15-0421_Bond_LV Pacific Point_TTM 16749_SUR20000333RELEASED
Date: d f^'"
Signature: /"/ ^A-T City Clerk _ T City of San Juan'Caplstrano, CA
SUBDIVISION FAITHFUL PERFORMANCE BOND
(GOVERNMENT CODE 66499.2) Bond No: SUR20000333
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:
Monument subdivision improvements within Tract 16749 as defined within Amendment
#1 and Reinstatement of the Subdivision Improvement Agreement for Tract 16749.
NCW, THEREFCRE, we, the Principal and Surety are held firmly bound unto the
City of San Juan Caplstrano, (hereafter called "Cbligee") in the penal sum of Fourteen
Thousand Five Hundred and 00/100 Dollars,
($14,500) 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 taAcb 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
By: PAMI LLC, Its Managing Member
(NOTARIZATION AND SEAL)
Its: Authorized Signatory
SURETY:
(NOTARIZATION AND SEAL)
Page 2 of 3
APPROVED AS TO FORM:
By:(i
Hans Van Ligten, City Attorney
NOTE: Please attach Acknowledgement and Power of Attorney
Page 3 of 3
POWER OF ATTORNEY
III- 20000333
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 Ce.v.,:.i;iy is hercL', '..:i ; ::-d to appoint and empower snv reoresentative 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 du^ sworn, did depose and say that he Is the
Director of Ironshore Indemnity, Inc., the corporation described In and which executed the above Instrur ;nt; that he executed said instrument on behalf of the corporation by authority of his office under the By-laws of said corporation.
JUPV BEROEB
NOTM Y PUBUC-SUTE OF NEW YORK
NO. 0UE6222764
QUI ilinod In Now York Count f
MY CommlMion ixplrot June 01, 2f 14 Notary Public
CERTIFICATE
I, the undersigned, Secretary of IRONSHORE INDEMNITY INC., a Minnesota Company JO 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 bee revoked and the resolutions as set forth are now in force.
Signed and Sealed at this 24th Day of March , 20 15
SecrMsrv
"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 an;: civil penalties."
SUBDIVISION LABOR AND MATERIAL BOND
(GOVERNMENT CODE 66499.2)
Bond No: SUR20000333
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:
Monument subdivision Improvements within Tract 16749 as defined within Amendment
#1 and Reinstatement of the Subdivision Improvement Agreement for Tract 16749.
NCW, THEREFCRE, we, the Principal and Surety are held firmly bound unto the
City of San Juan Caplstrano, (hereafter called "Cbligee") In the penal sum of Fourteen
Thousand Five Hundred and 00/100 Dollars, ($14,500.00) lavYfui money of the United
States, for the payment of which sum well and truly to he made, we hind 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
hound 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 he 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 /.greement, then this obligation
shall become null and void; otherwise It shall he and re nain In full force and effect.
Page 1 of 3
BE IT FURTHER RESOLVED:
1. As a part of the ohilgatlon secured hereby, and In addition to the face
amount specified therefore, there shall he Included costs and reasonable expenses and
fees. Including reasonable attorney's fees. Incurred by City In successfully enforcing
such obligation, all to he 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 he
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
Authorized Signatory
SURETY:
(NOTARIZATION AND SEAL)
Page 2 of 3
APPROVED AS TO FORM:
By/%'J/
•Hans Van Ligten, City Attorney
NOTE: Please see attached Acknowledgement and Power of Attorney
Page 3 of 3
POWER OF ATTORNEY
Ironshore indemnity inc.
Ill- 20000333
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, contracts of indemnity or other writings obligatory
in nature of a bond not to exceed $7,SCJ,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.
#5^ Oanlen. Sus
Director
ACKNOWLEDGEMENT
On this 7* Day of August, 2013, before me, personally came Daniel L. Sussman to me known, who being duh sworn, did depose and say that he is the Director of Ironshore indemnity. Inc., the corporation described in and which executed the above instrurr nt; that he executed said instrument on
behalf of the corporation by authority of his office under the By-laws of said corporation.
JUPV BEBOIB NOTAf y PUBLIC-STATE OF NEW YORK
NO. 01BE6222764
Qu ilUlod In Now Yofk Count t
My CommlMlon ExpliM Juno 01, 2014
-c^erger
.Notary Public
CERTIFICATE I, the undersigned. Secretary of IRONSHORE INDEMNITY INC., a Minnesota Company, J 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 -voked and the resolutions as set forth are now in force.
Signed and Sealed at this 24th Day of March , 20 15
PaulS.GiSSiS
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."
1919
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, 2015
SEAL:
moMSHoniMKMNm mc
nHAMCUl STATEMENT SUMEWIIT
A>«f(lK««b«Sl.>SU
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Common tlACki
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Acgrafatc wrltoTni for inmtod ouoti
Sufatotah. cad, and invaatad aiaati
TMalilinulauS Cha,|adoff
Immrtmcnt Incatna duo and accniad
UncoMctod pramlumi and asaftti balancm In tM covraa of cdflocddn
ui.mi.7n
0
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0
0 Q t V
0
0
174.S0S.45a
0
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4S,U2S70
Mlmuranca payabla on paid lofsaa and lo« a
loti adimtmant aaponiai
l.cantln|antcal rrtMryas
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0.-Trnr fadaral and foraVn Incoma cm,
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Ml Cadtd ralmuranca pramlumi payaMa (Ml of cadUig cof
Fundr Mid by company undar ralnauranca Imtlai
Amountr udtbhau or ratilnad by company for account of dtMn
Mmlttancm and barm not allocatad
Provlnon for ralmuranca
Hat adluctmanti la arnan and EiblMias dim ta focalin aadunia ratal
Dialtiuutitandlnt
4Uss,Ma
0
1.823,71s
dS375M
0
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44S87S84
0
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notyaldua
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Funds bald by or d
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dnf lounlruuradptaru
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a aiul Intaralt ttaaraaf.
h cara da Uvary aiscta
Nat adjuitmmrt In aimti md UaUlltlm dim » b
n pannt. lubildlaiiaa and affuiatm
Haalth cara and utfaar amounts racalvabfo
Aff rapata wrtta4M for olMf tfun tanmstad aisats
TotBt allati aadudlnd Suoanta Accounts. Sattafstad Accounts and Frotactad CaP
Accounts
d Accounts and Frotactad Oal A
0
30j07,825
0
0
0
0
a,t0S.U8
0
0
0
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0
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27aS2C48S
270.42<J8t
Payitli 10 parant. subsldlarltt and afflllam
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csa2.Ma
Payabla fmaacurttsas
Payablttoclacurttimlf
UabUttvforamtiunts
AurafataunltaUmI
Total UbWdaaamSin
Frotactad sal llabWtiei
Total tabWriat
FoucyHoiDEnss smtpius
Afirafata wntoTm for sparial surplus funds
Common capital itocb
1US3,2S<
U9S8S.3C8
149S88JE8
U0S4O.11T
Aaratata urrlta4ns for MMr i!un spadal surplm
Surplut Noras
Gross paid In and eontrlbulad surphjs
Uoassl(nad funds IsurplusI
surplus as roiank psXcvholdtn
(MJ885S4I
I2OI0.217
270,428388
CIKTlflCATE
I certify that tbt aboup llnaiKlai ttalciMnts to ttw best of my tawudadao ara a tnro and accurata raflacdon of tM fiMndal
condition of dm Company as of oacombor 31.2013.
AdHdotmlly, I cistlfy that Ihe abme fltwclal statomants art
In airaaiMm ntd, gat Stiuitory nruruial Sutamank Mad arltbtMWIanuall#8>asanamotlnsusaaeansofmosamada,a.
CFO. VPATraasurm
ah^SUfunlsslos, arakmu.
.A' i'SS// /KFC> xOi//*
ALVSSATURNOVnZ \jatary Public. State Of NewYbfk No.01TUe044514 Qualffled in Waslchester Counte CommissiQn Expiraa AiV ia 201S
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 indi'bd""] i'tio^e 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