HomeMy WebLinkAboutCAG2022-216 - Supplement - Lakeside Industries, Inc. - Bond Rider Change Per Chang Order #2 - 10/20/2022Ap
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Originator:Department:
Date Sent:Date Required:
Authorized to Sign:
Director or Designee
Date of Council Approval:
Grant? Yes No
Type:
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Comments:
Date Routed to the City Clerk’s Office:
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Vendor Name:Category:
Vendor Number:Sub-Category:
Project Name:
Project Details:
Agreement Amount:
Start Date:
Basis for Selection of Contractor:
Termination Date:
Local Business? Yes No*
Business License Verification: Yes In-Process Exempt (KCC 5.01.045)
If meets requirements per KCC 3.70.100, please complete “Vendor Purchase-Local Exceptions” form on Cityspace.
Notice required prior to disclosure?
Yes No
Contract Number:
Agreement Routing Form
For Approvals, Signatures and Records Management
This form combines & replaces the Request for Mayor’s Signature and Contract Cover
Sheet forms.
Visit Documents.KentWA.gov to obtain copies of all agreementsadccW22373_1_20
Budget Account Number:
Budget? Yes No
Dir Asst:
Sup/Mgr:
Dir/Dep:
rev. 20210513
FOR CITY OF KENT OFFICIAL USE ONLY
(Optional)
* Memo to Mayor must be attached
t
SURETY RIDER
To be attached to and form a part of
Bond No:107608463
Payment and Performance Bond
2022 Asphalt Overlays / Project Number: 22-3001.1
0511712022
(MONTH.DAY.YEAR)
Lakeside lndustries, lnc.
(PRTNCTPAL)
Travelers Casualty and Surety Company of America
Type of
Bond:
dated
effective
,as Principal,executed by
and by , as Surety,
- Citv of Kent
ln lavor ol
(oBLTGEE)
in consideration of the mutual agreements herein contained the Principal and the Surety hereby consent to changing
the amount of the bond liability per Change Order No. #2:
From: Three Million Eight Hundred Fifty One Thousand Three Hundred Sixty Four and no/100ths Dollars
($3,ASt,364.00)
To:Four Million Two Hundred Seventy One Thousand Nine Hundred Twenty Eight and no/100ths Dollars
($4,271,928.00)
Nothing herein contained shall vary, alter or extend any provision or condition of this bond except as herein expressly stated.
This rider rcl20l202z
is effective (MoNTH-DAv-vEAR)
Signed and Sealed 1012012022
(MONTH.DAY-YEAR)
Lakeside lndustries, lnc.
(PRrNCr
Travelers Casualty and Surety Company of America
By:
By:
(SURETY),A,t*-,a
(ArroRNEY-lN-FAcr) SusanB.Larson
s-04431GE 7/04
XDP
TRAVET-rn$?
Travelers Casualty and Surcty Company of America
Travelers Casualty and Surcty Company
St. Paul Fire and Marine Insurance Company
POWEROF ATTORNEY
KNOW ALL MEN BY THESE PRESENTS: That Travelers Casualty and Surety Company of America, Travelers Casualty and Surety Company, and
St. Paul Fire and Marine lnsurance Company arc corporations duly organized under the laws of the State of Connecticut (herein
collectively called the "Companies"), and that the Companies do hereby make, consiitute and appoint Susan B. Larson of
AelmVog , Washington , their true and lawful Attorney(s)-in-Fact to sign,. execute, seal and
acknowledge any and all bonds, recognizdices, conditionat undertakings and other wdtings obligatory in the nature lhereof on behalf of
the Companies in their business of guaranleeing the fidelity of persons, guaranteeing the performance of c-ontracts and executing or
guaranteeing bonds and undertakings required or permifted in any actions or proceedings allowed by law.
lN WITNESS WHEREOF, the Companies have caused this instrument to be signed, and their corporate seals to be hereto affixed, this 21st day of April,
2021.
State of Connecticut
By:
City of Hartford ss.Vice President
On this the 21st day of April, 2021, before me personally appeared Robert L. Raney, who acknowledged himself to be the Senior
Vice President of each of the Companies, and that he, as such, being authorized so to do, executed the foregoing instrument for the
purposes therein contained by signing on behalf of said Companies by himself as a duly authorized officer.
lN WITNESS WHEREOF, I hereunto set my hand and official seal
My Commission expires the 30th day of June, 2026
Anna P. Nowik, Notary Public
This Power of Attorney is granted under and by the authority of the following resolutions adopted by the Boards of Directors of each of
the Companies, which resolutions are now in full force and effect, reading as follows:
RESOLVED, that the Chairman, the President, any Vice Chairman, any Executive Vice President, any Senior Vice President, any Vice
President, any Second Vice President, the Treasurer, any Assistant Treasurer, the Corporate Secretary or any Assistant Secretary may appoint
Attorneys-in-Fact and Agents to act for and on behalf of the Company and may give such appointee such authority as his or her certificate of authority
may prescribe to sign Wth the Company's name and seal with the Company's seal bonds, recognizances, contracts of indemnity, and other wntings
obligatory in the nature of a bond, recognizance, or conditional undertaking, and any of said officers or the Board of Direc-tors at any time may
remove any such appointee and revoke the power given him or her; and it is
FURTHER RESOLVED, that the Chairman, the President, any Vice Chairman, any Executive Vice President, any Senior Vice President or
any Vice President may delegate all or any part of the foregoing authority to one or more officers or employees of this Company, provided
that each such delegation is in writing and a copy thereof is filed in the office of the Secretary; and it is
FURTHER RESOLVED, that any bond, recognizance, contract of indemnity, or writing obligatory in the nature of a bond, recognizance,
or conditional undertaking shall be valid and binding upon the Company when (a) signed by the President, any Vice Chairman, any Executive
Vioe President, any Senior Vice Preeident or any Vice Preeident, any Second Vice President, the Treasurer, any Assistant Treasurer, the
Corporate Secretary or any Assistant Secretary ahd duly attested and sealed with the Company's seal by a Secretary or Assistant Secretary;
or (b) duly executed (under seal, if required) by one or more Attorneys-in-Fact and Agents pursuant to the power prescribed in his or her
certificate or their certificates of authority or by one or more Company officers pursuant to a written delegation of authority; and it is
FURTHER RESOLVED, that the signature of each of the following officers: President, any Executive Vioe President, any Senior Vice President,
any Vice President, any Assistant Vce President, any Secretary, any Assistant Secretary, and the seal of the Company may be affixed by facsimile to
any Power of Attorney or to any certificate relating thereto appointing Resident Vice Presidents, Resident Assistant Secretaries or Attomeys-in-
Fact for purposes only of executing and attesting bonds and undertakings and other writings obligatory in the nature thereof, and any such Power of
Attorney or certificate bearing such facsimile sign-ature or facsimile seal shall be valid and binding upon the Company and any such power so executed
and certified by such faasimile signature and facsimile seal shall be valid and binding on the Company in the future with respect to any bond or
understanding to which h is attached.
l, Kevin E. Hughes, the undersigned, Assistant Secrelary of each of the Companies, do hereby certify that the above and foregoing is a
true and correct copy of the Power of Aftorney executed by said Companies, which remains in full force and efiect.
Dated this 20th day of October , 2022 .
f* f /44^-
/Kevin E. Hughes, Assi6tant Secretary
To vuify the authenticity of this Poeyer of Attorney, plase call us at 7'8(M'421-388O.
Pt&# refer b the above-namd Atlorney(s)-in-Fact and the debils of the bnd to which thb Powq of Atbmey is atbched.
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