16-1107_CR&R INCORPORATED_Bond Continuation Certificate 800020695 RECEIVED
Inlniit. .A.c:ur;�ncc i�rnul:
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SAN JUAN CAPISTRANO
November 15, 2016
City of San Juan Capistrano
Attn: City Clerk's Office
32400 Paseo Adelanto
San Juan Capistrano, CA 92675
Re: Name of Principal: CR&R Incorporated
Name of Obligee: City of San Juan Capistrano
Bond Number: 800020695
In accordance with the renewal terms of the above bonds, a bond verification
certificate is enclosed as evidence that the above referenced bonds are in full
force and effect.
Should you have any questions, please do not hesitate to contact us. Thank you.
Sincerely,
Margareta Tho �
Executive Vice President - Surety
enclosures
CONTINUATION CERTIFICATE
Premium Amount: $800.00
The Atlantic Specialty Insurance Company (hereinafter called the Surety)
hereby continues in force its Bond No. 800020695 in the sum of
One Hundred Thousand Dollars and 00/100 ($100.000.00) Dollars, on
behalf of CR&R Incorporated
in favor of City of San Juan Capistrano
subject to all the conditions and terms thereof through December 16. 2017 at location of
risk.
This Continuation is executed upon the express condition that the Surety's
liability shall not be cumulative and shall be limited at all times by the amount of the
penalty stated in the bond.
IN WITNESS WHEREOF, the Surety has caused this instrument to be signed by
its duly authorized Attorney-in-Fact and its corporate seal to be hereto affixed this
7 day of November, 2016.
Atlantic Specialty Insurance Company
surety
By:
Mdrgarefi T. Thorsen sfttorney-in-Fact
KS
4yrrrrritft<<����
CALIFORNIA ALL-PURPOSE ACKNOWLEDGMENT CIVIL CODE § 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 Nat document.
State of California )
County of Los lIAngeles )
On U (l \lib before me, Carmen T. Pedmza, Notary Public
Date Hers Insert Name and Title of the Officer
personally appeared Margareta T.Thorsen
Names)of Signer(s)
who proved to me on the basis of satisfactory evidence to be the person(s) whose names) 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 persorl
or the entity upon behalf of which the persons)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.
QCARMEN T PED80IA ,
Commission A 2036508
Notary Public-California Signature /
C
Los Angeles County Signature o/Notary Public
M Comm.ommExpires Cot4Au 14,2017
Place Notary Seal Above
OPTIONAL
Though this section is optional, completing this information can deter alteration of the document or
fraudulent reattachment of this form to an unintended document.
Description of Attached Document
Title or Type of Document:
Document Date: Number of Pages:
Signer(s) Other Than Named Above:
Capacity(es)Claimed by Signer(s)
Signer's Name: Signer's Name:
❑Corporate Officer— Tttle(s): D Corporate Officer —Title(s):
D Partner— D Limited D General D Partner — O Limited D General
D Individual D Attorney in Fact ❑Individual D Attorney in Fact
D Trustee D Guardian or Conservator D Trustee D Guardian or Conservator
❑Other: D Other:
Signer is Representing: Signer is Representing:
02015 National Notary Association•www.NationalNotary.org• 1-800-US NOTARY(1-800-876-8827) Item#5907
iv 01
One Beacon Power of Attorney
NS U P AN CF GPO UP
KNOW ALL MEN BY TNFSE PRESENTS,that ATLANTIC SPECIALTY INSURANCE COMPANY,u New York mrpomtion with its primipal office m Plymouth,
MinnamtudosherebymnativesetdapMiat: Jahn G.Kmkmt eN Mark D.Walling,MINMANsaT.Thorsen,ocb iMividually ifthere be marc than one mmol,its me
udlawfulAme nam tharemmake,execute,salnd examead
isbehder t aura,ant endallbonds,nes owlteseen
amass dollars
olaltocherwritings
theatoryin themeregsn vf:pmumbea, nobondorundmakingdA[othunderthis ablipiarctrle dom in=owlsumof.sixtymillionddlan(Shasbindin vd
the Company
asifhbolls,remgniremen d by coraofindcmniry,andd1otherwritings it sigamry t the natumthamfin hismnaofferracyis m shill d as binding upon
auith Com panyas illownfthey hadbeenfullysigned by tha Board of
mlicer off¢Company andsated with the Companymal. This a.th ofAtmmeyismoleandarle,2by
01
authority of the followsng mwolmions adopted by fc IlaarJ of Iti¢ekars ofAT1.AN1'IC SPECIAL IN INSURANCE COMPANY on the twenty-filth Jay ofSepmmbeq 2012:
RemlvN: 'llmt fie President any Senior Vice preeidmt or Vice-Presidmt(each an"Aumorized Olccr')may exaum forand in beMlfofthe Company any ad
At bond,rao iranco,conttacts of indemnity,and dl omen writings obligatory in the mfrefcral;vN olfxtheseeloff Companyfereto.n mmfe
AuthorizedO cer may eppoidad authuimanAttorttry-in-Fan to exaumm MMlfofthe Companyanyandall such iwmmtaandtoaffix0m Company
sal thereto;old IMI the Authonred ORar may at mY time mnav<any soh Attucey-in-Fen anJ revoke all power andaufariry givrn to my alsch Attorney-in-
Flm.
RsmIv!d: 11m the Attorney-in-Fact may be gives full powm ad andminty acxncute frrand in the nano and m beMlf ofthe,Company airy and all buds,
raognianar,I mwcrsof mcbrinity ell minrhirrgaobblwory re the matuChen.of,aMvry such inawm «av
cmsed by any Such Auomey-m-Factshdl
be,as binding upon the Company as If ad w sigmd and Baled by an Audimand Officer mil,fuller,the Atundny-in-Pan is hereby mthor and in verify my afidnvit
required f be attached to bonds,recogmmxes,convects of indemnity,and all other writings obligatory in the mature thereof.
This ppooSum ofmomey hsignN zealtrail byy methodsunder the al wty of the l'olleavI Resolution adopted by fc Dowd of Directors of ATLANTIC SPECIALTY
INSIJRANCECOMPANY ou the Iwonty-ill day of Seplembn.2012:
Resolved: TMt Nesignature afan Atdariud ORm,thesigremcafmrc 5eanery or the Assismnt Santay,ad the Compasry sal may bealfixed by
fiesimilem anypower of.t ,onto any ceuifiam relaw,thereto apPainung an Attorney-in-Flu fore ryo.�a ly ofaavting and Bag Any bond,
mdeaoking,raognixmceorahaw umobligmim tnthemoueferret,analmysuchsignatureandseal wheresoused,beinghertbymopndbyfie Compmy
my,
u me mationl aigmtum ofsach officer and fie original=1 ofthe Compto be lend and binding upon the Compary with msame e fortn as e and ellethough
mmually affi.
IN WITNESS VMEREOP,ATLANTIC SPECIALTY INSURANCE COMPANY has used these presents to be signal by an Authorized Of icer and the sal ofthc Company
m be amxed this eighth day of Beamber,2014.
Twp jV Ilya'
f dlC'LpPEA O
fie SEAL m
b? 1968 o/f By
STATEOF MINNESOTA �A 4�,'o Aet Paul 1.Rmhm,Smarr Vice President
HENNEPIN COUNTY
On this eighth day of December,2014,before me personally cure Paul J.Brehm,Scram Vice President ol'A'fLANTIC SPECIALTY INSURANCE COMPANY,to are
personally known to be the individual and oDicer described in and who a ceawl the prcecdmil instrument and M acknowledged the excemion ofthc same,and being by me
duly sworn,tied he is the said officer ofthe Company aforesaid,and that the and of mW to the prowling wtrument is the mal ofmid Company and the the said sol and the
signature AS such officer was duly afixW all subscribed to the mid instrument by the aufcany and at the direction of the Compmy.
=SO7A
FORD
;NOTARYSOTA
res Notary Public
L the undersigmd,Assistml Sweeter,orATLANTIC SPECIALTY INSURANCE COMPANY,a New York Carlmmtien,du hereby cmiry that the foregoing powaofatto y
is in full force and has not been revoked,and the molwom ret fall above ac now in fore¢.
Sipped and Wait Dined 7th day of NOvnmhwr. 2016
p,%
SEAL'9N
IQIv bOPEAL'l r'm
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This PowcrofAnamcy expirts - 1986 n Cl
October 1.2011 ,nom e J
'ars<.w .4 rir Joma G.Jordmk AssislmtSMMUa
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