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HomeMy WebLinkAbout05 RELEASE OF BONDS 09-07-04MEETING DATE: TO: FROM: SUBJECT: AGENDA REPORT SEPTEMBER 7, 2004 WILLIAM A. HUSTON. CITY MANAGER Agenda Item Reviewed: City Manager Finance Director N/A PUBLIC WORKS DEPARTMENT/ENGINEERING DIVISION RELEASE OF BONDS FOR PARCEL MAP NO. 2000-219 (12575 & 12569 NEWPORT AVENUE, SHEPHERD DENTAL BUILDING) SUMMARY All public improvements associated with Parcel Map No. 2000-219 have been completed and accepted. The Public Works Department is now recommending release of the public improvement bonds. RECOMMENDATION It is recommended that the City Council release the following bonds in the indicated amounts: Faithful Performance Bond No. 58899763 .............................................. $21,000.00 Labor and Material Bond No. 58599763 ................................................. $10,500.00 Subdivision Warranty Bond No. 58599764 ..............................................$ 2,100.00 Monumentation Bond No. 58599765...................................................... $ 2,500.00 FISCAL IMPACT There is no fiscal impact to the City with this action. BACKGROUND Parcel Map No. 2000-219 is located at 12575 and 12569 Newport Avenue. As a condition of approval, the applicant was required to post the subject bonds as part of the development of the site, and for the construction and replacement of public improvements adjacent to the project. The developer has completed all work related to the public improvements and monumentation for Parcel Map No. 2000-219 as required by the conditions of approval to the satisfaction of the Public Works Department. The public improvements were completed and accepted on June 3, 2002. It is recommended that the above-mentioned bonds be released at this time. Tim D. Serlet Director of Public Works/City Engineer Attachment: Location Exhibit S:\City Council Items\2004 Council ltems\Release of Bonds for PM 2000-219.doc Dana R. Kasdan Engineering Services Manager LOCATION MAP PARCEL MAP NO. 2000-219 d COUNTY tt h CITY OF tt ORORANGE IOT SAA ANA € � I IT TUSTINe q 4w RANCH RANCH COUNTY OF CHARGE CITY 06 TIVINE UBMIN*:EGACY. NO SCALE CITY OR VANDERL IRYORIC P z p 31_ W PROJECT LOCATION PARCEL MAP NO. 2000-219 p e� z � EUNICE PL, � z • MANNING o \1 , SHA q DR �S� w Tl•/0 o` � P VP y a WARREN .. r • P4 CR / FILE: E%H-PM 2000-219 Office of the City Clerk City Of Tustin 300 Centennial Way Tustin, CA 92780 714.573.3026 FAX 714.832.0825 September 9, 2004 Stephen and Carrie Shepherd 18102 Irvine Boulevard, Suite 203 Tustin, CA 92780 Dear Mr. and Mrs. Shepherd: In accordance with City Council action on September 7, 2004, the following bonds for Parcel Map No. 2000-219 are being returned to you: Faithful Performance Bond No. 58599763 $21,000.00 -- Labor Labor and Material Bond No. 58599763 $10,500.00 Subdivision Warranty Bond No. 58599764 $ 2,100.00 Monumentation Bond No. 58599765 $ 2,500.00 If you have any questions, please call me at (714) 573-3026. Sincerely, March B owr� Administrative Secretary cc: Public Works Enclosures Varcel Map No. 2000-219 Bond Amount $21,000.00 Bond No.763 FAITHFUL PERFORMANCE BOND WHEREAS, the City Council of the City of Tustin, State of California, and Stephen Shepherd and Carrie Shepherd (hereinafter designated as "Principal') have entered into an agreement whereby principal agrees to install and complete certain designated public improvements, which said agreement dated TL , 200 1, and identified as project Parcel Map No. 2000-219, is hereby referred to and made a part hereof; and WHEREAS, said principal is required under the terms of said agreement to furnish a bond for the faithful performance of said agreement. NOW, THEREFORE, we, the principal and ' LWeSIeTY) SVrr-� as surety, are held and firmly bound unto the City of Tustin (hereinafter called "City"), in the penal sum of twenty- one wen - one thousand and 00/100 dollars lawful money of the United States, for the payment of which sum well and truly to be made, we bind ourselves, our heirs, successors, executors and administrators, jointly and severally, firmly by these presents. The condition of this obligation is such that if the above bounded principal, his or its heirs, executors, administrators, successors or assigns, shall in all things stand to and abide by, and well and truly keep and perform the covenants, conditions and provisions in the said agreement and any alteration thereof made as therein provided, on his or their part, to be kept and performed at the time and in the manner therein specified, and in all respects according to their true intent and meaning, and shall indemnify and save harmless the City, its officers, agents and employees, as therein stipulated, then this obligation shall become null and void; otherwise it shall be and remain in full force and effect. As a part of the obligation secured hereby and in addition to the face amount specified therefor, there shall be included costs and reasonable expenses and fees, including reasonable attorney's fees incurred by City in successfully enforcing such obligation, all to be taxed as costs and included in any judgment rendered. The surety hereby stipulates and agrees that no change, extension of time, alteration or addition to the terms of the agreement or to the work to be performed thereunder or the specifications accompanying the same shall in anywise affect its obligations on this bond, and it does hereby waive notice of any such change, extension of time, alteration or addition to the terms of the agreement or to the work or to the specifications. S:\Katy\Bonds & agreements\PM2000-219\Faithful Performance Bond.doc Page 2 of 3 In witness whereof, . , instrument has been duly execute, j the principal and surety above name on the day of , 200. PRINCIPAL: Stephen Shepherd and Carrie Shepherd (SEAL) By: Stephen 8he6herd (SEAL) APPROVED AS TO FORM: 4 �. CITY ATTORNEY APPROVED AS TO CONTENT: ' /�� CITY ENGINEER SAKaty\Bonds & agreementsTM2000-219Taithful Performance Bond.doc By: P !i)" )' A Carrie Shepherd 18102 Irvine Blvd, Suite 203 Tustin CA 92780 714.544.2220 SURETY By: ADDRESS 1'agc 3 of 3 ALL PURPOSE ACKNOWLEDGEMENT STATE OF CALIFORNIA ) COUNTY OF bt-a I e, ) On this c>?_l day of -Deum Pr 200 1 , before me, pnneSSQ C-100r(erp Notary Public, personally appeared _ II►'►'eVipVa 01r _ PI^en �her�herc� Name(s) of Signer(s) V personally known to me — OR proved to me on the basis of satisfactory evidence to be the person(s) whose name(s) is/are subscribed to the within instrument and acknowledged to me that he/she/they executed the same in his/her/their authorized capacity(ies), and that by his/her/their signature(s) on the instrument the person(s) or the entity upon behalf of which the person(s) acted, executed the instrument. �.I.T.T11. VANNESSA GUERRERO -AL NOTARY SCommiWion#i2rr+rst ""` i;y.$, ._ Notaxy Pudic - Caliixnia ' orange Countlr MyCornrn.rW�Sep 2.2M4 CAPACITY CLAIMED B Si`GF1E : � ' Individual(s) Corporate Officers Title(s) Partner(s) General Partner of a Limited Partnership Attorney -in -Fact Trustee (s) Subscribing Witness Guardian/Conservator Other: �-1 I C Signature of Not SIGNER IS REPRESENTING: THIS CERTIFICATE MUST BE ATTACHED TO THE DOCUMENT DESCRIBED TO THE BELOW: E NUMBER OF PAGES: DATE OF DOCUM t7�em icer a4 2 0o t SIGNER (S) OTHER THAN NAMED ABOVE: NT: In witness whereof, this instrument has been duly executed bu the principal and surety above name on the 4th day o, January 20().2 (SEAL) (SEAL). APPROVED AS TO FORM: CITY-- Y A4 ORNEY APPROVED AS TO CONTENT: c/ /Z CITY ENGINEER PRINCIPAL: _Stephen Shepherd and Carrie She herd 0 Stephen Shepherd By: Came Shepherd �61021rvi�____ne g{vd SyRe 203 Tustin, CA 92780 714.544.2220 ••?�\I�aryll;ondf & 49mCmen1IT&U000-219\Pe1thfut P,rfom,, f ond,doc Page 3 of ) 21650 Oxnard St.,- Ste. 600-4 Woodland Hills, CA 91367 ADDRESS CALIFORNIA ALL-PURPOSE ACKNOWLEDGMENT State of California County of Orange On 01/04/02 before me, DATE personally appeared Steven Alan S N. Swartz, Notary Public NAME, TITLE OF OFFICER - E.G., -JANE DOE, NOTARY PUBLIC NAME(S) OF SIGNEA(S) No, 5907 ❑x personally known to me - OR - ❑ proved to me on the basis of satisfactory evidence to be the person(s) whose name(1.) is/ subscribed to the within instrument and -ac- knowledged to me that he/xhxAbW executed the same in histbeutdTNX authorized capacityo�*, and that by hisMsTM I NX signature() on the instrument the person, or the entity upon behalf of which the person(x) acted, executed the instrument. COMM. # 1167840 a WITNESS m d d official � N ��� hlotary Fublic California rP 4 �� T ORANGE COUNTY � --�.� �1 pryy Commission ExP- 1130102 l d IGNATURE OF NOTA OPTIONAL Though the data below is not required by law, it may prove valuable to persons relying on the document and could prevent fraudulent reattachment of this form. CAPACITY CLAIMED BY SIGNER ❑ INDIVIDUAL ❑ CORPORATE OFFICER RTLE(5) ❑ PARTNER(S) ❑ LIMITED ❑ GENERAL ® ATTORNEY-IN-FACT ❑ TRUSTEE(S) ❑ GUARDIAN/CONSERVATOR ❑ OTHER: — SIGNER IS REPRESENTING: NAME OF PERSON(a OR ENTITY(IES) Western Suret_CQ�nanT— DESCRIPTION OF ATTACHED DOCUMENT Performance/Payment Bond TITLE OR TYPEOFDOCUMENT 01/04/02 NUMBER OF PAGES DATE OF DOCUMENT SIGNER(S) OTHER THAN NAMED ABOVE 01993 NATIONAL NOTARY ASSOCIATION - 8236 Remmel Ave., P.O. Box 7184 - Canoga Park, CA 91309-7164 A/estern Surety CVI npany POWER OF ATTORNEY APPOINTING INDIVIDUAL ATTORNEY-IN-FACT Know All Men By These Presents, That WESTERN SURETY COMPANY, a South Dakota corporation, is a duly organized and existing corporation having its principal office in the City of Sioux Falls, and State of South Dakota, and that it does by virtue of the signature and seal herein affixed hereby make, constitute and appoint Patricia Ruth Minder, Steven Alan Swartz, Individually of San Clemente, CA, its true and lawdul Anomey(s)-in-Fact with full power and authority hereby conferred to sign, seal and execute for and on its behalf bonds, undertakings and other obligatory instruments of similar nature - In Unlimited Amounts - and to bind it thereby as fully and to the same extent as if such instruments were signed by a duly authorized officer of the corporation and ail the acts of said Attorney, pursuant to the authority hereby given, are hereby ratified and confirmed. This Power of Attorney is made and executed pursuant to and by authority of the By -Law printed on the reverse hereof, duly adopted, as indicated, by the shareholders of the corporation. _ In Witness Whereof, WESTERN SURETY COMPANY has caused these presents to be signed by its Executive Vice President and its corporate seal to be hereto affixed on this 4th day of lune, 2001. m,�aE;r•w. WESTERN S{UREETY COMPANY Iz� f f`SG AV%i: 77 '`•.,,, „r Stephen T. Pate, Executive Vice President State of South Dakota 1 )} County of Minnehaha SS On this 4th day of June, 2001, before me personally came Stephen T. Pate, to me known, who, being by me duly Swom, did depose and say that he resides in the City of Sioux Palls, State of South Dakota; that he is the Executive Vice President of WESTERN SURETY COMPANY described in and which executed the above instrument; that he knows the seal of said corporation; that the seal affixed to the said instrument is such corporate seal; that it was so affixed pursuant to authority given by the Board of Directors of said corporation and that he signed his name thereto pursuant to like authority, and acknowledges same to be the act and deed of said corporation. My commission expires♦+++..+.++.....,......,.+.„,.,,� i J. MOHR i October 22, 2005 i ^ NOTARY PUBLIC fir r SEAL SEAL ! I SOUTH DAKOTA a Tly Commu.ion E�pvef IO :R.'100G r CERTIFICATE 7. Mohr, Notary Public I, L. Nelson, Assistant Secretary of WESTERN SURETY COMPANY do hereby certify that the Power of Attorney 'hereinabove set forth is still in force, and further certify that the By -Law of the corporation printed on the reverse hereof is still in force. In testimony whereof I have hereunto subscribed my name and affixed the seal of the said corporation this Qth -_ day of jftT tare , 2002 t.%a'ooq��a WESTERN SURETY COMPANY 1: �p + x>I c)y Form F4?8o-da-ol L. Nelson, Assistant Secretary Parcel Map No.2000-219 Bond Amount $10,500.00 Bond No. S$1�-9g7b3 LABOR AND MATERIAL BOND WHEREAS, the City Council of the City of Tustin, State of California, and Stephen Shepherd and Carrie Shepherd (hereinafter designated as "Principal") have entered into an agreement whereby principal agrees to install and complete certain designated public improvements, which said agreement dated L \ , 2001, and identified as project Parcel Map No. 2000-219 is hereby referred to and made a part hereof; and WHEREAS, under the terms of said agreement, principal is required before entering upon the performance of the work, to file a good and sufficient payment bond with the City of Tustin to secure the claims to which reference is made in Title 15 (commencing with Section 3082) of Part 4 of Division 3 of the Civil Code of the State of California. NOW, THEREFORE, said principal and the undersigned as a corporate surety, are held firmly bound unto the City of Tustin and all contractors, subcontractors, laborers, materialmen and other persons employed in the performance of the aforesaid agreement are referred to in the aforesaid Civil Code in the sum of ten thousand five hundred and 00/100 dollars for materials furnished or labor thereon of any kind, or for amounts due under the Unemployment Insurance Act with respect to such work or labor, that said surety will pay the same in an amount not exceeding the amount hereinabove set forth, and also in case suit is brought upon this bond, will pay, in addition to the face amount thereof, costs and reasonable expenses and fees, including attorney's fees, incurred by the City of Tustin or any and all persons, companies and corporations entitled to file claims under Title 15 (commencing with Section 3082) of Part 4 of Division 3 of the Civil Code, in successfully enforcing such obligation, to be awarded and fixed by the court, and to be taxed as costs and to be included in the judgment therein rendered. It is hereby expressl_ ipulated and agreed that this bond III inure to the benefit of any and all persons, companies and corporations entitled to file claims under Title 15 (commencing with Section 3082) of Part 4 of Division 3 of the Civil Code, so as to give a right of action to them or their assigns, in any suit brought upon this bond, subject to the priority of City. Should the condition of this bond be fully performed, then this obligation shall become null and void, otherwise it shall be remain in full force and effect. The surety hereby stipulates and agrees that no change, extension of time, alteration or addition to the terms of said agreement or the specifications accompanying the same shall in any manner affect its obligations on this bond, and it does hereby waive notice of any such change, extension, alteration or addition. S\Kary\Bonds $ agreemcnu\PA12000-219\L3bor and Materials Bond.doc In witness whereof, t ;instrument has been duly execute( ; the principal and surety above named on the '1,• day of D43Z , 200 . PRINCIPAL: Stephen Shepherd and Carrie Shepherd (SEAL) By: 1AL- l Jl ✓ �I Stephen Shepherd Carrie Shepherd 18102 Irvine Blvd, Suite 203 Tustin, CA 92780 714.544.2220 (SEAL) APPROVED AS TO FORM: By: �' CITY ATTORNEY SURETY ADDRESS APPROVED AS TO CONTENT: CITY ENGINEER SAKaty\Bonds & agreements\PM2000-219\Labor and Materials Bond.doc ALL PURPOSE ACKNOWLEDGEMENT STATE OF CALIFORNIA ) COUNTY OF J On this a I day of 200 I, before me, \//' r, es:—,"P�,--er a Notary Public, personally appeared Ca. r : P Wit, r !1P✓ A A 51 -,x. -4-,e Name(s) of Signer(s) P/ personally known to me — OR proved to me on the basis of satisfactory evidence to be the person(s) whose name(s) is/are subscribed to the within instrument and acknowledged to me that he/she/they executed the same in his/her/their authorized capacity(ies), and that by his/her/their signature(s) on the instrument the person(s) or the entity upon behalf of which the person(s) acted, executed the instrument. Witness myAhand �and official seal. V .4MNM A GUERRERq 1 NOTARY SEAL ComrniWon 412T/961 "°'°°yP"bl'c-Copf�a Orange County Signature of otary MyConm. b4hM5ep22.2004 CAPACITY CLAIMED SIGNER IS REPRESENTING: Individual(s) Corporate _ Officers Title(s) Partner(s) General Partner of a Limited Partnership Attorney -in -Fact Trustee (s) Subscribing Witness Guardian/Conservator Other: THIS CERTIFICATE MUST BE ATTACHED TO THE DOCUMENT DESCRIBED TO THE BELOW: TITLE OR TYPE OF DOCUMENT: L -a b o( c r, ca (A cti-{- e r_ t a I NUMBER OF PAGES: .3 DATE OF DOCUMENT- ' -FD l 9-0'o( SIGNER (S) OTHER THAN NAMED ABOVE: N In Witness wh �reof. this instrument has been duly executer' by the principal and surety above named on the 4th day of January 2002. PRINCIPAL: Stephen Shepherd and Carrie Shepherd (SEAL) By; Stephen Shepherd By (SEAL) APPROVED AS TO FORM: CITY ATTORNE APPROVED AS TO CONTENT: x/222 CITY ENGINEER �:\Kviv\d�ndi & aFreemrnc�tvM2�W-q 19�Lnbo' ,nd Mncrials Hond.doc A Carrie shepherd 181021rvine BNd, Suite 203 Tustln CA 92780 714.544.2220 Western E "Stetefi 'Az, Attorney -in -Fact 21650 Oxnard St., Ste. 600-4 Woodland Hills, CA 91367 ADDRESS CALIFORNIA ALL-PURPOSE ACKNOWLEDGMENT State of California County of Orange On 01/04/02 before me, N. Swartz, Notary Public DATE NAME, TITLE OF OFFICER - E.G., *JANE DOE, NOTARY PU9LIC' personally appeared Steven Alan Swartz NAME(S) OF SIGNER(S) No. 5907 ❑x personally known to me - OR - ❑ proved to me on the basis of satisfactory evidence to be the person(8) whose name(r) is/ subscribed to the within instrument and ac- knowledged to me that he/xhidR)W executed the same in hishbsTtMNx authorized capacity( ), and that by his/±*TWTM signature(s) on the instrument the personM, or the entity upon behalf of which the person(N) acted, executed the instrument. MSw9JjC:ON8�ry Pabli<Cali( TY NANGE COUNT'mmission Exp. 1170f02 f OPTIONAL Though the data below is not required by law, it may prove valuable to persons relying on the document and could prevent fraudulent reattachment of this form. CAPACITY CLAIMED BY SIGNER ❑ INDIVIDUAL ❑ CORPORATE OFFICER TITLE(S) ❑ PARTNER(S) ❑ LIMITED ❑ GENERAL ® ATTORNEY-IN-FACT ❑ TRUSTEE(S) ❑ GUARDIAN/CONSERVATOR ❑ OTHER:--- SIGNER THER:__ SIGNER IS REPRESENTING: NAME OF PERSONS) OR EN➢TY((ES) Western Surety C mznanv� _ DESCRIPTION OF ATTACHED DOCUMENT Performance/Payment Bond TITLE OR TYPE.OF DOCUMENT NUMBER OF PAGES 01/04/02 DATE OF DOCUMENT SIGNERS) OTHER THAN NAMED ABOVE ®1993 NATIONAL NOTARY ASSOCIATION • 8236 Remmel Ave., P.O. Sox 7184 - Canoga Park, CA 91309-7184 vVestern Surety Cu,npany POWER OF ATTORNEY APPOINTING INDIVIDUAL ATTORNEY-IN-FACT Know All Men By These Presents, That WESTERN SURETY COMPANY, a South Dakota corporation, is a duly organized and existing corporation having its principal off -ice in the City of Sioux Falls, and State of South Dakota, and that it does by virtue of the signature and seal herein affixed hereby make, constitute and appoint Patricia Ruth Minder, Steven Alan Swartz, Individually of San Clemente, CA, its true and lawful Atlomey(s)-in-Fact with full power and authority hereby conferred to sign, seal and execute for and an its behalf bonds, undertakings and other obligatory instruments of similar nature - In Unlimited Amounts - and to bind it thereby as fully and to the same extent as if such instruments were signed by a duly authorized officer of the corporation and all the acts Di said Attorney, pursuant to the authority hereby given, are hereby ratified and confirmed. This Power of Attorney is made and executed pursuant to and by authority of the By -Law printed on the reverse hereof, duly adopted, as indicated, by the shareholders of the corporation. _ In Witness whereof, WESTERN SURETY COMPANY has caused these presents to be signed by its Executive Vice President and its corporate seal to be hereto affixed on this 4th day of June, 2001. State of Saudi Dakota 1 J} County of: nnehaha ss On this 4th day of June, 2001, before me personally came Stephen T, Pate, Io me known, who, being by me duly sworn, did depose and say: that he resides in the City of Sioux Falls, State of South Dakota; that he is the Executive Vice President of WESTERN SURETY COMPANY described in and which executed the above instrument; that he knows the seal of said corporation; that the seal affixed to the said instrument is such corporate seal; that it was so affixed pursuant to authority given by the Board of Directors of said corporation and that he signed his name thereto pursuant to like authority, and acknowledges same to be the act and deed of said corporation. My commission expires f J. MOHR i October 22, 3005 iNOTARY PUBLIC�Jj ,r SEAL a(:AL J V J SOUTH DAKOTA t J MY Commission Eapir— 10 22.2000 j ♦ 4M1�+wwtiu�Y�tiwka,wL�Mw + CERTIFICATE // Notary J. Mohr, Public 1, L. Nelson, Assistant Secretary of WESTERN SURETY COMPANY do hereby certify that the Power of Attorney hereinabove set forth is still in force, and further certify that the By -Lars of the corporation printed on the reverse hereof is still in force. In testimony whereof I have hereunto subscribed my name and affixed the seal of the said corporation this 4th day of J3rntary , 2002 `.""o Do WESTERN SURETY COMPANY _' Y opv CA STM UPM 61 2 J d a7 -L,/ Farm F4280-04.01 L. Nelson, Assistant Secretary WESTERN SURETY COMPANY e4Q•opv DRV 'AV t. %i= •�`Sa�Th DnM�,,+�, �'.,,,,,,,,r Stephen T, Pate, Executive Vice President State of Saudi Dakota 1 J} County of: nnehaha ss On this 4th day of June, 2001, before me personally came Stephen T, Pate, Io me known, who, being by me duly sworn, did depose and say: that he resides in the City of Sioux Falls, State of South Dakota; that he is the Executive Vice President of WESTERN SURETY COMPANY described in and which executed the above instrument; that he knows the seal of said corporation; that the seal affixed to the said instrument is such corporate seal; that it was so affixed pursuant to authority given by the Board of Directors of said corporation and that he signed his name thereto pursuant to like authority, and acknowledges same to be the act and deed of said corporation. My commission expires f J. MOHR i October 22, 3005 iNOTARY PUBLIC�Jj ,r SEAL a(:AL J V J SOUTH DAKOTA t J MY Commission Eapir— 10 22.2000 j ♦ 4M1�+wwtiu�Y�tiwka,wL�Mw + CERTIFICATE // Notary J. Mohr, Public 1, L. Nelson, Assistant Secretary of WESTERN SURETY COMPANY do hereby certify that the Power of Attorney hereinabove set forth is still in force, and further certify that the By -Lars of the corporation printed on the reverse hereof is still in force. In testimony whereof I have hereunto subscribed my name and affixed the seal of the said corporation this 4th day of J3rntary , 2002 `.""o Do WESTERN SURETY COMPANY _' Y opv CA STM UPM 61 2 J d a7 -L,/ Farm F4280-04.01 L. Nelson, Assistant Secretary Parcel Map No. 2000-219 Bond Amount. $2,100.00 Bond No. 5 5997Eg Expiration Date 0/ 43 SUBDIVISION WARRANTY BOND WHEREAS, the City Council of the City of Tustin, State of California, and Stephen Shepherd and Carrie Shepherd, hereinafter designated as 'Principal') have entered into an agreement whereby principal agrees to install and complete certain designated public improvements, which said agreement dated 200 1 , and identified as project Parcel Map No. 2000-219, is hereby referred to and made a part hereof; and WHEREAS, said principal is required under the terms of said agreement to guarantee and warrant that said improvements shall be free of any defective work or labor done or defective materials furnished for a period of one (1) year after completion or acceptance by the City of Tustin (hereinafter called 'Tustin"). NOW, THEREFORE, we, the principal, and SPS-T� 1 re (� as surety, as held and firm bound unto Tustin in the penal sum of two thousand one hundred and 00/100 dollars lawful money of the United States, for the payment of which sum well and truly be made, we bind ourselves, our heirs, successors, executors and administrators, jointly and severally, firmly by these presents. The condition of this obligation is such that if the above bounded principal, his or its heirs, executors, administrators, successors or assigns, shall in all things stand to and abide by, and well and truly keep and perform the covenants, conditions and provisions in the said agreement regarding the guarantee and warranty of said improvements as aforementioned and any alteration thereof made as therein provided, on his or their part, to be kept and performed at the time and in the manner therein specified, and in all respects according to their true intent and meaning, and shall indemnify and save harmless the City of Tustin, its officers, agents and employees, as therein stipulated, then this obligation shall become null ai u void; otherwise it shall be and reman i in full force and effect. As a part of the obligation secured and in addition to the fact amount specified therefor, there shall be included costs and reasonable expenses and fees, including reasonable attorney's fees, incurred by Tustin in successfully enforcing such obligation, all to be taxed as costs and included in any judgment rendered. The surety hereby stipulates and agrees that no change, extension of time, alteration or addition to the terms of the agreement or to the work performed thereunder or the specifications accompanying the same shall in anywise affect change, extension of time, alteration or addition to the terms of the agreement or to the work or to the specifications. S:\Katy\Bonds 8 agreements\PM2000-219\Subdivision Warrnty Bond.doc In Witness whereof, this instrument has been duly executea oy the principal and surety above names, on the ),,t day of �, 200 ( . PRINCIPAL: Stephen Shepherd and Carrie Shepherd (SEAL) By: G� �'�✓v—i+ Stephen Shepherd (SEAL) APPROVED AS TO FORM: -c CITY ATTORNEY APPROVED AS TO CONTENT: CITY ENGINEER SAKaty\Bonds& agreements\PM2000-219\Subdivision Warrnty Bond.doc By: Carne Shepherd 18102 Irvine Blvd Suite 203 Tustin, CA 92780 714.544.2220 SURETY By: ADDRESS ALL PURPOSE ACKNOWLEDGEMENT STATE OF CALIFORNIA ) COUNTY OF br(Wge ) On this a- day of Jec_-mbar 200 1, before me, (AnnPSS0 C�tI�YY PYo Notary Public, personally appeared _ / Name(s) of E ✓ personally known to me — OR proved to me on the basis of satisfactory evidence to be the person(s) whose name(s) is/are subscribed to the within instrument and acknowledged to me that he/she/they executed the same in his/her/their authorized capacity(ies), and that by his/her/their signature(s) on the instrument the person(s) or the entity upon behalf of which the person(s) acted, executed the instrument. Witne NOTARY SEAL CAPACITY CLAIMED BY Individual(s) Corporate _ Officers Title(s) Partner(s) General Partner of a Limited Partnership Attorney -in -Fact Trustee (s) Subscribing Witness Guardian/Conservator Other: SIGNER IS REPRESENTING: THIS CERTIFICATE MUST BE ATTACHED TO THE DOCUMENT DESCRIBED TO THE BELOW: TITLE OR TY11PE OF DOCUMENT: I t� 1 SJR Acv � SE>( Vv_.r Y,c%% ,—��I NUMBER OF PAGES: 5 DATE OF DOCUME c9 -t o^Oa 1 SIGNER (S) OTHER THAN NAMED ABOVE: In Witness whereof; this instrument has been duly executed by the principal and surety above names, on the 4th day of. January 2002 (SEAL) (SEAL) APPROVED AS TO FORM: CITY ATTORNEY APPROVED AS TO CONTENT: CITY ENGINEER 1".d « PRINCIPAL: Stephen Shepherd and Cerrie She he 0 Stephen Shephera By: Came Shepherd 18102 Irvine Blvd Suite 203 Tustin CA 82780 Western Alan Swartz, Attorney-jr]-Fact 21650 Oaffrard Street Ste. 600-4 Woodland Hills, CA 91367 ADDRESS r,A1 icnRMIA CLL -PURPOSE ACKNOWLEDGMENT State of California County of Orange On 01/04/02 before me, DATE personally appeared Steven Alan Swar N. Swartz, Notary Public NAME, TITLE OF OFFICER - E.G..-JANE DOE, NOTARY PUBLIC - NAMES) OF SIGNERS) No. 5907 O personally known to me - OR - ❑ proved to me on the basis of satisfactory evidence to be the person(s) whose name(i.) is/ subscribed to the within instrument and ac- knowledged to me that he/gi executed the same in his/ [jm authorized capacity(J, and that by his/Ja9TW1VX signature(s) on the instrument the person(%, or the entity upon behalf of which the person(x) acted, executed the instrument. N. SWARTZ Pi " C:OMM. h' 1167840Cn D D' -~k°"' IVocny Public California Cn ORANGE COUNTY QQ �' •� My Corn,nmsion E.P. 1/30/02 OPTIONAL Though the data below is not required by law, it may prove valuable to persons relying on the document and could prevent fraudulent reattachment of this form. CAPACITY CLAIMED BY SIGNER ❑ INDIVIDUAL ❑ CORPORATE OFFICER ❑ PARTNER(S) ❑ LIMITED ❑ GENERAL ®_ ATTORNEY-IN-FACT CJ TRUSTEE(S) ❑ GUARDIAN/CONSERVATOR ❑ OTHER:---- SIGNER THER:.__ SIGNER IS REPRESENTING: NAME OF PERSON(S) OR ENTITY(IES) Western SUr_e_t_y__OQmpanv DESCRIPTION OF ATTACHED DOCUMENT Subdivision Warranty Bond TITLE OR TYPE OF DOCUMENT NUMBER OF PAGES 01/04/02 DATE OF DOCUMENT SIGNER(S) OTHER THAN NAMED ABOVE 01993 NATIONAL NOTARY ASSOCIATION • 8236 Remmel Ave., P.O. Box 71134 • Canoga Park, CA 91309-7184 Nestern Surety C. npany POWER OF ATTORNEY APPOINTING INDIVIDUAL ATTORNEY-IN-FACT Know All Alen By These Presents, That WESTERN SURETY COMPANY, a South Dakota corporation, is a duly organized and existing corporation having its principal office in the City of Sioux Falls, and State of South Dakota, and that it does by virtue of the signature and seal herein affixed hereby make, constitute and appoint Patricia Ruth Minder, Steven Alan Swartz, Individually of San Clemente, CA, its true and lawful Attomey(s)-in-Fact with full power and authority hereby conferred to sign, seal and execute for and on its behalf bonds, undertakings and other obligatory instruments of similar nature - In Unlimited Amounts - and to bind it thereby as fully and to the same extent as if such instruments were signed by a duly authorized officer of the corporation and all the acts of said Altomey, pursuant to the authority hereby given, are hereby ratified and confirmed. This Power of Attomey is made and executed pursuant to and by authority of the By -Law printed on the reverse hereof, duly adopted, as indicated, by the shareholders of the corporation. In Witness Whereof, WESTERN SURETY COMPANY has caused these presents to be signed by its Executive Vice President and its corporate seal to be hereto affixed on this 41h day of June, 2001. sGaE.. WESTERN SURETY COMPANY CA I= T p° ;,'!,c,",�or'"t Stephen T. Pate, Executive Vice President State of South Dakota 1 County of Minnehaha 3 ss On this 4th day of June, 2001, before me personally came Stephen T. Pate, to me known, who, being by me duly sworn, did depose and say, that he resides in the City of Sioux Falls, State of South Dakota; that he is the Executive Vice President of WESTERN SURETY COMPANY described in and which executed the above instrument; that he knows the seal ofsaid corporation; that the seal affixed to the said instrument is such corporate seal; that it was so affixed pursuant to authority given by the Board of Directors of said corporation and that he signed his name thereto pursuant to like authority, and acknowledges same to be the act and deed of said corporation. My commission expires �����+++�M.Y.+.n.....�-.....♦ { J. MOHR { October 22, 200$Jr { SEAL NOTARY PUBLIC sEAL { { SOVTR DAKOTA X >fr cemm051,,, a:ova% ia-^_ aooc CERTIFICATE J. Mohr, Notary Public 1, L. Nelson, Assistant Secretary of WESTERN SURETY COMPANY do hereby certify that the Power of Attorney hereinabove set forth is still in force, and further certify that the By-law of the corporation printed on the reverse hereof is still in force. In testimony whereof I have hereunto subscribed my name and affixed the seal of the said corporation this Q�h _ day of Jcctrmary , 2002 "`-" WESTERN SURETY COMPANY Ae0 _p'o �)� u e Form F428o-04-01 L. Nelson, Assistant Secretary r rarcel Map No. 2000-219 Amount $2,500.00 Bond No. 5 �5q c� 1 j 5- MONUMENTATION BOND KNOWN ALL MEN BY THESE PRESENTS: That Stephen Shepherd and Carrie Shepherd as, and hereinafter referred to, collectively as 'Principal', and W "S -4+n ?� r o a corporation organized and existing under the laws of the State of and duly authorized to transact surety business in the State of California, as, and hereinafter referred to as, "Surety", are held and firmly bound unto the City of Tustin, hereinafter referred to as the "CITY', in the sum of two thousand five hundred and 00/100 dollars or the payment of which Principal and Surety bind themselves, their heirs, administrators, successors and assigns, jointly and severally, as follows: THE CONDITION OF THE ABOVE OBLIGATION IS THAT: WHEREAS, Principal is the owner of a tract of land in the City, which it is seeking to subdivide and within which it seeks to dedicate certain streets and easements to public use, and has filed with the City a final subdivision map for such tract of land designated as Parcel Map No. 2000-219 for approval and acceptance of such streets and easements; and WHEREAS, as a condition precedent to the approval of said tract map and the acceptance of the dedication of such streets and easements, Principal is required to construct and install survey monuments or agree to construct and install such monuments and execute and deliver to the City a bond on a form approved by the City, securing the faithful performance of the Agreement of Principal to construct and install such monuments, pursuant to the provisions of Section 66495 of the Government of the State of California; WHEREAS, Principal, by that Monumentation Agreement, dated 6-e,- 2 1 200 1 , a copy of which is attached hereto as Exhibit "B", has agreed to construct and install such monuments; and WHEREAS, Principal shall complete the construction and installation of such monuments on or before � 3 I , 20 o-1- ;and WHEREAS, the construction and installation of such monuments shall be at the sole cost and expense of Principal; and NOW THEREFORE, if Principal shall faithfully perform all agreements contained in such Monumentation Agreement, then this obligation shall be null and void. PROVIDED, HOWEVER, if Principal shall not faithfully perform all agreements and obligations contained in such Monumentation Agreement, then this obligation shall remain in full force and effect. PROVIDED FURTHER, HOWEVER, that Surety hereby stipulates and agrees that no change, extension of time, alteration or modification of the Monumentation Agreement, or of the work to be performed thereunder shall in any way effect it obligation of this bond and it does hereby waive notice of any such change, extension of time, alteration or modification of the contract documents or of work to be performed thereunder; and S:\Katy\Bonds & agreements\PM2000-219\Monumentation Bond.doc PROVIDED FURTHER, that in case suit brought upon this bonu, a reasonable attorneys' fee, to be fixed by the Court, shall be paid by Principal or Surety. PRINCIPAL: Stephen Shepherd and Carrie Shepherd BY: J�LAk- l Stephen S epherd BY: i Carrie Shepherd—` 18102 Irvine Blvd Suite 203 Tustin, CA 92780 APPROVED AS TO FORM: 46 G, , CITY ATTORNEY BY: SURETY APPROVED AS TO CONTENT: Address of Surety: CITY ENGINEER (SEAL) S:\Katy\Bands & agreements\PM2000-219\Monumentation Bond.doc ALL PURPOSE ACKNOWLEDGEMENT STATE OF CALIFORNIA COUNTY OF Or Ar llai= ) On this a( day of TrJ i!� --rne)ea200 li, before me, �cnr)rtc,17 Notary Public, personally appeared _ a r, ol_ 154-e o h e �,rr,e Shephe 5h� e,t-�Pc Name(s) of Signer(s) ✓ personally known to me — OR proved to me on the basis of satisfactory evidence to be the person(s) whose name(s) is/are subscribed to the within instrument and acknowledged to me that he/she/they executed the same in his/her/their authorized capacity(ies), and that by his/her/their signature(s) on the instrument the person(s) or the entity upon behalf of which the person(s) acted, executed the instrument. Witness my hand and official seal. VANNNESSAG ERRERO NOTARY SEAL commission iti2T/961 z -o Notary Public - California Orange County MyCorrmE�res5ep7L2D4 CAPACITY CLAIMED NSR Individual(s) Corporate Officers Title(s) Partner(s) General Partner of a Limited Partnership Attorney -in -Fact Trustee (s) Subscribing Witness Guardian/Conservator Other: Signature oft to SIGNER IS REPRESENTING: THIS CERTIFICATE MUST BE ATTACHED TO THE DOCUMENT DESCRIBED TO THE BELOW: TITI F tnR TYPF nF nOCIIMFNT' n k) o ICA NUMBER OF PAGES: 3 DATE OF DOCUM �e rvv�ef cel , x001 SIGNER (S) OTHER THAN NAMED ABOVE: PROVIDED FURTHER, "'it in case suit brought upon this bond. - reasonable attorneys' fee, to be i fixed by the Court, shall be paid by Principal or Surety. APPROVED AS TO FORM: PRINCIPAL: Stephen SheRberd and Carr'e�Ophep4 Sur CITY ATTORNEY APPROVED AS TO CONTENT: CITY ENGINEER (SEAL) SilKUyIKon," k BOnd'. da m m Stephen Shepherd Carrie Shepherd 18102 Irvine Blvd, Suite 203 Tustin CA 92780 Steven Alar) Swartz, Attorney -in -Fact Address of Surety 21650 0)mard St., Ste. 600-4 Woodlar)d Hills, CA 91367 002 ^A1 icnOMIA Al I.PURPOSE ACKNOWLEDGMENT No. 5907 State of California Co ty of Orange ADD` before me, N. SwartzNotary Public , E NAME, TITLE OF OFFICER - E.G., -JANE DOE. NOTARY PUBLIC' personally appeared Steven Alan Swartz NAME(S) OF SIGNERtS) Ox personally known to me - OR ❑ proved to me on the basis of satisfactory evidence to be the person(r,) whose name(5) is/ subscribed to the within instrument and ac- knowledged to me that he/KnWOW executed the same in his/ V?DNx authorized capacity J, and that by his/laeTbOT X signature(x) on the instrument the person(%, or the entity upon behalf of which the person(s) acted executed the instrument. WITNESS y nd d offici seal. Ir � r Publlc Callrornia - -� oa�NcecouNlY °i - � MY comm ssion F.xp. Ip0/02 IGNA'rURE OF TARV OPTIONAL Though the data below is not required by law, it may prove valuable to persons relying on the document and could prevent fraudulent reattachment of this form. CAPACITY CLAIMED BY SIGNER DESCRIPTION OF ATTACHED DOCUMENT ❑ INDIVIDUAL CORPORATE OFFICER 6-n.u�n�re�Q- / TITLE OR TYKE OF DO MENT TITLE(S) ❑ PARTNER(S) ❑ LIMITED ❑ GENERAL ® ATTORNEY-IN-FACT U TRUSTEE(S) ❑ GUARDIAN/CONSERVATOR ❑ OTHER:—.— SIGNER THER:._ SIGNER IS REPRESENTING: NAME OF PERSON(S) OR ENTITY(IES) Western Sur-e-t-y--Comoanv�_ NUMBER OF PAGES Z2 3— DATE OF DOCUMENT SIGNER(S) OTHER THAN NAMED ABOVE 01993 NATIONAL NOTARY ASSOCIATION • 8236 Remmel Ave., P.O. Box 71 B4 - Canoga Park, CA 91309-7104 Nestern Surety Cc,. fipany POWER OF ATTORNEY APPOINTING INDIVIDUAL ATTORNEY-IN-FACT Know All Men By These Presents, That WESTERN SURETY COMPANY, a South Dakota corporation, is a duly organized and existing corporation having its principal office in the City of Sioux Falls, and State of South Dakota, and that it does by virtue of the signature and seal herein affixed hereby make, constitute and appoint Patricia Ruth Minder, Steven Alan Swartz, Individually of San Clemente, CA, its true and lawful A ttom ey(s)-in -Fact with full power and authority hereby conferred to sign, seal and execute for and on its behalf bonds, undertakings and other obligatory instruments of similar nature - In Unlimited Amounts - and to bind it thereby as fully and to the same extent as if such instruments were signed by a duly authorized officer of the corporation and all the acts of said Attomey, pursuant to the authority hereby given, are hereby ratified and confirmed. This Power of Attomcy is made and executed pursuant to and by authority of the By -Law printed on the reverse hereof, duly adopted, as indicated, by the shareholders of the corporation. In Witness Whereof, WESTERN SURETY COMPANY has caused these presents to be signed by its Executive Vice President and its corporate seal to be hereto affixed on this 4th day of June, 2001. State of South Dakota 1 County of Minnehaha 3 as On this 4th day of June, 2001, before me personally came Stephen T. Pate, to me known, who, being by me duly swom, did depose and say: that he resides in the City of Sioux Falls, Stale of South Dakota; that he is the Executive Vice President of WESTERN SURETY COMPANY described in and which executed the above instrument; that he knows the seal of said corporation; that the seal affixed to the said instrument is such corporate seal; that it was so affixed pursuant to authority given by the Board of Directors of said corporation and that he signed his name thereto pursuant to like authority, and acknowledges same to be the act and deed of said corporation. My commission expires +�•���'+�+�'+�`w�x`+�+.�-.♦ r J. MOHR { October 22, 2005S SEAL NOTARY PUBLIC SEAL { r SOUTH DAKOTA f j My comma:ton Exptr 10.22-2005 t ♦ 4tiVY.MMW,YY4V,4�44�,a,v+ CERTIFICATE J. Mohr, Notary Public I, L. Nelson, Assistant Secretary of WESTERN SURETY COMPANY do hereby certify that the Power of Attorney hereinabove set forth is still in force, and further certify that the By -Law of the corporation printed on the reverse hereof is still in force. In testimony whereof I have hereunto subscribed my name and affixed the seal of the said corporation this 4th day of s arglarV 2002 ya -:��o. ,=� WESTERN SURETY COMPANY �s\�SE Aa. Form F4280-04-01 L. Nelson, Assistant Secretary WESTERN SURETY COMPANY • is CA so`.w.owr ——t Stephen T. Pate, Executive Vice President State of South Dakota 1 County of Minnehaha 3 as On this 4th day of June, 2001, before me personally came Stephen T. Pate, to me known, who, being by me duly swom, did depose and say: that he resides in the City of Sioux Falls, Stale of South Dakota; that he is the Executive Vice President of WESTERN SURETY COMPANY described in and which executed the above instrument; that he knows the seal of said corporation; that the seal affixed to the said instrument is such corporate seal; that it was so affixed pursuant to authority given by the Board of Directors of said corporation and that he signed his name thereto pursuant to like authority, and acknowledges same to be the act and deed of said corporation. My commission expires +�•���'+�+�'+�`w�x`+�+.�-.♦ r J. MOHR { October 22, 2005S SEAL NOTARY PUBLIC SEAL { r SOUTH DAKOTA f j My comma:ton Exptr 10.22-2005 t ♦ 4tiVY.MMW,YY4V,4�44�,a,v+ CERTIFICATE J. Mohr, Notary Public I, L. Nelson, Assistant Secretary of WESTERN SURETY COMPANY do hereby certify that the Power of Attorney hereinabove set forth is still in force, and further certify that the By -Law of the corporation printed on the reverse hereof is still in force. In testimony whereof I have hereunto subscribed my name and affixed the seal of the said corporation this 4th day of s arglarV 2002 ya -:��o. ,=� WESTERN SURETY COMPANY �s\�SE Aa. Form F4280-04-01 L. Nelson, Assistant Secretary • SUBDIVISION AGREEMEN• THIS AGREEMENT, made this 2k day of _Qg, , 200 1 by and between the CITY OF TUSTIN, a municipal corporation, herein called "CITY" and Stephen Shepherd and Carrie Shepherd herein called "SUBDIVIDER". WITNESSETH That in consideration of the City's approving the Final Map of Parcel Map No. 2000-219, the Subdivider hereby agrees to comply with all requirements of Chapter 3 of Title 9 of the Tustin City Code and to furnish and install all sidewalks, curbs, grading, paving, street light poles, sewer mains with sewer laterals, domestic water system, trees and other improvements in said subdivision without any cost to the City, all in strict accordance with the Ordinances of said City, and with the Plans and Specifications to be approved by the Tustin City Engineer, and all work to be done to the satisfaction of the Tustin City Engineer. Subdivider shall furnish a bond, or bonds, to guarantee his faithful performance of this Agreement and payment for materials, equipment and labor used in doing said work. Subdivider agrees that said work shall be completed within one (1) year of the date hereof and guarantees and warrants that for a period of one (1) year following completion and acceptance by the City that said improvements shall be free of any defective work or labor done or defective materials furnished. APPROVED AS TO FORM: 4io � - o,,j CITY ATTORNEY ATTEST: SAKaty\Bonds & agreements\PM2000-219\Subdivision Agreement.doc CITY OF TUSTIN BY: � a4,--7, MAYOR SUBDIVIDER: BY: Stephen S epherd Carrie Shepherd 18102 Irvine Blvd, Suite 203 Tustin, CA 92780 ALL PURPOSE ACKNOWLEDGEMENT STATE OF CALIFORNIA ) COUNTY OF On this day of )e�-�-rY,bef200 1, before me, 1 r, essa �e r r er o Notary Public, personally appeared rr le ShePl,2r� Qncl j4 e,�her> Slyzphero�- Name(s) of Signer(s) personally known to me - OR proved to me on the basis of satisfactory evidence to be the person(s) whose name(s) is/are subscribed to the within instrument and acknowledged to me that he/she/they executed the same in his/her/their authorized capacity(ies), and that by his/her/their signature(s) on the instrument the person(s) or the entity upon behalf of which the person(s) acted, executed the instrument. official seal VANNESSA GUERRERO NOTARY SEAL COMMiSion#1277961 Notary Patric - Carifarrm l Orange County GI AAv!`..r..n r..J�ee.m mn CAPACITY CLAIMED Individual(s) Corporate _ Officers Title(s) Partner(s) General Partner of a Limited Partnership Attorney -in -Fact Trustee (s) Subscribing Witness Guardian/Conservator Other: V Signature of I tary SIGNER IS REPRESENTING: THIS CERTIFICATE MUST BE ATTACHED TO THE DOCUMENT DESCRIBED TO THE BELOW: TITLE OR TYPE OF, DOCUMENT: SIGNER (S) OTHER THAN NAMED ABOVE: MONUMENTATION • AGREEMENT This agreement made and entered into this 1) day of �,. 200j, by and between Stephen Shepherd and Carrie Shepherd hereinafter referred to as "Subdivider" and the City of Tustin, a municipal corporation, hereinafter referred to as "City". WHEREAS, Subdivider has prepared and offered to City for acceptance a final map of Parcel Map No. 2000-219, and WHEREAS, Section 66495 of the Government Code requires that tract monuments be set by Subdivider before recordation of a final tract map or that Subdivider contract for and bond such obligations. NOW, THEREFORE, Subdivider hereby agrees to furnish and install all monuments for Parcel Map No. 2000-219 on or before 200 t , in accordance with the provision of law, and furnishes a bond/cash in the sum of two thousand five hundred and 00/100 dollars. APPROVED AS TO FORM: BY: 4ill, i�i/ r CITY ATTOROY/ ATTEST: b yj QCITY CLERK/DEPUTY 1] SAKaly\13onds & agreements\PM2000-219\Monumentation Agreemem.doc CITY OF TUSTIN BY: SUBDIVIDER BY: arepnen oviepnera BY: \ Q. Carrie Shepherd 18102 Irvine Blvd, Suite 203 Tustin, CA 92780 ALL PURPOSE ACKNOWLEDGEMENT STATE OF CALIFORNIA COUNTY OF DY_gnq ) On this a1 day of -DeCC M12e`( 2001 , before me, VanneSSa CwPr(eYO Notary Public, personally appeared _ 0 -ay e 5Vie oherol.en Name(s) of Signer(s) personally known to me — OR proved to me on the basis of satisfactory evidence to be the person(s) whose name(s) is/are subscribed to the within instrument and acknowledged to me that he/she/they executed the same in his/her/their authorized capacity(ies), and that by his/her/their signature(s) on the instrument the person(s) or the entity upon behalf of which the person(s) acted, executed the instrument. CAPACITY CLAIMED Individual(s) Corporate _ Officers Commizion w Signature of „tary� Title(s) Partner(s) General Partner of a Limited Partnership Attorney -in -Fact Trustee (s) Subscribing Witness Guardian/Conservator Other: SIGNER IS REPRESENTING: THIS CERTIFICATE MUST BE ATTACHED TO THE DOCUMENT DESCRIBED TO THE BELOW: TIT �I� OR TYPE OF DOCUMENT: M0hUPYle u-f1on Agdev/1grij- NUMBER OF PAGES: I JDATE OF DOCUMENT: y,p� I�er al , aoo 1 SIGNER (S) OTHER THAN NAMED ABOVE: