HomeMy WebLinkAboutBond- Carmel RoW 2020VVestern Sure om an
py
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, lowa, 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 HIGHWAY PERMIT - ABOVE GROUND POOL INSTALLATION CITY OF CARMEL
136 PARKVIEW ROAD
bond with bond number 929574493
for FAMILY LEISURE OF INDIANAPOLIS, INC.
as Principal in the penalty amount not to exceed: $5 , 000 . 00 .
Western Surety Company further certifies that the following is a true and exact copy of Section 7 of the by-laws of Western Surety
Company duly adopted and now in force, to-wit:
Section 7. All bonds, policies, undertakings, Powers of Attorney, or other obligations of the corporation shall be executed in the corporate
name of the Company by the President, Secretary, any Assistant Secretary, Treasurer, or any Vice President, or by such other officers as the
Board of Directors may authorize. The President, any Vice President, Secretary, any Assistant Secretary, or the Treasurer may appoint
Attorneys-in-Fact or agents who shall have authority to issue bonds, policies, or undertakings in the name of the Company. The corporate
seal is not necessary for the validity of any bonds, policies, undertakings, Powers of Attorney or other obligations of the corporation. The
signature of any such officer and the corporate seal may be printed by facsimile.
In Witness Whereof, the said WESTERN SURETY COMPANY has caused these presents to be executed by its
Vice President with the corporate seal affixed this 12th day of June , 2020
ATTEST WE��fF N S�F� COMPANY
/ G,- J `_ / �
By
L. Nelson, Assistant Secretary Pau . Bruflat, Vice President
������ �ss�a�s���
����� �� � � � �'��
��� �; 4a �" � �'�
. v.' `� � � ° � �';� ��
� �`," � �; a� 'r 'a�.
�.�,�;` ������;�� -,.� ,.
� � ���� � � r k� �
u: � � ,�� ,.
STATE OF SOUTH DAKOTA F������ ���� «'��� �
COUNTY OF MINNEHAHA ss `% �� � ^"v�fiy',,�''°��
-1A'd, q �: p° , ��4 '`��,�U
t`�� g t:,. �, �p� t;� .w
�G 3 .�'_�.�� � S C"l` r �a+. �o
�'�'�a�5$S $k? 3 &'i'����r
On this 12th day of June , 2020 , 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.
t��yh5����5hh����hh�,��5h� t
s J. MOHR s L
s �� .�,.�. �., �� S 9�l�LJ
s SEAL ryv�Hnr rutsLiv SEAL s
Ss,C�-��SOUTH DAKOTAC�-�Js Notary Public
+h�iyyyyyy�i5yy5hhhyhyyyyy + My Commission Expires June 23, 2021
To validate bond authenticity, go to www.cnasuretv.com > Owner/Obligee Services > Validate Bond
Coverage. �y�
Form F1975-1-2016 ��h'
�Df °
VUestern Sure om an
py
CONTINUATION CERTIFICATE
Western Surety Company hereby continues in force Bond No. 929574493 briefly
described as HIGHWAY PERMIT - ABOVE GROUND POOL INSTALLATION CITY OF CARMEL
136 PARKVIEW ROAD
�
for FAMILY LEISURE OF INDIANAPOLIS, INC.
, as Principal,
in the sum of $ FIVE THOUSAND AND NO/ 100 Dollars, for the term beginning
June 27 , 2020 , and ending June 27 , 2021 , subject to all
the covenants and conditions of the original bond referred to above.
This continuation is issued upon the express condition that the liability of Western Surety Company
under said Bond and this and all continuations thereof shall not be cumulative and shall in no event exceed
the total sum above written.
Dated this 12th day of June , 2020 .
����� .���ss�����.F
����� ��� � � ��,���
��� '"` .., � � �r
�;w' `� �'� ��
,;�.��.;' �������� T;�' „
������w ��''���
`�� ��;� ,a��: �.� =4�'�:
�� s� �'� ,.
��, �� e�,�:.,� ���`s ����
�t
�� ��� ��:
�`�e$�$�3w�5%?3�`i��'
WESTERN URETY COMPANY
By � �
Paul T. Br at, Vice President
THIS "Continuation Certificate" MUST BE FILED WITH THE ABOVE BOND.
Form 90-A-8-2012