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Effective Date: September 18th, 2019
Western Surety Company
LICENSE AND PERMIT BOND
KNOW ALL PERSONS BY THESE PRESENTS:
Thatwe,Bellish Services, LLC
Bond No. 64802319
of Indianapolis , State of Indiana , as Principal,
and WESTERN SURETY COMPANY, a corporation duly licensed to do surety business in the State of
Indiana
, as Surety, are held and firmly bound unto the
City of Carmel , State of Indiana , as Obligee, in the penal
sum of Five Thousand and 00/100 DOLLARS ($5, 000. 00 )
lawful money of the United States, to be paid to the Obligee, for which payment well and truly to be made,
we bind ourselves and our legal representatives, firmly by these presents.
THE CONDITION OF THE ABOVE OBLIGATION IS SUCH, That whereas, the Principal has been
licensed General Contractor
by the Obligee.
NOW THEREFORE, if the 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 until
September 18th 2021 , unless renewed by Continuation Certificate.
This bond may be terminated at any time by the Surety upon sending notice in writing, by First Class
U.S. Mail, to the Obligee and to the Principal at the address last known to the Surety, and at the expiration
of thirty-five (35) days from the mailing of said notice, this bond shall ipso facto terminate and the Surety
shall thereupon be relieved from any liability for any acts or omissions of the Principal subsequent to said
date. Regardless of the number of years this bond shall continue in force, the number of claims made
against this bond, and the number of premiums which shall be payable or paid, the Surety's total limit of
liability shall not be cumulative from year to year or period to period, and in no event shall the Surety's total
liability for all -claims exceed the amount set forth above. Any revision of the bond amount shall not be
cumulative.
Dated this y 18th day of September , 2019
Bellish Services, LLC
Principal
Principal
WESTE N SURET COMPANY
By
Paul T. Br at, Vice President
Form 532-12-2015
STATE OF SOUTH DAKOTA ss
COUNTY OF MINNEHAHA
ACKNOWLEDGMENT OF SURETY
(Corporate Officer)
On this 18th day of September 2019 , before me, the undersigned officer,
personally appeared Paul T . Bruf lat who acknowledged himself to be the aforesaid
officer of WESTERN SURETY COMPANY, a corporation, and that he as such officer, being authorized so to do, executed
the foregoing instrument for the purposes therein contained, by signing the name of the corporation by himself as such
officer.
IN WITNESS WHEREOF, I have hereunto set my hand and official seal.
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On this day of
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known to me to be the individual described in and who executed the foregoing instrument and acknowledged to me
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ACKNOWLEDGMENT OF PRINCIPAL
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On this day of
, before me personally appeared
who acknowledged himself/herself to be the
of a corporation, and that he/she as
such officer being authorized so to do, executed the foregoing instrument for the purposes therein contained by signing
the name of the corporation by himself/herself as such officer.
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Western Surety Gompany
POWER OF ATTORNEY
KNOW ALL MEN BY THESE PRESENTS:
That WESTERN SURETY COMPANY, a corporation organized and existing under the laws of the State of South Dakota, and
authorized and licensed to do business in the States of Alabama, Alaska, Arizona, Arkansas, California, Colorado, Connecticut,
Delaware, District of Columbia, Florida, Georgia, Hawaii, Idaho, Illinois, Indiana, Iowa, Kansas, Kentucky, Louisiana, Maine,
Maryland, Massachusetts, Michigan, Minnesota, Mississippi, Missouri, Montana, Nebraska, Nevada, New Hampshire, New Jersey,
New Mexico, New York, North Carolina, North Dakota, Ohio, Oklahoma, Oregon, Pennsylvania, Rhode Island, South Carolina,
South Dakota, Tennessee, Texas, Utah, Vermont, Virginia, Washington, West Virginia, Wisconsin, Wyoming, and the United
States of America, does hereby make, constitute and appoint
Paul T. Bruflat of Sioux Falls
State of South Dakota its regularly elected Vice President
as Attorney -in -Fact, with full power and authority hereby conferred upon him to sign, execute, acknowledge and deliver for and on
its behalf as Surety and as its act and deed, the following bond:
One
bond with bond number 64802319
for Bellish Services, LLC
as Principal in the penalty amount not to exceed: $ 5, 000 . 00
Western Surety Company further certifies that the following is a true and exact copy of Section 7 of the by-laws of Western Surety Company
duly adopted and now in force, to -wit:
Section 7. 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.
In Witness Whereof, the said WESTERN SURETY COMPANY has caused these presents to be executed by its
Vice President with the corporate seal affixed this 18th day of September
2019
ATTEST WESTE N URET COMPANY
By
L. Nelson, Assistant Secretary Paul T Bruflat, Vice President
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On this 18th day of September 2019 before me, a Notary Public, personally appeared
Paul T. Bruflat and L. Nelson
who, being by me duly sworn, acknowledged that they signed the above Power of Attorney as Vice President
and Assistant Secretary, respectively, of the said WESTERN SURETY COMPANY, and acknowledged said instrument to be the
voluntary act and deed of said Corporation.
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To validate bond authenticity, go to www.cnasurety.com > Owner/Obligee Services > Validate Bond Coverage.
Form F1975-1-2016