15-0421_Bond_LV Pacific Point_TTM 15609_SUR 20000320RELEASED
Sl9nature:i__L'" ^ A | -—' ' ' City Clerk V— ^ City of San Juan Capistrano, t-A
SUBDIVISION FAITHFUL PERFORMANCE BOND
(GOVERNMENT CODE 66499.2)
Bond No: SUR20000320
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:
Water subdivision improvements within Tract 15609 as defined within Amendment #1
and Reinstatement of the Subdivision Improvement Agreement for Tract 15609.
NCW, THEREFCRE, we, the Principal and Surety are held firmly bound unto the
City of San Juan Capistrano, (hereafter called "Cbligee") in the penal sum of Sixty
Thousand Six Hundred Sixty Five and 00/100 Dollars,
($60,665) 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.
NCW, THEREFCRE, 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
Jonas Stiklonus
Authorized Signatory Its:
SURETY:
(NOTARIZATION AND SEAL)
Page 2 of 3
APPROVED AS TO FORM:
Bv: "^^vOoC^'
Hans Van Ligten, City Attorney
NOTE: Piease attach Acknowiedgement and Power of Attorney
Page 3 of 3
POWER OF ATTORNEY ~~
III- 20000320
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. Cariiie its true and lawful Attorney(s)-in-Fact to make, execute, seal and
deliver for, and on its behalf as surety, any and ail 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
H"'^ 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.
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 BERC8B
NOTAI Y POBUC-STATE OF NEW Y< >RK
NO. 01BE6222764
Qu Ultlod In Now York Count r
My Commlulen ixplroi June 01. 2014
erger
Notary Public
CERTIFICATE
i, the undersigned. Secretary of IRONSHORE INDEMNITY INC., a Minnesota Company, DO HE .EBY 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 revokf j and the resolutions as set forth are now in force.
Signed and Sealed at this 24th 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: SUR20000320
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:
Water subdivision improvements within Tract 15609 as defined within Amendment #1
and Reinstatement of the Subdivision Improvement Agreement for Tract 15609.
NCW, THEREFCRE, we, the Principal and Surety are held firmly bound unto the
City of San Juan Capistrano, (hereafter called "Cbligee") in the penal sum of Sixty
Thousand Six Hundred Sixty Five and 00/100 Dollars, ($60,665.00) 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.
NCW, THEREFCRE, the condition of this obligation is such that if the above
bound Principal, his or its heirs, executors, administrators, successors or assigns, shall
in all things stand to and abide by and well and truly keep and perform the covenants,
conditions 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; othenAfise it shall be and r^.main 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
Its: Jonas Stiklorius
Authuiized Signatory
SURETY:
(NOTARIZATION AND SEAL)
Page 2 of 3
APPROVED AS TO FORM:
Hans Van Ligt^ivOty Attorney
NOTE: Please see attached Acknowledgement and Power of Attorney
Page 3 of 3
POWER OF ATTORNEY
Ironshore Indemnity Inc.
Ill- 20000320
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. Carllle its true and lawful Attorney(s)-ln-Fact to make, execute, seal and
deliver for, and on Its behalf as surety, any and ail 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
T"" day of August, 2013
IRONSHORE INDEMNITY INC.
Director
ACKNOWLEDGEMENT
On this T"" 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 BEBCEB
NOTAf Y PUBUC-8TATE OF NEW Y< >RK
NO. 01BE6222764
Qu illtlod in Now Yofk Count t
My CommlMlon ixplioi Juno 01, 2014
Juc^^rger '
Notary Public
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 24th Day of March , 20 is
Secrstarv
"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
conttlning 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:
ROHSHOREIMMMNrniMC
nmiKML STATEMENT SUMMAAT
ASSETS
fiends
Prafmed stocks
CofMnenstMks
MertiM* leens on nm\: First Hem
Mert|M« tomnt on real emic: Other then (Int tteni
Troncftles occupied by the ceniMnv
PrepentM held for the prDduction of Income
Properties heM for SBli
Cedt cash equholents sod sftort'term Investments
contract losm
Oertvad
Other li
Sacuritteslending reinvested a>:ti:»r*l euets
JIarnstc wtlto^ns for Invested esseU
TMt ptiRts leu Cheired off
Invertmcnt Incomt due end accrued
UncofimUd premiums end scents balances in the couru of cetlecdon
I end InfUBfflents booked but defer
Deferred prenlumi, agents' bslsncet er
ftotyttdue
Aocmed retrospective premhims
Amoitnts recoverable from reimufert
DUMT amountt rafif^nM* UAtfcr raAiiu
Mneum notvabh rcMInc u inliwjraA plan
Cynant Maral and Paralffn Pieoma tw rtcovaraPla and Intarast PiaraM
NMdahnadtnaMt
auaranty fVindi racalvabia « o» dapnit
hcaradaHvarvauata
ra dua t» foralln aadwipa ratat
•Uoahlblas Inn param, upaUUrtaa and amUalaa
HaaWi acaandodiaaanpuati faealvaMa
l^rafpla wiltpdra far eOvaf th«i Invaxtadaoats
imi. Sagraf atad Acminla and Pntaatad CaP Total aiaata aadudlnd Tapan
Accounts
Ffom Sopanta Acxsunts. Sagcaffllod Accounts snd Protactad CM Accennti
TOTAU
M.MO.MC
0
a
0
0
0
0 a
d
0
0
0
wajOMSA
0
S4,1U
0
a
3QJ07,U9
0
a,«>i,M»
0
0
0
CJMJPP
0
VVAUMS
MiMuranca payaWa OA paid loaaas and Iocs 0
ton adiustnont ononsM
Commitilons poyaldc, continf tnt
OtDofOspor
currant fadani and Ibragpi lacorna tonal
HatdalantdtaaluiiWly
It and othar dmltat chargas
lani
Itoralgoinconntaaasl
Vnaarnadpramiurns
Advancaprarnktm
CadadralMurancapra aMo(cadli«coi
Fwtds hald liv company undar ralnsuroiKa traattaa
Amounts MtMtoW nr rotilnod ln> company lor account of odian
Pomlltoncas and Hams IMS allocatad
Proyfalon tar ralnuHonca
Not odfustmaats In BMls and ioMIWos duo to tafoign ndiai«a ntas
0
isa»i
USJP74
LS21.TIS
«.*3TAS«
0
ISAU.13B
adWAM
0
Payoblotoparant.tj
Dodvatlvis
PovoWotocsocurttias
PayihM tac soeuittios londlog
Aggragato mttadns tac lUllltlat
Total llaUIHIaaaadiidlng pcnactad 0
Protactad cag llaUIKias
Total Uatdlltlaf
PcxKTHouitim nipptus
Aggragata umtadm tar ipodal uuploi tanda
IrW.lS*
ia4.gac.3U
MJUtMd
IWOMl
Common capital ctoca
Pratarrad capital ttocn
Aartgata nrltmlns tar oUiar Stan ipadaiuuplus
SundusNcus
Gross paid In and oontrtbutad surplus
Nisurpluil
CEPTIPICATI
I cartdy tftpt Ota atxsup Anancial itatamonts to tlw boss of my
knewtadgo oro 0 ma and occurote mnaetlon of tiM ditandal
condition of llio Company as of DacofflliOf 31.21)13.
Addlllonally. I coinly tliK ffm iboye financial statanmnls ua
In agiaamant adOilftt Stuitory Rnanial Sutamanls mad
ailtfitfialll
CFO. VPCTraaurar
pwaaiw nf Insuraneus of tan unia data
Surpliis as caitanlt txidcvfioldan
TOTACS
andnnnumtOdtT^cl Jd- , ^tf/'/
>»,fmri^ulanaanltaii__ZZ/£ .'8
/i^ySS/7 '/FT.P^'
(lCJSg.SS*l
uoxaiiT
27II.A2SJW
ALY88ATURN0VITZ Notary Public State of |ylew TMt NO.01TU6044514 OuaRfled in Westchester OounN Commission Bipires July ia aoiS
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