any Vicc Prcsident of thc
Company: (l) Appoint Attorncy(s) in Fact and authotizc thc Attorncy(s). in Fact to
cxccute on bitratfbftlc Ccmpany bonds and undcrtakings, contracts of indcmnity and
other writings obligatcry in thc naturc thcrcof and to attach thc seal of thc Ccnnpany
ther*o; and(2) tJ tanwc, at any timc, any such Attc'rncy-in-Fact and revokc thc
authonity givcn. And, be it
Ihatthcsignaturcsofsucholficcrsandthcscal ofthcCompanymaybcaffxsdtoany
such PowdolAttorncy m certificatctclatingtherctobylacsimile, and any such Powcr ol
Attorney so cxccutcd and ccrtifiod by facsimilc signaturcs.and facsimilc scal shall bc
valid aird binding upon thc Compiny in thc luturc with rcspcct to any bond or
undcrtaking to wh ich it is anachcd.
...':.&:i li i l l.,i', l:",
S'--'"':-.'-'' -, "-''"'a';"
1i i rser-,ii
"-i:,-)' i "';''.::.'.{j'r-4 ..-,,.-' ,N-.r-",:: r ri'..'r'
Notary F.rblic
residing at:Bala Cwr PA
mc duly sworn said
to said instrument is
(Notary Seal)
My cornm ission expircs: Scptcrnbcr 25. 2021
In Tcstim ony Whcrcof I hayc subsctibcd my nam c and affixcd thc lacsim ile stal of each Company th is
-
day of
I, Edward Sayago, Cc,rpuatc secrctary of pHILADELpHIA INDEMNITY INSURANCE COMPANY,.dohcrcby ccrtify that thc forcgoing.rcsolution. of the Bmrd ol
oir..t*r andth"c i'owJr of ett#cyGuiApu.ruant tho*o on thc 2?rh day of octobcr, 201 ? arc truc an d ccncc,t ind arc still in lull forcc and cffcct. I do furth cr catify
itt.rnot.rt D. o,Lcary Jr,, wh o cxecutcd thc powcr of Attorn cy as Prcsidcnt, was on th c datc of cx ccut ion olth c attach ed Powcr of Attorn cy th e duly clccted Prcsident
of PHILADELPHIA INDEMNITY INSURANCE CoMPANY,
JUN 1 5 202?.
-.,',lll":iiiiijiry,,
-.-y s;',.,r' t' :"-r. 1'?
i:ii'rg?i':i,il
nr1 i. ? l',, !,,r'il.'i {'._'
"'4.":],.,,.--.3F
Edward Sapgo, Corporatc Secrctary
PH ILAOELPH IA INDEM NITY INSURANCE COM PANY
20_
ACKNOWLEDGMENT
State of California
OrangeCounty of )
On June20,2022 before me,Terri L. Piligian, Notary Public
(insert name and title of the officer)
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 officialseal.
,rf.?Fil TEiRI L. PlLlcllrr
/.dR\ xo,".v Public - cdlitornia
W.F ."'Hil'ff.?ill'."'v ty Comm. Ex2irrs 996 24, 2622
S (Seal)
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
val of that document.
Corrected Duplicate Original Bond Number: P80301 0408644
SUBDIVISION IMPROVEMENT AGREEMENT
PAYMENT (LABOR AND MATERIAL AND PERFORMANCE) SURVEY MONUMENTS BOND
KNOW ALL PERSONS BY THESE PRESENTS:
THAT WHEREAS, the City of San Juan Capistrano, California ("City") and LS-SAN
JUAN LLC ("Principal"), have executed an agreement for work consisting of, but not limited to,
the fulTtishing all labor, materials, performance/services, tools, equipment, and incidentals for
the setting of survey monumentation as shown in Tract Map No. 18148, 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 particularlyset rorth in that
, r'3nu,'?,,*ort"1i"T,'"5'iln,."J#jli;:'"n'
Asreement dated
WHEREAS, the lmprovement Agreement is hereby referred to and incorporated herein
by reference; and
WHEREAS, Principal is required by the lmprovement 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
corporation organized and existing un
and duly authorized to transact business under the laws of the State of California, are held and
firmly bound unto City tn the SUM of
Forty-five Thousand Seven Hundred Fifty and 00/100 ($45,750.00 said sum
and Philadelphia lndemnity Insurance Company ("Surety"), a
der the iaws of the State e1 Pennsylvania ,
being not less than one hundred percent (100%) of the total cost of the setti
set forth in the lmprovement Agreement and payment due to the Engin
ng of monuments as
eer 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 lmprovement 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
lmprovement 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 lmprovement Agreement, or to any plans,
profiles, and specifications related thereto, or to the lmprovements to be constructed
6 1 1 4'7 .02 100U4632 t7 5.1
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 lmprovement Agreement.
lN WITNESS WHEREOF, we have hereunto set our hands and seals 16;5 1Sth 63y
of June ,2022 .
(Corporate Seal)LS-San Juan LLC
Princi
By
Title
(Corporate Seal)
Surety
By
(Attach Attorney-in-Fact Certificate)1;11s Martha Barreras, Attorney-in-Fact
The rate of prem ium on this bond is $5.00 per thousand. The total amount of premium
charges is $229.00
(The above must be filled in by corporate attorney.)
THIS IS A LJIRED FORM
Any claims under this bond may be addressed to:
(Name and Address of Surety)Phi hia lndem lnsurance Co
Hasaoena uA. v l lu I
(Name and Address of Agent or
Representative for service of
process in California, if different
from above)
(Telephone number of Surety
and Agent or Representative for
service of process in California)
Lockton lnsurance Brokers LLC
19800 MacArthur Blvd. ste. 1250
lnrine CA )
949-252-4425
6 1 1 47 .021 00U4632 11 s.1
ALL- PURPOSE
CERTIFICATE OF AGKNOWLEDGMENT
A notary public or other officer completing this certificate verifies only the
identity of the individual who signed the document to which this certificate
is attached, and not the truthfulness, accuracy, or validity of that document.
State of California
County of Orange
On JUN I 5 2022 before me,
)
)
Gina L. Garner, Notary Public
ard tits
personally appeared Martha Barreras
who proved to me on the basis of satisfactory evidence to be the person{o} whose
name$) is/nn subscri bed to the within instrument and acknowledged to me that
he/s he/ftygy executed the same in his/her/their authorized capaci$(iiex[ and that by
hisdherffrsix signature(af on the instrument the person{d, or the enti$ 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 officialseal
a 0range Countv
Commission f ZlSfill
Comm. Explres Jun 1 8,2025
(Notary Public Seal)
GINA L. GARNER
Notary Publlc - Caiifornla
DESCRIPTION OF THE ATTACHED DOCUMENT
(Tifle or descriptior of attached document)
(lite or descdplion of attached documsnt continued)
Number ol Pages
-
Document
ADDITIONAL OPTIONAL INFO ON
201 5 Version vr'v/w.NotaryClasses.com 80t)-873-9865
INSTRUCTIONS FOR COMPLETING THIS FORM
This fomt complies t,ilh currenl Califotnia stdutes rcgarding nolan'rording and,
ifneetled, should be completed and anached to the document. Acknohtedgents ft'ont
other states nay be completedfor documenls being sent to lhat state so long as the
vording does not reErirc rhe Californio nolary to violale Californio notaty lav-
. Statc and County information must be the State and County where the document
signer(s) personatly appcared bcfore the notary public for acknowledgmort.
r Dare ofnotarization mrst be the date thot the signer(s) personally appeared which
must also be the same date the acknowledgment is cornpleted.
r The notarY public must print his or her name as it appears widrin his or her
commission followed by a comma and thol your title (notary public).
r Print lhe name(s) of document sigaet(s) who personally app€ar at the time of
notarization.. Indicate the correct singular or plural fonns by crossing off incorrect forms (i.e'
he/she/$g6 is /e+e ) or circling the correct forms. Failure to correctly indicate ihis
infonnation may lead to rejection ofdocurnent recording.
r 'lte notarl seal itnpression must be clear and photogaphically reproducible.
lmpression tnust not covef text or lines, If seal impression smudges, re-seal if a
sufficiert area pennits, otherwise complete a different acknowledgrnent fonn,
. Signature of the notary public must match the signature on file with thc office of
the county ctert..3 Additional information is not required but could help to ensurc this
acknowledgment is not misused or attached to a different document.
* Indicale title or type of attached document, number of pages and date.
.:. lndicate the capacity ctaimed by the signer. If the claimed capacity is a
corporate officer, iddicstc the title (i'e. CEO, CFO' Secrerary).
. Securely rflach this document to the signed docurnent with a staple.
CAPACITY CLAIMED BY THE SIGNER
tr lndividual(s)tr Corporate Officer
(Title)
tr
at
tr
tr
P artne(s)
Attorney-in-Fact
Trustee(s)
Other
PHILADELPH tA INDEMNIIY INSURANCE COM PANY
One Bala Plaza, Suitc I S
Bala Cyn wyd, PA I 9004-0950
Power ofAttorneY
KNOW ALL PERSONS BY IHESE PRESENTS: ThAt PHILADELPHIA INDEMNITY INSURANCE COMPANY (thc COTNPANY), A CIfPOTAt|ON MgANiZCd ANd
cxisting under th c laws of the Commonwcalth of Pcnnsylvan ia, does hncby 99nr*,itritc_ 1n_d_
appoint JANINA MONROE, THOMAS G' MCCALL' TIMOTHY J.
NooNaN, MtcHELLE HAASE AND MARTHA eAnne RAs oF LocKToN coMpANtEs, LLC its truc and lawful Attorncy-in-fact with fuil authority to
cxccutcon itsbehallbonds,undcrtakings,rccognizancesandothucontractsotindcmnityandmitingsobligatoryinthcnaturethctcof,issucdinthccourseolits
busincssandtobindthcCompanythcrcby,inananqrntnottocxcccd$5O000O00'00,
This po,vcr of Attorney is granted and is signcd and scalcd by facsimile undcr and by thc authority of thc following Resolution adoptcd by thc Board of Dircctors of
PHILADELPHIA INDEMNITY INSURANCE COMPANY on thc l4'h of Novembcr,20l6.
RESOLyED: That the Board of Dircctors h crcby auth crizes thc Residcnt cr any Vicc Prcsidcnt of thc
Company: (l) Appoint Attorncy(s) in Fact and authorizc the Attorncy(s). in Fact to
cxccuts bn Litratfbftnc Ccmpany bonds and undcrtakings, contracts of indvnnity and
othcr writings obligatory in thc naturc thcrcof and to attach thc seal of thc Company
thcr*o; anJ(Z) tJ ronovc, at any timc' any such Atttrncy-in-Fact and rcvokc thc
authority givcn. And,bc it
FURTHER
RESOLVED:That thc signatutcs ofsuch officcrs and the scal olthc Conpany may bc alfxcd to any
such Powciof Attorn cy ot ccrtificatc rclat ing th ctcto b y facsim ilc, and an y such Por'vcr of
Atorncy so cxecutd and ccrtifiod by facsimilc srgnaurcs.and lacsimilc scal shall bc
valid aird binding upon thc Compiny in the futurc whh respcct to any bond c'r
undcrtakingto which it isanachcd.
IN IESIIMONY WHEREOF, PHILADELPI{IA INDEMNITY INSURANCE COMPANY HAS CAUSED THIS INSTRUMENT TO BE SICNED AND IIS
coRPoRAIE sEALIo BE AFFIXED BY ITS AUIHORIZED OFFICE THIS 27TH DAY OF OCTOBE& 2OI?.
(Seal)
Robert D. O'Lcary Jr., Prcsidcnt & CEO
f,r iladclphia Indernnity Insutancc Ccmpany
onthis2?ftdayofOctobcr,20l?,bclorcmecamcthcindividual whoexccutcdthcpreccdinginstrumcnt,toficqcrsgnallyknown,andbcingbymcdulyswornsaid
that hc is the therein describcd and auth orized officer of thc PH ILADELPH IA INDEM NITY INSURANCE COM PANY; that thc seal affixcd to said instrumcnt is
th c Corporatc scal of said Com pany; th at th c said Ccrporatc Scal an d h is sigtn aturc wcrc duly affixed.
Notary Frblic:
residing at:Reln Cuwvd P.A.
(Notary Scal)
My cornm ission cxp itcs:Smternber 25, ?021
I, Edward Salago, Cffporate Sccrctary of pHILADELpHIA INDEMNITY INSURANCE COMPANY,dohcrcby ccrtify that thc forcgoing.rcsolution. of thc Bmrd of
Iiircctors *dtti.i'o*ir ofen*n.y iJru"dpursuantthcrctoon thc2?rhdayoflocJob€r,201 ? arctrucandcsrect dndarc$ill in full lorccandcffcct. I do furthcrcutify
that Robcrt D. O'Lcary Jr., wh o cxccutcd thc powcr ofAttorney as hcsidint, was on thc datc ofcxccution ofthc attachcd Powcr ofAttorncy thc duly clccted Prcsidcnt
of PHILADELPHIA INDEMNIIY INSURANCE COMPANY.
In TcstirnonyWhcrcof Ihavcsubscribedmynamcandaffixcdthcfacsimilcseal of cach Companythis-dry"i JUN 1 E Nn-
Edward Sayago, Corporatc Secretary
PH ILADELPH IA INDEM NITY INSURANCE COM PANY
L3I
1
I
No4rn
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
validitv of that document.
State of California
OrangeCounty of )
on Junel0,2O22 before me,Terri L. Piligian, Notary Public
(insert name and title of the officer)
personally appeared Shannon Whittaker
who proved to me on the basis of satisfactory evidence to be the persoppf whose name(gLFlare
subscribed to the within instrument and acknowledged to me that he6-hd/they executed the same in
his{frytheir authorized capacity(i9s), and that by his@Dtheir signature(z) on the instrument the
pers-onfF), or the entity upon behalf of which the person(p) 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 officialseal.
TEIRI L. PILIGIAN
Xotrry iublic - Californi.
OrdnF County
Commiision ll 227299f
Comm. Expirrs oec 2,t, ?022
AO A/y-(Seal)