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Bonds - Excel Paving Company 2014-08-21FAITHFUL PERFORMANCE BOND PAGE Bond No. 8238 -19 -05 COSTA MESA SANITARY DISTRICT FAITHFUL PERFORMANCE BOND KNOW ALL MEN BY THESE PRESENTS: THAT, WHEREAS, COSTA MESA SANITARY DISTRICT (DISTRICT), a California Sanitary District, has on August 2 =1 2014 awarded to PALP Inc. dba Excel Paving Company 2230 Lemon Avenue Long Beach, CA 90806 hereinafter designated as the "PRINCIPAL," an AGREEMENT for the work described as follows: CMSD Project #204 Sewer Manhole Surface Repair Program. Said AGREEMENT is fully incorporated herein by reference. WHEREAS, the said PRINCIPAL is required under the terms of said AGREEMENT to furnish a bond for the faithful performance of said AGREEMENT. NOW, THEREFORE, WE, the undersigned CONTRACTOR, as PRINCIPAL, and Federal Insurance Company 15 Mountain View Road Warren, NJ 07059 hereinafter designated as the "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: Eighty Seven Thousand Three Hundred Forty -Nine and 00/100 Dollars($87,349.00), said sum being not less than one hundred percent (100 %) of the estimated amount payable under the terms of the AGREEMENT for which payment well and truly be made, we bind ourselves and our heirs, executors and administrators, successors and assigns, jointly and severally, firmly by these presents. THE CONDITION OF THIS OBLIGATION IS SUCH that, if the above burdened PRINCIPAL, his /her /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 AGREEMENT 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 officers, and its agents, as therein stipulated, then this obligation shall become null and void, otherwise it shall be and remain in full force and virtue. FAITHFUL PERFORMANCE BOND PAGE 2 Bond No. 8238 -19 -05 In case suit is brought upon this bond, SURETY further agrees to pay all court costs and reasonable attorney's fees as fixed by the court. 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 AGREEMENT or to the work to be performed thereunder or the specifications accompanying the same 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 AGREEMENT or to the work or to the specifications. IN WITNESS WHEREOF, we have hereunto set our hands and seals this 19th day of August, 2014. PALP Inc. dba Excel Paving Company 2230 Lemon Avenue Long Beach, CA 90806 PRINCIPAL By: `� C. R IROWK PRESIDENT In accordance with the AGREEMENT, all bonds shall have been 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 admitted surety. Federal Insurance Company SURETY By: Dougl A. Rapp, At limey in Fact APPROVED AS TO FORM: District Counsel Costa Mesa Sani ry�tric B /s! L —n Y CALIFORNIA ALL- PURPOSE CERTIFICATE OF ACKNOWLEDGMENT State of California County of Los Angeles On :3 °1 ``1 i before me, C_..Phillips, Notary Public (nere uhstnt rume end hue of the oifim) personally appeared C. P. Brown_ who proved to me on the basis of satisfactory evidence to be the persortw whose name( is/Aw subscribed to the within instrument and acknowledged to me that heAkeAhwexecuted the same in hisAudgIeir authorized capaeity(Illo, and that by hishvzftdf signature(3) on the instrument the person(), 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. PHILLIPS WITNESS m hand and official seal y ��?_' COMM. #1996177 y Notary Public- California WL LOS ANGELES COUNTY a signature Notary Public (Notary Seal) My COMM. Expires Oct. 29, 2016 ADDITIONAL OPTIONAL INFORMATION DESCRIPTION OF THE ATTACHED DOCUMENT (Tine or description of •ruched document) (Title or description of attached document continued) Number of Pages _ Document Date (Additional information) CAPACITY CLAIMED BY THE SIGNER ❑ Individual (s) ❑ Corporate Officer .(Tine) ❑ Partner(s) ❑ Attorney -in -Fact ❑ Trustee(s) ❑ Other 2008. Version CAYA v 1-2. 10.07,80.0,873-.9.865 www NotaryClasses.com INSTRUCTIONS FOR COMPLETING THIS FORM My acknawledgmem completed in California muse conmin verbiage exactly as appears above in the rrmary section or a separate acfnowledgmem form muse be property completed and attached to that docunenr. The only exception is if a documenr is to be recorded muside of Cal forma. in such imiances, arty, alternative acknowledgment verbiage as may be primed on such a diwu neat w long ar the verbiage does not require the notary to do sanething dqr it illegal for a notary in California #..e, cerlfying the authorized capacity of the signer). Pleare check the docrunem carefidlyfor proper notarial wording and attach thtsform if required • State and County information must be the Site and County where the document signm(s) personally appeared before the notary publicturacknowledgmenl • Date of notarization must be the date that the signm(s) personally appeared which must also be the same date (he acknowledgment Is completed. • The notary public must print his or her time as h appears within his or her cornmission followed by a comma and than your tine (notary public). • Print the name(s) of document signers) who personally appear at the time of notarization. • Indicate the coned singular or plural Corms by crossing off incorrect lotus (i.e. kdshe/naer)` is /are) or circling (he correct forms. Failure to correctly indicate this information may lead to rejection of document recording- • The Miry seal impression must be clear and photographically reproducible. Impression must not cover text or lines. if seal impression smudges, rascal If a sufficient area permits, otherwise complete a different aclmowledgment form. • Signature of the notary public must match the signature on ale with the office of the county clerk. Additional baformatlon is not required but could help to enure this aclmowledgrnent is not misused or attached to a different document. ?• Indicate tine or type of stitched document, number of pages and date. r'• Indicate the capacity claimed by the signer. If the claimed capacity is a corporate officer, indicate the bile (i.e. CEO, CFO, Secretary). • Securely attach this documents the signed document ACKNOWLEDGMENT State of California County of Orange ) on 08/19/2014 before me, Debra Swanson, Notary Public (insert name and title of the officer) personally appeared Douglas A. Rapp , who proved to me on the basis of satisfactory evidence to be the person(A) whose name($) is4F& subscribed to the within instrument and acknowledged to me that he /el e� executed the same in his /4ee44eir authorized capacity(iea), and that by hisiheAhsir signature(jr) 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. =YN�c SINANSON WITNESS my hand and official seal.I. # t997119 UBLIGCALIFORNIA� GE COUNTY N EXP, NOV 10, 2016 Signature �.y ©L� (Seal) C Chubb POWER Federal Insurance Company Attn: Surety Department OF Vigilant Insurance Company 15 Mountain View Road Surety ATTORNEY Pacific Indemnity Company Warren, NJ 07059 e±uuera Know All by Those Presents, That FEDERAL INSURANCE COMPANY, an Indiana corporation, VIGILANT INSURANCE COMPANY, a New York corporation, and PACIFIC INDEMNITY COMPANY, a Wisconsin corporation, do each hereby constitute and appoint Douglas A. Rapp and Timothy D. Rapp of Aliso Viejo, California ------------- _-__ _____--- _ ------------------- ___ each as their true and lawful Attorney- in- Fact to execute under such designation in their names and to affix their corporate seals to and deliver for and on their behalf as surety thereon or otherwise, bonds and undertakings and other writings obligatory in the nature thereof (other than bail bonds) given or executed in the course of business, and any instruments amending or altering the same, and consents to the modification or alteration of any instrument referred to in said bonds or obligations. In Witness Whereof, said FEDERAL INSURANCE COMPANY, VIGILANT INSURANCE COMPANY, and PACIFIC INDEMNITY COMPANY have each executed and attested these presents and affixed their corporate seals on this 16th dayot December, 2011. Kenneth C. Wende, Assistant Secretary /yaw . Norris, Jr., Vice President STATE OF NEW JERSEY ss. County of Somerset On this 16th day of December, 2011 before me, a Notary Public of New Jersey, personallycame Kenneth C. Wendel, tome known to be Assistant Secretary of FEDERAL INSURANCE COMPANY, VIGILANT INSURANCE COMPANY, and PACIFIC INDEMNITY COMPANY, the companies which executed the foregoing Power of Attorney, and the said Kenneth C. Wendel, being by me duly sworn, did depose and say that he is Assistant Secretary of FEDERAL INSURANCE COMPANY, VIGILANT INSURANCE COMPANY, and PACIFIC INDEMNITY COMPANY and knows the corporate seals thereof, that the seals affixed to the foregoing Power of Attorney are such corporate seals and were thereto affixed by authority of the By- Laws of said Companies; and that he signed said Power of Attorney as Assistant Secretary of said Companies by like authority; and that he is acquainted with David B. Norris, Jr., and knows him to be Vice President of said Companies; and that the signature of David B. Norris, Jr., subscribed to said Power of Attorney is in the genuine handwriting of David B. Norris, Jr., and was thereto subscribed by authority of said By- Laws and in deponent's presence. Notarial Seal KATHERINE J. ADELAAR (uW-Dw-It NOTARY pUBUC 16 NEW Jfk$F1Nn231tS665 Commiftion Epires July 16, 2014 Notary Public CERTIFICATION Extract from the By- Laws of FEDERAL INSURANCE COMPANY, VIGILANT INSURANCE COMPANY, and PACIFIC INDEMNITY COMPANY: "All powers of attorney for and on behalf of the Company may and shall be executed in the name and on behalf of the Company, either by the Chairman or the President or a Vice President or an Assistant Vice President, jointly with the Secretary or an Assistant Secretary, under their respective designations. The signature of such officers may be engraved, printed or lithographed. The signature of each of the following officers: Chairman, President, any Vice President, any Assistant Vice President, any Secretary, any Assistant Secretary and the seal of the Company may be affixed by facsimile to any power of attorney or to any certificate relating thereto appointing Assistant Secretaries or Attorneys- in- Fact for purposes only of executing and attesting bonds and undertakings and other writings obligatory In the nature thereof, and any such power of attorney or certificate bearing such facsimile signature or facsimile seal shall be valid and binding upon the Company and any such power so executed an imnifed by such facsimile signature and famimile seal shall be valid and binding upon the Company with respect to any bond or undertaking to which it is attached.' I, Kenneth C. Wendel, Assistant Secretary of FEDERAL INSURANCE COMPANY, VIGILANT INSURANCE COMPANY, and PACIFIC INDEMNITY COMPANY (the "Companies) do hereby certify that (i) the foregoing extract of the By- Laws of the Companies is true and correct, (ii) the Companies are duly licensed and authorized to transact surety business in all 50 of the United States of America and the District of Columbia and are authorized by the U.S. Treasury Department; further, Federal and Vigilant are licensed in Puerto Rico and the U.S. Virgin Islands, and Federal is licensed in American Samoa, Guam, and each of the Provinces of Canada except Prince Edward Island; and (iii) the foregoing Power of Attorney is true, correct and in full force and effect. Given under my hand and seals of said Companies at Warren, NJ this 19th day of August, 2014. .cU 0-21w7 ♦NE Kenneth C. We del, Assistant Secretary IN THE EVENT YOU WISH TO NOTIFY US OF A CLAIM, VERIFY THE AUTHENTICITY OF THIS BOND OR NOTIFY US OF ANY OTHER MATTER, PLEASE CONTACT US AT ADDRESS s LISTED: ABOVE, ORB c Telephone (908) 903 - 3493 Fax (908) 903 - 3656 Form 15 -10. 02256- U (Ed. 5- 03) CONSENT PAYMENT BOND PAGE Bond No. 8238 -19 -05 COSTA MESA SANITARY DISTRICT PAYMENT BOND (LABOR AND MATERIAL BOND) KNOW ALL MEN BY THESE PRESENTS: THAT, WHEREAS, COSTA MESA SANITARY DISTRICT (DISTRICT), a California sanitary district, has on August_aLJ_,2014 awarded to PALP Inc. dba Excel Paving Company 2230 Lemon Avenue Long Beach, CA 90806 hereinafter designated as the "PRINCIPAL," an AGREEMENT for the work described as follows: CMSD Project #204 Sewer Manhole Surface Repair Program. Said AGREEMENT is fully incorporated herein by reference. WHEREAS, said PRINCIPAL is required by the provisions of said AGREEMENT and of the Civil Code to furnish a bond in connection with said AGREEMENT, as hereinafter set forth. NOW, THEREFORE, WE, the undersigned CONTRACTOR, as PRINCIPAL, and Federal Insurance Company 15 Mountain View Road Warren, NJ 07059 hereinafter designated as the "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: Eighty Seven Thousand, Three Hundred Forty -Nine and 00/100 ($87,349.00), said sum being not less than one hundred percent (100 %) of the estimated amount payable under the terms of the AGREEMENT for which payment well and truly be made, we bind ourselves and our heirs, executors and administrators, and successors and assigns, jointly and severally, firmly by these presents. THE CONDITION OF THIS OBLIGATION IS SUCH that, if said PRINCIPAL or his /her /its 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 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 Bond No. 8238 -19 -05 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 19'" of August, 2014. PALP Inc. dba Excel Paving Company 2230 Lemon Avenue Long Beach, CA 90806 PRINCIPAL By:i� P. IROWK PRESIDENT In accordance with the AGREEMENT, all bonds shall have been 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. Federal Insurance Company SURETY By: Dou I s A. Rapp, Attorney in Fact APPROVED AS TO FORM: District Counsel Costa Mesa Sani Disct By /s/ el CALIFORNIA ALL- PURPOSE CERTIFICATE OF ACKNOWLEDGMENT State of California County Of Los. Angplpn On s -I 'y 44 before me, C. . personally appeared C. P. Brown who proved to me on the basis of satisfactory evidence to be the persor*) whose nameW is/W subscribed to the within instrument and acknowledged to me that heAkeftayfexecuted the same in hiss authorized capacity(lgs), and that by hisAWWAIA signature(s) on the instrument the person(f), 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. WITNESS my hand and official seal - -" C. PHILLIPS KP L COMM- #19963.77 n Notary Public- California 0 (Notary Seal) Air„ '. LOS ANGELES COUNTY n Slgmme otary Public - " MY Comm. Expires OCL 29, 20161 ADDITIONAL OPTIONAL INFORMATION DESCRIPTION OF THE ATTACHED DOCUhMNT (Title or description of amched dommlent) (Title or description of attached document continued) Number of Pages _ Document Date (Additional information) CAPACITY CLAIMED BYTHE SIGNER ❑ Individual (s) ❑ Corporate Officer .(Tine) ❑ Parmer(s) ❑ Attorney -in -Fact ❑ Trustee(s) ❑ Other two, volmun upX^ VrL ru.ut buU_6'13 yaOJ WWW.NO Cla8ses.com INSTRUCTIONS FOR COMPLETING THIS FORM Arty acnnowledgment completed in Caltfomia must conmin verbiage exactly as appears above in the rotary .section or a separate aabrowledgmew form must be properly completed and anached to that document the only eseepNon is f a document is to be recorded ornside ofCal forma In soot iutances, arty allernative adrwwledgment verbiage as may be printed on such a dodoment so long a, the verbiage does mot require the notary to do something rhos is Alegal for a notary in CafifOMio (i.e, terrifying the authorized ctquedy of the signer). Picture duck the dacumeau tarefdlvlar proper norarlal wording and nttach thuform iffeVshed • Stare end County information must be are State and County where the document st oos(s) personally appeared before are aotary publicrori cknowledglnent • Date of notariraaori must be the date that the signers) peasomlly appeared which must also be the same date the acknowledgment is completed. • The notary public must print his or her name as it dPPears Within his or her commission followed. a comma and than your tide (notary public). • Print the name(s)of document signers) who Personally appear at the time of notarization. • Indicate the correct singular or plural forms by crossing off incorrect form (i.e. hdshelarey;- is /are ) or circling the correct forms. Failure to correctly indicate this infumution may lead to rejegion of document recording,- • The notary seal impression must be clear and Pholognphically reproducible. hnpression most not cover text or lines. If seal impression smudges, rosenl Ira sufficient area Permits, otherwise complete a different admowledgment form. • Signature of the notary public must match are signature on ale with the office of the county clerk. 0 Additional information is no( required but could help to enure this acknowldgmant is red misused or attached to a different document • Indicate title or type of attached document, number of pages and date. + Indicate the capacity daimed by the signer. If the rAaimed capacity is a corpotale officer, indicate the tine (i.e. CEO, CFO, Secretary). Securely attach this document b the signed document ACKNOWLEDGMENT State of California County of Orange ) On 08/19/2014 before me, Debra Swanson, Notary Public (insert name and title of the officer) personally appeared Douglas A. Rapp who proved to me on the basis of satisfactory evidence to be the person(A) whose name($) isfere subscribed to the within instrument and acknowledged to me that he /" executed the same in his /4&00teir authorized capacity(ie*, and that by hisAeFAheir signature($) on the instrument the person($), 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. WITNESS my hand and official seal. Signature w sEn =e DEBRA SWANSON N JF COMM. # 1997119 X ., NCTARYPU'BLIC•CALIFUNIAX k; ORANGE COUNTY N Y CG (Seal) Mh179, F.X ?. NGV 10, ?016 C Chubb POWER Federal Insurance Company Attn: Surety Department OF Vigilant Insurance Company 15 Mountain View Road Surety ATTORNEY OMU66 Pacific Indemnity Company Warren, NJ 07059 Know All by These Presents, That FEDERAL INSURANCE COMPANY, an Indiana corporation, VIGILANT INSURANCE COMPANY, a New York corporation, and PACIFIC INDEMNITY COMPANY, a Wisconsin corporation, do each hereby constitute and appoint Douglas A. Rapp and Timothy D. Rapp of Aliso Viejo, California--------- - - - - -- each as their true and lawful Attorney- in- Fact to execute under such designation in their names and to affix their corporate seals to and deliver for and on their behalf as surety thereon or otherwise, bonds and undertakings and other writings obligatory in the nature thereof (other than bail bonds) given or executed in the course of business, and any instruments amending or altering the same, and consents to the modification or alteration of any instrument referred to in said bonds or obligations. In Witness Whereof, said FEDERAL INSURANCE COMPANY, VIGILANT INSURANCE COMPANY, and PACIFIC INDEMNITY COMPANY have each executed and attested these presents and affixed their corporate seals on this 16th day of December, 2011. Kenneth C. Wende, Assistant Secretary . Norris, Jr., Vice President STATE OF NEW JERSEY County of Somerset ss. On this 16th day of December, 2011 before me, a Notary Public of New Jersey, personally came Kenneth C. Wendel, to me known to be Assistant Secretary of FEDERAL INSURANCE COMPANY, VIGILANT INSURANCE COMPANY, and PACIFIC INDEMNITY COMPANY, the companies which executed the foregoing Power of Attorney, and the said Kenneth C. Wendel, being by me duly sworn, did depose and say that he is Assistant Secretary of FEDERAL INSURANCE COMPANY, VIGILANT INSURANCE COMPANY, and PACIFIC INDEMNITY COMPANY and knows the corporate seals thereof, that the seals affixed to the foregoing Power of Attorney are such corporate seals and were thereto affixed by authority of the By- Laws of said Companies; and that he signed said Power of Attorney as Assistant Secretary of said Companies by like authority; and that he is acquainted with David B. Norris, Jr., and knows him to be Vice President of said Companies; and that the signature of David B. Norris, Jr., subscribed to said Power of Attorney is in the genuine handwriting of David B. Norris, Jr., and was thereto subscribed by authority of said By- Laws and in deponent's presence. ,Notarial Seal CD KATHERINE J. ADELAAR NOTARY VUBUC 16 NEW JFRSF� Nr.2316i585 � CommWion Expires July IS, 20W Notary Public CERTIFICATION Extract from the By- Laws of FEDERAL INSURANCE COMPANY, VIGILANT INSURANCE COMPANY, and PACIFIC INDEMNITY COMPANY: "All powers of attorney for and on behalf of the Company may and shall be executed in the name and on behalf of the Company, either by the Chairman or the President or a Vice President or an Assistant Vice President, jointly with the Secretary or an Assistant Secretary, under their respective designations. The signature of such officers may be engraved, printed or lithographed. The signature of each of the following officers: Chairman, President, any Vice President, any Assistant Vice President, any Secretary, any Assistant Secretary and the seal of the Company may be affixed by facsimile to any power of attorney or to any certificate relating thereto appointing Assistant Secretaries or Attorneys- in- Fad for purposes only of executing and attesting bonds and undertakings and other writings obligatory In the nature thereof, and any such power of attorney or certificate bearing such facsimile signature or facsimile seal shall be valid and binding upon the Company and any such power so executed and cemfied by such facsimile signature and facsimile seal shall be valid and binding upon the Company with rasped to any bond or undertaking to which it is attached." I, Kenneth C. Wendel, Assistant Secretary of FEDERAL INSURANCE COMPANY, VIGILANT INSURANCE COMPANY, and PACIFIC INDEMNITY COMPANY (the "Companies ") do hereby certify that (i) the foregoing extract of the By- Laws of the Companies is true and correct, (ii) the Companies are duly licensed and authorized to transact surety business in all 50 of the United States of America and the District of Columbia and are authorized by the U.S. Treasury Department; further, Federal and Vigilant are licensed in Puerto Rico and the U.S. Virgin Islands, and Federal is licensed in American Samoa, Guam, and each of the Provinces of Canada except Prince Edward Island; and (Iii) the foregoing Power of Attomey is true, correct and in full force and effect- Given under my hand and seals of said Companies at Warren, NJ this 19th day of August, 2014. OW�� 1M ` ov• Aort ."C r0 � b4j • � ot � • h5 rM1�' ' �'kEW YdRx"+ Kenneth C. We el, Assistant Secretary IN THE EVENT YOU WISH TO NOTIFY US OF A CLAIM, VERIFY THE AUTHENTICITY OF THIS BOND OR NOTIFY US OF ANY OTHER MATTER, PLEA,r',E CONTACT US AT ADDRESS LISTED ABOVE, OR BY Telephone (908) 903 - 3493 Fax (908) 903- 3656 e -mail: surety Chubb corn Form 15 -10- 02256- U (Ed. 5- 03) CONSENT Dyana Wick From: kadelaar @chubb.com Sent: Monday, August 25, 2014 8:40 AM To: Dyana Wick Subject: Bond Verification Inquiry 8238 -19 -05 Attachments: Excel Paving Bond.pdf Importance: High Dyna, good morning. Per your request, the following bond information has been verified: BOND NO: 8238 -19 -05 PRINCIPAL: PALP INC. DBA EXCEL PAVING COMPANY OBLIGEE: COSTA MESA SANITARY DISTRICT DESCRIPTION: CMSD PROJECT #204 SEWER MANHOLE SURFACE REPAIR PROGRAM BOND TYPE: PERFORMANCE & PAYMENT WORK LOCATION: COSTA MESA STATE: CAL Best regards, Kate Kate Adelaar • Chubb & Son, a division of Federal Insurance Company • Surety Services Supervisor 15 Mountain View Road — 3MV 1.25, Warren, NJ 07059 Office: 908.903.4538 • Fax: 908.903.5400 • kadelaarralchubb.com - - - -- Forwarded by Dawn Chloros /ChubbMail on 08/2212014 03:49 PM - - -- From: Dyana Wick <tlwickrc�crosdca cov> To: "surety0chubb.com" <aUrety@Chubb.com> Date: 08/22/2014 03:44 PM Subject: Bond Verification Inquiry Per discussion with Kate, please confirm bond verification. Thank you, Dyana Wick, Administrative Assistant Costa Mesa Sanitary District 628 W. 19th Street, Costa Mesa, CA 92627 949.645.8400/949.650.2253 fax Website: www.crosdca.gov