Woodside 05S, LP Material and Labor TM36788 1163832FOR: Grading / Drainage $
Erosion Control $WQMP $Total $
Surety Lexon lnsurance CompanV
Address 12890 Lebanon Road
MATERIAL AND LABOR BOND
CITY OF MENIFEE, STATE OF CALIFORNIA
(Government Code Section 66499.1)
'191 500.00 Tract
0.00 Other Project No. GPl8-029
0.00 Bond No. 1163832
36788
1
Principal
Address
Woodside 05S LP
'11 870 Pierce St. Suite #250
City/State Mt. Juliet, TN City/State Riverside CA
Zip 37122 zip 92505
Phone (951) 710-1900
WHEREAS, the City of Menifee, State of California, and Woodside 05S LP
(hereinafter designated as "principal") have entered into, or are about to enter into, the
attached agreement(s) whereby principal agrees to install and complete the above designated
Grading, Erosion Control & WQMP relating to (CUP) TR 36788 / GP18-029R , which
agreement(s) is/are 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
Menifee 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 corporate surety, are held firmly
unto the City of Menifee and all contractors, subcontractors, laborers, material persons and
other persons employed in the performance of said Civil Code in the sum of One Hundred
Ninetv One Thousand and Five Hundred and no/1 00 ,Dollars, $ 191.500.00 for materials
furnished or labor thereon of any kind, or for amounts due under the Unemployment
lnsurance 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 reasonable attorney's fees, incurred by the City 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 expressly stipulated and agreed upon that this bond shall inure to the benefit of
any and all persons, companies and corporations entitles to full 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.
Should the condition of this bond be fully performed, then this obligation shall become null
and void, otheMise, it shall be and remain in full force and effect.
9/8/15
Premium $ lncluded in Performance Bond
Phone 800-962-5212
MATERIAL AND LABOR BOND
The surety hereby stipulates and agrees that no change, extension of time, alteration or
addition to the terms of this agreement or to the specifications accompanying the same shall
in anywise affect its obligation on this bond, and it does hereby waive notice of any such
change, extension of time, alteration or addition. Surety fufther stipulates and agrees that the
provisions of Section 2845 of the Civil Code are not a condition precedent to surety's
obligations hereunder and are hereby waived by surety.
lN WITNESS WHEREOF, this instrument has been duly executed by the principal and surety
above named, on Aoril 3. 2 019
NAME OF PRINCIPAL: Woodside 05S LP
AUTHORIZED SIGNATURE(S)
By:
Name' Cvat{taAJa.,i?oarrrrr--Title: rfur r.t,rr 1lac,taa1,
(IF CORPORATION, AFFIX SEAL)
NAME OF SURETY: Lexon lnsurance Companv
v,hLt rh
Melissa Schmidt lts Attorney-in-Fact - Title
(IF CORPORATION, AFFIX SEAL)
ATTACH NOTARIAL ACKNOWLEDGMENT OF SIGNATURES OF PRINCIPAL AND
ATTORNEYJN.FACT.
9/8/ l5
O,aP;-
AUTHORIZED SIGNATURE:
CALIFORNIA ALL.PURPOSE ACKNOWLEDGMENT CIVIL CODE S 1189
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A notary public or other officer completing this certiticate verifies only the identity of the individual who signed the document
to which this ce(ificate is attached, and not the truthfulness, accuracy, or validity of that document.
State Cal (.r2 (County
On ,1 /,Ngno*o*:/k. tV . !1,,t n,t / 1. 1(u h, /,// <{
D;;!(Vrrr,trti @tr &rtt(tK,
who proved to me on the basis of satisfactory evidence to be the personls) whose name(,;fislaie subscribed
to the within instrument and acknowledged to me that he/sl@xecuted the same in his/Mtlreir
authorized capacitylies,-, and that by his/HtHr3ignature(9zon the instrument the persoryFr/rcr the entity
upon behalf of whiah the person(s) acted. executed the instrument.
personally appeared
Nome(s) of Signe4s)
ROCHELLE M. SROMALLA
Commlrdon r 2t05778
ilolrry Publlc - C.ltlomir
nlY.]do Colnty
I certify under PENALTY OF PERJURY under the
laws of the State of California that the foregoing
paragraph is true and correct.
WITNESS my ha offlcial seal.
Signatu
Ploce Notory Seol ond/or Stomp Above Signoturc ry Public
OPTIONAL
Completing this informotion con deter olterotion of the document or
froudulent reottochment of this form to on unintended document.
Description of Attached Document
Document Date Number of Pages:_
Signe(s) Other Than Named Above
Capacity(ies) Claimed by Signer(s)
Signer's Name Signer's Name
D Corporate Offlcer - Title(s):
t
aJ^ --
o Partner - tr Limited El General
o lndividual E Attorney in Fact
o Trustee tr Guardian of Conservator
o Other:
Signer is Representing
tr Partner - D Limited El General
El lndividual El Attorney in Fact
El Trustee tr Guardian of Conservator
E Other:
. 2017 National Notary AssociatioF
Signer is Representing:
Title or Type of Document:
E Corporate Officer - Title(s):
.tl IrT
POWER OF ATTORNEY
Lexon lnsurance Company
Bond #: 1163832
Principat:Woodside 05S, LP
Otilge€r City of Menifee
KNOW ALL MEN BY THESE PRESENTS, that LEXON INSURANCE COMPANY, e Taxas CoDorauon, with ib statutory homs offics in
Austin, Texas, does heteby constituto and appoint Melissa Schmidt lts truo and lawftJl Attomey-ln-Fact to make, eiecute, led anddolivsr for, and on its b€halt as surety, any and all bonds, undertakings orotherwritings obligatory in niture of a bond.
This authority is made under and by the authority of a resolution which was passed by the Board of Directors of LEXON TNSURANCE
COMPANY on th€ 1st day of July, 2003 as follows:
Resolved, that lhe President ofthe Company is hereby authorized to appoinl and empower any representative of the Company or otherperson or p6Gons as AttomBy-ln-Fact b 6x6cute on bahalfof ho Company any bonds, undertakings, policies, conlracts of inderirnity or otherwritings obligatory in nature ol a bond nol lo oxceed $5,000,000 dollars, which th€ Company might execute through its duly eleclei ofricers,and affix the .se-al of the. company thereto. Any said execution of such d@uments by ari AttomeyJn-ract sha'it be as 'binding upon uriCompany as if h€y had been duly executed and acknowledged by tho regularly €lscted officors of
-the
Company. Any Attomey-in-iaa, soappointed, may be remoyed for good causo and the authority so granted may be revoked as sp€cilied in the power'of Aliomey.
Rssolved, that the signature of the President and tho seal of the Company may be affixod by facsimils on any power of atomeygranted, and the signature ot he Assistant Secretary, and the seal of the Company may bo affxed by facsimile to any cedihcate of any suchpowBr and any such povr'er or certificate bearing such facsimile signature and s6al shall be valid and binding on the Company. Any suchpower so executed and sealed and certificato so executed and sealed shall, wih respect to eny bond of undertaking tc whiih it'is at6ched,
continue to be valid and binding on thB Company.
lN WITNESS THEREOF, LEXON INSURANCE COMPANY has caused this instrument to be signed by its President, and its Corporato
Seal to be affixed this 22nd day ofJuno, 2018.
LEXON INSURANCE COMPANY
ry?a-?2.BY
ACKNOWLEDGEMENT
On this 22nd day oI June, 2018, befors me, personally came Brian Beggg to me known, who b€ duly swom, did depose and say that he
is the Presidsnt of LEXON INSURANCE COMPANY, the corporation described in and which ExEcuted the above instrument hal he executed
said instrument on behalfofth6 corporation by euthority of his office under the By-laws ofsaid corporation.
-S';{IBr'".." i-i Zi iE'i i
''.ffi;s'
AMY TAYLOR
Nobry Publlc- Stalo orTcon€336.
O.vld$ County
iry Cofimi$lon Eelr6. 07@1 I
BY
Amy
Public
CERTIFICATE
l, lho undersigned, Assistant Sectetary of LEXO INSURANCE COMPANY, A Tsxas lnsuran@ Company, DO HEREBY CERTIFY
thal the original Power of Attomey of whlch tho forgoing B a fue and corecl copy, is in full force and effeci and has not been revoked and the
resolutions as set torth are now in forca.
Signed and Sealat Mount Juliet, Tennessee 16;5 3rd psyql April ,29'lg.
BY
rewSmith
Assistant Secrebry
'WARNING: Any person who knowlngly end wlth lntonl to d€Iraud any lnsuranco company or other person, fl1o3 lnd rppllcauon ror ln3uranca ot
claim conlaining any matorially falss lnfoll'ratlon, or conceali tor lhe purpo3o ot mlslelding, lnfomation concernlng lry tac-t mltorlal thereto,
commlts r ftaudulent lnsurance 8cq whlch lt ! crlmo and lubJects such peBon lo crlmlnal 8nd clvll penalties."
SEAL
SEAL
Brian Beggs
PrBsident
CALIFORNIA ALL.PURPOSE ACKNOWLEDGEMENT Civil Code S 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.
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State of lL
County of DuPage
April 3,2019 before me,Tariese M. Pisciotto - NOtarV PublicNain.lld i'r66aNdi.,
personally appeared
I
On
Nemo .nd or Non93 ot sig,l€r6)
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 th€ entity upon behalf of
which the person(s) acted, executed the instrum€nt,
I certify under PE of
the state of
and correct.
TY OF PERJU
that the foreg true
Witness my ha official seal
Signature
Tari Pisciotto Place NoLry Puulc 56.l lDor€
OPTIONAL
OFFICIAL SEAL
TARIESE M PISCIOTTO
NOIARY PUBLIC. STA]E OF ILLINOIS
MY COMMISSI0N ExPIRES:061622
Signer's Name:
E tndividuat
Corporate Officer -
Partner - ELimited tr General
Title(s):-E lndividualtrCorporate Officer - Title(s)tr Partner -Limited General
E Guardian or Conservator
E Attorney-in-Fact
E Trustee
El other:
E Guardian or Conseryator
E Attomey-in-Fact
E Trustee
E other.
Signer is representing Signer is representing
Lexon lnsurance Company
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RIGHTTHUMTPt]INI
OFSlqNER
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RIGHITHUMBPI]INI
OF SIGNEB
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Melissa Schmidt
f housh tho infomdtion betow is not rcquired w '";,iJff!n#,i,.'i'tr?l?:E:#rrffij,,:H:#rthe d@ument and coutd pnvent tnLdutent Emovat
Description of Attached Document
Title or Type of Document
Document Date Number of Pages: _