23-0608_PACIFIC POINT DEVELOPMENT PARTNERS, LLC_Bond Release Letter30448 Rancho Viejo Road, Suite 110
San Juan Capistrano, CA 92675
(949) 493-1171
(949)493-1053 Fax
www. SanJuanCa pistrano. org
June 8. 2023
Sompo International I Surety
Attn: Cody Green, AFSB
12890 Lebanon Road
Mount Juliet, TN 37122-2870
Re: Release of Bonds — Pacific Point Development Partners, LLC
To whom it may concern:
MEMBERS OF THE CITY COUNCIL:
Troy Bourne
John Campbell
Sergio Farias
Howard Hart
John Taylor
This letter is to inform you that the following bonds issued to Pacific Point Development
Partners, LLC for subdivision improvements with Tracts 16752 are officially released as of
June 7. 2023:
BOND NO. PURPOSE
BOND AMOUNT
SUR21000007 Street Subdivision Improvements Tract 16752 $ 986,932.00
SUR21000009 Storm Drain Subdivision Improvements Tract 16752 $ 71,118.00
SUR21000019 Monument Subdivision Improvements Tract 16752 $ 38,500.00
The City of San Juan Capistrano hereby fully and forever releases and discharges Ironshore
Indemnity, Inc. from any and all liability under the abovementioned bond numbers. Enclosed
please find the released bonds. If you have any questions, please do not hesitate to call me at
(949) 443-6310.
Sincerely,
i
Christy Jakl, CMC
Assistant City Clerk
Enclosures as noted
cc: Thomas Toman, Public Works Director
Jeremy Hohnbaum, Senior Civil Engineer
Justin Inducil, Engineering Technician
RELEASED
Date: V,YLL Premium: $7,402.00
Signature:
City Clerk
City of San Juan Capistran , 'S'UBDIVISION FAITHFUL PERFORMANCE BOND
(GOVERNMENT CODE 66499.2)
Bond No. SUR2100
0
007
Replaces Bond No. SUR20000342
KNOW ALL MEN BY THESE PRESENTS, that Pacific Point Development Partners LLC
(hereafter designated as "Principal"), and Ironshore Indemnity Inc. ,
as Surety (hereinafter called "Surety") agree to install and complete certain designated
public improvements as conditioned by City Council Resolution No's. 92-6-16-4 and
03-09-16-06.
WHEREAS, said Principal is required to furnish a bond pursuant to Municipal
Code Section 9-5.101 and 9-5.109 et seq., for the faithful performance to guarantee
certain work, more particularly described as follows:
Street subdivision improvements within Tract 16752 as defined within Amendment #1 and
Reinstatement of the Subdivision Improvement Agreement for Tract 16752
NOW, THEREFORE, we, the Principal and Surety are held firmly bound unto the
City of San Juan Capistrano, (hereafter called "Obligee") in the penal sum of
Nine Hundred Eighty Six Thousand Nine Hundred TNrty Two Dollars and 00/100 Dollars, ($986,932.00 ) lawful money
of the United States, for the payment of which sum well and truly to be made, we bind
ourselves, our heirs, successors, executors and administrators, jointly and severally,
firmly by these presents.
NOW, THEREFORE, the condition of this obligation is such that, if Principal shall
promptly and faithfully perform said improvement obligations within the fully executed
and recorded subdivision improvement agreement, then the obligation shall be null and
void; otherwise it shall remain in full force and effect.
Page 1 of 3
BE IT FURTHER RESOLVED:
rI1gI.J v;J
1. As a part of the obligation secured hereby, and in addition„tc,,the;face. }
amount specified, 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.
2. Said Principal, for value'received, hereby stipulates and agrees that no
change, extension of time, alteration, or modification of the contract documents or of the
work to be performed thereunder, shall in any way affect its obligations or this bond, and
it does hereby waive notice of any such change, extension of time, alteration, or
modification of the contract documents or of work to be performed thereunder.
IN WITNESS WHEREOF, this instrument has been duly executed by the
Principal herein named on the 19th day of May 2015 the name and
corporate seal of each corporate party being hereto affixed and these presents duly
signed by its undersigned representatives pursuant to authority of its governing body.
PRINCIPAL:
Pacific Point Development Partners, LLC
By: \ �,
Its:
SURETY:
Ironshore Indemnity Inc.
By:
Margar A. Ginem , Attorney -in -Fact
CIO VALLIS OF FLORIDA
Surety Phone No, 4211 W. BOY SCOUT BLVD, #1000
TAMPA, FL 33607
INQUIRIES: (813)281-2095
Page 2 of 3
(NOTARIZATION AND SEAL)
(NOTARIZATION AND SEAL)
APPROVED AS TO FORM:
0
NOTE: Please attach Acknowledgement and Power of Attorney
Page 3 of 3
'. LIFORNIA ALL-PURPOSE ACKNOWLEDGMENT CIVIL CODE § 1189
JA
'Ki.Nfi<�n< i. "pKwNwt/ tiC!ri< [ .i �•(.
[•qt. ,v1en ert(t!nNr:/q(. q[2�nr.K�.vNnA(
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 Califomla V )
County f )
On before me,
personally appeared
Name(s) of Signer(s)
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(les), 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.
W. CORDI
commission N 2080325
_ •e Notary Public - California
Z Orange County
M Comm. Expires Oct 31, 2018 It
Place Notary Seal Above
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
Signature of Notary Public
OPTIONAL
Though this section is optional, completing this information can deter alteration of the document or
fraudulent reattachment of this form to an unintended document.
Description of Attached Document
Title or Type of Document:
Number of Pages: Signer(s)
Capecity(ies) Claimed by Signer(s)
Document Date:
Other Than Named Above: _
Signer's Name: Signer's Name:
❑ Corporate Officer — Title(s): ❑ Corporate Officer — Title(s):
❑ Partner — ❑ Limited ❑ General ❑ Partner — ❑ Limited ❑ General
❑ Individual ❑ Attorney in Fact ❑ Individual ❑ Attorney in Fact
❑ Trustee ❑ Guardian or Conservator ❑ Trustee ❑ Guardian or Conservator
❑ Other: ❑ Other:
Signer Is Representing: Signer Is Representing:
•/a« ..[:� ^'way.-'
• ru
O 1 • • • • •'• civV •L
ACKNOWLEDGEMENT BY SURETY
STATE OF FLORIDA
COUNTY OF HILLSBOROUGH I SS.
On this 19`h day of May, 2015 before me, personally came
Margaret A. Ginem, who is personally known to me (or proved
to me on the basis of satisfactory evidence) to be the person
who executed the within Instrument as Attorney -In -Fact on
behalf of Ironshore Indemnity Inc., and acknowledged to me
that he/she executed the within instrument on behalf of said
surety company and was duly authorized to do.'
In witness whereof, I have signed and affixed my official seal on
the date in this certificate first above writte .
Signature
Anett Cardinale
...M,� ANETT CARDINALE
.
Commisslon � FF 138482
s• +p
Explres July 28, 2018
uyrt
eeu,aes
wuw,aowssro;o
This area for Oficial Notarial Seal
�Sbmfe till t'O - 0, aubdffds_ $Oc4blig IA 80 abla. 119$ of OVILto& and gectivii 'M of the
QbW.Mr4eril.Codc; tcja6ngqq pliYMriiT form at q ilie-i1W. di�qjos&e
IPOcqjs�qexample�-ibr-
T
pmpqses il usjratjpp.
Ukc of other 6ffidcf 60fojw*
lngtW:
certifibafivedfies only, the identity of the
inifimid.ual vilia.'slgilcd the dOA'utnm'it.td IN'
,certificate. is at.ta6bed, and not -the Irdilffulness,
Ac6ftooy, o; valldity Of fbq(-46cupicrij,
8tqtd qf (;-ilifb_mi4
.Q.5unty. 6f _
Oil beffird ine,
ihsert name andlitle of-officc!j,*,Pemonplfy appeared
pfqy.pd �ro.M� otl0d:b.g.is of�,Atisfa[ctoiy.cyjdpidb to pmorri(i); whosq hqnjeW Js'**kS'q&ieiI:tji
-M;trumeaand acknowledged to me -'that: helshelthey executed iho.same.lir His/her/their
aK*.'qjgh,g'paciiy(j'
p4), gtid ;t
qa:tfie. li'simfno-nt' -or. tlie-
.e4tity 6pj)A 6&alf ofwOfch'the per' �*s).kled: pdcite_d th eins
truiu6at
patify. viler. 'PENM;�-. 09 REA'AAY hider the jaws pt the. Stitd. 6;r uliortilla that the' rdibgdrig,
parawaph'ib true ana'mrred-
WUNESS *..bkd and,(5ffidhl- seit,
Sgpatdrg (Seal
w-21000007
Ironshore Indemnity Inc.
KNOW ALL MEN BY THESE PRESENTS, that IRONSHORE INDEMNITY INC., a Minnesota Corporation, with its principal office in New York, NY does
hereby constitute and appoint: David H. Carr, Anett Cardinale, Margaret A. Ginem its true and lawful Attorney(s)-In-Fact to make, execute, seal and
deliver for, and on its behalf as surety, any and all bonds, undertakings or other writings obligatory in nature of a bond.
This authority is made under and by the authority of a resolution which was passed by the Board of Directors of IRONSHORE INDEMNITY INC. on the
22" a day of April, 2013 as follows:
Resolved, that the Director of the Company is hereby authorized to appoint and empower any representative of the company or other person or
persons as Attorney -In -Fact to execute on behalf of the Company any bonds, undertakings, policies, contracts of Indemnity or other writings obligatory
in nature of bond not to exceed $7,500,000 dollars, which the Company might execute through its duly elected officers, and-afnx the seal of the
Company thereto. Any said execution of such documents by an Attorney -In -Fact shall be as binding upon the Company as if they had been duly
executed, and acknowledged by the regularly elected officers of the Company. Any Attorney -In -Fact, soappointed, may be removed for good cause and
the authority so granted may be revoked as specified In the Power of Attorney.
Resolved, that the signature of the Director and the seal of the Company may be affixed by facsimile on any power of attorney granted, and the
signature of the Secretary, and the seal of the Company may be affixed by facsimile to any certificate of any such power and any such power or
certificate bearing such facsimile signature and seal shall be valid and binding on the Company. Any such power so executed and sealed and certificate
so executed and sealed shall, with respect to any bond of undertaking to which it Is attached, continue to be valid and binding on the Company.
IN WITNESS THEREOF, IRONSHORE INDEMNITY INC. has caused this Instrument to be signed by its Director, and Its Corporate Seal to be affixed this
7 th day of August, 2013
IRONSHORE INDEMNITY INC.
By:
a5ws
Director
ACKNOWLEDGEMENT
On this 7th Day of August, 2013, before me, personally came Daniel L. Sussman to me known, who being duly swom, did.depose and say that he is the
Director of Ironshore Indemnity, Inc. , the corporation described in and which executed the above Instrument; that he executed said instrument on
behalf of the corporation by authority of his office under the Bylaws of said corporation.
i /�\,� wxYLTAYLon l -d
e; mm� P,Nm. muco ortvnn..><v /
... Orvlamncwnry Amy l TeyY
uvcummissmne.oin.mao-,a Notary Pu
ciet�Y �.•'
CERTIFICATE
I, the undersigned, Secretary of IRONSHORE INDEMNITY INC., a Minnesota Company, DO HEREBY CERTIFY that the original Power of Attorney of
which the foregoing Is a true and correct copy, is In Tull force and effect and has not been revoked and the resolutions as set forth are now In force.
Signed and Sealed at this tem Day of May 2015
p oe�otii!
ItIE 1)
V
Paol S. Gl .dano
Sevetary
"WARNING: Any person who knowingly and with Intent to defraud any Insurance company or other person, (Iles and app licall,n for Insuranceor statement of claim
containing any materially false information, or conceals for the purpose of misleading Information concerning any fact material thereto, commits a fraudulent
Insurance act, which Is a crime and subjects such person to criminal and civil penalties."
IRONSNORE INDOMNIIY INC
FINANCIAL STATEMENT SUMMARY
k of December 30 2014
ASSETS
P,elened asides
Commonvarkl
Mod84e lams eO rW Cobra. Mt Len
Mortlate ban on rand esatc W than Poet rem
Properties Consoled by the omp4ny
PmpCM. held for IM produ[6on oft noon,
PmperdnlNddforsa'!
Cash ash e,,uMalmb and Chat We, IOvesrmenb
Contort loam
Dervatlwa
Other Invested onets
ReWveblete issoesd.
SecudBes Indfin FoloyHad rolbteN oven
AppraOte vnNNn fm(nrested even
Suatoah. mAandlnvestM Covets
Tide Pbnts kers Sw Charl ed Coif
Inmtmem Iname due and bowel
Uncollected p rout s and ager' Mlalxn In the mores of Cont elon
Warned premlume, mar' balanm and Imblments booked but deferred and not
Yesdw
A" rehosped/ve prerr4pma
A Cnb remvese 14.1. mlmunxa
Fundi held by on deposited MM rehnurnico npardes
Other amounts readable under relmrar mContraeb
Amar noabah a Madry b w1murad plans
Current federal and twellnlveme rax raoorenble and Interest thereon
NndNmedameet
Guaranty NO, raaWbk or on depmt
FarNara and lBulp.ent, Irldudlq halt ore delivery alvls
Na adjmm t M assets and BablOdn Out w fore{n exchange rata
ReaMblH bens parent, nbsk0tdn and offal
Nealth are and other amour readable
AWnabvnmC4ns feather Men Mvated used
Total aunts esdudln{ Sepante An unb, Se8leaad Aoounts and Pwteeted Cat
Aeeounts
fmra Se,u rste Aomunts, Seregated Aca>Tnts and Protected Cell Aaoona
0
UABI=n
0
S179,M947
Lou"
$63,MZAG
0
Rdneunrce payable an Pald bon and fuss.4lument vmm,.
0
31,940141
Ina adAnamnt uoenu
$]o,Sn,9S7
0
fbmMsolms Payable, MOn2ent anmissi0en and othvehnPr dmMa
$1,020905
0
Met wpm"(escendlrq saves. Rnmes and fees)
0
ran, NCOOCO% and rees(fadudmg (-de-land fral8n lrm anal
$ssb,ell]3]
0
fanamtfederYand laelBn hloomaam
$1431,392
0
MR desemdtn Nbltlty
0
$15,631951
Untamed premluu ,
$29,158,576
0
Atlnw premiwn
0
Cede d re2m4uxt premum? Parable Ines of ewbrgmmmhsbnsl
5381221187
0
Punds MM by mmpam/underreksurana tm.Ln
0
0
MMAU MMhtld or retalned by eompwty for account of when
0
Famltt.lasandltemsnu eliwtml
0
Profula forrelmunna
$1}85.075
5216,614,039
Hat djultreenn Masses and LaM011es due wfslp arAan{e rtes
0
Onlaouhandln{
$990960
Payable b parent subsidiaries and ere 1.1as
$11454310
$73,567,547
o teyw,
0
0
Payablefersear8les
0
0
Payableforseambnlendln{
0
$33,596,257
Da1,19tyforamounta held underwlmaed plans
0
0
A99regatewdtHm for llabllnes
$4,193,919
0
TwlRa1,1116es adudlM prolexted Call labylOes
$190,811151
0
ProtnW al lbblAUes
0
$5,530,937
Total 9ea1elH
$ssb,ell]3]
0
0 MUC11101DEW5 SURPLUS
0 AQTrnalevmte4m forspechl tumhn funds
0
D
0 COmmmaNlalawck S.000m0
$7,124971 Prdrnedoplblstml,
$317,414,611
A99rgatevadW m forether than special surplus 0
D Sumlu Notes
TGTALS $30,414,611 Gmap ldhandomobutedsurplu
CERTIFICATE
teefnfy Mat the amve flmntlal sruements to Ore Mslof my
Irwrkd{eeree true and aaunte rellestlmof Me financial
o7nditbn W Me ComPauY a of Deeember3l, lou.
AOdNondty, I certNythel Me above Onmdd sahmenb Cora
In agreement MM Me Satubry anmdal Statements filed MM us, Texas
Dep Arnent of Inwarxe as of the Come date,
"Mam1Gleawn
M YPATre n,fel,
SIS6,931,671
Onaslgrddfundstwmkny ($5,331,1901
Sumw aareeardsp*ICyMlden SZSIM3141
TOTALS S347A14,611
SUBSCAI9FOandawmomelNsYrdryol///f� ]Ujtj
My—mn,ane,rOn 7•yU �/((
NotaryPubllc
Plead Name ALYSSA TURKOVITZ
N01sry Public, State of New York
aLyssATURFDvIrz _ No. OITU6044514
j )• • — - ,/ Qualified In Westchester County
6 y io v! < /i✓I ce 11, jl> Commieelon Expims July 10, 2010
NotatQPudlf, Sam of Naw York
No,017U6o44514
QualMed In WastMesler County
Canmisdon Faplm lull 10, 2014
RELEASED
Date:
City Clerk
City of San Juan Capistrano,
(GOVERNMENT CODE 66499.2)
Bond No. SUR21000007
Replaces Bond No. SUR20000342
KNOW ALL MEN BY THESE PRESENTS, that Pacific Point Development Partners, LLC
(hereafter designated as "Principal"), and Ironshore Indemnity Inc.
as Surety (hereinafter called "Surety") agree to install and complete certain designated
public improvements as conditioned by City Council Resolution No's. 92-6-16-4 and
03-09-16-06.
WHEREAS, said Principal is required to furnish a bond pursuant to Municipal
Code Section 9-5.101 and 9-5.109 at seq., for the faithful performance to guarantee
certain work, more particularly described as follows:
Street subdivision improvements within Tract 16752 as defined within Amendment #1 and
Reinstatement of the Subdivision Improvement Agreement for Tract 16752
NOW, THEREFORE, we the Principal and Surety are held firmly bound unto the
City of San Juan Capistrano, (hereafter called "Obligee") in the penal sum of
Nine Hundred Eighty Six Thousand Nine Hundred Thirty Two Dollars and 00/100 Dollars ($.986,932.00 lawful
money of the United States, for the payment of which sum well and truly to be made, we
bind ourselves, our heirs, successors, executors and administrators, jointly and
severally, firmly by these presents.
NOW, THEREFORE, the condition of this obligation is such that if the above
bound Principal, his or its heirs, executors, administrators, successors or assigns, shal
in all things stand to and abide by and well and truly keep and perform the covenants,
conditions and provisions per City Council Resolution No's. 92-6-16-04 and 03-09-16-
06, 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 true intent and meaning, and shall
indemnify and save harmless the City, its offers, agents and employees as therein
stipulated, and, as necessary enter into a Subdivision Agreement, then this obligation
shall become null and void; otherwise it shall be and remain in full force and effect.
Page 1 of 3
BE IT FURTHER RESOLVED:
1. As a part of the obligation secured hereby, and in addition to the face
amount specified therefore, 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.
2. Said Principal hereby stipulates and agrees that no change, extension of
time, 'alteration, or modification of the terms of the agreement or of the work to be
performed thereunder, shall in any way affect its obligations or this bond, and it does
hereby waive notice of any such change, extension of time, alteration or modification of
the terms of the agreement or of the work or to the specifications.
IN WITNESS WHEREOF, this instrument has been duly executed by the
Principal herein named on the 19th day of May , 2015 the name and
corporate seal of each corporate party being hereto affixed and these presents duly
signed by its undersigned representatives pursuant to authority of its governing body.
PRINCIPAL:
Pacific Point Development Partners, LLC
BY:
Its:
SURETY:
Ironshore Indemnity Inc.
(NOTARIZATION AND SEAL)
(NOTA
By: RIZATION AND SEAL)
?na��� Q ���n�
MargaAA. Ginem Attorney -in -Fact
d2111 V8oYSCOF FLORIDA
L O IDp�Ap
Surety Phone No. TAMPA, FI.33607
M,
iNaUIRIEs: (813)281-2095
Page 2 of 3
APPROVED AS TO FORM:
0
NOTE: Please attach Acknowledgement and Power of Attorney
Page 3 of 3
CALIFORNIA ALL-PURPOSE ACKNOWLEDGMENT CIVIL CODE § 1189
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 V! UU I
personally appeared
before me,
St4pre I seri Name and
.P
Name(s) of Signer(s)
OHlcer
who proved to me on the basis of satisfactory evidence to be, the person(s) whose name(s) islare
subscribed to the within instrument and acknowledged to me that he/she/they executed the same in
his/her/their authorized capacltyQes), and that by his/her/theirsignature(s) on the instrument the person(s),
or the entity upon behalf of which the person(s) acted, executed the instrument.
W. CORDI
_ Commission
-#-20-88-32-5-
T
2088325z Notary Public -California
z ' Orange County
My Comm. Ex fres Oct 31.2018+
Place Notary Seal Above
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.
�,II,I.1 IrII
Signature of Notary Public
OPTIONAL
Though this section is optional, completing this information can deter alteration of the document or
fraudulent reattachment of this form to an unintended document.
Description of Attached Document
Title or Type of Document:
Number of Pages:
Document Date:
Signer(s) Other Than Named Above:
Capacity(fes) Claimed by Signer(s)
Signer's Name:
❑ Corporate Officer — Title(s):
❑ Partner — ❑ Limited ❑ General
❑ Individual ❑ Attorney in Fact
❑ Trustee D Guardian or Conservator
❑ Other.
Signer Is Representing:
Signer's Name:
❑ Corporate Officer — Title(s):
❑ Partner — ❑ Limited ❑ General
❑ Individual ❑ Attorney in Fact
❑ Trustee ❑ Guardian or Conservator
❑ Other.
Signer Is Representing:
o r .„ .v :rr • :rr •r
ACKNOWLEDGEMENT BY SURETY
STATE OF FLORIDA
COUNTY OF HILLSBOROUGH I SS.
On this 19th day of May, 2015 before me, personally came
Margaret A. Ginem, who is personally known to me (or proved
to me on the basis of satisfactory evidence) to be the person
who executed the within Instrument as Attorney -In -Fact on
behalf of Ironshore Indemnity Inc., and acknowledged to me
that he/she executed the within instrument on behalf of said
surety company and was duly authorized to do.
In witness whereof, I have signed and affixed my official seal on
the date in this certificate first above writte
Signature
Anett Cardinale
,a+afJy ANETCARDINALE
CommTsslon#FF 138482
-X Ezplres July 28, 2018
14. �$ s,�e.emN.ariwiN�.wwoaeemie
This area for Oficial Notarial Seal
lftAtiu 100, 4rll&fya$eCitioli§-1,199 t4l.a dwittodt. and 8ectio-11 9-1&-bf I&
Goer ent.dode;.relatmg to nOi.4nes.'PAbjft;, ph ca`L form
3kqqcq-j§.-P. eXWPIDOfprpi.uppsq OriRusjxatim-
41h6taty, PU�jir of other 6fid
'; - , .. ef 6oiOpiAtIinb,;tjd.$:
cerfifibafi vetifies.only the id.6ntity'6f the '
WApMqnL
ind�l 'Iduai Y�hQ. kipedthe do " to : ilailf
. . .. wl
.certificate. is atia6hed, and not the tr�fhfulnoss,
Acbullpby. of Validity Of t af-c oeupienT.
`tate giC,'aliforoia
- C.aunty. of
on fi&w
.ibsert haincand'title 6fofficcr),.personally pppe40 pihq
pfpy.p4 jo..W.r oo-the .basis: ofl.a' '4"U V6np—n(&), 4o-��fiatpe(�) �ls/4r� sAgd
�Afaetory-cvjdpjdb to sl
t
,16. *AU -F6trumcnt: and acknowledged to nm'that: helshelthey, executed the same;ln-.Ifisiediheir
I-Atity, 6p4 6&ofWich'thb fe
d ekdaile'd thcin'strmuent
p=g.raph is true and'correct
WITNESS fty-fiAnd 4hd.6(rici ait snit:
99 Afar.e.
III- 21000007
Ironshore Indemnity Inc,
KNOW ALL MEN BY THESE PRESENTS, that IRONSHORE INDEMNITY INC., a Minnesota Corporation, with Its principal office in New York, NY does
hereby constitute and appoint: David H. Carr, AnettCardinale, Margaret A. Ginem Its true and lawful Attorney(s)-In-Fact to make, execute, seal and
deliver for, and on its behalf as surety, any and all bonds, undertakings or other writings obligatory in nature of a bond.
This authority Is made under and by the authority of a resolution which was passed by the Board of Directors of IRONSHORE INDEMNITY INC. on the
22"a day of April, 2013 as follows:
Resolved, that the Director of the Company Is hereby authorized to appoint and empower any representative of the company or other person or
persons as Attorney -In -fact to execute on behalf of the Company any bonds, undertakings, policies, contracts of indemnity or other writings obligatory
in nature of a bond not to exceed $7,500,000 dollars, which the Company might execute through Its duly elected officers, and affix the seal of the
Companythereto. Any said execution of such documents by an Attorney -In -Fact shall be as binding upon the .Company as if they had been duly
executed and acknowledged by the regularly elected officers of The Company. Any Attorney -In -Fact, so appointed, may be removed for good cause and
the authority so granted may be revoked as specified In the Power of Attorney.
Resolved, that the signature of the Director and the seal of the Company may be affixed by facsimile on any power of attorney granted, and the
signature of the Secretary, and the seal of the Company may be affixed by facsimile to any certificate of any such power and any such power or
certificate bearing such facsimile signature and seal shall be valid and binding on the Company. Any such power so executed and sealed and certificate
so executed and sealed shall, with respect to any bond of undertaking to which it is attached, continue to be valid and binding on the Company.
IN WITNESS THEREOF, IRONSHORE INDEMNITY INC has caused this Instrument to be signed by its Director, and its Corporate Seal to be affixed this
7`h day of August, 2013
IRONSHORE INDEMNITY INC.
By:
Dane L.Sussn n
Director
ACKNOWLEDGEMENT
On this 7'h Day of August, 2013, before me, personally came Daniel L. Sussman to me known, who being duly sworn, did depose and say that he Is the
Director of Ironshore Indemnity, Inc. , the corporation described in and which executed the above Instrument; that he executed said Instrument on
behalf of the corporation by authority of his office under the By-laws of said corporation.
RdKtl ni
Nebry Puree
CERTIFICATE
I, the undersigned, Secretary of IRONSHORE INDEMNITY INC., a Minnesota Company, DO HEREBY CERTIFY that the original Power of Attorney of
which the foregoing is a true and correct copy, is in full force and effect and has not been revoked and the resolutions as set forth are now in force.
Signed and Sealed at this 191h Day of May 2015
,id'.oyy
tt tom. ,1
Pdels.GI dam
Secretary
"WARNING: Any person who knowingly and with Intent to defraud any Insurance company or other person, files and application for insurance or statement ordains
containing any materially false Information, or conceals for the purpose of misleading Information concerning any fact material thereto, commits a fraudulent
Insurance act, which Is a crime and subjects such person to criminal and civil penalties."
nrm�innoa
fi ^^i i
ea.y Puena sm�e ar."nvvttv
o..Wwncwnir
i,2'�...fe,.
Nr cw..x.umr�v�..oeasre
RdKtl ni
Nebry Puree
CERTIFICATE
I, the undersigned, Secretary of IRONSHORE INDEMNITY INC., a Minnesota Company, DO HEREBY CERTIFY that the original Power of Attorney of
which the foregoing is a true and correct copy, is in full force and effect and has not been revoked and the resolutions as set forth are now in force.
Signed and Sealed at this 191h Day of May 2015
,id'.oyy
tt tom. ,1
Pdels.GI dam
Secretary
"WARNING: Any person who knowingly and with Intent to defraud any Insurance company or other person, files and application for insurance or statement ordains
containing any materially false Information, or conceals for the purpose of misleading Information concerning any fact material thereto, commits a fraudulent
Insurance act, which Is a crime and subjects such person to criminal and civil penalties."
FMANCIAL STAT E MTNT SUMMrlWf
N of December 3;1014
ASSETS
Pnfarcdslods
Coln ren curia
lAar0}e[elmns en reN atsfe.Ant lens
M.Maleloena on ml nU W ODrlthan Ont Bem
pmpemm rsmupled by the company
P.Pettla hold for U. productional nmrne
Pmper6"hddf,ru:e
Cash. mha Wwhandihor(.lerm 1,estusnts
Cmimt lam
OerMtivn
Othofmnted arab
Rccel"blal"resUltla
Setudde, lending rdmYated tethtew assets
A4Rrepte wd1Nm f.nlmated Suets
Subfobls.mh andInvaded abets
Tide plants Iw $,, Charyedorr
InvesuneM Income due end eapucd
Uncollated prerlrums and alents'balanm In the count of m0totlen
Dderted pnnW..;'prams' Manta all WbVmenb booked butdderted and not
yecdue
Mruved nborpedhe Dr.Mums
A .Ur..beefr.nrdnsuraa
Fulls held by or depended MM teimmed mmpsolea
Otho amounts r.Mbla under mtnmm. contracts
ArevpuMa revMbe Wkft wwlm.NDlaa
Current fedml and ferellnlm.ne Us recoverable and Interest thereon
Netddemed tss assN
GMnnrytwaa rwMbM a m depxlt
furnitureall eyulpmen%["eluding health are 147assete
Net adjustment In aleft and Ibb16da lu. t. huar neschange farm
R"ebnbles from parent, s W sldades and a011bbt
Health .,.and orb" ameonh radnble
Aggravate vn6e4na(..the, than Invested ass"s
Total auN "dud" Separate Ao o.nb, 5grmtN Acmwts and Protected Cd.
Aaeunts
From Sepann Accounts Seam.led Acmrmts and Proteded Cell Aacunts
0 Sumlur Na"
TOTALS SN],414,611 Grotapaldlnendrmtnbutadsurpla
11
cFRnfta7l
I carufy taut Ne above flnmdal sbtemenb b the bat el my
kn wLed6e area truemdamunte raOeAonofthe nnasclal
condilbn ot the Company., of December 3; 2014.
MdlUondry, I eett1s, thea the above Mendel abtements am
In agreement MU the Sbmmry Mendal Statements filed with the Te.us
Department of Imm.rre as of the tame date
W911amJdees.n
gQ VPd Tre1'wer
$63,562,066
0
$]6,364,95]
$;dtgeos
$5,433,126
$1,363,909
$;434,393
0
$19,136,576
$58,12;187
0
"5.075
$12.454310
0
0
0
0
$4,185,916
5190.811,132
$190,811,231
0
5,000,000
0
$156,936,6]1
unaalgnad funds (surplus;
UNNUTIES
$179,140,947
cora
Q
ROImunmot P"le on Paid bran and lora adlul""te,ptnta
31,BOQ.141
lm WjusPnent expamn
0
Cmm�lsiem payade, mnunlent mmmlulons all otheraMtler chart"
0
Other CXF m"("d-dInt taxa. Ilamet and fen)
0
Tua,&eneaand fees(auludmt federal •rd f.eltn lm.ne us.)
0
current federal and Am], lomma Was
0
Nn deferred! tssfhbiliry
$15,63;951
Uneamndpremlans
0
AdvencepnMum
0
Carter! role—Pramlums PaYible(n" of ceder, oainmissl",j
0
Fund. held b/ mmpalrl' underreYmear ematin
0
A211amts v4lhMtd of retained by mmparry fee am.unt of oWN
0
P.Mlbma aid "ams net tllobled
0
Provblen forrelmunha
$236,614.039
Nnadnetments lnsuets and lablWes due teferN6n amaan,.m.
0
Wksgutsbndinb
$994960
Payable t4 perntsubrldief. MsMN"a
$73,567,547
parMdta
0
Payablofasecurnes
0
Payable for securl6a lendlnp
$33.584357
11111, for ammnts held underwlmurad clam
0
Algnag".VMUAm foe 0ab3pla
0
Total 11ab111U. evtludly protected mO lhhUm"
0
Pmtcwd ce61Nb1111es
0
$5,530,a37
Tubi Rahlifn
0
0
POLMYNMDWS SURPLUS
0
Annn.t..I.Ur WspechlaurplS funds
0
0
ummonaplAsteck
$7.124,971
prd"red oplblsbdr
$347,414,611
AgreBmewdtHm for other than apab l surpl.
0 Sumlur Na"
TOTALS SN],414,611 Grotapaldlnendrmtnbutadsurpla
11
cFRnfta7l
I carufy taut Ne above flnmdal sbtemenb b the bat el my
kn wLed6e area truemdamunte raOeAonofthe nnasclal
condilbn ot the Company., of December 3; 2014.
MdlUondry, I eett1s, thea the above Mendel abtements am
In agreement MU the Sbmmry Mendal Statements filed with the Te.us
Department of Imm.rre as of the tame date
W911amJdees.n
gQ VPd Tre1'wer
$63,562,066
0
$]6,364,95]
$;dtgeos
$5,433,126
$1,363,909
$;434,393
0
$19,136,576
$58,12;187
0
"5.075
$12.454310
0
0
0
0
$4,185,916
5190.811,132
$190,811,231
0
5,000,000
0
$156,936,6]1
unaalgnad funds (surplus;
[55,335,150]
S.W. as moulds pollgh Idem
$]56,60;461
TO7At5
$347.414.611
9UBSCRIBEOandswornIomaIHse[AdiTol��y; Pjj
MYmmn[taen esprn: 7 /dam/Y
Notary Public
printed Neme ALYSSA TURKOVITZ
Notary Public, State of New York
ALYSSATIIRROVITt No. 01TU6044514
Ouellfied-In Westchester County
r Core BPires July 10, 2018
Noter1.OLbil4Sto mNewyorY
No.0111150M514
QuanRed In Westchester County
CeremdtdOn 2splma Jut, 10,2014
RELEASED
Date`. 2
Signature
City Clerk `
City of San Juan Capistrano, CA
Premium: $533.00
SUBDIVISION FAITHFUL PERFORMANCE BOND
(GOVERNMENT CODE 66499.2)
Bond No. SUR2100DO09
Replaces Bond No. SUR2D000343
KNOW ALL MEN BY THESE PRESENTS, that Pacific Point Development Partners LLC
(hereafter designated as "Principal"), and Ironshore Indemnity Inc.
as Surety (hereinafter called "Surety") agree to install and complete certain designated
public improvements as conditioned by City Council Resolution No's. 92-6-16-4 and
03-09-16-06.
WHEREAS, said Principal is required to furnish a bond pursuant to Municipal
Code Section 9-5.101 and 9-5.109 et seq., for the faithful performance to guarantee
certain work, more particularly described as follows:
Storm Drain subdivision improvements within Tract 16752 as defined within Amendment #1 and
Reinstatement of the Subdivision Improvement Agreement for Tract 16752
NOW, THEREFORE, we, the Principal and Surety are held firmly bound unto the
City of San Juan Capistrano, (hereafter called "Obligee") in the penal sum of
Seventy One Thousand One Hundred Eighteen Dollars and 0/100 Dollars, ($71,118.00 ) lawful money
of the United States, for the payment of which sum well and truly to be made, we bind
ourselves, our heirs, successors, executors and administrators, jointly and severally,
firmly by these presents.
NOW, THEREFORE, the condition of this obligation is such that, if Principal shall
promptly and faithfully perform said improvement obligations within the fully executed
and recorded subdivision improvement agreement, then the obligation shall be null and
void; otherwise it shall remain in full force and effect.
Page 1 of 3
-i J -J i
BE IT FURTHER RESOLVED:
1. As a part of the obligation secured hereby, and in addition to the face
amount specified, 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.
2. Said Principal,•for value received, hereby stipulates and agrees that no
change, extension of time, alteration, or modification of the contract documents or of the
work to be performed thereunder, shall in any way affect its obligations or this bond, and
it does hereby waive notice of any such change, extension of time, alteration, or
modification of the contract documents or of work to be performed thereunder.
IN WITNESS WHEREOF, this instrument has been duly executed by the
Principal herein named on the 19th day of May , 2015 , the name and
corporate seal of each corporate party being hereto affixed and these presents duly
signed by its undersigned representatives pursuant to authority of its governing body.
PRINCIPAL:
Pacific Point Development Partners, LLC
By: 1L—
Its: `�.1k�d��2cJd S:gnh�o�h
—�_
SURETY:
Ironshore Indemnity Inc.
By:
Margaret . Ginem , Attorney -in -Fact
010 WILLIS OF FLORIDA
Surety Phone No, 4211 W. BOY SCOUT BLVD, tt1000
TAMPA, FL33607
INQUIRIES: (813)281-2095
Page 2 of 3
(NOTARIZATION
(NOTARIZATION AND SEAL)
(NOTARIZATION AND SEAL)
APPROVED AS TO FORM:
M
NOTE: Please attach Acknowledgement and Power of Attorney
Page 3 of 3
CALIFORNIA ALL-PURPOSE ACKNOWLEDOMENY CIVIL CODE § 1189
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 ofCalifornia )
County of f, )
On I before me,
Da a J In ert Name and Title of the Officer
personally appeared Ph/ h �� �J . 21.�/M
Name(s) of Signer(s)
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 capacityCies),.and,that by his/her/their signature(s) on the Instrument the person(s),
or the entity jupon behalf of which the person(s) acted, executed the Instrument.
W. CORDI
Commission # 2058325
z -o Notary Public - Cxlllornla
z ' • Orange County
My Comm. Expires Oct 31. 2018
rte+-ti+ro
Place Notary Seal Above
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 A40 l.Pit (
Signature of Notary Public
OPTIONAL
Though this section is optional, completing this information can deter alteration of the document or
fraudulent reattachment of this form to an unintended document.
Description of Attached Document
Title or Type of Document:
Number of Pages:
Document Date:
Signer(s) Other Than Named Above:
Capacity(les) Claimed by Signer(s)
Signer's Name:
❑ Corporate Officer — Title(s):
❑ Partner — ❑ Limited ❑ General
❑ Individual ❑ Attorney in Fact
❑ Trustee ❑ Guardian or Conservator
❑ Other:
Signer Is Representing:
Signer's Name:
❑ Corporate Officer — Title(s):
❑ Partner — ❑ Limited ❑ General
❑ Individual ❑ Attomey in Fact
❑ Trustee ❑ Guardian or Conservator
❑ Other.
Signer Is Representing:
@2014 National Notary Association • www.NatlonalNotary.org • 1 -800 -US NOTARY (1-800-876-6B27) Item tf5907
ACKNOWLEDGEMENT BY SURETY
STATE OF FLORIDA
COUNTY OF HILLSBOROUGH I SS.
On this 19th day of May, 2015 before me, personally came
Margaret A. Ginem, who is personally known to me (or proved
to me on the basis of satisfactory evidence) to be the person
who executed the within Instrument as Attorney -In -Fact on
behalf of Ironshore Indemnity Inc., and acknowledged to me
that he/she executed the within instrument on behalf of said
surety company and was duly authorized to do.
In witness whereof, I have signed and affixed my official seal on
the date in this certificate first above written.
Signature
Anett Cardinale
:ed,4 CNETTCARDINALE
ommission # FF 138482
Expires July 28, 2818
Um -di im i4b,.w, 800]95.1010
This area for Oficial Notarial Seal
£6W13M 1 0, arh d --904,Eo , . IA 0 Wa 119 * ` R g.
.0 dif. -'_Sections.
CoSeartag -102-oflfia
jQb.WrM.O-tCba6'j felafing-jo. .01o, 6
q sur
A hbfA.1y. j.Mbjic of other 6ffidef 60iVAtinw th .
a
cerfi�it*�*at-cr'i,crifies.onlythe idbntity'6f the
jncH.vduai
Who'sigied, the d6Ntnqnt.w WfiIdfv -thM
certificate.Is attached, and not the trdthfulnesst
Ar,olraCy; orv44.ty pf twOolinient.
SiAtd -.I?f C-ajifo.rbia.
Oil . - .,bvf6rdfne,.,, . fidw
:ifiseit D'ai6'antf title U officcivpersonally appcared
proved ti} }[i, oq [he basis, of atistactoty.:eVide'r ce in b `tGe,':person(s)' Whose i anic(s) is/�tl suh}qribed:tfx
jli6.*itlun"-1&6uinent:and' ackno)vledged-to,me-'that:hdshelthey excouted ibe.samw'ln-.TI-Aerltheiz
Ad -.4gt by. vjl,tfie W&Pinom 1J4 -vason of the:
entity opsit. behalf of w;Wji;h'tfib_fd vk 6cxfledth5"-iftstruiu6nt
parag.m'l3h-j's true and -correct
WNNESS ii&..fiAnd AhApffimhl- saL.
(Seal)
m
III- 21000009
Ironshore Indemnity Inc.
KNOW ALL MEN BY THESE PRESENTS, that IRONSHORE INDEMNITY INC., a Minnesota Corporation, with its principal office In New York, NY does
hereby constitute and appoint: David H. Carr, Anett Cardinale, Margaret A. Ginem its true and lawful Attorneys) -In -fact to make, execute, seal and
deliver for, and on its behalf as surety, any and all bonds, undertakings or other writings obligatory in nature of a bond.
This authority is made under and by the authority of a resolution which was passed by the Board of Directors of IRONSHORE INDEMNITY INC. on the
22°d day of April, 2013 as follows;
Resolved, that the Director of the Company Is hereby authorized to appoint and empower any representative of the company or other person or
persons asAttorney-In-Fact to execute on behalf of the Company any bonds, undertakings, policies, contracts of indemnity or other writings obligatory
In nature of a bond not to exceed $4500,000 dollars, which. the Company might execute through Its duly elected officers, and affix the seal of the
Company thereto. Any said execution of such documents by an Attorney -in -Fact shall be as binding upon the Company as If they had been duly
executed and acknowledged by the regularly elected officers of the Company, Any Attorney -In -Fact, so appointed, may be removed for good cause and
the authority so granted may be revoked as specified In the Power of Attorney.
Resolved, that the signature of the Director and the seal of the Company may be affixed by facsimile on any power of attorney granted, and the
signature of the Secretary, and the seal,of the Company may be affixed by facsimile to any certificate of any such power and any such power or
certificate bearing such facsimile signature and seal shall be valid and binding on the Company. Any such power so executed and sealed and certificate
so executed and sealed shall, with respect to any bond of undertaking to which It is attached, continue to be valid and binding on the Company.
IN WITNESS THEREOF, IRONSHORE INDEMNITY INC. has caused this Instrument to be signed by its Director, and Its Corporate Seal to be affixed this
7th day of August, 2013
IRONSHORE INDEMNITY INC.
i� Seti.a
t'f eua 7;
By.
DaATeT_L.Suss'M1rn
Director
ACKNOWLEDGEMENT
On this 7" Day of August, 2013, before me, personally came Daniel L Sussman tome known, who being duly sworn, did depose and say that he is the
Director of Ironshore Indemnity, Inc. , the corporation described in and which executed the above instrument; that he executed said Instrument on
behalf of the corporation by authority of his office under the By-laws of said corporation.
i'' uta
Amy 1. Ta
NearyP c
CERTIFICATE
I, the undersigned, Secretary of IRONSHORE INDEMNITY INC., a Minnesota Company, DO HEREBY CERTIFY that the original Power of Attorney of
which the foregoing is a true and correct copy, is in full force and effect and has not been revoked and the resolutions as setforth are now In force.
Signed and Sealed at this 191h Day of May 20 15
i . aur
un
PAUIS.Gi dam
Sauetary
"WARNING: Any person who knowingly and with Intent to defraud any Insurance company or other person, files and application for Insurance or statement of claim
containing any materially false information, or conceals for the purpose of misleading information concerning any fact material thereto, commits a fraudulent
Insurance act, which is a crime and subjects such person to criminal and civil penalties."
AMY YAYLOR
PuglbalabWalhmessee
+� � z
'yat�..,,
oMew.Counry
Nreuivnlaaon
.'
fapm01A41a
Amy 1. Ta
NearyP c
CERTIFICATE
I, the undersigned, Secretary of IRONSHORE INDEMNITY INC., a Minnesota Company, DO HEREBY CERTIFY that the original Power of Attorney of
which the foregoing is a true and correct copy, is in full force and effect and has not been revoked and the resolutions as setforth are now In force.
Signed and Sealed at this 191h Day of May 20 15
i . aur
un
PAUIS.Gi dam
Sauetary
"WARNING: Any person who knowingly and with Intent to defraud any Insurance company or other person, files and application for Insurance or statement of claim
containing any materially false information, or conceals for the purpose of misleading information concerning any fact material thereto, commits a fraudulent
Insurance act, which is a crime and subjects such person to criminal and civil penalties."
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SNI AIiN W10N13tlON5NOtl1
RELEASED
Date: "�w�
Signature:
City Clerk _
City of San Juan Capistrano, CSUBDIVISION LABOR AND MATERIAL BOND
(GOVERNMENT CODE 66499.2)
Bond No. SUR21000009
Replaces Bond No. SUR20000343
KNOW ALL MEN BY THESE PRESENTS, that Pacific Point Development Partners, LLC
(hereafter designated as "Principal"), and Ironshore Indemnity Inc.
as Surety (hereinafter called "Surety") agree to install and complete certain designated
public improvements as conditioned by City Council Resolution No's. 92-6-16-4 and
03-09-16-06.
WHEREAS, said Principal is required to furnish a bond pursuant to Municipal
Code Section 9-5.101 and 9-5.109 et seq., for the faithful performance to guarantee
certain work, more particularly described as follows:
Storm Drain subdivision improvements within Tract 16752 as defined within Amendment #1 and
Reinstatement of the Subdivision Improvement Agreement for Tract 16752
NOW, THEREFORE, we the Principal and Surety are held firmly bound unto the
City of San Juan Capistrano, (hereafter called "Obligee") in the penal sum of
Seventy One Thousand One Hundred Eighteen Dollars and oo/1oo Dollars ($71,118.00 ) lawful
money of the United States, for the payment of which sum well and truly to be made, we
bind ourselves, our heirs, successors, executors and administrators, jointly and
severally, firmly by these presents.
NOW, THEREFORE, the condition of this obligation is such that if the above
bound Principal, his or its heirs, executors, administrators, successors or assigns, shal
in all things stand to and abide by and well and truly keep and perform the covenants,
conditions and provisions per City Council Resolution No's. 92-6-16-04 and 03-09-16-
06, 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 true intent and meaning, and shall
indemnify and save harmless the City, its offers, agents and employees as therein
stipulated, and, as necessary enter into a Subdivision Agreement, then this obligation
shall become null and void; otherwise it shall be and remain in full force and effect.
Page 1 of 3
BE IT FURTHER RESOLVED:
1. As a part of the obligation secured hereby, and in addition to the face
amount specified therefore, 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.
2. Said Principal hereby stipulates and agrees that no change, extension of
time, alteration, or modification of the terms of the agreement or of the work to be
performed thereunder, shall in any way affect its obligations or this bond, and it does
hereby waive notice of any such change, extension of time, alteration or modification of
the terms of the agreement or of the work or to the specifications.
IN WITNESS WHEREOF, this instrument has been duly executed by the
Principal herein named on the 19th day of May 1 2015 the name and
corporate seal of each corporate party being hereto affixed and these presents duly
signed by its undersigned representatives pursuant to authority of its governing body.
PRINCIPAL:
Pacific Point Development Partners, LLC
By:\\\J
Its:
SURETY:
Ironshore Indemnity Inc.
By:. �q
MargardfA. Ginem Attorney -in -Fact
010 WILLIS OF FLORIDA
1211 W. BOY SCOUT BLVD, #1000
Surety Phone No. TAMPA, FL 33607
INQUIRIES: (813)281-2095
Page 2 of 3
(NOTARIZATION AND SEAL)
(NOTARIZATION AND SEAL)
,
APPROVED AS TO FORM:
NOTE: Please attach Acknowledgement and Power of Attorney
Page 3 of 3
CALIFORNIA ALL-PURPOSE ACKNOWLEDGMENY CIVIL CODE § 11189
n✓n< <nKri<!nNnN N6 NdN6:rK (nl:n '10.tn rK n ncTNA<•-< i�Ntia <ipw eAr
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 rk7d before me, W , 06 U(f � / /Mar) Pub /i(„�
Date Here 1rt Name an Title o/ the'Officer
personally appeared �/ f 1X�
Name(s) of Sioner(s)
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(fes), 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.
W. COR01
Commission N 2088325
z • `�� Notary Public - California i
Otange County '
My Comm. Expires Oct 31, 2018
Place Notary Seal Above
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
Signature of Notary Public
OPTIONAL
Though this section is optional, completing this information can deter alteration of the document or
fraudulent reattachment of this form to an unintended 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:
❑ Corporate Officer — Title(s);
❑ Partner — ❑ Limited ❑ General
❑ Individual ❑ Attorney in Fact
❑ Trustee ❑ Guardian or Conservator
❑ Other:
Signer Is Representing:
Signer's Name:
❑ Corporate Officer — Title(s):
❑ Partner — ❑ Limited ❑ General
❑ Individual ❑ Attorney in Fact
❑ Trustee ❑ Guardian or Conservator
❑ Other:
Signer Is Representing:
ACKNOWLEDGEMENT BY SURETY
STATE OF FLORIDA
COUNTY OF HILLSBOROUGH I SS.
On this 1.9th day of May, 2015 before me, personally came
Margaret A. Ginem, who is personally known to me (or proved
to me on the basis of satisfactory evidence) to be the person
who executed the within Instrument as Attorney -In -Fact on
behalf.of Ironshore Indemnity Inc., and acknowledged to me
that he/she executed the within instrument on behalf of said
surety company and was duly authorized to do.
In witness whereof, I have signed and affixed my official seal on
the date in this certificate first above written.
Signature
Anett Cardinale
ANETTCARDINALE
Commission 4 FF 138482
=?'• Expires July 28, 2018
'fRn.A•°' S.Ad.e TW Thor fin N , BWe ,j ..
This area for Oficial Notarial Seal
fi94Mtlq* 13i 1.'6$0, 2ib6ild $et,6oris. ]09 bW- I lq$.VfJhd. Civil -r.(Yd6,and 8ewriii 8-IO2'of the
ObW.MfAt. CqO'ej. Xdlatingjq n0fafiqs: pAbift..'nd 1445q.#ytigal fonpai, o t} % jic!*. ais;qlosurd
notice;Or es- *atjpkL.
ji�.-p ex�mple;- purposes
hO%.ary.gfiblic ofother officer coiripletine this:
CeMibiitevcrifies.oaly the idbntity'6f �ithe
h '-
individual '10 1dli-u
c!. sided the Mg w :6
.cerCificate.isatia6hed and not the trulhfulnesst
.Q.bunty. of
O'ce
pr
of
Ort
ertnan"'e O'o
11 the.' bast and a,
proved
t� t� 0
th ? ; and'title
�tmm
e lin
auWoti� . lapacjiy(�es�, 0� d bf ;he
entity
chalf orw
hl
ton behalf �,h t
parao'h i's We aua correct-
VMNESLq ii&-lAnd aiid.6ffidia- wil..
.8iactfr.q (Sear99
III- 21000009
Ironshore Indemnity Inc.
KNOW ALL MEN BY THESE PRESENTS, that IRONSHORE INDEMNITY INC., a Minnesota Corporation, with Its principal office in New York, NY does
hereby constitute and appoint: David H. Carr, Anett Cardinale, Margaret A. Ginem its true and lawful Attorney(s)-In-Fact to make, execute, seal and e
deliver for, and on its behalf as surety, any and all bonds, undertakings or other writings obligatory in nature of a bond.
This authority is made under and bythe authority of a resolution which was passed by the Board of Directors of IRONSHORE INDEMNITY INC. on the
22nd day of April, 2013 as follows:
Resolved, that the Director of the Company is hereby authorized to appointand empower any representative of the company or other person -or
persons as Attorney -In -Fact to execute on behalf of the Company any bonds, undertakings, policies, contracts of indemnity or other writings obligatory
in nature of a bond not to exceed -$7,500,000 dollars, Which the Company might execute through Its duly elected officers, and affix the seal of the
Company thereto. Any said execution of such documents by an Attorney -In -Fact shall be as binding upon the Company as if they had been duly
executed and acknowledged by the regularly elected officers of the Company. Any Attorney -In -Fact, so appointed, may be removed for good cause and
the authority so granted maybe revoked asspecified In the Power of Attorney.
Resolved, that the signature of the Director and the seal of the Company may be affixed by facsimile on any power of attorney granted, and the
signature of the:Secretary, andthe seal of the Company may be affixed by facsimile to any certificate of any such power and any such power or
certificate bearing such facsimile�slgnature and seal shall be valid and binding on the Company. Any such power so executed and sealed and certificate
so executed and sealed shall, with respect to any bond of undertaking to which It Is attached, continue to be valid and binding on the Company.
uIN WITNESS THEREOF, IRONSHORE INDEMNITY INC. has caused this Instrument to be signed by Its Director, and its Corporate Seal to be affixed this
7 day of August, 2013
IRONSHORE INDEMNITY INC,
(eru I i
u° .I
ev:
aSma
Director
ACKNOWLEDGEMENT
On this 71h Day of August, 2013, before me, personally came Daniel L Sussman to me known, who being duly sworn, did depose and say that he is the
Director of Ironshore Indemnity, Inc. , the corporation described In and which executed the above Instrument; that he executed said instrument on
behalf of the corporation by authority of his office under the By-laws of said corporation.
a
�•._
�
I` „„ �
AMYLinYIOR
rro,u,wmc•54uNfirvvtur
�.
rw�e. a wrta
Nmy y Tay<
NCary Rinne
CERTIFICATE
I, the undersigned, Secretary of IRONSHORE INDEMNITY INC., a Minnesota Company, DO HEREBY CERTIFY that the original Power of Attorney of
which the foregoing is a true and correct copy, is In full force and effect and has not been revoked and the resolutions as set forth are now in force.
Signed and Sealed at this 19N Day of May 2015
Pau15. G1 daro
Secrttary
"WARNING: Any person who knowingly and with Intent to defraud any Insurance company or other person, files and application for Insurance or statement of claim
containing any materially false Information, or conceals for the purpose of misleading information concerning any fact material thereto, commits a fraudulent
Insurance act, which is a crime and subjects such person to criminal and civil penalties."
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RELEASED
Date:
Signature' Premium: $289.00
City Clerk 11-1
City of San Juan Capistrano, CA
SUBDIVISION FAI
(GOVERNMENT CODE 66499.2)
Bond No. SUR21000019
Replaces Bond No. SUR20000346
KNOW ALL MEN BY THESE PRESENTS, that Pacific Point Development Partners. LLC
(hereafter designated as "Principal"), and Ironshore Indemnity Inc. ,
as Surety (hereinafter called "Surety') agree to install and complete certain designated
public improvements as conditioned by City Council Resolution No's. 92-6-16-4 and
03-09-16-06.
WHEREAS, said Principal is required to furnish a bond pursuant to Municipal
Code Section 9-5.101 and 9-5.109 at seq., for the faithful performance to guarantee
certain work, more particularly described as follows:
Monument subdivision improvements within Tract 16752 as defined within Amendment #1 and
Reinstatement of the Subdivision Improvemetn Agreement for Tract 16752
NOW, THEREFORE, we, the Principal and Surety are held firmly bound unto the
City of San Juan Capistrano, (hereafter called "Obligee") in the penal sum of
Thirty Eight Thousand Five Hundred Dollars and 00/100 Dollars, ($38,500.00 ) lawful money
of the United States, for the payment of which sum well and truly to be made, we bind
ourselves, our heirs, successors, executors and administrators, jointly and severally,
firmly by these presents.
NOW, THEREFORE, the condition of this obligation is such that, if Principal shall
promptly and faithfully perform said improvement obligations within the fully executed
and recorded subdivision improvement agreement, then the obligation shall be null and
void; otherwise it shall remain in full force and effect.
Page 1 of 3
BE IT FURTHER RESOLVED:
I. As a part of the obligation secured hereby, and in addition to the face
amount specified, 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.
2. Said Principal, for value received, hereby stipulates and agrees that no
change, extension of time, alteration, or modification of the contract documents or of the
work to be performed thereunder, shall in any way affect its obligations or this bond, and
it does hereby waive notice of any such change, extension of time, alteration, or
modification of the contract documents or of work to be performed thereunder. ^
IN WITNESS WHEREOF, this instrument has been duly executed by the
Principal herein named on the 19th day of May , 2015 the name and
corporate seal of each corporate party being hereto affixed and these presents duly
signed by its undersigned representatives pursuant to authority of its governing body.
PRINCIPAL:
Pacific Point Development Partners, LLC
By:
Its: QVY-. , -44
SURETY:
Ironshore Indemnity Inc.
By: G/ eller 21
Margar A. Ginem , Attorney -in -Fact
Surety Phone No. 500 VUILLIS OF FLORIDA
211 W.OOYSCOUTOLVO,#1000
TAMPA !N'Qtl R ES: (8 3)282095
Page 2 of 3
(NOTARIZATION AND SEAL)
(NOTARIZATION AND SEAL)
APPROVED AS TO FORM:
:-
NOTE: Please attach Acknowledgement and Power of Attorney
Page 3 of 3
CALIFORNIA ALL-PURPOSE ACKNOWLEDGMENT CIVIL CODE § 1189
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
Count of
On before me,
Date a
personally appeared
it
Here
Name(s) of Signers)
who proved to me on the basis of satisfactory evidence to be the person(s) whose name(s) istare
subscribed to the within instrument and acknowledged to me that he/shelthey executed the same in
his/her/their authorized capacitypes), 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.
W.CORDI
M Commission # 2088325
z .`m Notary Public • California Z
Orange County '
M comm..Explres Oct 31, 2018 i
Place Notary Seal Above
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.
r.
Signature 1 IJ W L0.11 -
Signature of Notary Public
OPTIONAL
Though this section is optional, completing this information can deter alteration of the document or
fraudulent reattachment of this form to an unintended document.
Description of Attached Document
Title or Type of Document: Document Date:
Number of Pages: Signer(s) Other Than Named Above:
Capacitypes) Claimed by Signer(s)
Signer's Name:
❑ Corporate Officer — Title(s):
❑ Partner — ❑ Limited ❑ General
❑ Individual ❑ Attorney in Fact
❑ Trustee ❑ Guardian or Conservator
❑ Other.
Signer Is Representing:
Signer's Name:
❑ Corporate Officer — Title(s):
❑ Partner — ❑ Limited ❑ General
❑ Individual ❑ Attomey in Fact
❑ Trustee ❑ Guardian or Conservator
❑ Other.
Signer Is Representing:
Y
r • • • h• • irr crr15:r •'�
ACKNOWLEDGEMENT BY SURETY
STATE OF FLORIDA
COUNTY OF HILLSBOROUGH I SS.
On this 19`h day of May, 2015 before me, personally came
Margaret A. Ginem, who is personally known to me (or proved
to me on the basis of satisfactory evidence) to be the person
who executed the within Instrument as Attorney -In -Fact on
behalf of Ironshore Indemnity Inc., and acknowledged to me
that he/she executed the within instrument on behalf of said
surety company and was duly authorized to do.
In witness whereof, I have signed and affixed my official seal on
the date in this certificate first above written.
Signature
�1 C
Anett Cardinale
tG'w ANETTCARDINALE
A Commission # FF 138482
+al Expires July 28,2018
8a kMTw Fen 1,.w. M54019
This area for ficial Notarial Seal
13i !''Q O, aMdfidY'90cdolis. 1A 90- bba *1 19516f*ihc: dvit Code. and gectioll, $202 of 6
ji'.PWW- PhY iPA fQnp.af of jhp..4d:W. ftqlbsi)rg
itkpgcg;as art qxapip for
A Yid.t'wy. PG blio of othdr 6ffidef
cerflfieatevetifiies,only the id6ntity,6f the
individual. W Q.'I&cathe do' inentsp whlclifh'i
t
Cerfificate.is attached, and
not- the truthfulness,
ent
84td -Pf (0iforhia.
.Qiunty. 6f _
On _ _._ ...;bcfOr6 fne,..,
ihsert niaine:and-tiflc ofofflcerj'personally appwed
-proved pp Mq, owthq.'bgsji's; 6fS.alisf'aq zy.e id6ibij to Whose li a 's/
- Oo . y .1 � I. z `hose nie(_�) J 4rb.su4§crjbbd:tfj.
lli6.)Vjfliin' idkrumenti and acknowledged to me -'that he7she/they executed iho.same Aw.hrAer/theit,
rs
nswufn6a
)iLwg of Elie, State oYCallfortria•th7t the fdiFgorie�
parawaA is true and'rwrect-
WITNESS iiCy.lAnd ah*d,.6ffioW- seat..
III- 21000019
Ironshore Indemnity Inc.
KNOW ALL MEN BY THESE PRESENTS, that IRONSHORE INDEMNITY INC., a Minnesota Corporation, with its principal office In New York, NY does
hereby constitute and appoint: David H. Carr, AnettCardinale, Margaret A. Glnem Its true and lawful Attorneys) -In -Fact to make, execute, seal and
deliver for, and on Its behalf as surety, any and all bonds, undertakings or other writings obligatory in nature of a bond.
This authority is made under and by the authority of a resolution which was passed by the Board of Directors of IRONSHORE INDEMNITY INC. on the
22nd day of April, 2013 as follows:
Resolved, that the Director of the Company Is hereby authorized to appoint and empower any representative of the company or other person or
persons as Attorney -In -Fact to execute on behalf of the Company any bonds, undertakings, policies, contracts of Indemnity or other writings obligatory
in nature of a bond not to exceed $7,500,000 dollars, which, the Company might execute through its duly elected officers, and affix the seal of the
Company thereto. Any said execution of such documents by an Attorney -In -Fact shall be as binding upon the Company as if they had been duly
executed and acknowledged by the regularly elected officers of the Company. Any Attorney -In -Fact, so appointed, may be. removed for good cause and
the authority so granted may be revoked as specified In the Power of Attorney.
Resolved, that the signature of the Director and the seal of the Company may be affixed by facsimile on any power of attorney granted,and the
signature of the Secretary, and the seal of the Company may be affixed by facsimile to any certificate of any such, power and any such power or
certificate bearing such facsimile signature and seal shall be valid and binding on the Company. Any such power so executed and sealed and certificate
so executed and sealed shall, with respect to any bond of undertaking to which It Is attached, continue to be valid and binding on the Company.
IN WITNESS THEREOF, IRONSHORE INDEMNITY INC, has caused this Instrument to be signed by its Director, and Its Corporate Seal to be affixed this
7" day of August, 2013
IRONSHORE INDEMNITY INC.
lTIT
By:
Da a 1. Suss n
Director
ACKNOWLEDGEMENT
On this 7m Day of August, 2013, before me, personally came Daniel L. Sussman to me known, who being duly sworn, did depose and say that he is the
Director of Ironshore Indemnity, Inc. , the corporation described In and which executed the above Instrument; that he executed said instrument on
behalf of the corporation by authority of his office under the By-laws of said corporation.
Mry l Ta�
NM.ur FLEre
CERTIFICATE
I, the undersigned, Secretary of IRONSHORE INDEMNITY INC., a Minnesota Company, DO HEREBY CERTIFY that the original Power of Attorney of
which the foregoing is a true and correct copy, Is in full force and effect and has not been revoked and the resolutions as set forth are now in force.
Signed and Sealed at this 191h Day of May 20 15
reur.^1
Fouls.dares
secretary
"WARNING: Any person who knowingly and with Intent to defraud any Insurance company or other person, files and application for Insurance or statement of claim
containing any materially false information, or conceals for the purpose of misleading Information concerning any fact material thereto, commits a fraudulent
Insurance act, which Is a crime and subjects such person to criminal and civil penalties."
v \ {
hMYI iAYLOfl
�
��rypNi01„CwnlYnn,65ee
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'e�C]`..'
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0Y6nunleflm Elp4a,O1d41!
Mry l Ta�
NM.ur FLEre
CERTIFICATE
I, the undersigned, Secretary of IRONSHORE INDEMNITY INC., a Minnesota Company, DO HEREBY CERTIFY that the original Power of Attorney of
which the foregoing is a true and correct copy, Is in full force and effect and has not been revoked and the resolutions as set forth are now in force.
Signed and Sealed at this 191h Day of May 20 15
reur.^1
Fouls.dares
secretary
"WARNING: Any person who knowingly and with Intent to defraud any Insurance company or other person, files and application for Insurance or statement of claim
containing any materially false information, or conceals for the purpose of misleading Information concerning any fact material thereto, commits a fraudulent
Insurance act, which Is a crime and subjects such person to criminal and civil penalties."
IRONSNOREINOEMNIIYINC
EULUNIMALSTATEMENTSUM
N NDetnnber 3l, ION1
ASSETS
Bonds
Preferred .baa
EammenaMae
Mat6aaelow nrN nbtn.Pratlmm
Monsele lams on mai estate; Otbnthern Mt Item
Properbn aaupled by Me wmpny
PmpuUn hdd E=fere produotfn nrlmume
PmpnOnhedforwe
cash nth enlowlenb rad e1,04-tmn Invnbnenb
('amact kum
DabaOen
Othwknested nab
RanMtaes fmsKWtnn
SnudOn IenMq rNmmated mlkhN asset
ASSapk vrttNa IminveNM nota
Sunobls.mAaM Inlerkd nub
TIOe P1inb len S. Charged oR
I.Mem ost Mean due and annual
Urop6MedpterRtun and M. W Eebnas In the sump(c,hemb,
D.f.rad panoluns, aaaotb been. and ImbOmnb booked but Warned and toot
yetdue
ACavedofr 1pe A pieMuma
MoounU remvmbe frmn mho,.
ponds bed byes depmked MthrNmumd tnnpaea
Other amounts reaMble under minumna mntraa4
Amount b ealnbe 1.1.9ni 0 nlmuad plants
tarter federal and fae9nlacame ere re anambde and tntnnt Memo
NNENertedbntael
Gueant,Mds we"ble arm depoAt
Surrglum aid equlprnen, Imludlm Mem are d.E.M aab
Ma.dfuMent In assets and N1,1116es d4b btean e.d aryerat.
RneMMn For, want, aubudhades and a11111a tes
Health are and ether amount readable
Awnate wrtmins For other tlun kwaW .IsM
Total aneta adW era Smante Accounts, Slaalud Aaaunb and PraMed GL
Account,
Ecom Separate Aaamb Seargakd Avounte and PrdMed Cell Amour
0
UABIIITIES
$179,140.347
lux'es
0
Reml—tr, pay.Lb on pad Jones and las adjuneu t[names
31,640,141
Wesadluslmente�,nua
0
C ftu' Mms palatal. cenYNent mrwnlultan and tdhnakner duryn
0
other 41* l.pmMM ban. names and fen)
0
TaaeU Yamamdfw Hadudm6 kdnal slid foielm camera ben)
0
OrrrmtrsderN4nd lodm Mmone tarn
D
Nnamnmdmmbuky
$15,632.951
UaamMpremlune
D
Adnoc,pamium
0
Ceded rdmtrmapmmtum7 wpb, In,tNudmammmhsbnsl
0
funds ted bysampsny lmdwab0urncebatb
0
Amount YAUeeOerbWned AymmOnYfmaomuntolothm
0
R.Mtbmtoatd came nn Nlouted
0
/rMdon farrNmunno
$216,614,019
Nn' adluMnD N aiabald labintles dow W farads, ndsana.rein
0
Oraroowbndma
$9=4960
payable b wren, subNdlerksarel amass
$,41,567,347
Dera,hr,
0
Paablefa a ourales
0
papmeromanivesdendl,
$33,584157
Ua6l3b for ammnfe held under unaaaumd plus
0
AWtham veltNm for nabllRIM
0
Tool natallkna 011 Protected aO lAblgdes
0
PmtMed [[1110116.
0
$5,5M.837
Tebl/ablkle,
D
0
POIRYHMDE1t9S SURPLUS
0
oustreaatewnlNn9 brneelal surplus funds
0
D
mmmn al6blUzk
$7,114,971
pl FMedopbhI,,O h
$317,414,611
AwraaNeW Whs forwher than special en111N
0 Surpin Nan
TOTALS $M7,414,611 GmUpstdlnndmnmbutedmrpim
CERaNUTE
I amr, owl the above financial abtements tithe bestof my
bawleda..Oatoend... mmalle lonethe Rneaf.l
condition of the Company a of Dnemble 11, 2014,
Additionally, I w0fy that Ute abort enanml statements am
In atreem<nt Mth the Statutory Fumes al ltatemenb Dled Mth ate Tek.
peparonent of IAWM=SO Of the ante data
WUN.mldeagl
CIO VPATreg191er_
UnatlSnedfunds{surpluf;
Super es rayrda weryholden
TOTALS
$63,587,Ofi6
0
510.384,957
$1,O1gE0S
55,435,116
$1,383,909
$1,4x391
0
$u.lw.876
SS8}2;167
0
$1,575,075
S11.458,11D
0
0
0
0
$4.185,928
$lKst1.131
0
$156,916,673
155}35,190)
$156.603,181
$317,414,611
SU83CAIEED and nom to me this YedaYN�/fY •.edr/j
Myoomnal on-PIrn-
NohryPublb
Mnkd Nanta ALYSSA TUFKOVfTZ
Notary Public, State of New York
aLrsv.TVRkovlrl No. 01TU6044514
Ouauned In Westchester County
C'1: t .//•�`v�.� /�✓1�i. �� CMMia W Elcpires July 10, 2019'
lfok{17•u"Sb1e b New York
N0,011116Al44SU
Qualllled In Westchester County
Connisslon Eaplin July 10, 2014
RELEASED
Date. \ a
Signature:
City Clerk
City of San Juan Capistrano, CA SUBDIVISION LABOR AND MATERIAL BOND
(GOVERNMENT CODE 66499.2)
Bond No. SUR21000019
Replaces Bond No. SUR20000346
KNOW ALL MEN BY THESE PRESENTS, that Pacific Point Development Partners. LLC
(hereafter designated as "Principal"), and Ironshore Indemnity Inc.
as Surety (hereinafter called "Surety') agree to install and complete certain designated
public improvements as conditioned by City Council Resolution No's. 92-6-16-4 and
03-09-16-06.
WHEREAS, said Principal is required to furnish a bond pursuant to Municipal
Code Section 9-5.101 and 9-5.109 et seq., for the faithful performance to guarantee
certain work, more particularly described as follows:
Monument subdivision improvements within Tract 16752 as defined within Amendment #1 and
Reinstatement of the Subdivision Improvemetn Agreement for Tract 16752
NOW, THEREFORE, we the Principal and Surety are held firmly bound unto the
City of San Juan Capistrano, (hereafter called "Obligee") in the penal sum of
Thirty Eight Thousand Five Hundred Dollars and 00/100 Dollars ($38,500.00 ) lawful
money of the United States, for the payment of which sum well and truly to be made, we
bind ourselves, our heirs, successors, executors and administrators, jointly and
severally, firmly by these presents.
NOW, THEREFORE, the condition of this obligation is such that if the above
bound Principal, his or its heirs, executors, administrators, successors or assigns, shal
in all things stand to and abide by and well and truly keep and perform the covenants,
conditions and provisions per City Council Resolution No's. 92-6-16-04 and 03-09-16-
06, 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 true intent and meaning, and shall
indemnify and save harmless the City, its offers, agents and employees as therein
stipulated, and, as necessary enter into a Subdivision Agreement, then this obligation
shall become null and void; otherwise it shall be and remain in full force and effect.
Page 1 of 3
BE IT FURTHER RESOLVED:
1. As a part of the obligation secured hereby, and in addition to the face
amount specified therefore, 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.
2. Said Principal hereby stipulates and agrees that no change, extension of
time, alteration, or modification of the terms of the agreement or of the work to be
performed thereunder, shall in any way affect its obligations or this bond, and it does
hereby waive notice of any such change, extension of time, alteration or modification of
the terms of the agreement or of the work or to the specifications.
IN WITNESS WHEREOF, this instrument has been duly executed by the
Principal herein named on the 19th day of May , 2015 the name and
corporate seal of each corporate party being hereto affixed and these presents duly
signed by its undersigned representatives pursuant to authority of its governing body.
PRINCIPAL:
Pacific Point Development Partners, LLC
4—
By: n
Its: �J�'�or�Z..C.ea, S. Y�r1�'t7r
SURETY:
Ironshore Indemnity Inc.
Margar€RA. Ginem Attorney -in -Fact
010 WILLIS OF FLORIDA
Surety Phone No. 4211 W, 00YSe0UTBLVD,#1000
TAMPA, FL 33607
it QUIRIES: (813)2B1-2095
Page 2 of 3
(NOTARIZATION AND SEAL)
(NOTARIZATION AND SEAL)
APPROVED AS TO FORM:
0
NOTE: Please attach Acknowledgement and Power of Attorney
Page 3 of 3
CALIFORNIA ALL-PURPOSE
ACKNOWLEDGMENT
�Kn nNK✓riK.N.iNKNn< n
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 O )
Coun of n I 'l )
On /Qv, before me
Date , 1 , Here Insert Nagxl andl77t/Wf t fflcer
personally appeared
Names) of
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.
W. CORDI
Notary Public - California i
' Orange County n
M Comm, Expire Oct 31.2018'
Place Notary Seal Above
Commission. N 20811325
Signer's Name:
❑ Corporate Officer — Title(s):
❑ Partner — ❑Limited ❑General
❑ Individual ❑ Attorney in Fact
❑ Trustee 11 Guardian or Conserv
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 / �-b `�6I
Signature of Notary Public
OPTIONAL
Though this section is optional, completing this information can deter alteration of the document or
fraudulent reattachment of this form to an unintended document.
Description of Attached Document
Title or Type of Document:
Number of Pages:
Document Date:
Signer(s) Other Than Named Above:
Capaclty(les) Claimed by Signer(s)
Signer's Name:
❑ Corporate Officer — Title(s):
❑ Partner — ❑ Limited ❑ General
El Individual ❑ Attorney in Fact
❑ Trustee ❑ Guardian or Conservator
El Other
Signer Is Representing:
ator
❑ Other:
Signer Is Representing;
ACKNOWLEDGEMENT BY SURETY
STATE OF FLORIDA
COUNTY OF HILLSBOROUGH I SS.
On this 191h day of May, 2015 before me, personally came
Margaret A. Ginem, who is personally known to me (or proved
to me on the basis of satisfactory evidence) to be the person
who executed the within Instrument as Attorney -In -Fact on
behalf of Ironshore Indemnity Inc., and acknowledged to me
that he/she executed the within instrument on behalf of said
surety company and was duly authorized to do.
In witness whereof, I have signed and affixed my official seal on
the date in. this certificate first above written.
Signature
Anett Cardinale
ANETT CARDINALE
aF'b
>.:Commission q FF 138482
t'.11
Expires July 28, 2018
li•':r` BoNkThvTrc/im Wwnuero.165N1Y
This area for Oficial Notarial Seal
SWWe' Dfa VO 0, 41baho $Ottibris: P 0 bba I19.'. ate. CIy..ILto&an4 86Ct Oti 0&bf'ffi&
)QbYwmneAt. CoRi. Waftlq nVavqs.*pAbjI;. ysipij fo - disqiostire,
nonce j
04 example,, fQr purpp.4q'Of il, 1, usirali.ur.L.
hotary plibiie of otfidr 6ffdef cbiv�ib I
r' 'o "p' . finKth(s:
certifibafiveEifies,only the idbntity of the
I 1 0
in&I,VMuqi i�h '�ig��ecj the do oe� m w
. . . Q. . 1( ..�u t - .
.certificate. is atfa6hed, and not -the t�Tuithfulness,
oo
Art cy;o-rvRlWJtyqft.b 'd Ujocnt_
. QrA
.84W '()f C-alifoOlIg
.Cbunty. of
.'DOf4rd fn6,
'ihscrt name an& title 6flofficer5,',personally
'pfovpd 10 Xto4lhO,14sis. of.�'atj9fSqtoty.cv,
'.flie".wlihin" -frisitrumcnt:i and acknowledged
4'UAPAy4pqc'VIO)'. * pffo i 'itO
fig. y, )1is1h '
-1 pt rflfy P'labr iOL`lt-OF, ) .E JURY
paragraph -ib true an8*=rect.
WrFNES&nY.hAnd a4dj6fficiht- wit.,
ppWcq. . .
-to -me- thatz hchhathey executed ibe. sama in. hisifier/theit,
Vdfs6tl'
(S)
figpafnrR - . (Sea)i-
Ironshore Indemnity Inc. Ill- 21000019
KNOW ALL MEN BY THESE PRESENTS, that IRONSHORE INDEMNITY INC., a Minnesota Corporation, with Its principal office in New York, NY does
hereby constitute and appoint: David H. Carr, AnettCardinale, Margaret A. Ginem Its true and lawful Attorney(s)-In-Fact to make, execute, seal and
deliver for, and on its behalf as surety, any and all bonds, undertakings or other writings obligatory in nature of a bond.
This authority is made under and by the authority of a resolution which was passed by the Board of Directors of IRONSHORE INDEMNITY INC. on the
22nd day of April, 2013 as follows:
Resolved, that the Director of the Company is hereby authorized to appoint and empower any representative ofthe company or other person or
persons as Attorney -In -fact to execute on behalf of the Company any bonds, undertakings, policies, contracts of indemnity or other writings obligatory
in nature of a bond not to exceed $7,500,000 dollars, which the Company might execute through Its duly elected officers,and affix the seal of the
Company thereto. Any said execution of such documents by an Attomey-In-Fact shall be as binding upon the Company as if they had been duly
executed and acknowledged by the regularly elected officers of the Company. Any Attorney -In -Fact, so appointed, may be removed for good cause and
the authority so granted may be revoked as specified In the Power of Attorney.
Resolved, that the signature of the Director and the seal of the Company may be affixed by facsimile on any power of attorney granted, and the
signature of the Secretary, and the seal of the Company may be affixed by facsimile to any certificate of any such power and any such power or
certificate bearing such facsimile signature and seal shall be valid and,binding on the Company. Any such power so executed and sealed and certificate
soexecuted, and sealed shall, with respect to any bond of undertaking to which it is attached, Continue to be valid and binding on the Company.
IN WITNESS THEREOF, IRONSHORE INDEMNITY INC. has caused this Instrument to be signed by its Director, and Its Corporate Seal to be affixed this
7d' day of August, 2013
IRONSHORE INDEMNITY INC.
0
i't's'• � �
i out I
By:
Da L.Suss n
Director
ACKNOWLEDGEMENT
On this 7'h Day of August, 2013, before me, personally came Daniel L Sussman to me known, who being duly sworn, did depose and say that he is the
Director of Ironshore Indemnity, Inc. , the corporation described in and which executed the above Instrument; that he executed said Instrument on
behalf of the corporation by authority of his office under the By-laws of said corporation.
o ? irwy woncsui<m•eoeu,a
^Y � o.woncw,ry
u,a cmm a>mowaao
j`Ca <,
AMYL -Tey
Noll
VUV.t
CERTIFICATE
I, the undersigned, Secretary of IRONSHORE INDEMNITY INC., a Minnesota Company, DO HEREBY CERTIFY that the original Power of Attorney of
which the foregoing Is a true and correct copy, is in full force and effect and has.not been revoked and the resolutions as set forth are now in force.
Signed and Sealed at thistfo Day of May , 2015
4 •{{i
III �1alr• f. -
Paau16 G11 darn
Se.tary
"WARNING: Any person who knowingly and with intent to defraud any insurance company or other person, files and application for Insurance or statement of claim
containing any materially false Information, of conceals for the purpose of misleading Information concerning any fact material thereto, commits a fraudulent
Insurance act, which is a crime and subjects such person to criminal and civil penalties.`
IRONSNOREINOEMNRYINC
FINANaM. STATEMENT SUMMARY
As of Dwemba 32.2024
hderred sin ese
Canmon't
Nuo"t loans oh nWeaawAnt bens
Mortgage teem on reel abet: Otnnthm Mt nem
ProperOweatlpled by tM bmwv
Pr opertle, held for the production or Intone
Propertla fMdfor ate
Osis, asA eWhalnb aMahM-lennlnvestrnenb
ComUM loam
ow"tNu
Oblcimestadanb
IkuMWnfw searltln
SnudUes lendirq rtlmated roVaetrY aoetl
Apreglu mNeina forinvnW Cases
SubtebU. Leah anelmWMsneb
Title Dbnb WaS..ChaaedaR
Inve+bnem Int veno duet end aa+uM
Unroiletted aen4ums aM a1 mss' ba I+nre l n tl+e owns o1 cdI Mlon
Oeftrted OnmhmlA agoNT blerNn and Inmtlmmb 6aoked butdeferted and not
yetduo
Accused rtbo+ptnhe ploun ums
Omounb reeperebe fmrn nlnawn
FVMr held byw dambedvAm W wurM eanOaNn
Other amounts recelnble under minwmna mntrarb
Arrcumr revlvef to redo[ to Imimmad plc m
Cartons federal orad fcredgn learn on renvenble and Interest thereon
Notdefenedbaaaat
GuarantyMdi rearableseen d"t
FwNNre and equlpmeµ laludlr� hmltlsore desvery ssaN
Netad}mmwnt In avec aM IbbNtlndre bfomesl arise Ne ntn
Real"Mes from lureµ subNebdnar.aMOata
stealth are a,d alher ImusvAs M.I.W.
Awev. ewa0e4n+forotherbsn bvwad arab
Toal+ones excluding Sa uraslAccounts, Saingeted Accounts and Prorated Cot.
Accounts
From Selene Anounb SeSraated Aemunaand Pr teeleiColt amnb
0
LIABILITIES
$179,140,947
tines
Q
RNmumme Payable on paid loan end loss adjustment eapsma
31-M,141
Lon, adlwbnmtexplNn
0
Commbun> prye1114 contingent Commission, and othershnher darga
' 0
Other eeparoa(alludl tan. Ileamn and few(
O
Taan,Womew and fees(aaclWha feden)n. foreign manse navel
0
Cummt/Neral and foralgnhtome ban
0
Netdeferndtulhbluty
$1S,6349s1
Unnma4pr"Jus
0
Advancepremlure
0
CMedrtWreancepnmlumo payabb (net olcedlra nmmlrWm)
0
Fusses held by tomparrl m.errelmurarcetrotla
0
Msarntl MtMieldodrebinMbyeomDl,ry fmrmuntafoben
0
R+Mtlalwsand Menta nottlouted
0
Pronwartferralmunme
$116,614,039
Net adhuOeru,in Mon end labllllln due b foselgn aatfsame ata
0
DnMouetendln4
SM960
Payable to parent su3ldlerW and,fTMna
1173,567,547
Dfl relrn
0
Payabb roNca ftee
0
PapbselwaaMdeslonnla
$33,564157
Ushisty farimounb held under umWuee plem
O
AprepnlwvltNmfagebtl6ks
0
Taal Tabfitlet auluding pMMad n,6 RibUldn
0
Protected«[ IN b=.
0
NO. 01TU60W14
$1,130,617
Tons X&NIssa
D
0
POUCyNatow5 SURPLUS
0
AWWtex halm lorspeoel amphn fur.+
0
0
CommnesPRelstock
$7.314,971
pmfhymaplblau,,
$347,414,611
Aftoomte wvlte;m for other than+pabl+urpiw
0 Surplus Notes
TOTALS $347414611 Gross paid lnmd conbbuted surplus
[ERTTCATE ,
I Certify that the above 8eemdal Itst ments to the best of my
hww+ dgeeree true endaaurete rMecdon or the 0netcla1
ma. lio. of the Own eny a of December 13, 2014,
AddNlCedly, I certify this the.have nnanclal antemern are
inalreement Msh the SbNbry enmWl ShetemaU Rini with the Texas
DeparOnent a Imran, as of the "me date, ,
W9lbmldeam
CTOAPATiertarer
Unaclgned funds(wrplw)
SUM in ea"Fistdr pollcyhaMera
TOTALS
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MY�rImllknespirec %%ONY
$63,$[1,066
0
$IQ3g1,957
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$34,15,116
57.363,989
$14,34.39e
e
$19,150,576
$56,11;187
a
$1,545,075
5190,611,151
0
5.000,000
0
$156,916,671
(S511151190)
Sn6,6034,e1
SN7,414,611
Notary Pub0c;
Pnnetd Name
AIYSSA TUFIKCVITZ
Notary public, State of Now York
ALYSSATUR10VT1
NO. 01TU60W14
QuelKled In Westchester County
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CCATI^Ie010111 EXPirea July 10, 2018
Nobt( bl43bte
of Few Tart
N0.011U60MS14
Qmnned In Werom er County
COmmbdon Eames luty 10, 2014