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16-1018_TL VETERANS, CONSTRUCTION, INC_Perf & Payment Bond 390970-PEXECUTED IN 1 ORIGINAL COUNTERPART BOND NUMBER: 390970-P OO 61 13 - BOND FORMS 1.1 Perfor¡nance Bond. KNOW ALL PËRSONS BY THËSË PRËSË.NTS: THAT WHÊRËAS, the City of San Juan Capistrano, (hereinafter referred to as "City") has âwarde d to Tt VETERANS CONSTRUCTION INC (hereinafter referred to as the "Contractor") an agreement for Contract No. ctP J!30?.. , (hereinafter referred to as the "Project"), WHEREAS, the work to be performed by the Contractor is more particularly set forlh in the Contract Documents for the Project dated AUGUST 2016 , (hereinafter referred to as "Contract Documents"), the terms and conditions of which are expressly incorporated herein by reference; and WHEREAS, the Contractor is required by said Contract Documents to perform the terms thereof and to furnish a bond for the faithful performance of said Contract Documents. NOW, THEREFORE, we,TL VETERANS CONSTRUCTION I the undersigned Contractor and ryrtEMtlrY coMPANY o as Surety, a corporation organized and duly authorized to transact business under the laws of the State of California, are held and firmly bound unto the City in the sum gf sevrrury ¡rrNe tHous¡No oNE nuNoReo roRtv ¡tvE DOLLARS ($ Zg_,J¿s.oo ), said sum being not less than one hundred percent (100%) of the total amount of the Contract, for which amount well and truly to be made, we bind ourselves, our heirs, executors and administrators, successors and asslgns, jointly and severally, firmly by these presents. THÊ CONDITION OF THIS OBLIGATION lS SUCH, that, if the Contractor, hiê or its heirs, executors, administrators, successors or assigns, shall in all things stand to and aProposale by, and well and truly keep and perform lhe covenants, condit¡ons and agreements in the Contract Documents and any alteration thereof made as therein provided, on its part, to be kept and performed at the time and in the manner therein specified, and in all respects according to their intenl and meaning; and shall faithfully fulfill all obligations including the one ('l)year guarantee of all nraterials and workmanship; and shall indemnify and save harmless the City, its officials, offlcers, employees, and authórized volunteers, as stipulated in said Contract Documents, then this obligation shall beconre null and void; otherwise it shall be and remain in full force and effect. As a part of the obligation securecj 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, íncurred by City in enforcing such obligation, As a condition precedent to the satisfactory completion of the Contract Documents, unless othenvise provided for in the Contract Documents, the above obligation shall hold good for a period of one (1)year after the acceptance of the work by City, during which time if Contractor shall fail to nlake full, complete, and satisfactory repair and replacements and totally protect the City from loss or damage resulting from or caused by defective materials or faulty workmanship. The obligations of Surety hereunder shall continue so long as any obligation of Contractor remains, Nothing herein shall limit the City's rights or the Contractor or Surely's obligations under the Contract, law or equity, including, but not limited to, California Code of Civil Procedure Section 337.'1 5. 6 1 1 47 .O2 1 00\20950242.3 -41-00 61 13 - BONÞ ËORMS Wlrenever Contractor shall be, and is declared by the City to be, in default under the Contract Documents, the Surety shall remedy the default pursuant to the Contract Docunrents, or shall prornptly, at the City's option: -l'ake over and conrplete the Project in accordance with all terms and conditions irr the Contract Docunrents; or Obtarn a Proposal or Proposals for completing the Project in accordance with all terms and condilions in the Contract Documents and upon determination by Surety of the lowest responsive and responsible Proposer, arrange for a Contract between such Proposer, the Surety and the City, and make available as work progresses sufficient funds to pay the cost of completion of the Project, less the balance of the contract price, including other costs and damages for which Surety may be liable. The term "balance of the contract price" as used in this paragraph shall mean the total amount payable to Contractor by the City under the Contract and any modification thereto, less any amount previously paid by the City to the Contractor and any other set otfs pursuant to the Contract Documents, lI Pernrit the City to complete the Project in any manner consistent with California law and make available as work progresses suificient funds to pay ihe cost of completion of the Project, less the balance of the contract price, including other costs and damages for which Surety may be liabte, The term "balance of the contract price" as used in this paragraph shall mean the total amount payable to Contractor by the Cily under the Contract and any modification thereto, less any amount previously paid by the City to the Contractor and any other set offs pursuant to the Contract Documents. Surety expressly agrees that the City may reject any contractor or subcontractor which may be proposed by Surety in fulfillment of its obligations in the event of default by the Contractor, Surety shall not utilize Contractor in completing the Project nor shall Surety accept a Proposal from Contractor for completion of the Project if the City, when declaring the Contractor in default, notifies Surety of the City's objection to Contractor's further participation in the completion of the Project, The Surety, for value received, hereby stipulates and agrees that no change, extension of time, alteration or addition to the terms of the Contract Documents or to the Project lo be performed thereunder shall in any way affect its obligations on this bond, and it does hereby waive notice of any such change, extension of time, alteration or addition to the terms of the Contract Documents or to the Project. IREMAINDER OF PAGE LEFT INTENTIONALLY BLANK] 61 147,02100\20950242.3 -42-0061 13-BONDFORMS lN WITNESS WHEREOF, we lrave hereunio set our hands and seals this lTl1- day of ocroBER ,20 16 , (Corporate Seal)TL VETERANS CONSTRUCTION, INC Corrtractor/ Princioal "TL ---v- (Corporate Seal) (Attach Attorney-in-Fact Certifìcate) this bond is $30.00 Title INDEMNITY COMPANY OF CALIFORNIA Surety By Attorney-in-Fact ritte,4EYlN.. F...Y"FGA, ATTORN EY-in-FAcr per thousand. The total amountof premiumfp q The rate o charges is ren'ìtum on 2,374.00 (The above must be filled In by corporate attorney.) THIS IS A REQUIRËD FORM Any claims under this bond may be addressed to: (Name and Address of Surety)INDEMNITY COMPANY OF CALIFORNIA bOO S. KRAhMbR tsLVD. #3OO BREA, ÇA'92821 C&D BONDING & INSURANCE SERVICES(Name and Address of Agent or Representative for service of process in California, if different from above) (Telephone number of Surety and Agent or Represeniative for service of process in California) þ34 E, tsAIJILLQ S I L;OV|NA, ÇÊ.91t23 626-859-1 000 ti1 147.021 00i20s50242.3 -43 OO 61 ,13 - BOND FORMS POWER OF ATTORNEY FOR DEVELOPERS SURETY AND INDEMNITY COMPANY INDEMNITY COMPANY OF CALIFORNIA P0 Box 19725, lRVlNE, cA 92623 (949) 263-3300 KNOW ALL BY THESE PRESENTS lhat except as expressly limited, DEVEL0PERS SURETY AND INDEMNITY C0MPANY and INDEMNITY COtulPANY 0F CALIF0RNIA, do each hereby make, constitute and appoint: ***Jadon H. Smith, Philip E. Vega, Kevin E. Vega, Britton Christiansen, Myrna Smith, jointly or severally*** are hereby ratified and confìrmed. AND INDEMNITY COMPANY and INDEMNITY COMPANY 0F CALIFORNIA, eflective as of January 1st, 2008. RESOLVED, that a combination of any two of the Chahman of the Board, the President, Executive Vice-President, Senior Vice-President or any Vice President of the to attest the exêcution of any such Power ofAttorney; RESOLVED, FURTHER, that the signatures of such officers may be affixed to any such Power of Attorney or to any certificate relatìng thereto by facsimile, and any such or contract of suretyship to which it is attached. lN WITNESS WHERE0n DEVELOPERS SURETY AND INDEMNITY COMPANY and INDEMNITY COMPANY 0F CALIF0RNIA have severally caused these presents to be signed by their respective officers and attested by Iheir respective Secretary orAssistant Secretary this May 23, 2013. IBy: By: On Daniel Young, Senior Vics-President Á** F, ér ess N. O(þ,\ïtce- P res id ent State of California County of Orange Mav 23. 201 3 before me,Gin¡ I Notarv Public Date Here lnsert Name and Title of the Otficer personally appeared Daniel and Greoo N. Okura F. 0cT. 10 1936 AND fi ôcT. 5 I 967 Name(s) of Signe(s) GINA L. GARNER coMM. # 2021215 NOTARY PUBL IC CALIFORNIA ORANGECO{JNIY comm.18,2017 l"'å /b",' who proved to me on the basis of satisfactory ev¡dence 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/theh authorized capacity(ies), and that by his/her/their signature(s) on the instrument the person(s), or the entity upon behalf of which the person(s) acted, executed the instrument. I certiff 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 Notary Seal Above Signature Gina L. Garner, Notary Public CERTIFICATE The undersigned, as Secretary orAssistant Secretary of DEVELOPERS SURETY AND INDEIVNITY COMPANY or INDEMNITY C0MPANY OF CALIF0RNIA, does hereby said corporations set forth in the Power ofAttorney are in force as of the date of this Certificate. ThisCertificateisexecutedintheCityoflrvine,Ca¡fornia,¡¡¡s18TH dayor OCTOBER,2016 By: Mark J. Lansdon, Assistant Secretary lD-1 380(Rev.05/1 3) CALIFORNIA ALL.PURPOSE ACKNOWLEDGMENT clvll coDE s 1189 A notary public or other officer completing this certificate verifies only the identity of the individual who signed the document to which this certificate is attached, and not the truthfulness, accuracy, or validity of that document. State of California County of LOS ANGELES 6n 10/18/2016 before me, Date PHILIP VEGA, NOTARY PUBLIC Here lnsert Name and Title of the Officer personally appeared KEVIN E. VEGA Name(s) of Signer(s) who proved to me on the basis of satisfactory evidence to be the personþf whose nameþ) is/aç subscribed to the within instrument and acknowledged to me that he/shc/fhey-executed the same in his/her/their authorized capacity(bsl and that by hislheøtrei* signature($ on the instrument the personþ|, or the entity upon behalf of which the person$ acted, executed the instrument. I certify under PENALTY of the State of California is true and correct. OF PERJURY under the laws that the foregoing paragraph PHILIP VËGA C0MM,# 2152121 IIOIARY PUBL¡C,CALIFORNIA Los Al¡cErËs CouflTy MY CoMM, ETP. MAY 31, 2O2O WITNESS my hand and Signature ture of Notary Public Place Notary Seal Above OPTIONAL Though this section is optianal, completing this information can deter alteration of the dacument or fraudulent reattachment of this form to an unintended document. Description of Attached Document Title or Type of Document:Document Date: Number of Pages: Signe(s) Other Than Named Above: CapaciÇ(ies) Claimed by Signer{s} Signer's Name:Signer's Name:[l Corporate Officer - Title(s):I Corporate Officer - Title(s) ü Partner - tr Limited D General n lndividual tr Attorney in FactI Trustee I Guardian or Conservator n Other: !Partner - nLimited DGeneral tr lndividual ü Attorney in Fact n Trustee tr Guardian or Conseruator tr Other: Signer ls Representing Signer ls Representing: @2014 National Notary Association . www.NationalNotary.org . 1-800-US NOTARY (1-S00-876-6827) Item #5907 CALIFORI{IA ALL-PURPOSE ACK]IIOWLEÞGMENT CIVIL CODE S 1189 ,"t A notary public or other officer completing this certificate verifies only the identity of the individual who signed the document to which this certificate is attached, and not the truthfulness, arcurâcy, or validity of that document. State of California County of Lo5 ¡(^5øbe /1/ru"^6n.n íI>- zolb before þi¡n;^nl,o ],*e-"-r, ^ ilo h*, 0* il',On ffi€, Date personally appeared lr,e o )ore Here lnsert Name and Title of the O/f¡cer L Name(s) of Signe(s) who proved to me on the basis of satisfactory evidence to be the @pon(s) whose n6ùe{s)ùur* subscribed to the within instrument and acknowledqed to me that/ñ-à/s-ñ-e/thev executedThe sanre in @/her/tne¡r authorized gáe4Ù(i-?1, and that.by@/tier/their si@-r{s) on the instrument the6e-iîòn(s), or the entity upon behalf of which the person(s) acted, executed the instrument. I certify under PFNALry OF PERJURY under the laws of the State of California that the foregaing paragraph is true and correct. WITNESS my hand and official seal ì 1 Signature /l¿ lt /---- ffir")tfi:Ñòiauy Pubtø Place Notary Seal Above APTIONAL Thaugh fhrs secfion is optianal, eompleting this information can deter alteration of the document or fraudulent reattachment of this form to an unintended document. Description of Attached Fun^Title or ïype of Document: Document Date:olÇ Number of Pages: $igne(s) Other Than Named Above: Capacity{ies} Cl aimed by Signer(s)"Tl.¿olo,e. L¿- e Signer's Name:Sþner's Ø Corpo Name: rate Officer - Title(s): ..Íc1:131**-I Corporate Officer * Title(s): [-r Pafiner - [ Linrited [] General 1...J lndividual l-...ìAttorney in Fact I Trustee I Guardian or Conservator f Other: I Partner - I Limíted fJ General il lndividual l..ìAttorney in Fact I Trustee I Guardian or Conservator X Other: fo^Signer ls RepresentingSigner ls Representing L l0ô Q2016 National Notary Association " www.NationalNotary.org . 1-800-US NOTARY (1-800-876-6827) ltem #5907 EXECUTED IN 1 ORIGINAL COUNTERPART BOND NUMBER: 390970-P 1.2 Payment gond (Lâllffi KNOW ALL MEN BY THESE PRESENTS ThAt WHËREAS, the City oí San Juan Capistrano (hereinafter designated as the "City"). by action laken or a resolution p assed OCTOBER 18TH , 20_19_*, has awarded to TL VETERANS CONSTRUCTION INC hETEÌNAftCT dC signated as the "Principal," a contract for the work described as follows: G ontract No. clP 15302 (the "Project"); and WHERËAS, said Principal is required to furnish a bond in connection with said contract; providing that if said Principal or any of its Subcontractors shall fail to pay for any materials, provisions, provender, equipment, or other suppl¡es 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 lnsurance Code or for any amounts required to be deducted, withheld, and paid over to the Employment Development Department from the wages of employees of said Principal and its Subcontractors with respect to such work or labor the Surety on this bond will pay for the sanre to the extent hereinafter set forth. NOW THEREFORE, we, the Prìncipa I and TNDEMNfiy coMpANy oF cALtFoRNtA as Surety, are held and firmly bound unto the City in the penal sum ofoËEüllflffi#s?l&U!- Dollars ($79.145.00 ) lawful rnoney of the United States of America, for the pâyment of which sum well and truly to be made, we bind ourselves, our heirs, executors, administrators, successors and assigns, jointly and severally, firmly by these prêsents. Tt{Ë CONDITION OF THIS OBLIGATION lS SUCH that iî said Principal, his or its subcontractors, heirs, executors, administrators, successors or assigns, shall fail to pay any of the persons named in Civil Code Section 9100, fail to pay for any materials, provisions or other supplies, used in, upon, for or about the performance of the work conlracted to be done, or for any work or labor thereon of any kind, or amounts due under the Unem,ployment lnsurance Code with respect to work or labor performed under the contract, or for any amounts required to be deducted, wíthheld, and paid over to the Employment Development Department or Franchise Tax Board fronl the wages of employees of the contractor and his subcontractors pursuant to Revenue and Taxation Code Section 18663, with respect to such work and labor the Surety or Sureties will pay for the same, in an amount not exceeding the sum herein above specified, and also, in case suit ìs brought upon this bond, all litigation expenses incurred by the City in such suit, including reasonable attorneys' fees, court costs, expert witness fees and investigation expenses, This bond shall inure to the benefit of any of the persons named in Civil Code Section 9100 so as to give a right of aciion to such persons or their assigns in any suit brought upon this bond. It is further stipulated and agreed that the Surety on this bond shall not be exonerated or released from the obligatlon of this bond by any change, extension of time for performance, addition, alteration or modification in, to, orof any contract, plans, specifications, or agreement pertaining or relating to any scheme or work of improvement herein above described, or pertaining or relating to the furnishing of labor, materials, or equipment therefore, nor by any change or modification of any terms of payment or extension of the time for any payment pertaining or relating to any scheme or work of improvement heÍein above described, nor by any rescission or attempted rescission or attempted rescission of the contract, agreement or bond, nor by any conditions precedent or subsequent in the bond a(tempting to limit the right of recovery of claimants othenryise entitled to recover under any such contract or agreement or tì1 1 47.02 100\20950242.3 -46-OO61 13-BONDFORMS Llnder lhe bond, nor by any fraud practicecl by any person other than the clainrant seekirrg to recover on the bond and that this bond be construêd most stróngly against the Surety and in favor of all persons for whose benefit such bond is given, and under no circunlstances shall Suret¡r be released frorl liability to those for whose benefit such bond has been given, by reason of any breacll of contract between the owner or City and orlginal coniractor or on the part of any obligee nanled in such bond, but the sole conditions of recovery shall be that claimant is a person described in Civil Code Section 9'100, and has not been paid the fLrll amount of his claim and that Surety does hereby waive notice of any such change, extension of time, addition, alteration or modification herein mentioned, including but not limited to the provisions of sections 2819 and 2845 of the Californ¡a Civil Code. lN WITNESS WHEREOF, we have hereunto set our hands and seals {þis 'l8TH day of OCTOBER 20 16. (Corporate Seal)TL VETERANS CONSTRUCTION tNc Contractor/ Principal 'rL Tiil (Corporate Seal)INDEMNITY COMPANY OF CALIFORNIA Surety By Attorney-in-Fact (Attach Attorney-in-Fact Certificate )KEVIN E. VEGA, ATTORNEY-|n-FACT 6 1 1 47.02 1 00\20950242,3 -47-OO61 13_BONDFORMS cALtFORNtA AIL-PURPOSE ACKNOWLEDGMET{T CtVtL CODE S 1189 ;gr, A notary publ¡c or other officer completing this certificate verifies only the identity of the individual who signed the document lo which this certificate is attaehed, and not the truthfulness, accurâcy, or validity of that document. State of Califarnia County of {*cT -, nI ,,(ln;r.l-, -J,'uø" o2, ^ /fbf^-, f-Ut<- Here lnsert Name and Title of tfie Of/icer L¿-¿- On Date personally appeared before me, | \e oJo,e Name(s) of Slgner(s) who proved to me on the basis of satisfactory evidence to be ttlq@r@n(s) whose @e(s)6Þr* subscribed to the within instrument and acknowledqed to me tbat/hdls-le/thev executed the same in @fneritneir authorized S@tv(¡es), and that.by @rrär¡th'e¡r s¡6eÍìtre(s) on the instrument the(9on(s), or the errtity upon behalf oJ which the¿pÈon(s) acted, executed the instrument. I certify under PENALry Of PËRJURY under the laws of the State of California that the foregoing paragraph is true and correct. ALEJANDRO JIMENEZ coMM. # 20591 16 WITNESS my hand and official seal. NOTARY PUBUC. CALIFORNIA LOSANGELES COUNTY My Commìssion Expires 201 I Signature Place Notary Seal Abave OPTIONAL Though fh¡s secfion is optional, completing this infarmation can deter alteration of the document or fraudulent reattact¡ment of this form to an unintended document. Description of Attached Document äà ã Title or ïype of Document: Document Date: Ll I j Number of Pages/ 201 Signe(s) Other Than Named Above: Gapacity{ies) Claimed $ign erf,þa Signer's Name:Sþner's ,Ø corpo Name: rate Officer - Title(s): ü Partner - [] Limited [] General 1...1 lndividual [.,J Attorrtey in Fact ü Trustee f] Guardian or Conservator ü Corporate Officer - Title(s): I Partner - il Limited ü General iJ lndividual 1....ì Attorney in Fact il Trustee I Guardian or Conservator I Other:I Other: Signer ls Flepresentíng:ì'Sign*r ls Fìepresenting , ç)2016 National Notary Association . www.NaiionalNotary.org . "1-800-US NOTARY (1-800-876-6827) ltem #59û7 POWER OF ATTORNEY FOR DEVELOPERS SURETY AND INDEMNITY COMPANY INDEMNITY COMPANY OF CALIFORNIA P0 Box 19725, lRVlNE, CA92623 (949) 263-3300 KNOWALL BY THESE PRESENTS that except as expressly limited, DEVEL0PERS SURETYAND INDEMNITY COMPANY and INDEMNITY COMPANY 0F CALIF0RNIA, do each hereby make, constitute and appoint: ***Jadon H. Smith, Philip E. Vega, Kevin E. Vega, Britton Christiansen, Myrna Smith, jointly or severally*** are hereby ratilìed and confìrmed. AND INDEMNITY COMPANY and INDEMNITY COMPANY 0F CALIFORNIA, effective as of January 1st, 2008. RES0LVED, that a combination of any two of the Chalrman of the Board, the President, Executive Vice-President, Senior Vice-President or any Vice President of the to attest the execution of any such Power of Attorney; RESOLVED, FURTHER, that the signatures of such oflicets may be affÌxed to any such Power of Attorney or to any cert¡fìcate relating thereto by facsimile, and any such or conhact of suretyship to which it is attached. lN WITNESS WHERË0F, DËVELOPERS SURETY AND INDEMNITY C0MPANY and INDEMNITY C0MPANY 0F CALIF0RNIA have severally caused these presents to be signed by their respective oflicers and attested by their respective Secretary or Assistant Secretary this May 23, 2013. By:ANO.{ By: Daniel Young, Senior Vice-President þ, 6,14 Utq u¡ ocï. 10 1936 N. State of California County of Orange 0n Mav 23. 2013 before me,Gina I Notarv Public Date Here lnsert Name and Ïtle of the officer ocT.5.l967 Name(s) of Signe(s) GINA L. GARNEH coMM. # 2021213 NOTARY PUBLIC CALIFORNIA ORANGE CO{'NTY comm.2017 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 aulhorized capacity(ies), and that by his/her/their signature(s) on the inshument the person(s), or the entity upon behalf of which the person(s) acted, executed the instrument. I 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 Notary Seal Above Signature Gina L, Garner, Notary Public CERTIFICATE The undersigned, as Secretary or Assistant Secretary of DEVELOPERS SURETY AND INDEIVNITY COMPANY or INDEMNITY COMPANY OF CALIF0RNIA, does hereby said corporations set forth in the Power ofAttorney are in force as ofthe date of this Certiflcate. ThisCertificateisexecutedintheCityoflrvine,California,thislSTH dayot OCTOBER,2016 l^¿ / t""r,,^ By:42 lvlark J. Lansdon, Assistant Secretary lD-1 380(Rev.05/1 3) t CALIFORNIA ALL.PURPOSE ACKNOWLEDGMENT clvlL coDE s 1189 A notary public or other officer completing this certificate verifies only the identity of the individual who signed the document to which this certificate is attached, and not the truthfulness, accuracy, or validity of that document. State of California County of LOS ANGELES 9n 10/'18/2016 before me, Date personally appeared KEVIN E. VEGA Name(s)of Signe(s) who proved to me on the basis of satisfactory evidence to be the personþ). whose name($ is/aç subscribed to the within instrument and acknowledged to me that he/she/tlrcy executed the same in his/her/their authorized capacity(tes[ and that by hislhervlhek signature($ on the instrument the personþ[, or the entity upon behalf of which the person$ acted, executed the instrument. I certify under PENALW OF PERJURY under the laws of the State of California that the foregoing paragraph PHILIP VEGA Cor*m. # 2152'l 21 NOTARY PUBLIC. CATIFORNIA LO3 AIICEIES COUilTY MY Cor,ril. EIP, MAY 31, 2020 is true and correct. WITNESS my hand and Signature of Notary Public Place Notary Seal Above OPTIONAL Though thrs section is optional, completing this ìnformation can deter alteration of the document or fraudulent reattachment of this form to an unintended document. Description of Attached Document Title or ïype of Document:Document Date: Number of Pages: Signe(s) Other Than Named Above: Capacity(ies) Glaimed by Signer(s) Signer's Name:Signer's Name: ü Corporate Officer - Title(s):D Corporate Officer - Title(s): PHILIP VEGA, NOTARY PUBLIC Here lnsert Name and Title of the Officer I üPartner - nLimited nGeneral! lndividual I Attorney in Fact D Trustee I Guardian or Conservator D Other: !Partner - trLimited IGeneral ü lndividual n Attorney in Fact! Trustee I Guardian or Conservator n Other: Signer ls Representing Signer ls Fìepresenting: @2014 National Notary Association . www.NationalNotary,org . '1-800-US NOTARY (1-800-876-6827) ltem #5907