Bond - Sancon Engineering Inc - 2015-05-28 (2) VERIFY YOUR BOND—MODEL INQUIRY
Bond Authenticity Inquiry
To: Name and Address of Surety:
The Hanover Insurance Company
This bond or bonds described below have been presented to us.Please acknowledge that these bonds have been provided by your
company.
A copy of the bond(s)may be submitted in lieu of providing the information marked with an asterisk(*)
*Bond Number(if any): 1028660
*Name and Address of Principal on the Bond(If Principal is a Joint Venture,include Name of all Parties):
Sancon Engineering, Inc., 5841 Engineer Drive, Huntington Beach, CA 92649
*Name and Address of Obligee:
Costa Mesa Sanitary District, 628 W. 19th Street, Costa Mesa, CA 92627
*Amount of Performance Bond: $241,800.00
*Amount of Payment Bond: $241, 800.00
*Date Bond Executed: May 26, 2015
*Name of Person Signing Bond for Surety: Michael R. Langan
*Brief Description of the Project: CMSD Project#194
Please Send Confirmation to Name and Address:
Dyana Wick
Costa Mesa Sanitary Distritct
628 W. 19th Street
Costa Mesa, CA 92627
Validity Confirmed:
Company Name: — ( ke- �14nY1bvel y��n fowl 0 2- Co-fri(�Ahly
Signed By: tgre �f goo , ?ft a r Qy A. Deg SU1 Os le `(
(Print or Type Name)
•
THE HANOVER INSURANCE COMPANY
MASSACHUSETTS BAY INSURANCE COMPANY
CITIZENS INSURANCE COMPANY OF AMERICA
POWERS OF ATTORNEY
CERTIFIED COPY
KNOW ALL MEN BY THESE PRESENTS: That THE HANOVER INSURANCE COMPANY and MASSACHUSETTS BAY INSURANCE COMPANY,both being
corporations organized and existing under the laws of the State of New Hampshire,and CITIZENS INSURANCE COMPANY OF AMERICA,a corporation
organized and existing under the laws of the State of Michigan,do hereby constitute and appoint
Jeffrey A.DesRosier
of Santa Ana,CA and each is a true and lawful Attorney(s)-in-fact to sign,execute,seal,acknowledge and deliver for,and on its behalf,and as its act and
deed any place within the United States, or, if the following line be filled in, only within the area therein designated any and all bonds, recognizances,
undertakings,contracts of indemnity or other writings obligatory in the nature thereof,as follows:
Any such obligations in the United States,in any amount-
and said companies hereby ratify and confirm all and whatsoever said Attorney(s)-in-fact may lawfully do in the premises by virtue of these presents.
These appointments are made under and by authority of the following Resolution passed by the Board of Directors of said Companies which resolutions
are still in effect:
"RESOLVED,That the President or any Vice President,in conjunction with any Vice.President,be and they are hereby authorized and empowered to appoint
Attorneys-in-fact of the Company,in its name and as its acts,to execute and acknowledge for and on its behalf as Surety any and all bonds,recognizances,
contracts of indemnity,waivers of citation and all other writings obligatory in the nature thereof,with power to attach thereto the seal of the Company.Any such
writings so executed by such Attorneys-in-fact shall be as binding upon the Company as if they had been duly executed and acknowledged by the regularly
elected officers of the Company in their own proper persons."(Adopted October 7, 1981 -The Hanover Insurance Company;Adopted April 14, 1982-
Massachusetts Bay Insurance Company;Adopted September 7,2001-Citizens Insurance Company of America)
IN WITNESS WHEREOF, THE HANOVER INSURANCE COMPANY, MASSACHUSETTS BAY INSURANCE COMPANY and CITIZENS INSURANCE
COMPANY OF AMERICA have caused these presents to be sealed with their respective corporate seals,duly attested by two Vice Presidents,
this 16th day of January 2012.
THE HANOVER INSURANCE COMPANY
,,M MASSACHUSETTS BAY INSURANCE COMPANY
:erq, , . r SON CITIZENS RANGE pOMPANY OF AMERICA
• 1972
> I/'
Robert Thomas," V ice President
THE COMMONWEALTH OF MASSACHUSETTS ) —"' --
COUNTY OF WORCESTER )ss. leis I rez strom Vice Presici'nt
On this 16th day of January 2012 before me came the above named Vice Presidents of The Hanover Insurance Company,Massachusetts Bay Insurance,
Company and Citizens Insurance Company of America,to me personally known to be the individuals and officers described herein,and acknowledged thatthe
seals affixed to the preceding instrument are the corporate seals of The Hanover Insurance Company,Massachusetts Bay Insurance Company and Citizens
Insurance Company of America, respectively, and that the said corporate seals and their signatures as officers were duly affixed and subscribed to said
instrument by the authority and direction of said Corporations.
w BARBARA A.GARLICK
f'E
� No ary Public � .�•'
f
Ccmmanxeanh o°�tassadwsens t yf ' J�/ 74,L„
5` T
•.Y,W^n<ssnc<v..ys Sept I,
Barbara A.Garlick, Notary Public
My Commission Expires September 21,2018
I,the undersigned Vice President of The Hanover Insurance Company,Massachusetts Bay Insurance Company and Citizens Insurance Company of America,
hereby certify that the above and foregoing is a full,true and correct copy of the Original Power of Attorney issued by said Companies,and do hereby further
certify that the said Powers of Attorney are still in force and effect.
This Certificate may be signed by facsimile under and by authority of the following resolution of the Board of Directors of The Hanover Insurance Company,
Massachusetts Bay Insurance Company and Citizens Insurance Company of America.
"RESOLVED,That any and all Powers of Attorney and Certified Copies of such Powers of Attorney and certification in respect thereto,granted and executed
by the President or any Vice President in conjunction with any Vice President of the Company,shall be binding on the Company to the same extent as if all
signatures therein were manually affixed,even though one or more of any such signatures thereon may be facsimile." (Adopted October 7, 1981 -The
Hanover Insurance Company;Adopted April 14,1982-Massachusetts Bay Insurance Company;Adopted September 7,2001-Citizens Insurance Company of
America)
GIVEN under my hand and the seals of said Companies,at Worcester,Massachusetts,this 4th day of June 2015.
THE HANOVER INSURANCE COMPANY
MASSACHUSETTS BAY INSURANCE COMPANY
( CITIZENS INSURANCE COMPANY OF AMERICA
C Ijnn Margosian,Vice President
PAYMENT BOND
PAGE 1
Bond No. 1028660
COSTA MESA SANITARY DISTRICT
PAYMENT BOND
(LABOR AND MATERIAL BOND)
KNOW ALL MEN BY THESE PRESENTS:
THAT,WHEREAS,the COSTA MESA SANITARY DISTRICT,a municipal corporation and
sanitary district,by minute order of the Board of Directors,adopted on May 28,2015,has awarded
to Sancon Engineering, Inc., hereinafter designated as the "Principal", Contract No. CMSD
PROJECT NO. 194 for the work described as follows: Pump Station Coating and Manhole
Rehabilitation. Said Contract and all of its obligations, covenants, terms and conditions are fully
incorporated herein by reference.
WHEREAS, said Principal is required by the provisions of said Contract and of the Civil
Code to furnish a bond in connection with said Contract, as hereinafter set forth.
NOW, THEREFORE, WE, the undersigned CONTRACTOR, as Principal and
HANOVER INSURANCE COMPANY,5 HUTTON CENTRE DRIVE#1060,SANTA ANA,CA 92707
(Name and Address of Surety)
Duly authorized to transact business under the laws of the State of California,as Surety,are
held and firmly bound unto the Costa Mesa Sanitary District, in the penal sum of: Two Hundred
Forty-One Thousand, Eight Hundred Dollars ($241,800.00), said sum being not less than one
hundred(100%)percent of the estimated amount payable under the terms of the Contract for which
payment well and truly be made, we bind ourselves, our heirs, executors and administrators,
successors and assigns,jointly and severally, firmly by these presents.
THE CONDITION OF THIS OBLIGATION IS SUCH that, if said Principal or his
subcontractors,or the heirs,executors,administrators,successors or assigns thereof, shall fail to
pay any of the persons named in Section 3181 of the Civil Code of the State of California for any
materials,provisions,provender or other supplies used in,upon,for or about the performance of the
work contracted to be done, or for any work or labor performed by any such claimant or any
amounts required to be deducted, withheld, and paid over to the Franchise Tax Board from the
wages of employees of the CONTRACTOR and his subcontractors pursuant to Section 18806 of
the Revenue and Taxation Code,with respect to such work and labor,then said Surety will pay for
the same,in an amount not exceeding the sum set forth hereinabove,and in addition,in case suit is
brought upon the bond,will pay a reasonable attorney's fee to be fixed by the court. This bond shall
inure to the benefit of any and all persons named in the aforesaid Civil Code Section 3181 so as to
give a right of action to them or their assigns in any suit brought upon the bond.
PAYMENT BOND
PAGE 2 1028660
Bond No.
Further, the said Surety,for value received, hereby stipulates and agrees that no change,
extension of time, alteration or modification of the Contract Documents or of the work to be
.performed thereunder shall in any way affect its obligation on this bond;and it hereby waives notice
of any and all such changes, extensions of time, and alterations or modifications of the Contract
Documents and/or of the work to be performed thereunder.
IN WITNESS WHEREOF, we have hereunto set our hands and seals this 26th
day of MAY , 2015.
Sancon Engineering, Inc.
5841 'Engineer Drive
Huntington Beach, CA 92649
PRINCIP L
By: Z• z
Company Representative
In accordance with the Contract for CMSD PROJECT#194 bonds shall be issued by an admitted
surety insurer and the DISTRICT reserves the right to object to any such surety,in accordance with
Code of Civil Procedure Section 995.660.
By signing below, Surety certifies that the bonds are issued by an admitted surety.
HANOVER INSURANCE COMPANY
Name
5 HUTTON CENTRE DRIVE, # 1060
Street Address
SANTA ANA, CA 92707
City, State,Zip Code
SURETY MV
��By:
Company Re res'entative Michael R. gttorne in Fact
APPROVED AS TO FORM:
Colin R. Bums, Associate District Counsel
Costa Mesa Sanitary District
By Is/
ACKNOWLEDGMENT
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 truthfulness, accuracy, or
validity of that document.
State of California
County of Los Angeles )
R4l t:Le 1 5 k)0 rii
On ' " `( 2 6 l z ° / 5 before me,
(insert name and title of the officer)
personally appeared Michael R. Langan
who proved to me on the basis of satisfactory evidence to be the personi4whose name() is/atm'
subscribed to the within instrument and acknowledged to me that he/slieltherexecuted the same in
his/authorized capacity(iea), and that by his/#+e tth rsignature 'Gn the instrument the
person, or the entity upon behalf of which the person 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:
WITNESS my hand and official seal. «-•<:� ' RQIA$
COMM. #1980954 z
Notary Public.California a
z c^ 4h���`,� �
Los Angeles County
14rr7.4 Mtr Comm.Expires June 27,20161
Signature Cf,Ce-(2 (Seal) -- -- - - -
THE HANOVER INSURANCE COMPANY
• MASSACHUSETTS BAY INSURANCE COMPANY
CITIZENS INSURANCE COMPANY OF AMERICA
POWERS OF ATTORNEY
CERTIFIED COPY
KNOW ALL MEN BY THESE PRESENTS: That THE HANOVER INSURANCE COMPANY and MASSACHUSETTS BAY INSURANCE COMPANY,both being
corporations organized and existing under the laws of the State of New Hampshire,and CITIZENS INSURANCE COMPANY OF AMERICA,a corporation
organized and existing under the laws 9f the State of Michigan,do hereby constitute and appoint
Michael R.Langan
of Pasadena,CA and each is a true end lawful Attorney(s)-in-fact to sign,execute,seal,acknowledge and deliver for,and on its behalf,and as its act
and deed any place within the lJniteo States,or,if the following line be filled in,only within the area therein designated any and all bonds,recognizances,
undertakings,contracts of indemnity pr pthier writings obligatory in the nature thereof,as follows:
Any such obligations ip the of itod States,not to exceed Ten Million and No/100($10,000,000)in any single instance
and said companies hereby ratify and confirm all and whatsoever said Attorney(s)-in-fact may lawfully do in the premises by virtue of these presents.
These appointments are made under and by authority of the following Resolution passed by the Board of Directors of said Companies which resolutions
are still in effect:
"RESOLVED,That the President or any Vice President,in conjunction with any Vice President,be and they are hereby authorized and empowered to appoint
Attorneys-in-fact of the Company,in'Its name and as its acts,to execute and acknowledge for and on its behalf as Surety any and all bonds,recognizances,
contracts of indemnity,waivers of citation and all other writings obligatory in the nature thereof,with power to attach thereto the seal of the Company.Any such
writings so executed by such Attorneys-in-fact shall be as binding upon the Company as if they had been duly executed and acknowledged by the regularly
elected officers of the Company in their own proper persons."(Adopted October 7,1981 -The Hanover Insurance Company;Adopted April 14, 1982-
Massachusetts Bay Insurance Company;Adopted September 7,2001-Citizens Insurance Company of America)
IN WITNESS WHEREOF, THE HANOVER INSURANCE COMPANY, MASSACHUSETTS BAY INSURANCE COMPANY and CITIZENS INSURANCE
COMPANY OF AMERICA have caused these presents to be sealed with their respective corporate seals,duly attested by two Vice Presidents,
this 23rd day of January 2013.
THE HANOVER INSURANCE COMPANY
+"'"°°"' s� 4.0,07,:.4.4,
li MASSACHUSETTS BAY INSURANCE COMPANY
,i1-1-4., A � ;1 CITIZENS SURANCE OMPANY OF AMERICA
2. �� ".1
. 1974 ,,
Robert Thomas. Vice President
THE COMMONWEALTH OF MASSACHUSETTS )
COUNTY OF WORCESTER )ss. JoeFBrenstrom, i i. President
On this 23rd day of January 2013 before me came the above named Vice Presidents of The Hanover Insurance Company,Massachusetts Bay Insurance
Company and Citizens Insurance Company of America,to me personally known to be the individuals and officers described herein,and acknowledged that the
seals affixed to the preceding instrument are the corporate seals of The Hanover Insurance Company,Massachusetts Bay Insurance Company and Citizens
Insurance Company of America, respectively, and that the said corporate seals and their signatures as officers were duly affixed and subscribed to said
instrument by the authority and direction of said Corporations.
"144',r, BARBARA A.GARLICK
lj Notary Public
.1V�s-Commonwearth of M ssuhusells r,-.7 ,/� '1 l7//!
14 Commission Expiris Sept.21,2316 —✓''r .. -.tfrldC�
Barbara A.Garlick,Notary Public
My Commission Expires September 21,2018
I,the undersigned Vice President of The Hanover Insurance Company,Massachusetts Bay Insurance Company and Citizens Insurance Company of America,
hereby certify that the above and foregoing is a full,true and correct copy of the Original Power of Attorney issued by said Companies,and do hereby further
certify that the said Powers of Attorney are still in force and effect.
This Certificate may be signed py fac$jrnile under and by authority of the following resolution of the Board of Directors of The Hanover Insurance Company,
Massachusetts Bay Insurance Company and Citizens Insurance Company of America.
"RESOLVED,That any and all Rowers of Attorney and Certified Copies of such Powers of Attorney and certification in respect thereto,granted and executed
by the President or any Vice President in conjunction with any Vice President of the Company,shall be binding on the Company to the same extent as if all
signatures therein were manually affixed,even though one or more of any such signatures thereon may be facsimile." (Adopted October 7,1981-The
Hanover Insurance Company;Adopted April 14,1982-Massachusetts Bay Insurance Company;Adopted September 7,2001-Citizens Insurance Company of
America)
•
GIVEN under my hand and the seals of said Companies,at Worcester,Massachusetts,this 26 th day of May 2015.
THE HANOVER INSURANCE COMPANY
MA SA HUSETT BAY I - .RA CE COMPANY
CIT'EN. I SU- •1' CE%r. " •% OF AMERICA
, , 1 1, igralk
J. "wh--I -ete,Vice - es Tent
ACKNOWLEDGMENT
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 truthfulness, accuracy, or
validity of that document.
State of California
County of Orange )
On May 28, 2015 before me, C.Vizcarra, A Notary Public
(insert name and title of the officer)
personally appeared Chuck Parsons
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.
C.VIZCARRA
WITNESS my hand and official seal. '" Commission No. 1996629 A
�
, NOTARY PUBLIC•CALIFORNIA
ORANGE COUNTY
Vild-IM/1//k--- MryC .Expires OCTOBER 30,2016
Signature 6' (Seal)
FAITHFUL PERFORMANCE BOND
PAGE 1
Bond No. 1028660
COSTA MESA SANITARY DISTRICT
FAITHFUL PERFORMANCE BOND
KNOW ALL MEN BY THESE PRESENTS:
THAT,WHEREAS,the COSTA MESA SANITARY DISTRICT,a municipal corporation and
sanitary district, by minute order of the Board of Directors,adopted on May 28,2015, has awarded
to Sancon Engineering, Inc., hereinafter designated as the "Principal" Contract No. CMSD
PROJECT NO. 194 for the work described as follows: Pump Station Coating and Manhole
Rehablitation said Contract and all of its obligations, covenants, terms and conditions are fully
incorporated herein by reference.
WHEREAS,the said Principal is required under the terms of said Contract to furnish a bond
for the faithful performance of said Contract,including a one year guarantee of the work performed.
NOW, THEREFORE, WE, the undersigned CONTRACTOR, as Principal and
HANOVER INSURANCE COMPANY,5 HUTTON CENTRE DRIVE,#1060,SANTA ANA,CA 92707
(NAME AND ADDRESS OF SURETY)
Duly authorized to transact business under the laws of the State of California,as Surety,are
held and firmly bound unto the Costa Mesa Sanitary District, in the penal sum of: Two Hundred
Forty-One Thousand,Eight Hundred Dollars($241,800),said sum being not less than one hundred
(100%)percent of the Contract price for the payment of which sum well and truly to be made,we
bind ourselves,our heirs,executors,administrators,and successors,jointly and severally,firmly by
these presents.
THE CONDITION OF THIS OBLIGATION IS SUCH that, if the above burdened 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 all the undertakings, terms, covenants, conditions
and agreements in the said Contract 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
Costa Mesa Sanitary District,its offices and agents,as therein stipulated,then this obligation shall
become null and void,otherwise it shall be and remain in full force and virtue.This obligation covers
a one year guarantee on work performed after said work has been completed.The one year period
shall commence on the date the Notice of Completion has been recorded.
In case suit is brought upon this bond, Surety further agrees to pay all court costs and
reasonable attorneys'fees as fixed by the court.
FAITHFUL PERFORMANCE BOND
PAGE 2
Bond No. 1028660
. And the said Surety, for value received, hereby stipulates and agrees that no change,
extension of time, alteration or addition to the terms of the Contract Documents or to the work to be
performed thereunder shall in any way 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 Contract
Documents or to the work.
IN WITNESS WHEREOF, we have hereunto set our hands and seals this 26TH
day of MAY • , 2015.
Sancon Engineering, Inc.
5841 Engineer Drive
Huntington Beach,A 92649
PRINCI AL
By:
Company Representative
In accordance with the Contract for CMSD Project#194 all bonds shall be issued by an admitted
surety insurer and the District reserves the right to object to any such surety, in accordance with Code
of Civil Procedure Section 995.660.
By signing below, Surety certifies that the bonds are issued by an admitted surety.
HANOVER INSURANCE COMPANY
Name
5.HUTTON CENTRE DRIVE#1060
Street Address
SANTA ANA, CA 92707
City,State,Zip Code
SURETY
By:
Company RepresJAL
tive 'M c ael R. L nan Attorney in Fact
APPROVED AS TO FORM:
Colin R. Burns, Associate District Counsel
Costa Mesa Sanitary District
By Isl
ACKNOWLEDGMENT
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 truthfulness, accuracy, or
validity of that document.
State of California
County of Los Angeles )
/'�(--`� �.( _a 0/5 before me, R�Lte t 12,)_,6,__s o w+-,� P�tj I
On_ )
(insert name and title of the officer)
personally appeared Michael R. Langan
who proved to me on the basis of satisfactory evidence to be the person(Of whose name(R'is/a
subscribed to the within instrument and acknowledged to me that he/aria/tat:my executed the same in
his/lauthorized capacity(i-and that by his/ ir-signatureW on the instrument the
person* or the entity upon behalf of which the person( 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.
y,�� RAQUEI ROTAS
WITNESS my hand and official seal. o1= _�r4 COMM. #1980954 zz
ti; ,ped Notary Public.California o
a *Ili Los Angeles County
• -N� Comm.Expires June 27,2016'
SignatureT 1 '2- (Seal)
3
' THE HANOVER INSURANCE COMPANY
MASSACHUSETTS BAY INSURANCE COMPANY
CITIZENS INSURANCE COMPANY OF AMERICA
POWERS OF ATTORNEY
CERTIFIED COPY
KNOW ALL MEN BY THESE PRESENTS: That THE HANOVER INSURANCE COMPANY and MASSACHUSETTS BAY INSURANCE COMPANY,both being
corporations organized and existing under the laws of the State of New Hampshire,and CITIZENS INSURANCE COMPANY OF AMERICA,a corporation
organized and existing under tial law&of the State of Michigan,do hereby constitute and appoint
Michael R.Langan
of Pasadena,CA and each is a true and lawful Attorney(s)-in-fact to sign,execute,seal,acknowledge and deliver for,and on its behalf,and as its act
and deed any place within the Uniteri$tates,or,if the following line be filled in,only within the area therein designated any and all bonds,recognizances,
undertakings,contracts of indemnity pr ether writings obligatory in the nature thereof,as follows:
Any such obligations in 0101,400d States,not to exceed Ten Million and No/100($10,000,000)in any single instance
and said companies hereby ratify and aonf rm all and whatsoever said Attorney(s)-in-fact may lawfully do in the premises by virtue of these presents.
These appointments are made urlder`apc)oy authority of the following Resolution passed by the Board of Directors of said Companies which resolutions
are still in effect:
"RESOLVED,That the Rresident gr any Vice President,in conjunction with any Vice President,be and they are hereby authorized and empowered to appoint
Attorneys-in-fact of the Company;jn Its name and as its acts,to execute and acknowledge for and on its behalf as Surety any and all bonds,recognizances,
contracts of indemnity,waivers of citation and all other writings obligatory in the nature thereof,with power to attach thereto the seal of the Company.Any such
writings so executed by such Attorneys-in-fact shall be as binding upon the Company as if they had been duly executed and acknowledged by the regularly
elected officers of the Company in their own proper persons."(Adopted October 7, 1981 -The Hanover Insurance Company;Adopted April 14, 1982-
Massachusetts Bay Insurance Company;Adopted September 7,2001-Citizens Insurance Company of America)
IN WITNESS WHEREOF, THE HANOVER INSURANCE COMPANY, MASSACHUSETTS BAY INSURANCE COMPANY and CITIZENS INSURANCE
COMPANY OF AMERICA have caused these presents to be sealed with their respective corporate seals,duly attested by two Vice Presidents,
this 23rd day of January 2013.
THE HANOVER INSURANCE COMPANY
MASSACHUSETTS BAY INSURANCE COMPANY
' ,�.� !; °�.j4i CITIZENS SURAN/CjE OMPANY OF AMERICA
•
Robert"Phomas,Vice President
1 �� /-'�____` j
THE COMMONWEALTH OF MASSACHUSETTS )
COUNTY OF WORCESTER )ss. Joe Brenstrom, _iV r ?President
On this 23rd day of January 2013 before me came the above named Vice Presidents of The Hanover Insurance Company,Massachusetts Bay Insurance
Company and Citizens Insurance Company of America,to me personally known to be the individuals and officers described herein,and acknowledged that the
seals affixed to the preceding instrument are the corporate seals of The Hanover Insurance Company,Massachusetts Bay Insurance Company and Citizens
Insurance Company of America, respectively, and that the said corporate seals and their signatures as officers were duly affixed and subscribed to said
instrument by the authority and direction of said Corporations.
BARBARA A.GARLICK
Notary Public � q�
Comrnnnaeath of Massachusetts � Cll' �f.�3
Aly Commission Ecpirls Sept.21,2018
Barbara A.Garlick,Notary Public
My Commission Expires September 21,2018
I,the undersigned Vice President of The Fjanover Insurance Company,Massachusetts Bay Insurance Company and Citizens Insurance Company of America,
hereby certify that the above and fore Ing is a full,true and correct copy of the Original Power of Attorney issued by said Companies,and do hereby further
certify that the said Powers of Attorpey are still in force and effect.
•
This Certificate may be signed by facsimile under and by authority of the following resolution of the Board of Directors of The Hanover Insurance Company,
Massachusetts Bay Insurance Company and Citizens Insurance Company of America.
"RESOLVED,That any and all Ppwery of Attorney and Certified Copies of such Powers of Attorney and certification in respect thereto,granted and executed
by the President or any Vice President in conjunction with any Vice President of the Company,shall be binding on the Company to the same extent as if all
signatures therein were manually affixed,even though one or more of any such signatures thereon may be facsimile." (Adopted October 7,1981-The
Hanover Insurance Company;Adopted April 14,1982-Massachusetts Bay Insurance Company;Adopted September 7,2001-Citizens Insurance Company of .
America)
GIVEN under my hand and the seals of said Companies,at Worcester,Massachusetts,this 26 th day of May 2015.
THE HANOVER INSURANCE COMPANY
MA SA HUSETT BAY I - t RA CE COMPANY
CITEN• I SU- •j CE •t. • •% OF AMERICA
.11 „ 1
J. "'h-1-I "ete,Vice es"ent
ACKNOWLEDGMENT
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 truthfulness, accuracy, or
validity of that document.
State of California
County of Orange
On May 28, 2015 before me, C.Vizcarra, A Notary Public
(insert name and title of the officer)
personally appeared Chuck Parsons
who proved to me on the basis of satisfactory evidence to be the person() whose name(%) istge
subscribed to the within instrument and acknowledged to me that he/she/they executed the same in
his/r /t►J it authorized capacity}, and that by his7W/Keis signature}.on the instrument the
person(.,, or the entity upon behalf of which the person(F) 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.
. � C.VIZCARRA
WITNESS my hand and official seal. ' 4!: • Commission No. 1996629 A
.r; ; ;7, NOTARY PUBLIC-CALIFORNIA 9.
Z :> ORANGE COUNTY
MY Comm,Expiros OCTOBER 30,2016
Seal
Signature d` � (Seal)
t _
•