11-0301_PETERSON-CHASE GEN ENG CONST., INC_Labor and Material Bond EXECUTED IN TWO COUNTERPAR'.L� 1i0ND# 251.5595
PREMIUM: INCLUDED IN
LABORAND MATERIAL BOND PERFORMANCE BOND
i
Know all nen by these presents, that:
WHEREAS, the City of San Juan Capistrano,a municipal corporation of Orange County,
ON,
i
California,has awarded to: P tsON t ASt GENERALIN � ; qtr
GENERAL � IW
, License
No. 615876
hereinafter designated as "Principal", a contract for
DEL OBT E NG: ; and
FROM ALIPAZ STREET TO PASEO ADILANTO (CIP 07107)
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WHEREAS, said Principal is required to furnish a bond in connection with the said
contract providing that if said Principal,or any of his or its sub-contractors,shall fail to pay for
any materials, provisions, provender or other supplies or tears used in, upon, for or about the
performance of the work contracted to be done,or for any work or labor done thereon of any kind,
the surety or this bond will pay the same.
PETERSON-CHASE GENERAL
NOW, THEREFORE, we ENGINEERING CONSTRUCTION INC.
Principal, and GREAT AMERICAN INSURANCE COMPANY , as surety,
Are held firmly bound unto the City of San Juan Capistrano, a municipal corporation, in the
penal sura of DOLLARS
am
($_32453,842.46), lawful money of the United States of America, for payment of which sum
well and trsuccessoruly to
yy be made we bind ourselves,
these ppour heirs, executors, administrators and
ntl
and
THREE MILLI FO`C3R HUNDRED II�ZFT��THREE THOUSANDEIGHTHUNDRED FORTY-TWO & 46/100 DOLLARS
THE CONDITION OF THIS OBLIGATION is such that, if said Principal,his or its
heirs, executors, administrators, successors or assigns, or sub-contractors, shall fail to pay
for any materials, provisions, provender, or teams, or other supplies or equipment used in,
upon, for or about the performance of the work contracted to be done, or for any work or
labor done thereon of any kind, or for amounts due under the Unemployment Insurance Code
with respect to such work, or for any amounts required to be deducted, withheld, and
paid over to the EDIT from the wages of employees of the contractor and
subcontractors pursuant to Section 13020 of the Unemployment Insurance Code with
respect to such work, that the surety will pay for the same in an amount not exceeding the
sum specified in this bond and also in case suit is brought upon the bond, a reasonable
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attorney's fee to be fixed by the court. This bond shall inure to the benefit of any and all
persons, companies and corporations entitled to file claims under Section 3181 of the Civil
Code, so as to give a right of action to them or their assigns in any suit brought upon this
bond.
FURTHER, the said surety, for value received, herebystipulates and a
p grew 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 obligation on this bond and it does
hereby waive notice of any such change, extension of time, alteration or modification of the
LM-1
contract documents or of work to be performed there under.
As a part of the obligation secured hereby, and in addition to the face amount
specified therefor, 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.
1
Executed this 8TH day of MARCH __, 20 11, at
ANAHEIM California. t
PETERSON--CHASE GENERAL
ENGINEERING CONSTRUCTION ` INC.
PRINCIPA a
By.
GREAT AMERI AN INSURANCE COMPANY
SURETY
By:
(Nota k ion and Seal)
CHARLES L. FLAKE / ATTORNEY--IN--FACT
APPROVED AS TO FORM
ON
City Attorney
Y, .
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CALIFORNIA ALL-PURPOSE ACKNOWLEDGMENT
State of California
County of
On before me,
Date Here insert Name and Title o Officer
personally appearedG�
....,. � Name(sj of Signers}
who proved to me on the basis of satisfactory evidence to
be the pel whose name(e) is/am subscribed to the
within instrument and acknowledged to me that
he/may executed the same in h1sAie4#-4r authorized
K.VON SCHONREL-D capacity(aes), and that by hisA469thQir signature( on the
rA Commission#1863484 IL instrument the person(-*, or the entity upon behalf of
Public-California Zz which the person(&) acted, executed the instrument.
Orange Courcy
t Ga�ara.U fres 5 28,2E)13 1 certify under PENALTY OF PERJURY under the laws
of the State of California that the foregoing paragraph is
true and correct.
WITNESS my hand and official seal.
Place Y ace Notar Seal Above Signature
gnatore of No ry Puhlie
OPTIONAL
Though the information below is not required by law,it may prove valuable to persons relying on the document
and could prevent fraudulent removal and reattachment of this form to another document.
Description of Attached Document
Title or Type of Document: _...........
Document Date: _ _ dumber of Pages: _
Signer(s) Other Than Named Above:
Capacity(ies) Claimed by Signers)
Signer's Name: Signer's Name:
0 Individual 1-7 Individual
Corporate Officer—Title(s): _ `J Corporate Officer—Title(s):
C i Partner— ) Limited 1,71General l i Partner—❑ Limited 1 General
L
Attorney in Fact ❑Attorney in Fact livalogo
Trustee Top of thumb here Trustee Top of,humb here
Guardian or Conservator ❑ Guardian or Conservator
Other: ❑Other:
Signor Is Representing: Signer Is Representing:
02007 National Notary Association-9350 Do Soto Ave.,P.O.Box 2402-Chatsworth,CA 91373-2402-www,NationaiNotary.org €lam 45907 Reorder:Call Tall-Free 1-800-875-5827
CALIFORNIA ALL-PURPOSE ACKNOWLEDGMENT
STATE OF CALIFORNIA
County of Qrange
On 3-08-11 before me, Lexie Sherwood,..Notary Public
Date Here Insert Name and Title of the Officer
personally appeared Charles L. Flake _
Narne(s)of Signer(s)
who proved to me on the basis of satisfactory evidence to
be the person(s) whose name(s) is/are subscribed to the
within instrument and acknowledged to me that he/she/they
executed the same in his/her/their authorized capacity(ies),
and that by his/her/their signature(s) on the instrument the
LEXIE SHERWOOD person(s), or the entity upon behalf of which the person(s)
ca ; CON11W)11858389 E acted, executed the instrument.
NOTARY PUBLIC e CALIFORNIA 0
ORANGE COUNTY �* I certify under PENALTY OF PERJURY under the laws of
Comni.Exp.JULY 27,2013 the State of California that the foregoing paragraph is true
and correct.
Witness my hand and official seal.
Signature e-,-4L
Place Notary Seat Above Signature of ary lic
OPTIONAL
Though the information below is not required by law, it may prove valuable to persons relying on the document
and could prevent fraudulent removal and reattachment of this form to another document.
Description of Attached Document
Title or Type of Document:
Document Date: Number of Pages:
Signer(s) Other Than Named Above-
Capacity(les)Claimed by Signer(s)
Signer's Name: Signer's Name:
❑ Individual ❑ individual
❑ Corporate Officer—Title(s): ❑ Corporate Officer—Title(s):
❑ Partner—❑Limited❑General ❑ Partner------❑Limited❑General
❑ Attorney in Fact ❑ Attorney in Fact
❑ Trustee ' ❑ 'trustee
❑ Guardian or Conservator Top of thumb here ❑ Guardian or Conservator 7Topof mb
❑ Other: ❑ Other:
Signer Is Representing: Signer Is Representing:
02007 National Notary Association*9350 De Soto Ave.,P.O.Box 2402-Chatsworth,CA 91313-2402•www.NationalNotary.org Item#5907 Reorder:Cafi Toll-Free 1-806.876-6827
GREAT AMERICAN INSURANCE COMPANYO
Administrative Office: 580 WALNUT STREET* CINCINNATI,OHIO 45202* 513-369-5000* FAX 513-723-2740
The number of persons autltorized by
this power of attorney is not more than FOUR
No. 014406
POWER OF ATTORNEY
KNOW ALL MEN BY THESE PRESENTS:That the GREAT AMERICAN INSURANCE COMPANY,a corporation organized and existing under
and by virtue of the laws of the State of Ohio, does hereby nominate,constitute and appoint the person or persons named below,each individually if more than
one is named, its true and lawful attorney-in-fact, for it and in its name, place and stead to execute on behalf of the said Company, as surety, any and all bonds,
undertakings and contracts of suretyship, or other written obligations in the nature thereof, provided that the liability of the said Company on any such bond,
undertaking or contract of suretyship executed under this authority shall not exceed the limit stated below.
Name Address Limit of Power
DAVID L.CULBERTSON ALL OF ALL
CHARLES L.FLAKE ANAHEIM, $75,000,000.00
RICHARD A.COON CALIFORNIA
LEXIS SHERWOOD
This Power of Attorney revokes all previous powers issued in behalf of the attorney(sf in-fact named above.
IN WITNESS WHEREOF the GREAT AMERICAN INSURANCE COMPANY has caused these presents to be signed and attested by its appropriate
officers and its corporate seal hereunto affixed this 25 day of, MAY, 2010.
Attest GREAT AMERICAN INSURANCE COMPANY
A.ti.trslhirl 5'rrrrelirrr l3ivrvar�al Serrrnt l 'c Prr sulnl
STATE OF OHIO,COUNTY OF HAMILTON-ss: DAMC tcrrCHTN(513-412-4602)
On this 25TH day of MAY,2014, before me personally appeared DAVID C.KITCHIN,tome known,being duly swam,deposes and says that he resides in
Cincinnati, Ohio,that he is a Divisional.Senior Vice President of the Bond Division of Great American Insurance Company,the Company described in and which
executed the above instrument;that he knows the seal of the said Company;that the seal affixed to the said instrument is such corporate seal;that it was so affixed
by authority of his office under the By-Laws of said Company,and that he Signed his name thereto by like authority.
A
KAREN L.GROSHEN
+ NOTARY PUBLIC,STATE OE OWO
„1MY COMMISSION EXPIRES 02-20-11
'This Power of Attorney is granted by authority of the following resolutions adopted by the Board of Directors of Great American Insurance Company
by unanimous written consent dated June 9,2008
RESOLVED: 777at the Divisional President; the several Divisional Senior mice Presidents, Divisional Vice Presidents and Divisional Assistant Vice
.Presidents, or any one of them, be and hereby is authorized,from time to time, to appoint one or more Attorneys-in-Fact to execute on behalf of the Company,
as surety, any and all bonds, undertakings and contracts of suretyship, ot-other written obligations in the nature thereof, to prescribe their respective duties
and the respective limits of their authority;and to revoke any such appointment at any time.
PESOLVED FURI17ER: That the Company seal aiad the signature of any of the aforesaid officers and any Secretary or Assistant Secretary of the
Company may be affixed by facsimile to any power of attorney or certificate of either given for the execution of any bond, undertaking, contract of suretyship,
or other written obligation in the nature thereof;such signature and seal when so used being hereby adopted by the Company as the original signature of such
officer and the original seal of the Company, to be valid and binding upon the Company with the same force and effect as though manually affixed.
CERTIFICATION
1,STEPHEN C. BERAHA,Assistant Secretary of Great American Insurance Company,do hereby certify that the foregoing Power of Attorney and
the Resolutions of the Board of Directors of'June 9,2008 have not been revoked and are now in full force and effect.
Signed and sealed this 8TH day of MARCH 2011
/ R f
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