Jefferson Menifee, LLC Material and Labor Bond 2015-164 800011711r rre
D,lllilrt MATERIAL AND LABOR BOND
CITY OF MENIFEE. STATE OF CALIFORNIA
(Government Code Section 66499.2)
FOR: Grading
Drainage
SWQMP
Erosion Control
Total
$ 1,750.00
$ 133,750.00$ 56,875.00$ 7,750.00
$ 200,125.00
Parcel Map
Other Project No
Bond No.
Prem ium
PLOT PLAN 2015-164
Atlantic Specialty lnsurance Company
605 Highway 169 N, Ste 800
Plymouth, MN
952-952-2431
GP21-066
800011 71 1
$o
Jefferson Menifee, LLCffi
San DiegorcA
92130
(858) 771-9119
Surety
Address
City/ State
Zip code
Phone
Principal
Address
City/State
Zip
Phone
designatedGrading,ErosionControl&WQMPrelatingto@
2015-164, which agreement(s), dated August 11,2022, is/are hereby referred to and made a
part hereof; and,
WHEREAS, under the terms of said agreement(s), 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 3 (commencing with Section
9000) of Part 6 of Division 4 of the Civil Code of the State of California;
NOW, THEREFORE, said principal and the undersigned, as corporate surety, are firmly
bound unto the City of Menifee and all contractors, subcontractors, laborers, material
suppliers, and other persons employed in the performance of the agreement(s) and referred
to Title 3 (commencing with Section 9000) of Part 6 of Division 4 of the Civil Code in the sum
of Two Hundred Thousand One Hundred Twentv-Five and no/100 , Dollars,$200,12s.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 of Menifee 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 entitled to file claims under Title 3
(commencing with Section 9000) of Part 6 of Division 4 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; otherwise, it shall be and remain in full force and effect.
55441
WHEREAS, the City Council of the City of Menifee, State of California, and -=|gffersonMenifee. LLC (hereinafter designated as "principal") have entered into, or are about to enter
into, tne attached agreement(s) whereby principal agrees to install and complete the above
MATERIAL AND LABOR BOND
The surety hereby stipulates and agrees that no change, extension of time, alteration, or
addition to the terms of the agreement(s) 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 further 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 17th Auqust, 2022
NAME OF PRINCIPAL Jefferson Menifee LLC
AUTHORIZED SIGNATURE(S):
By:
Name:+.o,,^
Title D
(IF CORPORATION, AFFIX SEAL)
NAME OF SURETY: Atlantic S ECialtv lnsurance Com oano
AUTHORIZED SIGNATURE:
ItsAttorney-in-Fact Debbie Lindstrom Title Attorncy-in-Fact
(IF CORPORATION, AFFIX SEAL)
ATTACH NOTARIAL ACKNOWLEDGMENT OF SIGNATURES OF PRINCIPAL AND
ATTORNEY-IN.FACT.
CALIFORN!A ALL.PURPOSE ACKNOWLEDGEMENT
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 (wu
County of
On tq 2.o2 before me.
personally appeared Wlcn
Who proved lo me on lhe basis of satisfactory evidence
to b€ the person(s) whose name(s) is/are subscribed
to the within instrument and acknowledged to me that
he/she/they execuled 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 lhe laws of
the State of California that the foregoing paragraph is true
and correct.
Witness m nd and official seal
Signature
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Namo and or Nal6 or !iirn8(s)
Ptaca Nora.y Pubiic So€l ADov€
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Though the infomation bolow is nol required by law, it may prcvo valudble to the pe/sons elying on the document and could prevent traudulant removal
dnd rcaftachmonl of this fom to another document.
D€scription of Attached Document
Title or Type of Document
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KARISSA NOEUE IIABDING
My tlobry lD I 111053i|8
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Signer's Name
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E lndividual
EI Corporate Officer - Title(s):-
E Partner - E Limiteo E General
E Guardian or Conservator
E Attomey-in-Fact
E Trustee
E other:
E tndividuattrCorporate Officer - Title(s)
Partner - trLimited tr General
E Guardian or Conservator
E Attorney-in-Fact
E Trustee
E other:
Signer is representing Signer is representing
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RIGTIT TTIUMEPNINT
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Civil Code S 1189
Document Date Number of Pages:
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 washington
County of King
before me,Brandi Heinbau Notary Public
)
On 8/17 /22 h
Debbie Lindstrompersonally appeared
Nam a.d or Namos ol Srono(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.
E tndividual
E Corporate Officer - Title(s):-
E Partner - E Limited Eceneral
E Guardian or Conservator
E Attorney-in-Fact
E Trustee
E other:
E lndividual
E Corporate Officer - Title(s):-
E Partner - E Limited EGeneral
E Guardian or Conservator
E Attomey-in-Fact
E Trustee
E other:
."':)iffir?*r,ffiWitness my ha offi al
Signature Plscs Norary Public Soal Abov€Commission E esB/7/Z 4 Nol.ry
OPTIONAL
Though the infomation betow is not roquited by law, it may prove valuable to lhe persons Elying on lhe documeft and could prcvenl faudulent removal
and rcattachment of this fom to another document.
Description of Attached Documont
Document Date Number of Pages
Signer's Name:
Title or Type of Document
Signer is representing Signer is representing
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Power of Attorney
KNOW At,l, MEN By THESE pRESENTS, that ATt-ANTIC SPECTALTY INSURANCE COMPANY, a New York corporation with ils principal office in Plymolth,
Minnesota, does her€by consrirute and appoint: Holly E. Ullers, Roxana Palacios, Peggy A. Firth, KathleeD M. Mitchell, Debbie LindsEoD, Brandi Heinbaugh,
Scott Aldarmao, Timothy S. Buhite, Amber Engal, Jamie Armricld. earh individually if there be more than one rramed. its true and lawful Attomey_in-Fact, to make,
and all orher writings obliBarory in rhe nature thereof in pursuance o[ these presen(s. shall be as bindin8 upon said Company as it they had been fully si8ned by an autho.ized
officer of the Company and sealed with the Company seal. This Power of Atlorney is made and executed by authority of lhe following resolutjons adopt€d by the Board of
Directors of ATLANTIC SPECIALTY INSURANCE COMPANY on the twenty-fifth dav of September, 2012:
Rcsolvcd: That the Prcsident, any Senior Vicc Presid€nl or Vice-Presid.nt (each an "Authoriz€d Officer") may executc for and in behalf of the (lomPany any and
all bonds, recognizances, contra(ls of ind.mniry. and all other writings ohligalory in the nature thereof, and affix the seal of the Company therelo; and thal the
Authorized Officer may appoint and authorize an Atomey-in-F-act to execule on behalf of the Company any and all such inslruments and to affix the Cornpany
seal rheretol and that the Authorized Officer may at any time remove any su(h Allomey-in-Fact and revoke all powet and authority given to any such Atlomey_in'
Facl.
Resolv€di That rhe Atromey-in-l;act may b€ Biven fult polrer and aulhority to execute for and in the name and oll behalf ot the ComPany any and all bonds,
rccognizances, contracts of indcmniry. and all olher rrritin8s obligatory in lhe nature th€reof, and ant such inslrumcnt executed by any such Anomey_in_Fad shall
be es binding upon rhe Company as if signed and sealed by an Aulhorized officer and. further, th€ Atomey-in-Facl is hereby authorized to verify any affidavil
required to be attached to bonds, recognizances, contracts of indemnity, and all oth€r writings obliSalory in the nature thereof.
This powcr of arrorncy js signed and scaled by facsimile undcr the authority of the following Resolution adopted by lhe Board of Directors of ATI-ANTIC SPECIALTY
INSURANCE COMPANY on lhe twenty-liflh day of September, 2012i
Resolved: That the signature of an Aurhorized Officer, the signature of the Secretary o. the Assistant Secretary, and the Company seal may be alfixed by
lacsimile to any power of arrorney or to any cenificare relaring therero appointinB an Attomey-in-Facl for purposes only of execu(ing and sealinS any bond,
undenaking, recognizancc or o(hcr uritren obligation in the nature theraof, and any such signaturc and seal wherc so used, beinB hereby adoPt€d by the Company
as the original signarur€ of such officer and rhe original seal of the Companv, ro be valid and bindinB upon lhe Company with the same force and effeo as ihough
manually affixed.
tN WITNESS WHEREOF, ATLANTIC SPECIALTY INSURANCE COMPANY has caused rhese presents to be sign€d by an Authorized Officer and the seal of the Company
to be affixed this iwenty-seventh day of April, 2020.
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STA'1'F] OI MINNFS(II'A
HENNFPIN CI)UNTY
Paul .1. Rrehm. Senior vice Presidenr
On this rwenty-seventh day of April,2020. b€fore m€ personally came Paui J. Rrehm. Senior Vice President of ATLAN I'lC SP[CIALTY INSURANCE COMPANY, to me
p€rsonally knoh,n to be the individual and officer described in and who execul€d the pre(eding inslrument. and he acknowledged (he execution of the same, and being by me
duly swom, dat he is fie said officer of rhe (lompany aforesaid, and that the sealaffixed to thc preceding instnrmcnt is ihe sealofsaid Company and that the said sealand lhe
signarure as such officer was duly affixed and subscrib€d to the said instrument by lhe au(hority and al the direction of lhe Company.
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Nordry PIblir
I. rh€ undrrsighed, Sanrcttr o, AU,ANTIC SPECIALTY INSURANCE COMPANY. a New York Corporation, do hercby cenify that the foregoing power of attomey is in full
force aod has oot b.en revo'hrC. an+r,\e resolutions set fonh above arp now in force.
Signetl anrl ;erted. narerJ-]]!!:-- rlay o{Auoust . 2022
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This Power of Attorney e\pires
January Jt,2025
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ALISON DIVAI{ TIASH.IROUI
NOIARY PUELIC . HINIIESOTA
My commls!lon ExPlros
January 31, 2025
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Kara Barrow. Secretary
INSUNATCE
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