HomeMy WebLinkAbout2003-014 AGREEMENT
THIS AGREEMENT made and entered into this c/,dl.. day of , 20pj,
by and between Taylor Industrial Coatings, Inc . 108 East North Avenue , Lake Wales , Florida 33853,
hereinafter called the CONTRACTOR and INDIAN RIVER COUNTY herein called the OWNER.
WITNESSED:That whereas, the OWNER and the CONTRACTOR for the consideration hereinafter
named, agree as set forth below:
Article 1. SCOPE OF WORK
As per specifications for the Indian River County Correctional Facility as prepared by Hagemeyer N.A.
And outlined in Proposal (Taylor),included herein dated December 16, 2002. Includes Pods
"A", `B", `D", and Kitchen.
CONTRACTOR, as an independent CONTRACTOR and not as an employee, shall furnish, for the sum of
Fifty Seven Thousand Two hundred Thirty eight dollars and Five Cents ($57,238.05), all of the necessary
labor, material, and equipment to perform the work described in accordance with the Contract Documents.
Article 2. TIME OF COMPLETION
120 Days from receipt of the Notice to Proceed.
Article 3. GENERAL
The CONTRACTOR hereby certifies that he has read every clause of the Contract Documents and that he
has made such examination of the location of the proposed work as is necessary to understand fully the
nature of the obligation herein made; and shall complete the same the time limit specified herein in
accordance with the plans and specifications.
The OWNER and CONTRACTOR agree to maintain records, invoices, and payments for the work. The
CONTRACTOR shall provide Payment Bonds at 100% and Performance Bonds at 125 %of the value for
all work in this Agreement.
All work under this Contract shall be done to the satisfaction of the OWNER, who shall in all cases
determine the amount, quality, fitness, and acceptability of the several kinds of work and materials which
are to be paid for hereunder, and shall decide all questions which may arise as to fulfillment of the
Contract on the part of the CONTRACTOR, and his decision thereon shall be final and conclusive; and
such determination and decision, in case any question shall arise, shall be a condition precedent to the
right of the CONTRACTOR to receive any money hereunder.
Any clause or section of this contract or specification which may for any reason be declared invalid by a
court of competent jurisdiction, including appeal, if any, may be eliminated therefrom; and the intent of
this Contract and the remaining portion thereof will remain in full force and effect as though such invalid
clause or section has not been incorporated therein.
AGREEMENT
PAGE 2
Article 4. QUANTITIES AND PRICES
The OWNER shall pay the CONTRACTOR for all work included and completed in accordance with this
Contract,based on the items of work set forth in the CONTRACTOR'S Proposal Form.
The OWNER shall pay the CONTRACTOR monthly progress payments, less ten(10%) percent retainage
for all work included and completed in accordance with this contract. The CONTRACTOR shall provide a
description of work completed with each pay request and may include material on site but not yet installed
(providing a listing of materials).
Article 5. ACCEPTANCE AND FINAL PAYMENT
When the work provided for under this contract has been completed, in accordance with the terms thereof,
a final estimate showing the amount of such work shall be prepared by the CONTRACTOR, and filed
with the OWNER within fifteen days after the date of completion.
The final payment request shall be accompanied by a Certificate of Acceptance issued by the
Superintendent of Buildings and Grounds, stating that the work has been completed to his satisfaction, in
compliance with the Contract. The Certificate of Acceptance shall not be issued until all written
warranties have been furnished to the OWNER .
In accordance with the Florida Prompt Payment Act, after receipt of the Superintendent of Buildings and
Grounds final acceptance by the OWNER, the OWNER shall make payment to the CONTRACTOR in the
full amount. PAYMENT of the lump sum amount and acceptance of such payment by the
CONTRACTOR shall release the OWNER from all claims or liabilities to the CONTRACTOR in
connection with this Contract.
Article 6. THE CONTRACT DOCUMENTS
Specifications (Hagemeyer N A), Insurance Requirements (Exhibit A), Bonds, and the Proposal
(Taylor's Industrial Coatings, Inc), together with this Agreement, form the Contract, and are fully a part of
this Contract as if included herein.
AGREEMENT
PAGE 3
Article 7. VENUE
This agreement shall be governed by the laws of the State of Florida. Venue for any lawsuit brought by
either party against the other party or otherwise arising out of this agreement shall be in Indian River
county, Florida, or in the event of federal jurisdiction, in the United States District Court for the Southern
District of Florida.
(CONTRACTOR) (OWNER)
Taylor ' s Industrial Coatings , Inc
INDI V RIVER COUNTY, FLORIDA
Contractor
d'AA A^ I 5�Z&77?2�r
resident BCC Chairman
Witnessed by: Made— A• G(qoop Approved by BCC 412 & "l_
Attest:
1 Jeffrey K Barton, Clerk of Circuit Court
County Attorney Deputy Clerk
Approved as to Form and Legal Sufficiency
./Aames E Chandler,
County Administrator
Inft11 fitve Cu Approvtd .pate
Admin. 0-3
Lega! O
Hudgel /
Risk Nigr. p -a,5
Taylor's Industrial Coating, Inc.
108 East North Avenue
Lake Wales,Fl 33853
Phone 863-676-5093
Fax 863-676-9573
Proposal Submitted to Phone Date
Indian River County (772) 567-8000 December 16, 2002
1840 25" Street ext. 305
Vero Beach, FL 32960-3365
Job Name
Indian River County Correctional Facility
Attn: Bob Baraglia Fag#(772) 770-5095
We hereby submit specifications and estimates for:
Indian River County Correctional Facility
Scope of Work: All floors will be diamond grinded with vacuums attached to prevent
dust. All walls and ceilings will be sanded with palm sanders and belt sanders. After
preparation is complete the walls and ceilings will be coated with 3 mils of#5381. After
dry a second coat of#5392 will be applied at 5-6 mils. The floor will be troweled with
Bright Cast at 20 mils and broadcasted to rejection. After dry a topcoat of Bright Cast
Clear will be applied at 16 mils to lock in the aggregate. The total floor system will be
50-55 mils. Price is based on two showers that will be worked on simultaneously; each
pair of showers will be $5,960.00
Total Pod B - $ 23 840.00
Total Pod D - $ 23,840.00 Cb
2003
Total Pod A- $ 3,000.00 Jls°
Total Kitchen- $ 3,800.00 �'�
. �iYodVtsJ•
*Additional cost for 125%Performance and 100% Payment Bond is $2,758.05.
**All work will de done per specifications provided by Jim Prevatt, Corrosion Specialist
with Hagemyer N.A. Material will be Rust-Oleum—Concrete Protection Systems.
Author
Signature
Greg Taylor
ACCEPTANCE OF PROPOSAL-The above prices,specifications
and conditions are satisfactory and are hereby accepted. You are
authorized to do the work as specified. Payment will be made as
outlined above.
acep
• 01/14/2009 12:05 FAX 8636780284 EBD INSURANCE 0101
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AC CERTIFICATE OF LIABILITY INSURANCE
DATEIMMIDDIYYYYI
PRODUCER 1 THIS CERTIFICATE IS ISSUED AS A MATTER OF INFORMATION
Swing, Hlackrelder & Duce Ineu ONLY AND CONFERS NO RIGHTS UPON THE CERTIFICATE
HOLDER. THIS CERTIFICATE DOES NOT AMEND. EXTEND OR
I F 0 Box 607 ALTER THE COVERAGE AFFORDED BY THE POLICIES BELOW.
iLake Walee YL 33959-0607
INSURED
INSURERS AFFORDIN13 COVERAGE NAICO
� •--
Taylor Industrial Coatings I., INSURER A:
Gregg Taylor rNsuRER B:
109 S North Avenue msuRER c; --
Lake Walea, FL 33853 INSURER D: -
j INSURER E:
COVERAGES
THE POLICIES OF INSURANCE LISTED BELOW HAVE BEEN ISSUED TO THE INSURED NAMED ABOVE FOR THE POLICY PERIOD INDICATED.NOTWITHSTANDING
I ANY REQUIREMENT, TERM OR CONVIIION OF ANY CONTRACT OR OTHER DOCUMENT WITH RESPECT TO WHICH THIS CERTIFICATE MAY BE ISSUED OR
MAY PERTAIN, THE INSURANCE AFFORDED BY THE POLICIES DESCRIBED HEREIN IS SUBJECT TO ALL THE TERMS, EXCLUSIONS AND CONDITIONS OF SUCH
POLICIES.AGGREGATE LIMITS SHOWN MAY HAVE BEEN REDUCED BY PAID CLAIMS.
I IN6R DO t "'
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DESCRIPTION OF OPERATIONS I LOCATIONS I VEHICLES I EXCLUSIONS ADDED BY ENDORSEMENT I SPECIAL PROVISIONS
I
Indian River COunty is also Additional Named Insured
j Iaduetrial Floor Covering
CERTIFICATE HOLDER CANCELLATION
Indian River County SHOULD ANY OF THE ABOVE DESCRIBED POUCIES BE CANCELLW BEFORE THE EXPIRATION
Bob Baragua DATE THEREOF,THE I$SUINO INSURER WILL ENDEAVOR TO MAIL DAYS WRITTEN
1940 25th St NOTICE TO THE CERTIFICATE HOLDER NAMED TO THE LETT.BUT FAILURE TO DO SO SHALL
Vero Beach, 1L 37960-3365 'MPO"NO OBLIGATION OR LIABILITY OF ANY RIND UPON THE INSURER,ITS AGENT$On
REPRESENTATIVES.
AUTHOEW REPRESENTATIVE
4151
ACORD 25(2001108) °ACORD COAVORATION 1968
1q,
C/
PERFORMANCE BOND
' - 4!,,":-; C'' -,"LA.
KNOW ALL MEN BY THESE PRESENTS: Bond No. 69476656
By THIS BOND,we
-Taylor's Industrial Coating, Inc.
108 E. North Ave. , Lake wales, FL 33853
as Principal
(Contractor)
(IML"=ME,Principal business address,and telephone number of FrincipayContmctor)
mid
WESTERN SURETY COMPANY (605) 336-0850
101 S. Phillips Ave. , Sioux Falls, SD 57104-6703 a Corporation,
as Surety, CA
Owname,,principal business,and telephone lumber of Surety) CA
are held and firmly bound unto the County of Indian River,Florida, 1840 20'h Street, Vero Beach,Florida
32960,(772-567-9000),in the sum of Seventy One Thousand Five Hundred Forty Seven and 56/100
Dollars($71,547.56 , amounting to 5% of the
LtLj 12 total bid price. For the Payment of said sum we bind
ourselves, our heirs, executors, administrators and assigns, jointly and severally, for the faithful
performance of a certain written Contact, dated the.day of January 21
20 3
-2. entered into between the Principal and the County of Indian River, for:
Bond Number:—694 76656
Project Name: Indian River CQUAI-Y I—nail Shower PLo
.iec
Project Address: ian River
Ind County]ail W
4055 4 1 El Street
Vero Beach. Florida 7721567-8000
ext 1419
A copy of said Contract is incorporated herein by reference and is made a part hereof as fiffly copied
herein,
NOW, THEREFOR, THE CONDITIONS OF THIS OBLIGATION ARE SUCH, that if the Principal
shall in all respects comply with the terms and conditions of said Contract and Its obligations thereunder,
including all of the Contract Documents therein referred to and made a part thereof, and such alterations
as may be made in the Contract Drawings and Specifications as therein provided for, and shall indemnify
and save harmless the County of Indian River against and from all expenses, damages, injury or conduct,
want Of care, Of sWl, negligence or default including patent infringement on the part of the Principal, hi
performance of said Contract, including errors in the Drawings
agents or employees, in the execution or na s
furnished by the Principal, and further, if the-Principal shall Promptly make payments to all who supply c-n
him with labor and/or materials used directly or indirectly by the Principal in the prosecution of the Work
provided for in said C ontract,then this obligation shall b e null and void- otherwise,the Principal and
Surety,jointly and severally, agree to pay the County of Indian River and d�
ifference between the sum that
the County of Indian River may be obliged to pay for the completion of said Work, by contract or
17�74 dexm-�,n
ice RECEIVED
APR 2 3 2003
k" CLERK TO THE BOARD
otherwise,and any damages,whether direct, indirect, or consequential, including reasonable attorney's fee
(including appellate proceedings), which the County of Indian River may incur as a result of the failure of
the Principal to properly execute all of the provisions of the Contract.
AND, the said Principal and Surety hereby further bind themselves, their successors, executors,
administrators and assigns, jointly and severally, that they will amply and fully protect the County of
Indian R Iver against, a nd w illp ay any and all amounts,damages, costs and judgments w hick may be
recovered against or which the County of Indian River may be called upon to pay to any person or
corporation by reason of any damage arising from the performance of the said work,repair or maintenance
thereof, or the manner of doing the same, or his agents or his servants, or the infringements of any patent
rights by reason of the use of any material furnished or work done, as aforesaid or otherwise.
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 or to the work to be performed thereunder, or the
Specifications or Drawings 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 Contract or to the Work or to the Specifications or Drawings.
AND, the said Principal and Surety jointly and severally covenant and agree that this Bond will remain in
full force and effect for a periad of one year commencing on the date of Final Completion as established
in the Certificate of Final Completion as issued by the County of Indian River.
IN WITNESS WHEREOF,the above bound parties executed this instrument under their several seals,this
28th day of March ---___, 20_03 the name and corporate seal of each corporate party being
hereto affixed and these presents duly signed by its undersigned representative,pursuant to authority of its
governing body.
WHEN THE PRINCIPAL IS AN INDIVIDUAL:
Signed, sealed and delivered in the presence of
Witness Signature of Individual
Address Printed Name of Individual
Witness
Address
WHEN THE PRINCIPAL IS A SOLE PROPRIETORSHIP OR OPEPATED UNDER A TRADE v
1VA�ME__:
Signed, sealed and delivered in the presence of
N
Witness Name of Partnership Q
v
v
i4.
BY:
Address Partner
Printed Name of Partner
Witness
(SEAT-)
Address
WHEN THE PRINCIPAL IS A PARTNERSHIP:
Signed, sealed and delivered in the presence of:
Witness Name of Partnership
BY:
Address Partner
Witness Printed Name of Partner
(S�)
Address
WHEN THE PRINCIPAL IS A CORPORATION:
Attes
. !J� Taylor's Industrial Coating,; Iz1ta.., ,".
SecretaryName of rporatton "a"', 9af),,,"
'c�-'[.E�/:~ ...... c�"'�. r'� � .'! i1� is 35�f GVOUOB�ja�� `✓
Gregory J Taylor ,
Printed Name
President
: ]�08UU0000
Official Title
CERTIFICATE AS TO CORPORATE PRINCIPAL 'r
I Ann Taylor , certify that I am the Secretary of the corporation named as Principal
in the within bond;that Gregory J Taylor , who signed the said bond on Cil
behalf of the Principal was then President of said corporation:
cJ1
that I know his signature, and his signature thereto is genuine; and that said Bond was duly signed,sealed -..s
QD
and attested for and on behalf of Said corporatio authori of its gov • g body.
`° 4y Secretary
te
�wwo' TO BE EXECUTED BY CORPORATE SURETY: 00
J n
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Attcst•
B�,F�rva.ler Ass' Sec. WESTERN SURETY COMPANY
Secretary Corporate Surety
101 S. Phillips Ave.
Sioux Falls_ SD 57104-67 3
'^ rr Busier ss Address
BY: �% � �, " -1
K h 4 (Affix Corporate SEAL)
E. Whelden Asst. Sec.
$F p 9
. s
Attorney-In-Fact
n.
Ewing, Blackwelder & Duce Insurance, Inc.
1330 avvenda� e Blvpncy
Winter Haven, FL 33881-1386
Business Address
STATE OF FECRUM SOUTH DAKOTA
COUNTY OF PrAIWIUM MINNEHAHA
Before me,a Notary Public,duly commissioned.,qualified and acting,personally appeared
Whelckin, Ass's, secto me well known, who being by me first duly swam upon oath,says that he is the
attorney-in-fact for the WESTERN SURETY CCIPANY and that he has been authorized by_
SUETY COMPANY to execute the foregoing bond on behalf of the CONTRACTOR named
thera71�
inux favor of the County of Indian River,Florida. Subscribed and swornto before me this 28th
y
w L I6 fi ch 20 03
S.E1CH Notary public, State oPa SOUTH DAKOTA
My C i3siOn Expires- My Commission Expires 2.12.2009
END OF SECTION
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PAYMENT BONDI
IN]TPE
KNOW ALL NMN BY THESE PRESENTS: ar
BY THIS BOND,we
KA
Taylor's Industrial Coating, Inc.
108 E. North Ave. , Lake wales, FL 33853
as Principal
(Contractor)(Insert name,principal business address,and telephone number of PrincipaYcontractor)
and
Cn
WESTERN SURETY COMPANY (605) 336-0850
101 S. Phillips Ave. , Sioux Falls, SD 57104-6703
as Surety, (Insert name,prbwipal business 4ddress, a corporation,
and telephone number of Su=ty)
are held and firmly bound unto the County of Indian River,Florida, 1840 25d'Street, Vero Beach,Florida p,
EVENTY OA
32960, (772)567-8000, in the sum.of FIVE HUNDREDNETHoFORTusNDY SFVFNa-d 56/10c) Dollars($_57547 W
.56 1.
Mounting to 100% Of the total bid price. For the payment of said sum we bind ourselves, our heirs, I
executors, administrators and ass!lpns, jointly and severally, for the faithfill Performance Of a certain
written Contract, dated the 'Q day of 20 0--3 entered into be. :f
the,Principal and the County of Indian River, for. L/ _F"
Bond Number- 69476656
Project Name Indian River QQI!g�Jail Shower Project
Project Address:
Indian gtvgr County Jail
40:55 41"Street
Vero Beach. Florida (772)567-8000 ext 1419
A copy of said Contract is incorporated herein by reference and is made a part hereof as if fully copied
herein.
NOW. THEREFORE, THE CONDITIONS OF THIS OBLIGATION ARE SUCH, that, if the Principal
shall promptly make payments to all claimants, as herein below defined, then this obligation shall be void;
otherwise,this Bond shall remain in fun force and effect,subject to the following terms and conditions: 4
A. A claimant is defined as any person supplying the Principal with labor, material or supplies
- cn
used directly or indirectly by the Principal Or any subcontractor in the prosecution of the —J
Wor1c provided fpr in said Contract, and is harbor defined M' SOCOoU 713.01 of the Florida
Statutes.
B. The provisions of Section 255.05 Florida Statutes shall apply C:)
Cr%
RECEIVED
-a" 5hOuld be returned Ice
the COUnty Attorne ,. APR 2 3 2003
V" Beach. CLERK TO THE BOARD
F'Ortda 3290)
The above name Principal and Surety hereby jointly and severally agree with the County of Indian River
that every claimant as herein defined, who has not been paid in full before the expiration of a period of
ninety (90) days after performance of the labor or after complete delivery of materials and supplies by
such claimant,may sue on this Bond for the use of such claimant,prosecute the suit to final judgement for
such sums or sums as maybe justly due claimant, and have execution thereon.The County of Indian River
shall not be liable for the payment of any costs or expenses of any such suit. No suit or action shall be
commenced hereunder by any claimant:
1. Unless c laimant,o then t han o ne h aving a d irect c ontract w ith t he P rincipal,s hall w ithin
forty five (45) days after beginning to fiunish labor, materials or supplies for the
prosecution of the work, furnish the Principal and Surety with a notice that he intends to
look to this Bond for protection.
2. Unless claimant, other than one having a direct contract with t he P rincipal,shall within
ninety(90)d ays a fter su ch c laimant's p erformance o f t he 1 abor o r c omplete d etivery o f
materials or supplies, deliver to the Principal and Surety written notice of the performance
of such labor or delivery of such material or supplies and the nonpayment therefore.
3. After the expiration of one (1)year from the performance bf the labor or completion of
delivery of the materials or supplies; it being understood, however, that if any limitation
embodied in this Bond is prohibited by any law controlling the construction hereof, such
limitations shall be deemed to be amended, so as to be equal to the minimum period of
limitation permitted by such law.
4. Other then in a state court of competent jurisdiction in and for Indian River County,
Florida, or in the United States District Court for the Southern District of Florida, and not
elsewhere.
The Surety, for value received,hereby stipulates and agrees that no charge, extension of time,alteration of
or addition to the terms of the Contract or to the work to be performed thereunder or to the Specifications
applicable thereto, shall in any way affect its obligations on this Bond, and the Surety hereby waives
notice of any such change, extension of time, alterations of or addition to the terms of the Contract, or to
the work or to the Specifications.
The Surety represents and warrants to the County of Indian River that it has a Best's Key Rating Guide,
General Policyholder's rating of"A"and Financial Size Category of Class "X".
The Principal and Surety jointly and severally covenant and agree that this Bond will remain in full force
and effect for a period of one year commencing on the date of Final Completion as established on the
Certificate of Final Completion as issued by the County of India River.
The Principal and Surety jointly and severally, agree to pay the County of Indian River all losses, c�
damages, expenses, costs, and attorney's fees, including appellate proceedings, that the County of Indian
River sustains because of a default by the Principal under the Contract.
IN WITNESS WHEREOF,the above bound parties executed this instntment under their several seals, this
28th day of March -2
20the name and corporate seal of each corporate party being
flo
0
-J
C7
hereto affixed and these presents duly signed by its undersigned representative,pursuant to authority of its
governing body.
WHEN THE PRIIVCIPAL IS AN IND—WMUAL:
Witness Signature of Individual
Address Printed Name of Individual
Witness
Address
mmummommommd am Somme nos&&OEM mamas ad a WON on Ogg ego a a mammommmommummmon Sam
WHEN THE PRINCIPAT IS A SOLE PROPRIETORSHIP OR OPERATES UNDER A TRADE
NAME:
Signed,sealed and delivered in the presence of.
Witness Dame of Partnership
Address BY:
Partner
Printed Name of partner
Witness (SEAL)
Address
0
C11
WHEN THE PRINCIPAL IS A PARTNERSHIP:
Signed, sealed and delivered in the presence of
C
Witness Name of Partnership
Address BY:
Partner
Printed Name of Partner
Witness
(SEAL)
Address
WHEN THEPRINCIPAL IS A CORPORATION:
Attest:
Taylor's Industrial Coating, Inc.
Secretary ,.
Name of Corporation a,se
{Affix Corporate SE .
Gregory J Taylor -51 ,w
Printed Name
10
President
Official Title F
CERTIFICATE AS TO CORPORATE PRINCIPAL
I Ann Taylor
certify that I am the Secretary of the corporation named as principal
in the within bond;that G r e g o r y J Taylor
who signed the said bond on
behalf of the Principal was then President
Ian
of said corporation: that I
know his signature, and his signature thereto is genuine; and that said Bond was du1y signed, sealed and
attested for and on behalf of d corpoMD'on corpora ' by au rity of' sovernin body.
g g
• �� ) 's � nnooa nnn
ecretary ,
(SEAL)
TO BE l3XECUTED BY CORPORATE SLTttE I'y; r , ,, - ' <�o
Attest: , r
P EL cchIer9 A.,s't. geC. WESTERN SURETY COMPANY
Secretary '''
Corporate Surety t
C�
N
101 S. Phillips Ave.
Sioux Falls, SD 57104-6703
OVa
( n v e
Business Address
ro BY:
(Affix Corporate SEAL)
71
Whelden, Asst. Sec.
z Attorney-In-Fact
Ewing, Blacc�kweldOe�r & Duce Insurance, Inc.
1330 HavendaTe eDIjycal Agency
Winter Haven, FL 33881-1386
Business Address
STATE OFjMMt=V SOUTH DAKOTA
COUNTY OF4NDV&pfaM MINNFHAHA
Before me,a Notary Public, duly commissioned,qualified and acting,personally appeared
E. Whelden, Asst Sec. to me well known,who being by me first dulysworn
upon oath, says that he is the
attorney-in-fact for the WESTERN SURETY CCMPANY
authorized by WESTERN SURETY COMPANY and that he has been
Ny to execute the foregoing bond on behalf of the
Ate'
CONTRACTOR named therein in favor of the County of Indian River,Florida. Subscribed and sworn to
, le,me , s' y of March 28
2003."
f F.
t;7' No Public State o SOUTH DAKOTA
S.ETCH ""`J
My Commission Expires 2-12-2009
�� �� smmission Expires:
END OF SECTION
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Western SuretyCompany
POWER OF ATTORNEY
KNOW ALL MEN BY THESE PRESENTS:
That WESTERN SURETY COMPANY, a corporation organized and existing under the laws of the State of South Dakota,
and authorized and licensed to do business in the States of Alabama, Alaska, Arizona, Arkansas, California, Colorado,
Connecticut, Delaware, District of Columbia, Florida, Georgia, Hawaii, Idaho, Illinois, Indiana, Iowa, Kansas, Kentucky,
Louisiana, Maine, Maryland, Massachusetts, Michigan, Minnesota, Mississippi, Missouri, Montana, Nebraska, Nevada, New
Hampshire, New Jersey, New Mexico, New York, North Carolina, North Dakota, Ohio, Oklahoma, Oregon, Pennsylvania,
Rhode Island, South Carolina, South Dakota, Tennessee, Texas, Utah, Vermont, Virginia, Washington, West Virginia,
Wisconsin,Wyoming, and the United States of America, does hereby make, constitute and appoint
E. Whelden of Sioux Falls
State of South Dakota its regularly elected Assistant cretary
as Attorney-in-Fact, with full power and authority hereby conferred upon him to sign, execute, acknowledge and deliver for
and on its behalf as Surety and as its act and deed, all of the following classes of documents to-wit:
Indemnity, Surety and Undertakings that may be desired by contract, or may be given in any action or proceeding in any court of law or
equity, polic'%jily mnifying employers against loss or damage caused by the misconduct of their employees; official, bail, and surety and
fidelity4 in all cases where indemnity may be lawful) p y
e y given; and with full ower and authority to execute consents and
waiy� odtfy p.� mor extend any bond or document executed for this Company,and to compromise and settle any and all claims or
de m xisf ainst said Company.
rn Sure "
ty t further certifies that the following is a true and exact copy of Section 7 of the by-laws of Western Surety
(:951
95any duly adopted ad e,in force,to-wit:
on i oPolicies, undertakings, Powers of Attorney, or other obligations of the corporation shall be executed in the
co ®xof pany by the President, Secretary, any Assistant Secretary, Treasurer, or any Vice President, or by such other
office
rs°¢ N €directors may authorize. The President,any Vice President,Secretary,any Assistant Secretary,or the Treasurer may
appoint A �ff"It'- act or agents who shall have authority to issue bonds, policies, or undertakings in the name of the Company. The
corporate seal is not necessary for the validity of any bonds,policies,undertakings,Powers of Attorney or other obligations of the corporation.
The signature of any such officer and the corporate seal may be printed by facsimile.
In Witness Whereof, the said WESTERN SURETY COMPANY has caused these presents to be executed by its
Senior Vice President with the corporate seal affixed this 28th
2003 day of March
ATTEST
WEST N URET OMPANY
Assistant Secretary By
Paul T. Bruflat, enior Vice President
STATE OF SOUTH DAKOTA
ss
COUNTY OF MINNEHAHA
On this 28th day of March 2003
Paul T. Bruflat before me, a Notary Public, personally appeared
and A. Vietor CA
who, being by me duly sworn, acknowledged that they signed the above Power of Attorney as Senior Vice President -4
and Assistant Secretary, respectively, of the said WESTERN SURETY COMPANY, and acknowledged said instrument to be %-0
the voluntary act and deed of said Corporation.
}
s D. KRELL s
S SEAL NOTARY PUBLIC s C}
S SOUTH DAKOTA
s .,
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My Commission Expires November 30,2006 Notary Public
Form 672-4-2002
ACKNOWLEDGMENT OF SURETY
STATE OF SOUTH DAKOTA (Corporate Officer)
County of Minnehaha SS
On this 28th day of March 2003
,before me, a Notary Public in
a d for said Cppnty,personall a E, VAel an, Ant. Sec.
y appeared
1? rsonll ovyn to me, who being by me duly sworn, did say that he is the aforesaid officer of WESTERN SURE Y
NY', $6dr'poration duly organized and existing under the laws of the State of South Dakota, that the seal affixed to e
e n
pen,
e€�tiis the corporate seal of said corporation, that the said instrument was signed, sealed and executed
on'by authority of its Board of Directors, and further acknowledge that the said
fi�e�an P Q ��,t�re voluntary act and deed of said corporation. instrument and t e
& ' 'TOWEOF, I have hereunto subscribed my name and affixed my official seal the day and year last above
^req Tes
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4tp�rbs 12-7-�eAe
Form 10342,98 "
Notary Public
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