HomeMy WebLinkAboutA026 - Copy of Bond No. 373434 and receipt Alile4 GENERAL STATUS INQUIRY—CONTRACT BONDS
Insurance
a member of Nationwide Insurance
September 17, 2002
City of Ames
PO Box 811
Ames, IA 50010
Bond no. Bd 373434
For the completion of our records in connection with bond(s) issued on behalf of Convalescent Home for
Children,Johnston,IA covering a contract for Walter Family Campus Subdivision—Asphalt Bike Path and
Street Lighting & Electrical Distribution for City of Ames, Armes, ;iA at a contract P,—
:cc of 19,000.00
effective 12-15-01
Without prejudicing your right to effecting our liability under our bond described above, we would appreciate
such of the following information as is now available.
You very truly,
�/d'6c/V-qa
and Department
ALLIED Mutual Insurance Company, 701 5th Ave., Dept. 2006,Des Moines, IA 50391-2006
1. IF CONTRACT IS COMPLETE, PLEASE STATE:
Approximate date of completion Approximate date of Final
of work or final delivery
of acceptance Contract Price
jC)v ofj�Z' /y�
2. IF CONTRACT IS UNCOMPLETED,PLEASE STATE:
Approximate percentage and/or dollar amount of contract completed or delivered
%0
3. Do you know of any unpaid bills for labor or material Yes No
If yes, please explain:
3. REMARKS:
It is understood that the information contained herein is furnished as a matter of courtesy for the confidential use of the
Surety and is merely an expression of opinion. It is agreed that in furnishing this information, no guaranty or warranty of
accuracy or correctness is made and no responsibility is assumed as a result of reliance by the Surety, whether such
information is furnished by the owner or by an architect or engineer as the agent of the owner.
Owner:
,{ By:
Date: � Title:
The Language of this form is acceptable to he SAA
Subdivision Bond
Bond No. Bd 373434
KNOW ALL MEN BY THESE PRESENTS, that we Convalescent Home for Children Network
as principal, and AMM Insurance C=Vany as Surety, are held and firmly bound unto the
City of Ames Iowa
in the penal sum of Nineteen Thousand and No/100---------------- ($ 191000.00-------)
Dollars lawful money of the United States, to the payment of which well and truly to be made we hereby bind
ourselves and our heirs, administrators, successors and assigns,jointly and severally,firmly by these presents.
WHEREAS, it is proposed to make certain improvements in a plat known as
Walter Family Campus Subdivisin
as follows, complete the following improvements
_ .Asphalt Bike Path and Stre
Electrical Distribution
and further stipulates that all such improvements shall be completed by . 19
Department of Planning & Housing
WHEREAS, the City of Ames, Iowa _ has approved said plat and has instructed the
City of Ames Iawa to accept the said plat for tiling upon the execution and delivery of this bond.
NOW. THEREFORE, the condition of the obligation is such that, if the above bounded Principal shall cori-
struct the improvements shown above to the satisfaction of the Engineering Department of the City
of Ames, Iowa , within the time specified, in accordance with the present standard specifications of
City of Ames, Iowa then this obligation shall be void, otherwise to remain in full force and effect.
Signed, sealed and dated-this 15th day _of December ig 99
CONVAL)ISCENT HOME FOR
(Principal)
By:
ieey: y0. Herbert ittorney ir.-tact
r MOVED M"M l if9A
�iol�inCity Attorne
e + w 1
' A Nationwide' Insurance Company �
Power of Attorney
KNOW ALL MEN BY THESE PRESENTS That AMCO Insurance Company,a corporation organized under the laws
of the State of Iowa, with its principal office in the City of Des Moines, Iowa, hereinafter called "Company", does hereby
make, constitute and appoint J.E. CLAY GREG T.LAMAIR
F.MELVYN HRUBETZ JOYCE O. HERBERT MARK E. KEAIRNES
NANCY D.SCHWARZ MELISSA L.EVANS
DES MOINES IA
each in his individual capacity, its true and lawful Attorney-In-Fact with full power and authority to sign, seal, and execute
in its behalf any and all bonds and undertakings and other obligatory instruments of similar nature (except bonds
guaranteeing the payment of principal and interest of notes, mortgage bonds and mortgages) in penalties not exceeding the
sum of
THREE MILLION AND NO/100 DOLLARS (S 3,000,000.00 )
and to bind the Company thereby, as fully and to the same extent as if such instruments were signed by the duly authorized
officers of the Company; and all acts of said Attorney pursuant to the authority hereby given are hereby ratified and
confirmed.
This Power of Attorney is made and executed pursuant to and by authority of the following By-Laws duly adopted by
the Board of Directors of the Company.
ARTICLE 7 EXECUTION OF CONTRACTS
"Section 7.4 Instruments Issued by the Corporation. Bonds, undertakings,and other obligatory instruments of similar nature,other
than insurance policies and insurance endorsements, issued by the Corporation shall be validly executed and binding on the Corporation
when signed by the President or a Vice President or by the Attorney(s)-I n-Fact appointed by the President or by a Vice President."
"Section 7.5 Appointment of Agents. The President or a Vice President shall have the power to appoint agents of the Corporation,
or other persons,as Attorney(s)-I n-Fact to act on behalf of the Corporation in the execution of bonds, undertakings, and other obligatory
instruments of similar nature, other than insurance policies and endorsements, with full power to bind the Corporation by their signature
and execution of any such instrument. The appointment of such Attorney(s)-In-Fact shall be accomplished by Powers of Attorney signed
by the President or the Vice President."
This Power of Attorney is signed and sealed by facsimile under and by the following By-Laws duly adopted by the Board
of Directors of the Company.
ARTICLE 7 EXECUTION OF CONTRACTS
"Section 7.6 Verifications . The Secretary, or any Assistant Secretary, is authorized to certify that any such Power of Attorney
signed is validly executed and binding on the Corporation and to certify that any bond, undertaking, or obligatory instrument of similar
nature, other than insurance policies and endorsements, to which the Power of Attorney is attached is and shall continue to be a valid and
binding obligation of the Corporation, according to its terms, when executed by Attorney(s)-In-Fact appointed by the President or Vice
President."
"Section 7.7 Use of Corporate Seal. It shall not be necessary to the valid execution and binding effect on the Corporation of any
bond, undertaking, or obligatory instrument of similar nature, other than insurance policies and endorsements, signed on behalf of the
Corporation by the President or a Vice President, or Attorney(s)-I n-Fact appointed by the President or a Vice President,or of any Power
of Attorney executed on behalf of the Corporation appointing Attoriey(s)-In-Fact to act for the Corporation, or of any certificate to be
executed by the Secretary or an Assistant Secretary,as hereinabove in Sections 7.4,7.5,and 7.6 provided,that the corporate seal be affixed
to any such instrument,but the person authorized to sign such instrument may affix the corporate seal. A facsimile corporate seal affixed
to any such instrument shall be as effective and binding as the original seal."
"Section 7.8 Other Facsimile Signatures. A facsimile signature of the President or of a Vice President affixed to any bond,
undertaking, or obligatory instrument of similar nature, other than policies and endorsements, or to a Power of Attorney signed by such
President or a Vice President, as herein in Sections 7.4 and 7.5 provided, or a facsimile signature of the Secretary or of an Assistant
Secretary to any certificate as herein in Section 7.6 provided, shall be effective and binding upon the Corporation with the same force and
effect as the original signatures of any such officers."
"Section 7.9 Former Officers. A facsimile signature of a former officer shall be of the same validity as that of an existing officer,
when affixed to any insurance policy or insurance endorsement, any bond or undertaking,any Power of Attorney or certificate,as herein in
Sections 7.1;7.2,7.4,7.5, and 7.6 provided."
IN WITNESS WHEREOF, the Company has caused these presents to be signed by its Vice President and its corporate seal
to be hereunto affixed this 15 day of 1?4WIBER , 1998
°" AMCO INSURANCE COMPANY
STATE OF IOWA S 'if By:
, �
COUNTY OF POLK ss �\ ow; � '� Vice President
On this 15 day of DECEMBER, 1(7)1 before me personally came Brett Harman,to me known,who,being by me duly sworn,
did depose and say that he is Vice President of AMCO Insurance Company, the corporation described in and which executed the above
instrument;that he knows the seal of said corporation,that the seal affixed to said instrument is such corporation seal;that it was so affixed
pursuant to authority given by the ,Board of Directors of said corporation and that he has signed his nam thereto pursuant to like
authority,and acknowledged the same to be the act and deed of said corporation.
"sue PATRICIA M. VERMACE Patricia M. Vermace
�.� MY COMMISSION EXPIRES Notary Public in and for the State of Iowa
o«. APRIL 25.2000 CERTIFICATE
I,the undersigned,Secretary of AMCO Insurance Company,a corporation organized under the laws of the State of Iowa,do hereby
certify that the foregoing Power of Attorney is still in force, and further certify that Sections 7.4 through 7.9 inclusion of Article 7 of the
By-Laws of the Company set forth in said Power of Attorney are still in force.
IN TESTIMONY WHEREOF, I have subscribed my name and affixed the seal of the company
this 15thday of December 19 99
01779 0..
GZ��
This Power of Attorney expires 0 :S 0 Secreta
12/15/01
Bda 1 (03-97)00 \`���
Cily Clerk's Office
515 Clark Avenue,P. 0.Box 811
(acing People Ames,IA 50010
Q-Ul vProgram Phone: 515-239-5105
Fxceplional Servire
Fax: 515-239-5142
December 22, 1999
TO WHOM IT MAY CONCERN:
I, Diane Voss, hereby certify that I have this date received from Convalescent Home for Children
Network a Subdivision Bond in the amount of$19,000.
Said instrument has been placed on file in the Ames City Clerk's Office, 515 Clark Avenue, for the
development of the asphalt bike path, street lighting, and electrical distribution in the Walter Family
Campus Subdivision, City of Ames, Iowa.
By: �-
Diane Voss
Title: City Clerk