15-0421_Bond_LV Pacific Point_TTM 16752_SUR20000342RELEASED
Signature
City Clerk ,^
City of San Juan Capistrano, CA
SUBDIVISION FAITHFUL PERFORMANCE BOND
(GOVERNMENT CODE 66499.2)
Bond No: SUR20000342
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:
Street subdivision improvements within Tract 16752 as defined within Amendment #1
and Reinstatement of the Subdivision Improvement Agreement for Tract 16752.
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 Nine
Hundred Eighty Six Thousand Nine Hundred Thirty Two and 00/100 Dollars,
($986,932) 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 By: -<^Jh.
Its: Jonas Stiklorius
Authorized Signalory
SURETY:
(NOTARIZATION AND SEAL)
Page 2 of 3
APPROVED AS TO FORM:
Bv: ^(],
Hans Van Ligten, City Attorney
NOTE: Please attach Acknowledgement and Power of Attorney
Page 3 of 3
POWER OF ATTORNEY
Ironshore Indemnity Inc.
Ill- 20000342
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
y'^dayof 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.
JODV BEROEB
NOTAJ Y PUBUC-STATE OF NEW Y< >RK
NO. 0UE6222764
OuWmod In Now Yofk Counf f
My CommlMion IXOIIM June 01, 2014
erger
Nofiry 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
Sacratary
"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: SUR20000342
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:
Street subdivision improvements within Tract 16752 as defined within Amendment #1
and Reinstatement of the Subdivision improvement Agreement for Tract 16752.
NOW, 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 Nine
Hundred Eighty Six Thousand Nine Hundred Thirty Two 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.
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; otherwise it shall be and rem? n 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 (NC TARIZATION AND SEAL)
By: PAMI LLC, its Managing Member
By:
Jonas Stiklorius
Authorized Sienatorv Its:
SURETY:
(NOTARIZATION AND SEAL)
Page 2 of 3
Hans Van LigmrrCi!y7\ttomey
NOTE: Please see attached Acknowledgement and Power of Attorney
Page 3 of 3
POWER OF ATTORNEY
III- 20000342
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, 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.
DaftlelL. SussmSn
Director
* SEAL 1S19
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 BERGEB
NOTAt Y PUBUC-STATE OF NEW YORK
No. 01BE62227&4
Outelflod In Now Yoth County
My CommlMion Ixplfo* June 01. 2014
Jufl^rger ' 0
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 15
, • , 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."
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:
noHSHtwE imcMNiry inc
nwWCUl STATIMENT SUMMAKr
«»rtDie»»ntir3:.ani
«5EE
Bonis
Broforrid stoGfcs
Common Stocks
MoftMc toons on roof ostolo: FUst Notts
MoftNsBo toons on toot ostolo; Otttor ttion Brat lions
Propofttos occuiilon by th« componv
ProoofUos ImM for tho iiroiluclJon of Incomt
Pfpponlpshobl lor solo
Cosh, coshopolyolottu snp shon-uim Invostnionts
Controcl hssns
other kmstotlossats
Rocolwoblos htr secttrhies
SeooWes lendlnf relnvestoii cpllitirol osseB
|i<|te|otewrlto.lnsfQr InweiSetl assets
Sitbtptoh. cidt sitN lovtstoO ossets
nMplinulessS..CIioile<lpn
ktvestioonl tncpitit ihte ond occruod
UncoNectedpretnlumsotidOitpts Jtolonceslntheceutsepfcslleotion
OeM iiik oetnts* hilsttces 01
Aosissd Totspspecdve premiums
Amounts rooovoroMo front tokrutrors
Fundi hoM py or depodtod uttth rolnsurtd cempotllos
OOior omounis rooitvoMP uttdor totnuraiioo controcti
Ameunn tesefvotdo relodnt to imlnurod ploni
Cumnt lodorsl otid lorelen incotno mo tocovoroPto ond Intorest thorot
Hotdoforrodtoxosiot
Guoroiity fundi lecohmWo or on doppslt
Ftirnltuie ond odtdpmont, mdiolltie hooMi coro dillnry oneu
Nol odhrstmonl In ossols ond UohNKloi duo to fMol|n enlsot^ rotts
BocnlwoMis Item poront, Mihsldlofhts ond omUalos
Hoollh tero ond pthor ompunti teeohahlo
Acitoffott onltedni for edior llton Invostod ossoti
lAUUUTM
0
».9ao,nc
0
0
0
0 0
9
0
0
0
0
0
174jO].tS«
0
BSd.119
49.232.(70 0
0
30J«7,US
0
0
0
0 4,«is.(e<
0
0
0
ijBMte
0
4JM.1M
270,41t3<S
Mtisuionto plyiMo on P4kl lpts4s ond lots 44)01111101114spoi>ios
Loss od)iKtmo«t osponioi
CommltdPiii poyolilt, tPiitln(onl tommfsdons ond oltior dmiloi thoijos
Odtor osponies lostdudkK touL Nooniel onlioos)
Toxoi, Ikensos ond lOos (oodudinf fodoral ond forolin intomo tosos)
Cunm: hrprrti ond toni£n Income tisol
NitdolorrodtoslblilNty
Unoomodproffliumt
Adsoncopmmkim
elnolpltod) osl Coded rolhsuroncc prpmitin
Funds hold try compony undir rolnsuronco treotlts
Amounts wtthliold or rotolnod by compony tar octputtt of pihors
Romlttoncos ond Itoms not oftacotod
FTpyftlon tar rotmurone
IM odjustmonti In ossots ond loblNltts duo to taroiin osthonio rs
Droits putstondliic
Boyobto to poront. subddlotlos ond ofTUlotcs
DoHvothms
PoyoWotarsocuttttos
Poyobta for socuiltics l«ulli«
UoMllty lor omounis hoM ttndor unltisurod pUns
AdtiOfOtounltodnstorUblinics
TPUlNibNItlosoiidudlnlprPUaodsoillsblWtas
ProloctodcoNllolilWios
Totol UsbflWps
POOCVHOUtEliyS HtltPtUS
AIBSB.BBB
0
Tajois
12554774
l.<25.7a5
4,417
0
2S,S«».120
44M75M
D
Mi4>4»4>M
C4a}.15«
149,«X44t>
149,S<tJ6a
120540.117
mix. Sofrofottd Aocounis ond Pmloctod Ctd Aocputils
lOTAU 270,4«,3«t
nforspodoliurplusluids
Ctmtmoncopltolstotk
Prolorred topttolitocfc
Aftretote orltodns tar ptinm Ihon ipodol surpliis
Surplus Nous
dross pold In ond c ntnbutod surplus
Utiosslfnodfur isurptusi
Surpkaosrcr . poBctmoldors (14JSB5S4I
120540.217
CEHnHCAII
I coroty that the obove flnoticlat stptemcnts to the best of my
knoutlodNP Oft 0 true ond ocoirote toBoctloii of the flunslsl
condition of Iho Compony OS of Dosombor 91, lOU.
f cpitlfy tftm the obove fitiandol stotanUBnfs ore
CFO.VPOTTtosufet
ALYSSATURKOVnZ Notary Public. State of New\M( No. 011116044514 Ouaimetf te Wsstchester Counte Comnteion &|]ir«8 July ia aoie
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^ffice of inoividual
taking acknowledgment
LISA A. PHELAN Notary Public, State of New York Qualifieo m New York County Reg No. 01PH6292618 Commission Expires November 4, 2017