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Home My WebLink Aboutrainbond-�• Liberty Mutual� SURETY SURETY BOND PACKAGE Liberty Mutuai 5urety: Cincinnati 8044 Montgomery Rtl, Suife 150E Cincinnati, OH 4523b (513) 984-2222 Fax: (866) 548•6645 Thank you for choosing Liberty Mutual Surety for your bonding business. The enclosed package is a complete set of bond documents. Please file the documents in this bond package that are required by the Obligee. Some documents may not need to be filed. Please verify the accuracy of all documents thoroughly. For immediate changes or corrections, please contact your Liberty Mutual Surety office listed above. Use the following checklist to ensure the documents are properly signed and distributed. ❑ The principal must sign the bond as the name is printed on the bond form. If the principal is a company, any of�cer of the company may sign the bond. ❑ This bond has been digitally signed on behalf of the Surety. An Attorney-in-fact signature is not required. ❑ A Power of Attorney form is included in the bond package. This form should be attached to the bond and filed with the obligee. eBonding Cover Page -• Libert� P Mutual� SURETY LICENSE 4R PERMIT BOND Bond No.: 999047290 KNOW ALL BY THE5E PRESENTS, That we, Lighting Nation 365 LLC as Principal, of 15840 Falcons Fire Dr., Westfield, IN 46074 , and the The Ohio Casualty Insurance Company , a New Hampshire corporation, as Surety, are held and firmly bound unto City of Carmel Engineering Department , of One Civic Square, Carmel, IN 46032 , as Obliaee, in the sum of Five Thousand Dollars And Zero Cents ( $5,000.00 ) for which sum, well and truly to be paid, we bind ourselves, our heirs, executors, administrators, successors and assigns, jointly and severally, firmly by these presents. Sealed with our seals, and dated this 6th day of May , 2020 THE CONDITION OF THIS OBLIGATION IS SUCH, THAT WHEREAS, the Principal has been or is about to be granted a license or permit to do business as Right of Way the Obligee. NOW, THEREFORE, if the Principal well and riuly comply with applicable local ordinances, and conduct business in conformity therewith, then this obligation to be void; otherwise to remain in full force and effect. PROVIDED, HOWEVER: l. This bond shall continue in force: � Until 6th day of May , 2021 Certificate executed by the Surety OR , or until the date of expiration of any Continuation ❑ Until canceled as herein provided. 2, This bond may be canceled by the Surety by the sending of notice in writing to the Obligee, stating when, not Iess than thirty days thereafter, liability hereunder shall terminate as to subsequent acts or omissions of the Principal. Liahting Nation 365 LLC /�ZY INgG\ Ig`)Q'coRP°Rar y Q � Fo n 0 1919 � y � o y° ��Harnvs��,da3 \�'1 ,r �� By � Principal The Ohio Casualty Insurance Company By ► � ►�. t�.��.�.�� Timothy A. Mikolajewski Attorney-in-Fact Liberty Nfutuai Surety Claims • P.O. Box 34526, Seattle, VsiA 98124 � Phone: 206-473-b210 • Fax: 8b6-548-6837 LMS-11235e 03f01 Email: HOSGLc�libertymutual.com • GvwUv.LibertyMutualSuretyCfaims.com ;- Libert� Mutual, SURETY Principal: Ligh[ing Nation 365 LLC AgenCy Name: Shepherd Insurance. LLC Obligee: Ciry of Carmel Enaineeiing De Bond Amount: ($5,000.00 ) Five T 99904 KNOW AlL PERSONS BY THESE PRESENTS: that The Ohio Casualty Insurance Company, a corporation duly organized under the laws of the State of New Hampshire (herein collectively called the "Company"}, pursuant to and 6y authority herein set forth, does herehy name, constitute and appoint Timothy A. Mikolajewski in the city and state of Seattle, WA, each individually if there 6e more than one named, its true and lawf�l attomey-imfact to make, execute, seal, acknowiedge and deliver, for and on its behalf as surety antl 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 6een duiy signed by the president and attested by the secre#ary of the Company in their own proper persons. iN WITNESS WHEREOF, this Power of Attorney has been subscri6ed by an authorized officer or official of the Company and the eorporate seal of the Company has been affixed thereto this 26th day of September, 2016. ��(V INSU�a� �J�GpRPOI�T `9Z FO C� 0 1919 � 2 �o y° ��Namvs�`� a3� �yl * rad STATE OF PENNSYLVANIA COUNTY OF MONTGOMERY ss �� O � v> w �° _� �� o� _ ` Qy O d � C �j �� , The Ohio Casualry Insurance Company � (SS ��'l +� � By: � David M. Carey, Assistant Secretary 'N � � On this 26th day of September, 2016, before me personally appeared David M. Carey, who acknowledged himseif to be the Assistant Secretary of The Ohio Casualty Insurance � 0 Company and that he, as such, beinq authorized so to do, execute the foregoing instrument for the purposes therein contained by signing on behalf of the corporations by himself as duly �� authorized officer. U w a� IN WITNESS WHEREOF, i have hereunto subscribed my name and affixed my notarial seal at King of Prussia, Pennsylvania, on the day and year first above written. c� �_ ,� � �r y`� '��.,,- .�. ;� �� `-� COMMONWEALTH OF PENNSYLYANIA � � F „�'�� Notarial Sza� !�/ �.Q%!L ,, A � �F x �� Teresa Pastella, No;ary Public � � � � �� f/ L(�-Sv L.t,.(.( LV J Upper MerionTwp., Montgomery County B�!• My Commission Expires March 28, 2021 �` �`� 5�� `�� Member, PennsS'��'aniaAssociation oF Notanes Teresa Pastella, Notary Public -�CT., - -,s' This Power of Attorney is made and executed pursuant to and by authority of the following By-law and Authorizations of The Ohio Casualty Insurance Company, which is now in full force and effect reading as follows: ' ARTIGLE IV - OFFICERS: Seciion 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 subject to such limitation as the Chairman or the President may prescribe, shall appoint such attorneys-in-fact, as may be necessary to act in behaif of the Corporation to make, execute, seal, acknowletlge and deliver as surety any and aii undertakings, bonds, recognizances and other surety obligations. Such attorneys-in-fact, subject to the limitations set forth in their respective powers of attorney, shall have full power to bind the Corporation by their signature a�d executed, such instruments shall be as binding as if signed by the President and attested to 6y the Secretary. Any power or authority granted to any representative or attorney-in-fact under the provisions of this articie may be revoked at any time by the Board, the Chairman, the President or by the officer or officers granting such power or autharity. Certificate of Designation - The President of the Company, acting pursuant to the Bylaws of the Company, authorizes David 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. Authorizatian - By unanimous consent of the Company's Board of Directors, the Company consents that facsimile or mechanically reproduced signature or electronic signatures of any assistant secretary oi the Company or facsimile or mechanically reproduced or electronic seal of the Company, wherever appearing upon a certified copy of any power of attorney or bond issued by the Company in connection with surety bonds, shall be valid and binding upon the Company with the same force and effect as though manually affixed. I, Renee C. Llewellyn, the undersigned, Assistant Secretary, of The Ohio Casualty Insurance Company do hereby certify that this power of attorney executed by said Company is in full force and effect and has not been revoked. IN TESTIMONY WHEREOF, I have hereunto set my hand and affixed the seals of said Company this 6th day of May , 2020 P�1V INSUR 5J (.�RPO�T 9y /� `-' �Q 3 Fo c�^' �,Gd.l.y�.,- 0 1919 � By: zoy�,�NAMPsaeaa�° Renee C. Lleweliyn, Assistant Secretary a'y,� * �,� 7his 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 tfie extent herein stated. The Ohio Casualty Insurance Gompany POWER OF ATTORNEY o� c� Q � O � C N � � � � �� Y � o� �� a� �� >o a> � �� M c 06 00 o �? eBondin�POA �'� Liberty- Mutual, SURETY Liberty Mutual Surety: Cincinnati 8044 Montgomery Rd, Suite 150E Cincinnati, OH 45236 (513) 984-2222 Fax: (866) 548-6645 TRANSACTION REPORT Transaction Date: May 6, 2020 Preparer Name: Alan Schulte Agency Name: Shepherd Insurance, LLC Preparer Email: aschulte@shepherdins.com Agency Code: 983964 Principal: Lighting Nation 365 LLC 15840 Faicons Fire Dr. Westfisid, IN 46074 Underwriting information: Bond is treely written Bond Information: Bond Number: 999047290 Bond Amount: $5,000.00 Renewal Type: Renewable (by certificate) Renewal Billing Method: Direct Bill Renewal Term (Months): 12 Renew Automatically: Yes Description of Band: Right o# Way Renewal Billing Information: Lighting Nation 365 LLC 15840 Falcons Fire Dr. Westfield, IN 46Q74 Remarks: Premium Information: Bond Premium: $100.00 Tota) Premium Due: $100.00 Credit Card information Card Type: Mastercard Transaction Date: 05/06/2020 Confirmation Number: 0506C1664786 Obligee: City of Carmel Engineering Department One Civic Square Carmel, IN 46032 Effective Date: May 6, 2020 Expiration Date: May 6, 2021 Cancel Days: 30 Days Class Code: S910 Underwriting Paper: The Ohio Casuaity Insurance Company Bond Rating State: Indiana Credit Card Number: XXXXXXXXXXXX1810 Amount: $100.00 The credit card provided has been charged for this transaction and no additional fees are owed. Bond{s) changes are available for your agency through https://agents.iibertymutualsure�.com s3on3ingTranReport ProduCi ID: 10593