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HomeMy WebLinkAbout18030159 Right of way PermitLICENSE AND PERMIT BOND Bond No. (Individual, Partner or Corporate Officer) Principal KNOW ALL MEN BY THESE PRESENTS: That we, , as Principal, and the , a corporation duly licensed to do business in the state of , as Surety, are held and firmly bound unto the , State of , Obligee, in the penal sum of , ( ) DOLLARS, lawful money of the United States, to be paid to the said Obligee, for which payment well and truly to be made, we bind ourselves and our legal representatives, jointly and severally by these presents. THE CONDITION OF THE ABOVE OBLIGATION IS SUCH, That whereas, the said Principal has been licensed as a(n) by the Obligee. NOW, THEREFORE, if the said Principal shall faithfully perform the duties and in all things comply with the laws and ordinances, including all Amendments thereto, pertaining to the license or permit applied for, then this obligation to be void, otherwise to remain in full force and effect for a period commencing on the day of , , and ending on the day of , . This bond may be terminated at any time by the Surety upon sending written notice to the clerk of the Political Subdivision with whom this bond is filed and to the Principal, addressed to them at their first known address, and at the expiration of thirty (30) days from the mailing of said notice, or as soon thereafter as permitted by applicable law, whichever is later, this bond shall terminate and the Surety shall thereupon be relieved from any liability for any acts or omissions of the Principal subsequent to said date. Dated this day of , . By RLI Insurance Company P.O. Box 3967 Peoria IL 61612-3967 Phone: (309)692-1000 Fax: (309)683-1610 LSM1108465 Mattox Property Group LLC DBA Mattox Roofing 1283 Mayfair Ct Greenwood, IN 46143 RLI Insurance Company Indiana City of Carmel Indiana Five Thousand and 00/100 $ 5,000.00 Contractor 2nd April 2018 2nd April 2019 2nd April 2018 RLI Insurance Company Barton W. Davis Vice President R0002307-20,30 04/24/18 Nick Mishler "All bonds, policies, undertakings, Powers of Attorney or other obligations of the corporation shall be executed in the corporate name of the Company by the President, Secretary, any Assistant Secretary, Treasurer, or any Vice President, or by such other officers as the Board of Directors may authorize. The President, any Vice President, Secretary, any Assistant Secretary, or the Treasurer may appoint Attorneys in Fact or Agents who shall have authority to issue bonds, policies or undertakings in the name of the Company. The corporate seal is not necessary for the validity of any bonds, policies, undertakings, Powers of Attorney or other obligations of the corporation. The signature of any such officer and the corporate seal may be printed by facsimile." A0083817 Know All Men by These Presents: That the , a corporation organized and existing under the laws of the State of , and authorized and licensed to do business in all states and the District of Columbia does hereby make, constitute and appoint: in the City of , State of , as it's true and lawful Agent and , with full power and authority hereby conferred upon him/her to sign, execute, acknowledge and deliver for and on its behalf as Surety, in general, any and all bonds, and undertakings in an amount not to exceed Dollars ( ) for any single obligation, and specifically for the following described bond. The further certifies that the following is a true and exact copy of a Resolution adopted by the Board of Directors of , and now in force to-wit: IN WITNESS WHEREOF, the has caused these presents to be executed by its with its corporate seal affixed this day of , . (Valid only when a County, City, Town or Village is named as Obligee) Principal: Obligee: Type Bond: Bond Amount: Effective Date: Jean M. Stephenson SS Notary Public By: } CERTIFICATE By: By: Corporate Secretary I, the undersigned officer of do hereby certify that the attached Power of Attorney is in full force and effect and is irrevocable; and furthermore, that the Resolution of the Company as set forth in the Power of Attorney, is now in force. In testimony whereof, I have hereunto set my hand and the seal of the this day of , . State of Illinois County of Peoria On this day of , , before me, a Notary Public, personally appeared , who being by me duly sworn, acknowledged that he signed the above Power of Attorney as the aforesaid officer of the , and acknowledged said instrument to be the voluntary act and deed of said corporation. Bond No. POWER OF ATTORNEY RLI Insurance Company 9025 N. Lindbergh Dr. Peoria, IL 61615 Phone: 800-645-2402 LSM1108465 RLI Insurance Company Illinois Barton W. Davis Peoria Illinois Vice President One Million and 00/100 $ 1,000,000.00 Mattox Property Group LLC DBA Mattox Roofing City of Carmel Contractor $ 5,000.00 April 2, 2018 RLI Insurance Company RLI Insurance Company RLI Insurance Company Vice President 2nd April 2018 RLI Insurance Company Barton W. Davis Vice President April 2018 Barton W. Davis RLI Insurance Company RLI Insurance Company RLI Insurance Company April 2018 Gretchen L. Johnigk RLI Insurance Company 2nd 2nd 04/24/18 Nick Mishler