16-0906_MARK SAUER CONSTRUCTION, INC_Surety Rider_Corrected Payment Bond No.~Lib ertx ~Mutual
Executed in Duplicate
To be attached to and form a part of
Bond No . 924967854
Type of
SURETY RIDER
Bond : Payment Bond California Public Work
dated
effective October 12, 2016
(MONTH·DA Y ·YEAR)
executed by Mark Sauer Construction , Inc .
(PR I NC IP AL)
and by The Ohio Casualty Insurance Company
~fuvorof city of San Juan Capistrano
(OBLIGEE)
. as Surety ,
Liberty Mutual Surety
1001 4th Avenue , Suite 1700
Seattle , WA 98154
. as Prin c ip a l,
in con s ideration of the mutual agreemen ts herein con tain ed th e Principal and the Surety hereby consent to changing
Correcting bond number from 924967854 to 024067854
Nothing herein contained s hall vary. alter or extend any provision or condition of thi s bond except as herein express ly stated .
This rider
iseffective October 12 , 2016
(MONTH-DAY· YEAR)
SignedandSealed October 14 , 2016
(MONTI·I·DAY·YEAR)
The Ohio Casualty Insurance Company
(SURETY)
By : Of autiL (j . 0/'lliCA{
(ATTORNEY-IN-FACT) Laurie B. Drl£c:h
S-0443/FN 8/08
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XDP
,CAliFORNIA ALL-PURPOSE ACKNOWLEDGEMENT
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 San Bernardino )
ss.
On October 14, 2016
personally appeared Laurie B. Druck
@ CYNTHIA J . YOUNG
~ Notary Public • California
~ San Bernardino County ~
z Commission# 2157044 ~ J. 0 0 .. 0 0Mz sozu~. zXeir;sJul t\2~21(
before me, Cynthia J. Young , Notary Public
Name and Title of Officer (e.g., "Jane Doe , Notary Public")
Name(s) of Signer(s)
who proved to me on the basis of satisfactory evidence
to be the person whose name is subscribed to the
within instrument and acknowledged to me that she
executed the same in her authorized capacity ,
and that by her signature on the instrument the
person, or the entity upon behalf of which the person
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.
WIT~~~~
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
TitleorTypeclDocument:~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~
Document Date :~~~~~~~~~~~~~-Number of Pages:~~~~~~~~~~~~~
Signer(~OtherThanNamedAbove:~~~~~~~~~~~~~~~~~~~~~~~~~~
Capacity(ies) Claimed by Signer(s)
Signer's Name:_~~~~~~~~~~~~~~
0 Individual
0 Corporate Officer
Title~~~~~~~~~~~~~~~~-
0 Partner --0 Limited 0 General
0 Attorney-in-Fact
0 Trustee
0 Guardian or Conservator
Other:~~~~~~~~~~~~-
Signer is representing:
AT THUMBPRINT
OF SIGNER
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THIS POWER OF ATTORNEY IS NOT VALID UNLESS IT IS PRINTED ON RED BACKGROUND.
This Power of Attorney limits the acts of those named herein, and they have no authority to bind the Company except in the manner and to the extent herein stated.
American Fire and Casualty Company
The Ohio Casualty Insurance Company
Liberty Mutual Insurance Company
West American Insurance Company
POWER OF ATTORNEY
Certificate No .~
KNOWN ALL PERSONS BY THESE PRESENTS: That American Fire & Casualty Company and The Ohio Casualty Insurance Company are corporations duly organized under the laws of
the State of New Hampshire , that Liberty Mutual Insurance Company is a corporation duly organized under the laws of the State of Massachusetts, and West American Insurance Company
is a corporation duly organized under the laws of the State of Indiana (herein collectively called the "Companies"). pursuant to and by authority herein set forth , does hereby name, constitute
and appoint, Cynthia J . Young; Frances Lefler; Jay P . Freeman; Laurie B. Druck; Pamela McCarthy ; Susan C. Monteon
all of the city of San Bernardino , state of CA each individually if there be more than one named, its true and lawful attorney-in-fact to make , execute, seal, acknowledge
and deliver, for and on its behalf as surety and as its act and deed, any and all undertakings, bonds, recognizances and other surety obligations , in pursuance of these presents and shall
be as binding upon the Companies as if they have been duly signed by the president and attested by the secretary of the Companies in their own proper persons .
IN WITNESS WHEREOF, this Power of Attorney has been subscribed by an authorized officer or official of the Companies and the corporate seals of the Companies have been affixed
thereto this 7th day of July , ~.
STATE OF PENNSYLVANIA
COUNTY OF MONTGOMERY
ss
By :
American Fire and Casualty Company
The Ohio Casualty Insurance Company
Liberty Mutual Insurance Company
West merican Insurance Company
On this~ day of July , 2015 , before me personally appeared David M. Carey, who acknowledged himself to be the Assistant Secretary of American Fire and
Casualty Company, Liberty Mutual Insurance Company, The Ohio Casualty Insurance Company, and West American Insurance Company , and that he , as such , being authorized so to do,
execute the foregoing instrument for the purposes therein contained by signing on behalf of the corpo rations by himself as a duly authorized officer .
IN WITNESS WHEREOF, I have hereunto subscribed my name and affixed my notarial seal at Plymouth Meeting, Pennsylvania , on the day and year first above written.
COMMONWEALTH OF PENNSYLVANIA ~A---... ~
Notarial Seal (/I '
Teresa Pastella . Notary Public By:
Plymouth Twp ., Montgomery County ""'=1<,-er_e_s_a-=P-a-st-e.,.,.lla-.""N-,-o::...ta'--ry--:P:--u-b-,..,li..:;c ______ _
My Commission Expi res March 28, 2017
Member. Pennsylvanta Assoc1atton of Notanes
This Power of Attorney is made and executed pursuant to and by authority of the following By-laws and Authorizations of American Fire and Casualty Company, The Ohio Casualty Insurance
Company, Liberty Mutual Insuran ce Company, and West American Insurance Company which resolutions are now in full force and effect reading as follows : Q) ....
C)UI
ta Q) ARTICLE IV-OFFICERS -Section 12. Power of Attorney. Any officer or other official of the Corporation authorized for that purpose in writing by the Chairman or the President , and subj·ect
C)'-~ ,S to such limitation as the Chairman or the President may prescribe , shall appoint such attorneys-in-fact, as may be necessary to act in behalf of the Corporation to make , execute , seal,
0 .!: acknowledge and deliver as surety any and all undertakings, bonds, recognizances and other surety obligations. Such attorneys-in-fact, subject to the limitations set forth in their respective
E Q)-powers of attorney, shall have full power to bind the Corporation by their signature and execution of any such instruments and to attach thereto the seal of the Corporation . When so .......
0 ta executed , such instruments shall be as binding as if signed by the Presiden t and attested to by the Secretary. Any power or authority granted to any representative or attorney-in-fact under !2 ;:, the provisions of this article may be revoked at any time by the Board , the Chairman , the President or by the officer or officers granting such power or authority.
ta g ARTICLE XIII -Execution of Contracts-SECTION 5. Surety Bonds and Undertakings . Any officer of the Company authorized for that purpose in writing by the chairman or the president,
~ ~ and subject to such limitations as the chairman or the president may prescribe , shall appoint such attorneys-in-fact, as may be necessary to act in behalf of the Company to make , execute,
o :; seal, acknowledge and deliver as surety any and all undertakings , bonds , recognizances and other surety obligations. Such attorneys-in-fact subject to the limitations set forth in their
Z CJ respective powers of attorney, shall have full power to bind the Company by their signature and execution of any such instruments and to attach thereto the seal of the Company. When so
executed such instruments shall be as binding as if signed by the president and attested by the secretary.
Certificate of Designation -The President of the Company, acting pursuant1o the Bylaws oflhe Company, authorizes Dav id M. Carey, Assistant Secretary to appoint such attorneys-in-
fact as may be necessary to act on behalf of the Company to make , execute , seal , acknowledge and deliver as surety any and all undertakings , bonds , recognizances and other surety
obligations.
Authorization-By unanimous consent of the Company's Board of Directors , the Company consents that facsimile or mechanically reproduced signature of any assistant secretary of the
Company, wherever appearing upon a certified copy of any power of attorney issued by the Company in connectio n with surety bonds , shall be valid and binding upon the Company with
the same force and effect as though manually affixed .
I, Gregory W. Davenport , the undersigned , Assistant Secretary, of American Fire and Casualty Company, The Ohio Casualty Insurance Company, Liberty Mutual Insurance Company, and
West American Insurance Company do hereby cert ify that the original power of attorney of which the foregoing is a full , true and correct copy of the P.ower of Attorney executed by said
Companies , is in full force and effect and has not been revoked. b - -'
IN TESTIMONY WHEREOF , I have hereunto set my hand and affixed the seals of said Companies this Jlf +~ day of 0 cro d :-....... -_-..... .;20. I' .
By:_~---~~.,c,--_-------~"-,____..,;~~ -=.C;-"~=----
Gregory W. Davenport , Assistant Se.¢_fetaly
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302 of500
LMS_12873_t220t3
. .
CALIFORNIA ALL-PURPOSE ACKNOWLEDGEMENT
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 } ss.
County of Riverside ---------------------
On November 16, 2016 before me, J. Durham, Notary Public
(h ere insert nam e and t itle of the office r)
personally appeared Mark Sauer ---------------------------------------------------------------
who proved to me on the basis of satisfactory evidence to be the personjsrwhose name ~..a.Fe"'subscribed to
the within instrument and acknowledge to me that ~he/th~xecuted the same i h' /her/their authorized
capacity{!>s}, and that by G ll.el:#he1r signatureJ*on the instrument the perso_.9M, or the entity upon behalf of
which the perso~~cte~cu.ted 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.
s ;,Jt,,;,~ .A;~,{il\ }1tuz_.._J (Notary Seal)
Though the information below is not required by law, it may prove valuable to persons relying on the do cument and could
prevent fraudulent removal and attachment of th is form to another documen t.
Description of Attached Document
T~leof~peofDocument:~~~j~~~~~~·~(~~~~<~~---~~~~~5~~~~~~~~~~~~
Document Date: _ _+-J/()~t__t---+---Y}_Lf-'Z_,_((;_----'J=----------Numb;!of Pages : ___,~~3L.._ ______ _
Signer(s) Other Than N;;:ried Above: ---------------------------------------------------------
Capacity(ies) Claimed by Signer(s)
Signer's Name : _v{)J__L_'---!...IOJ;£.-=.......f..k....>......_-----'=--..:Oj~""")'-'=ff~----
RTTHUMBPRINT
OF SIGNER
I dividual ·
rporate Officer-Title
rtner --o Limited o General
o Attorney-in-Fact
o Trustee
o Guardian or Conservator
Other:
Signer is Representing: