36537 California West Communities, LLC - OBR & Released BondsOUTSTANDING BOND REPORT
Tract Number: 36537
Development: The Signature at PGA West
Developer/Owner: California West Communities, LLC
Bond Company: Lexon Insurance Co,
12890 Lebanon Road
Mt. Juliet, TN 37122
Attn: Greg Semrow
Outstanding / Released Bonds:
Bond Type
Bond No.
Amount:
Date Replaced or Released
Fugitive Dust
1100274
$63,000
Reduced w/rider on 07/21/22
Control (PM 10)
$30,450 Rider
Released 8/4/2023
Grading
1100276
$2,nn�0
Reduced w/rider on 08/17/15
$200,371 Rider
Released 5/19/2022
Performance
100275
$'"�4
Reduced w/rider 03/04/16
(Storm Drain)
$12,542 Rider
Released 6/20/2017
Labor & Material
100275
$125,424
Released 5/26/16
(Storm Drain)
Performance
100273
$21,776
Released 5/28/2015
(Signing/Striping)
Labor & Material
100273
$21,776
Released 9/04/2015
(Signing/Striping)
OUTSTANDING BOND REPORT
Tract Number: 36537
Development: The Signature at PGA West
Developer/Owner: California West Communities, LLC
Bond Company: Lexon Insurance Co,
12890 Lebanon Road
Mt. Juliet, TN 37122
Attn: Greg Semrow
Outstanding / Released Bonds:
Bond Type
Bond No.
Amount:
Date Replaced or Released
Fugitive Dust
1100274
$63,000
Reduced w/rider on 07/21/22
Control (PM 10)
$30,450 Rider
Released 8/4/2023
Grading
1100276
$2,nn�0
Reduced w/rider on 08/17/15
$200,371 Rider
Released 5/19/2022
Performance
100275
$'"�4
Reduced w/rider 03/04/16
(Storm Drain)
$12,542 Rider
Released 6/20/2017
Labor & Material
100275
$1'�4
Reduced w/rider 03/04/16
(Storm Drain)
$12,542 Rider
Released 5/26/16
Performance
100273
$21,776
Released 5/28/2015
(Signing/Striping)
Labor & Material
100273
$21,776
Released 9/04/2015
(Signing/Striping)
CALIFORNIA
l� 1.1�r�►� IJ
Date:
August 3, 2023
To:
Monika Radeva, City Clerk
Via:
Bryan McKinney, P.E., Public Works Director / City Engineer
From:
Amy Yu, Associate Engineer
Re:
TM 36537, The Signature at PGA West, PM-10 Bond Release
Please release the following PM-10 bond held in your files for the above referenced tract.
The PM-10 bond amount and the address to the developer and surety company are as follows:
Tract Map No. 36537
Bond Description
Bond No.
Bond Amount
PM-10 Dust Control
1100274
$30,450 (reduced amount)
Developer: Mr. Dave Warren
California West Communities, LLC
5927 Priestly Drive, Suite 110
Carlsbad, CA 92008
Surety Company: Lexon Insurance Company
12890 Lebanon Road
Mt. Juliet, TN 37122
If you have any questions, please contact me at extension 7047.
Thank You.
ta0aixta
CALIFORNIA -
August 4, 2023
California West Communities, LLC
5927 Priestly Drive, Suite 110
Carlsbad, CA 92008
Attention: Mr. Dave Warren
RE: TRACT MAP 36537 THE SIGNATURE AT PGA WEST — RELEASE OF BONDS
Dear Mr. Warren,
Per authorization of the City of La Quinta Public Works Department, the City Clerk's Office has
hereby released the following bond and notified Lexon Insurance Company on 8/4/2023.
Bond Number
Bond Amount
Bond Type
1100274
$30,450
PM-10 Dust Control
The original paper bond is enclosed.
Please do not hesitate to contact me should you have any questions.
Sincerely,
Laurie McGinley, Deputy City Clerk
Email: LMcginleV(a-_)LaQuintaCA.gov
Tel: (760) 777 - 712123
ta0aixta
CALIFORNIA -
August 4, 2023
Lexon Insurance Company
12890 Lebanon Road
Mt. Juliet, TN 37122
RE: TRACT MAP 36537 THE SIGNATURE AT PGA WEST — RELEASE OF BONDS
To Whom It May Concern,
Per authorization of the City of La Quinta Public Works Department, the City Clerk's Office
hereby releases the following bond:
Bond Number
Bond Amount
Bond Type
1100274
$30,450 (reduced amount)
PM-10 Dust Control
Copies of the bond being released are enclosed for your reference.
California West Communities, LLC, the developer, was also notified of the above bond release
on 08/04/2023.
Please do not hesitate to contact me should you have any questions.
Sincerely,
Laurie McGinley, Deputy City Clerk
Email: LMcginleyCa LaQuintaCA.gov
Tel: (760) 777 - 712123
�W
C\1 IFORNIA
MEMORANDUM
Date: July 21, 2022
To: Monika Radeva, City Clerk
From: Amy Yu, Associate Engineer
Re: Reduction Bond Rider, Tract Map 36537, The Signature at PGA West
Please attach the new reduction bond rider to the existing performance bond for TM 36537.
Please find enclosed the new reduction bond rider (reduced amount).
The amounts and addresses to the developer and the surety company are as follows:
TRACT No. 36537
Reduced
Performance
Bond Number
Performance
Security
Amount
1100274
$63,000
$30,450
Developer: Ms. Traci Waller
California West Communities, LLC
5927 Priestly Drive, Suite 110
Carlsbad, CA 92008
Surety: Lexon Insurance Company
12890 Lebanon Road
Mt. Juliet, TN 37122
If you have any questions, please contact me at extension 7047.
Thank You.
GENERAL SURETY RIDER
To be attached and form a part of
Bond No. 1100274
For The Signature at PGA West - Dust Control
Dated effective 03/24/2014 (MONTH, DAY, YEAR)
Executed by RREF II-CWC LaQ, LLC, as Principal, (PRINCIPAL)
And by Lexon Insurance Company, as Surety, (SURETY)
And in favor of City of La Quinta (OBLIGEE)
In consideration of the mutual agreements herein contained the Principal and the Surety hereby consent to
changing
Bond Amount
INFORMATION- FIR
$63,000.00 $30,450.00
Nothing herein contained shall vary, alter or extend any provision or condition of this bond except as
herein expressly stated -
This rider is effective
Signed and Sealed
07/11/2022
(MONTH, DAY, YEAR)
07/11/2022
(MONTH, DAY, YEAR)
RREF II-CWC LaQ, LLC
PRINCIPAL
BY
¢SEAL*
;' • GGG
' r
;;•razTITLE
Lexon Insurance Company
SURETY
BY
James I. Moore, ATTORNEY -IN -FACT
State of Illinois }
} ss.
County of DuPage }
On July 11, 2022, before me, Cynthia A. Schwinn, a Notary Public in and for said County and
State, residing therein, duly commissioned and sworn, personally appeared James 1. Moore
known to me to be Attorney -in -Fact of Lexon Insurance Company the corporation described in
and that executed the within and foregoing instrument, and known to me to be the person who
executed the said instrument in behalf of the said corporation, and he duly acknowledged to me
that such corporation executed the same.
IN WITNESS WHEREOF, I have hereunto set my hand and affixed my official seal, the day and
year stated in this certificate above.
My Commission Expires: May 24, 2025
OFFICIAL SEAL
C nthia A. Schwinn, Notary Public G�rnihia A. Schwinn
Commission No. 932502
FNOTARY PUBLIC, STATE OF ILLINOIS
Commission Expires 05J2412025
SOMPO INTERNATIONAL
POWER OF ATTORNEY
KNOW ALL BY THESE PRESENTS, that Endurance Assurance Corporation, a Delaware corporation, Endurance American Insurance Company, a Delaware
corporation, Lexon Insurance Company, a Texas corporation, and/or Bond Safeguard Insurance Company, a South Dakota corporation, each, a "Company" and
collectively, "Sompo International," do hereby constitute and appoint: James I. Moore
as true and lawful Attorri-In-Fad to make, execute, seal, and deliver for, and an Its behalf as surety or ce-surety; bonds and undertakings given for any and ell
purposes, also to execute and deliver on its behalf as aforesaid renewals, extensions, agreements, waivers, consents or stipulaWns rala6ng to such bonds or undertakings
provided, however, that no single bond or undertaking so made, executed and rWivared shall obligate the Company for any portion of the penal sum thereof in excess of
the sum of Twenty Million Dollars ($20,000,000.00).
Surety Bond No.:
Principal: RREF II-CWC LaQ, LLC
Obligee: City of La Quinta
Such bonds and undertakings for said purposes, when duly executed by said attomey(s)-in-fact, shall be binding upon the Company as fully and to the same extent as if
signed by the President of the Company under its corporate seal attested by its Corporate Secretary.
This appointment is made under and by authority of certain resolutions adopted by the sole shareholder of each Company by unanimous written consent effective the 151°
day of June, 2019, a copy of which appears below under the heading entitled "Certificate".
This Power of Attorney is signed and sealed by facsimile under and by authority of the following resolution adopted by the sole shareholder of each Company by
unanimous written consent effective the 1511 day of June, 2019 and said resolution has not since been revoked, amended or repealed:
RESOLVED, that the signature of an ind vidual named above and the seal of the Company may be affixed to any such power of allomey or any certificate relating thereto
by facsimile, and any such power of attorney or certificate hearing such facsimile signature or seal shall be valid and binding upon the Company in the future with respect
to any bond or undertaking to which it is attached.
IN WITNESS WHEREOF, each Company has caused this instrument to be signed by the following officers, and its corporate seal to be affixed this 151 day of
June, 2019.
Edranee Assurance Cotl
By:� �4Richard Appel _440nier Counsel
�^ SUrarrce
8RTPAT,
46 tr '. 2002 '
Endurance American
pilnuraBy:RIc and r1fP"?. enior vunsel
`0�c P% 11),, B
SF
.A.L
VELAWARE
Lexon Insurance Company Bond Safeguard
In ura c pagy
By: By: - r/-(�
Ric and Appel; ant ou sal Ric and Appal YP•I enior
A
;Q
SEAL INS t° �Ci:
coli
}�
wr,w ACKNOWLEDGEMENT
On this 151 day of June, 2019, before me, personally came the above signatories known to me, who being duly swom, did depose and say that heRl�a� Mtycer or each
of the Companies; and that he executed said instrument on behalf of each Company by auhority of his a under th by of each Company .-
.p+a
By: ,
Amy ayler, No uhl€c My Commissign Eas�ires 513123;
CERTIFICATE
I, the undersigned Offlcer of each Company, DO HEREBY CERTIFY thar
1. That the original power of attorney of which the foregoing is a copy was duly executed on behalf of each Company and has not since been revoked amended or modified:
that the undersigned has compared the foregoing copy thereof with the original power of attorney, and that the same is a true and correct copy of the orlglnal power of
attorney and of the whole lhereaf;
2. The fallowing are resolutions which were adopted by the sale shareholder of each Company by unanimous written consent effective June 15, 2019 and said resolutions
have not since been revoked, amended or modified:
"RESOLVED, that each of the individuals named below is authorized to make, execute, seal and deliver for and on behalf of the Company any and all bonds,
undertakings or obligations in surety or co -surety with others: RICHARD M. APPEL, BRIAN J. BEGGS, CHRISTOPHER DONELAN, SHARON L. SIMS,
CHRISTOPHER L. SPARRO, MARIANNE L. WILBERT
; and be It further
RESOLVED, that each of the individuals named above is authorized to appoint attomeys-in-fact for the purpose of making, executing, sealing and delivering bonds,
undertakings or obligations in surety or co -surety for and on behalf of the Company."
3. The undersigned further certifies that the above resolutions are true and correct copies of the resolutions as so recorded nd of the whole thereof.
IN WITNESS WHEREOF, I have hereunto set my hand and affixed the corporate seal this 11 th day of July 2022
By:
Dan S. (story
NOTICE: U. S. TREASURY DEPARTMENT'S orFICE OF FOR IGN ASS CONTRO FAC
No coverage is provided by this Notice nor can it be construed to replace any provisions of any surety bond or other surety coverage provided. This Notice provides information concerning
possible impact on your surety coverage due to directives issued by OFAC. Please read this Notice carefully.
The Office of Foreign Assets Control (CFAC) administers and enforces sanctions policy, based on Presidential declarations of `national emergency'. OFAC has identified and fisted
numerous foreign agents, front organi28tions, terrorists, terrorist Onganizatians. and narootics traffickers as 'Specially De signaled Nationals and Blocked Persons". This list can be located
on the United States Treasury's webs.Re — h :1 .tr as vlr ❑u a tterlsa I N-LV .
In accordance vnYn OFAC ieyulaions, it it is determined that you or any other person or entity claiming the benefits of any coverage has violated U.S. sanctions taw or is a Specially
Designated National and Blocked Parson, as kiantifed by OFAC, any coverage will be considered a blocked or frozen contract and ail provisions of any coversgs providad are Immedlatety
subject to DFAC. When a surely WA or other form of surety coverage is considered to be such a blocked or frozen contract, no payments nor premium refunds may be made without
authorization from OFAC. Other limitations on the premiums and payments may also apply.
Any reproductions are void.
Surety Claime 5abmission: LexonClsimAdminiSIraIton son o-intl.corm
Telaphons: 615-553.9500 Mailing Address: Sompo International; 12090 Lebanon Road: Mount Jullet, TN 3TI22-2870
CALIFORNIA ALL-PURPOSE ACKNOWLEDGMENT CIVIL CODE § 1189
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 Diego )
On 1 before me,.. notary public ,
Date Here Insert Name and Title of the Officer
personally appeared Gregory E. Harris
Name(s) of Signer(s)
who proved to me on the basis of satisfactory evidence to be the person(s) whose name(s) is/are
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 signatures) 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.
MK srucKEY WITNESS my hand and official seal.
_ Notary Public - California
San Diego County
Commission; 2285679 Signature
—& lal -4
My Comm. Expires May 16, 2023 Signature of Nat ry 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
Title or Type of Document:
Number of Pages:
Document Date:
Signer(s) Other Than Named Above:
Capacity(ies) Claimed by Signer(s)
Signer's Name:
❑ Corporate Officer — Title(s):
❑ Partner — ❑ Limited ❑ General
❑ Individual ❑ Attorney in Fact
❑ Trustee ❑ Guardian or Conservator
F-1 nthPr:
Signer Is Representing:
Signer's Name:
❑ Corporate Officer — Title(s):
❑ Partner — ❑ Limited ❑ General
❑ Individual ❑ Attorney in Fact
❑ Trustee ❑ Guardian or Conservator
n C)thPr:
Signer Is Representing:
02014 National Notary Association - www.NationalNotary.org • 1-800-US NOTARY (1-800-876-6827) Item #5907
FAITiiFUL PERFORMANCE BOND
(LQMC 6.161
Fugitive Dust Control Bond
Bond 1100274
WHEREAS, the City of La Quinta, California, is prepared to authorize
RREF 11-CWC LaQ, LLC, a California Limited Liability Company , as Principal, to proceed with certain
construction activities pursuant to one, or more permits issued by the City, for various infrastructure
improvements and/or structures on, or associated with, privateiy-owned property generally known to the
City and others as The Signature at PGA West, TTM 36537 ; and
WHEREAS, all such construction and demolition activities must be performed in such
manner as to conform with La Quinta Municipal Code, Chapter 6.16, entitled Fugitive Dust Control to
reduce fugitive dust and corresponding PM10 emissions; and
WHEREAS, said Principal is required to ensure that Fugitive Dust Control Permit #
prepared specifically for the subject construction site, is financially secure by furnishing
security for the faithful performance of the dust control activities required in the Fugitive Dust Mitigation
Plan.
NOW therefore, we the Principal and Lexon Insurance Company as Surety, are
held and firmly bound unto the City of La Quinta, as Obligee, in the penal sum of
Sixty Three thousand and 001100 Dollars ($ 63,000.00 )
lawful money of the United States, for the payment of which sum well and truly to be made, we bind
ourselves, our heirs, successors, executors and administrators, jointly and severally, firmly by these
presents.
The condition of this obligation is such that if the above bonded Principal, his or its heirs, executors,
administrators, successors or assigns, shall in all things stand to and abide by, and well and truly keep
and perform the covenants, conditions and provisions in the said dust control plan and any alteration
thereof made as therein provided, on his or their part, to be kept and performed at the time and in the
manner therein' specified, and in all respects according to their true intent and meaning, and shall
indemnify and save harmless the Obligee, its officers, agents and employees, as therein stipulated, then
this obligation shall become null and void; otherwise, it shall be and remain in full force and effect.
As a part of the obligation secured hereby and in addition to the face amount specified therefore, there
shall be included costs and reasonable expenses and fees, including reasonable attorneys fees, incurred
by the Obligee in successfully enforcing such obligation, all to be taxed as costs and included in any
judgment rendered.
The surety hereby stipulates and agrees that no change, extension of time, alteration or addition to the
terms of the dust control plan or to the work to be performed there under or the specifications
accompanying the same shall in anywise 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 dust control plan
or to the work, the specifications, or the conditions of approval of said plan.
Page 1 of 2
T Drive/Checklists — Forms & Applications/Standard Dust Control Bond Form
Fugitive Dust Control Bond
Fugitive Dust Control Permit ##
Page 2of2
In witness whereof, this instrument has been duly executed by the Principal and Surety above
named, on March 24 , 20 94
RREF 11-CWC LaQ, LLC a California LLC
Princip
{Seal}
Nyi�;; --
SignalurYoTP incip
Don Fontana, President
Title of Signatory
Lexon Insurance Company
Surety
(Seel)
Signature of Surety Peggy Faust
Attorney -In -Fact
Title of Signatory
12890 Lebanon Road
Mt. Juliet, TN 37122
Address of Surety
(615) 553-9535
Phone # of Surety
Greg Semrow
Contact Person for Surety
T Drive/Checklists — Forms & Applications/Standard Dust Control Bond Form
POWER OF ATTORNEY LX_ 205232
Lexon Insurance Company
KNOW ALL MEN BY THERE PRESENTS, that LEXON INSURANCE COMPANY, a Texas Corporation, with its principal office in
Louisville, Kentucky, does hereby constitute and appoint:
James I. Moore, Bonnie Kruse, Stephen T. Kazmer, Peggy Faust,
Dawn L. Morgan, Kelly A. Gardner, Elaine Marcus, Jennifer J. McComb, Melissa Schmidt, Tariese M. Pisciotto
its true and lawful Attorney(s)-In-Fact to make, execute, seal and deliver for, and on its behalf as surety, any and all bonds, undertakings or other
writings obligatory in nature of a bond.
This authority is made under and by the authority of a resolution which was passed by the Board of Directors of LEXON INSURANCE
COMPANY on the 1 sc day of July, 2003 as follows:
Resolved, that the President of the Company is hereby authorized to appoint and empower any representative of the Company or other
person or persons as Attorney -In -Fact to execute on behalf of the Company any bonds, undertakings, policies, contracts of indemnity or other
writings obligatory in nature of a bond not to exceed $8,000,000.00 Eight
dollars, which the Company might execute through its duly elected officers, and affix the seal of the Company thereto. Any said execution of such
documents by an Attorney -In -Fact shall be as binding upon the Company as if they had been duly executed and acknowledged by the regularly
elected officers of the Company. Any Attorney -In -Fact, so appointed, may be removed for good cause and the authority so granted may be
revoked as specified in the Power of Attorney.
Resolved, that the signature of the President and the seal of the Company may be affixed by facsimile on any power of attorney granted,
and the signature of the Assistant Secretary, and the seal of the Company may be affixed by facsimile to any certificate of any such power and
any such power or certificate bearing such facsimile signature and seal shall be valid and binding on the Company. Any such power so executed
and sealed and certificate so executed and sealed shall, with respect to any bond of undertaking to which it is attached, continue to be valid and
binding on the Company.
IN WITNESS THEREOF, LEXON INSURANCE COMPANY has caused this instrument to be signed by its President, and its Corporate
Seal to be affixed this 215t day of September, 2009.
r
TC OF _ �}
ACKNOWLEDGEMENT
LEXON INSURANCE COMPANY
BY
David E. Campbell
President
On this 215t day of September, 2009, before me, personally came David E. Campbell to me known, who be duly sworn, did depose and
say that he is the President of LEXON INSURANCE COMPANY, the corporation described in and which executed the above instrument; that he
executed said instrument on behalf of the corporation by authority of his office under the By-laws of said corporation.
..`,i! p"'�a►'• AMY L. TAYLOR
.�. Notary Public- State of Tennessee
= Davidson County
' My Commission Expires 01-09-16
:yh J 1
CERTIFICATE
BY 'um, � �
Amy aylor
Notary Public
I, the undersigned, Assistant Secretary of LEXON INSURANCE COMPANY, A Texas Insurance Company, DO HEREBY CERTIFY that
the original Power of Attorney of which the forgoing is a true and correct copy, is in full force and effect and has not been revoked and the
resolutions as set forth are now in force.
Signed and Seal at Mount Juliet, Tennessee this 24th
,yPAHce
Oa` Gaa
# SEAL
FSti
Day of March 20 14
BY V
Andrew Smith
Assistant Secretary
"WARNING: Any person who knowingly and with intent to defraud any insurance company or other person, files and application for insurance of claim
containing any materially false information, or conceals for the purpose of misleading, information concerning any fact material thereto, commits a
fraudulent insurance act, which is a crime and subjects such person to criminal and civil penalties."
State of: ILLINOIS
County of: DUPAGE
On March 24, 2014, before me, Melissa Schmidt, a Notary Public in and
for said County and State, residing therein, duly commissioned and
sworn, personally appeared Peggy Faust, known to me to be Attorney -in -
Fact for Lexon Insurance Company, the corporation described in and that
executed the within and foregoing instrument, and known to me to be the
person who executed the said instrument on behalf of the said
corporation, and he duly acknowledged to me that such corporation
executed the same.
IN WITNESS WHEREOF, I have hereunto set my hand and affixed my official
seal, the day and year stated in this certificate above.
My Commission Expires: May 14, 2016.
Melissa Schmidt, Notary Public
D
FICIAL SEALWA SCHM10TLIC - STATE OF iLL1NOfSSJON EXPIRES:05/T4/f6
CALIFORWA ALL-PURPOSE ACKNOWLEDGMENT
State of California
County of San Diego
r On 3/25/2014
Date
personally appeared
before me, M.K. Stuckey, notary public
Here Insert Name and Title of the Omcer
Donald W. Fontana
M. K. 1 rUCKIFY�
Commission # 933217
9-a-
Notary Public - California Z San Diego County
My Comm. Expires May 16, 2015
of Signer(s)
GOVOd COOK § 9 t SO
who proved to nee on the basis of satisfacto
evidence to be the person(o whose name() ialWe
subscribed to the within instrument and acknowledged
to me i-hat hefs*MVy executed the same in
hisl*ltP bir authorized capacity#s), and that by
his/4r/ h it slgnature(o on the instrument the
person or the entit upon behalf of which the
person* acted, executed the instrument.
I eertHy 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: H Ug�X C�l
Place Notary Seal Above Signature of Nolm ublic
OPT§OoNAL -
Though the information below is not required by law, it may prove valuable to persons relying on the document
and could prevent fraudulent removal and reattachment of this form to another document.
Desc rOpVon of Attached Document
Title or Type of Document: _.
Document Date:
Signer(s) Other Than Famed Above:
Cspacuty(uw) Cah nedl by Signer(s)
Signer's fume:
❑ Corporate Officer — T itle(s):
❑ Individual
I' idF• u 1 t
❑ Partner — ❑ Limited ❑ General
Top of thumb here
❑ Attorney in Fact
❑ Trustee
❑ Guardian or Conservator
❑ Other:
Signer Is Representing:
Number of Pages:
Signer's Name:
❑ Corporate Officer — T itfe(s):
❑ Individual ui 1 u1n�
❑ Pat1ner — ❑ Limited ❑ General Top of thumb here
❑ Attorney in Fact
❑ Trustee
❑ Guardian or Conservator
❑ Other:
Signer Is Representing:
® 2010 National Notary Association • NationalNotary org • 1-800-US NOTARY (1-800-876-6827) Item 05907
May 19, 2022
RREF II-CWC LaQ, LLC
Attn: Lloyd McKibbin
5927 Priestly Drive, Suite 110
Carlsbad, CA 92008
RE: TRACT MAP 36537, THE SIGNATURE AT PGA WEST – RELEASE OF BONDS
Dear Mr. McKibbin,
Per authorization of the City of La Quinta Public Works Department, the City Clerk’s
Office has hereby released the following bond and notified Lexon Insurance
Company on 5/19/2022.
Bond Number Bond Amount Bond Type
1100276 $200,371 (reduced amount) Grading
The original paper bonds are enclosed.
Please do not hesitate to contact me should you have any questions.
Sincerely,
Laurie McGinley, Acting Deputy City Clerk
Email: LMcginley@LaQuintaCA.gov
Tel: (760) 777 - 7123
c: Bryan McKinney, Public Works Director/City Engineer
Lexon Insurance Company
File
May 19, 2022
Lexon Insurance Company
Attn: Greg Semrow
12890 Lebanon Road
Mt. Juliet, TN 37122
RE: TRACT MAP 36537, THE SIGNATURE AT PGA WEST – RELEASE OF BONDS
Dear Mr. Semrow,
Per authorization of the City of La Quinta Public Works Department, the City Clerk’s
Office hereby releases the following bonds:
Bond Number Bond Amount Bond Type
1100276 $200,371 (reduced amount) Grading
Copies of the bonds being released are enclosed for your reference.
RREF II-CWC LaQ, LLC, the developer, was also notified of the above bonds release
on 05/19/2022.
Please do not hesitate to contact me should you have any questions.
Sincerely,
Laurie McGinley, Acting Deputy City Clerk
Email: LMcginley@LaQuintaCA.gov
Tel: (760) 777 - 7123
MEMORANDUM
Date: May 19, 2022
To: Monika Radeva, City Clerk
From: Amy Yu, Associate Engineer
Bryan McKinney, P.E., Public Works Director / City Engineer
Re: Release of Grading Bond, Tract Map 36537, The Signature
Please release the following performance bond held in your files for the above referenced
tract. The grading work associated with this project has been completed.
The performance amount and the addresses to the developer and surety company are as
follows:
Tract Map No. 36537
Type of Bond Bond No. Performance Amount
Grading 1100276 $200,371 (reduced amount)
Developer: RREF II-CWC LaQ, LLC
5927 Priestly Drive, Suite 110
Carlsbad, CA 92008
Attn: Lloyd McKibbin
Surety Company: Lexon Insurance Company
12890 Lebanon Road
Mt. Juliet, TN 37122
Attn: Greg Semrow
AY BWM
RECEIVED
JUL 31 2015
CITY SURETY BOND RIDER
COMMUNITY DEVF LA ELOPMENT
To be attached to and form a part of Bond No. 1100276
Effective: March 24.2014
Bond Amount: $ 2,003,710.00
Executed by: RREF 11-CWC LaQ LLC A California Limited LiabiliCom-pany, as
Principal
and by: Lexon Insurance Company, as Surety
in favor of: City of La Quinta, as Obligee
in consideration of the mutual agreements herein contained, the Principal and Surety
hereby consent to:
Decrease the bond amount from $2,003.710.00 to $200.371.00
Nothing herein contained shall vary, alter or extend any provision or condition of this
bond except as herein expressly stated.
This rider is effective July 15, 2015
Signed and Sealed: July 21, 2015
RREF II-CWC LaQ LLG A California Limited Liabllijy Com an
Principal
By: Please see attached signature page
Lexon Insurance Company
Surety
By:c
Dawn L Morgan, Attorney -in- t
Signature Page to Surety Bond Rider No. 1100276
Effective July 15, 2015
RREF II-CWC LAQ, LLC,
a California limited liability company
By: California West Construction, Inc.,
a California Corporation
Its Authorized Agent
By: f Y�
Name: Donald m&ZoUAa
Title: President
POWER OF ATTORNEY Lx- 237354
Lexon Insurance Company
KNOW ALL MEN BY THESE PRESENTS, that LEXON INSURANCE COMPANY, a Texas Corporation, with its principal office in
Louisville, Kentucky, does hereby constitute and appoint: James I. Moore, Bonnie Kruse, Stephen T._Kazmer, Dawn L. Morgan, belly A. Gardner,
Elaine Marcus, Jennifer J. McComb, Melissa Schmidt, Tariese_M__ Pisciotto its true and lawful Attorney(s)-In-Fact to make, execute, seal and
deliver for, and on its behalf as surety, any and all bonds, undertakings or other writings obligatory in nature of a bond.
This authority is made under and by the authority of a resolution which was passed by the Board of Directors of LEXON INSURANCE
COMPANY on the 15t day of July, 2003 as follows:
Resolved, that the President of the Company is hereby authorized to appoint and empower any representative of the Company or other
person or persons as Attorney -In -Fact to execute on behalf of the Company any bonds, undertakings, policies, contracts of indemnity or other
writings obligatory in nature of a bond not to exceed $ 8,000,000.00, Eight Million dollars, which the Company might execute through its duly
elected officers, and affix the seal of the Company thereto. Any said execution of such documents by an Attorney -In -Fact shall be as binding upon
the Company as if they had been duly executed and acknowledged by the regularly elected officers of the Company. Any Attorney -In -Fact, so
appointed, may be removed for good cause and the authority so granted may be revoked as specified in the Power of Attorney.
Resolved, that the signature of the President and the seal of the Company may be affixed by facsimile on any power of attorney granted,
and the signature of the Assistant Secretary, and the seal of the Company may be affixed by facsimile to any certificate of any such power and
any such power or certificate bearing such facsimile signature and seal shall be valid and binding on the Company. Any such power so executed
and sealed and certificate so executed and sealed shall, with respect to any bond of undertaking to which it is attached, continue to be valid and
binding on the Company.
IN WITNESS THEREOF, LEXON INSURANCE COMPANY has caused this instrument to be signed by its President, and its
Seal to be affixed this 21'� day of September, 2009.
o��9tlp�r �
S SEAL
IA � 4� %
h fC" 1C.4 !
t�1
ACKNOWLEDGEMENT
qW (e]►I1►1.111ZL1►III*K61'd:7_1►1/
BY
David E. Campbell
President
On this 21st day of September, 2009, before me, personally came David E. Campbell to me known, who be duly sworn, did depose s
that he is the President of LEXON INSURANCE COMPANY, the corporation described in and which executed the above instrument; that
wted said instrument on behalf of the corporation by authority of his office under the By-laws of said corporation-
-no
AMY L. TAYLOR
Notary Public- State of Tennessee
Teiwwa -
- Davidson County
My Commission Exoires 01-09-16
CERTIFICATE
BY , ( , A -
I %J
Am r. Taylor
No fy Public
I, the undersigned, Assistant Secretary of LEXON INSURANCE COMPANY, A Texas Insurance Company, DO HEREBY CERTIFY
the original Power of Attorney of which the forgoing is a true and correct copy, is in full force and effect and has not been revoked and
resolutions as set forth are now in force.
igned and Seal at Mount Juliet, Tennessee this 21
SEAL{
[oFs
Day of July 20 15
BY
Andrew Smith
Assistant Secretary
"WARNING: Any person who knowingly and with intent to defraud any insurance company or other person, files and application for insurance of claim
containing any materially false information, or conceals for the purpose of misleading, information concerning any fact material thereto, commits a
fraudulent insurance act, which is a crime and subjects such person to criminal and civil penalties."
STATE OF ILLINOIS }
COUNTY OF DU PAGE}
On July 21 2015, before me, a Notary Public in and for said County and State, duly
commissioned and sworn, personally appeared Dawn L. Morgan known to me to be Attorney -
in -Fact of Lexon Insurance Company the corporation described in and that executed the within
and foregoing instrument, and known to me to be the person who executed the said instrument
on behalf of the said corporation, and he duly acknowledged to me that such corporation
executed the same.
IN WITNESS WHEREOF, I have hereunto set my hand and affixed my official seal, the day and
year stated in this certificate above.
My Commission Expires March 23, 2019 % h
Ti iff, N lic
Commission No. 816980
TIFFANY CUNNIFF
OFFICIAL SEAL
s hJgfaryPuUlic,Still ebfIllinois
My Commission Expir'Ds
March 23. 2019
CALIFORNIA ALL-PURPOSE ACKNOWLEDGMENT CIVIL CODE § 1189
:C"- "— s�-s is -.. ":
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 Diego
On
Date
personally appeared
before me, M K Stuckey, notary In,hl; c ,
Here Insert Name and Title of the Officer
Donald W. Fontana
Name(s) of Signer(s)
who proved to me on the basis of satisfactory evidence to be the person whose name(} isla�6
subscribed to the within instrument and acknowled ed to me that hels�elth] y executed the same in
hislhV/th� r authorized capacity(i ), and that by his/ rltf�ir signature(trtl on the instrument the person),
or the entity upon behalf of whic the person() acted, ex cuted the ins{raiment.
M K STUCKEY
Ccmm"lon • 2107610
IWry PubNe - California
Sm Dfto County
Comm. 1= Mly 16, 2019
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 Nota 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
Title or Type of Document: _ Document Date:
Number of Pages: Signer(s) Other Than Named Above:
Capacity(ies) Claimed by Signer(s)
Signer's Name:
❑ Corporate Officer — Title(s):
❑ Partner — ❑ Limited ❑ General
❑ Individual ❑ Attorney in Fact
❑ Trustee ❑ Guardian or Conservator
❑ Other:
Signer Is Representing:
Signer's Name:
❑ Corporate Officer — Title(s):
❑ Partner — ❑ Limited ❑ General
❑ Individual ❑ Attorney in Fact
❑ Trustee ❑ Guardian or Conservator
❑ Other:
Signer Is Representing
02014 National Notary Association - www.NationalNotary.org - 1-800-US NOTARY (1-800-876-6827) Item #5907
FAITHFUL PERFORMANCE BOND
(LQMC 8.02.01 & CBC 3311)
Bond 1100276
Grading Bond
WHEREAS,the City of La Quinta, California, is prepared to issue Encroachment Permit
# in accordance with the La Quinta Municipal Code, and the California Building Code which is
adopted by reference, to RREF 11-CWC, LaQ LLC, A California Limited Liability Company, as Principal,
whereby Principal will be authorized to perform certain grading improvements identified in the permit, and as
further detailed on the grading plans referenced therein; to privately -owned property generally known to the City
and others as The Signature at PGA West, TTM 36537 ; and
WHEREAS, Said Principal is required underthe terms of the permit to furnish a bond for the
faithful performance of the grading work in accordance with the approved plans, specifications, and permit
requirements; or, if the work is abandoned (not completed as required), Principal shall correct or eliminate any
hazardous conditions that may exist.
NOW, therefore, we the Principal and Lexon Insurance Company
as Surety, are held and firmly bound unto the City of La Quinta, as Obligee, in the
penal sum of Two million 3 thousand seven hundred ten and 001100
Dollars ($2,003,710.00) lawful money of the United States, for the payment of which sum well and truly to be
made, we bind ourselves, our heirs, 'successors, executors and administrators, jointly and severally, firmly by
these presents.
The condition of this obligation is such that if the above bonded Principal, his or its heirs, executors,
administrators, successors or assigns, shall in all things stand to and abide by, and well and truly keep and
perform the covenants, conditions and provisions in the said permit and any alteration thereof made as therein
provided, on his or their part, to be kept and performed at the time and in the manner therein specified, and in
all respects according to their true intent and meaning, and shall indemnify and save harmless the Obligee, its
officers, agents and employees, as therein stipulated, then this obligation shall become null and void;
otherwise, it shall be and remain in full force and effect.
As a part of the obligation secured hereby and in addition to the face'amount specified therefore, there shall be
included costs and reasonabl6 expenses and fees, including reasonable attorney's fees, incurred by the
Obligee in successfully enforcing such obligation, all to be taxed as costs and included in any.judgment
rendered.
The surety hereby stipulates and agrees that no change, extension of time, alteration or addition to the terms of
the permit or to the work to be performed there under or the specifications accompanying the same shall in
anywise 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 permit or to the work or to the specifications.
Page 1 of 2
Grading Bond
Encroachment Permit #
Page 2 of 2
In witness whereof, this instrument has been duly executed by the Principal and Surety above named, on
March 414
Principal: RREF 11-CWC LaQ, L A Calif rnia LLC
(Seal)
Signature of Principal:
Title of Signatory; Don Fontana, President
Surety Lexon I Cs e Company
(Seal) -
Signature of Surety ,
Title of Signatory Peggy Faust
Attorney -In -Fact
Address of Surety :12890 Lebanon Road
Mt. Juliet, TN 37122
Phone#of Surety : (615) 553-9535
Contact Person For Surety Greg Semrow
POWER OF ATTORNEY LX_ 205234
Lexon Insurance Company
KNOW ALL MEN BY THERE PRESENTS, that LEXON INSURANCE COMPANY, a Texas Corporation, with its principal office in
Louisville, Kentucky, does hereby constitute and appoint:
James I. Moore, Bonnie Kruse, Stephen T. Kazmer, Peggy Faust,
Dawn L. Morgan, Kelly A. Gardner, Elaine Marcus, Jennifer J. McComb, Melissa Schmidt, Tariese M. Pisciotto
its true and lawful Attorney(s)-In-Fact to make, execute, seal and deliver for, and on its behalf as surety, any and all bonds, undertakings or other
writings obligatory in nature of a bond.
This authority is made under an(] by the authority of a resolution which was passed by the Board of Directors of LEXON INSURANCE
COMPANY on the list day of July, 2003 as follows:
Resolved, that the President of the Company is hereby authorized to appoint and empower any representative of the Company or other
person or persons as Attorney -In -Fact to execute on behalf of the Company any bonds, undertakings, policies, contracts of indemnity or other
writings obligatory in nature of a bond not to exceed $8,000,000.00 Eight
dollars, which the Company might execute through its duly elected officers, and affix the seal of the Company thereto. Any said execution of such
documents by an Attorney -In -Fact shall be as binding upon the Company as if they had been duly executed and acknowledged by the regularly
elected officers of the Company. Any Attorney -In -Fact, so appointed, may be removed for good cause and the authority so granted may be
revoked as specified in the Power of Attorney.
Resolved, that the signature of the President and the seal of the Company may be affixed by facsimile on any power of attorney granted,
and the signature of the Assistant Secretary, and the seal of the Company may be affixed by facsimile to any certificate of any such power and
any such power or certificate bearing such facsimile signature and seal shall be valid and binding on the Company. Any such power so executed
and sealed and certificate so executed and sealed shall, with respect to any bond of undertaking to which it is attached, continue to be valid and
binding on the Company.
IN WITNESS THEREOF, LEXON INSURANCE COMPANY has caused this instrument to be signed by its President, and its Corporate
Seal to be affixed this 215t day of September, 2009.
�uStA►PC&
IP
S E A L <
P
VTR OF S�+
ACKNOWLEDGEMENT
LEXON INSURANCE COMPANY
BY 6 �
David E. Campbell
President
On this 21st day of September, 2009, before me, personally came David E. Campbell to me known, who be duly sworn, did depose and
say that he is the President of LEXON INSURANCE COMPANY, the corporation described in and which executed the above instrument; that he
executed said instrument on behalf of the corporation by authority of his office under the By-laws of said corporation.
AMY L. TAYLOR
Notary Public- State of Tennessee
Davidson County
.� My Commission Expires 01-09-16
CERTIFICATE
BY JV" � Ativ
Amy aylar
Notary Public
I, the undersigned, Assistant Secretary of LEXON INSURANCE COMPANY, A Texas Insurance Company, DO HEREBY CERTIFY that
the original Power of Attorney of which the forgoing is a true and correct copy, is in full force and effect and has not been revoked and the
resolutions as set forth are now in force.
Signed and Seal at Mount Juliet, Tennessee this 24th Day of March 20
CIO
D�p[7uq,�,
ry v F '
SEALi
�A� DF Yam}
14
J� �--
BY
Andrew Smith
Assistant Secretary
"WARNING: Any person who knowingly and with intent to defraud any insurance company or other person, files and application for insurance of claim
containing any materially false information, or conceals for the purpose of misleading, information concerning any fact material thereto, commits a
fraudulent insurance act, which is a crime and subjects such person to criminal and civil penalties."
State of: ILLINOIS
County of: DUPAGE
On March 24, 2014, before me, Melissa Schmidt, a Notary Public in and
for said County and State, residing therein, duly commissioned and
sworn, personally appeared Peggy Faust, known to me to be Attorney -in -
Fact for Lexon Insurance Company, the corporation described in and that
executed the within and foregoing instrument, and known to me to be the
person who executed the said instrument on behalf of the said
corporation, and he duly acknowledged to me that such corporation
executed the same.
IN WITNESS WHEREOF, I have hereunto set my hand and affixed my official
seal, the day and year stated in this certificate above.
My Commission Expires: May 14, 2016.
L'��
Me issa Schmidt, notary Public
OFFICIAL sMELIS-Vw'^,� w,
'vCTARY PPSL AL
SCNNp��T
MY COMA IS510 11 FxPrE OF 1LLlNp+S
RSS:051d4176
CALIFORNDA ALL=PURPOSE ACKNOWLEDGMENT
State of California
County of San Diego
On 3/25/2014
Date
personally appeared
before me, M.K. Stuckey, notary public
Here Insert Name and Tills of the OfOcar
Donald W. Fontana
M. K. STUCKEY
Commission # 1933217
z ; -: Notary Public - California z
z ` San Diego County
My Comm. Expires May 16. 2015
Names) of Signer(s)
COV OIL coma § ii Ias
kryho proved to me on the basis of satisfactory
evidence to be the person% whose name) isfk(e
subscribed to the within instrument and acknowledged
to � f3e that heloefti)6y execuied the sane in
his"MAILir authorized capacity(ios), and that by
hislh frl4ir signature(y on the instrument the
person}, or the entity upon behalf of which the
PE rson{ 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.
Signature:
. 1). c�X:C,4
Place Notary Seal Above Signature of Nola Public
Though the information below is not required by law, if may prove valuable to persons relying on the document
and could prevent fraudulent removal and reattachment of this form to another document.
DescPOp ion of Attached Docuri sn2
Title or Type of Document:
Document Date:
Signer(s) Other Than Named Above:
CaPECRY(iss) coah-fled by ftnerr(z)
Signer's Name: — _
❑ Corporate Officer- — Title(s):
❑ Individual
rhea _.
❑ Partner — ❑ Limited ❑ General Top of thumb here
❑ Attorney in Fact
❑ Trustee
❑ Guardian or Conservator
❑ Other:
Signer Is Representing:
Number of rages:
Signer's Name:
❑ Corporate Officer — Title(s):
❑ Individual
❑ Partner — ❑ Limited ❑ General Top of thumb here
❑ Attorney in Fact
❑ Trustee
❑ Guardian or Conservator
❑ Other:
Signer Is Representing:
r
6
r�
0 2010 National Notary Association • NationalNotary.org • 1-800-US NOTARY (1-800-876-6827) _ Item #5907
ta QaL&a
— ��t.a� ��rr,; u►sr.k�i —
June 20, 2017
McKenna Layne
RREF II-CWC LaQ, LLC
5927 Priestly Drive, Suite 110
Carlsbad, CA 92008
Re: Tract Map 36537
Per authorization from the Public Works Department, the City Clerk's office hereby
releases Performance Bond No. 1100275 in the reduced amount of $12,542.
If you have any questions, please call me at (760) 777-7103.
Sincerely,
Pam Nieto
Deputy City Clerk
c: Frank Spevacek, City Manager
Lexon Insurance Company
File
78-495 Calle Tampico La Quints, CA 92253 760.777.7000
t(V
(2�W
- -- CEM of1he GESERf —
MEMORANDUM
To: Susan Maysels, City Clerk
From: Bryan McKinney, Principal Engineer
Date: June 15, 2017
Subject: Release of Performance Security for Off -Site Storm Drain Improvements
Tract Map No. 36537, The Signature
Please release the following performance security held in your files for the above
referenced tract. The off -site storm drain work associated with the Public Works
permit has been completed.
The performance amount and the address to the developer and surety company are
as follows:
TRACT No. 36537
Performance Bond No.
Performance Amount
1100275
$12,542 (reduced amount)
Developer: McKenna Layne
RREF II-CWC LaQ, LLC
5927 Priestly Drive, Suite 110
Carlsbad, CA 92008
Surety Company: Lexon Insurance Company
12890 Lebanon Road
Mt. Juliet, TN 37122
Attn: Greg Semrow
Cc: Project File I, Tract Map No. 36537
CU
' � Q F Tt'�•
To: Susan Maysels, City Clerk
From: Amy Yu, Associate Engineer
Date: March 4, 2016
Re: Reduction Bond Rider to Performance Bond for Off -Site Storm
Drain Improvements - Tract Map No. 36537, The Signature
Please attach the new reduction bond rider to the existing off -site storm
drain performance security bond for TM 36537. Please find enclosed the
new reduction bond rider (reduced amount).
The amount and addresses to the developer and the surety company are as
follows:
TRACT No. 36537
Performance
Reduced Performance
Bond Number
Security
Amount
1100275
$125,424
$12,542
Developer: Ms. Liz Belloso
RREF II-CWC LaQ, LLC
5927 Priestly Drive, Suite 100
Carlsbad, CA 92008
Surety Company: Lexon Insurance Company
12890 Lebanon Road
Mt. Juliet, TN 37122
Cc: Project File I, Tract Map No. 36537
SURETY BOND RIDER
To be attached to and form apart of Bond No. 1100275
Original Effective Date: March 24. 2014
Bond Amount: $125,424.00
Executed by: RREF H-CWC Lap, LLC as Principal
and by: Lexon Insurance Company as Surety
in favor of: City of as Obligee
in consideration of the mutual agreements herein contained, the Principal and Surety
hereby consent to:
Reduce the penal sum of the bond from $125,424.00 to $12,542.00
Nothing herein contained shall vary, alter or extend any provision or condition of this
bond except as herein expressly stated.
This rider is effective F&g,
M 17, 201
Signed and Sealed February 19, 2016
R.REF II-CWC LaQ, LLC
Principal
Lexon Insurance Company
Surety
By: I— riii�l �t
Dawn L Morgan, Attorney -in -Fa
Signature Page to Surety Bond Rider No. 1100275
Effective February 17, 2016
RREF II-CWC LAQ, LLC,
a California limited liability company
By: California West Construction, Inc.,
a California Corporation
Its Authorized Agent
By:
Name: Donald W. F a
Title: President
POWER OF ATTORNEY
Lx- 269799
Lexon Insurance Company
KNOW ALL MEN BY THESE PRESENTS, that LEXON INSURANCE COMPANY, a Texas Corporation, with its principal office in
Louisville, Kentucky, does hereby constitute and appoint James I Moore, Bonnie Kruse, Stephen T. Kazmer, Dawn L. Morgan, Kelly A.
Gardner. Elaine Marcus, Jennifer J. McComb, Melissa Schmidt, Tariese M. Pisciotto, Diane Rubright, Tiffany Cunniff its true and lawful
Attorney(s)-In-Fact to make, execute, seal and deliver for, and on its behalf as surety, any and all bonds, undertakings or other writings
obligatory in nature of a bond.
This authority is made under and by the authority of a resolution which was passed by the Board of Directors of LEXON INSURANCE
COMPANY on the 15t day of July, 2003 as follows:
Resolved, that the President of the Company is hereby authorized to appoint and empower any representative of the Company or other
person or persons as Attorney -In -Fact to execute on behalf of the Company any bonds, undertakings, policies, contracts of indemnity or other
writings obligatory in nature of a bond not to exceed $8,000,000 Eight Million dollars, which the Company might execute through its duly
elected officers, and affix the seal of the Company thereto. Any said execution of such documents by an Attorney -In -Fact shall be as binding
upon the Company as if they had been duly executed and acknowledged by the regularly elected officers of the Company. Any Attorney -In -
Fact, so appointed, may be removed for good cause and the authority so granted may be revoked as specified in the Power of Attorney.
Resolved, that the signature of the President and the seal of the Company may be affixed by facsimile on any power of attorney
granted, and the signature of the Assistant Secretary, and the seal of the Company may be affixed by facsimile to any certificate of any such
power and any such power or certificate bearing such facsimile signature and seal shall be valid and binding on the Company. Any such
power so executed and sealed and certificate so executed and sealed shall, with respect to any bond of undertaking to which it is attached,
continue to be valid and binding on the Company.
IN WITNESS THEREOF, LEXON INSURANCE COMPANY has caused this instrument to be signed by its President, and its Corporate
Seal to be affixed this 5th day of August, 2015.
LEXON INSURANCE COMPANY
r
BY
David E: tampbell
President
ACKNOWLEDGEMENT
On this 5th day of August, 2015, before me, personally came David E. Campbell to me known, who be duly sworn, did depose and say
that he is the President of LEXON INSURANCE COMPANY, the corporation described in and which executed the above instrument; that he
executed said instrument on behalf of the corporation by authority of his office under the By-laws of said corporation.
AMY TAYLOR JVJw�,(
e Notary Public- State of Tennessee BY
Davidson County Amy ylOr
My Commission Expires 07-08-19 Nota Public
CERTIFICATE
I, the undersigned, Assistant Secretary of LEXON INSURANCE COMPANY, A Texas Insurance Company, DO HEREBY CERTIFY
that the original Power of Attorney of which the forgoing is a true and correct copy, is in full force and effect and has not been revoked and the
resolutions as set forth are now in force.
Signed and Seal at Mount Juliet, Tennessee this 19 Day of FebrUarY , 20 16
,t nvray s � f
$ S E A L { BY Andrew Smith
Assistant Secretary
"WARNING: Any person who knowingly and with intent to defraud any insurance company or other person, files and application for insurance of
claim containing any materially false information, or conceals for the purpose of misleading, information concerning any fact material thereto,
commits a fraudulent insurance act, which is a crime and subjects such person to criminal and civil penalties."
STATE OF ILLINOIS }
COUNTY OF DU PAGE}
On February 19, 2016 before me, a Notary Public in and for said County and State, duly
commissioned and sworn, personally appeared Dawn L. Morgan known to me to be Attorney -
in -Fact of Lexon insurance Companythe corporation described in and that executed the within
and foregoing instrument, and known to me to be the person who executed the said
instrument on behalf of the said corporation, and he duly acknowledged to me that such
corporation executed the same.
IN WITNESS WHEREOF, I have hereunto set my hand and affixed my official seal, the day and
year stated in this certificate above.
My Commission Expires March 23, 2019
Tiff
, otary Pub '
Commission
o 16980
?'1l+
r^ �
.;
TIFFANY CUNNIFF
OFFICIAL SEAL
Notify Puhllc, SIEIIC 0I II�IIlolS
I'Ay Commission -
CxJrucs
-
MafcL 23, 2010
CALIFORNIA ALL-PURPOSE ACKNOWLEDGMENT CIVIL CODE § 1189
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 Dieoo )
On _2 / 2 2 / 1 66 before me, M. C. S
Date Here Insert Name and Title of the Officer
personally appeared . Donald W. Fontana
Name(s) of Signer(s)
who proved to me on the basis of satisfactory evidence to be the person whose name( isla�
subscribed to the within instrum nt and acknowledged Z methat hell eltl� executed the same ihislh r/th r authorized capacity(i ), and that by his/h (!tt signature on the instrument the perso
J� of which the erson A acteEi, a ecuted the in trument.
or th�errtrty upon behalf P �1
--------------
M K STtICKEY
Cortlmlttlon 0 2107610
Mainz pwft - CaIltornla
San Diego County
My com. Um May 16, 2019
I certify under PENALTY OF PERJURY under the laws
of the State of Cal'rfomia that the foregoing paragraph
is true and correct.
WITNESS my hand and official seal.
SignatureRe =�X
—
Signature of No 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
Title or Type of Document: _ Document Date:
Number of Pages: Signer(s) Other Than Named Above: _
Capacity(ies) Claimed by Signer(s)
Signer's Name:
❑ Corporate Officer — Title(s): .
❑ Partner — ❑ Limited ❑ General
❑ Individual ❑ Attorney in Fact
❑ Trustee ❑ Guardian or Conservator
M n+harm
Signer Is Representing:
Signer's Name: _ —
❑ Corporate Officer — Title(s):._
❑ Partner — ❑ Limited ❑ General
❑ Individual ❑ Attorney in Fact
❑ Trustee ❑ Guardian or Conservator
F1 rl+har- —
Signer Is Representing:
p2014 National Notary Association - wvvw.NationaJNotary.org - 1-800-US NOTARY (1-800-876-6827) Item #5907
FAITHFUL PERFORMANCE BOND
(LQMC 14.16.180)
Bond 1100275
WHEREAS, the City of La Quinta, California, is prepared to issue Encroachment
Permit # in accordance with the La Qu[nta Municipal Code, to RREF I[-CWC LaQ LLC a
California limited Liabilily Cow as Principal, whereby Principal will be authorized to construct certain off -
site improvements identified in the permit, and further detailed on the improvement plans referenced therein;
and
WHEREAS, Said Principal is required to furnish a surety bond in accordance with La Quinta
Municipal Code Section 14.16.180 to faithfully perform and construct the permitted improvements, or restore
the off -site area to its former. condition in the event the proposed improvements are not completed in
accordance with the approved plans, specifications, ane permit requirements to the satisfaction of the Public
Works Director; or, if the work is abandoned (not completed as required), Principal shall complete the
improvements, or restore the off -site area to its former condition, whichever is the less expensive alternative
of these two alternatives to perform.
NOW, therefore, we the Principal and Lexon Insurance Company
, as Surety, are held and firmly bound unto the City of La Quinta, as Obligee, in the
penal sum of One hundred twenty five thousand four hundred twenty four and 001100.Dollars
($125,424.00) lawful money of the United States, for the payment of which sum well and truly to be made, we
bind ourselves, our heirs, successors, executors and administrators,'jointly and severally, firmly by these
presents.
The condition of this obligation is sudh that if the above bonded Principal, his or its heirs, executors,
administrators, successors or assighs,.shall in all things stand to and abide by, and well and truly keep and
perform the covenants, conditions and provisions in the said permit and any alteration thereof made as
therein _provided, on his or their part,' too be kept and performed at the time and in the manner therein
specified, and In all respects according to their true intent and meaning, and shall indemnify and save
harmless the Obligee, its officers, agents and employees, as therein stipulated, then this obligation shall
become null and void; otherwise, it shall be and remain in full force and effect.
As a part of the obligaton secured hereby and in addition to the face amount specified therefore, there shall
be included costs and reasonable expenses and fees, including reasonable attorney's fees, incurred by the
Obligee in successfully. enforcing such obligation, all to be taxed as costs and included in any judgement
rendered.
The surety hereby stipulates and agrees that no change, extension of time, alteration or addition to the terms
of the permit or to the work to be performed thereunder or the specifications accompanying the same shall in
anywise 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 permit or to the work or to the specifications.
T DriveUdministrative Services Division\Forms\OriginalsTaiWul Performance Bond
Page 1 of 2
n�r,4►�� 4A
Performance Bond
Encroachment Permit #
Page 2 of 2
In witness whereof, this instrument has been duly executed by the Principal and Surety above named, on
March 24, 2014.
Principal: RREF II-CWC Lad LLC a California LLC
(Seal)
Signature of Principal:
Title of Signatory: Don Fontana President
Surety � Lexon Insurance Company
(Seal) _
Signature of Surely' ' •}.�.
Title of Signatory Peggy Faust
Attorney -In -Fact
Address of Surety 12 6 9 0 Lebanon Road
Mt.Juliet, TN 37122
Phone#of Surety (615) 553-9535
Contact Person For Surety Greg Semrow
T Drive\AdminhS aEi<<e Services Division\FormWriginals
Q3
OF T�fi9
To: Susan Maysels, City Clerk
From: Bryan McKinney, P.E., Development Services Principal Engineer
Via: T ❑thy R. Jonasson, P.E., Public Works Director /City Engineer
Date: May 24, 2016
Subject: Release of Labor & Materials Security for Off -Site Storm Drain
Improvements, Tract Map No. 36537, The Signature
Please release the following security held in your files for the above
referenced project. The off -site storm drain work associated with the Public
Works permit has been completed.
The security amount and the address to the developer and Surety Company
are as follows:
TRACT No. 36537
Bond No.
I Bond Amount
1100275 Labor & Materials)
1 $125,424
Developer: McKenna Layne
RREF II-CWC LaQ, LLC
5927 Priestly Drive, Suite 110
Carlsbad, CA 92008
Surety Company: Lexon Insurance Company
12890 Lebanon Road
Mt. Juliet, TN 37122
Attn: Greg Semrow
Cc: Project File I, Tract Map No. 36537
ui+r
❑� „r c
4 OF
May 28, 2015
Ms. Liz Belloso
RREF ll-CWC LaQ, LLC
5927 Priestly Drive, Suite 110
Carlsbad, CA 92008
Re: Tract Map 36537
Dear Ms. Belloso:
Per authorization from the Public Works Department, the City Clerk's office hereby
releases the Performance Bond No.1100273 in the amount of $21,776.00
If you have any questions, please call me at (760) 777-7103.
Sincerely,
Pam Nieto
Administrative Technician
c: Tim Jonasson, Public Works Director/City Engineer
Lexon Insurance Company
File
78-495 Calle Tampico I La Quinta I California 92253 1 760.777.7000 1 rwww.La-Qttinta.org
lM YZ
To: Susan Maysels, City Clerk
From: kyan McKinney, P.E., Development Services Principal Engineer*
Via: �tothy R. Jonasson, P.E., Public Works Director /City Engineer
Date: May 28, 2015
Subject: Release of Performance Security for Tract Map No. 36537, The
Signature
Please release the following security held in your files for the above
referenced project. The signing and striping work associated with the Public
Works permit has been completed.
The security amount and the address to the developer and Surety Company
are as follows:
TRACT No. 36537
Bond No. Bond Amount
1100273 (Performance) $21,776
Developer: Ms. Liz Belloso
RREF II-CWC LaQ, LLC
5927 Priestly Drive, Suite 110
Carlsbad, CA 92008
Surety Company: Lexon Insurance Company
12890 Lebanon Road
Mt. Juliet, TN 37122
Attn: Greg Semrow
Cc: Project File I, Tract Map No. 36537
FAITHFUL PERFORMANCE BOND
(LQMC 14.16.180)
Bond 1100273
WHEREAS, the City of La Quinta, California, is prepared to issue Encroachment
Permit # in accordance with the La Quinta Municipal Code, to RREF 11-CWC LaQ, LLC, as
California Limited Liability Company, as Principal, whereby Principal will be authorized to construct certain off -
site improvements identified in the permit, and further detailed on the improvement plans referenced therein;
and
WHEREAS, Said Principal is required to furnish a surety bond in accordance with La Quinta
Municipal Code Section' 14.16.180 to faithfully perform and construct the permitted improvements, or restore
the off -site area to its .former condition in the event'the proposed improvements are not completed in
accordance with the approved plans, specifications, and permit requirements to the satisfaction of the Public
Works Director; or, if the work is abandoned (not completed as required), Principal shall complete the
improvements, or restore the off -site area to its former condition, whichever is the less expensive alternative
of these two alternatives to perform.
NOW, therefore, we the Principal and Lexon Insurance Company
. , as Surety, are held and firmly bound unto_ the City of La Quinta, as Obligee, in the
penal sum of Twenty one thousand, seven hundred seventy six and 001100 Dollars ($21,776.00) lawful
money of the United States, for the payment of which sum well and truly to be made, we bind oursefves, our
heirs, successors, executors and administrators, jointly and severally, firmly by these presents.
The condition of this obligation is such that if the above bonded Principal, his or its heirs, executors,
administrators, successors or assigns, shall in all things stand to and abide by, and well and truly keep and
perform the covenants, conditions and provisions in the said permit and any alteration thereof made as
therein provided, on his or their part, to be kept and performed at the time and in the manner therein
specified, and in all respects according to their true intent and meaning, and shall indemnify and save
harmless the Obligee, its officers, agents and employees, as therein stipulated, then this obligation shall
become null and void; otherwise, it shall be and remain in full force and effect.
As a part of the obligaton secured hereby and in addition to the face amount specified therefore, there shall
be included costs and reasonable expenses and fees, including reasonable attorney's fees, incurred by the
Obligee in successfully enforcing such obligation, all to be taxed as costs and included in any judgement
rendered.
The surety hereby stipulates and agrees that no change, extension of time, alteration or addition to the terms
of the permit or to the work to be performed thereunder:or the specifications accompanying the same shall in
anywise 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 permit or to the work.or.to the specifications.
Page 1 of 2
T DrivMdministraiive Services Division\Forms\Originals\Faithful Performance Bond
Performance Bond
Encroachment Permit #
Page 2 of 2
In witness whereof, this instrument has been duly executed by the Principal and Surety above named, on
March 24, 2014.,
Principal: RREF 11-CWC L.aQ LC a California LLC
(Seal) �
Signature of Principal: 6
Title of Signatory: Don Fontana. President
Surety: Lexon Insurance Company
(Seal)
Signature of Surety "��•.J
Title of Signatory : Peggy Faust
Attorney -In -Fact
Address of Surety: 12890 Lebanon Road
Mt. Juliet, TN 37122
Phone #of Surety (615) 553-9535
Contact Person For Surety Greg Semrow
T DriveW ininistrative Services DivisionWormAOriginnals
CALIFORNIA ALL-PURPOSE 1%C NOWLERVA ENT
State of California
County of
San Diego
On 3/25/201.4
Date
personally appeared
before me, M.K. Stuckey, notary public
Hare Insert Name and Tilla of the Otiicer
Donald W. Fontana
Name(s) of Slgmr(s)
GML C®Br= @ 9 aae
who proved to me on the basis of satisfactory
evidence to be the person_�V whose named) isj [a
subscribed to the within instrument and acknowledged
to me that hoi+tf y executed the same in
M. K. STUCKEY hi sli Mh�, r authorized capacity(ies), and that by
Commission # 1933217 hislh�rlt it signature ) on the instrument the
z _ Notary Public -California > person( or the entit�l upon behalf of which the
a San Diego County person( acted, executed the Instrument.
My Comm. Expires May 16, 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.
'H 1( � Ll -
Signature: el
Plaoe Notary Seal Above Slgnarwe o Notp Public
Though the information below is not required by law, it may prove valuable to persons re1Xn9i on the document
and could prevent fraudulent removal and reattachment of this form to another document.
Description of Attachf ,l Document
Title or Type of Document:
Document Date:
Signer(s) Other Than Named Above:
Ca psc ty(i -: -s) Gail ved by Signer(s)
Signer's Name:
❑ Corporate Officer — Title(s):
❑ Individual
❑ Partner — ❑ Limited ❑ General Top of thumb here
❑ Attorney in Fact
❑ Trustee
❑ Guardian or Conservator
❑ Other:
Signer Is Representing:
Number of Pages:
Signer's Name:. -
❑ Corporate Officer — Title(s):
❑ individual u = • • r
6
❑ Partner — ❑ Limited ❑ General Top of thumb here
❑ Attorney in Fact
❑ Trustee
❑ Guardian or Conservator
❑ Other:
Signer Is Representing
® 2010 National Notary Association • NationalNotary.org • 1-800-US NOTARY (1-800-8766827) Item #5907
LABOR AND MATERIAL BOND
Bond 1100273
WHEREAS, the City of La Quinta, California, is prepared to issue Encroachment
Permit# in accordance with the La Quinta Municipal Code, RREF II CWC LaQ, LLC, A California
Limited Liability Company, as Principal, whereby Principal will be authorized to construct certain off -site
improvements identified in the permit, and further detailed on the improvement plans referenced therein; and
WHEREAS, the principal is required before entering upon the performance of the permitted work, to
file a good and sufficient payment bond with'the City of La Quinta to secure the claims to which reference is
made in Title 15 (commencing with Section 3082) of Part 4 of Division 3 of the Civil Code of the .State of
California. -
NOW, THEREFORE, we the principal and Lexon ' Insurance Company
as Surety, are held firmly bound unto the City of La Quinta and all
contractors, subcontractors, laborers, materialmen, and other persons employed in the performance of the
permitted improvements and referred to in Title 15 (commencing with Section 3082) of part 4 of Division 3 of
the Civil Code in the sum of Twenty one thousand, seven hundred seventy six and 001100 DOLLARS
($21, 7T�, for materials furnished or labor thereon of any kind, or for amounts due under the
Unemployment Insurance Act with respect to this work or labor, that the surety will pay the some in an
amount not exceeding the amount hereinabove setforth, and also in case suit is brought upon this bond, will
pay, in addition to the face amount thereof, costs and reasonable expenses and fees, including reasonable
attorney` s fees, incurred by city in successfully enforcing this obligation, to be awarded and fixed by the court,
and to be taxed as costs and to be included in the judgment therein rendered.
It is hereby expressly stipulated and agreed that this bond shall inure to the benefrt of any and all
persons, companies, and corporations entitled to file claims underTifle 15 (commencing with Section 3082) of
Part4 of Division 3 of the Civil Code, so as to give a right of action to them ❑rtheir assigns in any suit brought
upon this bond.
Should the condition of this bond be fully performed, then this obligation shall become null and void,
otherwise it shall be and remain in full force and effect.
The surety hereby stipulates and agrees that no change, extension of time, alteration or addition to
the terms of the permit or to the work to be performed thereunder or the specifications accompanying the
same shall in anywise 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 permit or to the work or to,the specifications.
Labor and Material Bond
Encroachment Permit #_
Page 2 of 2
In witness whereof, this instrument has been duly executed by the principal and surety above named,
on March 24, 2014.
R REF II-CWC LaO. LLC A California LLC
Prima'
(Seal)
Signature of rii6p4
bon l~'ontana, President _
Title of Signatory
Lexon Insurance Company
Surety
(Seal)
Signature of Surety Peggy Faust
Attorney -In -Fact
Title of Signatory
12890 Lebanon Road
Mt. Juliet, TN 37122
Address of Surety
(615) 553-9535
Phone # of Surety
Greg Semrow
Contact Person For Surety
POWER OF ATTORNEY LX- 205231
Lexon Insurance Company
KNOW ALL MEN BY THERE PRESENTS, that LEXON INSURANCE COMPANY, a Texas Corporation, with its principal office in
Louisville, Kentucky, does hereby constitute and appoint:
James I. Moore, Bonnie Kruse, Stephen T. Kazmer, Peggy Faust,
Dawn L. Morgan, Kelly A. Gardner, Elaine Marcus, Jennifer J. McComb, Melissa Schmidt, Tariese M. Pisciotto
its true and lawful Attorney(s)-In-Fact to make, execute, seal and deliver for, and on its behalf as surety, any and all bonds, undertakings or other
writings obligatory in nature of a bond.
This authority is made. under and by the authority of a resolution which was passed by the Board of Directors of LEXON INSURANCE
COMPANY on the 1st day of July, 2003 as follows:
Resolved, that the President of the Company is hereby authorized to appoint and empower any representative of the Company or other
person or persons as Attorney -In -Fact to execute on behalf of the Company any bonds, undertakings, policies, contracts of indemnity or other
writings obligatory in nature of a bond not to exceed $8,000,000.00 Eight
dollars, which the Company might execute through its duly elected officers, and affix the seal of the Company thereto. Any said execution of such
documents by an Attorney -In -Fact shall be as binding upon the Company as if they had been duly executed and acknowledged by the regularly
elected officers of the Company. Any. Attorney -In -Fact, so appointed, may be removed for good cause and the authority so granted may be
revoked as specified in the Power of Attorney.
Resolved, that the signature of the President and the seal of the Company may be affixed by facsimile on any power of attorney granted,
and the signature of the Assistant Secretary, and the seal of the Company may be affixed by facsimile to any certificate of any such power and
any such power or certificate bearing such facsimile signature and seal shall be valid and binding on the Company. Any such power so executed
and sealed and certificate so executed and sealed shall, with respect to any bond of undertaking to which it is attached, continue to be valid and
binding on the Company.
IN WITNESS THEREOF, LEXON INSURANCE COMPANY has caused this instrument to be signed by its President, and its Corporate
Seal to be affixed this 215t day of September, 2009.
SEAL
VJit ❑F t�
ACKNOWLEDGEMENT
LEXON INSURANCE COMPANY
BY
David E. Campbell
President
On this 21st day of September, 2009, before me, personally came David E. Campbell to me known, who be duly sworn, did depose and
say that he is the President of LEXON INSURANCE COMPANY, the corporation described in and which executed the above instrument; that he
executed said instrument on behalf of the corporation by authority of his office under the By-laws of said corporation.
a'••+�•vAMY L. TAYLOR
Notary Public- State of Tennessee
= Davidson County
My Commission Expires 01-09-16
'�f�e�11441N
CERTIFICATE
BY
VM � 4tiv-
Amy aylor
Notary Public
I, the undersigned, Assistant Secretary of LEXON INSURANCE COMPANY, A Texas Insurance Company, DO HEREBY CERTIFY that
the original Power of Attorney of which the forgoing is a true and correct copy, is in full force and effect and has not been revoked and the
resolutions as set forth are now in force.
Signed and Seal at Mount Juliet, Tennessee this
24th Day of March 20 14
BY 9�
J
Andrew Smith
Assistant Secretary
"WARNING: Any person who knowingly and with intent to defraud any insurance company or other person, files and application for insurance of claim
containing any materially false information, or conceals for the purpose of misleading, information concerning any fact material thereto, commits a
fraudulent insurance act, which is a crime and subjects such person to criminal and civil penalties."
State of: ILLINOIS
County of: DUPAGE
On March 24, 2014, before me, Melissa Schmidt, a Notary Public in and
for said County and State, residing therein, duly commissioned and
sworn, personally appeared Peggy Faust, known to me to be Attorney -in -
Fact for Lexon Insurance Company, the corporation described in and that
executed the within and foregoing instrument, and known to me to be the
person who executed the said instrument on behalf of the said
corporation, and he duly acknowledged to me that such corporation
executed the same.
IN WITNESS WHEREOF, I have hereunto set my hand and affixed my official
seal, the day and year stated in this certificate above.
My Commission Expires: May 14, 2016.
Melissa Schmidt, Notary Public
OFFICIA7EXR!JRE
MELISSA
NOTARY PUBLIC - STATE
MY C� M—MS510�I
,
CALIFORNIA ALL-PURPOSE ACKNOWLEDGMENT
State of California
County of San Diego
�t
t
On 3/25/2014 before me, M.K. Stuckey, notary public
Dais Hiere Insert Nero* and Tilte of the Officer
personally appeared Donald W. Fontana
Name(s) of Signer(s)
CRRL C®®I 1188
who proved to nee on the basis of satisfactory -
evidence to be the person(A) whose nameN) islaYp
M. K. STUCKEY subscribed to the within instrument and acknowledged
Commission # 1933217 z to me that hels�elt y executed the same in
z , Notary Public - California n his/*rlth fr authorize capacity(iesy, and that by
x San Diego County hisl rlt Ir signature( on the instrument the
My Comm. Expires May 16, 2015 J
person , or the entit} upon behalf of which the
person) 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.
Signature:
.� Place Notary Seal Above Signature of Nchary P tic.
I' Though the information below is nol required by law, it may prove valuable to persons relying on the document
and could prevent fraudulent removal and reatfachment of this form to another document.
Descripflon of Attached Document
Title or Type of Document:
Document Date: NUrnber of Pages:
Signer(s) Other Than Hamed Above: �
Capacity(ies) Clahned by Signer(s)
;`• Signer's lame: Signer's Name: �
❑ Corporate Officer — Title(s): ❑ Corporate Officer — T ifle(s): -�
❑ Individual ❑ Individual
❑ Partner -- ❑ Limited ❑ General Top of thumb here ❑ Partner -- ❑ Limited ❑ General Top of thumb here i
❑ Attorney in Fact ❑ Attorney in Fact S
❑ Trustee ❑ T rustea e`
C] Guardian or Conservator Cl Guardian .or Conservator
❑ Other: ❑ Other:
�` ca
Signer Is Representing: Signer Is Representing. '
® 2010 National Notary Association • Nationa[Notary,org - 1-800-US NOTARY (1-800-876-6827) ` Item #5907
September 4, 2015
Ms. Liz Belloso
RREF 11-CWC LaQ, LLC
5927 Priestly Drive, Suite 110
Carlsbad, CA 92008
Re: Tract Map 36537
Dear Ms. Belloso:
Per authorization from the Public Works Department, the City Clerk's office hereby
releases the Labor & Materials Bond No. 1100273 in the amount of $21,776.00. Our
records indicate that the original bond was inadvertently sent to you on May 28, 2015
along with the Performance Bond,
If you have any questions, please call me at (760) 777-7103.
Sincerely,
r
Pam Nieto
Administrative Technician
c: Tim Jonasson, Public Works Director/City Engineer
Lexon Insurance Company
File
78-495 Calle Tampico I La Quinta i California 92253 1 760.777.7000 1 wsnw,La- uinta.or•
To: Susan Maysels, City Clerk
From: Bryan McKinney, P.E., Development Services Principal Engineer
Via: imothy R. Jonasson, P.E., Public Works Director /City Engineer
Date: September 3, 2015
Subject: Release of Labor & Materials Security for Tract Map No. 36537,
The Signature
Please release the following security held in your files for the above
referenced project. The signing and striping work associated with the Public
Works permit has been completed.
The security amount and the address to the developer and Surety Company
are as follows:
TRACT No. 36537
Bond No. Bond Amount
1100273 (Labor & Materials) $21,776
Developer: Ms. Liz Belloso
RREF II-CWC LaQ, LLC
5927 Priestly Drive, Suite 110
Carlsbad, CA 92008
Surety Company: Lexon Insurance Company
12890 Lebanon Road
Mt. Juliet, TN 37122
Attn: Greg Semrow
Cc: Project File I, Tract Map No. 36537
�r �lF Tt.sE.
To: Susan Maysels, City Clerk
From: Bryan McKinney, P.E., Development Services Principal Engineer Al
Via: Timothy R. Jonasson, P.E., Public Works Director /City Engineer
Date: August 17, 2015
Re: Reduction Bond Rider to Grading Bond
Tract Map No. 36537, The Signature
Please attach the new reduction bond rider to the existing grading security
bond for TM 36537. Please find enclosed the new reduction bond rider
(reduced amount) which will secure the completion of the remaining grading
improvements.
The amount and addresses to the developer and the surety company are as
follows:
TRACT No. 36537
Bond Number
Performance
Reduced Performance
SecuritV
Amount
1100276
$2, 003, 710
$200, 371
Developer: Ms. Liz Belloso
RREF II-CWC LaQ, LLC
5927 Priestly Drive, Suite 100
Carlsbad, CA 92008
Surety Company: Lexon Insurance Company
12890 Lebanon Road
Mt. Juliet, TN 37122
Cc: Project File I, Tract Map No. 36537
Exhibit A
SECURITY - TRACT MAP NO. 36537, THE SIGNATURE
Performance Security
1st Partial
1st Partial
Improvement Description
Labor &
Original
Reduction
Reduction
(Bond No. 1100276)
Material
Amount
(Percent)
Amount
Grading
$2,003,710
90%
$200,371
TOTAL
-
$2,003,710
$200,371
IV
CahforniaWest
COMMUNITIES
TRANSMITTAL
TO: Amy Yu
CITY OF LA QUINTA
78-495 Calle Tampico
La Quinta, CA 92253-1504
FROM: Liz Belloso
(760) 918-2839
RE: The Signature at PGA West
Surety Bond Rider to Grading Bond No. 1100276
DATE: July 28, 2014
RECEIVED
JUL 31 2015
CITY OF LA QUINTA
COMMUNITY DEVELOPMENT
Enclosed is the original bond rider reducing the referenced bond to $200,371.00 per Timothy
Jonasson's letter dated July 15, 2015..
5927 Priestly Drive, Suite 110, Carlsbad, CA 92008
(760) 918-6768
way/ 4 4Q,imrw
MEMORANDUM
TO: Susan Maysels, City Clerk
FROM: W Wimmer, P.E., Development Services Principal Engineer
VIA: i , othy R. Jonasson, P.E., Public Works Director/City Engineer
DATE: May 28, 2014
RE: Bonds for Tract Map No. 36537, The Signature
The developer is posting the following bonds with the City for the above
referenced project:
1. Grading Bond
Performance = $ 2,003,710
Bond No. 1100276
2. Fugitive Dust Control Bond
Performance = $ 63,000
Bond No. 1100274
3. Bonds for Off -Site Storm Drain Improvements
Performance = $ 125,424
Labor & Materials = $ 125,424
Bond No. 1100275
4. Bonds for Off -Site Signing & Striping Improvements
Performance = $ 21,776
Labor & Materials = $ 21,776
Bond No. 1100273
Surety: Lexon Insurance Company
12890 Lebanon Road
Mt. Juliet, TN 37122
(615) 553-9535
Attn: Greg Semrow
If you have any questions, please contact me at extension 7047.
Thank You.