HomeMy WebLinkAboutJohn Leslie Bond CarmelSeptember 15th, 2021
65631101
John Leslie
Indianapolis Indiana
Indiana
City of Carmel Indiana
Five Thousand and 00/100 $5,000.00
2510 Colony Ct, Indianapolis, IN 46280
September 15th 2022
15th September 2021
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.
LICENSE AND PERMIT BOND
KNOW ALL PERSONS BY THESE PRESENTS:
That we,
of , State of , as Principal,and WESTERN SURETY COMPANY, a corporation duly licensed to do surety business in the State of
, as Surety, are held and firmly bound unto the
, as Obligee, in the penal, State of
sum oflawful 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.
DOLLARS (),
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, unless renewed by Continuation Certificate.
Bond No.
THE CONDITION OF THE ABOVE OBLIGATION IS SUCH, That whereas, the Principal has been
licensed
,
Dated this day of .,
Principal
Form 532-5-2021
Paul T. Bruflat, Vice President
Effective Date:
Principal
W E S T E R N S U R E T Y C O M P A N Y
By
15th September 2021
known to me to be the individualthat
AddressLicense or Permit No.ofName of ApplicantFiledday of,Approved thisState of,LICENSE AND PERMITACKNOWLEDGMENT OF PRINCIPAL (Individual or Partners)
described in and who executed the foregoing instrument and acknowledged to me
My commission expires
Notary Public
STATE OF COUNTY OF
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.
ACKNOWLEDGMENT OF PRINCIPAL (Corporate Officer)
who acknowledged himself/herself to be theof , a corporation, and that he/she as
My commission expires
Notary Public,
day of On this , before me personally appeared,
day of On this , before me personally appeared
,
STATE OF COUNTY OF ss
,
,,
executed the same.he
ss
ACKNOWLEDGMENT OF SURETY (Corporate Officer)
, before me, the undersigned officer,On this
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.
day of ,, who acknowledged himself to be the aforesaidpersonally appeared
IN WITNESS WHEREOF, I have hereunto set my hand and official seal.
Paul T. Bruflat
STATE OF SOUTH DAKOTA COUNTY OF MINNEHAHA ss
Notary Public — South Dakota
BONDAsMy Commission Expires: February 12, 2027
2510 Colony Ct, Indianapolis, IN 46280 City of Carmel
65631101
John Leslie
5,000.00
15th September2021
15th September 2021
In Witness Whereof, the said WESTERN SURETY COMPANY has caused these presents to be executed by its
who, being by me duly sworn, acknowledged that they signed the above Power of Attorney as
and Assistant Secretary, respectively, of the said WESTERN SURETY COMPANY, and acknowledged said instrument to be the
voluntary act and deed of said Corporation.
P. Leitheiser, Assistant Secretary Paul T. Bruflat, Vice President
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.
.
,day ofwith the corporate seal affixed this
ATTEST W E S T E R N S U R E T Y C O M P A N Y
By
Form F1975-5-2021
STATE OF SOUTH DAKOTA
COUNTY OF MINNEHAHA
On this day of ,, before me, a Notary Public, personally appeared
and
Notary Public
Paul T. Bruflat
Vice President
Vice President
ss
My Commission Expires March 2, 2026
One
bond with bond number
for
as Principal in the penalty amount not to exceed: $.
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
KNOW ALL MEN BY THESE PRESENTS:
POWER OF ATTORNEY
of
, its regularly elected
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:
,
State of ,
Paul T. Bruflat Vice PresidentSouth Dakota Sioux Falls
P. Leitheiser
To validate bond authenticity, go to www.cnasurety.com > Owner/Obligee Services > Validate Bond Coverage.