37359 SLF-Adams Street La Quinta, LLC - OBR & Released BondsOUTSTANDING BOND REPORT
Tract Number: 37359
Development: THE CENTRE
Developer/Owner: SLF-ADAMS STREET LA QUINTA, LLC
Bond Company: ATLANTIC SPECIALTY INSURANCE COMPANY
605 Highway 169 North, Suite 800
Plymouth, MN 55441
Attn: Patrick Benedict
Outstanding / Released Bonds:
Bond Type Bond No. Amount: Date Replaced or Released
Grading 800016782 $1,012,538 Released 9/18/2024
Performance
On-Site 800016783 $3,876,639 Released 9/18/2024
Performance
Off-Site 800016785 $459,032 Released 9/18/2024
Labor & Material
Off-Site 800016785 $459,032
Fugitive Dust
Control PM 10 800016784 $28,000 Released 9/19/2024
Warranty 800016785 $34, 775
MEMORANDUM
Date: September 19, 2024
To: Monika Radeva, City Clerk
Via: Bryan McKinney, P.E., Public Works Director / City Engineer
From: Amy Yu, Associate Engineer
Re: PM-10 Dust Control Bond Release, TM 37359, The Centre (Solterra)
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:
Bond Description Bond No.Bond Amount
PM-10 Dust Control 800016784 $28,000
Tract Map No. 37359
Developer: Lorena Cox
SLF-Adams Street La Quinta, LLC
18565 Jamboree Rd, Suite 200
Irvine, CA 92612
Surety Company: Atlantic Specialty Insurance Company
605 Highway 169 North, Suite 800
Plymouth, MN 55441
Attn: Patrick Benedict
If you have any questions, please contact me at extension 7047. Thank You.
September 19, 2024
Atlantic Specialty Insurance Company
605 Highway 169 North, Suite 800
Plymouth, MN 55441
Attn: Patrick Benedict
RE: TRACT MAP 37359 THE CENTRE (SOLTERRA) – RELEASE OF BOND
Dear Mr. Benedict,
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
800016784 $28,000 PM10 Fugitive Dust Control
A copy of the bond being released is enclosed for your reference.
SLF-Adams Street La Quinta, LLC the developer, was also notified of the above bond release
on 09/19/2024.
Please do not hesitate to contact me should you have any questions.
Sincerely,
Olivia Rodriguez, Acting Deputy City Clerk
Email: ORodriguez@LaQuintaCA.gov
Tel: (760) 777 - 7162
September 19, 2024
SLF-Adams Street La Quinta, LLC
18565 Jamboree Road, Suite 200
Irvine, CA 92612
Attention: Lorena Cox
RE: TRACT MAP 37359 THE CENTRE (SOLTERRA)– RELEASE OF BOND
Dear Ms. Cox,
Per authorization of the City of La Quinta Public Works Department, the City Clerk’s Office has
hereby released the following bond and notified International Atlantic Specialty Insurance
Company on 9/19/2024.
Bond Number Bond Amount Bond Type
800016784 $28,000 PM10 Fugitive Dust Control
The original paper bond is enclosed.
Please do not hesitate to contact me should you have any questions.
Sincerely,
Olivia Rodriguez, Acting Deputy City Clerk
Email: ORodriguez@LaQuintaCA.gov
Tel: (760) 777 - 7162
PREMIUM IS FOR THE CONTRACT TERM AND IS SUBJECT Bond No. 800016784
TO ADJUSTMENT BASED ON FINAL CONTRACT PRICE Premium: $245.00
FAITHFUL PERFORMANCE BOND
(LQMC 6.16)
Fugitive Dust Control Bond
WHEREAS, the City of La Quinta, California, is prepared to authorize
SLF-Adams Street La Quinta, LLC , 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, privately -owned property generally known to the City and others as Tract Map
37359 The Centre ;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 Atlantic Specialty Insurance Company , as Surety, are held and
firmly bound unto the City of La Quinta, as Obligee, in the penal sum of Twenty eight thousand eight hundred
Dollars ($28,800) 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 2 of 2
In witness whereof, this instrument has been duly executed by the Principal and Surety above named,
on June 23 2021
SLF-Adams Street La Quinta, LLC
Principal
(Seal) BY:
Signature of Principal
�ri oun� �P -�ec�1,�c_V ta���oicla►.E ' �,-�,>Ec.,
Title of Signatory RLC-L
Atlantic Specialty Insurance Company r
$Ci lit
(Seal)
Signature of Su y
Vanessa Copeland, Attorney -in -Fact
Title of Signatory
605 Highway 169 North, Suite 800
Plymouth, MN 55441
Address of Surety
(952)852-2431
Phone # of Surety
Patrick Benedict
Contact Person for Surety
T Drive/Checklists — Forms & Applications/Standard Dust Control Bond Form
ACKNOWLEDGMENT
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 Orange )
On June 24, 2021
before me, Terri Hovdestad, Notary Public
(insert name and title of the officer)
personally appeared Brian G. Rupp
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 signature(s) 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.
WITNESS my hand and official seal.
TERRI HOVDESTAD
Notary Public - California Z
Z Orange County
Commission k 2244544
My Comm. Expires Jun 28, 2022
(Seal)
CALIFORNIA ALL-PURPOSE ACKNOWLEDGMENT CIVIL CODE 1189
n%'`�`�.V�:.'✓n h'./� �'+.� t+✓-a✓4:�1n•/ri �.-; :::"H�i�i Y� �•�i•r.�;'�/v: i �'n''/.a`i+�Wti a �i� .^�i i .:..!!..` hu��.^.^ �h. i•�.��•.^.i�./,V\rV�.F:'f: ^�r �n r� �n�^'�/YW a'� ;•�!"Un Y��':1J. li i•:...;�n✓ry +a�•y' `Jh`��..: •i��'.�.: �iV •.r•i: �-�•^:. • n�v:
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 Orange )
On before me, Natassia Kirk -Smith Notary Public,
personally appeared Vanessa Copeland
Name(s) of Signer(s)
who proved to me on the basis of satisfactory evidence to be the person(s) whose name(s) is/arc subscribed to the
within instrument and acknowledged to me that he/she/they executed the same in his/her/th6r- authorized
capacity(ies), and that by his/her/their signature(s) on the instrument the person(, 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
Q NATASSIA KIRK -SMITH paragraph is true and correct.
Notary Public • California
Orange County WITNESS my hand and official a
Commission 2253818My Comm. Expires Aug 12, 2022
Signatur
Signature of is
Place Notary Sea] Above
OPTIONAL ----- -----------------------
Though the information below is not required by law, it may prove valuable to persons relying on the document
and could present fraudulent and reattachment of this form to another document.
Description of Attached Document
Type or Title of Document:
Document Date:
Signer(s) Other Than Named Above:
Capacity(ies) Claimed by Signer(s)
Signer's Name: Vanessa Copeland
❑ Individual
❑ Corporate Officer — Title(s):
❑ Partner: ❑Limited ❑ General
® Attorney in Fact
❑ Trustee
❑ Guardian or Conservator
❑ Other:
Signer Is Representing:
Number of Pages:
Capacity(ies) Claimed by Signer(s)
Signer's Name:
❑ Individual
❑ Corporate Officer — Title(s):
❑ Partner: ❑Limited ❑ General
❑ Attorney in Fact
❑ Trustee
❑ Guardian or Conservator
❑ Other:
Signer Is Representing:
�.. n . ... /. /'.. � hVh Y:..whJl,Yn�'.`^.��',`�i...".4 � . �i'.✓i�'�lv�"� �i_•//..�i �+i� i� h"-�.';...vF+�h�i'r"`��I� n .'. r..� /1 n ti�'.�J'.. F�✓,`V�Vi�'lh�l� +�4iA i� h''.�••i�Jn'�n ti �^�VAyh'�+�''�Vi'� �"��: i . h h h +�'iA��.l��-�,".i `�.yh
Rev. "1-15
intact
INSURANCE
KNOW ALL MEN BY THESE PRESENTS, that ATLANTIC SPECIALTY INSURANCE COMPANY, a New York corporation with its principal office in Plymouth,
Minnesota, does hereby constitute and appoint: Eric Lowey, Mark Richardson, Teresa Jackson, Kevin Cathcart, Vanessa Copeland, each individually if there be
more than one named, its true and lawful Attorney -in -Fact, to make, execute, seal and deliver, for and on its behalf as surety, any and all bonds, recognizances, contracts of
indemnity, and all other writings obligatory in the nature thereof; provided that no bond or undertaking executed under this authority shall exceed in amount the sum of:
unlimited and the execution of such bonds, recognizances, contracts of indemnity, and all other writings obligatory in the nature thereof in pursuance of these presents, shall be
as binding upon said Company as if they had been fully signed by an authorized officer of the Company and sealed with the Company seal. This Power of Attorney is made and
executed by authority of the following resolutions adopted by the Board of Directors of ATLANTIC SPECIALTY INSURANCE COMPANY on the twenty-fifth day of
September, 2012:
Resolved: That the President, any Senior Vice President or Vice -President (each an "Authorized Officer") may execute for and in behalf of the Company any and
all bonds, recognizances, contracts of indemnity, and all other writings obligatory in the nature thereof, and affix the seal of the Company thereto; and that the
Authorized Officer may appoint and authorize an Attorney -in -Fact to execute on behalf of the Company any and all such instruments and to affix the Company
seal thereto; and that the Authorized Officer may at any time remove any such Attorney -in -Fact and revoke all power and authority given to any such Attorney -in -
Fact.
Resolved: That the Attorney -in -Fact may be given full power and authority to execute for and in the name and on behalf of the Company any and all bonds,
recognizances, contracts of indemnity, and all other writings obligatory in the nature thereof, and any such instrument executed by any such Attorney -in -Fact shall
be as binding upon the Company as if signed and sealed by an Authorized Officer and, further, the Attomey-in-Fact is hereby authorized to verify any affidavit
required to be attached to bonds, recognizances, contracts of indemnity, and all other writings obligatory in the nature thereof.
This power of attorney is signed and sealed by facsimile under the authority of the following Resolution adopted by the Board of Directors of ATLANTIC SPECIALTY
INSURANCE COMPANY on the twenty-fifth day of September, 2012:
Resolved: That the signature of an Authorized Officer, the signature of the Secretary or the Assistant Secretary, and the Company seal may be affixed by
facsimile to any power of attorney or to any certificate relating thereto appointing an Attorney -in -Fact for purposes only of executing and sealing any bond,
undertaking, recognizance or other written obligation in the nature thereof, and any such signature and seal where so used, being hereby adopted by the Company
as the original signature of such officer and the original seal of the Company, to be valid and binding upon the Company with the same force and effect as though
manually affixed.
IN WITNESS WHEREOF, ATLANTIC SPECIALTY INSURANCE COMPANY has caused these presents to be signed by an Authorized Officer and the seal of the Company
to be affixed this twenty-seventh day of April, 2020.
,, P�'jy JNSG• ,•.
Q GpF
=� SEALm?
Ae
L2
r 1986 0;
STATE OF MINNE30Ti1 yb �Fw roP�-A
'`,1b
By
Paul J. Brehm, Senior Vice President
HENNEPIN COUNTY
On this twenty-seventh day of April, 2020, before me personally came Paul J. Brehm, Senior Vice President of ATLANTIC SPECIALTY INSURANCE COMPANY, to me
personally known to be the individual and officer described in and who executed the preceding instrument, and he acknowledged the execution of the same, and being by me
duly sworn, that he is the said officer of the Company aforesaid, and that the seal affixed to the preceding instrument is the seal of said Company and that the said seal and the
signature as such officer was duly affixed and subscribed to the said instrument by the authority and at the direction of the Company.
mob, ALISON DWAN NASH•TROUT
NOTARY PUBLIC • MINNESOTA
My Commission Expires
January 31, 2025
kuklx4l_
Notary Public
I, the undersigned, Secretary of ATLANTIC SPECIALTY INSURANCE COMPANY, a New York Corporation, do hereby certify that the foregoing power of attorney is in full
force and has not been revoked, and the resolutions set forth above are now in force.
Signed and sealed. Dated 23rd day of June 2021
rQf� ok?ORATF
=y SEAL m
`—' 1986 0
This Power of Attorney expires r26 tiFw YOP` i�:'
January 31, 2025
Kara Barrow, Secretary
Please direct bond verifications to surervrrDintactinsuranracom
MEMORANDUM
Date: September 18, 2024
To: Monika Radeva, City Clerk
Via: Bryan McKinney, P.E., Public Works Director / City Engineer
From: Amy Yu, Associate Engineer
Re: Bond Release for Off-Site and On-Site Improvements
TM 37359, The Centre (Solterra)
Please release the following bonds held in your files for the above referenced tract.
The performance bond to be released now and the labor & materials bond is to be released on
December 17, 2024 (90 days after City Council acceptance of the improvements).
The off-site and on-site improvements were accepted by City Council on September 17, 2024.
The bond amounts and the address to the developer and surety company are as follows:
Bond Description Bond No.Bond Amount
Grading 800016782 $1,012,538
Performance (on-site)800016783 $3,876,639
Performance (off-site)800016785 $459,032
Tract Map No. 37359
Please retain the attached Warranty Bond for the above referenced project for off-site
improvements.
Developer: Lorena Cox
SLF-Adams Street La Quinta, LLC
18565 Jamboree Rd, Suite 200
Irvine, CA 92612
Surety Company: Atlantic Specialty Insurance Company
605 Highway 169 North, Suite 800
Plymouth, MN 55441
Attn: Patrick Benedict
If you have any questions, please contact me at extension 7047. Thank You.
Warranty Bond Number Warranty Security
800016785 $34,775
September 18, 2024
Atlantic Specialty Insurance Company
605 Highway 169 North, Suite 800
Plymouth, MN 55441
Attn: Patrick Benedict
RE: TRACT MAP 37359 THE CENTRE (SOLTERRA) – RELEASE OF BONDS
Dear Mr. Benedict,
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
800016782 $1,012,538 Grading
800016783 $3,876,639 Performance (On-Site)
800016785 $459,032 Performance (Off-Site)
A copy of the bonds being released are enclosed for your reference.
SLF-Adams Street La Quinta, LLC the developer, was also notified of the above bonds release
on 09/18/2024.
Please do not hesitate to contact me should you have any questions.
Sincerely,
Olivia Rodriguez, Acting Deputy City Clerk
Email: ORodriguez@LaQuintaCA.gov
Tel: (760) 777 - 7162
September 18, 2024
SLF-Adams Street La Quinta, LLC
18565 Jamboree Road, Suite 200
Irvine, CA 92612
Attention: Lorena Cox
RE: TRACT MAP 37359 THE CENTRE (SOLTERRA)– RELEASE OF BONDS
Dear Ms. Cox,
Per authorization of the City of La Quinta Public Works Department, the City Clerk’s Office has
hereby released the following bonds and notified International Atlantic Specialty Insurance
Company on 9/18/2024.
Bond Number Bond Amount Bond Type
800016782 $1,012,538 Grading
800016783 $3,876,639 Performance (On-Site)
800016785 $459,032 Performance (Off-Site)
The original paper bonds are enclosed.
Please do not hesitate to contact me should you have any questions.
Sincerely,
Olivia Rodriguez, Acting Deputy City Clerk
Email: ORodriguez@LaQuintaCA.gov
Tel: (760) 777 - 7162
PREMIUM IS FOR THE CONTRACT TERM AND IS SUBJECT Bond No. 800016782
TO ADJUSTMENT BASED ON FINAL CONTRACT PRICE Premium: $8,607.00
FAITHFUL PERFORMANCE BOND
(LQMC 8.02.01 & CBC 3311)
Grading Bond
WHEREAS, the City of La Quinta, California, is prepared to issue Public Works Grading Permit
# in accordance with the La Quinta Municipal Code, and the California Building Code
which is adopted by reference, to SLF-Adams Street La Quinta. LLC , 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
Tract Map 37359 The Centre ; and
WHEREAS, Said Principal is required under the 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 Atlantic Specialty Insurance Company
, as Surety, are held and firmly bound unto the City of La Quinta, as Obligee, in
the penal sum of one million twelve thousand five hundred and thirty eight Dollars ($1,012,538.00 ) 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 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 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
Public Works Grading Permit #
Page 2 of 2
In witness whereof, this instrument has been duly executed by the Principal and Surety above named, on
June 23 2021
Principal
(Seal) SLF-Adams Street La Quinta, LLC
Signature of Principal
BY: l� 4�5f .
Title of Signatory `&' &yj (j,?4�
ecu -+,LVtc,WM iolu►�'
Atlantic Specialty Insurance Company,
uretyl
(Seal)
Signature k5re y
Vanessa Copeland, Attorney -in -Fact
Title of Signatory
605 Highway 169 North, Suite 800, Plymouth, PIN 55441
Address of Surety
(952)852-2431
Phone # of Surety
Patrick Benedict
Contact Person For Surety
ACKNOWLEDGMENT
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 Orange
On .June 24, 2021 . before me, Terri Hovdestad, Notary Public
(insert name and title of the officer)
personally appeared Brian G. Rupp
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 signature(s) 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.
WITNESS my hand and official seal.
TERRI HOVDESTAD
Notary Public California
a� Orange County_
Commission N 2244544
Y My Comm. Expires Jun 28, 2022
(Seal)
CALIFORNIA ALL-PURPOSE ACKNOWLEDGMENT CIVIL CODE 1189
,.:`^�uvV��.✓`✓�•:..✓v,.•...lvv,.v/`✓`.:...\r�,�/.�:,�:..,/•.i,...^v ��.•v.�h,..�ti ,:YWY`�ni.Y.�.i`i..','..Pv�✓�: ..:v�✓.�•r .r r•�.`'�•`�?� .�:��.
... n.�nn.,.�.•.... /... .r.nnr..`..,r..-`n., ... ..ter.,,:,:-..`. /. ., ,.. .. ..-. ... .. ... .�..`..: nn.�^. .. .... .. .. .,.
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 )
Countv of. Orange )
On (i before me, Natassia Kirk -Smith , Notary Public,
personally appeared Vanessa Copeland
Name(s) of Signer(s)
who proved to me on the basis of satisfactory evidence to be the person(s) whose name(s) is/arc subscribed to the
within instrument and acknowledged to me that he/she/t1ic3- executed the same in his/her/their authorized
capacity(ies), and that by his/her/their signature(s) on the instrument the person(&), 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
.. 4• y NATASSIA KIRK -SMITH paragraph is true and correct.
Notary Public - California
'yre Y Orange County
Commission -" 2253818 WITNESS ;Inv hand and official
My Comm, Expires Aug 12. 2022
Signatu
Signature o! Nu is
Place Notary Seal Above
_______OPTIONAL
Though the information below is not required by law, it may prove valuable to persons relying on the document
and could present fraudulent and reattachment of this form to another document.
Description of Attached Document
Type or Title of Document:
Document Date:
Signer(s) Other Than Named Above:
Capacity(ies) Claimed by Signer(s)
Signer's Name: Vanessa Copeland
❑ Individual
❑ Corporate Officer — Title(s):
❑ Partner: ❑Limited ❑ General
® Attorney in Fact
❑ Trustee
❑ Guardian or Conservator
❑ Other:
Signer Is Representing:
Number of Pages:
Capacity(ies) Claimed by Signer(s)
Signer's Name:
❑ Individual
❑ Corporate Officer — Title(s):
❑ Partner: ❑Limited ❑ General
❑ Attorney in Fact
❑ Trustee
❑ Guardian or Conservator
❑ Other:
Signer Is Representing:
Rev. 1-15
intact
INSURANCE:
KNOW ALL MEN BY THESE PRESENTS, that ATLANTIC SPECIALTY INSURANCE COMPANY, a New York corporation with its principal office in Plymouth,
Minnesota, does hereby constitute and appoint: Eric Lowey, Mark Richardson, Teresa Jackson, Kevin Cathcart, Vanessa Copeland, each individually if there be
more than one named, its true and lawful Attomey-in-Fact, to make, execute, seal and deliver, for and on its behalf as surety, any and all bonds, recognizances, contracts of
indemnity, and all other writings obligatory in the nature thereof; provided that no bond or undertaking executed under this authority shall exceed in amount the sum of:
unlimited and the execution of such bonds, recognizances, contracts of indemnity, and all other writings obligatory in the nature thereof in pursuance of these presents, shall be
as binding upon said Company as if they had been fully signed by an authorized officer of the Company and sealed with the Company seal. This Power of Attorney is made and
executed by authority of the following resolutions adopted by the Board of Directors of ATLANTIC SPECIALTY INSURANCE COMPANY on the twenty-fifth day of
September, 2012:
Resolved: That the President, any Senior Vice President or Vice -President (each an "Authorized Officer") may execute for and in behalf of the Company any and
all bonds, recognizances, contracts of indemnity, and all other writings obligatory in the nature thereof, and affix the seal of the Company thereto; and that the
Authorized Officer may appoint and authorize an Attorney -in -Fact to execute on behalf of the Company any and all such instruments and to affix the Company
seal thereto; and that the Authorized Officer may at any time remove any such Attorney -in -Fact and revoke all power and authority given to any such Attorney -in -
Fact.
Resolved: That the Attorney -in -Fact may be given full power and authority to execute for and in the name and on behalf of the Company any and all bonds,
recognizances, contracts of indemnity, and all other writings obligatory in the nature thereof, and any such instrument executed by any such Attorney -in -Fact shall
be as binding upon the Company as if signed and sealed by an Authorized Officer and, further, the Attorney -in -Fact is hereby authorized to verify any affidavit
required to be attached to bonds, recognizances, contracts of indemnity, and all other writings obligatory in the nature thereof.
This power of attorney is signed and sealed by facsimile under the authority of the following Resolution adopted by the Board of Directors of ATLANTIC SPECIALTY
INSURANCE COMPANY on the twenty-fifth day of September, 2012:
Resolved: That the signature of an Authorized Officer, the signature of the Secretary or the Assistant Secretary, and the Company seal may be affixed by
facsimile to any power of attorney or to any certificate relating thereto appointing an Attorney -in -Fact for purposes only of executing and sealing any bond,
undertaking, recognizance or other written obligation in the nature thereof, and any such signature and seal where so used, being hereby adopted by the Company
as the original signature of such officer and the original seal of the Company, to be valid and binding upon the Company with the same force and effect as though
manually affixed.
IN WITNESS WHEREOF, ATLANTIC SPECIALTY INSURANCE COMPANY has caused these presents to be signed by an Authorized Officer and the seal of the Company
to be affixed this twenty-seventh day of April, 2020.
.,,inn.,.
V IN
P
�� �flFl4ilFl•iTF��,3
SEAL
Y 1 g86 o s
By
STATE OF MINNESOTI 1y�yy rop�yb
Paul J. Brehm, Senior Vice President
HENNEPIN COUNTY
On this twenty-seventh day of Aprii, 2020, before me personally came Paul J. Brehm, Senior Vice President of ATLANTIC SPECIALTY INSURANCE COMPANY, to me
personally known to be the individual and officer described in and who executed the preceding instrument, and he acknowledged the execution of the same, and being by me
duly sworn, that he is the said officer of the Company aforesaid, and that the seal affixed to the preceding instrument is the seal of said Company and that the said seal and the
signature as such officer was duly affixed and subscribed to the said instrument by the authority and at the direction of the Company.
AL=-MINNESOTA
OUT
NOTARYSOTAMiresPV
L15MA,luklxx -
Notary Public
I, the undersigned, Secretary of ATLANTIC SPECIALTY INSURANCE COMPANY, a New York Corporation, do hereby certify that the foregoing power of attorney is in full
force and has not been revoked, and the resolutions set forth above are now in force.
Signed and sealed. Dated 23rd day of June 2021
'-0 SEAL. m:
This Power of Attorney expiresYnRt.4b,,F:
January 31, 2025 ?f •z ! N +
Kara Barrow, Secretary
Please direct bond verifications to Lirulwijihyactinsorr>�}r .cum
PREMIUM IS FOR THE CONTRACT TERM AND IS SUBJECT TO
ADJUSTMENT BASED ON FINAL CONTRACT PRICE
SUBDIVISION IMPROVEMENTS
Tract Map No. 37359
PERFORMANCE BOND
KNOW ALL MEN BY THESE PRESENTS:
Bond No. 800016783
Premium: $32,951.00
THAT, the City Council of the City of La Quinta has approved the final map for Tract Map No.
37359 prior to installation of certain designated public improvements required by the Conditions of
Approval for the subject map, in accordance with the California Map Act (Government Code Section 66462)
WHEREAS, the City Council of the City of La Quinta, State of California, and
SLF-Adams Street La Quinta, LLC hereinafter designated as ("principal") have entered into an agreement
whereby principal agrees to install and complete certain designated public improvements, which said
agreement, dated 'JU A 2 b0 , 20A�_, and identified as Tract Map No.
37359 , is hereby referred to and made a part hereof; and
WHEREAS, said principal is required under the terms of said agreement to furnish a bond for the
faithful performance of said agreement.
NOW, THEREFORE, we, the principal and Atlantic Specialty Insurance Company , as
surety, are held and firmly bound unto the City of La Quinta hereinafter called ("City"), in the penal sum of
Three million eight hundred seventy six thousand six hundred thirty nine DOLLARS ($3,876,639) 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 bounded 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 agreement 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 City,
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 attorney's fees, incurred by
City 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 agreement or to the work to be performed hereunder or the specifications accompanying the
same shall in any manner 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 agreement or to the work or to the
specifications.
In witness whereof, this instrument has been duly executed by the principal and surety above named,
on June 23 , 20 21
SLF-Adams Street La Quinta, LLC
Principal
BY: r-2--4 L:; �-
(Seal) Signature of Principal
Title of Signatory
Atlantic Specialty Insurance Compa991
Oj)'L
4 L� -L
(Seal) Signature o Surety
Vanessa Copeland, Attorney -in -Fact
Title of Signatory
605 Highway 169 North, Suite 800
Plymouth, MN 55441
Address of Surety
(952)852-2431
Phone # of Surety
Patrick Benedict
Contact Person For Surety
ACKNOWLEDGMENT
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 Orange
On June 24, 2021
before me,
personally appeared Brian G. Rupp
Terri Hovdestad, Notary Public
(insert name and title of the officer)
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 signature(s) 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. ohm
e
TERRIHOVDESTAD
Notary Public - California
WITNESS my hand and official seal. iOrange County
Commission k 2244544
My Comm. Expires Jun 28, 2022
Sirjiv t�.lre (Seal)
CALIFORNIA ALL-PURPOSE ACKNOWLEDGMENT CPAL 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 Orange
On before me, Natassia Kirk -Smith , Notary Public,
personally appeared _Vanessa Copeland
Name(s) of Signer(s)
who proved to me on the basis of satisfactory evidence to be the person( -a) whose name(s-) Ware 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 signature(s) on the instrument the person(, or the entity upon behalf of
which the person(s) acted, executed the instrument.
NATASSIA KIRK -SMITH
r Notary Public • California Z
Orange County
Commission 9 2253818
* My Comm. Expire.- Aug 12, 2022
Place Notary Seal Above
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 officia �1
Signal re: �t,
Signature n � ) hlic
OPTIONAL
Though the information below is not required by law, it may prove valuable to persons relying on the document
and could present fraudulent and reattachment of this form to another document.
Description of Attached Document
Type or Title of Document:
Document Date:
Signer(s) Other Than Named Above:
Capacity(ies) Claimed by Signer(s)
Signer's Name: Vanessa Copeland
❑ Individual
❑ Corporate Officer — Title(s)-,
❑ Partner: ❑Limited ❑ General
® Attorney in Fact
❑ Trustee
❑ Guardian or Conservator
❑ Other:
Signer Is Representing:
Number of Pages:
Capacity(ies) Claimed by Signer(s)
Signer's Name:
❑ Individual
❑ Corporate Officer — Title(s):
❑ Partner: ❑Limited ❑ General
❑ Attorney in Fact
❑ Trustee
❑ Guardian or Conservator
❑ Other:
Signer Is Representing:
Rev. 1-15
intact
INSURANCE
KNOW ALL MEN BY THESE PRESENTS, that ATLANTIC SPECIALTY INSURANCE COMPANY, a New York corporation with its principal office in Plymouth,
Minnesota, does hereby constitute and appoint: Eric Lowey, Mark Richardson, Teresa Jackson, Kevin Cathcart, Vanessa Copeland, each individually if there be
more than one named, its true and lawful Attorney -in -Fact, to make, execute, seal and deliver, for and on its behalf as surety, any and all bonds, recognizances, contracts of
indemnity, and all other writings obligatory in the nature thereof; provided that no bond or undertaking executed under this authority shall exceed in amount the sum of:
unlimited and the execution of such bonds, recognizances, contracts of indemnity, and all other writings obligatory in the nature thereof in pursuance of these presents, shall be
as binding upon said Company as if they had been fully signed by an authorized officer of the Company and sealed with the Company seal. This Power of Attorney is made and
executed by authority of the following resolutions adopted by the Board of Directors of ATLANTIC SPECIALTY INSURANCE COMPANY on the twenty-fifth day of
September, 2012:
Resolved: That the President, any Senior Vice President or Vice -President (each an "Authorized Officer") may execute for and in behalf of the Company any and
all bonds, recognizances, contracts of indemnity, and all other writings obligatory in the nature thereof, and affix the seal of the Company thereto; and that the
Authorized Officer may appoint and authorize an Attorney -in -Fact to execute on behalf of the Company any and all such instruments and to affix the Company
seal thereto; and that the Authorized Officer may at any time remove any such Attorney -in -Fact and revoke all power and authority given to any such Attorney -in -
Fact.
Resolved: That the Attorney -in -Fact may be given full power and authority to execute for and in the name and on behalf of the Company any and all bonds,
recognizances, contracts of indemnity, and all other writings obligatory in the nature thereof, and any such instrument executed by any such Attorney -in -Fact shall
be as binding upon the Company as if signed and sealed by an Authorized Officer and, further, the Attorney -in -Fact is hereby authorized to verify any affidavit
required to be attached to bonds, recognizances, contracts of indemnity, and all other writings obligatory in the nature thereof.
This power of attorney is signed and sealed by facsimile under the authority of the following Resolution adopted by the Board of Directors of ATLANTIC SPECIALTY
INSURANCE COMPANY on the twenty-fifth day of September, 2012:
Resolved: That the signature of an Authorized Officer, the signature of the Secretary or the Assistant Secretary, and the Company seal may be affixed by
facsimile to any power of attorney or to any certificate relating thereto appointing an Attorney -in -Fact for purposes only of executing and sealing any bond,
undertaking, recognizance or other written obligation in the nature thereof, and any such signature and seal where so used, being hereby adopted by the Company
as the original signature of such officer and the original seal of the Company, to be valid and binding upon the Company with the same force and effect as though
manually affixed.
IN WITNESS WHEREOF, ATLANTIC SPECIALTY INSURANCE COMPANY has caused these presents to be signed by an Authorized Officer and the seal of the Company
to be affixed this twenty-seventh day of April, 2020.
,SAL Y ,INS�A
a�,Oc�PCCG1RlA;tf,r� Fly}_
0,
=Y 198fi a By
STATE OF MINNESOTA ��yyfK YQ��ya� Paul J. Brehm, Senior Vice President
HENNEPIN COUNTY d rr•''
On this twenty-seventh day of April; 2020, before me personally came Paul J. Brehm, Senior Vice President of ATLANTIC SPECIALTY INSURANCE COMPANY, to me
personally known to be the'ndividual and officer described in and who executed the preceding instrument, and he acknowledged the execution of the same, and being by me
duly sworn, that he is the said officer of the Company aforesaid, and that the seal affixed to the preceding instrument is the seal of said Company and that the said seal and the
signature as such officer was duly affixed and subscribed to the said instrument by the authority and at the direction of the Company.
ALISON DWAN NASH•TROUT
NOTARY PUBLIC • MINNESOTA
My Commission Expires
January31, 2025
Notary Public
I, the undersigned, Secretary of ATLANTIC SPECIALTY INSURANCE COMPANY, a New York Corporation, do hereby certify that the foregoing power of attorney is in full
force and has not been revoked, and the resolutions set forth above are now in force.
Signed and sealed. Dated 23rd day of June 2021
1 1 NSA ,.
GR 9 i
i ary GpAPOR,�,@
SEAL'
This Power of Attorney expires
January 31, 2025
Kara Barrow, Secretary
Please direct bond verifications to surei}_{,jnwairiiuri]nce.csnn.
PREMIUM IS FOR THE CONTRACT TERM AND IS
SUBJECT TO ADJUSTMENT BASED ON FINAL
CONTRACT PRICE
SUBDIVISION IMPROVEMENTS
Tract Map No. 37359
PERFORMANCE BOND
KNOW ALL MEN BY THESE PRESENTS:
Bond No. 800016785
Premium: $3,902 00
THAT, the City Council of the City of La Quinta has approved the final map for Tract Map No.
37359, prior to installation of certain designated public improvements required by the Conditions of Approval
for the subject map, in accordance with the California Map Act (Government Code Section 66462)
WHEREAS, the City Council of the City of La Quinta, State of California, and
SLF-Adams Street La Quinta, LLC hereinafter designated as ("principal") have entered into an agreement
whereby principal agrees to install and complete certain designated public improvements. which said
agreement, dated IuVu— r6O , 20-M , and identified as Tract Map No.
37359, is hereby referred to and made a part hereof; and
WHEREAS, said principal is required under the terms of said agreement to furnish a bond for the
faithful performance of said agreement.
NOW, THEREFORE, we, the principal and Atlantic Specialty Insurance Company , as
surety, are held and firmly bound unto the City of La Quinta hereinafter called ("City"), in the penal sum of
Four hundred fifty nine thousand and thirty two DOLLARS $459,032) lawful money of the United States, forthe
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 bounded 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 agreement 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 City,
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 attorney's fees, incurred by
City 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 agreement or to the work to be performed hereunder or the specifications accompanying the
same shall in any manner 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 agreement or to the work or to the
specifications.
In witness whereof, this instrument has been duly executed by the principal and surety above named,
on June 23 , 2C 21
SLF-Adams Street La Quinta, LLC
Principal BY:&—,; � 6?
(Seal) Signature of Principal
Nit RAJ
Title of Signatory 'O1-j&k, CAkL#L
Atlantic Specialty Insurance Company
u rety
(Seal) Signature o Surety
Vanessa Copeland, Attorney -in -Fact
Title of Signatory
605 Highway 169 North, Suite 800
Plymouth, MN 55441
Address of Surety
(952)852-2431
Phone # of Surety
Patrick Benedict
Contact Person For Surety
CALIFORNIA ALL-PURPOSE ACKNOWLEDGMENT CIVIL CODE 1189
n'rn � �.^'n"nn".vr^.n`rn'-'.-��:.`�,: n �V � r'Fn :."non �� i- r'.". "nnrw; ::. �v �vv���� � F`:;;`:, �`!.;';; ::�.'.`•;''�`iNr'i.%.r r �'--•`�;.;;rn`Fn"1:�n`:•:'"`� :.'.Fn`'-:'` r' :?;-�%.� �v.
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 Orange _
On V! before me,
personally appeared
Natassia Kirk -Smith
Vanessa Copeland
Narne(s) of Signer(s)
Notary Public,
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 signature(s) on the instrument the person(, or the entity upon behalf of
which the person(s) acted, executed the instrument.
NATASSIA KIRK -SMITH
Notary Public - California
Orange County
Commission : 22538L2JO22
My Comm. Expires Aug 1
Place Notary Seal Above
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 offtcia s
S ignatu
A�\
SignatureofNotan Public
OPTIONAL
Though the information below is not required by law, it may prove valuable to persons relying on the document
and could present fraudulent and reattachment of this form to another document.
Description of Attached Document
Type or Title of Document:
Document Date:
Signer(s) Other Than Named Above:
Capacity(ies) Claimed by Signer(s)
Signer's Name: Vanessa Copeland
❑ Individual
❑ Corporate Officer — Title(s):
❑ Partner: ❑Limited ❑ General
® Attorney in Fact
❑ Trustee
❑ Guardian or Conservator
❑ Other:
Signer Is Representing:
Number of Pages:
Capacity(ies) Claimed by Signer(s)
Signer's Name:
❑ Individual
❑ Corporate Officer — Title(s):
❑ Partner: ❑Limited ❑ General
❑ Attorney in Fact
❑ Trustee
❑ Guardian or Conservator
❑ Other:
Signer Is Representing:
Rev. 1-15
ACKNOWLEDGMENT
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 Orange
On June 24, 2021 before me,
personally appeared Brian G. Rupp
Terri Hovdestad, Notary Public
(insert name and title of the officer)
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 signature(s) 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.
TERRIHOVDESTAD
+ Notary Public • California
WITNESS my hand and official seal. _ : - Ory _
Commissssi ionn # 2244544
My Comm. Expires Jun 28, 2022
Slgna Lire (Seal)
intact
INSURANCE i •
KNOW ALL MEN BY THESE PRESENTS, that ATLANTIC SPECIALTY INSURANCE COMPANY, a New York corporation with its principal office in Plymouth,
Minnesota, does hereby constitute and appoint: Eric Lowey, Mark Richardson, Teresa Jackson, Kevin Cathcart, Vanessa Copeland, each individually if there be
more than one named, its true and lawful Attorney -in -Fact, to make, execute, seal and deliver, for and on its behalf as surety, any and all bonds, recognizances, contracts of
indemnity, and all other writings obligatory in the nature thereof; provided that no bond or undertaking executed under this authority shall exceed in amount the sum of:
unlimited and the execution of such bonds, recognizances, contracts of indemnity, and all other writings obligatory in the nature thereof in pursuance of these presents, shall be
as binding upon said Company as if they had been fully signed by an authorized officer of the Company and sealed with the Company seal. This Power of Attorney is made and
executed by authority of the following resolutions adopted by the Board of Directors of ATLANTIC SPECIALTY INSURANCE COMPANY on the twenty-fifth day of
September, 2012:
Resolved: That the President, any Senior Vice President or Vice -President (each an "Authorized Officer") may execute for and in behalf of the Company any and
all bonds, recognizances, contracts of indemnity, and all other writings obligatory in the nature thereof, and affix the seal of the Company thereto; and that the
Authorized Officer may appoint and authorize an Attorney -in -Fact to execute on behalf of the Company any and all such instruments and to affix the Company
seal thereto; and that the Authorized Officer may at any time remove any such Attorney -in -Fact and revoke all power and authority given to any such Attorney -in -
Fact.
Resolved: That the Attorney -in -Fact may be given full power and authority to execute for and in the name and on behalf of the Company any and all bonds,
recognizances, contracts of indemnity, and all other writings obligatory in the nature thereof, and any such instrument executed by any such Attorney -in -Fact shall
be as binding upon the Company as if signed and sealed by an Authorized Officer and, further, the Attorney -in -Fact is hereby authorized to verify any affidavit
required to be attached to bonds, recognizances, contracts of indemnity, and all other writings obligatory in the nature thereof.
This power of attorney is signed and sealed by facsimile under the authority of the following Resolution adopted by the Board of Directors of ATLANTIC SPECIALTY
INSURANCE COMPANY on the twenty-fifth day of September, 2012:
Resolved: That the signature of an Authorized Officer, the signature of the Secretary or the Assistant Secretary, and the Company seal may be affixed by
facsimile to any power of attorney or to any certificate relating thereto appointing an Attorney -in -Fact for purposes only of executing and sealing any bond,
undertaking, recognizance or other written obligation in the nature thereof, and any such signature and seal where so used, being hereby adopted by the Company
as the original signature of such officer and the original seal of the Company, to be valid and binding upon the Company with the same force and effect as though
manually affixed.
IN WITNESS WHEREOF, ATLANTIC SPECIALTY INSURANCE COMPANY has caused these presents to be signed by an Authorized Officer and the seal of the Company
to be affixed this twenty-seventh day of April, 2020.
3�4 GflRPt7R,;rf��
y S ER L
�ID
Y 19$6 o
By
STATE OF MINNE.SOTA '�s3tirw vat �b�'
Paul J. Brehm, Senior Vice President
HENNEPIN COUNTY
On this twenty-seventh day of April, 2020, before me personally came Paul J. Brehm, Senior Vice President of ATLANTIC SPECIALTY INSURANCE COMPANY, to me
personally known to be the individual and officer described in and who executed the preceding instrument, and he acknowledged the execution of the same, and being by me
duly sworn, that he is the said officer of the Company aforesaid, and that the seal affixed to the preceding instrument is the seal of said Company and that the said seal and the
signature as such officer was duly affixed and subscribed to the said instrument by the authority and at the direction of the Company.
a ALISON DWAN NASH•TROUT
NOTARY PUBLIC • MINNESOTA
My Commission Expires
January 31, 2025
iSj'YI / 41V
Notary Public
I, the undersigned, Secretary of ATLANTIC SPECIALTY INSURANCE COMPANY, a New York Corporation, do hereby certify that the foregoing power of attorney is in full
force and has not been revoked, and the resolutions set forth above are now in force.
Signed and sealed. Dated 23rd . day of June 2021
This Power of Attorney expires
January 31, 2025
'i
SEAL mE
=- 1966 oa
Kara Barrow, Secretary
Please direct bond verifications to n.L'.C(n}4