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LICENSE AND/OR PERMIT BOND
Bond No: K08422400
KNOW ALL MEN BY THESE PRESENTS:
That we, IOWA RSA 10 LLC d/b/a Verizon Wireless as Principal and Westchester Fire Insurance Company ,
incorporated under the laws of the State of Pennsylvania, with principal office in Philadelphia,as Surety,are held and
firmly bound unto City of Ames Iowa as Obligee, in penal sum of
$15,600.00 , lawful money of the United States, for which payment,well and truly
to be made,we bind ourselves,our heirs,executors,administrators,successors and assigns,jointly and severally,firmly,
by these presents.
WHEREAS,the above bounden Principal has obtained or is about to obtain from the said Obligee a license or permit for
** and the term of said license or permit is as indicated opposite the block checked below:
X Beginning the 23rd day of August 2013 and ending the23rd day of August 2014
—Continuous,beginning the day of
WHEREAS,The Principal is required by law to file with City of Ames Iowa a
bond for the above indicated term and conditioned as hereinafter set forth.
NOW THEREFORE, THE CONDITION OF THIS OBLIGATION IS SUCH, That if the above bounden Principal as
such licensee or permittee shall indemnify said Obligee against all loss,costs, expenses or damage to it caused by said
Principal's non-compliance with or breach of any laws,statutes,ordinances,rules or regulations pertaining to such license
or permit issued to the Principal,which said breach or non-compliance shall occur during the term of this bond,then this
obligation shall be void,otherwise to remain in full force and effect.
PROVIDED,that if this bond is fora fixed term,it may be continued by Certificate executed by the Surety hereon;and
PROVIDED FURTHER,that regardless of the number of years this bond shall continue or be continued in force and of
the number of premiums that shall be payable or paid,the Surety shall not be liable hereunder for a larger amount,in the
aggregate,than the amount of this bond,and
PROVIDED FURTHER, that if the Surety shall so elect, this bond may be canceled by the Surety as to subsequent
liability by giving thirty(30)days notice in writing to said Obligee.
Signed,sealed and dated the 28th day of August 2013
IOWA RSA 10 LL /b/a Verizon Wireless
By: ' (SEAL)
(Witness) Aron Glass
West nester Fire Insurance Company
By:
(Witness) Menuel Jones At ey- n-Fact
Christine Hession
APP OVED,A' T FO
Rev. 1/11 BY
J SICA D. SPO EN
ASSI ANT CITY ATTORNEY
** 1325 South 4th Street, Ames, IA 50010; to ensure the pavement and landscape
is installed and the temporary equipment and fence is removed from property prior to May 1, 2014
Power of WESTCHESTER FIRE INSURANCE COMPANY
Attorney
Know all men by these presents:That WESTCHESTER FIRE INSURANCE COMPANY,'a corporation of the Commonwealth of Pennsylvania pursuant to the
following Resolution,adopted by the Board of Directors of the said Company on December 11 2006,to wit.
"RESOLVED,that the following authorizations relate)to the execution,for and on behalf of the Company,of bonds,undertakings,.recognizances,contracts and other written commitments of the Company
entered into the ordmary course of business(each a"Written Commitment"):
(I) Each of the Chairman,the President and the Vice Presidents ofthe Company is hereby authorized to execute any Written Commitment for and on behalf of the Company,under the seal of the Company or
otherwise.
(2) Each duly.appointed attomey-in-fact of the Company is hereby authorized to execute any,Written Commitment for and on behalf of the Company,under the seal of the Company or otherwise,to the extent that
such action is authorized by the grant of powers provided:for in such Persons written appointment as such attomey-in-fact.
(3) Each of the Chairman,the President and the Vice Presidents of the Company is hereby authorized,for and on behalf of the Company,to appoint in writing any person the attorney-in-fact of the Company with
full power and authority to execute,for and on behalf of the Company,under the seal of the(Company or otherwise,such Written Commitments of the Company as maybe specified in such written
appointment,which specification may be by general type or class of Written Cornrmur ents$r by specification of one or more particular Written Commitments.
(4) Each of the Chairman,the President and Vice Presidents of the Company in hereby<audtorized,for and on behalf of the Company,to delegate in writing any other off cer of the Company the authority to
execute,for and on behalf of the Company,under the Company's seal or otherwise,such Written Commitments of the Company mare specified in such written delegation,which specification may be by
general type or class of Written Commitments or by specification of one or more particular Written Commitments.
(5) The signature of any officer or other person executing any written Commutment or appointment or delegation pursuant to this Resolution,and the seal of the Company,may be affixed by facsimile on such
Written Commitment or written appointment or delegation
FURTHER RESOLVED,that the foregoing Resolution shall not be deemed to be exclusive statement of the powers and authority of officers,employees and other persons to act for and on behalf of the
Company,and such Resolution shall not limit or otherwise affect the exercise of any such power or:authonty otherwise validly granted:or vested
Does hereby nominate,constitute and appoint Christine Hession,Elvia E Foil,Erin M Margelis,Jeffrey T Tyler,Menuel Jones,Myrna Smith,Patrick Bannon,all of the
City of WASHINGTON,District Of Columbia,each individually if there be more than one named,its true and lawful attorney-in-fact,to make,execute,seal and
deliver on its behalf,and as its act and deed any and all bonds,undertakings,recognizances,contracts and other writings in the nature thereof in penalties not exceeding
Five million dollars&zero cents($5,000,000.00)and the execution of such writings in pursuance of these presents shall be as binding upon said Company,as fully and
amply as if they had been duly executed and acknowledged by,the regularly elected officers of the Company at its principal office,
IN WITNESS WHEREOF,the said Stephen M.Haney,Vice-President,has hereunto subscribed his name and affixed the Corporate seal of the said WESTCHESTER
FIRE INSURANCE COMPANY this 28 day of March 2012,
WESTCHESTER FIRE INSURANCE COMPANY
S
StePheta M,#fancy.Vice Presi{ant
COMMONWEALTH OF PENNSYLVANIA
COUNTY OF PH►LADELPHIA ss.
On this 28 day of March,AD.2012 before me,a Notary Public of the Commonwealth of Pennsylvania`in and for the County of Philadelphia came Stephen
M.Haney,V ice-President of the WESTCHESTER FIRE INSURANCE COMPANY to me personally known to be the individual and officer who executed the
preceding instrument,and he acknowledged that he executed the same,and that the seal affixed to the preceding instrument is the corporate seal of said Company;that
the said corporate seal and his signature were duly affixed by the authority and direction of the said corporation,and that Resolution,adopted by the Board of Directors
of said Company,referred to in the preceding instrument,is now in force.
IN TESTIMONY WHEREOF,I have hereunto set my hand and affixed my official seal at the City of Philadelphia'the day and year first above written.
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o I,the undersigned Assistant Secretary of the WESTCHESTER FIRE INSURANCE COMPANY,do hereby certify that the original POWER OF ATTORNEY,of
I which the:bregoing is a substantially true and correct copy,is in full force and effect.
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o In witness whereof,I have hereunto subscribed my name as Assistant Secretary„and affixed the corporate seat of the Corporation,this 29 day of RQ4(i 5/� P13
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THIS POWER OF ATTORNEY MAY NOT BE USED TO EXECUTE ANY BOND WITH AN INCEPTION DATE AFTER March 28,2014,
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THE BACK OF THIS DOCUMENT LISTS VARIOUS SECURITY FEATURES THAT WILL PROTECT AGAINST COPY COUNTERFEIT AND ALTERATION.