15-0421_Bond_LV Pacific Point_TTM 16749_SUR20000334RELEASED^
City Clerk _ City Clerk .
City of San 3uan Capistrano, CA
SUBDIVISION FAITHFUL PERFORMANCE BOND
(GOVERNMENT CODE 66499.2)
Bond No: SUR20000334
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:
Landscape 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 Capistrano, (hereafter called "Cbligee") in the penal sum of Eighty Five
Thousand Six Hundred Seventv Three and 00/100 Dollars,
($85,673) 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, ail to bo taxod 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
Its:
Jonas Stiklorin;-
Authorized Siyr^ ' .-^Y
SURETY:
(NOTARIZATION AND SEAL)
Christopher L. Dobbs-Attorney-in-Fact
Page 2 of 3
APPROVED AS TO FORM:
Hans Van Ligten, City Attorney
NOTE: Please attach Acknowledgement and Power of Attorney
age 3
POWER OF ATTORNEY
Ironshore Indemnity Inc.
Ill- 20000334
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)-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, 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 Inr rument; that he executed said instrument on
behalf of the corporation by authority of his office under the By-laws of said corporation.
JUDY BEBOEB
NOTAIY PUBUC-STATE OF NEW YORK
NO. 01BE6222764
Qu itm»d in Now York count t
My Commlition Ixoiio* Jun* 01, 2014 Notary Public
CERTIFICATE
I, the undersigned. Secretary of IRONSHORE INDEMNITY INC., a Minnesota C- r.p- ,y, 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 t -en revoked and the resolutions as set forth are now In force.
Signed and Sealed at this 24th Day of March , 20 15
S«cm«ry
"WARNING: Any person who knowingly and with intent to defraud any insurance company or other person, flies 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: SUR20000334
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:
Landscape subdivision Improvements within Tract 16749 as defined within Amendment
#1 and Reinstatement of the Subdivision Improvement Agreement for Tract 16749.
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 Eighty Five
Thousand Six Hundred Seventv Three and 00/100 Dollars, ($85,673.00) 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 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 WHERECF, 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 (NCTARIZATICN AND SEAL)
By: PAMI LLC, its Managing Member
Its: Jonas Stiklorii:
Authorized Signatory
SURETY:
NCTARIZATICN AND SEAL)
Page 2 of 3
APPROVED AS TO FORM:
Bv '^{Q
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- 20000334
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 $7,500,000 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 knc m, who being duly sworn, did depose and say that he is the
Director of Ironshore indemnity. Inc., the corporation described in and which executed he above instrument; that he executed said instrument on
behalf of the corporation by authority of his office under the By-laws of said corporation.
JUPY BEBOEB
NOTAJ Y PUBUC-STATE OF NEW Y tRK
NO. 0TBE6222764
QUI iimod tn Now YotK Count f
My Commliilen Ixplioi June 01. 2014
^^UcLL^,a^A.
Notary Public
CF .IFICATE
I, the undersigned. Secretary of IRONSHORE INDEMNITY INC. . 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 ano effect and has not been evoked and the resolutions as set forth are now in force.
Signed and Sealed at this 24ih Day of March , 20 15
Sflcretary
"WARNING: Any person who knowingly and with intent to defraud any insurance company or other person, fries 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:
BtONSHORE IMOCMNrrr INC
flMAWCUL STATEMDT SUMMMV
AsflfpKOT«lMr91.2au
Assm
Prvf*rT«l stodit
Cominon iWdu
MOTtg^t loM en ml MUM: Flnl NMM
Mertgte* >BM> ^ MUW: 0«<er Ch«n An! Ikru
PropTttei pccupJtd by tte tomptm
PrepMOnlMM tar the productlge of lncom«
iMldtarsj
CeniracttMm
OerivatlvM
CXh«rinv«tMl«fut>
Hentatbin tor Mcurtttat
SrartUo Mini r<li>ntl.4 oXUtml •
A«inf>t< Mlta-<u (or inwwl ntra
hMldlRMfMMMtt
nut plara tat i- Charlod off
Uncotacted prMttumi and acanta balancas tn tfi« cauna of csJtacllao
DataraO pramluni^ agantt* balancM and (nsUBfnanli faoaaod but dafattdd a«td
noivdidtia
Antounta racovarabla from rainua
fundi haM by or dmuHllad wlttt rt
Otbar amuuntf raotlvaMo unddr rataumnca oontracU
Amountt raoafvabte rafabni to unliuuiod plant
Currunt fadanj and forotf n pieomo tan rucuyoroUo and Intaran Uiarooo
(Mdafarndtaxaiadt
Guaranty (urtdt racalvlMo or au dapoin
f umlturb and oaulpmaM. bidudiiM bmllb car* dabvary ataala
Nat adjuttmanl M aamtt and Uabdltta dud to fortt|n oadianf* rotat
bacabrablal bom paroM. lUbdOaita and affUlata
Hoaltb cam and pthar amoontt racafvaMa
Pfgrogata onlta-trM for aoiar than hwaxtadatiatt
Total ataots aadudlnd Saparata Accounts. S
Accounts
ffom Soporat* Acxnuntt. Sofroailod Aecpunit and Pioli
TOTAIS
laUMLTIO
0
».KO.nt
0
0
G
0
a
ITAJOSASA
0
WA.SU
4),IJ2J70
0
UJOT.US
0
0
0
0
1.<(S,CM
<J»3J«
G 4ja,i<o 2Tou<je
Csmmltdona payihta, cnntbiianl cm itandothafdmllarclianai
Othat aapaniai lanhidinf laxat. •contoi and laaal
Taant, Kcnntas and faot laadodbM (adatol and foralf n incama taaaaf
Currant tadtral and foroipn Incom* taxoa
NatdalirradlarlabWiy
Unaamad pramiumt
Advanc* primium
Cadtd ralMurancu promhimt payabia (nat of cadbis commMffom)
funds hold by company undat rofnaurwica Iroatta
AmooMswiaibsldorralalnodbvcompaiiyforsccmiiitofottiart '
naffllttancn and hami not alloeatod
Prmdiion for roimuranca
Not odjimmonts In ataola and •aUWta dot to lonfin oschonca rata
Drafts oulstandinc
Payabia to paranl. tubddlBfta and sfflllam
Darfvattros
PsyaMofortocuittta
PiyaUo for tooirttta lflldln(
Uabllltv for amounts hoM undot imlnturod planl
Aurtf Btt nrttodns tor taUIMot
Total llabdIOaa asdudlni ptniactsd cod HablWta
4}JM.M>
0
l.«2J.7<15
<UJJS«
MUTJM
0
Total Uabdltta
poucvHouicim nidPuis
AcffOfata omta-lns hrripacfaj turplos funds
lra«,lS<
ia»js<.2<«
ia<j><.2»
U0lS4a.TlT
Commun capital ItocA
PrafoiTdd capKalitocb
Aarasata wrlta^na for ofbar flttmpadal furpj I
SuipfuaNota
Gross paid In and cdotrlputad sorplus
Unaalltnad funds IturplutI
Surpbn as raoards DoBcvfiolc
(WUdJMI
120jaO,117
2»U<JM
CTbTlflCATI
I certify thaa ttid abouo IWianclai natcmants to the best of my
knowloddo art a true and acarrato tofloction of tb* Gnandal
condition of mo Cnmnany as of Dacambot 31.2C13
Addoonafy.! candy that Iho atnve financial slatamcms art
In acmomanl odlbina Smbilnry Hnandal SUtamtnls Mad
i«ttht)iafiliinal|>dllltaliiollntufaadapsof»
alGlaason
CfO. VPGTraasurar
L. J^f/y, :i^/V
/-VS8ATURNCMTZ Nolar Public State of New Ttok No. 017116044514 Oiunfied in Westchester Gourty Connteion Expirae .My ia 2010
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 ihe individual whoSu ucu.s^ :,'JoDj:-:beJ 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
LISA A. PHELAM
Notary Pu', lie State oi New York
QuaLfiec in New Voir County
Reg No. 01PH6292618
Commission Expires November 4, 2017