2017/05/23 Los Angeles SMSA, LP Verizon Wireless communication tower Bond No.019060266
TELECOMMUNICATIONS LAND IMPROVEMENT
PERMIT BOND
KNOW ALL MEN BY THESE PRESENTS:
That we, Los Angeles SMSA Limited Partnership,A California limited partnership d/b/a Verizon Wireless,
as Principal and Liberty Mutual Insurance Company, a corporation organized and doing business under
and by virtue of the laws of the State of Massachusetts and duly licensed to conduct a general surety
business in the State of Pennsylvania, as Surety, are held and firmly bound unto the City of Menifee,
29714 Haun Road, Menifee, CA 92586, as Obligee, in the sum of Six Thousand Seven Hundred Twenty Six
and 50/100 Dollars(6,726.50)for which payment,well and truly to be made,we bind ourselves,our
heirs, executors and successors,jointly and severally firmly by these presents.
THE CONDITION OF THE OBLIGATION IS SUCH THAT:
WHEREAS,the above named Principal has applied or is about to apply for a Conditional Use Permit with
the above named Obligee for a Wireless Communications Facility; Cell tower Name: Hilo; located at
31300 Haun Road, Menifee, CA 92584; Location Code: 290557; CUP 2014-233; BLDG Permit Submittal
No.1—PMT17-00766.
NOW THEREFORE,the condition of this obligation is such,that if the above Principal shall complete all
required improvements contained in the final Landscaping Plan, approved by the Community
Development Department of Menifee CA, including the installation of plantings, irrigation system,wall
and/or fences,then this bond will be void.
This bond may be released one year after structural final inspection report, and the One-Year Post
Establishment report confirms that the planting and irrigation components have been adequately
installed and maintained.
IN WITNESS WHEREOF,the seal and signature of said Principal is hereto affixed and the corporate seal
and name of the said Suety is hereto affixed and attested by its duly authorized Attorney-in-Fact on the
23rd day of May 2017.
Los Angeles SMSA ite -Pa--tnership,a California Libert Mutual Insurance Company
Limited partn ship / erizon Wireless
f
By: By:
Steven Lamb, Dir- twk Field Eng, NET-Engineering Menuel Jones ,Ator ey-in-Fact
THIS POWER OF ATTORNEY IS NOT VALID UNLESS IT IS PRINTED ON RED BACKGROUND. f
This 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 the extent herein stated.
Certificate No.7553703
Liberty Mutual Insurance Company
The Ohio Casualty Insurance Company West American Insurance Company
I
POWER OF ATTORNEY
KNOWN ALL PERSONS BY THESE PRESENTS:That The Ohio Casualty Insurance Company is a corporation duly organized under the laws of the State of New Hampshire,that
Liberty Mutual Insurance Company is a corporation duly organized under the laws of the State of Massachusetts, and West American Insurance Company is a corporation duly
organized under the laws of the State of Indiana(herein collectively called the"Companies'),pursuant to and by authority herein set forth,does hereby name,constitute and appoint,
Christine Hession;David A.Wysonq;Elvia E.Foil;Kim Sullivan;Lori Baybutt;Menuel L.Jones
all of the city of Washington state of OC each individually if there be more than one named,its true and lawful attomey-in-fact to make,execute,seal,acknowledge
and deliver,for and on its behalf as surety and 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 been duly signed by the president and attested by the secretary of the.Companies in their own proper persons.
IN WITNESS WHEREOF,this Power of Attorney has been subscribed by an authorized officer or official of the Companies and the corporate seals of the Companies have been affixed
thereto this 28th day of November 2016 jq
,11(INs(T �,lNSUq NWSUq�
yJP,°vim°ztT�"9y The Ohio Casualty Insurance Company NJ
�e `m r Liberty Mutual Insurance Company a)
0 1919 o F 1912 0 1991 a t_1
o y = West American Insurance Company N,
r/! dyyHaM'�4�a� �i�gsSicNS <`� Noiai:� /J �i
1 * t * * By. C/ey
STATE OF PENNSYLVANIA ss David M.Care ;Assistant Secretary C
m
+=L COUNTY OF MONTGOMERY =
t>s
dOn this 28th day of November , 2016,before me personally appeared David M.Carey,who acknowledged himself to be the Assistant Secretary of Liberty Mutual Insurance v(•-1
Ua) Company,The Ohio Casually Company, and West American Insurance Company,and that he, as such, being authorized so to do,execute the foregoing instrument for the purposes DWI
O_ therein contained by signing on behalf of the corporations by himself as a duly authorized officer. I
0) > 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. O Q
f0 P PAsr COMMONWEALTH OF PENNSYLVANIA O
Q�ipM°NWfy��! Notarial Seal44- , M
C'N ti� �x v Teresa Pastella,Notary Public By ���/ �i�%� O
f0 a) of Upper Merion Twp.,Montgomery county L >,
O L Teresa Pastella,Notary Public y =
L aw My Commission Expires March 28,2017
OO Member,Pennsylvania Association of Notaries 0
d W0.
C This Power of Attorney is made and executed pursuant to and by authority of the following By-laws and Authorizations of The Ohio Casualty Insurance Company, Liberty Mutual W Ol
Insurance Company,and West American Insurance Company which resolutions are now in full force and effect reading as follows: t��
two L ARTICLE IV—OFFICERS—Section 12.Power of Attorney.Any officer or other official of the Corporation authorized for that purpose in writing by the Chairman orthe President,and subject O c�
�; to such limitation as the Chairman or the President may prescribe,shall appoint such attomeys-in-fact,as may be necessary to act in behalf of the Corporation to make,execute,seal, "N
O acknowledge and deliver as surety any and all undertakings,bonds,recognizances and other surety obligations. Such attomeys-in-fact,subject to the limitations set forth in their respective p �
E powers of attorney,shall have full power to bind the Corporation by their signature and execution of any such instruments and to attach thereto the seal of the Corporation. When so '� d'
`p executed,such instruments shall be as binding as if signed by the President and attested to by the Secretary.Any power or authority granted to any representative or attorney-in-fact under > O
the provisions of this article may be revoked at any time by the Board,the Chairman,the President or by the officer or officers granting such power or authority.
CC c ARTICLE XIII—Execution of Contracts—SECTION 5.Surety Bonds and Undertakings.Any officer of the Company authorized for that purpose in writing by the chairman or the president, E ao
L and subject to such limitations as the chairman or the president may prescribe,shall appoint such attorneys-in-fact,as may be necessary to act in behalf of the Company to make,execute, L MI
O seal,acknowledge and deliver as surety any and all undertakings,bonds,recognizances and other surety obligations. Such attorneys-in-fact subject to the limitations set forth in their c00
Z v respective powers of attorney,shall have full power to bind the Company by their signature and execution of any such instruments and to attach thereto the seal of the Company. When so 00
executed such instruments shall be as binding as if signed by the president and attested by the secretary. O cc!
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- ~�I
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.
Authorization—By unanimous consent of the Company's Board of Directors,the Company consents that facsimile or mechanically reproduced signature of any assistant secretary of the
Company,wherever appearing upon a certified copy of any power of attorney 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, The Ohio Casualty Insurance Company, Liberty Mutual Insurance Company, and West American Insurance Company do
hereby certify that the original power of attomey of which the foregoing is a full,true and correct copy of the Power of Attorney executed by said Companies,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 Companies this �� day of 0 20 117
I I NSUg9 JP�tNop qqM `ry INSU
p 1919 > 1912 °� 1991 ° By.
Renee C.Llew , sistant Secretary
O�''lfjyNnr..as°4-ate w91��s'^.N�sC�h ems' ry Nanilh `>
78 of 200
LMS 12873 082016
CALIFORNIA ALL-PURPOSE ACKNOWLEDGEMENT Civil Code § 1189
A notary public or other officer completing this certificate verifies only the identity of the individual who signed the
document to which this certificate is attached, and not the truthfullness, accuracy or validity of that document.
State of to Gl'1 �1'1I�
County of
On 25 WHI before me, I�1CS�'1Gt-t'� K-la- Notary Public
Date 1 Y. I _ Name and Title of Notary
personally appeared I,LLYV�'J r
Name and or Names of Signer(s)
Who proved to me on the basis of sat' factory evidence
to be the person(-rj whose name(0v i /are subscribed
the within ins rument and ac o dged to me that
he,Yshe/they executed the me i his her their authorized
apacity(ies), and that b hi /her/ Ir signatureXon the TRICSHA FATAKIA
instrumentthe person( r the entity upon behalf of NotaryPublic-California Z
Orange County n
which the person() acted, executed the instrument. _ - Commissionk�202020
J � My Comm.Expire
1 certify under PENALTY OF PERJURY under the laws of
the State of California that the foregoing paragraph is true
and correct.
Witness my han and official seal.
Signature
Notary Public Signature Place Notary Public Seat Above
OPTIONAL
Though the information below is not required by law,it may prove valuable to the persons relying on the document and could prevent fraudulent removal
and reattachment of this form to another document.
Description of Attached Document
Title or Type of Document
Document Date Number of Pages:
Signer's Name:
❑ Individual ❑ Individual
❑ Corporate Officer—Title(s): ❑ Corporate Officer—Title(s):
❑ Partner- ❑Limited ❑General ❑ Partner- ❑Limited ❑General
❑ Guardian or Conservator ❑ Guardian or Conservator '
❑
Top of Thumb Top of Thumb Attorney-in-Fact ❑ Attomey-in-Fact
❑ Trustee ❑ Trustee
❑ Other: ❑ Other:
Signer is representing Signer is representing
CALIFORNIA ALL-PURPOSE ACKNOWLEDGEMENT Civil Code § 1189
A notary public or other officer completing this certificate verifies only the identity of the individual who signed the
document to which this certificate is attached, and not the truthfullness, accuracy or validity of that document.
State of DISTRICT OF COLUMBIA:ss
County of
On May 23, 2017 before me, Christine Hession Notary Public
Date Name and Title of Notary
personally appeared Menuel Jones
Name and or Names of Signer(s)
Who 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 certify under PENALTY OF PERJURY under the laws of • �`%
the State of California that the foregoing paragraph is true
and correct. a Ct a
el �� •
Witness my han Viand official seal. {HdL ••;�
Signature
Christine Hession Notary Public Signature Place Notary Public Seal Above
OPTIONAL
Though the information below is not required by law,it may prove valuable to the persons relying on the document and could prevent fraudulent removal
and reattachment of this form to another document.
Description of Attached Document
Title or Type of Document
Document Date Number of Pages:
Signer's Name:
❑ Individual ❑ Individual
❑ Corporate Officer—Title(s): ❑ Corporate Officer—Title(s):
❑ Partner- ❑Limited ❑General ❑ Partner- ❑Limited ❑General
❑ Guardian or Conservator Top or tn�mb El Guardian or Conservator 7ftw"mb
Attorney-in-Fact ❑ Attorney-in-Fact
❑ Trustee ❑ Trustee
❑ Other: ❑ Other:
Signer is representing Signer is representing
Liberty Mutual Insurance Company