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Project 189 - Bond - TTS Engineering - 2011-04-27 (2) PAYMENT BOND PAGE 1 Bond No. 0557578 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 distnct, by minute order of the Board of Directors,adopted on , has awarded to CONTRACTOR (NAM;AND 'UDRL`SS Uh CON ENACTOR) hereinafter designated as the 'Principal" Contract No.CON-PROJECT 189 for the work described as follows. Rehabilitation of Six Sewers Transferred to CMSD. 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 International Fidelity Insurance Company 233 Wilshire BNd. Santa Monica,CA 90401 (Name and Address of Surety/ Duly authorizeu 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: _Dollars (S 267,940.00 ),said sum being not less than one hundred(100%)percent of the estimated amount uayeble under the leans at 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 of his subcontractors,or the heirs,executors,administrators, successors or assigns thereof, shall tad 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, won,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, witnheld, and paid over to the Franchise Tax Board from the wages of employees of ore 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 or 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(heir assigns in any suit brought upon the bond 'Two Hundred Sixty Seven Thousand Nine Hundred Forty&00/100 PAYMENT BOND PAGE 2 Bond No. 0557578 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„hall in any way affect its obligatinn on this bond;and it hereby waives notice of any and all such changes, extensions of time, and alterations or modifications of Inc Contract Documents and/or of the work to be performed thereunder. IN WITNESS WHEREOF we have hereunto set our hands anti seals this 27th day of April __ _ 2011 US Engineering,Inc. Contractor Name 4952 Warner Ave.#210 Street Address Huntington Beach, CA 92649 City State,Zip Code PRINCIPAL By Compa�"-presentative In accordance with the Contract to Rehabilitation of Six Sewers Transferred to CMS° all oords shall be issued ey an admitted surety insurer and the DISTRICT reserves the right to object to any such surety in accordance with Coos of Civil Proccdure Section 90b.660 By signing below Surety certifiae that th. bonus a-o issued oy an admitted surety International Fidelity Insurance Company Name 233 Wilshire Blvd. Street Address Santa Monica,CA 92649 City,State,Zip Code SURETY Company Representative Frank Morones,Attorney-in-Fact APPROVED AS TO FORM. rosin R Bums, Associate District Counsel Costa Mesa Sanitary t r/ / By/s/ / re!(921)624.2200 POWER OF ATTORNEY INTERNATIONAL FIDELITY INSURANCE COMPANY HOME.OFFICE ONE NEWARK C ENTER 20TH FLOOR NEWARK.NEW I£RSEN 077102-5201 KNOW ILL MEN BY THESE PRESP NTS: That INTERN I[ION IL PU)ELIIY INSUR INCE COMPANI a rpotacwi ,rgam•ed and wing laws of the Sute ct Ne Inset nil h ,g m pt rpat Ali in the Cm, ,f Ne ark New lases does hereby nnsttmte and appoint FRANK MORONES Anaheim Hills, CA its out. net Inc lul alit mcyls ct to se.na. at nd deli to ad heMll a sty aril all bonds net untie ski of ode I!] nil othe writings obhgatup in am the ,f.whnh a ay be altvaed, equtrcd permitted ht la salute rule. gular„ c 'Mutate and the eaccutinn d uh Instnmentrst m pm win_ of the plesenic shall be a binding upon the ad INIE reRNAT1ONAL mourn' INSURANCE COMP.IN1 toll ad amply it all ntenu and purpows a if the stn had ht dub see red ad .In aledgad t) it regularly elected ,(Tuts pr 11141 ern ITC Poise, of Attorney s executed I d ma' he to eked pursuant to a .1 ht uhoru; d At tole a Sects t d the B) at adoptea b' the t3oa,d if Di 4 INTERNATIONAL FIDI CITY INSURANCE(OMPANI ng -died ad held Ili "h d of Februa 19'4 Tht Pr 'de ant \t..e Pr ids)t.kit :uu I ice President eta, As:. nt Se shall hay pc• and °thorny It To appoint Attu cys •ta ad to utht tze them to Aautt behalf of th, 'many and attach the Seal ill the Compa ty thereto bonds and undenaki contacts of ndemt ip ad ate writings obligatory in the nature thereof a ad. 12 T emo at time ,) ch some -fa ,d dt.the uhf at NI Fortin- this Pow 01 \Ito n t n t (I lid sealed hi (Bound, pui'•wn m olu .I the BI ad d Direct'.s d said 0impa r) adopted meet nit .tut ailed fd held n th 29th sit �f 1pul. 19$'of vh ch the lulls true mpt. No air rfo s h ,:ram es if ch off! Is ad the seal DI tit C npany ma• he alit ed c ch p.•wet of anoint. or n) end, ate relating the eat by facsimile rl my such pow lit f ney ertiftcate beanng such fa mil.% atur fa thole seal shall he valid net bmdt t upo the Company d ny ch p• so secured and t. rotted Ns fa mitt stgr res and fa simile at dull he did and hudm%upon the Compa the Tutu ith respeet to an bold or di eking which anuchcl `Ott"Ypp*F.�p I e d nti its TESTIMONY.rporatt cal m be INTERNATIONAL N l y as uth FTD dL&Ker.o16 h das of O mhei A t) 200d the •n+wmtr n he O@PAL' s1 INI ERNATION IL NOEL III'INSURANCE(OSIPANI os V SEAL m STATE.OF NEW JERSEY D•••• y I9�4i{?�. Q ( ty sfEsse% '1H/ sE 5 l Sccrcut On rht 16th da of October 2007 befo ne cant the mdl dual ht xewted the p ecedi as msnumenl.it the personal) known, and being by me'kilt o tad h he he there. de shed rid a h ed uffrc if he INTERNATIONAL FIDELITY INSURANCE COMPAN',that the seal affi d to W Irotrum it is he Ca rporate Seal N ad C timpani, that the id C tpt Att. Seal ad ha igrwcu dill) tiff ed to orde of the Board A Duceto of said •'mpam P`I{y VAZ- IN TbSIIMON1 WHEREOF I It ye her nu set n) hand Ali d my Off, d Seal •W at the C d ,L.f. Erse, the )and sea Po.a Mot mitten. G cIOTARi Fe-I °y p1/BLS qv OF NON A NOIARI PUBLIC Of NF'5 lIilt 11 (EK mu A'f1PN M4 C FP, Sla I, '' '014 1 the net, cud Iff ol INTERN-1[TONAL FIDELIT' INSURANCE(OMP%N1 h lurch sentry ,hat 1 has nmpard the Ig t°• t th Power of Ate' es ad alf ia•a id the at, oi the Seen Ihr B -I. N'said(omper set lush Id Po. If Awn new M th ORtt'N SIS Ot I' fHE IIOME 019-1(.1.OF SAID(OMP SN Y ,d ha the tame are Hans Ipb the, at,and it di Alt de of the said tgm.P and the aid Pu .( none, has been oked d full force and Wee INTESTIMONi WHEREOF Iha h., set MN h.nd th, 27th day April, 2011 At. sic it Sc tetaq /�� CALIFORNIA ALL-PURPOSE ACKNOWLEDGMENT State of California County of Orange On 4/27/2011 before me, L Clark, Notary Public DATE NAME,TITLE OF OFFICER E G. 'JANE DOE.NOTARY PUBLIC' personally appeared Frank Morones , who proved to me on the basis of satisfactory evidence to be the person(s) whose names (s) is/are subscribed to the within instrument and acknowledged to me that he/she/they executed the same in his/he./their authorized capacity(ies), and that by his/hec/theic 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. L.CLARK ! r1-ax C tart'Potpn N 1825171 WITNESS my hand and official seal. i'�`..hn� Notary PubBe California z `,N'h� Los Expires County �� My Comm Expires Nov 28,2012 r SIGNATURE OF NOTARY 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 TITLE OR TYPE OF DOCUMENT TITLE(S) ❑ PARTNER(S) I I LIMITED ❑ GENERAL NUMBER OF PAGES ® ATTORNEY-IN-FACT ❑ TRUSTEE(S) ❑ GUARDIAN/CONSERVATOR ❑ OTHER: DATE OF DOCUMENT SIGNER IS REPRESENTING: NAME OF PERSON(S)OR ENTITY(IES) SIGNER(S)OTHER THAN NAMED ABOVE Company Profile http://interactive.web.insurance.ca.gov/companyprofile/compan. CALIFORNIA DEPARTMENT OF INSURANCE COMPANY PROFILE Company Profile Company Search Company Information Company Search Results INTERNATIONAL FIDELITY INSURANCE COMPANY Company ONE NEWARK CENTER 20TH FL Information NEWARK, NI 07102-5207 Old Company Names Old Company Names Effective Date Agent for Service Reference Information back to top NAIC Group List Lines of Business Agent For Service Financial Statements DOROTHY O'CONNOR-MANSON PDF's 1575 TREAT BLVD. Annual Statements WALNUT CREEK CA 94598 Quarterly back to top Statements CA Supplements Company Complaint Reference Information Company . .. ._.._. . , . __._.__. ..... _ ..__...._.-.. ._..._. Performance & 1 NAIC #• 11111592 Comparison Data .- Company 'California Company ID #• 14341-4 Enforcement Action Composite Date Authorized in California: '102/09/1996 Complaints Studies ' License Status: 1 UNLIMITED-NORMAL Additional Info - -- - - - • Find A Company ,I Company Type: 'Property & Casualty Representative In Your Area I State of Domicile: (NEW JERSEY View Financial Disclaimer back to top NAIC Group List NAIC Group #• 4705 AIA Holdings Inc Grp back to top Lines Of Business The company is authorized to transact business within these lines of insurance. For an explanation of any of these terms, please refer to the glossary. I of 5/11/11 4:16 PM Company Profile http://inleractive.weh.insurance.ca.gov/companyprofile/compan. SURETY back to top © 2008 California Department of Insurance 2of2 5/11/114:16 PM