15-0421_Bond_LV Pacific Point_TTM 15609_SUR 20000318RELEASED
Date ^Ir^ fc^ Signature:( f \^ • City Clerk V ^ City of San JuinTCapistrano,
SUBDIVISION FAITHFUL PERFORMANCE BOND
(GOVERNMENT CODE 66499.2)
Bond No: SUR20000318
KNOW ALL MEN BY THESE PRESENTS, that LV Pacific Point 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 15609 as defined within Amendment
#1 and Reinstatement of the Subdivision Improvement Agreement for Tract 15609.
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 Fortv Six
Thousand Fifty and 00/100 Dollars,
($46,050) 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:
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 24th day of March , 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:
LV Pacific Point LLC
A Delaware Limited Liability Company (NOTARIZATION AND SEAL)
By: PAMI LLC, Its Managing Member
By: Jonas StikloHMs
Its: •itory
SURETY:
(NOTARIZATION AND SEAL)
Page 2 of 3
APPROVED AS TO FORM:
B\^: Hans Van LigtenTClTYAtiprney
NOTE: Please attach Acknowledgement and Power of Attorney
Page 3 of 3
POWER OF ATTORNEY ~~
III- 20000318
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: Chris Dobbs, Jalene Brown, and Tracy L. Carlile its true and lawful Attorney(s)-ln-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"" 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, contrarts 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.
Director
ACKNOWLEDGEMENT
On this 7* 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.
NOTAS Y PUBUC-STATE OF NEW Y< >RK
No. 01BE6222764
Outimod in Now Yofic county
My Commiition IxoiiM June 01. 2014 Notary Pubtic
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 24lh Day of March , 20 15
"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."
SUBDIVISION LABOR AND MATERIAL BOND (GOVERNMENT CODE 66499.2) Bond No: SUR20000318
KNOW ALL MEN BY THESE PRESENTS, that LV Pacific Point LLC (hereafter
designated as "Princlpai"), "), and ironshore indemnity inc. . as Surety (hereinafter
caiied "Surety") agree to instaii and compiete certain designated pubilc improvements
as conditioned by City Councii Resoiution No's.92-6-16-4 and 03-09-16-06.
WHEREAS, said Princlpai 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 15609 as defined within Amendment
#1 and Reinstatement of the Subdivision Improvement Agreement for Tract 15609
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 Forty Six
Thousand and Fifty and 00/100 Dollars, ($46,050.00) 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, shall
In ail 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 24th day of March , 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:
LV Pacific Point LLC
A Delaware Limited Liability Company (NOTARIZATION AND SEAL)
By: PAMI LLC, its Managing Member
Jonas SLIKTOIIUS
Authorized Signatory Its:
SURETY:
(NOTARIZATION AND SEAL)
Page 2 of 3
APPROVE AS TO FORM:
Bye
NOTE: Please see attached Acknowledgement and Power of Attorney
Page 3 of 3
POWER OF ATTORNEY
III- 20000318
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: Chris Dobbs, Jalene Brown, and Tracy L. Carlile 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"" 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.
DaftiiTL. Sua
Director
ACKNOWLEDGEMENT
On this 7* 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.
JUDY BEBGEB
NOTAJ Y PUBLIC-STATE OF NEW YORK
No. 01BE6222764
Qu illflod In Now Yolfc Count t
My Commliilen Ixplioi Juno 01, 2014
Jud^rger ^ ^
Notary Pubtic
CERTIFICATE
I, the undersigned. Secretary of IRONSHORE INDEMNITY INC., a Minnesota Company, DO HEREBY CERTIFY that the original Power of Attomey 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 24th Day of March , 20 is
• - ' Sscretary
"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."
Acknowledgement of Surety
State of Tennessee
County of Wilson
On this, 24th day of March, 2015, located in and for said County and State,
before me personally came Christopher L. Dobbs, to me known, who, being by
me duly sworn, did depose and say that he resides in Mt. Juliet, TN; that he is the
Attorney in Fact dully appointed for Ironshore Indemnity Inc., the corporation
described in and which executed the above instrument; and that he signed his
name thereto by authority of the board of directors of said corporation to the
Subdivision Faithful Performance, Labor & Material Bond for LV Pacific Point
LLC.
in Witness hereof, i here unto set my hand and official seal.
Notary Public
Jalene Brown
County of Residence: Sumner
My Commission Expires: May 25, 2016
SEAL:
nONSHOIII WDEMNITT INC fUUWaUSTATIMENT SUMUMT AialD»mbv9L20U
frafMTMl stmjks
Common Mcks
Mortgaco loant on mo! asUlo: Ran Ham
agongage loana on roal astalo: ONma Chan Ural Ham
gropoftloi occuplaO by tho compamr
Oropamol HaM for tho producUoo oflnaoma
Oropartloatioldforaala
Cam aah aqiHvolants and Nwrl'tatm Jmmabnants
Contract loam
uuiuno.
Dinar hwoitaOaxtata
HacmvaMm lor saoirttlof
Socuriliat tonding rtlnvtttdd collataral a
aoirafata wrltmlna for Invottod ataoti
SiiUotak radi and invoitad ouoti
mt plantalauS- Oiargad oN
Invottmant tncoma duo and accnmd
UncdHactad prti I balancoslntfiacouraaofcdliaclldn
Dafarrad pramlumi, iganta* b
noiyaldua
•oapdctlvepramlu
•nil booHad but dafarrad and
Amountan
Fundahatdbvordaim
Ottwr amounta raoalv mcts
Amounts tocalvabia rotating to unlnaurad ptam
Currant farlaral and Inraign tncoma tax rarovarabta and tntaroct tttaraon
Nat dafarrad tax aiaat
Guaranty funds racaivaUa or an datiottt
Purnltura and anulpmanc Indudim baalth cart dattvtry attats
Nat adiustmant in aaaats indtlabdltiaidllttofDratgn axdmnga ratm
Hacntvablaa bom parant. uibddlartat and afnilataa
ttaatth cara and olbar amounta racabrabta
Afgragatt wrttmtm for otttar dtan Imrastad aasata
Total atsota axdudlr^ Satmrata Accounts Sagragatad Accounts and Protactod CaS
Accounts
sand Protactod Co*Aocaunta
TOtAU.
uu»i.7n
0 2«.9K,9aC
0
0
0
0
0
0
0
0
0
0
0
0
ssa.m
49,UJ4T0
0
0
304417,425
0
0
0
0
4.605,»g
0
0
gjgjjgg
0 4j2i,ua
270/425445
men paytbtg en p4ld totaat and toes 0
Con ucbargm
Otbac osttonsos (osduding tsxas. tteonsas and laoal
Taxoa. ttconsaa and Ibas laactuding factarat and foraign tncoma taxaa)
Currant fodorat and birotgn Incomo taxas
NsldatasradtaagablHIy
Unaamad promtums
cadad lalmuranc
funds bald by cot
It of coding commtidom]
424M4U
0
74tt24»5
725415
2455474
1.425.705
643745*
0
25,914.120
44417454
0 Amounts wHMiatd or ratalnod by company lor account of odiois
Roffltttancas and barm not aflocatad
PrcrddonlOrn
Not adiustmonts In anoti and tabtlilios duo to loratgn aicbanga ratas
Payabis to parant. lubddtortos and affltlatas
PsyaMaliuaacurltln
Payabla for lacurttlos landtng
Uabdlty for amounta ttsld undar unlnuiiBd pUna
AUragstawrttoUmfdrMbtltttn
TptalHBblHdaa oxdiidtng ptotactad Cdd NabtWias
Prplactod cag llatdtitia
Total Uabllttits
POUCYHOUtEHSGSUHPtUS
u lor iparSatsorptuI funds
Common copttal stodt
Praforrad capttal stocfc
14*3.156
10944646*
1694*646*
120154O.117
541*1400
Aggragau nrttoam for mlmr tlian ipocialiurplus
Surptua Notas
arms paid In and o
Unaidgnad funds (surplusl
Sundus as rartards poHcvfrdldtrs (1649*45*1 120440.117
ctimficAn
1 certify titat tho above Ananclal statements to tfw boss of my
knovrtedge era a true and sccurate roftection of die flnanciat condition irf die Company as of Dtcambat 31.2013.
Addtttonalty. I corttfy drat dm abote fliiNictil stitamentt are
In agratmant widi Ota Statutory financial Sutamonb Nad
laltn diofgniaipgjbPUiiimimoi Irisurmd4piof»o fame data.
CFO.VFftTrusurtr
•nd nvwri l« mc thte TiJotx/Eb/y, p.iJ/V
Mymrmlsdon >^_lli!!Ulfi
ALYSSATURNOMTZ Nolaiy Public. Stats Of NewTMi NO.011U6044514 Qutriffiad bt WBStchsster Oounly Comntaion Bipiraa afuly ia aoia
STATE OF NEW YORK )
) ss.:
COUNTY OF NEW YORK )
On the 1st day of April in the year 2015 before me, the undersigned, personally
appeared Jonas Stiklorius, personally known to me or proved to me on the basis of satisfactory
evidence to be the individual whose name is subscribed to the within instrument and
acknowledged to me that he/she executed the same in his/her capacity, and that by his/her
signature on the instrument, the individual, or the person or entity upon behalf of which the
individual acted, executed the instrument.
Signature and Office of individual
taking acknowledgment
LI.SA A. PHELAN Notary PiitJik , State of New York QoaliLeo New Vork County Reg No. 01PH6292618 Commission Expires November 4, 2017