WHEREAS, the Principal has obtained or is about to obtain a license or permit for Franchise for the

Size: px
Start display at page:

Download "WHEREAS, the Principal has obtained or is about to obtain a license or permit for Franchise for the"

Transcription

1 FRANCHISE BOND (License or Permit - Continuous) Bond No KNOW ALL MEN BY THESE PRESENTS: THAT WE, Chevron U.S.A., INC., as Principal, and, a corporation duly incorporated under the laws of the State of Connecticut and authorized to do business in the State of California, as Surety, are held and firmly bound unto City of Huntington Beach, as Obligee, in the penal sum of One Hundred Thousand 00/100 ($100,000.00) Dollars, for the payment of which we hereby bind ourselves, our heirs, executors and administrators, jointly and severally, firmly by these presents. WHEREAS, the Principal has obtained or is about to obtain a license or permit for Franchise for the construction, operation and maintainance of a pipeline system for the transportation of oil, gas and other hydrocarbon substances. NOW, THEREFORE, THE CONDITIONS OF THIS OBLIGATION ARE SUCH, that if the Principal shall faithfully perform all duties and protect said Obligee from any damage caused by the Principal's noncompliance with or breach of any laws, statutes, ordinances, rules or regulations, pertaining to the license or permit issued, then this obligation shall be null and void; otherwise to remain in full force and effect. This bond shall become effective on the 19th day of March, PROVIDED, that regardless of the number of years this bond is in force, the Surety shall not be liable hereunder for a larger amount, in the aggregate, than the penal sum listed above. PROVIDED FURTHER, that the Surety may terminate its liability hereunder as to future acts of the Principal at any time by giving thirty (30) days written notice of such termination to the Obligee. SIGNED, SEALED AND DATED this 19th day of March, S-2151A (02-00)

2 Chevron U.S.A., INC. James Ross, Attorney-in-Fact S-2151A (02-00)

3 CALIFORNIA ALL-PURPOSE ACKNOWLEDGMEN 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 San Francisco MAR On before me, Kelly Rowley, Notary Public, personally appeared James Ross who proved to me on the basis of satisfactory evidence to be the person(s) whose name(s) is/arc 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. WITNESS my hand and official seal. KELLY ROWLEY COMM. # Notary Public California E Los Angeles County My Comm. Expires Sep. 7, 2017 Signature Kelly Signature of Notary Public

4 CALIFORNIA ALL-PURPOSE ACKNOWLEDGMENT CIVIL CODE cs. -ss. - -v., -...ex 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 Contra Costa On March 20, 2015 Date personally appeared before me, Kim Do, Notary Public Here Insert Name and Title of the Officer James E. Lawrence Name(s) of Signer(s) who proved to me on the basis of satisfactory evidence to be the person(s) whose name* is/aresubscribed to the within instrument and acknowledged to me that hek.hc/thcy executed the same in his/hen/their authorized capacity(tes), and that by his/her/their signature* on the instrument the person(s), or the entity upon behalf of which the person(s) acted, executed the instrument. KIM DO Commission # Notary Public - California z Contra Costa County 32: My Comm Expires Sep 10, 2015 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 Signature of Notary Public Place Notary Seal Above OPTIONAL Though this section is optional, completing this information can deter alteration of the document or fraudulent reattachment of this form to an unintended document. Description of Attached Document Bono frui city of Huntington Beach - Title or Type of Document: Franchice Bond Number of Pages: 2 Signer(s) Other Than Document Date: March 19, 2015 Named Above: No Other Signers Capacity(ies) Claimed by Signer(s) Signer's Name: James E. Lawrence Signer's Name: N Corporate Officer Title(s): Assistant Treasurer 17 Corporate Officer Title(s): 17 Partner 111 Limited 0 General L7 Partner 0 Limited 0 General 0 Individual D Attorney in Fact 0 Individual LI Attorney in Fact L Trustee El Guardian or Conservator 0 Trustee El Guardian or Conservator LI Other: 0 Other: Signer Is Representing: Chevron U.S.A. Signer Is Representing:.4V el 'L' -t er - -er National Notary Association US NOTARY ( ) Item #5907

5 THIS POWER OF ATTORNEY IS NOT VALID UNLESS IT IS PRINTED ON RED BACKGROUND. This Power of Attorney limits the acts of those named herein, and they have no authority to bind the Company except in the manner and to the extent herein stated. Certificate No American Fire and Casualty Company The Ohio Casualty Insurance Company West American Insurance Company POWER OF ATTORNEY KNOWN ALL PERSONS BY THESE _ PRESENTS: _ That American Fire & Casualty Company and The Ohio Casualty Insurance Company are corporations duly organized under the laws of the State of New Hampshire, that is a corporation duly organized under the laws of the State of Massachusetts, and West American Insurance Company is a corporation duly organized under the laws of the State of Indiana (herein collectively called the "Companies"), pursuant to and by authority herein set forth, does hereby name, constitute and appoint, Ashraf Elmasry; B. Aleman: Daravy Mady: Edward C. Spector: James Ross: KD Conrad: Kristine Mendez; Lisa K. Grail: Marina Tapia: Misty Wright: Paul Rodriguez: Sirndne Gerhard: Tracy Aston all of the city of Los Anoeles, state of CA _ each individually if there be more than one named, its true and lawful attorney-in-fact to make, execute, seal, acknowledge and deliver, for and On its behalf as surety and as its act and deed, any and all undertakings, bonds, recognizances and other surety obligations, in pursuance of these presents and shall be as binding upon the Companies as if they have been duly signed by the president and attested by the secretary of the Companies in their own proper persons. IN WITNESS WHEREOF, this Power of Attorney has been subscribed by an authorized officer or official of the Companies and the corporate seals of the Companies have been affixed thereto this 12th day of June _ American Fire and Casualty Company The Ohio Casualty Insurance Company West American Insurance Company Gregory. Davenport, Assistant Secretary On this 12th day of June, 2013 before me personally appeared Gregory W. Davenport, who acknowledged himself to be the Assistant Secretary of American Fire and Casualty Company,, The Ohio Casualty Company, and West American Insurance Company, and that he, as such, being authorized so to do, execute the foregoing instrument for the purposes therein contained by signing on behalf of the corporations by himself as a duly authorized officer. IN WITNESS WHEREOF, I have hereunto subscribed my name and affixed my notarial seal at Seattle, Washington, on the day and year first above written. 16betleVA--, KD Riley, Not4r4 Public This Power of Attorney is made and executed pursuant to and by authority of the following By-laws and Authorizations of American Fire and Casualty Company, The Ohio Casualty Insurance Company,, and West American Insurance Company which resolutions are now in full force and effect reading as follows: ARTICLE IV OFFICERS -- Section 1-2. Power of Attorney. Any officer or other official of the Corporation authorized for that purpose in writing by the Chairman or the President, and subject, to such limitation as the Chairman or President may prescribe, shall appoint such attorneys-in-fact, as may be necessary to act in behalf of the Corporation to make, execute, seal, acknowledge and deliver as surety any and all undertakings, bonds, -recognizances and other surety obligations. Such attorneys-in-fact, subject to the limitations set forth in their respective powers of attorney, shall have full power to bind the Corporation by their signature and execution of any such instruments and to attach thereto the seal of the Corporation. When so executed, such instruments shall be as binding as if signed by thepresident and attested to by the Secretary. Any power or authority granted to any representative or attomey-in-fact under the provisions of this article may be revoked at anytime by the Board, the Chairman, the President or by the officer or officers granting such power or authority. ARTICLE XIII Execution of Contracts SECTION 5. Surety Bonds and Undertakings. Any officer of the Company authorized for that purpose in writing by the chairman or the president, and subject to such limitations as the chairman or the president may prescribe, shall appoint such attorneys-in-fact, as may be necessary to act in behalf of the Company to make, execute, seal, acknowledge and deliver as surety any and all undertakings, bonds, recognizances and other surety obligations. Such attorneys-in-fact subject to the limitations set forth in their respective powers of attorney, shall have full power to bind the Company by their signature and execution of any such instruments and to attach thereto the seal of the Company. When so executed such instruments shall be as binding as if signed by the president and attested by the secretary. Certificate of Designation The President of the Company, acting pursuant to the Bylaws of the Company, authorizes Gregory W. Davenport, Assistant Secretary to appoint such attorneys-in-fact as may be necessary to ad on behalf of the Company to make, execute, seal, acknowledge and deliver as surety any and all undertakings, bonds, recognizances and other surety obligations. _ Authorization By unanimous consent of the Company's Board of Directors, the Company consents that facsimile or mechanically reproduced signature of any assistant secretary of the Company, wherever appearing upon a Certified copy of any power of attorney issued by the Company in connection with surety bonds, shall be valid and binding upon the Company with the same force and effect as thoughmanually affixed. - I, David M. Carey, the undersigned, Assistant Secretary,_ of American Fire and Casualty Company, The Ohio Casualty Insurance Company,, and West American Insurance Company do hereby certify that the original power of attorney of which the foregoing is a full, true and correct copy of the Power of Attomey executed by said Companies, is in full force and -effect and has not been revoked, IN TESTIMONY WHEREOF, I have hereunto set my hand and affixed the seals of said Companies this day of #" 4 z-r-'1141 David M. CarK,-Assistant Secretary 71 of 500

September 16, 2016 CCTA Contract No. 427 Caltrans Contract No. 04-4H1604 Balfour Interchange Project

September 16, 2016 CCTA Contract No. 427 Caltrans Contract No. 04-4H1604 Balfour Interchange Project September 16, 2016 CCTA Contract No. 427 Caltrans Contract No. 04-4H1604 Balfour Interchange Project Addendum No. 6 Dear Contractor: This addendum is being issued to the contract for construction on State

More information

Premium charged annually until released by Obligee APPROVED FOR THE CITY ENGINEER BY. bond?ontrol

Premium charged annually until released by Obligee APPROVED FOR THE CITY ENGINEER BY. bond?ontrol Premium charged annually until released by Obligee City of Los Angeles DEPARTMENT OF PUBLIC WORKS Office of the City Engineer VALLEY District/Division Design Office Council District No. 3 Date Issued:

More information

SURETY BOND (CORPORATION) (Public Resources Code )

SURETY BOND (CORPORATION) (Public Resources Code ) CA Mine ID # (Page 1 of 5) DEPARTMENT OF CONSERVATION OFFICE OF MINE RECLAMATION (COUNTY/CITY) OF and the SURETY BOND (CORPORATION) (Public Resources Code 2773.1) Bond No. KNOW ALL PERSONS BY THESE PRESENTS,

More information

FORM OF SURETY BOND BOND#

FORM OF SURETY BOND BOND# FORM OF SURETY BOND BOND# 404009858 WITNESSETH: This Surety Bond ("Bond") given by, as Principal, and Liberty Mutual Insurance C9mpa_ny as Surety, arc jointly and severally bound unto Ne Hampshire Public

More information

EXCAVATION BOND. To Cover Excavations on Property and Highways Belonging to Salt Lake County. THAT, we,, as Principal,

EXCAVATION BOND. To Cover Excavations on Property and Highways Belonging to Salt Lake County. THAT, we,, as Principal, Bond No.: EXCAVATION BOND To Cover Excavations on Property and Highways Belonging to Salt Lake County KNOW ALL MEN BY THESE PRESENTS: THAT, we,, as Principal, and, as Surety, are jointly and severally

More information

CITY OF RICHMOND PERFORMANCE BOND

CITY OF RICHMOND PERFORMANCE BOND KNOW ALL MEN BY THESE PRESENTS: That place of business is located at CITY OF RICHMOND PERFORMANCE BOND, the Contractor ( Principal ) whose principal and ( Surety ) whose address for delivery of Notices

More information

FILED: KINGS COUNTY CLERK 09/09/ :12 PM INDEX NO /2015 NYSCEF DOC. NO. 73 RECEIVED NYSCEF: 09/09/2016

FILED: KINGS COUNTY CLERK 09/09/ :12 PM INDEX NO /2015 NYSCEF DOC. NO. 73 RECEIVED NYSCEF: 09/09/2016 FILED: KINGS COUNTY CLERK 09/09/2016 12:12 PM INDEX NO. 514093/2015 NYSCEF DOC. NO. 73 RECEIVED NYSCEF: 09/09/2016 Interchange Corporate Center 450 Plymouth Road, Suite 400 Plymouth Meeting, PA 19462-1644

More information

EXHIBIT WARRANTY BOND. (Address), hereinafter called Principal, and

EXHIBIT WARRANTY BOND. (Address), hereinafter called Principal, and EXHIBIT WARRANTY BOND ITEMS MDX PROCUREMENT/CONTRACT NO.: Bond No.: KNOW ALL PERSONS BY THESE PRESENTS: That we, (Name) of (Address), hereinafter called Principal, and (Name) of (Address), hereinafter

More information

THIS CONTRACT, made and entered into this day of, 2018 (hereinafter referred to as Contract Effective Date ), by and between the CITY OF LOS

THIS CONTRACT, made and entered into this day of, 2018 (hereinafter referred to as Contract Effective Date ), by and between the CITY OF LOS CONTRACT AGREEMENT BETWEEN THE CITY OF LOS ANGELES AND HENSEL PHELPS CONSTRUCTION CO., A DELAWARE GENERAL PARTNERSHIP FOR THE CENTRAL TERMINAL AREA DEPARTURE AND ARRIVAL LEVELS SECURITY BOLLARDS PHASE

More information

RULES OF DEPARTMENT OF REVENUE VEHICLE SERVICES DIVISION CHAPTER TITLE BONDS TABLE OF CONTENTS

RULES OF DEPARTMENT OF REVENUE VEHICLE SERVICES DIVISION CHAPTER TITLE BONDS TABLE OF CONTENTS RULES OF DEPARTMENT OF REVENUE VEHICLE SERVICES DIVISION CHAPTER 1320-8-9 TITLE BONDS TABLE OF CONTENTS 1320-8-9-.01 Qualified Applicants May Apply 1320-8-9-.04 Documents Held by State 1320-8-9-.02 Certificate

More information

PERFORMANCE BOND. Surety Bond No. STATE OF TEXAS KNOW ALL MEN BY THESE PRESENTS: COUNTY OF

PERFORMANCE BOND. Surety Bond No. STATE OF TEXAS KNOW ALL MEN BY THESE PRESENTS: COUNTY OF PERFORMANCE BOND Surety Bond No. STATE OF TEXAS COUNTY OF KNOW ALL MEN BY THESE PRESENTS: That we,, as Principal, and Contractor Name & Address, as Surety, are hereby held and firmly bound unto Surety

More information

ALASKA MORTGAGE LICENSEE SURETY BOND

ALASKA MORTGAGE LICENSEE SURETY BOND STATE OF ALASKA DEPARTMENT OF COMMERCE, COMMUNITY, AND ECONOMIC DEVELOPMENT DIVISION OF BANKING AND SECURITIES 550 W. 7 TH AVE., SUITE 1940, ANCHORAGE, AK 99501 TELEPHONE (907) 269-4594 Bond Number: ALASKA

More information

Via Electronic Filing

Via Electronic Filing LLC CHARLES E. THOMAS, III Direct Dial: 717.255.7611 cet3@tntlawfirm.com November 23,2015 Rosemary Chiavetta, Secretary Pennsylvania Public Utility COlnmission Commonwealth Keystone Building P.O. Box 3265

More information

CITY OF FREDERICK, MARYLAND PERFORMANCE BOND

CITY OF FREDERICK, MARYLAND PERFORMANCE BOND CITY OF FREDERICK, MARYLAND PERFORMANCE BOND KNOW ALL MEN BY THESE PRESENTS, that we _ (corporation, company, partnership, individual) hereinafter called Permittee, and/or Subdivider and (surety and address)

More information

BOND INSTRUCTIONS 1. IF THE PRINCIPAL IS AN INDIVIDUAL OR PARTNERSHIP:

BOND INSTRUCTIONS 1. IF THE PRINCIPAL IS AN INDIVIDUAL OR PARTNERSHIP: BOND INSTRUCTIONS 1. IF THE PRINCIPAL IS AN INDIVIDUAL OR PARTNERSHIP: a. Complete the bond, lines 1 through 14. b. Have Notary complete the applicable section of acknowledgement titled, ACKNOWLEDGEMENT

More information

BEFORE THE DEPARTMENT OF CORPORATIONS OF THE STATE OF CALIFORNIA EXHIBIT B BOND OF FINANCE LENDER AND/OR BROKER FINANCIAL CODE SECTION 22112

BEFORE THE DEPARTMENT OF CORPORATIONS OF THE STATE OF CALIFORNIA EXHIBIT B BOND OF FINANCE LENDER AND/OR BROKER FINANCIAL CODE SECTION 22112 KNOW ALL MEN BY THESE PRESENTS: BEFORE THE DEPARTMENT OF CORPORATIONS OF THE STATE OF CALIFORNIA EXHIBIT B BOND OF FINANCE LENDER AND/OR BROKER FINANCIAL CODE SECTION 22112 That we, as Principal, whose

More information

Rock Island County Raffle License Application Packet

Rock Island County Raffle License Application Packet Applicants please take note: Rock Island County Raffle License Application Packet 1. The sale or issuance of raffle chances may be conducted within the following territory of Rock Island County, Illinois

More information

AUG Office of the City Engineer. Los Angeles, California. To The Honorable Council. Of the City of Los Angeles. Honorable Members: C.D. No.

AUG Office of the City Engineer. Los Angeles, California. To The Honorable Council. Of the City of Los Angeles. Honorable Members: C.D. No. Office of the City Engineer To The Honorable Council Of the City of Los Angeles Honorable Members: Los Angeles, California AUG 5 2014 C.D. No. 12 SUBJECT: Final Map of Tract No. 60176 RECOMMENDATIONS:

More information

CONTRACT. This agreement, made and entered into this day of, 2013, in Reno, Nevada, by and between the City of Reno, hereinafter called the City, and

CONTRACT. This agreement, made and entered into this day of, 2013, in Reno, Nevada, by and between the City of Reno, hereinafter called the City, and CONTRACT SECTION 070 CONTRACT CONTRACT This agreement, made and entered into this day of, 2013, in Reno, Nevada, by and between the City of Reno, hereinafter called the City, and Anchor Concrete, hereinafter

More information

CONTRACT SUMMARY SHEET

CONTRACT SUMMARY SHEET CONTRACT SUMMARY SHEET TO: THE OFFICE OF THE CITY CLERK, COUNCIL/PUBLIC SERVICES DIVISION DATE: JUNE 16, 2015 ROOM 395, CITY HALL FROM (DEPARTMENT): BOARD OF PUBLIC WORKS CONTACT PERSON: KUMI SUZUKI PHONE:

More information

f? :~ PIERCE ATWOQDj c pierceatwood.com March 29, 2016 VIA OVERNIGHT DELIVERY

f? :~ PIERCE ATWOQDj c pierceatwood.com March 29, 2016 VIA OVERNIGHT DELIVERY PIERCE ATWOQDj BRIAN M. RAYBACK Merrill's Wharf 254 Commercial Street Portland, ME 04101 March 29, 2016 VIA OVERNIGHT DELIVERY p 207.791.1188 F 207.791.1350 c 207.653.0717 brayback@pierceatwood.com pierceatwood.com

More information

County of Kane Office of County Board Kane County Government Center. DOCUMENT VET SHEET for Karen McConnaughay Chairman, Kane County Board

County of Kane Office of County Board Kane County Government Center. DOCUMENT VET SHEET for Karen McConnaughay Chairman, Kane County Board Karen McConnaughay Chairman 630-232-5930 County of Kane Office of County Board Kane County Government Center loj le ~ le ~ ln} JUN I 2 2012 ~ 'W le If\\ KANE COUNTY BOARD 719 Batavia A venue Geneva, Illinois

More information

NONDURABLE GENERAL POWER OF ATTORNEY

NONDURABLE GENERAL POWER OF ATTORNEY NONDURABLE GENERAL POWER OF ATTORNEY NEW YORK STATUTORY SHORT FORM THE POWERS YOU GRANT BELOW CEASE TO BE EFFECTIVE SHOULD YOU BECOME DISABLED OR INCOMPETENT Caution: This is an important document. It

More information

WEST VIRGINIA STATE TAX DEPARTMENT Revenue Division SAMPLE COLLECTION AGENCY BOND. (1) That we, (Principal): (2) Address:

WEST VIRGINIA STATE TAX DEPARTMENT Revenue Division SAMPLE COLLECTION AGENCY BOND. (1) That we, (Principal): (2) Address: WV/CAB-1 Rev. 5/11 BOND NUMBER: KNOW ALL MEN BY THESE PRESENTS: WEST VIRGINIA STATE TAX DEPARTMENT Revenue Division COLLECTION AGENCY BOND (1) That we, (Principal): (2) Address: (3) As Principal, and (Surety

More information

FILED: NEW YORK COUNTY CLERK 05/16/ :34 AM INDEX NO /2017 NYSCEF DOC. NO. 123 RECEIVED NYSCEF: 05/16/2018

FILED: NEW YORK COUNTY CLERK 05/16/ :34 AM INDEX NO /2017 NYSCEF DOC. NO. 123 RECEIVED NYSCEF: 05/16/2018 Home Office: Baltimore, Maryland 21211 SUPREME COURT OF THE STATE OF NEW YORK Bond No. CFB 9280954 COUNTY OF NEW YORK ---------------------------------------------------------X THIRD AVENUE SPE LLC, -against-

More information

Bond No. GAS AND OIL DRILLING AND OPERATING BLANKET SURETY BOND KNOW ALL MEN BY THESE PRESENTS, THAT THE UNDERSIGNED. , Name of Corporation Permittee)

Bond No. GAS AND OIL DRILLING AND OPERATING BLANKET SURETY BOND KNOW ALL MEN BY THESE PRESENTS, THAT THE UNDERSIGNED. , Name of Corporation Permittee) Bond No. GAS AND OIL DRILLING AND OPERATING BLANKET SURETY BOND KNOW ALL MEN BY THESE PRESENTS, THAT THE UNDERSIGNED, Name of Corporation Permittee), (Street Address) (City) (State) (Zip) a corporation

More information

DOCUMENT VET SHEET for Karen McConnaughay Chairman, Kane County Board

DOCUMENT VET SHEET for Karen McConnaughay Chairman, Kane County Board DOCUMENT VET SHEET for Karen McConnaughay Chairman, Kane County Board Name of Document: Contract/Contract Bond for Aurora Blacktop for Bliss Road and Merrill Road Intersection Improvements, Kane Co. Sec.

More information

APPROVED FOR THE CITY ENGINEER BY BOND CONTROL

APPROVED FOR THE CITY ENGINEER BY BOND CONTROL APPROVED FOR THE BOND CONTROL CITY ENGINEER BY City of Los Angeles DEPARTMENT OF PUBLIC WORKS 4397946 Office of the City Engineer Si JRETT S BOND NO.' WEST LA District/Division Design Office Council District

More information

EXHIBIT CONSTRUCTION CONTRACT BOND

EXHIBIT CONSTRUCTION CONTRACT BOND Bond Number: Bond Number: EXHIBIT CONSTRUCTION CONTRACT BOND This Agreement made the day of, 20, between, a corporation organized and existing under the laws of the State of Florida, with its principal

More information

ATTACHMENT B: SAMPLE CONTRACT (AGREEMENT)

ATTACHMENT B: SAMPLE CONTRACT (AGREEMENT) ATTACHMENT B: SAMPLE CONTRACT (AGREEMENT) CITY OF PLACERVILLE PAVEMENT REHABILITATION PROJECT PROJECT NO. xxxx THIS AGREEMENT ( Agreement ) approved by the City Council this 26th day of June, in the year

More information

LAND IMPROVEMENT AGREEMENT

LAND IMPROVEMENT AGREEMENT LAND IMPROVEMENT AGREEMENT PM # ASP # DR # ADDRESS # THIS AGREEMENT made and entered into this day of, 20, by and between the City of Fontana, hereinafter call City and hereinafter called Applicant. WITNESSETH:

More information

SAMPLE CIGARETTE TAX CREDIT PURCHASE BOND

SAMPLE CIGARETTE TAX CREDIT PURCHASE BOND CIG 7.38 REV. 10101 STATE OF WEST VIRGINIA STATE TAX DEPARTMENT INTERNAL AUDITING DIVISION P. 0. BOX 2991 CHARLESTON, WEST VIRGINIA 25330 BOND NUMBER KNOW ALL MEN BY THESE PRESENTS: (1) That we, (2) (3)

More information

EXHIBIT 3-- SUPPLEMENTAL HESS ENERGY MARKETING, LLC CERTIFICATE OF AUTHORITY TO CONDUCT BUSINESS NEW HAMPSHIRE SECRETARY OF STATE

EXHIBIT 3-- SUPPLEMENTAL HESS ENERGY MARKETING, LLC CERTIFICATE OF AUTHORITY TO CONDUCT BUSINESS NEW HAMPSHIRE SECRETARY OF STATE EXHIBIT 3-- SUPPLEMENTAL HESS ENERGY MARKETING, LLC CERTIFICATE OF AUTHORITY TO CONDUCT BUSINESS NEW HAMPSHIRE SECRETARY OF STATE ~tate of ~ cfu ~ampilfrirc ~ partm nt of ~tat CERTIFICATE I, William M.

More information

Yurok Tribe Planning and Community Development Klamath, California. Yurok Justice Center Bid Documents EXHIBIT B: BID FORM

Yurok Tribe Planning and Community Development Klamath, California. Yurok Justice Center Bid Documents EXHIBIT B: BID FORM Yurok Tribe Planning and Community Development Klamath, California Yurok Justice Center Bid Documents THE PROJECT AND THE PARTIES 1.1 TO: A. Owner: Yurok Indian Tribe EXHIBIT B: BID FORM 1.2 SUBMITTED

More information

BONDCONTROL VALLEY. Eng (Rev. 09/94) Bond Ref. No Page 1 of 2 SUBDIVISION IMPROVEMENT AND WARRANTY PERFORMANCE BOND

BONDCONTROL VALLEY. Eng (Rev. 09/94) Bond Ref. No Page 1 of 2 SUBDIVISION IMPROVEMENT AND WARRANTY PERFORMANCE BOND . City of Los Angeles DEPARTMEN~ OF P~BLlC WORKS APPROVED FOR THE CITY ENGINEER BY Office of the City Eng1neer St.wns ~~ VALLEY BONDCONTROL 3893038 SURETYS BOND NO. Premium $2,640.00/Two Year CA. 0 ( 40

More information

APPLICATION FOR AUCTIONEER'S LICENSE INSTRUCTIONS

APPLICATION FOR AUCTIONEER'S LICENSE INSTRUCTIONS STATE OF RHODE ISLAND AND PROVIDENCE PLANTATIONS DEPARTMENT OF BUSINESS REGULATION DIVISION OF COMMERCIAL LICENSING and Racing and Athletics Telephone (401) 462-9506 John O Pastore Center 69-1 FAX (401)

More information

Document A Conforms with The American Institute of Architects AlA Document 312. SURETY: (Name, legal status and principal place of business)

Document A Conforms with The American Institute of Architects AlA Document 312. SURETY: (Name, legal status and principal place of business) Document A312-2010 Conforms with The American Institute of Architects AlA Document 312 Performance Bond CONTRACTOR: (Name, legal status and address) SURETY: (Name, legal status and principal place of business)

More information

CITY OF PETALUMA. POST OFFICE Box 61 PETALUMA, CA ADDENDUM NO. 1. AIRPORT PREVENTIVE MAINTENANCE RAMP CRACK SEAL City Project No.

CITY OF PETALUMA. POST OFFICE Box 61 PETALUMA, CA ADDENDUM NO. 1. AIRPORT PREVENTIVE MAINTENANCE RAMP CRACK SEAL City Project No. CITY OF PETALUMA POST OFFICE Box 61 PETALUMA, CA 94953-0061 David Glass Mayor Chris Albertson Teresa Barrett Mike Healy GabeKeamey Dave King Kathy Miller C011ncilmembers ADDENDUM NO. 1 AIRPORT PREVENTIVE

More information

Bid Addendum #1 Bid # 13/14-01FA: Furniture and Equipment Bid Issued March 19, 2014

Bid Addendum #1 Bid # 13/14-01FA: Furniture and Equipment Bid Issued March 19, 2014 Bid Addendum #1 Bid # 13/14-01FA: Issued March 19, 2014 *This addendum forms a part of the Agreement documents and modifies the original bid documents. The following revisions, clarifications, deletions

More information

DATE: April 9, Board of County Commissioners. Tom Rains, County Engineer

DATE: April 9, Board of County Commissioners. Tom Rains, County Engineer TULSA COUNTY Engmeenng I EMORANDU I Division DATE: 9 TO: Board of County Commissioners FROM: Tom Rains County Engineer SUBJECT: Sign Contractor s Bond We present for your approval a sign contractor s bond

More information

IndemCo Surety Bonds for the Energy Industry

IndemCo Surety Bonds for the Energy Industry IndemCo Surety Bonds for the Energy Industry IndemCo 777 Post Oak Blvd., Suite 330 Houston, Texas 77056 main 713 355 3100 No. COLLATERAL SECURITY AGREEMENT AND RECEIPT Principal(s): (Name(s) as it appear(s)

More information

SOUTH DAKOTA CODIFIED LAWS TITLE 7. COUNTIES CHAPTER 9A. UNIFORM REAL PROPERTY ELECTRONIC RECORDING ACT

SOUTH DAKOTA CODIFIED LAWS TITLE 7. COUNTIES CHAPTER 9A. UNIFORM REAL PROPERTY ELECTRONIC RECORDING ACT SOUTH DAKOTA CODIFIED LAWS TITLE 7. COUNTIES CHAPTER 9A. UNIFORM REAL PROPERTY ELECTRONIC RECORDING ACT 7-9A-2. Validity of electronic documents. If a law requires, as a condition for recording, that a

More information

CONTRACT AND BOND FORMS FOR

CONTRACT AND BOND FORMS FOR CONTRACT AND BOND FORMS FOR RPL-5948(064) & RPSTPLE-5948(077) On Sunland Drive from the intersection with U.S. 395 north approximately 3.8 miles to the intersection with West Line Street (U.S. 168) APRIL

More information

(A) PROVIDE A SURETY BOND NOT TO EXCEED 15% ABOVE AGGREGATED PRIZE VALUE (B) WRITE A CHECK TO OFFICE OF LOTTERY AND CHARITABLE GAMES

(A) PROVIDE A SURETY BOND NOT TO EXCEED 15% ABOVE AGGREGATED PRIZE VALUE (B) WRITE A CHECK TO OFFICE OF LOTTERY AND CHARITABLE GAMES Bingo Checklist 1. APPLICATION NOTARIZED 2. LICENSE FEE (CHECK/MONEY ORDER) 3. PRIZES SHALL BE OWNED/OR IN LIEU OF OWNERSHIP: (A) PROVIDE A SURETY BOND NOT TO EXCEED 15% ABOVE AGGREGATED PRIZE VALUE (B)

More information

AUCTIONEER S LICENSE INSTRUCTIONS You can now apply on line at the Department of Business Regulation website:

AUCTIONEER S LICENSE INSTRUCTIONS You can now apply on line at the Department of Business Regulation website: AUCTIONEER S LICENSE INSTRUCTIONS You can now apply on line at the Department of Business Regulation website: http://www.dbr.ri.gov/ ALL APPLICANTS NEED: COMPLETED APPLICATION $10.00 APPLICATION FEE TWO

More information

INDEX NO /2010 NYSCEF DOC. NO. 113 RECEIVED NYSCEF: 05/03/2012. Western Surety Company

INDEX NO /2010 NYSCEF DOC. NO. 113 RECEIVED NYSCEF: 05/03/2012. Western Surety Company A A '.6.Nt 0.130S INDEX NO. 104866/2010 NYSCEF DOC. NO. 113 RECEIVED NYSCEF: 05/03/2012 Western Surety Company STATE OF New York IN THE SUPREME COURT } ss COUNTY OF New York No 104866/10 (consolidated)

More information

OHIO DEPARTMENT OF TRANSPORTATION

OHIO DEPARTMENT OF TRANSPORTATION OHIO DEPARTMENT OF TRANSPORTATION CENTRAL OFFICE, 1980 WEST BROAD STREET, COLUMBUS, OHIO 43223 TED STRICKLAND, GOVERNOR JAMES G. BEASLEY, P.E., P.S., DIRECTOR April 24, 2008 2610 CRESCENTVILLE RD WEST

More information

SURETY BOND KNOW ALL MEN BY THESE PRESENTS, THAT THE UNDERSIGNED. (hereafter PRINCIPAL), whose principal place of business is,

SURETY BOND KNOW ALL MEN BY THESE PRESENTS, THAT THE UNDERSIGNED. (hereafter PRINCIPAL), whose principal place of business is, COMMONWEALTH OF VIRGINIA DEPARTMENT OF MINES, MINERALS AND ENERGY DIVISION OF MINERAL MINING 900 NATURAL RESOURCES DRIVE, STE. 400 CHARLOTTESVILLE, VA 22903 TELEPHONE: (434) 951-6310 SURETY BOND KNOW ALL

More information

HIGHWAY TRAFFIC ACT DEALER S TRADE LICENSE REGULATIONS

HIGHWAY TRAFFIC ACT DEALER S TRADE LICENSE REGULATIONS c t HIGHWAY TRAFFIC ACT DEALER S TRADE LICENSE REGULATIONS PLEASE NOTE This document, prepared by the Legislative Counsel Office, is an office consolidation of this regulation, current to February 1, 2004.

More information

MAIN'TENANCE BOND. Pasco County, Florida, a political subdivision of the State of Florida, by and through its Board of County

MAIN'TENANCE BOND. Pasco County, Florida, a political subdivision of the State of Florida, by and through its Board of County Bond No. V-158662812 MAIN'TENANCE BOND Project: V-2 Walgreens Drug Store Pasco County Utilities Project No.: V-3 07-248.00 Project Location: V-4 NWC of US 41 and Pleasant Plains Pkwy BY THlS BOND, WE,

More information

INSTRUCTIONS FOR LICENSE APPLICATIONS PORT OF PASCAGOULA, MISSISSIPPI

INSTRUCTIONS FOR LICENSE APPLICATIONS PORT OF PASCAGOULA, MISSISSIPPI INSTRUCTIONS FOR LICENSE APPLICATIONS PORT OF PASCAGOULA, MISSISSIPPI (228) 762-4041 Each company providing a service or services and desiring to do business on or in connection with the Port of Pascagoula

More information

ADJOURNED SESSION OF FEBRUARY 10, Dr. Noble, Mr. Trees. On motion of Mr. Barrett, this bond was approved and accepted.

ADJOURNED SESSION OF FEBRUARY 10, Dr. Noble, Mr. Trees. On motion of Mr. Barrett, this bond was approved and accepted. ADJOURNED SESSION OF FEBRUARY 10, 1932 When the Board convened at the Blackstone Hotel, in Chicago, at 2 o clock p.m. on Wednesday, February 10, 1932, the following members were present: President Rarr,

More information

EXHIBIT F-1 (I) FORM OF DESIGN-BUILD LETTER OF CREDIT VIRGINIA DEPARTMENT OF TRANSPORTATION 1401 EAST BROAD STREET RICHMOND, VA ATTN: [ ]

EXHIBIT F-1 (I) FORM OF DESIGN-BUILD LETTER OF CREDIT VIRGINIA DEPARTMENT OF TRANSPORTATION 1401 EAST BROAD STREET RICHMOND, VA ATTN: [ ] EXHIBIT F-1 (I) FORM OF DESIGN-BUILD LETTER OF CREDIT IRREVOCABLE STANDBY DESIGN-BUILD LETTER OF CREDIT ISSUER PLACE FOR PRESENTATION OF DRAFT APPLICANT BENEFICIARY [ ] [Name and address of banking institution

More information

SURETY BOND GUARANTEEING PAYMENT

SURETY BOND GUARANTEEING PAYMENT Surety Bond No. Permit No. SURETY BOND GUARANTEEING PAYMENT Date Bond Executed: Effective Date: Principal: (Legal Name and business address of operator) Type of Organization: (Insert individual, joint

More information

INSTRUCTIONS FOR SCHOOL APPLICATION

INSTRUCTIONS FOR SCHOOL APPLICATION South Carolina Department of Labor, Licensing and Regulation South Carolina Board of Cosmetology 110 Centerview Dr. Columbia SC 29210 P.O. Box 11329 Columbia, SC 29211-11329 Phone: 803-896-4588 BoardInfo@llr.sc.gov

More information

Contract for St. Johns County School Board Osceola Elementary School Classroom Expansion

Contract for St. Johns County School Board Osceola Elementary School Classroom Expansion SECTION B FORM OF PROPOSAL Contract for St. Johns County School Board Osceola Elementary School Classroom Expansion TO: FROM: St. Johns County School Board Office of the Director for Facilities and New

More information

Invitation for Informal Bid (IFIB) Summary. 3. Exhibit A Proposal / Bid Forms.. 7. Agreement. 12. Payment Bond 14. Performance Bond 17

Invitation for Informal Bid (IFIB) Summary. 3. Exhibit A Proposal / Bid Forms.. 7. Agreement. 12. Payment Bond 14. Performance Bond 17 TABLE OF CONTENTS Invitation for Informal Bid (IFIB) Summary. 3 Exhibit A Proposal / Bid Forms.. 7 Agreement. 12 Payment Bond 14 Performance Bond 17-2 - INVITATION FOR INFORMAL BID (IFIB) SUMMARY NOTICE

More information

FORM OF AGREEMENT BETWEEN CONSTRUCTOR AND OWNER

FORM OF AGREEMENT BETWEEN CONSTRUCTOR AND OWNER FORM OF AGREEMENT BETWEEN CONSTRUCTOR AND OWNER This AGREEMENT made the Day day of MONTH in the year Two Thousand Fourteen BY AND BETWEEN CONSTRUCTOR, hereinafter called the, and the Board of Regents,

More information

URGENCY ORDINANCE NO O13

URGENCY ORDINANCE NO O13 URGENCY ORDINANCE NO. 2015-O13 AN URGENCY ORDINANCE OF THE CITY COUNCIL OF THE CITY OF AZUSA, CALIFORNIA, APPROVING AND AUTHORIZING EXECUTION OF AN AMENDMENT TO THE DEVELOPMENT AGREEMENT BY AND BETWEEN

More information

Professional Fund Raiser Registration in Oklahoma Information & Instructions

Professional Fund Raiser Registration in Oklahoma Information & Instructions Professional Fund Raiser Registration in Oklahoma Information & Instructions Oklahoma Secretary of State, 2300 N. Lincoln Blvd., Room 101, Oklahoma City, OK 73105-4897 Telephone: (405) 521-3911 The Oklahoma

More information

BUILDING PERMIT PERFORMANCE AND MAINTENANCE BOND (Owner and/or Contractor Form)

BUILDING PERMIT PERFORMANCE AND MAINTENANCE BOND (Owner and/or Contractor Form) BUILDING PERMIT PERFORMANCE AND MAINTENANCE BOND (Owner and/or Contractor Form) KNOW ALL MEN BY THESE PRESENTS: Bond Number: That ( OWNER ) and ( CONTRACTOR ), both as principals, hereinafter collectively

More information

PERFORMANCE BOND. Date Bond Executed: Effective Date: Type of Organization: (Insert individual, joint venture, partnership, or corporation )

PERFORMANCE BOND. Date Bond Executed: Effective Date: Type of Organization: (Insert individual, joint venture, partnership, or corporation ) Surety Bond No. Permit No. PERFORMANCE BOND Date Bond Executed: Effective Date: Principal: (Legal Name and business address of owner/operator) Type of Organization: (Insert individual, joint venture, partnership,

More information

Protest Procedures. Any issues raised by the protesting party after the seven (7) calendar day period shall not be considered as part of the protest.

Protest Procedures. Any issues raised by the protesting party after the seven (7) calendar day period shall not be considered as part of the protest. A. Right to Protest Protest Procedures (i) Any actual Proposer who claims to be aggrieved in connection with a specific solicitation process may submit a protest in writing to the Chief Procurement Officer

More information

SPONSOR OF MORTGAGE ORIGINATORS BOND

SPONSOR OF MORTGAGE ORIGINATORS BOND MARKET SQUARE PLAZA 17 N SECOND STREET, Suite 1300 HARRISBURG, PA 17101 Ph 717.787.3717 Fx 717.787.8773 W www.dobs.state.pa.us Bond No. SPONSOR OF MORTGAGE ORIGINATORS BOND WHEREAS, Department means the

More information

E&S PERFORMANCE BOND

E&S PERFORMANCE BOND E&S PERFORMANCE BOND BETWEEN _ (Surety) AND THE NEW KENT COUNTY, VIRGINIA BOARD OF SUPERVISORS DATE: TAX MAP NO. OR SUBDIVISION NAME: AMOUNT OF SECURITY: BOND NUMBER: Prepared 10/01/2012 NEW KENT COUNTY

More information

13 14 Legal Name of Principal Signature Printed Name of Person Signing Title of Person Signing Name of Surety

13 14 Legal Name of Principal Signature Printed Name of Person Signing Title of Person Signing Name of Surety 1 STATE OF TEXAS BOND NO. 2 3 COUNTY OF 4 KNOW ALL BY THESE PRESENTS: 5 RE: Name of legal entity: 6 Street address: 7 City and State: 8 Date of Incorporation: 9 That we, As Principal 10 (hereinafter called

More information

CERTIFIED MAIL RETURN RECEIPT REQUESTED: ( )

CERTIFIED MAIL RETURN RECEIPT REQUESTED: ( ) ADEQ ARK A N S A S Department of Environmental Quality CERTIFIED MAIL RETURN RECEIPT REQUESTED: (91 71999991 703049048323) December 1, 2011 Billy C. Staton Terra Renewal, LLC P.O. Box 3036 Russellville,

More information

LOCAL RULES FOR EXCESS PROCEEDS CLAIMS

LOCAL RULES FOR EXCESS PROCEEDS CLAIMS LOCAL RULES FOR EXCESS PROCEEDS CLAIMS POLICY STATEMENT It is the policy of Inyo County to process all claims for excess proceeds resulting from the sale of tax-defaulted property so as to disburse timely

More information

PROPOSAL & CONTRACT (THIS PROPOSAL INCLUDES (WHEN EXECUTED)

PROPOSAL & CONTRACT (THIS PROPOSAL INCLUDES (WHEN EXECUTED) MS-944 03-13 PROPOSAL & CONTRACT (THIS PROPOSAL INCLUDES A. DEPOSIT OF PROPOSALS. (WHEN EXECUTED) INSTRUCTIONS TO BIDDERS) All envelopes containing Bid proposals shall Troy Borough, Bradford County be

More information

JBL BUSINESS TRUST AN UNINCORPORATED BUSINESS TRUST

JBL BUSINESS TRUST AN UNINCORPORATED BUSINESS TRUST JBL BUSINESS TRUST AN UNINCORPORATED BUSINESS TRUST THIS PRIVATE CONTRACT STATEMENT OF COVENANTS, AND DECLARATION OF TRUST ORGANIZATION, IS MADE THIS day of by and between JOHN

More information

5.; <. (3. ; 5 )$ )!!,5. 2*3 = ( ; ;. ( 5

5.; <. (3. ; 5 )$ )!!,5. 2*3 = ( ; ;. ( 5 ! "#$!%&'(&) *+"#$!%&'(&'," -./ 0 " 1.2 *3#2*3% 4.45 "67 8 9 : " 5)' )!! 5.;

More information

SOUTH CAROLINA SECRETARY OF STATE EMPLOYMENT AGENCY

SOUTH CAROLINA SECRETARY OF STATE EMPLOYMENT AGENCY SOUTH CAROLINA SECRETARY OF STATE EMPLOYMENT AGENCY INITIAL APPLICATION FOR LICENSE TO OPERATE Filing Instructions The filing fee for this application is $300 (application fee $200, license fee $100).

More information

QUOTE DOCUMENTS FOR CALLANAN GYM FLOOR REPLACEMENT center Street. Des Moines, Iowa QUOTE # Q7088

QUOTE DOCUMENTS FOR CALLANAN GYM FLOOR REPLACEMENT center Street. Des Moines, Iowa QUOTE # Q7088 QUOTE DOCUMENTS FOR CALLANAN GYM FLOOR REPLACEMENT 3010 center Street Des Moines, Iowa 50312 QUOTE # Q7088 Owner Des Moines Independent Community School District 1917 Dean Avenue Des Moines, IA 50316 DES

More information

TOBACCO LICENSE APPLICATION FEE - $10.00 First Time Applicant Fee - $25.00 New Application Renewal Class A (retail) Class B (wholesale)

TOBACCO LICENSE APPLICATION FEE - $10.00 First Time Applicant Fee - $25.00 New Application Renewal Class A (retail) Class B (wholesale) Home of North Point Marina The Village of Winthrop Harbor 830 Sheridan Road Winthrop Harbor, IL 60096 847-872-3846 847 872-0639 (fax) www.winthropharbor.com 116.40 TOBACCO LICENSE APPLICATION FEE - $10.00

More information

DEED OF TRUST (Keep Your Home California Program) NOTICE TO HOMEOWNER THIS DEED OF TRUST CONTAINS PROVISIONS RESTRICTING ASSUMPTIONS

DEED OF TRUST (Keep Your Home California Program) NOTICE TO HOMEOWNER THIS DEED OF TRUST CONTAINS PROVISIONS RESTRICTING ASSUMPTIONS RECORDING REQUESTED BY AND WHEN RECORDED RETURN TO: CalHFA Mortgage Assistance Corporation Keep Your Home California Program P.O. Box 5678 Riverside, CA 92517 (For Recorder s Use Only) No. DEED OF TRUST

More information

approved for the CITY ENGINEER BY City of Los Angeles DEPARTMENT OF PUBLIC WORKS SUBDIVISION IMPROVEMENT AGREEMENT AND CONTRACT

approved for the CITY ENGINEER BY City of Los Angeles DEPARTMENT OF PUBLIC WORKS SUBDIVISION IMPROVEMENT AGREEMENT AND CONTRACT V /vc BOND CONTRM approved for the CITY ENGINEER BY APPFPTFn RISK MANAGEMENT CITY ADMINISTRATIVE OFFICE Cfrti / 5$ / -> 1 City of Los Angeles DEPARTMENT OF PUBLIC WORKS SUBDIVISION IMPROVEMENT AGREEMENT

More information

RECEIVED AT WHICH TIME BIDS

RECEIVED AT WHICH TIME BIDS June 12, 2018 ALASKA RAILROAD CORPORATION 327 W. Ship Creek Ave. Anchorage, AK 99501 Phone 907-265-2355 Fax 907-265-2439 BatesT@akrr.com Addendum Number 1 Request for Proposal 18-16-206579 Anchorage Yard

More information

City of East Peoria APPLICATION FOR CITY OF EAST PEORIA RETAILER S LIQUOR LICENSE

City of East Peoria APPLICATION FOR CITY OF EAST PEORIA RETAILER S LIQUOR LICENSE City of East Peoria APPLICATION FOR CITY OF EAST PEORIA RETAILER S LIQUOR LICENSE Liquor Control Commission: David W. Mingus Gary Densberger Timothy Jeffers 100 S. Main Street East Peoria, Illinois 61611

More information

(a) CAUTION TO THE PRINCIPAL:

(a) CAUTION TO THE PRINCIPAL: NEW YORK GENERAL POWER OF ATTORNEY FORM FOR (a) CAUTION TO THE PRINCIPAL: Your Power of Attorney is an important document. As the "principal," you give the person whom you choose (your "agent") authority

More information

COUNTY OF KANE. DOCUMENT VET SHEET for Christopher J. Lauzen Chairman, Kane County Board. For 2014 Crack Sealing, Kane Co. Sec # GM Non-MFT

COUNTY OF KANE. DOCUMENT VET SHEET for Christopher J. Lauzen Chairman, Kane County Board. For 2014 Crack Sealing, Kane Co. Sec # GM Non-MFT COUNTY OF KANE Christopher J. Lauzen Kane County Board Chairman Kane County Government Center 719 South Batavia A venue Geneva, IL 60 134 P: (630) 232-5930 F: ( 630) 232-9188 clauzen@kanecoboard.org www.countyotkane.org

More information

ALL-INCLUSIVE DEED OF TRUST WITH ASSIGNMENT OF RENTS (LONG FORM)

ALL-INCLUSIVE DEED OF TRUST WITH ASSIGNMENT OF RENTS (LONG FORM) RECORDING REQUESTED BY AND WHEN RECORDED MAIL DOCUMENT TO: Space Above This Line for Recorder s Use Only ALL-INCLUSIVE DEED OF TRUST WITH ASSIGNMENT OF RENTS (LONG FORM) File No.: This ALL-INCLUSIVE DEED

More information

NC General Statutes - Chapter 47 Article 3 1

NC General Statutes - Chapter 47 Article 3 1 Article 3. Forms of Acknowledgment, Probate and Order of Registration. 47-37: Repealed by Session Laws 2005-123, s. 3, effective October 1, 2005. 47-37.1. Other forms of proof. (a) The proof and acknowledgment

More information

SURETY BOND KNOW ALL MEN BY THESE PRESENTS, THAT THE UNDERSIGNED. (hereafter PRINCIPAL),

SURETY BOND KNOW ALL MEN BY THESE PRESENTS, THAT THE UNDERSIGNED. (hereafter PRINCIPAL), Bond Applied To: COMMONWEALTH OF VIRGINIA DEPARTMENT OF MINES, MINERALS AND ENERGY DIVISION OF MINED LAND RECLAMATION P. O. DRAWER 900; BIG STONE GAP, VA 24219 TELEPHONE: (276) 523-8100 SURETY BOND KNOW

More information

CITY OF OLATHE. Please type or print. PROPERTY OWNER NAME (PERMIT HOLDER): OWNER AGENT: ADDRESS: CITY: STATE: ZIP:

CITY OF OLATHE. Please type or print. PROPERTY OWNER NAME (PERMIT HOLDER): OWNER AGENT: ADDRESS: CITY: STATE: ZIP: OFFICE USE ONLY: PERMIT NO. CITY OF OLATHE LAND DISTURBANCE PERMIT APPLICATION DEVELOPMENT-PLAT NAME: PROPERTY LOCATION: RELATED OLATHE PERMIT #: Please type or print. ESTIMATED DATE OF START OF CONSTRUCTION:

More information

ON-CALL EMERGENCY CONSTRUCTION CONTRACT AGREEMENT IN THE CITY OF CALABASAS, CALIFORNIA

ON-CALL EMERGENCY CONSTRUCTION CONTRACT AGREEMENT IN THE CITY OF CALABASAS, CALIFORNIA ON-CALL EMERGENCY CONSTRUCTION CONTRACT AGREEMENT IN THE CITY OF CALABASAS, CALIFORNIA THIS ON-CALL EMERGENCY CONSTRUCTION CONTRACT AGREEMENT ( AGREEMENT ) is made and entered into for the above-stated

More information

SOURCE ONE SURETY, LLC.

SOURCE ONE SURETY, LLC. SOURCE ONE SURETY, LLC. 15233 VENTURA BOULEVARD, SUITE 500 SHERMAN OAKS, CA 91403 GENERAL INDEMNITY AGREEMENT THIS General Agreement of Indemnity (hereinafter called Agreement ), is made and entered into

More information

QUOTE DOCUMENTS FOR KING PARKING EXPANSION Forest Avenue. Des Moines, Iowa QUOTE # Q6747. Owner

QUOTE DOCUMENTS FOR KING PARKING EXPANSION Forest Avenue. Des Moines, Iowa QUOTE # Q6747. Owner QUOTE DOCUMENTS FOR KING PARKING EXPANSION 1849 Forest Avenue Des Moines, Iowa QUOTE # Q6747 Owner Des Moines Independent Community School District 1917 Dean Avenue Des Moines, Iowa 50316 DES MOINES PUBLIC

More information

BOND FOR FAITHFUL PERFORMANCE

BOND FOR FAITHFUL PERFORMANCE Bond No.:_ Premium: BOND FOR FAITHFUL PERFORMANCE WHEREAS, The City Council of the City of Escondido, State of California, and (hereinafter designated as ) have entered into an agreement whereby agrees

More information

FILED: NEW YORK COUNTY CLERK 05/15/ :19 AM INDEX NO /2016 NYSCEF DOC. NO. 101 RECEIVED NYSCEF: 05/15/2017

FILED: NEW YORK COUNTY CLERK 05/15/ :19 AM INDEX NO /2016 NYSCEF DOC. NO. 101 RECEIVED NYSCEF: 05/15/2017 Bond No. 800-031-788 UNDERTAKING ON PRELIMINARY INJUNCTION Supreme Court of the State of New York County of New York: Commercial Division 251 West 30th St. LLC d/b/a Slake, - against - Plaintiff, Index

More information

Invitation to Bid. FUNDING: The project shall be funded entirely with County funds, and shall be governed by strict guidelines for use of funds.

Invitation to Bid. FUNDING: The project shall be funded entirely with County funds, and shall be governed by strict guidelines for use of funds. Invitation to Bid Bridge #101 over Snake Creek New Bridge Construction Mayes County, Oklahoma NBI No. 07190, County Bid No. BR101SNAKE PROJECT DESCRIPTION: Mayes County will be accepting lump sum bids

More information

POWER OF ATTORNEY NEW YORK STATUTORY SHORT FORM

POWER OF ATTORNEY NEW YORK STATUTORY SHORT FORM POWER OF ATTORNEY NEW YORK STATUTORY SHORT FORM (a) CAUTION TO THE PRINCIPAL: Your Power of Attorney is an important document. As the principal, you give the person whom you choose (your agent ) authority

More information

LAND TRUST AGREEMENT

LAND TRUST AGREEMENT R E I C L U B P R O F O R M S & D O C U M E N T S A M P L E Page 1 of 9 LAND TRUST AGREEMENT Trust Agreement made this day of, 20., Grantor(s)/Settlor(s) and Beneficiaries, (hereinafter collectively referred

More information

WEST BOYLSTON MUNICIPAL LIGHTING PLANT 4 Crescent Street, West Boylston, Massachusetts Telephone (508) Fax (508)

WEST BOYLSTON MUNICIPAL LIGHTING PLANT 4 Crescent Street, West Boylston, Massachusetts Telephone (508) Fax (508) WEST BOYLSTON MUNICIPAL LIGHTING PLANT SECTION E AGREEMENT OPTION B THIS AGREEMENT, made this day of, 2015, by and between the party of the first part, the West Boylston Municipal Light Plant, hereinafter

More information

REVISED STATUTES OF MISSOURI TITLE XXVIII. CONTRACTS AND CONTRACTUAL RELATIONS CHAPTER 432. CONTRACTS REQUIRED TO BE IN WRITING

REVISED STATUTES OF MISSOURI TITLE XXVIII. CONTRACTS AND CONTRACTUAL RELATIONS CHAPTER 432. CONTRACTS REQUIRED TO BE IN WRITING REVISED STATUTES OF MISSOURI TITLE XXVIII. CONTRACTS AND CONTRACTUAL RELATIONS CHAPTER 432. CONTRACTS REQUIRED TO BE IN WRITING 432.250. Notarization and acknowledgment. If a law requires a signature or

More information

PROOF OF EXECUTION BY SUBSCRIBING WITNESS WITNESS SAW EXECUTION

PROOF OF EXECUTION BY SUBSCRIBING WITNESS WITNESS SAW EXECUTION PROOF OF EXECUTION BY SUBSCRIBING WITNESS WITNESS SAW EXECUTION I,, hereby state under oath or affirmation, that I was duly sworn, and I attest, under penalty of perjury, that: 1. I was present and saw,

More information

SURETY BOND-MINING (SUBSIDENCE) License No. Permit No. Bond No. (Name of Mine Operator)

SURETY BOND-MINING (SUBSIDENCE) License No. Permit No. Bond No. (Name of Mine Operator) 5600-FM-MR0408 Rev. 4/2000 COMMONWEALTH OF PENNSYLVANIA DEPARTMENT OF ENVIRONMENTAL PROTECTION BUREAU OF MINING AND RECLAMATION 7C-K-180 To be completed by Operator: Purpose (check only one): (1) Purpose

More information

LONG FORM ALL-INCLUSIVE DEED OF TRUST AND ASSIGNMENT OF RENTS

LONG FORM ALL-INCLUSIVE DEED OF TRUST AND ASSIGNMENT OF RENTS RECORDING REQUESTED BY AND WHEN RECORDED MAIL TO Name Street Address City & State Zip Title Order No. Assessors Parcel Number: Escrow No. LONG FORM ALL-INCLUSIVE DEED OF TRUST AND ASSIGNMENT OF RENTS THIS

More information

Administrative Report

Administrative Report ITEM NO 8 Administrative Report Council Action Date: April 14, 2015 To: From: Subject: MAYOR AND CITY COUNCIL Mike Goodson, City Manager RESOLUTION No. 7710 - A RESOLUTION OF THE CITY COUNCIL OF THE CITY

More information

Colonial Surety Company 123 Tice Blvd Suite 250 Woodcliff Lake, NJ (800) Fax (877) LOST INSTRUMENT APPLICATION

Colonial Surety Company 123 Tice Blvd Suite 250 Woodcliff Lake, NJ (800) Fax (877) LOST INSTRUMENT APPLICATION Colonial Surety Company 123 Tice Blvd Suite 250 Woodcliff Lake, NJ 07011 (800) 221-3662 Fax (877) 269-1531 LOST INSTRUMENT APPLICATION Application Information Applicant s Name: Name to Appear on Bond,

More information

LOS RANCHITOS HOMEOWNERS ASSOCIATION

LOS RANCHITOS HOMEOWNERS ASSOCIATION RECORDING REQUESTED BY DOC #2003-1010667 12/30/2003 08:00A Fee: 19.00 and WHEN RECORDED MAIL TO: Page 1 of 5 LOS RANCHITOS HOA Recorded in Official Records PO Box 471 Temecula, CA 92390 Attn: Larry Markham

More information